ILIGAN MEDICAL CENTER COLLEGE

College of Nursing Midwifery and Health Aide

Pala-o, Iligan City

PROFESSIONAL REGULATION COMMISSION

School Code 1198

RECORD OF OPERATING AND DELIVERY ROOM CASES AND CORD DRESSINGS

Name: : Unabia, Giancarlo F.
Name and address of school: : Iligan Medical Center College Pala-o, Iligan City
Accreditation level (if any) : PACUCOA LEVEL II Year granted : 2005
Date school program was recognized : June 17, 1985 Number : 171 Year : 1985
First course (if any) : None School graduated from : N/A Year : N/A
Year of admission in the Bachelor of Science in Nursing program : 2002
Year graduated (BSN Program) : March 2007
I. MAJOR OPERATIONS

No. Date Case Name of Diagnosis Operation Performed Type of Name of Name of Hospital Name of O.R. Scrub Signature of O.R.
Operation No. Patient Anesthesia Surgeon Nurse Scrub Nurse

1. Pregnancy Uterine Premature Term Not in Labor,

April Low Transverse Ms. Mary Joy V. Familar,
118243 Albon, Placenta Previa Twin Pregnancy Delivered, Twin Spinal Dr. Getarwellas Gregorio T. Lluch
22, 2004 Cesarean Section with RN
Ruthel 1 Apgar Score. 5,6,7, Twin 2 Apgar Score 5,6,7, Anesthesia Memorial Hospital
Bilateral Tubal Ligation PRC No. 0199232
Turn Pregnancy (Cephalic Breech)

2. December 140692 Cabangahan, Open Reduction Internal General Dr. Rommel Gregorio T. Lluch Ms. Mary Joy V. Familar,
Fracture at the Left Arm RN
12, 2005 Gerwin Fixation Anesthesia Adrian Navarro Memorial Hospital
PRC No. 0199232

3. March 001806 Agacita, Pregnancy Uterine 36-37 weeks with Abruptio Cesarean Section Spinal Dr. Yanez Lanao del Norte Ms Vergilia Demao, RN
2, 2006 Annabella Placenta Anesthesia Provincial Hospital PRC No. 00138653

4. November 174364 Amorod, Ectopic Pregnancy Ruptured Pelvic Laparotomy, Left Spinal Dr. Macataman Gregorio T. Lluch Mr. Renan Pee, RN
22, 2006 Mona Munting Salpingectomy Anesthesia Memorial Hospital PRC No. 0382121

Gun Shot Wound Multiple Entrance Back Right

February Macarambon, Para Lumbar L4 L5 at ENT Left Lower Quadrant General Dr. Vergilio Gregorio T. Lluch Mr. Mark Bordeos, RN
5. 177618 Exploratory Laparotomy
15, 2007 Safrola with Evisceration of the Omentum Perforating the Anesthesia Marquez Memorial Hospital PRC No. 0382131
Perineal Cavity

CONCURRED BY: CONCURRED BY: APPROVED BY: NOTED BY: SUPERVISED BY:

MS. MYRNA P. SUAN, RN, MN MS. TRANSFIGURACION C. LEE, RN, MN MS. ELIZABETH L. ALAGAR, RN, MAN MS. MA. CRISTINA DARLYN Q. DOCOG RN, MAN MS. SHEILA C. LABATA, RN, MM, MAN
Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse Signature over printed name of Dean Signature over printed name of Clinical Coordinator Signature over printed name of Assistant Dean
Gregorio T. Lluch Memorial Hospital Lanao Del Norte Provincial Hospital Iligan Medical Center College Iligan Medical Center College Iligan Medical Center College
Date Signed: __________________
Date signed: Date Signed: ____________________ Date Signed: ____________________ Date Signed: ____________________
Degree: BSN, RN, MN
Degree: BSN, RN, MN a. PRC No.: 0059574
Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MM, MAN
a. PRC No.: 0078434 Valid Until: August 6, 2008 a. PRC No.: 0089156 a. PRC No.: 0181563 a. PRC No.: 0167707
Valid until: April 8, 2009 b. PNA No.: 12-LO-0420-1 Valid Until: June 18, 2008 Valid Until: June 4, 2009 Valid until: June 15, 2008
b. PNA No. 4249 Valid Until: Lifetime b. PNA No.: 14137 b. PNA No.: 16821 b. PNA No.: 16807
Valid until: Lifetime c. ANSAP No.: 021 Valid Until: Lifetime Valid Until: Lifetime Valid until: Lifetime
c. ANSAP No.: 025 Valid Until: LIfetime c. ADPCN No.: 125
Valid until: March 08, 2008 Valid Until: December 31, 2007
Prepared by:

Giancarlo F. Unabia