1 Republic of the Philippines Department of Health JOSE R. REYES MEMORIAL MEDICAL CENTER Manila ANNUAL REPORT FOR CY 2012 2012 has seen a lot of changes in the hospital with the retirement and extension of Dr. Ma. Alicia M. Lim and the OIC status and final appointment of Dr. Emmanuel F. Montana Jr., effective May 2, 2012, as the new Medical Center Chief II. The employees have given their full support and cooperation for all the plans for the betterment of the services of the hospital under his new leadership. A lot of operational systems were reviewed and new flows were introduced. Patients continue to seek the various health services offered by the hospital. The staff continues to adhere to the values, goals, vision and mission of the institution and continue to upgrade the knowledge, skills and attitude for the fulfillment of excellent patient service. With the institution’s priority, service to patients’ remains the first consideration of this Medical Center with 316,723 total patients served of which 66.54 % came from OPD with a total patients of 210,734, 27.45% from emergency consultations with 86,953 patients seen/examined, and 6.01% as admitted cases with a total admission of 19,036. We had 24,953 operations with 68.91% minor surgeries and 31.09% major surgeries. Basing on last year’s medical accomplishments, developments and innovations, it has been proved that 2012 has been a very prolific year for the Medical/Paramedical Service. The Medical Service pushed on with its different programs in service, training and research throughout the year. Constant growth and development in the training of our Medical Staff also took the forefront on this year’s activities as many participated in several seminars, workshops, postgraduate courses and skills enhancement programs. In training, the hospital had a total of 210 residents trained, broken down as 71.43% from hospital items; 27.62 % as society sponsored and 0.95% as DOH pool. A total of 61 residents graduated from the different specialty and subspecialty programs with 3 residents resigning from the program. Among the graduates, we had an average of 100% passing rate in the specialty board exams. We had a total of 1,579 trainees for the year with 28 affiliate residents, 95 postgraduate interns, and 824 affiliate Medical Clerks rotating in different areas. In the paramedical affiliate training, 160 Medical Technology Interns, 146 Radiological Interns, 145 Physical Therapy/Occupational Therapy Interns, 136 Psychiatry Interns and 45 Pharmacy Interns rotated in our institution. Facilities upgrading, ward/department renovations and procurement of equipment were also done for the improvement and for better delivery of services. The ground breaking ceremony was done on Foundation Day of the institution last February 27, 2012. Given that, the Design and Build scheme of the Proposed Central Block Building was already 96% of the overall building works for the year. Projects for the improvement of this Medical Center specifically the repainting of the Medical Center Chief’s Office with the replacement of two office doors were done last October 2012. Likewise, the OPD installed additional split type air conditioners to Neurology and Physical Therapy Departments last July 2012. The BAC Office and the JRRMMC Multipurpose Cooperative Office were also inaugurated last February 27, 2012 as part of the Foundation Day celebration.
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Republic of the Philippines Department of Health
JOSE R. REYES MEMORIAL MEDICAL CENTER Manila
ANNUAL REPORT FOR CY 2012
2012 has seen a lot of changes in the hospital with the retirement and extension of Dr. Ma. Alicia M.
Lim and the OIC status and final appointment of Dr. Emmanuel F. Montana Jr., effective May 2, 2012, as the new Medical Center Chief II. The employees have given their full support and cooperation for all the plans for the betterment of the services of the hospital under his new leadership. A lot of operational systems were reviewed and new flows were introduced.
Patients continue to seek the various health services offered by the hospital. The staff continues to
adhere to the values, goals, vision and mission of the institution and continue to upgrade the knowledge, skills and attitude for the fulfillment of excellent patient service.
With the institution’s priority, service to patients’ remains the first consideration of this Medical Center with 316,723 total patients served of which 66.54 % came from OPD with a total patients of 210,734, 27.45% from emergency consultations with 86,953 patients seen/examined, and 6.01% as admitted cases with a total admission of 19,036. We had 24,953 operations with 68.91% minor surgeries and 31.09% major surgeries.
Basing on last year’s medical accomplishments, developments and innovations, it has been proved that 2012 has been a very prolific year for the Medical/Paramedical Service. The Medical Service pushed on with its different programs in service, training and research throughout the year.
Constant growth and development in the training of our Medical Staff also took the forefront on this year’s activities as many participated in several seminars, workshops, postgraduate courses and skills enhancement programs.
In training, the hospital had a total of 210 residents trained, broken down as 71.43% from hospital items; 27.62 % as society sponsored and 0.95% as DOH pool. A total of 61 residents graduated from the different specialty and subspecialty programs with 3 residents resigning from the program. Among the graduates, we had an average of 100% passing rate in the specialty board exams.
We had a total of 1,579 trainees for the year with 28 affiliate residents, 95 postgraduate interns, and 824 affiliate Medical Clerks rotating in different areas. In the paramedical affiliate training, 160 Medical Technology Interns, 146 Radiological Interns, 145 Physical Therapy/Occupational Therapy Interns, 136 Psychiatry Interns and 45 Pharmacy Interns rotated in our institution.
Facilities upgrading, ward/department renovations and procurement of equipment were also done for the improvement and for better delivery of services.
The ground breaking ceremony was done on Foundation Day of the institution last February 27, 2012. Given that, the Design and Build scheme of the Proposed Central Block Building was already 96% of the overall building works for the year. Projects for the improvement of this Medical Center specifically the repainting of the Medical Center Chief’s Office with the replacement of two office doors were done last October 2012. Likewise, the OPD installed additional split type air conditioners to Neurology and Physical Therapy Departments last July 2012.
The BAC Office and the JRRMMC Multipurpose Cooperative Office were also inaugurated last February 27, 2012 as part of the Foundation Day celebration.
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The contract of repair/renovation of the HEMS Office was awarded last May 4, followed by the notice
to proceed last May 23, 2012. We are fortunate to be one of the eight chosen centers to be funded by the DOH in terms of equipment and building for Cancer Center and Dialysis Center. Other projects such as the design and build scheme in the proposed Medical Arts Building, repair/renovation of wards, hallways, comfort rooms and the proposed Central Block phase 2 are now under post evaluation of Technical Working Group for awarding.
The project for the Sprinkler System which was approved by the Department of Health to its Retained Hospitals in which our institution was one of the beneficiaries is for turn over scheduling upon completion of the punchlistings and corrections.
The PHIC granted the Medical Center as Center of Quality (level 4 hospital) with 450 beds effective May 1 2012 up to April 30, 2014.
The Wellness programs of the different departments continued to provide lectures/information dissemination programs conducted for patients as well as surgical missions such as “Operation Tule”, Cataract Missions, among others. The “Pasilip Ka” Program was implemented for early detection of Head and Neck Cancer. There were wellness programs conducted, 10 surgical missions and 60 lectures, and a number of lay fora for different diseases and conditions.
The different clinical departments also produced relevant researches published in local journal and winning prizes from the different research fora. For this year, we have 50 completed researches and 105 ongoing researches.
The institution’s Observership Training Program accepted foreign residents from Nepal through Memorandum of Agreement between Nephil Education Consultancy and Jose R. Reyes Memorial Medical Center. A total of 13 Nepalese residents were accepted on the training program for the whole year. The institutions’ Residency Training Program also accepted 7residents from Indonesia through Memorandum of Agreement between the Trainee and this institution.
The Health Emergency Management System conducted National Disaster Risk Reduction Month orientation, Disaster Corner Contest, Exhibit, Quick Response Team Seminar Workshop and Preparedness Lecture. HEMS also conducted BLS Training from July 26-27, 2012 after the Hospital Evacuation drill on July 20. The Strategic Planning and Finalizations of HEMS Manual was done in Morong, Bataan last July 30-31, 2012. The Awarding Ceremony for the winners was done last August 6, 2012. Thus, the entire Emergency Department being the forefront of the APIR Activity underwent thorough monitoring on the entire duration of the holiday season which started December 21, 2012 until January 5, 2013
The Nursing Service in terms of financing, some income generating activities were not feasible like post graduate courses of nursing training, affiliation base-hospital scheme of nursing schools came to a sudden drop but the finance department shifted in reviewing expenditures and checked other activities that will help raise more funds and prevent unnecessary expenses and they were on the right track.
Patient care delivery was satisfactorily delivered by the all-plantilla filled up positions though not
enough but was complemented very well with RNheals program of the DOH. These nurses were big extra help for the nursing service.
The Nursing service will continue to commit its full support to the management for excellent health care service for all the patients who continue and will continue to entrust their health to the employees of this institution.
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On the administrative and logistics aspects, the problem of staffing because of non-filling of vacant administrative positions due to the long awaited implementation of the Rationalization Plan has adversely affected the work assignments that resulted to delay in the provision for logistic support services. As of December 31, 2012, there are ninety-four (94) administrative vacancies with the compulsory or optional retirement and/or resignation of staff. Though, there are thirty-three (33) contractual workers hired and utilized eight (8) personnel from the Doña Eva Macaraeg-Macapagal National Center for Geriatric Health (DEMM-NCGH) assigned to the different offices of administrative and finance to augment manpower staffing, they were not still adequate and have limitations in their work performance to fully meet the requirement of those vacated permanent items. Clerical forces in some clinical department were still on a part-time basis just to give each department a staff for its clinical and clerical work, and some are only contractual that needs to renew their contract for them to continue their service. Added work for a number of administrative staff is the membership in different hospital committees wherein they have to divide time and work between their regular and added functions, particularly in the bidding, inventory, investigation, inspection or technical working group in bid evaluation or project monitoring. We have to move on multi-tasking activities.
Another setback that affected the provision of support services was the delay in the bidding and/or
awarding of goods and services. The unavailability, lack or inadequate supplies/materials including basic tools and equipment deterred the efficient and effective logistics especially in the housekeeping, dietary and maintenance activities. Nonetheless, the Administrative Service was able to cope up with the situation and generally performed the shared responsibilities the best it can in the delivery of health care services and other activities of the hospital.
In our commitment to enhance and uplift the morale of our staff for their career advancement, Five (5)
staff of Housekeeping Department and One (1) Administrative Assistant have completed and finished their bachelor degree in the Off-Campus Program of Pamantasan ng Lungsod ng Maynila (PLM) in the Department of Health (DOH). Another Two (2) staff had also completed their Masteral Degree with the same program of the PLM in the DOH and
In the exigency of the service, change of assignments of the different administrative staff including the heads of Personnel and Admitting Departments were done.
There are lots of things to be done for the next year. It includes improvement of our services with the acquisition of new equipment, additional specialty services and infrastructure developments. We are looking forward to a more standardized management with the use of clinical practice guidelines and clinical pathways for treatment and prepare for the Philhealth Accreditation on 2014 aiming for Excellence. We need to improve our quality assurance programs in providing better care to our patients. We hope that this could be realized for this coming year. The following are the highlights of accomplishments with problems encountered and recommendations of the different services for the year 2012:
HIGHLIGHTS OF ACCOMPLISHMENTS
MEDICAL SERVICES I. PATIENT CARE SERVICES A. Total Patients Served - 144,990 In- patient/service days - 144,990
1. De La Salle University-Health & Sciences Campus 42
2. St. Jude College 16
3. Manila Adventist Medical Center & colleges 8
4. Manila Central University 24
5. Pines City College 17
6. Medical College of Northern Philippines 15
7. Perpetual Help College of Manila 9
8. Lyceum of the Philippines, Batangas 9
9. University of Perpetual Help –GMA Cavite 5
TOTAL 145 A. Practicum in Psychiatry (minimum of 100 hours) = 136 B. Practicum in Pharmacy (9160- 480 hours) = 45 GRAND TOTAL OF AFFILIATES = 1,579
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III. Accreditation Status: All 15 Clinical Departments and 6 subspecialty training program have maintained their
accreditation status from their respective specialty boards. A. Results of the Selection Process of Applicants
7. Residency Training Program
Department
No. of applicants
Vacant Hospital Item/Year
Accepted
Hospital Item
Non-hospital Item
1. Pediatrics 6 5 5 0
2. Medicine 27 5 5 0
3. Dermatology 40 2 2 4
4. Neurology 16 3 3 1
5. Radiology 5 2 2 1
6. Radiotherapy 2 1 1 1
7. Pathology 4 2 2 0
8. Nuclear Medicine 0 0 0 0
9. Medical Oncology 1 0 0 1
10. Surgery 36 5 5 6
Subspecialty
Thoracic Surgery 0 0 0 0
Plastic Surgery 0 0 0 0
Colorectal Surgery 1 0 0 1
Neurosurgery 6 0 0 2
11. OB Gyne 34 4 4 1
12. ENT-HNS 12 2 2 1
13. Ophthalmology 9 3 3 0
14. Orthopedics 4 2 2 0
15. Urology 4 2 2 1
16. Anesthesia 3 2 2 0
17. Gyne-Oncology 7 0 0 1
TOTAL 217 40 40 21
2. Postgraduate Internship Training Program
No. of applicants = 80 Accepted = 64
IV. Researches A. Research Output Completed - 50 Ongoing - 105 B. Local Journals - 9 Foreign Journals - 2
C. Researches sponsored by Drug Companies done in JRRMMC= 3
Title of Research Protocol Protocol No. Principal
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1. “A dose-ranging study fo fluticasone furoate (FF) inhalation powder in children aged 5-11 years with asthma”
HZA106855 Dr. Cesar Ong
2. “A 26 week, randomized, double-blind, parallel group, active controlled, multicenter, multinational safety study evaluating the risk of serious asthma-related events after treatment with Symbicort, a fixed combination of inhaled corticosteroid (ICS) (budesonide) and a long acting B2-agonist (LABA) (formoterol) as compared to treatment with ICS (budesonide) alone in adult and adolescent (_12 years of age) patients with asthma.”
