Provincial Health Office & Itbayat District Hospital

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OUTPATIENT MEDICAL CONSULTATION

FRONTLINE SERVICES

CLIENT/S

PROCEDURES

RESPONSIBLE PERSON

TIME

REQUIREMENTS

Availment of out- patient medical services at the Provincial Health Office

All residents, both temporary and permanent of the Province of Batanes.

 

 

 

 

 

 

 

1.1 For consultation and medical certificate patient registered and general data and vital signs taken, medical history taken

OPD Nurse/ Nursing Attendant

(Mona Cris Merida/

Rizalyn Dacles/ Michelle Cariaso/

Lydia Figuro)

5-10 mins.

Mother and Child Book for pregnant clients and children less than 5 years old

1.2 Patient interviewed, examined and managed by physician

Physician

(Dr. Roel Nicolas)

10-20mins.

 

1.3 For PHIC enlistment individual health profile filled-up and other pertinent physical examination findings obtained

OPD Nurse

(Rizzalyn Dacles)

5-10 mins.

PHIC ID

1.4. Patient seen by OPD nurse

OPD Nurse

(Mona Cris Merida/

Rizalyn Dacles/

Michelle Cariaso/

 

 

      a. Payment of fees

 

5 mins.

 

      b. Issuance of medicines

 

3-5 mins

 

      c. Final instructions

   

5 mins.

 

 

1.5. Encoding and printing of medical certificates

OPD Nurse

(Mona Cris Merida/

Rizalyn Dacles/

Michelle Cariaso)

3-5 mins.

 

DENTAL SERVICE                      

Availment of dental services at the Provincial Health Office

All residents, both temporary and permanent of the province of Batanes     

1. Interview patient on general data,  vital signs taken.

Dental Aide

(Agnes Horlina/ Roland Viegan/ Karina Escalona)

5 mins.

None

2. Performs mouth examination and evaluate patient's condition

Dentist

(Dr. Kenneth Castaño/

Dr. Joanna Odesa)

5 mins.

 

3. Records dental condition on individual chart

Dentist

(Dr.Kenneth Castaño/

Dr.Joanna Odesa)

1 min.

 

4. Actual treatment is performed

Dentist

(Dr. Kenneth Castaño/

Dr. Joanna Odesa)

30 mins.

 

5. prescribes medicines, post- treatment advice and health education

Dentist

(Dr. Kenneth Castaño/

Dr. Joanna Odesa)

5 mins.

 

6. Prepares billing form

Agnes Horlina

1 min.

 

7. Receives billing form and    determines amount to be paid

- Receives payment

OPD Nurse

(Rizalyn Avanceña)

2 mins.

 

8. Dispense prescribed medicines

Pharmacist

(Zharmaine Cobico)

2 mins.

 

KAPANIDUNGAN SA KALUSUGAN (KSK)

1.Administration/ processing of reimbursement of outpatient & inpatient claims

KsK members who got sick and paid out for services and medicines needed

1. Administrative aide accepts documents and prepare reimbursement voucher to program coordinator

Admin. Aide 

(Karina Escalona)

1 min.

Official receipts, prescription, certificate of confinement if needed

2. Coordinator evaluates documents. If less than P1,000.00, gives documents to petty cash holder.

Prog. Coordinator

(Marilou Evangeline Castro)

3 mins.

Petty cash voucher

3. If more than P1,000.00, Documents are given to program accountant for cheque preparation and routed to signatories.

Prog. Accountant

(Marites Lechuga)

1-2 days

Disbursement voucher

4. Admin. Aide releases cheque to claimant after proper presentation of identification card.

Admin Asst.

(Carla Batallones)

1 min.

Properly signed disbursement voucher, ID of claimant

5. Updating of benefit records of claimants on database

Admin. Aide

(Karina Escalona)

1 min.

Signed claim vouchers

6. Documents filing

 Admin Aide

(Rivan Dacles)

1 min.

 

2. Membership processing of walk- in clients

General Population

 

 

 

 

 

1. Applicant fills out membership form

Applicant

5 mins

Membership form

2. Interview and discussion of terms of reference

Prog. Coordinator

(Marilou Evangeline Castro)

10 mins.

Term of reference documents

3. Review of filled-out membership form

Prog. Coordinator

(Marilou Evangeline Castro)

2 mins.

 

4. Payment of necessary fees

Applicant

1 min.

