Year End Report 2022-2023

Señor Sto. Niño Hospital, Inc.
Burgos St., Poblacion B., Camiling, Tarlac

TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
Email address: ssnhdialysis@gmail.com
DIALYSIS UNIT YEAR END REPORT
I. DIALYSIS ACCOMPLISHMENT FOR THE YEAR 2022
 Hemodialysis Patient Census (October)

 Hemodialysis Treatment Comparison (2021-2022)
 Mortality Comparison (2020-2021)
 Emergency Dialysis Comparison (2020-2021)
 List of Patient: November 2022
 Major Problem Encountered
II. PLAN AND SUGGESTION FOR THE YEAR 2023
III. STAFF DEVELOPMENT PLAN FOR THE YEAR 2023
IV. STRATEGIC PLANNING FOR THE YEAR 2023
V. LIST OF EQUIPMENT YEAR 2022

TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
I. DIALYSIS ACCOMPLISHMENT FOR THE YEAR 2022
Dialysis Statistic and Evaluation ( 2021-2022)

Treatment(2021-2022)
Month Number of treatment Number of treatment
(2021) (2022)
January 527 399
February 506 370
March 604 416
April 550 477
May 550 501
June 540 507
July 581 536
August 550 542
September 165 533
October 322 526
November 337
December 366
Hemodialysis Treatment Comparison 2021-2022

700
600
500
400
300
200
100
20212 2022
1
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
Mortality 2021-2022
Month Number of Mortality (2021) Number of Mortality (2022)
January 5 1
February 2 3
March 2 0
April 5 1
May 4 1
June 1 1
July 3 1
August 7 1
September 7 1
October 0 5
November 0
December 1
Mortality Comparison 2020-2021

7
20212 2022
2
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
Emergency Dialysis (2021-2022)

Month Number of Emergency Number of Emergency
(2021) (2022)
January 3 0
February 7 0
March 4 3
April 1 12
May 0 4
June 0 12
July 2 16
August 0 3
September 0 2
October 0 10
November 0 10
December 0
Emergency Comparison 2021-2022

16
14
12
10
20212 2022
3
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
List of Patient: November 24, 2022

Dr. Michael V. Fernandez Dr. Janice Q. Rivera
1. Abdul, Nida Rosete 1. Agustin, Donato Jr Serafin
2. Abrazado, Marcelo Lucero 2. Batic, Jona Ann Molina
3. Agacite, Roger Garcia 3. Cabigas, Amalia Baula
4. Alarcio, Rogelio Alarcio 4. Datlag, Roel Cacayorin
5. Bacolor Robert Diaz 5. Dayot Luisito Remigio Berona
6. Cariño, Juvy Namuco 6. De Jesus, Myra Icban
7. Castro, Cecelia Razalan 7. Dela Cruz, Mildred Dacdac
8. Collado, Edna Asuncion 8. Felipe, Janeth Feliciano
9. Concepcion, Paula Antonio 9. Gagelonia, Ceferina Carvajal
10. Dela Cruz, Primitivo Valdez 10. Joaquin, Elpidio Rebamonte
11. Felipe, Lou Winston Mendoza 11. Lagrimas, Amir Laranang
12. Gutierrez Noel Doctor 12. Martin, Eufemia Tiongson
13. Guting Benita Saplan 13. Mateo, Peter Asuncion
14. Mamaril, Juana Sadio 14. Morillo, Precila Lucas
15. Martin, Juanito Lora 15. Neverba, Lea Misperos
16. Mayuga, Ildefonso Verceluz 16. Pagarigan, Celina Sison
17. Miguel, Melecio Jr. Ubaldo 17. Pagulayan Jesus Ibarra
18. Pajarillo, Teresita Corpuz 18. Pasiliao, Fe Hipolito
19. Racal, Maurita Fajardo 19. Patao, Eugene Yadao
20. Villanueva Erlinda Riparip 20. Peralta, Ronald Valdez
21. Yoro, Rony Cagampan 21. Pilot, Harold Dela Cruz
22. Yuro, Ismael Pentecostes 22. Pino, Maria Thea Hermosado
23. Zacarias, Jessie Sr. Primero 23. Rillon, Lilia Abaya
24. Sabado Jr., Padilla Diocson
25. Sebastian, Jocita Manaoat
26. Sebastian, Rolando Corpuz
27. Soratos, Roberto Alim
4
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
Most Common Problem (2022)
1. Delayed pay slip, unpaid OT, Unsecured

