MAJOR CASES Date of Operation

May 9, 2011

Case No.

Time

Name of Patient

Diagnosis

Operation Performed
Ceasarian Section

Type of Anesthesi a
SPINAL

Name of Surgeon
ALCANTARA, LYDIA A., MD

Name of O.R. Scrub Nurse

JOHN NIRO D. ESTANDARTE, RN

Name of Student
AGENA, JOHN ERVIN V

11-01104

2:00 PM

G1P1 (1001) PU 38 MAGO, SARAH JANE Weeks AOG, Cephalic In D Presentation; Fetal distress

MINOR CASES Date of Operation

August 13,2009

Case No.

Time

Name of Patient

Diagnosis

Operation Performed

Type of Anesthesia
Local

Name of Surgeon

Name of O.R. Scrub Nurse

Name of Student
AGENA, JOHN ERVIN V

8348

NEMINIO, JESSY C.

Left Ear Lobule Bilateral

Closure

JOSEPHINE CAPT. JUSSEL AGCAOILI, RN PARLAN, MC MAN DR. GEORGE B. CHENG DR. JOHN LLOYD F. FONTE IMBAO, JOCELYN C., MD TERESITA SANTIAGO, RN

111252

October 8, 2009

SULAYAW, PLACIDO

Warts on the Right Eye and Left Cheek

Cauterization

Topical

AGENA, JOHN ERVIN V

1582917

December 2, 2010

NUMERINO CAGUIDA

Mass @ Scapular Area Right, T/C Lipoma G4P4 (4004) PU 39 Weeks AOG, Cephalic In Presentation; Persistent Bleeding

Excision

Local

TERESITA SANTIAGO, RN JOHN NIRO D. ESTANDARTE, RN

AGENA, JOHN ERVIN V

11-01122

May 11, 2011

6:05 PM

CARULLO, JAVELYN M

Bilateral Tubal Ligation

SPINAL

AGENA, JOHN ERVIN V

ACTUAL/ASSIST/CORD CARE CASES

Case No. 1 2 3 4 5
169-32 170-33 172-35

Date of Delivery
April 11, 2011 April 13, 2011 April 14, 2011

Time of Name of Mother Delivery

2:45AM 5:13AM 6:07AM MGC CMP CMP

Diagnosis
G2P2 PU 39 Weeks AOG, Cephalic In Presentation G4P4 PUFC

Gender Type of of Baby Delivery

MALE FEMALE NSD NSD NSD

Midwife
PAZ IRENE D. VENTURA, RM PAZ IRENE D. VENTURA, RM PAZ IRENE D. VENTURA, RM ROSALINDA V. SITCHON, RM ROSALINDA V. SITCHON, RM MARILYN T. VILLADOLID, RM MARILYN T. VILLADOLID, RM VINAMAR RAFAELA M. NOVEJAS, RM VINAMAR RAFAELA M. NOVEJAS, RM VINAMAR RAFAELA M. NOVEJAS, RM

Name of Student
(ACTUAL) AGENA, JOHN ERVIN V AGENA, JOHN ERVIN V AGENA, JOHN ERVIN V AGENA, JOHN ERVIN V AGENA, JOHN ERVIN V AGENA, JOHN ERVIN V (ASSIST) (CORD CARE)

11-01102

May 9, 2011

3:05 PM

11-01107

May 9, 2011

7:05 PM

G2P1 (1001) PU 39 Weeks AOG, Cephalic In FEMALE Presentation G1P1 (1001) PU 38 Weeks ECUASION, IRISH G AOG, Cephalic In MALE Presentation G1P1 (1001) PU 39 Weeks RESULLA, JIENNE ROSE AOG, Cephalic In MALE S Presentation BALGUA, JESUSA M G2P2 (2002) PU 39 Weeks AOG, Cephalic In FEMALE Presentation; Previous CS

