DR. CARLOS S.

LANTING COLLEGE
CASAUL GENERAL HOSPITAL
College of Nursing
16 Tandang Sora Avenue, Sangandaan, Novaliches
Quezon City, Philippines
Tel. No.: (02)938-7782/(02)938-7789
Telefax No.: (02)939-7229/(02)930-5299
Email add: nursing@lantingcollege.edu.ph website: www.lantingcollege.edu.ph

Name of Student: Norbert V. Notarte

Name and Address of School: Dr. Carlos S. Lanting College, # 16 Tandang Sora Avenue, Sangandaan, Nov., Quezon City
Accreditation Level: (if any) Year Granted
Date School/Program was Recognized: June 6 Number C – 030 Year 1992
First Course (if any): Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

I. Major Operations
Supervised by:
No. Date of Case No. Name of Patient Diagnosis Operation Performed Type of Name of Surgeon Name of Hospital Name & Signature of Qualified C.I.
Operation Anesthesia
Pregnancy Uterine 38weeks Marilyn Gallardo,RN,MAN
Age of Gestation by Last Spinal Anesthesia Quirino Memorial Medical Center
1. 9-9-09 421511 Colasito, Tetchie menstrual period, Cephalic in Low Transverse Dr. Tancinco, PRC No.: 0317418 Valid Until: Jan. 25, 2011
Labor, Macrosomia Gravida2 Ceasarian Section Eilleen PNA No.:_________ Valid Until:___________
Para2 (2002)
Pregnancy Uterine 39weeeks Marilyn Gallardo,RN,MAN
Age of Gestation by Last Spinal Anesthesia Quirino Memorial Medical Center
2. 9-15-09 489181 Bagual, Nenilda menstrual Period, Gravida1 Low Transverse Dr. Masangkay, PRC No.: 0317418 Valid Until: Jan. 25, 2011
Para1(1001) Ceasarian Section Emeline PNA No.:_________Valid Until:____________
Pre-Eclampsia Severe in Labor
General Anesthesia Kristine Dela Cuesta,RN,MAN
via Mask Philippine Children's Medical Center
3. 12-16-09 356159 Francisco, Reynaldo Indirect Inguinal Hernia Herniotomy Bilateral Dr. Benaldez, PRC No.: 0328938 Valid Until: Jan. 30, 2011
Bilateral Renato PNA No.: ______________Valid Until:______________
General Anesthesia Kristine Dela Cuesta,RN,MAN
via Endotracheal Philippine Children's Medical Center
4. 12-17-09 359863 Geronimo, Leemar Jose Xenoderma Pigmentosa Excision of Granulation Tube Dr. Gurango, Maria PRC No.: 0328938 Valid Until:_ Jan. 30, 2011
Tissue Right Periorbital Pilita PNA No.: ______________Valid Until:______________
Kristine Dela Cuesta,RN,MAN
General Anesthesia Philippine Children's Medical Center
5. 12-18-09 368785 Cruz, Joshua Obstructive Sleep Apnea Tonsillectomy Dr. Veloro, Lyra PRC No.:__0328938 Valid Until: Jan. 30, 2011
PNA No.: ______________Valid Until:______________
Prepared by:

