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PROFESSIONAL REGULATION COMMISSION

Cebu Regional Office

Republic of the Philippines

# 1 Dr. P.V. Larrazabal Jr. Avenue, North Reclamation 6014 Mandaue City, Cebu, Philippines

COLLEGE OF NURSING

Cebu Doctors University

Name of Student: Maria Joselene Diaz Arenas Accreditation Level (if any): LEVEL III PAASCU Date School/Program was Recognized: July 6, 1981 First Course (if any): N/A Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011

Year Granted: December 2008 Number: 069 School Graduated From: N/A

Year: 1981 Year: N/A

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 Normal Spontaneous Vaginal Delivery Supervised by: Name & Signature of Qualified C.I. Mrs. Evelyn L. Ramas, R.N., M.A.N.

Pregnancy Uterine Term, Cephalic, Delivered 254279 Spontaneously a Live Male Neonate 1. Prepared by: Maria Joselene Diaz Arenas Name & Signature

M. M.

29 years old

May 7, 2010

6:36 AM

MALE

Cebu Doctors' University Hospital

Supervised by: MRS. EVELYN L. RAMAS Signature over printed name of Qualified C.I Date Signed ::: Degree ::: R.N., M.A.N. a.) PRC No. ::: 0089450 Valid Until ::: December 19, 2012 b.) PNA No. ::: 10104 Valid Until :::: Lifetime

Noted by: MRS. DOLORES M. SALDIVIA Signature over printed name of Clinical Coordinator Date Signed : Degree : R.N., M.A.N. a.) PRC No. : 0114598 Valid Until :: April 24, 2014 b.) PNA No. : 3876 Valid Until ::: Lifetime

Concurred by: MRS. EDNA JOCELYN S. CABALLERO Signature over printed name of Chief Nurse Date Signed : Degree : R.N., M.A.N. a.) PRC No. : 0092453 Valid Until : October 19, 2012 b.) PNA No. : 5751 Valid Until : Lifetime

Approved by: DR. OFELIA F. SISNO Signature over printed name of Dean Date Signed : Degree : R.N., M.N., MaEd., Ph.D, a.) PRC No. : 16513 Valid until : August 21, 2012 b.) PNA No. : 6399 Valid until : Lifetime c.) ADPCN No. : Valid until :

PROFESSIONAL REGULATION COMMISSION


Cebu Regional Office

Republic of the Philippines

# 1 Dr. P.V. Larrazabal Jr. Avenue, North Reclamation 6014 Mandaue City, Cebu, Philippines

COLLEGE OF NURSING

Cebu Doctors University

Name of Student: Maria Joselene Diaz Arenas Accreditation Level (if any): LEVEL III PAASCU Date School/Program was Recognized: July 6, 1981 First Course (if any): N/A Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011

Year Granted: December 2008 Number: 069 School Graduated From: N/A

Year: 1981 Year: N/A

III. Actual Deliveries No. Case No. Diagnosis Name of Mother Age Date of Delivery May 21, 2010 Time of Delivery Gender of Baby Name of Hospital Type of Delivery Supervised by: Name & Signature of Qualified C.I. Mrs. Evelyn L. Ramas, R.N., M.A.N.

Pregnancy Uterine Term, Cephalic, Delivered 001015 Spontaneously a Live Female Neonate 2. 001213 3. 4. 001215 Pregnancy Uterine Term, Cephalic, Delivered Spontaneously a Live Male Neonate Pregnancy Uterine Term, Cephalic, Delivered Spontaneously a Live Male Neonate

M.M.

27 years old

2:34 PM

FEMALE

R.A.B.

21 years old

June 09, 2010

10:38 PM

MALE

R.L.B.

25 years old

June 13, 2010

4:50 AM

MALE

5.

000997

Pregnancy Uterine Term, Cephalic, Delivered M. F. A. Spontaneously a Live Female Neonate

27 years old

June 25, 2010

6:13 PM

FEMALE

Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery

Mrs. Evelyn L. Ramas, R.N., M.A.N.

Mrs. Evelyn L. Ramas, R.N., M.A.N.

Mrs. Evelyn L. Ramas, R.N., M.A.N.

