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MINIMUM REQUIREMENT NAME OF FACILITY

(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
ADMINISTRATIVE
1 Emergency Light ü ü ü 1
DIETARY
1 Refrigerator, Household ü ü ü
OPERATING ROOM
1 Anesthesia Machine, Portable ü ü ü
2 Cardiac Monitor ü ü ü 1
3 Mayo Table with Tray ü ü ü
4 Operating Room Light, LED Light, single head, ceiling mounted ü ü ü 1
5 Operating Room, Table, hydraulic ü ü ü 1
6 Suction Machine, 5L ü ü ü 3
EMERGENCY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü ü
2 Biomedical Refrigerator ü ü ü ü
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü
5 Cervical Inspection Set ü ü ü ü
6 Defibrillator ü ü ü ü
7 Dressing Cart ü ü ü ü
8 ECG Machine with analyzer ü ü ü ü
9 EENT Diagnostic Set ü ü ü ü
10 Emergency Cart ü ü ü ü
11 Examining Light ü ü ü ü 1
12 Examining Table with Stirrup ü ü ü ü 1
13 Foot Stool ü ü ü ü
14 Glucometer ü ü ü ü
15 Instrument Tray w/ cover ü ü ü ü
16 IV Stand ü ü ü ü 1
17 Laryngoscope Set ü ü ü ü 1
18 Manual Resuscitator, Adult ü ü ü ü 1
19 Manual Resuscitator, Neonate ü ü ü ü 1
20 Manual Resuscitator, Pedia ü ü ü ü
21 Mayo Table with Tray ü ü ü ü
22 Medicine Cabinet ü ü ü ü
23 Minor Surgical Set / Cutdown Set ü ü ü ü 1
24 Nebulizer ü ü ü ü 1
25 Non-contact thermometer ü ü ü ü
26 Oxygen Tank ü ü ü ü
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT NAME OF FACILITY

(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
27 Oxygen Therapy Set ü ü ü ü 1
28 Pulmonary Function Test (PFT) ü ü ü ü
29 Pulse Oximeter ü ü ü ü 1
30 Stethoscope, Adult ü ü ü ü 2
31 Stethoscope, Pedia ü ü ü ü 1
32 Suction Machine, 2L ü ü ü ü
33 Weighing Scale with height measuring Stick, Adult ü ü ü ü
34 Weighing Scale, Infant ü ü ü ü 2
35 Wheelchair ü ü ü ü
36 Wheeled Stretcher ü ü ü ü 1
OUTPATIENT DEPARTMENT
1 BP Apparatus Desk Type, Adult and Pedia ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü
3 Cervical Inspection Set ü ü ü
4 ECG Machine with analyzer ü ü ü
5 EENT Diagnostic Set ü ü ü
6 Examining Light ü ü ü 1
7 Examining Table with Stirrup ü ü ü
8 Instrument Table ü ü ü 2
9 Minor Surgical Set / Cutdown Set ü ü ü
10 Non-contact thermometer ü ü ü
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü 1
14 Stethoscope, Pedia ü ü ü
15 Weighing Scale with height measuring Stick, Adult ü ü ü
16 Weighing Scale, Infant ü ü ü
17 Wheelchair ü
LABORATORY ROOM
1 Centrifuge ,12 placer ü ü ü
2 Chemistry Analyzer, Semi-automated, Open-system ü ü ü
3 Differential Counter ü ü ü
4 Glucometer ü ü ü
5 Hematocrit Centrifuge, 12 placer ü ü ü
6 Hematocrit reader ü ü ü
7 Microscope, Binocular ü ü ü
8 Pipette shaker ü ü ü
9 Refrigerator ü ü ü
10 Spectrophotometer ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT NAME OF FACILITY

(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
11 Tally Counter ü ü ü
12 Thermometer (non-mercurial) ü ü ü
13 Vaccine Refrigerator ü ü ü
BLOOD STATION
1 Agglutination viewer ü ü
2 Autoclave 20L ü ü
3 Bloodbank ref 100bags ü ü
4 Emergency Light ü ü
5 Laboratory thermometer ü ü
6 Serological Centrifuge ü ü
7 Water bath ü ü
BLOOD BANK
1 Agglutination viewer ü
2 Analytical balance ü
3 Autoclave 20L ü
4 Bloodbank ref 100bags ü
5 Dispenser / dispettes ü
6 Emergency Light ü
7 Generator 20KVA ü
8 Laboratory thermometer ü
9 Microscope, Binocular with OIO ü
10 Pipettor Set, automatic ü
11 Plasma Extractor / Blood Extractor, Manual ü
12 Plasma freezer (-30C) with AVR ü
13 Plasma Thawer ü
14 Platelet Agitator / Rotator ü
15 Reagant refrigerator ü
16 Room thermometer ü
17 Rough balance ü
18 Serological Centrifuge ü
19 Spring scale for blood unit ü
20 Surgical forceps, scissors ü
21 Tachometer ü
22 Water bath ü
23 Weighing scale calibrated up to 500g ü
RECOVERY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT NAME OF FACILITY

(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
4 Emergency Light ü ü ü
5 Oxygen Tank ü ü ü
6 Oxygen Therapy Set ü ü ü
7 Stethoscope, Adult ü ü ü
DELIVERY ROOM
1 Anesthesia Machine without Ventilator ü ü ü 1
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü 2
4 Delivery Light (two bulb), Mobile ü ü ü ü
5 Delivery Table with Detachable Stirrup and Mattress ü ü ü ü 1
6 Dilatation and Curettage Set ü ü ü 1
7 Instrument Table ü ü ü ü 1
8 Kelly Pad ü ü ü ü 2
9 Laryngoscope Set ü ü ü ü 1
10 Manual Resuscitator, Adult ü ü ü ü
11 Manual Resuscitator, Pedia ü ü ü ü
12 Normal Spontaneous Delivery Set (Primi) ü ü ü ü 1
13 Normal Spontaneous Delivery Set (Multi) ü ü ü ü
14 Oxygen Tank ü ü ü ü
15 Oxygen Therapy Set ü ü ü ü
16 Sponge forceps ü ü ü ü
17 Stethoscope, Adult ü ü ü ü
18 Stethoscope, Pedia ü ü ü ü
19 Suction Machine, 2L ü ü ü ü
20 Tissue forceps ü ü ü ü
21 Weighing Scale, Infant ü ü ü ü
22 Wheeled Stretcher ü ü ü ü
NEONATAL INTENSIVE CARE UNIT
1 Bassinet ü ü ü 3
2 Bili Light (Phototherapy Unit) ü ü ü
3 Cardiac Monitor ü ü ü 1
4 Emergency Cart ü ü ü
5 Emergency Light ü ü ü
6 Examining Light ü ü ü
7 Infant Incubator ü ü ü
8 Manual Resuscitator, Neonate ü ü ü
9 Oxygen Tank ü ü ü
10 Oxygen Therapy Set ü ü ü
11 Respirator / Ventilator ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT NAME OF FACILITY

(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
12 Stethoscope, Pedia ü ü ü
13 Suction Machine, 2L ü ü ü
14 Weighing Scale, Infant ü ü ü
LABOR ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü 1
3 Emergency Light ü ü ü ü
4 Fetal Doppler ü ü ü 2
5 Non-contact thermometer ü ü ü
6 Oxygen Tank ü ü ü ü
7 Oxygen Therapy Set ü ü ü ü
8 Stethoscope, Adult ü ü ü
9 Wheeled Stretcher ü ü ü ü
NURSING UNIT OR WARD
Bed, mechanical 2 cranks with mattress, Adult (Patient beds in
1 ER, Labor Room and Critical Areas are not included in the ü ü ü ü 1
count)
2 Bedside Table (should correspond to total beds) ü ü ü ü
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü
7 Emergency Cart ü ü ü
8 Emergency Light ü ü ü ü
9 IV Stand ü ü ü ü
10 Manual Resuscitator, Adult ü ü ü ü
11 Manual Resuscitator, Pedia ü ü ü ü
12 Nebulizer ü ü ü ü
13 Non-contact thermometer ü ü ü ü
14 Oxygen Tank ü ü ü ü
15 Oxygen Therapy Set ü ü ü ü
16 Stethoscope, Adult ü ü ü ü
17 Stethoscope, Pedia ü ü ü ü
18 Suction Machine, 2L ü ü ü ü
19 Weighing Scale with height measuring Stick, Adult ü ü ü ü
CENTRAL STERILIZING & SUPPLY ROOM
1 Autoclave, 50L (may increase depending on the need) ü ü ü ü
2 Emergency Light ü ü ü ü
DENTAL CLINIC

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT NAME OF FACILITY

(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
1 Dental Chair/Unit ü ü ü
2 Dental Instrument Set ü ü ü
3 Equipment for sterilization or equivalent ü ü ü
RADIOLOGY DEPARTMENT
1 Automatic Film Processor with complete accessories ü
2 Ultrasound Scanner, 2D Echo ü ü
3 X-ray Machine, 300mA,radiographic, stationary ü ü ü
4 X-ray Machine, 500mA, R/F ü ü
INTENSIVE CARE UNIT
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü
4 Cardiac Monitor ü ü ü
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü
7 Emergency Cart ü ü ü
8 Laryngoscope Set ü ü ü
9 Manual Resuscitator, Adult ü ü ü
10 Manual Resuscitator, Pedia ü ü ü
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü
14 Suction Machine, 2L ü ü ü
RESPIRATORY THERAPY UNIT
1 ABG Machine ü ü ü
2 Spirometer ü ü ü
3 Ventilator ü ü ü
ENGINEERING / MAINTENANCE
1 Stand-by-generator with automatic transfer switch (150 kVa) ü ü ü ü

(12) Other Equipment Not in the List


1 Automatic Film Processor with Complete Accessories
2 Blood Chemistry Analyzer, Fully Automated
3 BP Apparatus Digital 10
4 Delivery Set for Cesarean Section 2
5 Fetal Monitor/Cardiotocograph 1
6 Finger Pulse Oximeter 5
7 Food Conveyor, 30-50 trays 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT NAME OF FACILITY

(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
8 Hematology Analyzer
9 Laparatomy Set 2
10 Mobile X-ray Machine, 300mA 1
11 Mucus Extractor (Manual Suction Bulb) 2
12 NSV (No Scalpel Vasectomy) Set 1
13 Ortho Instrument Set 1
14 Oxygen Tank 50L with Oxygen Therapy Set 1
15 Revolving Stool 1
16 Thermometer - Mercury free 3
17 Tracheostomy Set 1
18 Utility Cart, stainless 1

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
HEALTH FACILITIES ENHANCEMENT PROGRAM
2019 EQUIPMENT INVENTORY IN DIFFERENT HEALTH FACILITIES IN MIMAROPA
F1. HOSPITAL STANDARD
List of EQUIPMENT that should be present per area as per RLED and DOH Central Office
1 EQUIPMENT / INSTRUMENT REQUIREMENT checklist .
2 MINIMUM REQUIREMENT (Infirmary)
3 MINIMUM REQUIREMENT (Level 1)
4 MINIMUM REQUIREMENT (Level 2)
5 MINIMUM REQUIREMENT (Level 3)
RLED Findings
6 (CY 2017 - 2018)
Indicate the number of Equipment given under HFEP project from 2011-2017 and
7 HFEP delivered or to be delivered under 2018 HFEP funding
QTY - Number of equipment
F - Functional
C - Condemned
NF - Not Functional
8 LGU Indicate the number of Equipment given by LGU present in the health facility
QTY - Number of equipment
F - Functional
C - Condemned
NF - Not Functional
9 NGO Indicate the number of Equipment given by NGO present in the health facility
QTY - Number of equipment
F - Functional
C - Condemned
NF - Not Functional
Indicate the number of Equipment present in the facility but unable to identify where
10 Unknown or whom it was from
QTY - Number of equipment
F - Functional
C - Condemned
NF - Not Functional
11 Remarks Indicate any additional information or status
12 OTHER EQUIPMENT NOT IN THE LIST List of equipment that should be present per area but not in RLED and DOH Central
Office checklist .

RESPONDENT'S PROFILE:

Name of Respondent:
Signature
Position
Contact Details:
Tel. No. / Cellphone:
Email:
Date Accomplishmed (Month/Day/Year)
HEALTH FACILITIES ENHANCEMENT PROGRAM
2019 EQUIPMENT INVENTORY IN DIFFERENT HEALTH FACILITIES IN MIMAROPA
F2. RURAL HEALTH UNIT WITH BIRTHING
List of EQUIPMENT that should be present per area as per RLED and DOH Central Office
1 EQUIPMENT / INSTRUMENT REQUIREMENT checklist .
2 RLED
MINIMUM REQUIREMENT
Findings
3 (CY 2017 - 2018)
Indicate the number of Equipment given under HFEP project from 2011-2017 and
4 HFEP delivered or to be delivered under 2018 HFEP funding
QTY - Number of equipment
F - Functional
C - Condemned
NF - Not Functional
5 LGU Indicate the number of Equipment given by LGU present in the health facility
QTY - Number of equipment
F - Functional
C - Condemned
NF - Not Functional
6 NGO Indicate the number of Equipment given by NGO present in the health facility
QTY - Number of equipment
F - Functional
C - Condemned
NF - Not Functional
Indicate the number of Equipment present in the facility but unable to identify where
7 Unknown or whom it was from
QTY - Number of equipment
F - Functional
C - Condemned
NF - Not Functional
8 Remarks Indicate any additional information or status
9 OTHER EQUIPMENT NOT IN THE LIST List of equipment that should be present per area but not in RLED and DOH Central
Office checklist .

RESPONDENT'S PROFILE:

Name of Respondent:
Signature
Position
Contact Details:
Tel. No. / Cellphone:
Email:
Date Accomplishmed (Month/Day/Year)
NAME OF FACILITY
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1
2 Bed, Mechanical 2 crank with Mattress, Adult 1
3 BP Apparatus Desk Type, Adult and Pedia 1
4 BP Apparatus Digital 1
5 Cervical Inspection Set 2
6 Dressing Set 1
7 EENT Diagnostic Set 1
8 Examining Light 1
9 Examining Table 1
10 Fetal Doppler 1
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1
14 Instrument Tray with Cover 2
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1
17 Manual Resuscitator Pedia 1
18 Minor Surgical Instrument Set 2
19 Nebulizer 2
20 Non-Contact Thermometer 1
21 Revolving Stool 2
22 Salter Scale 3
23 Stethoscope, Adult 2
24 Weighing Scale with height measuring Stick, Adult 1
25 Weighing Scale, Infant 1
26 Wheelchair 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1
2 Chemistry Analyzer 1
3 Differential Counter 1
4 Glucometer 1
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
NAME OF FACILITY
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
10 Refrigerator, Household 1
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2
2 Bedside table 2
3 BP Apparatus Stand Type, Adult and Pedia 1
4 Cord Dressing Set 2
5 Delivery Table with Detachable Stirrups with Mattress 1
6 Dressing Cart 1
7 Examining Light 1
8 Fetal Doppler 1
9 Foot Stool 1
10 Instrument Cabinet 1
11 Instrument Table 2
12 Instrument Tray with Cover 2
13 IV Stand 1
14 Normal Spontaneous Delivery Set 2
15 Oxygen Tank 50 L 2
16 Oxygen Therapy Set 2
17 Manual Resuscitator Adult 1
18 Manual Resuscitator Neonate 1
19 Revolving stool 2
20 Stethoscope, Adult 2
21 Stethoscope, Pedia 1
22 Suction Machine 2L 1
23 Weighing Scale, Infant 1
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
NAME OF FACILITY
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT MALIPAYON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 RLED Findings


