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  • Hope Requirements

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    corona virus
    70 views7 pages
    This document lists various policies, procedures, and documentation requirements for a hospital. It includes requirements such as having documented procedures for handling patient specimens, discharging patients, handling emergency patients and using blood products. It also requires documented procedures for administering anesthesia, preventing errors, dispensing medications, and using medical equipment. Other documented policies address infection control, equipment maintenance, emergency planning, record security, and staff disciplinary processes. The document also lists various forms that must be documented for patient assessment, treatment, and discharge in areas such as outpatient, inpatient, emergency, labor and delivery, pediatrics, ICU, and post-operative care. Documentation of training programs, waste handling, safety practices, and quality improvement activities are also

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    Hope requirements (1)

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    This document lists various policies, procedures, and documentation requirements for a hospital. It includes requirements such as having documented procedures for handling patient specimens, discharging patients, handling emergency patients and using blood products. It also requires documented procedures for administering anesthesia, preventing errors, dispensing medications, and using medical equipment. Other documented policies address infection control, equipment maintenance, emergency planning, record security, and staff disciplinary processes. The document also lists various forms that must be documented for patient assessment, treatment, and discharge in areas such as outpatient, inpatient, emergency, labor and delivery, pediatrics, ICU, and post-operative care. Documentation of training programs, waste handling, safety practices, and quality improvement activities are also

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    70 views7 pages

    Hope Requirements

    Uploaded by

    corona virus
    This document lists various policies, procedures, and documentation requirements for a hospital. It includes requirements such as having documented procedures for handling patient specimens, discharging patients, handling emergency patients and using blood products. It also requires documented procedures for administering anesthesia, preventing errors, dispensing medications, and using medical equipment. Other documented policies address infection control, equipment maintenance, emergency planning, record security, and staff disciplinary processes. The document also lists various forms that must be documented for patient assessment, treatment, and discharge in areas such as outpatient, inpatient, emergency, labor and delivery, pediatrics, ICU, and post-operative care. Documentation of training programs, waste handling, safety practices, and quality improvement activities are also

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 7

    Desktop

    Hospital registration
    Shop & Establishment Act
    Partnership/ Ownership proof
    Staff Details
    BU permission
    Lift License
    INDEX copy
    Hospital organogram
    Procedure(s) guide collection, identification,
    handling, safe transportation, processing and
    disposal of specimens.*
    Process addresses discharge of all patients
    including Medico-legal cases and patients
    leaving against medical advice.*
    Documented procedure (s) address care of
    patients arriving in the emergency including
    handling of medico-legal cases.*
    Documented policies and procedures are
    used to guide the rational use of blood and
    blood products.*
    Documented procedure for the administration
    of anaesthesia.*

    Documented procedure addresses the


    prevention of adverse events like wrong site,
    wrong patient and wrong surgery.*
    Documented procedure incorporating
    purchase, storage, prescription and
    dispensation of medications.*
    Documented procedures address
    procurement and usage of implantable
    prostheses.*
    Infection control manual, which is periodically
    updated and conducts surveillance
    activities.*
    Documented operational and maintenance
    (preventive and breakdown) plan for clinical
    and support service equipment.*
    The organization has a documented safe exit
    plan in case of fire and non-fire
    emergencies.*
    Documented disciplinary and grievance
    handling procedure.*
    Documented policies and procedures for
    maintaining confidentiality, integrity and
    security of records, data and information.*
    Documented procedures exist for retention
    time of medical records, data and
    information.*
    Define process to whom the patient record
    can be released*
    Procedure on destruction of medical records*
    Mobile
    Shop & Establishment Act
    GPCB
    MOU for out sourced Agency of BMW
    PC- PNDT
    AERB
    MTP
    Generator/ UPS & back up sign
    Safety Belt in Wheel chair & Strecher

    Radiation Hazard Symbol

    PC- PNDT Act Display


    Photo of first change for quality improve
    Photo of second change for quality improve
    5 QI

    BT Consent, Anesthesia Consent, Surgery Consent of


    3 indoor pt

    OPD Assessment form

    IPD Assessment form

    Emergency assessment form

    MLC form

    Obs. Scope of services

    Pedia Scope of services

    Obs. Pt. Ante natal check up, Maternal nutrition, Post


    natal care

    Pedia assessment :nutritional growth & immunization


    schedule

    Reassessment of ICU & Ward pt


    Pre - Intra - Post Anesthesia

    Pre operative assessment of surgeon

    post op care of surgeon

    Discharge card

    LAMA Discharge
    Medication Administration of nursing
    TPR- I/O Chart
    Nursing note
    LASA storage area
    Medication prescriptions
    Medication order from each dept
    medication labelling with date and time of preparation,
    name of the drugs and its dilution 
    Display handwashing poster
    hospital maintain cleanliness
    Housekeeping check list
    Autoclave register
    Autoclave drum
    Laundry area
    OT, LR, ICU culture report
    Washbasin with elbow operated tap
    PPE used by staff
    Waste handling staff with PPE & rubber gloves
    BMW buckets
    Biohazard symbol on BMW area
    BMW poster
    BMW transportation in labelled close container
    Staff handling needle cutter
    BMW storage area
    Annual fee receipt of BMW
    Endotoxin report
    Photo of water tank with last cleaning date
    Bacterial report of water
    Handling of pt. complaint record
    ADR form
    critical result register
    TAT display
    Scope of lab
    critical result register
    TAT display
    Scope of radiology
    BT reaction form
    CAPA of BT reaction
    Facility round check list
    Storage of O2 cylinder area
    MRD check list
    filled case sheet of pt. dr. name, sign, date , time
    Training On :
    Scope of services
    Safe practice in LAB
    Safe practice in Radiology
    Child abduction
    Infection control practice
    Video of fire mock drill
    spill management
    Safe education programme
    needle stick injury
    Medication error
    Grievance Handling
    Discipllinary procedure

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