Angel Cases 2nd Batch
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LYCEUM-NORTHWESTERN UNIVERSITY College of Nursing As adapted from the form of PRC Prepared by: CERALDE, ANGELITA L. Accreditation Level: (if any) Not Applicable Year Granted: Not Applicable Date School/Program was Recognized: June 14 , 1982 Number: GR No . 087 Year: Series 1982 First Course (if any): B.S. Information Technology School Graduated From: AMA Computer College Year: 2004 Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011 I. Major Operations No . Date of Operation Case No. Name of Patient Diagnosis Operation Performed Type of Anesthesi a Name of Surgeon Name of Hospital Supervised by: Name/Signature of Qualified C.I. 1 October 9, 2010 251929 Jesusa Cayabyab Bautista Pregnancy Uterine 38 weeks, Age of Gestation, delivered Operatively to an alive baby boy Gravida 2 Parity 2 (2002), Repeat CS Low Cervical Caesarian Section Spinal Anesthesia Dr. Sheryl Pajarillo Pangasinan Provincial Hospital Mr. Randel S. Munoz Prepared by: CERALDE, ANGELITA L. Name of Student (Signature Over Printed Name) Concurred by: MRS. GLORIA M. ERIVE Chief Nurse Pangasinan Provincial Hospital Date Signed : Degree : B.S.N., R.N., M.A.N. a) PRC No. : 0082420 Valid Until : December 05, 2010 b) PNA No. : 11972 Noted by: MR. CRESENCIO C. QUINTO JR. Clinical Coordinator Date signed : Degree : B.S.N., R.N., M.A.N. a). PRC No. : 0292288 Valid Until : July 18, 2011 b). PNA No. : 013897 Supervised by: MRS. JODI S. DELA CRUZ Qualified Faculty Pangasinan Provincial Hospital Date Signed : Degree : B.S.N., R.N., M.A.N. a). PRC No. : 0179039 Valid Until : February Approved by: MRS. VIRGINIA V. MENDOZA Dean, College of Nursing Date Signed : Degree : R.N., M.A.Ed., M.A.N., Ed.D. a) PRC No. : 0042414 Valid Until : April 29, 2011 b) PNA No. : 378 Valid Until : Lifetime c) ADPCN No. : 190
Transcript of Angel Cases 2nd Batch
LYCEUM-NORTHWESTERN UNIVERSITY College of Nursing
As adapted from the form of PRC
Prepared by: CERALDE, ANGELITA L. Accreditation Level: (if any) Not Applicable Year Granted: Not Applicable Date School/Program was Recognized: June 14 , 1982 Number: GR No . 087 Year: Series 1982 First Course (if any): B.S. Information Technology School Graduated From: AMA Computer College Year: 2004 Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011
I. Major Operations
No. Date of Operation Case No. Name of Patient Diagnosis Operation Performed Type of Anesthesia Name of Surgeon Name of Hospital Supervised by:
Name/Signature of Qualified C.I.
1 October 9, 2010 251929 Jesusa Cayabyab Bautista
Pregnancy Uterine 38 weeks, Age of Gestation, delivered Operatively
to an alive baby boy Gravida 2 Parity 2 (2002), Repeat
CS
Low Cervical Caesarian Section
SpinalAnesthesia Dr. Sheryl Pajarillo Pangasinan Provincial
Hospital Mr. Randel S. Munoz
Prepared by:
CERALDE, ANGELITA L. Name of Student(Signature Over Printed Name)
Concurred by:
MRS. GLORIA M. ERIVE Chief NursePangasinan Provincial Hospital Date Signed : Degree : B.S.N., R.N., M.A.N.a) PRC No. : 0082420 Valid Until : December 05, 2010 b) PNA No. : 11972 Valid Until : Lifetime c) ANSAP No. : 0469 Valid Until : Lifetime
Noted by:
MR. CRESENCIO C. QUINTO JR. Clinical Coordinator Date signed : Degree : B.S.N., R.N., M.A.N. a). PRC No. : 0292288 Valid Until : July 18, 2011 b). PNA No. : 013897 Valid Until : October 31, 2010
Supervised by:
MRS. JODI S. DELA CRUZ Qualified Faculty Pangasinan Provincial HospitalDate Signed : Degree : B.S.N., R.N., M.A.N.a). PRC No. : 0179039 Valid Until : February 22, 2012 b). PNA No. : 061503 Valid Until : October 31, 2010
Approved by:
MRS. VIRGINIA V. MENDOZA Dean, College of NursingDate Signed : Degree : R.N., M.A.Ed., M.A.N., Ed.D.a) PRC No. : 0042414 Valid Until : April 29, 2011 b) PNA No. : 378 Valid Until : Lifetime c) ADPCN No. : 190 Valid Until : December 31, 2010
LYCEUM-NORTHWESTERN UNIVERSITY College of Nursing
As adapted from the form of PRC
Prepared by: CERALDE, ANGELITA L. Accreditation Level: (if any) Not Applicable Year Granted: Not Applicable Date School/Program was Recognized: June 14 , 1982 Number: GR No . 087 Year: Series 1982 First Course (if any): B.S. Information Technology School Graduated From: AMA Computer College Year: 2004 Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011
II. Minor Operations
No. Date of Operation Case No. Name of Patient Diagnosis Operation Performed Type of Anesthesia Name of Surgeon Name of HospitalSupervised by:
Name/Signature of Qualified C.I.
