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[null,"Checklist to Identify the Gaps in Quality  Improvement of Tertiary Hospitals"]
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[null,null,"Assessment Team"]
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[null,"\n"]
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[null,"Government of Nepal\nMinistry of Health and Population\nQuality Standards and Regulation Division"]

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["SUMMARY SHEET TERTIARY HOSPITAL"]
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["Hospital Name"]
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["Date of Assessment: ",{"$nulls":5},"दिन","महिना","साल"]
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["Event:",null,null,{"$f":"IF(C7>0, \"?\", \"\")","v":""}]
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["Assessment Team"]
["Team Leader :"]
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["Other Members :"]
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["Section Number","Section Name",{"$nulls":3},"No. of standards","Max score","Obtained Score","Obtained Percentage"]
["SECTION I :","Governance and Management Standards (20% Weightage)"]
["Governance",{"$nulls":4},{"$f":"COUNTA(Standards!D5:D8,Standards!D10:D32)","v":27},{"$f":"Standards!$F$33","v":27},{"$f":"Standards!$E$33","v":0},{"$f":"$H17/$G17","v":{"v":0,"d":"0.00%"}}]
["Organizational Management",{"$nulls":4},{"$f":"COUNTA(Standards!D39:D50,Standards!D52:D57)","v":18},{"$f":"Standards!$F$58","v":18},{"$f":"Standards!$E$58","v":0},{"$f":"$H18/$G18","v":{"v":0,"d":"0.00%"}}]
["Human Resources Management and Development",{"$nulls":4},{"$f":"COUNTA(Standards!D65:D82)","v":18},{"$f":"Standards!$F$83","v":19},{"$f":"Standards!$E$83","v":0},{"v":0,"d":"0.00%"}]
["Financial Management",{"$nulls":4},{"$f":"COUNTA(Standards!D90:D106)","v":17},{"$f":"Standards!$F$107","v":17},{"$f":"Standards!$E$107","v":0},{"v":0,"d":"0.00%"}]
["Medical Records and Information Management",{"$nulls":4},{"$f":"COUNTA(Standards!D114:D127)","v":14},{"$f":"Standards!$F$128","v":14},{"$f":"Standards!E128","v":0},{"v":0,"d":"0.00%"}]
["Quality Management",{"$nulls":4},{"$f":"COUNTA(Standards!D135:D144,Standards!D146:D150)","v":15},{"$f":"Standards!$F$151","v":17},{"$f":"Standards!E151","v":0},{"v":0,"d":"0.00%"}]
["Total Governance and Management Standards",{"$nulls":4},{"$f":"SUM(F17:F22)","v":109},{"$f":"SUM($G$17:$G$22)","v":112},{"$f":"SUM($H$17:$H$22)","v":0},{"$f":"$H$23/$G$23","v":{"v":0,"d":"0.00%"}}]
["SECTION II :","Clinical Management  (60% Weightage)"]
["OPD Service",{"$nulls":4},{"$f":"COUNTA(Standards!D159:D169,Standards!D171:D188,Standards!D190:D219)","v":59},{"$f":"Standards!$F$220","v":151},{"$f":"Standards!E220","v":0},{"$f":"$H25/$G25","v":{"v":0,"d":"0.00%"}}]
["Special Clinic",{"$nulls":4},{"$f":"COUNTA(Standards!D229:D243,Standards!D251:D267,Standards!D275:D292,Standards!D300:D318)","v":69},{"$f":"Standards!$F$244+Standards!$F$268+Standards!$F$293+Standards!$F$319","v":75},{"$f":"Standards!$E$244+Standards!$E$268+Standards!$E$293+Standards!$E$319","v":0},{"v":0,"d":"0.00%"}]
["Emergency Service",{"$nulls":4},{"$f":"COUNTA(Standards!D326:D364)","v":39},{"$f":"Standards!$F$365","v":47},{"$f":"Standards!$E$365","v":0},{"v":0,"d":"0.00%"}]
["Emergency Minor Operation Theatre (OT)",{"$nulls":4},{"$f":"COUNTA(Standards!D372:D386)","v":15},{"$f":"Standards!F387","v":27},{"$f":"Standards!E387","v":0},{"v":0,"d":"0.00%"}]
["Hospital Pharmacy Service",{"$nulls":4},{"$f":"COUNTA(Standards!D394:D397,Standards!D399:D433)","v":39},{"$f":"Standards!F434","v":43},{"$f":"Standards!E434","v":0},{"v":0,"d":"0.00%"}]
["Inpatient Service ",{"$nulls":4},{"$f":"COUNTA(Standards!D440:D444,Standards!D446:D461,Standards!D463:D476,Standards!D478:D508)","v":66},{"$f":"Standards!F509","v":170},{"$f":"Standards!E509","v":0},{"v":0,"d":"0.00%"}]
["Delivery Service",{"$nulls":4},{"$f":"COUNTA(Standards!D516:D520,Standards!D522:D550)","v":34},{"$f":"Standards!F551","v":40},{"$f":"Standards!E551","v":0},{"v":0,"d":"0.00%"}]
["Maternity Inpatient Service (General Ward)",{"$nulls":4},{"$f":"COUNTA(Standards!D558:D585)","v":28},{"$f":"Standards!F586","v":34},{"$f":"Standards!E586","v":0},{"v":0,"d":"0.00%"}]
["Birthing Center",{"$nulls":4},{"$f":"COUNTA(Standards!D594:D601,Standards!D603:D626)","v":32},{"$f":"Standards!F627","v":38},{"$f":"Standards!E627","v":0},{"v":0,"d":"0.00%"}]
["Surgery/Operation Service",{"$nulls":4},{"$f":"COUNTA(Standards!D634:D659,Standards!D661:D675,Standards!D677:D687)","v":52},{"$f":"Standards!F688","v":78},{"$f":"Standards!E688","v":0},{"v":0,"d":"0.00%"}]
["Hemodialysis",{"$nulls":4},{"$f":"COUNTA(Standards!D694:D731)","v":38},{"$f":"Standards!F732","v":42},{"$f":"Standards!E732","v":0},{"v":0,"d":"0.00%"}]
["Intensive Care Unit (ICU)",{"$nulls":4},{"$f":"COUNTA(Standards!D740:D744,Standards!D746:D748,Standards!D750:D781)","v":40},{"$f":"Standards!F782","v":46},{"$f":"Standards!E782","v":0},{"$f":"$H36/$G36","v":{"v":0,"d":"0.00%"}}]
["NICU",{"$nulls":4},{"$f":"COUNTA(Standards!D788:D793,Standards!D795:D826)","v":38},{"$f":"Standards!F827","v":42},{"$f":"Standards!E827","v":0},{"v":0,"d":"0.00%"}]
["PICU",{"$nulls":4},{"$f":"COUNTA(Standards!D833:D837,Standards!D839:D870)","v":37},{"$f":"Standards!F871","v":41},{"$f":"Standards!E871","v":0},{"v":0,"d":"0.00%"}]
["Diagnostics and Laboratory Services",{"$nulls":4},{"$f":"COUNTA(Standards!D879:D911,Standards!D919:D941,Standards!D948:D969,Standards!D977:D988,Standards!D994:D1014,Standards!D1020:D1040,Standards!D1048:D1057,Standards!D1064:D1075,Standards!D1081:D1093,Standards!D1100:D1119,Standards!D1126:D1137)","v":199},{"$f":"Standards!F912+Standards!F942+Standards!F970+Standards!F989+Standards!F1015+Standards!F1041+Standards!F1058+Standards!F1076+Standards!F1094+Standards!F1120+Standards!F1138","v":210},{"$f":"Standards!E912+Standards!E942+Standards!E970+Standards!E989+Standards!E1015+Standards!E1041+Standards!E1058+Standards!E1076+Standards!E1094+Standards!E1120+Standards!E1138","v":0},{"v":0,"d":"0.00%"}]
["Post-mortem and mortuary service",{"$nulls":4},{"$f":"COUNTA(Standards!D1144:D1158)","v":15},{"$f":"Standards!F1159","v":17},{"$f":"Standards!E1159","v":0},{"v":0,"d":"0.00%"}]
["Medico-legal Services",{"$nulls":4},{"$f":"COUNTA(Standards!D1166:D1177)","v":12},{"$f":"Standards!F1178","v":14},{"$f":"Standards!E1178","v":0},{"v":0,"d":"0.00%"}]
["One stop crisis management services",{"$nulls":4},{"$f":"COUNTA(Standards!D1184:D1210)","v":27},{"$f":"Standards!F1211","v":33},{"$f":"Standards!E1211","v":0},{"v":0,"d":"0.00%"}]
["Physiotherapy Services",{"$nulls":4},{"$f":"COUNTA(Standards!D1217:D1236)","v":20},{"$f":"Standards!F1237","v":22},{"$f":"Standards!E1237","v":0},{"v":0,"d":"0.00%"}]
["Dietetics and Nutrition Rehabilitation",{"$nulls":4},{"$f":"COUNTA(Standards!D1244:D1251,Standards!D1253:D1266)","v":22},{"$f":"Standards!F1267","v":22},{"$f":"Standards!E1267","v":0},{"v":0,"d":"0.00%"}]
["Cardiac Catheterization Laboratory",{"$nulls":4},{"$f":"COUNTA(Standards!D1273:D1276,Standards!D1278:D1293,Standards!D1295:D1302)","v":28},{"$f":"Standards!F1303","v":36},{"$f":"Standards!E1303","v":0},{"v":0,"d":"0.00%"}]
["Total Clinical Service Management Standards",{"$nulls":4},{"$f":"SUM(F25:F45)","v":909},{"$f":"SUM($G$25:$G$45)","v":1228},{"$f":"SUM($H$25:$H$45)","v":0},{"$f":"$H$46/$G$46","v":{"v":0,"d":"0.00%"}}]
["SECTION III :","Hospital Support Services Standards  (20% Weightage)"]
["Central Supply Sterile Department (CSSD)",{"$nulls":4},{"$f":"COUNTA(Standards!D1310:D1326)","v":17},{"$f":"Standards!F1327","v":19},{"$f":"Standards!E1327","v":0},{"$f":"$H48/$G48","v":{"v":0,"d":"0.00%"}}]
["Laundry",{"$nulls":4},{"$f":"COUNTA(Standards!D1335:D1351)","v":17},{"$f":"Standards!F1352","v":19},{"$f":"Standards!E1352","v":0},{"v":0,"d":"0.00%"}]
["Housekeeping",{"$nulls":4},{"$f":"COUNTA(Standards!D1359:D1371)","v":13},{"$f":"Standards!F1372","v":15},{"$f":"Standards!E1372","v":0},{"v":0,"d":"0.00%"}]
["Repair, Maintenance and Power System",{"$nulls":4},{"$f":"COUNTA(Standards!D1379:D1390)","v":12},{"$f":"Standards!F1391","v":12},{"$f":"Standards!E1391","v":0},{"v":0,"d":"0.00%"}]
["Water Supply",{"$nulls":4},{"$f":"COUNTA(Standards!D1398:D1401)","v":4},{"$f":"Standards!F1402","v":4},{"$f":"Standards!E1402","v":0},{"v":0,"d":"0.00%"}]
["Hospital Waste Management",{"$nulls":4},{"$f":"COUNTA(Standards!D1409:D1425)","v":17},{"$f":"Standards!F1426","v":17},{"$f":"Standards!E1426","v":0},{"v":0,"d":"0.00%"}]
["Safety and Security",{"$nulls":4},{"$f":"COUNTA(Standards!D1433:D1447)","v":15},{"$f":"Standards!F1448","v":17},{"$f":"Standards!E1448","v":0},{"v":0,"d":"0.00%"}]
["Transportation and Communication",{"$nulls":4},{"$f":"COUNTA(Standards!D1455:D1462)","v":8},{"$f":"Standards!F1463","v":8},{"$f":"Standards!E1463","v":0},{"v":0,"d":"0.00%"}]
["Store ( Medical and Logistics)",{"$nulls":4},{"$f":"COUNTA(Standards!D1470:D1485)","v":16},{"$f":"Standards!F1486","v":16},{"$f":"Standards!E1486","v":0},{"v":0,"d":"0.00%"}]
["Hospital Canteen",{"$nulls":4},{"$f":"COUNTA(Standards!D1493:D1508)","v":16},{"$f":"Standards!F1509","v":16},{"$f":"Standards!E1509","v":0},{"v":0,"d":"0.00%"}]
["Social Service Unit (SSU)",{"$nulls":4},{"$f":"COUNTA(Standards!D1516:D1527)","v":12},{"$f":"Standards!F1528","v":14},{"$f":"Standards!E1528","v":0},{"v":0,"d":"0.00%"}]
["Total Hospital Support Services Standards",{"$nulls":4},{"$f":"SUM(F48:F58)","v":147},{"$f":"SUM($G$48:$G$58)","v":157},{"$f":"SUM($H$48:$H$58)","v":0},{"$f":"$H$59/$G$59","v":{"v":0,"d":"0.00%"}}]
["Total Score",{"$nulls":4},{"$f":"$F$23+$F$46+$F$59","v":1165},{"$f":"$G$23+$G$46+$G$59","v":1497},{"$f":"$H$23+$H$46+$H$59","v":0}]
["Overall MSS Score (Weightage Average Score)",{"$nulls":7},{"$f":"($I$23*0.2)+($I$46*0.6)+($I$59*0.2)","v":{"v":0,"d":"0%"}}]

{"sheet":"Standards","index":2,"n_rows":1529,"n_cols":8,"rows_kept":1529,"merged":[[0,1,0,5],[1,3,2,5],[7,1,15,1],[8,3,8,5],[16,1,17,1],[20,1,26,1],[27,1,28,1],[32,1,33,2],[35,3,36,5],[38,1,41,1],[46,1,47,1],[48,1,56,1],[50,3,50,5],[57,1,58,2],[61,3,62,5],[66,1,67,1],[70,1,73,1],[74,1,77,1],[78,1,81,1],[82,1,83,2],[86,3,87,5],[89,1,90,1],[91,1,92,1],[95,1,97,1],[98,1,99,1],[100,1,102,1],[103,1,104,1],[106,1,107,2],[110,3,111,5],[113,1,115,1],[116,1,118,1],[119,1,123,1],[124,1,126,1],[127,1,128,2],[131,3,132,5],[134,1,135,1],[141,1,142,1],[143,1,149,1],[144,3,144,5],[150,1,151,2],[154,1,154,5],[155,3,156,5],[158,1,160,1],[161,1,163,1],[165,1,166,1],[167,1,187,1],[169,3,169,5],[188,1,207,1],[188,3,188,5],[209,1,212,1],[214,1,218,1],[219,1,220,2],[222,1,222,5],[224,3,226,5],[231,1,232,1],[234,1,235,1],[236,1,237,1],[238,1,242,1],[243,1,244,2],[247,3,248,5],[254,1,255,1],[258,1,259,1],[260,1,261,1],[262,1,266,1],[267,1,268,2],[271,3,272,5],[277,1,278,1],[281,1,282,1],[283,1,284,1],[285,1,286,1],[287,1,291,1],[292,1,293,2],[295,3,297,5],[301,1,302,1],[304,1,305,1],[307,1,308,1],[309,1,310,1],[311,1,312,1],[313,1,317,1],[318,1,319,2],[322,3,323,5],[326,1,329,1],[330,1,336,1],[338,1,339,1],[340,1,342,1],[343,1,346,1],[349,1,352,1],[356,1,358,1],[360,1,363,1],[364,1,365,2],[368,3,369,5],[376,1,377,1],[378,1,379,1],[380,1,384,1],[386,1,387,2],[390,3,391,5],[393,1,396,1],[397,1,399,1],[397,3,397,5],[400,1,402,1],[403,1,408,1],[410,1,412,1],[418,1,420,1],[421,1,423,1],[425,1,426,1],[429,1,431,1],[433,1,434,2],[436,3,437,5],[439,1,443,1],[444,1,460,1],[444,3,444,5],[461,1,470,1],[461,3,461,5],[475,1,487,1],[476,3,476,5],[489,1,496,1],[497,1,498,1],[501,1,507,1],[508,1,509,2],[511,3,513,5],[515,1,519,1],[520,1,524,1],[520,2,520,5],[529,1,531,1],[533,1,536,1],[537,1,539,1],[540,1,549,1],[550,1,551,2],[553,3,555,5],[557,1,560,1],[563,1,564,1],[567,1,569,1],[570,1,575,1],[579,1,584,1],[585,1,586,2],[589,3,591,5],[594,1,597,1],[601,1,605,1],[601,3,601,5],[608,1,610,1],[611,1,616,1],[620,1,625,1],[626,1,627,2],[628,1,628,2],[628,4,628,5],[630,3,631,5],[633,1,635,1],[636,1,639,1],[640,1,646,1],[647,1,649,1],[652,1,658,1],[659,1,663,1],[659,3,659,5],[667,1,672,1],[673,1,674,1],[675,3,675,5],[683,1,686,1],[687,1,688,2],[690,3,691,5],[693,1,695,1],[696,1,700,1],[701,1,703,1],[704,1,705,1],[706,1,709,1],[710,1,717,1],[720,1,721,1],[722,1,730,1],[731,1,732,2],[735,3,737,5],[739,1,743,1],[744,1,744,5],[745,1,762,1],[748,3,748,5],[763,1,764,1],[766,1,767,1],[768,1,769,1],[770,1,772,1],[773,1,780,1],[781,1,782,2],[785,3,785,5],[787,1,789,1],[790,1,807,1],[793,3,793,5],[811,1,812,1],[813,1,815,1],[816,1,823,1],[826,1,827,2],[830,3,830,5],[832,1,833,1],[834,1,851,1],[837,3,837,5],[855,1,856,1],[857,1,859,1],[860,1,869,1],[870,1,871,2],[874,3,876,5],[878,1,879,1],[880,1,883,1],[884,1,886,1],[887,1,890,1],[892,1,894,1],[895,1,899,1],[900,1,901,1],[903,1,910,1],[911,1,912,2],[915,3,916,5],[920,1,923,1],[926,1,927,1],[928,1,931,1],[932,1,933,1],[934,1,940,1],[941,1,942,2],[944,3,945,5],[947,1,948,1],[949,1,950,1],[953,1,955,1],[956,1,958,1],[962,1,963,1],[965,1,968,1],[969,1,970,2],[973,3,974,5],[981,1,982,1],[984,1,985,1],[986,1,987,1],[988,1,989,2],[991,3,991,5],[993,1,994,1],[995,1,996,1],[1000,1,1002,1],[1005,1,1006,1],[1007,1,1008,1],[1010,1,1013,1],[1014,1,1015,2],[1017,3,1017,5],[1019,1,1020,1],[1021,1,1022,1],[1024,1,1026,1],[1027,1,1029,1],[1032,1,1033,1],[1034,1,1035,1],[1036,1,1039,1],[1040,1,1041,2],[1044,3,1045,5],[1053,1,1054,1],[1055,1,1056,1],[1057,1,1058,2],[1061,3,1061,5],[1063,1,1064,1],[1068,1,1070,1],[1071,1,1072,1],[1073,1,1074,1],[1075,1,1076,2],[1078,3,1078,5],[1083,1,1086,1],[1087,1,1088,1],[1089,1,1090,1],[1091,1,1092,1],[1093,1,1094,2],[1097,3,1097,5],[1099,1,1100,1],[1101,1,1103,1],[1104,1,1105,1],[1107,1,1109,1],[1110,1,1112,1],[1113,1,1118,1],[1119,1,1120,2],[1123,3,1123,5],[1129,1,1131,1],[1132,1,1134,1],[1135,1,1136,1],[1137,1,1138,2],[1140,3,1141,5],[1143,1,1147,1],[1153,1,1157,1],[1158,1,1159,2],[1162,3,1163,5],[1166,1,1167,1],[1169,1,1170,1],[1173,1,1176,1],[1177,1,1178,2],[1180,3,1181,5],[1185,1,1186,1],[1188,1,1189,1],[1190,1,1192,1],[1193,1,1194,1],[1195,1,1196,1],[1197,1,1198,1],[1199,1,1200,1],[1201,1,1204,1],[1205,1,1209,1],[1210,1,1211,2],[1213,3,1214,5],[1217,1,1218,1],[1219,1,1220,1],[1225,1,1226,1],[1228,1,1229,1],[1231,1,1235,1],[1236,1,1237,2],[1240,2,1241,2],[1240,3,1241,5],[1244,1,1245,1],[1251,1,1251,5],[1255,1,1257,1],[1259,1,1260,1],[1261,1,1265,1],[1266,1,1267,2],[1269,3,1270,5],[1272,1,1274,1],[1276,1,1280,1],[1276,3,1276,5],[1284,1,1286,1],[1287,1,1290,1],[1293,1,1293,5],[1305,1,1305,5],[1306,3,1307,5],[1309,1,1310,1],[1314,1,1316,1],[1319,1,1320,1],[1322,1,1325,1],[1326,1,1327,2],[1328,1,1328,5],[1331,3,1332,5],[1334,1,1335,1],[1338,1,1339,1],[1341,1,1342,1],[1347,1,1350,1],[1351,1,1352,2],[1353,1,1353,5],[1355,3,1356,5],[1359,1,1360,1],[1362,1,1368,1],[1371,1,1372,2],[1375,3,1376,5],[1378,1,1379,1],[1380,1,1385,1],[1386,1,1389,1],[1390,1,1391,2],[1394,3,1395,5],[1398,1,1399,1],[1401,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[null,"Section I: Governance and Management Standards"]
["NSI","Area","Code","Verification "]
["NSI","Governance",1.1]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"1.1.1 Formation of Hospital Management Committee (HMC)","1.1.1","Hospital Management Committee is formed",null,1]
[null,"1.1.2 Capacity building of HMC","1.1.2","All HMC members have received an orientation on HMC functions",null,1]
[null,"1.1.3 Availability of Medical Superintendent/Director","1.1.3","Medical Superintendent/ Director is fulfill as per organogram",null,1]
[null,"1.1.4 Functional HMC","1.1.4.1","HMC meetings called upon by member secretary / Medical Superintendent headed by chairperson conducted at least 3 times per year or as per need",null,1]
[null,null," 1.1.4.2","HMC meetings have covered at least following  agenda (See minutes of last meetings):"]
[null,null," 1.1.4.2.1","Hospital services and utilization",null,1]
[null,null," 1.1.4.2.2","Hospital’s financial issues",null,1]
[null,null,"1.1.4.2.3","Patient rights issues e.g. patient facilities, analysis of complaints received, patient security",null,1]
[null,null,"1.1.4.2.4","Management issues- HR issues, security issues",null,1]
[null,null,"1.1.4.2.5","Infrastructure/ Equipment issues",null,1]
[null,null,"1.1.4.2.6","Coordination issues with local governance- rural municipality/ municipality, provincial, federal, DoHS, MoHP",null,1]
[null,null,"1.1.4.2.7","Review of decisions and recommendations of staff meeting and QI Committee meetings discussions",null,1]
[null,"1.1.5 Support in health financing","1.1.5.1","Hospital implements health insurance program",null,1]
[null,null,"1.1.5.2","All targeted women receive Aama Surakhsya program incentives on time from hospital having this program (in last quarter)",null,1]
[null,"1.1.6 Annual plan & budget","1.1.6","Annual plan & budget is approved by HMC before the fiscal year starts",null,1]
[null,"1.1.7Storage of HMC documents","1.1.7","There is a separate locker for HMC documents.",null,1]
[null,"1.1.8 Accountability ","1.1.8.1","Updated citizens charter is displayed",null,1]
[null,null,"1.1.8.2","Notices of public concern are displayed publicly",null,1]
[null,null,"1.1.8.3","Complaint boxes are kept in a visible place in administration block ",null,1]
[null,null,"1.1.8.4","Information officer opens complaint box at least once a week and issues are timely addressed",null,1]
[null,null,"1.1.8.5","Hospital has a website available and functional with latest information",null,1]
[null,null,"1.1.8.6","Hospital has geriatrics friendly infrastructure (like side rails for mobilization and support)",null,1]
[null,null,"1.1.8.7","Hospital has friendly environment for people with disability",null,1]
[null,"1.1.9 Grievance and complain handling","1.1.9.1","Mechanism for grievance and complain handling institutionalized   ",null,1]
[null,null,"1.1.9.2","Grievance and complains are effectively addressed",null,1]
[null,"1.1.10 Hospital has operational manual"," 1.1.10","Hospital its own operational manual with clear information on how the hospital operates its’ services",null,1]
[null,"1.1.11 Hospital produces an Annual Report","1.1.11","Hospital Annual Report is available in website",null,1]
[null,"1.1.12 Conduct social audit","1.1.12","Social audit is conducted for last year",null,1]
["NSI","Standard 1.1",null,"Total Score",{"$f":"SUM($E$5:$E$8,$E$10:$E$32)","v":0},{"$f":"SUM($F$5:$F$8,$F$10:$F$32)","v":27}]
["NSI",null,null,"Percentage = Total Score / 27 x 100",{"$f":"$E$33/$F$33","v":{"v":0,"d":"0.00%"}}]
[]
["NSI","Area","Code","Verification "]
["NSI","Organizational Management",1.2]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"1.2.1 Organizational structure","1.2.1.1","Organogram of hospital showing departments/units with number of staffs is displayed",null,1]
[null,null,"1.2.1.2","Organogram of hospital is reviewed every 2 years and forwarded to higher authority",null,1]
