SOUTHEAST ASIAN COLLEGE COLLEGE OF NURSING 2 E. Rodriguez Sr.

Avenue, Quezon City BASED ON THE BOARD OF NURSING Resolution No. 355 S-2004 Name of Student: JESSICA SARAH A.JAVIER Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 2 E. Rodriguez Sr. Avenue, Quezon City Accreditation Level: (if any) NOT APPLICABLE Year Granted: NOT APPLICABLE Date School/ Program was Recognized: June 9, 1980 Number 53 Year 1980 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: 2008 Year Graduated (BSN Program): 2012
I. MAJOR OPERATIONS Date of Operation
07-27-10

Case No.
10-07-275252

Name of Patient
Ronqillo, Marissa

Diagnosis
Myoma uteri

Operation Performed Total abdominal hysterectomy bilateral salpingo oophorectomy Cessarean section

Type of Anesthesia Epidural anesthesia

Name of Surgeon Dr. Eleanor Bizares

Name of Hospital United doctors medical center

Supervised by (Name & Signature of Qualified Clinical Instructor) Manny L. Mamaril RN, MAN

2-16-11

11-02-166746

Magon, Amecel

Gravida 2 Para 1 pregnancy uterine 38 weeks age of gestation, cephalic not in labor Ruptured appendicitis Nulligravid,Endometrial polyps

Spinal Anesthesia

Dr. Rosa Nina Velante

United doctors medical center

Manny L. Mamaril RN, MAN

2-17-11

11-02-176764

Magno Ma. Rosario

Exploratory Laparotomy Transcervical resection of polyps

Spinal Anesthesia General Anesthesia via mask Spinal Anethesia

Dr. Denton Aumentado Dr. Delfin Tan

United doctors medical center United doctors medical center

Manny L. Mamaril RN, MAN Manny L. Mamaril RN, MAN Manny L. Mamaril RN, MAN

2-17-11

11-02-196774

Ang, Roderica

1-02-12

12-01-000002

Lao, Ma. Cecilia

Gravida 3 Para 3 Abnormal Uterine bleeding, myoma Transcervical resection of myoma uteri
Noted By:

Dr. Jean Go-Du

United doctors medical center

Prepared By: JESSICA SARAH A. JAVIER ___________________________ Signature over printed name of Student

Supervised By:
MANNY L. MAMARIL, R.N., MAN Signature over printed Name of Clinical Instructor DateSigned:__________________ Degree:BSN:Bachelor of Science in Nursing Master of Arts in Nursing PRC No.: 0259041 Valid Until: June 27, 2012 PNA No.: 17692 Valid Until: Lifetime Membership

Conducted By:
MANNY L. MAMARIL, R.N., MAN Signature over printed Name of Clinical Instructor Date Signed: _________________________ Degree:BSN:Bachelor of Science in Nursing Master of Arts in Nursing PRC No.: 0259041 Valid Until: June 27, 2012 PNA No.: 17692 Valid Until: Lifetime Membership

Approved By:
CLARITA D. CURATO, R.N., MAN, Ed. Signature over printed Name of Dean SOUTHEAST ASIAN COLLEGE INC Date Signed: _________________________ Degree: Doctor of Education PRC No.: 0009848 Valid Until : May 2011 PNA No.: 10928 Valid Until: Lifetime Membership ADPCN No.: 0262 Valid Until: December 2012

VIVIAN M. FORMENTO, R.N., MAN Signature over printed Name of Chief Nurse UNITED DOCTORS MEDICAL CENTER Date Signed: ________________________ Degree:BSN, Master of Arts in Nursing PRC No.: 0090274 Valid Until: February 20, 2011 PNA No.: 11242 Valid Until: Lifetime Membership

SOUTHEAST ASIAN COLLEGE COLLEGE OF NURSING 2 E. Rodriguez Sr. Avenue, Quezon City BASED ON THE BOARD OF NURSING Resolution No. 355 S-2004 Name of Student: Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 2 E. Rodriguez Sr. Avenue, Quezon City Accreditation Level: (if any) NOT APPLICABLE Year Granted: NOT APPLICABLE Date School/ Program was Recognized: June 9, 1980 Number Year 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:2008 Year Graduated (BSN Program): 2012
II. MINOR OPERATIONS Date of Operation 1 2 3 4 5 02-10-11 Case No.
11-02-106707

