PHILIPPINE HEART CENTER

East Avenue, Quezon City

I – PA S S the BAT O N HAN D O V E R S H I FT REPORT
♥ ♥ ♥ JULY 10, 2022 ♥ ♥ ♥
SUNDAY

PATIENT CARE ADMISSION: 0 AM SHIFT PM SHIFT

→ Total Census: 8 TRANS-IN: 0
→ Head Count: 8 TRANSOUT: 0 ACN: ROMARATE
CN: GUGUDAN
DISCHARGE: 0 PCN: DELOS REYES
LEVEL OF CARE EXPIRED: 0
SOBREMONTE ECHALAR
→ Level 1: 0 SORIANO CAJAYON
→ Level 2: 5 (ORTEGA, MACACHOR, LALIC ONTE, ECHANO) CSW: NON-COVID UNIT =0 BNs: ESMAEL BNs: MACASO (11 TOEXT)
→ Level 3: 3 (JAZARENO, PACLIBARE, BARADILLO,) PATAG LADANGA
→ Level 4: 0 ANGELES- TB ON CALL SIMEON

PROCEDURE/ S: DFR: DFR:

3C: NON-COVID UNIT = 0

ISSUES / CONCERNS PO: PO:

A. Patient Requiring Special Attention / VIP: NA
B. Patient Need IPCO Attention: NA/NO TANGPUZ NA/NO GIMORO (11 TO EXT)
3D: NON-COVID UNIT = 0
C. For Procedure Outside PHC: NA
WARD CLERK: Ferrer, Kristal Jane
D. Out On Pass Patient: NA
OTHERS
A. Credit Suspended: 0 IMPORTANT NUMBERS:
SICU 3: NON-COVID UNIT = 0
B. Pay: 2 (MACACHOR, ONTE) → Social Service:
C. Service: 6 >> Male = Alvin Brioso (0922-669-55-13) (5113)
D. Adult Patient & Diagnosis: 0 >> Female = Marianne Logenio (0916-583-42-63) (5116)
E. PhilHealth Z-Benefit: 0 → TCVS: 0917-593-90-66
ER (Main) = 0
→ AFOD: 0926-064-26-32
UNIT MANAGEMENT → Pedia Pulmo: 0917-593-90-58
A. Dashboard: RED → Pharmacy Viber: 0965-123-70-58
B. Issues & Concerns : NA → Nephro (NKTI): 0917-655-62-98
ER (ST) = 0
C. Inavailability of the Following: → Molecular Swab Result: 4097
→ Supplies / Medications: Phenobarbital IV/ORAL, PROSTAGLANDIN, MILRINONE → COVID ER: 2142
→ Medical Equipment: Pulse Gen., Vein Finder OTHER HOSPITAL = 0
→ Structural / Facility Problem: PRESSURE WALL BOTH WINGS, NARCOTICS SPECIAL ENDORSEMENT:
CABINET → RUSH Team = Dial 8
→ Dr. Heart = Dial 7
SWAB TEST HOSPITALS → Code Black = Dial *88 = Bomb Threat
STAFFING:
→ Philippine Genome Center = Monday to Friday = Result 1-2 days → Code Silver = Dial*88 = Active Shooting
A. RRT / Dr. Heart: AM ___________ PM ___________
→ Philippine Red Cross (Boni. Avenue) = Saturday to Sunday = Result 3-5 days 1st Run and Save yourself
B. Equipment: AM ___________ PM ___________
→ Lung Center of the Philippines = ETA 2nd Hide and Turn Off the lights & cellphones
C. Pull-Out: AM ___________ PM ___________
3rd Fight for your life
NOTES :
→ Security = Dial 6
→ Pls. check the medications and CSR prior charging.
→ Pulmo Protocol: Nebulization only allowed if single room
CHARGE NURSE SPECIAL ENDORSEMENT:
→ Emergency procedures now requires downpayment.
→ Glucometer POCT Checking every Monday & Thursday
→ NOVAWEB-HTML5 Viewer = Username: picu Password: pacspicu
→ Patient Assignment every shift
>> Recall Staff will be lightest on the day of duty &will not assigned as EQ
>> Orientee: 1st Schedule = Level 2 (1-2 pts.)patients only
= If all patients are Level 3 (1 pt.)
2nd Schedule = Level 2 (1 pt.) and Level 3 (1 pt.)
After 1 month may be assign as heaviest
 SUMMARY OF C U L T U R E RESULTS

BED NAME BLOOD GS / CS ETA GS / CS URINE GS / CS STOOL GS / CS OTHERS GS / CS RT-PCR

07/03/22 (Right Fem Central Line) 07/04/22 06/03/2022 IJ Central Line Tip = 06/20/22 06/19/2022 = Negative
Stenotrophomonas Maltophilia No Growth No growth Pseudomonas Aeruginosa MDR 06/13/2022 = Negative
06/29/22 (Right Fem Central Line) 06/08/2022 = Negative
Staphylococcus Epidermidis 06/25/22 Peritoneal Fluid = 06/20/22 06/01/2022 = Negative
06/21/22 (Right Fem Central Line) No Growth Pseudomonas Aeruginosa
A JAZARENO, JETHRO No Growth 06/02/2022
06/112022 (Left Brachial Artery) Moderate Growth Enterobacter Cloacae Pleural Fluid = 06/18/22
No growth and Moderate Growth Stenotrophomonas Pseudomonas Aeroginosa MDR
06/02/2022 (Umbilical Catheter) Maltophilia
No growth

07/01/22 Right IJ 07/05/2022 06/15/2022 06/18/2022 (Pleural Fluid) 06/14/2022 = Negative

