Medina Policies.docx

DUTIES AND OBLIGATIONS OF MEDICAL CHECKER

1. Check details of Statement of Accounts/Do on-screen checking of statement of accounts in detail • Print statement of accounts in complicated cases; • Examine thoroughly the accuracy and completeness of charges • Take note of non-stock items: - Diagnostic procedures like: ECG, laboratory, ultrasound, x-rays, CT Scan and others Check charges based on results (for clarification, coordinate with laboratory and x-ray department) • Identify stock items - Medicine, supplies, etc.

2. Get stocks from the Pharmacy and return extra medicine to Pharmacy • Arrange medicine • Return extra medicine and supplies to Pharmacy • Discontinued medicine and/or deferred medicine must be returned immediately - Only medicine/supplies taken from MGH Pharmacy, which are not used, shall be returned to the said Pharmacy. - NO REPLACEMENT SHOULD BE DONE. • Refer to case inventory - The quantity served against remaining quantity - Check closely case inventory

3. Read and understand Patient's Chart for charging purposes • Check charges of medicine against Medication Sheets, IVF Sheets, Oxygen inhalation Sheet and others • Counter check 02 sheets and diagnostic procedures if updated and complete; if not complete, request nurse to complete records.

4. Check timing and dosage of given medication (medication sheet is basis for checking)

against medication

sheets

MEDICAL CHECKER HAS NOTHING TO DO WITH THE FOLLOWING: 1. Oxygen - not to charge but refer to biller 2. Use of Nebulizer - c/o biller 5. Sanipack Kit, IV, Adkit, Code Blue, use of Defib and other Misc. charges - c/o biller 6. HGT/CBS charging- c/o biller 7. OR/DR, Minor room, ICU, ONCO HDU, CSR charges (medication, supplies and other charges) - refer to service area incharge 8. Room charges (room and board/hospitalization, minor room fee, ICU room, Operating room, Delivery room, ONCO)- c/o biller 9. Endorsing laboratory details 10 Endorsing blood to the laboratory 11.Request for non-medical supplies (folder, bond paper, etc.)

HOUSEKEEPING

The Housekeeping Section has two units: Housekeeping- A is headed by Mr. Alvin Canumay and Housekeeping-B, is headed by Ms. Nona Saulong.

HOUSEKEEPING-A MAINTENCE OF HALLWAYS, LOBBY, STATIONS, OFFICES and HOSPIT.\L PREMISES (Mr. Alvin Canumay) Fun ct ions: • I Cleans all hallways, stations and offices (from ground to roof top) Maintains cleanliness in special areas and lobby 3. Cleans appliances at patients· wards 4. Removes garbage from patients· rooms. 5. Reports damaged or defective electrical, water and sanitary installations and other facilities 6. Ensures that hospital surroundings are clean and presentable 7. In-charge of waste collection and disposals per DOH requirement.

HOUSEKEEPING-B (Ms. Nona Saulong)

LINEN/ LAUNDRY, ROOM, PREPARATION, CURTAINS, AMENITIES and UPHOLSTERY

Functions: I. Classifies used linens and gowns - spoiled. damaged, infectious. non-infectious. linen with stool. used by expired patients etc. 1 Washes and irons linen and gowns 3. Issues, records and makes inventory of linens and ~ gowns. 4. Notifies Accounting office for linens and gowns subject for payment 5. Prepares rooms for patients - Clean the rooms Prepares bed with linen - Takes charge of amenities in the room - Ensures proper maintenance of the room 6. Repairs gowns and linens.

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DUTIES AND RESPONSIBILITY OF INTERNAL GUARD

- Patrols assigned areas on foot - Examines doors, windows and gates to determine that they are secure - Informs and warns violators of rule infractions such as loitering, smoking, or carrying forbidden articles including employees' non-• adherence to safety rules and regulations such as non-wearing of hospital ID, entrance of unauthorized personnel in restricted areas - Ensures that all employees have timed in and out of their duties - Provides public assistance in patient's rooms, doctors clinics, special areas of the hospital or offices - Watches for and reports irregularities, such as fire hazards, leaking water pipes and security doors left unlocked; sounds alarm in case of fire or presence of an unauthorized persons - Periodically inspects rooms, offices, hallway lights, to ensure proper usage and detect unusual and unauthorized activities thereof - Ensures Blue Guards under his supervision are performing their assigned duties and responsibilities - Prepares routine; standardized reports - Performs other related duties that may be assigned from time to time.

DUTIES AND RESPONSIBILITY OF LINEN & LAUNDRY STAFF

LINEN STAFF • - Receives calls from Admitting for admission - Prepare rooms for admission - Change of beddings of patients/collects soiled linens - Discharge of patients/collect soiled linens -Endorsed to ward man the room for cleaning - Transfer of patients to other room/collect soiled linens - Inventory/check all patients rooms

LAUNDRY/IRONINGSTAFF - Collect all soiled linens at all linen stock room - Segregation of all soiled - Washing/dry and bring to Linen office for ironing :. Brushing all soiled mattresses - Iron/folding of cleaned linens - Segregate linens by special areas and patients

Job description of Property Custodian: Jerimie Mugar 1. Generally responsible for managing facilities, equipment, supplies; 2. Maintain records of suppliers, make contact, and facilitate orders; 3. Receive new items and complete documentation to record the acquisition; 4. Process item requests, fill out the appropriate forms and give the property; 5. Check-in borrowed property upon return and make reports of lost and damaged items; 6. Conduct inventories of items and audit records to ensure accuracy. If you find discrepancies, investigate the issue. 7. Coordinate closely with purchasing personnel; 8. Render regular report to Hospital Administrator; 9. Performs other related functions as may be assigned by the Hospital Administrator.

Continues to work, as IT

Job description of Purchasing Clerk: Lito Ligutum 1. Gives purchase orders to suppliers and confirms delivery date, quantity ordered, and accuracy of price; 2. Reviews deliveries against orders: 3. Track status of any orders; 4. Expedites deliveries of goods; 5. Gets goods from supplies; 6. Processes receipts and invoices for payments; 7. Coordinates closely with property custodian

Reports to printing office every day for printing work: 8:00 - 10:00 AM 3:00 - 5:00 PM

Job description of Maintenance Supervisor: Jose Edwin R. Gecana 1. Oversees and coordinates the workers who maintain and repair electrical, plumbing, ventilation, carpentry and other building systems; 2. Inspect facilities periodically to determine problems and necessary maintenance; 3. Prepares weekly maintenance schedules and allocate works; 4. Process item requests. fill out the appropriate forms and give the property: 5. Check-in borrowed property upon return and make reports of lost and damaged items; 6. Conduct inventories of items and audit records to ensure accuracy. If you find discrepancies, investigate the issue. 7. Coordinate closely with purchasing personnel; 8. Render regular report to Hospital Administrator; 9. Performs other related functions as may be assigned by the Hospital Administrator.

Continues to work, as IT Job description of Purchasing Clerk: Lito Ligutum l. Gives purchase orders to suppliers and confirms delivery date, quantity ordered, and accuracy of price; 2. Reviews deliveries against orders: 3. Track status of any orders; 4. Expedites deliveries of goods; 5. Gets goods from supplies; 6. Processes receipts and invoices for payments; 7. Coordinates closely with property custodian

Reports to printing office every day for printing work: 8:00 – 10:00 AM 3:00- 5:00 PM

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Job description of Maintenance Supervisor: Jose Edwin R. Gecana 1. Oversees and coordinates the workers who maintain and repair electrical, plumbing, ventilation, carpentry and other building systems; 2. Inspect facilities periodically to determine problems and necessary maintenance; 3. Prepares weekly maintenance schedules and allocate works; 4. Supervises workers during installations, repairs or maintenance and constructions; 5. Monitor inventory of materials and equipment; 6. Participate in coordinating projects like renovations; 7. Ensure adherence to standards and health and safety regulations; 8. Performs other related functions as may be assigned by the Hospital Administrator. 9. Renders regular report to Hospital Administrators.

NURSING SERV1CE DEPARTMENT

REVISED ORGANIZATIONAL CHART

Chief Nurse

QAP Consultant

Asst. Chief Nurse/ Training Officer & QAP Head

Nurse Supervisors in the Different Wards/Stations & Special Areas

Head Nurses/Head Midwife in the Different Wards/Stations & Special Areas

Staff Nurse/Asst. Trg. Officer & QUP Aide

Registered Nurses in the Different Wards/Stations & Special Areas

Nursing Attendants in the Different Wards/Stations & Special Areas

Caregivers in the Different Wards/Stations & Special Areas

Position Title: Reports to:

PROCESSING CLERK (PHJILHEALTH Head, Billing & Cashiering Department/Section: Admin. & Finance/Billing

