Sl no Standards & Objective Elements Pop manual

1 AAC.1.c* missing
2 AAC.2.a* missing
3 AAC.2.d* pop 36 page
4 AAC.2.e* 93,117 page

5 AAC.3.a* pop 11 page

6 AAC.3.b* pop 11 page
7 AAC.4.a* pop 14 page
8 AAC.4.b* pop 14 page
9 AAC.4.c* pop 14 page
10 AAC.6.e* missing
11 AAC.6.f* missing
12 AAC.6.g* missing
13 AAC.6.i* pop 106page
14 AAC.6.j* missing
15 AAC.7.a* missing
16 AAC.7.b* missing
17 AAC.7.c* missing
18 AAC.7.d* missing
19 AAC.7.e* missing
20 AAC.8.a* missing
21 AAC.9.e* missing
22 AAC.9.f* missing
23 AAC.9.g* missing
24 AAC.9.i* missing
25 AAC.9.j* missing
26 AAC.10.a* missing
27 AAC.10.g* missing
28 AAC.10.h* missing
29 AAC.11.a* missing
30 AAC.11.e* missing
31 AAC.12.f* pop 18
32 AAC.13.b* missing
20th page LAMA ONLY ONE
33 AAC.13.c* POINT
34 COP.1.a* POP 67
35 COP.1.f* POP 67
36 COP.1.h* missing
37 COP.2.c* POP 21
38 COP.2.d* POP 21
39 COP.2.e* POP 21
40 COP.2.i* missing
41 COP.2.j* POP 22, Very limited in pop
42 COP.3.f* missing
43 COP.3.h* missing
POP 22, Very limited in pop, only
44 COP.4.a* plan of care mentioned
45 COP.4.b* POP22 Very limited
46 COP.6.a* missing
47 COP.6.b* missing
48 COP.7.b* pop 69,70
49 COP.7.d* pop 69,70
50 COP.8.b* pop 64
51 COP.8.c* pop 62
52 COP.8.f* missing
53 COP.8.h* missing
54 COP.9.a* missing
55 COP.9.b* missing
56 COP.9.e* pop 36
57 COP.9.f* missing
58 COP.9.g* missing
59 COP.10.a* missing
60 COP.10.d* missing

61 COP.11.a* missing
62 COP.11.b* missing
63 COP.11.f* missing
cop7.d very limited information
64 COP.12.a* pop 70
65 COP.12.g* missing
66 COP.13.a* missing
67 COP.13.g* missing
68 COP.14.a* missing
69 COP.14.d* cop7.d, pop, 60, 70

70 COP.14.i* missing

71 COP.14.j* missing
72 COP.15.b* missing
73 COP.16.a* pop 90
74 COP.16.c* pop 91
75 COP.16.d* pop 91, very limited
76 COP.16.e* pop 91, very limited
77 COP.16.f* pop 40
78 COP.17.a* missing
79 COP.19.a* pop82
80 COP.20.a* pop43
 81 MOM.1.a* missing
82 MOM.1.d* missing
83 MOM.2.e* missing
84 MOM.2.f* missing
85 MOM.3.C* 48 POP , High Risk missing
86 MOM.3.e* 49 POP , High Risk missing
87 MOM.3.f* missing
88 MOM.4.a* 48 POP, Very limited
89 MOM.4.b* 49 POP, Very limited
90 MOM.4.e* pop 50
91 MOM.5.a* missing
92 MOM.6.a* missing
93 MOM.6.b* missing
94 MOM.6.c* pop 79
95 MOM.6.d* missing
96 MOM.6.f* missing
97 MOM.7.h* missing
98 MOM.7.j* missing
99 MOM.7.k* missing
100 MOM.8.a* missing
101 MOM.8.c* missing
102 MOM.8.d* missing
103 MOM.9.a* pop 80
104 MOM.10.b* missing
105 MOM.10.e* missing
pop, 77 & 78, vendor evaluation
106 MOM.11.a* is missing
107 PRE.1.a* pop 52
108 PRE.1.b* pop 52 &53, pop 36
109 PRE.4.a* pop 57
110 PRE.4.d* pop 58
111 PRE.7.c* pop 56

pop 37, effective

112 PRE.8.a* communication model missing
113 PRE.8.b* pop 120page
114 PRE.8.c* pop 120page
115 HIC.1.a* missing
116 HIC.1.b* missing
117 HIC.1.e* missing
118 HIC.1.f* missing
119 HIC.1.g* missing
120 HIC.1.h* missing
121 HIC.3.a* missing
122 HIC.3.b* missing
123 HIC.3.c* missing
124 HIC.3.d* missing
125 HIC.3.e* missing
126 HIC.3.g* missing
127 HIC.4.a* missing
128 HIC.4.b* missing
129 HIC.4.c* missing
130 HIC.4.e* missing
131 HIC.4.f* missing
132 HIC.6.h* missing
133 HIC.7.b* missing
134 HIC.7.c* missing
135 HIC.7.d* missing
136 HIC.7.e* missing
137 HIC.8.b* missing
138 HIC.8.e* missing
139 PSQ.1.a* pop115 very limited
140 PSQ.2.a* pop 115,116 very limited
141 PSQ.2.b* pop 115,116 very limited
142 PSQ.2.d* pop 115,116 very limited
143 PSQ.2.e* pop 115,116 very limited
144 PSQ.2.g* pop 115,116 very limited
145 PSQ.2.h* pop 115,116 very limited
146 PSQ.7.a* pop 115,116 very limited
147 PSQ.7.b* pop 115,116 very limited
148 ROM.1.a* missing
149 ROM.1.b* missing
150 ROM.2.b* missing
151 ROM.4.e* missing
152 ROM.4.f* missing
153 ROM.5.a* pop 115,116 very limited
154 ROM.5.d* missing
155 FMS.2.g* missing
156 FMS.3.d* missing
157 FMS.3.f* pop 112
158 FMS.3.e* pop 112
159 FMS.4.c* missing

