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Hi everyone Can anyone provide the roles and repsonsibilities of Medical Officer thanks and regards vamsi
From India, Vadodara
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Please read as per your requirement.

Duties of Medical Officer, Primary Health Centre

The Medical Officer of a Primary Health Centre (PHC) is responsible for implementing all activities under the Health and Family Welfare delivery system in the PHC area. He/she is responsible in his/her individual capacity, as well as overall in charge. It is not possible to enumerate all his tasks. However, by virtue of his designation, it is implied that he will be solely responsible for the proper functioning of the PHC and activities related to RCH, NRHM, and other national programs. The detailed job functions of a Medical Officer working in the PHC are as follows:

I. Curative Work

The Medical Officer will organize the dispensary and outpatient department and will allot duties to the ancillary staff to ensure the smooth running of the OPD. He/she will make suitable arrangements for the distribution of work in the treatment of emergency cases which come outside the normal OPD hours. He/she will organize laboratory services for cases where necessary and within the scope of his laboratory for proper diagnosis of doubtful cases. He/she will make arrangements for rendering services for the treatment of minor ailments at the community level and at the PHC through the Health Assistants, Health Workers, and others. He/she will attend to cases referred to him/her by Health Assistants, Health Workers, ASHA/Voluntary Health Workers where applicable, Dais, or by the School Teachers. He/she will screen cases needing specialized medical attention, including dental care and nursing care, and refer them to referral institutions. He/she will provide guidance to the Health Assistants, Health Workers, Health Guides, and School Teachers in the treatment of minor ailments. He/she will cooperate and coordinate with other institutions providing medical care services in his/her area. He/she will visit each Sub-centre in his/her area at least once in a fortnight on a fixed day not only to check the work of the staff but also to provide curative services. Organize and participate in the “health day” at Anganwadi Centre once a month.

II. Preventive and Promotive Work

The Medical Officer will ensure that all the members of his/her Health Team are fully conversant with the various National Health & Family Welfare Programs, including NRHM, to be implemented in the area allotted to each Health functionary. He/she will further supervise their work periodically both in the clinics and in the community setting to give them the necessary guidance and direction. He/she will prepare operational plans and ensure effective implementation of the same to achieve the laid down targets under different National Health and Family Welfare Programmes. The MO will provide assistance in the formulation of village health and sanitation plans through the ANMs and coordinate with the PRIs in his/her PHC area. He/she will keep close liaison with the Block Development Officer and his/her staff, community leaders, and various social welfare agencies in his/her area and involve them to the best advantage in the promotion of health programmes in the area. Wherever possible, the MO will conduct field investigations to delineate local health problems for planning changes in the strategy of the effective delivery of Health and Family welfare services. He/she will coordinate and facilitate the functioning of the AYUSH doctor in the PHC.

1. Reproductive and Child Health Programme

- MCH Services
- Prophylaxis Schemes
- Immunization Programme
- Oral Rehydration Therapy in Diarrhoeal Diseases

The MO will promote institutional delivery and ensure that the PHC has the facilities to act as a 24x7 service delivery PHC.

Family Planning

- He/she will provide leadership and guidance for special programmes such as nutrition, prophylaxis against nutritional anemia amongst mothers and children (1-5 years), prophylaxis against blindness, and Vitamin A deficiency amongst children (1-5 years).
- He/she will provide basic MCH services.
- He/she will plan and implement UIP in line with the latest policy and ensure maximum possible coverage of the largest population in the PHC.
- He/she will ensure adequate supplies of vaccine and miscellaneous items required from time to time for the effective implementation of UIP.
- He/she will ensure proper storage of vaccine and maintenance and cold chain equipment.
- He/she will ensure through his/her health team early detection of diarrhea and dehydration.
- He/she will arrange for the correction of moderate and severe dehydration through appropriate treatment.
- He/she will ensure through his/her health team early detection of pneumonia cases and provide appropriate treatment.
- He/she will supervise the work of Health supervisors and Health workers in the treatment of mild and moderate ARI.
- He/she will visit schools in the PHC area at regular intervals and arrange for medical check-ups, immunization, and treatments with proper follow-up of those students found to have defects.
- He/she will be responsible for the proper and successful implementation of the Family Planning Programme in the PHC area, including education, motivation, delivery of services, and aftercare.
- She will be squarely responsible for giving immediate and sustained attention to any complications the acceptor develops due to acceptance of Family Planning methods.
- He/she will extend motivational advice to all eligible patients he/she sees in the OPD.
- He/she will get himself trained in tubectomy, wherever possible, and organize tubectomy camps.
- He/she will organize and conduct vasectomy camps.
- He/she will seek help from other agencies such as the District Bureau, Mobile Van, and other association/voluntary organizations for tubectomy/IUD camps and MTP services.

