UNIVERSITY OF THE CORDILLERAS ODC Form 1A

COLLEGE OF NURSING ACTUAL DELIVERY

FORM
2nd Semester SY 2019-2020

In Partial Fulfillment for the Requirements in the Subject Nursing Informatics

“VIRTUAL HOSPITAL”

SUBMITTED BY: Section 6 Group C (1:30 p.m. – 3:30 p.m. Wednesday)

Binalay, Raizel E.
Lamaria, Jan Kenneth
Tolero, Kenji F.

SUBMITTED TO:
Ms. Deksi Ching Lawangen
Class Instructor

DATE SUBMITTED:
TABLE OF CONTENTS
Introduction…………………………………………………………………….....I
Background………………………………………………………………………...II
History…………………………………………………………………………….....III
a. The building: Floor Plan……………………………………………1
b. Vision/Mission/Objectives ………………………………………2
c. Guiding Principles …………………………………………………..3
Hospital Departments ………………………………………………………..IV
Organization Chart ……………………………………………………………..V
Job Description…………………………………………………………………….VI
History of IT…………………………………………………………………………VII
Electronic Health Records (EHR) ………………………………………….VIII
References…………………………………………………………………………..IX
INTRODUCTION

Hospital an institution built upon well-trained health care professionals and equipped for
the healing of the sick and injured. To offer high quality medical care to all that are in needs
considering their background or history. It provides availability to all equipment’s equipped for
diagnosis and treatment.
Efficient cares from healthcare providers are mandatory to give the best care to the
patients. In where we believe employees are the greatest assets and dedicated to help the
development and to maximize professional skills.
Healing Medical Hospital is the largest in Mangaldan, Pangasinan, providing a full range
of health care services to over 100,000 each year. The excellent staffs, modern facilities and
commitment to providing patients with the best care using the art of technology has helped
attract the hospital renowned and innovative practitioners. Non-profit health care systems
Ambrosia Medical Hospital cares for patient from beginning to the end of life.

BACKGROUND
 Through the years of providing care, Dra. Nicole Bantoc; Dra. Raizel Binalay; Dra. Sali
Batuyog; Dra. Ivy Grail Cosyao; Dra. Zhylene Escultura; Dra. Desiree Lumiwes; Dra. Gemalyn
Medenilla; Dra. Sheena Menor; Dra. Danica Ngaosi; Dra. Jayne Octubre; Dra. Ryna Kryzzea
Prendol; Dr. hajime Rafael; Dr. Osdrei Marion Rebolledo; Dra. Emily Tiyad and Dr. Kenji
Tolero decided to build their own hospital in Mangaldan, Pangasinan where they saw the lack of
medical services in the area. Their goal was to provide affordable and accessible medical
services to the people who had limited opportunities for care.
September 9, 2015, with the help of their friends, investors and health care providers the
construction of Healing Medical Hospital was finished. According to the founders, they named
the hospital Ambrosia since the place was a field full of Ambrosia flowers that were planted by
an orphanage.
Upon the completion were 800 bed capacities in a four story building and had 50
departments. Ambrosia Medical Hospital is currently operating at Mangaldan, Pangasinan.
Providing excellent services and high quality care to the people in the community.

HISTORY

Ambrosia Medical Hospital (HMH), is the largest hospital in Pangasinan. It started in

2010 and founded by the excellent health care providers with the participation of their co-
workers (Bantoc, Nicole Kaye; Binalay, Raizel; Batuyog, Sali; Cosyao, Ivy; Escultura, Zhylene;
Lumiwes, Desiree; Medenilla, Gemalyn; Menor, Sheena Marie; Ngaosi, Danica; Octubre, Jayne;
Prendol, Ryna Kryzzea; Rafael, Hajime; Rebolledo, Osdrei Marion; Tiyad, Emily; Tolero,
Kenji). It started off as a small clinic in the outskirts of Mangaldan, Pangasinan that offered free
services to pregnant, lactating, children and other health concerns in that area. However, it
then soon developed and grew larger initiating its relocation on September 9, 2015 to
Mangaldan, Pangasinan, and North Luzon Philippines.
Ambrosia Medical Hospital is a non-profit and non-government institution but sponsored by
investors, friends and health care providers whose developed and planned an excellent health
care setting that aims to change the negative habits, evaluates the perspectives of the people and
mostly to give a better and peace of mind for clients and future clients prior to their needs and
health problems.

