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Name & Address of School: Manila Doctors College, President Diosdado Macapagal Boulevard, Metropolitan Park, Pasay City
Accreditation Level (if any): PAASCU Level II Re-accredited Status Year Granted: January 31, 2009 to November 2011
Date School/Program was Recognized: July 6, 1981 Number: 098 Year: 1981
First Course (if any): Not Applicable School Graduated From: Not Applicable
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010
I. Major Operations
Date of Name of Operation Type of Name of Name of Name and Signature Supervised by Qualified Clinical
No Case No. Diagnosis
Operation Patient Performed Anesthesia Surgeon Hospital of O.R. Scrub Nurse Instructor
______________________ ____________________________________
1 March 10, Chronic Calculi Dr. Nicomedes Manila Doctors
1234 C.B.V. Cholecystectomy General Mark Vincent Macapagal, Celeste B. Vidal, RN, MD, MAN
2010 Cholecystitis Cruz Hospital RN PRC No.: 0296107 PNA No.: 049809
Valid Until: November 16, 2012 Valid Until: October 31, 2010
1 March 10, Debridement, Drainage Dr. Jose Ronaldo Manila Doctors ____________________________________
1234 C.B.V. Diabetic Foot, Left Spinal Celeste B. Vidal, RN, MD, MAN
2010 of Abscess Galang Hospital PRC No.: 0296107 PNA No.: 049809
Valid Until: November 16, 2012 Valid Until: October 31, 2010
5
Noted by: Concurred by: Approved by:
V. Cord Dressing
Date Gender of Supervised by Qualified
o Case No. Name of Baby Name of Mother Age Name of Hospital
Performed Baby Clinical Instructor
4
Noted by: Concurred by: Approved by: