Citizens Charter Heatlh - Official Website of San Nicolas Pangasinan

1.ADMISSION OF PATIENT FOR CONSULTATION The Municipal Health Office is responsible for the Primary Health Care Provider for Medical assistance, diagnosis and treatment.
Office or Division:	MUNICIPAL Health Office
Classification:	Simple
Type of Transaction:	Government to Government
Who may avail:	All
CHECKLIST OF REQUIREMENTS			WHERE TO SECURE
Valid Identification Card (1 original)			Client
Client Steps	Agency Action		Fees To Be Paid		Processing Time		Person Responsible
1.Secure Number from the reception.	1.1 List name of the client and give number.		None		1 minutes		Midwife on Duty
2.Present the Patients Number to the midwife on duty and sign the patient’s logbook	2.1 Get the patients folder take the vital signs per patient. Instruct the patients to follow their secure number		None		1 minute 5 minutes 1 minute per patient		Midwife on duty
3.Proceed to consultation.	3.1 Consultation, Diagnosis and treatment.		None		5-10 minutes per patient		Dr. Francis Lawrence P. Subido Municipal Health Officer Dr. Carl Jones P. Alimorong Medical Officer II
4.Present Laboratory Result to Municipal Health Officer	4. Interpret laboratory result		None				Dr. Francis Lawrence P. Subido Municipal Health Officer Dr. Carl Jones P. Alimorong Medical Officer II
5.Proceed to Treatment Room	5.Carry Out Doctors order 5.1 Treatment Procedure		None		5 – 10 minutes per patient		Mae Kathleen Kay C. Tenerife, RN Nurse II
6.Procced Pharmacy	6.Dispensing Medicines		None		5 minutes		Mae Kathleen Kay C. Tenerife, RN Nurse II
TOTAL			None		1 hour, 6 minutes (variable)
2.MATERNAL AND CHILD HEALTH SERVICES (PRE-NATAL) The Municipal Health Office is responsible in maternal care services to pregnant women.
Office or Division:		Municipal Health Office
Classification:		Simple
Type of Transaction:		Government to Government
Who may avail:		All
CHECKLIST OF REQUIREMENTS				WHERE TO SECURE
Valid Identification Card (1 original)				Client
Client Steps		Agency Action		Fees To Be Paid		Processing Time		Person Responsible
1.Sign-in client’s logbook		1.1 Get attendance, clients record admission.		None		5 to 10 minutes		Nurse on Duty
2.Submits for Pre-Natal Check Up		2.1 Pre-Natal Check Up a. Abdominal Palpitation b. Fundal Height c. Tetanus Toxioid		None		5 to 10 minutes		Midwife on Duty
		Provides Health Education		None		2 minutes		Midwife on Duty
TOTAL				None		14 minutes

3.MATERNAL AND CHILD HEALTH SERVICES (CHILD BIRTH) The Municipal Health Office is responsible in maternal care services to pregnant women.
Office or Division:		Municipal Health Office
Classification:		Simple
Type of Transaction:		Government to Government, Government to Business Entity, Government to Citizen
Who may avail:		All
CHECKLIST OF REQUIREMENTS				WHERE TO SECURE
Valid Identification Card (1 original)				Client
Client Steps		Agency Action		Fees To Be Paid				Processing Time			Person Responsible
1.Sign Client Logbook		1.1 Admission 1.2 Weighing of babies 1.3 Administration of Vaccine 1.4 Recording 1.5 Documentation of yellow card 1.6 Health Education		None				5 minutes			Midwife Assigned in Barangay
TOTAL				None				1 day, 34 minutes (variable)
4.MATERNAL AND CHILD HEALTH SERVICES (POST NATAL) The Municipal Health Office is responsible in maternal care services to pregnant women.
