2015 2nd Quarter Hn Report

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APRIL TO JUNE 2015HEAD NURSES REPORT

NEPHROLIFE HEMODIALYSIS CENTER RUGAY GENERAL HOSPITAL

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APRIL TO JUNE 2015CENSUS2

EMERGENCY DIALYSIS3EMERGENCY DIALYSISNAME & DIAGNOSISDATE OF E-HDREASON FOR E-HDCOMPLAINTS DURING E-HDWEIGHT GAINDATE OF LAST HDPOST WEIGHT LAST HDCOMPLICATION LAST HDAGUSTO VILLAMERCKD V SEC TO HPNAPRIL 26, 2015CONGESTIONABDOMINAL FULLNESS3.5 KGAPRIL 24, 201541.5KGNONEROBERTO SUMAWAYCKD V SEC TO HPNMAY 2015UREMIA; NEW PTDYSPNEA, LOSS OF APPETITE; NAUSEA VOMITTING---NONEEFREN INDUCTIVOCKD V SEC TO DM NEPHMAY 19, 2015ABDOMINAL FULLNESSDYSPNEA; BLOATEDNESS---NONEEDGARDO BALANDAY(PT FROM BUSTOS)MAY 31, 2015CONGESTIONDOB1.7L--NONEFRANCISCO VALDESANCHOCKD V SEC TO DM NEPHJUNE 2, 2015CONGESTIONCHEST HEAVINESS; ABDOMINAL FULLNESS5.5LMAY 30, 201558.8KGNONESOFIA GUANSINGCKD V SEC TO HPNJUNE 11, 2015CONGESTIONCHEST HEAVINESS; ABDOMINAL FULLNESS4.8LJUNE 9, 201549.9KGTINNITUS/IDHMarites IralCKD V SEC TO HPNJUNE 15, 2015CONGESTION/VOMITINGEPISODES OF VOMITING AND ABDOMINAL FULLNESS3.6LJUNE 9, 201557.2KGBT REACTIONSoledad BlancoCKD V SEC TO HPNJUNE 21, 2015FEVER AND CHILLS @ HOMEFEELING OF COLDNESS/ ABDOMINAL FULLNESS4.3LJUNE 28, 201558.5KGNONELourdes InoveroCKD V SEC TO DM NEPHJUNE 24, 2015CONGESTIONABDOMINAL FULLNESS; DOB4.7LJUNE 19, 201538.7KGNONEMarquita ValtiendazCKD V SEC TO HPNJUNE 28, 2015UREMIA; ABDOMINAL FULLNESSVOMITING; HPN3.8LJUNE 19, 201537.2KGIDHRodolfo Palo Jr.JUNE 29, 2015NEW PT; UREMIANAUSEA AND VOMITING; ----

MORTALITY5MORTALITYMONTH DATE EXPIREDNAME AND DIAGNOSISDATE OF FIRST HDCAUSE OF DEATH/ DIAGNOSISAPRIL

APRIL 20, 2015LUCIANO ORENDAINCKD V SEC TO HPNJULY 23, 2013 ACUTE RESPIRATORY FAILURE SECONDARY TO PULMONARY CONGESTIONAPRIL 26, 2015ARNOLD SANTOSCKD V SEC TO CGNJANUARY 11, 2009 ACUTE RESPIRATORY FAILURESEPSIS SECONDARY TO SEVERE PNEUMONIA AND PULMONARY CONGESTIVE CHANGESMYOCARDIAL INFARCTIONMAY

MAY 4, 2015FELINO MORALESCKD V SEC TO DM NEPHJANUARY 16, 2015CARDIOPULMONARY ARREST SECONDARY TO ANEMIA AND PULMONARY CONGESTIONMAY 8, 2015RAQUEL RIMANDOCKD V SEC TO SLESEPTEMBER 11, 2012SEPSIS SECONDARY TO ACCESS INFECTIONMYOCARDIAL INFARCTION SECONDARY TO ACUTE RESPIRATORY FAILUREMAY 29, 2015GEMMA BURAGACKD V SEC TO CGNAPRIL 04, 2015CARDIOPILMONARY ARREST SECONADRY TO ACUTE MYROCARDIAL INFARCTIONACUTE RESPIRATORY FAILURE

