A. THE OUT-PATIENT SERVICES OF THE RURAL HEALTH UNIT

ABOUT THE SERVICE:

This service caters to the primary health needs of our constituents. It includes consultation, diagnosis and giving of appropriate medical services.

Medical, Minor Surgeries and Dental Health services are available at the Rural Health Unit (RHU) to any person or individual who needs assistance.

SERVICE SCHEDULES:

Monday to Friday
8:00 am to 5:00 pm

FEES:

No fee is collected in availing of the outpatient services of the Rural Health Unit

HOW TO AVAIL OF THE SERVICE:
A. 1. MEDICAL/SURGICAL

As the client, you

Responsibilities of Person/Department Concerned

It will take

Person(s)/ Department(s) Responsible

1. Go to Municipal Health Office for Check up Admit patient for OPD Check up

Ask clients/patients on purpose of consultation and write patients data on a daily patient’s logbook.

2 minutes

Monday to Friday
RHM: Herbelle Valle
Cherlita Magayano
RHM: Levi Leaño
2. Approach the Main Health Center Nurse Get vital signs to be recorded in an Individual Treatment Record (ITR) andrefer the patient to the Municipal Health Physician.

5 minutes

RHN I:
Lady Hesper Castro
3. Approach the Municipal Health Officer

4. May go home

Examination of patients

The Municipal Health Officer,

  1. Take history and proper physical examination, request for some laboratory exams if needed
  2. Make the proper disease diagnosis
  3. Administer proper management
  4.  Prescribe and dispense necessary available meds
  5.  Advice and discharge patient

10 minutes

Dr. Heidi Marita Gomez-Albano
A. 2. DENTAL SERVICES

As the client, you

Responsibilities of Person/Department Concerned

It will take

Person(s)/ Department(s) Responsible

1. Go to the Municipal Health Office for Dental Check Up Admit patients for Dental care

Ask patients for purpose of consultation take general data and write it in a patient’s daily logbook.

2 minutes

Dental Aide Rotator of the day
  Refer patient to the Dentist on duty.

2 minutes

Dental Aide Rotator of the day
 2. May go home Administration of Dental Care.
Dentist on Duty:

  1. Examine the patient
  2. Render necessary needed dental care
  3. Give dental advice and discharge the patient

variable

Rotator Dentist on duty

B. PRE-NATAL CHECK UP

ABOUT THE SERVICE:

Maternal Care is one of the featured programs in the Department of Health Reform Agenda in conjunction with the country’s Millennium Goal, hence we offer regular pre-natal check up to would-be, and expectant mothers in our community to be able to achieve a zero maternal mortality rate, and to make sure that every delivery is a safe delivery.

SERVICE SCHEDULES:

EVERY TUESDAY AND THURSDAY
8:00 AM TO 11:30 AM

FEES:

No fee is collected in availing pre-natal check-up

HOW TO AVAIL OF THE SERVICE:

 

As the client, you

Responsibilities of Person/Department Concerned

It will take

Person(s)/ Department(s) Responsible

1. Go to the admitting section Take personal data, obstetrical history and vital signs and record them in the individual patient record chart and issue number

4-5 minutes

Thursday:
RHM:
Levie LeanoThursdays:
RHM: Cherlita  Magayano
Herbelle Valle
2. Proceed to the examination room, you will be called according to your numbers Midwife in the examination room do the prenatal abdominal palpation and other necessary examination suited to the patient. Other patients who need further examinations are referred to the physician for further check-up

8-10 minutes

Thursday:
RHM: Cherlita Magayano
Herbelle Valle
Levie LeañoPhysician:
MHO:
Dr. Heidi Marita G. Albano
3. May go home Midwife in charge do the final advice and schedule patient for further follow up if necessary.

Patients referred  to the physician are advised and discharged by the physician

3-5 minutes

Thursday:
RHM: Cherlita   Magayano
Herbelle Valle
Levie Leaño

Physician:
MHO:
Dr. Heidi Marita G. Albano

C. PROVISIONS ON ANTI-TB DRUGS

ABOUT THE SERVICE:

One of the leading causes of morbidity and mortality in the Philippines is Pulmonary Tuberculosis (PTB). It has been a disease of all ages, so many NGOs sponsors have helped the country to eliminate PTB but until now PTB is still one of the top disease injuring Filipinos. Our Municipality, with the help of our elected leaders has assisted the Department of Health in this endeavour on TB elimination by appropriating funds for provisions on anti TB drugs to augment the national supply.

