UNIVERSIDAD DE MANILA

A.J. Villegas St. Mehan Garden, Ermita, Manila

College of Health Sciences
Department of Nursing

Name of Student:PRESCILA BEATRIZ B. CRUZ First Course (If any): NA School Graduated From: NA Year: NA
Name of School: Universidad De Manila Year of Admission in the Bachelor of Science in Nursing Program: 2011
Address of School: A.J. Villegas St. Mehan Garden, Ermita,Manila Year Graduated (Bachelor of Sciences in Nursing Program): 2015
Accreditation Level (If any): N/A Year Granted: N/A
Date School/Program was recognized: Number: N/A Year: N/A
Name of Hospital: Ospital Ng Maynila Medical Center

V. CORD CARE

No Case No. Date Performed Name of Baby Gender of Baby Name of Mother Age Name of Clinical Instructor Name and Signature of Qualified
Clinical Instructor

1.

2.

3.

4.

Noted By: Concurred By:

ASUNCION C. BALISADO, RN, MAN MARIA TERESA C. YU, RN, MAN
Chief Nurse, Ospital ng Maynila Medical Center Dean, College of Health Sciences
Date signed: Date signed:
PRC Lic. No.: 0116547 PRC Lic. No: 015872
Valid Until: August 15, 2015 Valid Until: October 23, 2017
PNA No.: 14782 PNA No.: 17753
Valid Until: Lifetime Member Valid Until: Lifetime Member
ANSAP No.: 1329
Valid Until: Lifetime Member
 UNIVERSIDAD DE MANILA
A.J. Villegas St. Mehan Garden, Ermita, Manila
College of Health Sciences
Department of Nursing

Name of Student: PRESCILA BEATRIZ B. CRUZ First Course (If any): N/A School Graduated From: N/A Year: N/A
Name of School: Universidad De Manila Year of Admission in the Bachelor of Science in Nursing Program: 2011
Address of School: A.J. Villegas St. Mehan Garden, Ermita,Manila Year Graduated (Bachelor of Sciences in Nursing Program): 2015
Accreditation Level (If any): N/A Year Granted: N/A
Date School/Program was recognized: Number: N/A Year: N/A
Name of Hospital: Ospital ng Maynila Medical Center

V. CORD CARE

No Case No. Date Performed Name of Baby Gender of Baby Name of Mother Age Name of Clinical Instructor Name and Signature of Qualified
Clinical Instructor

1.

Noted By: Concurred By:

ASUNCION C. BALISADO, RN, MAN MARIA TERESA C. YU, RN, MAN

Chief Nurse, Ospital ng Maynila Medical Center Dean, College of Health Sciences
Date signed: Date signed:
PRC Lic. No.: 0116547 PRC Lic. No: 015872
Valid Until: August 15, 2015 Valid Until: October 23, 2017
PNA No.: 14782 PNA No.: 17753
Valid Until: Lifetime Member Valid Until: Lifetime Member
ANSAP No.: 1329
Valid Until: Lifetime Member
 UNIVERSIDAD DE MANILA
A.J. Villegas St. Mehan Garden, Ermita, Manila
College of Health Sciences
Department of Nursing

Name of Student: PRESCILA BEATRIZ B. CRUZ First Course (If any): N/A School Graduated From: N/A Year: N/A
Name of School: Universidad De Manila Year of Admission in the Bachelor of Science in Nursing Program: 2011
Address of School: A.J. Villegas St. Mehan Garden, Ermita,Manila Year Graduated (Bachelor of Sciences in Nursing Program): 2015
Accreditation Level (If any): N/A Year Granted: N/A
Date School/Program was recognized: Number: N/A Year: N/A
Name of Hospital: Gat. Andres Bonifacio Memorial Medical Center

III. DELIVERIES HANDLED

No. Case No. Diagnosis Name of Mother Age Date of Time of Gender of Type of Delivery Name of Clinical Name and Signature of
Delivery Delivery Baby Instructor Qualified Clinical Instructor
Pregnancy Uterine 36-37 Normal Spontaneous
1. 131210 weeks Age of Gestation Romero, Josephine 23 February 27, 06:50 A.M Female Delivery Celia R. Recel RN, MAN
Gravidity 1 Parity 0 2014 Celia R. Recel RN, MAN
Pregnancy Uterine 38-39
2. 99269 weeks Age of Gestation Pea, Suzette 24 September 10:55 A.M Male Normal Spontaneous Celia R. Recel RN, MAN
Gravidity 4 Parity 3 17, 2014 Delivery Celia R. Recel RN, MAN
Pregnancy Uterine 38 weeks
3. 135383 Age of Gestation Gravidity 1 Ariola, Rachelle 18 March 04, 11:00 A.M Female Normal Spontaneous Celia R. Recel RN, MAN
Parity 0 2015 Delivery Celia R. Recel RN, MAN

4.

