Dr. Asif Mahmood Ahmad Qazi Medical Superintendent MSDS Targets for Medical Superintendents Dated: 9.2.17 Primary & Secondary Healthcare Department VOLUME 6 (26 indicators) Dr. Asif Mahmood Ahmad Qazi Medical Superintendent District Head Quarter Hospital Khushab
01:Training Program
02:Annual requirement of vial be calculated and procured along with 10 pc cushion 79200 vials per Annum with 10 % cushion for year 2017. 72000 vials per Annum for year 2016.
03:A notification duly signed by MS that all essentially required tests concerning to field are supported by hosp/outsourced (PHC accrediated if outsourced)
04:Human resource in Radiology Department
05: Material safety data sheets
06: head cover, apron, tied shoes, goggles, PPE
06: head cover, apron, tied shoes, goggles, PPE
06: head cover, apron, tied shoes, goggles, PPE
07:Lab: Record register + 1 month compliance report
08: External QA assessment to be carried out on weekly basis
09: Record register compliance report
10: Emergency: SOPs From consultants
11: Gynae Qualification criteria and verification Implemented Dr. Afsheen Rafique Gynecologist MBBS FCPS Dr. Khalida Kanwal Gynecologist MBBS FCPS Dr. Zahra Zafar Gynecologist MBBS FCPS Sarwat Tara SWMO MBBS Dr. Seerat Aleem WMO MBBS Tahira Ubaid WMO MBBS
12: Documented plan for trainings
12: Documented plan for trainings
13: Policies to address high risk pregnancies
14: TEMPERATURE AND HUMIDITY CONTROL
15: Air curtain availability on entrances of CSSD/NICU In NICU In CSSD
16: Patient transfer from recovery form
17: Discharge from recovery/PACU: criteria for pt transfer, pt 17: Discharge from recovery/PACU: criteria for pt transfer, pt. transfer form, responsibility of qualified person, sop display who will transfer patient.
18: SSIS committee
19: MR# linking with lab and radiology
20: New born infant finger print and foot print to confirm identification
21: Policy identifying authorization to make entries in medical record
22: Washroom cleaning checklist
23: Coordinators for all manuals
24: Racks for manual
25: Ortho registers
25: Ortho registers
25: Ortho registers
26: Ortho: History/ examination form