March 30, 2015

--MINUTES OF THE MEETING

The following topics were discussed during a mini conference held on March 30, 2015.
I.

Roles of Junior interns

a. Duty: would assume the ER post
i. Responsibilities include : completion of ER blotter (2 copies for inpatients); completion of laboratory requests at the ER level;
b. Floater: assumes surgical procedures done at the OR and monitoring at the
PACU
c. From: Ward works including monitoring patients admitted the SICU. In the
event that there would be no SICU patients, the JI would help in the ER.

II.

Rotation of Junior interns

a. On the first fifteen (15) days of April, there would be three (3) midyear junior
interns who will rotate at BGHMC.
b. The rest of the outgoing junior interns would still be having their make-ups
for the deficiencies accumulated during the past year (lates/absences) until
April 15, 2015 prior to clearance for graduation.

III.

Delineation of ward works for nurses

a. IV insertion
i. Would be under the nursing service, provided that they only have one
try. In the event that they cannot insert the catheter, they would refer
it to the resident.
b. Laboratory requests
i. All laboratory requests ordered in the chart should be concise, and
should already include the working diagnosis. The requests should be
filled up completely by the Nurse on duty.
c. All patients in the wards would be monitored and recorded as ordered in the
chart by the nurses, and would relay significant readings to the residents
EXCEPT for the following wards: MICU. SICU and PACU
Roles of Senior interns
a. Outgoing senior interns would have their rotation up until April 30, 2015. The
incoming interns for 2015-2016 were given the option to start senior
internship on MAY 01, 2015 OR AUGUST 01, 2015 as mandated by APMC.
b. Starting April 16, 2015 to April 30, 2015, there would only be three (3) junior
interns rotating in the department of surgery. The senior interns then would
be responsible for the following tasks:
i. Completion of typewritten history
ii. Daily progress notes
iii. Discharge summary
iv. Clinical abstracts
c. They would also be mandated to be at the ER during their tour of duty.
Role of residents

IV.

V.

a. In the event that there would be NO senior interns who would start on May
01, 2015, the following are roles assumed by the residents:
i. Chart completion during their tour of duty (from 8am at the start of
their duty to 8 am the following day). This includes typewritten history,
daily progress notes, discharge instructions and clinical abstract.
ii. During their tour of duty, department of ophthalmology patients
seeking consult during duty hours (5pm onwards up to 7:30am the
next day) would be seen and examined and referred to the respective
consultants on duty.
b. Ward works
i. IV insertion in cases of failed first attempts of nursing staf
ii. NGT and IFC insertion would be done by the residents.
iii. Morning rounds:
1. Carried out daily however wound dressing would be done by the
resident on duty.
(The above mentioned roles of residents are compromises to be done in the
event of NO SENIOR INTERNS this May 01, 2015)

VI.

c. Medical certificates and medicolegal certificates

i. Would still be signed by the resident in charge.
Miscellaneous
a. Consultants are advised that there may be a shortage of assistants during
surgical procedures. They may opt for the nursing students to assist in the
case.
b. The 24 hour tour of duty of interns may be altered during the month of May
to accomplish paperworks.
c. Senior interns that would wish to start internship on May 01, 2015 would be
responsible for all paperwork.

Prepared by: JMDRodriguez, MD