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FORM/S TO BE REPSONSIBLE
PROCESS
USED PERSON
Teacher receives medical complaint from
Step 1 student.
- Teacher fills up the form.
Clinic Services
Teacher accompanies the student to the Teacher
Step 2 Referral Sip
Clinic.
- Teacher is to stay at student's side at all times
to ensure safety.
Occupational Health
Nurse
Occupational Health Nurse conducts Health
Assessment. Nurse's Notes
Step 4 - Takes vital signs (BP, PR, RR, T & pain scale).
- Notes medical complaints, signs & symptoms.
Step 5
b. Pharmacologic management
- Medications given per orem. Medicine
- If student has emergency or maintenance Dispensing Logbook
medications on hand, OHN verifies authenticity of & Nurse's Notes
the medication & administers it.
- Observation for 30 - minutes.
- If with improvement, remark accordingly & Nurse's Notes &
accompany back to the classroom. Clinic Services
Referral Slip
Reassess condition.
- If condition has no improvement, parents / legal Occupational Health
Step 6 guardians are then called upon. Nurse
- Sent Home Request is issued.
Reassess condition.
- If condition has no improvement, inform the
Occupational Health
parents / legal guardian for prompt medical
Step 6 Nurse
assessment & evaluation.
- Sent Home Request is issued.
Occupational Health
*- Immediately bring the patient to the hospital or
Permit to Leave the Nurse
Step 5 wait for parents / guardian to fetch the student.
Campus Slip
*- Provide sent home request.
*- Present request to guard before leaving the
campus Parents / Guardians
Secure Medical Certificate
- Present Medical Certificate to OHN before
returning to school or attending class. Student
- Medical Certificate is noted by OHN & a Class Occupational Health
Admission Slip will be provided. Clinic Services Nurse
Step 6
Referral Slip
- Student will give the copy to the teacher before Student
he is admitted to the classroom.
- Teacher receives the Clinic Referral Slip. Teacher
Log Accidents
Medical Illness Occupational Health
Step 7 - Log student's time out.
Logbook Nurse
Duration