1 July 2, 2010 10-93-38 April Anne Sidoro Right Medio Lateral Episiorrhaphy Episiorrhaphy Local Anesthesia Dr. Josephine B. Guiang
Eastern Pangasinan District Hospital Mrs. Rosalie R. Marron
Prepared by:
CERALDE, ANGELITA L. Name of Student(Signature Over Printed Name)
Concurred by:
MRS. ROSALIA R. MATEO Assistant Chief NurseEastern Pangasinan Provincial HospitalDate signed : Degree : R.N., M.A.N. a.) PRC No. : 0099313 Valid Until : September 14, 2012b.) PNA No. : 612125 Valid Until : Lifetime c.) ANSAP No. : 0491 Valid Until : Lifetime
Noted by:
MR. CRESENCIO C. QUINTO JR. Clinical Coordinator Date signed : Degree : B.S.N., R.N., M.A.N. a). PRC No. : 0292288 Valid Until : July 18, 2011 b). PNA No. : 013897 Valid Until : October 31, 2010
Supervised by:
MRS. JOCELYN G. MACARAEG Qualified Faculty Eastern Pangasinan Provincial HospitalDate Signed : Degree : B.S.N., R.N., M.A.N.a). PRC No. : 0254320 Valid Until : September 23, 2012b). PNA No. : 018456 Valid Until : October 31, 2010
Approved by:
MRS. VIRGINIA V. MENDOZA Dean, College of NursingDate Signed : Degree : R.N., M.A.Ed., M.A.N., Ed.D.a) PRC No. : 0042414 Valid Until : April 29, 2011 b) PNA No. : 378 Valid Until : Lifetime c) ADPCN No. : 190 Valid Until : December 31, 2010
LYCEUM-NORTHWESTERN UNIVERSITYCollege of Nursing
As adapted from the form of PRC
Prepared by: CERALDE, ANGELITA L. Accreditation Level: (if any) Not Applicable Year Granted: Not Applicable Date School/Program was Recognized: June 14 , 1982 Number: GR No . 087 Year: Series 1982 First Course (if any): B.S. Information Technology School Graduated From: AMA Computer College Year: 2004 Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011
III. Actual Deliveries
No. Case No. Diagnosis Name of Mother Age Date of Delivery Time of Delivery
Gender of Baby Name of Hospital Type of Delivery
Supervised by:Name/Signature of
Qualified C.I.