Enterobacter Cloacae MDR 06/19/2022 Enterobacter Cloacae MDR Significant Growth Candida Non- Candida Non Albicans 05/30/2022 = Negative
6/28/22 Right IJ Significant Growth Candida Non-Albicans 06/19/2022 Albicans 06/07/2022 (Pleural Fluid) 05/19/2022 = Negative
No growth (final) 7/5/22 06/12/2022 Significant Growth Candida Non-Albicans 06/12/2022 No growth 05/14/2022 = Negative
06/19/22 (Right Fem A-Line) No growth 06/12/2022 No growth
Candida Tropicalis 06/09/2022 No growth 7/4/22
B ORTEGA, ASHER 06/17/22 (Right Radial A-Line) No growth 06/09/2022 NG final 7/5/22
Significant Growth Candida Ciferrii No growth
06/09/22 (Right Radial A-Line)
No growth
06/04/22 (Right Radial A-Line)
No growth

06/26/22 (Left Fem A-Line) 06/29/22 06/27/22 Pleural Fluid = 07/04/22 06/14/2022 = Negative
Serratia Marcescens No Growth No Growth No Growth 06/07/2022 = Negative
06/22/22 (Left Fem A-Line) 05/27/2022 = Negative
Serratia Marcescens 06/27/22 06/14/2022
06/15/22 (Left Fem A-Line) No Growth Significant Growth Candida Non-Albicans
Staphylococcus Epidermidis
C PACLIBARE, STEPHEN
06/10/22 (Left Fem A-Line) Staphylococcus 06/15/2022
Hominis Light Growth Burkholderia (P.) Cepacia
06/04/22 (Umbilical Catheter) 06/09/2022
No growth No growth
06/03/22 (Left Wrist) 06/07/2022
Staphylococcus Lentus No growth

06/27/ 22 (Left Fem A-Line) 07/2/22 07/2/22 7/2/22

CANDIDA Non Ablicans No Growth- 24HRS Candida Non-Albicans No Growth
07/2//22 (Left Fem A-Line)
BARADILLO, ABBY GRAM – BACILLI 07/6/22 URINE KOH
E
DAWN Light growth Stenophomonas Maltophilia 7/5/22
7/5/22 No fungal elements seen
Stenotrophomonas Maltophilia
(Final 7/9/22)

R-FOOT
MACACHOR, ZIAH ERIN
F 7/5/22- No Growth
S.
7/11/22-

H ACOBA, PAULINE G.

J ONTE, CHAUNCEY

(7/2/22)
ISO LALIC, JUAN LUIS
No Growth (FINAL)
 ACTION / SPECIAL NURSING CARE
PATIENT DETAILS ASSESSMENT SITUATION SAFETY CONCERNS BACKGROUND TIMING OWNERSHIP
ENDORSEMENT PLA

DATE DIAGNOSIS RFEM ML D5 LR at DIET CULTURE RESULTS HISTORY ♥ S/P CODE: PROCEDURES REFERRALS PROBLEM
1.5ml/hr 6/13/22 7:50PM
BLOOD GS/CS Noted with cyanosis upon S/P ASO AFOD INEFFECTIVE
07/10/22
CHD DTGA MILK FEEDING 60ML 6/14/22 12PM
EVERY 3 HOURS delivery, with saturation of 60%. 6/23/22 8:15PM 06/03/22 TCVS AIRWAY
RFEM SD 07/01/22 CLEARANCE
PLUS 0.5ML VCO 2D-echo was done and revealed to 6/26/22 5:15PM PULMO
MIDAZOLAM 15mg / STAPHYLOCOCCUS have CHD DTGA, then referred to S/P PD CATH
BED EVERY 6 HOURS 7/2/22 6PM NEPHRO
Adm. Latest 25ml at 0.5ml/hr GOAL
EPIDERMIDIS PHC for further management. 7/2/22 9PM REMOVAL AND
NEONAT- DR

