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2. Assist in disease
surveillance
2 patients
assisted by
being a tx
partner
1 (50%)
2 Case
investigation
conducted
: ________________
hospital,
Learning
Insights
Parents are
eager to know
more of the
program
A thorough
explanation to
patients of
possible side
effects of anti TB
meds to prevent
defaulters from
tx
Issues and
Concerns
Parents are
asking for info
leaflets as their
guide
Family support
is not seen in
one of the
patients
No case for
investigation
Action Done/
Recommendations
Relayed to midwife
______________________________________
Signature over Printed Name
Noted by:
___________________________________
NOTE: Please refer to the roles and responsibilities for areas of accomplishment.8
Chief Nurse/MHO