National Guidelines for Improvement of Quality and Safety of ...

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I. Internal and External Customer Environment (5S)WardsOPD/ClinicsLaboratoryEntrance, reception& passagewaysOfficeStoresRecord RoomOutsideOthersArea of Concern Standards Measurable Elements4.1.2 Drug cupboardsstandardised in all units4.1.3 Arrangements of surgicalsupplies standardised inall units4.1.4 Identification labelsplaced on all machinesand equipment4.1.5 Caution signs displayedat appropriate places- Drugs are sorted in a logical manner.‣ vital, essential and normal‣ accountable, non-accountable, and special & extra- Drugs are arranged in alphabetical order and left-to-rightin all units.- The sterilisation status is indicated for surgical supplies.- Surgical supplies are arranged logically (e.g. glovesaccording to sizes and in the left-to-right order)All machines and equipment have identification labelswith the following information:‣ Name of the items‣ Identification and batch numbers‣ Date of acquisition‣ Contact details of maintenance company‣ Responsible person for maintenance‣ Cost of equipment- “Danger” signs are displayed at:‣ Electric switchboards and transformers‣ Radiology/X-ray‣ Liquid oxygen tanks- “Biohazard” signs are displayed at:‣ Laboratories handling contagious items- “Slopes” sings are displayed at:‣ Wherever there is a slope.- “Slippery” signs with zebra code are placed at:‣ Wet floor after cleaning.X XX X XX X X X X XX X X X X12
I. Internal and External Customer Environment (5S)WardsOPD/ClinicsLaboratoryEntrance, reception& passagewaysOfficeStoresRecord RoomOutsideOthersArea of Concern Standards Measurable Elements4.1.6 Open and shutdirectional labelsavailable on valves anddoors4.1.7 Waste bins separated,labelled andcolour-coded- The directional labels are put on:‣ Oxygen tanks‣ Door handles of cupboards‣ Theatre taps‣ All other door handles- All the waste bins are separated, labelled andcolour-coded.The colour-codes are elaborated in “ANNEX 2:Standardised Colour Codes”X X X X X X XX X X X4.1.8 Pipes and oxygen/gastanks identified bystandardised visuals- Types of pipes can be identified by different colours:‣ Oxygen‣ Compressed air‣ Vacuum- Types of tanks can be identified by colours:‣ Oxygen (O2; White)‣ Carbon Dioxide (CO2; Gray)‣ Nitrous Oxide (N2O; Blue)‣ LP Gas- The status of tanks (empty or full) can be identified bycolours or tags:‣ Empty: Red‣ Full: BlueTheatre13
Page 3 and 4: Quality Series No.1National Guideli
Page 5 and 6: PrefaceSri Lanka provides free heal
Page 7: TABLE OF CONTENTS1. Introduction
Page 11 and 12: 2. Arrangements for Improvement of
Page 13 and 14: 11. Medical/pharmaceutical supplies
Page 15 and 16: I. Internal and External Customer E
Page 19: I. Internal and External Customer E
Page 25 and 26: II. Services involving Patient Cont
Page 39 and 40: III. Overall Quality and Safety Imp
Page 45 and 46: ANNEX 1: Isles for StationeriesShad
Page 47 and 48: ANNEX 3: Emergency Tray Checklist (
Page 49 and 50: ANNEX 4: Discharge Checklist (Sampl
Page 51 and 52: ANNEX 6: CSSD Service Flowchart(Inf
Page 53 and 54: ANNEX 8: Protocol for Hazardous Was
Page 55 and 56: ANNEX 9: Patient and Employee Satis
Page 63 and 64: APPENDIX55
Page 65 and 66: APPENDIX: General Circular on Natio
Page 71:
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