Standard END OF LIFE

188 Operation Policy In Obstetrics and Gynaecology Services Intent of 25.2 The department shall ensure appropriate care of those in pain or dying: i. Manage their pain and primary or secondary symptoms ii. Prevent worsening of symptoms to the extent reasonably possible iii. Address patient and family psychological, emotional and spiritual needs regarding dying and grieving iv. Address patient and family religious and cultural concerns v. Involve the patient and family in care decisions. Measurable elements of 25.2 1. Interventions are taken to manage pain and symptoms 2. Symptoms are prevented to the extent reasonable possible 3. Interventions to address the patient and family psychological, emotional and spiritual needs regarding dying and grieving 4. Interventions address patient and family religious and cultural concerns 5. The patient and family are involved in care decisions. Compliance to practice standards Std: 100 OPERATIONAL POLICIES 189 Operation Policy In Obstetrics and Gynaecology Services

26.0 TRAINING AND EDUCATION

26.1 The department shall define the level of knowledge, skills and training requirements for all its personnel. 26.2 A written orientation programme shall be used to introduce new staff to the relevant aspects of the facilities and prepare them for their roles and responsibilities 26.3 The staff shall have access to appropriate educational programme to maintain and augment their professional competency. Participation in these educational or training activities shall be documented. 26.4 All staff is required to participate in the Ministry’s e-CPD programme. 26.5 The department shall facilitate staff to attend relevant educational programmes conducted by professional groups, societies and educational institutes. OPERATIONAL POLICIES 190 Operation Policy In Obstetrics and Gynaecology Services

27.0 QUALITY AND RESEACH

27.1 Quality improvement

27.1.1 There shall be continuous process of collection and compilation of clinical data to establish the changing pattern of clinical practice, morbidity and mortality. 27.1.2 Whenever possible, these data shall be collected using a standard procedure of format throughout the Ministry of Health hospitals for the purpose of comparison and analysis. 27.1.3 There shall be a mechanism for audit findings to be used effectively for on going improvement of patient care. 27.1.4 To achieve of above objectives, the department shall participate in the following existing Ministry of Health quality initiatives: a. Incident reporting b. Key performance indicators c. Peri operative mortality review d. National Indicators e. Maternal mortality review f. Perinatal mortaliy review g. National audit 27.1.5 In addition to the above, the department shall also conduct hospital and department specific quality improvement studies and participate in clinical audits initiated at national level. OPERATIONAL POLICIES