Cases
Cases
ph PP PACUCOA Level II Re-Accredited Status (February 2010 to February 2015) SURGICAL SCRUB (Major) in Quirino Memorial Medical Center Hospital/Home/Lying-in Clinic, Municipality/City/Province Prepared by: Printed Name and Signature of Student Ernevec C. Ana Date Performed and Time Started August 01, 2011 Patients INITIAL Only Case Number J.P.L 742063 J. P.L 742063 D.V.P 733571 E.S.C 449372 L.A.J 741348 Right Temporal Craniotomy Drainage of Abscess and Debriment Canal Wall Up Mastoidectomy Rolando D. Berida SURGICAL PROCEDURE PERFORMED O.R. Nurse On Duty (Name and Signature) SUPERVISED BY Clinical instructor Name and Signature MarpaulMarica R.N, MAN
Rolando D. Berida
Ines P. Torres
Ines P. Torres
Rolando D. Berida
Noted by: LEONARDO M. NUESTRO JR., RN, MAN Clinical Coordinator: PRC I.D. No. 190198 Valid Until March 25, 2013 Date document is signed: ________________ Time: ______________ Highest Nursing Degree Earned: BSN, MAN
Approved by: Noli V. Pagdanganan R.N, MPA, MAN Dean: PRC I.D. No. 025555 Valid Until october 16, 2013 Date document is signed: ________________ Time: _____________ Highest Nursing Degree Earned: BSN, Midwifery, MAN
ARELLANOUNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 222/210, 7353509 Fax, www.arellano.edu.ph PA PACUCOA Level II Re-Accredited Status (February 2010 to February 2015)
ACTUAL DELIVERY in Prepared by: Printed Name and Signature of Student : Ernevec C. Ana
PROCEDURE PERFORMED
D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required)
R. M. B. P.
Noted by: LEONARDO M. NUESTRO JR., RN, MAN Clinical Coordinator: PRC I.D. No. 190198 Valid Until March 25, 2013 Date document is signed: ________________ Time: ______________ Highest Nursing Degree Earned: BSN, MAN
Approved by: Noli V. Pagdanganan R.N, MPA, MAN Dean: PRC I.D. No. 025555 Valid Until October 16, 2013 Date document is signed: ________________ Time: _____________ Highest Nursing Degree Earned: BSN, Midwifery, MAN