WESLEYAN UNIVERSITY- PHILIPPINES Mabini Extension, Cabanatuan City, Philippines 3100 Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail:

wesleyan@mozcom.com Prepared by: Name of Student: Paul Buddy F. Villar Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 Accreditation Level (if any): Level II Year Granted: 2007-2012 Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977 I. MAJOR OPERATIONS
No. 1 2 Date of Operation January 26, 2011 February 9, 2011 Case No. 284766 11527 Name of Patient Elsie Nicole Mudlong Ramil Pelayo Pasigiran Diagnosis Ruptured Appendicitis Depressed Fracture Right Temporal Area Secondary to Vehicular Accident Pregnancy Uterine 39-42 weeks Cephalic in Labor Age of Gestation by Gravida 1, Parity 0 Cholecystolithiasis Pregnancy Uterine 26-27 weeks Age of Gestation by Hydrops Gravida 2 Parity 0, Arrest of Descent
Concurred by: MERLITA C. GOMEZ, R.N., M.A.N. Chief Nurse Gapan District Hospital Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No: 0075411 Valid Until: October 20, 2011 PNA No: 05239 Valid Until: October 31, 2011 Date Signed:_____________ Concurred by: NORA G. CRUZ, R.N., M.A.N Chief Nurse Manuel V. Gallego Cabanatuan City General Hospital Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No: 0161945 Valid Until: September 30, 2013 PNA No: 01988 Valid Until: Lifetime Date Signed:_____________

First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable Year of Admission in Bachelor of Science in Nursing Program: 2007 Year Graduated in Bachelor of Science in Nursing Program: 2011
Type of Anesthesia Spinal Anesthesia General Anesthesia Name of Surgeon Dr. Antonio Duque Dr. Maria Lourdes Gutierrez Dr. Ann Laiza Pacheco Dr. Alfy Marigmen

Operation Performed Appendectomy with Exploratory Laparotomy Decompressive Craniectomy with Evacuation Of Hematoma Lower Cervical Caesarean Section Cholecystectomy Lower Cervical Caesarean Section

Name of Hospital Gapan District Hospital Manuel V. Gallego Cabanatuan City General Hospital San Jose City General Hospital

March 3, 2011

282891

Monaliza Morden

Spinal Anesthesia

March 9, 2011

282825

Antalio Abalos

Spinal Anesthesia

San Jose City General Hospital

June 19, 2010

282872

Marian Cargamento

Spinal Anesthesia

Dr. Noel Cruz

San Jose City General Hospital

Supervised by: ROWENA E. DAGDAGAN, R.N. with 39 M.A.N. Units Clinical Instructor Wesleyan University- Philippines Degree: Bachelor of Science in Nursing PRC No: 0207349 Valid Until: April 4, 2014 PNA No: 052487 Valid Until: October 31, 2011 Date Signed:_____________ Supervised by: MARK JAYSON DELA CRUZ, R.N. with 27 M.A.N. Units Clinical Instructor Wesleyan University- Philippines Degree: Bachelor of Science in Nursing PRC No: 0398604 Valid Until: December 21, 2013 PNA No: 052474 Valid Until: October 31, 2011 Date Signed:_____________

Noted by: ADAHLIA T. BASCO, R.N., M.A.N. Over-all RLE Coordinator, College of Nursing Wesleyan University- Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No: 0178398 Valid Until: July 28, 2011 PNA No: 18000 Valid Until: Lifetime Date Signed:_____________ Supervised by: RUSTAN E. PASCUAL, R.N. with 12 M.A.N. Units Clinical Instructor Wesleyan University- Philippines Degree: Bachelor of Science in Nursing PRC No: 0170639 Valid Until: March , 2012 PNA No: 060525 Valid Until: October 31, 2011 Date Signed:_____________

Approved by: MELANIA C. CENON, R.N., M.A.N., Ph.D Dean, College of Nursing Wesleyan University- Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing Doctor of Philosophy PRC No: 0100236 Valid Until: January 6, 2012 PNA No: 17978 Valid Until: Lifetime Date Signed:_____________ Concurred by: LOURDEZ V. LOZANO, R.N. with 27 M.P.A. Units, with 18 M.A.N. Units Chief Nurse San Jose City General Hospital Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No: 0051242 Valid Until: March 23, 2011 PNA No: 01877 Valid Until: Lifetime Date Signed:_____________

