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LICENSING REQUIREMENTS FOR
HOSPITAL

LEVEL 2

1. SERVICE
CAPABILITY
1.1

ADMINISTRATIVE

1.1.1

Personnel

1.1.2.

Accounting

1.1.2.1

Bookkeeping

1.1.2.2

Billing

1.1.2.3

Collection

1.1.2

Cashiering

1.1.3

Medical Records

1.1.4

Supply
The service may be contracted out. A contract
of service or memorandum of agreement with
a service provider should be secured as a
prerequisite for license to operate.

1.1.5

Housekeeping
The

service

may

be contracted

out but

subject to infection control mechanism. A
contract

of

service

or

memorandum

of

agreement with a service provider should be
secured as a prerequisite
Linen and Laundry

for license to

operate.

1.1.6
The service may be contracted out. A contract
of service or memorandum of agreement with
a service provider should be secured as a
prerequisite for license to operate.
1.1.7

Maintenance
The service may be contracted out but
available for 24 hours 7 days a week. A
contract of service

1.1.8

Ambulance
The service may be contracted out. A contract
of service or memorandum of agreement with
a service provider should be secured as a
prerequisite for license to operate.

1.1.9

Security
The service may be contracted out. A contract
of service or memorandum of agreement with
a service provider should be secured as a
prerequisite for license to operate.
1.1.10

Dietary

1.1.11

Social Works

1.2.

CLINICAL SERVICES

1.2.1

Medicine

1.2.2

Pediatrics
Obstetrics and

1.2.3

Gynecology

1.2.4

Surgery and Anesthesia

1.2.5

Emergency Service

1.2.6

Out Patient Service
Intermediate to specialized nursing care and
NURSING SERVICE

management plus Highly Specialized Critical
Care and Management in the following areas:
Medicine, pediatrics. Obstetrics and
Gynecology, Surgery and Anesthesia

1.3.
1.4.

ANCILLARY
SERVICE
Tertiary Clinical

1.4.1.

Laboratory
Secure License from Bureau of Health Devices

1.4.2.

Radiology- 2nd level

and Technology
Secure license from Food and Drug

1.4.3.
1.7.

1.8.

Pharmacy

Administration

DENTAL CLINIC
PHYSICAL
MEDICINE AND
REHABILITATION
CLINIC

2. PERSONNEL
ADMINISTRATIVE
2.1.

QUALIFICATIONS

2.1.1.

Shall have completed a Master's Degree in
Hospital Administration or related course (Master
in Public Administration, Master in Business
Administration, Master in Public Health, Master
in Health Service Administration, Master in

NUMBER
REQUIRED
Business Management, etc.)AND at least five (5)
years experience in a supervisory or managerial
Chief of Hospital /Medical

position.

Director

1
Shall have complete a Master's Degree in
Hospital Administration or related course (Master
in Public Administration, Master in Business
Administration, Master in Public Health, Master
in Health Service Administration, etc.)AND at
least five (5) years experience in a supervisory or

Chief Administrative Officer

managerial position

2.1.2.

1
Certified Public Accountant

2.1.3.

Accountant
Accounting clerk

1
With Bachelor's degree relevant to the job

2.1.4.

1
Bookkepper

2.1.5.

1
Billing Officer

2.1.6.

1

2.1.7.

Budget/Finance Officer

2.1.8.

1

Cashier
1

2.1.9.

Cash Clerk
1

2.1.10.
Clerk, Pool
2.1.11.

Driver

1:50
With appropriate experience and with
professional driver's license

3

With updated License as Civil, Mechanical or
Electrical Engineer by Professional Regulatory
2.1.12.

Engineer

Commission

Human Resource

1

With Bachelor's degree relevant to the job

Management
2.1.13.

Officer/Personnel Officer

2.1.14.

1
With relevant training

Laundry Worker
2.1.15.

1:50
With appropriate training and experience

Maintenance Personnel
2.1.16.

Mechanic

1 per shift
With appropriate training and experience
1

2.1.17.

MedicalEquipment/Biomedic

With appropriate training and experience

al Technician
2.1.18.

with Bachelor's Degree And Training in ICD 10
Medical Records Officer

2.1.19.

1
and Medical Records Management
With updated License by Professional
Regulatory Commission and with relevant

1
Medical Social Worker

1

With appropriate training and experience
2.1.20.

training

1 per shift per

Security Guard

open entrance

Storekeepper/Linen
2.1.21.

Custodian

With appropriate training and experience

1

With Bachelor's degree and relevant training

1

With relevant training

1:50

Supply Officer
2.1.22.
Utility Worker
2.1.23.

With updated License by Professional
2.1.24

Nutritionist-Dietitian

Regulatory Commission

1:100

2.1.25

Cook

1:100

2.1.26

Food Service Worker

1:50

2.1.27

Food Service Supervisor

1

With relevant training

2.3.

MEDICAL
Chief of Clinics/Chief

Shall be a fellow/diplomate in a specialty society

Medical Professional

And at least five (5) years experience in a

Services

supervisory/managerial position

2.3.1

1
Shall be a fellow/diplomate in a specialty society
of the department he/she heads

2.3.2

Department Head
Consultant Staff/Medical
Specialists in Ob-Gyn,

1 per clinical
department

Fellow/Diplomate and with Updated Professional
Regulatory Commission license

Pediatrics, Medicine,
2.3.4

Surgery and Anesthesia

1 per department

Physician

With updated Professional Regulatory

(Shall not go on continuous

Commission license

duty for more than forty2.3.5

eight (48) hours straight).

1:10

2,4. NURSING
Shall have completed a Master's degree in
Nursing (Master of Arts in Nursing, Master in
Nursing, Master of Science in Nursing) AND at
least five (5) years experience in nursing
supervisory/managerial position in a hospital;
Chief Nurse/Director of
2.4.1.

With updated Profesional Regulatory

Nursing

Commission license,

1

Master's Degree in Nursing with three years
hospital experience in supervisory/managerial
position; With updated Profesional Regulatory
2.4.

Assistant Chief Nurse

Commission license,

1
With updated Profesional Regulatory
Commission license,With at least nine (9) units
Supervising Nurse/Nurse
2.4.

of Master's Degree in Nursing with three years

Managers

hospital experience.

1 per department

With updated Profesional Regulatory
Supervising Nurse in Critical
Care Areas; CCUs include

Master's Degree in Nursing, at least three years

all types of ICUs i.e.,
2.4.

Commission license, at least nine (9) units of
hospital experience and with training in Critical

PACU/RR, PICU,SICU

Care Nursing

1 per critical unit

With at least three (3) years experience in
2.4.

Staff Nurse

hospital.

1:15 RNs

With updated Professional Regulatory
2.4.

Head Nurse/Senior Nurse

1:12 beds at any

Commission License

given time

With updated Professional Regulatory
Commission license and Training in Critical
2.4.

Staff Nurse in CCU

1:3 at any given

Nursing

time

With relevant training

1:24 at any given

Nursing Attendant/Midwife;
there shall be 1 reliever for
every 3 Nursing
Attendant/Midwife
2.4.

time
Nursing Attendant/Midwife
in CCUs; there shall 1
reliever for every 3 Nursing
Attendant/Midwife

2.4.

1: per shift per
with relevant training

critical area

depending on the number of

With updated Professional Regulatory

1 per shift per

cases

Commission license and Training in OR Nursing

OR

depending on the number of

With updated Professional Regulatory

1 per shift per DR

cases

Commission license and Training in DR Nursing

Operating Room Nurse;
number may increase
2.4.

Delivery Room Nurse;
number may increase
2.4.

Emergency Room Nurse;
may increase depending on
2.4.

With updated Professional Regulatory

1 per shift per

the number of patients

Commission license and Taining in ACLS

department

With updated Professional Regulatory
2.4.

Out-Patient Nurse

2.5.

Commission license and with relevant training

1

ALLIED MEDICAL
With updated Professional Regulatory

2.5.1.

Dentist

Commission license

1

2.5.2

Dental Aide

With relevant training

1

With updated License from Professional
2.5.3.

Medical Technologist

Regulatory Commission

Adequate
2.5.4.

Medical Laboratory Aide

With relevant training

Adequate
1 Clinical;

2.5.5.

Pathologist

Fellow/Diplomate

1 Anatomical

Licensed by Professional Regulatory
Commission; must be present when the retail
2.5.6.

Pharmacist

outlet is open

Adequate

Licensed by Professional Regulatory
2.5.7.

Physical Therapist

Commission

1

2. 5.8.

Radiologist

Fellow/Diplomate

1

Licensed by Professional Regulatory
2.5.9.

Radiologic Technologist

Commission

Adequate

Designate (Radiologist or Radiologic
2.5.10.

Radiation Safety Officer

Technologist)

1

Licensed by Professional Regulatory
2.5.11.

Respiratory Therapist

Commission

1 per shift

3. EQUIPMENT/ INSTRUMENT
QUANTITY
3.1.

ADMINISTRATIVE
Ambulance, available 24/7 and physically present; if outsourced, shall be on call

3.1.1.

(Refer to A.O. 2010-0003-National Policy on Ambulance Use and Services)

1

Computer with Internet Access
3.1.2.

