State of Andhra Pradesh - Act
Andhra Pradesh Allopathic Private Medical Care Establishments (Registration and Regulation) Rules, 2007
ANDHRA PRADESH
India
India
Andhra Pradesh Allopathic Private Medical Care Establishments (Registration and Regulation) Rules, 2007
Rule ANDHRA-PRADESH-ALLOPATHIC-PRIVATE-MEDICAL-CARE-ESTABLISHMENTS-REGISTRATION-AND-REGULATION-RULES-2007 of 2007
- Published on 28 April 2007
- Commenced on 28 April 2007
- [This is the version of this document from 28 April 2007.]
- [Note: The original publication document is not available and this content could not be verified.]
1. Short Title, extent and commencement.
2. Definitions.
- In these Rules, unless the context otherwise requires: -3. Authorities.
4. Registration.
| Category No. | Description of Establishment |
| 1. | Clinics/consultation rooms (Solo Practitioners) |
| 2. | Poly Clinics (Group Practitioners) |
| 3. | Hospitals/Nursing Homes less than 20 beds |
| 4. | Hospitals/Nursing Homes with 21 to 50 beds |
| 5. | Hospitals/Nursing Homes with 51 to 100 beds |
| 6. | Hospitals/Nursing Homes with 101 to 200 beds |
| 7. | Hospitals/Nursing Homes with more than 200 beds |
| 8. | Diagnostic Centers (Basic Lab facilities) |
| 9. | Diagnostic Centres with Hi-end equipment (CT etc.) |
| 10. | Physiotherapy Units |
| 11. | Dental Clinics/Hospitals |
5. Certificate of Registration.
(a)Based on inspection reports, the Registering Authority shall grant the applicant- establishment a certificate of registration ( in duplicate), in the prescribed Form-IV annexed to these rules, after satisfying itself that the applicant has complied with all the requirements, criteria, facilities, etc prescribed in the Appendix-II6. Renewal.
- The Establishment shall apply for renewal in Form VI, annexed to these rules, along with payment of the fees prescribed in the Rule 15(a), three (3) months before expiry of the registration period of five (5) years. The Renewal shall be granted by the Registering Authority within 3 months from the date of receipt of the application failing which it will be deemed to have been renewed. The renewal of the registration of certificate shall be granted in Form VII annexed to these rules7. Suspension or Cancellation of Registration.
8. Appeal.
| (i) PrincipalSecretary, to Government HM and FW Department | - | Chairman |
| (ii) Director of Medical Education, A.P., Hyderabad | - | Member-Convener |
| (iii) Director of Health, A.P., Hyderabad | - | Member. |
| (iv) Commissioner, APWP, Hyderabad | - | Member, |
| (v) One member from IMA nominated by the Governmentafter duly consulting IMA | - | Member, |
| (vi) One member from APNA nominated by Governmentafter duly consulting the APNA | - | Member. |
9. Display of rates.
10. Display of Registration number etc.
11. Fund of Registering Authority.
12. Annual Accounts.
- The annual accounts of the authority shall be audited, and certified by the Approved Chartered Accountants appointed by the Registering Authority and forwarded to the Government along with the annual report, for placing it before the Legislature13. Fees payable to the Authority.
| SI.No. | Description of Establishment | Annual Fee (Rs.) |
| 1. | Clinics/consultation rooms (Solo Practitioners) | 250 |
| 2. | Poly Clinics (Group Practitioners) | 500 |
| 3. | Hospitals/Nursing Homes less than 20 beds | 750 |
| 4. | Hospitals/Nursing Homes with 21 to 50 beds | 1500 |
| 5. | Hospitals/Nursing Homes with 51 to 100 beds | 2000 |
| 6. | Hospitals/Nursing Homes with 101 to 200 beds | 3000 |
| 7. | Hospitals/Nursing Homes with more than 200 beds | 7500 |
| 8. | Diagnostic Centers (Basic Lab facilities) | 500 |
| 9. | Diagnostic Centres with Hi-end equipment (CT etc.) | 2000 |
| 10. | Physiotherapy Units | 750 |
14. Medical Records.
- The establishments shall maintain medical records of the patients treated by it and health information in respect of national programmes and furnish to authorities as and when they are required. The minimum medical records to be maintained by the Establishments are prescribed in Appendix-IV, V and VI.15. Medical Audit.
- All Establishments shall formulate' appropriate mechanism for constant review of hospital procedures to assess the cause of death and to explore better preventive measures and effective treatment.16. Offences and Penalties.
- If the Registering Authority comes to a conclusion based on any enquiry report that any offence against any of the provisions under Sections 11, 12, 13 and 15 of this Act or these Rules has been committed by Establishment and there is over whelming evidence that the offence has been committed with the consent or connivance of, or is attributable to any neglect on the part of any Director, Manager, Doctor or any other Officer of the said Establishment, a case shall be filed either by Registering Authority or by an Officer authorized by it before the First Class Judicial Magistrate or a Metropolitan Magistrate, as the case may be, for trial.17. Interpretation of the Rules.
- If there is any doubt or dispute regarding the application or the interpretation of the Rules, the decision of the Government thereon shall be final.Appendix - I(See Rule 4 (h))Minimum Standards For The Registration of Private Medical Care FacilitiesPart - I I. Background and Rationale of setting minimum standards. - In terms of the provisions of the Andhra Pradesh Allopathic Private Medical CareEstablishments (Registration and Regulation) Act 2002, and in order to have successful Legislation, these minimum standards are prescribed for the different types of the Private Medical Care Establishments for the effective implementation of the Act. These standards may be modified by the State Authority from time to time and shall be maintained by the Private Medical Care Establishments for getting the necessary registration of the facility as per the Act.These minimum standards have been prepared with discussions held with various health care professionals and also with the active involvement of the representatives of A.P. Private Hospitals and Nursing Homes Association, Indian Medical Association, Indian Medical Council, and various Government Functionaries etc. The minimum standards are set for different types of medical care establishments and comprise of general requirements and specific requirements, and include physical standards of space requirements and hygiene, equipment requirements for delivering specific services, and the man power requirements and their qualifications.These minimum standards explain about the obligations of the Private Medical Care Establishment to wards the patient, society, and staff engaged (See Part IV). The standards also specify the minimum list of services for which the medical care establishments need to display the charges levied for the benefit of the patient information. (See Part VIII).The minimum standards also specify the medical records and other records to be maintained to be made available to the patients, records that need to be made available to the inspection authorities, and filing of minimum data returns to the appropriate authorities e.g., data on notifiable diseases, detailed births and death records, and patient and treatment data etc. (See Part VIII).II. Classification of the Private Medial Care Establishments. - In the context of working out the minimum standards, the private medical care establishments in the state of Andhra Pradesh, the following classification is made depending up on the services offered by these facilities and also on the physical infrastructure available with them.A. Classification Based on the Services offered by the facilities. - (1) Establishments offering Medical and Surgical Treatment. Clinics and Consultation rooms (Dispensaries)2. Establishments offering Diagnostic Support. - The diagnostics services are offered by various laboratories
Part II – General Requirements
Most of the private medical care establishments located in the state are general hospitals or nursing homes, set up to deal with the full range of medical conditions most people require treatment for. But there are other hospitals specialized in a particular disease or condition (Heart care, Cancer care, Orthopedic care, ENT care, Ophthalmic care etc.) or in one type of patient (woman, children, the elderly, etc.). The specialized hospitals provide latest specialized treatments for every disorder in the concerned specialized area. The service mix of various hospitals is given at Part VI.(A)Functional Program. - The Hospital and Nursing Home should have the following functional areas namely: Out Patient Department with general waiting and reception areas, and clinics for each speciality care services offered with required equipment and furniture, Wards for general inpatients and individual rooms for the patients with necessary ancillaries, fully equipped Operation theatres for the type of speciality service delivered, Central Sterilization and Supply Department, Blood Bank, Accident and Emergency Department (Casualty), Pathology Department, Radiology Department, Laundry Unit, Hospital Store, Medical Records Department, Work shop and engineering Services and Transport Services, Mortuary and Community Services.As per the physical standards, certain basic facilities need to be provided by thehospitals irrespective of the services being offered such as:1. Medical clinic (consultation and examination room) with waiting area
2. Surgical Clinic (consultation and examination room) with waiting area
3. Casualty and emergency care (optional)
4. Treatment and dressing and 5. Injection room
