Standard of

Performed

Performed
Not
Maternal and SOP/Policies/Programs of the Institution Specific Activities
Child Health
Nursing
1) The nurse    3 Months Probationary Training for every newly  Every newly hired nurse will work with a senior nurse as his/her
helps children and hired nurse mentor within probationary period.
parents attain and   Health Teaching/Health Information  Rotational activities by ward to conduct health information
maintain  Dissemination Program dissemination including Family Planning, Maternal and Child
optimum health. Care etc. every Monday at OPD with patients and families as
target crowd.
 Breast Feeding and Latching On Policy
 Every born child is instructed to be exclusively breastfed by the
mother per demand as prescribed by EO # 51 “The Milk Code” of
the Philippines.
 At Ward, nurses instruct mothers to latch on their babies.

 Kangaroo Mother Care Program (KMC)
 Daily OPD Prenatal & Post partum and Newborn
Follow-up Checkup at Underfive Clinic
 Outreach Programs
 Nurses enroll all stable premature and or less than 2500 grams
newborns into KMC Program.
 Pregnant are advised to have at least one check-up in every
trimester.
 Newborn Check-up and other children under five years old is
advised to go at Underfive Clinic

 The hospital ties-up with different NGOs and other local and
 Discharge Plan Protocol international organizations to send doctors and nurses for
Medical, Dental and Surgical Missions to remote areas of the
province.
 Nurses prepare and explain well home medications and special
instructions for the clients and family members.
 Referral System  Nurses give instruction to mothers for newborns’ Immunization
at RHUs
 Nurses prepare referral papers containing client’s significant
information and medical status accompanied by an assigned
travel nurse.
2) The nurse  Family Planning Program  Every couple has to attend a Family Planning Session to promote
assists families to  Mothers’ Class Program awareness about the impact of incoming new member in the
achieve and family.
maintain a  Pregnant are advised to attend Mothers’ Class session on how to
balance between take care themselves without setting aside the care needed by
the personal their babies and the care needed by rest of the family.
growth and needs
of individual
family members
and optimum
family
functioning.
3) The nurse o Health Teaching/Health Information  OPD Nurses give Family Planning; how to mitigate future health
intervenes with Dissemination Program (High Risk Pregnancy) problems related to pregnancy.
vulnerable clients
and families at
risk to prevent
potential and
developmental
health problems
4) The nurse  Segregation of bio, non-bio, infectious etc.  Proper implementation on segregation of wastes, sharps and toxic
promotes an chemicals to prevent spread of microorganism and eradicate
environment free  Sanitary maintenance infection.
of hazards to  Maintain clean and conducive environment.
reproduction,  RA 9211, Smoke Cessation Campaign (Clinic) emphasizes strict
growth, wellness “no cigarette smoking policy” within 200 meters away from any
and recovery hospital vicinity; pregnant are advised to stop smoking it may
from illness. lead to Ectopic pregnancy.
 Promotes food and environmental sanitation; functional toilettes,
well-wrapped foods etc.
 Follows as much as possible the aseptic and/or sterile techniques
to all procedures.

 Safety Precaution Policy
 Provides client-friendly advisories, cautions, wet signs and
directory of offices, wards, significant personalities, dangerous
areas etc.
 Prevent patients from falls and other harms; safety handrails,
debris precaution.
 Safe and proper medication.
 Nurses trying to provide contextualized therapeutic environment.
  Guidelines for Patient Isolation (reverse or  Cohorting of patient base on types of diseases and classification.
protective) (Medicine, Pedia, OB, Psyche, Surgery)

5) The nurse o Baseline Physical Assessment  Nurses conduct baseline and purposive data gathering to identify
detects changes in deviation and problem of health seeking individual. Ex. “FDAR”,
health status and HGT Monitoring etc.
deviations from
optimum  NBS Program
development  The OB Nurse duty performs Newborn Screening to every
newborn child.

 Neonatal Care Standard  DR Nurses do APGAR Scoring.

