REPUBLIC OF THE PHILIPPINES

PROFESSIONAL REGULATION COMMISSION

BOARD OF NURSING

Prepared by:
Name of Student: SALGADO, MARGARET F.

Name and Address of School : _________Far Eastern University, Nicanor Reyes Sr. Street Sampaloc Manila 1008

Accreditation Level : Level II PAASCU Re-Accredited ________________ Year Granted :___________May 6,

2005
Date School / Program was Recognized : April 10, 1958 Number : 66 _________________ Year : ________________ 1958

First Course (if any) : None School Graduated from : Not

Applicable
Year of Admission in the Bachelor of Science in Nursing Program : 2007

Year Graduate (BSN Program) : 2011

I. MAJOR OPERATIONS
Supervised by
Date of Case Name of Operation Type of Name of O.R Scrub
No. Diagnosis Name of Surgeon Name of Hospital (Name & Signature of Qualified
Operation No. Patient Performed Anesthesia Nurse
Clinical Instructor)
November Pregnancy Uterine- 39 3/7
Low Transeverse, President Diosdado Rachel Balite, RN
20, 2009 12634 Rosemerie weeks Age of Gestation, Spinal Alona Auto, MD
1 Cesarean Section Macapagal
2 R. Ibanez Cephalic in Labor Anesthesia
Memorial Medical
Center Cecilia M. Asuncion, RN, MAN
President Diosdado
Pregancy Uterine- 38 1/7 weeks
November Low Transverse, Spinal Macapagal Ben Gad, RN
10627 Lourdez F. Age of Gestation, Cephalic in Hazel Bolon, MD
2 20, 2009 Cesarean Section Anesthesia Memorial Medical
3 Estupa Labor, Elderly Pregnancy
Center
Cecilia M. Asuncion, RN, MAN
Francesca
05- Rugay Maternity
3 January 26, Mapoy Spinal Burton Cordero, Ferdinand Dela Cruz,
16041 Hemorrhoids Mixed Hemorrhoidectomy and General
2011 Evangelista Anesthesia MD RN
Hospital Rosalie R. Villanueva, RN, MAN
January 31, Romeo Rugay Maternity
Spinal Burton Cordero, Rosemarie Solarte, RN
2011 05- Mendoza Chronic Calculous Cholecystitis and General
4 Cholecystectomy Anesthesia MD
16086 Francesco Hospital
Rosalie R. Villanueva, RN, MAN
February
02, Janelle Rugay Maternity
2011 05- Villagarcia Intravenous Burton Cordero, and General
5 Excision biopsy Rosemarie Solarte, RN
16101 Robles Breast Mass (Left) sedation MD Hospital

Rosalie R. Villanueva, RN, MAN

Noted by: Concurred by: Approved by:

ELIZABETH F. HACIÑAS, RN, RM, MAN LENITA B. GALVEZ, RN_ SALOMIA S. DELA CRUZ, RN, MAN_ GLENDA S. ARQUIZA, RN, Ph.D,

Signature over printed Name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse
Signature over printed Name of Dean Date Signed: Date Signed: Date Signed:
Date Signed:
Degree: Master of Arts in Nursing Degree: Bachelor of Science in Nursing Degree: Master of Arts in Nursing Degree:
Doctor in Philosophy in Education ___________________
a.) PRC No.: 0101726 a.) PRC No.: 0074447 a.) PRC No.: 50969 a.) PRC No.: 0043483

Valid until: July 1, 2011 Valid until: July 24, 2011 Valid until: November 01, 2011 Valid until: _December
31, 2014
b.) PNA No.: 4870 b.) PNA No.: 2011-075786 b.) PNA No.: 041492 b.) PNA No.: 19071

Valid until: Lifetime Valid until: October 31, 2011 Valid until: October 31, 2011 Valid
until: Lifetime _________
c.) ANSAP No.: 0200 c.) ADPCN No.: 0786
Valid until: Lifetime Valid until: December 31,
2011
 REPUBLIC OF THE PHILIPPINES
PROFESSIONAL REGULATION COMMISSION
BOARD OF NURSING

Prepared by:
Name of Student: SALGADO, MARGARET F.

