PINUKPUK DISTRICT HOSPITAL
Junction, Pinukpuk
Kalinga Province
Contact person: DR. VERONICA D. BAYONG – Chief of Hospital
Contact number: 09194875424

The Pinukpuk District Hospital was created by House Bill no. 7842 and started its operations in august of 1971 as a 25-bed secondary hospital. It was at first situated at Poblacion, Taga and was transferred to its present address which is Barangay Junction. It is at present owned and operated by the Province of Kalinga.
The Pinukpuk District Hospital is right smacked at Pinukpuk Junction where the crossroad of major transportation routes to cluster barangays, other municipalities and provinces is located; thus making it accessible by all-weather roads (dirt and partially concreted) to all of the 23 Pinukpuk Municipality Barangays, some Barangays of Balbalan, conner and Tabuk. Barangay junction is indeed rightly termed as junction because it is the common main route to the inner barangays of Saltan, Mananig and Cal-oan, very adjacent to the chico group of barangays and a convenient “passing through” access towards Balbalan, Conner and Cagayan coming from Tabuk.
With the creation of the PUMIYA-AN ILHZ, the PDH became one of its core referral hospital, the other one being the WKDH.

SCOPE OF SERVICES

The PDH has 2 physicians, the chief of hospital and the medical officer II, both plantilla positions. A surgeon from the RHU renders surgical services from time to time when needed.
The facilities and services offered are the following:
1. OPD Consultations and Admissions
2. ER Consultations
3. Medico legal consultations
4. Basic laboratory examinations like CBC with Platelet count and hematocrit determination, blood typing, blood glucose, Urinalysis using the 10-parameter strip, stool examination, malarial smear, and Pregnancy test.
5. Minor surgical operations
6. Dental facility
7. Medical certification for Employment and Students
8. Family planning Services – Level l
9. Maternal care – prenatal, Normal Spontaneous delivery and postnatal examinations
10. Newborn screening – certified in October 2007
11. Recognized as Mother- Baby friendly hospital in 1997
12. Hospital pharmacy
13. PHIC accredited
14. X-ray/Ultrasound services

HOSPITAL MANAGEMENT AND SYSTEMS

The chief of Hospital is supported by the administrative officer (AO) and the chief nurse. The COH and the M.O II are the only physicians going on alternate 24-hour duties; one on more than straight 24-hour duties whenever one is out on official business especially when official travel is scheduled for several days. The COH likewise is the Radiologist-Designate of the Department of Radiology at the Kalinga Provincial Hospital and goes there at least 2x a week. The AO is in-charge of all the administrative functions in the hospital and reports to the COH every month; while, the chief nurse is in-charge of the nursing services and the institutional workers. All relevant reports are consolidated and submitted to the chief of hospital on a monthly basis for submission to the provincial health office.
Housekeeping is under the supervision of the chief nurse. The utility workers are not enough to go on a 24-hour shift so at nighttime, the security guard acts also as the janitor in addition to his usual duties and responsibilities.
There is only 1 security guard who goes on 8-hour duty (during night time only) per day so that visiting hours are not well implemented. During the off-days of the security guard, 1 of the male janitors takes over and performs the task of a security guard in addition to his usual tasks. The fire safety of the old hospital building is duly complied with in accordance to the specifications as imposed by the Bureau of Fire. The hospital has 1 maintenance man; however, he cannot keep up with the deteriorating roofs that leak during the rainy season and other hospital parts that need general repairs. Solid wastes that are degradable are disposed of through the community garbage disposal system and human/pathological/biological wastes and sharps are disposed of in the pathological/septic tank/vaults.

PERSONNEL/HUMAN RESOURCES

According to the DOH new classification for hospital, requirements for staff and personnel for the hospital’s present level which is a Primary Care Facility-infirmary with beds is complied with which are all permanent plantilla position.


