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Lyceum of Iligan Foundation

College of Nursing
Corpus Christi Village, Tubod, Iligan City
School Code: 1511
Name of Student: Guillan Naranjo Juntong First Course: None
Name & Address of School: Lyceum of Iligan Foundation, Corpus Christi Village, Tubod, Iligan City School Graduated from: N / A
Recognition & Accreditation level: N / A Date when School/ Program was Recognized: May 8, 2006 Number
008 Year 2006
Year of Admission in the Bachelor of Science in Nursing Program: June 2006 Year Graduated (BSN Program): March 2010

I. Major Operations
Signatu
Type of re of
Case Date of Name of O.R.
No. Name of Patient Diagnosis Operation Performed Anesthes Name of Surgeon Name of Hospital O.R.
No. Operation Scrub Nurse
ia Scrub
Nurse
Open Cholecystectomy
January 29, Ma. Fatima S. Cholecystitis with Capitol University Medical Raquel G. Obenza,
1. 009686 with Intraoperative General Dr. Samuel A. Balo
2009 Gaston Cholelithiasis City RN
Cholangiogram
Multiple Nodular
Capitol University Medical
2. 011274 March 11, 2009 Reserva L. Rosario Adenomatous Goiter, Total Thyroidectomy General Dr. Allan B. Melicor Ma. Amor C. Kho, RN
City
Bilateral
Delivered Operatively to
Alive Baby Girl A.S- 8/9
Birth Weight- 2.7 kg. ,Age
Caesarean Section with Dr. Ma. Imelda L. Paz- Capitol University Medical
3. 000149 July 15, 2009 Jo Ann B. Tingting of Gestation- 41 Weeks Spinal Ma. Amor C. Kho, RN
Bilateral Tubal Ligation Carbajal City
Oligohydramnios,
Nephrolithiasis Bilateral
G5P5
Senile Cataract
Extracapsular Cataract
Brunescent, Left Eye
Extraction by
009024 Felisa B. Status Post Extracapsular Capitol University Medical Henny D. Berdiguel,
4. July 22, 2009 Phacoemulsification Local Dr. Noel M. Peňaranda
3 Camingawan Cataract Extracton with City RN
and Intraocular Lens
Intraocular Lens, Right
Implantation, Left Eye
Eye
Invasive Ductal
December 28, Miraflor C. Right Modified Radical Capitol University Medical Karen Rose B.
5. 014291 Carcinoma, Right Status General Dr. Dorothy D. Navarro
2009 Bagabaldo Mastectomy City Ompoc, RN
Post Excision Biopsy

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

Guillan Naranjo Juntong Ms. Exerlyn D. Jangulan Mrs. Annie P. Jacalan Ms. Mary Christina A.
Student Clinical Coordinator Nursing Director Feraren
College of Nursing Capitol University Medical City Dean
Supervised by: College of Nursing
Date Signed: _____________ Date Signed: __________
Ms. Ruth R. Bacuyong Degree: BSN, RN, MN Degree: RN, MAN, Ph.D. Date Signed: ___________
Clinical Instructor a) PRC No.: 0364365 a) PRC No.: 0062289 Degree: BSN, RN, MAN
Lyceum of Iligan Foundation Valid until: October 06, 2013 Valid until: July 25, 2011 a) PRC No.: 0147556
b) PNA No.: 18837 b) PNA No.: 13205 Valid until: October 07,
Date Signed: __________ Valid until: Lifetime Member Valid until: Lifetime Member 2012
Degree: BSN, RN, MN b) PNA No.: 26159
a) PRC No.: 0430294 Valid until: Lifetime
Valid until: November 10, 2013 Member
b) PNA No.: 024758
Valid until: December, 2010

Lyceum of Iligan Foundation


College of Nursing
Corpus Christi Village, Tubod, Iligan City
School Code: 1511

Name of Student: Guillan Naranjo Juntong First Course: None


Name & Address of School: Lyceum of Iligan Foundation, Corpus Christi Village, Tubod, Iligan City School Graduated from: N / A
Recognition & Accreditation level: N / A Date when School/ Program was Recognized: May 8, 2006 Number
008 Year 2006
Year of Admission in the Bachelor of Science in Nursing Program: June 2006 Year Graduated (BSN Program): March 2010

