ILIGAN MEDICAL CENTER COLLEGE College of Nursing Midwifery and Health Aide Pala-o, Iligan City PROFESSIONAL REGULATION

COMMISSION School Code 1198 RECORD OF OPERATING AND DELIVERY ROOM CASES AND CORD DRESSINGS Name Name and address of school Accreditation level (if any) Date school program was recognized First course (if any) Year of admission in the Bachelor of Science in Nursing program Year graduated (BSN Program) No. Case No. Diagnosis Unabia, Giancarlo F. Iligan Medical Center College Pala-o, Iligan City PACUCOA LEVEL II Year granted : 2005 June 17, 1985 Number : 171 None School graduated from : N/A 2002 March 2007 III. ACTUAL DELIVERIES Name of Mother Date of Time of Gender of Name of Hospital Delivery Delivery Baby Age 26 June 30, 2005 12:35 PM Male Gregorio T. Lluch Memorial Hospital St. Mary’s Maternal and Child Hospital St. Mary’s Maternal and Child Hospital Kolambugan District Hospital : : : : : : :

Year Year

: :

1985 N/A

Type of Delivery

Supervised by: Name and Signature of Qualified C.I. Ms. Gloria Sheila Edmilao, RN, MAN PRC No. 0025695 Ms. Gay Belen C. Pee, RN, MN, MAN PRC No. 0197947 Ms. Gay Belen C. Pee, RN, MN, MAN PRC No. 0197947 Mr. Ruel Cagalawan, RN, MN PRC No. 0215408 Mr. Ruel Cagalawan, RN, MN PRC No. 0215408
SUPERVISED BY: MS. SHEILA C. LABATA, RN, MM, MAN Signature over printed name of Assistant Dean Iligan Medical Center College Date Signed: ____________________ Degree: BSN, RN, MM, MAN a. PRC No.: 0167707 Valid until: June 15, 2008 b. PNA No.: 16807 Valid until: Lifetime

1.

122340

Gravida 2 Para 1, Pregnancy Uterine Full Term Gravida 3 Para 2, Pregnancy Uterine Full term Gravida 5 Para 4, Pregnancy Uterine Full Term Gravida 2 Para 1, Pregnancy Uterine Full Term Gravida 3 Para 2, Pregnancy Uterine Full Term
CONCURRED BY: MS. CECILIA B.SARCENO RN, MN, MAN Signature over printed name of Chief Nurse St Mary’s Maternal and Child Hospital Date Signed: _____________________ Degree: BSN, RN, MN, MAN a. PRC No.: 0222077 Valid Until: February 1, 2008 b. PNA No.: 16814 Valid until: Lifetime c. ANSAP No.:0254 Valid Until: October 6, 2007

Olandag, Ana Mojado

Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery

2.

06322149

Tupaz, Consolacion

35

June 6, 2006

10:25 PM

Male

3.

06322155

Mangcas, Walida

30

June 7, 2006

10:43 PM

Female

4.

79253

Lagat, Junamay D.

19

August 1, 2006 January 17, 2007
CONCURRED BY:

3:03 PM

Male

5.

106131

Penaranda, Merlyn

35

7:36 AM

Male

Lanao del Norte Provincial Hospital
NOTED BY:

CONCURRED BY: MS. MYRNA P. SUAN, RN, MN Signature over printed name of Chief Nurse Gregorio T. Lluch Memorial Hospital Date signed: Degree: BSN, RN, MN a. PRC No.: 0078434 Valid until: April 8, 2009 b. PNA No. 4249 Valid until: Lifetime c. ANSAP No.: 025 Valid until: March 08, 2008

CONCURRED BY: MS. TRANSFIGURACION C. LEE, RN, MN Signature over printed name of Chief Nurse Lanao Del Norte Provincial Hospital Date Signed: _____________________ Degree: BSN, RN, MN, MN a. PRC No.: 0059574 Valid Until: August 6, 2008 b. PNA No.: 12-LO-0420-1 Valid Until: Lifetime c. ANSAP No.: 021 Valid Until: LIfetime

APPROVED BY: MS. ELIZABETH L. ALAGAR, RN, MAN Signature over printed name of Dean Iligan Medical Center College Date Signed: ____________________ Degree: BSN, RN, MAN a. PRC No.: 0089156 Valid Until: June 18, 2008 b. PNA No.: 14137 Valid Until: Lifetime c. ADPCN No.: 125 Valid Until: December 31, 2007

MS. DAILINA R. PERANG, RN, MN Signature over printed name of Chief Nurse Kolambugan District Hospital Date Signed: _________________ Degree: BSN, RN, MN a. PRC No.: 0091730 Valid Until: July 12, 2008 b. PNA No.: 35574 Valid Until: December 7, 2007 c. ANSAP No.: 3961 Valid Until: March 8, 2008

MS. MA. CRISTINA DARLYN Q. DOCOG RN, MAN Signature over printed name of Clinical Coordinator Iligan Medical Center College Date Signed: ____________________ Degree: BSN, RN, MAN a. PRC No.: 0181563 Valid Until: June 4, 2009 b. PNA No.: 16821 Valid Until: Lifetime

Prepared by: Giancarlo F. Unabia

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