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EBC Protocols List

EBC protocols list

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hamidoabdi2016
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94 views

EBC Protocols List

EBC protocols list

Uploaded by

hamidoabdi2016
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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1.

Scope Based Practices =33


1. protocol defining facility-level/specific scope of practice
2. Interdepartmental Consultation Protocol (monitoring system for the Interdepartmental
consultation protocol.)
3. triage Protocol
4. the scope of practice protocol ?????
2. Standard Based Clinical Service=27
1. Patients rounds including bedside teachings
2. Nursing Procedures
3. Patient Transportation
4. Bad news breaking
5. Surgical Scheduling
6. STG
3. Evidence Generation and Utilization=28
7. Availability of standardized manual for staff training
8. Established team for chart audit team & TOR for Chart audit team
9. The hospital established a system to check completeness of medical records before
returning back to medical record room
10. Mechanism established to check proper utilization and completeness of data
11. protocol for triangulation of selected data
4. System redesign and EHSTG Boosters=30
12. Check for the ETAT protocol
13. pre-triage screening protocol
14. protocol for patient channeling to the cough clinic
15. airborne and droplet precaution protocols
16. OPD Services Protocol
17. Protocol for rounds and clinical care
18. vital sign protocol
19. Check for Rehabilitative and palliative care protocol
20. Biomedical equipment maintenance protocol
21. Preventive maintenance protocol
22. catering services Quality monitoring protocol/checklist
23. A protocol describe system to prescribe, dispense and monitor appropriate and rational
use of the selected and prioritized drugs
24. TOR of clinical Audit team
25. Multidisciplinary round (Grand round) protocol
26. Protocol for All new admissions are audited and co-signed by day time and duty time
assigned senior physicians
27. Handover protocol
28. weekly chart review schedule (for senior chard round)
29. assigned focal person on the clinical audit
5. Efficient use of healthcare resources=26
30. the staff incentive and recognition procedure/guide
31. efficiency monitoring system
6. Quality Nursing Care =26
32. nursing care protocol
33. nursing care protocol adherence monitoring mechanism
34. Establish nursing care round and audit team with TOR
35. nursing round protocol
36. verify that the Nursing Audit Protocol addresses these topic (quality of nursing process,
patient monitoring, pain management, medication administration and client education)
37. shift handover protocol
38. round package and emergency table preparedness protocol.
39. ICU nursing care package/protocol and should include (V/S and fluid balance monitoring
requirements, enteral nutrition, GI prophylaxis, DVT prophylaxis and medication
administration)
40. Capacity building protocol/ guide
41. Patient orientation protocol & should include (Involvement in care plan, intervention,
expected discharge planning, estimated cost, and expected outcome)
7. Surgical service efficiency and safety=26
42. Elective surgery Protocol
43. Pre-admission evaluation protocol
44. pre-operative workup protocol
45. Protocol on Pre- and Postoperative hospital stay
46. briefing and debriefing protocol
47. day care surgery protocol
48. SSC Audit protocol
49. SSI Protocol (should include tracking mechanism)
8. Improve neonatal intensive care=26
50. protocol for NICU service
51. Monitor family participation in decisions making starting from evaluation to discharge
process
9. Improve Emergency, trauma and critical care=24
52. ICU protocols or ICU admission, treatment and discharge protocols
53. referral protocol,
54. triage protocol,
55. burn protocol,
56. poisoning protocol,
57. trauma protocol
10. Patient Preferences and Value
58. discharge planning protocol ( observe self-assessment documents/reports)
59. pain protocol
60. chronic pain and Palliative care clinic guideline/protocol??
61. social service protocol

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