provision of out-patient services - santa rosa, laguna · 2019-10-26 · provision of out-patient...

Provision of Out-Patient Services

BRIEF DESCRIPTION Medical diagnosis and management of uncomplicated illnesses to walk-in and/or referred patients from nine(9) catchment barangays and other physicians and health care practitioners from government or private facility.

DEPARTMENT/OFFICE CONCERNED CITY HEALTH OFFICE I

SCHEDULE OF AVAILABILITY OF SERVICE

Mondays to Thursdays 8:00AM - 5:00PM (No Noon Break)

WHO MAY AVAIL OF THE SERVICE Clients/Patients seeking medical consultation at the City Health Office-1 from the 9 catchment barangays and other physicians and health care practitioners from government or private facility

WHAT ARE THE REQUIREMENTS 1. Government issued Identification 2. Referral form (if referred from other facility) 3. Medical records

FEES

If with lab CBC - P50.00 urinalysis - P20.00 Stool exam - P20.00 Hep B screening - P150.00 Platelet count - P15.00 DSSM – free Gene Xpert - free others as needed

FORMS 1. Service routing slip 2. Individual Treatment Record 3. Referral form 4. Laboratory Request slip 5. Charge slip 6. Medical certificate 7. Prescription 8. Laboratory request 9. Laboratory result

DURATION

Without lab. Ave 27 minutes

Plus with CBC - 1 hour urinalysis - 1 hour stool exam - 1 hour Hep B screening - 1 hour Platelet count - 1 hour DSSM - 4-8 hours Gene Xpert - 6-8 hours

HOW TO AVAIL OF THE SERVICE

STEP PROCEDURE DURATION PERSON-IN CHARGE

1 Sort Clients from the triage (service routing slip issued) 1-2 minutes

Baby Mamerto Marietta Estanislao Jonjon Barqueros Eric Evangelista Joey Algabre

2 Receive and interview walk-in and referred client 10 minutes Lucina Ramos Gladys Cruz Rosana Albor

Assess and diagnose clients

10 minutes(depends

on the case)

Genoveva Factoriza, RN Joanne Fondevilla, RN Anita Dionisio, RN(HPN patients) Oliver Paco Catherine Haynes, MD

4 Refer to Pharmacy/Specialist or specialty clinic or hospital for further management

2-5 minutes (Pharmacy)

Lorina Puzon, RPh Miragrace Alibudbud, RPh

Provision of Dental Services

BRIEF DESCRIPTION Provision of oral dental services to individuals with oral health problems



Monday – Friday 8:00AM - 5:00PM (No Noon Break)

WHO MAY AVAIL OF THE SERVICE All individuals within the catchment area with oral health problems seeking consultation

WHAT ARE THE REQUIREMENTS 1. Government issued Identification 2. Referral form (if referred from other facility)

FEES CBC - P50.00 urinalysis - P20.00 Stool exam - P20.00 Hep B screening - P150.00 Platelet count - P15.00 DSSM – free Gene Xpert - free FBS - outside

FORMS 1. Service routing slip 2. Individual Treatment Record 3. Referral form 4. Client's chart 5. Medical certificate 6. Prescription

DURATION Average of 45 minutes






3 Receive client from registration 5 minutes Shirley Alinsod Jingle Jaupico

4 Assess and treat clients Ave. 20 minutes Randy Lijauco, DMD Carlo Filoteo, DMD

5 Refer to Pharmacy/OPD Nurse and/or physician or dentist of choice for further management

2-5 minutes (Pharmacy)


Provision of Birthing Center Services

BRIEF DESCRIPTION Provision of quality prenatal care, perinatal care, post-natal care, newborn care and newborn screening procedures to women of reproductive age and their newborn.



Daily 24 hours

WHO MAY AVAIL OF THE SERVICE All women and their newborn seeking maternal care and newborn care respectively, within the catchment area

WHAT ARE THE REQUIREMENTS 1. Government issued Identification 2. Referral form (from other facility) 3. Medical records 4. Birth plan

FEES CBC - P50.00 urinalysis - P20.00 Hep B screening - P150.00 Others - as needed

FORMS 1. Service routing slip 2. Individual Treatment Record 3. Referral form 4. Prenatal record 5. Laboratory request slip 6. Laboratory result form 7. Additional forms if admitted

a. client's data sheet b. consent for admission and procedure form c. waiver for rooming-in and breastfeeding form d. vital signs monitoring form e. TPR sheet f. doctor's order sheet g. nurse/midwife progress notes h. Reminder form i. partograph j. newborn admission form k. vital signs monitoring form(NB) l. Classification of Newborn Form m. Maturity rating and classification form n. Doctor's order sheet (NB) o. Nurse/midwife's notes (NB) p. Certification form q. Discharge instruction sheet r. Request for newborn screening s. Clinical abstract t. medical certificate u. discharge summary

