ILLUSTRADOS GENERAL HOSPITAL

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

Budgeting 1. Capital Budget Construction Cost EQUIPMENTS LAND CONCRETE CEMENT GRAVEL CEMENT SAND HOLLOW BLOCK REBAR PAINTS SINK BOWL FAUCET ELECTRICAL TUBE WATER TUBE NAILS BRUSH MACHINES(TRUCK,CRANE,BULLDOZER,E TC) WINDOWS DOORS LIGHTS TOTAL 800 1,200 200 550 150 600 440,000 180,000 120,000 17,565,10 0 PRICE 5,000/SQM 205/BAG 550/CUBIC METER 450/CUBIC METER 12.50/PC 170/PC 1,500/GALLO N 1,500/PC 2,500/PC 300/PC 350/PC 400/PC 150/BOX 70/PC 5,000,000 40 37 40 200 150 450 80 60,000 92,500 12,000 70,000 60,000 67,500 5,600 5,000,000 7,000 4,000 50 87,500 680,000 75,000 5,000 2,250,000 QUANTIT Y 1,000 SQM 3,000 5,000 615,000 2,750,000 5,000,000 TOTAL

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ILLUSTRADOS GENERAL HOSPITAL

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

Major Equipments M.R.I. MACHINE 64 64 SLICE CT SCAN CARDIAC DOPPLER ECHOCARDIOGRAPHY MAMMOGRAPHY MACHINE MACHINE TOTAL 106,750,000 800,000 1 1 800,000 200,000 800,000 200,000 ELECTROENCEPHALOGRAM 200,000 750,000 1 750,000 750,000 60,000,000 45,000,000 1 1 60,000,000 45,000,000 60,000,000 45,000,000

2. Operational Budget Construction Personnel WORKERS ARCHITECT PROJECT ENGINEER ELECTRICAL ENGINEER LABORER TOTAL 10,500 50 525,000 12,600,000 14,760,000 30,000 2 60,000 1,440,000 SALARIES/MONTH 30,000 40,000 # 2 2 TOTAL 60,000 80,000 TOTAL COST FOR 2 YEARS 1,440,000 1,920,000

Hospital Personnel WORKERS MEDICAL DIRECTOR ENERO|4B 15 SALARY/MONTH 50,000 1 # TOTAL 50,000 SALARY PER YEAR 600,000

ILLUSTRADOS GENERAL HOSPITAL

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

HOSPITAL ADMINISTRATOR SECRETARY CHIEF NURSE NURSING SUPERVISOR HEADNURSE STAFF NURSE NURSING ATTENDANT ORDERLY PHYSICIAN MEDICAL TECHNOLOGIST RAD TECH PHARMACIST PHARMACIST ASSISTANT NUTRITIONIST NUTRITIONIST ASSISTANT PATHOLOGIST FINANCE MANAGER HUMAN RESOURCE MANAGER HUMAN RESOURCE PERSONNEL HOSPITAL CASHIER

48,000 20,000 43,000 30,000 25,000 15,000 13,000 10,000 40,000 15,000 15,000 14,000 10,000 18,000 10,000 25,000 30,000 33,000

1 1 1 3 6 24 16 8 6 4 2 1 4 2 4 2 1 1

48,000 20,000 43,000 90,000 150,000 360,000 208,000 80,000 240,000 60,000 30,000 14,000 40,000 36,000 40,000 50,000 30,000 33,000

576,000 240,000 516,000 1,080,000 1,800,000 4,320,000 2,496,000 960,000 2,880,000 720,000 360,000 336,000 480,000 432,000 480,000 600,000 360,000 396,000

12,000

24,000

288,000

12,000

36,000

432,000

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ILLUSTRADOS GENERAL HOSPITAL

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

RECORDS KEEPER JANITOR SECURITY GUARD DRIVER TOTAL

8,000 9,000 9,000 8,000

2 10 8 2

16,000 90,000 72,000 16,000

192,000 1,080,000 864,000 192,000 22,680,000

Operating Room Budget NAME SURGICAL TABLE SURGICAL LIGHT STERILE GLOVES SURGICAL INSTRUMENT POVIDONE IODINE COTTON BALLS ALCOHOL HAND SOAP MASK CLEAN GLOVES AUTO CLAVE BP SPHYGMOMETER DIGITAL THERMOMETER 150 6 900 900 1,300/ GALLON 100/BOX 1,200/GALLON 2,500/GALLON 300/BOX 300/BOX 30,000 900 5 5 5 3 3 1 3 500 6,000 12,500 900 900 30,000 2,700 6,000 72,000 150,000 10,800 10,800 30,000 2,000 5 6,500 780,000 150,000 150,000 150,000 500/BOX 5 2,500 30,000 25,000 12 300,000 300,000 PRICE 40,000 6 AMOUNT TOTAL 240,000 TOTAL COST FOR A YEAR 240,000

