Chief Nurses Updated (2011)

QCGH
Noted by: Concurred by: Approved by:
DANIEL H. GAYOD RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0335718 ______ Valid until: September 23, 2012 b). PNA No.: 15981 Valid until: Lifetime
MARILOU GUILLERMINA JUAN-PALAFOX, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0118849 Valid until: February 10, 2011 b). PNA No.: 18459 Valid until: Lifetime c). ANSAP Until: 3271 Valid Until : Lifetime
NORA VELMA M. GAYOD RN, MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 Valid until: February 12, 2012 b). PNA No.: 15980 Valid until : Lifetime c). ADPCN No.: 0815 Valid until: 2010
FABELLA
MARIE THERESE A. PACABIS RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0039563 Valid until: October 12, 2012 b). PNA No.: 18153 Valid until : Lifetime c). ANSAP Until: 257 Valid Until : Lifetime
QMMC
LUZ P. PADUA RN, MAN, PhD Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0187428 Valid until: July 25, 2012 b). PNA No.: 11959 Valid until : Lifetime
AFP
COL EVELYN B BAUTISTA NC (GSC)

Signature over printed name of Command Nurse
Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0059003 Valid until: January 04, 2012 b). PNA No.: 1050016 Valid until : Lifetime c). ANSAP No.: 000206 Valid until : July 28, 2011
EAMC
NORA L. DIAZ RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0045102 Valid until: November 06, 2011 b). PNA No.: 14597 Valid until : Lifetime
CASAUL
TERESITA A. ROBENIOL RN, MaEd, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0083576 Valid until: February 19, 2010 b). PNA No.: Valid until :
LYING-IN
FE M. JUSTIMBASTE RN, MPH Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0089902 Valid until: December 04, 2012 b). PNA No.: 14184 Valid until : Lifetime
PNP
PSUPT. NORMITA O. CO RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: BSN, RN, MAN a). PRC No.: 0109984 Valid until: August 11, 2012 b). PNA No.: 002947 Valid until : December 31, 2010 c). ANSAP No.: 090275 Valid until : December 31, 2010
PCMC
AMELINDA S. MAGNO RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No: _ 0156074___ Valid until: _ June 03, 2011 __ b). PNA No. _ 15963 Valid until: __ Lifetime___
NORA VELMA M. GAYOD, RN, MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 Valid until: February 12, 2012 b). PNA No.: 15980 Valid until : Lifetime c). ADPCN No.: 0815 Valid until: 2010
FABELLA / PNPGH
Noted by: Concurred by: Concurred by: Approved by:
DANIEL H. GAYOD RN, MAN

Signature over printed Name of Clinical Coordinator
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0335718 ______ Valid until: September 23, 2012 b). PNA No.: 15981 Valid until: Lifetime
MARIE THERESE A. PACABIS RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0039563 Valid until: October 12, 2012 b). PNA No.: 18153 Valid until: Lifetime c). ANSAP No. : 257 Valid Until: Lifetime
PSUPT. NORMITA O. CO RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: BSN, RN, MAN a). PRC No.: 0109984 Valid until: August 11, 2012 b). PNA No.: 002947 Valid Until: December 31, 2010 c). ANSAP No. : 090275 Valid Until: December 31, 2010
NORA VELMA M. GAYOD RN, MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 Valid until: February 12, 2012 b). PNA No.: 15980 Valid until: Lifetime c). ADPCN No.: 0815 Valid until: 2010
FABELLA / AFP

MARIE THERESE A. PACABIS RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0039563 Valid until: October 12, 2012 b). PNA No.: 18153 Valid until: Lifetime c). ANSAP No. : 257 Valid Until: Lifetime
COL EVELYN B BAUTISTA NC (GSC) Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0059003 Valid until: January 04, 2012 b). PNA No.: 010516 Valid until: Lifetime c). ANSAP No. : 000206 Valid Until : July 28, 2011
QCGH / FABELLA
Noted by: Concurred by: MARILOU GUILLERMINA JUAN-PALAFOX RN, MAN Concurred by: Approved by:

Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0118849 Valid until: February 10, 2011 b). PNA No.: 18459 Valid until : Lifetime c). ANSAP No. : 3271 Valid Until : Lifetime
MARIE THERESE A. PACABIS RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0039563 Valid until: October 12, 2012 b). PNA No.: 18153 Valid Until: Lifetime c). ANSAP No. : 257 Valid Until : Lifetime
QCGH / PNPGH

Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0118849 Valid until: February 10, 2011 b). PNA No.: 18459 Valid until : Lifetime c). ANSAP No. : 3271 Valid Until: Lifetime
PSUPT. NORMITA O. CO RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: BSN, RN, MAN a). PRC No.: 0109984 Valid until: August 11, 2012 b). PNA No.: 002947 Valid Until: December 31, 2010 c). ANSAP No. : 090275 Valid Until: July 24, 2010
QMMC/ FABELLA

MARIE THERESE A. PACABIS RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0039563 Valid until: October 12, 2012 b). PNA No.: 18153 Valid Until: Lifetime c). ANSAP No. : 257 Valid Until: Lifetime
LYING-IN / FABELLA

MARIE THERESE A. PACABIS RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0039563 Valid until: October 12, 2012 b). PNA No.: 18153 Valid Until: Lifetime c). ANSAP No. : 257 Valid until: Lifetime
LYING-IN / QCGH
Noted by: Concurred by: Concurred by: MARILOU GUILLERMINA JUAN-PALAFOX RN, MAN Approved by:

Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0118849 Valid until: February 10, 2011 b). PNA No.: 18459 Valid Until: Lifetime c). ANSAP No. : 3271 Valid until : Lifetime
AFP / PNPGH

COL EVELYN B BAUTISTA NC (GSC) Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0059003 Valid until: January 04, 2012 b). PNA No.: 10516 Valid until : Lifetime c). ANSAP No. : 000206 Valid Until : July 28, 2011
PSUPT. NORMITA O. CO RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: BSN, RN, MAN a). PRC No.: 0109984 Valid until: August 11, 2012 b). PNA No.: 002947 Valid Until: December 31, 2010 c). ANSAP No. : 090275 Valid Until : July 24, 2010
QCGH / AFP
Noted by: Concurred by: Concurred by: MARILOU GUILLERMINA JUAN-PALAFOX RN, MAN Approved by:

COL EVELYN B BAUTISTA NC (GSC) Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0059003 Valid until: January 04, 2012 b). PNA No.: 10516 Valid until : Lifetime c). ANSAP No. : 000206 Valid Until : July 28, 2011
QCGH/ EAST AVE.


MARILOU GUILLERMINA JUAN-PALAFOX RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0118849 Valid until: February 10, 2011 b). PNA No.: 18459 Valid until: Lifetime c). ANSAP No. : 3271 Valid Until: Lifetime
NORA L. DIAZ RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0045102 Valid until: November 06, 2011 b). PNA No.: 14597 Valid until: Lifetime
QCGH/ NOVA DISTRICT


JOSEPHINE B. LEONARDO, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 81174 Valid until: April 03, 2011 b). PNA No.: 15614 Valid Until : Lifetime
CASAUL / AFP

COL EVELYN B BAUTISTA NC (GSC) Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 00590043 Valid until: January 04, 2012 b). PNA No.: 10516 Valid until : Lifetime
NORA VELMA M. GAYOD RN, MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 Valid until: February 12, 201 b). PNA No.: 15980 Valid until : Lifetime
c). ANSAP No.: Valid until:
000206 Jully 28, 2011
c). ADPCN No.: Valid until:
0815 2010
CASAUL/ EAST AVE


NORA L. DIAZ RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0045102 Valid until: November 06, 2011 b). PNA No.: 14597 Valid until : Lifetime
QMMC / CASAUL

NORA VELMA M. GAYOD RN, MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 Valid until: February 12, 201 b). PNA No.: 15980 Valid until : Lifetime c). ADPCN No.: 0815
PNPGH / QMMC

LUZ P. PADUA RN, MAN, PhD Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0187428 Valid until: July 25, 2012 b). PNA No.: 11959 Valid until: Lifetime
PSUPT. NORMITA O. CO RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: BSN, RN, MAN a). PRC No.: 0109984 Valid until: August 11, 2012 b). PNA No.: 002947 Valid Until: December 31, 2010
NORA VELMA M. GAYOD RN, MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 Valid until: February 12, 2012 b). PNA No.: 15980 Valid until : Lifetime
c). ANSAP No.: Valid Until:
090275 December 31, 2010
c). ADPCN No.: Valid until:
0815 2010
QMMC/ AFP

