APDCH Staff Guidelines

APDCH Staff Guidelines

• APDCH staff should provide consistent patient care across all departments.
• This should be guided by written protocols, applicable laws, and regulations.

Scope

• The scope includes the front office/reception, outpatient department, medical record officer, HIS, quality coordinators, and all outpatients.

Responsibilities

• Responsibilities include the Correspondent, Principal, department heads, doctors, staff nurse, patient care coordinators, QMS coordinators, medical record officer, front office staff, and information technology team.

Abbreviations

• NABH is the National Accreditation Board for Hospitals and Healthcare providers.
• COP refers to Care of Patients.
• APDCH is the Adhiparasakthi Dental College and Hospital.
• OPD stands for Out Patient Department.
• SOP means Standard Operating Procedure.
• UHID means Unique Hospital Identification Number.
• QMS is the Quality Management System.
• HIS refers to the Hospital Information System.
• DHSP is a Dental Health Care Service Provider.
• MAPIMS refers to Melmaruvathur Adhiparasakthi Institute of Medical Sciences.

Definitions

• Outpatients refer to patients who visit the hospital for consultation, investigations, or treatment and leave without being admitted.
• Registration involves obtaining personal details of individuals seeking dental services, entering them into the hospital's data management system, and assigning a UHID.

References

• NABH standards should be used for hospitals and healthcare service providers.
• COP 01 ensures uniformity of patient care in all DHSP departments, following written guidance, laws, and regulations.

Patient Care Policy

• The policy guidelines is in line with emerging human rights.
• All individuals should be treated with consideration and respect, valuing diversity and ensuring equal treatment.
• Uniformity in patient care should adhere to national and international laws.
• All patients must be treated equally, regardless of religion, caste, social status, or financial ability.
• The hospital takes responsibility for the safety of all patients who are seeking health care.
• Uniform patient care must be systemic to provide excellent service.
• APDCH Hospital must use evidence-based medication approaches.
• The doctor prescribes based on the hospital formulary.
• A test dose is required before administering any medication known to cause reactions through injections.
• The full dose is only given if the test dose yields safe results.
• Keep medical/life support equipment in prime working order.
• Staff working in these areas must be familiar with the equipment.
• Supervisors/staff must provide the best possible care, and prioritize attention based on the severity of the patient.
• APDCH should provide uniform care regardless of care settings in OP services.
• Laboratory facilities, diagnostics, and nursing services should be uniformly accessible to all patients, irrespective of their category.
• APDCH ensures consistent quality and protocols across the healthcare facility, regardless of the department.

Patient Identification

• Organizations must ensure patient identification with a minimum of two identifiers.
• Uniform patient care is guided by laws and regulations.
• Clinical practice guidelines and evidence should guide patient care.

Uniformity of Patient Care

• Uniform patient care must abide by the prevailing national, international, and local laws.
• Must also follow state and central government guidelines.
• All dental patients should receive the same quality of care.
• A policy should embrace diversity, dignity, and inclusion.
• Informed consent is needed via any special investigation, taken uniformly.
• MAPIMS referrals are under uniform dental care services.
• Absence of discrimination regardless of wealth or caste.
• APDCH is committed to providing uniform healthcare in line with national and international laws.
• Two patient identifiers should be used, including UHID, phone number, patient name, and age.

Evidence Based Clinical Practice

• It requires the use of current best evidence/approach when making decisions of care.
• Evidence-based practice is an approach that helps valid interpretation.
• Emphasis must be placed on disseminating evidence with careful clinical planning.

Emergency Services Purpose in APDCH

• To deliver emergency care safely, effectively, and legally.

Scope of Emergency Services

• Includes all hospital areas.

Emergency Responsibilities

• Department heads, doctors, staff nurses, patient care coordinators, QMS coordinators, medical record officers, and front office staff.

Emergency Abbreviations

• NABH, COP, MLC, and MAPIMS.