[null,null,"1.2.1.3","Hospital provides 10 clinical services – OPD ",null,1]
[null,null,"1.2.1.4","Hospital provides at least 5 super-specialized clinical services",null,1]
[null,"1.2.2 Work division and delegation of authorities"," 1.2.2","Written delegation of authorities is maintained",null,1]
[null,"1.2.3 Maintaining client flow system","1.2.3","Navigation chart with services and departments guiding clients to access services",null,1]
[null,"1.2.4 Queue system","1.2.4","Hospital implements token and / or queue system for users (separate for elderly, disable and pregnant)",null,1]
[null,"1.2.5 E-Attendance ","1.2.5","All staffs of hospital use electronic attendance",null,1]
[null,"1.2.6 Dress code for all staffs","1.2.6.1","All clinical, technical and administrative staffs have apron / uniform which is worn on duty",null,1]
[null,null,"1.2.6.2","All hospital staffs carry personal ID cards when on duty",null,1]
[null,"1.2.7 Maintaining effective team work environment"," 1.2.7.1","Hand-over meetings are conducted daily and also in concerned department",null,1]
[null,null,"1.2.7.2","Morning conference is conducted everyday",null,1]
[null,null," 1.2.7.3","Regular meetings are conducted as follows (see meeting minutes):"]
[null,null,"1.2.7.3.1","Intra- departmental meeting every two weeks",null,1]
[null,null,"1.2.7.3.2","Inter-departmental meeting once a month",null,1]
[null,null,"1.2.7.3.3","Staff meeting once a month",null,1]
[null,null,"1.2.7.4","Staff quarters are provided and adequate for the staffs",null,1]
[null,null,"1.2.7.5","Separate space allocated for breast feeding for staffs/ Separate space in duty room designated for breast feeding",null,1]
[null,null,"1.2.7.6","Transport services for hospital staffs covering all shifts",null,1]
["NSI","Standard 1.2",null,"Total Score",{"$f":"SUM($E$39:$E$50,$E$52:$E$57)","v":0},{"$f":"SUM($F$39:$F$50,$F$52:$F$57)","v":18}]
["NSI",null,null,"Percentage = Total Score / 16 x 100",{"$f":"$E$58/$F$58","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Human Resource Management and Development",1.3]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"1.3.1 Personnel administration policy of hospital","1.3.1","Personnel administration guideline of HMC is available (for all staffs including locally hired staff) and practiced accordingly",null,1]
[null,"1.3.2 Human resource records","1.3.2","Individual records of all staffs including contract staffs are maintained and updated.",null,1]
[null,"1.3.3 Staffing","1.3.3.1","Staffs available for service in hospital as per organogram (See Annex 1.3a Functional Organogram Section I: At the end of this standard)",{"$f":"'Annex 1.3a'!$E$53","v":0},3]
[null,null,"1.3.3.2","Maaga Akriti form (माग आकृति फारम) correspondence to fulfill vacant positions to concerned authority as per guideline",null,1]
[null,"1.3.4 Job description","1.3.4","All staffs including HMC staffs are given a job description when they are recruited/ posted to the hospital (permanent and contract staff) ",null,1]
[null,"1.3.5 Review of performance ","1.3.5.1","Performance appraisal (का. स. मु.) of all staffs is done as per guideline",null,1]
[null,"1.3.6 Motivating staff and occupational safety","1.3.6.1","A training plan for the hospital is developed based on the training needs of the staff identified at the performance appraisal",null,1]
[null,null,"1.3.6.2","For training and related activities, at any point of time, the acceptable work absenteeism is <10% of staff",null,1]
[null,null,"1.3.6.3","There is activity conducted to motivate staff (staff retreat, rewards, recognition of performances, etc.) at least once a year.",null,1]
[null,null,"1.3.6.4","Hospital has system for addressing occupational hazard like needle stick injury, radiation exposure, vaccination",null,1]
[null,"1.3.7 Continuous professional development (CPD)/ Continuous medical education (CME)","1.3.7.1","Hospital conducts CPD / CME classes to technical staff weekly   ",null,1]
[null,null,"1.3.7.2","Written record of attendance, subjects presented and discussed during CPD/CME",null,1]
[null,null,"1.3.7.3","Separate space with furniture, audio-visual aids and internet for CPD/CME/meeting are available.",null,1]
[null,null,"1.3.7.4","If hospital is a training site, training guideline of National Health Training Centre is followed",null,"1* (optional)"]
[null,"1.3.8 Library facility available","1.3.8.1","Hospital has space designated for library  with sitting arrangement for readers  ",null,1]
[null,null,"1.3.8.2","A list of national health guidelines and treatment protocols available and inventory managed for readers accessing it",null,1]
[null,null,"1.3.8.3","Computers with printing and photocopy facility available",null,1]
[null,null,"1.3.8.6","Access to internet facility with institutional access to at least one of the international health related domain like HINARI",null,1]
["NSI","Standard 1.3",null,"Total Score",{"$f":"SUM($E$79:$E$82,$E$65:$E$77)","v":0},{"$f":"SUM($F$79:$F$82,$F$65:$F$77)","v":19}]
["NSI",null,null,"Percentage = Total Score / 19 x 100",{"$f":"$E$83/$F$83","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Financial Management",1.4]
["NSI","Components",null,"Standards","Obtained Score","Maximum Score"]
[null,"1.4.1 Account department of hospital","1.4.1.1","Dedicated account department of hospital with space and furniture",null,1]
[null,null,"1.4.1.2","At least one accountant available for hospital financial management ",null,1]
[null,"1.4.2 Formulation and approval of Annual Hospital Budget","1.4.2.1","An annual hospital budget is developed incorporating the revenue from services, government grants, and support provided by other organizations.",null,1]
[null,null,"1.4.2.2","Internal income is reviewed during budgeting every year.",null,1]
[null,"1.4.3 Service fees","1.4.3","The service fees of the hospital are fixed by HMC every year.",null,1]
[null,"1.4.4 Daily income","1.4.4","Daily income is deposited in the bank every day.",null,1]
[null,"1.4.5 Financial review and audit","1.4.5.1","Budget absorption rate of last fiscal year is as per national target",null,1]
[null,null,"1.4.5.2","Internal audit, financial and physical progress review is done at least once each trimester (once in every 4 months).",null,1]
[null,null," 1.4.5.3","Final audit/ external audited accounts are available for last year.",null,1]
[null,"1.4.6 Electronic database","1.4.6.1","The hospital uses central electronic billing system  ",null,1]
[null,null,"1.4.6.2","The hospital uses TABUCS/ LMBIS for accounting including local income and expenses by HMC.",null,1]
[null,"1.4.7 Hospital prepares financial reports  ","1.4.7.1","The hospital prepares and keeps monthly financial report.",null,1]
[null,null,"1.4.7.2","Trimester financial report is produced (every 4 months) and financial status tracked and discussed in meetings",null,1]
[null,null,"1.4.7.3","Annual financial report is submitted to HMC.",null,1]
[null,"1.4.8 Clearing financial irregularities","1.4.8.1","Financial irregularities are responded within 35 days  ",null,1]
[null,null,"1.4.8.2","Clearance of financial authorities is done as per national target",null,1]
[null,"1.4.9 Inventory inspection","1.4.9","Inventory inspection is done once in a year and managed accordingly",null,1]
["NSI","Standard 1.4",null,"Total Score",{"$f":"SUM($E$90:$E$106)","v":0},{"$f":"SUM($F$90:$F$106)","v":17}]
["NSI",null,null,"Percentage = Total Score / 17 x 100",{"$f":"$E$107/$F$107","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Medical Records and Information Management",1.5]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"1.5.1 Managing medical records and use of electronic database","1.5.1.1","Client registration is digitalized using standard software ",null,1]
[null,null,"1.5.1.2","Referral in and out records are kept using the standard form (HMIS 1.4) and register.",null,1]
[null,null,"1.5.1.3","Electronic health record system that generates the HMIS monthly report (HMIS 9.4) is in place",null,1]
[null,"1.5.2 Infrastructure and supplies for information management","1.5.2.1","There is a functional Medical Record Section ",null,1]
[null,null,"1.5.2.2","All patients' records are kept in individual folders in racks or held digitally.",null,1]
[null,null,"1.5.2.3","There is a set of functional computer and printer available for maintaining medical records.",null,1]
[null,"1.5.3 Evidence generation and utilization","1.5.3.1","Hospital monthly reports (HMIS 9.4) of the last three months are shared to the national database  ",null,1]
[null,null,"1.5.3.2","Hospital services utilization statistics are analyzed at least every month and shared with all the HODs and in-charge via email, paper and/or dashboard. (Check last three months status)",null,1]
[null,null,"1.5.3.3","Statistics including OPD morbidity pattern data, IPD data, surveillance data are analyzed and discussed in staff meeting and CPD/CME (Check the status in the last meeting)",null,1]
[null,null,"1.5.3.4","Key statistics of service utilization is displayed in respective Departments/ Wards ",null,1]
[null,null,"1.5.3.5","Medico-legal incidents and services are recorded",null,1]
[null,"1.5.4 Focal person for information management  ","1.5.4.1","Medical recorder is trained on ICD and DHIS2",null,1]
[null,null,"1.5.4.2","An information officer is specified to communicate with patients/clients, their relatives, media and other stakeholders.",null,1]
[null,null,"1.5.4.3","Contact details of information officer is displayed in hospital premises with photo and phone number.",null,1]
["NSI","Standard 1.5",null,"Total Score",{"$f":"SUM($E$114:$E$127)","v":0},{"$f":"SUM($F$114:$F$127)","v":14}]
["NSI",null,null,"Percentage = Total Score / 14 x 100",{"$f":"$E$128/$F$128","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Quality Management",1.6]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"1.6.1 Hospital Quality Health Service Delivery and Management Strengthening (QHSDMS) Committee","1.6.1.1","Hospital QI committee is formed according to Guideline.",null,1]
[null,null,"1.6.1.2","Hospital QHSDMS committee meetings are held at least every 4 months.",null,1]
[null,"1.6.2 Display of patients’ rights and responsibilities","1.6.2","The hospital has a statement of patient rights and responsibilities, which is posted in public places in the hospital.",null,1]
[null,"1.6.3 Addressing issues in report of social audit","1.6.3","The findings of social audit like client exit interview are shared in whole staff meeting",null,1]
[null,"1.6.4 Assessing hospital quality","1.6.4","The hospital has assessed the hospital quality using the MSS tool at least every 4 months",null,1]
[null,"1.6.5 Planning to improving quality","1.6.5","The hospital has developed specific plans to improve quality based on the MSS assessment.",null,1]
[null,"1.6.6 Hospital uses QI tools","1.6.6","Hospital uses QI tools for assessment of the major priority government programs\n\n(less than 50%=0, 50-70% =1, 70-85% = 2, 85-100% =3)",null,3]
[null,"1.6.7Implementing QI plan","1.6.7.1","Hospital has implemented the specific activities based on the MSS plan.",null,1]
[null,null,"1.6.7.2","Hospital has implemented specific activities based on gap analysis of QI tools",null,1]
[null,"1.6.8 Clinical Audit","1.6.8.1","The hospital has functional MPDSR committee (in program district)",null,1]
[null,null,"1.6.8.2","There are regular reviews, reporting and dissemination of morbidity and mortality (M&M) including"]
[null,null,"1.6.8.2.1","Investigations and complications of treatment including medication error",null,1]
[null,null,"1.6.8.2.2","Hospital acquired infections (HAI)",null,1]
[null,null,"1.6.8.3","Mortality audit of every death in the hospital is done and reported",null,1]
[null,null,"1.6.8.4","Hospital implements Robson’s classification (hospitals with CEONC services) ",null,1]
[null,null,"1.6.8.5","Hospital implements baby friendly initiative",null,1]
["NSI","Standard 1.6",null,"Total Score",{"$f":"SUM($E$135:$E$144,$E$146:$E$150)","v":0},{"$f":"SUM($F$135:$F$144,$F$146:$F$150)","v":17}]
["NSI",null,null,"Percentage = Total Score/17 x 100",{"$f":"$E$151/$F$151","v":{"v":0,"d":"0.00%"}}]
[]
[]
[null,"Section II: Clinical Service Management Standards"]
["NSI","Area","Code","Verification"]
["NSI","OPD Service [1]",2.1]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.1.1 Time for patients","2.1.1.1","OPD is open from 10 AM to 3 PM (See Checklist 2.1 At the end of this standard for scoring).",{"$f":"'Checklist 2.1'!$W$4","v":0},3]
[null,null,"2.1.1.2","Tickets for routine OPD are available till 2 pm",null,1]
[null,null,"2.1.1.3","EHS services from 3PM onwards and tickets available from 2PM onwards",null,1]
[null,"2.1.2 Adequate Staffing","2.1.2.1","There should be one administrator to manage all OPDs and procedure room",null,1]
[null,null,"2.1.2.2","Doctor: OPD Patients- 1:35-50 per day for quality of care (*for dental services this ratio is 1:20)",null,1]
[null,null,"2.1.1.2.3","One screening counter with 1 paramedics for every four OPDs and there should be one nurse in OBGYN OPD",null,1]
[null,"2.1.3 Maintaining patient privacy","2.1.3","Patient privacy maintained with separate rooms, curtains hung, maintaining queuing of patients with paging system in OPD (See Checklist 2.1 At the end of this standard for scoring).",{"$f":"'Checklist 2.1'!$W$5","v":0},3]
[null,"2.1.4 Patient counseling","2.1.4.1","Counseling is provided to patients about the type of treatment being given and its consequences (See Checklist 2.1 At the end of this standard for scoring).",{"$f":"'Checklist 2.1'!$W$6","v":0},3]
[null,null," 2.1.4.2","Appropriate IEC materials (posters, leaflets etc.) as an IEC corner available in the OPD waiting area.",null,1]
[null,"2.1.5 Physical facilities","2.1.5.1","Adequate rooms and space for the practitioners and patients are available (See Checklist 2.1 At the end of this standard for scoring).",{"$f":"'Checklist 2.1'!$W$7","v":0},3]
[null,null,"2.1.5.2","Light and ventilation are adequately maintained. (See Checklist 2.1 At the end of this standard for scoring)",{"$f":"'Checklist 2.1'!$W$8","v":0},3]
[null,null,"2.1.5.3","Required furniture, supplies and space are available"]
[null,null,"2.1.5.3.1","General Medicine OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!D25","v":0},3]
[null,null,"2.1.5.3.2","Obstetrics and Gynecology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$26","v":0},3]
[null,null,"2.1.5.3.3","Pediatrics OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$27","v":0},3]
[null,null,"2.1.5.3.4","Surgical OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$28","v":0},3]
[null,null,"2.1.5.3.5","Dental OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$29","v":0},3]
[null,null,"2.1.5.3.6","Orthopedics OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$30","v":0},3]
[null,null,"2.1.5.3.7","Psychiatry OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$31","v":0},3]
[null,null,"2.1.5.3.8","ENT OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$32","v":0},3]
[null,null,"2.1.5.3.9","Dermatology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$33","v":0},3]
[null,null,"2.1.5.3.10","Opthalmology OPD  (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$34","v":0},3]
[null,null,"2.1.5.3.11","Cardiology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$35","v":0},3]
[null,null,"2.1.5.3.12","Urology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$36","v":0},3]
[null,null,"2.1.5.3.13","Neurosurgery OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$37","v":0},3]
[null,null,"2.1.5.3.14","Neurology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$38","v":0},3]
[null,null,"2.1.5.3.15","Burn/Plastic OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$39","v":0},3]
[null,null,"2.1.5.3.16","Nephrology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$40","v":0},3]
[null,null,"2.1.5.3.17","Gastrology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$41","v":0},3]
[null,null,"2.1.5.4","Each OPD has designated space/room for procedure room/area with basic supplies of dressing, injection and procedures (specific to OPD like PV for Obstetrics /gynecology, PR for surgery) and hand washing facility (See Checklist 2.1 At the end of this standard for scoring)",{"$f":"'Checklist 2.1'!$W$9","v":0},3]
[null,"2.1.6 Equipment, instrument and supplies ","2.1.6","Equipment, instrument and supplies to carry out the OPD works are available and functioning"]
[null,null,"2.1.6.1","General OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$100","v":0},3]
[null,null,"2.1.6.2","Obstetrics and Gynecology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$101","v":0},3]
[null,null,"2.1.6.3","Pediatrics OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$102","v":0},3]
[null,null,"2.1.6.4","Surgical OPD(See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$103","v":0},3]
[null,null,"2.1.6.5.1","Dental OPD (See Annex 2.1cBasic Equipment and Instrument for Dental OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$214","v":0},3]
[null,null,"2.1.6.5.2","Dental OPD has fully functioning electric dental chair with adequate light, water supply and drainage system with suction machine",null,1]
[null,null,"2.1.6.5.3","Dental OPD has iopa x-ray machine (along with lead apron and thyroid collar",null,1]
[null,null,"2.1.6.6","Orthopedics OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$104","v":0},3]
[null,null,"2.1.6.7","Psychiatry OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$105","v":0},3]
[null,null,"2.1.6.8","ENT OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$106","v":0},3]
[null,null,"2.1.6.9","Dermatology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$107","v":0},3]
[null,null,"2.1.6.10","Opthalmology OPD  (See Annex 2.1b Furniture and supplies for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$108","v":0},3]
[null,null,"2.1.6.11","Cardiology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$109","v":0},3]
[null,null,"2.1.6.12","Urology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$110","v":0},3]
[null,null,"2.1.6.13","Neurosurgery OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$111","v":0},3]
[null,null,"2.1.6.14","Neurology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$112","v":0},3]
[null,null,"2.1.6.15","Burn/Plastic OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$113","v":0},3]
[null,null,"2.1.6.16","Nephrology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$114","v":0},3]
[null,null,"2.1.6.16","Gastrology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$115","v":0},3]
[null,"2.1.7 Duty rosters","2.1.7","Duty rosters of all OPDs are developed regularly and available in appropriate location.",null,1]
[null,"2.1.8 Facilities for patients ","2.1.8.1","Comfortable waiting space with sitting arrangement is available for at least 100 persons in waiting lobby (for total OPDs)",null,1]
