Beruflich Dokumente
Kultur Dokumente
/var/www/apps/conversion/tmp/scratch_5/223638042.doc/var/www/apps/conversion/tmp/scratch_5/2236380 42.docZuletzt gespeichert von ullins! "vonneZuletzt gespeichert von ullins! "vonne
#2#
Standard OperatingProcedure
Contents
Introduction and Background ------------------- 29 General Standard Operating Procedures -- 3 Speci!ic Standard Operating Procedures -- 33 "ode o! "onduct ---------------------------------------- 39 Anne#ure$SOP%-&----------------------------------------'3
#3#
#4#
#5#
1".";" Patient 5isposition Patients should be transported to the hospital as per the guidelines specified in the Scheme 1"."<" ommunication Protocols Proper communication protocols need to be maintained #ith the callers and patient party" Guidelines/Protocols= Simple$ direct$ professional and courteous language #ill be used at all times" !hen an ambulance is dispatched on the basis of a call the dispatcher #ill ensure that the ambulance is responding to the correct address" ontact #ith the dispatch (ambulance and driver) #ill be maintained at all times" Some commonly used &mbulance Operation terms are= >&vailable? >On call? >Out of Service? >Received? >Responding? >Status? >!elfare heck? >On Scene? >,ransporting? follo#ed = ambulance is available to respond to a call" = ambulance is picking up or transporting a patient = ambulance is not available to respond = ambulance staff has received the information" = ambulance is en route to a call = 6ind out the availability of ambulance = ,o check the physical #elfare of the ambulance staff = &mbulance has arrived at call location" = &mbulance is transporting the patient to a hospital" 0ust be by hospital name" >&rriving at Hospital? = &mbulance has arrived at the hospital (use name)
1"."@ 0obile Phone ,he *+O/ BO/,rust shall provide a mobile phone to the 5river of the &mbulance for enabling the 5river to establish timely communication link #ith the RH/BPH "
#6#
2.2 Infection Control B! Ambulance Personnel i" :se all protective gears for handling patients at all times ii" !hen the possibility of e8posure to blood or other body fluid e8ists$ gloves are recommended" %f hands accidentally become contaminated #ith blood$ they should be #ashed thoroughly as soon as possible" iii" !hen there is a risk of eye or mouth contamination (for e8ample$ the patient is vomiting bloody material or there is arterial bleeding)$ protective eye#ear and masks are recommended" iv" 0asks should be #orn by the ambulance staff or patient for those infectious agents transmitted by airborne diseases like ,uberculosis$ hicken Po8$ 0easles and the like v" 47uipment should be thoroughly cleaned after each use" vi" &ll significant e8posures shall be reported to the Superintendent/ B0OH/0O% immediately so that necessary action can be taken" Significant exposure is defined as the following: i" &ny puncture of the skin by a needle or other sharp ob'ect that has had contact #ith patient)s blood or body fluids or #ith fluids infused into the patient" ii" Blood spattered onto mucous membranes (e"g" mouth or eyes)" iii" ontamination of open skin (cuts$ abrasions$ blisters$ open dermatitis) #ith blood$ saliva$ amniotic fluid$ etc"" 2.". Patient Care #e orts$ %ocumentation 5ocumentation is one of the most important aspects of completing an ambulance call" Both the call receiver as #ell as the driver of the ambulance must maintain and complete call reports" Patient are Reports are fre7uently referred to as all Reports" ,he documentation norm #ill be A a" omplete report on each patient for any call (Annexure/SOP 2! b" &ll call reports to be recorded in duplicate as the call occurs and the duplicate copy kept in office file" c" &ll calls to be registered in the Bog Book after the completion of the call (Annexure/SOP "!