HFEP LGU NGO Unknown Remarks
ARY (CY '17 - '18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
ADMINISTRATIVE
1 Emergency Light ü ü ü 1 1 10 10
DIETARY
1 Refrigerator, Household ü ü ü 1
OPERATING ROOM
1 Anesthesia Machine, Portable ü ü ü
2 Cardiac Monitor ü ü ü 1 1
3 Mayo Table with Tray ü ü ü 1 1
Operating Room Light, LED Light, single head, ceiling
4 ü ü ü 1 1
mounted
5 Operating Room, Table, hydraulic ü ü ü 1 1
6 Suction Machine, 5L ü ü ü 3 3
EMERGENCY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü ü 1 1 1
2 Biomedical Refrigerator ü ü ü ü 1
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü 9 9
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü 1 1
5 Cervical Inspection Set ü ü ü ü 2 2
6 Defibrillator ü ü ü ü 1 1
7 Dressing Cart ü ü ü ü 2 2
8 ECG Machine with analyzer ü ü ü ü 1 1
9 EENT Diagnostic Set ü ü ü ü 1 1
10 Emergency Cart ü ü ü ü 1 1
11 Examining Light ü ü ü ü 1 1
12 Examining Table with Stirrup ü ü ü ü 1 1 2 2
13 Foot Stool ü ü ü ü 2 2
14 Glucometer ü ü ü ü 5 5
15 Instrument Tray w/ cover ü ü ü ü 1 1
16 IV Stand ü ü ü ü 1 1
17 Laryngoscope Set ü ü ü ü 1 1
18 Manual Resuscitator, Adult ü ü ü ü 1 1 2
19 Manual Resuscitator, Neonate ü ü ü ü 1 1
20 Manual Resuscitator, Pedia ü ü ü ü 1 1
21 Mayo Table with Tray ü ü ü ü 1 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT MALIPAYON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

INFIRM RLED Findings


EQUIPMENT / INSTRUMENT REQUIREMENT LEVEL 1 LEVEL 2 LEVEL 3 HFEP LGU NGO Unknown Remarks
ARY (CY '17 - '18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
22 Medicine Cabinet ü ü ü ü 1 1 2 2
23 Minor Surgical Set / Cutdown Set ü ü ü ü 1 1
24 Nebulizer ü ü ü ü 1 1 6 6
25 Non-contact thermometer ü ü ü ü 1 1
26 Oxygen Tank ü ü ü ü 1 1 8 8
27 Oxygen Therapy Set ü ü ü ü 1 1 8 8
28 Pulmonary Function Test (PFT) ü ü ü ü
29 Pulse Oximeter ü ü ü ü 1 1
30 Stethoscope, Adult ü ü ü ü 2 2 5 5
31 Stethoscope, Pedia ü ü ü ü 1 1 4 4
32 Suction Machine, 2L ü ü ü ü 1 1
33 Weighing Scale with height measuring Stick, Adult ü ü ü ü 1 1 1 1
34 Weighing Scale, Infant ü ü ü ü 2 2 1 1
35 Wheelchair ü ü ü ü 1 1
36 Wheeled Stretcher ü ü ü ü 1 1 2 2
OUTPATIENT DEPARTMENT
1 BP Apparatus Desk Type, Adult and Pedia ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü
3 Cervical Inspection Set ü ü ü
4 ECG Machine with analyzer ü ü ü
5 EENT Diagnostic Set ü ü ü
6 Examining Light ü ü ü 1 1
7 Examining Table with Stirrup ü ü ü
8 Instrument Table ü ü ü 2 1 1
9 Minor Surgical Set / Cutdown Set ü ü ü
10 Non-contact thermometer ü ü ü
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü 1 1
14 Stethoscope, Pedia ü ü ü
15 Weighing Scale with height measuring Stick, Adult ü ü ü
16 Weighing Scale, Infant ü ü ü
17 Wheelchair ü
LABORATORY ROOM
1 Centrifuge ,12 placer ü ü ü
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT MALIPAYON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

INFIRM RLED Findings


EQUIPMENT / INSTRUMENT REQUIREMENT LEVEL 1 LEVEL 2 LEVEL 3 HFEP LGU NGO Unknown Remarks
ARY (CY '17 - '18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
2 Chemistry Analyzer, Semi-automated, Open-system ü ü ü
3 Differential Counter ü ü ü
4 Glucometer ü ü ü
5 Hematocrit Centrifuge, 12 placer ü ü ü
6 Hematocrit reader ü ü ü
7 Microscope, Binocular ü ü ü
8 Pipette shaker ü ü ü
9 Refrigerator ü ü ü
10 Spectrophotometer ü ü ü
11 Tally Counter ü ü ü
12 Thermometer (non-mercurial) ü ü ü
13 Vaccine Refrigerator ü ü ü
BLOOD STATION
1 Agglutination viewer ü ü
2 Autoclave 20L ü ü
3 Bloodbank ref 100bags ü ü
4 Emergency Light ü ü
5 Laboratory thermometer ü ü
6 Serological Centrifuge ü ü
7 Water bath ü ü
BLOOD BANK
1 Agglutination viewer ü
2 Analytical balance ü
3 Autoclave 20L ü
4 Bloodbank ref 100bags ü
5 Dispenser / dispettes ü
6 Emergency Light ü
7 Generator 20KVA ü
8 Laboratory thermometer ü
9 Microscope, Binocular with OIO ü
10 Pipettor Set, automatic ü
11 Plasma Extractor / Blood Extractor, Manual ü
12 Plasma freezer (-30C) with AVR ü
13 Plasma Thawer ü
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT MALIPAYON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

INFIRM RLED Findings


EQUIPMENT / INSTRUMENT REQUIREMENT LEVEL 1 LEVEL 2 LEVEL 3 HFEP LGU NGO Unknown Remarks
ARY (CY '17 - '18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
14 Platelet Agitator / Rotator ü
15 Reagant refrigerator ü
16 Room thermometer ü
17 Rough balance ü
18 Serological Centrifuge ü
19 Spring scale for blood unit ü
20 Surgical forceps, scissors ü
21 Tachometer ü
22 Water bath ü
23 Weighing scale calibrated up to 500g ü
RECOVERY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü
4 Emergency Light ü ü ü
5 Oxygen Tank ü ü ü
6 Oxygen Therapy Set ü ü ü
7 Stethoscope, Adult ü ü ü
DELIVERY ROOM
1 Anesthesia Machine without Ventilator ü ü ü 1 1
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü 2 2 9 9
4 Delivery Light (two bulb), Mobile ü ü ü ü
5 Delivery Table with Detachable Stirrup and Mattress ü ü ü ü 1 1
6 Dilatation and Curettage Set ü ü ü 1 1
7 Instrument Table ü ü ü ü 1 1
8 Kelly Pad ü ü ü ü 2 2
9 Laryngoscope Set ü ü ü ü 1 1
10 Manual Resuscitator, Adult ü ü ü ü 1 1
11 Manual Resuscitator, Pedia ü ü ü ü 1 1
12 Normal Spontaneous Delivery Set (Primi) ü ü ü ü 1 1
13 Normal Spontaneous Delivery Set (Multi) ü ü ü ü 3 3
14 Oxygen Tank ü ü ü ü 1 1
15 Oxygen Therapy Set ü ü ü ü 1 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT MALIPAYON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

INFIRM RLED Findings


EQUIPMENT / INSTRUMENT REQUIREMENT LEVEL 1 LEVEL 2 LEVEL 3 HFEP LGU NGO Unknown Remarks
ARY (CY '17 - '18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
16 Sponge forceps ü ü ü ü 2 2
17 Stethoscope, Adult ü ü ü ü 1 1
18 Stethoscope, Pedia ü ü ü ü 1 1
19 Suction Machine, 2L ü ü ü ü 1 1
20 Tissue forceps ü ü ü ü 4 4
21 Weighing Scale, Infant ü ü ü ü 1 1
22 Wheeled Stretcher ü ü ü ü 1 1
NEONATAL INTENSIVE CARE UNIT
1 Bassinet ü ü ü 3 3
2 Bili Light (Phototherapy Unit) ü ü ü
3 Cardiac Monitor ü ü ü 1 1
4 Emergency Cart ü ü ü
5 Emergency Light ü ü ü
6 Examining Light ü ü ü
7 Infant Incubator ü ü ü
8 Manual Resuscitator, Neonate ü ü ü
9 Oxygen Tank ü ü ü
10 Oxygen Therapy Set ü ü ü
11 Respirator / Ventilator ü ü ü
12 Stethoscope, Pedia ü ü ü
13 Suction Machine, 2L ü ü ü
14 Weighing Scale, Infant ü ü ü
LABOR ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü 1 1
3 Emergency Light ü ü ü ü
4 Fetal Doppler ü ü ü 2 1 1
5 Non-contact thermometer ü ü ü 1 1
6 Oxygen Tank ü ü ü ü 1 1
7 Oxygen Therapy Set ü ü ü ü 1 1
8 Stethoscope, Adult ü ü ü 1 1
9 Wheeled Stretcher ü ü ü ü 1 1
NURSING UNIT OR WARD

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT MALIPAYON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

INFIRM RLED Findings


EQUIPMENT / INSTRUMENT REQUIREMENT LEVEL 1 LEVEL 2 LEVEL 3 HFEP LGU NGO Unknown Remarks
ARY (CY '17 - '18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
Bed, mechanical 2 cranks with mattress, Adult (Patient
1 beds in ER, Labor Room and Critical Areas are not ü ü ü ü 1 1 15 15
included in the count)
2 Bedside Table (should correspond to total beds) ü ü ü ü 5 5
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü 2 2
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü
5 Defibrillator ü ü ü 1 1
6 ECG Machine with analyzer ü ü ü 1 1
7 Emergency Cart ü ü ü 2 2
8 Emergency Light ü ü ü ü 1 1
9 IV Stand ü ü ü ü 9 9
10 Manual Resuscitator, Adult ü ü ü ü 1 1
11 Manual Resuscitator, Pedia ü ü ü ü 1 1
12 Nebulizer ü ü ü ü 2 2
13 Non-contact thermometer ü ü ü ü
14 Oxygen Tank ü ü ü ü 3 3
15 Oxygen Therapy Set ü ü ü ü 3 3
16 Stethoscope, Adult ü ü ü ü 3 3
17 Stethoscope, Pedia ü ü ü ü 3 3
18 Suction Machine, 2L ü ü ü ü 1 1
19 Weighing Scale with height measuring Stick, Adult ü ü ü ü 1 1
CENTRAL STERILIZING & SUPPLY ROOM
1 Autoclave, 50L (may increase depending on the need) ü ü ü ü 1 1
2 Emergency Light ü ü ü ü 1 1
DENTAL CLINIC
1 Dental Chair/Unit ü ü ü
2 Dental Instrument Set ü ü ü
3 Equipment for sterilization or equivalent ü ü ü
RADIOLOGY DEPARTMENT
1 Automatic Film Processor with complete accessories ü
2 Ultrasound Scanner, 2D Echo ü ü
3 X-ray Machine, 300mA,radiographic, stationary ü ü ü
4 X-ray Machine, 500mA, R/F ü ü
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT MALIPAYON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

INFIRM RLED Findings


EQUIPMENT / INSTRUMENT REQUIREMENT LEVEL 1 LEVEL 2 LEVEL 3 HFEP LGU NGO Unknown Remarks
ARY (CY '17 - '18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
INTENSIVE CARE UNIT
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü
4 Cardiac Monitor ü ü ü
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü
7 Emergency Cart ü ü ü
8 Laryngoscope Set ü ü ü
9 Manual Resuscitator, Adult ü ü ü
10 Manual Resuscitator, Pedia ü ü ü
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü
14 Suction Machine, 2L ü ü ü
RESPIRATORY THERAPY UNIT
1 ABG Machine ü ü ü
2 Spirometer ü ü ü
3 Ventilator ü ü ü
ENGINEERING / MAINTENANCE
Stand-by-generator with automatic transfer switch (150
1 ü ü ü ü 1 1
kVa)

(12) Other Equipment Not in the List


Automatic Film Processor with Complete Accessories
1
2 Blood Chemistry Analyzer, Fully Automated
3 BP Apparatus Digital 10 10
4 Delivery Set for Cesarean Section 2 2
5 Fetal Monitor/Cardiotocograph 1 1
6 Finger Pulse Oximeter 5 5
7 Food Conveyor, 30-50 trays 1 1
8 Hematology Analyzer 1 1
9 Laparatomy Set 2 2
10 Mobile X-ray Machine, 300mA 1 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT MALIPAYON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

INFIRM RLED Findings


EQUIPMENT / INSTRUMENT REQUIREMENT LEVEL 1 LEVEL 2 LEVEL 3 HFEP LGU NGO Unknown Remarks
ARY (CY '17 - '18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
11 Mucus Extractor (Manual Suction Bulb) 2 2
12 NSV (No Scalpel Vasectomy) Set 1 1
13 Ortho Instrument Set 1 1
14 Oxygen Tank 50L with Oxygen Therapy Set 1 1
15 Revolving Stool 1 1
16 Thermometer - Mercury free 3 3
17 Tracheostomy Set 1 1
18 Utility Cart, stainless 1 1

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT ROMBLON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
ADMINISTRATIVE
1 Emergency Light ü ü ü 1
DIETARY
1 Refrigerator, Household ü ü ü
OPERATING ROOM
1 Anesthesia Machine, Portable ü ü ü
2 Cardiac Monitor ü ü ü 1
3 Mayo Table with Tray ü ü ü
4 Operating Room Light, LED Light, single head, ceiling mounted ü ü ü
5 Operating Room, Table, hydraulic ü ü ü
6 Suction Machine, 5L ü ü ü
EMERGENCY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü ü
2 Biomedical Refrigerator ü ü ü ü
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü
5 Cervical Inspection Set ü ü ü ü 1
6 Defibrillator ü ü ü ü
7 Dressing Cart ü ü ü ü
8 ECG Machine with analyzer ü ü ü ü
9 EENT Diagnostic Set ü ü ü ü 1
10 Emergency Cart ü ü ü ü
11 Examining Light ü ü ü ü 2
12 Examining Table with Stirrup ü ü ü ü
13 Foot Stool ü ü ü ü
14 Glucometer ü ü ü ü
15 Instrument Tray w/ cover ü ü ü ü
16 IV Stand ü ü ü ü 7
17 Laryngoscope Set ü ü ü ü
18 Manual Resuscitator, Adult ü ü ü ü 1
19 Manual Resuscitator, Neonate ü ü ü ü
20 Manual Resuscitator, Pedia ü ü ü ü 1
21 Mayo Table with Tray ü ü ü ü
22 Medicine Cabinet ü ü ü ü
23 Minor Surgical Set / Cutdown Set ü ü ü ü
24 Nebulizer ü ü ü ü 3
25 Non-contact thermometer ü ü ü ü 4
26 Oxygen Tank ü ü ü ü 5
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT ROMBLON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
27 Oxygen Therapy Set ü ü ü ü 5
28 Pulmonary Function Test (PFT) ü ü ü ü 1
29 Pulse Oximeter ü ü ü ü
30 Stethoscope, Adult ü ü ü ü 2
31 Stethoscope, Pedia ü ü ü ü
32 Suction Machine, 2L ü ü ü ü
33 Weighing Scale with height measuring Stick, Adult ü ü ü ü 2
34 Weighing Scale, Infant ü ü ü ü
35 Wheelchair ü ü ü ü
36 Wheeled Stretcher ü ü ü ü 1
OUTPATIENT DEPARTMENT
1 BP Apparatus Desk Type, Adult and Pedia ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü
3 Cervical Inspection Set ü ü ü
4 ECG Machine with analyzer ü ü ü
5 EENT Diagnostic Set ü ü ü
6 Examining Light ü ü ü
7 Examining Table with Stirrup ü ü ü
8 Instrument Table ü ü ü
9 Minor Surgical Set / Cutdown Set ü ü ü
10 Non-contact thermometer ü ü ü 2
11 Oxygen Tank ü ü ü 5
12 Oxygen Therapy Set ü ü ü 5
13 Stethoscope, Adult ü ü ü 2
14 Stethoscope, Pedia ü ü ü
15 Weighing Scale with height measuring Stick, Adult ü ü ü
16 Weighing Scale, Infant ü ü ü
17 Wheelchair ü
LABORATORY ROOM
1 Centrifuge ,12 placer ü ü ü
2 Chemistry Analyzer, Semi-automated, Open-system ü ü ü 1
3 Differential Counter ü ü ü
4 Glucometer ü ü ü
5 Hematocrit Centrifuge, 12 placer ü ü ü
6 Hematocrit reader ü ü ü
7 Microscope, Binocular ü ü ü
8 Pipette shaker ü ü ü
9 Refrigerator ü ü ü
10 Spectrophotometer ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT ROMBLON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
11 Tally Counter ü ü ü
12 Thermometer (non-mercurial) ü ü ü
13 Vaccine Refrigerator ü ü ü
BLOOD STATION
1 Agglutination viewer ü ü 1
2 Autoclave 20L ü ü 1
3 Bloodbank ref 100bags ü ü
4 Emergency Light ü ü 1 3
5 Laboratory thermometer ü ü
6 Serological Centrifuge ü ü 1
7 Water bath ü ü
BLOOD BANK
1 Agglutination viewer ü
2 Analytical balance ü
3 Autoclave 20L ü
4 Bloodbank ref 100bags ü
5 Dispenser / dispettes ü
6 Emergency Light ü
7 Generator 20KVA ü
8 Laboratory thermometer ü
9 Microscope, Binocular with OIO ü
10 Pipettor Set, automatic ü
11 Plasma Extractor / Blood Extractor, Manual ü
12 Plasma freezer (-30C) with AVR ü
13 Plasma Thawer ü
14 Platelet Agitator / Rotator ü
15 Reagant refrigerator ü
16 Room thermometer ü
17 Rough balance ü
18 Serological Centrifuge ü
19 Spring scale for blood unit ü
20 Surgical forceps, scissors ü
21 Tachometer ü
22 Water bath ü
23 Weighing scale calibrated up to 500g ü
RECOVERY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT ROMBLON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
4 Emergency Light ü ü ü 1
5 Oxygen Tank ü ü ü 5
6 Oxygen Therapy Set ü ü ü 5
7 Stethoscope, Adult ü ü ü 2
DELIVERY ROOM
1 Anesthesia Machine without Ventilator ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü
4 Delivery Light (two bulb), Mobile ü ü ü ü
5 Delivery Table with Detachable Stirrup and Mattress ü ü ü ü
6 Dilatation and Curettage Set ü ü ü
7 Instrument Table ü ü ü ü
8 Kelly Pad ü ü ü ü
9 Laryngoscope Set ü ü ü ü
10 Manual Resuscitator, Adult ü ü ü ü
11 Manual Resuscitator, Pedia ü ü ü ü
12 Normal Spontaneous Delivery Set (Primi) ü ü ü ü 1
13 Normal Spontaneous Delivery Set (Multi) ü ü ü ü
14 Oxygen Tank ü ü ü ü 2
15 Oxygen Therapy Set ü ü ü ü 2
16 Sponge forceps ü ü ü ü
17 Stethoscope, Adult ü ü ü ü 2
18 Stethoscope, Pedia ü ü ü ü
19 Suction Machine, 2L ü ü ü ü
20 Tissue forceps ü ü ü ü
21 Weighing Scale, Infant ü ü ü ü
22 Wheeled Stretcher ü ü ü ü 1
NEONATAL INTENSIVE CARE UNIT
1 Bassinet ü ü ü
2 Bili Light (Phototherapy Unit) ü ü ü
3 Cardiac Monitor ü ü ü
4 Emergency Cart ü ü ü
5 Emergency Light ü ü ü 1
6 Examining Light ü ü ü
7 Infant Incubator ü ü ü
8 Manual Resuscitator, Neonate ü ü ü
9 Oxygen Tank ü ü ü
10 Oxygen Therapy Set ü ü ü
11 Respirator / Ventilator ü ü ü 1

