WESLEYAN UNIVERSITY-PHILIPPINES

Mabini Extension, Cabanatuan City, Philippines 3100

Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail: [email protected]
Prepared by:
Name of Student: MARGAREJO, MARLON LAPUZ. First Course (if any): Not applicable
Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 School Graduated From: Not applicable Year: Not applicable
Accreditation Level (if any): Level II Year Granted: 2007-2012 Year of Admission in Bachelor of Science in Nursing Program: 2007
Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977 Year Graduated in Bachelor of Science in Nursing Program: 2011

I. MAJOR OPERATIONS
Date of Operation
No. Case No. Name of Patient Diagnosis Operation Performed Type of Anesthesia Name of Surgeon Name of Hospital
Pregnancy Uterine 39 2/7 weeks Age of
January 16, Low Transverse Caesarian Section + Bilateral Dr. Emma Mariano
1 28653 Emonalyn Bemoso Gestation Cephalic in Labor Gravida 3 Spinal Anesthesia Gapan District Hospital
2011 Tubal Ligation Dr.Sonny Jimenez
Parity 2
Pregnancy Uterine 41 weeks Age of Gestation
Dr.Susan Sigaan
2 August 4, 2010 270353 Vernadette Loyola Cephalic in Labor Gravida 1 Low Cervical Caesarian Section Spinal Anesthesia Gapan District Hospital
Dra. Castillo
Parity 1

Exploratory Laparotomy Salpingo Dr. Marlyn Wy Eduardo L. Joson Memorial

3 March 15, 2011 1329 Nancy Gabriel Ovarian Cyst Left Gravida 1 Parity 1 Spinal Anesthesia
Oophorectomy Left Dr. Jose Pangilinan Hospital

Dr. Alexander Mallari

4 March 15, 2011 1359 George Montile Cholelithiasis Cholecystectomy Spinal Anesthesia Eduardo L. Joson Memorial
Dr. Jose Pangilinan
Hospital
Acute Surgical Abdomen secondary to Exploratory Laparotomy Evacuation of Massive
October 6,
5 012392 Juanito Arcilla Perforated Peptic Ulcer Disease Prepyloric Gastric Spillage, Exudates, Ulcer Edge Biopsy General Endotracheal Dr. Cressida Yu Dr. Paulino J. Garcia Memorial
2010
Area Anesthesia Research and Medical Center

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

JENNIFER V. AUREADA R.N. with PRECIOUS F. MACA PAGAL MARK XAVIER A. SAN ADAHLIA T. BASCO, R.N., MERLITA C. GOMEZ R.N. M.A.N BIENVENIDA R. CAPULE, R.N., ALEXANDER P. MALUBAG MELANIA C. CENON RN, MAN, Ph.D
39 units M.A.N RN, RM with 33 M.A.N units PEDRO R.N. with 18 units M.A.N. Chief Nurse M.A.N. R.N.36 M.A.N units Dean, College of Nursing
Clinical Instructor Clinical Instructor M.A.N RLE Coordinator, College of Gapan District Hospital Chief Nurse Chief Nurse Wesleyan University -Philippines
Wesleyan University -Philippines Wesleyan University -Philippines Clinical Instructor Nursing Degree: Bachelor of Science in Dr. Paulino J. Garcia Memorial Eduardo L. Joson Memorial Degree: Bachelor of Science in Nursing
Degree: Bachelor of Science in Degree: Bachelor of Science in Wesleyan University – Wesleyan University-Philippines Nursing Research & Medical Center Hospital Master of Arts in Nursing
Nursing Nursing Philippines Degree: Bachelor of Science in Master of Arts in Nursing Degree Bachelor of Science in Degree: Bachelor of Science in Doctor of Philosophy
Master of Arts in Nursing PRC No. 0446292 Degree: Bachelor of Science Nursing PRC No. 0075411 Nursing Nursing PRC No. 0100236
PRC No. 248291 Valid Until: November 2, 2013 in Nursing Master of Arts in Nursing Valid Until: October 10, 2011 Master of Arts in Nursing PRC No. 0119925 Valid Until: January 6, 2012
Valid Until: May 29, 2011 PNA No.052490 PRC No.: 041151 PRC No. 0178398 PNA No. 05239 PRC No. 0028001 Valid Until: December 1, 2011 PNA No. 17978
PNA No. 060544 Valid Until: October 31,2011 Valid Until:December 5, 2013 Valid Until: July 28,2011 Valid Until: October 31, 2011 Valid Until: April 24, 2014 PNA No. 060676 Valid Until: Lifetime Member
Valid Until: October 31,2011 PRC No. (RM): 0148632 PNA No.: 052464 PNA No. 18000 Date Signed: ______________ PNA No. 7829 Valid Until: Valid Until: October 31, 2011 ADPCN No. 0185 Valid Until: 2011
Date Signed: ______________ Valid until: November 2, 2012 Valid Until: October 31, 2011 Valid Until: Lifetime Member Lifetime Member Date Signed:______________ Date Signed: ______________
IMAP No.: 4640 Date Signed: ____________ Date Signed: ______________ Date Signed: ______________
Valid Until: December 31,2011
Date Signed: ______________
 WESLEYAN UNIVERSITY-PHILIPPINES
Mabini Extension, Cabanatuan City, Philippines 3100
Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail: [email protected]
Prepared by:
Name of Student: MARGAREJO, MARLON LAPUZ. First Course (if any): Not applicable
Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 School Graduated From: Not applicable Year: Not applicable
Accreditation Level (if any): Level II Year Granted: 2007-2012 Year of Admission in Bachelor of Science in Nursing Program: 2007
Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977 Year Graduated in Bachelor of Science in Nursing Program: 2011