DURATION 1 hour and 7 minutes (excluding delivery)





2 Receive and interview walk-in and referred client 10 minutes Institutional Worker Midwife and/or Nurse on Duty

3 Assess, conduct prenatal check-up and diagnose the client 20 minutes Nurse and/or Midwife on duty

4 Conduct routine laboratory test ave 30 minutes( depends on lab

test)

Mariza Garing, RMT Marivic Batallones, RMT Marianne Regina Bautista, RMT

5 Refer client to Pharmacy/partner OB-Gyn, specialist and/or hospital of choice

2-5 minutes(Pharmac

y)


If admitted at the birthing center

6 Admit client in labor 10 minutes Nurse and/or Midwife on Duty

7 Discharge client 10 minutes Nurse and/or Midwife on Duty

Provision of Anti-Rabies Vaccine/Rabies Immunoglobulin

BRIEF DESCRIPTION Provision of anti-rabies vaccine/RIG to patients with animal bites



Mondays to Thursdays 8:00AM - 12:00NN

WHO MAY AVAIL OF THE SERVICE Walk-in and referred patients from the 9 catchment barangays under CHO-1

WHAT ARE THE REQUIREMENTS 1. Government issued identification 2. Referral form

FEES None

FORMS 1. Service routing slip 2. Individual Treatment Record 3. Rabies Post-Exposure Prophylaxis card 4. Referral form 5. DOH Form 6. Philhealth form (for members)

DURATION

New clients: ave 1 hour and 10 minutes Old Clients: Average 20 minutes






3 New clients: Undergo health education lecture with forum Old Clients: will proceed to No. 5

lecture: 30-45 minutes

Rina Sayao

4 History Taking, physical examination and categorization of bite 5 minutes

Catherine Haynes, MD Christine Buela, RN Madeleine Almodovar, RM

5 Administer anti-rabies vaccine/RIG 1-2 minutes Catherine Haynes, MD Chistine Buela, RN

6 Issue Rabies Post-exposure Prophylaxis(PEP) Card 1-2 minutes Christine Buela, RN Madeleine Almodovar, RM

Sexually Transmitted Infection (STI) Case Management

BRIEF DESCRIPTION Provision of social hygiene services including treatment to clients with signs and symptoms of STI and provision of counselling and testing to vulnerable population for HIV




WHO MAY AVAIL OF THE SERVICE Walk-in and referred patients with signs and symptoms of STI

WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Service routing slip 3. Referral form

FEES HIV testing kit - none

FORMS 1. Service Treatment Record 2. Individual Treatment Record 3. Laboratory request slip 4. DOH forms for HIV 5. Laboratory results 6. Prescription 7. Medical certificate

DURATION

2 hours and 40 minutes ave (with counselling) *result with findings






3 Take pertinent history and physical examination 20 minutes Christine Buela, RN

4 Render HIV Counselling ave 1 hour Trained HIV Counsellors

5 Collect appropriate specimen 5 minutes

Mariza Garing, RMT Marivic Batallones, RMT Mariane Regina Bautista, RMT

6 Interpret results, prescribed medication and Post-test counselling

2 minutes counselling - 1

hour

Trained HIV Counsellors Christine Buela, RN Catherine Haynes, MD Soledad Rosanna C. Cunanan, MD

Provision of Pulmonary Tuberculosis (PTB) Consultation and Treatment

BRIEF DESCRIPTION Early identification, diagnosis and proper treatment of Tuberculosis cases, both adults and children by directly-observed short-course strategy



Monday – Wednesday 8:00AM - 5:00PM (No Noon Break)

WHO MAY AVAIL OF THE SERVICE Walk-in and referred patients with signs and symptoms of Tuberculosis

WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Referral form

FEES DSSM – none Gene Xpert – none CXR - outside service

FORMS 1. Service routing slip 2. Individual Treatment Record 3. NTP referral form 4. NTP Laboratory request and result form 5. NTP diagnosis form for children 6. TB Diagnostic Committee referral form 7. Provider’s Initiative Counselling and Testing (PICT) NEC form 8. Kasunduan para sa Tutok-Gamutan 9. TB/IPT treatment card 10. NTP Identification card 11. Philhealth forms (for members) 12. DOH registration form

