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ASSIST Nico Edition

ASSIST Nico Edition

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Published by: Nico Lorenzo Caloning on Sep 13, 2010
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09/12/2010

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St. Scholastica's College of Health Sciences Sta. Cruz Street, Tacloban City 6500 Tel No.

325-2188 Local 201
Name of Student: CALONING, NICO LORENZO MENDOZA________________________________________________________________________________________________________________________ Name & Address of School: ST. SCHOLASTICA'S COLLEGE OF HEALTH SCIENCES Sta. Cruz St. Tacloban City Accreditation Level: (if any) None Year Granted: None Date School/Program was Recognized: April 11, 2003 Number (GR): 07 Year: 2003 First Course (if any): None School Graduated From: None Year: N/A Year of Admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated (BSN Program): 2010 Prepared by: CALONING, NICO LORENZO MENDOZA Signature over printed name
IV. DELIVERIES ASSISTED No. Case No. Diagnosis Name of Mother Age of Mother Date of Delivery December 20, 2008 Time of Delivery 6:08 pm Gender of Baby Male Name of Hospital Ormoc District Hospital Type of Delivery Normal Spontaneous Vaginal Delivery Supervised by

1

85-76-48

Normal spontaneous vaginal delivery to a live baby boy in cephalic presentation with weight 3.5 kilograms with episiotomy, normal.

Pecho, Wendelyn

21 years old

Mrs. Priscilla V. Ventula, RN, MAN Date Signed: _______ Degree: BSN, RN, MAN____________ a) PRC No:_0125185_______________ Valid Until: _05-28-2011____________ b) PNA No.:_078159________________ Valid Until: _December 2010_________ Mrs. Azucena T. Abit, RN, MAN Date Signed: _ Degree: BSN, RN, MAN______ a) PRC No:_0181954________ Valid Until: _03-27-2013______ b) PNA No.:_078140_________ Valid Until: __December 2010_ Mrs. Azucena T. Abit, RN, MAN Date Signed: _ Degree: BSN, RN, MAN______ a) PRC No:_0181954________ Valid Until: _03-27-2013______ b) PNA No.:_078140_________ Valid Until: __December 2010_

2

43-69-44

Pregnancy Uterine Full Term, Premature rupture of membrane for 10 hours, delivered by spontaneous vaginal delivery to a live baby girl, APGAR score-9, clear amniotic fluid, birth weight2,900grams, birth length-49centimeters, Gravida 3 Para 3 (3003)

Fabi, Charlyn

36 years old

February 05, 2010

6:24 pm

Female

Eastern Visayas Regional Medical Center

Normal Spontaneous Vaginal Delivery

3

45-59-89

Pregnancy Uterine Full Term, delivered by spontaneous vaginal delivery to a live baby girl, APGAR score-9, clear amniotic fluid, birth weight 2,700 grams, birth length 48 centimeters, Gravida 3 Para 3 (3003)

Asuar, Madelyn Encina

32 years old

February 06, 2010

7:36 pm

Female

Eastern Visayas Regional Medical Center

Normal Spontaneous Vaginal Delivery

birth weight 3. RN. Marilyn 38 years old June 04. MN Signature over Printed Name of Chief Nurse Ormoc District Hospital Date signed: _______________________ Degree: BSN.: 3961____________________________________ Valid Until: Life Member______________________________ CONCURRED BY: MRS. CAROLINA D.500 grams. rules and regulations of the Republic of the Philippines. RN.: 078155 _________________ Valid Until: December.:_078140_________ Valid Until: __December 2010_ 5 47-28-92 Pregnancy Uterine Full Term.300grams. Philippines.) ADPCN No. birth length 52 centimeters. College of Nursing Date signed: __________________________ Degree: BSN. IRENE JOY G. MAN______________ a)PRC No. RN. _________________ Page No. MAN Date Signed: _ Degree: BSN. Analiza 33 years old June 04. _________________ Book No.: 6005___________________ Valid Until: Life Member_____________ APPROVED BY: MRS.: 0046504_________________________________ Valid Until: October 14. 2010_____________ CONCURRED BY: Signature over Printed Name of Chief Nurse Eastern Visayas Regional Medical Center Date signed:________________________________________ Degree: BSN. Azucena T. Abit. BSN. _________________ Series of: _________________ . 2011________ b)PNA No. delivered by partial breech extraction to a live baby boy APGAR score – 1 Total meconium stain – amniotic fluid. MAN___________ a)PRC No. MAN Signature over Printed Name of Dean SSCHS. 2011____________ b)PNA No.: 0077714________________ Valid Until: September 18. RN. _________________________________ Signature of Applicant Doc. MAN Date Signed: _ Degree: BSN. MORILES. MAN____________________________ a)PRC No. RN.:_078140_________ Valid Until: __December 2010_ Mrs. birth weight 3. MAN MRS. 2010 5:35 am Male Eastern Visayas Regional Medical Center Normal Spontaneous Vaginal Delivery NOTED BY Signature over Printed Name of Clinical Coordinator SSCHS. College of Nursing Date signed: _______________________ Degree: BSN. cephalic delivered by spontaneous vaginal delivery to a live Baby boy APGAR Score9. Abit. BERENGUER. No. correct. MAN MRS. Gravida 1 Para 1 (1001) Lopez. Meconium stain –amniotic fluid.: 0300704___________________ Valid Until: October 20. RN. verified by me and to the best of my knowledge and belief is true. birth length 49 centimeters Gravida3 Para 3 (3002) Ocasla. MAN______ a) PRC No:_0181954________ Valid Until: _03-27-2013______ b) PNA No. Azucena T. MN____________ a)PRC No. RN. 2011_______ b)PNA No. RN. RN. BARROT. 2010 2:03 am Male Eastern Visayas Regional Medical Center Normal Spontaneous Vaginal Delivery Mrs. double footling breech. 2010__________________________ b)PNA No. RN. RN. Subscribed and sworn before me this _____ day of ___________ 20______.4 47-28-97 Pregnancy Uterine Full Term.: 078156____________________ Valid Until: December.: ______________________ Valid Until: __________________________ I declare under oath that these cases have been accomplished by me in good faith. RN. JOSEFINA M.: 0133674_________________ Valid Until: September 21. 2010___________ c. TERESITA V. BERISO. and complete statement pursuant to the provisions of pertinent laws. MAN______ a) PRC No:_0181954________ Valid Until: _03-27-2013______ b) PNA No.

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