PHILIPPINE COLLEGE OF HEALTH SCIENCES, INC.

1813 C.M. RECTO AVE., MANILA

NAME OF STUDENT: Margaret C. Pua_______
Name and address of School: Philippine College of Health Sciences, Inc.
1813 C.M. Recto Avenue, Manila________
Recognition and Accreditation Level: CHED / Level IV________________
Date when School was recognized: October 24, 1996_______________
First Course (if any): _Bachelor of Science in Pharmacy__________
School graduated: ___Centro Escolar University_______________
Year of admission in the BSN Program: _2007__________________
Year graduated from the BSN Program: 2009__________________
 I. MAJOR OPERATIONS
No Date of Operation Case Name of Patient Diagnosis Operation Type of Anesthesia Name of Surgeon Name of Hospital Supervised by
. No. Performed Qualified Clinical Instructor
General Endotracheal
1 August 26,2008 1474484 De los Reyes,Janet Nodular non toxic Goiter status Completion Thyroidectomy Anesthesia Dr.Lord Jim Ricardo Ospital ng Maynila Medical Jomar C. Cordero,RN,MAN
Antonio post total lobectomy left Center
Pregnancy Uterine General Endotracheal
2 August 27,2008 1877923 Pestano,Arlene 37 1/7 weeks Age of Gestation Low Transverse Cesarean Anesthesia Dr.Larnie Montano Ospital ng Maynila Medical Jomar C. Cordero,RN,MAN
Colante Gravidity 1 Parity 0 Section Incision Center

General Endotracheal
3 August 27,2008 1739641 Elegado,Marietta Calculus of the Gall Bladder Cholecystectomy Anesthesia Dr.Benjamin de Veza Ospital ng Maynila Medical Jomar C. Cordero,RN,MAN
Center

4 May 11,2009 1538202 Babao,Pariad dela Incarcerated indirect inguinal Herniorraphy Right Subarachnoid Block Dr.Edelweis Velasquez Ospital ng Maynila Medical Robert Araneta, RN
Cruz herniorraphy right Center
Modified Radical Mastectomy General Endotracheal Ospital ng Maynila Medical
5 August 26,2009 1552565 Lorico,Amelia Breast Cancer Left Left Anesthesia Dr.Bemjamin de Veza Center Robert Araneta, RN

Prepared by:
MARGARET C. PUA_____
Signature over printed name
Concurred by:
Approved by:
ASUNCUION BALISADO,R.N.,M.A.N. Noted by:
Signature over printed name of Chief Nurse NOEL C. CORDERO, R.N., M.A.N._________________
Date Signed: ________________________ Signature over printed name of Dean JOMAR C. CORDERO, R.N., M.A.N._________________
Degree: B.S.N., M.A.N.____________ Date Signed: __________________________________ Signature over printed name of Clinical Coordinator
a. PRC No. 0116547_________________ Degree: B.S.N., M.A.N._________________________ Date Signed: ____________________________________
Valid Until: August 15, 2012___________ a. PRC No. 0301208_________________________ Degree: B.S.N., M.A.N._________________________
b. PNA No. 14782____________________ Valid Until: December 25, 2012_________________ a. PRC No. 0384407______________________________
Valid until: Life Member_______________ b. PNA No. 13548___________________________ Valid Until: May 3, 2012___________________________
c. ANSAP No. 004243___________________ Valid until: Life member_______________________ b. PNA No. 001729______________________________
Valid until: December 10, 2010_________ c. ADPCN No. 0806_____________________________ Valid until: December 2010________________________
Valid until: December 2010___________________

PHILIPPINE COLLEGE OF HEALTH SCIENCES, INC.

