LEVEL II

Skill Laboratory Clinical Experience Skill Laboratory Clinical Experience

Procedure Demo Return CI’s Date
CI’s Signature Procedure Demo Return CI’s Date CI’s
Date Demo Date Signature Performed
Date Demo Date Signature Performed Signature
Admitting Patient 01/07/21 GF
Post-Delivery Care
Discharging Patient 01/07/21 GF
Cleaning the Perineal
Transferring Patient 08/17/20 AP
01/07/21 GF Area
Preparing and Assisting with Diagnostic and Therapeutic Procedures Checking the Vital
09/29/20 MD
Signs
Cervical Biopsy Checking for
08/17/20 AP
Endometrial Biopsy Lacerations
Checking for Perineal
Pelvic Ultrasound 03/04/21 MH Bleeding
08/17/20 AP
Labor Management 03/04/21 MH Cleaning the Breast 08/24/20 AP
Contraction Stress Test 02/16/21 02/22/21 CC Performing a Post-
Ballard’s Estimation of Partum Fundal 08/17/20 08/18/20 AP
Gestational Age and Massage
Maturity Rating Bimanual Compression
08/17/20 AP
and Massage
Allen’s Test
Caring for the Newborn
Cerebellar Function
Test Stimulating the Baby to
09/07/27 09/14/20 DE
Cry
Care of Patient During Normal Labor Suctioning
Shaving of the Perineal Oropharyngeal 12/16/20 01/22/21 PP
09/23/20 MD
Area Secretions
Monitoring the Fetal Crede’s Prophylaxis 09/02/20 09/07/20 DE
09/28/20 MD
Heart Tone
Vitamin K Injection 09/02/20 09/07/20 DE
External Vaginal
Douche
09/28/20 MD Checking for Anal
09/07/20 09/14/20 DE
Opening
Preparation and Care of Patient During Normal Delivery Dressing the Cord 09/07/20 09/14/20 DE
Draping 10/08/20 10/10/20 MD Keeping the Baby
09/07/20 09/14/20 DE
Disinfecting the Warm
09/07/20 09/14/20 DE
Perineal Area Newborn Screening
Assisting with Delivery 09/07/20 09/14/20 DE Evaluating Respiratory
Delivering the Placenta 09/07/20 09/14/20 DE Distress Using
Silverman-Anderson
Administration of Index
09/07/20 09/14/20 DE
Oxytocin
Assisted Reproductive Techniques
Massaging the Uterus 09/07/20 09/14/20 DE
Therapeutic
insemination
In Vito Fertilization
LEVEL II
COMMUNITY PROCEDURES
Skill Laboratory Clinical Experience
Procedure Demo Return Demo CI’s Date
CI’s Signature
Date Date Signature Performed
Home Visit 11/03/20 11/04/20 ME
Donning of Sterile Gloves
Urine collection 08/31/20 09/01/20 DE
Preparing Client for
11/03/20 ME
Pregnancy Test
Leopold’s Maneuver 11/03/20 11/04/20 ME
Estimating Gestational
08/17/20 08/18/20 AP
Age: McDonald’s Rule
Promoting Comfort to the
Parturient
Partograph
Essential Intrapartum&
09/07/20 09/14/20 DE
Newborn Care (EINC)
Kangaroo Care 09/07/20 09/14/20 DE
Assisting in Initial Breast
08/24/20 AP
Feeding
Measures to Promote
08/24/20 AP
Uterine Involution
Skill Laboratory Clinical Experience
Procedure Demo Return Demo CI’s Date
CI’s Signature
Date Date Signature Performed
Hot Sitz Bath
Roll-Over Test Procedure
Magnesium Sulfate
08/19/20 AP
Utilizing Z-Technique
Managing Cord Prolapse 03/05/21 MH
Sputum Exam 08/31/20 09/02/20 DE
Cord Care 09/07/20 09/14/20 DE
Herbal Preparation
Bag Technique 11/03/20 11/04/20 ME
Tourniquet Test 09/07/20 09/07/20 DE
Glucometry
 LEVEL II- FIRST SEMESTER
SY: __2020-2021______________
Month
June Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Legend
CI Signature
July Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature
August Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature AP AP AP AP AP AP AP AP AP DE
September Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Legend
CI Signature DE DE DE DE DE DE DE DE MD MD MD MD MD MD
October Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature MD MD MD DM DM DM DM DM DM DM DM DM
November Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Legend
CI Signature ME ME ME ME ME ME
December Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature

Legends: AP Araceli Pison

DE Divince Ekstrom
MD Maridel Dagalea
DM Diane Moore
ME Mary Ruth Enriquez
 LEVEL II- SECOND SEMESTER
SY: ___2020-2021______________
Month
December Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Legend
CI Signature GF GF GF GF GF GF
January Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature GF GF GF PP PP PP PP PP PP PP PP PP
February Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature CC CC CC CC CC CC CC CC CC MH MH MH
March Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Legend
CI Signature MH MH MH MH MH MH GF GF GF GF GF GF
April Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature
May Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Legend
CI Signature

Legends: GF Glenrose Fernando

PP Pilar Panaguiton
CC Christine Calunod
MH Mhel Himor
GF Glenrose Fernando
 Ateneo de Zamboanga University
COLLEGE OF NURSING
LEVEL II
STUDENT CLEARANCE
FIRST SEMESTER (NCM107j) – (Care of the Mother, Child, Adolescent, Well Clients)

Name: _______________________________
BONGOLAN, CLARISSE FAITH A. School Year: ____________________
2020-2021
II-I
Year and Section: ___________________

RLE Instructors
Weeks SKILLS LAB Weeks SKILLS LAB Weeks RLE Weeks RLE
1 MRS. ARACELI PISON 9 MRS. MARIDEL DAGALEA 1 9
2 MRS. ARACELI PISON 10 MRS. DIANE MOORE 2 10
3 MRS. ARACELI PISON 11 MRS. DIANE MOORE 3 11
4 MRS. DIVINCE EKSTROM 12 MRS. DIANE MOORE 4 12
5 MRS. DIVINCE EKSTROM 13 MRS. MARY RUTH ENRIQUEZ 5 13
6 MRS. DIVINCE EKSTROM 14 MRS. MARY RUTH ENRIQUEZ 6 14
7 MRS. MARIDEL DAGALEA 15 7 15
8 MRS. MARIDEL DAGALEA 8

AL – IBRAHIM MUNTASIL
_________________________________ MARY RUTH ENRIQUEZ RN, MN
_________________________________
CLASS/ BATCH TREASURER BATCH ADVISER/s

EVA R. RELAO RN, MN

_________________________________ ARACELI S. PISON RN, MSPH
_________________________________
RLE COORDINATOR LEVEL II CHAIRPERSON

MARIA LORNA B. PABER, RN MAN

DEAN
 Ateneo de Zamboanga University
COLLEGE OF NURSING
LEVEL II
STUDENT CLEARANCE
SECOND SEMESTER (NCM109j) - Care of the Mother, Child at Risk

Name: ________________________________
BONGOLAN, CLARISSE FAITH A. School Year: ____________________
2020-2021
Year and Section: _____________________
II-I

RLE Instructors
Weeks Skills lab Weeks Skills lab Weeks RLE Weeks RLE
1 MS. GLENROSE FERNANDO 9 MRS. CHRISTINE CALUNOD 1 9
2 MS. GLENROSE FERNANDO 10 MS. MHEL HIMOR 2 10
3 MS. GLENROSE FERNANDO 11 MS. MHEL HIMOR 3 11
4 MRS. PILAR PANAGUITON 12 MS. MHEL HIMOR 4 12
5 MRS. PILAR PANAGUITON 13 MS. GLENROSE FERNANDO 5 13
6 MRS. PILAR PANAGUITON 14 MS. GLENROSE FERNANDO 6 14
7 MRS. CHRISTINE CALUNOD 15 7 15
8 MRS. CHRISTINE CALUNOD 8

AL – IBRAHIM MUNTASIL
_________________________________ MARY RUTH ENRIQUEZ RN, MN
_________________________________
CLASS/ BATCH TREASURER BATCH ADVISER/s

EVA R. RELAO RN, MN

_________________________________ ARACELI S. PISON RN, MSPH
_________________________________
RLE COORDINATOR LEVEL II CHAIRPERSON

MARIA LORNA B. PABER, RN MAN

DEAN
LEVEL II