ODC Form 2A

O.R. SCRUB FORM

Republic of the Philippines Major
Professional Regulation Commission
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

SURGICAL SCRUB in VICENTE SOTTO MEMORIAL MEDICAL CENTER___________________________________

Hospital, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN_________________

Date Performed SUPERVISED BY

Patient’s INITIAL only SURGICAL PROCEDURE O.R. Nurse on Duty
and Clinical Instructor
PERFORMED (Name AND Signature)
Time Started Name and Signature
Case Number
July 21, 2009 P. L. P.
08:20 am 58721 Left Hydrocoelectomy JESUSA M. COLOSCOS, RN ERGIE P. INOCIAN, RN, MSN
July 21, 2009 A. E. Exploratory Laparotomy
09:10 am 51035 Bladder Biopsy (Core Needle) LILIBETH L. PUNAY, RN ERGIE P. INOCIAN, RN, MSN
July 22, 2009 G. I. S. Debridement, Application of
07:50 am 57453 External-Fixator, Pining LILIAN S. DELGADO, RN ERGIE P. INOCIAN, RN, MSN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)
 ODC Form 2A
O.R. SCRUB FORM
Republic of the Philippines Major
Professional Regulation Commission
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

SURGICAL SCRUB in SACRED HEART HOSPITAL_________________________________________________

Hospital, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN_________________

Date Performed SUPERVISED BY

Patient’s INITIAL only SURGICAL PROCEDURE O.R. Nurse on Duty
and Clinical Instructor
PERFORMED (Name AND Signature)
Time Started Name and Signature
Case Number
August 29, 2008 A.C. C. Peripheral Iridectomy, Right
10:00 am 437846 eye JACQUELINE ANNE D. FUENTES, RN RISA P. CHUA, RN, MAN
September 09, 2008 P. V. N. Extracapsular Cataract
08:30 am 486827 Extraction with Posterior
Chamber Intraocular lens MERIAM P. CALLEDO, RN RISA P. CHUA, RN, MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)
 Republic of the Philippines ODC Form 2B
Professional Regulation Commission O.R. SCRUB MINOR
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

SURGICAL SCRUB in LAPU-LAPU CITY DISTRICT HOSPITAL__________________________________________

Hospital, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN_________________

Patient’s INITIAL only

Date Performed SUPERVISED BY
SURGICAL PROCEDURE O.R. Nurse On Duty
and Clinical Instructor
Case Number PERFORMED (Name and Signature)
Time Started Name and Signature

July 04, 2008 M. R. L. C. Suturing of Right

08:10 am 0625952 Eyebrow JASMIN B. FUFUNAN, RN CHRISTINE L. PONO, RN, MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)
 Republic of the Philippines ODC Form 2B
Professional Regulation Commission O.R. SCRUB MINOR
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

SURGICAL SCRUB in BARANGAY SAN NICOLAS HEALTH CENTER_______________________________________

Hospital, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN_________________

Patient’s INITIAL only

Date Performed SUPERVISED BY
SURGICAL PROCEDURE O.R. Nurse On Duty
and Clinical Instructor
Case Number PERFORMED (Name and Signature)
Time Started Name and Signature

April 24, 2009 M. A.

09:10 am OPD Circumcision MERCEDES JANE P. SIA, RN THELMA R. FELICIANO, RN, MAN,
Ph.D
April 24, 2009 L. M. N.
09:45 am OPD Circumcision MERCEDES JANE P. SIA, RN THELMA R. FELICIANO, RN, MAN,
Ph.D

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)
 Republic of the Philippines ODC Form 2B
Professional Regulation Commission O.R. SCRUB MINOR
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

SURGICAL SCRUB in SACRED HEART HOSPITAL___________________________________________________

Hospital, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN_________________

Patient’s INITIAL only

Date Performed SUPERVISED BY
SURGICAL PROCEDURE O.R. Nurse On Duty
and Clinical Instructor
Case Number PERFORMED (Name and Signature)
Time Started Name and Signature

August 07, 2009 A.S. G.

