LEVEL II

Skill Laboratory Clinical Experience Skill Laboratory Clinical Experience

Procedure Return Demo CI’s Date
Demo Date CI’s Signature Procedure Return Demo CI’s Date CI’s
Date Signature Performed Demo Date
Date Signature Performed Signature
Admitting Patient
Post-Delivery Care
Discharging Patient
Cleaning the Perineal
Transferring Patient Area
Preparing and Assisting with Diagnostic and Therapeutic Procedures Checking the Vital
Signs
Cervical Biopsy Checking for
Endometrial Biopsy Lacerations
Checking for Perineal
Pelvic Ultrasound Bleeding
Labor Management Cleaning the Breast
Contraction Stress Test 3/3/21 3/5/21 CC Performing a Post-
Ballard’s Estimation of Partum Fundal 10/26/20 10/26/20 GF
Gestational Age and 1/6/21 1/6/21 ELM Massage
Maturity Rating Bimanual Compression
and Massage
Allen’s Test
Caring for the Newborn
Cerebellar Function
Test Stimulating the Baby to
8/15/20 8/15/20 CA
Cry
Care of Patient During Normal Labor Suctioning
Shaving of the Perineal Oropharyngeal 8/15/20
- CA
Area Secretions
Monitoring the Fetal Crede’s Prophylaxis 8/25/20 8/27/20 CA
Heart Tone
Vitamin K Injection 8/26/20 8/27/20 CA
External Vaginal
Douche Checking for Anal
Opening
Preparation and Care of Patient During Normal Delivery Dressing the Cord 8/27/20 8/28/20 CA
Draping Keeping the Baby
8/15/20 8/15/20 CA
Disinfecting the Warm
Perineal Area Newborn Screening 8/22/20 8/27/20 CA
Assisting with Delivery 10/23/20 - GF Evaluating Respiratory
Delivering the Placenta 10/23/20 - GF Distress Using
8/16/20
Silverman-Anderson - CA
Administration of Index
11/7/20 - GM
Oxytocin
Assisted Reproductive Techniques
Massaging the Uterus 10/23/20 - GF
Therapeutic
insemination
In Vito Fertilization
LEVEL II
COMMUNITY PROCEDURES
Skill Laboratory Clinical Experience
Procedure Return Demo CI’s Date
Demo Date CI’s Signature
Date Signature Performed
Home Visit 9/4/20 9/5/20 FL
Donning of Sterile Gloves
Urine collection 14/8/20 - CA
Preparing Client for
9/3/20 - FL
Pregnancy Test
Leopold’s Maneuver 9/3/20 9/4/20 FL
Estimating Gestational
10/12/20 - GM
Age: McDonald’s Rule
Promoting Comfort to the
Parturient
Partograph 10/15/20 10/16/20 GF
Essential Intrapartum&
Newborn Care (EINC)
Kangaroo Care 1/8/21 1/9/21 ELM
Assisting in Initial Breast
10/15/20 - GF
Feeding
Measures to Promote
10/15/20 - GF
Uterine Involution
Skill Laboratory Clinical Experience
Procedure Return Demo CI’s Date
Demo Date CI’s Signature
Date Signature Performed
Hot Sitz Bath
Roll-Over Test Procedure 11/7/20 - GM
Magnesium Sulfate
Utilizing Z-Technique
Managing Cord Prolapse
Sputum Exam 8/27/20 - CA
Cord Care 8/29/20 8/30/20 CA
Herbal Preparation
Bag Technique 9/4/20 9/5/20 FL
Tourniquet Test 8/28/20 8/28/20 CA
Glucometry
 LEVEL II- FIRST SEMESTER
SY: 2020-2021
Month
June Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Legend
CI Signature
July Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature
August Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature CA CA CA CA CA CA CA CA CA
September Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature FL FL FL FL FL FL FL FL FL JR JR JR
October Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature JR JR JR JR JR JR GF GF GF GF GF GF GF GF GF
November Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Legend
CI Signature GM GM GM GM GM GM
December Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature

Legends: CA CHRISTINA ORAA

FL FLORIBEL SAN LUIS
JR JANA LYN RIVERA
GF GLENROSE FERNANDEZ
GM GERTRUDES MAICO

MCN
 LEVEL II- SECOND SEMESTER
SY: 2020 - 2021
Month
December Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Legend
CI Signature ELM ELM ELM ELM ELM ELM
January Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend MCN MCN MCN MCN MCN MCN MCN MCN MCN
CI Signature ELM ELM ELM SP SP SP SP SP SP SP SP SP
February Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature MG MG MG MG MG MG MG MG MG MA MA MA
March Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Legend
CI Signature MA MA MA MA MA MA AN AN AN AN AN AN
April Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature
May Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Legend
CI Signature
June Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Legend
CI Signature

Legends: ELM Ms. Eleanor Manuel

SP Ms. Sofia Pisan
MG Ms. Modesta Gonzaga
MA Ms. Ma. Fe Aboy
AN Ms. Annalie Mitra

n
 Ateneo de Zamboanga University
COLLEGE OF NURSING
LEVEL II
STUDENT CLEARANCE
FIRST SEMESTER (NCM107j) – (Care of the Mother, Child, Adolescent, Well Clients)

Name: _POLIQUIT, ARANTXA JOY O.___________________ School Year: 2020-2021______________

Year and Section:__________2E_________________

RLE Instructors
Weeks SKILLS LAB Weeks SKILLS LAB Weeks RLE Weeks RLE
1 DR. CRISTINE ORAA 9 MS. JANA LYN RIVERA 1 9
2 DR. CRISTINE ORAA 10 MS. GLENROSE FERNANDO 2 10
3 DR. CRISTINE ORAA 11 MS. GLENROSE FERNANDO 3 11
4 MS. FLORIBEL SAN LUIS 12 MS. GLENROSE FERNANDO 4 12
5 MS. FLORIBEL SAN LUIS 13 MS. GERTRUDES MAICO 5 13
6 MS. FLORIBEL SAN LUIS 14 MS. GERTRUDES MAICO 6 14
7 MS. JANA LYN RIVERA 15 7 15
8 MS. JANA LYN RIVERA 8

AL – IBRAHIM MUNTASIL
_________________________________ GERTRUDES G. MAICO RN, MN
_________________________________
CLASS/ BATCH TREASURER BATCH ADVISER/s

EVA R. RELAO RN, MN

_________________________________ ARACELI S. PISON RN, MSPH
_________________________________
RLE COORDINATOR LEVEL II CHAIRPERSON

MARIA LORNA B. PABER, RN MAN

DEAN
 Ateneo de Zamboanga University
COLLEGE OF NURSING
LEVEL II
STUDENT CLEARANCE
SECOND SEMESTER (NCM109j) - Care of the Mother, Child at Risk

Name: _ POLIQUIT, ARANTXA JOY O. ____________________ School Year: 2020-2021______________

Year and Section:__________ 2E_________________

Weeks Skills lab
1 MS. ELEANOR MANUEL
2 MS. ELEANOR MANUEL
3 MS. ELEANOR MANUEL
4 MS. SOFIA PI-SAN
5 MS. SOFIA PI-SAN
6 MS. SOFIA PI-SAN
7 MS. MODESTA GONZAGA
8 MS. MODESTA GONZAGA
RLE Instructors
Weeks Skills lab Weeks RLE Weeks RLE
9 MS. MODESTA GONZAGA 1 9
10 MS. MA. FE ABOY 2 10
11 MS. MA. FE ABOY 3 11
12 MS. MA. FE ABOY 4 12
13 MS. ANNNALIE MITRA 5 13
14 MS. ANNNALIE MITRA 6 14
15 7 15
8

AL – IBRAHIM MUNTASIL
_________________________________ GERTRUDES G. MAICO RN, MN
_________________________________
CLASS/ BATCH TREASURER BATCH ADVISER/s

EVA R. RELAO RN, MN

_________________________________ ARACELI S. PISON RN, MSPH
_________________________________
RLE COORDINATOR LEVEL II CHAIRPERSON

MARIA LORNA B. PABER, RN MAN

DEAN