Laoag City, Ilocos Norte

BSN NCM 104: COMMUNITY HEALTH NURSING 1 (INDIVIDUAL AND FAMILY)

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 Laoag City, Ilocos Norte

Letter to the Students

How are you? I hope you are still doing good despite all the activities and
requirements that are currently pressuring you. Here is another module for you to learn and
internalize. It consists of topics that show you all about the records you are expected to
encounter as you continue to learn more about Family Nursing. The activities given are all
related to recording, its importance, and as well as different types.
Sending you another quote that would drive you to do your best.

You may commit a lot of mistakes and failures right now in your studies but keep
in your mind that your goal is to progress and improve. What we want from you is that you
will learn from your mistakes and not be perfect. Because at the end of the day, all of these
struggles and mistakes that you have will mold you into the greatest and best version of
yourself.

Sincerely,
Ma’am Thricia

BSN NCM 104: COMMUNITY HEALTH NURSING 1 (INDIVIDUAL AND FAMILY)

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MODULE 5: RECORDS IN FAMILY

NURSING
INTRODUCTION

All professional persons need to be accountable for the performance of their duties to
the public. Since nursing has been considered a profession, nurses need to record their work on
completion. Records are a practical and indispensable aid to the doctor, nurse, and paramedical
personnel in giving the best possible service to the clients. The report summarizes the services
of the person or personnel and the agency.
Accurate record-keeping is an important responsibility of the community health nurse.
It provides evidence for professional accountability. It provides evidence for professional
accountability and quality care. Thus, as student nurses, you are required to know about the
different records in family health nursing practice because these records are vital tools in
assessing and monitoring the status of the family. Moreover, these records are being submitted
from the primary level health facility until the national or tertiary health facility. In this module,
you will learn about the importance of these records. You will be able also to differentiate each
form that you will be encountering once you will be assigned in the community.

BSN NCM 104: COMMUNITY HEALTH NURSING 1 (INDIVIDUAL AND FAMILY)

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THIS IS ME
GENERAL INSTRUCTION: Click the link before and
accomplish the form given.

https://forms.gle/RvbTzt1awXqtWjZg9

Read the rationale and additional instructions

given for you to understand this activity well.

BSN NCM 104: COMMUNITY HEALTH NURSING 1 (INDIVIDUAL AND FAMILY)

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FOR YOUR EYES ONLY

GENERAL INSTRUCTION: The following forms given
below came from one RHU of the province. Observe
the different parts and specific details of the
following forms.

BSN NCM 104: COMMUNITY HEALTH NURSING 1 (INDIVIDUAL AND FAMILY)

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 Laoag City, Ilocos Norte

BSN NCM 104: COMMUNITY HEALTH NURSING 1 (INDIVIDUAL AND FAMILY)

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 Laoag City, Ilocos Norte

BSN NCM 104: COMMUNITY HEALTH NURSING 1 (INDIVIDUAL AND FAMILY)

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FIELD HEALTH SERVICES

AND INFORMATION
SYSTEM (FHSIS):
Importance and Uses
Objectives:
 To provide a summary of data on health services delivery and selected program
accomplished indicators at the barangay, municipality/city, district, provincial, regional
and national levels.
 To provide data which when combined with data from other sources, can be used for
program monitoring and evaluation process.
 To provide data which when combined with data from other sources, can be used for
program monitoring and evaluation purposes.
 To provide a standardized, facility-level database that can be accessed for more in-depth
studies.
 To ensure that the data reported to the FHSIS are useful and accurate and are
disseminated in a timely and easy-to-use fashion.
 To minimize the recording and reporting burden at the service delivery level to allow
more time for patient care and promotive activities.

COMPONENTS OF FHSIS
FAMILY TARGET CLIENT REPORTING OUTPUT
TREATMENT LIST FORMS REPORTS
RECORD

Treatment Record
Types of Treatment Record:
1. Family Treatment Record
2. Individual Treatment Record

 This is the fundamental building block or foundation of the Field Health Service
Information System.

