DE LA SALLE HEALTH SCIENCES INSTITUTEDasmariñas, Cavite 4114 Philippines

Prepared by:Name of Student: ROMERO, KRISTINE ROSE GARCIA _______________________ _________________________________________________ Name and Address of School: De La Salle Health Sciences Institute, Congressional Ave., Pasong Lawin, Dasmariñas, Cavite Accreditation Level: Level II PAASCU Re-accredited Year Granted: 2008 Date School / Program was Recognized: June 13, 1988 Number: 051 Year: 1988 First Course (if any): None School graduated from: Not applicable __________ Year of Admission in the Bachelor of Science in Nursing Program: 2005 __________ Year Graduate (BSN Program): 2009 ___________ __________

I. MAJOR OPERATIONS

No. Date of Operation Case No. Name of

Patient Diagnosis Operation Performed Type of Anesthesia Name of Surgeon Name of Hospital Supervised by(Name & Signature of Qualified Clinical Instructor)

1 July 10, 2007 50506 Domingo C.

Valente

Generalized Peritonitis secondary to Ruptured

Appendicitis

Exploratory Laparotomy,

Appendectomy

Spinal – Epidural Anesthesia

Armando G. Santos, MD, FPCS, FPSGS De La Salle University Medical Center Mercedita A. Quiambao, RN, MAN

2 April 30, 2008 64011 Vivian J.

DecostoChronic Calculous

Cholecystitis Cholecystectomy Spinal – Epidural Anesthesia

Rolando M. Reyes, MD, FPCS De La Salle University Medical Center Mercedita A. Quiambao, RN, MAN

3 July 20, 2008 67427 Abegaile A.

Cabuco

Pregnancy Uterine delivered cephalic term live birth, Cephalopelvic

Disproportion by clinical x-ray pelvimetry

Primary Low Transverse, Cesarean

SectionSpinal Anesthesia Ma. Carmelita J. Nadal-

Santos, MD, DPOGS De La Salle University Medical Center Ederlyn M. Taparan - Lumabi, RN, MAN

4 November 21, 2008 73178 Cristina M.

BenMyoma Uteri, Adenomyosis

Total Abdominal Hysterectomy with Bilateral Salphingo-

oophorectomy

Spinal – Epidural Anesthesia

Joseline A. Ferrolino, MD, FPOGS De La Salle University Medical Center Ederlyn M. Taparan - Lumabi, RN, MAN

5 November 21, 2008 73259 Josefina B.

SusaRectal Adenocarcinoma

Stage II – A Anterior Resection Epidural – General Anesthesia

Ma. Conception O. Ortillo- General, MD, FPCS De La Salle University Medical Center Ederlyn M. Taparan - Lumabi, RN, MAN

Noted by: Concurred by: Approved by:

EDERLYN M. TAPARAN - LUMABI, RN, MAN NAOMI M. DE ARO, RN, MAN, EdD Signature over Printed Name of Clinical Coordinator Signature over printed Name of Chief Nurse Signature over Printed Name of Dean Date Signed: Date Signed: Date Signed: Degree: BSN, MAN Degree: Degree: BSN, MAN, EdD a)PRC No.: 0329074 a ) PRC No.: a ) PRC No.: 0186510 Valid Until: December 28, 2010 Valid Until: Valid Until: October 19, 2011 b) PNA No.: 004353 b) PNA No.: b) PNA No.: 11963 Valid Until: December 2009 Valid Until: Valid Until: Lifetime

c) ANSAP No.: c) ADPCN No.: 0820 Valid Until: Valid Until: December 2009

DE LA SALLE HEALTH SCIENCES INSTITUTEDasmariñas, Cavite 4114 Philippines

Prepared by:Name of Student: ROMERO, KRISTINE ROSE GARCIA _______________________ __________________ _ Name and Address of School: De La Salle Health Sciences Institute, Congressional Ave., Pasong Lawin, Dasmariñas, Cavite Accreditation Level: Level II PAASCU Re-accredited Year Granted: 2008 Date School / Program was Recognized: June 13, 1988 Number: 051 Year: 1988 First Course (if any): None School graduated from: Not applicable __________ Year of Admission in the Bachelor of Science in Nursing Program: 2005 __________ Year Graduate (BSN Program): 2009 ___________ __________

