1. THQ HOSPITAL NOOR PUR THAL
VOLUME VII Indicators

2. Incident/accident report form

3. Solvent chemical waste packing and labeling

4. Lab waste incharge designated in a notification with responsibility

5. History slide box

6. Silt traps

7. Display of situations requiring informed consent on various places

8. Urdu statement display about pricing policy

9. CPA form used for complaint and feed back

10. CPA Log sheet

11. HIC detailed plan

12. Minutes of meeting form and HIC meeting record register

13. HICC round report register

14. HR record of ICN qualification or criteria

15. Hand washing station

16. Availability of PPE & PCE

17. Pathway for the waste disposal with statement in Urdu

18. Training on PPE with forms

19. Designating a hospital waste management officer with responsibility

20. Hospital waste management plan

21. Assessing requirement /scheduling /rescheduling/impact of training

22. Training evidence on waste hazards and safe management of different types of waste

23. Identification of pt confirmed

24. Training to radiographers for safe transportation

25. Daily surveillance of test results record register

26. Testing reagents and solutions

27. CPA for radiology

28. Validation of equipment and test methods
Not Applicable

29. Monthly observation of personells methodology conducting tests

30. Re-dos form and calculation of reject film rate on monthly basis
There is no film are rejected in all previous month

31. Physical barriers separating all zones
Not applicable

32. Digital sealer printer availability and date of sterilization

33. Training on Breakdown recall procedure with forms evidence

34. Minutes of meeting for preparation of mission statement

35. Long term strategic and operational planning

36. Short term operational planning

37. New Organogram Display

38. BB Hepatitis c. Hepatitis B, HIV monthly status report for research purpose

39. Laws pertaining to health sector acknowledged

40. MS JD compliance report with 3 month analysis
Not Applicable

41. All entries made particularly in ICU are dated timed initialed,
Not Applicable