D5896C00027 Dr. Elizabeth Cadena
3. “Safety of Plasma AB42 Reduction with Hemoadsorption using Betaclear Bicarb 1000 in Healthy Elderly Individuals”.
AD_AB+ Dr. Pompeyo Bautista
D. Research Papers which won in Interdepartmental Research Contest:
CASE PRESENTATION CATEGORY December 23, 2012, Friday, 8:00 am-12:00 noon, AVR I
1st Place – Dr. Aizel Aligmano Department of OB-Gyne
“Mole in the Hole” A Case of primary malignant melanoma of uterine cervix, stage IIIB
2nd Place- Dr. Ma. Cricelda M. Rescober Department of Dermatology
Hyper Immunoglobulin E Syndrome with Concomitant Follicular Mycosis Fungoides in a Filipino Child Treated with Narrowband UVB Phototherapy: A Case Report
3rd Place- Dr. Jernelyn P. Reloj Department of Pediatrics
Two cases of neurodegenerative Disorder presenting as Intracardiac Mass: A Case Report
ANALYTICAL/DESCRIPTIVE CATEGORY November 23, 2011, Friday, 1:00-5:00 pm, AVR I
1st Place – Dr. Mara Therese P. Evangelista Department of Dermatology
“The effect of topical virgin coconut oil on scored, transepidermal water losss and skin capacitance in mild to moderate pediatric atopic dermatitis: A randomized, double-blind clinical trial”
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2d Place – Dr. Smriti Mahaju Department of Anesthesia
“A Comparative Study of Intrathecal Hyperbaric Bupivacaine and combined hyperbaric bupivacaine-Midazolam on Post-operative pain relief for caesarean delivery”.
3rd Place – Dr. Ferdinand Z. Guintu Department of ENT-HNS
“Effectivity of Guava Leaves (Psidium guajava) as mouthwash for patients with aphthous ulcers”.
E. No. of Research Papers presented in Interhospital Research Contest= 15 F. No. of Research Papers presented in Society Research Paper Contest= 10
V. Performance of Trainees
A. Certifying Specialty Board Examination
Department
Written % Passing
Oral % Diplomate Took Passed Took Passed
1. Medicine 8 8 100% 8 8 100%
2. Dermatology 4 4 100% 4 4 100%
3. Pathology - - 100% - - 100%
4. Surgery - - 100% - - -
5. Pediatrics 3 3 100% 3 3 -
6. OB-Gyne 3 3 100% 2 2 100%
7. Neurology 3 3 100% 3 3 100%
8. Nuclear Medicine - - 100% - - -
9. Ophthalmology 1 1 100% 2 2 100%
10. ENT-HNS 3 3 100% 3 3 100%
11. Anesthesia 5 5 100% 5 5 -
12. Radiology 6 6 100% - - -
13. Radiotherapy 2 2 100% 2 2 -
14. Med. Onco. - - 100% - - -
15. Orthopedics 3 3 100% 3 3 100%
16. Urology 1 1 100% 1 1 100%
TOTAL
42
42
100%
36
36
100%
B. Graduation
Date Venue No. of Participants
April 26, 2012,
6:00 pm
Bella Ibarra, Sofia Function Room, QC
20 PGI’s
December 19, 2012 6:00 pm
Sofitel Philippine Plaza Manila Pasay City
57 Resident Physicians and 4 Fellows
C. Programs: Medical Training & Research Office:
Orientation Program - Resident Physicians = 4x - PGI’s = 2x -Medical Clerks and Affiliates = 2x
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8x Monthly Mortality Conference Held = Every last Wednesday of the Month
1. Department of Anesthesiology - January 25 2. Dept. of Pediatrics - February 29 3. Dept. of Ophthalmology - March 28 4. Dept. of Neurology - April 25 5. Dept. of Ob-Gyne - May 30 6. Dept. of ENT-HNS - August 29 7. Dept. of Surgery - September 25 8. Dept. of Orthopedics - November 6
No. of Postgraduate Course held = 6 (Department of OB-Gyne, Internal Medicine, Neurology, Dermatology, Surgery and Orthopedics)
Medical Credentials Committee: Deliberated position and appointed
Provision for nursing care to different clinical wards
A. In-patients (Total In-patients service days – 144,990) Admitted 19,036 Trans-in 8,653 Discharges & 19,023 Deaths Absconded 22 HAMA 249 Births 2,271 Rooming-in-babies B. Emergency Service Complex Total no. of patients seen 86,953
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Admitted 12,637 EMS 827 Minor OR cases 4,456 Death 623 DOA 291 Absconded 1,361 C. Out-Patient Department Consultations in different sections -210,734 Surgery 21,491 Urology 6,335 Orthopedics 8,301 Medicine 37,557 Ophthalmology 20,979 ENT-HNS 13,540 Dermatology 31,182 Neurology 7,587 Psychiatry 2,326 Pay Consultation 6,530 Pediatrics 13,248 Dental 2,689 OB Gynecology 26,786 EMS 17 MEDI 3,408 Rehabilitation Medicine 7,290 D. Dermatology Department Total no. of patients seen 31,182 Dermatology 28,058 Leprosy 3,124 Ten Most Leading cases seen and examined 1. Scabies 1,540 2. Contact Dermatitis 1,438 Irritant contact dermatitis (298) Allergic contact dermatitis (1,140) 3. Acne Vulgaris 601 4. Dyshidrotic eczema 590 5. Atopic dermatitis 553 6. Lichen Simplex chronicus 552 7. Seborrheic dermatitis 422 8.Nrallusum contagiosum 377
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Operating Room Services
9. Verruca vulgaris 374 10. Psoriasis 373 E. Radiotherapy Department Cobalt new patients 416 Number of treatment sessions 9,608 LINAC new patients 518 Number of treatment sessions 12,672 Brachytherapy new patients 150 Number of treatment sessions 562 F. Medical Oncology Department Oncology 3,805 Hema Clinic 159 Pain Clinic 563 TOTAL 4,527 G. Main Operating Room Total no. of major and minor cases 7,918 Major cases Elective 2,833 Emergency 3,927 Minor cases Elective 313 Emergency 845 H. Minor Operating Room Total number of minor and ambulatory cases 1,632 Major OR - 6,760 Minor OR In-patient – 3,244 Minor OR ER – 4,456 Minor OPD - 6,950 Ambulatory/Day Surgery - 334
Updating/renewal of required licenses
All Nursing Service Staff (Nursing Attendant /Midwives to Nurse VII)
Intravenous Therapy Training Program for Nurse - 30 Staff Development for Nurse I-226 Staff Development for Nursing Attendants -104 Post Graduate Course in Critical Care Nursing - 73 Moral Values & Spiritual Enrichment Wokshop - 310 Basic Course in Stoma and Wound Care - 28 Refresher Course in IVT - 58 Presentation of Actual Pt. Care Mgmt - 200 Review of Nursing Service Policy 28 Strategic Planning on Nursing Standards & Audit – 26 Workshop on Focus Charting (FDAR) – 138
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Orientation Programs
Workshop on Review of Performance Evaluation System-64 Newly Appointed Staff - 41 Nursing/Midwifery/Caregiver Student Affiliates – 2,180 Clinical Instructors - 32
11- Physical set up
1. Continuous close coordination with other departments for the maintenance/upkeep of cleanliness and orderliness of the clinical wards.
2. Complete installation of sprinkler for the whole hospital. 3. Repainting of some cribs and bedside tables. 4. Installation of 25 emergency lights @ ESC. 5. Installation of curtain rods at ESC Surgery and Ortho. 6. Repainting of ESC. 7. Repair/repainting of ER tables and cabinets. 8. Expansion of ECO I from seven (7) to 12 beds. 9. Renovation of Ortho ward’s room B sponsored by Manila Lion’s Club – Divisoria. 10. Renovation of Pediatrics ward, Playroom and PICU’s repainting and changing of flooring sponsored
by Shoemart Foundation. 11. Renovation of comfort rooms @ Pedia & 5th floor (Multi purpose gym). 12. Replacement of worn out vinyl tiles of hallways from OR, CSR, OB going to NICU to cement tiles.
111-Resources/Supplies/Equipment/Apparatus 1. Clinical areas were able to acquire some of their requested equipment/apparatus/supplies despite the
delays. 2. Clinical areas were able to get some of their needed supplies despite slashes. 3. Some areas were very lucky recipients of some hospital equipment/supplies/apparatus from generous
donors like : a. Three pcs floor mounted three toners air conditioner (OPD Conference room, Medicine-
Rehabilitation) b. 55 pcs aneroid BP apparatus (OPD, Payward) c. 62 pcs wheelchairs (OPD, ESC, Pedia) d. 1 pc stretcher (OPD) e. Eight channels CCTV’s (OPD) f. 2 pcs suction apparatus from JR Coop (ESC, EENT) g. 7 Nebulizers (MSW, Ortho, FSW, Pedia, EENT) h. 2 pcs oxygen gauges from JR Cooperative(EENT) i. One (1) Led TV 32 inches sponsored by SM Foundation (Pedia) j. Huggies – diapers for OB patients k. Johnsons & Johnsons – packs of baby oil, baby powder, baby wash, lotion l. Rheez Chua – Manual Resuscitator, suction apparatus m. Manila Movers Lions Club District 301 – Wheelchair (1) for ESC
4. Some areas resorted to asking their watchers to buy some needed supplies which are not available in our hospital.
5. Some areas resorted to recycling of some supplies to meet the needs of so many indigent patients. 6. Revision of ER observation chart and ER Registry forms. 7. Installation of new sterilizer machine (Tuttnauer). 8. Centralization of hospital supplies.
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9. Installation of cardiac monitors with electrical outlets to specified care units in the medical wards (MMW, FMW).
10. Installation of two exhaust fans at the MMW’s comfort rooms. 11. Installation of negatoscope at the FMW’s Nurse’s station.
1V-Service
1. Active coordination with nursing students affiliates & NI RNheals in patient education. 2. Continuous implementation of DOTS and Unang Yakap (Essential Newborn Care), Mother Baby
Friendly Hospital Initiative, Hospital Waste Management and ICC policies. 3. The clinical wards continuously provided quality patient care and support to the health care team. 4. The clinical wards regularly conducted health teachings to patients/watchers emphasizing on proper
waste disposal and use of watcher’s ID. 5. The area managers continuously requested and followed up needed equipment/supplies/materials for
their patients. 6. The clinical wards coordinated with Procurement and Engineering departments to condemn their
defective equipment/apparatus. 7. The Barangay coordinator continuously involved the adopted barangays in the hospital activities. 8. The scheduled OPD lectures and other activities were continuously observed according to DOH-
Health Event 9. The clinical areas continuously participated in the supervision of in-service trainees,
student affiliates, Nurse I (RNheals), applicants on practicum and clinical instructors. 10. The clinical areas continuously implemented hospital /nursing service policies. 11. The area managers continuously monitored and supervised their staff. 12. The area managers continuously coordinated with other departments for ward improvements and
smooth ward operation. 13. Eight-hour operation of Mini-Pharmacy inside the Main Operating room in the last quarter. 14. ESC recipient of 2011 DOH Special Recognition Award for Best Practices during the Action Paputok
Risk Reduction (APIR) Campaign. 15. Strict implementation of “NO FEEDING BOTTLES, MILK FORMULA, PACIFIER” policy in NICU. 16. Acceptance of milk donation from OPD WELL BABY CLINIC and OB ward for NICU patients. 17. Strict implementation of “EXCLUSSIVE BREASTFEEDING and NEWBORN SCREENING test” to all
mothers with babies. 18. Strict verbalization/orientation on lactation program – consent for breastfeeding and expressed
breastmilk donation (approved HF#11FC-6) to all admitted mothers. 19. Implementation of hospital computerization (BIZBOX) in the clinical wards, laboratory, billing,
pharmacy in the last quarter. 20. Assessed and awarded QUALITY by Philhealth through the group efforts of all hospital personnel.
V - Staff Development
1. The Chief Nurse Office regularly held meetings like: a. Weekly Supervisors’ meeting b. Monthly staff/NA / Nurse I RNheals meeting c. Emergency meeting
2. The clinical areas regularly conducted the monthly ward meeting. 3. Some clinical areas regularly had monthly meetings with their Chairmen. 4. The Nursing Training Office conducted regularly series of orientation for newly
hired/promoted/reporting from leaves nursing service personnel, and new groups of affiliates/Clinical instructors.
