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Operation Policy In Obstetrics and Gynaecology Services
18.2 Standard
A systematic registration process is in place.
Intent of 18.2
1. All relevant patients’ records shall be made available before the start of clinic
sessions. 2.
All patients will be attended to at registration by a member of staff within 30 minutes of arrival.
3. BP and weight will be checked for all patients. Urinalysis will be performed
for all patients with hypertension. 4.
Patients will be seen according to appointment time and registration number. 5.
Patients shall be charged according to the Fees Medical Order, 1982 and other regulations in force.
Measurable elements of 18.2
1. Documentation of patients BP, weight and urinalysis if indicated in the
notes and antenatal book. 2.
All patients have a waiting number and are seen according to number.
Compliance to practice standards Std: 100 18.3 Standard
All patients receive specialist care and treatment.
Intent of 18.3
1. Patients are seen by a MFM specialist or consultant or by a medical officer
under close supervision by the MFM specialist or consultant.
OPERATIONAL POLICIES
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Operation Policy In Obstetrics and Gynaecology Services
2. History taking, physical examination and ultrasound examination is
performed. 3.
Ultrasound findings are shown and explained to the patient as the scan is being
4. Counselling is performed in a private room by MFM specialist in the presence
of a nurse to provide support to the patient. 5.
Implications of any fetal abnormality are explained. 6.
If prenatal diagnosis is necessary, counselling regarding the options of prenatal diagnosis amniocentesis, chorionic villus sampling or fetal blood sampling
and their individual risks and advantages is performed. 7.
The length of time to obtain results of prenatal diagnosis is informed to the patient.
8. If the patient is agreeable for prenatal diagnosis, a suitable appointment is
arranged for the procedure. 9.
A cardiotocography may be performed to assess fetal well being. The cardiotocograph is interpreted by a medical officer, MFM specialist or
consultant.
Measurable elements of 18.3
1. All patients are managed by a MFM specialist or consultant.
2. Documentation of relevant examination findings in the notes as well as
antenatal book.
OPERATIONAL POLICIES
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