Bonnieliza M.

Mama
Republic of the Philippines
Dr. Mama Hospital

Memorandum

To: Emergency Department Staff

From: Mama Hospital
Date: November 4, 2023
Subject: Emergency Services

Please be advised that Mama Hospital has been experiencing high patient volumes in
the Emergency Department (ED). Please anticipate longer than expected wait times
and temporary disruptions in being able to accept EMS. Providing high quality, safe,
and holistic emergency services to our community is essential, and we apologize for
any inconvenience.

Emergency Services remain open 24/7

All patients presenting to the Emergency Department (ED) are triaged by Registered
Nurse ranging from one signifying the sickest and the least sick based on the
information provided by the patient, family members, and EMS staff. This ensure
providing treatment to the patients with the most urgent care need first.

Our staff are working very hard to provide you with timely and culturally safe health
services and care.

We thank you for your cooperation to be kind, polite, respectful and patient when
accessing care at Mama Hospital to help support a positive experience for all.

Respectfully,
Bonnieliza M. Mama, RN
Medical Officer of Health
Marketing Department Minutes of Meeting
Date: November 6, 2023
Time: 8am - 12nn
Location: Datu Piang Maguindanao
Meeting facilitator: Bonnieliza M. Mama
President
List of Attendees: Members of Marketing Department
Absent: None
Agenda: Announcement - Product Sales

Ms. Bonnieliza Mama, opened the meeting by welcoming all attendees and
expressing gratitude to the members. All the employees of Sales Department to be
present in the Conference Room on November 6, 2023 for the monthly closure
meeting. The meeting will begin sharp at 8am and will end at 12nn. Therefore, you
are requested to be present at the Conference Room ten 30 minutes before the meeting
starts.

Discussion:

1. An open discussion with regard to the progress in Sales in January 2024.

2. Understanding the marketplace and customer needs and wants
3. Designing a customer driven marketing strategy
4. Constructing an integrated marketing plan that delivers superior value
5. Build profitable relationships
6. Capturing value from customers

It was noted that these plan would be rolled out in phases over the coming months.
All the employees are requested to bring along the concern documents, data and
analysis sheets for the meeting. It would be appreciated if the department can produce
all the information in a concise slideshow which will save the time and will empower
the discussion.

We look forward to have all the related members of Sales team at the meeting so that
we can further improvise on our sales based on the outputs of this meeting.
Ms. Reyes stressed that this marketing concentrate on the many methods and
approaches used to market and sell products or services to customers. It could also
look into the effects of effective sales and marketing on a company, such as improved
revenue and awareness.

Minutes recorded by; Jehan G. Maddie

Next meeting: Our next meeting is going to hold on Saturday, 11th November 2023, at
8am, using the same platform.

Approved by: Mr. Salvador

Meeting adjourned
Pangasinan Provincial Hospital

VISION:

By 2031, a premier system of hospitals and health facilities that provide excellent
patient care in the region

MISSION:

To inspire hope and joy and to promote health and well being by delivering excellent
health services and compassionate patient care through a safe and nurturing hospital
environment.

GOALS:

CORE VALUES:

Respect - Treat every patient and their family members, regardless of gender,
religion, ethnicity
Innovation - Improve the services by infusing creative ideas and new solutions
Integrity - Uphold the highest standards of professional, moral and ethical
responsibilities
Compassion - Treat each patient and their family members with empathy,
understanding and sensitivity
Collaboration - Nurture unity and motivation among employees, providing
opportunities for them to blend their skills and synergize in their work
Excellence - Deliver health care service of the highest quality to achieve the best
health outcome for every patient.

Critique:
I would be happy to provide my thoughts about Pangasinan Provincial Hospital's
vision, mission, goals, and core values. This mission statement describes the
organization's objective, the techniques they intend to use, and the ultimate result they
hope to attain. The Pangasinan Provincial Hospital provides patient care, safety, and
contentment as the core of its services. The hospital's purpose is to promote health and
well-being by providing quality health services to their client. Thereby, the idea of
unity of direction is encouraged and used because PPH have only one goal, which is
to provide the best health care services possible. By following this approach, the
institution will be able to give their client with safety and contentment that will reflect
to the hospital. And with the core values to treat each other equitable quality health
care services and deliver responsive. And hospital can provide services conforming to
the specified needs of it's patients.

Staffing schedule: Making your own staffing schedule, making yourself as the
hypothetical Head nurse and your classmates as the Staff nurses; a 50 bed capacity
Medical Surgical Department.
Categorize the number of patients according to the level of care needed by hospital
classification.

Total # of patient * percent at each level of care

50*0.30 =15 pts. needing minimal care
50*0.45=22.5 pts. needing moderate care
50*0.15= 7.5 pts. needing intensive care
50*0.15=7.5 pts. needing highly intensive care

Find the total # of nursing hours needed by the patient per day at each categorized
level.

# of patients at each level. average nursing hours needed per day

15 pts.*1.5 (NCH needed at level 1) =22.5 NCH/day
22.5pts* 3 (NCH needed at level 2) =67.5 NCH/day
7.5 pts*4.5(NCH needed at level 3) =33.75 NCH/ day
5 pts*6(NCH needed at level 4) =30 NCH/day

Find the total # of nursing hours needed by patients per year.

Total number of nursing hours per day * 365 days of the year
153.75*NCH /day *365 (days) = 56,118.75 NCH /year

Find the actual number of working hours needed by each nursing personnel each year.

Hours of duty per day* actual working days per year

8hrs/day *213 (working days /year) 1704 working hours per year

Find the total number of nursing personnel needed.

Divide the total number of nursing hours needed by the given number of patient per
year by the actual number of working hours rendered per year.

Total NCH/year 56 ,118.75

Working hours/year 1,704

=32.9 or 33

Find the relief, multiply the number of nursing personnel needed by 0.15.

Relief of total nursing personnel

33*0.15 = 4.95 or 5

Add number of relievers to the number of needed nursing personnel

Total nursing personnel 33+5 = 38

Categorize into professional and non-professional

Multiply # of nursing personnel according to ratio of professional to non-professional
38*0.65 = 24.7 or 25 professional nurse
38*0.35 = 13 nursing attendants

Distribute by shifts

25 nurses *0.45 = 11nurses on AM shift

25 nurses *0.37 = 9 nurses on PM shift
25 nurses *0.18 = 4.5 or 5 nurses on night shift

Total of 25 nurses

13 nursing attendants * 0.45 = 6 NA on AM shift

13 nursing attendants *0.37 = 5 NA on PM shift
13 nursing attendants *0.18 = 2 NA on Night shift

Total of 13 nursing attendants