Provincial Hospital
| QUIRINO PROVINCIAL HOSPITAL
MISSION
To serve as referral of all district hospitals in the province; to deliver quality health care regardless of social status and political affiliation; to serve as training venue for medical, paramedical and nursing students to transform Quirino Provincial Hospital as a center of wellness.
VISION To deliver quality health care through modern facilities and equipment, manned by highly trained competent personnel capable of providing curative, promotive, preventive and rehabilitative health care in the province and neighboring provinces.
SCHEDULE OF FEES FOR SERVICES AND USE OF FACILITIES |
|||
| Amount | |||
| I. Laboratory Services | of fee | ||
| 1. Hematology | |||
| a.) Complete Blood Count (CBC) | 200.00 | ||
| b.) Hemoglobin/Hematocrit (HGB/HCT) | 50.00 | ||
| c.) BSMP | 40.00 | ||
| d.) Blood Type | 100.00 | ||
| 2. Clinical Microscopy | |||
| a.) Routine Urinalysis (Automated) | 80.00 | ||
| b.) Routine Urinalysis (manual) | 40.00 | ||
| c.)Routine Fecalysis | 50.00 | ||
| 3. Serology/Blood Banking | |||
| a.) Crossmatching | 150.00 | ||
| b.)HBSAG | 190.00 | ||
| c.)URDL | 180.00 | ||
| d.) Widal Test | 180.00 | ||
| e.) Blood Screening (CHIV a&2, Hepa B | 1,000.00 | ||
| Hepa C, RPR, Malaria) | |||
| f.) Whole Blood | 2,000.00 | ||
| 4. Blood Chemistry | |||
| a.) FBS | 100.00 | ||
| b.) BUN | 120.00 | ||
| c.)BUA | 120.00 | ||
| d.) Cholesterol | 120.00 | ||
| e.) Creatinine | 120.00 | ||
| f.) Uric Acid | 120.00 | ||
| g.) Trigliciride | 180.00 | ||
| h.) HDL/LDL | 180.00 | ||
| i.) SGOT | 180.00 | ||
| j.) SGPT | 180.00 | ||
| 5. Bactriology | |||
| a.) Gram Stain | 60.00 | ||
| b.) KOH | 60.00 | ||
| c.) AFB | 60.00 | ||
| 6. Serum Electrolytes | |||
| a.) Potassium | 250.00 | ||
| b. ) Sodium | 250.00 | ||
| c.) Calium | 250.00 | ||
| d.) Chloride | 250.00 | ||
| 7. Others | |||
| a.) Pregnancy Test | 100.00 | ||
| b.) ASO | 180.00 | ||
| c. ) ESR | 180.00 | ||
| IMAGING SERVICES | |||
| 1. X-Ray | |||
| a.) Chest PA (Adult) | 180.00 | ||
| b.) Chest AP ( Pedia) | 150.00 | ||
| c.) Chest AP – Lateral (Pedia) | 300.00 | ||
| d.) Extremities ( Upper and Lower) | 200.00 | ||
| e.) Skull AP- Lateral | 300.00 | ||
| f.) Cervical Spine AP-Letaral | 300.00 | ||
| g.) Thorasic Cage | 180.00 | ||
| h.) Lumbo Sacral AP-Lateral | 360.00 | ||
| i.) Thoraco Lumbas AP-Lateral | 360.00 | ||
| j.) Pelvic | 180.00 | ||
| k.) Kidney Urates Bladder (KUB) | 180.00 | ||
| l.) Intravenous Pylography (IVP) | 180/plate | ||
| m.) Shoulder | 150.00 | ||
| n.) Barium Snema | 180/plate | ||
| o.) Upper Gastro Intestinal Series (UGIS) | 180/plate | ||
| p.) Barrium Swallow | 150/plate | ||
| q.) Dental | 70/exposure | ||
| r.) Abdomen | 180.00 | ||
| s. Nasal Bone | 300.00 | ||
| 2. Ultrasound | |||
| a.) Trans Vaginal Procedure | 480.00 | ||
| b.) Pelvic | 400.00 | ||
| c.) Whole Abdomen | 700.00 | ||
| d.) Hepatobiliary | 350.00 | ||
| e.) KUB | 480.00 | ||
| f.) Upper/Lower Abdomen | 480.00 | ||
| g.) Follow-up/Tracing (Fetal Monitor) | 50.00 | ||
| h.) ECG | 250.00 | ||
| i.) Fetal Monitor | 150.00 | ||
| j.) Thyroid | 480.00 | ||
| 3. Special Procedures/Services | |||
| a.) NGT | 150.00 | ||
| b.) Catheter Insertion | 75.00 | ||
| c.) Cutdown | 75.00 | ||
| d.) Tube Feeding | 30.00 | ||
| e.) Thoracostomy | 100.00 | ||