5. The clinical areas scheduled their staff to attend in/outside seminars/lectures for professional growth and update.
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VI – PROBLEMS ENCOUNTERED/RECOMMENDATIONS
PROBLEMS
RECOMMENDATIONS
o Physical Set up
Difficulty of transporting non-ambulating patients to and from OPD 2nd floor.
Construction of ramp at OPD for easy transport of patients to and from second floor.
Too-long waiting time for OPD patients for their X-rays and ECG.
Provision of separate Radiology and ECG services to OPD alone.
Difficulty in contacting consultants for patients @ Pay cons.
Provision of direct telephone lines @ Pay
Consultation.
Frequent emission of foul smell coming from OPD public comfort rooms.
Renovation of OPD public comfort rooms.
Discomfort of the watchers of patients in the intensive care units staying @ the ER waiting area
Difficulty of calling the relatives of patients @ Intensive Care Units.
Construction of waiting areas for watchers of patients at intensive care units in or out of hospital provided with intercom for easy access for nurses
On and off Leaks at the ceiling of the following areas: ER-ENT/OPHTHA, students’ room and WCPU, RR of DR, Ortho, MMW, CSR, Hospice and Radiotherapy Conference room.
Repair and repainting of the ceiling of these areas.
Presence of worn out wooden windows at Orthopedics and Urology and other wards.
Replacement of all broken windows
Lack of storage room for Pediatrics, Medical and Surgical areas.
Provision of storage room for some areas like Pediatrics, Medical and Surgical wards
Absence of fire exit for NICU. Creation of fire exit at NICU.
Absence of watcher’s lounging area. Provision of lounging area for watchers.
Frequent malfunctioning of rest rooms of OB/OB Ext, URO, FSW, DR.
Renovations of the restrooms of the following areas: OB, OB Ext, FSW, URO.
Defective plugs in patient areas. Regular check up of Engineering Depts of all wards for these problems. Repair of electrical plugs at patients’ area.
Defective mechanical beds, cribs in almost all areas.
Total rehabilitation/replacement of all mechanical beds /cribs of the clinical wards.
Absence of restroom for CSR. Constructions of CSR comfort room.
Uncontrolled pests in the wards including cats. Frequent schedule of pest control at least once a week on
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office hours.
A change in insecticide spray
Unavailability of conference room to be use for orientation of big group of students.
Unavailability of conference room for student affiliates in Pediatrics, Urology and Orthopedics.
Installation of fixed sound system/chairs and darkening of 5th floor multipurpose gymnasium and renovation
Total renovation of the 5th floor multipurpose gym.
Sharing of conference room with the doctors.
Unavailability of casting room for Orthopedics. Creation of casting room at Orthopedics ward.
High risk for wound infection for post op patients, amputation and debridement, because they occupy the same room with patients w/” dirty” cases for Ortho ward.
Provision for an isolation room @ Ortho ward
Too many luggage of some patients. Strict implementation of Security guards re. bringing of things inside the hospital
Difficulty of the Main OR and other intensive care units and Payward to maintain their expensive equipments.
Intensify preventive maintenance in the hospital especially OR, intensive care units and Paywards, to be checked regularly by Engineering Department
Lack of manpower to almost all the wards. Follow up of the additional 82 plantilla personnel from DOH.
Lack of personnel @ Maintenance Dept. to attend to too many equipment/ apparatus needing their immediate attention.
Taking in of more contractual maintenance people to speed up repairs of needed apparatus and equipment.
Difficulty of sending ICU patients for Xray to Radiology section.
Repair of portable X-ray for intensive care units use.
Rampant losses of belongings in the wards, be it the doctors, medical interns/clerks and watchers.
Guard visibility @ all times. Guards to man every floor @ all times or even one guard for every two floors. Or frequent rounds of guards especially during visiting hours.
Lack of emergency light @ PICU,PACU Installation of emergency light @ PACU& PICU door exit to Supervisor’s office.
Non-functioning Minor OR @ Burn Unit.
Equipping the Minor OR of Burn Unit with OR table, anesthesia
machine & OR lights
Too many equipment, apparatus and instruments inside the Operating room (unaccounted, lost and breakage).
Assigning of property custodian inside the Main OR.
Rooms @ Pay II needs immediate rehabilitation. Immediate renovation of
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Payward II.
Resources
Lack of manpower o nurses o Residents o PGI o Medical clerks o Helpers o Administrative personnel.
Requesting for additional manpower.
o If we opt for contractual workers we hope we have funds for these.
o Be strict on the policy of change duties for doctors.
Frequent pulling out of administrative aide.
No available reliever for administrative personnel on leave.
Administrative service must provide relievers during leaves
Very slow processing of requested equipment, instruments, apparatus and supplies.
Prioritization/Speed up processing of requested materials, equipment, apparatus and supplies.
Very insufficient supplies received by clinical areas.
Reduction of department’s expenditure by requesting necessary items only.
Continuous slashing of commonly requested and used supplies.
Granting of regular requisitions for supplies/materials. Immediate rehabilitation of pay rooms, Immediate feed backing if requested supplies/equipment will not be granted.
Lack of needed medicines/materials at our Pharmacy.
24 hour-availability of post operative medications for Pay and patients with Philhealth
24-hour operation of DOH Botika/completing the Welfare Pharmacy of all the needed medicines/supplies.
Lack of necessary reagents for various laboratory examinations.
Completing the Laboratory with the requested examinations.
Delay of repairs of much needed equipment and apparatuses c/o Engineering Dept.
Unavailability of must be readily available things in the Engineering department.
Prompt repair badly needed. Additional & maximizing the contractual workers.
Engineering Department must be complete with regular supplies like bulbs etc.
Improper accounting of apparatus, equipment and surgical instruments at Main OR. Frequent losses of linen despite frequent inventories.
Regular check up of Engineering department of all equipment.
Assigning of property custodian at the Main OR.
Soiled linens are not returned at once. Centralization of linens.
Frequent losses of linens @ Morgue. Morgue personnel shall be made accountable to linens of cadavers brought down from the wards.
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There must be clear policy on these linens of the cadavers@ the Morgue.
Irregular/absence of preventive maintenance for the whole hospital.
Regular preventive maintenance of the Engineering Dept.
Replacements of condemned equipment/apparatus/instrument.
Prioritization of requested equipment for patient care.
Lack of stretcher beds due to their use in the medical wards & wheelchairs at ESC.
Admitting patients within bed capacity
Strict monitoring of overstaying patients.
Lack of commitment, late reporting and frequent disappearance of utility workers in the clinical areas.
Foreman to monitor closely the utility workers during 6-2 shifts on weekends and holidays and 2-10 shifts & 10-6 daily.
Defective air conditioning units at Paywards, NICU breastfeeding area.
Regular preventive maintenance/Repair & replacement of air-conditioning units.
No proper storage of milk. Provision of milk bank.
Hardship in transporting patients from the ward to RT during rainy season.
Building a covered pathway.
Dilapidated ceiling of hospice care and conference room needs repair.
Immediate repair.
Lack of needed equipment/apparatus, autoclave machine @ ESC Minor OR.
To request them as soon as possible.
100% overused chart holders in of the wards. Immediate replacement.
Poor quality performance of the sterilizer causing delay in the use of sterile supplies and delay in some OR procedures.
Be vigilant & careful in purchase of very expensive equipment.
Expert personnel must be asked to be part of procuring sterilizer.
We must have a sterilizer for saline solution.
Unavailability of emergency medications for : o =Philhealth patients, such as dobutamine,
dopamine o =ER patients, such as
phenytoin,diazepam,hydrocortisone,ATS,TTS, epinephrine, Phenobarbital, Nacetylcystein ampoules,D50 vials, CA Gluconate ampules, tranexamic acid ampoules, ranitidine and hyoscine
Immediate completion of our Pharmacy of all drugs for Philhealth, indigent and service patients.
Frequent complaints of ECO I patients due to dirty CRs/room, hot room.
Immediate construction of ECO I room with separate CR.
There should be regular helper on duty in 6-2 and 2-10 shifts to maintain the ward cleanliness.
Prompt response to pay patients’ need. Immediate repair of buzzers
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from patients’ room to the nurse’s station.
Frequent absence of cleaning supplies and materials.
Consistent supply of cleaning supplies
Absence of telephones to single rooms at Payward I especially we utilized them for patients with RAI.
Installation of telephones to single rooms at Payward I.
System
Inadequate staffing where clinical areas are staffed with nursing attendants instead of staff nurses like OPD Medicine,Ophthalmology, Ent, Neurology & Orthopedics.
Lack of nurses to man the growing subspecialty clinics.
Rerequest/Follow up of the additional 82 personnel from DOH
Residents, interns and clerks assigned at OPD are from duty or double post.
Frequent pulling out of utility workers.
Review schedules of PGIs & utility workers, no double posting, if pulled out there shall be replacements. Chief Residents/Supervisors must be penalized.
Late start of OPD consultation due to late arrival of Residents.
Somebody should monitor the Residents on duty @ OPD.
No interns to man the screening area. Somebody from the Medical service shall be posted here.
Bizbox implementation @ OPD not answering the paperless idea of computerization, it seems just an additional work for nursing service.
Partial Bizbox implementation for the clinical areas in the late months of 2012, but only for chatting.
Final evaluation of the implementation and management actions on the concerns.
Monitoring of IT staff of the implementation and giving feedback to wards and actions to concerns.
Late issuance of hospital cards to new patients. Request for the lifting of moratorium on hiring of Administrative personnel or Hiring of contractual workers or assigning NGO volunteers to admitting section to speed up issuance of hospital cards which are being paid by patients.
Incomplete data at the OPD follow up form of patients seen at ESC then for check up at OPD.
Flocking of patients not accommodated at OPD to ESC for consultation.
Early cut off time of OPD check up.
Additional patients for Penadur injections, foley catheter& nasogastric insertions and cast removals @ ESC coming from OPD.
Overstating patients for observation (OBS) due to correction of electrolytes lasting for five to six
ESC ROD/NOD shall be oriented on the completeness of this OPD follow up form before issuing same to patients.
ESC and OPD should talk about these concerns and come up with solutions
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days.
Delayed management of patients due to delayed issuance of laboratory results and other ancillary examinations.
Laboratory department should be notified about these and should do something.
Incomplete patient records due to delayed issuance of radiologic and ECG results.
Heart station and Radiology Department must release and ward results at once.
Overstaying of admitted ESC patients due to occupied ward beds, especially Neurology.
Admitted patients should be brought to the ward once admitted but we go back to the policy of admitting to bed capacity only.
Too many patients @ESC due to absence of Social Service specially for those who want to avail of payward service.
Increased number of absconding patients because of their discomfort caused by too many patients.
Reviewing of protocols of admitting patients at ESC, networking and transferring to concerned wards. Medical Social Service to be back on 24 hours duty.
Delayed ambulance conduction of patients for special procedures due to lack of ambulance, driver, interns and clerks (in some cases)
Request from politicos for additional ambulance.
Assign separate driver for pay patients for ambulance conduction.
Late and erratic doctors’ rounds.
Making prescriptions and laboratory requests not regularly done by Doctors.
Discharge summary & prescriptions not accomplished by Residents.
Delayed accomplishments of death certificates.
Strictly follow the policy on Doctors’ rounds. They should accomplish everything & should follow the policies regarding immediate compliance.
Early and before 10 am only with completely made laboratory requests /referrals and prescriptions at all times.
Difficulties in handling professional fees at Paywards.
Review and intensifying the policy on professional fees for discharged patients at Paywards.
For operative cases, all professional fees must be strictly collected by service concerned.
Physicians giving discharge orders must post their professional fee at the cashier.
Full implementation of BIZBOX.
Absence of house physicians at Paywards.
Delayed reading of skin tests & conduction of patients to other hospitals & incomplete monitoring of vital signs of patients for close watch @ Payward due to nonavailability of intern.
Assigning permanent or on-call house physicians to Paywards.
Inability /difficulty of some patients at Paywards to Intensify rigid collection of
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settle bills especially emergency admissions. additional deposits to update hospital bills.
Intensify rigid screening of would-be pay patients by the Medical social service and Admitting section.
Proper screening & thorough explanation of room accommodation & professional fees must be conducted @ the admitting section. Upon ER admission, trauma cases in particular, the admitting resident shall accomplish a waiver with regards to hospital bill & professional fees. Daily follow up of billing section to update bills.
Loss of laboratory results done at ESC. Only ER Nurses shall receive laboratory results and shall provide a logbook in releasing results to residents and there should be a hospital memo to this effect.
Scheduled billing time not sufficient.
Slow processing of bills of patients for discharge.
2-shift- manpower @ billing & medical social service section.
24 hour manpower at Billing section, bill computation shall be centralized and can be viewed anytime.
To facilitate discharge of HAMA, deaths with or without PHILHEALTH after office hours.
Immediate full Implementation of BIZBOX.
