ACTUAL DELIVERY in ORIENTAL MINDORO PROVINCIAL HOSPITAL, CALAPAN CITY, ORIENTAL MINDORO
Hospital, Municipality/ City / Province
Prepared by:
Name of Student: Signature of Student:______________________
Date Performed and Time Patient’s Name PROCEDURE D.R Nurse On Duty/Midwife SUPERVISED BY
Started Case Number PERFORMED On Duty Clinical Instructor
Name And Signature
October 24, 2022
Normal Spontaneous Delivery Aileen Ahorro, RM
08:52 am
Annie F. Dimaano, RN, MAN
November 21, 2022
Normal Spontaneous Delivery
8:17 AM
Annie F. Dimaano, RN, MAN
November 22, 2022
Normal Spontaneous Delivery
8:44 AM
Annie F. Dimaano, RN, MAN
Noted by: Concurred by: ANGELITA E. GUBAN, RN, MAN
Clinical Coordinator, PRC No. Valid Until: Chief Nurse, Oriental Mindoro Provincial Hospital Valid Until:
PNA No.: Valid Until: PNA No.: Valid Until:
Date document is signed: _______________ Time: ___________________ Date document is signed: _________________ Time: __________________
Highest Nursing Degree Earned: Master of Arts in Nursing Highest Nursing Degree Earned: Master of Arts in Nursing
Approved by: LUZVIMINDA C. CARDIÑO, RN, MAN, PhDNEd
Dean, College of Nursing, PRC No. 0203183 Valid Until: April 15, 2023 PNA No.: 20942 Valid Until: Lifetime
ADCPN No. 11-315 Valid Until: ____2022____ Date document is signed: ________________
Highest Nursing Degree Earned: Doctor of Philosophy in Nursing Education
ASSIST DELIVERY in ORIENTAL MINDORO PROVINCIAL HOSPITAL, CALAPAN CITY, ORIENTAL MINDORO
Hospital, Municipality/ City / Province
Prepared by:
Name of Student: : Signature of Student:______________________
Date Performed and Time Patient’s Name PROCEDURE D.R Nurse On Duty/Midwife SUPERVISED BY
Started Case Number PERFORMED On Duty Clinical Instructor
Name And Signature
Normal Spontaneous Delivery Aileen Ahorro, RM
Annie F. Dimaano, RN, MAN
Normal Spontaneous Delivery Naka center dapat
Annie F. Dimaano, RN, MAN
Normal Spontaneous Delivery
Annie F. Dimaano, RN, MAN
Noted by: Concurred by: ANGELITA E. GUBAN, RN, MAN
Clinical Coordinator, PRC No. Valid Until: Chief Nurse, Oriental Mindoro Provincial Hospital Valid Until:
PNA No.: Valid Until: PNA No.: Valid Until:
Date document is signed: _______________ Time: ___________________ Date document is signed: _________________ Time: __________________
Highest Nursing Degree Earned: Master of Arts in Nursing Highest Nursing Degree Earned: Master of Arts in Nursing
Approved by: LUZVIMINDA C. CARDIÑO, RN, MAN, PhDNEd
Dean, College of Nursing, PRC No. 0203183 Valid Until: April 15, 2023 PNA No.: 20942 Valid Until: Lifetime
ADCPN No. 11-315 Valid Until: ____2022____ Date document is signed: ________________
Highest Nursing Degree Earned: Doctor of Philosophy in Nursing Education
IMMEDIATE NEWBORN CARE in ORIENTAL MINDORO PROVINCIAL HOSPITAL, CALAPAN CITY, ORIENTAL MINDORO
Hospital, Municipality/ City / Province
Prepared by:
Name of Student: Signature of Student: ______________________
Date Performed and Time Patient’s Name PROCEDURE D.R Nurse On Duty/Midwife SUPERVISED BY
Started Case Number PERFORMED On Duty Clinical Instructor
Name And Signature
Neonatal Intensive Care Name ng nurse
Unit Marites G. Dela Vega, RN, MAN
Neonatal Intensive Care Naka center dapat
Unit Marites G. Dela Vega, RN, MAN
Neonatal Intensive Care
Unit Marites G. Dela Vega, RN, MAN
