planning 2

ILLUSTRADOS GENERAL HOSPITAL #46 M. Soriano St., San Carlos City, Pangasinan 2420

ENERO|4B 14

Budgeting

1. Capital Budget

Construction Cost

EQUIPMENTS PRICE QUANTIT

Y

TOTAL

LAND 5,000/SQM 1,000

SQM

5,000,000

CONCRETE CEMENT 205/BAG 3,000 615,000

GRAVEL CEMENT 550/CUBIC

METER

5,000 2,750,000

SAND 450/CUBIC

METER

5,000 2,250,000

HOLLOW BLOCK 12.50/PC 7,000 87,500

REBAR 170/PC 4,000 680,000

PAINTS 1,500/GALLO

N

50 75,000

SINK 1,500/PC 40 60,000

BOWL 2,500/PC 37 92,500

FAUCET 300/PC 40 12,000

ELECTRICAL TUBE 350/PC 200 70,000

WATER TUBE 400/PC 150 60,000

NAILS 150/BOX 450 67,500

BRUSH 70/PC 80 5,600

MACHINES(TRUCK,CRANE,BULLDOZER,E

TC)

5,000,000 - 5,000,000

WINDOWS 800 550 440,000

DOORS 1,200 150 180,000

LIGHTS 200 600 120,000

TOTAL 17,565,10

0


ENERO|4B 15

Major Equipments

M.R.I. MACHINE 60,000,000 1 60,000,000 60,000,000

64 – 64 SLICE CT

SCAN

45,000,000 1 45,000,000 45,000,000

CARDIAC DOPPLER

ECHOCARDIOGRAPHY

750,000 1 750,000 750,000

MAMMOGRAPHY MACHINE 800,000 1 800,000 800,000

ELECTROENCEPHALOGRAM

MACHINE

200,000 1 200,000 200,000

TOTAL 106,750,000

2. Operational Budget

Construction Personnel

WORKERS SALARIES/MONTH # TOTAL TOTAL COST

FOR 2 YEARS

ARCHITECT 30,000 2 60,000 1,440,000

PROJECT

ENGINEER

40,000 2 80,000 1,920,000

ELECTRICAL

ENGINEER

30,000 2 60,000 1,440,000

LABORER 10,500 50 525,000 12,600,000

TOTAL 14,760,000

Hospital Personnel

WORKERS SALARY/MONTH # TOTAL SALARY PER

YEAR

MEDICAL

DIRECTOR

50,000 1 50,000 600,000


ENERO|4B 16

HOSPITAL

ADMINISTRATOR

48,000 1 48,000 576,000

SECRETARY 20,000 1 20,000 240,000

CHIEF NURSE 43,000 1 43,000 516,000

NURSING

SUPERVISOR

30,000 3 90,000 1,080,000

HEADNURSE 25,000 6 150,000 1,800,000

STAFF NURSE 15,000 24 360,000 4,320,000

NURSING

ATTENDANT

13,000 16 208,000 2,496,000

ORDERLY 10,000 8 80,000 960,000

PHYSICIAN 40,000 6 240,000 2,880,000

MEDICAL

TECHNOLOGIST

15,000 4 60,000 720,000

RAD TECH 15,000 2 30,000 360,000

PHARMACIST 14,000 1 14,000 336,000

PHARMACIST

ASSISTANT

10,000 4 40,000 480,000

NUTRITIONIST 18,000 2 36,000 432,000

NUTRITIONIST

ASSISTANT

10,000 4 40,000 480,000

PATHOLOGIST 25,000 2 50,000 600,000

FINANCE

MANAGER

30,000 1 30,000 360,000

HUMAN

RESOURCE

MANAGER

33,000 1 33,000 396,000

HUMAN

RESOURCE

PERSONNEL

12,000 2 24,000 288,000

HOSPITAL

CASHIER

12,000 3 36,000 432,000


ENERO|4B 17

RECORDS

KEEPER

8,000 2 16,000 192,000

JANITOR 9,000 10 90,000 1,080,000

SECURITY

GUARD

9,000 8 72,000 864,000

DRIVER 8,000 2 16,000 192,000

TOTAL 22,680,000

Operating Room Budget

NAME PRICE AMOUNT TOTAL TOTAL COST

