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: DAISY MAE T. PASION

(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 19, 2020 J.G.Y.
8:18 A.M 831986 Tracheostomy RICHARD IRVIN M. BISMONTE, RN, MAN 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: DAISY MAE T. PASION

(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
October 02, 2018 B. B. S
9:40 A. M 790700 Essential Newborn Care ERWIN G. GARVIDA, RN NORMA L. ECLARIN, RN, MAN

February 21, 2019 B.G.B

8:17 A. M 802527 Essential Newborn Care NIÑA ANGELICA G. MIGUEL, RN NORMA L. ECLARIN, RN, MAN

March 29, 2019 B.B. C

7:05 A.M 804782 Essential Newborn Care SHERYLYN B. BALALLO, 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: DAISY MAE T. PASION

(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 12, 2020 M. M. F
8:10 A.M 830908 Excision of breast mass with Frozen section ₊ right RICHARD IRVIN M. BISMONTE, NORMA L. ECLARIN, RN, MAN
Modified Radical Mastectomy RN, MAN

February 19, 202 J. G. Y

9:05 A.M 831986 Mandibular Open Reduction and Internal Fixation RICHARD IRVIN M. BISMONTE, NORMA L. ECLARIN, RN, MAN
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: DAISY MAE T. PASION

(Printed Name and Signature of Student)
Date Performed Patient’s Initial Procedure Performed D.R. Nurse on Duty Supervised By
And Time Started Only
Case Number
October 9.2019 J. A. N. N
9:53 A.M 708473 Normal Spontaneous Delivery with Right ERWIN G. GARVIDA, RN. NORMA L. ECLARIN, RN, MAN
Mediolateral Episiotomy and Repair

September 04, 2019 J. S

10:05 A.M 581760 Normal Spontaneous Delivery with Right MARIA CECILIA A. TUMALIUAN, NORMA L. ECLARIN, RN, MAN
Mediolateral Episiotomy and Repair RN

September 23, 2019 Z. P

7:40 A.M 692513 Normal Spontaneous Delivery with Right GLADYS B. SACLAYAN, RN NORMA L. ECLARIN, RN, MAN
Mediolateral Episiotomy and Repair

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__________