Module-7-Summative-7.3.docx

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Module 7

Summative Assessment 7.3

100 marks

This assessment covers:

Unit 246750 – Control and order stock

Please read the following case study and answer the 4 questions that follow.

http://www.health-e.org.za/2013/09/11/province-without/

Eastern Cape clinics face widespread shortages

By health-e on September 11, 2013in EC Health Crisis, Public Health & Health Systems

Pilani Clinic is often the first point of care for patients from the Eastern Cape’s Coffee Bay area but it is often not their last as systemic shortages fuel a referral system that is costing patient lives and money.

Sister Sylvia Horner  photo credit: Thys Dullaart

Sister Sylvia Horner
photo credit: Thys Dullaart

“Phone an ambulance? My dear, phoning an ambulance doesn’t even cross my mind. In my seven years at Pilani Clinic, I have never seen an ambulance at this clinic,” says Sister Sylvia Horner.

Horner and a nursing assistant, Selena Arends, run the rural clinic that sees up to 1 800 patients a month. Yet it has no electricity, only one outside tap and frequent medicine shortages.

Patients who need to be transferred to Canzibe Hospital, the closest district hospital in the Nqileni district, have to find their own way there.

Recently, there was no antiretroviral medicine for three months, while vaccines for children and common medicines for treating conditions such as diabetes, high blood pressure and pain are often out of stock.

Horner has persuaded the local shop owner to keep temperature-sensitive medicine in his fridge, and walks to the (ARV depot) herself to fetch medicine.

Patients referred to Canzibe Hospital don’t fare that much better. Two Dutch doctors are trying to keep services going. But the hospital serves 11 clinics, and 80-100 patients can be found in the outpatients department alone every day. This is aside from the 80 inpatients. The doctors can thus only manage to see the sickest of these.

"Patients referred to Canzibe Hospital don’t fare that much better"

“Patients referred to Canzibe Hospital
don’t fare that much better”

Pregnant women who need Caesarean deliveries have to be referred to St Barnabus Hospital, an hour’s drive away. Yet there is seldom transport to take them there.

There is no pharmacist and a serious shortage of nurses. The X-ray machine doesn’t work because management failed to have it serviced, the hospital often runs out of oxygen.

* Taken from “Death and Dying in the Eastern Cape: An investigation into the collapse of a health system,” a production by the Treatment Action Campaign and Section27.

Please answer the following four questions:

1. How would you maintain optimum stock range and levels with specific reference to the case study above? (25 marks)

2. How would you with implement ordering procedures with specific reference to the case study above? (25 marks)

3. How would you monitor stock storage and movement with specific reference to the case study above? (25 marks)

4. How would you make appropriate use of documentation with specific reference to the case study above? (25 marks)

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