Policy for Shatabdi Phase 1 & 2

S.No.	Policy Name
1	POLICY ON SCOPE OF SERVICES
2	POLICY ON REGISTRATION AND ADMISSION
3	TRANSFER OR REFERRAL POLICY
4	POLICY ON INITIAL ASSESSMENT
5	POLICY ON REASSESSMENT
6	POLICY ON LABORATORY SERVICES
7	LABORATORY QUALITY ASSURANCE PROGRAMME (a-d)
8	LABORATORY QUALITY ASSURANCE PROGRAMME (e-g)
9	LABORATORY SAFETY PROGRAMME MICROBIOLOGY
10	POLICY ON IMAGING SERVICES
11	POLICY ON RADIATION SAFETY
12	QUALITY ASSURANCE FOR IMAGING (a-e)
13	POLICY ON CONTINUITY OF CARE
14	POLICY ON PREVENTIVE & PROMOTIVE HEALTH
15	POLICY ON DISCHARGE PROCESS
16	POLICY ON CONTENTS OF DISCHARGE SUMMARY

S.No.	Policy Name
1	UNIFORM CARE POLICY
2	EVIDENCE BASED MEDICINE POLICY
3	EMERGENCY CARE
4	POLICY ON MANAGEMENT OF BROUGHT DEAD PATIENTS, UNCLAIMED BODY, DEATH ON ARRIVAL
5	HANDLING OF MEDICO LEGAL CASES
6	TRIAGE
7	AMBULANCE SERVICES
8	CHECKLIST FOR EQUIPMENTS & MEDICATIONS
9	DISASTER & EMERGENCY PREPAREDNESS PLAN
10	POLICY ON RESUSCITATION
11	NURSING CARE MANUAL
12	PROCEDURES MANUAL
13	QUALITY IMPROVEMENT PROGRAM FOR EMERGENCY DEPARTMENT
14	BLOOD BANK POLICY
15	RATIONAL USE OF BLOOD & BLOOD PRODUCTS
16	BLOOD TRANSFUSION POLICY
17	CARE OF PATIENTS IN ICU
18	ADMISSION & DISCHARGE CRITERIA IN ICU
19	MANAGEMENT OF BED SHORTAGE IN ICU
20	INFECTION CONTROL PRACTICE IN ICU
21	QUALITY IMPROVEMENT PROGRAMME IN ICU
22	CARE OF VULNERABLE PATIENTS
23	PREVENTION OF CHILD / NEONATAL ABDUCTION
24	CRITERIA OF DISCHARGE FROM RECOVERY AREA
25	ADMINISTRATION OF ANAESTHESIA
26	CARE OF PATIENTS UNDERGOING SURGICAL PROCEDURES
27	LIST OF SOUND ALIKE PROCEDURES
28	ANAESTHESIA ADVERSE EVENT
29	QUALITY IMPROVEMENT PROGRAMME IN SURGICAL SERVICES
30	PREVENTION OF ADVERSE EVENTS IN SURGICAL PATIENTS
31	PRESSURE ULCER MANAGEMENT
32	PREVENTION OF DEEP VEIN THROMBOSIS
33	RESTRAINT OF PATIENTS
34	MANAGEMENT OF PAIN
35	POLICY ON PMR SERVICES
36	NUTRITIONAL ASSESSMENT & RE-ASSESSMENT
37	END OF LIFE CARE
38	END OF LIFE CARE – 2
39	KIDNEY TRANSPLANT MANUAL
40	MANUAL OF LIVER ORGAN TRANSPLANT

S.No.	Policy Name
1	PHARMACY SERVICES
2	HOSPITAL FORMULARY
3	ACQUISITION OF MEDICINES
4	MEDICATION RECONCILIATION
5	STORAGE OF MEDICATION
6	REPLENISHMENT OF EMERGENCY MEDICINES
7	PRESCRIPTION OF MEDICINE
8	VERBAL ORDERS FOR MEDICATION
9	DISPENSING OF MEDICATION
10	MEDICATION RECALL
11	MEDICATION ADMINISTRATION
12	POLICY ON MANAGEMENT OF MEDICATION ERRORS, NEAR MISSES & ADVERSE DRUG EVENTS
13	USE OF NARCOTICS AND PSYCHOTROPIC SUBSTANCES
14	USAGE OF CHEMOTHERAPEUTIC AGENTS
15	DISPOSAL OF CHEMOTHERAPEUTIC DRUGS
16	USE OF RADIOPHARMACEUTICALS DRUGS
17	USE OF IMPLANTABLE PROSTHESIS
18	USE OF MEDICAL SUPPLIES & CONSUMABLES

