Embed Size (px)
DESCRIPTION
phcm prc cases format
Citation preview
PERPETUAL HELP COLLEGE MANILA1240 V. Concepcion St., Sampaloc, Manila
COLLEGE OF NURSINGPROFESSIONAL REGULATION COMMISSION
REQUIREMENTS FOR NURSES’ LICENSURE EXAMINATION
Name of Student: Name & Address of School: Perpetual Help College – Manila , Sampaloc, Manila Date School/Program was recognized: 1985 Number: 177 Year Admission in the Bachelor of Science in Nursing Program:
Year Graduated (BSN Program): Major Operations
No Date of operation Case No. Name of Patient Diagnosis Operation Performed Type of Anesthesia Name of Surgeon Name of Hospital Name and Signature of O.R.
Scrub Nurse
Supervised by:Name and Signature Qualified
Clinical Instructor
1June 26, 2008 25-1253 Meina, Carmen Fractured Closed, Comminuted, Distal
Radius Left, Secondary to FallOpen Reduction Internal
Fixation, PinningGeneral
AnesthesiaDr. Mar Joseph
Florentino Ospital ng Sampaloc Ronnie Leon R. Salgado, RN Lelita P. Tadifa, RN, MAN, PhDRonnie Leon R. Salgado, RN
2 October 10, 2008 52525 Cartilla, Nida A. Gravida 6 Parity 3, Placenta Previa Low Transverse Caesarean Section
Spinal Anesthesia Dr. Eufrosina Cabrera
President Diosdado Macapagal Memorial
Medical CenterRachel Balite, RN, MAN
Salomia S. Dela Cruz, RN, MAN
3October 11, 2008 34717 Bernardino, Amy T.
Pregnancy Uterine 39 weeks Age of Gestation Gravida 1 Parity 0 Breech
PresentationLow Transverse
Caesarean SectionSpinal Anesthesia Dr. Eufrosina
Cabrera
President Diosdado Macapagal Memorial
Medical CenterRachel Balite, RN, MAN
Salomia S. Dela Cruz, RN, MAN
4 October 17, 2008 55395 Torlao, Marilyn P. Ruptured Appendicitis Exploratory Laparotomy, Appendectomy Spinal Anesthesia Dr. Rogelio
Sarmiento
President Diosdado Macapagal Memorial
Medical CenterJocelyn Andres, RN
Salomia S. Dela Cruz, RN, MAN
5 November 27, 2008 173458 Soraida Millano Myoma Uterine Hysterectomy Spinal Anesthesia Dr. Yvette Banatao Novaliches District Hospital Jenny Banaria, RN Edna Mabasa RN, MAN
Noted by:
LELITA P. TADIFA, RN, MAN, PhDSignature over Printed name of Clinical
Coordinator
Concurred by:
GILBERTA M. MATEO,RNSignature over Printed Name of Chief Nurse
Ospital ng Sampaloc
Concurred by:
SALOMIA S. DELA CRUZ, RN, MANSignature over Printed Name of Chief Nurse
President Diosdado MacapagalMemorial Medical Center
Concurred by:
JOSEPHINE B. LEONARDO, RN, PhDSignature over Printed Name of Chief Nurse
Novaliches District Hospital
Approved by:
MELINDA I. GABLAN, RN, MANSignature over Printed name of Dean
Date Signed: Date Signed: Date Signed: Date Signed: Date Signed:
Degree: BSN, RN, MAN, PhD Degree: BSN, RN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MAN
a) PRC No. 0091308 Valid until: October 2014
a) PRC No. 0141243 Valid until: July 2015
a) PRC No. 50969 Valid until: November 2014
a) PRC No. 0081174 Valid until: April 2014
a) PRC No. 124488 Valid until: 2013
b) PNA No. 010138Valid until: LIFETIME
b) PNA No. 051931 Valid until: LIFETIME
b) PNA No. 013181 Valid until: LIFETIME
b) PNA No. 15614 Valid until: LIFETIME
b) PNA No. 17852 Valid until: LIFETIME
c) ADPCN No. 11-195 Valid Until: 2012
PERPETUAL HELP COLLEGE MANILA1240 V. Concepcion St., Sampaloc, Manila
COLLEGE OF NURSINGPROFESSIONAL REGULATION COMMISSION