#$#
#8#
".1B #e&uest 'or Ambulance (ervices In Person ,B! Patient-s #elatives or .eig*bour/ 'or )rans orting +mergenc! Cases /".B"."5etails of re7uest #ill be noted in the DRe7uest for &mbulance) form (&nne8ure 1) in duplicate" 6ull address and clear direction for location of the patient supported by important landmarks #ill also be noted do#n" ,he employee of Superintendent/BPH #ill in turn inform about user charges and mode of payment to the caller" /".B"1 ,he filled-in form should be signed by Superintendent/B0OH or 0edical Officer on duty or any other person authoriCed by Superintendent/B0OH/0O% before dispatch of the ambulance" /".B"/",hereafter the original of the form is to be handed over to the driver of the ambulance immediately" ,he copy of the form should be kept in office file" /".B"9"%n case the &mbulance is out on duty$ the concerned employee of Superintendent/BPH #ill inform the same to the person and re7uest him/her to #ait up to a ma8imum of half an hour /".B"3",he concerned employee #ill immediately try to establish contact #ith the driver of the ambulance in the 5river)s mobile phone and pass on the necessary information" %f contact cannot be established #ith the ambulance #ithin /2 minutes$ the same should be informed to the personal caller so that the patient party can make alternate transportation arrangements /".B";" %n case of ambulance being available the concerned employee of RH/BPH #ill inform about its availability and details of user charges and mode of payment to the personal caller$ re7uesting for ambulance" /".B"<" %n case$ the patient is to be transported to any center other than the RH/BPH $ the concerned employee #ill intimate and obtain prior permission for the same from the Superintendent/B0OH/0O% and then pass on the necessary information to such center"
#%#
# &0 #
".2B. In case t*e ambulance is not available at #1$BP1C during time of tele *one call $ ersonal caller /"1B"." %n case the ambulance is not posted at the RH/ BPH at the time of receipt of re7uest for ambulance$ the driver$ on receiving a call from the RH/BPH $ needs to go to the place of the patient directly from another location" /"1B"1" He #ill use a blank )Re7uest for &mbulance) form available #ith him and arrange to fill in all relevant details in the form /"1B"/" ,hereafter$ the procedures from /"1&"." to /"1&"<" as mentioned above #ill be follo#ed /"1B"9" ,he 5river shall obtain a post facto approval in the Superintendent/B0OH/0O% " all Record from the
".". %ro 0in of t*e atient at #1$BP1C or ot*er referral oint$*os ital
/"/"." ,he driver / attendant #ill take the relatives accompanying the patient to the 0edical Officer of RH/BPH Referral Hospital on duty for ne8t course of action /"/"1" ,he driver / attendant #ill then get the > Re7uest for &mbulance) form signed along #ith mention of D,ime of release) in the column provided by the family member of the patient$ collect user charges and hand over the properly filled money receipt" /"/"/" ,he driver #ill fill the >Bog Book? (Annexure/SOP "! kept in the &mbulance in the custody of the driver and be produced to the Superintendent/ B0OH/0O% #henever asked for" /"/"9" ,he driver #ill inform of his arrival to the receiver of re7uests for ambulance at the RH/BPH "
# && #
".2. )rans ortation of Accident +mergenc! Patients ".2A. #e&uest 'or Ambulance (ervices Over )ele *one 'or )rans orting Accident +mergenc! Cases /"9&"." &n employee of RH/BPH authoriCed by Superintendent/B0OH #ill receive a phone call re7uesting ambulance services for transporting accident cases" /"9&"1 5etails of re7uest #ill be noted in the D all Record ) form (Annexure/SOP 2! in duplicate" lear directions for locations of the accident victims supported by landmarks #ill also be noted do#n" /"9&"/" ,he filled-in form should be signed by the RH/B0OH/0O% on duty before dispatch of the &mbulance" /"9&"9" ,hereafter$ the original of the form is to be handed over to the driver of the &mbulance immediately" & copy of the form should be kept in the office file" /"9&"3" %n case the patient is to be transported to any centre other than the RH/BPH $ the concerned employee #ill pass on the necessary information to such centre" /"9&";" %n case the &mbulance is out on duty$ at the time of the telephone call$ the same should be intimated to the telephone caller #ith a re7uest to make an alternative arrangement in case of an e8treme emergency" Ho#ever$ the caller #ould also be re7uested to call back after .2 minutes in case no alternative arrangement could be made by the caller for transportation of the patient"" %n bet#een$ contact #ould be established #ith the driver through phone and depending on the status$ necessary actions #ould be taken"
