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2006 Annual

Accomplishment Report

Department ofNursing Services

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The Nursing Service Department constitutesthe largest single group of hospital employees.

It is an independent, interdependent anddependent department accountable to theExecutive Director for administering nursingservices – recruitment, selection, training andevaluation of its personnel; delivery of nursingcare which encompasses health promotion,prevention of diseases and rehabilitation that

involves teaching, counseling, emotionalsupport that will help the patient maintain hismaximum degree of health.

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The Department consists of two (2)divisions, namely; Patient Care and

Specialty Care. Directly under theDDNS are the Training & Researchand CSR Section.

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GENERAL OBJECTIVE:

• To deliver the highest quality ofindividualized nursing care in a

holistic, systematic approach to itsclients – neonates, children,adolescents and high-risk pregnant

women and their families. The careshould be one that is cost effectivefor both the patient and the hospital.

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• Develop and conduct appropriate programs including

orientation and On-the-Job Trainings based on expressed andidentified needs of personnel.

•Provide the nursing personnel with opportunities for continuingeducation and training.

•Encourage attendance to internal and external seminars,updates and post-graduate courses for professional upliftment

and advancement.•Conduct and participate in researches related to nursingissues and concerns.

•Evaluate on going staff development program periodically and

revise as needed.

SPECIFIC OBJECTIVES:

Training & Research

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Training & Research

In-service Training Programs Conducted:2005 20061. Nursing Process = 14 02. Pulmonary Care Nursing = 14 03. Accurate & Safe Drug Admin. = 46 23

4. IVF Administration for Nurses = 46 235. Infection Control Seminar = 29 216. Basic Nursing Skills for Nurses = 41 07. Basic Nursing Skills for MW’s, NA’s= 6 08. Unit Mgt. for 1st Line Supervisors = 21 18

9. Quality Assurance = 0 1710. NALS = 0 39

--------------------TOTAL = 217 141 ↓ 35.02%

9 & 10 were conducted in lieu of 1 & 2.6 & 7 are being conducted only for newly hired staff

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Training & Research (Cont…)

Training Programs Conducted for Non-PCMC Nurses:2005 2006

1. Pediatric Nursing Training Course (PNTC)= 112 39

2. ICU Skills Training = 7 63. Practicum: Graduate Students = 4 0

-------- ---------

TOTAL = 123 45

Decrease of 63.41%

Temporarily stopped due to few queries of COA.

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Outside Trainings/ Seminars Attended 2005 2006 Variance

No. Seminars Attended = 30 45 ↑ 50.00%

No. of participants:

1. Official Time = 10 170 ↑1,600.00%

2. Official Business = 1 36 ↑3,500.00%

3. Personal Time = 73 98 ↑ 34.25%

--------- ----------

TOTAL = 84 304

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Guided Educational Tours:2005 2006 Variance

Students = 1,545 2,277 ↑ 47.38%

CI/Prof’l = 58 100 ↑ 72.41%

Interviews:

Nurse = 176 117 ↓ 33.52%

MW/NA/Clerks = 18 17 ↓ 5.56%

Trainees = 60 39 ↓ 35.00%

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Affiliations:2005 2006 Variance

Affiliating Schools = 16 27 ↑ 68.75%

Affiliating Students = 4,649 3,760 ↓ 19.12%

Less number of students but with longer

days of exposure.

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Orientation of New NS Personnel:

2005 2006 Variance

Nurse = 58 20 ↓ 65.52%

MW/NA = 5 2 ↓ 60.00%

Clerk = 1 1 =

-------- -------

TOTAL = 64 23 ↓ 64.06%

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On-the-Job Training of NS Staff

Subspecialty Areas2005 2006

RemarksNurse MW/NA Nurse MW/NA

ICU (RICU/NICU) 31 2 29 0 ↓12.12%

Operating Room 3 3 4 3 ↑16.67%

Perinatology 3 4 4 4 ↑14.29%

Training & Research 0 0 4 0 ↑

Pulmonology 1 0 3 0 ↑200.00%

Emergency Room 0 0 5 0 ↑

Supervisory Group 2 0 1 0 ↓50.00%

Endoscopy 0 0 2 2 Chinese Gen.

