medical center chief corner - secretary of health

Medical Center Chief Corner

MONSERRAT S. CHICHIOCO, MD, FPSP, MBA-H, CHA Medical Center Chief II Jose B. Lingad memorial Regional Hospital

Editorial

Editorial Board

Monserrat S. Chichioco, MD Alfonso C. Danac, MD

Misael C. Cruz, MD Emerita C. Danac, MD

Editorial Consultants

Gertie L. Jimenez, MD Editor in Chief

Jose Erwin L. Enriquez, MD Associate Editor

Rechelda G. Dione, RN Managing Editor/ Cover Design and Lay-Out Artist

Staff Writers:

Ana Kristine V. Bermudez MD Maureen B. Malabong, RND Madelene Jezer T. Co, RND Clark Steven S. Dela Paz

Contributors:

Joy Aiza R. Sombillo, MD Dianne Marie A. Ramos-Ambat, RPh

Robert J. Almario Rona S. Cortez

Photographers:

Maria Kareena Dumpit, RND Rechelda Dione, RN

Jay de Guzman Michael Rocabo

What’s Inside 02 … Medical Center Chief’s Corner

02 … Editorial

03 … Establishment of Malasakit Center at

JBLMRH

04 … Universal Health Coverage: Key in At-

taining National Wellness

05 … The World Without Antibiotics

06 … In Focus: Understanding Acute Otitis

Media

06 … The Emergency Room (continued to

page 13)

07 … From a Patient’s Point of View

07 … JBLMRH Clinical Nutrition Team

08 … Kawani Goes to Party!

10 … JBLMRH Responded to Typhoon

Ompong Victims

10 … JBLMRH’s Shake Drill Video Contest:

Advocacy of the Disaster Risk Reduc-

tion in Health Organization

11 … NDAP Pampanga Chapter Inducts Offic-

ers and Holds a General Assembly

11 … JBLMRH Poison Control Center Staff

conduct Lecture on Basic Toxicology

12 … Use of Electronic Medical Record at the

OPD

12 … Bridging the Gap: To Reach the Unreach-

able areas towards 100% Expanded

Newborn Screening

13 … WHO Holds Early Essential Newborn

Care and Kangaroo Mother Care Work-

shop

13 … Emergency Medicine Resident goes to

Indonesia

14 … Highlights of Medicine Week Celebration

14 … APIR to Iwas Paputok

16 … Make your Hospital Proud

16 … Patakaran ng JBLMRH na Dapat Sundin

pamaglingap

PAMAGLINGAP NEWSLETTER ISSN 2018-002 2

Welcome to the second issue of Jose B. Lingad Memorial Regional Hospital’s newsletter, Pamaglingap. Here at JBLMRH, we welcome the year 2019 full of hope, wishes for peace, a heart full of gratitude for this fruitful year, and a healthy year for all of our clients, partners, and stake-holders.

The second issue of Pamaglingap shall feature a few of JBLMRH’s milestones for the year 2018 including the launching of the Malasakit Center, the establishment of our Poison Control Center, and the use of electronic medical records system. Moreover, this issue shall give you high-lights of the events and activities participated in by our doctors, nurses, and staff including the deployment to aid the victims of Typhoon Ompong in Tuguegarao, the conduct of anti-microbial stewardship trainings, the celebration of medicine week and nursing week, and our thrust towards universal healthcare.

In the previous year, our institution has made great strides towards our accomplishments. Our staff’s hard work, contributions and participation to hospital initiatives has been essential to our success. We may have experienced a few hurdles towards our way and while it has been chal-lenging at times, we overcame these struggles in order to attain our goals which is to always build growth, be competent, and establish an outstanding reputation as a healthcare institution.

In this year, my hope for everyone is to further improve our customer commitment, seek out opportunities for personal growth, and continue addressing challenges head on. As an organi-zation, we shall continue to invest in our staff by providing additional training and learning oppor-tunities, and in our infrastructures and equipment to better meet the needs of our clients. To the JBLarians, I encourage everyone to look for ways to increase your participation in helping make JBLMRH more effective, efficient, and competitive. To our clients, trust that with our commitment, compassion, and hard work, we will continue in providing better and world-class services for you.

Magandang buhay sa ating lahat!

Vaccinate!

We have bid the year 2018 goodbye, with all its worries and burdens, buried the problems and struggles in the pit. And welcome the year full of hopes and dreams and with renewed spirit.

It was in year 2018 when health was noticeably challenged by Dengvaxia Scare, resulting to a decrease in children’s tried and tested standard scheduled immunizations. A recent report of 376% increase in the incidence of measles in by the World Health Organization(WHO) is indeed alarming, coupled with an out-break report from Zamboanga City. From January to November 2018, there were 17,298 reported cases in the country, compared to only 3,706 cases from January to November 2017. In Zamboanga City, 495 measles cases were reported from January to September 2018, six of them resulted to death.

And death of even just one child cannot just end up in the census. It is a great loss especially for the parents, for the family.

So who is responsible?

Everybody is. Everybody should be.

The unvaccinated child is like a bubble waiting to burst anytime a threat-ening bacteria/virus nears to pop it. The child should be protected at all cost. The government has been providing free routinely recommended vaccines on its Ex-panded Program on Immunization (EPI) since its establishment in 1976. This pro-vides protection from six vaccine preventable diseases namely: Tuberculosis, Polio-myelitis, Diphtheria, Tetanus, Pertussis , and Measles. From its implementation, the Philippines has maintained it polio-free status from year 2000, and decreased the incidence of the previously mentioned diseases.

Not until the Dengvaxia scandal, when parents have hesitated to send their children for vaccination out of fear. Hence, a rise in the incidence of the infec-tious diseases such as measles.

As parents or guardians of these unvaccinated children, they have the responsibility to provide health for the children. The government has been exerting efforts, knocking at their doors, to increase awareness that the EPI is different from Dengvaxia. EPI has been tried and tested.

It is with high hopes in the coming year that the trend would turn around, praying an increase in protection and decrease in incidence of the different vac-cine-preventable diseases. Protect our children. Protect our future generation.

Vaccinate.

The 10th Malasakit Center in the country was opened at Jose B. Lingad Memorial Regional Hospital by Special Assistant to the President (SAP) Secretary Christopher Lawrence “Bong” Go last October 8, 2018.