COL EVELYN B BAUTISTA NC (GSC) Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 00590043 Valid until: January 04, 2012 b). PNA No.: 10516 Valid until : Lifetime c). ANSAP No.: 000206 Valid until: Jully 28, 2011
CGH/ FABELLA

MARIE THERESE A. PACABIS RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0039563 Valid until: October 12, 2012 b). PNA No.: 18153 Valid Until: Lifetime c). ANSAP No. : 257 Valid Until: Lifetime
LYING-IN / QMMC
Noted by : Concurred by : Concurred by : Approved by :
DANIEL H. GAYOD RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0335718 Valid until: September 23, 2012 b). PNA No.: 15981 Valid until: Lifetime
FE M. JUSTIMBASTE, RN, MPH Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0089902 Valid until: December 04, 2012 b). PNA No.: 14184 Valid until : Lifetime
LUZ P. PADUA, RN, MAN, PhD. Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0187428 Valid until: July 25, 2012 b). PNA No.: 11959 Valid Until: Lifetime
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 Valid until: February 12, 2012 b). PNA No.: 15980 Valid until : Lifetime c). ADPCN : 0815
LYING-IN / EAMC
DANIEL H. GAYOD RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0335718 Valid until: September 23, 2012 b). PNA No.: 15981 Valid until: Lifetime
NORA L. DIAZ RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0045102 Valid until: November 06, 2011 b). PNA No.: 14597 Valid Until: Lifetime
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 Valid until: February 12, 2012 b). PNA No.: 15980 Valid until : Lifetime c). ADPCN : 0815 Valid Until: 2011-05-03
Approved by:
CASAUL / QCGH
Noted by: Concurred by: Concurred by:

TERESITA A. ROBENIOL RN, MaEd, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0083576 Valid until: February 19, 2012 b). PNA No.: Valid until:
QMMC / QCGH

PNPGH / FABELLA / QMMC

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

PSUPT. NORMITA O. CO RN, MAN

Signature over printed name of Chief Nurse
MARIE THERESE A. PACABIS RN, RM, MAN Signature over printed name of Chief Nurse
LUZ P. PADUA RN, MAN, PhD

NORA VELMA M. GAYOD RN, MAN

Signature over printed name of Dean
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until: 0335718 ______ September 23, 2012 15981 Lifetime___
Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until: c). ANSAP No. : Valid until:
BSN, RN, MAN 0109984 August 11, 2012 002947 Dec. 31, 2010 090275 Dec. 31, 2010 ________
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid Until: c). ANSAP No: Valid until : 0039563 October 12, 2012 18153 Lifetime 257 Lifetime
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until : __ 0187428 July 25, 2012 11959 Lifetime_______ _
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791_________
Valid until: ____ February 12, 2012_ b). PNA No.: ____ 15980___________ Valid until : Lifetime
c). ADPCN No.: ___0815 Valid until: 2010
Valid until: ____ 2010
CASAUL / FABELLA / QMMC

Noted by: DANIEL H. GAYOD RN, MAN
Concurred by: TERESITA A. ROBENIOL, RN, MAN

Concurred by:
Concurred by: LUZ P. PADUA RN, MAN, PhD

Approved by: NORA VELMA M. GAYOD RN, MAN

Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until : 0083576 February 19, 2012
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until : __ 0187428 July 25, 2012 11959 Lifetime_______ _
________
PNP / FABELLA / CASAUL

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


TERESITA A. ROBENIOL RN, MAN


Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No. : Valid until :
BSN, RN, MAN 0109984 August 11, 2012 002947 Dec. 31, 2010 090275 Dec. 31, 2010 ________
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until : 0083576 February 19, 2012
PNPGH / FABELLA / QCGH

Noted by: DANIEL H. GAYOD RN, MAN
Concurred by: PSUPT. NORMITA O. CO RN, MAN

Signature over printed name of Chief Nurse Date Signed: Degree: BSN, RN, MAN a). PRC No.: 0109984 Valid until: August 11, 2012 b). PNA No.: 002947 Valid until : December 31, 2010 c). ANSAP No. : 090275 Valid Until : December 31, 2010
Concurred by:
MARIE THERESE A. PACABIS RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0039563 Valid until: October 12, 2012 b). PNA No.: 18153 Valid Until: Lifetime c). ANSAP No: 257 Valid until : Lifetime
Concurred by:
MARILOU GUILLERMINA JUAN-PALAFOX RN, MAN
Approved by: NORA VELMA M. GAYOD RN, MAN

Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791___________ Valid until: ____February 12, 2012___ b). PNA No.: __ 15980____________ Valid until : Lifetime c). ADPCN No.: __ 0815 Valid until: ___ 2010__________ ____
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0335718 ______ Valid until: September 23, 2012 b). PNA No.: 15981 Valid until: Lifetime___
Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0118849 Valid until: February 10, 2011 b). PNA No.: 18459 Valid until : __ Lifetime__________ c). ANSAP No. : 3271 Valid Until : Lifetime
PNPGH / FABELLA / QMMC



MARIE THERESE A. PACABIS RN, RM, MAN

Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0187428 Valid until: July 25, 2012 b). PNA No.: 11959 Valid until: __ Lifetime__________

Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791___________ Valid until: ____February 12, 2012___ b). PNA No.: __ 15980____________ Valid until: Lifetime c). ADPCN No.: __ 0815 Valid until: ___ 2010_________ _ ___
Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until: c). ANSAP No. : Valid Until:
BSN, RN, MAN 0109984 August 11, 2012 002947 December 31, 2010 090275 December 31, 2010
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0039563 Valid until: October 12, 2012 b). PNA No.: 18153 Valid Until: Lifetime c). ANSAP No: 257 Valid until : Lifetime
PNPGH / CASAUL / QMMC

Noted by: Concurred by: Concurred by: TERESITA A. ROBENIOL RN, MaEd, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0083576 Valid until: February 19, 2012 b). PNA No.: Valid Until: Concurred by: Approved by:




Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791___________ Valid until: ____February 12, 2012___ b). PNA No.: __ 15980____________ Valid until: Lifetime c). ADPCN No.: __ 0815 Valid until: ___ 2010__________ ___
PNP / EAST AVE / QMMC



NORA L. DIAZ RN, MAN

Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0045102 Valid until: November 06, 2011 b). PNA No.: 14597 Valid Until: Lifetime


Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791___________ Valid until: ____February 12, 2012___ b). PNA No.: __ 15980____________ Valid until: Lifetime c). ADPCN No.: 0815 Valid until: ___ 2010_______ _ __ ___
PNPGH / EAST AVE/ CASAUL

Noted by: Concurred by: Concurred by: Concurred by: TERESITA A. ROBENIOL RN, MaEd, MAN Approved by:
Date Signed: Degree: Bachelor of Science in Nursing 0335718 ______ September 23, 2012 15981 Lifetime___
Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until: c). ANSAP No. : Valid Until: BSN, RN, MAN 0109984 August 11, 2012 002947 December 31, 2010 090275 December 31, 2010
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0045102 November 06, 2011 14597 Lifetime
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0083576 February 19, 2012
Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791___________ _
a). PRC No.: Valid until: b). PNA No.: Valid until:
a). PRC No.: Valid until: b). PNA No.: Valid Until:
a). PRC No.: Valid until: b). PNA No.: Valid until: __
Valid until: ____February 12, 2012__ b). PNA No.: __ 15980____________ Valid until: c). ADPCN No.: Lifetime 0815
__________
Valid until: ___ 2010_______ _
__ ___
PNP/ LYING-IN/ QMMC



FE M. JUSTIMBASTE RN, MPH

Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0089902 December 04, 2012 14184 Lifetime
LUZ P. PADUA RN MAN, PhD


Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing 0210791___________
Date Signed: Degree: Bachelor of Science in Nursing 0335718 ______ September 23, 2012 15981 Lifetime___
Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until: c). ANSAP No. : Valid Until: BSN, RN, MAN 0109984 August 11, 2009 002947 December 31, 2010 090275 December 31, 2010
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until: __ 0187428 July 25, 2012 11959 Lifetime_________
a). PRC No.:
Valid until: ____February 12, 2012___ b). PNA No.: __ Valid until: 15980____________ Lifetime
c). ADPCN No.: __ 0815 Valid until: ___ 2010__________ ___
QMMC / CASAUL / QCGH