II. MINOR OPERATIONS

Date of Operation
No. Case No. Name of Patient Diagnosis Operation Performed Type of Anesthesia Name of Surgeon Name of Hospital

October 7, General Anesthesia Dr. Paulino J. Garcia Memorial

1 014091 Geraldine Villegas Gravida 3 Parity 3 (3003) Multiparity Bilateral Tubal Ligation (Bilateral Pomeroy) Dra. Joanna Olay
2010 IV Sedation Research & Medical Center

October 7, General Anesthesia Dr. Paulino J. Garcia Memorial

2 010832 Maila Caisip Gravida 6 Parity 6 (3003) Multiparity Bilateral Tubal Ligation (Bilateral Pomeroy) Dra. Joanna Olay
2010 IV Sedation Research & Medical Center

Dr. Paulino J. Garcia Memorial

3 July 21,2010 988068 Santiago, Rosalinda Anterior Neck Mass Hyperthyroidism Fine Needle Aspiration Biopsy Local Anesthesia Dra. Joan Tamangan
Research & Medical Center

Dr. Paulino J. Garcia Memorial

4 July 15,2010 988649 Gallano, Jorge Lymphoma Right Forearm Exicision Local Anesthesia Dra. Czarina Tenorio
Research & Medical Center

Dr. Paulino J. Garcia Memorial

5 July 15,2010 988749 Cherry Domingo Breast Mass Exicision Local Anesthesia Dra. Czarina Tenorio
Research & Medical Center

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

BIENVENIDA R. CAPULE, R.N., M.A.N. MELANIA C. CENON RN, MAN, Ph.D

MARK XAVIER A. SAN PEDRO RN ADAHLIA T. BASCO, R.N., M.A.N.
Chief Nurse Dean, College of Nursing
with 18 units M.A.N RLE Coordinator, College of Nursing
Dr. Paulino J. Garcia Memorial Wesleyan University -Philippines
Clinical Instructor Wesleyan University-Philippines
Research & Medical Center Degree: Bachelor of Science in Nursing
Wesleyan University – Philippines Degree: Bachelor of Science in Nursing
Degree Bachelor of Science in Nursing Master of Arts in Nursing
Degree: Bachelor of Arts in Nursing Master of Arts in Nursing
Master of Arts in Nursing Doctor of Philosophy
PRC No.: 041151 PRC No. 0178398 Valid Until: July 28, 2011
PRC No. 0028001 Valid Until: April 24, 2014 PRC No. 0100236 Valid Until: January 6, 2012
Valid Until: December 5, 2013 PNA No. 18000 Valid Until: Lifetime Member
PNA No. 7829 Valid Until: Lifetime Member PNA No. 17978 Valid Until: Lifetime
PNA No.: 052464 Date Signed: ______________
Date Signed: ______________ ADPCN No. 0185 Valid Until: 2011
Valid Until: October 31, 2011
Date Signed: ______________
Date Signed: ____________
 WESLEYAN UNIVERSITY-PHILIPPINES
Mabini Extension, Cabanatuan City, Philippines 3100
Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail: [email protected]
Prepared by:
Name of Student: MARGAREJO, MARLON LAPUZ. First Course (if any): Not applicable
Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 School Graduated From: Not applicable Year: Not applicable
Accreditation Level (if any): Level II Year Granted: 2007-2012 Year of Admission in Bachelor of Science in Nursing Program: 2007
Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977 Year Graduated in Bachelor of Science in Nursing Program: 2011

III. ACTUAL DELIVERIES

Gender of
No. Case No. Diagnosis Name of Mother Age Date of Delivery Time of Delivery Type of Delivery Baby Name of Hospital

