REPUBLIC OF THE PHILIPPINES

PROFESSIONAL REGULATION COMMISSION

BOARD OF NURSING
Adapted by: Far Eastern University

Prepared by:
Name of Student: BALOLOY, EVA ARAOJO _______________________________
__________
Name and Address of School: Far Eastern University, Nicanor Reyes Sr. Street Sampaloc Manila 1008

Accreditation Level: Level II PAASCU Re-Accredited Year Granted: March 31, 2001

Date School / Program was Recognized: April 10, 1958 Number: 66 Year: 1958

First Course (if any): None School Graduated from: Not Applicable

Year of Admission in the Bachelor of Science in Nursing Program: 2006

Year Graduated (BSN Program): 2010

I. MAJOR OPERATIONS
Supervised by
Date of Type of (Name & Signature
N Case Name of Operation Name of
Operat Diagnosis Anesthe Name of Surgeon Name of O.R Scrub Nurse of Qualified
o. No. Patient Performed Hospital
ion sia Clinical
Instructor)
Gravida 1 Para 0
January Ma. Pregnancy Uterine
Emergency Our Lady of Mercedes Gamayon,
1 20, 54568 Monica 39-40 weeks PROM Spinal Llirina Castillo, MD Rosalie Puno, RN
Caesarian Mt. Carmel RN, MAN
2010 Robinson 36 cephalic
disproportion
Gravida 1 Para 0
January Pregnancy Uterine
Arlyn Our Lady of Mercedes Gamayon,
2 20, 13171 30-31 weeks Age Hysterectomy Spinal Emil Tolentino, MD Angela Florence Dulay, RN
Soriano Mt. Carmel RN. MAN
2010 of Gestation, failed
in active labor
Gravida 1 Para 0
January
Pamela Pregnancy Uterine
21, Arlene Dominguez, Our Lady of Mercedes Gamayon,
3 13181 Grace 34-35 weeks Age Caesarian Spinal Hysa Medina, RN
2010 MD Mt. Carmel RN, MAN
Santiago of Gestation
Oligohydramnios
January
Rustica Placement of
22, Hypermature Noel Lacsamana, Our Lady of Mercedes Gamayon,
4 13186 Ybañez OD intraocular Local Hysa Medina, RN
2010 Cataract OD MD Mt. Carmel RN, MAN
lens
 Total
Lobectomy
January Right of Central
22, Lorie Adenomatous Lateral Near, Our Lady of Mercedes Gamayon,
5 13191 General Rudy Ong, MD Angela Florence Dulay, RN
2010 Vilbar Goiter Total Mt. Carmel RN, MAN
Lobectomy Left
Plus
Isthmustectomy

Noted by: Concurred by: Approved by:

ELIZABETH F. HACINAS, RN, RM, MAN ROSALINA C. BERONIO RN, MAN

__GLENDA S. ARQUIZA, RN, PhD________________
Signature over printed Name of Clinical Coordinator Signature over printed name of Chief Nurse
Signature over printed Name of Dean
Date Signed: Date Signed: _________ Date Signed: __________________________________
Degree: Master of Arts in Nursing Degree: Master of Arts in Nursing Degree:
Doctor of Philosophy, Master in Educ. Administration
a.) PRC No.: 0101726 a.) PRC No.: 66736 a.) PRC No.:
0043483
Valid until: July 01, 2011 Valid until: June 11, 2011 Valid until:
December 31, 2010__________________ ___
b.) PNA No.: 4870 b.) PNA No.: 18612 b.) PNA No.: 19071

Valid until: Lifetime Valid until: Lifetime Valid until:

Lifetime_______________________________________

Adapted by: Far Eastern University

Prepared by:
Name of Student: BALOLOY, EVA ARAOJO _______________________________ ____________
Name and Address of School: Far Eastern University, Nicanor Reyes Sr. Street Sampaloc Manila 1008

Accreditation Level: Level II PAASCU Re-Accredited Year Granted: March 31, 2001

Date School / Program was Recognized: April 10, 1958 Number: 66 Year: 1958

First Course (if any): None School Graduated from: Not Applicable

Year of Admission in the Bachelor of Science in Nursing Program: 2006

Year Graduated (BSN Program): 2010

II. MINOR OPERATIONS

 Supervised by
Date of Type of (Name & Signature
N Case Name of Operation Name of Name of O.R Scrub
Operat Diagnosis Anesthe Name of Surgeon of Qualified
o. No. Patient Performed Hospital Nurse
ion sia Clinical
Instructor)

