Scribd
Upload
1 views

PRC-FORMS-new-format-LEVEL2pacucoa-Complete-Cases

The document outlines surgical and delivery procedures performed by student Precious Kyla V. Sorita at Medical Colleges of Northern Philippines and Cagayan Valley Medical Center. It includes details such as patient initials, case numbers, surgical procedures, and the names of supervising nurses and clinical instructors. The document is part of the accreditation process for the institution, which is recognized as a mature teaching institution.

Uploaded by

dannafayeabad77
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
1 views

PRC-FORMS-new-format-LEVEL2pacucoa-Complete-Cases

The document outlines surgical and delivery procedures performed by student Precious Kyla V. Sorita at Medical Colleges of Northern Philippines and Cagayan Valley Medical Center. It includes details such as patient initials, case numbers, surgical procedures, and the names of supervising nurses and clinical instructors. The document is part of the accreditation process for the institution, which is recognized as a mature teaching institution.

Uploaded by

dannafayeabad77
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 5

MEDICAL COLLEGES OF NORTHERN PHILIPPINES

Alimannao Hills, Peñablanca Cagayan

Telefax number: 078-3041010/ E-mail address: [email protected] / Web site: www.mcnp.edu.ph


Accreditation Level: IQuAME CATEGORY A (t) MATURE TEACHING INSTITUTION/PACUCOA Accredited Level 2

SURGICAL SCRUB in VETERANS MEMORIAL MEDICAL CENTER, NORTH AVENUE, DILIMAN, QUEZON CITY _
Hospital, Municipality/City/ Province
O.R. Form 1A
Prepared by: O.R. SCRUB FORM
Printed Name with Signature of student _PRECIOUS KYLA V. SORITA_ MAJOR

Date Performed Patients INITIALS (ONLY) SURGICAL PROCEDURE O.R. Nurse On Duty SUPERVISED BY
and PERFORMED (Name and Signature) Clinical Instructor
CASE NUMBER
Time Started Name and Signature

June 27, 2024 J. S. V. EMERGENCY CLOSED TUBE


11:06 AM 61228 THOROSTOMY USING JP DRAIN JOY AUBREY TINOCO, RN DIVINA L. MALANA, RN, MSN, LPT
BILATERAL WITH PLEURAL BIOPSY PRC Lic. # 0340470 PRC Lic. #0300186

June 28, 2024 M. J. R. ANTERIOR CRUCIATE LIGAMENT


7:59 AM 0628 RECONSTRUCTION LEFT DONALD JOSEPH O. REYES, RN DIVINA L. MALANA, RN, MSN, LPT
PRC Lic. # 0220095 PRC Lic. #0300186

July 01, 2024 A. J. D. PARTIAL NEPHERECTOMY ®


9:14 AM 61921 MAVERICK D. BONDOC, RN DIVINA L. MALANA, RN, MSN, LPT
PRC Lic. # 0785578 PRC Lic. #0300186

Noted by: Approved by:

____ GINA M. MANONGAS, RN, MSN_ NIÑA ANNE BERNADETTE P. PARACAD, RN, MSN
Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Dean
Date Signed: ______________________________ Date Signed: ________________________________
Degree: __________________________________ Degree: ____________________________________
a. PRC No.: _0209343______________ a. PRC No.:_0791164_________________
Valid until:__November 9, 2025____ Valid Until:_October 31, 2027________
b. PNA No.:__M-32925_____________ b. PNA No.:_M-35504________________
Valid until:_December 31, 2025____ Valid Until:_December 31, 2025______
c. ADPCN No.:______________________
Valid Until:_______________________
MEDICAL COLLEGES OF NORTHERN PHILIPPINES
Alimannao Hills, Peñablanca Cagayan

Telefax number: 078-3041010/ E-mail address: [email protected] / Web site: www.mcnp.edu.ph


Accreditation Level: IQuAME CATEGORY A (t) MATURE TEACHING INSTITUTION/PACUCOA Accredited Level 2

SURGICAL SCRUB in CAGAYAN VALLEY MEDICAL CENTER


Hospital, Municipality/City/ Province
O.R. Form 1B
Prepared by: O.R. CIRCUALTING FORM
Printed Name with Signature of student _PRECIOUS KYLA V. SORITA_ MINOR

Date Performed Patients INITIALS SURGICAL PROCEDURE O.R. Nurse On Duty SUPERVISED BY
and (ONLY) PERFORMED (Name and Signature) Clinical Instructor
Time Started CASE NUMBER Name and Signature