Unavailability of medical intern to man the triage area of OPD.
Medical people assigned at OPD made to attend conferences, grand rounds and other activities.
There should be a written policy excusing OPD duty residents, interns and clerks from attending conferences, grand rounds and other activities in their department or otherwise schedule conferences during lunchtime or after office hours or weekends.
Non-compliance of residents @ ESC to admitting protocols @ Surgery & Uro departments and handling patients for OPD follow up.
Follow protocols otherwise their attention should be called. Strict ESC management. Consistent reporting of violators to the Management.
Constant patient dissatisfaction @ ESC especially @ URO, ORTHO & Ophtha due to frequent absence of residents on duty.
All Residents on 24 hours duty should remain in their posts @ all times. Frequent rounds of ESC Chairman and OD after
Security guards should be strict and alert and visible @ all times.
Orientation of newly rotated resident physicians, PGI & medical clerks not fully implemented.
They should be monitored frequently and closely.
Cleanliness & orderliness of the ESC not maintained most of the time due to many patients & non-compliance of PGIs, medical clerks & residents to infection protocols.
Cleanliness of the wards not maintained due to lack of utility workers or their absences or lack of commitment
All employees should adhere to the infection control policies.
Utility workers should be sensitive to the cleanliness of the area @ all times and should have the initiative to clean
A need for a concerned, committed, diligent & hardworking utility worker.
Housekeeping Managers to religiously monitor their staff in all wards.
Consistent conduct of orientation to new residents, clerks, students, interns med techs by the ICC.
Unreasonable charges to procedures done @ ESC.
Review @ revise charges of procedures like: o CTT insertion o Casting/suturing of wounds o Removal of foreign bodies o Unjectomy o Changing of foley catheter o Thoracentesis o Blood transfusion o Paracentesis
Management to create Committee to review and benchmark costs.
Too many patients @ ESC. Activate the sections of admitting, cashier, pharmacy, laboratory @ ESC.
Too many patients in all the wards. Admit patients according to bed capacity.
Doctors to closely assessed patients progress and to discharge them.
Designation of ward secretary @ Paywards. To ease up the staff nurses’ workload in attending patients’ needs.
Prolonged stay of patients for discharge due to unsettled bills and failure to replace borrowed blood.
Fast action of management on referrals from wards.
Difficulty of Nursing Attendants in getting Construction of covered walk.
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medicines @ the DOH Botika especially during rainy days, very far from the main hospital and we do not have covered walk for them to pass.
All medicines and supplies should be available inside the hospital pharmacy for easy access.
Admitting Office not consistent in issuing order of payment for newly admitted patients’ watchers’ pass.
Admitting office should issue the watcher’s pass to prevent the relatives from going down then back and this will lessen the workload of the nurses attending to so many patients in the ward.
Frequent deference of elective OR cases due to incomplete medicines/materials; unannounced water interruptions/brownouts.
Proper & strict implementation of SOP’s & policies especially for elective cases admission (complete work ups & OR medicines, updated clearances.
Frequent failure of admitting office to forward OR notifications of elective cases admitted during weekends.
Close compliance of admitting clerks in the discharge of their duties.
ESC waiting area becomes site for sleeping by vendors/scavengers?
Lack of proper implementation to NO SMOKING, NO LOITERING,Generic Law, Breastfeeding Law.
Regular & strict checking of ID/pass for those who are staying inside the ER waiting area by the security.
Jail guard leaves their patients-prisoner unattended.
Stricter policy on police/BJMP assigned to patient-prisoner everytime they leave their posts.
Poor compliance of Property and Procurement regarding requisitioning of recurring items.
50% stock level should be strictly followed in requesting supplies. Property and procurement shall make constant follow up of the requested items.
End users must be made aware of the unavailability of supplies and problems encountered during the course of requisition.
A target date must be set for the requisition of end users and should be informed if such was approved or not.
A flow chart of requisitioning must be furnished to guide the requisitioning department where to follow up requests.
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NURSING TRAINING OFFICE ACCOMPLISHMENT REPORT CY-2012
I. Income Generated
1. Affiliation Fee = P 640,600.00 2. Users’ Fee = P 685,200.00 3. Enrichment Course Fee = P 27,500.00 4. Truman State University Transcultural = P 19,000.00
Nursing Affiliation Fee 5. Caregiver OJT Fee = P 16,200.00 6. MAN / MSN Practicum Fee = P 9,600.00 7. Research Fee = P 2,000.00 8. Pre-employment Exam Fee (N.A) = P 600.00
TOTAL = P 1,400,700.00
II. Staff Development and Training Program Conducted - 100% accomplishment of the planned staff development and training programs CY-2012, and
had two (2) additional programs (Seminar-Workshop on Focused Charting and Review of Performance Evaluation Standards and Targets)
Staff Development / Training Program Conducted
Dates of Conduct
Number of Participants
Evaluation / Outcome
1. Seminar-Workshop:
Review of Nursing Service Policy
January 24 – 27 & 30, 2012
28 participants (Selected Nurse Managers)
Over-all rating was very satisfactory
Accomplished draft of the policy and flow system of the 6 Key performance areas based on the Philhealth Benchbook.
Submitted to the MCC thru the Chief Nurse recommendations re: hospital policy / orders affecting the flow system of nursing activities.
Final critiquing not done due to unavoidable circumstances, but will consider in CY-2013 planned programs.
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2. Strategic Planning on Nursing Standards and Audit
February 15 – 18, 2012
26 participants (Selected Nurse Managers)
Over-all rating of the program was very satisfactory.
Objectives were met; participants able to understand and appreciated the importance of identifying staff and ward needs based on set standards, prioritization and formulation of strategies, and evaluation of the outcome.
Enhancement of the participants’ KSA on the general objective of this program was very evident as demonstrated during the group work presentation.
3. Staff Development
Program for Nurse I “Core Competencies and Values for Effective and Efficient Patient Care and Work Relationship”
1st Batch: March 7 – 9, 2012 2nd Batch: March 14-16, 2012 3rd Batch: March 21 – 23, 2012 4th Batch: March 26 – 28, 2012
226 participants (composing 25 regular staff and 201 RNheals)
Over-all rating of the program (4 batches) was outstanding or excellent.
Participants expressed great satisfaction in enhancing their KSA as written in their evaluation form.
Demonstrated competency in performing nursing care in actual work setting.
4. Moral Values and
Spiritual Enrichment Seminar-Workshop, with the theme “EMPOWERD” Moving Hearts. Changing Minds.
1st Batch: April 16, 2012 2nd Batch: April 17, 2012 3rd Batch: April 18, 2012 4th Batch: April 19, 2012 5th Batch: April 20, 2012
310 participants (Multisectoral)
Over-all rating of the program was excellent.
Active participation was demonstrated.
So far, participants were observed to be kind and displayed positive attitude towards works,
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clients, and co-workers.
Will consider additional days of the program as suggested.
5. IV Therapy Training
Course for Nurses
April 24 – 26, 2012
30 participants (Regular staff nurses and RNheals)
Over-all rating of the program was outstanding.
A very remarkable outcome on the participants’ knowledge as per the result of pre and post test. 50% failed in the pre-test (75% as the passing score) and 100% passed the post test. Participant is required to pass the post test for her/him to go on practical exam. Fortunately, all of them had passed the practical exam, and so far, had completed the required cases as a requirement in securing and IV Therapy Card.
Participants had demonstrated competency and effectiveness in performing IV Therapy procedures, although, some still had to be reminded.
6. Staff Development
program for Nursing Attendants “Enhancing Capacity of Nursing Attendant in the Work Setting cum Teambuilding”
1st Batch: May 2 – 4, 2012 2nd Batch: May 9 – 11, 2012
104 participants
Over-all rating of the program was excellent.
The 1st day was done at the AVR1 and the 2nd & 3rd day at Boso-Boso Highland Resort, Antipolo City.
Enhancement of the participants’ KSA
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was very evident as stated in the evaluation form and as demonstrated in the work setting. They were cleared on how their tasks must be performed as per the standards.
They expressed great appreciation on their teambuilding activities and they were so very active and had shown great support all throughout the program activities.
Good camaraderie and bonding were developed and rebuilt. Hence, had increased job satisfaction.
7. Transcultural
Nursing (Truman State University, Missouri, USA)
May 21 – 25, 2012
8 Nursing Students and 2 Clinical Instructors
It was again a very fruitful experience as remarked by the participants.
Actual performance of the different nursing procedures and care in the areas of assignment (ER, Delivery Room, Cord Dressing Area, OR, Pediatric ward, Burn Unit) with the closed supervision of their CI and area nurse manager.
Demonstrated good understanding of Filipino culture and values and able to deal with the clients effectively.
Clinical Instructors expressed their thanks for the continuous support of
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JRRMMC in this kind of program and looking forward for the continuity of it.
8. Presentation of
Actual Patient Care Management
June 5 – 15, 2012
200 Nurses under the Project RNheals divided into 21 groups
The over-all rating of the program was very satisfactory and objectives were met.
Participants were able to present their case well following the format and guidelines given.
Although, there were still some corrections, so far, 90% had considered the appropriate nursing care management.
9. Post Graduate
Course in Critical Care Nursing
July 2 – August 9, 2012
73 participants (22 Regular staff, 47 RNheals, 4 from NCGH)
The over-all rating of the program was excellent; although, there were some comments such as overtime, longer clinical exposure in ICU.
There was a remarkable improvement in the intellect of the participants. Pre-test was conducted in the first day of the program, and only one (1) passed the exam; same test was given as post test on the last day and 8 failed using 75% as the passing score. These were required to repeat the same exam and fortunately all of them passed.
As part of the program, participants were required to present a case by
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group. So far, they were able to consider the appropriate care management for patient in ICU, although there were still some corrections.
10. Refresher Course in
IV Therapy Program
August 29 – 31, 2012
58 participants
The over-all rating of the program was outstanding / excellent.
This program aims in refreshing and updating the participants of the new technology and approaches for effective and efficient implementation of IV therapy. This also provided the participants the number of units required for the renewal of IV Therapy card.
11. Basic Course in Ostomy and Wound Care Nursing
September 11 – 14, 2012
28 participants The over-all rating of the program was excellent.
There was a remarkable increase in the understanding of participants on ostomy and wound care as per the result of the pre and post tests. Only 50% passed in the pre-test and 100% in the post-test. A practical exam was also conducted on the last day, and 100% passed the exam.
All participants were required to have an actual ostomy and wound care, wherein they were able to do it well.
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Additional Programs Conducted
1. Seminar-Workshop
on Focus Charting (FDAR): Preparation for Pilot Study and Implementation
October 8 – 25, 2012 in 6 Batches
138 participants (Staff from selected areas for pilot study)
95% attendance from the expected number of participants.
Demonstrated more understanding of effective documentation.
Expressed appreciation of the advantage of FDAR, although, they were a little bit anxious of this change.
Preparation of guidelines prior to pilot study still on the process.
2. Seminar-Workshop
on the Review of Nursing Service Performance Evaluation System
November 19 & 20, 2012 in 2 batches And December 7, 2012
64 participants (All nurse managers)
It was a fruitful discussion and able to revise and formulate appropriate functions based on the standards and targets.
Had finished N.A., Nurse I, Nurse II-OR, Nurse II-PACU, Nurse II-Service, Nurse III.
Still for typing.
III. Regular Orientation Programs Conducted
Orientation Program
Dates of Conduct
Number of Participants
Evaluation / Outcome
1. General
Orientation for Nursing / Midwifery / Caregiver Student Affiliates
Every 1st & 3rd Monday of the month (am & pm session)
As per school’s request
January = 345 February = 44 March = 78 April = 64 May = 88 June = 178 July = 280 August = 94 September = 28 October = 0 November = 203 December = 201
100% compliance of school affiliates in this guideline.
Non-compliance of students to the rules and regulations as viewed in the orientation were properly coordinated.
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TOTAL = 2,180 Minor findings noted.
2. Orientation
Program for Newly Appointed Staff
As they come.
February = 2 Staff Nurses (Regular) March = 8 nurses (RNheals) April = 8 RNheals May = 5 Regular staff nurses June = 1 RNheals August = 14 RNheals September = 3 Regular Staff Nurses TOTAL = 41 Staff
Emphasized more on the attitude and commitment to the organization.
So far, demonstrated good performance. Proper discussion done on problems identified.
Closely followed-up.
3. Orientation
Program for Clinical Instructors, MAN/MSN students, in-service trainees, and foreign Delegates from Bangladesh
As they come
Clinical Instructors = 20
MAN students = 4
In-service (CSGH) = 2
Delegates = 6
One (1) participant did not continue clinical instructor’s orientation and the rest passed the evaluation and were performing well in their respective area of assignment.
With minimal problems which were properly discussed and resolved.