Obstetric and Gynaecological Clinic. - In case of maternity home providing obstetrics and gynaecological services to have the clinic as described below:The clinic should include a separate registration, consulting - cum - examination room and toilet in order to ensure privacy. The clinic should be planned close to inpatients ward units to enable them to make use of the clinics at times for ante and post natal care. The clinic should also be at a convenient distance from other clinics in the Outpatient Patient Department.(ii)Critical Zone. - This zone is required in surgical and maternity homes. This zone consists of the Operation Theater and Delivery Suite.This is technically a therapeutic aid in which a team of surgeons, anaesthetists, nurses, gynaecologists and sometimes pathologist/s and radiologist/s operate upon or care for the patient. The critical zone shall be located and arranged to prevent non-related traffic through the suites. When delivery and operating rooms in the same suite, access and service arrangements should be such that neither staff nor patients need to travel through one area to reach the other.(iii)Operation Theatre.Protective Zone. - Consisting of Nursing station with storage facility, changing rooms, staff arrive through this Zone and proceed via changing areas dressed for their task.Clean Zone. - This includes the recovery room. It is principally the corridor linking the transfer bay to the theatre suite. Patients are brought from the ward and should not cross this zone in their ward - clothing which is a great source of infection. Changeover of trolley should be affected just before the clean zone.Aseptic or sterile zone. - It consists of operation theatres, sterilisation; theatre pack preparation and sterile storage, scrub up and gowning rooms.Disposal zone. - Also erroneously called the dirty zone. Soiled instruments and dressings are transacted through this area for washing and sterilisation or disposal.(iv)Delivery suite. - (Required for nursing homes providing maternity facilities)All maternity homes and all nursing homes offering maternity services shall make provisions for a delivery suite over and above the aforementioned facilities necessary for an operating suite. In maternity homes an arrangement must be possible to isolate a patient of eclampsia. Two labour rooms should be provided for every 10 maternity beds or part thereof. These rooms may be constructed preferably in the form of cubicles. They should be close by to the delivery room. In case combined with the "Examination and Preparation room," the area standards should be maintained. This room should ideally be suited close to the operation theatre(v)Nursery for New Born. - All nursing homes providing maternity facilities must also provide for a nursery for normal babies.H. Other Facilities. - There are three very important facilities that the patient requires. They are; Pharmacy, laboratory, X-Ray and E.C.G. These are a must for every hospital it would be ideal to have them within the premises of the hospital or in close proximity. Other facilities such as ambulance services, Hitech diagnostic and monitoring facilities are to be considered as optional under the existing condition in our country.I. Special Care Units. - The special care units dealt with are: -* Post-operative wards* Intensive care units* Intensive Care Unit providing speciality care.| SI.No. | Condition/Procedure | Basic Level Services | Specialist Care Services | Super Speciality Services |
| 1 | Deliveries | Normal Deliveries | All deliveries including complicated deliveries | |
| 2 | Threatened of incomplete abortion | Conservative management D and C | Treatment | |
| 3 | Family Planning | Tubectomy IUD | Basic Level services + Laproscopic tubectomy | |
| 4 | Lower abdominal pain and ectopic pregnancy | Stabilise and Refer | Exploratory tubectomy | |
| 5 | Vaginal disease | Diagnosis and Management | Exam under anaesthesia | |
| 6 | High risk pregnancy | Early diagnosis and timely referral | Investigate initiate management | |
| 7 | PID | Diagnosis and Therapy | Diagnosis and Therapy | |
| 8 | Menstrual irregularities | Refer | Diagnosis and Management | |
| 9 | Infertility | Refer | Diagnosis and Management | |
| 10 | Cervical erosion | Refer | PAP Smear and Bio spy | Cader Surgery |
| 11 | Malignancies | Refer | Diagnosis | Surgery radiotherapy |
| Name and Address of the Medical Care Establishment (MCE) | |
| Name and Address of the Company/Director | |
| Location of the MCE | |
| (Urban/Municipal/Rural/Tribal) | |
| Is the MCE attached to any Medical College/Research Institution | |
| Name of Medical Director/Superintendent | |
| Is the accommodation owned by the Company? Or is it on lease? Ifit is on lease what is the period and conditions of lease(Evidence to be enclosed) | |
| State whether the above said accommodation suitable for runningMedical Care establishment | |
| One set of Photographs of the MCE with its functional facilities | |
| The names of the Specialists/Consultants working in the MCE | |
| The Equipment and Furniture available in the MCE (List to beenclosed) | |
| Passport size photos of Director/Medical Superintendent to beattached | |
| Application No.: | Application date |
| Application Fee Particulars | |
| Date of Inspection (Enclosed Inspection format to be filled) | |
| Inspection done by |
| General | Emergency | Speciality-wise beds, pl. specify | Total |
| Activity | Date of Previous Years | |
| Total Out Patients (Old + New) | ||
| Total Inpatients | ||
| Total No. of Major operations | ||
| Total No. of Deaths | ||
| Deaths after 48 hours of admission | ||
| Bed Occupancy rate | ||
| Financial Accounts | ||
| Total Hospital Fee Collection. (Audited | ||
| Financial Statements to be enclosed) | ||
| Total reimbursements claimed from | ||
| Government towards the treatment of referred patients, if any | ||
| Flow of funds towards their Activities (External Aids/ Public/Private contributions, pl. specify) |
| No | Item | Page No |
| (1) | Out Patient Department Services | 1 |
| (2) | Emergency Services Department | 2 |
| (3) | Intensive Care Unit | 3 |
| (4) | Clinical Laboratory | 4 |
| (5) | Blood Bank | 5 |
| (6) | Radiology Department | 5 |
| (7) | Operation Theatre | 7 |
| (8) | Central Sterile Supply Department | 8 |
| (9) | Labour Room | 9 |
| (10) | Wards | 10 |
| (11) | Diet and Kitchen Facility | 11 |
| (12) | Linen and Laundry Services | 11 |
| (13) | Medical and Non Medical Stores | 12 |
| (14) | Medical Records | 12 |
| (15) | Training, C M E and I E C Activities | 12 |
| (16) | Ambulatory Services and Telecommunications | 12 |
| (17) | Commitments to National Health Programmes | 12 |
| (18) | Environment Sanitation and Water Supply | 13 |
| (19) | Patient Attendant facilities | 13 |
| (20) | Research activities | 13 |
| (21) | Administrative Department | 14 |
| (22) | Mortuary | 14 |
| (23) | Important hints for computing Hospital Performance | 14 |
| Important Hints For Computing Various HospitalActivity Indicators | ||
| 1 Bed Occupancy Rate: | Total In Patientbed-days-----------------------X 100 = ----- BedCapacity | |
| 2 Average Length of Stay = | Total In Patientbed-days during 12 months-----------------------= --------------------Discharge + Deaths during 12 months | |
| 3 Turnover rate (interval) = | (Annual Bed Capacity- IP Bed – days)----------------------------------------------(Discharge + Deaths during 12 months) | |
| 4 Case Flow Rate = | Total Discharges +Deaths during 12 months----------------------------------------------Total Beds existing in the Hospital. | |
| 5 Gross Death Rate : | Ratio of total deaths to total discharges. InGeneral Hospitals it should be about 3-5 per cent. | |
| 6 Net Death Rate (Institutional Deaths): | No. of deathsoccurring 48 hours or more after admission, should not usually2.5 percentNo. of deaths due toanaesthesia---------------------------------------X 100 | |
| 7 Anaesthetic Death Rate: | No. of patients anaesthetized during the period | |
| 8 Post Operative Death rate | Post operative deaths---------------------------------------XI00Total operations during a given period | |
| 9 Maternal Death Rate: | Total deaths of obstetric clients----------------------------------------XI00 | |
| Total dischargesincluding deaths of Obst....Ward |
| No. | Facilities | Availability (Yes/No) | Remarks, if not satisfied |
| (1) | Out Patient Department (OPD) | ||
| (b) | Reception Counter: | ||
| (i) | Posting of knowledgeable staff as a Receptionistwith a board"May i help You?" | ||
| (ii) | All sections of the OPD numbered and depicted onflow chart near reception counter. | ||
| (iii) | Boards indicting days of Special Services andHospital timings near reception counter | ||
| (b) | Registration: | ||
| (i) | Separate registration windows with railingarrangements for Male/Female, Old/New, Freedom Fighters andGovernment Servants: | ||
| (ii) | Board indicating hospital fees for variousservices provided for OPD, IPD and Surgical Procedures | ||
| (c) | OPD Sections: | ||
| (i) | Every OPD section should have : separateregister for diagnosis, Complete examination tray with BPApparatus, torch and hammer, x-ray view box, examination tablewith foot steps, writing table, stool for patients wash basin,adequate sitting arrangement for waiting OPD patients,appropriate Health Education material displayed. | ||
| (ii) | in addition to above. | ||
| Medical OPD: | |||
| CNS examination tray, tuning fork, ECG Machine, | |||
| Surgical OPD: | |||
| PR examination tray with proctoscope and gloves,Kidney trays, Tongue depresser | |||
| Gynaec. OPD: | |||
| PS and Pv examination Tray, iUD tray, Kidneytray, Weighing machine, pap smear tray, exam table with lithotomyfacility, table lamp. | |||
| Pediatric OPD: | |||
| Paed. Weighing machine, Measure tape, Height andWeight Scale. | |||
| Opthalmic OPD: | |||
| Near and Distant vision charts, Refraction setOpthalmoscope, Dark room facilities for Retinoscopy. | |||
| Ear, Nose and Throat OPD: | |||
| Head light mirror, indirect laryngoscopes,tounge depresser, Nasal and ear speculum, electric steriliser,tuning fork, audiometry, diagnostic ENT set, audiometry, waxsyringe etc., | |||
| Dental OPD:Dental unit, Dental motor,Dental x-ray, Continuos water supply, denture preparation(prosthesis), Bio-safety measures adopted etc. | |||
| Orthopedic OPD:Emanination table, footsteps, x-ray view box, patella hammer etc. | |||
