MediReach Ghana — Nurse Portal

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My Visits

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Confirmed

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Completed

My Assigned Visits

📅 My Full Schedule

📝 Log a Visit

Patient Name *

Service Performed *

Visit Date *

🩺 Vital Signs

Blood Pressure

Pulse (bpm)

Temperature (°C)

Blood Sugar

SpO₂ (%)

Weight (kg)

Clinical Observations *

Treatment Given *

Patient Response

Supplies Used

Follow-up Required?

Next Visit Date

Notes for Admin / Dispatch

📚 Knowledge Hub

🚨 Emergency Numbers — Always Know These

🏥 KATH Emergency

🚑 Ghana Ambulance Service

📞 MediReach Dispatch Centre

🔥 Ghana Fire Service

👮 Ghana Police

🛡️ Safety Protocols ▼

⚠️ When To Call Ambulance Immediately

Never attempt to manage these yourself. Call 193 and MediReach dispatch immediately:

Patient is unconscious or unresponsive
Suspected stroke — face drooping, arm weakness, speech difficulty
Chest pain lasting more than 5 minutes
Severe difficulty breathing or choking
Blood sugar below 3.0 mmol/L and patient is confused
Seizure lasting more than 5 minutes
Severe bleeding that will not stop

⛔ MediReach is NOT an emergency service. Always refer emergencies. Your safety and the patient's safety both depend on this.

🧤 Infection Control Basics

Always wash hands before and after every patient contact
Wear gloves for ALL wound care, catheter care and IV procedures
Change gloves between patients — never reuse
Use apron for wound dressing and catheter care
Dispose of sharps immediately in sharps container
Never recap needles with two hands
Carry hand sanitiser at all times

🩺 Needle Stick Injury Protocol

If you accidentally prick yourself with a needle:

Do NOT suck the wound
Wash immediately with soap and running water for 5 minutes
Allow the wound to bleed freely briefly
Apply antiseptic and cover with plaster
Call MediReach dispatch immediately
Go to KATH casualty within 2 hours for PEP assessment
Document everything — time, circumstances, patient details

⛔ A needle stick injury is a medical emergency for YOU. Do not ignore it or delay. Call dispatch immediately.

🏠 Personal Safety — Visiting Homes

Always tell dispatch your exact location before entering a new home
If anything feels unsafe — leave and call dispatch
Do not visit alone after 7pm — request escort or reschedule
Keep your MediReach ID visible at all times
Do not accept food or gifts from patients
Do not share personal phone number — use MediReach dispatch
If you feel threatened — call 191 (Police) immediately

📊 Normal Vital Signs Reference ▼

📋 Normal Ranges — Adults

Vital Sign	Normal Range	Danger Zone
Blood Pressure	90-120 / 60-80 mmHg	>180/110 or <90/60
Pulse	60–100 bpm	<50 or >120 bpm
Temperature	36.1–37.2°C	>38.5°C or <35°C
Blood Sugar (fasting)	4.0–6.0 mmol/L	<3.0 or >15.0
Blood Sugar (2hr post meal)	<7.8 mmol/L	>11.1 mmol/L
SpO₂ (oxygen)	95–100%	<92% — urgent
Respiratory Rate	12–20 breaths/min	<10 or >25

⚠️ For elderly patients, slightly lower BP (105-110 systolic) can be normal. Use clinical judgement and compare to patient's baseline.

🩸 Diabetic Emergency Signs

Hypoglycemia (Low Sugar <3.5): Sweating, shaking, confusion, pale skin, hunger. Give sugar immediately if patient is conscious.
Hyperglycemia (High Sugar >15): Excessive thirst, frequent urination, blurred vision, fatigue. Contact doctor.
DKA Signs: Fruity breath, deep rapid breathing, confusion. EMERGENCY — call ambulance.

💊 Service Guides ▼

🩹 Wound Dressing — Step by Step

1. Wash hands and put on gloves and apron
2. Remove old dressing carefully — soak if stuck
3. Assess the wound — size, colour, smell, discharge
4. Clean wound with normal saline from inside out
5. Apply prescribed dressing material
6. Cover and secure — not too tight
7. Document wound condition in visit log
8. Dispose of used materials safely

⚠️ Signs of infection: redness spreading, warm to touch, pus, bad smell, fever. Document and inform dispatch immediately.

