ST.

VICTORIA
HOSPITAL
NURSING SERVICE
WARD DEPT
 St. Victoria hospital is an
St. Victoria hospital is an institution for healthcare providing patient treatment by specialized staff and equipment, and often, but not always providing for longer-term patient stays. Founded last march 19, 1992, it is one of the coveted private hospitals in Marikina City

institution for healthcare

.

providing patient treatment

by specialized staff and
equipment, and often, but not
always providing for longer-
term patient stays. Founded
last March 19, 1992, it is one
of the coveted private
It is a secondary hospital
with a 56 bed-capacity
equipped with the service
capabilities needed to
support clients requiring
medical assistance in the
field of medicine, pediatrics,
obstetrics and gynecology,
WARD NURSES
SVH consists of 26 private rooms and 30 non-
private beds divided into 5 wards, namely:

 Surgical ward (7)

 St. Joseph’s ward (7)
 St. Mary’s ward (6)
 Pedia ward (4)
 OB ward (6)
Ward nurses are assigned to
different stations depending on
their rotations that changes or
vary on a two-month basis. There
are threenursing stations that a
2 nd
floor
ward nurse can be assigned into.
 3A
 3B
Nurse- Patient Ratio - at least 1:6
2nd floor
- Consists of 7 private rooms (201-207) and
- SURGICAL WARD
Other areas
which can be
located at the
2 floor are:
nd
OR/
DR
NIC
U
CHIEF
NURSE’S
OFFICE
ULT
RAS
OU
ND
 3A
Consists of 6 private rooms (301-307
except 303).

•Pedia Ward (303A-D)

•St. Mary’s Ward (SM1-6)

•St. Joseph’s Ward (SJ1-7)

3A
 PE
DI
A

SM

SJ
 3B
•Consists of 13 private
rooms
•(308-320)
and
•OB Ward (OB1-6)
3B
 General
Practices Of
A Ward
Nurse
Vital Signs Taking

This is essentially the skill which ALL

nurses master. It includes the CARDIAC
RATE, RESPIRATORY RATE,
TEMPERATURE, AND BLOOD
PRESSURE. The common practice in the
hospital is taking VS every 4 hours unless
physicians order a different frequency
otherwise. Or depending on the patient’s
case/ status which can require as often as
every hour.
Administration of Medications

There are different routes of medication

administration depending on the doctor’s
order. If the order is not clear or seems
questionable, it is always best to VERIFY
and DOUBLE CHECK it with the senior
nurse, or ROD, or best, with the attending
physician him/herself.
Always OBSERVE THE 10 R’s OF
MEDICATION ADMINISTRATION:

•R Patient R approach
•R Dose R to
•R Route evaluate
R to educate
•R Medication/ drug
•R Time R
Documentati
Documentation

The Patient’s Chart is a powerful tool

that can make or break a Nurse’s
practice. It is very important that we
document everything that needs to be
written/ signed. It should be
complete, readable, and accurate.
Parts of the
Patient’s
Chart
Front of the chart- where the patient’s
name, room designation and attending
physician’s name are found
•Monitoring sheets- includes the VS, I and O,
HGT, DFS monitoring sheets, depending on
the patient’s case. These help the doctors
easily see the progress, fluctuations, losses, or
status that needs to be closely observed by the
nurses.
contains the basic information of the
patient, admitting diagnosis, date and
time of admission. Upon discharge, the
patient’s status will be determined, the
final diagnosis, and the date and time of
discharge.
 ADMITTING HISTORY AND P.E. (Clinical
Abstract)
-filled out by the admitting ROD which
contains the px’s chief complain, history of
illness, complete physical examination, and
admitting diagnosis.
•DOCTOR’S ORDER SHEET- contains the orders of the
attending physician (diet, venoclysis, procedure/s,
medications, monitoring, etc.) upon admission until the
px’s discharge. It should include the date and time of
doctor’s rounds, side notes/ assessment, and signature. The
nurses should also affix their signature, date and time at the
right side of the sheet next to the AP’s which indicates that
the AP’s orders were carried out.
•Laboratory records- consist of ALL the
diagnostic procedures that the AP
requested and were done to the px.
IVF sheet- comprise of all the intravenous fluids that were
administered throughout the px’s treatment. Includes the
type of IVF hooked (incorporations, if there are any, blood
tranfusions, sidedrips, etc.), date and time started and
ended, and name of the nurse who administered,
discontinued, or shifted the IVF according to the doctor’s
order.
Note: All entries should be marked
with the corresponding ink color
according to the nurse’s shift
except for Blood transfusion
which should always be in RED.

