NORTHERN CHRISTIAN COLLEGE

The Institution for Better Life

COLLEGE OF NURSING
Mabini Street, Laoag City, Ilocos Norte 2900 Philippines

Accredited by Association of Christian Schools and Colleges and Universities Accrediting Agency, Inc. (ACSCU_AAI)/ LEVEL II/FEBRUARY 2018-DECEMBER 2021

CIRCULATING NURSE in MARIANO MARCOS MEMORIAL HOSPITAL AND MEDICAL CENTER BATAC CITY

Prepared by: ALLYSSA VENUS W. FERRER

(Printed Name and Signature of Student)
Date Performed Patient’s Initial Only Procedure Performed O.R. Nurse on Duty Supervised By
And Time
Started Case Number
February 12, 2020 A. E.
8:13 AM 829014 Diverting Sigmoid Colostomy BRYANT T. TABIJE, RN NORMA L. ECLARIN, RN, MAN

Noted by: WILMA F. CASTILLO, RN, RM, MSN _ __ Approved by: MARNIE U. DELA CRUZ, RN, MAN__________
(Printed Name and Signature) (Printed Name and Signature)
Clinical Coordinator, PRC I.D. No __0158823_ Valid Until _06/07/2021 Dean, PRC I.D. No _ 0165109 _ Valid Until _ 03/04/2020_ _-___
ADCPN No. _ 11-263 _ Valid Until __05/2020________
Date Document is signed: ____________________ Time: ___________ Date Document is signed: __________________ Time: ________________
Highest Nursing Degree earned: __Master of Science in Nursing______ Highest Nursing Degree earned: _Master of Science in Nursing_________
 NORTHERN CHRISTIAN COLLEGE
The Institution for Better Life
COLLEGE OF NURSING
Mabini Street, Laoag City, Ilocos Norte 2900 Philippines

Accredited by Association of Christian Schools and Colleges and Universities Accrediting Agency, Inc. (ACSCU_AAI)/ LEVEL II/FEBRUARY 2018-DECEMBER 2021

ESSENTIAL NEWBORN CARE in MARIANO MARCOS MEMORIAL HOSPITAL AND MEDICAL CENTER BATAC CITY

Prepared by: ALLYSSA VENUS W. FERRER

(Printed Name and Signature of Student)
Date Performed Patient’s Initial Only Procedure Performed D.R. Nurse on Duty Supervised By
Case Number
And Time Started
November 29, 2018 B. B. B.
10:29 AM 795113 Essential Newborn Care ARLENE A. BATULAYAN, RN NORMA L. ECLARIN, RN, MAN

March 07, 2019 B. G. D

11:13 AM 802780 Essential Newborn Care NIÑA ANGEICA G. MIGUEL, RN NORMA L. ECLARIN, RN, MAN

August 30, 2019 B. B. D. C

10:43 AM 818132 Essential Newborn Care ARLENE A. BATULAYAN, RN NORMA L. ECLARIN, RN, MAN

Noted by: WILMA F. CASTILLO, RN, RM, MSN Approved by: MARNIE U. DELA CRUZ, RN, MAN_______
(Printed Name and Signature) (Printed Name and Signature)
Clinical Coordinator, PRC I.D. No __0158823_ Valid Until _06/07/2021 Dean, PRC I.D. No _ 0165109 _ Valid Until _ 03/04/2020_ _-___
ADCPN No. _ 11-263 _ Valid Until __05/2020_________
Date Document is signed: ____________________ Time: ___________ Date Document is signed: __________________ Time: ________________
Highest Nursing Degree earned: __Master of Science in Nursing_______ Highest Nursing Degree earned: _Master of Science in Nursing__________

NORTHERN CHRISTIAN COLLEGE

 The Institution for Better Life
COLLEGE OF NURSING
Mabini Street, Laoag City, Ilocos Norte 2900 Philippines

Accredited by Association of Christian Schools and Colleges and Universities Accrediting Agency, Inc. (ACSCU_AAI)/ LEVEL II/FEBRUARY 2018-DECEMBER 2021

SCRUB NURSE in MARIANO MARCOS MEMORIAL HOSPITAL AND MEDICAL CENTER BATAC CITY

Prepared by: ALLYSSA VENUS W. FERRER

(Printed Name and Signature of Student)
Date Performed Patient’s Initial Only Procedure Performed O.R. Nurse on Duty Supervised By
Case Number
And Time Started
February 19, 2020 A. P. C.
8:00 AM 786163 Radical Nephrectomy Left, Diaphragmatic Repair CHARINA V. ACDAL, RN NORMA L. ECLARIN, RN, MAN

Noted by: WILMA F. CASTILLO, RN, RM, MSN _ ___ Approved by: MARNIE U. DELA CRUZ, RN, MAN____________
(Printed Name and Signature) (Printed Name and Signature)
Clinical Coordinator, PRC I.D. No __0158823_ Valid Until _06/07/2021 Dean, PRC I.D. No _ 0165109 _ Valid Until _ 03/04/2020_ _____
ADCPN No. _ 11-263 _ Valid Until __05/2020_________
Date Document is signed: ____________________ Time: ____________ Date Document is signed: __________________ Time: _________________
Highest Nursing Degree earned: __Master of Science in Nursing_______ Highest Nursing Degree earned: _Master of Science in Nursing___________
NORTHERN CHRISTIAN COLLEGE
The Institution for Better Life
 COLLEGE OF NURSING
Mabini Street, Laoag City, Ilocos Norte 2900 Philippines

Accredited by Association of Christian Schools and Colleges and Universities Accrediting Agency, Inc. (ACSCU_AAI)/ LEVEL II/FEBRUARY 2018-DECEMBER 2021

ACTUAL DELIVERY in MARIANO MARCOS MEMORIAL HOSPITAL AND MEDICAL CENTER BATAC CITY

Prepared by: ALLYSSA VENUS W. FERRER

(Printed Name and Signature of Student)
Date Performed Patient’s Initial Only Procedure Performed D.R. Nurse on Duty Supervised By
And Time Started Case Number
November 29, 2018 G. L. C. Normal Spontaneous Delivery with Right
8:30 AM 790211 Mediolateral Episiotomy and Repair ARLENE A. BATULAYAN, RN NORMA L. ECLARIN, RN, MAN
March 07, 2019 Z. L. C. B. Normal Spontaneous Delivery with Right
8:33 AM 800251 Mediolateral Episiotomy and Repair NIÑA ANGELICA G. MIGUEL, RN NORMA L. ECLARIN, RN, MAN

Noted by: WILMA F. CASTILLO, RN, RM, MSN _ __ Approved by: MARNIE U. DELA CRUZ, RN, MAN__________
(Printed Name and Signature) (Printed Name and Signature)
Clinical Coordinator, PRC I.D. No __0158823_ Valid Until _06/07/2021 Dean, PRC I.D. No _ 0165109 _ Valid Until _ 03/04/2020_ ___ _
ADCPN No. _ 11-263 _ Valid Until __05/2020________
Date Document is signed: ____________________ Time: ____________ Date Document is signed: __________________ Time: ________________
Highest Nursing Degree earned: __Master of Science in Nursing_______ Highest Nursing Degree earned: _Master of Science in Nursing__________