Nurse or health worker (ORP)

Admission and treatment of patients

• 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 (Plan A or Plan B).
• Carries out admission of patients (register).
• Settles in the patient.
• Prepares, prescribes and monitors the administration of ORS. Ensures ORS is available at all times.
• Administers other treatments: antibiotics and/or zinc sulfate if indicated, according to the protocol.
• Initiates an individual patient monitoring file and records observations and systematic prescriptions if indicated (antibiotics and zinc sulfate).
• Communicates information to the patient and/or family: explains the treatment procedure and/or the continuation of treatment at home, to return to the ORP if symptoms reappear, prevention measures.

Transfer of serious cases

• Calls the ambulance to transfer to the CTC/CTU patients that need IV treatment or that need to be referred, whatever the reason.
• Provides care before transfer a Citation a. Including starting IV treatment if staff is qualified to do so, depending on the organization of the healthcare provision. .
• Provides prepared ORS, to be taken during the transfer if transport time takes over 15 minutes.

Patient discharge

• Gives sachets of ORS to continue maintenance therapy at home.
• Records patient’s discharge, archives individual monitoring file.

Other tasks

• Records admissions/discharges every day and sends data to the supervisor.
• Prepares orders and takes delivery of drugs (ORS, antibiotics, zinc) and materials, and ensures stock management.
• Informs the supervisor in the event of a problem (e.g. risk of stock shortage, delivery errors, etc.).
• Supervises ORP staff (e.g. cleaners, health promotors).
• At the request of the supervisor:
  • participates in certain team meetings;
  • attends certain in-service training courses.