Emergency Room CensusMay 2014

Alonzo/Cabal/MadridAsuncion/Francisco/Magalit/Rayco

Cacayorin/Lagunilla/LaurenaMendoza/Tamondong

TOTAL TRIAGED PATIENTS N= 814

Number of

Patients

Emergency Room 585

THOC 223

HAMA 6

Absconded 0

Total 814

COMPARISON OF TOTAL TRIAGED PATIENTS (MARCH 2014, APRIL 2014, MAY 2014)

Total ER THOC HAMA Absconded0

100

200

300

400

500

600

700

800

900

1000933

720

219

7 0

941

672

251

16 2

823

594

223

6 0

March 2014 April 2014 May 2014

ER ADMISSIONS (N= 585)

TOTAL PERCENTAGEDISCHARGED FROM THE ER:

A.SSUB.DROP-IN

432

57375

72.3%

9.74%64.1%

TRANSFERRED TO WARDS 167 28.5%

NICU 10 1.7%

RICU 14 2.39%

THOC 6 1.02%

HAMA 0 0%

DOA 3 0.51%

ABSCONDED 0 0%

MORTALITY 6 1.02%

COMPARISON FROM FEBRUARY, MARCH, APRIL 2014 ER ADMISSIONS

discharged at ER level

admitted to ward

NICU RICU0

100

200

300

400

500

600

700

800

516

138

4 14

503

136

7 7

432

167

10 14

MarchAprilMay

COMPARISON FROM FEBRUARY, MARCH, APRIL 2014 ER ADMISSIONS

THOC HAMA Absconded DOA Mortality0

2

4

6

8

10

12

14

16

14

7

0

4

6

10

1 1 1

66

0 0

3

6

MarchAprilMay

TOP 10 ER ADMISSIONSMay 2014 %

1. Acute lymphocytic leukemia 40 20.94

2. Pneumonia 32 16.75

3. Acute gastroenteritis 31 16.23

4. LRE, Generalized epilepsy 18 9.42

5. Acute leukemiaCNS infection

88

4.18

6. Bronchial asthma 7 3.66

7. Urinary tract infectionNeonatal sepsisAcute tonsillopharyngitis

666

3.14

8. Status Epilepticus 5 2.61

9. Systemic viral illnessSeptic shock

44

2.09

10. HCAPAcute glomerulonephritisAcute appendicitisPreterm neonateBronchiolitisSepsis

333333

1.57

NUMBER OF HOURS OF ER STAY

April 2014 May 2014

Mean 7.86 8.23

Median 4 5

Mode 2 2

TRANSFERRED TO NICU

NICU ADMISSIONS(N=10)

NAME AGE DATE ADMITT

ED

No of Hours Stay

ADMITTING DIAGNOSIS

RIC

Banag, Bb. Girl NB/F 05/05/14 5 hrs Preterm 33-34 wks AOG, SGA, Gastroschisis

Cacayorin

Casilang, Bb. Boy A

NB/M 05/07/14 5 hrs Preterm 35 wks BS RDS, Sepsis

Tamondong

Casilang, Bb. Boy B NB/M 05/07/14 5 hrs Preterm 35 wks BS RDS, Sepsis

Francisco

Ersan, Baby Girl NB/F 05-14-14 4 PT, 27 weeks by BS, AGA, RDS r/o sepsis

Magalit

NICU ADMISSIONS(N=10)

NAME AGE DATE ADMITT

ED

No of Hours Stay

ADMITTING DIAGNOSIS

RIC

Colinares, Kevin

NB/F 05-20-14 8 FT, 39 weeks by UTZ, 40 weeks by BS, AGA,

t/c neonatal sepsis

Magalit

Carreon, Julius NB/M 05-20-14 7 Omphalocoele Magalit

Penaredonda, Rhian 3rd DOL/ F

05-20-14 10 Neonatal sepsis Magalit

Natividad, Baby Boy

NB/M 05-25-14 2.5 FT 39-40 weeks by BS, AGA, Meconium

aspiration pneumonia, Neonatal Sepsis, Situs

invertus solitus

Mendoza

NICU ADMISSIONS(N=10)