A
Weight Weight 7/3/22 12PM CTT TO MAINTAIN
*INCREASE FEEDING BASILLA
RFEM SD 07/04/22 READJUSTMENT AIRWAY CLEAR
TO 75ML EVERY 3 WOUND CARE
3 KGS 2.3 KGS AMINOPHYLLINE 24hrs = 07/05/22= S. ♥ FAMILY 6/23/22 AND PATENT AT
HOURS
16MG/24ML AT 1ML/HR maltophilia DAY MEDICATIONS CONFERENCE DONE SIGNIFICANT ALL TIMES
Height GCS CTT REMOVAL
1wk = 0711/22= 6/18/22 OTHERS
6/26/22 OUTCOME
JAZARENO, 51 CMS 11
TFR: NA
16 CEFTAZIDIME +
MOTHER
ALLERGY 07/08/22 R Fem. AVIBACTAM
♥ NBS- NOT DONE as ONGOING
JETHRO G. Abd. Blood 24hrs= 07/09/22
(ZAVICEFTAM: GOOD
BLOOD
DATE NA
NKA FOR 12HRS ONLY
per mother TRANSFUSION
AGE / SEX Girth Glucose GRAM + COCCI ANTIGEN
TPN: ONCE AT REF.) 06/14/22 PRBC 45ML NA PROBLEM
FLUID LIMIT 1wk= 07/15/22 ♥ PLS. REFER SIGN SWAB
30 cm 99 mg/dl
1 MONTH/ MALE NA NA 2 LEVOFLOXACIN OF RESP . DISTRESS 06/21/22 30ML PRBC IMPAIRED SKIN
07/09/22 L INTEGRITY
, TACHYPNEA , RR
DATE OF BIRTH BRACHIAL FATHER
>60 , RETRACTIONS 06/21/22 50ML PRBC GOAL
PRESENT TUBINGS DIAGNOSTICS 24hrs= 07/10/22 DATE NA
, CYANOSIS ,
05/25/2022 VITAL SIGNS
Central Peripheral
1wk= 07/16/22
DESATURATION 07/03/22 PRBC TO MAINTAIN
□ KARYOTYPING – to GOOD SKIN
AM SHIFT Line Line ETA GS/CS CENTRAL LINE
HOSPITAL NUMBER be done 120 days after INTEGRITY
07/10/22 NA last blood transfusion 06/25/22 ♥ KARYOTYPING : RELATIVE
8 12 4 06/20/22
01-36-60-13 ( ) ABG IN AM NO GROWTH PERIPHERAL DATE NA
OUTCOME
Urinary BLOOD :2-3 TUBE INTUBATION ONGOING
Feeding
DATE OF ADMISSION BP Catheter 7/1/22 (GREEN ) MON
ANTIGEN
NA
Tube 06/25/22 SWAB
(Inserted) COVID TEST NO GROWTH AND SAT , ST.
06/01/2022 HR 07/10/22 NA LUKES
7/3/22 NA PROBLEM
RT-PCR (SWAB)
07/04/22 EXTUBATION NUTRITION
ATTENDING PHYSICIAN RR GENE EXPERT
NO GROWTH ♥ PLEASE MEASURE NA GOAL
RESPIRATORY Date 06/20/22
DR. CLAUDIO- T
ADJUNCTS
ABDOMINAL GIRTH
PRIOR FEEDING TO PROMOTE
Result NEGATIVE URINE C/S
ROSQUETA Sat OPTIMAL
Oxygen: NA
RT-SEROLOGY NA ♥ WOF TACHYPNEA, NUTRITION
DATE OF TRANSFER PM SHIFT
ET Size: 4 RETRACTION, ALAR
Date NA STOOL GS/CS OUTCOME
8 12 4 FLARRING,
06/13/22 ET Level: 8
Ig G NA N/A HEADBOBBING, ONGOING
97 109 91 CYANOSIS AND
CATEGORY BP Treache: NA OTHER GS/CS DESATURATION
52 51 70
Ig M NA
Mech. Vent. Set-Up
SVC
NA ♥ (+) with TOC
HR 159 123 150
AC 40/35/13/6 ASSESSMENT SCORE
RR 38 35 35
♥ (+) C. Abstract
PEWS / MEWS 3
T 36.3 36.8 37.2
Braden Risk HR ♥WEIGH DAILY
Sat 100 100 100
Fall Risk HR

Nutrition NA

VTE NA
 ACTION / SPECIAL NURSING CARE
PATIENT DETAILS ASSESSMENT SITUATION SAFETY CONCERNS BACKGROUND TIMING OWNERSHIP
ENDORSEMENT PLAN

DIAGNOSIS Rhhl g. 24 DIET CULTURE RESULTS HISTORY ♥ Watch out for LBM PROCEDURES REFERRALS PROBLEM
DATE L-wrist HL
CHD MESOCARDIA Diet For Age plus egg BLOOD GS/CS PATIENT IS DIAGNOSED CHD S/P JP AND MYOWIRE PULMO INEFFECTIVE
♥ Turning schedule
per meal MESOCARDIA, REMOVAL TCVS AIRWAY
07/10/22 VENTRICULAR
INVERSION PVA
TFR: NA Milk Feeding 200ml
06/17/22
CANDIDA CIFERRII
VENTRICULAR INVERSION
PVA WITH CONFLUENT PA.
2hrs L Lung-up
1 hr Supine
07/02/22 AFOD
PIDS
CLERANCE
every 3 hours 1hr R Lung-up GOAL
WITH VSD S/P MBTS S/P BTS (2019), 5 DAYS PTS, S/P RASTELLI DR. MARBELLA
BED May do oral feeding
(2019) TPN/PPN: 06/19/22 NOTED WITH ONSET OF PROCEDURE (RV TO (NEPHRO) TO PROMOTE
May give Vivalite ♥ Monitor for
CANDIDA TROPICALIS CORYZA. NO COUGH. NO PA CONDUIT) VSD

