Chn Finals Coverage

download Chn Finals Coverage

of 81

Transcript of Chn Finals Coverage

  • 8/8/2019 Chn Finals Coverage

    1/81

    HOME VISIT

    Definition : a home visit is a professional face toface contact made by a nurse to the patient orthe family to provide necessary health careactivities and to further attain an objective of the agency. It is made to the client or to aresponsible member of the family

  • 8/8/2019 Chn Finals Coverage

    2/81

  • 8/8/2019 Chn Finals Coverage

    3/81

    Bag TechniqueDefinition:

    Bag technique a tool making use of a public health bagthrough which the nurse during his/ her home visit, canperform nursing procedures with ease and deftness, saving

    time and effort with the end in view of rendering effectivenursing care

    Public Health bag is an essential and indispensableequipment of the public health nurse which he/ she has tocarry along when he/ she goes out home visiting. It containsbasic medications and articles which are necessary for givingcare

    Rationale : to render effective nursing care to clients and/ ormembers of the family during home visit

  • 8/8/2019 Chn Finals Coverage

    4/81

    Special Considerations in the Use of the Bag

    the bag should contain all necessary articles, supplies and

    equipment which may be used to answer emergency needs

    the bag and its contents should be cleaned as often aspossible, supplies replaced and ready for use at any time

    the bag and its contents should be well-protected from contactwith any article in the home of the patients. Consider the bagand its contents clean and/or sterile while any article belongingto the patient as dirty and contaminated

    the arrangement of the contents of the bag should be the onemost convenient for the use to facilitate efficiency and avoidconfusion

    Hand washing is done as frequently as the situation calls for help in minimizing or avoiding contamination of the bag and itscontents

    the bag when used for a communicable case should bethoroughly cleaned and disinfected before keeping and re-using

  • 8/8/2019 Chn Finals Coverage

    5/81

    URSING CARE IN THE HOME

    giving to the individual patient thenursing care required by his/ herspecific illness or trauma to helphim/her reach a level of functioningat which he/she can maintainhimself/ herself, or die peacefully indignity

  • 8/8/2019 Chn Finals Coverage

    6/81

    the performance of nursing care should

    recognize dangers in the patient s over-prolonged acceptance of support andcomfortnursing care is a good opportunity fordetecting abnormal signs and symptoms,observing patient s attitude towards caregiven and the progress exhibited by the

    patient

  • 8/8/2019 Chn Finals Coverage

    7/81

    ISOLATION TECHNIQUES IN THE HOME

    All articles used by the patient should not be mixed with the articles used bythe rest of the members of the household

    frequent washing and airing of beddings and other articles and disinfection of room are imperative. Abundant use of soap, water, sunlight and some chemicaldisinfectants is necessary

    the one caring for the sick member should be provided with a protected gownthat should be used only within the room of the sick

    all discharges, especially from the nose and throat of a communicable diseasepatient, should be carefully discarded

    articles soiled with discharges should first be boiled in water 30 minutes beforelaundering. Those could be burned, should be burned

  • 8/8/2019 Chn Finals Coverage

    8/81

    INTRAVENOUS THERAPY

    Definition: insertion of a needle or catheter /cannula into a vein, based on physician swritten prescription. The needle or catheter/

    cannula is attached to a sterile tubing and afluid container to provide medication andfluids

    nurse qualified to perform IV insertion are those who

    are duly accredited as I.V. nurse by the Association of Nursing Service Administration of the Philippines(ANSAP)

  • 8/8/2019 Chn Finals Coverage

    9/81

    BASIS OF PRACTICELegal therapeutic prescription of a licensed physician

    thorough knowledge of the vascular system,

    interrelatedness of the body system with proficiency in the skill of the I.V.Therapy

    recognition of holistic approach to patient care

    collaboration with members of the health care team

    networking and linkages with the external environment

    individual professional accountability

    the utilization of the nursing process through

    assessment collection of pertinent data to arrive at a nursing diagnosis.planning formula of nursing care plan relevant to I.V therapy.implementation of planned care nursing activities for I.V management of patient.evaluation assessment of the effectiveness of care based on pre-determined objectives.

  • 8/8/2019 Chn Finals Coverage

    10/81

  • 8/8/2019 Chn Finals Coverage

    11/81

    Environmental Sanitation- study of all factors in mans physical environment, which may exercise a

    deleterious effect on his health, well-being and survival.