Performs various clerical and routine accounting tasks in support to an operating unit, to include posting entries, verifying and reconciling to financial reporting system output, processing payments, and/or assisting in preparation of billings and other financial reports Responds to inquiries and contacts and departments and/or vendors to resolve a variety of problems. Position Location Name of positions DIRECTLY reporting to the incumbent: None: Name of positions INDIRECTLY reporting to the incumbent: None: Environment Work is normally performed in a typical interior/office work environment. Mental requirement of the job is from light to average exertion. Activities 1. Prepares routine administrative paperwork to include purchasing, accounts payable, accounts receivable, and payroll documents. 2. Updates routine existing financial records and reports using basic data entry and word processing. 3. Reconciles various expenditure reports to source documents; distributes and files financial documents and reports. 4. Keys data and prepares batches for processing which involves sorting. alphabetizing, and running tapes to verify cash counts and totals. 5. Sorts documents, codes, logs, reviews for accuracy; matches supporting invoices to procurement documents; and verifies invoices for payments. 6. Prepares routines and reconciles entries and internal ledgers to financial reporting system reports. 7. Handles cash and cash-related transactions, issues receipts, records and types money lists, and balances cash fund transactions in ledgers and reconciles cash reports, prepares bank deposits. 8. Assists in preparation of financial statements such as billings, budgets and cost reports. '9. Assists in ordering, care, maintenance, and utilization of department supplies and inventories. 10. Distributes, reviews, calculates and processes payroll time sheets and employment document; verifies account number; maintains annual sick leave and others payroll record. 11. Answers telephones, opens and logs mails, meets and greets visitors, and assists in other clerical functions; may arrange travels and meetings and coordinate office security and key control. 12. Performs other related duties that may be assigned from time to time. Job Specifications/Conditions of Employment Bachelor's degree, preferably accounting Computer literate Human Relations Contacts are rather limited mostly with the staff within the department, and related departments like the billing and purchasing section. Principal Accountability Basic data entry and word processing skills are a must. Ability to verify data input and ensure accuracy are critical as errors may cause over or under billing which can be translated into a loss of revenues or even patients. ensures that books and ledgers are completely and accurately maintained.

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Job Description

SUPPLIES CLERK III (csr)

The fundamental reason this classification exists is to perform responsible supervisory and stock inventory control work in the operation of a central supply room or warehouse which services most of the department and agencies of the City with common use items; or a very large supply room, warehouse or yard which services one large department with technical or specialized items. Responsibilities are performed under general supervision of a Supplies Supervisor or a comparable supervisor within a large department. The size of operation and the increased supervisory responsibility coupled with the technical expertise required of some positions differentiates this classification from the Supplies Clerk II.

ESSENTIAL FUNCTIONS: 

Supervises employees engaged in the requisition, receipt, inspection, storage, issuance, and minor repair of supplies, materials, and equipment;  Inputs and retrieves inventory information using a computer work station, and verifies information on computer-generated documents;  Ensures security of supplies and equipment;  Creates and updates inventory records and makes periodic physical inventories to reconcile physical count with the inventory records;  Works with buyers for timely procurement;  Checks supplies and equipment, including substitute items, against specifications to determine appropriateness;  Calls vendors/suppliers to resolve order discrepancies and to determine price and availability of supplies not available through contract or central stores;  Reviews computer-generated records and reports to determine ordering needs and supply room activity;  Resolves computer entry problems due to coding or format errors;  Prepares requisitions for supplies to maintain minimum stores levels;  Checks incoming material tor quality and quantity against invoices, purchase orders, packing slips, contract order release forms, or other documents;  Determines and disposes of obsolete items;  Purchases priority items that are not in stock;  Issues general or specialized goods and supplies;  Monitors vendors compliance to contract prices,  Devises storage, security, and accounting procedures;  Receives, unpacks, and stores general or specialized goods and supplies;  Packs and ships parts ·to ensure appropriate warranty-and maintains the warranty parts exchange program;  Ensures incoming parts have appropriate Federal Aviation Administration documentation;  Demonstrate continuous effort to improve operations, decrease turnaround times, streamline work processes, and work cooperatively and jointly to provide quality seamless customer service.

Required Knowledge, Skills and Abilities: Knowledge of: • Principles and practices of personnel management and supervision. • Modem storekeeping methods and practices. • Remote computer terminal data input and retrieval processes. • A wide variety of supplies. tools. and equipment and related terminology. • Functions of a computerized inventory control system including its uses, capabilities, and limitations. Ability to: • Perform a broad range of supervisory responsibility over others. •Observe the confidential nature of work assignments and display discretion and integrity in performance of duties. • Work cooperatively with other City employees and the public. • Communicate orally in the English language with customers, vendors, or the public in a face-to-face, one-on-one setting or by telephone. • Observe and monitor employees' behavior to determine compliance with prescribed operating and safety standards. • Remain in a sitting or standing position for extended periods of time. • Observe, compare, or monitor data, such as excess amounts and turnover rates, to determine compliance with prescribed operating standards. • Read, comprehend, and make inferences from written material, including computerized data printouts of inventory management reports. • Operate forklifts and materials-handling equipment. • Move heavy objects (up to 50 pounds) short distances (less than 20 feet) • Work safely without presenting a direct threat to self or others. Additional Requirements: •Appointments to some positions are subject to meeting appropriate polygraph and background standards. • Some positions require the use of personal or City vehicles on City business. Individuals must be pbysical1y capable of operating the vehicles safely, possess a valid driver's license and have an acceptable driving record. Use of a personal vehicle for City business will be prohibited if the employee is not authorized to drive a City vehicle or if the employee does not have personal insurance coverage. •Some positions require the performance of other essential and marginal functions depending upon work location, assignment, or shift.

OPERATING ROOM JOB DESCRIPTION

JOB DESCRIPTION: A Staff Nurse assigned in the Operating Room, under general supervision, provides surgical patient care by assessing, planning and implementing the nursing care patients receive before, during, and after surgery. These activities include patient assessment, creating and maintaining a sterile and safe surgical environment, pre- and post-operative patient education, monitoring the patient's physical and emotional well-being, and integrating and coordinating patient care throughout the surgical care continuum. His detailed duties and responsibilities include the following:

1. As a Scrub Nurse, he works directly with the Surgeon within the sterile field by passing instruments, sponges and other items needed during the surgical procedure. 2. As a Circulating Nurse, he works outside the sterile field and is responsible for managing the nursing care within the Operating Room by observing the surgical team from a broad perspective and assisting the team in creating and maintaining a safe and comfortable environment.

Position Title: In-House Security Guard Reports: Head Guard, In-House Security Services Department/Section: Admin. & Personal Department

Basic Function Provides personal, equipment, and real property security in Medina General Hospital. Provides information directions, and escort service as needed. May be assigned to a specific zone or geographical work area.

Position Location Name of positions directly reporting to the incumbent: None Name of positions indirectly reporting to the incumbent: None

Environment Working involves moderate exposure to unusual elements such as extreme temperatures, dirt, dust, fumes, smoke, unpleasant odors, and/or loud noises.

Moderate physical activity. Requires handling of average-weight objects up to 25 pounds or standing and/or walking for more than six (6) hours a day. Work environment involves some exposure to hazards or physical risks, which require following basic safety precautions. Mental requirement of the job is from light to average exertion. Activities 1. Patrols assigned areas on foot or in a vehicle to ensure personal, building, and equipment security. 2. Examines doors, windows and gates to determine that they are secure. 3. Conducts bags and delivery/release of inventory inspection, ensures that firearms/deadly weapons are forbidden within the hospital premises. 4. Informs and warns violators of rule infractions such as loitering, smoking, or carrying forbidden articles including employees' non-adherence to safety rules and regulations such as non-wearing of hospital ID, entrance of unauthorized personnel in restricted areas etc. 5. Ensures that all employees had timed in and out of their duties. 6. Provides public assistance in patient's rooms, doctor's clinics, special areas of the hospital or offices. 7. Watches for and reports irregularities, such as fire hazards, leaking water pipes, and security doors left unlocked; sounds alarm in case of fire or presence of unauthorized persons. 8. Performs periodic checks of emergency call boxes and/or street lights to ensure proper functioning; reports malfunctions as required. 9. Periodically inspects rooms, offices, hallway lights, etc. to ensure proper usage and detect unusual and unauthorized activities thereof. 10. Ensures that Blue Guards and Internal Guards under his supervision are performing their assigned duties and responsibilities.

11. Prepares routine, standardized reports. 12. Performs other related duties that may be assigned from time to time. Job Specifications/-Conditions-of Employment  Two years of College or Vocational/Trade school graduate of a specialized training course.  With training in security work, knowledge in local laws and regulations governing the protection of life and security  With more than l to 2 years work related experience  Preferably has a professional driver's license, but not required

Human Relations The incumbent is always in contact with the staff, visitors and patients of Medina General Hospital. Diplomacy and tact are necessary in dealing with the same. Principal Accountability Ensures the safety and protection of persons belonging to and properties of Medina General Hospital.

Job Description of ICU Nurse QUALIFICATIONS AND REQUIREMENTS 1. 2. 3. 4. 5. 7. 8.

Should be a Bachelor of Science in nursing degree holder Should be a registered nurse in the Philippines Should have at least oneyear experience of staff nurse in the medical surgical unit Should have attended in - service training and education in the intensive care management of patients Should demonstrate competence and skills in the intensive care of all Should exhibit interest, compassion and understanding to patients and their family Should be honest, committed and loyal

1. Renders intensive nursing care to patients according to their individual needs utilizing the nursing process or scientific problem approach. 'c":\ A- --J.:~-·P~~-...J!J.!~~~-J.!-· ·~· ,-1•, J.l-r~, ·-1-. J.1-~, ·-~ ~f -~--~C'.) J.1-~ .) I I /"'\.).)C'.).)

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monitor, ventilator and other devices.

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Renders direct nursing care and administers treatment and other procedure.

Provides emotional support to the patient and members of his family.

5. Possesses knowledge of the different laboratory procedures and the corresponding normal values.

6.