DURATION Ave 1 hour and 10 minutes





2 Receive and interview walk-in and referred client 10 minutes Rosana Capuchino, RN Marilen Tangonan, RN Liezel Baraquiel, RM

3 Assess and diagnose client

20 minutes (excluding

waiting time for results)

Catherine Haynes, MD Rosana Capuchino, RN Marilen Tangonan, RN

4 Counsel clients ave 30 minutes PICT counsellors

5 Register clients 5 minutes Rosana Capuchino, RN Marilen Tangonan, RN

6 Refer/Treat clients

1-2 minutes (treatment

duration based on category of treatment)

Rosana Capuchino, RN Marilen Tangonan, RN

Provision of Laboratory Services

BRIEF DESCRIPTION Provision of quality laboratory services to help in the proper diagnosis and treatment of clients.




WHO MAY AVAIL OF THE SERVICE Walk-in and referred patients with laboratory request

WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Referral form 3. Laboratory request 4. MDR-indigent patients (Philhealth)

FEES CBC - P50.00 urinalysis - P15.00 stool exam - P15.00 Hepa B screening - P150.00 Platelet count - P15.00 CXR - outside service blood chem - outside service AFB smear – free Gene xpert - free RPR - free HIVT - free

FORMS 1. Service routing slip 2. Lab request slip 3. Charge slip 4. Lab. Request form

DURATION

CBC - ave. 30 minutes Urinalysis - 30 minutes Stool exam - 30 minutes Hep B screening - 30 minutes Platelet count - 30 min CXR - outside Blood chem - 24 hours AFB smear - 8 hours Gene Xpert - 8 hours RPR - 1 hour HIVT - 1 hour





2 Identify and process routine laboratory procedures depends on lab request

Mariza Garing. RMT Marivic Batallones, RMT Mariane Regina Bautista, RMT

3 Record the results 3 minutes


4 Release of results 2 minutes


Provision of Medicines

BRIEF DESCRIPTION Dispensing of basic medicines to CHO-1 clients with active prescription




WHO MAY AVAIL OF THE SERVICE CHO-1 patients with prescription

WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Recent prescription

FEES No fees

FORMS Service routing slip

DURATION 9 minutes





2 Receive the latest prescription 1 minute Lorina Aquino, RPh Miragrace Alibudbud, RPh

3 Check for availability and prepare prescribed medicines 5 minutes Lorina Aquino, RPh Miragrace Alibudbud, RPh

4 Record, dispense and instruct clients on proper medicine storage and intake 2 minutes

Lorina Aquino, RPh Miragrace Alibudbud, RPh

Provision of Family Planning (FP) Services

BRIEF DESCRIPTION Provision of family planning services to couples and women of reproductive age




WHO MAY AVAIL OF THE SERVICE Clients or couples of reproductive age from the 9 catchment barangays of CHO-1

WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Referral form

FEES No Fees

FORMS 1. Service routing slip 2. Individual treatment record 3. FP service record 4. Referral form

DURATION Ave 40 minutes





2 Assess Family Planning unmet needs 5 minutes Annie Dionisio, RN Aracely Latayan, RM

3 Do family planning counselling 30 minutes Annie Dionisio, RN Aracely Latayan, RM

4 Provide Family Planning services depends on commodities

Annie Dionisio, RN Aracely Latayan, RM

5 Record data of client 1 minute Annie Dionisio, RN Aracely Latayan, RM

Provision of Pre-Marriage Counselling Service

BRIEF DESCRIPTION Health information lecture to couples applying for marriage license



Tuesdays and Thursdays 8:00AM - 12:00NN

WHO MAY AVAIL OF THE SERVICE Couples applying for marriage certificate

WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Service routing slip

FEES No fees

FORMS 1. Service routing slip

2. PMC certificate

DURATION 3 hours and 9 minutes (with lecture proper)





2 Interview couples 5 minutes Annie Dionisio, RN Aracely Latayan, RM Honorata Zaide

3 Conduct orientation( lecture proper) 3 hours

Annie Dionisio, RN Aracely Latayan, RM Honorata Zaide other program coordinators

4 Issue pre-marriage certificate 2 minutes Annie Dionisio, RN Aracely Latayan, RM

Provision of Review and Issuance of Death Certificate

BRIEF DESCRIPTION Documenting, certifying, and confirming causes of deaths of individuals reported at the City Health Office 1




WHO MAY AVAIL OF THE SERVICE All deaths within the catchment area of CHO-1

WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Death certificate form 3. Medical records/waiver for autopsy affidavit

