Case Kidot
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Transcript of Case Kidot
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ARELLANO UNIVERSITY
COLLEGE of NURSING
2600 Legarda St., Sampaloc, Manila
7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph
PACUCOA Level III Re-Accredited Status (March 2012 to March 2015)
IMMEDIATE NEWBORN CORD CARE in QUIRINO MEMORIAL MEDICAL CENTER, Quezon City, Metro Manila__
Hospital/Home/Lying-in Clinic, Municipality/City/Province
Prepared by:
Printed Name and Signature of Student __REA ANGELA P. PURISIMA__
Date Performed
and
Time Started
Patients INITIAL Only
Case Number(not applicable for Birthing/Lying-
in Clinic/Home)
Immediate Newborn Cord Care
PERFORMED
Indicate where performed e.g.
D.R.,
Nursery, NICU, or Home
D.R. Nurse On Duty (Name and
Signature)
(If Midwife on Duty, Signature Not
Required)
SUPERVISED BY
Clinical instructor
Name and Signature
January 29, 20137:22 PM
E.A.M.834396 NICU Marlyn V. Malabanan, RM Virgilia C. Echevarri, RN, MAN
January 22, 2013
8:00 PM
J.A.D
836916 NICU Marlyn V. Malabanan, RM Virgilia C. Echevarri, RN, MAN
January 22, 2013
7:00 PM
R.S.L.II
837716 NICU Marlyn V. Malabanan, RM Virgilia C. Echevarri, RN, MAN
January 22, 2013
4:54 PM
J.B.P.
821536 NICU Marlyn V. Malabanan, RM Virgilia C. Echevarri, RN, MAN
January 21, 2013
7:22 PM
J.D.E.
705223 NICU Marlyn V. Malabanan, RM Virgilia C. Echevarri, RN, MAN
Noted by: RUHIYYIH C. BARNACHIA, RN , MAN Approved by: NOLI V. PAGDANGANAN, MAN, MPA, RN
Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 Dean: PRC I.D. No. 025555 Valid Until: October 16, 2013
Date document is signed: ________________ Time: ______________ Date document is signed: ________________ Time: _____________
Highest Nursing Degree Earned: BSN, MAN Highest Nursing Degree Earned: MAN, MPA, BSN
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ARELLANO UNIVERSITY
COLLEGE of NURSING
2600 Legarda St., Sampaloc, Manila
7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph
PACUCOA Level III Re-Accredited Status (March 2012 to March 2015)
SURGICAL SRCUB ( Minor) in_ OUR LADY OF MT. CARMEL MEDICAL CENTER, San Fernando, Pampanga _
Hospital/Home/Lying-in Clinic, Municipality/City/Province
Printed Name and Signature of Student ___REA ANGELA P. PURISIMA_
Date Performed
and
Time Started
Patients INITIAL Only
Case Number(not applicable for Birthing/Lying-
in Clinic/Home)
SURGICAL PROCEDURE
PERFORMED
D.R. Nurse On Duty (Name and
Signature)
(If Midwife on Duty, Signature Not
Required)
SUPERVISED BY
Clinical instructor
Name and Signature
February 26, 2013
12:05 PM
W.A.C.
30788 Excision Biopsy Breast Mass Left Hazel S. Garcia, RN Mercedes C. Gamayon, RN, MANFebruary 19, 2013
11:50 AM
E.A.I.
30706 Excision of Pterygium, Right Eye Camille A. Aquino, RN Mercedes C. Gamayon, RN, MAN
February 19, 2013
10:33 AM
R.N.V.
