Urodynamic Studies Standard CLINICAL RESPONSIBILITY .1 Urogynaecology clinic

139 Operation Policy In Obstetrics and Gynaecology Services 6. Relatives counselled Compliance to practice standards std: 100 20.2.3 Urogynaecology Operation Theatre Standard All urogynaecological patients planned for operation will be seen by subspecialist Intent of 20.2.3 1. All decisions for urogynaecological operative procedures must be made by subspecialist 2. Time from decision to operation would be less than 6 months 3. All patients would be counselled regarding the indication, the operative procedure and associated complications. 4. Consultation would be made by the urogynaecological team 5. The relatives would also be explained regarding the planned procedure and associated risk Measurable elements of 20.2.3 1. Review by subspecialist 2. Waiting time from decision of surgery till operation 3. Counselling of patients OPERATIONAL POLICIES 140 Operation Policy In Obstetrics and Gynaecology Services 4. Consent from patients 5. Presence of relatives

20.3 ADMINISTRATIVE RESPONSIBILITY Standard

The urogynaecologist is the head of the urogynaecological unitteam. Intent of 20.3 1. Heshe is responsible of smooth running of this unit, which comprises a consultant, specialist, medical officers, continence nurses physiotherapist and support group aided by voluntary staff from NGOs. 2. The urogynaecologist will be responsible as the head of urogynaecological services, for running the daily activities of the unit, financial management, staffing, equipment purchase and others. 3. Ensure the smooth running of urogynaecoloical clinic, ward, daycare centre operating theatre. 4. The urogynaecologist from time to time will attend meetings which are relevant to the provision of the urogynaecological subspecialty at various levels hospitals, state, and national. Measurable elements of 20.3 1. The unit is headed by a urogynaecologist 2. Urogynaecology activities supervised and administered by urogynaecologist. OPERATIONAL POLICIES 141 Operation Policy In Obstetrics and Gynaecology Services OPERATIONAL POLICIES 3. Equipment, staffing, financial balance are accredited by Head of OG Department. Compliance with practice protocols std: 100 20.4 EDUCATION RESEARCH RESPONSIBILITY Standard Teaching and training of staff Intent of 20.4 1. The urogynaecologist is responsible in providing the necessary teaching and education to all the members of the unit. This includes the consultants, specialist, trainees, medical officers, house officers, continence nurses physiotherapist and the support groups. 2. The urogynaecologist is responsible to provide theoretical and practical knowledge to the subspecialist trainees. 3. The urogynaecologist and the team is responsible to organize regular courses for all categories of staff. The suggested courses are perineal episiotomy workshop, 3rd 4th degree tear repair workshops and others. 4. The urogynaecological unit will also from time to time provide teaching training for doctors from the private sector. 5. The urogynaecology unit should keep a database of all the cases that are seen. This would be incorporated into the annual report of the department.