Office or Division:	Municipal Health Office
Classification:	Simple
Type of Transaction:	Government to Government, Government to Citizen
Who may avail:	All
CHECKLIST OF REQUIREMENTS			WHERE TO SECURE
Valid Identification Card (1 original)			Client
Client Steps	Agency Action		Fees To Be Paid				Processing Time			Person Responsible
	1.1 Home Visit		None				1-2 Hours			Midwife Assigned in Brgy.
	2.1 Health Education 2.2 Introduce Program Family Planning		None				5- 10 Minutes			Midwife Assigned in Brgy.
TOTAL			None				54 minutes (variable)
5.SANITARY PERMIT TO OPERATE AND HEALTH CERTIFICATE The Municipal Health Office is responsible in food establishment, water refilling station, meat/fish/vegetable vendors, parlor/barber shops, sari-sari store/grocery store.
Office or Division:	Municipal Health Office
Classification:	Simple
Type of Transaction:	Government to Government, Government to Citizen
Who may avail:	All
CHECKLIST OF REQUIREMENTS					WHERE TO SECURE
Valid Identification Card (1 original)					Client
Client Steps	Agency Action				Fees To Be Paid	Processing Time			Person Responsible
1.Sign-in logbook	1.1 Interview and ask the client to present required documents				None	1 minutes			Mae Kathleen Kay C. Tenerife Sanitary Inspector Designate
2.Presents Complete documents signed by the licensing officer.	2.1 Review the documents				BUSINESS PERMIT	5 minutes			Mae Kathleen Kay C. Tenerife Sanitary Inspector Designate
3.Pay laboratory Fees	3.1 Provide the requested document/s				Urinalysis Fecalysis Hepa B	5 minutes			MTO Staff
4.Submit Laboratory Request/ Specimen To Laboratory	4.1 Collect and Examine Specimen				X-RAY RESULT FECALYSIS URINALYSIS HEPA B	5 minutes			Imee Grace D. Mejica Medical Technologist
5.Wait for the release of Laboratory					None	30- 45 minutes
6.Proceed to Consultation Room For Approval Of Result	6.1 Interpret Laboratory				None	5-10 minutes			Dr. Francis Lawrence P. Subido Municipal Health Officer Dr. Carl Jones P. Alimorong Medical Officer II
7.Wait for the Sanitary Permit and Health Certificate	7.1 Release Sanitary Permit and Health Certificate				None	5 minutes			Mae Kathleen Kay C. Tenerife Sanitary Inspector Designate
TOTAL					None	59 minutes (variable)

6.ASSESSMENT OF NUTRITIONAL STATUS AND IMPLEMENT PROGRAMS AND ACTIVITIES REGARDING NUTRITION The Municipal Health Office is responsible in nutritional station and Implement Programs and Activities Regarding Nutrition.
Office or Division:	Municipal Health Office
Classification:	Simple
Type of Transaction:	Government to Government, Government to Citizen
Who may avail:	All
CHECKLIST OF REQUIREMENTS				WHERE TO SECURE
Valid Identification Card (1 original)				Client
Client Steps	Agency Action			Fees To Be Paid	Processing Time		Person Responsible
	1.1 Plan a Program based on the activity to be conducted.			None	1 minutes		Mae Kathleen Kay C. Tenerife Nutrition Officer
	2.1 Present Program to the Mayor for the approval, implement the approval program.			None	5 minutes		Mae Kathleen Kay C. Tenerife Nutrition Officer
	3.1 Prepare communication letter to the Punong Barangay for the the upcoming activities concerning Nutrition within the Municipality.			None	5 minutes		Mae Kathleen Kay C. Tenerife Nutrition Officer
	Meet the Punong barangay, Barangay Nutrition Scholar, Barangay Health Worker in every barangay for Information Drive			None			Mae Kathleen Kay C. Tenerife Nutrition Officer
5.Parents Assistance are require	Conduct Annual Operation Timbang To all barangay			None	30- 45 minutes		Mae Kathleen Kay C. Tenerife Nutrition Officer
6.Parents Assistance and consent are required	Conduct Garantisadong Pambata (Vit A) Deworming to all barangay			None	5-10 minutes		Mae Kathleen Kay C. Tenerife Nutrition Officer
	Gather Annual Municipal Plan Of Action and Semi- Annual Phillipine Plan Action of Action Of Nutrition Accomplishments Report.			None	5 minutes		Mae Kathleen Kay C. Tenerife Nutrition Officer
	Submit the documentation of the program being conducted to the Provincial Nutrition Office with copy furnished to the office of the Mayor, Municipal Planning and Development Office.			none			Mae Kathleen Kay C. Tenerife Nutrition Officer
	Assist in Administering medical producer to patient.			none			Mae Kathleen Kay C. Tenerife Nutrition Officer
TOTAL				None	59 minutes (variable)
7.DIRECT SPUTUM SMEAR MICROSCOPY The Laboratory Department caters Direct Sputum Smear Microscopy (DSSM) to test the presence or absence of Acid Fast Bacilli, Mycobacterium tuberculosis, the causative agent of Tuberculosis in sputum samples from suspected patients.