| (d) | Dressing Room. | ||
| (i) | Separate dressing rooms for male and femalepatients. | ||
| (ii) | Autoclaved/Disposable material used. | ||
| (iii) | Dressing table, sink for hand washing available. | ||
| (iv) | Dresser wears Plastic apron, Face mask, glovesetc. while doing dressing. | ||
| (v) | Antiseptic lotions and dressing materials andfoot operated dustbins or adequately available | ||
| (e) | injection room | ||
| (i) | Separate rooms for male and female available. | ||
| (ii) | Staff nurse is trained in management ofinjection reactions | ||
| (iii) | Updated emergency drug tray and Availability ofOxygen Cylinder with accessories, Suction Machine (Electric andfoot operated), Cot and mattresses with arrangements for head lowposition, venesection tray, chart of management of Anaphylacticreaction, Availability of Wash basin, Bio-safety measuresadopted, inventory maintained. | ||
| (iv) | Sufficient No. of Disposable/Sterile syringesand needles depending upon OPD load. | ||
| (f) | Pharmacy | ||
| (i) | Availability of male and female windowsseparately with railing arrangements | ||
| (ii) | Daily accounting of drugs kept? (Any proof ofchecking of inventory) | ||
| (iii) | Surprise check by inspector for actualdispensing against prescription | ||
| (iv) | Drugs are dispensed in paper packets | ||
| (v) | Morbidity statistics kept up to date (verify therecord) | ||
| (g) | Physiotherapy | ||
| (i) | Availability of short wave diathermy, infraredfacilities etc. for Myalagia | ||
| (ii) | Availability of Lumbar/Cervical traction forSpondylitis. | ||
| (iii) | Shoulder mobilization wheels, walking barsavailable | ||
| (iv) | Wax bath and Muscle stimulator available | ||
| (h) | Minor Operation Theatre and Plaster Room | ||
| (i) | Availability of Anaesthetic apparatus,shadowless lamp, operation table suction apparatus (electric andfoot operated), fumigation apparatus, | ||
| (ii) | Availability for wash basin, cap, mask, gown,sleepers, etc. | ||
| (iii) | Availability of autoclaved/sterile linenmaterial, dressing drums, minor surgery instruments, life savingdrugs and anaesthetic agents etc. | ||
| (iv) | Availability of plaster room, plaster materialand plaster cutting saw etc., | ||
| (v) | i) Maintenance of records and registers ofminor OT etc., | ||
| (i) | Safe Drinking Water Facilities: | ||
| (i) | Water coolers available with adequate number oftaps for OPD | ||
| (ii) | Water samples are tested for potability. verifythe register and actions taken on unsatisfactory reports. | ||
| (j) | Sanitary Unit | ||
| (i) | Separate will-maintained arrangements of toiletfor male and female patients and their attendants | ||
| (ii) | Separate toilets and wash basins for staffmembers? | ||
| (k) | vehicle parking | ||
| (i) | Separate stand for staff/public vehicles | ||
| (l) | R.M.O. Office | ||
| (i) | Availability of telephone for RMO and public | ||
| (ii) | Film show arrangements made for OPD patients,verify the register. | ||
| (iii) | Suggestion book in OPD. Action taken, if any,for valid suggestions made. | ||
| (iv) | Availability of RMO during entire OPD period andmusters of interns, class iii and para medicals are available inRMO's chamber | ||
| (v) | Availability of wheel chairs and stretchers forshifting Pts. From OPD to Ward. | ||
| (m) | verifications of adequacy of treatment(Minimum 5 case sheets/prescription notes should be checked) | ||
| (i) | Clinical notes, Diagnosis, investigations andLegible hand writing | ||
| (ii) | Proper prescription of drugs with dose schedule | ||
| (iii) | views of the patients regarding treatment andtheir satisfaction | ||
| (2) | Emergency Service Department (Casualty) | ||
| (i) | Separate Medical Officer (CMO) available roundthe clock | ||
| (ii) | Continuous availability of D.M.O (indoor M 0)during night hours. | ||
| (iii) | Board displaying doctors on call, Specialist andother staff on duty | ||
| (iv) | Glow sign board indicating 'Emergency ServicesDepartment' | ||
| (v) | Casualty Department annexed with Emergency wardwith adequate number of beds and attached toilets facilities. | ||
| (vi) | Ward well equipped with Fowler's bed, OxygenCylinder With Accessories, Suction apparatus electric - footoperated, Emergency tray with essential drugs with Catheter tray,Rules' tubes/stomach tube, flatus tube, venesection tray,tracheotomy set, L P tray, Suturing tray, Ambu bag, Laryngoscope,Tourniquet, Splints - Thomus splint, Bowler's splint, Crammerwire splints Emergency light/ Generator, BP Apparatus, Torch,Thermometer, weighing machine, hammer, Refrigerator, stationaryand forms | ||
| (vii) | Trained staff posted in Emergency department | ||
| (viii) | Boards displayed regarding management of Snakebite, Common poisoning, Anaphylactic reaction, Cardio respiratoryarrest etc. | ||
| (ix) | Availability of ARV services 24 hours. Boarddisplayed accordingly. | ||
| (x) | Knowledge of M Os in classification of dog bitewounds and their management, training in giving ARV. | ||
| (xi) | Proper documentation of treatment card andrecords/registers. | ||
| (xii) | Uninterrupted Stock of ARv. Check the stockbook. | ||
| (xiii) | Medico legal register in prescribed formateither central or individual. 1 | ||
| (xiv) | Call book is in prescribed format and calls areattended promptly. verify | ||
| (xv) | Availability of Disaster Management Plan anddisaster drill conducted regularly. (verify the record and stock) | ||
| (xvi) | Retiring room for MO with attached toiletlockers, Cooler, fan, and drinking water arrangements. | ||
| (xvii) | Night super nurse on duty should be available inemergency ward after night rounds. | ||
| (xviii) | Treatment room cum minor operation theatre withall necessary instruments, equipment, trolleys, tables and trays. | ||
| (xix) | Availability of separate telephone for CasualtyDepartment as well as for public | ||
| (xx) | Store room with sufficient stock of essentialand life saving drugs | ||
| (xxi) | Availability of sufficient number of wheelchairs and stretcher trolleys. | ||
| (xxii) | Availability of transport facilities (Ambulance)round the clock. | ||
| (3) | intensive Cardiac Care Unit | ||
| (i) | Existence of i C U with AC, bedside monitor,central monitors, defibrillators, ventilators, fowlers beds etc.and round the clock availability of qualified and trained staff. | ||
| (ii) | Equipment in working condition and history bookmaintained | ||
| (iii) | Space availability, cleanliness, generatorfacilities etc. | ||
| (iv) | Adequate No. of trained Medical Officer andNursing Staff. | ||
| (v) | Record keeping of patients treated so far. | ||
| (vi) | Availability of central oxygen, suction machineand life saving drugs. | ||
| (4) | Clinical Laboratories | ||
| (i) | Qualified Pathologist available, if not effortsmade for getting the post filled in or suitable alternativearrangements made. | ||
| (ii) | Examination of special tests like Widal, serumbilirubin, LFT, VDRL, BS for M.P., stool examinations, semenanalysis, electrolyte study, blood gas analysis, kidney functiontests, CSF examination etc | ||
| (iii) | Accuracy or reports, monthly abstract drawn andverified by Pathologist. | ||
| (iv) | Availability of round the clock laboratoryservices | ||
| (v) | Use of aprons by laboratory technicians | ||
| (vi) | Availability of sufficient wash basins, sinksfor staining | ||
| (vii) | Proper dispose off of the soiled containersafter decontamination. | ||
| (viii) | Use of only autoclaves syringes andneedles/Disposable needles. | ||
| (ix) | Appropriate tests carried out as per indication. | ||
| (x) | Observance of bio safety measures | ||
| (xi) | Regular availability of staining material andtheir inventory maintenance. | ||
| (5) | Blood Bank | ||
| (i) | Availability of infrastructure as per GOilicensing norms | ||
| (ii) | Round the clock availability of trained staffand services | ||
| (iii) | Checking of cross matching | ||
| (iv) | Proper maintenance of cold room andrefrigerators | ||
| (v) | Australia antigen vDRL, Malaria parasite and H iv tests are carried out on every blood bottle of donor. verifythe record | ||
| (vi) | incidence of deaths due to non-availability ofblood any time in a year | ||
| (vii) | issue of donor cards, certificate ofappreciation (verify the records) | ||
| (viii) | Proper documentation and examination of donors | ||
| (ix) | Exhibition of posters and health educationmaterials in the blood bank | ||
| (x) | Availability of adequate quantity of Sera andAnti sera reagents | ||
| (xi) | Adequate stock of blood bags and transfusionsets | ||
| (xii) | Renewal of blood bank License as per GOi Rulesand Records | ||
| (xiii) | Disposal of Hiv positive blood bags andBio-safety measures undertaken | ||
| (xiv) | Transfusion of feed back, and record maintenanceof untoward incidences | ||
| (xv) | Maintenance of inventory of various sera,reagent and consumables. verify. | ||
| (6) | Radiology Department | ||
| (i) | Radiologist is available, if not efforts madefor getting the post filled in or any suitable alternativearrangement made for day to day supervision | ||
| (ii) | Status of x-Ray machine available. | ||
| (iii) | Availability of dark room safe light, filmdrying cabinet x-ray illuminators etc. | ||
| (iv) | Used of dosimeter and are they regularly sent toBARC for checking and steps taken on reports | ||
| (v) | Special investigations like ivP, barium swallowor barium studies, Hystosalphingography etc. | ||
| (vi) | Availability of necessary contrast media forSpecial investigations (verify) | ||
| (vii) | Round the clock x-ray services by making x-rayTechnicians available | ||
| (viii) | Availability of all life saving drugs, oxygencylinder, suction apparatus etc. to tackle the Anaphylacticreactopm. | ||
| (ix) | Separate x-ray register for MLC and recording ofsignature of thumb impressions along with identification marketc. | ||
| (x) | Accurate records, register and inventory,checked by Radiologist or RMO | ||
| (xi) | x-ray films and hypo solutions are preserved/Disposed as per rules. | ||
