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Republic of the Philippines

Department of Education
Region IV-A CALABARZON
DIVISION OF GENERAL TRIAS CITY

SUNNY BROOKE ELEMENTARY SCHOOL

CLINIC SELF - MONITORING TOOL
DATE: S.Y 2019 - 2020

EXTENT OF
IMPLEMENTATION Remarks
PHYSICAL FACILITIES Very Not
Evident Evident
School clinic is strategically situated and very
accessible to all types of learners ̷
School clinic is well ventilated ̷
Presence of treatment room/ bed ̷
Presence of hand washing facility inside the clinic ̷
Presence of comfort room ̷
Health kits and medicines are visible and ̷
accessible

SCHOOL CLINIC PERSONNEL

Delivers quality health care service/first aid ̷

treatment among learners and teachers
Performs hand washing/ hand sanitation activity ̷
at all times before and after providing care to
clients(pupils/teachers)
Provides health assessment and health teaching ̷
activities

REPORTS/DOCUMENTS

Reports/documents are properly stored and ̷

organized within the school clinic
Reports that are published were updated ̷
regularly

Prepared by:

FERNANDO T. SAPAD, RN
Clinic Teacher

Noted by:
NACITAS V. GREPO
Principal

(046) 509-1167
Antel bldg., Diego Mojica Memorial division.gentri@deped.gov.ph
(046) 471-4275
School, General Trias, Cavite