REPUBLIC of the PHILIPPINES

City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P Rizal Extension, West Rembo, Makati City 1215
Telephone No.: (+632) – 881 – 1571

HOSPITAL NURSING SERVICE MANUAL OF OPERATION

(Mission, Vision, Values, Tables of Organization, Description of Medical Center and

Department of Nursing)

In Partial Fulfillment of the Requirements for the Degree of Bachelor of Science in

Nursing for the Course of Quality Healthcare and Nursing

Submitted by:
Templo, Sheana Camille T.
IVAN

Submitted to:
Prof. Anthony John G. Domingo, RN, MAN
FEBRUARY 21, 2018
LOGO & DESCRIPTION:

The Letter R with wings is Saint Raphael the Archangel serves as the patron saint
of healing. Unlike most saints, Raphael was never a human being who lived on
Earth. Instead, he has always been a heavenly angel (wings). He was declared
a saint in honor of his work helping humanity.As one of God's leading
archangels, Raphael serves people who need to heal in body, mind, and spirit.
Raphael also helps people in health professions, such as doctors, nurses,
pharmacists, and counselors. The cross inside the letter R means life and healing.
Color green is known for its balanced healing properties; brings with it a sense of
hope, health, and renewal, as well as compassion, and harmony.
A. Mission, Vision, and Values

Saint Raphael Medical Center

Mission:

The Mission of St. Raphael Medical Center is to provide timely and

compassionate, accessible, safe high quality, cost effective healthcare services
with the utmost standard of the community; to promote health; to educate
healthcare professionals; and to participate in appropriate clinical research.

Vision:

St. Raphael Medical Center is dedicated to provide our patient with the world-
class care, transforming the lives of the people we serve through excellent quality
service and compassion we would want for our loved ones.

Values

SERVICE
SAFETY - Patient safety is the cornerstone of high-quality health care.
EXCELLENCE – We practice excellence in medicine that is based on proven and
known outcomes to prevent illness, restore health and relieve suffering.
RESPECT – We act with integrity and respect and a commitment to
confidentiality. We respect the well-being and dignity of each patient.
VALUE - We value the essential role of our physicians and create processes that
help them serve their patients. We value our staff as our important resource and
create a workplace that attracts and rewards caring and high performing
individuals.
INNOVATION - We are committed to helping our healthcare clients keep pace
with the latest industry trends, best practices and innovations.

COMPASSION - We organize ourselves to treat patients with compassion,

efficiently and effectively. We strive to exceed our patient’s expectations by
improving access and the quality of our services.
EXPERTISE – Our staff provides services through expertise.

C. DESCRIPTION OF MEDICAL CENTER

St. Raphael Medical Center is one of the nation’s leading urban medical
centers. It is a private training tertiary hospital that delivers safe quality and
effective medical services comprises a College of Medicine, College of Health
Related Professions, College of Nursing, School of Graduate Studies, and
University Hospital of Manila.

The quality of our education, research, and patient care programs was
confirmed with the awarding of the Nobel Prize in Medicine to Dr. Robert David,
a member of our School of Graduate Studies faculty since 2000.

Our facility is located at 30th street, Bonifacio Global City, taguig City,
Philippines. It is a 2-hectare private property that includes 2 buildings. 20,000
square meters of floor space and two building, which consist of 1000 bed
capacity. It has 15 floors in every building and joined by the bridge way and two
level basement parking accommodates over thousand vehicles. It is a 600 bed
capacity. The complex is equipped with a broad range of state-of-the-art
security features, an advanced building management system, and biosafety
features incorporated into sensitive patient areas thus serves as the hub for
network satellite hospital this include data to cloud situated at the US for back
up information, delivering a full range of diagnostic and therapeutic services to
patients in Manila and selected provinces. St. Raphael Medical Center offers the
most advanced and comprehensive care in Manila.

