The document contains records of peripheral IV infusions, intravenous drug administrations, and blood transfusions provided to various patients. For each category, patient details are provided including name, age, date and time of procedure, site of cannulation, type of cannula, medications or fluids administered, dose, rate, diagnosis, and signatures of the certified trainer overseeing the procedures. At the end, there is documentation that RN Rilbonn Glare Reyes completed a 3-day basic infusion therapy training program at San Pablo Colleges Medical Center from January 24-26, 2023.

1. I: Initiating / Maintaining Peripheral IV Infusions
Patient
No:
Name of Patient Age Date Time Kinds of
fusions
Site Type of
Cannula
Dose Rate
Signature over Printed Name
of Certified Trainer/Preceptor License No:
1. Obrador, Keith 10 y/o 09-28-23 10:45 PM PNSS L Cephalic Vein G-22 500 cc x kvo 10 gtts/min Grace Marithel Montierro AN: 07-5963
2. Gutierrez, Xiara 5 y/o 09-25-23 10:00 AM D5LR R Metacarpal Vein G-26 1L x 40cc/hr 40ugtts/min Grace Marithel Montierro AN: 07-5963
3. Alcazar, Chloe 10 y/o 09-22-23 12:00 PM D5NM R Metacarpal Vein G-24 1000 mL x 12 hrs 83ugtts/min Grace Marithel Montierro AN: 07-5963
II. Administering Intravenous Drugs
Patient
No:
Name of Patient Age Date Time Drugs Incorporated Dose Diagnosis
Signature over Printed Name
of Certified Trainer/Preceptor License No:
1. Pamilar, Rienz Dylan 2 mos. old 09-28-23 4:00 AM Amikacin 250mg/2mL 67.5mg IV OD PNEUMONIA Grace Marithel Montierro AN: 07-5963
2. Obrador, Keith 10 y/o 09-28-23 6:00 AM Omeprazole 40mg vial 20 mg IV OD DFS Grace Marithel Montierro AN: 07-5963
3. Velasquez, Arkien 2 mos. 09-29-23 8:00 AM Hydrocortisone 100mg vial 26 mg IV q6 PCAP Grace Marithel Montierro AN: 07-5963
III. Administering & Maintaining Blood and Blood Components(2 NURSES IN ONE BLOOD TRANSFUSION ADMINISTRATION
Patient
No:
Name of Patient Age Date Time Volume/Blood Type Components/Rate IV Insertion Type of
Cannula
Diagnosis
Signature over Printed Name
of Certified Trainer/Preceptor License No:
1. Obrador, Keith 10 y/o 09-28-23 11:45AM Type B Rh(+) 50cc Platelet con x
21gtts
R Metacarpal Vein G-22 DFS Angelyn Marcelo AN: 07-7129
Submitted by: Rilbonn Glare A. Reyes Date Submitted: February 22, 2023 Received by: Approved by: Rowena P. Bati, R.N., M.A.N.
3+3+1 ACCOMPLISHED REQUIREMENT of
3 – DAYS BASIC INFUSION THERAPY TRAINING PROGRAM for NURSES
Name of Registered Nurse: Rilbonn Glare Almocera Reyes PRC Number: 06-71973
Name of Hospital Offering IV Training: San Pablo Colleges Medical Center Provider No: 155
Date of I V Training Program Attended: January 24-26, 2023 Venue: 4th
Floor Central Bldg AVR SPCMC
Director, Nursing Service
(Signature over printed Name)