Republic of the Philippines NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY General Tinio Street, Cabanatuan City College

of Nursing December 2, 2003, Board Resolution 96- A Series of 2003 EDUARDO L. JOSON MEMORIAL HOSPITAL PREPARED BY: TORMES, EDGAR JAY LAZARO NAME OF STUDENT Date signed: III. ACTUAL DELIVERIES Date performed and time started JUNE 20, 2013 6:17 PM JUNE 20, 2013 6:17 PM DECEMBER 3, 2013 3:28 PM PATIENTS INITIALS Case number F.E.C 3285 L.D.L 3296 M.A.E.R 7041 NOTED BY: DR. LUZVIMINDA I. DALLO RELATED LEARNING EXPERIENCE COORDINATOR, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC I.D. NUMBER: 0086572 Valid Until: August 19, 2016 PNA Number: 19755 Valid Until: Lifetime Member Date Signed: _______________ SURGICAL PROCEDURE PERFORMED Normal Spontaneous Delivery NURSE ON DUTY Candida dela Cruz, R.N SUPERVISED BY Jhoana Marie L. dela Rosa, R.N.

Normal Spontaneous Delivery

Candida dela Cruz, R.N

Jhoana Marie L. dela Rosa, R.N.

Normal Spontaneous Delivery

Candida dela Cruz, R.N

Divina Gracia Bote, R.N.

APPROVED BY: DR. EPPIE DC. BUGARIN DEAN, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Registered Midwife Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0085974 Valid Until: April 3, 2014 PNA Number: 17977 Valid Until: Lifetime Member ADPCN: 0662 Valid Until: December 31, 2014 Date Signed: _______________

Republic of the Philippines NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY General Tinio Street, Cabanatuan City College of Nursing December 2, 2003, Board Resolution 96- A Series of 2003 EDUARDO L. JOSON MEMORIAL HOSPITAL PREPARED BY: TORMES, EDGAR JAY LAZARO NAME OF STUDENT Date signed: IV. ASSIST DELIVERIES Date performed and time started DECEMBER 5, 2013 3:13 PM DECEMBER 6,2013 12:02 PM DECEMBER 6,2013 3:50 PM PATIENTS INITIALS Case number L.I.A.L 7102 S.S.R.A 7120 Y.E.N 7123 NOTED BY: DR. LUZVIMINDA I. DALLO RELATED LEARNING EXPERIENCE COORDINATOR, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC I.D. NUMBER: 0086572 Valid Until: August 19, 2016 PNA Number: 19755 Valid Until: Lifetime Member Date Signed: _______________ SURGICAL PROCEDURE PERFORMED Normal Spontaneous Delivery NURSE ON DUTY Candida dela Cruz, R.N SUPERVISED BY Divina Gracia Bote, R.N.

Normal Spontaneous Delivery

Candida dela Cruz, R.N

Divina Gracia Bote, R.N.

Normal Spontaneous Delivery

Lancelot Garcia, R.N

Divina Gracia Bote, R.N.

APPROVED BY: DR. EPPIE DC. BUGARIN DEAN, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Registered Midwife Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0085974 Valid Until: April 3, 2014 PNA Number: 17977 Valid Until: Lifetime Member ADPCN: 0662 Valid Until: December 31, 2014 Date Signed: _______________

Republic of the Philippines NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY General Tinio Street, Cabanatuan City College of Nursing December 2, 2003, Board Resolution 96- A Series of 2003 DR. PAULINO J. GARCIA MEMORIAL RESEARCH AND MEDICAL CENTER

PREPARED BY: TORMES, EDGAR JAY LAZARO NAME OF STUDENT Date signed: I. MAJOR CASES Date performed and time started DECEMBER 10, 2013 6:30 PM DECEMBER 10, 2013 12:28 PM PATIENTS INITIALS Case number G.C.G 231680 C.C.M 231881 SURGICAL PROCEDURE PERFORMED Low Transverse Caesarian Section E Prostoscopy evacuation of Hemo peritoneum collorrhapy PW sacral Drain Double Barrel Sigmoid colostomy, wound debridment Total Abdominal Hysterectomy O.R NURSE ON DUTY Alden Noel R. Cucio, R.N SUPERVISED BY Loreto F. Reyes, M.A.N, R.N

Ronnel B. Satorre, R.N

Froilan C. Diolosa, M.A.N, R.N

DECEMBER 12, 2013 2:20 PM

E.S.M 229681 NOTED BY:

Jose Lennard Alfonso, R.N.

