Or DR Nclex Forms

ANGELES UNIVERSITY FOUNDATION
Mac Arthur Hi-way 2009 Angeles City

Tel Nos. +63 (045) 625-2888 local 711/+63 (045) 625-2811, Telefax +63 (045) 625-2809
Website: www.auf.edu.ph Email: con@auf.edu.ph
COLLEGE OF NURSING
Name of Student: ________________________________________________________________________________________________________

Gerick Maica M. Española
Angeles University Foundation, Mc Arthur Hi-way Angeles City, Philippines, 2009
Name & Address of School: _______________________________________________________________________________________________
PAASCU Level IV
Accreditation Level (if any): _________________________________________ April 2012
Year Granted: _________________________________________
1973
Date School/Program was Recognized: ______________________________________________________________________________________
2018
Year of Admission in the Bachelor of Science in Nursing Program: _______________________________________________________________
2022
Year Graduated (BSN Program): ____________________________________________________________________________________________
I. Major Operations
Patient’s Complete Name of

No. Date of Operation Case No. Diagnosis Operation Performed Name of Hospital
Initial Surgeon
Angeles University Foundation
1 March 15, 2022 511853 E. R. R. Multiple Colloid Adenomatous Goiter Total Thyroidectomy Dr. Neresito Espiritu
Medical Center
Severe Aortic Sclerosis with Severe Angeles University Foundation
2 March 18, 2022 512003 P. R. B. Modified Bentall’s Procedure Dr. Rector Villajuan
Regurgitation (Chronic Kidney) Medical Center
3 March 21, 2022 3078 M. F. T. Right Breast Mass Modified Radical Mastectomy Dr. Noel Yamzon
Medical Center
Chronic Pansinusitis Nasal Polyp Angeles University Foundation
4 March 25, 2022 490490 R. M. P. Sinusotomy of 4 Sinuses Dr. Minnie Uy Yao
Frontal Sinus Hypertrophic Turbinate Medical Center
5 June 30, 2022 518394 B. P. G. Hypomastia (Bilateral) Breast Augmentation Dr. George Ferrer
Medical Center
Noted by: Approved by:
BRENDA B. POLICARPIO, R.N., R.M., M.N. SHERWIN M. QUIZON, R.N., M.N. ANGELA P. APOSTOL, R.N., M.N ZENAIDA S. FERNANDEZ, R.N., Ph.D.
Clinical Coordinator – Level II Clinical Coordinator – Level III Clinical Coordinator – Level IV Dean
Date signed: _____________________ Date signed: _______________________ Date signed: _______________________ Date signed: _________
Degree: BSN, MN Degree: BSN, MN Degree: BSN, MN Degree: BSN, MAN, Ph. D.
PRC No.: 0360683 PRC No.: 0530583 PRC No.: 0375495 PRC No.: 0070634
Valid Until: January 7, 2025 Valid Until: January 5, 2023 Valid Until: February 1, 2023 Valid Until: August 07, 2024
PNA No.: M-12113 PNA No.: M-12114 PNA No.: M-11392 PNA No.: 18631
Valid Until: Dec. 31, 2022 Valid Until: Dec. 31, 2024 Valid Until: Dec. 31, 2022 Valid Until: Lifetime
ADPCN No.: 11-184
Valid Until: Dec. 31, 2022
COLLEGE OF NURSING

Name of Student: ________________________________________________________________________________________________________
PAASCU Level IV
Year Granted: _________________________________________
1973
2018
2022
II. Minor Operations

Initial Surgeon
1 March 22, 2022 281416 P. P. G. Shoulder Lipoma, Right Excision of Epidermal Cyst Back Dr. Sir Emmanuel Astudillo
Medical Center
Excision Biopsy of Right Angeles University Foundation
2 March 25, 2022 403324 F. C. D. Supraclavicular Lymph Node Dr. Calsi Merin
Supraclavicular Lymph Node Medical Center
Hypertension Urgency, Anemia, Emergency Internal Jugular Angeles University Foundation
3 July 1, 2022 518342 T. G. F. Dr. Patrick Maglaya
Diabetes Mellitus Type 2 Catheter Insertion Medical Center
4 July 4, 2022 118096 A. S. T. Non-Healing Wound, Left Foot Emergency Wound Debridement Dr. Raymond Marquez
Medical Center
Colonic Polyp, Ascending;
5 August 27, 2022 522346 J. B. P. Non-Specific Colitis, Descending; Colonoscopy with Biopsy Dr. Joseph Aaron Clavio
Medical Center
and Rectosigmoid
ADPCN No.: 11-184
COLLEGE OF NURSING
Name of Student: ________________________________________________________________________________________________________

PAASCU Level IV
Year Granted: _________________________________________
1973
2018
2022
III. Circulating Operations

