SERVICE LEAVE PLAN OF BARANGAY SOROC, SAN MATEO, AND SAN ANDRES,

BORONGAN CITY
(January to April 2017)

Resources Time Frame (By Week) Expected Output

Functional Objectives Planned activities Jan Feb March Apr
Area Manpower Materials 3 4 1 2 3 4 1 2 3 4 1 2

COCD To actively participate in the 1. Attend the community practicum Prof. Helen BSN Service Attendance sheet &
Pre- preparation of groupwork plan orientation. Gumba, Prof. Leave documentation.
Entry of activities. Carmen N. Guidelines Master Plan
Phase Firmo, BSN 36th Notebook, Pen
batch -Minutes of the meeting
Entry 2. Commence a courtesy call to LGU officials, Mayor, RHU Notebook
Establish and perpetuate a
Phase smooth inter-personal and RHU staff, and key leaders of catchment Staff, Brgy. Ball pen
good-working relationship with area assigned to include OSCA President. Officials, OSCA Masterplan
the community. President,
o Initiate meetings with Brgy.
Officials and key leaders of
Brgy. San Andres, San Mateo,
and Soroc for the orientation
of the objectives, activities,
and the leveling of
expectations from and to
them.
Schedule of Meeting
Brgy. Officials Visual aid for
Health Workers service leave
3. Coordinate with the key leaders and health
workers of Brgy. San Andres, San Mateo, plan and
and Soroc in the conduct of an entrance activities
assembly. Paper
Set time and venue Pen
Prepare visual aid
Information dissemination -Minutes of the meeting
Actual conduct of the assembly
o Orient the community people the
objectives and activities to be
undertaken during the whole Geographical
Service Leave.
Description
Document the activity
 SERVICE LEAVE PLAN OF BARANGAY SOROC, SAN MATEO, AND SAN ANDRES,
BORONGAN CITY
(January to April 2017)

ASSESS To be able to identify the different Volunteer guide Spot Map

-MENT boundaries, hazards, and available Accomplished HDR, PR,
resources. 4. Coordinate with the key leaders and health Worksheet 1.1, 1.2, and
workers on the conduct of ocular survey.
2.1
RHU staff, Notebook, Updated Masterlist of the
To be able to assess the health status BHWs,
Coordinate with the RHU staff, key leaders and Ballpen, TCL, elderly
of the community and the Brgy Secretaries,
implementation status of responsive health workers in obtaining secondary data. Community
Conduct casefinding activity with the health OSCA Profile
DOH programs.
workers President/Repres
Make a Health Data Review entative
Demographic Data
Health Indices
Socio-economic Status
Environmental Indices
Nutritional Status
Do Program Review
Analysis and prioritization of community
problems:
Accomplish Worksheet 1.1 ( Area Program
Based Health Planning )
Worksheet 1.2 ( Area Program Specific Master list of elderly.
Problem ) Completed assessment of
Worksheet 2.1 ( Analysis of Program case load.
Specific Problems and Statement of Notebook and CD
Problem Goals and Operational Goals by
ballpen,
Program and Area )
Make a masterlist of elderly in each barangay. Community
Identify caseload for care of elderly. Profile, HDR,
Formulate nursing assessment on elderly case PR
load Worksheet
1.1,1.2 and 2.1
Preparation of assessment reports and working
paper for planning