1813 C.M. RECTO AVE., MANILA

NAME OF STUDENT: ___ Margaret C. Pua First Course (if any): Bachelor of Science in Pharmacy_______
Name and address of School: Philippine College of Health Sciences, Inc. School graduated: _Centro Escolar University____________
1813 C.M. Recto Avenue, Manila_______ Year of admission in the BSN Program: _2007_____________
Recognition and Accreditation Level: CHED / Level IV _______________ Year graduated from the BSN Program: _2009___________
Date when School was recognized: October 24, 1996_______________
II. MINOR OPERATIONS
No. Date of Operation Case No. Name of Patient Diagnosis Operation Type of Anesthesia Name of Surgeon Name of Hospital Supervised by
Performed Qualified Clinical Instructor
Incomplete Abortion 6
1 August 19,2008 1875480 Mirhan,Rowena weeks Age of Gestation Completion Curettage Intravenous Anesthesia Dr.Tawny Ann C. Gaspar Ospital ng Maynila Medical Marie Chona Balce, RN
Besunia Gravidity 3 Parity 2 Center
Pregnancy Uterine 41
2 August 27,2008 1879096 Ocarol,Sandra weeks Age of Gestation Central Venous Pressure Local Anesthesia Dr. Alma Jawali Ospital ng Maynila Medical Jomar C. Cordero,RN,MAN
Romero Gravidity 6 Parity 5 Severe Insertion Center
Pre eclampsia
Undescended Testis Ospital ng Maynila Medical
3 May 13, 2009 1540346 Dayrit, Jonelve Bilateral Orchiectomy Bilateral Subarachnoid Block Dr.Robelle Joan Peralta Center Robert Araneta, RN
Extracapsular Cataract
4 May 13, 2009 1540715 Seno, Luis Cataract Senile Mature Extractional with Posterior Local Anesthesia Dr.Frances May Gapay Ospital ng Maynila Medical Robert Araneta, RN
Both Eyes chamber Interior ocular lens Center
right eye
5 August 26,2009 1943189 Melencio,Alma Cataract Senile Mature Extracapsular Cataract Dr. Christy Ann
Right Eye Extractional with Posterior Local Anesthesia Samaniego Ospital ng Maynila Medical Robert Araneta, RN
chamber Interior ocular lens Center
Prepared by: right eye

MARGARET C. PUA
 Signature over printed name
Concurred by: Approved by: Noted by:

ASUNCION C. BALISADO, R.N.,M.A.N._______________
Signature over printed name of Chief Nurse
Date Signed: ___________________________________
Degree: B.S.N., M.A.N._______________________
a. PRC No. 0116547______________________________
Valid Until: August 15, 2012______________________
b. PNA No. 14782______________________________
Valid until: Life Member________________________
c. ANSAP No. AN-004243________________________
Valid until: December 10, 2010__________________
NOEL C. CORDERO, R.N., M.A.N.________________
Signature over printed name of Dean
Date Signed: __________________________________
Degree: B.S.N., M.A.N._________________________
a. PRC No. 0301208_________________________
Valid Until: December 25, 2012_________________
b. PNA No. 13548____________________________
Valid until: Life member_______________________
c. ADPCN No. 0806_____________________________
Valid until: December 2010____________________
JOMAR C. CORDERO, R.N., M.A.N.___________________
Signature over printed name of Clinical Coordinator
Date Signed: ______________________________________
Degree: B.S.N., M.A.N._____________________________
a. PRC No. 0384407________________________________
Valid Until: May 3, 2012_____________________________
b. PNA No. 001729_________________________________
Valid until: December 2010__________________________

PHILIPPINE COLLEGE OF HEALTH SCIENCES,INC.

1813 C.M. RECTO AVE., MANILA

NAME OF STUDENT: __ Margaret C. Pua_____________________ First Course (if any): Bachelor of Science in Pharmacy_______
Name and address of School: Philippine College of Health Sciences, Inc. School graduated: _Centro Escolar University______________
1813 C.M. Recto Avenue, Manila_______ Year of admission in the BSN Program: _2007_______________
Recognition and Accreditation Level: CHED / Level IV _______________ Year graduated from the BSN Program: 2009______________
Date when School was recognized: October 24, 1996_______________