Norbert V. Notarte
Signature over printed Name of Student

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

DALISAY L. PEÑAMANTE, R.N. M.A.N. __ _ LUZ P. PADUA, R.N.,MAN., PhD_______ __AMELINDA S. MAGNO, RN, MAN_________ NORA VELMA M. GAYOD, R.N., M.AN._
Signature over printed Name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed Name of Chief Nurse Signature over printed Name of Dean
Date Signed: Date Signed:_______________________ Date Signed: Date Signed: ________
Degree: Bachelor of Science in Nursing Degree: __ Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing _
a). PRC No.: 0190486 ______ a).PRC No: ____ 0187428 ___________ a). PRC No.: 0156074 a). PRC No.: 0210791
Valid until: February 25, 2011 Valid until:: ____ July 25, 2012 __________ Valid until: June 03, 2011 Valid Until: February 12, 2012_______
b). PNA No.: 15979 b).PNA No. ____ 11959 ___________ b). PNA No.: 15963 b). PNA No.: 15980
Valid until: LIFETIME _________ Valid until: _____ LIFETIME _ Valid until: LIFETIME Valid Until: LIFETIME
c) ANSAP: _____ ____________________ c) ANSAP No: _________________ c). ADPCN No.: _______ _
Valid until: Valid until: ______ Valid until:
 DR. CARLOS S. LANTING COLLEGE
CASAUL GENERAL HOSPITAL
College of Nursing
16 Tandang Sora Avenue, Sangandaan, Novaliches
Quezon City, Philippines
Tel. No.: (02)938-7782/(02)938-7789
Telefax No.: (02)939-7229/(02)930-5299
Email add: nursing@lantingcollege.edu.ph website: www.lantingcollege.edu.ph

Name of Student: Norbert V. Notarte

Name and Address of School: Dr. Carlos S. Lanting College, # 16 Tandang Sora Avenue, Sangandaan, Nov., Quezon City
Accreditation Level: (if any) Year Granted
Date School/Program was Recognized: June 6 Number C – 030 Year 1992
First Course (if any): Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

II. Minor Operations

Supervised by:
No. Date of Case No. Name of Patient Diagnosis Operation Performed Type of Name of Surgeon Name of Hospital Name & Signature of Qualified C.I.
Operation Anesthesia
Marilyn Gallardo,RN,MAN
9-8-09 621240 Tolodo, Eleno Acute Appendicitis Appendectomy Spinal Anesthesia Dr. Gatmaytan, Quirino Memorial Medical Center PRC No.: 0317418 Valid Until: Jan. 25, 2011
1. Congestive Michael PNA No.:_________ Valid Until:_

Incomplete Abortion 13 Eleanor S. Mendoza, RN, MAN

11-10-09 218981 Abatay, Elizabeth 1/7weeks Completion Curettage Intra Venous Dr. Baylon, Princess Quirino Memorial Medical Center PRC No.: 79562 Valid Until: Oct. 12, 2011
2. Age of Gestation non-septic, Sedation Lovern
non-induced Completed
PNA No.: _2415 _ Valid Until: _ Lifetime _
Gravida6 Para5
General Kristine Dela Cuesta,RN,MAN
12-17-09 371310 Lafradez, Jennifer Neglected Fracture Right 1 ½ Hip Spica Right Anesthesia via Dr. Aliling, Bayani Philippine Children's Medical Center PRC No.:__0328938 Valid Until: Jan. 30, 2011
3. Femur with Osteomyelitis Mask PNA No.: ______________Valid Until:______________
Kristine Dela Cuesta,RN,MAN
12-18-09 351361 Timonera, Marjorie Abnormal Uterine Cervical Pouch Biopsy Spinal Anesthesia Dr. Soccoro, Philippine Children's Medical Center PRC No.:__0328938 Valid Until: Jan. 30, 2011
4. Bleeding/Cervical Mass Bernardino PNA No.: ______________Valid Until:______________
Restorations Kristine Dela Cuesta,RN,MAN
2-17-10 OPD-P Suehiro, Sachiko Restorable Caries (Crowns of Composite) Rectal Sedation Dr. Salcedo, Arda Philippine Children's Medical Center PRC No.:__0328938 Valid Until: Jan. 30, 2011
5.
PNA No.: ______________Valid Until:______________
Prepared by:

Norbert V. Notarte
Signature over printed Name of Student

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

DALISAY L. PEÑAMANTE, R.N. M.A.N. __ _ LUZ P. PADUA, R.N.,MAN., PhD_______ __AMELINDA S. MAGNO, RN, MAN_________ NORA VELMA M. GAYOD, R.N., M.AN._
Signature over printed Name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed Name of Chief Nurse Signature over printed Name of Dean
Date Signed: Date Signed:_______________________ Date Signed: Date Signed: ________
Degree: Bachelor of Science in Nursing Degree: __ Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing _
a). PRC No.: 0190486 ______ a).PRC No: ____ 0187428 ___________ a). PRC No.: 0156074 a). PRC No.: 0210791
Valid until: February 25, 2011 Valid until:: ____ July 25, 2012 __________ Valid until: June 03, 2011 Valid Until: February 12, 2012_______
b). PNA No.: 15979 b).PNA No. ____ 11959 ___________ b). PNA No.: 15963 b). PNA No.: 15980
Valid until: LIFETIME _________ Valid until: _____ LIFETIME _ Valid until: LIFETIME Valid Until: LIFETIME
c). ADPCN No.: _______ _
Valid until: _______
 DR. CARLOS S. LANTING COLLEGE
CASAUL GENERAL HOSPITAL
College of Nursing
16 Tandang Sora Avenue, Sangandaan, Novaliches
Quezon City, Philippines
Tel. No.: (02)938-7782/(02)938-7789
Telefax No.: (02)939-7229/(02)930-5299
Email add: nursing@lantingcollege.edu.ph website: www.lantingcollege.edu.ph
Name of Student: Norbert V. Notarte
Name and Address of School: Dr. Carlos S. Lanting College, # 16 Tandang Sora Avenue, Sangandaan, Nov., Quezon City
Accreditation Level: (if any) Year Granted
Date School/Program was Recognized: June 6 Number C – 030 Year 1992
First Course (if any): Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

III. Actual Deliveries

Supervised by:
No. Case No. Diagnosis Name of Mother Age Date of Time of Gender of Name of Hospital Type of Delivery Name & Signature of Qualified C.I.
Delivery Delivery Baby
633494 Pregnancy Uterine 37 Josephine Besin 40 11-9-09 3:55 pm Male Quirino Memorial Eleanor S. Mendoza, RN, MAN
1. 1/7 weeks Normal Spontaneous
Age Of Gestation
Medical Center PRC No.: 0079562 Valid Until: Oct. 12, 2011
Delivery PNA No.: _2415 _ Valid Until: _ Lifetime _
Gravida 7 Para 7
633481 Pregnancy Uterine 35 Annabelle del 31 11-9-09 6:48 pm Female Quirino Memorial Eleanor S. Mendoza, RN, MAN
2. 2/7 weeks Normal Spontaneous
Age Of Gestation Rosario Medical Center PRC No.: 0079562 Valid Until: Oct. 12, 2011
Delivery PNA No.: _2415 _ Valid Until: _ Lifetime _
Gravida 1 Para 1
633538 Prenancy Uterine 39 Joylen Tabucanan 26 11-10-09 2:02 pm Female Quirino Memorial Eleanor S. Mendoza, RN, MAN
weeks Normal Spontaneous
3. Age Of Gestation
Medical Center
Delivery
PRC No.: 0079562 Valid Until: Oct. 12, 2011
Gravida 2 Para 2
PNA No.: _2415 _ Valid Until: _ Lifetime _
633512 Pregnancy Uterine 37 Genita Abina 29 11-10-09 3:41 pm Female Quirino Memorial Eleanor S. Mendoza, RN, MAN
4. 1/7 weeks Normal Spontaneous
Age Of Gestation
Medical Center PRC No.: 0079562 Valid Until: Oct. 12, 2011
Delivery PNA No.: _2415 _ Valid Until: _ Lifetime _
Gravida 1 Para 1
182248 Pregnancy Uterine 37 Honeylyn Cruz 16 11-10-09 7:33 pm Male Quirino Memorial Eleanor S. Mendoza, RN, MAN
5. 1/7 weeks Normal Spontaneous
Age Of Gestation
Medical Center PRC No.: 0079562 Valid Until: Oct. 12, 2011
Delivery PNA No.: _2415 _ Valid Until: _ Lifetime _
Gravida 1 Para 1
Prepared by:

Norbert V. Notarte
Signature over printed Name of Student

Noted by: Concurred by: Approved by:

DALISAY L. PEÑAMANTE, R.N. M.A.N LUZ P. PADUA, R.N., M.A.N., PhD NORA VELMA M. GAYOD, R.N., MAN
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: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing
a). PRC No.: 0190486 ______ a). PRC No.: 0187428 a). PRC No.: _____ 0210791___________
Valid until: February 25, 2011 Valid until: July 25, 2012 Valid until: _____February 12, 2012___
b). PNA No.: 15979 b). PNA No.: 11959 b). PNA No.: ______15980_____________
Valid until: Lifetime___ Valid until: Lifetime Valid until: __ Lifetime__________ __
 DR. CARLOS S. LANTING COLLEGE
CASAUL GENERAL HOSPITAL
College of Nursing
16 Tandang Sora Avenue, Sangandaan, Novaliches
Quezon City, Philippines
Tel. No.: (02)938-7782/(02)938-7789
Telefax No.: (02)939-7229/(02)930-5299
Email add: nursing@lantingcollege.edu.ph website: www.lantingcollege.edu.ph
Name of Student: Norbert V. Notarte
Name and Address of School: Dr. Carlos S. Lanting College, # 16 Tandang Sora Avenue, Sangandaan, Nov., Quezon City
Accreditation Level: (if any) Year Granted
Date School/Program was Recognized: June 6 Number C – 030 Year 1992
First Course (if any): Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

IV. Deliveries Assisted

Supervised by:
No. Case No. Diagnosis Name of Patient Age Date of Time of Gender of Name of Hospital Type of Delivery Name & Signature of Qualified C.I.
Delivery Delivery Baby
Pregnancy Uterine 38 Normal spontaneous Eleanor S. Mendoza, RN, MAN
1/7 weeks Quirino Memorial Medical delivery PRC No.: 79562 Valid Until: Oct. 12, 2011
1. 633502
Age of Gestation
Ma.Therese Besas 27 November 9, 2009 5:43 pm Male
Center
Gravida 1 Para 1
PNA No.: _2415 _ Valid Until: _ Lifetime _
Pregnancy Uterine 39 Normal spontaneous Eleanor S. Mendoza, RN, MAN
1/7 weeks Quirino Memorial Medical delivery PRC No.: 79562 Valid Until: Oct. 12, 2011
2. 627424
Age of Gestation
Daisy Mae Rarong 20 November 9, 2009 8:57 pm Male
Center
Gravida 3 Para 3
PNA No.: _2415 _ Valid Until: _ Lifetime _
Pregnancy Uterine 39 Normal spontaneous Eleanor S. Mendoza, RN, MAN
weeks November 10, Quirino Memorial Medical delivery PRC No.: 79562 Valid Until: Oct. 12, 2011
3. 635515
Age of Gestation
Allen Concha 27
2009
2:49 pm Female
Center
Gravida 1 Para 1
PNA No.: _2415 _ Valid Until: _ Lifetime _
Pregnancy Uterine 39 Normal spontaneous Marilyn T. Montallana, RN, MAN
weeks Frisco Lying In delivery PRC No.: 0363870 Valid Until: Dec. 03, 2011
4. 0043
Age of Gestation
Amelia Nario 28 January 9, 2010 3:00 pm Female
Gravida 2 Para 1
PNA No.: ______________Valid Until:______________
Pregnancy Uterine 39 Normal spontaneous Marilyn T. Montallana, RN, MAN
weeks Frisco Lying In delivery PRC No.: 0363870 Valid Until: Dec. 03, 2011
5. 0044
Age of Gestation
Lea Linda Aquino 21 January 9, 2010 5:42 pm Male
Gravida 1 Para 0
PNA No.: ______________Valid Until:______________
Prepared by:

