Our Mission is to:

  • Provide efficient, effective, and timely emergency management to all individuals who seek care.
  • Provide medical care with compassion and respect for each patient.
  • Continue professional development of all staff at all levels and continue medical education.
  • Institutionalize the standard system and procedure for emergency care.

Our Vision

  • For JR Borja General Hospital Emergency Department to be the center of excellence in providing emergency care to patients not just from the city but also from the neighboring municipalities.
  • To be known as the world-class Emergency Department with modern equipment and top-performing staff.

Our Values

These are the core values that serve as guiding principles of the Emergency Department to work towards our goal:

  • Accountability. Placing the patient’s best interests first and always being able to justify one’s actions.
  • Balance. To be able to work hard and deliver quality care and service because the importance of good work/life balance is emphasized.
  • Compassion. The recognition, understanding, and emotional resonance with the patient’s concerns, distress, pain, and suffering, coupled with relational action make them better.
  • Competence. The willingness to improve oneself in terms of his/her knowledge and skills in order to provide quality care and service.
  • Innovation. To nurture creativity to transform work processes suited to each case despite constraints.
  • Integrity. The act of conducting oneself in an honest and ethical way with everyone. Encompass honesty, keeping one’s word, and consistently adhering to the principles of professionalism.
  • Quality. Maintain rigorous standards for all the work and care deeply in providing excellent patient care and service.
  • Teamwork. To work together and support each other combined with the experiences and expertise to strengthen the department and result in the best work.


Emergency and Acute Care

The Emergency Department is to receive, triage, assess, stabilize and provide acute health care to patients requiring resuscitation, to emergent, urgent, and less urgent conditions.

Medico-Legal Services

Medico-legal case, any case of injury or ailment where the physician, after history taking and clinical examination, considers that investigation by lawful authorities is warranted to ascertain justice and fix responsibility regarding the said injury or ailment according to the law.

Ambulatory Care Services

For non-critically ill patients who present themselves as non-urgent cases in the ED, and can be given appropriate care and discharge instructions for home care and follow-up.

Mass Casualty Incident Services

In circumstances or events resulting in a number of victims large enough to disrupt the normal course of emergency and healthcare services, resources are overextended but not overwhelmed.

Emerging and Re-Emerging Infectious Diseases (EREID)

Outbreaks of emerging infectious diseases, and continues to be susceptible to the threat of re-emerging infections such as Leptospirosis, Dengue, Tuberculosis, Meningococcemia, COVID-19, and others.

Ambulance Transport or Interfacility Transfer

Patients assessed as needing a higher level of care are referred to facilities capable of such. These patients are transported by ambulance after proper coordination with the receiving facility.

Infrastructure and Staffing

Triage Area

Serves as the first contact of all patients in the ED where registration and initial clinical assessment of patients occur.

Located in conjunction with the ambulance and walk-in entrance, waiting area, acute treatment and assessment areas and resuscitation bays.


One (1) physician – on 12- or 24-hours duty

Two (2) staff nurses – on 8 – or 12-hours shift

One (1) nursing attendant – on 8- or 12-hours shift

One (1) institutional worker – on 8- or 12-hour shift

Waiting Area

This holds patients while waiting for their turn to be seen and examined by the triage physician, or while waiting to be transferred to their respective treatment areas. It also serves as a holding area for other relatives and/or caregivers that accompany the patient.

Located in conjunction with the triage area, ambulance and walk-in entrances, and clinical areas of the ED.

Decontamination Area

This is intended for patients for toxicological management before transfer to Acute Care Area.

Ambulatory Treatment Area

This is the consultation area for the assessment, treatment, management of patients without major illness, non-complex, injuries or conditions and expected to be sent home after.

Located in conjunction with the triage area and waiting area.

Acute Care Area

This area serves to assess, manage and initiate treatment on patients entering the ED.

Staff: Each department: One (1) physician (on 12- or 24-hour duty) and one (1) staff nurse (on 8- or 12-hour shift)

The area has 1 nursing attendant and 1 institutional worker for every 8- or 12-hour shift.

Resuscitation Area

A special area within the acute care area that provides reception, assessment, and initiation of treatment to patients with life-threatening or time-critical illness or trauma.

The resuscitation team:

Physician of the department

Staff nurse of the department

Nurse team leader

Nursing attendant

Institutional worker

Isolation Room

A room intended to cater to patients suspected to have a highly communicable disease.

Nurses’ Station

An area in the ED where nurses and other staff work behind includes chart processing and management, patient monitoring, and medication preparation.

Staff Call Room

An area for the staff to time out, eat, rest in between and to add morale and staff functions.

Equipment and Supply Storage Room

An area restricted to authorized staff for storage of devices and other consumables and place buffer stocks.

Minor Operating Theater

Dedicated to minor and urgent surgical procedures.

