0–12’
12’
Opening and ground rules
Purpose: safety and boundaries.
Instructions: set the purpose; ground rules: voluntary participation, confidentiality, the right to take a pause; we do not share private medical data. Hand out ZDR1–ZDR8.
Notes
Note: this is an educational workshop, not medical or legal advice. Always verify current rules in official sources and with the clinic’s registration staff / primary care. In a life‑ or health‑threatening situation, call 112.
Primary care / NFZ
e‑Prescription, e‑Referral, IKP
Prevention (90 days)
Mental health support
1. Overall objective and session logic
Objective
Participants understand how to enter the healthcare system (primary care/NFZ), can describe symptoms, book an appointment (in person/by phone), know in general how e‑Prescriptions / e‑Referrals / IKP work, and create a 90‑day prevention plan and a mental health support map.
Logic
system map → choosing and contacting primary care → registration call and visit → prevention and documents → mental health support → 90‑day plan.
Outputs
- ZDR1 — Entry map to the system (POZ/NPL/ER/
- ZDR2 — “First visit” checklist (documents and questions)
- ZDR3 — Registration scripts (phone/email/in person)
- ZDR4 — Symptom description: SOS (Symptom–Since when–Severity) + RED FLAGS
- ZDR5 — e‑Prescription / e‑Referral / IKP: what it is and how not to lose it (checklist)
- ZDR6 — 90‑day prevention (goal sheet)
- ZDR7 — Support map (mental health)
- ZDR8 — Glossary EN↔UA (30 terms)
- ZDR‑R — Outcomes assessment rubric.
2. Learning outcomes
Knowledge knows the roles in primary care (family doctor / nurse / midwife), out‑of‑hours care (NPL), ER/112 (emergencies), understands the basics of e‑Prescriptions / e‑Referrals / IKP and the importance of documents that grant access to healthcare.
Skills:
chooses and contacts a primary care clinic;
holds a conversation with the registration desk and asks about dates, interpretation, and certificates/notes;
describes symptoms using SOS and recognizes warning signs (RED FLAGS);
creates a 90‑day prevention plan and a support map.
Attitudes assertiveness, keeping documents in order, the right to ask questions, and attentiveness to mental health.
3. Materials and preparation
- Room setup: “U” shape + 4 tables
- 2 flipcharts
- Projector (optional: slides with IKP mock-ups)
- Timer.
- Print materials (A4/A3, 1 per person): ZDR1–ZDR8, ZDR‑R
- Practice mock-ups: “phone registration”, “SMS/email from the clinic”, anonymous samples: an e‑prescription (template) and a referral (template).
- Evaluation: Mentimeter PRE/POST (3 questions – section 4) + the ZDR‑R rubric.
4. Mentimeter — questions (PRE and POST)
- “I know how to choose a primary care clinic and book an appointment (in person/by phone).”
- “I can describe symptoms and ask about appointment dates/certificates.”
- “I have a 90‑day plan (prevention + mental health support).”
5. Detailed agenda (180’)
12–20’
8’
Icebreaker “How do I take care of my health?”
Purpose: activate the group’s resources.
Instructions: in pairs, write down 2 things you already do for your health (sleep, walking, checkups). Put them on the flipchart under “This works”.
20–28’
8’
Mentimeter PRE
28–58’
30’
MODULE 1 — Entry map to the system (POZ/NPL/ER/112)
Purpose: know where and when to seek care.
Materials: ZDR1 (diagram).
Instructions:
Primary care (POZ): clinic, family doctor, nurse, e‑prescriptions, e‑referrals, certificates/medical notes.
Out‑of‑hours care (NPL): evenings/weekends/holidays — urgent, but not immediately life‑threatening.
ER/112: injuries, shortness of breath, chest pain, stroke symptoms, high fever with alarming symptoms, etc.
Exercise (10’): sort 12 “health situation” notes into baskets: POZ / NPL / ER/112.
Criterion: at least 10/12 correct choices as a group.