Norbert V. Notarte
Signature over printed Name of Student

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

DALISAY L. PEÑAMANTE, R.N. M.A.N. FE M. JUSTIMBASTE R.N. M.P.H. NORA L. DIAZ R.N. M.A.N NORA VELMA M. GAYOD, R.N., M.AN._
Signature over printed Name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed Name of Chief Nurse Signature over printed Name of Dean
Date Signed: Date Signed:_______________________ Date Signed: Date Signed: _________
Degree: Bachelor of Science in Nursing Degree: _Bachelor of science in nursing_ Degree: Bachelor of science in nursing Degree: Bachelor of Science in Nursing _
a). PRC No.: 0190486 ______ a).PRC No: 0089902 _____ a). PRC No.: 0045102 a). PRC No.: 0210791
Valid until: February 25, 2011 Valid until:: ___December 4, 2012_ Valid until: November 06, 2011 Valid Until: February 12, 2012_______
b). PNA No.: 15979 b).PNA No. _14184___ ________ b). PNA No.: 14597 b). PNA No.: 15980
Valid until: LIFETIME Valid until: ___lifetime__ Valid until: Lifetime Valid Until: LIFETIME
c). ADPCN No.: __________________
 DR. CARLOS S. LANTING COLLEGE
CASAUL GENERAL HOSPITAL
College of Nursing
16 Tandang Sora Avenue, Sangandaan, Novaliches
Quezon City, Philippines
Tel. No.: (02)938-7782/(02)938-7789
Telefax No.: (02)939-7229/(02)930-5299
Email add: nursing@lantingcollege.edu.ph website: www.lantingcollege.edu.ph
Name of Student: Rhine Morales Norbert V. Notarte
Name and Address of School: Dr. Carlos S. Lanting College, # 16 Tandang Sora Avenue, Sangandaan, Nov., Quezon City
Accreditation Level: (if any) Year Granted
Date School/Program was Recognized: June 6 Number C – 030 Year 1992
First Course (if any): Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

V. Cord Dressing
Supervised by:
No. Case No. Date Performed Name of Baby Gender of Name of Mother Age Name of Hospital Name & Signature of
Baby Qualified C.I.
637392 12-7-09 Baby Girl Borado Female Bernadeth Borado 37 Quirino Memorial Virgilla Echivarri, RN, MAN
Medical Center PRC No.: 0148285 Valid Until: _Feb.18,2011_
1. PNA No.: 17640 Valid Until: _Lifetime __
634140 12-7-09 Baby Boy Coba Male Marjoery Coba 22 Quirino Memorial Virgilla Echivarri, RN, MAN
2. Medical Center PRC No.: 0148285 Valid Until: _Feb.18,2011_
PNA No.: 17640 Valid Until: _Lifetime __
569125 12-8-09 Baby Boy Abarquez Male Romene Abarquez 28 Quirino Memorial Virgilla Echivarri, RN, MAN
Medical Center PRC No.: 0148285 Valid Until: _Feb.18,2011_
3. PNA No.: 17640 Valid Until: _Lifetime __
602624 12-8-09 Baby Boy Arina Male Candelaria Arina 23 Quirino Memorial Virgilla Echivarri, RN, MAN
4. Medical Center PRC No.: 0148285 Valid Until: _Feb.18,2011_
PNA No.: 17640 Valid Until: _Lifetime __
639428 12-8-09 Baby Boy Caday Male Jocyl Caday 27 Quirino Memorial Virgilla Echivarri, RN, MAN
Medical Center PRC No.: 0148285 Valid Until: _Feb.18,2011_
5. PNA No.: 17640 Valid Until: _Lifetime __
Prepared by:

Norbert V. Notarte
Signature over printed Name of Student

Noted by: Concurred by: Approved by:

DALISAY L. PEÑAMANTE, R.N. M.A.N LUZ P. PADUA, R.N.,MAN., PhD NORA VELMA M. GAYOD,R.N.,MAN
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: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing
a). PRC No.: 0190486 ______ a). PRC No.: 0187428 a). PRC No.: _____ 0210791___________
Valid until: February 25, 2011 Valid until: July 25, 2009 Valid until: _____February 12, 2009___
b). PNA No.: 15979 b). PNA No.: 11959 b). PNA No.: ______15980_____________
Valid until: Lifetime___ Valid until : Lifetime Valid until : __ Lifetime__________ __
c). ADPCN No.: ___ 0799
Valid until: _ ___ 2009______________