DESCRIPTION OF THE DEPARTMENT OF NURSING:

Nursing Services is a professionally organized department within the St. Raphael

Medical Center. To achieve the vision, mission, values, and organizational goals
of the medical center, Nursing care is delivered utilizing all appropriate
resources in partnership with other members of the heath care team, our
patients, their families, and the community. Ongoing communication and
collaboration with all members of the health care team are vital to coherent
planning strategies and positive outcomes for patients and their families. Nursing
care is provided to patients with the following services at St. Raphael Medical
Center:

Neuroscience/Neurology Service

The Neuroscience/Neurology service consists of the following clinical units with

state of the art technology and equipment. A dynamic interdisciplinary team
assists the patients to recover to optimum wellness. Our units are: A four bed
Epilepsy Monitoring unit which cares for patients with seizure disorders using
current research and treatment modalities, a two bed Sleep Apnea unit which
cares for patients with sleep disorders, a four bed Stroke unit and a four bed
Neurosurgical Step-down unit which provides acute care to postoperative
neurosurgical patients. All nurses are specially trained to provide safe and
competent care to the patients in these clinical units. A twenty three bed
Neurologicall unit cares for patient with medical
surgical/neurological/gynecological disorders. All nurses are highly trained to
provide safe and competent care to the patients in a these clinical units.
Ongoing interdisciplinary collaborative seminars provide education and
application of current trends in the treatment of patients with neurology
complications.

Orthopedic-Rehabilitation

The Orthopedic Rehabilitation service is a 22 bed unit which focuses on patients

with orthopedic problems requiring joint replacement/reconstructive surgery
and postoperative orthopedic surgical care. The rehabilitation portion provides
treatment and training to post-operative orthopedic patients as sell as patients
from all other areas of the hospital and the tri-state area. Postoperative surgical
patients receive ongoing rehabilitative care. Ongoing communication with the
interdisciplinary team fosters a seamless operation in the care of orthopedic-
rehabilitative patients.

Women and Children's Service

Our clinical units include a recently renovated state of the art 29 bed Neonatal
Intensive Care unit which is a regional referral center for premature babies and
newborns with medical/surgical problems. Our neonatal transport service
receives 4 ill newborns from neighboring hospital that require tertiary care. Our
nurses are highly trained in neonatal nursing and work within a collaborative and
cohesive atmosphere.
The Obstetrical unit features a four bed ante partum testing unit, nine
Labor/Delivery Recovery rooms, three bed observation area, 2 operative
delivery rooms and one post anesthesia care unit. In addition, we have a seven
bed triage unit which treats patients with obstetrical medical surgical
emergencies. Our thirty three bed rooming in Mother-Baby unit promote 24 hour
access to family bonding. The nurses in the obstetrical service are highly skilled
and are able to care for challenging high risk patients who require intricate
care.

The Children's Center of Excellence consists of a five bed Pediatric Intensive

Care unit which cares for infants to children eighteen years of age with various
medical surgical problems. Our twenty three bed pediatric medical and surgical
unit (which includes a 4 bed stepdown area) cares for infants to young adults
up to the age of 18. The only general exception would be pregnant patients in
that age range. Generally, these admissions should be patients who are not
ambulatory and/or have special needs that are better provided by the
Department of Pediatrics. Our Pediatric Asthma Center and Pediatric oncology
units provide treatment modalities based on the latest research and current
trends.

Medicine

The Medical service consists of two units: a thirty seven bed a thirty three bed
unit and a Ten bed telemetry designated for cardiac patients. Patients on these
units have diagnoses related to: cardiac, dermatology, endocrine,
gastrointestinal, respiratory, infectious, oncology and pulmonary disorders.

Oncology

The Oncology Service consists of eighteen beds. Patients on this unit receive
Chemotherapy. All nurses are specially trained to provide safe and competent
care to these patients.

Emergency Department

Our Emergency Department experiences over 60,000 visits per year. Our fast
track system cares for patients with minor emergencies while our acute care
area focuses on patients with life threatening problems. Our expanding
pediatric emergency center cares for neonates to young adults. Our nurses are
certified in Trauma nursing, Basic Life Support, Advanced Cardiac Life Support
and Pediatric Advance Life Support.
Surgery The surgical service encompasses an eighteen bed surgical acute unit
and a four bed Step down unit for intensive monitoring.