Malasakit Center, under the initiative of Presi-dent Rodrigo R. Duterte is a multi-services program that aims to extend financial assistance for quality medical care for all Filipinos. It is a one-stop shop where Filipinos can get medical assistance under one roof. With the establishment of this center in JBLMRH, Kapampangans can now avail of the said assistance provided by various government agencies such as the Department of Health (DOH), Philippine Health Insurance Corp. (PHIC), Philippine Charity Sweepstakes Office (PCSO), Department of Social Welfare and Development (DSWD), and the Philip-pine Amusement and Gaming Corporation (PAGCor).

The unveiling of the Malasakit Center marker was headed by SAP Sec. Bong Go, assisted by Spe-cial Assistant to the President – Visayas, Sec. Michael Diño. This was followed by a short program where he mentioned that during his visit in the province last August, while providing relief assistance to flood vic-tims, he promised to put up Malasakit Center in

Central Luzon.

A ₱5-Million check was handed by SAP Bong Go to Medical Center Chief II, Dr. Monserrat S. Chichio-co, in a turn-over ceremony. The initial fund is allot-ted to patients qualified for the Malasakit Center Pro-gram subject to liquidation and replenishment after 50% utilization.

SAP Bong Go mentioned in his speech that the Malasakit Center also aims to lower the hospital bill of patients to a minimum or “zero balance” if possi-ble after deductions from the assistance provided by the abovementioned agencies. A priority lane will al-so be provided for senior citizens as well as for per-sons with disability.

Establishment of Malasakit Center at Jose B. Lingad Memorial Regional Hospital

PAMAGLINGAP NEWSLETTER ISSN 2018-002

Malasakit Center where people of central Luzon can get medical assistance from government agencies such as the DOH, PHIC, PCSO, DSWD, and PAGCor under one roof.

3

SAP Sec. Christopher Lawrence “Bong” Go together with Office of the Presidential Assistant for the Visayas (OPAV) Sec. Michael Dino, Medical Center Chief, Dr. Monserrat S. Chichioco, Governor Lilia G. Pineda, Vice Governor Dennis Pineda and the Sanggunian Panlalawigan (Board Members) and other Local Officials of the province of Pampanga.

GERTIE L. JIMENEZ, MD, DPOGS

The unveiling of the Malasakit Center.

“Bawal magkasakit.” How often do we hear this statement from people around us? Indeed, this has become a mantra for Filipi-nos who vigilantly watch over their health as a precau-tion amidst the rigorous demands of work, stress, and other environmental factors. People regard being in good health as their source of wealth; otherwise, people who get sick oftentimes are burdened not only with physical illness but financial woes as well. Imagine a typical Filipino family who barely sur-vives on the salary of the father and/or mother. When one of their family members fell critically ill, the cost of the hospitalization would often take its toll on their sav-ings - or worse, make the family indebted just to cover the bills.

Thus comes the Universal Health Coverage (UHC) bill which aims to have “every Filipino citizen entitled to healthy living…access to a comprehensive set of health services without financial hardship.” This means, that every Filipino will be able to get access to medical facili-ties and services either for contributory (premium con-tribution from payroll) and non-contributory (fully subsi-dized premium from tax collections by the national gov-ernment) members. All they have to do is apply. The bill recognizes that Filipinos need more than just insurance coverage for their medical needs. For non-working citizens such as the elderly, insurance cov-erage is often a challenge and sometimes not granted. With this bill, Filipinos whether young or old, wealthy or poor, are automatically granted the right to health due to his or her citizenship as a Filipino. All will get access to the health services they need -- from health promo-tion to prevention, treatment, rehabilitation, and pallia-tive care. UHC aims to centralize the management of medical services -- the Department of Health (DOH) will finance population-based services, set standards, and integrate the medical needs of the population. Meanwhile, PhilHealth will finance all individual-based

level services as a single national purchaser. This is the reason why PhilHealth is changing its name from Philip-pine Health Insurance Corporation to Philippine Health Security Corporation (PHSC) -- indicating a shift in its commitment to provide financial security to health in-stead of just paying for the people’s health services. The bill has garnered much interest due to the significant benefit it will contribute to all Filipinos. At present, the congress has already passed House Bill No 5784 (UHC) for its third and final reading. A counter-part Senate Bill 1458 was also filed by Sen. JV Ejercito, the chair of the senate committee on health. In fact, the UHC Bill is identified as a priority bill by both Congress and Senate. It is with great hope that we, Filipinos, look for-ward to a future where medical services are accessible to all. That all are secured in the knowledge that quali-ty and competent medical care is provided to all of us -- for our grandparents, parents, ourselves, and our chil-dren. Indeed, when this time comes, we will all say that

“Health is wealth.”


Universal Health Coverage: A Key in Attaining National Wellness

Photo grabbed from Medical Observer

Photo grabbed from moneymax.ph

Every Filipino will be able to

get access to medical facili-

ties and services.

Photo grabbed from Entrepreneur Philippines

ANA KRISTINE V. BERMUDEZ, MD

The development of antibiotics was a brilliant discovery. It altered the viewpoint on health and the perspective on treating diseases. They are fantastic molecules that have become crucial and essential to modern medicine, making lethal infections readily treatable and making other medical advances unfath-omable.

Paradoxically, at present, antibiotics have be-come a victim of their own success. Microorganisms are gradually becoming resistant to existing antibiot-ics and have become one of the most serious and growing global threat to public health because of its misuse and abuse. Thus, they’re becoming useless against diseases they used to cure and have become less effective over time, simply because they weren’t used right. The World Health Organization (WHO) says that millions of individuals are infected with anti-biotic-resistant organisms, resulting in approximately 10,000 deaths annually.

Unfortunately, the pace of antibiotic develop-ment through the years has not kept up with the fast growth of bacterial resistance worldwide.

In recognition of the urgent need to vanguard

antibiotic use, the WHO and the DOH embarked on the initiative to raise awareness about the threat of antibiotic resistance and the importance of prudent antibiotic use. At present, policies for improving anti-biotic use and Antimicrobial Stewardship (AMS) pro-grams are evolving worldwide.

JBLMRH spearheaded the commencement of the institution’s AMS Program in 2015 and implement-ed its policies in 2017. Recognizing antibiotic re-sistance as a global health issue as well as a national priority, tangible actions are now being executed by JBLMRH physicians, pharmacists, nurses and microbi-ologists to address within the health system patient-

rational-antibiotic-use.

In relation to the regional and country-wide

initiative to institutionalize the AMS program to level II and III hospitals, JBLMRH being one of the five AMS Pilot Hospitals nationwide partnered with the DOH-Pharmaceutical Division. To forefront strict AMS implementation, they organized three AMS training programs to raise awareness and reinforce firm action to preserve all prevailing antibiotics. Seven govern-ment and forty eight private hospitals all over Luzon were trained to generate a multi-sectoral-tide-change to combat antimicrobial resistance.

