Standard CRITERIA FOR ADMISSION .1 Standard

55 Operation Policy In Obstetrics and Gynaecology Services OPERATIONAL POLICIES 5. Staff nurse in charge of ward to be informed regarding patient’s admission and requirement. 6. Preparation of bed. 7. Transfer in of patient to HDW : accompanied by the staff nurse and house officer medical officer. 8. Receiving of patient; a. Patient’s condition and vital signs noted. b. Fetal heart rate shall be checked if antenatal patient. c. Uterine size, amount of bleeding per vaginum noted if postpartum patient. d. Ensure that intravenous lines, catheters, drainage tubes etc, are functioning. e. Ensure that management instructions are clear and complete. To clarify if otherwise. f. Update records on drug therapy, observations, investigations, intravenous fluids regime, blood transfusion, etc. 9. Admission book. a. Details of the patient to be entered into the HDW admission book 10. Patients shall use hospital attire. 11. Rooming-in is encouraged in line with the Baby Friendly Hospital concept. 12. Two relatives shall be allowed to visit at anytime provided no nursing procedures ward rounds are being done at that time. 56 Operation Policy In Obstetrics and Gynaecology Services Measurable elements 10.2.1 1. The staff shall be familiar with the policies and procedures and follow them. Compliance to practice protocols Std: 100 10.2.2 Standard Patient with emergency or immediate needs are given priority for assessment and treatment. Intent of 10.2.2 1. Medical officers to review patient within 30 minutes of admission to HDW or immediately depending on case to case basis. 2. Patient with immediate needs shall be reviewed by specialist immediately. Measurable elements of 10.2.2 1. Patients are prioritized based on the urgency of their needs. All patients to be reviewed by medical officer within 30 minutes of admission Std: 100

10.2.3 Standard

Patients and families receive information on the proposed care, the expected outcome of the care and any expected cost for the care. Intent of 10.2.3 1. The medical officer specialist shall counsel the patients and families on the proposed care, expected outcome and expected cost, if any. 2. The information given shall be sufficient for the patients and families to make a knowledgeable decision. OPERATIONAL POLICIES 57 Operation Policy In Obstetrics and Gynaecology Services OPERATIONAL POLICIES 3. The information given shall be documented properly in the patient’s record and signed by medical officer, specialist or consultant. Measurable elements of 10.2.3 1. Patient and family receive sufficient information to make a knowledgeable decision. Compliance to practice standards Std: 100 10.3 CARE OF PATIENT IN HIGH DEPENDENCY WARD

10.3.1 Standard