".2B. #e&uest 'or Ambulance (ervices B! A Personal Caller 'or )rans orting Accident +mergenc! Cases /"9B"." 5etails of re7uest #ill be noted in the D all Record) form (Annexure/SOP 2! in duplicate and the same should be signed by the personal caller" lear directions for locations of the accident victims supported by landmarks #ill also be noted do#n" /"9B"1" ,he filled-in form should be signed by the Superintendent/B0OH/0O% on duty before dispatch of the &mbulance" /"9B"/" ,hereafter$ the original of the form is to be handed over to the driver of the &mbulance immediately" & copy of the form should be kept in the office file" /"9B"9" %n case$ the patient/s are to be transported to any center other than the RH/BPH $ the concerned employee #ill pass on the necessary information to such center" /"9B"3" %n case the &mbulance is out on duty$ the same #ill be intimated to the personal caller" Ho#ever$ contact #ould be established #ith the driver through phone and depending on the status$ necessary actions #ould be taken"
# &2 #
".3.A. If t*e ambulance is osted at t*e #1$BP1C at t*e time of recei t of tele *one call$ ersonal call /"3"&"." Before movement$ the driver #ill check the status of fuel$ o8ygen cylinder and other necessary e7uipment as per the D heck Bist) provided to him (c'ec( list details: Annexure/SOP )1!* /"3"&"1" ,he driver #ill take #ith him the D all Record) form" (Annexure/SOP 2! /"3"&"/" On reaching the pick-up point$ the driver #ill ensure safe shifting of the patient/s to the ambulance on a stretcher$ #herever re7uired$ #ith the help of the accompanying attendant" /"3"&"9" ,he driver/attendant #ill ensure use of o8ygen cylinder/other lifesaving e7uipment by the patients if re7uired"
/";". ,he 5river shall obtain a post facto approval in the all Record 6orm from the Superintendent/B0OH #ho #ould approve such movement after being satisfied about the same"
# &3 #
&
Obligations
Of
)*e
O erating
# &4 #
,he *+Os/ BO/,rust/etc #ill also bear all clerical e8penses incurred in relation to the ambulance operations and reporting re7uirements
2.1." Parking ,he *+Os/ BO/,rust/etc #ill park the ambulance in the RH/BPH compound" %n case of parking space not available in the RH/BPH $ the *+Os/ BO/,rust/etc can park the vehicle at a place arranged by it near the RH/BPH after obtaining permission from the Superintendent/B0OH/0O% " ,he *+Os/ BO/,rust/etc" can if re7uired construct a temporary shed #ithin the BPH / PH campus for parking of the vehicle" 2.1.2 9ovement #egister$:og Book ,he *+Os/ BO/,rust/etc #ill maintain a movement register/logbook$ (Annexure/SOP "! #hich #ill be kept and regularly updated by the driver of the ambulance$ indicating therein the distance covered and user charges realiCed from the patient or his/her representative" ,he logbook #ill be regularly checked and signed by the Superintendent/B0OH/0O% " 2.1.3 ;ser C*arges a" ,he *+Os/ BO/,rust/etc #ill be entitled to collect and retain user charges as per the rates fi8ed by the 5H6!S" ,hese charges can be used to meet e8penditures related to operation$ maintenance and management of the ambulance" 0oney Receipt (Annexure/SOP &! must be issued against receipt of user charges" b" %f t#o patients are transported at the same time to the referral centers$ the total user charges #ould be e7ually apportioned amongst the patients" c" *+Os/ BO/,rust/etc #ill not offer free services to any patient"
2.1.5 O eration Costs ,he *+Os/ BO/,rust/etc #ill bear all operation costs and e8penses for plying the vehicle including the cost of fuel$ lubricants$ spare parts and repairing$ regular servicing as #ell as the &0 " 2.1.6 #e orts ,he *+Os/ BO/,rust/etc #ill be responsible for preparing and submitting the necessary ambulance utiliCation reports (Annexure/SOP ) +! in prescribed 0onthly Report 6ormat and other relevant paper #ork to the Superintendent/B0OH/0O% and the BH6!S #ithin the stipulated time" opy of 0onthly Report needs to be submitted to the 0OH of the 5istrict and Special Secretary$ 5epartment of Health E 6amily !elfare$ S#asthya Bha#an$ 9th floor$ !ingB$ +*-1F$ Sec-G$ Bidhannagar$ Holkata A<222F.",he Superintendent/B0OH/0O% #ill
# &5 #
provide information relating to point nos" .1-&$ .1-B$ ./-& and ./-B of the 0onthly Report" ,he *+Os/ BOs/,rusts/etc #ill be re7uired to ensure that all information are properly filled in the 0onthly Report and the report is sent to all concerned so as to reach by <th of every month" 2.1.< 1andover ,he *+Os/ BO/,rust/etc #ill handover the ambulance to 5H6!S >in good condition sub'ect to normal #ear and tear? in case of termination of the agreement or on e8piry of the agreement #ithout claiming any o#nership or right #hatsoever"