B
Juice GOOD AIR ENTRY
NA FEVER. 3 DAYS PTS PATIENT progression of PATCH CLOSURE, SIGNIFICANT
06/28/22 STILL WOTJ CORYZA NOW Respiratory Distress TAKEDOWN OF MBTS OTHERS OUTCOME
Adm. Latest NO GROWTH (FINAL) ASSOCIATED WITH COUGH. 6/3/22
TUBINGS ALLERGY MOTHER ONGOING
Weight Weight 7/5/22 1 DAY PTA PERSISTENCE OF ♥ Pressure Injury
ABOVE SYMPTOMS, precaution S/P UTZ GUIDED DATE NA
NKA
ORTEGA, 12 KG 10.7 KG Central
Line
Peripheral
Line
FLUID LIMIT
07/01/22
PROMPTED CONSULT AT
LOCAL HOSPITAL CBC DONE ♥ Apply water gloves on
THORACENTESIS,
RIGHT 6/18/22
ANTIGEN
SWAB
NA PROBLEM
Height GCS ENTEROBACTER
ASHER M.
ADVISED ADMISSION BUT INCREASED BODY
NA 07/12/22 NA CLOACAE all pressure points
OPTED TO ADMITTED AT S/P CTT INSERTION, TEMPERATURE
95 CM 15
Feeding Urinary PHC. LEFT USING JP DRAIN FATHER
ETA GS/CS ♥ Encourage solid food
AGE / SEX 6/18/22 GOAL
Abd. Blood Tube Catheter
DIAGNOSTICS 06/19/22 intake DATE NA
Girth Glucose (Inserted) (Inserted) TO MAINTAIN
3YO/ MALE ( ) Blood CS – Hold CANDIDA NON- DAY MEDICATION S/P PD CATHETER
BODY
SILICONE ALBICANS -MAINTAIN O2 SAT AT INSERTION
47CM 112MG/DL 06/18/22 ( ) REPEAT 7 Gentamycin IV TEMPERATURE
DATE OF BIRTH 07/06/22 90% AND ABOVE, MAY 6/18/22
6 CIPROFLOXACIN IV WITHIN NORMAL
ELECTROLYTES- C URINE GS/CS INCREASE 02 SUPPORT RELATIVE RANGE
08/20/2018 06/19/22
AT 2LPM VIA NC IF W/ S/P PD CATH
DATE NA
PRESENT RESPIRATORY ADJUNCTS DESATURATION REMOVED 7/9/22 OUTCOME
VITAL SIGNS COVID TEST CANDIDA NON- ANTIGEN
PATIENT DETAILS SWAB
NA
Oxygen: 1 LPM / NC ALBICANS PLAN: ONGOING
RT-PCR (SWAB)
AM SHIFT
01-25-28-45 ET Size: NA GENE EXPERT
06/28/22
THORACENTESIS
8 12 4 NO GROWTH OR CTT PROBLEM
DATE OF ADMISSION ET Level: NA Date 06/14/22
REMOVAL- DECREASED URINE
Treache: NA Result Negative
05/15/22 BP 07/01/22 HOLD FORNOW OUTPUT
ENTEROBACTER
Mech. Vent. Set-Up RT-SEROLOGY GOAL
ATTENDING PHYSICIAN CLOACAE
HR
NA Date NA BLOOD TO MAINTAIN
STOOL GS/CS
DR. CLAUDIO- RR
Ig G NA
TRANSFUSION URINE OUTPUT
06/15/22 WITHIN NORMAL
ROSQUETA T
CANDIDA NON-
FFP 120ML RANGE
Ig M NA 6-19-22
DATE OF TRANSFER Sat ALBICANS OUTCOME
6/21/22 180ML PRBC
PM SHIFT ASSESSMENT SCORE ONGOING
6/14/22 7/4/22 1:45AM
NG FINAL 7/5/22
8 12 4 PEWS / MEWS 3
8:25 PM CENTRAL LINE
Braden Risk HR OTHER GS/CS
84 85 84
CATEGORY BP
Fall Risk HR 06/18/22
39 51 52 INTUBATION
PLEURAL FLUID

SERVICE HR 128 133 133 Nutrition

VTE
NA

NA
GS/CS
CANDIDA NON-
06/18/22

RR 24 35 28 ALBICANS EXTUBATION

T 37 36.5 37 06/21/22
7/8/22
Sat 70 99 90 IJ CATH TIP CULTURE
 ACTION / SPECIAL NURSING CARE
PATIENT DETAILS ASSESSMENT SITUATION SAFETY CONCERNS BACKGROUND TIMING OWNERSHIP
ENDORSEMENT PLA

DATE DIAGNOSIS RFem ML (B) D5IMB AT DIET CULTURE RESULTS HISTORY ♥ NO or tech-sternal PROCEDURES REFERRALS PROBLEM
1.5 ML.HR closure done 6/13/22
6/13/22
BLOOD GS/CS Born to a 36 y/o G2 mother via 06/08/22 S/P ASO and INTERVENTION Desaturation
07/10/22
CHD DTGA, PDA, PRENAN 75ML + 1ML
VCO EVERY 3HRS VIA 2 repeat CS 7,8,9 thinly meconium Tenchkoff catheter pulmo
PFO TFR: NA 7/3/22 ♥ TURNING SCHED: GOAL
HRS GAVAGE stained amniotic fluid maternal insertion AFOD
BED SERRATIA illness hypothyroid. Subsequently RIGHT LUNG UP – 2HRS
TCVS To maintain oxygen
MARCESCENS after a few minutes cyanotic, weak SUPINE – 1 HR S/P PD catheter
NEONAT- DR. to acceptable level
LEFT LUNG UP – 1 HR

C
Adm. Latest TPN: cry meconium suctioned thorough removal
ETA GS/CS BASILLA
ALLERGY drying done o2 sat at 60-65% 6/23/22 OUTCOME
Weight Weight NA PEDIA REHAB -DR.
shallow breathing persistently ♥ FEVER
NKA 06/29/22 EDMUND Ongoing
2.7 kg 2.5 kg cyanotic brought to nucy no 6/21/22 7am 38.4 S/P RIGHT JP DRAIN
NO GROWTH MARTINEZ
improvement noted, alar flaring, 6/26/22 12pm-38C AND MYOWIRE
TUBINGS FLUID LIMIT
Height GCS shallow resp, acrocyanotic no REMOVAL
PACLIBARE, NA
06/27/22 murmurs noted ref to pedia cardio
7/6/22 3AM 38.8C
7/6//22 2PM- 37.8C 7/8/22
SIGNIFICANT PROBLEM
Central Peripheral OTHERS
STEPHEN 45 cm 11
Line Line
NO GROWTH 2d echo revealed CHD PDA TGA
PO S/P LEFT JP DRAIN
CALIX T. Abd. Blood DIAGNOSTICS
URINE C/S
♥ REFER TO TCVS FOR REMOVAL-
MOTHER
GOAL
07/11/22 NA DATE NA
Girth Glucose 06/27/22 – NO HOLD7/9/22
AGE / SEX WOUND CARE
Urinary ( ) SERUM ELECT IN ANTIGEN
29 cm 132 mg/dl Feeding GROWTH FINAL BLOOD NA
Catheter AM SWAB
OUTCOME
1MO/MALE Tube
(Inserted) ( ) RPT CRP, PROCAL
DAY MEDICATIONS TRANSFUSION

