Clinic Visit and Spot Mapping

Question 1

is like the outpatient
department of a hospital.

Answer 1

clinic

Question 2

community health nurse works there to:

Answer 2

○ Teach Health
○ Prevent Illness
○ Provide care of minor ailments
○ Assist the rural health staff

Question 3

Provision of medical and nursing
services at the health facility made
available and accessible to the
community.
● Primarily focused on the care of
outpatients. Clinics in the community
are publicly managed and funded. They
typically cover the primary care needs of
population in local communities.

Answer 3

Clinic Visit

Question 4

Activities of Clinic Visit: 5 A’s

Answer 4

● Admit
● Assess
● Assist
● Administer
● Advise

Question 5

a. Greet the client upon entry and
establish rapport.
b. Prepare the family record of new
patients or retrieve records of old
clients.
c. Elicit and record the client’s chief
complaint and clinical history.
d. Perform physical examination on
the client and record it
accordingly.

Answer 5

1. Registration/Admission

Question 6

a. Give priority numbers to clients.
b. Implement the “first come, first
served” policy except for
emergency or urgent cases

Answer 6

2. Waiting Time

Question 7

a. Manage program-based cases
b. Refer all non-program based
cases to the physician.
c. Provide first-aid treatment to
emergency cases and refer when
necessary to the next level of
care.

Answer 7

3. Triaging

Question 8

a. Validate clinical history and
physical examination.
b. The nurse arrives at
evidence-based diagnosis and
provides rational treatment based
on DOH programs.
c. Inform the client on the nature of
the illness, the appropriate
treatment and prevention and
control measures

Answer 8

4. Clinical Evaluation

Question 9

a. Identify a designated referral
laboratory when needed.

Answer 9

5. Laboratory and other Diagnostic
   Examinations

Question 10

a. Refer the patient if he needs
further management following
the two-way referral system.
b. Accompany the patient when an
emergency referral is needed

Answer 10

6. Referral System

Question 11

a. Give proper instructions on drug
intake.

Answer 11

7. Prescription/Dispensing

Question 12

a. Conduct one-on-one counseling
with the patient.
b. Reinforce health education and
counseling messages.
c. Give appointments for the next
visit.

Answer 12

8. Health Education

Question 13

An approach that helps people to get
directly involved in their own
development and that of the whole
community. It encourages the
community to consider what it can
achieve for itself, before seeking
elsewhere.

Answer 13

Spot Mapping

Question 14

○ Take the mean of 2 readings,
obtained at least 2 minutes apart,
and consider this as the client’s
blood pressure.
○ If the first 2 readings differ by 5
mmHG or more, obtain a 3 rd
reading and include this in the
average.
○ If first visit, repeat the procedure
with the other arm
○ Subsequently, BP readings should
then be performed on the arm
with a higher BP.
○ Inform client of result and stay
for a while to answer client’s
questions or concerns.

Answer 14

For every first visit of the client:

Question 15

1. . Spot mapping is a long
   process, so patience and preparation is
   needed, particularly being prepared.

Answer 15

Find the time

Question 16

2.

Answer 16

Identify the community.

Question 17

3.

Answer 17

Identify community leaders to
begin the process.

Question 18

4. It should be a very rough
   survey of the settlement, counting the
   number of homes and families, the
   number of latrines, waterpoints, schools,
   open spaces, and medical services. This
   will define the area to be mapped, and
   the issues that might be raised by the
   community mapping process.

Answer 18

Carry out an initial settlement
profile.

Question 19

5.Enumeration forms
should be designed with the community
to be as useful as possible and in the
local language. They should ask
questions of fact not of opinion. “Who
lives in the house?” “How long have
they lived there?” “What do they earn?”
not: “What kind of waterpoint would
they like to have?” “How much are they
willing to pay with water?”

Answer 19

Design the enumeration forms with
the community.

Question 20

6. Local students can be enlisted to assist.
   At this point accuracy is not crucial and
   building on the experience and
   knowledge of the community is.

Answer 20

Design a map of the community.

Question 21

7. Include on the map
   whatever is deemed to be important,
   such as waterpoints, wells or latrine,
   specifying the type of latrine, water
   pipes, etc. Draw more maps and fill in
   the details.

Answer 21

Add the detail.

Question 22

8. Using the
   map, identify and name the families and
   individuals relating to each structure.
   Photos can be taken of the structures. If no one is home, make a note of it, leave
   a gap in the numbering system and
   come back later.

Answer 22

Start the enumeration.

Question 23

9. Compiling the data,
   ensures community ownership and
   understanding the data. Data can be
   transferred to a computer for more
   precise analysis.

Answer 23

Analyze the data.

Question 24

10.Return to the
households with the forms at a different
time. If no one is in during the day then
come back in the morning to find the
residents.

Answer 24

Verify the data.

Question 25

11. Discuss what the results
    of the survey mean. Does everyone
    understand what is contained within the
    data? How does it assist the community
    in knowing what can be done next?
    Which families need the most assistance
    in accessing basic services? How can
    they be assisted?

Answer 25

.Use the data