I don't know why I haven't posted about this before, but I think it's high time I told you about the work Arold and I do during clinic weeks. I still teach all my classes during clinic, but Arold's main responsibility is to focus on the clinic when it's open.
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Arold & Nalouse working |
When the clinic is open we work in what’s called the “dossier room.” A dossier is simply a
document we keep for each patient. By the time a clinic team arrives in
Gramothe (generally around 8:30 am), there is a line of people waiting to see
the doctors and nurses. The first step for these patients is to fill the
benches in the waiting room. Then one by one they step up to the window.
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a patient dossier |
On the
other side of the window is the dossier room, complete with all the patient
files. The first question asked is if the patient has come before. If they have
been to the clinic before, they should have a card with their name and dossier
number. If they have the card, we check it and then pull their file and place it
on the stack of dossiers to be seen that day. If they have lost their card,
which is the case a good 85% of the
time, we look them up on our computer file. Then we make them a new card and
tell them not to lose it.
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one of the 15+ boxes of dossiers |
If a
patient has not been to the clinic before, we create a new dossier for them. We
ask their name, date of birth, sex, and where they live. One person types the
information into the computer and the other writes it on the dossier. Once we
are finished making or pulling the dossier for a patient they are directed to
return outside and wait for their name to be called.
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sorting dossiers to be filed |
Typically a Haitian
working in the clinic will come to retrieve the prepared dossiers several times
throughout the morning. They call the names on the dossiers when it’s time to
take new patients. Once a patient hears her name called, she enters the clinic
where her weight, blood pressure, and temperature are recorded on the dossier before
she sits on a bench waiting to see one of the providers. The providers then
keep the dossiers for all the patients they see. At the end of the day the
dossiers are collected and we file them back into their folders the next
morning.