PHILIPPINE GENERAL HOSPITAL 101 VERSION 2018

REFERRALS, DIAGNOSTICS, ETC. Last Updated: June 29, 2018

OUTLINE V. Selected Class D Laboratory • Indicate if previously seen by SAPOD/SCUPOD and name of resident
I. Referrals Rates
II. Diagnostics VI. Directory I: PGH Local Numbers SAPOD (for surgical or procedural clearance)
III. Imaging and Patient Conduction VII. Directory II: Food Delivery
IV. Normal Values for Commonly Requested Hotlines • Required for patients 40 years old and above (35 and above if in
Laboratory Examinations VIII. Acknowledgments critical condition)
• Only ONE REFERRAL SLIP is needed!
I. REFERRALS • Indicate the following:
• Standard requirement for referral: PGH Referral Slip o Specific plan for surgery
o Generally, does not have to be signed by the resident. Just per o Type of anesthesia
the resident
• Drop and log entry at Ward 3 Nurses Station.
• NO NEED TO USE SPECIAL REFERRAL FORMS!
• Do not confuse with the “Gen Med” logbook
• Always log referrals in logbooks of respective departments or
• If previously seen by SAPOD, text SAPOD phone at 09228016908 for
sections and/or drop them in the corresponding dropboxes
lab results and/or post-op updates.
• Cut-off time: beyond this time, referrals will be seen the next day
• For endorsements by text message (SMS), make sure to include the
ALLERGY / IMMUNOLOGY
following: name, age/sex, ward/bed, assessment, reason for
referral • Log and drop at the Ward 11 Nurses’ Station. It is amongst the
• Reason for referral: be specific; some departments do not accept numerous Pedia subspecialty logbooks.
“for opinion and co-management” as a valid reason
• Some referrals require special forms (e.g. ADR form, CAAP referrals) CARDIOVASCULAR (CVS)
– these are indicated by an asterisk in the next section • Drop at CVS Office (6th floor) – drawers for referrals are provided
across the nurses’ station; indicate also in logbook
A. DEPARTMENT OF ANESTHESIOLOGY
DERMATOLOGY
CICO
• Drop referral forms at Dermatology OPD (endorse personally to
• For anesthesia during procedures (CT scan, MRI, etc.) attending resident)
• Indicate: • Make sure to bring pictures of the patient’s lesion(s) when referring
o Date and time of scheduled procedure + know associated symptoms
o Type of anesthesia (e.g. IV sedation, etc.)
• Drop at Anesthesiology lounge area (near LCB OR, enter through the ENDOCRINOLOGY
trolleys parked) • Drop referral at logbook located in the room at the back of of W1

PAIN CLINIC GASTROINTESTINAL (GI)

• Drop referral at Pain Clinic (2nd
floor OPD) • Drop INSIDE GI clinic (referrals attached to door will not be
o May call local 5211/5215 first before heading to OPD to check accepted)
o Wednesday PM: Anesthesiology Department Conference – • New policy as of 2018: Referrals are only accepted during office ours
resident most likely not around on weekdays and half day on weekends (8 AM – 12 NN)

B. DEPARTMENT OF FAMILY AND COMMUNITY
MEDICINE
SECTION OF HOSPICE AND PALLIATIVE MEDICINE (SHPM)
• Drop referral and log at logbook at the Hospice Office at the 3rd floor
OPD
• Attach a slip from the office which includes:
o Specific reason for referral: psychosocial support, home care
preparation, family meeting, etc.
o Indicate in this slip whether the patient and his/her relatives
are aware of the diagnosis and prognosis of the disease.
C. DEPARTMENT OF MEDICINE
Subspecialty referrals only apply to ADULT MEDICINE patients. For patients less
than 19 years old, refer to corresponding PEDIATRIC subspecialty (drop boxes
located at the back of Ward 11).
GENERAL MEDICINE (for co-management)
• Drop and log entry at Ward 3 Nurses Station.
• Do not confuse with the “SAPOD/Clearance” logbook.
HEMATOLOGY
• Drop referral at logbook located in the room at the back of of W1
INFECTIOUS DISEASES
WARD REFERRAL
• Place referral forms in drop box located outside IDS Office (2nd floor
ERC); 2 copies, complete referral form to avoid rejection
• Referrals dropped before 9am would be seen on the same day
• Provide an INFECTIOUS diagnosis ALWAYS.
• CAAP referral: see separate section (header N) for requirements
• Check logbook per day if your referral was accepted
• If rejected, reason usually indicated in logbook along with your
submitted referral form
FOR ICC CASES
• Call SAGIP (local 3249) – they will be the ones to go to the patient
MEDICAL ONCOLOGY

