OUTPATIENT

DEPARTMENT
OUTPUT
FOR RLE
REQUIREMENT

Submitted by:
Moralde, Mary Shane A.
Morales, Jane Therese V.

Submitted to:
Ms. Megie Hervas, RN, MAN
Clinical Instructor
 Equipment and Area in the Outpatient
Department (OPD)

Outpatient Department

Outpatient Department or ambulatory centers are other names for ambulatory clinics.
These clinics provide medical services that don't necessitate an overnight stay in a hospital or
care facility. They could include services for prevention, diagnosis and treatment for minor
diseases. It provides a type of primary care and is comparable to doctor's offices or long-term
care facilities.

OPD Station
 It is the area for the nurse’s station in the OPD. It has a computer set to log records from
the patients, shelves for the OPD records also known as the OPD blotters, and vital signs
monitoring cart for the measuring equipment of vital signs.

Vital Signs Monitoring Cart

Tools used to measure the vital signs of patients are put in the cart. These includes
thermometer, blood pressure kit for adult and pediatrics, pulse oximeter. On the last drawer of
the cart is where the Mayo Scissors, Metzenbaum Scissors, and Thumb Forceps which are used
in wound dressing.

Weighing Scale

It is a measuring tool used to measure for the weight of the patients. The department uses
two types: Digital Baby Scale and Sliding Weight Scale.
Handwashing Area

It is located at the back portion of the OPD and is closed by curtain. This area has sink for
the patient and healthcare providers would do their handwashing prior to any procedure.

Preparation and Working Station

It is the area in the OPD where the equipment to use for the procedure are prepared
before administration. In the table, there is a standby Plain Sodium Chloride (PNSS) for
irrigation, different sized-syringes, sterile gloves, scissor, cotton balls, sterile drape, non-sterile
gloves, lubricating jelly, cotton buds, medical adhesive tape, tape measure, and below the table is
where the personal protective equipment (cover-all) is located.

On the opposite side of the table is where the beds are, these are for patients whose
procedure needs to lie them down. To ensure their privacy, each bed can be covered by curtains.
Health-related Posters

The OPD department has ample of health-promoting posters to inform and educate
patients. It includes the benefits of handwashing and breastfeeding, unang yakap, and food and
safety.

DEFINITION OF TERMS

Immunity: Protection from an infectious disease. If you are immune to a disease, you can be
exposed to it without becoming infected.

Vaccine: A preparation that is.

Vaccination: The act of introducing a vaccine into the body to produce used to stimulate the
body’s immune response against diseases. Vaccines are usually administered through needle
injections, but some can be administered by mouth or sprayed into the nose protection from a
specific disease.

Immunization: A process by which a person becomes protected against a disease through

vaccination. This term is often used interchangeably with vaccination or inoculation.
 CHILDREN IMMUNIZATION VACCINES

The Expanded Program on Immunization (EPI) was established in 1976 to ensure that infants/children and mothers have access to routinely recommended
infant/childhood vaccines. 
 MEDICATION INDICATION MECHANISM OF ACTION CONTRAINDICAT ADVERSE NURSING
ION EFFECTS RESPONSIBILITIES
Generic Name: • Active prophylaxis Varicella Virus Vaccine is a live, • Hypersensitivity A mild chickenpox with Before:
Varicella Virus Vaccine for chickenpox in attenuated varicella virus vaccine. to any vesiculopapular rash and • Assess the health status of the
children >1-year- The virus was initially obtained component of a low fever are relatively patient.
Brand Name: old from a child with natural the vaccine common after the first • Postpone the administration if
Varivax • Household contact of varicella, then introduced into injection. Upper the patient is having
immunocompromised human embryonic lung cell respiratory illness, cough, compromised immune system
Classification: children cultures, adapted to and irritability/nervousness, or severe illness.
Vaccine propagated in embryonic guinea fatigue, disturbed sleep,
Live pig cell cultures and finally diarrhea, loss of appetite, During:
Viral propagated in human diploid cell vomiting, headache, • Administer the vaccine
cultures. malaise, subcutaneously.
Dosage: 0.5 mL lymphadenopathy, • Observe sterility in
myalgia, allergic, administering the medication.
Route: Subcutaneous abdominal pain, nausea, • Monitor for potential adverse
chills, allergic reactions. reaction.

After:
• Review and warn family
members about potential
adverse effects.
• Document and record.
Drug Study for Children Immunization Vaccines