THE BUILDING
ENTRANCE

THE FLOOR PLAN

VISION / MISSION
VISION
Cultivating professional with safety practice that leads to knowledge application to
humanity, preserving dignity and contributing to the client’s wellbeing.

MISSIONS
To provide our clients with safe, effective, appropriate, ethical, humane and meaning
healthcare environment, delivered by the most competent, caring and compassionate team of
professional, supportive and respectful staff.

GUIDING PRINCIPLES

 Knowledge and information are freely shared between and among patients, doctors,
nurses and other caregivers.
 Patient safety is a visible priority of all the healthcare workers.
  All healthcare workers cooperate with one another through a common focus on the best
interests and personal goals of the patient.
 The nurses, doctors and others healthcare workers will consider the families, watcher of
the patient as an essential part of the care team.
 The healthcare workers will recognize and reflect the patient needs, values and choices.
 All members of the medical team comply with all the laws and regulation of our duty to
ourselves, patients and those with whom we work.
 All nurses, doctors and other healthcare workers will serve a high quality of care and high
standards of ethical behavior not only of us but to our patients and colleagues as well.

HOSPITAL DEPARTMENTS
Accident and emergency (A&E): Also called Casualty Department, where you're likely to be
taken if you have arrived in an ambulance or emergency situation.
Admissions: At the Admitting Department, the patient will be required to provide personal
information and sign consent forms before being taken to the hospital unit or ward. If the
individual is critically ill, then, this information is usually obtained from a family member.
Anesthetics: Doctors in this department give anesthetic for operations and procedures. An
anesthetic is a drug or agent that produces a complete or partial loss of feeling. There are three
kinds of anesthetic: general, regional and local.
Breast Screening: Screens women for breast cancer and is usually linked to the X-ray or
radiology department.
Burn Center (Burn Unit or Burns Unit): A hospital specializing in the treatment of burns. Burn
centers are often used for the treatment and recovery of patients with more severe burns.
Cardiology: Provides medical care to patients who have problems with their heart or circulation.
Central Sterile Services Department (CSSD): (Sterile Processing Department (SPD) - Sterile
Processing - Central Supply Department (CSD) - Central Supply) - A place in hospitals and other
health care facilities that performs sterilization and other actions on medical equipment, devices,
and consumables.
Chaplaincy: Chaplains promote the spiritual and pastoral wellbeing of patients, relatives and
staff.
Coronary Care Unit (CCU): (Cardiac intensive care unit (CICU) - A hospital ward specialized
in the care of patients with heart attacks, unstable angina, cardiac dysrhythmia and other cardiac
conditions that require continuous monitoring and treatment.
Critical Care: Also called intensive care, this department is for seriously ill patients.
Diagnostic Imaging: Also known as X-Ray Department and/or Radiology Department.
Discharge Lounge: Patients who don't need to stay in a ward are transferred to the lounge on the
day of discharge. Many hospitals now have discharge lounges with facilities such as TV's, radio,
puzzles, magazines, books and newspapers.
Elderly services: Covers and assists with a wide range of issues associated with seniors.
Finance Department: Performs all works related to budget and ideal use of the items of such
budget. Also, it prepares payrolls and monthly wages, and concludes contracts of operation and
maintenance and purchases. In addition, it makes available all amounts of money required for