    Factors include:water sanitationfood sanitationreuse and garbage disposalexcreta disposalinsect vector and rodent control

    housingair pollutionNoise pollutionradiological protectioninstitutional sanitationsteam pollution

  • 8/8/2019 Chn Finals Coverage

    12/81

    Environmental Health Service (EHS)- responsible for the promotion of

    healthy environmental conditions andprevention of environmental related

    diseases through appropriate sanitationstrategies.

    Strategies include:

    water quality surveillanceevaluation of food establishmentsproper solid and liquid waste management

    sanitation of public placessanitation management of disaster areasimpact assessment of environmentally criticalprojectsenforcement of sanitation laws, rules, regulations

    and standards

  • 8/8/2019 Chn Finals Coverage

    13/81

    EHS also responsible for the conceptualizationof new programs/ projects to contend withemerging environmentally related healthproblems such as:

    Water for Life

    Hospital Waste Management

    Urban Health and National Projects

    Pasig River Rehabilitation Project

  • 8/8/2019 Chn Finals Coverage

    14/81

    M AJOR ENVIRONM ENTAL SANITATIONPROGRAM S:

    Health and Sanitation

    Sanitation Code of the Philippines PD 856

    Water Supply Sanitation ProgramApproved types of water supply facilities

  • 8/8/2019 Chn Finals Coverage

    15/81

    L evel I ( Point Source)a protected well or a developed spring with an outlet but without adistribution system

    must not be more than 250 meters from the farthest user L evel II (Communal Faucet System or Stand Posts)composed of a source, a reservoir, a piped distribution networkand communal faucetslocated at not more than 25 meters from the farthest houseone faucet per 4 to 6 households

    L evel III ( Waterwork System or Individual House Connections)A system with a source, a reservoir, a piped distributor network andhousehold taps.Unapproved Type of water facilityWater coming form doubtful sources such as open dug wells,unimproved springs, wells that needs priming unless treated throughproper container disinfectionAll households shall be provided with safe and adequate water supply.

  • 8/8/2019 Chn Finals Coverage

    16/81

    W ater Quality and M onitoringSurveillance

    every municipality through its Rural Health Unitsmust formulate an operational plan for quality andmonitoring surveillance every year

    the examination of drinking water shall be performedonly in private or government laboratories dulyaccredited by the Department of HealthCertification of potability of an existing water source

    is issued by the Secretary of Health

  • 8/8/2019 Chn Finals Coverage

    17/81

    Disinfection of water supply sources is required onthe following:

    newly constructed water supply facilitieswater supply facility that has been repaired/improved

    water supply sources found to be positivebacteriologically by laboratory analysiscontainer disinfection of drinking water collectedfrom a water facility that is subject to

    recontamination like open dug wells, unimprovedsprings and surface water

  • 8/8/2019 Chn Finals Coverage

    18/81

    Proper Excreta and Sewage Disposal ProgramApproved types of toilet facilities

    Level 1non-water carriage toilet facilityno water is necessary to wash the waste into thereceiving spacepit latrines, reed odorless earth closettoilet facilities requiring small amount of water towash the waste into the receiving spacepour flush toilet, aqua privies

  • 8/8/2019 Chn Finals Coverage

    19/81

    Level 2

    on site toilet facilities of the water carriage typewith water-sealed and flush type with septic vault/tank disposal facilities

    Level 3

    water carriage types of toilet facilities connected toseptic tanks and/or to sewerage system totreatment plant

  • 8/8/2019 Chn Finals Coverage

    20/81

    Food Sanitation Program

    F ood establishments shall be appraised as to the followingsanitary conditions:

    inspection/ approval of all food sources, containers, transport

    vehicles

    compliance to sanitary permit requirements for all Foodestablishments

    provision of updated Health Certificate for food handlers,cook and cook helpers which include monitoring as topresence of intestinal parasites (ascaris, amoeba, etc.) andbacterial infectious (typhoid, cholera, dysentery, salmonellainfections and others)

  • 8/8/2019 Chn Finals Coverage

    21/81

    destruction or banning of food unfit for human consumptiontraining of food handlers and operators on food sanitationfood establishments shall be rated and classified as follows

    Class A Excellent Class B Very Satisfactory

    Class C Satisfactory

    Ambulant food vendors shall comply with the requirementsas to the issuance of health certificate which also includemonitoring the presence of intestinal parasite and bacterialinfectionHousehold food sanitation are to be promoted and monitoredand food hygiene education to be intensified through healtheducation and provision of IEC materials

