ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 210, 7353509 Fax, www.arellano.edu.

ph PACUCOA Level III Re-Accredited Status (March 2012 to March 2015) SURGICAL SCRUB in ARMED FORCES OF THE PHILIPPINES MEDICAL CENTER, Quezon City, Metro Manila Hospital/Home/Lying-in Clinic, Municipality/City/Province Prepared by: Printed Name and Signature of Student JOHN LEMMOR V. BAA

Date Performed and Time Started November 28, 2012 0800H November 21, 2012 1245H

Patients INITIAL Only Case Number F.M.C. 129157 D.S.P. 128211

SURGICAL PROCEDURE PERFORMED

O.R. Nurse On Duty (Name and Signature)

SUPERVISED BY Clinical instructor Name and Signature

Radical Mastoiditis Anterior Cruciate Ligament Reconstruction Right

2LT Cecille Aubrey F. Quijano, NC 2LT Cecille Aubrey F. Quijano, NC

Yolanda A. Quetua, RN, MAN Yolanda A. Quetua, RN, MAN

Noted by: RUHIYYIH C. BARNACHIA, RN, MAN MPA, RN Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 October 16, 2013 Date document is signed: ________________ Time: ______________ _____________ Highest Nursing Degree Earned: BSN, MAN

Approved by: NOLI V. PAGDANGANAN, MAN, Dean: PRC I.D. No. 025555 Valid Until Date document is signed: ________________ Time: Highest Nursing Degree Earned: BSN, MPA, MAN

ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph PACUCOA Level III Re-Accredited Status (March 2012 to March 2015)

SURGICAL CIRCULATING in ARMED FORCES OF THE PHILIPPINES MEDICAL CENTER, Quezon City, Metro Manila Hospital/Home/Lying-in Clinic, Municipality/City/Province Prepared by: Printed Name and Signature of Student JOHN LEMMOR V. BAA

Date Performed and Time Started November 28, 2012 1245H November 21, 2012 1025H

Patients INITIAL Only Case Number Z.M.C. 128500 A.G.P. 128816

SURGICAL PROCEDURE PERFORMED

O.R. Nurse On Duty (Name and Signature)

SUPERVISED BY Clinical instructor Name and Signature

Open Cholecystectomy Low Transverse Cesarean Section I

Maria Hossea G. Caburnay, RN Rubia Marie P. Galleros, RN

Yolanda A. Quetua, RN, MAN Yolanda A. Quetua, RN, MAN

Noted by: RUHIYYIH C. BARNACHIA, RN, MAN MPA, RN Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 October 16, 2013

Approved by: NOLI V. PAGDANGANAN, MAN, Dean: PRC I.D. No. 025555 Valid Until

Date document is signed: ________________ Time: ______________ _____________ Highest Nursing Degree Earned: BSN, MAN

Date document is signed: ________________ Time: Highest Nursing Degree Earned: BSN, MPA, MAN

ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph PACUCOA Level III Re-Accredited Status (March 2012 to March 2015)

ACTUAL DELIVERY in MANDALUYONG CITY MEDICAL CENTER, Mandaluyong City, Metro Manila Hospital/Home/Lying-in Clinic, Municipality/City/Province Prepared by: Printed Name and Signature of Student JOHN LEMMOR V. BAA

Date Performed and Time Started

Patients INITIAL Only Case Number

(not applicable for Birthing/Lyingin Clinic/Home)

PROCEDURE PERFORMED

D.R. Nurse On Duty(Name and Signature) (If Midwife on Duty, Signature Not Required)

SUPERVISED BY Clinical instructor Name and Signature

September 24,2012 2:55pm September 17, 2012 9:14pm September 17, 2012 6:45pm

K.B.O. 560441 E.C.L. 559790 J.B.C. 560025

Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery

Luciana Q. Peregrin, RN Luciana Q. Peregrin, RN Luciana Q. Peregrin, RN

Girlie A. Piedad, RN, RM, MSN Girlie A. Piedad, RN, RM, MSN Girlie A. Piedad, RN, RM, MSN

Noted by: RUHIYYIH C. BARNACHIA, RN, MAN MPA, RN Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 October 16, 2013 Date document is signed: ________________ Time: ______________ _____________ Highest Nursing Degree Earned: BSN, MAN