II. Minor Operations


Signatur
Type of
Case Date of Operation Name of O.R. e of O.R.
No. Name of Patient Diagnosis Anesthes Name of Surgeon Name of Hospital
No. Operation Performed Scrub Nurse Scrub
ia
Nurse
04179 Kharl Dave P. Dr. Rommel Endrian B. Gregorio T. Lluch Memorial Cherry Joy T. Liňan,
1. May 5, 2009 Phimosis Circumcision Local
2 Hortilano Navarro Hospital RN
Percutaneous
Status Post
00272 May 12, Endoscopic Ma. Amor C. Kho,
2. Emelio C. Dormentes Cerebrovascular Accident General Dr. Natasha E. Elazegui Capitol University Medical City
3 2009 Gastrostomy RN
Infarct on Prolonged
Insertion
00893 May 13, Henny D.
3. Gleen C. Quinto Vaginal Warts Cryosurgery Local Dr. Elena T. Raňises Capitol University Medical City
12 2009 Berdiguel, RN
Esophagitis, Rolled in
00901 Distal Esophageal Dr. Ma. Margaret L. Airen B. Sabaldana,
4. July 16, 2009 Pedro A. Sombilon Total Colonoscopy Local Capitol University Medical City
24 Varesis Grade 1 Gastritis, Quiblat RN
Duodenitis
01198 Colitis Grade 2 Internal Dr. Ma. Margaret L. Airen B. Sabaldana,
5. July 17, 2009 Jeremiah L. Eguia Total Colonoscopy General Capitol University Medical City
5 Hemorrhoids Quiblat RN
Prepared by: Noted by: Concurred by: Concurred by: Approved by:

Guillan Naranjo Juntong Ms. Exerlyn D. Jangulan Mrs. Annie P. Jacalan Mrs. Myrna P. Suan Ms. Mary Christina A. Feraren
Student Clinical Coordinator Nursing Director Chief Nurse Dean
College of Nursing Capitol University Medical Gregorio T. Lluch Memorial College of Nursing
City Hospital
Supervised by: Supervised by: Date Signed: _____________ Date Signed: ___________
Degree: BSN, RN, MN Date Signed: __________ Degree: BSN, RN, MAN
Ms. Ruth R. Bacuyong Mrs. Marissa R. a) PRC No.: 0364365 Degree: RN, MAN, Ph.D. Date Signed: ___________ a) PRC No.: 0147556
Clinical Instructor Patalinghug Valid until: October 06, a) PRC No.: 0062289 Degree: BSN, RN, MN Valid until: October 07, 2012
Lyceum of Iligan Clinical Instructor 2013 Valid until: July 25, 2011 a) PRC No.: 78434 b) PNA No.: 26159
Foundation Lyceum of Iligan b) PNA No.: 18837 b) PNA No.: 13205 Valid until: April 08, 2012 Valid until: Lifetime Member
Foundation Valid until: Lifetime Valid until: Lifetime Memorial Hospital
Date Signed: __________ Member Member
Degree: BSN, RN, MN Date Signed: __________ Date Signed: ___________
a) PRC No.: 0430294 Degree: BSN, RN, MN Degree: BSN, RN, MN
Valid until: November a) PRC No.: 0286021 a) PRC No.: 78434
10, 2013 Valid until: September 26, Valid until: April 08, 2012
b) PNA No.: 024758 2012
Valid until: December, b) PNA No.: 024759
2010 Valid until: December, 2010

