Hypothetical Hospital

Southern Athens Hospital

SUBMITTED BY: Grp. 3 Angeles, Sarah Celine Batan Mary Lei Guillang Lorie May Morales, Jonafe Rapay, Jake Obet Torrejos, Yves Xamille

SUBMITTED TO: Ms. Vanessa B. Varona

Planning

History

n 1956, Southern Athens Hospital was first clinic called Athens Clinic lead by the Athenian Filipino nurse Lorie May Guillang, and her fellow nurses Yves Torrejos, Sarah Angeles, Mary Lei Batan, Jake Rapay and Jonafe Morales, located at San Marcelino Street.

Lorie May Guillang was overcome with the desire to create a world class integrated healthcare delivery system in Philippines, entailing the finest medical skills combined with compassionate patient care. With that, Southern Athens Hospital was established. Southern Athens Hospital moved to Pasay, City on the year 1970, to a plot and that was chosen by renowned landscape Architect Frederick Law Olmsted. As late as 1990, Sothern Athens Hospital was a self-sustaining community, and establishes quality care to patients even until today. Southern Athens Hospital is a tertiary hospital located at Macapagal Road Pasay, City (near Mall of Asia) that has a 300 bed capacity and has 5 story that contains high technology medical equipments, laboratory and diagnostic facilities. It has special areas and specialties.

Logo

The Southern Athens Hospital Logo defines our commitment to patient care. The logo reflects our endeavor to achieve excellence in healthcare delivery system by bringing together the best of technology, medical expertise, and patient care. Our logo also implies the human values that govern every facet of our organization. Caduceus or the health symbol was placed at the top of the logo shows that health of the patients is our priority in our Hospital. In the center of the logo, Athena, the goddess of wisdom denote that healthcare teams in Southern Athens Hospital are competent and proficient in delivering healthcare system in community. The wings signify highest commitment in providing quality care in individual, family and community. A constant reminder to all that Southern Athens Hospital aspires to achieve its vision. Laurel leaves symbolize nobility to work and peace in the community and within the hospital. Green is a color of healing and is symbolic of our steadfast focus: To ensure the health and wellbeing of those we minister to. And yellow, express optimism, enlightenment, and happiness. Shades of golden yellow carry the promise of a positive future. The Fortis Healthcare (India) logo is the indelible assurance that our expertise will always be tempered with humanity. We never forget that the wellness of human lives is our reason for existence.

Vision
Southern Athens Hospital, a tertiary hospital, envisions to create a world class integrated healthcare delivery system in Philippines, entailing the finest medical skills combined with compassionate patient care by the year 2030.

Mission
Southern Athens Hospital is committed to deliver optimum level of quality care. We aim to provide quality health services and facilities for the community, to promote wellness, to relieve suffering, and to restore health as swiftly, safely, and humanely as it can be done, consistent with the best service we can give at the highest value for all concerned. To be a provider of high quality patient-focused healthcare that is readily accessible, cost effective and meets the needs of the communities we serve. The commitment of our staff, physicians, volunteers, students, community partners and friends to our mission permits us to maintain a quality of presence and tradition of caring, which are the hallmarks Southern Athens Hospital.

Objectives

Provide high quality services

Maintain accreditation of services Implementation of evidence-based programs for improved outcomes Customer focused service delivery Improvement to the human resources management program Continue to be a leading provider of community health services

Customer focused service delivery Develop and strengthen health service provision and medical practitioner engagement Awareness and practice of vision and values Develop and implement innovative models of community health care Strengthen community involvement in all aspects of planning, delivery and evaluating service delivery Be the employer of first choice

Invest in staff development Provide flexible working conditions where possible Promote reputation as a quality, friendly and efficient service provider Listen to and consult with staff Continue development of relevant staff capable of leadership and direction Provide a safe working environment Ensure the application of principles of the code of conduct are promoted and demonstrated Strengthen the organizational sustainability

Maximize revenue opportunities for services, capital development and resources Foster good relationships with the Government, and other funding agencies Maintain and enhance Management, Information Technology Risk Management systems Responsibility and accountability for individual department budgets Implement succession planning Investing good environmental planning and practices

Virtuous Values

Vision: Imbibe and share the vision. Integrity: Lead through honesty and integrity. Respect: Earn respect. Trust: Gain patient trust. Understanding: Commit to compassion, care and understanding. Own: Own quality excellence. Uphold: Uphold innovation and continuous improvement. Share: Develop and share success.

Philosophy
"At the core of nursing practice at Southern Athens Hospital is a profound respect for the dignity and individuality for each patient. It is our belief that recovery and/or maintenance of health requires the recognition of three human dimensions-mind, body, and spirit. These three dimensions are inseparable and integral components of the whole person. At Southern Athens Hospital, the nurses seek to establish connections with the whole person, in an effort to optimize both the patients inner resources and the resources of the healthcare community" Southern Athens Hospital acknowledges the role that a healthy and supportive work environment plays in the ability of nurses to meet the challenges inherent in the art and science of nursing. We share in the responsibility for creating and maintaining such an environment and in promoting professional satisfaction."

