HOME VISIT

Definition : a home visit is a professional face to

face contact made by a nurse to the patient or
the family to provide necessary health care
activities and to further attain an objective of
the agency. It is made to the client or to a
responsible member of the family
Factors to be Considered in Determining the Frequency of Home Visit

1. the physical, psychological and educational needs of the individual and

family

2. the acceptance of the family for the services offered, the willingness and
interest to cooperate

3. take into account other health agencies and the number of health
personnel already involved in the care of a specific family

4. the policy of a given agency and the emphasis placed on a given health
program

5. a careful evaluation of past service given to a family and how this family
made use of such nursing services

6. the ability of the patient and his/ her family to recognize their own needs,
their knowledge of available resources on their accord.
 Bag Technique
Definition:

Bag technique – a tool making use of a public health bag through

which the nurse during his/ her home visit, can perform
nursing procedures with ease and deftness, saving time and
effort with the end in view of rendering effective nursing care

Public Health bag – is an essential and indispensable equipment

of the public health nurse which he/ she has to carry along
when he/ she goes out home visiting. It contains basic
medications and articles which are necessary for giving care

Rationale : to render effective nursing care to clients and/ or

members of the family during home visit
Special Considerations in the Use of the Bag

• the bag should contain all necessary articles, supplies and

equipment which may be used to answer emergency needs

• the bag and its contents should be cleaned as often as possible,

supplies replaced and ready for use at any time

• the bag and its contents should be well-protected from contact with
any article in the home of the patients. Consider the bag and its
contents clean and/or sterile while any article belonging to the
patient as dirty and contaminated

• the arrangement of the contents of the bag should be the one most
convenient for the use to facilitate efficiency and avoid confusion

• Hand washing is done as frequently as the situation calls for help

in minimizing or avoiding contamination of the bag and its contents

• the bag when used for a communicable case should be thoroughly

cleaned and disinfected before keeping and re-using
NURSING CARE IN THE HOME

• giving to the individual patient the

nursing care required by his/ her
specific illness or trauma to help
him/her reach a level of functioning
at which he/she can maintain
himself/ herself, or die peacefully in
dignity
• the performance of nursing care should
recognize dangers in the patient’s over-
prolonged acceptance of support and
comfort
• nursing care is a good opportunity for
detecting abnormal signs and symptoms,
observing patient’s attitude towards care
given and the progress exhibited by the
patient
ISOLATION TECHNIQUES IN THE HOME
• All articles used by the patient should not be mixed with the articles used by
the rest of the members of the household

• frequent washing and airing of beddings and other articles and disinfection of
room are imperative. Abundant use of soap, water, sunlight and some
chemical disinfectants is necessary

• the one caring for the sick member should be provided with a protected gown
that should be used only within the room of the sick

• all discharges, especially from the nose and throat of a communicable disease
patient, should be carefully discarded

• articles soiled with discharges should first be boiled in water 30 minutes before
laundering. Those could be burned, should be burned
INTRAVENOUS THERAPY

Definition: insertion of a needle or catheter /

cannula into a vein, based on physician’s
written prescription. The needle or catheter/
cannula is attached to a sterile tubing and a
fluid container to provide medication and
fluids
• nurse qualified to perform IV insertion are those who
are duly accredited as I.V. nurse by the Association of
Nursing Service Administration of the Philippines
(ANSAP)
BASIS OF PRACTICE
• Legal therapeutic prescription of a licensed physician

• thorough knowledge of the vascular system,

• interrelatedness of the body system with proficiency in the skill of the I.V. Therapy

• recognition of holistic approach to patient care

• collaboration with members of the health care team

• networking and linkages with the external environment

• individual professional accountability

• the utilization of the nursing process through

• assessment – collection of pertinent data to arrive at a nursing diagnosis.

• planning – formula of nursing care plan relevant to I.V therapy.
• implementation of planned care – nursing activities for I.V management of patient.
• evaluation – assessment of the effectiveness of care based on pre-determined
objectives.
 Environmental Sanitation
- study of all factors in man’s physical environment, which may exercise a
deleterious effect on his health, well-being and survival.

• Factors include:
• water sanitation
• food sanitation
• reuse and garbage disposal
• excreta disposal
• insect vector and rodent control
• housing
• air pollution
• Noise pollution
• radiological protection
• institutional sanitation
• steam pollution
 Environmental Health Service (EHS)
- responsible for the promotion of
healthy environmental conditions and
prevention of environmental related
diseases through appropriate sanitation
strategies.
Strategies include:

• water quality surveillance

• evaluation of food establishments
• proper solid and liquid waste management
• sanitation of public places
• sanitation management of disaster areas
• impact assessment of environmentally critical
projects
• enforcement of sanitation laws, rules, regulations
and standards
EHS – also responsible for the conceptualization
of new programs/ projects to contend with
emerging environmentally related health
problems such as:

– Water for Life

– Hospital Waste Management

– Urban Health and National Projects

– Pasig River Rehabilitation Project

MAJOR ENVIRONMENTAL SANITATION
PROGRAMS:

• Health and Sanitation

• Sanitation Code of the Philippines – PD 856

• Water Supply Sanitation Program

• Approved types of water supply facilities
Level I ( Point Source)
• a protected well or a developed spring with an outlet but without a
distribution system
• must not be more than 250 meters from the farthest user
Level II (Communal Faucet System or Stand Posts)
• composed of a source, a reservoir, a piped distribution network and
communal faucets
• located at not more than 25 meters from the farthest house
• one faucet per 4 to 6 households
Level III ( Waterwork System or Individual House Connections)
• A system with a source, a reservoir, a piped distributor network and
household taps.
• Unapproved Type of water facility
• Water coming form doubtful sources such as open dug wells,
unimproved springs, wells that needs priming unless treated through
proper container disinfection
• All households shall be provided with safe and adequate water
supply.
 Water Quality and Monitoring
Surveillance
• every municipality through its Rural Health Units
must formulate an operational plan for quality and
monitoring surveillance every year
• the examination of drinking water shall be
performed only in private or government
laboratories duly accredited by the Department of
Health
• Certification of potability of an existing water source
is issued by the Secretary of Health
Disinfection of water supply sources is required on
the following:

• newly constructed water supply facilities

• water supply facility that has been repaired/
improved
• water supply sources found to be positive
bacteriologically by laboratory analysis
• container disinfection of drinking water collected
from a water facility that is subject to
recontamination like open dug wells, unimproved
springs and surface water
 Proper Excreta and Sewage Disposal Program
Approved types of toilet facilities

Level 1
• non-water carriage toilet facility
• no water is necessary to wash the waste into the
receiving space
• pit latrines, reed odorless earth closet
• toilet facilities requiring small amount of water to
wash the waste into the receiving space
• pour flush toilet, aqua privies
Level 2

• on site toilet facilities of the water carriage type

with water-sealed and flush type with septic vault/
tank disposal facilities

Level 3

• water carriage types of toilet facilities connected to

septic tanks and/or to sewerage system to
treatment plant
 Food Sanitation Program

Food establishments shall be appraised as to the following sanitary

conditions:

• inspection/ approval of all food sources, containers, transport

vehicles

• compliance to sanitary permit requirements for all Food

establishments

• provision of updated Health Certificate for food handlers, cook

and cook helpers which include monitoring as to presence of
intestinal parasites (ascaris, amoeba, etc.) and bacterial
infectious (typhoid, cholera, dysentery, salmonella infections and
others)
• destruction or banning of food unfit for human consumption
• training of food handlers and operators on food sanitation
• food establishments shall be rated and classified as follows

– Class A – Excellent
– Class B – Very Satisfactory
– Class C – Satisfactory

• Ambulant food vendors shall comply with the requirements

as to the issuance of health certificate which also include
monitoring the presence of intestinal parasite and bacterial
infection
• Household food sanitation are to be promoted and
monitored and food hygiene education to be intensified
through health education and provision of IEC materials
Hospital Waste Management Program
– All newly constructed/ authorized and existing
government and private hospitals shall prepare and
implement a Hospital Waste Management (HWM)
Program as a requirement for registration/ renewal for
licenses
– The use of appropriate technology and indigenous
materials for HWM system shall be adopted
– Training of all hospital personnel involved in waste
management shall be an essential part of hospital training
program
- Public information campaign on health and environmental
hazard arising from mismanagement of hospital shall be
the responsibility of hospital administration

- DOH hospital Waste Management guidelines/policies shall

be guided by existing legislative health and environmental
protection laws/ policies on waste management

- Local ordinances regarding the collection and disposal

techniques, especially incinerators, shall be
institutionalized
 Nursing Responsibilities and Activities
Health Education

• development and dissemination of IEC materials and messages, their

utilization and distribution
• providing individual and group counseling
• use of other mass media support and IEC materials including holding of
community assemblies and bench conferences
• Actively participate in the training component of the service and attend
training/workshops related to environmental health
• assists in the de-worming activities for the school children and targeted
groups

• effectively and efficiently coordinate programs/ projects/ activities with

other government an non-government agencies

• acts as an advocate or facilitator to families in the community in

matters of program/ projects/ activities on environmental health in
coordination with other members of the Rural Health Unit (RHU)
especially the Rural Sanitary Inspectors
• Actively participate in environmental sanitation campaigns and projects
in the community
• Be a role model for others in the community to emulate in terms of
cleanliness in the home and surrounding
• participate in the research/ studies to be
conducted in their respective area of
assignment
• help in the interpretation and
implementation of PD 856 commonly known
as Sanitation Code of the Philippines
• Assist in the Disaster Management, which
will be implemented at all levels
 FIELD HEALTH SERVICES AND
INFORMATION SYSTEM (FHSIS)
Objectives:

• to provide summary data on health service delivery and

selected program accomplished indicators at the barangay,
municipality/city, district, provincial, regional and national
levels

• to provide data which when combined with data from other

sources, can be used for program monitoring and evaluation
purposes

• to provide a standardized, facility level data base which can

be accessed for more in-depth studies
• to ensure that the data reported to the FHSIS are useful and
accurate and are disseminated in a timely and easy to use
fashion

• to minimize the recording and reporting burden at the

service delivery level in order to allow more time for
patient care and promotive activities

Components:

• Family Treatment Record

• Target Client List
• Reporting Forms
• Output Reports
 Treatment Record

- document, form, or piece of paper upon which recorded the

presenting symptoms or complaints of the patient on
consultation and the diagnosis if (available), treatment and date
of treatment.

» Target/ Client List

4 purposes:

» 1. to plan and carry out patient care and service delivery

» 2. to facilitate the monitoring and supervision of services

» 3. to report services delivered

» 4. to provide a clinic- level data base which can be

accessed for further studies
Output Reports – to make the reports useful for
monitoring management purpose at each level of
DOH Management

Reporting Units that are expected to submit FHSIS

reports in cases where public health related services
are provided:

– BHS/ BHC – Barangay Health Station/ Barangay Health

Centers
– RHU/MHC – Rural Health Unit/ Main Health Center
– DH/CH – District Hospital/ City Hospital
– PH/CHO – Provincial Hospital/ City Health Office
– RH – Regional Hospitals
 THE NURSE IN THE ORGANIZATION

Public Health Nurse (Nurse II and III)

Qualifications : Bachelor of Science in Nursing, Registered Nurse in
the Philippines
Roles
• Planner or Programmer
– identifies needs, priorities and problems of individuals, families and
community
– formulated nursing component of health plans. In doctor less area,
she/he is responsible for the formulation of the municipal health plan
– Interprets and implements the nursing plan, program policies,
memoranda and circulars for the concerned staff/personnel
– Provides technical assistance to rural health midwives in health
matters like target setting, etc.
• Provider of Nursing care
• provides direct nursing care to the sick, disabled in the home, clinic, school or
place of work
• develops the family’s capability to take care of the sick, disabled or dependent
member
• provides continuity of patient care

• manager/ Supervisor
• formulated individual, family, group and community centered care plan
• interprets and implements program policies, memoranda and circulars
• organized work force, resources, equipment and supplies and delivery of health
care at local levels
• requisitions, allocates and distributes materials (medicine and medical supplies,
records and report equipment)
• provides technical and administrative support to Rural Health Midwife (RHM)

• conducts regular supervisory visits and meetings to different RHMs and

gives feedback on accomplishments/performances
Community Organizer
• Responsible for motivating and enhancing community
participation in terms of planning, organizing, and implementing
and evaluating health programs/services
• Initiates and participates in community development activities

Coordinator of Services
• Coordinates with individuals, families, and groups for health and
related health services provided by various members of health
team and other Government Organizations (GOs) and Non-
Government Organizations (NGOs)
• Coordinates nursing program with other
health programs as environmental sanitation,
health education, dental health and mental
health
Trainer/Health Educator/Counselor
• identifies and interprets training needs of the RHMs,
Barangay Health Workers (BHWs) and hilots
• formulates appropriate training program designs for
RHMs, BHWs and hilots
• provides and arranges learning experience for RHMs,
affiliates (nursing and midwife) and other health
workers
• conducts training for RHMs and hilots on health
promotion and disease prevention
• conducts pre and post consultation conferences for
clinic patients
• facilitates training for Barangay Health Workers
• organizes orientation/taining of concerned groups including non-
government organizations

• acts as a resource speaker/person on health and health related

services

• participates in the development and distribution of Information

Education and Communication (IEC) materials

• Conducts IEC orientation for selected group on specific

programs/projects

• Initiates the use of tri-media:radio/TV and cinema plugs, print ads,

and other indigenous resources for health education purposes

• Conducts pre-marital counseling

• Health Monitor
– detects deviation from health of individuals,
families, groups of the community through
contacts/visits with them
– uses symptomatic and objective observation
and other forms of data gathering like morbidity,
registry, questionnaire, checklist, and anecdo-
report/record to monitor growth and
development and health status of individuals,
families and communities
• Role Model
• provides good example/model of healthful living to
the public/community
Change Agent
• motivates changes in health behavior of individuals,
families, group and community including lifestyle in
order to promote and maintain health

Recorder/ Reporter/Statistician
• prepares and submits required reports and records
• maintains adequate, accurate and complete
recording and reporting
• reviews, validates, consolidates, analyzes and
interprets all records and reports
• prepares statistical data/ charts and other data
presentations for display and for presentation in staff
meetings, conferences and seminars/workshops
Researcher

• participates/assists in the conduct of surveys, studies

and researches on nursing and health related
subjects

• coordinates with government and non-government

organization in the implementation of
studies/research
 RURAL HEALTH MIDWIFE
Qualifications : Graduate of an accredited School of Midwifery and passed the
Midwifery Board Examination

DUTIES AND RESPONSIBILITES

• Under the general supervision of the Public Health Nurse (PHN), the Rural Health Midwife
shall perform the following functions:

• Works with the PHN in planning and evaluating health services at the barangay level:

• Participates in determining health needs of individuals, families and the community

• Assists in planning and organizing the clinic in his/her barangay health station

• Prepares monthly schedule of activities in coordination with the physician, nurse, sanitary
inspector and other health workers
• Plans for activities in the clinic Barangay Health Stations
(BHS), follow-up in homes and field visit in the community
– Participates in the periodic evaluation of health services in the
barangay

• Provides midwifery services in the barangay

• Gives direct care to normal childbearing women during

pregnancy until the end of pueperium as well as to normal
newborn infants

• Refers to physician and/or nurse and appropriate agencies

pregnant and post-partum women and newborn infants
with suspected abnormalities and problem
• Carries out medical nursing functions as authorized by the
Department of Health

• Conduct clinic which includes:

• Obtaining clinical history

• Performing simple routine physical and laboratory
examinations

• Administering emergency and therapeutic (medical and

nursing) measures based on the standing orders

• refers cases needing further diagnostic and management by

nurse and/or physician and other agencies
• Keeps accurate record or medical and nursing care
rendered in the clinic, homes and community

• Mobilizes community for health action

• Identifies individuals and groups in the community who can

participate in the delivery of health care

• Organizes individuals and groups to support activities in

relation to the delivery of health services within the
catchments area

• Facilitates community health development projects

• Carries out health education (HE) and information, education, communication
(IEC) activities

• Conducts individual and group teaching utilizing IEC materials

• Requests and distributes IEC materials to other government and non-

government units like schools, civic and church organizations within the
catchment area

• Monitors and supervises health and health related activities within the
catchment area

• Guides volunteer health workers and/or trainees assigned to Barangay Health

Station (BHS)

• Accomplishes required records and forms for activities undertaken

• Prepares and submits reports of activities and needs for supplies and other
logistic requirements of the BHS

• Participates as facilitator/resource person in the training of volunteer health

SUPERVISING PUBLIC HEALTH NURSE/NURSE
SUPERVISOR AT PROVINCIAL/CITY LEVEL

Qualifications : Bachelor of Science in Nursing,

Registered Nurse, Master’s Degree in Nursing
or Public Health with at least 5 years
experience as Public Health Nurse
Functions and Responsibilities

• Assesses needs for community health nursing services at the

provincial/ city level

• Participates in the formulation of the provincial/ city health

plan with the medical, technical and administrative staff

• Develops nursing components of the provincial/ city health

plan

• Organizes and directs implementation of community health

nursing services and other health program
• Supervises, monitors and evaluates implementation of health programs/ projects

• Interprets policies, guidelines and standard operating procedures to nursing and

midwifery staff of the province/ city

• Assesses training needs and plans for staff development program for nursing and
midwifery staff

• Conducts training for nursing and midwifery staff and participates in the training
and evaluation of other health workers of the province/ city

• Establishes linkages with government and non-government organizations for

effective health care delivery in Rural Health Units (RHUs)/ Health Centers

• Supervises Public Health Nurses and one or more Midwife Supervisors at the
Provincial Office/City Domiciliary Obstetrical Service (DOS)
• Participates in the recruitment and selection of new nursing
and midwifery staff

• Collects, consolidates, analyzes and interpret health records

and reports and makes recommendation as needed

• Coordinates with Provincial/ City Health Officer and Staff as

well as the representatives of health and other health related
agencies (GOs and NGOs)

• Conducts, participates in studies and researches on nursing

and related fields

• Attends meetings, seminars, workshops, conferences and

updates on nursing and related fields
NURSE INSTRUCTOR

Qualifications: Bachelor of Science in Nursing,

Registered Nurse, with Master’s Degree in
Nursing. Three years experience as a
community health nurse; Special training on
the functions of the Nurse Instructor
Functions and Responsibilities

• Implements a continuous training program for nurse and

midwife graduates and undergraduates level. Plans for the
Regional Health Training Center Technical Staff

• Submits required training records and reports

• Participates in implementation of training programs

• Participates in planning , developing and evaluating on-the-

job training for nurses and midwives conducted by the
Department
• Attends and participates actively in workshops,
institutes, seminars and professional meeting for the
improvement of nurses and nursing

• Participates in the planning, implementation of staff

development program for all categories of public
health workers

• Participates in planning, developing and evaluating

training programs of other health personnel
• Participates indirectly in the improvement of nursing
services

• by indirectly supervising the public health nursing

and midwifery staff of the health centers utilized for
training

• by analyzing and evaluating the public health nursing

service carried on in the community

• by giving recommendations for the improvement of

the nursing service during staff meetings and
conferences
• participates in planning and interpreting training policies,
standards and procedures to the national, regional, provincial
and city health offices

• participates with faculty; public health nurse and field

instructors in planning a program of experience for students
and helps him/her interpret to the service staff of the health
center the objectives and program of experience of the
students

• makes available with the help of the service staff, selected

field activities needed by students

• makes available to the faculty, public health nurse, field

instructor, selected families for follow-up
• guides and/or arranges with health center staff, the orientation and
lectures to students about health center and local health
department set-up

• in the absence of the faculty, public health nurse and field

instructor, he/she takes responsibility of guiding the students

• participates with the faculty, public health nurse and field instructor
in conducting evaluation procedures to determine student
performance and progress

• confers with faculty, public health nurse and field instructor

regarding observations of student’s performance and attitudes and
recommends remedial measures for improvement

• participates actively with the faculty, public health nurse and field
instructor in improving the training of students on methods and
content of experience
 REGIONAL TRAINING NURSE
Qualifications : Bachelor of Science in Nursing, Registered Nurse in the Philippines,
Master’s Degree in Nursing/ Public Health with six years nursing experience, three
years of which are in training or nursing education

Functions and Responsibilities

• Assesses training needs of nursing and midwifery staff, both hospital and
public health ( Supervising Public Health Nurses, Midwife Supervisor)

• Designs and organizes training program for nursing and midwifery staff
( hospital and public health) and participates in the planning and
organizing training program for other workers

• Develops and prepares training materials/ devices for training

• Conducts, monitors and evaluates training programs for
nursing and midwifery staff and participates in the training of
the health workers and midwifery staff

• Supervises, monitors and evaluates the performance of the

Nurse instructor both in hospital and public health

• Analyzes and interprets reports of Nurse Instructors

• Acts as a resource speaker/ facilitator/ coordinator in training

program/ conference

• Recommends qualified and deserving nursing/ midwifery staff

for further study/ promotion
• Coordinates with other government and non-government agencies in
relation to the conduct of training programs

• Keeps abreast with trends and development in nursing, public health and
other fields

• Participates in the conduct of research/ studies

• Perform other functions assigned from time to time, such as

• establishes coordination/ linkages with government and non-government

organizations for effective health care delivery

• conducts / participates in studies and research

• REGIONAL NURSE SUPERVISOR/ REGIONAL PUBLIC
HEALTH NURSE (NURSE V)

Qualifications :
• Bachelor of Science in Nursing, Registered Nurse in
the Philippines with at least 5 years experience in the
community health nursing,
• 2 years of which are in supervisory position, with
Master’s Degree in Public Health or Masters of Arts
in Nursing, major in Community Health Nursing
Administration and Supervision
Functions and Responsibilities
• Administration and Management

I. Planning and Programming

Prepares the Regional Nursing Supervisory Plan

Participates in the preparation of Nursing
Service Action Plan
Ensures effective administration of nursing
service in the region
• Serves as Technical Adviser/ Consultant to the Regional Director and
his/ her staff on nursing matters

• Participates in the preparation/ revision of nursing manuals standards/

procedures/ policies of the Department

• Coordinates with the Regional Training Staff regarding training needs of

the nursing personnel

• Interprets nursing policies and ensures maintenance of standards in

nursing practice in both hospital and public health settings

• Participates in screening and evaluation of nursing personnel for

employment and promotion

• Represents nursing in the preparation of the regional budget

• Prepares / consolidates/ submits required records and reports

• Monitoring and Supervision

• Monitors nursing and other related health activities

both hospitals and public health in assigned cities
and provinces

• Provides technical guidance, supervision and

consultatory services to the Supervising Public Health
Nurse at the Provincial Health Office and to the Chief
Nurses of City Health Department

• Monitors implementation of programs and projects

of the Department of Health/ Region
Evaluation

• Participates in the evaluation of nursing activities of assigned

provinces and cities

• Participates in the evaluation of programs of the DOH/ Region

• Motivates nurses and participates in research activities on

nursing and related subjects

Other Duties

• Acts as resource person/ speaker to organized groups

• Attends conventions / seminars / workshops/ meetings for

professional growth and development
NURSING PROGRAM SUPERVISOR ( NURSE VI)

Qualifications : Bachelor of Science in Nursing,

Registered Nurse in the Philippines, with at
least 7 years experience in community health
nursing/ training, possesses a Master’s Degree
in Public Health, Master’s Degree in Nursing
Major in the Public Health Nursing
Administration and Supervision
Functions and Responsibilities
The Functions of Nurse VI (Nursing
Program Supervisor) whose positions are
attached to different services of the
Department of Health such as Maternal and
Child Health, Family planning, Communicable
Disease Control and Non-Communicable
Disease Control are basically the same but
differ according to the special
programs/projects of the respective service
• formulates policies and develops standards and
guidelines on nursing aspects of specific programs

• participate with other technical staff in the

development of standards and guidelines on
programs/projects of the respective service he/she is
assigned

• plan and develops the nursing component of the

various programs under each service

• participates in the development of plans and

programs in the prevention and control of specific
conditions/diseases under each service
• develops/ participates in the planning/ designing of training
programs relevant to the specific programs/ project of the
service

• acts as coordinator, facilitator and/ or resource person in

training programs for health and related workers

• Monitors, supervises and evaluates the implementation of

specific health programs in coordination with the Regional
Health Staff and Local Government Units

• acts as Consultant / Adviser to the Director and staff and

regional Nursing Staff on Nursing, Midwifery and related
matters
• Conducts/ participates in studies and researches

• attends meetings, conferences, seminar- workshops,

clinical updates and other continuing education
programs on nursing and other related matters to
keep abreast with trends and for professional growth

• Initiates, motivates, conducts studies and researches

on nursing and health related subjects

• performs other duties assigned from time to time

CHIEF NURSE (NURSE VII) SELECTED CITY HEALTH
DEPARTMENTS AND HEALTH OFFICES

Qualifications: Bachelor of Science in Nursing,

Registered Nurse in the Philippines, Master’s Degree
in Nursing, Major in Community Health Nursing or
Master’s Degree in Public Health Major in
Community Health Nursing Administration, with at
least 5 years experience in community health
nursing, three years of which have been either in
supervisory or Assistant Chief Nurse. Positions with
demonstrated leadership ability
Functions and Responsibilities

• Assesses needs for Community Health Nursing Services as part of the total
health program

• participates in the overall planning of the city health department program

with the medical, technical, administrative and other nursing staff

• plans, organizes and directs the implementation of community health

nursing services with the assistant chief nurse and district nurse
supervisors

• supervises and coordinates the activities of the Assistant Chief Nurse,

Nurse Supervisors and Nursing Training Staff

• Evaluates the quality and effectively of nursing services in relation to the

total health program
• coordinates community health nursing services with other health
and socio-civic programs/ agencies. (Government and Non-
Government)

• acts as Consultant to the City Health Officer and nursing staff

on nursing and related matters

• plans for and motivates, nursing staff to pursue continuing

education programs for professional growth and development.
Keeps himself/ herself abreast on trends and developments on
nursing and related fields

• participates in the recruitment selection of nursing personnel

and makes proper recommendations. Recommends deserving and
qualified nursing personnel for promotion
• initiates, motivates and participates in the conduct of studies/
researches to improve effectiveness of nursing services

• attends conferences, seminars and updates on nursing

community, heath and related fields

• participates in community outreach programs as needed

• provides leadership and encourages development of

leadership abilities among nursing personnel

• serves as resource speaker/ reactor in staff development and

other training activities

• performs other functions assigned from time to time

ASSISTANT CHIEF NURSE IN SELECTED CITY HEALTH
DEPARTMENTS

Qualifications : Bachelor of Science in Nursing,

Registered Nurse in the Philippines, Master’s Degree
in Nursing, Major in Community Health Nursing or
Master’s Degree in Public Health/ Nursing
Administration with at least five years experience in
community health nursing, two years of which have
been in supervisory position, with demonstrated
leadership ability
Functions and Responsibilities

• Participates with the chief nurse in the assessment of nursing needs

• participates in planning, organizing and directing the implementation of

Community Health Nursing Services

• Supervises, coordinates and evaluates the performance of the District

Nurse Supervisors and assists them in the evaluation of community health
nurses

• participates in the recruitment and selection of nursing personnel and in

the orientation of new community health nurses

• analyzes potentials of Nurse Supervisors for professional growth and

recommends deserving nurses for study grants
• participates in the planning and conduct of staff development programs
for nurses

• work with professional organizations and other socio- civic groups (GOs
and NGOs) to improve nursing services

• acts resource person in seminars and meetings on nursing, community

development and related matters

• participate/ conducts studies/ researches in community health nursing

to improve service

• performs the functions of the Chief Nurse in her/his absence

• attends meetings, seminars, workshops on nursing and related fields

• performs other functions assigned from time to time

 OCCUPATIONAL HEALTH NURSE
Qualifications : Registered Nurse, Bachelor of Science in Nursing
preferably with training/ units in Occupational Health Nursing
Functions and Responsibilities:

• Assists or participates in developing an adequate health program for

workers and laborers, which should include sound health education
activities

• encourages periodic physical examination and provides guidance or

direction in obtaining his/ her service

• cooperates with occupational medical programs in the presentation of

accidents and in the promotion of good working atmosphere and
relationships in the place of work

• determines resources for rehabilitation of the laborers and employees

whenever indicated
• assists the under-served small scale industries to maintain
health and safety of the workers

• interprets to management the Provision of Rep. Act 1054 in

which the employer shall maintain and keep

• inspects commercial and industrial establishments to check

the sanitary conditions and to detect the presence of
industrial occupational hazards and to report same to the
Chief of the Service

• gives health teaching on how to detect and prevent risks

and occupational related diseases

• guides and helps an industrial or nurse with the view of

improving the services in occupational health
– understanding of the nature of risks and how the workers
are exposed

– meeting emergency cases promptly and adequately

– applying up-to-date techniques and procedures and

translating to employees the safety policies of the
company

– assessing, developing and implementing control measures

among employees and their families

– counseling to help employees meet their problems

– keeping and maintaining good and simple records

 – utilization of the community resources for the benefit of the
employees

• prepares and submits daily, monthly, and annual

reports of accomplishment

• keeps himself/ herself abreast of modern trends in

nursing through active participation in professional
and scientific conferences, seminars, workshops or
formal education

• works cooperatively and closely with other health and

nursing agencies for a common goal: health of the
community, such as immunization and sanitation
programs
PRIORITIES FOR SUPERVISION

• industrial and commercial establishments where

there are no nurses employed

• industrial and commercial establishments where

there are complaints of occupational hazards

• industrial and commercial establishments where

there are cases of occupational diseases

• industrial and commercial firms where assistance is

necessary in the establishment and maintenance of a
clinic with a full-time nurse
OCCUPATIONAL HEALTH NURSE SUPERVISOR

Functions

• Participates in the formulation of policies,

development of plans/ programs on matters pertaining
to the prevention and control of occupational health
diseases

• assists in the preparation of standards and guidelines

for information, education and communication

• participates in the development of training programs

on occupational health and safety
• assists in the identification of training needs of lower level
health personnel on occupational health diseases

• performs the two key elements of Occupational Health

Programs such as:

health protection – comprising the health risk management at

work which is the health hazard identifications, health risk
assessment, its control measures, health surveillance,
information, instruction and training, monitoring and record
keeping and
health promotion comprising the assessment of health risk
associated with the living environment and lifestyle, employee
information and assistance program