58–93’
35’
MODULE 2 — Registration and the first visit
Purpose: practice contacting a clinic and preparing documents.
Materials: ZDR2 (documents & questions checklist), ZDR3 (scripts), message mock-ups.
Instructions:
Documents: ID/passport, document proving eligibility for healthcare (e.g., status/certificate), phone/email, list of medicines and allergies, list of questions.
ZDR3 scripts — in groups of three, role‑play one conversation each (A – patient, B – registration desk, C – observer with ZDR‑R):
Phone: “Good morning, I would like to book an appointment with a family doctor. I have had [symptom] since [when]. Is there an available slot this week? If the doctor considers it possible, could I receive an e‑prescription for my regular medicines?”
In person: “This is my first visit. Please let me know which documents are needed. Could you speak more slowly or use simpler words?”
Email (if the clinic allows): briefly state the purpose, contact details, and preferred dates/times.
Debrief (8’): what worked and what to improve (pace, clarity, requests).
Criterion: everyone completed at least one conversation and filled in ZDR2.
93–103’
10’
BREAK
103–133’
30’
MODULE 3 — Symptom description: SOS + RED FLAGS
Purpose: speak briefly and clearly; recognize warning signs.
Materials: ZDR4 (SOS + RED FLAGS).
Instructions:
SOS — 3 sentences: Symptom (what? where? what kind?) → Since when/how often? → Severity/pain scale (0–10) + what helps/worsens.
RED FLAGS (examples): severe chest pain, shortness of breath, loss of consciousness, paralysis/inability to speak, bleeding, head injury with loss of consciousness, rapid dehydration in a child, suicidal thoughts — call 112 / go to the ER.
Exercise (12’): in pairs, describe 2 fictional cases using SOS, and your partner adds possible RED FLAGS (if they occurred, what would I do?).
Criterion: everyone creates two correct SOS descriptions.
133–158’
25’
MODULE 4 — e‑Prescription / e‑Referral / IKP + documents
Purpose: avoid getting lost in digital tools.
Materials: ZDR5 (checklist), mock-ups: SMS with prescription code, e‑referral, IKP screen (schematic).
Instructions:
e‑Prescription: where to find the code/PESEL, how to present it at a pharmacy; how to store codes; do not share scans of prescriptions on social media/messengers.
e‑Referral: who issues it; validity; how to book a test/specialist clinic; what to bring.
IKP (Patient Online Account): what it’s for (view prescriptions/referrals, visit history); log in only via official channels; never share logins.
Archiving: your own Health folder/binder (paper or digital): results, prescriptions, referrals, discharge summaries.
Exercise (10’): complete ZDR5 with your notification channels (SMS/email/app) and storage rules.
Criterion: ZDR5 completed.
158–172’
14’
MODULE 5 — Prevention and mental health
Purpose: small steps with a big impact.
Materials: ZDR6 (90‑day goals), ZDR7 (support map).
Instructions:
90‑day prevention (ZDR6): choose 3 goals (e.g., 7–8 h sleep, 7–10k steps, 1.5–2 L water, reduce sugar/nicotine/alcohol, vaccinations/preventive check‑up, dentist/cleaning, age‑ and sex‑appropriate screening — discuss decisions with a doctor).
Mental health support (ZDR7): list 2 “people to call”, 2 offline places (park/library/NGO), 2 trusted online sources; note your overload signals and your personal 1–2–3 kit (breath, grounding, movement) — a bridge to scenario 13.
Criterion: ZDR6 + ZDR7 completed.
172–178’
6’
Mentimeter POST + 7‑day commitment
Purpose: closure and implementation.
Instructions: POST (the same 3 questions). Everyone writes down 1 step for the next 7 days (e.g., “I choose a clinic and call for an appointment”, “I organize my Health folder”).
178–180’
2’
Closing
What should happen: reminder about 112; photo of flipcharts (without medical data); info about trainer availability after the session (organizational matters).
6–8. Good practices, adaptations and evaluation
6. Facilitation good practices
- Plain language: short sentences, pictograms on the cards; repeat key information.
