Professional Regulation Commission

APPLICATION FOR ACCREDITATION OF CPD PROGRAM

CPD COUNCIL OF/FOR NURSING

Part I. General Information

Name of Provider: Rizal Medical Center – Nursing Education, Training and Research
Accreditation No.: NRS-2023-291 Expiration Date: July 24, 2026
Contact Person: Resty P. Anibigno Designation: Nurse III
Contact No.: E-mail add.: Date of Application:
09175750146 netr@rmc.doh.gov.ph March 8, 2024
Proposed Program: Nursing Lecture Series: Middle Manager’s Perspective in Nursing Administration

Conference Seminar Online Learning

Convention Workshop Educational/Study Tour
Forum Training Program Others: _____________
Title of the Program: Nursing Lecture Series: Middle Manager’s Perspective in Nursing Administration

Date to be offered: Duration: Time:

April 29 and 30, 2024 2 Days (16 Hours) 8:00 AM -5:00 PM
Venue and Address: Rizal Medical Center No. of times program to be conducted:
Pasig Boulevard, Pasig City 1

Course Description: Nursing service constitutes the formidable backbone of the healthcare system and
Leadership and Management are healthcare fields that require high level of knowledge and expertise. The
present day concepts in nursing service administration is to demonstrate administrative functions that will
provide therapeutic and satisfying situations for the patients and the personnel. This 16-hour training and
workshop is designed to prepare entry-level nurse managers in the performance of their duties.
General Objectives:
Apply the concepts of Nursing Leadership and Management and incorporate professional competencies and
create upholding of these concepts in the leadership role of nurses.
Specific Objectives:
At the end of this training and workshop, participants will be able to
1. Analyze concepts and principles of management planning
2. Describe the components of management planning
3. Differentiate organizational planning
4. Describe different planning tools and techniques
5. Utilize appropriate tools during management planning of their area of practice
6. Analyze Concepts of organization as applied in Management
7. Differentiate organizational design and organizational structure
8. Utilize principles of organizational in the workplace
9. Understand the principles of organizational culture
10. Apply the principles and types of staffing
11. Analyze principles of leading/directing as applied in management
12. Apply concepts, elements, and steps of delegation of authority in current practice
13. Apply concepts, strategies, approaches, and considerations of decision making in day-to-day activities
14. Recognize the principles and objectives of audit as a tool for quality control
15. Apply the methods and steps of nursing audit
16. Apply concepts and compositions/ perspectives of Root Cause Analysis as a controlling tool in
strategic planning and management
17. Create correction and corrective action in managing non-conformities following the important concepts,
elements and systematic process
Number of Target Participants: 20 Registration fee to be collected: N/A

Part II. Acknowledgment

CPDD-02
Rev. 04
June 29, 2020
Page 1 of 3
 I hereby certify that the above information written by me are true and correct to the best of my knowledge and
belief. I further authorize PRC and other agencies to investigate the authenticity of all the documents presented.

I am agreeing to the PRC Privacy Notice and giving my consent to the collection and processing of my personal
data in accordance thereto.

RESTY P. ANIBIGNO, MSN, RN

(Signature Over Printed Name)
Nurse III
Position
March 8, 2024
Date
Part III. Assessment
Regulation Division: Cash Division:
Assessed by : ___________________ Amount : ___________ O.R. No.: ____________
Date : ___________________ Date : ____________________
Remarks : ___________________ Issued by : ____________________
Part IV. Action taken by the CPD Council

Approved for _____ credit units Accreditation No. _______________

Deferred pending compliance ____________________________________
_ ___________________________________________________________
Disapproved due to ____________________________________________
____________________________________________________________

_____________________________
Chairperson

____________________________ _____________________________
Member Member
Date:____________________

PROCEDURE FOR ACCREDITATION OF CPD PROGRAM

Step 1. Secure application form at Regulations Division of any of the PRC Regional Offices or download at
PRC website (www.prc.gov.ph).
Step 2. Fill-out Application Form and attach supporting documents listed hereunder. Provide one (1)
set for receiving copy.
Step 3. Proceed to Regulations Division of any of the PRC Regional Offices for checking and assessment.
Step 4. If the assessment is favorable, pay prescribed fee of One Thousand Pesos (₱ 1,000.00) per
program offering. Government agencies and instrumentalities offering CPD Programs free of
charge, do not have to pay a fee. If not favorable, go back to Step 3.
Step 5. Submit Application Form with attached supporting documents and photocopy of official receipt to
Regulations Division of any of the PRC Regional Offices, at least fifteen (15) working days prior to
offering.
Step 6. Follow-up the application ten (10) working days after submission at CPD Division (Central Office),
telephone numbers (+632) 8810-84-15 (PRC-PICC), or email at cpdd.applications@gmail.com
CHECKLIST OF REQUIREMENTS
Supporting Documents
[ ] Instructional Design as prescribed by the relevant Board.
[ ] Program of Activities showing time/duration of topics/workshop and resource persons with position
and office, and evaluation period.
[ ] Evaluation method or tool that measures the learning gained by the participants specific and
appropriate to course objectives set
[ ] Resume of resource persons relevant to CPD program applied for.
[ ] Photo copy of valid Professional Identification Card of resource persons if registered professional.
Otherwise, submit photocopy of government-issued or company Identification Card.
[ ] Valid Special Temporary Permit if the resource person is a foreigner and if engagement is more than
three (3) days or there is physical contact with patients in the case of medical and allied professions.
[ ] Breakdown of expenses for the conduct of the CPD program.
[ ] For Online Learning, Declaration of Minimum Technical Requirements (e.g. Operating System,
Processor, Memory, Browser, Internet Connection, etc.)
Additional Requirements
[ ] Short brown envelope for the Certificate of Accreditation
[ ] One (1) set of metered documentary stamps worth Twenty-Five Pesos (₱ 25.00) each to be affixed to
CPDD-02
Rev. 04
June 29, 2020
Page 2 of 3
 the Certificate of Accreditation. (Available at PRC Customer Service and PRC Regional Offices)
[ ] Soft copy of the Application including supporting attachments in PDF format saved in flash drive.
Note:
1. Application for accreditation should be filed 15 working days before the offering of the program/training.
2. Representative/s filing application/s for accreditation and claiming the Certificate of Accreditation on behalf
of the applicant must present a letter of authorization and valid identification cards of both the authorized
signatory and the representative. In the case of national organizations with chapters/councils,
endorsement from the national board.
3. The period for processing the application is 10 working days, subject to the stipulations in these guidelines.
4. If additional requirement/s is/are needed, a period of another 10 working days is given to submit the same.
Failure to comply within the period shall be construed as abandonment of application and the prescribed
fee shall be forfeited in favor of the government.
5. The CPD Council shall have the right to specify additional requirements if deemed necessary and
appropriate.

