PhilHealth
Benchbook
2005
6.
Safe Practice and Environment
6.1 Patient and
Staff Safety
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Goal: Patients, staff and other individuals
within the organization are provided a safe, functional and effective
environment of care. |
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Standards |
Status |
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6.1.1 The organization
plans a safe and effective environment of care consistent with its mission,
services, and with laws and regulations. |
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Criteria |
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- The
organizational environment complies with structural standards and safety
codes as prescribed by law.32 |
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There are management plans which address safety, security, disposal and
control of hazardous materials and biological wastes, emergency and disaster
preparedness, fire safety, radiation safety and utility systems. |
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There are management plans for the safe and efficient use of medical
equipment according to specifications. |
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32 The organization maintains current licenses and
permits that ensure safe and effective operations. Such permits include, but
are not limited to, occupancy, electrical, plumbing, radiation safety, fire
safety, occupational safety, food storage and handling and waste disposal.
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Standards |
Status |
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6.1.2 The organization provides a safe and
effective environment of care consistent with its mission and services, and
with laws and regulations. |
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Criteria |
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Policies and procedures that address safety, security, control of hazardous
materials and biological wastes, emergency and disaster preparedness, fire
safety, radiation safety and utility systems are documented and implemented. |
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- Policies and procedures for the safe
and efficient use of medical equipment according to specifications are
documented and implemented. |
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- The
design of patient areas provides sufficient space for safety, comfort and
privacy of the patient and for emergency care. |
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- All
personnel understand and fulfill their role in safe practice. |
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Risks are identified, assessed and appropriately controlled. Where
elimination or substitution is not possible, adequate warning and protection
devices are used. |
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- A
coordinated security arrangement in the organization assures protection of
patients, staff, and visitors. |
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Standards |
Status |
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6.1.3 The organization
routinely collects and evaluates information to improve the safety and
adequacy of the environment of care. |
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Criteria |
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- The effectiveness of safety procedures
and devices are routinely tested, monitored and improved.33 |
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- An
incident reporting system identifies potential harms, evaluates causal and
contributing factors for the necessary corrective and preventive action. |
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33 Staff compliance with safety procedures,
performance in emergency and fire drills, handling and operation of medical
devices are regularly assessed and monitored. Findings of routine checks of
equipment and facilities are documented and appropriately reported.
6.2 Maintenance of the Environment of Care
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Goal: A comprehensive maintenance program
ensures a clean and safe environment. |
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Standards |
Status |
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6.2.1. Emergency
light and / or power supply, water and ventilation systems are provided for,
in keeping with relevant statutory requirements and codes of practice. |
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6.2.2 Regular
maintenance of grounds, facilities and equipment in keeping with relevant
statutory requirements, codes of practice, or manufacturers’ specifications
are done to ensure a clean and safe environment. |
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6.2.3 Equipment
is serviced only by people trained in the maintenance of that equipment.
Registers and records of equipment and related maintenance are kept. |
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6.2.4 Current
information and scientific data from manufacturers concerning their products
are available for reference and guidance in the operation and maintenance of
plant and equipment. |
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6.3 Infection
Control
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Goal: Risks of acquisition and transmission
of infections among patients, employees, physicians and other personnel,
visitors and trainees are identified and reduced. |
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Standards |
Status |
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6.3.1 An
interdisciplinary infection control program ensures the prevention and
control of infection in all services. |
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Standards |
Status |
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6.3.2 The
organization uses a coordinated system-wide approach to reduce the risks of nosocomial
infections. |
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Criteria |
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- The organization undertakes case
finding and identification of nosocomial infections. |
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- The organization takes steps to
prevent and control outbreaks of nosocomial infections. |
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Standards |
Status |
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6.3.3 The
organization uses a coordinated system-wide approach to reduce the risks of
infection the staff are exposed to in the performance of their duties. |
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Criteria |
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- There are programs for prevention and
treatment of needlestick injuries, and policies and procedures for the safe
disposal of used needles are documented and monitored. |
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- There are programs for the prevention
of transmission of airborne infections, and risks from patients with signs
and symptoms suggestive of tuberculosis or other communicable diseases are
managed according to established protocols. |
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Standards |
Status |
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6.3.4 Cleaning,
disinfecting, drying, packaging and sterilizing of equipment, and maintenance
of associated environment, conform to relevant statutory requirements and
codes of practice. |
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Standards |
Status |
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6.3.5 When needed, the organization reports
information about infections to personnel and public health agencies. |
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6.4 Equipment
and Supplies
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Goal: The provision of equipment and
supplies supports the organization’s role.
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Standards |
Status |
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6.4.1 Planning
of facilities and selection and acquisition of equipment and supplies involve
input from relevant staff and are undertaken by appropriately-qualified
personnel. |
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Criteria |
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Appropriate
equipment and supplies that support the organization’s role and level of
service are provided. Consideration is given to at least: . the
intended use .
cost benefits .
infection control . safety .
waste creation and disposal .
storage |
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Standards |
Status |
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6.4.2
Specialized equipment is operated according to specifications and only by
appropriately-trained staff. |
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6.4.3 Items
designated by the manufacturer for single use are not reused unless the
organization has specific policies and guidelines for safe reuse which take
into consideration relevant statutory requirements and codes of practice. |
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6.5 Energy and
Waste Management
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Goal: The organization demonstrates its
commitment to environmental issues by considering and implementing strategies
to achieve environmental sustainability. |
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Standards |
Status |
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6.5.1 The
handling, collection, and disposal of waste conform to relevant statutory
requirements and codes of practice. |
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6.5.2 The
organization implements a waste disposal program which involves reuse,
reduction and recycling. |
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Safe Practice and Environment
PATIENT AND STAFF SAFETY STANDARDS
• plan of safe and eff ective environment of
care
•
provision of safe and eff ective environment of care• routine evaluation of
environment of care
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Goal: Patients, staff and other individuals
within the organization are provided a safe, functional and effective
environment of care. |
MAINTENANCE OF THE ENVIRONMENT OF CARE
STANDARDS
• emergency light, power supply, water and
ventilation• regular maintenance of facilities and equipment
• maintenance of equipment by qualifi ed
personnel
• current information on products are
available
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Goal: A comprehensive maintenance program
ensures a clean and safe environment. |
INFECTION CONTROL STANDARDS
• infection control program
• risk reduction of nosocomial infection
• standardized cleaning and sterilization
procedures
• internal and external reporting
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Goal: Risks of acquisition and transmission
of infections among patients, employees, physicians and other personnel,
visitors and trainees are identified and reduced. |
EQUIPMENT & SUPPLIES STANDARDS
• planning and acquisition of equipment and
supplies
• specialized equipment operated by qualified
staff
• safe reuse guidelines
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Goal: The provision of equipment and
supplies supports the organization’s role.
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ENERGY & WASTE MANAGEMENT STANDARDS
• standardized waste handling and disposal
program
• implementation of a waste disposal program demo
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Goal: The organization demonstrates its
commitment to environmental issues by considering and implementing strategies
to achieve environmental sustainability. |