WESLEYAN UNIVERSITY- PHILIPPINES Mabini Extension, Cabanatuan City, Philippines 3100 Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail: wesleyan@mozcom.com Prepared by: Name of Student: Paul Buddy F. Villar Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 Accreditation Level (if any): Level II Year Granted: 2007-2012 Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977 II. MINOR OPERATIONS No. 1 2 3 4 Date of Operation July 2, 2010 April 26, 2010 April 28, 2010 January 13, 2011 January 13, 2011 Case No. 991463 202673 262169 Medical Mission Medical Mission Name of Patient Rosale Bontigue Richard Mercado Ilag Mark Christopher Abinales Anna Deleon Feliza Cuevas Diagnosis Abortion Incomplete (Non-Septic/ Non-Induced) Lacerated Wound 1st Digit Right Foot Lacerated Wound Right Forearm Lacerated Wound Right Arm Lipoma Anterior Axillary Line Operation Performed Dilatation and Curettage Suturing Suturing Suturing Incision Type of Anesthesia Spinal Anesthesia Local Anesthesia Local Anesthesia Local Anesthesia Local Anesthesia Name of Surgeon Dr. Rowena Soriano Dr. Johnny Michael Mangulabnan Dr. Johnny Michael Mangulabnan Dr. Erick Delos Reyes Dr. Erick Delos Reyes Name of Hospital Dr. Paulino J. Garcia Memorial Research and Medical Center Gapan District Hospital Gapan District Hospital Service Caravan Public Health Office San Josef Norte Cabanatuan City Service Caravan Public Health Office San Josef Norte Cabanatuan City
Approved by: MELANIA C. CENON, R.N., M.A.N., Ph.D Dean, College of Nursing Wesleyan University- Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing Doctor of Philosophy PRC No: 0100236 Valid Until: January 6, 2012 PNA No: 17978 Valid Until: Lifetime Date Signed:_____________

First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable Year of Admission in Bachelor of Science in Nursing Program: 2007 Year Graduated in Bachelor of Science in Nursing Program: 2011

Supervised by: ROWENA E. DAGDAGAN, R.N. with 39 M.A.N Units Clinical Instructor Wesleyan University- Philippines Degree: Bachelor of Science in Nursing PRC No: 0207349 Valid Until: April 4, 2014 PNA No: 052487 Valid Until: October 31, 2011 Date Signed:_____________

Supervised by: MA. LIZA NOLIAN, R.N. With 39 M.A.N. Units Clinical Instructor Wesleyan University- Philippines Degree: Bachelor of Science in Nursing PRC No: 0139923 Valid Until: July 2, 2012 PNA No: 060545 Valid Until: October 31, 2011 Date Signed:_____________

Noted by: ADAHLIA T. BASCO, R.N., M.A.N. Over-all RLE Coordinator, College of Nursing Wesleyan University- Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No: 0178398 Valid Until: July 28, 2011 PNA No: 18000 Valid Until: Lifetime Date Signed:_____________

Concurred by: MERLITA C. GOMEZ, R.N., M.A.N. Chief Nurse Gapan District Hospital Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No: 0075411 Valid Until: October 20, 2011 PNA No: 05239 Valid Until: October 31, 2011 Date Signed:_____________

Concurred by: BIENVENIDA R. CAPULE, R.N., M.A.N. Chief Nurse Dr. Paulino J. Garcia Memorial Research and Medical Center Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No: 0028001 Valid Until: April 24, 2014 PNA No: 07829 Valid Until: Lifetime Date Signed:_____________

WESLEYAN UNIVERSITY-PHILIPPINES Mabini Extension, Cabanatuan City, Philippines 3100 Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail: wesleyan@mozcom.com Prepared by: Name of Student: Paul Buddy F. Villar Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 Accreditation Level (if any): Level II Year Granted: 2007-2012 Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977 First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable Year of Admission in Bachelor of Science in Nursing Program: 2007 Year Graduated in Bachelor of Science in Nursing Program: 2011

