FORMAT: (PLEASE CHECK THE FOLLOWING.

)
NAME: MANALILI, NIKO TORRES (FULL NAME WITH MIDDLE NAME NOT MI)

Accreditation Level: Level II PAASCU Re-Accredited ( NOT ACCREDITED)

PLEASE CHECK:

1. ARRANGE YOUR DATES CHRONOLOGICALLY.

2. CORRECT FORMAT FOR DR DIAGNOSIS: Gravida 1 Parity 0 Pregnancy Uterine 38 -39

Weeks Age Of Gestation Cephalic In Labor
Note: dapat ang format lagi sa Diagnosis at Operation
performed. Lagi MALAKI ANG FIRST LETTER, DR/OR case man
yan.
Also: Baby Boy Juan or Baby Girl Juan not Baby girl/boy Juan
Local anesthesia= Local Anesthesia
3. PLEASE NO ABBREVIATIONS! WAG MAKULIT!
4. FOR AGE: JUST THE NUMBER OF AGE NO NEED TO INCLUDE: yrs old or y/o e.g.
AGE: 35
5. IV Sedation= Intravenous Sedation
6. Doctor/Surgeon: Dr. Maria Lopez M.D.= remove Dr. MD lang
dapat.
7. TIME: PM and AM should be all caps.
8. SEX: Female/Male should be use and NOT ALL CAPS.
9. Name of CI: Mrs. Liezel Donatila Salcedo, RN, RM, MAN= Liezel Donatila Salcedo, RN,
RM, MAN (Pakitanggal Mrs or Mr. then please put the title after nung ci.. ung iba
wala.)
10. Please check your SPELLING!

Noted by:

ELIZABETH F. HACIÑAS, RN, RM, MAN (ALL CAPS)

Signature over printed Name of Clinical Coordinator

Concurred by:

___JOESPHINE B. LEONARDO RN, MAN, PhD_(ALL CAPS)__

Signature over printed name of Chief Nurse

Degree: Doctor of Public Administration__(not DPA)

Approved by:

GLENDA S. ARQUIZA RN, PhD_ (ALL CAPS)___

Signature over printed Name of Dean

NOTE: PAGMAY MALI SA FORMAT NG PRC FORMS NIO UULIT KAYO! So make sure na TAMA
LAHAT.

UNG DIAGNOSIS KAY SIR LORESCO NALANG. So PAGBGAY KO PRC FORMS HOPEFULLY ON
MONDAY YUN NALANG PAPALITAN NIO PLUS KUNG MAY ADDITIONAL CORRECTIONS PA.

LAHAT NG MAY CASES SA JOSE REYES SA 24 na deadline kay mam donafrata.

DEADLINE FOR SUBMISSION FOR SIGNING TO Dr. Arquiza last week of APRIL.

DEADLINE FOR SUBMISSION FOR REQUIREMENTS FOR JULY NLE: MAY 14

GODBLESS!
-NTM