THQ CIVIL HOSPITAL DASKA
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2 THQ CIVIL HOSPITAL DASKA
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4 ( POINT NO. 01) INDICATOR MOM 51 PATIENT RECORD CONTAINS A LIST OF MEDICATION PRIOR TO ADMISSION ON HISTORY FORM
5 ( POINT NO. 01) INDICATOR MOM 51 PATIENT RECORD CONTAINS A LIST OF MEDICATION PRIOR TO ADMISSION ON HISTORY FORM
6 ( POINT NO. 01) INDICATOR MOM 51 PATIENT RECORD CONTAINS A LIST OF MEDICATION PRIOR TO ADMISSION ON HISTORY FORM
7 ( POINT NO. 02) INDICATOR MOM 53& 69 INDOOR TREATMENT SHEET
8 ( POINT NO. 03) INDICATOR MOM 53 MEDICATION REVIEW BY PHARMACISTS
9 ( POINT NO. 04) INDICATOR MOM 56 HIGH RISK MEDICATION SHOULD INCLUDE: CONC. ELECTROLYTES, VERY HIGH COST DRUGS, LASA, PHYSCOTROPICS ETC
10 ( POINT NO. 05) INDICATOR MOM 58 DISPLAY FOR PATIENT, MEDICATION, ROUTE, DOSE AND METHOD IDENTIFICATION DULY SIGNED BY HOSPITAL ADMINISTRATION
11 ( POINT NO. 06) INDICATOR MOM 59 MEDICATION RECALL FORM
12 ( POINT NO. 07) INDICATOR MOM 59 MEDICATION RECALL RECORD REGISTER
13 ( POINT NO. 08) INDICATOR MOM 70 OFFICE ORDER AND DISPLAY REGARDINGSELF-ADMINISTRATION OF MEDICATION BY PATIENT& MEDICATION BROUGHT FROM OUTSIDE THE ORGANIZATION
14 ( POINT NO. 09) INDICATOR PRE 75 NOTIFICATION REGARDING CONSENT IN CASE OF INCAPACITATION OF PATIENT TO MAKE INFORMED DECISION MAKING
15 ( POINT NO. 09) INDICATOR PRE 75 WHO CAN GIVE INFORMED CONSENT
16 ( POINT NO. 10) INDICATOR HIC INFECTION CONTROL PLAN
17 ( POINT NO. 10) INDICATOR HIC INFECTION CONTROL PLAN
18 ( POINT NO. 10) INDICATOR HIC INFECTION CONTROL PLAN
19 ( POINT NO. 10) INDICATOR HIC INFECTION CONTROL PLAN
20 ( POINT NO. 11) INDICATOR HIC 84 DRINKING WATER ANALYSIS REPORT AND CPA& CPA LOG SHEET IN CASE OF NON-CONFORMITY
21 ( POINT NO. 12) INDICATOR HIC 88 & 85 HIC MEETING FILE, WM MEETING FILE, STERILIZATION UNIT MEETING FILE :HIC/WM MEETINGS TOPICS PPE, SAFE & HAZARDOUS, WASTE SEGREGATION ETC
22 ( POINT NO. 12) INDICATOR HIC 88 & 85 HIC MEETING FILE, WM MEETING FILE, STERILIZATION UNIT MEETING FILE :HIC/WM MEETINGS TOPICS PPE, SAFE & HAZARDOUS, WASTE SEGREGATION ETC
23 ( POINT NO. 12) INDICATOR HIC 88 & 85 HIC MEETING FILE, WM MEETING FILE, STERILIZATION UNIT MEETING FILE :HIC/WM MEETINGS TOPICS PPE, SAFE & HAZARDOUS, WASTE SEGREGATION ETC
24 ( POINT NO. 12) INDICATOR HIC 88 & 85 HIC MEETING FILE, WM MEETING FILE, STERILIZATION UNIT MEETING FILE :HIC/WM MEETINGS TOPICS PPE, SAFE & HAZARDOUS, WASTE SEGREGATION ETC
25 ( POINT NO. 13) INDICATOR HIC 88 DISINFECTION OF ACCESSORIES