| (xli) | Availability and use of protection devices likelead apron, lead gloves, goggles, badges and doismeter etc. bythe staff working in Radiology department. | ||
| (xiii) | x-ray diagnosis entered in the register andchecked/ reported by Radiologist. | ||
| (xiv) | Availability of Sanitary block in x-raydepartment. | ||
| (xv) | Availability of dental x-ray facilities. | ||
| (xvi) | Availability of Ultra Sound Scan facility &trained Radiologist/Gynaecologist posted. | ||
| (xvii) | Compliance to the provisions of PNDT Act., incase a US Scanner is available. PL verify | ||
| (7) | Operation Theatre: | ||
| (i) | Availability of staff in O.T. as per norms. | ||
| (ii) | Concept of clean, neutral and sterile zonefollowed by providing various self closing double doors or aircurtain etc. | ||
| (iii) | Dimensions of operation theatre are measured anddoes of potassium permanganate (KMno 4) and formaldehydecalculated for doing fumigation on fixed day or as and whenindicated. verify the record. | ||
| (iv) | Availability of separate OTs for septic andinfected cases and also different specialities. | ||
| (v) | Swabs from OT are sent for culture and actiontaken on unfavourable report. verify the documents. | ||
| (vi) | Preoperative waiting room with toilet facilitiesavailable. | ||
| (vii) | Availability of well equipped post operativeward (Recovery room) with adequate No. of beds and resuscitationmeasures. | ||
| (viii) | Up to date maintenance of O.T. records like O.T.registers, emergency OT, monthly abstract etc. Maintenance ofoperation postponement register. | ||
| (ix) | Proper steps taken for disposal of OT waste asper Biomedical Waste Management Rules (operated specimens etc.) | ||
| (x) | Emergency light or generator facilities providedto OT. (verify) | ||
| (xi) | OT staff nurses available round the clock | ||
| (xii) | Housekeeping and biosafety measures adopted inOT | ||
| (xiii) | Availability of Boyle's Apparatus, Hydraulic OTtable, Shadowless lamp, Suction apparatus, Air Conditioner,Electric cautery, Refrigerator, Electric sterilizers, Autoclaves | ||
| (xvi) | Availability of portable mobile x-ray machinesin OT along with dark room. | ||
| (xv) | Check list attached to the patient posted foroperation | ||
| (xvi) | Arrangement of transport of patient from OT toward | ||
| (xvii) | Availability of separate changing room fordoctors, nurses with attached toilet and locker facility andentrie staff use OT attire. | ||
| (xviii) | Availability of fire fighting equipments andknowledge to use them. | ||
| (8) | Central Sterile Supply Department | ||
| (i) | Availability of HP Horizontal Serilizers (H P HS) | ||
| (ii) | Trained OT Attendant under supervision of OTstaff nurse performs the autoclaving (interrogate and confirmknowledge and procedure) | ||
| (iii) | A detail chart showing how to operate H P H Sdisplayed | ||
| (iv) | Wall clock made available for noting the timeduring autoclaving process | ||
| (v) | All autoclave tape should be preserved andpasted on register date wise which is to be signed by Staff Nurseand checked by Anaesthetist (verify the register) | ||
| vi) | Anaesthetist/Pathologist should be in charge ofC S S D | ||
| vii) | Knowledge of staff nurse for disinfection offibre optic scopes, rubber catheter, linen, sharp instruments,etc. | ||
| (9) | Labour Room | ||
| (i) | Separate Labour Room with automatic double doorfor clean and septic cases available. | ||
| (ii) | Minimum 2 labour tables in Clean labour roomwith plastic curtain partition. | ||
| (iii) | Facilities available such as: Wall Clock, babyweighing machine, facility for head low position, babyresuscitation kit, mucus aspirator, suction apparatus (electricor foot operated) along with set of catheter, oxygen cylinderwith accessories for baby and mother, emergency light/generatorconnection, exhaust fan, coolers/fan, episiotomy tray andvenesection tray, shadowless lamp, forceps low, foetal monitor,vacuum extractor, B P apparatus, instrument sterilizer, plasticaprons, sleepers, cap, mask, apron, foam mattress on table, Kitof all life saving drugs | ||
| (iv) | Same discipline as that of O T is also to befollowed for labour room i.e., use of gown, cap, mask, etc.before entering in labour room | ||
| (v) | Availability of deep freeze or wooden box withlock and key for preservation of still born, Placenta, till theyare disposed off. | ||
| (vi) | Enough No. of aluminium/plastic badges foridentification of baby and mother. | ||
| (vii) | Regular washing and fortnightly fumigation oflabour room | ||
| (viii) | Observance of proper housekeeping. | ||
| (ix) | Proper writing of delivery notes including thefoot prints of baby, thumb impression of mother with attestationof nurse conducting delivery. | ||
| (x) | Maintenance of call book in prescribed formatand attendance of calls in time | ||
| (xi) | interview of 5 mothers delivered recently abouttheir experience regarding facilities, behaviour of staff andsanitation in labour room | ||
| (xii) | Availability of attached toilet facility nearlabour room. | ||
| (xiii) | Arrangement to resuscitate newborn and to keepbaby warm | ||
| (xiv) | Availability of well equipped premature babyunit with minimum 6 beds. | ||
| (xv) | Availability of separate incubators for hospitaldelivery cases and home delivery referred newborns | ||
| (xvi) | Staff trained in premature baby care. | ||
| (xvii) | Arrangement for prevention of Hypothermia. | ||
| (xviii) | Availability of Phototherapy unit, Oxygen hoods | ||
| (xix) | Proper maintenance of record, registers ofnewborns. | ||
| (xx) | Precautionary measures adopted to prevent sepsislike barrier nursing, change of cloths by staff | ||
| (xxi) | Written instructions about operation ofincubator displayed | ||
| (10) | Wards | ||
| 1. | Satisfactory cleanliness of the wards. | ||
| 2. | Satisfactory condition of the sanitary blocks | ||
| 3. | if, floor beds in the wards present, analyze thereason | ||
| 4. | Satisfactory upkeepment of Cots, Mattresses,Bedside lockers, Lenin etc. | ||
| 5. | Use of hospital uniforms by all patients. | ||
| 6. | Availability of Suction apparatus (electric andfoot operated), oxygen cylinders with accessories, venesectiontray, emergency tray emergency light, BP apparatus, equipmentsfor sterilization, wheel chair-es, stretcher troll andstationaries, forms etc | ||
| 7. | Suggestion book in wards and cognizance taken | ||
| 8. | Concept of progressive patient care i.e. seriouspatients on fowlers bed with all essential equipments and drugsnear Nursing Station. | ||
| 9. | Display of name at head end of patients | ||
| 10. | Adequacy and working of fans and tubes | ||
| 11. | Availability of geysers in working conditions | ||
| 12. | Srutinize 4 inpatient case sheets and ascertainadequacy of notes, prescriptions, provisional and finaldiagnosis, operation and aesthesia notes, documentation ofinvestigations, information to relatives about seriousness of thepatient. Evidence of cases seen by Specialist doctors. Patientsand relatives satisfaction. | ||
| 13. | Satisfaction of patients about type of diet,quality and quality, if provided by the facility | ||
| (11) | Diet and Kitchen Facility | ||
| (i) | Availability of different types of diets | ||
| (ii) | Physical verification of dietary articles doneany time. verify | ||
| (iii) | Availability of diet charts for adult,paediatric and special diet | ||
| (iv) | Arrangements for washing vegetable and vegetablecutting platform | ||
| (v) | Satisfactory cleanliness of kitchen | ||
| (vi) | Satisfactory arrangements for preventing ratnuisance | ||
| (vii) | Availability of modern gadgets like mixergrinder, chapatti puffer, hot case, tea urns, bulk cooker,refrigerators, atta needing machines. | ||
| (viii) | Availability of stainless steel with copperbased utensils for cooking | ||
| (ix) | Satisfactory arrangements for washing theutensils | ||
| (x) | Satisfactory arrangements for storing the foodgrains | ||
| (xi) | Regular medical check up of food handlers.(verify the records) | ||
| (xii) | Regular organization of diet committee meeting(very the minutes) | ||
| (xiii) | Availability of food testing register andremarks | ||
| (xiv) | Sending of samples of dietary articles for PAFstudies and action taken on results | ||
| (xv) | Availability of lactometer measuring unit,weighing machine and weights | ||
| (xvi) | Action taken on substandard supply of dietaryarticles | ||
| (12) | Linen and Laundry services | ||
| (i) | Availability of Linen Keeper/satisfactoryalternative arrangements. | ||
| (ii) | Availability of linen as per norms. | ||
| (iii) | Availability of buffer stock of linen to faceDisaster Emergencies | ||
| (iv) | Upkeep of linen register | ||
| (v) | Hospital linen stamped by Dhobi ink | ||
| (vi) | Regular disposal of condemned linen materials | ||
| (vii) | Services of tailor utilized adequately formaking new OT wears eye shade and mending the torn cloths etc. | ||
| (viii) | A practise of Dirty/spoiled linen aredecontaminated/ washed and given to Dhobi, is followed | ||
| (ix) | Whether Linen is kept separately and washedseparately | ||
| (x) | Use of aprons by Doctors | ||
| (xi) | Paramedical Uniforms | ||
| (xii) | Class iv Uniforms | ||
| (xiii) | Concept of Central Linen System implemented | ||
| (13) | Medical/Non Medical Stores | ||
| (i) | Suitability of location for all sections ofHospital and adequate space for medical store | ||
| (ii) | Staff knowledge in materials management, systemof FiFo, bin card, lead time, buffer stock reorder level arefollowed | ||
| (iii) | Availability of vital, essential and desirabledrugs sufficient to last for at least three months. | ||
| (iv) | Upkeep of expiry date register and its regularinspection by RMO | ||
| (v) | Proper arrangements of the drugs as perABC/v.E.D. category and storage or running stocks as perguidelines. | ||
| (vi) | Knowledge of minimum levels for each drug tostore keeper by bin card system | ||
| (vii) | All ampoule's are stamped with hospital name | ||
