39
Operation Policy In Obstetrics and Gynaecology Services
OPERATIONAL POLICIES
Intent of 8.6.1
Transferring of patient to outside organizations shall be based on the patient’s status and need for continuation of care.
1. Transfer shall be made in response to a patient’s need for specialized
consultation and treatment or facilities such as ventilator. 2.
Decision for transfer shall involve the specialist in charge. 3.
An appropriate referral shall be made to the outside organisation verbally as well by writing referral letter and discharge summary.
4. The patient have to be in stable condition and suitable for transfer.
5. An appropriate level of staff shall accompany the patient to the referral health
care centre depending on patient’s condition and requirement for monitoring. 6.
A proper documentation shall be written in the patient’s record regarding the name of the health care services, the name of the individual agreeing to
receive the patient, the reasons for the transfer and patient condition before and during transfer.
Measurable elements of 8.6.1
1. Patient shall be appropriately transferred to other health care services.
2. Transfer process shall be documented in the patient’s record.
Referral letter shall be in the medical records and show documentation that there was specialist input in the referral process Std: 100
40
Operation Policy In Obstetrics and Gynaecology Services
8.7 TRANSPORTATION
8.7.1. Standard
The process for referring, transferring, or discharging the patient considers transportation needs.
Intent of 8.7.1
Transportation for patient’s transfer shall be arranged, depending on patient’s condition and status.
Measurable elements of 8.7.1
1. The process of referring, transferring, and discharging patients shall consider
transportation needs. 2.
Transportation shall be appropriate to the patient’s needs.
Transportation shall be appropriate to the patient’s needs Std: 100 8.8
DEATH 8.8.1 Standard
Patients care in the department may end up or complicated with the death of the patient.
Intent of 8.8.1
1. Death Certificate shall be signed immediately by medical officer and the
accurate cause of death shall be written. 2.
The next of kin shall be informed of patient’s death, in the ward or via the hospital police counter if necessary and documented in the patient’s record.
OPERATIONAL POLICIES
41
Operation Policy In Obstetrics and Gynaecology Services
3. The parents shall be informed counselled regarding perinatal death by
medical officerspecialist and offered a post-mortem. The perinatal death format shall be filled up and sent to the Health Officer of the district
concerned and a copy shall be kept in the department for future references. 4.
The deceased shall be sent to mortuary within one hour for release to the next of kin or for post-mortem.
5. Any patientmother who dies in the hospital shall be transported on a cadaver
trolley to the mortuary by the mortuary attendants. 6.
All maternal deaths shall be notified to the Health Officer immediately by the hospital maternal death coordinator. The relevant documents shall be
documented by the specialist involved after the maternal mortality meeting, and submitted to the relevant authority within 2 weeks.
Measurable elements of 8.8.1
1. Patient’s family next of kin, shall be informed regarding the death
appropriately and shall be documented in the patient’s record. 2.
Appropriate transfer of the deceased to mortuary shall be made appropriately. 3.
A proper notification regarding the patient’s death shall be made to the health officer.
Perinatal mortality rates Maternal mortality rates
Timeliness of death notification to the health district within 48 hours Std: 100
OPERATIONAL POLICIES