II. MINOR OPERATIONS

No. Date of Operation Case No. Name of

Patient Diagnosis Operation Performed Type of Anesthesia Name of Surgeon Name of Hospital Supervised by(Name & Signature of Qualified Clinical Instructor)

1 July 9, 2007 50443 Ma.Cecilia A. Parpan

Epidermal Inclusion Cyst Left Gluteus

Excision, Biopsy of Gluteal Mass Spinal Anesthesia Rolando M. Reyes, MD,

FPCS De La Salle University Medical Center Mercedita A. Quiambao, RN, MAN

2 April 12, 2008

Out – Patient

Lou Denelle T. Dimapilis Redundant Prepuce Circumcision Local Anesthesia Maria Cielo G. Ampuan,

MD De La Salle University Medical Center Leon L. Fojas, RN, MAN

3 April 12, 2008

Out - Patient

Melvin Dustin E. Cordero Redundant Prepuce Circumcision Local Anesthesia Maria Cielo G. Ampuan,

MD De La Salle University Medical Center Leon L. Fojas, RN, MAN

4 April 30, 2008 63851 Avelina N.

Cereno Chronic Kidney Disease Creation of Arteriovenous Fistula Local Anesthesia Quilala, MD De La Salle University Medical Center Mercedita A. Quiambao, RN, MAN

5 November 27, 2008

Out - Patient

Gloria T. Villamor

Status Post Chevron Procedure with Pinning

LeftRemoval of Pin Local Anesthesia Leonido C. Castillo, MD,

FPOA De La Salle University Medical Center Ederlyn M. Taparan - Lumabi, RN, MAN

Noted by: Concurred by: Approved by:

EDERLYN M. TAPARAN - LUMABI, RN, MAN NAOMI M. DE ARO, RN, MAN, EdD Signature over Printed Name of Clinical Coordinator Signature over printed Name of Chief Nurse Signature over Printed Name of Dean Date Signed: Date Signed: Date Signed: Degree: BSN, MAN Degree: Degree: BSN, MAN, EdD a)PRC No.: 0329074 a ) PRC No.: a ) PRC No.: 0186510 Valid Until: December 28, 2010 Valid Until: Valid Until: October 19, 2011 b) PNA No.: 004353 b) PNA No.: b) PNA No.: 11963 Valid Until: December 2009 Valid Until: Valid Until: Lifetime

c) ANSAP No.: c) ADPCN No.: 0820 Valid Until: Valid Until: December 2009

DE LA SALLE HEALTH SCIENCES INSTITUTEDasmariñas, Cavite 4114 Philippines

Prepared by:Name of Student: ROMERO, KRISTINE ROSE GARCIA _______________________ ___________ ________ Name and Address of School: De La Salle Health Sciences Institute, Congressional Ave., Pasong Lawin, Dasmariñas, Cavite Accreditation Level: Level II PAASCU Re-accredited Year Granted: 2008 Date School / Program was Recognized: June 13, 1988 Number: 051 Year: 1988 First Course (if any): None School graduated from: Not applicable __________ Year of Admission in the Bachelor of Science in Nursing Program: 2005 __________ Year Graduate (BSN Program): 2009 ___________ __________

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 Supervised by

(Name & Signature of Qualified Clinical Instructor)

1 228090Gravida 2 Parity 2 Pregnancy Uterine 39 3/7 weeks age of

gestationRemelie Boloaloa 29 July 8, 2008 12:53 AM Male Dr. Jose Fabella Memorial

HospitalNormal Spontaneous

Vaginal Delivery Ana Estrella D. Apruebo, RN, RM, MAN

2 256011Gravida 3 Parity 3 Pregnancy Uterine 39 - 40 weeks age of

gestationJocelyn Arceo 34 July 8, 2008 1:20 AM Male Dr. Jose Fabella Memorial

HospitalNormal Spontaneous

Vaginal Delivery Ana Estrella D. Apruebo, RN, RM, MAN

3 256012Gravida 5 Parity 5 Pregnancy Uterine 39 2/7 weeks age of

gestationFe Paleou 37 July 8, 2008 2:10 AM Male Dr. Jose Fabella Memorial

HospitalNormal Spontaneous

Vaginal Delivery Ana Estrella D. Apruebo, RN, RM, MAN

4 256010Gravida 1 Parity 1 Pregnancy Uterine 41 5/7 weeks age of

gestationJinky Buenaventura 21 July 8, 2008 5:17 AM Female Dr. Jose Fabella Memorial

