PHILIPPINE COLLEGE OF HEALTH SCIENCES, INC.

1813 C.M. RECTO AVE., MANILA

NAME OF STUDENT: Margaret C. Pua_______ First Course (if any): _Bachelor of Science in Pharmacy__________
Name and address of School: Philippine College of Health Sciences, Inc. School graduated: ___Centro Escolar University_______________
1813 C.M. Recto Avenue, Manila________ Year of admission in the BSN Program: _2007__________________
Recognition and Accreditation Level: CHED / Level IV________________ Year graduated from the BSN Program: 2009__________________
Date when School was recognized: October 24, 1996_______________
 I. MAJOR OPERATIONS
No Date of Operation Case Name of Patient Diagnosis Operation Type of Anesthesia Name of Surgeon Name of Hospital Supervised by
. No. Performed Qualified Clinical Instructor
General Endotracheal
1 August 26,2008 1474484 De los Reyes,Janet Nodular non toxic Goiter status Completion Thyroidectomy Anesthesia Dr.Lord Jim Ricardo Ospital ng Maynila Medical Jomar C. Cordero,RN,MAN
Antonio post total lobectomy left Center
Pregnancy Uterine General Endotracheal
2 August 27,2008 1877923 Pestano,Arlene 37 1/7 weeks Age of Gestation Low Transverse Cesarean Anesthesia Dr.Larnie Montano Ospital ng Maynila Medical Jomar C. Cordero,RN,MAN
Colante Gravidity 1 Parity 0 Section Incision Center

General Endotracheal
3 August 27,2008 1739641 Elegado,Marietta Calculus of the Gall Bladder Cholecystectomy Anesthesia Dr.Benjamin de Veza Ospital ng Maynila Medical Jomar C. Cordero,RN,MAN
Center

4 May 11,2009 1538202 Babao,Pariad dela Incarcerated indirect inguinal Herniorraphy Right Subarachnoid Block Dr.Edelweis Velasquez Ospital ng Maynila Medical Robert Araneta, RN
Cruz herniorraphy right Center
Modified Radical Mastectomy General Endotracheal Ospital ng Maynila Medical
5 August 26,2009 1552565 Lorico,Amelia Breast Cancer Left Left Anesthesia Dr.Bemjamin de Veza Center Robert Araneta, RN

Prepared by:
MARGARET C. PUA_____
Signature over printed name
Concurred by:
Approved by:
ASUNCUION BALISADO,R.N.,M.A.N. Noted by:
Signature over printed name of Chief Nurse NOEL C. CORDERO, R.N., M.A.N._________________
Date Signed: ________________________ Signature over printed name of Dean JOMAR C. CORDERO, R.N., M.A.N._________________
Degree: B.S.N., M.A.N.____________ Date Signed: __________________________________ Signature over printed name of Clinical Coordinator
a. PRC No. 0116547_________________ Degree: B.S.N., M.A.N._________________________ Date Signed: ____________________________________
Valid Until: August 15, 2012___________ a. PRC No. 0301208_________________________ Degree: B.S.N., M.A.N._________________________
b. PNA No. 14782____________________ Valid Until: December 25, 2012_________________ a. PRC No. 0384407______________________________
Valid until: Life Member_______________ b. PNA No. 13548___________________________ Valid Until: May 3, 2012___________________________
c. ANSAP No. 004243___________________ Valid until: Life member_______________________ b. PNA No. 001729______________________________
Valid until: December 10, 2010_________ c. ADPCN No. 0806_____________________________ Valid until: December 2010________________________
Valid until: December 2010___________________

PHILIPPINE COLLEGE OF HEALTH SCIENCES, INC.

