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Martin P. Posadas Avenue, San Carlos City 2420 Pangasinan, Philippines

Tel nos. (+6375) 203- 0000, 955 5222, 632 4094, Fax no: (+6375) 632 4033
vmmc1957@gmail.com , vmu.edu.ph

PURPOSE:
It is our aim, the Out-Patient Department, Emergency Room and Minor
Operating Room Department Team, to ensure that the patients journey through the
admission process and subsequent hospital stay and discharge, are smooth and
trouble free as possible.
AIMS:

All patients are treated as individuals and their needs are met in a manner

that recognizes this.

Triaging process is used to classify or categorized which patient should be

attended ad treated first and those who can wait for observation.
All patients, and where appropriate their relatives and carers, are involved in

planning their care from the moment they are admitted to the hospital.
The entire admission process is as quick and efficient as possible unless or

except when a toxic situation occurs.

An immediate explanation is offered for any delays that occur during the
admission process, and that all possible steps will be taken to rectify this

situation.
The admission process is monitored to ensure it meets the requirements of
our patient and, where problem might occur, we will take action to rectify

them.
Any concerns of the patients and, where appropriate, relatives and carers
have regarding the progress of their admission will be listened to. When
appropriate, actions will be taken to address the concerns.

DEFINITIONS:
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Martin P. Posadas Avenue, San Carlos City 2420 Pangasinan, Philippines
Tel nos. (+6375) 203- 0000, 955 5222, 632 4094, Fax no: (+6375) 632 4033
vmmc1957@gmail.com , vmu.edu.ph

OBSERVATION:

Admission of a patient for active treatment to determine if a

patients condition is going to require that they be admitted as an inpatient or if the

patient may be discharged. Observation services include the following: the use of
bed and periodic monitoring by nursing and other staff, which are reasonable and
necessary to evaluate the patients condition.
INPATIENT: Admission of a patient with condition/diagnoses meeting established
criteria including inpatient status, diagnostics, treatments and nursing care that can
only be supplied in an inpatient setting.
EXTENDED RECOVERY:

Admission of a patient for a planned outpatient

procedure/minor surgery (ex: thoracentesis, cataract extraction, incision and

drainage, excision and others) for which a patient requires an extended recovery
time following the procedure. The patient may be recovered in the outpatient
department or in the nursing unit.
OUTPATIENT REOCCURING: Admission of a patient for a planned procedure,
treatment or therapy (such as blood transfusion, IV antibiotic therapy).
INPATIENT: a patient who stays in a hospital while under treatment.
RESIDENT ON DUTY: A general practitioner who assesse patients on a 24 hours
duty. He or she gives initial interventions both in an outpatient and inpatient.

PROCEDURES:

OUTPATIENT DEPARTMENT
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Martin P. Posadas Avenue, San Carlos City 2420 Pangasinan, Philippines
Tel nos. (+6375) 203- 0000, 955 5222, 632 4094, Fax no: (+6375) 632 4033
vmmc1957@gmail.com , vmu.edu.ph

AIMS:

To provide a source of specialist medical opinion

To have an early diagnosis, curative, preventive and rehabilitative care

for all types of patients

Proper screening should be held for patients who are for admission.
Admission should be based from the assessment and laboratories
conducted and order by the ROD or their attending doctors.

To promote health and health education.

To sustained a high a high continuity of care

POLICY:

There is an observation order given by the ROD for the patients

NOD must be actively involved in documenting all necessary and important

notes regarding the OPD patient such as its main chief complaint and
accompanied signs and symptoms, their reaction to the drugs given to them
during their OPD and their vital signs upon arrival and going home.

To update the ROD upon the response and latest condition of the patient.

If the patient was advised by the ROD because of his or her condition but
refused to do despite explanation made, let the patient or if the patient is not
capable because of his condition his nearest relative will sign a refusal note
with his printed name and signature above it.
Ex: ____________________________( relation to the patient)
Amelia Aurea Jocelyn Prado

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Martin P. Posadas Avenue, San Carlos City 2420 Pangasinan, Philippines
Tel nos. (+6375) 203- 0000, 955 5222, 632 4094, Fax no: (+6375) 632 4033
vmmc1957@gmail.com , vmu.edu.ph

OUTPATIENT FLOW CHART

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Martin P. Posadas Avenue, San Carlos City 2420 Pangasinan, Philippines
Tel nos. (+6375) 203- 0000, 955 5222, 632 4094, Fax no: (+6375) 632 4033
vmmc1957@gmail.com , vmu.edu.ph

