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# 1 Dr. P.V. Larrazabal Jr. Avenue, North Reclamation 6014 Mandaue City, Cebu, Philippines
COLLEGE OF NURSING
Name of Student: Maria Joselene Diaz Arenas Accreditation Level (if any): LEVEL III PAASCU Date School/Program was Recognized: July 6, 1981 First Course (if any): N/A Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011
Year Granted: December 2008 Number: 069 School Graduated From: N/A
III. Actual Deliveries No. Case No. Diagnosis Name of Mother Age Date of Delivery Time of Delivery Gender of Baby Name of Hospital Type of Delivery Normal Spontaneous Vaginal Delivery Supervised by: Name & Signature of Qualified C.I. Mrs. Evelyn L. Ramas, R.N., M.A.N.
Pregnancy Uterine Term, Cephalic, Delivered 254279 Spontaneously a Live Male Neonate 1. Prepared by: Maria Joselene Diaz Arenas Name & Signature
M. M.
29 years old
May 7, 2010
6:36 AM
MALE
Supervised by: MRS. EVELYN L. RAMAS Signature over printed name of Qualified C.I Date Signed ::: Degree ::: R.N., M.A.N. a.) PRC No. ::: 0089450 Valid Until ::: December 19, 2012 b.) PNA No. ::: 10104 Valid Until :::: Lifetime
Noted by: MRS. DOLORES M. SALDIVIA Signature over printed name of Clinical Coordinator Date Signed : Degree : R.N., M.A.N. a.) PRC No. : 0114598 Valid Until :: April 24, 2014 b.) PNA No. : 3876 Valid Until ::: Lifetime
Concurred by: MRS. EDNA JOCELYN S. CABALLERO Signature over printed name of Chief Nurse Date Signed : Degree : R.N., M.A.N. a.) PRC No. : 0092453 Valid Until : October 19, 2012 b.) PNA No. : 5751 Valid Until : Lifetime
Approved by: DR. OFELIA F. SISNO Signature over printed name of Dean Date Signed : Degree : R.N., M.N., MaEd., Ph.D, a.) PRC No. : 16513 Valid until : August 21, 2012 b.) PNA No. : 6399 Valid until : Lifetime c.) ADPCN No. : Valid until :
# 1 Dr. P.V. Larrazabal Jr. Avenue, North Reclamation 6014 Mandaue City, Cebu, Philippines
COLLEGE OF NURSING
Name of Student: Maria Joselene Diaz Arenas Accreditation Level (if any): LEVEL III PAASCU Date School/Program was Recognized: July 6, 1981 First Course (if any): N/A Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011
Year Granted: December 2008 Number: 069 School Graduated From: N/A
III. Actual Deliveries No. Case No. Diagnosis Name of Mother Age Date of Delivery May 21, 2010 Time of Delivery Gender of Baby Name of Hospital Type of Delivery Supervised by: Name & Signature of Qualified C.I. Mrs. Evelyn L. Ramas, R.N., M.A.N.
Pregnancy Uterine Term, Cephalic, Delivered 001015 Spontaneously a Live Female Neonate 2. 001213 3. 4. 001215 Pregnancy Uterine Term, Cephalic, Delivered Spontaneously a Live Male Neonate Pregnancy Uterine Term, Cephalic, Delivered Spontaneously a Live Male Neonate
M.M.
27 years old
2:34 PM
FEMALE
R.A.B.
21 years old
10:38 PM
MALE
R.L.B.
25 years old
4:50 AM
MALE
5.
000997
27 years old
6:13 PM
FEMALE
Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery
Prepared by:
Supervised by: MRS. EVELYN L. RAMAS Signature over printed name of Qualified C.I Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until ::: ::: ::: ::: ::: :::: R.N., M.A.N. 0089450 December 19, 2012 10104 Lifetime
Noted by: MRS. DOLORES M. SALDIVIA Signature over printed name of Clinical Coordinator Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until : : : :: : ::: R.N., M.A.N. 0114598 April 24, 2014 3876 Lifetime
Concurred by: MRS. BERNARDITA G. PONGAN Signature over printed name of Central Health Area Nurse Supervisor Date Signed : Degree : R.N., M. N. a.) PRC No. : 0067876 Valid Until : February 26, 2013 b.) PNA No. : 6698 Valid Until : Lifetime
Approved by: DR. OFELIA F. SISNO Signature over printed name of Dean Date Signed Degree a.) PRC No. Valid until b.) PNA No. Valid until c.) ADPCN No. : : : : : : : R.N., M.N., MaEd., Ph.D, 16513 August 21, 2012 6399 Lifetime
# 1 Dr. P.V. Larrazabal Jr. Avenue, North Reclamation 6014 Mandaue City, Cebu, Philippines
COLLEGE OF NURSING
Name of Student: Maria Joselene Diaz Arenas Accreditation Level (if any): LEVEL III PAASCU Date School/Program was Recognized: July 6, 1981 First Course (if any): N/A Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011
Year Granted: December 2008 Number: 069 School Graduated From: N/A
IV. Deliveries Assisted No. Case No. Diagnosis Name of Mother Age Date of Delivery November 09, 2009 Time of Delivery Gender of Baby Name of Hospital Type of Delivery Normal Spontaneous Vaginal Delivery Supervised by: Name & Signature of Qualified C.I. Mrs. Evelyn L. Ramas, R.N., M.A.N.