Good Access

1

Emergency Light
3.1.3.

installed in each lobby, hallway,nurses's station, office/unit and stairways

1

Fire Extinguishers
installed in each lobby, hallway, nurses's station, office/unit and stairways (In
3.1.4.

compliance with Fire Code of the Philippines

3. 1.5.

LCD projector

1
1

Generator set
3. 1.6.

with Automatic Transfer Switch (ATS); (KVA depends on the load)

3.2

DIETARY

3.2.1

Exhaust fan

3.2.2

Food Conveyor

3.2.3

Food Scale

3.2.4

Osterizer/Blender

3.2.5

Oven/Stove

1

1
1
1
1
1
3.2.6

Refrigerator/Freezer

3.2.7

Utility cart

3.2.8

Garbage Receptacle with Cover

3.2.

CLINICAL:

3.2.1.

Bag-valve-mask Unit, Adult

3. 2.2.

Bag-valve-mask Unit, Pediatric

3.2.3.

Calculator for dose computation

3.2.4.

Clinical Weighing scale

3.2.5.

Defibrillator

3.2.6.

Delivery set, primi:

3.2.6.1.
3.2.6.2.

1

Metzenbaum Scissors, straight
Kelly hemostatic forceps, curved or straight

Needle Holder

3.2.6.4.

Tissue forceps

3.2.6.5.

Delivery set, multi:

3.2.6.7.

Mayo Scissors, straight

Kelly hemostatic forceps, curved or straight

3.2.7.

ECG Machine

3. 2.8.

EENT Diagnostic Set:

3. 2.8.1.

Opthalmoscope

3. 2,.8.2.

Otoscope

3.2.9.
3.2.10.
3.2.12.

1

EMERGENCY ROOM

3.2.6.3.

3. 2.6.6.

1

Emergency Cart With complete ER medicines and supplies which are not expired

Examining table
Examining table (with Stirrups for OB-Gyne

3.2.13.

Gooseneck lamp/Examining Light

3.2.14.

Instrument/Mayo Table

3.2.15.

Laryngoscope with different sizes of blades

3.2.16.

Medicine Cabinet

1
1
1
1
1
1
1
2
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1
1
Minor Instrument Set: (May be used for Tracheostomy, Closed Tube
3.2.17.

1

Thoracostomy and Cutdown)

3.2.17.1.

Scalpel handle No. 3

3.2.17.2.

Scalpel handle No. 4

3.2.17.3.

Metzenbaum Scissors, curved

3. 2.17.4.

Mayo Scissor, straight

3. 2.17.5.

Skin retractors

3.2.17.6.

Kelly hemostatic, curved

3.2.17.7.

Kelly hemostatic, straight

3. 2.17.8.

Mosquito forceps, curved

3.2.17.9.

Mosquito forceps, straight

3.2.17.10.

Tissue forceps

3.2.17.11.

Thumb forceps

3.2.17.12.

Needle Holder

1
1
1
1
1 pair
2
2
4
4
1
1
1
1

3.2.18.

OR Light

3.2.19.

Nebulizer

3.2.20.

Negatoscope

3.2.21.

Neurologic Hammer

1
1
1
1

3. 2.22.

Oxygen Unit, tank is anchored/chained/strapped or with tank holder

3.2.23.

Pulse Oximeter

3.2.24

Sphygmomanometer, Non-mercurial

3.2.24.1

- Adult Cuff

3.2.24 .2.

- Pediatric Cuff

3.2.25.

Stethoscope

3.2.26.

Suction Apparatus

3.2.27.

Suturing Set:

3. 2.27.1.

Mayo Scissors

3.2.27.2

Needle Holder

3.2.27.3.

Tissue Forceps

1
1
1
1
1
1
1
1
1
1
3. 2.27.4.

Mosquito Forceps

3.2.28.

Thermometer, oral,Non-mercurial

3.2.29.

Thermometer, rectal,Non-mercurial

3.2.30.

Tracheostomy Set:

3.2.30.1.

Obturator

3.2.30.2.

Inner Cannula

3.2.30.3.

Outer Cannula

3.2.31.

Vaginal Speculum, Different Sizes

3.2.32.

Wheelchair

3.2.33.

Wheeled Stretcher with guard/side rails and wheel lock or anchor.

3.3

Clinical Height and Weight Scale

3.3.2.

ECG Machine

3.3.3.

EENT Diagnostic Set

3. 3.4.

Gooseneck lamp/Examining Light

3.3.5.

Examining table with wheel lock or anchor

3.3.6.

Instrument/Mayo Table

3.3.7.

Minor Instrument Set:

1
1
1
1
1
1
1
1
1

OUT PATIENT DEPARTMENT

3.3.1.

4

3.3.7.1.

Scalpel handle No. 3

3.3.7.2.

Scalpel handle No. 4

3. 3.7.3.

Metzenbaum Scissors, curved

3.3.7.4.

Mayo Scissor, straight

3.3.7.5.

Skin retractors

3.3.7.6.

Kelly hemostatic, curved

3.3.7.8.

Kelly hemostatic, straight

3. 3.7.9.

Mosquito forceps, straight

3.3.7.11.

Tissue forceps

1
1
1
1
1
1
1

Mosquito forceps, curved

3.3.7.10.

1

1
1
1
1 pair
2
2

4
4
3.3.7.12.

Thumb forceps

3.3.7.13.

Needle Holder

3.3.8.
3.3.9.
3.3.10.
3.3.11.

Neurologic Hammer

1
1
1

Peakflowmeter -adult

1

Peakflowmeter -pedia

1

Sphygmomanometer, Non-mercurial

3.3.11.1.

- Adult cuff

3.3.11.2.

- Pediatric cuff

3. 3.12.

Stethoscope

3.3.13.

Thermometer, oral, Non-mercurial

3.3.14.

Thermometer, rectal, Non-mercurial

3.3.15.

Suture Removal Set

3.3.16.

Suture remover scissor

3.3.16.1.

Mosquito forceps

3.3.16.2.

Kelly Forceps, curved

3.4.

Air-conditioning Unit

3. 4.2.

Anesthesia machine

3. 4.3.

Cardiac Monitor with Pulse Oximeter

3.4.4.

Ceasarian Section Instrument Set:

1
1
1
1
1
1
1
1
1

OPERATING ROOM

3.4.1.

1

3.4.5.

Laparotomy Set plus:

3.4.6.

Bladder Retractor

1
1
1
1
1
1

Defibrillator

1

E-Cart With complete ER medicines and supplies

3.4.7.

1

Instrument/Mayo Table

1

3.4.8.
3.4.9.

1
3.4.10.
3.4.10.1.
3.4.10.2.

Laparotomy/Major Instrument Set:
Towel Clamp

1

Scalpel handle No. 3

1
3.4.10.3.
3.4.10.4.
3.4.10.5.
3.4.10.6.
3.4.10.7.
3.4.10.8.
3.4.10.9.
3.4.10.10.
3. 4.10.11.
3.4.10.12.
3.4.10.13.
3.4.10.14.
3.4.10.15.
3.4.10.16.
3.4.10.17.
3.4.10.18.

Scalpel handle No. 4

1

Army-navy retractor

1 pair

Richardson retractor, double-end

1

Self-retaining retractor (Balfour)

1

Kelly Hemostatic, Curved

4

Kelly hemostatic, straight

4

Halsted mosquito forceps, curved

4

Halsted mosquito forceps, straight

4

Allis Forceps

4

Needle Holder

1

Thumb forceps

1

Tissue forceps

1

Metzenbaum Scissors, curved

1

Operating Scissors, straight

1

Mayo Scissor, curved

1

Mayo Scissor, straight

1

3.4.11.

Laryngoscope (with different sizes of blades)

3. 4.12.

OR Light

3. 4.13.

OR table

3. 4.14.

Orthopedic Instrument Set :

3.4.14.1

Periosteal elevator

3.4.14.2.

Bone chisel/osteotome

3.4.14.3.

Bone Mallet

3.4.14.4.

Bone Rongeur

3.4.14.5.

Bone Holder

3.4.14.6.

Bone Drill with different sizes of drill bits

3.4.14.7.

Gigli Saw (handle and wire)

3.4.14.8.

Pin/wire cutter

1
1
1
1
1
1
1
1
1
1
1
1
3. 4.14.9.

Pin/wire puller

3.4.14.10.

Bone Curette

3.4.14.11.

Cast Spreader

3.4.14.12.

Bone clamp

3.4.14.13.

Zimmer

3.4.14.14.

Screw driver

3.4.15.
3.4.16.

1
1
1
1

Oxygen Unit, tank anchored/chained

Sphygmomanometer, Non-mercurial

3.4.16.1.

- adult cuff

3.4.16.2.

- Pediatric cuff

3.4.17.

1

Spinal Set

3.4.17.1.

Stainless tray with cover, 8 in. L x 6 in.W 2 in. H or Kidney basin

3.4.17.2.

Spinal needle

3.4.17.3.

Eye sheet

3.4.17.4

Operating gauze

3. 4.18.

Stethoscope

3.4.19.

Suction Apparatus

3.4.20.

Thermometer, oral and rectal, Non-mercurial

3. 4.21.

Tracheostomy Set (Outer cannula, Inner cannula, Obturator)

3.4.22.

Wheeled Stretcher, with wheel lock or anchor

3.5.

Air-conditioning Unit

3.5.2.

Cardiac Monitor

3.5.3.