CPDD-02
Rev. 04
June 29, 2020
Page 3 of 3
 425 Pasig Blvd. Pasig, Philippines 1600 info@rmc.doh.gov.ph (+632) 8865-8400

Certificate
Presented to

BRYLLE S. ZAMORA, MAN, RN, CNM

as

Resource Speaker

on the
Nursing Lecture Series:
Middle Manager’s Perspective in Nursing Administration

Rizal Medical Center

Venue

April 29 and 30, 2024

Date Conducted

NRS-2023-291
Accreditation Number

Approved Credit Units

SAMUEL O. RAYMUNDO, MAN, RN CPDD-14

Chief Nursing Officer Rev. 00
June 29, 2020
425 Pasig Blvd. Pasig, Philippines 1600 info@rmc.doh.gov.ph (+632) 8865-8400

NURSING DIVISION
Nursing Education, Training and Research

PROGRAM OF ACTIVITIES

Learning and Development Activity Title: Nursing Lecture Series: Middle Manager’s Perspective in Nursing Administration

Program Description: Nursing service constitutes the formidable backbone of the healthcare system and Leadership and Management are
healthcare fields that require high level of knowledge and expertise. The present day concepts in nursing service
administration is to demonstrate administrative functions that will provide therapeutic and satisfying situations for the
patients and the personnel. This 16-hour training and workshop is designed to prepare entry-level nurse managers in the
performance of their duties.

General Objectives: Apply the concepts of Nursing Leadership and Management and incorporate professional competencies and create
upholding of these concepts in the leadership role of nurses.

Target Competency (Value): Core Organizational Leadership Technical

Target Competency (Value Names): Leadership: Building collaborative and inclusive working relationship; leading Change; Managing Performance and
Coaching for Results, Thinking Strategically and Creatively
Organizational: Organizational Awareness and Commitment
Core Competencies: Exemplifying integrity; Professionalism; Service Excellence
Technical: Achieving High Standards; Audit Planning; Managing Conflict; Building a Successful Team; Managing Work:
Monitoring and Evaluating Skills; Conceptual Thinking; Continuous Development; Data Management; Data Recording and
Reporting: Decision Quality; People Management; Planning, Organizing and Delivering; Effective Presentation Skills;
Records Management; Risk Management; Influencing and Negotiating; and Workforce Planning

Target Number of Learners: 20

Date to be Offered: April 29 and 30, 2024
425 Pasig Blvd. Pasig, Philippines 1600 info@rmc.doh.gov.ph (+632) 8865-8400

Resource Person/
Time Allotment Evaluation Method/
Time Objectives Topics Teaching Methods Learning Service
For Each Topic Tools
Provider
Day 1
• Registration • N/A • N/A
• 8:00 AM –
• N/A • Opening Program 30 Mins • NETR Staff
8:30 AM
• Pre-Test
• Analyze concepts and • PLANNING • Classroom • Post Test
principles of management 1. Organization Vision, Discussion using
planning Mission, Quality power point
• 8:30 AM – • Brylle S. Zamora,
• Describe the components Objectives 90 Mins Presentation
10:00 AM MAN, RN, CNM
of management planning 2. Types of • Cooperative Learning
• Differentiate organizational Organizational
planning Planning
• Describe different 3. Planning tools and • Classroom • Workshop
planning tools and techniques (SWOT Discussion using • Post Test
techniques Analysis and Affinity power point
• 10:00 AM – Diagram) • Arlene C. Parcasio,
• Utilize appropriate tools 60 Mins Presentation
11:00 AM MAN, RN
during management • Cooperative Learning
planning of their area of
practice
• 11:00 AM – • Workshop • Brainstorming and • Workshop on
• N/A 60 Mins • NETR Staff
12:00 PM case studies SWOT Analysis
• 12:00 PM –
• N/A • Lunch
1:00 PM
• 1:00 PM – • Analyze Concepts of • ORGANIZING • Classroom
3:00 PM organization as applied in 1. Organizational Discussion using
Management Design and power point
• Differentiate Structure, Job Presentation
• Workshop • Resty P. Anibigno,
organizational design and Description and Job 120 Mins • Cooperative Learning
Enrichment • Post Test MSN, RN
organizational structure
• Utilize principles of 2. Organizational
organizational in the Culture
workplace 3. Types and Principles
425 Pasig Blvd. Pasig, Philippines 1600 info@rmc.doh.gov.ph (+632) 8865-8400

