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NEPHROLIFE HEMODIALYSIS

CENTER RUGAY GENERAL HOSPITAL

JANUARY TO MARCH 2015


HEAD NURSES REPORT

CENSUS
2014
700
660
620

2014

580
540
500
JANUARY

FEBRUARY

MARCH

CENSUS
2015
700
680
660
640

2015

620
600
580
560
JANUARY

FEBRUARY

MARCH

CENSUS

JANUARY TO MARCH 2015


MONTH
800
700
CENSUS 600
500
400
300
200
100
0
JANUARY

FEBRUARY

MARCH

EMERGENCY DIALYSIS
MONTH
10
9
8
7
6
5
4
3
2
1
0
JANUARY

FEBRUARY

MARCH

MORTALITY
5

MONTH

4
3
2
1
0
JANUARY

FEBRUARY

MARCH

ADMISSION
MONTH
10
9
8
7
6
5
4
3
2
1
0
January

February

March

WALK-IN
2015
5
4
3

2015

2
1
0

JANUARY

FEBRUARY

MARCH

REFERRAL
2015
5
4
3

2015

2
1
0

JANUARY

FEBRUARY

MARCH

TRANSFER
2015
5
4
3

2015

2
1
0

JANUARY

FEBRUARY

MARCH

TRANSIENT
2015
4

2015

JANUARY

FEBRUARY

MARCH

BODY MASS INDEX


JANUARY MARCH 2015

BODY MASS INDEX - COMPARISON


50.00%

40.00%

30.00%
January - March '15
August - December '14

20.00%

10.00%

0.00%

Decreased Going Normal

Normal

Going Normal Increased

BMI Comparative Report


Comparison from Last Quarter of 2014 to First Quarter of 2015
Increased BMI
Transferred

Deceased
Remained Decreased

11%
16%
67%

7%

10 out of 50 patients who were on the DECREASED BMI category last


quarter of 2014 improved for the First Quarter of 2015.

