CONTROLLED

DR. JORGE P. COPY NO.

ROYECA CITY QUALITY POLICY AND PROCEDURE EFFECTIVITY DATE
HOSPITAL

DOCUMENT CODE: DOCUMENT NAME REVISION No.

DJPRCH -NSO- QPP POLICY ON ISSUANCE OF EMPLOYEE’S 00
CERTIFICATION

1.0 PURPOSE: Certification is being given to an employee set by the Nursing

Service Standards with the desire to leave the health facility. The purpose of giving
the credential certificate is to both protect the public and to guarantee that a person
who holds the credential has met a minimum standard for professional and ethical
standards.

2.0 SCOPE: This policy covers the scope of practice, procedures, actions, and
processes of the entire Nursing Service Department.

3.0 POLICY STATEMENT

The Nursing Service Department is a service oriented department committed to

provide safe, individualized, comprehensive, and quality nursing care where nursing
personnel are clinically competent working under a therapeutic environment.

3.0 POLICY STATEMENT

It is the policy of Nursing Service Department to ensure that all patients complain
about the care and treatment they receive are addressed promptly and given serious
considerations.

Dr. Jorge P. Royeca Hospital Nursing Service Department is committed to providing

the highest quality care and treatment for patients while respecting their dignity and
individuality. We continue to review our services to ensure that these are true reflections of
patient’s views and needs. To do this, we have a system in place to ensure that lessons are
learned, that complaints are followed up constructively, and that our services are adapted
when things go wrong, or we have identified that services could be improved.

4.0 MATERIALS AND SUPPLIES:

4.1 paper
4.2 ballpens
4.3 ink and printer
4.4 computer
5.0 DEFINITION OF TERMS:
5.1 EMPLOYEE- is a person who is paid to work for an organization or for
another
Ana Rizza Reviewed by: Recommending Approval Approved by:
Margarita J.
Junio,RN Karen D. Gonzaga Dr. Ryan Oscar Aplicador Gabriel Francis Glenville
Designate Nurse Designate QA Officer Chief of Hospital Gonzalez
Supervisor City Department Head II
 CONTROLLED
DR. JORGE P. COPY NO.
ROYECA CITY QUALITY POLICY AND PROCEDURE EFFECTIVITY DATE
HOSPITAL

DOCUMENT CODE: DOCUMENT NAME REVISION No.

DJPRCH -NSO- QPP POLICY ON ISSUANCE OF EMPLOYEE’S 00
CERTIFICATION

person.
5.2 Certificate- a document attesting and containing a level of achievement of a
person. A record of information that shows the level of practice and
competence in a specific field.
5.3 Nursing Organization- a not-for-profit group of health professionals with a
formal governance structure.

6.0 RESPONSIBILITY:

6.1 UNIT HEAD/HEAD NURSE- placed above staff nurses, responsible for the
resources,patient care and personnel aspect of a nursing unit.
6.2 NURSING SUPERVISOR- person who collates, analyses the incident
report and gives immediate actions and outcome
6.3 ASSISTANT CHIEF NURSE- person responsible in the approval of the
incident report in the absence of the chief nurse
6.4 CHIEF NURSE- person responsible in the approval of the incident report
6.5 DEPARTMENT HEAD- person responsible in the overall approval of the
cited incident report.

7.0 REFERENCE DOCUMENTS:

Dr. Jorge P. Royeca City Hospital Manual of Operations, Volume I

8.0 FLOW OF SERVICE DELIVERY

FLOW OF PROCEDURE NARRATIVE DESCRIPTION RESPONSIBLE PERSON

START
there is a clear and tangible
An employee requests her unit head intention to request employee; head nurse
of a certificate of employment certificate of employment for
her own purpose

Letter of intent must be duly signed by

to inform the nursing service employee; head nurse
the employee and noted by Head nurse
that the employee is
requesting for a certificate of
A employment

Ana Rizza Reviewed by: Recommending Approval Approved by:

Margarita J.
Junio,RN Karen D. Gonzaga Dr. Ryan Oscar Aplicador Gabriel Francis Glenville
Designate Nurse Designate QA Officer Chief of Hospital Gonzalez
Supervisor City Department Head II
 CONTROLLED
DR. JORGE P. COPY NO.
ROYECA CITY QUALITY POLICY AND PROCEDURE EFFECTIVITY DATE
HOSPITAL

DOCUMENT CODE: DOCUMENT NAME REVISION No.

DJPRCH -NSO- QPP POLICY ON ISSUANCE OF EMPLOYEE’S 00
CERTIFICATION

Certificate will be issued after 7 employee;head nurse

working days upon request of the
employee

Certificate of
Employment

Record keeping and documentation employee;head nurse; Nurse

done by the Nurse Supervisor supervisor

Ana Rizza Reviewed by: Recommending Approval Approved by:

Margarita J.
Junio,RN Karen D. Gonzaga Dr. Ryan Oscar Aplicador Gabriel Francis Glenville
Designate Nurse Designate QA Officer Chief of Hospital Gonzalez
Supervisor City Department Head II
 CONTROLLED
DR. JORGE P. COPY NO.
ROYECA CITY QUALITY POLICY AND PROCEDURE EFFECTIVITY DATE
HOSPITAL

DOCUMENT CODE: DOCUMENT NAME REVISION No.

DJPRCH -NSO- QPP POLICY ON ISSUANCE OF EMPLOYEE’S 00
CERTIFICATION

Ana Rizza Reviewed by: Recommending Approval Approved by:

Margarita J.
Junio,RN Karen D. Gonzaga Dr. Ryan Oscar Aplicador Gabriel Francis Glenville
Designate Nurse Designate QA Officer Chief of Hospital Gonzalez
Supervisor City Department Head II