Organizational Structure of the Emergency Department

ER Department Cart Meds

Adenosine 6mg/2ml vial

Amiodarone 150mg/3ml ampule

Aspirin USP grade (325mg/tablet)

Aspirin 100 mg/tab

Atropine sulfate 1mg/ml ampule

B-adrenergic agonists (i.e. Salbutamol 2mg/ml)

Benzodiazepine (Diazepam 10mg/2ml ampule) – in high alert box

Calcium (usually Calcium gluconate 10% solution in 10ml ampule)

Clonidine 75 mcg/tablet or 150 mcg/tablet

Clopidogrel 75mg/tablet

D5W 250ml

D50W 50mg/vial

Dexamethasone 4mg/ml ampule

Digoxin 0.5mg/2ml ampule

Diphenhydramine 50mg/ml ampule

Dobutamine 250mg/5ml ampule or pre-mixed solution 250mg/250ml

Dopamine 200mg/5ml ampule/vial or pre-mixed solution 250mg/250ml

Epinephrine 1mg/ml ampule

Enoxaparin 2000/4000/6000 IU prefilled syringe

Furosemide 20mg/2ml ampule

Haloperidol 50mg/ml ampule – in high alert box

Hyoscine N-Butylbromide 10mg ampule

Hydrocortisone 250mg/2ml vial

Insulin, Regular

Ipratropium + Salbutamol nebule

Isosorbide dinitrate 5mg/tab

Lidocaine 10% in 50ml spray

Lidocaine 2% solution vial 1g/50ml

Magnesium sulfate 1g/2ml ampule

Mannitol 20% solution in 500ml/bottle

Metoclopramide 10mg/2ml ampule IV Midazolam

Morphine sulfate 10mg/ml ampule – in high alert box Nicardipine 10mg/10ml ampule

Nitroglycerin 10mg/10ml ampule or Isosorbide dinitrate 5mg SL tablet

Noradrenaline/Norepinephrine 2mg/2ml ampule

Paracetamol 300mg/ampule

Phenobarbital 120mg/ml ampule IV or 30mg tablet – in high alert box

Potassium chloride 40mEq/20 vial – in high alert box

Salbutamol nebule

Sodium bicarbonate 50mEq/50ml ampule

Tramadol ampule

Tranexamic acid 500mg/5ml ampule

Verapamil 5mg/2ml ampule

Vitamin B1/6/12 vial (1gB1, 1gB6, 0.01gB12 in 10ml vial) Vitamin K (Phytomenadione) 10mg ampule


Emergency Department Medications

Tetanus Toxoid

Anti-Tetanus Serum (either equine based antiserum or human antiserum)

Heparin 5000 IU/vial

Hydralazine 20mg/1ml ampule


Methylprednisolone 4mg/tablet

Oral Rehydration Solution

Propylthiouracil 50mg/tab

Terbutaline ampule/tablet



Plain LRS 1 liter/bottle

Plain NSS 1 liter/bottle – 0.9% Sodium Chloride

D5 LR 1 liter/bottle

D5 NSS 1 liter/bottle

D5 NM 1 liter/bottle

D5W 250ml

D5 0.3 NaCl 500ml/bottle and 1 liter/bottle

D5 IMB 1 liter/bottle

Dextran 500ml/bottle D10 Water

ER Department Equipment and Supplies

Equipment and Supplies

Intubation Kit

  • Bag-valve-mask unit (adult, pediatric, neonate)
  • Laryngoscope set with blade (0,1,2,3) with disposable stylet (adult, pediatric, neonate)
  • Endotracheal Tubes of different sizes and guide wires Alcohol disinfectant

Aseptic bulb syringe


Cardiac board

Clinical weighing scale Digital/electronic clocks

Defibrillator with paddles or AED

Dressing tray and table

ECG machine with leads

EENT Diagnostic Set with ophthalmoscope and otoscope

Emergency Cart

Examining Table

Eye protective goggles or face shield

Feeding Tubes (Fr. 8, 10, 12, 12, 16)

Indwelling Catheters (Fr. 8, 10, 12, 12, 16, 20, 22)

Procedure Table

Gauze (sterile, pre-folded, individually packed)

Gloves, non-sterile

Gloves, sterile

Glucometer with strips and lancet Gooseneck lamp/examining light

Instrument/Mayo Table

Mask (respirator mask N95: small, medium, large) with fit testing as much as possible

Minor Instrument Set


Needles (disposable, different sizes)

Negatoscope (optional for institutions utilizing digital imaging)

Neurologic hammer

OR light Oxygen Unit

Oxygen delivery devices (neonate, pedia, adult)

  • Simple rebreather mask with reservoir bag
  • Non-rebreather facemask with reservoir bag
  • Nasal cannula

Pulse oximeter

Pen light

Sphygmomanometer (adult and pedia)


Suction apparatus

Suturing set with suture materials

Sutures: cutting/atraumatic sutures continued:

Slik, nylon, catgut

Surgical blades

Thermometer (digital/infrared)


Wheeled stretcher with guard side rails

Cardiac monitor

IV cannula (G26, 24, 22, 20, 18)

IV infusion sets (microset, macroseta, blood transfusion set)

Infusion set with volumetric chamber (soluset)

IV poles/stand

Cricothryroidotomy set

Spine board with Head Block and straps

Cervical Collar

Plaster of Paris Wadding Sheet

Splints for arm and leg

Orthopedic weights (sand bags)

Chest Tube Insertion equipment

Infusion pump

Fluid warmer Intraosseous devices

Central Line

Radiant Warmer

Point of care testing: portable/mobile xray


Twelve Rights of Administering Medications

Right Patient

Right Medicine

Right Dose

Right Route

Right Time

Right Assessment

Right Reason

Right of the Patient to Refuse

Right of the Patient to Know the Reason for the Medication Right Evaluation

Right Documentation

Right Medicine Preparation