The following duties are common to all the activities coming under the package of services for MCH:

a. He/she will provide leadership to his/her team in the implementation of the Family Welfare Programme in the PHC catchments area.

b. He/she will ensure adequate supplies of equipment, drugs, educational material, and contraceptives required for the services programmes.

- He/she will provide MCH services such as ante-natal, intra-natal, and postnatal care of mothers and infants and child care through clinics at the PHC and Sub-centres.
- He/she will actively involve his health team in the effective implementation of the Nutrition Programmes and administration of Vitamin ‘A’ and Iron & Folic Acid Tablets and will coordinate with ICDS.
- Adequate stocks of ORS to ensure availability of ORS packets throughout the year.
- Monitor all cases of diarrhea, especially for children between 0-5 years.
- Recording and reporting of all details due to diarrhea, especially for children between 0-5 years.
- Organize wells to be chlorinated and coordinate with the sewage agency for sanitation.
- Training of all health personnel like ASHAs, Anganwadi Workers, Dais, and others who are involved in health care regarding the ORT programme.

2. Universal Immunization Programme (UIP)

He/she will plan and implement UIP in line with the latest policy and ensure cent percent coverage of the target population in the PHC (i.e., pregnant mothers and newborn infants). He/she will ensure adequate supplies of vaccines and miscellaneous items required from time to time for the effective implementation of UIP. He/she will ensure proper storage of vaccine and maintenance of cold chain equipment, planning and monitoring of performance, and training of staff.

3. National Vector Borne Disease Control Programme (NVBDCP) Malaria

He/she will be responsible for all NVBDCP operations in his/her PHC area and will be responsible for all administrative and technical matters. He/she should be completely acquainted with all problems and difficulties regarding surveillance and spray operations in his/her PHC area and be responsible for immediate action whenever the necessity arises. The Medical Officer will guide the Health Workers and Health Assistants on all treatment schedules, especially radical treatment with primaquine. As far as possible, he/she should investigate all malaria cases in the area less than API 2 regarding their nature and origin and institute necessary measures in this connection. He/she should ensure that prompt remedial measures are carried out by the Health Assistance about positive cases detected in areas with API less than two. He/she should give specific instructions to them in this respect while sending the result of blood slides found positive. He/she will check the microscopic work of the Laboratory Technician and dispatch a prescribed percentage of such slides to the Zonal Organization/Regional Office for Health and Family Welfare (Government of India) and State headquarters for cross-checking as laid down from time to time. He/she should, during his/her monthly meetings, ensure proper accounts of slides and anti-malaria drugs issued to the Health Workers and Health Assistant Male. The publicity material and mass media equipment received from time to time will be properly distributed or affixed as per the instructions from the district organization. He/she should consult the booklet on Management and treatment of Cerebral malaria and treat cerebral malaria cases as and when required. He/she should ensure that all categories of staff in the periphery administering radical treatment to the positive cases should observe the instructions laid down under NVBDCP on the subject, and in case toxic effects are observed in a patient who is receiving primaquine, the drug is stopped by the peripheral worker and such cases are brought to his/her notice for follow-up action/advice if any.