Noted by:
Concurred by:
LUZ P. PADUA, RN, MAN, PhD.
Signature over printed Name of Chief Nurse
Concurred by:
Concurred by:
MARILOU GUILLERMINA JUAN-PALAFOX RN, MAN Signature over printed name of Chief Nurse
Approved by:
NORA VELMA M. GAYOD RN, MAN Signature over printed Name of Dean Date Signed: __ Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 __ Valid until: February 12, 2012 b). PNA No.: 15980 Valid Until: Lifetime c). ADPCN No.: 0815_____ _ _ Valid until: 2010
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0335718 ______ Valid until: September 23, 2012 b). PNA No.: 15981 Valid Until: Lifetime
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0187428 Valid until: July 25, 2012 b). PNA No.: 11959 Valid Until: Lifetime
Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0118849 Valid until: February 10, 2011 b). PNA No.: 18459 Valid Until: Lifetime c). ANSAP No.: 3271_______ _ Valid until: Lifetime
QMMC / CGH / AFP

Noted by:
Concurred by:
Concurred by:
Concurred by: COL EVELYN B BAUTISTA NC (GSC)

Signature over printed name of Command Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0059003 Valid until: January 04, 2012 b). PNA No.: 10516 Valid Until: Lifetime c). ANSAP No.: 000206_______ _ Valid until: July 28, 2011
Approved by:
NORA VELMA M. GAYOD, R.N., M.A.N. Signature over printed Name of Dean Date Signed: __ Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 __ Valid until: February 12, 2012 b). PNA No.: 15980 Valid Until: Lifetime c). ADPCN No.: 0815_____ _ _ Valid until: 2010
PNP / CGH / AFP

Noted by:
Concurred by:
Concurred by:
TERESITA A. ROBENIOL RN, MAN
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0083576 February 19, 2012
Concurred by:
Signature over printed name of Command Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid Until: c). ANSAP No.: Master of Arts in Nursing 0059003 January 04, 2012 10516 Lifetime 000206_______ _
Approved by:
Signature over printed Name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid Until: c). ADPCN No.: 0210791 __ February 12, 2012 15980 Lifetime 0815_____
Date Signed: Degree: Bachelor of Science in Nursing 0335718 ______ September 23, 2012 15981 Lifetime
Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid Until: c). ANSAP No.: BSN, RN, MAN 0109984 August 11, 2012 002947 December 31, 2010 015334
42646
December 09, 2009
Valid until:
December 31, 2010
Valid until:
July 28, 2011
Valid until:
2010
QMMC / EAST AVE. / AFP




Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0045102 November 06, 2011

Signature over printed name of Command Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid Until: c). ANSAP No.: Valid until: Master of Arts in Nursing 0059003 January 04, 2012 10516 Lifetime 000206_______ _ July 28, 2011

Signature over printed Name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid Until: c). ADPCN No.: Valid until: 0210791 __ February 12, 2012 15980 Lifetime 0815_____ 2010 _ _
Date Signed: Degree: Bachelor of Science in Nursing 0335718 ______ September 23, 2012 15981 Lifetime
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid Until: 0187428 July 25, 2012 11959 Lifetime
14597
Lifetime
PNPGH/ EAST AVE. / AFP



NORA L. DIAZ, RN, MAN

Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0045102 Valid until: November 06, 2011 b). PNA No.: 14597 Valid until: Lifetime

Signature over printed name of Command Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0059003 Valid until: January 04, 2012 b). PNA No.: 10516 Valid Until: Lifetime c). ANSAP No.: 000206_______ _ Valid until: July 28, 2011

Signature over printed Name of Dean Date Signed: __ Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 __ Valid until: February 12, 2012 b). PNA No.: 15980 Valid Until: Lifetime c). ADPCN No.: 0815_____ Valid until: 2010
Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid Until: c). ANSAP No.: Valid Until:
LYING-IN / CASAUL / QMMC / FABELLA

Noted by:
Concurred by:
FE M. JUSTIMBASTE, RN, MPH
Concurred by:
TERESITA A. ROBENIOL RN, MaEd, MAN
Concurred by:
Concurred by:
Approved by:
NORA VELMA M. GAYOD RN, MAN Signature over printed name of Dean
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0335718 Valid until: September 23, 2012 b). PNA No.: 15981 Valid until: Lifetime
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0089902 Valid until: December 04, 2012 b). PNA No.: 14184 Valid until : Lifetime
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0083576 Valid until: February 19, 2012 b). PNA No.: 42646 Valid Until: December 09, 2009
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0187428 Valid until: July 25, 2012 b). PNA No.: 11959 Valid until : __ Lifetime__________
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0039563 Valid until: October 12, 2012 b). PNA No.: 18153 Valid until : Lifetime c). ANSAP No.: 257 Valid until: Lifetime
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 Valid until: February 12, 2012 b). PNA No.: 15980 Valid until : Lifetime c). ANSAP No.: 0815 Valid until : 2010
AFP / PNP / QMMC / FABELLA

Noted by:
Concurred by:
Concurred by:
PSUPT NORMITA O CO, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid Until: c). ANSAP No.: Valid until : BSN, RN, MAN 0109984 August 11, 2012 002947 Dec. 31, 2010 090275 Dec. 31, 2010
Concurred by:
LUZ P. PADUA, R.N.,MAN., PhD
Concurred by:
MARIE THERESE A. PACABIS, RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0039563 Valid until: October 12, 2012 b). PNA No.: 18153 Valid until : Lifetime c). ANSAP No.: 257 Valid until: Lifetime
Approved by: NORA VELMA M. GAYOD,R.N.,MAN

Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0335718 Valid until: September 23, 2012 b). PNA No.: 15981 Valid until: Lifetime
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0187428 Valid until: July 25, 2012 b). PNA No.: 11959 Valid until : Lifetime
AFP / QCGH / QMMC / FABELLA

Noted by:
DALISAY L. PEAMANTE, R.N. M.A.N
Concurred by:
Concurred by:
Concurred by:
LUZ P. PADUA, R.N.,MAN., PhD Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0187428 Valid until: July 25, 2012 b). PNA No.: 11959 Valid until : __ Lifetime__________
Concurred by:
MARIE THERESE A. PACABIS, RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0039563 Valid until: ___ _ October 12, 2012 b). PNA No.: _____ 18153____________ Valid until : Lifetime c). ANSAP No.: ___ 257 Valid until: ____ Lifetime________
COL EVELYN B BAUTISTA NC (GSC) MARILOU GUILLERMINA JUAN-PALAFOX, RN, MAN Signature over printed name of Command Nurse Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0059003 Valid until: January 04, 2012 b). PNA No.: 10516 Valid until : Lifetime c). ANSAP No.: 000206 Valid until : July 28, 2011 Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0118849 Valid until: February 10, 2011 b). PNA No.: 18459 Valid Until: Lifetime c). ANSAP No.: 3271 Valid until : Lifetime

Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 Valid until: _ _ February 12, 2012 b). PNA No.: ____15980_ Valid until : Lifetime c). ANSAP No.: 0815 Valid until : 2010
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0190486 ______ Valid until: February 25, 2011 b). PNA No.: 15979 Valid until: Lifetime___
____
PNP/ CASAUL / QMMC / FABELLA

Noted by:
Concurred by:
PSUPT NORMITA O CO RN MAN
Concurred by:
TERESITA A. ROBENIOL, RN, Maed, MAN
Concurred by:
Concurred by:
MARIE THERESE A. PACABIS, RN, RM, MAN
Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No.: Valid until :
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0083576 Valid until: February 19, 2010 b). PNA No.: 42646 Valid Until: December 09, 2009
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0187428 Valid until: July 25, 2012 b). PNA No.: 11959 Valid until : __ Lifetime__________
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0039563 Valid until: ___ _ October 12, 2012 b). PNA No.: _____ 18153____________ Valid until : Lifetime c). ANSAP No.: ___ 257 Valid until: ____ Lifetime________

BSN, MAN 0109984 August 11, 2010 002947 December 31, 2010 090275 December 31, 2010
____
AFP / CASAUL / QMMC / FABELLA

Noted by:
Concurred by:
Concurred by:
Concurred by:
LUZ P. PADUA, R.N.,MAN., PhD Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0187428 Valid until: July 25, 2012 b). PNA No.: 11959 Valid until : __ Lifetime__________
Concurred by:
COL EVELYN B BAUTISTA NC (GSC) TERESITA A. ROBENIOL, RN, Maed, MAN Signature over printed name of Command Nurse Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0059003 Valid until: January 04, 2012 b). PNA No.: 10516 Valid until : Lifetime c). ANSAP No.: 000206 Valid until : July 28, 2011 Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0083576 Valid until: February 19, 2010 b). PNA No.: 42646 Valid Until: December 09, 2009

