OUR LADY OF FATIMA UNIVERSITY #1 Esperanza St.

Hilltop Mansion Heights, Lagro, Quezon City Name of Student: SORIANO, ARON MARK GAYLON_____________________________________________________________________________________________________ Name and Address of School: OUR LADY OF FATIMA UNIVERSITY #1 ESPERANZA ST. HILLTOP MANSION HEIGHTS, LAGRO, QUEZON CITY__________________________ Accreditation Level (if any): PACUCOA LEVEL II Year Granted: APRIL 10, 2002________________ ___________ Date School/Program was Recognized: APRIL 25, 2001 ________________Number: 033________________________________Year: 2001______________________ 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: JUNE 2005__________________________________________________________________________________ Year Graduated (BSN Program): MARCH 2009___________________________________________________________________________________________________________ I. Major Operations Type of Operation Performed Anesthesia Low Transverse Cesarean Section

No. 1.

Date of Operation September 21, 2010

Case No. 21-54-48

Name of Patient Gonzales, Nenita

Diagnosis Gravida 5 Para 4 Pregnancy Uterine Full Term At restin dilatation

Name of Surgeon

Name of Hospital

Supervised by Qualified CI

Signature of Qualified CI

2.

3.

4.

5.

Prepared by: ARON MARK GAYLON SORIANO Signature over printed Name of Student Supervised by: JENETH GUTTIEREZ RN, MAN Signature over printed name of Faculty Date Signed: ____________ Degree: __ BSN, MAN__ a.) PRC NO: _327465__ Valid Until: DECEMBER 23, 2011 b.) PNA NO: __ 19031 __ Valid Until: LIFETIME_

Noted by: MARISOL GARCIA-MANIPOL RN, MAN Signature over printed name of Clinical Coordinator Date Signed: _______ ___ Degree: _ BSN, MAN _ a.) PRC NO: _ 0296870 _ Valid Until: SEPTEMBER 2009 b.) PNA NO: _ 025883 _ Valid Until: DECEMBER 2009

Concurred by: FRED B. RUIZ RN, PHD___ Signature over printed name of Chief Nurse Date Signed: _________ ___ Degree: __ BSN, MAN, PhD_ a.) PRC NO: _0070273 _ Valid Until: MARCH 2011 b.) PNA NO: __4580__ Valid Until: LIFETIME c.) ANSAP NO: 01450 Valid Until\; December 2009

Concurred by: ROSALINDA L. FLORES, RN, MAN__ Signature over printed name of Chief Nurse Date Signed: _ _ Degree: _ BSN, MAN _ a.) PRC NO: _0082223 _ Valid Until: NOVEMBER 25, 2011 b.) PNA NO: ______004201 _ Valid Until: _December 2009_____

Approved by: NELIA R. CAPULONG RN, RM, MAN Signature over printed name of Dean Date Signed: _ _ Degree: _ BSN, MAN _ a.) PRC NO: _0041904 _ Valid Until: JULY 31, 2009 b.) PNA NO: _ 18698 _ Valid Until: LIFETIME _ c.) ADPCN NO: 0627 _ Valid Until: DECEMBER 2009

OUR LADY OF FATIMA UNIVERSITY #1 Esperanza St. Hilltop Mansion Heights, Lagro, Quezon City Name of Student: SORIANO, ARON MARK GAYLON______________________________________________________________________________________________________________ Name and Address of School: OUR LADY OF FATIMA UNIVERSITY #1 ESPERANZA ST. HILLTOP MANSION HEIGHTS, LAGRO, QUEZON CITY___________________________________ Accreditation Level (if any): PACUCOA LEVEL II Year Granted: APRIL 10, 2002________________ _______________ Date School/Program was Recognized: APRIL 25, 2001 ___________________Number: 033___________________________________Year: 2001_______________________ 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: JUNE 2005___________________________________________________________________________________________ Year Graduated (BSN Program): MARCH 2009___________________________________________________________________________________________________________________ II. Minor Operations

No. 1.