• Understand the principles of Staffing

of organizational culture
• Apply the principles and
types of staffing
• 3:00 PM – • N/A • Workshop on
5:00 PM computing for
• Brainstorming and
• Workshop 120 Mins staff and • NETR Staff
case studies
Scheduling
Pattern
Day 2
• 8:00 AM – • Analyze principles of • Classroom
9:00 AM leading/directing as Discussion using
applied in management power point
• Apply concepts, • LEADING/DIRECTING Presentation
elements, and steps of 1. Principles of • Cooperative Learning
delegation of authority in Management and • Joannie Madel A.
60 Mins • Post Test
current practice Leadership Jaminit, MAN, RN
• Apply concepts, 2. Types of Leadership
strategies, approaches, 3. Delegation of Authority
and considerations of
decision making in day-
to-day activities
• 9:00 AM – • Recognize the principles • Classroom
12:00 PM, and objectives of audit as Discussion using
• 1:00 PM – a tool for quality control power point
• CONTROLLING
2:00 PM • Apply the methods and Presentation
1. Nursing Audit
steps of nursing audit • Cooperative Learning
2. Performance
• Apply concepts and
Evaluation
compositions/ • Workshop • Carmela Omaña,
3. Principles of 240 Mins
perspectives of Root • Post Test RN, CNM
Analyzing Deviation/
Cause Analysis as a
Non-Conformance
controlling tool in
(RCA, Corrective
strategic planning and
Actions)
management
• Create correction and
corrective action in
425 Pasig Blvd. Pasig, Philippines 1600 info@rmc.doh.gov.ph (+632) 8865-8400

managing non-
conformities following the
important concepts,
elements and systematic
process
• 2:00 PM – • N/A • Workshop on
4:00 PM • Brainstorming and RCA and
• Workshop 120 Mins • NETR Staff
case studies Corrective
Actions
• 4:00 PM – • N/A
• Post Test 15 Mins • • • NETR Staff
4:15 PM
• 4:15 PM – • N/A
• Closing Ceremony 45 Mins • • • NETR Staff
5:00 OM

Prepared By: Reviewed By:

RESTY P. ANIBIGNO, MSN, RN ARLENE C. PARCASIO, MAN, RN

Clinical Nurse Educator Supervisor, NETR

Approved By:

SAMUEL O. RAYMUNDO, MAN, RN

Chief Nursing Officer
 Professional Regulation Commission

INSTRUCTIONAL DESIGN

CPD COUNCIL OF/FOR NURSING

PROGRAM TITLE: Nursing Lecture Series: Middle Manager’s Perspective in Nursing Administration

PROGRAM DESCRIPTION: Nursing service constitutes the formidable backbone of the healthcare system and Leadership and Management are healthcare fields that require
high level of knowledge and expertise. The present day concepts in nursing service administration is to demonstrate administrative functions that will provide therapeutic and
satisfying situations for the patients and the personnel. This 16-hour training and workshop is designed to prepare entry-level nurse managers in the performance of their duties.

PROGRAM OBJECTIVES/LEARNING OUTCOMES:

Evaluation Method or
Specific Objectives of the Learning Outcomes per Topics To Be Discussed / Time Allotment For Teaching Methods and Aids Tools To Be Used to
Program Topic Resource Person1 Each Topic Needed For Each Topic Measure the Program
Objectives2
• Analyze concepts and • PLANNING 90 Mins • Classroom Discussion • Workshop
principles of 1. Organization using power point • Post Test
management planning Vision, Mission, Presentation
• Describe the Quality Objectives • Cooperative Learning
components of 2. Types of
management planning Organizational
• Differentiate Planning
organizational Resource Person:
planning Brylle S. Zamora, MAN, RN
• Describe different 3. Planning tools and 60 Mins • Classroom Discussion • Workshop
planning tools and techniques (SWOT using power point • Post Test
techniques Analysis and Presentation
• Utilize appropriate Affinity Diagram) • Cooperative Learning
tools during
management
planning of their area Resource Person:
of practice Resty P. Anibigno, MSN, RN
• • WORKSHOP 60 Mins • Brain Storming and Case • Workshop on SWOT
Study Analysis
• Analyze Concepts of • ORGANIZING 120 Mins • Classroom Discussion • Workshop CPDD-16
Rev. 00
June 29, 2020
Page 1 of 3
 organization as 1. Organizational using power point Post Test
applied in Design and Presentation
Management Structure, Job • Cooperative Learning
• Differentiate Description and
organizational design Job Enrichment
and organizational 2. Organizational
structure Culture
• Utilize principles of 3. Types and
organizational in the Principles of
workplace Staffing
• Understand the
principles of
organizational culture
• Apply the principles Resource Person:
and types of staffing Resty P. Anibigno, MSN, RN

• WORKSHOP 120 Mins Brain Storming and Case Workshop on Computing for
Study Staff and Schedule Pattern
• Analyze principles of • LEADING/DIRECTING 60 Mins • Classroom Discussion
leading/directing as 1. Principles of using power point
applied in Management and Presentation
management Leadership • Cooperative Learning
• Apply concepts, 2. Types of Leadership
elements, and steps 3. Delegation of
of delegation of Authority
authority in current Post Test
practice
• Apply concepts,
strategies,
approaches, and Resource Person:
considerations of Joannie Madel A. Jaminit,
decision making in MAN, RN
day-to-day activities
• Recognize the • CONTROLLING 240 Mins • Classroom Discussion • Workshop
principles and 1. Nursing Audit using power point • Post Test
objectives of audit as 2. Performance Presentation
a tool for quality Evaluation • Cooperative Learning
control 3. Principles of
• Apply the methods Analyzing
and steps of nursing Deviation/ Non-
audit Conformance CPDD-16
Rev. 00
June 29, 2020
Page 2 of 3
 • Apply concepts and (RCA, Corrective
compositions/ Actions)
perspectives of Root
Cause Analysis as a
controlling tool in
strategic planning
and management
• Create correction and
corrective action in
managing non-
conformities following
the important
concepts, elements Resource Person:
and systematic Carmela O. Omaña, RN,
process CNM
WORKSHOP 120 Mins Brain Storming and Case Workshop on RCA and
Study Corrective Actions
1 2
Attach Program of Activities and Attach Evaluation Tool.
Resume of Resource Person
REMARKS:
_____________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________