1 238198Pregnancy Uterine Full Term, Cephalic delivered to an alive baby girl Gravida 1
Parity 1 (1001) April Anne Sidoro 19 July 2, 2010 5:15am Female Eastern Pangasinan
Provincial HospitalNormal Spontaneous
Delivery Mrs. Rosalie R. Marron
Prepared by:
CERALDE, ANGELITA L. Name of Student(Signature Over Printed Name)
Concurred by:
MRS. ROSALIA R. MATEO Assistant Chief NurseEastern Pangasinan Provincial HospitalDate signed : Degree : R.N., M.A.N. a.) PRC No. : 0099313 Valid Until : September 14, 2012b.) PNA No. : 612125 Valid Until : Lifetime c.) ANSAP No. : 0491 Valid Until : Lifetime
Noted by:
MR. CRESENCIO C. QUINTO JR. Clinical Coordinator Date signed : Degree : B.S.N., R.N., M.A.N. a). PRC No. : 0292288 Valid Until : July 18, 2011 b). PNA No. : 013897 Valid Until : October 31, 2010
Supervised by:
MRS. JOCELYN G. MACARAEG Qualified Faculty Eastern Pangasinan Provincial HospitalDate Signed : Degree : B.S.N., R.N., M.A.N.a). PRC No. : 0254320 Valid Until : September 23, 2012b). PNA No. : 018456 Valid Until : October 31, 2010
Approved by:
MRS. VIRGINIA V. MENDOZA Dean, College of NursingDate Signed : Degree : R.N., M.A.Ed., M.A.N., Ed.D.a) PRC No. : 0042414 Valid Until : April 29, 2011 b) PNA No. : 378 Valid Until : Lifetime c) ADPCN No. : 190 Valid Until : December 31, 2010
LYCEUM-NORTHWESTERN UNIVERSITY College of Nursing
As adapted from the form of PRC
Prepared by: CERALDE, ANGELITA L. Accreditation Level: (if any) Not Applicable Year Granted: Not Applicable Date School/Program was Recognized: June 14 , 1982 Number: GR No . 087 Year: Series 1982 First Course (if any): B.S. Information Technology School Graduated From: AMA Computer College Year: 2004 Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011
IV. Assisted Deliveries
No. Case No. Diagnosis Name of Mother Age Date of Delivery Time of Delivery
Gender of Baby Name of Hospital Type of Delivery
Supervised by:Name/Signature of
Qualified C.I.
1 09-12-79Pregnancy Uterine Full Term, Cephalic delivered to an alive baby girl Gravida 1
Parity 1 (1001)
Ruby Geronemo Bodoy 39 June 19, 2010 3:11am Female Eastern Pangasinan
Provincial HospitalNormal Spontaneous
Delivery Mrs. Rosalie R. Marron
Prepared by:
CERALDE, ANGELITA L. Name of Student(Signature Over Printed Name)
Concurred by:
MRS. ROSALIA R. MATEO Assistant Chief NurseEastern Pangasinan Provincial HospitalDate signed : Degree : R.N., M.A.N. a.) PRC No. : 0099313 Valid Until : September 14, 2012b.) PNA No. : 612125 Valid Until : Lifetime c.) ANSAP No. : 0491 Valid Until : Lifetime
Noted by:
MR. CRESENCIO C. QUINTO JR. Clinical Coordinator Date signed : Degree : B.S.N., R.N., M.A.N. a). PRC No. : 0292288 Valid Until : July 18, 2011 b). PNA No. : 013897 Valid Until : October 31, 2010
Supervised by:
MRS. JOCELYN G. MACARAEG Qualified Faculty Eastern Pangasinan Provincial HospitalDate Signed : Degree : B.S.N., R.N., M.A.N.a). PRC No. : 0254320 Valid Until : September 23, 2012b). PNA No. : 018456 Valid Until : October 31, 2010
Approved by:
MRS. VIRGINIA V. MENDOZA Dean, College of NursingDate Signed : Degree : R.N., M.A.Ed., M.A.N., Ed.D.a) PRC No. : 0042414 Valid Until : April 29, 2011 b) PNA No. : 378 Valid Until : Lifetime c) ADPCN No. : 190 Valid Until : December 31, 2010
LYCEUM-NORTHWESTERN UNIVERSITY College of Nursing
As adapted from the form of PRC
Prepared by: CERALDE, ANGELITA L. Accreditation Level: (if any) Not Applicable Year Granted: Not Applicable Date School/Program was Recognized: June 14 , 1982 Number: GR No . 087 Year: Series 1982 First Course (if any): B.S. Information Technology School Graduated From: AMA Computer College Year: 2004 Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011
V. Cord Dressing
No. Case No. Date Performed Name of Baby Gender of Baby Name of Mother Age Name of Hospital Supervised by:Name &Signature of Qualified C.I.
