Mindanao Sanitarium & Hospital College

Brgy San Miguel, Iligan City 9200

Name of the Student: Muamir A. Alingan

Name & Address of School: Mindanao Sanitarium & Hospital College, Brgy. San Miguel, Iligan City School code: 1362
Accreditation Level: Level 1 Year Granted: February 28, 2008
Date School Program was Recognized: Oct. 17, 2002 Number: 0043 Year: 2002
First Course (If any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated from the BSN Program: 2011

I. MAJOR OPERATIONS
Signature of
Operation Type of Name of O.R. Scrub
NO. Date of Operation Case No. Name of Patient Diagnosis Name of Surgeon Name of Hospital O.R. Scrub
Performed Anesthesia Nurse
Nurse
Multiple Splinter Wounds
Mindanao
Both Legs with Comminuted Right Below Knee
1 Spinal Dr. Thaddeus V. Abad Sanitarium &
Fracture Distal Tibia Fibula Amputation
Hospital
Right; Gangrene Right Leg
Mindanao
Acute Gangrenous
2 Appendectomy Spinal Dr. Abner J. Dela Cruz Sanitarium &
Appendicitis
Hospital
Tonsillar Herniation 20 to
Hypertensive Thalamic Craniotomy and Mindanao
Dr. Rolando R.
3 Hemorrhage with Ventricular Evacuation of General Sanitarium &
Anzano
Extension and Subfalcine Hematoma Hospital
Herniation
Peri Appendiceal Abscess
Mindanao
and Pelvic Abscess
4 Pelvic Laparoscopy Spinal Dr. Joseph L. Daroy Sanitarium &
Secondary to Ruptured
Hospital
Appendicitis
Mindanao
Pre-Eclampsia, Sevee Dr. Ma. Lilagri G.
5 Caesarian Section Spinal Sanitarium &
HELLP Syndrome, UTI Marcella
Hospital

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

Mary Joan K. Abitago
NOEMI T. MORENTE, RN, MAN
Signature Over Printed
Name of Student
Date Signed:_____________
DARILYN G. LITERATUS, RN, MN LUCY MAY L. BUCAYAN, MN, RN
G’TER G. GAID, RN, MAN
Signature Over Printed Name Signature Over Printed Name of Signature Over Printed Name of Signature Over Printed
of Clinical Instructor Clinical Coordinator Chief Nurse (MSH) Name of Dean
Date Signed:______________ Date Signed:______________ Date Signed:______________ Date Signed:______________
a.) PRC No.: 0301632 a.) PRC No.: 0284464 a.) PRC: 0161458 a.) PRC No.: 0302269
Valid Until: November 25, 2009 Valid Until: November 12, 2011 Valid Until: October 1, 2011 Valid Until: September 13, 2012
b.) PNA No.: 16829 b.) PNA No.: 15666 b.) PNA: 15898 __ b.) PNA No: 16832
Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime
c.) ANSAP No: 05068 c.) ADPCN No.: 0768
Valid Until: June 15, 2010 Valid Until: 2010
 Mindanao Sanitarium & Hospital College
Brgy San Miguel, Iligan City 9200

Name of the Student:

Name & Address of School: Mindanao Sanitarium & Hospital College, Brgy. San Miguel, Iligan City School code: 1362
Accreditation Level: Level 1 Year Granted: February 28, 2008
Date School Program was Recognized: Oct. 17, 2002 Number: 0043 Year: 2002
First Course (If any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2002
Year Graduated from the BSN Program: 200

II. MINOR OPERATIONS

Signature of
Operation Type of Name of O.R. Scrub
NO. Date of Operation Case No. Name of Patient Diagnosis Name of Surgeon Name of Hospital O.R. Scrub
Performed Anesthesia Nurse
Nurse
Multiple Splinter Wounds
Mindanao
Both Legs with Comminuted Right Below Knee
1 Spinal Dr. Thaddeus V. Abad Sanitarium &
Fracture Distal Tibia Fibula Amputation
Hospital
Right; Gangrene Right Leg
Mindanao
Acute Gangrenous
2 Appendectomy Spinal Dr. Abner J. Dela Cruz Sanitarium &
Appendicitis
Hospital
Tonsillar Herniation 20 to
Hypertensive Thalamic Craniotomy and Mindanao
Dr. Rolando R.
3 Hemorrhage with Ventricular Evacuation of General Sanitarium &
Anzano
Extension and Subfalcine Hematoma Hospital
Herniation
Peri Appendiceal Abscess
Mindanao
and Pelvic Abscess
4 Pelvic Laparoscopy Spinal Dr. Joseph L. Daroy Sanitarium &
Secondary to Ruptured
Hospital
Appendicitis
Mindanao
Pre-Eclampsia, Sevee Dr. Ma. Lilagri G.
5 Caesarian Section Spinal Sanitarium &
HELLP Syndrome, UTI Marcella
Hospital

