Name of Student: MASCARIÑAS, JEREMIAH MEJORADA

Name and Address of School: NUEVA ECIJA COLLEGES, CAGAYAN VALLEY ROAD, CABANATUAN CITY, NUEVA ECIJA
Accreditation Level: NOT APPLICABLE Year Granted: NOT APPLICABLE
Date School / Program was recognized: July 17 Number: 071 Year: 1981
First Course (if any): NOT APPLICABLE School Graduated from: NOT APPLICABLE Year: NOT APPLICABLE
Year of Admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated (BSN Program): 2010

I. MAJOR OPERATIONS
Type of
No. Date Performed Case No. Name of Patient Diagnosis Operation Performed Name of Surgeon Name of Hospital
Anesthesia

Exploratory Laparotomy Spinal Nueva Ecija Doctors Hospital

1 September 24, 2009 11120596539 Dionnalon Ramos Twisted Ovarian Cyst Right Dr. Rufino Regino L. de Guzman
Oophorectomy Right Incorporated

Fracture Closed Complete Partial Hip Replacement Spinal Nueva Ecija Doctors Hospital
2 October 2, 2009 11120596577 Benedicto Legazpi Dr. Antonino G. Go
Femur Right Arthroplasty Right Incorporated

Gravida 3 Parity 2 Revious Lower Cervical Spinal Nueva Ecija Doctors Hospital
3 February 5, 2010 1112055823 Sabrina Esquivel Dr. Corazon L. Ramos
Caesarian Section Cesarean Section II Incorporated

Pull Uterine 39 weeks of

Lower Cervical Spinal Nueva Ecija Doctors Hospital
4 February 5, 2010 1112055827 Maria Karazowa Gestation Previous Caesarian Dr.. Florence S. Paatan
Cesarean Section II Incorporated
Section
Open Reduction Internal
Mandibular Practure General Nueva Ecija Doctors Hospital
5 February 5, 2010 1112055828 Roldan Almodovar Fixation of Mandibular Dr. Miguel C. Aragon III
Complete Bilateral Incorporated
Fracture

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

JEREMIAH M. MASCARIÑAS MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL

Signature over printed name of student Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: Date Signed: Date Signed: Date Signed: Date Signed:
Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, RM, MAN, PhD.
a) PRC NO. a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
Valid Until: Valid Until: August 22, 2012 Valid Until: Valid Until: September 2, 2011
b) PNA. b) PNA. 18780 b) PNA. 1855 b) PNA. 2642
Valid Until: Valid Until: Life Member Valid Until: Life Member Valid Until: Life Member
c) ANSAP NO. 090139 c) ADNCN NO. 223
Valid Until: Valid Until: December 2010
Name of Student: MASCARIÑAS, JEREMIAH MEJORADA
Name and Address of School: NUEVA ECIJA COLLEGES, CAGAYAN VALLEY ROAD, CABANATUAN CITY, NUEVA ECIJA
Accreditation Level: NOT APPLICABLE Year Granted: NOT APPLICABLE
Date School / Program was recognized: July 17 Number: 071 Year: 1981
First Course (if any): NOT APPLICABLE School Graduated from: NOT APPLICABLE Year: NOT APPLICABLE
Year of Admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated (BSN Program): 2010

II. MINOR OPERATIONS

Type of
No. Date Performed Case No. Name of Patient Diagnosis Operation Performed Name of Surgeon Name of Hospital
Anesthesia

Nueva Ecija Doctors Hospital

1 September 24, 2009 11120596540 Leopald de Guzman Inguinal Hernia Right Inguinal Herniorrhapy Right Spinal Dr. Rufino Regino L. de Guzman
Incorporated

Nueva Ecija Doctors Hospital

2 October 1, 2009 120105971 Rosalyn Alarilla Abscess Nape Debridement General Dr. Benedicto C. Oreta
Incorporated

Local Nueva Ecija Doctors Hospital

3 October 1, 2009 120105972 Francisca Rivera Tendon Cyst Excision Dr. Benedicto C. Oreta
Incorporated

Local Nueva Ecija Doctors Hospital

4 October 1, 2009 120105973 Rachelle Ruth Sanchez Gunshot Wound Right Foot Debridement Dr. Renato L. Hernandez
Incorporated