BMI Comparative Report


PATIENT

BMI 2014

NUTRITIONAL
SUPPORT

BMI
2015

REMARKS

Leonardo De Leon

21.42

Nephrosteril 1x/week
Ketosteril 1 tab TID
Mosegor Vita 1 tab OD

23.11

Normal

Zenaida Idian

19.03

Ketosteril 1 tab TID


Nephrocan 1 can OD

20.82

Normal

Dixon Soriano

19.30

19.68

Decreased

Romeo Valmadrid

19.40

21.01

Normal

Virgilio Alvarez

21.18

Nephrosteril q HD
Ketosteril 1 tab TID
-

22.77

Normal

Maria Dela Cruz

20.11

Mosegor Vita 1 tab OD

21.54

Normal

Ramoncito Gonzales

19.03

20.07

Normal

Virginia Cereso

16.99

Ketosteril 1 tab TID

17.77

Decreased

Seho Tu

16.05

Ketosteril 1 tab TID


Masomax 1 tab OD

16.94

Decreased

Jorge Dela Cruz

20.44

23.46

Normal

HYPERTENSION
JANUARY MARCH 2015

HYPERTENSION
Hypertension
Uncontrolled

Controlled

36%

64%

CHILLS REPORT
JANUARY MARCH 2015

CHILLS REPORT
2015
5
4
3

2015

2
1
0
JANUARY

FEBRUARY

MARCH

COMPLICATIONS R/T HEMODIALYSIS PROCEDURE


Chart Title
100

80

60

40

20

JANUARY

FEBRUARY
HTN

JANUARY
FEBRUARY
MARCH

IDH

CRAMPS

CHEST PAIN

MARCH
DOB

ARRYTHMIA

HTN

IDH

CRAMPS

CHEST
PAIN

11
21
19

89
85
99

22
21
28

8
19
8

DOB

ARRYTHMIA

3
4
2

2
2
0

PERCENTAGE OF WELL TREATMENT VS WITH


COMPLICATIONS
FEBRUARY

JANUARY

25%
20%

WELL T REAT MENT = 460

WELL T REAT MENT = 548


WIT H COMPLICAT IONS =
152

WIT H COMPLICAT IONS = 135

75%

80%

MARCH
24%
WELL T REAT MENT = 495

WIT H COMPLICAT IONS = 156

76%

COMPLICATION R/T VASCULAR ACCESS


ACCESS ARTERIO VENOUS FISTULA/GRAFT
NAME &
DIAGNOSIS
(LENGTH OF
USE)
VASCULAR
SURGEON

PROBLEM

MYRNA
ALMAZAR
CKD V 2 TO
DM
NEPHROPATHY
R AVF
(6 HD
TREATMENTS;
used as access
1 month
after creation)

IMMATURE
AVF
(+)Swelling
and Pain
(+)Hematoma
on Access Site

BFR: 160-180MMHG
AP: 105-120mmhg
VP: 56-80mmhg

Absent Thrill
and Bruit

BRF: 220250ml/min
AP: 220-280mmhg
VP: 150-180mmhg

DR. JARDINICO
RUBY ANN
DELA CRUZ
CKD V 2 TO
CGN
R AVF
(1 yr. 6months)
NKTI

REMARKS
(BFR, URR, DTC)
Ave. AP, VP

LAST DATE OF
VASCULAR
CONSULTATION

MANAGEMENT

EASY/DIFFICULT
TO CANNULATE

- Advised to
exercise AVF
- Advised to
apply warm
and cold
compress
- Advised to
rest AVF for 2
weeks
- IJ catheter
used as
access while
resting AVF
- For IJ Catheter
insertion
(done)
- For AVG
creation (once
with funds)

- Easy to cannulate

Diagnosis and
Recommendation

(+) Swelling

March 4, 2015
For first
Cannulation using
G17 needle.

November 2013

- Difficult to
cannulate

COMPLICATION R/T VASCULAR ACCESS


ACCESS TEMPORARY ACCESS
NAME &
DIAGNOSIS
(LENGTH OF USE)
VASCULAR
SURGEON

PROBLEM

RAQUEL
RIMANDO
CKD V 2 TO
SLE
R IJ
(8months)

(+) Drainage
(+) Infection

DR. JARDINICO
AUGUSTO
VILLAMER
CKD V 2 TO
HPN
L IJ
(8months)
DR. JARDINICO
MA. ACELA
TRINIDAD
CKD V 2 TO
HPN
R FC
(5months)

REMARKS
(BFR, URR, DTC)
Ave. AP, VP

LAST DATE OF
VASCULAR
CONSULTATION

MANAGEMENT

EASY/DIFFICUL
T TO
CANNULATE

- for IJ removal
- re-insertion of
new temporary
catheter
- Permanent
access creation
- Antibiotic
Treatment
- For permanent
catheter
insertion (once
with funds)

