User talk:105.234.172.185

OPD: The activity in the OPD has shown positive progress compared to last month. There has been an increase in initial consultations and consistent follow-up activity. A total of 105 biopsies have been performed, there were 742 planned appointments at the opd. Out of these, 57 people walked in without prior appointments while 165 individuals had their first-time visit called initial consultations. There were 402 follow-up visits called subsequent consultations. Unfortunately, 145 people missed their scheduled appointments and 30 appointments were cancelled. HR: - leave plans for the upcoming month of December have been successfully organized. This will ensure that the staff members can take time off as required while maintaining adequate coverage. Furthermore, new nurses and nurse aides have joined the team.

Chemotherapy 4B: The chemotherapy activities in 4B have been running smoothly. Notably, 17 new patients have started NACT (Neo-Adjuvant Chemotherapy) and 13 patients have initiated PAC (Post-Adjuvant Chemotherapy). There have been no new cases of adjuvant chemotherapy during this reporting period. In total, 222 consultations have taken place, indicating active engagement with patients. The biweekly meeting with 4B MOH supervisors has further facilitated effective communication and collaboration.

Efforts are being made to implement a 3-way stopcock and improve fluid management in Chemotherapy 4B. These initiatives aim to enhance the efficiency and safety of procedures conducted in the department. However, there are challenges in obtaining accurate data for 4B, as some patients receiving chemotherapy are not registered in the chemo cohort. This issue needs to be addressed to ensure comprehensive and accurate records.

Challenge -Getting accurate data for chemotherapy department. - Premedication practices need improvement, as it has been observed that the same dose of dexamethasone is given to all patients, possibly due to a shortage. - Long waiting times in the OPD and delays in biopsy results are identified as challenges. These delays impact patient satisfaction. Strategies should be implemented to reduce waiting times. - Delaying biopsy result.

Next month Plan -  A follow-up on the implementation of the 3-way stopcock and potential implementation of the       chemo tree will be conducted in Chemotherapy 4B. - The management of port -a-Cath will be closely monitored to ensure proper care and prevent any complications. - A monthly meeting with the staff from both 4C and 4B will be held to bring up of ideas and best   practices. - Finalize my orientation process. - A registration book specifically for 4B will be prepared to improve the accuracy of patient records and data collection. - The job description of the liaison officer will be reviewed to ensure clarity and alignment with duties and responsibilities. - Identifying staffs who will on duty during holiday - Will discuss with team and hr to see for possibility of Adjusting the working hours for hygienist.