HospitalNormal Spontaneous

Vaginal Delivery Ana Estrella D. Apruebo, RN, RM, MAN

Noted by: Concurred by: Approved by:

EDERLYN M. TAPARAN - LUMABI, RN, MAN MARIE THERESE A. PACABIS, RN, RM, MAN NAOMI M. DE ARO, RN, MAN, EdD Signature over Printed Name of Clinical Coordinator Signature over printed Name of Chief Nurse Signature over Printed Name of Dean Date Signed: Date Signed: Date Signed: Degree: BSN, MAN Degree: BSN, MAN Degree: BSN, MAN, EdD a)PRC No.: 0329074 a ) PRC No.: 0039563 a ) PRC No.: 0186510 Valid Until: December 28, 2010 Valid Until: October 12, 2009 Valid Until: October 19, 2011 b) PNA No.: 004353 b) PNA No.: 18153 b) PNA No.: 11963 Valid Until: December 2009 Valid Until: Lifetime Valid Until: Lifetime

c) ANSAP No.: 257 c) ADPCN No.: 0820 Valid Until: Lifetime Valid Until: December 2009

Prepared by:Name of Student: ROMERO, KRISTINE ROSE GARCIA _______________________ ___________ ________ Name and Address of School: De La Salle Health Sciences Institute, Congressional Ave., Pasong Lawin, Dasmariñas, Cavite

DE LA SALLE HEALTH SCIENCES INSTITUTEDasmariñas, Cavite 4114 Philippines

Accreditation Level: Level II PAASCU Re-accredited Year Granted: 2008 Date School / Program was Recognized: June 13, 1988 Number: 051 Year: 1988 First Course (if any): None School graduated from: Not applicable __________ Year of Admission in the Bachelor of Science in Nursing Program: 2005 __________ Year Graduate (BSN Program): 2009 ___________ __________

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 Supervised by

(Name & Signature of Qualified Clinical Instructor)

1 08-06-0269Gravida 1 Para 0 Pregnancy Uterine

Full Term 39 to 40 weeks Age of Gestation

Novelyn Acma 17 June, 12, 2008 1:55 PM Female Cavite City Hospital Normal Spontaneous Vaginal Delivery Sarahbi Giron, RN, RM

Noted by: Concurred by: Approved by:

EDERLYN M. TAPARAN - LUMABI, RN, MAN NAOMI M. DE ARO, RN, MAN, EdD Signature over Printed Name of Clinical Coordinator Signature over printed Name of Chief Nurse Signature over Printed Name of Dean Date Signed: Date Signed: Date Signed: Degree: BSN, MAN Degree: Degree: BSN, MAN, EdD a)PRC No.: 0329074 a ) PRC No.: a ) PRC No.: 0186510 Valid Until: December 28, 2010 Valid Until: Valid Until: October 19, 2011 b) PNA No.: 004353 b) PNA No.: b) PNA No.: 11963 Valid Until: December 2009 Valid Until: Valid Until: Lifetime

c) ANSAP No.: c) ADPCN No.: 0820 Valid Until: Valid Until: December 2009

Prepared by:Name of Student: ROMERO, KRISTINE ROSE GARCIA _______________________ ___________ ________ Name and Address of School: De La Salle Health Sciences Institute, Congressional Ave., Pasong Lawin, Dasmariñas, Cavite Accreditation Level: Level II PAASCU Re-accredited Year Granted: 2008 Date School / Program was Recognized: June 13, 1988 Number: 051 Year: 1988 First Course (if any): None School graduated from: Not applicable __________ Year of Admission in the Bachelor of Science in Nursing Program: 2005 __________ Year Graduate (BSN Program): 2009 ___________ __________

DE LA SALLE HEALTH SCIENCES INSTITUTEDasmariñas, Cavite 4114 Philippines

IV. DELIVERIES ASSISTED

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

Supervised by(Name & Signature of Qualified Clinical

Instructor)

1 08-06-0270Gravida 3 Parity 2 Pregnancy

Uterine Full Term (39 – 40 weeks age of gestation)

Maricris Eser 21 June 13, 2008 12:05 PM Female Cavite City Hospital Normal Spontaneous Vaginal Delivery Sarahbi Giron, RN, RM