Diagnosis and
Recommendation

JULY 2014
Advised for
Permanent Access
Creation

(+) Insufficient
Flow
(-) Anchor, can
be removed
easily

(+) Blood leak


during HD
(+) Insufficient
Flow

AUGUST 2014
Advised for
Permanent Access
Creation

MARCH 2015
Advised for Removal
For Cannulation of
AVF

COMPLICATION R/T VASCULAR ACCESS

NEW ARTERIAL
ACCESS SITE

VENOUS ACCESS
SITE; (+) BULGE
ARTERIAL ACCESS
SITE; (+) BULGE

COMPLICATION R/T VASCULAR ACCESS

COLLATERAL VEIN

HD FREQUENCY
JANUARY MARCH 2015

HD FREQUENCY
JANUARY 2015

15

45

3X/WEEK

2X/WEEK

ONCE A WEEK

EVERY 5 DAYS

IRREGULAR OR PLS SPECIFY FREQUENCY OF HD

HD FREQUENCY
FEBRUARY 2015

23
9

18

39

3X/WEEK

2X/WEEK

ONCE A WEEK

EVERY 5 DAYS

IRREGULAR OR PLS SPECIFY FREQUENCY OF HD

HD FREQUENCY
MARCH 2015

22

19

42

X/WEEK

ONCE A WEEK

RREGULAR OR PLS SPECIFY FREQUENCY OF HD

2X/WEEK
EVERY 5 DAYS

REFERRALS
JANUARY MARCH 2015

REFERRALS January
JANUARY 2015

1
1

CARDIOLOGIST

HEMATOLOGIST

GASTROLOGIST

PULMONOLOGIST

VASCULAR SURGEON

REFERRALS February
FEBRUARY 2015

OPTHALMOLOGIST

ORTHOPEDIC SURGEON

GASTROLOGIST

PULMONOLOGIST

REFERRALS - March
MARCH 2015

3
1
1

CARDIOLOGIST
ENDOCRINOLOGIST

HEMATOLOGIST
VASCULAR SURGEON

GASTROLOGIST
UROLOGIST

PULMONOLOGIST

STAFF PERFORMANCE
JANUARY MARCH 2015

STAFF PERFORMANCE
STAFF
FLORIDA APOSTOL
SENIOR NURSE OR TRAINEE
COORDINATOR

PERFORMANCE AND ATTITUDE


-

REY ALBERT FAJARDO


SENIOR STAFF NURSE

MARY ROSE MANIEGO

STAFF NURSE/I & E NURSE


-

Arrives duty on time, is neatly groomed with proper uniform.


Accommodating to patients, performs her duty well, has a good
judgement in managing patients problems/complications.
As our trainee coordinator, she conducts lectures and gives
examination to our trainees, but still needs to focus on the strength
and weaknesses of our trainees.
Although she performs well in her duty, she still needs to develop
patience and a strong heart to deal with difficult patients.
Sometimes, fails to comply with protocols (Minor mistakes)
Punctual with regards to duty hours and is willing to extend working
hours if his help is needed.
As a senior Staff nurse, he guides us in our duty. When we need his
help, he is very accommodating and will whole-heartedly assist his
colleagues .
Very punctual in her duty hours. Has a good nurse-patient interaction. Can
perform her duty well, although there are instances that she still needs to be
guided, for example, in cannulation.
Can manage handling her patient care and her I & E obligation. But at the
latter part of the quarter, it seems that she may have joggled up her time and
focus that she almost failed to execute a balance performance in her duty and
other obligations. But she still demonstrate a positive outlook regardless of
her load.

STAFF PERFORMANCE
STAFF

PERFORMANCE AND ATTITUDE


-

NERIZZA CRUZ

STAFF NURSE
/MEDICATION
NURSE

JON RONEL
SANTOS
STAFF NURSE

FAMELA ERIKA
AGUILAR
STAFF NURSE

Arrives duty on time, but when it comes to lectures and other meetings, Ms.
Cruz fails to comply.
She has a good nurse-patient relationship, performs her duty well but still
needs guidance in the decision making with regards to patient care.
As the medication nurse, I have seen her transition from having a difficult
time in adjusting with regards to tallying, computation, etc to a steady-nohassle way of managing the meds.
Arrives on time, usually early on time assigned. Is neatly groomed with
proper uniform. Has good interaction with patients and performs well on
duty.
Needs to focus on duty, he has the tendency to lose concentration if he is
given multi-tasks. But as compared from the last quarter, Mr. Santos has
improved well with regards to his responsibilities and his patient care.
Arrives duty on time, but when it comes to lectures and other meetings, Ms.
Cruz fails to comply.
Performs her duty well and has a good intrapersonal relationship with patient
and collegues.
Still needs to interact with patients more to gain their trust.

