VICENTE GULLAS MEMORIAL HOSPITAL

INTRODUCTION
In 1979, the hospital, Gullas Medical Center situated in Banilad, Mandaue City, Philippines started as a secondary hospital. The hospital was founded to complement the Gullas College of Medicine and the University of the Visayas College of Nursing.

Later in the year 2001, it was renamed Vicente Gullas Memorial Hospital and has been accredited as a Tertiary Hospital. It was upgraded to 75-100 bed capacity involving services which caters to the needs of both out-patients and in-patients.
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Inday Pining Family Medical Clinic (Out Patient Services) includes Medical Consultations, D.O.T.S., VGMH TB Diagnostic Committee, Family Wellness Clinic, Well Baby Clinic, Diabetic Clinic and Homeopath and Homotoxicology Clinic.

The hospital also caters to services both medical and surgical with the qualified and competent doctors and nurses, providing technology as a tertiary hospital with a primary care attitude.
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Part of the hospitals special services offered are the Tan Kim Ching Cancer Center, which is one of the main radiation centers in the city that offers external radiation therapy with its up-to-date facilities which provides cancer treatment and detection services. The New Life Plastic Surgery Center also provides aesthetic services for the patients.

Today, not only Gullas Medical Center expanded their coverage in the medical venture but they have also invested millions of cash to improve their hospital equipments. Certainly they are going allout now just trailing behind the powerhouses Chong Hua Hospital, Perpetual Succour, and Cebu Doctors Hospital, to name a few.

VISION
Vicente Gullas Memorial Hospital exists primarily to give a Holistic of Health care to patient as individual person and not just a case number. Thus the Vision is to keep abreast with the changing modes in Medicine. Providing technology as a Tertiary Hospital with a Primary care attitude, all for the service of GOD and his people.

MISSION
As an institution of healing the Hospital aimed to provide efficient clinical services to give the best Medical care to the community. An institution of learning, the Hospital is committed to compliment the Gullas College of Medicine and the UV College of Nursing in their task to develop complete Physicians and allied Medical Practitioners to become effective instruments of GOD in their service to 9 fellowmen.

NURSING SERVICE VISION AND MISSION

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VISION
Vicente Gullas Memorial Hospital is the leader in promoting holistic quality nursing care, training and research thus bringing out healthy mankind.
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MISSION
It is the mission of Vicente Gullas Memorial Hospital Nursing service to: Advocate for nurses and other nursing personnel in the area; Observe ethico-moral practices; Establish performance standards; Develop nursing human resources;
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 Guarantee

equitable, sustainable and quality health care; Value research in decision making, allocating and generating resources and; Participate in research related to nursing service development in the clinical and administrative setting both nursing practice and education.
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PHILOSOPHY
The Vicente Gullas Memorial Hospital Nursing service believes the patient have the right to receive holistic are regardless of their age, creed, gender, and socio-economic status.
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GOALS
As service oriented, dynamic and empowered workforce the nursing service shall fully support the provision of better health outcomes, more responsive health care system and good governance in all areas of the hospital.
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OBJECTIVES
A. General
Provide

and ensure the quality nursing service in all areas of the hospital.
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B. Specific
Establish

and maintain acceptable stands of nursing care; Provide and advocate for the health safety and rights of each patient; Enhance the competency of nursing personnel through staff

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 Provide

a safe and therapeutic environment among patients and nursing personnel and staff. Monitor the effectiveness of nursing service consistent with the standards.
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PEDIATRIC WARD

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INTRODUCTION
Pediatric department of VGMH provides quality, effective and affordable health care services to reduce morbidity and mortality rate of childhood diseases. It has 20 bed capacity and categorized into respiratory and gastro units.
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VISION
Vicente Gullas Memorial Hospital pediatric staff envisions being a specialized department fully equipped by modern facilities, managing be experience and skilled personnel under the supervision of pediatric specialist in achieving excellent service and outcomes.