2 08-07-0355Gravida 5 Parity 4 Pregnancy

Uterine Full Term (39 – 40 weeks of gestation)

Cristina Francisco 35 July 30, 2008 6:53 AM Female Cavite City Hospital Normal Spontaneous Vaginal Delivery Sarahbi Giron, RN, RM

Noted by: Concurred by: Approved by:

EDERLYN M. TAPARAN - LUMABI, RN, MAN NAOMI M. DE ARO, RN, MAN, EdD Signature over Printed Name of Clinical Coordinator Signature over printed Name of Chief Nurse Signature over Printed Name of Dean Date Signed: Date Signed: Date Signed: Degree: BSN, MAN Degree: Degree: BSN, MAN, EdD a)PRC No.: 0329074 a ) PRC No.: a ) PRC No.: 0186510 Valid Until: December 28, 2010 Valid Until: Valid Until: October 19, 2011 b) PNA No.: 004353 b) PNA No.: b) PNA No.: 11963 Valid Until: December 2009 Valid Until: Valid Until: Lifetime

c) ANSAP No.: c) ADPCN No.: 0820 Valid Until: Valid Until: December 2009

Name of Student: ROMERO, KRISTINE ROSE GARCIA _______________________ _________________ __ Name and Address of School: De La Salle Health Sciences Institute, Congressional Ave., Pasong Lawin, Dasmariñas, Cavite Accreditation Level: Level II PAASCU Re-accredited Year Granted: 2008 Date School / Program was Recognized: June 13, 1988 Number: 051 Year: 1988 First Course (if any): None School graduated from: Not applicable __________ Year of Admission in the Bachelor of Science in Nursing Program: 2005 __________ Year Graduate (BSN Program): 2009 ___________ __________

DE LA SALLE HEALTH SCIENCES INSTITUTEDasmariñas, Cavite 4114 Philippines

IV. DELIVERIES ASSISTED

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

Supervised by(Name & Signature of Qualified Clinical

Instructor)

1 252225Gravida 5 Parity 5 Pregnancy Uterine 42 2/7 weeks age of

gestationZenaida Mendoza 37 July 8, 2008 12: 26 AM Male Dr. Jose Fabella Memorial Hospital Normal Spontaneous

Vaginal Delivery Ana Estrella D. Apruebo, RN, RM, MAN

2 256018 Gravida 4 Parity 4 Pregnancy Uterine 40 weeks age of gestation Ma. Suzette Diaz 24 July 8, 2008 2:30 AM Female Dr. Jose Fabella Memorial Hospital Normal Spontaneous

Vaginal Delivery Ana Estrella D. Apruebo, RN, RM, MAN

3 256022Gravida 1 Parity 1 Pregnancy Uterine 39 3/7 weeks age of

gestationCaren Vidor 24 July 8, 2008 3:50 AM Female Dr. Jose Fabella Memorial Hospital Normal Spontaneous

Vaginal Delivery Ana Estrella D. Apruebo, RN, RM, MAN

Noted by: Concurred by: Approved by:

EDERLYN M. TAPARAN - LUMABI, RN, MAN MARIE THERESE A. PACABIS, RN, RM, MAN NAOMI M. DE ARO, RN, MAN, EdD Signature over Printed Name of Clinical Coordinator Signature over printed Name of Chief Nurse Signature over Printed Name of Dean Date Signed: Date Signed: Date Signed: Degree: BSN, MAN Degree: BSN, MAN Degree: BSN, MAN, EdD a)PRC No.: 0329074 a ) PRC No.: 0039563 a ) PRC No.: 0186510 Valid Until: December 28, 2010 Valid Until: October 12, 2009 Valid Until: October 19, 2011 b) PNA No.: 004353 b) PNA No.: 18153 b) PNA No.: 11963 Valid Until: December 2009 Valid Until: Lifetime Valid Until: Lifetime

c) ANSAP No.: 257 c) ADPCN No.: 0820 Valid Until: Lifetime Valid Until: December 2009