FOR A YEAR

SURGICAL

TABLE

40,000 6 240,000 240,000

SURGICAL

LIGHT

25,000 12 300,000 300,000

STERILE

GLOVES

500/BOX 5 2,500 30,000

SURGICAL

INSTRUMENT

150,000 - 150,000 150,000

POVIDONE

IODINE

1,300/

GALLON

5 6,500 780,000

COTTON BALLS 100/BOX 5 500 6,000

ALCOHOL 1,200/GALLON 5 6,000 72,000

HAND SOAP 2,500/GALLON 5 12,500 150,000

MASK 300/BOX 3 900 10,800

CLEAN GLOVES 300/BOX 3 900 10,800

AUTO CLAVE 30,000 1 30,000 30,000

BP

SPHYGMOMETER

900 3 2,700 2,000

DIGITAL

THERMOMETER

150 6 900 900


ENERO|4B 18

MICROPHORE 500 10 5,000 60,000

CANNISTER 700 18 12,600 12,600

SUCTION

CATHETER

40 100 4,000 48,000

UNIVAC

SUCTION

MACHINE

25,000 6 150,000 150,000

FOLEY

CATHETER

50 50 2,500 30,000

TOTAL 2,083,100

Delivery Room Equipment

NAME PRICE AMOUNT COST TOTAL COST

FOR A YEAR

SURGICAL

TABLE

40,000 6 240,000 240,000

SURGICAL

LIGHT

25,000 12 300,000 300,000

STERILE

GLOVES

500/BOX 5 2,500 30,000

DELIVERY

EQUIPMENTS

100,000 - 100,000 100,000

POVIDONE

IODINE

1,300/

GALLON

5 6,500 78,000


ALCOHOL 1,200/GALLON 3 3,600 43,200

HAND SOAP 2,500/GALLON 5 7,500 90,000

MASK 300/BOX 3 900 10,800


AUTO CLAVE 30,000 1 30,000 30,000


ENERO|4B 19

BP

SPHYGMOMETER

900 6 5,400 5,400

DIGITAL

THERMOMETER

150 6 900 900

MICROPHORE 500 10 5,000 60,000

STETHOSCOPE 3,000 6 18,000 18,000

DROPLIGHT 1,200 12 14,400 14,400

DIAPER

- ADULT

140

50

7,000

84,000

TAPE MEASURE 15 6 90 90

CANNISTER 700 8 5,600 5,600

TOTAL 1,127,190

Nurse Station 1 (OB, Pedia, Isolation, Geria F)


FOR A YEAR

COTTON BALLS 100/BOX 20 2,000 24,000

ALCOHOL 1,200/GALLON 10 12,000 144,000

HAND SOAP 2,500/GALLON 10 25,000 300,000

MASK 300/BOX 10 3,000 36,000

CLEAN GLOVES 300/BOX 10 3,000 36,000

BP

SPHYGMOMETER

900 5 4,500 4,500

DIGITAL

THERMOMETER

150 5 750 750

STETHOSCOPE 3,000 5 15,000 15,000

WEIGHING

SCALE (ADULT

& PEDIA)

5,000 3 15,000 15,000

MICROPHORE 500 20 10,000 120,000

MEDICINE 25 20 500 20


ENERO|4B 20

TRAY

GAUZE PAD 200/BOX 5 1,000 12,000


SHARP

CONTAINER

500 1 500 500

NASAL

CANNULA

- ADULT

- PEDIA

40

30

20

20

800

600

9,600

7,200

OXYGEN MASK

- ADULT

- PEDIA

60

40

20

20

1,200

800

14,400

9,600

SUCTION

CATHETER

- PEDIA

- ADULT

30

40

10

20

300

800

3,600

9,600

TOTAL 761,845

Nurse Station 2 (Medical, Private, Geria M)


FOR A YEAR


ALCOHOL 1,200/GALLON 5 6,000 72,000

HAND SOAP 2,500/GALLON 5 7,500 90,000

MASK 300/BOX 3 900 10,800


BP

SPHYGMOMETER

900 5 4,500 4,500

DIGITAL

THERMOMETER

150 5 750 750

STETHOSCOPE 3,000 5 15,000 15,000


ENERO|4B 21

WEIGHING

SCALE (ADULT

& PEDIA)

