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Dah PRC

The document outlines surgical and delivery procedures performed by students at the Medical Colleges of Northern Philippines, detailing specific cases, dates, and supervising nurses. It includes forms for surgical scrubs, actual deliveries, and immediate newborn care, with signatures from clinical coordinators and deans for approval. The institution is accredited and provides contact information for further inquiries.

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dannafayeabad77
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12 views6 pages

Dah PRC

The document outlines surgical and delivery procedures performed by students at the Medical Colleges of Northern Philippines, detailing specific cases, dates, and supervising nurses. It includes forms for surgical scrubs, actual deliveries, and immediate newborn care, with signatures from clinical coordinators and deans for approval. The institution is accredited and provides contact information for further inquiries.

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 PDF, TXT or read online on Scribd
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MEDICAL COLLEGES OF NORTHERN PHILIPPINES

Alimannao Hills, Peñablanca Cagayan

Telefax number: 078-3041010/ E-mail address: adminoffice@mcnp.edu.ph / 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 _DANNA FAYE S. ABAD 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

JULY 09, 2024 E.B.D LAPAROSCOPIC GLADYS JOY B. CAOILE, RN


8:26 AM 62108 CHOLECYSTECTOMY PRC LIC.NO. 0515680 DIVINA L. MALANA, RN, MSN, LPT
PRC Lic. #0300186

JULY 09, 2024 D.E.C VIDEO ASSISTED THORACIC KATHERINE GRACE S. YAMOGAN, RN
8:46 AM 62128 SURGERY, RIGHT DELOCULATION, PRC LIC.NO. 0484480 DIVINA L. MALANA, RN, MSN, LPT
BIOPSY OF MEDICINE/ MESS WITH PRC Lic. #0300186
FROZEN SECTION

JULY 31, 2024 S.B.F REMOVAL OF IMPLANT, DIANE V. VISAYA, RN DIVINA L. MALANA, RN, MSN, LPT
8:46 AM 27487 APPLICATION OF MEGA PRC LIC.NO. 084085 PRC Lic. #0300186
PROSTHESIS

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:_______________________
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: adminoffice@mcnp.edu.ph / 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 1B
Prepared by: O.R. CIRCUALTING FORM
Printed Name with Signature of student DANNA FAYE S. ABAD 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

JUNE 10, 2024 P.B.R EXCISION BIOPSY SOFT TISSUE GLADYS JOY B. CAOILE, RN DIVINA L. MALANA, RN, MSN, LPT
9:20 AM 1319385 MASS FOOT LEFT PRC LIC.NO. 0515680 PRC Lic. #0300186

JULY 07, 2024 J.K.D CLOSED TUBE THORACOSTOMY MICHELLE O. CENTERO, RN DIVINA L. MALANA, RN, MSN, LPT
7:38 AM 49254 USING JP DRAIN LEFT PRC LIC. NO. 0385043 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: adminoffice@mcnp.edu.ph / 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)

NORMAL SPONTANEOUS DELIVERY

NORMAL SPONTANEOUS DELIVERY

NORMAL SPONTANEOUS DELIVERY

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: adminoffice@mcnp.edu.ph / Web site: www.mcnp.edu.ph


Accreditation Level: IQuAME CATEGORY A (t) MATURE TEACHING INSTITUTION/PACUCOA Ac credited 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)

NORMAL SPONTANEOUS DELIVERY

NORMAL SPONTANEOUS DELIVERY

NORMAL SPONTANEOUS DELIVERY

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: adminoffice@mcnp.edu.ph / 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)

DELIVERY ROOM

DELIVERY ROOM

DELIVERY ROOM

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:_______________________

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