CALAMBA DOCTORS COLLEGE

National Highway Brgy. Parian Calamba City,Laguna Tel.Nos.(049)545-9921 to 22

Name of Student: DAGAMAC, RENAN SIEMBRA_______________________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated (BSN Program): APRIL 2012____________________________________________________________
I. Major Operations

No.

Case No.

Date of Operation March 19, 2010

Name of Patient

Diagnosis

Operation Performed Total Abdominal Hysterectomy- Bilateral SalpingoOophorectomy Hemorrhoidectomy using Harmonic Scalpel Open Cholecystectomy

Type of Anesthesia Spinal/ Epidural

Name of Surgeon Marcelina Manasan M.D.

Name of Hospital Calamba Doctors Hospital Calamba Doctors Hospital Calamba Doctors Hospital

Name of O.R Scrub Nurse Jeronimo Villanueva R.N. Rhea Arias R.N. Hazel Villanueva R.N.

Signature of O.R Scrub Nurse

000101655

Edita Musmit Glory

Myoma Uteri Gravida 1 Para 1 (1001) Prolapsed Hemorrhoids Grade IV with Thrombosis Calculous Cholecystitis

0001023021

January 11, 2011 November 23, 2011

Noel Dilay Babao

Spinal

Domingo Amistad M.D. Ignacio Alcantara M.D.

0001024135

Mary Grace Jolloso

Spinal

Noted by: ARCELIE F. ALPAY, R.N., R.M., M.A.N.

Signature over Printed Name of Chief Nurse Date signed: Degree BSN, RM, MAN PRC No: 0098060 Valid until: June 30, 2012 PNA No: 16970 Valid until: Lifetime

Noted by: AURORA R. SAMOSA, R.N., M.A.N.

Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 20012 PNA No: 18688 Valid until: Lifetime

Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.

Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: 2012-049906 Valid until: __December 2012 ADCPN No: 11-272_______ Valid until: __2014________ :

CALAMBA DOCTORS COLLEGE

National Highway Brgy. Parian Calamba City,Laguna Tel.Nos.(049)545-9921 to 22
Name of Student: DAGAMAC, RENAN SIEMBRA_______________________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated(BSN Program): APRIL 2012____________________________________________________________ II. Minor Operations No. Case No. Date of Operation August 29, 2010 Name of Patient Diagnosis Post-Partum Bleeding secondary to retained placental tissue Breast Mass Right #2 related to Fibroadenoma Post Coital Laceration Operation Performed Type of Anesthesia General Intravenous Name of Surgeon Teresita Hernandez M.D. Name of Hospital Calamba Doctors Hospital Calamba Doctors Hospital Calamba Doctors Hospital Name of O.R Scrub Nurse Marnie Fame R.N. Signature of O.R Scrub Nurse

00072043

Glazel Castillo Rosales

Dilation and Curettage

000102713

October 29, 2010

Janet Alilinan

` Excision Biopsy

Local

Herman Ang M.D.

Wilfred Masilang R.N. Rhea Arias R.N.

0001023029

January 10, 2011

Marilyn Alfante Panghulan

Suturing of Lacerated Wound

Spinal

Annette Cecilia M.D.

Noted by: ARCELIE F. ALPAY, R.N., R.M., M.A.N.

Signature over Printed Name of Chief Nurse Date signed: Degree BSN, RM, MAN PRC No: 0098060 Valid until: June 30, 2012 PNA No: 16970 Valid until: Lifetime

Noted by: AURORA R. SAMOSA, R.N., M.A.N.

Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 20012 PNA No: 18688 Valid until: Lifetime

Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.

Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: 2012-049906 Valid until: December 2012 ADCPN No: _11-272________ Valid until: __2014_________ :

CALAMBA DOCTORS COLLEGE

National Highway Brgy. Parian Calamba City,Laguna Tel.Nos.(049)545-9921 to 22
Name of Student: DAGAMAC, RENAN SIEMBRA_______________________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated(BSN Program): APRIL 2012____________________________________________________________

No . 1

Case No.