NSD

NSD

11-01114

May 10, 2011

2:35 PM

CS

7 8 9

11-01116

May 10, 2011

4:04 PM

11-01121

May 11, 2011

5:25 PM

11-01126

May 12, 2011

3:50 PM

10 11-01132 11 12 13 14 15 16 17

May 13, 2011

1:50 PM

G2P2 (2002) PU 40 Weeks AOG, Cephalic In FEMALE Presentation G2P2 (2002) PU 40 Weeks ABING, NORMALIZA B AOG, Cephalic In MALE Presentation G2P2 (2002) PU 40 Weeks VILLANUEVA, AOG, Cephalic In MALE BERNADETTE A Presentation G1P1 (1001) PU 39 Weeks DE GUZMAN, ANNE D AOG, Cephalic In FEMALE Presentation VICENO, JANE T

NSD

AGENA, JOHN ERVIN V AGENA, JOHN ERVIN V AGENA, JOHN ERVIN V AGENA, JOHN ERVIN V

NSD

NSD

NSD

Arellano University COLLEGE OF NURSING Legarda, Manila

LEVEL IV SUMMER 2011

CASES MONITORING SHEET

SECTION:

0 OR
NAMES Major
1 0 0 0 0 0 0

LEVEL IV UPDATED CASES DR

Minor
4 0 0 0 0 0 0

Actual
3 0 0 0 0 0 0

Assist
3 0 0 0 0 0 0

C.Care
4 0 0 0 0 0 0

A
1 2 3 4 5 6 1 2 3 4 5 6 . AGENA, JOHN ERVIN V . . . . . ***NOTHING FOLLOWS*** 15 0 0 0 0 0

B
. 0 . . . . . TOTAL

15

Are lla n o U n iv e rs ity

COLLEGE OF NURSING
2600 Legarda st., Sampaloc, Manila, Philippines

RELATED LEARNING EXPERIENCE SUMMARY OF GRADES

(ROTATION # SUMMER 2011)

Level/ Section Group Number Adviser Hospital/ Facility Area/Scope Duty Dates/ Rotation No# Clinical Instructor

IV - D 13A TAGUIG-PATEROS DISTRICT HOSPITAL OR/DR COMPLEX May 9-13, 2011 - NCM 104 - Rotation # 7

N o t eMR..ARCHIMEDES G.uBALINAS,RN,RM,MSN l eg ib l y , B l a c k -In k 1 T o b e f il l ed p c o mp l et el y a n d 2 . T r i-c o p y , A d v is er ' s C o p y , C l in ic a l In s t r u c t o r , A .U . N u r s in g O f f ic e N o t e 1 . To be f il l ed up c o mpl et el y an d l eg3 . y, o l b e k -Inb mit t ed ev er y en d o f ea c h c l in ic a l a s s ig n men t ibl T B ac s u k 4 . r o b e r ec o r d s in a t 2 . Tr i-c o py, Ad v is er 's C o py, C l in ic al In s t Tuc t o r , A.U. N ur ed g O ft fh ees u b mit t ed c l in ic a l g r a d es l o g -b o o k ic 3 . To be s ubmit t ed ev er y en d o f eac h 5 l in ic al u irsedn men t s a l a r y c l ea r a n c e c . R eq as ig f o r
4 . To be r ec o r d ed at t h e s ubmit t ed c l in ic al g r ad es l o g -bo o k 5 . Req uir ed f o r s al ar y c l ear an c e

Core Competency NO

Class Standing (CS) Quiz, DLP 10% ATTENDANCE ATTITUDE

Case Presentation (CP) 10%

NAME OF STUDENTS

(CC) 70%

CC

CS

CP

FINAL GRADE

5%

5%

70%

20%

10%

1. AGENA, JOHN ERVIN V 2. CERUJANO, PAULO M 3. DACLAN, KAREN DIANE D 4. DE VILLA, BENNEZIE KATHRYN B 5. ACEJAS, ANNA KARINA 6. ***NOTHING FOLLOWS*** 7. 8. 9. 10. 11. 12.

