5.

1 POLICY FOR PRIVATE DUTY NURSING

5.1.1 DESCRIPTION
5.1.1.1 Private Duty Nurse (PDN) are eligible licensed
professionals who work as freelancers or through hospital
and nursing agencies, delivering healthcare services to a
patient. They tend to the patients in hospitals,
supplementing the care given by staff nurses. They
provide primary and focused nursing care and implements
care plans that are specialized to individual medical needs.
5.1.1.2 Private Duty Staff (PDS) are eligible allied health care
professionals (includes BSN graduates, Caregivers,
Nursing Assistant, or other allied health care professionals
with background to nursing concepts/practices) who work
as freelancers or through hospital and partner nursing
agencies, delivering healthcare services to a patient. They
tend to the patients in hospitals, supplementing the care
given by the regular/employed staff nurses. They provide
primary and focused nursing care and implements care
plans that are specialized to individual medical needs.
5.1.1.3 The Patient Care Services will consider request for
PDS/PDN based on member’s extent of skilled needs, the
complexity of the service, and the caregivers’ and/or
member’s abilities prior to initiation of PDN/PDS. All
request for PDS/PDN must be strictly and properly
coursed thru the Patient Care Services office- to ensure
systematic and organized implementation of the said
policy.
5.1.1.4 The Agency supplying the Private Duty Nurses (PDN) or
Private Duty Staff (PDS) must be in agreement with The
Premier Medical Center.
5.1.1.5 The purpose of this clinical policy is to provide guidance
for the availment of PDS/PDN from levels of care,
qualifications, and specific job descriptions.
5.1.1.6 The outlined policy is also covers the Private Duty
Nursing policy for TPMC staff.
 5.1.1.7 All PDN’s must conform with the TPMC and PCSD
policies and procedures, vision, mission, and core values
(e.g. appropriate level of PPE, PPE consumption as
allocated by the hospital- please refer to the outlined
COVID ISOLATION POLICY)
5.1.1.8 PRIVATE DUTY NURSE is only allowed to patients
requiring assistance on the activities of daily living, added
manpower support for severe-critical cases, or any factors
that may favor patient safety and optimum quality of care,
are as follows;
5.1.1.8.1 For COVID ISOLATION UNITS (PATIENTS
WITH SEVERE BODY WEAKNESS,
ELDERLY (60 YEARS OLD AND ABOVE),
PEDIATRIC PATIENTS (18 Y/O AND
BELOW) AND OR/OGU POSSIBLE LONG-
STAYING PATIENTS WITH PENDING
ADMISSION TO COVID ISOLATION
UNITS. For pediatric patients (3 years old and
below), 2 companion/significant other (parent)
is allowed.
5.1.1.8.2 For NON-COVID ZONE GNU (General
Nursing Unit), patients who waived ICU
transfer and on advanced care set up / level 3
care (like cardiac monitor placement in the
ward), or patients on vital signs monitoring
every 30 minutes to 1 hour.
5.1.1.9 PRIVATE DUTY STAFF is only allowed to patients
enrolled in TPMC HOME CARE PROGRAM, or
considered as mild to moderate cases (Level1-2 care)

5.1.2 CATEGORIES OF PATIENTS LEVEL OF NURSING

CARE
5.1.2.1 Level 1 Nursing Care or so-called “Self-care/ Minimal
Care”, with number of duty hours (12-24 hours).
 5.1.2.2 Level 2 Nursing Care or so-called “Moderate or
Intermediate Care”, with number of duty hours (12 hours).
5.1.2.3 Level 3 Nursing Care or so-called “Total or
intensive/critical care”, with number of duty hours (12
hours).
5.1.3 POSITION QUALIFICATIONS FOR PRIVATE DUTY
NURSE
5.1.3.1 Graduate of Bachelor of Science in Nursing or higher.
5.1.3.2 Updated PRC license
5.1.3.3 One year clinical nursing experience
5.1.3.4 Excellent problem-solving ability and capacity to work
independently or as a team. Has compassionate patient
care.
5.1.3.5 Competent in the application of nursing process and
knowledgeable of basic bedside skills congruent to the
standard scope of nursing practice.
5.1.3.6 Superb intrapersonal and interpersonal communication
skills.
5.1.3.7 BLS AND ACLS certified- knowledgeable in
resuscitation process.. Certified Intravenous therapist
5.1.3.8 Member of Philippine Nurses Association
5.1.3.9 For Severe-Critical cases or with level 3 care, preferably
with Critical care experience.
Must submit the ff: Diploma, updated resume/CV, photocopy
of updated PRC license, result of RT PCR, and vaccine
record.
Verification must take place prior securing of PDN slot.

