REFERRAL DISCHARGE AND TRANSFER .1 Standard

64 Operation Policy In Obstetrics and Gynaecology Services Intent of 10.9.1 1. Consultant specialist shall decide on discharge from HDW. 2. To inform the respective specialist medical officer and staff nurse in charge of the ward about transfer of patient. 3. Proper plan of management and summary to be documented in the HDW discharge summary form. 4. Ensure all treatment are up to date prior to discharge. 5. Passing over care of patient shall be done when the staff from ward taking the patient to their ward. 6. Patient to be accompanied by staff nurse from the ward where patient is to be transferred. Measurable elements 10.9.1 1. Respective doctors decide on the patient’s transfer and all other respective doctors and staff are aware of the patient movement. 2. Continuation of care in management and treatment are ensured by following intent of 10.9.1 no 3, 4 and 5. 3. Patient is to be transferred with staff to ensure safety. Compliance to practice standards Std: 100 10.9.2 Standard Discharge transfer of patient from HDW to other department. OPERATIONAL POLICIES 65 Operation Policy In Obstetrics and Gynaecology Services OPERATIONAL POLICIES Intent of 10.9.2 1. Consultant specialist shall decide transfer from HDW to other department after discussion with the appropriate specialist consultant. 2. To inform the respective specialist medical officer and staff nurse in charge of the ward about transfer of patient. 3. Proper plan of management and summary to be documented in the HDW discharge summary form. 4. Ensure all treatment are up to date prior to discharge 5. Patient to be accompanied by staff nurse medical officer to where patient is to be transferred. Ventilated patient will be accompanied by staff from Intensive Care Unit ICU. 6. Transport ambulance shall be made available prior to mobilization of patient. Measurable elements 10.9.2 1. Respective doctors decide on the patient’s transfer and all other respective doctors and staff are aware of the patient movement. 2. Continuation of care in management and treatment are ensured by following intent of 10.9.2 no 3, 4 and 5. 3. Patient is to be transferred with appropriate staff to ensure safety. Compliance to practice standards Std: 100 66 Operation Policy In Obstetrics and Gynaecology Services

10.10 DEATH

Refer to Standard Operating Procedure SOP, Obstetric wards. OPERATIONAL POLICIES 67 Operation Policy In Obstetrics and Gynaecology Services

11.0 MATERNITY OPERATION THEATRE

Standards 11.1 Patients are planned for elective and emergency caesarean section at maternity operation theatre. Intent of 11.1 1. Elective cases are planned earlier and performed from pre-determined hours Monday to Friday, 8am-5pm. 2. All cases listed for operation are by a specialist. 3. The patients are counselled regarding the indication, procedure and associated complications prior to the surgery and they area admitted one day prior to the day of operation. 4. The patients together with the husband are reviewed again by the obstetrician and gynaecologist who is planned to perform the operation. 5. Necessary investigations are taken and reviewed prior to the operation. 6. All patients are reviewed by the anaesthetist one day prior to the operation and are counselled again regarding the operation and type of anaesthesia planned. 7. All high risk cases are performed by specialistconsultant. 8. Once the patient has been counselled, a written consent is taken from the patient. OPERATIONAL POLICIES