5,000 3 15,000 15,000

MICROPHORE 500 5 2,500 30,000

MEDICINE

TRAY

25 10 250 250

GAUZE PAD 200/BOX 2 400 4,800


SHARP

CONTAINER

500 1 500 500

NASAL

CANNULA

- ADULT

- PEDIA

40

30

10

10

400

300

4,800

3,600

OXYGEN MASK

- ADULT

- PEDIA

60

40

10

10

600

400

7,200

4,800

SUCTION

CATHETER

- PEDIA

- ADULT

30

40

10

10

300

400

3,600

4,800

TOTAL 289,245

Nurse Station 3 (Operating Room, PACU)


FOR A YEAR


ALCOHOL 1,200/GALLON 2 2,400 28,800

HAND SOAP 2,500/GALLON 2 5,000 60,000

MASK 300/BOX 3 900 10,800



ENERO|4B 22

BP

SPHYGMOMETER

900 3 2,700 2,700

DIGITAL

THERMOMETER

150 3 450 450

STETHOSCOPE 3,000 3 9,000 9,000

MICROPHORE 500 5 2,500 30,000

GAUZE PAD 200/BOX 2 400 4,800

SHARP

CONTAINER

500 1 500 500

NASAL

CANNULA

- ADULT

- PEDIA

40

30

10

10

400

300

4,800

3,600

OXYGEN MASK

- ADULT

- PEDIA

60

40

10

10

600

400

7,200

4,800

SUCTION

CATHETER

- PEDIA

- ADULT

30

40

10

10

300

400

3,600

4,800

TOTAL 189,050

Nurse Station 4 (Delivery Room)


