5.2.2.2. Polyclinics

Doctors:

• Collecting patient samples to be transported to laboratories.
• Reviewing of laboratory results for tests performed.
• Accurately diagnosing patients based on clinical presentations.
• Registering patients in the Electronic Medical Record System (EMRS) based on defined syndromes.
• Registration of all NCD/MH patients and patients with notifiable communicable diseases in EMRS.
• Collecting data on notifiable and non-notifiable communicable diseases.
• Collecting data on non-communicable diseases (including NCD lifestyle risk factors such as smoking, level of alcohol consumption, weight and physical activity level status).
• Recognizing and reporting notifiable diseases to the EpiU.
• Recognizing and reporting adverse events related to medicines or vaccination to relevant personnel (specifically those within the Extended Programme on Immunization (EPI)).
• Verification of all epidemiologic surveillance data collected.
• Analysis of patient data.
• Reporting maternal and neonatal deaths, other maternal and neonatal events, and near miss cases to PHC Centers with priority.
• Participating in surveillance activities by sharing accurate and timely information on patients to relevant bodies.
• Collaborating with public health officers in outbreak investigations and control measures.
• Ensuring that patients and their family members follow surveillance and response interventions during APHE.

Accident and Emergency:

• Verbally report any unusual cases or events to the medical surveillance officer.

Nurses:

• Collecting patient samples for transport to lab or storage.
• Reviewing of laboratory results for tests performed.
• Registering patients in the Electronic Medical Record System (EMRS) based on defined syndromes.
• Registration of all NCD/MH patients and patients with notifiable communicable diseases in EMRS.
• Collecting data on notifiable and non-notifiable communicable diseases.
• Collecting data on non-communicable diseases (including NCD lifestyle risk factors such as smoking, level of alcohol consumption, weight and physical activity level status).
• Recognizing and reporting notifiable diseases to doctor(s).
• Recognizing and reporting adverse events related to medicines or vaccination to doctors.
• Participating in surveillance activities by providing accurate and timely information on patients to the doctor(s).
• Collaborating with public health officers in outbreak investigations and control measures.
• Ensuring that patients and their family members follow surveillance and response interventions during APHE.

Infection Prevention and Control (IPC) Nurses/ Nurses:

• Serves as the liaison between the EpiU and hospital for the management and control of communicable diseases and/or APHE
• Assists the EpiU in case investigations and/or outbreaks at the hospital
• Collecting patient samples to be transported to laboratories.
• Reviewing of laboratory results for tests performed.
• Collecting data on notifiable communicable diseases.
• Collating data on notifiable communicable diseases and analyzing trends.
• Collaborate with other healthcare workers, to provide specialist knowledge and expert advice on types of infections identified in patients and how the infections should be treated.
• Monitoring of staff infection related to treatment of patients and developing measures to control these.
• Monitoring and alerting of any suspected severe respiratory infections (SARI) cases.
• Conducting outbreak investigations
• Implementing and overseeing infection control measures
• Monitoring compliance with IPC protocols
• Educating both healthcare workers and patients on how infection prevention and control and the importance of it.
• Assist in implementing and enforcing infection prevention and control measures.
• Assist in the training of healthcare staff (including the development of material needed for training sessions)
• Assist in the coordination of response strategies during outbreaks.

Lab Professionals:

• Training healthcare workers on sample collection techniques.
• Participate as a member of Regional Outbreak teams
• Collecting laboratory samples in a timely manner, ensuring that control measures are taken, so that samples are viable.
• Analyzing laboratory sample (serology (HIV, syphilis) serology, urinalysis, urine HCG) to confirm disease diagnoses.
• Identifying / confirming cases of infectious diseases.
• Reporting cases of infectious diseases (results derived from analysis of samples)
• Developing antibiograms from laboratory data.
• Reporting of antibiogram results with EpiU and other public health authorities.
• Assisting in APHE or outbreaks by timely testing and analysis of samples.