5.1.4 POSITION QUALIFICATIONS FOR PRIVATE DUTY

STAFF
5.1.4.1 Graduate of Bachelor of Science in Nursing or any Allied
health Science
5.1.4.2 6 months and above clinical nursing experience
 5.1.4.3 Excellent problem-solving ability and capacity to work
independently or as a team. Has compassionate patient
care.
5.1.4.4 Competent in the application of nursing process and
knowledgeable of basic bedside skills congruent to the
standard scope of nursing practice.
5.1.4.5 Superb intrapersonal and interpersonal communication
skills.
5.1.4.6 BLS certified, knowledgeable in resuscitation process.
5.1.4.7 Allowed only for mild (home care program) and moderate
cases (level 1-2 care).
Must submit the ff: Diploma, updated resume/CV, result of
RT PCR, and vaccine record.
Verification must take place prior securing of PDS slot.

5.1.5 POSITION REQUIREMENTS

5.1.5.1 PRIVATE DUTY NURSE (PDN)
5.1.5.1.1 Diploma and updated resume/CV.
5.1.5.1.2 Scanned copy or photocopy of updated PRC
license.
5.1.5.1.3 Photocopy of credentials: BLS/ACLS
certification, IVT certification, etc. (if
available).
5.1.5.1.4 Health Declaration and Attestation
5.1.5.1.5 Other requirements:
5.1.5.1.5.1 Staff must be COVID-19 fully
vaccinated.
5.1.5.1.5.2 Updated RT-PCR negative result with
validity of 7 days for Non-covid areas
and COVID areas/zones from DOH
approved testing facilities. RT PCR
testing may be care of the host patient
and must be done to TPMD
(Molecular Diagnostics).
 5.1.5.1.5.3 Willing to stay in for minimum of 7
days or depending on the hospital stay
of the patient.
5.1.5.1.5.4 Stay out PDN’s is highly discouraged
(for non in-house staff).
5.1.5.1.5.5 If stay in is inevitable, the PDN must
avail the staff accommodation of the
TPMC (Please refer to the staff
accommodation guidelines).

5.1.5.2 PRIVATE DUTY STAFF (PDS)

5.1.5.2.1 Diploma and updated resume/CV.
5.1.5.2.2 Photocopy of credentials: BLS certification, or
any certification, etc. (if available).
5.1.5.2.3 Health Declaration and Attestation
5.1.5.2.4 Other requirements:
5.1.5.2.4.1 Staff must be COVID-19 fully
vaccinated.
5.1.5.2.4.2 Updated RT-PCR negative result with
validity of 7 days for Non-covid areas
and COVID areas/zones from DOH
approved testing facilities. RT PCR
testing may be care of the host patient
and must be done to TPMD
(Molecular Diagnostics).
5.1.5.2.4.3 Willing to stay in for minimum of 7
days or depending on the hospital stay
of the patient.
5.1.5.2.4.4 Stay out PDN’s is highly discouraged
(for non in-house staff).
5.1.5.2.4.5 If stay in is inevitable, the PDN must
avail the staff accommodation of the
TPMC (Please refer to the staff
accommodation guidelines).
5.1.6 JOB DESCRIPTIONS FOR PRIVATE DUTY NURSE (PDN)
5.1.6.1 Observes standards of courtesy at all times. Addresses
patient/family by preferred name. Introduces self and
explains role to patient/family/visitor with a friendly
smile.
5.1.6.2 Provides a high standard of nursing care to the assigned
patients, giving of oral medications. IV medications must
be with proper guidance of the regular/employed staff.
5.1.6.3 Ensures proper communication between the host
family/patient and the nursing unit. Acts as a liaison for
the patient and the unit staff.
5.1.6.4 Carries out nursing assignments efficiently, and assumes
accountability for safe and quality patient care, as follows:
5.1.6.4.1 Hygiene
5.1.6.4.1.1 Assist with bed baths, patient’s
personal hygiene and to bathroom, as
required.
5.1.6.4.1.2 Tepid-Sponge bath for febrile
patient/s.
5.1.6.4.1.3 Perennial washing and Peri lighting for
Obstetrics patient.
5.1.6.4.1.4 Assist with patients dental care and
other self- care needs (may involve
hair and nail care).
5.1.6.4.2 Feeding
5.1.6.4.2.1 Diet supervision and monitoring
5.1.6.4.2.2 Prepares and performs enteral feeding
for patient with Naso-gastric tube
(NGT). Carriers out and records
feeding after PROPER ASSESSMENT
of the charge nurse.
5.1.6.4.3 Comfort
5.1.6.4.3.1 Assists in providing adequate patient
oxygenation and/or ventilation based
 from the Physician’s Order and
instructions of the charge nurse.
5.1.6.4.3.2 Assists the patient in Moving and
Turning. Ensuring proper turning
schedule is followed based from the
Physician’s Order. Ensures proper
alignment of patient’s body, utilizing
proper body mechanics.
5.1.6.4.3.3 Assists patient in all types of
transferring (admission, transfer to
other unit, and alike).
5.1.6.4.3.4 Maintains cleanliness and orderliness
of the patient’s room. Coordination
with the housekeeping department if
needed.
5.1.6.4.3.5 Ensures that linen are changed as
scheduled, assist if necessary.
Receives and stores linen properly.
5.1.6.4.3.6 Relay all patient related concerns to
the nurse-in-charge.

