On National Teacher Day, meet the 2024-25 Kenan Fellows
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
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
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