Uniforms

E.R Uniform

Hemodialysis Uniform

ICU Uniform

OR Uniform
Medical Tech. Uniform Nursing Attendant Uniform

Midwife Uniform

DR Uniform

Radiologic Uniform

NICU/PICU/ Pediatric Uniform

Ward Uniform

Patients Gown

Personnel Uniform

Identification Card

Front

Back

Organizing

Organizational Chart
Board of Trustees

Pension Committee Cedric Ruiz

CEO Henry Sy

Executive Committee John Robles

Chief of Staff Francis Kong

EXECUTIVE ASSISTANT Jasmine Ong MD

MANAGEMENT QUALITY IMPROVEMENT Marco V. Larena

INFECTION CONTROL NURSE Mary Tone Parinal RN-MAN MANAGER INFORMATION SYSTEM Leslie Atendido MD

MANAGER FACILITIES Engr. Katherine Leysan

OCCUPATIONAL HEALTHNURSE Jobelle Robles RN-MAN

MANAGER ENVIRONMENTAL SERVICES Paolo Miguel Molo MD

HUMAN RESOURCES Engr. Nerisa Berongoy

DIRECTOR OF PATIENT SERVICES Dr. Ronnei Dofitas MD

DIRECTOR OF FINANCE Jennifer Batanes CPA DIRECTOR NUTRITION SERVICES Marco German RND FNHP ADMIN ASSISTANT Emy Magayanes FRENCH LANGUAGE SREVICES Mr.Erick Drilon Ed.Ds

DIRECTOR OF FIRST NATIONS HEALTH PROGRAM Cattleya Valencia

CCM EMERGENCY FOR UNIT Angel Minerva MD

CCM EAST UNIT Junella Casimiro MD

MANAGER ACCOUNTING SERVICES Janet German CPA

SPECAILIST CLINICS Kris Ramos MD

MANAGER LABORATORY Ferdinand Recana MD PHARMACY MANAGER Khris Aquino RP
MANAGER THERAPY SERVICES April Valeros RT

COMWEST UNIT Aira Myrna Tibay MD MANAGER MEDICAL MAGING Engr. Jerry Caraecle Jr
COMMUNITY LIAISON NURSE Tony Ferrer RN. MAN

STAFF DEVELOPMENT COORDINATOR Emelita Iraola

HOSPITAL SOCIAL WORKER Boy Abunda

Organizational Chart

Chief Nurse

Head Nurse

Staff Nurse

Nursing Attendant

Scheduling
Department Name: Week ending: 9/24/11 Sunday, September 18, 2011 Shift Hours AM 8 PM 8 AM 8 PM 8 Night 8 Night 8 Off Off Off 48 Monday, September 19, 2011 Shift Hours Off Off AM 8 PM 8 Off Night 8 AM 8 PM 8 Night 8 48 Tuesday, September 20, 2011 Shift Hours AM 8 PM 8 Off Off Night 8 Off AM 8 PM 8 Night 8 48 Wednesday, Thursday, Friday, Saturday, September September September September 21, 2011 22, 2011 23, 2011 24, 2011 Shift Hours Shift Hours Shift Hours Shift Hours AM 8 AM 8 Off AM 8 PM 8 PM 8 Off PM 8 Off AM 8 AM 8 AM 8 Off PM 8 PM 8 PM 8 Night 8 Night 8 Off Night 8 Off Night 8 Night 8 Night 8 AM 8 Off AM 8 AM 8 PM 8 Off PM 8 PM 8 Night 8 Off Night 8 Night 8 48 48 48 16 Pediatric Ward

Total 40 40 40 40 40 40 40 40 40

Employee Jessie L. May Q. Kath S. Grace P. Dennis R. Tony U. Obie H. Sally K. Fe N. Total

AM Shift: 7:00 am 3: 00 pm PM Shift: 3:00 pm 11:00 pm Night Shift: 11:00 pm 7:00 pm

Staffing
Republic Act 5901. Employees working in 100 bed capacity and up will only work 40 hour/week. 100 =Tertiary Hospital Tertiary Hospital: 300 beds Percentage of patients in various Levels of care: Type of hospital Primary Hospital Secondary hospital Tertiary Hospital Special Tertiary Minimal care 70 60 30 10 Moderate care 25 30 45 25 Intensive care 5 5 15 45 Highly critical 0 0 10 20 40hours/week

300 X 0.30 = 90 300 X 0.45 = 135 300 X 0.15 = 45 300 X 0.10 = 30 Total: 300 Nursing Care Hired Needed/Day: Level 1 Level 2 Level 3 Level 4 90 x 1.50 135.5x 3.0 45 x 4.5 30 x 6.0 Total 922.5 NCH x 365 day = 336, 712.5 NCH/ year 135 405 202.5 180 922.5 NCH/ day

Actual working hours rendered/personnel per year: 8 Hours/day x 213(working day/year) = 1704 working days /year Total number of nursing personnel needed: 336, 712.5 (total NCH/yr) 1704 (working Hours/ yr) = 198 personnel 198 x 0.15 (fixed) = 30 relievers 198 + 30 = 228 total number of personnel needed. Pro and Non-Pro Ratio in Tertiary (65:35) 228 x 0.65 = 148 Professional 228 x 0.35 = 80 Non-Professional Distribute by Shift Professional: AM PM Night 148 x 0.45= 66.6 148 x 0.37= 54.7 148x0.18= 26.4 Total= 148 Non-Professional: 80x0.45= 36 80x0.37= 29.6 80x0.18= 14.4 Total= 80

Job Description
Chief Nurse
A chief nurse is a part of the administrative or executive staff at a hospital or other medical center. They advance to this position of great responsibility after exceptional service as a registered nurse. Duties: The chief nurse is responsible for mentoring and supervising the activities of RNs on her staff. Manage the operations of her nurse unit, develop strategies for making her unit more efficient and evaluate methods to improve the quality of patient care. Training and Skills: A chief nurse must complete a bachelor's or associate's degree or earn an in-hospital diploma to become registered, and then work in a hospital setting for at least three to five years. Must have a caring and understanding nature and also have impeccable supervision skills.