NAME AGE DATE ADMITT

ED

No of Hours Stay

ADMITTING DIAGNOSIS

RIC

Francia, Francine

NB/F 05-28-14 1 FT, Neonatal Sepsis Cacayorin

Cudiamat, Rafael NB/M 05-30-14 5 FT, AGA, Meconium aspiration syndrome, HIE

stage I, Pneumothorax bilateral

Rayco

TRANSFERRED TO RICU

RICU ADMISSIONS (N=14)

Name Age/

Sex

Date Hours Of Stay

Admitting Diagnosis RIC

Dimaano, Carl 1/M 05/01/14 13hrs

Hydrocephalus secondary to Pontine

MassFransisco

Fajardo, Elara Reese

2/F 05/02/14 7hrsStatus Epilepticus, Drug

induced toxicity (Isoniazid, Rifampicin)

Laurena

Donaire, Jamaike

Aries2/F 05/02/14 11hrs Hypokalemic periodic

paralysis Laurena

Raneses, Zshan Carlo

3mos/M 05/03/14 9hrs Pneumonia, severe Tamondong

Primor, Ermac

12/M 05/05/14 5hrs

Post-Streptococus Glomerulonephritis,

Hypertensive emergency

Laurena

RICU ADMISSIONS (N=14)

Name Age/

Sex

Date Hours Of Stay

Admitting Diagnosis RIC

Pangilinan, Daniela 7/F 5/7/14 1 Guillaine Barre

Syndrome Magalit

Maninanang, Julia 13/F 5/16/14 5

Hypertension secondary to Chronic kidney disease stage 5 secondary to SLE

nephritisStroke in the young

Cacayorin

Bonustro, Joseph

12/M 5/19/14 2

Aspiration pneumonia, Cerebral palsy, quadrispastic,

Localization related epilepsy

Cacayorin

Sari, Axel 1/M 5/19/14 5

Chronic diarrhea, Congenital Central

hypoventilation syndrome, Hirschprung

disease s/p tracheostomy and

colostomy

Cacayorin

RICU ADMISSIONS (N=14)

Name Age/Sex

Date Hours Of Stay

Admitting Diagnosis RIC

Rada, Keisha 5mo/F 5/21/14 1.5 Septic shock Cacayorin

Andrion, John

Kenneth15/M 5/25/14 3 Diabetic ketoacidosis,

severe Mendoza

Llagas, Claude 10m/M 5/26/14 6

Congenital heart disease, Ventricular

septal defect in failureMagalit

Gluvam Jubmel 13/M 5/26/14 3.5 Hypokalemia secondary

to gastrointestinal loss Laurena

Garcia, JR 8mos/M 5/29/14 4.5 Status epilepticus, CNS infection; Bronchiolitis Lagunilla

MORTALITIES

NAME AGE/SEX

DATE Hours of Stay

Admitting Diagnosis

Final Diagnosis RIC

Mendoza, Clark 4mos 05/08/14 5hrs Septic shock,

PCAP-D

Multiple organ dysfunction

syndrome( acute respiratory distresss

syndrome) Disseminated intrav ascular

coagulopathy; sepsis secondary to CNS

infection, T/C inborn error of metabolism

Mendoza

Remolacio,

Stephanie7/F 05/09/14 3hrs

40mins

Acute Myelocytic Leukemia

Acute myelocytic leukemia in crisis; sepsis,

Intracranial bleed

Tamondong

Villena, Jhomel 4/M 5/12/14 7 Sepsis

Septic Shock, Disseminated TB, t/c

LymphomaAsuncion

MORTALITIES (N =6)

NAME AGE/SEX

DATE Hours of Stay

Admitting Diagnosis

Final Diagnosis

RIC

Pascual, 2/M 5/17/14 16 AGE with severe dehydration

Respiratory arrest secondary to

respiratory failure secondary to

severe metabolic acidosis

secondary to AGESepsis

Cacayorin

Geronimo, CJ 2/M 5/17/14 2.5 Chemica burn

Septic shock secondary to chemical burn

Magalit

Relato, Myren

e3/M 5/17/1

4 2.5 Septc shock

Septc shock, DIC, Cerebral

palsy quadrispasctic

Laurena

MORTALITIES(N =6)

DEAD ON ARRIVAL

DEAD ON ARRIVAL(N=3)

NAME AGE/SEX DATE RIC

Crispino, Santel Mae NB/F 05/06/14 Rayco

Reyes, Bb. girl NB/F 5/21/14 Francisco

Dela Rosa, Tommy 11mos/M 5/22/14

THANK YOU