This program caters to the so called TB symptomatic , meaning, patients having a chronic cough of more than two (2) weeks or coughing out blood, afternoon low grade fever, body weakness, and sudden loss of weight  for the last six (6) months.

SERVICE SCHEDULES:

MONDAY TO FRIDAY
8:00 AM TO 5:00 PM

FEES:

No fees to be collected

HOW TO AVAIL OF THE SERVICES:
As the client, you Responsibilities of Person/Department Concerned It will take Person(s)/ Department(s) Responsible
1. Proceed to the admitting section Midwife on duty take the patients personal data, the reason why the patient came for check-up and the patient’s vital signs.These are all logged in the patient’s individual chart. 2-3 minutes Levie Leaño
Cherlita Magayano
Herbelle Valle
2. All TB symptomatic admitted are referred to the physician Physician further examine patient for proper evaluation and assessment. 5-10 minutes Dr. Heidi Marita G. Albano
3. All TB patient symptomatic proceed to laboratory for sputum examination Medical Technologist collect first sputum specimen.
Medical Technologist  endorse patient for the second and third collection of sputum specimen to midwife in charge of the patient’s  barangay
2-3 minutes MHMT:
Nelmee Vidad
4. TB patient for the 2nd and 3rd sputum specimen collection approach  the midwife in charge of his/her barangay Midwife instruct the patient for the 2nd and 3rd  sputum collection 1 day Brgy. 1 to 3- Herbelle Valle
Brgy. 4 to 6- Levie Leaño
Brgy. 7 to 9-
Fe Crisostomo
Brgy. 10 to 15 –
Cherlita Magayano
Brgy. 11 to 14 –
Celsa Garcia
Brgy. 16,17,18 & 24 –
Elvie Reyes
Brgy. 19 to 22 –
Corazon Duquez
Brgy.23,25, 27 & 28 – Aurelia Viernes
Brgy. 26,31 & 32 – Margarita Agpoon
Brgy 29,30, 33 & 34 -Adelia Aceret
5. Symptomatic TB patients submit collected sputum specimen to midwife Midwife smear and fix the specimen collected and submit fixed slides to Medical Technologist 2 days As above
6. Follow up sputum results from the midwife Medical Technologist release sputum results to midwives 2-3 minutes
7. Patient with sputum result proceed to admitting section. Midwife on duty refer patient to the physician. 2-3 minutes Levie Leaño
Cherlita Magayano
Herbelle Valle
8. Patient proceed to treatment room Physician examine, evaluate and diagnose patient for proper management 8 minutes Heidi Marita Albano, M.D.
9. (a.) TB Symptomatic patient with (+) sputum approach the Nurse on duty

 

 

(b.) TB Symptomatic patient with (-) sputum go for chest x-ray exam

(a.) Nurse on duty register the patient to Directly Observed Treatment with Short Course Chemotherapy, National Tuberculosis Program (DOTS NTP) registry and endorse to the midwife in charge as DOTS treatment partner.

(b.) Diagnostic Center (non-institutional) conduct chest x-ray exam as requested

(a.) 10 minutes

 

 

 

(b.) 30 minutes

(a.) Abigail Semana

 

 

 

(b.) X-ray Technician and Radiologist

10.  (a.) TB Symptomatic patient with (+) sputum approach the midwife in charge.

(b.) TB symptomatic patient with (-) sputum and chest x-ray results approach the physician.

(a.) Midwife in charge properly instruct the patient regarding DOTS.

 

(b.) Physician evaluate patient for further management

(a.) 5 minutes

 

(b.) 3-5 minutes

(a.) Midwife in Charge as above

(b.) Heidi Marita Albano, M.D.

11. (a.) TB Symptomatic patient with (+) sputum start the medication and follow-up as instructed.

(b.) TB Symptomatic patients with   (-) sputum and with chest
x-ray results start medication as instructed by the physician.

(a.) Midwife in charge directly supervise the patients’ compliance to drug intake.

 

(b.) Physician follows up patient and or refer to TB Diagnostic Committee (TBDC) in accordance with the proper assessment.

(a.) 6 months to 1 year depends on TB category.

(b.1.) TBDC- 2-3 weeks.

(b.2.) Other Diagnosis- variable

(a.) Midwife In Charge as above

(b.1.) Provincial Health Office(b.2.) Heidi Marita Albano, M.D.