ADMISSION7ADMISSIONMONTHNAME OF PATIENT DATE OF ADMISSION (NO OF DAYS)ATTENDING PHYSICIANNAME OF HOSPITALREASON OFR ADMISSION/ DIAGNOSISAPRILMAURICIO ALEJANDRO JR.APRIL 5-7. 2015 (3)DRA. PILEMHBMELENA; ANEMIAJUNERESTITUTO VARDELEONJUNE 4 JUNE 15, 2015 (11)DRA. GONZALES; DRA. YUMULCMGHINFECTED WOUND ON BOTH FEET; BKAGABINO ORTEGAJUNE 12 19, 2015 (7)DRA. GONZALES; DRA. YUMULCMGHSEVERE ORTHOSTATIC HYPOTENSIONLOURDES INOVEROJUNE 17-19, 2015 (3)DRA. TUGADE; DRA. BAYANRGHVOMITING; TROP T POSITIVE

SOLEDAD BLANCOJUNE 23-29, 2015 (6)DRA. TUGADE; DR. CENTENORGHSEVERE PAIN AND BURN ON BOTH LOWER EXTREMETIES

TRANSFER

TRANSIENTBODY MASS INDEX

DECREASED BMI (< 20KG/M2)FIRST QUARTERSECOND QUARTERREMARKSALMAZAR, MYRNAAGULTO, MARTECURAYAG: 15.86 (1ST QUARTER) 17.36 (2ND QUARTER)AGULTO, MARTEAVENDANO, MICHEALAGULTO: 17.55 (1ST QUARTER) 18.55 (2ND QUARTER)AVENDANO, MICHEALBERNABE, EDGARDOCERESO: 16.99 (1ST QUARTER) 17.96 (2ND QUARTER)BERMUDEZ, MARIABERMUDEZ, MARIADIONISIO: 18.12 (1ST QUARTER) 19.48 (2ND QUARTER)CAPISTRANO, JOSECAPISTRANO, JOSEISIDRO: 17.85 (1ST QUARTER) 18.5 (2ND QUARTER)CERESO, VIRGINIACERESO, VIRGINIALAJOM: 16.06 (1ST QUARTER) 18.06 (2ND QUARTER)CURAYAG, FLORIANOCURAYAG, FLORIANOSANTIAGO: 16.48 (1ST QUARTER) 18.01 (2ND QUARTER)DELA CRUZ, RUBY ANNDELA CRUZ, HERNANISORIANO: 18.8 (1ST QUARTER) 19.84 (2ND QUARTER)DIONISIO, REYMUNDODELA CRUZ, RUBY ANNSEHO: 16.05 (1ST QUARTER) 17.11 (2ND QUARTER)ESGUERRA, EMERENCIANAESGUERRA, EMERENCIANADIONISIO, REYMUNDODIONISIO, REYMUNDOENRILE, FORTUNATOENRILE, FORTUNATOGERONIMO, ARLYNGERONIMO, ARLYNINOVERO, LOURDESINOVERO, LOURDESISIDRO, ALICIAISIDRO, ALICIALAJOM, MANUELLAJOM, MANUELMAGTABOG, LYDIAMAGTABOG, LYDIAPARUNGAO, DANILOPARUNGAO, DANILOROMANO, PASTORAROMANO, PASTORASANTIAGO, SOLEDADSANTIAGO, SOLEDADSORIANO, DIXONSORIANO, DIXONTU, SEHOTU, SEHOVALTIENDAZ, MARQUITAVALIMENTO, MODESTOVILLAMER, AUGUSTOVALTIENDAZ, MARQUITACATIIS JR., RICARDOVALDESANCHO, FRANCISCOLATAC, YOLANDAVILLAMER, AUGUSTOGONZALES, RAMONCITOSANTOS, GRACELYNGUANSING SOFIAMILAN RONALDOBODY MASS INDEX26 OUT OF 75 PATIENTS REMAINED WITH DECREASED BMI FOR THE SECOND QUARTERNORMAL BMI (20-25KG/M2)FIRST QUARTERSECOND QUARTERREMARKSALVAREZ, VIRGILIOALMAZAR, MYRNAMILAN, RONALDOBAUTISTA, JOSELITOALVAREZ, VIRGILIONICOLAS, ERLINDABERNABE, EDGARDOBAUTISTA, JOSELITOORTEGA, EMMANUELBLANCO, SOLEDADBERNARDINO, EDWINORTEGA, GABINODE