Prepared by:

Maria Joselene Diaz Arenas Name & Signature

Supervised by: MRS. EVELYN L. RAMAS Signature over printed name of Qualified C.I Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until ::: ::: ::: ::: ::: :::: R.N., M.A.N. 0089450 December 19, 2012 10104 Lifetime

Noted by: MRS. DOLORES M. SALDIVIA Signature over printed name of Clinical Coordinator Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until : : : :: : ::: R.N., M.A.N. 0114598 April 24, 2014 3876 Lifetime

Concurred by: MRS. BERNARDITA G. PONGAN Signature over printed name of Central Health Area Nurse Supervisor Date Signed : Degree : R.N., M. N. a.) PRC No. : 0067876 Valid Until : February 26, 2013 b.) PNA No. : 6698 Valid Until : Lifetime

Approved by: DR. OFELIA F. SISNO Signature over printed name of Dean Date Signed Degree a.) PRC No. Valid until b.) PNA No. Valid until c.) ADPCN No. : : : : : : : R.N., M.N., MaEd., Ph.D, 16513 August 21, 2012 6399 Lifetime

PROFESSIONAL REGULATION COMMISSION


Cebu Regional Office

Republic of the Philippines

# 1 Dr. P.V. Larrazabal Jr. Avenue, North Reclamation 6014 Mandaue City, Cebu, Philippines

COLLEGE OF NURSING

Cebu Doctors University

Name of Student: Maria Joselene Diaz Arenas Accreditation Level (if any): LEVEL III PAASCU Date School/Program was Recognized: July 6, 1981 First Course (if any): N/A Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011

Year Granted: December 2008 Number: 069 School Graduated From: N/A

Year: 1981 Year: N/A

IV. Deliveries Assisted No. Case No. Diagnosis Name of Mother Age Date of Delivery November 09, 2009 Time of Delivery Gender of Baby Name of Hospital Type of Delivery Normal Spontaneous Vaginal Delivery Supervised by: Name & Signature of Qualified C.I. Mrs. Evelyn L. Ramas, R.N., M.A.N.

16099 5. Prepared by:

Pregnancy Uterine Term, Cephalic, Delivered Spontaneously a Live Female Neonate

M.N.

32 years old

8:07 AM

FEMALE

Mandaue City Hospital

Maria Joselene Diaz Arenas Name & Signature

Supervised by: MRS. EVELYN L. RAMAS Signature over printed name of Qualified C.I Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until ::: ::: ::: ::: ::: :::: R.N., M.A.N. 0089450 December 19, 2012 10104 Lifetime

Noted by: MRS. DOLORES M. SALDIVIA Signature over printed name of Clinical Coordinator Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until : : : :: : ::: R.N., M.A.N. 0114598 April 24, 2014 3876 Lifetime

Concurred by: MRS. ELIZABETH JOSEPHINE CENIZA Signature over printed name of Central Health Area Nurse Supervisor Date Signed : Degree : BSN a.) PRC No. : 83805 Valid Until : January 22, 2013 b.) PNA No. : Valid Until :

Approved by: DR. OFELIA F. SISNO Signature over printed name of Dean Date Signed Degree a.) PRC No. Valid until b.) PNA No. Valid until c.) ADPCN No. : : : : : : : R.N., M.N., MaEd., Ph.D, 16513 August 21, 2012 6399 Lifetime

PROFESSIONAL REGULATION COMMISSION


Cebu Regional Office

Republic of the Philippines

# 1 Dr. P.V. Larrazabal Jr. Avenue, North Reclamation 6014 Mandaue City, Cebu, Philippines

COLLEGE OF NURSING

Cebu Doctors University

Name of Student: Maria Joselene Diaz Arenas Accreditation Level (if any): LEVEL III PAASCU Date School/Program was Recognized: July 6, 1981 First Course (if any): N/A Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011

Year Granted: December 2008 Number: 069 School Graduated From: N/A

Year: 1981 Year: N/A

IV. Deliveries Assisted No. Case No. Diagnosis Name of Mother Age Date of Delivery May 21, 2010 Time of Delivery Gender of Baby Name of Hospital Type of Delivery Supervised by: Name & Signature of Qualified C.I. Mrs. Evelyn L. Ramas, R.N., M.A.N.

Pregnancy Uterine Term, Cephalic, Delivered 001016 Spontaneously a Live Male Neonate 2. 001208 3. 001214

I. J. O

21 years old

5:21 PM

MALE

Pregnancy Uterine Term, Cephalic, Delivered M. M. D. Spontaneously a Live Female Neonate

25 years old

June 05, 2010

8:30 AM

FEMALE

4.

Pregnancy Uterine Term, Cephalic, Delivered V. C. D. Spontaneously a Live Female Neonate

28 years old

June 13, 2010

11:34 AM

FEMALE

5.

