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Government Recognition No.

: 041 Series of 2008


Date of Recognition: April 2, 2008

ACTUAL DELIVERY IN PAGAMUTAN NG DASMARINAS

PREPARED BY: NUÑAL, DIANNE A. SIGNATURE OF STUDENT: _________________________________

DATE PERFORMED AND PATIENT NAME


PROCEDURE PERFORMED NURSE ON DUTY CLINICAL INSTRUCTOR
DATE STARTED CASE NUMBER
November 16, 2019 I.B.
Normal Spontaneous Vaginal Delivery ,RN JMark Plana RN
07:00PM 23-01299
October 02, 2023 R.DP
Normal Spontaneous Vaginal Delivery Kristine Urcia , RN Michelle Mercado, RN, MAN
10:00AM 23-04695

APPROVED BY: REYMART B. BOLAGAO, RN, MAN


DEAN, PRC I.D NO.: 0807563 VALID UNTIL: May 22, 2025
ADCPN NO.: 18-747 VALID UNTIL: May 31, 2023
PNA NO: 2022-017364 VALID UNTIL: December 31, 2022
DATE DOCUMENT SIGNED: __________________________ TIME: ______________________________
PLEASE SPECIFY THE HIGHEST NURSING DEGREE EARNED: MASTER OF ARTS IN NURSING

ACTUAL DELIVERY IN CITY HEALTH OFFICE OF DASMARINAS

TRUNKLINE: Globe: 0927-5466171 | Smart: 0947-5852635 | Facebook page: St. Jude College Dasmarinas
Government Recognition No.: 041 Series of 2008
Date of Recognition: April 2, 2008

PREPARED BY: NUÑAL, DIANNE A. IGNATURE OF STUDENT: _________________________________

DATE PERFORMED AND PATIENT NAME


PROCEDURE PERFORMED NURSE ON DUTY CLINICAL INSTRUCTOR
DATE STARTED CASE NUMBER
December 16, 20122 B.M.DO. Benidicta Bautista,
Normal Spontaneous Vaginal Delivery Aileen Rodil, RN
05:00PM 2022-458 RN(Babelyn Alipis)

APPROVED BY: REYMART B. BOLAGAO, RN, MAN


DEAN, PRC I.D NO.: 0807563 VALID UNTIL: May 22, 2025
ADCPN NO.: 18-747 VALID UNTIL: May 31, 2023
PNA NO: 2022-017364 VALID UNTIL: December 31, 2022
DATE DOCUMENT SIGNED: __________________________ TIME: ______________________________
PLEASE SPECIFY THE HIGHEST NURSING DEGREE EARNED: MASTER OF ARTS IN NURSING

TRUNKLINE: Globe: 0927-5466171 | Smart: 0947-5852635 | Facebook page: St. Jude College Dasmarinas
Government Recognition No.: 041 Series of 2008
Date of Recognition: April 2, 2008

ASSIST DELIVERY IN PAGAMUTAN NG DASMARINAS

PREPARED BY: NUÑAL, DIANNE A. SIGNATURE OF STUDENT: _________________________________

DATE PERFORMED AND PATIENT NAME


PROCEDURE PERFORMED NURSE ON DUTY CLINICAL INSTRUCTOR
DATE STARTED CASE NUMBER
March 18, 2023 M.DC.A
Normal Spontaneous Vaginal Delivery Kristine Urcia , RN Jaymark Plana RN
09:30AM 23-01281
March 06, 2024 RC.R.G K. Cantos, RN and L.
Normal Spontaneous Vaginal Delivery Jaymark Plana RN
11:09AM 24-01056 Abarrad, RN

March 15,2024
Normal Spontaneous Vaginal Delivery Jaymark Plana RN
O9:57AM

APPROVED BY: REYMART B. BOLAGAO, RN, MAN


DEAN, PRC I.D NO.: 0807563 VALID UNTIL: May 22, 2025
ADCPN NO.: 18-747 VALID UNTIL: May 31, 2023
PNA NO: 2022-017364 VALID UNTIL: December 31, 2022
DATE DOCUMENT SIGNED: __________________________ TIME: ______________________________
PLEASE SPECIFY THE HIGHEST NURSING DEGREE EARNED: MASTER OF ARTS IN NURSING

TRUNKLINE: Globe: 0927-5466171 | Smart: 0947-5852635 | Facebook page: St. Jude College Dasmarinas
Government Recognition No.: 041 Series of 2008
Date of Recognition: April 2, 2008

SURGICAL SCRUB (MAJOR CASES) IN KOREAN-PHILIPPINE FRIENDSHIP HOSPITAL

PREPARED BY: NUÑAL, DIANNE A. SIGNATURE OF STUDENT: _________________________________

DATE PERFORMED AND PATIENT NAME


PROCEDURE PERFORMED NURSE ON DUTY CLINICAL INSTRUCTOR
DATE STARTED CASE NUMBER
June 02, 2023 M.C.C.
Emergency Appendectomy Jess Jason Tafalla, RN Emmanuel Habilag, RN
07:45AM 368077
with aljhon…

APPROVED BY: REYMART B. BOLAGAO, RN, MAN


DEAN, PRC I.D NO.: 0807563 VALID UNTIL: May 22, 2025
ADCPN NO.: 18-747 VALID UNTIL: May 31, 2023
PNA NO: 2022-017364 VALID UNTIL: December 31, 2022
DATE DOCUMENT SIGNED: __________________________ TIME: ______________________________
PLEASE SPECIFY THE HIGHEST NURSING DEGREE EARNED: MASTER OF ARTS IN NURSING

