Case n Nawala
9
ISO 9001:2000 Cert No: CI/4648 LYCEUM - ST. CABRINI COLLEGE OF ALLIED MEDICINE, INC Maharlika Highway, Sto Tomas, Batangas (043) 778 – 6218 ISO 9001 – 2000 ACCREDITED SURGICAL SCRUB in CP REYES HOSPITAL, Tanauan City, Batangas Hospital, Municipality/City/Province Prepared by: Name of Student GALANIDO, MARK JOSEPH DE GUIA Signature of Student ___________________________________ Date Performed and Time Started Patient’s Name PROCEDURE PERFORMED O.R. Nurse On Duty SUPERVISED BY Clinical Instructor Name and Signature Case Number July 06, 2009 06:42 pm Elsa Natanauan 322109 Dilatation & Curettage Rizzalyn Andaya Geraldine M. Barbosa RN Noted by: REYNALYN M. BUENAOBRA Concurred by: FLORDELIZA CORO Clinical Coordinator Chief Nurse PRC I.D No. 0239014 Valid Until February 01, 2012 PRC I.D No. 0189494 Valid Until August 19, 2012 PNA No. 000646 Valid Until October 31, 2010 PNA No. 000344 Valid Until October 31, 2010 Date document is signed: _________________________ Time ____________________ Date document is signed: _________________________ Time: ______________ Highest Nursing Degree Earned: MAN Highest Nursing Degree Earned: MAN ODC Form 1 O.R. SCRUB FORM Minor
Transcript of Case n Nawala
ISO 9001:2000
Cert No: CI/4648
LYCEUM - ST. CABRINI COLLEGE OF ALLIED MEDICINE, INC Maharlika Highway, Sto Tomas, Batangas
(043) 778 – 6218ISO 9001 – 2000 ACCREDITED
SURGICAL SCRUB in CP REYES HOSPITAL, Tanauan City, Batangas Hospital, Municipality/City/Province
Prepared by: Name of Student GALANIDO, MARK JOSEPH DE GUIA Signature of Student ___________________________________
Date Performed and
Time Started
Patient’s Name
PROCEDURE PERFORMEDO.R. Nurse On Duty SUPERVISED BY
Clinical Instructor Name and SignatureCase Number
July 06, 200906:42 pm
Elsa Natanauan322109
Dilatation & Curettage Rizzalyn Andaya Geraldine M. Barbosa RN
Noted by: REYNALYN M. BUENAOBRA Concurred by: FLORDELIZA CORO Clinical Coordinator Chief Nurse
PRC I.D No. 0239014 Valid Until February 01, 2012 PRC I.D No. 0189494 Valid Until August 19, 2012 PNA No. 000646 Valid Until October 31, 2010 PNA No. 000344 Valid Until October 31, 2010 Date document is signed: _________________________ Time ____________________ Date document is signed: _________________________ Time: ______________ Highest Nursing Degree Earned: MAN Highest Nursing Degree Earned: MAN
Approved by: DAISY A. VICENCIO Dean
PRC I.D No. 0119313 Valid Until April 03, 2012 PNA No. 000644 Valid Until October 31, 2010
ADPCN No. 18599 Valid Until May 31, 2010 Date document is signed: _________________________ Time ___________________Highest Nursing Degree Earned: MAN
ODC Form 1 O.R. SCRUB FORM
Minor
ISO 9001:2000
Cert No: CI/4648
LYCEUM - ST. CABRINI COLLEGE OF ALLIED MEDICINE, INC Maharlika Highway, Sto Tomas, Batangas
(043) 778 – 6218ISO 9001 – 2000 ACCREDITED
ACTUAL DELIVERY in CP REYES HOSPITAL, Tanauan City, Batangas Hospital/Home/Lying-In Clinic, Municipality/City/Province
Prepared by: Name of Student GALANIDO, MARK JOSEPH DE GUIA Signature of Student ____________________________________
Date Performed and
