COMMUNITY FILES
AND DOCUMENTS
WORK PLAN
Activities Dec.21 Dec 22 Dec 23 Dec 24 Dec 25 Dec 26
Orientation *
Pre-conference * * * * * *
Courtesy call *
Courtesy Call
Ocular Survey
Activities
Preconference/Postconference
Home Visit/Family Immersion
Health Assessment
Health Teaching/Education
Case Finding, Case Follow-up
Delivery of Basic Health
Services (DBHS)
Community Organizing
Environmental Advocacy
Programs
Documentation/ Updating of
Community Files and Records
ACTION PLAN
Objectives Activity Expected Time Frame Person Materials
Outcome Responsible Needed
Nov. 11, 2020 -All of the
At the end of Student nurses
8hours, the will be able to
Student nurses attend the pre-
will be able to: conference
-All of the
1. Discuss the Student nurses
list of activities Pre- will be able to 7:30AM- Jo-Anne Cruz Action
to be conference list down the 7:45AM Plan,
accomplished activities for paper,
for the day the day ballpen
ACCOMPLISHMENT REPORT
Activity Actual Output Facilitating Hindering Recommendatio
Factors Factors ns
Preconference Mark Galicia, Attentive Incomplete The Student
Team Leader for listening attendance, some nurses should
the day, was able of the Student attend their
to discuss with Cooperation nurses were late schedule of duty
the group the list among student on time
of activities to be nurses
accomplished
These includes:
---
The Community
Instruuctor also
gave reminders
for the day.
MINUTES OF THE MEETING
• Date
• Time
• Venue
• Attendance
• Proceedings:
• Call to Order/Roll Call
• Agenda
• New Business/Issues
• Adjournment
• Signed:
• Secretary for the Day
• Team Leader for the Day
• Community Instructor
BP MONITORING LOGBOOK
Date Name of Client Age Blood Pressure Nursing Interventions SN’s Name and
Reading Signature
1/12/20 Benito Escobar 42 y/o 150/110mmHg -Conducted health history of Dianne
patient condition Breboneria
-advised patient to gradually
decrease:
*intake of alcoholic beverages
*cigarette smoking
-discussed with the client the
importance of healthy lifestyle
(diet and exercise)
-instructed client to take
scheduled medications as
prescribed.
-encouraged client to have his
BP monitored at a regular basis
DBHS LOGBOOK
Date Name of Age Chief Nursing Interventions SNs Name
Client Complaint and
Signature
1/1/2 Mimi 3 y/o Cough • Conducted health Kean Marcos
0 Escobar Fever history of patient
condition
• Advised SO to increase
client’s intake of fluid;
give calmansi juice
• Performed TSB
• Instructed SO to
administer Paracetamol
for high fever (=>38.5)
• Encouraged SO to
consult medical
attention if fever persist
after 24 hours
PREGNANCY WATCH
Date of Visit Age of Gestation in Assessment Nursing SNs Name and
Weeks Interventions Signature
NEWBORN WATCH
• Name of Newborn:
• Gender:
• Name of Mother:
• Date of Delivery: ()Preterm ()FullTerm ()PostTerm
• Method of Delivery
Date of Visit Age Assessment Nursing SNs Name and
• Vital Statistics: (Weight, Length)
Interventions Signature
FAMILY HEALTH RECORD
• Name of Family Member:
• Birthdate:
• Gender:
Date of Visit • Civil Status:
Chief Complaint Nursing Interventions SNs Name and
Signature
ARFA
(ACTION-REFLECTION FAITH IN ACTION)
• ACTION
• Community Experiences/Encounters/Situations
• REFLECTION
• How did you respond?
• What are the realizations, learning or insights that you were able to grasp from these
experiences/encounters/situations
• FAITH
• Biblical passage that highly relate to your experiences/encounters or situations.
• Significance of this biblical passage to your experiences..
• ACTION
• In the future, how do you plan to respond to these things in cases they happen again?
•THANK YOU!