TRUNKLINE: Globe: 0927-5466171 | Smart: 0947-5852635 | Facebook page: St. Jude College Dasmarinas
Government Recognition No.: 041 Series of 2008
Date of Recognition: April 2, 2008

SURGICAL SCRUB (MAJOR CASES) IN PAGAMUTAN NG DASMARIÑAS

PREPARED BY: RAMOS, NOEMI RUTH I. SIGNATURE OF STUDENT: _________________________________

DATE PERFORMED AND PATIENT NAME


PROCEDURE PERFORMED NURSE ON DUTY CLINICAL INSTRUCTOR
DATE STARTED CASE NUMBER
February 07, 2019 R.A.L Emergency Appendectomy
Jayson Solis, RN Rochelle D. Ortillo RN, MAN
10:00AM 23-01163

APPROVED BY: REYMART B. BOLAGAO, RN, MAN


DEAN, PRC I.D NO.: 0807563 VALID UNTIL: May 22, 2025
ADCPN NO.: 18-747 VALID UNTIL: May 31, 2023
PNA NO: 2022-017364 VALID UNTIL: December 31, 2022
DATE DOCUMENT SIGNED: __________________________ TIME: ______________________________
PLEASE SPECIFY THE HIGHEST NURSING DEGREE EARNED: MASTER OF ARTS IN NURSING

TRUNKLINE: Globe: 0927-5466171 | Smart: 0947-5852635 | Facebook page: St. Jude College Dasmarinas
Government Recognition No.: 041 Series of 2008
Date of Recognition: April 2, 2008

IMMEDIATE NEWBORN CORD CARE IN KOREAN-PHILIPPINE FRIENDSHIP HOSPITAL

PREPARED BY: NUÑAL, DIANNE A. SIGNATURE OF STUDENT: _________________________________

DATE PERFORMED AND PATIENT NAME


PROCEDURE PERFORMED NURSE ON DUTY CLINICAL INSTRUCTOR
DATE STARTED CASE NUMBER
June 03, 2023 Baby Girl E.
Newborn Cord Care Digna Pabalate, RN Emmanuel Habilag, RN
08:26PM 368082

APPROVED BY: REYMART B. BOLAGAO, RN, MAN


DEAN, PRC I.D NO.: 0807563 VALID UNTIL: May 22, 2025
ADCPN NO.: 18-747 VALID UNTIL: May 31, 2023
PNA NO: 2022-017364 VALID UNTIL: December 31, 2022
DATE DOCUMENT SIGNED: __________________________ TIME: ______________________________
PLEASE SPECIFY THE HIGHEST NURSING DEGREE EARNED: MASTER OF ARTS IN NURSING

TRUNKLINE: Globe: 0927-5466171 | Smart: 0947-5852635 | Facebook page: St. Jude College Dasmarinas
Government Recognition No.: 041 Series of 2008
Date of Recognition: April 2, 2008

SURGICAL SCRUB (MINOR CASE) IN PAGAMUTAN NG DASMARINAS CITY

PREPARED BY: NUÑAL, DIANNE A. SIGNATURE OF STUDENT: _________________________________

DATE PERFORMED AND PATIENT NAME


PROCEDURE PERFORMED NURSE ON DUTY CLINICAL INSTRUCTOR
DATE STARTED CASE NUMBER
October 03, 2023 L.T.F
Dilation and Curettage Katherine Carungcong, RN MIchelle Mercado, RN, MAN
09:00am 23-04706

APPROVED BY: REYMART B. BOLAGAO, RN, MAN


DEAN, PRC I.D NO.: 0807563 VALID UNTIL: May 22, 2025
ADCPN NO.: 18-747 VALID UNTIL: May 31, 2023
PNA NO: 2022-017364 VALID UNTIL: December 31, 2022
DATE DOCUMENT SIGNED: __________________________ TIME: ______________________________
PLEASE SPECIFY THE HIGHEST NURSING DEGREE EARNED: MASTER OF ARTS IN NURSING

TRUNKLINE: Globe: 0927-5466171 | Smart: 0947-5852635 | Facebook page: St. Jude College Dasmarinas
Government Recognition No.: 041 Series of 2008
Date of Recognition: April 2, 2008

SURGICAL SCRUB (MINOR CASE) IN OUR LADY OF THE PILLAR MEDICAL CENTER

PREPARED BY: NUÑAL, DIANNE A. SIGNATURE OF STUDENT: _________________________________

DATE PERFORMED AND PATIENT NAME


PROCEDURE PERFORMED NURSE ON DUTY CLINICAL INSTRUCTOR
DATE STARTED CASE NUMBER
October 24, 2023 E.M.E
Wound Debridement Rowena Kathlyn Magat, RN James Sepole, RN
3:42pm 700227
January 09, 2024 MAM.V.M Dilation and Curettage Vernice Ann Menor, RN James Sepole, RN

APPROVED BY: REYMART B. BOLAGAO, RN, MAN


DEAN, PRC I.D NO.: 0807563 VALID UNTIL: May 22, 2025
ADCPN NO.: 18-747 VALID UNTIL: May 31, 2023
PNA NO: 2022-017364 VALID UNTIL: December 31, 2022
DATE DOCUMENT SIGNED: __________________________ TIME: ______________________________
PLEASE SPECIFY THE HIGHEST NURSING DEGREE EARNED: MASTER OF ARTS IN NURSING

TRUNKLINE: Globe: 0927-5466171 | Smart: 0947-5852635 | Facebook page: St. Jude College Dasmarinas
Government Recognition No.: 041 Series of 2008
Date of Recognition: April 2, 2008

TRUNKLINE: Globe: 0927-5466171 | Smart: 0947-5852635 | Facebook page: St. Jude College Dasmarinas

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