Sanathal PHC Observation report word file

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J G COLLEGE OF NURSING
AHMEDABAD
SUB:OBSTETRICANDGYNECOLOGICALNURSING
TOPIC:OBSERVATIONREPORTOFSANATHAL PHC
SUBMITTED TO SUBMITTED BY
MS.Rekhamol sidhnar PATEL SONAL P.
ASST.PROFESSOR F.Y.MSC NURSING
J.G.COLLEGE OF NURSING J.G COLLEGE OF NURSING

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AHMEDABAD AHMEDABAD
REPORT ON PRIMARY HEALTH CENTRE.
INTRODUCTION:
 We all students were posted at Sanathal PHC as a part of our rural field experience in the
subject of community health nursing. We were posted from 7/5/2018 to 12/5/2018 to
complete our field experience of 1 weeks. We reached the PHC on 7/5/2018 at 9:00 a.m. The
health visitor gave us the orientation of the whole PHC. She also gave us the introduction of
the various other staff who was working at the PHC. She explained to us the routine activities
of the PHC. She gave us information regarding the staffing pattern of the PHC.
 Sanathal PHC is the part of Ahmadabad district. The PHC has a approximately 50000
populations. 17 villages are included in Sanathal PHC. There are 6 sub centres under Sanathal
PHC.
 The health visitor also gave us the information regarding the various equipments that were
available at the PHC. She informed us regarding the various records and registers that are
maintained at the PHC. She also explained to us the different yojanas that are being offered
at the PHC like chiranjeevi yojana, janani suraksha yojana, and balsakha yojana etc. She also
gave us information regarding the various days that are celebrated at the PHC like the Mamta
day, well baby clinic etc. She explained to us the various clinics organized by the PHC like
adolescent clinic, malaria clinic etc.
 Approximately 20 to 30 patients attended the OPD every day. Mostly the patients who came
at the PHC had minor complaints like fever, cough and cold, diarrhoea, headache, minor
injuries etc.
 The staffs of the PHC do the survey of the people of the village periodically. They find out
the problems prevailing among the people and give care to them accordingly. They also give
health education to the people according to the need of the people.
 The overall experience of the PHC was very fruitful and informative. The staffs of the PHC
were very co-operative and they were very keen to give us all the information that we needed.

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 GeneralObjectives:
After the posting of Sanathal village students will able to:
 Know about various services provided by the PHC e.g. OPD, IPD, vaccination, Family
planning, Mamta clinic etc.
 Know the physical set- up of the PHC
 Know the staffing pattern of the PHC.
 Specific Objectives:
After the completion of the posting students will able to:
 Identify the health needs of the local public and seeking medical attention at PHC
 Do family survey and identify the health needs of the family
 Enumerate the job responsibility of each staff working at the PHC
 List down the different services and facilities available at the PHC and the community.
 Know about the different villages which are covered under the Sanathal PHC
 List down the different drugs distributed at the PHC
 List down the various registers that are distributed at the PHC
 To enumerate the various clinics that are run by the PHC
 To know about the cold chain that is maintained to preserve the vaccines.
OBJECTIVES OF PHC:
1. To reduce the Maternal Mortality Rate
2. To reduce Infant Mortality Rate
3. To take 100% institutional delivery
4. To decrease birth rate
5. To decrease death rate
6. To bring up total fertility rate up to 2.1
7. To bring up couple protection rate up to 80
8. To create awareness about save the female child in community people
9. To give health education to adolescence by different programme
10. To make aware people about Non Scalpel Vasectomy

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11. To remove misconception, wrong belief and prejudice about health and health services among
community people.
VISION OF SANATHAL PHC:
OUR VISION:
To be nationally and internationally acclaimed quality primary health care facility accessible
and affordable to all providing primary health care, health education training to community with
acceptance among the community recognized centre by excellence.
OUR MISSION:
To become a centre of excellence for delivery patient care in field of preventive, curative and
primary health care by developing a new vision. To further advance its activities in a changing
scientific and social environment improving the health and well-being of individuals, families
and our community through innovation and pursuit of excellence and to provide a single high
standard of quality services regardless of patient cast, religion, origin, clanship etc.

