COMMUNITY HEALTH NURSING CLINICAL POSTING

COMMUNITY HEALTH CENTRE

On 17 January ,2018 we 30 students of m.sc nursing 1 st year were taken for visiting community
health centre ,bakawand under the supervision of Ms. shradha ashawan ,asst professor ,HOD
department of community health nursing, and Mrs. shabiba daharia Msc demonstrator ,Govt. college
of nursing jagdalpur.

I am very thankful and glad to write about the visit report on

community health centre ,Bakawand .It was the wonderful experience to visit chc and here every
departments are well organized and cleanliness was well maintained .

The population covered under this CHC is and ANC target is 57/month
with delivery target of annually ANC target is 687 and child is 618 in18 target.

INTRODUCTION-
A health care centre ,health centre or community health centre is one of a
network of clinics staffed by a group of general practioner and nurses providing health care services
to people in a certain area .typical services covered are family practice ,and dental care ,but some
clinics have expanded greatly and can include internal medicine pediatric, womens care ,family
planning , pharmacy ,laboratory testing and more.

DEFINITION-
Community health centre are non-profit organization that provide primary health care for
individuals families and communities and have professionals such as doctors ,nurses and nurses
practioners on staff.

AIMS AND OBJECTIVES-

Its aim to improve the health and well being of local residents by-

1. Encouraging people to actively participate in their own health care .

2. Working together with other primary health care providers such as general practioners to
provide coordinated care.
3. Liaring with other health agencies and service providers to fill service gaps.
4. Encouraging individuals and community groups to actively participate in the centre
activities, including service planning fund raising and volunteer work.
5. Promoting prevention of life style related diseases and conditions .
6. Developing health care programs and activities to improve social and physical environment in
the community.

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FUNCTIONS OF COMMUNITY HEALTH CENTRE
1. To provide specialist services
2. Indoor patient care
3. RCH services
4. Services for national health programmes
5. Cold chain maintenance through deep-freezers, cold boxes and carriers.
6. Laboratory and x-ray services .
7. Blood storage facility
8. Referral services
9. Training and continuing education of health teams .
10. To elicit community community participation

LOCATION OF CHC
Community health centre is located In bakawand in block colony

PHYSICAL INFRASTRUCTURE
1. Entrance zone
2. Ambulatory zone
3. In patient zone
4. Critical zone
5. Administrative zone
6. OPD(Doctors)
7. Injection room
8. Dentist department
9. X-ray room
10. Laboratory room
11. Children ward
12. Labor room
13. Dressing room
14. PNC room
15. TB department
16. Cold chain room
17. General ward

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STAFFING PATTERN

S.N NAME OF THE POST RECOMMENDED ALLOTED

1. Medical officer (surgeon, obstetrics ,physician 4 4
and pediatrician)

2. Nurses midwife (staff nurse) 7 7

3. Dresser 1 1
4. Pharmacist 1 1

5. Laboratory technician 1 1

6. Radiographer 1 1

7. Ward boys 2 2

8. Dhobi 1 1

9. Sweepers 3 3

10. Aaya 1 1

11. Peon 1 1

12. Mali 1 1

13. Chowkidar 1 1
TOTAL - 25 25

SERVICES

1. RCH (Reproductive and child health)

2. National immunization program
3. Janani suraksha yojna
4. Polio eradication program
5. RNTCP (Revised national tuberculosis program)
6. National malaria control program
7. National fileria control program
8. National leprosy eradication program
9. National program for central of blindness

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RCH PROGRAMME
1. It works for antenatal intranatal and postnatal care
2. Promotion of institutional delivery
3. Minimum 3 antenatal checkup
4. Provision of services under janani suraksha yojna
5. Newborn care
6. Management of neonatal hypothermia

NATIONAL IMMUNIZATION PROGRAMME

To prevent 6/7 vaccine preventable diseases

COLD CHAIN EQUIPMENT

1. Walk in cooler
2. Deep freezer
3. Cold boxes
4. Vaccine carrier
5. Day carrier

.AD Syringe (auto disabled syringe)

.vaccine

.Hub cutter

JANANI SURAKSHA YOJNA

-Its aim to reduce MMR ( /1,00,000 live birth) and IMR( /100 live birth)

-increases institutional deliveries in BPL families

TARGET GROUP

.All pregnant lady of BPL family of age 19 years or more and married

.up to two live births

In jsy to promote institutional delivery cash benefit /assistance has been linked to institutional
delivery. Incentive is given to ASHA (rs 600) and pregnant lady.