BSN NCM 104: COMMUNITY HEALTH NURSING 1 (INDIVIDUAL AND FAMILY)

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 This is the document, form or pieces of paper upon which the presenting symptoms or
complaints of the patient on consultation and the diagnosis (if available), treatment, and
data of treatment is recorded.
 This record will be maintained as part of the system or records at each
BHS/BHC/RHU/MHC, or hospital outpatient by a facility on all patients seen.
 If in the facility, there is no formal treatment record for individual patient visits/
consultation, one must be created. This record may be as simples as the following
example prepared on plain bond paper.

Rx Record
Date Name Address Complaint Rx Diagnosis
(if available)

Target/Client Lists
 The Target/Client Lists constitute the second “building block” of the FHSIS and are
intended to serve four purposes:
1. To plan and carry outpatient care and service delivery
2. To facilitate the monitoring and supervision for services
3. To report services delivered.
4. To provide a clinic-level database that can be accessed for further studies.
 For service activities that do not have target client lists, space is provided in reporting
forms to tally such activities.
 If reporting units tally their service activities daily, the length of time required to
complete the monthly/quarterly reporting forms will be reduced significantly.
 The Target/Client Lists to be maintained in the revised FHSIS are as follows:
1. Target Client List for Expanded Program on Immunization
2. Target Group List for Eligible Population
3. Target/Client Lists of Children 0-59 months (Risk, Under-Five Children)
4. Target/Client Lists for Nutrition
5. Client Lists for Pre-Natal Care
6. Client Lists Postpartum Care
7. Client Lists for Family Planning (Non-Surgical Methods)
8. Lists for TB Symptomatic
9. Client List for TB Cases under Short Course Chemotherapy
10. Client Lists for TB Cases under Standard Regimen (SR)
11. Client List for Leprosy Cases

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Tally/ Reporting Forms

 FHSIS Reports constitute the only mechanism through which data are routinely
transmitted from one facility to another in the revised FHSIS.
 The majority of FHSIS reports are prepared and submitted either monthly or
quarterly.
 In the FHSIS, reports are prepared and submitted by the unit/person responsible for
the service/activity being provided and sent directly to the Provincial Health Office.
 The bulk of the data reported from the RHU/MHC/BHS/BHC level are activities that
are undertaken or are the responsibility of midwives/nurses within the facility will be
“linked up” with the data reported by others during the data processing phase of the
operation.

LIST OF FHSIS REPORTS AND FORMS

REPORTS/FORM NO. TITLE REPORTING

RESPONSIBILITY

UPON OCCURRENCE OF EVENTS

FHSIS/E-1 Notification of Death BHS/BHC/RHU/MHC

Form
FHSIS/E-2 Maternal Death Report BHS/BHC/RHU/MHC

FHSIS/E-3 Perinatal Death Report DH/CH

WEEKLY

FHSIS/W-1 Weekly Report of BHS/BHC/RHU/MHC

Notifiable Diseases
MONTHLY

FHSIS/M-1 Monthly Field Health BHS/BHC/RHU/MHC/DH/

Service Activity Report CH/PH/CHO/RH

FHSIS/M-2 Monthly Morbidity Report BHS/BHC/RHU/MHC

FHSIS/M-3 Monthly Mortality Report RHU/MDC

FHSIS/M-4 Monthly Laboratory BHC/RHU/MHC

Report

BSN NCM 104: COMMUNITY HEALTH NURSING 1 (INDIVIDUAL AND FAMILY)

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CH/PH/CHO

FHSIS/M-5 Monthly Dental Health RHU/MHC/DH/CH/PH/CHO/RH

Service Report
FHSIS/M-6 Family Social Hygiene RHU/MHC/DH/CH/PH/CHO/RH

FHSIS/M-7 Monthly Social Hygiene STD Clinic

Clinic Activity Report
QUARTERLY

FHSIS/Q-1 Quarterly Field Health BHS/BHC/RHU/MHC/DH/

Service Activity Report CH/PH/CHO/RH

FHSIS/Q-2 Quarterly Dental Facility DH/CH

Inspection Report
FHSIS/Q-3 Quarterly Report of RHU/MHC/DHO
Environmental Health
Activities
FHSIS/Q-4 Quarterly Reports of RHU/CHO/PHO
Malaria Control Activities
FHSIS/Q-5 Drugs and Supplies RHU/MHC
Quarterly Status Report
FHSIS/Q-6 Laboratory Supplies RH/CHO
Quarterly Status Report
ANNUAL