2. Power Fluctuation
3. Aircon Breakdown
4. Dialysis Machine Breakdown
5. Emergency Dialysis (No waiting time in ER, No ER nurse upon endorsement)
6. On call Nurses (Missed calls, Out of Coverage/Unattended/, Availability)
Dialysis Accomplishment (2022)

1. Real time/Online Monitoring of dialysis treatment and patient status through
google sheet
2. Complied with the latest PRDR online certification
3. Increase Hemodialysis treatment
4. Dialysis Staff Including Hospital Attendant are ACLS/BLS Certified; Expenses
Shouldered by Staff
5. Passed all Monthly bacteriological test
6. Passed all semi- annual physical and chemical examination test
7. Maintain TDS <10 ppm as Per DOH guidelines
8. Replacement of Ultraviolet Light (New Bldg.)
9. Replacement of R.O. Membrane
5
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
II. PLAN AND SUGGESTION FOR THE YEAR 2023
1. Acknowledge Pay slip before payroll, Securely Distribute Payslip (email)

2. UPS for Dialysis Machine
3. Removal of insulator install on windows to provide adequate natural lightning and
ambiance in the treatment area in replacement of additional air conditioning unit.
 Aircon Cleaning Quarterly
4. Semi- Annual PMS of reverse osmosis from reputable company as per DOH
Guidelines and to avoid possible breakdown,
 Adequate ventilation on R.O. area
 Re- bedding of R.O Multimedia every 2 years
 Install 3 micron or 1 Multimedia filter for source water before entering
source tank to avoid the membrane to be easily damaged. Micron filters
should be replace every first Sunday of the month during disinfection-
DONE (Multimedia)
 Replace R.O Membrane every 6 months or TDS> 10ppm
 Install 1 Ultra filter before loop
 Replace UV light on 3rd floor new and old bldg. yearly
5. Replacement of Wear and tear part every PMS

 Pre-mix Bicarbonate and Acid concentration (ACO1 and BCO1)
 Change Citric Acid- DONE (HEMOPLUS)
 Proper Training for Dialysis Technician (Post Graduate Course)
6. Manage patient accordingly/ Advised to admit patient for work up
7. As nurses hold their time for personal purposes during their on-call schedule, half
of the 8-hour salary on their scheduled on- call duty must be added to their
payroll.
6
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
8. Accept new trainees and continuously hire staff to prevent understaffing due to
staff transition. Maintain staff, Nurses: 8-9 Technician:3, Hospital Attendant: 2
 Keep pace with the salary of dialysis staff to avoid pirate staffing, suggest
a 5-10 percent salary increase yearly with excellent evaluation from
dialysis staff.
 Free RT- PCR to all dialysis staff once they tested positive to antigen test
 Additional Health Benefit: HMO
 Incentive to all dialysis staff if they meet their dialysis treatment quota per
month
 Increase on call rate to P1,000 per nurse (Implemented)
 Paid Quarantine leave due to exposure to COVID-19 patients
 Free trainings and seminars especially ACLS/BLS for all dialysis staff as
per DOH requirements for LTO renewal
9. Prepare staffing for possible 3rd Shift
 Nurses:15
 Technician:5 Hospital Attendant: 3
7
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
III. STAFF DEVELOPMENT PLAN FOR THE YEAR 2023
Training and Priority For Whom When Expected Benefit to Expected Benefit to Cost Person
Development the Setting the Individual Responsible in
Arranging
Post graduate for Non- 1 For Physician on Duty help Develop Confidence Unit Head
Nephrology POD Physician to improve quality of and skills in managing
on Duty whole setting and Hemodialysis patients.
support dialysis staff.
ACLS/ BLS 1 All dialysis Requirements of DOH nurses become both a Unit Head/
Nurses LTO renewal leader and a team Training Officer
and BLS to member in a
staff provides with resuscitation team as
additional guidance to well, giving them the
help treat cardiac skills and know-how
arrest, stroke and they need to thrive in
other life-threatening a high-pressure work
medical emergencies. environment.
1
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
PD Summit (PSN) 3 2 Dialysis Can Utilize peritoneal Acquire Knowledge Unit Head
Staff Dialysis when needed about peritoneal
Dialysis
Renal Technicians 1 1 Unit Dialysis technician can Become aware of Unit Head
Workshop (PSN) Head/Staff contribute to the various new trends
1 Dialysis maintenance of and techniques
Technician dialysis machine, related to different
reprocessing and kinds of machines,
Reverse Osmosis. Dialyzer Reprocessing
and Maintenance of
Water System.
Nurses Symposium 1 2 Dialysis Competent All staff knows and Unit Head
(PSN) Staff Nephrology Nurses in understand common
the unit. core of skills and have
confidence to work
with CKD patient in
appropriate way.
Post Graduate Course 2 2 Dialysis Align dialysis nurses Understand the value Unit Head
on Renal Nutrition Staff engaged in the care of of a healthy nutrition
patient suffer from status and the
malnutrition. practical application
2
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
of clinical nutrition
Incorporate to our best practices.
patient care and lead
to improved outcome
Nurses Symposium 1 2 Dialysis These two Staff can Professional Growth Unit Head
(PSN) Staff contribute to delivery of the staff, CPD for
of dialysis effectively Renewal of RENAP
and can help CKD and PRC.
patient toward the
best outcome.
NKTI Post Graduate 1 2 Dialysis The department can Staff will acquire Unit Head
Course Staff build a reputation as a knowledge at a higher
trusted high quality level and the post
superior renal care graduate course help
provider. to develop the
necessary skills in the
field of Hemodialysis.
Renal Technicians 2 1 staff/ 1
Workshop Technician Dialysis technician can
contribute to the Become aware of Unit Head
maintenance of various new trends
dialysis machine, and techniques
reprocessing and related to different
Reverse Osmosis. kinds of machines,
Dialyzer Reprocessing
and Maintenance of
3
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
Water System
RENAP Annual 1 2 Dialysis Department will Getting an Annual Unit Head