M.N.
32 years old
8:07 AM
FEMALE
Supervised by: MRS. EVELYN L. RAMAS Signature over printed name of Qualified C.I Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until ::: ::: ::: ::: ::: :::: R.N., M.A.N. 0089450 December 19, 2012 10104 Lifetime
Noted by: MRS. DOLORES M. SALDIVIA Signature over printed name of Clinical Coordinator Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until : : : :: : ::: R.N., M.A.N. 0114598 April 24, 2014 3876 Lifetime
Concurred by: MRS. ELIZABETH JOSEPHINE CENIZA Signature over printed name of Central Health Area Nurse Supervisor Date Signed : Degree : BSN a.) PRC No. : 83805 Valid Until : January 22, 2013 b.) PNA No. : Valid Until :
Approved by: DR. OFELIA F. SISNO Signature over printed name of Dean Date Signed Degree a.) PRC No. Valid until b.) PNA No. Valid until c.) ADPCN No. : : : : : : : R.N., M.N., MaEd., Ph.D, 16513 August 21, 2012 6399 Lifetime
# 1 Dr. P.V. Larrazabal Jr. Avenue, North Reclamation 6014 Mandaue City, Cebu, Philippines
COLLEGE OF NURSING
Name of Student: Maria Joselene Diaz Arenas Accreditation Level (if any): LEVEL III PAASCU Date School/Program was Recognized: July 6, 1981 First Course (if any): N/A Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011
Year Granted: December 2008 Number: 069 School Graduated From: N/A
IV. Deliveries Assisted No. Case No. Diagnosis Name of Mother Age Date of Delivery May 21, 2010 Time of Delivery Gender of Baby Name of Hospital Type of Delivery Supervised by: Name & Signature of Qualified C.I. Mrs. Evelyn L. Ramas, R.N., M.A.N.
Pregnancy Uterine Term, Cephalic, Delivered 001016 Spontaneously a Live Male Neonate 2. 001208 3. 001214
I. J. O
21 years old
5:21 PM
MALE
25 years old
8:30 AM
FEMALE
4.
28 years old
11:34 AM
FEMALE
5.
001006
21 years old
6:37 AM
MALE
Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery Normal Well Family - Midwife Spontaneous Clinic Vaginal Delivery
Prepared by:
Supervised by:
Noted by:
Concurred by:
Approved by:
MRS. EVELYN L. RAMAS Signature over printed name of Qualified C.I Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until ::: ::: ::: ::: ::: :::: R.N., M.A.N. 0089450 December 19, 2012 10104 Lifetime
MRS. DOLORES M. SALDIVIA Signature over printed name of Clinical Coordinator Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until : : : :: : ::: R.N., M.A.N. 0114598 April 24, 2014 3876 Lifetime
MRS. BERNARDITA G. PONGAN Signature over printed name of Central Health Area Nurse Supervisor Date Signed : Degree : R.N., M. N. a.) PRC No. : 0067876 Valid Until : February 26, 2013 b.) PNA No. : 6698 Valid Until : Lifetime
DR. OFELIA F. SISNO Signature over printed name of Dean Date Signed Degree a.) PRC No. Valid until b.) PNA No. Valid until c.) ADPCN No. : : : : : : : R.N., M.N., MaEd., Ph.D, 16513 August 21, 2012 6399 Lifetime
# 1 Dr. P.V. Larrazabal Jr. Avenue, North Reclamation 6014 Mandaue City, Cebu, Philippines
COLLEGE OF NURSING
Name of Student: Maria Joselene Diaz Arenas Accreditation Level (if any): LEVEL III PAASCU Date School/Program was Recognized: July 6, 1981 First Course (if any): N/A Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011
Year Granted: December 2008 Number: 069 School Graduated From: N/A
V. Cord Dressing No. Case No. 263254 Date Performed October 16, 2010 Name of Baby Gender of Baby MALE Name of Mother Age 21 years old Name of Hospital Cebu Doctors' University Hospital Supervised by: Name & Signature of Qualified C.I. Mrs. Evelyn L. Ramas, R.N., M.A.N.
1.
Bb. I. B.
