SOUTHWAY COLLEGE OF TECHNOLOGY

San Francisco, Agusan del Sur

Name of Student: Kareen Ringbasan Espeso

Name and Address of School: Southway College of Technology, San Francisco Agusan del Sur
Accreditation Level (if any): None________________________ Year Granted: Not Applicable
Date School / Program was Recognized: October 19, 2006_____ Number: (GR) R13 – 501200 – 02_____ Year: 2006_
First Course (if any): Not Applicable_______________________ School Graduated From: Not applicable Year: Not Applicable_
Year of Admission in the Bachelor Science in Nursing Program: 2005_
Year Graduated (BSN Program): 2009_

I.MAJOR OPERATIONS
Supervised by:
No. Case Name of Patient Ag Diagnosis Date of Operation Type of Name of Name of
No. e Operati Performed Anesthe Surgeon Hospital Name of Signature
ons sia OR Scrub of OR
Nurse Scrub
Nurse

Low Segment
Pregnancy Uterine D.O
Transverse Spinal
delivered live birth baby January Delia G. Plaza
11-21- Caesarian Section Anesthe
1 Bordera, Lanie C. 30 girl Gravida 3 Parity 3 23, 2008 Ponce, Memori
43 III with Bilateral sia
(3003), Oligohydramnios M.D al
Tubal Ligation
Hospital
Pregnancy Uterine 27-28 Low Segment
2 9-15- Dela Cruz, Elinita 37 weeks age of Gestation April Transverse Spinal Luisa D.O
51 R. severe Pre-eclampsia not 30,2008 Caesarian Section I, Anesthe Catipon, Plaza
in labor Intra- uterine with Bilateral Tubal sia M.D Memori
fetal death, Abruptio Ligation (Modified al
placenta Gravida 3 parity Pomeroy Hospital
2 extracted a stillbirth Technigue)
baby boy 1Ib. and 8oz.

Pregnancy Uterine Low Segment D.O

3 12-23- Urcullo Madelyn U. 28 delivered live birth baby July 21, Transverse Spinal Delia G. Plaza
20 boy Gravida 1 Parity 1 2008 Caesarian Section I, Anesthe Ponce, Memori
(1001) with Peritoneal sia M.D al
washing with Plain Hospital
Normal Saline
Solution 3 Liters
Spinal Felipe G. D.O
4 05-89- Maarat,Gregorio Jr. 23 Gangrenous Appendicitis January Appendectomy Anesthe Lloren, Plaza
06 N. 09,2008 sia M.D Memori
al
Hospital
January Herniorrhaphy with Spinal Dra. D.O
5 13-10- Tecson, Jestoni O. 12 Right Scrotal Hernia with 26,2009 Orchioplexy Anesthe Castillo Plaza
78 undescended testes sia Memori
al
Hospital
Prepared by: Noted by: Concurred by:
Approved by:

KAREEN RINGBASAN ESPESO MA. IVY S. DAEL RN. CECILIA D. LABELLA, R.N JOSE
RONAN B. DAEL, R.N, M.N
Student, Southway College of Technology Clinical Coordinator Chief Nurse, D.O. Plaza Memorial Hospital
Dean, College of Nursing
Southway College of Technology (Base Hospital)
Southway College of Technology
 Supervised by: Date Signed: _________________ Date Signed: _____________________ Date Signed:
_________________
Degree: BSN w/ units of Masteral in Nursing Degree: Bachelor of Science in Nursing_ Degree: Bachelor of
Science in Nursing
CHERYL P. PLAZA, R.N a. PRC No.: 0245332___________ a. PRC No.: 0141858________________ a. PRC No.:
______________
Faculty, Southway College of Technology Valid Until: August 03, 2010_____ Valid Until: July 27, 2011___________ Valid Until:
____
Date Signed: ______________________ b. PNA No.: 066523 _____ b. PNA No.: 11950_________________ b. PNA No.:
066519 _____
Degree: Bachelor of Science in Nursing Valid Until: __________________ Valid Until: Lifetime Member________ Valid Until:
2009 _____
a. PRC No.: 0317022________________ c. ANSAP No.: _on process__________ c. ADPCN No.:
______________
Valid Until: August 11, 2010__________ Valid Until: ______________________ Valid Until:
_____
b. PNA No.: 019832 _____________
Valid Until: _______________________