Name of Patient Cuizon, Rowena Imperio, Maynard Apalla, Petronila Viloria, Marifez Monzon, Maria

Diagnosis Breast mass, Right Neck mass

Operation Performed Excision of breast mass Excision of neck mass

Type of Anesthesia Local anesthesia Local anesthesia Local anesthesia General anesthesia via mask General anesthesia via mask

Name of Surgeon Dr. Florencio Briones Dr. Nelson Dy Dr. Eduardo Martin Dr. Delfin Tan Dr. Tan Espiritu

Name of Hospital United doctors medical center United doctors medical center United doctors medical center United doctors medical center United doctors medical center

Supervised by (Name & Signature of Qualified Clinical Instructor) Manny L. Mamaril RN, MAN Manny L. Mamaril RN, MAN Manny L. Mamaril RN, MAN Manny L. Mamaril RN, MAN Manny L. Mamaril RN, MAN

02-11-11 02-16-11 02-18-11 06-30-10

11-02-116709

11-02-166748

Phacoemulsification with Cataract Senile Mature, left posterior chamber intraocular eye lens Gravida1 para1 secondary infertility x 6 years Endometrial polyps Hysterosalpingogram Hysteroscopy with polypectomy

11-02-186770

10-30-065018

Prepared By: JESSICA SARAH A. JAVIER

Supervised By:
MANNY L. MAMARIL, R.N., MAN Signature over printed Name of Clinical Instructor DateSigned:__________________ Degree:BSN:Bachelor of Science in Nursing Master of Arts in Nursing PRC No.: 0259041 Valid Until: June 27, 2012 PNA No.: 17692 Valid Until: Lifetime Membership

Noted By:
VIVIAN M. FORMENTO, R.N., MAN Signature over printed Name of Chief Nurse UNITED DOCTORS MEDICAL CENTER Date Signed: ________________________ Degree:BSN, Master of Arts in Nursing PRC No.: 0090274 Valid Until: February 20, 2011 PNA No.: 11242 Valid Until: Lifetime Membership

Conducted By:
MANNY L. MAMARIL, R.N., MAN Signature over printed Name of Clinical Instructor Date Signed: _________________________ Degree:BSN:Bachelor of Science in Nursing Master of Arts in Nursing PRC No.: 0259041 Valid Until: June 27, 2012 PNA No.: 17692 Valid Until: Lifetime Membership

Approved By:
CLARITA D. CURATO, R.N., MAN, Ed. Signature over printed Name of Dean SOUTHEAST ASIAN COLLEGE INC Date Signed: _________________________ Degree: Doctor of Education PRC No.: 0009848 Valid Until : May 2011 PNA No.: 10928 Valid Until: Lifetime Membership ADPCN No.: 0262 Valid Until: December 2012

________________________
Signature over printed name of Student

SOUTHEAST ASIAN COLLEGE COLLEGE OF NURSING 2 E. Rodriguez Sr. Avenue, Quezon City BASED ON THE BOARD OF NURSING Resolution No. 355 S-2004 Name of Student: JESSICA SARAH A.JAVIER. Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 2 E. Rodriguez Sr. Avenue, Quezon City Accreditation Level: (if any) NOT APPLICABLE Year Granted: NOT APPLICABLE Date School/ Program was Recognized: June 9, 1980 Number Year 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: 2008 Year Graduated (BSN Program): 2012
III. ACTUAL DELIVERIES Time of Gender of the Date of Delivery Delivery Baby

Case No.

Diagnosis

Name of Mother

Age

Name of Hospital

Type of Delivery

Supervised by (Name & Signature of Qualified Clinical Instructor)

Prepared By: ____________________________ Signature over printed name of Student

Supervised By: _____________________________

Noted By: _____________________________

Conducted By: ______________________________

Approved By: ___________________________________