D. EXPANDED PROGRAM OF IMMUNIZATION SERVICES

ABOUT THE SERVICE:

This is one of the core programs of the Department of Health, under the Maternal and child care, giving free vaccines for all the different childhood diseases to the susceptible populace from birth to nine (9) months old.  The Municipal Health Office gives bacillus Calmette-Guérin (BCG) vaccine, Hepatitis B vaccine, Diphtheria, Pertussis, Tetanus Hepatitis B and Haemophilus Influenza type B Conjugate Vaccine (PENTA), Oral Polio vaccine (OPV), Inactivated Polio Myelitis Vaccine (IPV), measles vaccine and Measles Mumps Rubella (MMR) vaccine to neonates before one year of age.

SERVICE SCHEDULES:

EVERY THIRD (3rd) WEDNESDAY OF EVERY MONTH
8:00 AM to 10: 30 AM

FEES: No fees to be collected

 

 

AT BIRTH SIX (6) WEEKS OF LIFE TEN (10) WEEKS OF LIFE FOURTEEN (14) WEEKS OF LIFE  IPV NINE (9) MONTHS OF LIFE 1 YEAR OLD
BCG PENTA 1 P[ENTA 2 PENTA 3 Measles MMR
Hepatitis B 1 OPV 1 OPV  2 OPV 3/IPV  IPV Vitamin A Vitamin A
Hepatitis B 2 Hepatitis B 3
HOW TO AVAIL OF THE SERVICE:
As the client, you

Responsibilities of Person/Department Concerned

It will take

Person(s)/ Department(s) Responsible

1. Go to admitting section for registration

a.)Hospital born baby- bring along the immunization record or baby’s book.

 

 

 

b.)Baby delivered by Rural Health Midwives

1. Midwife on duty get the personal data of the client.

a.)Nurse on duty review the immunization record or baby’s book and add the name of the client to the masterlist

 

 

b.)The midwife on duty checks the name of the client in the masterlist

2-3 minutes

(a.) 2-3 minutes

(b.) 1-2  minutes

3rd Wednesday of the month –
Cherlita MagayanoHerbelle Valle and Levie Leañoa.) Abigail Semanab.)Midwife in charge as above
2. Client proceed to vaccination area The nurse and midwives administer the necessary vaccines to the client on a first-come, first-served basis.

2-3 minutes

Abigail Semana,
Lady Hesper Castro and midwife in charge as above
3. May go home Nurses and Midwives advise and instruct client for follow-up and further discharge.

2-3 minutes

As above

E. BASIC LABORATORY EXAMINATION SERVICES

ABOUT THE SERVICE:

This service caters to all indigent cardholders under the OPD package of the Philippine Health Insurance Corporation for free, but also serves our constituents who would like to avail of the services paying minimum amount for the maintenance and financial assistance of the laboratory in aid of the capitation fund. Laboratory examination such as complete blood count (CBC), urinalysis, fecalysis, and sputum examination are available for free for Philhealth OPD cardholders.  All other non-cardholders are pay patients and may   avail of the following services as enumerated below.

SERVICE SCHEDULES:

Monday to Friday
8:00 AM- 5:00 PM

FEES:

Complete Blood Count (CBC)    –  Php 100.00
Platelet Count                              –  Php   80.00
Blood Typing                                –  Php   50.00
Urinalysis                                      –  Php   50.00
Fecalysis                                       –  Php   50.00
Sputum AFB                                 –  Php 140.00
HBsAg Screening                         –  Php 180.00

* (supported by Municipal Ordinance No. 2007-003)

HOW TO AVAIL OF THE SERVICES:

As the client, you

Responsibilities of Person/Department Concerned

It will take

Person(s)/ Department(s) Responsible

1. Patient with laboratory request, proceed to the laboratory section and present your request to the medical technologists Medical Technologist
review the laboratory request and instruct the patient, depending on what laboratory examination is needed
Variable, depending on what kind of laboratory exam is requested Nelmee Vidad
2. Patient without Phil Health OPD card should proceed to the Treasury Department for payment. Medical Technologist get receipt prior to laboratory procedures. 2-3 minutes Nelmee Vidad
3. Patients with PhilHealth OPD card and Non-Philhealth cardholders with receipts for laboratory can proceed to the Med Tech for laboratory procedure/ extraction. Medical Technologist do the laboratory works and instruct the client to wait for the results. 10-15 minutes Nelmee Vidad
4. Patients with PhilHealth OPD card and Non-PhilHealth cardholders with receipts for labratory claim the results. Medical Technologist release the results and advise patient to go back to referring physician for result evaluation and analysis. 1 minute Nelmee Vidad
5. Patient , return lab results to requesting physician Attending physician
evaluate laboratory results.
(institutional or non-institutional)
variable Attending physician
(institutional
or non institutional)

F. ISSUANCE OF SANITARY PERMIT AND HEALTH CERTIFICATE:

ABOUT THE SERVICE:

In accordance to our implementing rules and regulations of Chapter III Food Establishment of the Code of Sanitation of the Philippines (P.D. 856) No person shall be allowed to engaged in any food related establishment without securing sanitary permit and all other individuals involved in food preparation and handling are required to secure health certificate.

