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SOP’S FOR INDOOR PATIENTS Inpatient: (Male/Female/Ofcers/ICU Wards) All shits should ollow strict timins Daily Notes and Evaluation !ouse ofcers and residents are primaril" responsi#le or writin dail" notes on each o their patients$ SOAP Format should be used for daily notes %u#&ecti'e: What patient sa"s and what nursin sta reports in past * hours O#&ecti'e Factual Inormation/+itals/,h"sical -.am/a# 0esults/ines and tu#es include 12ra"s 12ra"s and other studies3 inta4e and output3 side eects o drus Assessment and ,lan: Usuall" cateori5ed #" pro#lem or oran s"stem in order o importance$ Alwa"s include Fluids/-lectrol"tes/6utriti Fluids/-lectrol"tes/6utrition on as well as code status in e'er" note$ Also include 7ischare plannin/status and 8oals etc$ Acti'e Medicines are oten listed in side column$ 0e'iew medications dail"$ Include da" no or Anti#iotics and other loadin dose medications$ -'er" la# result/in'estiation report should #e anal"5ed careull" and countersined #" !ouse ofcer/0esident A#normal in'estiations is #e hihlihted$ Formulate Acti'e ,ro#lem list$ applica#le$ 7raw alorithm o patient9s s"mptoms3 where applica#le$ reistrars in red in4$ !ouse ofcers3 should write in #lue and reistrars Drug Revies 7ru dosae3 side eects and interactions should #e chec4ed dail" and ma&or points should #e noted down in patients le$ Daily Revies 7o I+ lines need to #e chaned; Can I+ medicines #e chaned to Oral; Can "ou discontinue Fole"3 68 and I+ Cannula; Can "ou ad'ance diet and increase patient
For
stat orders inorm nursin sta immediatel" or carr" out #" "oursel$ -.amination or all !ouse ofcer on call should complete notes on !istor" > ph"sical -.amination admissions !ouse ofcer inchare or #ed will write his/her initial summar" within * hours o admissions and will complete notes in detail$ In case o transer o patient rom one #ed/ward to other concerned !O/reistrar will write his/her own summar"$ Pro$edure Notes ,rocedures should #e done with a proper written consent$ %hould include name3 site3 indications3 consent3 sterile prep and anesthesia o procedure3 description o specimen3 or ?uid3 what and where the" are sent or3 with #rie clinical notes$ Inorm patient reardin indication3 complication and past procedure precautions$ 6e'er oret pendin ollow up studies li4e post procedure 12ra"$ I certied in a certain procedure onl" then trainee will #e allowed to perorm
independentl" other wise procedure procedure should #e done under super'ision o a senior/certied senior/certied person$ Dis$harges @eep in mind pendin issues and studies$ Communicate with all in'ol'ed parties or smooth dischare$ %tart dischare plannin on admission$ Ma4e sure patient and amil" are aware o possi#le dischare dates so the" can arrane / schedule transportation$ transportation$ ,reera#l" chane I+ anti#iotics to oral one da" #eore dischare3 a'oid orders on mornin o dischare unless a#solutel" necessar"$ 8i'e clear instructions reardin meds schedule/side eects/precautions and 0estrictions on acti'ities/tra'el/diet in Urdu/local lanuae$ Ma4e sure #" repetition that patient can repeat/recall "our instructions$ Write dischare dianosis clearl"$ 7/C summar" should include chie complaints and !/O present illness3 hospital course3 "our name/ward name/!ospital name/7OA >7O7/,rincipal and secondar" dianosis and procedures$ Mention ollow2up/condition on dischare/attach diet chart i reuired$ Sign Outs For on2call #atch3 out oin !ouse ofcer will i'e written inormation a#out their patient