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 PGH 101 GUIDE TO REFERRALS, DIAGNOSTICS AND OTHER PGH MUST-KNOWS
• Drop at Med Onco Office (near ECG station) – only open during
office hours, cannot drop on weekends
NEPHROLOGY (RENAL)
• Drop referral forms at Dialysis Unit (6th floor) – look for referrals
logbook and log referrals there; don’t forget to include results of
renal function tests.
• Inform and endorse to fellow before dropping referral
PULMONOLOGY
• Drop at Pulmo Office (near ECG Station) – logbook beside the door
RHEUMATOLOGY
• Drop referral at logbook located in the room at the back of of W1
D. DEPARTMENT OF NEUROSCIENCES
ADULT NEUROLOGY / NEURO-ONCOLOGY
• If previously seen as stat referral or seen in the OPD, please include
the name of the Neuro resident who saw the patient
• Drop and log at W5 Nurses Station
PEDIATRIC NEUROLOGY
• For patients less than 19 years old
• Logbook can be found at the Ward 11 Nurses Station.
NEUROSURGERY
• Drop referral at NSSCU located at W6
• Text short endorsement to NSS resident (09432039004)
E. DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
GENERAL OB-GYN REFERRALS
• Drop at OB Residents’ Callroom at Ward 15 (former IDS office)
• Requirements:
o Obstetric history and physical examination
o Specific reason for referral
GYNECOLOGIC ONCOLOGY*
• Fill out special referral form – get a copy at the pigeon hole outside
the Gyne Onco office at W14B (also drop accomplished referral
form here)
• Indicate operative technique and findings [description of abdominal
organs (including paraaortic LN), gross description of pathology,
location of residual brain tumor and size and volume in cm3]
• If post-op: include histopath report and stage of disease
• If post-EL: indicate % of residual tumor
• For virgin cases of cervical CA, include the following: CBC, urinalysis,
BUN, Crea, electrolytes, ALT, AST, CXR-PA, histopath result
• Attach clinical abstract and most recent TV-UTZ result
TROPHOBLASTIC DISEASES
• Include histopath result, hCG titer in abstract
OB-GYN INFECTIOUS DISEASES
• Include temperature pattern; drop at OB IDS Office (W15)
F. DEPARTMENT OF OPHTHALMOLOGY AND VISUAL
SCIENCES
• Include precise 5-point eye exam in referral form (some residents
may reject referrals with grossly different examination findings)
• Office hours: drop at front desk of SOJR
Project of UPCM 2015; Updated by UPCM 2016, 2017
• After 5PM: drop at desk of guard-on-duty
G. DEPARTMENT OF ORTHOPEDICS
• Indicate handedness and occupation; drop at the back of W8
• Know which Ortho subspecialty you are referring to (Trauma, Adult
Ortho, Pediatric Ortho, Spine, Hand/Microsurgery)
• No logbook
H. DEPARTMENT OF OTORHINOLARYNGOLOGY
• Drop at W10 nurses’ station. Have the form countersigned by a
nurse then log in the logbook.
• Indicate name of TEAM on duty for follow-up referrals; indicate
name of surgeon and assist for post-op ENT patients
I. DEPARTMENT OF PEDIATRICS
GENERAL PEDIATRICS (for co-management)
• Drop referral forms at the Ward 11 Nurses station
• File and log all referrals in the REFERRALS logbook
PEDIATRIC SPECIALTY SECTIONS
• Drop referral forms at the Ward 11 Nurses station
• Some specialties have extra requirements (indicated below)
• Genetics referrals: see header Q for information
PEDIA CLEARANCE (for pre-operative clearance)
• No need for referral forms!
• Log patient details in the CLEARANCE logbook at the Ward 11
Nurses’ Station
• WEEKDAYS:
o Cut-off time: 10 AM (patients logged after this time will be
seen the next day)
o Ask patient to be at the Pedia Office by 2 PM with chart in hand
to be seen by Pedia resident (also inform nurse on duty)
• WEEKENDS:
o Cut-off time: 8 AM (patients logged after this time will be seen
the next day)
o Ask patient to be at the Pedia Office by 10 AM with chart in
hand to be seen by Pedia resident (also inform nurse on duty)
• REQUIRED LABS (have all lab results attached to the patient’s chart
and X-ray plates with the patient before referring):
o CBC with PC, DC o Urinalysis
o Na, K, Cl o PT/PTT
o BUN, Creatinine o CXR (plates with patient)
J. DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL
MEDICINE
• Indicate reason for referral on referral slip
• Have referral received at W7 nurses’ station then sign on logbook
• Cut-off time: 3 PM (referrals submitted after this time or on a
weekend will be seen on the next working day)
K. DEPARTMENT OF RADIOLOGY
INTERVENTIONAL RADIOLOGY
• Drop forms at Radio office (at Room 5, same room where we go for
radiograph wet reads)
• Have a resident receive the referral before logging in the logbook
• ACU or ER located patients will not be accepted
RADIATION ONCOLOGY
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 PGH 101 GUIDE TO REFERRALS, DIAGNOSTICS AND OTHER PGH MUST-KNOWS
• Drop referral forms at CI 108 – only open during office hours, cannot
drop on weekends
L. DEPARTMENT OF REHABILITATION MEDICINE
• Include (at least know) the following when referring:
o Handedness and occupation
o Complete history (some residents ask for obstetric and
developmental histories)
o Course in the wards + operations done
o Latest lab results (CBC, other relevant tests) and current
medications
o Complete systemic PE with neurologic and musculoskeletal
exams (sensorimotor, range of motion testing – especially if
referring for ambulation of a specific body region)
o Reason for referral (ambulation, e.g. to be able to sit up since
the patient's thighs are now 2/5 with diligent exercises daily)
• If for cardiac rehab: include initial and latest ECG, lab results and
clearance from CVS
• Drop referral at Rehab Med call room (mezzanine, back of W5)
o Personally endorse to resident in charge of attending to
referrals from your department (information needed on
endorsement highly depends on resident receiving it)
o Log in referral logbook once approved
M. DEPARTMENT OF SURGERY
• Drop at appropriate pigeon hole in front of W4
• For Urology referrals: text a short endorsement to 09236801026
• For TCVS and Pediatric Surgery referrals: endorse through SMS:
o TCVS: 09228248494
o Pediatric Surgery: 09420174778
N. COMPREHENSIVE ANTIBIOTIC ASSISTANCE
PROGRAM (CAAP)*
• Refer FIRST to Adult or Pedia IDS
