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Nabh Check List

The NABH checklist outlines essential requirements for various departments in a healthcare facility, including reception, OPD, pharmacy, therapy rooms, and more. It emphasizes cleanliness, proper documentation, emergency protocols, and staff orientation to ensure compliance with healthcare standards. Each section contains specific tasks, registers, and procedures to maintain quality and safety in patient care.

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0% found this document useful (0 votes)
705 views11 pages

Nabh Check List

The NABH checklist outlines essential requirements for various departments in a healthcare facility, including reception, OPD, pharmacy, therapy rooms, and more. It emphasizes cleanliness, proper documentation, emergency protocols, and staff orientation to ensure compliance with healthcare standards. Each section contains specific tasks, registers, and procedures to maintain quality and safety in patient care.

Uploaded by

doctorshere
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NABH CHECK LIST

RECEPTION
VISION MISSION DISPLAY
SCOPE OF SERVICES DISPLAY
DOCTORS NAMES DISPLAY
OPD TIMINGS DISPLAY
REGISTRATION FORM
FIRE EXIT SIGNAGE
TOILETS AND DRINKING WATER FACILITY
DAILY THERAPY SCHEDULE
TARIFF CARD
ORIENTATION TO RECEPTION STAFF
HOW DO YOU REGISTER NEW PATIENT?
HOW DO YOU REGISTER OLD PATIENT?
AFTER REGISTRATION WHAT IS THE PROCESS?
WHAT IS TURN AROUND TIME FOR OP AND IP PATIENTS?
WHAT ARE THE EXCLUSION SERVICES?
WHAT IS THE PROCESS TO ADMIT THE PATIENT?
WHAT IS THE PROCESS TO DISCHARGE THE PATIENT?
HOW DO YOU REFER THE PATIENT?
WHERE DO YOU REFER THE PATIENT?
WHAT WILL YOU DO IF TEHRE IS NON AVAILABILITY OF BEDS?
HAND WASH TECHNIQUE STEPS?
EMERGENCY CODES?
FIRE EXTINGUISHER AND BMW?
REGISTERS IN RECEPTION
EMPLOYEE MOVEMENT REGISTER
VISTORS LOG REGISTER
CALL LOG REGISTER
REFERRAL REGISTER
ADMISSION SLIP
PATIENT REGISTRATION FORM
CENTRAL OPD / IPD REGISTER
SOPS

OPD
EXAMINATION TABLE
HANDWASH FACILITY WITH HAND WASH TECHNIQUE DISPLAY
NAME DISPLAY OUTSIDE THE OPD
BP APPARATUS AND STETHOSCOPE, STERILIUM
BMW BIN WITH BIO HAZARD SYMBOL AND BMW DISPLAY
REGISTERS IN OPD
DEPARTMENT OPD AND IPD REGISTER

PHARMACY
ALPHABETICAL ARRANGEMENT OF DRUGS
HIGH RISK MEDICATION DISPLAY AND LIST
LOOK ALIKE AND SOUND ALIKE DISPLAY
EXPIRY DRUGS AND NEAR EXPIRY DRUGS
FIFO POLICY
PURCHASE BILLS
DUST BINS
ORIENTATION TO STAFF
WHAT IS FIFO?
WHAT IS LASA?
HOW TO SEGREGATE BMW WASTE?
IF A DOCTOR ORDERS MEDICINES APART FROM FORMULARY WHAT
WILL YOU DO?
WHAT WILL YOU DO WHEN YOU GET ORAL ORDERS FROM DOCTOR?
HOW TO DISPOSE EXPIRED DRUGS?
HOW MANY MONTHS BEFORE EXPIRY YOU SEPARATE THE DRUGS?
HOW DO YOU REPORT ADVERSE DRUG REACTIONS?
HAND WASH TECHNIQUE STEPS?
EMERGENCY CODES?
FIRE EXTINGUISHER AND BMW?
REGISTERS IN PHARMACY
HOSPITAL FORMULARY
LIST OF MEDICINES
STOCK REGISTER
PURCHASE INDENT FORM
STOCK TAKING SHEET
ADVERSE DRUG REACTION FORM

