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

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

3. 2.Radiology : Indicator : Radiology request form

4. 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

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

6. 6.Emergency: Indicator 15: Implied consent in urdu

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

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

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

10. 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.

11. 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.

12. 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

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

14. Blood bank: Indicator 21: “compatibility label “ sticker

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

16. Blood bank : Indicator 21: Patient Transfusion record sheet

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

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

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

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

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

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

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

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

25. Gynae: Indicator 28 : maternal nutrition assessment chart

26. HR: Indicator : staff strength

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

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

29. HRM: Indicator : daily inward/outward process