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

II. Services involving Patient ContactsAreas of Concern Standards Measurable Elements9.3.2 Infection control protocolsadhered to9.3.3 An effective pre-operativecare available9.3.4 An effective operative careavailable9.3.5 An effective post operativecare available- A copy of the “Hospital Infection Control Manual, Sri Lanka College of Microbiologists” is available andthe infection control protocols in Chapter 9 are adhered to.- Sterile areas are available for instruments, linen, shoes etc. and identified with the visual control method.- A sterilization chart is available in the ICU.- Dirty utility areas are available for instruments, linen, shoes etc. and identified with the visual controlmethod.- A proper waste segregation mechanism based on the colour coding is available.- Patients from the ward are taken over by operating theatre nurses with countersignatures.- A pre-operative checklist is available and adhered to.‣ A printed pre-operative check list is available in the ward.‣ The checklist is filled and attached to the BHT at the ward.‣ The checklist is completed when a patient is brought to the operating theatre.‣ The checklist is counterchecked at the theatre reception as well as by an anaesthetist.- A patient identification procedure and a mechanism to prevent surgical misadventures are in place.‣ The patient identification tag consisting of patient name, BHT No. and surgical procedures to beundertaken is available.‣ The patient identification tags are properly filled and placed on all the patients on the day of thesurgery.‣ The surgical theatre list including patient information (patient name, BHT No. and surgicalprocedure) for a particular day is developed in the ward and sent to the operating theatre.- A mechanism to identify different types of gases used during anaesthesia is available.- An anaesthetic drug tray is available and checked with a checklist by MO Anaesthesia before every shift.- An emergency drug tray is available and checked with a checklist by MO Anaesthesia before every shift.- The following mechanisms are available.‣ Established pack count mechanism‣ Established equipment count mechanism‣ Mechanism to assess blood loss‣ A functioning ventilation mechanism- A recovery area is available with designated staff.- Essential equipment and drugs are available in the recovery area.- Post operative notes are provided in the BHTs.- Patients are handed over to the ward with countersignatures of the ward staff.23