Académique Documents
Professionnel Documents
Culture Documents
(Formerly DR. YANGAS FRANCISCO BALAGTAS COLLEGES) 182 Mc Arthur Highway, Wakas, Bocaue, Bulacan Tel.Nos.(044)692-3097/692-5291/Fax No. (044)920-0289 Website:www.thedycian.com PACUCOA LEVEL I FORMAL ACCREDITED STATUS, FEBRUARY 2011 FEBRUARY 2014
ACTUAL DELIVERY in __Ospital ng Lungsod ng San Jose Del Monte / Area E City San Jose Del Monte Bulacan
Hospital/Home/Lying-in Clinic, Municipality/City/Province
Prepared by: Printed Name and Signature of Student __SALONGA, EFEPANIO CARPIO
Date Performed And Time Started Patients INITIAL Only
PROCEDURE PERFORMED
SUPERVISED BY
Clinical Instructor Name and Signature
Case Number
(not applicable for Birthing/Lying-in Clinical/Homes)
Noted by: Marlon C. Guballa, RN,MAN_ Print Name and Signature Clinical Coordinator, PRC I.D. No. _0373339_ Valid Until May 2014____ Date document is signed: ________________ Time ____________ Specify Highest Nursing Degree Earned: _MAN_______
Approved by: __PROF. TEODORA M. DELOS REYES, RN, DNS Print Name and Signature Dean, PRC I.D. No. ___0055264__ Valid Until _April 2012______ Date document is signed: ________________ Time ____________ Specify Highest Nursing Degree Earned: _DNS___________
Prepared by: Printed Name and Signature of Student __SALONGA, EFEPANIO CARPIO
Date Performed And Time Started Patients INITIAL Only
PROCEDURE PERFORMED
SUPERVISED BY
Clinical Instructor Name and Signature
Case Number
(not applicable for Birthing/Lying-in Clinical/Homes)
C.K. 10-103
Noted by: Marlon C. Guballa, RN, MAN__ Print Name and Signature Clinical Coordinator, PRC I.D. No. 0373339 Valid Until May 2014 Date document is signed: ________________ Time ____________ Specify Highest Nursing Degree Earned: _MAN______________
Approved by: __PROF. TEODORA M. DELOS REYES, RN, DNS Print Name and Signature Dean, PRC I.D. No. ___0055264__ Valid Until _April 2012______ Date document is signed: ________________ Time ____________ Specify Highest Nursing Degree Earned: _DNS__________
ASSISTED DELIVERY in _ Ospital ng Lungsod ng San Jose Del Monte / Area E City San Jose Del Monte Bulacan
Hospital/Home/Lying-in Clinic, Municipality/City/Province
Prepared by: Printed Name and Signature of Student __ SALONGA, EFEPANIO CARPIO__
Date Performed And Time Started Patients INITIAL Only
PROCEDURE PERFORMED
ASSISTED DELIVERY
Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery
SUPERVISED BY
Clinical Instructor Name and Signature
Case Number
(not applicable for Birthing/Lying-in Clinical/Homes)
December 7, 2011 10:30 pm December 8, 2011 8:00 pm December 14, 2011 6:50 pm
R.M K. A. M.A
Gretchen Ape R.N Katherine Mae Diaz R.N Katherine Mae Diaz R.N
Lina D. Ouano R.N, M.A.N Lina D. Ouano R.N, M.A.N Lina D. Ouano R.N, M.A.N
Noted by: Marlon C. Guballa, R.N, M.A.N__ Print Name and Signature Clinical Coordinator, PRC I.D. No.0373339 Valid Until May 2014 Date document is signed: ________________ Time ____________ Specify Highest Nursing Degree Earned: _MAN___________
Approved by: __PROF. TEODORA M. DELOS REYES, RN, DNS Print Name and Signature Dean, PRC I.D. No. ___0055264__ Valid Until _April 2012______ Date document is signed: ________________ Time ____________ Specify Highest Nursing Degree Earned: __DNS___________
Prepared by: Printed Name and Signature of Student_ SALONGA, EFEPANIO CARPIO
Date Performed And Time Started Patients INITIAL Only Immediate Newborn Cord Care Nurse On Duty