| (viii) | Satisfactory storage drugs with reference totemperature, sunlight, protection from moisture, availability ofrefrigerators and exhaust fans. | ||
| (ix) | Sending of samples of chemical laboratory tocheck it as per specification and standard and action takenthereon | ||
| (x) | Maintenance of separate Register for the batchesdeclared unfit for use | ||
| (xi) | Availability of licenses for spirit, morphine,opium | ||
| (xii) | Availability of Fire Fighting equipment's andknowledge to operate. | ||
| (14) | Medical Records | ||
| (i) | Availability of Medical Record Room with enoughnumber of racks and cupboard etc. | ||
| (ii) | Knowledge of staff in keeping the medicalrecords in desired fashion | ||
| (iii) | Regular reporting of births and deaths to theappropriate authority (verify) | ||
| (iv) | Regular WHO (ICD 10)classification of diseases. | ||
| (v) | Quarterly submission of the morbidity, mortalityreports (Check the report of the last month to assess thecorrectness) | ||
| (vi) | Monthly Death audit Meetings held and minutes ofmeeting recorded / reported | ||
| (vii) | Organization of Hospital infection ControlCommittee meetings. Action taken on minutes and investigationdone if any. (verify) | ||
| (viii) | Organization of Clinical Meetings and recordingof Minutes. involvement of iMA or Professional associations etc. | ||
| (15) | Training, C M E,ICE and Social Actives | ||
| (i) | Establishment of Hospital Training Team andorganization of regular clinical meetings, journal clubs andinvolvement of iMA | ||
| (ii) | Hospital Library with latest journals and basictext books. | ||
| (iii) | Services of qualified staff made available inOPD for iEC Activities. | ||
| (iv) | Posters and Banners displayed in OPD, Wards andpremises | ||
| (v) | Annual social gathering arranged for the staff. | ||
| (16) | Ambulatory Services and Telecommunication | ||
| (a) | vehicles | ||
| (i) | Status of Ambulances | ||
| (ii) | Availability of Garages | ||
| (b) | Telecommunication | ||
| (i) | Availability of PBx and Telephone Operator | ||
| (ii) | Availability of Public phone facility inCasualty and OPD | ||
| (iii) | Availability of Telephone directory andtelephone numbers of Collector, Police Superintendent, FireBrigade, Water supply, other ambulances., Electricity board andother private nursing homes to be contacted in case of emergencyreferral | ||
| (17) | Commitment to National Health Programmes | ||
| (a) | Family Welfare, MCH and MTP Programme | ||
| (i) | Completion of proportional target ofSterilization | ||
| (ii) | Completion of proportionate iUD target | ||
| (iii) | Maintenance of - iLR, Refrigerator or walk incooler is satisfactory with break down of cold chain less than 2% | ||
| (iv) | Up to date para wise, religion wise breakup oftotal deliveries taking place in the institution month wise. | ||
| (v) | Organization of diagnostic camps, adoption ofPrimary Health Centres/Rural Hospitals for providing specialityservices, training of staff and officers in field. | ||
| (vi) | Organization of MTP training (verify therecords) | ||
| (b) | National Malaria Eradication Programme: | ||
| (i) | Blood Smear Collection (15% to new OPD) | ||
| (ii) | Blood smear examination done in Lab. On same dayand treatment given as malaria clinic | ||
| (iii) | Knowledge of M.Os about presumptive and radicaltreatment of Pv and PF | ||
| (c) | National Tuberculosis Control Programme; | ||
| (i) | Sputum Collection 25% of total new OPD at DTCDisposal of Sputum Cups by burning or burial | ||
| (ii) | |||
| (d) | National Programme for Control of Blindness: | ||
| (i) | Completion of prop, target of Cataract cases forHospital | ||
| (ii) | Follow up study done for restoration of visionafter operation | ||
| (e) | National Leprosy Eradication Programme: | ||
| (i) | Awareness of M.Os about M.D.T. Lepra reactionmanagement | ||
| (ii) | Reconstructive surgery camps organised | ||
| (iii) | Sanitation and management of temporary hospitalward | ||
| (f) | STD/AIDS Control Programme | ||
| (i) | Training of Medical Officers and Paramedicals inSTD/ Hiv/AiDS | ||
| (ii) | VDRL Screening of all STD cases done | ||
| (iii) | ANC Screening for vDRL done. | ||
| (iv) | Syndromic approach as per guidelines followed | ||
| (v) | Condom distribution to STD cases | ||
| (vi) | Drugs used as per National guidelines | ||
| (vii) | Attempt made for partner notification andappropriate steps | ||
| (viii) | Reports sent regularly in precribed format | ||
| (ix) | Bio-safety measures followed in regards toprevent Hiv .infection | ||
| (g) | Cancer Control Programme | ||
| (i) | Availability of pap smears facilities and followup study of positive cases (verify the records) | ||
| (ii) | Training of qualified Pathologist orCynecologist and Technicians in papsmear materials | ||
| (iii) | Availability of adequate equipments anduninterrupted supply of staining materials | ||
| (iv) | Availability of adequate reagents and chemicalsfor pap smear at clinic | ||
| (v) | Organization of diagnostic camps for cancercervix tobacco related cancers in the tribe; and difficult areaof District with the help of NGOs | ||
| (18) | Environment Sanitation and Water Supply | ||
| (i) | Condition of General sanitation of hospitalpremises and placement of Dust bins at various places etc. | ||
| (ii) | Efforts made to prevent nuisance of strayanimals like pigs, donkeys, cows, goats in the premises byproviding compound wall and cattle trap etc. at Entrance andExist. | ||
| (iii) | Arrangements for regular lifting of garbage withthe help of Municipality/Corporation | ||
| (iv) | Arrangements made for the safe disposal of theBiomedical Waste generated in the hospital as per the BiomedicalWaste Management and Handling Rules 2000. | ||
| (v) | Anti smoking, Spitting boards and other HealthEducation boards depicted at prominent places in Hospital Campus | ||
| (vi) | Cleanliness inside and outside Canteen | ||
| (vii) | Arrangements of sufficient illuminationarrangements in Hospital premises by Street light etc. | ||
| (viii) | Provision of Public latrines/toilets etc. | ||
| (ix) | Source of water supply is adequate, if not, thenefforts made to augment it by Bore well or dug well etc. | ||
| (x) | Sanitation, Cleaning and general Condition ofoverhead tank/sump well verify reports of OT test done bySanitary inspectors. Cross check done by RMO (OR) | ||
| (19) | Patient Attendant facilities | ||
| (i) | Availability of patient Attendant facilities | ||
| (ii) | if available a) Whether adequate rooms availablewith kitchen, plate form, condition of sanitary blockssatisfactory, and electric tubes/bulbs, fans are provided in allrooms and halls. | ||
| (20) | Research Studies | ||
| (i) | Operational Research study undertaken such asExit interviews of discharged patients, study undertaken toreduce patients waiting time efforts made to investigate sourcesof material, infant mortality in hospital and remedy suggestedbased on the results etc or Paper presentation in various Stateand National level conferences. |
| Name | ≥100 bedded | 50-100 bedded | ≤50 bedded |
| O.T Equipment | |||
| Operating Table, Ordinary | 3 | 2 | 1 |
| Operating Table, Hydraulic | 3 | 2 | 1 |
| Autoclave, HP, Horizontal | 3 | 2 | 0 |
| Autoclave, HP, Vertical | 2 | 1 | 1 |
| Autoclave, Electrical with Burners, 2-Bin | 0 | 1 | 1 |
| Shadowless Lamp, OT, Mobile | 4 | 3 | 2 |
| OT Lights, Ceiling (Shadowless) | 3 | 2 | 1 |
| Focusing Lights, OT(Mobile) | 3 | 2 | 1 |
| Suction Apparatus (High Vacume MTP) | 4 | 2 | 1 |
| Suction Apparatus, Electrical | 15 | 4 | 2 |
| Foot Suction Apparatus | 2 | 1 | 1 |
| Vacuum Extractor | 2 | 1 | 1 |
| Steriliser Instrument | 25 | 10 | 5 |
| Electro-Surgery Machine | 2 | 1 | 0 |
| Cautery Set, Electric(Gynae) | 3 | 2 | 1 |
| Auto-mist (OT Fumigator) | 3 | 2 | 1 |
| Short-Wave Diathermy | 1 | 1 | 0 |
| Ventilator, Adult | 1 | 0 | 0 |
| Anesthetic M/C (Boyle's with Flotec) | 2 | 1 | 1 |
| Pulse Oximeter | 1 | 1 | 0 |
| E.C.G. Machine (12-Lead) | 3 | 2 | 1 |
| Cardiac Monitor | 2 | 1 | 0 |
| Defibrillator | 2 | 1 | 0 |
| Phototherapy Unit | 2 | 1 | 0 |
| Radiant Heater, 4KW | 1 | 1 | 0 |
| Incubators | 2 | 1 | |
| Open Care Units | 1 | 1 | |
| Neonatal Resuscitation Unit | 2 | 1 | |
| General Equipment | |||
| Refrigerator, 165/300 Litres | 8 | 5 | 2 |
| Air Conditioners | 8 | 5 | 1 |
| Water Cooler, 60/120 Litres | 3 | 2 | 1 |
| Generator, 15 KVA | 0 | 1 | 0 |
| Generator, 50 KVA | 1 | 0 | 0 |
| Intercom (15 Lines) | 0 | 1 | 0 |
| Intercom (40 Lines) | 1 | 0 | 0 |
| Fax Machine | 1 | 0 | 0 |
| Telephone Lines | 12 | 6 | 2 |
| Vehicles | 1 | 0 | 0 |
| Ambulance | 2 | 1 | 1 |
| Minor Equipment | |||
| B.P. Machine | 24 | 12 | 6 |
| Weighing Scale, Adult | 12 | 4 | 2 |
| Weighing Scale, Infant | 4 | 2 | 1 |
| Oxygen Cylinders | 40 | 20 | 10 |
| Nitrous Oxide Cylinders | 20 | 10 | 5 |
| Regulator and Flow meters | 16 | 8 | 4 |
| Hot Plate, Domestic | 6 | 3 | 1 |
| Emergency Lamp | 16 | 8 | 4 |
| Fire Extinguishers (Various Types) Each | 8 | 4 | 2 |
| Laryngoscope's | 4 | 2 | 2 |
| Otoscope | 2 | 1 | 0 |
| Resuscitation Equipment | 2 | 1 | 0 |
| Hospital Furniture | |||
| Examination Table | 30 | 15 | 5 |
| Labour Table | 6 | 4 | 2 |
| Foot Steps | 30 | 15 | 5 |
| Bedside Screens | 40 | 20 | 10 |
| Revolving Stool | 40 | 20 | 10 |
| Saline Stands | 50 | 25 | 10 |
| Wheel Chairs | 12 | 4 | 1 |
| Emergency/Recovery Trolley- | 4 | 2 | 1 |
| Stretcher on Trolley | 12 | 4 | 2 |
| Oxygen Cylinder Stands | 16 | 8 | 3 |
| Iron Cot | As per bed strength | As per bed strength | As per bed strength |
| Side Rails | 10 | 4 | 2 |
| Baby Cot | 12 | 6 | 4 |
| Bedside Locker | As per bed strength | As per bed strength | As per bed strength |
| Dressing Trolley | 12 | 4 | 2 |
| Mayo’s Trolley | 4 | 2 | 1 |
| Surgical Instrument Cabinet | 8 | 4 | 2 |
| Medicine Cabinet | 10 | 4 | 1 |
| Instrument Trolley | 8 | 4 | 2 |
| Linen Trolley | 8 | 4 | 2 |
| Kick Bucket | 16 | 8 | 4 |
| Bucket (Galvanised) | 20 | 8 | 4 |