Blue ink: 6-2, AM shifts

Black: 2-10 shift
Red: 10-6, PM shifts, and BT (in
the IVF sheet)
•Medication sheet- contains the Generic and Brand name (as
per AP’s order) of the medication ordered, the frequency,
route, and time of the drug to be administered, skin test/s
result. The nurses should affix the time that the medication
was given in line with the date on the heading and their
signature- implying that the medication was given according
to the doctor’s order.
TPR Graphic Chart- is a line graph plotted by
the nurse which shows the variations of the VS
taken in an every 4 hour basis.
•Nurses Notes- contains ALL the entries that the nurses
observed regarding the px’s status from the time that they
have received the px until the time of endorsement or
discharge. SVH observes the traditional writing of nurses
notes but starts to practice the SOPIE type.
•PF form- upon discharge, the AP writes down their
professional fee on this part of the chart
.
•Consent form- includes the hospital policies
which should be observed while the px is
admitted in the hospital. Upon admission, the
px or the guardian reads the policies. Signing
the consent form means that they understood
and will adhere to all the policies written.
systematically developed statements, usually
based on scientific evidence, to assist
practitioners and patient decision making about
appropriate healthcare for specific clinical
circumstances.
Note: ALL pages included in
the patient’s chart should
always be labelled with the
patient’s name and AP’s name.
Bed Making
Each hospital bed has its own set of linens which
include the bedding, pillow case and the blanket.
These three should always go together. Nurses
should regularly check the completeness of these
linens upon admission, rounds, or discharge of
the patient. When changing used or old linens, it
is a practice that the blanket and the bedding be
placed inside the pillowcase then placed in the
hamper. Through this, lost or incomplete linens
Patients
are can request change of linens only
minimized.
once a day, more than that would subject
them to an extra charge.
Continuous Care For Admitted
Patients
Upon admission from the ER, initial
orders are given by the APs/RODs. It
is a practice at SVH to use tools and
materials to ensure efficient and
continuous care for all in-patients
from the time of admission until
discharge.
Kardex- an index card which contains the
summary of ALL the vital information of the px,
doctor’s orders, procedures, medications,
diagnostics, and IVF’s. It should always be written
and pencil for easy update and completion.
Kardex…
Medication Cards
•Color-coded cards which are based
on the frequency of the medication
Blue: q4 or q8
Pink: TID
Orange: q6
Green: QID
Red: PRN
Yellow: BID
or q12
Color-coded cases
Blue: IM Green: Surgery Yellow: OB Pink:
Pedia Orange: EENT
Maintaining IV lines

All SVH nurses are IV therapists. IV

therapy training is one of the
important requirements that a staff
nurse should have. It is also the
nurses’ responsibility to update their
IVT licences to maintain an efficient
practice in the hospital.
-Upon rounds, a nurse is
assigned to a number of
patientS, it is a must to
practice checking the IVF, IV
lines, IV sites, and infusion
rates of all patients assigned to
them. Once an IV line is out or
swollen, it is the responsibility
of nurses to create a new and
Waste Segregation (Republic Act 9003)
-SVH practices proper waste disposal.
Wastes are allocated into their appropriate
bins as follows: Biodegradable, Non-
biodegradable, and Infectious. Sharps such
as syringes, opened ampules, and needles are
placed on the sharp’s bin. Vials are also
placed on a different container.
It is important that all nurses of
SVH exude a proper image to their
clients at all times.
White uniform- white top, white
pants, including white caps for
girls (hair should be neatly tied
up): worn during weekdays 6-2, 2-
10, or AM shifts
Scrub suits- worn on holidays,
weekends, 10-6, or PM shifts.
 ST. VICTORIA HOSPITAL
Ward Organizational Chart

Mary Ann Delos Reyes

Ward Supervisor

Ma. Socorro V. Jaballas, Joseph B. Cudal, William M. Perez

Charge Nurses

Senior Nurses (2nd Floor) Senior Nurses (3A)

Marco Capulong Randy Florentino
Melanie Cabandi Bernadine Mabana
Alice TImbad Mary Glen Hidalgo
Lorella Victoria Melvina Talamayan

Senior Nurses (3A) Senior Nurses (3B)

Armida Sudoy Arthur Abapo
Jose Rico Osias Richelle Santos
Vienna Salac Roxanne Cruz
Aysen Buenafe Ellaine Boseta

Junior Nurses (3A) Junior Nurses (3B)

Junior Nurses (2nd Floor) Clarissa Dela Paz Mark Wilson Andal
Patricia Magpali Nina Aligada Suzanne Guzman
Joy Gardiola Shiela Eusebio Mark Atendido
Arienne Combalicer Brian Ramirez Liza Marie Del Valle
Joan Nogales

Trainee/ Volunteer Trainee/ Volunteer Trainee/ Volunteer