To Considered Prostate Local Nueva Ecija Doctors Hospital

5 October 2, 2009 1120105975 Fausto De Guzman Prostate Needle Biopsy Dr. Alex Clemente B. Santarina
Cancer Incorporated

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

JEREMIAH M. MASCARIÑAS MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL

Signature over printed name of student Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: Date Signed: Date Signed: Date Signed: Date Signed:
Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, RM, MAN, PhD.
b) PRC NO. a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
Valid Until: Valid Until: August 22, 2012 Valid Until: Valid Until: September 2, 2011
b) PNA. b) PNA. 18780 b) PNA. 1855 b) PNA. 2642
Valid Until: Valid Until: Life Member Valid Until: Life Member Valid Until: Life Member
c) ANSAP NO. 090139 c) ADNCN NO. 223
Valid Until: Valid Until: December 2010
Name of Student: MASCARIÑAS, JEREMIAH MEJORADA
Name and Address of School: NUEVA ECIJA COLLEGES, CAGAYAN VALLEY ROAD, CABANATUAN CITY, NUEVA ECIJA
Accreditation Level: NOT APPLICABLE Year Granted: NOT APPLICABLE
Date School / Program was recognized: July 17 Number: 071 Year: 1981
First Course (if any): NOT APPLICABLE School Graduated from: NOT APPLICABLE Year: NOT APPLICABLE
Year of Admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated (BSN Program): 2010

III. ACTUAL DELIVERIES

Date of Time of
No. Case No. Diagnosis Name of Mother Age Gender of Baby Name of Hospital Type of Delivery
Delivery Delivery
Gravida 1 Parity 0 in labor
Nueva Ecija Doctors
1 227915 Pregnancy Uterine Full term Jovie Iglesias 19 years old April 18, 2009 5: 36 AM Male Normal Spontaneous Delivery
Hospital Incorporated
38th weeks of Gestation

Gravida 3 Parity 2 in labor

Nueva Ecija Doctors
2 Pregnancy Uterine Full term Imelda Ramos 36 years old February 11, 2010 11: 46 AM Male Normal Spontaneous Delivery
Hospital Incorporated
39th weeks of Gestation

Gravida 1 Parity 0 in labor

Nueva Ecija Doctors
3 Pregnancy Uterine Full term Merlita Ocampo 24 years old February 12, 2010 10: 20 AM Male Normal Spontaneous Delivery
Hospital Incorporated
39th weeks of Gestation

Gravida 2 Parity 1 in labor

Nueva Ecija Doctors
4 Pregnancy Uterine Full term Marianita dela Cruz 25 years old February 12, 2010 12: 38 PM Male Normal Spontaneous Delivery
Hospital Incorporated
40th weeks of Gestation

Gravida 5 Parity 4 in labor

Nueva Ecija Doctors
5 Pregnancy Uterine Full term Aurora Garcia 36 years old February 13, 2010 11: 38 AM Male Normal Spontaneous Delivery
Hospital Incorporated
38th weeks of Gestation

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

JEREMIAH M. MASCARIÑAS MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL

Signature over printed name of student Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: Date Signed: Date Signed: Date Signed: Date Signed:
Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, RM, MAN, PhD.
c) PRC NO. a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
Valid Until: Valid Until: August 22, 2012 Valid Until: Valid Until: September 2, 2011
b) PNA. b) PNA. 18780 b) PNA. 1855 b) PNA. 2642
Valid Until: Valid Until: Life Member Valid Until: Life Member Valid Until: Life Member
c) ANSAP NO. 090139 c) ADNCN NO. 223
Valid Until: Valid Until: December 2010
Name of Student: MASCARIÑAS, JEREMIAH MEJORADA
Name and Address of School: NUEVA ECIJA COLLEGES, CAGAYAN VALLEY ROAD, CABANATUAN CITY, NUEVA ECIJA
Accreditation Level: NOT APPLICABLE Year Granted: NOT APPLICABLE
Date School / Program was recognized: July 17 Number: 071 Year: 1981
First Course (if any): NOT APPLICABLE School Graduated from: NOT APPLICABLE Year: NOT APPLICABLE
Year of Admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated (BSN Program): 2010