| Bed Pans and Urinals | 20 | 8 | 4 |
| Attendant Stool | As per bed strength | As per bed strength | As per bed strength |
| Wash Basin Stands | 40 | 20 | 10 |
| Instrument/Medicine Tray with Cover | 24 | 12 | 4 |
| Bowls and Kidney Trays | 40 | 20 | 8 |
| Chair (Doctors, Nurses) | 50 | 24 | 12 |
| Swab Rack (OT) | 4 | 2 | 1 |
| Fracture Table (POP) | 2 | 1 | 0 |
| Mattress and Pillows strength | As per bed strength | As per bed strength | per bed As strength |
| Benches Numbers | Adequate Numbers | Adequate Numbers | Adequate Numbers |
| Height Measuring Stand | 4 | 2 | 1 |
| Arm Board (Child and Adult) | 60 | 40 | 20 |
| Jar, Cheater forceps | 20 | 10 | 4 |
| Patella Hammer | 8 | 4 | 2 |
| Tongue Depresser | 20 | 12 | 6 |
| Oxygen Masks with Regulator | 8 | 4 | 2 |
| Torch Light | 12 | 8 | 2 |
| B. Equipment For Diagonistic Centers | |||
| Radiology and Imaging Units | |||
| 500 MA/300 MA/100 MA X-Ray System | |||
| 60 MA Mobile X-Ray System | |||
| Ultrasonic Scanner, General Purpose | |||
| Ultrasonic Scanner, Obstetrics purposes | |||
| High-End Diagnostic Centers | |||
| C.T Scanner with Image Processors Mammography | |||
| 500 MA X-Ray Unit with IITV | |||
| All other Imaging Equipment | |||
| Bio-Chemistry and Pathology Centers | |||
| Microscope, Binocular with Lamp | |||
| Photo-Electric Calorimeter | |||
| Spectrophotometer | |||
| Micro Pippette | |||
| Water Bath | |||
| Hot Air Oven, 2 Levels | |||
| Incubator, Laboratory | |||
| Water Still, 4 Litres | |||
| Centrifuge (Electrical) | |||
| Centrifuge (Haematocrit) | |||
| Hot Plate, Laboratory | |||
| Rotor/Shaker (Laboratory) | |||
| Counting Chamber (Haemocytometer) | |||
| Ph Meter | |||
| Glucometer (in OPD) | |||
| Haemoglobin Meter Microtome | |||
| Oven, Wax-Embedding | |||
| Tissue Processor | |||
| Blood-Gas Analyser | |||
| Timer Stopwatch and Alarm Clock |
| Computer forprinting of reports and accounting purpose | 50 - 60 Sq.ft |
| Emergency drugs, oxygen cylinder, ambu's bag,Suction apparatus and Emergency - cum - observation bed withmonitor should be provided. | 60 - 100 Sq.ft |
| Diagnostic Medical X-ray Unit 300/500/800 MA withIITV at 125 KVP | 260-320 Sq.ft (25-30 Sq.mtrs) |
| Cath lab with DSA 1000 MA - 1250 MA | 300-400 Sq.ft |
| Diagnostic Medical X-ray Unit with Odeleca facility300 MA X-ray unit | 260 Sq.ft |
| Ultra sound unit (B and W) with linear / Convex /sector 7 endocavitary probe / Multi-frequently probe with multiformat camera / thermal photo paper printer. | 100 Sq.ft |
| Colour Doppler with echo facility ultra sound unitwith convex, Micro-convex, linear, endo-cavitary probe withbiopsy attachment, multi frequency probe with multi format cameraboth for colour and B and W prints and computer assisted reportformat. Video recorder / camera for slide making facility. | 100 Sq.ft |
| Mammography with all accessories including specialcassettes, intensifying screens, viewing Boxes with magnifyingglass, paddling device, FNAC Biopsy Needle facilities must beavailable. (Lady x-ray technologist is preferred) | 100 Sq.ft |
| Whole body C.T. Conventional scanner with cameraand console should be outside in a separate room (site Planattached) | 400 Sq.ft |
| Spiral CT Scanner with work station and LaserCamera MR1 up to with 0.3 tesla permanent magnet with LaserCamera, UPS, RF coils (5x7 mtrs = 35 mtrs) | 600 Sq.ft |
| Magnetic field leakage 5 Gauze line should bemeasured from center for magnet length - wise (3.0 (X, Y) x 4.7(Z) Over and above 1.5 Tesla supercon MR1 will need furtherbigger Area according to specification of manufacturer. | 100 Sq.ft |
| Drying area for images and X-ray films | 100 Sq.ft |
| Dark room with accessories | |
| Automatic films processor unit | 100 Sq.ft |
| Computer with reporting facilities and storage | |
| Emergency trolley with drugs, suction pump | 150 Sq.ft |
| Two emergency cum observations bed with monitorshould be provided for patients Gamma Camera with Speck | |
| Planning and Radioactive pharmaceutical materialpreparation | 400 Sq.ft |
| Treatment room with 2 beds | 200 Sq.ft |
| Storage and decontamination | 200 Sq.ft |
| Nuclear Cardiac Stress Lab | 200 Sq.ft |
| Area Required | |
| Diagnostic Medical X.-ray unit - 60/100/300 MA | 180-260 sq.ft |
| Dark room with accessories | 60-100 sq.ft |
| Emergency drugs and Oxygen cylinder or Ambu's bag and Suctionapparatus must be provided in Radiography room |
| DiagnosticMedical X-ray Unit - 200/300/500 MA at 100/125 KVP | 260 Sq.ft. (25 Sq.mtrs) |
| Diagnostic Medical X-ray Unit - 500 MA/800 MA(Adjacent patients toilet facility) with IITV | 260 to 300 Sq.ft. (25 to 30 Sqmtr) |
| Ultra sound Unit (B and W) with linear / convex/ sector / endovavitary probe / multi - frequently probe withmulti-format camera / thermal photo photo paper printer | 100 Sq.ft |
| Dart room with accessories | 80-100 Sq.ft |
| Portable / mobile x-ray unit /portable ultrasound/ ECG unit | 80-100 Sq.ft |
| SI. No. | ConditionProcedure | BasicLevel Services | SpecialistCare Services | Super Speciality Services |
| 1. | Convulsions | Symptomatictreatment and refer | Investigate,initiate, L.P, manage and refer | CT scan, advanced neurological treatment |
| 2. | Lossof consciousness/coma | Symptomaticand supportive | Initiatetreatment, manage and refer | CT scan, advanced neurological treatment |
| 3. | En-cephalities,mcningities CNS infections | Symptomatictreatment and refer | Manage,Support and | CT scan, advanced, neurological treatment |
| 4. | Headinjuries | FirstAid, refer | Manage,stabilise, refer for advanced management | Advanced management with altered sensorium with fracture |
| 5. | Respiratory | Initiate,manage and refer | pHchange, severe distress | - |
| 6. | Asthma | Symptomatic,manage and refer | SevereCondition (status) | - |
| 7. | C.O.P.D | Symptomatictreatment and refer | Investigate,manage, followup | - |
| 8. | Earinfection | Manageand Refer | Treatment | - |
| 9. | Cardio-vascularproblems hypertension | Mildmoderate:manage | Acceleratedand severe conditions | - |
| 10. | C.V.A. | Symptomaticmanagement, refer | Manageand follow up | - |
| 11. | Angina,infractions | Symptomaticmanagement, refer | Investigate,manage refer, follow up | Complications |
| 12. | C.H.F | Symptomaticmanagement, refer | Complicated,follow up | - |
| 13. | Rheumaticfever and Rheumatic heart | Symptomaticmanagement, refer | Investigate,manage refer, follow up | Complications |
| 14. | GIbleeding, ulcers, Diseases | Symptomatic | Endoscopicinvestigation, treatment | Complications |
| 15. | G.E. | Managemild, moderate refer | Treat | - |
| 16. | Hepatitis | Symptomatictreatment | Confirmdiagnosis, manage | - |
| 17. | Cirrhosis | Symptomatic | Investigate,manage, follow up | Complications |
| 18. | RenalUTI | Symptomatic,refer | diagnosis,manage | - |
| 19. | AcuteRenal failure | Symptomaticrefer | Investigate,management, refer | Dialysis and advanced management |
| 20. | Musculoskeletal | Symptomaticrefer | Manage | Recurrent: further evaluation, complications |
| 21. | Anaemia | Managemoderate | Managesevere | - |
| 22. | Tetanus | Symptomatic,initiate | Manage | - |
| 23. | Malaria | Manage | Severe | - |
| 24. | AIDS | Diagnosis,initiate management | Diagnose and manage | |
| 25. | Psychiatric | Symptomaticmanagement | Severe | |
| 26. | Psychiatricdisorder | Managemild, Moderate | Severe | |
| 27. | Poioning | Initiate,Manage, refer | Investigate,manage | - |
| 28. | Neonatalrescusciatation | Initiateand refer | Manage | - |
| 29. | Neonatalcardio pulmonary defects | Initiateand refer | Investigate,manage, followup | Complications |
| 30. | Diabetes | Diagnosis,initiate | Complications | - |
| 31. | Snakebite and dog bite | Manage | Complications | - |
| 32. | Skindisorders | Refer | Manage | - |
| 33. | S.T.Ds. | Manage | Diagnoseand Treat | - |
Part II – Speciality Services and its Requirements
A. Basic Speciality Services.1. Orthopedic and Trauma Care. - A hospital or nursing home irrespective of the bed strength offering Orthopedic surgical care and trauma care services should have the following equipment and facilities:
2. ENT care. - A hospital offering the ENT speciality treatment basically to have the following equipment:
3.
, Eye (Ophthalmic) Care. - A hospital offering Ophthalmic care facilities should have the following equipment and facilities:4. Obstetric and Gynaecology Care facilities. - The maternity care facilities should provide basic obstetric services and neonatal care services. All maternity homes should be able to carry out procedures like suction and evacuation, dilatation and curettage. Lower Segment Cesarean Section and Hysterectomy on an emergency basis. Blood transfusion facilities should be available within half to one hour. Also ultrasonography facilities should be available within half to one hour. A hospital or nursing home offering Obstetrics and Gynaecology care services should have the following facilities:
5. Cancer Treatment Facilities. - A hospital offering radiotherapy services for the treatment of cancer should have the following facilities:
6. Specialist Qualifications. - (i) The Specialist for providing cardiology services should have M.D. D.M (Cardiology) degree from a university or equivalent from a local recognised body OR diploma from Diplomate of National Board or local recognised bodies or university or equivalent from a local recognized body.
7. Urology and Nephrology care facilities. - The facilities offering these services should have full fledged Operation theatre facilities, Intensive care units, Full-fledged Dialysis units with dialysis machines and Complete renal replacement therapy machines (CRRT), Renal lab with facilities for Renal function tests, well set clinical lab support, and radiology and imaging support.
8. Neurology and Neuro-surgery. - The neurology treatment facilities should have EEG machines, evoked potentials, C.T and MRI facilities, in addition to the hi-end diagnostic facilities, the hospitals to have operation theatres, Intensive care units, and Micro-Surgical Instrument sets.