 

5. Issuance of acknowledgement receipts and passbook

Admin. Aide

(Karina Escalona)

15 mins.

Acknowledgement  receipt

6. Encoding/ entry of member's records in database

Admin. Aide

(Karina Escalona)

5 mins.

Membership data

LABORATORY SERVICE                  

FRONTLINE SERVICES

CLIENT/S

PROCEDURES

RESPONSIBLE PERSON

TIME

REQUIREMENTS

Request for laboratory procedures

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Patient

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Proceed to out-patient department. After consultation. Ask for laboratory request form.

Physician/ Nurse Dr. Roel Nicolas/

Mona Cris Merida

10 mins.

 

2. Submit the laboratory request form to the laboratory

Patients

 

2 mins.

 

 

 

3. Receive and review the laboratory request frm

Laboratory Aide

(Merilyn Valientes/

Amy Ponce

3-5 mins.

Laboratory request form

4. Instruct the patient on required procedures

Laboratory Aide/

5 mins.

 

Medical Technologist

(Merilyn Valientes/

Amy Ponce/

Eleonor Argonza

 

 

5. Prepare needed laboratory equipment

Laboratory Aide/

(Merilyn Valientes/

Amy Ponce

 

 

6. Perform laboratory test

Laboratory Aide/

 

Specimen blood

 

 

 

 

    a. CBC

Medical Technologist

 

     - Prick finger tip

(Merilyn Valientes/

5 mins.

     - Pipette blood

Amy Ponce

5 mins.

     - Smearing & staining

Eleonor Argonza

5 mins.

     - Reading

 

 

 

 

 

 

 

 

 

 

 

5 mins.

    b.   Urinalysis

 

Urine

 

 

 

      - Centrifuge

10 mins.

      - Dip strip in urine

3 mins.

      - Reading

5 mins

    c.   Fecalysis

 

Stool

 

 

      - Smearing

2mins

      - Reading

10 mins.

    d.   Sputum

 

Sputum

 

 

 

 

 

 

 

      - Smearing

45 mins.

      - Staining

30 mins.

      - Reading

 

45 mins.

     e.   FBS

 

 

       - Prick finger tip

 

2 mins.

       - Apply blood

 

1 min.

       - Reading

 

2 mins.

     f.   Pregnancy Test

 

 

Urine

 

 

        - Pipette urine

 

5-6 mins.

        - Drop urine test strip

 

 

     g.   Blood typing

 

 

Blood

 

 

 

 

       - Prick finger tip

 

2 mins.

       - Drop reagent on specimen

 

2 mins.

       - Mixing

 

 

       - Reading

 

1 min.

7. Recording of result

 

Medical Technologist

(Eleonor Argonza)

3-5 mins

 

 

 

8. Prepare billing form

 

 

 

 

Laboratory Aide/

1-2 mins.

 

 

 

 

 

 

 

 

 

Medical Technology

(Merilyn Valientes/

Amy Ponce

Eleonor Argonza

9. Release results, inform the patients to submit the result to OPD and pay laboratory fees

 

5 mins.

 

10. Proceed to OPD for interpretation of laboratory results

Physician (Dr. Roel Nicolas)

10 mins.

 

11. Drug test

 

 

 

 

 

 

       a.  Prepare billing form

 

 

Laboratory Aide

1-2 mins.

(Merilyn Valiente/

Amy Ponce)

       b.  Pay drug test fee

Client

5 mins.

Billing form

       c.   Fill-up drug test form

Client

5 mins.

Drug test form

       d.  Collection of urine

 

Client with collector

2-5 mins.

 

Urine

 

(Merilyn Valiente)

       e.  Testing & reading of results

Laboratory Aide

(Merilyn Valiente/

Amy Ponce

5-10 mins.

 

       f.  IDTOMIS

Medical Technologist

(Eleonor Argonza)

10-15 mins

Drug test done

      g.  Release of drug test result

Laboratory Aide

(Merilyn Valiente/

Amy Ponce

2 mins.

Drug test result

      h.  Proceed to OPD for preparation of medical certificate

Physician/

OPD Nurse

(Dr. Roel Nicolas/

Mona Cris Merida)

15 mins.

 

PHARMACY

1.  Filling of Prescription

 

 

1. Patients w/ correct  prescriptions

1. Receive and fill prescription

 Zharmaine Cobico

2  mins.