• Get CAAP and ICC forms – copies are available at Central Block
Pharmacy
• Requirements for CAAP application:
o CAAP form (4 pages, 1 copy, duly accomplished)
o ICC form (1 page, 3 copies) – individually signed by RIC
o Clinical abstract
• If patient is already enrolled in CAAP, your resident might ask you to
fill out 3 copies of the ICC form when the patient’s supply of
antibiotics run out
O. PRIME TB-DOTS CENTER*
• Secure special (green) form available at their office (near ORTOLL
and EMSS)
• Fill out and attach result of relevant labs (CXR, sputum AFB, etc.)
• For PTB, fill out white form (long bond paper)
• Know WHO TB classification of the patient
• Have the watcher submit the accomplished forms so that treatment
could be started ASAP
P. TOXICOLOGY
• Include toxin and amount ingested; submit actual toxin if possible
• Drop box at National Poison Control and Information Service
(entrance of W14A Trauma)
Q. GENETICS
• All Genetics referrals (adult AND pediatric) are dropped at the Ward
11 Nurses Station(along with other Pedia subspecialty referrals)
Project of UPCM 2015; Updated by UPCM 2016, 2017
R. ORTOLL REPRODUCTIVE HEALTH CENTER
• Office located at ORTOLL; referrals from OB usually for Implanon
insertion
• Drop at office and have it received by secretary
S. DENTISTRY
• Drop at Ward 14A, first room on the right, Dentistry section
T. DIETARY (DNET)
• Ask nurse in charge to call Dietary service
U. CHILD PROTECTION UNIT (CPU)
• For children abandoned in the wards by their watchers (i.e. need to
request for social worker)
• Drop at CPU office (DBSU, 2nd floor, use stairs behind Ward 11)
II. DIAGNOSTICS
A. CENTRAL LABORATORY
*Collection times are at 7am – 1pm – 7pm. Each ward has a
designated nursing aide or utility worker that would get the lab
specimen and requests and bring them to the central
laboratory. They are the ones who will get results as well.
**STAT labs must have resident’s trodat and must be brought
by a nursing aide or utility worker as well
HEMATOLOGY
• CBC tubes: violet cap (2-5 ml) • Always shake tube
• PT/PTT tubes: sky blue cap (1.8 ml) after collection
CLINICAL CHEMISTRY
• Plain tubes: red or gray cap
• Separate red top tubes for Blood Typing and Serum Chemistry (one
tube goes to Clinical Chemistry, the other goes to Blood Bank)
MICROSCOPY
• Urine vials
o For GS/CS: use sterile vials
o For urinalysis: clean vials available at the microscopy room
• Unsterile collection
o Midstream catch; aspirate from Foley catheter
• Sterile collection (use autoclaved vials)
o Straight catheterization: drain only, do not balloon
o Collection from an indwelling Foley catheter (IFC): apply
betadine on catheter; puncture with new syringe on any part
proximal to the bifurcation then aspirate
MICROBIOLOGY
• Culture studies (ask watcher to pay lab request and instruct to get
CS bottles from lab)
• Blood CS: use blood culture bottle or BHI and specify at Microlab if
pediatric or adult
• If adult, specify if taking antibiotics or not
• Adult = 5 cc blood, Pedia = 2 cc blood
o New needle to transfer blood to culture bottle
o Cotton with betadine for aseptic technique
o Gloves
• Preliminary report on Day 2, final report on Day 5
• Following up of results: local 3206
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 PGH 101 GUIDE TO REFERRALS, DIAGNOSTICS AND OTHER PGH MUST-KNOWS
o Office only accepts follow-ups M-F from 3 PM onwards
B. BLOOD BANK
BLOOD TYPING AND CROSS-MATCHING
• Plain (red top) tubes only
• Name of extractor, date and time must be indicated on the label and
the request form
• In urgent cases (STAT), blood typing results may be available in as
early as 15 minutes
RIV FORMS (BLOOD PRODUCT REQUISITION FORM)
• For blood transfusions
• Ideally, accomplished by RICs and RODs only; however, in bigger
departments SICs are expected to facilitate them
• Process outlined below
STEP 1 | FILL OUT RIV FORM
• Make sure that the patient has had his/her blood typing done in
PGH during the admission
• RIV form must be signed by your RIC AND the chief resident
(oftentimes the senior RIC of your service will do)
• Accomplish form as complete as possible to avoid delays
STEP 2 | SUBMIT RIV FORM
• Have watcher submit RIV form (SIC does this in emergency cases) to
the Blood Bank
• Instruct the watcher to do the following:
o Have the RIV form received by the Blood Bank personnel
o Get it from the OUTBOX after 30-45 minutes
o Submit the form to the ward nurse
STEP 3 | AFTER RIV APPROVAL
• Once the RIV is approved, it is the responsibility of the ward nurse
to instruct the watcher and facilitate retrieval of blood products
from the blood bank
• Expect need to extract blood for cross-matching once request is
approved (alternately, may extract save blood beforehand for this
purpose)
C. ARTERIAL BLOOD GAS
ELECTROCARDIOGRAM (ECG)
• Office located near W3 (on the way to OPD, beside Nuclear
Medicine office)
• Ask the watcher to bring blue card, white card, and ECG request
form to the ECG office and schedule ECG
• Then wait for the roving ECG personnel who will take the patient’s
ECG bedside
2D-ECHO, DOPPLER STUDIES
• CVS Office located at 6th floor
• Scheduling only on weekdays 8 AM to 4 PM
D. SPECIAL LAB TESTS
MEDICAL RESEARCH LABORATORY (MRL)
• For more specialized procedures (e.g. TB-PCR)
NUCLEAR MEDICINE (RADIOIMMMUNOASSAY LAB)
• Near Ward 3, before ECG room if headed to SOJR/CI
• Tests offered: FT4, TSH, serum renin, anti-TPO, etc.
o Some of these tests (e.g. serum renin) have special instructions
for blood collection – may be prudent to inquire FIRST at the
information counter about the desired lab test
OTHER TESTS WITH SPECIAL PROCEDURES
• For all tests requiring a GREEN top tube: Notify Lab Info FIRST (local
3209) before extracting blood – usually they need to prepare the
machine for processing
• ESR, HBA1C: use purple top tubes (may use same tube if CBC also
requested)
• Coomb’s test: purple top if direct, red top if indirect
F. MEDICAL SOCIAL SERVICES (MSS)
• For financial assistance
• Located between Wards 1 and 3
III. IMAGING AND PATIENT CONDUCTION
SICs usually conduct only Q2, Q1, and volatile patients, but unstable patients
are usually not brought to Radiology unless procedure is very necessary.