1813 C.M. RECTO AVE., MANILA

NAME OF STUDENT: ___ Margaret C. Pua First Course (if any): Bachelor of Science in Pharmacy_______
Name and address of School: Philippine College of Health Sciences, Inc. School graduated: _Centro Escolar University____________
1813 C.M. Recto Avenue, Manila_______ Year of admission in the BSN Program: _2007_____________
Recognition and Accreditation Level: CHED / Level IV _______________ Year graduated from the BSN Program: _2009___________
Date when School was recognized: October 24, 1996_______________
II. MINOR OPERATIONS
No. Date of Operation Case No. Name of Patient Diagnosis Operation Type of Anesthesia Name of Surgeon Name of Hospital Supervised by
Performed Qualified Clinical Instructor
Incomplete Abortion 6
1 August 19,2008 1875480 Mirhan,Rowena weeks Age of Gestation Completion Curettage Intravenous Anesthesia Dr.Tawny Ann C. Gaspar Ospital ng Maynila Medical Marie Chona Balce, RN
Besunia Gravidity 3 Parity 2 Center
Pregnancy Uterine 41
2 August 27,2008 1879096 Ocarol,Sandra weeks Age of Gestation Central Venous Pressure Local Anesthesia Dr. Alma Jawali Ospital ng Maynila Medical Jomar C. Cordero,RN,MAN
Romero Gravidity 6 Parity 5 Severe Insertion Center
Pre eclampsia
Undescended Testis Ospital ng Maynila Medical
3 May 13, 2009 1540346 Dayrit, Jonelve Bilateral Orchiectomy Bilateral Subarachnoid Block Dr.Robelle Joan Peralta Center Robert Araneta, RN
Extracapsular Cataract
4 May 13, 2009 1540715 Seno, Luis Cataract Senile Mature Extractional with Posterior Local Anesthesia Dr.Frances May Gapay Ospital ng Maynila Medical Robert Araneta, RN
Both Eyes chamber Interior ocular lens Center
right eye
5 August 26,2009 1943189 Melencio,Alma Cataract Senile Mature Extracapsular Cataract Dr. Christy Ann
Right Eye Extractional with Posterior Local Anesthesia Samaniego Ospital ng Maynila Medical Robert Araneta, RN
chamber Interior ocular lens Center
Prepared by: right eye

MARGARET C. PUA
 Signature over printed name
Concurred by: Approved by: Noted by:

ASUNCION C. BALISADO, R.N.,M.A.N._______________ NOEL C. CORDERO, R.N., M.A.N.________________ JOMAR C. CORDERO, R.N., M.A.N.___________________
Signature over printed name of Chief Nurse Signature over printed name of Dean Signature over printed name of Clinical Coordinator
Date Signed: ___________________________________ Date Signed: __________________________________ Date Signed: ______________________________________
Degree: B.S.N., M.A.N._______________________ Degree: B.S.N., M.A.N._________________________ Degree: B.S.N., M.A.N._____________________________
a. PRC No. 0116547______________________________ a. PRC No. 0301208_________________________ a. PRC No. 0384407________________________________
Valid Until: August 15, 2012______________________ Valid Until: December 25, 2012_________________ Valid Until: May 3, 2012_____________________________
b. PNA No. 14782______________________________ b. PNA No. 13548____________________________ b. PNA No. 001729_________________________________
Valid until: Life Member________________________ Valid until: Life member_______________________ Valid until: December 2010__________________________
c. ANSAP No. AN-004243________________________ c. ADPCN No. 0806_____________________________
Valid until: December 10, 2010__________________ Valid until: December 2010____________________

PHILIPPINE COLLEGE OF HEALTH SCIENCES,INC.

1813 C.M. RECTO AVE., MANILA

NAME OF STUDENT: __ Margaret C. Pua_____________________ First Course (if any): Bachelor of Science in Pharmacy_______
Name and address of School: Philippine College of Health Sciences, Inc. School graduated: _Centro Escolar University______________
1813 C.M. Recto Avenue, Manila_______ Year of admission in the BSN Program: _2007_______________
Recognition and Accreditation Level: CHED / Level IV _______________ Year graduated from the BSN Program: 2009______________
Date when School was recognized: October 24, 1996_______________