Where Japanese Encephalitis is endemic, the following additional duties are expected from him:

Japanese Encephalitis (JE)

He/she will be responsible for all anti-Japanese Encephalitis operations in his/her area and will be responsible for all administrative and technical matters. He/she should be completely acquainted with all problems and difficulties regarding surveillance, diagnosis, treatment, and spray operations in his/her PHC areas and be responsible for immediate action whenever the necessity arises. He/she will guide the Health Workers and Health Assistants on all treatment schedules, criteria for suspecting a case to be of J.E., and the approaches for motivation of the people for accepting J.E. control activities and to approach for immediate medical care to prevent death. He/she will arrange to collect and transport sera samples to the identified virology lab orders. He/she will be responsible for all health education activities in his/her area. He/she will be overall responsible for all J.E. control activities in his/her areas, including spray operations for the purpose. He/she may identify one Medical Officer who can be made solely responsible for J.E. control. He/she will be responsible for regular reporting to the District Malaria Officer, Civil Surgeon, Monitoring, Record Maintenance of adequate provisions for drugs, etc.

Filariasis

He/she should be completely acquainted with all problems and difficulties regarding microfilaria survey (night blood survey), line-listing of Lymphodema & Hydrocele cases in all the villages, diagnosis and home-based morbidity management, Mass Drug Administration, and serious adverse experiences of DEC. He/she will be responsible for ensuring all behaviour change communication activities for increasing compliance during MDA. He or she will be responsible for assessment of coverage in his area and mopping up operations. He/she will ensure that the rapid response team is well prepared to meet the exigencies during MDA. He/she will be responsible for regular and prompt reporting of data pertaining to ELF.

Control of Communicable Diseases

He/she will ensure that all the steps are being taken for the control of communicable diseases and for the proper maintenance of sanitation in the villages. He/she will take the necessary action in case of any outbreak of epidemic in his/her area. Perform duties under the IDSP.

Leprosy

He/she will provide facilities for early detection of cases of Leprosy and confirmation of their diagnosis and treatment. He/she will ensure that all cases of Leprosy take regular and complete treatment.

Tuberculosis

He/she will provide facilities for early detection of cases of Tuberculosis, confirmation of their diagnosis, and treatment. He/she will ensure that all cases of Tuberculosis take regular and complete treatment. Ensure functioning of Microscopic Centre (if the PHC is designated so) and provision of DOTS.

Sexually Transmitted Diseases (STD)

He/she will ensure that all cases of STD are diagnosed and properly treated and their contacts are traced for early detection. He/she will provide facilities for RPR tests for all pregnant women at the PHC.

School Health

He/she will visit schools in the PHC area at regular intervals and arrange for Medical Checkups, immunization, and treatment with proper follow-up of those students found to have defects.

National Programme for Prevention of Visual Impairment and Control of Blindness

He/she will make arrangements for rendering treatment for minor ailments and testing of vision. He/she will refer cases to the appropriate institutes for specialized treatment. He/she will extend support to mobile eye care units.

Training

He/she will organize training programmes, including continuing education for the staff of PHC and VHN under the guidance of the district health authorities and Health & Family Welfare Training centres. He/she will also make arrangements/provide guidance to the health assistant female and health worker female in organizing training programmes for indigenous dais practicing in the area and ASHAs where applicable.

Administrative Work

He/she will supervise the work of staff working under him/her. He/she will ensure general cleanliness inside and outside the premises of the PHC and also proper maintenance of equipment under his/her charge. He/she will ensure to keep up-to-date inventory and stock register of all the stores and equipment supplied to him/her and will be responsible for its correct accounting. He/she will get indents prepared timely for drugs, instruments, vaccines, ORS, and contraceptives, etc., sufficiently in advance and will submit them to the appropriate health authorities. He/she will check the proper maintenance of the transport given in his/her charge. He/she will scrutinize the programmes of his/her staff and suggest changes if necessary to suit the priority of work. He/she will get prepared and display charts in his/her own room to explain clearly the geographical areas, location of peripheral health units, morbidity and mortality, health statistics, and other important information about his/her area. He/she will hold monthly staff meetings with his/her own staff with a view to evaluating the progress of work and suggesting steps to be taken for further improvements. He/she will ensure the regular supply of medicines and disbursements of honorarium to health guides. He/she will ensure the maintenance of the prescribed records at PHC level. He/she will receive reports from the periphery, get them compiled, and submit them regularly to the district health authorities. He/she will keep notes of his/her visits to the area and submit every month his/her tour report to the CMO. He/she will discharge all the financial duties entrusted to him/her.

