SAMPLE OF FIELD REPORT DOWNLOAD PDF

SAMPLE OF FIELD REPORT DOWNLOAD PDF 

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TABORA COLLEGE OF HEALTH AND ALLIED SCIENCES.

 KIRANDO HEALTH CENTRE

FROM 24THMARCH- 8TH APRIL 2019

 

 

PARTICIPANTS

                                                   1. ZAKARIA M. GEORGE

                                                    2. EMMANUEL M. GEORGE

                                                    3. GODFREY MARIKI

                                                    4. LUNYALULA KASANDA

                                                    5. HAPPYNESS MABULA

                                                    6. MWARAMI R. RWAMBO

 

 

SUPERVISOR

                                                                   DR. AYUBU

 

 

 

 

 

 

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TABLE OF CONTENTS:

TABLE OF CONTENTS

LIST OFABREVIATIONS………………………………………………………………………

ACKNOWLEDGEMENT………………………………………………………………………

CHAPTER 1

 INTRODUCTION………………………………………………………………………...

CHAPTER 2 

OBJECTIVES…………………………………………………………………………….

CHAPTER 3

 CLINICAL ROTATION SUMMARIES ………………………………………………..

CHAPTER 4

ADMINISTRATIVE EXPERIENCES …………………………………………………..

CHAPTER 5

 DISCUSSION …………………………………………………………………………….

CHAPTER 6

CHALLENGES AND SOLUTION …………..………………………………………….

CHAPTET 7

LESSON LEARNT AND RECOMMENDATION ………………………………………

 

 

 

 

 

 

LIST OF ABBREVIATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACKNOLEGDEMENT

We appreciate and thank GOD for his guidance all over our fieldwork period. We thank our parent/guardian for prayer and economic support.

We thank Dr.Ernest Jumbe, the principal of Sumbawanga Clinical Officers Training Centre, Dr Rickson (academic officer of Sumbawanga Clinical Officer Training Centre) and all staff members for organizing and supervising fieldwork.

Sincerely we would like tothanks Dr Gidion Msaki ( Medical officer Incharge at kirando health centre)

Special thank to Dr AYUBU for conducting and supervising us, Dr Gidionmedical incharge for his direction and orientation.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INTRODUCTION:

The district hospital attachment is the clinical practice which is conducted by the NTA Level 6 students in the assigned district hospital.

DISTRICT HEALTH PROFILE

Nkasi District is one among the four 4council in Rukwa Region. It lies between latitude 60 35 and 70 30 South of equator and between longitudes 380 45 and 390 30 to the East. It is bordered by Mbeya City in the North.

Administratively the district is divided into 4 Divisions, 18 Wards,4 Registered Villages and 18 streets. Only 3 wards have health centres and remaining 15 don’t have health centres that made to be a challenge in a community especially when they need to seek for medical services.

FACILITY DISTRIBUTION

Nkasi District Council has 4 Health facilities which are kabwe,wampembe,kirando and nkomolo health centre and 16 Dispensaries of Nkasi district.(See the Table below )

 

 

TYPE OF FACILITY

NUMBER OF FACILITIES

OWNERSHIP

 

 

HOSPITAL

1

 

Government

DISPENSARY

15

1

0

Government

Private

FBO

 

 

HEALTH CENTER

4

4 Government

0 FBO

 

CLINICS

0

0

 

 

DISTRICT TOP TEN DISEASES FOR THE YEAR

SN

DISEASES

CASES PER YEAR

1.

Malaria

5984

2

Anaemia

820

3

Other Diagnosis

701

4

Pneumonia

608

5

UTI

519

6

Diarrhoea Diseases

519

7

Skin Infections

416

8

Dental Carries

410

9

Genital Discharge

243

10

PID

145

 


 

NO OF STAFF IN DISTRICT HOSPITAL AS PER CARDE

SN

STAFF AVAILABLE BY CARDE

NUMBERS

1

MEDICAL DOCTORS

1

2

ASSISTANT MEDICAL DOCTORS

1

3

CLINICAL OFFICERS

4

4

REGISTERED NURSES

18

5

ENROLLED NURSES

11

6

PHARMACIST AND PHAM. TECHNICIANS

2

7

LAB TECHNOLOGIST

3

8

RADIOLOGIST

0

8

SOCIAL WELFARE OFFICERS

0

9

HEALTH SECRETARY

0

10

MEDICAL ATTENDANTS

19

11

DHOBI

3

12

MORTUARY ATTENDANT

1

Kirando health centre has five wards which are female ward, male ward, maternity ward, paediatrics ward and BIMA ward. Also it is divided into the following departments which are OPD, Operative theatre,Dental room, Pharmacy, RCH, Eye unit, CTC, Mortuary and TB.

