monthly report form for ndp edited (2) from pht

2
REPUBLIC OF THE PHILIPPINES DEPARTMENT OF HEALTH-CENTERFOR HEALTH DEVELOPMENT BICOL LEGASPI CITY 2014 NURSE DEPLOYMENT PROJECT MONTHLY ACCOMPLISHMENT REPORT NAME : ___________________________________ REPORT FOR THE MONTH OF: ________________ PLACE OF ASSIGNMENT: ___________________________________ DATE SUBMITTED : ________________ (state Name of RHU and Public health or BeMONC; if in hospital, Please state name of hospital) Highlight/Areas of Accomplishment Target/Accomplished Learning Insights Issues and Concerns Action Done/ Recommendations Target (No.) Accomplishment (No./%) 1.Assist in the implementation of DOH programs 1.1 EPI (during immunization activities) 1.2 NTP (assist in treatment of TB patients) 1imm. activity assisted 2 patients assisted by being a tx partner 1 (100%) 1 (50%) Parents are eager to know more of the program A thorough explanation to patients of possible side effects of anti TB meds to prevent defaulters Parents are asking for info leaflets as their guide Family support is not seen in one of the patients Relayed to midwife Referred to NTP nurse coordinator and scheduled conduct of family counselling

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NDP SAMPLE REPORT

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REPUBLIC OF THE PHILIPPINESDEPARTMENT OF HEALTH-CENTERFOR HEALTH DEVELOPMENT BICOLLEGASPI CITY

2014 NURSE DEPLOYMENT PROJECT MONTHLY ACCOMPLISHMENT REPORT

NAME: ___________________________________REPORT FOR THE MONTH OF: ________________PLACE OF ASSIGNMENT: ___________________________________DATE SUBMITTED : ________________ (state Name of RHU and Public health or BeMONC; if in hospital, Please state name of hospital) Highlight/Areas of AccomplishmentTarget/AccomplishedLearning InsightsIssues and ConcernsAction Done/ Recommendations

Target (No.)Accomplishment (No./%)

1.Assist in the implementation of DOH programs 1.1 EPI (during immunization activities)

1.2 NTP (assist in treatment of TB patients)

1imm. activity assisted

2 patients assisted by being a tx partner

1 (100%)

1 (50%)

Parents are eager to know more of the program

A thorough explanation to patients of possible side effects of anti TB meds to prevent defaulters from tx

Parents are asking for info leaflets as their guide

Family support is not seen in one of the patients

Relayed to midwife

Referred to NTP nurse coordinator and scheduled conduct of family counselling

2. Assist in disease surveillance2 Case investigation conducted0No case for investigation

Sample for Nurses assigned in RHU-Public Health

______________________________________Noted by:Signature over Printed Name___________________________________NOTE: Please refer to the roles and responsibilities for areas of accomplishment.8Chief Nurse/MHO