IV. Work Activities Performed
Work Activity Performed Number of Times / Number of Participants
Evaluation / Outcome
1. Pre-employment
Examination
Theoretical
RNheals Project January 17 = 30 March 12 = 41 June 4 = 39
N.A. Sept. 18 = 6
13 Passed and 17 Failed 14 Passed and 27 Failed 14 Passed and 25 Failed
3 Passed and 3 Failed
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Nov. 13 = 9 Practical 13 Nurses
2 Passed and 7 Failed
12 Hired and 1 Resigned
Note: Those who passed the pre-employment exam. were recommended for hiring. Applicants for RNheals Project who had passed the theoretical exam were accepted.
2. Re-orientation of Staff from
leave of absence
January = 39 February = 41 March = 45 April = 39 May = 42 June = 61 July = 54 August = 109 September = 42 October = 49 November = 38 December = 30 TOTAL = 589
99% compliance.
40% complied very late.
Another chance of viewing concerns and clarifications among staff.
3. Interview of nursing
service applicants for promotion.
Nurse II-Service applicants = 4
All applicants passed &
recommended.
4. Exit Interview
Nurse II = 2 (Resigned) Nurse I = 8 (Resigned) N.A. = 2 ( Resigned) Total = 12
Most gave positive feedback and greatly acknowledged experiences gained in the institution.
For negative feedback – discussed with concerned persons.
Country of destination: Singapore, UAE, K.S.A.
Other reasons : To take care their family and to continue studies.
5. Monitoring of School and
Student Affiliates
Total students = 6,219
Total schools = 21
Based schools: CEU-Mendiola, LCCM, St.Jude College-Manila,
A great decline in the number of students (75%) compared to last year.
Closed monitoring was done. Although there were still problems encountered, e.g. non-compliance on some affiliation rules, the NTO staff able to discuss and coordinate
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PRI, and OLFU – Quezon City
Affiliating schools: (Metro Manila) Manila Tytana, PHCM, OLFU-Valenzuela, Concordia, Olivarez, Chiang Kai Shek, Arellano University, PLM, ; (Provincial) MCNP, St. Paul-Tugue, Lyceum of Aparri, Univ. of St. Louie-Tugue, St. Mary’s Univ.-Viscaya, Ateneo de Naga, Aquinas Univ.
Caregiver Schools = ISAP, St. Catherine, Kennedy Global
properly to the concerned.
School administrators showed great support to the institution’s projects.
Changes in some charges and guidelines pertaining affiliation were properly coordinated.
Issues and concerns regarding affiliation and training of students were discussed during the clinical plotting conference.
V. NTO Staff Development and training Programs / Lectures / Convention / Seminar / Speakership
Attended
Date of Attendance Training Program / Lecture / Convention / Speakership
Participant
February 9 – 10, 2012 Philippine Wound Care Society 1st Annual Convention “Revisiting Wound Care Principles & Management in the Clinical Setting”, @ Century Park Hotel, Manila
Ms. A. Salamanca Ms. M. Nicolas Ms. G. Yu
March 1 – 3, 2012 JRRMMC Finance Planning & Workshop, @ Sea Water Resort Lucena City
Ms. A. Salamanca Ms. E. Capito
March 5 – 7, 2012 Training & Workshop on Good Clinical Practice & Research Ethics @ DOH Duque Hall, Manila
Ms. A. Salamanca
March 14, 2012 HBAC Conference on Orientation of Duties and Responsibilities of TWG Committee @ OPD Conference Room, JRRMMC
Ms. A. Salamanca Ms. E. Capito
March 16, 2012 ANSAP Convention “Nursing Leaders Are You Meeting the Target?” @ Manila Hotel
Ms. A. Salamanca Ms. G. Yu
March 26, 2012 Biennial Congress of Asean Society of Colorectal Surgeons together with ETNAP & ORNAP @ Sofitel, Manila
June 14, 2012 ETNAP Seminar Update: Wound Care Beyond Traditional Management @ NKTI
Ms. Salamanca (Speaker & Program In-Charge Ms. G. Yu
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July 6, 2012 Quality Initiative in Regulation of Hospitals @ Bayanihan Hall Mandaluyong City
Ms. M. Nicolas
July 10, 2012 5th ICU Nutrition Course @ Crown Plaza Manila Galleria Pasig City
Ms. R. Soliman
July 19 – 21, 2012 HBAC Seminar & Workshop: Review of R.A. 9184 & Formulation of Checklist for Eligibility Requirements, Flow/SOP & Post Qualification Format Report @ Whiterock Waterpark & Hotel Subic
Ms. A. Salamanca (Program Coordinator) Ms. E. Capito
August 2, 2012 Continuation of HBAC Workshop @ OPD Conference Room
Ms. A. Salamanca Ms. E. Capito
August 14, 2012 Public Hearing on Guidelines on Nurse Volunteerism @ DOH Region IV Conference Room, Quezon City
Ms. A. Salamanca
August 24, 2012 ANSAP Mid-Year Convention “Evolving Health Care: New Challenges, New Opportunities” @ Manila Hotel
Ms. Eligia Capito Ms. Gliceria Yu
September 7, 2012 ETNAP Update: Basic Core Competencies in Caring Abdominal Ostomies @ JRRMMC AVR1
Ms. A. Salamanca (Speaker) Ms. E. Capito Ms. R. Soliman Ms. M. Nicolas Ms. G. Yu (Facilitator)
October 4 – 5, 2012 JRRMMC Department of Medicine Post Graduate Course “ Pulmonary Trending” @ DOH Convention hall
Ms. A. Salamanca Ms. R. Soliman Ms. M. Nicolas Ms. G. Yu
October 9, 2012 Phil. Academy for Head & Neck Surgery Inc. 6th Biennial Congress @ Duque Hall, DOH
Ms. R. Soliman
October 17, 2012 Interdepartmental Summit Meeting “Easing the Struggles of Mang Jose VS DM” @ JRRMMC OPD Conference Room
Ms. Rebecca Soliman
November 7 – 9, 2012 DOH Workshop on Nurse Certification Program Level 1 & 2 @ Tagaytay City
Hospital Bizbox Computerization – Program Coordinator
Nursing Service Selection & Promotion Committee - Member
Philippine Nurses’ Association – Lifetime Member
National League of Philippine Government Nurses – Member
Association of Nursing Service Administrators – Member
Enterostomal Therapy Nurses Association of the Phil. Inc. - Member
Gliceria A. Yu
JRRMMC Essential Newborn Care Committee – Member
Price Monitoring Team – Member
Hospital Infection Control Committee – Member
Committee on the Review of Schedule of Fees and Charges - Member
Nursing Service Selection & Promotion Committee - Member
Philippine Nurses’ Association - Lifetime member
National League of Philippine Government Nurses, Inc - Lifetime member
Association of Nursing Service Administrators of the Philippines - Member
Emergency Nurses Association of the Phil. – Member
Enterostomal Therapy Nurses Association of the Phil. - Secretary
VII. Outcome of Action Plan 2012
Plan / Project Outcome Remarks
1. Review of Nursing
Service Policy: Aligning to Philhealth Benchbook
2. Formulation of Standards and Audit Tools / Parameters
These activities had been included in CY-2012 Planned Programs, and had conducted.
Output still for critiquing
To include in the CY-2013 Planned Programs and to follow strictly time frame.
Goal: 100% accomplishment
3. Request of the
equipment / materials that were not facilitated in Y-2011 and additional things needed for the IV therapy training program: laser pointer, suction apparatus, bed, LCD projector, copier machine, chairs, tables, IV stand, forceps, jars, hypotrays.
Acquired the following equipment: - Laser pointer (2) - Computer, desk top (1) - Printers (2) - LCD Projector (1)
The rest were not yet requested – skills lab. Was utilized temporarily by PICU.
No bid received for copier machine.
To include in the action plan Y-2013 the request of necessary equipment and materials needed for training.
4. Update and organize
Updating of contents was done but
To include again in
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contents of Orientation Program for Nursing students (in video clips).
unable to have it in video clips. the 2013 action plan.
5. Follow-up of the
installation of power switch for newly acquired and installed split-type air-conditioner at the NTO.
Power source was installed, but still, the Engineering has to coordinate with the supplier regarding installation.
To include in the 2013 action plan re: installation as soon as possible.
6. Support cost-cutting of
electric and water consumption.
Compliance was strictly implemented.
To continuously maintain the strict compliance on cost-cutting of electric and water consumption.
VIII. Action Plan CY-2013
Project / Plan Activities / Strategies
Time Frame Source Budget Point Person
1. Request / Follow-
up the following equipment and things needed for training activities:
- Copier machine
- Bed for skills lab
- Suction apparatus
- Chairs - Collapsible
tables - White
board, mobile
Follow-up canvass of copier machine.
Accomplish purchase request with appropriate specifications and unit cost.
1st Quarter up to 2nd quarter – the target of acquisition
Affiliation and Training Fund
Ms. Salamanca, BAC, Procurement & Finance
2. Compilation of
orientation program for nursing students in video clips.
Canvass supplier and cost
Accomplish & Follow-up purchase request
1st Quarter – canvass & PR
2nd Quarter – Acquisition
Affiliation Fund
Ms. Capito & Ms. Salamanca
3. Follow-up installation of split-
Coordinate with Engineering and
1st Quarter – accomplishm
General Fund
Ms. Salamanca
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type air-conditioner at the NTO.
consider time frame
ent of project & Engr. Velasco
4. Transfer of
responsibility re: billing of affiliation and user’s fees to the Accounting Department.
Coordinate with Head of Finance
Organize and conduct discussion & workshop Re: Guidelines to follow and Flow system ( to be done outside the institution)
1st Quarter – coordination and organization & conduct of discussion – workshop
2nd Quarter – transfer of responsibility
Cost as to acceptable auditing rulings and be charged to affiliation fund
NTO Staff and Selected Finance Staff
5. Ocular Visit of
Provincial School Affiliates
Coordinate with the Chief Nurse Re: Planned Activity
Organize schedules with selected provincial school affiliates
Accomplish and follow-up request letter regarding this activity to the MCC
January to February – to accomplish all the strategies
March onwards – execution of the activity as to schedule
Hospital Order only for Official Time and Cost to be shouldered by Staff
Management in the Clinical Setting DATE AND VENUE: February 9-10, 2012 at the Century Park Hotel, 599 P. Ocampo Street, Malate, Manila
“ PHICS 18th ANNUAL CONVENTION-- Leaping Forward, Taking the Lead” DATE AND VENUE: May 25-26, 2012 at the Century Park Hotel, 599 P. Ocampo Street,
Malate Manila
DOH CONVENTION – Standard and Best Practices for Sterilization in the Hospital Setting DATE AND VENUE: June 4-8,2012 at the National Kidney and Transplant Institute (NKTI), East Avenue, Diliman, Quezon City
PACSSM – Beyond Skill and Competence: a New Level of Excellence Date and Venue: June 7-8, 2012 at the Sulo Riviera
ETNAP SEMINARS – Wound and Ostomy Care Beyond Traditional Management DATE AND VENUE: June 14, 2012 at the National Kidney and Transplant Institute (NKTI), East Avenue, Diliman, Quezon City
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DOH-HEMS – National Disaster Risk Reduction Month DATE AND VENUE: July 17, 2012 at the Jose R. Reyes Memorial Medical Center, Rizal Avenue Sta. Cruz, Manila
DOH National Center Disease Pprevention and Control – Orientation on Specific Targeting for Real Time Reporting of Dengue in Metro Manila and Revised Dengue Treatment Guidelines DATE AND VENUE: July 24, 2012 at the DOH Convention Hall, Rizal Avenue, Sta. Cruz, Manila
JRRMMC AND DRB – Seminar on RA 9165 and Board Regulations Update for Pharmacists, Doctors and Allied Professionals DATE AND VENUE: August 17, 2012 at the Jose R. Reyes Memorial Medical Center, Rizal Avenue Sta. Cruz, Manila
ETNAP SEMINARS – Enhancing Basic Nursing Competencies in the Care of Patients with Abdominal Ostomies DATE AND VENUE: September 7, 2012 at the Jose R. Reyes Memorial Medical Center, Rizal Ave. Sta. Cruz, Manila
PSVI 10th ANNUAL CONVENTION – Evidence Based Medicine:What’s the Score DATE AND VENUE: September 13-14, 2012 at the Bayleaf Hotel, Intramuros, Manila
DOH- CHD – Consultative Meeting Among The Disease Surveillance Coordinators/ Surveillance Officers DATE AND VENUE: September 27, 2012 at the Duque Hall, DOH Compound, Sta. Cruz, Manila
DOH-CHD – Philippine Integrated Disease Surveillance and Response Epi-Info Data Analysis DATE AND VENUE: November 7-9, 2012 at the Quirino Memorial Medical Center, East Avenue Medical Center, East Avenue, Diliman, Quezon City
PSMID 34th Annual Convention – “strategies, Interventions and Responsive Solutions in Infectious Diseases” DATE AND VENUE: November 28-30, 2012 at the Crowne Plaza Galleria, Manila
PHICNA 16th ANNUAL CONVENTION – Bundle Approach in Infection Control DATE AND VENUE: December 7, 2012 at the Times Plaza Building, U.N. Avenue cor. Taft Avenue, Ermita, Manila
Monthly/ Quarterly Monitoring of Hospital Gross and Net Infection Rate
MONTH GROSS INFECTION RATE
Total # of Infections (Community-
Acquired + Nosocomial) Total # of Discharges
and Deaths
NET INFECTION RATE Total # of Nosocomial
Infections Total Number of
Discharges
QUARTERLY NET INFECTION RATE
ANNUAL GROSS
INFECTION RATE
5.24 % JANUARY (96/1578) 6.08% (48/1578) 3.04% 1ST QUARTER 2.00% FEBRUARY (68/1484) 4.58% (30/1484) 2.02%
MARCH (83/1722) 4.82% (18/1722) 1.04%
APRIL (91/1576) 5.77% (24/1576) 1.52% 2ND QUARTER 1.54%
ANNUAL NET
INFECTION RATE
MAY (71/1663) 4.27% (26/1663) 1.56%
JUNE (94/1578) 5.96% (24/1578) 1.52%
JULY (97/1566) 6.19% (45/1566) 2.87% 3RD QUARTER 1.80% AUGUST (88/1549) 5.68% (23/1549) 1.48%
SEPTEMBER (74/1541) 4.80% (16/1541) 1.04%
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OCTOBER (81/1557) 5.20% (34/1557) 2.18% 4TH QUARTER 1.81% 1.79% NOVEMBER (76/1558) 4.88 % (25/1558) 1.60%
DECEMBER (76/1641) 4.63%% (27/1641) 1.64%
Speakership/Preceptorship to Seminars Within the Hospital
1. In collaboration with the Nursing Training Office: Nursing Roles and Responsibilities in the prevention of Infection (STAFF
DEVELOPMENT FOR NURSES), March 30, 2012
Infection Control Program (STAFF DEVELOPMENT PROGRAM FOR HOUSEKEEPING) March 13,2012
Post Mortem Care with removal of Contraption (STAFF DE VELOPMENT
PROGRAM FOR NURING ATTENDANT) May 9, 2012
Infection Control in Critical Care Nursing Practice (POST GRATUATE COURSE IN CRITICAL CARE NURSING) July 19, 2012
Complication of IV Insertion (IV THERAPY UPDATE) August 9, 2012
Discharge Health Care for Otomies Patients (STOMA CARE FOR NURSING)
Sept 12, 2012
Monthly Needle Stick Injury / Blood and Body Fluid Exposure Monitoring
OCCUPATION NEEDLE STICK INJURIES
B/BF EXPOSURE
Medical Resisent 0 2
Nurse-Regular 4 1
RN-HEALS 20 1
Nursing Attendant 2 0
Lab/Patho Staff 1 0
Housekeeping Personnel 1 0
Janitorial Contractual 6 0
Medical Intern/Clerk 10 0
Nursing Student 2 1
Med-tech Student 1 0
TOTAL= 47 5
Philippine Integrated Disease Surveillance and Response System Monitoring Results A =Acute Flaccid Paralysis HC = Hepatitis C AEFI = Adverse Event Following Immunization BM = Bacterial Meningitis M = Measles CHO = Cholera MC = Meningococcal Disease D = Dengue Hemorrhagic Fever NT = Neonatal Tetanus DI = Diphtheria RAB = Rabies L = Leptospirosis ABD = Acute Bloody Diarrhea MAL = Malaria AE = Acute Encephalitis NNT = Non-Neonatal Tetanus HA = Hepatitis A P = Pertussis HB = Hepatitis B TF = Typhoid/ Paratyphoid Fever
6.1 Control of visitors/guests.............................................................................................102,095 6.2 Public Queries.............................................................................................................150,310
1. Discharge submitted to us from the wards are oftentimes delayed or incomplete (no final
diagnosis) 2. Delayed submission of patient’s chart and death certificate.
