Nursing Department

OPERATING ROOM Goals and Objectives

Original Issue Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 1 of 4

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Title: The Goals and Objectives for the Operating Room are based on the Hospital, Department of Nursing and the Units Mission Statement and are updated yearly. 1.1 Primary Goal: To improve the quality of the services in the Operating Room by achieving hospital accreditation through compliance with CBAHI standards by the year end 2011. 1.1.1 Objectives: 1.1.1.1 Review and Formulation of Policy and Procedures, Procedure Guidelines and Departmental Manual. 1.1.1.2 Formulation and Implementation of the General and Specific Nursing Orientation Skills Assessment Program to new staff nurses. 1.1.1.3 Formulation and Implementation of Infection Control Policy and Procedure as well as Guidelines Specific to the Operating Room set up. 1.1.1.4 Development and Implementation of Competency Checklist to all staff members in the Operating Room. 1.1.1.5 Ensure that all professional staff is functioning in accordance to the expected level of performance.

Original Issue Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 2 of 4

1.1.1.6 Conduct annual staff performance evaluation against job description per review evaluation (Implementation of Anecdotal Reporting). 1.1.1.7 To promote consideration of patients rights, values and preferences among Operating Room staff and ensure staff compliance in adherence to it. 1.2 Other Goals and Objectives: 1.2.1 To have a 100% ACLS passers within two years. 1.2.2 Ensure appropriate ongoing staff development across all disciplines internal and external; and promote quality management concept, technique through education sessions and in services. 1.2.1.1 All Staff Nurses will be able to identify and recognize the different kinds of arrhythmias and dysrhythmias through Basic ECG Course within 1 year. 1.2.3 Assess department level leadership to identify training needs and requirements. Develop a safe work environment program to ensure that the work place is safe and free of hazards which may cause injuries or affect the health of the patients and employees. 1.2.4.1 Develop and implement a comprehensive disaster plan may it be internal or external to train staff members in the OR. 1.2.4.2 Develop and implement fire safety drills vigorously as to train staff members in the OR. 1.2.5 To keep administration informed of anything that hinders the provision of quality care. e.g. lack of equipments and supplies or the inability to have equipment maintained and repaired.

1.2.4

Original Issue Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 3 of 4

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Approval Section:

Prepared by: __________________________________ Ms. Bella M. Samonte Clinical Quality Assurance Manager __________________________________ Ms. Jasmin Aeryll T. Lapnawan Department Quality Coordinator (OR PACU Nurse) Reviewed by: ______________ Date

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__________________________________ Ms. Pacita C. Frias Nursing Department Head

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__________________________________ Dr. Abdulaziz Dorra Head of the Surgery Department

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__________________________________ Dr. Mohammad Askar Chief of Anesthesia/Head of Operating Room Approved by :

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__________________________________ Dr. Abdulaziz Al Hammadi Vice Director of Medical Affairs

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Original Issue Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 4 of 4

__________________________________ Dr. Reema Al Hammadi Director of Medical Affairs

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__________________________________ Mr. Mohammad Al Hammadi Executive Director

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