DISCTRICT HOSPITAL AHMEDNAGAR

Issue date: 01-OCT-2021

DHP/PRE/Doc no;03
Issue No.: 01
Maintaining Patient Record its Security & Rev. date: 23/10/2021
Sharing Information & Safe Disposal Policy Rev No.:2
Page no-1-5 Effective Date: : 01-oct 2021

Records of care activities in registers and formats

The following registers should be maintained to record data
Medical Records
 OPD Register
 IPD admission Register
 Referral Register
 Birth and death Register
 MLC intimation Register
LR/OT Register
 LR register
 OT Register
 MTP Register
Drugs, Pharmacy
 Indent Register
 Stock Register
Management
 Medical gas Register
 Training record Register
Hospital Infection Control
 OT swab Register
 Sterilization Register
 Daily cleaning Register
 Autoclave indicator strip Register
Following formats should be used :
 Case sheet with partograph, safe childbirth check list, safe surgical check list,
nursing monitoring charts included
 Referral slip
 Consent forms : Major procedure, invasive procedure, blood transfusion, High
risk, admission of baby to SNCU, PPIUCD insertion
 Preoperative assessment format
 Intraoperative monitoring format
 Blood requisition format
 Transfusion monitoring format
 Transfusion reaction reporting format
 Adverse event reporting format
 Discharge card
Bio Medical Waste Management:
 Staff should ensure the availability of proper colour coded bucket (with liner in
appropriate places).
 Staff should segregate the waste at the point of generation.
 DISCTRICT HOSPITAL AHMEDNAGAR
Issue date: 01-OCT-2021
DHP/PRE/Doc no;03
Issue No.: 01
Maintaining Patient Record its Security & Rev. date: 23/10/2021
Sharing Information & Safe Disposal Policy Rev No.:2
Page no-1-5 Effective Date: : 01-oct 2021

 The waste should be segregated as per guideline.

 The dustbin should be emptied thrice a day or as needed when the dustbin is 3/4 th
full.
 The person handling waste should wear PPE.
 The dustbin should be clean and sundry/dry daily before putting the new liner.
 Staff should supervise the housekeeping staff for the same.
 Proper handling of soiled and infected linen should be ensured.
 Separation of routes for clean and dirty items necessary
 No sorting, rinsing or packing at Point of use/ Patient care area,
 Fumigation is done as per schedule. Formalin is not used.
94 Periodic monitoring of infection control practices should be done
 Microbiological surveillance : Provision for Passive and active culture surveillance
of
critical & high risk areas is essential.
See the posters at the end of the chapter
Responding to a Blood Spill
 The cleaning staff should use appropriate personnel protective equipment. Always
check
PPE for tears or damage before wearing. Select the appropriate PPE based on the
situation.
 If any sharp objects or broken glass is contaminated with blood, remove objects
with
tongs or forceps and place in a sharps container. Never remove sharps/broken glass
by
hand.
 Cover spill by covering with absorbent material (paper towels, powder, or
absorbent
pad).
 Carefully apply 1/10 bleach solution on and around blood spill. Take care to not
splash
disinfectant during application.
 Allow disinfectant to remain in contact for 10 minutes.
 Remove absorbent material (paper towels, absorbent powder). Place all
contaminated
absorbent material in a red bag, autoclave bag or appropriate disposal bag. Repeat
process until all visual spillage has been removed.
 Re-apply disinfectant to area. Allow to air dry or stand for 10 minutes before
wiping
Note: Inspect the blood spill area closely; making sure that there is nothing missed
and
that the clean-up process is complete.
Clean Environment: (Refer to annexure on daily weekly cleaning timetable)
 DISCTRICT HOSPITAL AHMEDNAGAR
Issue date: 01-OCT-2021
DHP/PRE/Doc no;03
Issue No.: 01
Maintaining Patient Record its Security & Rev. date: 23/10/2021
Sharing Information & Safe Disposal Policy Rev No.:2
Page no-1-5 Effective Date: : 01-oct 2021

The floor should be cleaned at least three times in 24 hours following housekeeping
guideline. Standard practice of mopping and scrubbing are followed. Unidirectional
mopping from inside out and 3 bucket system of mopping should be followed.
Broom
not used in patient care areas.
Cleaning of delivery tables tops after each delivery with 2% carbolic acid;
 The walls should be washed with a scrubber using cleaning solution
(Bleach/Hypochlorite) whenever necessary.
 High dusting should be done once in a month and whenever necessary.
 Fans and lights should be cleaned once a month.
 All work surfaces should be disinfected by wiping with hypochlorite solution
 Cupboards, shelves, beds, lockers, IV stands, stools and other fixtures should be
cleaned once a week with disinfectant solution
 Curtains should be changed once a month. More frequent in high risk area
 Store rooms should be mopped once a day.
 Bathroom floors should be scrubbed with a broom and cleaning powder once a day
and
cleaned at frequent intervals.
95 Toilets should be cleaned with a brush using phenol thrice daily. A liquid
bleach/chlorine can be used to remove stains.
 Wash basins should be cleaned with cleaning powder every morning and with a
stain
removing liquid once a month.
 Regular air-conditioning maintenance is essential. (As per the electrical section
protocol).
 Prepare floor cleaning solutions daily or as needed, and replace with fresh solution
frequently.
 Clean mop heads daily, at the beginning and end of each day.
 When cleaning patient rooms or contaminated areas at any time), personnel must
wear
utility gloves and protective shoes. If necessary wear a mask, rubber apron, and
goggles
if there are spills or when expecting anything to splash.
 Appropriate PPE should be used and a log of all cleaning procedures must be
maintained
 All housekeeping surfaces (floors/ tabletops/counters) should be cleaned on a
regular
basis, when visibly soiled and when spills occur. Either hot water or a neutral
detergent
may be used or hypochlorite solution should be used. In specific high- risk areas
 In-charge should maintain the daily cleaning checklist.
 DISCTRICT HOSPITAL AHMEDNAGAR
Issue date: 01-OCT-2021
DHP/PRE/Doc no;03
Issue No.: 01
Maintaining Patient Record its Security & Rev. date: 23/10/2021
Sharing Information & Safe Disposal Policy Rev No.:2
Page no-1-5 Effective Date: : 01-oct 2021

 In-charge should prepare and display cleaning time table (daily, weekly & monthly)

Poster
 DISCTRICT HOSPITAL AHMEDNAGAR
Issue date: 01-OCT-2021
DHP/PRE/Doc no;03
Issue No.: 01
Maintaining Patient Record its Security & Rev. date: 23/10/2021
Sharing Information & Safe Disposal Policy Rev No.:2
Page no-1-5 Effective Date: : 01-oct 2021