Departments

Topic

All staff in the

hospital mainly
CRM, Front office,
OPD & IPD staff
OPD, CRM,
Emergency
Ambulance &
Emergency
Ambulance &
Emergency
Nursing

Scope of Services

Lab, Radiology &

Nuclear Medicine
Lab, Radiology &
Nuclear Medicine
Lab
Radiology &
Nuclear Medicine
including
Ancillary Staff
(Nurses, GDA,
Housekeeping,
Security etc in
these
departments)
Radiology &
Nuclear Medicine
including
Ancillary Staff
(Nurses, GDA,
Housekeeping,
Security etc in
these
departments)

Reference
NABH
Standard
AAC 1 d

Identification & prioritization of patients with

clinical problem warranting earlier response
BLS, ACLS training as appropriate

AAC 2 f

Patient transfer procedure (Both in & out of

the hospital)
Using Physiological parameters to Identify
Clinical Deterioration of patient
Critical Results & its reporting process

AAC 3 d

Handling, Usage & Disposal of Hazardous

materials , MSDS
Safe practices in Laboratory

AAC 3 d

AAC 5 f
AAC 6 g & AAC
9g
AAC 8 c & AAC
11 d
AAC 8 d

Imaging Safety practices MRI safety,

Kinking of tubes, Fall prevention & Handling
patients in Imaging Areas

AAC 11 g

Radiation Safety measures ( Measures taken

to protect patient & staff from unwanted
radiation)

AAC 11 g

CRM
Topic

Scope of Services including services not

available in the hospital
Identification & prioritization of patients with
clinical problem warranting earlier response

Reference
NABH
Standard
AAC 1 d
AAC 2 f

Radiology Lab
Departments

Topic

All staff in the

hospital
Lab, Radiology &
Nuclear Medicine
Lab, Radiology &
Nuclear Medicine
Lab

Scope of Services

Radiology &
Nuclear Medicine
including
Ancillary Staff
(Nurses, GDA,
Housekeeping,
Security etc in
these
departments)
Radiology &
Nuclear Medicine
including
Ancillary Staff
(Nurses, GDA,
Housekeeping,
Security etc in

Critical Results & its reporting process

Handling, Usage & Disposal of Hazardous
materials , MSDS
Safe practices in Laboratory

Reference
NABH
Standard
AAC 1 d
AAC 6 g & AAC
9g
AAC 8 c & AAC
11 d
AAC 8 d

Imaging Safety practices MRI safety,

Kinking of tubes, Fall prevention & Handling
patients in Imaging Areas

AAC 11 g

Radiation Safety measures ( Measures taken

to protect patient & staff from unwanted
radiation)

AAC 11 g

these
departments)

Departments

All staff in the

hospital
OPD, CRM,
Emergency
Ambulance &
Emergency
Ambulance &
Emergency
Nursing

Topic

Scope of Services

Reference
NABH
Standard
AAC 1 d

Identification & prioritization of patients with

clinical problem warranting earlier response
BLS, ACLS training as appropriate

AAC 2 f

Patient transfer procedure (Both in & out of

the hospital)
Using Physiological parameters to Identify
Clinical Deterioration of patient

AAC 3 d

AAC 3 d

AAC 5 f