| f.) Phototherapy | 11.50/hour | ||
| g.) Incubator | 13.00/hour | ||
| h.) Adult ventolator with builtin | 800/24 hrs | ||
| compress air (except oxygen) | |||
| i.) Pedia ventilator without compress air | 400/24 hrs | ||
| j.) Radiant Heater | 17.50 hour | ||
| k.) Infusion Pump | 8.00/hr | ||
| l.) Ultrasonic Nebulizer ( machine) | 10/use | ||
| m.) Dressing | 30/dressing | ||
| n.) Circumcision including medicines and supplies | 350.00 | ||
| o.) Cortury | 100.00 | ||
| p.) Suturing of wound | 20/stitch | ||
| q.) Removal of suture | 10/stitch | ||
| r.) Application of cast | 100.00 | ||
| s.) Removal Cast | 150.00 | ||
| t.) Blood Infusion | 110/day | ||
| u.) Cardiac Monitor | 600/day | ||
| v.) Net Insertion | 260/day | ||
| w.) Intubation Fee | 1,125.00 | ||
| x.) Intubation Set | 375/day | ||
| y.) Foley Catheter Insertion | 260/day | ||
| z). T-piece use | 410/day | ||
| z.1 Suction Pump | 185/use | ||
| z.2 Mechanical Respiration | 2,400/day | ||
| z.3 Pulse Oximeter | 110/day | ||
| z.4 Ventilator | 400/24 hrs | ||
| z.5 Nebulizer | 10/use | ||
| 4. Dental Services | |||
| a.) Extraction | |||
| - Permanent Tooth | 50/tooth | ||
| - Milk Tooth | 50/tooth | ||
| b.) Filling | |||
| - Permanent Tooth | 200/tooth | ||
| - Temporary | 100/tooth | ||
| c.) Oral Prophylaxis | 150.00 | ||
| 5. Room | |||
| ICU | 975/day | ||
| NICU | 500/day | ||
| Payward | |||
| - Airconditioned | 700/day | ||
| - With Elctric Fan | 500/day | ||
| Medicare Ward | 400/day | ||
| Service/Charity Ward | 75/day | ||
| Operating Room Fee | |||
| - Major Operation | 1,000.00 | ||
| - Minor Operation | 500.00 | ||
| 6. Delivery Room Fee | 500.00 | ||
| 7. Newborn Screening (Non-PHIC) | 600.00 | ||
| 8. Newborn Screening with complete Vaccine (PHIC) | 100.00 | ||
| 9. Medical Certificate | |||
| a.) For Student | Free | ||
| b.) For Employment | 50.00 | ||
| c.) For Medico Legal | 150.00 | ||
| d.) Death/Birth | 20.00 | ||
| e.) Patients card reissuance | 20.00 | ||
| 10. Autopsy | 500.00 | ||
| 11. Ambulance Fee | |||
| a.) Santiago | 500.00 | ||
| b.) Bayombong | 1,000.00 | ||
| c.) Baguio | 5,000.00 | ||
| d.) Manila | 5,000.00 | ||
| e.) Lagawe | 1,600.00 | ||
| f.) Tuguegarao | 2, 500 | ||
| g.) Ilagan | 1, 400 | ||
| i.) Within 3-5 kilometer radius | 100.00 | ||
| 12. Affiliation Fee | |||
| a.) Nursing | |||
| - 60.00/ student for 50 - 80 hours | |||
| - 40.00/student for 30-40 hours | |||
| - 30.00/student for 10 – 29 hours | |||
| b.) Midwifery | |||
| - 40.00/ studebt for 30 – 40 hours | |||
| c.) Phramacy | |||
| - 300 for 480 hours | |||
| - 100 for 160 hours | |||
Name of Office: QUIRINO PROVINCIAL HOSPITAL
FRONTLINE SERVICES: OUTPATIENT SERVICES
Schedule of Availability of Services:
- Monday to Friday 8:00am - 4 pm
- Saturday 8:00 am- 12:00 pm
Costumers
- All seeking medical attention
Requirements
- OPD ID Card
Fees
- See attached schedule of fees
Duration
- Average of 1 hour depending on the case
CHIEF OF HOSPITAL
TAGUMPAY A. FELISMINO, MD, MHA
Provincial Health Officer II
Telephone No. (078) 692-5077
Address: San Marcos, Cabarroguis, Quirino
HOW TO AVAIL THE SERVICES
| STEP | ACTION/PROCESS | Person
Responsible |
Duration | Remarks | |
| CLIENT | SERVICE PROVIDER | ||||
| 1 | Go to nurse on duty and inform about medical problem | -instruct patient to get medical record at MRD if “old” patient.
