Name of Student: MASCARIÑAS, JEREMIAH MEJORADA

Name and Address of School: NUEVA ECIJA COLLEGES, CAGAYAN VALLEY ROAD, CABANATUAN CITY, NUEVA ECIJA
Accreditation Level: NOT APPLICABLE Year Granted: NOT APPLICABLE
Date School / Program was recognized: July 17 Number: 071 Year: 1981
First Course (if any): NOT APPLICABLE School Graduated from: NOT APPLICABLE Year: NOT APPLICABLE
Year of Admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated (BSN Program): 2010

I. MAJOR OPERATIONS
Type of
No. Date Performed Case No. Name of Patient Diagnosis Operation Performed Name of Surgeon Name of Hospital
Anesthesia

Exploratory Laparotomy Spinal Nueva Ecija Doctors Hospital

1 September 24, 2009 11120596539 Dionnalon Ramos Twisted Ovarian Cyst Right Dr. Rufino Regino L. de Guzman
Oophorectomy Right Incorporated

Fracture Closed Complete Partial Hip Replacement Spinal Nueva Ecija Doctors Hospital
2 September 24, 2009 11120596577 Benedicto Legazpi Dr. Antonio G. Go
Femur Right Arthroplasty Right Incorporated

Gravida 3 Parity 2 Previous

Low Cervical Spinal Nueva Ecija Doctors Hospital
3 September 25, 2009 1112055823 Sabrina Esquivel Caesarian Section 38 Weeks Dr. Corazon L. Ramos
Cesarean Section II Incorporated
Age of Gestation
Gravida 2 Parity 1 Prenancy
Uterine 39 Weeks Age Of Low Cervical Spinal Nueva Ecija Doctors Hospital
4 October 8, 2009 1112055827 Maria Kanazowa Dr. Florence S. Paatan
Gestation Previous Caesarian Cesarean Section II Incorporated
Section
Open Reduction Internal
Mandibular Fracture General Nueva Ecija Doctors Hospital
5 October 9, 2009 1112055828 Roldan Almodovar Fixation Of Mandibular Dr. Miguel C. Aragon III
Complete Bilateral Incorporated
Fracture

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

JEREMIAH M. MASCARIÑAS ROMMEL S. INTERIOR MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL
Signature over printed name Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Date Signed: Date Signed: Date Signed: Date Signed:
Degree: BSN, RN. Degree: BSN, RN, MAN. Degree: BSN, RN, MAN. Degree: BSN, RN, RM, MAN, PhD.
a) PRC NO. 0405420 a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
Valid Until: September 25, 2012 Valid Until: August 22, 2012 Valid Until: December 4, 2012 Valid Until: September 2, 2011
b) PNA. 027470 b) PNA. 18780 b) PNA. 18555 b) PNA. 2642
Valid Until: October 31, 2010 Valid Until: Life Member Valid Until: Life Member Valid Until: Life Member
c) MA Units: 24 c) ANSAP NO. 090139 c) ADNCN NO. 223
Valid Until: March 19, 2011 Valid Until: December 2010
Name of Student: MASCARIÑAS, JEREMIAH MEJORADA
Name and Address of School: NUEVA ECIJA COLLEGES, CAGAYAN VALLEY ROAD, CABANATUAN CITY, NUEVA ECIJA
Accreditation Level: NOT APPLICABLE Year Granted: NOT APPLICABLE
Date School / Program was recognized: July 17 Number: 071 Year: 1981
First Course (if any): NOT APPLICABLE School Graduated from: NOT APPLICABLE Year: NOT APPLICABLE
Year of Admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated (BSN Program): 2010

II. MINOR OPERATIONS

Type of
No. Date Performed Case No. Name of Patient Diagnosis Operation Performed Name of Surgeon Name of Hospital
Anesthesia

Nueva Ecija Doctors Hospital

1 September 24, 2009 11120596540 Leopald de Guzman Inguinal Hernia Right Inguinal Herniorrhaphy Right Spinal Dr. Rufino Regino L. de Guzman
Incorporated

Nueva Ecija Doctors Hospital

2 October 1, 2009 120105971 Rosalyn Alarilla Abscess Nape Incision And Drainage General Dr. Benedicto C. Oreta
Incorporated

Local Nueva Ecija Doctors Hospital

3 October 1, 2009 120105972 Francisca Rivera Tendon Cyst Excision Dr. Benedicto C. Oreta
Incorporated

Local Nueva Ecija Doctors Hospital

4 October 2, 2009 120105973 Rachelle Ruth Sanchez Gunshot Wound Right Foot Debridement Dr. Renato L. Hernandez
Incorporated

Local Nueva Ecija Doctors Hospital

5 October 2, 2009 1120105975 Fausto De Guzman To Consider Prostate Cancer Prostate Needle Biopsy Dr. Alex Clemente B. Santarina
Incorporated