Name and Address of School:_________Far Eastern University, Nicanor Reyes Sr. Street Sampaloc Manila 1008

Accreditation Level : Level II PAASCU Re-Accredited _________________ Year Granted :___________May 6, 2005

Date School / Program was Recognized: April 10, 1958 Number : 66 __________________ Year : ________________ 1958

First Course (if any) : None _ School Graduated from : Not Applicable

Year of Admission in the Bachelor of Science in Nursing Program : 2007

Year Graduate (BSN Program): 2011

II. MINOR OPERATIONS

Supervised by
Date of Case Name of Operation Type of Name of Name of O.R Scrub
No. Diagnosis Name of Hospital (Name & Signature of Qualified
Operation No. Patient Performed Anesthesia Surgeon Nurse
Clinical Instructor)
President Diosdado
September
Callous Formation, Left Local Anesthesia Eurefrocina Macapagal
1 23, 2009 17278 Eufemia Coutery Ruby Sugue, RN
Plantar Cobura, MD Memorial Medical
Begrid
Center
Cecilia M. Asuncion, RN, MAN
February
01, 2011 Rugay Maternity
Jaime Incision and Drainage Jerry Santiago, Lorylane V. Daguison,
2 05-210 Infected Wounds Local Anesthesia and General
Alcantara with Debridement MD RN
Hospital
Rosalie R. Villanueva, RN, MAN
March 23,
36044 Danillo Stab Wound 2 centimeter, Local Paul Brian del Tondo Medical Evalyn Toquero, RM,
3 2011 Wound suturing
9 Miller Epigastric Area Anesthesia Castillo, MD Center RN, MAN
Frederick L. Brigino, RN, RM, MAN
March 23, 36035 Francis
Appendectomy Spinal Paul Brian del Tondo Medical
4 2011 5 Orcallo Amalia Pelagio, RN
Acute Appendicitis Anesthesia Castillo, MD Center
Frederick L. Brigino, RN, RM, MAN
March 24, Lacerated Wound 4
36047 Paul Brian del Evalyn Toquero, RM,
2011 Joel centimeter, Right Occipital Wound suturing Tondo Medical
5 1 Local Anesthesia Castillo, MD RN, MAN
Bulagnir area Center
Frederick L. Brigino, RN, RM, MAN

Noted by: Concurred by: Approved by:

ELIZABETH F. HACIÑAS, RN, RM, MAN RHODORA D. QUILANTIP, RN, MAN_ LENITA B. GALVEZ, RN_ SALOMIA S. DELA CRUZ, RN, MAN____ GLENDA S.
ARQUIZA, RN, Ph.D,
Signature over printed Name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse Signature over
printed name of Chief Nurse Signature over printed Name of Dean Date Signed: Date Signed: Date Signed:
Date Signed: Date Signed:
Degree: Master of Arts in Nursing Degree: Master of Arts in Nursing Degree: Bachelor of Science in Nursing Degree: Master of Arts in
Nursing_____ Degree: Doctor in Philosophy in Education__
a.) PRC No.: 0101726 a.) PRC No.: 0097511 a.) PRC No.: 0074447 a.) PRC No.: 50969
a.) PRC No.: 0043483
Valid until: July 1, 2011 Valid until: July 08, 2012 Valid until: July 24, 2011 Valid until: November 01, 2011________
Valid until: _December 31, 2014
b.) PNA No.: 4870 b.) PNA No.: 18651 b.) PNA No.: 2011-075786 b.) PNA No.: 041492
b.) PNA No.: 19071 __________
Valid until: Lifetime Valid until: Lifetime Valid until: October 31, 2011 Valid until: October
31, 2011__________ Valid until: Lifetime
c.) ANSAP No.: 0390 c.) ANSAP No.: 0200 c.) ADPCN No.:
0786 Valid until: Lifetime Valid until: Lifetime
Valid until: December 31, 2011
 REPUBLIC OF THE PHILIPPINES
PROFESSIONAL REGULATION COMMISSION
BOARD OF NURSING

Prepared by:
Name of Student: SALGADO, MARGARET F.
___________________
Name and Address of School : _________Far Eastern University, Nicanor Reyes Sr. Street Sampaloc Manila 1008

Accreditation Level : Level II PAASCU Re-Accredited ________________ Year Granted :__________May 6,

2005
Date School / Program was Recognized : April 10, 1958 Number : 66 _________________ Year : _______________ 1958

First Course (if any) : None School Graduated from : Not

Applicable
Year of Admission in the Bachelor of Science in Nursing Program : 2007

Year Graduate (BSN Program) : 2011

III. ACTUAL DELIVERIES

Supervised by
Case Name of Date of Time of Gender
No. Diagnosis Age Name of Hospital Type of Delivery (Name & Signature of Qualified Clinical
No. Mother Delivery Delivery of Baby
Instructor)
Gravida 1 Parity 0, Pregnancy
January 23, President Diosdado
Uterine, 28 1/7 Weeks Age of Princess Male Normal Spontaneous
1 11-42- 17 2010 2:37am Macapagal Memorial
Gestation, Cephalic in Labor Pajenel no Delivery
21 Medical Center
Cecilia M. Asuncion, RN, MAN
Gravida 1 Parity 0, Pregnancy
Uterine, 38 Weeks Age of Gestation, February 6, Female CSV Maternity and Normal Spontaneous
2 11-19- Mary Joy Ela 19 10:30 pm
Cephalic in Labor 2011 Lying-In Clinic Delivery
91
Ma. Dolores C. Bugna, RN, MAN
Gravida 1 Parity 0, Pregnancy
11-20- Uterine, 37-38 Weeks of Gestation, Vanessa March 02, CSV Maternity and Normal Spontaneous
3 17 1:33am Male
52 Cephalic in Labor Mangandi 2011 Lying-In Clinic Delivery
Ma. Dolores C. Bugna, RN, MAN
Gravida 2 Parity 1, Pregnancy
11-20-
Uterine, 39-40 Weeks Age of Jenelyn 23 CSV Maternity and Normal Spontaneous
4 64 March 8, 2011 6:45am Male
Gestation, Cephalic in Labor Tigusan Lying-In Clinic Delivery
Ma. Dolores C. Bugna, RN, MAN