October 10, 2024 F.P.D.I INCISION BIOPSY


12:26 PM 616333 WILSON JAKE R. AQUINO, RN DANIEL RANCE PABALAN, RN
PRC Lic. No: 0537831 PRC Lic. No: 0710362

October 11, 2024 M.D.S WOUND SUTURING


9:12 AM 570129 WILSON JAKE R. AQUINO, RN DANIEL RANCE PABALAN, RN
PRC Lic. No: 0537831 PRC Lic. No: 0710362

October 11, 2024 A.B WOUND SUTURING


1:32 PM 471360 WILSON JAKE R. AQUINO, RN DANIEL RANCE PABALAN, RN
PRC Lic. No: 0537831 PRC Lic. No: 0710362

Noted by: Approved by:

____ GINA M. MANONGAS, RN, MSN_ NIÑA ANNE BERNADETTE P. PARACAD, RN, MSN
Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Dean
Date Signed: ______________________________ Date Signed: ________________________________
Degree: __________________________________ Degree: ____________________________________
a. PRC No.: _0209343______________ a. PRC No.:_0791164_________________
Valid until:__November 9, 2025____ Valid Until:_October 31, 2027________
b. PNA No.:__M-32925_____________ b. PNA No.:_M-35504________________
Valid until:_December 31, 2025____ Valid Until:_December 31, 2025______
c. ADPCN No.:______________________
Valid Until:_______________________
MEDICAL COLLEGES OF NORTHERN PHILIPPINES
Alimannao Hills, Peñablanca Cagayan

Telefax number: 078-3041010/ E-mail address: [email protected] / Web site: www.mcnp.edu.ph


Accreditation Level: IQuAME CATEGORY A (t) MATURE TEACHING INSTITUTION/PACUCOA Accredited Level 2

ACTUAL DELIVERY in CAGAYAN VALLEY MEDICAL CENTER


Hospital, Municipality/City/ Province
Prepared by: D.R FORM
Printed Name with Signature of student _PRECIOUS KYLA V. SORITA_ ACTUAL DELIVERY
FORM
Date Performed Patients INITIALS (ONLY) D.R. Nurse On Duty SUPERVISED BY
and CASE NUMBER PROCEDURE (Name and Signature) Clinical Instructor
Time Started (not applicable for birthing/lying- PERFORMED (IF Midwife on duty, Signature Name and Signature
in Clinics/Homes) not required)

September 26, 2024 F.M.C NORMAL SPONTANEOUS DELIVERY


9:01 AM 614326 CLAIRE L. ANGWAY RN, MSN HELEN P. AGUSTIN RN, MSN, MAN
PRC Lic. No.: 0467889 PRC Lic. No.: 0101550

September 26, 2024 R.R.P NORMAL SPONTANEOUS DELIVERY


1:07 PM 614315 CLAIRE L. ANGWAY RN, MSN HELEN P. AGUSTIN RN, MSN, MAN
PRC Lic. No.: 0467889 PRC Lic. No.: 0101550

September 27, 2024 C.B.P NORMAL SPONTANEOUS DELIVERY


9:13 AM 614468 CLAIRE L. ANGWAY RN, MSN HELEN P. AGUSTIN RN, MSN, MAN
PRC Lic. No.: 0467889 PRC Lic. No.: 0101550

Noted by: Approved by:

____ GINA M. MANONGAS, RN, MSN_ NIÑA ANNE BERNADETTE P. PARACAD, RN, MSN
Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Dean
Date Signed: ______________________________ Date Signed: ________________________________
Degree: __________________________________ Degree: ____________________________________
a. PRC No.: _0209343______________ a. PRC No.:_0791164_________________
Valid until:__November 9, 2025____ Valid Until:_October 31, 2027________
b. PNA No.:__M-32925_____________ b. PNA No.:_M-35504________________
Valid until:_December 31, 2025____ Valid Until:_December 31, 2025______
c. ADPCN No.:______________________
Valid Until:_______________________
MEDICAL COLLEGES OF NORTHERN PHILIPPINES
Alimannao Hills, Peñablanca Cagayan

Telefax number: 078-3041010/ E-mail address: [email protected] / Web site: www.mcnp.edu.ph


Accreditation Level: IQuAME CATEGORY A (t) MATURE TEACHING INSTITUTION/PACUCOA Accredited Level 2