The battle is widespread with few warriors to fight. However, as mentioned during the training, if all physicians practice optimal prescribing of antibiot-ics and give clear instructions to patients to guaran-tee accurate use, if all pharmacists practice pharma-cy-driven interventions in dispensing, if all nurses re-view medications as part of their routine duties, if all medical technologist work collaboratively to ensure that lab reports present data that supports optimal antibiotic use, if all health workers teach and prac-tice simple hygiene to reduce infections, if all patients adhere to complete antibiotic regimen intake, then, the war against antimicrobial resistance in today’s world will be won.

If antibiotics will be inadvertently used, there will come a time that even a simple infection can be hardly treated. Hence, it is difficult to envision the future without effective antibiotics to use.

With all of these happen-ing, imagine what the world will be without antibiotics.

The World Without Antibiotics

DIANNE MARIE A. RAMOS-AMBAT, RPh

WHO representative, Miss Carmela Barcelona discussing the world’s AMS Update


Dr Monserrat S. Chichioco, during her welcome address in the first AMS Training at Savannah Hotel-Clark

Otitis media (OM) is the second most common infection in young children following upper respiratory tract infections (URTI) . It is defined as inflammation of the middle ear.

To understand the development of middle ear infection, one must be familiar first with the basic structure of the ear.

We basically have an outer ear ( the pinna and the external auditory canal up to the eardrum), a middle ear (which contains the 3 smallest bones in our body) and an inner ear (which houses the hearing and a person’s balance system).

The middle ear is a bony compartment filled with air (the ear-drum being the only non bony side) and communicates with the nose and throat via eustachian tube which in turn functions as a drainage and a ventilation system as well as a pressure equalizing system (by virtue of its ability to open and close). Pressures in the middle ear should always be equal to ambient pressures outside of the eardrum. A failure in one of these functions of the eustachian tube is often the cause of middle ear problems. So how does one develop otitis media?

Any event that elicits an inflammatory reaction in the upper airway (allergies, viral infections, pneu-monia, ade-notonsillitis) will cause swelling around the opening as well as in the inner lining of the eu-stachian tube compromising its

functions of drainage, and pressure equalizer. Consequent sneezing, sniffling and blowing of nose will inadvertently “suck out” the air from the middle ear via the incompetent eustachian tube creating a vacu-um or a negative middle ear pressure causing the eardrum to retract inward. This is the first stage of OM- Eustachian tube dysfunction. Patients typically notice ear fullness and mild earache.

If the inflammation is left untreated, the progressive nasal con-gestion and mucous production will promote fluid formation and ac-

cumulation within the middle ear cavity. Again, with the ET unable to drain well, this fluid fills up the middle ear and now pushes the re-tracted ear drum outward, which can perforate if the pressure build up is great. This is the second stage of OM- exudative stage. Pain and hearing loss is more pronounced and fever sets in.

Third stage is suppuration of the middle ear fluid whereby bac-terial growth sets in causing malodorous and discoloured discharge. The entire process may be as short as a few days or may span a few weeks.

The disease may resolve if treated adequately and the eardrum may heal altogether, or it can become a recurring problem if left un-checked progressing to a chronic form or worst, developing complica-tions necessitating surgery.

It is always best to see your friendly neighborhood ENT if and when the above signs and symptoms are observed when one has bouts of upper URTI. Acute otitis media is reversible and easily treat-ed. Dealing with late complications like chronic ear discharge, deaf-ness and even dizziness may be acceptable to some, but life threat-ening complications like meningitis and brain abscesses are truly dev-astating, tragic even.

In Focus: Understanding Acute Otitis Media JOSE ERWIN L. ENRIQUEZ, MD


Inflammation and fluid accumulation in the

middle ear

Equal Air Pressure

Unequal Air Pressure

The Emergency Room

All actions in one room - the Emergency Room.

In any hospital, one would expect most of the actions in the emergency room. Much more would you expect in a regional hospital catering from simple non-emergency cases to complicated ones coming from different hospitals near and far.

The Emergency Department of Jose B. Lingad Memorial Regional Hospital (JBLMRH) humbly started way back in 1920’s on the first floor of the Capiz Building when the hospital initially started as an 8 bed facility. In the late 1990s, the construction of the front-line building was done where the Emergency room (ER) was strate-gically placed at the second floor. With a history of flooding during rainy seasons, its location addressed the logistical problem. The services started to expand offering consultation from the 3-training specialty; Internal Medicine, Pediatrics and Surgery.

In 2010, under the leadership of Dr. Alfonso Danac, the then appointed ER Head, the growth of the department accelerated. Guidelines, policies and services toward patient care were strength-ened. Various equipment were procured and renovation of the ER complex was done to accommodate more patients.

Two divisions of the ER was created to address the need to expand the services. First is the ER Services which is headed by the

ER Officers. The ER Officer acts as the over-all ER Consultant on a 24/7 duty with primary objective of ensuring provision of optimal emergency care to all hospital patients. The ER officers are mostly consultants who are graduates of JBLMRH specialty trainings (Internal Medicine, Pediatrics and Surgery). Second is the specialty training on…

Continued on page 13

JOY AIZA R. SOMBILLO, MD, FPCP

From a Patient’s Point of View

CLARK STEVEN S. DELA PAZ


In our efforts to maintain a high quality customer ser-

vice, we regularly check and get our patients’ opinion and

point of views. Aside from the Survey Forms or “Sarbey sa

Paglilingkod” form that we give out to the patients so they

could rate our services and write in their comments or sug-

gestions, we also did an actual interview from random pa-

tients so we could get a glimpse of their overall experience

and the quality of service they received from us. We inter-

viewed several patients/ patient’s relative and asked them

their wishes for JBL MRH this coming Christmas and what

other things or services they would like us to improve. If

you could still remember from our previous article, we also

did the same casual talk with patients and I’m really proud

that I got the same positive response. Here are the things

they have to say about us:

“Wala naman ako masabi. Bilib naman ako sa lahat ng doctor and nurses. Siguro talagang oras na at kritikal na asawa ko (patient referring to her patient who passed away) pero ok po lahat ng serbisyo at pasilidad.” – Anony-mous “Sana matulungan lahat ng indigent, so far satisfied naman ako sa services.” – Cecilia Flores “Okay naman lahat. Mababait naman silang mga staff.”– Jovel Salvador

