Clinics and camps

COMMUNITY HEALTH NURSING II

1. Prepared by silpa jose t lecturer,stcon kattanam Organisation of Clinics and camps

2. Clinic The word clinic refers to a place where outdoor patients come to physicians and members of health team for treatment and follow-up treatment According to another concept ,clinic is the place where the patients who cannot move about are ot institutionalised come for check up and treatment

3. Purpose and importance of clinics Primary healthcare facilities to vulnerable segment of society Easy reach,no need of transportation for patients Diagnostic facilities Free or minimum cost of treatment Counselling and health awareness Services of specialist doctors or clinicians Referral services Choice for alternative therapies

4. Features of good clinic Planned and follows the timetable As far as possible liberating the patients from the compulsion of pre registration Physicians and members of health team should be specialist one and skilled in their work and sufficient in number Proper arrangement of place, equipment, furniture, medicine,toilet,drinking water etc

5. Cont.. Working hours of the clinic is more than the usual timings of health centre. Behavior of medical staff should be satisfactory while giving the diagnosis,treatment and answers to the queries of the patients Facility for follow up treatment should be available after the treatment given in the clinic Requirement of the community should be kept in mind while setting up the clinic and its work

6. Cont.. Arrangement should be made for effective health education

7. Places for clinic Subcenters PHC\CHC Hospitals Low income group colonies, slums, bus stand, school, fairs ,NGO campus a places and simiiar community

8. Functions of clinic Medical check up and follow up Diagnostic services at small level Medical help for the needy including medications Counselling \health education Referral

9. Types of clinic four groups 1)General clinic These are arranged for the examination, diagnosis and treatment of all minor ailments. Thus many health activities can be conducted through these clinics Immunization clinic,X ray clinic,dental clinic etc are examples

10. 2)maternal and child health clinics Antenatal clinic Postnatal cinic Under five clinic Family planning clinic Child guidance clinic Reproductive and child health clinic

11. 3) Speciality clinics Medical and counselling services for certain specific disorders are provided through these clinics. Specialist doctors and nurses are essential for conducting these clinics Diabetic clinic STD clinic Tb clinic Nutrition clinic etc

12. Role of a community health nurse in clinics Assessing the health status of patients Providing nursing services to patients Educating the patients for improving the health and skillfull adjustent Providing special knowledge,skill and technique as per the health needs of the patient Assisting the doctor Selecting the place of a clinic

13. Role of chn Taking care of the availability of medicines, equipment and other resources for the clinic Helping in diagnostic investigations Health education Handing over the responsibilities to health workers for conducting the clinic Record maintenance Arranging all the essentials for the clinic

14. Health camp These are organized to provide need based specialized services to a defined population

15. indications To provide health services such as diagnostic, curative, family planning, referral and immunisation To inform ,motivate and guide the peope in health action To conduct orientation and training for public To impart knowledge about varios measures to promote health and identify their role

16. Types of health camps Service camps Education and training camps

17. Service camps For specialised services such as camps to diagnose eye pathology and perform cataract surgeries Antenatal camps to offer advice,guidance,treat or refer complicated cases Family planning camps for tubal ligation and vasectomy are organised to increase couple protection rate

18. Education and training camps To provide in service training and orientation to village leaders such as community health workers,volunteers,Dais ,informal leaders etc

19. Equipments required Diagnostic equipment for haemoglobin,urine testing,BP apparatus,temperature tray etc Sterilised gloves,linen,gowns,caps,mackintosh etc Cleaning articles such as lotions, iodine,spirit,cotton,gauze,soap,towels and shaving set Operating table Extra beds and linens Medicines and injections

20. Records,consent forms etc Spot light , orch with cells Registers Suturing materia such as catgut,cotto threads ,needle holder and suturing needles

21. Special equipments For family planning camp instruments for pelvic examination For eye camp( opthalmoscpe,drugs,snellen’s chart) For educational camps (educational and motivational material) Seating arrangements Audio visual aids

22. planning Before camp During camp After camp

23. General procedure

24. Steps The CHN must actively participate in planning and organising the camp securing adequate publicity of the camp Procuring and arranging all the equipments such as tables,chairs,linen,teaching material supplies as require for the camp Mobilising all available community and other resources for the successful running of the camp

25. Cont…….. Making adequate arrangements of supplies for sterilisation or immunization if such services are to be provided. Distribution of publicity material (SC /MCH) Organising exhibitions to display health messages at the venue of the camp according to the theme of the camp Involving school teachers, community leaders and other voluntary workers for imparting knowledge, changing people’s attitudes and developing desirable health practices Keeping the records about the community in hand

26. steps Selection of participants Recording and reporting Decide on the content and schedule Conducting the camp Planning for the camp Follow up

27. Thank you ……………………………….