# &6 #
!ill be cleanly dressed in uniform !ill be polite !ill be sympathetic !ill be punctual and on time !ill complete paper#ork !ill check all operational details of the ambulance every morning and before leaving for an assignment as per checklist (&nne8ure .) &t all times #ill drive the ambulance #ithin permissible speed limits" &t .2kms to 12 kms per hour in busy/cro#ded areas and /2 kms per hour in less cro#ded areas/intersections !ill not use the hooter indiscriminately" !ill use the hooter only #hile transporting patients" !ill not che# or smoke in front of patients and during transportation and inside the ambulance #hen the ambulance is not running" !ill not consume alcohol during duty hours or should not have consumed alcohol 9 hours prior to departure !ill not shout or use abusive language !ill not charge e8tra money from the relatives of the patients !ill not harass patients
# &$ #
# &8 #
Anne=ur$(OP01
Before driving any ambulance a driver must have the follo#ing documentation= urrent$ valid 5riving Bicense
> lean? 5riving Record from the 5epartment of 0otor Gehicles (*o Record of Reckless 5riving$ not more than t#o moving violations in the past one year)"
Vehicle
,e'icle documents re-uired: ertificate of Registration$ ertificate of Road !orthiness/6itness$
Operational Checklist 6uel Brake Oil +ear Oil oolant Bife saving e7uipment Stretcher in place Gehicle is clean Hooter is #orking 0oney Receipt Blank &mbulance Re7uest 6orm Battery for the 0obile Phone is fully charged"
# &% #
Anne=ure$(OP0 2 Re7uest for &mbulance 6orm/ all Record 5ate= Patient *ame= aller *ame= Relationship #ith Patient= &ge of Patient= &ddress= Place of Pick :p= (%ncluding clear directions) %mportant Bandmarks= 5estination= omplaint= Signature of all Receiver/5river= &uthoriCation by Superintendent/B0OH or his/her representative= Referral 5octor= Se8 of Patient= ,el/Person/Referred by B/PH = ,ime=
# 20 #
Anne=ure$(OP0 " Sample of &mbulance Bogbook/&mbulance 0ovement Register 5ate Start kms" Patie Place nt)s of *ame Pick :p ,im e I%n Place of 5rop ,ime ,ime of Out Return to RH/BPH 4nd kms" Signature of the driver of the ambulance hecked E signed by Superinten dent/B0O H
# 2& #
Anne=ure$(OP02
#one$ %eceipt
.ame of Patient: Se8= 5ate= Start kms= 5rop (kms)= ,otal 5istance ,ravelled (kms")= Rate Per Hilometre= &mount ollected in Rupees= Signature of recipient= Signature of Patient/Patient Party= &ge= ,ime= Pick :p (kms)=
# 22 #
Anne=ure$(OP0 3
MO()*+, -.PO-) OF )*. (GOS FO- )*. AMB/+A(". S"*.M. /(0.- PPP ." *ame of the RH/BPH /PH = JJJJJJJJJJJJJJJJJ 1" 5istrict JJJJJJJJJJJJJJ /" *ame of the *+O= JJJJJJJJJJJJJJJJJJJJJJJJJ 3" Reporting 0onth= JJJJJJJJJJJJJJJJJJJJJJJJJ 9" Gehicle *o" JJJJJJJJJJJJJJJJJ ;" 5ate of Submission JJJJJJJJJJJ
/* TOTA0 .1#23% O4 PAT53.TS T%A.SPO%T36 61%5.G T73 #O.T7 / A* T$pe of patients transported &ccident emergency cases 5elivery related cases hild related cases Other 4mergency cases Others (specify) ) otal Patients / 2* 6etails of transportation Referred from RH/BPH /PH Residence to RH/ BPH /PH Residence to other govt" hospitals Residence to private hospitals Others (specify) )otal Patients
)otal Patients
@-&) Opening Hilometer on the first day of the month @-B) losing kilometer on the last day of the month @- ) ,otal kilometer travelled during the month F-&) *umber of days the ambulance did not carry any patient F-B) Reasons= .2-&) *umber of times the ambulance used for some other purposes= .2-B) Reasons= .." Problems encountered / %mportant case studies/ +eneral comments=
Information under 120A7 120B7 1"0A and 1"0B to be rovided b! t*e (u erintendent$B9O1 .1-&) ,otal number of patients referred from the RH/BPH /PH (OP5K4mK%P5) during the month .1-B) *umber patients availed this (PPP) ambulance out of the total referrals from the RH/BPH /PH during the month ./-&) ,otal number of beneficiaries under the Referral ,ransport Scheme from the RH/BPH /PH during the month ./-B) *umber of the beneficiaries availed this (PPP) ambulance out of the total beneficiaries under the Referral ,ransport Scheme from the RH/BPH /PH during this month
# 23 #
Full Signature and Designation of the Reporting Person of the N O with seal and date
Abbreviations:
2P7C 2748S 2#O7 2P0 C2O C#O7 6748S 6o748 Go82 #O5C .GO O.GOs P7C PO0 PPP P:t* %7 SOP
2loc( Primar$ 7ealt' Centre 2loc( 7ealt' and 4amil$ 8elfare Samiti 2loc( #edical Officer of 7ealt' 2elo9 Po:ert$ 0ine Communit$ 2ased Organisation C'ief #edical Officer of 7ealt' 6istrict 7ealt' and 4amil$ 8elfare Samiti 6epartment of 7ealt' and 4amil$ 9elfare Go:ernment of 8est 2engal #edical Officer 5n C'arge .on Go:ernmental Organisation Operating .GOs Primar$ 7ealt' Centre Petrol; Oil; 0ubricant Public Pri:ate Partners'ip Pri:ate %ural 7ospital Standard Operating Procedure