Approved by: NOLI V. PAGDANGANAN, MAN, Dean: PRC I.D. No. 025555 Valid Until Date document is signed: ________________ Time: Highest Nursing Degree Earned: BSN, MPA, MAN

ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph PACUCOA Level III Re-Accredited Status (March 2012 to March 2015)

IMMEDIATE NEWBORN CARE in MANDALUYONG CITY MEDICAL CENTER, Mandaluyong City, Metro Manila Hospital/Home/Lying-in Clinic, Municipality/City/Province Prepared by: Printed Name and Signature of Student JOHN LEMMOR V. BAA

Date Performed and Time Started

Patients INITIAL Only Case Number

(not applicable for Birthing/Lyingin Clinic/Home)

Immediate Newborn Cord Care PERFORMED

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

D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required)

SUPERVISED BY Clinical instructor Name and Signature

October 01, 2012 3:30pm September 24, 2012 9:50pm September 24, 2012 6:15pm

B.G.D. 561191 B.B.P. 560471 B.B.P. 560432

Neonatal Intensive Care Unit Neonatal Intensive Care Unit Neonatal Intensive Care Unit

Editha L. Eridao, RN, MAN Editha L. Eridao, RN, MAN Editha L. Eridao, RN, MAN

Girlie A. Piedad, RN, RM, MSN Girlie A. Piedad, RN, RM, MSN Girlie A. Piedad, RN, RM, MSN

Noted by: RUHIYYIH C. BARNACHIA, RN, MAN MPA, RN Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 October 16, 2013 Date document is signed: ________________ Time: ______________ _____________ Highest Nursing Degree Earned: BSN, MAN

Approved by: NOLI V. PAGDANGANAN, MAN, Dean: PRC I.D. No. 025555 Valid Until Date document is signed: ________________ Time: Highest Nursing Degree Earned: BSN, MPA, MAN

ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph PACUCOA Level III Re-Accredited Status (March 2012 to March 2015) SURGICAL SCRUB in QUIRINO MEMORIAL MEDICAL CENTER, Quezon City, Metro Manila Hospital/Home/Lying-in Clinic, Municipality/City/Province Prepared by: Printed Name and Signature of Student JOHN LEMMOR V. BAA

Date Performed and Time Started November 20, 2012 7:48am

Patients INITIAL Only Case Number C.M.N. 704458

SURGICAL PROCEDURE PERFORMED

O.R. Nurse On Duty (Name and Signature)

SUPERVISED BY Clinical instructor Name and Signature

Low Transverse Cesarean Section I

Glenda B. Pagdilao, RN, MAN

Avigail F. Fetalino, RN, MAN

Noted by: RUHIYYIH C. BARNACHIA, RN, MAN MPA, RN Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 October 16, 2013 Date document is signed: ________________ Time: ______________ _____________ Highest Nursing Degree Earned: BSN, MAN

Approved by: NOLI V. PAGDANGANAN, MAN, Dean: PRC I.D. No. 025555 Valid Until Date document is signed: ________________ Time: Highest Nursing Degree Earned: BSN, MPA, MAN

ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph PACUCOA Level III Re-Accredited Status (March 2012 to March 2015) SURGICAL CIRCULATING in QUIRINO MEMORIAL MEDICAL CENTER, Quezon City, Metro Manila Hospital/Home/Lying-in Clinic, Municipality/City/Province Prepared by: Printed Name and Signature of Student JOHN LEMMOR V. BAA

Date Performed and Time Started November 26, 2012 7:35am

Patients INITIAL Only Case Number R.A.B. 827441

SURGICAL PROCEDURE PERFORMED

O.R. Nurse On Duty (Name and Signature)

SUPERVISED BY Clinical instructor Name and Signature

Hysterectomy

Glenda B. Pagdilao, RN, MAN

Avigail F. Fetalino, RN, MAN

Noted by: RUHIYYIH C. BARNACHIA, RN, MAN MPA, RN Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 October 16, 2013 Date document is signed: ________________ Time: ______________ _____________ Highest Nursing Degree Earned: BSN, MAN

Approved by: NOLI V. PAGDANGANAN, MAN, Dean: PRC I.D. No. 025555 Valid Until Date document is signed: ________________ Time: Highest Nursing Degree Earned: BSN, MPA, MAN