Daily Time Record Daily Time Record: Saturday Sunday
Daily Time Record Daily Time Record: Saturday Sunday
Daily Time Record Daily Time Record: Saturday Sunday
PRINTED NAME OF
DOH ACTIVITY ATTENDED
DATE TIME IN TIME OUT LGU/ PLACE VISITED AUTHORIZED SIGNATORIES
TRAVEL ORDER #
(MHO/ LOCAL ELECTED OFFICIALS)
7 7:43 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION CLEO JEAN T. ANGARA, RN
8 OFF
9 7:52 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION; HRH MONTHLY REPORTS
10 7:59 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION; HRH MONTHLY REPORTS CLEO JEAN T. ANGARA, RN
11 7:55 AM 5:00 PM
12 SUNDAY
13 7:59 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION CLEO JEAN T. ANGARA, RN
14 SICK LEAVE
15 7:57 AM 5:00 PM ROBINSON'S PLACE, ILIGAN HRH MONTHLY MEETING; ENCODING VAS CLEO JEAN T. ANGARA, RN
16
17
18 SATURDAY
19 SUNDAY
20 COMPENSATORY TIME OFF RPO No. 2021-1390
21 8:10 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION
22 7:59 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION
23 7:57 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION CLEO JEAN T. ANGARA, RN
24 7:58 AM 12:00 PM ROBINSON'S PLACE, ILIGAN ENCODING VAS
25 SATURDAY
26 SUNDAY
27 8:00 AM 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION
28 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION
29 5:00 PM ROBINSON'S PLACE, ILIGAN COVID-19 VACCINATION CLEO JEAN T. ANGARA, RN
30
31
I certify on my honor that the above is a true and correct report of the hours of work performed, record of which was made daily at the time
of arrival and departure from office.
MONTHLY JOURNAL
ACTIVITIES:
> SUBMITTED HRH MONTHLY REPORTS
> SUPERVISED CONTACT TRACERS IN MONITORED CLOSED CONTACT TO COVID PATIENT
> ASSISTED COVID-19 VACCINATION AND MOBILE VACCINATION IN THE COMMUNITY
> HRH MONTHLY MEETING WITH DMO IV
> ENCODING VACCINE ADMINISTRATION SYSTEM
LEARNINGS/INSIGHTS:
> IN COVID-19 VACCINATION ACTIVITY, I LEARNED HOW TO BE MORE PATIENCE IN HANDLING
PRESSURE SITUATIONS AND TO BECOME MORE RESOURCEFUL ESPECIALLY IN LACKING OF
SUPPLIES ON THE VACCINATION SITE. ALSO, AS A NURSE, I SHOULD BE FLEXIBLE IN ANY
ASSIGNMENT GIVEN FROM OUR SUPERVISOR WHEN LACK OF MANPOWER.
> IN COVID-19 VACCINATION ACTIVITY, ACCOMPLISHMENT IS IMPORTANT BUT HERD IMMUNITY IS MORE IMPORT
ISSUES/CONCERNS:
> NONE
RECOMMENDATIONS:
> NONE
NOT
FUNCTION DONE REMARKS
DONE
1. Participates in the implementation of various
projectios/programs/systems and activities related to
Maternal, Neonatal and Child Health and Nutrition
(MNCHN) and Pantawid Pamilya Program such as:
a. Maternal health services
1. Pre-natal care √ 40
2. Post-natal care √ 8
3. Family planning √ 9
b. Child Health Care services
1.EPI √ 51
2.Nutrition √
3.Dental Health Programs √
2. Conducts regular monitoring of various health
programs of the municipality
a. Maternal health services
1. Pre-natal care √ 40
2. Post-natal care √ 8
3. Family planning √ 9
b. Child Health Care services
1.EPI √ 51
2.Nutrition √
3.Dental Health Programs √
3. Verify or Validate the compliance of the
conditionalities of the Pantawid Pamilya recipients
I. monitor compliance of the
households on the ff:
a. pre/post/ante natal care √
b. facility based delivery √
c. complete immunization of
√
children
d. school performance of children √
e. attendance to learning and
development activities for
√
parents/guardians
II. Ensure timely submission of
Compliance Verification System (CVS) form by
√
the Rural Health Midwives
4. Conduct health education and training
a. Mother’s class √
b. Pabasa sa nutrisyon, etc. √
c. Family Development Session √
5. Assist in the conduct of disease surveillance √
6. Implement TB Program
Case Detection √
TB-DOTS Compliance √
7. Conduct Community Health Team Initiatives √
8. Prepares and submits reports/project requirements:
a. DTR √ 1
b. Monthly journal report √ 1
ACCOMPLISHMENT
PERFORMANCE INDICATOR REMARKS
