Nurses' Orientation 2

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PROGRAMS / PROJECTS /ACTIVITIES

RHU – VALENCIA

Valencia, Negros Oriental

Dr. Fe Villanueva - TagimacruzMunicipal 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

Mrs. Kathrine Abejero

Sanitary Inspector

Mr. Cesar Tecio

Utility Worker

Dr. Guadalupe Paalisbo

Municipal Dentist

Mrs. Minerva Macaraya

Dental Aide

Ms. Madeleine Tubig

Encoder

Rural Health MidwivesMs. Gloria Sy

Rural Health Midwife III North PoblacionSouth Poblacion

JawaLiptong

Balayagmanok

Mrs. Edna SolamilloRural Health Midwife II

East BalabagWest Balabag

Bong-ao

Mrs. Violeta DiezRural Health Midwife II

BongbongLunga

Mampas

Mrs. Helconida SalvoroRural Health Midwife II

PulangbatoCaidiocan

MalaboMalaunayPuhaganDobdob

Rural Health Midwives

Mrs. Evelyn MissionRural Health Midwife II

BalugoPalinpinon

Balili

Mrs. Ma. Elva ToroRural Health Midwife II

ApolongCalayuganSagbang

Mrs. Jimrose CerialesRural Health Midwife

(Puhagan)

Ms. Arlene PastiasRural Health Midwife

(Malaunay)

Ms. Marilyn VilloRural Health Midwife

(Dobdob)

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THE RHU STAFF

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Maternal and Child Care

• Prenatal care– Tetanus toxoid immunization– Blood Typing– Hepatitis B screening– Dental check-up

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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)

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Maternal and Child Care• Delivery and Neonatal Care

• Initiation of Breastfeeding

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Maternal and Child Care• Postpartum home visits

– Vitamin A (200,000 IU) within 1 month after delivery

– Iron Supplementation (90 tablets)

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Family Planning

• Family Planning Methods– NFP– Artificial

• Permanent Sterilization

• Free family planning services

• Free contraceptives to acceptors (indigent)

• IUD insertion• Pills• DMPA injection• Condom

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Integrated Management of Childhood Diseases

• Health education

• Oral Rehydration Solution (ORS) for patients with diarrhea - as replacement of fluids lost thru LBM or vomiting

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Integrated Management of Childhood Diseases

• Treating respiratory illnesses

• Identifying pneumonia cases and managing them

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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

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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

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EPI

• Measles Vaccine (MV2) for children

15-23 months old (June 15 - August 15, 2009) - ongoing

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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

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every APRIL

& OCTOBER

GARANTISADONG PAMBATA (GP)

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Basic Curative ServicesMedical Consultation and Treatment

• Treatment

• Referrals

• Health

education

• House calls

• Medical

outreach

• Postmortem examinations

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Dental ServicesDental Services

• Conducting dental check-up, tooth sealant, tooth extraction, and making false teeth per patient’s request

• Clinic: Mondays

Tuesdays (for pregnant women)

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Leprosy ProgramLeprosy Program

• Identifying leprosy patients and giving of leprosy drugs

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Other ActivitiesPre-marriage counseling

(every Monday afternoon)

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Other Activities• Conducting BHW seminars (annual)

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Other Activities• Healthy Lifestyle to the MAX (HATAW

exercise)

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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)

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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

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Coordinate with the Valencia Women’s Council

• EKG

• Blood sugar and cholesterol

• Bone scan

• Pap Smear

• BMI

• Hemoglobin

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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

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Other Activities

• Orientation of SU nursing & SU ND students

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NARS (Nurses Assigned to Rural Service)

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National Tuberculosis Program

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

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Initiation of TB Regimen by the Public Health Nurse II

National Tuberculosis Program

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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)

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Laboratory Procedures• NTP: Sputum Smear Exam for AFB

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Laboratory Procedures

• Clinical Microscopy: Urine and Stool Exam

• Hematology: Hemoglobin/Hematocrit

• Leprosy: Skin Slit exam

• Pregnancy Tests

• Dengue Testing Kit

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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

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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

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Environmental Sanitation• Inspects piggery and poultry

establishments ensuring that they are regularly following the protocol on sanitation

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Environmental Sanitation

• Assists the Municipal Health Officer in postmortem examinations

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THANK YOU!