January
Aldrin Fracture Close
21, Closed Our Lady of Mercedes Gamayon,
1 13178 Arthur Complete Distal 3rd GETA Alex Duque, MD Rosalie Puno, RN
2010 Reduction Mt. Carmel RN, MAN
Baybayin Radius Ulna Left

April
20, April Incarcerated Our Lady of Mercedes Gamayon,
14600 Herniotomy Spinal Rudy Ong, MD Hysa Medina, RN
2010 Maluna Inguinal Hernia Left Mt. Carmel RN, MAN
2
April April
Incarcerated
20, Wynona Our Lady of Angela Florence Dulay, Mercedes Gamayon,
3 14621 Indirect Inguinal Herniotomy Spinal Rudy Ong, MD
2010 Macuha Mt. Carmel RN RN, MAN
Hernia
April Anal
20, Angelito Complex Fistula in Fistulectomy Our Lady of Mercedes Gamayon,
4 14629 Spinal Azores Rosalie Puno, RN
2010 Bartolo Ano with Mt. Camel RN, MAN
Anorectoplasty
April
23, Ferry Cauterization of Our Lady of Mercedes Gamayon,
5 14685 Genital Warts Local Boromeo Rosalie Puno, RN
2010 Yalong Warts Mt. Carmel RN, MAN

Noted by: Concurred by: Approved by:

ELIZABETH F. HACINAS, RN, RM, MAN ROSALINA C. BERONIO RN, MAN

__GLENDA S. ARQUIZA, RN, PhD_________________
Signature over printed Name of Clinical Coordinator Signature over printed name of Chief Nurse
Signature over printed Name of Dean
Date Signed: Date Signed: _________ Date Signed:
___________________________________
Degree: Master of Arts in Nursing Degree: Master of Arts in Nursing Degree:
Doctor of Philosophy, Master in Educ. Administration
a.) PRC No.: 0101726 a.) PRC No.: 66736 a.) PRC No.:
0043483
Valid until: July 01, 2011 Valid until: June 11, 2011 Valid until:
December 31, 2010__________________ ___
b.) PNA No.: 4870 b.) PNA No.: 18612 b.) PNA No.: 19071

Valid until: Lifetime Valid until: Lifetime Valid until:

Lifetime_______________________________________
c.) ANSAP: 090299 c.) ADPCN No.:
0786__________________________________________ Valid until: December 2010
Valid until: May 31, 2010___________________________________
REPUBLIC OF THE PHILIPPINES
 PROFESSIONAL REGULATION COMMISSION
BOARD OF NURSING
Adapted by: Far Eastern University

Prepared by:
Name of Student: BALOLOY, EVA ARAOJO _______________________________
____________
Name and Address of School: Far Eastern University, Nicanor Reyes Sr. Street Sampaloc Manila 1008

Accreditation Level: Level II PAASCU Re-Accredited Year Granted: March 31, 2001

Date School / Program was Recognized: April 10, 1958 Number: 66 Year: 1958

First Course (if any): None School Graduated from: Not Applicable

Year of Admission in the Bachelor of Science in Nursing Program: 2006

Year Graduated (BSN Program): 2010

III. ACTUAL DELIVERIES

Supervised by
N Case Name of Date of Time of Gender of Type of (Name & Signature of
Diagnosis Age Name of Hospital
o. No. Mother Delivery Delivery Baby Delivery Qualified Clinical
Instructor)

4594 Gravida 1 Parity 1 Pregnancy Jose Reyes Normal

Melanie January 13, Cieliton Sanvictores, RN, RM,
1 08 Uterine 37-38 Weeks Age Of 19 4:29am Male Memorial Medical Spontaneous
Meneses 2009 MAN
Gestation Caphalic In Labor Center Delivery

5456 Gravida 3 Parity 2 Pregnancy Jose Reyes Normal

Nora January 19, Cielito Sanvictores, RN, RM,
2 0 Uterine 36-37 Weeks Age Of 34 8:35pm Male Memorial Medical Spontaneous
Bautista 2010 MAN
Gestation Caphalic In Labor Center Delivery
5464 Gravida 1 Parity 0 Pregnancy Normal
Cindy January 23, Our Lady of Mt.
3 7 Uterine 36-37 Weeks Age Of 19 5:44am Female Spontaneous Mercedes Gamayon, RN, MAN
Manalo 2010 Carmel
Gestation Caphalic In Labor Delivery
5666 Gravida 1 Parity 0 Pregnancy Normal
Annalyn April 17, Our Lady of Mt.
4 8 Uterine 38 Weeks Age Of 21 2:35am Male Spontaneous Mercedes Gamayon, RN, MAN
Gamboa 2010 Carmel
Gestation Caphalic In Labor Delivery
5683 Gravida 1 Parity 0 Pregnancy Normal
Maribel April 23, Our Lady of Mt. Mercedes Gamayon, RN, MAN
5 6 Uterine 37 Weeks Age Of 34 11:48pm Male Spontaneous
Asbad 2010 Carmel
Gestation Caphalic In Labor Delivery

Noted by: Concurred by: Approved by:

ELIZABETH F. HACINAS, RN, RM, MAN ROSALINA C. BERONIO RN, MAN

__GLENDA S. ARQUIZA, RN, PhD_________________
Signature over printed Name of Clinical Coordinator Signature over printed name of Chief Nurse
Signature over printed Name of Dean
Date Signed: Date Signed: _________ Date Signed:
___________________________________
Degree: Master of Arts in Nursing Degree: Master of Arts in Nursing Degree:
Doctor of Philosophy, Master in Educ. Administration
a.) PRC No.: 0101726 a.) PRC No.: 66736 a.) PRC No.:
0043483
Valid until: July 01, 2011 Valid until: June 11, 2011 Valid until:
December 31, 2010__________________ ___
b.) PNA No.: 4870 b.) PNA No.: 18612 b.) PNA No.: 19071

Valid until: Lifetime Valid until: Lifetime Valid until:

Lifetime_______________________________________
c.) ANSAP: 090299 c.) ADPCN No.:
0786__________________________________________ Valid until: December 2010
Valid until: May 31, 2010___________________________________
 REPUBLIC OF THE PHILIPPINES
PROFESSIONAL REGULATION COMMISSION
BOARD OF NURSING
Adapted by: Far Eastern University

Prepared by:
Name of Student: VELASCO, MONICA ANDREA ESGUERRA
_______________________________ ____________
Name and Address of School: Far Eastern University, Nicanor Reyes Sr. Street Sampaloc Manila 1008

Accreditation Level: Level II PAASCU Re-Accredited Year Granted: March 31, 2001

Date School / Program was Recognized: April 10, 1958 Number: 66 Year: 1958

First Course (if any): None School Graduated from: Not Applicable

Year of Admission in the Bachelor of Science in Nursing Program: 2006

Year Graduated (BSN Program): 2010

IV. DELIVERIES ASSISTED

Supervised by
Case Name of Date of Time of Gender Type of (Name & Signature
No. Diagnosis Age Name of Hospital
No. Mother Delivery Delivery of Baby Delivery of Qualified Clinical
Instructor)

45941 Gravida 2 Parity 1 Pregnancy Normal

January 13, Jose Reyes Memorial Cielito San Victores,
1 6 Uterine 36-37 Weeks Age Of Bernadita Horca 32 1:27am Male Spontaneous
2009 Medical Center RN, RM, MAN
Gestation Caphalic In Labor Delivery

45973 Gravida 1 Parity 0 Pregnancy Normal

January 14, Jose Reyes Memorial Cielito San Victores,
2 3 Uterine 36-37 Weeks Age Of Leticia Tabago 20 1:29am Female Spontaneous
2009 Medical Center RN, RM, MAN
Gestation Caphalic In Labor Delivery
Gravida 3 Parity 2 Pregnancy Normal
54650 January 20, Our Lady of Mt. Mercedes Gamayon,
3 Uterine 39-40 Weeks Age Of Diana Forachelin 28 3:35am Female Spontaneous
2010 Carmel RN, MAN
Gestation Caphalic In Labor Delivery
Gravida 1 Parity 0 Pregnancy Normal
54602 Nympha January 21, Our Lady of Mt. Mercedes Gamayon,
4 Uterine 36-37 Weeks Age Of 29 1:29am Female Spontaneous
Talavera 2010 Carmel RN, MAN
Gestation Caphalic In Labor Delivery
Gravida 1 Parity 0 Pregnancy Normal
54645 January 22, Our Lady of Mt. Mercedes Gamayon,
5 Uterine 38 Weeks Age Of Jaymee Mariano 25 2:33am Male Spontaneous
2010 Carmel RN, MAN
Gestation Caphalic In Labor Delivery