Assistant Chief Nurse

Responsibilities: Assist the Chief Nursing Officer (CNO) in providing leadership to nurse employees that will enroll their support, create ownership of goals, and have them actively participate in decisions that impact the hospital. Assist the CNO in maintaining necessary regulatory and compliance approvals and quality accreditations. Partnering with physicians who use, or will use, the hospital. Assisting in planning new services that generate additional sources of profitable revenue. Creating an environment that will encourage recruiting and retention of clinical employees. Assisting the CNO in managing costs by continually seeking data that will identify opportunities and take action to eliminate non-value costs. Assisting the CNO in establishing standards for nursing practices and maintain authority, accountability and responsibility for nursing services. Developing organizational patient care programs, policies and procedures that describe how nursing care is assessed, delivered and evaluated. Assisting the CNO in developing and managing the nursing services budget and ensuring sufficient number of qualified staff to assess patient needs.

Planning and providing nursing care interventions and prevent complications, promote improvement and patient comfort and wellness. Analyzing areas in planning, promoting and conducting organization-wide performance improvement activities. Representing the nursing services at meetings as deemed necessary; participates with department heads in designing and providing patient care and services.

Education: Must possess a Bachelor's degree in Nursing from an accredited institution. Master's degree preferred. Experience: Must possess detailed knowledge of hospital nursing operations. Minimum 2 years of demonstrated successful leadership in an acute-care hospital environment. Certification/License: Must be a registered nurse (RN) with a current licensure. Abilities: Must be proficient in written and verbal communication skills. Ability to establish and maintain effective working relationships with hospital staff, physicians, patients, and patient's families. Ability to maintain confidential information concerning personal, financial, or medical matters.

Head Nurse
Registered nurses provide patient care in hospitals and health-care facilities. Nurses can advance to a supervisory position and work in hospital administration directing the work of other staff nurses. The head nurse or nursing supervisor monitors the work of other nurses and ensures that patients receive proper care. The nurse in a supervisor position performs nursing duties along with the additional administrative duties. Functions: The head nurse coordinates the activities of the nursing staff in patient areas. The supervising nurse is responsible for the training and scheduling of nurses in the patient area that she supervises. Head nurses work with department heads in other areas of the health-care facility to provide nursing assistance and staff when needed.

Job Duties: The head nurse assigns duties to staff nurses and develops work schedules to ensure that patient areas have a full staff. Nursing supervisors monitor the work performed by staff nurses to ensure that physician instructions are carried out and that patients receive proper care. Nurses receive evaluations from the nursing supervisor on their performance. A head nurse may perform the orientation and training of new staff members in the patient area. The head nurse performs inspections of patient rooms and areas to ensure hospital personnel maintain cleanliness standards. Lead nurses order supplies for the patient area such as drugs, equipment and medical supplies or directs the activities of workers responsible for ordering materials. This includes maintenance of drug records for the patient area. Skills: Nursing supervisors demonstrate leadership skills and the ability to evaluate the work of other nurses on the floor. A head nurse uses a combination of direct patient nursing skills with administrative skills to direct the activities of other workers. Education and Qualifications: A bachelor's degree in nursing and a Registered Nurse. Graduated from an approved nursing program and has a passing grade on the National Council Licensure. Must have a degree of Masters of Arts in Nursing.

Staff Nurse
A staff nurse assists a physician in a hospital or in a clinic and provides professional nursing care. He has to protect, give advice and promote health issues and show how to take care of ones health, especially if the patient suffers from any major illness. He has to prevent illness and injury and advocate the care of individuals and communities. Duties and Responsibilities: Staff nurses can work in different departments like ambulance care or ICU. May work with the emergency team or have to take care of new born babies in the neonatal department. May have to deal with patients having specific health conditions like diabetes, cancer, etc. Can specialize in a particular organ or body system like the orthopedic or population geriatric. Must have to maintain accurate, detailed reports and records, charts. Must have to regularly monitor, record and report any change in patients conditions. Record the patients medical information and vital signs.

Prepare patients for, and also assist them, during examinations and treatments.

Skills and Specifications: Staff nurses must be disciplined and organized. Should have a positive personality and be sympathetic to the patients and their care givers. Should be able to deal with pressure and may have to work for long hours. Must have knowledge of various procedures required to take care of the patient, related to surgeries, post surgery, general care, etc. Education and Qualifications: Has a bachelors degree in nursing or an associates degree in nursing or graduation from a diploma school of nursing. Graduated from an approved nursing program and pass the state national licensing exam.

Certified Nursing Assistant

A certified nursing assistant (CNA) is a licensed professional in the medical industry who is in direct connection with the patients regarding all their daily needs. Functions: Nursing Assistant acts as an assistant to the nurse, and the duties of a CNA differ largely on what the patients are in need of. The certified nursing assistant comprises all tasks that are directly related to the everyday basic needs of patients. Nursing assistant has to carry out responsibilities such as handling and recording medical records and reports of patients. A nursing assistant help patients do their daily routines like bathing, toileting, eating, resting, etc. She may be required to administer basic medicines to patients under close supervision of a nurse. Job Duties: A Certified Nursing Assistant has to keep a minute eye on the vital statistics, and inform the nurses about the present condition of patients who are cared upon. He/She has to record the patient's body temperature, blood sugar levels, pulse and respiration details, blood pressure, and other observations. He/She has to help the patient move from one place to another place, and also aid in patient transfer from one ward to another or to the treatment area.

