Union Christian College: San Fernando City, La Union

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UNION CHRISTIAN COLLEGE

San Fernando City, La Union


Name of Student: Aguila, Jefferson Gomez
Name and Address of School: UNION CHRISTIAN COLLEGE, Widdoes Street, San Fernando City, 2500, La Union
Accreditation Level (if any): Level II Year Granted: 1999
Date School/Program was Recognized: June 14 Number: 198 Year: 1977
First Course (if any): Not Applicable School graduated from: Not Applicable Year: Not Applicable
Year of Admission in the Bachelor of Science in Nursing Program: 2003
Year Graduated (BSN Program): 2007
V. CORD DRESSING
No Case No. Date Performed Name of Baby Gender of Name of Age Name of Hospital Supervised by:
. Baby Mother Name & Signature of Qualified
Clinical Instructor

1 74 February 20, 2007 Maria Janine C. Male Mary Jane Calica 33 Bethany Hospital Inc. Jennifer Alice G. Abaga
Hidalgo Hidalgo PRC #: 0216745
PNA #:17944
MAN units: 33 units

2 Jennifer Alice G. Abaga


Home November 15, 2006 Raiza Mae A. Casil Female Amalia Asuncion 36 Ilocanos Sur Health Center PRC #: 0216745
Delivery Casil City of San Fernando, La Union PNA #:17944
MAN units: 33 units

3 Well Baby July 27, 2006 Beverly Jane D. Female Jonalyn Domondon 18 Ilocos Training and Regional Medical Jennifer Alice G. Abaga
Arguilles Arguilles Center PRC #: 0216745
(ITRMC) PNA #:17944
MAN units: 33 units

4 Well Baby July 21, 2006 Glaydel B. Caluza Female Gloria Bagsawan 29 Ilocos Training and Regional Medical Jennifer Alice G. Abaga
Caluza Center PRC #: 0216745
(ITRMC) PNA #:17944
MAN units: 33 units

Jennifer Alice G. Abaga


5 Home July 9, 2006 Marc Benz P. Vinluan Male Betty Peralta Olano 26 Santiago Norte Health Center PRC #: 0216745
Delivery City of San Fernando, La Union PNA #:17944
MAN units: 33 units
Prepared by:

AGUILA, Jefferson G.
Name of Student
Concurred by: Noted by: Approved by:

FLORDELIZA R. BOBILES, RN, MAN MARITES G. CALUGAN, RN, MAN NORBERTO G. PREPOSE, JR., RN, MAN
CRISTETA E. BAGTANG, RN, MPH, MAN
Signature over printed name of Assistant Chief Nurse Signature over printed name of Chief Nurse Signature over printed Name of Clinical Coordinator
Signature over printed Name of Dean
Date Signed: ________________________ Date Signed: ________________________ Date Signed: _____________________ Date
Signed: ________________________
Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MPH, MAN
a. PRC NO.: 0114833 a. PRC NO.: 0166707 a. PRC No.: 0209483 a. PRC NO.: 125448
Valid Until: March 27, 2008 Valid Until: May 16, 2009 Valid Until: April 2, 2009 Valid
Until: October 24, 2009
b. PNA No.: 17945 b. PNA No.: 14801 b. PNA No.: 16232 b. PNA
No.: 3051
Valid Until: Lifetime Member Valid Until: Lifetime Member Valid Until: December 2007 Valid
Until: Lifetime Member
c. ANSAP No: 01324 c. ANSAP No: 00077 c. ADPCN No.:
356
Valid Until: December 2007 Valid Until: Lifetime Member Valid
Until: December 2007

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