Mechanical/patient Bed,with guard/side rails and wheel lock or anchor.

1
1
1
1
1
1
1
1
1
1

POST ANESTHESIA CARE UNIT/RECOVERY ROOM (Functional)

3.5.1.

1

3.5.4.
3.5.5.

Oxygen Unit, tank anchored/chained or strapped or with tank holder

Sphygmomanometer, Non-mercurial

3.5.5.1.

Adult Cuff

3.5.5.2.

Pediatric Cuff

1
1
1`
1

1
1
1
1
1
1
1
3.5.6.

Pulse Oximeter

3.5.7.

Stethoscope

3.5.8.

Suction Apparatus

3.5.9.

Thermometer, Non-mercurial

3.6.

1
1
1

LABOR ROOM

3.6.1.

Cardiotocography (CTG) Machine

3. 6.2.

Foetal Doppler

3. 6.3.

1

Oxygen unit; tank anchored/chained or strapped or with holder

3.6.4.

Patient bed

3.6.5.

Pulse Oximeter

3.6.6

Sphygmomanometer, Non-mercurial

3.6.7.

Stethoscope

3.6.8

Thermometer, Non-mercurial

1
1
1
1
1
1
1
1

DELIVERY ROOM
3.7.
3.7.1.

Air-conditioning Unit

37.2.

Anesthesia machine

3.7.3.

Bag valve mask unit

3.7.4.

Bassinet

3.7.5.
3.7.5.1.
3.7.5.2.
3.7.5.3.
3.7.5.4.
3.7.5.5.
3. 7.5.6.
3.7.5.7.
3.7.5.8.
3.7.5.9.

Dilatation/Curretage set:

1
1
1
1
1

Uterine Sound/hysterometer

1

Uterine Forceps

1

Dull uterine currette

1

Sharp uterine currette

1

Vaginal retractor

2

Vaginal Speculum

1

Ovum forceps

1

Hegars dilator, graduated sizes

1 set

Sponge forceps

1
Delivery Set- Primi:

1

Mayo Scissor

1

Kelly forceps, curved

1

Umbilical scissors

1

Neddle holder

1

Tissue forceps

1

Delivery Set -Multi:

1

-

kelly forceps

2

3.7.7.2.

-

mayo/umbilical scissors

37.8.

DR Light

3.7.9.

DR Table

3.7.10.

Clinical Infant Weighing Scale

3.7.11.

Instrument/Mayo Table

3.7.12.

Kelly Pad

3.7.13.

Laryngoscope

3.7.6.10.
3.7.6.11.
3.7.6.12.
3.7.6.13.
3.7.6.14.
3.7.6.1.5
3.7.7
3.7.7.1.`

3.7.14.
3.7.15.

1
1
1
1
1
1

Oxygen Unit; tank is anchored/chained/strapped or with holder

1

Emergency Light (Battery Operated) (In case generator malfunctions)

1

3.7.16.

Sphygmomanometer -Non-mercurial

3.7.17.

Stethoscope

3. 7.18.

Suction Apparatus

3. 7.19.

Wheeled Stretcher

3.7.20.

Cardiac Monitor with Pulse Oximeter

3.7.21.

Cardiotocography (CTG) Machine

3.7.22.

Oxygen Unit with gauge and humidifier; tank is anchored/chained

3.7.23.

Suction Apparatus

3.8.

1

1
1
1
1
1
1
1
1

NEONATAL INTENSIVE CARE UNIT

38.1.

Air-conditioning Unit

38.2.

Bassinet

1
1
38.3.

Bilirubin Light/Phototherapy Machine

38.4

Cardiac Monitor

38.5.
38.6.

Emergency Cart with complete medicines and supplies

EENT Diagnostic Set:

38.6.1.

Opthalmoscope

3 8.6.2.

Otoscope

38.7.

Glucometer

3 8.8.

Incubator/Radiant Warmer

38.9.

Clinical Infant Bag-Valve -mask Unit

3.8.10.

Clinical Infant Weighing Scale

3.8.11.

Infusion Pump/Syringe Pump

3.8.12.

Laryngoscope with neonatal blades of different sizes

3.8.13.

Nebulizer

3.8.14.

Neonatal Stethoscope

3.8.15 .

Oxygen Unit tanks shall be anchored/chained.

3.8.16.

Pulse Oximeter

3.8.17.

Refrigerator for Milk Banking

3.8.18.

Respirator/Mechanical Ventilator

3.8.19.

Suction Apparatus

3.8.20.

Umbilical Cannulation Set:

3. 8.20.1.

Umbilical scissors

3. 8.20.2.

kelly hemostatic forceps, curved or straight

3.8.20.3.

Needle Holder

3.8.20.4.

Tissue forceps

3.9.

Air-conditioning Unit

3.9.2.

Bag-Valve-Mask unit

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

INTENSIVE CARE UNIT

3. 9.1.

1

3.9.2.1.

- Adult In Adult Units

1
1
1
3.9.2.2.
3.9.3.

- Pediatric, In Pediatric Units
Mechanical Bed

3.9.4..

Cardiac Monitor with Pulse Oximeter

3.9.5..

Minor Set (See contents of the set in ER list)

3.9.6.

Defibrillator

3.9.7.

Infusion Pump

3.9.8.
3.9.9.
3.9.9.1.
3.9.9.2.
3.9.10.
3.9.11.
3.9.12.

1
1
1
1
1

Emergency Cart

1

EENT Diagnostic Set:

1

Ophtalmoscope

1

Otoscope

1

Laryngoscope with different sizes of blades
Oxygen Unit; tank is Anchored/Chained

Respirator/Mechanical Ventilator (May be outsourced)
Sphygmomanometer Non- Mercurial(Reserved for Sudden Breakdown of Cardiac

3.9.13.

1

1
1
1
1

Monitor)

3.9.13.1.

- Adult Cuff in Adult unit

3.9.13.2.

- Pediatric Cuff in pediatric unit

3.9.14.

Stethoscope

3.9.15.

Suction Apparatus

3.9.16.

Tracheostomy Set:

3.9.16.1.

- Obturator

3.9.16.2.

- Inner Cannula

3.9.16.3.

- Outer Cannula

3.10.

Bag-Valve-Mask Unit

1
1
1
1
1
1
1

NURSING UNIT/WARDS

3.10.1.

1

3.10.1.1.

- Adult

3.10.1.1.

- Pediatric

3.10.2.
3.10.3.

Clinical Height and Weight Scale
Emergency cart with complete ER medicines and supplies

1
1
1
1
1
3.10.4.

EENT Diagnostic Set: (Medical Ward)

3.10.4.1.

Opthalmoscope

3.10.4.2.

Otoscope
Mechanical/Patient bed With locked, if wheeled; with guard or side rails

1
1
1
Depends on
Authorized Bee
capacity(ABC

3.10.5.
3.10.6 .
3.10.7.
3.10.8.
3. 10.9.
3.10.10.
3.10.11.

applied for)
Bedside Table

1

Laryngoscope With different sizes of blades

1

Nebulizer

1

Neurologic Hammer
Oxygen Unit, tank is anchored/chained

Sphygmomanometer, Non- Mercurial with

3.10.11.1.

- Adult Cuff

3.10.11.2.

- Pediatric Cuff

3.10.12.

Stethoscope

3.10.13.

Suction Apparatus

3.10.14

Thermometer Non- Mercurial:

3.10.14.1.

- Oral

3.10.14.2.

- Rectal

3.11.

Steam Sterilizer

3.12.

Air Compressor

3. 12. 2.

Autoclave

3.12.3.

Bone file

3.12.4.

Bone file, Stainless

3.12.5.

Cotton Pliers

3.12.6.

Cowhorn Forceps

3.12.7.

Dental Chair Unit

1
1
1
1
1
1
1
1

DENTAL CLINIC

3.12.1.

1

CENTRAL STERILIZING and SUPPLY DEPARTMENT/UNIT/ROOM

3.11.1.

1

1

1
1
1
1
1
1
1
3.12.8.
3.12.9.
3.12.10.
3.12.11.

Explorer, double-end

1

Forceps, No. 8

1

No. 17 Upper Molar

1

No. 18 Upper Molar

1

3.12.12.

No. 150 Maxillary Universal

3.12.13

No. 150 S Primary Teeth

3.12. 14.

No. 151 Lower Universal

3.12.15.

No. 151 Mandibular Pre-molar

3.12.16.

No. 151 S Lower Primary Teeth

3.12.17.

Gum Separator

3.12.18.

High Speed Handpiece With Burr Remover

3.12.19.

Low Speed handpiece, Angled head

3.12. 20.

Mouth Mirror Explorer

3.12.21.

Periosteal Elevator No. 9, double-end

3.12.22.

Rongeur

3.12. 23.

Root Elevator

3.12.24.

Scaler Jacquettes SetNo. 1, 2 and 3

3.12.25.

Surgical Chisel

3.12.26.

Surgical Malette

3.15.

1

PHYSICAL MEDICINE & REHABILITATION UNIT

3.15.1.

Transcutaneous Electric Nerve Stimulator (TENS)

3.15.2.

Exercise Plinht/Bed

3.15. 3.

Exercise Stairs with rails

315.4.

Overhead Pulley

3.15. 5.

Paraffin Wax

3.15.6.

Parallel Bars

3.15.7.

Dynamometer

3.15.8.