Skills: The main tasks of assistant nursing is assisting the patients in carrying out their routine physical exercises and workouts, changing their clothes and grooming, shaving, cutting their nails, liquid-feeding them with tubes, and many other daily activities. CNAs also have to render social and emotional support to patients who are completely bedridden. CNAs have to keep the patient's room clean, with changing the bed sheets on time, and tidying the room. A CNA is responsible for immediately sterilization of the tools after use. She/he has to follow stringent cleanliness regimes as to preclude the possibilities of infections and other diseases. She/he has to keep a detailed record of the nutritional routines followed by the patients. Education and qualification: Has a bachelors degree in nursing or an associates degree in nursing or graduation from a diploma school of nursing. Graduated from an approved nursing program and pass the state national licensing exam. Experience: Minimum of two (2) years recent experience in an acute cares hospital setting within the prior (3) years. Others: Proficient in the English language. Has a good verbal and written skill. Certificate of completion in specialty nursing area and passed the Nursing Licensure Examination.

Rules and Regulations

1. Visiting Time. Rest is very important to a hospital patient, especially one with a chronic illness. Hence, visiting hours are limited to:

10:00 - 11:00 a.m. 4:00 - 8:00 p.m.

Except in the following restricted areas: Medical/Surgical Intensive Care Units

10:00 - 11:00 a.m. 7:00 - 8:00 p.m.

Recovery Room

7:30 - 8:00 a.m. 6:30 - 7:00 p.m.

Pediatric Intensive Care Unit (Viewing Time)

11:00 - 12:00 noon 4:00 - 5:00 p.m.

2. Only two (2) visitors are allowed at a time. 3. Children below 7 years are not allowed to visit so as not to expose them to infections. Children's companions are requested to attend properly to visiting children cautioning them against noise and unruly behavior in the hospital.

Southern Athens Hospital Policies

Southern Athens Hospital, its affiliated clinics and our medical staff are committed to providing our regional community the highest quality health care available. This commitment extends to offering the best technological medical advances through services we provide, equipment used in the rendering of those services and ongoing education for our employees to maintain skills that are reflective of current standards of care throughout the country. Patients in our facility experience small town caring, warmth and the familiar faces of our staff while receiving the best medical care anywhere. We regard the confidentiality of care we provide to you as a sacred trust. Our patients have the right to expect that any information collected about them during the course of illness, injury, hospitalization and/or rehabilitation (known as your protected health information) be maintained in a secure manner. This notice is to let you know how we safeguard that information; to whom information may be disclosed; and how you may access the information we currently have regarding your confidential medical care. UNDERSTANDING YOUR MEDICAL RECORDS INFORMATION: Each time you visit Southern Athens Hospital and affiliated clinics, a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. The record set also includes financial data and may be maintained in paper or electronic format. The information serves as documentation of the care youve received for communication between health care professionals, subsequent care, payment of care, legal purposes and a tool to improve the quality of care and services we provide in the future. Understanding what is in your record and how it is used will help you to: Make certain the information is accurate. Better understand who, what, when, where and why others may access your health information. Make a more informed decision when giving your permission for your health information to be sent or released to others.

YOUR RIGHTS REGARDING PROTECTED HEALTH INFORMATION: Although your medical record is the physical property of this facility, the information belongs to you. You have certain rights regarding the use and disclosure of this information. To further understand these rights, examples of uses and disclosures of your protected health information appear later in this document.

Right to See and Obtain Copies Of Your Medical Information In most cases, you have the right to look at or obtain copies of your medical information that we have, but you must make a request in writing. If we dont have your information but know who does, we will tell you how to get it. We will respond to you within 30 days after receiving your written request. In certain situations, we may deny your request. If we do, we will tell you in writing our reasons for the denial and how you can have the denial reviewed. If you request copies of your medical information, we may charge a fee for the copying, mailing, or other supplies associated with your request.

Right to Amend or Update Your Medical Information If you believe that there is a mistake in your medical information, or that a piece of information is missing, you have the right to request that we correct the existing information or add the missing information. The request must be made in writing and you must provide a reason for the change. We will respond within 60 days of receiving your request. We may deny your request if it is not in writing or does not include a reason to support the request. Also, we may deny your request if the medical information is: Correct and complete; Not created by us; Legally not allowed to be looked at and copied for you; or Part of our records.

Our written denial will tell you the reasons for the denial and will tell you how to file a written statement of disagreement with the denial.

Right to Obtain An Accounting of Disclosures You have the right to obtain an accounting of any disclosures we have made regarding your medical record. The accounting will not include uses or disclosures, such as:

 Those made for treatment, payment, health care operations; Those made directly to you, authorized by you or to any person whom you have indicated as being involved in your care; Our facility directory or other types of notification made without your objection; Those made in emergency or disaster relief situations for notification of your condition; Those made for national security/intelligence purposes; To law enforcement officials in custodial situations; Incidental disclosures, i.e., overheard conversations, etc; Those made prior to six years of your request or before April 14, 2003.

We will provide the accounting at no cost to you, however if you make more than one request in a twelve-month period, we may charge you a fee for each additional request. We will notify you of the cost involved and you may choose to withdraw or change your request at that time.

Right to Request Limits on Use and Disclosure of Information You have the right to ask that we limit how we use and disclose your medical information. We will consider your written request, but are not legally required to accept it. If we accept your request, we will abide by its content, except in emergency situations. You may not limit the uses and disclosures that we are legally required or allowed to make.