💉 Blood Sugar Monitoring — Correct Steps

1. Check glucometer is calibrated and strips not expired
2. Patient should be seated and relaxed
3. Clean fingertip with alcohol swab — let dry completely
4. Prick side of fingertip — less painful than centre
5. First drop — wipe away. Use second drop for testing
6. Apply blood to strip without smearing
7. Record result and time in visit log
8. Note whether reading is fasting or post-meal

🏃 Physiotherapy Home Visit Tips

Assess patient's pain level before starting (0-10 scale)
Never force a joint beyond its comfortable range
Stop immediately if patient reports sharp pain
Document which exercises were done and patient's response
Leave written exercise instructions for patient/family
Encourage family members to assist with daily exercises

🤱 Postnatal Care Checklist

Check mother's blood pressure and temperature
Assess caesarean or episiotomy wound if applicable
Check lochia (vaginal discharge) — colour and amount
Assess breastfeeding — latch, milk supply, nipple condition
Weigh baby and check umbilical cord stump
Check baby's feeding, urination and bowel movements
Screen for postnatal depression — ask how mother is feeling

🧓 Elderly Care — Key Considerations

Speak clearly and face the patient — many have hearing loss
Check for pressure sores — back, heels, hips especially
Check medication compliance — are they taking tablets correctly?
Assess fall risk — floor hazards, footwear, mobility aids
Check hydration — elderly often do not feel thirst
Note any changes in cognition or behaviour
Always involve family in care plan discussions

🧠 Patient Communication ▼

🤝 Professional Boundaries

You are a healthcare professional — maintain professional distance
Do not share your personal phone number with patients
All booking changes go through MediReach dispatch only
Do not accept money directly from patients — payment via dispatch
Do not discuss other patients — confidentiality is the law
If a patient or family member behaves inappropriately — leave and call dispatch

💬 Communicating With Elderly Patients

Introduce yourself clearly every visit — they may forget you
Speak slowly and clearly — do not shout
Use simple Twi or English — whichever they prefer
Explain what you are doing before you do it
Ask for consent before touching — always
Praise small improvements — motivation matters

👨‍👩‍👧 Handling Difficult Families

Stay calm — never argue with family members
Listen to their concerns fully before responding
If they disagree with your care — call dispatch for support
Document all concerns raised by family in your visit log
Never make promises about outcomes — say "I will inform our team"

⚠️ If a family member becomes aggressive or threatens you — leave the premises immediately and call dispatch. Your safety comes first.

🕊️ Palliative Care — Special Guidance

Focus on comfort — not cure. Pain and dignity are priority.
Listen more than you speak
Support the family as much as the patient
Never give false hope about recovery
Report any sudden changes in condition to dispatch immediately
Emotional support is clinical care in palliative cases

⭐ MediReach Standards ▼

👔 Uniform & Presentation

Full MediReach uniform must be worn on every visit
Photo ID lanyard must be visible at all times
Hair must be neat and tied back for clinical work
No strong perfume or cologne — patients may be sensitive
Clean shoes — no slippers or sandals on duty
Nails must be short and clean — no gel or acrylic nails

⏰ Punctuality & Communication

Call patient 30 minutes before arrival — always
If you will be late — call dispatch AND patient immediately
Click ARRIVED button the moment you reach the patient's gate
Click LEFT button when you leave the premises
Submit visit log within 1 hour of completing visit
If patient is not home — call dispatch immediately

💰 Payment Rules — Very Important

You do NOT handle any cash payments — ever
If patient offers cash — politely decline and refer to dispatch
All payments go through MediReach dispatch centre only
If patient says they already paid — verify with dispatch
Never accept gifts of significant value from patients

⛔ Any nurse found accepting direct payment from patients will be immediately dismissed. This is non-negotiable.

👩‍⚕️ My Profile

OrganisationMediReach Ghana

BaseKumasi Dispatch Centre

ZoneKumasi — Ashanti Region

Total Visits—

📋 Daily Reminders

✓Wear full uniform and ID card every visit

✓Call patient 30 minutes before arriving

✓Click ARRIVED when you reach the patient

✓Click LEFT when you finish the visit

✓Submit visit log within 1 hour

✓Never accept cash directly from patients

✓Never handle emergencies — call 193

✓All booking changes go through dispatch only

Nurse Login 👩‍⚕️

🚨 Emergency Numbers — Always Know These

📋 Daily Reminders