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/OCTOBER 2019-DECEMBER 2022

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

Prepared by: QUEENIE ROSE DOMINGO

(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
March 02, 2020 D.O.C
8:10 AM 791638 Superficial parotidectomy, Left RICHARD IRVIN M. BISMONTE, NORMA L. ECLARIN, RN, MAN
RN
March 04, 2020 T.D.T
11:30 AM 668933 Transmetatarsal amputation ARLENE A. BATTULAYAN, RN NORMA L. ECLARIN, RN, MAN

Noted by: BERNADETTE SOFIA C. LIGOT, RN, MSN__ Approved by: MARNIE U. DELA CRUZ, RN, MAN__________
(Printed Name and Signature) (Printed Name and Signature)
Clinical Coordinator, PRC I.D. No __0132715_ Valid Until _02/18/2022 Dean, PRC I.D. No _ 0165109 _ Valid Until _ 03/04/2020_ _-___
ADCPN No. _ 14-263 _ Valid Until __03/04023________
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/ OCTOBER 2019-DECEMBER 2022

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

Prepared by: QUEENIE ROSE DOMINGO

(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
March 28, 2019 B.B.B
10:18 AM 725660 Essential Newborn Care SHERYLYN B. BALALLO, RN NORMA L. ECLARIN, RN, MAN
April 02, 2019 B.G.A
7:24 AM 805239 Essential Newborn Care MA. CECILIA A. TUMALIUAN, RN NORMA L. ECLARIN, RN, MAN
May 09, 2019 B.G.V
8:20 AM 808398 Essential Newborn Care ARLENE A. BATTULAYAN, RN NORMA L. ECLARIN, RN, MAN
October 23, 2019 B.G.C
7:46 AM 823696 Essential Newborn Care GLADYS B. SACLAYAN, RN NORMA L. ECLARIN, RN, MAN

Noted by: BERNADETTE SOFIA C. LIGOT, RN, MSN__ Approved by: MARNIE U. DELA CRUZ, RN, MAN__________
(Printed Name and Signature) (Printed Name and Signature)
Clinical Coordinator, PRC I.D. No __0132715_ Valid Until _02/18/2022 Dean, PRC I.D. No _ 0165109 _ Valid Until _ 03/04/2020_ _-___
ADCPN No. _ 14-263 _ Valid Until __03/04023________
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/ OCTOBER 2019-DECEMBER 2022

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

Prepared by: QUEENIE ROSE DOMINGO

(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
September 09, 2019 S.M.M
8:36 AM 734662 Low Transverse Cesarean Section I CARINE R. LACUESTA, RN NORMA L. ECLARIN, RN, MAN
February 24, 2020 Z.R.V
9:35 AM 296245 Clipping of Aneurysm GLENN E. BAGARRA, RN NORMA L. ECLARIN, RN, MAN
February 26, 2020 E.B.S
9:50 AM 833763 Open Reduction Internal Fixation - plating ulna, Left RICHARD IRVIN M. BISMONTE, RN NORMA L. ECLARIN, RN, MAN
March 04, 2020 E.L.M
8:35 AM 833077 Laminotomy, Foraminotomy, Microdisectomy LS SI GLENN E. BAGARRA, RN NORMA L. ECLARIN, RN, MAN

Noted by: BERNADETTE SOFIA C. LIGOT, RN, MSN__ Approved by: MARNIE U. DELA CRUZ, RN, MAN__________
(Printed Name and Signature) (Printed Name and Signature)
Clinical Coordinator, PRC I.D. No __0132715_ Valid Until _02/18/2022 Dean, PRC I.D. No _ 0165109 _ Valid Until _ 03/04/2020_ _-___
ADCPN No. _ 14-263 _ Valid Until __03/04023________
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/ OCTOBER 2019-DECEMBER 2022

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

Prepared by: QUEENIE ROSE DOMINGO

(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
October 02, 2018 L.V.M Normal Spontaneous Delivery with Right
10:44 AM 790924 Mediolateral Episiotomy and Repair ERWIN GARVIDA, RN NORMA L. ECLARIN, RN, MAN
February19, 2019 L.C.I Normal Spontaneous Delivery with Right
10:08 AM 751602 Mediolateral Episiotomy and Repair NINA ANGELICA G. MIGUEL, RN NORMA L. ECLARIN, RN, MAN
September 20, 2019 S.R.A Normal Spontaneous Delivery with Right
9:48 AM 816824 Mediolateral Episiotomy and Repair NINA ANGELICA G. MIGUEL, RN NORMA L. ECLARIN, RN, MAN

Noted by: BERNADETTE SOFIA C. LIGOT, RN, MSN__ Approved by: MARNIE U. DELA CRUZ, RN, MAN__________
(Printed Name and Signature) (Printed Name and Signature)
Clinical Coordinator, PRC I.D. No __0132715_ Valid Until _02/18/2022 Dean, PRC I.D. No _ 0165109 _ Valid Until _ 03/04/2020_ _-___
ADCPN No. _ 14-263 _ Valid Until __03/04023________
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_________