Right to Choose How We Send Information to You You have the right to ask that we send information to you at an alternate address or by alternate means. We must agree to your written request so long as we can easily provide it in the format you requested.

Right to a Paper Copy of this Notice You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time.

Right to Withdraw Your Authorization for Use/Disclosure Any use or disclosure of your protected health information, except as explained in this notice, will be made only with your express, and written authorization. Furthermore, you have the right to revoke such authorization. Of course, we are unable to take back any disclosures we have already made with your permission. Our Organizational Responsibilities:

This organization, [including all employed individuals, any volunteers we may involve in your care and members of our medical staff and/or health care providers to whom weve extended privileges is required to: As a requirement of law, maintain the privacy of your health information. Provide you with a notice as to our legal duties and privacy practices with respect to information we collect and maintain about. Abide by the terms of this notice. Notify you if we are unable to agree to a requested restriction. Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations. We reserve the right or may be required by law to change our privacy practices, which may result in changes of this notice. We further reserve the right to make the revised or changed privacy practices notice effective for medical information we already have about you as well as any information we receive in the future. The revised notice will be available at points throughout the facility with the version number and implementation date included on the notice. Each time you visit our facility for treatment, the current version of this notice will be available to you.

Directing

Staff Development
GENERAL DESCRIPTION OF CLASS
The STAFF DEVELOPMENT NURSE develops, coordinates, and implements an educational and orientation program for nursing service personnel for an agency. No positions in this class are excluded from collective bargaining.

DISTINGUISHING FEATURES
This is a single classification and not currently part of a series of classes.

DUTIES AND RESPONSIBILITIES

1.Curriculum Development. Typical tasks: establishes course objectives and develops curriculum; researches current literature; selects content and visuals to be included in teaching materials; prepares course manuals and develops the assessment and evaluation format; schedules speakers, meeting rooms, handouts and development of brochures; develops educational and orientation programs based on needs assessment, long and short-term goals, accreditation guidelines and available resources. 2.Class Presentations. Typical tasks: conducts formalized classes, discussions, and lectures; presents demonstrations; evaluates student responses and modifies lesson plans and teaching techniques as necessary; may provide certification based on Oregon State Board of Nursing standards and complete all required documentation. 3.Clinical Consultation. Typical tasks: assesses the performance of students and orientees in the delivery of care; observes progress and identifies needs; serves as role model and content expert for specialty areas of nursing practice such as mental health, operating room, or critical care; participates in and contributes ideas to committees dealing with overall hospital/agency functioning; writes and revises nursing care policies and procedures.

RELATIONSHIPS WITH OTHERS

Employees in this class are in regular contact in person with all levels of nursing staff while providing orientation and education. They are in occasional in person contact with nursing managers to plan educational offerings and with patients to demonstrate nursing care. They are in occasional contact by telephone or in person with sales representatives to discuss available educational materials, and by telephone with the general public to discuss educational offerings.

SUPERVISION RECEIVED
Employees in this class receive general supervision from an associate director of nursing or a staff development director. Work is reviewed through frequent planning sessions, monthly status reports, feedback from those who have attended classes, and occasional observation of instruction. Work performed by employees in this class is governed by Joint Commission on Accreditation of Hospital Standards, Oregon State Board of Nursing laws, nursing policy and procedure manuals, Nurse Practice Act, Patient Rights Laws and Informed Consent Laws, safety rules and regulations, Federal and State drug regulations, American Nurses Association Standards of Practice, Oregon laws regarding non-licensed personnel, and nursing staff development policy and procedure manuals.

GENERAL INFORMATION
Positions in this class are primarily found in hospitals and health care facilities. They require the willingness to work in the environment associated with the position's location and purpose.

KNOWLEDGE, SKILLS, AND ABILITIES (KSA)

General knowledge of principles, methods, and practices of professional and subprofessional nursing. General knowledge of the principles and methods of nursing education. General knowledge of current materials used in group discussions and demonstrations. General knowledge of specific nursing areas such as mental health, operating room, critical care. General knowledge of current hospital and nursing policies and procedures. General knowledge of adult learning theory and curriculum design. Skill in developing training curriculum. Skill in making training presentations.

Skill in the application of nursing techniques. Skill in oral communication. Ability to plan and research courses of study for nursing education. Ability to plan and conduct nursing educational activities. Ability to teach a variety of subjects to a variety of educational background levels. Ability to plan and evaluate educational programs. Ability to conduct meetings. Ability to write reports on staff development and nursing policies and procedures. Ability to operate and maintain audiovisual equipment. Ability to evaluate educational materials. Ability to assess performance of students and orients in the delivery of nursing care.

NOTE: The KNOWLEDGE and SKILLS are required for initial consideration. ABILITIES may be required for initial consideration, at any time during the selection process, or during a trial service period as a final stage of the selection process. Some duties performed by positions in this class may require different KSA's. No attempt is made to describe every KSA required for all positions in this class. Additional KSA requirements will be explained on the recruiting announcement