Date of Operation August 27, 2007

Case No. 108890

Name of Patient Ignacio, Casalina

Diagnosis Lacerated Wound, Upper Lip Abortion Incomplete, Non Septic, Non Induced Ptergyium, Left Eye Cellulitis, Right Arm

Operation Performed Suturing and Dressing Completion Curettage Excision, Left Eye Debridement, Right Arm Suturing and Dressing

Type of Anesthesia Local Anesthesia Intravenous Sedation Local Anesthesia General Anesthesia Local Anesthesia

Name of Surgeon Dr. Victor Vargas

Name of Hospital Macabebe District Hospital Fatima University Medical Center Fatima University Medical Center San Jose District Hospital San Jose District Hospital

Supervised by Qualified CI Liza May Bernardo Jecino RN, MAN PRC: 164056 PNA: 17397 Jeneth Gutierrez RN, MAN PRC: 327465 PNA: 19031 Jeneth Gutierrez RN, MAN PRC: 327465 PNA: 19031 Norelyn Q. Jamis RN, MAN PRC: 0267415 PNA: 004202 Norelyn Q. Jamis RN, MAN PRC: 0267415 PNA: 004202
Approved by:

Signature of Qualified CI

2. May, 27 2008 3. June 3, 2008 4. September 19, 2008 5. September 20, 2008 08-12384 Fedelino, Andres Lacerated Wound, Forehead Dr. Lorrena Villanueva 08-15725 Sadiwa, Marlon M. Dr. Ceasar Guillo 08000120 Brinio, Lamberto Mercado Dr. Leonard Tan 08000011 6863 Cona, Kristine Kay Dr. Emelinda Carlos

Prepared by: ARON MARK GAYLON SORIANO Signature over printed Name of Student Supervised by: LIZA MAY BERNARDO-JECINO RN, MAN Signature over printed name of Faculty Date Signed: ____________ Degree: __ BSN, MAN__ a.) PRC NO: _164056__ Valid Until: JANUARY 2010 b.) PNA NO: __17397___ Valid Until: LIFETIME__

Noted by: MARISOLGARCIA-MANIPOLRN, MAN Signature over printed name of Clinical Coordinator Date Signed: _ _ Degree: _ BSN, MAN _ a.) PRC NO: _ 0296870 _ Valid Until: SEPTEMBER 2009 b.) PNA NO: _ 025883 _ Valid Until: DECEMBER 2009

Concurred by: FELICITAS R. NERY RN, MANc Signature over printed name of Chief Nurse Date Signed: _ _ Degree: _ BSN _ a.) PRC NO: _0095235 _ Valid Until: JANUARY 12, 2011 b.)PNA NO: _ 7501 _ Valid Until: LIFETIME

Concurred by: FRED B. RUIZ RN, PHD___ Signature over printed name of Chief Nurse Date Signed: _________ ___ Degree: __ BSN, MAN, PhD_ a.) PRC NO: _0070273 _ Valid Until: MARCH 2011 b.) PNA NO: __4580__ Valid Until: LIFETIME c.) ANSAP NO: 01450 Valid Until\; December 2009

Concurred by: ROSALINDA L. FLORES, RN, MAN_ Signature over printed name of Chief Nurse Date Signed: _ _ Degree: _ BSN, MAN _ a.) PRC NO: _0082223 _ Valid Until: NOVEMBER 25, 2011 b.) PNA NO: ______004201 _ Valid Until: _December 2009_____

NELIA R. CAPULONG RN, RM, MAN Signature over printed name of Dean Date Signed: _ _ Degree: _ BSN, MAN _ a.) PRC NO: _0041904 _ Valid Until: JULY 31, 2009 b.) PNA NO: _ 18698 _ Valid Until: LIFETIME c.) ADPCN NO: 0627 Valid Until: DECEMBER 2009

