The basic unit of service is the
Records in Family Health
Nursing Practice
RECORDS
are necessary for the continuation of
delivery of family health care services and its
evaluation while evaluation of family health
services is necessary to identify the new and
continuing family health needs.
FAMILY RECORDS
include information based on factual
events, observation results or measurements
taken such as height, weight, body
circumference or laboratory examinations
carried out like hemoglobin, urine test, stool
test and sputum examination depending upon
the problem of the family.
HEALTH RECORDS
A term used to describe the collection
information generated to record the clinical
care and health status of an individual or group.
IMPORTANCE AND USES
-Provides documentation of services that have
been rendered and supply data that are
essential for program planning.
- To provide the practitioner with data required
for application of professional services for
improvement of family's health.
- Records are tools of communication.
-Effective health record shows health problems
in the family and other factors that affect
health-standardized sheet/form.
-Records indicate a plan for future.
-Provides baseline data to estimate long-term
changes related to services.
TYPES OF RECORDS & REPORTS
1. Cumulative or continuing records
This is found Tobe time saving,
economical and also it is helpful to
review the total history of an individual
and evaluate the progress of a long
period. (e.g.) child’s record should
provide space for newborn, infant and
preschool data.
2. Family records
family. All records, which relate to
members of a family, should be placed
in a single family folder. This gives the
picture of the total services and helps to
give effective, economic service to the
family as a whole.
3. Filling of Records
Different systems may be
adopted depending on the purposes of
the records and on the merits of a
system. Records could be arranged in
the following ways:
• Alphabetically
• Numerically
• Geographically and
• With index cards
4. Registers:
It provides indication of the
total volume of service and type of
cases seen.
Reports:
Can be compiled daily, weekly,
monthly, quarterly and annually. Report
summarizes the services of the nurse
and/or the agency and may be in the
form of an analysis of some aspect of a
service.
DOH Programs
Related to Family Health
EXPANDED PROGRAM ON IMMUNIZATION
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. Six vaccine-
preventable diseases were initially included in
the EPI: tuberculosis, poliomyelitis, diphtheria,
tetanus, pertussis and measles. In 1986, 21.3%
“fully immunized” children less than fourteen
months of age based on the EPI Comprehensive
Program review.
Global Situation (The burden)
In 2002, WHO estimated that 1.4
million of deaths among children under 5 years
due to diseases that could have been prevented
by routine vaccination. This represents 14% of
global total mortality in children under 5 years
of age.
III. Interventions/ Strategies Program
Objectives/Goals (Over-all Goal) :
 To reduce the morbidity and mortality
among children against the most
common vaccine preventable diseases.
Specific Goals:
1. To immunize all infants/children against
the most common vaccine-preventable
diseases.
2. To sustain the polio-free status of the
Philippines.
3. To eliminate measles infection.
4. To eliminate maternal and neonatal
tetanus
5. To control diphtheria, pertussis,
hepatitis b and German measles.
6. To prevent extra pulmonary
tuberculosis among children.
Mandates:
Republic Act No. 10152 “Mandatory
Infants and Children Health Immunization Act of
2011 Signed by President Benigno Aquino III in
July 26, 2010. The mandatory includes basic
immunization for children under 5 including
other types that will be determined by the
Secretary of Health.
Strategies:
Conduct of Routine Immunization for
Infants/Children/Women through the
Reaching Every Barangay (REB) strategy
 REB strategy, an adaptation of the
WHO-UNICEF Reaching Every District
(RED), was introduced in 2004 aimed to
improve the access to routine
immunization and reduce drop-outs.
There are 5 components of the strategy,
namely: data analysis for action, re-
establish outreach services, strengthen
links between the community and
service, supportive supervision and
maximizing resources.
Supplemental Immunization Activity (SIA)
 Supplementary immunization activities
are used to reach children who have
not been vaccinated or have not
developed sufficient immunity after
previous vaccinations. It can be
conducted either national or
subnational –in selected areas.
Strengthening Vaccine-Preventable Diseases
Surveillance
 This is critical for the
eradication/elimination efforts,
especially in identifying true cases of
measles and indigenous wild polio virus
Procurement of adequate and potent
vaccines and needles and syringes to all
health facilities nationwide
INTEGRATED MANAGEMENT OF
CHILDHOOD ILLNESSES
IMCI
is an integrated approach that focuses
on the health and well-being of the child? IMCI
includes both preventive and curative elements
that can be implemented by families, in
communities and in health facilities.
OBJECTIVES OF IMCI
aims to reduce preventable mortality,
minimize illness and disability, and promote
healthy growth and development of children
under five years of age.
WHO ARE THE CHILDREN WHO ARE COVERED
BY THE IMCI
Sick children birth up to 2 months (Sick
Young Infant), Sick children 2 months up to 5
years old (Sick child)
STRATEGIES OF IMCI
All sick children aged 2 months up to 5
years are examined for GENERAL DANGER signs
and all Sick Young Infants Birth up to 2 months
are examined for VERY SEVERE DISEASE AND
LOCAL BACTERIAL INFECTION. These signs
indicate immediate referral or admission to
hospital.
THE CASE MANAGEMENT PROCESS
1. The charts describe the following steps;
2. Assess the child or young infant
3. Classify the illness
4. Identify the treatment
5. Treat the child
6. Counsel the mother
7. Give follow up care