89.80 % 89.90 % 89.20 % 89.50 % 89.40 % %

88.20 %

86.40 % 92.70 % 90.60 % 83.50 % 94.20 % #### %

87.60 %

100 % 100 % 100 % 100 % 100 % 100 %

100 %

88.00 % 87.00 % 88.00 % 87.00 % 88.00 % 87.00 % 88.00 % 87.00 % 88.00 % 87.00 % 88.00 % 87.00 %
88.00 % 87.00 %

62.86 18.04 8.70 62.93 18.67 8.70 62.44 18.46 8.70 62.65 17.75 8.70 62.58 18.82 8.70 0.00
61.74

89.60 % 90.30 % 89.60 % 89.10 % 90.10 % 0.00 %

88.60 %

-8.70 8.70
18.16 8.70

Submitted By:

Received/ Recorded By:

Date Submitted:

Archimedes G. Balinas, RN,RM,MSN Clinical Instructor Signature Over Printed Name

Date Filed: Adviser Signature Over Printed Name Signature of Level Secretary

Staff
O.R. Staff Nurse NEUMIR E. RAMOS, RN JOHN NIRO D. ESTANDARTE, RN JASPER A. AFROILAN, RN HANILDA C. CO, RN JINKY A. PARAYAWAN, RN MANILLE A. VICTORIA, RN

1. 2. 3. 4. 5. 6.

1. 2. 3. 4. 5. 6.

1. 2. 3. 4. 5. 6. 7.

OB- Gyne AGDAMAG, ANN MARGARET P., MD AGOTILLA, CLEOFE M. , MD ALCANTARA, LYDIA A., MD AMPIL, JOHN TERRENCE A., MD IMBAO, JOCELYN C., MD PARAGUYA, LIZA C., MD PEPITO, SOLITA A., MD

1. 2. 3. 4.

Mission 1. JAE A. YANG, MD 2. VIOLETA C. ALBA, MD 3. AMELIA C. AGUILERA, MD 4. BONIFACIO M. AGUILERA, MD 5. ROMEO S. BELLA, MD 6. BENILDA A. BORJA, MD 7. ROGELIO C. BORJA, MD 8. NEMESIO A. BUCAYU JR., MD 9. SOFRONIO M. DELA VEGA, MD 10. ERNESTO C. DELAS ALAS, MD 11. ERLINDA DE LEON GASTON, MD 12. RODOLFO B. FURIGAY, MD 13. GLICERIO C. IGNACIO, MD 14. AURORA A. MIRANDA, MD 15. ROGELIO G. MUPAS, MD 16. THELMA R. MUPAS, MD 17. LYDIA M. NOCHE, MD 18. FREDDIE D. PEREZ, MD 19. RICHARD M. PIDUTTI, MD 20. LARRY S. PURPURA, MD 21. ERZON C. RELIGIOSO, MD 22. REMIGIO D. RUBIANO, MD 23. ROBIN M. TORRES, MD 24. JOSE C. ALBA, MD

1. 2. 3.

Page 6

Staff
Midwives MARILYN T. VILLADOLID, RM VINAMAR RAFAELA M. NOVEJAS, RM ROSALINDA T. SITCHON, RM

SURGERY MORALES, ALLAN JOEL G., MD FUENTES, JOSEPH ROY A., MD SERGIO, M. HASSAN F. A., MD

Optha AMBROSIO, EVELYN, MD GOMEZ, EDUARDO C., MD SINGSON, MANUEL JOSEPH JR., MD

Page 7

ARELLANO UNIVERSITY COLLEGE OF NURSING

NCM 104 SUMMER ROTATION

Holy Week APRIL 21-22
A 28-30 May 1-2 CWAP

WEEK 1 DATE Mar 28-Apr. 1 SECTION A GRP. 1A EHC GRP. 1B CBC GRP. 2A POC 1 GRP. 2B POC 2 GRP. 3A QMMC OR GRP. 3B QMMC DR GRP. 4A TALA IW GRP. 4B OSSAM ER