Time Started
Patient’s Name PROCEDUREPERFORMED
D.R. Nurse/Midwife On Duty
SUPERVISED BYClinical Instructor
Name and SignatureCase Number(not applicable for Birthing/Lying-
In Clinics/Homes)
May 20, 200905:15 pm
Angelica Natividad234509
Normal Spontaneous Delivery Mary Rose Sarmiento RN
Geraldine M. Barbosa RN
Noted by: REYNALYN M. BUENAOBRA Concurred by: FLORDELIZA CORO Clinical Coordinator Chief Nurse
PRC I.D No. 0239014 Valid Until February 01, 2012 PRC I.D No. 0189494 Valid Until August 19, 2012 PNA No. 000646 Valid Until October 31, 2010 PNA No. 000344 Valid Until October 31, 2010 Date document is signed: _________________________ Time ____________________ Date document is signed: _________________________ Time: ________________ Highest Nursing Degree Earned: MAN Highest Nursing Degree Earned: MAN
Approved by: DAISY A. VICENCIO Dean
PRC I.D No. 0119313 Valid Until April 03, 2012 PNA No. 000644 Valid Until October 31, 2010
ADPCN No. 18599 Valid Until May 31, 2010 Date document is signed: _________________________ Time ___________________Highest Nursing Degree Earned: MAN
ODC Form 2 ACTUAL DELIVERY FORM
ISO 9001:2000
Cert No: CI/4648
LYCEUM - ST. CABRINI COLLEGE OF ALLIED MEDICINE, INC Maharlika Highway, Sto Tomas, Batangas
(043) 778 – 6218ISO 9001 – 2000 ACCREDITED
ASSISTED DELIVERY in CP REYES HOSPITAL, Tanauan City, Batangas Hospital/Home/Lying-In Clinic, Municipality/City/Province
Prepared by: Name of Student GALANIDO, MARK JOSEPH DE GUIA Signature of Student ___________________________________
Date Performed and
Time Started
Patient’s Name PROCEDUREPERFORMED
D.R. Nurse/Midwife On Duty
SUPERVISED BYClinical Instructor Name and Signature
Case Number(not applicable for Birthing /Lying-
In Clinics/Homes)
May 19, 200902:40 pm
Yolanda Quiatchon230209
Normal Spontaneous Delivery Rizzalyn Andaya RN Geraldine M. Barbosa RN
Noted by: REYNALYN M. BUENAOBRA Concurred by: FLORDELIZA CORO Clinical Coordinator Chief Nurse
PRC I.D No. 0239014 Valid Until February 01, 2012 PRC I.D No. 0189494 Valid Until August 19, 2012 PNA No. 000646 Valid Until October 31, 2010 PNA No. 000344 Valid Until October 31, 2010 Date document is signed: _________________________ Time ____________________ Date document is signed: ____________________ Time: _________________ Highest Nursing Degree Earned: MAN Highest Nursing Degree Earned: MAN
Approved by: DAISY A. VICENCIO Dean
PRC I.D No. 0119313 Valid Until April 03, 2012 PNA No. 000644 Valid Until October 31, 2010
ADPCN No. 18599 Valid Until May 31, 2010 Date document is signed: _________________________ Time ___________________Highest Nursing Degree Earned: MAN
ODC Form 3 D.R. ASSIST FORM
ISO 9001:2000
Cert No: CI/4648
LYCEUM - ST. CABRINI COLLEGE OF ALLIED MEDICINE, INC Maharlika Highway, Sto Tomas, Batangas
(043) 778 – 6218ISO 9001 – 2000 ACCREDITED
SURGICAL SCRUB in CP REYES HOSPITAL, Tanauan City, BatangasHospital/Municipality/City/Province
Prepared by: Name of Student ALDAY, RHEGEE LYN RAZON Signature of Student ___________________________________
Date Performed and
Time Started
Patient’s Name