“Wish ko magpatuloy yung mahusay na pag-aalaga at pagsesebisyo sa mga pasyente.” - Elisa V. Abia “Maayos po lahat. Okay lahat ng services na naibigay sa amin. Satisfied at malinis ang hospital. -James Cajucom. “Wish ko, ang pagpapatuloy ng magandang serbisyo at marami pang matulungan. The best po lahat ng staff at mababait ang mga doctor. Continue lang ang best services. Malinis, hindi nangangamoy gamot. Kahit madaling araw may naglilinis. Taga Tarlac po kami pero dito pa kami nag-punta dahil madaming nagsasabi na okay po dito. The best ang serbisyo. Mura na, malinis pa.”- Marwin Miclat. “Ok po ang treatment. Mababait ang mga nurses and doctors. Yung wish ko ay pagpatuloy yung mabuting treat-ment sa pasyente. Malaki na ang improvement dito. Last year naoperahan din kapatid ko dito.” –Anonymous “Ok naman po. Good service po ang natanggap ko dito. Ok po lahat ng serbisyo nila.” –Evangeline Patio

To all our patients, we appreciate all your positive

feedbacks. Our dedication in providing the best customer

service will continue, offering equal opportunities for every-

one for the satisfaction of our customers. Merry Christmas

to all.

JBLMRH Clinical Nutrition Team

George Washington Carver once said, “ WHERE THERE IS NO VISION, THERE IS NO HOPE.”, a saying apropos for the Clinical Nutrition Team (CNT) of Jose B. Lingad Memorial Regional Hospital (JBLMRH).

The creation of a CNT was conceptualized early this year by Dr. Misael Cruz (a radiation oncologist and a clinical nutrition physician) and the JBLMRH clinical dietitians. The team started with a vision; a vision of well-nourished patients, healthier employees and a team full of

passion and enthusiasm. Its objectives are (1) to improve patient care and outcomes through the widely accepted benefits of nutrition care management, (2) to enhance the practice of nutrition by applying it in the clinical set-up, and (3) to promote participation of the nutrition and dietetics

service in the multidisciplinary management of patients,

assuring complete care of the patient. Initial plan is to let the nurses do the nutrition assess-ment which will then be validated by the clinical dietitians who in turn shall come up with the nutrition care plan. Complicated cases will be eventually referred to the clinical nutrition physician for management. After a series of meetings and brainstorming, the CNT was formally presented to the Management Committee (MANCOM) of the hospital last October 15, 2018 by Dr. Misael Cruz. A representative from each concerned depart-

ment were identified to be a part of the CNT. Much is ex-pected from this newly-formed team but hopes are high that the vision will eventually become a reality.

COMPS Dr. Alfonso Danac together with the JBLMRH Clini-cal Nutrition Team headed by Dr. Misael C. Cruz, Nutrition and Dietetics Service head, Mrs. Angelita S. Pascual.

Brainstorming and formal presentation of JBLMRH Clinical Nutrition Team to the Management Committee

MAUREEN B. MALABONG, RND

Kawani Goes To Party!

Bringing their hearts out, it was a night of fun and food, mixed with laughter, over a showcase of talents and recognitions. The employees of Jose B. Lingad Memorial Regional Hospi-tal took a brief break from their busy as a bee schedule and spent the night enjoying the Christmas Party held at the Administration parking area on December 17, 2018.

The day started with a mass officiated by Fr. Mar Miranda and sponsored by the Department of Obstetrics and Gynecology. At night, the program started with the Invocation led by the JBLMRH Chorale. Guests and employees were welcomed by the Medical Center Chief, Dr. Monserrat S. Chichioco. This was followed by the presentations of the three divi-sions namely the Nursing Service, Medical and Ancillary Service and, Administration and Finance Division. The three groups showed their creativity and talents based on their assigned themes: HipHop for Nursing, OPM Retro for Medical and Ancillary, and Rock and Roll for Administration and Finance. The Nursing Service emerged as the champion, now on its third consecutive year. Second place winner was the , Medical and Ancillary division while the Third place winner was the Admin-istration and Finance, taking home P20,000, P15,000 and P10,000 respectively. The program was made more lively with the wit and fun of the hosts Riche Caburnay and Michael Jorge Fuljenco.

“The Incident Report” - the JBLMRH band composed of talented nurses and doctors playing old and new soundtracks, entertained the crowd. Employees dressed for the night were chosen and awarded best in cos-tume per department-based on criteria an-

nounced. Adding up to the excitement were the rffle prizes given away during dinner time and in between the presentations. Taken home by the lucky winners were P20,000 cash, 32 inch Smart TV, Home entertainment system as major prizes and microwave oven, among many other minor prizes. Retirees for the year were honored and service awardees were recognized for their precious and productive time spent at JBLMRH. The Human Resource Department also announced the well-deserved employees among the nominees from each Division. The following were recognized based on each set of criteria. Outstanding Employees 2018 Medical Division: Joy Aiza Sombillo, MD Nursing Service: Sandra M. Razon, RN Finance Division: Girly Evangelista Administration: Rommel Calilung Ancillary and Allied Medical Service: Kevin Catap MCC Service Award: Lart Vital Notable was the MCC Choice Award which was given to a remarkable individual who exemplified the JBLMRH’s “Service with a Smile”, Lart Vital from the Dietary department. His infectious smile brings out good vibes and positive emotions to patients and employees to whom he serves and distributes meals during daily rounds as well as during numerous activities and events in the hospital. A highlight of the Christmas party was the presentation of the MANCOM headed by Dr. Monserrat S. Chichioco who danced the night away. Many were surprised with the dance moves of COMPS Head Dr. Alfonso Danac and Chief Nurse, Luz Chiong in their participation in the group presentation as well as in the MANCOM presentation.

PAMAGLINGAP NEWSLETTER ISSN 2018-002 8 Judges during the dance contest, (left to right) Mr. Tony Legaspi, Ms. Erica Joyce Laxamana, Mr. Chester Carlos and Mr. Patrick Caballa.


PAMAGLINGAP NEWSLETTER ISSN 2018-002 9 JBLMRH retirees joins the celebration

OPM Retro theme for Medical Ancillary with the Medical Center Chief, Dr. Monserrat S. Chichioco Outstanding Employee 2018 Nursing Service : Sandra M. Razon, RN

Outstanding Employee 2018 Finance Division: Girly Evangelista

Outstanding Employee 2018 Medical Division: Joy Aiza Sombillo, MD

Outstanding Employee 2018 MCC Service Award: Lart Vital

Rock and Roll theme for Administration and Finance

The Champion, Nursing Service together with Chief Nurse, Mrs. Luz M. Chiong.

