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 set 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. Types
of
clinics
General clinics
Separate
clinics
Speciality
clinics
Polyclinics

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

10. 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

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

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

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

14. 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.

15. 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.

16. 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.

17. THANK YOU