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

Mary Joan K. Abitago DARILYN G. LITERATUS, MN, RN PRIMITIVO G. SANTIAS, MN, RN NOEMI T. MORENTE, MAN, RN G’TER G. GAID, MAN, RN
Signature Over Printed Signature Over Printed Name Signature Over Printed Name of Signature Over Printed Name of Signature Over Printed
Name of Student of Clinical Instructor Clinical Coordinator Chief Nurse (MSH) Name of Dean
Date Signed:_____________ Date Signed:______________ Date Signed:______________ Date Signed:______________ Date Signed:______________
a.) PRC No.: 0301632 a.) PRC No.: 0284464 a.) PRC: 0161458 a.) PRC No.: 0302269
Valid Until: November 25, 2009 Valid Until: November 12, 2011 Valid Until: October 1, 2011 Valid Until: September 13, 2012
b.) PNA No.: 16829 b.) PNA No.: 15666 b.) PNA: 15898 __ b.) PNA No: 16832
Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime
c.) ANSAP No: 05068 c.) ADPCN No.: 0768
Valid Until: June 15, 2010 Valid Until: 2010
 Mindanao Sanitarium & Hospital College
Brgy San Miguel, Iligan City 9200

Name of the Student:

Name & Address of School: Mindanao Sanitarium & Hospital College, Brgy. San Miguel, Iligan City School code: 1362
Accreditation Level: Level 1 Year Granted: February 28, 2008
Date School Program was Recognized: Oct. 17, 2002 Number: 0043 Year: 2002
First Course (If any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2002
Year Graduated from the BSN Program: 200

III. ACTUAL DELIVERIES

Time of Gender of
`NO. Case No. Diagnosis Name of Patient Age Date of Delivery Name of Hospital Type of Delivery Supervised by:
Delivery Baby
Faculty with
Pregnancy, Utirine Delivered Mindanao Sanitarium & Normal Spontaneous Master Degree/ Nurse/Midwife
1 Male
Cephalic Term Live Birth Hospital Vaginal Delivery Clinical (On Duty)
Instructor
Pregnancy Uterine Full Term
Mindanao Sanitarium & Normal Spontaneous
2 Delivered NSVD A Live Baby Female .
Hospital Vaginal Delivery
Girl BW 2.5 gms.
G4P4 S/P Spontaneous
Vaginal Live Birth S/P Repair Mindanao Sanitarium & Normal Spontaneous
3 Female
of Epiniotomy S/P Bilateral Hospital Vaginal Delivery
Tubal Ligation
Pregnancy Uterine Full Term
Mindanao Sanitarium & Normal Spontaneous
4 Cephalic EROM, Delivered Male
Hospital Vaginal Delivery
by NSD to a Live Baby Boy
Delivery Term Spontaneous
Apgar 8-9 Baby Boy Wt. 3.1
Vertex 1 Cord Coil, Thickly
Mindanao Sanitarium & Normal Spontaneous
5 Meconium Stained, Male
Hospital Vaginal Delivery
Premature Rupture of
Membrane
> 12 hours

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

Mary Joan K. Abitago DARILYN G. LITERATUS, MN, RN PRIMITIVO G. SANTIAS, MN, RN NOEMI T. MORENTE, MAN, RN G’TER G. GAID, MAN, RN
Signature Over Printed Signature Over Printed Name Signature Over Printed Name of Signature Over Printed Name of Signature Over Printed
Name of Student of Clinical Instructor Clinical Coordinator Chief Nurse (MSH) Name of Dean
Date Signed:_____________ Date Signed:______________ Date Signed:______________ Date Signed:______________ Date Signed:______________
a.) PRC No.: 0301632 a.) PRC No.: 0284464 a.) PRC: 0161458 a.) PRC No.: 0302269
Valid Until: November 25, 2009 Valid Until: November 12, 2011 Valid Until: October 1, 2011 Valid Until: September 13, 2012
b.) PNA No.: 16829 b.) PNA No.: 15666 b.) PNA: 15898 __ b.) PNA No: 16832
Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime
c.) ANSAP No: 05068 c.) ADPCN No.: 0768
Valid Until: June 15, 2010 Valid Until: 2010
 Mindanao Sanitarium & Hospital College
Brgy San Miguel, Iligan City 9200

Name of the Student:

Name & Address of School: Mindanao Sanitarium & Hospital College, Brgy. San Miguel, Iligan City School code: 1362
Accreditation Level: Level 1 Year Granted: February 28, 2008
Date School Program was Recognized: Oct. 17, 2002 Number: 0043 Year: 2002
First Course (If any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2002
Year Graduated from the BSN Program: 200

IV. DELIVERIES ASSISTED

Time of Gender of
NO. Case No. Diagnosis Name of Patient Age Date of Delivery Name of Hospital Type of Delivery Supervised by:
Delivery Baby
Faculty with
Master’s
Mindanao Sanitarium & Normal Spontaneous Nurse/Midwife
1 Degree/
Hospital Vaginal Delivery (On Duty)
Clinical
Instructor
Mindanao Sanitarium & Normal Spontaneous
2
Hospital Vaginal Delivery
Mindanao Sanitarium & Normal Spontaneous
3
Hospital Vaginal Delivery
Mindanao Sanitarium & Normal Spontaneous
4
Hospital Vaginal Delivery
Mindanao Sanitarium & Normal Spontaneous
5
Hospital Vaginal Delivery