2 Apr. 4 - 8 QMMC OR LCP IW VET OPD OSSAM ER POC 1 POC 2 ILIC EHC

3 Apr. 11 -15 TALA IW QMMC OR OSSAM ER VET OPD CCMH 1 EHC POC 1 POC 2

4 Apr. 18- 22 POC 1 POC 2 QMMC DR WFC (S) WFC (T) VET OPD OSSAM ER TALA IW

5 Apr. 25-29 OSSAM ER PCSO 1 OsMK H QMMC DR VET OPD TALA IW PCSO 1 PCSO 2 5 Apr. 25-29 POC 1 POC 2 CCMH 2 CCMH 2 CCMH 1 EHC VET PW OsMK ENT

6 May 2-6 WFC (S) WFC (T) CBC OsMK H TALA IW OSSAM ER QMMC DR VET OPD 6 May 2-6 TMC PCSO 1 POC 1 POC 2
JRRMMC MSW

7 May 9-13 ADH CCMH 1 CCMH 1 TALA IW PCSO 1 WFC (S) VET OPD QMMC DR 7 May 9-13 WFC (T) CBC
JRRMMC MSW

WEEK 1 2 3 4 DATE Mar 28-Apr. 1 Apr. 4 - 8 Apr. 11 -15 Apr. 18- 22 SECTION B GRP. 5A OSSAM OR-1 TALA IW MH ER EHC GRP. 5B OSSAM DR-2 MH ER LCP CCMH 2 GRP. 6A VET PW OSSAM OR-1 TDH MH ER GRP. 6B MH ER OSSAM DR-2 VET PW TDH GRP. 7A OsMK H TDH OSSAM OR-1 VET PW GRP. 7B PCSO 1 VET PW OSSAM DR-2 JRRMMC MSW GRP. 8A TMC PCSO 1 WFC (S) OSSAM OR-1 GRP. 8B PCSO 1 CBC TMC OSSAM DR-2

MH ER EHC CCMH 2

PCSO 2 POC 1 POC 2 MH ER VET PW

WEEK 1 DATE Mar 28-Apr. 1 SECTION C JRRMMC ORTHO GRP. 9A GRP. 9B St. Cam. GRP. 10A WFC (T) GRP. 10B ADH GRP. 11A TDH GRP. 11B WFC (S) PCSO 2 GRP. 12A GRP. 12B PCSO 2

2 Apr. 4 - 8 OSSAM H
JRRMMC ORTHO

3 Apr. 11 -15 OsMK H CBC

JRRMMC ORTHO

4 Apr. 18- 22 TMC PCSO 1 OsMK ENT

JRRMMC ORTHO

5 Apr. 25-29 OSSAM OR-1 OSSAM DR-2 ADH PCSO 1

JRRMMC ORTHO

6 May 2-6 VET PW ADH CCMH 1 CCMH 1 OsMK ENT

JRRMMC ORTHO

7 May 9-13 EHC TMC OSSAM H OSSAM ER CCMH 2 CCMH 2

JRRMMC ORTHO

St. Cam. WFC (T) PCSO 2 TMC ADH WFC (S)

OSSAM H WFC (T) PCSO 1

JRRMMC MSW

ADH

OSSAM H OsMK H CCMH 1 CCMH 1

OSSAM OR-1 JRRMMC MSW OSSAM DR-2 5 Apr. 25-29 TMC PCSO 2 TDH CBC 6 May 2-6 OSSAM H St. Cam. PCSO 2 TDH

OSSAM H OsMK ENT

St. Cam. 7 May 9-13 TDH OsMK ENT OSSAM OR-1 OSSAM DR-2

WEEK 1 2 3 4 DATE Mar 28-Apr. 1 Apr. 4 - 8 Apr. 11 -15 Apr. 18- 22 SECTION D ILIC GRP. 13A PNPGH ORTHO St. Cam. PCSO 2 CCMH 2 GRP. 13B OSSAM H PNPGH ORTHO ADH GRP.14A JRRMMC MSW OsMK H PNPGH ORTHO CBC GRP. 14B St. Cam. JRRMMC MSW PCSO 2 PNPGH ORTHO