GUZMAN, CLARINASOLEDAD, BLANCOPARUNGAO, MANUELDELA CRUZ, JORGECATIIS, RICARDOPRADO, REYNALDODELA CRUZ, MARIADE GUZMAN, CLARINARIVERA, DAISYDELOS SANTOS, JESSIEDELA CRUZ, JORGERODRIGUEZ, ERNESTODELEON, LEONARDODELA CRUZ, MARIAREYNADO, FILOMENADE VERA, BRICCIODELOS SANTOS, JESSIEROMERO, ROSARIODOLOR, NESTORDELEON, LEONARDOSUMAWAY, ROGELIOGARCIA, ROSELADE VERA, BRICCIOTAYAO, LIZAIRAL, MARITESDOLOR, NESTORIDIAN, ZENAIDAGARCIA, ROSELAJOYA, DIVINAGUANSING, SOFIAHIPOLITO, QUINTINOGONZALES, RAMONCITOMINPIN, ROBERTOHIPOLITO, QUINTINOMEMPIN, JENELYNIGNACIO, ANGELITONICOLAS, ERLINDAIDIAN, ZENAIDAORTEGA, EMMANUELIRAL, MARITESORTEGA, GABINOJOYA, DIVINAPARUNGAO, MANUELLOPEZ, PRUDENCIOROMERO, ROSARIOMINPIN, ROBERTOTAYAO, LIZAMEMPIN, JENELYNVALMADRID, ROMEOVARDELEON, RESTITUTOPANGAN, MAUROVALMADRID, ROMEOBODY MASS INDEX38 OUT OF 75 PATIENTS ARE WITH NORMAL BMI FOR THE SECOND QUARTERINCREASED BMI (>25 KG/M2)FIRST QUARTERSECOND QUARTERREMARKSBAUTISTA, MAGDALENABAUTISTA, MAGDALENALARON, MARITESEUGENIO, RICKYEUGENIO, RICKYLARON, MARITESVARDELEON, RESTITUTOMANALILI, LEONARDORODRIGUEZ, ERNESTOPANGAN, MAUROSANTOS, EDGARDOBODY MASS INDEX6 OUT OF 75 PATIENTS ARE WITH INCREASED BMI FOR THE SECOND QUARTERHYPERTENSION DURING HDAPRIL TO JUNE 2015

3 OUT OF 11 HYPERTENSIVE PATIENTS REMAINED UNCONTROLLED

CHILLS REPORTCHILLS REPORT

DATE & HOUR OF HD(When Chills Occur)NAME OF PATIENTNUMBER OF RE-USEREASON FOR CHILLSTYPE OF ACCESSTECHINICIAN4-8-2015Sheila SuannewFirst use syndromeIJ CATHETERDarwin/Mikko4/29/2015Modesto Valimento5thTemp: 37.9C IJ CATHETERDarwin/RJ5/2/2015Modesto Valimento6th Due to Right IJIncrease temp (37.8C)IJ CATHETERDarwin/RJ5/6/2015Modesto Valimento7TH Due to CatheterIJ CATHETERDarwin /RJ5/16/2015( Mild Chills )Lydia Magtabog8thDialyzerFISTULAMikko/Darwin5/30/2015Restituto Vardeleon4th Due to status post Debridement (wound at the soles of the feet )FISTULADarius/Darwin6/2/2015Restituto Vardeleon5th D/T Infected woundS/P debridementFISTULAMikko/RJ6/5/2015Prudencio Lopez7th D/T Femoral Catheter ( 5 months old )FEMORAL CATHETERMikko/RJ6/10/2015Restituto Vardeleon1st Increase WBC : 32.9C (6/8/15)S/P DebridementFISTULADarius/RJ6/12/2015Jessie Delos Santos4th LBM (Mild Chills)FISTULAMikko/Darwin6/20/2015Soledad Blanco7TH Increase wbc: 20.1Temperature: 38.3CFISTULAMikko/RJCOMPLICATIONS R/T HEMODIALYSIS PROCEDURE

MONTH/COMPLICATION HTNIDHCRAMPSCHEST PAINDOBARRYTHMIAAPRIL177919522MAY145213500JUNE218325420

PERCENTAGE OF WELL TREATMENT VS WITH COMPLICATIONSCOMPLICATION R/T VASCULAR ACCESS

ACCESSNAME & DIAGNOSIS(LENGTH OF USE)VASCULAR SURGEONPROBLEMREMARKS(BFR, URR, DTC)Ave. AP, VPLAST DATE OF VASCULAR CONSULTATIONDiagnosis and RecommendationMANAGEMENTEASY/DIFFICULT TO CANNULATEMYRNA ALMAZARCKD V 2 TO DM NEPHROPATHYR AVF(Used as access 4 monthS after creation)

DR. JARDINICO(+)Collateral Vein formation near anastomosis(+)Stenosis Decreased arterial bloodflowBFR: 150-180ml/min(+) Excessive Sucking June 16, 2015 Dr. Jardinico advised to change cannulation site near anastomosis as arterial access site; use antegrade cannulation. if still with decreased arterial outflow; for permanent catheter insertion.change of cannulation site near anastomosis.antegrade and retrograde cannulation doneEasy to CannulateRUBY ANN DELA CRUZCKD V 2 TO CHRONIC GLOMERULONEPHRITISR AVG(2 MONTHS)

DR. MACARAIG (NKTI)(+)Pus Formation on AVG Suture siteBFR: 250ml/minNon-healing wound from pus drainage July 5, 2015 (+) Infection

Antibiotic treatment Pus Drainage Wound dressing done after removal of pus.AVG removal and Perm Catheter InsertionEasy to CannulateAUGUSTO VILLAMERCKD V 2 TO HPNL IJ(9months)

DR. JARDINICO(+) Insufficient Flow(-) Anchor, can be removed easilyBFR: 150-180ml/min(+) Excessive SuckingJune 15, 2015Advised permanent catheter insertionAVF Creation-RICARDO CATIIS JR.CKD V 2 TO HPN(8months)

DR. JARDINICO(+) Insufficient Flow(-) Anchor, can be removed easilyBFR: 180-220ml/min(+) episodes of Excessive SuckingNovember 2014Advised AVF CreationHeparin lock Urgent AVF Creation (once with funds)-20HD FREQUENCYHD FREQUENCYAPRIL 2015ON 3X A WEEK: 23/80 ON 2X A WEEK: 46/80ONCE A WEEK: 7/80EVERY 5 DAYS: 2/80IRREGULAR HD: 2/80MAY 2015ON 3X A WEEK: 17/72 ON 2X A WEEK: 46/72ONCE A WEEK: 4/72EVERY 5 DAYS: 3/72IRREGULAR HD: 2/72JUNE 2015ON 3X A WEEK: 16/75 ON 2X A WEEK: 50/75ONCE A WEEK: 5/75EVERY 5 DAYS: 2/75IRREGULAR HD:2/75HEMODIALYSIS FREQUENCYAPRIL3x HD/wk2X HD/WK2X HD/WKIrregular HD/wkq 5 DaysOnce per weekGuansing, SofiaAgulto, MarteNicolas, ErlindaGeronimo, ArlynGonzales, RamoncitoParungao, DaniloPangan, MauroBautista MagdalenaRivera, DaisyAlejandro, MauricioSoriano, DixonIdian, ZenaidaBernabe, EdgardoRodriguez Jr., ErnestoDolor, NestorIsidro, AliciaBermudez, MariaRomero, RosarioEnrile, FortunatoOrtega, EmmanuelBlanco, SoledadTayao, LizaAvendano, MichealSoledad, SantiagoCereso, VirginiaValmadrid, RomeoMilan, RonaldoVillamer, AugustoCurayag, FlorianoAlvarez, VirgilioRomano, PastoraAlmazar, MyrnaDe guzman, ClarinaLaron, MaritesMorales, FelinoDela Cruz, JorgeCatiis, RicardoSantos, GracelynDela Cruz, RubyannBautista, JoselitoDela Cruz, MariaDelos Santos JessieMagtabog, LydiaDionisio, ReymundoDeleon, LeonardoLopez, PrudencioTu, SehoEsguerra, EmerencianaVardeleon, RestitutoGarcia, MacarioEugenio, RickyMinpin, RobertoGonzales, CarmelitaGarcia, RoselaSuan, ShielaBernardino, EdwinInovero, LourdesDe Vera, CorazonPrado, ReynaldoIral, MaritesDela Cruz, HernaniValdesancho, FranciscoJoya, DivinaValimento, ModestoSantos, EdgardoLajom, ManuelBuraga, GemmaSantos, ArnoldLatac, YolandaTrinidad, Ma. AcelaOrtega, GabinoValtiendaz, MarquitaRimando, RaquelOrendain, LucianoManalili, LeonardoCapistrano, JoseDe Vera, BriccioMempin, JenelynParungao, Manuel23/8046/8046/802/801/807/80