JBLRMH Responded to Typhoon Ompong Victims

MADELENE JEZER T. CO, RND

The Cagayan Region was affected by Typhoon Ompong last September 15, 2018. The Depart-ment of Health (DOH) Regional Office of the said region requested for augmentation of their logis-tics as they were expected to respond to the needs of affected residents. An emergency response team from Region 3 was formed to cater to the immediate health care needs of the people. The team, headed by Dr. He-na Aldaba-Papio, was comprised of doctors, nurs-es and allied health professionals from Jose B. Lin-gad Memorial Regional Hospital (JBLMRH) and DOH-Region 3 Office. They were assigned in the typhoon-stricken municipalities of Baggao and Penablanca. The team stayed there for 3 days and rendered medical and surgical check-ups, pro-vided free medicines and conducted lectures on mental health and psychosocial support.

JBLMRH’s Shake Drill Video Contest: Advocacy of the Disaster Risk Reduction in Health Organization


In celebration of the National Disaster Awareness Month, a video contest was held at JBLMRH last July 2018 to promote the Advocacy of the Disaster Risk Reduction in Health Organization (formerly known as Health Emergency Management Staff) in disaster preparedness.

A total of 21 departments and units competitively par-ticipated, following the rules that the video will be two minutes long, at least five plantilla personnel will join and the composition will be original. The theme of the contest was disaster preparedness, eliciting the readiness of the hospital in case of a disaster especially earthquake like the much publicized “The Big One”. The contest was funded by the Health Emergency Management Bureau and was judged by the hospital’s Ex-ecutive Committee, headed by MCC Dr. Monserrat Chichio-co. The winners were as follows: First place: The OPD demonstrated numerous disas-ter preparedness tips from what to do in storm surge, fire prevention, preparation of go-bag for disaster and a win-ning slogan of OPD - “Ok ka ‘pag Planado sa Disaster”

Second place: Pediatric Nursing Ward demonstrated the proper steps in evacuating patients in the ward high-lighting the role of nurses in the form of an original song and dance.

Third place: The Finance division danced away the difference between a disastrous and an orderly evacuation of office employees.


The EXECOM actual grading of the 21 departments and/or units who participated in the contest

NDAP Pampanga Chapter Inducts Officers and Holds a General Assembly

The Nutritionist-Dietitians’ Association of the Philip-pines (NDAP)-Pampanga Chapter had its induction of offic-ers and general assembly last November 30 at the Surgery Conference Room of JBLMRH. “Empowering Nutrition Practi-tioners for Tomorrow’s Health and Wellness Challenges” was the theme of the said event. It was attended by nutritionist-dietitians from various private and government hospitals of Pampanga, Tarlac and even Benguet. The participants re-ceived a broad range of knowledge from career and person-ality development to nourishing the critically ill in the ICU. Dr. Alfonso Danac, our COMPS gave a warm welcome to the participants. He mentioned the small beginnings of the dietary unit which transitioned not only to an improved facility but with a higher standard in the clinical realm like-wise. He proudly announced the recent launching of the clinical nutrition team which is now becoming a dream come true. A nutritionist who holds a Master’s degree in clinical nutrition, Ms. Eloisa Villaraza, opened the lecture series with the topic Clinical Updates and Food Service Updates. She encouraged the attendees to even get better in serving food especially with the diets that tend to be boring and monoto-nous. She shared tips on how to present meals in an appe-

tizing manner particularly to dysphagia and dementia pa-tients. This was followed by an energetic lecture about Invig-orating the ND Career by the NDAP National President her-self, Ms. Zenaida Velasco. She taught the participants on how to wisely advance their career as a nutritionist and also gave pointers to be more effective and efficient. Diabetes is one of the most common non-communicable diseases at present, so a lecture about the Medical Nutrition Therapy in Diabetes Management was given. After this lecture came the induction of newly elected officers. The officers took an oath in front of the other at-tendees who served as witnesses. Following the oath taking, the regional vice president for North Luzon, Ms. Pelin Belino inspired the members of the Pampanga chapter to continue to become proactive in their activities. She stated that the participants need more seminars and trainings and the local chapters nationwide can play a very big role in providing such. Ms. Florinda Pan-lilio delivered a lecture on the roles of the dietary depart-ment in the disaster risk reduction and management. Dr. Allen Mallari, the secretary of the Pampanga Medi-cal Society answered clearly the questions of the attendees about the critical care in nutrition for the ICU patients. Ms. Celeste Palad, a nutritionist of JBLMRH and a Phil-ippine Integrated Management of Acute Malnutrition (PIMAM) trainer closed the lecture series. She expounded about PIMAM which is a program of the government to end moderate and severe acute malnutrition. And lastly, our own nutritionist, Ms. Gloria Castillo, the president of the Pampanga chapter thanked and wished everyone all the best for the chapter. Truly, it was an empowering first assembly for the NDAP Pampanga chapter and everybody is looking forward for future activities.

JBLMRH Poison Control Center Staff Conduct Lecture on Basic Toxicology

The Jose B. Lingad Memorial Regional Hospital (JBLMRH) Poison Control Center, in collaboration with Pro-fessional Education and Training Unit (PETU), conducted a lecture on Basic Toxicology at the JBLMRH Auditorium on July 27, 2018.

The lecture was delivered by the Dr. Leslie T. Gar-cia, clinical and occupational toxicologist, together with her team which included toxicology nurses, analytical toxicolo-gists, and poison information specialists. The team dis-cussed the General Principles in Poisoning Management, Emergency Stabilization of Poisoned Patients, Clinical Eval-uation and Toxidromes as well as Analytical Toxicology, Elimination of Poisons and Antidote Administration.

The lecture aimed to develop the hospital health professionals’ basic knowledge in toxicology through provi-sion of up to date information and advice on diagnosis, prognosis, treatment and prevention of acute poisoning cases referred to our institution.

A total of 33 JBLMRH employees, majority of which were nurses and doctors, attended the lecture.

ROBERT J. ALMARIO, RN, MSN, MAED

Oath taking of Nutritionist-Dietitians’ Association of the Phil-ippines (NDAP)-Pampanga Chapter Officers held at JBLMRH.