Hospital

CSR NIV-1 5 0 0 ↓

TB Clinic 1 0 0 4 ↑300.00%

Radiology 0 1 0 0 ↓

TOTAL 42 15 52 13 ↑12.31

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Income Forwarded to Cashier:

2005 2006

Affiliation Fee = 369,630.00 505,592.00

Educational Tour Fee = 77,250.00 113,850.00

Practicum Fee = 3,000.00 0.00Income from Training:

PNTC = 119,598.26 59,500.00

ICU = 12,199.25 0.00

Product Demo = 5,000.00 0.00

-------------- ---------------

TOTAL INCOME = 586,987.51 678,942.00

Increase of 15.67% in income

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Competent and qualified training staff

Multi-tasking capabilities of training staff

Well established and updated training programsWell defined job description of staff

Strong linkages with colleges/schools of nursing

Excellent training ground for students’ pediatric

nursing affiliation (RLE)

100% IVF certified nurses

SWOT Analysis

STRENGTHS

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Limited working knowledge on computer

Inadequate training facilities

No specific area for conductingtraining/orientation programs

SWOT Analysis

WEAKNESSES

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Excellent training ground for both professional

nurses and nursing students

Attendance to staff development programs on

Official Business and Official Time

Linkages with affiliating colleges/schools of

nursing and other agencies

Revenue thru post graduate courses, affiliation

and educational tour

SWOT Analysis

OPPORTUNITIES

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Resignation of trained/skilled staff nurses who

are transferring to the academe

Pressure from external colleagues,Government officials re: employment and

affiliations

Outdated/deteriorating LNKNA trainingfacilities

Not accredited IVF Therapy training program

by ANSAP

SWOT Analysis

THREATS

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W/T Strategies

Attendance to seminars/lectures incustomer relations, frontliners and trainors

Continuous OJT in all specialty areas

Acquisition of new training facilities Close supervision and one-on-one

mentoring among newly hired staff

Provision of permanent area for conductionof training/orientation programs

Accreditation of IVF Therapy program by

ANSAP

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Resume the Post Graduate Training Programs for Nurses:

1. Pediatric Nursing Training Course (PNTC)

2. Skill Development Program on Neonatal and Pediatric

Intensive Care Nursing

Conduct computer literacy program among training staff

Encourage attendance to seminars and trainings for

trainors

Implement the newly approved affiliation fee guidelines

Upgrade the existing Qualifying Exams for Nurses

Facilitate accreditation of IVF Therapy program by ANSAP

Offer seminars/training programs for non-PCMC nurses

Increase to at least 50% of BLS/PALS/NALS trained staff

2007 Plans

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Intensify staff development programs

Provision of students’ lecture room and

lockers

100% computer literacy among training staff

Establish linkages with other agencies on

continuing education

5-Year Development Plan

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•Recruit and select qualified applicants for allpositions.

•Provide a positive organizational climate/work

atmosphere in which Nursing Service Personnel jobsatisfaction is attained.

•Apply supplemental knowledge on the basic

principles of management and supervision.•Demonstrate appropriate attitudes that will serveas springboard in decision making.

HUMAN RESOURCE

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Human Resourcesas of December 31, 2006

POSITION APPROVED ACTUAL VACANT

Dept. Manager III 1 0 1

Division Chief II 2 1 1

Nurse VI 1 1 0

Nurse V 4 4 0

Nurse IV 18 15 3Nurse III 21 20 1

Nurse II 81 78 3

Nurse I 65 64 1

Midwife II 63 63 0

Nursing Attendant 30 28 2

Secretary I 1 1 0

Clerk IV 2 1 1

Clerk III 12 11 1

TOTAL 301 287 14

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Staffing Complement

Breakdown of Turnover per Position

Posi-

tion

2005 2006

Resig-

nation

AWOL Retired Termi-

nated

Resig-

nation

AWOL Retired Termi-

nated

DM III 1DC II 1

NIV 3 1 1 1

NIII 1

NII 11 16 1 5 1 1

NI 3 5 2 3 5

MWII 2

NA 1 1 1

Clerk 1 1 1

TOTAL 19 22 5 2 12 8 2 0

S ffi C l

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Staffing ComplementBreakdown of Turnover per Ward

