PUBLIC AWARENESS SUPPORT GROUP Standard RELATIONSHIP WITH THE DEPARTMENT OF OG. Standard

143 Operation Policy In Obstetrics and Gynaecology Services 3. Support groups comprising patients, public, NGO’s and continence advisors should be encouraged. Formation of local support group should be encouraged to improve the quality of life of our aging population. Measurable elements of 20.5 1. Public forums and awareness campaigns 2. Support groups 3. Patients awareness and understanding Evidence of continuous monitoring of above standards and remediable actions taken Std: 100

20.6 RELATIONSHIP WITH THE DEPARTMENT OF OG. Standard

The urogynaecological unit will function within the ambit of the Department of OG. Intent of 20.6 1. The urogynaecologist will share calls in the Department of OG until such a time when there are sufficient Advanced OG subspecialists to handle obstetric calls. 2. Similarly all support staff such as medical officers and nurses will form part of the Department and will be multifunctional when required in the general interests to do so. OPERATIONAL POLICIES 144 Operation Policy In Obstetrics and Gynaecology Services 3. The staff of the urogynaecological unit will support the Department of OG’s effort to be an accredited department according to MSQH standards, ISO standards and to be a Baby Friendly hospital. Towards this end, the staff will develop guidelines and protocols for use in urogynaecology. 4. The urogynaecologist will ensure that all formats and forms in use in the Department of OG are uniformly used in the Urogynaecology Unit. Any new formats or forms developed for use in urogynaecology must be approved the Head of Department. 5. The Head of Department of OG will have the final say in all matters related to the functioning of the Urogynaecology Unit. Measurable elements of 20.6 1. Standardization of protocols and policies 2. Meetings with consultants and head of department Compliance with practice protocols Std: 100 OPERATIONAL POLICIES 145 Operation Policy In Obstetrics and Gynaecology Services

21.0 GYNAE-ONCOLOGY

Standards INTRODUCTION 21.1 ADMINISTRATION 21.1.1 A trained Gynae-oncologist heads the unit, and is responsible for the day to day functioning of the unit. 21.2 WARD 21.2.1 Patients are admitted to receive inpatient care 21.2.2 A subspecialist or a trainee in Gynae-oncology is responsible for the patient’s care in the wards. 21.2.3 The patient and their families are kept informed 21.2.4 Referral, Discharges and Follow Up There is a policy guiding the appropriate referral and discharge of patient 21.3 SURGERY 21.3.1 Each patient surgical care is planned and documented based on the results of the assessment. 21.3.2 The risk, benefits and alternative options are discussed with the patient and his or her families or those who make decisions for the patients. OPERATIONAL POLICIES 146 Operation Policy In Obstetrics and Gynaecology Services 21.3.3 The surgery performed is documented in the case notes. 21.3.4 Patient care after surgery is planned and documented. 21.4 CHEMOTHERAPY SERVICES 21.4.1 Chemotherapy services are available to meet patient’s needs, and all such services meet applicable local and national standards, laws, regulations and professional standards. 21.4.2 A qualified Gynae-oncologist is responsible for managing the chemotherapy services. 21.4.3 Department protocols guides the care of patients undergoing chemotherapy. 21.4.4 A qualified individual conducts a pre-chemo assessment. 21.4.5 Each patient’s chemotherapy is planned and documented 21.4.6 Each patients post chemotherapy status is monitored and documented and the patient is discharged by a qualified individual or by using established criteria. 21.5 DAY-CARE CHEMOTHERAPY This service is available for a few selected, safe chemotherapy drugs. 21.6 RADIOTHERAPY Patients in need of radiotherapy are referred to the radiotherapist. OPERATIONAL POLICIES