Prepared by: RESTY P. ANIBIGNO, MSN, RN Date : March 5, 2024

TO BE DETERMINED BY THE CPD COUNCIL:

I. PROGRAM LEVEL: BASIC ADVANCED HIGHLY ADVANCED II. APPROVED CREDIT UNITS: ______________________

CPDD-16
Rev. 00
June 29, 2020
Page 3 of 3
425 Pasig Blvd. Pasig, Philippines 1600 info@rmc.doh.gov.ph (+632) 8865-8400

Nursing Division
Nursing Education, Training and Research

Name ________________________________________ Score _______________

1. What is the process of assessing an organization’s goals and creating a realistic, detailed
plan of action for meeting those goals?
a. Planning
b. Organizing
c. Leading
d. Controlling
2. Which of the following is not a component of management planning?
a. Vision
b. Mission
c. Values
d. Objectives
3. Which of the following component of management planning defines the organization’s
purpose and primary objective?
a. Vision
b. Mission
c. Values
d. Objectives
4. Which of the following is a type of organizational planning which is the foundational
basis of the organization and will dictate decisions in the long-term?
a. Tactical Plan
b. Strategic Plan
c. Contingency Plan
d. Directive Plan
5. Which of the following is an extremely useful tool for understanding and decision-
making for all sorts of situations in business and organizations?
a. Root cause Analysis
b. Business Perspectives
c. Balanced Score Card
d. SWOT Analysis
6. Give at one Principle of staffing:
a. Principle of job definition
b. Principle of Managerial Appraisal
c. Principle of Management Framing
d. Principle of Open Competition
e. Principle of Continuing Development
f. Staffing is a permanent exercise
g. Staffing is a complex process
h. Staffing involves future managers
425 Pasig Blvd. Pasig, Philippines 1600 info@rmc.doh.gov.ph (+632) 8865-8400

Nursing Division
Nursing Education, Training and Research

7. It is a type of staffing that allows you to understand the duties and responsibilities of your
management staff so you can train internal candidates to be ready to step into a
promotion immediately should you experience management turnover.
a. Short Term Staffing
b. Long term Staffing
c. Succession Planning
d. Strategic Staffing
8. Which of the following directing activities is the ability to inspire and influence others to
contribute to the attainment of the objectives?
a. Leading
b. Supervising
c. Motivating
d. Benchmarking
9. What is the first step in effective delegation?
a. Delegate the task appropriately
b. Develop a plan for each task assigned
c. Identify the key task
d. Create responsibility and accountability
10. Which of the following is not a characteristic of control?
a. It is a managerial process
b. It exists in selected levels of the organization
c. It is closely linked with planning
d. It is goal oriented
 Professional Regulation Commission

RESUME OF RESOURCE PERSON

CPD COUNCIL OF/FOR NURSING RECENT 2X2

PICTURE (color
photo with white
background)
Principal Alternate Substitute

Part I. Personal Circumstances

Name: RESTY P. ANIBIGNO Nickname: RESTY

Residence Address: Contact Details

136 Apitong St. Comembo, Makati Landline No.:
Business Address: N/A Mobile No. 1: +639175750146
Mobile No. 2:
Email Add.: ranibigno@gmail.com
Nationality/Citizenship: Filipino
Note: The CPD Council shall be informed of any change/s on resource person/s at least 10 days
before the CPD program offering. Substitute resource person may submit this duly accomplished
form three (3) days from the completion of the CPD program.
Part II. Track Record
Specialization Sub-Specialization
Major Emergency Nursing Nursing Research
Competency Medical-Surgical Nursing
Areas Nursing Administration
Clinical Preceptorship Programs
Relevant Seminars/Training Programs Relevant Seminars/Training Programs
Conducted in the last five (5) years Attended in the last five (5) years
Date Title of the Program Date Title of the Program
Aug 3, 12, October Conference on DOH Capacity-
Medication Safety: Go Beyond
19, 30, Sept 18-20, Building Programs for DOH
Basics
1, 2023 2022 Training and Teaching Hospitals
Training Workshop on Principles of
Nov. 8, 15, Refining Leadership and August 22-
Health Research Ethics and Good
22, 29, 2022 Management Skills 25, 2022
Clinical Practice
Time for Change! Current
Critical Care Training and March 10,
March, 2023 Recommendations in Infusion
Workshop for Nurses 2023
Therapy
Nursing Preceptorship: Breaking
May 2, 2023 the Barriers in the Clinical
Learning
Leadership Skills: Enhancing
December
Management of Stress in Young
16, 2023
Nurse’s Minds
Major Achievements, Citations, Recognition and Awards
Date Title Awarding Body

Part III. Education and Employment

Educational Name of Inclusive
Address Degree Earned
Background School/University Dates
Central Philippine Jaro, Iloilo City, June Bachelor of
College University Philippines 2004 to Science in
Nursing CPDD-17
Rev. 00
June 29, 2020
Page 1 of 7
 October
2008

St. Paul University - City of Manila, June Master of

Post- Manila Philippines 2014 to Science in
Graduate May 2018 Nursing – Adult
Health
Position Agency/Company Inclusive Dates
Nurse III (Nursing Rizal Medical Center November 19,
Education, Training and 2018 to present
Research
Work Lecturer Part-Time Far-Eastern University Institute of January 1, 2022
Experience: Health Sciences and Nursing to present
Five (5) most Part-Time Instructor Pamantasan ng Lungsod ng Pasig August 30, 2022
recent to Present
Part-Time Clinical University of Makati November 12,
Instructor 2018 to April 17,
2020

Part IV. Other Relevant Information

Profession/s Nurse License 0557734 Issued 06/30/ Valid 09/12/2024
No. on: 2009 until:
AIPO Membership National/Chapter Position Date
Philippine Nurses Association Manila Regular Member

Other Major Affiliations

National/Chapter Position: Date
(Professional, Civic)

I hereby certify that the above information

written by me are true and correct to the best of my
knowledge and belief. I further authorize PRC and
other agencies to investigate the authenticity of all
the documents presented.