[null,null,"2.1.8.2","Safe drinking water is available in the waiting lobby throughout the day.",null,1]
[null,null,"2.1.8.3","There are four toilets with hand‑washing facilities (2 for males and 2 for females separate, one each universal toilet)",null,1]
[null,null,"2.1.8.4","Hand‑washing facilities are available for patients",null,1]
[null,"2.1.9 Recording and reporting","2.1.9","OPD register available in every OPD with ICD 10 classification for diagnosis recorded (electronic health recording system) (See checklist 2.1 At the end of this standard for scoring)",{"$f":"'Checklist 2.1'!$W$10","v":0},3]
[null,"2.1.10 Infection prevention ","2.1.10.1","Masks and gloves are available and used (See Checklist 2.1 At the end of this standard for scoring)",{"$f":"'Checklist 2.1'!$W$11","v":0},3]
[null,null,"2.1.10.2","There are well labeled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP) (See Checklist 2.1 At the end of this standard for scoring)",{"$f":"'Checklist 2.1'!$W$12","v":0},3]
[null,null,"2.1.10.3","Hand‑washing facility with running water and soap or hand sanitizer is available for practitioners (See Checklist 2.1 At the end of this standard for scoring)",{"$f":"'Checklist 2.1'!$W$13","v":0},3]
[null,null,"2.1.10.4","Needle cutter is used (See Checklist 2.1 At the end of this standard for scoring)",{"$f":"'Checklist 2.1'!$W$14","v":0},3]
[null,null,"2.1.10.5","Chlorine solution is available and utilized for decontamination (See Checklist 2.1 At the end of this standard for scoring). ",{"$f":"'Checklist 2.1'!$W$15","v":0},3]
["NSI","Standard 2.1",null,"Total Score",{"$f":"SUM($E$159:$E$169,$E$171:$E$188,$E$190:$E$219)","v":0},{"$f":"SUM($F$159:$F$169,$F$171:$F$188,$F$190:$F$219)","v":151}]
["NSI",null,null,"Total Percentage (Total Score/ 145 x100)",{"$f":"$E$220/$F$220","v":{"v":0,"d":"0.00%"}}]
[]
[null,"1Separate set of sheets for standards, checklist and annexes should be used for assessment of each OPD and cumulative scoring is done after the assessment of all OPDs"]
[]
["NSI","Area","Code","Verification"]
["NSI","Special Clinics",2.2]
["NSI","Immunization and Growth Monitoring Clinic","2.2.1"]
[null,"Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.2.1.1 Time for patients","2.2.1.1","Immunization and growth monitoring service is available from 10 AM to 3 PM.",null,1]
[null,"2.2.1.2 Staffing","2.2.1.2","Adequate numbers of healthcare workers are available (at least 2 HA/SN)",null,1]
[null,"2.2.1.3 Maintaining patient privacy","2.2.1.3","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients).",null,1]
[null,"2.2.1.4 Patient counseling","2.2.1.4.1","Counseling is provided to caretaker about the type of vaccine, its schedule, nutritional status of child.",null,1]
[null,null,"2.2.1.4.2","Appropriate IEC/BCC materials on vaccine, schedule and child growth and nutrition are available in clinic",null,1]
[null,"2.2.1.5 Instrument, equipment and supplies available","2.2.1.5","Immunization and growth monitoring instrument, equipment and supplies are available (See Annex 2.2.1a Immunization and growth monitoring At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$238","v":0},3]
[null,"2.2.1.6 Physical facilities","2.2.1.6.1","Adequate rooms and space for health worker and patients are available with at least one working table, chair for health worker and two patients’ chair",null,1]
[null,null,"2.2.1.6.2","Light and ventilation are adequately maintained.",null,1]
[null,"2.2.1.7 Recording and reporting","2.2.1.7.1","Patient’s card (Health card, growth chart) and register available and services recorded",null,1]
[null,null,"2.2.1.7.2","Adverse immunization reactions, complication, severe under-nutrition and referral to other sites recorded and reported",null,1]
[null,"2.2.1.8 Infection prevention ","2.2.1.8.1","Masks and gloves are available and used",null,1]
[null,null,"2.2.1.8.2","There are well labelled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.2.1.8.3","Hand‑washing facility with running water and soap is available for practitioners.",null,1]
[null,null,"2.2.1.8.4","Needle cutter is used",null,1]
[null,null,"2.2.1.8.5","Chlorine solution is available and utilized. ",null,1]
["NSI","Standard 2.2.1",null,"Total Score",{"$f":"SUM($E$229:$E$243)","v":0},{"$f":"SUM($F$229:$F$243)","v":17}]
["NSI",null,null,"Total Percentage (Total Score/ 17 x100)",{"$f":"$E$244/$F$244","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Family planning Clinic","2.2.2"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.2.2.1 Time for patients","2.2.2.1","Family planning service is available from 10 AM to 3 PM.",null,1]
[null,"2.2.2.2 Space","2.2.2.2","A separate area dedicated for FP counseling  and Services ",null,1]
[null,"2.2.2.3 Staffing","2.2.2.3","Adequate numbers of healthcare workers are available (at least 2 HA/ SN)",null,1]
[null,"2.2.2.4 Maintaining patient privacy","2.2.2.4","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients).",null,1]
[null,"2.2.2.5 Client counseling","2.2.2.5.1","Counseling is provided to users for family planning methods",null,1]
[null,null,"2.2.2.5.2","Appropriate IEC/BCC materials on family planning including DMT tool used for counseling",null,1]
[null,"2.2.2.6 Supplies available","2.2.2.6","Supplies for Family Planning Services available (See Annex 2.2.2a Supplies for FP services At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$264","v":0},3]
[null,"2.2.2.7 Equipment and supplies available","2.2.2.7","Sphygmomanometer, stethoscope, thermometer, and weighing scale available",null,1]
[null,"2.2.2.8 Physical facilities","2.2.2.8.1","Adequate rooms and space for health worker and patients are available with at least one working table, chair for health worker and two patients’ chair and one examination bed",null,1]
[null,null,"2.2.2.8.2","Light and ventilation are adequately maintained.",null,1]
[null,"2.2.2.9 Recording and reporting","2.2.2.9.1","Patient’s health card and register available and services recorded",null,1]
[null,null,"2.2.2.9.2","FP related complication, defaulter and contraceptive failure are recorded and reported",null,1]
[null,"2.2.2.10 Infection prevention ","2.2.2.10.1","Masks and gloves are available and used",null,1]
[null,null,"2.2.2.10.2","There are well labelled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.2.2.10.3","Hand‑washing facility with running water and soap is available for practitioners.",null,1]
[null,null,"2.2.2.10.4","Needle cutter is used",null,1]
[null,null,"2.2.2.10.5","Chlorine solution is available and utilized. ",null,1]
["NSI","Standard 2.2.2",null,"Total Score",{"$f":"SUM($E$251:$E$267)","v":0},{"$f":"SUM($F$251:$F$267)","v":19}]
["NSI",null,null,"Total Percentage (Total Score/ 19 x100)",{"$f":"$E$268/$F$268","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","ATT, ART clinic ","2.2.3"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.2.3.1 Time for patients","2.2.3.1","Clinic is open from 10 AM to 3 PM.",null,1]
[null,"2.2.3.2 Staffing","2.2.3.2","Adequate numbers of healthcare workers are available in OPD (at least 2 mid-level health workers are assigned)",null,1]
[null,"2.2.3.3 Maintaining patient privacy","2.2.3.3","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients).",null,1]
[null,"2.2.3.4 Patient counseling","2.2.3.4.1","Counseling is provided to patients about the type of treatment being given and its consequences.",null,1]
[null,null,"2.2.3.4.2","Appropriate IEC/BCC materials on TB, HIV/AIDS (posters, leaflets) are available in the OPD waiting area.",null,1]
[null,"2.2.3.5 Medicine available","2.2.3.5","Medicines for TB, HIV/AIDS as per government treatment protocol available in OPD",null,1]
[null,"2.2.3.6 Equipment and supplies available","2.2.3.6","OPD has functional BP set, stethoscope, thermometer and weighing scale",null,1]
[null,"2.2.3.7 Physical facilities","2.2.3.7.1","Adequate rooms and space for health worker and patients are available with at least one working table, chair for health worker and two patients’ chair",null,1]
[null,null,"2.2.3.7.2","Light and ventilation are adequately maintained.",null,1]
[null,"2.2.3.8 Facilities for patients","2.2.3.8.1","Safe drinking water with mug or glass is available for taking medicine",null,1]
[null,null,"2.2.3.8.2","Hand‑washing facilities are available for patients.",null,1]
[null,"2.2.3.9 Recording and reporting","2.2.3.9.1","Patient’s card (TB, ART) and register available and services recorded",null,1]
[null,null,"2.2.3.9.2","Drug resistance, complication and referral to other sites recorded and reported",null,1]
[null,"2.2.3.10 Infection prevention ","2.2.3.10.1","Masks and gloves are available and used",null,1]
[null,null,"2.2.3.10.2","There are well labelled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.2.3.10.3","Hand‑washing facility with running water and soap is available for practitioners.",null,1]
[null,null,"2.2.3.10.4","Needle cutter is used",null,1]
[null,null,"2.2.3.10.5","Chlorine solution is available and utilized. ",null,1]
["NSI","Standard 2.2.3",null,"Total Score",{"$f":"SUM($E$275:$E$292)","v":0},{"$f":"SUM($F$275:$F$292)","v":18}]
["NSI",null,null,"Total Percentage (Total Score/ 18 x100)",{"$f":"$E$293/$F$293","v":{"v":0,"d":"0.00%"}}]
[]
["NSI","Area","Code","Verification"]
["NSI","Special Clinics",2.2]
["NSI","Safe Abortion Services","2.2.4"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.2.4.1 Time for patients","2.2.4.1","Safe abortion services is available from 10 AM to 3 PM.",null,1]
[null,"2.2.4.2 Space","2.2.4.2","A separate area dedicated for Safe Abortion counseling and services, area is washable and has separate instrument processing space for decontamination",null,1]
[null,"2.2.4.3 Staffing","2.2.4.3.1","At least one medical officer or gynecologist trained and certified in first trimester SAS is available",null,1]
[null,null,"2.2.4.3.1","For surgical abortion, at least  one gynecologist and SN trained and certified in second trimester SAS is available",null,1]
[null,"2.2.4.4 Maintaining patient privacy","2.2.4.4","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients).",null,1]
[null,"2.2.4.5 Client counseling","2.2.4.5.1","Counseling is provided to users on Safe Abortion Services, complication and family planning post abortion along with clear discharge instructions",null,1]
[null,null,"2.2.4.5.2","Appropriate IEC/BCC materials on safe abortion services and post abortion family planning services –Medical Abortion Chart, CAC counseling flip chart, second trimester counseling flipchart, DMT Tools used for counseling",null,1]
[null,"2.2.4.6 WHO Safe Surgery Checklist available ","2.2.4.6","WHO safe surgery checklist is available and used for safe abortion services including written informed consent",null,1]
[null,"2.2.4.7 Instruments, equipments and Supplies available","2.2.4.7.1","Instruments, equipments and supplies for Safe Abortion Services available (See Annex 2.2.4a Instruments, equipments and supplies for Safe Abortion services At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$323","v":0},3]
[null,null,"2.2.4.7.2","Functional BP set, stethoscope, thermometer, and weighing scale available",null,1]
[null,"2.2.4.8Physical facilities","2.2.4.8.1","Adequate rooms and space for health worker and patients are available with at least one working table, chair for health worker and two patients’ chair, one examination bed, one procedure table and one foot step ",null,1]
[null,null,"2.2.4.8.2","Light and ventilation are adequately maintained.",null,1]
[null,"2.2.4.9 Recording, reporting and histological examination","2.2.4.9.1","Patient’s health card and register available and services recorded along with complications if any",null,1]
[null,null,"2.2.4.9.2"," Product of conception is sent for histopathlogical examination and reports followed up",null,1]
[null,"2.2.4.10 Infection prevention ","2.2.4.10.1","Utility Gloves, Gumboot, Mask, Plastic Apron, Caps are available and used",null,1]
[null,null,"2.2.4.10.2","There are well labelled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.2.4.10.3","Hand‑washing facility with running water and soap is available for practitioners.",null,1]
[null,null,"2.2.4.10.4","Needle cutter is used.",null,1]
[null,null,"2.2.4.10.5","Chlorine solution is available and utilized. ",null,1]
["NSI","Standard 2.2.4",null,"Total Score",{"$f":"SUM($E$300:$E$318)","v":0},{"$f":"SUM($F$300:$F$318)","v":21}]
["NSI",null,null,"Total Percentage (Total Score/ 19 x100)",{"$f":"$E$319/$F$319","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Emergency Service","2.3.1"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.3.1 Time for patients","2.3.1","Emergency department is open 24 hours ",null,1]
[null,"2.3.2 Staffing (per shift in ER)","2.3.2.1.1","For 5-10 ER beds (Doctor: Nurse: Paramedics: Office Assistant = 1:1:1:1)",null,1]
[null,null,"2.3.2.1.2","For every increased 5 ER beds, proportionate  additional health workers is done (Doctor: Nurse: Paramedics: helper = 1:1:1:1)",null,1]
[null,null,"2.3.2.2","There should be 1:1 nurse patient ration in red area, 1:3 in yellow area and 1:6 in green area.",null,1]
[null,null,"2.3.2.3","The doctor, nurse and paramedics are trained in PTC, ETM, BLS and ACLS [1]training",null,1]
[null,"2.3.3 Physical facilities","2.3.3.1","10% of the total hospital beds are allocated for ER of which 1% for red, 2% for yellow, 3% for green and 1 % for black color coded ",null,1]
[null,null,"2.3.3.2","Adequate furniture and supplies (See Annex 2.3a Furniture and General Supplies for ER At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$358","v":0},3]
[null,null,"2.3.3.3","Light and ventilation are adequately maintained.",null,1]
[null,null,"2.3.3.4","Designated area for nursing station centrally placed in ER and all beds visible from nursing station",null,1]
[null,null,"2.3.3.5","Space allocated for duty room and changing room separate for male and female staffs with facilities of tea room ",null,1]
[null,null,"2.3.3.6","Separate toilets for staffs at least one each-male, female and universal ",null,1]
[null,null,"2.3.3.7","Separate land line/ mobile phone for emergency  ",null,1]
[null,"2.3.4 Instruments/ equipment","2.3.4","Instruments and equipment to carry out the ER works are available and functioning (See Annex 2.3b ER Instruments and Equipment At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$408","v":0},3]
[null,"2.3.5 Medicines and supplies","2.3.5.1","Medicines and supplies to carry out the ER works are available (See Annex 2.3c Medicines and Supplies for ER At the end of this standard) ",{"$f":"'Annex 2.1a - 2.16b'!$D$464","v":0},3]
[null,null,"2.3.5.2","Emergency stock of medicines and supplies for mass casualty management",null,1]
[null,"2.3.6 Triage","2.3.6.1","Hospital maintains a triage system in the ER with 24 hours triage service ",null,1]
[null,null,"2.3.6.2","Availability of at least two sets of triaging equipment- thermometer, stethoscope, BP instrument, Pulse Oxy-meter, glucometer",null,1]
[null,null,"2.3.6.3","Triage category board and information to the public (Red, Yellow, Green Board)",null,1]
[null,"2.3.7 Emergency protocol in place","2.3.7.1","In red area one of the bed is Resuscitation bed with availability of emergency crash trolley with emergency lifesaving drugs, cardiac monitor, non-invasive ventilator, oxygen concentrator   ",null,1]
[null,null,"2.3.7.2","Development of 001 or Blue code call system whenever any patient visited in Emergency collapses and need immediate and urgent emergency care",null,1]
[null,null,"2.3.7.3","Emergency disposition of the patient either in observation ward or definite care ward or referral or discharge within 3-6 hours",null,1]
[null,null,"2.3.7.4","Critical patient transfer from emergency to OT or Inter-hospital transfer is accompanied at least by paramedics or Nurse for handover of patient   ",null,1]
[null,"2.3.8 Maintaining patient privacy","2.3.8","Appropriate methods have been used to ensure patient privacy (separate rooms, curtains hung)",null,1]
[null,"2.3.9 Security","2.3.9","The hospital has maintained security system for ER for 24 hours with CCTV coverage",null,1]
[null,"2.3.10 Mass casualty/ disaster preparedness","2.3.10.1","The hospital has mass casualty management protocol, and all staffs are updated with well labelled direction, prepositioning clipboards",null,1]
[null,null,"2.3.10.2","Disaster area identified with adequate furniture to carry out Triage in case of disaster",null,1]
[null,null,"2.3.10.3","There must be disaster store in ER with required medicines, supplies and equipment (See Annex 2.3d List of medicine, supplies and equipment for Disaster Store)",{"$f":"'Annex 2.1a - 2.16b'!$D$554","v":0},3]
[null,null,"2.3.10.4","Hospital carries out at least one mock drill and disaster preparedness once a year",null,1]
[null,"2.3.11 Duty rosters","2.3.11","Duty rosters of the ER are developed regularly and available in appropriate location",null,1]
[null,"2.3.12 Maintaining inventory","2.3.12","Separate inventories for emergency lifesaving drugs/equipment and narcotics are maintained",null,1]
[null,"2.3.13 Securing narcotic drugs","2.3.13","Narcotic drugs are kept separately and securely with mandatory recording system",null,1]
[null,"2.3.14 Facilities for patients ","2.3.14.1","Safe drinking water is available 24 hours",null,1]
[null,null,"2.3.14.2","Hand‑washing facility with running water and liquid soap",null,1]
[null,null,"2.3.14.3","There are at least 3 toilets with hand‑washing facilities (1 for males, 1 for females, and 1 universal) for every 10 ER beds and for additional beds increase proportionately for male and female ",null,1]
[null,"2.3.15 Decontamination area","2.3.15","Decontamination area specified and practiced",null,1]
[null,"2.3.16 Infection prevention ","2.3.16.1","Staff wear mask and gloves at work",null,1]
[null,null,"2.3.16.2","There are clearly labelled colored bins for waste segregation and disposal as per HCWM Guideline 2014 (MoHP)",null,1]
[null,null,"2.3.16.3","Needle cutter is used",null,1]
[null,null,"2.3.16.4","Chlorine solution is available and utilized for decontamination",null,1]
["NSI","Standard 2.3",null,"Total Score",{"$f":"SUM($E$326:$E$364)","v":0},{"$f":"SUM($F$326:$F$364)","v":47}]
["NSI",null,null,"Total Percentage (Total Score/ 47 x100)",{"$f":"$E$365/$F$365","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code ","Verification"]
["NSI","Emergency Minor OT",2.4]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.4.1 Working space","2.4.1","A separate minor OT room space dedicated for emergency minor operative procedures ",null,1]
[null,"2.4.2 Furniture & general supplies","2.4.2","Adequate furniture and general supplies are available (See Annex 2.4a Furniture and General Supplies for ER Minor OT At the end of this standard).",{"$f":"'Annex 2.1a - 2.16b'!$D$615","v":0},3]