THERAPY ROOMS
CLEANLINESS
STEPPING STOOL
BMW BIN WITH BIO HAZARD SYMBOL AND BMW DISPLAY
STOVE AND OTHER EQUIPMENTS
FIRE EXTINGUISHER- LABLE: EXPIRY AND REFILLING DATE
PATHY CLEANING SOLUTIONS
HANDWASH FACILITY WITH HAND WASH TECHNIQUE DISPLAY
LABELLED PREPARATIONS
PREPARATION AREA AND CLEANLINESS
STORAGE OF RAW DRUGS AND LABELLING WITH EXPIRY DATE
AVAILABILITY OF APRON, CAP AND MASK
ORIENTATION TO THERAPISTS
WHAT WILL YOU DO IF A PATIENT SLIPS AND FALLS IN PK ROOM?
PREPARATION METHODS AND STORAGE OF VARIOUS KIZHIS
HOW DO YOU CLEAN THE PATHIES?
HAND WASH TECHNIQUE STEPS?
EMERGENCY CODES?
FIRE EXTINGUISHER AND BMW?
REGISTERS IN THERAPY ROOM
SWAB TEST REPORT
ROOM CLEANING CHECK LIST

CLINICAL LAB
INSTRUMENTS CALIBRATION
CLEANLINESS
BMW BIN WITH BIO HAZARD SYMBOL AND BMW DISPLAY
HANDWASH FACILITY WITH HAND WASH TECHNIQUE DISPLAY
NEEDLE DISPOSAL BIN (SHARP CONTAINER)
DISPLAY OF TEST DONE WITH TURN AROUND TIME
SAMPLE LABELLING
ORIENTATION TO STAFF
HOW DO YOU CLEAN THE BLOOD SPILL?
WHERE DO YOU REPORT THE CRITICAL RESULTS?
HAND WASH TECHNIQUE STEPS?
EMERGENCY CODES?
FIRE EXTINGUISHER AND BMW?
REGISTERS IN LAB
LAB REGISTER
OUTSOURCED TEST REGISTER
CRITICAL RESULT REPORTING REGISTER

PATIENT ROOMS
CLEANLINESS
3 FEET DISTANCE BETWEEN BEDS
INTERCOM FACILITY
PATIENT ESTIMATE BILL
PATIENT INTERACTION
REGISTERS IN PATIENT ROOMS
-

RESTROOMS
HAND RAIL FOR BATHROOM
HAND RAIL FOR TOILETS
TOILET CLEANING CHECKLIST
CLEANLINESS
NON SLIPPERY
REGISTERS
TOILET CLEANING CHECKLIST

NURSING STATION
IP PATIENT FILES
BP APPARATUS, STETHOSCOPE, THERMOMETER, PULSOXIMETER
CALIBRATION OF INSTRUMENTS
VITAL CHARTS ENTRY
INTERCOM IN NURSING STATION
NURSING STATION BOARD DISPLAY
GLUCOMETER, SPIRIT, COTTON, STERILIUM
GLOVES (STERILE AND UNSTERILE)
BMW BIN WITH BIO HAZARD SYMBOL AND BMW DISPLAY
NEEDLE DISPOSAL BIN (SHARP CONTAINER)
CONSULTANTS SEAL
NEEDLE STICK INJURY PROFORMA
ORIENTATION OF NURSES
HOW DO YOU RECORD ORAL ORDERS?
ON WHOSE ORDERS YOU DISCHARGE THE PATIENT?
HOW DO YOU DISCHARGE THE PATIENT?
HAND WASH TECHNIQUE STEPS?
EMERGENCY CODES?
FIRE EXTINGUISHER AND BMW?
REGISTERS IN NURSING STATION
NURSE DUTY ROSTER
HANDOVER NOTE
IPD FEEDBACK FORM
THERAPY SCHEDULE COPY
NEW CASESHEET (NOT WRITTEN)
DIET CHART
REFERRAL FORM
INCIDENT REPORTING FORM