Convention Staff maintain the Convention is vey
certification and essential to renew the
license of Nephrology license of nephrology
Nurses. nurses.
Renew as a Training Enable to learn latest

Center for Nephrology technologies and
Nurses updates to help the
nephrology nurses to
grow.
Networking with
other in the field of
Hemodialysis can get
ideas and immediate
feedback from
credible Nephrology
Nurses.
Nurses Symposium 1 2 Dialysis These two Staff can All staff knows and Unit Head
(PSN) Staff contribute to delivery understand common
4
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
of dialysis effectively core of skills and have

and can help CKD confidence to work
patient toward the with CKD patient in
best outcome. appropriate way.
Prepared By Mark Michael D. Tamondong RN, MSN, CNN
5
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
IV. STRATEGIC PLANNING FOR THE YEAR 2023
Strategies Description Pros Cons

Advertisements Promote Hemodialysis to  Advertising provides  It cost time and money
attract more patients economic growth and  It is easy for the wrong
through word of mouth, E support. message to be consumed.
marketing, print ads and  It provides consumers
event sponsorship. information about choice.
 It creates a way to set
services and procedure
apart from the competition.
 It’s an easy way to create a
value proposition.
Entertainment In 4 Hours patient/relatives  To brighten up the time of  Staff may watch movies or
can watch DVD movies, the Hemodialysis patients. surfing the net.
Listen to Music, Surfing the
net.
Social Responsibility Promos and gift to Regular  Attract new patients.  Not profitable
patients.  Create a buzz
 Become memorable
 Building a relationship with
loyal patients.
1
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
 Clear out old stocks.

 Advertise the Department
and Hospital
Dietician Services Food has evolved into  Determine if the patient has  Additional workload of the
something more than what a support system to help dietician.
we need to eat to survive. with the shopping and
People have developed a cooking
relationship with food. We  Develop an individualized
have favorite foods, foods meal plan
that tempt us and foods we  Provide menus and a grocery
hate. Dietitians realize list to help with purchasing
people have emotional items and preparing meals
attachments to food and
encourage patients to talk
about these issues. The
dietitian is available to offer
support in addition to
educating patients.
Superior Technology and Facility Build a reputation as a  Can provide patient need for  Additional Expenses of the
trusted high quality superior more adequate dialysis department
renal care provider.  Advance machine compare
 Additional Dialysis to other dialysis center
Machine BCM (Body  Suggested of some patients
Composition Mass)  Recommended by
2
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
Nephrologists
 Additional Income to the
Department.
Process Flow Provide clients with  Reducing the travel time  Collaboration to different
convenient access to facilities spent going to and from departments.
SSNH facility will help  Can be difficult to create,
alleviate some of the especially when the
disruption caused by third processes are more
weekly dialysis. complicated
 Once it has been made, the  Additional administrative
process will often take less staff for the department.
time than before
 Helps users understand how
each step impacts an entire
process

