Académique Documents
Professionnel Documents
Culture Documents
: (632) 735-8713, Fax No.: (632) 736-0010, Email: IN@feu.edu.ph, Website: www.feu.edu.ph PAASCU, Level II Re-Accredited, May 2011 MAJOR SURGICAL SCRUB in QUEZON CITY GENERAL HOSPITAL, QUEZON CITY Hospital, Municipality/City/Province Prepared by: Printed Name with Signature of Student CUMIGAD, MA. GHIEZHEL YATAR
Patients INITIALS (only) Case Number SURGICAL PROCEDURE PERFORMED O.R. Nurse on Duty (Name and Signature)
L.M.P. 012220
R.D.C. 012219579312
Appendectomy
Noted by: MONICA C. LAGONOY - AONUEVO, RN, MAN Signature over printed name of Clinical Coordinator Date signed: Degree: Master of Arts in Nursing PRC Lic. No. : 0158815 Valid Until: May 4, 2013 PNA No. : 2011-041254 Valid Until: December 2012
Concurred by: MARILOU GUILLERMINA J. PALAFOX, RN, PhD Signature over printed name of Chief Nurse Date signed: Degree: Doctor of Philosophy in Public Administration PRC Lic. No.: 0118849 Valid Until: February 10, 2014 PNA No. : 18459 Valid Until: Lifetime
Approved by: ROSALINDA P. SALUSTIANO, RN, RM, MAN, PhD Signature over printed name of Dean Date signed: Degree: Doctor of Philosophy Major in Educational Management PRC Lic. No. : 78564 Valid Until: September 24, 2014 PNA No. : 2159 Valid Until: Lifetime ADPCN No. : 11-351 Valid Until: May 31, 201
FAR EASTERN UNIVERSITY Nicanor Reyes Sr. Street Sampaloc Manila 1008 Tel. No.: (632) 735-8713, Fax No.: (632) 736-0010, Email: IN@feu.edu.ph, Website: www.feu.edu.ph PAASCU, Level II Re-Accredited, May 2011 MAJOR SURGICAL SCRUB in QUEZON CITY GENERAL HOSPITAL, QUEZON CITY Hospital, Municipality/City/Province Prepared by: Printed Name with Signature of Student CUMIGAD, MA. GHIEZHEL YATAR
Patients INITIALS (only) Case Number SURGICAL PROCEDURE PERFORMED O.R. Nurse on Duty (Name and Signature)
L.M.P. 012220
R.D.C. 012219579312
Appendectomy
Noted by: MONICA C. LAGONOY - AONUEVO, RN, MAN Signature over printed name of Clinical Coordinator Date signed: Degree: Master of Arts in Nursing PRC Lic. No. : 0158815 Valid Until: May 4, 2013 PNA No. : 2011-041254 Valid Until: December 2012
Concurred by: MARILOU GUILLERMINA J. PALAFOX, RN, PhD Signature over printed name of Chief Nurse Date signed: Degree: Doctor of Philosophy in Public Administration PRC Lic. No.: 0118849 Valid Until: February 10, 2014 PNA No. : 18459 Valid Until: Lifetime
Approved by: ROSALINDA P. SALUSTIANO, RN, RM, MAN, PhD Signature over printed name of Dean Date signed: Degree: Doctor of Philosophy Major in Educational Management PRC Lic. No. : 78564 Valid Until: September 24, 2014 PNA No. : 2159 Valid Until: Lifetime ADPCN No. : 11-351 Valid Until: May 31, 201