KITCHEN
CLEANLINESS
DIET CHART PROVIDED
USE OF CAP, MASK AND GLOVES
FRIDGE CLEANLINESS
LABELLING ALL ITEMS WITH NAME AND EXPIRY DATE
ORIENTATION TO KITCHEN STAFF
REGISTERS IN KITCHEN
DIET CHART FOR PATIENT
SWAB TEST REPORTS
FRIDGE TEMPERATURE REGISTER
KITCHEN CLEANING CHECK LIST
LPG GAS CYLINDER REGISTER

MINI OT/LABOR ROOM


ELBOW OPERATED HANDWASH WITH TECHNIQUE DISPLAY
AUTOCLAVE AREA
BMW BIN WITH BIO HAZARD SYMBOL AND BMW DISPLAY
NEEDLE DISPOSAL BIN (SHARP CONTAINER)
OT SLIPPERS
STERILE TRAY
OT TEMPERATURE AND HUMIDITY MONITOR
INSTRUMENT TROLLEY
EMERGENCY MEDICINES
INSTRUMENTS CALIBRATION
ORIENTATION TO STAFFS
REGISTERS IN MINI OT
AUTOCLAVE REGISTER
OT REGISTER
FUMIGATION REGISTER
OT SWAB TEST REPORTS
EMERGENCY DRUG STOCK REGISTER
OT CONSUMABLES AND INJECTION STOCK REGISTER

MEDICAL RECORD ROOM


MEDICAL RECORD INCHARGE
ARRANGEMENT OF MEDICAL RECORDS IN ORDER
MEDICAL RECORD REVEALING PROCESS
ORIENTATION TO RECORD ROOM STAFF
WHAT IS THE PROCEDURE TO REVEAL MEDICAL RECORD?
WHAT IS THE TIME DURATION OF STORAGE OF MEDICAL RECORDS?
REGISTERS IN MEDICAL RECORD ROOM
MEDICAL RECORD CHECKLIST
MEDICAL RECORD REGISTER
MEDICAL RECORD REVEAL REGISTER

HR DEPARTMENT
STAFF PERSONAL FILES
COMPLETENESS OF FILES
STAFF TRAINING RECORDS
VACCINATION CERTIFICATE
COMPLAINT LOG REGISTER
FACILITY INSPECTION REGISTER
MOU ORGANISATION VISIT REGISTER
ATTENDANCE REGISTER
PATIENT GRIEVANCE REGISTER
NEW UNIFORM ID ISSUE REGISTER
KEY LOG REGISTER
LOST AND FOUND REGISTER
DAMAGE AND MISSING REPORT REGISTER
STAFF LEAVE APPLICATION FORMS
WHAT ARE THE LEAVE RULES FOR STAFFS?
LEAVE APPLICATION FORM

HOUSEKEEPING
CLEANING CHECKLIST FOR ALL AREAS
VARIOUS CLEANING SOLUTIONS USED
USE OF SAFTEY MEASURES LIKE CAP, MASK ETC.,
BMW WASTE DISPOSAL METHOD
STORAGE AREA FOR BMW WASTE (CLOSED BINS WITH BIOHAZARD)
ORIENTATION OF HOUSEKEEPING STAFFS
METHOD OF CLEANING VARIOUS AREAS
HAND WASH TECHNIQUE STEPS?
EMERGENCY CODES?
FIRE EXTINGUISHER AND BMW?
REGISTERS FOR HOUSEKEEPING
CLEANING CHECKLIST FOR ALL AREAS
BIO MEDICAL WASTE LOG BOOK
LINEN EXCHANGE REGISTER

