Policy for Shatabdi Phase 1 & 2

S.No.	Policy Name
1	TRANSFER OR REFERRAL POLICY
2	INITIAL ASSESSMENT
3	POLICY ON LABORATORY SERVICES
4	LABORATORY QUALITY ASSURANCE PROGRAMME
5	LABORATORY SAFETY PROGRAMME MICROBIOLOGY
6	POLICY ON IMAGING SERVICES
7	QUALITY ASSURANCE FOR IMAGING
8	POLICY ON RADIATION SAFETY
9	POLICY ON SCOPE OF SERVICES
10	POLICY ON REGISTRATION AND ADMISSION
11	CONTINUITY OF CARE
12	DISCHARGE PROCESS
13	CONTENTS OF DISCHARGE
14	CONTINUITY OF CARE AND COMMUNICATION ON TIME SCHEDULE

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

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	EQUIPMENT CLEANING STERILIZATION PROCESS POLICY
5	ANTIBIOTIC POLICY
6	ENGINEERING CONTROLS
7	HOUSEKEEPING PROCEDURE
8	LAUNDRY & LINEN MANAGEMENT
9	KITCHEN SANITATION AND FOOD HANDLING
10	PREVENTION & CONTROL OF HAI
11	SURVEILLANCE ACTIVITIES
12	OCCUPATIONAL INJURIES AND EXPOSURE
13	CONTROL OF OUTBREAKS OF INFECTION
14	CSSD
15	ISOLATION POLICY
16	NOTIFIABLE DISEASES
17	HAND HYGIENE
18	BIO-MEDICAL WASTE MANAGEMENT
19	INFECTION CONTROL MANUAL KGMU
20	REPROCESSING POLICY

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

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

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

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 MEDICAL RECORD AUDIT
11	POLICY ON RESPONSE TO REQUEST FOR ACCESS TO INFORMATION IN THE MEDICAL RECORD
12	POLICY ON RETENTION AND DESTRUCTION OF MEDICAL RECORDS

Made by Dr. Ayush Yadav