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Process Old Process New Normal

ELECTROCARDIOGRAPH Out Patient Clean Patient Out-Patient


◦ Patient with any symptoms direct to ◦ Patient are screened in the Triage
heart station for ecg area prior to entry
◦ Heart station encode the procedure ◦ Triage nurse call the information
fee station for the activation and encoding
◦ Patient settled payment first at the of patient details
cashier before the procedure ◦ Triage nurse will inform heart station
◦ Proceed to ECG procedure staff regarding the ECG procedure
◦ Advice the Patient/relatives 2 to 3 ◦ Heart station encode the procedure
working days of the result fee
◦ Hand washing before and after the ◦ Patient settled payment first at the
procedure shall be observed cashier before the procedure
◦ Proper donning and doffing of Bunny
In- Patient suit and face mask the heart station.
◦ Nurse on duty encode and call the ◦ Proceed to ECG procedure
heart station staff regarding the ECG ◦ Advice the Patient/relatives 2 to 3
procedure working days of the result
◦ Proceed to ECG procedure at the ◦ Hand washing before and after the
designated station procedure shall be observed
◦ Duplicate ECG tracing for the copy of
patient Suspect/ Probable/ Confirmed Out-Patient
◦ Hand washing before and after the ◦ Patient are screened in the Triage
procedure shall be observed area prior to entry
◦ Triage nurse call the information
station for the activation and encoding
of patient details
◦ Triage nurse will inform heart station
staff regarding the ECG procedure

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


◦ Heart station encode the procedure
fee with additional N95/KN95 facemask
◦ Patient settled payment first to be
collected by the heart station staff before
the procedure
◦ Proper donning and doffing of Bunny
suit and face mask at the heart station.
◦ Proceed to ECG procedure at the
Decontamination Room beside ER triage
◦ Advice the Patient/relatives 2 to 3
working days of the result
◦ Proper disinfection of machine at the
designated doffing room with cleanisept
◦ Hand washing before and after the
procedure shall be observed

In- Patient ER ward / 3rd Floor


◦ Nurse on duty encode and call the
heart station staff regarding the ECG
procedure
◦ Proper donning and doffing of Bunny
suit and face mask at the heart station.
◦ Proceed to ECG procedure at the
designated station
◦ Duplicate ECG tracing for the copy of
patient
◦ Render the procedure done
◦ Hand washing before and after the
procedure shall be observed

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


In- Patient Suspect/ Probable/ Confirmed
4th flr/ ER iso / ICU
◦ Nurse on duty encode and call the
heart station staff regarding the ECG
procedure
◦ Proper donning and doffing of Bunny
suit and face mask at the heart station.
◦ Proper donning and doffing of PPE
level 5 at the designated station
◦ Proceed to ECG procedure at the
designated station
◦ Duplicate ECG tracing for the copy of
patient
◦ Render the procedure done
◦ Proper disinfection of machine at the
designated doffing room with cleanisept
◦ Hand washing before and after the
procedure shall be observed
2 DIMENSIONAL Out Patient Clean Patient Out-Patient
◦ Patient with any symptoms direct to ◦ Patient are screened in the Triage
ECHOCARDIOGRAPHY
heart station for 2D ECHO area prior to entry
◦ Heart station encode the procedure ◦ Triage nurse call the information
fee station for the activation and encoding
◦ Patient settled payment first at the of patient details
cashier before the procedure ◦ Triage nurse will inform heart station
◦ Collect patient data (name, age, sex, staff regarding the 2d echo procedure
height, weight and birthday) ◦ Heart station encode the procedure
◦ Advice the Patient to change cloths to fee

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


patient gown and lie down to 2d echo bed ◦ Advise the Triage Nurse the patient
◦ Proceed to 2D ECHO procedure to proceed to Heart Station
◦ Advice the Patient/relatives 3 to 5 ◦ Patient settled payment first at the
working days of the result cashier before the procedure
◦ Hand washing before and after the ◦ Proper donning and doffing of Bunny
procedure shall be observed suit and face mask the heart station.
◦ Collect patient data (name, age, sex,
In- Patient height, weight and birthday)
◦ Nurse on duty encode and call the ◦ Advice the Patient to change cloths to
heart station staff regarding the patient gown and lie down to 2d echo bed
2D ECHO procedure and the status ◦ Proceed to 2D ECHO procedure
of patient (for bedside procedure or ◦ Advice the Patient/relatives 3-5
for transfort to heart station) working days of the result to be claimed
◦ Verify the patient name encoded by at the triage station
nurse on duty ◦ Hand washing before and after the
◦ Collect patient data (name, age, sex, procedure shall be observed
height, weight and birthday)
◦ Advice the Patient to change cloths to In- Patient ER ward / 3rd Floor
patient gown and lie down to 2d echo bed ◦ Nurse on duty encode and call the
◦ Proceed to 2D ECHO procedure at the heart station staff regarding the
designated station 2D ECHO procedure and the status
◦ Advice the Patient/relatives 3 to 5 of patient (for bedside procedure or
working days of the result for transfort to heart station)
◦ Hand washing before and after the ◦ Verify the patient name encoded by
procedure shall be observed nurse on duty
◦ Proper donning and doffing of Bunny
suit and face mask at the heart station.
◦ Collect patient data (name, age, sex,
height, weight and birthday)

