By the end of this session, you will be able to:

summarize questionnaire section 13

identify items used for infection prevention and control and outpatient equipment

Session 9 content

• Questionnaire review: Section 13: Outpatient service conditions

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Sub-sections

• 13.1 Service availability
• 13.2 Outpatient amenities
• 13.3 Site conditions
• 13.4 Equipment and commodities
• 13.5 Support for quality services

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Section 13.�Outpatient service conditions

Categories of information

• 13.1 Service availability
• Outpatient services (one option)
• # of hours open (one option)
• # of days open (numeric)

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Categories of information

• 13.2 Outpatient amenities
• Room with auditory and visual privacy (one option)
• Toilet type (one option + observation)
• Usable toilet for patients and visitors (one option), toilet cleanliness (one option + observation), hand washing materials within 5 meters from toilet (one option + observation)
• Usable toilet for female patients and visitors (one option), female toilet cleanliness (one option + observation), hand washing materials at female toilet (one option + observation), menstrual hygiene bit at female toilet (one option + observation), private washing area for women (one option + observation)
• Usable staff toilet (one option), staff toilet cleanliness (one option + observation), hand washing materials at staff toilet (one option + observation)

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Categories of information

• 13.3 Site conditions
• Cleanliness and safety conditions (several options + observation); floor swept, counters/tables/chairs wiped clean, sharps outside box, sharp box overflowing/torn, infectious waste lying uncovered, staff wearing uniforms, staff wearing visible identification, no smoking signs
• Items for infection prevention and control (several options + observation); clean running water, soap, alcohol-based handrub, poster reminding staff about hand hygiene, disposable paper towels, disposable latex gloves (sterile and non-sterile), bin for infectious non-sharp waste with lid and bin liner, bin with functional foot pedal, sharps container, environmental disinfectant, non-reusable syringes, surgical masks, N95 masks, non-sterile protective gowns, aprons, eye protection

Group knowledge check: Identification of prevention and control items�(15’)

• Group participants in tables and tell them to nominate a note-taker and a rapporteur
• Refer participants to questionnaire sub-section 13.3, question 1320
• Display the next slide and ask participants to review questionnaire, discuss, agree, and write down the items from the questionnaire that they can see in the pictures
• Ask a group to present results as you display correct responses at the click
• Discuss as appropriate
• Continue doing the same for the other pictures, involving other groups

Disposable latex gloves (non-sterile)

Disposable latex gloves (sterile)

Disposable paper towels for drying hands

Clean running water (bucket with tap) and soap

Poster on hand-hygiene for staff

Alcohol-based handrub

Bin for infectious non-sharp waste

Foot pedal bin for infectious waste

Disposable syringes with disposable needles

Sharp box

Bin for infectious non-sharp waste

Eye protection (goggles, face shields)

Environmental disinfectant

Aprons

Surgical masks

N95 face masks

N95 face masks

Surgical masks

Hair cover

Gumboots or clogs

Sterile protective gowns

Categories of information

• 13.4 Equipment and commodities
• Availability and functionality of patient examination equipment and commodities (several options + observation); adult weighing scale, blood pressure apparatus, thermometer, stethoscope, examination light, child weighing scale, infant weighing scale, height board, pulse oximeter, measuring tape, MUAC tape, ITN or voucher (adult/paediatric/infant), otoscope, ophthalmoscope, pen light, tongue depressors.

Group knowledge check: Identification of patient examination equipment�(15’)

• Group participants in tables and tell them to nominate a note-taker and a rapporteur
• Refer participants to questionnaire sub-section 13.4 in the paper questionnaire
• Display the next slide and ask participants to review questionnaire, discuss, agree, and write down the equipment from the questionnaire that they can see in the pictures
• Ask a group to present results as you display correct responses at the click
• Discuss as appropriate
• Continue doing the same for the other pictures, involving other groups

Sphygmomanometer

Adult weighing scale

Digital sphygmomanometer

Manual sphygmomanometer

Adult weighing scale

Thermometer

Stethoscope

Stethoscope

Child weighing scale (250 g gradation)

Infant weighing scale (100 g gradation)

Pulse oximeter

Height board

Measuring tape

Examination light

Pen light

Categories of information

• 13.4 Equipment and commodities
• Oxygen in outpatient service area (one option)
• Current oxygen availability (one option)
• Availability and functionality of oxygen equipment (several options + observation); centrally piped oxygen supply, oxygen concentrator, oxygen tank with attached pressure gauge and regulator, flowmeter for oxygen source, humidifier, oxygen delivery apparatus
• Oxygen brought from different unit (one option)
• 3-month availability (one option)

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Group knowledge check: Identification of oxygen equipment�(10’)

• Group participants in tables and tell them to nominate a note-taker and a rapporteur
• Refer participants to questionnaire sub-section 13.4 in the paper questionnaire
• Display the next slide and ask participants to review questionnaire, discuss, agree, and write down the equipment from the questionnaire that they can see in the pictures
• Ask a group to present results as you display correct responses at the click
• Discuss as appropriate
• Continue doing the same for the other pictures, involving other groups

Oxygen delivery apparatus

Oxygen tank with attached pressure gauge

Central oxygen supply

Oxygen concentrator

Oxygen concentrator close up

Oxygen concentrator

Oxygen concentrator close up

Flowmeter for oxygen source, with gradations in mL and humidifier

Categories of information

• 13.5 Support for quality services
• Guidelines or job aids on standard precautions for IPC (one option + observation)
• Staff training in past 2 years

You have now completed Session 09.

In the next session, we will look at communicable and noncommunicable diseases, services for mental health, and services for special needs.