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ILLUSTRADOS GENERAL HOSPITAL

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

MICROPHORE CANNISTER SUCTION CATHETER UNIVAC SUCTION MACHINE FOLEY CATHETER TOTAL

500 700 40 25,000

10 18 100 6

5,000 12,600 4,000 150,000

60,000 12,600 48,000 150,000

50

50

2,500

30,000 2,083,100

Delivery Room Equipment NAME SURGICAL TABLE SURGICAL LIGHT STERILE GLOVES DELIVERY EQUIPMENTS POVIDONE IODINE COTTON BALLS ALCOHOL HAND SOAP MASK CLEAN GLOVES AUTO CLAVE 1,300/ GALLON 100/BOX 1,200/GALLON 2,500/GALLON 300/BOX 300/BOX 30,000 5 3 5 3 3 1 500 3,600 7,500 900 900 30,000 6,000 43,200 90,000 10,800 10,800 30,000 5 6,500 78,000 100,000 100,000 100,000 500/BOX 5 2,500 30,000 25,000 12 300,000 300,000 PRICE 40,000 6 AMOUNT COST 240,000 TOTAL COST FOR A YEAR 240,000

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ILLUSTRADOS GENERAL HOSPITAL

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

BP SPHYGMOMETER DIGITAL THERMOMETER MICROPHORE STETHOSCOPE DROPLIGHT DIAPER ADULT

900 150 500 3,000 1,200 140 15 700

6 6 10 6 12 50 6 8

5,400 900 5,000 18,000 14,400 7,000 90 5,600

5,400 900 60,000 18,000 14,400 84,000 90 5,600 1,127,190

TAPE MEASURE CANNISTER TOTAL

Nurse Station 1 (OB, Pedia, Isolation, Geria F) NAME COTTON BALLS ALCOHOL HAND SOAP MASK CLEAN GLOVES BP SPHYGMOMETER DIGITAL THERMOMETER STETHOSCOPE WEIGHING SCALE (ADULT & PEDIA) MICROPHORE MEDICINE 500 25 20 20 10,000 500 120,000 20 3,000 5,000 5 3 15,000 15,000 15,000 15,000 150 5 750 750 PRICE 100/BOX 1,200/GALLON 2,500/GALLON 300/BOX 300/BOX 900 20 10 10 10 10 5 AMOUNT COST 2,000 12,000 25,000 3,000 3,000 4,500 TOTAL COST FOR A YEAR 24,000 144,000 300,000 36,000 36,000 4,500

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ILLUSTRADOS GENERAL HOSPITAL

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

TRAY GAUZE PAD TAPE MEASURE SHARP CONTAINER NASAL CANNULA ADULT PEDIA 60 40 20 20 1,200 800 14,400 9,600 40 30 20 20 800 600 9,600 7,200 200/BOX 15 500 5 5 1 1,000 75 500 12,000 75 500

OXYGEN MASK ADULT PEDIA

SUCTION CATHETER PEDIA ADULT 30 40 10 20 300 800 3,600 9,600 761,845

TOTAL

Nurse Station 2 (Medical, Private, Geria M) NAME COTTON BALLS ALCOHOL HAND SOAP MASK CLEAN GLOVES BP SPHYGMOMETER DIGITAL THERMOMETER STETHOSCOPE 3,000 5 15,000 15,000 ENERO|4B 20 150 5 750 750 PRICE 100/BOX 1,200/GALLON 2,500/GALLON 300/BOX 300/BOX 900 5 5 5 3 3 5 AMOUNT 500 6,000 7,500 900 900 4,500 COST TOTAL COST FOR A YEAR 6,000 72,000 90,000 10,800 10,800 4,500