160 FMS.4.h* missing

161 FMS.5.c* missing
162 FMS.5.f* missing
163 FMS.5.g* missing
164 FMS.6.a* missing
165 FMS.6.f* missing
166 FMS.7.a* missing
167 FMS.7.d* missing
168 HRM.1.d* missing
169 HRM.1.f* missing
170 HRM.2.a* missing
171 HRM.2.d* missing
172 HRM.4.a* missing
173 HRM.7.a* missing
174 HRM.8.a* missing
175 IMS.1.a* missing
176 IMS.2.d* missing
177 IMS.3.b* missing
178 IMS.3.d* missing
179 IMS.5.a* missing
180 IMS.5.b* missing
181 IMS.5.c* missing
182 IMS.5.f* missing
183 IMS.6.a* missing
184 IMS.6.b* missing
185 IMS.6.d* missing
Department manual no where, need to be added
front office 12 to 14
front office 16to 17, 20 to 22
front office 20 to 22
not there in fo
transport in the hospital available
hk 26

labaratory 33 to 53
labaratory 33 to 53
labaratory 33 to 53
labaratory 33 to 53
labaratory 33 to 53
Laboratory 53 to 68
Laboratory 53 to 68
Laboratory 53 to 68
Laboratory 53 to 68
Laboratory 53 to 68
Laboratory 75
radiology 27 to 32
radiology 15 to 17
radiology 15 to 17
missing
missing
radiology 53 to 62
radiology 32, 53 to 62
radiology 32, 53 to 62
radiology 32, 53 to 62
radiology 32, 53 to 62
front offfice 18, only one point
front office 25

missing in front office

emergency 49 to 51
emergency 43 to 48
Nursing manual, 8, 27 to 32
Nursing manual , 8, 27 to 33

BLOOD BANK 18, 89 TO 101

BLOOD BANK 18, 89 TO 101
blood bank 101 to 103
blood bank 103 to 120,
MICU 9
31 micu, discharge missing
27 micu
micu 28 to 30
micu 287 to 293
NA
NA

Medical oncology 71,72, nursing

manual 48,92 to93, 68 to 69. PICU
in separate missing
NA
53, Safety and disaster

28 to 30 Anesthesia
29 to 30 Anesthesia
10 to 28 Anesthesia manual
24 to 25 Anesthesia manual

43 to 44 pop very limited 41 to 43

surgical oncology
44 to 44 pop very limited 41 to 43
surgical oncology
NA

10, 29 PAIN MANAGEMENT

nutrition manual 38 to 44
23 TO 48 Medication management
manual
missing
missing
MOM pg 21
MOM pg 36
MOM pg 35
missing
MOM pg 47
MOM pg 42
MOM pg 43
MOM pg 42
MOM pg 33
MOM pg 39
MOM pg 34
MOM pg 34
MOM pg 35
Nursing pg 249 *
MOM pg 47, nursing 96
MOM pg 47
Nursing pg 108
MOM pg 48, nursing pg 110
nursing pg 111

MOM pg 53
MOM pg 39

HIC manual (whole manual)

HIC pg 101
HIC pg 08
HIC pg 10
HIC pg 11
HIC pg 11
HIC pg 14
HIC pg 15
HIC pg 31
HIC pg 28
HIC pg 43
HIC pg 43
HIC pg 103
HIC pg 103 ( No - renovation )
house keeping 54 to 64
HIC pg 69
HIC pg 48
HIC pg 107
HIC pg 37
HIC pg 40, CSSD pg 28
CSSD pg 20
CSSD pg 27
HIC pg 56
HIC pg 115

APEX pg 97
APEX pg 09
APEX pg 121
APEX pg 75
APEX pg 117

missing
MAINTENANCE pg 60
MAINTENANCE pg 60

MAINTENANCE pg 35,61
MAINTENANCE pg 27,
MATERIALS 47
BME pg 19
BME pg 17, no disposal
BME pg 21
GAS PLANT pg 7
GAS PLANT pg 20
safety and disaster 22 to33
missing
missing
APEX pg 77
HR pg 17
HR pg 69, 78
HR pg 24
HR pg 40
HR pg 43, 49
IT Pg44
IT pg 24,31
IT Pg44
MRD pg 58
MRD pg 55
MRD pg 55
MRD pg 55
MRD pg 16, 60
MRD pg 64
MRD pg 48
MRD pg 48