Supervisesstaff nurse on orientation.

7.

Participates actively in the in - service education programs.

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Insert IV infusion when necessary Manipulate equipment/apparatus like ventilator, defibrillator, cardiac monitor, etc. A ....J-:-: .... .&.- ... -~~ , .a.1,...._.,,. ,, /"'\UI 111111.>101 VAY8CI 1 111c1ut,.Jy Anticipate treatment regimen and prepare drugs of emergency situation.

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Participates in the general activities of the nursing services department.

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Makes suppiies and solution. prepare instruments and medicines.

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Makes inventory of equipment, instruments and medicines.

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Charges and replaces correctly all ICU items used by the patients.

POSITION JOB SUMMARY

HemodialysisUnit

Supervises,schedules and coordinates the day-to-day activities of an assigned team of nursing and support staff, ensuring adherence to hospital or department regulations, policies, and accepted nursing protocols and procedures. Coordinates service with other patient care units and provides direct patientsas required. DETAILED JOB DESCRIPTION:

1 . Monitorsand coordinatesthe daily patient activitiesof the unit; schedule staff and patients to ensure full coverage of patient care needs at all t.i...P. -<:.... r-,·n..rl -· P.....n. <·:-1-1. rP P-ff....P. r- <- :-P.r..virP-<-: - . t.ntiv. P. . ..... n·-r,-ti·P..n-t ... --;

2. Supervises personnel which typically include recommendations for personnelactions, performance evaluation, training, work allocation and problem resolution. 3. Oversees and provides direct nursing evaluation and/or other related care and consultationto patientsas required. 4. Coordinates serviceswith other patient care units as required; maintains communication with allied services. 5. Participates in program development and in the implementation of operating policy and procedure. 6. Ensures proper care in the use and maintenance of equipment and suppiies; promotes continuous improvement of wori
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Delivery room ~lA-h- n~P<--,f-'n·n·rti·n·n-···· • Stay within mother labor begins and supporting the mother through a healthy delivery. _. Monitors the patient's condition especially the vital signs of the mother and the fetus throughout the labor and counting contractions including its strength and r-f1--1- ·r-~-t-1-o...n ·~-~- r-n-mP - . t-h-p-v., • Prepares vaginal examination for the mother. • Administers IVs to the mother and prepares her for a caesarean section if needed. • Administers pain medication as ordered; administers other medication .to address specific medical conditions, such as hypertension and diabetes. "Qp,;,rk, fpt,;,l n,(\nitnr ,;,nrl ,;,<,f'Prt,;,in" ifthPrP i",;, nrnhlPm nrith h,;,hu'" hP-;irt r,;,tp • ·----- ·-·-· •H-••••-• -··----··-···- •• -·-··- - r-·--•-••• •••- ---.; - ••--• ·-•-• • Contacts anesthesiologist when/if patient is ready for epidural; contacts delivery physician at appropriate time, ascertains proper time. • Ensures patient is in proper potion for delivery and all monitoring equipment is functioning properly and sits ready whenever needed. • n-·iu· P-c- -rl·ir·P-f-'h·n·n-·· n-n·· h-·r- ,-;,~n-rl ·rP-l·<-1v·<-1·t·in-n·t·P-·<-·'h-n--in-i1-1-P-<,"-" P-,;·,·th~inoo n··P-<-'P-"-"-"-'·".;'· • Records time of birth and time of placenta delivered. • Receives and take care of the baby right after delivery (clean, weigh, cord care, etc.) • Gives apgar score. •

Teach parents the natural child birth techniques, proper breastfeeding methods and tips.

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MEDICAL TECHNOLOGIST MEDICAL TECHNOLOGIST SUPERVISOR T AR()RAT()RVnr:.'PARTMPl\IT

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Basic Function Under the general supervision, independently performs a wide range of routine to complex medical laboratory tests, procedures, experiments and analysis to provide data for diagnosis, treatment and prevention of disease. Engage in specified medical research activities as appropriate. May specialize in areas such as hematology, blood bank, serology, immunohematology, bacteriology, histology or chemistry.

Position Location Name of positions DIRECTLY reporting to the incumbent >>None Name of positions INDIRECTLY reporting to the incumbent >>None

Environment Work involves moderate exposure to unusual elements, such as extreme temperatures, dirt, ·r--lu<...:t~.., fl1mP<..:..,, .......:..m.... n_.l.t-P, nnnt"l...P-- ~<...:-~ n...t.......n.. r_ln._r..<...:... -~.,.n..r_l/n-r...n......1-1- rl ,n_...n._i<....I:JP_ <...:..

Light physical effort. Requires handling of average -weight objects up to 10 pounds or some .standing or walking. Effort .applies to no more than two (2.)hours per day. Work environment involves exposure to potentially dangerous materials and situations that require following extensive safety precautions and may include the use of protective equipment. Mental concentration .is-oritical:

Activities 1. .Studies .blood .cell numbers and morphology, using microscopic techniques; performs blood group, type and compatibility tests for transfusion purposes. 2. Conducts chemical analysis of body fluids such as blood, urine and spinal fluid to determine presence of normal and/or abnormal components. J. Validates, -calculates and -tabulates -results-of-tests performed, -post findings to log· books and quality control records and makes reports of observation.

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4. Assists medical staff in the interpretationof'tests results and with the selection of additional tests as appropriate; serves as an independent resource to staff and patients .r....P...o0-<....>..:r:.t.l-1-&nllt&o.o- ,':,11:--1f- 'l...i...n....i..f.:.'.<......>._I nt"r..A. ....l, vPc.t.ii.n.vna.ac.v .<.....>.... :n.....i...l f'·A:.t.......c...t..i..n.....okl-l.::, 'Prlnr_P..c._o,J :...'1fr'.\...l..'.P.,.. .r.....n.. .c,.._.... nt>P....r....t.. nt'"r)n,". t'n"..l.'_A_vI-1.., _<._>..n_ il <._:>1....n....1..n....o. t-, results.

5. Performs.quality control to ensure.proper functioning of instruments, reagents and procedures. 6. Assists in the establishment and implementation of procedures to evaluate laboratory test methodologies for accuracy, precision, sensitivity and normal values. 7. Researches and investigate problems with clinical Iaboratory procedures and-makes and recommends modifications and corrections as appropriate. 8. Ensures that working area is cleaned and disinfected. 9. Prepares the.necessary reports.as required.by the hospital. 10. Performs other related duties that may be assigned from time to time.

Job Specifications/Conditionsof Employment • Licensed Medical Technologist • R..,._-.;..i..f_'.h.....P. lnr'<1.....,. r-1P-oorP-P--- .i...n...... l-V~-f-P-rl·il-'---;-il.... -T..-,;.i.h-n..r...-;_it....nnJ, c-;;:..--,i-P--n--f-'-P n- r.... <-->n P-1m.1.....i.v.,.<...>......l. Pn.... ht..........f.. ip_ J,...-_1, · .-_.;it. IP<>.>d,.."'" 1 year of experience that is directly related to the duties and responsibilities. ....

Buman Relations The position is in close contact with his/her staff as well as those requesting for the services nf'thP l<>hor""ton, <::!ll'h ~<:: thP rlnf'tor<:: n11r<::P<:: <>nil r-- ... PuPn - ............,. n::itiPnt<:: ..,.,.._ ...ak ......... ....................... J .., .................. - ..... ·--. - .... ---- ....... ---

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Principal Acoeunta bility The incwnbent must be able to perform complex advanced clinical procedures and a range of f']ini..-,~ 1 laboratory tP<1.t<:: ~nri -".'hP"1if'~ 1 ~ngly<:PC nn hinl.Agil'!'ll samples wjth 1 ()()0,,(,, accuracy and precision.

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P-esition Title Reports To Department Section :.

-OPERATING ROOM NURSE SUPERVISOR CHIEF NURSE NUP..S!NG D!V!S!ON!OPEP_.\ TING ROOM

Ba&ic Function Supervises the work of staffs in the operating room, assists surgeons in a variety of surgical procedures. Coordinates pre-op and. post-op patient care. Ensures adherence to hospital or department policies, nursing procedures, standards and practices.

Position Location Name of positions DIRECTLY reporting to the incumbent: ·>">Staff Nurse >>Caregiver Name of positions INDIRECTLY reporting to the incumbent: >>Midw.ife >>Nursing Aide

Enviroament' Work is normally performed in a typical interior/office work environment.

Light physical effort. Requires handling of light to average weight objects, oftentimes the incumbent is found standing and walking. Work environment involves expesure to potennally dangerous materials and situations that require following extensive safety precautions and may include the use of protective i":">-i-n.1n1i.tn'-n.;au.~,."n...t... ~.

Exercises above normal care and attention in assisting surgeons. Mental concentration is heavy.

Activities: • I. Schedule operating room cases, coordinates pre-op and post-op patient care. 2. Performs circulating and/or scrub nurse duties during operating room procedures. 3. Assists surgeons in clinical procedures such as biopsies, notifies patients of pathology results as appropriate. 4.

Maintains records and slides as appropriate.

5. Trains and/or guide technical and support staffs in clinical and surgical settings. 6. Follows established department policies, procedures and objecxtives, continuous quality improvement, and safety, environmental and/or infection control standards. 7.

Supervises work of nurses in the operating room.

