• When there is no formal dental component, IMR sets up a fluoride station for all children over 7. Older children can also be referred for fluoride treatment by providers or as requested by parents.
• Oral hygiene education is repeated in the fluoride station for the children. It is also taught to all patients in community health education.

• Each team carries basic lab tests for use in clinic, including urine pregnancy tests, urinalysis smissions, glucometers, and malaria tests.
• Injectable antibiotics and supplies are kept in the laboratory.

• The wound care station can be very busy with significant wounds.
• Each team has a fully stocked wound care bag including injectable local anesthetics and minor surgical equipment.

• Clinical Pharmacists and assigned pharmacy staff ensure that patients receive the correct medication and provide education on how to appropriately take and store medication safely.
• All patients take their first dose of prescription medication in clinic to ensure they understand the directions and can manipulate the packaging.
• Clinical pharmacists work as part of the provider team to ensure appropriate prescribing and substitutions as required.
• Prescription medications and suspensions are dispensed at the sick pharmacy. The pharmacy may deliver medications to the provider for teaching and education if necessary.

• The purpose of the well pharmacy is to reduce wait times for medications as patients finish clinic.
• The team will “pre-pack” commonly used over the counter medications into dispensing bags and place a label with the medication name inside each bag in the evening.
• Providers dispense and educate patients on the pre-packaged medications given at their stations. Pre-packaged medications may include pain medications, vitamins, anti-fungal creams, hydrocortisone, PPIs, and allergy medications.

Respiratory 

• Nebulizer treatments are provided for acutely ill patients.
• Respiratory therapists and nurses teach correct inhaler use.
• Education on smoke inhalation is repeated in the respiratory clinic, focusing on indoor cooking with clean fuels, outdoor air pollution, and triggers for specific conditions.

Oral Rehydration

• How to make oral rehydration home brew is taught in community health.
• On hot days, we set up a hydration station that patients can access at will.
• EMS and Nursing triages the registration line frequently and medical staff volunteers offer patients water if a station can’t be set up outside.

ICU

• An ICU is established for IVs and patients requiring monitoring.
• Minor procedures also take place in this area of clinic.

Privacy Room

• Ideally, each clinic should have a private area for exams and counseling.

Reading Glasses

• Reading glasses and sunglasses may be distributed at a separate station staffed by medical staff volunteers, by the providers, or in community education. Reading glasses are provided to any patient who needs to see, regardless of literacy. The grandmother who needs to see a grandchild’s rash, the seamstress, the mechanic, and the butcher: seeing clearly is an important intervention in our clinics.

Vaccination and HIV Testing Clinics

• Vaccination clinics are often sponsored by IMR Partners. They are usually run under the direction of the Ministry of Health in side-by-side clinics with IMR. Sometimes, IMR purchases vaccinations in country and hires local personnel to vaccinate patients.
• HIV testing may run side-by-side with IMR clinics in partnership with the local health ministry. HIV testing is not conducted unless there is a qualified counselor to meet with reactive patients and provide them access to the system for follow-up care.