I.

Introduction of the Course

The Bachelor of Science in Nursing (BSN) curriculum consists of four years of

general education, major, and professional nursing courses. Clinical classes are
integrated into the curriculum from the first to the fourth year, with a focus on nursing
principles and related learning experiences (RLEs). INP, or Intensive Nursing
Practicum, is taken during the fourth year of the Bachelor of Science in Nursing
program. Intensive Nursing Practicum enhances nursing competencies to assure
achievement of the BSN program outcomes required of an entry-level nurse to assist
individuals, families, groups, and communities in dealing with present and potential
health concerns. It also allows student nurses to develop their leadership abilities in
hospital, school, and community settings. As a result, student nurses will be able to
gain confidence in engaging with people from various institutions, as well as assign
tasks and responsibilities to each and every member of the group.

II. Presentation of the Hospital

Historical Background

GENTRI MEDICAL CENTER and HOSPITAL, INC. is a SEC registered

corporation with a capitalization of 150 million. Was established to operate as a 120-
bed tertiary hospital. The hospital houses state-of-the-art medical equipment and
facilities providing tertiary care. The project was initiated by founders and managers
of various tertiary hospitals in Metro Manila and Southern Tagalog area.

Inaugurated by Hon. Cynthia A. Villar (Senator, Republic of the Philippines),

U/Sec. Teodoro J. Herbosa (Department of Health), U/Sec. Elmer Punzalan
(Department of Health), Dr. Leo O. Olarte (President, Philippine Medical Association)
Dr. Rustico A. Jimenez (President, Private Hospital Association of the Philippines)
and Dr. Bu Castro (President, Philippine Hospital Association) on the 23rd day of
June, 2013

.
Mission and Vision

MISSION: To provide the best quality healthcare systems enabled by highly

specialized and competent medical practitioners and staff operating in an eco-friendly
and globally attuned environment.

VISION: To become a Premiere Referral medical center in Cavite and the Southern
Tagalog Region.

The hospital mission statement is concise and explicit regarding the nature of the
institution's work. They will provide the best quality health care for all by ensuring that
the services they provide are safe, effective, patient-centered, timely, efficient, and
equitable. It is also supported by highly specialized and skilled medical practitioners
and employees in an environmentally friendly and attuned setting, which means
being aware of people, how they feel, and what they are going through. They regard
others as equals, fellows who may require affection and care, as well as someone
with whom to share their thoughts and feelings. It makes them more open to others'
perspectives, which encourages harmony.

The hospital vision statement, on the other hand is short, precise and future-oriented
concept. They want to become the best medical center that being recommended by
the people because of providing the best quality health care for all.

Philosophy and Hospital Objectives\

Organizational Structure

GENERAL NURSING UNIT (GNU 4TH FLOOR)

DR. JERRIMO L. GENUINO

PRESIDENT/CEO

MANUEL EDUARDO B. LUNAS

HOSPITAL ADMINISTRATOR

DRA. DIVINA P. ROJAS

MEDICAL DIRECTOR

TERESITA M. BANICO ANGELICA M. GARCIA

ADMINISTRATIVE OFFICER CHIEF NURSE

MARICEL M. ALCANTARA
NURSE SUPERVISOR

ELIZA MARIE R. BUNIO

HEAD NURSE

CINDEREE DINGDING ANNA LIEZEL GELITO LEA MYKA GLUMALID REIJO ESCOTO MARC LORENZO
STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NIURSE

PRINCESS IGNACIO CLARISSA OLIVERA MARAGERTH SALINEL MICHAEL SALVADOR MARK REY BENDO
STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE STAFF NURSE

LYZA CAOILE DANILOU MERCADO GLENDA MENDOZA JOY ORBON JHEANINE DE LEON
NURSE ASSISTANT NURSE ASSISTANT NURSE ASSITANT NURSE ASSISTANT NURSE ASSISTANT

Interpretation of org structure

Floor Plan (4th floor Ward)

Interpretation of floor plan

Hospital Profile

A. Resources

A.1 Material Resources: Building and bed capacity, Occupancy rate (Daily/
Monthly), Wards/services Offered, Properties and Equipment.

A.2 Human Resources: List of Personnel, Medical Personnel, Nursing Personnel,

Hospital Employees and Axillary Services.