Name of Patient

Age

Diagnosis Pregnancy Uterine 39 40 weeks Age of Gestation Cephalic in Labor Gravida 1 Para 0 (1001) Pregnancy Uterine 32-33 weeks Age of Gestation Pre Eclampsia Preferred Labor Pregnancy Uterine 38-39 weeks Age of Gestation Cephalic in Labor Gravida 2 Para 1 (2002)

III. Actual Deliveries Date of Delivery Time of Delivery September 3, 2010 September 11, 2010 1:15 PM

Gender of Baby Female

Name of Hospital Calamba Doctors College Calamba Doctors College Calamba Doctors College

Type of Delivery

Supervised By: Name and Signature of Qualified C.I. Alvin T. Doctora , R.N, M.A.N Alvin T. Doctora , R.N, M.A.N

00072046

Christy Ross Tayone Cayaban Maria Fe Beniforta Dela Cruz

22

Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery

00072052

29

4:30 AM

Female

000720304

Jocelyn Polucena Magampon

32

June 4, 2011

9:19 PM

Female

Alvin T. Doctora , R.N, M.A.N

Noted by ARCELIE F. ALPAY, R.N., R.M., M.A.N.

Signature over Printed Name of Chief Nurse Date signed: Degree BSN, RM, MAN PRC No: 0098060 Valid until: June 30, 2012 PNA No: 16970 Valid until: Lifetime

Noted by: AURORA R. SAMOSA, R.N., M.A.N.

Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 20012 PNA No: 18688 Valid until: Lifetime

Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.

Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: 2012-049906 Valid until: _December 2012________ ADCPN No: 11-272 Valid until: ___2014____________ :

CALAMBA DOCTORS COLLEGE

National Highway Brgy. Parian Calamba City,Laguna Tel.Nos.(049)545-9921 to 22
Name of Student: DAGAMAC, RENAN SIEMBRA_________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated(BSN Program): APRIL 2012____________________________________________________________
IV. Assisted Deliveries No . 1 Case No. Name of Patient Age Diagnosis Pregnancy Uterine 37-38 weeks Age of Gestation Cephalic in Labor Gravida 3 Para 2 (3003) Pregnacy Uterine 38-39 weeksAge Of Gestation Cephalic in Labor Gravida 2 Para 1(2002) Pregnancy Uterine 39-40 weeks Age of Gestation Cephalic in Labor Gravida 2 Para 1 (2002) Date of Delivery Time of Delivery 10:30 AM Gender of Baby Female Name of Hospital Calamba Doctors Hospital Calamba Doctors Hospital Calamba Doctors Hospital Type of Delivery Supervised By: Name and Signature of Qualified C.I.

00072188

Victoria Ore Mendoza

39

January 26, 2011

Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery

Felicidad G. Daquis R.N, M.A.N

00072139

Rachelle Moreno Reyes

29

December 7,2010

8:30 PM

Female

Felicidad G. Daquis R.N, M.A.N

00072092

Adalya Ocampo Bathan

38

October 21,2010

7:14 PM

Male

Felicidad G. Daquis R.N, M.A.N

Noted by ANGELITA R. ALVIAR, R.N., M.A.N.

Signature over Printed Name of Chief Nurse Date signed: Degree BSN, MAN PRC No: 00079338 Valid until: April 1, 2011 PNA No: 15427 Valid until: Lifetime

Noted by: AURORA R. SAMOSA, R.N., M.A.N.

Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 2012 PNA No: 18688 Valid until: Lifetime

Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.

Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: 2012-049906 Valid until: _December 2012 ADCPN No: _11-272 Valid until: ___2014 :

CALAMBA DOCTORS COLLEGE

National Highway Brgy. Parian Calamba City,Laguna Tel.Nos.(049)545-9921 to 22
Name of Student: DAGAMAC, RENAN SIEMBRA_______________________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated (BSN Program): APRIL 2012____________________________________________________________
V. Cord Dressing No. Case No. Date Performed Name of Baby Baby 1 00010162651 October 29, 2010 Baby Manaig Male Remarin Bolagot Liwayway 29 Calamba Doctors Hospital Calamba Doctors Hospital Calamba Doctors Hospital Gender of Name of Mother Age Name of Hospital Supervised By: Name and Signature of Qualified C.I. Alvin T. Doctora , R.N, M.A.N

0001046655

November 23, 2010

Baby Lamac

Male

Lanie Manaig Lamac

25

Alvin T. Doctora , R.N, M.A.N

0001077111

December 10, 2010

Baby Tumambing

Male

Marie Georgina Tumambing

28

Alvin T. Doctora , R.N, M.A.N

Noted by: ARCELIE F. ALPAY, R.N., R.M., M.A.N.

Signature over Printed Name of Chief Nurse Date signed: Degree BSN, RM, MAN PRC No: 0098060 Valid until: June 30, 2012 PNA No: 16970 Valid until: Lifetime

Noted by: AURORA R. SAMOSA, R.N., M.A.N.

Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 20012 PNA No: 18688 Valid until: Lifetime

Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.

Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: 2012-032073 Valid until: ___December 2012___ ADCPN No: ____11-272________ Valid until: ____2014___________ :