Misamis University

College of Nursing and School of Midwifery

Ozamiz City

No. Date of Operation Case No. Name of Diagnosis Operation Type of Name of Name of Name of OR Signature of
Patient Performed Anesthesia Surgeon Hospital Scrub Nurse OR Scrub
Nurse

1 April 16, 2010 18-74-56 Troniado, Pregnancy Primary Low Spinal Dr. Livera A. Misamis Meluchi Lyn R.
Delmarie O. Uteerine Full Segment Anesthesia Amil Occidental Lawagon, BSN-
Term, Transverse Provincial RN,MN
Delivered Alive Cesarean Hospital
Baby Boy ( ) Section
Frank Breech
Presentation
2 April 16, 2010 18-74-20 Pantaleon Right Right Spinal Dr. Nueva v. Misamis Meluchi Lyn R.
Amelyn.S. ampullary Salpingectomy Anesthesia Tagaloguin Occidental Lawagon, BSN-
Pregnancy, , Ligation of Provincial RN,MN
Non Ruptured the other tube Hospital
No. Date of Operation Case No. Name of Diagnosis Operation Type of Name of Name of Name of OR Signature of
Patient Performed Anesthesia Surgeon Hospital Scrub Nurse OR Scrub
Nurse

1 April 16, 2010 18-74-56 Troniado, Pregnancy Primary Low Spinal Dr. Livera A. Misamis Meluchi Lyn R.
Delmarie O. Uteerine Full Segment Anesthesia Amil Occidental Lawagon, BSN-
Term, Transverse Provincial RN,MN
Delivered Alive Cesarean Hospital
Baby Boy ( ) Section
Frank Breech
Presentation
2 April 16, 2010 18-74-20 Pantaleon Right Right Spinal Dr. Nueva v. Misamis Meluchi Lyn R.
Amelyn.S. ampullary Salpingectomy Anesthesia Tagaloguin Occidental Lawagon, BSN-
Pregnancy, , Ligation of Provincial RN,MN
Non Ruptured the other tube Hospital
No. Date of Operation Case No. Name of Diagnosis Operation Type of Name of Name of Name of OR Signature of
Patient Performed Anesthesia Surgeon Hospital Scrub Nurse OR Scrub
Nurse

1 April 16, 2010 18-74-56 Troniado, Pregnancy Primary Low Spinal Dr. Livera A. Misamis Meluchi Lyn R.
Delmarie O. Uteerine Full Segment Anesthesia Amil Occidental Lawagon, BSN-
Term, Transverse Provincial RN,MN
Delivered Alive Cesarean Hospital
Baby Boy ( ) Section
Frank Breech
Presentation
2 April 16, 2010 18-74-20 Pantaleon Right Right Spinal Dr. Nueva v. Misamis Meluchi Lyn R.
Amelyn.S. ampullary Salpingectomy Anesthesia Tagaloguin Occidental Lawagon, BSN-
Pregnancy, , Ligation of Provincial RN,MN
Non Ruptured the other tube Hospital
No. Date of Operation Case No. Name of Diagnosis Operation Type of Name of Name of Name of OR Signature of
Patient Performed Anesthesia Surgeon Hospital Scrub Nurse OR Scrub
Nurse

1 April 16, 2010 18-74-56 Troniado, Pregnancy Primary Low Spinal Dr. Livera A. Misamis Meluchi Lyn R.
Delmarie O. Uteerine Full Segment Anesthesia Amil Occidental Lawagon, BSN-
Term, Transverse Provincial RN,MN
Delivered Alive Cesarean Hospital
Baby Boy ( ) Section
Frank Breech
Presentation
2 April 16, 2010 18-74-20 Pantaleon Right Right Spinal Dr. Nueva v. Misamis Meluchi Lyn R.
Amelyn.S. ampullary Salpingectomy Anesthesia Tagaloguin Occidental Lawagon, BSN-
Pregnancy, , Ligation of Provincial RN,MN
Non Ruptured the other tube Hospital