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

JEREMIAH M. MASCARIÑAS ROMMEL S. INTERIOR MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL
Signature over printed name Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Date Signed: Date Signed: Date Signed: Date Signed:
Degree: BSN, RN. Degree: BSN, RN, MAN. Degree: BSN, RN, MAN. Degree: BSN, RN, RM, MAN, PhD.
a) PRC NO. 0405420 a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
Valid Until: September 25, 2012 Valid Until: August 22, 2012 Valid Until: December 4, 2012 Valid Until: September 2, 2011
b) PNA. 027470 b) PNA. 18780 b) PNA. 18555 b) PNA. 2642
Valid Until: October 31, 2010 Valid Until: Life Member Valid Until: Life Member Valid Until: Life Member
c) MA Units: 24 c) ANSAP NO. 090139 c) ADNCN NO. 223
Valid Until: March 19, 2011 Valid Until: December 2010
Name of Student: MASCARIÑAS, JEREMIAH MEJORADA
Name and Address of School: NUEVA ECIJA COLLEGES, CAGAYAN VALLEY ROAD, CABANATUAN CITY, NUEVA ECIJA
Accreditation Level: NOT APPLICABLE Year Granted: NOT APPLICABLE
Date School / Program was recognized: July 17 Number: 071 Year: 1981
First Course (if any): NOT APPLICABLE School Graduated from: NOT APPLICABLE Year: NOT APPLICABLE
Year of Admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated (BSN Program): 2010

III. ACTUAL DELIVERIES

Date of Time of Gender of
No. Case No. Diagnosis Name of Mother Age Name of Hospital Type of Delivery
Delivery Delivery Baby
Gravida 3 Parity 2 Pregnancy Uterine Full
Nueva Ecija Doctors
1 9111689149 Term 39 6/7 Weeks Age Of Gestation Imelda Ramos 36 February 11, 2010 8: 46 AM Male Normal Spontaneous Delivery
Cephalic In Labor Hospital Incorporated

Gravida 1 Parity 0 Pregnancy Uterine Full

Nueva Ecija Doctors
2 9111689155 Term 37 2/7 Weeks Age Of Gestation Merlita Ocampo 24 February 12, 2010 9: 05 AM Male Normal Spontaneous Delivery
Cephalic In Labor Hospital Incorporated

Gravida 2 Parity 1 Pregnancy Uterine Full

Nueva Ecija Doctors
3 9111689157 Term 40 1/7 Weeks Age Of Gestation Marianita dela Cruz 25 February 12, 2010 12: 10 PM Male Normal Spontaneous Delivery
Cephalic In Labor Hospital Incorporated

Gravida 5 Parity 4 Pregnancy Uterine Full

Nueva Ecija Doctors
4 9111689161 Term 38 5/7 Weeks Age Of Gestation Aurora Garcia 36 February 13, 2010 9: 38 AM Male Normal Spontaneous Delivery
Cephalic In Labor Hospital Incorporated

Gravida 1 Parity 0 Pregnancy Uterine Full

Nueva Ecija Doctors
5 9111689165 Term 38 Weeks Age Of Gestation Jovie Iglesias 19 February 13, 2010 11: 57 AM Female Normal Spontaneous Delivery
Cephalic In Labor Hospital Incorporated

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

JEREMIAH M. MASCARIÑAS MA. ROBERTA N. MANALO MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL
Signature over printed name Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Date Signed: Date Signed: Date Signed: Date Signed:
Degree: BSN, RN. Degree: BSN, RN, MAN. Degree: BSN, RN, MAN Degree: BSN, RN, RM, MAN, PhD.
a) PRC NO. 0210810 a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
Valid Until: June 7, 2011 Valid Until: August 22, 2012 Valid Until: December 4, 2012 Valid Until: September 2, 2011
b) PNA. 008654 b) PNA. 18780 b) PNA. 18555 b) PNA. 2642
Valid Until: October 31, 2010 Valid Until: Life Member Valid Until: Life Member Valid Until: Life Member
c) MA Units: Thesis Writing c) ANSAP NO. 090139 c) ADNCN NO. 223
Valid Until: March 19, 2011 Valid Until: December 2010
Name of Student: MASCARIÑAS, JEREMIAH MEJORADA
Name and Address of School: NUEVA ECIJA COLLEGES, CAGAYAN VALLEY ROAD, CABANATUAN CITY, NUEVA ECIJA
Accreditation Level: NOT APPLICABLE Year Granted: NOT APPLICABLE
Date School / Program was recognized: July 17 Number: 071 Year: 1981
First Course (if any): NOT APPLICABLE School Graduated from: NOT APPLICABLE Year: NOT APPLICABLE
Year of Admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated (BSN Program): 2010