8. Performs other related duties that may be assigned from time to time.

Job Specifications/Conditions of Employment • BS in Nursing with 2 to 3 years experience directly related to the duties and r<>c,nnnc--ih.jJ;t-,,.., <'n<>l"'1h<>A ..,_.._,.,..,_.. ...... ._,'ll...,.a.&.-. .. ..._ ..... ......... ,_, ..:>_tJV"'l<.L_. • Licensed Registered Nurse

Human R-elations The incumbent often works with his/her supervisor and the surgeons performing nnPr~tino nrnrPrf11rPc: o r- - - -·------ .... · - l'""--- _.., PrincipalAccountabilities The incumbent must ensure that quality, safety and/or mfection control .standards are observed inside the operating room. Knowledge of patient care requirements before and after surgery is essential to ensure quick recovery. - -

Position Title Reports To Department/Section

Nursing Attendant Nurse Supervisor Nursing Division

Activities 1. Checks and receives articles and supplies together with RN's on their areas. 2. Particioates with the endorsement. and makes rounds with outaoina staffs. I • 3. Give AM and PM bedside care to patients according to shifts. Tidy bedside tables. 4. Feed and care for very sick patients. 5. Measure fluids intake and output. 6. Accompany patients to x-ray, laboratory and cashier. 7. Serve bedpans, commodes and urinals. Cleanses after use at once. 8. Provide specimen bottle and delivers to the laboratory once in or available. 9. Coordinate with staff nurse in giving orientation to newly admitted patients and their watchers. 10. Shave, removes nail polish and removes underwear of patients for operation. 11. Maintains cleanliness of the station. 12. Check always the alignmeAt of beds in the ward. 13. Serves as messenger service to other areas of the hospital. 1r- AI• h_ o....+.... ,h. I 'o-"n1 no+ion+c cnnnno •Drn\/iWrl..o....c. .._,,,..., rl\l,A .h..,o..r...l...... ,...,"""'\.l"'I t'-V• _, ~h',Aol.+I h J +n oll •t,t

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15. Check IV bottles, attach IV tagging and changes it as necessary. 16. Takes and checks TPR and other vital signs and plots in the patient's chart. 17. Give P.O. meds and nebulization therapy. 18. Get medicines from the pharmacy. 19. Emptiness urinary catheter bag collector. 20. Prepares the diet list of patients for the day. 21. Administer oxygen therapy and monitor with proper documentation. 22. Take chart for billing. 23. Performs other related duties that may be assigned from time to time.

MEDINA GENERAL HOSPITAL Ozamiz City OUT PATIENT DEPARTMENT Policies and Manual of Operations

OUT PATIENT DEPARTMENT (OPD) A decentralized section of Medina General Hospital accommodating any person who needs general or emergency diagnostic, therapeutic or preventive health care; and who at that time is not registered as an in-patient of the hospital. It is allotted with physical facilities operating on a regular schedule with adequate personnel assigned for established hours.

OBJECTIVE Our patient care system will be recognized for providing a prompt and easy access in health care without the need to be confined in the hospital; compassionate and exceptional quality patient care, outstanding customer service while continuously improving:flexibility and cost-effectiveness.

OPD Organizational Chart

HOSPITAl ADMINISTRATION

MEDICAL SERVICES

NURSING SERVICES

BILLING AND CAHIERJNG DEPT

CONSULTANTS

RESIDENT PHYSICIANS

OPO SUPERVISOR ---------------{~

STAFF NURSE

VTIUTYIOROERL Y

c_AS_H_,e_R_~

' POLICIES andGUIDELINES I. SCOPE OF SERVICES The unit located on the I st floor of Medina General Hospital is a 5 cubicle unit with a separate procedure and examination room. The patient services that are supported by this unit include Maternal and Child care, Dental Health services, and Outpatient Surgery requiring pre and post procedure nursing care.

Chemotherapy and Endoscopy which are not services provided at this facility. Each patient in the Outpatient Department can expect a Pre-procedure assessment appropriate to the planned procedure. Health teachings, instructions and scheduled follow-up visit are provided for each patient.

Pre-Admission services are also provided immediately upon entering the unit utilizing two Registered Nurses. Services include coordination of pre-admission testing, patient teaching and obtaining pertinent patient history & assessment.

If in case the patient needs to be admitted. the OPD nurses will then automatically classify and note the patient's admission as House Case before endorsing to the Admitting section. Minimal nursing services is provided for the physician on duty. Patients are seen by the physician in each cubicle located on the left side of the reception area. Nursing services provided include the following: • weighing the patient •

assisting the patient to the examination room scheduling of follow-up appointments as necessary.

If the patient needs emergent and/or further skilled .nursing care, the patient is sent to the Emergency Room. For other services required such as Laboratories, X-Ray, and etc., the patient will be directed then to the appropriate department after paying their dues. II.

DEPARTMENT OVERSIGHT

The department is overseen by the Nurse Supervisor, the Chief of Clinics, the Nursing Service Director, and the Hospital Administrator.

III.

HOURS OF OPERATION

Out Patient Department is open from Monday to Friday (except Holidays)between the following hours: 8:00 ant - 12:00 noon 1:00 pm- 5:00 pm 8:00 am- 12:00 noon every Saturday For out patients coming in beyond the specified time, they are directed to proceed to the Emergency Room.

' IV.

STAFFING

Two staff nurses. who possess a vaJid license. are in charge of all the OPD nursing routines and procedures.

V.

UNIFORM

Staff should report to dutv according to their schedule with the prescribed uniform from Mondays to Saturdays.

VJ.

SUPPORT SERVICES

OPD also include the following support services to provide high quality of care. D Reception/Cashier's Desk CJ Laboratory services D Pharmacy O Radiology services D Medical Records Department D Health Education CJ Health Management Organization (HMO) Desk O Hospital Administration

UlJT PATIENT .Rl!~WSTRATION GlJIDEL1NES 1. All patients coming in with or without any consultation or admission record are required to present 2 valid -IDs. 2. The patient or his/her watcher must fill up the Pre-admission Registration form. 3. The staff transfers the data collected correctly and legibly to the Out Patient Record form and feeds the information to the computer for recording. 4. The patient and the physician are not allowed to write the patient's data in the Out Patient Record form.

-GUIDELINES FOR FILING & RETRIEVAL OF .OUT PATIENT RECORDS 1. OPD records filing is separate from the Medical Records Department. Filing is according to the patient's Account number. The Account numbers are written on the upper right portion of the Out Patient Record form so that the staff can easily locate them. 2. The-OPD recordforms arelogged in the logbook before they are placed in order by 50's in a long envelope. The envelopes are then arranged in sequence. • NEW PATIENTS - after data has accurately taken, encoding will follow which will then provide their account number. The Account number also serves as their Patient ID number.

• OLD PATIENTS • upon entering the facility, the patient is asked for 2 valid ID'S, his/her Account number (if known), or Full name. The staff scans the computer for the oatient' s Account number and retrieves the records from the storage. • Patient records from previous admission, if asked by the physician for a follow-up care, are requested according to the retrieval protocol of the Medical Records Department.

1. Upon entering, the patient must present 2 valid ID's and fills up the pre-admission registration form. After data is obtained, encoding will follow to provide the patient with his/her Account and Case number. 2. The patient is then instructed to verify first with the HMO In-Charge his/her HMO card as to the accredited physician, procedure coverage, etc. 3. Have the patient present the necessary documents and the note from the HMO In-Charge. 4. Proceed with the required procedures. 5. Complete form with aU the information and the charges from the procedures done and have it signed by the physician. 6. Return the form to the HMO In-Charge for processing. GUIDELINES FOR OUT PATIENT SURGICAL PROCEDURES A. Non-Phi/HealthPatients 1. Verify doctor's order 2. Secure consent for the procedure and clearance from Business Office 3. In the Out Patient Record form, provide Account and Case number and attach the above documents 4. Inform Attending Physician/Surgeon 5. Have the Physician/Surgeon accomplish the following: • Minor Room Record - 2 copies

B. Phi!Hea/th Patients 1. Verify doctor's order '2. instruct patient to submit all the required documents to the PlulHealth in-Charge (Window I) for verification 3. Secure consent and Business Office clearance 4. In the Out Patient Record form, provide Account and Case number and attach the above documents 5. Inform Attending Phvsician/Surgeon

, 6. Have the Physician/Surgeon accomplish the following: • Minor Room Record - 2 copies • Operating Record Technique - 2 copies • CF3 REFERRAL TO OTHER HEALTH FACILITIES Correct and targeted .referral should reduce patients' anxiety by ensuring that the right patients reach the appropriate specialist rapidly. When patients upon admission and still on the Emergency Department and cannot be cured they and their general practitioner wi11 have time to sort out benefits and develop a plan of shared care with other specialists. I. Patients have the right to be referred to other healthcare facilities on their own choice. 2. If the patient is in critical condition as appraised by the Resident on Duty, with or without consent from the patient's nearest kin, the Emergency Department will de the necessary intervention to stabilize the status of the patient. 3. The Resident on Duty that has conducted the initial assessment, and decided the patient for referral shall fill up a Referral Form. 4. The patient will be immediately transported using the hospital's transport vehicle (e.g. ambulance), or any vehicle requested by the relatives.