ILLUSTRADOS GENERAL HOSPITAL

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

WEIGHING SCALE (ADULT & PEDIA) MICROPHORE MEDICINE TRAY GAUZE PAD TAPE MEASURE SHARP CONTAINER NASAL CANNULA ADULT PEDIA

5,000

15,000

15,000

500 25 200/BOX 15 500

5 10 2 3 1

2,500 250 400 45 500

30,000 250 4,800 45 500

40 30

10 10

400 300

4,800 3,600

OXYGEN MASK ADULT PEDIA 60 40 10 10 600 400 7,200 4,800

SUCTION CATHETER PEDIA ADULT 30 40 10 10 300 400 3,600 4,800 289,245

TOTAL

Nurse Station 3 (Operating Room, PACU) NAME COTTON BALLS ALCOHOL HAND SOAP MASK CLEAN GLOVES PRICE 100/BOX 1,200/GALLON 2,500/GALLON 300/BOX 300/BOX 2 2 2 3 3 AMOUNT 200 2,400 5,000 900 900 COST TOTAL COST FOR A YEAR 2,400 28,800 60,000 10,800 10,800

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ILLUSTRADOS GENERAL HOSPITAL

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

BP SPHYGMOMETER DIGITAL THERMOMETER STETHOSCOPE MICROPHORE GAUZE PAD SHARP CONTAINER NASAL CANNULA ADULT PEDIA

900 150 3,000 500 200/BOX 500

3 3 3 5 2 1

2,700 450 9,000 2,500 400 500

2,700 450 9,000 30,000 4,800 500

40 30

10 10

400 300

4,800 3,600

OXYGEN MASK ADULT PEDIA 60 40 10 10 600 400 7,200 4,800

SUCTION CATHETER PEDIA ADULT 30 40 10 10 300 400 3,600 4,800 189,050

TOTAL

Nurse Station 4 (Delivery Room) NAME COTTON BALLS ALCOHOL HAND SOAP MASK CLEAN GLOVES BP PRICE 100/BOX 1,200/GALLON 2,500/GALLON 300/BOX 300/BOX 900 2 2 2 3 3 3 AMOUNT 200 2,400 5,000 900 900 2,700 COST TOTAL COST FOR A YEAR 2,400 28,800 60,000 10,800 10,800 2,700 ENERO|4B 22

ILLUSTRADOS GENERAL HOSPITAL

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

SPHYGMOMETER DIGITAL THERMOMETER STETHOSCOPE MICROPHORE TAPE MEASURE SHARP CONTAINER TOTAL 155,540 3,000 500 15 500 3 5 6 1 9,000 2,500 90 500 9,000 30,000 90 500 150 3 450 450

Nursery NAME COTTON BALLS ALCOHOL STETHOSCOPE MASK CLEAN GLOVES DIGITAL THERMOMETER CRIB DIAPER INFANT 40 15 50 6 2,000 90 24,000 90 100,740 3,000 6 18,000 18,000 PRICE 100/BOX 1,200/GALLON 3,000 300/BOX 300/BOX 150 2 2 3 2 3 3 AMOUNT 200 2,400 9,000 600 900 450 COST TOTAL COST FOR A YEAR 2,400 28,800 9,000 7,200 10,800 450

TAPE MEASURE TOTAL

Emergency Room Equipment NAME STETHOSCOPE PRICE 3,000 6 AMOUNT COST 18,000 TOTAL COST FOR A YEAR 18,000

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ILLUSTRADOS GENERAL HOSPITAL

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

COTTON BALLS ALCOHOL HAND SOAP MASK CLEAN GLOVES BP SPHYGMOMETER DIGITAL THERMOMETER STERILE GLOVES STRETCHER ECG BANDAGE TAPE MEASURE IV INFUSION SET MACRO MICRO

100/BOX 1,200/GALLON 2,500/GALLON 300/BOX 300/BOX 900 150 500/BOX 25,000 80,000 300/BOX 15 60 50

10 5 2 1,500 5 3 3 10 10 2 2 15 7 50 50

10,000 6,000 5,000 1,500 1,500 2,700 450 5,000 250,000 160,000 180,000 4,500 105 3,000 2,500

120,000 72,000 60,000 18,000 18,000 2,700 450 60,000 250,000 160,000 180,000 54,000 105 36,000 30,000

