Page 48 - mediscene nov19

MEDI SCENE

3) Policy on initial assessment, procedure and person to do assessment should be
defined
4) Policy on reassessment should be defined and staff should be trained for it

5) lab services – define scope, time frame, safe handling procedure and downtime
for critical results.
6) Imaging services – scope, time frame and critical result time should be defined
7) Discharge process- discharge summary to be given to all patients stating,
diagnosis, progress, medication on discharge, advice on discharge, emergency

contact numbers and follow up schedule
In c/o death cause of death should be mentioned
Care OF patients:

1) Guidelines for ethical practice defined and doctor to sign the treatment orders
2) Guidelines to treat emergency patients are well defined, staff training for it
Admission, transfer and discharge of emergency patients well defined
3) If blood transfusion is done in clinic, defined procedure for handling of blood

products should be well understood. Transfusion laws should be well written
and understood. Registration process for donation and transfusion should be
well defined
4) ICU protocols, admission monitoring and discharge should be well defined,

appropriate staff should be available
5) In c/o obstetric services- well documented procedure for enrollment, evaluation
record of progression, nutritional care and postnatal care should be defined.
Facility for neonatal care and documented policy is required.
6) In pediatric facility, scope of pediatric services should be well defined. Policy on

treatment, immunization, nutritional check up and progress should be clearly
documented. Policy for safety of children in premises and prevention of child
abuse well documented and staff should be well trained.
Policy on parent's education for immunization, nutrition and parenting should

be well documented.
7) Well documented policy and procedure for anesthesia administration, pre
anesthesia check up, anesthesia plan, immediate pre anesthesia check up,
monitoring during anesthesia, immediate post anesthesia evaluation, progress

Nov
V 45 November-2019ember-2019
Vol. : 18 - Issue : 1ol. : 18 - Issue : 1