Office or Division:		MUNICIPAL HEALTH OFFICE
Classification:		Simple
Type of Transaction:		Government to Citizen
Who may avail:		All
CHECKLIST OF REQUIREMENTS			WHERE TO SECURE
Laboratory request			Client / Physician
Client Steps		Agency Action	Fees To Be Paid			Processing Time		Person Responsible
1.Sign in the client logbook		1.1 Interview the patient	None			2 minutes		Medical Assistant Medical Technologist Municipal Health Office
2.Present Doctor’s laboratory request		2.1 Review the laboratory request	None			2 minutes		Medical Assistant Medical Technologist Municipal Health Office
3.Provide needed data		3.1 Collect identification and other significant data of the patient	None			2 minutes		Medical Assistant Medical Technologist Municipal Health Office
		3.2 Prepare specimen container and other laboratory equipment and supplies for specimen processing	None			5 minutes		Medical Assistant Medical Technologist Municipal Health Office
4.Provide sputum sample		4.1 Sputum cup is given for sputum collection after explaining the procedure	None			5 minutes (variable)		Medical Assistant Medical Technologist Municipal Health Office
5.Wait for the result of the laboratory test		5.1 Enter patient data in the NTP Laboratory logbook	None			3 minutes		Medical Technologist Municipal Health Office
		5.2 Smear, stain and examine the sputum under the microscope	None			1 hour		Medical Technologist Municipal Health Office
6. Receive the result		6.1 Type, record and release the official result	None			5 minutes		Medical Technologist Municipal Health Office
7. Present the result to the Physician for proper evaluation and interpretation		7.1 Instruct the patient to bring back the result to the Physician for proper evaluation and interpretation	None			10 minutes		Medical Technologist Municipal Health Office
TOTAL			None			1 hour 34 minutes

8.CLINICAL CHEMISTRY, HEMATOLOGICAL AND SEROLOGICAL TESTS ON BLOOD The Laboratory Department caters hematological tests on blood to determine the hematocrit or packed red cell volume, hemoglobin level, white and red cell count, differential count, platelet count and blood type.
