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JOSE R.

REYES MEMORIAL
MEDICAL CENTER

DEPARTMENT OF PEDIATRICS
INTERNS AND CLERKS
ORIENTATION 2018
Avianne Christell R. Beltran, MD
CHIEF OF MEDICAL MEDICAL TRAINING
MEDICAL CENTER CHIEF PROFESSIONAL STAFF OFFICER

EMMANUEL F. MONTAÑA JR., MD


ELISA B. VALDEZ, MD EVELYN C. MORABE, MD
CONSULTANTS
BLANDINA TRINIDAD F. FERRERA, MD WILLIAM C. BAYHON JR., MD
CHAIR VICE CHAIR
CARDIOLOGIST CRITICAL CARE SPECIALIST
MARIA ESTRELLA IBE- ILUSTRE, MD ARVIN D. ESCUETA, MD
TRAINING OFFICER ASST TRAINING OFFICER
NEUROLOGIST GENERAL PEDIATRICIAN
CONSULTANT INTERNS AND CLERKS MONITOR
FELIZARDO N. GATCHECO, MD
RESEARCH COORDINATOR
GASTROENTEROLOGIST
CARDIOLOGISTS

EDEN D. LATOSA, MD BLANDINA TRINIDAD F. FERRERA, MD


HONORARY CONSULTANT
FORMER TRAINING OFFICER
CHAIR
INFECTIOUS DISEASE CONSULTANTS

MA. ANNA P. BAÑEZ, MD GRACE DEVOTA G. GO, MD


PULMONOLOGIST

CESAR M. ONG, MD
NEONATOLOGISTS

MARIA LEONORA S. SHARLENE S. SENG, MD


VILLARUZ, MD
HEMA-ONCOLOGISTS

ALIW P. PAULINO, MD JOCHRYS I. ESTANISLAO, MD


NEPHROLOGIST

CHRISTINE S. CARINGAL, MD
GENERAL PEDIATRICIAN

MARIA LAURICE PEÑA, MD ARVIN D. ESCUETA, MD


RESIDENTS
CHIEF RESIDENT

Jackielyn Tan, MD
3rd Year Resident
3RD YEAR RESIDENTS

 Jackielyn R. Tan, MD
 Avianne Christell R. Beltran, MD
 Marzaine Allag, MD

JACKY AVI ZAINE


2 ND YEAR RESIDENTS

 John Kelvin Gabot, MD


 Liezel Tiffany B. Valdez, MD
 Charmaine C. Flor, MD
 Katrina P. Tugado, MD
 Maria Natalia F. Kalaw, MD
 Kristine Mae C. Cabungcal, MD
 Marlon L.Villoso, MD

LIZ TAM KAT IYA TIN MARLON


KELVIN
1 ST YEAR RESIDENTS

 Angelie Villasanta, MD
 Hannah Alexis Rubio, MD
 Elizabeth Mae Jalbuna, MD
 Leslie Ann Castro, MD
 Bobby Reyes, MD
 Roberoza Apacionado, MD
 Jemimah Bustamante, MD
JELA
 Ma. Renelyn Chingcuangco, MD HANNAH BOBBY
VAL JEM REN
LESLIE ROBZ
AREAS

INTERNS OLFU CLERKS UST CLERKS


 PICU  NICU  NICU
 NICU/OPD  WARD  ER
WBC/OB WARD  OPD SBC
 WARD  ER
 ER/OPD SBC
PICU
WARD
Pediatric Ward
INTERNS CLERKS
 IV insertions (2tries)  IV Insertions/blood extractions
with supervision of residents only
 Blood extractions
 NGT/OGT Insertions  NGT OGT Insertions

 Treatment room  Insertion of foley catheter


 *except Hema Onco/ Chronic
patients
 History within 24hrs
 Census/Logbooks
 If toxic asap
 History Pay Patients
 Bed tags

 Pediatric Rescucitation, Intubation


 Lumbar puncture
 Thoracentesis
 Intrathecal Chemotherapy, Bone Marrow Aspiration
NICU
 NEO
NEONATAL ICU

 Prematurity
 Respiratory Distress Syndrome
 Birth Asphyxia
 Neonatal Pneumonia
 Neonatal Sepsis
 Congenital Syphilis
 Hyperbilirubinemia
 Surgical Cases
NEONATAL ICU
 Neonatal Rescucitation
 Intubation
 Umbilical Catheterization
 Surfactant Administration

 Newborn screening test


 Ballard scoring
 IV Insertion*
 Blood Extraction*
 OGT Insertion
SBC-
OPD
UNIFORM
INTERNS CLERKS
 PREDUTY  PREDUTY/DUTY AM
 Blazer, White Blouse/Polo  Medschooluniform
 White pants or skirt with nameplate
 No dresses
 DUTY PM
 DUTY  Scrubsuit
 Green scrubsuit

