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THQ HOSPITAL NOOR PUR THAL
VOLUME 10
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Lab request form
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Lab file maintenance and CQI aaurance
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Blood bank meeting record
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Surgical specimen request form
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Preventive guideline for SSIS
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06: Manual training MOM with evidences
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06: Manual training MOM with evidences
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07: Notification for order prescribing with policy distribution record
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08: Approved abbreviation’s display in all wards
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08: Approved abbreviation’s display in all wards
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09: Drug committee formulation with JD and meeting records
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10: Order writing uniformity and display of order writing instructions with inspection record of order writing sample based
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11: Verbal order display and display of 5 rights for medication administration
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12: Display of high risk medication at 3 place with contents and humidification and temp control with evidence
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12: Display of high risk medication at 3 place with contents and humidification and temp control with evidence
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12: Display of high risk medication at 3 place with contents and humidification and temp control with evidence
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13:POP up messages for LASA drugs, high lighted stickers on packages, tall man lettering, separate storage for high risk medication
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14: Training of staff in aseptic techniques while preparing medicines, cleaning of area for drug preparation
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14: Training of staff in aseptic techniques while preparing medicines, cleaning of area for drug preparation
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15: Labeling of medication & chemical used for preparing medication
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16: Medication storage area inspection schedule and record included in drug committee meeting & display of condition suitable product stability if necessary
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17: Medication problem investigation form, CPA with log sheet
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18: Medicine dispention record register
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19: Labeling requirement displayed/policy
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20: Prepared medications are labeled prior to preparation of a second drug, display for verification of medication before dispensation
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weekly injection utilization report
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linen bag for infected linen and labeling sticker
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notification of vaccination and prick investigation, incident record form, prick investigation record register for WM employees
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Registers or WM; Monthly report OF WM and consignment notes etc
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Registers for HIC
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