MANAGEMENT PLAN (24/02/2016)

MANAGEMENT PLAN
LA BREA HEALTH CENTRE
24/02/2016

THE CHILD HEALTH CLINIC

MANAGEMENT DONE BY: CURLEN MARTIN-WILLIAMS (BscN6)

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OBJECTIVES

At La Brea Health Centre, the health care team seeks consistently and industriously to achieve the

following goals:

 To ensure that each child within the community of La Brea is completely immunized

 To attend to any actual and potential health problems related to the children within the

community

 To supply parents and guardians with the necessary and appropriate health information on

health issues associated with children.

 To ensure that the health needs of the children are met in a timely, efficient and competent

manner.

MANAGEMENT DONE BY: CURLEN MARTIN-WILLIAMS (BscN6)

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DUTY ROTA
N.B Please sign on and off duty
Topic: NUTRITION

STATUS NAME RESPONSIBILITIES

Student Nurse Curlen Martin-Williams  Management Practicum
 Check attendance register
 Delegate duties
 Check refrigerator and oxygen
tanks (am & pm)
 Monitor staff performance
 Ensure client satisfaction
 Health teaching
 Tally vaccines
 (All duties are to be done with
supervision)

 Assist Manager
District Health Visitor Sepherina Allard
 Interview and council clients
(DHV)
 Administer vaccines
 Refer clients to doctor when
needed
 Give follow up appointments
 Document all findings

 Assist Manager
District Health Visitor Claudia Toolsie
 Preparation of cooler for
(DN)
vaccines
 Interview and council clients
 Administer vaccines
 Refer clients to doctor when
needed
 Give follow up appointments
 Document all findings

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District Health Visitor Pearl Duncan  Assist Manager

(DHV)  Interview and council clients
 Administer vaccines
 Refer clients to doctor when
needed
 Give follow up appointments
 Document all findings

Registered Nurse Yvonne Trotman  Treatment ordered by doctor for

patients
 Measure client’s height and
weight, chest and head
circumference as needed
 Administration of prescribed
medication
 Council clients
 Document all findings

Registered Nurse Kathy-Ann Forde Blackman  Counsel clients for HIV testing
 Carry out HIV same-day testing

Student Nurse Anthea Emmanuel Julien  Work alongside Nurse Toolsie

Elizabeth Gloudan  Work alongside ENA’s
Stacy Esau  Work alongside Nurse Duncan

Enrolled Nursing assistant Roslyn Modeste  Take patient vital signs

(ENA) Gail Derry  Measure client height and weight
Tricia Williams chest and head circumference as
needed
 Plot growth chart
 Document all findings and the
time it was done
 Filter information to the DHV or
Doctor as necessary

Shyron Biswah  Dressings

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Doctor Dr. Sudakhar Reddy  Examine and assess the ill child
Dr. Sirjudass  Write referrals
Dr. Narinesingh  Attend to emergencies and walk
in patients
 Review all children for school
entrance
 Attend to all emergencies

 Admit family planning clients

Family Planning Clerk Nakisiah Amoroso  Fill out database forms for
clients to receive pap smear

 Supervise OJT clerks

Clerk Karen Ali  Assist with retrieving client’s
file
 Assist with admitting new clients
 Filter files to ENA’s in a timely
fashion
 Stamp documents
 Provide information to clients
 Ensure that client has follow up
appointment recorded in clinic
card or book
 Tally clinic attendance
 Consult manager concerning
issues that present

OJT’s/CSR Joyann Francis  Assist with retrieving client’s

Merita Hector file
 Assist with admitting new clients
 Filter files to ENA’s in a timely
fashion
 Stamp documents
 Provide information to clients
 Ensure that client has follow up
appointment recorded in clinic
card or book
 Tally clinic attendance
 Consult manager concerning
issues that present

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 Ensure clients receive adequate

treatment
 Ensure complaints are reported
to the appropriate channels.

 Dispense medication
Pharmacist Mitzi Acosta  Procurement of medication
Pharmacy Assistant Keisha Cadogan  Recording of Antibiotics &
Controlled drugs
 Supply proprietary drugs
 Council patients about how to
take medication
 supervise other members of staff
in pharmacy
 Generate monthly statistical
reports

 Attends to clients oral hygiene

Dental Nurse Dale O’Brien  Assists dental nurse
Dental Nurse Assistant Nicola White  Ensure dental appointments are
OJT Crystal Vincent given.