SERVICE SCHEDULES:

Monday to Friday
8:00 to 10:00 AM & 1:00 to 3:00 PM

REQUIREMENTS:

Inspection Report of the establishment duly signed by the Sanitary Inspector.

SANITARY INSPECTION FEES:
Amusement places P 200.00
Public eating places P 200.00
Apartments, boarding houses, building for rent P 200.00
Other commercial, industrial, or agricultural business establishments P 200.00
HOW TO AVAIL OF THE SERVICE:
F.1 SANITARY PERMIT

As the client, you

Responsibilities of Person/Department Concerned

It will take

Person(s)/ Department(s) Responsible

1. Approach Sanitary Inspector for transaction Sanitary Inspector check and review the necessary requirements brought by the client for application of sanitary permit.

3-5  minutes

Prima Reina Foronda Alberta Marites Cumlat
2.(a.)Client with incomplete requirement (Sanitation report) set an appointment for inspection schedule.
(b.)Client with complete requirements go to the Treasurer’s office for payment of dues.
(a.)Sanitary Inspector schedule the date for inspection and subsequent release of inspection report.

(b.)Treasurer’s Office collect payments and release official receipt

(a.)variable

 

(b.) 5-10 minutes

(a.)Alberta Marites Cumlat
Prima Reina Foronda(b.)Llewelyn Valdez
Nessie Agbayani
3. Go back to the Sanitary Inspector and present the official receipt. Sanitary Inspector release /issue the permit.

2-3 minutes

Prima Reina Foronda
Alberta Marites Cumlat
F. 2. HEALTH CERTIFICATE
REQUIREMENTS:
  1. Urinalysis results
  2. Fecalysis results
  3. Sputum Exam results
  4. 1 pc. 2 x 2 ID picture
FEE:

P 50.00

HOW TO AVAIL OF THE SERVICE:

As the client, you

Responsibilities of Person/Department Concerned

It will take

Person(s)/ Department(s) Responsible

1. Approach the Sanitary Inspector for transaction Sanitary Inspector check and review the requirements.

2-3
minutes

Alberta Marites Cumlat
Prima Reina Foronda

2.(a.)Client with normal laboratory results goes to the treasurer’s office for payment of dues.

(b.)client with abnormal results is referred to the physician

(a.)Receive payment and issue official receipt.

 

(b.) Physician evaluate clients for further management.

(a.)3-5 minutes

(b.)3-5 minutes

(a.)Lewelyn Valdez
Nessie Agbayani(b.)Heidi Marita Albano, M.D.
3. Clients goes back to the Sanitary Inspector and present official receipt. Sanitary inspector issue/ release the health certificate

2-3
minutes

Alberta Marites Cumlat
Prima Reina Foronda

G.  RESOLVING ENVIRONMENTAL SANITATION COMPLAINTS

ABOUT THE SERVICE:

Resolving sanitation complaints plays a vital role in the community to safeguard public health. The health and safety in the environment shall be in accordance with the Code on Sanitation of the Philippines (PD 856) and its Implementing Rules and Regulations.

SERVICE SCHEDULES:

Monday to Friday
8:00 am to 12:00 noon
1:00 pm to 5:00 pm

FEES:

No fees to be collected

5HOW TO AVAIL OF THE SERVICE:

As the client, you

Responsibilities of Person/Department Concerned

It will take

Person(s)/ Department(s) Responsible

1.Approach the Sanitary Inspector (a.)The Sanitary Inspector ask the client about the history of the complaint and coordinate with the Barangay Chairman concerned.

15-20 minutes

Prima Reina Foronda
Alberta Marites Cumlat
2. Complainant together with the sanitary inspector, further verify the source of the complaint. The sanitary inspector validate the filed complaint by inquiry and conduct proper investigation of both parties regarding the problem presented.

30 minutes to 1 hr.

Prima Reina Foronda
Alberta Marites Cumlat
3. Complainant follow the result of the complaint. The sanitary inspector make a report and recommendation to solve the filed complaint submitted to the Office of the Mayor, furnish copy to the Sangguniang Bayan Member- Committee on Health.

2-3 days

Prima Reina Foronda
Alberta Marites Cumlat