Personnel Salary
Admissions Director Oversees department and designs, implements, assesses and recommends revisions to all facets of the admissions process. Ambulatory Services Director Oversees ambulatory outpatient services including day surgery. Usually this director is the nurse in charge. Anesthesiology Chief Oversees all anesthesiologists in a hospital unit. Does scheduling and purchasing; oversees procedures and problems. B Biomedical Engineer Involved in designing, developing, modifying and testing medical devices. Advises users regarding the proper and safe application of medical technology. Blood Bank Director Supervises all operations of the blood bank. Blood Banks draw, process, store, and deliver blood to hospital departments. Burn Care Unit Director Responsible for all aspects of care provided to patients in the burn unit. Business Office Director Oversees hospital billing, account management, and customer service. C Cardiac Catheterization Laboratory Director Oversees the cardiac catheterization laboratory staff and procedures carried out at the hospital. Cardiology Director Responsible for the cardiology department, which includes all cardiologists in a hospital. 21, 123.00

20, 670.00

19, 980.00

24, 173.00

22, 834.00

19, 908.00

19, 802.00

23, 874.00

25,054.00

Case Management Director Affiliated with or part of the social services department. Provides patient case assessment, treatment planning, referral and follow-up. Central Supply Services Director Oversees the maintenance and distribution of supplies and equipment to all hospital departments. Central supply can also provide internal control to monitor governmental restrictions, laws, and infection control standards regulating medical facilities. Central/Sterile Services Director Responsible for the department that provides sterile medical and surgical instruments and supplies. The pharmacy is not part of this department. Chemical/Substance Abuse Director Oversees chemical and substance abuse programs in the hospital. Chief Administrator Primary executive in charge of the hospitals operations. The chief administrators actual title may be CEO, President, Vice President, etc. There is significant but not complete duplication with the Chief Executive Officer job function. Chief Executive Officer Appointed by the governing body to direct the overall management of the hospital. This list includes only those administrators with the title of CEO. There is significant duplication with the Chief Administrator; for complete coverage, choose both titles. Chief Financial Officer Oversees all aspects of the institutions finances from budgeting to payroll. Chief Information Officer Responsible for technology purchasing. Manages the information systems in a hospital. There is some duplication with Information System/MIS Director. Chief nurse is a part of the administrative or executive staff at a hospital or other medical center. They advance to this position of great responsibility after exceptional service as a registered nurse. Chief Operations Officer Responsible for the day-to-day operations of the hospital. Usually oversees

21, 424.00

18, 879.00

18, 060.00

19, 009.00

29, 050.00

28, 780.00

23, 034.00

19, 244.00

22, 874.00

22, 274.00

volunteer/support services. Also known as executive director. Clinical Coordinator of Emergency Room Oversees all aspects of the hospital emergency room. See also Physician Director/Emergency Room. Continuing Education Director Responsible for evaluation, development, and implementation of continuing education programs for health professionals. D Discharge Planning Director Sets up discharge of patients, schedules visits if needed, and gives patients prescriptions. DRG Coding Director Responsible for duties related to the prospective payments system (PPS), including early determination of the patients Diagnosis Related Group (DRG); informing the attending physician of the normal length of stay, and providing additional information from the case mix index management information system. F Facility/Plant Manager Responsible for the physical plant of the hospital and its functionality. The manager oversees maintenance, janitorial services, repair, installation of equipment, troubleshooting, etc. Family Practice Director Coordinates the involvement of family practice within the hospital. Family practice specializes in providing, supervising, and coordinating the continuing general medical care of patients of all ages, primarily in family groups. Food Services Director Oversees the food service department staff as well as the planning, purchasing, and preparation of food services in a hospital. Formulary Committee Chairman Oversees the list of prescription drugs that various health plans have approved for use by prescribing physicians. Each health plan has its own formulary. See also Pharmacy Director. 20, 006.00

20, 813.00

19, 997.00

19, 977.00

19, 973.00

20, 278.00

19, 172.00

21, 871.00

G Gastroenterology Director Gastroenterology is the branch of internal medicine focused on the structure, function, diseases, and pathology of the stomach and intestines. Geriatric Services Director Coordinates efforts pertaining to treatment of diseases that primarily affect the elderly. H Head Nurse Supervises and coordinates nursing activities in hospital unit: Assigns duties and coordinates nursing service. HIPAA Compliance Director Oversees compliance with the Health Insurance Portability and Accountability Act, which defines the rights and responsibilities that patients, healthcare providers and health plans have in the protection, use, and disclosure of health information. Home Healthcare Services Director Manages the department of the hospital that provides medical and other health services in the patients home. Hospitalist Doctors whose primary focus is the general medical care of hospital patients. Their responsibilities include patient care, research, and leadership related to hospital care. Coordinates with patients primary care/referring physician. Housekeeping Director Supervises housekeeping staff, procedures, scheduling, and purchasing of housekeeping and janitorial services and supplies. Human Resources Director Responsible for all personnel functions including hiring, benefits, training, equal opportunity issues, etc.

24, 748.00

21, 379.00

20, 034.00

21, 388.00

20, 044.00

26, 938.00

20, 983.00

21, 313.00

I In-Service Education Director Organizes classes and training sessions for internal staff members of the hospital. Some duplication with Patient Education Director. Infection Control Director Manages the hospitals program of infection control including sanitizing, cleaning, disinfecting, decontaminating, and sterilizing medical products and devices that are essential to safe patient care and staff welfare. Some duplication with Infectious Disease Director. Intensive Care/Critical Care Director Oversees all aspects of the ICU/CCU, including budgeting and employees. Internal Medicine Chief Oversees the internal medicine department. This branch of medicine deals with diagnosis and medical (non-surgical) therapy of disorders and diseases of the internal structures of the body. L Laboratory Director Responsible for all laboratory procedures, personnel, and supplies. M Managed Care Services Director Negotiates with HMOs, PPOs, and other insurance contracts for the hospital and patients. Management Services Director Coordinates the interactions between managed care plans and hospital policy and procedure. Marketing Director Supervises the marketing and public relations efforts of the hospital. These can include advertising, educational outreach, internal communications, etc. Materials Management Director Handles the acquisition of supplies for a hospital. Some duplication with Purchasing Director. Medical Director Oversees and handles problems for each independent unit that has its own