OUR LADY OF FATIMA UNIVERSITY #1 Esperanza St. Hilltop Mansion Heights, Lagro, Quezon City Name of Student: SORIANO, ARON MARK GAYLON_____________________________________________________________________________________________________ Name and Address of School: OUR LADY OF FATIMA UNIVERSITY #1 ESPERANZA ST. HILLTOP MANSION HEIGHTS, LAGRO, QUEZON CITY__________________________ Accreditation Level (if any): PACUCOA LEVEL II Year Granted: APRIL 10, 2002________________ ___________ Date School/Program was Recognized: APRIL 25, 2001 ________________Number: 033________________________________Year: 2001______________________ 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: JUNE 2005__________________________________________________________________________________ Year Graduated (BSN Program): MARCH 2009___________________________________________________________________________________________________________ Name of Mother Bautista, Annaliza Sunga, Amanda Gella, Anna Date of Delivery III. Actual Deliveries Time of Gender of Delivery Baby 8:00pm Female Supervised by: Signature of Qualified C.I. Liza May Bernardo Jecino RN, MAN PRC: 164056 PNA: 17397 Liza May Bernardo Jecino RN, MAN PRC: 164056 PNA: 17397 Irene G. Carreon RN, MAN PRC:88251 PNA: 025666 Irene G. Carreon RN, MAN PRC:88251 PNA: 025666 Irene G. Carreon RN, MAN PRC:88251 PNA: 025666
Approved by: NELIA R. CAPULONG RN, RM, MAN Signature over printed name of Dean Date Signed: _ _ Degree: _ BSN, MAN _ a.) PRC NO: _0041904 _ Valid Until: JULY 31, 2009 b.) PNA NO: _ 18698 _ Valid Until: LIFETIME _ c.) ADPCN NO: 0627 _

No. 1.

Case No. 015240

Diagnosis Gravida 3 Para 3 Pregnancy Uterine Full Term Cephalic in Labor Gravida 6 Para 6 Pregnancy Uterine Full Term Cephalic in Labor Gravida 2 Para 1 Pregnancy Uterine Full Term Cephalic in Labor Gravida 1 Para 1 Pregnancy Uterine Full Term Cephalic in Labor Gravida 1 Para 1 Pregnancy Uterine Full Term Cephalic in Labor
Noted by:

Age 23

Name of Hospital Macabebe District Hospital Macabebe District Hospital Nodado General Hospital Nodado General Hospital Nodado General Hospital

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

August 31, 2007 September 1, 2007 September 29, 2008 October 5, 2008 October 5, 2008

2. 015242 3. 27290 4. 27354 5. 27363 Refamonte, Rosana 30 12:48am Female Manalo, Richiel 22 5;50am Female 30 12:05am Male 38 7:00pm Male

Prepared by: ARON MARK GAYLON SORIANO Signature over printed Name of Student Supervised by: LIZA MAY BERNARDO-JECINO RN, MAN Signature over printed name of Faculty Date Signed: ____________ Degree: __ BSN, MAN__

Concurred by: FELICITAS R. NERY RN, MANc Signature over printed name of Chief Nurse Date Signed: _ _ Degree: _ BSN _ a.) PRC NO: _0095235 _ Valid Until: JANUARY 12, 2011 b.)PNA NO: _ 7501 _ Valid Until: LIFETIME

Concurred by: LANIE MANGALINDAN, RN Signature over printed name of Chief Nurse Date Signed: _ _ Degree: _ BSN _ a.) PRC NO: _0212126 _ Valid Until: _December 11, 2010_ b.) PNA NO: _ 02507 _ Valid Until: _December 2009_

MARISOL GARCIA-MANIPOL RN, MAN Signature over printed name of Clinical Coordinator Date Signed: _ _ Degree: _ BSN, MAN _ a.) PRC NO: _ 0296870 _ Valid Until: SEPTEMBER 2009 b.) PNA NO: _ 025883 Valid Until: DECEMBER 2009

a.) PRC NO: _164056__ Valid Until: JANUARY 2010 b.) PNA NO: __17397__ Valid Until: LIFETIME_