Patient rights

• Respect patient rights and prioritize safety.
• Patients/families should have proper information about the emergency, treatment, etc.

Policy for Emergency Services

• Emergency care is given based on the guidelines and with relevant statutory requirements.
• Emergency services must be national, local and have statutory regulations fulfilled.
• The facility needs to maintain and develop dental management procedures.
• Staff need to have regular emergency training.
• The facility needs resources maintained with written guidelines.
• Emergency resources should meet standards.
• Document all emergency care completely.
• Maintain records of intervention.

Medico-Legal Cases

• Managed according to legal requirements.
• Services need to happen by MAPIMS.

Transferring Emergency Referrals

• In case emergency is transferred, give complete transfer note to patient/representative.
• Note must include information on instructions for follow-up and patient conditions.
• Also be sure the transfers are conducted safely to coordinate between sending and receiving facilities.
• Protocols should be well documented as well and safety adhered to.

Dental Chair Protocol

• Prevention of medical emergencies is the prime goal.
• Patients must give consent.
• Patients/guardians need to have all access to risks.
• Perform emergency blood investigations.
• High risk patients benefit from dental OP MAPIMS.

Pre-Operative Management

• Record detailed patient history and details.
• Mention consent form in relation to procedure.
• Note the previous dental history.

Anaphylaxis SOP

• Assessment of ABCs, call medical team.
• A dose of Adrenalin can be given based on the chart (dilution ratio of 1:1000).
• If pressure does not rise give dose of volume expander.
• If bronchospasm give inhalational drugs.
• Additionally administer drugs for IV and pruritus.

Cardiac Arrest SOP

• If the patient has no pulse, begin compressions.
• Floor compressions by dental team.
• Activation through code blue protocol and dose of medication.

Asthmatic Patient SOP

• Assessment of ABCs and high dose of oxygen.
• Bronchospasm or medication for asthma must be given.
• Hydrocortisone via the veins as well.

Seizures SOP

• Call the medical team and remove sharp objects.
• Begin lines for medication.
• Administer additional medications.

Syncope Patient SOP

• Put him/her in Trendelenburg.
• Also administer aromatic ammonia.
• Use and maintain bradycardia.

Choking SOP

• Assess ABCs.
• Position left lateral encourage to cough.
• If foreign object, give blow backs and/or use intubation forceps.
• If airway cannot be established.

Diabetes Management

• Vitals must be checked.
• Blood glucose must also be administered and investigated.
• Medical fitness should be done by MAPIMS written consent.
• Further investigate A1C.

Hypertension Management

• Check the vitals and blood pressure.
• Early appointments and medical appointments also needed.

Bleeding Disorders Management

• Genetic disorders need treatment of HA.
• Consent from physician for the procedure.

SOP for Anticoagulants

• Thorough history, consent from the doctor, bridging dose will be given at MAPIMS.

Liver Disorder SOP

• Signs of liver disease needs to be identified.
• Avoid erythromycin and communicate with the physician, as well as NSAIDS.

Adrenal Insufficiency

• Terminate position flat comfortably and give BLS, administer steroids.

Hypoglycemia Management

• Treat with simple sugar.
• Administer glucagon if unconscious.

Hyperventilation Treatment

• Focus on ABCs, calm patients, and help with anxiety by using paperbags.

Thyroid Disorders

• Fever, abdominal pain - end treatment and call team.
• Evaluate vitals.
• Need for BLS
• Cardiac and conditions will need protection.
• Prophylaxis

Antibiotic Regimens

• Mentioned in the text are Amoxicillin, Ampicillin, Clindamycin, Cephalexin, Azithromycin, Clarithromycin and Cefazolin.
• Doses will change on weight.

Transferring Emergency Protocol

• Assessment, medical needs, and documentation completed with transfer.
• Facility needs information confirmed and needs to happen with BLS trained help.

CPR Policy

• Effective training team trained in CPR must happen.
• The policy is in line with Association guidelines with all medical staff needs to be trained in CPR.