PLAN- To identify priority health and other Coordinate with the Brgy. Officials and health Brgy. Officials Notebook and Operational Plan
NING community health problems workers in the presentation of assessment and BHWs ballpen, Catchment health Plan.
 SERVICE LEAVE PLAN OF BARANGAY SOROC, SAN MATEO, AND SAN ANDRES,
BORONGAN CITY
(January to April 2017)
result : Community Worksheet 3.1
Set time and venue Profile, HDR, (Operational Plan)
Prepare visual aid PR
Facilitate formulation of Worksheet Information dissemination Worksheet
3.1 Operational Plan to meet Actual conduct of the meeting 1.1,1.2 and 2.1
community needs/problems and Presentation of :
meet health program targets. Health Data Review
Validation of collected data
Program Review
Worksheet 1.1 (Priority Health
Problems Analysis)
Worksheet 1.2 ( Area Program
Specific Problem )
Worksheet 2.1 ( Analysis of
Program Specific Problems
and Statement of Problem
Goals and Operational Goals List of group
by Program and Area ) membership/ tasks
Organize workgroups.
Prioritization of problems through
scoring
Set timeline for each problem.
PHN bag (BP, Nursing care plans.
Documentation of the activity.
thermometer, Schedule of Orientation
Conduct home visit of elderly/ high risk clients. and wound meeting
Identify case load of elderly dressing kit)
Wellness promotion
DSWD and Visual Aid
program.
OSCA Paper
Coordinate with DSWD/ OSCA for an Documentation of
representatives Pen
orientation on the Senior Citizens Act & presentation.
Letter
Programs/ Services for the elderly:
Formulate a wellness promotion program
for the elderly.
o Facilitate implementation of the o Coordinate with the key leaders, health Brgy. Officials, Letters Documentation.
IMPLE operational plan. workers and OSCA on the implementation BHWs, and
MEN- of the Wellness Promotion Program for OSCA
TATION Elderly. representative
 SERVICE LEAVE PLAN OF BARANGAY SOROC, SAN MATEO, AND SAN ANDRES,
BORONGAN CITY
(January to April 2017)
o Monitor the implementation of o Formulate Monitoring Scheme for each Logbook for Progress reports on
programs or projects. program in the operational plan. monitoring Activities.
Keep monitoring scheme/tool updated. scheme, Updated monitoring
Ballpen forms
Provision Provide nursing care to sick and well Perform nursing care functions to clients (high RHM and BHWs TCL Dispensary Record
of Health individuals and develop their potential risk and sick) through home visits or in the BHS.
Care for self-care. Coordinate with the PHN and RHM for the PHN and RHM Schedule of duty
RHU/BHS duty/rotation.
o Set the time and schedule for the duty in the
RHU.
o Set the time and venue of BHS clinic.
RHM and BHWs Dispensary Record
Provide clinic services at BHS:
o Basic first aid & cleaning of wounds
o BP monitoring
o Prenatal Check-up
o Consultations
o Integrate health education to clients during
Brgy. Clinics
Conduct Home visit: RHM and BHWs Dispensary Record
o Priority elderly
o Pregnant Mothers
o Post-partum Mother
Institute health promotive and o Other sick clients
disease preventive measures PHN Bag Monitoring tool
Give attention to identified health needs and First Aid Kit
problems.
PHN, NDP, BP Apparatus
Assist in the implementation of DOH programs
RHM, BHWs
and projects with the health workers.
Coordinate with the PHN and MHO the PHN, MHO Letter of Documentation
allocation of medicines acquisition of
Coordinate with the DOH for the acquisition of DOH medicines and
pamphlets and medicines representative/of pamphlets
To be able to promote and maintain the Do bench conferences if needed. ficer
health status of elderly. Conduct relevant activities for the aged PHN, NDP, PHN Bag Dispensary Record
individuals. RHM, BHWs TCL TCL
Conduct health teachings for the elderly Speaker Attendance sheet
Conduct weekly exercises for the elderly Paper, Pen
 SERVICE LEAVE PLAN OF BARANGAY SOROC, SAN MATEO, AND SAN ANDRES,
BORONGAN CITY
(January to April 2017)
Conduct Gerontological mission Medicines
- health teachings Pamphlets
-free consultation Prizes
-free medicines RHM, NDP, Referral logbook Dispensary record
-fun activities/games BHWs Referral forms
Utilize referral system effectively Manage referred cases from BHW. Monitoring tool
Make referrals as need arises
Follow-up all referrals
MANA Discern the management of the RHU Be oriented with the RHU set-up, personnel, PHN Notebook, Pen
GE- and the various functions of the routines ,policies, activities and clinics schedules
RIAL heath-personnel especially the Public Be oriented with the various functions and
ROLE Health Nurse. responsibilities of the RHU personnel, especially
of the PHN.
Dispensary Record
With the supervision of the PHN or CP Participate in the delivery of basic services of
perform selected functions of the PHN Target Client List
the DOH
PHN. o CARI TCL Monitoring tool/scheme
o EPI
o MRP
o IMCI Documentation of
o Mass treatment for schistosomiasis Activities
PHN
Assist in the preparation of reports Copies of Reports Made
To be able to manage and maintain the Attend RHU conferences and council meetings RHM, BHWs Minutes of Meeting
workflow of the BHS Coordinate with the RHM in:
Organizing and maintaining workflow Documentation
in the BHS
Beautifying the BHS
Manila Paper,
TRAININ Develop skill in formulating and o Identify target group for training PHN, RHM, Pen, Marker, Training Needs
G o Master listing of target participants
implementing a training program to NDP Visual Aids, Assessment
enhance the community / groups ability o Conduct training needs assessment Posters, chairs, Task Analysis
to cope with health problems. o Conduct task analysis tables Training Checklist
o Design training program
Training Design
o Make a training checklist
Training Programme
o Coordinate with the PHN and RHM in: Invitations
 SERVICE LEAVE PLAN OF BARANGAY SOROC, SAN MATEO, AND SAN ANDRES,
BORONGAN CITY
(January to April 2017)
Setting schedule and venue
Information dissemination Documentation
Actual conduct of training Attendance
o Documentation of activity

