Dr Cases Luj

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Republic of the Philippines Professional Regulation Commission Board of Nursing SOUTHWESTERN UNIVERSITY College of Nursing Villa Aznar Urgello Street Cebu City Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: [email protected] ACTUAL DELIVERY in SACRED HEART HOSPITAL Hospital / Home / Lying-In Clinic, Municipality / City / Province Prepared by: Printed Name and Signature of Student LUIGINE CHRISTI COLINA CHAN Date Performed and Time Started Patient’s INITIAL (only) PROCEDURE PERFORMED D.R. Nurse/Midwife On Duty (Name and Signature) SUPERVISED BY Clinical Instructor Name and Signature Case Number March 21, 2010 - 5:35 PM J.T.G 536556 Normal Spontaneous Vaginal Delivery TERESITA M. NACUA, RN ELEUTERIA N. REYES, RN MAN June 4, 2010 – 1:56 PM A.C.S. 545613 Normal Spontaneous Vaginal Delivery TERESITA M. NACUA, RN ERGIE P. INOCIAN, RN, MSN November 8, 2010 – 9:16 AM J.B.P. 489714 Normal Spontaneous Vaginal Delivery TERESITA M. NACUA, RN CORAZON B. DUMADAG, RN, MAN Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR . OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2013 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012 ODC Form 1A ACTUAL DELIVERY FORM

Transcript of Dr Cases Luj

Page 1: Dr Cases Luj

Republic of the PhilippinesProfessional Regulation Commission

Board of Nursing

SOUTHWESTERN UNIVERSITYCollege of Nursing

Villa Aznar Urgello Street Cebu CityPhone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: [email protected]

ACTUAL DELIVERY in SACRED HEART HOSPITAL Hospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:Printed Name and Signature of Student LUIGINE CHRISTI COLINA CHAN

Date Performed and Time Started

Patient’s INITIAL (only)PROCEDUREPERFORMED

D.R. Nurse/Midwife On Duty(Name and Signature)

SUPERVISED BYClinical Instructor

Name and SignatureCase Number

March 21, 2010 - 5:35 PM

J.T.G536556

Normal Spontaneous Vaginal Delivery TERESITA M. NACUA, RN ELEUTERIA N. REYES, RN MAN

June 4, 2010 – 1:56 PM

A.C.S.545613

Normal Spontaneous Vaginal Delivery TERESITA M. NACUA, RN ERGIE P. INOCIAN, RN, MSN

November 8, 2010 – 9:16 AM

J.B.P.489714

Normal Spontaneous Vaginal Delivery TERESITA M. NACUA, RN CORAZON B. DUMADAG, RN, MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2013 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012Date document is signed:________Time____________ Date document is signed:________Time________Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

ODC Form 1AACTUAL DELIVERY FORM

Page 2: Dr Cases Luj

Republic of the PhilippinesProfessional Regulation Commission

Board of Nursing

SOUTHWESTERN UNIVERSITYCollege of Nursing

Villa Aznar Urgello Street Cebu CityPhone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: [email protected]

ACTUAL DELIVERY in MANDAUE CITY HOSPITALHospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:Printed Name and Signature of Student LUIGINE CHRISTI COLINA CHAN

Date Performed and Time Started

Patient’s INITIAL (only)PROCEDUREPERFORMED

D.R. Nurse/Midwife On Duty(Name and Signature)

SUPERVISED BYClinical Instructor

Name and SignatureCase Number

June 23, 2010 - 1:48 AM

E.H.D.17049A

Normal Spontaneous Vaginal Delivery MARIA GEORGIA Y. LADA, RN MARIA SYLVETTE B. ORBISO, RN MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2013 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012Date document is signed:________Time____________ Date document is signed:________Time________Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