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


◦ Advice the Patient to change cloths to
patient gown and lie down to 2d echo bed
◦ Proceed to 2D ECHO procedure at the
designated station
◦ Advice the Nurse on Duty 3 to 5
working days of the result
◦ Hand washing before and after the
procedure shall be observed

In- Patient Suspect/ Probable/ Confirmed


4th flr/ ICU
◦ Nurse on duty encode and call the
heart station staff regarding the
2D ECHO procedure and the status
of patient (for bedside procedure)
◦ Verify the patient name encoded by
nurse on duty
◦ Collect patient data (name, age, sex,
height, weight and birthday)
◦ Proper donning and doffing of Bunny
suit and face mask at the heart station.
◦ Proper donning and doffing of PPE
level 5 at the designated station
◦ Proceed to 2D ECHO procedure at the
designated station
◦ Advice the Nurse on Duty 3 to 5
working days of the result
◦ Proper disinfection of machine at the
designated doffing room with cleanisept

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


◦ Hand washing before and after the
procedure shall be observed

In- Patient Suspect/ Probable/ Confirmed


other hospital
◦ Patient are screened in the Triage
area prior to entry
◦ Triage nurse call the information
station for the activation and encoding
of patient details
◦ Triage nurse will inform heart station
staff regarding the 2D ECHO procedure
◦ Heart station encode the procedure
fee with additional PPE set level 5
◦ Patient settled payment first to be
collected by the heart station staff before
the procedure
◦ Collect patient data (name, age, sex,
height, weight and birthday)
◦ Proper donning and doffing of Bunny
suit and face mask at the heart station.
◦ Proper donning and doffing of PPE
level 5 at the designated station
◦ Proceed to 2D ECHO procedure at the
Decontamination Room beside ER triage
◦ Advice the Patient/Relatives/NOD 2 to 3
working days of the result
◦ Proper disinfection of machine at the
designated doffing room with cleanisept

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


◦ Hand washing before and after the
procedure shall be observed
DUPLEX SCAN Out Patient Clean Patient Out-Patient
◦ Patient with any symptoms direct to ◦ Patient are screened in the Triage
heart station for DUPLEX SCAN area prior to entry
◦ Heart station encode the procedure ◦ Triage nurse call the information
fee station for the activation and encoding
◦ Patient settled payment first at the of patient details
cashier before the procedure ◦ Triage nurse will inform heart station
◦ Collect patient data (name, age, sex, staff regarding the DUPLEX SCAN procedure
height, weight and birthday) ◦ Heart station encode the procedure
◦ Advice the Patient to take off the pants fee
lie down on bed ◦ Advise the Triage Nurse the patient
◦ Proceed to DUPLEX SCAN procedure to proceed to Heart Station
◦ Advice the Patient/relatives 3 to 5 ◦ Patient settled payment first at the
working days of the result cashier before the procedure
◦ Hand washing before and after the ◦ Proper donning and doffing of Bunny
procedure shall be observed suit and face mask the heart station.
◦ Collect patient data (name, age, sex,
In- Patient height, weight and birthday)
◦ Nurse on duty encode and call the ◦ Advice the Patient to take off the pants
heart station staff regarding the lie down on bed
DUPLEX SCAN procedure and the status ◦ Proceed to DUPLEX SCAN procedure
of patient (for bedside procedure or ◦ Advice the Patient/relatives 3-5
for transfort to heart station) working days of the result to be claimed
◦ Verify the patient name encoded by at the triage station
nurse on duty ◦ Hand washing before and after the
◦ Collect patient data (name, age, sex, procedure shall be observed
height, weight and birthday)