HEMODIALYSIS FREQUENCYMAY3x HD/wk2X HD/WK2X HD/WKIrregular HD/wkq 5 DaysOnce per weekGuansing, SofiaAgulto, MarteNicolas, ErlindaGeronimo, ArlynGonzales, RamoncitoParungao, DaniloPangan, MauroBautista MagdalenaRivera, DaisyAlejandro, MauricioRomano, PastoraSoriano, DixonIdian, ZenaidaBernabe, EdgardoRodriguez Jr., ErnestoDolor, NestorSoledad, SantiagoCereso, VirginiaValmadrid, RomeoMilan, RonaldoSantos, JessieCurayag, FlorianoAlvarez, VirgilioSantos, GracelynDe guzman, ClarinaLaron, MaritesDela Cruz, MariaDela Cruz, JorgeCatiis, RicardoBautista, MagdalenaDela Cruz, RubyannBautista, JoselitoReynado, FilomenaDelos Santos JessieMagtabog, LydiaIral, MaritesDeleon, LeonardoLopez, PrudencioIgnacio, AngelitoEsguerra, EmerencianaVardeleon, RestitutoOrtega, GabinoEugenio, RickyMinpin, RobertoDe Vera, BriccioGarcia, RoselaCapistrano, JoseVillamer, AugustoInovero, LourdesParungao, ManuelGonzales, CarmelitaIral, MaritesDela Cruz, HernaniJoya, DivinaValimento, ModestoLajom, ManuelValtiendaz, MarquitaLatac, YolandaManalili, LeonardoEnrile, FortunatoMempin, Jenelyn17/7246/7246/722/722/724/72

HEMODIALYSIS FREQUENCYJUNE3x HD/wk2X HD/WK2X HD/WKIrregular HD/wkq 5 DaysOnce per weekGuansing, SofiaAgulto, MarteNicolas, ErlindaGeronimo, ArlynGonzales, RamoncitoParungao, DaniloPangan, MauroDionisio, ReymundoRivera, DaisyAlejandro, MauricioFlores, AnnalisaSoriano, DixonIdian, ZenaidaBernabe, EdgardoRodriguez Jr., ErnestoDolor, NestorIsidro, AliciaBermudez, MariaRomero, RosarioEnrile, FortunatoOrtega, EmmanuelBlanco, SoledadTayao, LizaAvendano, MichealSoledad, SantiagoCereso, VirginiaValmadrid, RomeoMilan, RonaldoSantos, JessieCurayag, FlorianoAlvarez, VirgilioRomano, PastoraSantos, GracelynDe guzman, ClarinaLaron, MaritesParungao, ManuelDela Cruz, MariaDela Cruz, JorgeCatiis, RicardoBautista, MagdalenaDela Cruz, RubyannBautista, JoselitoReynado, FilomenaDelos Santos JessieMagtabog, LydiaIral, MaritesDeleon, LeonardoLopez, PrudencioIgnacio, AngelitoEsguerra, EmerencianaVardeleon, RestitutoOrtega, GabinoEugenio, RickyMinpin, RobertoDe Vera, BriccioGarcia, RoselaSumaway, RogelioVillamer, AugustoInovero, LourdesDela Cruz, HernaniIral, MaritesValimento, ModestoJoya, DivinaCapistrano, JoseLajom, ManuelSantos, EdgardoLatac, YolandaPrado, ReynaldoValtiendaz, MarquitaBernardino, EdwinManalili, LeonardoBansil, JessicaMempin, JenelynTu, SehoValdesancho, FranciscoAlmazar, Myrna16/7550/7550/752/752/758/75