procurement of all materials and equipment.
Gastroenterology: This department investigates and treats digestive and upper and lower
gastrointestinal diseases.
General Services: Support Services include services provided by Departments such as Portering,
Catering, Housekeeping, Security, Health & Safety, Switch, Laundry and the management of
facilities such as parking, baby tagging, access control, CCTV etc.
General Surgery: Covers a wide range of types of surgery and procedures on patients.
Gynecology: Investigates and treats problems relating to the female urinary tract and
reproductive organs, such as Endometriosis, infertility and incontinence.
Haematology: These hospital services work with the laboratory. In addition doctors treat blood
diseases and malignancies related to the blood.
Health & Safety: The role of the occupational health and safety department is to promote and
maintain the highest possible degree of health and safety for all employees, physicians,
volunteers, students and contractors, and actively participates in quality, safety and risk
initiatives. Numerous health and safety issues associated with healthcare facilities include blood-
borne pathogens and biological hazards, potential chemical and drug exposures, waste anesthetic
gas exposures, respiratory hazards, ergonomic hazards from lifting and repetitive tasks, laser
hazards, hazards associated with laboratories, and radioactive material and x-ray hazards. In
addition to the medical staff, large healthcare facilities employ a wide variety of trades that have
health and safety hazards associated with them. These include mechanical maintenance, medical
equipment maintenance, housekeeping, food service, building and grounds maintenance, laundry,
and administrative staff.
Intensive Care Unit (ICU): (Intensive Therapy Unit, Intensive Treatment Unit (ITU), Critical
Care Unit (CCU) - A special department of a hospital or health care facility that provides
intensive treatment medicine and caters to patients with severe and life-threatening illnesses and
injuries, which require constant, close monitoring and support from specialist equipment and
medications.
Human Resources: Role is to provide a professional, efficient and customer focused service to
managers and staff and in turn facilitates the delivery of a professional, efficient and customer
focused service to patients.
Infection Control: Primarily responsible for conducting surveillance of hospital-acquired
infections and investigating and controlling outbreaks or infection clusters among patients and
health care personnel. The department calculates rates of hospital-acquired infections, collates
antibiotic susceptibility data, performs analysis of aggregated infection data and provides
comparative data to national benchmarks over time.
Information Management: Meaningful information can be used in quality management,
continuous quality improvement and peer review. By improving the quality of information, core
data can be provided for randomized clinical trials, outcomes research and many studies.
Maternity: Maternity wards provide antenatal care, delivery of babies and care during childbirth,
and postnatal support.
Medical Records: Includes a variety of types of "notes" entered over time by health care
professionals, recording observations and administration of drugs and therapies, orders for the
administration of drugs and therapies, test results, x-rays, reports, etc.
Microbiology: The microbiology department provides an extensive clinical service, including
mycology, parasitology, mycobacteriology, a high security pathology unit, and a healthcare
associated infection investigation unit, as well as routine bacteriology and an expanding
molecular diagnostic repertoire.
Neonatal: Closely linked with the hospital maternity department, provides care and support for babies and
their families.