  • 8/8/2019 Chn Finals Coverage

    22/81

    Hospital Waste Management Program

    All newly constructed/ authorized and existing governmentand private hospitals shall prepare and implement aHospital Waste Management (HWM) Program as arequirement for registration/ renewal for licenses

    The use of appropriate technology and indigenousmaterials for HWM system shall be adopted

    Training of all hospital personnel involved in wastemanagement shall be an essential part of hospital trainingprogram

  • 8/8/2019 Chn Finals Coverage

    23/81

    - Public information campaign on health and environmentalhazard arising from mismanagement of hospital shall be

    the responsibility of hospital administration

    - DOH hospital Waste Management guidelines/policies shallbe guided by existing legislative health and environmentalprotection laws/ policies on waste management

    - Local ordinances regarding the collection and disposaltechniques, especially incinerators, shall beinstitutionalized

  • 8/8/2019 Chn Finals Coverage

    24/81

    Nursing Responsibilities and Activities

    Health Education

    development and dissemination of IEC materials and messages, theirutilization and distributionproviding individual and group counselinguse of other mass media support and IEC materials including holding of community assemblies and bench conferencesActively participate in the training component of the service and attendtraining/workshops related to environmental health

  • 8/8/2019 Chn Finals Coverage

    25/81

    assists in the de-worming activities for the school children and targetedgroups

    effectively and efficiently coordinate programs/ projects/ activities withother government an non-government agencies

    acts as an advocate or facilitator to families in the community inmatters of program/ projects/ activities on environmental health incoordination with other members of the Rural Health Unit (RHU)especially the Rural Sanitary InspectorsActively participate in environmental sanitation campaigns and projectsin the communityBe a role model for others in the community to emulate in terms of cleanliness in the home and surrounding

  • 8/8/2019 Chn Finals Coverage

    26/81

    participate in the research/ studies to beconducted in their respective area of assignmenthelp in the interpretation andimplementation of PD 856 commonly knownas Sanitation Code of the PhilippinesAssist in the Disaster Management, whichwill be implemented at all levels

  • 8/8/2019 Chn Finals Coverage

    27/81

    F IELD HEALTH SERVICES ANDINFORMATION SYSTEM (F HSIS)

    Objectives:

    to provide summary data on health service delivery andselected program accomplished indicators at the barangay,

    municipality/city, district, provincial, regional and nationallevels

    to provide data which when combined with data from othersources, can be used for program monitoring and evaluation

    purposes

    to provide a standardized, facility level data base which can beaccessed for more in-depth studies

  • 8/8/2019 Chn Finals Coverage

    28/81

    to ensure that the data reported to the F HSIS are useful andaccurate and are disseminated in a timely and easy to usefashion

    to minimize the recording and reporting burden at theservice delivery level in order to allow more time for patientcare and promotive activities

    Components:

    Family Treatment Record

    Target Client ListReporting FormsOutput Reports

  • 8/8/2019 Chn Finals Coverage

    29/81

    T reatment Record

    - document, form, or piece of paper upon which recorded thepresenting symptoms or complaints of the patient on

    consultation and the diagnosis if (available), treatment anddate of treatment.

    Target/ Client List

    4 purposes:

    1. to plan and carry out patient care and service delivery

    2. to facilitate the monitoring and supervision of services

    3. to report services delivered

    4. to provide a clinic- level data base which can beaccessed for further studies

  • 8/8/2019 Chn Finals Coverage

    30/81

    Output Reports to make the reports useful for

    monitoring management purpose at each level of DOH Management

    Reporting Units that are expected to submit F HSISreports in cases where public health related servicesare provided:

    BHS/ BHC Barangay Health Station/ Barangay HealthCenters

    RHU/MHC Rural Health Unit/ Main Health Center DH/CH District Hospital/ City Hospital PH/CHO Provincial Hospital/ City Health Office RH Regional Hospitals

  • 8/8/2019 Chn Finals Coverage

    31/81

    T HE NURSE IN T HE ORGANIZA T ION

    Public Health Nurse (Nurse II and III)Qualifications : Bachelor of Science in Nursing, Registered Nurse in

    the PhilippinesRoles

    Planner or Programmer identifies needs, priorities and problems of individuals, families and

    community

    formulated nursing component of health plans. In doctor less area,she/he is responsible for the formulation of the municipal health plan

    Interprets and implements the nursing plan, program policies,memoranda and circulars for the concerned staff/personnel

    Provides technical assistance to rural health midwives in healthmatters like target setting, etc.

