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Republic of the Philippines NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Cabanatuan City College of Nursing

Name of the Student: LONGALONG, HARVIE LYN CANDELARIA Name and Address of School: Nueva Ecija University of Science and Technology, Gen. Tinio Street Cabanatuan City, Nueva Ecija 3100 Accredited Level (if any): Not Applicable Date when school/program was recognized: December 2, 2003 Board Resolution 96-A Series of 2003 First Course (if any): Not Applicable School Graduated: Not Applicable Year of Admission in the Bachelor of Science in Nursing Program: 2008 Year Graduated (Bachelor of Science in Nursing Program): 2012
I. MAJOR OPERATIONS No. 1. 2. 3. Date of Operation August 4, 2011 August 5, 2011 August 18, 2011 Case Number 062163 042587 067776 Name of Patient E.A.B P.I. F.V. Diagnosis Diabetes Mellitus Foot Right Procedentia Uteri Stage Gravida 3 Parity 3 (3002) Intertrochanteric Fracture Left Operation Performed Below Knee Amputation Vaginal Hysterectomy Partial Hip Replacement Prosthesis Type of Anesthesia Spinal Anesthesia Spinal Anesthesia Spinal Anesthesia Name of Surgeon Dr. Joan Tamangan Dr. Wilfredo Faustino Dr. Joanna Olay Dr. Simeon Du Name of Hospital Dr. Paulino J. Garcia Memorial Research and Medical Center Dr. Paulino J. Garcia Memorial Research and Medical Center Dr. Paulino J. Garcia Memorial Research and Medical Center

PREPARED BY: LONGALONG, HARVIE LYN C. NAME OF STUDENT Date Signed: _______________

SUPERVISED BY: MR. FROILAN C. DIOLOSA CLINICAL INSTRUCTOR, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse units Master of Arts in Nursing PRC Number: 0311137 Valid Until: PNA Number: Valid Until: Date Signed: _______________

NOTED BY: MS. LUZVIMINDA I. DALLO RELATED LEARNING EXPERIENCE COORDINATOR, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0086572 Valid Until: August 19, 2013 PNA Number: 19755 Valid Until: Lifetime Member Date Signed: _______________

CONCURRED BY: MS. PINKY MIRIAM D. CANLAS CHIEF NURSE

APPROVED BY: MS. EPPIE DC. BUGARIN DEAN, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Registered Midwife Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0085974 Valid Until: April 3, 2014 PNA Number: 17977 Valid Until: Lifetime Member ADPCN Number: 0662 Valid Until: Date Signed: _______________

Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing PRC Number: 0075648 Valid Until: September 22, 2012 PNA Number: 9873 Valid Until: Lifetime Member Date Signed: _______________

Republic of the Philippines NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Cabanatuan City College of Nursing

Name of Student: LONGALONG, HARVIE LYN CANDELARIA Name and Address of School: Nueva Ecija University of Science and Technology, General Tinio Street, Cabanatuan City Accreditation Level (if any): Not Applicale Date School/ Program was Recognized: December 2, 2003 Board Resolution 96 A Series of 2003 First Course (if any): Not Applicable Year of Admission in Bachelor of Science in Nursing Program: 2008 Year Graduated from Bachelor of Science in Nursing Program: 2012 II. CIRCULATING No. 1. 2. 3. Date of Operation Case Number Name of Patient Diagnosis Operation Performed Type of Anesthesia Name of Surgeon Name of Hospital

PREPARED BY: LONGALONG, HARVIE LYN C. NAME OF STUDENT Date Signed: _______________

SUPERVISED BY: MR. FROILAN C. DIOLOSA CLINICAL INSTRUCTOR, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse units Master of Arts in Nursing PRC Number: 0311137 Valid Until: November 27, 2012 PNA Number: Valid Until: Date Signed: _______________

NOTED BY: MS. LUZVIMINDA I. DALLO RELATED LEARNING EXPERIENCE COORDINATOR, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0086572 Valid Until: August 19, 2013 PNA Number: 19755 Valid Until: Lifetime Member Date Signed: _______________

CONCURRED BY: MS. PINKY MIRIAM D. CANLAS CHIEF NURSE

APPROVED BY: MS. EPPIE DC. BUGARIN DEAN, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Registered Midwife Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0085974 Valid Until: April 3, 2014 PNA Number: 17977 Valid Until: Lifetime Member ADPCN Number: 0662 Valid Until: Date Signed: _______________

Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing PRC Number: 0075648 Valid Until: September 22, 2012 PNA Number: 9873 Valid Until: Lifetime Date Signed: _______________

Republic of the Philippines NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Cabanatuan City College of Nursing