9. Neonatology and Paediatric Surgery facilities. - A hospital or nursing home offering Neonatology and Pediatric surgery services should have the following facilities: -
10. Plastic Surgery facilities. - A hospital or nursing home offering Plastic surgery services should have the following facilities: -
11. Chest Diseases and Respiratory Medicine. - A Hospital or a facility offering treatment for the chest diseases and respiratory medicine should have the following facilities: -
12. Gastroenterology and Surgical Gastroenterology care facilities. - The facilities offering these services should have full fledged Operation theatre facilities, Intensive care units, Full-fledged Endoscopy equipment, well set clinical lab support, and radiology and imaging support. The Endoscopy equipment include Upper G.I Endoscope, Colono Scope, Surgical Endoscope etc.
| SI. No. | Condition/ Procedure | BasicLevel Services | Specialist Care Services | Super Speciality Services |
| 1. | Basic techniques | Incisionand Drainage Wound debridements | Splitskin graft Biopsy of skin | |
| 2. | Trauma and Life Support | Resuscitate,stabilise and refer | Basiclevel care + Securing airway; circulatory support, stabilisationof fractures, Investigate and manage, Follow-up | Severe head injuries and injuries of spinal cord |
| 3. | Eye | Removalof foreign bodies | Managementof corneal abrasion, ulcer, cataract and glaucoma surgery | Corneal grafting Retinal diseases Vitreous surgery Intra-ocularforeign bodies |
| 4. | Ear Nose and Throat | Removalof foreign bodies Epistaxis control | Iand D of peri tonsillar and retro pharyngeal abscesses, | tonsillectomy, Laryngoscopic removal of FB and drainage ofmastoid abscess All requiring microsurgery |
| 5. | Chest | Resuscitateand refer | BasicServices + stabilise and refer mediastinal Injuries Tracheostomy,Thoracocentensis | Mediastinal Injuries and tumours. Heart and lungsurgery |
| 6. | Gastrointestinal | N/A | Allsurgical procedures | Abdominal malignancies. Hepatic surgery |
| 7. | Genitourinary | Acuteurinary retention, hydrocoele, circumcision and. vasectomy | BasicLevel Services + urethral dilition, management of rupturedbladder and urethra, Urolithiasis and prostatectomy | GU malignancies |
| 8. | Muscloskeletal | Closedreduction of uncomplicated fractures, POP, traction | Openreduction of fractures Spinal fractures Joint reconstruction | Spinal fractures, Joint reconstructions. |
Part III – Obligations of The Private Medical Care Establishments.
Any establishment of medical care delivery system would need to be based on a universally accepted set of core values, such as compassion, concern for the strict adherence to ethical norms and an unflinching commitment to patients well being, and the following guiding principles:* Accountable to the health and well being of the community it serves;* Responsible to the patient who receives treatment and care in dignity, fairness, without discrimination and in consonance with the basic tenets of a patients charter;* Accessible at all times and at all facilities - that is, none being denied care on grounds of time, distance or place of residence;* Participatory-provide leadership in bringing about behaviour change for adoption of healthy lifestyles and practises that promote well-being and good health values; and* Recognising the special value of mother, children and senior citizens in society.1. Obligations of The Medical Care. - First and fore most obligation of any private medical care establishment is to actively participate in the implementation of all National and State Health programs in such manner as the state Government may specify from time to time; and to furnish periodical reports thereon to the concerned authorities. Every establishment should accept its share of responsibility for achieving the health goals.
Every Medical Care Establishment shall:2. Responsibilities Towards a Patient. - Every patient should be treated with care, compassion, respect and dignity without any discrimination. The hospital staff should explain the health condition to the patients and their responsible attenders and obtain their written consent. The following information need to be made available to the patient:
3. Obligation Towards Their Own Staff and Staff Training. - The Staff training is another important obligation of a hospital. The staff training apart from the regular technical aspects should include:
Part IV – Engineering And Environmental Standards
1. Ceilings. - The finishes of all exposed ceiling and structure in areas normally occupied by patients or staff, and those in food preparation or food storage areas shall be readily cleanable with routine housekeeping equipment. Ceiling and walls in operating and delivery rooms shall be free of fissures, open joints, or crevices that may retain on permit passing or dirt particles. Ceiling should be R.C.C.
2. Floor and walls. - The architectural finishes in hospital shall be of high quality in view of maintenance of good hygienic conditions. All wards should have dado to height of 1.2m. The walls should be impervious with oil paint. Floors should be covered with good quality mosaic tiles in the minimum. The aim being that floor materials shall be readily cleanable and appropriately wear-resistant. In all areas subject to the cleaning, floor materials shall not be physically affected by liquid germicidal and cleaning solution. Floors should be smooth so as to allow smooth passage of wheelchairs and trolleys.
Wall finishes shall be washable and, in the proximity of plumbing fixtures, shall be smooth and moisture resistant. Wall bases in areas that are frequently subject to wet cleaning shall be covered with the floor; tightly sealed within the wall; and constructed without voids.Floor and wall areas penetrated by pipes, ducts, and conduits shall be tightly sealed to minimise entity of rodents and insects. Joints of structural elements shall be similarly sealed.Operating rooms/Labour room/Delivery room should be made dust proof and moisture-proof. Corners and junctions of walls, floors and ceiling should be rounded to prevent accumulation of dust and to facilitate cleaning. Walls of operation theatre, delivery room, recovery room scrub room should be fully covered with dado tiles. In other areas of critical zone, tiling should be provided up to a height of 1.2 m3. Water supply, Plumbing and other piping system. - Arrangement shall be made to supply 350 litre of potable water per day, per bed to meet all requirements (including laundry), except fire fighting storage capacity for two days requirement should be made on the basis of above consumption. System should be designed to supply water at sufficient pressure to operate all fixtures and equipment during maximum demand. Separate reserve emergency overhead tank shall be provided for operation theatre.
Hot water supply to wards and departments of the general hospital shall be provided by means of electric storage type water hearts or centralised hot water system of capacity depending upon the need of hot water consumption.Filtered and soft water supply is needed in pathology laboratories and shall be supplied as required. Cold water supply is needed for processing tanks in film development room and shall be supplied as required. Within the operation theatre there should not be any drains.The material used for plumbing fixtures shall be non-absorptive and acid-resistant. In so far as possible, drainage piping shall not be installed within the ceiling or exposed in operating and delivery rooms, nurseries, food preparation centres, food serving facilities and other sensitive areas. Where exposed, overhead drain piping is unavoidable, special provision shall be made to project the space below from leakage, condensation or dust particles.4. Fire-fighting system. - Appropriate and. efficient fire fighting systems should be installed in every nursing home. The fire fighting equipment fitted shall be as per Indian Standards and different types of fire fighting equipment are available in the market for the different nature of fires.
5. Requirements for sanitary fitments in nursing homes for patients. -
A. Inpatient Wards And Nursing Units.| i. Water closets | 1 for every 8 beds or part thereof (Male) 1 for every 6 beds orpart thereof (female) |
| ii. Ablution taps | 1 for each water closet plus one water tap with drainingarrangement in the vicinity of water closets. |
| iii. Urinals | 1 for every 12 beds or pat thereof (males only) |
| iv. Wash basin | 1 for every 12 beds or part thereof |
| v. Baths | 1 bath with shower for every 12 beds or part thereof |
| vi Bed pan washing sinks | 1 for each ward in dirty utility and sluice room |
| vii Cleaners sinks and sink/slab for cleaning mackintosh | 1 for each ward |
| For Males | For females | |
| i. Water closes | 1for every 40 persons or part thereof | 2 for every 50 or part thereof with draining arrangements watercloset and urinals per |
| ii. Ablution taps | 1in each water closet + 1 water tap shall be provided in thevicinity of lavatory block. | |
| iii. Urinals | 1for every 25 persons or part thereof | |
| iv. Wash basin | 1for every 50 persons or part thereof |
6. Bio Medical Waste Management. - All private medical care establishments shall follow the Bio Medical, Waste (Management and Handling) Rules, 1998 or as may be amended/notified under the Environment Protection Act, of 1986. The medical care establishment shall discourage the use of plastics. Safe Environment and infection control measures may be taken for the safety of all employees. It is the duty of the Medical Care establishment owners to ensure that the biomedical waste is handled without any adverse effect to human health and environment.
All the biomedical waste shall be treated and disposed of in compliance to the rules mentioned above. The establishment shall maintain records related to generation, collection, reception, storage, transportation, disposal and/or any form of handling of biomedical wastes in accordance with the rules issued.Depending up on the size of the nursing home or hospital and the management plan adopted by the facility appropriate final disposal options to be engaged i.e., either by contracting out the disposal to Common Waste Facility operator or disposal through in-house mechanism.7. Bio-safety Guidelines. - (1) Entry into any Laboratory and other critical work areas should be restricted.