____
AFP / QMMC / EAST AVE / FABELLA

Noted by:
Concurred by:
Concurred by:
LUZ P. PADUA, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0187428 Valid until: July 25, 2012 b). PNA No.: 11959 Valid Until: Lifetime
Concurred by:
NORA L. DIAZ, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0045102 Valid until: November 06, 2011 b). PNA No.: 14597 Valid until : Lifetime
Concurred by:

Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0190486 Valid until: February 25, 2011 b). PNA No.: 15979 Valid until: Lifetime
PNP / QMMC / EAST AVE / FABELLA

Noted by:
Concurred by:
PSUPT NORMITA O. CO R.N, MAN
Concurred by:
Concurred by:
Concurred by:

LYIING-IN/ QMMC / EAST AVE / FABELLA

Noted by:
Concurred by:
Concurred by:
Concurred by:
Concurred by:
Approved by:
NORA VELMA M. GAYOD,R.N.,MAN

PNP / QMMC / EAST AVE / AFP

Noted by:
Concurred by:
PSUPT NORMITA O. CO R.N, MAN
Concurred by:
Concurred by:
Concurred by:
COL EVELYN B BAUTISTA NC (GSC) Signature over printed name of Command Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0059003 Valid until: January 04, 2012 b). PNA No.: 10516 Valid until : Lifetime c). ANSAP No.: 002776 Valid until: July 28, 2011

AFP / CASAUL / QMMC / PNPGH

Noted by:
Concurred by:
Concurred by:
TERESITA A. ROBENIOL, RN, Maed, MAN
Concurred by:
Concurred by:
PSUPT. NORMITA O. CO, R.N, MAN
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0083576 Valid until: February 19, 2010 b). PNA No.: 42646 Valid Until: December 09, 2009
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0187428 Valid until: July 25, 2012 b). PNA No.: 11959 Valid until : Lifetime
Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No.: Valid until:

BSN, RN, MAN 0109984 August 11, 2012 002947 Dec. 31, 2010 090275 Dec. 31, 2010
AFP / QMMC / PNP

Noted by:
DALISAY L. PEAMANTE, R.N. M.A.N.
Concurred by:
COL EVELYN B BAUTISTA NC (GSC) Signature over printed name of Command Nurse Date Signed: Degree: Master of Arts in Nursing a ). PRC No.: Valid until: b). PNA No.: Valid until: c). ANSAP No; Valid Until: 0059003 January 04, 2012 10516 Lifetime 000206 July 28, 2011
Concurred by:
LUZ P.PADUA,R.N,M.A.N,PhD Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid Until: b). PNA No.: Valid Until: 0187428 July 25, 2012 11959 Lifetime
Concurred by:
PSUPT NORMITA O CO RN MAN Signature over printed name of Chief Nurse Date Signed: Degree: BSN, RN, MAN a). PRC No.: Valid until: b). PNA No.: Valid until: c.) ANSAP No: Valid Until: 0109984 August 11,2009
002947
Approved by :
NORA VELMA M. GAYOD, RN, MAN Signature over printed Name of Dean Date Signed : Degree : Bachelor of Science in Nursing a). PRC No. : Valid Until : b). PNA No. : Valid Until : c). ADPCN No.: Valid Until : 0210791 February 12, 2012 15980 Lifetime 0815 2010
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until: 0190486 ______ February 25, 2011 15979 LIFETIME
December 31, 2010

090275
December 31, 2010
QCGH / QMMC / PNPGH

Noted by:
Concurred by:
MARILOU GUILLERMINA JUAN-PALAFOX,RN,MAN Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a ). PRC No.: Valid until: b). PNA No.: Valid until: c). ANSAP No; Valid Until: 0118849 Febuary 10, 2011 18459 Lifetime 3271 Lifetime
Concurred by:
LUZ P.PADUA,R.N,M.A.N,PhD Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid Until: b). PNA No.: Valid Until: 0187428 July 25, 2012 11959 Lifetime
Concurred by:
PSUPT NORMITA O CO RN MAN Signature over printed name of Chief Nurse Date Signed: Degree: BSN, RN, MAN a). PRC No.: Valid until: b). PNA No.: Valid until: c.) ANSAP No: Valid Until: 0109984 August.11,2012
002947
Approved by :
NORA VELMA M. GAYOD, RN, MAN Signature over printed Name of Dean Date Signed : Degree : Bachelor of Science in Nursing a). PRC No. : Valid Until : b). PNA No. : Valid Until : c). ADPCN No.: Valid Until : 0210791 February 12, 2012 15980 Lifetime 0815 2010
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until: 0190486 ______ February 25, 2011 15979 LIFETIME
December 31, 2010

090275
December 31, 2010
AFP / QMMC / NOVA DISTRICT

Noted by:
Concurred by:
COL EVELYN B BAUTISTA NC (GSC) Signature over printed name of Command Nurse Date Signed: Degree: Master of Arts in Nursing a ). PRC No.: Valid until: b). PNA No.: 0059003 January 04, 2012 10516
Concurred by:
LUZ P.PADUA,R.N,M.A.N,PhD Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid Until: b). PNA No.: 0187428 July 25, 2012 11959
Concurred by:
JOSEPHINE B. LEONARDO, RN,MAN, Ph.D Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: 81174 April 03, 2011 15614
Approved by :
NORA VELMA M. GAYOD, RN, MAN Signature over printed Name of Dean Date Signed : Degree : Bachelor of Science in Nursing a). PRC No. : Valid Until : b). PNA No. : 0210791 February 12, 2012 15980
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: 0190486 ______ February 25, 2011 15979
Valid until:
LIFETIME
Valid until: c). ANSAP No; Valid Until:
Lifetime 000206 July 28, 2011
Valid Until:
Lifetime
Valid until:
Lifetime
Valid Until : c). ADPCN No.: Valid Until :
Lifetime 0815 2010
LYING-IN / CASAUL
DALISAY L. PEAMANTE, R.N. M.A.N Signature over printed Name of Clinical Coordinator Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until: Bachelor of Science in Nursing 0190486 February 25, 2011 15979 Lifetime
FE M. JUSTIMBASTE, RN, MPH Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0089902 December 04, 2012 14184 Lifetime
TERESITA A. ROBENIOL, R.N., MaEd, M.A.N. Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0083576 February 19, 2010 42646 December 09, 2009
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing 0210791 February 12, 2012 15980 Lifetime 0815 2010
a). PRC No.: Valid until: b). PNA No.: Valid until :
a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No.: Valid until :
QMMC / LYING-IN / QCGH

Noted by: DALISAY L. PEAMANTE, R.N. M.A.N.
Concurred by: LUZ P. PADUA, RN, MAN, PhD.

Concurred by: FE M. JUSTIMBASTE, RN, MPH Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0089902 Valid until: December 04, 2012 b). PNA No.: 14184 Valid until: Lifetime
Concurred by:
MARILOU GUILLERMINA JUAN-PALAFOX, RN, MAN Signature over printed name of Chief Nurse
Approved by: NORA VELMA M. GAYOD, R.N., M.A.N. Signature over printed Name of Dean Date Signed: __ Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 __ Valid until: February 12, 2012 b). PNA No.: 15980 Valid Until: Lifetime c). ADPCN No.: 0815_____ _ _ Valid until: 2010
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0190486 ______ Valid until: February 25, 2011 b). PNA No.: 15979 Valid until: LIFETIME
Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0118849 Valid until: February 10, 2011 b). PNA No.: 18459 Valid Until: Lifetime c). ANSAP No.: 3271_______ _ Valid until: Lifetime
LYING-IN / CASAUL / FABELLA

Noted by:
DALISAY L. PEAMANTE, RN, MAN
Concurred by:
FE M. JUSTIMBASTE, RN, MPH Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until : 0089902 December 04, 20012 14184 Lifetime
Concurred by:
TERESITA A. ROBENIOL, RN, MaEd, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid Until: 0083576 February 19, 2012 42646 December 09, 2009
Concurred by:
MARIE THERESE A. PACABIS, RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until : __ c). ANSAP No.: ___ Valid until: ____ 0039563 October 12, 2012 18153 Lifetime__________ 257 Lifetime___________
Approve by :
NORA VELMA M. GAYOD,RN, MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791_____
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until: 0190486 ______ February 25, 2011 15979 Lifetime___
Valid until: ____ February 12, 2012___ b). PNA No.: _____ 15980____________ Valid until : Lifetime c). ADPCN No.: 0815 Valid until : 2010
LYING-IN / CASAUL / QCGH

