I. A. Safe Motherhood

a. Pre-natal Check-up

1. Client will proceed to the FP room for admission
2. HBMR card is being issued and properly filled-up
3. Buntis Class will be conducted
4. Individual check-up of clients.
5. Giving of Tetanus Toxoid infection; ferrous sulfate; Multivitamins & abdominal palpation
6. Instructions when to return for next visit
7. Referral if needed
8. Referral if needed:
   • To the Nurse/MHO
   • To the Dentist
   • To the Med. Tech.
   • To the Clinic/Hospital
9. Follow-up home visit to defaulter

referral slip

15 minutes per client plus 30 minutes lecture (buntis class)

Enriqueta Hernando & Fe Visaya or any available midwife or nurse at the RHU

Assigned midwife in every Barangay Health Station

• Dietelinda dela Perio
• Eloisa Fermin
• Dr. Grace Ann Q. Ulnagan
• DR. Wilma Carino
• Connie Fronda
• Hospital/clinic of choice

• Dr. Wilma Carino
• Connie Fronda
• Hospital/clin ic of choice

1. Midwives are instructed to attend delivery call to client in labor
2. Monitor vital signs; do abdominal exam & IE if necessary; review HBMR card of client
3. Conduct normal spontaneous delivery
4. Newborn care
5. Observation and monitoring of vital signs after delivery
6. Health teachings
7. Refer if needed

1. Midwives are instructed to conduct post-natal visit the (following day after delivery
2. Check vital signs (both mother & child)
3. Check vaginal discharge (lochia)
4. Give health teachings

I.B. Family Planning

a. New Acceptors

1. Client will proceed to the family planning room and give personal data to midwife for recording
2. Midwife/nurse present all FP method available including its advantages & disadvantages and let the client select what is suited for her
3. Midwife/nurse do physical examination before giving the method
4. Health teaching/advice when to come back for re-supply
5. Refer if needed

• Enriqueta Hernando
• Fe Visaya

Assigned midwife at BHS

• 85.00 - 90.00 per DMPA if no available stocks at RHU
• 50.00 if supply is available
• 5.00 per pill

1. Midwife will record the name of the client and ask what FP method she is using
2. Client is instructed to sign her name in the record book
3. Home visit to defaulters

II. Child Care

a. Immunization

1. Client (mother of the baby or guardian) will proceed to immunization room 2.
2. Client shall be issued with growth monitoring card EPI record & properly filled-up by the midwife
3. Client is instructed to take a sit and wait for the lecture
4. Lecture proper
5. After the lecture, client is advised to wait for their babies to be called for the immunization proper
6. Advise client when to come back
7. Refer if needed
8. Follow-up at home is made by the midwife for defaulter

1. Master listing of 0-6 years old in every barangay
2. Actual implementation per schedule

III. Prevention and Control of Infectious Diseases

1. TB-DOTS

a. Case finding

1. Client will register at the admission table for proper recording
2. Vital signs & history taking by midwife or OD
3. Client shall be referred to the nurse or MHO for assessment
4. Refer to med. tech. for AFB
5. Health teaching
6. Advise when to come back

Enriqueta Hernando & Fe Visaya or any available midwife or nurse at the RHU or BHS

• Dr. Grace Ann Q. Ulnagan
• Connie Fronda

1. Client may report to the RHU together with the treatment partner on the scheduled date.
2. Check laboratory results, Chest x- RAY, etc. for recording
3. Refer to the nurse/MHO for the order of category of treatment
4. Refer back to Midwife assigned. Fill-up ID card & individual treatment card
5. Health teaching is given before giving the initial supervised dose of SCC
6. Advise when to come back for re- supply

Midwife assigned

Nurse/MHO

1. Present ID card to midwife
2. Provide TB drugs to client

1. Proceed to laboratory for sputum exam
2. Result shall be reported to the midwife assigned the following day
3. Refer if needed

2. Rabies Control

Management of Dog Bite

1. Admit patient
2. Vital signs taking
3. Refer to Nurse/MHO for order of IT and rabies injection
4. Client is instructed to pay corresponding fee at the Treasury
5. Refer to rabies nurse for injection
6. Schedule of the succeeding injection shall be given by the nurse

• Staff assigned (OD)
• Nurse/MHO
• Juvy Cuaresma

3. STD-AIDS Prevention

Vaginal smear

1. Registration of GRO's
2. Individual health Teaching
3. Vaginal smearing conducted by Med. Tech.
4. Refer if needed
5. Providing the result of smear the following day
6. Providing the result of smear the following day

Connie Fronda

Dr. Grace Ann Q. Ulnagan

• 30.00 per smear
• Bi-annual serologic exam
• 100.00- Hepa B
• Corresponding fee to be paid at the treasury office

1. Admit patient
2. Filling-up of the requirement form on leprosy
3. Physical exam & assessment to be done by MHO including prescription of recommended drugs
4. Health teaching by the nurse in charge
5. Initiation of treatment

*Eloisa Fermin

Dr. Grace Ann Q. Ulnagan

1. Admit patient
2. Vital signs taking
3. Client be referred to nurse or MHO
4. Health teachings
5. Prescription of recommended medicines
6. Refer if needed
7. Get medicines at the drug room or Botika ng Bayan.

