Document No.

: DVMCI-DCC-04-28
DE VERA MEDICAL CENTER, INC.
City Road, Calao East, Santiago City Revision No. : 00
Tel. No. : (078) 305-2787 Telefax: (078) 305-2802
Effective Date: September 18, 2014

Department: NURSING AND NURSING ASSISSTANTS

Date and Time: November 24, 2016 9:30 AM
Venue: DVMCI A&A MUSNGI HALL

I. ATTENDANCE
See attachment
II. CALL TO ORDER
Date: November 24, 2016
Venue: A&A Musñgi Hall
Time started: 9:30 AM
Presider: Mr. Benito Fabros Jr

The meeting started with a prayer led by Mr. Benito Fabros Jr

III. AGENDA
 Lecture about Venipuncture
 IV Fluid Maintenance
 Departmental Concerns
 General concerns
 ISO Findings

IV. DISCUSSION OF AGENDA

I. Lecture about Venipuncture discussed by Mr. Hero Salem
 Prefer using non dominant hand
 Distal to proximal approach
 Rotate access site; relevant anatomy
 Consider catheter material
 First choice is the periphery
 Legs aren’t to be used except in desperate situations
 If there is a difficulty finding an appropriate site, ask for
help
 Do not forget to prep the skin

II. IV Fluid Maintenance discussed by Mr. Patrict Daryll Abad

 To replace fluid and electrolytes, blood
 Document No.: DVMCI-DCC-04-28
DE VERA MEDICAL CENTER, INC.
City Road, Calao East, Santiago City Revision No. : 00
Tel. No. : (078) 305-2787 Telefax: (078) 305-2802
Effective Date: September 18, 2014

 High concentration of dextrose which gives more calories

 Maintenance: to sustain the balance that patients already
have
 To deliver medications
HOLLIDAY-SEGAR METHOD
• FORMULA METHOD
– Would give about fluid requirements on a 24-hour basis
• 4-2-1 METHOD
– 24-hour period divided into approximate hourly rates to correlate
with the delivery pumps used since these are designed for an
hourly infusion rate.

WEIGHT IN KILOGRAMS DAILY FLUID REQUIREMENT

1ST or ≤ 10 KILOGRAMS 100 ml/kg/day
2nd 10 KILOGRAMS 50 ml/kg/day
>20 kilograms 20ml/kg/day

4-2-1 METHOD
WEIGHT IN KILOGRAMS HOURLY FLUID REQUIREMENT
1ST or ≤ 10 KILOGRAMS 4 ml/kg/hour
2nd 10 KILOGRAMS 2 ml/kg/hour
>20 kilograms 1 ml/kg/hour

 Amount of fluid requirement computed may be adjusted yet still

guided by such as per patient condition.

III. Departmental Concerns

1. Pharmacy
 Emergency purchasing of medications
 Incomplete entry on the prescription pad for dangerous
drug
 For AM charged medications, please receive the patients
copy of transaction slip and affix your signature
 Document No.: DVMCI-DCC-04-28
DE VERA MEDICAL CENTER, INC.
City Road, Calao East, Santiago City Revision No. : 00
Tel. No. : (078) 305-2787 Telefax: (078) 305-2802
Effective Date: September 18, 2014

 Suggestion to pharmacy to let the pharmacist

deliver the purchase meds direct to patients/SO.
 POD not answering phone call- pharmacy head will call
the attention of the pharmacist involved

2. Radiology
 Request first before procedure- case to case basis esp.
for special area/STAT.

3. Central Supply Unit

 Before transout, confirm if room is prepared already.
 STAT charging of linen, nurses should get linen at the
CSU, do not wait for them to deliver the linen
 They may deliver after lunch or during their availability

4. Out Patient Dept.

 Reiterate to bring discharge instruction/ baby book
prior to discharge during follow ups
 BCG schedule last Saturday of the month- morning

5. Laboratory
 Blood specimen collection by the NOD at the ER.
INCOMPLETE LABEL. Must include full name and date of
extraction
 Extraction at the ER and yet the patient was already
transferred to his/her room.
 Encode laboratory request-
6. Medical Records
 No ER notes for direct to OR admissions
 No form of direct to OR policy.
 Refer to management to revise ER notes regarding
direct to OR patients
 Consent for admission no affixed signature of some ER
nurses (prevalence has been increase for the past week)
 Refer if ER clerk can be assignatory
 Document No.: DVMCI-DCC-04-28
DE VERA MEDICAL CENTER, INC.
City Road, Calao East, Santiago City Revision No. : 00
Tel. No. : (078) 305-2787 Telefax: (078) 305-2802
Effective Date: September 18, 2014

 Accomplished Discharge Summary form prior giving to

clerk personnel.
7. Intensive Care Unit
 Gowning of patients transferred from gown.
 Bed of patients transferred from ward
 Bed bath of patients who are unable to perform such
 Gowning of ICU nurses (outside
 Starting Nov. 25, 2016 deduction will
implement
 Clearance of post-ICU patients for discharge-
 well implemented
8. Emergency Room
 ER properties cannot be borrowed (ambubag, oxygen
gauge, intubation set)
 Proper endorsement must be observe when using the
ER phones for calling/updating Doctors.
 Patients for IV reinsertion, make sure that all needed
materials are available.

I. General Ward Concerns
1. Return blood bag to the laboratory immediately.
2. Patients for OR- endorse all due medications as well as all
syringes.
3. Check IV sites at all time- to prevent IV BURN, infiltration,
extravasations,.
4. Initial assessment during rounds PLEASE- “nurse patient
interaction” patients first, contraptions, available
medications.
5. Skin testing- 30 minutes after test check for redness, if
positive. Control by using same diluent without medication
into different syringe.
6. Please utilize diagnostic requests- Do not use prescription
pad.
7. Do not puncture IV bottle- entry of microbes.
8. Hooking of IV fluids from other patients (RC)
 Document No.: DVMCI-DCC-04-28
DE VERA MEDICAL CENTER, INC.
City Road, Calao East, Santiago City Revision No. : 00
Tel. No. : (078) 305-2787 Telefax: (078) 305-2802
Effective Date: September 18, 2014

9. Importance of IR
10. Unit Manager responsibilities explained by Ms. Sweet
Sunshine Garcia
11. New Drug Stability form, Therapeutic Sheet and
Resuscitation Record- effective November 5, 2016.
12. BLS ACLS Training on Nov. 29-30, 2016.
13. Termination of employee who posts on social against the
hospital.
14. 1 month prior notice for nurses who will resign.
15. ISO findings discussed by: Mr. Benito Fabros Jr.
16. Chirstmas party o n December 16, 2016
AM shift time out-4:00pm, PM shift time in-4:00pm
17. Costume Party- December 29, 2016 at Maam Dorla’s
house.
18. Most Pasaway nurse: Ms. FAyelyn Agsipo
Most Commendable nrse: Ms. Anna Rose Alejandro

IV. ADJOURNMENT
Closing prayer by: Ms. Audilyn Cambod
Time ended: 12:00PM

Prepared by:

NUMCOM Member

Noted by:

Dorlagen C. Mendoza
Nursing Director