Name of Student: LONGALONG, HARVIE LYN CANDELARIA Name and Address of School: Nueva Ecija University of Science and Technology, General Tinio Street, Cabanatuan City Accreditation Level (if any): Not Applicale Date School/ Program was Recognized: December 2, 2003 Board Resolution 96 A Series of 2003 First Course (if any): Not Applicable Year of Admission in Bachelor of Science in Nursing Program: 2008 Year Graduated from Bachelor of Science in Nursing Program: 2012 III. ACTUAL DELIVERIES No. 1. Case Number 6220 Diagnosis Pregnancy Uterine Full Term, 38 Weeks Age Of Gestation Cephalic in Beginning Labor Gravida 3 Parity 2 (2002) Pregnancy Uterine 40 Weeks Age of Gestation, Cephalic In Labor Gravida 2 Parity 1 (1001) Pregnancy Uterine 42 5/7 Weeks, Cephalic In Beginning Labor Gravida 2 Parity 1 (1001) Name Of Patient M.T.T.D. Age 28 Date of Delivery December 01, 2011 Time of Delivery 9:27 P.M. Gender of the Baby Girl Name Of Hospital Eduardo L. Joson Memorial Hospital Type of Delivery Normal Spontaneous Delivery

2.

6256

M.B.E.

22

December 16, 2011

8:50 P.M.

Girl

Eduardo L. Joson Memorial Hospital

Normal Spontaneous Delivery

3.

6464

L.A.A.

27

December 16, 2011

10:00 P.M.

Boy

Eduardo L. Joson Memorial Hospital

Normal Spontaneous Delivery

PREPARED BY: LONGALONG, HARVIE LYN C. NAME OF STUDENT Date Signed: _______________

SUPERVISED BY: _____________________ CLINICAL INSTRUCTOR, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse units Master of Arts in Nursing PRC Number: Valid Until: PNA Number: Valid Until: Date Signed: _______________

NOTED BY: MS. LUZVIMINDA I. DALLO RELATED LEARNING EXPERIENCE COORDINATOR, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0086572 Valid Until: August 19, 2013 PNA Number: 19755 Valid Until: Lifetime Member Date Signed: _______________

CONCURRED BY: _______________________ CHIEF NURSE

APPROVED BY: MS. EPPIE DC. BUGARIN DEAN, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Registered Midwife Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0085974 Valid Until: April 3, 2014 PNA Number: 17977 Valid Until: Lifetime Member ADPCN Number: 0662 Valid Until: Date Signed: _______________

Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing PRC Number: Valid Until: PNA Number: Valid Until: Date Signed: _______________

Republic of the Philippines NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Cabanatuan City College of Nursing

Name of Student: LONGALONG, HARVIE LYN CANDELARIA Name and Address of School: Nueva Ecija University of Science and Technology, General Tinio Street, Cabanatuan City Accreditation Level (if any): Not Applicale Date School/ Program was Recognized: December 2, 2003 Board Resolution 96 A Series of 2003 First Course (if any): Not Applicable Year of Admission in Bachelor of Science in Nursing Program: 2008 Year Graduated from Bachelor of Science in Nursing Program: 2012 IV. ASSISTED DELIVERIES No. 1. Case Number 6179 Diagnosis Pregnancy Uterine 38 6/7 Week Age of Gestation, Cephalic In Labor Gravida 2 Parity 1 (1001) Pregnancy Uterine 37 1/7 Weeks Age Of Gestation Cephalic In Labor Gravida 2 Parity 1 Pregnancy Uterine 38 Weeks Age Of Gestation Cephalic In Labor Gravida 4 Parity 3 (3015) Name Of Patient I.R.B. Age 32 Date of Delivery December 01, 2011 Time of Delivery 2:41 P.M. Gender of the Baby Girl Name Of Hospital Eduardo L. Joson Memorial Hospital Type of Delivery Normal Spontaneous Delivery + Bilateral Tubal Ligation Normal Spontaneous Delivery Normal Spontaneous Delivery + Bilateral Tubal Ligation

2.

6247

M.G.A.R.

26

December 03, 2011

1:06 A.M.

Boy

Eduardo L. Joson Memorial Hospital

3.

6389

M.I.R.

32

December 16, 2011

6:04 PM

Girl

Eduardo L. Joson Memorial Hospital

PREPARED BY: LONGALONG, HARVIE LYN C. NAME OF STUDENT Date Signed: _______________

SUPERVISED BY: MS. IRMA DELA CRUZ CLINICAL INSTRUCTOR, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse units Master of Arts in Nursing PRC Number: Valid Until: PNA Number: Valid Until: Date Signed: _______________

NOTED BY: MS. LUZVIMINDA I. DALLO RELATED LEARNING EXPERIENCE COORDINATOR, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0086572 Valid Until: August 19, 2013 PNA Number: 19755 Valid Until: Lifetime Member Date Signed: _______________

CONCURRED BY: _______________________ CHIEF NURSE

APPROVED BY: MS. EPPIE DC. BUGARIN DEAN, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Registered Midwife Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0085974 Valid Until: April 3, 2014 PNA Number: 17977 Valid Until: Lifetime Member ADPCN Number: 0662 Valid Until: Date Signed: _______________

Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing PRC Number: Valid Until: PNA Number: Valid Until: Date Signed: _______________

Republic of the Philippines NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Cabanatuan City College of Nursing

