CALAMBA DOCTORS COLLEGE

National Highway Brgy. Parian Calamba City,Laguna Tel.Nos.(049)545-9921 to 22

Name of Student: LA TORRE, DORCAS OBANDO_______________________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated(BSN Program): APRIL 2012____________________________________________________________ I.Major Operations No. Case No. Date of Operation Name of Patient Diagnosis Operation Performed Type of Anesthes ia Spinal Name of Surgeon Name of Hospital Name of O.R Scrub Nurse Signature of O.R Scrub Nurse

104417 4

August 31, 2010

Reynaldo Valencia Cordovez

Transected Achilles Tendon Left

Repair of Transected Achilles Tendon Left

Miguel Campos M.D

Calamba Doctors Hospital

Arlyn Lozanta R.N

Noted by: ARCELIE F. ALPAY, R.N., R.M., M.A.N.

Signature over Printed Name of Chief Nurse Date signed: Degree BSN, RM, MAN PRC No: 0098060 Valid until: June 30, 2012 PNA No: 16970 Valid until: Lifetime

Noted by: AURORA R. SAMOSA, R.N., M.A.N.

Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 20012 PNA No: 18688 Valid until: Lifetime

Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.

Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: Valid until: _______________ ADCPN No: _11-272________ Valid until: ___2014________ :

CALAMBA DOCTORS COLLEGE

National Highway Brgy. Parian Calamba City,Laguna Tel.Nos.(049)545-9921 to 22
Name of Student: LA TORRE, DORCAS OBANDO_______________________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated(BSN Program): APRIL 2012____________________________________________________________ I.Minor Operations No. Case No. Date of Operation Name of Patient Diagnosis Operation Performed Type of Anesthes ia Name of Surgeon Name of Hospital Name of O.R Scrub Nurse Signature of O.R Scrub Nurse

Noted by: ARCELIE F. ALPAY, R.N., R.M., M.A.N.

Signature over Printed Name of Chief Nurse Date signed: Degree BSN, RM, MAN PRC No: 0098060 Valid until: June 30, 2012 PNA No: 16970 Valid until: Lifetime

Noted by: AURORA R. SAMOSA, R.N., M.A.N.

Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 20012 PNA No: 18688 Valid until: Lifetime

Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.

Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: ______________ Valid until: _______________ ADCPN No: _11-272________ Valid until: __2014_________ :

National Highway Brgy. Parian Calamba City,Laguna Tel.Nos.(049)545-9921 to 22

Name of Student: LA TORRE, DORCAS OBANDO_______________________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated(BSN Program): APRIL 2012____________________________________________________________

CALAMBA DOCTORS COLLEGE

N o. 1

Case No.

Name of Patient

Age

Diagnosis Pregnancy Uterine 39 40 weeks Age of Gestation Cephalic in Labor Gravida 9 Para7 Abortion 1 (8018)

III. Actual Deliveries Date of Time of Delivery Delivery January 1, 2012 1:30 AM

Gender of Baby Female

Name of Hospital Calamba Doctors College

Type of Delivery Normal Spontaneous Vaginal Delivery

Supervised By: Name and Signature of Qualified C.I.

00000001

Dulce Dimagiba

41

Aurora Samosa , R.N, M.A.N

2 3

Noted by ARCELIE F. ALPAY, R.N., R.M., M.A.N.

Signature over Printed Name of Chief Nurse Date signed: Degree BSN, RM, MAN PRC No: 0098060 Valid until: June 30, 2012 PNA No: 16970 Valid until: Lifetime

Noted by: AURORA R. SAMOSA, R.N., M.A.N.

Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 20012 PNA No: 18688 Valid until: Lifetime

Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.

Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: Valid until: _______________ ADCPN No: __11-272_____ Valid until: ____2014______ :

CALAMBA DOCTORS COLLEGE

National Highway Brgy. Parian Calamba City,Laguna Tel.Nos.(049)545-9921 to 22
Name of Student: LA TORRE, DORCAS OBANDO_______________________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated(BSN Program): APRIL 2012____________________________________________________________ IV. Assisted Deliveries N o. 1 Case No. Name of Patient Age Diagnosis Pregnancy Uterine 39 40 weeks Age of Gestation Cephalic in Labor Gravida 2 Para1 (2001) Date of Delivery December 31, 2001 Time of Delivery 11:59 PM Gender of Baby Male Name of Hospital Calamba Doctors College Type of Delivery Normal Spontaneous Vaginal Delivery Supervised By: Name and Signature of Qualified C.I.

02100210

Leah Gascon

33

Aurora Samosa , R.N, M.A.N

2 3

Noted by: ARCELIE F. ALPAY, R.N., R.M., M.A.N.

Signature over Printed Name of Chief Nurse Date signed: Degree BSN, RM, MAN PRC No: 0098060 Valid until: June 30, 2012 PNA No: 16970 Valid until: Lifetime

Noted by: AURORA R. SAMOSA, R.N., M.A.N.

Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 20012 PNA No: 18688 Valid until: Lifetime

Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.

Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: Valid until: _______________ ADCPN No: ___11-272_____ Valid until: ___2014________ :

CALAMBA DOCTORS COLLEGE

National Highway Brgy. Parian Calamba City,Laguna Tel.Nos.(049)545-9921 to 22
Name of Student: LA TORRE, DORCAS OBANDO_______________________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated(BSN Program): APRIL 2012____________________________________________________________ V. Cord Dressing No . 1 Case No. Date Performed Name of Baby Gender of Baby Male Name of Mother Age Name of Hospital Calamba Doctors Hospital Supervised By: Name and Signature of Qualified C.I.

000102105041 1

May 4, 2011

Baby Dela Cruz

Maria Dela Cruz

33

Aurora Samosa , R.N, M.A.N

2 3

Noted by: ARCELIE F. ALPAY, R.N., R.M., M.A.N.

Signature over Printed Name of Chief Nurse Date signed: Degree BSN, RM, MAN PRC No: 0098060 Valid until: June 30, 2012 PNA No: 16970 Valid until: Lifetime

Noted by: AURORA R. SAMOSA, R.N., M.A.N.

Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 20012 PNA No: 18688 Valid until: Lifetime

Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.

Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: 2012-032073 Valid until: _______________ ADCPN No: ___11-272____ Valid until: ___2014_______ :