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

Mary Joan K. Abitago DARILYN G. LITERATUS, MN, RN PRIMITIVO G. SANTIAS, MN, RN NOEMI T. MORENTE, MAN, RN G’TER G. GAID, MAN, RN
Signature Over Printed Signature Over Printed Name Signature Over Printed Name of Signature Over Printed Name of Signature Over Printed
Name of Student of Clinical Instructor Clinical Coordinator Chief Nurse (MSH) Name of Dean
Date Signed:_____________ Date Signed:______________ Date Signed:______________ Date Signed:______________ Date Signed:______________
a.) PRC No.: 0301632 a.) PRC No.: 0284464 a.) PRC: 0161458 a.) PRC No.: 0302269
Valid Until: November 25, 2009 Valid Until: November 12, 2011 Valid Until: October 1, 2011 Valid Until: September 13, 2012
b.) PNA No.: 16829 b.) PNA No.: 15666 b.) PNA: 15898 __ b.) PNA No: 16832
Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime
c.) ANSAP No: 05068 c.) ADPCN No.: 0768
Valid Until: June 15, 2010 Valid Until: 2010
 Mindanao Sanitarium & Hospital College
Brgy San Miguel, Iligan City 9200

Name of the Student:

Name & Address of School: Mindanao Sanitarium & Hospital College, Brgy. San Miguel, Iligan City School code: 1362
Accreditation Level: Level 1 Year Granted: February 28, 2008
Date School Program was Recognized: Oct. 17, 2002 Number: 0043 Year: 2002
First Course (If any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 200
Year Graduated from the BSN Program: 2009

V. CORD DRESSING
Gender of Name of Hospital/Lying In Clinic/
NO. Case No. Date Performed Name of Baby Name of Mother Age Supervised by:
Baby Home Delivery
Faculty with
Master’s Degree/ Nurse/Midwife (On
1 Male Mindanao Sanitarium & Hospital
Clinical Duty)
Instructor
2 Male Mindanao Sanitarium & Hospital
3 Female Mindanao Sanitarium & Hospital
4 Male Mindanao Sanitarium & Hospital
5 Male Mindanao Sanitarium & Hospital

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

Mary Joan K. Abitago DARILYN G. LITERATUS, MN, RN PRIMITIVO G. SANTIAS, MN, RN NOEMI T. MORENTE, MAN, RN G’TER G. GAID, MAN, RN
Signature Over Printed Signature Over Printed Name Signature Over Printed Name of Signature Over Printed Name of Signature Over Printed
Name of Student of Clinical Instructor Clinical Coordinator Chief Nurse (MSH) Name of Dean
Date Signed:_____________ Date Signed:______________ Date Signed:______________ Date Signed:______________ Date Signed:______________
a.) PRC No.: 0301632 a.) PRC No.: 0284464 a.) PRC: 0161458 a.) PRC No.: 0302269
Valid Until: November 25, 2009 Valid Until: November 12, 2011 Valid Until: October 1, 2011 Valid Until: September 13, 2012
b.) PNA No.: 16829 b.) PNA No.: 15666 b.) PNA: 15898 __ b.) PNA No: 16832
Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime
c.) ANSAP No: 05068 c.) ADPCN No.: 0768
Valid Until: June 15, 2010 Valid Until: 2010
CHUCHI C. KAW HOC, RN, MPH
PRC No.: 0066803
Valid Until: Sept. 22, 2008
PNA No.: 10858
Valid Until: Lifetime
ANSAP No.: 00083
Valid Until: May 12, 200

Transfiguracion C. Lee, R.N., M.N.

PRC No.: 059574
Valid Until: August 6, 2008
PNA No.: 121004201
Valid Until: Lifetime
ANSAP No.: 021
Valid Until: March 08, 200

MYRNA P. SUAN, RN, MN

PRC No.: 78434
Valid Until: April 08, 2009
PNA No.: 4249
Valid Until: Lifetime
ANSAP: 025
Valid Until: March 8, 2007
Ma. Almira P. Nebres, R.N., M.A.N.
PRC No.: 0190814
Valid Until: January 8, 2010
PNA No.: 15663
Valid Until: Lifetime
ANSAP No.: AN-001850
Valid Until: June 07, 2007

Merlin M. Espinosa, R.N., M.A.N., D.M.

PRC No.: 0077464
Valid Until: Nov. 10, 2009
PNA No.: 408596
Valid Until: Lifetime
ADPCN No. 391
Valid Until: 2009

G’ter G. Gaid, R.N., M.A.N.

PRC No.: 0302269
Valid Until: Sept. 13, 2009
PNA No.: 16832
Valid Until: Lifetime

Dorothea N. Roque, RN, MAN, Ed. D

PRC No.: 0041393
Valid Until: February 06, 2007
PNA No.: 22012
Valid Until: December 31, 2006
ANSAP No.: 00567
Valid Until: December 31, 2006

CHED CODE: 12039