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MISSION
Vicente Gullas Memorial Hospital pediatric department aims to deliver quality health care services to pediatric patients enhancing their growth and development with the involvement of the parents in the implementation of health care.
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PHILOSOPHY
Committed to the highest standard of quality and excellent health services through working collaboratively to create an atmosphere of healing.
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GOALS
A. Health Care 1. To strengthen and improve delivery of care to pediatric patients with compassion. 2. To strive to meet the ideal standards and best pediatric services.
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B. Training and Research. 1. To make sure student affiliates acquire knowledge in paediatrics, develop critical thinking and analytical skills and possess the proper attitudes and conduct. 2. To promote and further strengthen its pursuit for excellence in research.
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3. To provide continuing medical education as well as professional and human development programs for medical and nonmedical personnel of the hospital.
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OBJECTIVES
1.

2.

3.

Render optimum and quality health care with scientific and professional standards consistent with the pediatric needs. Development creative and critical thinking and skills of staff and student nurses. Implement nursing standards for practice and education.
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4.

5.

Establish strong collaboration linkages and networking between hospital and affiliated agencies. Participate in strengthening the pediatric care through research.

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OPERATING ROOM

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INTRODUCTION
The Operating Room (OR) is designed and furnished with functional surgical facilities.

Our surgical unit works with competent and committed surgical team. The Operating Room caters to cases such as uncomplicated OB-GYNE, paediatrics, orthopaedics, plastic/cosmetic surgeries and other minor procedures. Serves as training facility to the University of the Visayas College of Nursing.
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VISION
Vicente Gull as Memorial Hospital Operating Room (OR) Department is the front liner in advocating safe, effective, cost-efficient, and high quality standards and state-of-the-art facilities in preoperative practice.

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MISSION
Promotes

safety and optimal outcomes for preoperative clients Provides and supports professional development opportunities to the surgical teams. Ensures availability of modern technologies and resources.
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PHILOSOPHY
The operating room is a specialized are of the nursing service division that aims to:
Provide

optimum quality care to all perioperatative clients. Enhance exposure among affiliating institutions towards perioperative care.
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GOALS
Develops collaborative and innovative solutions to the health care challenges. Acquire up-to-date surgical facilities and supplies Facilitates full compliance with affiliating institutions in policy making to enhance students exposure to perioperative care.

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OBJECTIVES
Provides

efficient, well disciplined, committed and courteous operating room personnel. Updates educational standards to promote high level of proficiency among the surgical staff. Maintains strict compliance to standard aseptic techniques in perioperative care.
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 Upholds

environment accountability and pollution prevention in perioperative setting. Ensures accessible quality perioperative care. Coordinates and collaborates with stakeholders regarding the client care.
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Functions / Duties / Responsibilities

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Chief Nurse
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CHIEF NURSE
Plans, organizes and supervises the nursing service in order to provide adequate nursing care to patients; Coordinates all activities of the nursing service department with other services; Prepares the nursing service budget to provide adequate personnel, equipment, and physical facilities needed and submits to Administrative Office;

CHIEF NURSE

Interviews and screen all applicants for the nursing service and evaluates their qualifications and experiences; Observes and evaluates the performance of personnel, as well as analyzes and evaluates the nursing activities to determine whether they are meeting the desired standards; Formulates and recommends policies for improvement of patient care, participates in planning of personnel policies and interprets to the Medical Director the needs and interest of the nursing

CHIEF NURSE

Promotes individual growth and development by maintaining a program of staff education; conducts monthly meetings of nurses and nursing aides; Promotes and maintains cordial relationship with patients; their families and community and provides opportunities for nursing staff to work with other groups so that the aims of the hospital can be interpreted to mean good interpersonal and interdepartmental relationships;

CHIEF NURSE
Participates in professional meetings as the representatives of the nursing service personnel provides for healthful leaving conditions of nursing personnel; Participates in the hospital outreach programs; Subject to call as need arises;

CHIEF NURSE
Daily ward rounds. To gain an insight to the problems and needs as presented by the patient and the family, the nurses and other health disciplines; Signs Daily time Records; Performs other duties as required by the Medical Director Attends seminars, workshop locally and nationally as the need arises.

CHIEF NURSE
Daily ward rounds. To gain an insight to the problems and needs as presented by the patient and the family, the nurses and other health disciplines; Signs Daily time Records; Performs other duties as required by the Medical Director Attends seminars, workshop locally and nationally as the need arises.