Cold therapy products

1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1

3.15.9.

Hot therapy products

3.15.10

Cervical traction

3.15.11.

Lumbar traction

3.15.12.

Light therapy

3.15.13.

Pedometer

3.15.14.

Groniometer

3.15.15.

Therapy rolls

3.15.16.

Therapy Mats

3.15.17.

Therapy Wedges

3.15.18.

Diagonal mirrors

3.15.19.

Pulley system

3 15.20.

Ulrasound Therapy Machine

1
1
1
1
1
1
1
1
1
1

3.16.

1

RESPIRATORY/PULMONARY UNIT

3.16.1.
3.16.2.

Spirometer

3.16.3.

1

Artertial Blood Gas ABG Machine

Ventilator

1
1

4. PHYSICAL PLANT
PHYSICAL FACILITIES: REQUIRED ROOMS/AREAS

4.1.

ADMINISTRATIVE:
4.1.1.
Lobby
4.1.1.
Waiting Area
4.1.2.
Information and reception
4.1.3.
Communication Booth/Room
4.1.4.

Area for Level 1

4.1.5.

Budget and Finance

4.1.6.

Billing

4.1.7.

Cashier

May be in one office with partitions in Level 1

Human Resource/Personnel Office
4.1.8.

May be combined with Administrative officer's Office in level 1

4 .1.9.

Medical Records Office/Room
Shall have storage area; area for completion of patients' charts by physicians and
other professionals.
Library
4.1.10.

not combined with other offices
Conference Room

4.1.11.
4.1.12.

Office of the Chief of Hospital

4.1.13.

Office of the Chief Medical Professional Sevice/ Chief of Clinics

4.1.14.

Office of the Chief Administrative Officer

4.1.15.

Office of the Training Officer
Property/Suppy Office/Room

4.1.16.
Linen and Laundry Room
4.1.17.
Receiving and releasing Area
4.1.18.
Sorting Area
4.1.19.
4.1.20.

Washing Area

4.1.21.

Ironing Area

Not required if contracted-out

Clean Linen Storage
4.1.22.

Area

Clean and orderly

Engineering/Maintenance Office/Room
4.1.23.
Housekeeping room for cleaning tools and supplies
4. 1.24.

Clean and organized
Motorpool Area

4.1.25.
4.1.26.

Parking Area, shall have adequate space
Central Waste Storage Area, shall have color-coded segregation; clean and free

4.1.27.

from foul odor
Staff Toilet

4.1.28.

Provided with water; clean and free from foul odor
Public Toilet

4.1.29.

Provided with water; clean and free from foul odor
DIETARY (Shall have adequate space,clean and Free from foul odor; no

4. 2.

insects and rodents
Nutritionist-Dietitian's Office

4.2.1.
Supply receiving Area

(not required if contracted-out)

4.2.2.
Cold Storage Area.

(not required if contracted-out)

4.2.3.
Dry Storage Area.
4.2.4.

(not required if contracted-out)
Special Diet preparation area
4.2.5.
Food preparation Area (not required if contracted-out)
4.2.6.
Cooking and baking Area (not required if contracted-out)

4.2.7.

Washing Area
4.2.8.
Serving and Food Assembly Area
4.2.9.
Dining Area
4.2.10.
Garbage and Disposal Area
4.2.11.
MEDICAL SOCIAL WORKS OFFICE
4..3.
- Counselling Area
4.3.1.
4.4.

CADAVER HOLDING AREA
- Autopsy Area

4.4.1.
CLINICAL SERVICES
4.4.2.
EMERGENCY ROOM/EMERGENCY DEPARTMENT (ER/ED)
Adequate privacy for patients is provided such that sensitive or private discussion,
examination, and/or procedure are conducted in a manner or environment where
4.5.

these cannot be observed or the risk of being overheard by others is minimized.
Decontamination Area with separate entrance and exit; adjacent to ER entrance
shall be provided with shower; receptacle for used or contaminated clothing; shelf

4.5.1.

for clean patient gowns,
Holding Area/Room for Infectious cases awaiting transfer

4.5.2.

Shall have ante room with rack/shelf for PPEs
Triage Area

4.5.3.
Examination and Treatment
4.5.4.

shall be provided with handwashing/hand

Area
Medication Preparation Area

4.5.5.

Area
Resuscitation Area

4.5.6.

adequate privacy shall be provided
Minor OR

4.5.7.
Observation Area
4.5.8.

Patient beds shall be one (1) meter apart
Nurses' station

4.5.9.

disinfection facility.
Area/Room for Imminent Normal Spontaneous Delivery
4.5.10.

Shall have lavatory and counter
Wheeled Stretcher and Wheelchair Area

4.5.11.
Waiting Area
4.5.12.

Shall have adequate lighting and ventilation.
Doctor's On-Duty Room

4.5.13.
Toilet for patients and companions
Separate Male from Female; Clean and Free from foul odor; no insects and
4.5.4.

rodents
OUTPATIENT DEPARTMENT
Adequate privacy for patients is provided such that sensitive or private discussion,

4.6.

examination, and/or procedure are conducted in a manner or environment where
these cannot be observed or the risk of being overheard by others is minimized.
Waiting Area

4.6.1.

shall have adequate lighting and ventilation.
Admitting Office

4.6.2.
Consultation Area
4.6.3.
Examination and Treatment Area with Lavatory
4.6.4.
Nurse's Counter
4.6.5.
Staff Toilet
4.6.6.
Toilet for patients and companions
Separate Male from Female; Clean and Free from foul odor; no insects and
4.6.7.

rodents
OFFICES OF DEPARTMENT HEADS:

4.7.
Medicine
4.7.1.
Surgery
4.7.2.
Obstetrics and Gynecology
4.7.3.
Pediatrics
4.7.4.
Anesthesia
4.7.5.
Emergency
4.7.6.
Out -patient
4.7.7.
Pathology
4.7.8.
Radiology
4.7.9.
OPERATING ROOM
4.8.
Major OR
4.8.1.

Shall have Control door or Demarcation Line
Dressing Room

4.8.2.
Nurses's Station
4.8.3.
Sub- sterile Area
4. 8.4.
Sterile Area
4.8.5.
Scrub Up Area
4. 8.6.
Operating Room
4. 8.7.
Clean- up Area
4.8.8.
Storage Area for Sterile packs and Supplies
4.8.9.
Wheeled Stretcher Area
4.8.10.
Janitor's Closet
4.8.11.
POST ANESTHESIA CARE UNIT/RECOVERY ROOM
4.9.
Patient Area
4.9.1.
Nurse's Station
4.9.2.
Medication Area
4.9.3.
LABOR ROOM provided with toilet
4.10.
DELIVERY ROOM/COMPLEX
4.11.
Dressing room
4.11.1.
Nurse's Station
4.11.2.
Sterile Area
4..11.3.
4.11.4.

Scrub Up Area
Delivery Room
4.11.5.
Clean -Up Area
4.11.6.
Storage Area for Sterile Packs
4.11.7.
Storage Area for Supplies
4.11.8.
Wheeled Stretcher Area
4.11.9.
Janitor's Closet
4.11.10.
4.12.

HIGH RISK PREGNANCY AREA (May be put up as part of Labor
Room or patient may be admitted in ICU)
NEONATAL INTENSIVE CARE UNIT

4. 13.
Nurse's Station with Lavatory
4.13.1.
Medication Preparation Area
4.13.2.
Incubator/Warmer Area
4.13.3.
Treatment Area
4.13.4.
Breastfeeding Area with Lavatory
4.13.5.
INTENSIVE CARE UNIT
4.14.
Dressing Room
4.14.1.
Nurse's Station with Lavatory
4.14.2
Medication Preparation Area
4.14.3
Patient Area
4.14.4

Can accommodate equipment at bedside
NURSING UNIT/WARD
Adequate privacy for patients is provided such that sensitive or private discussion,
examination, and/or procedure are conducted in a manner or environment where
these cannot be observed or the risk of being overheard by others is minimized.
Adequate space is provided to allow patients and personnel to move safely

4.15.

around patient bed areas.
Nurses' Station with lavatory
All point of care areas should be provided with handwashing/hand disinfection

4.15.1.

facility.
Medication Preparation Area with Lavatory

4.15.2.
Treatment Area with Lavatory
4.15.3.
Equipment and Supply Area
4.15.4.
Staff Toilet
4.15.5.
Patient Rooms with toilet
4.15.6.
Linen Area
4.15.7.
Waste Bins
4.15.8.

Color-coded
Janitor's Closet

4.15.9.
CHIEF NURSE OFFICE
4.16.
ISOLATION ROOM
4.17.
Ante room with Lavatory and PPE rack
4.17.1.
Handwashing/Hand Disinfection Facility- in all point of care areas
4 .17.2.
Toilet
4.17.3
ANCILLARY SERVICES
4.18.
4.18.1.
4.18.1.1
4.18.2.
4.18.2.1.
4.18.2.2.
4.18.2.3.
4.18.3.
4.18.3.1.

Tertiary Clinical Laboratory
Clinical Work Area with Lavatory/Sink
Radiology – 3rd Level
X – Ray Room with Control Booth, Dressing Area and Toilet
Dark Room
Film File and Storage Area
Pharmacy
Storage Room
Required rooms/areas depend on the surgical procedure the clinic is authorized
to perform.