STAFF PERFORMANCE
STAFF

REFORMANCE AND ATTITUDE

NINA ELAINE
TRINIDAD

PROBATIONARY
NURSE

AILEEN SANCHEZ
PROBATIONARY
NURSE

Nina Arrives on time and is willing to extend beyond working hours if needed. She
is becoming reliable when it comes to attendance, she could now meet the centers
standard for punctuality and attendance.
She has shown the ability to establish an excellent rapport with the patients and
staff. She constantly provided safe sympathetic nursing care to our patients.
She always presents herself in a cheerful manner to everyone in the center.
In the mid part of the quarter, I have noticed an increased number of absences
from Ms. Nina. Most of which are incurred due to flu and other health related
matters. She has been advised to avoid committing absences and has complied to
this on the latter part of the quarter.
Although Ms. Trinidad excels well in her performance, she still has a lot to learn
when it comes to cannulation. She still has to learn the different techniques and be
able to cannulate other patients in the center. She still has to be supervised. She
must also get better when it comes to assessment of patients problem and referral.
Ms. Sanchez arrives duty on time and is willing to extend beyond working hours if
necessary. She is now improving and becoming dependable when it comes to
attendance.
She is constant in establishing rapport and assistance with the patient and staff.
She never fails to bring a positive atmosphere to everyone.
In the mid part of the quarter, I have noticed an increased number of absences
from Ms. Aileen. Most of which are incurred due to flu and other health related
matters. She has been advised to avoid committing absences and has complied to
this on the latter part of the quarter.
She still has to learn the different techniques and be able to cannulate other
patients in the center. She still has to be supervised. She must also get better when
it comes to assessment of patients problem and referral.

TECHNICIANS PERFORMANCE &


ATTITUDE
TECHNICIAN

PERFORMANCE AND ATTITUDE

DARIUS CAJUCOM HEAD TECHNICIAN

DARWIN CAJUCOM

TECHNICIAN

MIKKO
XZHAQUILLE CRUZ
TECHNICIAN

As the head technician, he is very responsible in the daily


updates of inventory and stocks.
Can be relied on when in terms of duty hours, he always
arrives on time.
during benign hours of the shift, sometimes we need to
remind him of the routine responsibilities that he should
perform as a technician (Maintaining cleanliness of center)
Arrives on duty on time. Neatly groomed with proper
uniform.
Is responsible on assigned tasks and responsibilities given to
him.
during benign hours of the shift, sometimes we need to
remind him of the routine responsibilities that he should
perform as a technician (Maintaining cleanliness of center)
Sometimes arrives on duty 5mins late, but he never fails to
inform the head nurse whenever he will come to duty late.
during benign hours of the shift, sometimes we need to
remind him of the routine responsibilities that he should
perform as a technician (Maintaining cleanliness of center)

TECHNICIANS PERFORMANCE &


ATTITUDE
TECHNICIAN

PERFORMANCE AND ATTITUDE


-

RUFINO JAY BARAQUIO


TECHNICIAN

He arrives on duty 5-10mins early before the call time


Is neatly groomed with proper uniform and always wear
mask.
Performs his duty well, is very reliable in every tasks and
resposibilities that is assigned to him.
Though he perform well on his duty, we have noticed that he
execute his duties on a slow manner (slowly but surely?)
then we tend to repeat every instruction or request or task
that we will be asking from him.

INCIDENT REPORT
MONTH

PROBLEM

JANUARY

EPO released regardless


if the pt was on PCSO;
Secretary was not
informed about the
release of EPO.

FEBRUARY

MARCH

Accidentally, the
wheelchair carrying
patient rolled down the
weighing scale and
bumped into the metal
chair infront of the scale.

REASON
- The nurse who injected the EPO didnt
clarified the mode of payment of the
patient (If PHIC or PCSO).

- The wheelchairs lock is defective.


- The technician left the wheelchair
knowing that it is locked, to get a
calculator and compute the pts
weight.

MACHINE MAINTENANCE
JANUARY MARCH 2015

MACHINE MAINTENANCE - JANUARY


MACHINE: MACHINE # 5, DIALOG +, SERIAL #47514 (HEPATITIS C)
DATE OF PURCHASE: January 13,2011
NO. OF TIMES MACHINE BREAKSDOWN SINCE (2014): 1st