GETTING AN ABG SAMPLE A. X-RAY

• Heparinize a 1 cc syringe, then collect approximately 0.5 cc arterial THINGS TO PREPARE
blood sample (venous for VBG)
• Blue card • Money
• Stick the needle into a rubber stopper and bend it
• X-ray request (duly signed by the RIC) • Patient (and
• Soak the syringe in iced/cold water and place label at the top of
• Borrower’s form (duly signed by the RIC) watcher)
the syringe
• Ask the watcher to: STEPS IN CONDUCTION
o Send specimen to ABG room
• Conduct patient to Radiology with a watcher
o WAIT for the result
• Go to Room 5 and have the ROD approve the x-ray request
o Bring back result to you
o During late hours (10 PM to 6 AM) the ROD might be asleep
LAB REQUEST, SUBMISSION AND PROCESSING o Please call the ROD (local 3104) from Room 4 to wake up and
• Make sure to add the following in the request form: FiO2 (21% if open the door to Room 5
o DO NOT knock on the door!
room air), Hgb and Temp
• Go to Palistahan Window (if during office hours) or Window 4 (if
• Compute FiO2: (O2 per L) x 4 + 20
after office hours) with approved x-ray request and blue card and
• ABG Station: located near W4
have the patient scheduled for X-ray
• Processing time: 10-15 minutes per sample, except at 6am due to
o Student may do this if emergency
endorsements
• Conduct patient to X-ray room and give the Rad Tech the X-ray
D. ECG, 2D-ECHO, CARDIAC STUDIES request and blue card
• Have X-rays taken