IV. DELIVERIES ASSISTED

Date of Time of Gender of
No. Case No. Diagnosis Name of Mother Age Name of Hospital Type of Delivery
Delivery Delivery Baby
Gravida 1 Parity 0 Pregnancy Uterine Full
Nueva Ecija Doctors
1 9111689148 Term 39 2/7 Weeks Age Of Gestation Gina Almayda 21 February 11, 2010 11: 46 AM Male Normal Spontaneous Delivery
Cephalic In Labor Hospital Incorporated

Gravida 3 Parity 2 Pregnancy Uterine Full

Nueva Ecija Doctors
2 9111689154 Term 39 2/7 Weeks Age Of Gestation Fernita Fernandez 28 February 12, 2010 10: 55 AM Male Normal Spontaneous Delivery
Cephalic In Labor Hospital Incorporated

Gravida 1 Parity 0 Pregnancy Uterine Full

Yolanda Nueva Ecija Doctors
3 9111689158 Term 39 1/7 Weeks Age Of Gestation 23 February 12, 2010 2: 40 PM Male Normal Spontaneous Delivery
Cephalic In Labor Pangilinan Hospital Incorporated

Gravida 3 Parity 2 Pregnancy Uterine Full

Nueva Ecija Doctors
4 9111689162 Term 39 4/7 Weeks Age Of Gestation Analiza Sacro 24 February 13, 2010 10: 45 AM Male Normal Spontaneous Delivery
Cephalic In Labor Hospital Incorporated

Gravida 2 Parity 1 Pregnancy Uterine Full

Nueva Ecija Doctors
5 9111689166 Term 40 3/7 Weeks Age Of Gestation Annalyn Dizon 25 February 13, 2010 1: 15 PM Female Normal Spontaneous Delivery
Cephalic In Labor Hospital Incorporated

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

JEREMIAH M. MASCARIÑAS MA. ROBERTA N. MANALO MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL
Signature over printed name Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Date Signed: Date Signed: Date Signed: Date Signed:
Degree: BSN, RN. Degree: BSN, RN, MAN. Degree: BSN, RN, MAN Degree: BSN, RN, RM, MAN, PhD.
a) PRC NO. 0210810 a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
Valid Until: June 7, 2011 Valid Until: August 22, 2012 Valid Until: December 4, 2012 Valid Until: September 2, 2011
b) PNA. 008654 b) PNA. 18780 b) PNA. 18555 b) PNA. 2642
Valid Until: October 31, 2010 Valid Until: Life Member Valid Until: Life Member Valid Until: Life Member
c) MA Units: Thesis Writing c) ANSAP NO. 090139 c) ADNCN NO. 223
Valid Until: March 19, 2011 Valid Until: December 2010
 Name of Student: MASCARIÑAS, JEREMIAH MEJORADA
Name and Address of School: NUEVA ECIJA COLLEGES, CAGAYAN VALLEY ROAD, CABANATUAN CITY, NUEVA ECIJA
Accreditation Level: NOT APPLICABLE Year Granted: NOT APPLICABLE
Date School / Program was recognized: July 17 Number: 071 Year: 1981
First Course (if any): NOT APPLICABLE School Graduated from: NOT APPLICABLE Year: NOT APPLICABLE
Year of Admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated (BSN Program): 2010

V. CORD DRESSING
No. Case No. Date Performed Name of Baby Gender of Baby Name of Mother Age Name of Hospital

1 1112055111 June 19, 2009 Baby Dela Cruz Female Angelita Dela Cruz 27 Nueva Ecija Doctors Hospital Incorporated

2 1112055125 June 25, 2009 Baby Cometa Female Cherry Cometa 32 Nueva Ecija Doctors Hospital Incorporated

3 1112055135 June 26, 2009 Baby Maniquiz Female Precydel Maniquiz 28 Nueva Ecija Doctors Hospital Incorporated

4 9111687440 June 26, 2009 Baby Cruz Male Melanie Cruz 30 Nueva Ecija Doctors Hospital Incorporated

5 1112055917 February 25, 2010 Baby Beldia Male Michelle Beldia 28 Nueva Ecija Doctors Hospital Incorporated

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

JEREMIAH M. MASCARIÑAS MARLA P. CUARESMA MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL
Signature over printed name Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Date Signed: Date Signed: Date Signed: Date Signed:
Degree: BSN, RN. Degree: BSN, RN, MAN. Degree: BSN, RN, MAN Degree: BSN, RN, RM, MAN, PhD.
a) PRC NO. 0082589 a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
Valid Until: April 30, 2011 Valid Until: August 22, 2012 Valid Until: December 4, 2012 Valid Until: September 2, 2011
b) PNA. 18389 b) PNA. 18780 b) PNA. 18555 b) PNA. 2642
Valid Until: Life Member Valid Until: Life Member Valid Until: Life Member Valid Until: Life Member
c) MA Units: Thesis Writing c) ANSAP NO. 090139 c) ADNCN NO. 223
Valid Until: March 19, 2011 Valid Until: December 2010