Lyceum of Iligan Foundation


College of Nursing
Corpus Christi Village, Tubod, Iligan City
School Code: 1511
Name of Student: Guillan Naranjo Juntong First Course: None
Name & Address of School: Lyceum of Iligan Foundation, Corpus Christi Village, Tubod, Iligan City School Graduated from: N / A
Recognition & Accreditation level: N / A Date when School/ Program was Recognized: May 8, 2006 Number
008 Year 2006
Year of Admission in the Bachelor of Science in Nursing Program: June 2006 Year Graduated (BSN Program): March 2010

III. Actual Deliveries


Time of
No Case Name of Ag Date of Gender Type of Supervised by:
Diagnosis Deliver Name of Hospital
. No. Mother e Delivery of Baby Delivery Name & Signature of Qualified C.I.
y

Mrs. Marissa R. Patalinghug, RN, MN


Pregnancy Uterine Full Term, Normal
PRC NO. : 0286021 PNA NO. :
Age of Gestation, in Active August 6, 01:43 Gregorio T. Lluch Memorial Spontaneous
1. 049461 Melly C. Luyuhan 41 Male 024759
Labor, Compound Presentation, 2009 PM Hospital Vaginal
Valid until: September 26, 2012 Valid until:
G5P5 Delivery
December 2010
Date signed:_________
Mrs. Janet C. Tabar, RN, MN
Pregnancy Uterine Full Term, Normal
PRC NO. : 0300476 PNA NO. :
Age of Gestation, in Active October 14, 07:33 Gregorio T. Lluch Memorial Spontaneous
2. 055212 Elisa M. Layar 41 Female 024760
Labor, Cephalic Presentation, 2009 PM Hospital Vaginal
Valid until: April 8, 2012 Valid until:
G14P14 Delivery
December 2010
Date signed:_________

Mrs. Marissa R. Patalinghug, RN, MN


Pregnancy Uterine Full Term, Normal
PRC NO. : 0286021 PNA NO. :
Age of Gestation, in Active Janice R. October 15, 06:18 Gregorio T. Lluch Memorial Spontaneous
3. 055217 27 Male 024759
Labor, Cephalic Presentation, Bacanggoy 2009 PM Hospital Vaginal
Valid until: September 26, 2012 Valid until:
G5P5 Delivery
December 2010
Date signed:_________

Mrs. Marissa R. Patalinghug, RN, MN


Pregnancy Uterine Full Term,
PRC NO. : 0286021 PNA NO. :
Age of Gestation, in Active November 5, 02:38 Gregorio T. Lluch Memorial Forcep
4. 057053 Mary O. Tipalan 32 Male 024759
Labor, Cephalic Presentation, 2009 PM Hospital Delivery
Valid until: September 26, 2012 Valid until:
G1P1
December 2010
Date signed:_________

Mrs. Marissa R. Patalinghug, RN, MN


Pregnancy Uterine Full Term, Normal
PRC NO. : 0286021 PNA NO. :
Age of Gestation, in Active November 9, 09:09 Gregorio T. Lluch Memorial Spontaneous
5. 008406 Leah E. Celocia 27 Male 024759
Labor, Cephalic Presentation, 2009 AM Hospital Vaginal
Valid until: September 26, 2012 Valid until:
G4P4 Delivery
December 2010
Date signed:_________

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

Guillan Naranjo Juntong Ms. Exerlyn D. Jangulan Mrs. Myrna P. Suan Ms. Mary Christina A. Feraren
Student Clinical Coordinator Chief Nurse Dean
College of Nursing Gregorio T. Lluch Memorial Hospital College of Nursing

Date Signed: _____________ Date Signed: ___________ Date Signed: ___________


Degree: BSN, RN, MN Degree: BSN, RN, MN Degree: BSN, RN, MAN
a) PRC No.: 0364365 a) PRC No.: 78434 a) PRC No.: 0147556
Valid until: October 06, 2013 Valid until: April 08, 2012 Valid until: October 07, 2012
b) PNA No.: 18837 b) PNA No.: 4249 b) PNA No.: 26159
Valid until: Lifetime Member Valid until: Lifetime Member Valid until: Lifetime Member
Lyceum of Iligan Foundation
College of Nursing
Corpus Christi Village, Tubod, Iligan City
School Code: 1511