  • 8/8/2019 Chn Finals Coverage

    32/81

    Provider of Nursing careprovides direct nursing care to the sick, disabled in the home, clinic, school orplace of work

    develops the family s capability to take care of the sick, disabled or dependentmemberprovides continuity of patient care

    manager/ Supervisorformulated individual, family, group and community centered care plan

    interprets and implements program policies, memoranda and circularsorganized work force, resources, equipment and supplies and delivery of healthcare at local levelsrequisitions, allocates and distributes materials (medicine and medical supplies,records and report equipment)provides technical and administrative support to Rural Health Midwife (RHM)

    conducts regular supervisory visits and meetings to different RHMs andgives feedback on accomplishments/performances

  • 8/8/2019 Chn Finals Coverage

    33/81

    Community OrganizerResponsible for motivating and enhancing community

    participation in terms of planning, organizing, and implementingand evaluating health programs/servicesInitiates and participates in community development activities

    Coordinator of ServicesCoordinates with individuals, families, and groups for health andrelated health services provided by various members of healthteam and other Government Organizations (GOs) and Non-Government Organizations (NGOs)

    Coordinates nursing program with other

    health programs as environmental sanitation,health education, dental health and mentalhealth

  • 8/8/2019 Chn Finals Coverage

    34/81

    Trainer/Health Educator/Counseloridentifies and interprets training needs of the RHMs,Barangay Health Workers (BHWs) and hilotsformulates appropriate training program designs forRHMs, BHWs and hilotsprovides and arranges learning experience for RHMs,

    affiliates (nursing and midwife) and other healthworkersconducts training for RHMs and hilots on healthpromotion and disease preventionconducts pre and post consultation conferences for

    clinic patientsfacilitates training for Barangay Health Workers

  • 8/8/2019 Chn Finals Coverage

    35/81

    organizes orientation/taining of concerned groups including non-government organizations

    acts as a resource speaker/person on health and health relatedservices

    participates in the development and distribution of InformationEducation and Communication (IEC) materials

    Conducts IEC orientation for selected group on specificprograms/projects

    Initiates the use of tri-media:radio/TV and cinema plugs, print ads,

    and other indigenous resources for health education purposes

    Conducts pre-marital counseling

  • 8/8/2019 Chn Finals Coverage

    36/81

    Health Monitor detects deviation from health of individuals,

    families, groups of the community throughcontacts/visits with them

    uses symptomatic and objective observationand other forms of data gathering like morbidity,registry, questionnaire, checklist, and anecdo-report/record to monitor growth anddevelopment and health status of individuals,families and communities

    Role Modelprovides good example/model of healthful living tothe public/community

  • 8/8/2019 Chn Finals Coverage

    37/81

    Change Agentmotivates changes in health behavior of individuals,families, group and community including lifestyle inorder to promote and maintain health

    Recorder/ Reporter/Statisticianprepares and submits required reports and recordsmaintains adequate, accurate and complete recordingand reportingreviews, validates, consolidates, analyzes andinterprets all records and reportsprepares statistical data/ charts and other datapresentations for display and for presentation in staff meetings, conferences and seminars/workshops

  • 8/8/2019 Chn Finals Coverage

    38/81

    Researcher

    participates/assists in the conduct of surveys, studiesand researches on nursing and health related subjects

    coordinates with government and non-governmentorganization in the implementation of studies/research

  • 8/8/2019 Chn Finals Coverage

    39/81

    RURAL HEAL T H MIDWIFEQualifications : Graduate of an accredited School of Midwifery and passed the

    Midwifery Board Examination

    DUTIES AND RESPONSIBILITES

    Under the general supervision of the Public Health Nurse (PHN), the Rural Health Midwifeshall perform the following functions:

    Works with the PHN in planning and evaluating health services at the barangay level:

    Participates in determining health needs of individuals, families and the community

    Assists in planning and organizing the clinic in his/her barangay health station

    Prepares monthly schedule of activities in coordination with the physician, nurse, sanitaryinspector and other health workers

  • 8/8/2019 Chn Finals Coverage

    40/81

    Plans for activities in the clinic Barangay Health Stations(BHS), follow-up in homes and field visit in the community

    Participates in the periodic evaluation of health services in thebarangay

    Provides midwifery services in the barangay

    Gives direct care to normal childbearing women duringpregnancy until the end of pueperium as well as to normalnewborn infants

    Refers to physician and/or nurse and appropriate agenciespregnant and post-partum women and newborn infants

    with suspected abnormalities and problem

  • 8/8/2019 Chn Finals Coverage

    41/81

    Carries out medical nursing functions as authorized by theDepartment of Health

    Conduct clinic which includes:

    Obtaining clinical historyPerforming simple routine physical and laboratoryexaminations

    Administering emergency and therapeutic (medical andnursing) measures based on the standing orders

    refers cases needing further diagnostic and management bynurse and/or physician and other agencies

  • 8/8/2019 Chn Finals Coverage

    42/81

    Keeps accurate record or medical and nursing care renderedin the clinic, homes and community

    Mobilizes community for health action

    Identifies individuals and groups in the community who canparticipate in the delivery of health care

    Organizes individuals and groups to support activities inrelation to the delivery of health services within thecatchments area

    Facilitates community health development projects

  • 8/8/2019 Chn Finals Coverage

    43/81

    Carries out health education (HE) and information, education, communication(IEC ) activities

    Conducts individual and group teaching utilizing IE C materials

    Requests and distributes IE C materials to other government and non-government units like schools, civic and church organizations within thecatchment area

    M onitors and supervises health and health related activities within thecatchment area

    Guides volunteer health workers and/or trainees assigned to Barangay HealthStation (BHS)

    Accomplishes required records and forms for activities undertaken

    Prepares and submits reports of activities and needs for supplies and otherlogistic requirements of the BHS

    Participates as facilitator/resource person in the training of volunteer healthworkers and community leaders/members

  • 8/8/2019 Chn Finals Coverage

    44/81

    SUPERVISING PUBLIC HEALTH NURSE/NURSE

    SUPERVISOR AT PROVINCIAL/CITY LEVEL

    Qualifications : Bachelor of Science in Nursing,

    Registered Nurse, Master s Degree in Nursingor Public Health with at least 5 yearsexperience as Public Health Nurse

  • 8/8/2019 Chn Finals Coverage

    45/81

    F unctions and Responsibilities

    Assesses needs for community health nursing services at theprovincial/ city level

    Participates in the formulation of the provincial/ city healthplan with the medical, technical and administrative staff

    Develops nursing components of the provincial/ city healthplan

    Organizes and directs implementation of community healthnursing services and other health program

  • 8/8/2019 Chn Finals Coverage

    46/81

    Supervises, monitors and evaluates implementation of health programs/ projects

    Interprets policies, guidelines and standard operating procedures to nursing andmidwifery staff of the province/ city

    Assesses training needs and plans for staff development program for nursing andmidwifery staff

    Conducts training for nursing and midwifery staff and participates in the trainingand evaluation of other health workers of the province/ city

    Establishes linkages with government and non-government organizations foreffective health care delivery in Rural Health Units (RHUs)/ Health Centers

    Supervises Public Health Nurses and one or more Midwife Supervisors at theProvincial Office/City Domiciliary Obstetrical Service (DOS)

  • 8/8/2019 Chn Finals Coverage

    47/81

    Participates in the recruitment and selection of new nursingand midwifery staff

    Collects, consolidates, analyzes and interpret health recordsand reports and makes recommendation as needed

    Coordinates with Provincial/ City Health Officer and Staff aswell as the representatives of health and other health relatedagencies (GOs and NGOs)

    Conducts, participates in studies and researches on nursingand related fields

    Attends meetings, seminars, workshops, conferences andupdates on nursing and related fields

  • 8/8/2019 Chn Finals Coverage

    48/81

    NURSE INSTRUC TOR

    Qualifications: Bachelor of Science in Nursing,Registered Nurse, with Master s Degree in

    Nursing. Three years experience as acommunity health nurse; Special training onthe functions of the Nurse Instructor

  • 8/8/2019 Chn Finals Coverage

    49/81

    F unctions and Responsibilities

    Implements a continuous training program for nurse andmidwife graduates and undergraduates level. Plans for theRegional Health Training Center Technical Staff

    Submits required training records and reports

    Participates in implementation of training programs

    Participates in planning , developing and evaluating on-the- job training for nurses and midwives conducted by theDepartment

  • 8/8/2019 Chn Finals Coverage

    50/81

    Attends and participates actively in workshops,institutes, seminars and professional meeting for theimprovement of nurses and nursing

    Participates in the planning, implementation of staff

    development program for all categories of publichealth workers

    Participates in planning, developing and evaluatingtraining programs of other health personnel