Ward 2005 2006Resignation AWOL Retired Terminated Resignation AWOL Retired Terminated

ER 1 1

CNS 1 2 2

1B 1 2 1 1 1

NBS 1 1ICNC 2 3 1

COM 2 1 2

2A 2 1 1

2B 2 1 1

2D 2 1 1 1ICU 4 5 3 1

PERI 1 3

OR 1 2 1

Super/

NSO

3 4 2 1

TOTAL 19 22 5 2 12 8 2 0

S ffi C l

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Staffing ComplementBreakdown of Turnover per Month

Month 2005 2006Resignation AWOL Retired Terminated Resignation AWOL Retired Terminated

Jan 1 2

Feb 5 2 3

Mar 4 1 2

Apr 1 1 1 1May 1 1 3 2

Jun 1 1 1

Jul 3 1 1

Aug 1 3 1

Sep 4 2

Oct 2 4 2 3

Nov 1 2 1 1

Dec 3 1

TOTAL 19 22 5 2 12 8 2 0

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Staffing Complement

Turnover Rate15.95%

7.30%

0.00%

2.00%

4.00%

6.00%

8.00%

10.00%

12.00%

14.00%

16.00%

2005 2006

4822

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Vacant Positions 2006POSITION J F M A M J J A S O N D

DMIII 1 1 1 1 1 1 1 1 1 1 1 1

DCII 1 1 1 1 1 1 1 1 1 1 1 1

NVI 0 0 0 0 0 0 0 0 0 0 0 0

NV 0 0 0 0 0 0 0 0 0 0 0 0

NIV 1 1 1 1 1 2 2 2 3 3 3 3

NIII 3 4 4 4 4 2 1 1 1 1 1 1

NII 1 2 0 0 1 1 3 2 3 4 4 3

NI 2 4 3 0 0 0 1 3 2 4 1 1

MWII 2 2 1 0 0 0 0 0 0 0 0 0NA 1 2 2 1 2 2 2 2 2 2 2 2

Sec I 0 0 0 0 0 0 0 0 0 0 0 0

CIV 1 1 1 1 1 1 1 1 1 1 1 1

CIII 0 0 0 0 1 0 0 1 1 1 1 1TOTAL 13 18 14 9 12 10 12 14 15 18 15 14

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LEAVES

2005 2006 Variance

EVL = 260 407 ↑ 56.5%

ESL = 1,104 1,477 ↑ 8.65%

SLP = 481 584 ↑ 33.78%

Maternity Leave= 26 25 ↓ 3.85%

AWOP = 42 41 ↓ 2.38%

Undertime = 344 397 ↑ 15.41%

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Overtime 2006 Number of hours per position per month:

MW NA NI NII NIII NIVJan 46 4 65.5 45.5 10.5 8

Feb 35.5 23 101 120.5 23.5

Mar 20 25 194 200.5 3.5

Apr 19.5 11.5 59 70 4 7.5

May 16 5.5 35.5 29 8

Jun 19.5 57.5 14 7

Jul 16 13.5 63 115 9.5 36

Aug 22.5 9.5 94.5 91.5 3.5 39

Sep 52.5 12 165 170 15.5 24

Oct 29.5 23.5 313 333 35.5 5

Nov 16 24 330 438.5 55.5 14.5

Dec 56 44 370 482 79.5 8

Total 329.5 195.5 1810 2153 231 180.5

4,900 Overtime Hours

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Overtime Pay

0

100000

200000

300000

400000

500000600000

700000

800000

2005 2006

0.73M

0.38M

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Nurse-Patient Ratio(Based on DOH Standards)

AREA IDEAL ACTUAL

ServiceWards

1 : 10 1 : 10-12

Pay Wards 1 : 10 1 : 8-10ICU 1 : 2 1 : 2-3

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PATIENT CARE:

Application of Nursing Process to:

•Identify the problems related to patient care and

formulate solutions to overcome them.

•Deliver best possible patient care thru multidisciplinaryapproach with minimum inputs to obtain maximum

results.

•Provide incidental learning experiences thru informaldiscussion of clinical and nursing management.

•Implement result of research studies conducted to

support and improve the quality of patient care.

