SIMBULAN SANTO NIÑO HOSPITAL

NURSING DEPARTMENT
Prepared by: Shella Mae Bedo-Cabrezos, RN
 Chart Tickets and
Color Coding with Timing
Od-8am
q8

Bid-8am-6am
(q 12)
Qid
Tid 8am-1pm-
6pm
SAMPLE TICKET
q4

12MN-4AM-8AM
12NN-4PM-8PM
CABREZOS, SHELLA MAE
312
PARACETAMOL 300MG IVTT Q4
q6
SAMPLE CHARTING TICKETS FOR;
1. REVISION
2. HOLD
3. SHIFTED TO
4. PRN
5. TO START
6. INCREASE AND DECREASE
Doctor’s Color Coding/Tickets
DR. ACUÑA DR. MAUNTE
INTERNIST PEDIA

DR. GREGORIOS DR. AREOLA

INTERIST PEDIA
VISITING DOCTORS

DR. BUGARIN DR. M ABRENA

SURGEON CARDIO

DR. OROG DR. LS BUGARIN

PEDIA GYNE/OB
SAMPLE DOCTORS ORDER
TRANSFER/ REFERRALS – WARD/ ER

1. WITH DOCTORS ORDER

2. FACILITATE HOSPITAL OF CHOICE FOR POSSIBLE
TRANSFER/ OR FOR TRANSFER
 FACILITATE TRANSPORTATION
 NURSE/NA/MIDWIFE- WHO WILL ACCOMPANY
( WITH ESCORT FEE)
3. ROD TO ROD ENDORSEMENT
4. FACILITATE BILLING
5. TRANSPORT PT. AND INFORM RECEIVING
HOSPITAL
OUT ON PASS PROCEDURE

1. WITH DOCTORS ORDER (PROCEDURE LIKE 2DECHO)

 FILL UP REQUEST FORM
2. CONTACT HOSPITAL/ FACILITY FOR AVAILABILTY OF
PROCEDURE
 SCHEDULE
 PREPARATION
 FEE
3. INFORM PT. OR WATCHER TO SIGNE CONSENT (WAIVER/
CHART)
 WITH 3 SIGNATURE WITH OVER PRINTED NAME AT
DOCTOR ORDER SHEET
4. FACILITATE TRANSPORT AND ACCOMPANY NURSE/NA IF
NECESSARY
HAMA/ HOME PER REQUEST

1. INFORM DOCTORS FOR HAMA/ HOME PER REQUEST

2. FOLLOW DOCTORS INSTRUCTIONS
3. INFORM PT. OR WATCHER TO SIGNE HOME PER
REQUEST (CHART)
 WITH 3 SIGNATURE WITH OVER PRINTED NAME AT
DOCTOR ORDER SHEET
4. FACILITATE BILLING IF STILL OPEN
(BILLING HOURS 8AM-5PM)
 IF BEYOND BILLING HOUR- INSTRUCT PT./WATCHER TO
PAY FOR TOTAL BILL INCLUDING DOCTORS FEE
 INSTRUCT PT./WATCHER TO THEIR BILL (BILLING HOURS)
 POSSIBLE FOR REFUND
 PHILHEALTH
WARD ( PATIENTS CONCERNED)

1. IVFs
(PHLEBITIS/DISCLOGED/ BACK FLOW/ EMPTY)
 TERMINATE OR TROUBLE SHOOT
2. PT. IS IN FEVER/PAIN
 INSTRUCT TSB FOR FEVER
 (PRN MEDS)
 IF NONE CONTACT ATTENDING DOCTORS/
ROD
3. DOCUMENTS RELATED LIKE INSURANCE/
PHILHEALTH/ MEDICAL CERT.
 INSTRUCT TO PROCEED TO INFORMATION
 UPDATE CO-MANAGE DOCTORS

 UPDATE DOCTORS EVERY SHIFT

( UPDATE WITH LATEST VS AND CONCERNED)

DELEGATION WITH NA/MIDWIFE