ON D3 OF ATB STOOL GS/CS 3 CEFTAZIDIME 06/23/22

DATE OF BIRTH 07/14/22 NA 4 AMIKACIN FATHER
PRESENT 40ml PRBC
N/A DATE NA
VITAL SIGNS s/p BT 40ML 6/23
05/26/2022 and 6/24
PROBLEM
OTHER GS/CS
AM SHIFT RESPIRATORY
COVID TEST
HOSPITAL NUMBER ADJUNCTS PLEURAL GS/CS CENTRAL LINE
8 12 4 RT-PCR (SWAB) 7/4/22- NO GROWTH GOAL
01-36-53-59 Oxygen: NA GENE EXPERT FINAL
RELATIVE
DATE NA
BP ET Size: 3.5 INTUBATION
DATE OF ADMISSION Date 06/14/22 OUTCOME
ANTIGEN
NA
ET Level: 9 6/28/2022 (11PM) SWAB
Result NEGATIVE
05/27/2022 HR NA
Treache: NA EXTUBATION
RT-SEROLOGY
ATTENDING PHYSICIAN RR
Mech. Vent. Set-Up 06/28/22
Date NA
T
DR. CLAUDIO- SIMV 30/18/10/4 PS 10 Ig G NA
Sat
ROSQUETA
Ig M NA
PM SHIFT
DATE OF TRANSFER
8 12 4 ASSESSMENT SCORE
06/16/22
77 92 74
PEWS / MEWS 3
BP
CATEGORY 41 32 29
Braden Risk HR

SVC HR

RR
116

41
115

51
113

36
Fall Risk HR

Nutrition NA

T 37.3 37.3 37.1 VTE NA

Sat 99 96 97
 ACTION / SPECIAL NURSING CARE
PATIENT DETAILS ASSESSMENT SITUATION SAFETY CONCERNS BACKGROUND TIMING OWNERSHIP
ENDORSEMENT PLAN

DATE DIAGNOSIS LFOOT DIET CULTURE RESULTS HISTORY ♥ (+) seizure )bicycling PROCEDURES REFERRALS PROBLEM
RFOOT movement)
BLOOD GS/CS Patient is born to a 28y/o G2P1 S/P BRAIN CT SCAN Dr. IBE Seizure
07/10/22
CHD, TVA, PVA, PDA RHHL
(1001) nonsmoker, nonalcoholic ♥ SEIZURE 07/01/22 REHAB (DR.
T/C BACTERIAL 07/4/21 Lfoot GOAL
MILK FEEDING 150ML beverage drinker, denies illicit PRECAUTION. AGBAYANI)
MENIGITIS 24hrs 7/5/= NG drug use. Regular prenatal check S/P EEG 07/04/2022
BED EVERY 3 HRS Prevent recurrence
TFR: 1wk 7/11= up at LIC c/o midwife and intake ♥ follow up blood gs SIGNIFICANT of seizure

F
of mvt, fes04, calcium. All utz S/P CRANIAL CT OTHERS
ETA GS/CS result and official result
normal except for the last utz ANGIOGRAPHY OUTCOME
Adm. Latest of brain CT Scan
noted CHD. Advised 2d echo after (VENOUS AND MOTHER
Weight Weight TPN: Ongoing
ALLERGY birth. No illnesses. No known ARTERIAL)
♥ DR. IBE: May not do
5 KGS 5 KGS NA URINE C/S exposure to teratogens. Patient
lumbar puncture for
7/6/22 DATE NA
NKA was delivered nsd at LIC c/o
MACACHOR , NA midwife. With good cry and
now, instead follow- up BLOOD ANTIGEN
Height GCS blood culture. SWAB
NA
ZIAH ERIN S. TUBINGS FLUID LIMIT
STOOL GS/CS
avtivity. BW: 2.9kg. No cyanosis, TRANSFUSION
60CMS 11 NA
jaundice, msaf, cordcoil.
♥ DR IBE: Suggest cranial
AGE / SEX Central Peripheral Discharged after 24hours without
N/A angiography arterial and FATHER
Abd. Blood Line Line complications. CENTRAL LINE
venous.
8MOS/FEMALE Girth Glucose
07/08/22 NA DIAGNOSTICS OTHER GS/CS At 1month old: noted pallor on DATE NA
extremities. Observed. No
cm mg/dl N/A consult done
DATE OF BIRTH Feeding Urinary
2months ptc:noted increased INTUBATION
Tube Catheter
10/17/21 (NGT) (Inserted)
work of breathing, cyanosis.
Consulted at Parañaque Hospital.
RELATIVE
COVID TEST
PRESENT Advised 2d echo: single ventricle, DATE NA
HOSPITAL NUMBER 07/10/22 EXTUBATION
VITAL SIGNS RT-PCR (SWAB) tricuspid atresia. No meds given. ANTIGEN
inserted by NA NA
GENE EXPERT Referred at PHC for possible OR.
01-35-78-07 AM SHIFT Dr. Ador
Patient is a diagnosed case of
SWAB