POLIO ERADICATION PROGRAMME

-Provision of oral polio vaccine to the children of age group 0-5 years

-survey also done to find out the cares in the community

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RNTCP

-Provide diagnostic services through the the microscopy centre which are established in the CHC
(1/1,00,000 population)

-Provide treatment services by providing DOTS as per technical guidelines

-treatment of common complication of TB and side effects of drugs

-record and report on RNTCP activities as per guidelines .

NATIONAL MALARIA ERADICATION PROGRAMME

The CHC are to provides diagnostic and treatment facilities for routine and complicated cases of
malaria ,filarial dengue ,Japanese encephalitis and kala-azar in the endemic zone

NATIONAL LEPROSY ERADICATION PROGRAMME

The minimum services that are to be available at the CHCs are for diagnostic and treatment of cares
of reactions of laprosy along with advice to patient on prevention of deformity.

NATIONAL CONTROL ON BLINDNESS

-Diagnostic and treatment of common eye disease

-refraction services

RECORD AND REPORT MAINTAINED IN CHCs

1.Attendance register

2.Diary

3.OPV Register

4.Visitor register

5.To and from register

6.movement register

7.ANC register

8.sterilization register

9.oral pills

10.Immunization register

11.HEALTH day register

12.Birth register

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13.High risk ANC REGISTER

14.Janani suraksha yojna

15.eye register

16.Vitamin A register

17.Stock register

18.Issue register

19.Delivery register

20.Money report register

21.Malaria case

22.Record of anganwadi worker

23.Under 5records

24.yuearly report

25.laprosy case

JOB DISCRIPTION MEMBERS OF HEALTH CARE TEAM

MEDICAL OFFICER

It is the one who supervise the staff and organizing staff meeting at community health centre and to
discuss health activities. They supervise the program during community work.

SECOND MEDICAL OFFICER

He performs identical duties at the tree of community.

HEALTH WORKER FEMALE/MALE

Health worker are the assistance to the professional workers to provide care to the patient who are in
community health centre

.Health worker female

.Care of the clinic

-The nurse provide care to the patient of all ages and assistance in helping the daily care.

-Educate mother patient and individual members for better living meet the daily nutritional activities.

Care of the people in community-

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Nurse provide immediate care by there who are in common for the growth and development of
health .she not only provides care to those who are ill but also providers care to all the people who are
in need to help.

.Health worker male-

.Record keeping-

-collect all the information about the patient, family and their community members

-prepare and maintain a record based on their lifestyle, sanitation, birth and death rate.

Community disease-

Identify the cause of disease that are occurring in community .the nurses provide the immediate care
for their improvement of health .educate the community members through the survey for the disease
that are occurring in our community.

DISTRIBUTION OF CENTRE FOR IMMUNIZATION PURPOSE

COLD CHAIN- It is under the vaccines are transported from the site of supply vaccines are supplied
from CHC to PHC level. the places where it is supplied are-

1.karpawand PHC

2.Jaibel PHC

3.Malgaon PHC

4.Manghoor PHC

5.Palwar PHC

6.Kachnaar PHC

BIO-MEDICAL WASTE MANAGEMENT

Different colour dustbins are present for discarding the waste

RED -Plastic waste like iv bottles or syringe

BLUE- Sharp waste like needles, scalpels etc.

BLACK- Normal disposable waste

YELLOW- Blood body fluids etc.

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FACILITIES

1.Provides opportunity for people to be involved in a mix-range of learning social and physical
activities .

2.Promoting social inclusion for people for people with difficulties which prevent them becoming
involved

3.Promoting individual and community involvement and well being

4.Supporting the local management of services

5.Provide various other services for promotion of health ,prevention of illness and restoration of
health.

SUBCENTERES COVERED

Bakawand community health centre covers 42 sub centers

SUMMARY-

Community health centre of bakawand block is very well organized hospital with various
departments and infrastructure according to norms .It is functioning in a very good manner with using
appropriate services .its its staffing pattern is also appropriate.