23, 842.00

22, 731.00

25, 712.00

23, 873.00

22, 233.00

21, 313.00

21, 134.00

22, 234.00

22,983.00

26,127.00

medical director (such as skilled nursing, ICU, etc.). Medical Library Director Oversees the medical library in a hospital. Medical Records Director Responsible for processing patient records, and making sure forms are completed and signed by nurse and doctor. Medical Staff Chief Oversees the entire medical staff. This position is always held by a physician. N Neonatal Care Director Oversees care of newborn babies. Neurosurgery Chief Oversees the neurosurgery department. Neurosurgery is the branch of medicine which performs surgery on the brain and spinal cord. Nuclear Medicine Director Deals with the use of radioactive materials in diagnosing and treating disease. Some duplication with Radiology Director, and Radiology/Diagnostic Imaging Director. Nursing Attendant Cooperatively work with nursing staff and the support services in order to meet the objectives and the philosophy of the facility; perform related work as required Nursing Director Oversees the entire nursing staff, serving as an administrative liaison between the staff and other hospital departments, physicians, administration, etc. See also Patient Services Director. O OB/GYN Chief Oversees the obstetric unit in a hospital. These units offer a wide range of services for womens health matters, including expectant mothers. Some duplication with OB/GYN Surgery Director. OB/GYN Surgery Director A hospital surgery OB/GYN director supervises OB/GYN surgery and personnel. 24, 737.00

23, 783.00

25, 983.00

23, 742.00

22, 873.00

22, 897.00

10, 182.00

23, 987.00

24, 897.00

24, 872.00

Some duplication with Chief of OB/GYN. Occupational Therapy Director Oversees all aspects of occupational therapy including patient services. Some duplication with Physical Therapy Director. Oncology Services Director Coordinates medical care as it relates to oncology program development and planning, quality, financial performance, and research. Operating Room Director Oversees all aspects of personnel, scheduling, supplies, and set-up of the operating room. Some duplication with Chief of Surgery. Orthopedic Surgery Chief Oversees the division of the hospital pertaining to orthopedic surgery. Orthopedic surgery relates to the bones, joints and the musculoskeletal system (spine, extremities, and related structures). P P & T Committee Chair Oversees the pharmacy and therapeutics committee. Generally, is also responsible for reviewing quality and appropriateness of drug use for the pharmacy. Pastoral Care Director Coordinates pastoral care services in a hospital. Typically provides 24-hour oncall services for patients, relatives, and the healthcare team. Patient Education Director Provides information and education to patients through written goals and objectives concerning medical procedures and self-care. Some duplication with In-Service Education Director and Nursing Director. Patient Financial Services Director Handles all patient billing questions and concerns, requests for itemized bills, and account balance inquires. Patient Services Director Oversees nurses and all aspects of patient care and services. See also Nursing Director. 23, 893.00

23, 137.00

23, 983.00

23, 973.00

23, 897.00

20, 839.00

21, 873.00

20, 897.00

21, 128.00

Pediatrics Chief In charge of pediatric services and personnel, including doctors, nurses, etc. Perfusionist Operates the heart/lung machine. Pharmacicst Dispense prescription drugs to patients. Pharmacy Director Purchases supplies and the medicine for the hospital. See also Formulary Committee Chairman. Physical Rehabilitation Services Director Responsible for overseeing physical therapy programs that help patients attain or retain their maximum functional capacity. Some duplication with Occupational Therapy and Physical Therapy Director. Physical Therapy Director Manages all aspects of the hospitals physical therapy program including rehabilitation, patient services, etc. Some duplication with Occupational Therapy Director and Physical Rehabilitation Services Director. Physician Director of Emergency Room Doctor in charge of the hospital emergency department. See also Clinical Coordinator of Hospital ER. Physician Recruiter Recruits physicians for the hospital. Picture Archiving & Communication Systems (PACS) Administrator Manage the database, implement efficient workflow and interface with other health information system databases as part of the patients Electronic Health Record. Psychiatric Services Director Oversees the hospital department that provides evaluation, diagnosis and treatment of patients with mental, emotional, and behavioral disorders. Purchasing Director In charge of all purchases made for/by the hospital. Some duplication with Materials Management Director.

23, 249.00

21, 844.00

16, 138

24, 892.00

23, 873.00

24, 834.00

24, 835.00

23, 834.00

22, 834.00

23, 834.00

21, 834.00

Q Quality Assurance Director Manages quality issues of the hospital. Investigates complaints, ensures that hospital services are of high quality, makes sure money is spent properly, etc. Some duplication with Risk Management Director. R Radiology/Diagnostic Imaging Director Radiology technician overseeing X-rays, EKGs, ultrasound, and radiology procedures. Some duplication with Nuclear Medicine Director, Radiology Director, and Chief of Radiology. Radiology Chief Oversees procedures of the radiology department like X-rays and EKGs. Usually a physician. Some duplication with Nuclear Medicine Director, Radiology/Diagnostic Imaging Director, and Radiology Director. Radiology Director Oversees procedures of radiology including X-rays and EKGs. Some duplication with Nuclear Medicine Director, Chief of Radiology, and Radiology/Diagnostic Imaging Director