Prepared by:Name of Student: ROMERO, KRISTINE ROSE GARCIA _______________________ ____________________ Name and Address of School: De La Salle Health Sciences Institute, Congressional Ave., Pasong Lawin, Dasmariñas, Cavite Accreditation Level: Level II PAASCU Re-accredited Year Granted: 2008 Date School / Program was Recognized: June 13, 1988 Number: 051 Year: 1988 First Course (if any): None School graduated from: Not applicable __________ Year of Admission in the Bachelor of Science in Nursing Program: 2005 __________ Year Graduate (BSN Program): 2009 ___________ __________

V. CORD DRESSING

DE LA SALLE HEALTH SCIENCES INSTITUTEDasmariñas, Cavite 4114 Philippines

No. Case No. Date Performed Name of Baby Gender of Baby Name of Mother Age Name of HospitalSupervised by

(Name & Signature of QualifiedClinical Instructor)

1 08-06-0268 June 12, 2008 Baby Girl Miranda Female Victoria Miranda 32 Cavite City Hospital Sarahbi Giron, RN, RM

Noted by: Concurred by: Approved by:

EDERLYN M. TAPARAN - LUMABI, RN, MAN NAOMI M. DE ARO, RN, MAN, EdD Signature over Printed Name of Clinical Coordinator Signature over printed Name of Chief Nurse Signature over Printed Name of Dean Date Signed: Date Signed: Date Signed: Degree: BSN, MAN Degree: Degree: BSN, MAN, EdD a)PRC No.: 0329074 a ) PRC No.: a ) PRC No.: 0186510 Valid Until: December 28, 2010 Valid Until: Valid Until: October 19, 2011 b) PNA No.: 004353 b) PNA No.: b) PNA No.: 11963 Valid Until: December 2009 Valid Until: Valid Until: Lifetime

c) ANSAP No.: c) ADPCN No.: 0820 Valid Until: Valid Until: December 2009

Prepared by:Name of Student: ROMERO, KRISTINE ROSE GARCIA _______________________ ____________________ Name and Address of School: De La Salle Health Sciences Institute, Congressional Ave., Pasong Lawin, Dasmariñas, Cavite Accreditation Level: Level II PAASCU Re-accredited Year Granted: 2008 Date School / Program was Recognized: June 13, 1988 Number: 051 Year: 1988 First Course (if any): None School graduated from: Not applicable __________ Year of Admission in the Bachelor of Science in Nursing Program: 2005 __________ Year Graduate (BSN Program): 2009 ___________ __________

V. CORD DRESSING

No. Case No. Date Performed Name of Baby Gender of Baby Name of Mother Age Name of HospitalSupervised by

(Name & Signature of QualifiedClinical Instructor)

DE LA SALLE HEALTH SCIENCES INSTITUTEDasmariñas, Cavite 4114 Philippines

1 09-285053 February 3, 2009 Baby Girl Lavales Female Cristina Lavales 25 Dr. Jose Fabella Memorial Hospital Maria Fe T. Quindo, RN, RM

2 09-286871 February 3, 2009 Baby Boy Ramos Male Shella Ramos 18 Dr. Jose Fabella Memorial Hospital Maria Fe T. Quindo, RN, RM

3 09-287050 February 3, 2009 Baby Boy Pascual Male Eva Pascual 43 Dr. Jose Fabella Memorial Hospital Maria Fe T. Quindo, RN, RM

4 09-286817 February 3, 2009 Baby Girl Gonzales Female Rhea Gonzales 22 Dr. Jose Fabella Memorial Hospital Maria Fe T. Quindo, RN, RM

Noted by: Concurred by: Approved by:

EDERLYN M. TAPARAN - LUMABI, RN, MAN MARIE THERESE A. PACABIS, RN, RM, MAN NAOMI M. DE ARO, RN, MAN, EdD Signature over Printed Name of Clinical Coordinator Signature over printed Name of Chief Nurse Signature over Printed Name of Dean Date Signed: Date Signed: Date Signed: Degree: BSN, MAN Degree: BSN, MAN Degree: BSN, MAN, EdD a)PRC No.: 0329074 a ) PRC No.: 0039563 a ) PRC No.: 0186510 Valid Until: December 28, 2010 Valid Until: October 12, 2009 Valid Until: October 19, 2011 b) PNA No.: 004353 b) PNA No.: 18153 b) PNA No.: 11963 Valid Until: December 2009 Valid Until: Lifetime Valid Until: Lifetime

c) ANSAP No.: 257 c) ADPCN No.: 0820 Valid Until: Lifetime Valid Until: December 2009