No. 1

Case No. 991576

2 3 4

968003

994414

994253

994315

Diagnosis Pregnancy Uterine 39 3/7 weeks by Age of Gestation by Last Menstrual Period Gravida 2, Parity 0, Premature Rupture of Membrane for 2 hours Pregnancy Uterine 34 5/7 weeks by Age of Gestation Cephalic in Labor Premature Rupture of Membrane for 12 hours Pregnancy Uterine 39 5/7 weeks Age of Gestation by Last Menstrual Period Cephalic in Labor Gravida 6, Parity 5 Pregnancy Uterine 36 weeks 6 days by Age of Gestation by Last Menstrual Period Premature Rupture of Membrane for 3 hours Gravida 3, Parity 2 Pregnancy Uterine 37 6/7 weeks by Age of Gestation by Last Menstrual Period Cephalic in Labor Gravida 1, Parity 0

Name of Mother Judy Daylo

Age 23

III. ACTUAL DELIVERIES Date of Delivery Time of Delivery June 18, 2010 5:13 pm

Type of Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery

Gender of Baby Male

Name of Hospital Dr. Paulino J. Garcia Memorial Research and Medical Center

Melanie Fernando

23

June 18, 2010

7:28 pm

Male

Dr. Paulino J. Garcia Memorial Research and Medical Center Dr. Paulino J. Garcia Memorial Research and Medical Center Dr. Paulino J. Garcia Memorial Research and Medical Center Dr. Paulino J. Garcia Memorial Research and Medical Center

Perlita Magnayon

20

July 3, 2010

1:34 am

Male

Ruby Salde

17

July 1, 2010

11:18 pm

Female

Lorelyn Perez

27

July 2, 2010

5:23 am

Male

Supervised by: MA. LIZA NOLIAN, R.N. with 39 M.A.N. Units Clinical Instructor Wesleyan University- Philippines Degree: Bachelor of Science in Nursing PRC No: 0139923 Valid Until: July 2, 2012 PNA No: 060545 Valid Until: October 31, 2011 Date Signed:_____________

Noted by: ADAHLIA T. BASCO, R.N., M.A.N. Over-all RLE Coordinator, College of Nursing Wesleyan University- Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No: 0178398 Valid Until: July 28, 2011 PNA No: 18000 Valid Until: Lifetime Date Signed:_____________

Concurred by: BIENVENIDA R. CAPULE, R.N., M.A.N. Chief Nurse Dr. Paulino J. Garcia Memorial Research and Medical Center Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No: 0028001 Valid Until: April 24, 2014 PNA No: 07829 Valid Until: Lifetime Date Signed:_____________

Approved by: MELANIA C. CENON, R.N., M.A.N., Ph.D Dean, College of Nursing Wesleyan University- Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing Doctor of Philosophy PRC No: 0100236 Valid Until: January 6, 2012 PNA No: 17978 Valid Until: Lifetime Date Signed:_____________

WESLEYAN UNIVERSITY-PHILIPPINES Mabini Extension, Cabanatuan City, Philippines 3100 Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail: wesleyan@mozcom.com Prepared by: Name of Student: Paul Buddy F. Villar Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 Accreditation Level (if any): Level II Year Granted: 2007-2012 Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977 First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable Year of Admission in Bachelor of Science in Nursing Program: 2007 Year Graduated in Bachelor of Science in Nursing Program: 2011

No. 1 2 3 4 5

Case No. 994415 984788 101780 101782 101783

Diagnosis Pregnancy Uterine 38 2/7 weeks by Age of Gestation by Last Menstrual Period Cephalic in Labor Gravida 1, Parity 0 Pregnancy Uterine 35 2/7 weeks by Age of Gestation by Last Menstrual Period Cephalic in Labor, Gravida 2, Parity 1 Pregnancy Uterine 38 weeks by Age of Gestation Cephalic in Labor Gravida 2, Parity 1 Pregnancy Uterine at Full Term Gravida 1, Parity 0 1L Pregnancy Uterine at Full Term Gravida 3, Parity 2

Name of Mother Jehovalyn Tellez Loida Cortez Alpha Pangilinan Mylene Sanchez Luna Lei Efecticio

Age 21 34 20 19 21

IV. ASSISTED DELIVERIES Date of Delivery Time of Delivery July 3, 2010 June 26, 2010 July 31, 2010 July 31, 2010 July 31, 2010 2:18 am 3:21 am 8:30 am 9:20 1:45 pm

Type of Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery

Gender of Baby Boy Female Female Male Female

Name of Hospital Dr. Paulino J. Garcia Memorial Research and Medical Center Dr. Paulino J. Garcia Memorial Research and Medical Center Guimba District Hospital Dr. Paulino J. Garcia Memorial Research and Medical Center Dr. Paulino J. Garcia Memorial Research and Medical Center

