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OB-GYNE/LR-DR WARD MEETING

Date: September 9, 2014


Time Started: 1:55PM
Time Ended: 2:48PM
Venue: Ultrasound Room LR-DR Complex
Agenda:
1. Orientation of staff nurses about the proper method of medication procurement
to all patients
2. Adherence to proper monitoring and documentation
3. Review of duties and responsibilities of nurses and attendants
4. Accordance to the hospital policy and quality procedure
Presiding Officers:
Mrs. Cynthia Tiu, Nurse V
Mrs. Emily Noble, Nurse III
Participants:
Daisy Jagonase

Evangeline Reyes

Nelia Nidoy

Myra Dadural

Genely Layno

Joy Cabalu

Ana Glen Consolacion

Gigi Hadloc

Viviene Tan

Yolanda Reyes

Camille Espinosa

Rose Galvez

Elyssa Rose Molina

Grace Viloria

Gayzelle Mallare

Cleto Alvares

Kristi Ann Erika Ramos

Topics Taken:
During our ward meeting held last September 9, 2014, utmost important subject
were discussed. Participants listen attentively and recommendations were made
later.
First, we were oriented about the process of medication procurement of all
patients (PHIC, NBB, NHTS, LGU members). We were informed that all medications
of the said members will be taken at the pharmacy by the nurse on duty. Patients
name, address, age, date, name of the medication and quantity of the medication
prescribed, should all be written legibly on the prescription pads, with the doctors
trodat and signature. For the medications that arent available, emergency
purchased can be made.
Next, we were reminded that issue slips should be signed properly by the
requesting personnel and then approved by the nurse supervisor.
Proper recording and documentation were emphasized to all nurses and nursing
attendants. Patients charts must always be arranged properly and completeness of
it must be ensured. Other relative documents (NSD technique, LR-DR Record,
Computerized OR technique, discharge summary etc.. ) as it should be completed
by the responsible person, must be attached to chart prior to patients time of
discharge. Headings should be readable and filled up completely (patients name,
age, sex, hospital number and ward). Monitoring and Intravenous Fluid Sheets must
always be detailed and accomplished before the shift ends. Vital signs (blood
pressure, cardiac rate, pulse rate, respiratory rate and temperature), intake and
output (IVF infused, per orem, urine and stool), should be well updated. Abnormal
vital signs must be reported to the resident on duty, and must be written down on
nurses notes with the time referred plus the interventions provided. IV bottles
hooked to patients must be labelled accordingly with tags attached to it (date
started, time ended, rate of regulation, name of drug incorporated). Nurses, nursing
attendants and all healthcare personnel must comply with the rule of When in
doubt, throw it out. Any open vials, IV bottles and other medications should be
considered contaminated and must be discarded.
With regards to recording, nurse on duty must always check and update ward
logbooks and equipment. Emergency drug that has reached its expiration date must
be discarded and replaced as soon as possible. Adequacy of supplies must be
guaranteed at all times as well.
In addition to this, we had talked over the role of the nursing attendant as they
are part of the team in giving quality care to our dear patients. They must be
present every time during endorsement to be aware of the care that must be
rendered to our patient. In behalf of the nurse, they must ensure that gowns and
linens should be available to each and every patient. Patient sent to Operating room
should have extra gown and linen to be use during their post-operative period. The
nurse together with the nursing attendants must observed cleanliness on the ward.

Cabinets and drawers should be organized. Proper waste segregation must be


empirical to all personnel.
Reports must get done ahead of time and should be submitted on time.
Patients Satisfaction Questionnaires must be religiously accomplished by every
single patient. This will serve as a feedback to our service. This PSQ will be our tool
so we could identify our weak points, improve our service and achieve the quality of
care needed by our patients.
Another issue tackled was the receiving process of ER blotters. Institutional
workers were the one who traditionally received ER blotters of admitted patients
from LR-DR, and they will then sign the receiving logbook afterwards. This was truly
inappropriate because Institutional workers arent responsible for any lost blotters.
Tendencies are, blotters may be lost or misplaced, patients wont be admitted on
time, no factsheets will be made, and at the end, we cant put the blame on them.
The only personnel accountable are the nurse on duty at LR/DR and the right person
to receive the blotter is the nurse on duty at ER. Signature and printed name of the
nurse receiver must be seen on the logbook. Large number of patients isnt an
excuse. We should always comply with hospital policies to avoid any untoward
incidence.
The meeting held was purposely to improve our service while meeting the
goal and objectives of the hospital. Suggestions of corrective measures were made.
As we continue to follow and practice the regulatory steps included in our quality
policy control procedures, patients satisfaction will be at its best. This is not about
the patients satisfaction alone, but this will reflect to our services as well. We look
forward for the betterment of our ward and skills of personnel involved.
At 2:48PM, the meeting was over and ended with a positive assurance from
the staff that everything discussed will be applied for the improvement of our
service.

Prepared by:

Approved by:

Daisy S. Jagonase, RN

Emily A. Noble, RN

Senior Nurse-OB-GYNE Ward

Senior Nurse Supervisor