KHALSA HOSPITAL MANAGEMENT

Issue date: 01.03.2023

Issue No.:01
AH/ NABH STANDARD FOR SHCO / Rev. date: NIL
AMBULANCE MANUAL Rev No.:00
Effective Date: 02.03.2023

AMBULANCE MANUAL

Prepared by: Quality Manager Approved by: Dr. Surender Bhakar

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 KHALSA HOSPITAL MANAGEMENT
Issue date: 01.03.2023
Issue No.:01
AH/ NABH STANDARD FOR SHCO / Rev. date: NIL
AMBULANCE MANUAL Rev No.:00
Effective Date: 02.03.2023

INDEX

SR.No PARTICULARS PAGE NO.

.
1 COVER PAGE 1

2 INDEX 2

3 AMENDMENT SHEET 3

4 CONTROL OF THE MANUAL, DISTRIBUTION LIST 4

5 PURPOSE, SCOPE, POLICY, RESPONSIBILITY 5

6 OUTSOURCED PROCESS, ABBREVIATIONS 5

7 KEY STANDARDS FOR AMBULANCE SERVICE 5-6

8 PROCEDURE 6

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 KHALSA HOSPITAL MANAGEMENT
Issue date: 01.03.2023
Issue No.:01
AH/ NABH STANDARD FOR SHCO / Rev. date: NIL
AMBULANCE MANUAL Rev No.:00
Effective Date: 02.03.2023

AMENDMENT SHEET

Details of the Amendment

S. No. Page No. Date Reasons

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 KHALSA HOSPITAL MANAGEMENT
Issue date: 01.03.2023
Issue No.:01
AH/ NABH STANDARD FOR SHCO / Rev. date: NIL
AMBULANCE MANUAL Rev No.:00
Effective Date: 02.03.2023

CONTROL OF THE MANUAL

 The holder of the copy of this manual is responsible for maintaining it in good and readily identifiable and retrievable
condition.
 The holder of the copy of this Manual shall maintain it in current status by inserting latest amendments as and when the
amended versions are received.
 HR Head/ Hospital administrator is responsible for issuing the amended copies to the copy holders;
the copyholder should acknowledge the same and should return the obsolete copies.
 The manual is reviewed once a year and is updated as relevant to the hospital policies and procedures. Review and
amendment can also happen as corrective actions to the non-conformities during the self-assessment or assessment audits by
NABH.

The authority over control of this manual is as follows:

Preparation Approval

Quality Manager Medical Director, KHALSA HOSPITAL MANAGEMENT

The procedure manual with original signatures of the above on the title page is considered as ‘Master Copy’ and the
photocopies of the master copy for the distribution are considered as ‘Controlled Copy’.

DISTRIBUTION LIST

Holder Copy No.

ADMINISTRATOR 1

AMBULANCE SERVICE 2

Quality Dept 3

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 PURPOSE
 The ambulance service of the hospital plays an integral, dynamic and vital role in providing prompt medical attention to
the sick and injured.
 To provide guideline for ambulance service of the hospital for proper & timely transportation and transfer of the patients
with high quality clinical care to &from the hospital for appropriate medical attention.

SCOPE
All patients who need to avail the ambulance service of the hospital.

POLICY
The ambulance service provides the first point of access to health care for a wide variety of patient conditions ranging
from life-threatening emergencies to chronic illness and social care.

RESPONSIBILITY
Medical Officer

OUTSOURCED PROCESS

The hospital has a tie up with ‘ACLS Ambulance Services’, , Hisar (MoU has been signed) a professional ambulance
service provider who provides critical care as well as general ambulance services to the hospital.

The ACLS Ambulance Services take the responsibility to arrange the following:

 The ambulance is well equipped with gadgets like- multipart, ventilator, oxygen cylinder, suction machine.
 Ambulance has trained staff to shift the patient.
 Ambulance has inventory of emergency drugs and maintains the register.
 Ambulance will be in good condition.
 ACLS Ambulance Services will obtain all the required approvals and mandates required to rum the ambulance service.

ABBREVIATIONS
MO - Medical Officer
ED - Emergency Department

KEY STANDARDS FOR AMBULANCE SERVICE

 Responding to life threatening calls.

 Responding to non-life-threatening calls.
 Ambulance service will be available within and outside the city limits.
 The ambulance driver is responsible to maintain of the medical gas (oxygen).
 The ambulance driver shall check the brake-oil level, engine oil level, wheel pneumatic pressure, engine coolant, fuel
level, siren, lights and the equipment ‘sin the ambulance.
 The ambulance driver will assist in-shifting of the patient as directed by the MO.
 The Emergency Kit will be kept in the ED and will be moved into the ambulance only during calls as per the advice of
the MO. The ED staff/ pharmacist will be responsible for the same.

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 PROCEDURE

 The requirement of the ambulance can be for inpatient or for external patients.
 MO/ FDO is contacted in case ambulance is required for the patient. MO/ FDO make a call to ambulance services and
the head of ambulance services is informed. The ambulance comes to the hospital within 10mins.
 Radiology department coordinator also calls the ambulance services if any patient is to be brought to the hospital for
diagnostic tests.
 In the Transfer and shifting of the patient, depending upon the condition of the patient a nurse/doctor may accompany
the patient.
 For Referral –the referral hospital must be informed before sending the patient. Staff accompanying the patient is
seated at the back with the patient. Only one person will be allowed to accompany the patient in the ambulance.
Relatives\ accompanying the patients to do so at their own risk.

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