5.

Noted By: Concurred By:

LUDIVINA V. LINEZO, RN, PhD MARIA TERESA C. YU, RN, MAN

Chief Nurse, Gat. Andres Bonifacio Memorial and Medical Center Dean, College of Health Sciences
Date signed: Date signed:
PRC Lic. No.: 104356 PRC Lic. No: 015872
Valid Until: January 28, 2017 Valid Until: October 23, 2014
PNA No.: 043616 PNA No.: 17753
Valid Until: December 2017 Valid Until: Lifetime Member
ANSAP No.: 06222
Valid Until: January 28, 2017
 UNIVERSIDAD DE MANILA
A.J. Villegas St. Mehan Garden, Ermita, Manila
College of Health Sciences
Department of Nursing

Name of Student: PRESCILA BEATRIZ B. CRUZ First Course (If any): N/A School Graduated From: N/A Year: N/A
Name of School: Universidad De Manila Year of Admission in the Bachelor of Science in Nursing Program: 2011
Address of School: A.J. Villegas St. Mehan Garden, Ermita,Manila Year Graduated (Bachelor of Sciences in Nursing Program): 2015
Accreditation Level (If any): N/A Year Granted: N/A
Date School/Program was recognized: Number: N/A Year: N/A
Name of Hospital: Gat. Andres Bonifacio Memorial Medical Center

IV. DELIVERIES ASSISTED

No. Case No. Diagnosis Name of Mother Age Date of Time of Gender of Type of Delivery Name of Clinical Name and Signature of
Delivery Delivery Baby Instructor Qualified Clinical Instructor
Pregnancy Uterine Jocona, Cherry September Normal Spontaneous
1. 39 weeks and 3 days Age of Celia R. Recel RN, MAN
135406 Love 18 17, 2014 06:31 A.M Male Delivery
Gestation Gravidity 1 Parity 0 Celia R. Recel RN, MAN
Pregnancy Uterine 39- March 2, Normal Spontaneous
40 weeks Age of Gestation Celia R. Recel RN, MAN
2. 135616 Ordillo, Catherine 16 2015 8:03 A.M Female Delivery
Gravidity 1 Parity 0 Celia R. Recel RN, MAN
Layson
Pregnancy Uterine
3. 151535 38 weeks and 6 days Age of Caangay, Marites 22 March 2 7:87 P.M Male Normal Spontaneous Celia R. Recel RN, MAN
Gestation Gravidity 2 Parity 1 2015 Delivery Celia R. Recel RN, MAN
Pregnancy Uterine 40
weeks and 1 day Age of Balindo, Vanessa 25 March 4, 7:56 P.M Male Normal Spontaneous Celia R. Recel RN, MAN
4.
Gestaion Gravidity 2 Parity 2015 Delivery Celia R. Recel RN, MAN
1

5.

Noted By: Concurred By:

LUDIVINA V. LINEZO, RN, PhD MARIA TERESA C. YU, RN, MAN

Chief Nurse, Gat. Andres Bonifacio Memorial and Medical Center Dean, College of Health Sciences
Date signed: Date signed:
PRC Lic. No.: 104356 PRC Lic. No: 015872
Valid Until: January 28, 2017 Valid Until: October 23, 2014
PNA No.: 043616 PNA No.: 17753
Valid Until: December 2017 Valid Until: Lifetime Member
ANSAP No.: 06222
Valid Until: January 28, 2017
 UNIVERSIDAD DE MANILA
A.J. Villegas St. Mehan Garden, Ermita, Manila
College of Health Sciences
Department of Nursing

Name of Student: PRESCILA BEATRIZ B. CRUZ First Course (If any): N/A School Graduated From: N/A Year: N/A
Name of School: Universidad De Manila Year of Admission in the Bachelor of Science in Nursing Program: 2011
Address of School: A.J. Villegas St. Mehan Garden, Ermita,Manila Year Graduated (Bachelor of Sciences in Nursing Program): 2015
Accreditation Level (If any): N/A Year Granted: N/A
Date School/Program was recognized: Number: N/A Year: N/A
Name of Hospital: Ospital ng Maynila Medical Center