I am agreeing to the PRC Privacy Notice and

giving my consent to the collection and processing
of my personal data in accordance thereto.

RESTY P. ANIBIGNO
Signature Over Printed Name
March 6, 2024
Date

CPDD-17
Rev. 00
June 29, 2020
Page 2 of 7
PRC ID

CPDD-17
Rev. 00
June 29, 2020
Page 3 of 7
Seminars Conducted

CPDD-17
Rev. 00
June 29, 2020
Page 4 of 7
.

CPDD-17
Rev. 00
June 29, 2020
Page 5 of 7
Seminars Attended

CPDD-17
Rev. 00
June 29, 2020
Page 6 of 7
 CPDD-17
Rev. 00
June 29, 2020
Page 7 of 7
 Professional Regulation Commission

RESUME OF RESOURCE PERSON

CPD COUNCIL OF/FOR NURSING

Principal Alternate Substitute

)
Part I. Personal Circumstances
Name: JOANNIE MADEL ASONZA JAMINIT Nickname: MADEL

Residence Address: 24 F. ACACIA ST. Contact Details

PINAGBUHATAN PASIG CITY Landline No.: NONE
Mobile No. 1: 09159318039
Business Address: Rizal Medical Center, Pasig Blvd Mobile No. 2: NONE
Pasig Ciity Email Add.: madengasonza@gmail.com
Nationality/Citizenship: FILIPINO
Note: The CPD Council shall be informed of any change/s on resource person/s at least 10 days
before the CPD program offering. Substitute resource person may submit this duly accomplished
form three (3) days from the completion of the CPD program.
Part II. Track Record
Specialization Sub-Specialization
Major
Competency MATERNAL AND CHILD HEALTH OB-EMERGENCY NURSING / NEURO
Areas NURSING / NEURO NURSING EMEREGENCY

Relevant Seminars/Training Programs Relevant Seminars/Training Programs Attended in

Conducted in the last five (5) years the last five (5) years
Date Title of the Program Date Title of the Program
Joint Online Training Workshop on
August 3, 12, Medication Safety: Go August 22 to
Principles of health Research
19, 30, 2022 Beyond Basics 25, 2023
Ethics and Good Clinical Practice
June 27 to 30,
June 5, 2023 Critical Training for Nurses Quantitative Research Methods
2023
Basic Life Support
April 27, 2023
Cardiopulmonary Resuscitation
Seminar
Leadership and Management
April 6-12,
Training for Nurse Manager and
2022
Clinicians
June 10, 2022 How to Handle Agitated Patients
Major Achievements, Citations, Recognition and Awards
Date Title Awarding Body
NA NA NA

Part III. Education and Employment

Educational Name of Inclusive Degree
Address
Background School/University Dates Earned
Pamantasan ng Alcalde Jose, Kapasigan 2010-2014 Bachelor of
Lungsod ng Pasig Pasig City Science in
College Nursing

CPDD-17
Rev. 00
June 29, 2020
Page 1 of 5
 Pamantasan ng Intramuros, Manila 2016-2023 Master of Arts
Post-
Lungsod ng Maynila in Nursing
Graduate
Inclusive
Position Agency/Company
Dates
Work
Staff Nurse Taytay Doctors Multispecialty Hospital 2015-2017
Experience:
Nurse III Rizal Medical Center 2018- Present
Five (5) most
recent

Part IV. Other Relevant Information

Profession/s Nurse License 0842758 Issued August Valid July 25,
No. on: 12, 2014 until: 2026

AIPO Membership National/Chapter Position Date

Philippine Nurses Association Chapter Zone 4 and 5 HOD Officer/
Member

Other Major Affiliations

National/Chapter Position: Date
(Professional, Civic)
NA NA NA NA

I hereby certify that the above information

written by me are true and correct to the best of my
knowledge and belief. I further authorize PRC and
other agencies to investigate the authenticity of all
the documents presented.

I am agreeing to the PRC Privacy Notice and

giving my consent to the collection and processing
of my personal data in accordance thereto.

JOANNIE MADEL ASONZA-JAMINIT

Signature Over Printed Name

March 6, 2024
Date

CPDD-17
Rev. 00
June 29, 2020
Page 2 of 5
PRC ID

CPDD-17
Rev. 00
June 29, 2020
Page 3 of 5
SEMINARS CONDUCTED

CPDD-17
Rev. 00
June 29, 2020
Page 4 of 5
SEMINARS ATTENDED

CPDD-17
Rev. 00
June 29, 2020
Page 5 of 5
 Professional Regulation Commission

RESUME OF RESOURCE PERSON

CPD COUNCIL OF/FOR ________________________

Principal Alternate Substitute

Part I. Personal Circumstances

Name: CARMELA O. OMANA Nickname: MILAI

Residence Address: 158 M.H. DEL PILAR STREET Contact Details

PALATIW, PASIG CITY Landline No.:
Mobile No. 1: 09234569671
Business Address: PASIG BOULEVARD, PASIG CITY Mobile No. 2:
Email Add.: comana102421@gmail.com
Nationality/Citizenship: FILIPINO
Note: The CPD Council shall be informed of any change/s on resource person/s at least 10 days
before the CPD program offering. Substitute resource person may submit this duly accomplished
form three (3) days from the completion of the CPD program.
Part II. Track Record
Specialization Sub-Specialization
Major
Competency RESEARCH; LEADERSHIP AND MEDICAL-SURGICAL NURSING
Areas MANAGEMENT

Relevant Seminars/Training Programs Relevant Seminars/Training Programs Attended in