S.No.	Policy Name
1	PATIENTS RIGHTS AND RESPONSIBILITIES
2	PATIENT CONFIDENTIALITY AND PRIVACY
3	INFORMED CONSENT POLICY
4	GENERAL CONSENT POLICY
5	PATIENT EDUCATION
6	UNIFORM BILLING POLICY
7	COMPLAINT REDRESSAL POLICY
8	POLICY ON EFFECTIVE COMMUNICATION

S.No.	Policy Name
1	INFECTION CONTROL PROGRAM
2	HIGH RISK AREAS
3	STANDARD PRECAUTIONS
4	HAND HYGIENE
5	EQUIPMENT CLEANING STERILIZATION PROCESS POLICY
6	ANTIMICROBIAL POLICY
7	ENGINEERING CONTROLS
8	HOUSEKEEPING PROCEDURE
9	BIO-MEDICAL WASTE MANAGEMENT
10	LAUNDRY & LINEN MANAGEMENT
11	KITCHEN SANITATION AND FOOD HANDLING
12	PREVENTION & CONTROL OF HAI
13	SURVEILLANCE ACTIVITIES
14	OCCUPATIONAL INJURIES AND EXPOSURE
15	CONTROL OF OUTBREAKS OF INFECTION
16	REPROCESSING POLICY
17	CSSD
18	ISOLATION POLICY
19	NOTIFIABLE DISEASES

S.No.	Policy Name
1	PATIENT SAFETY POLICY
2	QUALITY IMPROVEMENT PROGRAM
3	CLINICAL AUDIT
4	EVENT REPORTING
5	ANALYSIS OF SENTINEL EVENTS
6	DATA VALIDATION POLICY
7	SAFETY MANUAL KGMU
8	HOSPITAL APEX MANUAL ABSOLUTE

S.No.	Policy Name
1	MISSION AND VISION
2	POLICY ON ORGANOGRAM
3	LIST OF APPLICABLE LEGISLATIONS REGULATIONS POLICY
4	SUSTAINABILITY IN HEALTHCARE
5	CODE OF MEDICAL ETHICS
6	SERVICE STANDARDS
7	RISK MANAGEMENT PLAN
8	ENERGY EFFICIENT AND FRIENDLY HOSPITAL

S.No.	Policy Name
1	SAFE AND SECURE ENVIRONMENT
2	POLICY ON HIRA
3	CONDEMNATION PROCESS
4	ENVIRONMENT AND FACILITY
5	SHATABDI 1 (B) UTILITY SYSTEMS MANAGEMENT PROGRAM
6	SHATABDI 2 UTILITY SYSTEM MANAGEMENT PROGRAM
7	ENGINEERING SUPPORT SERVICES
8	BIO MEDICAL EQUIPMENT MANAGEMENT
9	RECALL PROCESS OF MEDICAL EQUIPMENTS
10	SAFE HANDLING OF MEDICAL GASES
11	FIRE & NON-FIRE EMERGENCIES
12	MANAGEMENT OF HAZARDOUS MATERIALS

S.No.	Policy Name
1	HUMAN RESOURCE PLANNING POLICY
2	RECRUITMENT POLICY
3	TRAINING AND DEVELOPMENT POLICY
4	COMMITTEE AGAINST SEXUAL HARASSMENT
5	PERFORMANCE APPRAISAL POLICY
6	HANDLING COMPLAINTS, GRIEVANCES & APPEALS HANDLING POLICY
7	DISCIPLINARY PROCEDURE POLICY
8	EMPLOYEE HEALTH CARE NEEDS POLICY
9	PERSONAL FILE MANAGEMENT POLICY
10	CREDENTIAL & PRIVILEGE POLICY
11	ADMINISTRATIVE POLICIES/PROCEDURES

S.No.	Policy Name
1	POLICY ON INFORMATION MANAGEMENT
2	POLICY ON REPORTING OF NOTIFIABLE DISEASES
3	POLICY ON DOCUMENT CONTROL
4	POLICY ON MANAGEMENT OF DATA
5	POLICY ON STORAGE RETRIEVAL OF DATA
6	POLICY ON MEDICAL RECORD
7	POLICY ON CONTINUITY OF CARE
8	POLICY ON CONFIDENTIALITY INTEGRITY AND SECURITY OF INFORMATION
9	POLICY ON SAFEGUARDING OF DATA FROM LOST
10	POLICY ON RESPONSE TO REQUEST FOR ACCESS TO INFORMATION IN THE MEDICAL RECORD
11	POLICY ON RETENTION AND DESTRUCTION OF MEDICAL RECORDS
12	POLICY ON MEDICAL RECORD AUDIT

Made by Dr. Ayush Yadav