DATE &
PROBLEM/
TIME
DESCRIPTI
BREAKDO
ON
WN

INTERVENTIONS

INTERVENTIONS
MADE TO
FACILITATE
TREATMENT

N/ A

N/A

DATE & TIME


FIXED

RECOMMENDATIONS

1-7-15

COST: N/A

Borrow membrane for


balance for BMMG Hospital.
James Dean Ortiz

Will return once membrane


for balance chamber
arrived.
James Dean Ortiz

NOD:
Mary Grace Meneses

MACHINE MAINTENANCE - JANUARY


MACHINE: MACHINE # 7, EVO, SERIAL #210707 (CLEAN)
DATE OF PURCHASE: NO. OF TIMES MACHINE BREAKSDOWN SINCE (2014):

DATE &
PROBLEM/
TIME
DESCRIPTI
BREAKDO
ON
WN

INTERVENTIONS

1-14-15

DATE &
TIME

INTERVENTIONS
MADE TO
FACILITATE
TREATMENT

Machine
leaking

Troubleshoot machine,
found out bicarb tubing
loosen
Fix bicarb tubing
Disinfection
James Dean Ortiz

Move patients
schedule

RECOMMENDATIONS

FIXED
1-15-15

COST: N/A

Machine safe and ready


NOD:
to use
Mary Grace Meneses
James Dean Ortiz

MACHINE MAINTENANCE - JANUARY


MACHINE: MACHINE # 4, DIALOG +, SERIAL # 41701 (HEPATITIS C)
DATE OF PURCHASE: January 20,2009
NO. OF TIMES MACHINE BREAKSDOWN SINCE (2014):

DATE &
PROBLEM/
TIME
DESCRIPTI
BREAKDO
ON
WN

INTERVENTIONS
MADE TO
FACILITATE
TREATMENT

INTERVENTIONS

1-18-15

DATE & TIME


FIXED

Trouble shoot found out


motherboard and CF card
defective.
James Dean Ortiz

Move patients
schedule

White screen
only
RECOMMENDATIONS

1-19-15

COST: N/A

Need to replace motherboard and


CF card
Will update one parts are available
James Dean Ortiz

NOD:

Jon Ronel Santos

MACHINE MAINTENANCE - JANUARY


MACHINE: MACHINE # 5, DIALOG +, SERIAL #47514 (HEPATITIS C)
DATE OF PURCHASE: January 13,2011
NO. OF TIMES MACHINE BREAKSDOWN SINCE (2014): 1st

DATE &
PROBLEM/
TIME
DESCRIPTI
BREAKDO
ON
WN

INTERVENTIONS

DATE &
TIME

System
Error
CF card
defective

INTERVENTIONS
MADE TO
FACILITATE
TREATMENT

Return membrane for


balance chamber that
BMMG borrowed.
James Dean Ortiz

RECOMMENDATIONS

FIXED
1-19-15

COST: N/A

NOD:
Need to replace CF card.
Jon Ronel Santos
James Dean Ortiz

MACHINE MAINTENANCE - JANUARY


MACHINE: MACHINE # 5, DIALOG +, SERIAL #47514 (HEPATITIS C)
DATE OF PURCHASE: January 13,2011
NO. OF TIMES MACHINE BREAKSDOWN SINCE (2014): 1st

DATE &
PROBLEM/
TIME
DESCRIPTI
BREAKDO
ON
WN

INTERVENTIONS

DATE &
TIME

CMOS
Checksum
bad

INTERVENTIONS
MADE TO
FACILITATE
TREATMENT

Troubleshoot found out


motherboard defective an
not CF card.
James Dean Ortiz

RECOMMENDATIONS

FIXED
1-22-15

COST: N/A

Need to deliver an install NOD:


new motherboard.
Florida Apostol
James Dean Ortiz

MACHINE MAINTENANCE - JANUARY


MACHINE: MACHINE # 4, DIALOG +, SERIAL # 41701 (HEPATITIS C)
DATE OF PURCHASE: January 20,2009
NO. OF TIMES MACHINE BREAKSDOWN SINCE (2014):

DATE &
PROBLEM/
TIME
DESCRIPTI
BREAKDO
ON
WN

INTERVENTIONS

DATE & TIME


FIXED

INTERVENTIONS
MADE TO
FACILITATE
TREATMENT

Deliver and install motherboard


Test run
Disinfection
Deliver and install yellow suction
tubing
James Dean Ortiz

White screen
only
RECOMMENDATIONS

1-22-15

COST: N/A

Machine safe and ready to use


Invoice No. 782797135
James Dean Ortiz

NOD:

Florida Apostol

MACHINE MAINTENANCE - JANUARY


MACHINE: MACHINE # 2, DIALOG +, SERIAL 105639 (HEPATITIS C)
DATE OF PURCHASE: February 2013
NO. OF TIMES MACHINE BREAKSDOWN SINCE (2014):

DATE &
PROBLEM/
TIME
DESCRIPTI
BREAKDO
ON
WN

INTERVENTIONS

DATE & TIME


FIXED

DF Pressure
test will be
repeated

INTERVENTIONS
MADE TO
FACILITATE
TREATMENT

Install new membrane for balance


chamber
Test run
Disinfection
James Dean Ortiz

RECOMMENDATIONS

1-27-15

COST: N/A

Machine safe and ready to use


Will return membrane for balance
chamber to Sto Nino Hospital
James Dean Ortiz

NOD:
Mary Rose Maniego

MACHINE MAINTENANCE - JANUARY


MACHINE: MACHINE # 11, DIALOG +, SERIAL #47514 (HEPATITIS C)
DATE OF PURCHASE: January 13,2011
NO. OF TIMES MACHINE BREAKSDOWN SINCE (2014):

DATE &
PROBLEM/
TIME
DESCRIPTI
BREAKDO
ON
WN

INTERVENTIONS

DATE & TIME


FIXED

INTERVENTIONS
MADE TO
FACILITATE
TREATMENT

Borrow motherboard from machine


SN 47425
Test run
Disinfection
James Dean Ortiz

Defective
motherboard
RECOMMENDATIONS

1-30-15

COST: N/A

Machine safe and ready to use


James Dean Ortiz

NOD:

Claudine Gaile Manansala

MACHINE MAINTENANCE - JANUARY


MACHINE: MACHINE # 3, DIALOG +, SERIAL #47425(HEPATITIS C)
DATE OF PURCHASE: December 20,2010
NO. OF TIMES MACHINE BREAKSDOWN SINCE (2014):

DATE &
PROBLEM/
TIME
DESCRIPTI
BREAKDO
ON
WN

INTERVENTIONS

DATE & TIME


FIXED

DF Flow
disturbed
membrane
moving

INTERVENTIONS
MADE TO
FACILITATE
TREATMENT

Troubleshoot machine, might be a


case of weak gear pump (FPA)
Need to calibrateUF
Borrow motherboard instead to
lend to another machine SN 47514
James Dean Ortiz

RECOMMENDATIONS

1-30-15

COST: N/A

Need to bring test part gear pump


Need to calibrate UF
James Dean Ortiz

NOD:

Claudine Gaile Manansala

MACHINE MAINTENANCE - FEBRUARY


MACHINE: MACHINE # 3, DIALOG +, SERIAL #47425 (HEPATITIS C)
DATE OF PURCHASE: December 20,2010
NO. OF TIMES MACHINE BREAKSDOWN SINCE (2014):

DATE &
PROBLEM/
TIME
DESCRIPTI
BREAKDO
ON
WN

INTERVENTIONS

N/A

DATE & TIME


FIXED

UF Pump
not
calibrated

Calibrate UF pump
Restore its motherboard
that is lend to machine SN
47514
Test Run
Disinfection
James Dean Ortiz

INTERVENTIONS
MADE TO
FACILITATE
TREATMENT

N/ A

RECOMMENDATIONS

2-23-15

COST: N/A

Machine safe and ready to


use
James Dean Ortiz

NOD:
Claudine Gaile Manansala

MACHINE MAINTENANCE - FEBRUARY


MACHINE: MACHINE #11, DIALOG +, SERIAL #47514 (HEPATITIS C)
DATE OF PURCHASE: January 13,2011
NO. OF TIMES MACHINE BREAKSDOWN SINCE (2014):