III. ACTUAL DELIVERIES

No Case Diagnosis Name Mother Age Date of Delivery Time of Gender of Baby Name of Hospital Type of Supervised by
No. Delivery Delivery Qualified Clinical Instructor
1 08213866 Pregnancy Uterine, 40 2/7 weeks Age of Jane Cuses 28 January 14,2008 8:39 am Male Dr.Jose Fabella Memorial Hospital Normal Spontaneous
Gestation, Cephalic in Labor, Gravidity 6, Delivery Maribel T. Marcelino, R.M.
Parity 5 BCHS#
2 08229430 Pregnancy Uterine, 40 2/7 weeks Age of Magie Almoroto 36 January 14,2008 9:05 am Male Dr.Jose Fabella Memorial Hospital Normal Spontaneous
Gestation, Cephalic in Labor, Gravidity 6, Delivery Maribel T. Marcelino, R.M.
Parity 5 BCHS#
3 08227029 Pregnancy Uterine, 37 2/7 weeks Age of Angie Onilar 22 January 16,2008 9:08 am Female Dr.Jose Fabella Memorial Hospital Normal Spontaneous
Gestation, Cephalic in Labor, Gravidity 3, Delivery Linda M. Villanueva, R.M.
Parity 1 BCHS#
4 08243163 Pregnancy Uterine, 33 5/7 weeks Age of Remelyn 22 April 08,2008 3:12 pm Male Dr.Jose Fabella Memorial Hospital Normal Spontaneous
Gestation, Cephalic in Labor ,Gravidity 2, Masagsa Delivery Katrina DL. Domingo, R.M.
Parity 1 BCHS#
5 1875242 Pregnancy Uterine 42 weeks Age of Jacqueline Neri 24 August 19,2008 2:00 pm Female Ospital ng Mayila Medical Center Normal Spontaneous
Gestation, Cephalic in Labor, Gravidity 1, Delivery Marie Chona L. Balce, R.N.
Parity 1
Prepared by:

MARGARET C. PUA______
Concurred by: ASUNCION C. BALISADO, R.N., M.A.N.____________ Signature over printed name
Date Signed: ______________________________________ a. PRC No. 0116547_______________________________
Signature over printed name of Chief Nurse (OMMC) Degree: B.S.N., M.A.N.__________________________ Valid Until: August 15, 2012_____________________
 b. PNA No. 14782________________________________
Valid until: Life Member____________________________
c. ANSAP No. AN-004243________________________________
Valid until: December 10, 2010_________________________
Concurred by:
MARIE THERESE A. PACABIS, R.N., R. M., M. A. N.___
Signature over printed name of Chief Nurse (DJFMH)
Date Signed:___________________________________
Degree: B.S.N., M.A.N.__________________________
a. PRC No. 0039563____________________________
Valid Until: October 12, 2012_____________________
b. PNA No. 18153______________________________
Valid until: Life Member________________________
c. ANSAP No.257________________________________
Valid until: Lifetime Member_____________________
Approved by:
NOEL C. CORDERO, R.N., M.A.N.______________
Signature over printed name of Dean
Date Signed: __________________________________
Degree: B.S.N., M.A.N._________________________
a. PRC No. 0301208__________________________
Valid Until: December 25, 2012_________________
b. PNA No. 13548____________________________
Valid until: Life member_______________________
c. ADPCN No. 0806_____________________________
Valid until: December 2010__________________
Noted by:
JOMAR C. CORDERO, R.N., M.A.N.__________________
Signature over printed name of Clinical Coordinator
Date Signed: _____________________________________
Degree: B.S.N., M.A.N.____________________________
a. PRC No. 0384407______________________________
Valid Until: May 3, 2012__________________________
b. PNA No. 001729_______________________________
Valid until: December 2010________________________
 PHILIPPINE COLLEGE OF HEALTH SCIENCES, INC.
1813 C.M. RECTO AVE., MANILA

NAME OF STUDENT: __ Pua,Margaret C._____ First Course (if any): _B.S.Pharmacy__________________________

Name and address of School: Philippine College of Health Sciences, Inc. School graduated: _Centro Escolar University_____________
1813 C.M. Recto Avenue, Manila_______ Year of admission in the BSN Program: _2007__________________
Recognition and Accreditation Level: CHED / Level IV _______________ Year graduated from the BSN Program: _2009___________________
Date when School was recognized: October 24, 1996_______________

IV. DELIVERIES ASSISTED

No Case Diagnosis Name of Patient Age Date of Time of Gender of Baby Name of Hospital Type of Supervised by
No. Delivery Delivery Delivery Qualified Clinical Instructor
1 Pregnancy Uterine 38 weeks Age of Normal Spontaneous
Gestation, Cephalic in Labor, Gravidity 1, Delivery
Parity 1
2 Pregnancy Uterine 38 weeks Age of Normal Spontaneous
Gestation, Cephalic in Labor Gravidity 6, Delivery
Parity 6
3 Pregnancy Uterine 37 weeks Age of Normal Spontaneous
Gestation, Cephalic in Labor Gravidity 1, Delivery
Parity 1
4 Pregnancy Uterine 37 weeks Age of Normal Spontaneous
Gestation, Cephalic in Labor Gravidity 1, Delivery
Parity 1
5 Pregnancy Uterine 37 weeks Age of Normal Spontaneous
Gestation, Cephalic in Labor Gravidity 1, Delivery
Parity 1
Prepared by:

________Uy Marlon Pua________

Prepared by:
Margaret C. Pua_______
Signature over printed name Signature over printed name

Concurred by: b. PNA No. 18153_____________________________ Degree: B.S.N., M.A.N._________________________

MARIE THERESE A. PACABIS, R.N., R. M., M. A. N.____
Signature over printed name of Chief Nurse
Date Signed:____________________________________
Degree: B.S.N., M.A.N.___________________________
a. PRC No. 0039563___________________________
Valid Until: October 12, 2009_____________________
Valid until: Life Member________________________
c. ANSAP No. 257______________________________
Approved by:
NOEL C. CORDERO, R.N., M.A.N.________________
Signature over printed name of Dean
Date Signed: __________________________________
a. PRC No. 0301208_________________________
Valid Until: December 25, 2012_________________
b. PNA No. 13548____________________________
Valid until: Life member_______________________
c. ADPCN No. 0806_____________________________
Noted by:
JOMAR C. CORDERO, R.N., M.A.N.___________________ Degree: B.S.N., M.A.N._____________________________ b. PNA No. 004988_________________________________
Signature over printed name of Clinical Coordinator a. PRC No. 0384407________________________________ Valid until: December, 2009__________________________
Date Signed: _____________________________________ Valid Until: May 3, 2012_____________________________
Valid until: Lifetime Member_____________________ Valid until: December, 2009____________________

PHILIPPINE COLLEGE OF HEALTH SCIENCES, INC.

1813 C.M. RECTO AVE., MANILA
NAME OF STUDENT: _ Pua, Margaret C.________
Name and address of School: Philippine College of Health Sciences, Inc.
1813 C.M. Recto Avenue, Manila_______
Recognition and Accreditation Level: CHED / Level IV _______________
Date when School was recognized: October 24, 1996_______________
First Course (if any): _B.S. Pharmacy________________________
School graduated: _Centro Escolar University_____________
Year of admission in the BSN Program: _2007 __________________
Year graduated from the BSN Program: _2009___________________
 V. CORD DRESSING
No Case Date Performed Name of Baby Gender of Name of Mother Age Name of Hospital Supervised by
No. Baby Qualified Clinical Instructor
Gat Andres Bonifacio Memorial Medical Center
1 89988 May 12,2009 Baby Tanghal Female Tanghal, Myrna A. 30 Vivian A. Timoteo, RN, MAN
Gat Andres Bonifacio Memorial Medical Center
2 94898 May 12,2009 Baby Ramos Male Ramos, Anastacia R. 43 Vivian A. Timoteo, RN, MAN
Dr. Jose Fabella Memorial Hospital
3 09282541 June 9,2009 Baby Paulo Male Paulo, Susan 36 Maribelle T. Marcelino, RM
Dr. Jose Fabella Memorial Hospital
4 09303209 June 9,2009 Baby Yucot Female Yucot, Dinah 30 Maribelle T. Marcelino, RM
Ospital ng Maynila Medical Center
5 650277 June 10,2009 Baby Dolem Female Dolem, Marites 31 Julie T. Mendoza, RN, MAN

Prepared by:

Margaret C. Pua
Signature over printed name

Concurred by: Aproved by: Noted by:

MARIE THERESE A. PACABIS, R.N., R. M., M. A. N.
Signature over printed name of Chief Nurse
Date Signed:_______________________________
Degree: B.S.N., M.A.N._______________________
a. PRC No. 0039563______________________
Valid Until: October 12, 2009_______________
b. PNA No. 18153_______________________
Valid until: Life Member___________________
c. ANSAP No. 257__________________________
Valid until: Lifetime Member_______________
NOEL C. CORDERO, R.N., M.A.N.________________
Signature over printed name of Dean
Date Signed: __________________________________
Degree: B.S.N., M.A.N.______________________
a. PRC No. 0301208_________________________
Valid Until: December 25, 2012________________
b. PNA No. 13548___________________________
Valid until: Life member______________________
c. ADPCN No. 0806_____________________________
Valid until: December, 2009___________________
JOMAR C. CORDERO, R.N., M.A.N.________________
Signature over printed name of Clinical Coordinator
Date Signed: __________________________________
Degree: B.S.N., M.A.N._______________________ ___
a. PRC No. 0384407____________________________
Valid Until: May 3, 2012________________________
b. PNA No. 004988_____________________________
Valid until: December, 2009______________________