DEFIBRILLATOR 90,000

IV POLE IV SPLINT PEDIA ADULT

1,200 50 60

70 100 100

84,000 5,000 6,000

84,000 60,000 72,000

BAG VALVE MASK ADULT PEDIA 40 30 50 50 2,000 1,500 24,000 18,000 4,500 3,500 5 2 22,500 7,000 22,500 7,000

NASAL CANNULA ADULT PEDIA

OXYGEN MASK ENERO|4B 24

ILLUSTRADOS GENERAL HOSPITAL

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

ADULT PEDIA

60 40 300 150

50 50 20 20 30 30

3,000 2,000 6,000 3,000 1,800 1,050

36,000 24,000 72,000 36,000 21,600 12,600 1,568,995

RUBBER SHEET PLASTER OF PARIS

WADDING SHEET 60 ELASTIC BANDAGE TOTAL 35

Hospital Tool Equipment NAME HOSPITAL BED BED MATTRESS PATIENT GOWN LAB GOWN PILLOWS LINENS BED SIDE TABLE REFRIGERATOR AIR CONDITIONER ELECTRIC FAN TELEPHONE OXYGEN TANK OXYGEN TANK CARRIER CHAIR TRASH CAN CCTV E CART PATIENT CHAR 350 350 5,250 12,000 400 80 45 8 6 100 28,000 15,750 42,000 72,000 40,000 PRICE 7,000 3,000 270 220 200 250 4,000 8,000 6,000 900 1,000 4,500 2,500 72 72 200 20 150 150 72 22 35 20 8 50 10 AMOUNT TOTAL COST 504,000 216,000 54,000 4,400 30,000 37,500 288,000 176,000 210,000 18,000 8,000 225,000 25,000

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ILLUSTRADOS GENERAL HOSPITAL

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

ALUMINUM FOOT STOOL SUCTION MACHINE CRUTCHES WHEELCHAIR WALKER AMBULANCE TOTAL 450 20,000 1,200 2,200 1,500 500,000 24 6 10 10 5 2 10,800 120,000 12,000 22,000 750 1,000,000 2,159,200

Laboratory Room Equipment NAME MICROSCOPE DOPPLER X RAY MACHINE ULTRASOUND NEBULIZING KIT NEBULIZER MACHINE SPECIMEN BOTTLE LCENTRIFUGE BEAKER BIG SMALL 200 150 20 20 4,000 3,000 48,000 36,000 15 12,000 150 2 2,250 24,000 27,000 24,000 PRICE 60,500 2,400 650,000 150,000 35 20,000 5 6 1 1 20 5 AMOUNT COST 302,500 14,400 650,000 750,000 700 100,000 TOTAL COST FOR A YEAR 302,500 14,400 650,000 150,000 8,400 100,000

TEST TUBE 10ML 15ML 10 15 380/BOX 410/BOX 520/BOX 610/BOX 40 40 5 5 5 5 400 600 1,900 2,050 2,600 3,050 4,800 6,000 22,800 24,600 31,200 36,600 ENERO|4B 26

SYRINGE 1CC SYRINGE 3CC SYRINGE 5CC SYRINGE 10CC

ILLUSTRADOS GENERAL HOSPITAL

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

SYRINGE 50CC TOTAL

730/BOX

4,150

49,800 1,536,100

Office Equipment NAME COMPUTER PRINTER WITH SCANNER BALLPENS BOND PAPER STAPLER FOLDERS ERASER PENCIL XEROX MACHINE TOTAL 5 200/PACK 300 10 10 10 80,000 1000 100 20 500 200 200 1 5,000 20,000 6,000 5,000 2,000 2,000 80,000 225,000 5,000 2,500 PRICE 15 15 AMOUNT TOTAL COST 67,500 37,500

NAME

PRICE

DIVIDED BY

SHOULD EARN PER MONTH in 5 YEARS

MINIMA L FEE PER PATIEN T 33,333 25,000 416 444 111 27

M.R.I. MACHINE 64 64 SLICE CT SCAN CARDIAC DOPPLER ECHOCARDIOGRAPHY

60,000,00 0 45,000,00 0 750,000

60MONTHS(5YEARS ) 60MONTHS(5YEARS ) 60MONTHS(5YEARS ) 60MONTHS(5YEARS ) 60MONTHS(5YEARS

1,000,00 0 750,000 12,500 13,333 3,333

MAMMOGRAPHY MACHINE 800,000 ELECTROENCEPHALOGRA 200,000

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ILLUSTRADOS GENERAL HOSPITAL

