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2010/10/17 Tzu Chi San Jose Slonaker Site Plan. * Medical Outreach Sync-Up Orientation Agenda 義診前行. 1.Service Flow Chart – 看診流程圖 2. Layout Floor Plan – 場地佈置圖 3.Greeting Area Flow – 註冊 等候區 流程 4.Registration Area – 註冊 區 5.Flu Shot Flow– 施打疫苗流程 - PowerPoint PPT Presentation
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*Medical Outreach Sync-Up Orientation Agenda 義診前行 1.Service Flow Chart – 看診流程圖 2. Layout Floor Plan – 場地佈置圖 3.Greeting Area Flow – 註冊等候區流程 4.Registration Area – 註冊區 5.Flu Shot Flow– 施打疫苗流程 6.General Waiting Area Control – 一般候診區 7.Department Control – 各科看診區 8.Record Return – 病歷回收 9. Volunteer Guidelines – 義診志工注意事項 10.Setup Items Request Table – 佈置需求表 Appendix – 附錄2
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1. Service Flow Chart看診流程圖
Assign Master Number 領牌
Registration 註册
Measure Blood
Pressure (BP)血壓
Measure Wt & Ht
身高體重
Start 開始
Record Return病歷回收
End 結束
General Waiting Area
一般候診區
西醫中醫牙科
Service Complete
d 完成 ?
No
Yes
MD
OMD
Denta
l
Flu S
hot
流感疫苗
流感疫苗Flu Shot
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2.1 Slonaker Academy – Overview會場位置
2.3 Photo – Outside外場位置
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Dental Van
Main Hall
Patient Parking
Main Hall to Dental Van
Registration
Flu Shot
Registration
6Main Hall
Parking Lot TzuChi
Flag
RegistrationWaiting Area
2.2 Layout Floor Plan - Outside外場佈置圖
Corridor IN OUT
Rec
ord
Ret
urn
Outside Set-up Items - 10’x10’ Tent x3- 6’ TC table x 4-TC Chairs x 25 - (20 Reg + 5 Dental)- Blue table cloth x 4- Health Fair Banner x1- Tzu Chi flag & pole x2- Tzu Chi publications
Reg #1
BloodPressure
Blood Pressure
10’x10’ tent
Health Fair Banner
TzuChi Flag
10’x10’ tent
Sign In &
Information
Co
rrido
r
Registration
Supply By TCSupply By School
Color Code
Wt&Ht
Reg #2
10’x10’ tent
Registration
2.3 Photo – Main Hall 內場位置
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Stage for Vision Station
OMD &PartitionArea
Main Hall Exit
Dental Van
Vol RoomMain Hall MD
Partners Flu Shot
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2.3 Layout Floor Plan – Main Hall 內場佈置圖
Approx ~ 50’
Sta
ge
App
rox
~ 4
5’
IN
OUT
Staff Lounge 4’
6’
Ge
ne
ral
Wa
itin
g A
rea
Record Return
4’
7’
Massage Table#5
OMDPartition#5
7’
Massage Table#4
OMDPartition#4
7’
Massage Table#3
OMDPartition#3
7’
Massage Table#2
OMDPartition#2
7’ 7’ 8’
TC
Bo
oth
s
OMDWaiting
MDWaiting
Scre
en
Stairs
- OMD partition x 5- Blue table cloth x 5- White table roll x 3- Decorated flowers- Tzu Chi publications- Snack/Water/Cup- Projector/Screen x1- Computer x2
Inside Set-up Items-12” school table x5-School chairs x 20-6’ TC table x 4-4’ TC table x 2-TC Chairs x 35
Supply By TCSupply By School