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT ROMBLON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
12 Stethoscope, Pedia ü ü ü
13 Suction Machine, 2L ü ü ü
14 Weighing Scale, Infant ü ü ü
LABOR ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü
3 Emergency Light ü ü ü ü 1
4 Fetal Doppler ü ü ü
5 Non-contact thermometer ü ü ü 2
6 Oxygen Tank ü ü ü ü
7 Oxygen Therapy Set ü ü ü ü
8 Stethoscope, Adult ü ü ü 2
9 Wheeled Stretcher ü ü ü ü
NURSING UNIT OR WARD
Bed, mechanical 2 cranks with mattress, Adult (Patient beds in
1 ER, Labor Room and Critical Areas are not included in the ü ü ü ü 20
count)
2 Bedside Table (should correspond to total beds) ü ü ü ü 20
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü
7 Emergency Cart ü ü ü
8 Emergency Light ü ü ü ü 1
9 IV Stand ü ü ü ü 7
10 Manual Resuscitator, Adult ü ü ü ü
11 Manual Resuscitator, Pedia ü ü ü ü
12 Nebulizer ü ü ü ü 4
13 Non-contact thermometer ü ü ü ü 2
14 Oxygen Tank ü ü ü ü
15 Oxygen Therapy Set ü ü ü ü
16 Stethoscope, Adult ü ü ü ü
17 Stethoscope, Pedia ü ü ü ü
18 Suction Machine, 2L ü ü ü ü
19 Weighing Scale with height measuring Stick, Adult ü ü ü ü
CENTRAL STERILIZING & SUPPLY ROOM
1 Autoclave, 50L (may increase depending on the need) ü ü ü ü
2 Emergency Light ü ü ü ü 1
DENTAL CLINIC

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT ROMBLON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
1 Dental Chair/Unit ü ü ü
2 Dental Instrument Set ü ü ü
3 Equipment for sterilization or equivalent ü ü ü
RADIOLOGY DEPARTMENT
1 Automatic Film Processor with complete accessories ü
2 Ultrasound Scanner, 2D Echo ü ü
3 X-ray Machine, 300mA,radiographic, stationary ü ü ü
4 X-ray Machine, 500mA, R/F ü ü
INTENSIVE CARE UNIT
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü
4 Cardiac Monitor ü ü ü
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü
7 Emergency Cart ü ü ü
8 Laryngoscope Set ü ü ü
9 Manual Resuscitator, Adult ü ü ü
10 Manual Resuscitator, Pedia ü ü ü
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü
14 Suction Machine, 2L ü ü ü
RESPIRATORY THERAPY UNIT
1 ABG Machine ü ü ü
2 Spirometer ü ü ü
3 Ventilator ü ü ü
ENGINEERING / MAINTENANCE
1 Stand-by-generator with automatic transfer switch (150 kVa) ü ü ü ü

(12) Other Equipment Not in the List


1 Blood Bank Ref, 30 Bags 1
2 BP App, Wall Mounted 13
3 Electrolyte Analyzer 1
4 Hematology Analyzer, 3 Part Different, Semi-Automated 1
5 Infant warmer 1
6 Blood Bag Tube Sealer 1
7 Blood Bag Balance/Shaker 1

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT ROMBLON DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
8 Blood Bag Tube Stripper 1
9
10
11
12
13
14
15
16
17
18

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT ROMBLON PROVINCIAL HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
ADMINISTRATIVE
1 Emergency Light ü ü ü 1
DIETARY
1 Refrigerator, Household ü ü ü 1
OPERATING ROOM
1 Anesthesia Machine, Portable ü ü ü
2 Cardiac Monitor ü ü ü 1
3 Mayo Table with Tray ü ü ü 2
4 Operating Room Light, LED Light, single head, ceiling mounted ü ü ü
5 Operating Room, Table, hydraulic ü ü ü
6 Suction Machine, 5L ü ü ü 1 1
EMERGENCY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü ü
2 Biomedical Refrigerator ü ü ü ü 1
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü 23
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü 1 15
5 Cervical Inspection Set ü ü ü ü
6 Defibrillator ü ü ü ü 1
7 Dressing Cart ü ü ü ü
8 ECG Machine with analyzer ü ü ü ü 1 1
9 EENT Diagnostic Set ü ü ü ü 1
10 Emergency Cart ü ü ü ü
11 Examining Light ü ü ü ü 1
12 Examining Table with Stirrup ü ü ü ü
13 Foot Stool ü ü ü ü
14 Glucometer ü ü ü ü
15 Instrument Tray w/ cover ü ü ü ü
16 IV Stand ü ü ü ü 8
17 Laryngoscope Set ü ü ü ü 1
18 Manual Resuscitator, Adult ü ü ü ü 1
19 Manual Resuscitator, Neonate ü ü ü ü 1
20 Manual Resuscitator, Pedia ü ü ü ü 1
21 Mayo Table with Tray ü ü ü ü
22 Medicine Cabinet ü ü ü ü
23 Minor Surgical Set / Cutdown Set ü ü ü ü 1
24 Nebulizer ü ü ü ü 4 3
25 Non-contact thermometer ü ü ü ü 3
26 Oxygen Tank ü ü ü ü
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT ROMBLON PROVINCIAL HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
27 Oxygen Therapy Set ü ü ü ü 1 18
28 Pulmonary Function Test (PFT) ü ü ü ü
29 Pulse Oximeter ü ü ü ü
30 Stethoscope, Adult ü ü ü ü 2 8
31 Stethoscope, Pedia ü ü ü ü 1
32 Suction Machine, 2L ü ü ü ü 2
33 Weighing Scale with height measuring Stick, Adult ü ü ü ü 1
34 Weighing Scale, Infant ü ü ü ü 1
35 Wheelchair ü ü ü ü 3
36 Wheeled Stretcher ü ü ü ü 1 2
OUTPATIENT DEPARTMENT
1 BP Apparatus Desk Type, Adult and Pedia ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü 1
3 Cervical Inspection Set ü ü ü
4 ECG Machine with analyzer ü ü ü 1
5 EENT Diagnostic Set ü ü ü
6 Examining Light ü ü ü 2
7 Examining Table with Stirrup ü ü ü
8 Instrument Table ü ü ü
9 Minor Surgical Set / Cutdown Set ü ü ü
10 Non-contact thermometer ü ü ü 3
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü
14 Stethoscope, Pedia ü ü ü
15 Weighing Scale with height measuring Stick, Adult ü ü ü 1
16 Weighing Scale, Infant ü ü ü
17 Wheelchair ü
LABORATORY ROOM
1 Centrifuge ,12 placer ü ü ü
2 Chemistry Analyzer, Semi-automated, Open-system ü ü ü
3 Differential Counter ü ü ü
4 Glucometer ü ü ü
5 Hematocrit Centrifuge, 12 placer ü ü ü
6 Hematocrit reader ü ü ü
7 Microscope, Binocular ü ü ü 1 1
8 Pipette shaker ü ü ü
9 Refrigerator ü ü ü 2
10 Spectrophotometer ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT ROMBLON PROVINCIAL HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
11 Tally Counter ü ü ü
12 Thermometer (non-mercurial) ü ü ü
13 Vaccine Refrigerator ü ü ü
BLOOD STATION
1 Agglutination viewer ü ü 1
2 Autoclave 20L ü ü
3 Bloodbank ref 100bags ü ü
4 Emergency Light ü ü
5 Laboratory thermometer ü ü
6 Serological Centrifuge ü ü 1
7 Water bath ü ü 1
BLOOD BANK
1 Agglutination viewer ü
2 Analytical balance ü
3 Autoclave 20L ü
4 Bloodbank ref 100bags ü
5 Dispenser / dispettes ü
6 Emergency Light ü 7
7 Generator 20KVA ü 1
8 Laboratory thermometer ü
9 Microscope, Binocular with OIO ü
10 Pipettor Set, automatic ü
11 Plasma Extractor / Blood Extractor, Manual ü 1
12 Plasma freezer (-30C) with AVR ü
13 Plasma Thawer ü
14 Platelet Agitator / Rotator ü
15 Reagant refrigerator ü
16 Room thermometer ü
17 Rough balance ü
18 Serological Centrifuge ü
19 Spring scale for blood unit ü
20 Surgical forceps, scissors ü
21 Tachometer ü
22 Water bath ü
23 Weighing scale calibrated up to 500g ü
RECOVERY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT ROMBLON PROVINCIAL HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
4 Emergency Light ü ü ü
5 Oxygen Tank ü ü ü
6 Oxygen Therapy Set ü ü ü
7 Stethoscope, Adult ü ü ü
DELIVERY ROOM
1 Anesthesia Machine without Ventilator ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü 3
4 Delivery Light (two bulb), Mobile ü ü ü ü
5 Delivery Table with Detachable Stirrup and Mattress ü ü ü ü 1
6 Dilatation and Curettage Set ü ü ü
7 Instrument Table ü ü ü ü
8 Kelly Pad ü ü ü ü 4
9 Laryngoscope Set ü ü ü ü 1
10 Manual Resuscitator, Adult ü ü ü ü
11 Manual Resuscitator, Pedia ü ü ü ü 1
12 Normal Spontaneous Delivery Set (Primi) ü ü ü ü 1
13 Normal Spontaneous Delivery Set (Multi) ü ü ü ü
14 Oxygen Tank ü ü ü ü
15 Oxygen Therapy Set ü ü ü ü
16 Sponge forceps ü ü ü ü
17 Stethoscope, Adult ü ü ü ü
18 Stethoscope, Pedia ü ü ü ü
19 Suction Machine, 2L ü ü ü ü
20 Tissue forceps ü ü ü ü
21 Weighing Scale, Infant ü ü ü ü
22 Wheeled Stretcher ü ü ü ü
NEONATAL INTENSIVE CARE UNIT
1 Bassinet ü ü ü 2
2 Bili Light (Phototherapy Unit) ü ü ü
3 Cardiac Monitor ü ü ü
4 Emergency Cart ü ü ü
5 Emergency Light ü ü ü
6 Examining Light ü ü ü
7 Infant Incubator ü ü ü
8 Manual Resuscitator, Neonate ü ü ü
9 Oxygen Tank ü ü ü
10 Oxygen Therapy Set ü ü ü
11 Respirator / Ventilator ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT ROMBLON PROVINCIAL HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
12 Stethoscope, Pedia ü ü ü
13 Suction Machine, 2L ü ü ü
14 Weighing Scale, Infant ü ü ü
LABOR ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü 2
3 Emergency Light ü ü ü ü
4 Fetal Doppler ü ü ü 1
5 Non-contact thermometer ü ü ü 3
6 Oxygen Tank ü ü ü ü
7 Oxygen Therapy Set ü ü ü ü
8 Stethoscope, Adult ü ü ü
9 Wheeled Stretcher ü ü ü ü
NURSING UNIT OR WARD
Bed, mechanical 2 cranks with mattress, Adult (Patient beds in
1 ER, Labor Room and Critical Areas are not included in the ü ü ü ü
count)
2 Bedside Table (should correspond to total beds) ü ü ü ü
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü 1
7 Emergency Cart ü ü ü
8 Emergency Light ü ü ü ü
9 IV Stand ü ü ü ü 6
10 Manual Resuscitator, Adult ü ü ü ü
11 Manual Resuscitator, Pedia ü ü ü ü
12 Nebulizer ü ü ü ü 2
13 Non-contact thermometer ü ü ü ü 3
14 Oxygen Tank ü ü ü ü
15 Oxygen Therapy Set ü ü ü ü
16 Stethoscope, Adult ü ü ü ü
17 Stethoscope, Pedia ü ü ü ü
18 Suction Machine, 2L ü ü ü ü
19 Weighing Scale with height measuring Stick, Adult ü ü ü ü
CENTRAL STERILIZING & SUPPLY ROOM
1 Autoclave, 50L (may increase depending on the need) ü ü ü ü 1
2 Emergency Light ü ü ü ü
DENTAL CLINIC

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT ROMBLON PROVINCIAL HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
1 Dental Chair/Unit ü ü ü
2 Dental Instrument Set ü ü ü
3 Equipment for sterilization or equivalent ü ü ü
RADIOLOGY DEPARTMENT
1 Automatic Film Processor with complete accessories ü
2 Ultrasound Scanner, 2D Echo ü ü
3 X-ray Machine, 300mA,radiographic, stationary ü ü ü
4 X-ray Machine, 500mA, R/F ü ü
INTENSIVE CARE UNIT
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü
4 Cardiac Monitor ü ü ü
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü
7 Emergency Cart ü ü ü
8 Laryngoscope Set ü ü ü 1
9 Manual Resuscitator, Adult ü ü ü
10 Manual Resuscitator, Pedia ü ü ü
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü
14 Suction Machine, 2L ü ü ü
RESPIRATORY THERAPY UNIT
1 ABG Machine ü ü ü
2 Spirometer ü ü ü
3 Ventilator ü ü ü
ENGINEERING / MAINTENANCE
1 Stand-by-generator with automatic transfer switch (150 kVa) ü ü ü ü 1