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 MAP OF SANATHAL PHC
 SUB CENTRE UNDER SANATHAL PHC:
There are mainly 6 sub center that
1. Jevanpura.
2. Telav.
3. Sheila.
4. Changoder.
5. Moriya.
6. Cha.Vasana
 LIST OF VILLAGES:
1. Sanathal
2. Amarghadh
3. Cha.vasana
4. santipura
5. Jivanpura

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6. Telav
7. Kolat
8. Ratanpura
9. Tajpur
10. Pilupura
11. Changodar
12. Navapura
13. Vaghajipura
14. Moraiyya
15. Motipura
16. Moti devti
17. pilupura
 FACILITIES AVAILABLE AT PHC :-
 In PHC, indoor patient service,outdoor patient services as well as lab facilities are available.
 Antenatal check up,postnatal check up and also delivery conducted in this PHC
 Child illness treatment,MCH care are available.
 Different method of family planning services are available like
 Copper T insertion
 Contraceptive pills
 Condom
 Diagnosis and treatment of sexually transmitted diseases
 Every Monday and Wednesday MAMTA DAY is there, in that immunization to the children
and antenatal mother
 Adolescent guidance and councelling
 Malaria clinic – diagnosis and treatment
 T.B. Clinic- sputum test and treatment(DOTS)
 Leprosy clinic – diagnosis and treatment
 School health check up as per age group
 STAFFING PATTERN
RECOMMANDED IN SANATHAL PHC(AVAILABLE)

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Total:23 Total:15
 FUNCTION OF PHC:
1. Provision of medical care.
Medical officerMBBS)-1
Ayush medical oficer-1
registered nurse midwife-1
lab tecnician-1
Pharmacist-1
Accountant -1
Health worker
male/female(supervisor) -1
Female Health Worker -6
MPHW-6
Lady Health Worker -1
Group D worker / AYA-2
Sanitary Worker -1
Medical officerMBBS)-1
Ayush medical oficer-1
registered nurse midwife-3
lab tecnician-1
Pharmacist -1
accountant-1
Healthworker
male/female(supervisor) -1
Female Health Worker-1
MPHW-1
LadyHealth Worker-1
Group D worker / AYA-2
SanitaryWorker-1

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2. Maternal child health including family planning.
3. Safe water supply and basic sanitation.
4. Prevention and control of locally endemic disease.
5. Collection and reporting of vital statics.
6. Education about health.
7. National health programme as relevant.
8. Referral services.
9. Basic laboratory test.
10. Training of health guide, health worker, local dais and health assistant.
SERVICES TO BE PROVIDED AT SANATHAL PHC:
1. OUTPATIENT DEPARTMENT:
OPD services are in six days in weeks. There is one MO and one MO of AYUSH.
Minimum OPD attendance is expected to be 10 patients per day. The MO after the OPD
services go for the field duties and monitoring.
2. INPATIENT DEPARTMENT:
There are 2 beds in the ward. They provide vaccination and IV infusion.
3. LABOUR ROOM:
 They perform approximately 10 -12 deliveries in a month. The nurse conducts the
deliveries. In absence of the nurse, female health worker conduct the deliveries. If any
complication arises during pregnancy they refer 1st referral unit Sanand CHC.
4. OPERATION THEATER:

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The vasectomy, tubectomy operation is conducted on fixed day (Friday). During all
surgical procedure, universal precautions are adopted to ensure infection prevention.
5. VACCINATION:
All vaccination according to the National Immunization Schedule is given. Vaccination
for the dog bite is also provided. Vaccination is provided on Monday.
6. REFERRAL UNIT:
There are two referral units for the sanathal PHC. First referral unit is Sanand CHC and
other is Sola Civil Hospital.
7. LABORATORIES:
There are various tests that are performed in the PHC. It is a DMC Centre (Designated
Microscopy Centre). It includes Malaria Tests, Test for Tuberculosis, Haemoglobin
Estimation, Urine Albumin, HIV Test, and Blood Glucose Level.
 DIFFERENT DEPARMENTSIN PHC:
A. ANGANWADI:
There are four anganwadi under the sanathal PHC.
Anganwadi 1.
Anganwadi 2.
Anganwadi 3.
Anganwadi 4.

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B. SUBCENTRE:
 There are six subcentres under the sanathal PHC. There are around 5000 to 6000 population
C. MAMTA CLINIC:
 Every Monday Mamta clinic is organized. They see pregnant women and adolescents girls in
this day. From 9am to 3pm they conduct Mamta clinic and after that adolescents girls are
monitored from 3pm to 5pm. Every Wednesday there is Mamta clinic in the field.
 REGISTERED MAINTAINED IN PHC:
(A) DOCUMENTS:
1. Admission records.
2. Clinical charts.
3. Medical case sheet.
4. Investigation reports.
5. Discharge/ Death forms.
6. Intake/ output chart.
7. Other reports of the patient.

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(B) REGISTER:
1. Overbook register.
2. Patient report.
3. Admission/ discharge book.
4. Drug account book.
5. Ward inventory book.
6. Duty registers.
7. TPR chart.
8. Indent Book.
9. Case dispatch book.
10. Medical equipment book.
11. System over book.
12. Linen register.
13. Doctor over book.
14. Dhobi book.
15. Treatment book
 LIST OF EQUIPMENTSUSED IN PHC:
1. Adult weighing scale.
2. Baby weighing scale.
3. Height measuring scale.
4. Sponge holding forceps.
5. Artery forceps.
6. Episiotomy scissor.
7. Speculum.
8. Uterine forceps.
9. Baby tray.
10. Drums.
11. Warmer.
12. Kidney tray.
13. Torch
14. Refrigerator.
15. Ice packs.
16. Vaccine carriers.
17. Thermometer.
18. BP Apparatus.
19. Stethoscope

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LIST OF FURNITURE AT PHC:
1. Examination Table.
2. Labour table.
3. Writing table.
4. Plastic chairs.
5. Bench for waiting area.
6. Stretcher.
7. Fans
8. Tube light.
9. Basin.
10. LPG Stove.
11. LPG Cylinder.
12. Sauce pan with lid.
13. Buckets.
14. Mattress for bed.
15. Bed sheets.
16. Pillows.
17. Towels.
18. Dustin bin.
19. Biowaste bags.
20. Mugs.
21. Curtains.
 DRUGS USED IN THE PHC:
 INJ-Diclofenac sodium.
 TAB-Paracetamol.
 TAB-Dicyclomine.
 TAB-Ferrous sulphate.
 TAB-Folic acid.
 TAB-Metronidazole.
 TAB-Calcium gluconate.
 TAB-Azithromycin.
 TAB-Domperidone.
 TAB-Dexamethazone.
 TAB-Ranitidine.
 TAB-Metroclopromide.
 TAB-Magnasium Sulphate.
 TAB-Atenolol.
 TAB-Gentamicin.
 TAB-Alpanadopa.
 TAB-Septrom.
 TAB-Famotidine.
 TAB-Narflox.
 TAB-Metformin.
 TAB-Deriphyline.
 TAB-Ciprofloxacin.
 TAB-Albendazole.
 TAB-Choroquinne.
 TAB-Glipizide.
 TAB-Clotrimazole.
 TAB-Flucanazole.
 TAB-Vitamin A and D capsules.
 TAB-Methyldopa.