 Assist RN
Aid to Nurse (ATN) Natasha Robinson  General assistance to staff
members

 Ensures and maintains the

Female Laborers Alberta Fox-McGuire cleanliness of the internal
Bettyann Martin environment

 Ensures and maintains the

Grounds Man Ramnarace Ramlogan cleanliness of the external
environment

 Maintains order in and around

the clinic
Security Christine Porter Smith

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FIRST BREAK (10:00am -10:10 am) SECOND BREAK (10:20am -10:30 am)
Claudia Tootsie Sepherina Allard
Yvonne Trotman Curlen Martin-Williams
Dr. Seudakar Reddy Pearl Duncan
Dr. Sirjudass Kathy-ann Blackman
Roslyn Modeste Shyron Biswah
Tricia Williams Dr. Narinesingh
Elizabeth Gloudan Anthea Julien
Mitzi Acosta Stacy Esau
Nakisiah Amoroso Keisha Cadogan
Karen Ali Albertha Fox-Mc Guire
Joyann Francis Maurita Hector
Crystal Vincent Natasha Robinson
Ramnarace Ramlogan Bettyann Martin
Betty- ann Martin

FIRST LUNCH (11:30noon -12:30 pm) SECOND LUNCH (12:30pm – 1:30pm)

THOUGHT FOR THE DAY

LIFE ISN’T ABOUT FINDING YOURSELF. LIFE IS ABOUT CREATING YOURSELF.

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PRE-OPERATIONAL PLAN

The manager will collaborate with the health care team to ensure that the preoperative plan is

carried out competently and timely. The following are essential to the success of the preoperative

plan.

 Preparation of Duty Rota – the Duty Rota must then be placed in the view of every member

of staff.

 Preparation of vaccination tray – this tray should include all relevant equipment’s and

utensils

 Preparation of tapes and weighing scales for use – these items must be properly sanitized

and well collaborated to ensure smooth running of the clinic

 Ensure that there will be adequate amount of the needed vaccines for the clinic

 Ensure that relevant forms are available for employment when needed in the clinic.

 Ensure sufficient vaccines for child health clinic by obtaining vaccines at Siparia - CMOH

MANAGEMENT DONE BY: CURLEN MARTIN-WILLIAMS (BscN6)

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OPERATIONAL PLAN

The manager will liaise with the health care team to make certain that the child health clinic is

undergoing smooth and effective operations. The following are critical to the success of the

operational plan;

 Each staff member must sign the register or the OJT register

 Upon arrival, check the temperature of the vaccine refrigerator and record findings in the

appropriate chart.

 Place the ice pads in the appropriate manner in the vaccine coolers; then place the vaccines

needed for use in an appropriate container into the cooler.

 Clients clinic card will be retrieved at the clerk’s desk and filtered to the nurses room

 Check register within 20 to 30 minutes to determine staff attendance

 Conduct health teaching on an appropriate topic

 Guide clients to have their measurements taken before seeing the DHV

 Ensure all findings as well as the time that findings were taken is documented

comprehendible in the client’s file

 Conduct clinic

 Ensure that all sharps are placed in the bin labeled “SHARPS ONLY”

 Ensure that all body fluids are placed in the bio-hazard bin

 Clients will receive referrals when needed

 Clients will be given follow up appointments

 General tidying will be conducted

 Check and record vaccine refrigerator temperature in appropriate book; plot the higher of

the two temperatures

MANAGEMENT DONE BY: CURLEN MARTIN-WILLIAMS (BscN6)

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 Manager will liaise with the health care team to identify any problematic issues and thus

seek to erase them and to ensure smooth flow of the clinic’s activities

 All staff members are expected to sign off the register.

POST-OPERATIONAL PLAN

The manager will liaise with the health care team to make sure that the operational plan was well

conducted as anticipated. The following are vital to securing a successful post operational plan;

 Return all unused vaccines into the refrigerator

 Replenish vaccination trays with the appropriate items (these include syringes, needles,

receiver for empty vaccine bottles, wet swabs, dry swabs and tape)

 Tally vaccines

 Ensure that client’s files are stored on the appropriate shelf

 Replace trays and equipment in its storage area

 Ensure all findings are documented

 Review appointment record to determine the client which have defaulted clinic and inform

DHV

 Provide an opportunity for staff members to voice their concerns, comments or suggestions

regarding the day’s unfolding.