Color Code
6’
Wa
ter
/Sn
ac
k4’
CTDN
Alzhe
imer
ACSAlz
heim
erCTD
NAlz
heim
er
CTDN
Health
Tru
st
CTDN AlzheimerOMD#1 OMD#2 CTDN AlzheimerOMD#3 OMD#4
Flu Shot
7’
Massage Table#1
OMDPartition#1
AlzheimerMD#1 Flu Shot
Wa
ter
/Sn
ac
k4’
Pro
jec
tor
4’
Flu Shot Waiting
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2.5 Photo – Staff Lounge醫護及志工休息室
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2.5 Layout Floor Plan – Staff Lounge醫護及志工休息室佈置圖
Staff Lounge- School Table x 2- School Chair x 12- TC Serving Utensils- TC Paper Towels- TC Water/Snacks/Cups
Lunch11:30AM – 1:30PM
Ser
vin
g C
ou
nte
rWater /Snacks
15’
25’
Fre
eze
rS
ink
Outside - Main Hall Entrance
Ou
tsid
e -
Lou
nge
Ent
ran
ce
TC – Vol Stuff
Din
ing
Tab
le
Supply By TC
Supply By School
Color Code
3. Greeting Area Flow註册等候區流程 依到達順序,分發號碼牌 (Master Number)給來參與健康日的看診者 ( 每位看診者一個號碼 ) 。
為病人講解後續流程及注意事項,並請病人在此等候區等候。
注意有無情況特殊病人。 介紹慈濟與互動。
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4. Registration Area Flow 註冊區流程
註冊時,依號碼 (Master Number) , Flow in/out志工引導看診者從掛號等候區到註冊區登記。
註冊單會註明看診科別 (Patient Registration and Consent Form, Appendix 1)並會預先分配各科序號,登錄於看診單。 (Service Card, Appendix 2)
註冊志工為看診者說明下面要進行的工作和手續。 註冊完後,量血壓 , 量身高體重。完畢後, Flow in/out志工引導至內場 Main Hall Flu Shot。
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5. Flu Shot Flow 施打疫苗流程 查驗 I.D.是否符合 18歲以上 ( 西元 1992年或以前 ) ? 如是,分發序號表格填寫簽名,等候注射通知。
( 施打疫苗同意書 ,Appendix 3) (流感疫苗調查表 ,Appendix 4)
( 流感疫苗資訊 ,Appendix 5) 如非,志工引導回註册等候區,等候註册通知。
疫苗開始施打時,志工依序叫號,請已登記者至施打流感疫苗。
施打完畢後,請志工引導回一般候診區 , 等候看診。
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5. General Waiting Area Flow In/Out Control一般候診區
量完身高體重後, Flow in/out志工引導看診者至一般候診區等候看診。 (General Waiting Area)
Controller根據看診單 (Service Card),登錄看各科序號於候診區控制表。 (Multi Service Log Sheet, Appendix 6)
根據各科的候診需求,迅速依各科序號,另由志工Flow out看診者到各科的 Station。
看診者 Flow out到各科後,消去相對的各科序號。 如發生某一科等待時間太長,告知看診者約略的等候時間來減低等候的不耐。
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6. Department Control 各科看診區
Controller登錄看診者號碼及姓名於各科看診登記表。 (Department Log Sheet, Appendix 7)
依登記表順序,請看診者依序就診。 該科就診完畢後, Controller查看看診單。 (Service Card) 如各科全部就診完畢, Flow out至病歷回收部。 (Record Return)
如尚未就診完畢, Flow out至一般候診區。(General Waiting Area)
與醫生協調看診人數 , 通知註冊組控制人數。 活動結束後,將看診登記表交給病歷回收部(Record Return),統計看診人數。
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7. Record Return Exit Control病歷回收 感恩看診者的參與 檢查簽名 回收號碼牌 回收病歷表
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注意安全。 不遲到 , 不早退。 ( 簽到與簽退 ) 服裝儀容整齊 ( 志工背心 , 請當天借出及歸還 ) 不擅自離開被分配的工作崗位。如需休息替換,請確定有志工代理你的工作 , 並告知名組組長。
義診時,常有變化球,請依組長指示,做所安排的職責。為避免溝通上困擾,除非事情緊急,請勿在會場上指揮其他志工。
經常洗手 , 一離開工作場所,立即洗手。 如有刺傷流血,一定要立刻報告負責人員處理。
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8.1 Health Fair Volunteer Guidelines 義診志工注意事項之一