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PHYSICAL SET-UP OF SANATHAL PHC:

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Cold chain system:-
 The cold chain is a system of storage and transport of vaccines at low temperature from
manufacture to the actual vaccination site.
 Among the vaccines polio is the most sensitive to heat,requiring storage at minus 20 degree
c.vaccines which must be stored in the freezer compartment are :-polio and measles. Vaccines
which must be stored in the cold part but never allowed to freeze are:typhoid,DPT,tetanus
toxoid,DT,BCG, and diluents.
 The cold chain equipment:-
 The cold equipment consists of the following
 Walk in cold rooms(WIC) :- they are located at regional level,meant to store vaccines upto 3
months and serve 4-5 districts
 Deep freezers and ice lined refrigerators(300/240 ltr capacity):-
 Supply to all districts and deep freezers are used to making ice packs and to store opv and
measles vaccines
 Small deep freezers and ILR (140 ltr):- one set is provided to PHC.
 All vaccines at PHC level are stored in ILR. Vaccines like TT, DPT, DT and diluents are kept
in basket provided with ILR.
 A dial thermometer should be kept in ILR and temperature recorded twice a day.
Cold boxes:-
 These are used mainly for transportation of vaccines
 Before the vaccines are placed in the cold boxes, fully frozen ice packs are placed at the bottom
and sides.
 Vaccine carriers:-They are used to carry small quantity of vaccines (16-20 vials) for the out
of reach sessions. Four fully frozen ice packs are used for lining the sides
 Day carriers:- They are used to carry small quantities of vaccines(6-8 vials) to a near by
session. two fully frozen packs are to be used.it is used only for few hours period
 Ice packs:-
 The ice packs contain water and no salt should be added to till the water should be filled up to
level marked on the side

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SUMMARY OF ACTIVITIES:
 We have done family health survey. Identified family needs, given care based on identified
need and prepared family care plan by applying model of health promotion.
 We have given health education on various aspect of health.
 We have participated in “ Beti Bachao, Beti Vadhao” programme arranged at Sub center, We
have created awareness on this through the medium of group song.
 We have participated in Mamta Taruni clinic and assisted in activities carried out at this
session.
 We have participated in Mamta day.
 We have attended “VATSALYA DAY” celebration. there we have given education on various
aspect of care during antenatal and postnatal period, and created awareness on “Beti Bachao,
Beti Vadhao” through medium of group song.
CONCLUSION:
Our postiong of PHC, Sanathal was very fruitful. Here we came to know about so many activities
done at PHC level. Our experience of home visit, doing health survey, interaction with community
peoples was very positive. It has been great learning experience. We are really very thankful to
Ms. Rekhamol Sidhanar, asst.professor of ANP for giving us such a golden opportunity, to guide
us at each step during our posting, and teaching us so many useful things.

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BIBLIOGRAPHY:
1. NEELAM KUMARI “A TEXTBOOK OF COMMUNITY
HEALTH NURSING-II”,PEE VEE PUBLICATION, 3rd
EDITION-2015.
2. NEELAM KUMARI, NELSON ALPHONSE, R. SARASWATHI
“A TEXTBOOK OF COMMUNITY HEALTH NURSING
II”, S.VIKAS AND COMPANY,PEE VEE PUBLICATION,
EDITION-2017.
3. NEELAM KUMARI “A TEXTBOOK OF COMMUNITY
HEALTH NURSING” PEEVEE PUBLICATION, EDITION-
2011, PAGE NO:220.
4. MANOJ YADAV, NEELAMKUMARI “A TEXTBOOK OF
CHILD HEALTH NURSING”REVISED EDITION
2014, PAGE NO:30.
5. C-MANIVANNAN, “A TEXTBOK OF OF PEDIATRIC
NURSING”, EMMESS, 2nd
EDITION.
REFERENCES
1. www.google.com
2. www.wikipedia.com
3. www.pubmed.com
4. www.slideshre.com
5. www.scribed.com

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Sanathal PHC Observation report word file