DATE &
PROBLEM/
TIME
DESCRIPTI
BREAKDO
ON
WN

INTERVENTIONS

N/A

DATE & TIME


FIXED

2-23-15

Connectin
g rod
(acid)
defective

N/ A

RECOMMENDATIONS

COST: N/A

Borrow connecting rod


(acid) from machine SN
47425
Test run
Disinfection
James Dean Ortiz

INTERVENTIONS
MADE TO
FACILITATE
TREATMENT

Machine safe and ready to


use
Need to deliver and install
new connecting rod (acid)
James Dean Ortiz

NOD:
Claudine Gaile Manansala

MACHINE MAINTENANCE - FEBRUARY


MACHINE: MACHINE #11, DIALOG +, SERIAL #47514 (HEPATITIS C)
DATE OF PURCHASE: January 13,2011
NO. OF TIMES MACHINE BREAKSDOWN SINCE (2014):

DATE &
PROBLEM/
TIME
DESCRIPTI
BREAKDO
ON
WN

INTERVENTIONS

Deliver and install


motherboard and male
connector

Test run
James Dean Ortiz

N/A

DATE & TIME


FIXED

2-26-15

Defective
motherboa
rd
Defective
acid male
connector

INTERVENTIONS
MADE TO
FACILITATE
TREATMENT

N/ A

RECOMMENDATIONS

Machine Safe and ready to


use
DR 0446- motherboard or
DR 0477 male connector
red w/ a ring
James Dean Ortiz

NOD:
Claudine Gaile Manansala

MACHINE MAINTENANCE - FEBRUARY


MACHINE: MACHINE #11, EVO +, SERIAL 210707 (CLEAN)
DATE OF PURCHASE: 13-Nov-14
NO. OF TIMES MACHINE BREAKSDOWN SINCE (2014):

DATE &
PROBLEM/
TIME
DESCRIPTI
BREAKDO
ON
WN

INTERVENTIONS

N/A

DATE & TIME


FIXED

Machine
leaking

Raise tubing of upline tank


Fix tubing connection of
bicarb concentrate
Test run
Disinfection
James Dean Ortiz

INTERVENTIONS
MADE TO
FACILITATE
TREATMENT

N/ A

RECOMMENDATIONS

2-26-15

Machine safe and ready to


use
James Dean Ortiz

NOD:
Claudine Gaile Manansala

MACHINE MAINTENANCE - MARCH


MACHINE: MACHINE #10, EVO+, SERIAL # 203451 (CLEAN)
DATE OF PURCHASE: February 2014
NO. OF TIMES MACHINE BREAKSDOWN SINCE (2014):

DATE &
PROBLEM/
TIME
DESCRIPTI
BREAKDO
ON
WN

INTERVENTIONS

3-9-15

DATE & TIME


FIXED

COST: N/A

Blood
Leak

Troubleshiot machine found


out plastic holder leaking
Blood leak detector might
get wet and get defective
as a result of plastic holder
James Dean Ortiz

INTERVENTIONS
MADE TO
FACILITATE
TREATMENT

N/ A

RECOMMENDATIONS

Need to replace plastic


holder and bring blood leak
detector as test part
James Dean Ortiz

NOD:
Claudine Gaile Manansala

RO
PROBLEM/MAINTENANCE
JANUARY MARCH 2015

R.O MAINTENANCE JANUARY


DATE OF INSTALLATION: February 2014
NO. OF TIMES RO BREAKSDOWN SINCE ACQUISITION:

R.O MAINTENANCE JANUARY


DATE OF INSTALLATION: February 2014
NO. OF TIMES RO BREAKSDOWN SINCE ACQUISITION:
DATE &
TIME OF
BREAKDOW
N

PROBLEM/
DESCRIPTION

INTERVENTION /
RECOMMENDATIONS

2-26-15

DATE &
TIME
FIXED

2-26-15

Change of Filter

Change of Filter

INTERVENTIONS MADE
TO FACILITATE
TREATMENT
N/A

4 pcs Filter:
P800.00

N/A

4 pcs Filter:
P800.00

Change of Filter done

Change of Filter done

COST

R.O MAINTENANCE FEBRUARY


DATE OF INSTALLATION: February 2014
NO. OF TIMES RO BREAKSDOWN SINCE ACQUISITION:

R.O MAINTENANCE FEBRUARY


DATE OF INSTALLATION: February 2014
NO. OF TIMES RO BREAKSDOWN SINCE ACQUISITION:
DATE &
TIME OF
BREAKDOW
N

PROBLEM/
DESCRIPTION

INTERVENTION /
RECOMMENDATIONS

INTERVENTIONS MADE
TO FACILITATE
TREATMENT

1-29-15

DATE &
TIME
FIXED

N/A

RO Leakage

Reported to Sir Jeff and Doc


Robert
Mr Vergel will visit on 1-3115

NOD:
Mary Rose Maniego

COST

N/A

R.O MAINTENANCE MARCH


DATE OF INSTALLATION: February 2014
NO. OF TIMES RO BREAKSDOWN SINCE ACQUISITION:

R.O MAINTENANCE MARCH


DATE OF INSTALLATION: February 2014
NO. OF TIMES RO BREAKSDOWN SINCE ACQUISITION:
DATE &
TIME OF
BREAKDOW
N
3-5-15

DATE &
TIME
FIXED

PROBLEM/
DESCRIPTION

Request
from
Manual RO
to
Automatic

Request
Single
membrane
to dual
membrane

INTERVENTION /
RECOMMENDATIONS

INTERVENTIONS MADE
TO FACILITATE
TREATMENT
N/A

Inspection done
Vergel NOD:

Mary Rose Maniego

COST

EQUIPMENT MAINTANANCE
JANUARY MARCH 2015

EQUIPMENT MAINTENANCE
MONTH
Breakdown:
10-6-14
Fixed:
2/9/15

PROBLEM
INTERVENTION
Split Type Airconditioner -Reported to Hitachi and Technician
Leakage
- Recommendation:
Do not use until fix

PROBLEMS IN THE HOSPITAL/ CENTER?

- Proper Referral from the ER to Attending

Physician/Nephro for co-mgmt.


- Waiting Area for Relatives
- Rounds of ROD

WHATS NEW ON YOUR

CENTER?

ACHIEVEMENTS
JANUARY MARCH 2015

RE-ARRANGED/REORGANIZED OUR
CENTER.
RELATIVES ARE NO
LONGER STAYING
IN THE TREATMENT
AREA.

INCREASING
CENSUS

ACHIEVEMENTS

RSDC NEW YEARS PARTY 15 FACE OF THE NIGHT

AILEEN SANCHEZ, RN
RSDC NEW YEARS PARTY 15 COUPLE OF THE NIGHT

NERIZZA CRUZ
REY ALBERT FAJARDO
RSDC NEW YEARS PARTY 15 BEST COTILLIONER

JON RONEL SANTOS, RN, CNN

ACHIEVEMENTS
5TH PLACE ON RENAP ACCREDITATION EXAM

JON RONEL SANTOS, RN, CNN


PROBATIONARY NURSE TURNOVER TO STAFF
NURSE

NERIZZA CRUZ, RN
NEW NURSE TRAINEES

JANA GALE JAVIER


NADINE SOPHIA BUENDIA

ACHIEVEMENTS
OVER-ALL INVENTORY AND EQUIPMENT HEAD

MARY ROSE MANIEGO, RN


RSDC SPORTSFEST 2015, MVP FOR
BASKETBALL JON RONEL SANTOS,

CNN
RSDC SPORTSFEST 2015 ORGANIZER

MARY ROSE MANIEGO, RN

RN,

ACHIEVEMENTS

THE NEW CLINICAL MANAGER OF MARCELO


HOSPITAL BALIUAG

REY ALBERT FAJARDO, RN, CNN

RUGAY GENERAL HOSPITAL


HEMODIALYSIS CENTER

NEPHROLIFE HEMODIALYSIS

Thank You!
REPORTED BY:

CLAUDINE GAILLE A. MANANSALA, RN

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