RN HEALS MONTHLY JOURNAL
November 2011
Name: Karen Flores Baduya Area of Assignment: RHU-Milaor
Milaor, Camarines Sur
I. ACTIVITIES:
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
II. LEARNINGS/INSIGHTS:
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.
III. ISSUES/CONCERNS:
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
IV. RECOMMENDATIONS:
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
RN HEALS NURSE
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