Out Patient Department (OPD) Flowchart

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POLICY AND PROCEDURES ON PATIENT ADMISSION IN THE ADMITTING SECTION

Policy: It is our goal to ensure patients and relatives a courteous welcome, provide a copy ofleaflets and orient the patient and family to Patient's Bill of Rights. Patient admission has to follow specific guidelines and procedures to maintain smooth traffic and prevent congestions and conflicts to availability of rooms and/or accommodation. Procedures: 1. Receives patients for admission (only those who are not emergency cases without accompanying), watchers or direct family member accompanying the patients to fill up specific forms for data collection of patient information for data gathering and final admission, such as: a. Patient Name b. Date of Birth c. Age d. Civil Status e. Complete Address f. Contact number g. Spouse's Name ( for Adult Patient) h. Mother and Father's Name (for Pedia Patient) 1. Membership J. Doctor of choice k. Room Number 2. Interviews patient as to clinical case to determine case containment in choosing for room availability. 3. Gives information as to room rates and accommodation, including its room amenities. 4. Advices patient/watcher regarding completion of Philhealth requirements and other necessary documents for Insurance Accredited Membership. 5. Feeds information to computer for final recording and printing of clinical charts. 6. Endorses Patient Clinical Chart to Emergency Room for final management.

POLICY AND PROCEDURES ON PATIENT ADMISSION TO EMERGENCY ROOM

Policy: It is our goal to ensure provision of immediate medical care and attention to patients admitted in the Emergency Room Department. Receives, accommodates and attends patient who are transported by Caregivers following patient prioritization as to Clinical Status (e.g. Priority I, Priority II, and Priority III).

Procedures: 1. Ensures the patient and relatives a courteous welcome into the hospital. Welcomes patient and introduces self. 2. Orients the patient and family to the hospital set up and the Patient's Bill of Rights. 3. Provides immediate nursing measures and care needed upon receiving the patient. 4. The Resident on Duty (ROD) sees the patient first for immediate assessment and intervention. 5. Takes the patient's vital signs, height and weight and refer it accordingly; taking note of the manner the patient entered the emergency room. 6. The ROD asks the patient/relative if they have their own doctor/company retainers and admit the patient under the service of the chosen authorized physician for further management. 7. After determining the patient's Attending Physician, the Nurse on Duty will advice the patient/relative to sign a specific form stating their Attending Physician of choice. 8. The Doctor's order (verbal/written) will be carried out by the Nurse on Duty. Visiting/Outside physicians should be informed of the admission. Patient referrals through phone must be done by Doctor-toDoctor Referral or ROD• to-Attending Physician Referral. If the Attending Physician is unable to contact, proper documentation must be observed and proper endorsement to the Nurse on Duty in the unit/area where the patient will be admitted. 9. Receives admission documents from the admitting office. 10. Calls the unit/ward the patient is assigned for confinement to check for room readiness and for ready transport. 11. Endorses patient to ward/unit.

POLICY AND PROCEDURES ON INFORMATION DISSEMINATION

Policy Statement: Dissemination of information is a vital aspect in an organization to widely inform all employees concern regarding management directives and orders, revised policies and procedures, and other untoward matters relative to administrative orders and decisions. This Information Dissemination is done through Committee meetings.

Procedures: 1. The HRD (Human Resource Department) regularly circulates a Memo per approval by the Hospital Administrator to every Department Heads to inform them of the scheduled meeting with the management; unless, otherwise, the Hospital Administrator for himself sets another schedule of meeting earlier or later than the scheduled date, depending on his availability. 2. A MANCO:MM(Management Committee) meeting is set to schedule once in every two (2) months to discuss important matters, issues, concerns, accomplishment reports, and evaluations to be attended by all Department Heads, including Nurse Supervisors in every special area/unit of the Nursing Department. 3. Vital issues discussed during the meeting wi11 be concluded and decided by the Presiding body, who is the Hospital Administrator. 4. Relevant matters discussed during the meeting, for dissemination to the general employee, will be addressed to and handled by the Department Head or Unit Head. 5. The Department Heads/Unit Heads will then conduct a special meeting to their respective Department Supervisors and Head Nurses (for the Nursing Services) to their respective Nurse subordinates or ward nurses, or, directly to their staff subordinates (for other Departments like the offices and other areas/units) during their scheduled regular meetings to disseminate the information. 7. Likewise, a Memorandum Order will also be circulated around every Department and for posting to Bulletin Boards.

POLICY AND PROCEDURES DURING PATIENT TRANSFER TO OTHER UNIT/WARD

Policy Statement: To transfer the patient to other unit/ward with all possible safety, considerations and courtesy is a primary goal to every concern Nurse on Duty, be it per Attending Physician's order, based on the hospital protocol as to Case Containment, or per patient/watcher's request.

Procedures: 1. Receives doctor's written transfer order; or, receives a verbal request from the patient/watcher ~ Identifies patient's chart )i-> Verifies the order for transfer Note: For requested transfer, clarifies with the patient or relatives the reason for transfer. For patient to be transferred to the Intensive Care Unit (ICU), request relatives to go to Admitting Office for :financial assessment. 2. Prepares patient for transfer ~ Carries out transfer order/requested transfer ~ Advises relative to go to Admitting Office for room transfer arrangement (room rates, location, room amenities, etc.) ~ Once arranged, the Admitting Officer calls the station/unit the patient is currently confined; infonning them of an agreed patient transfer to a particular area or station and verifies the room number, then immediately calls the Linen Department for room preparation (the Linen personnel checks the Admission Checklist for room amenities prior to transfer). · ~ The station Nurse on Duty then calls the other station/unit the patient wil1 be transferred to; informing them of a patient transfer in their unit and the room number. Initial endorsements through phone primarily will be discussed, as to the necessary things to prepare like oxygen (02) gauge preparation, IV stand, and other contraptions the patient will need upon transfer/arrival. )i-> The receiving station/unit will then prepare the room as to its needed patient contraptions and checks room readiness including the linen. )i-> Once ready, the receiving station/unit will then call the endorsing station/unit and advice for ready transfer. ~ The endorsing station/unit informs the patient/relatives/watchers of room readiness. ~ Informs the Attending Physician/s of the transfer

POLICIES AND PROCEDURES ON PATIENT FOR DISCHARGE

Policies: To discharge patient with all possible safety, considerations and courtesy To adequate]y instruct patient concerning follow-up care To complete patient's Clinical Chart

Procedures: 1. Receives Doctor's Order Sheet ).> Identifies patient's chart >- Verify order for discharge >- Checks for specific instructions (take home meds, diet, treatments and follow-up care) 2. Prepares patient for discharge >" Informs other referral doctors of the discharge order ).> Carries out specific instructions ).> Secures list of itemized medicines from the Billing Section, being charged from the Pharmacy, for counterchecking of consumed meds against the Patient's Clinical Chart >" Checks for completeness of the Patient's Clinical Chart prior to submitting for Billing process )"' Verifies and ensures that the following are attended prior to issuing of discharge clearance a. Discontinued and excess medicines, medical/surgical supplies, if any, have been returned to the Pharmacy (to be deducted from its list of charges) for final billing b. No order is pending at the Nursing Unit c. Floor stocks used by the patient have been charged/replaced d. Mode of settlement of all Doctors' Professional Fees, as well as the amount, have been noted e. Reviews the instructions concerning follow-up care with the patient and relatives/watchers >- Once the discharge clearance has been issued, NOD calls the Linen Department to check the room of the patient based on the previously signed (upon admission) Admission Checklist. Once cleared, Linen personnel signs the discharge clearance. Note: Makes sure that the Patient's Clinical Chart is already back at the Station from Billing ;ii>After completing the necessary documents and discharge instructions (which is fully explained to the patient/watcher), the NOD then signs the discharge slip. ).> Assists, if necessary, patient to dress or packs patient's belongings

Note: All patients for transfer to ICU should be accompanied by ROD and/or the Charge Nurse on duty. 3. Documents the procedure ~ Documents the following in the Nurse's Notes a. Condition of the patient prior to transfer b. Contraptions c. Time the patient was transferred d. The person accompanying the patient during transfer ;,- Checks the completeness of the following: a. Kardex b. Patient's Clinical Chart c. Medicines and supplies (all unused medicines/supplies should be turned over upon transfer) 4. Transfer patient to other Station/Unit ~ Calls the emergency room and request caregivers to transfer the patient to other unit. » Calls the station/unit that the patient is being transported. }- Endorses the following: a. Reason for transfer b. History and condition c. Contraptions d. Medicines and supplies e. Special endorsement f Patient's Clinical Chart and Kardex » The Linen personnel then countercheck the Admission Checklist of room amenities and have it signed by the patient/watcher upon transfer/arrival to patient's room.

POLICY AND PROCEDURES ON THE DISTRIBUTION OF PATIENT SATISFACTION SURVEY

Policy Statement: Patient satisfaction has always been a priority in Medina General Hospital. Routine monitoring of patient satisfaction using surveys are conducted to ensure stability of improvement trend of Medina General Hospital. It serves as an anchor for the institution to continue to render quality health care services.

Procedures: 1. The HRD personnel will provide Patient Satisfaction Survey Forms to Nurses' Stations. Each floor has provided a drop box to where patients drop their filled-up survey forms. 2. The Nurse on duty sha11 provide a Patient Satisfaction Survey Forms to patients/watchers in the area for in-patients 3. The Nurse should explain the proper ethical manner upon handling the form. Confidentiality and the right to self determination should be the utmost priority. Privacy should be maintained while the patient/watcher answers the form. 4. The patient/watcher will be advised to drop the form in the designated drop box provided in the floor station, or, the Nurse may collect the form maintaining proper professionalism and courtesy in the entirety of the event 5. The Survey Forms will then be coJlected and be brought to the Human Resource Department Office. 6. The results will be presented during the Management Committee meetings. Any results and comments from the patient/watcher will be discussed for proper resolution and evaluation. 7. The distribution of Patient Satisfaction Survey Forms will be regularly done quarterly in every year. 8. Summary and averaging based on its quarterly results will be tallied and an annual summary of results will be done by the Human Resource Department/Quality Assurance Program.