PROCEDURE PERFORMEDO.R. Nurse On Duty SUPERVISED BY
Clinical Instructor Name and SignatureCase Number
March 06, 201008:10 am
Rowena Agojo Dapula201001191
Cesarean Section Clarence N. Barros Geraldine M. Barbosa RN
March 07, 201002:31 pm
Mildred Diaz Dio201001217
Cesarean Section Glaiza N. Dimaano Geraldine M. Barbosa RN
Noted by: REYNALYN M. BUENAOBRA Concurred by: FLORDELIZA CORO Clinical Coordinator Chief Nurse
PRC I.D No. 0239014 Valid Until February 01, 2012 PRC I.D No. 0189494 Valid Until August 19, 2012 PNA No. 000646 Valid Until October 31, 2010 PNA No. 000344 Valid Until October 31, 2010 Date document is signed: _________________________ Time ____________________ Date document is signed: _________________________ Time: ____________ _____ Highest Nursing Degree Earned: MAN Highest Nursing Degree Earned: MAN
Approved by: DAISY A. VICENCIO Dean
PRC I.D No. 0119313 Valid Until April 03, 2012 PNA No. 000644 Valid Until October 31, 2010
ADPCN No. 18599 Valid Until May 31, 2010 Date document is signed: _________________________ Time ___________________Highest Nursing Degree Earned: MAN
ODC Form 1 O.R. SCRUB FORM
Major
ISO 9001:2000
Cert No: CI/4648
LYCEUM - ST. CABRINI COLLEGE OF ALLIED MEDICINE, INC Maharlika Highway, Sto Tomas, Batangas
(043) 778 – 6218ISO 9001 – 2000 ACCREDITED
SURGICAL SCRUB in CP REYES HOSPITAL, Tanauan City, Batangas Hospital, Municipality/City/Province
Prepared by: Name of Student ALDAY, RHEGEE LYN RAZON Signature of Student ___________________________________
Date Performed and
Time Started
Patient’s Name
PROCEDURE PERFORMEDO.R. Nurse On Duty SUPERVISED BY
Clinical Instructor Name and SignatureCase Number
August 29, 200901:50 pm
Castillo, Vicente429309
Mesh Repair of Direct Inguinal Hernia Bilateral
Gloria Ubeda Geraldine M. Barbosa RN
September 02, 200911:30 am
Saludo, Dionisio436309
Incision Hemangioma Girlie Dimaculangan Geraldine M. Barbosa RN
Noted by: REYNALYN M. BUENAOBRA Concurred by: FLORDELIZA CORO Clinical Coordinator Chief Nurse
PRC I.D No. 0239014 Valid Until February 01, 2012 PRC I.D No. 0189494 Valid Until August 19, 2012 PNA No. 000646 Valid Until October 31, 2010 PNA No. 000344 Valid Until October 31, 2010 Date document is signed: _________________________ Time ____________________ Date document is signed: _________________________ Time: ____________ _____ Highest Nursing Degree Earned: MAN Highest Nursing Degree Earned: MAN
Approved by: DAISY A. VICENCIO Dean
PRC I.D No. 0119313 Valid Until April 03, 2012 PNA No. 000644 Valid Until October 31, 2010
ADPCN No. 18599 Valid Until May 31, 2010 Date document is signed: _________________________ Time ___________________Highest Nursing Degree Earned: MAN
ODC Form 1 O.R. SCRUB FORM
Minor
ISO 9001:2000
Cert No: CI/4648
LYCEUM - ST. CABRINI COLLEGE OF ALLIED MEDICINE, INC Maharlika Highway, Sto Tomas, Batangas
(043) 778 – 6218ISO 9001 – 2000 ACCREDITED
ACTUAL DELIVERY in CP REYES HOSPITAL, Tanauan City, Batangas Hospital/Home/Lying-In Clinic, Municipality/City/Province
Prepared by: Name of Student ALDAY, RHEGEE LYN RAZON Signature of Student ____________________________________