Office or Division:	Municipal Health Office
Classification:	Simple
Type of Transaction:	Government to Citizen
Who may avail:	All
CHECKLIST OF REQUIREMENTS		WHERE TO SECURE
Laboratory request		Client / Physician
Client Steps	Agency Action	Fees To Be Paid	Processing Time	Person Responsible
1.Sign in the client logbook	1.1 Interview the patient	None	2 minutes	Medical Assistant Medical Technologist Municipal Health Office
2.Present Doctor’s laboratory request	2.1 Review the laboratory request	None	2 minutes	Medical Assistant Medical Technologist Municipal Health Office
3.Provide needed data	3.1 Collect identification and other significant data of the patient	None	2 minutes	Medical Assistant Medical Technologist Municipal Health Office
	3.2 Prepare specimen container and other laboratory equipment and supplies for specimen processing	None	5 minutes	Medical Assistant Medical Technologist Municipal Health Office
	3.3 Collect blood from the patient for Chemistry, Complete Blood Count (CBC) and/or serological tests	None	5 minutes (variable)	Medical Assistant Medical Technologist Municipal Health Office
	3.4 Process and examine blood specimen under the microscope or thru the use of Rapid Diagnostic Test (RDT) kits or thru the use of laboratory machines/equipment	None	1 hour to 5 hours (variable)	Medical Technologist Municipal Health Office
4.Pay the corresponding amount at the Municipal Treasury Office	4.1 Ask the patient to pay the corresponding amount due to the test done	FBS/RBS (Capillary) – ₱50 FBS – ₱140 Total Cholesterol – ₱150 Triglyceride – ₱150 HDL – ₱150 LDL – ₱100 Uric Acid – ₱120 Creatinine – ₱140 BUN – ₱140 SGOT – ₱140 SGPT – ₱140 HBA1c – ₱480 Electrolytes -₱350 CBC, PC- ₱250 CBC – ₱200 Blood typing -₱80 HBsAg – ₱150 VDRL – ₱150 Dengue NS1, IgM, IgG – ₱800 Salmonella typhi IgM/IgG – ₱500 Package 1 – ₱1070 Package 2- ₱1330 Package 3 – ₱2100 Package 4 – ₱780 Package 5 – ₱430 Package 6 – ₱540 Package 7 – ₱200	10 minutes	Medical Technologist Municipal Health Office
	4.2 Issue official receipt		3 minutes	MTO Staff
5. Receive the result	5.1 Type, record and release the official result	None	5 minutes	Medical Technologist Municipal Health Office
6. Present the result to the Physician for proper evaluation and interpretation	6.1 Instruct the patient to bring back the result to the Physician for proper evaluation and interpretation	None	10 minutes	Medical Technologist Municipal Health Office
TOTAL		FBS/RBS (Capillary) – ₱50 FBS – ₱140 Total Cholesterol – ₱150 Triglyceride – ₱150 HDL – ₱150 LDL – ₱100 Uric Acid – ₱120 Creatinine – ₱140 BUN – ₱140 SGOT – ₱140 SGPT – ₱140 HBA1c – ₱480 Electrolytes -₱350 CBC, PC- ₱250 CBC – ₱200 Blood typing -₱80 HBsAg – ₱150 VDRL – ₱150 Dengue NS1, IgM, IgG – ₱800 Salmonella typhi IgM/IgG – ₱500 Package 1 – ₱1070 Package 2- ₱1330 Package 3 – ₱2100 Package 4 – ₱780 Package 5 – ₱430 Package 6 – ₱540 Package 7 – ₱200	5 hours 44 minutes (variable)

9.CLINICAL MICROSCOPY TESTS ON URINE AND STOOL SPECIMENS The Laboratory Department caters analysis of urine and stool sample macroscopically, chemically and microscopically.
Office or Division:	Municipal Health Office
Classification:	Simple
Type of Transaction:	Government to Citizen
Who may avail:	All
CHECKLIST OF REQUIREMENTS		WHERE TO SECURE
Laboratory request		Client / Physician
Client Steps	Agency Action	Fees To Be Paid	Processing Time	Person Responsible
1.Sign in the client logbook	1.1 Interview the patient	None	2 minutes	Medical Assistant Medical Technologist Municipal Health Office
2.Present Doctor’s laboratory request	2.1 Review the laboratory request	None	2 minutes	Medical Assistant Medical Technologist Municipal Health Office
3.Provide needed data	3.1 Collect identification and other significant data of the patient	None	2 minutes	Medical Assistant Medical Technologist Municipal Health Office
	3.2 Prepare specimen container and other laboratory equipment and supplies for specimen processing	None	5 minutes	Medical Assistant Medical Technologist Municipal Health Office