SOUTHWAY COLLEGE OF TECHNOLOGY

San Francisco, Agusan del Sur

Name of Student: Kareen Ringbasan Espeso

Name and Address of School: Southway College of Technology, San Francisco Agusan del Sur
Accreditation Level (if any): None________________________ Year Granted: Not Applicable
Date School / Program was Recognized: October 19, 2006_____ Number: (GR) R13 – 501200 – 02_____ Year: 2006_
First Course (if any): Not Applicable_______________________ School Graduated From: Not applicable Year: Not Applicable_
Year of Admission in the Bachelor Science in Nursing Program: 2005_
Year Graduated (BSN Program): 2009_

II.MINOR OPERATIONS
Supervised by:
No. Case Name of Patient Ag Diagnosis Date of Operation Type of Name of Name of
No. e Operati Performed Anesthe Surgeon Hospital Name of Signature
ons sia OR Scrub of OR
Nurse Scrub
Nurse

Iris B.
1 11-26- Oso, Cherrylyn P. 14 Imperforate Hymen February Hymenectomy Spinal Delia G. D.O Evangelist
89 01, 2008 Anesthe Ponce, Plaza a, RN
sia M.D Memori
al
Hospital
D.O Ronnie A.
2 11-70- Apostol, Orbie P. 60 Sebaceous cyst Left April Excision Local Felipe G. Plaza Galanta,
69 thigh, lateral aspect 22,2008 Anesthe Lloren, Memori RN
sia M.D al
Hospital

Spinal D.O Iris B.

3 11-72- Solver, Analie M. 39 Newgrowth gingival April Excision/Biopsy Anesthe Felipe G. Plaza Evangelist
50 (upper) 25,2008 sia Lloren, Memori a, RN
M.D al
Hospital
Alain D.O Dalia
4 11-78- Sina. Ian C. 9 Supracondylar fracture May 02, Close reduction Regiona Pantaleon Plaza Damaolao,
31 left 2008 with long arm l Block , MD Memori RN
 circular cast al
Hospital
Incomplete abortion non May 06, Placental Curettage Local Dra. Ma. D.O Dalia
5 11-79- Malinao, Sally C. 27 septic, non induced 2009 Gravida 1 Para 1 Anesthe Theresa Plaza Damaolao,
69 Gravida 1 Para 0 (0010) (0010) sia Cacal, MD Memori RN
al
Hospital

Prepared by: Noted by: Concurred by:

Approved by:

KAREEN RINGBASAN ESPESO MA. IVY S. DAEL RN. CECILIA D. LABELLA, R.N JOSE
RONAN B. DAEL, R.N, M.N
Student, Southway College of Technology Clinical Coordinator Chief Nurse, D.O. Plaza Memorial Hospital
Dean, College of Nursing
Southway College of Technology (Base Hospital)
Southway College of Technology
Supervised by: Date Signed: _________________ Date Signed: _____________________ Date Signed:
_________________
Degree: BSN w/ units of Masteral in Nursing Degree: Bachelor of Science in Nursing_ Degree: Bachelor of
Science in Nursing
CHERYL P. PLAZA, R.N a. PRC No.: 0245332___________ a. PRC No.: 0141858________________ a. PRC No.:
______________
Faculty, Southway College of Technology Valid Until: August 03, 2010_____ Valid Until: July 27, 2011___________ Valid Until:
____
Date Signed: ______________________ b. PNA No.: 066523 _____ b. PNA No.: 11950_________________ b. PNA No.:
066519 _____
Degree: Bachelor of Science in Nursing Valid Until: __________________ Valid Until: Lifetime Member________ Valid Until:
2009 _____
a. PRC No.: 0317022________________ c. ANSAP No.: _on process__________ c. ADPCN No.:
______________
Valid Until: August 11, 2010__________ Valid Until: ______________________ Valid Until:
_____
b. PNA No.: 019832 _____________
Valid Until: _______________________