26 ( POINT NO. 14) INDICATOR HIC 88 WASTE MANAGEMENT PERSONNEL VACCINATION RECORDS OF HEP B, TETANUS AND REGISTER
27 ( POINT NO. 15) INDICATOR HIC 88 DISPLAY AND TRAINING OF USAGE AND CLEANING OF BED PANS/ URINALS
28 ( POINT NO. 15) INDICATOR HIC 88 DISPLAY AND TRAINING OF USAGE AND CLEANING OF BED PANS/ URINALS
29 ( POINT NO. 16) INDICATOR STERILIZATION UNIT /HIC 90 DISINFECTANTS
30 ( POINT NO. 16) INDICATOR STERILIZATION UNIT /HIC 90 DISINFECTANTS
31 ( POINT NO. 17) INDICATOR HIC 91 CSSD AUDIT LIST
32 ( POINT NO. 18) INDICATOR STERILIZATION UNIT 92 TEST STRIPS BOTTLE SHOULD BE DATED WHEN OPENED AND AUTOCLAVE DAILY CHECKLIST
33 ( POINT NO. 19) INDICATOR CQI 93 CLINICAL AUDIT COMMITTEE FORMATION
34 ( POINT NO. 20) INDICATOR CQI 105 DEATH ANALYSIS REGISTER
35 ( POINT NO. 21) INDICATOR ROM 108 MISSION STATEMENT, MINUTES OF MEETING PROVIDED BY PMU, EMPLOYEES ORIENTED WITH MISSION STATEMENT
36 ( POINT NO. 22) INDICATOR ROM 110 BUDGETING DOCUMENTATION In Progress
37 ( POINT NO. 23) INDICATOR ROM 116 CAMPS EVERY 6 MONTHS
38 ( POINT NO. 24) INDICATOR ROM 116 PAMPHELETS OR PUBLIC INFORMATION I-E MATERNAL NUTRITION, HEP B, ASTHMA, TB
39 ( POINT NO. 24) INDICATOR ROM 116 PAMPHELETS OR PUBLIC INFORMATION I-E MATERNAL NUTRITION, HEP B, ASTHMA, TB
40 ( POINT NO. 25) INDICATOR ROM 116 PROPOSING STRATEGIES TO GOVT. EVERY YEAR FOR SOCIAL IMPROVEMENT BASED ON CAMPS AND HOSPITAL INTERNAL SURVEY TO INCREASE THE CONTRIBUTION TOWARDS YOUR TARGET POPULATION/AREA AND IMPLEMENTATION OF THOSE STRATEGIES WITHIN YOUR AVALAIBLE RESOURCES
41 ( POINT NO. 26) INDICATOR FMS/BIOMEDICAL 122 DETAILS OF HIGH TECH EQUIPMENT Sr. No Name of machinery Equipment Place of installation Qty Status Repairable Functional Nonfunctional Major Minor Auction able Chemistry Analyzer Micro Plate Elisa Reader Micro Plate Elisa Washer Vortex Mixer Regulator Water Bath Photo meter Erma Microscope Monclore Microscope Binocolor Centrifuge machine Laboratory Incubator Sterilizer Power Supply Colour Meter Electrolyte Analyzer Hematology Analyzer Refrigerator CPU Monitor Printer Epson
42 ( POINT NO. 26) INDICATOR FMS/BIOMEDICAL 122 DETAILS OF HIGH TECH EQUIPMENT X-Ray Plant 100 MA Hungry X-Ray Plant 100 MA Trophy X- Ray Plant 500 MA Toshiba Cassette with screen 14x Cassette with screen 08x Cassette with screen 10x12 X-Ray Department Cassette with screen 12x Cassette with screen 07x Cassette with screen 06x Hanger 8x Hanger 10x Hanger 12x Hanger 14x Ultrasound Machine Anesthesia Machine Radiology Department Pulse Oxy meter Ceiling light Day thermia O. T Department Sacker Machine Auto clave Hot air oven Hot oven