Head Nurse
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HEAD NURSE
Under direction, responsible for the administration and supervision of the particular nursing unit, or;

Makes patient round and sees to it that all patients in her ward get the necessary care. Sees to it that all equipment are in order and properly kept and supplies are available Makes weekly schedules and daily assignment of her staff. Check and countersigns recording done by the staff nurses.

HEAD NURSE

See to it that doctors orders are carried out properly and intelligently by the staff. Plans and supervises all the nursing activities in the ward. Evaluates performance of her staff every six months. Coordinates ward activities in the administration of nursing service with all other hospital services. Directs and supervises activities of nonprofessional workers in the ward.

HEAD NURSE

Participates in the orientation of new staff, trainees, volunteer nurses, and midwives. Interpret hospital philosophy, objectives and policies to staff, patients and their families and students. Represents her ward in the nursing service meetings and other hospital meetings when necessary. Acts as supervising nurse when so delegated. Renders direct nursing care if the unit is under staffed.

HEAD NURSE

Supervises cleanliness and orderliness of the ward. Provides/ maintains adequate facilities, equipment and supplies necessary. Provides an environment that is conducive to the physical, spiritual and emotional well-being of patients and personnel. Participates in formulating/interpreting/implementing philosophy, objectives and policies of nursing services. Establishes, promotes and maintains good interpersonal relationship.

HEAD NURSE

Evaluates nursing staff in her unit, gives them assignments according to their capacity. Identifies nursing problems in the ward. Acts as liaison between patient and members of the health team.

Staff Nurse
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STAFF NURSE
Definitions One who is responsible for rendering nursing care within an assigned unit.

STAFF NURSE
Qualifications
1. 2. 3. 4. 5.

Licensed Professional Nurse Bachelor of Science in Nursing Able to make sound decisions Skilled in communication Able to relate with supervisors, peers and coworkers

STAFF NURSE
Personal Qualities and Professional Proficiency:
1. 2.

Physically and mentally fit. Has knowledge and skills in nursing and nursing process.

STAFF NURSE
Functions: I. Plans and gives comprehensive nursing care to their patients according to their individual need. A. Identifies needs and problems through clinical observation, interaction and Physical assessment.
1. 2.

3.

Interviews and interacts with patients from admission. Performs simple physical as inspection, palpation, percussion and auscultation. Analyzes and synthesizes and significant laboratory and diagnostic findings to come up with a nursing notes.

STAFF NURSE
B. Formulates a comprehensive nursing care plan as shown in the kardex, especially the special nursing needs and approaches. C. Provides hygiene and physical comfort and measures. 1. Renders sponge bath and gives good skin care 2. Keeps the patient well-groomed (hair, nails, etc.)

STAFF NURSE
3. 4.

5. 6. 7.

Gives attention to pressure irritated areas. Assist patient in nasal-oral-care a) Keep patients mouth clean and free from halitosis. b) Regularly suction nose, mouth and tracheostomy Keeps patients bed clean, dry and in good order. Keeps wound dressing clean and dry. Positions patient properly conducive to recovery. a) Frequent turns patient to side as indicated. b) Institute supports (footboard, pillows, splints, fracture boards) and uses them correctly

STAFF NURSE
D. Assures proper intake (nutrition and fluid electrolyte). 1. Maintain NPO strictly as ordered. 2. Gives oral fluids, restricts and records as indicated. 3. Assist patient promptly and adequately with meals. 4. Provides tube feedings according to ordered amount, frequency and specific caloric content. 5. Checks on the patency and correct patency of NGT. 6. Administer correct IV fluid bottle with precise labeling. 7. Regulates IV fluid at proper rate. 8. Measures and record intake and output accurately.

STAFF NURSE
E. Institutes measures for the maintenance of the proper urinary and bowel.
1. 2.

3.

4.

5.

Checks and records urination and bowel movement. Applies hot and cold compress in case of urinary retention as ordered. Gives laxatives, enemas and suppositories as indicated. Encourage adequate fluid intake unless contraindicated. Encourages ambulation and activity.

STAFF NURSE
F. Ensures safe and clean environment.
1. 2. 3. 4. 5.

6.