Team Work Protocol

• Code Blue and annual updates ensure all things are kept in check.
• CPR records maintained as well.
• To call the operator needs to have name, name, and needs steps followed by location.

CPR Steps

• First, lay patient on their back and tilt chin.
• Then, look and compress chest.

Roles of Personnel in CPR

• Monitor and audit the situation for best possible analysis along with a supervisor who maintains equipment.
• Alert emergency personal in the area.

Code Blue Members

• Members are a chairmen the correspendent from Nabh as well as those overseeing and also safety.
• Important aspects involve code review and assessment.
• Resuscitation trolleys keep equipment in the area.

CPR Training

• The HR maintains records and conducts class work.

Safe Paediatric Services Protocol

• Guidelines on clinical/training and must make needs available.

Management Skills

• Make specialized plans involving parents
• Update patient safety for identifying violence

Paediatric Services Scope

• Hygiene and resin procedures.

Special Healthcare Needs Protocols

• Procedures can include the special and informed consent after legal management.
• Medical and dental assessments as well as behavior modifications need prior approval.

Pediatric Procedures for Management

• Refering all needs to a better service for treatment as necessary.
• Need to find better means for education and dental care while finding new methods for long term success.

Code Pink Protocol

• Goal is to identify suspected threat of potential child.
• Staff must call emergency dial (111) for help and contact safety forces.
• In all cases the staff should implement protocol.
• Include the actions that have done during reports.
• Make an environment safe and use cameras.

Abuse and Child Abuse

• Contact proper services and protect area safely.
• Provide good documentation.

Vulnerable Patient Policy

• Vulnerable is those that needs help.
• Provide best services.

Vulnerable Patient Management

• Follow laws to give the best safety needs.
• Train all needs
• Provide comfort.
• Refer all documentation to records/HIPAA to meet needs.

Safe Patient Protocol

• Give proper explanation to parents and guardian always to document medical/health records including complication in case.

Pregnant Patients Policy

• Need to get approval before medical treatment with radiograph with minimal exposure.
• If oral treatment needed before third trimester, need to get approval with all possible action.
• Make every position for comfort with lateral decubitus.

Emergency Procedure

• Prevent Falls and document medical cases .

Restraining Procedure

• Physical restraints may be used by a medical professional with guardian consent.
• Policy is maintained to keep things from becoming extreme.

Purpose

• Proper safety practices and to follow guidelines in operation of what each operation and how each of them needs to be managed under protocol in APDCH.

Policy

• In any procedure it needs to be under surgical guidelines, including checklist in operation.
• Provide better management and document.
• Prevent any possible harm for consent.
• Provide the operating procedures under surgical procedure for operation checklist with approval needed.

Surgery Protocol

• Doctors must be qualified and given privilege for process; must use proper theatre and be sterilized.
• Patients will have proper documentation.

Procedure Protocol and Guidelines

• The theatre needs to be cleaned and must have sterilization in place.
• Waste must be cleaned by infection prevention methods.
• Full records maintained.
• These patients must be handled as a priority in this process.
• Proper training must happen.

Post Anesthesia Guidelines

• Must be checked and looked under by proper protocol.

List of Surgical Description:

• Impaction.
• The next few includes extraction , transalveolar extraction.
• Minor oral surgical procedure is a surgical description as well. The procedure in the file has more with description involving multiple items and is described in detail.

Anesthesia

• Local with patient and proper sterilization.

Conscious Sedation Guidelines

• The goal is make patients care safe with guidelines. must happen under protocol.
• These guidelines has details listed related to the need for help.
• In order to document it is necessary follow what is right under assessment, that there needs more assessment before procedure.
• This happens per medical provider for a more stable need.

Safety List

• Important on staff who can understand the situation what each patient can see and how it should be.
• Proper management needs be handled for patient at same day or in appointment.
• In assessment a range scale use for pain.
• The goal is see safety with pain with proper technique.