Date Performed and
Time Started
Patient’s Name PROCEDUREPERFORMED
D.R. Nurse/Midwife On Duty
SUPERVISED BYClinical Instructor
Name and SignatureCase Number(not applicable for Birthing/Lying-
In Clinics/Homes)
September 01, 200906:15 am
Rosario Albo Garcia43409
Normal Spontaneous Delivery Gloria Ubeda RN Geraldine M. Barbosa RN
August 06, 200912:10 pm
Melanei Marquez Oliveria389809
Normal Spontaneous Delivery Arnold Adorentos RN Geraldine M. Barbosa RN
Noted by: REYNALYN M. BUENAOBRA Concurred by: FLORDELIZA CORO Clinical Coordinator Chief Nurse
PRC I.D No. 0239014 Valid Until February 01, 2012 PRC I.D No. 0189494 Valid Until August 19, 2012 PNA No. 000646 Valid Until October 31, 2010 PNA No. 000344 Valid Until October 31, 2010 Date document is signed: _________________________ Time ____________________ Date document is signed: _________________________ Time: ____________ _____ Highest Nursing Degree Earned: MAN Highest Nursing Degree Earned: MAN
Approved by: DAISY A. VICENCIO Dean
PRC I.D No. 0119313 Valid Until April 03, 2012 PNA No. 000644 Valid Until October 31, 2010
ADPCN No. 18599 Valid Until May 31, 2010 Date document is signed: _________________________ Time ___________________Highest Nursing Degree Earned: MAN
ODC Form 2 ACTUAL DELIVERY FORM
ISO 9001:2000
Cert No: CI/4648
LYCEUM - ST. CABRINI COLLEGE OF ALLIED MEDICINE, INC Maharlika Highway, Sto Tomas, Batangas
(043) 778 – 6218ISO 9001 – 2000 ACCREDITED
ASSISTED DELIVERY in CP REYES HOSPITAL, Tanauan City, Batangas Hospital/Home/Lying-In Clinic, Municipality/City/Province
Prepared by: Name of Student GALANIDO, MARK JOSEPH DE GUIA Signature of Student ___________________________________
Date Performed and
Time Started
Patient’s Name PROCEDUREPERFORMED
D.R. Nurse/Midwife On Duty
SUPERVISED BYClinical Instructor Name and Signature
Case Number(not applicable for Birthing /Lying-
In Clinics/Homes)
July 31, 200906:43 am
Quine Yvette Pasahol378609
Normal Spontaneous Delivery Rosette Suarez RN Geraldine M. Barbosa RN
August 01, 200910:45 pm
Rocelie Villegas Pagsimihin379809
Normal Spontaneous Delivery Rosette Suarez RN Geraldine M. Barbosa RN
August 31, 200905:15 am
Cristina Quiatchon431609
Normal Spontaneous Delivery Rosette Suarez RN Geraldine M. Barbosa RN
Noted by: REYNALYN M. BUENAOBRA Concurred by: FLORDELIZA CORO Clinical Coordinator Chief Nurse
PRC I.D No. 0239014 Valid Until February 01, 2012 PRC I.D No. 0189494 Valid Until August 19, 2012 PNA No. 000646 Valid Until October 31, 2010 PNA No. 000344 Valid Until October 31, 2010 Date document is signed: _________________________ Time ____________________ Date document is signed: ____________________ Time: _________________ Highest Nursing Degree Earned: MAN Highest Nursing Degree Earned: MAN
Approved by: DAISY A. VICENCIO Dean
PRC I.D No. 0119313 Valid Until April 03, 2012 PNA No. 000644 Valid Until October 31, 2010
ADPCN No. 18599 Valid Until May 31, 2010 Date document is signed: _________________________ Time ___________________Highest Nursing Degree Earned: MAN
ODC Form 3 D.R. ASSIST FORM