(12) Other Equipment Not in the List


1 Blood Bag Balance/Shaker 3
2 Blood Bag Tube Sealer 3
3 Blood Bag Tube Stripper 2
4 Blood Bank Refigerated Centrifuge 1
5 Blood Collection Chair/Bed 2
6 Computer with Printer and Scanner 4
7 Defibrillator AED 1

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT ROMBLON PROVINCIAL HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
8 Dry Bath Incubator 1
9 Fetal Monitor / Cardiotocograph 1
10 Finger Pulse Oximeter 14
11 Hemoglobinometer 1
12 Mucus Extractor (Manual Suction Bulb) 2
13 Needle Destroyer 3
14 NSV (No Scalpel Vasectomy) Set 1
15 Orthopedic Instrument Set 1
16 Oxygen Tank 50L with Oxygen Therapy Set 1
17 Pharmacy Refrigerator 1
18 Revolving Stool 1
19 Thermometer - Mercury free 10
20 X-Ray 200mA, Mobile 2

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SAN ANDRES MUNICIPAL HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
ADMINISTRATIVE
1 Emergency Light ü ü ü
DIETARY
1 Refrigerator, Household ü ü ü
OPERATING ROOM
1 Anesthesia Machine, Portable ü ü ü
2 Cardiac Monitor ü ü ü
3 Mayo Table with Tray ü ü ü 1
4 Operating Room Light, LED Light, single head, ceiling mounted ü ü ü
5 Operating Room, Table, hydraulic ü ü ü
6 Suction Machine, 5L ü ü ü
EMERGENCY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü ü
2 Biomedical Refrigerator ü ü ü ü
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü 3
5 Cervical Inspection Set ü ü ü ü 1
6 Defibrillator ü ü ü ü
7 Dressing Cart ü ü ü ü
8 ECG Machine with analyzer ü ü ü ü 1
9 EENT Diagnostic Set ü ü ü ü 1
10 Emergency Cart ü ü ü ü 1
11 Examining Light ü ü ü ü 3
12 Examining Table with Stirrup ü ü ü ü 1
13 Foot Stool ü ü ü ü
14 Glucometer ü ü ü ü
15 Instrument Tray w/ cover ü ü ü ü
16 IV Stand ü ü ü ü
17 Laryngoscope Set ü ü ü ü
18 Manual Resuscitator, Adult ü ü ü ü
19 Manual Resuscitator, Neonate ü ü ü ü 1
20 Manual Resuscitator, Pedia ü ü ü ü
21 Mayo Table with Tray ü ü ü ü
22 Medicine Cabinet ü ü ü ü 1
23 Minor Surgical Set / Cutdown Set ü ü ü ü 1
24 Nebulizer ü ü ü ü
25 Non-contact thermometer ü ü ü ü
26 Oxygen Tank ü ü ü ü 5
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SAN ANDRES MUNICIPAL HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
27 Oxygen Therapy Set ü ü ü ü 5
28 Pulmonary Function Test (PFT) ü ü ü ü
29 Pulse Oximeter ü ü ü ü
30 Stethoscope, Adult ü ü ü ü
31 Stethoscope, Pedia ü ü ü ü
32 Suction Machine, 2L ü ü ü ü 2
33 Weighing Scale with height measuring Stick, Adult ü ü ü ü 1
34 Weighing Scale, Infant ü ü ü ü
35 Wheelchair ü ü ü ü 1
36 Wheeled Stretcher ü ü ü ü 2
OUTPATIENT DEPARTMENT
1 BP Apparatus Desk Type, Adult and Pedia ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü
3 Cervical Inspection Set ü ü ü
4 ECG Machine with analyzer ü ü ü
5 EENT Diagnostic Set ü ü ü
6 Examining Light ü ü ü
7 Examining Table with Stirrup ü ü ü
8 Instrument Table ü ü ü 1
9 Minor Surgical Set / Cutdown Set ü ü ü
10 Non-contact thermometer ü ü ü
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü
14 Stethoscope, Pedia ü ü ü
15 Weighing Scale with height measuring Stick, Adult ü ü ü
16 Weighing Scale, Infant ü ü ü
17 Wheelchair ü
LABORATORY ROOM
1 Centrifuge ,12 placer ü ü ü
2 Chemistry Analyzer, Semi-automated, Open-system ü ü ü
3 Differential Counter ü ü ü
4 Glucometer ü ü ü
5 Hematocrit Centrifuge, 12 placer ü ü ü
6 Hematocrit reader ü ü ü
7 Microscope, Binocular ü ü ü
8 Pipette shaker ü ü ü
9 Refrigerator ü ü ü
10 Spectrophotometer ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SAN ANDRES MUNICIPAL HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
11 Tally Counter ü ü ü
12 Thermometer (non-mercurial) ü ü ü
13 Vaccine Refrigerator ü ü ü
BLOOD STATION
1 Agglutination viewer ü ü
2 Autoclave 20L ü ü
3 Bloodbank ref 100bags ü ü
4 Emergency Light ü ü
5 Laboratory thermometer ü ü
6 Serological Centrifuge ü ü
7 Water bath ü ü
BLOOD BANK
1 Agglutination viewer ü
2 Analytical balance ü
3 Autoclave 20L ü
4 Bloodbank ref 100bags ü
5 Dispenser / dispettes ü
6 Emergency Light ü
7 Generator 20KVA ü
8 Laboratory thermometer ü
9 Microscope, Binocular with OIO ü
10 Pipettor Set, automatic ü
11 Plasma Extractor / Blood Extractor, Manual ü
12 Plasma freezer (-30C) with AVR ü
13 Plasma Thawer ü
14 Platelet Agitator / Rotator ü
15 Reagant refrigerator ü
16 Room thermometer ü
17 Rough balance ü
18 Serological Centrifuge ü
19 Spring scale for blood unit ü
20 Surgical forceps, scissors ü
21 Tachometer ü
22 Water bath ü
23 Weighing scale calibrated up to 500g ü
RECOVERY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SAN ANDRES MUNICIPAL HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
4 Emergency Light ü ü ü
5 Oxygen Tank ü ü ü
6 Oxygen Therapy Set ü ü ü
7 Stethoscope, Adult ü ü ü
DELIVERY ROOM
1 Anesthesia Machine without Ventilator ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü
4 Delivery Light (two bulb), Mobile ü ü ü ü 1
5 Delivery Table with Detachable Stirrup and Mattress ü ü ü ü 1
6 Dilatation and Curettage Set ü ü ü
7 Instrument Table ü ü ü ü
8 Kelly Pad ü ü ü ü
9 Laryngoscope Set ü ü ü ü
10 Manual Resuscitator, Adult ü ü ü ü 1
11 Manual Resuscitator, Pedia ü ü ü ü 1
12 Normal Spontaneous Delivery Set (Primi) ü ü ü ü
13 Normal Spontaneous Delivery Set (Multi) ü ü ü ü
14 Oxygen Tank ü ü ü ü
15 Oxygen Therapy Set ü ü ü ü
16 Sponge forceps ü ü ü ü
17 Stethoscope, Adult ü ü ü ü
18 Stethoscope, Pedia ü ü ü ü
19 Suction Machine, 2L ü ü ü ü
20 Tissue forceps ü ü ü ü
21 Weighing Scale, Infant ü ü ü ü
22 Wheeled Stretcher ü ü ü ü
NEONATAL INTENSIVE CARE UNIT
1 Bassinet ü ü ü
2 Bili Light (Phototherapy Unit) ü ü ü
3 Cardiac Monitor ü ü ü
4 Emergency Cart ü ü ü
5 Emergency Light ü ü ü
6 Examining Light ü ü ü
7 Infant Incubator ü ü ü
8 Manual Resuscitator, Neonate ü ü ü
9 Oxygen Tank ü ü ü
10 Oxygen Therapy Set ü ü ü
11 Respirator / Ventilator ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SAN ANDRES MUNICIPAL HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
12 Stethoscope, Pedia ü ü ü
13 Suction Machine, 2L ü ü ü
14 Weighing Scale, Infant ü ü ü
LABOR ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü
3 Emergency Light ü ü ü ü
4 Fetal Doppler ü ü ü 1
5 Non-contact thermometer ü ü ü
6 Oxygen Tank ü ü ü ü
7 Oxygen Therapy Set ü ü ü ü
8 Stethoscope, Adult ü ü ü
9 Wheeled Stretcher ü ü ü ü
NURSING UNIT OR WARD
Bed, mechanical 2 cranks with mattress, Adult (Patient beds in
1 ER, Labor Room and Critical Areas are not included in the ü ü ü ü 6
count)
2 Bedside Table (should correspond to total beds) ü ü ü ü 7
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü 1
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü
7 Emergency Cart ü ü ü
8 Emergency Light ü ü ü ü
9 IV Stand ü ü ü ü
10 Manual Resuscitator, Adult ü ü ü ü
11 Manual Resuscitator, Pedia ü ü ü ü
12 Nebulizer ü ü ü ü
13 Non-contact thermometer ü ü ü ü
14 Oxygen Tank ü ü ü ü
15 Oxygen Therapy Set ü ü ü ü
16 Stethoscope, Adult ü ü ü ü
17 Stethoscope, Pedia ü ü ü ü
18 Suction Machine, 2L ü ü ü ü
19 Weighing Scale with height measuring Stick, Adult ü ü ü ü 1
CENTRAL STERILIZING & SUPPLY ROOM
1 Autoclave, 50L (may increase depending on the need) ü ü ü ü
2 Emergency Light ü ü ü ü
DENTAL CLINIC

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SAN ANDRES MUNICIPAL HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
1 Dental Chair/Unit ü ü ü
2 Dental Instrument Set ü ü ü
3 Equipment for sterilization or equivalent ü ü ü
RADIOLOGY DEPARTMENT
1 Automatic Film Processor with complete accessories ü
2 Ultrasound Scanner, 2D Echo ü ü
3 X-ray Machine, 300mA,radiographic, stationary ü ü ü
4 X-ray Machine, 500mA, R/F ü ü
INTENSIVE CARE UNIT
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü
4 Cardiac Monitor ü ü ü
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü
7 Emergency Cart ü ü ü
8 Laryngoscope Set ü ü ü
9 Manual Resuscitator, Adult ü ü ü
10 Manual Resuscitator, Pedia ü ü ü
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü
14 Suction Machine, 2L ü ü ü
RESPIRATORY THERAPY UNIT
1 ABG Machine ü ü ü
2 Spirometer ü ü ü
3 Ventilator ü ü ü
ENGINEERING / MAINTENANCE
1 Stand-by-generator with automatic transfer switch (150 kVa) ü ü ü ü

(12) Other Equipment Not in the List


1 Negatoscope 1
2
3
4
5
6
7
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SAN ANDRES MUNICIPAL HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
8
9
10
11
12
13
14
15
16
17
18
19
20

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SAN JOSE DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
ADMINISTRATIVE
1 Emergency Light ü ü ü 3
DIETARY
1 Refrigerator, Household ü ü ü
OPERATING ROOM
1 Anesthesia Machine, Portable ü ü ü
2 Cardiac Monitor ü ü ü 1
3 Mayo Table with Tray ü ü ü
4 Operating Room Light, LED Light, single head, ceiling mounted ü ü ü 1
5 Operating Room, Table, hydraulic ü ü ü 1
6 Suction Machine, 5L ü ü ü 2
EMERGENCY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü ü
2 Biomedical Refrigerator ü ü ü ü
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü 2
5 Cervical Inspection Set ü ü ü ü
6 Defibrillator ü ü ü ü 1
7 Dressing Cart ü ü ü ü
8 ECG Machine with analyzer ü ü ü ü 1
9 EENT Diagnostic Set ü ü ü ü 1
10 Emergency Cart ü ü ü ü 1
11 Examining Light ü ü ü ü 2
12 Examining Table with Stirrup ü ü ü ü
13 Foot Stool ü ü ü ü
14 Glucometer ü ü ü ü 3
15 Instrument Tray w/ cover ü ü ü ü
16 IV Stand ü ü ü ü
17 Laryngoscope Set ü ü ü ü 1 1
18 Manual Resuscitator, Adult ü ü ü ü 1
19 Manual Resuscitator, Neonate ü ü ü ü
20 Manual Resuscitator, Pedia ü ü ü ü 1
21 Mayo Table with Tray ü ü ü ü
22 Medicine Cabinet ü ü ü ü
23 Minor Surgical Set / Cutdown Set ü ü ü ü
24 Nebulizer ü ü ü ü 4
25 Non-contact thermometer ü ü ü ü
26 Oxygen Tank ü ü ü ü 4
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SAN JOSE DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
27 Oxygen Therapy Set ü ü ü ü 3
28 Pulmonary Function Test (PFT) ü ü ü ü
29 Pulse Oximeter ü ü ü ü
30 Stethoscope, Adult ü ü ü ü 1 1
31 Stethoscope, Pedia ü ü ü ü 1
32 Suction Machine, 2L ü ü ü ü
33 Weighing Scale with height measuring Stick, Adult ü ü ü ü
34 Weighing Scale, Infant ü ü ü ü 1
35 Wheelchair ü ü ü ü
36 Wheeled Stretcher ü ü ü ü 1
OUTPATIENT DEPARTMENT
1 BP Apparatus Desk Type, Adult and Pedia ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü
3 Cervical Inspection Set ü ü ü
4 ECG Machine with analyzer ü ü ü
5 EENT Diagnostic Set ü ü ü
6 Examining Light ü ü ü
7 Examining Table with Stirrup ü ü ü
8 Instrument Table ü ü ü 1
9 Minor Surgical Set / Cutdown Set ü ü ü
10 Non-contact thermometer ü ü ü
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü 1
14 Stethoscope, Pedia ü ü ü
15 Weighing Scale with height measuring Stick, Adult ü ü ü
16 Weighing Scale, Infant ü ü ü
17 Wheelchair ü
LABORATORY ROOM
1 Centrifuge ,12 placer ü ü ü
2 Chemistry Analyzer, Semi-automated, Open-system ü ü ü 1
3 Differential Counter ü ü ü 1
4 Glucometer ü ü ü
5 Hematocrit Centrifuge, 12 placer ü ü ü
6 Hematocrit reader ü ü ü
7 Microscope, Binocular ü ü ü
8 Pipette shaker ü ü ü
9 Refrigerator ü ü ü
10 Spectrophotometer ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SAN JOSE DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
11 Tally Counter ü ü ü
12 Thermometer (non-mercurial) ü ü ü
13 Vaccine Refrigerator ü ü ü
BLOOD STATION
1 Agglutination viewer ü ü
2 Autoclave 20L ü ü
3 Bloodbank ref 100bags ü ü
4 Emergency Light ü ü
5 Laboratory thermometer ü ü
6 Serological Centrifuge ü ü
7 Water bath ü ü
BLOOD BANK
1 Agglutination viewer ü
2 Analytical balance ü
3 Autoclave 20L ü
4 Bloodbank ref 100bags ü
5 Dispenser / dispettes ü
6 Emergency Light ü
7 Generator 20KVA ü
8 Laboratory thermometer ü
9 Microscope, Binocular with OIO ü
10 Pipettor Set, automatic ü
11 Plasma Extractor / Blood Extractor, Manual ü
12 Plasma freezer (-30C) with AVR ü
13 Plasma Thawer ü
14 Platelet Agitator / Rotator ü
15 Reagant refrigerator ü
16 Room thermometer ü
17 Rough balance ü
18 Serological Centrifuge ü
19 Spring scale for blood unit ü
20 Surgical forceps, scissors ü
21 Tachometer ü
22 Water bath ü
23 Weighing scale calibrated up to 500g ü
RECOVERY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SAN JOSE DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
4 Emergency Light ü ü ü
5 Oxygen Tank ü ü ü
6 Oxygen Therapy Set ü ü ü
7 Stethoscope, Adult ü ü ü
DELIVERY ROOM
1 Anesthesia Machine without Ventilator ü ü ü 1
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü 1
4 Delivery Light (two bulb), Mobile ü ü ü ü
5 Delivery Table with Detachable Stirrup and Mattress ü ü ü ü
6 Dilatation and Curettage Set ü ü ü 1
7 Instrument Table ü ü ü ü 1
8 Kelly Pad ü ü ü ü
9 Laryngoscope Set ü ü ü ü
10 Manual Resuscitator, Adult ü ü ü ü
11 Manual Resuscitator, Pedia ü ü ü ü
12 Normal Spontaneous Delivery Set (Primi) ü ü ü ü
13 Normal Spontaneous Delivery Set (Multi) ü ü ü ü
14 Oxygen Tank ü ü ü ü
15 Oxygen Therapy Set ü ü ü ü
16 Sponge forceps ü ü ü ü
17 Stethoscope, Adult ü ü ü ü
18 Stethoscope, Pedia ü ü ü ü
19 Suction Machine, 2L ü ü ü ü
20 Tissue forceps ü ü ü ü
21 Weighing Scale, Infant ü ü ü ü
22 Wheeled Stretcher ü ü ü ü
NEONATAL INTENSIVE CARE UNIT
1 Bassinet ü ü ü 1
2 Bili Light (Phototherapy Unit) ü ü ü
3 Cardiac Monitor ü ü ü 1
4 Emergency Cart ü ü ü
5 Emergency Light ü ü ü
6 Examining Light ü ü ü
7 Infant Incubator ü ü ü
8 Manual Resuscitator, Neonate ü ü ü
9 Oxygen Tank ü ü ü
10 Oxygen Therapy Set ü ü ü
11 Respirator / Ventilator ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SAN JOSE DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
12 Stethoscope, Pedia ü ü ü
13 Suction Machine, 2L ü ü ü
14 Weighing Scale, Infant ü ü ü
LABOR ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü
3 Emergency Light ü ü ü ü
4 Fetal Doppler ü ü ü 1 1
5 Non-contact thermometer ü ü ü
6 Oxygen Tank ü ü ü ü
7 Oxygen Therapy Set ü ü ü ü
8 Stethoscope, Adult ü ü ü
9 Wheeled Stretcher ü ü ü ü
NURSING UNIT OR WARD
Bed, mechanical 2 cranks with mattress, Adult (Patient beds in
1 ER, Labor Room and Critical Areas are not included in the ü ü ü ü 1
count)
2 Bedside Table (should correspond to total beds) ü ü ü ü 5
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü
7 Emergency Cart ü ü ü
8 Emergency Light ü ü ü ü
9 IV Stand ü ü ü ü
10 Manual Resuscitator, Adult ü ü ü ü
11 Manual Resuscitator, Pedia ü ü ü ü
12 Nebulizer ü ü ü ü
13 Non-contact thermometer ü ü ü ü
14 Oxygen Tank ü ü ü ü
15 Oxygen Therapy Set ü ü ü ü
16 Stethoscope, Adult ü ü ü ü
17 Stethoscope, Pedia ü ü ü ü
18 Suction Machine, 2L ü ü ü ü
19 Weighing Scale with height measuring Stick, Adult ü ü ü ü
CENTRAL STERILIZING & SUPPLY ROOM
1 Autoclave, 50L (may increase depending on the need) ü ü ü ü
2 Emergency Light ü ü ü ü
DENTAL CLINIC