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

M MACHINE

Test TEST X RAY ULTRASOUND SPUTUM EXAM FASTING BLOOD SERUM COMPLETE BLOOD COUNT CULTURE AND SENSITIVITY CBG URINALYSIS FECALYSIS PREGNANCY TEST DELIVERY AND LABOR NEWBORN SCREENING M.R.I. MAMMOGRAM CT SCAN ECHOCARDIOGRAPHY EEG 250 150 170 120 150 120 140 150 150 200 2,500(PACKAGE) 200 15,000 20,000 5,000 5,000 10,000 3,200 1,500 AMOUNT

Room Rate ROOM SERVICE WARD PAY WARD PRIVATE ROOM ISOLATION ROOM EMERGENCY ROOM FEE - Minor case 300 per consultation 150/DAY 350/DAY 2,000/DAY 300/DAY RATE

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ILLUSTRADOS GENERAL HOSPITAL

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

- Major case

500 per consultation

Vaccines VACCINES BCG DPT TETANUS TOXOID MMR OPV HEPATITIS B MEASLES FLU VACCINE 1000 1000 1200 900 400 900 900 600 Pharmacy Quantity (box) IV Fluids: D5LR 500ml Pink 24/box D5NM 500ml Orange 24/box D5 .09NSS 500ml Yellow D5 .03NACL 500ml Light Blue D5 IMB 500ml Violet D5NR 500ml Yellow Green D5 Water 500ml Red D10 Water 500ml 10 4,000 40,000 10 3,500 35,000 20 4,500 90,000 20 4,000 80,000 20 4,000 80,000 20 4,000 80,000 20 4,000 80,000 20 3,900 78,000 Amount TOTAL AMOUNT

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ILLUSTRADOS GENERAL HOSPITAL

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

Blue Green Plain LR 500ml Blue Plain NSS 500ml Green PNSS Irrigation 1L Mannitol 500ml Yellow Medications: Adenosine Injection Adrenaline Bitartrate Injection Atropine sulfate 0.6mg/ml Injection Betamethasone 7mg/ml amp Calcium chloride Injection Calcium Gluconate 10ml/amp Clonidine 75mg/tab D50% Injection Dextran-70 Injection Diazepam 5mg/ml Injection ENERO|4B 30 20 75 1,125 20 20 300 190 4,500 2,850 20 30 450 20 220 3,300 20 35 3,100 20 140 2,600 20 120 2,400 Quantity (per piece) 20 20 60 1,200 Amount 120 TOTAL 2,400 5 8,500 85,000 10 1,500 3,000 10 3,500 35,000 10 3,000 30,000

ILLUSTRADOS GENERAL HOSPITAL

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

Digoxin 0.5mg/2ml amp Diltiazem Injection Diphenhydramin e Injection Diptheria Antitoxin Injection Dobutamine 50mg/ml (5 ml amp) Injection Dopamine hydrochloride 40mg/ml (5ml amp) Injection Epinephrine hydrochloride 1mg/ml Injection Flumazenil Injection Furosemide 10mg/ml Injection Glucose with sodium chloride Injection Haloperidol Injection Heparin sodium 5000IU/ml Injection Hydralazine 20mg/ml amp

20 20 20 20

470 350 270 490

7,050 5,250 4,050 7,350

20

500

7,500

20

490

7,350

20

1,900

28,500

20 20 20

280 520 320

4,200 7,800 4,800

20 20

450 2,500

6,750 37,500

20

170

2,550

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ILLUSTRADOS GENERAL HOSPITAL

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

Hydrocortisone sodium succinate 100mg/ml Injection Lidocaine 2% Injection Magnesium sulfate Injection Mannitol 10%, 20% Injection P Meperidine 100mg/ml amp Metoclopramide 5mg/ml Metoprolol 1mg/ml Injection Midazolam 5mg/ml amp Morphine sulfate Injection Naloxone 0.4mg/ml Injection Neostigmine 0.5, 2.5mg/ml Injection Nifedipine 5mg/tab Oxytocin Injection Paracetamol 300mg/2ml amp Phenobarbital

