This document outlines standard procedures for conducting clinic visits and providing primary health care. Key steps include registration, triaging patients, clinical evaluation, prescribing treatments, and providing health education. Referrals should be made if further management is needed at behavioral health services, rehabilitation hospital, or other facilities. The primary health care team aims to deliver inexpensive and accessible care through a coordinated team of local leaders, medical professionals, and inspectors.
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Community Health Nursing Notes
This document outlines standard procedures for conducting clinic visits and providing primary health care. Key steps include registration, triaging patients, clinical evaluation, prescribing treatments, and providing health education. Referrals should be made if further management is needed at behavioral health services, rehabilitation hospital, or other facilities. The primary health care team aims to deliver inexpensive and accessible care through a coordinated team of local leaders, medical professionals, and inspectors.
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- Refer if needs further management
(BHS to RHU, RHU – HOSP.)
- Accompany the patient – if is an Community health nursing notes: emergency referral 7. Prescription/Dispensing Clinic Visits - Give proper drug instructions Advantage 8. Health Educations - It is inexpensive in time and usually - Conduct one on one counseling in cost both for the service and for with the patient other family. - Reinforce health education and Standard procedures in Conducting Clinic Visit: counseling message - Give appointment for the next visit 1. Registration/Admission - Greet the client and establish PHASES OF CLINIC VISITS rapport 1. Pre-consultation – establish - Prepare records relationship, assessment on chief - Elicit clients chief complaint and complaint, VS, PE clinical history 2. Consultation – medical consults and - Perform PE nursing interventions 2. Waiting time 3. Post – Consultation - Implement the first come, first a. Explaining intervention to be done served except for emergency and at home urgent cases. b. Follow up care 3. Triaging c. Referrals - Manage program based cases - Refer all non-program based cases PRIMARY HEALTH CARE 4. Clinical Evaluation Primary Health Care Team - Validate clinical history and PE - Inform client of the nature of the - Local chief executive illness, treatment, prevention and - Physician ‘ control measures - Nurse 5. Laboratory and other diagnostic - Medtech examinations - Midwife - Identify a designated laboratory - Sanitary Inspector when needed. - 6. Referral systems