Provides side rails for pediatric and geriatric patient. Restraints patient as needed. Adjust height of bed properly Properly disposes contaminated articles. Displays proper signs for patients safety (NO SMOKING) See to it that machines or electrical equipment at bedside are properly connected and maintained.

STAFF NURSE
G. Participates in the education and rehabilitation of patients as well as in the promotion of mental health. 1. Instructs the patient and his family on the reasons for special diet, fluid restriction (if any) and other health related to nutrition. 2. Gives health teachings and demonstrations to patient and family regarding activity and body mechanics in relation to adequate oxygenation and ventilation and the prevention of complications. 3. Teaches the diabetic patient on the regime set by the physician on his plan of care. 4. Orients patient/family to the hospital system. 5. Explains test and procedures. 6. Explains actively, encourages questions, generally makes patient family feel at ease. 7. Observes the patients spiritual needs.

STAFF NURSE
II. Assist in meeting the patients spiritual needs.
1. 2. 3. 4.

5.

Inform patient of spiritual service available. Obtained such service if requested or indicated. Provides privacy during counseling services. Observes protocols of the patients religion in such things as diet or ritual. Assist the priest/minister in giving sacraments.

JOB SUMMARY
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Emergency Room
Assess the patients injuries or condition upon reception. Place the patients in a prioritized order in which seen by the doctor.

Medical-Surgical Ward
Responsible for managing the care of the adult or elderly patient experiencing general medical conditions or general surgical procedures, which require general assessments related to specific conditions and general therapies and interventions.

Pediatrics Ward
Involve in the treatment and care of infants, children and teenagers.

DETAILED DUTIES & RESPONSIBILITIES

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Emergency Room

Handle patients that are accepted into the emergency room with the cases of Cardiac arrest, heart attack, gun and stub wounds, seizure, asthma and chronic obstructive pulmonary disease etc. Deliver first-aid to the patient, prepare for inspection by the emergency-room physician on-duty, undresses, measure pulse-rate, temperature, blood pressure and perform any other necessary examination. Take the patients vitals such as weight, temperature and blood pressure. Record information to give to the attending physician.

Emergency Room

Assist the physician in checking the patient and delivers the treatment that was ordered by the physician, including disinfecting and bandaging wounds and bruises, smearing ointments, dispensing medications, connecting the patient into infusions Responsible for carrying out the care plan the doctor prescribes. Administer medications or injects shots and explain any discharge instructions to the family and patient, and prepare to take over care at home and deal with inquiries from patients and their family members.

Emergency Room

Assess patients and provide necessary triage, perform procedures such as intubation, placing IVs and administering medications. Determine the medical needs of patients with lifethreatening injuries either independently or in consultation with doctors and other healthcare workers. Liable for seeing each of the patients, evaluating based on the early, limited feedback she receives and then prioritizing the injuries.

Emergency Room
In-charge in answering additional questions a patient might have forgotten to ask when the doctor was present, and instruct patients about prescriptions and how often medications should be taken. Encode patients information into a hospitals computer system, including documenting each patients treatment and any medications that were prescribed and keep record of patients health condition.

Emergency Room

Responsible for assisting with moving patients from the ER to operating rooms when necessary. Ensure compliance to hospital policies and state laws. Participate in various health campaigns and educational programs.

Medical-Surgical Ward

Conduct an individualized patient assessment, prioritizing the data collection based on the adult or elderly patients immediate condition or needs within timeframe specified by the client facilitys policies, procedures or protocols. Conduct ongoing assessments as determined by the adult or elderly patients condition and/or the client facilitys policies, procedures or protocols and reprioritizes care accordingly. Develop plan of care that is individualized for the adult or elderly patient reflecting collaboration with other

Medical-Surgical Ward

Perform appropriate treatments as ordered by the physician in an accurate and timely manner. Perform therapeutic nursing interventions as established by individualized plan of care for the adult or elderly patient and his/her family. Provide individualized patient/family education customized to the adult or elderly patient and his/her family. Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution.

Medical-Surgical Ward

Initiate emergency resuscitative measures according to adult resuscitation protocols. Maintain confidentiality in matters related to patient, family and client facility staff. Provide care in a non-judgmental, non-discriminatory manner that is sensitive to the adult or elderly patients and familys diversity, preserving their autonomy, dignity and rights. Report patient condition to appropriate personnel during each shift. Maintain current competency in adult medical surgical nursing.