(Name and Signature) (If Midwife on Duty, Signature Not Required)
PERFORMED
Indicate where performed eg. D.R., Nursery, NICU, or Home Case Number
(not applicable for Birthing/Lying-in Clinical/Homes)
SUPERVISED BY
Clinical Instructor Name and Signature
November 27, 2011 12:30 pm November 28, 2011 9:12 am November 29, 2011 7:47 am
Neonatal Intensive Care Units Neonatal Intensive Care Units Neonatal Intensive Care Units
Maryette Cruz, R.N. Isra meshech Viernes, R.N. Paula Ramon, R.N
Liwayway Timpoc R.N, M.A.N Liwayway Timpoc R.N, M.A.N Liwayway Timpoc R.N, M.A.N
Noted by: _ Marlon C. Guballa, RN, MA._______________ Print Name and Signature Clinical Coordinator, PRC I.D. No. 0373339 Valid Until May 2014 Date document is signed: ________________ Time ____________ Specify Highest Nursing Degree Earned: _MAN_______________
Approved by: __PROF. TEODORA M. DELOS REYES, RN, DNS Print Name and Signature Dean, PRC I.D. No. ___0055264__ Valid Until _April 2012______ Date document is signed: ________________ Time ____________ Specify Highest Nursing Degree Earned: _DNS____________
Prepared by: Printed Name and Signature of Student _ SALONGA, EFEPANIO CARPIO
Date Performed And Time Started Patients INITIAL Only O.R. Nurse On Duty SUPERVISED BY
Clinical Instructor Name and Signature
Case Number
Noted by: _Marlon C. Guballa_RN, MAN___________________ Print Name and Signature Clinical Coordinator, PRC I.D. No. 0373339 Valid Until May 2014 Date document is signed: ________________ Time ____________ Specify Highest Nursing Degree Earned: _ MAN__________
Approved by: __PROF. TEODORA M. DELOS REYES, RN, DNS Print Name and Signature Dean, PRC I.D. No. ___0055264__ Valid Until _April 2012______ Date document is signed: ________________ Time ____________ Specify Highest Nursing Degree Earned: _DNS______
Prepared by: Printed Name and Signature of Student _ SALONGA, EFEPANIO CARPIO
Date Performed And Time Started Patients INITIAL Only O.R. Nurse On Duty SUPERVISED BY
Clinical Instructor Name and Signature
Case Number
V.A 44445
Noted by: _Marlon C. Guballa_RN, MAN___________________ Print Name and Signature Clinical Coordinator, PRC I.D. No. 0373339 Valid Until May 2014 Date document is signed: ________________ Time ____________ Specify Highest Nursing Degree Earned: _ MAN__________
Approved by: __PROF. TEODORA M. DELOS REYES, RN, DNS Print Name and Signature Dean, PRC I.D. No. ___0055264__ Valid Until _April 2012______ Date document is signed: ________________ Time ____________ Specify Highest Nursing Degree Earned: _DNS______
Prepared by: Printed Name and Signature of Student : SALONGA, EFEPANIO CARPIO
Date Performed And Time Started Patients INITIAL Only O.R. Nurse On Duty SUPERVISED BY
Clinical Instructor Name and Signature
Aurora P. Vianzon, RN, MAN Aurora P. Vianzon, RN, MAN Aurora P. Vianzon, RN, MAN
Noted by: _Marlon C. Guballa_RN, MAN___________________ Print Name and Signature Clinical Coordinator, PRC I.D. No. 0373339 Valid Until May 2014 Date document is signed: ________________ Time ____________ Specify Highest Nursing Degree Earned: _ MAN__________
Approved by: __PROF. TEODORA M. DELOS REYES, RN, DNS Print Name and Signature Dean, PRC I.D. No. ___0055264__ Valid Until _April 2012______ Date document is signed: ________________ Time ____________ Specify Highest Nursing Degree Earned: __DNS____________