related to community health nursing, how to organize clinics and camps

1. ORGANIZATION OF CLINICS
ANJANATHOMAS
WELCARE COLLEGE OF NURSING

2. INTRODUCTION
• A clinical out patient clinic or ambulatory care clinic is a health care facility that
is primarily devoted to the care of outpatients.

3. FEATURES OF A GOOD CLINIC
1. It should be planned
2. There should be provision for registration of patients
3. Manpower should be adequately available
4. Staff at clinic should be trained and well skilled
5. There should be proper place equipment, medicine, safe drinking water and urinals
6. Time management should be proper
7. Patient quarries should be satisfactorily dealt by staff
8. There should be facility for follow up

4. PLACE FOR CLINICS
• CHN can arrange clinics at subcenters, primary health centers, community
health centers and hospitals.The clinics can be arranged at schools, bus stands,
slum areas, different colonies

5. TYPES OF CLINICS
• General clinic
• Antenatal clinic
• Post partum clinic
• Well body clinic
• First aid clinic
• Under five clinic
• Geriatric clinic
• NCD clinic
• Specialty clinic –DM, sex clinic, nutrition

6. ORGANIZATION OF CLINICS
1. Determining need for clinic
2. Assisting with pre clinic organization activities, planning with other clinic personal
3. Clinic organizational activities
4. Organizing an instructional programme
5. Clinic management
6. Follow up procedure

7. 1. DETERMINING NEED FOR CLINIC
• Assess the need and continuance of clinic
• Assess existing facilities of care in that area
• Determine the beneficiaries of clinic
• Determine the factors determining the service

8. 2. ASSISTING WITH PRECLINIC ORGANIZATION
ACTIVITIES
• A meeting should be carried out with community leaders for suggestions
• Get permission from statutory bodies
• Arrange housing /place and equipment based on purpose of clinic
• Plan activities with other clinic personal.

9. Cont..
• SELECTION OF A CLINIC SITE
• Select the place carefully
• CONSIDER THE FOLLOWING:-
• Convenience to transportation
• Clinic site should not be associated with any particular religion or political group
• Should be in familiar place
• Should provide provision for special needs and clinic patients
• Facilities for hand washing, toilet and sterilization should be available
• Adequate ventilation, working space with adequate seating arrangement
• Space for privacy

10. Cont..
• SECURING AND ORGANIZING CLINIC EQUIPMENT
• The equipment should be efficient and should be functioning properly
• Should be light in weight and easily packable
• If any equipment is borrowed, there should be clear understanding about
equipment
• Local purchase of the supplies should be encouraged
• Store supplies and equipment under lock and key

11. 3. CLINIC ORGANIZATION ACTIVITIES
• Checking and confirming the arrangements
• Constitute different committees
• Confirm all the arrangements in writing and prepare a checklist for
arrangements
• General publicity & promotional activities
• Training of clinic assistants

12. 4. ORGANIZING AN INSTRUCTIONAL
PROGRAMME
• Consider every clinic as learning experience. Plan and provide health awareness
to people.

13. 5. CLINIC MANAGEMENT
• Reception and registration room area should be there
• Examination room
• Consultation room
• Laboratory
• Procedure room
• Pharmacy
• Records and registers

14. 6. FOLLOW UP PROCEDURES
• Provide continuous & comprehensive services
• Check missed clinic appointments
• Counselling
• Referral if needed
• Reporting

15. ROLE OF NURSE
• Organizer
• Health educator
• Care providers
• Supervisor
• Co Ordinator

16. RESPONSIBILITIES OF CHN
• Select the clinic site
• Arranging resources
• Monitoring & maintenance of record
• Providing health education
• Assisting physician
• Supervising

17. ORGANIZATION OF CAMPS
• Health camps are aimed at generating awareness, diagnosis and treatment of
health hazards
• OBJECTIVES
• To provide FP, immunization, diagnosis and treatment
• To provide information and guidance
• To increase community participation
• To provide service training to health worker

18. TYPE OF CAMPS
• General camp
• Service camps
• Educational camps
• Disease screening camps

19. ORGANIZING CAMPS
• Assess the need and type of camp
• Community participation
• Clarity of target and purposes
• Obtain permission
• Maximum use of available resources in the community
• Participation of grass root level workers
• Date and venue

20. VENUE SELECTION
• Easy access
• Adequate facilities
• Obtain permission
• Adequate ventilation, lighting, supply of water

21. PUBLIC ANNOUNCEMENTS
• Propaganda
• Issue brochures

22. RESOURCES
• Man , money, material
• Responsibility of each workers

23. CLOSURE OF CAMPS
• Replace material and equipments
• Dispose off soiled material properly

24. • MAINTENANCE OF RECORD
• REFERRAL IF NEEDED
• FOLLOW UP SERVICES

25. NURSES RESPONSIBILITY
• Registration of persons
• Assessing the vital signs
• Pre op preparation
• Assisting in operative procedure
• Recording and reporting
• Make arrangements to send the client to home