2011/02/13 Tzu Chi San Jose Slonaker Site Plan

1

＊Medical Outreach Sync-Up Orientation Agenda 義診前行 Service Flow Chart – 看診流程圖 Layout Floor Plan – 場地佈置圖 Greeting Area Flow – 註冊等候區流程 Registration Area – 註冊區 General Waiting Area Control – 一般候診區 Department Control – 各科看診區 Record Return – 病歷回收 Volunteer Guidelines – 義診志工注意事項 Setup Items Request Table – 佈置需求表 Appendix – 附錄

2

3

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

西醫中醫牙科脊椎科

Service Complete

d 完成 ?

No

Yes

MD

OMD

Chiro

pr

actic

Denta

l

4

2.1 Slonaker Academy – Overview會場位置

2.3 Photo – Outside外場位置

5

Dental Van

Main Hall

Patient Parking

Main Hall to Dental Van

Registration

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 5-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

Health Fair Banner

TzuChi Flag

10’x10’ tent

Sig

n I

n &

In

form

ati

on

Co

rrido

r

Registration

Supply By TCSupply By School

Color Code

Reg #2

10’x10’ tent

Registration

Restroom

Shadow extension for sun-screen or raining back up purpose

10’x10’ tent

TC Booth

TC

Bo

oth

School stools

6’

6’

Dental ScreenNear Dental Van

6’

2.3 Photo – Main Hall 內場位置

7

Stage for Vision Station

OMD &PartitionArea

Main Hall Exit

Dental Van

Vol RoomMain Hall MD

Partners

8

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’

Ora

l H

ygie

ne

MD Waiting

Scre

en

Stairs

Inside Set-up Items-12” school table x6-School chairs x 20-6’ TC table x 4-TC Chairs x 35- OMD partition x 5- Blue table cloth x 3-White table roll

x 3-Decorated

flowers TzuChi

publications

Snack/Water/Cup Projectorx1 Computerx1

Supply By TCSupply By School

Color Code

6’

Wa

ter

/Sn

ac

k6’

CTDN

Alzhe

imer

ACSAlz

heim

erCTD

NAlz

heim

er

CTDN

Health

Tru

st

CTDN AlzheimerOMD#1 OMD#2 CTDN AlzheimerOMD#3 OMD#4

WtHt

7’

Massage Table#1

DC/OMDPartition#1

Wa

ter

/Sn

ac

k’ P

roje

cto

r4’

BP Waiting

CTDN AlzheimerMD#2 MD#1

AlzheimerDC#16’

MD#3 BP

OMDWaiting

6’

9

2.5 Photo – Staff Lounge醫護及志工休息室

10

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。

11

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。

12

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。

13

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。

14

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

15

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 , 並告知各組組長。

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。

16

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。

17

8.2 Health Fair Volunteer Guidelines 義診志工注意事項之二

18

項目數量位置加註

Tzu Chi flag/stand 2 Entrance Brother Chung-Kuo

10x10 tent 3 Outside Brother Chung-Kuo

6” tables 10 Outside :4 Dental :1

Main Hall :4 spare:1

Brother Chung-Kuo

Chairs 60 Outside :25

Main Hall:35

Brother Chung-Kuo

Tzu Chi blue table cloth 8 Outside-Information, Reg/TC booth:4

Main Hall – RR/OHI/Snack/Spare:4

Brother Chung-Kuo

Volunteer vest 15 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

Continued on Table 2 .. .. ..

9.1 Setup Request Table 1 of 5佈置需求表之一

19


Environmental Utensils 10 Dining Room Brother Wen-Hsien

Environmental 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


9.2 Setup Request Table 2 of 5佈置需求表之二

20


White table cloth 3 Rolls White plastic on each service stations – 3 rolls in Main Hall

Sister Amy

Service/Seminar signs All Each station Sister Amy

Dr/Nurse robe >15 Volunteer sign-in booth

With different sizes

Sister Amy

Wt & Ht scale 1 Main Hall Sister Amy

Hand sanitizer 5 Outside: Registration 1

Main Hall Service Stations : 4

Sister Amy

Computer 1 Waiting Area:1 Sister Amy

Continued on Table 4 .. ..

9.3 Setup Request Table 3 of 5佈置需求表之三

21


MD Dept Tool Box 1 MD station Sister Hai

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


9.4 Setup Request Table 4 of 5佈置需求表之四

22


Dr. name card All Brother Jack

Table Deco 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 Break room Sister Jean

End of Request .. .. ..

9.5 Setup Request Table 5 of 5佈置需求表之五

23

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.

24

Appendix 2 – Service Card附錄二看診單

25

Appendix 6 – General Waiting Area Log Sheet附錄六候診區控制表

26

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-

group27

Appendix 8 - References參考資料

28

Documents

2011/02/13 Tzu Chi San Jose Slonaker Site Plan