FEES Burial fee - P100.00

FORMS 1. Service routing slip 2. Data information slip 3. Charge Slip

DURATION 10 minutes





2 Receive request for review and issue death certificate 1 minute Myra Mesias, RM Evelyn Alvarez

3 Evaluate and prepare document 5 minutes

S. Rosanna Cunanan, MD Catherine Haynes, MD Myra Mesias, RM Evelyn Alvarez

4 Issue order of payment 1 minute Myra Mesias, RM Evelyn Alvarez

5 Release Death Certificate 1 minute Myra Mesias, RM Evelyn Alvarez

Issuance of Certificate of Transfer of Cadaver Bones/Ashes

BRIEF DESCRIPTION Permission procedure to transfer cadavers/bones to other city or municipality




WHO MAY AVAIL OF THE SERVICE All deaths within the catchment area requesting transfer of cadaver/ashes/bones

WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Death certificate 3. Affidavit in case no Death

Certificate/Certification of no record form Registrar's Office or PSA

FEES Transfer permit fee - P100.00

FORMS 1. Service routing Slip 2. Transfer permit form 3. Charge Slip

DURATION 6 minutes





2 Receive and evaluate death certificate 1 minute Myra Mesias, RM

3 Issue charge slip 1 minute Myra Mesias, RM

4 Prepare, record and release Transfer Permit 2 minutes Myra Mesias, RM Rene Gomez

Issuance of Health Certificates for Food and Non-Food Handlers

BRIEF DESCRIPTION Issuance of health certificates employees and applicants in establishments operating within the catchment of CHO-1




WHO MAY AVAIL OF THE SERVICE Employees and applicants in establishments operating within the catchment of CHO-1

WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Medical examination results 3. Laboratory results

FEES Health certificate fee - P50.00

FORMS 1. Service routing slip 2. Charge slip 3. Laboratory request slip 4. Laboratory result 5. Checklist of requirements 6. Health certificate 7. IRR pamphlet

DURATION 30 minutes





2 Receive and evaluate requirements 1 minute

Bonifacio Sayao, ME Divina Epino, RM/Eloisa Laserna Rene Gomez Dominador Carvajal Erik Karunungan Aladin Getuya

3 Issue charge slip 1 minute

Bonifacio Sayao, ME Divina Epino, RM Eloisa Laserna Rene Gomez Dominador Carvajal Erik Karunungan Aladin Getuya

4 Prepare Health Certificate 5 minutes


5 Conduct Basic Food Seminar 20 minutes


6 Release of Health certificate 1 minute


Surveillance of Notifiable Diseases

BRIEF DESCRIPTION Early validation and confirmation of reportable diseases to prevent disease outbreak




WHO MAY AVAIL OF THE SERVICE All reported cases of notifiable diseases

WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Referral form 3. Medical records

FEES No Fees

FORMS 1. Service routing slip 2. Case investigative forms 3. Laboratory request slip 4. Referral form 5. Laboratory result

DURATION 11 minutes (excluding validation and confirmatory testing)





2

Receive and validate referral cases from OPD, 11 Barangay Health Stations/barangay under CHO-1 catchment area and other health facilities

2 minutes (excluding validation)

Ma. Lourdes Policarpio, RN

3 Screen clients and collect specimen for testing 5 minutes

Mariza Garing, RMT Marivic Batallones, RMT Mariane Regina Bautista, RMT

4 Submit specimen for confirmatory testing depends on type of test

Ma. Lourdes Policarpio, RN

5 Refer client to Pharmacy, specialist/specialty clinic and/or hospital

Pharmacy - 2 minutes

Lorina Aquino, RPh Miragrace Alibudbud, RPh Catherine Haynes, MD Soledad Rosanna Cunanan, MD

Provision of Ambulance Assistance

BRIEF DESCRIPTION Transport assistance to patients needing transfer to other hospital




WHO MAY AVAIL OF THE SERVICE All qualified patients needing ambulance assistance

WHAT ARE THE REQUIREMENTS 1. Government issued ID 2. Referral form/Medical certificate

FEES No Fees

FORMS 1. Service routing slip 2. Kasunduan form 3. Trip ticket

DURATION 7 minutes (excluding transport time)





2 Fill-up Kasunduan Form 5 minutes Maritoni Ambata

3 Approve Kasunduan Form and Trip Ticket 1 minute Soledad Rosanna Cunanan, MD Catherine Haynes, MD

4 Transport Client depends on distance

Arnel Cruz

provision of out-patient services - santa rosa, laguna · 2019-10-26 · provision of out-patient...

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