1. IHQA

2.  GUIDELINES REGARDING STAFF RECRUITMENT,CREDENTIALLING,TRAINING,DI SCIPLINE,RIGHTS,DUTIES,HEALTH ISSUES,SERVICE RULES,ETC

3.  QUALIFICATION AND COMPETENCCY ASSESSMENT IS DONE  CREDENTIALLING COMMITTEE DECIDES  LEVEL OF STAFF FOR POST  STAFFING NUMBER DEPENDS ON TYPE OF HOSPITAL AND CARE – WARD/ICU/MATERNITY/EMERGENCY/OT/LAB/RADIOLOGY

4.  THE HOSPITAL MANAGEMENT DECIDES ACCORDING TO RULES OF PATIENT CARE  6:1 WARDS  1:1 ICU  DEPENDING ON PATIENT LOAD TECHNICAL STAFF EG LAB/RADIOLOGY/ECG/OP TH

5.  HR POLICY DOCUMENTED BY HOSPITAL  VACANCY IS FORWARDED TO MANAGEMENT THROUGH HR DEPT  QUALIFICATION,EXPERIENCE DECIDED AND STAFF RECRUITED THROUGH AGENCIES  STAFF INTERVIEW AND VERIFICATION IS DONE  STAFF APPOINTED ON PROBATION  INDUCTION TRAINING DONE  CONFIRMED AFTER PROBATION

6. INITIAL INDUCTION TRAINING SERVICE RULES SAFETY TRAINING INFECTION CONTROL TRAINING TRAINING NEEDS IDENTIFICATION DONE AFTER TRAINING POST TRAINING COMPETENCY EVALUATED.

7.  SAFETY MANUAL OF HOSPITAL,INFECTION CONTROL MANUAL,RADIATION SAFETY MANUAL  STAFF IS TRAINED IN HOSPITAL SAFETY,PATIENT AND STAFF SAFETY  SAFETY OF HOSPITAL EQUIPMENT AND MATERIALS  FIRE SAFETY,CODES TRAINING  PPE AND UNIVERSAL PRECAUTIONS TRG GIVEN  DEPENDING ON RISK IN JOB PROFILE ACCCORDINGLY TRAINING AND ORIENTATION IS DONE

8. TRAINING IS A CONTINUOUS PROCESS TRAINING NEEDS ASSESSMENT IS DONE AND ACCORDINNGLY TRAININGS ARE DONE WHENEVER NEW EQUIPMENT IS INTRODUCED OR NEW JOB DESCRIPTION OS GIVEN FRESH TRAINING IS DONE AND COMPETENCCY EVALUATION ANY ERRORS OR SENTINAL EVENTS ETC ALSO RESULT IN RETRAINING

9.  HOSPITAL HAS AN EMPLOYEE GRIEVANCE COMMITTEE AND ALSO SEXUAL HARASSMENT COMMITTEE TO LOOK INTO THE GRIEVANCES OF EMPOYEES  DISCIPLINARY PROCEDURE IS ALSO DOCUMENTED WITH COUNSELLING LETTER.WARNING LETTERS,AND OTHER DISCIPLINARY ACTIONS

10.  HR MANUAL AND SERVICE RULES HAVE DOCUMENTED PROCEDURE FOR GRIEVANCES AND SEXUAL HARASSMENT  ALL DISCIPLINARY ACTIONS ARE INFORMED DURING INTIAL TRAINING  ALL ACTS OF INDICIPLINE ARE HANDLED ACCCORDING TO HOSPITAL POLICY

11.  ACCORDING TO HOSPITAL POLICY ANDD PROTOCOL THE REDRESSL OF GRIEVANCE IS DONE  ALL EFFORTS ARE MADE TO CREATE A HARMOIOUS FREE ANDD FAIR PROFESSIONAL ATMOSPHERE

12.  INIITAL MEDICAL EXAMINATION IS DONE  ANNUAL HEALTH CHEK UPS ARE DONE  IMMUNIZATIONS ARE DONE FOR HBSAG  ALL OCUUPATIONAL EXPOSURE HANDLING IS DONE BY HOSPITAL ACCORDING TO HOSPITAL POLICY AND PROTOCOL  EMPLOYEES ARE TRAINED ON PREVENTION OF OCCUPATION RELATED HAZARDS

13.  EACH EMPLOYEE HAS S PERSONAL RECORD THE FILE CONTAINS ALL INFO ABOUT QUALIFICATION, HEALTH, TRAINING,DISCIPLINE, VERIFICATION, PF,ESI. ANNUAL REPORT,ANNUAL INCREMENT ETC

14.  THE FILES CONTAIN  PERSONAL INFO FORM  RESUME  CONFIDENTIALITY AGREEMENT  APPOINTMENT LETTER  TRAINING RECORDS  HEATLH RECCORD  DISCIPLINARY RECORD  ANNUAL EVALUATION RECORD  ESI/PF  LEAVE

15.  THE PREVAILING LAWS GUIDE THE DSICIPLIARY PROCEDURES APPLIED BY THE ORGANISATION