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Patient Care

Patients taken cared of:

2005 2006 Variance

Pay = 6,140 6,347 ↑ 3.37%

Service = 7,474 7,140 ↓ 4.47%

----------- -----------Total = 13,614 13,487 ↓ 0.93%

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Patient Care

Patients reclassified from Payto Service:2005 2006 Variance

46 59 ↑ 28.26%

Interward Transfers:

2005 2006 Variance 12,199 10,902 ↓ 10.63%

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Patient Care (cont…)

Utilization of Specialty Areas:2005 2006 Variance

RICU = 53.68% 56.19% ↑ 2.51%

NICU = 50.06% 53.94% ↑ 3.88%

Post Partum = 25.79% 39.43% ↑13.64%

PERI = 39.29% 27.07% ↓12.22%

OR = 53.75% 50.23% ↓ 3.52%

AVERAGE = 44.51% 45.38% ↑0.87%

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Patient Care (cont…)

Occupancy Rate:2005 2006 Variance

1A = 62.46% 59.60% ↓ 2.86%2A = 77.95% 79.60% ↑ 1.65%

2B = 91.42% 75.28% ↓ 16.14%2D = 71.40% 67.07% ↓ 4.33%CNS = 68.41% 56.15% ↓ 12.26%1BS/S = 79.56% 57.39% ↓ 22.17%

NBS = 73.86% 78.04% ↑ 4.18%1CNC = 87.80% 82.66% ↓ 5.14%COM = 90.64% 83.66% ↓ 6.98%

----------- -----------

Average = 78.17% 71.05% ↓ 7.12%

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Occupancy Rate according toClassification

74.33%67.54%

82.97%

75.44%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

PAY SERVICE

2005

2006

R f D l d O ti 2006

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Reasons for Delayed Operations 2006

Late Arrival of Consultant 121

Late Arrival of Patient (OPD) 43

Late CP Clearance 18

No AFOD Available 57

No SFOD Available 29Both AFOD/SFOD not Available 2

No OR Suites Available 5

No Funds 5Patient’s/Surgeon’s Preparation 173

TOTAL 453

R f D f d/C ll d O ti 2006

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Reasons for Deferred/Cancelled Operations 2006

Did not comply with NPO 1

Done at Bedside 1

No Blood Available 2

No Consent 4

No Consultant Available 22

Not CP Cleared 180

No Funds 28

No Room Available for post-op accommodation 3

Patient Did not Arrive (OPD) 114

Patient Expired 1

Patient not Admitted (No funds, No Room, etc.) 16

Patient Went on HAMA 2

Procedure not indicated 1

TOTAL 375

I id t R t

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Incident Reports

Incidents 2005 2006

Absconded Patients 8 9

Alleged Peeping at Rm. 218 1 -

Adverse Drug Reaction - 1

Uncollected Doctor’s PF - 1

Attempted sneaking out of Pt. Banda 1 -

Alleged Unbecoming Behavior of Patients’Parents/Hospital Staff

8 5

Needle Prick( Employee) 6 3

Double charging of Medicine - 1

-Breakfast not served - 1

Lost money/cell phones/clothes 8 10

Deviation from Protocol 8 14

TOTAL 44 59

Incident Reports

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Incident Reports

Incident 2005 2006

Accidental Pulled-out Central/CTT/GT/Trache 2 3

Chemical Burn 19 11

Medication Error 18 19

Delayed Blood Transfusion 1 -

Fall 13 14

Needle Prick 6 3

Wrong Labeling of Specimen 3 3

Not referred (-) Urine Output within the shift 1 -

Alleged Deterioration of Patient - 2

-

Failure to return ‘Out on Pass’ patient - 1

Unmonitored Ceasing Fetal Heart Tone - 1

Unmonitored Deteriorating Neuro Vital Signs - 1

TOTAL 63 58

CSR

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To provide quality service by continuous

evaluation and modifications of nursingtechnologies thru effective utilization ofresources.

CSR

GENERAL OBJECTIVE:

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1. Deliver the highest quality service to its clients.

2. Revise and review policies, standards and

procedures periodically for consistency in the

delivery of care.

3. Develop cost-effective balanced budget for the

unit.