 NICU/PICU
 NICU
 Clean scrubs, mask, cap, shoes(sterile)  Clean scrubs, mask,
cap, shoes(sterile)
 Smock gowns not allowed outside the
hospital
INTERNS – 2 MONTHS
TIME IN TIME OUT
PREDUTY 1 7:00 AM 5:00 PM
PREDUTY 2 9:00 AM 7:00 PM
PREDUTY  7:00 AM OFF
WEEKEND
DUTY 7:00 PM 7:00 AM/9AM(ER)
DUTY WEEKEND 24 hours*
FROM DUTY AFTER ADCON
(WEEKDAY) ALL FROM ARE REQUIRED TO ATTEND
FROM DUTY As relieved with proper endorsements to
(WEEKEND) incoming duty, finished logbooks and
7:01 AND 9:01 CONSIDERED LATE!
census
CLERKS- FATIMA- 1MONTH
TIME IN TIME OUT
PREDUTY 7:00 AM 5:00 PM
PREDUTY SAT 7:00AM – 12NN
PREDUTY SUN OFF
 7:00 AM
DUTY AM 7:00 AM 7:00 PM
DUTY PM 7:00 PM -
FROM DUTY AM/PM 7:00 AM 12:00 NN
(WEEKDAY)
FROM DUTY As relieved with proper endorsements to
(SATURDAY) incoming duty, finished histories
To attend lecture in fatima

7:01 AND 9:01 CONSIDERED LATE!


CLERKS- VMU – 2 MONTHS
TIME IN TIME OUT
PREDUTY 7:00 AM 5:00 PM
PRE SATURDAY 7:00 AM 12:00 NN
PRE SUNDAY OFF
 7:00 AM
DUTY AM 7:00 AM 7:00 PM
DUTY PM 7:00 PM -
DUTY WEEKEND SATURDAY DUTY AM/PM
FROM DUTY AM/PM 7:00 AM 12:00 NN
(WEEKDAY)
FROM DUTY As relieved with proper endorsements to
(WEEKEND) incoming duty, finished histories
7:01 AND 9:01 CONSIDERED LATE!
TIME CARD
 To be counter-signed by a resident
at your duty post – TIME IN

 7:01 is considered LATE!


8 hours

 Should not time in for others


 Repeat rotation

D
 LOSTTIME CARD 72HRS PHYSICAL
F
MAKEUP

P
ATTENDANCE SHEET- FOLDER

 Same with the time in your


timecard
 Discrepancy-> 72 hours demerit

PICTURE
INTERNS/CLERKS
PORTFOLIO
CASE PRESENTATION
WHEN CAN YOU PRESENT?
 NICU AND PICU:
 Assigned lectures if any

 FROM DUTY WARD:


 CLERKS: History and PE of admissions

 OPD ROTATORS
 You can present any new patient during referrals (history pe assessment
and management) during opd consults
 FROM DUTY ER:
 INTERNS: Any case from admissions (Nelson’s based/Guidelines)
CONFERENCES
 8:00 am- 9:00 am
 Admitting Conference – Dr Pena
 ALLCLERKS ARE REQUIRED TO ATTEND THE
ADCON(WEEKDAYS EXCEPT WED)
 ALL FROM DUTY INTERNS ARE REQUIRED TO ATTEND

 1:00 pm – 3:00 pm
 Department Conferences (Tuesday/ Thursday)
 Reporting (Friday 12:30-1:30pm- Dr. Escueta)
 ALL PREDUTY 1 INTERNS ARE REQUIRED TO ATTEND
SANCTIONS
Late 7:01, 9:01 8 hours
Absent Excused x1, Unexcused x3
Lost time card 72 hours
Lost portfolio 48 hours
No history or bedtags within 24 hours 24 hours
Falsification of Medical Certificate 72 hours
Not wearing the prescribed uniform 24 hours
Failure to refer to Pediatric resident 24 hours
(unstable VS, problems patients etc)
Vital Signs 24 hours
Found dead 72 hours
ET plug 48 hours
Out of post 48 hours
Failed exit exam 24 hours
 Absent – valid med cert after 24 hours*
 Falsification of medical certificate
 Merit will not cancel late/absent, only
demerits
 Makeup duties for lates , absences,
demerits can be done during the
rotation- with index card signed by a
resident and permission from monitor
Final Reminders
 Courtesy- Consultant, Residents, Nurses
 Please treat our pediatric patients as your own relative/family
 VS monitoring
 Disposing of patients at ER/OPD
 Cleanliness of workplace
 Printing of census and history of patients
 Lockers and Personal Belongings
 Bathroom use
WELCOME TO THE DEPARTMENT OF
PEDIATRICS!


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