Noted by:
Concurred by:
Signature over printed name of Asst. Chief Nurse
Concurred by:
TERESITA A. ROBENIOL, RN, MaEd, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0083576 February 19, 2012 42646 December 09, 2009
Concurred by:
MARILOU GUILLERMINA JUAN-PALAFOX, RN, MAN
Approved by:
NORA VELMA M. GAYOD, RN, MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing
Date Signed: Degree: Bachelor of Science in Nursing 0190486 ______ February 25, 2011 15979 Lifetime___
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until : 0089902 December 04, 2012 14184 Lifetime
Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing 0118849 February 10, 2011 18459
a). PRC No.: Valid until: b). PNA No.:
a). PRC No.: 0210791_ Valid until: ____ February 12, 2012 b). PNA No.: _____ 15980____________ Valid until : Lifetime c). ADPCN No.: ___ 0815 Valid until: ____ 2010______________
Valid until : __ Lifetime_________ _ c). ANSAP No.: __ _ 3271 Valid until: ____ Lifetime___________ _
QCGH / CASAUL / FABELLA

Noted by:
Concurred by:
Concurred by:
MARIE THERESE A. PACABIS, RN, RM, MAN
Concurred by:
TERESITA A. ROBENIOL,RN, MaEd, MAN
Approved by:
NORA VELMA M. GAYOD, RN, MAN
Signature over printed Name of Clinical Coordinator Date Signed: Degree: Bachelor of Science in Nursing
Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No. : Valid until : Master of Arts in Nursing 0118849 February 10, 2011 18459 Lifetime 3271 Lifetime
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0039563 October 12, 2012 18153 Lifetime 257 Lifetime
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0083576 February 19, 2012 42646 December 09, 2009
Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: ____ February 12, 2012___ b). PNA No.: _____ 15980____________ Valid until : Lifetime
a). PRC No.: 0190486 ______ 0210791___________ Valid until: February 25, 2011 b). PNA No.: Valid until: 15979 Lifetime___
a). PRC No.: Valid until: b). PNA No.: Valid Until: c). ANSAP No: Valid until :
a). PRC No.: Valid until: b). PNA No.: Valid until : __
c). ADPCN No.: ___ 0815 Valid until: ____
2010______________
PNP / QCGH / CASAUL

Noted by:
DALISAY L. PEAMANTE, RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: Degree: Bachelor of Science in Nursing
Concurred by:
PSUPT. NORMITA O. CO, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No. : Valid until : BSN, RN, MAN 0109984 August 11, 2012 002947 December 31, 2010 090275 December 31, 2010
Concurred by:
Concurred by:
TERESITA A. ROBENIOL,RN, MaEd, MAN
Approved by:
NORA VELMA M. GAYOD,RN, MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: ____ February 12, 2012___ b). PNA No.: _____ 15980____________ Valid until : Lifetime
Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing 0118849 February 10, 2011 18459 Lifetime 3271 Lifetime
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0083576 February 19, 2012 42646 December 09, 2009 _
2010______________
QCGH / FABELLA / QMMC

Noted by: DALISAY L. PEAMANTE, RN, MAN
Concurred by:
Concurred by: MARIE THERESE A. PACABIS, RN, RM, MAN

Concurred by: LUZ P. PADUA, RN, MAN, PhD

Approved by: NORA VELMA M. GAYOD, RN, MAN

Date Signed: Degree: Bachelor of Science in Nursing 0190486 February 25, 2011 15979 Lifetime
Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No. : Valid Until : Master of Arts in Nursing 0118849 February 10, 2011 18459 Lifetime 3271 Lifetime
Date Signed: Degree: Bachelor of Science in Nursing 0039563 October 12, 2012 18153 Lifetime 257 Lifetime
Date Signed: Degree: Bachelor of Science in Nursing 0187428 July 25, 2012 11959 Lifetime
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until : c). ADPCN No.: Valid until : 0210791 February 12, 2012 15980 Lifetime 0815 2010
QCGH / FABELLA / lying-in

Noted by:
Concurred by:
Concurred by:
MARIE THERESE A. PACABIS, RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Master of Arts in Nursing 0118849 February 10, 2011 18459 Lifetime 3271 Degree: Bachelor of Science in Nursing 0039563 October 12, 2012 18153 Lifetime 257
Concurred by:
FE M. JUSTIMBASTE, RN, MPH Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0089902 December 04, 2012 14184 Lifetime
Approved by:
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until : c). ADPCN No.: 0210791 February 12, 2012 15980 Lifetime 0815
Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No. :
a). PRC No.: Valid until: b). PNA No.: Valid Until: c). ANSAP No:
Valid Until :
Lifetime
Valid until :
Lifetime
Valid until :
2010
QCGH / AFP / QMMC

Noted by:
Concurred by:
Concurred by:
COL EVELYN B BAUTISTA NC (GSC) Signature over printed name of Command Nurse Date Signed: Master of Arts in Nursing 0118849 February 10, 2011 18459 Lifetime 3271 Lifetime Degree: Master of Arts in Nursing 0059003 January 04, 2012 10516 Lifetime
Concurred by:
Approved by:
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean
Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No. : Valid Until :
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0187428 July 25, 2012 11959 Lifetime
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until : c). ADPCN No.: Valid until : 0210791 February 12, 2012 15980 Lifetime 0815 2010
000206 July 28, 2011
QCGH / EAST AVE. / AFP

Noted by:
DALISAY L. PEAMANTE, R.N. M.A.N Signature over printed Name of Clinical Coordinator Date Signed: Degree: Bachelor of Science in Nursing
Concurred by:
Concurred by:
COL EVELYN B BAUTISTA NC (GSC) Signature over printed name of Command Nurse Date Signed: Master of Arts in Nursing Degree: Master of Arts in Nursing
Concurred by:
NORA L. DIAZ, RN, MAN
Approved by:
Signature over printed name of Chief Nurse Date Signed: Degree:
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing
Date Signed: Degree: Bachelor of Science in Nursing
0190486 February 25, 2011 15979 Lifetime
a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No. : Valid Until :
0118849 February 10, 2011 18459 Lifetime 3271 Lifetime
0059003 January 04, 2012 10516 Lifetime
0045102 November 06, 2011 14597 Lifetime
a). PRC No.: Valid until: b). PNA No.: Valid until : c). ADPCN No.: Valid until :
0210791 February 12, 2012 15980 Lifetime 0815 2010
000206 July 28, 2011
NOVA DISTRICT / QCGH

Concurred by: JOSEPHINE B. LEONARDO, R.N., M.A.N., Ph.D Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until: 81174 April 3, 2011 15614 Lifetime
Concurred by:
MARILOU GUILLERMINA JUAN-PALAFOX, R.N., M.A.N
Approved by: NORA VELMA M. GAYOD, R.N., M.A.N. ___ Signature over printed Name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until: c). ADPCN No.: Valid until: 0210791 February 12, 2012 15980 Lifetime 0815_______ _ 2010 ________
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until: 0190486 ______ February 25, 2011 15979 Lifetime
Signature over printed name of Chief Nurse Date Signed: Degree: Master of Arts in Nursing a). PRC No.: 0118849 Valid Until: February 10, 2011 b). PNA No.: 18459 Valid Until: Lifetime c) ANSAP No.: _____ _3271________ __ Valid until: _____ __Lifetime _____
_ _____
NOVA DISTRICT / FABELLA

Concurred by: JOSEPHINE B. LEONARDO, R.N., M.A.N., Ph.D Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 81174 Valid until: April 3, 2011 b). PNA No.: 15614 Valid until: Lifetime
Concurred by: MARIE THERESE A. PACABIS, RN.,M.A.N Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0039563 Valid Until: October 12, 2012 b). PNA No.: 18153 Valid Until: Lifetime c). ANSAP No.: 257 Valid Until : Lifetime
Approved by: NORA VELMA M. GAYOD, R.N., M.A.N. Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791 ________ Valid until: February 12, 2012 _____ b). PNA No.: 15980__________ Valid until: Lifetime __ c). ADPCN No.: 0815________________ Valid until: 2010
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0190486 ______ Valid until: February 25, 2011 b). PNA No.: 15979 Valid until: Lifetime
NOVA DISTRICT / QMMC

Concurred by: JOSEPHINE B. LEONARDO, R.N., M.A.N., Ph.D Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until: 81174 April 3, 2011 15614 Lifetime
Concurred by: LUZ P. PADUA, R.N.,MAN., PhD Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid Until: b). PNA No.: Valid Until: 0187428 July 25, 2012 11959 Lifetime
Approved by: NORA VELMA M. GAYOD, R.N., M.A.N. ___ Signature over printed Name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until: c). ADPCN No.: Valid until: 0210791 February 12, 2012 15980 Lifetime 0815_______ _ 2010 ________
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until: 0190486 ______ February 25, 2011 15979 Lifetime
LYING-IN / NOVA DISTRICT / EAST AVE.

Noted by:
Concurred by:
Concurred by:
JOSEPHINE B. LEONARDO, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 81174 April 3, 2011 15614 Lifetime
Concurred by:
NORA L. DIAZ, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0045102 Nov. 06, 2011 14597
Approved by:
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: ____ February 12, b). PNA No.: _____ 15980____________ Valid until : Lifetime
0089902 December 04, 2012 14184
a). PRC No.: 0190486 ______ 0210791___________ Valid until: February 25, 2011 2012___ b). PNA No.: 15979 Valid until: Lifetime___
Lifetime
Valid until : __ Lifetime______ ____
c). ADPCN No.: ___ 0815 Valid until: ____ 2010_____________
LYING-IN / EAST AVE.

DALISAY L. PEAMANTE, R.N. M.A.N Signature over printed Name of Clinical Coordinator
FE M. JUSTIMBASTE, RN, MPH Signature over printed name of Chief Nurse
NORA L. DIAZ, RN, MAN Signature over printed name of Chief Nurse
Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until: Bachelor of Science in Nursing 0190486 February 25, 2011 15979 Lifetime
Date Signed: Degree: Bachelor of Science in Nursing 0089902 December 04, 2012 14184 Lifetime

0045102 November 06, 2011 14597
Date Signed: Degree: Bachelor of Science in Nursing 0210791 February 12, 2012 15980 Lifetime 0815 2010
a). PRC No.: Valid until: b). PNA No.: Valid until : c). ADPCN : Valid until :
Lifetime
FABELLA / EAST AVE.

Noted by: DALISAY L. PEAMANTE, R.N. M.A.N Signature over printed Name of Clinical Coordinator Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until: Bachelor of Science in Nursing 0190486 February 25, 2011 15979 Lifetime Concurred by: MARIE THERESE A. PACABIS, RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0039563 October 12, 2012 18153 Lifetime 257 Lifetime Concurred by: NORA L. DIAZ, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing
0045102 November 06, 2011 14597
Approved by: NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing 0210791 February 12, 2012 15980 Lifetime 0815 2010
a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No: Valid until :
a). PRC No.: Valid until: b). PNA No.: Valid until : c). ADPCN No.: Valid until:
Lifetime
QMMC / EAST AVE.

DALISAY L. PEAMANTE, RN, MAN Signature over printed Name of Clinical Coordinator Date Signed:
NORA L. DIAZ, RN, MAN Signature over printed name of Chief Nurse Date Signed:
LUZ P. PADUA, RN, MAN, PhD. Signature over printed name of Chief Nurse Date Signed:
NORA VELMA M. GAYOD,RN, MAN Signature over printed name of Dean Date Signed:
Degree: a). PRC No.: Valid until: b). PNA No.: Valid until:
Bachelor of Science in Nursing 0190486 February 25, 2011 15979 Lifetime
Degree:
Bachelor of Science in Nursing

0045102 November 06, 2011 14597
Degree:
Bachelor of Science in Nursing 0187428 July 25, 2012 11959 Lifetime
Degree:
Bachelor of Science in Nursing 0210791 February 12, 2012 15980 Lifetime 0815
2010
a). PRC No.: Valid until: b). PNA No.: Valid until : c). ADPCN :
Valid until :
Lifetime
FABELLA / PNPGH / EAST AVE.

Noted by:
Concurred by:
Concurred by:
MARIE THERESE A. PACABIS, RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: BSN, RN, MAN 0109984 August 11, 2012 002947 December 31, 2010 090275 December 31, 2010 Degree: Bachelor of Science in Nursing 0039563 October 12, 2012 18153 Lifetime 257 Lifetime
Concurred by:
NORA L. DIAZ, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0045102 Nov. 06, 2011 14597 Lifetime__________
Approved by:
Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No. : Valid until :
2010______________
FABELLA / QCGH / EAST AVE.

Noted by:
DALISAY L. PEAMANTE, R.N. M.A.N Signature over printed Name of Clinical Coordinator Date Signed:
Concurred by:
Concurred by:
MARIE THERESE A. PACABIS, RN, RM, MAN Signature over printed name of Chief Nurse Date Signed:
Concurred by:
NORA L. DIAZ, RN, MAN Signature over printed name of Chief Nurse Date Signed:
Approved by:
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed:
Signature over printed name of Chief Nurse Date Signed:
Degree:
Bachelor of Science in Nursing
Degree: a). PRC No.: Valid until: b). PNA No.: Valid until :
Master of Arts in Nursing

0118849 February 10, 2011 18459
Degree:
Bachelor of Science in Nursing 0039563 October 12, 2012 18153 Lifetime 257 Lifetime
Degree:
Bachelor of Science in Nursing 0045102 Nov. 06, 2011 14597 Lifetime__________
Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: ____ February 12, 2012___ b). PNA No.: _____ 15980____________ Valid until : Lifetime
Lifetime 3271 Lifetime
c). ANSAP No. : Valid until : 2010______________
QCGH / FABELLA / CASAUL

Noted by:
DALISAY L. PEAMANTE, R.N. M.A.N Signature over printed Name of Clinical Coordinator Date Signed: Degree: Bachelor of Science in Nursing Nursing a). PRC No.: 0190486 ______ 0210791_________ Valid until: February 25, 2011 _ b). PNA No.: 15979 15980___________ Valid until: Lifetime___
Concurred by:
Concurred by:
MARIE THERESE A. PACABIS, RN, RM, MAN Signature over printed name of Chief Nurse Date Signed:
Concurred by:
TERESITA A. ROBENIOL, RN, MaEd, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0083576 February 19, 2012 42646 December 09, 2009 _
Approved by:
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in a). PRC No.: Valid until: ____ February 12, 2012 b). PNA No.: _____ Valid until : Lifetime
Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No. : Valid until : Master of Arts in Nursing
0118849 February 10, 2011 18459
Degree:
Bachelor of Science in Nursing 0039563 October 12, 2012 18153 Lifetime 257 Lifetime
2010____________
QCGH / LYING-IN / EAST AVE.

Noted by:
Concurred by:
Concurred by:
FE M. JUSTIMBASTE, RN, MPH Signature over printed name of Chief Nurse Date Signed:
Concurred by:
Approved by:
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: ____ February 12, 2012___ b). PNA No.: _____ 15980____________ Valid until : Lifetime
Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No. : Valid until : Master of Arts in Nursing
0118849 February 10, 2011 18459
Degree:
Bachelor of Science in Nursing 0089902 December 04, 2012 14184 Lifetime
2010______________
LYING-IN /QMMC / EAST AVE.

Noted by:
Concurred by:
Concurred by:
LUZ P. PADUA, R.N.,MAN., PhD Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0187428 July 25, 2012 11959
Concurred by:
Approved by:
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: ____ February 12, b). PNA No.: _____ 15980____________
0089902 December 04, 2012 14184
a). PRC No.: 0190486 ______ 0210791___________ Valid until: February 25, 2011 2012___ b). PNA No.: 15979
Valid until:
Lifetime___
Valid until :
Lifetime
Valid Until:
Lifetime
Valid until : __ Lifetime______ ____
Valid until :
Lifetime
LYING-IN / QMMC / FABELLA

Noted by:
Concurred by:
Concurred by:
LUZ P. PADUA, R.N.,MAN., PhD Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0187428 July 25, 2012 11959 Lifetime
Concurred by:
MARIE THERESE A. PACABIS R.N., R.M., M.A.N
Approved by:
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0089902 December 04, 2012 14184 Lifetime
Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0039563 October 12, 2012 18153
Valid until : __ Lifetime______ ___ _ c). ANSAP: Valid until: 257 Lifetime
c). ADPCN No.: ___ 0815 Valid until: ____ 2010__
__________
FABELLA / AFP / EAST AVE.

Noted by:
DALISAY L. PEAMANTE, R.N. M.A.N. ____ Signature over printed Name of Clinical Coordinator Date Signed: ____ Degree: Bachelor of Science in Nursing ____ a). PRC No.: 0190486 ______ ____ Valid until: February 25, 2011 ____ b). PNA No.: 15979 ____ Valid until: Lifetime _____________
Concurred by:
MARIE THERESE A. PACABIS R.N., R.M., M.A.N Signature over printed name of Chief Nurse Date Signed:_____________________________ Degree: Bachelor Of Science In Nursing ____ a). PRC No: 0039563 ____ ____________ Valid until: October 12, 2012____ b). PNA No.: 18153____ ____________ Valid until: Lifetime_____ ___ c). ANSAP: 257_____ ____________ Valid until: Lifetime ___
Concurred by:
NORA L. DIAZ R.N., M.A.N.______ Signature over printed Name of Chief Nurse Date Signed: ________ Degree: Bachelor Of Science In Nursing a).PRC No.: 0045102 Valid until: November 06, 2011 b).PNA No.: 14597 _______ __ Valid until: Lifetime ________
Concurred by:
Signature over printed Name of Command Nurse
Approved by:
NORA VELMA M. GAYOD, R.N., M.AN._ _ Signature over printed Name of Dean Date Signed: __________ Degree: Bachelor Of Science In Nursing__ a).PRC No.: 0210791_____ _____ Valid Until: February 12, 2012_ __ b).PNA No.: 15980 __________ Valid Until: Lifetime ____ _____ c).ADPCN No.: 0815___ ____ ____ Valid until: 2010_____ _________
Date Signed: ________ Degree: Master of Arts In Nursing _ a).PRC No.: 0059003 ________ Valid until: January 4, 2012 b).PNA No.: 10516 _________ _ Valid until: Lifetime ____ _____ c).ANSAP No: 000206 _ Valid until: July 28, 2011
AFP / FABELLA / QMMC
Noted by:
Concurred by:
COL EVELYN B BAUTISTA NC (GSC) Signature over printed name of Command Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No. : Valid Until : Master of Arts in Nursing 0059003 January 04, 2012 10516 Lifetime 000206 July 28, 2011
Concurred by:
MARIE THERESE A. PACABIS, RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0039563 October 12, 2012 18153 Lifetime 257 Lifetime
Concurred by:
LUZ P. PADUA, R.N.,MAN., PhD Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0187428 July 25, 2012 11959 Lifetime
Approved by:
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: b). PNA No.: Valid until : c). ADPCN No.: Valid until : 0210791 February 12, 2012 15980 Lifetime 0815 2010
PNPGH / CASAUL / EAST AVE.

Noted by:
Concurred by:
Concurred by:
TERESITA A. ROBENIOL, , RN, MaEd, MAN Signature over printed name of Chief Nurse Date Signed: BSN, RN, MAN 0109984 August 11, 2012 002947 Degree: Bachelor of Science in Nursing 0083576 February 19, 2012 42646
Concurred by:
Approved by:
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: ____ February 12, b). PNA No.: _____ 15980____________
Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.:
a). PRC No.: 0190486 ______ 0210791___________ Valid until: February 25, 2011 2012___ b). PNA No.: 15979
Valid until:
Lifetime___
Valid until : c). ANSAP No. : Valid until :
December 31, 2010 090275 December 31, 2010
Valid Until:
December 09, 2009
Valid until : __
Lifetime__________
Valid until :
Lifetime
2010_____________
CASAUL / FABELLA / QMMC

Noted by:
Concurred by:
TERESITA A. ROBENIOL, , RN, MaEd, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0083576 February 19, 2012
Concurred by:
Concurred by:
LUZ P. PADUA, R.N.,MAN., PhD Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0187428 July 25, 2012 11959 Lifetime__________
Approved by:
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: ____ February 12, 2012___ b). PNA No.: _____ 15980____________ Valid until : Lifetime
2010______________
EAST AVE. / FABELLA / QMMC

Noted by:
Concurred by:
NORA L. DIAZ, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing
Concurred by:
MARIE THERESE A. PACABIS, RN, RM, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing
Concurred by:
LUZ P. PADUA, R.N.,MAN., PhD Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing
Approved by:
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing
0045102 November 06, 2011 14597 Lifetime
0039563 October 12, 2012 18153 Lifetime 257 Lifetime
0187428 July 25, 2012 11959 Lifetime__________
a). PRC No.: Valid until: ____ February 12, 2012___ b). PNA No.: _____ 15980____________ Valid until : Lifetime
2010______________
PCMC / FABELLA / QMMC

Noted by:
Concurred by:
AMELINDA S. MAGNO, RN, MAN Signature over printed name of Chief Nurse Date Signed: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing 0156074 June 03, 2011 15963 Lifetime
Concurred by:
Concurred by:
LUZ P. PADUA, RN, MAN, PhD Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0187428 July 25, 2012 11959 Lifetime__________
Approved by:
NORA VELMA M. GAYOD, RN, MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: ____ February 12, b). PNA No.: _____ 15980____________ Valid until : Lifetime
Date Signed: Degree:
c). ADPCN No.: ___ 0815 Valid until: ____ 2010____
_________
PCMC / PNPGH / QMMC

Concurred by: AMELINDA S. MAGNO, RN, MAN Signature over printed name of Chief Nurse
Concurred by: PSUPT. NORMITA O. CO, R.N, MAN Signature over printed name of Chief Nurse
Concurred by: LUZ P. PADUA, RN, MAN, PhD Signature over printed name of Chief Nurse
Approved by: NORA VELMA M. GAYOD, RN, MAN Signature over printed name of Dean
Date Signed: Degree: Bachelor of Science in Nursing 0156074 June 03, 2011 15963 Lifetime
Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid Until: c). ANSAP No: Valid until : BSN, RN, MAN 0109984 August 11, 2012 002947 December 31, 2010 090275 December 31, 2010
Date Signed: Degree: Bachelor of Science in Nursing 0187428 July 25, 2012 11959 Lifetime__________
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: ___ February 12, 2012___
b). PNA No.: _____ 15980____________ Valid until : Lifetime
_________
PCMC / QCGH / QMMC

Concurred by: AMELINDA S. MAGNO, RN, MAN Signature over printed name of Chief Nurse Date Signed: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing 0156074 June 03, 2011 15963 Lifetime
Concurred by:
Concurred by: LUZ P. PADUA, RN, MAN, PhD Signature over printed name of Chief Nurse Date Signed: Master of Arts in Nursing 0118849 February 10, 2011 18459 Lifetime 3271 Lifetime Degree: Bachelor of Science in Nursing 0187428 July 25, 2012 11959 Lifetime__________
Approved by: NORA VELMA M. GAYOD, RN, MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: ___ February 12,
Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid Until: c). ANSAP No: Valid until :
Date Signed: Degree:
b). PNA No.: _____ 15980____________ Valid until : Lifetime
_________
PNP / CASAUL / EAST AVE

TERESITA A. ROBENIOL, , RN, MaEd, MAN Signature over printed name of Chief Nurse Date Signed:
Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : c). ANSAP No. : Valid until : BSN, RN, MAN 0109984 August 11, 2012 002947 December 31, 2010 090275 December 31, 2010
Degree:
Bachelor of Science in Nursing 0083576 February 19, 2012 42646 December 09, 2009
2010_____________
QMMC/ CASAUL / EAST AVE

Noted by:
Concurred by:
LUZ P. PADUA, RN, MAN, PhD Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : Bachelor of Science in Nursing July 25, 2012 August 11, 2012 11959 Lifetime
Concurred by:
TERESITA A. ROBENIOL, , RN, MaEd, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0083576 February 19, 2012 42646 December 09, 2009
Concurred by:
Approved by:
QMMC/ CASAUL / LYING-IN

Noted by: DALISAY L. PEAMANTE, R.N. M.A.N
Concurred by: LUZ P. PADUA, RN, MAN, PhD

Concurred by: TERESITA A. ROBENIOL, , RN, MaEd, MAN

Concurred by: FE M. JUSTIMBASTE, RN, MPH


Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: July 25, 2012 Valid until: August 11, 2012 b). PNA No.: 11959 Valid until : Lifetime
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0083576 Valid until: February 19, 2012 b). PNA No.: 42646 Valid Until: December 09, 2009
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0089902 Valid until: December 04, 2012 b). PNA No.: 14184 Valid until : __ Lifetime__________
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0210791___________ Valid until: ____ February 12, 2012___ b). PNA No.: _____ 15980____________ Valid until : Lifetime c). ADPCN No.: ___ 0815 Valid until: ____ 2010________ _____
PCMC / FABELLA

AMELINDA S. MAGNO, R.N, M.A.N

Signature over printed name of Chief Nurse Date Signed:_______________________ Degree:__ Bachelor of Science in Nursing a).PRC No: 0156074___ Valid until::_ June 03, 2011___ b).PNA No._ 15963___ Valid until:_ Lifetime____
MARIE THERESE A. PACABIS,R.N,R.M, M.A.N

Signature over printed Name of Chief Nurse Date Signed: ___ __ Degree: Bachelor of Science in Nursing ____ a). PRC No.: 0039563 _____ Valid until: October 12, 2012 _____ b). PNA No.: 18153 _____ Valid until: Lifetime _____ c) ANSAP No: 257 _______________ Valid until: Lifetime _______
NORA VELMA M. GAYOD, R.N., M.AN.___

Signature over printed Name of Dean Date Signed: _________ Degree: Bachelor of Science in Nursing __ a). PRC No.: 0210791 Valid Until: February 12, 2012_______ b). PNA No.: 15980 Valid Until: LIFETIME c). ADPCN No.: __________ _ Valid until: ________
Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0190486 ______ Valid until: February 25, 2011 b). PNA No.: 15979 Valid until: LIFETIME
PCMC / QMMC
AMELINDA S. MAGNO, R.N, M.A.N Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0156074 June 03, 2011 15963 Lifetime
LUZ P. PADUA, RN, MAN, PhD. Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0187428 July 25, 2012 11959 Lifetime
NORA VELMA M. GAYOD,R.N.,MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing 0210791 February 12, 2012 15980 Lifetime 0815 2010
PCMC / PNP
Noted by :
Concurred by :
Concurred by :
Approved by :
DALISAY L. PEAMANTE, RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until: Bachelor of Science in Nursing 0190486 February 25, 2011 15979 Lifetime
AMELINDA S. MAGNO, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0156074 June 03, 2011 15963 Lifetime
PSUPT. NORMITA O. CO, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid Until: c). ANSAP No: Valid until: BSN, RN, MAN 0109984 August 11, 2012 002947 December 31, 2010 090275 December 31, 2010
NORA VELMA M. GAYOD, RN, MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing 0210791 February 12, 2012 15980 Lifetime 0815 2010
CASAUL / FABELLA / PCMC

Noted by:
DALISAY L. PEAMANTE, RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: Degree: Bachelor of Science in Nursing
Concurred by:
TERESITA A. ROBENIOL, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : Bachelor of Science in Nursing 0083576 February 19, 2012 42646 Dec. 09, 2009
Concurred by:
Concurred by: AMELINDA S. MAGNO, RN, MAN

Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0156074 June 03, 2011 15963 Lifetime__________
Approved by:
NORA VELMA M. GAYOD, RN, MAN Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: ____ February 12, 2012_ b). PNA No.: _____ 15980____________ Valid until : Lifetime
a). PRC No.: 0190486 ______ 0210791___________ Valid until: February 25, 2011 __ b). PNA No.: 15979 Valid until: Lifetime___
c). ADPCN No.: ___ 0815 Valid until: ____ 2010
__________
CASAUL / EAST AVE. / PCMC
Noted by: DALISAY L. PEAMANTE, RN, MAN MAN

Signature over printed Name of Clinical Coordinator Date Signed: Degree: Bachelor of Science in Nursing
Concurred by: TERESITA A. ROBENIOL, R.N, MAN

Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid until : Bachelor of Science in Nursing 0083576 February 19, 2012 42646 Dec. 09, 2009
Concurred by: NORA L. DIAZ, RN, MAN

Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0045102 Nov. 06, 2011 14597 Lifetime
Concurred by: AMELINDA S. MAGNO, RN, MAN

Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing 0156074 June 03, 2011 15963 Lifetime__________
Approved by: NORA VELMA M. GAYOD, RN,

Signature over printed name of Dean Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: Valid until: ____ February 12, 2012_ b). PNA No.: _____ 15980____________ Valid until : Lifetime
a). PRC No.: 0190486 ______ 0210791___________ Valid until: February 25, 2011 __ b). PNA No.: 15979 Valid until: Lifetime___
c). ADPCN No.: ___ 0815 Valid until: ____ 2010 __________
PCMC / PNP / CASAUL / FABELLA

Noted by:
Concurred by:
AMELINDA S. MAGNO, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0156074 Valid until: June 03, 2011 b). PNA No.: 15963 Valid until : Lifetime
Concurred by:
PSUPT NORMITA O CO, RN, MAN Signature over printed name of Chief Nurse Date Signed: Degree: a). PRC No.: Valid until: b). PNA No.: Valid Until: c). ANSAP No.: Valid until :
Concurred by:
TERESITA A. ROBENIOL, RN, MaEd, MAN Signature over printed name of Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing a). PRC No.: 0083576 Valid until: February 19, 2012 b). PNA No.: 42646 Valid until : __ Lifetime__________
Concurred by:

BSN, RN, MAN 0109984 August 11, 2012 002947 Dec. 31, 2010 090275 Dec. 31, 2010
____

Chief Nurses Updated (2011)

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Chief Nurses Updated (2011)

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QCGH

Noted by: Concurred by: Approved by:

COL EVELYN B BAUTISTA NC (GSC)

DANIEL H. GAYOD RN, MAN

DANIEL H. GAYOD RN, MAN

DANIEL H. GAYOD RN, MAN

DANIEL H. GAYOD RN, MAN

DANIEL H. GAYOD RN, MAN

DANIEL H. GAYOD RN, MAN

DANIEL H. GAYOD RN, MAN

DANIEL H. GAYOD RN, MAN

DANIEL H. GAYOD RN, MAN

QCGH/ EAST AVE.

DANIEL H. GAYOD RN, MAN

QCGH/ NOVA DISTRICT

DANIEL H. GAYOD RN, MAN

DANIEL H. GAYOD RN, MAN

c). ANSAP No.: Valid until:

000206 Jully 28, 2011

c). ADPCN No.: Valid until:

CASAUL/ EAST AVE

DANIEL H. GAYOD RN, MAN

DANIEL H. GAYOD RN, MAN

DANIEL H. GAYOD RN, MAN

c). ANSAP No.: Valid Until:

090275 December 31, 2010

c). ADPCN No.: Valid until:

DANIEL H. GAYOD RN, MAN

DANIEL H. GAYOD RN, MAN

DANIEL H. GAYOD RN, MAN

DANIEL H. GAYOD RN, MAN

PNPGH / FABELLA / QMMC

DANIEL H. GAYOD RN, MAN

PSUPT. NORMITA O. CO RN, MAN

LUZ P. PADUA RN, MAN, PhD

NORA VELMA M. GAYOD RN, MAN

c). ADPCN No.: ___0815 Valid until: 2010

Valid until: ____ 2010

CASAUL / FABELLA / QMMC

Concurred by: TERESITA A. ROBENIOL, RN, MAN

Concurred by: LUZ P. PADUA RN, MAN, PhD

Approved by: NORA VELMA M. GAYOD RN, MAN

c). ADPCN No.: ___0815 Valid until: 2010

Valid until: ____ 2010

PNP / FABELLA / CASAUL

DANIEL H. GAYOD RN, MAN

PSUPT. NORMITA O. CO RN, MAN

TERESITA A. ROBENIOL RN, MAN

NORA VELMA M. GAYOD RN, MAN

c). ADPCN No.: ___0815 Valid until: 2010

Valid until: ____ 2010

PNPGH / FABELLA / QCGH

Concurred by: PSUPT. NORMITA O. CO RN, MAN

Approved by: NORA VELMA M. GAYOD RN, MAN

PNPGH / FABELLA / QMMC

DANIEL H. GAYOD RN, MAN

PSUPT. NORMITA O. CO RN, MAN

MARIE THERESE A. PACABIS RN, RM, MAN

LUZ P. PADUA RN, MAN, PhD

NORA VELMA M. GAYOD RN, MAN

PNPGH / CASAUL / QMMC

DANIEL H. GAYOD RN, MAN

PSUPT. NORMITA O. CO RN, MAN

Valid until: _ 2010_____ _

c). ADPCN No.: 0815 Valid until: _ 2010________ _