8 May 16-20 PCSO 1 ADH TALA IW CCMH 2 OSSAM ER PCSO 2 CCMH 2 OsMK H 8 May 16-20 VET OPD TMC WFC (S)
JRRMMC MSW

OsMK ENT WFC (T) POC 1 POC 2

8 May 16-20 CBC CCMH 1 VET PW St. Cam. OSSAM OR-1 OSSAM DR-2 OSSAM H
JRRMMC ORTHO

8 May 16-20 LCP TDH CCMH 1 EHC

NCM 104 - SPECIAL PROGRAM (2ND Semester, SY 2010-2011)

1. 2. 3. 4. 5. SECTION A - 1A ACOSTA, JOANNA KIRSTY B ALAZO, ANDREA A ARAOS, IRVIN HANS C BANDILLO, MARITONI M BARDA, KAREN M 1. 2. 3. 4. 5. SECTION A - 1B BOLAMBOT, JENIEVER T CABUYADAO, LIRIO C CAMARSE, AHRA CONSUELO I CASARENO, MARIBETH J CLAVE, ERLYN JOY V

LIST OF STUDENTS

1. 2. 3. 4. 5. 6.

SECTION A - 2A BARNES, KAY ZHYRA M DALIDIG, SITTIE AINAH L DACUBA, KATHLEEN MAE O DE LARA, MARY ROSE J FABELLON, DAZEL F PADUNAN, JENNIFER L SECTION A - 3A MABUHAY, ARMELYN S MAMBURAO, MARK KEVIN A MARIANO, RUSSELL MAY R MOGOL, JIHANNE RAIISA D PABLO, CHRISTIAN PAUL D

1. 2. 3. 4. 5.

SECTION A - 2B GUECO, JAZELYN JOY D JOAQUIN, VINCENT EMMANUEL S JUAN, MAJA JADE B JUMAO-AS, FLORDELIZA T LUMAS, KAMILLE VIANCA P

1. 2. 3. 4. 5.

1. 2. 3. 4. 5. 6.

SECTION A - 3B PERDIDO, KATHERINE U RAREZA, RACHELLE G RIVERS, MICHAEL B ROSE ANN, CABUYADAO B SARIPADA, RUPHAIDA A SHALIM, NALMALYN S SECTION A - 4B CERUJANO, PAULO M IGNACIO, MA. JOGIELINE T PAPIO, GREG A PASAGUE, CHERYLENE L VILLEZ, MACK DAVE L

1. 2. 3. 4. 5.

SECTION A - 4A TOLEDO, DIANNE C TOMAS, KRISTINE JOY M TUMAMBING, MAEZY JOIE B VILLARUEL, PRINCE VILLE A CASTRO, RONALD MARK D

1. 2. 3. 4. 5.

1. 2. 3. 4. 5.

SECTION B - 5A ALPARAS, JIREH KNOWELL B AQUINO, IRENE P ARROYO, CHRISTINE MAY JESSICA B BAIRA, CHRISTINE SUZZANE S BALAHAY, LITE LORENZO .

1. 2. 3. 4. 5. 6.

SECTION B - 5B BAUTISTA, MA. STEFFI G CACHAPERO, PRINCESS ERICCA E CAS, RANIELLE JOY P CHAVEZ, ANDREW JAYSON V DIRECTO, MIRRIAM R DOMINGO, FRANZ CEASAR M

1. 2. 3. 4. 5.

SECTION B - 6A ENIVA, MARC GREGOR D ESPINEDA, JAMES PETER E FEBLE, MAY LYN V FLORES, EDROSE O GACU, CLAREE CYLL M

1. 2. 3. 4. 5. 6.

SECTION B - 6B GALLARDO, REZELLE MAE E GAMMAD, KIER C JALLORINA, GLADYS V JUGUETA, JERAHYA BIANCA B LACHICA, NADINE MARIE A LASCANO, NIO L SECTION B - 7B MUSNI, MARVIN KERBY E ODAL, NORJANA R ORATE, ROBELYN R PATOSA, ALWIN BERNARD T PEREZ, JOAN N

1. 2. 3. 4. 5. 6.

