The following precautions are to be taken while submitting the documents.
1. SNDT (Signed Named, Dated and timed) is to be followed in all documents.
2. All columns should be filled. If there is a blank space where you do not need to enter any data, please put a dash or cancel the section.
3. Whenever there are medicines involved, please write the same in CAPITAL or separate alphabets.
4. Non-MBBS doctors should not sign the treatment sheet.
5. Make sure that all consent forms should be signed by respective doctors. At least one consent (out of 5) should be in Marathi.
6. Scanning of all paper should be done through a computer scanner and not through the phone. All four corners should be captured while scanning the documents.
7. UHID no. & patient name to be written on each sheet.
8. At least for submission, please use our formats so that it becomes easier to clear documentation audits.
9. Ensure that a copy of the discharge summary given to the patient is retained in the hospital.
10. Try & collect one photo id from patients.
11. Doctors should take interest in the implementation
Documents required for Surgical IPD papers:
1. Admission Form with Admission Consent
2. Initial Medical Assessment
3. Treatment sheet
4. TPR Chart
5. Nursing over / Nursing Notes
6. Feedback Form
7. Discharge Summary
8. Consent for Anaesthesia
9. Consent for Surgery
10. Pre-Op checklist
11. WHO Surgical checklist
12. Pre-Anaesthesia evaluation
13. Anaesthesia monitoring record
14. Operation record
15. Consent for Blood Transfusion (if applicable)
16. Blood monitoring chart (if applicable)
17. MRD checklist
Documents required for Medical IPD papers:
1. Admission Form with Admission Consent
2. Initial Medical Assessment
3. Treatment sheet
4. TPR Chart
5. Nursing over / Nursing Notes
6. Feedback Form
7. Discharge Summary
8. Consent for Surgical procedure
9. MRD checklist
Documents required for Ophthalmic IPD papers:
1. Admission Form with Admission Consent
2. Initial Medical Assessment
3. Selection of IOL
4. Feedback Form
5. Discharge Summary
6. Consent for Anaesthesia
7. Consent for Surgery
8. Pre-Op checklist
9. WHO Surgical checklist
10. Pre-Anaesthesia evaluation
11. Anaesthesia monitoring record
12. Operation record
13. MRD checklist
Following registers need to be maintained by Nursing Homes.
1. OPD
2. IPD
3. OT
4. Fumigation
5. Autoclave
6. Laboratory with Critical Values
7. Imaging with Critical Values
8. MLC
9. Repair
10. Incidence Complaint
11. Implant
12. BMW Daily records
13. Narcotics
14. Emergency
15. Transfer
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