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CONTINGENCY PLAN

The following are unplanned events that may occur; as a result the manager may have to make

changes where necessary to achieve a successful and smooth flowing clinic.

Absenteeism – in the case of staff member(s) being absent, the nurse manager will reassign duties

to the best interest of the client and staff.

Electrical Failure – in the event that there is no electricity, the manager will ensure that windows

and doors are open to achieve maximum light; T&TEC will be notified of the situation at hand and

determine the length of power outage; ensure that the vaccination refrigerator remains closed; will

ensure that CMOH office is notified and have vaccines taken to the nearest Health Centre that has

electricity if the power outage remains for the entire clinic day.

Water shortage – in the situation where there is no water, the manager will inform the CMOH

office and will also notify and request a supply of water from WASA or the Fire Services.

MANAGEMENT DONE BY: CURLEN MARTIN-WILLIAMS (BscN6)

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EVALUATION

 Gain feedback on the day’s activity

 Discuss strengths and weaknesses

 Make recommendations for improvement

 Thank all staff members for their co-operation and support.

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Student Nurse: Curlen Martin-Williams

BscN6

Teaching Plan

Child Health Clinic

Subject: Health Promotion (Nutrition)

TOPIC: Promoting Healthy Snacks for Toddler and Preschoolers

Date: 24/02/2016

Time: 8am – 8:15am

Duration: 15 minutes

VENUE: La Brea Health Centre

Target Group: Parents

AIM: To educate parents of the importance of providing healthy snack for children.

OBJECTIVES: At the end of this teaching session parents will be able to:-

1. Define the term Nutrients.

2. Define the term healthy snacks.

3. State the importance of healthy snacking

4. Describe 3 effects of poor eating habits of preschoolers and school-aged children.

5. Identify 4 ways the parent can make foods interesting to toddlers and preschoolers.

MANAGEMENT DONE BY: CURLEN MARTIN-WILLIAMS (BscN6)

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TEACHING STRATERGIES: - Lecture with discussion.

TEACHING AIDS: - The use of brochures.

EVALUATION: Question and Answer session.

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INTRODUCTION

Good morning ladies and gentlemen, my name is Mrs. Curlen Martin Williams, I am a final

year student at Costaatt, and this is my colleague (Ms.Anthea Julien). If you all would permit us a

few minutes of your time, we would like to introduce our teaching plan, which focuses on the

promotion of healthy snack for toddlers and preschoolers. We do believe that this topic would be

quite beneficial and informative for parents who are unaware of the dangers of eating unhealthy

snack. Therefore, at the end of this teaching session we hope that you will be able to have a better

understanding of the term nutrients, and healthy snack, As well as, list 3 effects of poor eating

habits of preschooler and school-aged children. Lastly, identify 3 ways the parent can make foods

interesting. This session is intended to be interactive and your undivided attention and participation

is encouraged.

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OBJECTIVE I

Define the term Nutrients

 Nutrients are important substances in food that are utilized by the body for energy

production, growth, reproduction and repairs of tissues. The human body needs six specific

nutrients for healthy body performance.

OBJECTVE II

Define the term healthy snacks.

 Healthy snacks are natural light meal that are rich in micro nutrient and low in refined sugar

and salt. These snacks include carrot, apple, banana, watermelon, and pawpaw, which

provide toddlers and pre-schooler with the energy.

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OBJECTIVE III

State the importance of healthy snacking

Many parents do not realize that by choosing simple healthy snacks for their pre-schoolers can

have an incredible impact on the rest of their lives. Children health are the obvious advantage of

getting better nutrition on a daily basis, just by indulging in healthy snacking but the benefits

extends beyond current physical development and well into adulthood. Recognizing the

importance of healthy snacks for kids today, creates a foundation upon which long-term eating

habits are built.

OBJECTIVE IV

Describe 3 effects of poor eating habits of preschoolers and school-aged children.

