WORK EXPERIENCE SHEET
Attachment to CS 1.
Instructions: Form No. 212only the work experiences relevant to the position being applied to.
Include
2. The duration should include start and finish dates, if known, month in abbreviated form,
if known, and year in full. For the current position, use the word Present, e.g., 1998-
Present. Work experience should be listed from most recent first.
Duration: January 20, 2022 – present
Position: Nurse I – Contract of Service
Name of Office/Unit: Nurse Station 3
Immediate Supervisor: Mary Joy C. Leoncito, RN
Name of Agency/Organization and Location: IPHO- Cotabato Provincial Hospital, Amas,
Kidapawan City
Summary of Actual Duties
o Provide direct care to patients, including administering medications, monitoring vital
signs, and assisting with daily activities.
o Conduct initial and ongoing assessments of patients’ health conditions.
o Develop and implement individualized care plans in collaboration with the healthcare
team.
o Maintain accurate and timely records of patient care, treatments, and responses.
o Communicate effectively with patients, families, and other healthcare professionals.
o Educate patients and families about health conditions, treatments, and post-
discharge care.
o Support patients emotionally and advocate for their needs and preferences.
o Follow infection control protocols to ensure a safe environment.
o Work with interdisciplinary teams to coordinate care and improve patient outcomes.
o Respond to medical emergencies and provide appropriate interventions.
Duration: April 1, 2018 – January 7, 2022
Position: Operating and Delivery Room Head Nurse
Name of Office/Unit: Operating and Delivery Room
Immediate Supervisor: Vanessa Brace-Jaylon, RN, MN
Name of Agency/Organization and Location: Matalam Midway Hospital, Inc., Matalam, North
Cotabato
List of Accomplishments and Contributions (if any)
Formulation and Revisions of the Policies and Procedures for the Unit
Summary of Actual Duties
o Oversee nursing staff, ensuring high care standards.
o Schedule shifts and assign responsibilities.
o Ensure comprehensive care before, during, and after procedures.
o Work with surgeons, anesthesiologists, and healthcare teams.
o Implement nursing protocols and best practices.
o Monitor safety and infection control compliance.
o Provide ongoing staff training on techniques and technologies.
o Ensure readiness for emergencies during surgeries and deliveries.
o Serve as a contact for patients and families, offering support.
o Manage supplies and equipment availability and maintenance.
o Oversee accurate documentation of patient care and procedures.
Duration: April 1, 2018 – January 7, 2022
Position: Infection Prevention and Control Committee – Chairman
Name of Office/Unit: Infection Prevention and Control Committee
Immediate Supervisor: Dr. Franklin Singanon, MHA
Name of Agency/Organization and Location: Matalam
(Signature overMidway Hospital,
Printed Name Inc., Matalam, North
of Employee/Applicant)
Cotabato Date: ______________