Valid Until: DECEMBER 2009

OUR LADY OF FATIMA UNIVERSITY #1 Esperanza St. Hilltop Mansion Heights, Lagro, Quezon City Name of Student: SORIANO, ARON MARK GAYLON_____________________________________________________________________________________________________ Name and Address of School: OUR LADY OF FATIMA UNIVERSITY #1 ESPERANZA ST. HILLTOP MANSION HEIGHTS, LAGRO, QUEZON CITY__________________________ Accreditation Level (if any): PACUCOA LEVEL II Year Granted: APRIL 10, 2002________________ _______ Date School/Program was Recognized: APRIL 25, 2001 _______________Number: 033________________________________Year: 2001______________________ 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: JUNE 2005__________________________________________________________________________________ Year Graduated (BSN Program): MARCH 2009___________________________________________________________________________________________________________ IV. Deliveries Assisted Date of Time of Gender of Delivery Delivery Baby March 29, 2008 May 23, 2008 12:40pm Female Supervised by: Signature of Qualified C.I. Irene G. Carreon RN, MAN PRC:88251 PNA: 025666 Jeneth Gutierrez RN, MAN PRC: 327465 PNA: 19031 Liza May Bernardo Jecino RN, MAN PRC: 164056 PNA: 17397 Liza May Bernardo Jecino RN, MAN PRC: 164056 PNA: 17397 Irene G. Carreon RN, MAN PRC:88251 PNA: 025666

No. 1.

Case No. 25557

Diagnosis Gravida 1 Para 1 Pregnancy Uterine Full Term Cephalic in Labor Gravida1 Para0 Pregnancy Uterine 34 weeks Age of Gestation Cephalic in Labor Gravida2 Para 2 Pregnancy Uterine Full Term Cephalic in Labor Gravida 1 Para 1 Pregnancy Uterine Full Term Cephalic in Labor Gravida 3 Para 2 Pregnancy Uterine Full Term Cephalic in Labor

Name of Mother Santoa, Leonida

Age 25

Name of Hospital Nodado General Hospital Fatima University Medical Center Macabebe District Hospital Macabebe District Hospital Nodado General Hospital

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

2. 08000016 815 3. 013976 4. 504106 5. 27312 Zamora, Diana 29 September 30, 2008 11:00pm Male Hernandez, Jennifer 29 March 2, 2008 3:10am Female Navarro, Raquel G. 20 September 17,2008 2:00pm Male Corpuz, Jessamen 21 7:35am Female

Prepared by: ARON MARK GAYLON SORIANO Signature over printed Name of Student Supervised by: LIZA MAY BERNARDO-JECINO RN, MAN Signature over printed name of Faculty Date Signed: ____________ Degree: __ BSN, MAN__ a.) PRC NO: _164056__ Valid Until: JANUARY 2010 b.) PNA NO: __17397___ Valid Until: LIFETIME__

Noted by: MARISOL GARCIA-MANIPOL RN, MAN Signature over printed name of Clinical Coordinator Date Signed: _ _ Degree: _ BSN, MAN _ a.) PRC NO: _ 0296870 _ Valid Until: SEPTEMBER 2009 b.) PNA NO: _ 025883 _ Valid Until: DECEMBER 2009

Concurred by: FRED B. RUIZ RN, PHD___ Signature over printed name of Chief Nurse Date Signed: _________ ___ Degree: __ BSN, MAN, PhD_ a.) PRC NO: _0070273 _ Valid Until: MARCH 2011 b.) PNA NO: __4580__ Valid Until: LIFETIME c.) ANSAP NO: 01450 Valid Until\; December 2009

Concurred by: FELICITAS R. NERY RN, MANc _ Signature over printed name of Chief Nurse Date Signed: _ _ Degree: _ BSN _ a.) PRC NO: _009523 _ Valid Until: JANUARY 12, 2011 b.) PNA NO: _ 7501 _ Valid Until: LIFETIME

Concurred by: LANIE MANGALINDAN, RN_ Signature over printed name of Chief Nurse Date Signed: _ _ Degree: _ BSN _ a.) PRC NO: _0212126 _ Valid Until: _December 11, 2010_ b.) PNA NO: _ 02507 _ Valid Until: _ December 2009

Approved by: NELIA R. CAPULONG RN, RM, MAN Signature over printed name of Dean Date Signed: _ _ Degree: _ BSN, MAN _ a.) PRC NO: _0041904 _ Valid Until: JULY 31, 2009 b.) PNA NO: _ 18698 _ Valid Until: LIFETIME c.) ADPCN NO: 0627 Valid Until: DECEMBER 2009