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SAN JOSE DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
1 Dental Chair/Unit ü ü ü
2 Dental Instrument Set ü ü ü
3 Equipment for sterilization or equivalent ü ü ü
RADIOLOGY DEPARTMENT
1 Automatic Film Processor with complete accessories ü
2 Ultrasound Scanner, 2D Echo ü ü
3 X-ray Machine, 300mA,radiographic, stationary ü ü ü
4 X-ray Machine, 500mA, R/F ü ü
INTENSIVE CARE UNIT
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü
4 Cardiac Monitor ü ü ü
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü
7 Emergency Cart ü ü ü
8 Laryngoscope Set ü ü ü
9 Manual Resuscitator, Adult ü ü ü
10 Manual Resuscitator, Pedia ü ü ü
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü
14 Suction Machine, 2L ü ü ü
RESPIRATORY THERAPY UNIT
1 ABG Machine ü ü ü
2 Spirometer ü ü ü
3 Ventilator ü ü ü
ENGINEERING / MAINTENANCE
1 Stand-by-generator with automatic transfer switch (150 kVa) ü ü ü ü

(12) Other Equipment Not in the List


1 BP Apparatus Digital 4
2 Delivery Set for Cesarean Section 2
3 Finger Pulse Oximeter 5
4 Laparatomy Set 2
5 Negatoscope, Single 1
6 Ortho Instrument Set 1
7
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SAN JOSE DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
8
9
10
11
12
13
14
15
16
17
18
19
20

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SIBUYAN DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
ADMINISTRATIVE
1 Emergency Light ü ü ü
DIETARY
1 Refrigerator, Household ü ü ü
OPERATING ROOM
1 Anesthesia Machine, Portable ü ü ü
2 Cardiac Monitor ü ü ü 1
3 Mayo Table with Tray ü ü ü
4 Operating Room Light, LED Light, single head, ceiling mounted ü ü ü 1
5 Operating Room, Table, hydraulic ü ü ü 1
6 Suction Machine, 5L ü ü ü 2
EMERGENCY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü ü
2 Biomedical Refrigerator ü ü ü ü
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü 4
5 Cervical Inspection Set ü ü ü ü
6 Defibrillator ü ü ü ü
7 Dressing Cart ü ü ü ü
8 ECG Machine with analyzer ü ü ü ü 1
9 EENT Diagnostic Set ü ü ü ü
10 Emergency Cart ü ü ü ü 1
11 Examining Light ü ü ü ü 4
12 Examining Table with Stirrup ü ü ü ü
13 Foot Stool ü ü ü ü
14 Glucometer ü ü ü ü
15 Instrument Tray w/ cover ü ü ü ü
16 IV Stand ü ü ü ü 5
17 Laryngoscope Set ü ü ü ü 1
18 Manual Resuscitator, Adult ü ü ü ü
19 Manual Resuscitator, Neonate ü ü ü ü
20 Manual Resuscitator, Pedia ü ü ü ü
21 Mayo Table with Tray ü ü ü ü
22 Medicine Cabinet ü ü ü ü
23 Minor Surgical Set / Cutdown Set ü ü ü ü 1
24 Nebulizer ü ü ü ü
25 Non-contact thermometer ü ü ü ü
26 Oxygen Tank ü ü ü ü
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SIBUYAN DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
27 Oxygen Therapy Set ü ü ü ü
28 Pulmonary Function Test (PFT) ü ü ü ü
29 Pulse Oximeter ü ü ü ü
30 Stethoscope, Adult ü ü ü ü 1 3
31 Stethoscope, Pedia ü ü ü ü
32 Suction Machine, 2L ü ü ü ü 2
33 Weighing Scale with height measuring Stick, Adult ü ü ü ü
34 Weighing Scale, Infant ü ü ü ü 1
35 Wheelchair ü ü ü ü 1
36 Wheeled Stretcher ü ü ü ü 1 2
OUTPATIENT DEPARTMENT
1 BP Apparatus Desk Type, Adult and Pedia ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü
3 Cervical Inspection Set ü ü ü
4 ECG Machine with analyzer ü ü ü
5 EENT Diagnostic Set ü ü ü
6 Examining Light ü ü ü
7 Examining Table with Stirrup ü ü ü
8 Instrument Table ü ü ü 1
9 Minor Surgical Set / Cutdown Set ü ü ü
10 Non-contact thermometer ü ü ü
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü 1
14 Stethoscope, Pedia ü ü ü
15 Weighing Scale with height measuring Stick, Adult ü ü ü
16 Weighing Scale, Infant ü ü ü
17 Wheelchair ü
LABORATORY ROOM
1 Centrifuge ,12 placer ü ü ü
2 Chemistry Analyzer, Semi-automated, Open-system ü ü ü
3 Differential Counter ü ü ü
4 Glucometer ü ü ü
5 Hematocrit Centrifuge, 12 placer ü ü ü
6 Hematocrit reader ü ü ü
7 Microscope, Binocular ü ü ü
8 Pipette shaker ü ü ü
9 Refrigerator ü ü ü
10 Spectrophotometer ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SIBUYAN DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
11 Tally Counter ü ü ü
12 Thermometer (non-mercurial) ü ü ü
13 Vaccine Refrigerator ü ü ü
BLOOD STATION
1 Agglutination viewer ü ü
2 Autoclave 20L ü ü
3 Bloodbank ref 100bags ü ü
4 Emergency Light ü ü
5 Laboratory thermometer ü ü
6 Serological Centrifuge ü ü
7 Water bath ü ü
BLOOD BANK
1 Agglutination viewer ü
2 Analytical balance ü
3 Autoclave 20L ü
4 Bloodbank ref 100bags ü
5 Dispenser / dispettes ü
6 Emergency Light ü
7 Generator 20KVA ü
8 Laboratory thermometer ü
9 Microscope, Binocular with OIO ü
10 Pipettor Set, automatic ü
11 Plasma Extractor / Blood Extractor, Manual ü
12 Plasma freezer (-30C) with AVR ü
13 Plasma Thawer ü
14 Platelet Agitator / Rotator ü
15 Reagant refrigerator ü
16 Room thermometer ü
17 Rough balance ü
18 Serological Centrifuge ü
19 Spring scale for blood unit ü
20 Surgical forceps, scissors ü
21 Tachometer ü
22 Water bath ü
23 Weighing scale calibrated up to 500g ü
RECOVERY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SIBUYAN DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
4 Emergency Light ü ü ü
5 Oxygen Tank ü ü ü
6 Oxygen Therapy Set ü ü ü
7 Stethoscope, Adult ü ü ü
DELIVERY ROOM
1 Anesthesia Machine without Ventilator ü ü ü 1
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü 1
4 Delivery Light (two bulb), Mobile ü ü ü ü
5 Delivery Table with Detachable Stirrup and Mattress ü ü ü ü
6 Dilatation and Curettage Set ü ü ü 1
7 Instrument Table ü ü ü ü 1
8 Kelly Pad ü ü ü ü
9 Laryngoscope Set ü ü ü ü
10 Manual Resuscitator, Adult ü ü ü ü
11 Manual Resuscitator, Pedia ü ü ü ü
12 Normal Spontaneous Delivery Set (Primi) ü ü ü ü
13 Normal Spontaneous Delivery Set (Multi) ü ü ü ü
14 Oxygen Tank ü ü ü ü
15 Oxygen Therapy Set ü ü ü ü
16 Sponge forceps ü ü ü ü
17 Stethoscope, Adult ü ü ü ü
18 Stethoscope, Pedia ü ü ü ü
19 Suction Machine, 2L ü ü ü ü
20 Tissue forceps ü ü ü ü
21 Weighing Scale, Infant ü ü ü ü
22 Wheeled Stretcher ü ü ü ü
NEONATAL INTENSIVE CARE UNIT
1 Bassinet ü ü ü 1
2 Bili Light (Phototherapy Unit) ü ü ü
3 Cardiac Monitor ü ü ü 1
4 Emergency Cart ü ü ü
5 Emergency Light ü ü ü
6 Examining Light ü ü ü
7 Infant Incubator ü ü ü
8 Manual Resuscitator, Neonate ü ü ü
9 Oxygen Tank ü ü ü
10 Oxygen Therapy Set ü ü ü
11 Respirator / Ventilator ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SIBUYAN DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
12 Stethoscope, Pedia ü ü ü
13 Suction Machine, 2L ü ü ü
14 Weighing Scale, Infant ü ü ü
LABOR ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü
3 Emergency Light ü ü ü ü
4 Fetal Doppler ü ü ü 1
5 Non-contact thermometer ü ü ü
6 Oxygen Tank ü ü ü ü
7 Oxygen Therapy Set ü ü ü ü
8 Stethoscope, Adult ü ü ü
9 Wheeled Stretcher ü ü ü ü
NURSING UNIT OR WARD
Bed, mechanical 2 cranks with mattress, Adult (Patient beds in
1 ER, Labor Room and Critical Areas are not included in the ü ü ü ü 1 7
count)
2 Bedside Table (should correspond to total beds) ü ü ü ü
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü
7 Emergency Cart ü ü ü
8 Emergency Light ü ü ü ü
9 IV Stand ü ü ü ü
10 Manual Resuscitator, Adult ü ü ü ü
11 Manual Resuscitator, Pedia ü ü ü ü
12 Nebulizer ü ü ü ü
13 Non-contact thermometer ü ü ü ü
14 Oxygen Tank ü ü ü ü
15 Oxygen Therapy Set ü ü ü ü
16 Stethoscope, Adult ü ü ü ü
17 Stethoscope, Pedia ü ü ü ü
18 Suction Machine, 2L ü ü ü ü
19 Weighing Scale with height measuring Stick, Adult ü ü ü ü
CENTRAL STERILIZING & SUPPLY ROOM
1 Autoclave, 50L (may increase depending on the need) ü ü ü ü
2 Emergency Light ü ü ü ü
DENTAL CLINIC

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SIBUYAN DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
1 Dental Chair/Unit ü ü ü
2 Dental Instrument Set ü ü ü
3 Equipment for sterilization or equivalent ü ü ü
RADIOLOGY DEPARTMENT
1 Automatic Film Processor with complete accessories ü
2 Ultrasound Scanner, 2D Echo ü ü
3 X-ray Machine, 300mA,radiographic, stationary ü ü ü
4 X-ray Machine, 500mA, R/F ü ü
INTENSIVE CARE UNIT
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü
4 Cardiac Monitor ü ü ü
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü
7 Emergency Cart ü ü ü
8 Laryngoscope Set ü ü ü
9 Manual Resuscitator, Adult ü ü ü
10 Manual Resuscitator, Pedia ü ü ü
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü
14 Suction Machine, 2L ü ü ü
RESPIRATORY THERAPY UNIT
1 ABG Machine ü ü ü
2 Spirometer ü ü ü
3 Ventilator ü ü ü 1
ENGINEERING / MAINTENANCE
1 Stand-by-generator with automatic transfer switch (150 kVa) ü ü ü ü

(12) Other Equipment Not in the List


1 Bed, Mechanical 2 crank with Mattress, Pedia 5
2 Delivery Set for Cesarean Section 2
3 Laparatomy Set 2
4 Ortho Instrument Set 1
5
6
7
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT SIBUYAN DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
8
9
10
11
12
13
14
15
16
17
18
19
20