FINANCIAL INFORMATION/ACCOUNTING

In 2013, the total budget of the hospital amounted to 14,795,711.22 of which 79.9 % is spent on personnel salaries and 20.04 % to MOOE.
The income from the operations totaled to 2,992,372.00 of which 2,48,442.00 comes from PHIC reimbursements.

PROCUREMENT, SUPPLIES AND DRUGS

The hospital has a drug formulary as the basis for the therapeutic committee in purchasing drugs and complies to the procurement plan as per the provincial government requires. All purchase requests are done quarterly to be submitted to the Provincial Government where bidding/awarding and the rest of the procurement procedures are done.

MEDICAL STAFF

The hospital is not departmentalized and only 1 physician goes on 24-hour duty, i.e., either the COH or the MO III who will attend to all the patients so that on days where 1 physician is out on official business for a few days, the other one goes on straight 24-hour duties also for several days.


PHARMACY

The pharmacy is manned by 1 pharmacist daily from 8-5, Mondays to Fridays. Stocks are endorsed to the nursing service after office hours. The pharmacist can be on-call during weekends and holidays in the exigency of service. The Budget allocation for drugs and medicines was increased to accommodate PHIC patients and to comply with the NBB policy for government healthcare facilities.


LABORATORY

The laboratory is manned by a medical technologist who also renders service from 8-5 daily from Mondays to Fridays. Basic clinical laboratory and NBS are done. Medtech is sent to trainings whenever there is an invitation and encouraged to attend conventions. During weekends and holidays, in the exigency of service, the medtech can be on on-call status whenever needed.

MEDICAL RECORDS

A medical records officer mans the records section from Monday to Friday, 8-5. The record system is centralized, i.e., both the OPD and WARD records are in 1 room. The recording system is partly computerized up to MODULE I only so manual recordkeeping is still practiced. The 6th component of the present administration is Information System wherein, recording and reporting would be computerized where there will be networking within and throughout the health facilities.

FOOD SERVICE/KITCHEN

The unit is manned by a nutritionist-dietatitian, a cook and a food service worker. Marketing is done daily for vegetables and weekly for groceries. Patients are served breakfast, lunch and dinner with a daily budget allocation of 50.00/patient.

RADIOLOGY

The PDH is a recipient of a 10-million worth of equipments from the HFEP-DOH, 1 of which is a brand new x-ray machine and was installed this last quarter of 2014 and to be use with the grant of its license to operate. An ultrasound machine was also provided for by the HFEP and will soon be operating. The present Chief of Hospital since she is trained, she will be in-charge of the Radiology section.

NURSING SERVICES

The nursing service unit is headed by the chief nurse with 6 staff nurses, 5 nursing attendants and 4 utility workers. On AM shift (7am-3am), 1 nurse mans the ward with 1or 2 nursing attendants depending on the situation. 1 nurse and 1 midwife permanently mans the OPD daily from 8 am to 5 pm. The rests of the shifts are manned by 1 nurse and 1 attendant. The ER is manned by the ward nurse.

BUILDINGS and GROUNDS

In 2012, the HFEP-DOH granted the Pinukpuk District Hospital a 20- million worth of infrastructure (new building) which at present is already finished and turned over by the DOH. The grant was given after several proposals were submitted to the DOH. By history, the construction of the old building at its present site begun in 1975 by phases and was completed a few years after. In 1999-2001, renovations were done on its roofs and floors but there was never a construction of a new building. Over time with “wear and tear” leaking roofs developed that lead to its dilapidation despite its regular replacement affecting the electrical system of the hospital thereby endangering the patients and watchers and employees. This was the basis why proposals for repair were submitted. It must have made an impact that the DOH finally heeded our plea and granted us the above amount for which the COH and the rest of the Staff and Personnel are very grateful. The old building shall still be used as additional wards and other facilities necessary to complement the need to upgrade to level 1 after its renovation.
The hospital sits on a 2-hectare land donated by the family of the late Andres Cawilan, the papers being received accordingly at the DOH central office. The lot is surrounded by residential houses.