SECTION B - 7A MALANG, JASON A MAALAC, DANIEL G MANALO, JULIAN FRANCIS C MARAMBA, CHRISTIANNE MARTA T MARCIANO, ROVELLE D MOLINA, MARIA KHARILYN T SECTION B - 8A REUYAN, RICAJOY RIVERA, TERIZE ELEONOR C SALAMANCA, JENNICA ALEXIS L TABIOS LAURENCE V DALLEGO, APRIL ROXANNE D

1. 2. 3. 4. 5.

1. 2. 3. 4. 5.

1. 2. 3. 4. 5.

SECTION B - 8B IMPAS, JANICE C MONFORTE, MARIE LOUIE N VALDEZ, MIGUEL ANGELO E ZHANG, YIGUANG RELOX, JHANIE LEE R

1. 2. 3. 4. 5. 6.

SECTION C - 9A ABARRACOSO, MIA B ADORADOR, CHARLES JOVIE M ADVINCULA, GIAN MICHAEL T ARANAS, JYRIEL BEVY D ARAO, JEFFREY T BAAS, MARVIN JOHN B SECTION C - 10A ESCUTO, PRINCESS LYKA P GO, IRENE O GONZALES, EILLEN C HOSEA, MARK ANTHONY F LARA-SANDOVAL, ROCHEL C

1. 2. 3. 4. 5.

SECTION C - 9B BATARA, JIREH D CABAA, PAULA C DASALLA, VERNIE ANNE B OLIVEROS, TRACY MURIEL M DOLLETE, LADY YVONNE R

1. 2. 3. 4. 5.

1. 2. 3. 4. 5.

SECTION C - 10B LAURE, JOSENNE C LEE, CRISTEL ANN MARIE U MAGNO, CLAUDINNE MARIA DOLORES G MANANSALA, REUEL O MANILAY, JON JON G

1. 2. 3. 4. 5. 6.

SECTION C - 11 A OLIVAR, JEFFERSON M NARDOSE, JANNA MAE F PADIRAYON, JAMES JOHN R PADUADA, DUSTIN FRANZ M PAET, MAHAL C ORATA, MICHEL A

1. 2. 3. 4. 5. 6.

SECTION C - 11 B BAAS, MARVIN JOHN B ELEMENTO, NISSAR P MARCELINO, ROXANNE C PASCUAL, GARY LEO B REODICA, GRETCHEN A SADICON, MARIA RAZZEL IDESSA D

1. 2. 3. 4. 5.

SECTION C - 12 A DESBARRO, XILCA T TOMAS, FREDDERICK H TORRENTE, MARY ANN ROSE R UBAY, MARY ROSE ANNE L UBONGEN, MARY GRACE Z

1. 2. 3. 4. 5.

SECTION C - 12 B DIAMPOC, ERICSON P LIM, MERLEN IAMAN C MAGAT, JEROME V PILLE, ALLAN JAY L ULOB, JENNIFFER G

1. 2. 3. 4. 5.

SECTION D - 13 A AGENA, JOHN ERVIN V CERUJANO, PAULO M DACLAN, KAREN DIANE D DE VILLA, BENNEZIE KATHRYN B ACEJAS, ANNA KARINA

1. 2. 3. 4. 5.

SECTION D - 13 B ESPADERO, DARLENE JOY E GUEVARRA, GIDEON JAYKE D LAZARO, JANETTE E MARQUEZ, CLARISSE MANUBAG, RAQUEL MELISSA C

1. 2. 3. 4. 5.

SECTION D - 14 A MEJORADA, JENILYN P MOSQUERIOLA, LEAH M PADRIQUE, CHERRYROSE P PALISOC, EDWIN KYLE C TABIEN, SHERYL ANNE U

1. 2. 3. 4. 5.

SECTION D - 14 B TESORO, BERNADETTE JOY S TUNGCUL JANINE M TY, MA. CAROLINE A VALIDO, RONIE A VENIDA, GENILYN R