MAUREEN B. MALABONG, RND


As one of the DOH-retained hospitals, Jose B. Lingad Memorial Regional Hospital makes sure that 100% of new-born are given basic health services such as umbilical cord care, eye prophylaxis, administration of Vitamin K, thermal care, immunization services, hearing screening and newborn screening (NBS). JBLMRH has been screening newborns since 2012 and maintains 100% screening coverage among newborns. Like-wise our institution also extend services even to outborn ba-bies The JBLMRH- NBS Team together with the Health Pro-motion and Wellness Services and Nutrition and Dietetics De-partment conducted a community outreach program entitled “BRIDGING THE GAP: To Reach the Unreachable Areas To-

wards 100% Expanded Newborn Screening” in celebration of the Newborn Screening Week last October 2018. This is the second year of the said event. The objective of the project is to serve areas where Expanded NBS is not available and to educate mothers on the importance of NBS. The activity in-cluded lectures on essential childcare services among patients of JBLMRH. Simultaneously, lay forum for postpartum moth-ers and pregnant women from Lubao and Mabalacat were also given. Free ENBS services were given to unscreened ba-bies from the said municipalities. A total of 758 parents and guardians attended the said activity. One hundred beneficiaries were also identified to receive free Expanded NBS. JBLMRH aims to observe the Newborn Screening Week through community outreach activi-ties every year.

The Outpatient Department (OPD) launched the use of Electronic Medical Record (eMR) last October 4, 2018. The first department to implement such innovation was the de-partment of Obstetrics and Gynecology (OBGYN). The project was spearheaded by the Head of the OPD, Dr. Misael Cruz, with the collaboration of OBGYN residents (Drs Erica Christine Cortez, Randy Dabu and Roxanne Coronel), MEDIX person-nel, Mr. Kelvin Sison, as well as our Integrated Hospital Op-erations and Management Program (IHOMP) staff.

The said activity was attended by our Medical Center

Chief (MCC), Dr. Montserrat Chichioco, Administrative Officer (AO), Ms. Evelyn Gamboa, OBGYN residents, OPD, IHOMP and MEDIX personnel.

The use of eMRs will result in a faster retrieval as well as ease of availability of the patients records, thus it will shorten the waiting time of the patients seen at the OPD. Furthermore, it will lessen and eventually eliminate the use of papers for our record keeping. The use of eMR is presently being implemented to all new patients of OBGYN department. Other clinical departments will also follow soon in adopting the said innovation.

Launching of the use of electronic Medical Record (eMR) at the OPD-OB Gyn Clinic

Pre-testing of EMR with the Medical Center Chief, Dr. Monserrat S. Chichioco

Use of Electronic Medical Record at the Outpatient Department

Bridging the Gap: To Reach the Unreachable areas

towards 100% Expanded Newborn Screening

RECHELDA G. DIONE, RN, MPH

JBLMRH NBS team lead by Dr. Angela Lauren Fernand, Rechelda Dione, Alma Canlas, Eloisa Raymundo, Katherine Ann Punsalan, Cesca Retomarta together with the health staff of Lubao Rural Health Unit III headed by Dr. Reynando Alipio.

lay forum on ENBS during Mothers’ Class, provision of free ENBS to patients during the Newborn Screening Week, outreach activi-ties at Mabalacat and Lubao, Pampanga.

EMERITA C. DANAC, MD, FPOGS

World Health Organization Holds Early Essential Newborn Care and Kangaroo

Mother Care Workshop


Neonatal mortality and morbidity are significant contributors to under-5 deaths in the Philippines. Among the leading causes of mortality were infec-tion, intrapartum-related complications, and complications of prematurity and low birth weight (LBW). In 2009, the Department of Health (DOH) issued Ad-ministrative Order (AO) 2009-0025 adopting new policies and guidelines on Essential Newborn Care in an effort to

accelerate the reduction of newborn deaths. The AO 2009-0025 emphasized the practice of Essential Intrapartum and Newborn Care (EINC) – a package of interventions designed to avoid early newborn deaths. To address the burden of preterm and LBW babies, the practice of Kangaroo Mother Care (KMC) was also scaled up across the Philippines.

The World Health Organization (WHO), in coopera-tion with the Department of Health RO 3, held the first Early Essential Newborn Care (EENC) and Kangaroo Mother Care (KMC) workshop at JBLMRH on Dec 12-14, 2018.

The workshop introduced the new strategy of the WHO to combine two previous programs namely EENC and KMC, to cater and provide care for the preterm babies and small newborn babies and improved quality of care for the mothers and babies, as well as decrease neonatal morbidity and mortality.

The 3-day workshop was attended by representa-tives from the WHO Department of Health RO 3, headed by Dr. Janet Miclat, and JBLMRH Departments (Obstetrics and Gynecology, Pediatrics and Nursing).

At the same time that the EENC was on going, JBLMRH was being assessed for accreditation for Mother Baby Friendly Hospital Initiative (MBFHI). Finally, after as-sessment by the DOH RO3, JBLMRH was finally awarded the elusive MBFHI on December 2018.


Dr. Francis Soriano, first year resident of the Emergency Medicine Department, was chosen to present the clinical abstract of his paper in the 5th International ASEAN Marine Animals and SnakeEnvenoming (Poisoning) Management (AMSEM) 2018 at Yogyakar-ta, Indonesia

The paper entitled , “A Little Torn in One’s Flesh” was accepted in the presenta-tion of clinical abstract of cas-es of animal and snake en-venomation.

Emergency Medicine (EM), headed by the current Training Officer, Dr. Particia Tiotuico. This specialty training aims to improve triaging and urgent care of patient seen at ER. The training program, the first accredited training program in north of Luzon, is manned by highly qualified EM Consultants and augmented by ER Officers. At present, the department is now known as the De-partment of Emergency Medicine and Emergency Room Ser-vices. The following are the current specialty departments manning the ER on a daily basis: Emergency Medicine, Inter-nal Medicine, Pediatrics, Surgery, Orthopedics, Otorhinolaryn-gology and Family Medicine. The second year residents of their respective training programs as well as the hospitalists/consultants of the same training programs are assigned in the ER. The Poison Control Unit, headed by Dr. Leslie Garcia and staffed by trained personnel from the nursing, pharmacy and laboratory departments, supplement the ER Services. Trained nurses are available for the services provided by the department. A dedicated separate ER billing and cashier were added to hasten discharge of patients. An increase in patient consultation was noted to in-crease from an average of 150 per day in 2017 to 230 per

day in 2018. There is an average of 80-100 admissions per day recorded. Services offered have also expanded to in-clude daily surgical procedures claimed through Philhealth, dengue fastlane, isolation and decontamination area, man-agement of mass casualty incidents and appropriate quality management of all patient consultations from emergent to urgent to non urgent. Additional systems, equipment and units were the Medix System, real time ER Patient Consultation Monitor, complete and functional operating room with dedicated auto-clave, laboratory satellite for extraction, and innovative equip-ment such as video laryngoscope, portable ultrasound, porta-ble incubator among others. All of these were added to im-prove quality services to the patients. Future plans for the department include (1) renovation of ER complex from a 45 bed department to a 50 or more bed taking in consideration triage and ambulatory area, (2) establishment of the 24/7 poison control and information unit and (3) establishment of a well equipped trauma center. With these fast moving improvements, the department takes part in fulfilling the hospital’s vision and mission of providing quali-ty care to all types of patient consult.