3. Discharge Patient >- Cal Is the Emergency Room Department to request Caregivers for patient-transport. 5. Documents the discharge procedure and completeness of the chart ~ Records the following: a. Nurse's Notes should contain the following: Condition of the patient upon discharge Time the patient was discharged physically from the room b. Date and time of discharge to be noted in the Patient's Data Sheet

FLOWCHART Receives request o me lcines,

me ica supp ies rom different departments, like Pharmacy, CSR, ICU, OR/DR, ER,

Stocks available serves to the requisitioning department.

Stocks not available

Submit request to the purchaser

Ask for the signature indicating that the department received the stocks

Receivesstocks when ourchased

Serves to the requisitioning department

Ask for the signature indicating that the department received the stocks Keeps remaining stocks according to standard practice or policies

.

.

POLICIESAND PROCEDURES ON MONITORING OF NOSOCOMIAL INFECTION

Policy Statement: The tracking of nosocomial infections is necessary to monitor overall effectiveness of infection prevention practices and health related patient and staff education. This is to specify infection surveillance procedures in Medina General Hospital. Procedures: I. The Nursing Staff are often the first to observe changes related to possible failure of Infection Prevention Standards, therefore, communication of concerns to the Infection Control Team or members of the Committee are crucial and need to follow guidelines detailed in the Infection Report policy to ensure that accurate timely reporting of diagnosed infections is achieved. 2. All infections must be reported to the Infection Control Nurse or members of the team using the Infection Report Form. Upon receipt, the Infection Control Nurse/Team will review and compare them to prior reports

MEDINA GENERAL HOSPITAL EMPLOYEES . (MARCH 2019) HOSPITAL ADMINISTRATOR (2)

1

1

RUBIN, JOCELYN TERESA V. M.D

2

2

GOERGE THOREK MEDINA M.D

HUMAN RESOURCE DEPA TMENT {4)

'

1 2

3 4

1 ..

'. .. J ADMINSTRATOR/ ANESTHESIOLO . G~ST MEDICAL DIRECTOR ,.. ,· J HUMAN RESOURCE DIRECTOR HUMAN RESOURCE CLERK HUMAN RESOURCE CLERK HUMAN RESOURCE CLERK

5

3

6

4

R BtSCOCHO, ALFREDO D.Ph,D. ARQUIZA, PRINCESS B.

SARDON, MARY JOY B. CRAUSUS, FRANCES NINA MARIE

INFORMATIC>tiTECHNOLOGY /MIS(2) ' 7 1 ERMAC, QUENLANE L. 8 2 MUGAR, JERIMIE LUTHER 0. ~ CUSTODIAN NON MEDICAL Mffl.JCAL PROPERTY CUSTODIAN(2) .,,

..

1 IT IT-PROPERTY ··'i_j

c 1 LACANLALAY, LEONILE B. 9 UTILITY /MEDICAL PROPERTY CUSTODIAN ,, 10 NERI, VIERNIFRED D. 2 OFFICE Of HOSPITAL APMIN & FINANCE DIVISION(5)

1 TAC-AN, CYNTHIA S. GUTANA. CATHLEEN S. 2 PELA YO, JULIET B. 3 13 POSTRANO, AILEEN M. 4 14 MEDICAL RICOROS(4) 5 TUBIGON, DECOLGEN L. 15

MEDICAL PROPERTY CUSTODIAN

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11

ACCOUNTING HEAD-CPA

12

ACCOUNTING CLERK BOOKKEEPER ACCOUNTS PAYABLE ADMINISTRATOR'S SECRETARY

' I

16 1 LLAGAS, AIZA L. . 17 2 MAQUIUNG, GRACESAL YN E. 18 3 TEJERO, CINDY T. 19 4 OCAMPOS, MISAEL B. ' SOCIAL WORK CONSULTANTfJI • I 20 1 RA RAS, LUDIE SALUD A. 21 2 DECENA, MARILYN B. BIWNG & CA.$Hff;8'NG DEPARTMENT(ll) 22

1

23

2

24

25

3 4

26

5

LABADISOS, DIVINA P. AMORCILLO, JULIET P. ANGA W, SARAH C.

31

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BLAY A. JEINDRY C. CALIAO, DIOVIC L. CANDONGO, DARIEL T. DECENA KA THLEEN R. MEDINA. MAREFE C. MANLUPIG, CATHY PONGCOL, PRITZEL R.

.. 32

11

PONCE, PHILIP CESAR B.

27

6

28

7

29 30

8

E-CLAIM! lNCHA'RGE(3j

MEDICA L RECORD CLERK MEDICAL RECORD CLERK MEDICAL RECORD CLERK MEDICAL RECORD CLERK

SOCIAL WORK HEAD ASST. SOCIAL WORK .. I DEPARTMENT HEAD PROCESSING CLERK PROCESSING CLERK

ACCTS RECIEVABLE/COLLECTOR PROCESSING CLERK ICD-10 CODER ICD-10 CODER PROCESSING CLERK HMO IN CHARGE PHIC PROCESSOR ..r.

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BILLING CLERK )

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I 34 33

35

21

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RIOS, CATHERINE B. DOR EM ON, GLORESA M. MACAN, JANE M.

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E-CLAIMS E-CLAIMS INCHARGE INCHARGE E-CLAIMS INCHARGE

36

37

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ADMISSION & DISCHARGE(1) ' I'.. TEVES. HONEY DARLING R. ADMISSIONPR08Alf0NARY(6J ADLAON, ANGELICA N. 1

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42 6 SOLA VAR, SWEET KIMBERLY B. PtfARMACYDSPARTWNt(~l . 43 1 BALBERAN, CAROLINA Y. 44 2 BENITEZ. JINKY MABELLE C. 45 3 MANISAN, GENDALI L. 46 4 ELCANO, GLORILENE MAE E. , 47 5 CAREL JUDY P. 48 6 MAGHANOY, RHEA MAE L. 49 7 MAQUILING. GRACE ESADORE E. 50 8 RIZALES. CA THERINE D. .. ENVlRONM£NTALSERVICES MEDICALGAS/ MAINT£NANCE/MOTORP001.

. f, 51 1 ! DENLAOSO. TAX Y. 52 2 ESPIGA, JESIL C. 53 3 GECANA. JOSE EDWIN R. 54 .. .

4

ADMITIING CLERK PHARMCIST PHARMACY SUPERVISOR PHARMACIST PHARMACY

CLERK

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PHARMACY AIDE PHARMACY AIDE PHARMACY AIDE PHARMACY AIDE ·•"

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.. MEDICAL G AS TECHNICIAN MEDICAL GAS TECHNICIAN MOTORPOOL SUPERVISOR

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TAGALOGUIN, REY MARK D.

MEDICAL

MOTOR POOL/ MAJNl~ANCE{4}

GAS TECHNICIAN -

-

-

55 1 COTONER, AMADO B. 56 2 MELLINO, WINNIE S. 57 3 MONTEALTO. DANNY G. 58 4 POUDO. VICTOR 0. tN ttOUSESECURITY(3) .. t CAMBONGA, 1 OLIVER A. 59 ESMERALDO 2 G. 60 INTERNAL SECURITY GUARD 3 OEPARTMENlflO} 61 "· DtfJARY ... _ _J>ffTfCIAN{U I 62 1 JAGONIA, BRUFINA C. 63 CONOL RYEKIEL COOK(l} -~ PAPA, 64 WILBERT 1 ANGAW, VICENTE 65 FOO?> SElVER(8)

. .• ..,,. •. ~ INTERNAL SECURITY GUARD MAQUILING, "" INTERNAL SECURITY GUARD PEREZ, ALEJANDRO R. .

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CONSULTANT PART-TIME

. COOK COOK-PART-TIME .

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66

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67

2

68

3 4

69 7270 7371

75 86

BOGO, FRANCO B. EBARLE, RAMON JR B. ELCANO, DANNY C. GULAHAB, LARRIE N. OBAOB, HELBERT A. PACTO, RONALD P. PUGOY, EDDIE C. SUELA, JANIE RAY M.

RADIOlOGYOEPAITMENf(8) 74

75 76

1 2 3

BANAAG, LYN SAREN. RICO C. DANDOY, ELSA N.

LUMANOG, IAN KENNETH R. PATOC. REY N. 5 LACIA, JERMAVY P. 6 79 l 7 SINODIVILLA, KAREN ROSE P. 80 CAYMAN, JOHN RON EL R.

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81

8

FOOD SERVER FOOD SERVER

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RAD TECH RADIOLOGY DEPARTMENT. SUPERVISOR RADIOLOGY AIDE RAD TECH{PART TIME) RAD AIDE RADIOLOGY CLERK RAD TECH RADIOLOGIC TECHNOLOGIST --

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PATENO, KRISTINE MARIE P. PEREZ, JOHN RAY T. QUIRABO, JOEMAR L. UONG, HANNAMAE C. BULETIC, JEORGE MICHEAL H PAZAULAN, ANISA A.