- Data safety: do not photograph other people’s documents/results; photograph only your own cards.
- Cultural sensitivity and language barriers: encourage requests like “please speak more slowly/clearly”; if needed, a participant may come with a supporting person/interpreter (if the facility allows).
- Bridges: scenario 11 (formalities), scenario 12 (language), scenario 13 (well‑being), scenario 15 (digital safety).
7. Adaptations, plan B, variants
- Language barrier (A2–B1): ZDR3/ZDR4 cards with PL↔UA sentence templates; mixed‑language pairs; slower pace.
- Small group (≤10): more role‑play rounds and individual prevention plans.
- Less time (120’): M1 20’, M2 25’, M3 20’, M4 20’, M5 15’; keep the rest brief.
- More time (+30’): add a mini‑module “specialist visit” (referrals, booking, test preparation).
8. Evaluation and reporting indicators
- Mentimeter PRE/POST — 3 questions (section 4).
- Outputs: ZDR1–ZDR7 (photo/scan).
- ZDR‑R rubric (0–2 pts per criterion, max 10):
- System entry map (ZDR1)
- Checklist and scripts (ZDR2–ZDR3)
- SOS descriptions + RED FLAGS (ZDR4)
- Digital tools and archiving (ZDR5)
- 90‑day plan + support map (ZDR6–ZDR7) Interpretation: 0–3 getting started; 4–7 solid; 8–10 ready to act.
10. Branding
Branding: This material uses a footer with the EU logo and the required disclaimer (at the end of the page and on prints of individual handouts).
9. Printable handouts + mock-ups
Tip: if you print a single card using the “Print” button, the funding footer will be added automatically to that printout.
Printable handouts (ZDR)
ZDR
ZDR1 — Entry map to the system (diagram)
POZ
family doctor / nurse / midwife
NPL
out‑of‑hours care (nights & holidays)
SOR / 112
life‑ or health‑threatening emergency
In short: POZ (family doctor/nurse/midwife) → NPL (evenings/holidays) → ER/112 (emergency)
Examples (adapt to the situation)
Examples: common cold, repeat prescription, medical note → POZ; strong abdominal pain, high fever with chills → NPL/ER depending on the condition; injury, shortness of breath, stroke symptoms → 112/ER.
ZDR
ZDR2 — “First visit” checklist
Notes / questions
ZDR
ZDR3 — Registration scripts (phone/email/in person)
Phone
“Good morning, my name is … and I would like to book an appointment with a family doctor. Symptom: … since … . Is there a date/time available in …? Are any documents required?”
Subject: Appointment – [first name, last name] – [date]. Body: purpose, SOS symptom, preferred dates/times, phone number.
In person
“This is my first visit. Which documents should I prepare? Could you speak more slowly? Thank you.”
My details (fill in)
Full name
Phone / email
Clinic / address
Preferred dates/times
ZDR
ZDR4 — SOS + RED FLAGS
SOS — symptom description (template)
Symptom (what/where/what kind) – Since when (frequency) – Severity (0–10) + what helps/worsens.
Symptom (what / where / what kind)
Since when + how often
Severity (0–10)
What helps / what worsens
RED FLAGS — warning signs
- chest pain
- shortness of breath
- stroke symptoms
- bleeding
- loss of consciousness
- serious injury
- suicidal thoughts → 112/ER.
If present: call 112 / go to the ER.
ZDR
ZDR5 — e‑Prescription / e‑Referral / IKP (checklist)
| Check | My notes |
|---|---|
Tip: keep your documents in one place (“Health folder/binder” — paper or digital).
ZDR
ZDR6 — 90‑day prevention (goal sheet)
Goal 1
Goal 2
Goal 3
Weekly steps (fill in 4 weeks)
| Week | Step | Metric | Notes |
|---|---|---|---|
| 1 | |||
| 2 | |||
| 3 | |||
| 4 |
Review date (every 30 days)
Who will help me follow through?
ZDR
ZDR7 — Support map (mental health)
People to call (2)
Offline places (2)
Online sources (2)
My overload signals
1–2–3 kit
- Breath — 3 wolne wydechy
- Grounding — name 5 things you can see
- Movement — a short walk / stretching
My 1–2–3 plan (how will I do it today?)
ZDR
ZDR8 — Glossary EN↔UA (30 terms)
Fill in translations (UA) or your own notes that will help you during a conversation at the clinic.
| EN | UA / note |
|---|---|
| POZ | |
| registration | |
| visit / appointment | |
| referral | |
| prescription | |
| e‑prescription | |
| e‑referral | |
| test / examination | |
| results | |
| pain (dull/sharp) | |
| fever | |
| cough | |
| shortness of breath | |
| allergy | |
| family doctor | |
| nurse | |
| NPL | |
| SOR | |
| urgent | |
| pain scale | |
| dose | |
| medicine | |
| symptom | |
| appointment slot | |
| consultation | |
| IKP | |
| pharmacy | |
| certificate / medical note | |
| diet | |
| rest. |
ZDR
ZDR‑R — Assessment rubric (0–2 pts per criterion, max 10)
| Criterion | 0 | 1 | 2 | Notes |
|---|---|---|---|---|
| ZDR1 — correct pathway choice | 0 | 1 | 2 | |
| ZDR2–ZDR3 — complete documents and script | 0 | 1 | 2 | |
| ZDR4 — SOS description + red flags | 0 | 1 | 2 | |
| ZDR5 — order in digital documents | 0 | 1 | 2 | |
| ZDR6–ZDR7 — plan and support map | 0 | 1 | 2 | |
| Interpretation: 0–3 getting started; 4–7 solid; 8–10 ready to act. | ||||
Additional materials (practice mock-ups)
MOCK‑UP
ZDR‑M1 — Registration call log (phone) — mock-up
Practice mock-up (no sensitive data).
Call date and time
Clinic name / number
Reason for contact (SOS)
Nearest suitable slot
Required documents
What did we agree on? (notes)
MOCK‑UP
ZDR‑M2 — SMS / email from the clinic — mock-up
Example message layout. Fill in the fields.
Primary care clinic (POZ)
Appointment confirmation: ____/____/____, godz. ____
Adres: ____________________________
If you can’t attend, cancel: __________________
Adres: ____________________________
If you can’t attend, cancel: __________________
e‑Prescription — code: ____‑____
ID/PESEL: ___________
Lek: ____________________________
ID/PESEL: ___________
Lek: ____________________________
MOCK‑UP
ZDR‑M3 — e‑prescription — educational mock-up
Educational mock-up (anonymous).
e‑Prescription code
____‑____
PESEL / ID
___________
Medicine
__________________________
Dosage
__________________________
Valid until
____/____/____
At the pharmacy
- Provide the prescription code (4 digits / code) + PESEL/ID (according to the rules).
- Ask about substitutes if the medicine is unavailable.
MOCK‑UP
ZDR‑M4 — e‑referral — educational mock-up
Educational mock-up (anonymous).
e‑Referral code
____‑____
Test / clinic
__________________________
Priority
urgent / routine
Valid until
____/____/____
Booking the test
Set a date/time and ask whether any preparations are needed (e.g., fasting).
MOCK‑UP
ZDR‑M5 — IKP — screen mock-up
Screen mock-up — for discussing how to organize documents.
Patient Online Account (IKP)
Prescriptions
• ________ (date ____)
• ________ (date ____)
• ________ (date ____)
Referrals
• ________ (valid until ____)
• ________ (valid until ____)
• ________ (valid until ____)
Visits / history
• POZ: ____ (____)
• Badanie: ____ (____)
• Inne: ____ (____)
11. Trainer checklist (before/after)
Before: printouts ZDR1–ZDR8, ZDR‑R; e‑prescription/referral mock-ups; Mentimeter; timer.
After: photos of outputs (no personal data), saved Mentimeter results, a “1 step / 7 days” list for follow‑up.