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

II. Services involving Patient ContactsAreas of Concern Standards Measurable Elements9.5.2 Ante-natal and post-natalmothers effectivelymonitored and managed9.5.3 Essential facilities forresuscitation of newbornsavailable- The Guidelines given by the College of Obstetricians and Gynaecologists are available.- Partogram is started at onset of delivery and maintained properly until delivery and kept near every bed.- Vital signs and clinical data are regularly measured and recorded on BHTs after delivery until thepatients are transferred to the post-natal ward.- A mechanism to assess blood loss is in place.- An emergency tray is available with a checklist and checked on every shift.- Episiotomy and all the lacerations are sutured within one hour on urgency of requirement (based on BHTrecords and interviews about the last five deliveries).- Handing-over and taking-over of mothers to and from the ward is done with essential informationconveyed with countersignature.- A checklist of essential items for resuscitation of newborns is available and updated once a day.- A functional warmer is available to resuscitate the newborns.- A list of the on-call Paediatric House Officers is updated and contact details are made available fornurses at the labour room.10 Diagnostic services10.1 Laboratory 10.1.1 A 24 hour laboratoryservice available- A 24 hour laboratory service is available for inpatients.- The following tests are provided at the night on-call laboratory.‣ Blood sugar‣ Serum Electrolytes (Sodium & Potassium)‣ Serum Amylase‣ Blood Urea‣ Serum Bilirubin (total & direct)‣ CSF sugar‣ CSF Full Report‣ Urine deposits (only from casualty wards)‣ Urine Ketone bodies‣ Full Blood Count‣ Prothrombin Time25