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 PGH 101 GUIDE TO REFERRALS, DIAGNOSTICS AND OTHER PGH MUST-KNOWS
• Wait for the films to be developed RBC 4-6 x 1012/L
• Borrow films from Room 4 with the borrower's form Hemoglobin 120-180 g/L
o Borrower’s form requires signature of RIC Hematocrit 0.37-0.54
o This is needed to borrow plates and put them at bedside MCV 80-100 fL
• Have the films “wet read” at Room 5 and note ROD’s findings MCH 27-31 pg
o When endorsing to the Radiology ROD, be ready to identify MCHC 320-360 g/L
yourself as “ ___ (rotation) intern/clerk” and give the patient’s RDW 11-16 %
age, sex, short history, pertinent PE findings and present Platelet Count 150-450 x 109/L
working impression Reticulocyte Count 0.005-0.015
o Ask for the FINAL impression (that which you will report to your Neutrophils 0.5-0.7
RICs or seniors, or note in chart) Lymphocytes 0.2-0.5
Monocytes 0.02-0.09
• Return to location of origin with patient (and watcher), X-ray plates
Eosinophils 0-0.06
and findings from the “wet read”
Basophils 0-0.02
Differential Count
OTHER NOTES Stabs 0
Metamyelocytes 0
• When rotating in Surgery/Trauma, always bring with you extra
Myelocytes 0
copies of X-ray request forms and borrower’s receipt and have your
Promyelocytes 0
resident trodat the blank sheets ahead of time. You’ll never know
Myeloblasts 0
when an additional X-ray will be requested!
• If in the wards, give the stamped/approved copy of the request form
COAGULATION STUDIES
to the nurse of the ward so she can instruct the utility personnel
(manong) to conduct the patient ACT 70-120 secs
• Get official reading at Window 2 ONLY on weekdays Bleeding Time 1-3 mins
• Get wet reading at Room 5 anytime during the day; if locked during Clotting TIme 8-15 mins
SHO days, call local 3104 FDP (d-dimer) < 25 mg/dL
Fibrinogen Level 200-400 mg/dL
B. ULTRASOUND Partial Thromboplastin Time (PTT) 30-40 secs
RADIOLOGY ULTRASOUND Prothrombin Time (PT) 12-15 secs
Thrombin Time 10-14 secs
• Room 19, Deparment of Radiology
• Go to Window 1 for scheduling and retrieval of official UTZ results B. URINALYSIS
• Don’t forget to bring your patient’s chart and tissue paper to wipe
the lubricant over the area examined Specific Gravity 1.016-1.022
pH 4.6-6.5
OBSTETRIC ULTRASOUND Normal: Negative
• Perinatology Office, located in Ortoll Abnormal: (g/L)
Albumin
Trace: 0.05-0.2
• For pregnant patients: early/late UTZ, BPP, biometry, congenital
+1: 0.3 +2: 1.0 +3: 3.0 +4: >20
anomaly scan, etc.
RBC Male: 0 (negative) Female: 0-2/hpf
• Don’t forget to bring your patient’s request form and dry sheet for WBC Male: 0-2/hpf Female: 0-5/hpf
the patient to lie on during the examination Hyaline, Coarse and Fine granular, RBC, WBC, Waxy
Casts (pathologic)
casts
WARD 16 ULTRASOUND
Crystals (acidic) Uric acid, Calcium oxalate, Amorphous urate
• For gynecologic patients Triple phosphate, Calcium carbonate, Ammonium
• Don’t forget to bring your patient’s request form and dry sheet for Crystals (alkaline)
biurate, Amorphous phosphate
the patient to lie on during the examination Epithelial cells Small amounts
Bacteria Negative
C. CT SCAN Mucus threads Small amounts
• SOAP required at the back of the request Normal: Negative
• Same as x-ray: have request paid by the watcher, then have it Abnormal: (mmol/L)
Glucose
scheduled at the CT scan unit (now inside of Department of Trace: 5
Radiology while old CT scan unit is being renovated) +1: 15 +2: 30 +3: 60 +4: 110
• Provisional reading available within 30 minutes after scan (if Urobilinogen Normal: 0.1-1
(Ehrlich units per Abnormal:
residents are not ready)
100 mL) +1: 2 +2: 4 +3: 8 +4: 12
IV. NORMAL VALUES FOR COMMONLY REQUESTED Normal: Negative
Ketones Abnormal: (mmol/L)
LABORATORY EXAMINATIONS +1: 0.5 +2: 1.5 +3: 4.0 +4: 8-16
Calcium Small amounts
A. HEMATOLOGY
COMPLETE BLOOD COUNT (CBC) C. CLINICAL CHEMISTRY
Albumin 34-50 g/L
WBC 4-11 x 109/L