IV. DELIVERIES ASSISTED

Time of
No. Case No. Diagnosis Name of Mother Age Date of Delivery Gender of Baby Name of Hospital Type of Delivery
Delivery
Gravida 2 Parity 1 in labor
1 227397 Pregnancy Uterine Full Term Annalyn Dizon 25 years old April 14, 2009 5: 55 AM Male Gapan District Hospital Normal Spontaneous Delivery
40th weeks of Gestation
Gravida 1 Parity 0 in labor
Nueva Ecija Doctors
2 Pregnancy Uterine Full Term Gina Almayda 21 years old February 11, 2010 11: 46 AM Male Normal Spontaneous Delivery
Hospital Incorporated
39th weeks of Gestation
Gravida 3 Para 2 in labor
Nueva Ecija Doctors
3 Pregnancy Uterine Full Term Fernita Fernandez 28 years old February 12, 2010 9: 28 AM Male Normal Spontaneous Delivery
Hospital Incorporated
40th weeks of Gestation
Gravida 1 Para 0 in labor
Nueva Ecija Doctors
4 Pregnancy Uterine Full Term Yolanda Pangilinan 23 years old February 12, 2010 2: 40 PM Male Normal Spontaneous Delivery
Hospital Incorporated
38th weeks of Gestation
Gravida 3 Para 2 in labor
Nueva Ecija Doctors
5 Pregnancy Uterine Full Term Analiza Sacro 24 years old February 13, 2010 1: 26 PM Male Normal Spontaneous Delivery
Hospital Incorporated
39th weeks of Gestation

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

JEREMIAH M. MASCARIÑAS MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL

Signature over printed name of student Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: Date Signed: Date Signed: Date Signed: Date Signed:
Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, RM, MAN, PhD.
d) PRC NO. a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
Valid Until: Valid Until: August 22, 2012 Valid Until: Valid Until: September 2, 2011
b) PNA. b) PNA. 18780 b) PNA. 1855 b) PNA. 2642
Valid Until: Valid Until: Life Member Valid Until: Life Member Valid Until: Life Member
c) ANSAP NO. 090139 c) ADNCN NO. 223
Valid Until: Valid Until: December 2010
Name of Student: MASCARIÑAS, JEREMIAH MEJORADA
Name and Address of School: NUEVA ECIJA COLLEGES, CAGAYAN VALLEY ROAD, CABANATUAN CITY, NUEVA ECIJA
Accreditation Level: NOT APPLICABLE Year Granted: NOT APPLICABLE
Date School / Program was recognized: July 17 Number: 071 Year: 1981
First Course (if any): NOT APPLICABLE School Graduated from: NOT APPLICABLE Year: NOT APPLICABLE
Year of Admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated (BSN Program): 2010

V. CORD DRESSING
No. Case No. Date Performed Name of Baby Gender Name of Mother Age Name of Hospital
Nueva Ecija Doctors
1 1112055111 June 19, 2009 Baby Dela Cruz Female Angelita Dela Cruz 27 years old
Hospital Incorporated

Nueva Ecija Doctors

2 1112055125 June 25, 2009 Baby Cometa Female Cherry Cometa 32 years old
Hospital Incorporated

Nueva Ecija Doctors

3 1112055135 June 26, 2009 Baby Maniquiz Female Precydel Maniquiz 28 years old
Hospital Incorporated

Nueva Ecija Doctors

4 9111687440 June 26, 2009 Baby Cruz Male Melanie Cruz 30 years old
Hospital Incorporated

Nueva Ecija Doctors

5 1112055917 February 25, 2010 Baby Beldia Male Michelle Beldia 28 years old
Hospital Incorporated

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

JEREMIAH M. MASCARIÑAS MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL

Signature over printed name of student Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: Date Signed: Date Signed: Date Signed: Date Signed:
Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, RM, MAN, PhD.
e) PRC NO. a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
Valid Until: Valid Until: August 22, 2012 Valid Until: Valid Until: September 2, 2011
b) PNA. b) PNA. 18780 b) PNA. 1855 b) PNA. 2642
Valid Until: Valid Until: Life Member Valid Until: Life Member Valid Until: Life Member
c) ANSAP NO. 090139 c) ADNCN NO. 223
Valid Until: Valid Until: December 2010