Conducted in the last five (5) years the last five (5) years
Date Title of the Program Date Title of the Program
11/8 HANDLING NONCONFORMITY AND
&15/2022 ORIENTATION OF NURSE II 12/28/23 CORRECTIVE ACTIONS FOR INTERNAL
and 11/22 NURSES: REFINING LEADERSHIP AUDITORS
& 29, AND MANAGEMENT SKILLS 10/14/22 to
LEADERSHIP 113
2022 8/12/23
POSITIVE REINFORCEMENT: A 6/11/23 THE BASIC OF EFFECTIVE LEADERSHIP
10/20/23 to
STRATEGY TO MOTIVATE INTERNAL QUALITY AUDIT TRAINING
6/7/22 10/21/22
WORKERS FOR AN EMPOWERED 10/28/21 to ROOT CAUSE ANALYSIS AND EFFECTIVE
WORKPLACE 10/29/21 CORRECTION ACTION
Major Achievements, Citations, Recognition and Awards
Date Title Awarding Body
2020 2020 EMPLOYEE OF THE NURSING DIVISION AWARD RIZAL MEDICAL CENTER

Part III. Education and Employment

Educational Name of Inclusive
Address Degree Earned
Background School/University Dates
PAMANTASAN NG 12-B ALCALDE JOSE, PASIG 2008 TO BACHELOR OF
College LUNGSOD NG 2012 SCIENCE IN
PASIG NURSING

UNIVERSITY OF 670 PADRE FAURA ST, 2016 TO 30 ACADEMIC UNITS

THE PHILIPPINES, ERMITA PRESENT
Post-Graduate
MANILA
CPDD-17
Rev. 00
June 29, 2020
Page PAGE 2 of
NUMPAGES 2
 Position Agency/Company Inclusive Dates
NURSE III RIZAL MEDICAL CENTER 6/08/2017 TO
Work
PRESENT
Experience:
Five (5) most
recent

Part IV. Other Relevant Information

Profession/s Registered Nurse License 0963897 Issued 9/27/2012 Valid 1/24/2027
No. on: until:
AIPO Membership National/Chapter Position Date

Other Major Affiliations

National/Chapter Position: Date
(Professional, Civic)
ANSAP NA Member

I hereby certify that the above information

written by me is true and correct to the best of my
knowledge and belief. I further authorize PRC and
other agencies to investigate the authenticity of all
the documents presented.

I am agreeing to the PRC Privacy Notice and

giving my consent to the collection and processing
of my personal data in accordance thereto.

CARMELA O. OMANA, RN, CNM

Signature Over Printed Name
03/05/2024
Date

CPDD-17
Rev. 00
June 29, 2020
Page PAGE 2 of
NUMPAGES 2
 CPDD-17
Rev. 00
June 29, 2020
Page PAGE 2 of
NUMPAGES 2
 CPDD-17
Rev. 00
June 29, 2020
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NUMPAGES 2
 CPDD-17
Rev. 00
June 29, 2020
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NUMPAGES 2
 CPDD-17
Rev. 00
June 29, 2020
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NUMPAGES 2
 CPDD-17
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 CPDD-17
Rev. 00
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 CPDD-17
Rev. 00
June 29, 2020
Page PAGE 2 of
NUMPAGES 2
 Professional Regulation Commission

RESUME OF RESOURCE PERSON

CPD COUNCIL OF/FOR ____NURSING_____________

Principal Alternate Substitute

RECENT 2X2
Part I. Personal Circumstances
PICTURE (color
Name: Arlene C. Parcasio Nickname: Arlene
photo with white
Residence Address: B2 L32 NCMH Comp., 9-De Contact Details background)
Febrero St., Brgy. Mauway, Mandaluyong City Landline No.: None
Mobile No. 1: 09228309495
Business Address: Pasig Blvd., Pasig City Mobile No. 2: None
Email Add.:
arlene.parcasio@rmc.doh.gov.ph
Nationality/Citizenship: Filipino
Note: The CPD Council shall be informed of any change/s on resource person/s at least 10 days
before the CPD program offering. Substitute resource person may submit this duly accomplished
form three (3) days from the completion of the CPD program.
Part II. Track Record
Specialization Sub-Specialization
Major
Competency
Pediatric Nursing
Areas
Relevant Seminars/Training Programs Relevant Seminars/Training Programs
Conducted in the last five (5) years Attended in the last five (5) years
Date Title of the Program Date Title of the Program
Mar.
Joint Online Training-Workshop on
21—
Principles of Health Research Ethics
24,
and Good Clinical Practice
2022
Oct. Angels Academy for Nurses: Stroke
27, Care Management and Thrombolysis
2022 Implementation Workshop
Dec.
Training for Health Promotion and Risk
5-8,
Communication
2023

Major Achievements, Citations, Recognition and Awards

Date Title Awarding Body

Part III. Education and Employment

Educational Name of Inclusive
Address Degree Earned
Background School/University Dates
Unciano College V. Mapa, Sta. Mesa, 1993 to Bachelor of
Manila 1997 Science in
College Nursing

CPDD-17
Rev. 00
June 29, 2020
Page 1 of 6
 St. Bernadette of Novaliches, Quezon City 2007 to Master of Arts in
Post- Lourdes College 2013 Nursing
Graduate

Position Agency/Company Inclusive Dates

Nurse III Rizal Medical Center 10/12/2015 to
Present
Work
Nurse II Rizal Medical Center 3/3/2014 to
Experience:
10/11/2015
Five (5) most
Nurse I Rizal Medical Center 2/4/2002 to
recent
2/3/2014

Part IV. Other Relevant Information

Profession/s Nurse License 032535 Issued Manila Valid 3/18/2027
No. 2 on: until:

AIPO Membership National/Chapter Position Date

Other Major Affiliations

National/Chapter Position: Date
(Professional, Civic)
Philippine Nurses Association Zone 4 Member 2026

I hereby certify that the above information

written by me are true and correct to the best of my
knowledge and belief. I further authorize PRC and
[
other agencies to investigate the authenticity of all
the documents presented.