30708 Herniorrhaphy Left Elmer A. Santos, RN Mercedes C. Gamayon, RN, MAN
Noted by: RUHIYYIH C. BARNACHIA, RN , MAN Approved by: NOLI V. PAGDANGANAN, MAN, MPA, RN
Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 Dean: PRC I.D. No. 025555 Valid Until: October 16, 2013
Date document is signed: ________________ Time: ______________ Date document is signed: ________________ Time: _____________
Highest Nursing Degree Earned: BSN, MAN Highest Nursing Degree Earned: MAN, MPA, BSN
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ARELLANO UNIVERSITY
COLLEGE of NURSING
2600 Legarda St., Sampaloc, Manila
7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph
PACUCOA Level III Re-Accredited Status (March 2012 to March 2015)
SURGICAL SRCUB (Major) in__ TONDO MEDICAL CENTER, Tondo Manila, Metro Manila_
Hospital/Home/Lying-in Clinic, Municipality/City/Province
Prepared by:
Printed Name and Signature of Student __REA ANGELA P. PURISIMA___
Date Performed
and
Time Started
Patients INITIAL Only
Case Number(not applicable for Birthing/Lying-
in Clinic/Home)
SURGICAL PROCEDURE
PERFORMED
D.R. Nurse On Duty (Name and
Signature)
(If Midwife on Duty, Signature Not
Required)
SUPERVISED BY
Clinical instructor
Name and Signature
December 11, 2012
9:08 PM
M.D.C.
423929 Low Transverse Cesarian Section Cynthia Manalo, RN Nilda P. Agapito, RN, MAN
December 10, 2012
4:30 PM
R.M.C.
423893 Low Transverse Cesarian Section Leaonora R. Contiling, RN Nilda P. Agapito, RN, MAN
December 4, 2012
7:20 PM
J.M.P.
079412 Pelvic Laparotomy Leaonora R. Contiling, RN Nilda P. Agapito, RN, MAN
Noted by: RUHIYYIH C. BARNACHIA, RN , MAN Approved by: NOLI V. PAGDANGANAN, MAN, MPA, RN
Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 Dean: PRC I.D. No. 025555 Valid Until: October 16, 2013
Date document is signed: ________________ Time: ______________ Date document is signed: ________________ Time: _____________
Highest Nursing Degree Earned: BSN, MAN
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ARELLANO UNIVERSITY
COLLEGE of NURSING
2600 Legarda St., Sampaloc, Manila
7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph
PACUCOA Level III Re-Accredited Status (March 2012 to March 2015)
SURGICAL SRCUB (Major) in_ OUR LADY OF MT. CARMEL MEDICAL CENTER, City of San Fernando, Pampanga _
Hospital/Home/Lying-in Clinic, Municipality/City/Province
Prepared by:
Printed Name and Signature of Student __REA ANGELA P. PURISIMA___
Date Performed
and
Time Started
Patients INITIAL Only
Case Number(not applicable for Birthing/Lying-
in Clinic/Home)
SURGICAL PROCEDURE
PERFORMED
D.R. Nurse On Duty (Name and
Signature)
(If Midwife on Duty, Signature Not
Required)
SUPERVISED BY
Clinical instructor
Name and Signature
February 26, 2013
12:52 PM
C.B.G.
30805 Thyroidectomy Hazel S. Garcia, RN Mercedes C. Gamayon, RN, MAN
February 19, 2013
9:20 AM
R.L.D
30701
Phacoemulsification with
Intraocular Lens Insertion Left Eye Camille A. Aquino, RN Mercedes C. Gamayon, RN, MAN
Noted by: RUHIYYIH C. BARNACHIA, RN , MAN Approved by: NOLI V. PAGDANGANAN, MAN, MPA, RN
Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 Dean: PRC I.D. No. 025555 Valid Until: October 16, 2013
Date document is signed: ________________ Time: ______________ Date document is signed: ________________ Time: _____________
Highest Nursing Degree Earned: BSN, MAN
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ARELLANO UNIVERSITY
COLLEGE of NURSING
2600 Legarda St., Sampaloc, Manila
7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph
PACUCOA Level III Re-Accredited Status (March 2012 to March 2015)
IMMEDIATE NEWBORN CORD CARE in QUIRINO MEMORIAL MEDICAL CENTER, Quezon City, Metro Manila__
Hospital/Home/Lying-in Clinic, Municipality/City/Province
Prepared by:
Printed Name and Signature of Student __IRISH D. QUINTANA__
Date Performed
and
Time Started
Patients INITIAL Only
Case Number(not applicable for Birthing/Lying-
in Clinic/Home)
Immediate Newborn Cord Care
PERFORMED
Indicate where performed e.g.
