Silliman University College of Nursing Dumaguete City

TIME AND MOTION STUDY

Public health nursing is not entirely different in nursing practice with that of clinical nursing confined in the four corners of the hospital. It also promotes wellness and prevents illness through education and health teachings, provides comfort and care through its delicate nursing care interventions, and emphasizes curative and rehabilitative interventions through individualized efficient approaches. But its peculiarity involves not only caring a single client but by extending thru the whole family and the community. It is further defined in the book of Community Health Nursing Services as a unique blend of nursing and public health practice woven into a human service that is properly developed and applied by which has a tremendous impact on human well being. Thus, taking this into consideration makes its roles and responsibilities a tremendous mix of art and science, too. PUBLIC HEALTH NURSE: Mrs. Leticia Flores (TB DOTS Coordinator)

TIME
9:00 AM

ACTIVITY
Entertaining the client. Educating the client about the proper way of collecting the sputum.

ANALYSIS
(Roles of Public Health Nurse) HEALTH EDUCATOR - aim is towards health promotion and illness prevention through dissemination of correct information. - provides client with information that allows patient to make healthier choices and practice RECORDER - reviews, validates, consolidates and analyzes and interprets all records and reports SUPERVISOR - organizes workforce in the area, provides support to other members of the health team

9:10 AM

Reviewing Clients Records

9:15 AM

Signing leave forms of other public health nurse

9:20 AM

Checking records for follow-up with BHW

9:25 AM

Confirming skin test PPD with other PHN. Educating employees about extra-pulmonary TB. Reminding BHW about Clients sputum followup.

9:30 AM 9:35 AM

Educating BHW on possible relapse of TB on one of the patient Received referral from other BHW. (Patient for sputum collection). Preparing and labelling sputum cups.

Educating patient for sputum collection.

Communicate to other PHN about dengue cases reported on one of the barangay.

9:40 AM

Reviewing clients records. Confirming skin test PPD with other PHN.

9:50 AM

Other PHN ask for TB case rate for situational

RECORDER - reviews, validates, consolidates and analyzes and interprets all records and reports HEALTH EDUCATOR - aim is towards health promotion and illness prevention through dissemination of correct information. - provides client with information that allows patient to make healthier choices and practice TRAINER/HEALTH EDUCATOR - provides learning experience for health workers MANAGER/SUPERVISOR - responsible for the delivery of the package of services provided by the program to the target clientele - plans activities and sets targets, organizes and directs and control activities and outputs. HEALTH EDUCATOR - aim is towards health promotion and illness prevention through dissemination of correct information. - provides client with information that allows patient to make healthier choices and practice HEALTH MONITOR - uses symptomatic and objective observation and other forms of data gathering to monitor growth and development and health status of individuals, families and communities RECORDER - reviews, validates, consolidates and analyzes and interprets all records and reports RECORDER

 10:00 AM

analysis. Reviewing clients records. Received sample from medical representative.

10:05 AM

Reminded of the Clean Up Drive at Piapi by the head nurse. Provided clarifications of records to the nurse. Referred client to Barangay Health Station for medications.

reviews, validates, consolidates and analyzes and interprets all records and reports MANAGER/SUPERVISOR - organizes work force, resources, equipment and supplies and delivery of health care at local levels - allocates and distribute materials (medicine and medical supplies) COMMUNITY ORGANIZER - initiates and participates in community development activities RECORDER - reviews, validates, consolidates and analyzes and interprets all records and reports MANAGER/SUPERVISOR - responsible for the delivery of the package of services provided by the program to the target clientele - plans activities and sets targets, organizes and directs and control activities and outputs. PROVIDER OF NURSING CARE - provides continuity of patient care. HEALTH EDUCATOR - aim is towards health promotion and illness prevention through dissemination of correct information. - provides client with information that allows patient to make healthier choices and practice COORDINATOR OF SERVICES - Establishes linkages with agencies/sectors to address health problems MANAGER/SUPERVISOR - organizes work force, resources, equipment and supplies and delivery of

10:20 AM

Entertained clients needs. Explained requirements for the TB program. Gives sputum cups to client. Received patient and educated on sputum collection.

10:30 AM 10:40 AM

Collaborating with BHW about PhilHealth requirements of clients. Giving Medications to PHN

11:00 AM 12:00 1:00 PM 1:20 PM

Went to Maam Echavez (Supervisor Nurse) for report. LUNCH BREAK

health care at local levels - allocates and distribute materials (medicine and medical supplies) REPORTER - prepares and submits required reports and records MANAGER/SUPERVISOR - responsible for the delivery of the package of services provided by the program to the target clientele - plans activities and sets targets, organizes and directs and control activities and outputs. HEALTH EDUCATOR - aim is towards health promotion and illness prevention through dissemination of correct information. - provides client with information that allows patient to make healthier choices and practice MANAGER/SUPERVISOR - organizes work force, resources, equipment and supplies and delivery of health care at local levels - allocates and distribute materials (medicine and medical supplies) MANAGER/SUPERVISOR - responsible for the delivery of the package of services provided by the program to the target clientele - plans activities and sets targets, organizes and directs and control activities and outputs HEALTH EDUCATOR - aim is towards health promotion and illness prevention through dissemination

Receiving referrals from other health center by the PHN

1:30 PM

Entertaining 2 TB Patients Health Teaching on TB as a disease, proper sputum collection, medication compliance, effects of the medication, and possible outcome of not compliance with the treatment Gives medicine supplies to PHN

2:00 PM

2:10 PM

Receiving referrals on case of MDR patient

2:20 PM

Received patient Instruction on proper sputum collection

2:35 PM

Received endorsement from other health workers Clarifications on follow up on patients

3:00 PM

Went to NOPH and submit reports.

of correct information. - provides client with information that allows patient to make healthier choices and practice MANAGER/SUPERVISOR - responsible for the delivery of the package of services provided by the program to the target clientele - plans activities and sets targets, organizes and directs and control activities and outputs REPORTER - prepares and submits required reports and records

RESOURCES:
Cuevas, F.P. (2007). Public Health Nursing in the Philippines. The Public Health Nurse 10th Edition. National League of Government Nurses, Inc. Gebbie, K (2000). The Public Health Work Force: Enumeration. HRSA Bureau of Health Professions National Center for Health Workforce information an analysis. Prepared by Center for Health Policy, Columbia University School of Nursing. Reyala, J.P. et. al (2000).Community Health Nursing Services in the Department of Health Philippines. Community Health Nursing. 9th Edition. National League of Government Nurses, Inc.

Silliman University College of Nursing Dumaguete City

TIME AND MOTION STUDY

Submitted to: Asst. Prof. Leizl Joy C. Escobar Clinical Instructor NCM 107B

Submitted by: Edjec, Gerislie A. Tabaranza, Lee Mariz P. Yabres, Mark Anthony L.

January 3, 2012