UNIVERSITY OF PANGASINAN

Phinma Educational network

COLLEGE OF NURSING
Dagupan City
University Seal
CLINICAL ROTATION

NAME: _____________________________________
Date Started in BSN Program: ___________________
Date Graduated From BSN Program: ______________

Supervised by:
DEPARTMENT of
COURSE Name of
YEAR MONTH HOSPITAL AREA of
NO. CLINICAL
ASSIGNMENT
INSTRUCTOR

Health Care I June - October

Health Care
November - March
II
June
July
NCM 101
August
September
October
November
December
NCM 102
January
February
March

NCM 103

June
July
NCM 104
August
September
October
November
December
NCM 105 January
February
March
 Prepared by:

Student Signature University Seal

AFFILIATING HOSPITALS/AGENCIES
LEGEND:
TERTIARY
BFDGH – Blessed Family Doctors General Hospital, San Carlos, Pangasinan
EGH – Elguira General Hospital, San Carlos City, Pangasinan
MCD – Medical Centrum Dagupan, Dagupan City
PCFMI – Pangasinan Center for Family Medicine, Incorporated, Dagupan City
PDH – Pangasinan Doctors Hospital, San Carlos City, Pangasinan
PPH – Pangasinan Provincial Hospital
R1MC – Region 1 Medical Center, Dagupan City (BASE HOSPITAL)
TPH – Tarlac Provincial Hospital, Tarlac City

SECONDARY
BDH – Bayambang District Hospital, Bayambang, Pangasinan
CHI – Cuison Hospital Incorporated, Dagupan City
FGH – Francisco General Hospital, Urdaneta City
NSSNH – Nuestro Señor Sto. Niño Hospital, Bayambang, Pangasinan
OLPDH – Our Lady of Purification Doctors Hospital, Binmaley, Pangasinan
PMC – Pangasinan Medical Center, Dagupan City (BASE HOSPITAL)
UGH – Urduja General Hospital, Lingayen, Pangasinan
WPDH – Western Pangasinan District Hospital, Alaminos City
DMMH – Dr. Marcelo Chan Memorial Hospital

PRIMARY
CDVMH – Col. Domingo Valdez Memorial Hospital, Dasol, Pangasinan
CHO, DC – Community Health Office, Dagupan City
DLMLC – Dr. De Leon Maternity and Lying-in Clinic, Alaminos, Pangasinan
DMCH – Decena Medical Clinic and Hospital, Dagupan City
DMCVMH – Don Mariano C. Versoza Memorial Hospital, Lingayen, Pangasinan
LCH – Labrador Community Hospital, Labrador, Pangasinan
LSHH – Lingayen Sacred Heart Hospital, Lingayen, Pangasinan
JNGH --Jesus Nazarene General Hospital, Lingayen ,Pangasinan
ManCH – Manaoag Community Hospital, Manaoag, Pangasinan
MapCH – Mapandan Community Hospital, Mapandan, Pangasinan
MHP – Missionaries Home of Peace, Dagupan City
MMH – Malasiqui Municipal Hospital, Malasiqui, Pangasinan
RHU-RCLC – Rural Health Unit-Rosales Community and Lying-in Clinic, Rosales, Pangasinan
RHU – Rural Health Unit I-Bayambang, Pangasinan
– Rural Health Unit I-Binmaley, Pangasinan
– Rural Health Unit I-Calasiao, Pangasinan
– Rural Health Unit I-Labrador, Pangasinan
– Rural Health Unit I-Lingayen, Pangasinan
– Rural Health Unit I-Malasiqui, Pangasinan
– Rural Health Unit I-Manaoag, Pangasinan
– Rural Health Unit I-Mapandan, Pangasinan
– Rural Health Unit I-Rosales, Pangasinan
– Rural Health Unit I-San Fabian, Pangasinan
– Rural Health Unit II-Domalandan, Lingayen, Pangasinan
– Rural Health Unit II-Malasiqui, Pangasinan
SJBH – San Juan Bautista Hospital, Bautista, Pangasinan
SNH – Sto. Niño Hospital, Lingayen, Pangasinan

SPECIAL HOSPITALS
DJNRMH – Dr. Jose N. Rodriguez Memorial Hospital, Tala, Caloocan City
NCMH – National Center for Mental Health, Mandaluyong City
PDC – Philippine Orthopedic Center, Banawe St., Quezon City
SLH – San Lazaro Hospital, Sta. Cruz, Manila

Noted by: Approved by:

ZENAIDA M. BAUTISTA DR. MELANIA C. CENON

Clinical Coordinator Dean
Date Signed: Date Signed:
Degree: BSN-RN, MAN
Degree: BSN-RN, MAN, MAEd, PhD
a.)PRC No.: 0133422 Valid Until–: July 27, 2011
a.)PRC No.: 100236 Valid Until: July 27, 2010
b.)PNA No.: 013926 Valid Until: December 31, 2010
b.)PNA No.: 17978 Valid Until: Lifetime Member
c.)ADPCN No.: 0185 Valid Until: December 31, 2010