Emergency Medicine Resident goes to Indonesia

Continued from page 6

The Emergency Room



The National Medicine Week was celebrated last September 24, 2018 with the theme “Pilipinong Manggagamot : Makatao, Mapagkakatiwalaan, Mapaglingkod sa Sambayanan. “ It was a busy week not only for doctors but also for the different personnel of the Hospital participating in the different activities lined up.

Mass. The celebration was started with a mass held at the JBLMRH chapel and officiated by Father Jess Manabat. Non-Medical Lectures. The mass was followed by non-medical lectures sponsored by the different departments. A blood-letting activity was also held to promote blood donation and increase the supply of stored blood for patients in need. Research Contest. The annual Residents Research Contest was held on the fourth day of the week. “A Leveled-Up Research Paper Contest” – these are the words from Dr. Alfonso C. Danac, Chief of Medical and Professional Staff (COMPS), as he officially opened the 22nd Research Paper Contest last September 27, 2018. The Health Re-search and Development Unit (HRDU), headed by Dr. Misael C. Cruz, organized the whole day event as one of the main activities of the 2018 Medicine Week Celebration. Sixteen residents from the clinical departments participated

in the activity. The first part of the event was the poster presenta-tion of the interesting case reports participated by 11 participants. The second part was the Research Oral Presentation partici-pated by five medical doctors and one from the Nursing Service, which makes this year’s contest different from previous research contests. Allied professionals were invited to present their research papers to increase their confidence and engaged in doing re-search. Research papers and case reports were evaluated by the esteemed panel of judges namely: Dr. Jose Enrique Montoya, Head of the Professional Education, Training, and Research Unit of Bataan General Hospital; Ms. Madonna Morales-Valenzuela, Statis-tician and the Senior Education Program Specialist (Research and Planning) of the School Governance and Operations Division of DepED; and Dr. Maria Eloisa Vidar, Health Research and Develop-

ment Section Head of DOH Region III, who was also the Guest Speaker of the program. Winners of the Poster Presentation: First Place – Dr. Kim Andrew De Leon, Dept. of Orthopaedics Second place – Dr. Zhyra Gail Catli, Dept. of OB-GYN Third Place – Dr. Sheena Marie Sicat, Dept. of OB-GYN Winners of the Research Oral Presentation: First Place – Dr. Lejan Lugtu, Dept. of Pediatrics Second Place– Dr. Charles Eryll Sy, Dept. of Internal Medicine Third Place– Dr. Noel Gomez, Dept. of Internal Medicine All participants received plaques of participation while the winners received plaque of recognition and additional cash prizes. Graduation of Residents Seventeen (17) residents from the different accredited de-partments graduated this year. Dr. Agnes Fernando, President of

Highlights of Medicine Week Celebration

RONA S. CORTEZ/GERTIE L. JIMENEZ, MD, DPOGS

Dr. Kim Andrew De Leon during the judging of poster presentation

It has been a successful Aksyon Paputok Injury Reduction (APIR) program of the Department of Health (DOH) for 2018-2019.

The latest report of JBLMRH Disaster Risk Reduction in Health shows a total of only 14 firecracker related injuries from the period of December 21, 2018 to January 6, 2019. Compared to last year (December 21, 2017-Jan 6, 2018) which reported 20 incidents, and to 8 years ago (December 20, 2010 to Jan 6, 2011) with a report of 33 incidents, there was a significant decrease in the incidence of injuries. Most victims were male ( 12/14) and most were related to kwitis (7/14). Other firecrackers which caused the injuries were : Baby Rocket., Super Blitz, Lusis, Bawang, Whistle Bomb, Mixed Powder and un-known. No mortality was reported.

APIR to Iwas Paputok

Winners of Poster Presentation (From L to R: Dr. Mario Romero, Dr. Jose Enrique Montoya, Ms. Madonna Valenzuela, Dr. Sheena Marie Sicat (3rd Place), Dr. Zhyra Gail Catli (2nd Place), Dr. Kim Andrew De Leon (1st Place), Dr. Maria Eloisa Vidar, Dr. Alfonso Danac, Dr. Misael Cruz, Dr. Emmanuel Astudillo, and Dr. Vermie Garcia

Continued on page 15


the Philippine Obstetrical Gynecological Society , Central Luzon Chapter (POGS CLC) graced the event as the Guest Speaker. Dr. Fernando, a graduate of JBLMRH herself, joined the graduates in the culmination of their hardwork and inspired them with her words of wisdom and experiences. She also reminded them to look back and stay grounded, and use their training background in this institution to be instruments of health especially to the needy. RSO Night Capping off the Medicine week was the very memorable and enjoyable RSO night organized by the Residents Staff Organiza-tion (RSO) headed by the RSO President Dr. Angela Lauren Fer-nando. The theme of the program was Original Pilipino Music (OPM). Residents and Consultants from the different departments

braved the crowd and showed their hidden talents, surprising the audience with their original interpretations. Among the presenta-tions, the following bagged the trophies with the respective cash prizes: First place: Department of Medicine Second place: Department of Obstetrics and Gynecology Third place: Department of Pediatrics Raffle prizes such as Littmann Stethoscope, Laptop among others were also given away. Dr. Angela Lauren Fernando , PGIs Jayson Olalia and Alyssa Juco hosted the program.

Photos grabbed from Dr. Angela Fernando’s Facebook with permission


Dr. Agnes Lourdes Fernando, Guest Speaker, POGS CLC President 2018 addressing the Graduating Residents 2018 of JBLMRH

final

Patakaran ng JBLMRH na Dapat Sundin Para sa mga PASYENTE at BANTAY:

• Isang bantay sa bawat pasyente sa lahat ng ward. Kung kinakailangan ng karagdagan bantay, humingi ng pahintulot sa doktor o sa nars.

• Ang pagbabayad ng inyong bill ay sa “Collecting Section” lamang para kayo ay mabigyan ng resibo. Iwasang magbigay ng pera sa FIXER. Isumbong agad sa security guard o empleyado ng ospital ang mga fixers

• Bawal ang magsampay sa loob at labas ng mga ward.