Pregnancy Uterine Breech in Labor

1 1299 Mylene Jimenez 41 years old March 11, 2011 7:57am Normal Spontaneous Delivery Male Eduardo L. Joson Memorial Center
Gravida 6 Parity 4

Pregnancy Uterine Full Term

2 1310 Michelle Toledo 28 years old March 11, 2011 8:36am Normal Spontaneous Delivery Female Eduardo L. Joson Memorial Center
Cephalic in Labor Gravida 4 Parity 3

Pregnancy Uterine 39 4/7 weeks Age of

3 1352 Lennie Baldivino 26 years old March 14, 2011 12:03am Normal Spontaneous Delivery Male Eduardo L. Joson Memorial Center
Gestation Cephalic in Labor Gravida 3 Parity 2

Pregnancy Uterine 39 weeks Age of Gestation

4 1353 Medy Pontigon 23 years old March 14, 2011 1:25am Normal Spontaneous Delivery Male Eduardo L. Joson Memorial Center
Cephalic in Labor Gravida 2 Parity 2

Pregnancy Uterine 40 weeks Age of Gestation

5 1333 Irene Loresto 29 years old March 14, 2011 2:39am Normal Spontaneous Delivery Male Eduardo L. Joson Memorial Center
Cephalic in Labor Gravida 2 Parity 2

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

MELANIA C. CENON, RN, MAN, Ph. D.

PRECIOUS F. MACA PAGAL ADAHLIA T. BASCO, R.N., M.A.N. ALEXANDER P. MALUBAG R.N with 36 Dean, College of Nursing
RN, RM with 33 M.A.N units RLE Coordinator, College of Nursing M.A.N units Wesleyan University -Philippines
Clinical Instructor Wesleyan University-Philippines Chief Nurse Degree: Bachelor of Science in Nursing
Wesleyan University -Philippines Degree: Bachelor of Science in Nursing Eduardo L. Joson Memorial Hospital Master of Arts in Nursing
Degree: Bachelor of Science in Nursing Master of Arts in Nursing Degree: Bachelor of Science in Nursing Doctor of Philosophy
PRC No. 0446292 Valid Until: November 2, 2013 PRC No. 0178398 Valid Until: July 28, 2011 PRC No. 0119925 PRC No. 0100236 Valid Until: January 6, 2012
PNA No.052490 Valid Until: October 31,2011 PNA No. 18000 Valid Until: Lifetime Member Valid Until: December 1, 2011 PNA No. 17978 Valid Until: Lifetime
PRC No. (RM): 0148632 Valid until: November 2, 2012 Date Signed: ______________ PNA No. 060676 ADPCN No. 0185 Valid Until: 2011
IMAP No.: 4640 Valid Until: December 31,2011 Valid Until: October 31, 2011 Date Signed: ______________
Date Signed: ______________ Date Signed: ______________
 WESLEYAN UNIVERSITY-PHILIPPINES
Mabini Extension, Cabanatuan City, Philippines 3100
Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail: [email protected]
Prepared by:
Name of Student: MARGAREJO, MARLON LAPUZ. First Course (if any): Not applicable
Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 School Graduated From: Not applicable Year: Not applicable
Accreditation Level (if any): Level II Year Granted: 2007-2012 Year of Admission in Bachelor of Science in Nursing Program: 2007
Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977 Year Graduated in Bachelor of Science in Nursing Program: 2011

IV. DELIVERIES ASSISTED

No. Case No. Diagnosis Name of Mother Age Date of Delivery Time of Delivery Type of Delivery Gender of Name of Hospital
Baby

Pregnancy Uterine 38 5/7 weeks Age of

1 1288 Alicia Ronquillo 20 years old March 11, 2011 6:22pm Normal Spontaneous Delivery Male Eduardo L. Joson Memorial Center
Gestation Cephalic in Labor Gravida 2 Parity 1

Pregnancy Uterine 36 5/7 weeks Age of

2 1290 Ma. Theresa Bernardo 19 years old March 11, 2011 7:34pm Normal Spontaneous Delivery Male Eduardo L. Joson Memorial Center
Gestation Grravida 1 Parity 0

Pregnancy Uterine 39 5/7 weeks Age of

3 1295 Mary Grace Veriňo 30 years old March 11, 2011 12:29am Normal Spontaneous Delivery Male Eduardo L. Joson Memorial Center
Gestation Gravida 2 Parity 1

Pregnancy Uterine 39 weeks Age of Gestation

4 1293 Mary Jane Mondejar 18 years old March 11, 2011 3:20am Normal Spontaneous Delivery Male Eduardo L, Joson Memorial Center
Cephalic in Labor Gravida 1 Parity 2

Pregnancy Uterine Full Term

5 1298 Cynthia Ronas 38 years old March 11, 2011 7:12am Normal Spontaneous Delivery Female Eduardo L. Joson Memorial Center
Gravida 4 Parity 3

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

PRECIOUS F. MACA PAGAL ADAHLIA T. BASCO, R.N., M.A.N.