NA
Date 07/01/22 CHD TVA Type 1A, ASD,
DATE OF ADMISSION 8 12 4
restrictive VSD, PDA. Plan: for
RESPIRATORY Result NEGATIVE Glenn Shunt.
07/03/21 BP ADJUNCTS
RT-SEROLOGY
ATTENDING PHYSICIAN Oxygen: 0.5 LPM / NC
Date NA
HR
ET Size: NA
DR. SANTIAGO RR
Ig G NA
DAY MEDICATIONS
ET Level: NA
DATE OF TRANSFER Ig M NA
T 10 Ceftriaxone
Treache: NA
07/04/22 Sat
Mech. Vent. Set-Up ASSESSMENT SCORE

CATEGORY PM SHIFT
NA PEWS / MEWS 3
8 12 4
PAY
Braden Risk LR

Fall Risk HR
BP
Nutrition NA

HR VTE NA

RR

Sat
 ACTION / SPECIAL NURSING CARE
PATIENT DETAILS ASSESSMENT SITUATION SAFETY CONCERNS BACKGROUND TIMING OWNERSHIP
ENDORSEMENT PLAN

DATE DIAGNOSIS RIJ ML PLRS AT DIET CULTURE RESULTS HISTORY ♥ Suction secretions as PROCEDURES REFERRALS PROBLEM
1.5ML/HR needed
BLOOD GS/CS Born to a 37yr old G3P3 mother S/P TOF REPAIR AFOD Ineffective Airway
07/10/22
CHD TOF PVA PDA PEDIASURE 210 ML
via NSD. Mother had regular 6/21/22 PIDS Clearance
LFEM PLRS X 1.5 ML/HR EVERY 3 HOURS 06/28/22 ♥ Refer for any signs of
prenatal check up and denies Pulmo
Candida Non Albicans respiratory distress GOAL
BED illness during pregnancy and S/P PD CATH – 6/25 TCVS
Adm. Latest LFEM ALINE AT undergone congenital anomaly To maintain airway

E
Weight Weight 1.5ML/HR 7/2/22 Left Fem line:
line: scanrevealing congenital heart JP S/P PD CATH SIGNIFICANT clear and patent at
ELIZABETHKINGIA defect. The patient was noted 8HRS= REMOVAL- OTHERS all times.
11 KGS 11 KGS ALLERGY
MNINGOSEPTICA cyanotic while crying and was HOLD7/9/22
TFR: NA 24HRS=
NKA rushed to PCMC 2D ECHO MOTHER OUTCOME
Height GCS ETA GS/CS reverals chd, tof. Patient was BLOOD
CTT TRANSFUSION Ongoing
FLUID LIMIT then referred to PHC and had
BARADILLO, 64 CMS 11 TPN: 24 hour(7/2/22) = no regular follow up check up. 8HRS=
DATE NA

NA
ABBY DAWN Abd. Blood NA
NA growth Hours prior to admission the 24HRS= ANTIGEN
SWAB
NA
1w (7/9)=Light
(7/9)=Light growth patient was afebrile and had + CENTRAL LINE
AGE / SEX Girth Glucose Stenophomonas chills. She was given
DIAGNOSTICS ♥ For possible removal of
Maltophilia paracetamol and rushed to phc. NA
51 cm mg/dl TUBINGS IFC FATHER
3Y.O/FEMALE ( ) Additional view
7/5/22 Then was admitted for
♥ Refer to TCVS for CTT INTUBATION
STENOTROPHOMONAS procedure of OR. DATE NA
Central Peripheral echo to check for
DATE OF BIRTH MALTOPHILIA (FINAL) removal (+)
Line Line 06/21/22
PRESENT vegetation
♥ Observe LBM
10/30/18 VITAL SIGNS 07/13/22 NA ( ) CXR IN AM URINE C/S EXTUBATION
( ) SERUM ELECT IN DAY MEDICATIONS overnight, if stools are RELATIVE
Urinary 7/2/22 =CANDIDA NON NA
HOSPITAL NUMBER AM SHIFT Feeding AM improved may remove
Catheter ALBICANS 3 CIPRO IFC
DATE NA
Tube ( ) ABG ON 1 HOUR
8 12 4 (Inserted)
01-31-34-37 SPONT
URINE KOH
6 AMPHOTERICIN B ANTIGEN
NA
♥ PULMO: To monitor SWAB
07/12/22 06/21/22
DATE OF ADMISSION BP 7/5/22 clearing of infiltrates NA
COVID TEST No fungal elements and/or congestion. Plan
06/02/22 HR RESPIRATORY seen to decrease PEEP to 6 and
RT-PCR (SWAB) will start sprint weaning
ADJUNCTS
ATTENDING PHYSICIAN GENE EXPERT to practice respiratory
RR
Oxygen: NA muscle
Date 07/05/22
DR. ROSQUETA T
ET Size: 5.5
STOOL GS/CS
-FOR JP AND CT
Result NEGATIVE 7/2/22 = No Growth
Sat REMOVAL ONCE
DATE OF TRANSFER ET Level: 13
RT-SEROLOGY (FINAL) EXTUBATED
PM SHIFT
06/30/22 Treache: NA
Date NA OTHER GS/CS -NO CPT
8 12 4 - WITH TURNING
CATEGORY Mech. Vent. Set-Up
Ig G NA SCHED
108 83 90
BP SIMV 30/15/12/4 PS 8 2 HRS LEFT LUNG UP

SVC - NBB
Ig M NA 1 HOUR RIGHT
44 58 64
1 HOUR SUPINE
HR 134 132 151
ASSESSMENT SCORE
-WITH SPINTING
RR 31 44 39
PEWS / MEWS 3 SCHED. TODAY 7/10/
T 36.9 36.9 37.7
Braden Risk LR SIMV Fi02 30 % , RR 15 ,
Sat 99 98 98 PIP 12 , PEEP 4, PS 8
Fall Risk HR

