OUTPATIENT DEPARTMENT OUTPATIENT DEPARTMENT The OPD Resumes its operation last January 4, 2021 OUTPATIENT DEPARTMENT For the past months the OPD have a steadily increasing census, and with a total of 33,101 patients, services includes; pedia, internal medicine, OB-GYN, General Surgery, Ophtha, ENT, Dental, Ortho, Neuro Surgery, TB- DOTS, Rehab, Diagnostics, and RT-PCR. OUTPATIENT DEPARTMENT The Outpatient Department is following an appointment basis consultation. The patient needs to secure an appointment prior going to the hospital. OUTPATIENT DEPARTMENT JOHN DEAN P. MACASAET, RN ICC NURSE SUPERVISOR OPD SUPERVISOR OUTPATIENT DEPARTMENT DULCE A. REYES, RN ACTING HEAD NURSE HACT MEMBER OUTPATIENT DEPARTMENT IRISH JOCELLE O. JAVIER, RN ACTING ASSISTANT HEAD NURSE TB DOTS NURSE OUTPATIENT DEPARTMENT MARY GRACE M. BEPINOSO, RN STAFF NURSE (SURGERY, NEURO SX & ORTHO) OUTPATIENT DEPARTMENT JENSEN T. ABELLON, RN STAFF NURSE (INTERNAL MEDICINE) OUTPATIENT DEPARTMENT RUBY CUENCA, RN STAFF NURSE (DIAGNOSTIC DEPARTMENT–3RD FLOOR) OPHTHALMOLOGY ENT ECG OUTPATIENT DEPARTMENT IVY JOY P. FERNANDEZ NURSING ASSISTANT OUTPATIENT DEPARTMENT CRISELDA BENJAMIN NURSING ASSISTANT OUTPATIENT DEPARTMENT DOROTHY VIBAR NURSING ASSISTANT/ DENTAL AIDE OUTPATIENT DEPARTMENT ANNE ABELARDO OPD CLERK (RT-PCR & RAT) NURSE AND NURSE ASSISTANT COORDINATOR MS. MARIA RIA BORDADORA, RN MR. EJAY LIPANA MR. MARK LESTER OBLIPIAS MS. JASMIN BARRO MS. DONNA VILLE PANADO OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Objectives 1. To establish an organized and efficient process of outpatient consultation for pediatric and adult patients. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Objectives 2. To provide and ensure quality service through, wellness, prevention, ambulatory care and facilitate patients’ access to hospital outpatient services. POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures A.Patient Appointment and Consultation •The PCCH-Outpatient Department’s operating hours is from 8 am to 5 pm Monday to Friday with designated schedule for symptomatic cases and follow up consultation. •Services include: medical consultation for specialty and subspecialty cases , diagnostic test (laboratory, Covid-19 RT- PCR, Imaging, EEG, ECG), Dental Clinic, and TB DOTS. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures A.Patient Appointment and Consultation •The OPD is located at the Ground Floor, with extension in the 3rd floor for specialty and diagnostic services including Ophtha, ENT, Dental consult, EEG and ECG procedures. •A designated swabbing and phlebotomy area is provided for patients. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures A.Patient Appointment and Consultation •The PCCH-Outpatient department target patients are the following: a. Old and New Adult and Pediatric patients b. Adult and Pediatric patients discharged from the Covid Facility •The PCCH-Outpatient Department will follow a strict appointment basis for face to face consultation through a designated telephone number. Walk in patients are not encouraged. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures A.Patient Appointment and Consultation •The PCCH-Outpatient Department’s designated telephone number (8)6432222 local 107 will be utilized for the purpose of: a. Setting up an appointment schedule for patients (both for new and discharged patients) b. Screening and triaging patients prior to hospital entry and actual patient visit. The OPD telephone number is strictly for setting up an OPD appointment and not to be used for patient’s medical management. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures A.Patient Appointment and Consultation •Patients deemed with moderate to severe symptoms, clinically unstable will be advised urgent ER consult. •Follow up patients from the ward are advised to call the OPD a day prior to their scheduled date of follow up and are requested to bring discharge instructions forms, results of latest RT-PCR test and Symptom Monitoring Sheet on the day of follow up consultation •Guardian of newborn patients are also required to bring the results of RTPCR test of both mother and newborn. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures A.Patient Appointment and Consultation •Only one (1) companion per patient is allowed. •Consideration is given for patients who are non-ambulatory, oxygen requiring, person with disability. •A Triage area is located at the OPD entrance. The Triage Officer will screen the patient for signs and symptoms related to Covid-19, possible exposure to Covid-19 case , get vital signs and a brief history of the patient’s present illness and chief complaint. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures A.Patient Appointment and Consultation •Separate waiting area is provided for non-Covid and Covid suspect patients. Adequate ventilation, social distancing and droplet precaution must be observed at all times. •Patients requiring hospital admission will be endorsed to the emergency room for stabilization and initial medical management. •A One-Way flow for patients and staff with clear signage of directions n \ going to the clinic should be posted. •Consultation time should be kept at minimum to limit exposure. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures B. Infection Control Negative Pressure and High Efficiency Particulate Air (HEPA) filters are installed on the OPD. General cleaning and disinfection must be done twice a day especially “high touch” areas during lunch break and after OPD operating hours. Disinfection using UV light is scheduled at least once monthly. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures B. Infection Control 1.Triage Area a.Triage Officer to wear appropriate PPE ( mask, goggles or face shield cap and gown) OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures B. Infection Control OPD Waiting Area (Extraction Area) 2.Waiting Area a.Physical distancing must be observed all the times. b.No Mask, No Face Shield, No consult policy is implemented. OPD Waiting Area (Asymptomatic) c.Everyone should always be reminded of the cough etiquette. d.Adequate ventilation should be maintained OPD Waiting Area (Symptomatic) OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures B. Infection Control 3.Hand hygiene a.Hand hygiene tools such as alcohol bottles or pumps, alcohol based hand rubs, and hand soaps will be installed on entry points. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures B. Infection Control 4.Disinfection Protocol a.Items in contact with the patient must be cleansed after each consultation. b.Each patient will be encouraged and instructed to bring their own blanket or towel to be used during physical examination. c.Disinfecting wipes/ alcohol based rubs must be readily available at all times. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures B. Infection Control 5.Clerk counter a.Facemask and goggles or face shield, cap and gown are the minimum PPE for the OPD Clerks. b.HEPA filter must be installed at the Clerk’s counter. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures B. Infection Control 6.Physician’s Consultation area a.Negative Pressure is installed on consultation areas. In the absence of negative pressure, HEPA filters and acrylic barriers are utilized for droplet precaution. b.Physicians to wear appropriate personal protective equipment (PPE) with separate sets for morning and afternoon consultation c.Change of gloves and hand washing after each patient contact d.Surface disinfection (consultation table, chairs, examination bed, & doorknobs) must be done after each patient consultation. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures B. Infection Control 7. A designated donning and doffing area will be provided for all OPD staff. Donning and Doffing Area OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures B. Infection Control 8. Physical distancing and cough etiquette must likewise be observed among OPD personnel. Any form of gathering inside the OPD premises is not allowed. 9. Personnel from other areas of the hospital are not allowed to enter the OPD premises to prevent cross contamination. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures C. Quarantine Procedures for OPD Staff 1.Routine mandatory testing of OPD staff is required as recommended by the Infection Control Committee (ICC). 2.All OPD personnel manifesting with symptoms related to Covid-19 must notify the Infection Control Committee (ICC), undergo mandatory quarantine and Covid-19 RT-PCR test. 3. In case that an OPD personnel tested positive for Covid-19, the OPD premises will undergo disinfection. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures D. Management of Pediatric Patients 1. Pediatrics with Covid and Non Covid concerns will be seen at the OPD for medical consultation following the designated schedule. 2. A separate waiting area is provided for patients with Covid and Non Covid concerns. 3. Initial medical management and diagnostic work up for Covid suspects includes Covid 19 RT-PCR, Chest Xray and other blood tests as deemed necessary. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures D. Management of Pediatric Patients 4.Appropriate referral to Infection Control Committee (ICC) and City Epidemiological and Surveillance Unit (CESU) for contact tracing must be accomplished. Personal information of all patients assessed as Covid Suspect will be endorsed to the Social Service for coordination to CESU. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures E. Management of Adult Patients 1. Adult patients with Covid and Non-Covid concerns will be seen at the OPD for medical consultation following the designated schedule. 2. A separate waiting area is provided for patients with Covid and Non Covid concerns. 3. Initial medical management and diagnostic work up for Covid suspects includes Covid 19 RT-PCR, Chest Xray and other blood tests as deemed necessary. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Procedures E. Management of Adult Patients 4. Medical treatment for existing and pre existing medical condition will be provided. Appropriate referral to subspecialty services will be carried out if deemed necessary. 5. A prescription, detailed discharge instructions and will be provided to the patient. 6. A date of follow up schedule (if necessary) will also be provided. OUTPATIENT DEPARTMENT POLICIES AND PROCEDURES FOR RESUMPTION OF OUT PATIENT SERVICES IN PASIG CITY CHILDREN’S HOSPITAL-CHILD’S HOPE/PASIG CITY COVID FACILITY Schedule of Medical Consultation Phone Triage APPOINTMENT SLIP TRACER FORM VITAL FORM FORM OPD TB DOTS Clinic ENT CLINIC EEG ROOM DENTAL CLINIC OPHTHA ROOM OPD Extraction Area OPD Treatment Area CHILD PROTECTION UNIT OPD Clean Surgery Room Swabbing Area THANK YOU