ACTUAL DELIVERY in CAGAYAN VALLEY MEDICAL CENTER


Hospital, Municipality/City/ Province
Prepared by: D.R FORM
Printed Name with Signature of student _PRECIOUS KYLA V. SORITA_ ASSISSTED DELIVERY
FORM
Date Performed Patients INITIALS (ONLY) D.R. Nurse On Duty SUPERVISED BY
and CASE NUMBER PROCEDURE (Name and Signature) Clinical Instructor
Time Started (no applicable for birthing/lying- PERFORMED (IF Midwife on duty, Signature Name and Signature
in Clinics/Homes) not required)

September 19, 2024 K.K.D NORMAL SPONTANEOUS DELIVERY


11:00AM 596960 JEVINA M. ABRIGO, RN, MSN HELEN P. AGUSTIN RN, MSN, MAN
PRC Lic. No.: 0669260 PRC Lic. No.: 0101550

September 26, 2024 K.G.D.S NORMAL SPONTANEOUS DELIVERY


12:53 PM 491119 CLAIRE L. ANGWAY, RN, MSN HELEN P. AGUSTIN RN, MSN, MAN
PRC Lic. No.: 0467889 PRC Lic. No.: 0101550

September 27, 2024 M.M.T.P NORMAL SPONTANEOUS DELIVERY


1:57 PM 614538 CLAIRE L. ANGWAY, RN, MSN HELEN P. AGUSTIN RN, MSN, MAN
PRC Lic. No.: 0467889 PRC Lic. No.: 0101550

Noted by: Approved by:

____ GINA M. MANONGAS, RN, MSN_ NIÑA ANNE BERNADETTE P. PARACAD, RN, MSN
Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Dean
Date Signed: ______________________________ Date Signed: ________________________________
Degree: __________________________________ Degree: ____________________________________
a. PRC No.: _0209343______________ a. PRC No.:_0791164_________________
Valid until:__November 9, 2025____ Valid Until:_October 31, 2027________
b. PNA No.:__M-32925_____________ b. PNA No.:_M-35504________________
Valid until:_December 31, 2025____ Valid Until:_December 31, 2025______
c. ADPCN No.:______________________
Valid Until:_______________________
MEDICAL COLLEGES OF NORTHERN PHILIPPINES
Alimannao Hills, Peñablanca Cagayan

Telefax number: 078-3041010/ E-mail address: [email protected] / Web site: www.mcnp.edu.ph


Accreditation Level: IQuAME CATEGORY A (t) MATURE TEACHING INSTITUTION/PACUCOA Accredited Level 2

ACTUAL DELIVERY in CAGAYAN VALLEY MEDICAL CENTER


Hospital, Municipality/City/ Province
Prepared by: ICBN FORM
Printed Name with Signature of student _PRECIOUS KYLA V. SORITA_ IMMEDIATE CARE OF THE
NEWBORN FORM
Date Performed Patients INITIALS (ONLY) IMMEDIATE NEW BORN CORD CARE D.R. Nurse On Duty SUPERVISED BY
and CASE NUMBER PERFORMED (Name and Signature) Clinical Instructor
Time Started (not applicable for birthing/lying-in Indicate where it is performed e.g. D.R., (IF Midwife on duty, Signature not Name and Signature
Clinics/Homes) Nursery, NICU, or HOME required)

September 20, 2024 A.M.A DELIVERY ROOM


10:56 AM 613458 LOVELY ANNE T. ARGUERO, RN HELEN P. AGUSTIN RN, MSN, MAN
PRC Lic. No.: 0789298 PRC Lic. No.: 0101550

September 20, 2024 M.P.P.D DELIVERY ROOM


2:18 PM 222983 CLAIRE L. ANGWAY, RN, MSN HELEN P. AGUSTIN RN, MSN, MAN
PRC Lic. No.: 0467889 PRC Lic. No.: 0101550

September 27, 2024 M.M.T.P DELIVERY ROOM


1:57 PM 614538 CLAIRE L. ANGWAY, RN, MSN HELEN P. AGUSTIN RN, MSN, MAN
PRC Lic. No.: 0467889 PRC Lic. No.: 0101550

Noted by: Approved by:

____ GINA M. MANONGAS, RN, MSN_ NIÑA ANNE BERNADETTE P. PARACAD, RN, MSN
Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Dean
Date Signed: ______________________________ Date Signed: ________________________________
Degree: __________________________________ Degree: ____________________________________
a. PRC No.: _0209343______________ a. PRC No.:_0791164_________________
Valid until:__November 9, 2025____ Valid Until:_October 31, 2027________
b. PNA No.:__M-32925_____________ b. PNA No.:_M-35504________________
Valid until:_December 31, 2025____ Valid Until:_December 31, 2025______
c. ADPCN No.:______________________
Valid Until:_______________________

You might also like