5.1.6.4.4 Rest
5.1.6.4.4.1 Routine vital signs monitoring such as
BP taking, pulse rate, respiration rate
and temperature as ordered by the
Physician and report to the nurse in
charge for any untoward change of
sensorium and change in vital signs.
5.1.6.4.4.2 Performs and Records CBG (Blood
glucose monitoring) based from the
Physician’s order, and relay result to
the Nurse-in-charge/PCS Support staff
in charge.
5.1.6.4.4.3 Able to assess, measure GCS
(Glasgow coma scale), Pain scale,
 RASS (Richmond Agitation Sedation
Scale and monitored accordingly, as
needed.
5.1.6.4.4.4 Able to identify changes in Cardiac
monitor reading and distinguish
arrhythmia’s.
5.1.6.4.4.5 Assist during emergency and
emergency code services; assist in
doing CPR during with supervision of
nurses and doctors.
5.1.6.4.4.6 Assist in post-mortem care and
properly identifies cadaver.

5.1.6.4.5 Elimination
5.1.6.4.5.1 Assists the patient in
defecation/urination as well as urine
and specimen collection.
5.1.6.4.5.2 Measures and records intake and
output of patients accurately every
shift.
5.1.6.4.5.3 Suctioning and monitoring of patient
drainage.
5.1.6.4.5.4 Ensures patient safety at all times.
5.1.6.4.5.5 Aids in nursing assessment and
properly reporting of significant and
remarkable findings. Reports
observations to the nurse in charge
and/or attending physician
(consultant/co-managing and referrals,
resident doctors).
5.1.6.4.5.6 Is flexible and responsible to
accommodate physical and emotional
needs.
5.1.6.4.5.7 Delivers care in an organized, efficient
manner. Explains typical events and
 common patient responses for patient
diagnosis with proper coordination to
the staff nurse and/or the attending
physician.
5.1.6.4.5.8 Maintains effective therapeutic
relationship with patients and their
families.
5.1.6.4.5.9 Appropriately implements patient plan
of care.