Name of Student: LONGALONG, HARVIE LYN CANDELARIA Name and Address of School: Nueva Ecija University of Science and Technology, General Tinio Street, Cabanatuan City Accreditation Level (if any): Not Applicale Date School/ Program was Recognized: December 2, 2003 Board Resolution 96 A Series of 2003 First Course (if any): Not Applicable Year of Admission in Bachelor of Science in Nursing Program: 2008 Year Graduated from Bachelor of Science in Nursing Program: 2012 IV. NEW INTRAPARTAL ESSENTIAL CARE OF NEW BORN No. 1. Case Number 085238 Date Performed November 14, 2011 Name of Baby Baby L. Gender of Baby Girl Name of Mother J.S.L Age 18 Name of Hospital Dr. Paulino J. Garcia Memorial Research and Medical Center

2.

085441

November 15, 2011

Baby C.

Girl

C.C.

19

Dr. Paulino J. Garcia Memorial Research and Medical Center

3.

087042

November 17, 2011

Baby M.

Boy

M.F.V.M

21

Dr. Paulino J. Garcia Memorial Research and Medical Center

PREPARED BY: LONGALONG, HARVIE LYN C. NAME OF STUDENT Date Signed: _______________

SUPERVISED BY: MS. FRANCES GRACE D. ANGELES CLINICAL INSTRUCTOR, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse 36 units Master of Arts in Nursing PRC Number: 0435021 Valid Until: December 14, 2013 PNA Number: Valid Until: Date Signed: _______________

NOTED BY: MS. LUZVIMINDA I. DALLO RELATED LEARNING EXPERIENCE COORDINATOR, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0086572 Valid Until: August 19, 2013 PNA Number: 19755 Valid Until: Lifetime Member Date Signed: _______________

CONCURRED BY: MRS. PINKY MIRIAM D. CANLAS CHIEF NURSE

APPROVED BY: MS. EPPIE DC. BUGARIN DEAN, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Registered Midwife Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0085974 Valid Until: April 3, 2014 PNA Number: 17977 Valid Until: Lifetime Member ADPCN Number: 0662 Valid Until: Date Signed: _______________

Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing PRC Number: 0075648 Valid Until: September 22, 2012 PNA Number: 9873 Valid Until: Lifetime Date Signed: _______________

Republic of the Philippines NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Cabanatuan City College of Nursing

Name of the Student: LONGALONG, HARVIE LYN CANDELARIA Name and Address of School: Nueva Ecija University of Science and Technology, Gen. Tinio Street Cabanatuan City, Nueva Ecija 3100 Accredited Level (if any): Not Applicable Date when school/program was recognized: December 2, 2003 Board Resolution 96-A Series of 2003 First Course (if any): Not Applicable School Graduated: Not Applicable Year of Admission in the Bachelor of Science in Nursing Program: 2008 Year Graduated (Bachelor of Science in Nursing Program): 2012
V. MINOR OPERATIONS No. 1 Date of Operation August 6, 2011 Case Number 064831 Name of Patient P.A.S.P. Diagnosis Bleeding Rectal Polypectomy Operation Performed Excision Biopsy of Rectal Polypectomy Type of Anesthesia General Intravenous Mask General Endotracheal Anesthesia Local Anesthesia Name of Surgeon Dr. Cresida Yu Name of Hospital Dr. Paulino J. Garcia Memorial Research and Medical Center Dr. Paulino J. Garcia Memorial Research and Medical Center Dr. Paulino J. Garcia Memorial Research and Medical Center

August 25, 2011

066178

R.E.M.

Lateral Neck Mass

Excision of Neck mass

Dr. Miguel Aragon Dr. Andrew Manguiduyos Dr. Danny Boy Bergonio APPROVED BY:

August 26, 2011

069599

C.P.P.

Supraclavicular Mass Lymph Node

Excision Biopsy

PREPARED BY: LONGALONG, HARVIE LYN C. NAME OF STUDENT Date Signed: _______________

SUPERVISED BY: MR. FROILAN C. DIOLOSA CLINICAL INSTRUCTOR, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse units Master of Arts in Nursing PRC Number: 0311137 Valid Until: November 27, 2012 PNA Number: Valid Until: Date Signed: _______________

NOTED BY: MS. LUZVIMINDA I. DALLO RELATED LEARNING EXPERIENCE COORDINATOR, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0086572 Valid Until: August 19, 2013 PNA Number: 19755 Valid Until: Lifetime Member Date Signed: _______________

CONCURRED BY: MS. PINKY MIRIAM D. CANLAS CHIEF NURSE

Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing PRC Number: 0075648 Valid Until: September 22, 2012 PNA Number: 9873 Valid Until: Lifetime Member Date Signed: _______________

MS. EPPIE DC. BUGARIN DEAN, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Registered Midwife Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0085974 Valid Until: April 3, 2014 PNA Number: 17977 Valid Until: Lifetime Member ADPCN Number: 0662 Valid Until: Date Signed: _______________