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GOOD SAMARITAN COLLEGES

COLLEGE OF NURSING
CABANATUAN CITY, NUEVA ECIJA
Prepared by: Kristina Bernadette T. Roque
Name and Address of School: Good Samaritan Colleges, Burgos Avenue, Cabanatuan City, Nueva Ecija
Accreditation Level: Level II (ACSUU-AAI) 3-year Accreditation Status Year Granted: 2008
Date School/ Program was Recognized: June 17, 1985 Number: Gr No. 48 s.of 1985 Year: 1985
First Course (if any) : Not Applicable School Graduated From: Not Applicable
Year of Admission in the Bachelor of Science in Nursing Program: 2004
Year Graduated (BSN Program): 2010

l. MAJOR OPERATION
No. Date of
Operation Case # Name of Patient Diagnosis Operation Performed Type of Anesthesia Name of Surgeon Name of Hospital
December 7, Ovarian new growth left twisted Exploratory Laparotomy Rupture Tarlac Provincial
1 2009 138359 Imelda Tocdol Ovarian cyst and Salphingo Oophorectomy Subarachnoid Block Dra. Czarina Miguel Hospital
December 7, Pregnancy Uterine 37 3/7weeks age of
2 2009 138482 Gemma Hilario gestation Cephalic in Labor Gravida3 Lower Cervical Cesarian Section ll Subarachnoid Block Dra. Lea Contreras Tarlac Provincial
Para2(2002) status post Cesarian Hospital
Section
December 8, Myoma Uteri Gravida5 Para4 (4014) Total Abdominal Hysterectomy Dra. Mary Jane Tarlac Provincial
3 2009 138470 Ma. Teresita Domingo Cervical myoma Bilateral Salphingo Oophorectomy Subarachnoid Block Bautista Hospital
March 3, Tarlac Provincial
4 2010 144015 Ceelin Hipolito Calcuous Cholecystitis Cholecystectomy Subarachnoid Block Dr. Arnold Castro Hospital
March 12, Pregnancy Uterine 38weeks age of Lower Cervical Cesarian Section ll Tarlac Provincial
5 2010 144518 Jovie Nagera gestation Gravida3 Para3 status post with Bilateral Tubal Ligationl Subarachnoid Block Dra. Mary Jane Hospital
Cesarian section Bautista

PREPARED BY: SUPERVISED BY: NOTED BY: CONCURRED BY: APPROVED BY:

Kristina Bernadette T. Roque OLEN JOHN V. MARCELO ROMMEL G. SANTIAGO ERLINDA S. LAGONILLA College of Nursing: DIVINA S. PADILLA
NAME OF STUDENT Degree: RN, MAN___ Degree: RM, RN, MAN Degree: RM, RN, MAN Degree: RN, MAN
PRC No: 0358769 PRC No: 0198327 PRC No: 46196 PRC No: 0152925
Date Signed: _____________ Valid Until: January 2, 2014 Valid Until: January 14, 2014 Valid Until: February 2014 Valid Until: July 9, 2011
PNA No: 2011-052261 PNA No: 2011-052253 PNA No: 2401 PNA No: 6636
Valid Until: October 31, 2011 Valid Until: October 31, 2011 Valid Until: LIFETIME MEMBER Valid Until: LIFETIME MEMBER
Date Signed:_____________ Date Signed: ____________ ANSAP No: 0428 ADCPN No: 0623
Valid Until: LIFETIME MEMBER Valid Until: October 2011
Date Signed: _______________ Date Signed: __________
GOOD SAMARITAN COLLEGES
COLLEGE OF NURSING
CABANATUAN CITY, NUEVA ECIJA
Prepared by: Kristina Bernadette T. Roque
Name and Address of School: Good Samaritan Colleges, Burgos Avenue, Cabanatuan City, Nueva Ecija
Accreditation Level: Level II (ACSUU-AAI) 3-year Accreditation Status Year Granted: 2008
Date School/ Program was Recognized: June 17, 1985 Number: Gr No. 48 s.of 1985 Year: 1985
First Course (if any) : Not Applicable School Graduated From: Not Applicable
Year of Admission in the Bachelor of Science in Nursing Program: 2004
Year Graduated (BSN Program): 2010

l. MINOR OPERATION
No. Date of
Operation Case # Name of Patient Diagnosis Operation Performed Type of Anesthesia Name of Surgeon Name of Hospital
April 1, 2008 Ovarian new growth left twisted Exploratory Laparotomy Rupture Tarlac Provincial
1 101516 Mark Navarro Ovarian cyst and Salphingo Oophorectomy Subarachnoid Block Dra. Czarina Miguel Hospital
February 17, Pregnancy Uterine 37 3/7weeks age of
2 2010 143017 Melvin Genaro gestation Cephalic in Labor Gravida3 Lower Cervical Cesarian Section ll Subarachnoid Block Dra. Lea Contreras Tarlac Provincial
Para2(2002) status post Cesarian Hospital
Section
March 7, Myoma Uteri Gravida5 Para4 (4014) Total Abdominal Hysterectomy Dra. Mary Jane Tarlac Provincial
3 2010 144228 Rizza Francisco Cervical myoma Bilateral Salphingo Oophorectomy Subarachnoid Block Bautista Hospital
March 10, Tarlac Provincial
4 2010 144492 Wanie Mutan Calcuous Cholecystitis Cholecystectomy Subarachnoid Block Dr. Arnold Castro Hospital
March 14, Pregnancy Uterine 38weeks age of Lower Cervical Cesarian Section ll Tarlac Provincial
5 2010 144603 Bienvenido Marciano gestation Gravida3 Para3 status post with Bilateral Tubal Ligationl Subarachnoid Block Dra. Mary Jane Hospital
Cesarian section Bautista

PREPARED BY: SUPERVISED BY: NOTED BY: CONCURRED BY: APPROVED BY:

Kristina Bernadette T. Roque OLEN JOHN V. MARCELO ROMMEL G. SANTIAGO ERLINDA S. LAGONILLA College of Nursing: DIVINA S. PADILLA
NAME OF STUDENT Degree: RN, MAN___ Degree: RM, RN, MAN Degree: RM, RN, MAN Degree: RN, MAN
PRC No: 0358769 PRC No: 0198327 PRC No: 46196 PRC No: 0152925
Date Signed: _____________ Valid Until: January 2, 2014 Valid Until: January 14, 2014 Valid Until: February 2014 Valid Until: July 9, 2011
PNA No: 2011-052261 PNA No: 2011-052253 PNA No: 2401 PNA No: 6636
Valid Until: October 31, 2011 Valid Until: October 31, 2011 Valid Until: LIFETIME MEMBER Valid Until: LIFETIME MEMBER
Date Signed:_____________ Date Signed: ____________ ANSAP No: 0428 ADCPN No: 0623
Valid Until: LIFETIME MEMBER Valid Until: October 2011
Date Signed: _______________ Date Signed: __________
GOOD SAMARITAN COLLEGES
COLLEGE OF NURSING
CABANATUAN CITY, NUEVA ECIJA
Prepared by: Kristina Bernadette T. Roque
Name and Address of School: Good Samaritan Colleges, Burgos Avenue, Cabanatuan City, Nueva Ecija
Accreditation Level: Level II (ACSUU-AAI) 3-year Accreditation Status Year Granted: 2008
Date School/ Program was Recognized: June 17, 1985 Number: Gr No. 48 s.of 1985 Year: 1985
First Course (if any) : Not Applicable School Graduated From: Not Applicable
Year of Admission in the Bachelor of Science in Nursing Program: 2004
Year Graduated (BSN Program): 2010

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