4..20.1
PHYSICAL MEDICINE AND REHABILITATION UNIT
4. 21.
DENTAL CLINIC
4.22.
Dental Chair Unit Area
4.22.1.
Consultation Area
4.22.2.
with access to Toilet
4.22.3.
CENTRAL STERILIZING AND SUPPLY DIVISION/UNIT/AREA
4.23.
Receving and Cleaning Area
4.23.1.
Inspection and packaging Area
4.2312.
Sterilizing Area
4.23.3.
Storage and Releasing Area
4. 23.4.
PRAYER ROOM/AREA
4.24.

Sources:

http://www.doh.gov.ph/system/files/planning_and_design_0.pdf

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Aida requirements for level 2 hospital

  • 1. LICENSING REQUIREMENTS FOR HOSPITAL LEVEL 2 1. SERVICE CAPABILITY 1.1 ADMINISTRATIVE 1.1.1 Personnel 1.1.2. Accounting 1.1.2.1 Bookkeeping 1.1.2.2 Billing 1.1.2.3 Collection 1.1.2 Cashiering 1.1.3 Medical Records 1.1.4 Supply The service may be contracted out. A contract of service or memorandum of agreement with a service provider should be secured as a prerequisite for license to operate. 1.1.5 Housekeeping The service may be contracted out but subject to infection control mechanism. A contract of service or memorandum of agreement with a service provider should be secured as a prerequisite Linen and Laundry for license to operate. 1.1.6 The service may be contracted out. A contract of service or memorandum of agreement with a service provider should be secured as a prerequisite for license to operate. 1.1.7 Maintenance The service may be contracted out but available for 24 hours 7 days a week. A contract of service 1.1.8 Ambulance The service may be contracted out. A contract of service or memorandum of agreement with a service provider should be secured as a prerequisite for license to operate. 1.1.9 Security
  • 2. The service may be contracted out. A contract of service or memorandum of agreement with a service provider should be secured as a prerequisite for license to operate. 1.1.10 Dietary 1.1.11 Social Works 1.2. CLINICAL SERVICES 1.2.1 Medicine 1.2.2 Pediatrics Obstetrics and 1.2.3 Gynecology 1.2.4 Surgery and Anesthesia 1.2.5 Emergency Service 1.2.6 Out Patient Service Intermediate to specialized nursing care and NURSING SERVICE management plus Highly Specialized Critical Care and Management in the following areas: Medicine, pediatrics. Obstetrics and Gynecology, Surgery and Anesthesia 1.3. 1.4. ANCILLARY SERVICE Tertiary Clinical 1.4.1. Laboratory Secure License from Bureau of Health Devices 1.4.2. Radiology- 2nd level and Technology Secure license from Food and Drug 1.4.3. 1.7. 1.8. Pharmacy Administration DENTAL CLINIC PHYSICAL MEDICINE AND REHABILITATION CLINIC 2. PERSONNEL ADMINISTRATIVE 2.1. QUALIFICATIONS 2.1.1. Shall have completed a Master's Degree in Hospital Administration or related course (Master in Public Administration, Master in Business Administration, Master in Public Health, Master in Health Service Administration, Master in NUMBER REQUIRED
  • 3. Business Management, etc.)AND at least five (5) years experience in a supervisory or managerial Chief of Hospital /Medical position. Director 1 Shall have complete a Master's Degree in Hospital Administration or related course (Master in Public Administration, Master in Business Administration, Master in Public Health, Master in Health Service Administration, etc.)AND at least five (5) years experience in a supervisory or Chief Administrative Officer managerial position 2.1.2. 1 Certified Public Accountant 2.1.3. Accountant Accounting clerk 1 With Bachelor's degree relevant to the job 2.1.4. 1 Bookkepper 2.1.5. 1 Billing Officer 2.1.6. 1 2.1.7. Budget/Finance Officer 2.1.8. 1 Cashier 1 2.1.9. Cash Clerk 1 2.1.10. Clerk, Pool 2.1.11. Driver 1:50 With appropriate experience and with professional driver's license 3 With updated License as Civil, Mechanical or Electrical Engineer by Professional Regulatory 2.1.12. Engineer Commission Human Resource 1 With Bachelor's degree relevant to the job Management 2.1.13. Officer/Personnel Officer 2.1.14. 1 With relevant training Laundry Worker 2.1.15. 1:50 With appropriate training and experience Maintenance Personnel 2.1.16. Mechanic 1 per shift With appropriate training and experience 1 2.1.17. MedicalEquipment/Biomedic With appropriate training and experience al Technician 2.1.18. with Bachelor's Degree And Training in ICD 10 Medical Records Officer 2.1.19. 1 and Medical Records Management With updated License by Professional Regulatory Commission and with relevant 1
  • 4. Medical Social Worker 1 With appropriate training and experience 2.1.20. training 1 per shift per Security Guard open entrance Storekeepper/Linen 2.1.21. Custodian With appropriate training and experience 1 With Bachelor's degree and relevant training 1 With relevant training 1:50 Supply Officer 2.1.22. Utility Worker 2.1.23. With updated License by Professional 2.1.24 Nutritionist-Dietitian Regulatory Commission 1:100 2.1.25 Cook 1:100 2.1.26 Food Service Worker 1:50 2.1.27 Food Service Supervisor 1 With relevant training 2.3. MEDICAL Chief of Clinics/Chief Shall be a fellow/diplomate in a specialty society Medical Professional And at least five (5) years experience in a Services supervisory/managerial position 2.3.1 1 Shall be a fellow/diplomate in a specialty society of the department he/she heads 2.3.2 Department Head Consultant Staff/Medical Specialists in Ob-Gyn, 1 per clinical department Fellow/Diplomate and with Updated Professional Regulatory Commission license Pediatrics, Medicine, 2.3.4 Surgery and Anesthesia 1 per department Physician With updated Professional Regulatory (Shall not go on continuous Commission license duty for more than forty2.3.5 eight (48) hours straight). 1:10 2,4. NURSING Shall have completed a Master's degree in Nursing (Master of Arts in Nursing, Master in Nursing, Master of Science in Nursing) AND at least five (5) years experience in nursing supervisory/managerial position in a hospital; Chief Nurse/Director of 2.4.1. With updated Profesional Regulatory Nursing Commission license, 1 Master's Degree in Nursing with three years hospital experience in supervisory/managerial position; With updated Profesional Regulatory 2.4. Assistant Chief Nurse Commission license, 1
  • 5. With updated Profesional Regulatory Commission license,With at least nine (9) units Supervising Nurse/Nurse 2.4. of Master's Degree in Nursing with three years Managers hospital experience. 1 per department With updated Profesional Regulatory Supervising Nurse in Critical Care Areas; CCUs include Master's Degree in Nursing, at least three years all types of ICUs i.e., 2.4. Commission license, at least nine (9) units of hospital experience and with training in Critical PACU/RR, PICU,SICU Care Nursing 1 per critical unit With at least three (3) years experience in 2.4. Staff Nurse hospital. 1:15 RNs With updated Professional Regulatory 2.4. Head Nurse/Senior Nurse 1:12 beds at any Commission License given time With updated Professional Regulatory Commission license and Training in Critical 2.4. Staff Nurse in CCU 1:3 at any given Nursing time With relevant training 1:24 at any given Nursing Attendant/Midwife; there shall be 1 reliever for every 3 Nursing Attendant/Midwife 2.4. time Nursing Attendant/Midwife in CCUs; there shall 1 reliever for every 3 Nursing Attendant/Midwife 2.4. 1: per shift per with relevant training critical area depending on the number of With updated Professional Regulatory 1 per shift per cases Commission license and Training in OR Nursing OR depending on the number of With updated Professional Regulatory 1 per shift per DR cases Commission license and Training in DR Nursing Operating Room Nurse; number may increase 2.4. Delivery Room Nurse; number may increase 2.4. Emergency Room Nurse; may increase depending on 2.4. With updated Professional Regulatory 1 per shift per the number of patients Commission license and Taining in ACLS department With updated Professional Regulatory 2.4. Out-Patient Nurse 2.5. Commission license and with relevant training 1 ALLIED MEDICAL With updated Professional Regulatory 2.5.1. Dentist Commission license 1 2.5.2 Dental Aide With relevant training 1 With updated License from Professional 2.5.3. Medical Technologist Regulatory Commission Adequate