| Name of the Service | Type of Service | Charges (in Rs.) |
| Room Charges:(Includes Room/Bed Charges, Nursing charges Medical utilitiesCharges) | General Ward | |
| Private rooms: | ||
| Semi Deluxe - Shared | ||
| Deluxe with A/C | ||
| Intensive Care Units :(Charges incudes the ICU Bed Charges Medical Utilities,Monitoring and Nursing charges) | MICU and ICU | |
| Neuro | ||
| POW | ||
| Neonatal ICU | ||
| Pediatric ICU | ||
| OT Charges | ||
| General Anaesthesia 1/2 hour | General Ward | |
| Twin/Triple Sharing | ||
| General Anaesthesia 1 hour | General Ward | |
| Twin/Triple Sharing | ||
| Local Anaesthesia | 1/2 hour | |
| 1 hour | ||
| Surgical Procedure Charges (Package):(Includes Surgeons charges + Aesthetics charges + Nursing Homecharges and Inpatient medicines Charges) | General Surgical ProceduresOb and Gy. proceduresOrthopedic Surgical procedures | |
| Cardiac Surgical procedures | ||
| Doctors consultation Charges : OP | Other super Speciality improved procedures | |
| IP | Per Visit | |
| Emergency Visits | Per Visit | |
| Emergency care Team charges | 3 shifts per day | |
| Diagnostic ChargesCommon diagnostic Tests X-ray per filmUltra sound, General and Obstetric care | Abdomen | |
| Female Pelvic | ||
| KUB | ||
| CT Scan: | Brain Plain | |
| Multi slice/Spiral/CT Scan | Chest/Abdomen/Neck/ Spine others | |
| Contract | ||
| MRI 0.5/1/1.5 | Brain Plain | |
| (Magnetic Reasonance Imaging) | Chest/Abdomen/ Neck/ Spine others | |
| ECG/TMT/ECHO/EMG/EEG | Contrast | |
| Upper GI Endoscopy/Lower GI Endoscopy | ||
| Lab Investigations: | ||
| Random Blood Sugar | ||
| Blood Urea | ||
| Serum Creatinine | ||
| CBP/ESR/CUE | ||
| Blood Group | ||
| Blood for MP | ||
| LFT | ||
| Lipid Profile | ||
| HBSAG/VDRL/HIV | ||
| Electrolytes | ||
| T3, T4, TSH | ||
| Note: - Other Service Charges for Inpatients such as Drug s andDisposables, investigations and Concessions, if any shall bedisplayed at appropriate places for the benefit of the patient. |
| The various medical records to be maintained by the MedicalCare Establishments: | |
| (1) Out Patient Data | |
| (2) Inpatient register | |
| (3) Operation theatre register | |
| (4) Labour room register | |
| (5) MTP register | |
| (6) Case sheet | |
| (7) Case sheet for procedure | |
| (8) Case sheet for F.P | |
| (9) Medico - legal certificate in duplicate | |
| (10) Medico - legal register | |
| (11) Laboratory register | |
| (12) Radiology and Imaging register | |
| (13) Discharge summary | |
| (14) Medical certificate in duplicate | Notifiable to such medical officers as authorized by Governmentin such format as prescribed by Government/State Level |
| (15) Birth Register | |
| (16) Death Register | |
| (17) Notified diseases Information |
| I.P. No. | Pt. Name | Age | Address | Date of Admission | Date of Discharge | Final Diagnosis | Bill No |
| Sl.No. | Name | Age | Address | Date | Diagnosis | Advice |
| Patient Name | Age | Sex | Date | L.P. No. |
| Signature: | Relationship to Patient: |
| Name: | 2. |
| Witness |
| State Andhra Pradesh | District: | Block...................... Year 2006 |
| Name ofDoctor/Office-in charge | Designation Name of the Reporting Unit (Centre, Hospital) |
| {| |
| ID.No./Unique Identifier |
| Reporting | From | {| |
| Target Disease | Investigation | No. of Tests Done | |||||||
| Male | Female | Total | |||||||
| <5yr | > 5yr | Total | < 5Yr | > 5Yr | Total | ||||
| Malaria | P.Falciparum | P/s for MPRapid TestP/S for MP | |||||||
| P. vivax | Rapid Test | ||||||||
| Tuberculosis | Sputum for AFB | ||||||||
| Cholera | Stool Culture | ||||||||
| Typhoid | Sidal test | ||||||||
| Blood Culture | |||||||||
| Stool Cuture | |||||||||
| Typhi dot test | |||||||||
| Hepatitis | B | Rapid Test | |||||||
| C | Tapid Test | ||||||||
| Dengue | Rapid Strip Test (could be done) | ||||||||
| Leptospirosis | Rapid Dot Test | ||||||||
| HIV | Rapid Test | ||||||||
| Others (Specify) | Elisa |
| State: Andhra Pradesh | District: | Block.............Year: 2006 | |
| Name of Doctor: | Designation: DM. & H.O. | Name of the Reporting UnitD.M&H.OOffice, Krishna,Machilipatnam | |
| ID NO./Uniqueldentifier | Report From | {| | |
| To | |||||||||||||
| a | c | d | e | f | g | h | i | j | k | l | m | n |
| Case | Deaths | |||||||||||
| Male | Female | Total | Male | Female | Total | |||||||
| <5yr | >5yr | Total | <5Yr | >5Yr | Total | <5yr | >5yr | Total | <5yr | >5yr | Total | |
| 1. Fever | ||||||||||||
| Fever < 7 days | Suspect Cases | |||||||||||
| 1. Only Fever | ||||||||||||
| 2. With Rash | ||||||||||||
| 3. With Bleeding | ||||||||||||
| 4. With Daze/Semi consciousness/Unconsciousness/ | ||||||||||||
| Fever > 7 days | ||||||||||||
| Probable Cases | ||||||||||||
| Measles | ||||||||||||
| Dengue (Epi linked cases) | ||||||||||||
| lapanese Encephalitis | ||||||||||||
| (Epi linked cases) | ||||||||||||
| Typhoid | ||||||||||||
| 2. Cough with or without fever | ||||||||||||
| Case of Cough | Probable Cases | |||||||||||
| < 3 weeks - ARI | ||||||||||||
| < 3 weeks | ||||||||||||
| 3. Loose Watery Stools of Less than 2 WeeksDuration | ||||||||||||
| Cases of watery stools of < 2 weeks | Suspect Cases | |||||||||||
| With Some/Much Dehydration | ||||||||||||
| With no Dehydration | ||||||||||||
| With Blood in Stool | ||||||||||||
| Probable Cases | ||||||||||||
| Epidemiological linked cases of Cholera | ||||||||||||
| 4. Jaundice cases of less Than 4 WeeksDuration | ||||||||||||
| Cases of Acute Jaundice | Suspect Cases | |||||||||||
| Probable Cases | ||||||||||||
| Epidemiological Linked | ||||||||||||
| Cases of Hepatitis A/E | ||||||||||||
| 5. Acute Flacid Paralysis Cases in Less Than15 Years of Age | ||||||||||||
| Cases of Acute Flacid Paralysis | Suspect Cases | |||||||||||
| Probable Cases | ||||||||||||
| Epidemiological liked cases of Polio | ||||||||||||
| 6. Unusual Symptoms Leading to Death orHospitalization not Conforming to the AboveSyndromes | ||||||||||||
| Cases of unusual symptoms leading to death orhospitalization not | ||||||||||||
| conforming to the above syndromes | Suspect Cases | |||||||||||
| Probable Cases | ||||||||||||
| Write clinical diagnosis |
1. Name and address of the Allopathic Private Medical Care Establishment
2. Name of Correspondent or any Authorised person for correspondence.
3. Name and Address of the Society/Trust and date on which it was established: -
4. Whether the accommodation is owned by the Establishment or on lease/rent. If so, please furnish the period of lease/rent along with the documentary proof. (Please Enclose the relevant copies)
5. The date of establishment of Medical care establishment
6. Total area of Establishment: (One set of photographs of the premises with its functional areas to be furnished) (a) Open area b) Constructed area
7. Bed strength
| 8. Types of Services offered | (1) Basic (2) Speciality |
| (3) Super Speciality | |
| (4) Diagnostics |
9. Names of Doctors, along with Registration Number Allotted by MCI/APMC (Please Enclose the details)
10. Names of qualified Nursing Staff, with their of Registration numbers of NCI/any other board (Please Enclose the details)
11. Names of Para Medical Staff and their Registration numbers (list to be enclosed)
12. No. of Supporting staff (list to be enclosed)
13. No. of Specialities available (Please Enclose the details)
14. The List of Equipment and Furniture available (Please Enclose the details)
15. Labour room with Paediatric care facilities
16. Operation theatres
17. Diagnostic Facilities including Clinical Laboratory and Imaging facilities
18. Whether registration is sought for main facility, or branches also, if so details (separate application shall be submitted for each branch)
19. The financial position of the Hospital/Institute (enclose Audit Report of the last two years)
20. Any other information relating to Hospital
21. Declaration on Stamp Paper for willingness to comply Yes/No with the prescribed rules is enclosed
22. Particulars of the Registration fee paid (D.D No., Name f the Bank, and Date)
I hereby declare that the information furnished above is true to the best of my knowledge and belief and if it is found that any wrong information is furnished or suppressed the arterial facts, I will take full responsibility for the consequential action as per law.Place:Dated:1. Application No. and Date:
2. File number of Registration Authority
3. Date of issue:
4. Valid till:
5. This is to Certify that M/s.................. located at.....................is hereby registered temporarily under the provisions of A.P. Allopathic Private Medical Care Establishments Registration and Regulation) Act, 2002, to provide following medical care services:
i..............................:.........ii.......................................6. This temporary registration shall be in force for a period of ninety (90) days from the date of issue and after which date it cease to valid.
7. This Certificate of temporary Registration is subject to the conditions and provisions of the A.P Allopathic Private Medical Care Establishments Registration and Regulat ion Act 2002.
8. This Establishment shall comply with the provisions of A.P. Allopathic Private Medical Care Establishments Registration and Regulation) Act, 2002) as amended from time to time and the rules made there under.
9. This Certificate shall be surrendered to the above Registering authority on the following date of expiry of (90) days.
10. The establishment shall not rent, lend, sell, transfer or otherwise close down the registered Medical Care Establishment without obtaining prior permission of the regulatory authority.
Signature of the(Office seal)Form IV(See Rule 5 (A))Government of Andhra Pradesh Health Medical and Family Welfare DepartmentDistrict Registering AuthorityCertificate of Registration of Allopathic Private Medical Care Establishments1. Application No. and Date:
2. Inspection Report No. and Date:
3. File number of Registration Authority
4. Date of issue:
5. valid up in---------
6. This is to Certify that M/s-------------located at----------------is hereby registered under the provisions of A.P. Allopathic Private Medical Care Establishments Registration and Regulation) Act. 2002, to provide following medical care services:
i. - - -----------ii.-------------7. This registration shall be in force for a period of 5 (Five) years from the date of issue.
8. This Certificate shall be produced whenever it is required to the officer authorised by the Registration authority.
9. The Establishment shall not rent, lend, sell, transfer or otherwise close down the without obtaining prior permission of the registration authority.
10. Any unauthorized change in personnel, equipment or working conditions is as mentioned in the application by the Establishment shall constitute a breach of registration.
11. The Establishment shall not violate the provisions of A.P. Allopathic Private Medical Care Establishments Registration and Regulation) Act. 2002) as amended from time to time and the rules made there under.
12. This certificate is subject to the conditions and the provisions of the A.P. Allopathic Private Medical Care Establishments Registration and Regulation) Act. 2002.
Signature and name of the District Registering Authority.................District(Office seal)Form - V(See Rule 5 (C))Government of Andhra PradeshHealth Medical and Family Welfare DepartmentDistrict Registering Authority............................................................Rejection of Application For Grant/renewal of RegistrationReference Number and Date:In exercise of the powers conferred under Section 7 (3) of the Andhra Pradesh Allopathic Private Medical Care Establishments (Registration and Regulation) Act, 2005. the Registration Authority. Hereby rejects the application for grant/ renewal of registration submitted by the under-mentioned Private Medical Care Establishment.| (1) Name and address of the Allopathic Private Medical CareEstablishment(2) Reasons for rejection of application for grant / renewal ofregistration |