Republic of the Philippines

Province of Occidental Mindoro

STA. CRUZ COMMUNITY HOSPITAL
Sta. Cruz, Occidental Mindoro
____________________________________________________________________________________

Office Order N0. 1 Series of 2017

Creation of Infection Control Committee

INFECTION CONTROL COMMITTEE

OBJECTIVES – Reduced the risk of acquisition and transmission of infection among patient
and employees.

Chairman: LINO MARCUS M. VIOLA III, M.D.

Co- Chairman: GERALDINE DE BORJA

Member: - Nursing Section

- Laboratory Section
- Housekeeping Section
- Laundry Section
- Dietary Section
- Administrative Section

POLICY: - Meeting every 1ST Monday of the month.

- Attend seminar and meeting related to waste management.
- General cleaning of hospital quarterly.
- Educate patient and watchers regarding waste segregation.
 Republic of the Philippines
Province of Occidental Mindoro
STA. CRUZ COMMUNITY HOSPITAL
Sta. Cruz, Occidental Mindoro
____________________________________________________________________________________

Office Order No. 2 Series of 2017

Creation of Credentialing Committee

CREDENTIALING COMMITTEE

OBJECTIVES:

- Describes the classification of positions in the civil service.

- Explain the screening processes for the recruitment, examination and
placement of personnel
- Existing policies, issuances and procedures concerning the minimum
requirements for a class of position; and
- Discuss appointments/procedures and other personnel actions in the civil
service

Chairman: LINO MARCUS M. VIOLA III, M.D.

Co- Chairman: MATEO T. TAJONERA III

Member: - ALL SECTION HEADS

Meetings are conducted upon by the committee as they needed.

 Republic of the Philippines
Province of Occidental Mindoro
STA. CRUZ COMMUNITY HOSPITAL
Sta. Cruz, Occidental Mindoro
____________________________________________________________________________________

Office Order No. 3 Series of 2017

Creation of Continuing Quality Improvement (CQI) Committee

CONTINUING QUALITY IMPROVEMENT (CQI)

COMMITTEE

OBJECTIVES:

1. To ensure establishment and institutionalization of CQI Program in managing

quality in health care in hospital.
2. To promote a culture of quality within the institution that includes an
organization-wide management and staff philosophy of continuous quality
improvement (QI) in programs, service delivery and population health outcomes

Chairman: LINO MARCUS M. VIOLA III, M.D.

Co- Chairman: MATEO T. TAJONERA III

Members: - ALL SECTION HEADS

- ADMINISTRATIVE OFFICE

FUNCTIONS:

1. To develop general framework of CQI recommend Internal Policy directions to

hospital Management.
2. Recommend implementing guidelines strategies within the hospital
 Republic of the Philippines
Province of Occidental Mindoro
STA. CRUZ COMMUNITY HOSPITAL
Sta. Cruz, Occidental Mindoro
____________________________________________________________________________________

Office Order No. 3 Series of 2017

Creation of Grievance Committee

GRIEVANCE COMMITTEE

OBJECTIVES: The purpose of this grievance procedure is to advance sound labour relations and address
grievances in the public service by fulfilling the primary objectives of this procedure which
are:

1. To give effect to section 196(4)(f)(ii) of the Constitution which empowers the

Commission to investigate grievances of employees in the public service
concerning official acts or omissions, and recommend appropriate remedies.
2. To give effect to section 11 of the Public Service Commission Act, 1997 (Act
No. 46 of 1997) which empowers the Commission to make Rules to deal with
grievances.
3. To promote –
(i) speedy, impartial and equitable handling of grievances;
(ii) sound labour relations;
(ii) resolution of individual grievances at the lowest possible level in a
department.

Chairman: LINO MARCUS M. VIOLA III, M.D.

Co- Chairman: MATEO T. TAJONERA III

Members: - ALL SECTION HEADS

GRIEVANCE MANAGEMENT:
1. A grievance must as far as possible be resolved by an employer and as close to the point of origin
as possible.
2. The employer must ensure that the grievance is dealt within a fair, impartial and unbiased
manner, and that the principles of natural justice are observed.
3. The procedure must be such that it assists and enables an employer and an employee to address
a dissatisfaction.
4. No employee must be victimized or prejudiced, directly or indirectly, as a result of lodging a
grievance.
5. If disciplinary action is being taken against an employee, utilization of this procedure by the
employee to address any matter related to the disciplinary action shall not halt the disciplinary
procedure.
6. A grievance must be lodged in writing and all decisions taken during the process must be in
writing.
7. An employee may be assisted by a representative.
 Republic of the Philippines
Province of Occidental Mindoro
STA. CRUZ COMMUNITY HOSPITAL
Sta. Cruz, Occidental Mindoro
____________________________________________________________________________________

Office Order No. 8 Series of 2017

Creation of Selection and Promotion Committee

SELECTION AND PROMOTION COMMITTEE

OBJECTIVES: To effectively promote policies that is focused on advancing employees based

on their skills and performance.