不向病人推薦醫師及偏方。 尊重病人隱私,不批評或談論病情。 如有語言溝通問題,請找翻譯志工。 攜帶並使用環保碗筷及茶杯。 口氣溫和 , 態度親切 , 耐心誠懇,面帶微笑。 感恩 、尊重、愛!讓人對慈濟起歡喜心,進而接引入慈濟善門。
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8.2 Health Fair Volunteer Guidelines 義診志工注意事項之二
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項目 數量 位置 加註
Tzu Chi flag/stand 2 Entrance Brother Chung-Kuo
10x10 tent 4 Outside Brother Chung-Kuo
6” tables 10 Outside :5 Dental :2
Main Hall :3
Brother Chung-Kuo
4” tables 2 Main Hall :2 Brother Chung-Kuo
Chairs 60 Outside :25
Main Hall:35
Brother Chung-Kuo
Tzu Chi blue table cloth 10 Outside-Information, Registration:4
Main Hall - partner, TC booth:5
Brother Chung-Kuo
Volunteer vest 10 Volunteer sign-in booth Brother Chung-Kuo
Power cord extension 4 Main Hall Brother Chung-Kuo
Scotch tape, scissors, ropes, staples, and tools
some Main Hall to cover power cord
Hang the banner
Brother Chung-Kuo
Walkie Talkie 2 Outside and Main Hall Brother Chung-Kuo
Continued on Table 2 .. .. ..
9.1 Setup Request Table 1 of 5佈置需求表之一
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項目 數量 位置 加註
Screen for Projector 1 Main Hall – Waiting Area Brother Chung-Kuo
秀麗門 2 TC Booths Brother Chung-Kuo
Environmental Utensils/Cups
40 Dining Room Brother Wen-Hsien
Tzu Chi publication Some TC Booth Brother Wen-Hsien
Dining Serving Tools Some Staff Lounge for dining Brother Wen-Hsien
Disposable Cups Some Main Hall:1
Staff Lounge for dining :1
Brother Wen-Hsien
Cold Water Tank with switch
2 Main Hall :1
Staff Lounge for dining: 1
Brother Wen-Hsien
Hot Water Tank with boiler
2 Main Hall :1
Staff Lounge for dining: 1
Brother Wen-Hsien
Health fair banner 1 Main Entrance Brother Wen-Hsien
Continued on Table 3 .. .. ..
9.2 Setup Request Table 2 of 5佈置需求表之二
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項目 數量 位置 加註
White table cloth 4 Rolls White plastic on each service stations – 1 roll outside and 3 rolls in Main Hall
Sister Linda
Service/Seminar signs All Each station Sister Linda
Dr/Nurse robe Enough >10 Volunteer sign-in booth Sister Linda
Wt & Ht scale 1 Main Hall Sister Linda
Thermo Scan & Filter 2 Flu Shot booth Sister Linda
Hand sanitizer 5 Outside: Registration 1
Main Hall Service Stations : 4
Sister Linda
Computer 2 Waiting Area:1
Record Return :1
Sister Linda
Continued on Table 4 .. ..
9.3 Setup Request Table 3 of 5佈置需求表之三
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項目 數量 位置 加註
MD Dept Tool Box 1 MD station Sister Hai
Flu Shot Supply 1 Flu shot station Sister Samatha
OMD Dept Tool Box 1 OMD station Brother Brian
OMD Partition & Tools 5 Main Hall -OMD Brother Brian
OMD Massage Chair 5 Mian Hall -OMD Brother Brian
Dental Dept Tool Box 1 Dental Station Sister Linda
All Dept needed Forms Each Dept Station Bother Charles
Continued on Table 5 .. .. ..