STAFF PERFORMANCE

STAFFPERFORMANCE AND ATTITUDEFLORIDA APOSTOLSENIOR NURSETRAINEE COORDINATORArrives duty on timeEffective in her task being the trainee coor; discusses powerpoints; facilitates examinations for traineesShows leadership to her junior nurses

NINA ELAINE TRINIDADSTAFF NURSEEPO AND DLZ PHIC NURSEArrives duty on timeHas initiative, can perform skills w/ minimal supervisionStill lacks self-confidenceCan perform under time pressureSends epo and dlz report on timeStill need to develop decision makingAILEEN SANCHEZSTAFF NURSEMEDICATION NURSEArrives duty on time; sometimes comes lateNeeds to show confidence in cannulationNeeds to focus on patient careSends medication report and deposits payment on timeCan perform skills w/ minimal supervisionJON RONEL SANTOSSTAFF NURSEI&E NURSE

Arrives duty on timeShowed improvement w/ regards to patient focusNeeds to be reminded about his reports for his I&E Duty

STAFFPERFORMANCE AND ATTITUDENERIZZA CRUZSTAFF NURSEArrives duty on timeCannot multi-taskNeeds to be reminded about the things to be doneNeeds to enhance skills to be able to perform tasks under time pressureFAMELA ERIKA AGUILARINFECTION CONTROLSTAFF NURSE

Arrives duty oftentimes late.Performs her duty well and has a good intrapersonal relationship with patient and colleagues.Gained trust among patientsEffective in teaching her junior nurses.Effective in her infection control duties; able to report problemsJEAN LESTERDIMLAPROBATIONARYNURSEArrives duty 30mins early from call timeStill needs supervision in performing skillsStill lacks speed in performing tasksGood cannulation and assessment skillsADRIANGENESIS CALEONPROBATIONARYNURSEGood assessment skillsArrives duty late.Has initiative On the process to learn basic cannulation skillsEffective in health teaching to patientsSTAFF PERFORMANCE

STAFF PERFORMANCE

STAFFREFORMANCE AND ATTITUDEDARRELVILLANUEVAPROBATIONARYNURSEArrives duty sometimes lateNeeds to improve assessment skillsShowed improvement in his cannulationsStill needs to increase speed in performing tasksAccepts criticism and tries to improve himself.

TECHNICIANS PERFORMANCE & ATTITUDE

TECHNICIANPERFORMANCE AND ATTITUDEDARIUS CAJUCOMHEAD TECHNICIAN reliable in doing the inventory of stocksEffective head technician; teaches his co-workers the routine job of a head tech (inventory)Sometimes arrives on duty late

DARWIN CAJUCOMTECHNICIANArrives on duty on time.Shows initiative in performing tasksSometimes needs to be reminded of routine tasks

MIKKO XZHAQUILLE CRUZTECHNICIANNeeds to be reminded of the routine tasks during duty hoursIf being reprimanded on the things that he fails to do, he whole-heartedly accepts them and improves himself

RUFINO JAY BARAQUIOTECHNICIAN

Lacks speed in performing assigned tasksStill needs to be reminded of routine tasksVery effective in maintaining cleanlinessArrives on duty early from the call time.

