Clinics

clinics in community. Community health nursing.

1. CLINICS Ms. Sujeeta Malik Nursing Tutor Community Health Nursing MANC, Bahadurgarh

2. Definition Clinic refers to a place where outdoor patients come to physicians and members of health team for treatment and follow up treatment. Clinic is the place where patients, who can move bout or are not hospitalized come for check up or treatment. It is the place where preliminary diagnosis of patient is done and treatment given.

3. Purpose & Importance of Clinic Primary health care facilities to vulnerable segment of society Easy reachable for people Diagnostic facilities Free or minimum cost of treatment Specialized services Referral Services Counselling services

4. Features of Clinic Planned and follows the time table Specialized and skilled physicians and health team members. Adequate facilities; equipment, medicine, sanitation etc. Working hours is more than routine timing of health centre. Facility for follow up treatment is available.

5. Location of clinic Clinic should be s et up within or near by community. Location should be acceptable to all The clinic and waiting area should be safe for children.

6. Places for location of clinic Sub- centres PHCs/CHCs Hospital Urban slums Nearby community places; bus stand, school, fairs etc. NGOs

7. Criteria for good clinic Location should be accessible and acceptable to community people. Clinic should be well organized with effective flow chart for one station to another. There should be effective recording and reporting system. Health education facilities should be available in clinics.

8. General Clinics General clinics are the clinics where any person can be attended with any health problem. More convenient. Arranged for examination, diagnosis, treatment o f all minor ailments. E.g. Immunization Clinic, Dental Clinics, X- ray clinics.

9. Separate Clinics These clinics runs on different days of weeks. Includes Maternal and child health clinics. MCH services are provided through these clinics. These clinics are part of community programme. Provide need based services to people. Example: Antenatal Clinics Postnatal Clinics Under five clinics Child guidance clinics Reproductive and child health clinics Family welfare clinics

10. Speciality Clinics These clinics provide medical and counselling services for specific disease. Clinics run by specialized Physician and Nurses. Example: TB C linic Diabetes Clinic STD’s Clinic Nutrition Clinic

11. Polyclinics It provide a range of health care services. Includes diagnosis without any admission or need of an overnight stay.

12. Functions of Clinics Medical Check – up & follow-up Diagnostic services Referral Services Treatment of minor ailments Health education & Counselling services

13. Functions of Health Personnel in Clinics COMMUNITY HEALTH NURSE : Setting up of clinic & arrangement of equipments and supplies. Placement of multipurpose health workers in service area and assign responsibilities. Assessment of patients Provide need based nursing care. Health education to patient and family members.

14. Cont… Assist the physician in procedure. Guide and supervise health workers. Maintain health record and registers. Monitoring and evaluation. Promote working environment in the clinics.

15. Function of MPHW Registration of cases in clinic. Assess and record the height and weight if required. Assess the health status of patient based on guidelines. Provide need based treatment and care as per standing order. Health education to patient and family member.

16. THANK YOU