Nephrology: Monitors and assesses patients with various kidney (renal) problems and
conditions.
Neurology: A medical specialty dealing with disorders of the nervous system. Specifically, it
deals with the diagnosis and treatment of all categories of disease involving the central,
peripheral, and autonomic nervous systems, including their coverings, blood vessels, and all
effector tissue, such as muscle. Includes the brain, spinal cord, and spinal cord injuries (SCI).
Nutrition and Dietetics: Dietitians and nutritionists provide specialist advice on diet for hospital
wards and outpatient clinics.
Obstetrics/Gynecology: Specialist nurses, midwives and imaging technicians provide maternity services
such as: antenatal and postnatal care, maternal and foetal surveillance, and prenatal diagnosis.

Occupational Therapy: Helps physically or mentally impaired people, including temporary

disability, practices in the fields of both healthcare as well as social care. Often abbreviated as
"OT", Occupational Therapy promotes health by enabling people to perform meaningful and
purposeful occupations. These include (but are not limited to) work, leisure, self-care, domestic
and community activities. Occupational therapists work with individuals, families, groups and
communities to facilitate health and well-being through engagement or re-engagement in
occupation.
Oncology: A branch of medicine that deals with cancer and tumors. A medical professional who
practices oncology is an oncologist. The Oncology department provides treatments, including
radiotherapy and chemotherapy, for cancerous tumors and blood disorders.
Ophthalmology: Ophthalmology is a branch of medicine which deals with the diseases and
surgery of the visual pathways, including the eye, hairs, and areas surrounding the eye, such as
the lacrimal system and eyelids. The term ophthalmologist is an eye specialist for medical and
surgical problems. The Ophthalmology department provides a range of ophthalmic eye related
services for both in and outpatients.
Orthopaedics: Treats conditions related to the musculoskeletal system, including joints,
ligaments, bones, muscles, tendons and nerves.
Otolaryngology (Ear, Nose, and Throat): The ENT Department provides comprehensive and
specialized care covering both Medical and Surgical conditions related not just specifically to the
Ear, Nose and Throat, but also other areas within the Head and Neck region. It is often divided
into sub-specialties dealing with only one part of the traditional specialty (ontology, rhinology
and laryngology).
Pain Management: Helps treat patients with severe long-term pain. Alternative pain relief
treatments such as acupuncture, nerve blocks and drug treatment, are also catered for.
Patient Accounts: The Patient Accounts Department answers all billing questions and concerns,
requests for itemized bills, and account balance inquiries. The patient accounts department also
assists patients in their insurance benefits for services rendered.
Patient Services: The Patient Services Manager is a source of information and can channel
patient queries in relation to hospital services to the appropriate departments.
Pharmacy: Responsible for drugs in a hospital, including purchasing, supply and distribution.
Physiotherapy: Physiotherapists work through physical therapies such as exercise, massage, and
manipulation of bones, joints and muscle tissues.
Purchasing & Supplies: Purchasing & Supplies Department is responsible for the procurement function
of the hospital.

Radiology: The branch or specialty of medicine that deals with the study and application of
imaging technology like x-ray and radiation to diagnosing and treating disease. The Department
of Radiology is a highly specialized, full-service department which strives to meet all patient and
clinician needs in diagnostic imaging and image-guided therapies.
Radiotherapy: Also called radiation therapy, is the treatment of cancer and other diseases with
ionizing radiation.
Renal: Provides facilities for peritoneal dialysis and helps facilitate home Hemodialysis.
Rheumatology: Rheumatologists care for and treat patients for musculoskeletal disorders such
as: bones, joints, ligaments, tendons, muscles and nerves.
Sexual Health: Also known as genitourinary medicine - Provides advice, testing and treatment
for sexually transmitted infections, family planning care, pregnancy testing and advice, care and
support for sexual and genital problems.
Social Work: Clinical social workers help patients and their families deal with the broad range of
psychosocial issues and stresses related to coping with illness and maintaining health. Social
workers, resource specialists and advocates form a network that addresses the challenges families
face, increases accessibility to health care and other human services, and serves as a bridge
between the hospital setting and a patient's family life, home and community.
Urology: The urology department is run by consultant urology surgeons and investigates areas
linked to kidney and bladder conditions.

ORGANIZATIONAL CHART
Board of Directors
Bantoc, Nicole Rebolledo, Marion
Binalay, Raizel Medenilla, Gemalyn
Cosyao, Ivy Grail Tolero, Kenjie
 Supervisors
Octubre, Jayne DeLos Santos

Chief Nurse
Prendol, Ryna Kryzzea

Staff Nurses
Batuyog, Sali; Escultura, Zhylene; Lumiwes,
Desiree; Menor, Sheena Marie; Ngaosi, Danica;
Rafael, Hajime; Lamaria, Jan Kenneth

JOB DESCRIPTION
DUTIES AND RESPONSIBILITIES

 Restores and promotes patient’s health by completing the nursing process

 Collaborates with physicians and multidisciplinary team members
 Provides physical and psychological support to patients, friends and families
 Identifies patient care requirements by establishing personal rapport with patients and
their families
 Establishes a compassionate environment by providing emotional, psychological and
spiritual support to patients, friends and families
 Assures quality of care by adhering to therapeutic standards; measuring health
outcomes against patient care goals and hospital or regulatory standards.
 Maintains safe and clean working environment by complying with procedures, rules and
regulations
 Protects patients and employees by adhering to infection-control policies and protocols,
medication administration and storage procedures; and controlled substance
regulations
 Documents patient care services by charting in patient and department records

Qualifications/Skills:
 Clinical skills
 Bedside manner
 Infection control
 Physiological knowledge
 Administering medication
 Medical teamwork
 Multitasking, listening and verbal communication
 Health promotion and maintenance

Education, Experience, and Licensing Requirements

 Registered Nurse
 Active applicable state licensure
 Clean background check and clean drug screen

HISTORY OF IT
 Since the dawn of modern computers, the
rapid digitization and growth in the amount of
data created, shared and consumed has
transformed society greatly. In a world that is
interconnected, change happens at starting
pace. Have you ever wondered how this
connected world of ours got connected in the
first place?