  • 6. 2.5.4. Medical Laboratory Aide With relevant training Adequate 1 Clinical; 2.5.5. Pathologist Fellow/Diplomate 1 Anatomical Licensed by Professional Regulatory Commission; must be present when the retail 2.5.6. Pharmacist outlet is open Adequate Licensed by Professional Regulatory 2.5.7. Physical Therapist Commission 1 2. 5.8. Radiologist Fellow/Diplomate 1 Licensed by Professional Regulatory 2.5.9. Radiologic Technologist Commission Adequate Designate (Radiologist or Radiologic 2.5.10. Radiation Safety Officer Technologist) 1 Licensed by Professional Regulatory 2.5.11. Respiratory Therapist Commission 1 per shift 3. EQUIPMENT/ INSTRUMENT QUANTITY 3.1. ADMINISTRATIVE Ambulance, available 24/7 and physically present; if outsourced, shall be on call 3.1.1. (Refer to A.O. 2010-0003-National Policy on Ambulance Use and Services) 1 Computer with Internet Access 3.1.2. Good Access 1 Emergency Light 3.1.3. installed in each lobby, hallway,nurses's station, office/unit and stairways 1 Fire Extinguishers installed in each lobby, hallway, nurses's station, office/unit and stairways (In 3.1.4. compliance with Fire Code of the Philippines 3. 1.5. LCD projector 1 1 Generator set 3. 1.6. with Automatic Transfer Switch (ATS); (KVA depends on the load) 3.2 DIETARY 3.2.1 Exhaust fan 3.2.2 Food Conveyor 3.2.3 Food Scale 3.2.4 Osterizer/Blender 3.2.5 Oven/Stove 1 1 1 1 1 1
  • 7. 3.2.6 Refrigerator/Freezer 3.2.7 Utility cart 3.2.8 Garbage Receptacle with Cover 3.2. CLINICAL: 3.2.1. Bag-valve-mask Unit, Adult 3. 2.2. Bag-valve-mask Unit, Pediatric 3.2.3. Calculator for dose computation 3.2.4. Clinical Weighing scale 3.2.5. Defibrillator 3.2.6. Delivery set, primi: 3.2.6.1. 3.2.6.2. 1 Metzenbaum Scissors, straight Kelly hemostatic forceps, curved or straight Needle Holder 3.2.6.4. Tissue forceps 3.2.6.5. Delivery set, multi: 3.2.6.7. Mayo Scissors, straight Kelly hemostatic forceps, curved or straight 3.2.7. ECG Machine 3. 2.8. EENT Diagnostic Set: 3. 2.8.1. Opthalmoscope 3. 2,.8.2. Otoscope 3.2.9. 3.2.10. 3.2.12. 1 EMERGENCY ROOM 3.2.6.3. 3. 2.6.6. 1 Emergency Cart With complete ER medicines and supplies which are not expired Examining table Examining table (with Stirrups for OB-Gyne 3.2.13. Gooseneck lamp/Examining Light 3.2.14. Instrument/Mayo Table 3.2.15. Laryngoscope with different sizes of blades 3.2.16. Medicine Cabinet 1 1 1 1 1 1 1 2 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1
  • 8. Minor Instrument Set: (May be used for Tracheostomy, Closed Tube 3.2.17. 1 Thoracostomy and Cutdown) 3.2.17.1. Scalpel handle No. 3 3.2.17.2. Scalpel handle No. 4 3.2.17.3. Metzenbaum Scissors, curved 3. 2.17.4. Mayo Scissor, straight 3. 2.17.5. Skin retractors 3.2.17.6. Kelly hemostatic, curved 3.2.17.7. Kelly hemostatic, straight 3. 2.17.8. Mosquito forceps, curved 3.2.17.9. Mosquito forceps, straight 3.2.17.10. Tissue forceps 3.2.17.11. Thumb forceps 3.2.17.12. Needle Holder 1 1 1 1 1 pair 2 2 4 4 1 1 1 1 3.2.18. OR Light 3.2.19. Nebulizer 3.2.20. Negatoscope 3.2.21. Neurologic Hammer 1 1 1 1 3. 2.22. Oxygen Unit, tank is anchored/chained/strapped or with tank holder 3.2.23. Pulse Oximeter 3.2.24 Sphygmomanometer, Non-mercurial 3.2.24.1 - Adult Cuff 3.2.24 .2. - Pediatric Cuff 3.2.25. Stethoscope 3.2.26. Suction Apparatus 3.2.27. Suturing Set: 3. 2.27.1. Mayo Scissors 3.2.27.2 Needle Holder 3.2.27.3. Tissue Forceps 1 1 1 1 1 1 1 1 1 1
  • 9. 3. 2.27.4. Mosquito Forceps 3.2.28. Thermometer, oral,Non-mercurial 3.2.29. Thermometer, rectal,Non-mercurial 3.2.30. Tracheostomy Set: 3.2.30.1. Obturator 3.2.30.2. Inner Cannula 3.2.30.3. Outer Cannula 3.2.31. Vaginal Speculum, Different Sizes 3.2.32. Wheelchair 3.2.33. Wheeled Stretcher with guard/side rails and wheel lock or anchor. 3.3 Clinical Height and Weight Scale 3.3.2. ECG Machine 3.3.3. EENT Diagnostic Set 3. 3.4. Gooseneck lamp/Examining Light 3.3.5. Examining table with wheel lock or anchor 3.3.6. Instrument/Mayo Table 3.3.7. Minor Instrument Set: 1 1 1 1 1 1 1 1 1 OUT PATIENT DEPARTMENT 3.3.1. 4 3.3.7.1. Scalpel handle No. 3 3.3.7.2. Scalpel handle No. 4 3. 3.7.3. Metzenbaum Scissors, curved 3.3.7.4. Mayo Scissor, straight 3.3.7.5. Skin retractors 3.3.7.6. Kelly hemostatic, curved 3.3.7.8. Kelly hemostatic, straight 3. 3.7.9. Mosquito forceps, straight 3.3.7.11. Tissue forceps 1 1 1 1 1 1 1 Mosquito forceps, curved 3.3.7.10. 1 1 1 1 1 pair 2 2 4 4
  • 10. 3.3.7.12. Thumb forceps 3.3.7.13. Needle Holder 3.3.8. 3.3.9. 3.3.10. 3.3.11. Neurologic Hammer 1 1 1 Peakflowmeter -adult 1 Peakflowmeter -pedia 1 Sphygmomanometer, Non-mercurial 3.3.11.1. - Adult cuff 3.3.11.2. - Pediatric cuff 3. 3.12. Stethoscope 3.3.13. Thermometer, oral, Non-mercurial 3.3.14. Thermometer, rectal, Non-mercurial 3.3.15. Suture Removal Set 3.3.16. Suture remover scissor 3.3.16.1. Mosquito forceps 3.3.16.2. Kelly Forceps, curved 3.4. Air-conditioning Unit 3. 4.2. Anesthesia machine 3. 4.3. Cardiac Monitor with Pulse Oximeter 3.4.4. Ceasarian Section Instrument Set: 1 1 1 1 1 1 1 1 1 OPERATING ROOM 3.4.1. 1 3.4.5. Laparotomy Set plus: 3.4.6. Bladder Retractor 1 1 1 1 1 1 Defibrillator 1 E-Cart With complete ER medicines and supplies 3.4.7. 1 Instrument/Mayo Table 1 3.4.8. 3.4.9. 1 3.4.10. 3.4.10.1. 3.4.10.2. Laparotomy/Major Instrument Set: Towel Clamp 1 Scalpel handle No. 3 1
  • 11. 3.4.10.3. 3.4.10.4. 3.4.10.5. 3.4.10.6. 3.4.10.7. 3.4.10.8. 3.4.10.9. 3.4.10.10. 3. 4.10.11. 3.4.10.12. 3.4.10.13. 3.4.10.14. 3.4.10.15. 3.4.10.16. 3.4.10.17. 3.4.10.18. Scalpel handle No. 4 1 Army-navy retractor 1 pair Richardson retractor, double-end 1 Self-retaining retractor (Balfour) 1 Kelly Hemostatic, Curved 4 Kelly hemostatic, straight 4 Halsted mosquito forceps, curved 4 Halsted mosquito forceps, straight 4 Allis Forceps 4 Needle Holder 1 Thumb forceps 1 Tissue forceps 1 Metzenbaum Scissors, curved 1 Operating Scissors, straight 1 Mayo Scissor, curved 1 Mayo Scissor, straight 1 3.4.11. Laryngoscope (with different sizes of blades) 3. 4.12. OR Light 3. 4.13. OR table 3. 4.14. Orthopedic Instrument Set : 3.4.14.1 Periosteal elevator 3.4.14.2. Bone chisel/osteotome 3.4.14.3. Bone Mallet 3.4.14.4. Bone Rongeur 3.4.14.5. Bone Holder 3.4.14.6. Bone Drill with different sizes of drill bits 3.4.14.7. Gigli Saw (handle and wire) 3.4.14.8. Pin/wire cutter 1 1 1 1 1 1 1 1 1 1 1 1