Medical Officer Works in the PHC

Attendance Register

Attendance Register should be closed by the In-charge Medical Officer. If he is absent, the second MO should close the attendance register daily. Late attendance register should be maintained. Movement register should be checked by the MO.

Out Patient Disposal

Avoid overcrowding by giving prior instructions to the staff and regulating the crowd by token & queue system. Avoid arguments with beneficiaries in case of any interruption arising from them. Adopt a drug token system. He should enter the abstract of the cases in the online tally sheet (daily). In between the OP disposal, a surprise visit to the injection OP for the method of injections, sterilization, and disposal of needle and others (Needle destroyer and hub cutter) should be undertaken. Inspect the Pharmacy, verify the drug tokens, and the last entry made in the registers on the previous day. Cross-check the prescription and drugs. Adopt a drug tray system. Inspect the Lab to verify the entry of the last sample collection, method of tests done, and also the general cleanliness. Inspect the dressing room for the method of dressing, cleanliness, and waste disposal system. During the hospital rounds, inspect the roof corners for cleanliness, RO system, Television, Lights, toilet, and facilities. Continue the OP disposal. After OP disposal, the tally sheet should be sorted out and handed over to the responsible person for online reporting.

After OP Disposal

He should see the daily letters/communications from the higher officials and give proper instructions to the concerned person for necessary action. MO should ensure the entry of online reports and verify them daily. Inspect the postnatal ward and check the case sheets. Inspect the OT, delivery room, Lab, Pharmacy, Siddha wing, ICTC center. Make surprise inspections to the office room at least twice a week for quick disposal of files. Check personal register and other records maintained by the Ministerial Staff at least once a Month. Check the inspection register, Suggestion register, and others. Check the account maintenance system for inflow and outflow. Check the water source, gardening, and other buildings in the campus. Please avoid dumping of materials and equipment without disposal to the periphery. At the time of inspection, surprise verification of log books and vehicle maintenance can be made. Check the EDD list and intimate the delivery report to the DDHS. Give direction to all the VHNs about EDD mothers. Conduct the evening OP. Verify the closure of registers at all levels. Call over all staff of the PHC to discuss the next day's duties, special programmes, and personal grievances. Keep the name and phone number of the call duty doctor at a visible place. He should inspect the surrounding area for sanitation and encroachment. He should maintain the asset registers. At any time, MO should be alert to face any message from higher officials or information notified from the field.

Regards.

From India, New Delhi
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Thank you very much for the reply, but I don't think this actually suits my requirements. In construction sites, we don't do all these things, if I am not wrong. We will just have an ambulance room. I need the duties for a Medical Officer in a construction site.

Regards

From India, Vadodara
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Safety Management

A Medical Officer establishes the guidelines for a safety program and helps the employer implement the policy, including implementing safety procedures and instructing employees on how to assess certain hazards. They also teach the employer techniques for reducing injuries and accidents on the job site.

First Aid

A Medical Officer ensures the employer or general contractor has a plan of action for each type of emergency, as well as all the equipment and supplies that might be necessary. Emergency situations on a construction site might include electric shocks or falls. It is also the safety officer's responsibility to make sure the employer understands all the regulations regarding work safety.

Claims Management

If a construction worker is injured on the job site, a Medical Officer may be responsible for understanding the applicable legislation, filling out all the necessary forms, and managing the workers' compensation claim.

From India, New Delhi
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