Republic of the PhilippinesProfessional Regulation Commission

ODC Form 1AACTUAL DELIVERY FORM

ODC Form 1AACTUAL DELIVERY FORM

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Board of Nursing

SOUTHWESTERN UNIVERSITYCollege of Nursing

Villa Aznar Urgello Street Cebu CityPhone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: [email protected]

ACTUAL DELIVERY in SAINT ANTHONY MOTHER AND CHILD HOSPITAL Hospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:Printed Name and Signature of Student LUIGINE CHRISTI COLINA CHAN

Date Performed and Time Started

Patient’s INITIAL (only)PROCEDUREPERFORMED

D.R. Nurse/Midwife On Duty(Name and Signature)

SUPERVISED BYClinical Instructor

Name and SignatureCase Number

September 16, 2009 - 12:49 AM

B.A.073169

Normal Spontaneous Vaginal Delivery HERMINIA P. BALBUENA, RN CANDICE MARIE B. DAÑO, RN MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2013 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012Date document is signed:________Time____________ Date document is signed:________Time________Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)

Republic of the PhilippinesProfessional Regulation Commission

Board of Nursing

ODC Form 1BASSISTED DELIVERY FORM

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SOUTHWESTERN UNIVERSITYCollege of Nursing

Villa Aznar Urgello Street Cebu CityPhone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: [email protected]

ACTUAL DELIVERY in CEBU PUERICULTURE CENTER AND MATERNITY HOUSE INCORPORATEDHospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:Printed Name and Signature of Student LUIGINE CHRISTI COLINA CHAN

Date Performed and

Time Started

Patient’s INITIAL only PROCEDURE PERFORMED

ASSISTED DELIVERY

D.R. Nurse/Midwife On Duty (Name and Signature)

SUPERVISED BYClinical Instructor

Name and SignatureCase Number

September 23. 2010 - 5:44 PM

U.C.R.062903

Normal Spontaneous Vaginal Delivery LEAH M. BLANCO, RN VENERANDA P. APARECE, RN MAN

September 25, 2010 - 6:51 PM

D.M.C.062975

Normal Spontaneous Vaginal Delivery DOLORES D. DEL MAR, RN VENERANDA P. APARECE, RN MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2013 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012Date document is signed:________Time____________ Date document is signed:________Time________Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

Republic of the PhilippinesProfessional Regulation Commission

Board of Nursing

SOUTHWESTERN UNIVERSITY

ODC Form 1BASSISTED DELIVERY FORM

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College of NursingVilla Aznar Urgello Street Cebu City

Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: [email protected]

ACTUAL DELIVERY in EVERSLEY CHILD’S SANITARIUM Hospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:Printed Name and Signature of Student LUIGINE CHRISTI COLINA CHAN

Date Performed and

Time Started

Patient’s INITIAL only PROCEDURE PERFORMED

ASSISTED DELIVERY

D.R. Nurse/Midwife On Duty (Name and Signature)

SUPERVISED BYClinical Instructor

Name and SignatureCase Number

April 23. 2010 – 6:19 PM

G.J.M089264

Normal Spontaneous Vaginal Delivery LELIBEL A. JALA, RN CRYSTALLE G. TAN, RN MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2013 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012Date document is signed:________Time____________ Date document is signed:________Time________Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

Republic of the PhilippinesProfessional Regulation Commission

Board of Nursing

SOUTHWESTERN UNIVERSITYCollege of Nursing

Villa Aznar Urgello Street Cebu CityPhone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: [email protected]

ODC Form 1CIMMEDIATE NEWBORN CORD

CARE

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IMMEDIATE NEWBORN CORD CARE in VICENTE SOTTO MEMORIAL MEDICAL CENTERHospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:Printed Name and Signature of Student LUIGINE CHRISTI COLINA CHAN

Date Performed and

Time Started

Patient’s INITIAL only Immediate Newborn Cord CarePERFORMED

Indicate where performed e.g. D.R., Nursery, NICU, or Home

D.R. Nurse/Midwife On Duty (Name and Signature)