001006

Pregnancy Uterine Term, Cephalic, Delivered C. P. V. Spontaneously a Live Male Neonate

21 years old

June 19, 2010

6:37 AM

MALE

Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery

Mrs. Evelyn L. Ramas, R.N., M.A.N.

Mrs. Evelyn L. Ramas, R.N., M.A.N.

Mrs. Evelyn L. Ramas, R.N., M.A.N.

Prepared by:

Maria Joselene Diaz Arenas Name & Signature

Supervised by:

Noted by:

Concurred by:

Approved by:

MRS. EVELYN L. RAMAS Signature over printed name of Qualified C.I Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until ::: ::: ::: ::: ::: :::: R.N., M.A.N. 0089450 December 19, 2012 10104 Lifetime

MRS. DOLORES M. SALDIVIA Signature over printed name of Clinical Coordinator Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until : : : :: : ::: R.N., M.A.N. 0114598 April 24, 2014 3876 Lifetime

MRS. BERNARDITA G. PONGAN Signature over printed name of Central Health Area Nurse Supervisor Date Signed : Degree : R.N., M. N. a.) PRC No. : 0067876 Valid Until : February 26, 2013 b.) PNA No. : 6698 Valid Until : Lifetime

DR. OFELIA F. SISNO Signature over printed name of Dean Date Signed Degree a.) PRC No. Valid until b.) PNA No. Valid until c.) ADPCN No. : : : : : : : R.N., M.N., MaEd., Ph.D, 16513 August 21, 2012 6399 Lifetime

Republic of the Philippines

Cebu Doctors University

PROFESSIONAL REGULATION COMMISSION


Cebu Regional Office

# 1 Dr. P.V. Larrazabal Jr. Avenue, North Reclamation 6014 Mandaue City, Cebu, Philippines

COLLEGE OF NURSING

Name of Student: Maria Joselene Diaz Arenas Accreditation Level (if any): LEVEL III PAASCU Date School/Program was Recognized: July 6, 1981 First Course (if any): N/A Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011

Year Granted: December 2008 Number: 069 School Graduated From: N/A

Year: 1981 Year: N/A

V. Cord Dressing No. Case No. 263254 Date Performed October 16, 2010 Name of Baby Gender of Baby MALE Name of Mother Age 21 years old Name of Hospital Cebu Doctors' University Hospital Supervised by: Name & Signature of Qualified C.I. Mrs. Evelyn L. Ramas, R.N., M.A.N.

1.

Bb. I. B.

M. G. B.

Prepared by:

Maria Joselene Diaz Arenas Name & Signature

Supervised by:

Noted by:

Concurred by:

Approved by:

MRS. EVELYN L. RAMAS Signature over printed name of Qualified C.I Date Signed ::: Degree ::: R.N., M.A.N. a.) PRC No. ::: 0089450 Valid Until ::: December 19, 2012 b.) PNA No. ::: 10104 Valid Until :::: Lifetime

MRS. DOLORES M. SALDIVIA Signature over printed name of Clinical Coordinator Date Signed : Degree : R.N., M.A.N. a.) PRC No. : 0114598 Valid Until :: April 24, 2014 b.) PNA No. : 3876 Valid Until ::: Lifetime

MRS. EDNA JOCELYN S. CABALLERO Signature over printed name of Chief Nurse Date Signed : Degree : R.N., M.A.N. a.) PRC No. : 0092453 Valid Until : October 19, 2012 b.) PNA No. : 5751 Valid Until : Lifetime

DR. OFELIA F. SISNO Signature over printed name of Dean Date Signed : Degree : R.N., M.N., MaEd., Ph.D, a.) PRC No. : 16513 Valid until : August 21, 2012 b.) PNA No. : 6399 Valid until : Lifetime c.) ADPCN No. : Valid until :

Republic of the Philippines

Cebu Doctors University

PROFESSIONAL REGULATION COMMISSION


Cebu Regional Office

# 1 Dr. P.V. Larrazabal Jr. Avenue, North Reclamation 6014 Mandaue City, Cebu, Philippines

COLLEGE OF NURSING

Name of Student: Maria Joselene Diaz Arenas Accreditation Level (if any): LEVEL III PAASCU Date School/Program was Recognized: July 6, 1981 First Course (if any): N/A Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011

Year Granted: December 2008 Number: 069 School Graduated From: N/A

Year: 1981 Year: N/A

V. Cord Dressing No. Case No. Date Performed Name of Baby Gender of Baby Name of Mother Age 26 years old 28 years old 31 years old Name of Hospital Supervised by: Name & Signature of Qualified C.I. Mrs. Evelyn L. Ramas, R.N., M.A.N.