Recommendations:
1. Provisions of the following:
a. Equipment
1. 2 units airconditioner 2. 1 unit HP Laserjet printer 3. 10 pcs. steel cabinet, 12 drawers for patients index card
b. Manpower
1. Three (3) Clerks to replace the two (2) assigned at the BAC Secretariat and one (1)
resigned.
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CENTRAL COMMUNICATION SERVICE/PUBLIC ASSISTANCE UNIT This year, patients with guarantee letter and Priority Development Assistance Fund (PDAF) increased by 20% with a total of 20,645 compared to last year of 15,653 catered patients. The Department of Health Enhanced Web Based Public Assistance Information System of the Medical Health Care Assistance Program (EWEBPAIS) was fully utilized to facilitate coordination and communication among the CHD and DOH Subspecialty, Special and Retained Hospitals. The system is geared toward excellence in the delivery of Health Care Services to attain a universal excellent performance for the benefits of the patients especially the less privileged. Unfortunately, this system is not yet implemented in this Medical Center because of no internet connection. Since this Medical Center is just within the compound of DOH, most DOH employees and referred patients with or without guarantee letters were accommodated. DOH-PAU referred 9,181 patients. However, despite the screening done by the PAU staff, there are still fictitious persons using guarantee letters from the politicians to get free drugs and medicines. Congressmen and Senators PDAF whose SARO expired in December 2012 were used to purchase drugs and medicines for the benefits of their referred patients/constituents. Aside from the Congressmen and Senators, now Mayors have also alloted PDAF in this Medical Center.
Accomplishments: 1.1. CCS/PAU
Received/Recorded communications ................................................................................................420 Released Communications/MOA...................................................................................................451/20 Filed/Indexed/retrieved records...............................................................................................500/200/50 Prepared/typed communications...........................................................................................................20 Prepared/submitted consumption reports...............................................................................................3 Evaluated/approved/filed guarantee letters....................................................................................20,825 Attended patient complaints and queries..............................................................................................20 Sorted/distributed mails..................................................................................................................20,450 Issued car pass/stickers.......................................................................................................................37 Posted/retrieved posters/streamers.............................................................................................129/155 1.2. TELEPHONE OPERATOR
Received/placed incoming/outgoing calls....................................................................................488,253 Placed paging calls........................................................................................................................89,975 Placed overseas and long distance calls..............................................................................................15 Switchboard breakdown and unusual incidents reported/recorded....................................................246
1.3. ELEVATOR OPERATOR
Conducted passengers to and from the area desired Reported elevator breakdown: Cage I....................................................................................................................................35 Cage III ................................................................................................................................278
Rehabilitation of elevator cage 2 done but necessary papers are being processed by The Lift Company, the winning bidder, before its final turn-over. A meeting held between the Management and the Otis Company for the immediate action during its breakdown.
Inspected/noted deliveries of supplies, materials/pharmaceuticals, equipment,
Foodstuffs, petty cash, donations, fixed rate, gray peg for in-vivo procedures................15,143 Recorded pre/post repair of equipment...............................................................................................160 Prepared/signed inspection report of deliveries based on P.O........................................................1,362 Witness Toxic Waste Disposal............................................................................................................231 Plans and Proposals: Reiteration of the following requests:
1. A new computer set for CCS-PAU and an internet connection for DOH-PAU EWEBPAIS 2. A new computer set with printer for the Inspection and Acceptance Committee 3. Additional manpower for clerical works in the Inspection and Acceptance Committee and PAU 4. Construction/renovation of a conference room into an amphitheatre type with complete heave
duty sound system 5. Relocation of CCS-PAU for a bigger room and provision of a separate room/waiting area for
patients in compliance with DOH Administrative Order No. s. 2010 because the present room has no enough space to accommodate the number of patients the Unit was attending.
6. Improve the BIZBOX to lessen paper works of PDAF and improve the reporting system. 7. Coordination of the Billing and Collecting Units in monitoring the accounts payable of DSWD,
Mayors and others. 8. Improve the reporting system of the PDAF by the Billing and Accounting Departments. 9. All departments concerned for PHIC and DOH LTO compliance must be aware to apply earlier for
whatever licenses/requirements needed to avoid penalty/delay. 10. Continuous monitoring of different committees for implementation of the PHIC Core compliance.
NUTRITION AND DIETETICS DEPARTMENT
The following are the services rendered: A. PROVISION FOR PATIENTS MEALS NUMBER OF PATIENTS MEALS SERVED - 386,524 Regular - 251,044
July 2012 -July 2-31 July 2, 9, 16 & 23 July 27 July 13 July 11, 18, 25
-
Patients and Employees
P 25,589.77
LECTURES DATES NO. OF PATIENTS
OBJECTIVES
Training Workshop on Hospital and Dietetic Service Management Manual
May 15-18 Chief Dietitian
Knowledge enhancement
Conference on the Current Trends and updates on Nutrition and Dietetics for DOH
September 17-19 2 Nut. & Dietitian
Knowledge and skills enhancement
Convention of the League of Registered Nut. & Diet. Inc.
September 20-21 2 NDs
Knowledge enhancement
Lactation Management Training October 11-12; 2 NDs Knowledge and skills
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October 18-19 1 Clerk 1 Adm. Aide
enhancement
Basic Life Support October 17-19 1 Adm. Aide
Knowledge and skills enhancement
Public Consultation on the proposed guidelines for the accreditation of facilities utilized for hospital food service and community practicum of Nut. Dietetics students
December 13 1 ND Good governance
Problems:
1. Short supply of detergent for cleaning food trays, pots and pans, and for maintaining the cleanliness of Nutrition and Dietetics premises.
2. Failure in bidding of some basic food commodities/items hinders in the implementation of quality food service.
3. Non-functioning of some exhausts fans which are not conducive to good health and working condition.
4. Reduced budget for foodstuffs that resulted in the reduced quantity of supplies. 5. No action done in the malfunction dishwashing machine. 6. Non-provision of drainage railings that might result to accident, and health hazard to Nut. &
Dietetics Staff and personnel.
Solutions/Recommendations: 1. Provision of the right amount of detergent as indicated in the PPMP and APP. 2. To schedule bidding for foodstuffs two (2) months in advance to give ample time for some failure. To be
resolved before the quarter started. 3. Approval of our request for exhaust fan. 4. To call the attention of the Engineering Department for the immediate repair of the dishwashing machine. 5. To increase the budget for foodstuffs because patients admission and prices of commodities are also
increasing. 6. Immediate replacement of drainage railings.
ENGINEERING AND PLANT OPERATION DEPARTMENT
A. Motorpool Unit
1. Preventive Maintenance
Split-Types Air-conditioner – 716
Window-Types Air-conditioner – 2,285
2. Trips
Administrative Trips conducted including medical missions – 1,000
Ambulance trips conducted – 1,053
3. Repair/Installation/Replacement Projects
Repaired HDD/DVD Recorder – 1 unit
Repaired Air-conditioning Unit (ACU) Copper Tube Insulation – 2 units
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Repaired Split-Types ACU – 6 units
Replaced strainer, Recharging Freon – 4 units
Repaired Window-Types ACU – 2 units
Recharging of Freon – 2 units
Repaired leak of ACU – 2 units
Replaced Insulation – 1 unit
Replaced capacitor and blower – 2 units
Replaced fan blower – 2 units
Replaced switch – 1 unit
Replaced Capacitor – 1 unit
Replaced Fuse – 2 units
Installation of Window-Types ACU – 8 units
Repaired/replaced office chair wheel – 12 units
Installed Oxygen tank chain support – 15 units
Replaced Conveyor Wheel – 10 units
Repaired hospital beds – 32 units
Repaired OR Table – 6 units
Installed Dental Chair – 1 unit
Repaired Stainless Cribs – 15 units
Repaired Incubator – 1 unit
Repaired Dental Compressor – 1 unit
Installed Hook – 10 units
Fabrication of IV Hanger – 10 units
Repaired Wheelchairs – 24 units
Repaired food carrier – 5 units
Installed Chapel’s speaker, fabricated holder – 2 units
Fabrication of hanger for negatoscope – 10 units
Repaired industrial fan – 8 units
Repaired folding beds – 15 units
Repaired Aluminum stretcher – 24 units
Repaired Nebulizer – 36 units
Repaired weighing scale – 1 unit
Repaired medicine trolley – 12 units
Repaired/replaced Oxygen carrier wheel – 30 units
Repaired Tamaraw FX AC System
Overhauled Tamaraw FX Radiator
Repaired Mitsubishi L-300 Radiator
Replacement of Mitsubishi L-300 Master Brake Cylinder
Repaired Toyota Corolla clutch and kilometre check-up
Replaced Mitsubishi Pajero Right Brake Caliper
Replaced Mitsubishi Pajero Brake Kit
Replaced Anfra Brake Shoe and Brake Kit
Fabricated Tarpaulin Stand – 2 units
Repaired Hydraulic Bed – 2 units
Permanent welded of hospital gate – 1 unit
Fixed ECG machine – 1 unit
Installed BP Apparatus and patient monitor – 1 unit
Repaired dental Injection pump – 1 unit
B. Printing Unit
Printed out different hospital forms and documents for wards, offices – 5,055 reams
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C. Physical Plant
Completed infrastructures/Projects: o Repair/Renovation of BAC Office – February, 2012 o Repair/Renovation of OPD Comfort Rooms – October 2012 o Repair/Renovation of HEMS/EMT Command Center, Phase I – October 2012 o Repainting of Ground Floor Doors and Hallway – February 2012 o Perimeter Light Installation – May 2012 o Repainting of Perimeter Fence – September 2012 o Renovation of Pediatrics Ward (SM Foundation) – October 2012 o Fabrication of BAC Office presidential table – October 2012 o Fabrication of Philhealth Counter – November 2012 o Repair of JRRMMC Roadway – November 2012 o Repair/Replacement of Director’s Office Doors – December 2012 o Repainting of ESC area – December 2012
Still on-going infrastructure projects: o Central Block Building – started August 2011
Preventive and Corrective Maintenance o Cleaning/dredging of drainage systems and catch basins – 12 x o Cleaning of buildings’ reinforced concrete gutter, canopies and roof decks – 12x o Repaired various chairs, tables, and cabinets
HOUSEKEEPING DEPARTMENT
Accomplishments:
1. Internal cleanliness and sanitation maintained:
2.1. General Wastes.......................................................................................................52,711 kgs. 2.2. Infectious Wastes.....................................................................................................98,219 kgs.