SOUTHWAY COLLEGE OF TECHNOLOGY

San Francisco, Agusan del Sur

Name of Student: Kareen Ringbasan Espeso

Name and Address of School: Southway College of Technology, San Francisco Agusan del Sur
Accreditation Level (if any): None________________________ Year Granted: Not Applicable
Date School / Program was Recognized: October 19, 2006_____ Number: (GR) R13 – 501200 – 02_____ Year: 2006_
First Course (if any): Not Applicable_______________________ School Graduated From: Not applicable Year: Not Applicable_
Year of Admission in the Bachelor Science in Nursing Program: 2005_
Year Graduated (BSN Program): 2009_

III.ACTUAL DELIVERIES
Supervised by:
No. Case Name of Patient Ag Diagnosis Date of Time of Gender Type of Delivery Name of
No. e Delivery Delivery of Baby Hospital Name of Signature
Qualified of
CI Qualified
CI
 Pregnancy Uterine Full
Term delivered live birth
1 11-19- Blanquito, Marivil 30 baby boy via Normal January 7:20 AM Baby boy Normal D.O
Ma. Ivy S.
31 D. Spontaneous Vaginal 24, 2008 Spontaneous Plaza
Dael, R.n,
Delivery Gravida 1 Parity Vaginal Delivery Memori
M.N
1 (1001) with episiotomy and al
repair Hospital
Pregnancy Uterine Full D.O
2 11-09- Say- og, Jinnelyn 26 Term delivered live birth January 12:15 NN Baby boy Normal Plaza
Ma. Ivy S.
57 M. baby boy via Normal 29, 2008 Spontaneous Memori
Dael, R.n,
Spontaneous Vaginal Vaginal Delivery al
M.N
Delivery Gravida 1 Parity with right mediu Hospital
1 (1001) lateral episiotomy
Pregnancy Uterine Full
Term delivered live birth Normal D.O
Ma. Ivy S.
3 11-79- Radaza, Lilibeth P. 37 baby girl via Normal May 05, 7:09 AM Baby boy Spontaneous Plaza
Dael, R.n,
73 Spontaneous Vaginal 2008 Vaginal Delivery Memori
M.N
Delivery Gravida 4 Parity with episiotomy and al
4 (4004) repair Hospital
Pregnancy Uterine Full Normal D.O
4 04-52- Andres, Sweet 36 Term delivered live birth July 23, 8:21 AM Baby girl Spontaneous Plaza
Ma. Ivy S.
74 Charity M. baby girl via Normal 2008 Vaginal Delivery Memori
Dael, R.n,
Spontaneous Vaginal with episiotomy and al
M.N
Delivery Gravida 3 Parity repair Hospital
3 (3003)
Pregnancy Uterine Full Normal D.O
5 13-08- Gonzalez, Ritchel 18 Term delivered live birth January 2:50 PM Baby girl Spontaneous Plaza
Ma. Ivy S.
09 Y. baby girl via Normal 09, 2009 Vaginal Delivery Memori
Dael, R.n,
Spontaneous Vaginal with episiotomy and al
M.N
Delivery Gravida 1 Parity repair Hospital
1 (1001)

Prepared by: Noted by: Concurred by:

Approved by:

KAREEN RINGBASAN ESPESO MA. IVY S. DAEL RN. CECILIA D. LABELLA, R.N JOSE
RONAN B. DAEL, R.N, M.N
Student, Southway College of Technology Clinical Coordinator Chief Nurse, D.O. Plaza Memorial Hospital
Dean, College of Nursing
Southway College of Technology (Base Hospital)
Southway College of Technology
Supervised by: Date Signed: _________________ Date Signed: _____________________ Date Signed:
_________________
Degree: BSN w/ units of Masteral in Nursing Degree: Bachelor of Science in Nursing_ Degree: Bachelor of
Science in Nursing
CHERYL P. PLAZA, R.N a. PRC No.: 0245332___________ a. PRC No.: 0141858________________ a. PRC No.:
______________
Faculty, Southway College of Technology Valid Until: August 03, 2010_____ Valid Until: July 27, 2011___________ Valid Until:
____
Date Signed: ______________________ b. PNA No.: 066523 _____ b. PNA No.: 11950_________________ b. PNA No.:
066519 _____
Degree: Bachelor of Science in Nursing Valid Until: __________________ Valid Until: Lifetime Member________ Valid Until:
2009 _____
a. PRC No.: 0317022________________ c. ANSAP No.: _on process__________ c. ADPCN No.:
______________
Valid Until: August 11, 2010__________ Valid Until: ______________________ Valid Until:
_____
b. PNA No.: 019832 _____________
Valid Until: _______________________
 SOUTHWAY COLLEGE OF TECHNOLOGY
San Francisco, Agusan del Sur