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT TABLAS ISLAND DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
ADMINISTRATIVE
1 Emergency Light ü ü ü
DIETARY
1 Refrigerator, Household ü ü ü
OPERATING ROOM
1 Anesthesia Machine, Portable ü ü ü
2 Cardiac Monitor ü ü ü
3 Mayo Table with Tray ü ü ü
4 Operating Room Light, LED Light, single head, ceiling mounted ü ü ü
5 Operating Room, Table, hydraulic ü ü ü
6 Suction Machine, 5L ü ü ü
EMERGENCY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü ü
2 Biomedical Refrigerator ü ü ü ü
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü 3
5 Cervical Inspection Set ü ü ü ü
6 Defibrillator ü ü ü ü
7 Dressing Cart ü ü ü ü
8 ECG Machine with analyzer ü ü ü ü
9 EENT Diagnostic Set ü ü ü ü
10 Emergency Cart ü ü ü ü
11 Examining Light ü ü ü ü
12 Examining Table with Stirrup ü ü ü ü
13 Foot Stool ü ü ü ü
14 Glucometer ü ü ü ü 3
15 Instrument Tray w/ cover ü ü ü ü
16 IV Stand ü ü ü ü
17 Laryngoscope Set ü ü ü ü
18 Manual Resuscitator, Adult ü ü ü ü
19 Manual Resuscitator, Neonate ü ü ü ü
20 Manual Resuscitator, Pedia ü ü ü ü
21 Mayo Table with Tray ü ü ü ü
22 Medicine Cabinet ü ü ü ü
23 Minor Surgical Set / Cutdown Set ü ü ü ü 2
24 Nebulizer ü ü ü ü 4
25 Non-contact thermometer ü ü ü ü
26 Oxygen Tank ü ü ü ü
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT TABLAS ISLAND DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
27 Oxygen Therapy Set ü ü ü ü
28 Pulmonary Function Test (PFT) ü ü ü ü
29 Pulse Oximeter ü ü ü ü
30 Stethoscope, Adult ü ü ü ü
31 Stethoscope, Pedia ü ü ü ü
32 Suction Machine, 2L ü ü ü ü
33 Weighing Scale with height measuring Stick, Adult ü ü ü ü
34 Weighing Scale, Infant ü ü ü ü
35 Wheelchair ü ü ü ü
36 Wheeled Stretcher ü ü ü ü 1
OUTPATIENT DEPARTMENT
1 BP Apparatus Desk Type, Adult and Pedia ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü
3 Cervical Inspection Set ü ü ü
4 ECG Machine with analyzer ü ü ü
5 EENT Diagnostic Set ü ü ü
6 Examining Light ü ü ü
7 Examining Table with Stirrup ü ü ü
8 Instrument Table ü ü ü
9 Minor Surgical Set / Cutdown Set ü ü ü
10 Non-contact thermometer ü ü ü
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü
14 Stethoscope, Pedia ü ü ü
15 Weighing Scale with height measuring Stick, Adult ü ü ü
16 Weighing Scale, Infant ü ü ü
17 Wheelchair ü
LABORATORY ROOM
1 Centrifuge ,12 placer ü ü ü
2 Chemistry Analyzer, Semi-automated, Open-system ü ü ü
3 Differential Counter ü ü ü
4 Glucometer ü ü ü
5 Hematocrit Centrifuge, 12 placer ü ü ü
6 Hematocrit reader ü ü ü
7 Microscope, Binocular ü ü ü
8 Pipette shaker ü ü ü
9 Refrigerator ü ü ü
10 Spectrophotometer ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT TABLAS ISLAND DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
11 Tally Counter ü ü ü
12 Thermometer (non-mercurial) ü ü ü
13 Vaccine Refrigerator ü ü ü
BLOOD STATION
1 Agglutination viewer ü ü
2 Autoclave 20L ü ü
3 Bloodbank ref 100bags ü ü
4 Emergency Light ü ü
5 Laboratory thermometer ü ü
6 Serological Centrifuge ü ü
7 Water bath ü ü
BLOOD BANK
1 Agglutination viewer ü
2 Analytical balance ü
3 Autoclave 20L ü
4 Bloodbank ref 100bags ü
5 Dispenser / dispettes ü
6 Emergency Light ü
7 Generator 20KVA ü
8 Laboratory thermometer ü
9 Microscope, Binocular with OIO ü
10 Pipettor Set, automatic ü
11 Plasma Extractor / Blood Extractor, Manual ü
12 Plasma freezer (-30C) with AVR ü
13 Plasma Thawer ü
14 Platelet Agitator / Rotator ü
15 Reagant refrigerator ü
16 Room thermometer ü
17 Rough balance ü
18 Serological Centrifuge ü
19 Spring scale for blood unit ü
20 Surgical forceps, scissors ü
21 Tachometer ü
22 Water bath ü
23 Weighing scale calibrated up to 500g ü
RECOVERY ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT TABLAS ISLAND DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
4 Emergency Light ü ü ü
5 Oxygen Tank ü ü ü
6 Oxygen Therapy Set ü ü ü
7 Stethoscope, Adult ü ü ü
DELIVERY ROOM
1 Anesthesia Machine without Ventilator ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü
4 Delivery Light (two bulb), Mobile ü ü ü ü
5 Delivery Table with Detachable Stirrup and Mattress ü ü ü ü 1
6 Dilatation and Curettage Set ü ü ü
7 Instrument Table ü ü ü ü
8 Kelly Pad ü ü ü ü
9 Laryngoscope Set ü ü ü ü
10 Manual Resuscitator, Adult ü ü ü ü
11 Manual Resuscitator, Pedia ü ü ü ü
12 Normal Spontaneous Delivery Set (Primi) ü ü ü ü 4
13 Normal Spontaneous Delivery Set (Multi) ü ü ü ü
14 Oxygen Tank ü ü ü ü
15 Oxygen Therapy Set ü ü ü ü
16 Sponge forceps ü ü ü ü
17 Stethoscope, Adult ü ü ü ü
18 Stethoscope, Pedia ü ü ü ü
19 Suction Machine, 2L ü ü ü ü
20 Tissue forceps ü ü ü ü
21 Weighing Scale, Infant ü ü ü ü
22 Wheeled Stretcher ü ü ü ü
NEONATAL INTENSIVE CARE UNIT
1 Bassinet ü ü ü
2 Bili Light (Phototherapy Unit) ü ü ü
3 Cardiac Monitor ü ü ü 1
4 Emergency Cart ü ü ü
5 Emergency Light ü ü ü
6 Examining Light ü ü ü
7 Infant Incubator ü ü ü
8 Manual Resuscitator, Neonate ü ü ü
9 Oxygen Tank ü ü ü
10 Oxygen Therapy Set ü ü ü
11 Respirator / Ventilator ü ü ü

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT TABLAS ISLAND DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
12 Stethoscope, Pedia ü ü ü
13 Suction Machine, 2L ü ü ü
14 Weighing Scale, Infant ü ü ü
LABOR ROOM
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Stand Type, Adult and Pedia ü ü ü
3 Emergency Light ü ü ü ü
4 Fetal Doppler ü ü ü
5 Non-contact thermometer ü ü ü
6 Oxygen Tank ü ü ü ü
7 Oxygen Therapy Set ü ü ü ü
8 Stethoscope, Adult ü ü ü
9 Wheeled Stretcher ü ü ü ü
NURSING UNIT OR WARD
Bed, mechanical 2 cranks with mattress, Adult (Patient beds in
1 ER, Labor Room and Critical Areas are not included in the ü ü ü ü 2
count)
2 Bedside Table (should correspond to total beds) ü ü ü ü
3 BP Apparatus Desk Type, Adult and Pedia ü ü ü ü
4 BP Apparatus Stand Type, Adult and Pedia ü ü ü ü
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü
7 Emergency Cart ü ü ü
8 Emergency Light ü ü ü ü
9 IV Stand ü ü ü ü
10 Manual Resuscitator, Adult ü ü ü ü
11 Manual Resuscitator, Pedia ü ü ü ü
12 Nebulizer ü ü ü ü
13 Non-contact thermometer ü ü ü ü
14 Oxygen Tank ü ü ü ü
15 Oxygen Therapy Set ü ü ü ü
16 Stethoscope, Adult ü ü ü ü
17 Stethoscope, Pedia ü ü ü ü
18 Suction Machine, 2L ü ü ü ü
19 Weighing Scale with height measuring Stick, Adult ü ü ü ü
CENTRAL STERILIZING & SUPPLY ROOM
1 Autoclave, 50L (may increase depending on the need) ü ü ü ü 1 1
2 Emergency Light ü ü ü ü
DENTAL CLINIC

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT TABLAS ISLAND DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
1 Dental Chair/Unit ü ü ü
2 Dental Instrument Set ü ü ü
3 Equipment for sterilization or equivalent ü ü ü
RADIOLOGY DEPARTMENT
1 Automatic Film Processor with complete accessories ü
2 Ultrasound Scanner, 2D Echo ü ü
3 X-ray Machine, 300mA,radiographic, stationary ü ü ü
4 X-ray Machine, 500mA, R/F ü ü
INTENSIVE CARE UNIT
1 Bed, mechanical 2 cranks with mattress, Adult ü ü ü
2 BP Apparatus Desk Type, Adult and Pedia ü ü ü
3 BP Apparatus Stand Type, Adult and Pedia ü ü ü
4 Cardiac Monitor ü ü ü
5 Defibrillator ü ü ü
6 ECG Machine with analyzer ü ü ü
7 Emergency Cart ü ü ü
8 Laryngoscope Set ü ü ü
9 Manual Resuscitator, Adult ü ü ü
10 Manual Resuscitator, Pedia ü ü ü
11 Oxygen Tank ü ü ü
12 Oxygen Therapy Set ü ü ü
13 Stethoscope, Adult ü ü ü
14 Suction Machine, 2L ü ü ü
RESPIRATORY THERAPY UNIT
1 ABG Machine ü ü ü
2 Spirometer ü ü ü
3 Ventilator ü ü ü
ENGINEERING / MAINTENANCE
1 Stand-by-generator with automatic transfer switch (150 kVa) ü ü ü ü

(12) Other Equipment Not in the List


1 Computer with Printer and Scanner 1
2 Film View Box (2 blank panel) 1
3 Infant Warmer 1
4 Minor Surgery Light (single head ceiling mount) 2
5 Revolving stool 1
6 X-Ray Machine 500mA 1
7
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MINIMUM REQUIREMENT TABLAS ISLAND DISTRICT HOSPITAL
(1)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
RLED
EQUIPMENT / INSTRUMENT REQUIREMENT INFIRM LEVEL 1 LEVEL 2 LEVEL 3 Findings
HFEP LGU NGO Unknown Remarks
ARY (CY '17 -
'18)

2011 - 2017 2018


Qty F NF C Qty F NF FD F NF FD C F NF FD C F NF FD C
8
9
10
11
12
13
14
15
16
17
18
19
20

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
ALCANTARA RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1 1
3 BP Apparatus Desk Type, Adult and Pedia 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2 1
6 Dressing Set 1 1
7 EENT Diagnostic Set 1 1
8 Examining Light 1 1
9 Examining Table 1 1
10 Fetal Doppler 1 1
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1
14 Instrument Tray with Cover 2 1
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1 1
17 Manual Resuscitator Pedia 1
18 Minor Surgical Instrument Set 2 1 1
19 Nebulizer 2 2
20 Non-Contact Thermometer 1 2
21 Revolving Stool 2 1 1
22 Salter Scale 3 1
23 Stethoscope, Adult 2 1
24 Weighing Scale with height measuring Stick, Adult 1
25 Weighing Scale, Infant 1 1
26 Wheelchair 1 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1 1
2 Chemistry Analyzer 1 1
3 Differential Counter 1 1
4 Glucometer 1 1
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
ALCANTARA RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2
2 Bedside table 2
3 BP Apparatus Stand Type, Adult and Pedia 1 2 2
4 Cord Dressing Set 2 1
5 Delivery Table with Detachable Stirrups with Mattress 1 1 1
6 Dressing Cart 1 1
7 Examining Light 1 1 2
8 Fetal Doppler 1
9 Foot Stool 1
10 Instrument Cabinet 1
11 Instrument Table 2
12 Instrument Tray with Cover 2
13 IV Stand 1 1
14 Normal Spontaneous Delivery Set 2 1 1
15 Oxygen Tank 50 L 2
16 Oxygen Therapy Set 2 1
17 Manual Resuscitator Adult 1
18 Manual Resuscitator Neonate 1 1
19 Revolving stool 2
20 Stethoscope, Adult 2 1
21 Stethoscope, Pedia 1 1
22 Suction Machine 2L 1
23 Weighing Scale, Infant 1 1
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List
1 Bassinet 2
2 Dental Instrument Set 1
3 Kelly Pad 2
4 Manual Suction Bulb 2
5 Oxygen Tank (50L) w/ Oxygen Therapy Set 1
6 Patient Litter 1
7 Thermometer - Mercury free 3

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
ALCANTARA RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
BANTON RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1 2
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1
3 BP Apparatus Desk Type, Adult and Pedia 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2
6 Dressing Set 1 1 2
7 EENT Diagnostic Set 1
8 Examining Light 1 2
9 Examining Table 1 1
10 Fetal Doppler 1 2
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1 1 1
14 Instrument Tray with Cover 2 1 1
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1 2
17 Manual Resuscitator Pedia 1 1
18 Minor Surgical Instrument Set 2 1 2
19 Nebulizer 2 3
20 Non-Contact Thermometer 1 2 2
21 Revolving Stool 2 1
22 Salter Scale 3
23 Stethoscope, Adult 2 1
24 Weighing Scale with height measuring Stick, Adult 1 1
25 Weighing Scale, Infant 1
26 Wheelchair 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1
2 Chemistry Analyzer 1
3 Differential Counter 1 1
4 Glucometer 1 1
5 Hemacytometer 1 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1
8 Hemoglobinometer 1 1
9 Microscope, Binocular 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
BANTON RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2
2 Bedside table 2
3 BP Apparatus Stand Type, Adult and Pedia 1 3
4 Cord Dressing Set 2 2 2
5 Delivery Table with Detachable Stirrups with Mattress 1
6 Dressing Cart 1 1 1
7 Examining Light 1 1
8 Fetal Doppler 1
9 Foot Stool 1
10 Instrument Cabinet 1 1 1
11 Instrument Table 2
12 Instrument Tray with Cover 2
13 IV Stand 1 1
14 Normal Spontaneous Delivery Set 2 2
15 Oxygen Tank 50 L 2
16 Oxygen Therapy Set 2 2
17 Manual Resuscitator Adult 1
18 Manual Resuscitator Neonate 1 2
19 Revolving stool 2 1
20 Stethoscope, Adult 2 2
21 Stethoscope, Pedia 1 2
22 Suction Machine 2L 1 1
23 Weighing Scale, Infant 1 2
TB-DOTS
1 Microscope, Binocular 1 1
(9) Other Equipment Not in the List
1 Bassinet 3
2 Emergency Cart 1
3 Emergency Light 2 2
4 Kelly Pad 2
5 Manual Suction Bulb 2
6 Mobile X-ray Machine, 300mA 1
7 Oxygen Tank (50L) with Oxygen Therapy Set 1
8 Patient Litter 1
9 Thermometer - Mercury free 3

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
BANTON RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
CAJIDIOCAN RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1 2
3 BP Apparatus Desk Type, Adult and Pedia 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2
6 Dressing Set 1 1
7 EENT Diagnostic Set 1 1
8 Examining Light 1 1 3
9 Examining Table 1 1
10 Fetal Doppler 1 1 1
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1 1
14 Instrument Tray with Cover 2 2
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1 1
17 Manual Resuscitator Pedia 1 1
18 Minor Surgical Instrument Set 2 1
19 Nebulizer 2 3 1
20 Non-Contact Thermometer 1 2
21 Revolving Stool 2 1
22 Salter Scale 3
23 Stethoscope, Adult 2 1
24 Weighing Scale with height measuring Stick, Adult 1
25 Weighing Scale, Infant 1
26 Wheelchair 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1 1
2 Chemistry Analyzer 1
3 Differential Counter 1 1
4 Glucometer 1 1
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
CAJIDIOCAN RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2
2 Bedside table 2 2
3 BP Apparatus Stand Type, Adult and Pedia 1 2 2
4 Cord Dressing Set 2 1
5 Delivery Table with Detachable Stirrups with Mattress 1 1
6 Dressing Cart 1 1
7 Examining Light 1 1
8 Fetal Doppler 1 1
9 Foot Stool 1
10 Instrument Cabinet 1 1
11 Instrument Table 2
12 Instrument Tray with Cover 2
13 IV Stand 1 1
14 Normal Spontaneous Delivery Set 2 1 2
15 Oxygen Tank 50 L 2 2
16 Oxygen Therapy Set 2 2 2
17 Manual Resuscitator Adult 1 1
18 Manual Resuscitator Neonate 1 1 1
19 Revolving stool 2
20 Stethoscope, Adult 2 1 1
21 Stethoscope, Pedia 1 1 1
22 Suction Machine 2L 1 1
23 Weighing Scale, Infant 1 1
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List
1 Bassinet 2
2 Dental Instrument Set 1
3 Dental Unit motorized with Accessories 1
4 Emergency Light 1
5 Ice-Lined Vaccine Refrigerator 1
6 Kelly Pad 2
7 Manual Suction Bulb 2
8 Oxygen Tank (50L) with Oxygen Therapy Set 1
9 Oxygen Tank, 20L 1
10 Patient Litter 1

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
CAJIDIOCAN RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11 Thermometer - Mercury free 3