  • 8/8/2019 Chn Finals Coverage

    51/81

    Participates indirectly in the improvement of nursingservices

    by indirectly supervising the public health nursingand midwifery staff of the health centers utilized fortraining

    by analyzing and evaluating the public health nursingservice carried on in the community

    by giving recommendations for the improvement of the nursing service during staff meetings andconferences

  • 8/8/2019 Chn Finals Coverage

    52/81

    participates in planning and interpreting training policies,standards and procedures to the national, regional, provincial

    and city health offices

    participates with faculty; public health nurse and fieldinstructors in planning a program of experience for studentsand helps him/her interpret to the service staff of the healthcenter the objectives and program of experience of thestudents

    makes available with the help of the service staff, selectedfield activities needed by students

    makes available to the faculty, public health nurse, fieldinstructor, selected families for follow-up

  • 8/8/2019 Chn Finals Coverage

    53/81

    guides and/or arranges with health center staff, the orientation andlectures to students about health center and local healthdepartment set-up

    in the absence of the faculty, public health nurse and fieldinstructor, he/she takes responsibility of guiding the students

    participates with the faculty, public health nurse and field instructorin conducting evaluation procedures to determine studentperformance and progress

    confers with faculty, public health nurse and field instructorregarding observations of student s performance and attitudes andrecommends remedial measures for improvement

    participates actively with the faculty, public health nurse and fieldinstructor in improving the training of students on methods andcontent of experience

  • 8/8/2019 Chn Finals Coverage

    54/81

    REGIONAL T RAINING NURSEQualifications : Bachelor of Science in Nursing, Registered Nurse in the Philippines,Masters Degree in Nursing/ Public Health with six years nursing experience, three

    years of which are in training or nursing education

    Functions and Responsibilities

    Assesses training needs of nursing and midwifery staff, both hospital andpublic health ( Supervising Public Health Nurses, Midwife Supervisor)

    Designs and organizes training program for nursing and midwifery staff (hospital and public health) and participates in the planning and organizingtraining program for other workers

    Develops and prepares training materials/ devices for training

  • 8/8/2019 Chn Finals Coverage

    55/81

    Conducts, monitors and evaluates training programs fornursing and midwifery staff and participates in the training of the health workers and midwifery staff

    Supervises, monitors and evaluates the performance of theNurse instructor both in hospital and public health

    Analyzes and interprets reports of Nurse Instructors

    Acts as a resource speaker/ facilitator/ coordinator in trainingprogram/ conference

    Recommends qualified and deserving nursing/ midwifery staff for further study/ promotion

  • 8/8/2019 Chn Finals Coverage

    56/81

    Coordinates with other government and non-government agencies inrelation to the conduct of training programs

    Keeps abreast with trends and development in nursing, public health andother fields

    Participates in the conduct of research/ studies

    Perform other functions assigned from time to time, such as

    establishes coordination/ linkages with government and non-governmentorganizations for effective health care delivery

    conducts / participates in studies and research

  • 8/8/2019 Chn Finals Coverage

    57/81

    REGIONAL NURSE SUPERVISOR/ REGIONAL PUBLICHEALTH NURSE (NURSE V)

    Qualifications :Bachelor of Science in Nursing, Registered Nurse in

    the Philippines with at least 5 years experience in thecommunity health nursing,2 years of which are in supervisory position, withMaster s Degree in Public Health or Masters of Arts

    in Nursing, major in Community Health NursingAdministration and Supervision

  • 8/8/2019 Chn Finals Coverage

    58/81

    F unctions and ResponsibilitiesAdministration and Management

    I. Planning and Programming

    Prepares the Regional Nursing Supervisory PlanParticipates in the preparation of Nursing

    Service Action Plan

    Ensures effective administration of nursingservice in the region

  • 8/8/2019 Chn Finals Coverage

    59/81

  • 8/8/2019 Chn Finals Coverage

    60/81

    Monitoring and Supervision

    Monitors nursing and other related health activitiesboth hospitals and public health in assigned citiesand provinces

    Provides technical guidance, supervision andconsultatory services to the Supervising PublicHealth Nurse at the Provincial Health Office and tothe Chief Nurses of City Health Department

    Monitors implementation of programs and projectsof the Department of Health/ Region

  • 8/8/2019 Chn Finals Coverage

    61/81

    Evaluation

    Participates in the evaluation of nursing activities of assignedprovinces and cities

    Participates in the evaluation of programs of the DOH/ Region

    Motivates nurses and participates in research activities onnursing and related subjects

    Other Duties

    Acts as resource person/ speaker to organized groups

    Attends conventions / seminars / workshops/ meetings forprofessional growth and development