Pediatrics Ward

Assist the paediatrician in administering to the diagnostic procedures to assess the ailment of injuries of children. Meet with attending paediatrician, patient-children and their parents or guardians to discuss issues regarding treatment options Observe work shift schedules and may be required to extend work beyond shift. Monitor patients convalescence and post-surgical response to medication.

Pediatrics Ward

Assist paediatrician in minor surgical operations. Maintain and update patients medical histories. Conduct essential and routine diagnostics like blood tests, urine and stool samples, blood pressure, and pulse rates. Request appropriate laboratory tests, interpret lab results and communicate said results to patient and parents/guardians. Follow-up on treatment medications as directed by the paediatrician.

STAFFING SCHEDULE
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GENERAL POLICIES AND GUIDELINES

1.

2.

Clinical areas of Vicente Gullas Memorial Hospital are staffed within a minimum of two Registered Nurses and a Nursing attendant 24 hours a day, everyday. All the nursing staff in these clinical areas will render 40 hours on duty per week either in the morning shift (7:00 AM to 3:00 PM), afternoon shift (3:00 PM to 11:00 PM) or night shift (11:00 PM to 7:00 AM), except during weeks with national or local holidays when an off can be claimed. Any excess thereof shall be considered as overtime and must be properly documented.

GENERAL POLICIES AND GUIDELINES

3.

4.

5.

The first line of authority and in communication regarding staffing schedules belongs to the Head Nurse who shall then refer certain problem not solved at his/her level to the Chief Nurse. Staffing schedules are made available at least six days before the schedule is implemented. Each staff has the privilege to request off duty or certain schedules. A request form is provided in the Nurses station that is to be filled by the respective staff and submitted at least seven days before formulation of the monthly schedule.

GENERAL POLICIES AND GUIDELINES

6.

7.

8.

In the event of the inability of the staff to report for duty as scheduled, the previous shifts staff or the endorsing staff shall extend his/her duty hours until the Head Nurse is able to arrange for a complete set of staff, to go on duty on the affected shift. No 16-hour shifting is allowed to increase ones number of OFF days. When unable to report for duty as scheduled, the concerned staff is obliged to communicate to the highest-ranked nurse present in the hospital or the Head Nurse at least three hours before the said duty schedule to allow ample time for arrangements.

GENERAL POLICIES AND GUIDELINES

9.

No exchange of duties is allowed, except in circumstances like:

emergency situations Important personal matters arise When directed to do so in the line of service.

10.

A letter, signed by the two exchanging parties, with the valid reason states, noted by the Head Nurse, and addressed to the Chief Nurse, must be presented at least twelve hours before the actual day schedule, or in emergencies, communication shall be taken note in the communication logbook and noted by the Head Nurse and the Chief Nurse. Letters and all communication must be properly filed.

GENERAL POLICIES AND GUIDELINES

11.

12.

13.

On-calls that have been served must be legally documented on the Daily Time Record. Filing of any type of Leave of Absence, other than sick leave should be done at least seven days before the next month schedule. The Head Nurse or his/her delegate must be made aware of such leave application to facilitate scheduling. Granting of the leave of absence will be subject to availability of staff to cover such absence except in emergency situations or sick leave.

GENERAL POLICIES AND GUIDELINES

14.

15.

It is the responsibility of the staff who applies for the leave to fill out leave forms properly and have them signed by proper authorities after the Chief Nurse has affixed her/his initials on the said form indicating that the leave has been accommodated in the staffing schedule. Staffing schedule forms which have been duly approved and noted by the Chief Nurse and Medical Director respectively becomes the property of the hospital.

GENERAL POLICIES AND GUIDELINES

16.

In counting for the official working days and working hours less no. of Saturday, Sunday s and Holiday in the calendar days for the month. To have working hours for the month: no. of working days required for the month multiplied by 8 hours per day is equivalent no. of working hours required for the month.

