Criteria And Timing Of Referrals

105 Operation Policy In Obstetrics and Gynaecology Services

19.0 REPRODUCTIVE MEDICINE

Standards 19.1 Introduction 19.2 Organisational And Administrative Responsibilities A Reproductive Medicine RM subspecialist should head the Reproductive Medicine Unit and will be answerable to the Head, Department of Obstetrics and Gynaecology and undertake full responsibility of running the unit. 19.3 Clinical Responsibilities 19.3.1 The scope of clinical services provided should include Diagnostic, Therapeutic and Management components of Reproductive Medicine. 19.3.2 The diagnosis, counselling and management of patients are directed by the Reproductive Medicine subspecialist or fellow in Reproductive Medicine. 19.3.3 The therapeutic range of surgical and non surgical techniques or the management of patients with fertility and reproductive endocrinology problems must be made available to ensure that patients receive not only appropriate but timely therapy. 19.4 Fertility Clinic 19.4.1 Patient shall be seen in the Reproductive Clinic on an appointment basis. 19.4.2 At the fertility clinic the patient’s first appointment will be the fertility counsellor. OPERATIONAL POLICIES 106 Operation Policy In Obstetrics and Gynaecology Services 19.4.3 All relevant patient record shall be made available before the start of clinic sessions. Patient records shall be kept confidential. 19.4.4 A dedicated staff nurse termed as Fertility Nurse Coordinator shall manage this clinic on an appointment basis. 19.4.5 Blood taking should be done in a specified room; by the phlebotomist staff nurse or medical laboratory technician. Procedures for collecting, identifying, handling, safely transporting, and disposing of specimens are followed. 19.4.6 Patient at the Fertility Clinic shall be counselled regarding causes of infertility, fertility medication and assisted reproduction techniques. 19.4.7 Patient planned for follicular tracking will have a baseline trans vaginal scan TVS on Day 2 of periods to check for residual cyst and subsequently follicular tracking on Day 8, 10, and 12 until optimal size between 17 to 19mm per follicle. 19.4.8 IUI requires husband semen to be sent to the Andrology laboratory for processing under aseptic technique. 19.4.9 Consent for IUI is taken. General consent for treatment, if obtained when a patient is admitted as an inpatient or is registered for the first time as an outpatient, is clear in its scope and limits. OPERATIONAL POLICIES