Name of Student: Kareen Ringbasan Espeso

Name and Address of School: Southway College of Technology, San Francisco Agusan del Sur
Accreditation Level (if any): None________________________ Year Granted: Not Applicable
Date School / Program was Recognized: October 19, 2006_____ Number: (GR) R13 – 501200 – 02_____ Year: 2006_
First Course (if any): Not Applicable_______________________ School Graduated From: Not applicable Year: Not Applicable_
Year of Admission in the Bachelor Science in Nursing Program: 2005_
Year Graduated (BSN Program): 2009_

IV.ASSISTED DELIVERIES
Supervised by:
No. Case Name of Patient Ag Diagnosis Date of Time of Gender Type of Delivery Name of
No. e Delivery Delivery of Baby Hospital Name of Signature
Qualified of
CI Qualified
CI
Pregnancy Uterine Full
Term delivered via Ma. Ivy S.
1 11-24- Barbon, Marilyn A. 20 Normal Spontaneous January 7:21 AM Baby boy Normal D.O Dael, R.n,
06 Vaginal Delivery to an 31, 2008 Spontaneous Plaza M.N
alive baby boy Gravida 1 Vaginal Delivery Memori
Parity 1 (1001) with episiotomy and al
repair Hospital
Pregnancy Uterine Full D.O Ma. Ivy S.
2 11-61- Tagsa, Erlina V. 23 Term delivered via April 24, 8:11 AM Baby girl Normal Plaza Dael, R.n,
73 Normal Spontaneous 2008 Spontaneous Memori M.N
Vaginal Delivery to an Vaginal Delivery al
alive baby girl Gravida 1 with episiotomy and Hospital
Parity 1 (1001) repair
Pregnancy Uterine Full
Term delivered via Normal D.O Ma. Ivy S.
3 07-18- Belano Evangelista 35 Normal Spontaneous April 24, 1:42 PM Baby girl Spontaneous Plaza Dael, R.n,
78 P. Vaginal Delivery to an 2008 Vaginal Delivery Memori M.N
alive baby girl Gravida 5 with episiotomy and al
Parity 5 (5005) repair Hospital
Pregnancy Uterine Full Normal D.O Ma. Ivy S.
4 13-06- Potenciano, Erlinda 32 Term delivered live birth January 11:13 AM Baby girl Spontaneous Plaza Dael, R.n,
43 E. baby girl via Normal 06, 2009 Vaginal Delivery Memori M.N
Spontaneous Vaginal with episiotomy and al
Delivery Gravida 1 Parity repair Hospital
1 (1001)
Pregnancy Uterine Full Normal D.O Ma. Ivy S.
5 13-07- Gonato, Ginalyn L. 17 Term delivered live birth January 3:05 PM Baby girl Spontaneous Plaza Dael, R.n,
49 baby girl via Normal 07, 2009 Vaginal Delivery Memori M.N
Spontaneous Vaginal with episiotomy and al
Delivery Gravida 1 Parity repair Hospital
1 (1001)

Prepared by: Noted by: Concurred by:

Approved by:
 KAREEN RINGBASAN ESPESO MA. IVY S. DAEL RN. CECILIA D. LABELLA, R.N JOSE
RONAN B. DAEL, R.N, M.N
Student, Southway College of Technology Clinical Coordinator Chief Nurse, D.O. Plaza Memorial Hospital
Dean, College of Nursing
Southway College of Technology (Base Hospital)
Southway College of Technology
Supervised by: Date Signed: _________________ Date Signed: _____________________ Date Signed:
_________________
Degree: BSN w/ units of Masteral in Nursing Degree: Bachelor of Science in Nursing_ Degree: Bachelor of
Science in Nursing
CHERYL P. PLAZA, R.N a. PRC No.: 0245332___________ a. PRC No.: 0141858________________ a. PRC No.:
______________
Faculty, Southway College of Technology Valid Until: August 03, 2010_____ Valid Until: July 27, 2011___________ Valid Until:
____
Date Signed: ______________________ b. PNA No.: 066523 _____ b. PNA No.: 11950_________________ b. PNA No.:
066519 _____
Degree: Bachelor of Science in Nursing Valid Until: __________________ Valid Until: Lifetime Member________ Valid Until:
2009 _____
a. PRC No.: 0317022________________ c. ANSAP No.: _on process__________ c. ADPCN No.:
______________
Valid Until: August 11, 2010__________ Valid Until: ______________________ Valid Until:
_____
b. PNA No.: 019832 _____________
Valid Until: _______________________

