5.2.2.6. Secondary Health Care Facilities (Hospitals)

Senior House Officers.

• 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).
• Function of the infection control nurse
• Recognizing and reporting adverse events related to medicines or vaccination to relevant personnel (specifically those within the Extended Programme on Immunization (EPI)).
• 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 Physician:

• 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.
• Registration of all NCD/MH patients and patients with notifiable communicable diseases in EMRS.
• 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:

• Collecting patient samples to be transported to laboratories.
• Reviewing of laboratory results for tests performed.
• Collecting data on notifiable communicable diseases and defined syndromes.
• 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.
• The infection control nurse collects the syndromic data from the registers in the ER depts.

Lab Professionals:

• Immediate report cases of notifiable CD that are considered in IHR (6.4.1.1), epidemic-prone diseases or cases in an outbreak or APHE.
• Weekly reporting confirmed cases of CD diagnosed in the laboratory (6.4.1.1 and 6.4.1.2) or samples sent outside (CARPHA).
• Weekly reporting includes a line list of cases with demographic, diagnosis, type of diagnostic test and contact information.
• Immediate minimal reporting of errors in any case notified.
• Monthly report for Influenza, SARS Cov2 and other viral ARI & genomic surveillance (referring samples outside).
• Monthly report of identified AMR patterns and indicators.
• Training HCW on sample collection techniques.
• Form an integral part of Regional Outbreak teams
• Providing guidance and SOP for sample collection and transport.
• Collecting laboratory samples in a timely manner, ensuring that control measures are taken, so that samples are viable.
• Analyzing laboratory sample to confirm disease diagnoses.
• Identifying / confirming cases of infectious diseases
• Reporting cases of infectious diseases (results derived from analysis of samples)
• Developing antibiogram from laboratory data.
• Reporting of antibiogram results with Epidemiology Unit and other public health authorities.
• Assisting in APHE or outbreaks by timely testing and analysis of samples.