FHSIS/A-1 Annual Catchment Area OPT/BHS/BHC/RHU/MC

Tally Sheet and Summary
Report
FHSIS/A-2 Annual Catchment Area BHS/BHS/RHU/MHC
Population Summary
Report
FHSIS/A-2A Annual Catchment Area BHS/BHC/RHU/MHC
OPT Form
FHSIS/A-3 Annual Household RHU-SI/MHC-SI
Environmental Sanitation
Report
FHSIS/A-3A Annual Environmental RHU/MHC/DHO
Household Survey Form

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FHSIS/A-4 Annual Nutrition Report BHS/BHC/RHU/MHC/DH/

Food Supplement CH/PH/CHO/RH

Output Reports
 This will be produced at the PHO (or alternate date processing site in the province)
from the data reported in FHSIS disseminated down to the RHU/MHC and up through
the DOH system to the Regional Health Office.
 The objective is designing the output formats is to make the reports useful for
monitoring /management purposes at each level of DOH management.

FHSIS Components

FAMILY

TREATMENT
RECORDS

TALLY/REPORTING
TARGET/CLIENT LIST OUTPUT TABLES
FORMS

FACILITY-BASED MEANS OF
OUTCOME
DATA TRANSMITTING
DATA

BSN NCM 104: COMMUNITY HEALTH NURSING 1 (INDIVIDUAL AND FAMILY)

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Geographic Coding
The FHSIS Report forms are to be submitted by the reporting
units identified in the upper portion of the page of each Report
Form.
Reporting unit – it is defined as any DOH health care facility
that renders/ delivers public-care-related services to targeted
beneficiaries.
LOWEST LEVEL OF REPORTING UNIT: BARANGAY HEALTH STATION
- Where it is expected to report health services provided to its defined catchment area.
- A BHS can be considered as a reporting unit if the following conditions are satisfied:
1. It renders/delivers health services to a defined catchment area which may be
composed of one or more barangays.
2. A midwife renders regular services to the area. In cases where the midwife of
the area is in prolonged leave of absence or refined but a replacement is
expected, the BHS remains a reporting unit. The reports will be expected to be
submitted by the nurse(s) or midwife(s) who took over the servicing of the area.
3. Health services may be provided for any physical structure designated for the
purposes (BHS building, barangay hall, or a place of residence)
4. The catchment area served is not a service area of any RHU.
5. It should not include satellite BHS which are visited by the midwife but part of
the catchment of the “mother BHS”

MIDDLE LEVEL OF REPORTING UNIT: RURAL HEALTH UNIT/ MAIN HEALTH

CENTER
- Where it is expected to report health services provided to the RHU or MHC which is
usually the Poblacion and nearby barangays.
- The RHU/MHC report is not a consolidation of the BHS and RHU reports.
- It is a report of services rendered by the RHU-based personnel

NOTE: Outpatient departments of hospitals provide public health-related services (eg.

Immunization, prenatal care, etc.) As such, these hospitals are expected to submit FHSIS
reports.
In summary, the following are considered reporting units and are expected to submit FHSIS
reports in cases where public health-related services are provided.

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BHS/BHC - Barangay Health Station/Barangay Health Centers

RHU/MHC - Rural Health Unit/ Main Health Center
PH/CHO - Provincial Hospital/City Health Office (some CHO directly provides
to city residents)
RH - Regional Hospital. This category includes/Medical Centers providing
public-health-related services.

QUIZ 8
Let us check if you have understood your lesson well.
Further instructions for your quiz will be posted on your
Canvas Announcement Tab and Class chatroom.

BSN NCM 104: COMMUNITY HEALTH NURSING 1 (INDIVIDUAL AND FAMILY)

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