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
CORCUERA RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1
3 BP Apparatus Desk Type, Adult and Pedia 1 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2 1
6 Dressing Set 1 1
7 EENT Diagnostic Set 1 1
8 Examining Light 1 1
9 Examining Table 1 1
10 Fetal Doppler 1 1
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1
14 Instrument Tray with Cover 2
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1 1
17 Manual Resuscitator Pedia 1 1
18 Minor Surgical Instrument Set 2 1 1
19 Nebulizer 2 3
20 Non-Contact Thermometer 1 2
21 Revolving Stool 2 1
22 Salter Scale 3
23 Stethoscope, Adult 2 1
24 Weighing Scale with height measuring Stick, Adult 1
25 Weighing Scale, Infant 1
26 Wheelchair 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1
2 Chemistry Analyzer 1
3 Differential Counter 1
4 Glucometer 1 1
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
CORCUERA RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2 1
2 Bedside table 2 1
3 BP Apparatus Stand Type, Adult and Pedia 1 2
4 Cord Dressing Set 2
5 Delivery Table with Detachable Stirrups with Mattress 1 1
6 Dressing Cart 1 1
7 Examining Light 1 1 2
8 Fetal Doppler 1 1
9 Foot Stool 1 1
10 Instrument Cabinet 1
11 Instrument Table 2
12 Instrument Tray with Cover 2
13 IV Stand 1 1 1
14 Normal Spontaneous Delivery Set 2 1
15 Oxygen Tank 50 L 2
16 Oxygen Therapy Set 2 1
17 Manual Resuscitator Adult 1 1
18 Manual Resuscitator Neonate 1 1 1
19 Revolving stool 2
20 Stethoscope, Adult 2 1 1
21 Stethoscope, Pedia 1 1 1
22 Suction Machine 2L 1
23 Weighing Scale, Infant 1 1
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List
1 Bassinet 2
2 Emergency Light 1
3 Kelly Pad 2
4 Manual Suction Bulb 2
5 Oxygen Tank (50L) with Oxygen Therapy Set 1
6 Patient Litter 1
7 Thermometer - Mercury free 3
8
9
10

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
CORCUERA RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
LOOC RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1 3 ⁄
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1 ⁄ 1 ⁄
3 BP Apparatus Desk Type, Adult and Pedia 1 2 ⁄
4 BP Apparatus Digital 1 1 ⁄
5 Cervical Inspection Set 2 1 ⁄
6 Dressing Set 1 1 ⁄
7 EENT Diagnostic Set 1 1 ⁄ 1 ⁄
8 Examining Light 1 1 ⁄ 1 ⁄
9 Examining Table 1 1 ⁄ 1 ⁄
10 Fetal Doppler 1 1 ⁄ 1 ⁄
11 Foot Stool 1 1 ⁄
12 Generating Set, 10 KVA 1 ⁄ burned 2014
13 Instrument Table 1 1 ⁄ ⁄
14 Instrument Tray with Cover 2 1 ⁄
15 IUD Insertion Set 1 ⁄
16 Manual Resuscitator Adult 1 1 ⁄
17 Manual Resuscitator Pedia 1 1 ⁄
18 Minor Surgical Instrument Set 2 2 ⁄
19 Nebulizer 2 3 ⁄
20 Non-Contact Thermometer 1 2 ⁄
21 Revolving Stool 2 ⁄
22 Salter Scale 3 ⁄
23 Stethoscope, Adult 2 ⁄
24 Weighing Scale with height measuring Stick, Adult 1 1 ⁄
25 Weighing Scale, Infant 1 ⁄
26 Wheelchair 1 1 ⁄
LABORATORY SECTION
1 Centrifuge, 12 placer 1 1 ⁄
2 Chemistry Analyzer 1 0
3 Differential Counter 1 1 ⁄
4 Glucometer 1 2 ⁄
5 Hemacytometer 1 ⁄
6 Hematocrit Centrifuge, 12 placer 1 1 ⁄
7 Hematology Analyzer 1 1 ⁄
8 Hemoglobinometer 1 ⁄
9 Microscope, Binocular 1 1 ⁄
10 Refrigerator, Household 1 ⁄
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
LOOC RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2 2 ⁄
2 Bedside table 2 1 ⁄
3 BP Apparatus Stand Type, Adult and Pedia 1 1 ⁄
4 Cord Dressing Set 2 2 ⁄
5 Delivery Table with Detachable Stirrups with Mattress 1 1 ⁄
6 Dressing Cart 1 2 ⁄
7 Examining Light 1 ⁄
8 Fetal Doppler 1 ⁄
9 Foot Stool 1 ⁄
10 Instrument Cabinet 1 1 ⁄
11 Instrument Table 2 ⁄
12 Instrument Tray with Cover 2 ⁄
13 IV Stand 1 0 ⁄ lost
14 Normal Spontaneous Delivery Set 2 1 ⁄ 1 ⁄
15 Oxygen Tank 50 L 2 ⁄ 1 ⁄
16 Oxygen Therapy Set 2 1 ⁄ 1 ⁄
17 Manual Resuscitator Adult 1 2 ⁄
18 Manual Resuscitator Neonate 1 1 ⁄
19 Revolving stool 2
20 Stethoscope, Adult 2 2 ⁄ ⁄
21 Stethoscope, Pedia 1 1 ⁄ ⁄
22 Suction Machine 2L 1 1 ⁄
23 Weighing Scale, Infant 1 1 ⁄
TB-DOTS
1 Microscope, Binocular 1 ⁄
(9) Other Equipment Not in the List
1 Bassinet 1 ⁄
2 Dental Instrument Set 1 ⁄
3 Dental Unit Motorized with accessories 1 ⁄
4 Emergency Light 3 1 ⁄ ⁄
5 Generating Set 5 KVA 1 ⁄
6 Ice-Lined Vaccine Refrigerator 1 ⁄
7 Medicine Cabinet 1 ⁄
8 Patient Litter 1 ⁄
9 Vaccine Refrigerator 1 ⁄
10 Bed ⁄

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
LOOC RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
ODIONGAN RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1 2
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1 1
3 BP Apparatus Desk Type, Adult and Pedia 1 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2 1
6 Dressing Set 1 1
7 EENT Diagnostic Set 1 1 1
8 Examining Light 1 1 1
9 Examining Table 1 1 1
10 Fetal Doppler 1 1 1
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1 1
14 Instrument Tray with Cover 2 1
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1 1 1
17 Manual Resuscitator Pedia 1 1 1
18 Minor Surgical Instrument Set 2 2
19 Nebulizer 2 3
20 Non-Contact Thermometer 1 2
21 Revolving Stool 2
22 Salter Scale 3 2
23 Stethoscope, Adult 2
24 Weighing Scale with height measuring Stick, Adult 1 1 1
25 Weighing Scale, Infant 1 1
26 Wheelchair 1 1 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1 1 1
2 Chemistry Analyzer 1 1
3 Differential Counter 1 1
4 Glucometer 1 2
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1 1 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
ODIONGAN RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2 1
2 Bedside table 2
3 BP Apparatus Stand Type, Adult and Pedia 1 1 2
4 Cord Dressing Set 2 2
5 Delivery Table with Detachable Stirrups with Mattress 1 1
6 Dressing Cart 1 1
7 Examining Light 1
8 Fetal Doppler 1
9 Foot Stool 1
10 Instrument Cabinet 1 1 1
11 Instrument Table 2 1
12 Instrument Tray with Cover 2 1
13 IV Stand 1
14 Normal Spontaneous Delivery Set 2 1 1
15 Oxygen Tank 50 L 2 1
16 Oxygen Therapy Set 2 1 1
17 Manual Resuscitator Adult 1
18 Manual Resuscitator Neonate 1 1 1
19 Revolving stool 2
20 Stethoscope, Adult 2 2
21 Stethoscope, Pedia 1 1
22 Suction Machine 2L 1 1
23 Weighing Scale, Infant 1 1
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List
1 Bassinet 1
2 Dental Instrument Set 1
3 Dental Unit Motorized with accessories 1
4 Emergency Light 1
5 Generating Set 5 KVA 1
6 Ice-Lined Vaccine Refrigerator 1
7 Medicine Cabinet 1
8 Vaccine Refrigerator 1
9
10

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
ODIONGAN RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018


Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
CALATRAVA RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1 2
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1
3 BP Apparatus Desk Type, Adult and Pedia 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2
6 Dressing Set 1 1
7 EENT Diagnostic Set 1
8 Examining Light 1 1
9 Examining Table 1 1
10 Fetal Doppler 1 1
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1 1
14 Instrument Tray with Cover 2 1
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1 1
17 Manual Resuscitator Pedia 1 1
18 Minor Surgical Instrument Set 2
19 Nebulizer 2 2
20 Non-Contact Thermometer 1 2
21 Revolving Stool 2
22 Salter Scale 3
23 Stethoscope, Adult 2
24 Weighing Scale with height measuring Stick, Adult 1 1
25 Weighing Scale, Infant 1
26 Wheelchair 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1
2 Chemistry Analyzer 1
3 Differential Counter 1
4 Glucometer 1 1
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
CALATRAVA RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2
2 Bedside table 2
3 BP Apparatus Stand Type, Adult and Pedia 1 1
4 Cord Dressing Set 2 2
5 Delivery Table with Detachable Stirrups with Mattress 1
6 Dressing Cart 1 1
7 Examining Light 1
8 Fetal Doppler 1
9 Foot Stool 1
10 Instrument Cabinet 1 1
11 Instrument Table 2
12 Instrument Tray with Cover 2
13 IV Stand 1
14 Normal Spontaneous Delivery Set 2 1
15 Oxygen Tank 50 L 2
16 Oxygen Therapy Set 2 1
17 Manual Resuscitator Adult 1
18 Manual Resuscitator Neonate 1 1
19 Revolving stool 2
20 Stethoscope, Adult 2 2
21 Stethoscope, Pedia 1 1
22 Suction Machine 2L 1 1
23 Weighing Scale, Infant 1 1
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List
1 Bassinet 1
2 Emergency Light 1
3 Patient Litter 1
4
5
6
7
8
9
10

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
CALATRAVA RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
CONCEPCION RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1 2
2 Bed, Mechanical 2 crank with Mattress, Adult 1
3 BP Apparatus Desk Type, Adult and Pedia 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2
6 Dressing Set 1 1
7 EENT Diagnostic Set 1
8 Examining Light 1 2
9 Examining Table 1 1
10 Fetal Doppler 1 2
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1 1
14 Instrument Tray with Cover 2 1
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1 2
17 Manual Resuscitator Pedia 1 1
18 Minor Surgical Instrument Set 2 1
19 Nebulizer 2 3
20 Non-Contact Thermometer 1 2
21 Revolving Stool 2 1
22 Salter Scale 3
23 Stethoscope, Adult 2 1
24 Weighing Scale with height measuring Stick, Adult 1 1
25 Weighing Scale, Infant 1
26 Wheelchair 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1 1
2 Chemistry Analyzer 1
3 Differential Counter 1 1
4 Glucometer 1 1
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
CONCEPCION RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2 2
2 Bedside table 2
3 BP Apparatus Stand Type, Adult and Pedia 1 3
4 Cord Dressing Set 2 2
5 Delivery Table with Detachable Stirrups with Mattress 1
6 Dressing Cart 1 1
7 Examining Light 1 1
8 Fetal Doppler 1 1
9 Foot Stool 1
10 Instrument Cabinet 1 1
11 Instrument Table 2
12 Instrument Tray with Cover 2
13 IV Stand 1 1
14 Normal Spontaneous Delivery Set 2 2
15 Oxygen Tank 50 L 2
16 Oxygen Therapy Set 2 3
17 Manual Resuscitator Adult 1
18 Manual Resuscitator Neonate 1 2
19 Revolving stool 2
20 Stethoscope, Adult 2 2
21 Stethoscope, Pedia 1 2
22 Suction Machine 2L 1 1
23 Weighing Scale, Infant 1 2
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List
1 Bassinet 3
2 Emergency Light 2
3 Kelly Pad 2
4 Manual Suction Bulb 2
5 Oxygen Tank (50L) with Oxygen Therapy Set 1
6 Patient Litter 1
7 Thermometer - Mercury free 3
8 Dental Instrument Set 1
9 ECG Machine with Analyzer 1
10 Oxygen Tank, 20L 1

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
CONCEPCION RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
FERROL RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1 2
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1
3 BP Apparatus Desk Type, Adult and Pedia 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2
6 Dressing Set 1 1
7 EENT Diagnostic Set 1
8 Examining Light 1 1
9 Examining Table 1 1
10 Fetal Doppler 1 1
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1 1
14 Instrument Tray with Cover 2 1
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1 1
17 Manual Resuscitator Pedia 1 1
18 Minor Surgical Instrument Set 2
19 Nebulizer 2 2
20 Non-Contact Thermometer 1 2
21 Revolving Stool 2
22 Salter Scale 3
23 Stethoscope, Adult 2
24 Weighing Scale with height measuring Stick, Adult 1 1
25 Weighing Scale, Infant 1
26 Wheelchair 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1
2 Chemistry Analyzer 1
3 Differential Counter 1
4 Glucometer 1 1
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
FERROL RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2
2 Bedside table 2
3 BP Apparatus Stand Type, Adult and Pedia 1 1
4 Cord Dressing Set 2 2
5 Delivery Table with Detachable Stirrups with Mattress 1
6 Dressing Cart 1 1
7 Examining Light 1
8 Fetal Doppler 1
9 Foot Stool 1
10 Instrument Cabinet 1 1
11 Instrument Table 2
12 Instrument Tray with Cover 2
13 IV Stand 1
14 Normal Spontaneous Delivery Set 2 1
15 Oxygen Tank 50 L 2
16 Oxygen Therapy Set 2 1
17 Manual Resuscitator Adult 1
18 Manual Resuscitator Neonate 1 1
19 Revolving stool 2
20 Stethoscope, Adult 2 2
21 Stethoscope, Pedia 1 1
22 Suction Machine 2L 1 1
23 Weighing Scale, Infant 1 1
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List
1 Bassinet 1
2 Emergency Light 1
3 Patient Litter 1
4
5
6
7
8
9
10

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
FERROL RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MAGDIWANG RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1 1
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1
3 BP Apparatus Desk Type, Adult and Pedia 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2
6 Dressing Set 1 1
7 EENT Diagnostic Set 1
8 Examining Light 1 2
9 Examining Table 1
10 Fetal Doppler 1 2
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1
14 Instrument Tray with Cover 2
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1 1
17 Manual Resuscitator Pedia 1
18 Minor Surgical Instrument Set 2 1
19 Nebulizer 2 2
20 Non-Contact Thermometer 1 2
21 Revolving Stool 2 1
22 Salter Scale 3
23 Stethoscope, Adult 2 1
24 Weighing Scale with height measuring Stick, Adult 1
25 Weighing Scale, Infant 1
26 Wheelchair 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1
2 Chemistry Analyzer 1
3 Differential Counter 1
4 Glucometer 1 1
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MAGDIWANG RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2
2 Bedside table 2
3 BP Apparatus Stand Type, Adult and Pedia 1 2
4 Cord Dressing Set 2
5 Delivery Table with Detachable Stirrups with Mattress 1
6 Dressing Cart 1
7 Examining Light 1 1
8 Fetal Doppler 1
9 Foot Stool 1
10 Instrument Cabinet 1
11 Instrument Table 2
12 Instrument Tray with Cover 2
13 IV Stand 1 1
14 Normal Spontaneous Delivery Set 2 1
15 Oxygen Tank 50 L 2
16 Oxygen Therapy Set 2 1
17 Manual Resuscitator Adult 1
18 Manual Resuscitator Neonate 1 1
19 Revolving stool 2
20 Stethoscope, Adult 2 1
21 Stethoscope, Pedia 1 1
22 Suction Machine 2L 1
23 Weighing Scale, Infant 1 1
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List
1 Bassinet 2
2 Emergency Light 2
3 Kelly Pad 2
4 Ice-Lined Vaccine Refrigerator 1
5 Manual Suction Bulb 2
6 Oxygen Tank (50L) with Oxygen Therapy Set 1
7 Patient Litter 1
8 Thermometer - Mercury free 3
9
10

