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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
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
Prepared by: Supervised by: Noted by: Concurred by: Approved by:
JEREMIAH M. MASCARIÑAS PEDRO PANCHITO R. AGANAN MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL
Signature over printed name 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: Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Date Signed: Date Signed: Date Signed: Date Signed:
Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, RM, MAN, PhD.
Finished Oral Defense a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
a) PRC NO. 0311032 Valid Until: August 22, 2012 Valid Until: Valid Until: September 2, 2011
Valid Until: September 15, 2011 b) PNA. 18780 b) PNA. 1855 b) PNA. 2642
b) PNA. 039512 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
Prepared by: Supervised by: Noted by: Concurred by: Approved by:
JEREMIAH M. MASCARIÑAS PEDRO PANCHITO R. AGANAN MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL
Signature over printed name 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: Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Date Signed: Date Signed: Date Signed: Date Signed:
Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, RM, MAN, PhD.
Finished Oral Defense a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
a) PRC NO. 0311032 Valid Until: August 22, 2012 Valid Until: Valid Until: September 2, 2011
Valid Until: September 15, 2011 b) PNA. 18780 b) PNA. 1855 b) PNA. 2642
b) PNA. 039512 Valid Until: Life Member Valid Until: Life Member Valid Until: Life Member
Valid Until: 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
Prepared by: Supervised by: Noted by: Concurred by: Approved by:
JEREMIAH M. MASCARIÑAS GEMMA P. LINSANGAN MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL
Signature over printed name 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: Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Date Signed: Date Signed: Date Signed: Date Signed:
Degree: BSN, RN, Thesis Writing Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, RM, MAN, PhD.
a) PRC NO. 0214409 a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
Valid Until: June 12, 2012 Valid Until: August 22, 2012 Valid Until: Valid Until: September 2, 2011
b) PNA. 039502 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
Prepared by: Supervised by: Noted by: Concurred by: Approved by:
JEREMIAH M. MASCARIÑAS GEMMA P. LINSANGAN MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL
Signature over printed name 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: Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Date Signed: Date Signed: Date Signed: Date Signed:
Degree: BSN, RN, Thesis Writing Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, RM, MAN, PhD.
a) PRC NO. 0214409 a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
Valid Until: June 12, 2012 Valid Until: August 22, 2012 Valid Until: Valid Until: September 2, 2011
b) PNA. 039502 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 of Baby Name of Mother Age Name of Hospital
1 1112055111 June 19, 2009 Baby Dela Cruz Female Angelita Dela Cruz 27 Nueva Ecija Doctors Hospital Incorporated
2 1112055125 June 25, 2009 Baby Cometa Female Cherry Cometa 32 Nueva Ecija Doctors Hospital Incorporated
3 1112055135 June 26, 2009 Baby Maniquiz Female Precydel Maniquiz 28 Nueva Ecija Doctors Hospital Incorporated
4 9111687440 June 26, 2009 Baby Cruz Male Melanie Cruz 30 Nueva Ecija Doctors Hospital Incorporated
5 1112055917 February 25, 2010 Baby Beldia Male Michelle Beldia 28 Nueva Ecija Doctors Hospital Incorporated
Prepared by: Supervised by: Noted by: Concurred by: Approved by:
JEREMIAH M. MASCARIÑAS PEDRO PANCHITO R. AGANAN MARILYN P. ABERGAS NORMA Z. VILORIA DR. AURORA R. CARBONELL
Signature over printed name 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: Nueva Ecija Colleges Nueva Ecija Colleges Nueva Ecija Doctors Hospital Incorporated Nueva Ecija Colleges
Date Signed: Date Signed: Date Signed: Date Signed:
Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, RM, MAN, PhD.
Finished Oral Defense a) PRC NO. 0170960 a) PRC NO. 098164 a) PRC NO. 32010
a) PRC NO. 0311032 Valid Until: August 22, 2012 Valid Until: Valid Until: September 2, 2011
Valid Until: September 15, 2011 b) PNA. 18780 b) PNA. 1855 b) PNA. 2642
b) PNA. 039512 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