D.R.,
Nursery, NICU, or Home
D.R. Nurse On Duty (Name and
Signature)
(If Midwife on Duty, Signature Not
Required)
SUPERVISED BY
Clinical instructor
Name and Signature
January 29, 20138:45 PM
B.B.Q.645955 NICU Marlyn V. Malabanan, RM Virgilia C. Echevarri, RN, MAN
Noted by: RUHIYYIH C. BARNACHIA, RN , MAN Approved by: NOLI V. PAGDANGANAN, MAN, MPA, RN
Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 Dean: PRC I.D. No. 025555 Valid Until: October 16, 2013
Date document is signed: ________________ Time: ______________ Date document is signed: ________________ Time: _____________
Highest Nursing Degree Earned: BSN, MAN Highest Nursing Degree Earned: MAN, MPA, BSN
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ARELLANO UNIVERSITY
COLLEGE of NURSING
2600 Legarda St., Sampaloc, Manila
7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph
PACUCOA Level III Re-Accredited Status (March 2012 to March 2015)
ACTUAL DELIVERY in WELL -FAMILY MIDWIFE CLINIC- CAMARIN, Caloocan City, Metro Manila __
Hospital/Home/Lying-in Clinic, Municipality/City/Province
Prepared by:
Printed Name and Signature of Student ___REA ANGELA P. PURISIMA_
Date Performed
and
Time Started
Patients INITIAL Only
Case Number
(not applicable for
Birthing/Lying- in Clinic/Home)
PROCEDURE
PERFORMED
D.R. Nurse On Duty (Name and
Signature)
(If Midwife on Duty, Signature Not
Required)
SUPERVISED BY
Clinical instructor
Name and Signature
July 22, 20122:35 PM
N.P.T.003354 Normal Spontaneous Delivery Phoebe B. Bazarte, RM Gener C. Sibal, MD, RN, MAN-c
July 17,2012
5:10 AM
G.B.P.
003811 Normal Spontaneous Delivery Phoebe B. Bazarte, RM Gener C. Sibal, MD, RN, MAN-c
Noted by: RUHIYYIH C. BARNACHIA, RN , MAN Approved by: NOLI V. PAGDANGANAN, MAN, MPA, RN
Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 Dean: PRC I.D. No. 025555 Valid Until: October 16, 2013
Date document is signed: ________________ Time: ______________ Date document is signed: ________________ Time: _____________
Highest Nursing Degree Earned: BSN, MAN Highest Nursing Degree Earned: MAN, MPA, BSN
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ARELLANO UNIVERSITY
COLLEGE of NURSING
2600 Legarda St., Sampaloc, Manila
7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph
PACUCOA Level III Re-Accredited Status (March 2012 to March 2015)
ASSISTED DELIVERY in WELL -FAMILY MIDWIFE CLINIC- CAMARIN, CALOOCAN CITY, METRO MANILA __
Hospital/Home/Lying-in Clinic, Municipality/City/Province
Prepared by:
Printed Name and Signature of Student ___ REA ANGELA P. PURISIMA _
Date Performed
and
Time Started
Patients INITIAL Only
Case Number
(not applicable for
Birthing/Lying-in Clinic/Home)
PROCEDURE
PERFORMED
ASSISTED DELIVERY
D.R. Nurse On Duty (Name and
Signature)
(If Midwife on Duty, Signature Not
Required)
SUPERVISED BY
Clinical instructor
Name and Signature
July 27, 20123:44 PM
J.C.A.003230 Normal Spontaneous Delivery Phoebe B. Bazarte, RM Gener C. Sibal, MD, RN, MAN-c
July 18, 2012
5:42 PM
A.V.G.
003815 Normal Spontaneous Delivery Phoebe B. Bazarte, RM Gener C. Sibal, MD, RN, MAN-c
Noted by: RUHIYYIH C. BARNACHIA, RN , MAN Approved by: NOLI V. PAGDANGANAN, MAN, MPA, RN
Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 Dean: PRC I.D. No. 025555 Valid Until: October 16, 2013
Date document is signed: ________________ Time: ______________ Date document is signed: ________________ Time: _____________
Highest Nursing Degree Earned: BSN, MAN Highest Nursing Degree Earned: MAN, MPA, BSN