FOR A YEAR


ALCOHOL 1,200/GALLON 2 2,400 28,800

HAND SOAP 2,500/GALLON 2 5,000 60,000

MASK 300/BOX 3 900 10,800


BP 900 3 2,700 2,700


ENERO|4B 23

SPHYGMOMETER

DIGITAL

THERMOMETER

150 3 450 450

STETHOSCOPE 3,000 3 9,000 9,000

MICROPHORE 500 5 2,500 30,000


SHARP

CONTAINER

500 1 500 500

TOTAL 155,540

Nursery


FOR A YEAR


ALCOHOL 1,200/GALLON 2 2,400 28,800

STETHOSCOPE 3,000 3 9,000 9,000

MASK 300/BOX 2 600 7,200


DIGITAL

THERMOMETER

150 3 450 450

CRIB 3,000 6 18,000 18,000

DIAPER

- INFANT

40

50

2,000

24,000


TOTAL 100,740

Emergency Room Equipment


FOR A YEAR

STETHOSCOPE 3,000 6 18,000 18,000


ENERO|4B 24

COTTON BALLS 100/BOX 10 10,000 120,000

ALCOHOL 1,200/GALLON 5 6,000 72,000

HAND SOAP 2,500/GALLON 2 5,000 60,000

MASK 300/BOX 1,500 1,500 18,000

CLEAN GLOVES 300/BOX 5 1,500 18,000

BP

SPHYGMOMETER

900 3 2,700 2,700

DIGITAL

THERMOMETER

150 3 450 450

STERILE

GLOVES

500/BOX 10 5,000 60,000

STRETCHER 25,000 10 250,000 250,000

ECG 80,000 2 160,000 160,000

DEFIBRILLATOR 90,000 2 180,000 180,000

BANDAGE 300/BOX 15 4,500 54,000


IV INFUSION

SET

- MACRO

- MICRO

60

50

50

50

3,000

2,500

36,000

30,000

IV POLE 1,200 70 84,000 84,000

IV SPLINT

- PEDIA

- ADULT

50

60

100

100

5,000

6,000

60,000

72,000

BAG VALVE

MASK

- ADULT

- PEDIA

4,500

3,500

5

2

22,500

7,000

22,500

7,000

NASAL CANNULA

- ADULT

- PEDIA

40

30

50

50

2,000

1,500

24,000

18,000

OXYGEN MASK


ENERO|4B 25

- ADULT

- PEDIA

60

40

50

50

3,000

2,000

36,000

24,000

RUBBER SHEET 300 20 6,000 72,000

PLASTER OF

PARIS

150 20 3,000 36,000

WADDING SHEET 60 30 1,800 21,600

ELASTIC

BANDAGE

35 30 1,050 12,600

TOTAL 1,568,995

Hospital Tool Equipment

NAME PRICE AMOUNT TOTAL COST

HOSPITAL BED 7,000 72 504,000

BED MATTRESS 3,000 72 216,000

PATIENT GOWN 270 200 54,000

LAB GOWN 220 20 4,400

PILLOWS 200 150 30,000

LINENS 250 150 37,500

BED SIDE TABLE 4,000 72 288,000

REFRIGERATOR 8,000 22 176,000

AIR CONDITIONER 6,000 35 210,000

ELECTRIC FAN 900 20 18,000

TELEPHONE 1,000 8 8,000

OXYGEN TANK 4,500 50 225,000

OXYGEN TANK

CARRIER

2,500 10 25,000

CHAIR 350 80 28,000

TRASH CAN 350 45 15,750

CCTV 5,250 8 42,000

E – CART 12,000 6 72,000

PATIENT CHAR 400 100 40,000


ENERO|4B 26

ALUMINUM

FOOT STOOL 450 24 10,800

SUCTION MACHINE 20,000 6 120,000

CRUTCHES 1,200 10 12,000

WHEELCHAIR 2,200 10 22,000

WALKER 1,500 5 750

AMBULANCE 500,000 2 1,000,000

TOTAL 2,159,200

Laboratory Room Equipment


FOR A YEAR

MICROSCOPE 60,500 5 302,500 302,500

DOPPLER 2,400 6 14,400 14,400

X – RAY MACHINE 650,000 1 650,000 650,000

ULTRASOUND 150,000 1 750,000 150,000

NEBULIZING KIT 35 20 700 8,400

NEBULIZER

MACHINE

20,000 5 100,000 100,000

SPECIMEN BOTTLE 15 150 2,250 27,000

LCENTRIFUGE 12,000 2 24,000 24,000

BEAKER

- BIG

- SMALL

200

150

20

20

4,000

3,000

48,000

36,000

TEST TUBE

- 10ML

- 15ML

10

15

40

40

400

600

4,800

6,000

SYRINGE 1CC 380/BOX 5 1,900 22,800

SYRINGE 3CC 410/BOX 5 2,050 24,600

SYRINGE 5CC 520/BOX 5 2,600 31,200

SYRINGE 10CC 610/BOX 5 3,050 36,600


ENERO|4B 27

SYRINGE 50CC 730/BOX 5 4,150 49,800

TOTAL 1,536,100

Office Equipment

NAME PRICE AMOUNT TOTAL COST

COMPUTER 5,000 15 67,500

PRINTER WITH

SCANNER

2,500 15 37,500

BALLPENS 5 1000 5,000

BOND PAPER 200/PACK 100 20,000

STAPLER 300 20 6,000

FOLDERS 10 500 5,000

ERASER 10 200 2,000

PENCIL 10 200 2,000

XEROX MACHINE 80,000 1 80,000

TOTAL 225,000

NAME PRICE DIVIDED BY SHOULD

EARN PER

MONTH in

5 YEARS

MINIMA

L FEE

PER

PATIEN

T

M.R.I. MACHINE 60,000,00

0

60MONTHS(5YEARS

)

1,000,00

0

33,333

64 – 64 SLICE CT

SCAN

45,000,00

0

60MONTHS(5YEARS

)

750,000 25,000

CARDIAC DOPPLER

ECHOCARDIOGRAPHY

750,000 60MONTHS(5YEARS

)

12,500 416

MAMMOGRAPHY MACHINE 800,000 60MONTHS(5YEARS

)

13,333 444

ELECTROENCEPHALOGRA 200,000 60MONTHS(5YEARS 3,333 111


ENERO|4B 28

M MACHINE )

Test

TEST AMOUNT

X – RAY 250

ULTRASOUND 150

SPUTUM EXAM 170

FASTING BLOOD SERUM 120

COMPLETE BLOOD COUNT 150

CULTURE AND SENSITIVITY 120

CBG 140

URINALYSIS 150

FECALYSIS 150

PREGNANCY TEST 200

DELIVERY AND LABOR 2,500(PACKAGE)