[null,"2.4.3 Services available","2.4.3","Minimum dressing services and routine procedures are available (See Annex 2.4b List of Minimum Services from ER Minor OT At the end of this standard). ",{"$f":"'Annex 2.1a - 2.16b'!$D$655","v":0},3]
[null,"2.4.4 Staffing","2.4.4","Duty roster prepared to assign staffs for emergency minor OT ",null,1]
[null,"2.4.5Disposable supplies","2.4.5","Medicines and supplies needed for surgical procedures available (See Annex 2.4c Medicine and Supplies for Minor OT At the end of this standard).",{"$f":"'Annex 2.1a - 2.16b'!$D$689","v":0},3]
[null,"2.4.6 Sterile supplies","2.4.6.1","Adequate quantity of sterilized packs for Minor OT are available (See Annex 2.4d Sterile Supplies for Minor OT At the end of this standard).",{"$f":"'Annex 2.1a - 2.16b'!$D$710","v":0},3]
[null,null,"2.4.6.2","Separate containers for sterile gauze and cotton balls are available.",null,1]
[null,"2.4.7 Anesthesia services available","2.4.7.1","Minor OT has equipment, instrument and supplies for anesthesia services (See Annex 2.4e Equipment, Instrument and Supplies for Anesthesia for Minor OT At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$744","v":0},3]
[null,null,"2.4.7.2","Minor OT has medicines and supplies for anesthesia services (See Annex 2.4f Medicine and Supplies for Anesthesia for Minor OT At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$818","v":0},3]
[null,"2.4.8 Infection prevention and waste disposal","2.4.8.1","Mask, gloves, plastic apron, boots and goggles are available and used whenever required.",null,1]
[null,null,"2.4.8.2","At least three color coded waste bins as per HCWM guideline 2014 (MoHP)  are available and used",null,1]
[null,null,"2.4.8.3","Supplies trolley with needle cutter is available and used",null,1]
[null,null,"2.4.8.4","Hand‑washing facility with running water and soap ",null,1]
[null,null,"2.4.8.5","Chlorine solution is available and utilized for decontamination",null,1]
[null,"2.4.9 Documentation","2.4.9","Proper records of all procedures are kept and reported.",null,1]
["NSI","Standard 2.4",null,"Total Score",{"$f":"SUM($E$372:$E$386)","v":0},{"$f":"SUM($F$372:$F$386)","v":27}]
["NSI",null,null,"Total Percentage (Total Score/ 27 x100)",{"$f":"$E$387/$F$387","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Hospital Pharmacy Service",2.5]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.5.1 Pharmacy department available","2.5.1.1","Hospital has designated pharmacy department",null,1]
[null,null,"2.5.1.2","Pharmacy department has designated outpatient unit, inpatient unit, insurance, free and program drug supply unit.",null,1]
[null,null,"2.5.1.3","There is separate office room allocated within the pharmacy department",null,1]
[null,null,"2.5.1.4","Hospital does not have other pharmacies within hospital premises",null,1]
[null,"2.5.2 Governance committee for hospital pharmacy services","2.5.2","Governance committee for hospital are formed based on hospital pharmacy-service guideline:"]
[null,null,"2.5.2.1","Drug and Therapeutic committee (DTC) chaired by medical superintendent or hospital director",null,1]
[null,null,"2.5.2.2","Hospital pharmacy operation committee chaired by chief hospital pharmacist",null,1]
[null,"2.5.3 Hospital formulary\nHeading: Availability of medicines and supplies ","2.5.3.1","Hospital has hospital formulary based on Nepalese National Formulary (NNF) and approved by DTC",null,1]
[null,null,"2.5.3.2","Hospital formulary includes all medicines and supplies as per services provided by hospital",null,1]
[null,null,"2.5.3.3","Hospital has all, medicines and supplies available as per approved hospital formulary list",null,1]
[null,"2.5.4 Good procurement practice ","2.5.4.1","Annual procurement plan for medicines and supplies for pharmacy services is available",null,1]
[null,null,"2.5.4.2","Procurement is done based on public procurement guideline",null,1]
[null,null,"2.5.4.3","Product specification for each medicine and related supplies of approved formulary list is available",null,1]
[null,null,"2.5.4.4","Technical criteria on quality assurance of procured medicines is included in standard bidding document",null,1]
[null,null,"2.5.4.5","Certificate of analysis (CoA) from manufacturer of each batch of procured medicine is available",null,1]
[null,null,"2.5.4.6","Selling price of the drugs does not exceed 20% of the procurement price",null,1]
[null,"2.5.4 Pharmacy service hours","2.5.4","The hospital pharmacy is open 24x7",null,1]
[null,"2.5.5 Staffing as per hospital pharmacy service guideline 2072","2.5.5.1"," Pharmacy department is led by at least one clinical pharmacist",null,1]
[null,null,"2.5.5.2","Pharmacy has at least 3 pharmacist, 6 assistant pharmacist and 2 office assistants for each shift",null,1]
[null,null,"2.5.5.3","Duty roster of pharmacy to cover 24 hours service is prepared and visibly placed",null,1]
[null,"2.5.7 Display of list of free medicines","2.5.7","The list of free medicines is displayed in a clearly visible place.",null,1]
[null,"2.5.8 Availability of medicines for specific programs","2.5.8","All of the required medicines and supplies for specific programs are available in pharmacy (less than 50%= 0; 50-70 =1, 70-85=2 85-100= 3)",null,3]
[null,"2.5.9 Inpatient pharmacy services available","2.5.9","Hospital pharmacy directly supplies inpatient medicine and supplies to wards and OT",null,1]
[null,"2.5.10 Electronic record keeping","2.5.10","Pharmacy uses computer with software for inventory management and medicine use",null,1]
[null,"2.5.12 Pharmacy stock available","2.5.12","Number of items of hospital formulary stocked in pharmacy (less than 50%= 0; 50-70 =1, 70-85=2, 85-100= 3)",null,3]
[null,"2.5.13 Display and storage of medicines","2.5.13.1","All the medicines and supplies are displayed in clean racks following either alphabetical orders and generic names or grouping as use",null,1]
[null,null,"2.5.13.2","Temperature of pharmacy is monitored and recorded and is maintained in range of (25+/-2°C)",null,1]
[null,null,"2.5.13.3","Functional freeze 5°C +/-2°C for thermolabile medicine",null,1]
[null,"2.5.14 Information to patients","2.5.14.1","Pharmacy department has its allocated separate information and counseling unit with reference books or e-books with internet facility",null,1]
[null,null,"2.5.14.2","Information regarding the medicines is provided to the patients.",null,1]
[null,null,"2.5.14.3","IEC materials (posters, leaflets, national hospital formulary) about the appropriate use for medicines are available in the pharmacy area.",null,1]
[null,"2.5.15 Generic prescription","2.5.15","Hospital has pre-printed list of medicines for  generic prescription  available",null,1]
[null,"2.5.16 Dispensing medicines"," 2.5.16.1"," Medicine is dispensed using electronic billing with barcode system",null,1]
[null,null,"2.5.16.2","Each medicine is given with written instructions on how to take ",null,1]
[null,"2.5.17  First Expiry First Out (FEFO)","2.5.17","FEFO system is maintained using standard stock book/cards.",null,1]
[null,"2.5.18 Pharmacy Inventory","2.5.18","Every month, all medicines and supplies are counted, out- of-date discarded, and tallied with the medical store.",null,1]
[null,"2.5.19  Drug utilization review and quantification of data","2.5.19.1","Pharmacy department operates pharmacovigilance  activities and adverse drug reaction (ADR) Reporting",null,1]
[null,null,"2.5.19.2","Pharmacy department conducts studies on drug utilization and quantification ",null,1]
[null,null,"2.5.19.3","Antimicrobial stewardship programme , proper antimicrobial utilization review and provide data on antimicrobial use  ",null,1]
[null,"2.5.20 Pharmaceutical waste disposal","2.5.20","Pharmaceutical waste (expired or unused pharmaceutical products, spilled contaminated pharmaceutical products surplus drugs, vaccines or sera, etc) management is done based on HCWM guideline 2014 (MoHP)  or returned to the supplier on time",null,1]
["NSI","Standard 2.5",null,"Total Score",{"$f":"SUM($E$394:$E$397,$E$399:$E$433)","v":0},{"$f":"SUM($F$394:$F$397,$F$399:$F$433)","v":43}]
["NSI",null,null,"Total Percentage (Total Score/43 x100)",{"$f":"$E$434/$F$434","v":{"v":0,"d":"0.00%"}}]
[]
["NSI","Area","Code","Verification"]
["NSI","Inpatient Service[1]",2.6]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.6.1 Space for work","2.6.1.1","Separate space for nursing station is available in each ward (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$4","v":0},3]
[null,null,"2.6.1.2","Separate doctors meeting room is available in each ward (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!O5","v":0},3]
[null,null,"2.6.1.3","Separate changing room available for male and female staffs (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$6","v":0},3]
[null,null,"2.6.1.4","Separate store room is available (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$7","v":0},3]
[null,null,"2.6.1.5","One ward should not exceed 25 beds for general ward",null,1]
[null,"2.6.2 Furniture and supplies available and functioning","2.6.2","Furniture and supplies to carry out the inpatient services are available and functioning "]
[null,null,"2.6.2.1","Medicine Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$878","v":0},3]
[null,null,"2.6.2.2","Surgery Ward(See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$879","v":0},3]
[null,null,"2.6.2.3.1","Pediatrics Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$880","v":0},3]
[null,null,"2.6.2.3.2","Separate area dedicated for play room with play materials for different pediatric age groups",null,1]
[null,null,"2.6.2.4","Orthopedics ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$881","v":0},3]
[null,null,"2.6.2.5.1","Psychiatry ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$882","v":0},3]
[null,null,"2.6.2.5.2","Separate area dedicated for recreational activities for psychiatry patients",null,1]
[null,null,"2.6.2.5.3","Separate space designated for ECT procedure with treatment bed, ECT machine, emergency trolley with medicines and supplies",null,1]
[null,null,"2.6.2.6","ENT Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$883","v":0},3]
[null,null,"2.6.2.7","PNC and Gynecology Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$884","v":0},3]
[null,null,"2.6.2.8","Burn/Plastic Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$885","v":0},3]
[null,null,"2.6.2.8.1","Separate space designated for physiotherapy with walker, weight lifting and cycle exercise facility for burn inpatients",null,1]
[null,null,"2.6.2.8.2","Separate OT is designated for burn ",null,1]
[null,null,"2.6.2.8.3","Separate ICU is designated for burn patient ",null,1]
[null,null,"2.6.2.8.4","Separate space designated for shower (bathing) for burn patient",null,1]
[null,null,"2.6.2.9","Geriatrics Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$886","v":0},3]
[null,"2.6.3 Medicine and supplies available ","2.6.3","Medicine and supplies to carry out the inpatient services are available in  wards"]
[null,null,"2.6.3.1","Medicine Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$926","v":0},3]
[null,null,"2.6.3.2","Surgery Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$927","v":0},3]
[null,null,"2.6.3.3","Pediatrics Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$928","v":0},3]
[null,null,"2.6.3.4","Orthopedics ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$929","v":0},3]
[null,null,"2.6.3.5","Psychiatry ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$930","v":0},3]
[null,null,"2.6.3.6","ENT Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$931","v":0},3]
[null,null,"2.6.3.7","PNC and Gynecology Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$932","v":0},3]
[null,null,"2.6.3.8","Burn/Plastic Ward(See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$933","v":0},3]
[null,null,"2.6.3.9","Geriatrics Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$934","v":0},3]
[null,"2.6.4 Nursing station","2.6.4","There is a set of at least one table and two chairs in the nursing station and shelves for storage of charts and inpatient forms and formats (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$8","v":0},3]
[null,"2.6.5 Nursing staff for inpatient service"," 2.6.5","Adequate numbers of nursing staff are available in ward per shift (nurse patient ratio 1:6 in general ward, 1:4 in pediatric ward, 1:2 in high dependency or intermediate ward or post-operative ward or burn/plastic) and at least one trained office assistant/ward attendant per shift in each ward (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$9","v":0},3]
[null,"2.6.6 Duty rosters","2.6.6","Duty roster of doctors, nurses, paramedics and support staffs kept visibly in nursing station (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$10","v":0},3]
[null,"2.6.7 Communication","2.6.7","Telephone facility is available with list of important contact numbers and hospital codes visibly kept (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$11","v":0},3]
[null,"2.6.8 Emergency management of inpatients","2.6.8.1","All staffs in wards are trained for BLS and oriented about emergency code 001 or blue code (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$12","v":0},3]
[null,null,"2.6.8.2","At least one emergency trolley with emergency medicine available in ward "]
[null,null,"2.6.8.2.1","Medicine Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$992","v":0},3]
[null,null,"2.6.8.2.2","Surgery Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$993","v":0},3]
[null,null,"2.6.8.2.3","Pediatrics Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$994","v":0},3]
[null,null,"2.6.8.2.4","Orthopedics ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$995","v":0},3]
[null,null,"2.6.8.2.5.1","Psychiatry ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$996","v":0},3]
[null,null,"2.6.8.2.5.2","ECT room (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$997","v":0},3]
[null,null,"2.6.8.2.6","ENT Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$998","v":0},3]
[null,null,"2.6.8.2.7","PNC and Gynecology Ward(See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$999","v":0},3]
[null,null,"2.6.8.2.8","Burn/plastic Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1000","v":0},3]
[null,null,"2.6.8.2.9","Geriatrics Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1001","v":0},3]
[null,null,"2.6.8.3","At least one defibrillator in immediate accessible area (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$13","v":0},3]
[null,"2.6.9 Safe Abortion Service (SAS) available","2.6.9","Safe abortion service (SAS) is available as per National SAS Implementation Guideline",null,1]
[null,"2.6.10 Physical facilities for patient ","2.6.10.1","Separate area designated for admission of male and female inpatients in wards (See Checklist At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$14","v":0},3]
[null,null,"2.6.10.2","There are adequate separate toilets for male and female patients in each ward (1 for 6 female bed and 1 for 8 male beds) and also adequate wash basins/sinks for the patients. (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$15","v":0},3]
[null,null,"2.6.10.3","Patient safety in taken care of in all inpatient wards including proper fixation of the furniture and equipment",null,1]
[null,null,"2.6.10.4","Separate waiting area for visitors.",null,1]
[null,null,"2.6.10.5","For psychiatry ward, ensure that there is special arrangements for securing all furniture, equipment and instrument; all doors with no internal laches or locks, all the windows have grills and half doors in toilets and bathrooms for visible head and foot parts from outside",null,1]
[null,null,"2.6.10.6","Safe drinking water is available 24 hours for inpatients(See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$16","v":0},3]
[null,null,"2.6.10.7","Hours/ Time allocated for visitors to meet the inpatients and controlled traffic to prevent cross infection (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$17","v":0},3]
[null,null,"2.6.10.8","Separate space is available for patients’ visitors (KuruwaGhar).",null,1]
[null,"2.6.11 Communication and counselling"," 2.6.11.1","Basic information regarding admitted patients is displayed in a separate board  (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$19","v":0},3]
[null,null,"2.6.11.2","Separate space with privacy dedicated for regular counselling is done for patient and patient party on condition and disease of patient (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$20","v":0},3]
[null,"2.6.12 IEC/BCC Materials","2.6.12","Appropriate IEC/BCC materials (posters, leaflets etc.) are available in the inpatient ward with focus on infection prevention (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$21","v":0},3]
[null,"2.6.13 Recording and reporting","2.6.13","Admission and discharge registers are available and are being filled completely (HMIS 8.1 and 8.2) (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$22","v":0},3]
[null,"2.6.14 Infection prevention ","2.6.14.1","PPE are available and used whenever required (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$23","v":0},3]
[null,null,"2.6.14. 2","Each ward has hand sanitizer in visible place for health workers to use before and after touching patients (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$24","v":0},3]
[null,null,"2.6.14.3","There are well labelled color coded bins for waste segregation and disposal as per HCWM guideline  2014 (MoHP) (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$25","v":0},3]
[null,null,"2.6.14.4","Hand‑washing facility with running water and liquid soap is available and being practiced (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$26","v":0},3]
[null,null,"2.6.14.5","Needle cutter is used (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$27","v":0},3]
[null,null,"2.6.14..6","Chlorine solution is available and utilized for decontamination (See Checklist 2.6 At the end of this standard for scoring)",{"$f":"'Checlist 2.6'!$O$28","v":0},3]
[null,null,"2.6.17.7","Separate isolation room for any communicable disease patients",null,1]
["NSI","Standard 2.6",null,"Total Score",{"$f":"SUM($E$440:$E$444,$E$446:$E$461,$E$463:$E$476,$E$478:$E$508)","v":0},{"$f":"SUM($F$440:$F$444,$F$446:$F$461,$F$463:$F$476,$F$478:$F$508)","v":170}]
["NSI",null,null,"Total Percentage (Total Score/ 170x100)",{"$f":"$E$509/$F$509","v":{"v":0,"d":"0.00%"}}]
[]
["NSI","Area","Code","Verification"]
["NSI","Maternity Services",2.7]
["NSI","Delivery Services","2.7.1"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.7.1.1 Availability of delivery service","2.7.1.1.1","Separate pre-labor room/ labor room with privacy is available.",null,1]