II. MINOR OPERATIONS

No. Date of Case No. Name of Diagnosis Operation Type of Name of Name of Clinical Instructor Name and Signature of
Operation Patient Performed Anesthesia Surgeon Name of O.R. Scrub Qualified Clinical Instructor
Nurse

1 September 1754573 Tangcoy, Janna Recurrent Tonsillectomy GETA Dr Ilagan Kathleen D. Acunin, RN, MAN
20, 2014 Tonsillitis Kathleen D. Acunin, RN, MAN

2 1762392 Santos, Crisanto Lipoma L Leg Excision of Local Dr. Abad

Lipoma Anesthesia Kathleen D. Acunin, RN, MAN
Kathleen D. Acunin, RN, MAN

3 1762129 Estepa, Ma. Liza Ganglion cyst Excision of Cyst Local Dr. Allain A. Kathleen D. Acunin, RN, MAN Kathleen D. Acunin, RN, MAN
Anesthesia Alvez

4 1762684 Arcetto, Cofuros E/C Excision Local Dr. Canlas Kathleen D. Acunin, RN, MAN Kathleen D. Acunin, RN, MAN
Anesthesia

Noted By: Concurred By:

ASUNCION C. BALISADO, RN, MAN MARIA TERESA C. YU, RN, MAN

Chief Nurse, Ospital ng Maynila Medical Center Dean, College of Health Sciences
Date signed: Date signed:
PRC Lic. No.: 0116547 PRC Lic. No: 015872
Valid Until: August 15, 2015 Valid Until: October 23, 2017
PNA No.: 14782 PNA No.: 17753
Valid Until: Lifetime Member Valid Until: Lifetime Member
ANSAP No.: 1329
Valid Until: Lifetime Member
 UNIVERSIDAD DE MANILA

A.J. Villegas St. Mehan Garden, Ermita, Manila

College of Health Sciences
Department of Nursing

Name of Student: PRESCILA BEATRIZ B. CRUZ First Course (If any): NA School Graduated From: NA Year: NA
Name of School: Universidad De Manila Year of Admission in the Bachelor of Science in Nursing Program: 2010
Address of School: A.J. Villegas St. Mehan Garden, Ermita,Manila Year Graduated (Bachelor of Sciences in Nursing Program): 2014
Accreditation Level (If any): N/A Year Granted: N/A
Date School/Program was recognized: Number: N/A Year: N/A
Name of Hospital: Ospital ng Maynila Medical Center

II. MINOR OPERATIONS

No. Date of Case No. Name of Diagnosis Operation Type of Name of Name of Clinical Instructor Name and Signature of Qualified
Operation Patient Performed Anesthesia Surgeon Name of O.R. Scrub Clinical Instructor
Nurse

5 1762418 Acoustin Dones E/C Excision Local Anesthesia Dr. Canlas Kathleen D. Acunin, RN, MAN Kathleen D. Acunin, RN, MAN

Noted By: Concurred By:

ASUNCION C. BALISADO, RN, MAN MARIA TERESA C. YU, RN, MAN

Chief Nurse, Ospital ng Maynila Medical Center Dean, College of Health Sciences
Date signed: Date signed:
PRC Lic. No.: 0116547 PRC Lic. No: 015872
Valid Until: August 15, 2015 Valid Until: October 23, 2017
PNA No.: 14782 PNA No.: 17753
Valid Until: Lifetime Member Valid Until: Lifetime Member
ANSAP No.: 1329
Valid Until: Lifetime Member
 UNIVERSIDAD DE MANILA
A.J. Villegas St. Mehan Garden, Ermita, Manila
College of Health Sciences
Department of Nursing

Name of Student: PRESCILA BEATRIZ B. CRUZ First Course (If any): NA School Graduated From: NA Year: NA
Name of School: Universidad De Manila Year of Admission in the Bachelor of Science in Nursing Program: 2011
Address of School: A.J. Villegas St. Mehan Garden, Ermita,Manila Year Graduated (Bachelor of Sciences in Nursing Program): 2015
Accreditation Level (If any): NA Year Granted: NA
Date School/Program was recognized: Number: NA Year: NA
Name of Hospital: Ospital ng Maynila Medical Center
I. MAJOR OPERATIONS

No Date of Case No. Name of Diagnosis Operation Performed Type of Name of Surgeon Name of Clinical Instructor Name and Signature of Qualified
. Operation Patient Anesthesia Name of O.R. Scrub Clinical Instructor
Nurse

