Occupational Health

Clinic Processes and Procedures

 Clinic Processes and Procedures

I. Definition of Terms
II. Medical Consultation
III. Medicine Dispensing
IV. Fit-to-work Solaire Clinic
V. Sent Home
Processes
VI. Pre-employment andExam
Medical Procedures
(PEME)
VII. Emergency Medical Condition
VIII.Emergency Response Protocol
IX. Non-Emergency Response Protocol
X. Ambulance Conduction
XI. Home Visit

8/27/2017 2
 Definition of Terms
Medical Consultation examination conducted by the licensed professional medical personnel making reviews
of patients medical history, conduct physical and mental assessment of the patient, and makes recommendation
as to the care and treatment of the consulting individual.
Consulting Client - any individual seeking medical attention, consultation and care, or treatment.
Medicine any chemical substance that alleviates predominantly medical condition temporarily or permanently;
it is a drug or other preparation used in the treatment of a disease.
Medicine Dispensing sound provision of medicine appropriate to the patients condition.
Occupational Health Physician (OHP) responsible in promoting and maintaining the health and well-being of
the workers, outsourced personnel and contractors.
Occupational Health Nurse (OHN) - is a registered professional nurse with Basic Occupational Safety & Health
(BOSH) certification from the Occupational Health Nurses Association of the Philippines (OHNAP) employed
either as the only nurse or one of the several nurses working with a part-time or full-time physician and other
members of an occupational health team.
 Medical Consultation
A

Does the
Occupational Health Nurse Consulting OHP conducts the
Consulting Client goes to Client
(OHN) receives and assessment /
the clinic for medication needs
assesses the Consulting referral to
examination and
or treatment.
Client. the OH YES generates diagnosis
Physician?

NO
Does OHP fills
NO Consulting YES
prescribed
Client forms for
need referral
referral?

NOTES:
Consulting Clients:
1. Referral - Pertains to ER,
Specialist, Rehab, and
other Clinics &
institutions to conduct
further consultation &
evaluation.
OH shall inform:
Does
Consulting Client referred
1. Immediate Superior for EEs Consulting
back to OHN for medicine NO
on referrals / Sent back to Client
dispensing (initial dose) or
Work/Sent Home need to be
other OHP orders & record
2. Relatives / Companion for transferred
appropriately.
all other consulting clients to ER?
with regards to referral
YES
B C
 Medicine Dispensing

START

Does the
Consulting Client goes OHN receives and Consulting YES
OHN refers
to OH Nurse (OHN) in assesses Consulting Client need Consulting
the clinic Client further Client to OHP
evaluation?

NO

OHN dispenses
medicine when Does the
NOTE: necessary and Consulting NO
reassures the Client
1) OHN dispenses (initial Consulting Client require
dose) medicine as medication?
prescribed by OHP OHN
2) OHN records details of properly
the medicine YES reassures
dispensed Consulting
3) OHN records diagnosis Clients
OHN dispenses
and recommendation
medicine & advises
on Medical Record
Consulting Client to
Form.
follow-up condition
4) Prescribed medications
with the clinic or
are not available in the
with referred MD
clinic.

END
 Fit to Work
START
EE presents to OHN
Employee (EE) coming
Medical Certificate and
from sick leave, goes to
OHN records accordingly
OH Nurse (OHN) before
shift starts
OHP issues FTW slip
(duplicate copy) to EE
YES
EE submits FTW slip to
immediate Superior for
acknowledgement and
provide clinic the signed
copy within his/her shift OHP issues Med Cert to
EE indicating
recommendations; OHN
notifies immediate
superior
END
NOTE:
OHN refers EE to OH FTW must be secured 1 -2
Physician (OHP) for hours before shift starts.
evaluation of medical FTW beyond the 2 hours cut-
status off time shall be considered
late/absent.
TM should consider possible
clinic queuing.
Sick leave of 1 day or more
should be supported with
Medical Certificate. Especially
for infectious cases.
Is TM Medical Certificate should
recommended
include the attending doctors
to return to
work? assessment and diagnosis.
OHPs re-evaluation and re-
assessment affirms fitness to
work. Issued the Fit to Work
slip accordingly.
In cases when Fit to Work
clearance is necessary from
attending physician, MC must
signify fitness to work status.
Medical Certificate coming
from the outside
Clinic/Institution shall be
NO validated by the OHN.
 Sent Home

B
NOTE:
OHP issues sent home slip / EE is advised to rest in
referral to EE, OHN the clinic 30 minutes to
coordinates and advises an hour maximum for
immediate superior observation depending
accordingly and records on the case then re-
appropriately. evaluate for final
disposition.