001009 2. 001013 3.

June 24, 2010

Bb. J. R. I .P.

MALE

J. I. P.

Well Family - Midwife Clinic

June 30, 2010

Bb. D. D. D.

MALE

M. D.

Well Family - Midwife Clinic

Mrs. Evelyn L. Ramas, R.N., M.A.N.

000010 4.

December 21, 2010

Bb. M. F. A.

FEMALE

A. D. C. C.

Well Family - Midwife Clinic

Mrs. Evelyn L. Ramas, R.N., M.A.N.

001189 5. Prepared by:

December 27, 2010

Bb. J. A. A. C.

MALE

R. M. A. C.

27 years old

Well Family - Midwife Clinic

Mrs. Evelyn L. Ramas, R.N., M.A.N.

Maria Joselene Diaz Arenas Name & Signature

Supervised by:

Noted by:

Concurred by:

Approved by:

MRS. EVELYN L. RAMAS Signature over printed name of Qualified C.I Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until ::: ::: ::: ::: ::: :::: R.N., M.A.N. 0089450 December 19, 2012 10104 Lifetime

MRS. DOLORES M. SALDIVIA Signature over printed name of Clinical Coordinator Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until : : : :: : ::: R.N., M.A.N. 0114598 April 24, 2014 3876 Lifetime

MRS. BERNARDITA G. PONGAN Signature over printed name of Central Health Area Nurse Supervisor Date Signed : Degree : R.N., M. N. a.) PRC No. : 0067876 Valid Until : February 26, 2013 b.) PNA No. : 6698 Valid Until : Lifetime

DR. OFELIA F. SISNO Signature over printed name of Dean Date Signed Degree a.) PRC No. Valid until b.) PNA No. Valid until c.) ADPCN No. : : : : : : : R.N., M.N., MaEd., Ph.D, 16513 August 21, 2012 6399 Lifetime

PROFESSIONAL REGULATION COMMISSION


Cebu Regional Office

Republic of the Philippines

# 1 Dr. P.V. Larrazabal Jr. Avenue, North Reclamation 6014 Mandaue City, Cebu, Philippines

COLLEGE OF NURSING

Cebu Doctors University

Name of Student: Maria Joselene Diaz Arenas Accreditation Level (if any): LEVEL III PAASCU Date School/Program was Recognized: July 6, 1981 First Course (if any): N/A Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011

Year Granted: December 2008 Number: 069 School Graduated From: N/A

Year: 1981 Year: N/A

V. Cord Dressing No. Case No. Date Performed January 18, 2011 Name of Baby Gender of Baby Name of Mother Age 29 years old Name of Hospital Supervised by: Name & Signature of Qualified C.I. Mrs. Evelyn L. Ramas, R.N., M.A.N.

066182 1.

Bb. C. M. F.

MALE

R. F.

Cebu Puericulture Center and Maternity Hospital, Inc.

Prepared by:

Maria Joselene Diaz Arenas Name & Signature

Supervised by:

Noted by:

Concurred by:

Approved by:

MRS. EVELYN L. RAMAS Signature over printed name of Qualified C.I Date Signed ::: Degree ::: R.N., M.A.N. a.) PRC No. ::: 0089450 Valid Until ::: December 19, 2012 b.) PNA No. ::: 10104 Valid Until :::: Lifetime

MRS. DOLORES M. SALDIVIA Signature over printed name of Clinical Coordinator Date Signed : Degree : R.N., M.A.N. a.) PRC No. : 0114598 Valid Until :: April 24, 2014 b.) PNA No. : 3876 Valid Until ::: Lifetime

MRS. ELENA JUMAO-AS Signature over printed name of Chief Nurse Date Signed : Degree : R.N., M.A.N. a.) PRC No. : 0125547 Valid Until : February 21, 2014 b.) PNA No. : 0398 Valid Until : December 31, 2011

DR. OFELIA F. SISNO Signature over printed name of Dean Date Signed : Degree : R.N., M.N., MaEd., Ph.D, a.) PRC No. : 16513 Valid until : August 21, 2012 b.) PNA No. : 6399 Valid until : Lifetime c.) ADPCN No. : Valid until :

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