4.Provide urine/stool sample	4.1 Give specimen container for urine/stool to the patient	None	10 minutes (variable)	Medical Assistant Medical Technologist Municipal Health Office
5.Wait for the sample to be examined	5.1 Process urine/stool sample and examine under the microscope	None	30 minutes	Medical Technologist Municipal Health Office
6.Pay the corresponding amount at the Municipal Treasury Office	6.1 Ask the patient to pay the corresponding amount for the test done 6.2 Issue official receipt	Urinalysis – ₱50 Fecalysis – ₱50	5 minutes 5 minutes	Medical Assistant Medical Technologist Municipal Health Office MTO Staff
7.Receive the result	7.1 Type, record and release the official result	None	5 minutes	Medical Technologist Municipal Health Office
8.Present the result to the Physician for proper evaluation and interpretation	8.1 Instruct the patient to bring back the result to the Physician for proper evaluation and interpretation	None	5 minutes	Medical Technologist Municipal Health Office
TOTAL		Urinalysis – ₱50 Fecalysis – ₱50	1 hour 11 minutes (variable)

10.SPUTUM COLLECTION FOR GENEXPERT The Laboratory Department collects sputum sample for GeneXpert test to detect the presence or absence of Mycobacterium tuberculosis, the causative agent of Tuberculosis and its drug susceptibility namely Drug Susceptible (DS), Multi-Drug Resistant (MDR) and Extensively Drug-Resistant (XDR). The sample is the sent to nearby Rapid TB Diagnostic Laboratory (RTDL) or TB Microscopy Laboratory (TML).
Office or Division:	MUNICIPAL HEALTH OFFICE
Classification:	Simple
Type of Transaction:	Government to Citizen
Who may avail:	All
CHECKLIST OF REQUIREMENTS		WHERE TO SECURE
Laboratory request		Client / Physician
Client Steps	Agency Action	Fees To Be Paid	Processing Time	Person Responsible
1.Sign in the client logbook	1.1 Interview the patient	None	2 minutes	Medical Assistant Medical Technologist Municipal Health Office
2.Present Doctor’s laboratory request	2.1 Review the laboratory request	None	2 minutes	Medical Assistant Medical Technologist Municipal Health Office
3.Provide needed data	3.1 Collect identification and other significant data of the patient	None	2 minutes	Medical Assistant Medical Technologist Municipal Health Office
	3.2 Prepare specimen container and other laboratory equipment and supplies for specimen storage	None	5 minutes	Medical Assistant Medical Technologist Municipal Health Office
4.Provide sputum sample	4.1 Sputum cup is given for sputum collection after explaining the procedure	None	5 minutes (variable)	Medical Assistant Medical Technologist Municipal Health Office
5.Wait for the result of the laboratory test	5.1 Enter patient data in the Presumptive TB Masterlist	None	3 minutes	Medical Technologist Municipal Health Office
5.Wait for the result of the laboratory test	5.2 Sputum is pick up by the strider every Wednesday and Friday and sent to RTDL/TML	None	30 minutes	Medical Technologist Municipal Health Office
6.Receive the result	6.1 Record and release the official result received from the RTDL/TML	None	5 minutes	Medical Technologist Municipal Health Office
7.Present the result to the Physician for proper evaluation and interpretation	7.1 Instruct the patient to bring back the result to the Physician for proper evaluation and interpretation	None	10 minutes	Medical Technologist Municipal Health Office
8.Bring back doctor’s order	8.1 Initiate treatment as per doctor’s order	None	45 minutes	Medical Technologist Municipal Health Office
TOTAL		None	1 hour 49 minutes (variable)

11.OROPHARYNGEAL AND NASOPHARYNGEAL SWAB FOR RTPCR/RAPID ANTIGEN TEST OF SARS COV 2 The Laboratory Department collects Oropharyngeal and Nasopharyngeal swab for RT-PCR or Rapid Antigen test to detect the presence or absence of SARS COV 2, the causative agent of COVID-19. Specimens for RT-PCR are sent to other laboratories while those for Rapid Antigen testing are processed in the laboratory.