Human resources are receiving more attention in several health-care systems across
the world. Human resources in health care are the various types of clinical and non-
clinical workers who are responsible for public and individual health intervention. As
possibly the most significant of the health system inputs, the performance and
advantages that the system can provide are heavily reliant on the knowledge,
abilities, and motivation of those responsible for providing health care. In addition to
balancing human and physical resources, it is critical to maintain an optimum mix of
different types of health promoters and caregivers to ensure the system's
performance. Human resource management is crucial to providing high-quality health
care. More research and a concentrate on human resource management in health
care are required to build new policies. Effective human resource management
methods are critical for improving health-care outcomes and access around the
world. However, due to the institution’s confidentiality. The list of Personnel, Medical
Personnel, Nursing Personnel, Hospital Employees, and Axillary Services in General
Trias Medical Center and Hospital was not available to the student nurses.

A.3 Financial Resources: Types of Budgeting, Operating expenses, operating cost,

asset, liabilities, annual budget/ monthly budget, Nursing Service Budget, Financial
Plan.

The finances and assets that finance an organization's activities and investments are
referred to as financial resources. Financial resources are the funds that keep a firm
running, and there are various ways for a business to raise and use its financial
resources. In order to achieve the business goals, every organization will have a
framework or procedure in place for planning, organizing, directing, regulating, and
monitoring its financial resources and activities. Financial resource management
(FRM) or financial management is the term for this. However, due to the institution’s
confidentiality, student nurses were unable to get the Types of Budgeting, Operating
Expenses, Operating Cost, Asset, Liabilities, Annual Budget/Monthly Budget, Nursing
Service Budget, and Financial Plan.

B. Hospital Leadership and Personnel

Hospital Manual of Operation

The manual of operation is the documentation by which an organization provides

guidance for members and employees to perform their functions correctly and
reasonably efficiently.
It is also a magical solution that will help streamline the overall function of the
hospital. It not only improves the scalability of the institution but covers different
business aspects such as employee training, marketing, knowledge management,
rules and regulations, and much more. General Trias Medical Center and Hospital
adheres to the Department of Health-mandated Manual of Operations. The operation
manual, in particular, consists of 11 manuals:

1. HEALTHCARE WASTE MNGT MANUAL

2. HOSPITAL HEALTH INFORMATION MANAGEMENT MANUAL

3. PROCEEDINGS HOSPITAL LICENSURE REQUIREMENTS AND
STANDARDS
4. NATIONAL STANDARDS IN INFECTION CONTROL FOR HEALTHCARE
FACILITIES
5. MANUAL OF STANDARDS FOR BLOOD SERVICE FACILITIES
6. MANUAL OF STANDARDS AND GUIDELINES ON THE MANAGEMENT OF
THE HOSPITAL EMERGENCY DEPARTMENT
7. MANUAL OF ORGANIZATION AND MANAGEMENT OF THE
ADMINISTRATIVE AND FINANCE SERVICE FOR HOSPITALS
8. HOSPITAL PROPERTY AND SUPPLY MANANGEMENT MANUAL
9. HOSPITAL PHARMACY MANAGEMENT MANUAL
10. MANUAL FOR MEDICAL SOCIAL WORKERS FIFTH EDITION
11. HOSPITAL NUTRITION AND DIETETICS SERVICE MANAGEMENT
MANUAL

Hospital Policies and Guidelines (Patients)/ (Staff and Employees)/ (Student,

Affiliation, Evacuation)

Hospital Administrators/ Job descriptions (daily), job design (scope, span),

terms of office (tenure), hiring, promotion, compensation and salary

JOB DESCRIPTION

A job description often outlines the required skills, training, and education for a
potential employee. It will outline the job's duties and obligations. Once a job
description is prepared, it can offer a basis for interviewing candidates, orienting a
new employee and lastly in the evaluation of job performance. Job descriptions are
an important aspect of good management.

HOSPITAL ADMINISTRATOR

The hospital administrator of General Trias Medical Center and Hospital is

___________. He is responsible for the execution of the hospital's business plan. He
oversees the organizational side of health services. Either working in a team or
independently, he makes sure that the medical facility is employing effective and
efficient practices that deliver the best care possible.