-Create record for new patients -interview patient -gather personal data, vital signs and chief complaint |
Nurse on duty
Nurse on duty |
5 mins
5 mins |
|
| 2 | Wait for the turn to be attended | Call patient and inform doctor of the patient’s condition
Examine patient:
-If laboratory test is required fill-up order/ request for lab./radiologist or other diagnostic procedure. -if hospitalization is required ROD issue admission order -if to be referred to another health facility, accomplish referral form |
Nurse on Duty
ROD |
1 min
10 mins |
|
| 3 | Proceed to pharmacy for pricing of medicines and to the billing section for pricing of Lab. Test and other services | -Prepare charge slip
-Prepare medicines -Instruct patient to pay bill |
Billing Clerk | 3 mins | |
| 4 | Pay bill | -Accept payment and issue receipt | Cashier | 2 mins | |
| 5 | Present receipt to pharmacist and receive purchased medicines | Check official receipt and dispense medicines with instruction | Pharmacist | 2 mins | |
| If not to be admitted or referred…… | |||||
Name of Office: QUIRINO PROVINCIAL HOSPITAL
FRONTLINE SERVICES: IN PATIENT SERVICES
Schedule of Availability of Services:
- 24 hours
Costumers
- All seeking medical attention
Requirements
- None
Fees
- See attached schedule of fees
Duration
- Depends on the severity of case
CHIEF OF HOSPITAL
TAGUMPAY A. FELISMINO, MD, MHA
Provincial Health Officer II
Telephone No. (078) 692-5077
Address: San Marcos, Cabarroguis, Quirino
HOW TO AVAIL THE SERVICES
| Step | Action | Person Responsible | Duration | Remarks | |
| Client | Service Provider | ||||
| 1 | Patient admissible (from OPD,ER)
Wait for guard assignment |
Admits patients, prepares, orders.
Accomplish patient chart Caries out STAT Doctor’s order bring request to the laboratory/ other examination and insert IV fluid. Ask patient whether PHIC member/ beneficiary or not Notify ward/OR/DR about the admission. Bring patient to the assigned room |
ROD
Nurse on duty Utility worker |
5 mins
10 mins 3 mins |
|
Name of Office: QUIRINO PROVINCIAL HOSPITAL
FRONTLINE SERVICES: EMERGENCY SERVICES
Schedule of Availability of Services:
- 24 hours
Costumers
- All seeking medical attention
Requirements
- None
Fees
- See attached schedule of fees
Duration
- Depends on the severity of case
HOW TO AVAIL THE SERVICES
| Step | Action | Duration | Person Responsible | Remarks | |
| Client | Service Provider | ||||
| 1 | Go directly to ER for initial treatment
For minor surgery |
-Nurse obtains vital signs of the patient, records complaints and inform the doctor of patients condition
-Gives initial medicine -Conducts Lab. Test, if necessary -Prescribed medicines -Performs minor surgery |
Depends on the case
1 min Depends on the case 3 mins Depends on the case |
Nurse on duty
Med tech on duty Doctor on duty |
|
| If admissible, proceed as in patient; if not | |||||
| 2 | Proceed to pharmacy for pricing of medicine and or to billing section for pricing or laboratory test/ radiologic procedures and services rendered. | Prepares change slip
Prepare medicine Instruct patient to pay bill |
3 mins | Billing clerk
Pharmacist |
|
| 3 | Pay bill | Accept payment and issue official receipt | 2 mins | Cashier | |
| 4 | Present Official receipt to pharmacist and receive purchase medicines | Check Official receipt and dispense medicines with instruction | 2 mins | Pharmacist | |
Name of Office: QUIRINO PROVINCIAL HOSPITAL
FRONTLINE SERVICES: LABORATORY SERVICES
Schedule of Availability of Services:
- OPD Monday to Friday 8:00 am – 4:00 pm
- Saturday 8:00 am- 12 nn
- In Patient/ER -24 hours
Costumers
- All seeking medical attention
Requirements
- Doctor’s Order
Fees
- See attached schedule of fees
Duration
- Depends on the test/ s requested
CHIEF OF HOSPITAL
TAGUMPAY A. FELISMINO, MD, MHA
Provincial Health Officer
Telephone No. (078) 602-5077