[null,null,"2.7.1.1.2","Delivery service is available round the clock",null,1]
[null,null,"2.7.1.1.3","At least one delivery bed is assigned for every 15 maternity beds",null,1]
[null,null,"2.7.1.1.4","Labor room has adequate space for accommodating team of health workers during emergencies and easy access to OT",null,1]
[null,null,"2.7.1.1.5","Separate OT for Obstetric Emergencies is available",null,1]
[null,"2.7.1.2 Trained Human Resource for Delivery Services ","2.7.1.2.1 Hospital delivery service has adequate and trained staffing"]
[null,null,"2.7.1.2.1.1","Nurse: pregnant women ratio 1:2 in pre-labor; 2:1 per delivery table and 1:6 in post-natal ward",null,1]
[null,null,"2.7.1.2.1.2"," At least one ASBA trained medical officer on duty ",null,1]
[null,null,"2.7.1.2.1.3"," At least one office assistant is available per shift",null,1]
[null,null,"2.7.1.2.2","All staffs- nursing, medical practitioner designated for delivery services are trained skilled birth attendants",null,1]
[null,"2.7.1.3 Duty rosters","2.7.1.3","Duty roster to cover 24 hours shift is developed and placed in visible place",null,1]
[null,"2.7.1.4 Appropriate use of partograph for decision making","2.7.1.4","Partograph available and being used rationally",null,1]
[null,"2.7.1.5 KMC done for low birth weight babies","2.7.1.5","At least 2 KMC chairs available for providing KMC to premature and preterm babies",null,1]
[null,"2.7.1.6 Birth certificate prepared and released","2.7.1.6","A formally signed standard birth certificate is issued.",null,1]
[null,"2.7.1.7 Patient counseling","2.7.1.7.1","Pre-labor/ during labor patient and patients’ family are adequately given counseling on labor, possible complications and written consent taken",null,1]
[null,null,"2.7.1.7.2","Health education on PNC, danger signs of mother and child, Immunization, nutrition, hygiene and family planning is given ",null,1]
[null,null,"2.7.1.7.3","Postpartum family planning and breastfeeding- early, exclusive and extended counseling is done prior to discharge.",null,1]
[null," 2.7.1.8 IEC/BCC [1] materials","2.7.1.8","Appropriate IEC/BCC materials (posters, leaflets etc.) on postnatal care, breastfeeding- early, exclusive and extended, nutrition, immunization are used and available for users",null,1]
[null,"2.7.1.9 Furniture, equipment, instrument, medicine and supplies for labor room "," 2.7.1.9.1","Separate store room for delivery service related logistics",null,1]
[null,null,"2.7.1.9.2","The facility has adequate equipment, instrument and general supplies for delivery services (See Annex 2.7.1a Furniture, equipment, instrument and general supplies for labor room At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1070","v":0},3]
[null,null,"2.7.1.9.3","Labor room has medicines and supplies available for delivery services (See Annex 2.7.1bmedicines and supplies for Labor Room At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1140","v":0},3]
[null,null,"2.7.1.9.4","Labor room has emergency cart with medicines and supplies available (See Annex 2.7.1c Medicines and Supplies for ER[2] Trolley Labor Room At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1191","v":0},3]
[null,"2.7.1.10 Facilities for patients ","2.7.1.10.1","Safe drinking water is available 24 hours.",null,1]
[null,null,"2.7.1.10.2","Separate toilet for patient is available in pre-labor room and accessible to patient after delivery",null,1]
[null,null,"2.7.1.10.3","There should be maternity waiting homes[3]where there is more than 20 deliveries per day and the waiting home must be taken round by every shift with at least one visit (by nurse)",null,1]
[null,"2.7.1.11 Infection prevention ","2.7.1.11.1","Personal protective equipment are available and used whenever required.",null,1]
[null,null,"2.7.1.11.2","Washable labor room",null,1]
[null,null,"2.7.1.11.3","Separate slipper designated for labor room and hand sanitizer placed in visible place for use",null,1]
[null,null,"2.7.1.11.4","There are at well labelled color-coded bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.7.1.11.5","Hand‑washing facility with running water and liquid soap is available",null,1]
[null,null,"2.7.1.11.6","Needle cutter is used",null,1]
[null,null,"2.7.1.11.7"," Liquid sodium hypochoride (0.5% Chlorine solution) is available and utilized for decontamination. ",null,1]
[null,null,"2.7.1.11.8","Dry gauze and cotton are stored separately in clean containers.",null,1]
[null,null,"2.7.1.11.9","Separate bowls/ bucket for placenta and plastic ",null,1]
[null,null,"2.7.1.11.10","Placenta pit is used to dispose placenta.",null,1]
["NSI","Standard 2.7.1",null,"Total Score",{"$f":"SUM($E$516:$E$520,$E$522:$E$550)","v":0},{"$f":"SUM($F$516:$F$520,$F$522:$F$550)","v":40}]
["NSI",null,null,"Total Percentage = Total Score/ 40 x100",{"$f":"$E$551/$F$551","v":{"v":0,"d":"0.00%"}}]
[]
["NSI","Area","Code","Verification"]
["NSI","Maternity Services",2.7]
["NSI","Maternity Inpatient Service","2.7.2"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.7.2.1 Space for work","2.7.2.1.1","Separate space for nursing station is available ",null,1]
[null,null," 2.7.2.1.2","Separate changing room available for male and female staffs",null,1]
[null,null,"2.7.2.1.3","Separate store room is available ",null,1]
[null,null,"2.7.2.1.4","Separate space dedicated for pre-labor, labor and post-labor patients",null,1]
[null,"2.7.2.2 Furniture and supplies available and functioning","2.7.2.2","Furniture and supplies to carry out the inpatient services are available and functioning (See annex 2.7.2a Furniture and supplies for maternity inpatient wards At the end of this standard ) (including nursing station)",{"$f":"'Annex 2.1a - 2.16b'!$D$1239","v":0},3]
[null,"2.7.2.3 Medicine and supplies available ","2.7.2.3","Medicine and supplies to carry out the inpatient services are available General Ward (See Annex 2.7.2bmedicine and supplies for maternity inpatient wards At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1266","v":0},3]
[null,"2.7.2.4 Nursing and support staff for inpatient service"," 2.7.2.4.1","Adequate numbers of nursing staff are available in ward per shift (nurse patient ratio 1:6 in general ward)    ",null,1]
[null,null,"2.7.2.4.2","At least one trained office assistant per shift in each ward",null,1]
[null,"2.7.2.5 Duty rosters","2.7.2.5","Duty roster of doctors, nurses, paramedics and support staffs kept visibly in nursing station ",null,1]
[null,"2.7.2.6 Communication","2.7.2.6","Telephone facility is available with list of important contact numbers and hospital codes visibly kept ",null,1]
[null,"2.7.2.7 Emergency management of inpatients","2.7.2.7.1","All staffs in wards are trained for BLS and oriented about emergency code 001 or blue code",null,1]
[null,null,"2.7.2.7.2","At least one emergency trolley with emergency medicine available in ward (Annex 2.7.2c Medicine and Supplies for ER Trolley for Maternity In patient Ward At the end of this standard) ",{"$f":"'Annex 2.1a - 2.16b'!$D$1316","v":0},3]
[null,null,"2.7.2.7.3","At least one defibrillator in immediate accessible area ",null,1]
[null,"2.7.2.8  Physical facilities for patient ","2.7.2.8.1","Area designated for admission of inpatients in general ward",null,1]
[null,null,"2.7.2.8.2","There are adequate toilets for male and female patients in each ward (1 for 6 female bed)",null,1]
[null,null,"2.7.2.8.3","Safe drinking water is available 24 hours for inpatients",null,1]
[null,null,"2.7.2.8.4","Hours/ Time allocated for visitors to meet the inpatients and controlled traffic to prevent cross infection",null,1]
[null,null,"2.7.2.8.5","Separate space is available for patients’ visitors (Kuruwa Ghar).",null,1]
[null,null,"2.7.2.8.6","Separate space for pericare and peri light",null,1]
[null,"2.7.2.9 Communication"," 2.7.2.9","Basic information regarding admitted patients is displayed in a separate board  ",null,1]
[null,"2.7.2.10 IEC/BCC Materials","2.7.2.10","Appropriate IEC materials (posters, leaflets etc.) are available in the inpatient ward with focus on infection prevention",null,1]
[null,"2.7.2.11 Recording and reporting","2.7.2.11","Admission and discharge registers are available and are being filled completely (HMIS 8.1 and 8.2)",null,1]
[null,"2.7.2.12 Infection prevention ","2.7.2.12.1","Personal Protective equipment are available and used whenever required ",null,1]
[null,null,"2.7.2.12.2","Each ward has hand sanitizer in visible place for health workers to use before and after touching patients",null,1]
[null,null,"2.7.2.12.3","There are well labelled color-coded bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)  ",null,1]
[null,null,"2.7.2.12.4","Hand washing facility with running water and liquid soap is available and being practiced ",null,1]
[null,null,"2.7.2.12.5","Needle cutter is used",null,1]
[null,null,"2.7.2.12.6","Chlorine solution is available and utilized for decontamination ",null,1]
["NSI","Standard 2.7.2",null,"Total Score",{"$f":"SUM($E$558:$E$585)","v":0},{"$f":"SUM($F$558:$F$585)","v":34}]
["NSI",null,null,"Total Percentage (Total Score/ 34 x100)",{"$f":"$E$586/$F$586","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Maternity Service",2.7]
["NSI","Birthing center service","2.7.3"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.7.3.1 Birthing center available","2.7.3.1","Dedicated block for birthing center with health facility having more than 500 deliveries per month",null,1]
[null,"2.7.3.2 Space for work","2.7.3.2.1","Separate space for nursing station is available ",null,1]
[null,null," 2.7.3.2.2","Separate changing room available for male and female staffs",null,1]
[null,null,"2.7.3.2.3","Separate store room is available ",null,1]
[null,null,"2.7.3.2.4","Separate space dedicated for pre-labor, labor and post-labor patients",null,1]
[null,"2.7.3.3 Furniture and supplies available and functioning","2.7.3.3","Furniture and supplies to carry out the inpatient services are available and functioning (See Annex 2.7.3aFurniture and supplies for birthing center At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1367","v":0},3]
[null,"2.7.3.4 Medicine and supplies available ","2.7.3.4","Medicine and supplies to carry out the inpatient services are available General Ward (See Annex 2.7.3b Medicine and supplies for Birthing Center At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1394","v":0},3]
[null,"2.7.3.5 Nursing station","2.7.3.5","There is a set of at least one table and two chairs in the nursing station and shelves for storage of charts and inpatient forms and formats ",null,1]
[null,"2.7.3.6 Nursing staff for inpatient service"," 2.7.3.6","Hospital delivery service has adequate and trained staffing"]
[null,null,"2.7.3.6.1","Nurse/Midwife: pregnant women ratio 1:2 in pre-labor; 2:1 per delivery table and 1:6 in post-natal ward",null,1]
[null,null,"2.7.3.6.2"," At least one ASBA trained medical officer on duty ",null,1]
[null,null,"2.7.3.6.3"," At least one office assistant is available per shift",null,1]
[null,null,"2.7.3.6.4","All staffs- nursing, medical practitioner designated for delivery services are trained skilled birth attendants/Midwife",null,1]
[null,"2.7.3.7 Duty rosters","2.7.3.7","Duty roster to cover 24 hours shift is developed and placed in visible place",null,1]
[null,"2.7.3.8 Communication","2.7.3.8","Telephone facility is available with list of important contact numbers and hospital codes visibly kept ",null,1]
[null,"2.7.3.9 Emergency management of inpatients","2.7.3.9.1","All staffs in wards are trained for BLS and oriented about emergency code 001 or blue code",null,1]
[null,null,"2.7.3.9.2","At least one emergency trolley with emergency medicine available in ward (See Annex 2.7.3c Medicine and Supplies for ER Trolley for Maternity Inpatient Ward At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1446","v":0},3]
[null,null,"2.7.3.9.3","At least one defibrillator in immediate accessible area ",null,1]
[null,"2.7.3.10 Physical facilities for patient ","2.7.3.10.1","Area designated for admission of inpatients in general ward",null,1]
[null,null,"2.7.3.10.2","Each bed is screened to maintain patient privacy",null,1]
[null,null,"2.7.3.10.3","There are adequate toilets for male and female patients in each ward (1 for 6 female bed)",null,1]
[null,null,"2.7.3.10.4","Safe drinking water is available 24 hours for inpatients",null,1]
[null,null,"2.7.3.10.5","Hours/ Time allocated for visitors to meet the inpatients and controlled traffic to prevent cross infection",null,1]
[null,null,"2.7.3.10.6","Separate space is available for patients’ visitors (Kuruwa Ghar).",null,1]
[null,"2.7.3.11 Communication"," 2.7.3.11","Basic information regarding admitted patients is displayed in a separate board  ",null,1]
[null,"2.7.3.12 IEC/BCC Materials","2.7.3.12","Appropriate IEC materials (posters, leaflets etc.) are available in the inpatient ward with focus on infection prevention",null,1]
[null,"2.7.3.13 Recording and reporting","2.7.3.13","Admission and discharge registers are available and are being filled completely (HMIS 8.1 and 8.2)",null,1]
[null,"2.7.3.14 Infection prevention ","2.7.3.14.1","PPE are available and used whenever required ",null,1]
[null,null,"2.7.3.14.2","Each ward has hand sanitizer in visible place for health workers to use before and after touching patients",null,1]
[null,null,"2.7.3.14.3","There are well labelled color-coded bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.7.3.14.4","Hand‑washing facility with running water and liquid soap is available and being practiced ",null,1]
[null,null,"2.7.3.14.5","Needle cutter is used",null,1]
[null,null,"2.7.3.14.6","Chlorine solution is available and utilized for decontamination ",null,1]
["NSI","Standard 2.7.3",null,"Total Score",{"$f":"SUM($E$594:$E$601,$E$603:$E$626)","v":0},{"$f":"SUM($F$594:$F$601,$F$603:$F$626)","v":38}]
["NSI",null,null,"Total Percentage (Total Score/ 38 x100)",{"$f":"$E$627/$F$627","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Surgery / Operation Services",2.8]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.8.1 Time for surgical services/ operations","2.8.1.1.1","Routine minor and intermediate surgeries available on scheduled days",null,1]
[null,null,"2.8.1.1.2","Routine major surgeries available on scheduled days",null,1]
[null,null,"2.8.1.2","Emergency surgeries available round the clock",null,1]
[null,"2.8.2 Staffing","2.8.2.1","For one surgery, at least a team is composed of: MS with one trained medical officer, two OT trained nurse (one scrub and one circulating), one Anesthesiologist, one anesthesia assistant and one office assistant ( for cleaning and helping)",null,1]
[null,null,"2.8.2.2","For overall management of operation theatre, there is one OT nurse (with minimum bachelors degree) assigned as OT in-charge",null,1]
[null,null,"2.8.2.3","At least two nurses in pre-anesthesia area for receiving and transferring of the patient",null,1]
[null,null,"2.8.2.4","At least two ICU trained nurses for post anesthesia care for receiving patient after OT ",null,1]
[null,"2.8.3 Surgical services available","2.8.3.1","General Surgeries (See Annex 2.8a List of Minimum Surgeries Available At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1501","v":0},3]
[null,null,"2.8.3.2","Obstetrics and gynecology surgeries (See Annex 2.8b List of Minimum Obstetrics and gynecology surgeries Available At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1529","v":0},3]
[null,null,"2.8.3.3","Orthopedic Surgeries (See Annex 2.8c List of Minimum Orthopedics Surgeries Available At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1589","v":0},3]
[null,null,"2.8.3.4","ENT surgeries available (See Annex 2.8d Types of ENT Surgeries Available At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1617","v":0},3]
[null,null,"2.8.3.5","Neurosurgeries available (See Annex 2.8e Types of Neurology Surgeries Available At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1640","v":0},3]
[null,null,"2.8.3.6","Urology Surgeries available (See Annex 2.8f Types of Urology Surgery Available At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1665","v":0},3]
[null,null,"2.8.3.7","Burn/plastic Surgeries available (See Annex Types of Burn/Plastic 2.8g Surgery Available At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1689","v":0},3]
[null,"2.8.4 Patient counseling and ","2.8.4.1","Indications and reviews the clinical history and physical examination is documented ",null,1]
[null,null,"2.8.4.2","Pre-anesthesia checkup done for routine surgeries and documented",null,1]
[null,null,"2.8.4.3","Informed consent is taken before surgery; patients and caretakers are given appropriate counseling about the surgery",null,1]
[null,"2.8.5  WHO safe surgery checklist","2.8.5","The WHO Safe Surgery Checklist is available in OT and used",null,1]
[null,"2.8.6 Patient preparation","2.8.6","Preoperative instructions for patient preparation are given and practiced with routine pre-anesthesia check up",null,1]
[null,"2.8.7 Operation Theatre/Room","2.8.7.1","At least six (6) functional modular operating theater (OT)  with Heating Ventilation Air Conditioning (HVAC) system with HEPA filter and positive pressure.",null,1]
[null,null,"2.8.7.2","OT room corners are coved. ",null,1]
[null,null,"2.8.7.3","OT lights and pipelines are concealed with epoxy coating floor and wall",null,1]
[null,null,"2.8.7.4","OT has appropriate physical set up (See Annex 2.8h Physical Set Up for OT At the end of this standard).",{"$f":"'Annex 2.1a - 2.16b'!$D$1713","v":0},3]
[null,null,"2.8.7.5","Each operating room has general equipment, instruments and supplies available (See Annex 2.8i Furniture, Equipment, Instruments and Supplies for OT At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1780","v":0},3]
[null,null,"2.8.7.6","Each operating room has medicines and supplies available (See Annex 2.8j General Medicine and Supplies for OT At the end of this standard)  ",{"$f":"'Annex 2.1a - 2.16b'!$D$1813","v":0},3]
[null,null,"2.8.7.7","Surgical sets for minimum list of the surgical services available (See Annex 2.8k Surgical sets for Minimum list of the surgical procedures At the end of this standard) ",{"$f":"'Annex 2.1a - 2.16b'!$D$1873","v":0},3]
[null,"2.8.8.1 Availability of anesthesia Services","2.8.8.1","Anesthesia service is provided following the standards operating procedure"]
[null,null,"2.8.8.1.1","Local anesthesia ",null,1]
[null,null,"2.8.8.1.2","Regional anesthesia ",null,1]
[null,null,"2.8.8.1.3","Spinal anesthesia  ",null,1]
[null,null,"2.8.8.1.4","General anesthesia",null,1]
[null,"2.8.8.2Equipment, instruments and supplies for anesthesia","2.8.8.2","Equipment, instrument and supplies for anesthesia available (See Annex 2.8l Equipment, Instrument and Supplies for Anesthesia At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1911","v":0},3]
[null,"2.8.8.3 Medicine and supplies for anesthesia","2.8.8.3","Medicine and supplies for anesthesia available (See Annex 2.8m Medicine and Supplies for Anesthesia At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$1986","v":0},3]
[null,"2.8.8.4 Staffing and supervision ","2.8.8.4.1","Anesthesia should be provided, led, or overseen by an anesthesiologist",null,1]
[null,"2.8.9 Pre anesthesia  and post-operative care","2.8.9.1","Dedicated space for pre-anesthesia assessment  and post-anesthesia recovery with patient bed, IV stand, IV cannula, fixing tapes, infusion sets, burette sets, syringes, three-way stop cocks and at least one cardiac monitor ",null,1]
[null,null,"2.8.9.2","Separate area designated for post-operative care to stabilize the patient after surgery",null,1]
[null,null,"2.8.9.3","Staffs are specified for the post-operative care including close monitoring of the vital signs and observation of patient",null,1]
[null,null,"2.8.9.4","Patients’ pain management is prioritized, measures well documented and analgesic effect followed up",null,1]
[null,null,"2.8.9.5","Patient undergoing surgical procedure is done pre- anesthetic check-up, continuously monitored during and at least 2 hours post- anesthesia",null,1]
[null,null,"2.8.9.6","Adequate information shared for patient care and patient followed by at least one nurse/doctor for hand over or transfer of patient within or outside the hospital",null,1]
[null,"2.8.10 Recording ","2.8.10.1","Recording is done for all surgeries procedure including observation, management and complications if any",null,1]
[null,null,"2.8.10.2","Records of all anesthetic procedures are kept and reported",null,1]
[null,null,"2.8.11"," Infection prevention protocol is strictly followed by all staffs in operation theatre/room"]
[null,"2.8.11.1 Hand hygiene","2.8.11.1","Hand‑washing and scrubbing facility with running water and soap is available and being practiced with elbow tap",null,1]
[null,"2.8.11.2 Appropriate PPE","2.8.11.2","Gowns and sterile drapes for patients and sterile gown for surgery team are available and used whenever required.",null,1]
[null,"2.8.11.3 Fumigation","2.8.11.3","Fumigation is done at least once a week in the OT on Saturdays and as per need and maintained logbook.",null,1]
[null,"2.8.11.4 Disinfection of instruments","2.8.11.4","High Level Disinfection (e.g. Cidex) facility is available and being practiced.",null,1]
[null,"2.8.11.5 High Wash","2.8.11.5","High wash is done once a month in OT and maintained logbook",null,1]
[null,"2.8.11.6 Appropriate segregation of waste","2.8.11.6","Separate colored waste bins based on HCWM guideline 2014 (MoHP)  are available and used",null,1]
[null,"2.8.11.7 Disposal of sharps","2.8.11.7","Needle cutter is used",null,1]
[null,"2.8.11.8 Cleaning ","2.8.11.8.1","Chlorine solution is available and utilized for decontamination. ",null,1]
[null,null,"2.8.11.8.2","Standard Operating Procedure (SOP) for cleaning and fumigation is available",null,1]
[null,null,"2.8.11.8.3","Cleaning agent and disinfectants for OT are used in rotation as per SOP",null,1]
[null,null,"2.8.11.8.4","Microbiological bio-burden is monitored in OT and log book maintained",null,1]
["NSI","Standard 2.8",null,"Total Score",{"$f":"SUM($E$634:$E$659,$E$661:$E$675,$E$677:$E$687)","v":0},{"$f":"SUM($F$634:$F$659,$F$661:$F$675,$F$677:$F$687)","v":78}]
["NSI",null,null,"Total Percentage= Total Score/ 78 x 100",{"$f":"$E$688/$F$688","v":{"v":0,"d":"0.00%"}}]
[]
["NSI","Area","Code","Verification"]
["NSI","Hemodialysis service",2.9]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.9.1 Time for patients","2.9.1.1","Hemodialysis service is available in three shifts  and appointments of patient scheduled",null,1]
[null,null,"2.9.1.2","Emergency hemodialysis is available round the clock",null,1]
[null,null,"2.9.1.3","Under privilege citizen facilities as per norms of government of Nepal",null,1]
[null,"2.9.2 Space for hemodialysis service","2.9.2.1","Separate block/rooms designated for hemodialysis with space for at least two hemodialysis beds and machines and a working.",null,1]
[null,null," 2.9.2.2","The dialysis station is easily accessible in time of emergency and have adequate space for resuscitation to be carried out.",null,1]
[null,null,"2.9.2.3","There is designated space for dialyzer reprocessing and proper cleaning and preparation of dialysers for reuse done based on protocol",null,1]
[null,null,"2.9.2.4","There is designated space for medicine preparation and storage of medicines, equipment, instruments and supplies in shelves with separate dry and wet storage shelves",null,1]
[null,null,"2.9.2.5","Separate bed is available for rest to patient after dialysis or to give injection on OPD as erythropoietin, cyclophosphamide, and others.",null,1]
[null,"2.9.3 Staffing","2.9.3.1","There should be at least one haemodialysis trained medical officer with on call MD Internal Medicine or Nephrologist and one nurse per two dialysis machine per shift ",null,1]
[null,null,"2.9.3.2","All hemodialysis staffs are trained on BLS, ACLS and basic maintenance of hemodialysis machine.",null,1]
[null,null,"2.9.3.3","Biomedical equipment trained technician is available any time in case of technical emergencies",null,1]
[null,"2.9.4 Patient counseling","2.9.4.1","Counselling to the patient and attendant is done by multi-disciplinary team to adhere the patient to the treatment therapy including dietary counseling and follow up",null,1]
[null,null,"2.9.4.2","Proper care and monitoring of the Vascular access is done during treatment and patient counseled about its care",null,1]
[null,"2.9.5 Equipment, instruments, drugs and consumables available","2.9.5.1","At least 10 Dialysis machines are equipped with monitors and audio-visual alarms to ensure safe dialysis.",null,1]
[null,null,"2.9.5.2","Dedicated hemodialysis area and dedicated dialysis machines for patients with hepatitis B, Hepatitis C and PLHA",null,1]
[null,null,"2.9.5.3","Adequate medical equipment and instruments available. (See Annex 2.9aList of medical equipment and instruments for hemodialysis At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2024","v":0},3]
[null,null,"2.9.5.4","Adequate drugs and consumables available (See Annex 2.9b Medicines and supplies for hemodialysis At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2089","v":0},3]
[null,"2.9.6 Physical Facility"," 2.9.6.1","Product water is free from harmful chemicals and bacterial contamination with reverse osmosis done",null,1]
[null,null,"2.9.6.2","Water used to prepare the dialysate has colony count of less than 100CFU/ml. (AAMI Standard)",null,1]
[null,null,"2.9.6.3","Recommended water quality by provision of water analysis for bacteria at least monthly and chemical at least six monthly.",null,1]
[null,null,"2.9.6.4","Endotoxin test of RO water and dialysate is performed in annual basis.",null,1]
[null,null,"2.9.6.5","Power back up supply is ensured in hemodialysis unit at least for reverse osmosis and dialysis machine",null,1]
[null,null,"2.9.6.6","Plumbing is installed in manner as to prevent back flow of the dialysate drainage",null,1]
[null,null,"2.9.6.7","There is adequate light, well ventilation and suitable temperature maintained",null,1]
[null,null,"2.9.6.8","Separate toilets for male and female staff with at least one universal toilet",null,1]
[null,"2.9.7 Inventory maintained ","2.9.7","Biomedical equipment log book is maintained along with preventive maintenance records",null,1]
[null,"2.9.8 Handover and takeover of critical patients","2.9.8","There is provision of transporting patient for transfer/referral in safe manner accompanied by at least one mid-level health worker and if needed medical officer",null,1]
[null,"2.9.9 Recording and reporting","2.9.9.1","Medical record is maintained in register and digital format.",null,1]
[null,null,"2.9.9.2","Dialysis schedule of the patient is maintained in board along with time.",null,1]
[null,"2.9.10 Infection control measures followed in hemodialysis service","2.9.10.1","Personal protective equipment as gown, mask, face shield as per requirement.",null,1]
[null,null,"2.9.10.2 ","Dialyzers and AV blood lines of PLHA, Hepatitis B and Hepatitis C positive is discarded after each use.",null,1]
[null,null,"2.9.10.3","Rinsing of machine is done after each shift and disinfection is done as per protocol",null,1]
[null,null,"2.9.10.4","Dedicated shoes and gown is available in entrance of dialysis unit.",null,1]
[null,null,"2.9.10.5","Autoclave of infected waste before disposal",null,1]
[null,null,"2.9.10.6","There are colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.0.10.7","Hand‑washing facility with running water and liquid soap is available for practitioners  ",null,1]
[null,null,"2.9.10.8","Needle cutter is used",null,1]
[null,null,"2.9.10.9","Chlorine solution is available and utilized for decontamination. ",null,1]
["NSI","Standard 2.9",null,"Total Score",{"$f":"SUM($E$694:$E$731)","v":0},{"$f":"SUM($F$694:$F$731)","v":42}]
["NSI",null,null,"Total Percentage (Total Score/ 42 x100)",{"$f":"$E$732/$F$732","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code"," Verification"]
["NSI","Intensive Care Services",2.1]
["NSI","Intensive care unit (ICU)","2.10.1"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.10.1 ICU service for both inpatient and referral cases","2.10.1.1","ICU service is available for inpatients and referral critical cases round the clock",null,1]
[null,null,"2.10.1.2","Minimum number of Level III ICU beds is 5% of total hospital beds",null,1]
[null,null,"2.10.1.3","At least six (8) functional ICU beds with Heating Ventilation Air Conditioning (HVAC) system with HEPA filter and positive pressure.",null,1]
[null,null,"2.10.1.4","ICU room corners are coved. ",null,1]
[null,null,"2.10.1.5","ICU lights and pipelines are concealed with epoxy coating floor and wall",null,1]
[null,"Adequate physical facilities "]
[null,"2.10.1.2 Strategic location of ICU in hospital","2.10.1.2.1","ICU must have easy access and connectivity with operation theatre complex, emergency department, radio-imaging and clinical lab.",null,1]
[null,null,"2.10.1.2.2","ICU must have a single entry and exit point to allow free access to heavy duty machines like mobile x-ray, bed and trolleys on wheels",null,1]
[null,null,"2.10.1.2.3","There must be at least two barriers to the entry of ICU",null,1]
[null,null,"2.10.1.2.3","Separate designated space inside ICU complex but separate from Clincal Service Area"]
[null,null,"2.10.1.2.4","Family waiting area with chairs at least one for each ICU bed",null,1]
[null,null,"2.10.1.2.5","Counselling room with working desk and chairs",null,1]
[null,null,"2.10.1.2.6","Central Nursing Station with working desk, centrally connected monitors display of each bed and at least three chairs",null,1]
[null,null,"2.10.1.2.7","Nurse's Room with tea room facility and reference books in shelves",null,1]
[null,null,"2.10.1.2.7","Doctor's Room with tea room facility and reference books in shelves",null,1]
[null,null,"2.10.1.2.8","Utility Room with separate dirty and clean linen storage ",null,1]
[null,null,"2.10.1.2.9","Changing Room (Separate for male and female) with adequate number of lockers for staffs’ belongings",null,1]
[null,null,"2.10.1.2.10","Wash room (Separate for male and female with at least one universal)",null,1]
[null,null,"2.10.1.2.11","Proper bed area allocated for each bed with supplies (See Annex 2.10.1a Proper Bed Area for ICU At the end of the standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2112","v":0},3]
[null,null,"2.10.1.2.12","There should be system of central oxygen supply and vacuum for suction",null,1]
[null,null,"2.10.1.2.13","Lighting: Access to natural light for each bed",null,1]
[null,null,"2.10.1.2.14","ICU must have air conditioner to maintain the temperature, humidity and air flow and closed to outer environment",null,1]
[null,null,"2.10.1.2.15","High illumination spot lighting for procedures, like putting central lines etc.",null,1]
[null,null,"2.10.1.2.16","There must be proper fire extinguishing machines.",null,1]
[null,"2.10.1.3 Staffing","2.10.1.3.1","ICU has staffing as per annex . (See Annex 2.10.1b Staffing of Intensive care services At the end of the standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2139","v":0},3]
[null,null,"2.10.1.3.2","There must be one ICU in-charge with 5 years experience in ICU (Nursing officer) with minimum of Bachelor in Nursing with at least three month training or Certification in Critical Care Nurse Training ) in for overall nursing management of ICU",null,1]
[null,"2.10.1.4 Equipment and instruments available and functioning","2.10.1.4","ICU has adequate equipment and instruments to function adequately (See Annex 2.10.1c Equipment and Instrument for intensive care services At the end of the standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2183","v":0},3]
[null,"2.10.1.5 Duty rosters","2.10.1.5.1","Duty roster for 24 hours is prepared and placed in visible area for all ICU staffs including doctors and nurses.",null,1]
[null,null,"2.10.1.5.2","Each ICU Bed has to be assigned a ICU Nurse per shift who is responsible for nursing management of that patient. (One patient should be assigned only one nurse but one nurse can take care of two patient)",null,1]
[null,"2.10.1.6 ICU protocol in place and followed","2.10.1.6.1","ICU must practice ICU protocols (e.g. Published by Nepalese Society for Critical Care Medicine (NSCCM)) on given clinical conditions AND all staffs in ICU trained in Basic Life Support, Advance Life Support, Mechanical Ventilation, Infection prevention, Therapeutic Feeding",null,1]
[null,null,"2.10.1.6.2","All ICUs must be designed to handle disasters both within ICU and outside the ICU",null,1]
[null,"2.10.1.7 Recording and reporting","2.10.1.7.1","Separate Nursing Flow Sheet tailored for ICU set up is used for continuous monitoring of the patients and e-recording done in standard software approved by MoHP",null,1]
[null,null,"2.10.1.7.2","Handover and takeover of the patients from ER or other wards is done with patient being received in ICU accompanied by respective ward at least staff nurse or paramedics ",null,1]
[null,null,"2.10.1.7.3","Complications, morbidity and mortality are recorded, reported and proceeded for clinical audit on regular basis (at least weekly)",null,1]
[null,"2.10.1.8 Infection prevention ","2.10.1.8.1","10% of beds (1 to 2) should be separated as isolation beds in each ICU",null,1]
[null,null,"2.10.1.8.2","Hand Hygiene protocol developed and followed between each ICU bed with alcohol hand rubs or sanitizer. Hand Hygiene compliance should be monitored at least two times a year.",null,1]
[null,null,"2.10.1.8.3","Separate space designated for scrub station with running water and liquid soap, elbow lever and hand drier available and functional",null,1]
[null,null,"2.10.1.8.4","Waste disposal as per HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.10.1.8.5","Gown and slippers for doctors, nurses, visitors – as required",null,1]
[null,null,"2.10.1.8.6","Chlorine solution is available and utilized for decontamination",null,1]
[null,null,"2.10.1.8.7","Cleaning agent and disinfectants for ICU are used in rotation as per SOP",null,1]
[null,null,"2.10.1.8.8","Microbial bio-burden of ICU is monitored and logbook maintained",null,1]
["NSI","Standard 2.10.1",null,"Total Score",{"$f":"SUM($E$750:$E$781,$E$740:$E$744,$E$746:$E$748)","v":0},{"$f":"SUM($F$750:$F$781,$F$740:$F$744,$F$746:$F$748)","v":46}]
["NSI",null,null,"Total percentage= Total Score/44 x 100",{"$f":"$E$782/$F$782","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Neonatal Intensive care unit","2.10.2"," Verification "]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.10.2.1 NICU service for both inpatient and referral cases","2.10.2.1.1","NICU service is available for inpatients and referral critical cases round the clock",null,1]
[null,null,"2.10.2.1.2","Minimum number of NICU beds is 5% of total hospital beds",null,1]
[null,null,"2.10.2.1.3","One NICU set up has at least 5 NICU beds",null,1]
[null," 2.10.2.2 Adequate physical facilities","2.10.2.2.1","NICU must have easy access and connectivity with operation theatre complex, emergency department, radio-imaging and clinical lab.",null,1]
[null,null,"2.10.2.2.2","NICU must have a single entry and exit point to allow free access to heavy duty machines like mobile x-ray, bed and trolleys on wheels",null,1]
[null,null,"2.10.2.2.3","There must be at least two barriers to the entry of NICU",null,1]
[null,null,"2.10.2.2.4","Separate designated space in NICU for"]
[null,null,"2.10.2.2.4.1","Family waiting area with chairs at least one for each NICU bed",null,1]
[null,null,"2.10.2.2.4.2","Counselling room with working desk and chairs",null,1]
[null,null,"2.10.2.2.4.3","Breast feeding room with comfortable chair and air conditioning for mother to feed or express breast milk",null,1]
[null,null,"2.10.2.2.4.4","Central Nursing Station with working desk, centrally connected monitors display of each bed and at least three chairs",null,1]
[null,null,"2.10.2.2.4.5","Nurse's Room with tea room facility and reference books in shelves",null,1]
[null,null,"2.10.2.2.4.6","Doctor's Room with tea room facility and reference books in shelves",null,1]
[null,null,"2.10.2.2.4.7","Utility Room with separate dirty and clean linen storage ",null,1]
[null,null,"2.10.2.2.4.8","Changing Room (Separate for male and female) with adequate number of lockers for staffs’ belongings",null,1]
[null,null,"2.10.2.2.4.9","Wash room (Separate for male and female with at least one universal)",null,1]
[null,null,"2.10.2.2.4.10","Lighting: Access to natural light",null,1]
[null,null,"2.10.2.2.4.11","NICU must have air conditioner to maintain the temperature, humidity and air flow and closed to outer environment",null,1]
[null,null,"2.10.2.2.4.12","There should be central oxygen supply and suction",null,1]
[null,null,"2.10.2.2.4.13","High illumination spot lighting for procedures, like putting central lines etc.",null,1]
[null,null,"2.10.2.2.4.14","There must be proper fire extinguishing machines.",null,1]
[null,"2.10.2.3 Staffing","2.10.2.3","NICU has staffing as per annex (See Annex 2.10.1b Staffing of Intensive care services At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2140","v":0},3]
[null,"2.10.2.4 Equipment and instruments available and functioning","2.10.2.4","NICU has adequate equipment and instruments to function adequately (See Annex 2.10.1c Equipment and Instrument for intensive care services At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2184","v":0},3]
[null,"2.10.2.5 Duty rosters","2.10.2.5","Duty roster for 24 hours is prepared and placed in visible area for all NICU staffs including doctors and nurses",null,1]
[null,"2.10.2.6 NICU protocol in place and followed","2.10.2.6.1","NICU must practice given protocols on all given clinical conditions with all staffs in NICU trained in Basic Life Support, Pediatric Advance Life Support, Critical Care Support, Mechanical Ventilation, Infection prevention, Tube feeding, Incubators, Warmer, Phototherapy",null,1]
[null,null,"2.10.2.6.2","All NICUs must be designed to handle disasters both within NICU and outside the NICU",null,1]
[null,"2.10.2.7 Recording and reporting","2.10.2.7.1","Separate sheet tailored for NICU set up is used for continuous monitoring of the patients and e-recording done in standard software approved by MoHP",null,1]
[null,null,"2.10.2.7.2","Handover and takeover of the patients from ER or other wards is done with patient being received in NICU accompanied by respective ward at least  staff nurse or paramedics ",null,1]
[null,null,"2.10.2.7.3","Complications, morbidity and mortality are recorded, reported and proceeded for clinical audit on regular basis (at least weekly)",null,1]
[null,"2.10.2.8 Infection prevention ","2.10.2.8.1","10% of beds (1 to 2) should be separated as isolation beds in each NICU",null,1]
[null,null,"2.10.2.8.2","Hand Hygiene protocol developed and followed between each NICU bed with alcohol hand rubs or sanitizer",null,1]
[null,null,"2.10.2.8.3","Separate space designated for scrub station with running water and liquid soap, elbow lever and hand drier available and functional",null,1]
[null,null,"2.10.2.8.4","Every neonate must be properly cleaned /wiped everyday by using approved solution. ",null,1]
[null,null,"2.10.2.8.5","Use of personal protective equipment while caring each neonate to prevent cross infection.",null,1]
[null,null,"2.10.2.8.6","Waste disposal as per HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.10.2.8.7","Gown and slippers for doctors, nurses, visitors",null,1]
[null,null,"2.10.2.8.8","Chlorine solution is available and utilized for decontamination",null,1]
[null,null,"2.10.2.8.9","Cleaning agent and disinfectants for NICU are used in rotation as per SOP",null,1]
[null,null,"2.10.2.8.10","Microbial bio-burden of NICU is monitored and logbook maintained",null,1]
["NSI","Standard 2.10.2",null,"Total Score",{"$f":"SUM($E$795:$E$826,$E$788:$E$793)","v":0},{"$f":"SUM($F$795:$F$826,$F$788:$F$793)","v":42}]
["NSI",null,null,"Total percentage= Total Score/42 x 100",{"$f":"$E$827/$F$827","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Pediatric Intensive care unit","2.10.3","Verification "]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.10.3.1 PICU service for both inpatient and referral cases","2.10.3.1.1","PICU service is available for inpatients and referral critical cases round the clock",null,1]
[null,null,"2.10.3.1.2","One PICU set up has at least 5 PICU beds",null,1]
[null,"2.10.3.2 Adequate physical facilities","2.10.3.2.1","PICU must have easy access and connectivity with operation theatre complex, emergency department, radio-imaging and clinical lab.",null,1]
[null,null,"2.10.3.2.2","PICU must have a single entry and exit point to allow free access to heavy duty machines like mobile x-ray, bed and trolleys on wheels",null,1]
[null,null,"2.10.3.2.3","There must be at least two barriers to the entry of PICU",null,1]
[null,null,"2.10.3.2.4","Separate designated space in PICU for"]
[null,null,"2.10.3.2.5","Family waiting area with chairs at least one for each PICU bed",null,1]
[null,null,"2.10.3.2.6","Counselling room with working desk and chairs",null,1]
[null,null,"2.10.3.2.7","Central Nursing Station with working desk, centrally connected monitors display of each bed and at least three chairs",null,1]
[null,null,"2.10.3.2.8","Nurse's Room with tea room facility and reference books in shelves",null,1]
[null,null,"2.10.3.2.9","Doctor's Room with tea room facility and reference books in shelves",null,1]
[null,null,"2.10.3.2.10","Utility Room with separate dirty and clean linen storage ",null,1]
[null,null,"2.10.3.2.11","Changing Room (Separate for male and female) with adequate number of lockers for staffs’ belongings",null,1]
[null,null,"2.10.3.2.12","Wash room (Separate for male and female with at least one universal)",null,1]
[null,null,"2.10.3.2.13","Proper bed area allocated for each bed with supplies ",null,1]
[null,null,"2.10.3.2.14","Lighting: Access to natural light",null,1]
[null,null,"2.10.3.2.15 ","PICU must have air conditioner to maintain the temperature, humidity and air flow and closed to outer environment",null,1]
[null,null,"2.10.3.2.16","There should be central oxygen supply and suction",null,1]
[null,null,"2.10.3.2.17","High illumination spot lighting for procedures, like putting central lines etc.",null,1]
[null,null,"2.10.3.2.18","There must be proper fire extinguishing machines.",null,1]
[null,"2.10.3.3 Staffing","2.10.3.3","PICU has staffing as per annex. (See Annex 2.10.1b Staffing of Intensive care services At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2141","v":0},3]
[null,"2.10.3.4 Equipment and instruments available and functioning ","2.10.3.4","PICU has adequate equipment and instruments to function adequately (See Annex 2.10.1c Equipment and Instrument for intensive care services At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2185","v":0},3]
[null,"2.10.3.5 Duty rosters","2.10.3.5","Duty roster for 24 hours is prepared and placed in visible area for all PICU staffs including doctors and nurses",null,1]
[null,"2.10.3.6 PICU protocol in place and followed","2.10.3.6.1","PICU must practice given protocols on all given clinical conditions with all staffs in PICU trained in Basic Life Support, Advance Life Support, Critical Care Support, Mechanical Ventilation, Infection prevention, Therapeutic Feeding",null,1]
[null,null,"2.10.3.6.2","All PICUs must be designed to handle disasters both within PICU and outside the PICU",null,1]
[null,"2.10.3.7 Recording and reporting","2.10.3.7.1","Separate sheet tailored for PICU set up is used for continuous monitoring of the patients and e-recording done in standard software approved by MoHP",null,1]
[null,null,"2.10.3.7.2","Handover and takeover of the patients from ER or other wards is done with patient being received in PICU accompanied by respective ward at least staff nurse or paramedics ",null,1]
[null,null,"2.10.3.7.3","Complications, morbidity and mortality are recorded, reported and proceeded for clinical audit on regular basis (at least weekly)",null,1]
[null,"2.10.3.8 Infection prevention ","2.10.3.8.1","10% of beds (1 to 2) should be separated as isolation beds in each PICU",null,1]
[null,null,"2.10.3.8.2","Hand hygiene protocol developed and followed between each PICU bed with alcohol hand rubs or sanitizer",null,1]
[null,null,"2.10.3.8.3","Separate space designated for scrub station with running water and liquid soap, elbow lever and hand drier available and functional",null,1]
[null,null,"2.10.3.8.4","Every neonate must be properly cleaned /wiped everyday by using approved solution.",null,1]
[null,null,"2.10.3.8.5","Use of personal protective equipment while caring each neonate to prevent cross infection.",null,1]
[null,null,"2.10.3.8.6","Waste disposal as per HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.10.3.8.7","Gown and slippers for doctors, nurses, visitors",null,1]
[null,null,"2.10.3.8.8","Chlorine solution is available and utilized for decontamination",null,1]
[null,null,"2.10.3.8.9","Cleaning agent and disinfectants for PICU are used in rotation as per SOP",null,1]
[null,null,"2.10.3.8.10","Microbial bio-burden of PICU is monitored and logbook maintained",null,1]
["NSI","Standard 2.10.3",null,"Total Score",{"$f":"SUM($E$839:$E$870,$E$833:$E$837)","v":0},{"$f":"SUM($F$839:$F$870,$F$833:$F$837)","v":41}]
["NSI",null,null,"Total percentage= Total Score/41 x 100",{"$f":"$E$871/$F$871","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area ","Code","Verification"]
["NSI","Diagnostics and laboratory",2.11]
["NSI","Laboratory","2.11.1.1"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.11.1.1.1Time for patients","2.11.1.1.1.1","Laboratory is open from 10 AM to 5 PM  for routine services and separate emergency lab service available round the clock",null,1]
[null,null,"2.11.1.1.1.2","Basic investigations are available (See Annex 2.11.1.1a List of investigations for Laboratory At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2305","v":0},3]
[null,"2.11.1.1.2 Staffing","2.11.1.1.2.1","Laboratory team is leadcomprised of by pathologist (at least) 3 (one for histocytopathology and hematology, 1 for biochemistry and 1 for microbiology)",null,1]
[null,null,"2.11.1.1.2.2","At least 12 lab staffs ( 4 medical technologists, 4technicians, 2 assistants and 2 helpers are available during routine lab    ",null,1]
[null,null,"2.11.1.1.2.3","At least 3 staffs (1 Technician, 1 Assistant and 1 Helper) in each shift in emergency lab including staffs in off (Total 12)",null,1]
[null,null,"2.11.1.1.2.4","On call biomedical engineer available for maintenance of lab equipment",null,1]
[null,"2.11.1.1.3 Instruments and equipment","2.11.1.1.3.1","Instruments and equipment to carry out all parameters of tests are available and functioning(See Annex 2.11.1.1b Equipment and Instrument for Lab At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2345","v":0},3]
[null,null,"2.11.1.1.3.2","Instrument are maintained and calibrated as per manufacturer instructions ",null,1]
[null,null,"2.11.1.3.3","Quality control sera and standards are run regularly and record kept",null,1]
[null,"2.11.1.1.4 Physical facilities","2.11.1.1.4.1","Separate space with working desk and chair designated for specific laboratory procedures like- hematology, biochemistry, microbiology, serology, histopathology and cytology",null,1]
[null,null,"2.11.1.1.4.2","Light and ventilation are adequately maintained.",null,1]
[null,null,"2.11.1.1.4.3","Designated area well labelled for reception of sample and dispatch of reports ",null,1]
[null,null,"2.11.1.1.4.4","Power back up is available for the lab for preservation of sample and regents",null,1]
[null,"2.11.1.1.5 Duty rosters","2.11.1.1.5","Duty rosters of lab are developed regularly and available in appropriate location. ",null,1]
[null,"2.11.1.1.6 Facilities for patients ","2.11.1.1.6.1","Waiting space with sitting arrangement is available for at least 15 persons in waiting lobby.",null,1]
[null,null,"2.11.1.1.6.2","At least one separate toilet for male andfemale and universal toilet for patients using laboratory services",null,1]
[null,null,"2.11.1.1.6.3","Safe drinking water is available in the waiting lobby throughout the day.",null,1]
[null,"2.11.1.1.7 Recording and reporting","2.11.1.1.7.1","Electronic Laboratory Information System (LIS) available ",null,1]
[null,null,"2.11.1.1.7.2","Major instruments are interfaced",null,1]
[null,null,"2.11.1.1.7.3","Sample is adequately recorded with requisition form with detail information of patients",null,1]
[null,null,"2.11.1.1.7.4","Copy of computerized report is kept safe for future use at least hard copy (1 year) and soft copies(5 years) and report is available to patient",null,1]
[null,null,"2.11.1.1.7.5","Report have adequate information of patient and checked by designated person before release",null,1]
[null,"2.11.1.1.8 Supplies storage and stock","2.11.1.1.8.1","At least three months buffer stock of laboratory supplies is available.",null,1]
[null,null,"2.11.1.1.8.2","Reagents are stored at appropriate temperature in store and lab",null,1]
[null,"2.11.1.1.9 Blood Bank within hospital premises","2.11.1.1.9","Blood bank should be available inside hospital premises either owned by hospital or Nepal Red Cross Society \n(If hospital has its own blood bank refer to standard 2.11.1.2)",null,1]
[null,"2.11.1.1.10Infection prevention","2.11.1.1.10.1","Closed vacuum system is used for sample collection",null,1]
[null,null,"2.11.1.1.10.2","Biohazard signs and symbols are used at appropriate places visibly",null,1]
[null,null,"2.11.1.1.10.3","All staffs know how to respond in case of spillage and other incidents",null,1]
[null,null,"2.11.1.1.10.4","Masks and gloves are available",null,1]
[null,null,"2.11.1.1.10.5","There are colored bins for waste segregation based on HCWM guideline 2014 (MoHP)  and infectious waste is sterilized using autoclave before disposal",null,1]
[null,null,"2.11.1.1.10.6","Hand‑washing facility with running water and liquid soap is available for practitioners ",null,1]
[null,null,"2.11.1.1.10.7","Needle cutter is used",null,1]
[null,null,"2.11.1.1.10.8","Chlorine solution and bleach is available and utilized for decontamination",null,1]
["NSI","Standard 2.11.1.1",null,"Total Score",{"$f":"SUM($E$879:$E$911)","v":0},{"$f":"SUM($F$879:$F$911)","v":37}]
["NSI",null,null,"Total Percentage (Total Score/ 36 x100)",{"$f":"$E$912/$F$912","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification (*Applicable if hospital has its own blood bank)"]
["NSI","Blood Bank*","2.11.1.2"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.11.1.2.1 Time for patients"," 2.11.1.2.1","Blood bank is open / facility is available round the clock",null,1]
[null,"2.11.1.2.2 Staffing","2.11.1.2.2","Adequate numbers of trained healthcare workers are available in blood bank (at least 2 blood bank staffs to cover shifts including ER)",null,1]
[null,"2.11.1.2.3 Physical facilities","2.11.1.2.3.1","Adequate rooms and space for the staffs and patients are available (area of more than 10 meter squares)",null,1]
[null,null,"2.11.1.2.3.2","Light and ventilation are adequately maintained.",null,1]
[null,null,"2.11.1.2.3.3","The required furniture and supplies are available (See Annex 2.11.1.2a Blood Bank Furniture and Supplies At the end of the standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2371","v":0},3]
[null,null,"2.11.1.2.3.4","Thermometers are attached to all equipment requiring temperature control and temperatures are recorded daily or temperature sensor based equipment",null,1]
[null,"2.11.1.2.4 Instruments and equipment","2.11.1.2.4","Instruments and equipment are calibrated, available and functioning with record of smear kept (See Annex 2.11.1.2b Equipment and Instrument for Blood Bank At the end of the standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2401","v":0},3]
[null,"2.11.1.2.5 Duty rosters","2.11.1.2.5","Duty rosters of lab are developed regularly and available in appropriate location. ",null,1]
[null,"2.11.1.2.6 Facilities for patients ","2.11.1.2.6.1","Comfortable waiting space with sitting arrangement is available for at least 10 persons in waiting lobby.",null,1]
[null,null,"2.11.1.2.6.2","Safe drinking water is available in the waiting lobby throughout the day.",null,1]
[null,"2.11.1.2.7 Recording and reporting","2.11.1.2.7.1","Sample is adequately recorded with requisition form with detail information of patients",null,1]
[null,null,"2.11.1.2.7.2","Standard reporting sheets are being used and all reports are recorded in a standard register or NBBTS software and computerized bill available to patients",null,1]
[null,null,"2.11.1.2.7.3","Report have adequate information of patient and checked by designated person before release",null,1]
[null,null,"2.11.1.2.7.3","BTSC submits regular reports to NPHL/NBBTS of provided proficiency panels related to TTIs",null,1]
[null,"2.11.1.2.8 Supplies storage and stock","2.11.1.2.8.1","At least three months buffer stock of laboratory supplies is available.",null,1]
[null,null,"2.11.1.2.8.2","Blood bags, transfusion sets, blood and blood components, reagents are stored at appropriate temperature in store and lab",null,1]
[null,"2.11.1.2.9 Infection prevention","2.11.1.2.9.1","Biohazard signs and symbols are used at appropriate places",null,1]
[null,null,"2.11.1.2.9.2","All staffs know how to respond in case of spillage and other incidents",null,1]
[null,null,"2.11.1.2.9.3","Masks and gloves are available",null,1]
[null,null,"2.11.1.2.9.4","Bio-waste disposal is done based on HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.11.1.2.9.5","Hand‑washing facility with running water and soap is available for practitioners ",null,1]
[null,null,"2.11.1.2.9.6","Needle cutter is used",null,1]
[null,null,"2.11.1.2.9.7","Chlorine solution and bleach is available and utilized for decontamination",null,1]
["NSI","Standard 2.11.1.2",null,"Total Score",{"$f":"SUM($E$919:$E$941)","v":0},{"$f":"SUM($F$919:$F$941)","v":27}]
["NSI",null,null,"Total Percentage (Total Score/27x100)",{"$f":"$E$942/$F$942","v":{"v":0,"d":"0.00%"}}]
[]
["NSI","Area","Code","Verification"]
["NSI","X-ray","2.11.2"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.11.2.1 Time for patients","2.11.2.1.1","X-ray service is open from 10 AM to 3 PM ",null,1]
[null,null,"2.11.2.1.2","Emergency x-ray service is available round the clock",null,1]
[null,"2.11.2.2 Staffing","2.11.2.2.1","Adequate number of radiographer/radiographer technologists are available in x-ray (at least 10 staffs to cover shifts including ER along with two helpers) ",null,1]
[null,null,"2.11.2.2.2","At least two radiologist are available",null,1]
[null,"2.11.2.3 Patient counseling","2.11.2.3","Counseling is provided to patients about radiation hazard, site and position for x-ray",null,1]
[null,"2.11.2.4 Information education and communication materials for patients","2.11.2.4","Radiation sign, appropriate Radiation awareness posters, leaflets are available in the department and OPD waiting area.",null,1]
[null,"2.11.2.5 Instruments and equipment","2.11.2.5","At least two (four in hospital with OPD patient of more than 1500 per day) General X ray unit (with minimum 125KV and\n300ma X-ray machine) with floatation table top and vertical bucky 4 view box at the reporting site",null,1]
[null,null,"2.11.2.6","Mobile X ray unit 1 for bed side radiography for inpatient is available and functioning.",null,1]
[null,null,"2.11.2.7","Complete CR system with CR cassette at least 5 of 14 x 17 inch   and 3 of 10x12inch.",null,1]
[null,"2.11.2.8 Physical facilities","2.11.2.8.1","X ray room of at least 4x4sqm with wall of at least 23cm of brick or 6cm RCC or 2mm lead equivalent.",null,1]
[null,null,"2.11.2.8.2","Light and ventilation are adequately maintained.",null,1]
[null,null,"2.11.2.8.3","The required furniture  and supplies including radiation protective measures for patients, visitors and staffs are available including lead gown",null,1]
[null,null,"2.11.2.8.4","Radiation dose measuring devices should be there for operator.",null,1]
[null,"2.11.2.9 Duty rosters","2.11.2.9","Duty rosters of X-ray are developed regularly and available in appropriate location. ",null,1]
[null,"2.11.2.10 Facilities for patients ","2.11.2.10","Waiting space with sitting arrangement is available for at least 5 persons in waiting lobby.",null,1]