3. About 162,000 patients transported to and from the different clinical areas 4. Assisted in transporting patients to other hospitals for CT Scan, Ultrasound, X-Ray, home
conduction, etc. 5. Assisted in the transfer of patients, equipment, records, chairs, tables, etc., from one place to
another. 6. Issued housekeeping supplies to clinical areas, offices, and Housekeeping office any day as the
need arises: 6.1. Required color coded garbage bins were distributed and implemented in every wards and
special areas. 6.2. Aries Janitorial Services issued big plastic garbage bag every month (180 pcs of black , 180
pcs green and 180 pcs of yellow). 7. Coordinated and monitored deployment of contractual workers/ janitors in their assignments:
7.1. Aries Janitorial and General Services remained as the Contractual Janitorial Services for the year 2012 with 21 janitors.
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7.2. Maintenance of cleanliness of hallways, stairs, public CR’s, comfort rooms of all wards, including OPD Complex, window glasses, Dermatology, Radiotherapy, gutters and jalousies.
7.3. Collection and disposal of garbage including cleaning of garbage areas and garbage house. 7.4. Picked up and transported oxygen tanks to and from wards.
8. More or less 2,000 ornamental plants were under the care of Housekeeping Department. 9. Despite the facts that there was only one (1) Dormitory Manager fulfilling work for the three (2)
Dormitories were able to the following: 9.1. Updated the list of fees due from the dormitory residents for the year 2012. 9.2. Accommodated the following employees:
10. Selected staff attended the following seminars/orientations/lectures: 10.1. Five (5) of the Housekeeping Staff graduated the Scholarship Program from Department of
Health last March 25, 2012 at the Manila Hotel. And another two (2) staff is still availing the said program up to 2013.
10.2. AHW Seminar on January 26, 27 and 31, 2012. 10.3. Healthcare Wastes Management Committee Meeting – Feb. 2 and March 14, 2012. 10.4. Staff Development for Housekeeping on March 13-17, 2012 and March 20-24, 2012. 10.5. Multi-Sectoral Spiritual Enrichment Seminar entitled “EMPOWERED” on April 16, 2012. 10.6. JRRMMCEA Team Building on April 27-28, 2012. 10.7. Philhealth Benchbook Committee Meeting – June 14 and 29, 2012. 10.8. Pag-Ibig Seminar at DOH Convention – June 22, 2012 10.9. Infection Control Committee – June 29, 2012. 10.10. Seminar on Quick Response Team (QRT) – July 14, 2012. 10.11. Disaster Drill Lectures – July 17 & 19, 2012. 10.12. Seminar on RA 9165 and Board Regulation update for Pharmacists, Doctors and Allied
Professionals – August 17, 2012. 10.13. Lectures on Annual Procurement Program – August 28, 2012. 10.14. Seminar on Public Accountability and Anti-Red Tape (ARTA) – November 5-9, 2012. 10.15. Lactation Management Training – November 2012. 10.16. Basic Life Support (BLS) – November 29, 2012.
11. Recommended set of color coded trash bins are issued in different wards. 12. Garbage House partially renovated.
Problems:
1. Despite of Information/dissemination made regarding Waste Segregation Program, some employees still does not observed and participated in the proper use of garbage color coding.
2. Too much patients, visitors, watchers in the wards hampered the cleanliness program of the hospital.
3. Housekeeping Office and Housekeeping on duty for every wards has no proper place to keep their supplies, thus resulting to losses and scattered housekeeping tools.
4. Irregular monitoring of construction activities thus resulted to too much debris left in the surroundings.
5. Lack of Housekeeping equipments such as floor polisher, mop squeezer, ladder, etc. and insufficient issuances of housekeeping supplies affected the housekeeping activities.
6. Also one of the big problem of our Department is the habitual absences incurred (vacation, emergency, or sick leave), late in reporting for duty (tardy) and under-times by staff really affected the performance of the Housekeeping activities.
Recommendations:
1. Provide additional staff for the Housekeeping (Permanent or contractual) due to out of 92 staff as per original plantilla, 75 remained as of December 31, 2012, who fulfills the 24/7 hours duty of the Housekeeping.
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2. To provide wider room for Housekeeping Department so that we can able to place our equipments, supplies and lockers of our staff to avoid losses and scattered things in hallways.
3. Provide rooms or specific area for up keeping of our tools and supplies issued to our duty helpers in every wards.
4. Monitoring of construction works must be supervised to prevent too much debris in the hospital. 5. To have more seminars and lectures to upgrade our staff in relation to their nature of work.
LINEN AND LAUNDRY SECTION
Highlights of Accomplishment:
1. Raw Materials Purchased Total Purchased - 11,700 meters Total Amount of Purchased - P822,120.00
2. Ready Made Purchased Total Purchased - 2,530 pcs. Total Amount Purchased - P780,900.00
3. Supplies Purchased - P 15,229.70 Finished products were received as follows:
1. Lack of supplies and equipment. 2. Lack of linen personnel that affect the activity or work.
Recommendations:
1. Minor renovation of linen office in order to accommodate required cabinets for stocks. 2. The plan for in house laundry system should be seriously considered. 3. Immediate purchase of linen supplies and equipment. 4. To provide training/seminar/orientation regarding linen activities.
PERSONNEL DEPARTMENT
A. PERSONNEL TRANSACTION UNIT (Accretions and Separations)
Applicants/application processed…………………………………………………………………………...140 Regret letters prepared/mailed………………………………………………………………………………..24 Reference inquiries prepared/mailed……………………………………………..…………………………23 Applicants referred for Psychometric/P.E/
53 applicants Applicants given papers and requirements for appointment…………………………………….……..…79 Supplies information on application routing slip…………………………………………………………...229 Data for report system encoded……………………………………………………………………………..128 Appointments prepared……………………………………………………………………..………………..238
Original…………………………………….…….58 Reemployment………………………….………27 Transfer………………………………….………..2 Promotion………………………………………..10 Renewal……………………………………..….162 Others (Contract of Service) …………….…….49
Induction/Assumption papers prepared…………………………………………………………………….116 Supporting papers for first/promotional payment..……………………………………………..…………130 Service cards/Plantilla updated……………………………………………………………………………..216 Liaison works performed…………………………………………………………………..…IN…………1,187
OUT…..…….1,132 ARA-Summary of changes (GSIS)…………………………………………………………....117 emp/19 pp. PRC Verification ……………………………………………………………………………………………….57
Notice of expiration of temporary appointments: 1st notice………………………………....…….161 2nd notice…………………………..………..…156 3rd notice……………….…………….………….99
Orientation of newly appointed employees conducted/session……………………….…….……..…31/2 Leave applications processed………………………………………………………………….………..7,364
Medical /Para-medical……………………………...….643 Nursing/Nursing Attendant………………………….1,986 Administrative………………………………………...1,686
Supporting papers for last payment………………………………………….………………………...…1,196 Communications/Memos/Notices/Change of Name/
Special Order/Formal Charge/reports prepared/issued…………………..……………………..77
57
Performance Appraisal recorded/compiled………………………………………….………….……….1,840 Sworn Statement of Assets and Liabilities…………………………………………….………..………….989 Communication drafted and finalized……………………………………………….………….…………..357 Retirement papers processed…………………………………………………….……………..…………....13 Salary adjustment due to compulsory retirement……..………………………….………..……………….13 Salary adjustment due to step increment………………………………………..…………………………157 Certified-true-copy of supporting documents...……………………………..………….………………..2,793 GSIS/Philhealth application for membership of newly appointed…………………..………………..69/146 Hospital Order prepared………………………………………………………………….………………. ...716 DTR’s generated and processed ……………………………………………………...……..…………. 6,020 Schedule of duties of employees encoded………………………………………………………………..162 Permit to leave, failure to time in/out encoded………………………………….…….…………………1,589 Finger scan enrollment done………………………………………………………….…………………….134 Old Employees re-enrolled for finger scan due to technical problems…………………………………..13 Monthly attendance reviewed/recorded…………………………………………….42 sets/766 employees
C. PERSONNEL RECORDS/STATISTICS
Statistical reports of personnel complement prepared/typed……………………………………………………….135 Data for report system encoded…………………………………………………………………………….………….128 Incoming papers received/recorded……..…………………………………………………………...……………29,266 Outgoing papers recorded/released………………………………………………………………………………...5,910 Communications, Memos, Reports disseminated………………………………………………………….……...5,517 Advertisement/Publication of Vacancies……………………………………………………………………….……….24 Reports of unapplied leaves prepared…………………………………………………………………………………37 Reports of appointment issued (RAI)………………………………………………………………………………25/192 Reports on newly and promoted employees for all discipline to DOH & CSC…………………………………….12 Habitual Tardiness Monitored……………………………………………………………………………………………6
D. PAYROLLING
Payroll prepared/checked……..……………...…………………………………………………………………493 sets Medical /Para-medical………………………………………....92 sets/743 pp. MS PT/FT, DOH Deployed, Contractual, Malacanang ….192 sets/667 pp. Nursing/Nursing Attendant…………………………………….102 sets/938 pp. Administrative………………………………………………..….107 sets/1,015 pp.
Medical /Para-medical………………………………………....2,953 MS PT/FT, DOH Deployed, Contractual, Malacanang …...4,426 Nursing/Nursing Attendant……………………………………7,525 Administrative………………………………………………..….5,005
Problems/Analysis:
1. Delayed in the processing/action on personnel transactions/communications including payroll preparation due to waiting of turn in the use of computers and no access to internet.
2. Delayed in submission of respective Time Schedule of some departments/sections/units, especially Nursing Service.
3. Still office supplies come in meagerly (no Toners for printers despite 4 Purchase Requests). 4. Manpower shortage due to promotion, optional retirement and the Rat Plan (freeze hiring) on
permanent administrative positions. This was addressed accordingly by half-day duties of two (2) regular staff and higher administrative officer to be in-charge of Personnel Department.
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Recommendations/Plan of Action:
1. Acquisition of four (4) units of computer with printer and WIFI ready. 2. Vigilance on the part of the supervisors in reminding their staff in-charge of scheduling to submit their
respective CD’s and USB’s on time. 3. Acquisition/issuance of office supplies in accordance with the PPMP. 4. Hiring of contractual employees in accordance with Audit and Budget rules and regulations.
SUPPLY AND PROCUREMENT DEPARTMENT & BAC SECRETARIAT
Accomplishments: Total number of Purchase Request.................................................................................................3,049 Total number of Purchase Order.....................................................................................................1,472 Total number of Vouchers made......................................................................................................1,949 Total number of RIS made...............................................................................................................4,603 Purchase order/deliveries received..................................................................................................2,319
Supplies & Materials ......................................................................1,590 Drugs & Medicines ............................................................................680 Equipment ...........................................................................................49 Reports submitted by Property and Supply .......................................................................................157 Reports submitted by Procurement .....................................................................................................74 Sealed Canvass prepared by BAC Sec ............................................................................................914 Public Bidding assisted .........................................................................................................................8
Problems encountered:
1. Insufficient manpower to deal with the task of voluminous paper works of the three (3) sections of the department and BAC SEC that resulted in the delay of processing of much needed supplies and materials as well as submission of reports.
2. Delay in the awarding of common used supplies and drugs and medicines that resulted in the frequent non availability/insufficiency of supplies.
3. Scattered hospital properties in the open area due to insufficiency of secured and adequate storage areas.
4. Delay in the preparation of Annual Procurement Plan (APP) due to improper presentation of Project Procurement Management Plan (PPMP).
5. Additional tasks such as transfer of preparation of Contracts and vouchers of Dietary Department to Procurement Section without additional manpower.
6. Delay in the conduction of negotiated and shopping mode of procurement due to insufficient number of canvasser, only one (1) as of December 31, 2012.
7. Suppliers failed to deliver the goods on time due to their claim of too much delay in payment of their previous deliveries.