JOB DESIGN

The hospital administrator also serves as a liaison between the governing bodies,
medical staff, and department heads, assisting all departments in working together
as a team, and conducting or coordinating employee assessments. The job of a
hospital administrator includes public relations, which ensures that the facility
maintains a positive image. Administrators must attend various health planning
councils, fund-raising activities, and travel to professional association conventions on
occasion. Being a hospital administrator is a tough position that necessitates staying
current on medical technology, government laws, finance choices, and health
insurance advantages.

NURSING SERVICE

CHIEF NURSE

The chief nurse is the executive head of the Nursing Service. The chief nurse of
General Trias Medical Center and Hospital is ____________. He/she is responsible
for mentoring and supervising the entire nursing staff. It is also the duty of a chief
nurse to ensure the unit's compliance with the standard practices and consistency of
procedures across the various clinical settings. He/she leads the nursing and health
care professional staffs to ensure highly reliable quality care service. He/she
participates in hospital committees.

JOB DESIGN
The scope or span of being a chief nurse includes the following:

 Formulating policies, guidelines and operational standards and techniques

related to the improvement of nursing service. Assumes full authority and
responsibility for development of nursing service policies.
 Organizes, directs, coordinates, evaluate activities of the Nursing Service
staff which allow for satisfaction and professional growth.
 Initiates and directs studies, evaluate procedures for the improvement of
nursing in relation to the total care of patients.
 Directs nursing personnel in function related to the clinical nursing program of
nursing student and other affiliates.
 Participates in hospital committees. Conducts regular staff meeting.
 Ensures nursing personnel's safety at work.
 Participates in professional meetings as the representative of the nursing
service personnel, and provides for healthful living conditions of nursing
personnel.
 Subject self "to call" as the need arises.
 Promotes greater staff participation in unit activities (i.e. projects, interviews,
staff meeting and professional organization) and enrichment of clinical
skills/competencies.
 Counsels nursing personnel for inefficiencies, inappropriate behavior and
non-conformity with nursing policies and implement course of action.
 Makes himself available for employees who seek guidance and direction.
 Performs other function as require.

NURSE SUPERVISORS

General Trias Medical Center and Hospital has (5) nursing supervisors namely
___________________________________________________________________
___.

We observe that their job includes supervising the staff to provide patient care. They
usually went to different departments and oversees staff, evaluates care and to
ensure customer satisfaction. They also orient or instruct clinical staff to their job
responsibilities and provide leadership in clinical problem solving. They ensure the
works of their subordinates by checking the charts and by saying some comments.
JOB DESIGN

Nursing supervisor focuses on enhancing patient care delivery, quality, and results,
concentrate on accomplishing important clinical healthcare goals. Essential
responsibilities in a typical nursing supervisor job description include supervising
nursing personnel and setting policies and procedures for successful patient care.

STAFF NURSE

Staff nurses organize and plan clinic operations to guarantee an effective and well-
coordinated flow. They refer patients and communicate the needs of the patient.
They act as a source of information for insurance matters as well. By determining the
patient's physical, psychological, and/or emotional needs, they provide direct patient
care. Additionally, staff nurses must advise doctors of the patient's condition and
provide patient and family education. Additionally, they are in charge of dispensing
prescribed prescriptions, acting as a resource for medical information. They instruct
patients on how to take their medications. Additionally, they assist and supervise
students like us.

JOB DESIGN

This role is responsible in giving professional nursing care to patients within an

assigned unit in support of medical care as directed by the medical staff and conform
to the objectives and policies of the hospital.

TERMS OF TENURE

HIRING

In terms of hiring, the institution often accepts newly graduated nurses or those who
have recently completed the board examination. Applicants must take an
examination administered by the hospital as part of the hiring procedure. After they
pass, they must first go through training. Applicants will rotate across wards as well
as special sections such as OR, DR, NICU, ICU, ER, and Hemodialysis Unit during
their hospital training. After a few months of training, their performance in each area
will be evaluated, determining the area in which they are best suited to work.
PROMOTION

COMPENSATION AND SALARY

Employees/ Axillary Services (Departments): Job descriptions (daily), job

design (scope, span), terms of office (tenure), hiring, promotion, compensation
and salary.