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


◦ Advice the Patient to take off the pants In- Patient ER ward / 3rd Floor
lie down on bed ◦ Nurse on duty encode and call the
◦ Proceed to DUPLEX SCAN procedure at heart station staff regarding the
the designated station DUPLEX SCAN procedure and the status
◦ Advice the Patient/relatives 3 to 5 of patient (for bedside procedure or
working days of the result for transfort to heart station)
◦ Hand washing before and after the ◦ Verify the patient name encoded by
procedure shall be observed nurse on duty
◦ Proper donning and doffing of Bunny
suit and face mask at the heart station.
◦ Collect patient data (name, age, sex,
height, weight and birthday)
◦ Advice the Patient to take off the pants
lie down on bed
◦ Proceed to DUPLEX SCAN procedure at
the designated station
◦ Advice the Nurse on Duty 3 to 5
working days of the result
◦ Hand washing before and after the
procedure shall be observed

In- Patient Suspect/ Probable/ Confirmed


4th flr/ ICU
◦ Nurse on duty encode and call the
heart station staff regarding the
DUPLEX SCAN procedure and the status
of patient (for bedside procedure)
◦ Verify the patient name encoded by
nurse on duty

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


◦ Collect patient data (name, age, sex,
height, weight and birthday)
◦ Proper donning and doffing of Bunny
suit and face mask at the heart station.
◦ Proper donning and doffing of PPE
level 5 at the designated station
◦ Proceed to DUPLEX SCAN procedure at
the designated station
◦ Advice the Nurse on Duty 3 to 5
working days of the result
◦ Proper disinfection of machine at the
designated doffing room with cleanisept
◦ Hand washing before and after the
procedure shall be observed

In- Patient Suspect/ Probable/ Confirmed


other hospital
◦ Patient are screened in the Triage
area prior to entry
◦ Triage nurse call the information
station for the activation and encoding
of patient details
◦ Triage nurse will inform heart station
staff regarding the DUPLEX SCAN procedure
◦ Heart station encode the procedure
fee with additional PPE set level 5
◦ Patient settled payment first to be
collected by the heart station staff before
the procedure

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


◦ Collect patient data (name, age, sex,
height, weight and birthday)
◦ Proper donning and doffing of Bunny
suit and face mask at the heart station.
◦ Proper donning and doffing of PPE
level 5 at the designated station
◦ Proceed to DUPLEX SCAN procedure at
the Decontamination Room beside ER triage
◦ Advice the Patient/Relatives/NOD 2 to 3
working days of the result
◦ Proper disinfection of machine at the
designated doffing room with cleanisept
◦ Hand washing before and after the
procedure shall be observed
TREADMIL TEST / Out Patient Clean Patient Out-Patient
◦ Patient with any symptoms direct to ◦ Patient are screened in the Triage
STRESS TEST
heart station for TREADMIL area prior to entry
◦ Heart station encode the procedure ◦ Triage nurse call the information
fee station for the activation and encoding
◦ Patient settled payment first at the of patient details
cashier before the procedure ◦ Triage nurse will inform heart station
◦ Collect patient data (name, age, sex, staff regarding the TREADMIL procedure
height, weight and birthday) ◦ Heart station encode the procedure
◦ Proceed to TREADMIL procedure fee
◦ Advice the Patient/relatives 3 to 5 ◦ Advise the Triage Nurse the patient
working days of the result to proceed to Heart Station
◦ Hand washing before and after the ◦ Patient settled payment first at the
procedure shall be observed cashier before the procedure
◦ Proper donning and doffing of Bunny

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


In- Patient suit and face mask the heart station.
◦ Nurse on duty encode and call the ◦ Collect patient data (name, age, sex,
heart station staff regarding the height, weight and birthday)
TREADMIL procedure and the status ◦ Proceed to TREADMIL procedure
of patient ( for transfort to heart station) ◦ Advice the Patient/relatives 3-5
◦ Verify the patient name encoded by working days of the result to be claimed
nurse on duty at the triage station
◦ Collect patient data (name, age, sex, ◦ Hand washing before and after the
height, weight and birthday) procedure shall be observed
◦ Proceed to TREADMIL procedure at
the designated station In- Patient ER ward / 3rd Floor
◦ Advice the Patient/relatives 3 to 5 ◦ Nurse on duty encode and call the
working days of the result heart station staff regarding the
◦ Hand washing before and after the TREADMIL procedure and the status
procedure shall be observed of patient ( for transfort to heart station)
◦ Verify the patient name encoded by
nurse on duty
◦ Proper donning and doffing of Bunny
suit and face mask at the heart station.
◦ Collect patient data (name, age, sex,
height, weight and birthday)
◦ Proceed to TREADMIL procedure
◦ Advice the Nurse on Duty 3 to 5
working days of the result
◦ Hand washing before and after the
procedure shall be observed

