1. Dr asif mehmood ahmad qazi Dhq khushab at Jauharabad
MSDS Volume 9
Dr asif mehmood ahmad qazi
Dhq khushab at Jauharabad
Dated:
44 Targets

2. 1) LAB :- Provision of lab safety manual and primary specimen collection manual in lab

5. 2) Radiology:- Quality assurance plan in radiology

7. 3) Emergency:- Training of Emergency Staff on Emergency Manual

13. 4) Gynae:- High risk cases red strip/ stamp and patient also tagged in labor and pre op room by a temporary wall hanging on bedside

14. 5) Surgery:- Notification of OT in charge with responsibility

15. 6) Surgery:- OT management committee/OTMC

16. 7) Surgery:- Surgeon's Register

17. 8) Surgery:- Anesthesia Register

18. 9) Surgery:- Stock Register for Electro-medical Equipment

19. 10) Surgery:- Prosthesis Register

20. 11) Surgery:- Criteria selection selected by OTMC for OT performance analysis

21. 12) Surgery:- Operating theatre efficiency measurement tools by OTMC

24. 13) Surgery:- Daily Operation Theater performance Report

25. 14) Surgery:- Daily Operation Theater Efficiency Monitoring

26. 15) Surgery:- Monthly OT Performance for Elective Cases

27. 16) Surgery:- Monthly OT Performance for Emergency Cases

28. 17) Surgery:- OTMC meeting record

32. 18) Surgery:- Display of restricted and high risk areas

36. 19) Surgery:- Display of changing area and formation of changing area or portable changing room

37. 20) Surgery:- Floor mapping in OT

38. 21) Surgery:- Request form for pre op assessment of surgery

39. 22) Surgery:- Check list for time out protocol

40. 23) Surgery:- Displays
SOP for preventing wrong surgery, wrong patient etc

41. 23) Surgery:- Displays
Identifiers for patient identification

42. 24) Surgery:- Display of correct operations site is the responsibility of surgical team members

43. 25) Surgery:- Stamp for patient identification

44. 26) Surgery:- Credential verification form in HR related to surgery

46. 27) Surgery:- post op notes/ operating notes

47. 28) Surgery:- Post of plan of care form

48. 29) Surgery:- Call bell to call nurse/ doctor in recovery room

49. 30) Surgery:- Sequence compression devices in recovery room

50. 31) Surgery:- Documented surgical quality assurance program

52. 32) Surgery:- Surgery safety check list

54. 33) Surgery:- MIS

56. 34) Surgery:- Internal audit of OT by OTA

57. 35) Surgery:- Surveillance of OT

61. 36) Surgery:- SSIS register with CPA and CPA log sheet

62. 37) CQI:- Coordinator for every department to ensure MSDS

63. 38) FMS:- Enlist the legal affairs i. e
38) FMS:- Enlist the legal affairs i.e. proceedings against Healthcare Establishment

64. 39) FMS:- Required laws (from above stated heads) has been implemented
We are properly checking each and every law by our Finance Officer/ Admin officer / Legal Officer. Register for its violation is maintained but yet there is no discrepancy yet.

65. 40) FMS:-Enlist the legal affairs (including out-sourcing or contracts with external agencies
Sr #
Nature Of Contract
Name of Firm 1
Mechanical Electric & Plumbring Contract
M/S Sarmik (Pvt) Ltd 2
Security & Parking Contract
M/S Gasherbrum Security System (Pvt) Ltd 3
Medicine Procurement
Taseer Medical Store 4
Arsalan Medical Store 5
Medical Equipment Procurement
M/S Khwaja Traders Lahore 6
M/S Hassan Enterprises 7
M/S Hakeem Enterprises 8
M/S M.S Enterprises

66. 41) HR:- List of unions or associations or societies active in a Healthcare Establishment

67. 42) HR:- Provision of written JD and employee rights and responsibilities to every employee with distribution list

68. 43) HR:- Employee record keeping
Data Base Form Filling

69. 43) HR:- Employee record keeping
Degrees Verification

70. 43) HR:- Employee record keeping
PMDC/PNC/PMF Updation

71. 44) IMS:- Unique identifier for every patient

72. THANKS