I am agreeing to the PRC Privacy Notice and

giving my consent to the collection and processing
of my personal data in accordance thereto.

______ARLENE C. PARCASIO______
Signature Over Printed Name
___________3/6/2024______________
Date

CPDD-17
Rev. 00
June 29, 2020
Page 2 of 6
 CPDD-17
Rev. 00
June 29, 2020
Page 3 of 6
 CPDD-17
Rev. 00
June 29, 2020
Page 4 of 6
 CPDD-17
Rev. 00
June 29, 2020
Page 5 of 6
 CPDD-17
Rev. 00
June 29, 2020
Page 6 of 6
 Professional Regulation Commission

RESUME OF RESOURCE PERSON

CPD COUNCIL OF/FOR NURSING RECENT 2X2

PICTURE (color
photo with white
background)
Principal Alternate Substitute

Part I. Personal Circumstances

Name: Brylle S. Zamora Nickname: Brylle

Residence Address: Block 30 Lot 9 Eleazar St. Contact Details

Exodusville Brgy. San Vicente Angono, Rizal 1930 Landline No.: None
Mobile No. 1: 09178080391
Business Address: Rizal Medical Center Pasig Blcd. Mobile No. 2: None
Pasig City Email Add.: brylle.zam@gmail.com
Nationality/Citizenship: Filipino
Note: The CPD Council shall be informed of any change/s on resource person/s at least 10 days
before the CPD program offering. Substitute resource person may submit this duly accomplished
form three (3) days from the completion of the CPD program.
Part II. Track Record
Specialization Sub-Specialization
Major
Maternal and Child Nursing
Competency
Medical/ Surgical Nursing
Areas
Nursing Ophthalmology
Relevant Seminars/Training Programs Relevant Seminars/Training Programs
Conducted in the last five (5) years Attended in the last five (5) years
Date Title of the Program Date Title of the Program
August 1 THIRD SERIES OF THE LADERRIZED
& 2, 2023 training program: harnessing the power of
(Batch communication in the provision of
June
6); Medication safety: Go beyond the continuum of care towards resilient health
5-10,
August basics system / department of health in partnership
2023
29 & 30, with health SYSTEM ENHANCEMENT TO
2023 ADDRESS AND LIMIT (HEAL) COVID-19
(Batch 7) PROJECT
Stroke Management and
July 14 June Short training course on quantitative
Thrombolysis Implementation
and Aug 27-30, research methods / up-manila college of
Workshop for Rizal Med Nursing 2023 public health
25, 2023
Personnel
May 30,
31; June
May
6, 7, 13,
Critical Care Training for Nurses 2,
Ergonomics and manual handling
14, 20, 2023
21, 27,
28, 2023
Feb 22,
23;
March 1,
April Basic Life Support Cardio-Pulmonary
2, 8, 9,
Critical Care Training for Nurses 27, Resuscitation Seminar
15, 16, 2023
22, 23,
29, 30,
2023
Novem
ber 21• Basic occupational safety and health (bosh)
– 25 training course CPDD-17
2022 Rev. 00
June 29, 2020
Page 1 of 15
 May 15
– 19• Construction occupational safety and health
2023 (bosh) training course

August
10, 13,
17, 20 Manager’s role in capacity building
& 24
2021

Basic ophthalmic support staff course

2017
Major Achievements, Citations, Recognition and Awards
Date Title Awarding Body
March Certificate of Competence – Level 4 Association of Nursing Service
25, 2022 ANSAP Nurse Manager Certification Administrators of the Philippines, Inc.
Decembe
Nursing Division - Employee of the year Rizal Medical Center PRAISE committee
r 2021

Part III. Education and Employment

Educational Name of Inclusive
Address Degree Earned
Background School/University Dates
Bachelor of
Nicanor Reyes Street, 2007-
Far Eastern University Science in
Sampaloc, 1015 2011
College Nursing

Don Quijote Cor

Dimasalang Sts
2015- Master of Arts in
St. Jude College Sampaloc, Brgy 491,
Post- 2017 Nursing
City of Manila 1008
Graduate
Metro Manila

Position Agency/Company Inclusive Dates

May 8, 2017 –
April 2023:
Nurse Manager
of OB/OR-RR
and OPD
Nurse III Rizal Medical Center Specialty areas
Work
Experience: May 2023-
Five (5) most Present:
recent Transferred to
NETR
Oct 27, 2015 –
Nurse II Rizal Medical Center
May 7, 2017
Nay 6, 2014 –
Nurse I Rizal Medical Center
Oct 26, 2015

Part IV. Other Relevant Information

Profession/s Nurse License 071650 Issued Valid 08-27-2026
No. 7 on: 09- until:
16-2011 CPDD-17
Rev. 00
June 29, 2020
Page 2 of 15
 AIPO Membership National/Chapter Position Date
Philippine Nurses Association Zone 4 & 5 Member 2021
ANSAP --- Member 2018

Other Major Affiliations

National/Chapter Position: Date
(Professional, Civic)
Philippine Nurses Association Zone 4 & 5 Member 2021
ANSAP --- Member 2018

I hereby certify that the above information

written by me are true and correct to the best of my
knowledge and belief. I further authorize PRC and
other agencies to investigate the authenticity of all
the documents presented.

I am agreeing to the PRC Privacy Notice and

giving my consent to the collection and processing
of my personal data in accordance thereto.