In- Patient Suspect/ Probable/ Confirmed


4th flr/ ICU

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


◦ Not Applicable

In- Patient Suspect/ Probable/ Confirmed


other hospital
◦ Not Applicable
24h HOLTER MONITORING Out Patient Clean Patient Out-Patient
◦ Patient with any symptoms direct to ◦ Patient are screened in the Triage
heart station for 24h HOLTER area prior to entry
◦ Heart station encode the procedure ◦ Triage nurse call the information
fee station for the activation and encoding
◦ Patient settled payment first at the of patient details
cashier before the procedure ◦ Triage nurse will inform heart station
◦ Collect patient data (name, age, sex, staff regarding the 24h HOLTER procedure
height, weight and birthday) ◦ Heart station encode the procedure
◦ Proceed to 24h HOLTER procedure fee
◦ Advice the Patient/relatives 3 to 5 ◦ Advise the Triage Nurse the patient
working days of the result to proceed to Heart Station
◦ Hand washing before and after the ◦ Patient settled payment first at the
procedure shall be observed cashier before the procedure
◦ Proper donning and doffing of Bunny
In- Patient suit and face mask the heart station.
◦ Nurse on duty encode and call the ◦ Collect patient data (name, age, sex,
heart station staff regarding the height, weight and birthday)
24h HOLTER procedure and the status ◦ Proceed to 24h HOLTER procedure
of patient (for transfort to heart station) ◦ Advice the Patient/relatives 3-5
◦ Verify the patient name encoded by working days of the result to be claimed
nurse on duty at the triage station
◦ Collect patient data (name, age, sex, ◦ Hand washing before and after the
height, weight and birthday) procedure shall be observed

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


◦ Proceed to 24h HOLTER procedure at
the designated station In- Patient ER ward / 3rd Floor
◦ Advice the Patient/relatives 3 to 5 ◦ Nurse on duty encode and call the
working days of the result heart station staff regarding the
◦ Hand washing before and after the 2h HOLTER procedure and the status
procedure shall be observed of patient ( for transfort to heart station)
◦ Verify the patient name encoded by
nurse on duty
◦ Proper donning and doffing of Bunny
suit and face mask at the heart station.
◦ Collect patient data (name, age, sex,
height, weight and birthday)
◦ Proceed to 24h HOLTER procedure
◦ Advice the Nurse on Duty 3 to 5
working days of the result
◦ Hand washing before and after the
procedure shall be observed

In- Patient Suspect/ Probable/ Confirmed


4th flr/ ICU
◦ Nurse on duty encode and call the
heart station staff regarding the
2h HOLTER procedure and the status
of patient (for bedside procedure)
◦ Verify the patient name encoded by
nurse on duty
◦ Collect patient data (name, age, sex,
height, weight and birthday)
◦ Proper donning and doffing of Bunny

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


suit and face mask at the heart station.
◦ Proper donning and doffing of PPE
level 5 at the designated station
◦ Proceed to 2h HOLTER procedure at
the designated station
◦ Advice the Nurse on Duty 3 to 5
working days of the result
◦ Proper disinfection of machine at the
designated doffing room with cleanisept
◦ Hand washing before and after the
procedure shall be observed

In- Patient Suspect/ Probable/ Confirmed


other hospital
◦ Patient are screened in the Triage
area prior to entry
◦ Triage nurse call the information
station for the activation and encoding
of patient details
◦ Triage nurse will inform heart station
staff regarding the 2h HOLTER procedure
◦ Heart station encode the procedure
fee with additional PPE set level 5
◦ Patient settled payment first to be
collected by the heart station staff before
the procedure
◦ Collect patient data (name, age, sex,
height, weight and birthday)
◦ Proper donning and doffing of Bunny

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


suit and face mask at the heart station.
◦ Proper donning and doffing of PPE
level 5 at the designated station
◦ Proceed to 2h HOLTER procedure at
the Decontamination Room beside ER triage
◦ Advice the Patient/Relatives/NOD 2 to 3
working days of the result
◦ Proper disinfection of machine at the
designated doffing room with cleanisept
◦ Hand washing before and after the
procedure shall be observed
24h BP MONITORING Out Patient Clean Patient Out-Patient
◦ Patient with any symptoms direct to ◦ Patient are screened in the Triage
heart station for 24h BPM area prior to entry
◦ Heart station encode the procedure ◦ Triage nurse call the information
fee station for the activation and encoding
◦ Patient settled payment first at the of patient details
cashier before the procedure ◦ Triage nurse will inform heart station
◦ Collect patient data (name, age, sex, staff regarding the 24h BPM procedure
height, weight and birthday) ◦ Heart station encode the procedure
◦ Proceed to 24h BPM procedure fee
◦ Advice the Patient/relatives 3 to 5 ◦ Advise the Triage Nurse the patient
working days of the result to proceed to Heart Station
◦ Hand washing before and after the ◦ Patient settled payment first at the
procedure shall be observed cashier before the procedure
◦ Proper donning and doffing of Bunny
In- Patient suit and face mask the heart station.
◦ Nurse on duty encode and call the ◦ Collect patient data (name, age, sex,
heart station staff regarding the height, weight and birthday)