OUR LADY OF FATIMA UNIVERSITY #1 Esperanza St. Hilltop Mansion Heights, Lagro, Quezon City Name of Student: SORIANO, ARON MARK GAYLON_____________________________________________________________________________________________________ Name and Address of School: OUR LADY OF FATIMA UNIVERSITY #1 ESPERANZA ST. HILLTOP MANSION HEIGHTS, LAGRO, QUEZON CITY__________________________ Accreditation Level (if any): PACUCOA LEVEL II Year Granted: APRIL 10, 2002________________ ___________ Date School/Program was Recognized: APRIL 25, 2001 ________________Number: 033________________________________Year: 2001______________________ 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: JUNE 2005__________________________________________________________________________________ Year Graduated (BSN Program): MARCH 2009___________________________________________________________________________________________________________ V. Cord Dressing No. 1. 103907 2. 112407 3. 011095 4. 08-16064 September 19, 2008 Baby Boy Blanco Male Blanco, Mylene Gonzales 23 San Jose District Hospital Norelyn Q. Jamis RN, MAN PRC: 0267415 PNA: 004202 August 29, 2007 Baby Girl Soliman Female Soliman, Catherine 21 Macabebe District Hospital Liza May Bernardo Jecino RN, MAN PRC: 164056 PNA: 17397 August 27, 2007 Baby Girl Cruz Female Cruz, Raquel 26 Macabebe District Hospital Liza May Bernardo Jecino RN, MAN PRC: 164056 PNA: 17397 August 6, 2007 Baby Girl Pineda Female Pineda, Maribelle 33 Macabebe District Hospital Liza May Bernardo Jecino RN, MAN PRC: 164056 PNA: 17397 Case No. Date Performed Name of Baby Gender of Baby Name of Mother Age Name of Hospital Supervised by: Signature of Qualified C.I.

5. 27273 September 27, 2008 Baby Girl Dasalla Female Dasalla, Marites 23 Nodado General Hospital Irene G. Carreon RN, MAN PRC:88251 PNA: 025666

Prepared by: ARON MARK GAYLON SORIANO Signature over printed Name of Student Supervised by: LIZA MAY BERNARDO-JECINO RN, MAN Signature over printed name of Faculty Date Signed: ____________ Degree: __ BSN, MAN__ a.) PRC NO: _164056__ Valid Until: JANUARY 2010 b.) PNA NO: __17397___ Valid Until: LIFETIME__

Noted by: MARISOL GARCIA-MANIPOL RN, MAN Signature over printed name of Clinical Coordinator Date Signed: _ _ Degree: _ BSN, MAN _ a.) PRC NO: _ 0296870 _ Valid Until: SEPTEMBER 2009 b.) PNA NO: _ 025883 _ Valid Until: DECEMBER 2009

Concurred by: FELICITAS R. NERY RN, MANc Signature over printed name of Chief Nurse Date Signed: _ _ Degree: _ BSN _ a.) PRC NO: _0095235 _ Valid Until: JANUARY 12, 2011 b.)PNA NO: _ 7501 _ Valid Until: LIFETIME

Concurred by: ROSALINDA L. FLORES, RN, MAN_ Signature over printed name of Chief Nurse Date Signed: _ _ Degree: _ BSN, MAN _ a.) PRC NO: _0082223 _ Valid Until: NOVEMBER 25, 2011 b.) PNA NO: ______004201 _ Valid Until: _December 2009__

Concurred by: LANIE MANGALINDAN, RN _ Signature over printed name of Chief Nurse Date Signed: _ _ Degree: _ BSN _ Degree: _ BSN _ a.) PRC NO: _0212126 _ Valid Until: _December 11, 2010_ b.) PNA NO: _ 02507 _ Valid Until: _ December 2009_

Approved by: NELIA R. CAPULONG RN, RM, MAN Signature over printed name of Dean Date Signed: _ _ Degree: _ BSN, MAN _ a.) PRC NO: _0041904 _ Valid Until: JULY 31, 2009 b.) PNA NO: _ 18698 _ Valid Until: LIFETIME c.) ADPCN NO: 0627 Valid Until: DECEMBER 2009