Wednesday, August 13, 2014

RN Heals Journal

November 2011
Name: Karen Flores Baduya                                                             Area of Assignment:   RHU-Milaor
Milaor, Camarines Sur
In November 2011, the DOH spearheaded the deployment of nurses (RN Heals Batch II). It’s aim is to assist in the provision of health services in poor communities as part of the DOH’s support to the Pantawid Pamilyang Pilipino Program (4Ps) of the DSWD.
         RNheals II seeks to augment the inadequate nursing workforce in DOH hospitals and a number of Local Government Unit (LGU) health facilities to improve patient care and health services. Likewise, the program aims to create a pool of registered nurses with enhanced clinical and public health competencies towards the improvement of the delivery of health services.
I am deployed as part of this program. My main mission as a Public Health Nurse is to maintain focus on communities where maternal and child morbidity and mortality rates are high. We will be undergoing learning and development in public health during our one (1) year of deployment. We will be exposed to the implementation of public health programs and provision of health services. I am assigned at Milaor Rural Health Unit which is in my hometown, Milaor, Camarines Sur.
         To start with, I attended the Orientation / Seminar at Sto. Domingo, Albay for 2days. We stayed at Coastal View Beach Resort, accommodation and foods charged to DOH. Together with other nurses & midwives assigned to different municipalities in the whole Region V, we were oriented regarding the programs that DOH is implementing in the Philippines specifically the Universal Health Care, 4P’s and MNCHN.
          We are 2 Nurses deployed in the LGU-Milaor. During the first day of duty, we were endorsed by our DOH Representative: Jocelyn Batalla assisted by Glenda Tena our RHU Supervisor to the Municipal Mayor of Milaor with the 20 Barangay Captains of the Municipality. Our scope of responsibility was discussed to the Municipal Officials and to get their support in meeting our goals.
           Pantawid Pamilyang Pilipino Program (4Ps) of the DSWD is one of the program we are tasked to make sure it is implemented. I witnessed the registration of families in the Milaor Covered Court for 6 days from Nov. 21-26, 2011.
          We were briefly discussed by the main concerns as to the purpose of RN Heals Program in the RHU Milaor. After which, we were oriented at the Center for the Daily Routine & we planned our activities this coming year 2012. We planned to conduct Mother’s Classes to the 20 Barangays of the Municipality.
The health department hopes to decrease by 75 percent the number of mothers who die during childbirth by making sure mothers will give birth at a birthing facility and assisted by a skilled health professional. The Department of Health (DOH) has secured national funding for the Maternal Newborn, Child Health and Nutrition (MNCHN), a strategy to address the high rates of maternal mortality.
      RNheals nurses like me, will be trained to become trainers and supervisors to coordinate with community-level workers and CHTs (Community Health Teams). It is my job to make sure we will assist families with their health needs, provide health information, and facilitate communication with other health providers.
         I start the day by logging in to our Logbooks. Our shift is 8am till 12nn and will be back by 1pm to 5pm, Mondays to Fridays. We admitted patients weekly and as per Doctor’s order, we supply them the prescribed medicine as long as it is available in the center.
         We educate mothers about proper breastfeeding, hygiene and proper nutrition. The common complaint we receive is colds, cough, fever and hypertensive elders. We provided first aid measures to wounds related to fall, accidents before referring them to tertiary hospitals for further medication and/ or treatment.
I am tasked to give effort in the provision of necessary services, better coordination among government agencies, such as DOH, DepEd, DSWD, and DILG, that is essential for the achievement of the MDG ( Millennium Development Goal).
       As part of my duty, I volunteered to come to the Provincial Health Office in Bula with Maam France Valenciano to get MMR vaccines. We were given an aneroid sphygmomanometer with stand as supply to our RHU from the DOH.

          I also monitored the facilitation of the EPI every Wednesday. Conducted by midwives and supervised by nurses. I also assisted in conducting PAP smears to women every Tuesday and Thursday. I also attended Flag Ceremony during Mondays and Flag Retreat during Fridays.
        This week, the RHU Milaor is undergoing renovation. They are replacing the door and the windows from wood to glass. This is just the beginning of fixing the building to make sure that health is properly implemented starting from a good conducive health center.

new door

          We were advised that deployed nurses will receive a monthly allowance of Php 8,000. We will be provided with PhilHealth Insurance, GSIS Group Accident Insurance. As a Nurse assigned in the Rural Health Unit we will receive additional assistance in the form of lodging and meals, among others, from the Local Government Units (LGUs) as provided in the Joint Memorandum Circular No. 2011-0044 between the DILG, DOH and DSWD.
           We were also informed that we will be evaluated on a regular basis during our one-year deployment period. Those who will successfully complete the program will be given Certificates of Completion and will be considered for priority employment in government health facilities should vacancies exist.
Universal Health Care (UHC), also referred to as Kalusugan Pangkalahatan (KP), is the “provision to every Filipino of the highest possible quality of health care that is accessible, efficient, equitably distributed, adequately funded, fairly financed, and appropriately used by an informed and empowered public”. The Aquino administration puts it as the availability and accessibility of health services and necessities for all Filipinos.
          It is a government mandate aiming to ensure that every Filipino shall receive affordable and quality health benefits. This involves providing adequate resources – health human resources, health facilities, and health financing. (As quoted in the DOH website.)
“As part of our effort to achieve Kalusugan Pangkalahatan, I am confident that these programs will help contribute to rapid increase in PhilHealth enrolment, improved access to quality care in hospitals and other health care facilities, and in the attainment of our Millennium Development Goals”, as quoted by Ona.

           I know I will learn a lot in this period of deployment. I am confident that I will be able to use my skills as a nurse to help people in need especially my fellow Milaorians. I am not oblivious that we really lack proper education and implementation of good health measures. In order for me to do this, I had just observed some minimal things in the center that needs to be addressed. With regards to patient’s record system: it is not well stored in the assigned record section.
          Most of the records are lacking in its storage cabinet. Patients also forgot to bring their records specially when it is below 5 yrs old. The tendency is to duplicate the record and therefore clogging the record system. The risk for this is that the record will either be misplaced, destroyed or worst, falsified.
the present record section
          I suggest that we have monthly updating of the records and separate an area for frequent patient that has scheduled treatment at the center. I advised to have a big cabinet for the storage of the files.
I would also like to add:  “Each and every one should be conscious of health. We should actively get information on Phil Health and other health services and to regularly visit health centers and rural health units to avail of vaccination and free consultations for us and our family members. After all, we are in charge of our own health” as quoted Secretary Ona.

Karen Flores Baduya RN
License No. 0681423

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