Office or Division:	MUNICIPAL HEALTH OFFICE
Classification:	Simple
Type of Transaction:	Government to Citizen
Who may avail:	All
CHECKLIST OF REQUIREMENTS		WHERE TO SECURE
Laboratory request		Client / Physician
Client Steps	Agency Action	Fees To Be Paid	Processing Time	Person Responsible
1.Sign in the client logbook	1.1 Interview the patient	None	2 minutes	Medical Assistant Medical Technologist Municipal Health Office
2.Present Doctor’s laboratory request	2.1 Review the laboratory request	None	2 minutes	Medical Assistant Medical Technologist Municipal Health Office
3.Provide needed data	3.1 Collect identification and other significant data of the patient	None	2 minutes	Medical Assistant Medical Technologist Municipal Health Office
	3.2 Prepare specimen container and other laboratory equipment and supplies for specimen storage/processing	None	5 minutes	Medical Assistant Medical Technologist Municipal Health Office
4.Collected with OPS and/or NPS	4.1 Collect NPS/OPS from the patient	None	5 minutes (variable)	Medical Assistant Medical Technologist Municipal Health Office
5.Wait for the result of the laboratory test	5.1 Enter patient data in the masterlist	None	3 minutes	Medical Assistant Medical Technologist Municipal Health Office
5.Wait for the result of the laboratory test	5.2 For RTPCR: Send specimen to OPCEN or laboratory with approved MOA For Rapid Antigen Test: Perform test in the laboratory	None	3 hours (variable) 30 minutes	Medical Assistant Medical Technologist Municipal Health Office
6.Receive the result	6.1 Record and release the official result received from the other laboratory	None	5 minutes	Medical Technologist Municipal Health Office
7.Present the result to the Physician for proper evaluation and interpretation (if negative). Start isolation (if positive)	7.1 Instruct the patient to bring back the result to the Physician for proper evaluation and interpretation (if negative) Instruct patient to isolate and refer to the doctor for additional instructions	None	10 minutes	Medical Technologist Municipal Health Office
TOTAL		None	4 hours 4 minutes (variable)

12.EXPANDED NEWBORN SCREENING TEST BLOOD COLLECTION The Laboratory Department collects blood from 24-hour old newborn borne inside or outside the facility. The specimen is sent to Mariano Marcos Memorial Hospital and Medical Center in Ilocos Norte after 3-4 hours via courier.
Office or Division:	MUNICIPAL HEALTH OFFICE
Classification:	Simple
Type of Transaction:	Government to Citizen
Who may avail:	All
CHECKLIST OF REQUIREMENTS		WHERE TO SECURE
Laboratory request		Client / Physician
Client Steps	Agency Action	Fees To Be Paid	Processing Time	Person Responsible
1.Sign in the client logbook (Parent)	1.1 Interview the parent of the newborn	None	2 minutes	Medical Technologist Municipal Health Office
2.Present Doctor’s laboratory request	2.1 Review the laboratory request	None	2 minutes	Medical Technologist Municipal Health Office
3.Provide needed data (parent)	3.1 Collect identification and other significant data of the patient	None	2 minutes	Medical Technologist Municipal Health Office
	3.2 Prepare filter card and supplies for specimen collection	None	5 minutes	Medical Technologist Municipal Health Office
4.Collected blood via heel prick method	4.1 Collect blood via heel prick method	None	5 minutes (variable)	Medical Technologist Municipal Health Office
5.Wait for the result of the laboratory test	5.1 Enter patient data in the ENBS logbook	None	3 minutes	Medical Technologist Municipal Health Office
5.Wait for the result of the laboratory test	5.2 Send specimen to MMMHMC after 3-4 hours drying via courier	None	2-4 weeks (variable)	Medical Assistant Medical Technologist Municipal Health Office
6.Receive the result	6.1 Record and release the official result received from the other laboratory	None	5 minutes	Medical Technologist Municipal Health Office
7.Present the result to the Physician for proper evaluation and interpretation	7.1 Instruct the patient to bring back the result to the Physician for proper evaluation and interpretation	None	10 minutes	Medical Technologist Municipal Health Office
TOTAL		None	4 weeks 34 minutes (variable)

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