Home ꄲ CONTAINER RANGE ꄲ HOSPITAL & CLINIC ꄲ medical clinics

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medical clinics

The Building should have the following rooms:
1. Reception and Records Room
2. Consultation Rooms
3. Laboratory Rooms – 1 ( Reception cum Main Working Room)
4. Dressing Room
5. Injection Room
6. Dispensing room cum drug store
7. Observation Room(s)
8. Store
9. MCH room (optional)
10. Toilet Facilities
11. Washing Slab
12. Incinerator

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MEDICAL CLINICS

Definition

This is a health facility which offers health services on outpatients basis only by specialists.

Services Offered

Depends on specialty and activities but the complete range of services within the specified specialty

should be offered.

Staffing

The only staff will include the specialist him/herself plus any registered nurses.

Premises

The Building should have the following rooms:

1. Reception and Records Room

2. Consultation Rooms

3. Laboratory Rooms – 1 ( Reception cum Main Working Room)

4. Dressing Room

5. Injection Room

6. Dispensing room cum drug store

7. Observation Room(s)

8. Store

9. MCH room (optional)

10. Toilet Facilities

11. Washing Slab

12. Incinerator

a. A minimum total of 8 rooms (excluding MCH services).

Essential equipment and supplies

These should include all those required to provide all the specialist services for which the unit is

registered.

No drugs will be stored or dispensed in a medical clinic except for emergency or diagnostic purposes,

when specialist drug administration is required, or where dispensing authority has been granted by the

MOH.

DISPENSARY

Definition

This is a health facility which offers health services on outpatients basis including Maternal and Child

Health services and laboratory services. It may offer observation services for selected patients for less

than 12 hours. The maximum number of observation beds are 4.Services Offered

 Treatment of common diseases on outpatient basis. A few patients are observed fo not more

thatn 12 hours.

 Maternal and Child Health services including immunizations and normal deliveries.

 Keep records on patients, Maternal and Child Health, disease statistics and other health

information and produce reports on disease morbidity and mortality promptly as required by

Ministry of Health through the District Medical Officer.

 Health education/health promotion to people being served by a dispensary.

 Laboratory Services. Recommended tests to be performed at this level include:

Blood – thick or thin smear for blood parasites



Haemoglobin estimation



White blood count total and differenctial



Blood glucose



Sickling test



Syphilis screening

Urine – for glucose, proteins and sediment for microscopic examination.

Stool – Direct microscopy with saline and iodine for organisms, ova and occult blood.

Skin snips

Pus/exudates – Gram staining procedures and wet preparation Sputum for Acid Fast Bacillus

(AFB) investigation (Z-N Stain)

Preservation and posting of specimen to a higher laborator (optional) Using stewart’s transport medium.

The specimen include pus swabs and pap smears.

Staffing

Clinical Cadre

Assistant Medical Officer 1 (Supervisor). The supervisor should spend at least two hours twice per week

at the dispensary.

Clinical Officer (MA) 1

Clinical Assistant (RMA) 1

Nursing Cadre

Registration Nurse Midwife 1

Public Health Nurse (PHNB) 1 or trained nurse at all time this clinic is open

MCH Aides 1

Paramedical

Trained laboratory Assistant 1Essential Equipment and Supplies:

1. Reception and Records Room

 Office table 1 no.

 Chairs 2 nos.

 1 Large notice board 1 no.

 Large Benches 2 nos.

 Small Bench 1 no.

 Bucket foot operated 1 no. (or any provided it has a lid or cover)

 Shelves for patient’s card

 Clock – Wall (optional)

2. Consultation Room

General and Medical Furniture

 Office Table with Drawer 1

 Chairs 2

 Small Bench 1

 Small Wooden Step 1

 Medicine Cupboard 1

 Screen Four Folds 1

 Examination Couch 1

Equipment and Instruments

 Sphygmomanometer aneroid 1

 Stethoscope 1

 Foetoscope 1

 Clinical Thermometer 2

 Small jar with tongue depressor 1

 Diagnostic set “Min” 1

 Vaginal examination tray 1

 Hand Torch 1

 Hurricane or pressure lamp

 Sink with running water or hand wash basin with soap dish 1

 Dust Bin or Bucket foot Operated 1

3. Laboratory Room

Dispensary/Health Centre level

 Binocular powered microscope (electrical or light) Centrifuge machine (electrical or manual)

 Haemoglobinometer/Lovibond comperator

 Weighing scale

 Water Filter

 Timer

 Spirit lamp

 Rack staining

 Tally Counter

 Boxes for microscope slides

 Cover glass for Haemoglobinometer

 Differential counter

 Specimen flasks (vaccine carriers)

 Refrigerator with freezing compartment for reagents and vaccines.

