Nurses' Orientation 2

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PROGRAMS / PROJECTS / ACTIVITIES

RHU – VALENCIA Valencia, Negros Oriental Page 1

Dr. Fe Villanueva - Tagimacruz Municipal Health Officer

Mrs. Dandila Tatoy Public Health Nurse II Mrs. Gloriette Macainan Public Health Nurse I Mrs. Jan Thea Vineles Public Health Nurse

Mr. Cole Abad DOH Representsative Nurse III Mrs. Reyna Mae Dagoy Public Health Nurse Ms. Desseree Joy Epong Public Health Nurse

RHU STAFF Mr. Albert Tubal Medical Technologist II

Dr. Guadalupe Paalisbo Municipal Dentist

Mrs. Kathrine Abejero Sanitary Inspector

Mrs. Minerva Macaraya Dental Aide

Mr. Cesar Tecio Utility Worker

Ms. Madeleine Tubig Encoder

Rural Health Midwives Ms. Gloria Sy Rural Health Midwife III North Poblacion South Poblacion Jawa Liptong Balayagmanok

Mrs. Edna Solamillo Rural Health Midwife II East Balabag West Balabag Bong-ao

Mrs. Violeta Diez Rural Health Midwife II Bongbong Lunga Mampas

Mrs. Helconida Salvoro Rural Health Midwife II Pulangbato Caidiocan Malabo Malaunay Puhagan Dobdob

Rural Health Midwives Mrs. Evelyn Mission Rural Health Midwife II Balugo Palinpinon Balili

Mrs. Ma. Elva Toro Rural Health Midwife II Apolong Calayugan Sagbang

Mrs. Jimrose Ceriales Rural Health Midwife (Puhagan) Ms. Arlene Pastias Rural Health Midwife (Malaunay) Ms. Marilyn Villo Rural Health Midwife (Dobdob)

THE RHU STAFF

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Maternal and Child Care • Prenatal care – – – –

Tetanus toxoid immunization Blood Typing Hepatitis B screening Dental check-up

Page 7

Maternal and Child Care • Vitamin A (10,000 IU) (1 capsule twice a week starting on the 4th month of pregnancy)

• Iron supplementation (180 tablets) • Iodized capsule for pregnant women (currently not available) Page 8

Maternal and Child Care • Delivery and Neonatal Care • Initiation of Breastfeeding

Page 9

Maternal and Child Care • Postpartum home visits – Vitamin A (200,000 IU) within 1 month after delivery – Iron Supplementation (90 tablets)

Page 10

Family Planning • Family Planning Methods – NFP – Artificial • Permanent Sterilization

• Free family planning services • Free contraceptives to acceptors (indigent) • • • •

IUD insertion Pills DMPA injection Condom

Page 11

Integrated Management of Childhood Diseases • Health education • Oral Rehydration Solution (ORS) for patients with diarrhea - as replacement of fluids lost thru LBM or vomiting

Page 12

Integrated Management of Childhood Diseases

• Treating respiratory illnesses • Identifying pneumonia cases and managing them

Page 13

Expanded Program on Immunization • Immunization once a month

(done in the BHS)

• 0-12 months (FIC) • • • • •

BCG – 1 dose Hepatitis B – 3 doses DPT - 3 doses OPV – 3 doses Measles - 1 dose

• Daily monitoring of the temperature to maintain the cold chain

Page 14

Expanded Program on Immunization IMMUNIZATION SCHEDULE • 1st Wednesday – Caidiocan, Puhagan, Malaunay • 2nd Wednesday – East Balabag, Apolong • 3rd Wednesday – Palinpinon • 4th/LastWednesday – Main Health Center • 4th/Last Thursday – Bongbong Page 15

EPI • Measles Vaccine (MV2) for children 15-23 months old (June 15 - August 15, 2009) - ongoing

Page 16

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Nutrition • Giving of micronutrients and feedings to malnourished children • Garantisadong Pambata (GP) • Vitamin A • Deworming

• Operation Timbang (OPT) – once a year Page 18

GARANTISADONG PAMBATA (GP)

every

APRIL & OCTOBER Page 19

Basic Curative Services • • • • • •

Medical Consultation and Treatment Treatment Referrals Health education House calls Medical outreach Postmortem examinations

Page 20

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Dental Services • Conducting dental check-up, tooth sealant, tooth extraction, and making false teeth per patient’s request • Clinic: Mondays Tuesdays (for pregnant women)

Page 22

Leprosy Program • Identifying leprosy patients and giving of leprosy drugs

Page 23

Other Activities Pre-marriage counseling (every Monday afternoon)

Page 24

Other Activities • Conducting BHW seminars (annual)

Page 25

Other Activities • Healthy Lifestyle to the MAX (HATAW exercise)

Page 26

Other Activities • Lectures to the different barangays and schools on a variety of topics (nutrition, dengue, AH1N1, etc.)

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Other Activities • Operation Tuli (every summer)

Page 30

Other Activities • Dengue Entomological Survey – Lectures on Dengue done to all Barangays and schools – Organization of Barangay Task force – • search and destroy • collect larvae and submit to the lab for identification of Aedes mosquito

Page 31

Coordinate with the Valencia Women’s Council • • • • • •

EKG Blood sugar and cholesterol Bone scan Pap Smear BMI Hemoglobin

Page 32

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Other Activities • BLOODLETTING and MEDICAL/DENTAL MISSION done twice a year (every February 14 and August 15)

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Other Activities • Organization of the Barangay Health Team

Page 39

Other Activities • Orientation of SU nursing & SU ND students

Page 40

NARS (Nurses Assigned to Rural Service)

Page 41

Page 42

National Tuberculosis Program • Giving short course chemotherapy drugs to TB (+) patients and Streptomycin to relapse cases

Page 43

National Tuberculosis Program Initiation of TB Regimen by the Public Health Nurse II

Page 44

Laboratory Procedures • Serology: Blood Typing, HBsAG (every Tuesday AM), Typhoid tests, Dengue tests

• Blood Chemistry: glucose, uric acid, cholesterol, SGPT, SGOT, creatinine (every Thursday AM) Page 45

Laboratory Procedures • NTP: Sputum Smear Exam for AFB

Page 46

Laboratory Procedures • • • • •

Clinical Microscopy: Urine and Stool Exam Hematology: Hemoglobin/Hematocrit Leprosy: Skin Slit exam Pregnancy Tests Dengue Testing Kit

Page 47

Environmental Sanitation • Inspects food establishments • Issues sanitary permits to business establishments • Iodized salt testing in public markets and barangays • Conducts water sampling of water-refilling stations Page 48

Environmental Sanitation • Conducting sampling of main sources of drinking water and chlorination of sources found positive • Free toilet bowls to household without toilets • Hole • Cement • Cables Page 49

Environmental Sanitation • Inspects piggery and poultry establishments ensuring that they are regularly following the protocol on sanitation

Page 50

Environmental Sanitation • Assists the Municipal Health Officer in postmortem examinations

Page 51

THANK YOU! Page 52

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