Source: https://www.pediatriconcall.com/drugs/vaccines/chicken-pox-vaccine/90/396
 MEDICATION INDICATION MECHANISM CONTRAINDICATION ADVERSE NURSING RESPONSIBILITIES
OF ACTION EFFECTS
Generic Name: Active immunization It is given as an Precautions to further DPT Erythema, induration Before:
Diphtheria, Tetanus, of children 15-18 immunoprophylaxis vaccination: at the injection site, • Get the vaccine from the storage with 2-
Pertussis and months of age against against diphtheria, fever and drowsiness. 8 degrees celsius temperature.
Haemophilus Influenzae diphtheria, pertussis, tetanus, pertussis and Fever more than 40 degree Celsius • Position the patient comfortably.
B tetanus and invasive H. influenzae type B. within 48 hours of administration of • Educate parents or guardian with the
disease caused by H. the injection. possible side effects.
Brand Name: influenza type B. • Clean injection site with alcohol swab or
DTap/HIb Hyporesponsiveness cotton balls.
and shock-like
Classification: state within 48 hours. During:
Conjugate Combination • Slowly administer the drug to the
vaccines Convulsions occurring within 72 patient.
hours. • For infants and young children vastus
Dosage: 0.5 ml lateralis is preferred site for the injection
Inconsolable crying (more than 3 while deltoid for older children and adults.
Route: Intramuscular hours) within 48 hours.
After:
encephalopathy • Monitor for signs of syncope and other
adverse effects 15 minutes after injection.
Anaphylaxis or occurring within 7 • Any unused portion should be disposed
days (absolute contraindication) of in accordance with local requirements.
• Document and record.
Sources:
https://www.ncbi.nlm.nih.gov/books/NBK545173/#:~:text=Mechanism%20of%20Action,-The%20DTaP%20vaccine&text=The%20vaccine%20produces%20an
%20active,and%20approved%20by%20the%20FDA.
https://www.pediatriconcall.com/drugs/vaccines/dpthib-conjugate-combination-vaccine/90/520
 MEDICATION INDICATION MECHANISM OF ACTION CONTRAINDICAT ADVERSE NURSING
ION EFFECTS RESPONSIBILITIES
Generic Name: • Measles MMR is an attenuated • Hypersensitivity red, tender bumps under Before:
Measles, Mumps, and prophylaxis (weakened) live virus vaccine. • Current febrile the skin, lightheadedness, • Get the vaccine from the storage
Rubella • Mumps This means that after injection, illness high fever (within a few with 2-8 degrees celsius temperature.
prophylaxis the viruses cause a harmless • Active untreated hours or a few days after • Clean injection site with cotton balls
Brand Name: • Rubella infection in the vaccinated person tuberculosis the vaccine), easy sterilized by alcohol.
M-M-R II prophylaxis with very few, if any, symptoms bruising or bleeding, new • Educate parents or guardian of the
before they are eliminated from or worsening cough, toddler/infant for possible effects.
Classification: the body. The person’s immune trouble breathing,
Live Vaccine system fights the infection caused convulsions (seizure), During:
by these weakened viruses, and numbness, pain, • Slowly advance the needle during
Dosage: immunity (the body’s protection tingling, weakness, insertion.
0.5 ml from the virus) develops. burning or prickly feeling • Maintain safety of the patient during
administration.
Route:
Intramuscular or deep After:
Subcutaneous • Properly disposed the used syringes
to sharp containers.
• Monitor patients for signs and
symptoms of adverse reactions.
• Document and record.

Source: https://www.rxlist.com/m-m-r-ii-drug.htm#medguide
https://www.cdc.gov/vaccines/vpd/mmr/public/index.html#:~:text=Two%20doses%20of%20MMR%20vaccine%20are%2097%25%20effective%20against
%20measles,are%20eliminated%20from%20the%20body.

MEDICATION INDICATION MECHANISM OF CONTRAINDICATION ADVERSE NURSING RESPONSIBILITIES

 ACTION EFFECTS
Generic Name: Prevention of It is the live, attenuated • Hypersensitivity • Local reaction Before:
Bacillus Calmette- disseminated, mycobacteria Bacillus • Impaired Immune • Shallow ulcer • Check physicians order before
Guerin severe forms of Calmette-Guerin Response • Anaphylaxis administering the BCG vaccine
tuberculosis. Strain of M. bovis- • Congenital or • Malaise • Inform parent or guardian of the
Brand Name: attenuated strain of acquired immune • Abdominal pain benefits and risk of immunization
Tubervac tuberculous bacillus. It is a deficiency • Inquire about the health status of the
freeze-dried vaccine and • Active tuberculosis patient
Classification: used to prevent against the During:
• Generalized infected
Live Vaccine disseminated form of • Let the patient be and maintained in
skin condition
tuberculosis such as TBM comfortable position during
Dosage: and miliary TB. administration.
0.5 ml
• Administer intradermally on the left
Route: upper arm
Intradermal After:
• Monitor for signs and symptoms of
systemic BCG infection
• Instruct parent or guardian to keep
vaccination site clean until local
reaction has subsided
• Document and record.

Source: https://www.pediatriconcall.com/drugs/vaccines/bcg-vaccine/90/309
 MEDICATION INDICATION MECHANISM OF CONTRAINDICATI ADVERSE NURSING
ACTION ON EFFECTS RESPONSIBILITIES
Generic Name: Hepatitis B prophylaxis Hepatitis B Vaccine • Hypersensitivity Local reactions, fever, Before:
Hepatitis B (Recombinant) is a non- to yeast or any headache, tachycardia, • Given in the first 12 house of
Vaccine infectious subunit viral vaccine component of the abdominal pain, skin life.
derived from hepatitis B surface vaccine rash, hypotension, • Obtain baseline data for vital
Brand Name: antigen (HBsAg) produced in vertigo, malaise. signs especially temperature.
Recombivax B yeast cells. Anaphylaxis is a rare • Assess for hypersensitivity to
presentation. the drug.
Classification:
Inactivated During:
Viral • Administer dosage correctly
Recombinant to prevent side effects.
• Communicate patient’s parent
Dosage:
that the pain due to injection is
0.5 mL
mild:
Route: • Provide immunization
Intramuscular schedule to assure completion
of the vaccination.

After:
• Monitor vital signs especially
temperature
• Observe for signs and
symptoms of adverse effects
• Keep vaccinated site clean and
dry until local reaction has
subsided
• Document and record

Source: https://www.pediatriconcall.com/drugs/vaccines/hepatitis-b-vaccine/90/635