Safe Practices and Procedures to follows to prevent transmission of HIV/AIDS

2. Safe Practices and Procedures – is intended to prevent transmission of HIV/AIDS from patient to staff, staff to patient, staff to staff and patient to patient.

a. Wash hands thoroughly as often as needed.
b. Follow the disinfection and sterilization guidelines faithfully.
c. Wear gloves, gown, mask and protective eyewear during surgery, child delivery and other procedures where contact with blood or body fluids are likely.
d. Protect any skin disease or injury with gloves or any impermeable dressing to avoid contamination with body fluid.
e. Cover with household bleach (dilution of 1:10) for 30 minutes any spill of blood or potentially contaminated materials then have it carefully wiped off by personnel wearing gloves.
f. Discard immediately used needle and other sharp objects in punctured proof containers marked BIOHAZARDS. Do not bend break needles hand, do not recap used needles.
g. Reusable needles and syringes should be handled with extreme care and safely stored prior to cleaning and sterilization or disinfection.
h. Linen soiled with blood or other body fluids should be handled as little as possible. Gloves and protective apron should be worn while handling soiled linen.
i. Specimens of blood and body substances should be handled as potentially infectious.

Policies on Reporting Cases of Communicable Diseases

1. All cases of immediately notifiable diseases, syndromes and events seen at the OPD or admitted at the hospital should be reported immediately to MHO, PHO/PESU, CHD/RESU and NEC, with 24 hours of detection by the fastest means possible.

The immediately notifiable diseases, syndromes or events include:
 Acute Flaccid Paralysis
 Adverse Events Following Immunization(AEFI)
 Anthrax
 Human Avian Influenza
 Measles
 Meningococcal Disease
 Neonatal Tetanus
 Paralytic Shellfish Poisoning
 Rabies
 Severe Acute Respiratory Syndrome (SARS)

2. Specific ER Personnel should be assigned to attend, to suspected cases, to minimized closed contact and prevent transmission of disease.

3. Initial report can be verbal using the telephone or written via facsimile or e-mail.

4. Fill-up a hospital case-based reporting form using the standard PIDSR case investigation form which will be forwarded immediately to PESU/RESU/NEC.

5. Communicable diseases admitted for some emergency measures should not be kept longer than necessary in the hospital.

6. Arrangement must be made for their transfer with all the necessary precautions.

Policies and Procedures regarding Telephone Orders

1. When the order is given through telephone, the nurse should call the physician on duty to receive the order. It is the physician on duty who should write on the order sheet.
And let the doctor sign the order immediately when he/she visit the patient.

2. Verbal order through telephone made by the doctor shall be written in patients chart with the date and time of order.

Policies and Procedures on time intervals to act on orders for treatment – Doctors Order, Time Interval for IV Medication

1. Doctors’ order must be carried out 30 minutes after rounds.

2. All orders prior to treatment and medication should be completely and clearly stated in writing, dated and signed by the Physician.

3. For any doubt or need for further clarification of an order or direction, refer to the physician who issued the order.

4. Be sure that the right of patient to receives the right dose of the right drug via the right route of the right time.

5. Give IV Meds with 30 minutes interval to the other IV Meds.

6. Carefully monitor the patient for any adverse effect for at least 15 minutes after administration of any medication.

Policies on Proper Housekeeping Procedure basically in Hospital

Basically, Housekeeping involves many tasks and one of that is Lauderings.

In Hospital we need to manage and follow the right and proper housekeeping techniques.


Here are some tips to be follows:

• Proper segregation of infectious to non infectious linen.
• Infectious linen should be treated with hot water and bleach using heavy duty gloves, eye protector and mask to protect against splashes.
• Washing and Ironed the linen every day.
• Proper maintenance and arrangement of linen should be properly maintained.
• Cabinet should be cleaned and inspect regularly specially space under shelves.
• The premises should always be kept clean and free from dust.
• Cleanliness of the whole promises should always be maintained.
• Washing machine should be washed with disinfectant every after used.
• Cleaning of the toilet every day and well maintained. technique
• Mop the floor with water and disinfectant every day.

POLICIES AND GUIDELINES ON PASSLIP

All Government Employees are requires to follows some guidelines relating to pass slip. These are:
1. Employees are entitled only for one (1) pass slip within a week, four (4) times in a month, but not to exceed five (5) times in a month.

2. Pass Slip shall be given only to any employee if it is on official business, stating the time, e.g.: 8:00am to 12:00noon (morning session half day) or 1:00pm to 5:00pm (afternoon session half day) or most probably pass slip is given during 2:00pm-5:00pm or either 3:00pm-5:00pm; indicating the reasons and purposes of pass slip. If it is one (1) day official business, it should be supported by Travel Order (TO) not Pass Slip. Official business means out-on-post in relation to your jobs, duties and responsibilities or any related works pertaining to the assigned tasks given to any employee.

3. Employee is required to file his/her leave of absence instead of having a pass slip if his/her business is personal. Personal business means out-on-post in relation to his/her personal transactions.

4. Before an employee can avail a pass slip, it should be first signed by him/her, initialed and recommended by the Department Head Section, approved by the Administrative Officer and noted by the Chief of Hospital.