Loreto F. Reyes, M.A.N, R.N

APPROVED BY: DR. EPPIE DC. BUGARIN DEAN, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Registered Midwife Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0085974 Valid Until: April 3, 2014 PNA Number: 17977 Valid Until: Lifetime Member ADPCN: 0662 Valid Until: December 31, 2014 Date Signed: _______________

DR. LUZVIMINDA I. DALLO RELATED LEARNING EXPERIENCE COORDINATOR, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC I.D. NUMBER: 0086572 Valid Until: August 19, 2016 PNA Number: 19755 Valid Until: Lifetime Member Date Signed: _______________

Republic of the Philippines NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY General Tinio Street, Cabanatuan City College of Nursing December 2, 2003, Board Resolution 96- A Series of 2003 GAPAN DISTRICT HOSPITAL PREPARED BY: TORMES, EDGAR JAY LAZARO NAME OF STUDENT Date signed: II. CIRCULATING CASES Date performed and time started AUGUST 29,2013 9:15 AM PATIENTS INITIALS Case number J.D.C.B 381581 SURGICAL PROCEDURE PERFORMED Low Transverse Caesarian Section and Bilateral Tubal Ligation NURSE ON DUTY Maricel B. Aguilar R.N SUPERVISED BY Jeramil S. De Castro, R.N.

NOTED BY: DR. LUZVIMINDA I. DALLO RELATED LEARNING EXPERIENCE COORDINATOR, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC I.D. NUMBER: 0086572 Valid Until: August 19, 2016 PNA Number: 19755 Valid Until: Lifetime Member Date Signed: _______________

APPROVED BY: DR. EPPIE DC. BUGARIN DEAN, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Registered Midwife Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0085974 Valid Until: April 3, 2014 PNA Number: 17977 Valid Until: Lifetime Member ADPCN: 0662 Valid Until: December 31, 2014 Date Signed: _______________

Republic of the Philippines NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY General Tinio Street, Cabanatuan City College of Nursing December 2, 2003, Board Resolution 96- A Series of 2003 DR. PAULINO J. GARCIA MEMORIAL RESEARCH AND MEDICAL CENTER

PREPARED BY: TORMES, EDGAR JAY LAZARO NAME OF STUDENT Date signed: VI. MINOR CASES Date performed and time started JUNE 27, 2013 7:32 PM JULY 5, 2013 6:35 PM DECEMBER 10, 2013 10:45 PM PATIENTS INITIALS Case number R.J 198710 M.J.E.N 200128 F.G.G 202459 NOTED BY: DR. LUZVIMINDA I. DALLO RELATED LEARNING EXPERIENCE COORDINATOR, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC I.D. NUMBER: 0086572 Valid Until: August 19, 2016 PNA Number: 19755 Valid Until: Lifetime Member Date Signed: _______________ SURGICAL PROCEDURE PERFORMED Suturing Wound O.R NURSE ON DUTY Christine Hazel P. Agustin, R.N SUPERVISED BY Joel V. Gines, R.N

Appendectomy Emergency mesh herniorraphy L

Jose Lennard S. Alfonso, R.N

Froilan C. Diolosa, M.A.N, R.N

Alden Noel R. Cucio, R.N.

Loreto F. Reyes, M.A.N, R.N

APPROVED BY: DR. EPPIE DC. BUGARIN DEAN, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Registered Midwife Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0085974 Valid Until: April 3, 2014 PNA Number: 17977 Valid Until: Lifetime Member ADPCN: 0662 Valid Until: December 31, 2014 Date Signed: _______________

Republic of the Philippines NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY General Tinio Street, Cabanatuan City College of Nursing December 2, 2003, Board Resolution 96- A Series of 2003 DR. PAULINO J. GARCIA MEMORIAL RESEARCH AND MEDICAL CENTER

PREPARED BY: TORMES, EDGAR JAY LAZARO NAME OF STUDENT Date signed: II. CIRCULATING CASES Date performed and time started JULY 11, 2013 11:02 PM DECEMBER 10, 2013 4:14 PM PATIENTS INITIALS Case number A.R.A 194013 V.A.C 232058 NOTED BY: DR. LUZVIMINDA I. DALLO RELATED LEARNING EXPERIENCE COORDINATOR, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC I.D. NUMBER: 0086572 Valid Until: August 19, 2016 PNA Number: 19755 Valid Until: Lifetime Member Date Signed: _______________ SURGICAL PROCEDURE PERFORMED Appendectomy O.R NURSE ON DUTY Ma. Theresa Reyes, R.N SUPERVISED BY Loreto F. Reyes, M.A.N, R.N

Low Transverse Caesarian Section

Alden Noel R. Cucio, R.N

Loreto F. Reyes, M.A.N, R.N

APPROVED BY: DR. EPPIE DC. BUGARIN DEAN, COLLEGE OF NURSING, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY Degree/s: Registered Midwife Bachelor of Science in Nursing Registered Nurse Master of Arts in Nursing Doctor of Philosophy PRC Number: 0085974 Valid Until: April 3, 2014 PNA Number: 17977 Valid Until: Lifetime Member ADPCN: 0662 Valid Until: December 31, 2014 Date Signed: _______________