MAINTAINENCE DEPARTMENT
MAINTAINENCE INCHARGE
ORIENTATION TO STAFF
HOW DO YOU RECEIVE COMPLAINT?
HANDWASH TECHNIQUE
EMERGENCY CODE
BMW AND FIRE EXTINGUISHER OPERATION
HOW OFTEN YOU DO FACILITY ROUNDS
REGISTERS FOR MAINTAINENCE
WATER TANK CLEANING REGISTER
FIRE EXTINGUISHER MONITORING REGISTER
FIRE HOSE REEL CHECK REGISTER
FIRE ALARM TEST REGISTER
DG REGISTER
GENERATOR FUEL CONSUMPTION REGISTER
MOTOR BREAKDOWN REGISTER

GENERAL DISPLAY
FIRE EXIT SIGNANGE IN ALL AREAS
FIRE PLAN DISPLAY
DISTRIBUTION OF LAYOUT OF BED DISPLAY
FIRE EXTINGUISHER IN ALL FLOORS
DIRECTIONAL SIGNAGE TO ALL AREAS
FIRE EXTINGUISHER NEAR EB BOARD
FIRE EXTINGUISHERS IN KITCHEN
FIRE EXTINGUISHER IN ALL THERAPY ROOMS
PATIENT RIGHTS AND RESPONSIBILITIES DISPLAY IN ALL FLOORS
FIRE ASSEMBLY POINT

USG ROOM
DISPLAY OF PC PNDT ACT (FRONT AND BACK)
DISPLAY OF LAW TO NOT DISCLOSE GENDER OF BABY
USG REGISTER
BMW BIN WITH BIO HAZARD SYMBOL AND BMW DISPLAY

ECG ROOM
ECG REGISTER

LEECH ROOM
LEECH THERAPY CONSENT
VENTILATION
STORAGE OF LEECHES
LABELLING OF USED AND UNUSED LEECH WITH NAME AND DATE
LEECH CLEANING NOTE
OTHER REQUIREMENTS LIKE TURMERIC, SAINDHAVA ETC.,
KIDNEY TRAY, BMW BINS, GLOVE BOX

PHYSIOTHERAPY ROOM
INSTRUMENTS CHECK
CLEANLINESS
PATIENT REGISTER
PHYSIOTHERAPY SCHEDULE

YOGA HALL
CLEANLINESS
YOGA PATIENTS REGISTER

MEDICAL SUPT
STATUATORY REQUIREMENTS
TRACKER SHEET
BED OCCUPANCY

COMMITTEE
MEMBERS OF ALL COMMITTEE (LIST)
ANTISEXUAL HARASSMENT COMMITTEE
CALENDER OF MEETING
MINUTES OF COMMITTEE
MEDICAL AUDIT
MEDICAL RECORD AUDIT
KEY QUALITY INDICATORS
HIC TEAM
HIC OFFICER

FILES
MANUALS – MASTER COPY
MANUALS – CONTROL COPY
APEX MANUAL
STANDARDS – MASTER COPY
STANDARDS – CONTROL COPY
INCIDENT REPORTING FORM FILE
INSTALLATION AND CALIBRATION REPORT FILE

SECURITY LOCATION
ATTENDANCE REGISTER
SECURITY DUTY ROSTER
INWARD GOODS/MATERIAL REGISTER
OUTWARD GOODS/MATERIAL REGISTER
VISITORS LOG REGISTER
VEHICLE IN OUT REGISTER – DAY
VEHICLE IN OUT REGISTER – NIGHT
BIO MEDICAL WASTE REGISTER
EMPLOYEE MOVEMENT REGISTER
ORIENTATION TO SECURITY STAFFS
STORES DEPARTMENT
STORES INCHARGE
PURCHASE INDENT
PURCHASE ORDER
QUOTATION
PROPER STORAGE OF GOODS
STORES STOCK REGISTER

IPD CASE SHEET


ISSUE SEAL
ALL THE DOCUMENTS ACCORDING TO CHECK LIST
CONSULTANT SEAL AND SIGN WITH DATE AND TIME
PAIN SCORE
INFORMED CONSENT
SPECIFIC CONSENT

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