Nutrition NA SPONT Fi02 30 , PEEP 4

PS 10
VTE NA
8-8:30AM - SPONT
8:30-9AM – SIMV
9AM - (;45AM _ SPONT
9:45-10AM – SIMV
10AM – 11AM- SPONT
11AM 0NWARDS –
SIMV
 ACTION / SPECIAL NURSING CARE
PATIENT DETAILS ASSESSMENT SITUATION SAFETY CONCERNS BACKGROUND TIMING OWNERSHIP
ENDORSEMENT PLA

DATE DIAGNOSIS LBHL DIET CULTURE RESULTS HISTORY ♥ DRAIN 100 ML FROM PROCEDURES REFERRALS PROBLEM
RHHL PIGTAIL EVERY HOUR-
BLOOD GS/CS AT 6months old history of S/P PIGTAIL AFOD Congestion
07/10/22
CHD, TOF RHD Low salt low fat high OPEN TO DRAIN
protein diet murmur heard, non compliant to INSERTION 7/6/22 TCVS
TFR: NA NA GOAL
(WITH EGG EHITE PER advise for procedure. No ♥ WOF HYPOTENSION Pedia Pulmo
BED medications for maintenance. No S/P INVASIVE To maintain negative
MEAL) ETA GS/CS SBP ,90MMHG AND
Adm. Latest consult qas done then following 1 THORACENTESIS
RADIOLOGY fluid balance
DESATURATION , 60%

G
Weight Weight TPN: ALLERGY NA wekk have dyspnea now 7/6/22
consuulted to PHC SIGNIFICANT OUTCOME
34.4 kg 33.8 kg NA NKA ♥ albumin transfusion 1
URINE C/S OTHERS
vial over 4hrs. X 2 DOSES BLOOD Ongoing
Height GCS FLUID LIMIT NA DAY MEDICATIONS (done 7/9/22) TRANSFUSION MOTHER
TUBINGS
LALIC, JUAN 144cm 15 NA STOOL GS/CS BENZATHINE NA DATE NA PROBLEM
Central Peripheral PENICILLIN (IM)
LUIS A . Abd. Blood Line Line N/A EVERY 21 DAYS CENTRAL LINE
ANTIGEN
SWAB
NA

Girth Glucose DIAGNOSTICS DUE: 7/30/22 GOAL

AGE / SEX NA 07/13/22 OTHER GS/CS NA

71cm mg/dl ( /) CXR IN AM INTUBATION FATHER

11YO/MALE Feeding
Urinary ( ) S. ELECT IN AM
DATE NA
Catheter ( )RPT. ALBUMIN NA OUTCOME
Tube
DATE OF BIRTH (Inserted)
PRESENT EXTUBATION
09/23/10 VITAL SIGNS NA 07/05/22
COVID TEST NA
RELATIVE PROBLEM
HOSPITAL NUMBER AM SHIFT RT-PCR (SWAB)
RESPIRATORY DATE NA
GENE EXPERT
8 12 4 ADJUNCTS
01-37-01-34 Date 07/02/22
ANTIGEN
SWAB
NA
GOAL
Oxygen: 1 LPM / NC
DATE OF ADMISSION BP NA
Result NEGATIVE
ET Size: NA
07/04/22 HR
RT-SEROLOGY OUTCOME
ET Level: NA
ATTENDING PHYSICIAN Date NA
RR Trache: NA
Ig G NA
DR. CLAUDIO- T Mech. Vent. Set-Up
Ig M NA
ROSQUETA Sat NA

DATE OF TRANSFER PM SHIFT

ASSESSMENT SCORE
8 12 4
07/05/22 PEWS / MEWS 3
107 101 82 Braden Risk HR
CATEGORY BP
62 46 51 Fall Risk HR

SVC HR 90 88 81 Nutrition NA

RR 34 15 27 VTE NA

T 36.8 36.6 36.6

Sat 77 84 82
 ACTION / SPECIAL NURSING CARE
PATIENT DETAILS ASSESSMENT SITUATION SAFETY CONCERNS BACKGROUND TIMING OWNERSHIP
ENDORSEMENT PLA

DATE DIAGNOSIS Rfem SD 5:5000 at DIET CULTURE RESULTS HISTORY PROCEDURES REFERRALS PROBLEM
0.15ml/hr ♥ Possible home on
BLOOD GS/CS Born to a G2P2 mother via CS. weekend S/P PPBV Dr. Carlos (Anesth) DESATURATION
07/10/22
CHD CRITICAL PS Breastmilk at 30ml every
3 hours WITH SAP Cyanosis and murmur noted at 07/07/22 Dr. Causapin
NA ♥ Allowable saturation GOAL
birth. Referred to Dr. Alarcon, 2D- S/P CENTRAL LINE
BED echo was done which revealed 85% INSERTION SIGNIFICANT To maintain oxygen
Adm. Latest ETA GS/CS
TFR: NA ALLERGY CHD PS. Transferred to PHC for OTHERS saturation within
BLOOD