SUPERVISED BYClinical Instructor

Name and SignatureCase Number

August 3, 2010 - 7:55 AM

R.K.R.170653 Delivery Room REBECCA N. RUEDAS, RN MISPA JANE P. OGARO, RN MAN

August 5, 2010 - 12:06PM

K.C.V.171319 Delivery Room REBECCA N. RUEDAS, RN MISPA JANE P. OGARO, RN MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2013 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012Date document is signed:________Time____________ Date document is signed:________Time________Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

Republic of the PhilippinesProfessional Regulation Commission

Board of Nursing

SOUTHWESTERN UNIVERSITYCollege of Nursing

Villa Aznar Urgello Street Cebu CityPhone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: [email protected]

IMMEDIATE NEWBORN CORD CARE in CEBU PUERICULTURE CENTER AND MATERNITY HOUSE INCORPORATEDHospital / Home / Lying-In Clinic, Municipality / City / Province

ODC Form 1CIMMEDIATE NEWBORN CORD

CARE

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Prepared by:Printed Name and Signature of Student LUIGINE CHRISTI COLINA CHAN

Date Performed and

Time Started

Patient’s INITIAL only Immediate Newborn Cord CarePERFORMED

Indicate where performed e.g. D.R., Nursery, NICU, or Home

D.R. Nurse/Midwife On Duty (Name and Signature)

SUPERVISED BYClinical Instructor

Name and SignatureCase Number

September 24, 2010 - 3:21 PM

I.O.62938 Delivery Room CHIVAS ELAINE S. RAMIREZ, RN VENERANDA P. APARECE, RN MAN

September 25, 2010 - 4:49 PM

F.V.M.62972 Delivery Room DOLORES D. DEL MAR, RN VENERANDA P. APARECE, RN MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2013 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012Date document is signed:________Time____________ Date document is signed:________Time________Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

Republic of the PhilippinesProfessional Regulation Commission

Board of Nursing

SOUTHWESTERN UNIVERSITYCollege of Nursing

Villa Aznar Urgello Street Cebu CityPhone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: [email protected]

IMMEDIATE NEWBORN CORD CARE in EVERSLEY CHILD’S SANITARIUMHospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:

ODC Form 1CIMMEDIATE NEWBORN CORD

CARE

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Printed Name and Signature of Student Chan, Luigine Christi Colina

Date Performed and

Time Started

Patient’s INITIAL only Immediate Newborn Cord CarePERFORMED

Indicate where performed e.g. D.R., Nursery, NICU, or Home

D.R. Nurse/Midwife On Duty

(Name and Signature)

SUPERVISED BYClinical Instructor

Name and SignatureCase Number

April 20, 2010 - 5:01 PM

V.R.G.089235 Delivery Room JASMIN A. PEPITO, RN CRYSTALLE G. TAN, RN MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2013 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012Date document is signed:________Time____________ Date document is signed:________Time________Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

Republic of the PhilippinesProfessional Regulation Commission

Board of Nursing

SOUTHWESTERN UNIVERSITYCollege of Nursing

Villa Aznar Urgello Street Cebu CityPhone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: [email protected]

ACTUAL DELIVERY in CEBU CITY MEDICAL CENTERHospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:

ODC Form 1BASSISTED DELIVERY FORM

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Printed Name and Signature of Student LUIGINE CHRISTI COLINA CHAN

Date Performed and

Time Started

Patient’s INITIAL only PROCEDURE PERFORMED

ASSISTED DELIVERY

D.R. Nurse/Midwife On Duty (Name and Signature)

SUPERVISED BYClinical Instructor

Name and SignatureCase Number

November 27. 2010 – 1:54 PM

E.S.205181

Normal Spontaneous Vaginal Delivery ESTRELIETA L. RABASANO, RN JULIET CHRISTI B. SALARES, RN

MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2013 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012Date document is signed:________Time____________ Date document is signed:________Time________Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN