1. NABH PREACCR ENTRY LEVEL

2.  TO HAVE A POLICY AND PLAN FOR ALL ASPECTS OF SAFETY IN HOSPITAL FOR ALL PATIENTS,ATENDENTS,VISITORS AND STAFF  ALL STAFF TO BE ORIENTED  DISPLAY OF ALL SAFETY SIGNS FOR HAZARDS,EXIT PLANS ETC

3.  THE ORGANISATION INFRASTRUCTURE AND MANAGEMENT AND FACILITIES ARE ALL TUNED TO ENSURE SAFETY OF PATIENTS,FAMILIES,STAFF AND VISITORS  A SAFETY COMMITTEE OVERRLOOKS THIS ASPECT AND DOCCUMENTED POLICIES ANDD PROCEDURES GUIDE ALL ACTIVITIES

4.  BILINGUAL SIGNAGES RELATED TO HOSPITAL INFO AND SAFETY ASPECTS LIKE FIRE,ELECTRICAL SAFETY,RADIATION SAFETY ARE DIPLAYED PROMINENTLY

5.  POLICIES AND PROCEDURES ON SAFETY MEASURES IN HOSPITAL ARE DOCUMENTED BY HOSPITAL MANAGEMENT   RISK ASSESSMENT IS DONE  SAFETY COMMITTEE OVERLOOKS ALL RISKS INCLUDING HAZARDOUS MATERIAL MANGEMNT

6.  SAFETY ROUNDS ARE DONE FREQUENTLY TO ASSESS THE SYSTEMS  DRILLS FOR FIRE AND DISASTER ARE DONE  HOSPITAL CODES DRILLS ARE ALSO PRACTISED  STAFF IS TRAINED IN SAFETY MEASURES  ALL INSPECTIONS ARE DOCUMENTED

7.  TRAINING IN ALL ASPECTS OF SAFETY IN HOSPITAL IS GIVEN TO ALL STAFF  INDUCTION TRAINING INCLUDES SAFETY TRAINING  RETRAINING IS DONE PERIODICALLY DEPENDING ON NEEDS ASSESSMENT  PPE AND UNIVERSAL PREACUTIONS,SPILL MANAGEMENT,CODES,FIRE,ALS/BLS.DISASTER DRILLS ARE PART OF TRAINNING AND IS DOCUMENTED

8.  ALL ASPECTS OF THE HOSPITAL HAVE SAFETY ASPECTS TAKEN CARE OF  HOSPITAL POLICIES AND PROCEDURES INCLUDE SAFETY ASPECTS OF WARD,ICU,OT,LAB,X RAY ETC  ALL LEGAL REQUIRMENTS ARE MET WITH  SAFETY TRAINING IS GIVEN TO ALL STAFF  SPECIFIC DEPT WISE TRG IS ALSO GIVEN AND DOCUMENTED ON EQUIPMENT,HAZARDOUS CHEMICALS ETC  HOUSEKEEPING STAFF AND OTHER ANCILLARY AND SUPPORT STAFF ARE ALSO GIVEN GENERAL AND JOB SPECIFIC SAFETY TRAINING

9.  IN CONSONANCE WITH THE SCOPE OF SERVICE THE ORGANSATION PLANS FOR EQUIPMENT LOOKING INTO QUALITY PLAN AND SAFETY AND MAINTAINENCE PLAN FOR ALL EQUIPMENTS

10.  ALL EQUIPMENT ARE UNDER PREVENTIVE MANITANENCE PLAN WITH IS DOCUMENTED  ALL SAFETY AND OPERATIONAL ASPECTS ARE CHECKED ACCORDING TO THE LAID DOWN PROCEDURES  RECORD OF THESE ARE KEPT  BREAKDOWN TIME HAS STANDBY ARRANGEMENTS  OPERATIVE MANUALS ARE USED FOR GUIDANCE AND TRAININGS ARE HELD

11. . VACCUM SYSTEMS,GAS SUPPLY SYSTEMS HAVE A PREVENTIVE MAINTANENCE PROGRAMME AND ARE DAILY CHECKED FOR FUNCTIONING  ELECTRICITY SYSTEMS ARE DAILLY CHECKED FOR HAZARDS AND ALL CHECKS ARE DOCUMENTED  SAFETY COMMIITEE KEEPS A CHECK ON THE MAINTAINENCE AND BREAKDOWN OF THESE SYSTEMS  TRAINING OF STAFF AND ORIENTATION IS DONE

12.  ROUND THE CLOCK SAFE AND POTABLE WATER AND ELECTRICITY IS MADE AVAILABLE  GENERATOR STANDBY IS MAINTAINED  BACKUP WATER ARRANGEMENTS HAVE TO BE MADE  WATERR TESTING FOR POTABILITY  DAILY CHECK OF BACK UP SYSTEMS IS DONE

13.  DAILY CHECK OF BACK UP WATER,ELECTRICITY,OXYGEN,SUCTIONIS DONE  STAFF ISTRAINED AND ORIENTED

14.  A PREVENTIVE MAINTAINENCE PLAN IS IN PLACE FOR MEDICCAL GAS AND VACCUM SYSTEMS WHICH IS DOCUMENTED  BACK UP IS AVAILABLE

15.  FIRE SAFETY IS PLANNED ACCORDING TO FIRE OFFICER AND PLACEMENT OF ALL FIRE RELATED SPRINKLES EXINGUISHERS ETC IS PLANNED  ALL STAFF TO BE ORIENTED TO THE USE  FIRE EXIT PLANS SHD BE DISPLAYED  FIRE EXITS SIGNS  GLOW IN THE DARK SIGNS TO BE USED  MOCK DRILLS TO BE HELD AND DOCUMENTED

16.  STAFF IS TRAINED IN ALL SAFETY MEASURE OF THE HOSPITAL AND THE RISKS AT THEIR WORKPLACE AND HOW TO PREVENT THEM  PROPER PROTECTIVE GEAR IS PROVIDED  THEY ARE ORIENTED TO THE SAFETY PROGRAMME