 Dental health-prolonged exposure of teeth to sticky food and liquid are the leading cause

of tooth decay. Young children who are allowed to indiscriminately eat or drink throughout

the day, are likely to expose their teeth to carbohydrate longer, which encourage plaque

built up and tooth decay. Crunchy foods such as carrot sticks and apple slices are good

choices for snack because it does not stick to their tooth.

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 Constipation - having a diet low in fiber and water can lead to constipation in children.

Hard and dry stool can cause painful bowel movements; it is a common problem of young

children. Diet providing adequate total fiber for toddler and preschoolers guard against

constipation, these include whole grain, fruit and water.

 Obesity- having a poor diet can lead to serious problems for overweight children such as

diabetes and hypertension. Unhealthy fats in foods should such as cookies, soda, chips and

fried chicken should be replaced by healthy fats such as olive oil, fish and fruits.

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OBJECTIVE V

Identify 4 ways the parent can make foods interesting to toddlers and preschoolers.

 Provide nutritious food, and let child choose which ones, and how much they will eat.

 Make healthy snacks like grapes, apples, berries even celery and broccoli into fruit punch

or milk shakes.

 Get the kids involved in meal planning and preparation. For example, when baking banana

bread, children become more eager to eat.

 Introduce new food in a variety of color which will catch their attention.

EVALUATION

1) Can someone define the term nutrients?

2) Can someone define the term healthy snack?

3) Can someone state the importance of healthy snacking?

4) Can anyone describe 2 effects of poor eating habit in toddlers and preschoolers?

5) Can anyone identify 3 ways parent can make foods interesting for toddlers and

preschoolers?

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CONCULSION

Ladies and gentlemen this after-noon we had the opportunity of sharing our teaching plan with

you. The objectives were not merely to inform you but to educate you on the importance of healthy

snacking for toddler and preschoolers. Let’s recap; we have defined the term nutrients, which is

important substance in food that is utilized by the body for energy production, growth,

reproduction and repairs of tissues. We have also defined the term healthy snack; this refers to

natural light meal that is rick in micro nutrient and low in refined sugar and salt. We discuss the

importance of healthy snacking and describe three effects of poor eating habits of infants.lastly we

Identify 4 ways the parent can make foods interesting to toddlers and preschoolers. We wish to

thank you for your undivided attention.

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REFRENCES:

Houghton, K. (n.d.). Want Your Kids to Eat Healthier? Have Them Help Prepare Meals! -

FamilyLobby.com. Family related articles at FamilyLobby.com. Retrieved February 11,

2016, from http://articles.familylobby.com/545-want-your-kids-to-eat-healthier3f-have-

them-h.htm

Whitney, E., & Rolfes, S. R. (2005). 16.under standing nutrition (p. 542). united state of

america: peter marshall.

Calorie Needs For Preschoolers | LIVESTRONG.COM. (n.d.). LIVESTRONG.COM - Lose

Weight & Get Fit with Diet, Nutrition & Fitness Tools | LIVESTRONG.COM. Retrieved

February 11, 2016, from http://www.livestrong.com/article/508243-calorie-needs-for-

preschoolers/#ixzz2E4ipV6jw

Development During Middle Childhood: The Years From Six to Twelve. (n.d.). The National

Academies Press. Retrieved February 10, 2016, from

http://www.nap.edu/openbook.php?record_id=56&page=3

Beers, M. H., Fletcher, A. J., & Porter, R. (2003). The Merck Manual of Medical Information.

1230 Avenue of the Americas, New York, NY 10020: Merck &Co., Inc..

Normal Growth And Development Of School Age Children - Care Guide. (n.d.). Drugs.com |

Prescription Drug Information, Interactions & Side Effects. Retrieved February 10,

2016, from http://www.drugs.com/cg/normal-growth-and-development-of-school-age-

children.html

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Food for kids

Food is good and tastes delicious,

Keeps you healthy, it's nutritious.
Food will also help you grow;
Make you strong, when you throw.

Eating foods that are purple and green

will make you into a healthy teen.
Many great foods are really yummy,
if you eat too much, you'll hurt your tummy.

About healthy foods, you should read,

Learn what kids really need.
Food information you could share,
with your family, and show you care.

By AnitaPoems.com

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