TM sent home / referred

END
 Pre-employment Medical Exam
(PEME)
OH Team secures details and
OH Team receives position of applicant and issues Candidate undergoes
START endorsement from referral slip for endorsement to PEME as follows:
HR Pre-employment Medical Exam Package A, B and C
(PEME)

Is the Results are posted in the

The applicant is Unfit NO applicant online system within 24
to Work Fit to hours after completion of
Work? the test.

YES
NOTE:
1. PEME results will be reflected in the online system
within 24 hours after completion of test, except on
OH Team sends email advise weekends where results becomes available Monday
to Talent Acquisition of the following week.

2. Complete PEME results is forwarded within the

Talent Acquisition sends email/
text message to the applicant
regarding application status
(Fit/ Unfit to Work)
END
Turnaround Time of 3 days maximum, except for
those with stool culture test which takes 7 days
before the result is released.
3. For hiring reconsideration, HR / Hiring Manager
acknowledges by signing off the Clinical Abstract as
an awareness of the medical finding/ condition and
follow-up medical work-ups for the candidate.
 Emergency Medical Condition
START

Occurrence of Medical
condition, EE who receives
the call or who is at the
scene immediately
contacts the Emergency
Hotline Number 820.

Clinic immediately deploys

first responder, Emergency
Medical Team (EMT) / First
Aider
within 2 minutes to the
location

EMT at the scene conducts

assessment and evaluates
condition of the patient

YES NO
Emergency Response Is it life Non-Emergency Response
A Protocol threatening? Protocol B
 Emergency Response Protocol

A
Clinic OHN informs concerned Responding Team* goes
EMT activates the
Managers immediately within 2 to the scene, assesses the
START responding team thru the
minutes after validation and
Clinic within 2 minutes patient and applies first
receiving the call aid within 5 to 10 minutes

NOTE:

*Responding Team consists of: Patient will be further

evaluated and managed,
Occupational Health Physician (OHP) immediate hospital
Occupational Health Nurse (OHN) referral will be initiated
Emergency Medical Team (EMT)

Emergency Medical Condition / Life Threatening Condition are as

follows:

Loss of consciousness C
Severe blood loss
Cardiac arrest, stroke or heart attack
Difficulty of breathing
Seizure lasting more than 5 minutes / Grand Mal Seizure
Emergency Childbirth: Either complicated or uncomplicated
Fracture and any other musculo-skeletal trauma
 Non-Emergency Response Protocol

B
EMT responds to the Does the Patient is provided with
scene, assesses the patient need NO final instructions,
START patient and applies first further medical whenever is necessary
aid when necessary evaluation and rest will be provided at the
management? Clinic.

YES
END
Patient is
escorted to
the Clinic

Medical
Consultation
Process

END
 Ambulance Conduction

OHP endorses the Ambulance crew obtains Ambulance crew loads

patient to the information needed for the patient and transports
C Emergency Room the conduction & to nearby accredited
(Hospital) by telephone prepares for transport hospital
call

Patient is endorsed to the

NOTE: ER staff and immediately
reports back to FBI Clinic
1. Patient should ONLY be conducted to either of the for updates
following nearby hospital:
Davao Doctors Hospital
San Pedro Hospital END
2. Companion (Patients significant others) should
always be present when endorsing the patient to the
hospital.

3. If no companion is available, 3 OH Nurse accompanies

the patient all throughout the procedure until patient is
stabilized or declared dead.
 Home Visit

The Team consisting of 1

Occupational Health OHN and/or 1, 3-Ps OH
Schedule for the Home Nurse, along with 1
Team receives
START endorsement from the
Visit is set at least 1 day representative from the
prior to scheduled date. concerned department
requesting party.
proceeds to the EE house

The Team conducts

interview, assessment
and gives advise to the
EE.

The Team returns to FBI

and creates the Home
Visit Report and submits
it to the HR Business
Partner for evaluation

END