1. DHQ hospital, mandi Bahauddin
Targets for MSDS Implementation by Medical Superintendents Volume
DHQ hospital,
mandi Bahauddin

2. 1) Indicator 3: Lab: lab request form

3. 2) Indicator : Lab: lab file maintenance and CQI assurance

4. 2) Indicator : Lab: lab file maintenance and CQI assurance

5. 3) Indicator 4: blood bank: blood bank meeting records

6. 4) Indicator 5: surgery: surgical specimen request form

7. 5) Indicator 50: Surgery: preventive guideline for SSIS

8. 6) Indicator 51: MOM: Manual training MOM with evidences

9. 6) Indicator 51: MOM: Manual training MOM with evidences

10. 7) Indicator 52: MOM: Notification for order prescribing with policy distribution record

11. 8) Indicator 51: MOM: Approved Abbreviation’s display in all wards

12. Indicator 51: MOM: Drug committee formulation with JD and meeting records

13. 10) Indicator 53 & 54: MOM: order writing uniformity and display of order writing instructions with inspection record of order writing sample based

14. 11) Indicator 55: MOM: Verbal order display and display of 5 rights for medication administration

15. 12) Indicator 56: MOM: Display of high risk medication at 3 places with contents and humidification and temp control with evidence
Male ward, Female ward & Dialysis ward

16. 13) Indicator 57: MOM: POP up messages for LASA drugs, high lighted stickers on packages, tall man lettering, separate storage for high risk medication

17. 13) Indicator 57: MOM: POP up messages for LASA drugs, high lighted stickers on packages, tall man lettering, separate storage for high risk medication

18. 13) Indicator 57: MOM: POP up messages for LASA drugs, high lighted stickers on packages, tall man lettering, separate storage for high risk medication

19. 14) Indicator 58: MOM: training of staff in aseptic techniques while preparing medicines, cleaning of area for drug preparation

20. 15) Indicator 58: MOM: labeling of medication & chemical used for preparing medication
Existing practice
Suggested practice

21. 16) Indicator 59: MOM: Medication storage area inspection schedule & record included in drug committee meeting & Display of Condition suitable product stability if necessary

22. 16) Indicator 59: MOM: Medication storage area inspection schedule & record included in drug committee meeting & Display of Condition suitable product stability if necessary

23. 17) Indicator 59: MOM: Medication problem investigation form, CPA with log sheet

24. 18) Indicator 60: MOM: medicine dispention record register Annexure J
Existing practice

25. 19) Indicator 61: MOM: labeling requirements displayed/policy

26. 20) Indicator 62: MOM: prepared medications are labeled prior to preparation of a second drug, display for verification of medication before dispensation

27. 21) Indicator : HIC: weekly injection utilization report

28. 22) Indicator: HIC: linen bag for infected linen and labeling sticker

29. 23) Indicator: WM: notification of vaccination and prick investigation, incident record form, prick investigation record register for WM employees

30. 24) Indicator: WM: Registers or WM; Monthly report OF WM and consignment notes etc

31. 25) Indicator :HIC; Registers for HIC

32. 25) Indicator :HIC; Registers for HIC

33. 25) Indicator :HIC; Registers for HIC

34. 25) Indicator :HIC; Registers for HIC Existing practice