Code of Practice For Private Hospitals, Nursing Homes and ...

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General Requirements Code of Practice for Private Hospitals, Nursing Homes and Maternity Homes 14
Chapter 2 Organisation and Administration 2.1 Overview of an Establishment The organisation of an establishment is crucial to the smooth administration of services in an establishment. It is pertinent that the Board of Governors takes an active role in monitoring the performance of the establishment in addition to decision-making. 2.2 General Requirements 2.2.1 There is a statement of philosophy and objectives which describes the nature and purpose of the work of the establishment. 2.2.2 There is an organisational structure which includes all categories of staff. The structure also delineates the channels of communication, lines of authority and responsibility. 2.3 Board of Governors 2.3.1 The licensee shall form a Board of Governors to oversee the management of the establishment. The Board shall comprise at least one lay member. 2.3.2 The Board of Governors is responsible for – (i) the development and application of the statement of philosophy and objectives, making sure that all major decision-makers within the establishment operate accordingly; (ii) the overall coordination and evaluation of activities within the establishment; (iii) the development of policies to facilitate operation of the establishment; (iv) overseeing the financial management of the hospital; and (v) ensuring the establishment’s adherence to relevant Ordinances and Laws of Hong Kong. Code of Practice for Private Hospitals, Nursing Homes and Maternity Homes 15
Page 1 and 2: Code of Practice For Private Hospit
Page 3 and 4: Staff Development and Education…
Page 5 and 6: Chapter 17 Intensive Care Service /
Page 7 and 8: Standards on Support Services Chapt
Page 9 and 10: Compliance with the requirements un
Page 11 and 12: “Ordinance” - means the Hospita
Page 13: ehabilitative treatment and for per
Page 17 and 18: 2.5 Clinical Governance 2.5.1 Clini
Page 19 and 20: Chapter 3 Accommodation and Equipme
Page 21 and 22: Chapter 4 Human Resources Managemen
Page 23 and 24: (iv) update them of current require
Page 25 and 26: 4.7.5 The patients are informed of
Page 27 and 28: 5.3.2 The Quality Committee impleme
Page 29 and 30: 6.2.4 There is a mechanism to ensur
Page 31 and 32: (x) the right to be informed of any
Page 33 and 34: Chapter 8 Patient Care 8.1 Overview
Page 35 and 36: documented with the staff’s signa
Page 37 and 38: Chapter 9 Risk Management 9.1 Overv
Page 39 and 40: 9.5 Safety of Patients with Mental
Page 41 and 42: 9.6.8 The infection control team sh
Page 43 and 44: (viii) anaesthetic records, includi
Page 45 and 46: Chapter 11 Research 11.1 Overview T
Page 47 and 48: (x) Death of an in-patient from sui
Page 49 and 50: Chapter 13 Pathology 13.1 General R
Page 51 and 52: Chapter 14 Pharmacy and Dispensing
Page 53 and 54: patient, they should be administere
Page 55 and 56: 15.2.3 A registered radiographer is
Page 57 and 58: Chapter 16 Operating Theatre Servic
Page 59 and 60: (ii) blood pressure measuring devic
Page 61 and 62: Chapter 17 Intensive Care Service /
Page 63 and 64: direct observation is not feasible
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staff are in attendance. Hospital s
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manner 18.4.6 The design, facilitie
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Chapter 20 Cardiac Catheterisation
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21.2.7 In case of interruption of e
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patient. 22.2.6 Resuscitation equip
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Chapter 24 Obstetric and Nursery Se
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24.3.8 The nursery is equipped with
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Chapter 25 Radiotherapy Service 25.
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26.2 Staffing 26.2.1 A doctor who i
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Chapter 27 Dental Service 27.1 Requ
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Chapter 29 Occupational Therapy Ser
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Chapter 31 Services for Treating Dr
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Chapter 32 Chinese Medicine Service
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32.3.9 Investigation Investigation
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the room that houses the x-ray equi
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Chapter 34 Housekeeping and Support
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34.4.6 For occupational safety and
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34.8 Central Sterile Supplies Servi
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Hong Kong are adhered to during dai
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References 1. American Academy of E
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17. Department of Health, New South
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for Older People (3 rd Edition). 20
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