C. Hospital Management

C.1 Planning

A. Management Planning

Planning is described as determining a course of action in advance in order to

achieve a desired goal. It is mostly conceptual, but the results are clear. Planning is
always centered on and focused on the organization's vision, mission, philosophy,
and clearly defined objectives.

Management planning is the process of identifying an organization's goals and

developing a realistic, comprehensive action plan to achieve those goals. A
management plan, like a business plan, considers both short- and long-term
organizational strategies. The basic steps in the management planning process
include developing a road map that outlines each activity that the organization must
do in order to fulfill its ultimate goals.

Strategic Planning (Hospital Plans)

Strategic planning is a long-range plan that involves risk taking decision. The top
management is responsible for long-term planning. It takes much longer time to
achieve goals, including the planning process and strategy for implementation. It
usually entails allocating resources, time, and money, as well as managing the
performance or improving the hospital's health care services.

Strategic planning is done by the medical director and hospital administrator,

_____________ and ____________. With this type of planning, the outlook becomes
more forward-looking, resources are allocated in a systematic manner, and quick
changes are well accommodated. Long-term planning is ideal for projects that will
take 3-5 years to complete.

Due to data privacy and the availability of the hospital administrator and medical
director, no specific data were gathered in long-term plans. As _______________
stated, the medical director and hospital administrator were in charge of developing
long-term plans for the facility.

Short range planning (Nursing Service Plans)

In nursing service, ________________ together with the chief nurse,

_______________ does the short-range plan for the nurses. Their plans involve the
development of nurses, what to do, how to do and who is to do it. Their plans focus
on providing activities that were based from the previous plans and its outcomes
whereby change can be done for the improvements of the staff nurses and their
quality services.

Budgetary Plan

A budgetary plan is essentially a plan for future actions that includes both operational
and financial or monetary aspects. It is critical to plan the budget since it encourages
advanced thinking. It anticipates and prepares for future opportunities or issues.
Budgeting in business refers to the deliberate distribution of all available finances and
resources to wealthy departments within an organization. Budgeting enables
managers to rein in overspending in less productive areas while allocating additional
funds to areas that produce better results.

Effective budgeting involves both flexibility and rigidity. Certain costs must be
regulated in order to reduce exploitation and limit expenditures. The management of
GMCH assures strict privacy and security of budget information. During interviews
with different hospital personnel, they refused to discuss hospital budgets and
refused to answer questions concerning them. Because GMCH is a private
organization, the administration ensures the confidentiality of the data.

Due to the confidentiality and protected acts of management in budgeting, there is no

gathered data regarding the particular allocation of finances to hospital resources.
However, a hospital institution like GMCH requires adequate funding to function
properly. One of the major allocations of cash should be compromised by facilities,
equipment, and supplies because the hospital will not function if facilities are
insufficient, equipment is broken, and supplies are lacking. Of course, funds should
be set aside for the upkeep of the aforementioned resources.

Budget allotments for manpower should be the largest because hospital personnel
and employees will be the ones needed to provide and provide services to patients,
being the primary resource to run a hospital facility. Budgeting is more than just
allocating money resources. Another part of budgeting that demands careful
consideration is time management. The effective allocation of man hours to specific
activities will be just as vital as financial budgeting because time is something we can
never get back, making good use of it is as important as making good use of money.

B. Nursing Service Management Plan

Nursing service in Gentri Medical Center and Hospital intended to establish,

maintain, and use standards of safe and ethical nursing practices, to support hospital
progress in collaboration with clients, their families, community - based and
government organizations and agencies, and to establish a systematic staffing
pattern that arises availability of nursing personnel who can provide quality and safe
nursing care to patients in accordance with skill level.

According to one of the nursing supervisors, ______________________, they have

plans for the improvement of their nurses by initiating continuing-education, training
and seminars. Continuing professional education is vital because it validates a
person's knowledge and skills. Experts in the medical, legal, and financial areas must
always be updated on new standards, as well as reassuring patients, clients, and
licensing agencies that professionals are qualified to manage tasks that influence
people's lives.
Considering health care is a constantly changing field with new developments.
Continuing education helps nurses prepare for these developments. They should be
given further training in order to recognize and treat people with possible cases. For
nurses who desire to work as an advanced or specialty nurse, continuing education
is also required.