medical orientation

2. TOPIC OUTLINE
2
• School Health Services
• Clinic Teacher Qualifications, Roles &
Responsibilities
• Basic First Aid
• Targets

3. • non-smokers
• without comorbidity
• fully vaccinated against COVID-19
• preferably below 60 years old
• those above 60 years old and those
with stable comorbidities may
voluntarily perform clinic-related
duties and responsibilities
• background on health are preferred
3
Source: OUA MEMO 00-1121-0061 Series 2021
Clinic Teacher Qualifications

4. • Each school shall designate clinic
teacher/s who shall:
 manage the clinic every school
day,
 to provide basic health services
and facilitate referral as needed,
 closely coordinate with the school
health personnel at the SDO,
 physically present at the school
clinic every day
4
Source: OUA MEMO 00-1121-0061 Series 2021
Clinic Teacher Responsibilities

5. Clinic Teacher Responsibilities
• Helps organize a functional school clinic
• Treats common ailments
• Render first aid treatment
• Provides health guidance and
counseling to pupils
• Utilizes tried and tested medicinal plants
• Isolates cases of communicable
diseases and refer to health agencies
• Identifies learners with special needs
5
Source: DECS School Health Manual of 1997

6. Clinic Teacher Roles
”all schools shall designate a pool of clinic
teachers who shall be in charge of the daily
operations of the school clinic”
• Main clinic teacher
 overall in charge of the necessary
coordination of concerns related to
the operations of the school clinic
• Alternate clinic teachers
 take turns in staffing the school clinic, to
ensure daily uninterrupted operations
6
Source: OUA MEMO 00-1121-0061 Series 2021

7. School Clinic Data Bank
• Daily treatment in the school clinic
• Records of school visits of
physicians/nurses
• Health and Nutritional Status of School
Children
• Records of emergency/referred cases
• Inventory of Clinic Equipment and Supplies
• Health Education Activities &
Accomplishments
• Record of Officers/Officials of the School-
Community Health Council
7
Source: School Health Manual of 1997

8. 8
Equipment:
1. Sphygmomanometer
2. Stethoscope
3. Weighing scale
4. Sterilizer/boiler
5. Examination bed
36” x 75” x 30”
6. Medicine/treatment
cabinet
7. Water jag
8. Dressing cart
9. Clinic Furnitures
a. Office table
b. Stock cabinet
c. Chairs
d. Footstool
e. Stools for pupils
10. Waste bins (segregated)
11. Clinic linens
Source: School Health Manual of 1997

9. 9
Other supplies:
1. Cotton, cotton balls
2. Gauze bandage
3. Plaster/adhesive
tape
4. Band-aid strips
5. Soap dish with soap
6. Medicine glasses
7. Pair of scissors
8. Pair of forceps
9. Medicine droppers
10.Applicators, tongue
depressors, splints
11.Basin, round
12.Kidney basin
13.Drinking glasses
14.Tray
15.Clinical
thermometer
16.Ice Cap
17.Hot water bag
18.Bottles/jars for
cotton balls, etc
19.Elastic bandage
Source: School Health Manual of 1997

10. 10
Source: School Health Manual of 1997

11. 11
Source: School Health Manual of 1997

12. ADD A FOOTER 12

13. 13
1.Stop the bleeding
a.Apply firm pressure
b.If animal bites and bleeding,
may press to minimally bleed
out injected venom
c. Apply tourniquet (max of
2hrs) proximal to bite site,
especially for snake bites
d.Position the site of bleeding
below the heart
2.Wash with running water and
soap
3.Apply betadine solution
4.Cover with clean gauze

14. 14
1.known asthmatic & able to:
a. Talk in sentences (mild) – give
salbutamol nebule or syrup
b. Talks in phrases/words
(moderate/severe) – give salbutamol
nebule or syrup and bring to emergency
room
2. If not asthmatic, check if with known food
allergies & recent intake -> give cetirizine
10mg 1tablet 3x a day
3. Rule out foreign body ingestion
4. Refer to Health Unit/ER

15. 15
1.Have patient lie down
2.Allow good airflow
3.Take vital signs and sugar
level
4.Address abnormalities in VS
or CBGs
5.May use liniments or
aromatics (ie, white flower,
etc) and induce pressure
points

16. 16

17. 17
If ≥ 160/100:
a. Give Clonidine 75mcg 1tablet
swallow or Captopril 25mg 1
tablet swallow
b. Have patient rest regardless if
with symptoms or not
c. Recheck BP after 15 minutes rest
d. If still ≥ 160/100, bring to ER
If ≤ 90/60:
a. Have patient lie down
b. Elevate legs
c. Bring to ER

18. 18
• If CBG <100 and with
symptoms or <80
even without
symptoms, give juice
• If CBG > 250, give
missed maintenance
medication and bring
to ER

19. 19
1.Give cetirizine 10mg 1tablet
2. Advise avoidance of triggers
3.If presentation is skin lesion,
may apply clobethasone
cream
4.If with difficulty of breathing
or swallowing, facial edema,
bring to ER

20. 20
1.Check vital signs
and oxygen
saturation
2.Check lungs
3.Provide plastic /
paper bag

21. 21
1.Give Oresol
solution
2.Domperidone
10mg 1tablet 3x a
day
3. Stool Examination
4. No Loperamide

22. ADD A FOOTER 22

23. • Classroom Officers
• SSLG/SELG Officers
• 7/school
• Oriented on OKD Programs
• Target: November
23
Source: OUA MEMO 00-1121-0061 Series 2021
OKD Learner Advocates

24. • Endline – start of school year
• Baseline – end of school year
• To be initialed by Division OKD
Program Focal Person
24
Government School Profile

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