Noted by: Concurred by: ANGELITA E. GUBAN, RN, MAN
Clinical Coordinator, PRC No. Valid Until: Chief Nurse, Oriental Mindoro Provincial Hospital Valid Until:
PNA No.: Valid Until: PNA No.: Valid Until:
Date document is signed: _______________ Time: ___________________ Date document is signed: _________________ Time: __________________
Highest Nursing Degree Earned: Master of Arts in Nursing Highest Nursing Degree Earned: Master of Arts in Nursing
Approved by: LUZVIMINDA C. CARDIÑO, RN, MAN, PhDNEd
Dean, College of Nursing, PRC No. 0203183 Valid Until: April 15, 2023 PNA No.: 20942 Valid Until: Lifetime
ADCPN No. 11-315 Valid Until: ____2022____ Date document is signed: ________________
Highest Nursing Degree Earned: Doctor of Philosophy in Nursing Education
MAJOR CASE in ORIENTAL MINDORO PROVINCIAL HOSPITAL, CALAPAN CITY, ORIENTAL MINDORO
Hospital, Municipality/ City / Province
Prepared by:
Name of Student: Signature of Student: ______________________
Date Performed and Time Patient’s Name PROCEDURE D.R Nurse On Duty/Midwife SUPERVISED BY
Started Case Number PERFORMED On Duty Clinical Instructor
Name And Signature
Mylene S. Belleza, RN, MAN
Naka center dapat
Mylene S. Belleza, RN, MAN
Mylene S. Belleza, RN, MAN
Noted by: Concurred by: ANGELITA E. GUBAN, RN, MAN
Clinical Coordinator, PRC No. Valid Until: Chief Nurse, Oriental Mindoro Provincial Hospital Valid Until:
PNA No.: Valid Until: PNA No.: Valid Until:
Date document is signed: _______________ Time: ___________________ Date document is signed: _________________ Time: __________________
Highest Nursing Degree Earned: Master of Arts in Nursing Highest Nursing Degree Earned: Master of Arts in Nursing
Approved by: LUZVIMINDA C. CARDIÑO, RN, MAN, PhDNEd
Dean, College of Nursing, PRC No. 0203183 Valid Until: April 15, 2023 PNA No.: 20942 Valid Until: Lifetime
ADCPN No. 11-315 Valid Until: ____2022____ Date document is signed: ________________
Highest Nursing Degree Earned: Doctor of Philosophy in Nursing Education
MINOR CASE in ORIENTAL MINDORO PROVINCIAL HOSPITAL, CALAPAN CITY, ORIENTAL MINDORO
Hospital, Municipality/ City / Province
Prepared by:
Name of Student: Signature of Student: ______________________
Date Performed and Time Patient’s Name PROCEDURE D.R Nurse On Duty/Midwife SUPERVISED BY
Started Case Number PERFORMED On Duty Clinical Instructor
Name And Signature
October 24, 2022
Aileen Ahorro, RM
08:52 am
Glenda M. Prieto, RN, MAN
November 21, 2022
Naka center dapat
8:17 AM
Glenda M. Prieto, RN, MAN
November 22, 2022
8:44 AM
Glenda M. Prieto, RN, MAN
Noted by: Concurred by: ANGELITA E. GUBAN, RN, MAN
Clinical Coordinator, PRC No. Valid Until: Chief Nurse, Oriental Mindoro Provincial Hospital Valid Until:
PNA No.: Valid Until: PNA No.: Valid Until:
Date document is signed: _______________ Time: ___________________ Date document is signed: _________________ Time: __________________
Highest Nursing Degree Earned: Master of Arts in Nursing Highest Nursing Degree Earned: Master of Arts in Nursing
Approved by: LUZVIMINDA C. CARDIÑO, RN, MAN, PhDNEd
Dean, College of Nursing, PRC No. 0203183 Valid Until: April 15, 2023 PNA No.: 20942 Valid Until: Lifetime
ADCPN No. 11-315 Valid Until: ____2022____ Date document is signed: ________________
Highest Nursing Degree Earned: Doctor of Philosophy in Nursing Education
