Who has to, Who can, Who cannot give injections in a PHC

Who has to give injections / Whose duty is it to give injections

• Staff Nurse, if posted and if on duty
• ANM, if Staff Nurse is not posted or posted, but on leave
• Local VHN, if Staff Nurse and ANM both are not available

Who Can give injections if there are no Staff Nurse, ANM, VHN

• Medical Officer :) . . . Medical Officer can give, but that is not his duty
• Health Inspectors who had been appointed as Vaccinators (Most, if not all of them have retired by now. This is only for completion sake)

Who cannot give injections, Who do not have the technical competence to give injections

• Pharmacist
• HW Hospital Worker 
• CCW Cook Cum Waterwoman
• FNA Female Nursing Assistant
• MNA Male Nursing Assistant 
• SW Sanitary Worker
• Driver 
• Lab Asst
• HI Health Inspector (other than Vaccinators). Most of the Health Inspectors at present are not vaccinators. So, practically, Health Inspectors cannot give injections

Departmental Exams in Medical Code and Accounts Test for Executive Officers

Update : For Dec 2013 Dept Exam, go to http://www.aftermbbs.in/2013/10/departmental-examinations-december-2013.html 

Message from Sundaram Rajan https://www.facebook.com/sundaram.rajan.90

Please start collecting books and guides for the departmental tests. Exams will be conducted twice every year.

All of us who join government service as doctors (asst. surgeons) should appear and pass two departmental tests. These tests will be conducted by TNPSC not only for us (doctors), but also for other cadres in govt. service. Passing these exams is important for getting increments. Our exams are: 1. Account test for executive officers. 2. Medical code.

Original books must be carried by us to the exam hall and we can see / refer these books and write the answers. Books necessary for 1. Account test for executive officers are: 1. Finance code 2. Treasury code 3. Budget manual 4. Constitution of India 5. Pension code 6. An introduction to Indian govt. accounts and audit Books necessary for 2. Medical code exam are: Two volumes of medical code. For more details you can visit www.tnpsc.gov.in

These exams are MUST for your probation declaration EVEN if you are selected by TNPSC So, please prepare for these exams. Next Exam is likely to be in December 2013 For those who have not studied Tamil in 10th/12th, one more exam is needed

Departmental Test- Books To Download

List of Books
Constitution Of India
Fundamendal Rules of Tamilnadu
Tamil Nadu State and Subordinate Rules
Travelling Allowance Rules-2005  (Annexure I)
Tamil Nadu Budget Manual - Volume I (Pages 1-96,  97-218)
Tamil Nadu Pension Rules, 1978 (Pages 1-80,  81-150,  151-270, 271-340 )
Tamil Nadu Treasury Code - Volume I (Pages 1-76,  77-150,  151-220, 221-296, 297-380, 381-423 )
Tamil Nadu Treasury Code - Volume II (Pages 1-102,  103-300, 301-357 )
Tamil Nadu Account Code- Volume I (Pages 1-88,  89-152)
Tamil Nadu Account Code- Volume II (Pages 1-86,  87-175)
Tamil Nadu Account Code- Volume III (Pages 1-88,  89-188,  189-288, 289-388, 389-511)
Tamil Nadu Financial Code - Volume I (Pages 1-100,  101-190,  191-290, 291-400, 401-520, 521-641 )
Tamil Nadu Financial Code - Volume II (Pages 1-180,  181-340, 341-490, 491-600 )

FOR DISCUSSION, USE OUR FACEBOOK PAGE https://www.facebook.com/MRB.2013.Assistant.Surgeons OR THE COMMENTS BELOW.

Update : For Dec 2013 Dept Exam, go to http://www.aftermbbs.in/2013/10/departmental-examinations-december-2013.html 

Man management - Basic tips for new medical officers

Basic tips for new medical officers : Man management

By Dr.Raja S Vignesh

1. The medical officer is the boss of the PHC. 
2. You are responsible not only to conduct OP and look after IP but also to get work done from your hospital and field staff as well as from administrative staff
3. You have two duties – One Medical and the second Officer. 
4. Keep in mind clearly that you have an Officer Duty Also 
5. You are answerable to the superiors for the acts of your staff
6. You shall not act per the request / ideas / ORDERS of your subordinates if they are not legal. Consider only those suggestions which are legal
7. Even if you acts by the ADVICE of your administrative or medical or field staff, you alone will be held responsible for the outcome of the action and not the Person who gave the advice. 
8. Keep in mind that you cannot escape saying that some one misguided you 
9. Do not have close relationship [friendly or brotherly or sisterly !!! or any other ] with your subordinates. Relationships include Friendly, Brotherly or Sisterly (Hope you know what happened to the anna akka pasamalars in your college in due course) or intimate relationship. 
10. You are an Officer and they are your team members and all of you work for the department and public. Its so simple and nothing more than that. The more close relation you maintain the more tough it becomes to manage them 
11. Do not trust any one completely. Always keep a doubtful eye in them. 
12. Even though you are an officer, do not scold or find fault with your staff in front of third persons and especially in the field. 
13. Always talk about their mistakes inside the PHC. 
14. The Best option is noting that down in the review register along with review minutes 
15. Do not talk with a staff of opposite sex without a third person in that room. 
16. Do not allow any one other than patient to sit in the medical officer room 
17. Do not entrust your PERSONAL WORK to your staff. 
18. Don’t listen to comments by your staff about your co medical officers [even if you have personal hatred against the doctor] 
19. The same person who comments about the other person will speak about you in your absence. 
20. When you have misunderstanding with your co.med officer, speak directly to him / her and to the best possible effort resolve the issue immediately. 
21. Don’t speak about your indifferences to your hospital or field staff , this will work as a dividing method by the others  and Both the doctors will be the end losers 
22. If you cannot resolve the dispute among yourselves please contact senior medical officers (not the DDHS !!) or association for intervention. 
23. If you are both from the same college, better contact a college senior who is known to both of you.
24. If everything else fails, we will help
25. Any doubts, ask in the comments or at www.facebook.com/AfterMBBS 

NEXT in this Series

• Material Management
• Stock, Sub Stock, Indent
• Leave Rules
• Medical Leave, Earned Leave, Loss of Pay
• CL, CoL, RH, PL, W/o
• Vaccination
• Duty Timings
• Pulse Polio
• and
• What you suggest