Supervised by: MA. LIZA NOLIAN, R.N. With 39 M.A.N Units Clinical Instructor Wesleyan University-Philippines Degree: Bachelor of Science in Nursing PRC No:0139923 Valid Until: July 2, 2012 PNA No: 060545 Valid Until: October 31, 2011 Date Signed:______________

Supervised by: ADRIAN R. ADRIANO, R.N., R.M., with 39 M.A.N. Units Clinical Instructor Wesleyan University-Philippines Degree: Bachelor of Science in Nursing PRC No: 0404900 Valid Until: August 20, 2012 PNA No: 060530 Valid Until: October 31, 2011 PRC No. (Midwifery): 0148628 Valid Until: August 20, 2012 IMAP No: 014674 Valid Until: December 31, 2011 Date Signed:______________

Noted by: ADAHLIA T. BASCO, R.N., M.A.N. Over-all RLE Coordinator, College of Nursing Wesleyan University- Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No: 0178398 Valid Until: July 28, 2011 PNA No: 18000 Valid Until: Lifetime Date Signed:_____________

Concurred by: BIENVENIDA R. CAPULE, R.N., M.A.N. Chief Nurse Dr. Paulino J. Garcia Memorial Research and Medical Center Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No: 0028001 Valid Until: April 24, 2014 PNA No: 07829 Valid Until: Lifetime Date Signed:_____________

Approved by: MELANIA C. CENON, R.N., M.A.N., Ph.D Dean, College of Nursing Wesleyan University- Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing Doctor of Philosophy PRC No: 0100236 Valid Until: January 6, 2012 PNA No: 17978 Valid Until: Lifetime Date Signed:_____________

WESLEYAN UNIVERSITY-PHILIPPINES Mabini Extension, Cabanatuan City, Philippines 3100 Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail: wesleyan@mozcom.com Prepared by: Name of Student: Paul Buddy F. Villar Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 Accreditation Level (if any): Level II Year Granted: 2007-2012 Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977 V. CORD CARE Gender of Baby Female Female Male Male Female First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable Year of Admission in Bachelor of Science in Nursing Program: 2007 Year Graduated in Bachelor of Science in Nursing Program: 2011

No. 1 2 3 4 5 Supervised by:

Case No. 10-3864 10-3867 10-3868 10-3970 10-3974

Date Performed October 8, 2010 October 8, 2010 October 8, 2010 October 15, 2010 October 15, 2010 Noted by:

Name of Baby Baby Girl Gutierrez Baby Girl Pangilinan Baby Boy Dela Cruz Baby Boy Gamit Baby Girl Ronquillo

Name of Mother Anna Rose Gutierrez Lani Pangilinan Christina Dela Cruz April Joy Gamit Sarah Jane Ronquillo

Age of Mother 19 21 24 20 27 Approved by:

Name of Hospital
Manuel V. Gallego Cabanatuan City General Hospital Manuel V. Gallego Cabanatuan City General Hospital Manuel V. Gallego Cabanatuan City General Hospital Manuel V. Gallego Cabanatuan City General Hospital Manuel V. Gallego Cabanatuan City General Hospital

Concurred by:
NORA G. CRUZ, R.N., M.A.N.

MARICEL GARANCHO, R.N. with 21 M.A.N. Units Clinical Instructor Wesleyan University- Philippines Degree: Bachelor of Science in Nursing PRC No: 0307043 Valid Until: December 26, 2013 PNA No: 052470 Valid Until: October 31, 2011 Date Signed:_____________

ADAHLIA T. BASCO, R.N., M.A.N. Over-all RLE Coordinator, College of Nursing Wesleyan University- Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No: 0178398 Valid Until: July 28, 2011 PNA No: 18000 Valid Until: Lifetime Date Signed:_____________

Chief Nurse Manuel V. Gallego Cabanatuan City General Hospital Degree: Bachelor of Science in Nursing PRC No: 0161945 Valid Until: September 30, 2013 PNA No: 01988 Valid Until: Lifetime Date Signed:_____________

MELANIA C. CENON, R.N., M.A.N., Ph.D Dean, College of Nursing Wesleyan University- Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing Doctor of Philosophy PRC No: 0100236 Valid Until: January 6, 2012 PNA No: 17978 Valid Until: Lifetime Date Signed:_____________