  • 8/8/2019 Chn Finals Coverage

    62/81

    NURSING PROGRAM SUPERVISOR ( NURSE VI)

    Qualifications : Bachelor of Science in Nursing,Registered Nurse in the Philippines, with atleast 7 years experience in community healthnursing/ training, possesses a Master s Degreein Public Health, Master s Degree in NursingMajor in the Public Health Nursing

    Administration and Supervision

  • 8/8/2019 Chn Finals Coverage

    63/81

    F unctions and ResponsibilitiesThe F unctions of Nurse VI (Nursing

    Program Supervisor) whose positions areattached to different services of theDepartment of Health such as Maternal and

    Child Health, Family planning, CommunicableDisease Control and Non-CommunicableDisease Control are basically the same butdiffer according to the specialprograms/projects of the respective service

  • 8/8/2019 Chn Finals Coverage

    64/81

    formulates policies and develops standards andguidelines on nursing aspects of specific programs

    participate with other technical staff in thedevelopment of standards and guidelines onprograms/projects of the respective service he/she isassigned

    plan and develops the nursing component of thevarious programs under each service

    participates in the development of plans andprograms in the prevention and control of specificconditions/diseases under each service

  • 8/8/2019 Chn Finals Coverage

    65/81

    develops/ participates in the planning/ designing of trainingprograms relevant to the specific programs/ project of theservice

    acts as coordinator, facilitator and/ or resource person intraining programs for health and related workers

    Monitors, supervises and evaluates the implementation of specific health programs in coordination with the RegionalHealth Staff and Local Government Units

    acts as Consultant / Adviser to the Director and staff andregional Nursing Staff on Nursing, Midwifery and related matters

  • 8/8/2019 Chn Finals Coverage

    66/81

    Conducts/ participates in studies and researches

    attends meetings, conferences, seminar- workshops,clinical updates and other continuing educationprograms on nursing and other related matters tokeep abreast with trends and for professional growth

    Initiates, motivates, conducts studies and researcheson nursing and health related subjects

    performs other duties assigned from time to time

  • 8/8/2019 Chn Finals Coverage

    67/81

  • 8/8/2019 Chn Finals Coverage

    68/81

    Functions and Responsibilities

    Assesses needs for Community Health Nursing Services as part of the totalhealth program

    participates in the overall planning of the city health department programwith the medical, technical, administrative and other nursing staff

    plans, organizes and directs the implementation of community healthnursing services with the assistant chief nurse and district nursesupervisors

    supervises and coordinates the activities of the Assistant Chief Nurse,Nurse Supervisors and Nursing Training Staff

    Evaluates the quality and effectively of nursing services in relation to thetotal health program

  • 8/8/2019 Chn Finals Coverage

    69/81

    coordinates community health nursing services with otherhealth and socio-civic programs/ agencies. (Government andNon-Government)

    acts as Consultant to the City Health Officer and nursingstaff on nursing and related matters

    plans for and motivates, nursing staff to pursue continuingeducation programs for professional growth and development.Keeps himself/ herself abreast on trends and developments onnursing and related fields

    participates in the recruitment selection of nursing personneland makes proper recommendations. Recommends deservingand qualified nursing personnel for promotion

  • 8/8/2019 Chn Finals Coverage

    70/81

    initiates, motivates and participates in the conduct of studies/researches to improve effectiveness of nursing services

    attends conferences, seminars and updates on nursingcommunity, heath and related fields

    participates in community outreach programs as needed

    provides leadership and encourages development of leadership abilities among nursing personnel

    serves as resource speaker/ reactor in staff development andother training activities

    performs other functions assigned from time to time

  • 8/8/2019 Chn Finals Coverage

    71/81

    ASSISTANTCHIEF NURSE IN SELEC TEDCITY HEALTHDEPARTM ENTS

    Qualifications : Bachelor of Science in Nursing,Registered Nurse in the Philippines, Master s Degree

    in Nursing, Major in Community Health Nursing orMaster s Degree in Public Health/ NursingAdministration with at least five years experience incommunity health nursing, two years of which have

    been in supervisory position, with demonstratedleadership ability

    F ti d R ibiliti

  • 8/8/2019 Chn Finals Coverage

    72/81

    F unctions and Responsibilities

    Participates with the chief nurse in the assessment of nursing needsParticipates with the chief nurse in the assessment of nursing needs

    participates in planning, organizing and directing the implementation of participates in planning, organizing and directing the implementation of Community Health Nursing ServicesCommunity Health Nursing Services