Cardiac & Vascular

Our cardiac and vascular center provides inpatient and ambulatory services
which include cardiovascular surgery, vascular surgery, interventional vascular
surgery, interventional cardiology and interventional radiology and non invasive
cardiology. Our Cardiac Catheterization suite encompasses a five bed acute
post procedure suite and an eight bed recovery area. Our Interventional
radiology has two areas designated for interventional procedures which include
angioplasty/angiograms studies, nephrostomy and dialysis procedures. Our Post
Interventional Recovery Room provides 14 beds for pre and post care. Critical
Care

The critical care service encompasses four specialized areas. A nine bed
Cardiothoracic intensive care unit cares for immediate post open heart and
post kidney transplant surgical patients and our seven bed Coronary Care unit
cares for patients recovering from myocardial infarction, and other cardiac
vascular disorders. In addition, a ten bed Medical Intensive Care unit cares for
patients with medical surgical complications requiring intensive monitoring and
an eight bed transitional Step down Cardio thoracic unit (CPCU) cares for
patients who are stabilized and require continuous monitoring.

Dialysis & Transplant

Our state of the art Ambulatory Kidney Dialysis center serves all adults and
pediatric acute and chronic renal failure patients who require hemodialysis.
Twenty stations are designated for adult patients and 4 stations are designated
for pediatric patients. We have a nine bed inpatient hemodialysis unit, and two
bed pediatric unit for acute hemodialysis 6 patients who are unstable. Our
sixteen bed inpatient transplant service cares for stabilized postoperative kidney
transplant patients and other surgical patients.

Perioperative

The perioperative suite encompasses three specialized areas to provide care to

the diverse needs of our population. The Ambulatory Suite consists of the Pre
Admission testing unit, Pre-Operative five bed unit for adults, three bed unit for
pediatric patients, and a six bed Ambulatory Surgery Post Anesthesia Care unit.
Areas of surgery include vascular, orthopedics, otolaryngology and
ophthalmology, genitourinary, gynecological procedures. Our three procedure
room Endoscopy Suite performs diagnostic and therapeutic gastrointestinal,
and/or hepatic procedures. The main operating area consists of 12 operative
suites which perform cardiothoracic, vascular, transplant, neurosurgery,
orthopedic, otolaryngology, ophthalmology, and urology, gynecological and
oncological surgery. The OR is open 24 hours/7 days per week. The nine bed
Post Anesthesia Care unit provides care to immediate postoperative surgical
patients. PACU is open 24 hours Monday – Friday, and on call for Saturday and
Sunday

Ambulatory Care Service

The ambulatory care suite focuses on prevention, wellness and treatment for
patients in the community. Our health care team sees an average of over one
thousand patients a day in the medical, surgical, pediatric, asthma, obstetrics
and gynecology, dermatology, transplant, urology, ophthalmology, otology,
oncology suites. Our nurses are highly trained in community health nursing and
provide continuous care as they work with multitude of patients with diverse
health conditions. Employees in the following areas/positions may be required to
be licensed nurses due to the nature of the position, but do not deliver nursing
care as defined by St. Raphael Medical Center:

 Performance Improvement
 Infection Control
 Discharge Planning Care
 Management Risk
 Management Nursing Education
 Nursing Administration
 Nurse Anesthetists
 Community Health and
 Outreach Employee Health
B. TABLES OF ORGANIZATION

Sheana Camille Templo, MD Shiela Marie Templo, MD

PRESIDENT Adviser

Remilyn Rose Asuncion, MD

VICE PRESIDENT

Riza Lumbre, RN, MAN, PhD

Chief Nursing Officer

Paulinne Manibog, RN, MAN

Nursing Director

Debbie Terrado, MD Ruth Balaoy, MD Beatriz Nasis Bea Nasis Royce Lorenzo
Head - Therapeutic Service Head – Diagnostic Service Head – Administrative Head – Support Service Head – Financial Service
Department Department Service Department Department Department

Debbie Terrado, MD Erica Mae Anos Mae Anos Susan Nulud

Sharlyn Llagas, RRT
Therapy Department Facilities Department Emergency Billing Department
Radiology Department
Preparedness

Sam Nulud, PharmD Mich Montemayor, MD Ace De Jesus Pau Manibog Camille Templo
Pharmacy Department Cardiology Department Admission Department Clinical Engineering Budget and Planning

Kristine Nasis Riza Bag-os

Sia, Sean, RD Charlene Gonzales, MD Loren Cruz
Purchasing Departmentg Accouting
Dietary department Radiology Department Information Department

Rose Asuncion Remilyn Salontoy

Kamiel Sia
Facilities and Planning Payroll Services
HR Department

Angela Llagas Anne Villacorte

Social Services Philhealth Department