• Pantilihing maayos ang bedside ng pasyente. Ayusin ang mga personal na gamit ng pasyente.

Sa OPD:

• Isang bantay sa bawat pasyente.

• Bawal ang tumambay sa hagdanan ng OPD.

• Bawal magsama ng batang hindi pasyente sa OPD.

• Pumila at maghintay ng maayos. Sa OB Ward:

• Tanging bantay na may stamp o tatak na “W” ang maaaring pumasok.

• Pinahihintulutan ang isang bantay hanggang matapos ang pag-admit sa pasyente at pagpirma ng kaukulang papeles.

• Bawal ang magpasok ng infant formula, tsupon, bote, paci-fier (patupat) at bigkis para sa sanggol. Hindi na ibabalik ang mga nakompiskang kagamitan.

• Bawal magpasok ng mga laruang pambata.

• Hanggang 4 na diaper lang ang maaring pahintulutan na dalhin. Sa Pedia Ward:

• Bawal ang tsupon at bote, infant formula, pacifier o patupat, at bigkis ng sanggol.

• Bawal ang magdala ng mga promotional materials galing sa milk companies. Isalin sa isang malinis na lagayan ang gatas ng sanggol kung di maiwasan ang paggamit nito.

Para sa mga BISITA:

• Oras ng dalaw: 3 PM – 6 PM Lunes - Linggo.

• Bawal ang dalaw edad 12 taong gulang pababa.

• Hanggang dalawang bisita lang sa bawat pasyente ang pahihintulutan.

• Iwasang magdala ng sobra sobrang pagkain at bottled water para sa pasyente.

Para sa LAHAT:

• Ugaliing magdala ng ID o blue card.

• Asikasuhin agad ang pagkakaroon ng Member Data Record (MDR) at PhilHealth ID. Alamin ang inyong PhilHealth Identification Number o PIN para magamit ang mga benepisyo.

• Itapon sa tamang lagayan base sa KULAY ang inyong mga basura. – basang basura o tirang pagkain – pambenda, sanitary napkin o diaper, nagamit na gasa,

bulak at gwantes. – tuyong papel, plastic bottles lahat ng maaring i-recycle.

• Ingatan ang mga gamit ng ospital. Anumang gamit na nawala o nasira ng pasyente, bantay o bisita ay may katumbas na bayad.

• Mahigpit na ipinagbabawal ang paninigarilyo sa loob, labas at paligid ng JBLMRH (prohibited within one hundred [100] meters from any point of the perimeter of the hospital). Sa mga mahuhuli sa akto ay may karampatang parusa na bayad na Php 500.00 o magli-linis sa ospital sa loob ng 4 na oras). Ang mga signages ay magsisilbing warning. Lahat ng makukumpiskang sigarilyo at panindi ay hindi na ibabalik sa may-ari.

• Iwasang makipagtalo sa mga empleyado at gwardiya. Makipag-usap ng mahinahon at maayos.

• Respetuhin ang mga karapatan ng ating kapwa pasyente at mga kawani ng ospital.

• Ingatan ang mga personal na gamit. Walang pananagutan ang ospi-tal kung anuman ang nawala sa

• pasyente, bantay o bisita. Huwag basta-basta magtiwala sa hindi kakilala.

• Disenteng pananamit lamang ang pinahihintulutan. Bawal ang mga sumusunod:

• Naka-shorts or miniskirt.

• Naka-bakya o mga sapatos na may sobrang taas na ta-kong.

• Sobrang nipis o linaw at sobrang bakat na damit

• Litaw ang dibdib o bahaging itaas ng hita.

Department of OB-Gyne

Philippine Obstetrical and Gynecological Society (POGS) Diplomate Part II (Oral Exam) Gertie L. Jimenez, MD, DPOGS Erma Jean E. Dumas, MD, DPOGS

POGS Fellow Antonette Joyce E. Salazar, MD, FPOGS

JBLMRH Medicine Week Research Contest, Poster Presentation. 2nd place, Zhyra Gail T. Catli, MD 3rd place, Sheena Marie G. Sicat, MD

POGS in-Service Examination (2nd Year Level) Top 10 Residents Rank 1— Randy M. Dabu, MD Rank 5— Rochelle Kai T. Dungao, MD Rank 6— Zhyra Gail T. Catli. MD Rank 9— Sheena Marie G. Sicat, MD Department of Internal Medicine

JBLMRH Medicine Week Research Contest, Oral Presentation. 2nd Place—Charles Eryll Sy, MD 3rd Place—Noel Gomez, MD Emergency Medicine and ER Services

5th international ASEAN Marine Animals and Snake Envenom-ing (Poisoning) Management (AMSEM) 2018

“A Little Torn in One’s Flesh” Francis Soriano, MD Department of Orthopaedics

JBLMRH Medicine Week Research Contest, Poster Presentation. 1st place, Kim Andrew De Leon, MD

Department of Pediatrics

JBLMRH Medicine Week Research Contest, Oral Presentation. 1st Place—Lejan Lugtu, MD Department of Pathology, Laboratories and Blood Transfu-sion Service

External Quality Assurance System for the year 2018

Immunology – Excellent Performance Result conducted by National Reference Laboratory-STD AIDS Cooperative Central Laboratory (NRL-SACCL) and RITM for the year 2018

Clinical Chemistry - Excellent Performance Result in the Na-tional External Quality Assessment Schemes (NEQAS) con-ducted by Lung Center of the Philippines-National Reference Laboratory (LCP-NRL) for the year 2018

Hematology - Excellent Performance Result conducted by National Reference Laboratory-National Kidney and Trans-plant Institute (NRL-NKTI) for the year 2018.

Parasitology - Excellent Performance Result conducted by National Reference Laboratory-Research Institute for Tropical Medicine (NRL-RITM) for the year 2018.

Microbiology – Most Outstanding Sentinel Site in the Philip-pines for the year 2018.

Re-accreditation visit for Pathology Program (Residency Training in Anatomic and Clinical Pathology).

Recognized as Training Institution for Aerobic Bacteriology by Health Facilities and Services Regulatory Bureau.

Outpatient Department– Bahay LInGAD

Pulang Laso Excellence Award—Model Treatment Hub for Service Delivery and Outreach Services

Nursing Service Office

Outstanding Nurse in Region 3 Luz M. Chiong, RN, MAN

Make Your Hospital Proud

medical center chief corner - secretary of health

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