Properly written  prescription per generic act.

2. Health education on correct dosage and frequency

Zharmaine Cobico 

2 mins.

 

ITBAYAT DISTRICT HOSPITAL

 

FRONTLINE SERVICES

CLIENT/S

PROCEDURES

RESPONSIBLE PERSON

TIME

REQUIREMENTS

1. Out-patient  Services (OPD)

All person   who feels the need  to visit    hospital for Physical  examination evaluation

1. Gathers Data of patient including vital signs & enter them to the clinical record.

Leighlany M. Capito

Marietta R. De Guzman

Lyra C. Gulaga

Janet E. Bata

5 - 10 mins.

1. Mother & child    book  for pregnant      patients

2. Physician calls and interviews, examines,  manages, evaluates patient.

Dr. Allan M. Sande

16 -30mins

2. Children 6 yrs. & below must be escorted with parent/ guardian.

3. If patient is not  admitted, he/she is issued with medicines prescription.

Dr. Allan M. Sande

3 - 5 mins.

 

4. If patient came for medical certificate, give chart to the clerk.

Levera G. Alcantara

Ma. Estrella B. Bata

Nelia G. Cabal

Reynaldo Valiente

Sheila V. Manzano

Lorena G. Ballada

Mary Ann V. Hammond

3 - 5 mins.

 

5. Prepares medical certificate and brings it to physician for signature before sealing it.

Mrs. Zoe G. Lozano

20 - 25 mins.

 

6. Claims medical certificate & pays (55.00) to Administrative Assistant V.

Patient

3 - 5 mins.

 

7. Prepares receipts of Medical Certificate upon payment and give it to payee.

Mrs. Leona N. Gato

3 - 5 mins.

 

8. Claims medicines at the Drug Room, if any.

Mrs. Aurora G. Gonzales

5 - 10 mins.

 

9. Drops donation at the donation box, if any.

Patient

3 - 5 mins.

 

10. If patient is admitted, he/she is endorsed to ward for proper admitting procedures.

Marietta R. De Guzman

Levera G. Alcantara

Nelia G. Cabal

Lorena G. Ballada

Reynaldo Valiente

3 - 5 mins.

 

2. In-Patient Service

 

 

 

 

General  population

 

 

 

 

1. Receive endorsement, if patient came from OPD.

Lyra V. Gulaga

5 - 10 mins.

Guardian or relative must be present to answer question if patient unable to do so.

2. For walk-in patients collects information of patient takes & records vital signs & refers Patient to physician.

Mary Ann V. Hammond

Lorena G. Ballada

Nelia G. Cabal

20 - 25 Mins.

 

3. Preparation of bed for newly admitted patient.

Levera G. Alcantara

15 - 20 mins.

 

4. Carriers out doctors order with procedure carried on.

Leighlany M. Capito

20 - 30 mins.

 

5. Observes and evaluates symptoms of admitted patients.

Dr. Allan M. Sande

10-15 mins.

 

3. Dental Services

 

 

 

 

 

General population

 

 

 

 

 

1. Takes down patient's data

Dr. Lilibeth B. Bata

5-10 mins.

 

2. Performs oral examination and evaluates patient.

Dr. Lilibeth B. Bata

2 mins.

 

3. Records dental condition on individual chart.

Dr. Lilibeth B. Bata

2 mins.

 

4. Actual treatment done

Dr. Lilibeth B. Bata

30 - 40 mins.

 

5. Prescribes medicines, post treatment and gives health education to patient.

Dr. Lilibeth B. Bata

20 - 30 mins.

 

6. Dispenses prescribed medicines.

Aurora G. Gonzales

5 - 15 mins.

 

4. Philhealth Services

Philhealth members

1. Issues Philhealth forms to patient or relative.

Marietta R. De Guzman

Janet E. Bata

Mary Ann V. Hammond Sheila V. Manzano

1 - 3 mins.

Members should provide with them necessary documents like; MDR (Member Data Record), Birth/ Marriage certificate & Philhealth cards    

 

 

2. Assists the patient or the relative in filing their forms.

Janet E. Bata

Nelia G. Cabal

 

 

 

3. Inform the patient or relative about          requirements needed to support Philhealth benefits

Mrs. Cecilia G. Antas

1 - 2 mins.

Batanes

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2019-09-22 20:14