THE CLASSIFICATION TABLE
PINK –means the child has a severe
classification and needs urgent attention and
referral or admission for in-patient care.
YELLOW –means the child needs a specific
medical treatment such as an appropriate
antibiotic, an oral antimalarial or other
treatment; also teaches the mother how to give
oral drugs or to treat local infections at home,
the health worker teaches the mother how to
care for her child at home and when she should
return.
GREEN –not given a specific medical treatment
such as antibiotics or other treatments. The
health worker teaches the mother how to care
for her child at home.
THE EARLY ESSENTIAL INTRAPARTAL AND
NEWBORN CARE
EEINC - is a package of evidence-based practices
recommended by the Department of Health
(DOH).
 The EEINC practices for newborn care
continues a series of time-bound,
chronologically-ordered, standard
procedures that a baby receives at
birth.
FOUR CORE STEPS OF EEINC
1. Immediate and thorough drying
2. Early skin-to-skin contact
3. Properly timed cord clamping
4. Non-separation of the newborn and
mother for early initiation of
breastfeeding
IMMEDIATE THOROUGH DRYING
1. Dry the newborn thoroughly for at least
30 seconds
2. Wipe the eyes, face, head, front and
back, arms and legs.
3. Remove the wet cloth.
4. Do a quick check of breathing while
drying
NOTES: Do not wipes off VERNIX, bathe the
newborn. Do not do foot printing. No squeezing
of chest and No hanging upside - down.
EARLY SKIN-TO-SKIN CONTACT
1. Position the newborn on the mother’s
abdomen or chest
2. Cover the newborn’s back with dry
blanket.
3. Cover the newborn’s head without
bonnet
PROPERLY- TIMED CORD CLAMPING
1. Remove the first set of gloves
2. After umbilical pulsations stopped,
clamp the cord 2cm from the umbilical
base, clamp again at 5cm from the base.
3. Cut the cord close to the plastic clamp.
TIME BAND:1-3 MINUTES
NOTES: Delay cutting until pulsation stop
a) Allows as much as 100 ml of blood to
pass from the placenta in to t h e fetus.
b) Ensures adequate RBC and WBC count
in newborn
NON-SEPARATION OF NEWBORN FROM
MOTHER EARLY BREASTFEEDING
1. Leave the newborn in skin-to-skin
contact. Observe for feeding cues
(tonguing, licking, rooting)
2. Encourage the mother to nudge the
newborn towards the breast.
3. Counsel on attachment and sucking
 Mouth wide open, lower lip turned
outwards.
 Baby’s chin touching breast.
 Do the ANTHROPOMETRIC
MEASUREMENTS.
 Postpone washing until 6 hours.
TIME BAND: WITHIN 90 MINUTES
NEWBORN SCREENING
 Newborn screening checks a baby for
serious but rare and mostly treatable
health conditions at birth.
When is newborn screening done?
 Your baby gets newborn screening
before she leaves the hospital after
birth, when she’s 1to 2 days old.
Three parts of newborn screening:
 Blood test
 Hearing screening
 Heart screening
Health Conditions:

1. Organic acid metabolism disorder

2. Fatty acid oxidation disorders
3. Amino acid metabolism disorders
4. Endocrine disorder
5. Hemoglobin disorder

BEMONC/ CEMONC

Basic Emergency obstetrics and New Born Care

 are the intervention provided to

pregnant women and newborns
experiencing fatal complications,
including sever bleeding, infection
prolonged or obstructed labor,
eclampsia and asphyxia in the newborn.

Why BEMONC is Implemented?

 The BEMONC was established to reduce

the high rate of maternal mortality.

7 CEMONC Signal functions BEMONC:

1. Administer parenteral antibiotics

2. Administer uterotonic drugs
3. Administer parenteral anticonvulsants
4. Perform manual removal of the placenta
5. Remove retained products of conception
6. Perform assisted vaginal delivery
7. Perform basic neonatal resuscitation

Signal Function Provide Blood Transfusion

Blood transfusion is a life

- Saving procedure for women suffering

from postpartum hemorrhage
- the leading single cause of maternal
mortality. Facilities providing CEmONC
are required to provide blood
transfusion.

Summary:

Maternal and newborn mortality are major

global and local public health challenges.
EMONC is a package of interventions targeting
the leading causes of maternal and newborn
mortality. The Government of Kenya and
partners seek to ensure universal access to
EMONC