9.4 Setup Request Table 4 of 5佈置需求表之四
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項目 數量 位置 加註
Dr. name card All Brother Jack
Decorated flower 20 Each table Sister Jean
Snack/Coffee/Tea bags 2 sets Main Hall : 1 set
Staff Lounge :1 set
Sister Jean
Projector 1 Waiting Area Brother Eric
Speakers for PC 2 Waiting Area Brother Eric
Bottle Water 1 Staff Lounge Brother Eric
Tzu chi video / slides 1 Waiting Area Brother Chi-Jen
Breakfast Some Main Hall Brother Chi-Jen
End of Request .. .. ..
9.5 Setup Request Table 5 of 5佈置需求表之五
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Appendix 1 – Patient Registration & Consent Form附錄一 註冊表及同意書 ( 節錄 )
TZU CHI FREE CLINIC, USA – MECIAL TERM PATIENT REGISTRATION & CONSENT FORM
Date: _________________ Location: _____________________________________ Chart No: _____________ Patient Name病人姓名: (Last 姓) ________________________________ (First 名) ___________________________ Nombre Del Paciente: (Appellido) (Nombre)
Birthdate 生日: __________________ Sex性別: Male Female Telephone電話號碼: _____________________ (Fecha de Nacimiento) Sexo Telefono
Address住址:_____________________________________________________________________________________ (Domicilio)
Race / Ethnicity (Check One) Raza / Etnicidad (Marque una caja) 族裔選項 (請擇一) Asian/Pacific Islander Hispanic American Indian/Alaskan Native African American White Other
Language/ Idioma English/Inglés Spanish/Español Chinese/Chino Other /Otro
Service Category:
Medical Dental Acupuncture Chiropractic Blood Test Vision Medico Dentista Acupunctura Quiromante Body Fat 西醫 牙醫 中醫 Bone Density Hepatitis B
Vitals: Wt: Ht: Temp: Resp.: Allergy:
Pulse: Blood Pressure: Ideal = below 120/80 (高壓 120 以下, 低壓 80 以下 = 理想)
Blood Sugar血醣 : Fasting = below 120 mg/dl Normal ( 空腹 低於 120 = 正常 ) Non-fasting = over 160 mg/dl Follow Up ( 非空腹 高於 160 = 追蹤檢查 ) Cholresterol膽固醇 : Ideal = less than 200 (低於 200 = 理想) Hgb血紅素 :
I hereby release Tzu Chi Free Clinic and all other organizations associated with this screening, parent and affiliated companies, successors and assignees, and officers, directors, and employees from any and all liability arising from or in any way connected with blood drawing for my blood cholesterol, glucose, hemoglobin measurements, immunizations, or from the data derived there from.
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Appendix 2 – Service Card附錄二 看診單
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Appendix 3 – Flu Shot Consent Form 附錄三 施打疫苗同意書 ( 英文 )
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Appendix 4 – Qualification Check Form 附錄四 流感疫苗調查表
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Appendix 5 – CDC Flu Shot Information 附錄五 流感疫資訊
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Appendix 6 – General Waiting Area Log Sheet附錄六 候診區控制表
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Appendix 7 – Department Log Sheet附錄七 各科看診登記表 ( 中醫 )
City:
DEPT. NAME DEPT. NAME
SEQ. # (FIRST NAME + LAST NAME) SEQ. # (FIRST NAME + LAST NAME)
MEDICAL TEAMACUPUNCTURE LOG SHEET
Date: [MM / DD / YYYY]
Location:
NO NO
Medical Team @ 20080508
NUMBER OF PATIENTS SERVED: [ __________ ]
Month / Day / YearMonth / Day /Month / Day /
Tzu Chi Fresno Medical Outreach Guideline V1.0
http://nca.us.tzuchi.org/?q=content/wiki/community-outreach-and-health-fair-operation
Tzu Chi Northern California Medical Outreach Guideline
http://www.socialtext.net/outreach/index.cgi?medical_outreach
TCNW Medical Group Wiki http://nca.us.tzuchi.org/?q=content/wiki/medical-
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Appendix 8 - References參考資料
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