NEWBORN SCREENING 200

M.R.I. 15,000 – 20,000

MAMMOGRAM 5,000

CT SCAN 5,000 – 10,000

ECHOCARDIOGRAPHY 3,200

EEG 1,500

Room Rate

ROOM RATE

SERVICE WARD 150/DAY

PAY WARD 350/DAY

PRIVATE ROOM 2,000/DAY

ISOLATION ROOM 300/DAY

EMERGENCY ROOM FEE

- Minor case

300 per consultation


ENERO|4B 29

- Major case 500 per consultation

Vaccines

VACCINES AMOUNT

BCG 1000

DPT 1000

TETANUS TOXOID 1200

MMR 900

OPV 400

HEPATITIS B 900

MEASLES 900

FLU VACCINE 600

Pharmacy

Quantity (box) Amount TOTAL

IV Fluids:

D5LR 500ml

Pink 24/box

20

3,900

78,000

D5NM 500ml Orange

24/box

20 4,000 80,000

D5 .09NSS 500ml

Yellow

20 4,000 80,000

D5 .03NACL 500ml

Light Blue

20 4,000 80,000

D5 IMB 500ml

Violet

20 4,000 80,000

D5NR 500ml Yellow

Green

20 4,500 90,000

D5 Water 500ml

Red

10 3,500 35,000

D10 Water 500ml 10 4,000 40,000


ENERO|4B 30

Blue Green

Plain LR 500ml

Blue

10 3,000 30,000

Plain NSS 500ml

Green

10 3,500 35,000

PNSS Irrigation

1L

10 1,500 3,000

Mannitol 500ml

Yellow

5 8,500 85,000

Medications:

Adenosine

Injection

Quantity (per

piece)

20

Amount

120

TOTAL

2,400

Adrenaline

Bitartrate

Injection

20 60 1,200

Atropine

sulfate 0.6mg/ml

Injection

20 120 2,400

Betamethasone

7mg/ml amp

20 140 2,600

Calcium

chloride

Injection

20 35 3,100

Calcium

Gluconate

10ml/amp

20 220 3,300

Clonidine

75mg/tab

20 30 450

D50% Injection 20 300 4,500

Dextran-70

Injection

20 190 2,850

Diazepam

5mg/ml Injection

20 75 1,125


ENERO|4B 31

Digoxin

0.5mg/2ml amp

20 470 7,050

Diltiazem

Injection

20 350 5,250

Diphenhydramin

e Injection

20 270 4,050

Diptheria

Antitoxin

Injection

20 490 7,350

Dobutamine

50mg/ml (5 ml

amp) Injection

20 500 7,500

Dopamine

hydrochloride

40mg/ml (5ml amp)