20

490

7,350

20 20 20 20 20 20 20 20 20

180 310 2,800 350 120 220 350 520 400

2,700 4,650 42,000 5,250 1,800 3,300 5,250 7,800 6,000

20

540

8,100

20 20 50 20

310 190 3 190

4,650 2,850 225 2,850 ENERO|4B 32

ILLUSTRADOS GENERAL HOSPITAL

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

200mg/ml Injection Phenytoin 50mg/ml Injection Potassium Chloride Injection Protaminesulfa te Injection Salbutamolsulf ate Inhalation Sodium bicarbonate Injection Streptokinase Injection Succinylcholin e 50mg/ml Injection Terbutaline 500mg/ml amp Tranexamic acid 250mg/2ml amp, 500mg/5ml amp Vitamin K 10mg/ml Injection TOTAL 1,200,500 20 50 750 20 270 4,050 20 420 6,300 20 320 4,800 20 12,000 180,000 20 170 2,550 20 730 10,950 20 550 8,250 20 320 4,800 20 180 2,700

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ILLUSTRADOS GENERAL HOSPITAL

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

SUMMARY OF CAPITAL BUDGET NAME COSTRUCTION EQUIPMENT MAJOR EQUIPMENTS TOTAL TOTAL COST FOR A YEAR 17,565,100 106,750,000 124,315,100

SUMMARY OF OPERATIONAL BUDGET NAME CONSTRUCTION PERSONNEL HOSPITAL PERSONNEL OPERATING ROOM EQUIPMENTS DELIVERY ROOM EQUIPMENTS NURSE STATION 1 EQUIPMENTS NURSE STATION 2 EQUIPMENTS NURSE STATION 3 EQUIPMENTS NURSE STATION 4 EQUIPMENTS NURSERY EQUIPMENTS EMERGENCY ROOM EQUIPMENTS HOSPITAL EQUIPMENTS LABORATORY EQUIPMENTS OFFICE EQUIPMENTS PHARMACY UTILITIES - WATER - ELECTRIC - TELEPEHONE TOTAL 480,000 720,000 120,000 50,117,505 TOTAL COST FOR A YEAR 14,760,000 22,680,000 2,083,100 1,127,190 761,845 289,245 189,050 155,540 100,740 1,568,995 2,159,200 1,536,100 186,000 1,200,500

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ILLUSTRADOS GENERAL HOSPITAL

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

Hospital Policy 1. Admission Policy Present the Physicians Order Sheet to the admission center of the hospital Call our hotline to reserve a room and choose the Room Rate you prefer. Guardian or significant others should sign the Admission and Discharge Record (ADR). Pay the required deposit before transferring patient to the ward. Transport of patient to the Nursing Station or Ward.

2. Delivery Room Policy Assess the patients preferred language for education and care. Assess patients/familys ability to understand information given, need for hospitalizations and plan of care. (i.e., language barriers, knowledge/sensory deficits and physical limitations. Patient will be placed on the external fetal monitor (EFM) at the time of admission. Refer to Unit Practice Manual for application of EFM and protocol for fetal monitoring. An initial maternal-fetal assessment will be performed on each patient at the time of admission. Assessments include maternal BP, pain and fetal heart rate and uterine activity. Using the L&D/OB-GYN database, conduct a patient interview, history taking and assessment. Examine the fetal monitor tracing for assessment of fetal and uterine activity. Begin the appropriate standard nursing care plan or carepath. Establish IV access upon admission unless otherwise ordered by the physician. Obtain necessary specimens as ordered by the physician for admission lab work.

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ILLUSTRADOS GENERAL HOSPITAL

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

Notify the physician of patient signs/symptoms that require immediate attention.

3. Discharge Policy Decision made and documented in medical notes to confirm that the patient is medically fit and risks identified and appropriate risk assessment and plans in place. Ensure a Continuing Care Check List has been completed and evidence documented. Complete Discharge Check List give copy to patient. Discuss prescribed medication, assess for patients to self-medicate who will be responsible for managing own medicines on discharge.

4. Imaging Policy Present physicians order to the Radiology Department. Ask patient if has allergies in any foods, medication or contrast media that will be used in the procedure. Ask if there are any metal implants in the patients body. Patient should know what should be expected when they are inside the equipment(MRI,CT-SCAN) Call the assisting nurse to transfer the patient to their room.

5. Laboratory Policy Label the specimen and handle it with care before transferring it to laboratory room. Follow the physicians order when to deliver the specimen. Maintain sterility when obtaining the specimen sample. Send to the lab the specimen obtained and inform the personnel that will handle it.