Address: San Marcos, Cabarroguis, Quirino
HOW TO AVAIL THE SERVICES
| Step | Action | Person Responsible | Duration | Remarks | |
| Client | Service Provider | ||||
| 1 | Proceed to OPD consultation | Order Laboratory Examination | ROD | 1 min | |
| 2 | Present laboratory request to the Billing Clerk | Issue charge slip | Billing clerk | 3 mins | |
| 3 | Pay corresponding fees | Issue official receipt | Cashier | 2 mins | |
| 4 | Present laboratory request to Laboratory Personnel | -extract blood sample if required
-provide specimen bottle -advice to submit urine or stool patient specimen, if required. |
Medical Technologist | 10 mins | |
| 5 | Wait for result | Examination of test requested | Medical Technologist | 15-30 mins | |
| 6 | Give results to the Physician on duty at OPD | Interprets laboratory result and prescribe medicines or further management. | Physician on duty | 10 mins | |
| If admissible…proceed as in patient | |||||
Name of Office: QUIRINO PROVINCIAL HOSPITAL
FRONTLINE SERVICES: RADIOLLOGIC SERVICES
Schedule of Availability of Services:
- OPD Monday to Friday 8:00 am – 4:00 pm
- Saturday 8:00 am- 12 nn
- In Patient/ER -24 hours
Costumers
- All seeking medical attention
Requirements
- Doctor’s Order
Fees
- See attached schedule of fees
Duration
- Depends on the test/ s requested
HOW TO AVAIL THE SERVICES
| Step | Action | Person Responsible | Duration | Remarks | |
| Client | Service Provider | ||||
| 1 | Proceed to OPD consultation | -resident on duty prepares request (X-ray, Ultrasound, ECG, fetal monitor) as the case my be deemed necessary
-Gives request and instruct the patient. |
ROD
Nurse on duty |
5 mins
2 mins |
|
| 2 | Present request for billing | Issue charge slip | Billing clerk | 2 mins | |
| 3 | Pays bill | Issue Official receipt | Cashier | 2 mins | |
| 4 | Present request and official receipt to Rad. Tech. | -performs procedure (x-ray, ECG, fetal monitor)
-performs ultrasound |
Rad. Tech.
Sonologist |
15 mins
Depends on the case |
|
| 5 | Wait for the result | -Interpret X-ray result
-Interpret ECG, Fetal Monitor -Encode and release result -Explains result to patients and gives management and treatment, prescribe medicine. |
Radiologist
Internist / OB-gyne Rad . Tech. ROD |
3 mins
3 mins 5 mins/ procedure 5 mins |
|
| If admissible……proceed as in patient | |||||
| 6 | In coming from ER proceed to ER | Radiologist on duty prepares request for radiologic procedure
-performs procedure interprets result; gives management and evaluation: prescribe medicines -Reads X-ray plate |
ROD
Rad Tech ROD Radiologist |
3 mins
10 mins 5 mins 3 mins |
|
| If admissible…….proceed as in patient, if not | |||||
| 7 | Proceed to billing for pricing of procedure
Pays Bill |
Prepare charge slip
Accept payment and issue official receipt |
Billing clerk
Cashier |
2 mins
2 mins |
|
| Present official receipt to pharmacist and receive purchased medicines | Check official receipt and dispense medicines with instruction | Pharmacist | 2 mins | ||
Name of Office: QUIRINO PROVINCIAL HOSPITAL
FRONTLINE SERVICES: AMBULANCE SERVICES
Schedule of Availability of Services:
- 24 hours
Costumers
- Any case requiring transfer to another health facility
Requirements
- Referral or Request letter
Fees
- See attached schedule of fees
Duration
- 1 hour
CHIEF OF HOSPITAL
TAGUMPAY A. FELISMINO, MD, MHA
Provincial Health Officer
Telephone No. (078) 602-5077
Address: San Marcos, Cabarroguis, Quirino
HOW TO AVAIL THE SERVICES
| Step | Action | Person Responsible | Duration | Remarks | |
| Client | Service Provider | ||||
| 1 | Present referral or letter request to billing clerk and inform details of the availment. | Notify schedule of trip
Driver prepares trip ticket |
Ambulance driver | 30 mins | |
| 2 | Seek clearance | Signs clearance
Forward patient chart to billing section |
Nurse In charge
Nursing attendant |
