XAVIER UNIVERSITY – ATENEO DE CAGAYAN

Corrales Avenue, Cagayan de Oro City, Philippines

School Code: 0839

Name of Student: PAULA HELENA ROJAS ABA

Name & Address of School: Xavier University – Ateneo de Cagayan, Corrales Avenue, Cagayan de Oro City
Accreditation level: (If any) None Year Granted: Not Applicable
Date School / Program was Recognized: June 9 Number: 008 Year: 1992
First Course (If any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable
Year of Admission in the Bachelor of Science in Nursing Program: 2005
Year Graduated (BSN Program): 2009

I. MAJOR OPERATIONS
N Date of Case Signature of
Name of Type of Name of Name of Name of Operating
umbe Operati Numbe Diagnosis Operation Performed Operating Room
Patient Anesthesia Surgeon Hospital Room Scrub Nurse
r on r Scrub Nurse
Cholelithiasis with Spinal Northern
Decembe
Gina cholecystolithiasis, Cholecystectomy Anesthesia – Dr. Elmer Mindanao Pilarlita Mae S. Pagaray,
1 r 19, 480465
Dagunot gangrenous gallbladder Lavage and Drainage Epidural Zalsos Medical BSN, RN
2007
with adhesion Anesthesia Center
Northern
Decembe Nodular Non-toxic goiter Total Thyroidectomy
Francisco General Dr. Bernabe Mindanao Pilarlita Mae S. Pagaray,
2 r 20, 352552 with neck metastasis with Radical Neck
Canaya Anesthesia Mendoza Medical BSN, RN
2007 probably malignant Dissection, Right
Center
Healed Fracture Radius Removal of Implant Northern
Dr. Justiniano
April 24, Middle Third, Right; Re- Radius, Right; Re- General Mindanao Leni I. Gestuveo, BSN,
3 507532 Eddie Yap Aquilino Cyril
2008 fracture Medial Third Ulna, plating of the medial Anesthesia Medical RN
Pimentel
Right third ulna, Right Center
4 April 24, 507732 Leonila Phylloides Tumor, Left Simple Mastectomy, General Dr. Riman Northern Almer Jan L. Zalsos, BSN,
2008 Villaruel Left Anesthesia Ricardo Mindanao RN
Medical
Center
Prepared by: Supervised by: Noted by: Concurred by: Concurred by: Approved by:
April 23, 006679 Clemente Incarcerated Inguinal Herniorrhapy, Right Local Dr. Joel Gingoog Fe T. Teope, BSN, RN
5
PAULA 2009
HELENA ROJAS Salarda___MRS. IVY R. GO_ Hernia MRS.CHRISTY G. DABLO Anesthesia
DR. DOROTHEA Babanto
N. District
MRS. JULIANA L. JAVIER DR. RAMONA HEIDI C.
ABA__ __ . ROQUE . . Hospital PALAD .
Name of Clinical Instructor Clinical Coordinator Chief Nurse Chief Nurse Dean College of Nursing
Student Date Signed: Date Signed: Northern Mindanao Gingoog District Hospital Xavier University-Ateneo de
_________________________________ Medical Center Date Signed: Cagayan
__ . Date Signed: Date Signed:
Degree: BSN, RN, MAN Degree: BSN, RN, MN, MAN
.
. .
. Degree: BSN, RN, Degree: BSN, RN .
a.) PRC No.: 0222293 a.) PRC No.: 0222342
MAN, Ed D. . . Degree: BSN, RN, MAN,
. .
a.) PRC No.: 0041397 a. ) PRC No.: 0077182 MAEd, PhD .
Valid Until: April 21, 2010 Valid Until: November 22,
. . a.) PRC No.: 0053722
. 2010 .
Valid Until: February 6, 2010 Valid Until: December 10, .
b.) PNA No.: 066616 b.) PNA No.: 066620
. b.) 2010 . Valid Until: August 31,
. .
PNA No.: 018604 b.) PNA No.: 80212 2012 .
Valid Until: December 31, 2009 Valid Until: December 31,
. . b.) PNA No.: 11836
. 2009 .
Valid Until: December 31, Valid Until: December 31, .
2009 . 2009 . Valid Until: Lifetime
c.) ANSAP No.: 05047 .
. Valid c.) ADPCN No.: 0063
Until: December 31, 2009 .
. Valid Until: October 31,
2010 .
 XAVIER UNIVERSITY – ATENEO DE CAGAYAN
Corrales Avenue, Cagayan de Oro City, Philippines
School Code: 0839