M. G. B.
Prepared by:
Supervised by:
Noted by:
Concurred by:
Approved by:
MRS. EVELYN L. RAMAS Signature over printed name of Qualified C.I Date Signed ::: Degree ::: R.N., M.A.N. a.) PRC No. ::: 0089450 Valid Until ::: December 19, 2012 b.) PNA No. ::: 10104 Valid Until :::: Lifetime
MRS. DOLORES M. SALDIVIA Signature over printed name of Clinical Coordinator Date Signed : Degree : R.N., M.A.N. a.) PRC No. : 0114598 Valid Until :: April 24, 2014 b.) PNA No. : 3876 Valid Until ::: Lifetime
MRS. EDNA JOCELYN S. CABALLERO Signature over printed name of Chief Nurse Date Signed : Degree : R.N., M.A.N. a.) PRC No. : 0092453 Valid Until : October 19, 2012 b.) PNA No. : 5751 Valid Until : Lifetime
DR. OFELIA F. SISNO Signature over printed name of Dean Date Signed : Degree : R.N., M.N., MaEd., Ph.D, a.) PRC No. : 16513 Valid until : August 21, 2012 b.) PNA No. : 6399 Valid until : Lifetime c.) ADPCN No. : Valid until :
# 1 Dr. P.V. Larrazabal Jr. Avenue, North Reclamation 6014 Mandaue City, Cebu, Philippines
COLLEGE OF NURSING
Name of Student: Maria Joselene Diaz Arenas Accreditation Level (if any): LEVEL III PAASCU Date School/Program was Recognized: July 6, 1981 First Course (if any): N/A Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011
Year Granted: December 2008 Number: 069 School Graduated From: N/A
V. Cord Dressing No. Case No. Date Performed Name of Baby Gender of Baby Name of Mother Age 26 years old 28 years old 31 years old Name of Hospital Supervised by: Name & Signature of Qualified C.I. Mrs. Evelyn L. Ramas, R.N., M.A.N.
001009 2. 001013 3.
Bb. J. R. I .P.
MALE
J. I. P.
Bb. D. D. D.
MALE
M. D.
000010 4.
Bb. M. F. A.
FEMALE
A. D. C. C.
Bb. J. A. A. C.
MALE
R. M. A. C.
27 years old
Supervised by:
Noted by:
Concurred by:
Approved by:
MRS. EVELYN L. RAMAS Signature over printed name of Qualified C.I Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until ::: ::: ::: ::: ::: :::: R.N., M.A.N. 0089450 December 19, 2012 10104 Lifetime
MRS. DOLORES M. SALDIVIA Signature over printed name of Clinical Coordinator Date Signed Degree a.) PRC No. Valid Until b.) PNA No. Valid Until : : : :: : ::: R.N., M.A.N. 0114598 April 24, 2014 3876 Lifetime
MRS. BERNARDITA G. PONGAN Signature over printed name of Central Health Area Nurse Supervisor Date Signed : Degree : R.N., M. N. a.) PRC No. : 0067876 Valid Until : February 26, 2013 b.) PNA No. : 6698 Valid Until : Lifetime
DR. OFELIA F. SISNO Signature over printed name of Dean Date Signed Degree a.) PRC No. Valid until b.) PNA No. Valid until c.) ADPCN No. : : : : : : : R.N., M.N., MaEd., Ph.D, 16513 August 21, 2012 6399 Lifetime
# 1 Dr. P.V. Larrazabal Jr. Avenue, North Reclamation 6014 Mandaue City, Cebu, Philippines
COLLEGE OF NURSING
Name of Student: Maria Joselene Diaz Arenas Accreditation Level (if any): LEVEL III PAASCU Date School/Program was Recognized: July 6, 1981 First Course (if any): N/A Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011
Year Granted: December 2008 Number: 069 School Graduated From: N/A
V. Cord Dressing No. Case No. Date Performed January 18, 2011 Name of Baby Gender of Baby Name of Mother Age 29 years old Name of Hospital Supervised by: Name & Signature of Qualified C.I. Mrs. Evelyn L. Ramas, R.N., M.A.N.
066182 1.
Bb. C. M. F.
MALE
R. F.
Prepared by:
Supervised by:
Noted by:
Concurred by:
Approved by:
MRS. EVELYN L. RAMAS Signature over printed name of Qualified C.I Date Signed ::: Degree ::: R.N., M.A.N. a.) PRC No. ::: 0089450 Valid Until ::: December 19, 2012 b.) PNA No. ::: 10104 Valid Until :::: Lifetime
MRS. DOLORES M. SALDIVIA Signature over printed name of Clinical Coordinator Date Signed : Degree : R.N., M.A.N. a.) PRC No. : 0114598 Valid Until :: April 24, 2014 b.) PNA No. : 3876 Valid Until ::: Lifetime
MRS. ELENA JUMAO-AS Signature over printed name of Chief Nurse Date Signed : Degree : R.N., M.A.N. a.) PRC No. : 0125547 Valid Until : February 21, 2014 b.) PNA No. : 0398 Valid Until : December 31, 2011
DR. OFELIA F. SISNO Signature over printed name of Dean Date Signed : Degree : R.N., M.N., MaEd., Ph.D, a.) PRC No. : 16513 Valid until : August 21, 2012 b.) PNA No. : 6399 Valid until : Lifetime c.) ADPCN No. : Valid until :