  • 12. 3. 4.14.9. Pin/wire puller 3.4.14.10. Bone Curette 3.4.14.11. Cast Spreader 3.4.14.12. Bone clamp 3.4.14.13. Zimmer 3.4.14.14. Screw driver 3.4.15. 3.4.16. 1 1 1 1 Oxygen Unit, tank anchored/chained Sphygmomanometer, Non-mercurial 3.4.16.1. - adult cuff 3.4.16.2. - Pediatric cuff 3.4.17. 1 Spinal Set 3.4.17.1. Stainless tray with cover, 8 in. L x 6 in.W 2 in. H or Kidney basin 3.4.17.2. Spinal needle 3.4.17.3. Eye sheet 3.4.17.4 Operating gauze 3. 4.18. Stethoscope 3.4.19. Suction Apparatus 3.4.20. Thermometer, oral and rectal, Non-mercurial 3. 4.21. Tracheostomy Set (Outer cannula, Inner cannula, Obturator) 3.4.22. Wheeled Stretcher, with wheel lock or anchor 3.5. Air-conditioning Unit 3.5.2. Cardiac Monitor 3.5.3. Mechanical/patient Bed,with guard/side rails and wheel lock or anchor. 1 1 1 1 1 1 1 1 1 1 POST ANESTHESIA CARE UNIT/RECOVERY ROOM (Functional) 3.5.1. 1 3.5.4. 3.5.5. Oxygen Unit, tank anchored/chained or strapped or with tank holder Sphygmomanometer, Non-mercurial 3.5.5.1. Adult Cuff 3.5.5.2. Pediatric Cuff 1 1 1` 1 1 1 1 1 1 1 1
  • 13. 3.5.6. Pulse Oximeter 3.5.7. Stethoscope 3.5.8. Suction Apparatus 3.5.9. Thermometer, Non-mercurial 3.6. 1 1 1 LABOR ROOM 3.6.1. Cardiotocography (CTG) Machine 3. 6.2. Foetal Doppler 3. 6.3. 1 Oxygen unit; tank anchored/chained or strapped or with holder 3.6.4. Patient bed 3.6.5. Pulse Oximeter 3.6.6 Sphygmomanometer, Non-mercurial 3.6.7. Stethoscope 3.6.8 Thermometer, Non-mercurial 1 1 1 1 1 1 1 1 DELIVERY ROOM 3.7. 3.7.1. Air-conditioning Unit 37.2. Anesthesia machine 3.7.3. Bag valve mask unit 3.7.4. Bassinet 3.7.5. 3.7.5.1. 3.7.5.2. 3.7.5.3. 3.7.5.4. 3.7.5.5. 3. 7.5.6. 3.7.5.7. 3.7.5.8. 3.7.5.9. Dilatation/Curretage set: 1 1 1 1 1 Uterine Sound/hysterometer 1 Uterine Forceps 1 Dull uterine currette 1 Sharp uterine currette 1 Vaginal retractor 2 Vaginal Speculum 1 Ovum forceps 1 Hegars dilator, graduated sizes 1 set Sponge forceps 1
  • 14. Delivery Set- Primi: 1 Mayo Scissor 1 Kelly forceps, curved 1 Umbilical scissors 1 Neddle holder 1 Tissue forceps 1 Delivery Set -Multi: 1 - kelly forceps 2 3.7.7.2. - mayo/umbilical scissors 37.8. DR Light 3.7.9. DR Table 3.7.10. Clinical Infant Weighing Scale 3.7.11. Instrument/Mayo Table 3.7.12. Kelly Pad 3.7.13. Laryngoscope 3.7.6.10. 3.7.6.11. 3.7.6.12. 3.7.6.13. 3.7.6.14. 3.7.6.1.5 3.7.7 3.7.7.1.` 3.7.14. 3.7.15. 1 1 1 1 1 1 Oxygen Unit; tank is anchored/chained/strapped or with holder 1 Emergency Light (Battery Operated) (In case generator malfunctions) 1 3.7.16. Sphygmomanometer -Non-mercurial 3.7.17. Stethoscope 3. 7.18. Suction Apparatus 3. 7.19. Wheeled Stretcher 3.7.20. Cardiac Monitor with Pulse Oximeter 3.7.21. Cardiotocography (CTG) Machine 3.7.22. Oxygen Unit with gauge and humidifier; tank is anchored/chained 3.7.23. Suction Apparatus 3.8. 1 1 1 1 1 1 1 1 1 NEONATAL INTENSIVE CARE UNIT 38.1. Air-conditioning Unit 38.2. Bassinet 1 1
  • 15. 38.3. Bilirubin Light/Phototherapy Machine 38.4 Cardiac Monitor 38.5. 38.6. Emergency Cart with complete medicines and supplies EENT Diagnostic Set: 38.6.1. Opthalmoscope 3 8.6.2. Otoscope 38.7. Glucometer 3 8.8. Incubator/Radiant Warmer 38.9. Clinical Infant Bag-Valve -mask Unit 3.8.10. Clinical Infant Weighing Scale 3.8.11. Infusion Pump/Syringe Pump 3.8.12. Laryngoscope with neonatal blades of different sizes 3.8.13. Nebulizer 3.8.14. Neonatal Stethoscope 3.8.15 . Oxygen Unit tanks shall be anchored/chained. 3.8.16. Pulse Oximeter 3.8.17. Refrigerator for Milk Banking 3.8.18. Respirator/Mechanical Ventilator 3.8.19. Suction Apparatus 3.8.20. Umbilical Cannulation Set: 3. 8.20.1. Umbilical scissors 3. 8.20.2. kelly hemostatic forceps, curved or straight 3.8.20.3. Needle Holder 3.8.20.4. Tissue forceps 3.9. Air-conditioning Unit 3.9.2. Bag-Valve-Mask unit 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 INTENSIVE CARE UNIT 3. 9.1. 1 3.9.2.1. - Adult In Adult Units 1 1 1
  • 16. 3.9.2.2. 3.9.3. - Pediatric, In Pediatric Units Mechanical Bed 3.9.4.. Cardiac Monitor with Pulse Oximeter 3.9.5.. Minor Set (See contents of the set in ER list) 3.9.6. Defibrillator 3.9.7. Infusion Pump 3.9.8. 3.9.9. 3.9.9.1. 3.9.9.2. 3.9.10. 3.9.11. 3.9.12. 1 1 1 1 1 Emergency Cart 1 EENT Diagnostic Set: 1 Ophtalmoscope 1 Otoscope 1 Laryngoscope with different sizes of blades Oxygen Unit; tank is Anchored/Chained Respirator/Mechanical Ventilator (May be outsourced) Sphygmomanometer Non- Mercurial(Reserved for Sudden Breakdown of Cardiac 3.9.13. 1 1 1 1 1 Monitor) 3.9.13.1. - Adult Cuff in Adult unit 3.9.13.2. - Pediatric Cuff in pediatric unit 3.9.14. Stethoscope 3.9.15. Suction Apparatus 3.9.16. Tracheostomy Set: 3.9.16.1. - Obturator 3.9.16.2. - Inner Cannula 3.9.16.3. - Outer Cannula 3.10. Bag-Valve-Mask Unit 1 1 1 1 1 1 1 NURSING UNIT/WARDS 3.10.1. 1 3.10.1.1. - Adult 3.10.1.1. - Pediatric 3.10.2. 3.10.3. Clinical Height and Weight Scale Emergency cart with complete ER medicines and supplies 1 1 1 1 1
  • 17. 3.10.4. EENT Diagnostic Set: (Medical Ward) 3.10.4.1. Opthalmoscope 3.10.4.2. Otoscope Mechanical/Patient bed With locked, if wheeled; with guard or side rails 1 1 1 Depends on Authorized Bee capacity(ABC 3.10.5. 3.10.6 . 3.10.7. 3.10.8. 3. 10.9. 3.10.10. 3.10.11. applied for) Bedside Table 1 Laryngoscope With different sizes of blades 1 Nebulizer 1 Neurologic Hammer Oxygen Unit, tank is anchored/chained Sphygmomanometer, Non- Mercurial with 3.10.11.1. - Adult Cuff 3.10.11.2. - Pediatric Cuff 3.10.12. Stethoscope 3.10.13. Suction Apparatus 3.10.14 Thermometer Non- Mercurial: 3.10.14.1. - Oral 3.10.14.2. - Rectal 3.11. Steam Sterilizer 3.12. Air Compressor 3. 12. 2. Autoclave 3.12.3. Bone file 3.12.4. Bone file, Stainless 3.12.5. Cotton Pliers 3.12.6. Cowhorn Forceps 3.12.7. Dental Chair Unit 1 1 1 1 1 1 1 1 DENTAL CLINIC 3.12.1. 1 CENTRAL STERILIZING and SUPPLY DEPARTMENT/UNIT/ROOM 3.11.1. 1 1 1 1 1 1 1 1 1
  • 18. 3.12.8. 3.12.9. 3.12.10. 3.12.11. Explorer, double-end 1 Forceps, No. 8 1 No. 17 Upper Molar 1 No. 18 Upper Molar 1 3.12.12. No. 150 Maxillary Universal 3.12.13 No. 150 S Primary Teeth 3.12. 14. No. 151 Lower Universal 3.12.15. No. 151 Mandibular Pre-molar 3.12.16. No. 151 S Lower Primary Teeth 3.12.17. Gum Separator 3.12.18. High Speed Handpiece With Burr Remover 3.12.19. Low Speed handpiece, Angled head 3.12. 20. Mouth Mirror Explorer 3.12.21. Periosteal Elevator No. 9, double-end 3.12.22. Rongeur 3.12. 23. Root Elevator 3.12.24. Scaler Jacquettes SetNo. 1, 2 and 3 3.12.25. Surgical Chisel 3.12.26. Surgical Malette 3.15. 1 PHYSICAL MEDICINE & REHABILITATION UNIT 3.15.1. Transcutaneous Electric Nerve Stimulator (TENS) 3.15.2. Exercise Plinht/Bed 3.15. 3. Exercise Stairs with rails 315.4. Overhead Pulley 3.15. 5. Paraffin Wax 3.15.6. Parallel Bars 3.15.7. Dynamometer 3.15.8. Cold therapy products 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
  • 19. 1 3.15.9. Hot therapy products 3.15.10 Cervical traction 3.15.11. Lumbar traction 3.15.12. Light therapy 3.15.13. Pedometer 3.15.14. Groniometer 3.15.15. Therapy rolls 3.15.16. Therapy Mats 3.15.17. Therapy Wedges 3.15.18. Diagonal mirrors 3.15.19. Pulley system 3 15.20. Ulrasound Therapy Machine 1 1 1 1 1 1 1 1 1 1 3.16. 1 RESPIRATORY/PULMONARY UNIT 3.16.1. 3.16.2. Spirometer 3.16.3. 1 Artertial Blood Gas ABG Machine Ventilator 1 1 4. PHYSICAL PLANT PHYSICAL FACILITIES: REQUIRED ROOMS/AREAS 4.1. ADMINISTRATIVE: 4.1.1. Lobby 4.1.1. Waiting Area 4.1.2. Information and reception 4.1.3. Communication Booth/Room 4.1.4. Area for Level 1 4.1.5. Budget and Finance 4.1.6. Billing 4.1.7. Cashier May be in one office with partitions in Level 1 Human Resource/Personnel Office 4.1.8. May be combined with Administrative officer's Office in level 1 4 .1.9. Medical Records Office/Room