Recommendations:
1. Additional two (2) personnel in addition to existing two (2) contractual personnel for Procurement
Section, two (2) for Inventory Records, two (2) for Clerical Workers at BAC Secretariat and at least two (2) Canvassers (part time basis may be considered).
2. Fast tracking of evaluation of proposals as well as conduction of bidding as earliest possible time. 3. Construction of additional and secured storage areas. 4. Able to solve the proper preparation of PPMP for speedy presentation and consolidation into APP for
approval and eventual reference of schedule of requirements in the conduction of public bidding.
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5. Be strict in the implementation of “Processing of documents should not exceed 72 hours in an office” and the Procurement Section will report to the Office of the Medical Center through Chief Administrative Officer all prepared contracts not return as approved on the 5th working day.
SECURITY FORCE The Security Force accomplished the following for 2012:
1. Properties, assets and resources were properly guarded and protected from theft, arson, pilferage, trespass, destruction or damage and other unlawful acts.
2. Maintain peace and order within the hospital premises.
3. Employees, patients, clientele, visitors, officials and guests were protected from assault, harassment, intimidation and other unlawful/criminal acts.
4. Implementation of policies, guidelines, and program in consonance with control of security/safety within
JRRMMC premises.
5. Apprehended Suspect of theft/robbery and “salisi” - 18 5.1. Fernando Castillo Cruz- Suspected Salisi, January 17, 2012, ESC Waiting Area 5.2. Ralph Darwin Zafe – Commotion, February 12, 2012, ESC Waiting Area 5.3. Joseph Vargas Cañada – Theft Salisi, February 19, 2012, ESC Neuro Treatment 5.4. Jesus Borrel and Nilo Almalon – Sleeping without authorization, March 14, 2012 – Engineering 5.5. Dindo B. Odiaman – Theft (Salisi), April 2, 2012, ESC Interns Quarters 5.6. Josephine Leonardo – Theft (Salisi), April 5, 2012, OB Ward 5.7. Mark Anthony Bacsal & Robert Alcantara – Theft (Salisi), April 9, 2012, Condemn Area 5.8. Edwin Tillayo & Carlo Jay Aurillo – Attempted Theft, May 25, 2012, Radiotherapy Department 5.9. Manny Atison – Fistfight, August 2, 2012, Central Block Building
5.10. Rex Solis Ramos – Estafa, August 13, 2012, DOH Botika 5.11. Jonathan Frio Dogotdot – Theft, August 19, 2012, Side Door 5.12. Jayson Cortez – Theft, September 2, 2012, ESC Entrance/Exit Door 5.13. Ronald Salaulan – Slight Physical injuries, September 2, 2012, Orthopedics Ward 5.14. Jerry Buescas Ocol – Damage folding bed, September 19, 2012, ESC Surgery Treatment Area 5.15. Joselito Joson – Sleeping without authorization in Engineering Dept., October 30, 2012 5.16. Dr. Anuje Singh – Allegedly Sexual Harassment, November 2, 2012, Female Medical Ward 5.17. Alfredo Blanco – Employee under the influence of liquor, Dec. 1, 2012, Entrance/Exit Door 5.18. Romelito Borja – Theft, December 21, 2012, ESC Pediatric Treatment Room
Suspects for Theft and Salisi after physical examination and documentation, including taking of
pictures, were turned over to the police authorities and corresponding charges were filed. Likewise, other cases were settled by both parties and others are still on-going for further investigation. As to the damaged of properties, concerned people were already notified and necessary settlement was made.
Recommendations: 1. Immediate purchase of the following Security Equipments is highly recommended due to necessity for
security operation: a. Computer set with printer - 1 set b. Camera (digicam) - 1 unit c. Megaphone - 2 units d. Ammunition (12 gauge) - 50 pcs e. Ammunition (9mm) - 50 pcs f. Ammunition (cal. 40) - 50 pcs
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2. Training and upgrading skills for organic security: a. Security Service Training Course (PNP-SAGSD requirements and TESDA) pursuant to Sec. 5
Rule XI of the Revised Rules and Regulations implementing RA 5487 as amended. b. Gun Safety and Responsible Gun Handling with Marksmanship c. Fire Prevention and Control d. Emergency Planning e. Bomb Search and Identification Technique f. Costumer Relation Service
3. Paging System must be installed to the following areas:
a. Parking area b. Back offices (Disbursing, Property/Procurement, Budget, Engineering, and Morgue) c. Radiotherapy d. OPD
4. Structural Barriers (back of Dietary, RT and Rizal Avenue side) – a top fence is recommended to the
above-mentioned areas, must have at least four (4) feet high of concrete, cyclone or barbwire to prevent intruders.
5. To provide directional signages’ at main building and parking areas, reflectorized traffic signage’s at parking areas and parking rules and regulations.
6. Covered waiting area for patients and visitors to avoid loitering in the perimeter areas and covered walkway/lanes for pedestrians.
7. Monthly inventory/periodic inspection of fire extinguishers, fire hose system and fire doors must be done by concerned department.
8. Telephone lines must be installed at the side door and main door (guard post) for emergency calls, verification of patient’s relative/watcher’s and employees.
9. Daily print out of admitted patients name to be used by the guard for verification and screening purposes. STATISTICS UNIT Highlights of Accomplishments:
1. Reports collated from different departments:
Admitting – 366 reports of admissions ESC – 3,285 reports OPD – 12 monthly reports Wards – 13,870 floor census; 942patients satisfaction survey Other Areas – 355 reports
2. Verified census of In-patients, Out-patient and ER patients
In-patient service days – 144,990 Average No. of In-patients per day – 396 pts. Admissions - 19,036 Discharges and deaths – 19,023 OPD – 210,734 Average No. of OPD patients per day– 857 pts. ER – 86,953 Average No. of ER patients seen and examined/treated per day – 238 pts.
Some clinical charts of discharged patients are incomplete (no final diagnosis, no ICD codes, no disposition and result of treatment) causing delay in the preparation of our statistical report.
Clinical charts of some patients who were admitted but eventually died, absconded or transferred to other hospital while at the ER were not surrendered to Admitting Office making it hard for our unit to account daily report of discharges.
Other medical charts borrowed by doctors and or by Philhealth do not pass thru our Unit.
ER daily census reports of other departments are sometimes submitted to the Medical Records Section late.
Late submission of reports of other areas causing delay in our preparation of hospital statistical report.
2. Lack of manpower.
Recommendations:
1. All clinical charts of discharged patients if possible before they are forwarded to the Medical Records should already have a final diagnosis, disposition and result of treatment.
2. ER nurse should surrender daily to the Admitting Office the clinical charts of patients that were cancelled, absconded, transferred to other hospital or died at the ER.
3. Clinical charts of patients discharged should first be coursed to unit before lent out to doctors and Philhealth.
4. ER daily census report should be submitted daily by all clinical department every 9:00 am. 5. Filling-up of one statistician I position (who resigned last July 2011) and one additional clerk to assist
us in encoding clinical charts for data extraction.
Submitted by: Approved: (Mrs.) MA. LUISA U. RODRIGUEZ EMMANUEL F. MONTAÑA, JR., M.D. Chief Administrative Officer Medical Center Chief II \sarah Jan. 18, 2013
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ADMINISTRATIVE SERVICE ANNUAL REPORT PER FOUR DOH PILLARS
CY 2012
HEALTH SERVICE DELIVERY
COMPONENT PACKAGE DESCRIPTION
Provision for logistics support Centralized registration/ Registration of OPD patients - 126,217 documentation of patients Reservations - 3,093
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Documentation of admissions - 19,036 Documentation of discharges - 19,023 Cadavers released - 2,643
Maintenance of patient Verified / files encoded - 126,217 indices (PIVA)
Release of information Control of visitors/guests - 102,095 Public queries - 150,310
Ambulance Service Ambulance trips dispatched - 1,053
Dietary Services No. of Patients meals served - 386,524 Regular - 251,044 Therapeutic - 135,480 Blenderized feeding-
NoofPt
Ave. cost of meals served Pay - P106.25 PHIC/Medicare - 69.81 Charity - 72.48 Dietary Counseling of Patients: In-Patients - 1,582 Out-Patients - 55 Emergency Service Pts. - 6
Medical records Medical Information released management (MC/ML, SSS, GSIS, etc.) - 9,902 In-patient charts analyzed/ checked - 19,983 Diseases coded per ICD-10 - 19,805 Birth certificates registered - 2,090 Death certificates released - 1,120 OPD charts retrieved/filed - 179,125 Charts retrieved for research - 4,800
Human resource Applicants processed - 140 Management, Personnel Appointments processed - 238 transactions, actions and Service Cards/Plantilla Benefits
Collation/Report of SALN - 989 Collation/Report on PES - 1,840 Payroll prepared - 493/3,363 Disbursement vouchers for compensation prepared - 557 Distribution cards updated - 19,909 Attendance monitoring/ - 42 sets/ reporting 766 emp.
Statistical data reporting Reports of admissions - 366 ER Reports ER No. of patients Seen/ Examined/treated - 86,953 Average No. of ER Patients Per day - 238 pts. OPD Reports OPD No. of patients attended - 210,734 Average No. of OPD patients Per day - 857 pts. Ward Census - 19,036 Average No. of In-patients Per day -396 pts. Mandatory Monthly Report (PHIC) - 13 Quarterly & Yearly Hospital -5 Statistical Reports
Public Assistance Patients assisted -20,825 Public minor complaints handled - 20 PDAF/Guarantee letters processed -20,645
Engineering Services Preventive and Corrective Cleaning/dredging of drainage Maintenance Systems and catch basins - 12x Cleaning of buildings’ rein- forced concrete gutter, Canopies and roof decks - 12x
Housekeeping services Provision for clean and Internal cleanliness and sanitized buildings, sanitation provided: premises Clinical areas - 54 Offices - 48 Dormitories - 3 Conference rooms - 10 Garbage disposed: General waste 51,711 kgs Infectious waste 98,219 kgs
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Linen and laundry services Provision for clean linen Soiled linen laundered -418,580
Security services Maintenance of peace Apprehension of suspects: - 18 and order Salisi/Theft - 9 Slight Physical Injury- 1 Commotion - 2 Stafa - 1 Loitering & others- 4 Alleged Sexual Harassment - 1 Control of traffic, parking areas, entry/exit of employees, visitors; security and safety of employees, guests, patients and government properties year round
Other general services Elevator and telephone, Calls received/placed 488,253 communication services incoming/ outgoing Paging calls done 89,975 Overseas/long distance calls 15 Switchboard breakdown 246x Elevator breakdown 62x
Buildings and grounds Three (3) buildings including maintenance two dormitories and perimeter grounds
HEALTH REGULATION
Licenses, permit, etc. Compliance to required Sanitation permit applied/ licenses secured Individual health certificate secured Professional licenses
License to operate renewed PHIC accreditation renewed
GOOD GOVERNANCE
Provision for staff training Upgrading knowledge, Orientation/Re-orientation and development skills and attitude Programs:
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improvement - Security Awareness and Briefing on Radio Nuclear Facilities 1/7/10 - New JRRMMC employees Orientation Package 1/11-12/10 - Orientation Program for DEMM-NCGH Employees Employees Development Programs: - Radiotherapy Security 4/22; 5/6; Management Course 9/7/2010 - High-impact Staff Devt. For DEMM-NCGH 8/18-21/10 - Hands-on Training on Information Technology * Basic 10/26-28/10 11/22-26/10 12/6-10/10 * Advance 11/10-12/10 - Basic Life Support 11/30-12/1/10 Executive/Middle Management Development Programs: - JRRMMC Strategic Planning Workshop: Mission, Vision, Values, Goals, and Focus Areas For 2010-2015 2/5-6/2010 - Developing a High Performance Worksforce 10/29-30/10 - Basic Hands-on Training on Information Technology 11/22-26/10 Teambuilding Workshops cum Work Attitude and Values Enhancement Programs: - Building Collaborative Work Culture Among Finance Service Units 4/29-5/1/10
- Managing Work Attitude And Values Enhancement Towards Maximized
Performance 5/14-15/2010 - Managing Work Attitude And Values Enhancement Towards Good Governance 12/3-5/2010
Public Awareness/Guidance Loans and benefits - Pag-Ibig Orientation Continuing Quality Improvement (CQI)
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Control of purchases and Inspection of deliveries Inspection reports - 14,231 deliveries and pre/post repairs Pre/post inspection of repairs - 121 Prepared/signed inspection Report of deliveries based on Purchase Order and contracts - 1,820 Witnessed Toxic Waste Disposal - 166
HEALTH FINANCING
Generation of income Release of medical MC/ML, insurance claims, information SSS/GSIS P708,450 Processing of late registration/ P 24,250/ Admission of Birth Certificates P 7,200 Issuance of hospital card Hospital Card issued P3,169,600 Issuance of certifications, Certificate of employment, P 8,260 etc. Service Records, replaced lost ID Practicum/Actual Training Nutrition and Dietetics Actual P 22,500 Training and Practicum UP LB – 5 students -2,500 PUP – 20 students-20,000 /sarah 2012
