UNION CHRISTIAN COLLEGE

San Fernando City, La Union

Name of Student: Aguila, Jefferson Gomez
Name and Address of School: UNION CHRISTIAN COLLEGE, Widdoes Street, San Fernando City, 2500, La Union
Accreditation Level (if any): Level II Year Granted: 1999
Date School/Program was Recognized: June 14 Number: 198 Year: 1977
First Course (if any): Not Applicable School graduated from: Not Applicable Year: Not Applicable
Year of Admission in the Bachelor of Science in Nursing Program: 2003
Year Graduated (BSN Program): 2007
I. MAJOR OPERATIONS
No Date of Case No. Name of Patient Diagnosis Operation Type of Name of Name of Supervised by: Name &
. Operation Performed Anesthesia Surgeon Hospital Name & Signature of
Signature of O.R. Scrub
Qualified C.I. Nurse
Pregnancy Uterine
1 December 27, 2005- Annabelle Tominez 38 weeks Age of Emergency Subarachnoid Geraldine Ilocos Training Flordeliza G. Salvador Somera
2006 0015157 Galvez Gestation Laterotransverse Block Kadatar, MD and Regional Galvez PRC No.: 0305596
secondary to Cesarean Section with Medical Center PRC No.: 0130411
PNA No.: 16263
Breech Footling Bilateral Tubal Ligation (ITRMC) MAN units: 33 units
Gravida 2 Para 1
(G2P1)
Pregnancy Uterine
2 July 15, 2006 2006- Evangeline Arapan Full Term Cephalic Emergency Subarachnoid Joyce Bastian, MD Ilocos Training Flordeliza G. Felix Leo Aragon
0014883 Avecilla in Labor Gravida 1 Laterotransverse Block and Regional Galvez PRC No.: 0162093
Para 0 Cesarean Section Medical Center PRC No.: 0130411 PNA No.:
16263
(G1P0) in Fetal (ITRMC) MAN units: 33 units
Distress

3 July 13, 2006 2001-25450 Marcelino Rivera Skull Fracture Emergency General Sixto Ordoño, MD Ilocos Training Flordeliza G. Alma Marquez
Peralta secondary to Fall Craniectomy Endotracheal and Regional Galvez PRC No.: 0340908
Anesthesia Medical Center PRC No.: 0130411
PNA No.: 16263
(ITRMC) MAN units: 33 units
Corneoscleral Emergency Repair of
4 July 7,2006 2006- Geron Taungay Laus Laceration with Iris Corneoscleral General Ian Moll, MD Ilocos Training Flordeliza G. Rommel Lucina
0015716 Prolapsed Left Eye Laceration with Endotracheal and Regional Galvez PRC No.: 325165
Peripheral Iridectomy Anesthesia Medical Center PRC No.: 0130411
PNA No.: 16263
(ITRMC) MAN units: 33 units

5 July 6, 2006 2006- Jethly Dupala Mandibular Open Reduction General Pedro Patao, MD Ilocos Training Flordeliza G. Alma Marquez
0014795 Agbusac Fracture Internal Fixation with Endotracheal and Regional Galvez PRC No.: 0340908
Mandibular Plating Anesthesia Medical Center PRC No.: 0130411
PNA No.: 16263
(ITRMC) MAN units: 33 units
Prepared by:

AGUILA, Jefferson G.
Name of Student

Concurred by: Noted by: Approved by:

FLORDELIZA R. BOBILES, RN, MAN NORBERTO G. PREPOSE, JR., RN, MAN CRISTETA E.
BAGTANG, RN, MPH, MAN
 Signature over printed name of Assistant Chief Nurse Signature over printed Name of Clinical Coordinator Signature over printed
Name of Dean
Date Signed: ________________________ Date Signed: _____________________ Date Signed:
________________________
Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MPH,
MAN
a. PRC NO.: 0114833 a. PRC No.: 0209483 a. PRC NO.: 125448
Valid Until: March 27, 2008 Valid Until: April 2, 2009 Valid Until: October 24,
2009
b. PNA No.: 17945 b. PNA No.: 16232 b. PNA No.: 3051
Valid Until: Lifetime Member Valid Until: December 2007 Valid Until: Lifetime
Member
c. ANSAP No: 01324 c. ANSAP No: 00077 c. ADPCN No.: 356
Valid Until: December 2007 Valid Until: Lifetime Member Valid Until: December
2007