Chairman: LINO MARCUS M. VIOLA III, M.D.

Co-Chairman: MATEO T. TAJONERA III

Members: ALL SECTION HEADS

FUNCTION: To determine minimum criteria for advancement and make employees aware of

the standards they need to meet to earn promotion.

 Republic of the Philippines
Province of Occidental Mindoro
STA. CRUZ COMMUNITY HOSPITAL
Sta. Cruz, Occidental Mindoro
____________________________________________________________________________________

Office Order No. 7 Series of 2017

Creation of Patient Safety Committee

PATIENT SAFETY COMMITTEE

OBJECTIVES: To develop policies that will ensure the absence of preventable harm to

a patient during the process of Health Care

Chairman: LINO MARCUS M. VIOLA III, M.D.

Co-Chairman: MATEO T. TAJONERA III

Members: ALL SECTION HEADS

FUNCTION: To facilitate the development of patient safety policy and practices for

the hospital.
 Republic of the Philippines
Province of Occidental Mindoro
STA. CRUZ COMMUNITY HOSPITAL
Sta. Cruz, Occidental Mindoro
____________________________________________________________________________________

Office Order No. 5 Series 2017

Creation of Patient Safety Committee

WASTE MANAGEMENT COMMITTEE

Objective : To provide clean and safe facility that is environment friendly for both personnel and
clients and ensuring the highest standard of sanitation and waste management.

Chairperson : LINO MARCUS M. VIOLA III, M.D., DPCP

Vice Chairman : MATEO TAJONERA III

Members : MA. CARMITA JASMINE A. QUIÑONES – Nurse I/PCO

GILDA C. LIBORO – Nurse III/Coordinator

VIOLETA CODON – Nursing Attendant

EMMA DUMLAO – Laundry Worker

LEONARD GONTAN – Institutional Worker

CHRISTIE ROSCO – Cook

 Republic of the Philippines
Province of Occidental Mindoro
STA. CRUZ COMMUNITY HOSPITAL
Sta. Cruz, Occidental Mindoro
____________________________________________________________________________________

Office Order No. 6 Series of 2017

Creation of Patient Safety Committee

EMERGENCY AND DISASTER COMMITTEE/MANAGEMENT

OBJECTIVES: Provide hospital base/on site response team to calamities /disaster

CHAIRMAN
COH
DR. LINO MARCUS M. VIOLA III,M.D,DPCP

HEALTH OPERATOR ADMINISTRATIVE UNIT COMMUNITY UNIT

OIC-COH – Dr. Lino Marcus M. Viola Assistant Chairman – Mateo Tajonera
DOH Representative PNP
Transportation – Eduardo Viray
Medical Nursing NGO’S
Communication – Lennybeth
Gilda Liboro LOCAL DISASTER
Hernandez
Ma. Carmita Jasmine A. Quiñ ones PROVINCIAL DISASTER TEAM
Paramedics – Ma. Mina T. Panlilio
Merla T. Ganzon Food Committee – Christie Rosco
Geraldine C. De Borja Liaison Officer – Nancy P. Calabio
Mryna T. Lucading Power – L,eonard Gontan
Violeta Codon
Marichu A. Vasquez

Surveillance Office

POLICY:- Linkage to other disaster team as need arises

a.) Local Disaster or Team
b.) Provincial Disaster Team
c.) NGO’s - React
 PATIENT RIGHTS
THE RIGHT TO FREEDOM FROM ABUSE AND RESTRAINT

 All patients have the right to be treated with consideration and respect – free from mental
or physical abuse. The right to freedom from abuse applies even when the patients
behaviour toward the staff is abusive.

 Verbal abuse – whether out of frustration or an attempt to force the patient into a
particular behaviour – is not only a violation of patient rights, but is an ineffective way of
dealing with patients.

 Physical abuse, such as pushing or hitting the patients, is never permitted, including
attempts to control behaviour through corporal punishment.

 The patient has to be free from physical restraints, expect in an emergency situation or
when the use of such restraints is part of a care plan agreed upon by the patient. The
convenience of the staff is not a valid reason for using restraints. In all cases, the use of
such restraints must have a specified time limit and the least restrictive method must be
used.

 The right to move around freely is essential to the patient’s self-esteem and emotional
well-being and should be encouraged whenever possible.

 In addition, psychoactive drugs are not to be used for purpose of discipline or for the
convenience of the staff.

 Abusive treatment, whether verbal or physical, is often an expression of staff frustration.

But it is still a violation of the patient’s rights.

 Instead of expressing your frustration, deal with the patient in a respectful and matter-of-
fact manner.
ANNEX 4B