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NURSING ATTENDANT /PLEBOTOMIST NURSING ATTENDANT /PLEBOTOMIST

1 CLAMOTCHA, ANNA VILLA B. .

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. .' : PRIETO, SONNY JR. W TAPAYAN, FRANCIS DAVE B.(SICK LEAVE}

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1 NORIO, JONATHAN L. UNEN& lAUNDRY.DIPAAJMENT(6,) SAULONG N. NONA '. EMPEYNADO, GRACED. GALLO, EVELYN N. c DIAGBEL, MERCY V. t.AUNDRY TOMIMBANG, DOLORES A.

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LINEN STAFF

102 6 HENTICA. GERRILENE T. HOUSEKEEPINGDEP·----:-~- -1113) j103 1 DURIAS, ALBERTO M.

LINEN STAFF LINEN STAFF . I LINEN LAUNDRY LIN EN LAUNDRY .

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104 105 106

2 3 4

AGUSTIN GERAPHEL P. ALFANTA, MICHEAL P. ALUTA, ARSENIO A.

107

s

ARMADA. CHERYL P.

PCO IN CHARGE UTILITY I JANITORIAL SERVICES UTILITY IJANITORIAL SERVICES UTILITY I JANITORIAL SERVICES UTILITY I JANITORIAL SERVICES

108 109 110 111

6 7 8 9

ARA YAN, LIZA R. BU ALA T, ROMEO E. DELOS SANTOS JIESSILYN FUENTES, ADELITA E.

UTILITY/JANITORIAL UTILITY I JANITORIAL UTILITY /JANITORIAL UTILITY /JANITORIAL

112

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.

SERVICES SERVICES SERVICES SERVICES

113

10 11

GULLIE, CORAZON A. LADERA, JOEL C.

UTILITY I JANITORIAL SERVICES UTILITY/JANITORIAL SERVICES

114

12

115

13

MIRA, FLOR ITA E. NERI. GENEFRED D.

UTILITY I JANITORIAL SERVICES UTILITY IJANITORIAL SERVICES

116

1 2

NURSlNG DIVIStoN/$UPf.RVISOR(14l 117

ALLOSO, JILL CARMEL J. 3 BANGE, LENIE P. 4 CABARAL, MARC DARRELL C. 2/8/19 s CAMPANER, ALFREDO JR. E 6 CANDONGO, RHENLAD L. 7 DALMACIO, LIZA M. 8 GO, TARAH LOUT. 9 GUMAPAC, JOANAH FE V. 10 !LAGAN, VINCE SR C.

118 119 120 121 122 123 124 125

DELFIN, MARIA BEBETH B.

... OIC CHIEF NURSE NURSE SUPERVISOR WARD NURSE SUPERVISOR WARD NURSE SUPERVISOR-HOU NURSE SUPERVISOR WARD HEAD NURSE WARD HEAD NURSE OPERATING ROOM ~ . NURSE SUPERVISOR WARD . NS-ER ADMITIING SUPERVISOR NS-OR/DR

~

126 127 128 129 .. "' 130

11 LABADISOS, DAISY LOU J. 12 MAYOL ADRAIN NEIL M. 13 MAQUILING JOEZELOU D. 14 TIA, SHARON T. REGISTERIDNURSERSE
AGAD, ;-..,1ARY FATIMA "1\.· Maternity Leave

NURSE SUPERVISOR WARD NURSE SUPERVISOR WARD NURSE SUPERVISOR-ICU NURSE SUPERVISOR WARD .. ·s ! STAJ:F NURSE

-

I

133 134 135 136 137

3 4 5

138

139 . 140 . 141

6

ALFEREZ, NEIL ANTHONY B. ANDRADA, DANAICA R. ANISLAG, MICHELL LOU M. ARDON, JIEZL ZOHARNIE M.

STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE

7 8 9 10 11

BACO, IVY L. BADILLA, LEONILA M. BALURAN, AGNES CHERIE P. BEGONTES, GLADYS 0. BANDOL MAE ANNE C.

STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE

142

12

143 144

13 15

BOLLOZOS, RAYMOND BREBANTE, ARLENE S. CAA Y, RA QUIEL C.

D. STAFF NURSE STAFF NURSE STAFF NURSE

145 16 CABAL DIVINA F. 146 18 CAGADAS, JELLY C. 147 19 CAJET A, MARJ UN I 148 20 CA UNGA, CAN DEL P. YN 149 21 CEBALLOS, PEARL GR AC L. ~ E JOHN 150 22 COBARRUBIA, LEIGHTON 151 23 CRISPO, EMILY T. • 152 24 CRISPO, EUNICE T. 153 27 DAUG, FARRAH AMOR M. 154 28 DELOS SANTOS, KATHLEEN V. LEIGH 155 29 DUMA, JEZREEL OWEN V. 156 30 DUMPA, ANTHONY CHRISTIAN B. 157 31 DOREMON, JAMAICA M. 158 32 ENERIO, UNICA LEE Q. 159 33 ESPADERA, RYAN V. 34 FABE, LAARNI N. . 160 161 35 FABRIGA. JOSEPHINE MARIEL S. 162 36 FLORIN, JOY RIMAR M. 163 37 GRAJO, LORAINE T. 164 38 ILLAGA, BETHNER JIM P. 165 39 LACQUIO, KENT CARL P. 166 40 LABASTIDA, LORELIE M. 167 41 LAGASCA, !RISH JOY G. 168 42 LAGAIT, DEBBIE GALE T. 169 43 LOBITANA, BELUE JEAN B 170 44 MAGHANOY, CHARAISS ANN G. 171 JOEZELOU D. 172 4546 MAQUILING, MARZAN, AURORA B. 173 47 MEJORADA, JO-ANN D. 174 48 MESO, KARL MARK H. 175 49 MHAJBIA, HORIA M. 176 50 MOLIT, DECEMBER BLOOM T. 177 51 MONTEZA, CHRISTINE RESA JOY A. 178 53 NERI, FRANCIS LLOYD M. 179 54 NERI, GAILYN ESTEPANNY D.

180 181 182 183

55 56 57 58

... ,,4

'

185 186 r

ODARVE. ORTEGA. PAGARA. QUEZON,

ROL YN L. ANDERSON C. MARY GRACES. GINO R. ·--

,

59 60

STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE

STAFF STAFF STAFF STAFF STAFF STAFF STAFF STAFF

NURSE NURSE NURSE NURSE NURSE NURSE NURSE NURSE

STAFF STAFF STAFF STAFF

NURSE NURSE NURSE NURSE

s,

c . ~<; STAFF NURSE STAFF NlJRSF

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REDOBLADO, JOAN M. SABERON, LEVENA U. "' ·

STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE

-- v\o+ernity Leave

~

-

63 STAFF 189NURSE TALAM,NURSE LOU.NIE JUNNNURSE A. STAFF STAFF STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE 190 64 TOMATAO, EMMA LORRAINE D. PROBITIONARV REGISTERD NURSESl31) . ~ 196 191 1 ANGCAP, MARIETH E. STAFF NURSE 65 TUGADO, FRANKLIN JR P. 197 192 2 AMISTAD, XANDRA MICHELLE B. STAFF NURSE 66 UNDAG, MARK LESTER G. 198 3 ARCINAS, ART BRYAN V. STAFF NURSE 193 67 UNDAG, SUNKIST E. 199 4 BARRIENTOS, GERMAINE ANNE STAFF NURSE 68 VALE RITZHIE JULCRISCELL R. 200 194 5 BONG LAY, MARY R. STAFF NURSE JOENILS. V. 69 VILLAMOR, 201 195 6 CENAL, JANICE KRISTINE STAFF NURSE 202 7 DA YAG, REBBIE G. STAFF NURSE 203 8 DOMINGO, MARIA RITA A. STAFF NURSE 204 9 DURIAS, CLAIRE L. ' STAFF NURSE 205 10 FUENTES, SARAH JANE STAFF NURSE 206 11 GONZAGA, ROSE ANNE A. • STAFF NURSE 207 12 INDANAO, IRENE A. STAFF NURSE 208 13 JALEM, CHRISTINE C. STAFF NURSE 209 14 LARAGA, JANE AIREE C. STAFF NURSE 210 15 LALIM OS, LYRAH F. STAFF NURSE 211 16 LAUREANO, TRISHA SHEEN U. STAFF NURSE 212 17 LEDESMA ALLAN VICTOR A. JR STAFF NURSE 213 18 LUY, CHARISSE P. STAFF NURSE 214 19 PANGAN, AUDREY A. STAFF NURSE STAFF 215 NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE 216 STAFF NURSE l 217 218 NURSING ATIENDANT NURSING A TIEN DANT 219 . 220 NURSING ATTENDANT NURSING ATIENDANT NURSING ATTENDANT ~ 221 NURSING ATTENDANT NURSING ATTENDANT/HOU NURSING ATTENDANT/ICU NURSING ATIENDANT NURSING 222 27 NURSING ATIENDANT ATTENDANT NURSING 223 28ATIENDANT NURSING -·224 29ATTENDANT : 225 CAREGfVER/ELOERL Y(l 3) -· 30 I 226

31

227 228 229 230 231 232 233 234 235

1 2

236 237

238 239

4 5 6 7 8 9 10 11

12 13

14

ALBIOS, HONEY BHE GRACE L. COLANGGO, EDRAYAN DALANGIN, MYSHEIL F. EBRA, ELANBIE M. FERNANDEZ, JANETH M. FIEL JOSEPH JONEL S. FUENTEBELLA, RHEEJAY A. LIGUTOM, MARITESS P. LAGAAC, ALJIM M. MEDIANA, RENE R. SALTIGA, ALFIE D. TIU, ERRA JEANE T.

