This document outlines the policies and procedures for a healthcare facility. It includes 29 policies related to patient rights, treatment protocols, education, hiring, waste management, safety, infection control, quality improvement, records management, equipment maintenance, incident reporting, needle safety, disease reporting, cleaning/sterilization, screening programs, immunization, smoking, prescribing, security, housekeeping, waste disposal and maintenance. For each policy, it indicates the relevant area of the facility and includes remarks about related documentation and logs used to monitor compliance.
This document outlines the policies and procedures for a healthcare facility. It includes 29 policies related to patient rights, treatment protocols, education, hiring, waste management, safety, infection control, quality improvement, records management, equipment maintenance, incident reporting, needle safety, disease reporting, cleaning/sterilization, screening programs, immunization, smoking, prescribing, security, housekeeping, waste disposal and maintenance. For each policy, it indicates the relevant area of the facility and includes remarks about related documentation and logs used to monitor compliance.
This document outlines the policies and procedures for a healthcare facility. It includes 29 policies related to patient rights, treatment protocols, education, hiring, waste management, safety, infection control, quality improvement, records management, equipment maintenance, incident reporting, needle safety, disease reporting, cleaning/sterilization, screening programs, immunization, smoking, prescribing, security, housekeeping, waste disposal and maintenance. For each policy, it indicates the relevant area of the facility and includes remarks about related documentation and logs used to monitor compliance.
IA PATIENTS RIGHTS WARDS RIGHT TO INFORMATION RIGHT TO REFUSE TREATMENT RIGHT TO PRIVACY RIGHT TO PERSONAL CHOICE 2 DEAMHI_PAP_01 RIGHT TO CARE AND SECURITY OF PERSONAL BELONGINGS RIGHT TO FREEDOM FROM RESTRAINTS RIGHT RO FREEDON FROM ABUSE, MISTREATMENT AND ABU WARD ADOPTED/DEVELOPED PROTOCOL ER 13 DEAMHI_PAP_02 CPG OPD ICU WARD ER 13 DEAMHI_PAP_03 PATIENT EDUCATION OPD ICU 28, 31, qualification standards, DEAMHI_PAP_04 HIRING, CREDENTIALING AND PRIVILEGING 33 procedure of hiring 28 DEAMHI_PAP_05 BLOOD TRANSFUSION 28, 43, Memos, waste segregation, DEAMHI_PAP_06 HEALTHCARE WASTE MANAGEMENT 60 treatment and disposal 28, 43 DEAMHI_PAP_07 PATIENT SAFETY Defined roles and INFECTION PREVENTION AND CONTROL responsibilities, manual, 28, 52 DEAMHI_PAP_08 - PP ON DISPOSITION OF DEAD BODIES WITH ADMIN Procedures in use of PPE, DANGEROUS COMMUNICABLE DISEASE OFFICE isolation precaution and hand washing 28 DEAMHI_PAP_09 PHARMACOLOGIC AND THERAPEUTIC 28, 43, HEM safe hospital checklist DEAMHI_PAP_10 EMERGENCY AND DISASTER PREPAREDENESS 70 Minutes of meeting 28, 61 DEAMHI_PAP_11 CONTINUOUS QUALITY IMPROVEMENT Personnel evaluation Performance Appraisal 28 DEAMHI_PAP_12 GRIEVANCE 37 DEAMHI_PAP_13 RECORD STORAGE, RETENTION AND DISPOSAL MEDICAL RECORD SYSTEMATIC FILING, RETRIEVAL AND MANAGEMENT MEDICAL 39 DEAMHI_PAP_14 OF MEDICAL RECORDS RECORD PROTECTS RECORDS AND PATIENT CHART AGAINST MEDICAL LOGBOOK FOR BORROWING 40 DEAMHI_PAP_15 LOSS, DESTRUCTION, TAM,PERING AND RECORD AND RETRIEVAL OF CHARTS UNAUTHORIZED ACCESS OR IUUSE Operating and manuals of 44 DEAMHI_PAP_16 QUALITY CONTROL the medical equipment and non-medical equipment Preventive and corrective CORRECTIVE AND PREVENTIVE MAINTENANCE 43 DEAMHI_PAP_17 maintenance logbook PROGRAM FOR MEDICAL EQUIPMENT Film reject analysis WARD INCIDENT REPORTING/SENTINEL EVENT ER 47 DEAMHI_PAP_18 MONITORING SYSTEM ICU OR WARD PREVENTION AND TREATMENT OF NEEDLE STICK 53 DEAMHI_PAP_19 LAB INJURIES AND SAFE DISPOSAL OF NEEDLES ER ER PP on isolation PREVENTION OF TRANSMISSION OF AIRBORNE WARD PIDSR referral 56, 73 DEAMHI_PAP_20 INFECTIONS, TUBERCULOSIS LAB TB Referral Logbook ISOLATION 57 DEAMHI_PAP_21 REPORTING OF NOTIFIABLE DISEASES PIDSR CLEANING, DISINFECTING, DRYING, PACKAGING AND CSSU 58 DEAMHI_PAP_22 STERILIZING EQUIPMENT, INSTRUMENT AND SUPPLIES WARD Logbook 65 DEAMHI_PAP_23 NEWBORN SCREENING OR of filter papers 66 DEAMHI_PAP_24 ROOMING IN AND BREASTFEEDING WARD MBFHI 67 DEAMHI_PAP_25 IMMUNIZATION WARD Logbook (BCG records) 68 DEAMHI_PAP_26 ANTI-SMOKING HALLWAY NO SMOKING signage PHARMACY 69 DEAMHI_PAP_27 GENERIC PRESCRIBING WARD 71 DEAMHI_PAP_28 NEWBORN HEARING SCREENING OUTSOURCED 72 DEAMHI_PAP_29 FAMILY PLANNING SERVICES FP ACCEPTORS
DEAMHI_AS_PAP ADMIN Logbook- 15 day menu
I.A DIETARY _01 B DEAMHI_AS_PAP LINEN Logbook _02 DEAMHI_AS_PAP Logbook C SECURITY _03 DEAMHI_AS_PAP Logbook D HOUSEKEEPING _04 DEAMHI_AS_PAP Logbook E PROPER WASTE DISPOSAL _05 DEAMHI_AS_PAP Logbook certificates F MAINTENANCE PREVENTIVE MAINTENANCE _06