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 PGH 101 GUIDE TO REFERRALS, DIAGNOSTICS AND OTHER PGH MUST-KNOWS
Amylase 30-110 U/L
Blood Typing (ABO and Rh) 65
Glucose 3.9-6.1 mmol/L
Direct Coombs 45
Globulin 25-35 g/L
Indirect Coombs 65
Lipase 23-300 U/L
Crossmatching (routine) 80
LIPID PROFILE
B. CLINICAL CHEMISTRY
Cholesterol 5.2-6.24 mmol/L
BLOOD
Triglyceride 0.31-1.95 mmol/L
HDL 1.03-1.55 mmol/L Albumin 25
LDL 2.6-3.3 mmol/L Alkaline Phosphatase (ALP) 25
ALT (SGPT) 35
LIVER ASSOCIATION/FUNCTION TESTS Amylase* 50
AST (SGOT) 25
AST 15-37 IU/L
Bilirubin, direct (DB) 30
ALT 30-65 IU/L Bilirubin, total (TB) 30
Alkaline Phosphatase 36-92 IU/L Bilirubin, indirect (IB) 60
Direct Bilirubin 0-5 umol/L BUN 25
Indirect Bilirubin 3.4-13.7 umol/L Calcium (Ca) 30
Chloride (Cl)* 40
RENAL PROFILE/FUNCTION TESTS CK-Total 70
CK-MB 150
BUN 2.6-6.4 mmol/L
Creatinine* 25
Calcium (Ca) 2.12-2.52 mmol/L
HBA1C 330
Chloride (Cl) 100-108 mmol/L
Ionized Calcium 160
Creatinine 53-115 umol/L
Lactic Dehydrogenase (LDH) 30
Magnesium (Mg) 0.7-1.0 mmol/L
Lipase 155
Sodium (Na) 136-146 mmol/L Lipids, HDL 70
Phosphorus (P) 0.81-1.4 mmol/L Lipids, triglycerides 30
Potassium (K) 3.5-5.2 mmol/L Lipids, total cholesterol 25
Uric Acid 0.13-0.44 mmol/L Lipid Profile (Tg, total cholesterol, HDL, LDL) 110
Magnesium (Mg) 50
THYROID FUNCTION TESTS Neonatal Bilirubin, DB 30
Neonatal Bilirubin, TB 30
Free T4 0.8-1.7 ng/dL
Neonatal Bilirubin, TB/DB/IB 60
Free T3 2.4-4.2 pg/dL
Phosphorus (PO4) 25
TSH 0.34-4.25 mcU/mL
Potassium (K)* 30
Serum T3 70-200 ng/dL
Rapid Hep, HbSAg (qualitative) 100
Serum T4 4-11 mcg/dL
Rapid Hep, HCV (qualitative) 220
Sodium (Na)* 30
CARDIAC ENZYMES AND PROTEINS
Sugar, FBS/RBS/2h PPBS* 20
CPK 25-2000 U/L Sugar, OGTT (75g) 80
CK total 55-170 U/L Total Protein 25
CK-MB 0-16 U/L Troponin I (qualitative) 220
CK-MM 8-97 U/L Uric Acid 30
LDH 266-500 IU/L URINE
Myoglobin 0-85 ng/mL
Troponin I 0-0.09 ng/mL Amylase 40 Sodium (Na) 30
Troponin T < 0.18 ng/mL Calcium (Ca) 40 Sugar 30
Chloride (Cl)* 30 Total Protein 30
V. SELECTED CLASS D LABORATORY RATES Creatinine* 20 Uric Acid 30
• Class D rates based on MSS classification (i.e. those patients with a Phosphorus (PO4) 35 Urea Nitrogen 25
“white card”) Potassium (K) 30
• Some words about INITIAL LABS:
CSF AND OTHER BODY FLUIDS
o Fees for certain lab exams (e.g. CBC, Na, K, Cl) may be waived
if it was the patient’s first time to have them done Albumin 25 Total Protein/Sugar (Q/Q) 35
§ These examinations are marked with an asterisk (*) in the Amylase 40 Sugar 25
following sections Chloride (Cl)* 30 Total Protein 30
o Make sure to have the lab requests marked as “INITIAL LABS” Cholesterol 30 Triglycerides 60
and countersigned by your RIC LDH 30
o This ONLY applies to Class D patients (white card holders)
• Prices subject to change without prior notice C. CLINICAL MICROSCOPY
URINE EXAMINATION
A. BLOOD BANK

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PGH 101 GUIDE TO REFERRALS, DIAGNOSTICS AND OTHER PGH MUST-KNOWS

Urinalysis (automated) 150 Bilirubin 45

TISSUE BIOPSY
Urinalysis (manual)* 45 Urobilinogen 45
Small (<1 cm)* 105
pH* 30 Leukocyte 45
Medium (1 cm to 2 cm aggregates)* 255
Sugar* 30 Nitrite 45
Large (>2 cm)* 395
Albumin* 30 RBC Morphology 30
Extra Large* 450
Specific Gravity* 30 Myoglobulin 40
Frozen Section* 255
Ketones 45 Hemosiderin 40
Hemoglobin 45 Pregnancy Test 115 SPECIAL STAINS
STOOL EXAMINATION Giemsa* 105
Periodic Acid Schiff* 105
Fecalysis (Direct Fecal Smear)* 30
Reticulin* 105
FECT (Stool Concentration) 110
Wright’s* 105
Occult Blood (FOBT)* 50
IMMUNOSTAINS
CSF STUDIES
ER/PR Assay 3200
Qualitative 65 pH* 25
ER/PR with HER2NEU 4360
WBC Count* 35 Specific Gravity* 25
ER or PR only 1480
RBC Count* 35 RBC Morphology 30
HER2NEU 920
Differential Count* 40 Direct Wet Mount 30

OTHERS VI. DIRECTORY I: PGH LOCAL NUMBERS

Semenalysis 115 Stone Analysis 400 PGH TRUNKLINE: 554-8400

Vaginal Washing* 30 Ferning Test 50 Please memorize this number; watchers and EMTs ask about this in the
emergency department.
D. HEMATOLOGY
A. CHARITY WARDS
CBC (Hb, Hct, WBC, Plt, Differential)* 45
Prothrombin Time (PT) 90 Ward 1 Medicine 2212
Activated Partial Thromboplastin Time (APTT) 100 Ward 2 Surgery 2262
Bleeding Time* 25 Ward 3 Medicine 2205
Clot Retraction Time* 25 Ward 4 Surgery 2256
Clotting Time* 25 Ward 5 Neurosciences 2406
Erythrocyte Sedimentation Rate (ESR)* 40 Back of Ward 5 Rehabilitation Medicine 2407 / 2411
Filarial Smear* 25 Ward 6 Surgery 2462
LE Cell Preparation* 45 Ward 7 Psychiatry 2435
Malarial Smear* 25 Ward 8 Orthopedics 2468
RBC/WBC Morphology (PBS)* 25
Ward 9 Pediatrics 2105
Reticulocyte Count* 25
Ward 10 Otorhinolaryngology 2154
E. IMMUNOPATHOLOGY Ward 11 Pediatrics 2122
Ward 14A Trauma 2371
AFP, qualitative 180 CRP 60 Ward 14B Obstetrics and Gynecology 2360
AFP, quantitative 460 HbEAg 195 Ward 15 Obstetrics and Gynecology 2316
Anti-HAV IgM 200 HbSAg 100 Ward 16 Obstetrics and Gynecology 2361
Anti-HbC (total) 180 HIV (ICC-ELISA) 170 Burn Unit 2073
Anti-HbE 180 PSA 260 Cancer Institute 4203 / 3118
Anti-HbS 135 RPR, qualitative 40
Radium Ward 4112
Anti-HCV* 230 RPR, quantitative 45
Spine Unit 6101
ABG 75 Syphilis 75

F. MICROBIOLOGY B. INTENSIVE CARE UNITS

Gram Stain 30 CSF C/S 150

Medical ICU (MICU) Ward 3 2215
AFB Stain 30 Blood C/S 150 Surgical ICU (SICU) Ward 4 2254
10% KOH 30 Stool C/S 150 Neurology ICU (Neuro ICU) Ward 5 3257
India Ink (C. neoformans) 30 Sputum C/S 150 Neurosurgical Special Care Unit (NSSCU) Ward 6 2464
Urine Culture/Sensitivity (C/S) 150 Exudate C/S 150 Neonatal ICU (NICU) 4/F 3415
Central ICU (CENICU) – Charity 2/F 3251
G. SURGICAL PATHOLOGY Pediatric ICU (PICU) 2/F 3255
Intensive Maternal Unit (IMU) Ward 15 2315
Review of Slides* 35
Aspirates and Smears (maximum 4 slides)* 80
C. OPERATING ROOMS
Cell Blocks / Cytology* 120
LCB OPERATING ROOM COMPLEX

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PGH 101 GUIDE TO REFERRALS, DIAGNOSTICS AND OTHER PGH MUST-KNOWS
Arterial Blood Gas (ABG) 3220
Information / Guard 3306
Biopsy – OPD 5223
Office 3308
ECG Station 3154
Emergency OR 3305
EEG (Adult) 3156
Central Endoscopy Unit (CENDU) 3307
EEG (Pediatric) 2012
OB-GYN LR-OR 3301
EMG-NCV (Rehabilitation Medicine) 2402
OB-GYN OR 3302
Medical Research Laboratory (MRL) 3232
RCB OPERATING ROOM COMPLEX Pathology Lab (UPCM) 3948

Information 3371 G. RADIOLOGY / NUCLEAR MEDICINE

Office 3370 NOTE: In PGH, the Section of Nuclear Medicine falls under the Department of
Orthopedics OR 3372 Medicine (i.e. NOT under Radiology) for sentimental/traditional reasons. [In the
same manner, Dermatology is a section under the Department of Medicine and
Ophtha/ENT OR 3382
NOT a separate department unlike in many other hospitals.]
Pay OR 3376
Urology OR 2 / NSS OR 3381 DEPARTMENT OF RADIOLOGY
Urology OR 5 3380
Minimally Invasive Surgery Unit (MISU) 3378 Chairman’s Office 3100
Pediatric OR 15 3375 Room 5 (Residents’ Call Room) 3104
Other RCB Local Numbers 3377 / 3946 / 3948 X-ray Admitting Area (Radiology Info) 3105
Records Report / Film File Room (CXR) 3106
OTHER OPERATING ROOMS / PACU CT Scan Admitting Area 3118
CT Scan Work Station 3119
Post-Anesthesia Care Unit (PACU) – Main 3325 / 3328 MRI 3120
PACU – 6th Floor 3603 Ultrasound 3114
Cardiovascular OR (6th Floor) 3602 / 3604
OPD Major OR 5226 SECTION OF NUCLEAR MEDICINE (RADIOISOTOPE LAB)
OPD Minor OR 5225
Information 3152
D. EMERGENCY DEPARTMENT (ER COMPLEX) Imaging Room 3150
Radioimmunoassay Room 3151
Chairman’s Office 2500
Administration Office 2501 H. DEPARTMENT OF SURGERY
ACU – Extension Area 2510
ACU – IM 2517 Chairman’s Office 2250 / 2263
ACU – SOD 2519 Clerks’ Call Room 2266
ACU – other numbers 2511 / 5267903 Interns’ Call Room 2255
Ambulance / Emergency Medical Services 2537 GS1 Office (Head and Neck) 2259
Ambulatory Care (Family Medicine) 2514 GS2 Office (Colorectal) 2252
Dental 2507 GS3 Office (Hepatobiliary and Pancreatic) 2264
Medical Social Service (MSS) 2502 NSS Office (Neurosurgery) 2463
Observation Unit (OU) 2504 Pediatric Surgery Office 2456
Medical Records (Palistahan) 2513 Plastic Surgery Office 2454
Pediatric ER 2505 Trauma Office 2372
Residents’ Call Room 2508 TCVS Office 2460
Triage 2515 Urology Office 2258
GS1 OPD 5216
E. LABORATORIES AND DIAGNOSTICS GS2 OPD 5217 / 5214
GS3 OPD 5216 / 5216
DEPARTMENT OF LABORATORIES Breast Care Clinic (CI) 4204 / 2260
NSS OPD 5216
Chairman’s Office 3200-02
Pediatric Surgery OPD 5216
Lab Info (Information Counter) 3209
Plastic Surgery OPD 5216
Blood Bank 3214
Trauma Office 5217
Room 1 – Immunopathology 3204
TCVS Office 5217
Room 2 – Clinical Microscopy 3210
Urology Office 5217
Room 3 – Clinical Chemistry 3212
Room 4 – Hematology 3213 I. SENTRO OFTALMOLOGICO JOSE RIZAL (SOJR)
Room 5 – Frozen Section (Immunohistochemistry) 3205
• Dial local number 8495, wait for the SOJR answering machine then
Room 5 – Surgical Pathology / Cytology (Biopsy) 3207
dial three-digit SOJR local number
Room 6 – Microbiology 3206
Main – Information G/F 101
OTHER LABORATORIES / DIAGNOSTICS Cashier’s Office G/F 104

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PGH 101 GUIDE TO REFERRALS, DIAGNOSTICS AND OTHER PGH MUST-KNOWS
Eye Instrument Center (EIC) 2/F 201 Victoria Corazon 5236266
Chief Resident’s Office (SHO) 2/F 204 / 205 Wendy's 5333333
Residents’ Quarters (RSQ) 2/F 208 / 209 Wok To Go 4844512 / 5856473
Pharmacy 2/F 202 Yellow Cab 7899999
Ward – Nurses’ Station 3/F 301
Ward – Head Nurse Office 3/F 311 VIII. ACKNOWLEDGMENTS
OR – Information 4/F 401 • Heavily based on Guide to Referrals and Diagnostics by UPCM 2010
OR – Head Nurse Office 4/F 404 • PGH normal values taken from MSC36 handout, 2012 and some
OR – Recovery Room (PACU) 4/F 407 crosschecked with IM Platinum 2nd ed.
• List of PGH local numbers from Surgery clerks’ call room + excerpts from PGH
OR – Nurses’ Station 4/F 414
directory (date of issue unknown)
Admin – Reception 5/F 501
• List of food delivery hotlines counterchecked via the Internet
Admin – Main 5/F 502 • Memorandum No. 2013-120 (dated 4 July 2013) on Revised Rates of the
Admin – Chairman’s Office 5/F 506 Department of Laboratories; also counterchecked with the files of
Institutional Research, Planning and Development Office
J. OTHERS • Memorandum No. 2014-95 (dated 28 May 2014) on Intradepartmental and
Interdepartmental Referrals
Allergy Office 3228
Anesthesiology (Acute Pain Service) 3320 / 3327
Child Protection Unit (CPU) 2534 / 2535
Electrical 3934
GI Clinic 2075
Hospital Infectious Control Unit (HICU) 3238
Hospice and Palliative Medicine (SHPM) 5302
IDS Office 3235
Lynksis 3620
Medical Oncology (CI) 4106
Pain Clinic (2nd floor OPD) 5211 / 5215
Pulmonology Lab 3157
Radiation Oncology 4107
SAGIP 3249
Ward 16 (Gyne) Ultrasound 2317

VII. DIRECTORY II: FOOD DELIVERY HOTLINES

Amber Restaurant 8848888
Angel's Pizza 9222222
Aristocrat 5247671 to 80
Army Navy 3333131
Bacolod Chicken 8977507/08
Bon Chon 6331818
Brooklyn Pizza 4050505
Burger King 6677171
Chicboy 5168703 / 7083110
Chowking 98888
D’ Cream 09333406454
Greenwich 55555
Jollibee 87000
Karate Kid 5368060
Kenny Rogers 5559000
KFC 8878888
King Pares 5224322
Mang Inasal 7331111
Max's 79000
McDonald's 86236
Nitz 5367430
Pancake House 79000/5281838/5368063
Pizza Hut 9111111
Shakey's 77777
Sinangag Express 5266992
Super Bowl 2121212
Tapa King 5228272/4008272
Tropical Hut 7558000

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PHILIPPINE GENERAL HOSPITAL 101 VERSION 2018
REFERRALS, DIAGNOSTICS, ETC. Last Updated: June 29, 2018