Injection

20 490 7,350

Epinephrine

hydrochloride

1mg/ml Injection

20 1,900 28,500

Flumazenil

Injection

20 280 4,200

Furosemide

10mg/ml Injection

20 520 7,800

Glucose with

sodium chloride

Injection

20 320 4,800

Haloperidol

Injection

20 450 6,750

Heparin sodium

5000IU/ml

Injection

20 2,500 37,500

Hydralazine

20mg/ml amp

20 170 2,550


ENERO|4B 32

Hydrocortisone

sodium succinate

100mg/ml

Injection

20 490 7,350

Lidocaine 2%

Injection

20 180 2,700

Magnesium

sulfate Injection

20 310 4,650

Mannitol 10%,

20% Injection P

20 2,800 42,000

Meperidine

100mg/ml amp

20 350 5,250

Metoclopramide

5mg/ml

20 120 1,800

Metoprolol

1mg/ml Injection

20 220 3,300

Midazolam

5mg/ml amp

20 350 5,250

Morphine

sulfate Injection

20 520 7,800

Naloxone

0.4mg/ml

Injection

20 400 6,000

Neostigmine

0.5, 2.5mg/ml

Injection

20 540 8,100

Nifedipine

5mg/tab

20 310 4,650

Oxytocin

Injection

20 190 2,850

Paracetamol

300mg/2ml amp

50 3 225

Phenobarbital 20 190 2,850


ENERO|4B 33

200mg/ml

Injection

Phenytoin

50mg/ml Injection

20 180 2,700

Potassium

Chloride

Injection

20 320 4,800

Protaminesulfa

te Injection

20 550 8,250

Salbutamolsulf

ate Inhalation

20 730 10,950

Sodium

bicarbonate

Injection

20 170 2,550

Streptokinase

Injection

20 12,000 180,000

Succinylcholin

e 50mg/ml

Injection

20 320 4,800

Terbutaline

500mg/ml amp

20 420 6,300

Tranexamic

acid 250mg/2ml

amp, 500mg/5ml

amp

20 270 4,050

Vitamin K

10mg/ml Injection

20 50 750

TOTAL 1,200,500


ENERO|4B 34

SUMMARY OF CAPITAL BUDGET

NAME TOTAL COST FOR A YEAR

COSTRUCTION EQUIPMENT 17,565,100

MAJOR EQUIPMENTS 106,750,000

TOTAL 124,315,100

SUMMARY OF OPERATIONAL BUDGET

NAME TOTAL COST FOR A YEAR

CONSTRUCTION PERSONNEL 14,760,000

HOSPITAL PERSONNEL 22,680,000

OPERATING ROOM EQUIPMENTS 2,083,100

DELIVERY ROOM EQUIPMENTS 1,127,190

NURSE STATION 1 EQUIPMENTS 761,845




NURSERY EQUIPMENTS 100,740

EMERGENCY ROOM EQUIPMENTS 1,568,995

HOSPITAL EQUIPMENTS 2,159,200

LABORATORY EQUIPMENTS 1,536,100

OFFICE EQUIPMENTS 186,000

PHARMACY 1,200,500

UTILITIES

- WATER

- ELECTRIC

- TELEPEHONE

480,000

720,000

120,000

TOTAL 50,117,505


ENERO|4B 35

Hospital Policy

1. Admission Policy

Present the Physicians Order Sheet to the admission

center of the hospital

Call our hotline to reserve a room and choose the Room

Rate you prefer.

Guardian or significant others should sign the Admission

and Discharge Record (ADR).

Pay the required deposit before transferring patient to

the ward.

Transport of patient to the Nursing Station or Ward.

2. Delivery Room Policy

Assess the patient’s preferred language for education and

care.

Assess patient’s/family’s ability to understand

information given,

need for hospitalizations and plan of care. (i.e.,

language

barriers, knowledge/sensory deficits and physical

limitations.

Patient will be placed on the external fetal monitor

(EFM) at the

time of admission. Refer to Unit Practice Manual for

application of

EFM and protocol for fetal monitoring.

An initial maternal-fetal assessment will be performed on

each

patient at the time of admission. Assessments include

maternal BP,

pain and fetal heart rate and uterine activity. Using the

L&D/OB-GYN database, conduct a patient interview, history

taking and

assessment. Examine the fetal monitor tracing for

assessment of

fetal and uterine activity.

Begin the appropriate standard nursing care plan or

carepath.

Establish IV access upon admission unless otherwise

ordered by the

physician.

Obtain necessary specimens as ordered by the physician

for admission

lab work.


ENERO|4B 36

Notify the physician of patient signs/symptoms that

require

immediate attention.

3. Discharge Policy

Decision made and documented in medical notes to confirm

that the patient is medically fit and risks identified

and appropriate risk assessment and plans in place.

Ensure a Continuing Care Check List has been completed

and evidence documented.

Complete Discharge Check List – give copy to patient.

Discuss prescribed medication, assess for patients to

self-medicate who will be responsible for

managing own medicines on discharge.

4. Imaging Policy

Present physicians order to the Radiology Department.

Ask patient if has allergies in any foods, medication or

contrast media that will be used in the procedure.

Ask if there are any metal implants in the patients body.

Patient should know what should be expected when they are

inside the equipment(MRI,CT-SCAN)

Call the assisting nurse to transfer the patient to their

room.

5. Laboratory Policy

Label the specimen and handle it with care before

transferring it to laboratory room.

Follow the physicians order when to deliver the specimen.

Maintain sterility when obtaining the specimen sample.

Send to the lab the specimen obtained and inform the

personnel that will handle it.

6. Nursery Room Policy

Parents must show proper wristband identification or ID

card prior to visiting their infant:baby in an

Incubator

Only two visitors per infant are allowed at any time

Siblings, 12 years or older, may visit if they

accompanied by a parent

No siblings are permitted to visit if he/she has an upper

respiratory infection, temperature, has been exposed

to a communicable disease, or has not had chicken pox.

Grandparents may visit, at anytime, if accompanied by one

of the parents


ENERO|4B 37

The mother may designate one "significant other" if the

father is unavailable or not involved.

Parents are responsible for making sure that all visitors

to the Nursery wash their hands before going to the

baby’s bedside.

Parents must make sure that all visitors coming into the

Nursery are healthy.