GENERAL POLICIES AND GUIDELINES

17. The working time in the different areas are the following: OPD 8:00 AM 12:00 NN; 1:00 PM 5:00 PM Regular Personnel Morning (AM) 7:00 AM 3:00 PM Afternoon (PM) 3:00 PM 11:00 PM Night (NOC) 11:00 PM 7:00 AM Nurse Trainee Morning (AM) 7:00 AM 3:00 PM Afternoon (PM) 3:00 PM 11:00 PM Night (NOC) 11:00 PM 7:00 AM OR/DR Morning (AM) 7:00 AM 3:00 PM Afternoon (PM) 3:00 PM 11:00 PM Night (NOC) 11:00 PM 7:00 AM Proposed Floater 10:00 am 7:00 pm (8 hours) Special Areas

GENERAL POLICIES AND GUIDELINES

18.

19.

20.

The cyclical pattern in scheduling shall be adopted by VGMH Nursing Service Department as proposed by the staff and personnel and as approved by the Chief Nurse, Four days AM shift straight followed by one day off, 4 days PM shift followed by one day off, 4 days NOC shift then 2 days off. When the staffing of schedule is already prepared by the Chief Nurse it is considered as approved and it will signed and noted by the Medical Director. The schedule cannot be officially altered. Schedule is considered as final since approved and noted by the Medical Director, internal agreement and exchange of schedule is allowed by internal agreement between a staff but it must be properly communicated/documented in the communication book and must be verbally endorsed to some of the nurses for the awareness.

GENERAL POLICIES AND GUIDELINES

The event of extended duty hours, the staff is only allowed up to 16 hours of duty per day in cases of emergency the exigency of service but she is allowed for a compensatory off on the following days and entitled of OT pay. 22) It is the responsibility of the staff who applies for the leave to fill out leave forms properly and have them signed by proper authorities.
21)

MANAGEMENT STYLE
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In any institution does exist a different management style in order for the employees/staff and those people from the top management to plan, lead, organize and control. Vicente Gullas Memorial Hospital put this into a bureaucratic style of management.

There is the principle of fixed and official jurisdictional areas, which are generally ordered by rules, that is, by laws or administrative regulations. The organizational chart indicates that there is a defined order of hierarchy and this hierarchy is expressed to you from the day you start. This hierarchy also defines their authority and decision making capabilities within the hospital. Although the chief nurse, the supervisor and staff nurses of the said hospital has different designated functions but all decisions are made at the top of organization.

All rules and standard operating procedures are developed at the top of the hierarchy. Within this structure, it is each level of managements responsibilities to convey the decisions and rules to the level beneath. In our opinion, if this hospital wants to remain in the future they must examine how the management handles their people.

The best leadership style is that which motivates people to perform to their potential. Because people are self-interested, they will be turned on by what really excites them or most closely meets their needs. The simplest leadership style is that of problem solver, someone who knows what to do and who earns respect by being knowledgeable and decisive. Leaders who are confident without being arrogant can generally get by with most team members. But to improve your leadership style beyond this basic level, figure out how to adapt your approach to different situations and varying human needs.

In Vicente Gullas Memorial Hospital, the staff are not given freedom to express negative comments regarding the management, which is in contrast with the way good management or best leaders should treat the staff in order for them to meet their personal or professional growth. Bureaucratic management does not allow the freedom or risk that an institution needs to stay on top.

Employee Involvement (EI) is a means of allowing employees to become more involved in decision making and have more influence over their jobs. Marchington et al (1992) write of means of implementing schemes based around EI such as quality circles whereby a representative cross-section of employees are chosen to meet and resolve problems in conjunction with the democratic leader. This says a study by Pasmore and Friedlander (1982) is of great benefit to the organisation in that they found when the suggestions of the employees were taken up overall employee performance grew significantly.

We believe, that there is no particularly accepted style of management, but styles that lead to increased staff motivation, job satisfaction and productivity should be encouraged. While those that have the opposite effect should be discouraged.

NETWORKING ACTIVITIES
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HOSPITALS

GOVERNMENT
Sotto Medical Center is a general, tertiary medical center teaching/ training medical facility owned by the Philippines Government. It aims to provide health care services that are available, affordable, accessible and acceptable to all regardless of social status. Patients sometimes shift to other hospital like VSMMC which is a government own hospital due to financial constraints.
Vicente

HOSPITALS

PRIVATE Cebu Doctors Hospital / Perpetual Hospitals / Chong Hua Hospitals are among those who are highly specialized hospitals here in cebu, Patients choose this hospital because of its new and innovative technology offered to patients who are more critical and with serious conditions.