 

 

 

 

 

AIM AND OBJECTIVES:

AIM:

The main aim of this field work attachment was to provide us (students) with more opportunities to practice clinical skills learnt in the previous semesters of NTA levels 4 and 5 and semester 1 of the NTA level 6

OBJECTIVES:

We had the following objectives:

1.                  To perform accurate history taking

2.                  To perform complete physical examination

3.                  To perform various clinical procedures

4.                  To provide appropriate management to patients with medical surgical, paediatrics,

            Obstetrics and gynaecological including HIV and TB

5.                  To counsel clients using effective counselling skills

6.                  To employ management skills in clinical areas

7.                  To employ ethical aspects in patient management

8.                  To interpret clinical findings as well as investigations.

9.                  To conduct health education and advocacy session at out-patient

      Department

10.              To search for information/data for research work.

 

 

 

 

 

 

CLINICAL ROTATIONS SUMMARIES

During this hospital fieldwork, we rotated in various departments and worked hand by hand under the supervision of the available health workers especially intern doctors and the nurses. In departments, we managed different patient with different conditions as well as conducting health education. Also, we attended clinical meeting every Monday and Friday morning on which different cases were being presented and hence learned case presentation skills.

The following are the summaries of each department and the cases which were interesting and attended during rotation:

 MEDICAL WARD.

In this ward, the top ten disease are HIV/AIDS, Severe Anaemia, Severe Malaria Hypertension, DM, Pneumonia, Hernia, Cellulitis and Hydrocele. Among the cases, an interested case to share:

Rukia Said, a female of 60years living at Kirandocome with thecomplain of peeling of the skin all over the body for 3days. She was apparently well 3days ago when she started having the condition of peeling of the skin all over the body, the condition started as itching blister  all over the body, during scratching the blisters busted, no discharge from the blisters The blisters does not involve the mucous membranes. However, the patient has no history of using any medication before the condition started. It was the first admission, with no history of drug or any allergy, no history of blood transfusion.

On examination, she was alert, skin lesion all over the body, blister some part of the body, no discharge from nose, eye, ears. The mucous membrane doesn’t have lesion or blisters. Vital Sign: temp 36.5 c, RR=18 breath per min, BP=130/90, Pulse=80beats per min. Diagnosis bullous pephigus, with the differential of Steven Johnson Syndrome and Burn. Investigation carried out were PITC, FBP.  Treatment given: Predinisolone 70mg od for 7days followed by 60mg od for 7days then 50mg,40mg,30mg,10mg,5mg od for 7day. Also seed oil to apply to skin, and encourage body hygiene. The patient progression was good and she was discharged home in 5days time.

 

MALE WARD(SURGERY)

Abdalla Mkikitu, male with 54years a farmer from Kimanzichana, admitted with the complain of swelling on the right inguinal region for a month aggrievated by working, standing up and relieving by sitting and lying down. It was fluctuant and painful. Not associated with fever, vomiting, passing loose stool, painful urination and frequent urination.

On examination, he was alert, ill looking fluctuant swelling on the right inguinal region, tender on deep palpation, cough reflex positive, bowel sound ......BP=130/70mm/hg, Pulse=90beats per min, RR=21breath per min, Temp=37.2 c. Diagnosis was Redusable direct right inguinal hernia. Treatment was herniolaphy. Post operative management caps amoxyllin 500mg 8hourly for 5days. Tabs Metronidazole 400mg 8hourly for 5days, Diclofenac 50mg 8hourly for 5days, ambulation after 24 hours, monitor vital sign.

PEADIATRICS WARD

Nasri Hemedi, a male child with 3 years from mwanambaya,the informant was the biological mother came with the complain of  fever and genenal body weakness for 5days and vomiting for 3days

 

DISCUSSION

The practicum objectives were met through ‘out our time of field work at Kirando. Our best performance at taking history and presenting them to the doctors available at different departments added uswith so much knowledge.

Also we learnt alot though direct observation during ward round and clinical meetings.

In addition to our objectives, we also attended OPD medical clinics,also attending patient atunder supervision of experienced clinician. Also observation of procedures in theatre such as caessarian section, herniolaphy and hydroceletomy.

 

 

CHALLENGES

STUDENTS

  • Limited time as compared to  many objective that were assigned in our practicum guide for us to perform.

ADMINISTRATION

  • Inadequate theraptic equipment and supplies such as HB quvets, full blood picture machine was not working, inadequate blood for transfusion, vac lines suture, oxygen fomenters, and lack of screen for privacy to the patients.
  • Negative perception of our presentation in the clinical meetings especially to nurses, since some of our presentation made a reflection on their line of work.

 

 

 

 

 

ACHIEVEMENTS

In our  hospital fieldwork, we learnt that clinical practice enhances competence in our field of study. Much more, working with experienced doctors and clinicians motivates our learning and commitment to further study.

Rotation and presentation added us with knowledge and skills, without forgetting confidence toward different procedures in various departments.

In our field work, we were able to interact with the society and manage to share our ideas and also shared experience of administration with the medical in charge. Some of us manage to conduct meeting section carried out in the hospital.

Recommendation

  1. Time for practice should be extended to at least 4weeks so that all objectives can be carried out well.
  2. Early provision of health insurance card before field work period to avoid some unnecessary inconveniences of funds.
  3. Our objective should be distributed to all departments not only to the medical in charge to make health workers in various departments aware of our objectives to avoid negative perception.

 

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ADVICE:

We would like to advice the Kirando Health Centreon a few things we observation and we think can be of benefit in improving health services.

  • Health community education and intervention on diseases which affect most the community like malaria and anaemia as the leading causes of death at Kirando.
  • Also priority in distribution of blood regional wise to the area with high need of blood like kirando.


 

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