5.1.7 JOB DESCRIPTIONS FOR PRIVATE DUTY STAFF (PDS)

5.1.7.1 Observes standards of courtesy at all times. Addresses
patient/family by preferred name. Introduces self and
explains role to patient/family/visitor with a friendly
smile.
5.1.7.2 Provides a high standard of nursing care to the assigned
patients, giving of oral medications.
5.1.7.3 Ensures proper communication between the host
family/patient and the nursing unit. Acts as a liaison for
the patient and the unit staff.
5.1.7.4 Carries out nursing assignments efficiently, and assumes
accountability for safe and quality patient care, as follows:
5.1.7.4.1 Hygiene
5.1.7.4.1.1 Assist with bed baths, patient’s
personal hygiene and to bathroom, as
required.
5.1.7.4.1.2 Tepid-Sponge bath for febrile
patient/s.
5.1.7.4.1.3 Perennial washing and Peri lighting for
Obstetrics patient.
5.1.7.4.1.4 Assist with patients dental care and
other self- care needs (may involve
hair and nail care).
5.1.7.4.2 Feeding
5.1.7.4.2.1 Diet supervision and monitoring
 5.1.7.4.2.2 Prepares and performs enteral feeding
for patient with Naso-gastric tube
(NGT). Carriers out and records
feeding after PROPER ASSESSMENT
of the charge nurse.
5.1.7.4.3 Comfort
5.1.7.4.3.1 Assists in providing adequate patient
oxygenation and/or ventilation based
from the Physician’s Order and
instructions of the charge nurse.
5.1.7.4.3.2 Assists the patient in Moving and
Turning. Ensuring proper turning
schedule is followed based from the
Physician’s Order. Ensures proper
alignment of patient’s body, utilizing
proper body mechanics.
5.1.7.4.3.3 Assists patient in all types of
transferring (admission, transfer to
other unit, and alike).
5.1.7.4.3.4 Maintains cleanliness and orderliness
of the patient’s room. Coordination
with the housekeeping department if
needed.
5.1.7.4.3.5 Ensures that linen are changed as
scheduled, assist if necessary.
Receives and stores linen properly.
5.1.7.4.3.6 Relay all patient related concerns to
the nurse-in-charge.

5.1.7.4.4 Rest
5.1.7.4.4.1 Routine vital signs monitoring such as
BP taking, pulse rate, respiration rate
and temperature as ordered by the
Physician and report to the nurse in
 charge for any untoward change of
sensorium and change in vital signs.
5.1.7.4.4.2 Performs and Records CBG (Blood
glucose monitoring) based from the
Physician’s order, and relay result to
the Nurse-in-charge/PCS Support staff
in charge.
5.1.7.4.4.3 Assist during emergency and
emergency code services; assist in
doing CPR during with supervision of
nurses and doctors.
5.1.7.4.4.4 Assist in post-mortem care and
properly identifies cadaver.

5.1.7.4.5 Elimination
5.1.7.4.5.1 Assists the patient in
defecation/urination as well as urine
and specimen collection.
5.1.7.4.5.2 Measures and records intake and
output of patients accurately every
shift.
5.1.7.4.5.3 Suctioning and monitoring of patient
drainage.
5.1.7.4.5.4 Ensures patient safety at all times.
5.1.7.4.5.5 Aids in nursing assessment and
properly reporting of significant and
remarkable findings. Reports
observations to the nurse in charge
and/or attending physician
(consultant/co-managing and referrals,
resident doctors).
5.1.7.4.5.6 Is flexible and responsible to
accommodate physical and emotional
needs.
 5.1.7.4.5.7 Delivers care in an organized, efficient
manner. Explains typical events and
common patient responses for patient
diagnosis with proper coordination to
the staff nurse and/or the attending
physician.
5.1.7.4.5.8 Maintains effective therapeutic
relationship with patients and their
families.
5.1.7.4.5.9 Appropriately implements patient plan
of care.
5.1.8 Anybody who will violate this policy will be suspended in
accepting PDN duty. Any fraud, theft, or involved in a sentinel
event will be terminated in accepting PDN duty. All PDN/PDS
must follow and behave with utmost consideration to the TPMC
code of conduct.

5.1.9 All patients requiring/requesting for a private duty nurse or staff

shall be referred to the Nurse Supervisor on duty or CNO (in
absence of Nurse Supervisor) for scheduling purposes under
closed communication system.
5.1.10 Accepted PDS/PDN who cannot report for duty should inform the
Nurse Supervisor at least 6 hours before duty time or should look
for a qualified reliever.

5.1.11 SCHEDULNG
5.1.11.1 A master list for qualified PDS/PDN must be
posted in the PCS office bulletin board. Copy must be
given to the HRD and Security Department.
Rationale: All enlisted PDS/PDN were given with proper
orientation and dynamics within the unit were discussed for a
multidisciplinary collaboration between the unit and the
staff/nurse.