OFFICE OF THE CITY HEALTH OFFICER CITY OF SAN FERNANDO, LA UNION CERTIFICATION This is to certify that ROSEMARIE NUEZ

P. of LORMA Colleges, Carlatan, City of San Fernando La Union, had incurred five (5) actual deliver, four (4) assisted deliver, three (3) immediate newborn cord cares, and one (1) minor case during her days of duty in this institution.

Actual Delivery
Name of Mother Age
21 years old 29 years old 20 years old 23 years old 34years old

NO

Case No.
Emergency Medical Service Emergency Medical Service

Diagnosis
Pregnancy uterine, Gravida 1 Parity 0

Date of Delivery
November 8,2010

Time of Delivery
11:14am

Gender of Baby
Male

Name of Hospital
City Health Office (San Fernando City, La Union) City Health Office (San Fernando City, La Union) City Health Office (San Fernando City, La Union) City Health Office (San Fernando City, La Union) City Health Office (San Fernando City, La Union)

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

Supervised by:
__________________ Mohammed Jennifer,RN, MANc ____________________ Marites Gallardo,RN,MAN(Thesis I) ___________________ Liberty Narvas, RN, MAN (Thesis I) ___________________ Liberty Narvas, RN, MAN (Thesis I) ___________________ Liberty Narvas, RN, MAN (Thesis I)

Mia C. Marzo

Pregnancy uterine, Gravida 2 Parity1

Veronica Sandaga

September 14, 2010

12:00pm

Female

Emergency Medical Service Emergency Medical Service Emergency Medical Service

Pregnancy uterine, Gravid 1 Parity 0 Pregnancy uterine, Gravid 1 Parity 0 Pregnancy uterine, Gravid 4 Parity 3

Michelle L. Uson

November 13,2010 December 9,2010 March 27 2011

9:14 am

Male

4 5

Venus Y. Fernandez Evelyn Talisic

9:35 pm

Male

10:30 am

Male

Assisted Delivery
NO Case No.
Emergency Medical Service

Diagnosis
Pregnancy uterine, Gravida 1 Parity 1

Name of Mother
Violeta Calica Flores

Age
26 years old

Date of Delivery
February 21,2009

Time of Delivery
12:59 am

Gender of Baby
Female

Name of Hospital
City Health Office (San Fernando City, La Union) City Health Office (San Fernando City, La Union) City Health Office (San Fernando City, La Union) City Health Office (San Fernando City, La Union)

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

Supervised by:
___________________ Charles Erwin Rivera,RN,MAN(Thesis I) _________________ Liberty Narvas, RN, MAN (Thesis I) ______________ Liberty Narvas, RN, MAN (Thesis I) ______________ Liberty Narvas, RN, MAN (Thesis I)

Emergency Medical Service

Pregnancy uterine, Gravida 2 Parity 1 Pregnancy uterine, Gravida 2 Parity 1 Pregnancy uterine, Gravida 1 Parity 1

Lorna Lago Dacumos

19years old 23 years old 20 years old

July 5, 2010

3:05am

Male

Emergency Medical Service Emergency Medical Service

Michelle Ladi Martines Bernadette Tipa Gacayan

November 8, 2010 August 8, 2010

5:13 am

Male

3:45 pm

Male

Immediate Newborn Cord Care

NO.

Case No.

Name of Baby
Baby Boy Flores Baby Boy Uson

Gender of Baby

Date of Delivery

Time of Delivery

Name of Mother
Kristine T. Flores Michelle L. Uson Estrella Caasi

Age of Mother

Name of Hospital

Supervised by:
___________________ Charles Erwin Rivera,RN,MAN(Thesis I) __________________ Liberty Narvas, RN, MAN (Thesis I) __________________ Liberty Narvas, RN, MAN (Thesis I)

1 2

Emergency Medical Service Emergency Medical Service Emergency Medical Service

Male

August 31, 2009 November 25,2010

9:10 am

18 years old

City Health Office (San Fernando City, La Union) City Health Office (San Fernando City, La Union) City Health Office (San Fernando City, La Union)

Male

5:05 pm

20 years old

Baby Boy Caasi

Male

February 08, 2011

4:30 pm

43 years old

Surgical Scrub

NO

Case No.

Diagnosis

Name of patient
Alexa Mae Depalac

Age

Date performed
November 08, 2010

Time performed
9:20am

Name of Hospital
City Health Office (San Fernando City, La Union)

Surgical procedure performed

Incision and Drainage

Supervised By:

Emergency Medical Service

Boil Frontal

32 years old

__________________ Mohammed Jennifer,RN, MANc

This certification is issued to ROSEMARIE P. NUEZ this ____ day of May 2011 all good intents and purpose it may serve.

____________________________________ Emily Laroya, BSN, RM, RN, MAN (33 units) Nurse III City Health Office City of San Fernando, La Union PNA No.: 18917 Valid Until: for lifetime Membership License NO.: 0164680 Valid Until: December 22, 2012 ANSAP No.: 02941 Valid Until: : December 2 011 Date Signed: _________________

_____________________ Eduardo S. Posadas, MD City Health Officer II City of San Fernando, La Union City Health Office License #: 57727 Date signed: _______________