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 Client’s Records

9:15 AM

Signing leave forms of other public health nurse

 9:50 AM Other PHN ask for TB case rate for situational  RECORDER .provides client with information that allows patient to make healthier choices and practice TRAINER/HEALTH EDUCATOR . validates.reviews.provides client with information that allows patient to make healthier choices and practice HEALTH MONITOR . families and communities RECORDER . Preparing and labelling sputum cups. organizes and directs and control activities and outputs. .reviews.provides learning experience for health workers MANAGER/SUPERVISOR .  9:30 AM 9:35 AM    Educating BHW on possible relapse of TB on one of the patient Received referral from other BHW.responsible for the delivery of the package of services provided by the program to the target clientele .aim is towards health promotion and illness prevention through dissemination of correct information. (Patient for sputum collection). Reminding BHW about Client’s sputum followup. .    Educating patient for sputum collection. HEALTH EDUCATOR .  9:40 AM    Reviewing client’s records.9:20 AM  Checking records for follow-up with BHW  9:25 AM    Confirming skin test PPD with other PHN. consolidates and analyzes and interprets all records and reports RECORDER . validates.plans activities and sets targets.aim is towards health promotion and illness prevention through dissemination of correct information.uses symptomatic and objective observation and other forms of data gathering to monitor growth and development and health status of individuals. Educating employees about extra-pulmonary TB. consolidates and analyzes and interprets all records and reports HEALTH EDUCATOR . Confirming skin test PPD with other PHN.   Communicate to other PHN about dengue cases reported on one of the barangay.

 10:05 AM    Reminded of the Clean Up Drive at Piapi by the head nurse. Reviewing client’s records. Received sample from medical representative.provides continuity of patient care.responsible for the delivery of the package of services provided by the program to the target clientele .    reviews.plans activities and sets targets. . equipment and supplies and delivery of health care at local levels .allocates and distribute materials (medicine and medical supplies) COMMUNITY ORGANIZER . Giving Medications to PHN   . organizes and directs and control activities and outputs. equipment and supplies and delivery of 10:20 AM     Entertained client’s needs.reviews. validates.organizes work force. Explained requirements for the TB program.organizes work force. validates. 10:00 AM  analysis.   10:30 AM 10:40 AM   Collaborating with BHW about PhilHealth requirements of clients. resources. Received patient and educated on sputum collection. consolidates and analyzes and interprets all records and reports MANAGER/SUPERVISOR .initiates and participates in community development activities RECORDER .provides client with information that allows patient to make healthier choices and practice COORDINATOR OF SERVICES . PROVIDER OF NURSING CARE . consolidates and analyzes and interprets all records and reports MANAGER/SUPERVISOR . HEALTH EDUCATOR . Gives sputum cups to client. Referred client to Barangay Health Station for medications.Establishes linkages with agencies/sectors to address health problems MANAGER/SUPERVISOR . Provided clarifications of records to the nurse. resources.aim is towards health promotion and illness prevention through dissemination of correct information.

responsible for the delivery of the package of services provided by the program to the target clientele .11:00 AM 12:00 – 1:00 PM 1:20 PM  Went to Ma’am Echavez (Supervisor Nurse) for report. .allocates and distribute materials (medicine and medical supplies) REPORTER . 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  . HEALTH EDUCATOR .plans activities and sets targets. organizes and directs and control activities and outputs. resources.allocates and distribute materials (medicine and medical supplies) MANAGER/SUPERVISOR .plans activities and sets targets.aim is towards health promotion and illness prevention through dissemination of correct information.prepares and submits required reports and records MANAGER/SUPERVISOR . effects of the medication. organizes and directs and control activities and outputs HEALTH EDUCATOR .organizes work force. proper sputum collection. LUNCH BREAK  health care at local levels .responsible for the delivery of the package of services provided by the program to the target clientele .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.provides client with information that allows patient to make healthier choices and practice MANAGER/SUPERVISOR . equipment and supplies and delivery of health care at local levels . medication compliance.

. National League of Government Nurses.Community Health Nursing Services in the Department of Health Philippines. Inc. al (2000).plans activities and sets targets.  of correct information.prepares and submits required reports and records RESOURCES: Cuevas. Community Health Nursing. F. (2007). HRSA Bureau of Health Professions National Center for Health Workforce information an analysis. Prepared by Center for Health Policy.P. Public Health Nursing in the Philippines. organizes and directs and control activities and outputs REPORTER . et. National League of Government Nurses. Inc.2:35 PM   Received endorsement from other health workers Clarifications on follow up on patients  3:00 PM  Went to NOPH and submit reports. 9th Edition.responsible for the delivery of the package of services provided by the program to the target clientele . The Public Health Work Force: Enumeration. K (2000). .provides client with information that allows patient to make healthier choices and practice MANAGER/SUPERVISOR . Columbia University School of Nursing. Gebbie.P. J. The Public Health Nurse 10th Edition. Reyala.

Prof. Gerislie A. Escobar Clinical Instructor – NCM 107B Submitted by: Edjec. January 3. Yabres. Lee Mariz P.Silliman University College of Nursing Dumaguete City TIME AND MOTION STUDY Submitted to: Asst. Leizl Joy C. Tabaranza. 2012 . Mark Anthony L.

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