CLINIC SUPERVISOR'S MANUAL - Management Sciences for Health

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SECTION 10: IN-DEPTH PROGRAMME REVIEWS CHECKLIST: ANC/PNC CLINIC [�] Tick appropriate box � Service availability Daily Special days � Does the clinic have a system to keep a record of pregnant women Y N � Does the clinic have a system to trace pregnant women who don’t attend the clinic regularly Y N � Clinical management of pregnant women Y N • ANC first visit − Full physical exam - palpation correct, symphysis-fundal height measurements correctly done Y N − Weight/BP/Urine/HB done Y N − Bloods taken - VDRL/Grouping/HB Y N − Previous immunisation records checked and tetanus toxoid given Y N − Health Education - BF promoted/Breast preparation, FP, delivery, nutrition/personal hygiene, exercise. Warning signs and symptoms of pregnancy related problems explained to mother. Mother told when to request medical care. Y N − How done Individually Groups • All other visits − Examination, outstanding tetanus toxoid immunisation provided Y N − Weight, BP, urine checked Y N − Blood results checked and entered/appropriate treatment given/syphilis treated according to protocol Y N − Ferrous/folic supplements given Y N − Health Education - care of baby/maternal care Y N • Is VCT offered to all pregnant women at the 1st visit. Y N � Maternal health administration • Correct recording of each pregnant woman - tick register, patient card, graphs, laboratory register Y N • ANC coverage indicated on graph Y N • Clients booked at hospital for delivery Y N � Protocols followed • Managing STD’s in pregnancy Y N • Exclusive breast feeding promoted Y N • Pregnancy induces hypertension management Y N • Tetanus prevention protocol Y N • Referral protocols - who and when to refer Y N • At risk cases – primiparous women, previous C/sections, abnormal presentations, twins/multiple pregnancies Y N • Complications of pregnancy – Pregnancy induced hypertension, haemorrhage, intra-uterine growth retardation Y N • Follow up visit schedule followed/ completion of cards for return dates Y N • Infection control - gloves used for venesection Y N • Essential equipment available and in working order Y N • PMTCT guidelines Y N DELIVERY AND LABOUR � Important equipment/supplies available and working • Delivery packs Y N • Suction Y N • Supply availability – IV fluids available, suturing materials, local anaesthetic Y N • Oxygen Y N • Drugs – syntometrine, ATT, Nevirapine Y N 20 Clinic Supervisor’s Manual DATE
SECTION 10: IN-DEPTH PROGRAMME REVIEWS CHECKLIST: ANC/PNC DELIVERY AND LABOUR - continued [�] Tick appropriate box � Delivery protocols followed Y N • Universal precautions followed Y N • Correct practises followed – first, second, third stages of labour Y N � Staff able to use and interpret partogram Y N � Correct disposal of placenta/ materials used during delivery Y N POST NATAL CARE � Full physical exam of mother and child done Y N � Immediately after delivery (clinic delivery) Y N � Home delivery - soon as feasible Y N � 6 week repeat visit Y N � Do follow up visits occur within seven days after delivery Y N � Does the mother receive FP advice Y N � Check that first immunisations given Y N � Are BCG and polio vaccines given Y N � Is the Road to Health card completed Y N � Is the birth notified Y N � Ensure the promotion of breast feeding - check physically that mothers are breast feeding properly (well baby clinics) Y N Clinic Supervisor’s Manual 21
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CLINIC SUPERVISOR’S MANUAL
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PREFACE The Clinic Supervisor’s M
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PREFACE Many of the manual’s sect
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INTRODUCTION GUIDELINES FOR THE PRE
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INTRODUCTION ELEMENTS OF THE SUPERV
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TABLE OF CONTENTS SECTION 1 HOW TO
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ABBREVIATIONS - ACRONYMS AA Alcohol
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SECTION 1: HOW TO USE THE CLINIC SU
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SECTION 1: HOW TO USE THE CLINIC SU
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SECTION 2 ORGANISING YOUR WORK AS A
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SECTION 2: ORGANISING YOUR WORK AS
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SECTION 3 SUPERVISOR’S SUPPORT LI
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SECTION 3: SUPERVISOR’S SUPPORT L
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SECTION 4 ADMINISTRATION AND MANAGE
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SECTION 4: ADMINISTRATION AND MANAG
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SECTION 4: ADMINISTRATION AND MANAG
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SECTION 5 INFORMATION SYSTEM GUIDEL
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SECTION 5: INFORMATION SYSTEM GUIDE
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SECTION 6 REFERRAL SYSTEM GUIDELINE
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SECTION 6: REFERRAL SYSTEM GUIDELIN
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SECTION 7: GUIDE TO USE OF STG'S IN
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SECTION 8: COMMUNITY PARTICIPATION
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SECTION 8: COMMUNITY PARTICIPATION
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Page 169: SECTION 11 CLINICAL TIPS • Introd
Page 172 and 173: COUNSELLING SKILLS Why do nurses ne
Page 174 and 175: Checklist for Interactive Counselli
Page 176 and 177: TUBERCULOSIS A thin and ill-looking
Page 178 and 179: ASTHMA What do I need to know about
Page 180 and 181: ASTHMA (cont.) Do I have the skills
Page 182 and 183: DIARRHOEA Why discuss managing acut
Page 184 and 185: DIARRHOEA (cont.) Counselling mothe
Page 186 and 187: HIV/AIDS: Prevention ACRONYMS FOR H
Page 188 and 189: HIV/AIDS: Prevention (cont.) � Du
Page 190 and 191: CONTRACEPTIVE SERVICES (cont.) �
Page 192 and 193: Checklist Counselling Contraceptive
Page 194 and 195: DRUG MANAGEMENT What is meant by "R
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SECTION 12: PROBLEM SOLVING AND PRA
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SECTION 12: PROBLEM SOLVING AND PRA
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CLINIC SUPERVISOR'S MANUAL - Management Sciences for Health

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