Noted by: Concurred by: Approved by:

 ELIZABETH F. HACINAS, RN, RM, MAN ROSALINA C. BERONIO RN, MAN
__GLENDA S. ARQUIZA, RN, PhD_________________
Signature over printed Name of Clinical Coordinator Signature over printed name of Chief Nurse
Signature over printed Name of Dean
Date Signed: Date Signed: _________ Date Signed:
___________________________________
Degree: Master of Arts in Nursing Degree: Master of Arts in Nursing Degree:
Doctor of Philosophy, Master in Educ. Administration
a.) PRC No.: 0101726 a.) PRC No.: 66736 a.) PRC No.:
0043483
Valid until: July 01, 2011 Valid until: June 11, 2011 Valid until:
December 31, 2010__________________ ___
b.) PNA No.: 4870 b.) PNA No.: 18612 b.) PNA No.: 19071

Valid until: Lifetime Valid until: Lifetime Valid until:

Lifetime_______________________________________
c.) ANSAP: 090299 c.) ADPCN No.:
0786__________________________________________ Valid until: December 2010
Valid until: May 31, 2010___________________________________

REPUBLIC OF THE PHILIPPINES

PROFESSIONAL REGULATION COMMISSION
BOARD OF NURSING
Adapted by: Far Eastern University

Prepared by:
Name of Student: BALOLOY, EVA ARAOJO _______________________________
____________
Name and Address of School: Far Eastern University, Nicanor Reyes Sr. Street Sampaloc Manila 1008

Accreditation Level: Level II PAASCU Re-Accredited Year Granted: March 31, 2001

Date School / Program was Recognized: April 10, 1958 Number: 66 Year: 1958

First Course (if any): None School Graduated from: Not Applicable

Year of Admission in the Bachelor of Science in Nursing Program: 2006

Year Graduated (BSN Program): 2010

V. CORD DRESSING
Supervised by
Case (Name & Signature of
No. Date Performed Name of Baby Gender of Baby Name of Mother Age Name of Hospital
No. Qualified
Clinical Instructor)
Jose Reyes Memorial Cielito Sanvictores, RN, RM,
1 175459 January 13, 2009 Baby Boy Gumaquio Male Marites Gumaquio 33
Medical Center MAN
 459422 Jose Reyes Memorial Cielito Sanvictores, RN, RM,
2 January 13, 2009 Baby Boy Caliguia Male Cherry Ann Caliguia 20
Medical Ceneter MAN
54573 Our Lady of Mt. Mercedes Gamayon, RN,
3 January 20, 2010 Baby Boy Maniago Male Micaela Maniago 21
Carmel MAN
54583 Our Lady of Mt. Mercedes Gamayon, RN,
4 January 20, 2010 Baby Boy Soriano Male Arlyn Soriano 33
Carmel MAN
54594 Our Lady of Mt. Mercedes Gamayon, RN,
5 January 21, 2010 Baby Boy Bensing Male Sarah Bensing 31
Carmel MAN

Noted by: Concurred by: Approved by:

ELIZABETH F. HACINAS, RN, RM, MAN ROSALINA C. BERONIO RN, MAN

__GLENDA S. ARQUIZA, RN, PhD_________________
Signature over printed Name of Clinical Coordinator Signature over printed name of Chief Nurse
Signature over printed Name of Dean
Date Signed: Date Signed: _________ Date Signed:
___________________________________
Degree: Master of Arts in Nursing Degree: Master of Arts in Nursing Degree:
Doctor of Philosophy, Master in Educ. Administration
a.) PRC No.: 0101726 a.) PRC No.: 66736 a.) PRC No.:
0043483
Valid until: July 01, 2011 Valid until: June 11, 2011 Valid until:
December 31, 2010__________________ ___
b.) PNA No.: 4870 b.) PNA No.: 18612 b.) PNA No.: 19071

Valid until: Lifetime Valid until: Lifetime Valid until:

Lifetime_______________________________________
c.) ANSAP: 090299 c.) ADPCN No.:
0786_______________________________________ __ Valid until: December 2010
Valid until: May 31, 2010________________________________ __