GOVERNMENT INSURANCE
Philhealth Insurance Is a Government Owned and Controlled Corporation, which provide an Adequate and Affordable Social Health Insurance Coverage for ALL Filipinos, it ensure adequate financial access of every Filipino to quality health care services through the effective and efficient administration of the National Health Insurance Program. Funding came from the National and Local Government Units for the annual premium of enrolled Sponsored Members and the Contribution of members into the Program. Hospitals like VGMH is accredited to this institution to help its client for its hospitalization coverage.

PRIVATE INSURANCE

Many Hospitals are connected to this kind of Insurance Company to accommodate patients who are utilizing HMO on their hospital needs. A Health Maintenance Organization or HMO is a pre-paid health care delivery system that finances and delivers a package of comprehensive health services such as out-patient consultations and treatments, preventive health care programs &

PRIVATE INSURANCE

if necessary, hospitalization for its actively enrolled members. In lieu of charging a fee for each service rendered, the company collects membership fees upon enrollment to cover a predetermined range of medical services during the period of an enrollee's coverage. The probability of financial loss due to illness or accident is diminished, if not entirely prevented. Medical expenditures are determinable because most of the essential services you will need are covered by the regular membership fees.

DEPARTMENT OF HEALTH
The Department of Health and Hospitals interconnected with each other to offers a variety of services for families and children, varying from physical fitness programs and behavioral health options to maternal and child health programs. By providing accurate and timely information on a variety of health issues DOH usually make a big role to the hospitals.

CITY HEALTH OFFICE

Aside from its health services, hospital records for a newborn are submitted at the City Health office for registration purposes.

DEPARTMENT OF SOCIAL WELFARE

Provide social protection and promote the rights and welfare of the people, especially the poor for they are vulnerable for abuse.

DIAGNOSTICS / LABORATORY CLINICS

Patients are referred to different clinics such as LH Prime, Primecare and Hi Precision, provides for further test/laboratory procedure after confinement or for a more precise and top quality healthcare for customers through advanced technology and unsurpassed service at affordable prices. In light of this, facilities are furnished with state-of-the-art computerized equipments which allow our highly trained, licensed professional medical technologists to conduct integrated and fully automated lab examinations.

REPORTS & RECORDS

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I. Title of Report: Philippine Health Insurance Corporation Mandatory Hospital Report Timing of Submission: Monthly Contents: A. Daily Census of NHIP Patients (Every 12:00MN)
Census

for the Day = ( Census for the Previous Day plus Admission of the Day minus Discharge of the Day)
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B.

C.

D.
E. F. G. H. I.

Quality Assurance Indication Monthly Bed Occupancy Rate Monthly NHIP Beneficiary Occupancy Rate Ave. Length of Stay per NHIP Patient Newborn Census Most Common Causes of Confinement Surgical Output Top 10 Procedures Total Surgical Sterilization Obstetrical Procedures Monthly Mortality Census (All Causes) Referrals Most Common Reason for Referrals

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II. Title of Report: Hospital Operations Report for DOH Timing of Submission: Monthly Contents: A. Summary of Patients in the Hospital
a.

b. c.

Patients Remaining in the Hospital as Midnight Last Day of Previous Month/Year Total Admission (Excluding Newborn) Total Discharge (Alive)
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d.

e.

f. g. h.

Total In-patients Deaths Total Patients Admitted and Discharge the Same Day Total In-patients Service Days for the Period Average Daily Census of Admitted Patients Referrals (In-patient)
From

RHU From Other Hospital/Health Centers To Other Health Facilities

111

B.

Discharges a. Services Rendered and Patients Attended Recovered/Improved Home Against Medical Advice Transferred Absconded Unimproved Died Upon Admission
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Average Length of Stay (ALOS) of Admitted Patients D. Other Hospital Services

C.
a.

Dietary Service

Number of Meals Served Number of Patients Given Diet Counseling

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III. Title of Report: Quarterly Report for DOH Timing of Submission: Monthly Contents: A. Hospital Infection Rate (Nosocomial Infection)
a. b.