4. Dressing Room

General and Medical Furniture

 Office Table 1

 Chairs 2

 Small Medicine Cupboard 1

 Small Instrument cupboard 1

 Dressing Stool 1

 Small notice board 1

 Small Bench 1

 Wooden Step – four folds 1

 Dressing Trolley 1

 Screen-four folds 1

 Bowl Stand 1

 Examination Couch 1 ( for patients with perineal/genital wounds)

Equipment and Instruments

 Sterilizer electric or stove 1

 Instrument tray ss large 1

 Instrument tray ss medium 1

 Instrument tray with lid ss large 1

 Instrument tray with lid ss Medium 1

 Instrument tray with lid ss small 1

 Kidney dish ss large 1

 Kidney dish ss medium 1

 Kidney dish ss small 1 Gallipot 3

 Bowl lotion large 1

 Bowl lotion medium 1

 Bowl lotion small 1

 Jar Forceps with Cheatle forceps 1

 Dressing drums deep large 1

 Dressing drums deep small 1

 Dressing drums shallow large 1

 Dressing drums shallow small 1

 Forceps bowl 1

 Dressing tray 2

 Buckets foot operated or dust bin 1

 Sink with running water or hand wash basin with soap dish 1

 Necessary disinfectants /antiseptics

5. Injection Room

General and Medical Furniture

 Office Table 1

 Chairs 2

 Small Bench 1

 Small Medicine Cupboard 1

 Small Instrument Cupboard 1

 Dressing Trolley 1

 Medicine Trolley 1

 Bowl Stand 1

 Examination Couch 1

 Register Books

Equipment and Instruments

 Sterilizer electric or stove 1

 Instrument tray ss large 1

 Instrument tray ss medium 1

 Instrument tray with lid ss large 1

 Instrument tray with lid ss medium 1

 Instrument tray with lid ss small 1

 Kidney dish ss large 2

 Kidney dish ss medium 2

 Kidney dish ss small 2

 Gallipot 3

 Bowl lotion small with 2 bowl forceps 1 Jar forceps ss with 2 chatle forceps 1 Each in its own jar

 Dressing drums ss deep small 1

 Dressing drums ss shallow small 1

 Forceps or needle/Syringe holder 2 dissecting

 Rubber tourniquet 1

 Sink with running water or hand wash basin with soap dish 1

 Bucket foot operated or a bucket with a lid

6. Dispensing Room cum Drug Store

General and Medical Furniture

 Office Table 1 and Chairs 2

 Large Bench 1

 Medicine Cupboard 1

 High Stool 1

 Small notice board 1

 Medical Trolley

 Bowl Stand 1

Equipment and Instruments

 Bowl Medicine 1

 Tubular Medicine plastic 1

 Bucket with lid ss 1

 Pint Measure ss 1 litre 1

 Sink with running water or hand wash basin with soap dish 1

 Dust Bin 1

 Vomiting bowl 1 incase a patient vomits – for drugs taken under supervision at

OPD e.g. STD clinics.

7. Observation Room

General and Medical Furniture

 Office Table 1 and 2 Chairs

 Small Notice Board 1

 Standard White Hospital bed

 Bedside locker for each bed

 Medicine Cupboard 1 with emergency drugs

 Patients stool for each bed

 Back Rest 1

 Dressing Trolley 1

 Medicine Trolley 1

 Screen Four folds 2

 Drip Stand 1 Bowl Stand 1

 Bed Elevator 1

Equipments and Instruments

 Electric Sterilizer or Stove 1

 Suction Machine – foot operated or electric 1

 Clinical Thermometer 2

 Sphygmomanometer 1

 Stethoscope 1

 Foetoscope 1

 Resuscitation kit

 Oxygen apparatus (complete set) 1

 Nebulizer with adaptor (optional) 1

 Instrument tray ss large 1

 Instrument tray ss medium 1

 Instrument tray ss small 1

 Instrument tray with lid ss large 1

 Instrument tray with lid ss medium 1

 Instrument tray with lid ss small 1

 Kidney dish ss large 2

 Kidney dish ss medium 2

 Kidney dish ss small 2

 Gallipot ss 2

 Bowl lotion ss medium 2

 Bowl lotion ss small 2

 Bowl vomiting ss 2

 Bed pan ss 1

 Urinal ss 1

 Sputum mug 2

 Dressing drums deep small 1

 Dressing drum shallow large 1

 Forceps jar with 2 Cheatle forceps 1

 Gastric Tube 1

 Rubber Catherer fine (Urethral) 4 Urethral Catheters

 Hurricane or Pressure Lamp 1

 Funnel plastic medium 1

 Bucket foot operated or dust bins 1

 bedding 8. Store

 Need details

9. Maternal and Child Health Room

General and Medical Furniture

 Office Tables 2

 Chairs 4

 Large benches 2

 Small benches 1

 Large Notice Board 1

 Medicine Cupboard 1

 Instrument Cupboard 1

 Dressing Trolley 1

 Medicine Trolley 1

 Screen – four folds 1

 Examination Couch 1

 Equipments and Instruments

 Electric Sterilizer or Stove 1

 Refrigerator – electric (solar), or kerosene for Vaccine 1

 Sphygmomanometer and Stethoscope 1

 Foetoscope 1

 Clinical Thermometer

 Immunization tray 2

10. Toilet Facilities (Ladies and Gents)

11. Washing Slab

 Need Details

12. Incinerator

 Need Details

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