REQUIREMENTS FOR NURSES’ LICENSURE EXAMINATIONName of Student: Name & Address of School: Perpetual Help College – Manila , Sampaloc, Manila Date School/Program was recognized: 1985 Number: 177 Year Admission in the Bachelor of Science in Nursing Program:
Year Graduated (BSN Program): Minor Operations
No Date of Operation Case No. Name of Patient Diagnosis Operation Performed Type of
Anesthesia Name of Surgeon Name of Hospital Name of O.R. Scrub NurseSupervised by:
Name and Signature Qualified Clinical Instructor
1
June 27, 2008 25-1279 Rodriguez, Joel Pterygium, Both EyesExcision of Pterygium, Nasal,
Right EyeLocal
AnesthesiaDr. Mar Joseph
Florentino
Ospital ng Sampaloc
Ronnie Leon R. Salgado, RN Lelita P. Tadifa, RN, MAN, PhDRonnie Leon R. Salgado, RN
2October 14,
2008
55131 Sivestre, Cherry Mae R. Blighted Ovum Completion Curettage IV Sedation Dr. Cresilda ArenasPresident Diosdado Macapagal
Memorial Medical Center
Rachel Balite, RN, MAN
Salomia S. Dela Cruz, RN. MAN
3October 27,
2008
41902 Obani, Antonio Abscess, Left Upper Thigh Incision and Drainage
Local Anesthesia
Dr. Eufrosina CabreraPresident Diosdado Macapagal
Memorial Medical Center
Rachel Balite, RN, MAN
Salomia S. Dela Cruz, RN. MAN4
November 3, 2008
25-1776 Manalo, Anri, M. Furuncle Frontal Left Incision and Drainage
Local Anesthesia
Dr. Mar Joseph Florentino
Ospital ng Sampaloc
Ronnie Leon R. Salgado, RN Lelita P. Tadifa, RN, MAN, PhDRonnie Leon R. Salgado, RN
5November 29,
2008
172476 Taño, Margarita Abscess, Right Femur Incision and Drainage
Local Anesthesia
Dr. Antonio Jose Libunao
Novaliches District Hospital Jenny Banaria, RN
Edna Mabasa RN, MAN
Noted by:
LELITA P. TADIFA, RN, MAN, PhDSignature over Printed name of Clinical
Coordinator
Concurred by:
SALOMIA S. DELA CRUZ, RN, MANSignature over Printed Name of Chief Nurse
President Diosdado MacapagalMemorial Medical Center
Concurred by:
GILBERTA M. MATEO,RNSignature over Printed Name of Chief Nurse
Ospital ng Sampaloc
Concurred by:
JOSEPHINE B. LEONARDO, RN, PhDSignature over Printed Name of Chief Nurse
Novaliches District Hospital
Approved by:
MELINDA I. GABLAN, RN, MANSignature over Printed name of Dean
Date Signed: Date Signed: Date Signed: Date Signed: Date Signed:
Degree: BSN, RN, MAN, PhD Degree: BSN, RN, MAN Degree: BSN, RN Degree: BSN, RN, MAN Degree: BSN, RN, MAN
a) PRC No. 0091308 Valid until: October 2014
a) PRC No. 50969 Valid until: November 2014
a) PRC No. 0141243 Valid until: July 2015
a) PRC No. 0081174 Valid until: April 2014
a) PRC No. 124488 Valid until: 2013
b) PNA No. 010138 Valid until: LIFETIME
b) PNA No. 013181 Valid until: LIFETIME
b) PNA No. 051931 Valid until: LIFETIME
b) PNA No. 15614 Valid until: LIFETIME
b) PNA No. 17852 Valid until: LIFETIME
c) ADPCN No. 11-195 Valid Until: 2012
PERPETUAL HELP COLLEGE MANILA
1240 V. Concepcion St., Sampaloc, Manila
COLLEGE OF NURSINGPROFESSIONAL REGULATION COMMISSION
REQUIREMENTS FOR NURSES’ LICENSURE EXAMINATIONName of Student: Name & Address of School: Perpetual Help College – Manila , Sampaloc, Manila Date School/Program was recognized: 1985 Number: 177 Year Admission in the Bachelor of Science in Nursing Program:
Year Graduated (BSN Program): Actual Deliveries