1 244892 August 28, 2010 Baby Girl Zarate Female Aurora T. Zarate 38 Pangasinan Provincial Hospital Ms. Maria Jasmin Tugade
Prepared by:
CERALDE, ANGELITA L. Name of Student(Signature Over Printed Name)
Concurred by:
MRS. GLORIA M. ERIVE Assistant Chief NursePangasinan Provincial Hospital Date signed : Degree : R.N., M.A.N. a.) PRC No. : 0082420 Valid Until : December 5, 2010 b.) PNA No. : 11972 Valid Until : Lifetime c.) ANSAP No. : 0469 Valid Until : Lifetime
Noted by:
MR. CRESENCIO C. QUINTO JR. Clinical Coordinator Date signed : Degree : B.S.N., R.N., M.A.N. a). PRC No. : 0292288 Valid Until : July 18, 2011 b). PNA No. : 013897 Valid Until : October 31, 2010
Supervised by:
MRS. JODI S. DELA CRUZ Qualified Faculty Pangasinan Provincial HospitalDate Signed : Degree : B.S.N., R.N., M.A.N.a). PRC No. : 0179039 Valid Until : February 22, 2012 b). PNA No. : 061503 Valid Until : October 31, 2010
Approved by:
MRS. VIRGINIA V. MENDOZA Dean, College of NursingDate Signed : Degree : R.N., M.A.Ed., M.A.N., Ed.D.a) PRC No. : 0042414 Valid Until : April 29, 2011 b) PNA No. : 378 Valid Until : Lifetime c) ADPCN No. : 190 Valid Until : December 31, 2010
LYCEUM-NORTHWESTERN UNIVERSITY
College of Nursing
As adapted from the form of PRC
Prepared by: CERALDE, ANGELITA L. Accreditation Level: (if any) Not Applicable Year Granted: Not Applicable Date School/Program was Recognized: June 14 , 1982 Number: GR No . 087 Year: Series 1982 First Course (if any): B.S. Information Technology School Graduated From: AMA Computer College Year: 2004 Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011
II. Minor Operations
No. Date of Operation Case No. Name of Patient Diagnosis Operation Performed Type of Anesthesia Name of Surgeon Name of HospitalSupervised by:
Name/Signature of Qualified C.I.
1 July 17, 2010 224270 Jennilyn Resquid Right Medio Lateral Episiorrhaphy Episiorrhaphy Local Anesthesia Dr. Araceli Callao Pangasinan Provincial Hospital Ms. Maria Jasmin Tugade
2 July 29, 2010 240790 Theresa P. CerezoAbortion Incomplete 18 weeks Age
Of Gestations Gravida 2 Parity 1 (2001)
Manual Vacuum Aspiration Dr. Evelyn Angeles Pangasinan Provincial
Hospital Ms. Maria Jasmin Tugade
Prepared by:
CERALDE, ANGELITA L. Name of Student(Signature Over Printed Name)
Concurred by:
MRS. GLORIA M. ERIVE Assistant Chief NursePangasinan Provincial Hospital Date signed : Degree : R.N., M.A.N. a.) PRC No. : 0082420 Valid Until : December 5, 2010 b.) PNA No. : 11972 Valid Until : Lifetime c.) ANSAP No. : 0469 Valid Until : Lifetime
Noted by:
MR. CRESENCIO C. QUINTO JR. Clinical Coordinator Date signed : Degree : B.S.N., R.N., M.A.N. a). PRC No. : 0292288 Valid Until : July 18, 2011 b). PNA No. : 013897 Valid Until : October 31, 2010
Supervised by:
MRS. JODI S. DELA CRUZ Qualified Faculty Pangasinan Provincial HospitalDate Signed : Degree : B.S.N., R.N., M.A.N.a). PRC No. : 0179039 Valid Until : February 22, 2012 b). PNA No. : 061503 Valid Until : October 31, 2010
Approved by:
MRS. VIRGINIA V. MENDOZA Dean, College of NursingDate Signed : Degree : R.N., M.A.Ed., M.A.N., Ed.D.a) PRC No. : 0042414 Valid Until : April 29, 2011 b) PNA No. : 378 Valid Until : Lifetime c) ADPCN No. : 190 Valid Until : December 31, 2010