5748759 Brecio, Squamous Cell Partial Penectomy with SAB

1 Isagani Carcino of the penis superficial inguinal lymph Dr. Gevacio Kathleen D. Acunin, RN, MAN
node Kathleen D. Acunin, RN, MAN

2 1752437 Arseremo, Calculus of the Open cholecystectomy SAB Dr. Abad

Gina gallbladder Kathleen D. Acunin, RN, MAN
Kathleen D. Acunin, RN, MAN

3 September 1752412 Unson, Com AD Matoidectomey with GETA Dr. Garcia

02, 2015 Korenc tympanoplasty AD Kathleen D. Acunin, RN, MAN Kathleen D. Acunin, RN, MAN
Rose

Februry 18, 1758817 Doriano, Hernioplasty right SAB

4 2015 Indirect Inguinal Dr. Saluta Dennie Grace Ng RN, MAN Dennie Grace Ng RN, MAN
Dick Hernia
Orijola

5 November 2779008 Macanyon, Brain Abscess Craniotomy Extraction GETA Dr. Canlas
21, 2015 Alexander Dennie Grace Ng RN, MAN Dennie Grace Ng RN, MAN

Noted By: Concurred By:

ASUNCION C. BALISADO, RN, MAN MARIA TERESA C. YU, RN, MAN

Chief Nurse, Ospital ng Maynila Medical Center Dean, College of Health Sciences
Date signed: Date signed:
PRC Lic. No.: 0116547 PRC Lic. No: 015872
Valid Until: August 15, 2015 Valid Until: October 23, 2017
PNA No.: 14782 PNA No.: 17753
Valid Until: Lifetime Member Valid Until: Lifetime Member
 ANSAP No.: 1329
Valid Until: Lifetime Member
UNIVERSIDAD DE MANILA
A.J. Villegas St. Mehan Garden, Ermita, Manila
College of Health Sciences
Department of Nursing

Name of Student: PRESCILA BEATRIZ B. CRUZ First Course (If any): NA School Graduated From: NA Year: NA
Name of School: Universidad De Manila Year of Admission in the Bachelor of Science in Nursing Program: 2011
Address of School: A.J. Villegas St. Mehan Garden, Ermita,Manila Year Graduated (Bachelor of Sciences in Nursing Program): 2015
Accreditation Level (If any): NA Year Granted: NA
Date School/Program was recognized: Number: NA Year: NA
Name of Hospital: Ospital ng Maynila Medical Center
I. MAJOR OPERATIONS (CIRCULATING)

No Date of Case No. Name of Diagnosis Operation Performed Type of Name of Surgeon Name of Clinical Instructor Name and Signature of Qualified
. Operation Patient Anesthesia Name of O.R. Scrub Clinical Instructor
Nurse

September 2739174 Macabago, G1P3 PU 33wks AOG Delivery Operation to alive GETA
1 13, 2015 Barmona LTCS baby girl with AS at Dr. Aguilar Kathleen D. Acunin, RN, MAN
7:46AM Kathleen D. Acunin, RN, MAN

2 February 18, 17443597 Hermoso, Indirect Inguinal Hernioplasty right SAB Dr. Velez
2015 Jose Rano Hernia Dennie Grace Ng RN, MAN Dennie Grace Ng RN, MAN

3 February 16, 2715290 Villarin, Indirect Inguinal Herniotomy GA Dr. Juluta

2015 Mitch Hernia Dennie Grace Ng RN, MAN Dennie Grace Ng RN, MAN

Februry 24, 1728729 Ombajen Hernioplasty right SAB

4 2015 G1P1 (1001) ONG left Dr. Saluta Dennie Grace Ng RN, MAN Dennie Grace Ng RN, MAN
, Lilian with complication

5 February 17, 1756217 Forondel, Stagnan Calculi Left Pelvonephrolithotomy Left GETA Dr. Olacion
2015 Leoval with intra OP stenting Dennie Grace Ng RN, MAN Dennie Grace Ng RN, MAN

Noted By: Concurred By:

ASUNCION C. BALISADO, RN, MAN MARIA TERESA C. YU, RN, MAN

Chief Nurse, Ospital ng Maynila Medical Center Dean, College of Health Sciences
Date signed: Date signed:
PRC Lic. No.: 0116547 PRC Lic. No: 015872
Valid Until: August 15, 2015 Valid Until: October 23, 2017
PNA No.: 14782 PNA No.: 17753
Valid Until: Lifetime Member Valid Until: Lifetime Member
ANSAP No.: 1329
Valid Until: Lifetime Member