III. ACTUAL DELIVERIES

No Case Diagnosis Name Mother Age Date of Delivery Time of Gender of Baby Name of Hospital Type of Supervised by
No. Delivery Delivery Qualified Clinical Instructor
1 08213866 Pregnancy Uterine, 40 2/7 weeks Age of Jane Cuses 28 January 14,2008 8:39 am Male Dr.Jose Fabella Memorial Hospital Normal Spontaneous
Gestation, Cephalic in Labor, Gravidity 6, Delivery Maribel T. Marcelino, R.M.
Parity 5 BCHS#
2 08229430 Pregnancy Uterine, 40 2/7 weeks Age of Magie Almoroto 36 January 14,2008 9:05 am Male Dr.Jose Fabella Memorial Hospital Normal Spontaneous
Gestation, Cephalic in Labor, Gravidity 6, Delivery Maribel T. Marcelino, R.M.
Parity 5 BCHS#
3 08227029 Pregnancy Uterine, 37 2/7 weeks Age of Angie Onilar 22 January 16,2008 9:08 am Female Dr.Jose Fabella Memorial Hospital Normal Spontaneous
Gestation, Cephalic in Labor, Gravidity 3, Delivery Linda M. Villanueva, R.M.
Parity 1 BCHS#
4 08243163 Pregnancy Uterine, 33 5/7 weeks Age of Remelyn 22 April 08,2008 3:12 pm Male Dr.Jose Fabella Memorial Hospital Normal Spontaneous
Gestation, Cephalic in Labor ,Gravidity 2, Masagsa Delivery Katrina DL. Domingo, R.M.
Parity 1 BCHS#
5 1875242 Pregnancy Uterine 42 weeks Age of Jacqueline Neri 24 August 19,2008 2:00 pm Female Ospital ng Mayila Medical Center Normal Spontaneous
Gestation, Cephalic in Labor, Gravidity 1, Delivery Marie Chona L. Balce, R.N.
Parity 1
Prepared by:

MARGARET C. PUA______
Concurred by: ASUNCION C. BALISADO, R.N., M.A.N.____________ Signature over printed name
Date Signed: ______________________________________ a. PRC No. 0116547_______________________________
Signature over printed name of Chief Nurse (OMMC) Degree: B.S.N., M.A.N.__________________________ Valid Until: August 15, 2012_____________________
 b. PNA No. 14782________________________________ a. PRC No. 0039563____________________________ Date Signed: __________________________________ JOMAR C. CORDERO, R.N., M.A.N.__________________
Valid until: Life Member____________________________ Valid Until: October 12, 2012_____________________ Degree: B.S.N., M.A.N._________________________ Signature over printed name of Clinical Coordinator
c. ANSAP No. AN-004243________________________________ b. PNA No. 18153______________________________ a. PRC No. 0301208__________________________ Date Signed: _____________________________________
Valid until: December 10, 2010_________________________ Valid until: Life Member________________________ Valid Until: December 25, 2012_________________ Degree: B.S.N., M.A.N.____________________________
Concurred by: c. ANSAP No.257________________________________ b. PNA No. 13548____________________________ a. PRC No. 0384407______________________________
Valid until: Lifetime Member_____________________ Valid until: Life member_______________________ Valid Until: May 3, 2012__________________________
MARIE THERESE A. PACABIS, R.N., R. M., M. A. N.___ Approved by: c. ADPCN No. 0806_____________________________ b. PNA No. 001729_______________________________
Signature over printed name of Chief Nurse (DJFMH) Valid until: December 2010__________________ Valid until: December 2010________________________
Date Signed:___________________________________ NOEL C. CORDERO, R.N., M.A.N.______________ Noted by:
Degree: B.S.N., M.A.N.__________________________ Signature over printed name of Dean
 PHILIPPINE COLLEGE OF HEALTH SCIENCES, INC.
1813 C.M. RECTO AVE., MANILA

NAME OF STUDENT: __ Pua,Margaret C._____ First Course (if any): _B.S.Pharmacy__________________________

Name and address of School: Philippine College of Health Sciences, Inc. School graduated: _Centro Escolar University_____________
1813 C.M. Recto Avenue, Manila_______ Year of admission in the BSN Program: _2007__________________
Recognition and Accreditation Level: CHED / Level IV _______________ Year graduated from the BSN Program: _2009___________________
Date when School was recognized: October 24, 1996_______________

IV. DELIVERIES ASSISTED

No Case Diagnosis Name of Patient Age Date of Time of Gender of Baby Name of Hospital Type of Supervised by
No. Delivery Delivery Delivery Qualified Clinical Instructor
1 Pregnancy Uterine 38 weeks Age of Normal Spontaneous
Gestation, Cephalic in Labor, Gravidity 1, Delivery
Parity 1
2 Pregnancy Uterine 38 weeks Age of Normal Spontaneous
Gestation, Cephalic in Labor Gravidity 6, Delivery
Parity 6
3 Pregnancy Uterine 37 weeks Age of Normal Spontaneous
Gestation, Cephalic in Labor Gravidity 1, Delivery
Parity 1
4 Pregnancy Uterine 37 weeks Age of Normal Spontaneous
Gestation, Cephalic in Labor Gravidity 1, Delivery
Parity 1
5 Pregnancy Uterine 37 weeks Age of Normal Spontaneous
Gestation, Cephalic in Labor Gravidity 1, Delivery
Parity 1
Prepared by:

________Uy Marlon Pua________

Prepared by:
Margaret C. Pua_______
Signature over printed name Signature over printed name

Concurred by: b. PNA No. 18153_____________________________ Degree: B.S.N., M.A.N._________________________

Valid until: Life Member________________________ a. PRC No. 0301208_________________________
MARIE THERESE A. PACABIS, R.N., R. M., M. A. N.____ c. ANSAP No. 257______________________________ Valid Until: December 25, 2012_________________
Signature over printed name of Chief Nurse Approved by: b. PNA No. 13548____________________________
Date Signed:____________________________________ Valid until: Life member_______________________
Degree: B.S.N., M.A.N.___________________________ NOEL C. CORDERO, R.N., M.A.N.________________ c. ADPCN No. 0806_____________________________
a. PRC No. 0039563___________________________ Signature over printed name of Dean Noted by:
Valid Until: October 12, 2009_____________________ Date Signed: __________________________________
JOMAR C. CORDERO, R.N., M.A.N.___________________ Degree: B.S.N., M.A.N._____________________________ b. PNA No. 004988_________________________________
Signature over printed name of Clinical Coordinator a. PRC No. 0384407________________________________ Valid until: December, 2009__________________________
Date Signed: _____________________________________ Valid Until: May 3, 2012_____________________________
Valid until: Lifetime Member_____________________ Valid until: December, 2009____________________

PHILIPPINE COLLEGE OF HEALTH SCIENCES, INC.

1813 C.M. RECTO AVE., MANILA
NAME OF STUDENT: _ Pua, Margaret C.________ First Course (if any): _B.S. Pharmacy________________________
Name and address of School: Philippine College of Health Sciences, Inc. School graduated: _Centro Escolar University_____________
1813 C.M. Recto Avenue, Manila_______ Year of admission in the BSN Program: _2007 __________________
Recognition and Accreditation Level: CHED / Level IV _______________ Year graduated from the BSN Program: _2009___________________
Date when School was recognized: October 24, 1996_______________
 V. CORD DRESSING
No Case Date Performed Name of Baby Gender of Name of Mother Age Name of Hospital Supervised by
No. Baby Qualified Clinical Instructor
Gat Andres Bonifacio Memorial Medical Center
1 89988 May 12,2009 Baby Tanghal Female Tanghal, Myrna A. 30 Vivian A. Timoteo, RN, MAN
Gat Andres Bonifacio Memorial Medical Center
2 94898 May 12,2009 Baby Ramos Male Ramos, Anastacia R. 43 Vivian A. Timoteo, RN, MAN
Dr. Jose Fabella Memorial Hospital
3 09282541 June 9,2009 Baby Paulo Male Paulo, Susan 36 Maribelle T. Marcelino, RM
Dr. Jose Fabella Memorial Hospital
4 09303209 June 9,2009 Baby Yucot Female Yucot, Dinah 30 Maribelle T. Marcelino, RM
Ospital ng Maynila Medical Center
5 650277 June 10,2009 Baby Dolem Female Dolem, Marites 31 Julie T. Mendoza, RN, MAN

Prepared by:

Margaret C. Pua
Signature over printed name

Concurred by: Aproved by: Noted by:

MARIE THERESE A. PACABIS, R.N., R. M., M. A. N. NOEL C. CORDERO, R.N., M.A.N.________________ JOMAR C. CORDERO, R.N., M.A.N.________________
Signature over printed name of Chief Nurse Signature over printed name of Dean Signature over printed name of Clinical Coordinator
Date Signed:_______________________________ Date Signed: __________________________________ Date Signed: __________________________________
Degree: B.S.N., M.A.N._______________________ Degree: B.S.N., M.A.N.______________________ Degree: B.S.N., M.A.N._______________________ ___
a. PRC No. 0039563______________________ a. PRC No. 0301208_________________________ a. PRC No. 0384407____________________________
Valid Until: October 12, 2009_______________ Valid Until: December 25, 2012________________ Valid Until: May 3, 2012________________________
b. PNA No. 18153_______________________ b. PNA No. 13548___________________________ b. PNA No. 004988_____________________________
Valid until: Life Member___________________ Valid until: Life member______________________ Valid until: December, 2009______________________
c. ANSAP No. 257__________________________ c. ADPCN No. 0806_____________________________
Valid until: Lifetime Member_______________ Valid until: December, 2009___________________