Accomplishment
Reports
Recording To prepare a well-organized recording Prepare accomplishment reports RHM, NDPs, Note books, Log Dispensary Record
/Reportin and reporting system. o Weekly BHWs Books, ballpen Minutes of meetings
g o Monthly
o FAR Master Plan
Keep dispensary record updated of nursing care Weekly Plans
provided to clients Program Review Form
Document meetings conducted/attended
Health Data Review
Keep a copy of the following:
Form:
o Master Plan
o Worksh
o Weekly Plans
o Program Review Form eet 1.1
o Health Data Review Forms: o Worksh
o Worksheet 1.1 eet 1.2
o Worksheet 1.2 o Worksh
o Worksheet 2.1 eet 2.1
o Worksheet 3.1 o Worksh
o Evaluation Tool eet 3.1
o Monitoring scheme
Evaluation Tool
o Target Client List
o Antenatal Clients Monitoring Scheme
o Post Natal Clients Target Client List
o Malnourished Children (OPT)
o Under 5 Children (EPI)
o Elderly

o Minutes of meetings conducted

 SERVICE LEAVE PLAN OF BARANGAY SOROC, SAN MATEO, AND SAN ANDRES,
BORONGAN CITY
(January to April 2017)
Minutes of the meeting

EVALU- o To be able to systematically measure o Attend sharing sessions Updated monitoring tool.
ATION results of implementation and o Formulate evaluation plan Accomplished
determine whether the objectives o Formulate evaluation tool Brgy. Officials, Evaluation tool. Evaluation Tool.
have been met. . o Conduct Barangay/Catchment evaluation RHU staff, Evaluation forms
o Set meeting with the PHN, RHM, health workers
Barangay health Invitations
and barangay council regarding:
workers
o Date & time of evaluation
o Select members of evaluation
team.
o Hold barangay exit assembly. Culminating Report
o Participate in the municipal culminating activity. Mayor, MHO, Final Accomplishment
o Attend the final sharing session. PHN, Brgy. Report.
Officials and
other health
workers and key
leaders
SERVICE LEAVE PLAN OF BARANGAY SOROC, SAN MATEO, AND SAN ANDRES,
BORONGAN CITY
(January to April 2017)