01: 25 pm 516343 No Scalpel Vasectomy MYRNA H. DANUCO, RN ERLINDA C. FERNAN, RN, MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)
 Republic of the Philippines ODC Form 2B
Professional Regulation Commission O.R. SCRUB MINOR
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

SURGICAL SCRUB in VICENTE SOTTO MEMORIAL MEDICAL CENTER____________________________________

Hospital, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN__________________

Patient’s INITIAL only

Date Performed SUPERVISED BY
SURGICAL PROCEDURE O.R. Nurse On Duty
and Clinical Instructor
Case Number PERFORMED (Name and Signature)
Time Started Name and Signature

November 13, 2009 M. F. A Excision of Mass in the

8:53 am 89468 Left Arm Posterior aspect MARIVIC A. DUMAGUING, RN CORAZON B. DUMADAG, RN, MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)
 ODC Form 1B
Republic of the Philippines ASSISTED DELIVERY FORM
Professional Regulation Commission
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

ACTUAL DELIVERY in SACRED HEART HOSPITAL_________________________________________________

Hospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN___________________

Patient’s INITIAL only PROCEDURE

Date Performed D.R. Nurse/Midwife On Duty SUPERVISED BY
PERFORMED
and (Name and Signature) Clinical Instructor
Time Started Name and Signature
Case Number ASSISTED DELIVERY

September 13, 2008 J. M. B. Normal Spontaneous Vaginal

08:50 am 475817 Delivery JACQUELINE ANNE D.
FUENTES, RN RISA P. CHUA, RN, MAN
May 03, 2009 M. J. H. N. Normal Spontaneous Vaginal
10:30 pm 497747 Delivery ROXANNE M. PAJULIO, RN RISA P. CHUA, RN, MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)
 ODC Form 1B
Republic of the Philippines ASSISTED DELIVERY FORM
Professional Regulation Commission
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

ACTUAL DELIVERY in OPON PUERICULTURE CENTER AND MATERNITY HOUSE, Inc.______________________

Hospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN___________________

Patient’s INITIAL only PROCEDURE

Date Performed D.R. Nurse/Midwife On Duty SUPERVISED BY
PERFORMED
and (Name and Signature) Clinical Instructor
Time Started Name and Signature
Case Number ASSISTED DELIVERY

March 22, 2009 C. P. A. Normal Spontaneous Vaginal

01:25 am 20827 Delivery CIPRIANA N. FERNANDEZ, RN JILL MARIE C. HERMOGENES, RN,
MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)
 ODC Form 1B
Republic of the Philippines ASSISTED DELIVERY FORM
Professional Regulation Commission
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

ACTUAL DELIVERY in TALISAY DISTRICT HOSPITAL______________________________________________

Hospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN__________________

Patient’s INITIAL only PROCEDURE

Date Performed D.R. Nurse/Midwife On Duty SUPERVISED BY
PERFORMED
and (Name and Signature) Clinical Instructor
Time Started Name and Signature
Case Number ASSISTED DELIVERY

September 15, 2009 J. C. P. Normal Spontaneous Vaginal

09:10 am 076633 Delivery AGNES D. CABAÑERO, RN THELMA R. FELICIANO, RN, MAN, Ph.D

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)
 ODC Form 1B
Republic of the Philippines ASSISTED DELIVERY FORM
Professional Regulation Commission
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

ACTUAL DELIVERY in TALAMBAN LYING-IN CLINIC_______________________________________________

Hospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN__________________

Patient’s INITIAL only PROCEDURE

Date Performed D.R. Nurse/Midwife On Duty SUPERVISED BY
PERFORMED
and (Name and Signature) Clinical Instructor
Time Started Name and Signature
Case Number ASSISTED DELIVERY

December 21, 2009 A.G. C. Normal Spontaneous Vaginal

02:20 pm 093172 Delivery ELMA L. DUNGOG, RN AMALIA L. MARTINEZ, RN, MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)
 ODC Form 1A
ACTUAL DELIVERY FORM
Republic of the Philippines
Professional Regulation Commission
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

ACTUAL DELIVERY in OPON PUERICULTURE CENTER AND MATERNITY HOUSE, Inc._________________________

Hospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN__________________

Patient’s INITIAL (only)

SUPERVISED BY
Date Performed and PROCEDURE D.R. Nurse/Midwife On Duty
Clinical Instructor
Time Started PERFORMED (Name and Signature)
Name and Signature
Case Number

April 16, 2009 G. D. L. Normal Spontaneous

07:40 am 21092 Vaginal Delivery EFREBERNIE B. DICO, RN CHRISTINE L. PONO, RN, MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)
 ODC Form 1A
ACTUAL DELIVERY FORM
Republic of the Philippines
Professional Regulation Commission
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

ACTUAL DELIVERY in SACERED HEART HOSPITAL _________________________

Hospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN__________________

Patient’s INITIAL (only)