6. Nursery Room Policy Parents must show proper wristband identification or ID card prior to visiting their infant:baby in an Incubator Only two visitors per infant are allowed at any time Siblings, 12 years or older, may visit if they accompanied by a parent No siblings are permitted to visit if he/she has an upper respiratory infection, temperature, has been exposed to a communicable disease, or has not had chicken pox. Grandparents may visit, at anytime, if accompanied by one of the parents ENERO|4B 36

ILLUSTRADOS GENERAL HOSPITAL

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

The mother may designate one "significant other" if the father is unavailable or not involved. Parents are responsible for making sure that all visitors to the Nursery wash their hands before going to the babys bedside. Parents must make sure that all visitors coming into the Nursery are healthy.

7. Operating Room Policy It is the policy of Illustrados General Hospital that the preoperative procedure for confirmation of correct patient identification, operative procedure, operative site and the informed consent process has been satisfactorily completed is a collaborative effort on the part of nursing, anesthesiology and surgical staff members. The roles and responsibilities of each staff member are outlined in this policy. The attending surgeon and attending anesthesiologist must review and sign the patients consent forms for surgery and anesthesia respectively before the patient enters the operating room. The surgeon must mark the surgical site with the patient prior to the patients entry into the operating room. In the case of the incompetent adult, and/or patient of minor age, the verification of identification and confirmation that the informed consent process has been satisfactorily completed and consents signed is conducted with the patients parent, legal guardian/authorized representative, or health care proxy Immediately prior to the induction of anesthesia, a final official time out is conducted by the circulating RN, anesthesia care provider and the attending surgeon. 8. PACU Policy All nursing staff in the Post Anesthetic Care Unit (PACU) will adhere to PACU Standards of Care and will have received specific orientation and training in the care of Post Anesthetic patients. All patients admitted to PACU will be extubated. All patients are to be extubated and stabilized in the Operating room prior to being transferred to PACU. The PACU scoring system will be applied. Closed monitoring of patients will be apply before returning to the designated room.

9. Patient Responsibilities Policy

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ILLUSTRADOS GENERAL HOSPITAL

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

Every patient admitted to our hospital, or the patient's health care decision maker acting on his/her behalf, is responsible for the following: To provide, to the best of his/her knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to his/her health. To report unexpected changes in his/her condition to the responsible practitioner. To report whether he/she clearly comprehends the contemplated course of treatment and what is expected of him/her. To report dissatisfaction with the quality of care or service to the nurse manager, physician, or patient representative. To be accountable for his/her actions if he/she refuses treatment or does not follow the practitioner's instructions. To assure that financial obligations of his/her health care are fulfilled as promptly as possible. To follow hospital rules and regulations affecting patient care and conduct. To be considerate of the rights of other patients and hospital personnel by assisting in the control of noise and the number of visitors. To be respectful of the property of other persons and the property of the hospital. 10. Referral Policy Assess the patient and stabilizeas resources and skills are available Identify the facility where the patient needs to be referred Inform the patient/ next to kin regarding referral to another facility Contact the referring facility: Notify the doctor in the Emergency Department regarding the patients condition and get an approval to transfer For in-patient transfer / referral requires the accepting hospital to have an available bed, and acceptance by a physician who has admitting privileges. A designated hospital hotline shall be made accessible for the purpose of patient referral All inter-hospital transfers must be coordinated directly between the physicians in the referring facility and the accepting facility Prepare for the transfer: Ambulance, Equipments and Medications ENERO|4B 38

ILLUSTRADOS GENERAL HOSPITAL

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

11.

Qualified medical/paramedical personnel must be present in the ambulance when transferring the patient It is the responsibility of the referring physician to ensure continuity of care and patient safety during the transfer process Complete referral forms, legibly and accurately, include attach any investigations and reports and send with the patient Documentation of the medical information must be available in the facility ( Medical records) Transfer Policy The patients and their relatives/carers must be informed by the nurse accountable for the patients care that they are leaving and advised of where they are going. The receiving ward must be given a verbal handover and be told whether the patients relatives/carers have been informed or not. All of the patients property and valuables must be transferred with the patient. All of the patients health records must be transferred where available. This will include medical records, assessment documentation and therapist notes. The transferring ward must ensure that all relevant medications accompany the patient to the receiving ward along with medication and associated equipment brought into hospital. The transferring ward must ensure patient transfer details are entered onto the patient administration system and ensure the PAS information transfer takes place in line with real time bed management system Where a clinical need is identified observation and vital signs should continue during the transfer process. Only appropriately skilled personnel trained in manual handling should transfer patients between wards.

ENERO|4B

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