Intradepartmental transfer of patients.

27 Operation Policy In Obstetrics and Gynaecology Services

8.5 Discharge, referral and follow up.

a. Discharge Appropriate discharge of patients b. Referral Appropriate referral of patients c. Follow-up Patients and as appropriate, their families shall be given understandable follow-up instructions at referral or discharge.

8.6 Transfer of patients

Transfer for patient to another organisation for continuation of care.

8.7 Transportation

The process for referring, transferring, or discharging the patient considers transportation needs.

8.8 Death

Patients care in the department may end up or complicated with the death of the patient.

8.1 ACCESS TO CARE AND CONTINUATION OF CARE

All patients cared for by the organization have their health care needs identified through in established assessment process.

8.1.1 Standard

Each patient assessments include an evaluation of physical, psychological, social and economic factors, including a physical examination and health history. OPERATIONAL POLICIES 28 Operation Policy In Obstetrics and Gynaecology Services Intent of 8.1.1 1. The assessments of patient provide the information to : a. understand the care the patient is seeking b. select the best care setting for the patient c. form the initial diagnosis d. understand the patient’s response to any previous care 2. Relevant investigations to form the diagnosis shall be sent a. Refer circulars on handlingordering of lab investigations Pengendalian Spesimen Makmal b. Ordering radiological investigations Permohonan Pemeriksaan Radiologi Measurable elements of 8.1.1 All patients shall have an initial assessment in Patient Admission Centre in the wards for the elective admission by the house officer medical officer. 1. The initial assessments results in understanding any previous care and the care the patient is currently seeking. 2. The initial assessments result in selecting the best setting for the care. 3. The initial assessments results in an initial diagnosis. Inappropriate admissions rate Std: 1 8.1.2 Standard At admission as an inpatient, patient and families shall receive information on the proposed care, the expected outcome of that care, and expected cost to the patient for the care. OPERATIONAL POLICIES