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Code of Practice for Private Hospitals, Nursing Homes and Maternity ...

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8.2.7 Assessments <strong>and</strong> / or procedures per<strong>for</strong>med are documented in the<br />

patient’s records <strong>and</strong> readily available to those responsible <strong>for</strong> the<br />

patient’s care.<br />

8.2.8 Patients <strong>and</strong> families are in<strong>for</strong>med about the outcomes <strong>of</strong> care <strong>and</strong><br />

treatment including unanticipated outcomes.<br />

8.3 Care <strong>of</strong> the Critically Ill Patient<br />

8.3.1 There is an <strong>of</strong>ficer-in-charge with the relevant qualifications to<br />

oversee the establishment.<br />

8.3.2 There is a member <strong>of</strong> staff trained in advanced life support<br />

resuscitation techniques on duty at all times. The staff should<br />

have updated training on a regular basis. Where children are<br />

admitted as in-patients, there is at least a member <strong>of</strong> staff with<br />

Paediatric Advanced Life Support (PALS) training on duty at all<br />

times, which is up-dated regularly.<br />

8.3.3 The staff who need to provide resuscitation carry out resuscitation<br />

drills regularly. The establishment should conduct audit on the<br />

skills to assess the competence <strong>of</strong> staff concerned.<br />

8.3.4 <strong>Hospitals</strong> providing acute care shall have at least one medical<br />

practitioner on duty in the establishment at all times.<br />

8.3.5 Resuscitation equipment includes at least the following items -<br />

(i) ambu bag;<br />

(ii) oxygen supply;<br />

(iii) suction;<br />

(iv) defibrillator;<br />

(v) infusion drip sets <strong>and</strong> fluids; <strong>and</strong><br />

(vi) drugs as advised by the Medical Advisory Committee.<br />

8.3.6 Resuscitation equipment is made easily accessible <strong>and</strong> staff is<br />

aware <strong>of</strong> its location.<br />

8.3.7 Resuscitation equipment <strong>and</strong> medication is made ready in<br />

accordance to the age <strong>of</strong> the patients. For example, where the<br />

establishment receives neonates or children, paediatric dosage <strong>for</strong><br />

medication is made ready where practicable.<br />

8.3.8 Resuscitation equipment is checked <strong>and</strong> restocked to ensure all<br />

equipment remains in good working order at all times. Checks are<br />

<strong>Code</strong> <strong>of</strong> <strong>Practice</strong> <strong>for</strong> <strong>Private</strong> <strong>Hospitals</strong>, <strong>Nursing</strong> <strong>Homes</strong> <strong>and</strong> <strong>Maternity</strong> <strong>Homes</strong> 34

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