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


24h BPM procedure and the status ◦ Proceed to 24h BPM procedure
of patient (for transfort to heart station) ◦ Advice the Patient/relatives 3-5
◦ Verify the patient name encoded by working days of the result to be claimed
nurse on duty at the triage station
◦ Collect patient data (name, age, sex, ◦ Hand washing before and after the
height, weight and birthday) procedure shall be observed
◦ Proceed to 24h BPM procedure at
the designated station In- Patient ER ward / 3rd Floor
◦ Advice the Patient/relatives 3 to 5 ◦ Nurse on duty encode and call the
working days of the result heart station staff regarding the
◦ Hand washing before and after the 24h BPM procedure and the status
procedure shall be observed of patient ( for transfort to heart station)
◦ Verify the patient name encoded by
nurse on duty
◦ Proper donning and doffing of Bunny
suit and face mask at the heart station.
◦ Collect patient data (name, age, sex,
height, weight and birthday)
◦ Proceed to 24h BPM procedure
◦ Advice the Nurse on Duty 3 to 5
working days of the result
◦ Hand washing before and after the
procedure shall be observed

In- Patient Suspect/ Probable/ Confirmed


4th flr/ ICU
◦ Not Applicable

In- Patient Suspect/ Probable/ Confirmed

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


other hospital
◦ Not Applicable
STRESS ECHO Out Patient Clean Patient Out-Patient
◦ Patient with any symptoms direct to ◦ Patient are screened in the Triage
CARDIOGRAPHY
heart station for STRESS ECHO area prior to entry
◦ Heart station encode the procedure ◦ Triage nurse call the information
fee station for the activation and encoding
◦ Patient settled payment first at the of patient details
cashier before the procedure ◦ Triage nurse will inform heart station
◦ Collect patient data (name, age, sex, staff regarding the STRESS ECHO procedure
height, weight and birthday) ◦ Heart station encode the procedure
◦ Proceed to STRESS ECHO procedure fee
◦ Advice the Patient/relatives 3 to 5 ◦ Advise the Triage Nurse the patient
working days of the result to proceed to Heart Station
◦ Hand washing before and after the ◦ Patient settled payment first at the
procedure shall be observed cashier before the procedure
◦ Proper donning and doffing of Bunny
In- Patient suit and face mask the heart station.
◦ Nurse on duty encode and call the ◦ Collect patient data (name, age, sex,
heart station staff regarding the height, weight and birthday)
STRESS ECHO procedure and the status ◦ Proceed to STRESS ECHO procedure
of patient (for transfort to heart station) ◦ Advice the Patient/relatives 3-5
◦ Verify the patient name encoded by working days of the result to be claimed
nurse on duty at the triage station
◦ Collect patient data (name, age, sex, ◦ Hand washing before and after the
height, weight and birthday) procedure shall be observed
◦ Proceed to STRESS ECHO procedure at
the designated station In- Patient ER ward / 3rd Floor
◦ Advice the Patient/relatives 3 to 5 ◦ Nurse on duty encode and call the

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N


working days of the result heart station staff regarding the
◦ Hand washing before and after the STRESS ECHO procedure and the status
procedure shall be observed of patient ( for transfort to heart station)
◦ Verify the patient name encoded by
nurse on duty
◦ Proper donning and doffing of Bunny
suit and face mask at the heart station.
◦ Collect patient data (name, age, sex,
height, weight and birthday)
◦ Proceed to STRESS ECHO procedure
◦ Advice the Nurse on Duty 3 to 5
working days of the result
◦ Hand washing before and after the
procedure shall be observed

In- Patient Suspect/ Probable/ Confirmed


4th flr/ ICU
◦ Not Applicable

In- Patient Suspect/ Probable/ Confirmed


other hospital
◦ Not Applicable

Prepared by: ELLOIDE PAJUTAN


HEART STATION HEAD

Date of Implementation: October 01, 2018 GCMCB – QMS – F – 007/N

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