MSDS Targets for Medical Superintendents Volume 8 Dated:

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Presentation transcript:

MSDS Targets for Medical Superintendents Volume 8 Dated: 7.3.17 District headquarters hospital Mandi bahauddin

1.Radiology: Indicator 7& 9: Orientation record of key staff on regulatory requirement of radiology licensing, and JD

2.Radiology : Indicator : Radiology request form

3.Radiology: Indicator 12: Display of radiology critical results and SOP for reporting critical result display in radiologist room and ultrasound room Note: presently only X-Ray and ultrasound services are available at dhq hospital, mandi Bahauddin and ultrasound report/ X-Rays are delivered immediately after performing the test

4.Radiology: Indicator 7:Display for radiographers to use correct body postures

6.Emergency: Indicator 15: Implied consent in urdu

7.Blood bank: Indicator 21 : Registers Expiry Register Cross match & Issuing register Waste Register

7.Blood bank: Indicator 21 : Registers Cross match & Issuing register Waste Register

8. Blood bank: Indicator 21: current status displayed on daily basis on white board

9. Blood Bank : Indicator 21: Blood bank manual should be present in the Blood bank and Display regarding screening of donated blood for Hepatitis B, C, HIV, MALARIA AND Syphilis.

9. Blood Bank : Indicator 21: Blood bank manual should be present in the Blood bank and Display regarding screening of donated blood for Hepatitis B, C, HIV, MALARIA AND Syphilis.

Blood bank: Indicator 21: “Dangerous to patient” label for blood bag out of fridge for 30 min and discarded with filling of incident form. Note: “Dangerous to patient” label will be written on the bags with permanent marker as the tags may be misplaced

Blood bank: Indicator 21: “Dangerous to patient” label for blood bag out of fridge for 30 min and discarded with filling of incident form.

Blood bank: Indicator 21: “compatibility label “ sticker

Blood bank: Indicator 21: Pre-requisite form before blood transfusion

Blood bank : Indicator 21: Patient Transfusion record sheet

14.Blood Bank: Indicator 22: Ensuring Compliance with criteria of blood bank licensing procedures Registration has been applied

15. Blood bank: Indicator 23 : Donor examination form by MO : designated person for patient examination

16. Blood Bank: Indicator 24: Training of BTO and Training of staff nurses on administration of blood and management of transfusion reaction

16. Blood Bank: Indicator 24: Training of BTO and Training of staff nurses on administration of blood and management of transfusion reaction

17. Blood bank: Indicator 25: Prepare SOPs for following and incorporate in blood manual SOPs have been incorporate in blood manual

18. Blood bank: Indicator 25: Document following according to your facility

Blood bank : Indicator 25: Meeting record register and send memo also

Gynae: Indicator 26: List of referring facilities + letters to facilities regarding scope

Gynae: Indicator 28 : maternal nutrition assessment chart

HR: Indicator : staff strength

HR: Indicator: descriptive report of variations in actual and written responsibilities

HR: Indicator: monthly report of employees joined, transferred (to/from), promoted, retired and relieved from service

HRM: Indicator : daily inward/outward process