11-20- Gravida 3 Parity 2, Pregnancy

Rochelle March 16. CSV Maternity and Normal Spontaneous
5 78 Uterine, 39-40 Weeks of Gestation, 34 3:10am Female
Faderon 2011 Lying-In Clinic Delivery
Cephalic in Labor
Ma. Dolores C. Bugna, RN, MAN

Noted by: Concurred by: Approved by:

CRISTINA S. VELASQUEZ, RM
ELIZABETH F. HACIÑAS, RN, RM, MAN ____(Owner/Adminitrator) SALOMIA S. DELA CRUZ, RN, MAN_ GLENDA S. ARQUIZA, RN,
Ph.D,
Signature over printed Name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse
Signature over printed Name of Dean Date Signed: Date Signed: Date Signed:
Date Signed:
Degree: Master of Arts in Nursing Degree: Graduate in Midwifery Degree: Master of Arts in Nursing Degree:
Doctor in Philosophy in Education______________
a.) PRC No.: 0101726 a.) PRC No.: 85157 a.) PRC No.:50969 a.) PRC No.: 0043483

Valid until: July 1, 2011 Valid until: December 2013 Valid until: November 01, 2011 Valid until: _December
31, 2014
b.) PNA No.: 4870 b.) PNA No.: 3407 b.) PNA No.: 041492 b.) PNA No.: 19071

Valid until: Lifetime Valid until: December 31, 2011 Valid until: October 31, 2011 Valid
until: Lifetime
c.) ADPCN No.: 0786
Valid until: December 31, 2011
 REPUBLIC OF THE PHILIPPINES
PROFESSIONAL REGULATION COMMISSION
BOARD OF NURSING

Prepared by:
Name of Student: SALGADO, MARGARET F.

Name and Address of School : _______ _Far Eastern University, Nicanor Reyes Sr. Street Sampaloc Manila 1008

Accreditation Level : Level II PAASCU Re-Accredited ________________ Year Granted :_________May 6, 2005

Date School / Program was Recognized : April 10, 1958 Number : 66 _________________ Year : ______________ 1958

First Course (if any) : None School Graduated from : Not

Applicable
Year of Admission in the Bachelor of Science in Nursing Program : 2007

Year Graduate (BSN Program) : 2011

IV. DELIVERIES ASSISTED

Supervised by
N Case Date of Time of Gender (Name & Signature of
Diagnosis Name of Mother Age Name of Hospital Type of Delivery
o. No. Delivery Delivery of Baby Qualified Clinical
Instructor)
Gravida 1 Parity 0,
President Diosdado
Pregnancy Uterine, 39 January 31, Normal Spontaneous
1 11-53-33 Michel Kristin P. Laqium 21 2:55am Male Macapagal Memorial
Weeks Age of Gestation, 2010 Delivery Cecilia M. Asuncion, RN,
Medical Center
Cephalic in Labor MAN
Gravida 3 Parity 2,
Pregnancy Uterine, 37-38 February 26, CSV Maternity and Lying- Normal Spontaneous
2 11-20-44 Regina Baluran 21 12:08am Male
Weeks of Gestation, Cephalic 2011 In Clinic Delivery Ma. Dolores C. Bugna, RN,
in Labor MAN
Gravida 5 Parity 4,
Pregnancy Uterine, 39 March 05, CSV Maternity and Lying- Normal Spontaneous
3 11-20-60 Elvesa Dacallos 31 8:59am Female
Weeks Age of Gestation 2011 In Clinic Delivery Ma. Dolores C. Bugna, RN,
Cephalic in Labor MAN
Gravida 1 Parity 0,
Pregnancy Uterine, 39-40 March 05, CSV Maternity and Lying- Normal Spontaneous
4 11-20-59 Mary Grace Pancho 21 12:04pm Female
Weeks Age of Gestation, 2011 In Clinic Delivery Ma. Dolores C. Bugna, RN,
Cephalic in Labor MAN
Gravida 2 Parity 1,
Pregnancy Uterine, 38-39 March 18, CSV Maternity and Lying- Normal Spontaneous
5 12-20-83 Necy Tilar 26 12:08pm Male
Weeks Age of Gestation, 2011 In Clinic Delivery Ma. Dolores C. Bugna, RN,
Cephalic in Labor MAN