15 minutes per patient

10 minutes per patient

ODassigned
Nurse or MHO

Lalaine dela Cruz

IV. Promotion of Healthy lifestyle

1. Request for therapy of post-stroke patients

1. Proceed to PT room
2. Present request letter to PT
3. Conduct PT as recommended

2. Environmental Sanitation

• Visit to market and other food establishments

1. Check potable water source
2. Check maintenance on sanitation along the market perimeter
3. Check proper waste disposal
4. Regular iodized salt testing to salt dealers.

• Complaints on piggery

1. Present complaint letter to RSI
2. Courtesy call to the barangay official
3. RSI may now go to the concerened person for inspection
4. Interaction and recommendation shall be submitted to the mayor

V. Other Services

Medico-legal Services/Issuance of Medical Certificate

1. Rape Case

1. Client may proceed to nursing service and submit request letter from PNP/DSWD
2. Data taking for recording
3. Client instructed to give a brief report on the incident
4. Client shall be referred to MHO for physical examination
5. Medical certificate shall be issued to the client

1. Client is instructed to be admitted and vital signs be taken
2. Proceed to MHO for physical exam.
3. Prescription of recommended medicines & treatment shall be done by MHO
4. Medical certificate shall be issued to the client

1. Requesting party must submit request letter from PNP to conduct post-mortem exam
2. RHU Staff may proceed where the cadaver is & perform autopsy
3. Post-mortem certificate will be issued

• Dr. Grace Ann Q. Ulnagan
• 1 Nurse
• RSI

4. Medical Certificate for

• Employment
• Senior Citizen Membership
• Change in Gender
• Scholarship/Schooling/training
• Driver's License
• Certificate of Complete Immunization

1. Pay corresponding fee at the treasury office
2. Fill-up forms
3. Present Llaboratory results
4. Certificate shall be issued

Noreen Joy Bolusan

Dr. Grace Ann Q. Ulnagan

20.00
20.00
20.00
20.00
20.00
20.00
20.00

1. Submit certificate of death to MHO for review & for signature
2. Register paid documents in the death registry book
3. Client be instructed to return document back to LCR

Dr. Grace Ann Q. Ulnagan

Noreen Joy Bolusan

1. Pay corresponding fee to the treasury and present OR to RSI
2. Prepare certificate duly signed by MHO
3. Issue certificate to the client

RSI

Dr. Grace Ann Q. Ulnagan

1. Admit patient
2. Refer to MHO
3. Suturing and debridement shall be performed by MHO to be assisted by staff
4. Health teachings
5. Prescription of recommended medicines
6. Get medicines at the drug room or Botika ng Bayan

1. Admit patient
2. Refer to MHO
3. Debridement, wound cleaning and wound dressing shall be performed by MHO to be assisted by staff
4. Health teachings
5. Prescription of recommended medicines
6. Get medicines at the drug room or Botika ng Bayan

1. Client is advised to pay corresponding fee at the treasury office
2. Proceed to the dental office for oral exam.
3. Tooth extraction be done

Population Management Service

1. Requesting Certificate of Pre-marriage Counselling Seminar as pre-requisite for applying marriage license

1. Client approach the employee-in charge (EIC) & request for the needed documents
2. EIC interview couples. Explain needed requirements
3. Couples fill-up the Marriage Expectations Inventory form
4. Records information/data gathered from the couple
5. EIC give instructions regarding schedule & venue of the seminar
6. EIC issue charge slip & instruct couples to pay to the Treasury Office PMC fee

5 minutes

20 minutes

5 minutes

Arceli Fabros

Elvie Estera

Juliet Valeroso

100.00

On the Day of the Seminar

1. PMC Seminar

1. Couples register at the PMC logbook/issuance of name tag
2. IEC collects & validates PMC fee receipts
3. Couples attend the PMC seminar
4. Issuance of PMC certificates, give instruction, answer queries.
5. Couples are referred back to OLCR

Ballpen & notebook

5 minutes

8 hrs.(480 minutes)
4 hours (240 minutes)

Arceli Fabros

Arceli Fabros
Alice Brillantes
Carmelito P. Badua

Pharmacy

1. Dispensing of Medicines

1. Read &/or check the doctors order
2. Estimate the total cost of medicine
3. Exchange of inquiries
4. Pharmacological teaching (dosage /time/precaution/adverse reaction etc
5. Dispensing & receiving payment

1. Count daily cash sales
2. Remits total daily sales to the MTO

1. Record & keep the official receipt from the MTO intact

1. Count medicines sold for the day
2. Count remaining medicines/medicines on hand

15 minutes

1. Prepare purchase request for the replenishment of medicines
2. Receiving and checking of deliveries
3. Recording of medicines being delivered
4. Display medicines in the cabinets

10-15 minutes

(10- 15min)

(10- 15m in)

(1 hour)

Laboratory

1. Receiving of Patient

1. Read and check the doctor's order
2. Record the patient's name, age, sex and address
3. Give charge slip for non- Philhealth member-Acquire payment to treasury office
4. Record Philhealth identification number for Philhealth holder

Ma. Connie B. Fronda

1. Label specimen

1. Gather receipts
2. Paste receipts to petty cash vouchers
3. Make narrative report for meetings
4. Preparation of financial report
5. Submit report to PHILCAT thru LBC

15 min
20 min

1 hr

30 min
30 min

1. Preparation of slides (Check label, cleaning)
2. Fill up smear result sheet
3. Submit report to PHO

4 hr

1 hr
30 min