ALEXANDER P. MALUBAG R.N with MELANIA C. CENON RN, MAN, Ph.D
RN.,with 33 M.A.N units. RLE Coordinator, College of Nursing
36 M.A.N units Dean, College of Nursing
Clinical Instructor Wesleyan University-Philippines
Chief Nurse Wesleyan University -Philippines
Wesleyan University -Philippines Degree: Bachelor of Science in Nursing
Eduardo L. Joson Memorial Hospital Degree: Bachelor of Science in Nursing
Degree: Bachelor of Science in Master of Arts in Nursing
Degree: Bachelor of Science in Nursing Master of Arts in Nursing
Nursing PRC No. 0178398
PRC No. 0119925 Doctor of Philosophy
PRC No. 0446292 Valid Until: July 28, 2011
Valid Until: December 1, 2011 PRC No. 0100236
Valid Until: November 2, 2013 PNA No. 18000
PNA No. 060676 Valid Until: January 6, 2012
PNA No.052490 Valid Until: Lifetime Member
Valid Until: October 31, 2011 PNA No. 17978
Valid Until: October 31, 2011 Date Signed: ______________
Date Signed: ______________ Valid Until: Lifetime
PRC (RM): 0148632
Valid Until: November 2, 2012 ADPCN No. 0185
IMAP No.: 4640 Valid Until: 2011
Valid Until: December 31, 2011 Date Signed: ______________
Date Signed: ______________
 WESLEYAN UNIVERSITY-PHILIPPINES
Mabini Extension, Cabanatuan City, Philippines 3100
Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail: [email protected]
Prepared by:
Name of Student: MARGAREJO, MARLON LAPUZ. First Course (if any): Not applicable
Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 School Graduated From: Not applicable Year: Not applicable
Accreditation Level (if any): Level II Year Granted: 2007-2012 Year of Admission in Bachelor of Science in Nursing Program: 2007
Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977 Year Graduated in Bachelor of Science in Nursing Program: 2011

V. CORD CARE
Age of Mother
No. Case No. Date Performed Name of Baby Gender of Baby Name of Mother Name of Hospital

1 037789 March 1, 2011 Baby Girl Gumarang Female Cheryl Gumarang 30 years old Dr. Paulino J. Garcia Memorial Research &
Medical Center

2 037935 March 2, 2011 Baby Boy Cardante Male Jennifer Cardante 21 years old Dr. Paulino J. Garcia Memorial Research &
Medical Center

3 038237 March 2, 2011 Baby Girl Caballong Female Kathrene Joy Caballong 17 years old Dr. Paulino J. Garcia Memorial Research &
Medical Center

4 037945 March 2, 2011 Baby Girl Mactal Female Jaiza Dayag 22 years old Dr. Paulino J. Garcia Memorial Research &
Medical Center

5 039010 March 2, 2011 Baby Boy Lodia 1 Male Emerluna Tudo 30 years old Dr. Paulino J. Garcia Memorial Research &
Medical Center

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

ADAHLIA T. BASCO, R.N., M.A.N. BIENVENIDA R. CAPULE, R.N., M.A.N. MELANIA C. CENON RN, MAN, Ph.D
JANNIE R. GABAYAN R.N. with 18 units M.A.N
RLE Coordinator, College of Nursing Chief Nurse Dean, College of Nursing
Clinical Instructor
Wesleyan University-Philippines Dr. Paulino J. Garcia Memorial Wesleyan University -Philippines
Wesleyan University -Philippines
Degree: Bachelor of Science in Nursing Research & Medical Center Degree: Bachelor of Science in Nursing
Degree: Bachelor of Science in Nursing
Master of Arts in Nursing Degree: Bachelor of Science in Nursing Master of Arts in Nursing
PRC No.0381107 Valid Until: August 02,2011
PRC No. 0178398 Valid Until: July 28, 2011 Master of Arts in Nursing Doctor of Philosophy
PNA No.060505 Valid Until: October 31, 2011
PNA No. 18000 Valid Until: Lifetime Member PRC No. 0028001 Valid Until: April 24, 2014 PRC No. 0100236 Valid Until: January 6, 2012
Date Signed: ______________
Date Signed: ______________ PNA No. 7829 Valid Until: Lifetime Member PNA No. 17978 Valid Until: Lifetime
Date Signed: ______________ ADPCN No. 0185 Valid Until: 2011
Date Signed: ______________