Initial Surgeon
Exploratory Laparotomy Peritoneal Fluid
Ovarian New Angeles University Foundation
1 March 16, 2022 511857 J. A. P. T. Cytology Resection of Ovarian Mass with Rush Dr. Faith Bondoc
Growth, Right Medical Center
Frozen Section Possible Surgical Staging
2 March 21, 2022 511027 J. J. M. Cholelithiasis Laparoscopic Cholecystectomy Dr. Noel Yamzon
Medical Center
3 March 23, 2022 50177 M. L. B. Axilla Tumor, Right Modified Radical Mastectomy Dr. Rommel Serrano
Medical Center
Breast Carcinoma, Angeles University Foundation
4 July 5, 2022 518017 T. M. Total Mastectomy, Left Dr. Noel Yamzon
Left Medical Center
Acute Gangrenous Angeles University Foundation
5 July 6, 2022 417272 R. N. J. Exploratory Laparotomy, Appendectomy Dr. Rommel Serrano
Appendicitis Medical Center
ADPCN No.: 11-184
COLLEGE OF NURSING

Name of Student: ________________________________________________________________________________________________________
PAASCU Level IV
Year Granted: _________________________________________
1973
2018
2022
IV. Actual Deliveries
Mother’s Time of Gender

No. Case No. Diagnosis Age Date of Delivery Name of Hospital Type of Delivery
Initial Delivery of Baby
Gravida 7 Para 7 (7007) Pregnancy Uterine 40 6/7 Rafael Lazatin Memorial Normal Spontaneous
1 22-3225 O. A. N. 28 years old August 1, 2022 10:53 AM Male
Weeks Age of Gestation, Cephalic Presentation Medical Center Delivery
2 22-3233 M. T. L. 26 years old August 2, 2022 12:29 PM Male
3 22-3224 M. J. T. 20 years old August 2, 2022 1:50 PM Female
4 22-3969 A. M. 31 years old September 6, 2022 1:43 PM Female
5
ADPCN No.: 11-184
Mac Arthur Hiway 2009 Angeles City
COLLEGE OF NURSING

Name of Student: ________________________________________________________________________________________________________
PAASCU Level IV
Year Granted: _________________________________________
1973
2018
2022
V. Deliveries Assisted
Mother’ Time of Gender

No. Case No. Diagnosis Age Date of Delivery Name of Hospital Type of Delivery
s Initial Delivery of Baby
Gravida 2 Para 2 (2002) Pregnancy Uterine 38 Jose B. Lingad Memorial Normal Spontaneous
1 949633 J. T. 38 years old August 11, 2022 4:44 PM Male
Weeks Age of Gestation, Cephalic Presentation General Hospital Delivery
2 953094 J. P. 34 years old August 17, 2022 2:00 PM Female
3 953536 C. M. 18 years old August 17, 2022 5:44 PM Female
4 953422 J. L. 27 years old August 17, 2022 7:33 PM Female
5 22-3970 M. B. 16 years old September 6, 2022 12:38 PM Female
ADPCN No.: 11-184
COLLEGE OF NURSING

Name of Student: ________________________________________________________________________________________________________
PAASCU Level IV
Year Granted: _________________________________________
1973
2018
2022
VI. Cord Dressing
No. Case No. Date Performed Name of Baby Gender of Baby Mother’s Initial Age Name of Hospital
1 22-3071 July 25, 2022 Baby J. S. P. Female J. S. P. 22 years old Rafael Lazatin Memorial Medical Center
2 22-3259 August 3, 2022 Baby R. L. R. Male R. L. R. 27 years old Rafael Lazatin Memorial Medical Center
3 953410 August 17, 2022 Baby A. S. Male A. S. 18 years old Jose B. Lingad Memorial General Hospital
4 22-3952 September 6, 2022 Baby M. C. Female M. C. 42 years old Rafael Lazatin Memorial Medical Center
5 22-3977 September 6, 2022 Baby A. R. Male A. R. 15 years old Rafael Lazatin Memorial Medical Center
ADPCN No.: 11-184

Or DR Nclex Forms

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Or DR Nclex Forms

Uploaded by

Copyright:

Available Formats

ANGELES UNIVERSITY FOUNDATION

Mac Arthur Hi-way 2009 Angeles City

Name of Student: ________________________________________________________________________________________________________

Patient’s Complete Name of

Noted by: Approved by:

Gerick Maica M. Española

II. Minor Operations

Patient’s Complete Name of

Noted by: Approved by:

Name of Student: ________________________________________________________________________________________________________

III. Circulating Operations

Patient’s Complete Name of

Noted by: Approved by:

Gerick Maica M. Española

IV. Actual Deliveries

Mother’s Time of Gender

Noted by: Approved by:

Gerick Maica M. Española

Mother’ Time of Gender

Noted by: Approved by:

Gerick Maica M. Española

VI. Cord Dressing

Noted by: Approved by:

You might also like