10 mins
3 mins |
|
| 3 | Prepare charge slip | Billing clerk | 3 mins | ||
| 4 | Wait for computation of hospital bill and ambulance fee | Prepare charge slip | Billing clerk | 3 mins | |
| 5 | Pay bill | Accept payment and issue official receipt | Cashier | 2 mins | |
| 6 | Wait for ambulance | Convey patient to its destination
Turnover patient to referred hospital |
Ambulance driver | Depends on distance of the referred hospital/ health facility | |
Name of Office: QUIRINO PROVINCIAL HOSPITAL
FRONTLINE SERVICES: AFFILIATION AND TRAINING
Schedule of Availability of Services:
- Monday to Friday 8:00 am – 12:00 nn
1:00 pm -4:00 pm
Costumers
- Students- Nursing, caregivers, Midwifery, Pharmacy
Requirements
- Letter of intent signed by the Dean and University/ School/College President
Fees
- See attached schedule of fees
Duration
- Depends on the requirements of the course
CHIEF OF HOSPITAL
TAGUMPAY A. FELISMINO, MD, MHA
Provincial Health Officer
Telephone No. (078) 602-5077
Address: San Marcos, Cabarroguis, Quirino
HOW TO AVAIL THE SERVICES
| Step | Action | Person Responsible | Duration | Remarks | |
| Client | Service Provider | ||||
| 1 | Submit letter of intent to affiliate to hospital and wait for approval | Receive letter and forward to chief of hospital for approval | Training Officer | 1 min | |
| 2 | Prepare MOA and submit to hospital. Wait for LCE’s action or approval | Receive Moa duly signed by the school president. Recommend to LCE the approval of the MOA.
If approved: inform school of the approval of the MOA and request students to report for orientation -if disapproved: return the application to school |
Training Officer | 1 week | |
| 3 | Request the hospital for schedule of orientation of Clinical Instructors | Confirm schedule of orientation | Training Officer | 10 mins | |
| 4 | Request the hospital for schedule of orientation of student | Confirm schedule of orientation
“No orientation no duty” |
Training Officer | 10 mins | |
| 5 | Attend orientation on scheduled date | Orient students on hospital policies on affiliation and respective ward assignments.
Inform clinical instructor of schedule of students |
HCATS | ½ day | |
| 6 | Submit finalist of affiliates
Receive statement of account |
Prepare statement of account
Give to clinical instructor |
Training Officer | 1 hour | |
| 7 | Report for actual duty | Monitor and supervise students | HCATS | Depending on the discipline | |
| 8 | Hand in check of affiliation payment one wk. after receipt of statement of account | Receive check of payment and issue official receipt | Cashier | 1 min | |
| 9 | Get certificate for cases completed | Evaluate and countercheck with OR logbook and signed certificate of completion of cases. | Chief nurse/ nurse on duty | 10 mins | |
Name of Office: QUIRINO PROVINCIAL HOSPITAL
FRONTLINE SERVICES: SECURING MEDICAL CERTIFICATE FOR EMPLOYMENT AND OTHER PURPOSE
Schedule of Availability of Services:
- Monday to Friday 8:00 am – 4:00 pm
- Saturday 8:00 am -12:00 nn
Costumers
- All interested costumers
Requirements
- For employment- (Blood test, X-ray result, urinalysis and drug test)
Fees
- See attached schedule of fees
Duration
- Depends on how fast the patient can secure all the laboratory/ procedure results required (some procedure not available in the hospital like drug test)
CHIEF OF HOSPITAL
TAGUMPAY A. FELISMINO, MD, MHA
Provincial Health Officer
Telephone No. (078) 602-5077
Address: San Marcos, Cabarroguis, Quirino
HOW TO AVAIL THE SERVICES
| Step | Action | Person Responsible | Duration | Remarks | |
| Client | Service Provider | ||||
| 1 | Proceed as out-patient | See process for OPD | See OPD process | 2 mins | |
| 2 | Pay corresponding fees | Receive payment: issue receipt | Cashier | 2 mins | |
| 3 | Present receipt and get certificate | Sign/ issue certificate | Resident on duty | 2 mins | |