Retention Program To have a nephrology nurses  Cost and Benefits  New hires aren’t as
consistent in quality  Experienced Staff experienced as tenured
coverage to renal care at all  Culture of the Organization employees, so there is a
levels.  Quality at work greater possibility of errors, as
3
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
 Loyalty Benefits well as reduced patient care

 Stabilized Workflow quality. This may lead to losing
 Eradicate Understaffing patients, and losing revenue in
return. Productivity may also
be compromised.
 Burden on human resources or
recruitment personnel to find
replacements for terminated or
resigned nurses.
 Specific organizational
processes may be forgotten
and not passed on by
employees who have left the
organization to newer
employees.
Learning Program Continual Learning program  Increased rate of Retention  Involved Time and Money
for all Dialysis staff.  Help to Ensure Dialysis Staff
Nurses is up to date on all
current Hemodialysis
4
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
practices.
 Improves Staff Morale
 Updated with the latest
technology in Hemodialysis
 Stay ahead of competitor
 Opportunity to learn new
procedures and techniques.
 Improve Self Confidence
 Handles patient well
 Enhancement in
performance
 Staff Satisfaction can
increase staff retention.
 Sharing higher knowledge.
 Consistency
 Trained staff can become an
asset of the department.
5
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
Survey Feedback Gather Survey feedback  Address the situation/s  Takes time
quarterly. causing the problem/s and
find appropriate solution.
 Can increase workplace
transparency.
 Discover known issues are
having a bigger impact than
thought.
 Monitor Success
 Low Cost
Referral Program MOA to other institution  Increase patient Census  Involve different institution.
especially government
hospital that doesn’t cater
renal replacement therapy.
Training Center Increase number of enrollees  Increase Revenue  Adds extra burden to the
and to pass and top the  Staff can improve their department
accreditation exam of professional qualification  Maintain a highly trained staff
RENAP.  Acquire additional staff in
case of Department
understaffing.
6
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
V. LIST OF EQUIPMENT YEAR 2022
EQUIPMENT AND ACCESSORIES INVENTORY 2022
Type of Equipment Name of Model Serial Number Remarks

Machine Number
1. Dialysis Machine Fresinius 5008s 7VSACJ38
2. Dialysis Machine Fresinius 5008s 7VSACJ39
3. Dialysis Machine Fresinius 5008s 7VSACJ40 For Repair
4. Dialysis Machine Fresinius 5008s 7VSAKG99
5. Dialysis Machine Fresinius 5008s 7VSAKH00
6. Dialysis Machine Nipro 16J12108E For HBsag/
Diamax Hcv Reactive
Patients
7. Dialysis Machine Nipro 16J12109E
Diamax
8. Dialysis Machine Nipro 17J13222E For repair/
Diamax board
replacement
Diamax
Diamax
Diamax
Diamax
Diamax
Diamax
Diamax
16. Dialysis Machine Nipro 17J13231E For COVID
Diamax patient
17. Dialysis Machine Nipro 11C5759E Not Functional
Diamax Hemoperfusion
Only
18. Dialyzer Reprocessing Kidney Compact CP53076 Surrendered
Machine Kleen
19. Dialyzer Reprocessing Kidney Compact CP53328
Machine Kleen
20. Dialysis Reclining Chair
1
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
(13 Pieces)
21. Manual Dialyzer Dialyzer HDR2018 HDR0042 not
Reprocessing Machine Reprocessor functioning/
for repair
22. Bicarbonate Mixer
23. Reverse Osmosis
24. Fire Extinguisher
25. Drop Light ( 2 Pieces)
26. Gooseneck Lamp Surrendered
27. IV Stand
28. Mayo Table with Tray (11
Pieces)
29. Minor Surgical Set (1 Set)
 2 Mosquito Curve
 1 Mosquito
Straight
 1 Needle Holder
(small)
 1 Thumb Focep
 1 Tissue Forcep
30. Needle Holder (large)
31. Kelly Straight (Large)
32. Kelly Curve (Large)
33. Skin Retractors (2 Pieces)
34. Thumb Forcep (2 Pieces)
35. Scalpel handle (size 4 ¾)
36. Scalpel handle (size 5)
37. Mayo Scissor ( Size 4 ¾)
38. Metzenbaum-Nelson
Dessecting Scissor (size 7)
39. Mayo Dissecting Scissor
(size 6 ¾)
40. Mayo Scissor Curved (size
6 ¾)
41. Mayo Scissor Curved (size
7)
42. Instrument Tray 12” x 8” x
2 ½ (2 Pieces)
43. Kidney Tray ( Size 8) 2
pieces
44. Stainless Cannister (4
pieces)
45. Instrument Holder with
2
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
Cannister
46. Ophthalmoscope  HS-
OT10
 HS-
OT10D
 HS-
OP10
47. Defibrillator Codemaster Battery Not
Functioning
48. ECG Machine AOLI ECG809 110000397 Surrendered
49. Suction Machine TMS T-150 20151200
50. Cardiac Monitor Not
Functioning
51. Nebulizer Pulmo Aide 5650P P7001366
52. Bp Apparatus (2) Welch Allyn 2017-7670- 010073094071986
01s
53. Stethoscope
54. Infrared Thermometer Metene FDIR-V16 X001E0VBF9
55. Penlight
56. Pulse Oximeter (2)
57. Laryngoscope Welch Allyn Good
 Straight Blade MII3 Condition
 Curved blade Mac4 ( Complete Set)
 Curved Emac3
58. Resuscitator Bag (2 Ambu Bag Complete Set
Pieces) (Good
Condition)
59. E Cart With Cardiac Board
60. Stretcher
61. Footstool Improvised
62. Glucometer Accu-check GU04510486
Active
63. Weighing Scale Detecto 339 E23611-0267 Good condition
64. Weighing Scale Fugi Digital F103 FID 0012 Good condition
65. Desktop Computer with
Monitor (2 Pieces)
66. Printer Canon Surrendered
67. Refrigerator Kolin Good condition
Fujidenzo
68. Water Proof Apron ( 3
Pieces)
69. Eye Goggles (3 pieces)
70. Chart Rack
3
TEL.: 045-9340176, Mobile: 0919-069-5661
DIALYSIS DEPARTMENT
71. Waste Bins (Yellow, Black,