  • 20. Shall have storage area; area for completion of patients' charts by physicians and other professionals. Library 4.1.10. not combined with other offices Conference Room 4.1.11. 4.1.12. Office of the Chief of Hospital 4.1.13. Office of the Chief Medical Professional Sevice/ Chief of Clinics 4.1.14. Office of the Chief Administrative Officer 4.1.15. Office of the Training Officer Property/Suppy Office/Room 4.1.16. Linen and Laundry Room 4.1.17. Receiving and releasing Area 4.1.18. Sorting Area 4.1.19. 4.1.20. Washing Area 4.1.21. Ironing Area Not required if contracted-out Clean Linen Storage 4.1.22. Area Clean and orderly Engineering/Maintenance Office/Room 4.1.23. Housekeeping room for cleaning tools and supplies 4. 1.24. Clean and organized Motorpool Area 4.1.25. 4.1.26. Parking Area, shall have adequate space Central Waste Storage Area, shall have color-coded segregation; clean and free 4.1.27. from foul odor Staff Toilet 4.1.28. Provided with water; clean and free from foul odor Public Toilet 4.1.29. Provided with water; clean and free from foul odor DIETARY (Shall have adequate space,clean and Free from foul odor; no 4. 2. insects and rodents Nutritionist-Dietitian's Office 4.2.1. Supply receiving Area (not required if contracted-out) 4.2.2. Cold Storage Area. (not required if contracted-out) 4.2.3. Dry Storage Area. 4.2.4. (not required if contracted-out)
  • 21. Special Diet preparation area 4.2.5. Food preparation Area (not required if contracted-out) 4.2.6. Cooking and baking Area (not required if contracted-out) 4.2.7. Washing Area 4.2.8. Serving and Food Assembly Area 4.2.9. Dining Area 4.2.10. Garbage and Disposal Area 4.2.11. MEDICAL SOCIAL WORKS OFFICE 4..3. - Counselling Area 4.3.1. 4.4. CADAVER HOLDING AREA - Autopsy Area 4.4.1. CLINICAL SERVICES 4.4.2. EMERGENCY ROOM/EMERGENCY DEPARTMENT (ER/ED) Adequate privacy for patients is provided such that sensitive or private discussion, examination, and/or procedure are conducted in a manner or environment where 4.5. these cannot be observed or the risk of being overheard by others is minimized. Decontamination Area with separate entrance and exit; adjacent to ER entrance shall be provided with shower; receptacle for used or contaminated clothing; shelf 4.5.1. for clean patient gowns, Holding Area/Room for Infectious cases awaiting transfer 4.5.2. Shall have ante room with rack/shelf for PPEs Triage Area 4.5.3. Examination and Treatment 4.5.4. shall be provided with handwashing/hand Area Medication Preparation Area 4.5.5. Area Resuscitation Area 4.5.6. adequate privacy shall be provided Minor OR 4.5.7. Observation Area 4.5.8. Patient beds shall be one (1) meter apart Nurses' station 4.5.9. disinfection facility.
  • 22. Area/Room for Imminent Normal Spontaneous Delivery 4.5.10. Shall have lavatory and counter Wheeled Stretcher and Wheelchair Area 4.5.11. Waiting Area 4.5.12. Shall have adequate lighting and ventilation. Doctor's On-Duty Room 4.5.13. Toilet for patients and companions Separate Male from Female; Clean and Free from foul odor; no insects and 4.5.4. rodents OUTPATIENT DEPARTMENT Adequate privacy for patients is provided such that sensitive or private discussion, 4.6. examination, and/or procedure are conducted in a manner or environment where these cannot be observed or the risk of being overheard by others is minimized. Waiting Area 4.6.1. shall have adequate lighting and ventilation. Admitting Office 4.6.2. Consultation Area 4.6.3. Examination and Treatment Area with Lavatory 4.6.4. Nurse's Counter 4.6.5. Staff Toilet 4.6.6. Toilet for patients and companions Separate Male from Female; Clean and Free from foul odor; no insects and 4.6.7. rodents OFFICES OF DEPARTMENT HEADS: 4.7. Medicine 4.7.1. Surgery 4.7.2. Obstetrics and Gynecology 4.7.3. Pediatrics 4.7.4. Anesthesia 4.7.5. Emergency 4.7.6. Out -patient 4.7.7.
  • 23. Pathology 4.7.8. Radiology 4.7.9. OPERATING ROOM 4.8. Major OR 4.8.1. Shall have Control door or Demarcation Line Dressing Room 4.8.2. Nurses's Station 4.8.3. Sub- sterile Area 4. 8.4. Sterile Area 4.8.5. Scrub Up Area 4. 8.6. Operating Room 4. 8.7. Clean- up Area 4.8.8. Storage Area for Sterile packs and Supplies 4.8.9. Wheeled Stretcher Area 4.8.10. Janitor's Closet 4.8.11. POST ANESTHESIA CARE UNIT/RECOVERY ROOM 4.9. Patient Area 4.9.1. Nurse's Station 4.9.2. Medication Area 4.9.3. LABOR ROOM provided with toilet 4.10. DELIVERY ROOM/COMPLEX 4.11. Dressing room 4.11.1. Nurse's Station 4.11.2. Sterile Area 4..11.3. 4.11.4. Scrub Up Area
  • 24. Delivery Room 4.11.5. Clean -Up Area 4.11.6. Storage Area for Sterile Packs 4.11.7. Storage Area for Supplies 4.11.8. Wheeled Stretcher Area 4.11.9. Janitor's Closet 4.11.10. 4.12. HIGH RISK PREGNANCY AREA (May be put up as part of Labor Room or patient may be admitted in ICU) NEONATAL INTENSIVE CARE UNIT 4. 13. Nurse's Station with Lavatory 4.13.1. Medication Preparation Area 4.13.2. Incubator/Warmer Area 4.13.3. Treatment Area 4.13.4. Breastfeeding Area with Lavatory 4.13.5. INTENSIVE CARE UNIT 4.14. Dressing Room 4.14.1. Nurse's Station with Lavatory 4.14.2 Medication Preparation Area 4.14.3 Patient Area 4.14.4 Can accommodate equipment at bedside NURSING UNIT/WARD Adequate privacy for patients is provided such that sensitive or private discussion, examination, and/or procedure are conducted in a manner or environment where these cannot be observed or the risk of being overheard by others is minimized. Adequate space is provided to allow patients and personnel to move safely 4.15. around patient bed areas. Nurses' Station with lavatory All point of care areas should be provided with handwashing/hand disinfection 4.15.1. facility. Medication Preparation Area with Lavatory 4.15.2.
  • 25. Treatment Area with Lavatory 4.15.3. Equipment and Supply Area 4.15.4. Staff Toilet 4.15.5. Patient Rooms with toilet 4.15.6. Linen Area 4.15.7. Waste Bins 4.15.8. Color-coded Janitor's Closet 4.15.9. CHIEF NURSE OFFICE 4.16. ISOLATION ROOM 4.17. Ante room with Lavatory and PPE rack 4.17.1. Handwashing/Hand Disinfection Facility- in all point of care areas 4 .17.2. Toilet 4.17.3 ANCILLARY SERVICES 4.18. 4.18.1. 4.18.1.1 4.18.2. 4.18.2.1. 4.18.2.2. 4.18.2.3. 4.18.3. 4.18.3.1. Tertiary Clinical Laboratory Clinical Work Area with Lavatory/Sink Radiology – 3rd Level X – Ray Room with Control Booth, Dressing Area and Toilet Dark Room Film File and Storage Area Pharmacy Storage Room Required rooms/areas depend on the surgical procedure the clinic is authorized to perform. 4..20.1 PHYSICAL MEDICINE AND REHABILITATION UNIT 4. 21. DENTAL CLINIC 4.22. Dental Chair Unit Area 4.22.1. Consultation Area 4.22.2. with access to Toilet 4.22.3.
  • 26. CENTRAL STERILIZING AND SUPPLY DIVISION/UNIT/AREA 4.23. Receving and Cleaning Area 4.23.1. Inspection and packaging Area 4.2312. Sterilizing Area 4.23.3. Storage and Releasing Area 4. 23.4. PRAYER ROOM/AREA 4.24. Sources: http://www.doh.gov.ph/system/files/planning_and_design_0.pdf Time-saver Standards for Building Types