Gross Infection Net Infection Rate

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B.

Surgical Operations
a.
b. c.

Major Operations (Excluding CS) Minor Operations (In-Patient) Minor Operations (Out-Patient)
Total of Patients Attended Average Number of ER Patients per Day Ten (10) Leading Causes of Emergency Cases in the ER Dept.
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C.

ER Services
a. b. c.

D. Out-Patient
a. b.

Services

c.

Total Number of Patients Attended Ave. Number of Out-Patient per Day Ten (10) Leading Causes of Consultation @ OPD
116

ANALYSIS AND INTERPRETATION OF ORGANIZATIONAL STRUCTURE

117

Based on the data that we gathered, the Vicente Gullas Memorial Hospital organizational structure is connected with a strong line of hierarchy. This hierarchy also represent a free flow process of information or ideas in a cycle process which results to a better decision making and more effective operation. Each hierarchy is subdivided into different division which include the nursing administration, nursing service and clinical service. Each division has the same management style in use but it has a specific function.
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For Nursing Administration, they are responsible for the hospital maintenance, hospital finances, hospital supplies and equipments, security, ambulance service, medical records safe keeping and laundry services.
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For Nursing Services, they are responsible in planning, organizing and supervising in order to provide adequate nursing care to patients. They also are responsible for the performance appraisal of nursing personnel, as well as analyze and evaluate the nursing activities to determine whether they are meeting the desired standards.
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Promotes individual growth and development by maintaining a continuing program of education for the staff, and promotes and maintains cordial relationship with patients, their families and community. Provide opportunities for nursing personnel to work with other groups so that the goal of the hospital in creating a good interpersonal and interdepartmental environment will be achieved. 121

For Clinical Services they are responsible for managing the care of the adult, infant, pediatrics and elderly patients experiencing different medical conditions or surgical procedures, which require assessments related to specific conditions, therapies and
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RECOMMENDATIONS

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This study is concerned with the various aspects of operation management of Vicente Gullas Memorial Hospital in Banilad, Cebu City. Like any other hospital institutions, the hospital is also facing different problems that is quite opposite with the designated jobs of employees. In this hospital, the administrative and the executive level has the sole responsibility for the budget and decision making. The employees are free to suggest but they just have to wait whatever development or changes that are to be done.
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The chief nurse must know the budget system as well, as stipulated in her function so that it can be easily evaluated if it is adequate enough for the personnel, equipments can be check from time to time and the physical set up of the hospital in order to deliver utmost care to the patients and to promote their sense of well being. The chief nurse must welcome and open to whatever negative comments from the staff so 125 that there will be room for improvement.

With the widespread use of computers, the management doesnt adapt to the new system that most of the hospitals are using now. Staff nurses cannot key in the data of the patient and other important matters in the hospital. They have to call the in charge person and check the papers kept in the cubicles in order to get the records of the patient.

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Computers are widely used in the operation of medical services in other advanced countries. The hospital must have continuous development or adapt in the computer system. The application of computers will make the operation and the information system of the hospital more efficient. The database of computer network will provide the management with different kinds of information and promote proper and efficient functioning of the hospital and decision lag can be minimized.
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In reality, there is only one charge nurse assigned in each level. To ensure the safety and to promote holistic quality nursing care there should be at least two charge nurses. The additional nurse could either act as an assistant to the original nurse. The service given to the patients can improve considerably especially during the busiest hours such as giving medications in the morning and during rounds of 128 doctors.

The management should involve the staff of the hospital in some decision making. There should be a two way communication for the reason that it will motivate the staffs at the same time their problems in the area can be resolve. Management style can be change from time to time depending on the situation or problem that exists.
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Communication should flow through the hospital not only in taking care of a patient but also on how to deal with the problems in the hospital in a constructive manner. If these communication procedures are followed properly then the hospital will run a lot smoother, the patients and families will be a lot happier, the right people are making the right decisions, and the finances of the hospital will improve dramatically, and then the mission statement will fall in to place on its own.
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THANK YOU
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