Death% E&'irations 76A0 (7o not attempt resuscitation) status should #e decided ater discussion with consultant on call$ On #ein called to pronounce death3 "ou must perorm certain steps$ auscultate or heart sound o On arri'al to #ed side o#ser'e or respirations3 auscultate palpate or pulse3 chec4 pupils and corneal re?e.$ o Complete death notes on proress sheet and ll death certicate as earl" as possi#le$ Pre Rounds For pre2rounds allow DE min to one hour #eore consultant rounds #ut it depends on no o patients under "our care$ 8et "our sin out rom 6iht ?at or cross co'er team$ ou must 4now an" ma&or e'ent that happened o'er niht and this will dictate how "ou spend "our time pre2round$ Br" to read rele'ant te.t or "our patient rom poc4et hand#oo4 or uide #eore attendin rounds$ O$$u'ational Ris(s %tandard #arrier nursin and isolation techniues should #e emplo"ed in cases o patients with inectious communica#le disease$ Bhese measures include: o 8lo'es o Mas4s o Careul needles/sharp o#&ects handlin$ ,roph"la.is in cases o e.posure i indicated (e$$ meninococcemia) In case o mishap/e.posure3 e'ent should #e reported to consultant on call3 immediatel"$ A$$ountability In case o an incident3 a committee o ward consultant will re'iew the entire case in detail and will decide a#out warnin/penalt"$
Ethi$al Issues =est interest o the patient should #e watched3 in case o con?ict or conusion issue should #e discussed with consultant on call$ "on)dentiality Of Patient’s Data ,atient
Patient Edu$ation 7urin in patient sta"3 e'er" opportunit" should #e a'ailed to educate patients and their amil" reardin their illness and manaement$ *ard In+"hage Resident Duties Maintenance and cleanliness o all ward acilities (-lectricit" ports / ans / tu#es etc)$ Maintenance o Admission and dischare reister #" !O / 6urses and 0eistrar concerned$ #oard$ Updatin o inormation #oard$ Facilities reardin patient B$ shirts or males)3 part" wears or e.cessi'e &ewelr" (or emales) is allowed3 durin dut" hours$ -'er" doctor should wear neat > clean o'erall3 with properl" displa"ed I7 card or
,orning Shift G$ Attendance o %anitar" Wor4ers at H:*am$ 0esponsi#ilit" is with the shit super'isor$ $ 7ail" #rushin and moppin o the wards #eore :DEam and empt"in o #uc4ets and disposal o waste to 0MC container3 responsi#ilit" is with the sanitar" wor4er$ D$ Wee4l" washin with sur3 'im and phen"l o each ward in turn3 responsi#ilit" is with the sanitar" wor4er$ wor4er$ *$ Bwice dail" washin o eneral #athrooms ater :Gam and GG:EEam and once in wee4 with acid3 responsi#ilit" is with the sanitar" wor4er$ $ 7ail" cleanin in the mornin and whene'er reuired o surical ICU3 responsi#ilit" is with the sanitar" wor4er$ H$ Bhrice a wee4 washin with deterents o %urical ICU3 responsi#ilit" is with the sanitar" wor4er$ J$ 7ail" cleanin and twice washin in a wee4 o CCU3 responsi#ilit" is with the sanitar" wor4er$ $ Wee4l" washin o corridors o 7elu.e / 8"nae wards and 4itchen3 responsi#ilit" is with the sanitar" wor4er$ K$ %anitar" Inspector is responsi#le or o'erall super'ision o sanitar" wor4ers$ GE$ %anitar" Inspector will hand o'er the chare to e'enin super'isor$ GG$ A#o'e steps will #e chec4ed chec4ed dul" #" rele'ant rele'ant 7M%/AM% G$ 0eister will #e maintained and chec4ed reularl" Evening Shift G$ Attendance o %anitar" Wor4ers at G:*pm$ $ 7ail" cleanin o wards and washin o #athrooms$
D$ -mpt"in o #uc4ets twice at D$DE pm and J$EE pm and disposal o waste to 0MC container$ *$ Washin o corridors in turn$ $ %anitar" %uper'isor is responsi#le or o'erall super'ision o sanitar" wor4ers$ H$ !andin o'er o chare to niht super'isor$ J$ -'enin 7M% will do the random chec4in and sin the reister$ Night Shift G$ Attendance o %anitar" Wor4ers at :*pm$ $ 7ail" cleanin o wards and washin o #athrooms at GE$EE pm and H$EE am$ D$ Washin o 0eception and rest o the corridors$ *$ !andin o'er o chare to mornin super'isor$ $ 6iht 7M% / AM% will do the random chec4in and sin the reister$ Areas Outside -os'ital .uilding G$ Cleanin starts at H:EEam and is completed up to :DEam$ $ Bhis includes roads3 ootpaths and sittin areas etc and then at GE:DEam$ D$ In the e'enin rom :EE to *:EEpm$ STANDARD OPERATIN! PRO"ED#RES for Health Professionals and Teaching Hospitals - 34 -
Su'ervision of Sanitary Plan G$ All the sta wor4s under the super'ision o 7M% (Admn)3 who prepares the dut" roster and monitors the implementation o the sanitar" plan$ $ !e ma4es a 'isit plan to chec4 the standard o sanitation$ D$ !e chec4s the condition o wards and wash rooms twice wee4l" accordin to schedule$ *$ An" complaint reardin cleanliness cleanliness should #e reported to him #" the liaison ofcers o the concerned wards$ All entries will #e maintained in monitorin reister dail" countersined #" 7M% (admn) and dut" 7M%$ SOP’s FOR ,EDI"A/ OFFI"ERS%RE!ISTRARS G$ All admission / shits to ward should #e made #" reistrars o respecti'e departments with ull clinical notes and indications$ $ 7ut" 0eistrars / MOs o concerned departments must 'isit their patients in IBC at least ha'e H hourl" proress notes at EEE3 G*EE3 GEE and EE hours and additional notes in case o some inter2current pro#lem or when called$ D$ All concerned MOs / 0eistrars o dierent departments must 4eep strict chec4 on their !ouse Ofcers$ *$ 0eistrar / MO o Medical 7epartment is additionall" responsi#le or maintenance o admission / dischare reister3 +entilator support reister3 !andin ta4in o'er reister o sta nurses3 and sin it dail" and report an" mismanaement o patients$ $ 0eistrar in O,7 will see all the patients seen #" the house ofcer > will i'e proper and clear ad'ice3 reardin dianosis3 manaement and education o the patient$ H$ !e will also consult all new patients with consultant on call and ollow up cases i necessar"$ J$ 0eistrar / MOs will #e responsi#le or the proper super'ision > uidance o the house ofcers in manaement o patients$ $ All dut" MOs / 0eistrars must 4ept strict chec4 on wor4in o sta concernin the manaement / proress / inta4e / output / medication and eneral care o their patients3 and point out an" irreularities and manaement to ward in2chare$ K$ 0eistrar / MOs must also help house ofcers in eneral pro#lems reardin patient
GG$ 0eistrars / MOs must report an" t"pe o irreularit" / mismanaement in wor4in to inchare in written3 so that necessar" action can #e ta4en$ G$ 6o alse entries on patients le are allowed$ SOP’S FOR -O#SE OFFI"ERS G$ 7ut" timin should #e strictl" ollowed$ $ !ouse ofcers will ta4e the histor" o the patient and write the summar" in %OA, ormat$ D$ 7urin O,7 dut"3 no !ouse ofcer is allowed to send an" patient without consultin the reistrar$ *$ !ouse ofcer can also consult the consultant as per reuirement$ reuirement$ $ !ouse ofcer will write e'er"thin clear3 medicines in capital letter and prescription and will sin the chit > also will write his/her name clearl"$ H$ 7ut" house ofcers rom must sta" in ward with their patients3 all the time and must not lea'e their post in an" case$ STANDARD OPERATIN! PRO"ED#RES for Health Professionals and Teaching Hospitals - 42 -
J$ 6o relie'e / replacement without prior permission orm concerned reistrars and this permission will #e su#mitted to ward in2chare$ $ All house ofcers must ollow strict aseptic techniues and clothin in IBC$ K$ All house ofcers on call must 4eep chec4 on the wor4in o para2medical sta and report an" irreularit" to in2chare concern$ GE$ All house ofcers should chec4 patient
SOP’S FOR "-AR!E N#RSES E&'erien$e and Training L Competent in plannin and deli'erin care to patient with a 'ariet" o complete care needs L A#le to teach and super'ise new nurses and proessionals L A#le to ta4e chare o the unit in the a#sence o head nurse3 when necessar"$ 0noledge1 S(ills1 Abilities and Traits Traits L -.pressed commitment o nursin and to e.cellence in patient L 0eadiness o new learnin and challenes L 0eadiness to accept uidance and constructi'e criticism L A#ilit" to wor4 as a mem#er o team3 and to contri#ute to onoin team #uildin L 8ood #asic clinical 4nowlede and le'el o technical s4ills commensurate with e.perience Duties and Res'onsibilities L 0eport punctuall" on dut" L O#ser'es the uniorm code at all time L !as e.tensi'e theoretical 4nowlede o her area applies her 4nowlede
L Bhrouhout nursin process3 and acts as a resource person to other sta mem#ers L -.ercises a democratic approach to leadership in manain the unit when assined L Orani5es wor4load well and completes assinment e'en under difcult and stressul circumstances L -'aluate results o inter'entions and modies nursin care plans L Incorporates patient
L 7emonstrates enthusiasm in updatin sel #" readin new nursin literature and compilin same or the use o the unit L Attends conerences and wor4shops e'en in her own time L %hares new ideas and inormation with the rest o the sta or nurse L 0einorces the unit philosoph" and oals when replacin the head nurse L Identies resource person or persons L 7emonstrations a positi'e attitudes towards authorit" L Interates criticism to impro'e practice L Interacts well with peers3 senior nurse and su#ordinates L identies learnin needs and see4s assistance L 7emonstrates amiliarit" with the concepts o o 6ursin ualit" assurance o Inection control o 6ursin policies and procedures o ,atient condentialit" and pri'ac" L 7emonstrate as carinN attitude towards patient and amil" L Ma4es eorts to esta#lish positi'e nurse / patient I amil" relationship L Administers medication sael" L 7emonstrates #einnin s4ills in nursin process and care plannin i$e$ attempts to ma4e or to desin and update plans o assined L 7ocument and sins o all nursin entries
L ,erorms all unit procedures independentl" L Is s4illed in i'en #asic nursin care L Is aware o the components o sae nursin care and e.ercise due care in deli'er" o same$ 7emonstrate #asic s4ills in the use o: o 6urses notes o Flow chart o Incident reports L 7emonstrates commitment to nursin L %ee4s out opportunities or impro'in clinical 4nowlede and s4ills L -.pense o medication careull careull" " STANDARD OPERATIN! PRO"ED#RES for Health Professionals and Teaching Hospitals - 45 -
SOP’S FOR STAFF N#RSES G$ All sta nurses must ha'e 4e" o store and #ed sheets$ $ Must wear OB dress (or IBC)$ D$ Must not lea'e respecti'e ward and so should not sit at nursin station$ *$ 0eport an" non2a'aila#ilit" o drus to concern house ofcer and not &ust write 6/A on treatment sheet$ $ Must maintain proper inta4e / output3 treatment treatment and other charts$ H$ 0eport reister o sta nurses will also #e maintained in which the" will write a#out the pro#lems reardin wor4in o students3 nurses3 ward ser'ants3 ward cleaners3 a'aila#ilit" o medicines and wor4in euipments$ J$ %hould ta4e o'er chare at the start o their dut" #ed to #ed and strictl" maintain handlin / ta4in$ $ %ta nurses are responsi#le o eedin3 mouth care and eneral care o patients$ K$ +ital sin charts should #e maintained on hourl" #asis$ GE$ Inta4e / output chart should #e maintained properl" and output should #e entered twice dail" i$e$ H:EE AM and H:EE ,M$ GG$ %hould chec4 the proper wor4in o ward ser'ants3 ward cleaners3 and report an" irreularit" on report reister$ G$ In case o an" pro#lem reardin patients should immediatel" inorm doctors on dut"$ GD$ Will draw the samples usin ull aseptic measure and dispatch on reister$ G*$ Chec4 list pro'ided #" doctors should #e chec4ed and sin #" sta nurses$ G$ I an"thin lost or damaed durin d" an" sta3 she should #e responsi#le or it$ GH$ O'er should #e i'en #" students$ GJ$ All sta should 4now how to operate and interpret cardiac monitor$ G$ %hould ha'e 4nowlede a#out de#rillator$ GK$ Bhe" are also responsi#le or maintenance and wor4in o all euipments and cleanliness i the ward in their dut" hours$ E$ 0esponsi#le or proper #eddin etc$ G$ 7ispose used s"rines / cannulas / I+ sets properl"$ $ ,atient
SOP’S FOR *ARD SER2ANTS G$ Must ollow proper timin$ $ Must wear OB dress (or IBC)$ D$ Must sta" in ward$ *$ %hould not ollow an" personal orders i$e$ to #rin tea or sta on dut"$ $ -'enin and niht dut" ward ser'ants should clean the ward$ H$ Bhe" are also responsi#le or the entrance o attendants at times other than 'isitin hours$
J$ Bhe" should help in shitin the patients and preparin preparin the dead #odies$ $ 0esponsi#le or non2medical articles i$e$ #eds3 wheel chairs3 side ta#les3 stands etc$ K$ 0eport an" irreularit" to sta nurse$ GE$ Bhe" are not allowed to interere or help sta nurses in preparation and administration o medicines$ GG$ Bhe" are also responsi#le or o."en suppl" and cleanliness and wor4in o compressor$ STANDARD OPERATIN! PRO"ED#RES for Health Professionals and Teaching Hospitals - 47 -
SOP’S FOR *ARD "/EANERS G$ Must ollow strict timins$ $ Wear OB dress (or IBC)$ D$ %hould not lea'e durin their dut" hours3 in the a#sence o ward ser'ant must sta" at entrance to chec4 entrance o attendants$ *$ 0esponsi#le or empt"in o urine #as ater inormin sta on dut"$ $ Care o #owl i$e$ to pro'ide urinals / pans to patients$ H$ Clean the ward at least once durin their dut" hours$ J$ -mpt"in o #uc4ets and dust#ins properl" #eore dut" nishes
SOP’S FOR P#R"-ASES .E/O* 345 ,I//ION4 G$ When demand arises #" the end user/Competent Authorit" the same shall #e sent #" the concerned uarter to the ,urchase %ection o !ol" Famil" !ospital$ $ Bhe reuisition/demand o items reuired shall #e sined #" the !ead o 7epartment/ iaison Ofcer$ Ofcer$ D$ Bhe reuisition/demand o items reuired shall #e criticall" e.amined reardin enuineness o the reuirement/demand #" the purchase ofcer and the component head$ *$ Bhe ,urchase %ection shall consult the indentin 7epartment on one hand while apprise the competent authorit" and denite decision shall #e ta4en$ Ater that appro.imate cost o stores demanded and #udet a'aila#ilit" rom Accounts %ection under rele'ant !ead shall #e souht$ Medical %uperintendent o !F! will appro'e the case o purchase$ $ ,urchase Ofcer will prepare the purchase proposals which shall include specications o the item/items to #e purchased$ H$ Bhe purchase ofce will call uotations rom three suppl"in rms or the suppl" o the item /items to #e purchased$ J$ uotations recei'ed will #e opened and sined #" the hospital purchase committee which shall include the ollowins$ L Medical %uperintendent (Chairman) L AM% (Finance) (Mem#er) L ,urchase Ofcer (Mem#er) L Account Ofcer (Mem#er) $ ,urchase ofce will prepare the comparati'e statement and et it sined #" the hospital purchase committee$ K$ Bhe item will #e awarded to the lowest #idder and suppl" orders issued #" the Medical %uperintendent$ STANDARD OPERATIN! PRO"ED#RES for Health Professionals and Teaching Hospitals - 53 -
SOP’S FOR PRO"#RE,ENT OF STORES 6,EDI"A/%!ENERA/7 0euest recei'ed rom concerned department O0 G$ 7emand is initiated #" the concerned store 4eeper 4eepin in 'iew the minimum #alance a'aila#le in the stores$ $ Assessment o store stoc4s #" the store In2chare / %tore4eeper o e.istin stoc4s 'erses a'erae consumption / wee4 / month$ D$ Initiation o demand or purchase #" the store4eeper is chec4ed and 'eried #" store inchare
/ 7M% / AM%$ *$ 7emand is then orwarded to the Medical %uperintendent/ an" other authorit" or sanction o the purchase$ purchase$ $ Bhe sanctioned proposal is orwarded to the accounts ofcer or allocation/a'aila#ilit" o the #udet$ H$ %uppl" order is prepared #" the concerned cell$ J$ %inature o suppl" order #" Medical %uperintendent with initials o concerned cell and 7M%/ AM%$ $ 7eli'er" o suppl" order to contractor #" post or #" hand with a ma.imum o G da"s deli'er" period or suppl" o stores$ K$ Ater recei'in the supplies3 the stores are inspected as per inspection ,erorma and sined #" the inspection committee comprisin o the ollowins L AM% (Admn$) Chairman L %enior ,harmacist Mem#er L -nd User (6ot #elow =,%2GJ) Mem#er L Co2opted mem#er (i reuired) Mem#er GE$ Ater the inspection entr" is made in the stoc4 reister and #ill is orwarded to the accounts department within three da"s o inspection$ STANDARD OPERATIN! PRO"ED#RES for Health Professionals and Teaching Hospitals - 54 -
SOP’S FOR ISS#AN"E OF STORES 6,EDI"A/%!ENERA/7 G$ 0euest is recei'ed rom concerned department on indent #oo4 dul" sined #" the nurse inchare and %enior 0eistrar o the ward$ $ Bhe indent #oo4s are recei'ed in the ofce o the AM%/7M% store3 on the specied da"s o the concerned departments howe'er these can #e recei'ed on the emerenc" #asis on an" da"3 who e.amines and 'eries the enuineness o the demand #" sinin the indent$ D$ Indent #oo4 is then sent to the concerned store where the store4eeper issues the indented items and entr" is made in the stoc4 reister$ Items which are not a'aila#le are mar4ed 6A on the indent #oo4$ *$ At the end o the da" store 4eeper also ma4e entries in the =in cards$ $ AM%/7M% stores periodicall" 'isit the store and chec4s the entries o the stoc4 reister and ph"sicall" 'eries the stores$ H$ AM%/7M% stores issues a comprehensi'e list o medicines a'aila#le in the stores to all the departments on ortnihtl" #asis$ J$ An" complaint reardin a'aila#ilit" o medicines should #e sent to the AM%/7M% stores #" the liaison ofcer o the concerned unit$ STANDARD OPERATIN! PRO"ED#RES for Health Professionals and Teaching Hospitals - 55 -
SOP’S FOR REPAIR OF E/E"TRO ,EDI"A/ E8#IP,ENT L 0euest or repair is sent #" concerned department/ end users to the ofce o the Medical %uperintendent on prescri#ed repair proorma$ L 0euest sent on paper other than prescri#ed proorma is not accommodated$ L It is certied #" !ead o 7epartment / iaison Ofcer that the stated ault is not due to human error$ error$ L Bhe application or repair is sent to 7M% 0epair #" the ofce o Medical %uperintendent$ L %tatus o euipment (Whether under warrant"3 warrant"3 out o warrant" warrant" or under maintenance contract) is identied and entered in ,roorma #" %tore @eeper$ L =io Medical -nineer enters his comments on same proorma ater inspection o the ault" part$ L I in warrant" supplier is inormed to repair the ault" part / euipment$
L I euipment is out o warrant"3 warrant"3 our =io Medical -nineer ater inspection inspection decides that :2 i$ Fault" part is repaira#le or replacea#le$ ii$ 0epair can #e carried out #" our own wor4shop throuh a'aila#le in stores/ minor purchases$ iii$ %er'ices o out side rms are reuired$ i'$ %er'ices o suppl"in rms is reuired (monopol" items) '$ %er'ice o department (-lectro Medical 0epair Wor4shop) are reuired$ 0ouhl" estimated cost o repair is stated #" the =io Medical -nineer and orwarded #" 7M% 0epair to Medical %uperintendent or appro'al$ Ater appro'al o estimates3 ollowin procedures is adopted:2 i$ Usuall" repair on sinle uotation is carried carried out or estimates up to 0s$EEE/2 and in selecti'e cases or estimates up to 0s$EEEE/2 ii$ At least three uotation are o#tained rom rele'ant rms or estimated costs up to 0s$GEEEE/2 iii$ In case o monopol" items a#o'e mention ed repairs repairs can #e processed on #asis o sinle uotation$ i'$ For estimated costs a#o'e 0s$GEEEE/2 tender is ?oated in at least three to si. news papers as per reuirements o purchase manual throuh at least Four 6ews ,apers$ Once the oers o competin rms are recei'ed3 comparati'e statement is prepared and sined #" committee$ A'aila#ilit" o #udet is ensured rom Accounts Ofce$ Finall" wor4 order issued to successul #idders$ Ater Ater the rm has h as completed the repair wor4 the euipment is 4ept under o#ser'ation o end users/=io Medical -nineer ater completion o o#ser'ation period successull"$ ,a"ment o #ill is made #" Account Ofce ater ulllments o all the reuirements as per pre'ailin rules and reulations$ STANDARD OPERATIN! PRO"ED#RES for Health Professionals and Teaching Hospitals - 56 -
SOP’S FOR *OR0S 6DE2E/OP,ENT% ,AINTENAN"E7 DEPART,ENT Administration Bhe administration administration o wor4s department is is headed #" an Additional Additional Medical Medical %uperintendent %uperintendent (Wor4s) who is responsi#le or the o'erall unctionin o the department$ Bwo ofcers3 one 7M% (M>0) and the other Coordinator new wor4s3 are wor4in under the super'ision o AM% ((M>0)$ Bhese ofcers are responsi#le responsi#le or the implementation o the &o#s o M>0 and new wor4s (7e'elopment)$ Bhe M>0 department department consists consists o two wins: wins: L =uildins win L -lectromechanical win In the mornin shit there will #e separate super'isors or each win while in the e'enin and niht shits there will #e a sinle super'isor in2chare o #oth wins$ "om'laint "ell L Complaint cell is wor4in * hours3 J da"s a wee4$ ,hone num#er o the cell is GG*$ L Complaints can #e reistered on emerenc" #asis on this num#er$ L I more then one complaint is reistered reistered at a time priorit" will #e decided #" the AM%/7M% concerned$ SOP’s for Complaints and Response to These Complaints "om'laint from "on$erned De'artment L 0eistration o the complaint is the responsi#ilit" o the Chare 6urse concerned i the complaint is rom a ward and %anitar" Inspector/%hit Inspector/%hit %uper'isor i the complaint is rom corridors or streets$ L Concerned department con'e" their complaint in writin throuh a complaint #oo4 e$$ i tu#e liht is not wor4in in -6B Ward the concerned Chare 6urse will con'e" it in
writin to chec4 the tu#e lihtN$ !owe'er in case o emerenc" emerenc" the complaint ma" #e con'e"ed telephonicall" on GG* whereas it ma" #e i'en in writin aterwards$ Res'onse from , 9 R De'artment Ofcer in2chare in2chare (AM%/7M%) countersins the complaint and instructs the concerned sta to a$ chec4 and repair in case o minor wor4 #$ chec4 and report to him in case o ma&or wor4 L In case o minor wor4 the concerned M > 0 sta 'isit the site and write the reuired stu on indent #oo4 o concerned department e$$ in case o non unctionin o tu#e liht in -6B Ward the electrician ater chec4in the ault write down the reuired stu which ma" #e a choc43 a starter or a tu#e rod on indent #oo4 o -6B department$ L Chare 6urse will recei'e the reuired stu rom eneral store throuh ward #o"$ L %he will call the electrician telephonicall" who will accomplish the reuired &o#$ L !owe'er in case o ma&or wor4 or e$$ water lea4ae rom concealed pipe or #rea4ae o electric suppl"3 concerned sta chec4 the ault and prepare a report$ L Bechnical opinion rom enineer/technician is ta4en and a plan is prepared or repair wor4$ L 0euired store is #iurcated into tender items$ L Bender items are o#tained rom store$ STANDARD OPERATIN! PRO"ED#RES for Health Professionals and Teaching Hospitals - 57 -
L For non tender items estimated cost is o#tained and appro'al / sanction are ta4en rom competent authorit" or local purchase$ L Once the reuired store is a'aila#le the repair wor4 is completed #" M > 0 sta or #" a pri'ate contractor i reuired ater the appro'al appro'al o the competent authorit" L Accordin to the nature o the wor4 7M% (M>0)/ Coordinator(M>0) will #rie the AM%(wor4s) or the M>0 wor4 o lon duration on dail"3 wee4l" or monthl" #asis$ Pro$edure+II L Bhis procedure is recentl" adopted as a routine3 M > 0 sewer men (Mornin dut") 'isit the #asement on dail" #asis and roos o hospital on ortnihtl" #asis$ %imilarl" e'enin and niht dut" sewer men ta4e round o hospital wards3 whereas niht dut" electrician ta4e a round o all the street and 'erandas$ L Bhe" note the complaint and inorm the shit super'isor and ta4e the remedial measures where reuired L Bhe shit super'isor will su#mit the report to AM%/ 7M% in written orm and in e'enin and niht shit this report will #e su#mitted to the AM% (Wor4s)/7M%(M>0)/ C$O$( wor4s) who will trac4 down the remedial measures$ Pro$edure+III L -lectrical and water installments (Bransormer3 Brolle"3 8enerator3 Bu#e wells3 %lude pumps etc$) are inspected #" the concerned sta o M>0 in routine accordin to the ollowin schedule$ %$ 6o$ Installation 0esponsi#ilit" Maintenance/Chec4in %chedule G$ Bransormer ine man Monthl" $ Brolle" ine man Monthl" D$ 8enerator -lectrician 7ail" *$ Bu#e wells Bu#e2well operator 7ail" $ %lude ,umps %uper'isor M>0 7ail" 6ote:2Bu#e well operator will maintain a lo #oo4 which will #e sined #" the AM% (Wor4s) / 7M% (M>0)$ L An" minor deect is reported to AM%/7M% in2chare and repaired at spot$ L In case o ma&or deect report is prepared #" concerned enineer/technician$ alon with estimates$ L Appro'al is ta4en rom the competent authorit"$ L Ater sanction rom competent authorit" wor4 is completed either #" M > 0 sta or #" pri'ate contractor i reuired$
,a:or *or(s All ma&or wor4s which in'ol'e proper estimates are done throuh contractors ater ettin 'ettin and technical sanction o pro'incial #uildin department$ Wor4s o less than 0s$ E3EEE are awarded throuh uotations and wor4s o more than 0s$ E3EEE are awarded throuh tender
