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Doa Remedios Trinidad Romualdez Medical Foundation
Calanipawan Road, Calanipawan , Tacloban City 6500 Philippines
Tel. Nos. (053) 321-2345/ 321-4150/ 325-8353/ 327-5634/ 327-1776, Telefax Nos. (053)327-5004, E-mail address: [email protected]
IMMEDIATE NEWBORN CARE in EASTERN VISAYAS REGIONAL MEDICAL CENTER, Tacloban City, Leyte
Prepared by: MA. MALAR VILI O. PATIGA
DATE PERFORMED AND TIME STARTED
PATIENTS INITIALS (ONLY)
PROCEDURE PERFORMED
NICU NURSE ON DUTY
(NAME AND SIGNATURE)
SUPERVISED BY CLINICAL INSTRUCTOR
(NAME AND SIGNATURE)
CASE NUMBER
October 13, 2014
Time: 9:23 AM
Bb. Boy T.
69-60-33
Immediate Care of the Newborn
ELISSA R. SEVILLA, RN
NICOLE DE VEYRA, RN, MAN
Noted by: MRS. BERNALYN O. PASCUAL, RN, MANApproved by: DR. SOCORRO SALVACION GASCO, RN, MN, DM
Clinical CoordinatorDean, College of Nursing
PRC I.D. No. 0331622 Valid until: October 7, 2017PRC I.D. No. 063136 Valid until: June 2016
PNA No. 19314 Valid until: Life memberPNA No. 1219 Valid until: Life member
Date document is signed: _________ Time: ______Date document is signed: _________ Time: ______
Highest Nursing Degree Earned: Master of Arts in NursingHighest Nursing Degree Earned: Doctor of Management
SUBSCRIBED AND SWORN to before me this ____________ at Tacloban City by the above parties who presented their competence evidence of identities
Doa Remedios Trinidad Romualdez Medical Foundation
Calanipawan Road, Calanipawan , Tacloban City 6500 Philippines
Tel. Nos. (053) 321-2345/ 321-4150/ 325-8353/ 327-5634/ 327-1776, Telefax Nos. (053)327-5004, E-mail address: [email protected]
ACTUAL DELIVERY HANDLED in EASTERN VISAYAS REGIONAL MEDICAL CENTER, Tacloban City, Leyte
Prepared by: MA. MALAR VILI O. PATIGA
DATE PERFORMED AND TIME STARTED
PATIENTS INITIALS (ONLY)
PROCEDURE PERFORMED
NICU NURSE ON DUTY
(NAME AND SIGNATURE)
SUPERVISED BY CLINICAL INSTRUCTOR
(NAME AND SIGNATURE)
CASE NUMBER
October 26, 2014
Time: 11:14 AM
C.A.
69-59-43
Handled Delivery
PAMELA LYNN GASPAY CATILOGO, RN, MM, NURSE II
ANDRE CARLO C. DE VEYRA, RN, MAN
Noted by: MRS. BERNALYN O. PASCUAL, RN, MANApproved by: DR. SOCORRO SALVACION GASCO, RN, MN, DM
Clinical CoordinatorDean, College of Nursing
PRC I.D. No. 0331622 Valid until: October 7, 2017PRC I.D. No. 063136 Valid until: June 2016
PNA No. 19314 Valid until: Life memberPNA No. 1219 Valid until: Life member
Date document is signed: _________ Time: ______Date document is signed: _________ Time: ______
Highest Nursing Degree Earned: Master of Arts in NursingHighest Nursing Degree Earned: Doctor of Management
SUBSCRIBED AND SWORN to before me this ____________ at Tacloban City by the above parties who presented their competence evidence of identities
Doa Remedios Trinidad Romualdez Medical Foundation
Calanipawan Road, Calanipawan , Tacloban City 6500 Philippines
Tel. Nos. (053) 321-2345/ 321-4150/ 325-8353/ 327-5634/ 327-1776, Telefax Nos. (053)327-5004, E-mail address: [email protected]
ASSISTED DELIVERY in EASTERN VISAYAS REGIONAL MEDICAL CENTER, Tacloban City, Leyte
Prepared by: MA. MALAR VILI O. PATIGA
DATE PERFORMED AND TIME STARTED
PATIENTS INITIALS (ONLY)
PROCEDURE PERFORMED
NICU NURSE ON DUTY
(NAME AND SIGNATURE)
SUPERVISED BY CLINICAL INSTRUCTOR
(NAME AND SIGNATURE)
CASE NUMBER
February 1, 2015
Time: 11:11 AM
J. V.
71-04-58
Assisted Delivery
MAE O. GABRIENTE, RN
DORIS S. CADION, RN, MAN
Noted by: MRS. BERNALYN O. PASCUAL, RN, MANApproved by: DR. SOCORRO SALVACION GASCO, RN, MN, DM
Clinical CoordinatorDean, College of Nursing
PRC I.D. No. 0331622 Valid until: October 7, 2017PRC I.D. No. 063136 Valid until: June 2016
PNA No. 19314 Valid until: Life memberPNA No. 1219 Valid until: Life member
Date document is signed: _________ Time: ______Date document is signed: _________ Time: ______
Highest Nursing Degree Earned: Master of Arts in NursingHighest Nursing Degree Earned: Doctor of Management
SUBSCRIBED AND SWORN to before me this ____________ at Tacloban City by the above parties who presented their competence evidence of identities