SOUTHWAY COLLEGE OF TECHNOLOGY

San Francisco, Agusan del Sur

Name of Student: Kareen Ringbasan Espeso

Name and Address of School: Southway College of Technology, San Francisco Agusan del Sur
Accreditation Level (if any): None________________________ Year Granted: Not Applicable
Date School / Program was Recognized: October 19, 2006_____ Number: (GR) R13 – 501200 – 02_____ Year: 2006_
First Course (if any): Not Applicable_______________________ School Graduated From: Not applicable Year: Not Applicable_
Year of Admission in the Bachelor Science in Nursing Program: 2005_
Year Graduated (BSN Program): 2009_

V.CORD DRESSING
Supervised by:
No. Case Date Name of Gende Name of Age of Time of Type of Delivery Name of
No. Performe Baby r of Mother Mothe Delivery Hospital Name of Signature
d Baby r Qualified of
CI Qualified
CI

1 11-26- January Baby girl Girl Jumawan, 23 12:54 PM Caesarean Section D.O Ma. Ivy S.
57 30, 2008 Jumawan Gemmar A. Plaza Dael, R.n,
Memori M.N
al
Hospital
D.O Ma. Ivy S.
2 11-73- April 23, Baby girl Girl Caybot, Arcelle 25 10:13 AM Caesarean Section Plaza Dael, R.n,
64 2008 Caybot P. Memori M.N
al
Hospital
Ma. Ivy S.
3 00-31- July 14, Baby boy Boy Normal Spontaneous Vaginal D.O Dael, R.n,
07 2008 Trimidal Trimidal, Vicky 39 7:49 AM Delivery Plaza M.N
O. Memori
 al
Hospital
D.O Ma. Ivy S.
4 05-76- July 16, Baby boy Boy Amolat, Gay A. 33 7:44 AM Normal Spontaneous Vaginal Plaza Dael, R.n,
06 2008 Amolat Delivery Memori M.N
al
Hospital
D.O Ma. Ivy S.
5 12-24- July 22, Baby girl Girl Rebajado 45 11:10 AM Normal Spontaneous Vaginal Plaza Dael, R.n,
82 2008 Rebajado Virginia P. Delivery Memori M.N
al
Hospital

Prepared by: Noted by: Concurred by:

Approved by:

KAREEN RINGBASAN ESPESO MA. IVY S. DAEL RN. CECILIA D. LABELLA, R.N JOSE
RONAN B. DAEL, R.N, M.N
Student, Southway College of Technology Clinical Coordinator Chief Nurse, D.O. Plaza Memorial Hospital
Dean, College of Nursing
Southway College of Technology (Base Hospital)
Southway College of Technology
Supervised by: Date Signed: _________________ Date Signed: _____________________ Date Signed:
_________________
Degree: BSN w/ units of Masteral in Nursing Degree: Bachelor of Science in Nursing_ Degree: Bachelor of
Science in Nursing
CHERYL P. PLAZA, R.N a. PRC No.: 0245332___________ a. PRC No.: 0141858________________ a. PRC No.:
______________
Faculty, Southway College of Technology Valid Until: August 03, 2010_____ Valid Until: July 27, 2011___________ Valid Until:
____
Date Signed: ______________________ b. PNA No.: 066523 _____ b. PNA No.: 11950_________________ b. PNA No.:
066519 _____
Degree: Bachelor of Science in Nursing Valid Until: __________________ Valid Until: Lifetime Member________ Valid Until:
2009 _____
a. PRC No.: 0317022________________ c. ANSAP No.: _on process__________ c. ADPCN No.:
______________
Valid Until: August 11, 2010__________ Valid Until: ______________________ Valid Until:
_____
b. PNA No.: 019832 _____________
Valid Until: _______________________