INCIDENT REPORTMONTHPROBLEMREASONAPRILMAYJUNE

MACHINE MAINTENANCE

MACHINE: 11 HEPATITIS CDATE OF PURCHASE: December 20, 2010NO. OF TIMES MACHINE BREAKSDOWN SINCE ACQUISITION: - DATE & TIME BREAKDOWNPROBLEM/DESCRIPTIONINTERVENTIONSINTERVENTIONS MADE TO FACILITATE TREATMENT5-28-15Blood LeakCalibrate blood leak Test RunDisinfectionJames Dean OrtizDELAYED SCHEDULE OF SECOND SET PATIENTS; RESCHED OTHER PATIENTS TO OTHER DAYS TO ACCOMMODATE THE INTERRUPTION OF TREATMENT.

DATE & TIME FIXEDRECOMMENDATIONS5-28-15NONEJames Dean OrtizCOST: N/ANOD:Jon Ronel Z. Santos

MACHINE MAINTENANCE

MACHINE: 10 CLEANDATE OF PURCHASE: FEBRUARY 2014NO. OF TIMES MACHINE BREAKSDOWN SINCE ACQUISITION: 2DATE & TIME BREAKDOWNPROBLEM/DESCRIPTIONINTERVENTIONSINTERVENTIONS MADE TO FACILITATE TREATMENT5-8-15Blood LeakDeliver and Install new plastic holderTest RunDisinfectionJames Dean OrtizDELAYED SCHEDULE OF SECOND SET PATIENTS; RESCHED OTHER PATIENTS TO OTHER DAYS TO ACCOMMODATE THE INTERRUPTION OF TREATMENT.

DATE & TIME FIXEDRECOMMENDATIONS5-8-15NONEJames Dean OrtizCOST: N/ANOD:Claudine Gaille Manansala

MACHINE MAINTENANCE

MACHINE: 4 HEPATITIS CDATE OF PURCHASE: January 20, 2009NO. OF TIMES MACHINE BREAKSDOWN SINCE ACQUISITION: -DATE & TIME BREAKDOWNPROBLEM/DESCRIPTIONINTERVENTIONSINTERVENTIONS MADE TO FACILITATE TREATMENTMAY 2015DF pressure will be repeated-for change of membraneDeliver and install new membrane for balance chamberPreventive maintenance doneTest RunDisinfectionJames Dean Ortiz DELAYED SCHEDULE OF SECOND SET PATIENTS; RESCHED OTHER PATIENTS TO OTHER DAYS TO ACCOMMODATE THE INTERRUPTION OF TREATMENT.DATE & TIME FIXEDRECOMMENDATIONSJuly 1, 2015NONEJames Dean OrtizCOST: N/ANOD:Jon Ronel Z. Santos

R.O MAINTENANCE

DATE & TIME OF BREAKDOWNPROBLEM/DESCRIPTIONINTERVENTION / RECOMMENDATIONSINTERVENTIONS MADE TO FACILITATE TREATMENTCOST5-15-2015LEAK a. R.O motor out portb. R.O motor air relief plogRepair and Replacement doneVergelN/ADATE & TIME FIXEDNOD:

JON RONEL SANTOS, RN, CNNDATE OF INSTALLATION: ----NO. OF TIMES RO BREAKSDOWN SINCE ACQUISITION: ----

MONTHPROBLEMINTERVENTIONEQUIPMENT MAINTENANCE

ALL EQUIPMENTS ARE FUNCTIONALPROBLEMS IN THE HOSPITAL/ CENTER?- water leak from the ceiling inside the treatment area

WHATS NEW ON YOUR CENTER?Bucket (10)Cannister (10)

ACHIEVMENTSProper waste seggregation practicedStrict infection control implementedCensus remained on target 2 New Staff Nurses (Nina and Aileen)Sending of Reports are strictly MONITOREDStrict implementation of Memos and ProtocolsNEPHROLIFE HEMODIALYSIS CENTER RUGAY GENERAL HOSPITAL

NEPHROLIFE HEMODIALYSIS CENTER CO.

Thank You!Claudine Gaille A. Manansala, RNREPORTED BY: