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Summary of Findings: Up Health Service

This document summarizes findings from a monitoring visit to the UP Health Service Infirmary and sets requirements for compliance. It requires the infirmary to submit documents such as meeting minutes, reports, licenses, and policies related to leadership, waste management, infection control, and emergency preparedness. It also requires improvements to physical facilities like adding a PWD toilet and ensuring functional delivery and labor rooms. Equipment requirements include an examining table, oxygen unit, and medical supplies for the emergency room and labor room. The document is signed by monitors from the UP Health Service who will check compliance by December 15th for renewal of the infirmary's operating permit.

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Karenina Victoria
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47 views1 page

Summary of Findings: Up Health Service

This document summarizes findings from a monitoring visit to the UP Health Service Infirmary and sets requirements for compliance. It requires the infirmary to submit documents such as meeting minutes, reports, licenses, and policies related to leadership, waste management, infection control, and emergency preparedness. It also requires improvements to physical facilities like adding a PWD toilet and ensuring functional delivery and labor rooms. Equipment requirements include an examining table, oxygen unit, and medical supplies for the emergency room and labor room. The document is signed by monitors from the UP Health Service who will check compliance by December 15th for renewal of the infirmary's operating permit.

Uploaded by

Karenina Victoria
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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SUMMARY OF FINDINGS

INFIRMARY
UP HEALTH SERVICE
J.P. Laurel St. U.P. Campus, Diliman, Quezon City

Date of Monitoring: April 24, 2018 FULL COMPLIANCE DATE: _____________________

Date Prepared: August 15, 2018

To submit proofs of compliance to the following:

I. Leadership and management


 Submit the following
- Minutes of the meeting
a. Credentialing & privileging
b. Waste management
c. Infection control
d. Emergency and disaster preparedness
e. Grievance
f. Selection and promotions
 Copy of hospital accomplishment report (updated)
 Copy of memorandum of agreement for Waste Management Service
 License to Operate an Ambulance or MOA with a licensed Ambulance Service Provider

II. Copy of management plan for security and disposal of hazardous & biologic waste
1. Policy on cleaning, disinfecting, drying, packaging and sterilizing of equipment, instruments and supplies

III. Improving performance


1. Copy of logbook for TB referral
2. Copy of the following:
- Accountant or accountant clerk – Diploma(if applicable), certificate of trainings attended, proof of
employment/Appointment

PHYSICAL PLANT REQUIREMENT


1. Provision of PWD toilet
2. Functional Delivery and Labor Room

EQUIPMENT/INSTRUMENT
Submit photo and official receipt of the following:
1. Examining table with stir-up (Emergency Room)
2. Oxygen tank unit with tank holder, BP apparatus and thermometer (Labor Room)
3. Haloperidol 50mg/ampule
4. Airway adjuncts

Monitored by: Signature

1. Dr. Karen Victoria MO III ________________________


2. Abigael Viana, RN LO III ________________________
3. Carol Anne Casihan, RN Admin Assistant III ________________________

Renewal Period: October to December 15 only

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