43 ( POINT NO. 26) INDICATOR FMS/BIOMEDICAL 122 DETAILS OF HIGH TECH EQUIPMENT Dental Unit with Accessories Sterilizer Micro motor Hand Piece Dental Ultrasonic Scalar Department X-Ray Laminator Compressor X-Ray Machine Dry Heat Auto Clave Cardiac Monitor ECG machine Defibrillator Ambo Bag Laryngoscope Cardiology UPS Ward AC Suction Machine Infusion Pump Nebulizer Sucker Machine Refrigerator Nebulizer Emergency Boiler Department
44 08 ( POINT NO. 26) INDICATOR FMS/BIOMEDICAL 122 DETAILS OF HIGH TECH EQUIPMENT Portable Lig v ht Sucker Machine CTG Machine Gynae Ward Baby Warmer Element Sterilizer Ultrasound Machine Sterilizer Eye Ward Nebulizer Female Medical Sucker Machine Ward AC AC Sucker Machine Nebulizer Male Medical Ward ECG Machine Sterilizer Element of Sterilizer Sterilizer without wire Sucker Machine Male Surgical Air Cooler AC Nebulizer Electric Cooler Female Surgical Ward Sucker Machine with wire Laryngoscope Baby Weight Machine Incubator Nebulizer Sucker Machine with foot Children Ward Sterilizer Scale Weight Phototherapy Machine Ambo Bag
45 ( POINT NO. 26) INDICATOR FMS/BIOMEDICAL 122 DETAILS OF HIGH TECH EQUIPMENT Sucker Machine Chiller Deep freezer Refrigerator Auto Clave Squint Set Complete Glaucoma Complete set ENT OPD Medicine Store DCR Complete Set Ophthalmic scope Eye OPD/OT Retnoscope Bio meter Kerato meter Vision Testing Drum Medical Superintendent (DHQ level) Civil Hospital Daska
46 ( POINT NO. 27) INDICATOR FMS/BIOMEDICAL 123 VENDOR ASSESSMENT
47 ( POINT NO. 28) INDICATOR FMS/BIOMEDICAL 125 EQUIPMENT MAINTAINANCE SCHEDULE ANNEXURE
48 ( POINT NO. 29) INDICATOR HR 131 STATEMENT OF ETHICS, CONFIDENTIALITY AGREEMENT, HEALTH QUESTIONNAIRE, REFERENCE FORMS
49 ( POINT NO. 29) INDICATOR HR 131 STATEMENT OF ETHICS, CONFIDENTIALITY AGREEMENT, HEALTH QUESTIONNAIRE, REFERENCE FORMS
50 ( POINT NO. 29) INDICATOR HR 131 STATEMENT OF ETHICS, CONFIDENTIALITY AGREEMENT, HEALTH QUESTIONNAIRE, REFERENCE FORMS
51 ( POINT NO. 29) INDICATOR HR 131 STATEMENT OF ETHICS, CONFIDENTIALITY AGREEMENT, HEALTH QUESTIONNAIRE, REFERENCE FORMS
52 ( POINT NO. 30) INDICATOR IMS 144 OFFICE ORDER FOR UNIQUE IDENTIFIER, OFFICE ORDER REGARDING AUTHORIZATION OF WHO CAN MAKE ENTRIES IN MEDICAL RECORD
53 ( POINT NO. 31) INDICATOR IMS 146 &147 MEDICAL RECORD ENTRY IN IMS WITH IT OFFICER NAME DATE AND TIME OF ENTRY, ENTRIES DATED, TIMED, INITIALED WITH EMPLOYEE ID ESPECIALLY IN ICU
54 (POINT NO. 32) INDICATOR IMS 148 PATIENT FILE SAMPLE WITH ALL RECORD SHOULD BE SAVED IN ORDER