ORGANIZATION OF OUTPATIENT

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Martin P. Posadas Avenue, San Carlos City 2420 Pangasinan, Philippines
Tel nos. (+6375) 203- 0000, 955 5222, 632 4094, Fax no: (+6375) 632 4033
vmmc1957@gmail.com , vmu.edu.ph

ADMISSION FLOW CHART

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Martin P. Posadas Avenue, San Carlos City 2420 Pangasinan, Philippines
Tel nos. (+6375) 203- 0000, 955 5222, 632 4094, Fax no: (+6375) 632 4033
vmmc1957@gmail.com , vmu.edu.ph

PROCEDURES:
1. Triaging
a. The triage nurse or nurse on duty shall screen for every individual who
comes to the emergency department or comes to the hospital seeking
or appearing to need medical treatment.
b. Triaging is performed by Nurse On Duty
c. Upon the arrival of a patient, the triage nurse should take the complete
vital signs of the patient the classify if the patient is only for OPD basis
or inpatient. If the patient is for admission immediately refer the
nearest relative to go and register their patient at the Information
Department.
2. Elective admission to the Hospital
-

An elective admission is defined as planned admission from the patients

home (or temporary place of residence), that occurs after a period of
consultation, usually with a doctor. Patients may be admitted to hospital
by means of:

2.1A Referral from an Outpatient Clinic or Department

a. The Consultant, or the other doctor working with the consultant, will
give a clear and full explanation of the reason for admission. The
majority of patients will be placed on a waiting list, which is
appropriate to their clinical need. Where possible the consultant
may be able to give a date for certain procedures or investigations.
2.2A Non Urgent Referral from a General Practitioner
a. The General Practitioner and the patient will mutually agreed for
the date and time for the admissio. The admitting doctors (ROD)
should inform the Admissions Department and ward staff of the
impending admission
2.3Cancellation of Admission
a. If an elective admission needs to be cancelled/postponed due to
lack of bed availability or ther reasons, the admitting department
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Martin P. Posadas Avenue, San Carlos City 2420 Pangasinan, Philippines
Tel nos. (+6375) 203- 0000, 955 5222, 632 4094, Fax no: (+6375) 632 4033
vmmc1957@gmail.com , vmu.edu.ph

will ring the patient at home as soon as possible. This should occur
no later than the night before admission and full explanation of the
situation should be given. The patient will be informed of the likely
duration of the delay in his/her admission to the ward and informed
as soon as possible when the admission can take place.
3. Emergency Admissions at the hospital
-

May be define, as those individuals requiring a prompt inpatient

assessment and treatment in a hospital setting. By their nature,
emergency admissions allow for little planning.

3.1Transfer or Referral from other health institution

a. Upon accepting an emergency case, a referral has been made through
doctor to doctor or if not by NOD through a telephone. An overview of
the patient condition is given during the telephone referral such as:
Name and Age of the patient
Chief complaint
Initial and latest vital signs
A brief history of what had happen to the patient prior to the
admission
Initial interventions and laboratories done
b. Before the arrival of the emergency admission the ROD or NOD who
receive the call for referral should:
Inform the relevant clinical area ex. Emergency Room or the
Ward in order that preparations can be made for the patients
arrival
Notify the involve Department where indicated appropriate test
will be used for the patient case, thus reducing delays and
facilitating a swift admission process.

Ensure that the ward team have all relevant equipment ready
to hand , and that appropriate documentation is prepared for
the patients arrival
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Martin P. Posadas Avenue, San Carlos City 2420 Pangasinan, Philippines
Tel nos. (+6375) 203- 0000, 955 5222, 632 4094, Fax no: (+6375) 632 4033
vmmc1957@gmail.com , vmu.edu.ph

c. Upon the arrival of the patient in the ER, NOD should immediately
check the vital sign, assess the patient condition then tell it to the
ROD. Proper endorsement of the patient is done. Always check for a
referral form made by the ROD of the other health institution.
d. The ROD wil make an initial order of intervention or if there is already
an admitting order carry out all the remaining interventions that has
not been done. Referral to their chosen attending physician is done by
ROD along with other specialist mention in the admitting order.
3.2 Non Referral Admission through Accident and Emergency
-

It is recognized that patients may refer themselves to the Emergency

Department or be transported there directly by the ambulance, without
any referral from a doctor. In this instance, the standing procedures for
assessment of patient by medical and nursing staff in Emergency
Department will apply.

3.3Emergency Admission through Outpatient clinics

-

Should the patient condition to warrant, admission may take place directly
from an out patient clinic. The NOD transfer the patient to the ward and
arrange to contact the patients next of kin should this be required.