7. Operating Room Policy

It is the policy of Illustrados General Hospital that the

preoperative procedure for confirmation of correct patient

identification, operative procedure, operative site and the

informed consent process has been satisfactorily completed is

a collaborative effort on the part of nursing, anesthesiology

and surgical staff members. The roles and responsibilities of

each staff member are outlined in this policy.

The attending surgeon and attending anesthesiologist must

review and sign the patient’s consent forms for

surgery and anesthesia respectively before the patient

enters the operating room.

The surgeon must mark the surgical site with the patient

prior to the patient’s entry into the operating room.

In the case of the incompetent adult, and/or patient of

minor age, the verification of identification and

confirmation that the informed consent process has been

satisfactorily completed and consents signed is

conducted with the patient’s parent, legal

guardian/authorized representative, or health care proxy

Immediately prior to the induction of anesthesia, a final

official time out is conducted by the circulating RN,

anesthesia care provider and the attending surgeon.

8. PACU Policy

All nursing staff in the Post Anesthetic Care Unit (PACU)

will adhere to PACU Standards of

Care and will have received specific orientation and

training in the care of Post Anesthetic

patients.

All patients admitted to PACU will be extubated. All

patients are to be extubated and stabilized in the

Operating room prior to being transferred to PACU.

The PACU scoring system will be applied.

Closed monitoring of patients will be apply before

returning to the designated room.

9. Patient Responsibilities Policy


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Every patient admitted to our hospital, or the patient's

health care decision maker acting on his/her behalf, is

responsible for the following:

To provide, to the best of his/her knowledge, accurate

and complete information about present complaints, past

illnesses, hospitalizations, medications, and other

matters relating to his/her health.

To report unexpected changes in his/her condition to the

responsible practitioner.

To report whether he/she clearly comprehends the

contemplated course of treatment and what is expected of

him/her.

To report dissatisfaction with the quality of care or

service to the nurse manager, physician, or patient

representative.

To be accountable for his/her actions if he/she refuses

treatment or does not follow the practitioner's

instructions.

To assure that financial obligations of his/her health

care are fulfilled as promptly as possible.

To follow hospital rules and regulations affecting

patient care and conduct.

To be considerate of the rights of other patients and

hospital personnel by assisting in the control of noise

and the number of visitors.

To be respectful of the property of other persons and the

property of the hospital.

10. Referral Policy

Assess the patient and stabilizeas resources and skills

are available

Identify the facility where the patient needs to be

referred

Inform the patient/ next to kin regarding referral to

another facility

Contact the referring facility: Notify the doctor in

the Emergency Department regarding the patient’s

condition and get an approval to transfer

For in-patient transfer / referral requires the accepting

hospital to have an available bed, and acceptance by a

physician who has admitting privileges.

A designated hospital hotline shall be made accessible

for the purpose of patient referral

All inter-hospital transfers must be coordinated directly

between the physicians in the referring facility and the

accepting facility

Prepare for the transfer: Ambulance, Equipments and

Medications


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Qualified medical/paramedical personnel must be present

in the ambulance when transferring the patient

It is the responsibility of the referring physician to

ensure continuity of care and patient safety during the

transfer process

Complete referral forms, legibly and accurately, include

attach any investigations and reports and send with the

patient

Documentation of the medical information must be

available in the facility ( Medical records)

11. Transfer Policy

The patients and their relatives/carers must be informed

by the nurse accountable for the patient’s care that they

are leaving and advised of where they are going.

The receiving ward must be given a verbal handover and be

told whether the patient’s relatives/carers have been

informed or not.

All of the patient’s property and valuables must be

transferred with the patient.

All of the patient’s health records must be transferred

where available. This will include medical records,

assessment documentation and therapist notes.

The transferring ward must ensure that all relevant

medications accompany the patient to the receiving ward

along with medication and associated equipment brought

into hospital.

The transferring ward must ensure patient transfer

details are entered onto the patient administration

system and ensure the PAS information transfer takes

place in line with ‘real time’ bed management system

Where a clinical need is identified observation and vital

signs should continue during the transfer process.

Only appropriately skilled personnel trained in manual

handling should transfer patients between wards.

planning 2

Documents

total total cost

total salary

illustrados general

san carlos city

hospital administrator

hospital cashier

human resource personnel

cubic meter