BRYLLE S. ZAMORA, RN, MAN, CNM

Signature Over Printed Name
___________March 6, 2024______________
Date

CPDD-17
Rev. 00
June 29, 2020
Page 3 of 15
PRC ID

CPDD-17
Rev. 00
June 29, 2020
Page 4 of 15
 CPDD-17
Rev. 00
June 29, 2020
Page 5 of 15
 CPDD-17
Rev. 00
June 29, 2020
Page 6 of 15
 CPDD-17
Rev. 00
June 29, 2020
Page 7 of 15
 CPDD-17
Rev. 00
June 29, 2020
Page 8 of 15
 CPDD-17
Rev. 00
June 29, 2020
Page 9 of 15
 CPDD-17
Rev. 00
June 29, 2020
Page 10 of 15
 CPDD-17
Rev. 00
June 29, 2020
Page 11 of 15
 CPDD-17
Rev. 00
June 29, 2020
Page 12 of 15
 CPDD-17
Rev. 00
June 29, 2020
Page 13 of 15
 CPDD-17
Rev. 00
June 29, 2020
Page 14 of 15
 CPDD-17
Rev. 00
June 29, 2020
Page 15 of 15
 Professional Regulation Commission
FINANCIAL PLAN/REPORT FOR
APPLIED PROGRAM FOR CPD ACCREDITATION
Fill out all colored cells. Wrap text and adjust the row height, if necessary
NAME OF THE PROVIDER: Rizal Medical Center - Nursing Education, Training and Research

TITLE OF THE PROGRAM: Nursing Lecture Series: Middle Manager's Perspective in Nursing Administration

TYPE OF PROGRAM
Seminar/ Learning Others,
Educational Please specify below:
Workshop/ Sessions in
Tour
Forum Convention
MODE OF PROGRAM CONDUCT: Face-to-Face Online

CPD COUNCIL/S THIS APPLICATION IS SUBMITTED

CPD Council/s of/for: NURSING
SPECIFIC DATE/S OF OFFERING: April 29 and 30, 2024

VENUE/ONLINE PLATFORM: Rizal Medical Center

TARGET/ACTUAL NO. OF PARTICIPANTS: 20
PROPOSED/ACTUAL REG. FEE PER PAX: N/A
TOTAL REG. FEES TO BE/HAS BEEN COLLECTED: #VALUE!

BREAKDOWN OF EXPENSES
EXPENSE ITEMS SPECIFICATIONS OF EXPENSES AMOUNT
1 Venue/Online Platform N/A
2 Meals 300/day/participant & speakers (2 Days) 15,000
3 Honoraria:
a. Speaker
N/A
(or panel of experts)
b. Facilitator N/A
c. Moderator/
N/A
Master of Ceremony
d. Secretariat N/A
Itemized Materials Certificates and Certificate Holder
(e.g. handbook/handouts, certificates, pencil 2,000
4
and papers, seminar kits, ink for printers)

5 Advertising Expenses N/A

6 Transportation:
a Speaker/s N/A
b Staff N/A
Accommodation N/A
7 (For the Speaker/s)

8 Processing Fee of CPD n/a

9 Supplies and Equipment N/A
10 Laboratory N/A
11 VAT (12%) N/A
Entrance Fees
(For museum, heritage/historical sites, cultural N/A
12 centers, exhibits, geographical sites, other
sites, etc.)
13 Tour Guide/Facilitator's Fee N/A
Miscellaneous 1.
14 (Please specify the items, adjust the row if 2. N/A
necessary)

TOTAL EXPENSES INCLUSIVE OF VAT ₱ 17,000

TOTAL EXPENSES EXCLUSIVE OF VAT ₱ 17,000
ALLOWABLE REGISTRATION FEE PER PARTICIPANT* ₱ 1,142
*and shall be within the range provided on "Matrix of Registration Fees"
Note: 1 The currency to be used shall be Philippine Peso (PhP.)
2 For any of the listed expenses not applicable to the applied program, put N/A.
CPD Providers shall provide/attach justification if the Registration Fee is beyond that provided in the matrix,
3
subject to the evaluation and approval of the concerned CPD Council.
This document must be used/submitted in all the CPD Councils where the program is to be applied for CPD
4
accreditation
For accredited CPD Program/s, this document shall be used in submitting Financial Report attached to the
5
Completion Report
Section 4. Matrix of Registration Fees - the CPD providers shall be guided by the following matrix of
registration fees:

A. Face-to-Face Programs

NO. OF NO. OF RANGE OF

ACTIVITY VENUE
PARTICIPANTS DAYS REGISTRATION FEE
Conventions/
1 Hotel 1,001 and above 3 P 2,600-P 3,500
Conferences
Conventions/
2 Hotel Up to 1,000 3 P 3,000-P 4,000
Conferences
Conventions/
3 Hotel 1,001 and above 2 P 2,000-P 2,800
Conferences
Conventions/
4 Hotel Up to 1,000 2 P 2,300-P 3,000
Conferences
5 Seminars Hotel 101 and above 2 P 2,300-P 3,000
6 Seminars Hotel Up to 100 2 P 2,600-P 3,400
7 Seminars Other than Hotel 101 and above 2 P 2,000-P 2,800
8 Seminars Other than Hotel Up to 100 2 P 2,300-P 3,000
9 Seminars Hotel Up to 100 1 P 800-P 1,700
10 Seminars Other than Hotel Up to 100 1 P 700-P 1,500

B. Online Programs

NO. OF RANGE OF
ACTIVITY NO. OF PARTICIPANTS
DAYS REGISTRATION FEE
1 Conventions/ Conferences 1,001 and above 3 P 400 - P 500
2 Conventions/ Conferences Up to 1,000 3 P 500 - P 600
3 Conventions/ Conferences 1,001 and above 2 P 600 - P 700
4 Conventions/ Conferences Up to 1,000 2 P 700 - P 800
5 Seminars 501 and above 2 P 700 - P 800
6 Seminars Up to 500 2 P 800 - P 900
7 Seminars 501 and above 1 P 350 - P 450
8 Seminars Up to 500 1 P 400 - P 500

CPD Providers shall provide a justification if the Registration Fee is beyond that
provided in the matrix, subject to the evaluation and approval of the concerned CPD
Council.