Name of Student: Guillan Naranjo Juntong First Course: None


Name & Address of School: Lyceum of Iligan Foundation, Corpus Christi Village, Tubod, Iligan City School Graduated from: N / A
Recognition & Accreditation level: N / A Date when School/ Program was Recognized: May 8, 2006 Number
008 Year 2006
Year of Admission in the Bachelor of Science in Nursing Program: June 2006 Year Graduated (BSN Program): March 2010
IV. Deliveries Assisted
Case Name of Ag Date of Time of Gender Type of Supervised by:
No. Diagnosis Name of Hospital
No. Mother e Delivery Delivery of Baby Delivery Name & Signature of Qualified C.I.

Mrs. Marissa R. Patalinghug, RN, MN


Pregnancy Uterine Full Term,
Normal PRC NO. : 0286021 PNA NO. :
00256 Age of Gestation in Active Daisy Jane M. Lanao del Norte Provincial
1. 23 May 18, 2009 12:00 PM Male Spontaneous 024759
3 Labor, Cephalic Presentation, Cantina Hospital
Vaginal Delivery Valid until: September 26, 2012 Valid until:
G2P2
December 2010
Date signed:_________

Mrs. Marissa R. Patalinghug, RN, MN


Pregnancy Uterine Full Term,
Normal PRC NO. : 0286021 PNA NO. :
04960 Age of Gestation, in Active Gregorio T. Lluch Memorial
2. Marilou N. Abanil 26 August 7, 2009 01:25 PM Female Spontaneous 024759
5 Labor, Cephalic Presentation, Hospital
Vaginal Delivery Valid until: September 26, 2012 Valid until:
G2P2
December 2010
Date signed:_________

Mrs. Marissa R. Patalinghug, RN, MN


Pregnancy Uterine Full Term,
Normal PRC NO. : 0286021 PNA NO. :
05589 Age of Gestation, in Active October 22, Gregorio T. Lluch Memorial
3. Rejean S. Navarro 16 10:45 AM Female Spontaneous 024759
2 Labor, Cephalic Presentation, 2009 Hospital
Vaginal Delivery Valid until: September 26, 2012 Valid until:
G1P1
December 2010
Date signed:_________

Mrs. Janet C. Tabar, RN, MN


Pregnancy Uterine Full Term,
Normal PRC NO. : 0300476 PNA NO. :
06136 Age of Gestation, in Active Jeraldine S. December 25, Gregorio T. Lluch Memorial
4. 26 10:40 PM Male Spontaneous 024760
2 Labor, Cephalic Presentation, Remerata 2009 Hospital
Vaginal Delivery Valid until: April 8, 2012 Valid until:
G1P1
December 2010
Date signed:_________

Mrs. Janet C. Tabar, RN, MN


Pregnancy Uterine Full Term,
Normal PRC NO. : 0300476 PNA NO. :
06236 Age of Gestation, in Active Marivic A. January 15, Gregorio T. Lluch Memorial
5. 27 02:15 PM Female Spontaneous 024760
3 Labor, Cephalic Presentation, Villazorda 2010 Hospital
Vaginal Delivery Valid until: April 8, 2012 Valid until:
G1P1
December 2010
Date signed:_________
Prepared by: Noted by: Concurred by: Concurred by: Approved by:

Guillan Naranjo Juntong Ms. Exerlyn D. Jangulan Mrs. Myrna P. Suan Mrs. Transfiguracion C. Lee Ms. Mary Christina A. Feraren
Student Clinical Coordinator Chief Nurse Chief Nurse Dean
College of Nursing Gregorio T. Lluch Memorial Hospital Lanao del Norte Provincial Hospital College of Nursing

Date Signed: _____________ Date Signed: ___________ Date Signed: ___________ Date Signed: ___________
Degree: BSN, RN, MN Degree: BSN, RN, MN Degree: BSN, RN, MN Degree: BSN, RN, MAN
a) PRC No.: 0364365 a) PRC No.: 78434 a) PRC No.: 0059574 a) PRC No.: 0147556
Valid until: October 06, 2013 Valid until: April 08, 2012 Valid until: August 06, 2011 Valid until: October 07, 2012
b) PNA No.: 18837 b) PNA No.: 4249 b) PNA No.: 13935 b) PNA No.: 26159
Valid until: Lifetime Member Valid until: Lifetime Member Valid until: Lifetime Member Valid until: Lifetime Member

Lyceum of Iligan Foundation


College of Nursing
Corpus Christi Village, Tubod, Iligan City
School Code: 1511
Name of Student: Guillan Naranjo Juntong First Course: None
Name & Address of School: Lyceum of Iligan Foundation, Corpus Christi Village, Tubod, Iligan City School Graduated from: N / A
Recognition & Accreditation level: N/A Date when School/ Program was Recognized: May 8, 2006 Number
008 Year 2006
Year of Admission in the Bachelor of Science in Nursing Program: June 2006 Year Graduated (BSN Program): March 2010
V. Cord Dressing
Case Gender Supervised by:
No. Date Performed Name of Baby Name of Mother Age Name of Hospital
No. of Baby Name & Signature of Qualified C.I.

Mrs. Janet C. Tabar, RN, MN


PRC NO. : 0300476 PNA NO. :
1. 033040 January 15, 2009 Baby Boy Viernes Male Rexil S. Viernes 27 Gregorio T. Lluch Memorial Hospital 024760
Valid until: April 8, 2012 Valid until:
December 2010
Date signed:_________

Mrs. Marissa R. Patalinghug, RN, MN


PRC NO. : 0286021 PNA NO. :
2. 057051 November 5, 2009 Baby Boy Pegalan Male Jasmin T. Pegalan 18 Gregorio T. Lluch Memorial Hospital 024759
Valid until: September 26, 2012 Valid until:
December 2010
Date signed:_________

Mrs. Marissa R. Patalinghug, RN, MN


PRC NO. : 0286021 PNA NO. :
November 10,
3. 057315 Baby Boy Reyes Male Meresol D. Reyes 39 Lanao del Norte Provincial Hospital 024759
2009
Valid until: September 26, 2012 Valid until:
December 2010
Date signed:_________

Ms. Philinor S. Acut, RN, MAN


PRC NO. : 0228698 PNA NO. :
November 16,
4. 2414 Baby Girl Dagapioso Female Rizalyn S. Dagapioso 21 Saray Health Center 024757
2009
Valid until: September 6, 2011 Valid until:
December 2010
Date signed:_________

Ms. Philinor S. Acut, RN, MAN


PRC NO. : 0228698 PNA NO. :
November 17,
5. 2438 Baby Boy Rosal Male Joy E. Rosal 28 Saray Health Center 024757
2009
Valid until: September 6, 2011 Valid until:
December 2010
Date signed:_________

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

Guillan Naranjo Juntong Ms. Exerlyn D. Jangulan Mrs. Myrna P. Suan Ms Zenaida D. Casilac Ms. Mary Christina A. Feraren
Student Clinical Coordinator Chief Nurse Public Health Nurse Dean
College of Nursing Gregorio T. Lluch Memorial Hospital City Health Office,Iligan City College of Nursing

Date Signed: _____________ Date Signed: ___________ Date Signed: ___________ Date Signed: ___________
Degree: BSN, RN, MN Degree: BSN, RN, MN Degree: BSN, RN, MN Degree: BSN, RN, MAN
a) PRC No.: 0364365 a) PRC No.: 78434 a) PRC No.: 0113134 a) PRC No.: 0147556
Valid until: October 06, 2013 Valid until: April 08, 2012 Valid until: July 16, 2012 Valid until: October 07, 2012
b) PNA No.: 18837 b) PNA No.: 4249 b) PNA No.: 024761 b) PNA No.: 26159
Valid until: Lifetime Member Valid until: Lifetime Member Valid until: December 2010 Valid until: Lifetime Member

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