Noted by: Concurred by: Approved by:

CRISTINA S. VELASQUEZ, RM
ELIZABETH F. HACIÑAS, RN, RM, MAN ___(Owner/Administrator)_ SALOMIA S. DELA CRUZ, RN, MAN_ GLENDA S. ARQUIZA, RN,
Ph.D,
Signature over printed Name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse
Signature over printed Name of Dean Date Signed: Date Signed: Date Signed:
Date Signed:
Degree: Master of Arts in Nursing Degree: Graduate in Midwifery Degree: Master of Arts in Nursing Degree:
Doctor in Philosophy in Education_____________________
a.) PRC No.: 0101726 a.) PRC No.: 85157 a.) PRC No.: 50969 a.) PRC No.: 0043483

Valid until: July 1, 2011 Valid until: December 2013 Valid until: November 01, 2011 Valid until: _December
31, 2014
b.) PNA No.: 4870 b.) PNA No.: 3407 b.) PNA No.: 041492 b.) PNA No.: 19071

Valid until: Lifetime Valid until: December 31,2011 Valid until: October 31, 2011 Valid
until: Lifetime
c.) ADPCN No.: 0786
Valid until: December 31, 2011
 REPUBLIC OF THE PHILIPPINES
PROFESSIONAL REGULATION COMMISSION
BOARD OF NURSING

Prepared by:
Name of Student: SALGADO, MARGARET F.

Name and Address of School : _________Far Eastern University, Nicanor Reyes Sr. Street Sampaloc Manila 1008

Accreditation Level : Level II PAASCU Re-Accredited ________________ Year Granted :_________May 6,

2005
Date School / Program was Recognized : April 10, 1958 Number : 66 _________________ Year : ______________1958

First Course (if any) : None School Graduated from : Not

Applicable
Year of Admission in the Bachelor of Science in Nursing Program : 2007

Year Graduate (BSN Program) : 2011

V. CORD DRESSING
Supervised by
No. Case No. Date Performed Name of Baby Gender of Baby Name of Mother Age Name of Hospital (Name & Signature of Qualified
Clinical Instructor)
President Diosdado
1 13648 January 31, 2010 Baby Jayawan Female Jobelie F. Jayawan 21 Macapagal Memorial
Medical Center Cecilia M. Asuncion, RN, MAN
CSV Maternity and Lying-
2 11-19-62 January 26, 2011 Baby Saldua Female Mary Ann Saldua 24
In Clinic Ma. Dolores C. Bugna, RN, MAN
CSV Maternity and Lying-
3 11-19-99 February 11, 2011 Baby Patagan Female Carren Mei Patagan 26
In Clinic
Ma. Dolores C. Bugna, RN, MAN
CSV Maternity and Lying-
4 11-20-67 March 5, 2011 Baby Gerong Female Joneliza Gerong 30
In Clinic Ma. Dolores C. Bugna, RN, MAN

5 351465 March 22, 2011 Baby Tordera Female Katherine Tordera 20 Tondo Medical Center
Frederick L. Brigino, RN, RM, MAN

Noted by: Concurred by: Approved by:

CRISTINA S. VELASQUEZ, RM
ELIZABETH F. HACIÑAS, RN, RM, MAN ____(Owner/Administrator)_____ _________ RHODORA D. QUILANTIP, RN, MAN_ SALOMIA S. DELA CRUZ, RN, MAN____
GLENDA S. ARQUIZA, RN, Ph.D,
Signature over printed Name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse Signature over
printed name of Chief Nurse Signature over printed Name of Dean Date Signed: Date Signed: Date Signed:
Date Signed: Date Signed:
Degree: Master of Arts in Nursing Degree: Graduate in Midwifery_____ Degree: Master of Arts in Nursing______ Degree: Master of Arts in
Nursing_____ Degree: Doctor in Philosophy in Education_
a.) PRC No.: 0101726 a.) PRC No.: 85157 a.) PRC No.: 0097511___ a.) PRC No.: 50969
a.) PRC No.: 0043483
Valid until: July 1, 2011 Valid until: December 2013 Valid until: July 08, 2012 Valid until: November 01, 2011________
Valid until: _December 31, 2014
b.) PNA No.: 4870 b.) PNA No.: 3407 b.) PNA No.:18651______ b.) PNA No.: 041492 b.) PNA
No.: 19071
Valid until: Lifetime Valid until: December 31, 2011 Valid until: Lifetime___ Valid until: October 31,
2011__________ Valid until: Lifetime
c.) ANSAP No.: 0340 c.) ADPCN No.: 0786
Valid until: Lifetime Valid
until: December 31, 2011