Name of Student: PAULA HELENA ROJAS ABA

Name & Address of School: Xavier University – Ateneo de Cagayan, Corrales Avenue, Cagayan de Oro City
Accreditation level: (If any) None Year Granted: Not Applicable
Date School / Program was Recognized: June 9 Number: 008 Year: 1992
First Course (If any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable
Year of Admission in the Bachelor of Science in Nursing Program: 2005
Year Graduated (BSN Program): 2009

II. MINOR OPERATIONS

N Date of Case Signature of
Name of Type of Name of Name of Name of Operating
umbe Operati Numbe Diagnosis Operation Performed Operating Room
Patient Anesthesia Surgeon Hospital Room Scrub Nurse
r on r Scrub Nurse
Northern
Decembe Excision of
Hazel Jane General Dr. Dures Fe Mindanao Lydia L. Labitad, BSN,
1 r 19, 480457 Sacrococcygeal Mass Sacrococcygeal
Malinay Anesthesia Tagayuna Medical RN, MN
2007 Teratoma
Center
Mother’s
House, Xavier
Dr. Maria
February 2008- Nilda Local University – Grace L. Llevares, BSN,
2 Multiparity Bilateral Tubal Ligation Corazon
8, 2008 601 Adoremos Anesthesia Community RN
Cuaycong
Health Care
Center
Mother’s
House, Xavier
Dr. Maria
March 2008- Judith Local University – Grace L. Llevares, BSN,
3 Multiparity Bilateral Tubal Ligation Corazon
19, 2008 615 Baterna Anesthesia Community RN
Cuaycong
Health Care
Center

City Health
April 17, Howard Local Dr. Melodee
4 259 Phimosis Circumcision Office -Tablon Iryn L. Salcedo, BSN, RN
2008 Wyne Llesis Anesthesia Zamora
Health Center

City Health
April 17, Howard Local Dr. Melodee
5 260 Phimosis Circumcision Office -Tablon Iryn L. Salcedo, BSN, RN
2008 Miles Llesis Anesthesia Zamora
Health Center
Prepared by: Supervised by: Noted by: Concurred by: Concurred by: Concurred by: Approved by:

PAULA HELENA ROJAS MRS. IVY R. GO ___ MRS.CHRISTY G. _ __DR. DOROTHEA N. __ MRS. EVA R. ______MS. IRYN L. ____DR. RAMONA HEIDI C.
ABA___ ___ DABLO_____ ROQUE_____ LLENO________ SALCEDO______ PALAD___
Name of Student Clinical Instructor Clinical Coordinator Chief Nurse Chief Nurse Public Health Nurse III Dean College of Nursing
Date Signed: Date Signed: Northern Mindanao Xavier University – City Health Office Xavier University-Ateneo de
Medical Center Community Health Care Date Signed: Cagayan
. Date Signed: Center Date Signed:
Degree: BSN, RN, MAN . Date Signed: .
. Degree: BSN, RN, MN, MAN . Degree: BSN, RN, MPH
a.) PRC No.: 0222293 . Degree: BSN, RN, MAN, Ed D. . . .
. a.) PRC No.: 0222342 . a.) PRC No.: Degree: BSN, RN, MHA a.) PRC No.: 0148109 Degree: BSN, RN, MAN, MAEd,
Valid Until: April 21, 2010 . 0041397 . . . PhD .
. Valid Until: November 22, Valid Until: February 6, a. ) PRC No.: 0091662 Valid Until: January 11, 2012 a.) PRC No.: 0053722
b.) PNA No.:066616 2010 . 2010 . b.) . . .
. b.) PNA No.: 066620 PNA No.: 018604 Valid Until: August 9, 2012 b.) PNA No.: 79897 Valid Until: August 31, 2012
Valid Until: December 31, . . . . .
2009 . Valid Until: December 31, Valid Until: December 31, b.) PNA No.: 18586 Valid Until: December 31, b.) PNA No.: 11836
2009 . 2009 . . 2009 . .
c.) ANSAP No.: 05047 Valid Until: Lifetime Valid Until: Lifetime
. . .
Valid Until: December 31, c.) ANSAP No.: 090011 c.) ADPCN No.: 0063
2009 . . .
Valid Until: Lifetime Valid Until: October 31,
. 2010 .