Green)
72. Pillows (12 pieces)
73. Flow Meter (7)
74. Air Humidifier Blueair (2) 2 surrendered
Skywing 2 not
(10) functioning
(1 Samsung)
75. UV Light (2) UV B22UVL-36W B22UVL-36W1202

Sterilizing B22UVL-36W2116
lamp
76. Multi sterilizer and dryer TR-AO1

Year End Report 2022-2023

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Señor Sto. Niño Hospital, Inc.

Burgos St., Poblacion B., Camiling, Tarlac

DIALYSIS UNIT YEAR END REPORT

I. DIALYSIS ACCOMPLISHMENT FOR THE YEAR 2022

 Hemodialysis Patient Census (October)

II. PLAN AND SUGGESTION FOR THE YEAR 2023

III. STAFF DEVELOPMENT PLAN FOR THE YEAR 2023

IV. STRATEGIC PLANNING FOR THE YEAR 2023

V. LIST OF EQUIPMENT YEAR 2022

I. DIALYSIS ACCOMPLISHMENT FOR THE YEAR 2022

Dialysis Statistic and Evaluation ( 2021-2022)

Hemodialysis Treatment Comparison 2021-2022

Mortality Comparison 2020-2021

Emergency Dialysis (2021-2022)

Emergency Comparison 2021-2022

List of Patient: November 24, 2022

Most Common Problem (2022)

1. Delayed pay slip, unpaid OT, Unsecured

Dialysis Accomplishment (2022)

II. PLAN AND SUGGESTION FOR THE YEAR 2023

1. Acknowledge Pay slip before payroll, Securely Distribute Payslip (email)

5. Replacement of Wear and tear part every PMS

III. STAFF DEVELOPMENT PLAN FOR THE YEAR 2023

RENAP Annual 1 2 Dialysis Department will Getting an Annual Unit Head

Renew as a Training Enable to learn latest

of dialysis effectively core of skills and have

Prepared By Mark Michael D. Tamondong RN, MSN, CNN

IV. STRATEGIC PLANNING FOR THE YEAR 2023

Strategies Description Pros Cons

 Clear out old stocks.

 Loyalty Benefits well as reduced patient care

V. LIST OF EQUIPMENT YEAR 2022

EQUIPMENT AND ACCESSORIES INVENTORY 2022

Type of Equipment Name of Model Serial Number Remarks

71. Waste Bins (Yellow, Black,

75. UV Light (2) UV B22UVL-36W B22UVL-36W1202

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