24, 873.00

22, 838.00

21, 355.00

24, 942.00

23, 832.00 Respiratory Therapy Director In charge of all respiratory therapists in the hospital. Risk Management Director Ensures that hospital services are of the highest quality and helps in maintaining positive relationships between hospital and patients. Some duplication with Quality Assurance Director. S Safety Director Oversees all aspects of safety for patients, employees, etc. Security Director In charge of all security in/for hospital. Sleep Lab Director Oversees the sleep lab that specializes in the evaluation and treatment of

22, 786.00

21, 831.00 22, 873.00 21, 897.00

sleep disorders. Social Services Director Provides assistance with the psychological, social, environmental, and financial difficulties that may arise during a patients hospitalization. Staff Development Director Oversees educational programs for physicians and staff. These programs can include quality improvement classes, seminars, etc. Staff nurses Provides professional nursing care in accordance with physicians' orders. Nursing is defined as the protection and promotion of health; the prevention of illness and injury; alleviation of suffering; and advocacy in the care of individuals and communities. Surgery Chief The physician who oversees surgical units and their budgets. All surgical managers report to this position. Some duplication with Operating Room Director. Surgery Services Director The administrator who oversees all surgery units. Some duplication with Chief of Surgery and Operating Room Director. T Telemedicine Director Oversees a program to assist rural physicians in providing better services and advice. EKGs and X-rays can be interpreted, video pictures can be seen. U Urology Chief Oversees the department that deals with diseases and disorders of the genitourinary tract in males and females, and with the reproductive system in males. W Womens Health Services Director Oversees a specific area of the hospital that is set aside for education and treatment specifically for women. 23, 892.00

21, 834.00

16, 472.00

26, 834.00

24, 984.00

21, 841.00

22, 893.00

21, 942.00

Staff Benefits
1. Social Security Systems (SSS) Contributions
Republic Act No. 8282, otherwise known as the Social Security Act of 1997, refers to the social security system in the Philippines that is initiated, developed and promoted by its Government. The social security system is aimed at providing protection for the SSS member against socially recognized hazard conditions, such as sickness, disability, maternity, old age and death, or other such contingencies not stated but resulted in loss of income or results to a financial burden. The employee and his/her employer(s) are to contribute for the social security benefits of the said employee in accordance to a given schedule by the Philippine Social Security System. Monthly employee contribution depends on the employee's actual monthly salary.

2. Contribution to National Health Insurance Program (NHIP)

The employee and his/her employer(s) are to contribute for the medical insurance of the said employee in accordance to the Republic Act 7835 on Medicare Program which is administered by the Philippine Health Insurance Corporation (Philhealth). Monthly employee contribution depends on the employee's actual monthly salary. The contribution schedule is provided by Philhealth.

3. Contribution to Home Development and Mutual Fund (HDMF)

The employer(s) is required to contribute per month not less than P100.00 to the employee's Home Development and Mutual Fund. In accordance to the periodic remittance schedule provided by HDMF, the employer(s) will remit this contribution, in addition to that of the employee's, which is to be deducted from his/her payroll. 4. The 13th Month Pay As mandated by the Presidential Decree No. 851, the employee shall receive a bonus salary equivalent to one (1) month, regardless of the nature of his/her employment, not later than December 24 of every year.

5. Service Incentive Leave

Book III, Chapter III of the Labor Code of the Philippines covers the employee's benefit for Service Incentive Leaves. According to Article 95, an employee who has rendered at least one year of service is entitled to a yearly five days service incentive leave with pay.

6. Meal and Rest Periods

Under Article 83, the employee is provided a one-hour employee benefit for regular meals, when working on an eight (8 hour) stretch. Employees are also provided adequate rest periods in the morning and afternoon which shall be counted as hours worked. All these provisions apply in addition to every new employee benefits furnished that are in excess of what is stipulated by the Philippine Labor Code. Other regular Philippine employees benefits furnished by the employer(s) but are outside of the mandated employee benefit includes, but not limited to: 1. 2. 3. 4. 5. Housing and housing plans Expense Account Company sponsored vehicle Paid Holiday and Vacation Educational assistance or plans to the employee and/or his direct dependents.

Controlling

Evaluation Tool
Direction: This tool was formulated to rate the staff nurses based from their performance.
Below are the corresponding rates, just put a check in the box that matches your answer.
Scales: 4- Extremely Satisfied 3- Moderately Satisfied 2- Satisfied 1- Not Satisfied
4 3 2 1

1. Demonstrate knowledge based on the health/illness status of the client. 2. Provide optimum care to the clients considering the practices/values. 3. Promote safety, comfort and privacy to the clients. 4. Prioritize problem in accordance with the needs of the client. 5. Putting up the highest care to the client. 6. Proper implementation of medications and other procedures in line with the 10 golden rules. 7. Utilization of nursing process in systematically as framework for nursing. 8. Utilization of financial resources to sustain clients care like the philhealth and others. 9. Adhere to the organizational policies of the institution. 10. Documentation of care rendered to the clients. 11. Respect the rights of the clients. 12. Acceptance of responsibility and accountability for own decisions and actions. 13. Adherence to the code of ethics for nurses. 14. Getting involved in the professional organization and civic activities like PNA. 15. Pursuing continuing education like masters degree and others. 16. Performance of functions according to professional standards. 17. Gathering data using different methodologies. 18. Utilize appropriate information technology to facilitate communication. 19. Establishing of interdependent relationship with the other members of the health team. 20. Collaboration with the other health team in meeting the needs of the client.

Southern Athens Hospital