Information technology has been around for a

long, long time. Basically as long as people
have been around! Humans have always been
quick to adapt technologies for better and
faster communication.

There are 4 main ages that divide up the history of information technology but only the latest age
(electronic) and some of the electromechanical age really affects us today.

1. Pre-Mechanical
 The earliest age of technology. It can be defined as the time between 3000 B.C
and 1450 A.D. when humans first started communicating, they would try to use
language to make simple pictures-petroglyphs to tell a story, map their terrain, or
keep accounts such as how many animals one owned, etc.

Petroglyph in Utah
 This trend continued with the advent of language and better media such as rags,
papyrus and eventually paper. The first ever calculator-the abacus was invented in
this period after the development of numbering systems.

2. Mechanical
 The mechanical age is when we first start to see connections between our current
technology and its ancestors. The mechanical age can be defined as the time
between 1450 and 1840.
 A lot of new technologies were developed in this era due to an explosion of
interest in computation and information. Technologies like the slide ruler (an
analog computer used for multiplying and dividing) were invented in this period.
 Blaise Pascual invented the Pascaline, a very popular mechanical computer
capable of adding, subtracting, multiplying and dividing two numbers. Initially
 called the arithmetic machine, it was granted a royal privilege by King Louis XIV
of France in 1649.

3. Electro-Mechanical

 The electromechanical age heralded the beginnings of telecommunications as we know it

today. This age can be defined roughly as the time between 1840 and 1940.
 Several revolutionary technologies were invented in this period such as the Morse code,
telephone, radio, etc. all of these technologies were crucial stepping stones towards
modern information technology systems.
 The first large-scale automatic digital computer in the United States was the Harvard
Mark 1 created by IBM in 1944. This 8ft x 50 ft x 2ft big computer weighed a whooping
five tons and had to be programmed using punch cards. Its first use was by the Manhattan
Project to simulate the feasibility of an implosion to detonate an atomic bomb.

4. Electronic
 These machines used electronic switches, in the form of vacuum tubes, instead of
the electromechanical relays seen in the previous era. In principle the electronic
switches would be more reliable, since they would have no moving parts that
would wear out, but the technology was still new at that time and the tubes were
comparable to relays in reliability. The major benefit of electronic switches was
that they could ‘open’ and ‘close’ thousands of times faster than relays.
ENIAC (Electronic Numerical Integrator and Computer) was the first electronic general-purpose
computer. It could solve a large class of numerical problems through reprogramming. Although
it was designed and primarily used to calculate artillery firing tables for the United States
Army’s Ballistic Research Laboratory, its first programs included a study of the feasibility of the
thermonuclear weapon.

Information Age and the Internet

 The information age, made possible by the advent of electronic computers, is
characterized by the shift from traditional industry to an economy based on
information digitization. The onset of the information age is associated with the
Digital Revolution, just as the Industrial Revolution marked the onset of the
Industrial Age.
 The Internet, synonymous with modern IT, was conceived of as a fail-proof
network that could connect computers together and be resistant to any single point
of failure. Because of decentralization, the internet cannot be totally destroyed in
one event. If large areas are disabled, the information can be easily rerouted. Its
initial software applications were e-mail and computer file transfer.

Though the internet itself has existed since 1969, it was with the invention of the World Wide
Web in 1989 by British scientist Tim Berners-Lee and its introduction in 1991 that the internet
became an easily accessible network. The internet is now a global platform for accelerating the
flow of information and is pushing many, if not most, older forms of media into obsolescence.
ELECTRONIC HEALTH RECORD