,242

3

I

MABUYO, MARLONE H. PINTACASI, REGGIE LOU C.

CAREGIVER CAREGIVER

243

4

245

5

PONCE, RUBIN B.

246

6

247 248 249 250 . 251 . 252 253

7 8

PURLAS, RODNIE R. SALUTA. ROLAND A. SENO, GINO JR M. TAGACTAC, LEONARD I.

CAREGIVER"CAREGIVER CAREGIVER CAREGIVER CAREGIVER

TAMPARONG, RAYMOND B. TOLEDO, EARL DEAN A. VILLAMERO, DZ CHRISTIAN M. YRAY, MARKIM S.

CAREGIVER CAREGIVER CAREGIVER CAREGIVER

9

10 11

12 13

RMl!TERDSTAFF MIDWIFEl5l

'

l

254 255 256

1 2 3

LIGUID, ELLEN B. EMOL MALOU M. CABACUG, RITCHELLE C.

257

4

258

5

VILLANUEVA, NOEME R. DUMPA, ESMERALDA

/

HEAD MIDWIFE STAFF MIDWIFE STAFF MIDWIFE STAFF MIDWIFE CONTRACTUAL

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I MEDICAL C• -- • .... 260 ACAIN, MICO M. l 261 2 BODIONGAN, BERNIE N. 262 3 DALIN. CLINT L. 263 4 LUZA, MARI ET A JAY JAY C. 264 5 MANGAPIS. NAREVIC FE A. CHIEF OF .C• lllirt - ·... . INTERNAL 265 1 MEDICINE J IBIDENJ PHYSIC1ANft2l ., ! 266 1 BANQUE. MARIA NINA F. PEDIATRICIAN 267 2 CADAY, CHENEY S. 268 3 DELA CERNA, PATRICE MARIE C. 269 4 GEMENIANO. ROY ALFONSO E. 270 5 LOMANTA. ASUNCIANO ARCE JR L. 271 6 LUMANOG, CHRISTINE V. 273 7 MADERAZO. ANA RICA M. 274 8 MANISAN, GRESHELA L. 275 9 MIGRINO, MARTIN D. 276 10 OSORIO, ABELARDO T. 278 11 RUBIN, JOCELYN TERESA V. 279 12 YBANEZ, ELBERT A. MOQNUGffllN(J PM\'.slCIANllll 280 1 CACHO. NICANOR M. 281 2 DAHUNAN, MARIA AGNES C. 282 3 DEMECILLO. ERNESTO Ill A. 283 4 LEONARDO, FRANCIS PHILIP M. 5 MEDINA, MARK ANTHONY D. 284 ~ 285 6 MONTEALTO, KATRINA SILVER G. 286 7 ORTEGA, REINA L. 287 8 PINTACASL RAFAEL ALPHONSO B. 289 9 TABACULDE, PROSER FAITH N. 290 10 TABANAO, AINNE EDT. .. 291 ,. 11 . I YAP, TERESITA

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. 292 293

294

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ACEDILLO, REY ANTHONY ADAJAR, RUTCHIL G. ADONA,AMY

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ORTHOPEDIC PEDIATRICIAN ANESTHESIOLOGIST

I A'-.~:- -ESIO_OG S- C. 298 7 BACOLOD. MAEBELE,NE NEPHROLOGIST ·299 8 BACOLOR, CRISELDA E. PEDIATRICIAN B. 0. 301 300 10 BINARAO, BUNNY JOEMER LOU MARIE 9 BALAORO. 302 11 BODIONGAN, LEONIDA M. 303 12 BOMBEO, BEOBALDY P. 304 13 BUGAS, LUCY C.

I

INTERNAL MEDICINE NEURO-SURGEON OB -GYNECOLOGIST ANESTHESIOLOGIST

306 15 CABATANIA, LORELIE ANN M. 307 16 CABRERA. VICTOR 308 309 310 311

UROLOGIST '

17 CACHO, LILIA M. 18 CAGULADA, CARL ANGELI B. 19 CALUMBA, ERMEE GILD S. 20 CAUNTONGAN, NORHATA P.

312 21 CEBEDO, ALEX FERNANDO C. 313 22 CHOI NG, CLAYTON M. 314 23 CORTES, FRANCIS CHRISTIAN A. 315 24 DE GUZMAN, MARIA CHRISTINA S. 316 25 DITCHING, JOSE GONZALO M. 317 26 ESTELLA, MARIO RAFAEL B. ~ PSYCHIATRIST 318 27 FAMACION, DONNABEL T. 319 28 FERNANDEZ, AGNES P. c MEDICINE 320 29 FERNANDEZ, LEONIDES 321 30 FLORES, JUDITH D. 322 31 FUENTES, LilYT. 323 32 GENON, ANABELLE A. 324 33 GO, HENRY L. 325 34 GO, JOAN L. 326 35 GOMEZ. HILARIO ABEL B. 327 36 GONZAGA, ARCHIMEDES A. 328 37 GUANGCO, RANDY C. 329 38 GUZMAN, ANTHONY S. 330 39 HANDUMON, JONA C. 331 40 LAO, EDDY S. 332 41 LASACA. RICARDO Z.

334 335 336 337 338 339 340 341

43 LECCIONES, LEMUEL T. 44 LIM. EDDY Y. 45 LIM, RUDY Y. 46 LUMASAG, DENNIS MARK 0. 47 MACABINLAR, BROXIL E. 48 MANABAT, EDVEN L. 49 MANABA T,JOFE MARIE T. 50 MONTESCO, LIGAYA SANTA G.

342 51 NASON, ELLEN S. 343 52 NAZARENO, ROSARIO B. 344 53 OZARAGA, ALMA M. 345 54 PADAYHAG, EDEM B. 346 55 PAGLINAWAN, OBRIZ M. 347 56 PEREZ, LADY MAIRES N. 348 57 RESONABLE, JOAN L. GYNECOLOGIST-SURGEON 349 58 ROBIEGO, BRYAN VICTOR G. 350 59 SABANAL TRISHA G. 351 60 SABANAL KENNETH G. 352 61 SALARDA. LIZ B. 353 62 SALIGAN, JOSEPHINE ROSE P. 354 63 SALOMON, JOSE M. 355 64 SIMBAHON. MARYVIC IZAH S. 356 65 SINGIDAS, ROMEO A. 3~-5~7 SORIANO-BICLAR, HAZEL EIZA 6·6........... ....... -

-

GAS-ROLOGIST

GENERAL SURGERY GENERAL PRACTITIONER INTERNAL MEDICINE

FAMILY MEDICINE INTERNAL MEDICINE INTERNAL MEDICINE EENT OPTHALMOLOGIST

OB-GYNECOLOGIST INTERNAL

.

ANESTHESIOLOGIST GENERAL PRACTITIONER GENERAL PRACTITIONER INTERNAL MEDICINE UROLOGIST INTERNAL MEDICINE NEPHROL OGIST RADIOLOGIST GENERAL PRACTITIONER ANETHESIOLOGIST NEUROLOGIST PEDIATRICIAN PEDIATRICIAN NEUROLOGIST PEDIATRICIAN ANESTHESIOLOGIST ANESTHESIOLOGIST SURGEON-ONCOLOGIST SURGEON INTERNAL MEDICINE PEHROLOGIST FAMILY MEDICINE OB-GYNECOLOGIST INTERNAL MEDICINE/GASTROLOGIST INTERNAL MEDICINE GENERAL PRACTITIONER OB-GYNECOLOGIST OB-

.

GENERAL PRACTITIONER OB-GYNECOLOGIST-SURGEON ANETHESIOLOGIST OB-GYNECOLOGIST-SURGEON INTERNAL MEDICINE-CARDIOLOGIST SURGEON GENERAL PRACTITIONER ADULT PULMONOLOGIST "' PSYCHIATRIST

• •

360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376

69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85

TAN, LEWIS Y. TAN, ROMMEL L. TARUC. ANGELIE M. TEE, HAROLD l. TILAO. MAX BETH B. JR TOMADA. LOR ETA T. UBANAN, FAUSTO L. JR UGDAMINA, FRITZIE R. VILLA, AL-FAIRYLYN D. YAP. LIZA MARIA L. YAP, TERESITA YAP-DOMINGO, ARCHIE YBANEZ, DENNIS S. YBANEZ. DIONNE ANNA KRISTINE B. YBANEZ, ELBERT A. • YBO, ORLANDO YBO, REDELLA c

PREPARED BY: PRINCESS 8. ARQUIZA HR Staff APPROVED

BY:

ALFREDO O. BISCOCHO Ph.D Human Resource Director

GENERAL PRACTITIONER ORTHOPEDIC OB-GYNECOLOGIST-SURGEON PATHOLOGIST INTERNAL MEDICINE OB-GYNECOLOGIST-SURGEON ANESTHESIOLOGIST NEUROLOGIST GENERAL PRACTITIONER GENERAL PRACTITIONER GENERAL PRACTITIONER NEUROLOGIST SURGEON OB-GYNECOLOGIST-SURGEON ORTHOPEDIC RADIOLOGIST DERMATOLOGIST