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
MAGDIWANG RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
ROMBLON RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1 2
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1
3 BP Apparatus Desk Type, Adult and Pedia 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2
6 Dressing Set 1 1
7 EENT Diagnostic Set 1
8 Examining Light 1 2
9 Examining Table 1 1
10 Fetal Doppler 1 1
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1 1
14 Instrument Tray with Cover 2 1
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1 2
17 Manual Resuscitator Pedia 1 1
18 Minor Surgical Instrument Set 2 1
19 Nebulizer 2 2
20 Non-Contact Thermometer 1 2
21 Revolving Stool 2 1
22 Salter Scale 3
23 Stethoscope, Adult 2 1
24 Weighing Scale with height measuring Stick, Adult 1 1
25 Weighing Scale, Infant 1
26 Wheelchair 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1
2 Chemistry Analyzer 1
3 Differential Counter 1
4 Glucometer 1 1
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
ROMBLON RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2
2 Bedside table 2
3 BP Apparatus Stand Type, Adult and Pedia 1 3
4 Cord Dressing Set 2 2
5 Delivery Table with Detachable Stirrups with Mattress 1 1
6 Dressing Cart 1 1
7 Examining Light 1 1
8 Fetal Doppler 1
9 Foot Stool 1
10 Instrument Cabinet 1 1
11 Instrument Table 2
12 Instrument Tray with Cover 2
13 IV Stand 1 1
14 Normal Spontaneous Delivery Set 2 2
15 Oxygen Tank 50 L 2
16 Oxygen Therapy Set 2 2
17 Manual Resuscitator Adult 1
18 Manual Resuscitator Neonate 1 2
19 Revolving stool 2
20 Stethoscope, Adult 2 2
21 Stethoscope, Pedia 1 2
22 Suction Machine 2L 1 1
23 Weighing Scale, Infant 1 2
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List
1 Bassinet 3
2 Emergency Light 2
3 Kelly Pad 2
4 Ice-Lined Vaccine Refrigerator 1
5 Manual Suction Bulb 2
6 Oxygen Tank (50L) with Oxygen Therapy Set 1
7 Patient Litter 1
8 Thermometer - Mercury free 3
9
10

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
ROMBLON RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SAN AGUSTIN RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1 2
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1
3 BP Apparatus Desk Type, Adult and Pedia 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2
6 Dressing Set 1 1
7 EENT Diagnostic Set 1 1
8 Examining Light 1 1
9 Examining Table 1 1
10 Fetal Doppler 1
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1 1
14 Instrument Tray with Cover 2 1
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1 1
17 Manual Resuscitator Pedia 1 1
18 Minor Surgical Instrument Set 2 2
19 Nebulizer 2 3
20 Non-Contact Thermometer 1 2
21 Revolving Stool 2
22 Salter Scale 3
23 Stethoscope, Adult 2
24 Weighing Scale with height measuring Stick, Adult 1 1
25 Weighing Scale, Infant 1
26 Wheelchair 1 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1 1
2 Chemistry Analyzer 1
3 Differential Counter 1 1
4 Glucometer 1 2
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SAN AGUSTIN RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2
2 Bedside table 2
3 BP Apparatus Stand Type, Adult and Pedia 1 1
4 Cord Dressing Set 2 2
5 Delivery Table with Detachable Stirrups with Mattress 1
6 Dressing Cart 1 1
7 Examining Light 1
8 Fetal Doppler 1
9 Foot Stool 1
10 Instrument Cabinet 1 1
11 Instrument Table 2
12 Instrument Tray with Cover 2
13 IV Stand 1
14 Normal Spontaneous Delivery Set 2 1
15 Oxygen Tank 50 L 2
16 Oxygen Therapy Set 2 1
17 Manual Resuscitator Adult 1
18 Manual Resuscitator Neonate 1 1
19 Revolving stool 2
20 Stethoscope, Adult 2 2
21 Stethoscope, Pedia 1 1
22 Suction Machine 2L 1 1
23 Weighing Scale, Infant 1 1
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List
1 Autoclave, 20L 1
2 Bassinet 1
3 Dental Instrument Set 1
4 Emergency Light 1
5 Generating Set 5 KVA 1
6 Ice-Lined Vaccine Refrigerator 1
7 Medicine Cabinet 1
8 Vaccine Refrigerator 1
9
10

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SAN AGUSTIN RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SAN ANDRES RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1 2
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1
3 BP Apparatus Desk Type, Adult and Pedia 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2
6 Dressing Set 1 1
7 EENT Diagnostic Set 1
8 Examining Light 1 1
9 Examining Table 1 1
10 Fetal Doppler 1
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1 1
14 Instrument Tray with Cover 2 1
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1 1
17 Manual Resuscitator Pedia 1 1
18 Minor Surgical Instrument Set 2
19 Nebulizer 2 2
20 Non-Contact Thermometer 1 2
21 Revolving Stool 2
22 Salter Scale 3
23 Stethoscope, Adult 2
24 Weighing Scale with height measuring Stick, Adult 1 1
25 Weighing Scale, Infant 1
26 Wheelchair 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1
2 Chemistry Analyzer 1
3 Differential Counter 1
4 Glucometer 1 1
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SAN ANDRES RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2
2 Bedside table 2
3 BP Apparatus Stand Type, Adult and Pedia 1 1
4 Cord Dressing Set 2 2
5 Delivery Table with Detachable Stirrups with Mattress 1
6 Dressing Cart 1 1
7 Examining Light 1
8 Fetal Doppler 1
9 Foot Stool 1
10 Instrument Cabinet 1 1
11 Instrument Table 2
12 Instrument Tray with Cover 2
13 IV Stand 1
14 Normal Spontaneous Delivery Set 2 1
15 Oxygen Tank 50 L 2
16 Oxygen Therapy Set 2 1
17 Manual Resuscitator Adult 1
18 Manual Resuscitator Neonate 1 1
19 Revolving stool 2
20 Stethoscope, Adult 2 2
21 Stethoscope, Pedia 1 1
22 Suction Machine 2L 1 1
23 Weighing Scale, Infant 1 1
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List
1 Bassinet 1
2 Dental Instrument Set 1
3 Dental Unit Motorized with accessories 1
4 Emergency Light 1
5 Patient Litter 1
6
7
8
9
10

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SAN ANDRES RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SAN ANDRES RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1
3 BP Apparatus Desk Type, Adult and Pedia 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2
6 Dressing Set 1 1
7 EENT Diagnostic Set 1
8 Examining Light 1 1
9 Examining Table 1
10 Fetal Doppler 1 1
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1
14 Instrument Tray with Cover 2
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1 1
17 Manual Resuscitator Pedia 1
18 Minor Surgical Instrument Set 2 1
19 Nebulizer 2 3
20 Non-Contact Thermometer 1 2
21 Revolving Stool 2 1
22 Salter Scale 3
23 Stethoscope, Adult 2 1
24 Weighing Scale with height measuring Stick, Adult 1
25 Weighing Scale, Infant 1
26 Wheelchair 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1
2 Chemistry Analyzer 1
3 Differential Counter 1
4 Glucometer 1 1
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SAN ANDRES RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2
2 Bedside table 2
3 BP Apparatus Stand Type, Adult and Pedia 1 2
4 Cord Dressing Set 2
5 Delivery Table with Detachable Stirrups with Mattress 1
6 Dressing Cart 1
7 Examining Light 1 1
8 Fetal Doppler 1
9 Foot Stool 1
10 Instrument Cabinet 1
11 Instrument Table 2
12 Instrument Tray with Cover 2
13 IV Stand 1 1
14 Normal Spontaneous Delivery Set 2 1
15 Oxygen Tank 50 L 2
16 Oxygen Therapy Set 2 1
17 Manual Resuscitator Adult 1
18 Manual Resuscitator Neonate 1 1
19 Revolving stool 2
20 Stethoscope, Adult 2 1
21 Stethoscope, Pedia 1 1
22 Suction Machine 2L 1
23 Weighing Scale, Infant 1 1
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List
1 Bassinet 2
2 Emergency Light 1
3 Kelly Pad 2
4 Ice-Lined Vaccine Refrigerator 1
5 Manual Suction Bulb 2
6 Oxygen Tank (50L) with Oxygen Therapy Set 1
7 Patient Litter 1
8 Thermometer - Mercury free 3
9
10

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SAN ANDRES RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SAN ANDRES RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1
3 BP Apparatus Desk Type, Adult and Pedia 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2
6 Dressing Set 1 1
7 EENT Diagnostic Set 1
8 Examining Light 1
9 Examining Table 1 1
10 Fetal Doppler 1
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1
14 Instrument Tray with Cover 2
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1
17 Manual Resuscitator Pedia 1 1
18 Minor Surgical Instrument Set 2
19 Nebulizer 2 2
20 Non-Contact Thermometer 1 2
21 Revolving Stool 2
22 Salter Scale 3
23 Stethoscope, Adult 2
24 Weighing Scale with height measuring Stick, Adult 1
25 Weighing Scale, Infant 1
26 Wheelchair 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1
2 Chemistry Analyzer 1
3 Differential Counter 1
4 Glucometer 1 1
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SAN ANDRES RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2 1
2 Bedside table 2 1
3 BP Apparatus Stand Type, Adult and Pedia 1 1
4 Cord Dressing Set 2
5 Delivery Table with Detachable Stirrups with Mattress 1 1
6 Dressing Cart 1 1
7 Examining Light 1
8 Fetal Doppler 1 1
9 Foot Stool 1
10 Instrument Cabinet 1
11 Instrument Table 2 1
12 Instrument Tray with Cover 2
13 IV Stand 1 1
14 Normal Spontaneous Delivery Set 2
15 Oxygen Tank 50 L 2 1
16 Oxygen Therapy Set 2 1
17 Manual Resuscitator Adult 1 1
18 Manual Resuscitator Neonate 1 1
19 Revolving stool 2 1
20 Stethoscope, Adult 2 1
21 Stethoscope, Pedia 1 1
22 Suction Machine 2L 1
23 Weighing Scale, Infant 1 1
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List
1 Patient Litter 1
2
3
4
5
6
7
8
9
10

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SAN ANDRES RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SANTA FE RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1 2
2 Bed, Mechanical 2 crank with Mattress, Adult 1
3 BP Apparatus Desk Type, Adult and Pedia 1
4 BP Apparatus Digital 1 1
5 Cervical Inspection Set 2
6 Dressing Set 1 1
7 EENT Diagnostic Set 1
8 Examining Light 1 2
9 Examining Table 1 1
10 Fetal Doppler 1 2
11 Foot Stool 1
12 Generating Set, 10 KVA 1
13 Instrument Table 1 1
14 Instrument Tray with Cover 2 1
15 IUD Insertion Set 1
16 Manual Resuscitator Adult 1 2
17 Manual Resuscitator Pedia 1 1
18 Minor Surgical Instrument Set 2 1
19 Nebulizer 2 3
20 Non-Contact Thermometer 1 2
21 Revolving Stool 2 1
22 Salter Scale 3
23 Stethoscope, Adult 2 1
24 Weighing Scale with height measuring Stick, Adult 1 1
25 Weighing Scale, Infant 1
26 Wheelchair 1
LABORATORY SECTION
1 Centrifuge, 12 placer 1 1
2 Chemistry Analyzer 1
3 Differential Counter 1 1
4 Glucometer 1 3
5 Hemacytometer 1
6 Hematocrit Centrifuge, 12 placer 1
7 Hematology Analyzer 1
8 Hemoglobinometer 1
9 Microscope, Binocular 1 1
10 Refrigerator, Household 1
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SANTA FE RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2 1
2 Bedside table 2
3 BP Apparatus Stand Type, Adult and Pedia 1 3
4 Cord Dressing Set 2 2
5 Delivery Table with Detachable Stirrups with Mattress 1 1
6 Dressing Cart 1 1
7 Examining Light 1 1
8 Fetal Doppler 1 1
9 Foot Stool 1
10 Instrument Cabinet 1 1
11 Instrument Table 2
12 Instrument Tray with Cover 2
13 IV Stand 1 1
14 Normal Spontaneous Delivery Set 2 2
15 Oxygen Tank 50 L 2
16 Oxygen Therapy Set 2 3
17 Manual Resuscitator Adult 1
18 Manual Resuscitator Neonate 1 2
19 Revolving stool 2
20 Stethoscope, Adult 2 2
21 Stethoscope, Pedia 1 2
22 Suction Machine 2L 1 1
23 Weighing Scale, Infant 1 2
TB-DOTS
1 Microscope, Binocular 1
(9) Other Equipment Not in the List
1 Bassinet 3
2 Dental Instrument Set 2
3 Dental Unit Motorized with accessories 1
4 Emergency Light 2
5 Kelly Pad 2
6 Ice-Lined Vaccine Refrigerator 1
7 Manual Suction Bulb 2
8 Oxygen Tank (50L) with Oxygen Therapy Set 1
9 Oxygen Tank, 20L 1
10 Patient Litter 1

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SANTA FE RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11 Thermometer - Mercury free 3
12 Vaccine Refrigerator 1

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SANTA MARIA RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
1 Autoclave, 50 L 1 2 ⁄
2 Bed, Mechanical 2 crank with Mattress, Adult 1 1 ⁄
3 BP Apparatus Desk Type, Adult and Pedia 1 ⁄
4 BP Apparatus Digital 1 1 ⁄
5 Cervical Inspection Set 2 ⁄
6 Dressing Set 1 1 ⁄
7 EENT Diagnostic Set 1 ⁄
8 Examining Light 1 1 ⁄
9 Examining Table 1 1 ⁄
10 Fetal Doppler 1 1 ⁄
11 Foot Stool 1 ⁄
12 Generating Set, 10 KVA 1 ⁄
13 Instrument Table 1 1 ⁄
14 Instrument Tray with Cover 2 1 ⁄
15 IUD Insertion Set 1 ⁄
16 Manual Resuscitator Adult 1 1 ⁄
17 Manual Resuscitator Pedia 1 2 ⁄
18 Minor Surgical Instrument Set 2 ⁄
19 Nebulizer 2 4 ⁄
20 Non-Contact Thermometer 1 2 ⁄
21 Revolving Stool 2 ⁄
22 Salter Scale 3 ⁄
23 Stethoscope, Adult 2 ⁄
24 Weighing Scale with height measuring Stick, Adult 1 1 ⁄
25 Weighing Scale, Infant 1 ⁄
26 Wheelchair 1 ⁄
LABORATORY SECTION
1 Centrifuge, 12 placer 1 1 ⁄
2 Chemistry Analyzer 1 ⁄
3 Differential Counter 1 1 ⁄
4 Glucometer 1 1 ⁄
5 Hemacytometer 1 ⁄
6 Hematocrit Centrifuge, 12 placer 1 ⁄
7 Hematology Analyzer 1 ⁄
8 Hemoglobinometer 1 ⁄
9 Microscope, Binocular 1 1 ⁄
10 Refrigerator, Household 1 ⁄
F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SANTA MARIA RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
MCP (BIRTHING HOME)
1 Bed, Mechanical 2 crank with Mattress, Adult 2 ⁄
2 Bedside table 2 1 ⁄
3 BP Apparatus Stand Type, Adult and Pedia 1 1 ⁄
4 Cord Dressing Set 2 2 ⁄
5 Delivery Table with Detachable Stirrups with Mattress 1 ⁄
6 Dressing Cart 1 1 ⁄
7 Examining Light 1 ⁄
8 Fetal Doppler 1 1 ⁄
9 Foot Stool 1 ⁄
10 Instrument Cabinet 1 1 ⁄
11 Instrument Table 2 ⁄
12 Instrument Tray with Cover 2 ⁄
13 IV Stand 1 ⁄
14 Normal Spontaneous Delivery Set 2 1 ⁄
15 Oxygen Tank 50 L 2 ⁄
16 Oxygen Therapy Set 2 3 ⁄
17 Manual Resuscitator Adult 1 1 ⁄
18 Manual Resuscitator Neonate 1 1 ⁄
19 Revolving stool 2 ⁄
20 Stethoscope, Adult 2 2 ⁄
21 Stethoscope, Pedia 1 1 ⁄
22 Suction Machine 2L 1 1 ⁄
23 Weighing Scale, Infant 1 1 ⁄
TB-DOTS
1 Microscope, Binocular 1 ⁄
(9) Other Equipment Not in the List
1 Bassinet 1 ⁄
2 Dental Instrument Set 1 ⁄
3 Ice-Lined Vaccine Refrigerator 1 ⁄
4 Emergency Light 1 ⁄
5 Oxygen Tank, 20L 1 ⁄
6 Patient Litter 1 ⁄
7
8
9
10

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn
SANTA MARIA RHU
(1)
(2) (3) (4) (5) (6) (7) (8)
QUANTIT RLED Findings
EQUIPMENT / INSTRUMENT REQUIREMENT Y (CY 2017 - 2018) HFEP LGU NGO Unknown Remarks

Tamang Serbisyo sa Kalusugan ng Pamilya (TSeKap) 2011 - 2017 2018 (No Allocation)
Qty F NF C Qty F NF C F NF FD C F NF FD C F NF FD C
11
12

F - Functional
NF - Not Functional
FD - For Delivery
C - Condemn

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