No Case No. Diagnosis Name of Mother Age Date of Delivery
Time of Delivery Type of Delivery Gender of
Baby Name of Hospital Name of Qualified Clinical Instructor
Signature of Qualified Clinical Instructor
1 762108Gravida 2 Parity 2 Pregnancy Uterine 39
Weeks Age of Gestation
Gagante, Iris 20September 2,
2010
2:10 PMNormal Spontaneous
Delivery
Female East Avenue Medical Center Gina C. Ladanan, RN
Lelita P. Tadifa, RN, MAN, PhDGina C. Ladanan, RN
2 762225Gravida 1 Parity 1 Pregnancy Uterine 40
Weeks Age of Gestation
Tela, Sharon 18September 3,
2010
2:05 PMNormal Spontaneous
Delivery
Male East Avenue Medical Center Gina C. Ladanan, RN
Lelita P. Tadifa, RN, MAN, PhDGina C. Ladanan, RN
3 740477Gravida 4 Parity 3 Pregnancy Uterine 41
Weeks Age of GestationDe Venecia, Joel
Ann
27September 3,
20010
8:29 PMNormal Spontaneous
Delivery
Male East Avenue Medical Center Gina C. Ladanan, RN
Lelita P. Tadifa, RN, MAN, PhDGina C. Ladanan, RN
4 764111Gravida Parity 4 Pregnancy Uterine 39
Weeks Age of Gestation
Kuzain, Elizabeth 40September 9,
2010
6:45 PMNormal Spontaneous
Delivery
Male East Avenue Medical Center Gina C. Ladanan, RN
Lelita P. Tadifa, RN, MAN, PhDGina C. Ladanan, RN
5 763988Gravida 1 Parity 1 Pregnancy Uterine 38
Weeks Age of Gestation
Villa, Agnes 22Septmeber 9,
2010
7:16 PMNormal Spontaneous
Delivery
Male East Avenue Medical Center Gina C. Ladanan, RN
Lelita P. Tadifa, RN, MAN, PhDGina C. Ladanan, RN
Noted by:
LELITA P. TADIFA, RN, MAN, PhDSignature over Printed name of Clinical Coordinator
Concurred by:
NORA L. DIAZ, RN, MANSignature over Printed Name of Chief Nurse
East Avenue Medical Center
Approved by:
MELINDA I. GABLAN, RN, MANSignature over Printed name of Dean
Date Signed: Date Signed: Date Signed:
Degree: BSN, RN, MAN, PhD Degree: BSN, RN, MAN Degree: BSN, RN, MAN
a) PRC No. 0091308 Valid until: October 2014
a) PRC No. 45102 Valid until: November 2014
a) PRC No. 124488 Valid until: 2013
b) PNA No. 010138 Valid until: LIFETIME
b) PNA No. 14597 Valid until: LIFETIME
b) PNA No. 17852 Valid until: LIFETIME
c) ADPCN No. 11-195Valid Until: 2012
PERPETUAL HELP COLLEGE MANILA1240 V. Concepcion St., Sampaloc, Manila
COLLEGE OF NURSING
PROFESSIONAL REGULATION COMMISSIONREQUIREMENTS FOR NURSES’ LICENSURE EXAMINATION
Name of Student: . Name & Address of School: Perpetual Help College – Manila , Sampaloc, Manila Date School/Program was recognized: 1985 Number: 177 Year Admission in the Bachelor of Science in Nursing Program:
Year Graduated (BSN Program): Deliveries Assisted
No Case No. Diagnosis Name of Mother Age Date of Delivery Time of Delivery Type of Delivery Gender of
Baby Name of Hospital Name of Qualified Clinical Instructor
Signature of Qualified Clinical Instructor
1 54484 Pregnancy Uterine 28 Weeks Age of Gestation Early Rupture of Membrane Rosil, Merilyn D. 24 October 12,
2008 12:45 AM Normal Spontaneous Delivery Female President Diosdado Macapagal
Memorial Medical CenterSalomia S. Dela Cruz, RN.
MANSalomia S. Dela Cruz, RN. MAN
2 55180 Gravida 3 Parity 2 Pregnancy Uterine 36 Weeks Age of Gestation
Candelasa, Ma. Lourdes 31 October 14,
2008 10:22 AM Normal Spontaneous Delivery Female President Diosdado Macapagal
Memorial Medical CenterSalomia S. Dela Cruz, RN.
MANSalomia S. Dela Cruz, RN. MAN
3 04103935 Gravida 3 Parity 3 Pregnancy Uterine, 40 weeks Age of Gestation
Gacat, Nancy 32 March 17, 2009 3:59 pm Normal Spontaneous Delivery Male Jose R. Reyes Memorial Medical
Center Gliceria A. Yu, RN,MANGliceria A. Yu, RN,MAN
4 791638 Gravida 2 Parity 2 Pregnancy Uterine 40 Weeks Age of Gestation Gesmundo, Lorelie 30 September 2,
2010 2:35 PM Normal Spontaneous Delivery Male East Avenue Medical Center Gina C. Ladanan, RN Lelita P. Tadifa, RN, MAN, PhD
Gina C. Ladanan, RN
5 762090 Gravida 2 Parity 2 Pregnancy Uterine 38 Weeks Age of Gestation Penticostes, Ailyn 26 September 3,
2010 5:33 PM Normal Spontaneous Delivery Female East Avenue Medical Center Gina C. Ladanan, RN Lelita P. Tadifa, RN, MAN, PhD
Gina C. Ladanan, RN
Noted by:
LELITA P. TADIFA, RN, MAN, PhDSignature over Printed name of Clinical
Coordinator
Concurred by:
SALOMIA S. DELA CRUZ, RN, MANSignature over Printed Name of Chief Nurse
President Diosdado MacapagalMemorial Medical Center
Concurred by:
NORA L. DIAZ, RN, MANSignature over Printed Name of Chief Nurse
East Avenue Medical Center
Concurred by:
ELSIE I. SARABIA,R.N.,MANSignature over Printed name of Chief NurseJose R. Reyes Memorial Medical
Center
Approved by:
MELINDA I. GABLAN, RN, MANSignature over Printed name of Dean
Date Signed: Date Signed: Date Signed: Date Signed: Date Signed:
Degree: BSN, RN, MAN, PhD Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: R.N.,MAN Degree: BSN, RN, MAN
a) PRC No. 0091308 Valid until: October 2014
a) PRC No. 50969 Valid until: November 2014
a) PRC No. 45102 Valid until: November 2014
PRC No.: 051967Valid Until: October 2015
a) PRC No. 124488 Valid until: 2013
b) PNA No. 010138 Valid until: LIFETIME
b) PNA No. 013181 Valid until: LIFETIME
b) PNA No. 14597 Valid until: LIFETIME
PNA No.: 14415Valid Until: LIFETIME
b) PNA No. 17852 Valid until: LIFETIME
c) ADPCN No. 11-195Valid Until: 2012
PERPETUAL HELP COLLEGE MANILA1240 V. Concepcion St., Sampaloc, Manila
COLLEGE OF NURSINGPROFESSIONAL REGULATION COMMISSION
REQUIREMENTS FOR NURSES’ LICENSURE EXAMINATION
Name of Student: Name & Address of School: Perpetual Help College – Manila , Sampaloc, Manila Date School/Program was recognized: 1985 Number: 177 Year Admission in the Bachelor of Science in Nursing Program:
Year Graduated (BSN Program): Cord Dressing
No Case No. Date Performed Name of Baby Gender of Baby Name of Mother Age Name of Hospital Name of Qualified Clinical Instructor
Signature of Qualified Clinical Instructor
1 54590 October 10, 2008 Baby Boy Ramos Male Ramos. Jemmaluz L. 22 President Diosdado Macapagal Memorial Medical Center Salomia S. Dela Cruz, RN, MAN
Salomia S. Dela Cruz, RN, MAN
2 55174 October 14, 2008 Baby Girl Mananquill Female Mananquill. Lucille N. 27 President Diosdado Macapagal Memorial Medical Center Salomia S. Dela Cruz, RN, MAN
Salomia S. Dela Cruz, RN, MAN
3 172731 November 25, 2008 Baby Boy Roqacion Male Roqacion, Analiza 39 Novaliches District Hospital Edna Mabasa, RN, MANEdna Mabasa, RN, MAN
4 04070660 March, 18, 2009 Baby Girl Boquison Female Margie Boquison 27 Jose R. Reyes Memorial Medical Center
Gliceria A. Yu, RN,MANGliceria A. Yu, RN,MAN
5 03187558 March 19, 2009 Baby Boy Masalon Male Jasmin Masalon 23 Jose R. Reyes Memorial Medical Center
Gliceria A. Yu, RN,MANGliceria A. Yu, RN,MAN
Noted by:
LELITA P. TADIFA, RN, MAN, PhDSignature over Printed name of Clinical
Coordinator
Concurred by:
SALOMIA S. DELA CRUZ, RN, MANSignature over Printed Name of Chief Nurse
President Diosdado MacapagalMemorial Medical Center
Concurred by:
JOSEPHINE B. LEONARDO, RN, PhDSignature over Printed Name of Chief Nurse
Novaliches District Hospital
Concurred by:
ELSIE I. SARABIA,R.N.,MANSignature over Printed name of Chief NurseJose R. Reyes Memorial Medical
Center
Approved by:
MELINDA I. GABLAN, RN, MANSignature over Printed name of Dean
Date Signed: Date Signed: Date Signed: Date Signed: Date Signed:
Degree: BSN, RN, MAN, PhD Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: R.N.,MAN Degree: BSN, RN, MAN
a) PRC No. 0091308 Valid until: October 2014
a) PRC No. 50969Valid until: November 2014
a) PRC No. 0081174 Valid until: April 2014
PRC No.: 051967Valid Until: October 2015
a) PRC No. 124488 Valid until: 2013
b) PNA No. 010138 Valid until: LIFETIME
b) PNA No. 013181 Valid until: LIFETIME
b) PNA No. 15614 Valid until: LIFETIME
PNA No.: 14415Valid Until: LIFETIME
b) PNA No. 17852 Valid until: LIFETIME
c) ADPCN No. 11-195Valid Until: 2012