Week 1 Week 2 Week 3 Week 4 TOTAL
1 Total Number of Pregnant
9 10 11 10 40
Women
NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 9 10 11 10 40
2 identify number of pregnant
Total No. of pregnant women
3 5 1 3 12 women with 4 or more ANC
with prenatal care visitation
visit
NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 3 5 1 3 12
3
Total No. pregnant women
3 5 1 3 12
with 2 TT vaccination
NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 3 5 1 3 12
4 Total No. pregnant women
9 10 11 10 40
with birth plans
NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 9 10 11 10 40
5
Total of Postpartum women
2 2 1 3 8
with at least 2 PP visit
NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
ACCOMPLISHMENT
PERFORMANCE INDICATOR REMARKS
Week 1 Week 2 Week 3 Week 4 TOTAL
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 2 2 1 3 8
6
Total Number of Deliveries 2 2 1 3 8
NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 2 2 1 3 8
7 Total No. of deliveries
2 2 1 3 8
attended by SKA
NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 2 2 1 3 8
8
Total No. of FBD 2 2 1 3 8
NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 2 2 1 3 8
9
Fully Immunized Children 3 3 4 2 12
NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 0 0 0 0 0
NON NHTS
Age group : 10-14 years old 0 0 0 0 0
Age group : 15-19 years old 0 0 0 0 0
Age group: 20 and above 2 2 1 3 8
32 Number of Neonatal Death 0 0 0 0 0
33 Number of Still Births 0 0 0 0 0
34 Number of Infant Death 0 0 0 0 0
35 Number of Under 5 death 0 0 0 0 0
36 Number of Maternal Death 0 0 0 0 0
37 Total No. of Premature
Mortality Death (age 30-70, per 0 0 0 0 0
LCR) due to NCD:
CVD 0 0 0 0 0
DM II 0 0 0 0 0
Chronic Respi Diseases 0 0 0 0 0
Cancer, all sites 0 0 0 0 0
38 Number of deaths due to road
0 0 0 0 0
injuries (per LCR)
39 Total reportable cases
0 0 0 0 0
reported Category 1
40 Total reportable cases
0 0 0 0 0
reported Category 2
Other Activities:
COVID-19 VACCINATION
COVID-19 MOBILE VACCINATION
2 3 4 5 6 7 8
COVID COVID VACCINATION COVID VACCINATION COVID COVID
VACCINATION @ @ ROBINSON'S / @ ROBINSON'S / HRH VACCINATION @ VACCINATION @
ROBINSON'S HRH REPORTS REPORTS ROBINSON'S ROBINSON'S
9 10 11 12 13 14 15
COVID COVID COVID
COVID VACCINATION COVID VACCINATION
VACCINATION @ VACCINATION @ VACCINATION @
@ ROBINSON'S @ ROBINSON'S
ROBINSON'S ROBINSON'S ROBINSON'S
16 17 18 19 20 21 22
23 / 30 24 / 31 25 26 27 28 29
COVID
COVID COVID
COVID VACCINATION COVID VACCINATION VACCINATION @
VACCINATION @ VACCINATION @
@ ROBINSON'S @ ROBINSON'S ROBINSON'S / HRH
ROBINSON'S ROBINSON'S
REPORTS
Prepared by:
This is to certify that the following nurses under the Nurse Deployment Project rendered actual service specified in the table below:
AREA OF
NAME HOURS RENDERED* REMARKS
ASSIGNMENT
Submitted by:
Verified by:
CHERLINA C. CAÑAVERAL, MD
City Health Officer II
4/28/2017
MIDWIFE (RHMPP) MONTHLY REPORT OF ATTENDANCE
For the month of APRIL 2017
This is to certify that the following midwives under the RHMPP rendered actual service specified in the table below:
HOURS
NAME AREA OF ASSIGNMENT REMARKS
RENDERED*
Submitted by:
Verified by:
CHERLINA C. CAÑAVERAL, MD
City Health Officer II
4/28/2017
NURSE (NDP) MONTHLY REPORT OF ATTENDANCE
For the month of APRIL 2017
This is to certify that the following nurses under the Public Health Associates rendered actual service specified in the table below:
AREA OF
NAME HOURS RENDERED* REMARKS
ASSIGNMENT
Submitted by:
Verified by:
CHERLINA C. CAÑAVERAL, MD
City Health Officer II
4/28/2017
NURSE (NDP) MONTHLY REPORT OF ATTENDANCE
For the month of APRIL 2017
This is to certify that the following nurses under the Universal Health Care Implementor rendered actual service specified in the table below:
AREA OF
NAME HOURS RENDERED* REMARKS
ASSIGNMENT
Submitted by:
Verified by:
CHERLINA C. CAÑAVERAL, MD
City Health Officer II
4/28/2017