J
Weight Weight PPBV, hence admission. -PLS POSITION PT. TO
NA normal levels
NKA LESSEN FLEXION AT TRANSFUSION MOTHER
2.6 kg 2.6 kg TPN: URINE C/S RIGHT HIP JOINT -W/ DATE NA OUTCOME
FLUID LIMIT DAY MEDICATIONS 07/07/22
EDEMATOUS RIGHT
ANTIGEN Ongoing
Height GCS NA NA LOWER EXTREMITIES CENTRAL LINE NA
NA D2 PIPTAZ SWAB
ONTE, 40 cm 11 STOOL GS/CS D3 AMIKACIN -NO GIVING OF 07/08/22
PROBLEM
CHAUNCEY V. Abd. Blood TUBINGS DIAGNOSTICS N/A HOLD PROPANOLOL
SEDATION PLEASE
INTUBATION FATHER
AGE / SEX Girth Glucose Central Peripheral OTHER GS/CS DATE NA
NA
Line Line GOAL
30cm mg/dl
6DAYS OLD/MALE 07/11/22 NA
EXTUBATION
COVID TEST
07/09/22
DATE OF BIRTH Urinary RELATIVE OUTCOME
PRESENT Feeding RT-PCR (SWAB)
Catheter DATE NA
GENE EXPERT
07/02/22 VITAL SIGNS Tube
(Inserted)
ANTIGEN
Date 07/06/22 NA
SWAB
HOSPITAL NUMBER AM SHIFT NA NA PROBLEM
Result NEGATIVE NA
8 12 4
01-37-05-38
RESPIRATORY RT-SEROLOGY
GOAL
DATE OF ADMISSION BP ADJUNCTS
Date NA
Oxygen: NA
07/04/22 HR
Ig G NA
OUTCOME
ET Size: NA
ATTENDING PHYSICIAN Ig M NA
RR
ET Level: NA
DR. ALARCON T
ASSESSMENT SCORE
Trache: NA
Sat
DATE OF TRANSFER PEWS / MEWS 3
Mech. Vent. Set-Up
PM SHIFT
07/07/22 NA Braden Risk HR
8 12 4 Fall Risk HR
CATEGORY
Nutrition NA
BP
PAY VTE NA

HR

RR

Sat
 ACTION / SPECIAL NURSING CARE
PATIENT DETAILS ASSESSMENT SITUATION SAFETY CONCERNS BACKGROUND TIMING OWNERSHIP
ENDORSEMENT PLA

LHML G.26 > FOR CT ANGIO POSS

DATE DIAGNOSIS DIET CULTURE RESULTS HISTORY PROCEDURES REFERRALS PROBLEM
PLAIN IES 6ML/HR BTS
BLOOD GS/CS BORN TO A G3P3 MOTHER S/P CARDIAC CT ANESTH Desaturation
07/10/22
CHD, EBM ADLIBITUM WITH
SAP VIA NSD INA PROVINCIAL >FOR REPEAT CARDIAC ANGIO W/ INTERVENTION
DEXTROCARDIA, RBHL NA GOAL
HOSPITAL. 1 MONTH PTA PT CT ANGIO CONTRAST
VENTRICULAR WAS ADMITTED DUE TO 7/9/22
BED ETA GS/CS To maintain hnormal
INVERSION, PVA, ALLERGY FEBRILE CONVULSION. >FOR CENTRAL LINE SIGNIFICANT oxygen saturation

I
PDA NOTED WITH CYANOTIC INSERTION OTHERS
TFR: NA NA BLOOD
appropriate to heart
NKA NAILBEDS AND SKIN condition
URINE C/S ESPECIALLY WHEN CRYING. TRANSFUSION MOTHER
FLUID LIMIT 2D ECHO DONE WHICH DATE 07/08/22 OUTCOME
Adm. Latest TPN: NA
NA REVEALED CHD PVA.
NA ANTIGEN Ongoing
Weight Weight REFERRED TO PHC FOR
ECHANO, NA STOOL GS/CS EXTENSIVE CHECK UP. 1 DAY
CENTRAL LINE SWAB
negative

PRECIOUS JIA 5.5 kg 5.5 kg

DIAGNOSTICS N/A PTA WENT TO SEE DR. NA
PROBLEM
TUBINGS BALDERAS, UPON CHECK UP
TOLITOL Height GCS OTHER GS/CS NOTED WITH CYANOSIS INTUBATION FATHER
Central Peripheral HENCE WAS ADVISED TO GO DATE NA
AGE / SEX 56 cm 15 NA
Line Line TO ER FOR ADMISSION. GOAL
COVID TEST ADMITTED TO PICU FOR EXTUBATION
Abd. Blood
6 MO/ FEMALE NA 07/13/22 CLOSE MONITORING AND
Girth Glucose RT-PCR (SWAB) NA
POSSIBLE BTS OUTCOME
DATE OF BIRTH Urinary RELATIVE
Feeding GENE EXPERT
36 cm 99 mg/dl Catheter DATE NA
Tube
01/23/22 (Inserted) Date 07/08/22 ANTIGEN
NA
SWAB
NA NA Result NEGATIVE PROBLEM
HOSPITAL NUMBER PRESENT NA
VITAL SIGNS RT-SEROLOGY
01-37-08-82 RESPIRATORY
AM SHIFT Date NA GOAL
ADJUNCTS
DATE OF ADMISSION
8 12 4 Ig G NA
Oxygen: 1LPM VIA NC
07/09/22 ER Ig M NA OUTCOME
BP ET Size: NA
ATTENDING PHYSICIAN
ET Level: NA ASSESSMENT SCORE
HR
DR. CLAUDIO- Trache: NA PEWS / MEWS 3
ROSQUETA RR
Mech. Vent. Set-Up Braden Risk HR DAY MEDICATIONS
T
DATE OF TRANSFER NA Fall Risk HR NA
Sat
NA Nutrition NA
PM SHIFT
VTE NA
CATEGORY
8 12 4

SVC BP
108 109 108

57 52 51

HR 123 36 116

RR 43 41 35

T 36.5 36.7 36.7

Sat 50 65 61