Doctor (CTC)

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    Reports to: CTC coordinator (or healthcare supervisor depending on the organisation)

    Triage

    • Carries out a rapid evaluation of all patients on arrival:
      • determines if the patient is a cholera case;
      • evaluates the degree of dehydration.
    • Decides treatment plan (oral or IV rehydration).
    • Provides initial emergency care (e.g. inserts IV or intraosseous), until the patient is stabilised.
    • Carries our admission of patients (cholera register).
    • Initiates an individual patient file (parameters, observations, etc.).
    • Writes prescriptions.
    • Supervises triage nurses.

     

    Note: in a small CTU, these tasks may be performed by a nurse responsible for referring complicated cases to the CTC.

    IV and oral rehydration

    • Visits all admitted patients daily and monitors complicated cases (young children, pregnant women, comorbidity cases, treatment complications, etc.).
    • Responds to nurses’ requests and alerts: insertion of intraosseous needle, concomitant infection, treatment complications, etc.
    • Records monitoring and observation parameters on the individual patient file.
    • Writes prescriptions (drugs, daily dose, number of times a day, duration).

    Patient discharge

    • Validates patient discharge.
    • Gives patients "discharge slips" that they show the watchman on exit.
    • Writes referral letters if needed (e.g. feeding centre, maternity).

    Deceased patients

    • Confirms death.
    • Participates in investigation into cause of death.

    Other tasks

    • Supervises and participates in in-service training of medical staff.
    • Participates in the management of workplace accidents (accidental exposure to blood or other).
    • Participates in certain team meetings.
    • Attends certain in-service training courses.