 Underfive Clinic / Program (Mon-Fri)  Underfive Clinic nurse carries-out basic physical assessment to
children 5 years old and below. Do BCG to every newborn child.
6) The nurse o Standard Nursing Care Program and updates  Retraining of Updated BLS and ACLS.
carries out  Intravenous (IVT) training updates.
appropriate  Nursing independent action during emergency case. Ex.
interventions and Oxygenation (O2, Ambubaging, CPR)
treatment to
facilitate survival  Sending Nurses into seminar regarding Maternal and child
and recovery  DOH Standard Care for Maternal and Child updates, Specially NICU and OB Nurses.
from illness. updates.

7) The nurse  Health Teaching/Health Information  Nurses are task to stay at the bedside for some moments in
assists clients and Dissemination Program several times per shift to assist clients in coping or mitigating
families to  Mothers’ Class Program developing and traumatic situations.
understand and  OB Nurse at OPD is given responsibility to promote health
cope with awareness on childbearing-readiness for mothers.
developing and  During Health Education Program, Maternal and Child
traumatic Development were always tackled.
situations during
 illness,
childbearing and
childhood.
8) The nurse o Philhealth “No Balance Billing Policy” under  Nurses are responsible to facilitate clients on how to avail the
actively pursues sponsorship and non-sponsorship Programs basic services available in the hospital.
strategies to  Diabetic Club Membership
enhance access  Mothers’ Bonus
and use of  Social Services Access
adequate
healthcare
services.
9) The nurse o Integrated institutional programs and policies on o Integrated Activities in Practice and Education
improves practice and education.  Departmentalized Best Nurse Program including OB-Gynae
maternal and Department
child health  Yearly Individual Performance Commitment Review Form
nursing practice (IPCRF)
through  Sending permanent Nurses into Maternal and Child Health
evaluation of Seminars /Trainings
practice,  Updated Intravenous Therapy Trainings and Seminars
education and  Updated BLS Training
research.  Emphasis on Specialization Program
 Upgrading of knowledge and skills through sending nurses into
medical trainings and seminars.
 Mentoring

* Summary

Maternal and Child Health are domain factors in determining how healthy the community is and an important indicator showing whether the goal
is either achieved or not achieved. The Department of Health implements certain programs to improve Maternal and Child Health in the community.
They undergo thorough studies and research that suits best for the practice. Standards of Maternal and Child Health in Northern Samar Provincial
Hospital follows all the DOH updates and implements it in real life situations but there are some areas which are not well practiced and implemented.
Why? Maybe because of inadequate funds and support from the government to provide instruments, supplies, machine etc. that will be helpful in the
hospital, also some standards are fairly performed.
* Conclusion

Based on the above data, Maternal and Child Health Standards are somehow marginally performed in Northern Samar Provincial Hospital. NSPH
tries to do their best to follow the DOH updates in caring for Mother and Child. However, some standards are not properly met and implemented because
of lack of support system in maintaining the standard of care.

*Recommendation

I highly recommend that the government should provide complete and full support to every Health Care facilities in Northern Samar in order to
maintain high standard of care. The support must address to issues regarding financial matters and also trainings which are to be funded by the institution
for the personnel to gain mastery in their skills.

1. Interpretation
The lack of strong support system in every Health Care Facilities affects the performance in providing high standard of care. This inadequacy in
return will probably increase the percentage of mortality rate in the country.
*Evaluation
The nurse plays a significant role in providing a high standard of Maternal and Child Health Care. From assisting every patient’s needs to
maintaining a hazard free environment, nurses show that they adequately provide good healthcare services. Not only that they try to carry out appropriate
actions but also they try to enhance, improve and pursue thorough evaluation of practice to fully give their best service in the survival and recovery of
every Mother and Child.
NSPH has been consistent in providing good healthcare for every Mother and Child patient. The hospital has been trying its best in maintaining
high standard of care despite the lack of health facilities and funds. All of the standards mentioned above are observed in the institution although some
lacks proper implementation due to inadequacy of resources.
 *Justification

2. Theory