55 (POINT NO. 32) INDICATOR IMS 148 PATIENT FILE SAMPLE WITH ALL RECORD SHOULD BE SAVED IN ORDER
56 (POINT NO. 32) INDICATOR IMS 148 PATIENT FILE SAMPLE WITH ALL RECORD SHOULD BE SAVED IN ORDER
57 (POINT NO. 32) INDICATOR IMS 148 PATIENT FILE SAMPLE WITH ALL RECORD SHOULD BE SAVED IN ORDER
58 (POINT NO. 32) INDICATOR IMS 148 PATIENT FILE SAMPLE WITH ALL RECORD SHOULD BE SAVED IN ORDER
59 (POINT NO. 32) INDICATOR IMS 148 PATIENT FILE SAMPLE WITH ALL RECORD SHOULD BE SAVED IN ORDER
60 ( POINT NO. 33) INDICATOR IMS 149 PATIENT TREATMENT TICKET, HISTORY FORM, PLAN OF CARE FORM, LAB REPORTING, RECEIVING NOTES, OUTCOME, MEDICATION CHARTS
61 ( POINT NO. 33) INDICATOR IMS 149 PATIENT TREATMENT TICKET, HISTORY FORM, PLAN OF CARE FORM, LAB REPORTING, RECEIVING NOTES, OUTCOME, MEDICATION CHARTS
62 ( POINT NO. 33) INDICATOR IMS 149 PATIENT TREATMENT TICKET, HISTORY FORM, PLAN OF CARE FORM, LAB REPORTING, RECEIVING NOTES, OUTCOME, MEDICATION CHARTS
63 ( POINT NO. 33) INDICATOR IMS 149 PATIENT TREATMENT TICKET, HISTORY FORM, PLAN OF CARE FORM, LAB REPORTING, RECEIVING NOTES, OUTCOME, MEDICATION CHARTS
64 ( POINT NO. 33) INDICATOR IMS 149 PATIENT TREATMENT TICKET, HISTORY FORM, PLAN OF CARE FORM, LAB REPORTING, RECEIVING NOTES, OUTCOME, MEDICATION CHARTS
65 ( POINT NO. 34) INDICATOR IMS 150 EVERY SURGERY RELATED CASES SHOULD HAVE FOLLOWING RECORDS
66 ( POINT NO. 34) INDICATOR IMS 150 EVERY SURGERY RELATED CASES SHOULD HAVE FOLLOWING RECORDS
67 ( POINT NO. 35) INDICATOR IMS 151 REFERRAL FORM 2 COPIES SHOULD BE PREPARED
68 ( POINT NO. 36) INDICATOR IMS 152 DISCHARGE FORM GIVEN TO PATIENT AND COPY IN FILE
69 ( POINT NO. 37) INDICATOR IMS 155 NOTIFICATION REGARDING AUTHORIZE ACCESS TO CURRENT AND PAST MEDICAL RECORD
70 ( POINT NO. 38) INDICATOR IMS 156 & 157 NOTIFICATION REGARDING FREQUENCY, SAMPLE SELECTION ETC ABOUT RECORD KEEPING
71 ( POINT NO. 39) INDICATOR IMS 158, 161, 162 RECORD REVIEW COMMITTEE WITH JD, MEETING MEMO, MEETING MINUTES, RECORD REVIEW MEETING REGISTER, CPA, CPA LOG SHEET FOR RECORD KEEPING
72 ( POINT NO. 39) INDICATOR IMS 158, 161, 162 RECORD REVIEW COMMITTEE WITH JD, MEETING MEMO, MEETING MINUTES, RECORD REVIEW MEETING REGISTER, CPA, CPA LOG SHEET FOR RECORD KEEPING
73 ( POINT NO. 39) INDICATOR IMS 158, 161, 162 RECORD REVIEW COMMITTEE WITH JD, MEETING MEMO, MEETING MINUTES, RECORD REVIEW MEETING REGISTER, CPA, CPA LOG SHEET FOR RECORD KEEPING
74 ( POINT NO. 40) INDICATOR IMS 160 MEDICAL RECORD REVIEW REGISTER
75
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