4. Forecast and anticipate future needs and plans

for the acquisition of needed resources.

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Mecical Equipment/

UNIT Supplies TV Rental Procedure SterilizationService Wards

1C - Non-Com 303,105.81 67,165.76 119,005.33 40,353.37

1C - Com 192,674.25 5,640.67 82,283.21 17,253.49

NBS 145,247.65 246,936.01 160,508.96 18,232.85

CNS 141,336.39 800.83 3,784.24 9,281.85

1B s/s 180,478.88 74,442.92 102,399.77 6,695.93

Sub-Total 962,842.98 394,986.19 467,981.51 91,817.49

Pay Wards 0.00

1A 237,843.78 45,821.17 44,256.43 11,134.89

2A 520,227.80 58,844.07 101,122.43 8,207.46

2B 460,385.03 48,946.38 8,319.85 2,397.76

2D 722,358.32 92,740.95 56,387.84 4,352.41

Sub-Total 1,940,814.93 246,352.57 210,086.55 26,092.52

Gross Income of General Wards

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UNIT Cylinder Pipe-inService Wards

1C - Non-Com 151,354.11 139,395.47

1C - Com 175,370.27 6,441.56

NBS 23,075.17 47,445.33

CNS 34,642.14 26,325.771B s/s 35,969.74 49,800.22

Sub-Total 420,411.43 269,408.35

Pay Wards

1A 0.00 15,276.10

2A 48,725.51 73,682.452B 1,566.90 509.46

2D 23,492.44 15,148.86

Sub-Total 73,784.85 104,616.87

Medical Gas

Gross Income of Different Wards

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Mecical

UNIT Supplies Procedure Equipment Cylinder Pipe-in Sterilization

Other Units

ICU 123,102.67 5,006.94 3,007,974.44 357,380.30 4,840,548.78 179,326.44

ER /OPD 0.00 0.00 0.00 0.00 16,360.68

Total 123,102.67 5,006.94 3,007,974.44 357,380.30 4,840,548.78 195,687.12

Medical Gas

Gross Income from Different Units

CSR

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CSRINCOME GENERATED

(Based on Charge Slips/OP)

2005 2006Direct Sales to Pts = 2,321,121.83 2,147,576.39 ↓ Medical Gases = 1,442.971.91 1,873,980.35 ↑

Sterilization = 350,806.59 313,597.13 ↓ Procedures = 397,865.30 683,075.00 ↑ Equipment/TV Rental=2,664,568.00 3,649,313.20 ↑

Others: Distilled H20 = 115,187.41 22,658.00 ↓ -------------------- ------------------

TOTAL = 7,292,521.04 8,690,200.07

Increase of 19.17% in CSR income based on Charge Slips/OP

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Budget Utilization

Allocated

Budget

Actual

Expenses

Allocated

Budget

Actual

Expenses

Medical Supplies (nursing) 4,714,791.68 3,606,279.65 4,060,919.08 3,102,496.97 Medical Supplies (other centers) 4,792,486.95 5,831,503.74 5,334,512.74 4,861,243.95

Semi-expandable 462,360.00 83,500.00 399,945.00 115,000.00

Office Supplies 305,047.14 160,635.15 274,416.75 121,860.64

Medical Gases 3,562,400.00 3,569,528.79 3,896,783.00 4,192,170.23

TOTAL 13,837,085.77 13,251,447.33 13,966,576.57 12,392,771.79

2005 2006

SWOT A l i

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Competent/Efficient personnel

Committed, highly motivated staff

Good working relationship

Well established policies and procedures

Updated pricelist and costing

Computer literate personnel

Well monitored/controlled supplies

SWOT Analysis

STRENGTHS

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Inconsistent implementation of policies

Pattern of tardiness among staff

Not ideal physical structure for ISO 9002 Standard

Inadequate issuance of supplies to the units

Not updated MR of equipment

Late delivery of supplies

Large volume of Quantified Free Service Not conductive temperature for storage of medicalsupplies

Lack of manpower

SWOT AnalysisWEAKNESSES

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Favorable work schedule for personnel

Good training ground for computer literacy

Developing skills in trouble shooting of equipments

Enhancement of knowledge in sterilization

process

Application of basic knowledge inaccounting and budgeting

SWOT Analysis

OPPORTUNITIES

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Budget constraints

Deteriorating status of medical equipments

Vulnerable to corruption Tendency of staff to avail of their early

retirement or resignation

Low supply demand

Lack of resources

Delayed submission of report

SWOT Analysis

THREATS

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W/T Strategies

Adhere to Qualification Standards inselecting new nurses

Attendance to seminars/lectures in

customer relations and frontliners

Continuous OJT in all specialty areas

Acquisition of new equipments thru

donation/in-house financing

Close supervision and one-on-one

mentoring among erring staff

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1. Continuation of automation system2. Improve monthly inventory of medical supplies

utilizing eNGAS

3. Re-Installation of Air-condition unit of CSR

4. Acquisition of new Sanitaire Machine

5. Continue computer literacy program among

CSR staff6. Repair of distilling machine

7. Upgrade of E.O. gas sterilizer

2007 Plans

Pl

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5. Requested / Approved additional equipment a) Hospital beds - 15 units

b) Linen Hamper - 12 units

c) Stretcher - 5 units

d) Post Operative Pump - 4 units e) Infusion Pump - 6 units

f) Syringe Pump - 12 units

g) Weighing Scale - 4 units

h) “E” Cart - 12 units

i) Computer - 2 units

j) Computer Printer - 1 unit

k) Breast Pump - 3 units

2007 Plans

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ISO Certified

5-Year Development Plan

S l i / W E

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Salaries / Wages Expense

2005 2006Salaries = 40,003,049.94 40,579,108.60

Insurance = 5,469,288.72 5,641,577.23

Overtime = 736,337.78 383,890.41

Allowances = 30,126,011.16 35,463,931.47

& Benefits --------------------------------------------

TOTAL = 76,334,687.60 82,068,507.71

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2005 2006

- 270.00

64,159.45 32,600.00

4,297,396.72 2,451,915.56

1,450,725.80 1,766,308.72

4,200,715.74 4,663,997.11

105,916.43 105,758.64

844,084.03 931,428.53 - 254,284.82

884,568.08 185,629.70

1,411,690.22 1,657,330.33

2,778,482.75 2,022,905.02

78,681.46 643,544.50

183,046.66 28,603.20

3,223.37 7,101.37

1,691,541.98 1,602,756.03

- 556.84

5,486.25 1,960.00

17,999,718.94 16,356,950.37

Fidelity Bond Premius

Repair and Maintenance-Office Equip

Other Miscellaneous

Security Services

Total Maintenance & Other Operating Expens

Documentation & Others

Post Graduate

Depreciation Expense

Janitorial Services

NURSING SERVICES DEPARTMENT

MAINTENANCE & OTHER OPERATING EXPENSES

General Services

Training Expense

Travelling Expense - Local

PHILIPPINE CHILDREN'S MEDICAL CENTER

Consultancy ExpensesAuditing Expenses

Telephone Expenses-Landline

Electricity Expenses

Water Expenses

Office Supplies Expenses

1.6M reduction in MOOE

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2005 2006

Direct Sales 2,321,121.83 2,147,576.39

Medical Gases 1,442,971.91 1,873,980.35

Sterilization 465,994.00 336,255.13

Procedures 397,865.30 683,075.00

Equipment/TV rental 2,664,568.00 3,649,313.20

Affiliation Fee 369,630.00 505,592.00

Educational Tour Fee 77,250.00 113,850.00

Practicum Fee 3,000.00 -

Training Fee 131,797.51 59,500.00

Product Demo 5,000.00 -

7,879,198.55 9,369,142.07

76,334,687.60 82,068,507.71

17,999,718.94 16,356,950.37

94,334,406.54 98,425,458.08

(86,455,207.99) (89,056,316.01)

PHILIPPINE CHILDREN'S MEDICAL CENTER

NURSING SERVICES DEPARTMENT

INCOME STATEMENT

CSR INCOME:

TOTAL INCOME:

TRAINING & RESEARCH INCOME:

LESS: PERSONNEL SERVICES and MOOEPersonnel Services

TOTAL: Personal Services & Operating Expense

Maintenance & Other Operating Expenses

NET INCOME / LOSS

ar2006 final

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