SUPERVISED BY
Date Performed and PROCEDURE D.R. Nurse/Midwife On Duty
Clinical Instructor
Time Started PERFORMED (Name and Signature)
Name and Signature
Case Number

May 07, 2009 L. F. B. Normal Spontaneous

04:48 am 499586 Vaginal Delivery ROXANNE M. PAJULIO, RN RISA P. CHUA, RN, MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)
 ODC Form 1A
ACTUAL DELIVERY FORM
Republic of the Philippines
Professional Regulation Commission
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

ACTUAL DELIVERY in TALAMBAN LYING-IN CLINIC___________________________________________________

Hospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN__________________

Patient’s INITIAL (only)

SUPERVISED BY
Date Performed and PROCEDURE D.R. Nurse/Midwife On Duty
Clinical Instructor
Time Started PERFORMED (Name and Signature)
Name and Signature
Case Number

December 10, 2009 M. C. C. Normal Spontaneous

03:38 am 093154 Vaginal Delivery AIDA B. KAPUNO, RM AMALIA L. MARTINEZ, RN, MAN
December 21, 2009 L. S. L. Normal Spontaneous
03:38 am 093169 Vaginal Delivery ELMA L. DUNGOG, RN AMALIA L. MARTINEZ, RN, MAN
December 21, 2009 A. A. O. Normal Spontaneous
05:40 am 093171 Vaginal Delivery ELMA L. DUNGOG, RN AMALIA L. MARTINEZ, RN, MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)
 ODC Form 1C
Republic of the Philippines IMMEDIATE NEWBORN CORD
Professional Regulation Commission CARE
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

IMMEDIATE NEWBORN CORD CARE in SACRED HEART HOSPITAL___________________________________________________

Hospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN__________________

Patient’s INITIAL only Immediate Newborn Cord Care

Date Performed D.R. Nurse/Midwife On Duty SUPERVISED BY
PERFORMED
and (Name and Signature) Clinical Instructor
Indicate where performed e.g. D.R.,
Time Started Name and Signature
Case Number Nursery, NICU, or Home

August 25, 2008 J. R. G. R.

01:05 pm 485391 Delivery Room MERIAM P. CALLEDO, RN RISA P. CHUA, RN, MAN
May 09, 2009 M. F. L. B.
07:25 am 506860 ROXANNE M. PAJULIO,
Delivery Room RN RISA P. CHUA, RN, MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)
 ODC Form 1C
Republic of the Philippines IMMEDIATE NEWBORN CORD
Professional Regulation Commission CARE
Board of Nursing

SOUTHWESTERN UNIVERSITY
College of Nursing
Villa Aznar Urgello Street Cebu City
Phone no: 415-55-55 local 183, Telefax: 418-72-78, Email Address: swu.nursing@gmail.com

IMMEDIATE NEWBORN CORD CARE in TALAMBAN LYING-IN CLINIC__________________________________________________

Hospital / Home / Lying-In Clinic, Municipality / City / Province

Prepared by:
Printed Name and Signature of Student RHENA LOU G. BONOTAN__________________

Patient’s INITIAL only Immediate Newborn Cord Care

Date Performed D.R. Nurse/Midwife On Duty SUPERVISED BY
PERFORMED
and (Name and Signature) Clinical Instructor
Indicate where performed e.g. D.R.,
Time Started Name and Signature
Case Number Nursery, NICU, or Home

December 20, B. F. M.
2009 093167 MA. LIGAYA P.
06:30 am Delivery Room FERNANDEZ, RM AMALIA L. MARTINEZ, RN, MAN
December 20, B. F. L.
2009 093168
12: 45 pm Delivery Room ELMA L. DUNGOG, RM AMALIA L. MARTINEZ, RN, MAN
December 21, R. A. V.
2009 093170
01:50 am Delivery Room AIDA B. KAPUNO, RM AMALIA L. MARTINEZ, RN, MAN

Noted by: RAMON PERLEY M. PANDAAN Approved by: LUCRIS A. TAN JR.
OR/DR Clinical Coordinator, PRC I.D. No. 0243199 Valid Until July 8, 2010 Dean, PRC I.D. No. 0285376 Valid Until April 9, 2012
Date document is signed:________Time____________ Date document is signed:________Time________
Please specify Highest Nursing Degree Earned: RN, MAN Specify Highest Nursing Degree Earned: RN, MD, MAN

(STRICTLY NO DESIGNATES)