    Supervises, coordinates and evaluates the performance of the DistrictSupervises, coordinates and evaluates the performance of the DistrictNurse Supervisors and assists them in the evaluation of community healthNurse Supervisors and assists them in the evaluation of community health

    nursesnurses

    participates in the recruitment and selection of nursing personnel and inparticipates in the recruitment and selection of nursing personnel and inthe orientation of new community health nursesthe orientation of new community health nurses

    analyzes potentials of Nurse Supervisors for professional growth andanalyzes potentials of Nurse Supervisors for professional growth and

    recommends deserving nurses for study grantsrecommends deserving nurses for study grants

  • 8/8/2019 Chn Finals Coverage

    73/81

    participates in the planning and conduct of staff development programsfor nurses

    work with professional organizations and other socio- civic groups (GOsand NGOs) to improve nursing services

    acts resource person in seminars and meetings on nursing, communitydevelopment and related matters

    participate/ conducts studies/ researches in community health nursingto improve service

    performs the functions of the Chief Nurse in her/his absence

    attends meetings, seminars, workshops on nursing and related fields

    performs other functions assigned from time to time

  • 8/8/2019 Chn Finals Coverage

    74/81

    O CCUPATI ON AL HEALTH N URSEQualifications : Registered N urse, Bachelor of Science in N ursingpreferably with training/ units in O ccupational Health N ursing

    Functions and Responsibilities:

    Assists or participates in developing an adequate health program forworkers and laborers, which should include sound health educationactivities

    encourages periodic physical examination and provides guidance ordirection in obtaining his/ her service

    cooperates with occupational medical programs in the presentation of accidents and in the promotion of good working atmosphere andrelationships in the place of work

    determines resources for rehabilitation of the laborers and employeeswhenever indicated

  • 8/8/2019 Chn Finals Coverage

    75/81

    assists the under-served small scale industries to maintainhealth and safety of the workers

    interprets to management the Provision of Rep. Act 1054 inwhich the employer shall maintain and keep

    inspects commercial and industrial establishments to checkthe sanitary conditions and to detect the presence of industrial occupational hazards and to report same to theChief of the Service

    gives health teaching on how to detect and prevent risksand occupational related diseases

    guides and helps an industrial or nurse with the view of improving the services in occupational health

  • 8/8/2019 Chn Finals Coverage

    76/81

    understanding of the nature of risks and how the workersare exposed

    meeting emergency cases promptly and adequately

    applying up-to-date techniques and procedures andtranslating to employees the safety policies of the

    company

    assessing, developing and implementing control measuresamong employees and their families

    counseling to help employees meet their problems

    keeping and maintaining good and simple records

  • 8/8/2019 Chn Finals Coverage

    77/81

    utilization of the community resources for the benefit of the employees

    prepares and submits daily, monthly, and annualreports of accomplishment

    keeps himself/ herself abreast of modern trends in

    nursing through active participation in professionaland scientific conferences, seminars, workshops orformal education

    works cooperatively and closely with other healthand nursing agencies for a common goal: health of the community, such as immunization and sanitationprograms

    PRIORITIES FOR SUPERVISION

  • 8/8/2019 Chn Finals Coverage

    78/81

    PRIORITIES FOR SUPERVISION

    industrial and commercial establishments wherethere are no nurses employed

    industrial and commercial establishments wherethere are complaints of occupational hazards

    industrial and commercial establishments wherethere are cases of occupational diseases

    industrial and commercial firms where assistance isnecessary in the establishment and maintenance of aclinic with a full-time nurse

  • 8/8/2019 Chn Finals Coverage

    79/81

    OCC UPATIONAL HEALTH NURSE SUPERVISOR

    Functions

    Participates in the formulation of policies,development of plans/ programs on matters pertainingto the prevention and control of occupational healthdiseases

    assists in the preparation of standards and guidelinesfor information, education and communication

    participates in the development of training programson occupational health and safety

  • 8/8/2019 Chn Finals Coverage

    80/81

    assists in the identification of training needs of lower levelhealth personnel on occupational health diseases

    performs the two key elements of Occupational HealthPrograms such as:

    health protection comprising the health risk management at

    work which is the health hazard identifications, health risk assessment, its control measures, health surveillance,information, instruction and training, monitoring and recordkeeping and

    health promotion comprising the assessment of health risk associated with the living environment and lifestyle, employeeinformation and assistance program

  • 8/8/2019 Chn Finals Coverage

    81/81