RURAL CLINIC – PROTOCOL (MBBS DOCTOR) ?

 🩺 RURAL CLINIC –  PROTOCOL (MBBS DOCTOR)

(Print A4/A3 and display at reception/consult room)

🔴 1. TRIAGE FIRST (30–60 seconds)

• Vitals: Pulse, BP, RR, Temp, SpO₂
• RED FLAGS → REFER/STABILISE IMMEDIATELY
• SpO₂ < 92%, severe breathlessness
• Altered sensorium / seizures
• Chest pain / stroke signs
• Uncontrolled bleeding / trauma
• Shock (SBP < 90, cold clammy)

🟢 2. COMMON CASE PROTOCOLS (Treat Rationally)

Fever (<5 days, stable)

• Paracetamol + fluids
• Test if indicated (malaria/dengue/typhoid)
• No routine antibiotics

Respiratory (cough/wheeze)

• Nebulization (salbutamol ± ipratropium)
• O₂ if SpO₂ < 94%
• Antibiotic only if bacterial signs

Diarrhea/Vomiting

• ORS + zinc
• IV fluids if dehydration
• Avoid unnecessary IV antibiotics

Hypertension/Diabetes

• Check BP/GRBS
• Start/continue standard drugs
• Monthly follow-up

Minor injuries/wounds

• Clean, suture/dress
• Tetanus prophylaxis

💉 3. EMERGENCY STABILISATION (BEFORE REFERRAL)

• Airway–Breathing–Circulation
• Oxygen (5–10 L/min)
• IV line + fluids (NS/RL)
• Life-saving drugs ready: Adrenaline, Dextrose, Hydrocortisone
• Document & refer early

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🧾 4. SAFE PRACTICE RULES

• Write diagnosis + Rx clearly (with your Reg. No.)
• Avoid polypharmacy & steroid misuse
• Use IM/IV injections only when indicated
• Maintain case records & consent
• Display fees transparently

🧪 5. BASIC CLINIC SETUP (MINIMUM)

• BP apparatus, stethoscope, thermometer
• Pulse oximeter, glucometer, ECG (if possible)
• Nebulizer, oxygen cylinder + flowmeter
• IV sets, emergency drugs, suturing set

🧼 6. INFECTION CONTROL

• Hand hygiene (before/after every patient)
• Sterile dressings; safe needle disposal (puncture-proof bins)
• Clean surfaces daily; segregate biomedical waste

🤝 7. BUILD TRUST (DAILY HABITS)

• Fixed timings; be available
• Explain in local language
• Follow-up call/message next day for key cases
• Refer honestly when needed

⚠️ 8. DEALING WITH MISINFORMATION/QUACKERY

• Do not argue publicly
• Educate patients with simple facts
• Show before–after outcomes
• Keep documentation; escalate serious harm via proper channels

📞 9. REFERRAL NETWORK (DISPLAY NUMBERS)

• Nearest PHC/CHC
• Ambulance (108)
• Nearby specialists/hospitals

🏁 CLINIC PRINCIPLE

“Right diagnosis, rational treatment, timely referral, compassionate care.”