[null,"2.11.2.11 Recording and reporting","2.11.2.11.1","X-ray is adequately recorded as per requisition form with detail information of patients, date of x-ray and site and view",null,1]
[null,null,"2.11.2.11.2","Report have adequate information of patient and checked by designated person before release",null,1]
[null,"2.11.2.12 Information to patients","2.11.2.12","Biohazard signs and symbols are used at appropriate places",null,1]
[null,"2.11.2.12 Infection prevention ","2.11.2.12.1","Radiological waste is disposed based on HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.11.2.12.2","Hand‑washing facility with running water and soap is available for practitioners ",null,1]
[null,null,"2.11.2.12.3","Needle cutter is used",null,1]
[null,null,"2.11.2.12.4","Chlorine solution and bleach is available and utilized for decontamination",null,1]
["NSI","Standard 2.11.2",null,"Total Score",{"$f":"SUM($E$948:$E$969)","v":0},{"$f":"SUM($F$948:$F$969)","v":22}]
["NSI",null,null,"Total Percentage (Total Score/ 21 x100)",{"$f":"$E$970/$F$970","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Ultrasonography (USG)","2.11.3"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.11.3.1 Time for patients","2.11.3.1","USG is open from 10 AM to 3 PM for obstetrics, abdominal, pelvic and superficial structure like testis, thyroid",null,1]
[null,"2.11.3.2 Staffing","2.11.3.2","Four (4) radiologist and 2 HA/SN in each USG room with one helper",null,1]
[null,"2.11.3.3 Patient counseling","2.11.3.3","Counseling is provided to patients about site and indication of USG",null,1]
[null,"2.11.3.4 Maintaining patients’ privacy","2.11.3.4","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)",null,1]
[null,"2.11.3.5 Instruments and equipment","2.11.3.5","At least 3 (five in OPD patient flow more than 1500) USG machine (advanced) with back up power supply at least for half an hour along with\ndifferent probes (at least one should have 3D/4D probe, computer and printer with USG papers, gel and wipes is available and functional",null,1]
[null,"2.11.3.6 Physical facilities","2.11.3.6.1"," Adequate space for practitioner and patient for USG with working table and examination bed one per each USG machine",null,1]
[null,null,"2.11.3.6.2","Proper light and ventilation maintained.",null,1]
[null,"2.11.3.7 Facilities for patients ","2.11.3.7","Comfortable waiting space with sitting arrangement is available for at least 15 persons in waiting lobby.",null,1]
[null,"2.11.3.8 Recording and reporting","2.11.3.8.1","USG is adequately recorded as per requisition form with detail information of patients, date of USG",null,1]
[null,null,"2.11.3.8.2","Report have adequate information of patient, information of area of examination and radiological opinion, further referral and checked by designated person before release",null,1]
[null,"2.11.3.9 Infection prevention ","2.11.3.9.1","Hand‑washing facility with running water and soap is available for practitioners",null,1]
[null,null,"2.11.3.9.2","Chlorine solution and bleach is available and utilized for decontamination",null,1]
["NSI","Standard 2.11.3",null,"Total Score",{"$f":"SUM($E$977:$E$988)","v":0},{"$f":"SUM($F$977:$F$988)","v":12}]
["NSI",null,null,"Total Percentage (Total Score/ 12 x100)",{"$f":"$E$989/$F$989","v":{"v":0,"d":"0.00%"}}]
[]
["NSI","CT Scan","2.11.4","Verification"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.11.4.1 Adequate time for patients","2.11.4.1.1","CT Scan service is open from 10 AM to 3 PM and appointments date given",null,1]
[null,null,"2.11.4.1.2","Emergency CT Scan service is available round the clock",null,1]
[null,"2.11.4.2 Adequate staffing","2.11.4.2.1","Adequate number of radiographic technologists are available in CT scan (at least 6 staffs to cover shifts including ER along with two helpers) under supervision of Radiologists",null,1]
[null,null,"2.11.4.2.2","Three (3) Radiologist are available",null,1]
[null,"2.11.4.3 Patient counseling","2.11.4.3","Counseling is provided to patients about radiation hazard, site and position for CT Scan and assessed for claustrophobia",null,1]
[null,"2.11.4.4 Information education and communication materials for patients","2.11.4.4","Radiation sign, appropriate Radiation awareness posters, leaflets are available in the department and OPD waiting area.",null,1]
[null,"2.11.4.5 Adequate instruments and equipment","2.11.4.5","At least 1 CT Scan Machine (at least two in OPD patient 1000 to 2000 and at least three if more than 2000 patient flow in OPD) (at least 128 slice) back up power supply at least for half an hour available   ",null,1]
[null,"2.11.4.6 Adequate physical facilities","2.11.4.6.1","CT Scan room of at least 16x20 feet with wall of at least 23cm of brick or 6cm RCC or 2mm lead equivalent and control room of 10x 12 feet",null,1]
[null,null,"2.11.4.6.2","Light and ventilation are adequately maintained with help of air conditioner and exhaust fans.",null,1]
[null,null,"2.11.4.6.3","The required furniture  and supplies including radiation protective measures for patients,, visitors and staffs are available including magnetic gown",null,1]
[null,null,"2.11.4.6.4","There should be central oxygen supply and suction ",null,1]
[null,"2.11.4.7 Duty rosters","2.11.4.7","Duty rosters for CT Scan service are developed regularly and available in appropriate location. ",null,1]
[null,"2.11.4.8 Facilities for patients ","2.11.4.8.1","Comfortable waiting space with sitting arrangement is available for at least 5 persons in waiting lobby.",null,1]
[null,null,"2.11.4.8.2","Safe drinking water is available in the waiting lobby throughout the day.",null,1]
[null,"2.11.4.9 Recording and reporting","2.11.4.9.1","CT Scan is adequately recorded as per requisition form with detail information of patients, date of Ct Scan and site and view",null,1]
[null,null,"2.11.4.9.2","Report have adequate information of patient, radiological diagnosis of CT Scan and checked by radiologist designated person before release",null,1]
[null,"2.11.4.10 Information to patients","2.11.4.10","Biohazard signs and symbols are used at appropriate places",null,1]
[null,"2.11.4.11 Infection prevention ","2.11.4.11.1","Radiological waste is disposed based on HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.11.4.11.2","Hand‑washing facility with running water and soap is available for practitioners ",null,1]
[null,null,"2.11.4.11.3","Needle cutter is used",null,1]
[null,null,"2.11.4.11.4","Chlorine solution and bleach is available and utilized for decontamination",null,1]
["NSI","Standard 2.11.4",null,"Total Score",{"$f":"SUM($E$994:$E$1014)","v":0},{"$f":"SUM($F$994:$F$1014)","v":21}]
["NSI",null,null,"Total Percentage (Total Score/ 21 x100)",{"$f":"$E$1015/$F$1015","v":{"v":0,"d":"0.00%"}}]
[]
["NSI","MRI","2.11.5","Verification"]
["NSI","Components",null,"Standards","Obtained Score","Maximum Score"]
[null,"2.11.5.1 Adequate time for patients","2.11.5.1.1","MRI Scan service is open from 10 AM to 3 PM and appointments date given",null,1]
[null,null,"2.11.5.1.2","Emergency MRI Scan service is available round the clock",null,1]
[null,"2.11.5.2 Adequate Staffing","2.11.5.2.1","Adequate number of radiographic technologists are available for MRI scan (at least 3 staffs to cover shifts including ER along with two helpers) under supervision of Radiologists",null,1]
[null,null,"2.11.5.2.2","3 Radiologist are available",null,1]
[null,"2.11.5.3 Patient counseling","2.11.5.3","Counseling is provided to patients about site and position for MRI scan and assessed for claustrophobia",null,1]
[null,"2.11.5.4 Adequate Instruments and equipment","2.11.5.4.1","MRI of at least one of 1.5T (at least two in OPD patient 1000 to 2000 and at least three if more than 2000 patient flow in OPD) with basic and angiographic facility. Breast MRI facility should be available.",null,1]
[null,null,"2.11.5.4.2","Availability of digitalized 4 view box in reporting room",null,1]
[null,null,"2.11.5.4.3","Emergency medicine (Specify in Annexes), cannula, catheter along with bag and mask and oxygen supply facility should be available",null,1]
[null,"2.11.5.5 Adequate physical facilities","2.11.5.5.1","MRI suites should have 3 rooms (scan room, equipment room and console room) Scan room should be at least 21x31 feet, equipment room of 11x11 feet and console of 12x8 feet. Height of scan room of should be 8 feet",null,1]
[null,null,"2.11.5.5.2","Separate dress changing room for patient and reporting room for doctors should be available",null,1]
[null,null,"2.11.5.5.3","MRI scan machine should have backup power supply with minimum of half an hour backup for the machine and 24 hours back up power supply for chiller",null,1]
[null,null,"2.11.5.5.4","MRI room should equipped with central oxygen supply and MRI compatible suction machine",null,1]
[null,"2.11.5.6 Duty rosters","2.11.5.6","Duty rosters for MRI scan service are developed regularly and available in appropriate location.",null,1]
[null,"2.11.5.7 Facilities for patients ","2.11.5.7.1","Comfortable waiting space with sitting arrangement is available for at least 5 persons in waiting lobby.",null,1]
[null,null,"2.11.5.7.2","Safe drinking water is available in the waiting lobby throughout the day.",null,1]
[null,"2.11.5.8 Recording and reporting","2.11.5.8.1","Reporting and recording should be in digitalized form. Report have adequate information of patient and be signed by radiologist before release",null,1]
[null,null,"2.11.5.8.2","Risk and high risk consent form must be signed before injecting contrast and signed form should be filed",null,1]
[null,"2.11.5.9 Infection prevention ","2.11.5.9.1","Radiological waste is disposed based on HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.11.5.9.2","Hand‑washing facility with running water and soap is available for practitioners",null,1]
[null,null,"2.11.5.9.3","Needle cutter is used",null,1]
[null,null,"2.11.5.9.4","Chlorine solution and bleach is available and utilized for decontamination",null,1]
["NSI","Standard 2.11.5",null,"Total Obtained Score",{"$f":"SUM(E1020:E1040)","v":0},{"$f":"SUM(F1020:F1040)","v":21}]
["NSI",null,null,"Total Percentage (Total Obtained Score/ 20x100)",{"$f":"E1041/F1041","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Electrocardiogram (ECG)","2.11.6"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.11.6.1 Service available","2.11.6.1","ECG service is available for patients in OPD, Emergency and Indoor  ",null,1]
[null,"2.11.6.2\nAdequate Staffing","2.11.6.2","ECG trained health service provider is available",null,1]
[null,"2.11.6.3 Space","2.11.6.3","Separate space is dedicated for ECG Service",null,1]
[null,"2.11.6.4 Patient counseling","2.11.6.4","Counseling is provided to patients about procedure and indication of ECG",null,1]
[null,"2.11.6.5 Maintaining patient privacy","2.11.6.5","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)",null,1]
[null,"2.11.6.6 Instruments, equipment and supplies","2.11.6.6","Functional ECG machine (12 lead with power back up), paper, gel, wipes and hand sanitizer are available in ECG trolley ",null,1]
[null,"2.11.6.7 Recording and reporting","2.11.6.7.1","ECG is adequately recorded as per requisition form with detail information of patients, date of ECG",null,1]
[null,null,"2.11.6.7.2","Reporting folder of ECG should have adequate information of patient, including analysis of 12 lead ECG with final impression of ECG diagnosis done by cardiologist person before release",null,1]
[null,"2.11.6.8 Infection prevention  ","2.11.6.8.1","Hand‑washing facility with running water and liquid soap is available for practitioners",null,1]
[null,null,"2.11.6.8.2","Chlorine solution and bleach is available and utilized for decontamination",null,1]
["NSI","Standard 2.11.6",null,"Total Score",{"$f":"SUM($E$1048:$E$1057)","v":0},{"$f":"SUM($F$1048:$F$1057)","v":10}]
["NSI",null,null,"Total Percentage (Total Score/ 10 x100)",{"$f":"$E$1058/$F$1058","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Echocardiogram  (Echo)","2.11.7","Verification"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.11.7.1 Adequate time for patients","2.11.7.1.1","Echo service is available from 10 AM to 3 PM  ",null,1]
[null,null,"2.11.7.1.2","Emergency Echo is available round the clock (optional)",null,"1* (Optional)"]
[null,"2.11.7.2 Adequate health workers","2.11.7.2","Cardiologist is available for Echo service with at least one mid-level health worker and helper assigned in Echo",null,1]
[null,"2.11.7.3 Patient counseling","2.11.7.3","Counseling is provided to patients about procedure and indication of Echo",null,1]
[null,"2.11.7.4 Adequate instruments, equipment and supplies","2.11.7.4","Functional Echo machine (2D, M-mode, color doppler), computer and printer with Echo papers, gel, wipes and hand sanitizer are available  ",null,1]
[null,"2.11.7.5 Adequate physical facilities","2.11.7.5.1","Separate space allocated for Echo with changing room and patients’ gown",null,1]
[null,null,"2.11.7.5.2","Proper light and ventilation are adequately maintained",null,1]
[null,null,"2.11.7.5.3","Echo examination bed with mattress and bed cover and pillow with curtains for privacy of patients",null,1]
[null,"2.11.7.6 Recording and reporting","2.11.7.6.1","Echo is adequately recorded as per requisition form with detail information of patients, date of echo and echo diagnosis",null,1]
[null,null,"2.11.7.6.2","Report have adequate information of patient and checked by designated person before release",null,1]
[null,"2.11.7.7 Infection prevention  ","2.11.7.7.1","Hand‑washing facility with running water and soap is available for practitioners",null,1]
[null,null,"2.11.7.7.2","Chlorine solution and bleach is available and utilized",null,1]
["NSI","Standard 2.11.7",null,"Total Score",{"$f":"SUM($E$1066:$E$1075,$E$1064)","v":0},{"$f":"SUM($F$1066:$F$1075,$F$1064)","v":11}]
["NSI",null,null,"Total Percentage (Total Score/ 11 x100)",{"$f":"$E$1076/$F$1076","v":{"v":0,"d":"0.00%"}}]
[]
["NSI","Treadmill (TMT)","2.11.8","Verification"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.11.8.1 Adequate time for patients","2.11.8.1","Treadmill (TMT) service is available from 10 AM to 3 PM",null,1]
[null,"2.11.8.2 Adequate health workers","2.11.8.2","At least one trained medical officer / cardiologist and one mid-level health worker is allocated for TMT service",null,1]
[null,"2.11.8.3 Patient counseling","2.11.8.3","Counseling is provided to patients about procedure, indication and anticipated complication during TMT as well as to modify the routine cardiac medications as per TMT protocol.",null,1]
[null,"2.11.8.4 Adequate instruments, equipment, medicines and supplies","2.11.8.4.1","Functional TMT machine with display monitor and printer, paper, ECG lead, wipes and hand sanitizer are available ",null,1]
[null,null,"2.11.8.4.2","Emergency trolley with emergency drugs and supplies readily available (See Annex 2.11.8a Emergency Trolley TMT At the end of this standard) ",{"$f":"'Annex 2.1a - 2.16b'!$D$2449","v":0},3]
[null,null,"2.11.8.4.3","Synchronized Defibrillator is available in TMT room",null,1]
[null,null,"2.11.8.4.4","Injection Dobutamine available for Stress TMT",null,1]
[null,"2.11.8.5 Adequate physical facilities","2.11.8.5.1","Separate room allocated for TMT with changing room, gown for patient and locker for patients’ belongings",null,1]
[null,null,"2.11.8.5.2","Light and ventilation are adequately maintained.",null,1]
[null,"2.11.8.6 Recording and reporting","2.11.8.6.1","TMT is adequately recorded as per requisition form with detail information of patients, date of TMT ",null,1]
[null,null,"2.11.8.6.2","TMT report should have adequate information of patient, achievement of target heart rate, blood pressure response with exercise, any ECG changes, any complication observed during exercise and recovery period and checked by designated person before release",null,1]
[null,"2.11.8.7 Infection prevention  ","2.11.8.7.1","Hand‑washing facility with running water and liquid soap is available for practitioners",null,1]
[null,null,"2.11.8.7.2","Chlorine solution and bleach is available and utilized for decontamination",null,1]
["NSI","Standard 2.11.8",null,"Total Score",{"$f":"SUM($E$1081:$E$1093)","v":0},{"$f":"SUM($F$1081:$F$1093)","v":15}]
["NSI",null,null,"Total Percentage = Total Score/ 15x100",{"$f":"$E$1094/$F$1094","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Endoscopy","2.11.9","Verification"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.11.9.1 Adequate time for patients","2.11.9.1. 1","Endoscopy service is available from 10 AM to 3 PM  ",null,1]
[null,null,"2.11.9.1. 2","Emergency endoscopy is available round the clock",null,1]
[null,"2.11.9.2 Adequate physical facilities","2.11.9.2.1","Separate room designated for endoscopy with adjustable patient bed, head adjustable recovery bed, working chair for practitioner and working table with at least two chairs",null,1]
[null,null,"2.11.9.2.2","Scopes hanging area for storage. (covered cupboards/ shelves)",null,1]
[null,null,"2.11.9.2.3","Proper light and ventilation maintained",null,1]
[null,"2.11.9.3 Adequate staffing","2.11.9.3.1","Physician/ surgeons having endoscopic training or Gastroenterologist or hepatologist or gastrointestinal surgeons with at least 2 Trained endoscopic nurse/paramedic designated for endoscopy room",null,1]
[null,null,"2.11.9.3.2","One mid-level trained health worker for record keeping, booking, and report dispatch , counselling before procedure",null,1]
[null,"2.11.9.4 Patient counseling","2.11.9.4","Counseling is provided to patients about procedure and indication of Endoscopy with possible complications",null,1]
[null,"2.11.9.5 Adequate instruments, equipment, medicines and supplies","2.11.9.5.1","Functional Video-endoscopy machine with attachable gastroscope and colonscope; bronchoscope (optional) with cardiac monitor available ",null,1]
[null,null,"2.11.9.5.2","Portable Diathermy machine with cautery wires for endoscopic procedure standard.",null,1]
[null,null,"2.11.9.5.3","Emergency trolley with emergency drugs and supplies readily available  (See Annex 2.11.9a  Emergency Trolley Endoscopy At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2496","v":0},3]
[null,"2.11.9.6 Recording and reporting","2.11.9.6.1","Recording and printing system (computer, color printer with capture card and reporting software for UGI endoscopy, colonoscopy)",null,1]
[null,null,"2.11.9.6.2","Endoscopy report is adequately recorded as per requisition form with detail information of patients, date of endoscopy and pictures attached",null,1]
[null,null,"2.11.9.6.3","Report have adequate information of patient, visibly printed pictures captured during endoscopy, endoscopic observation of structure, diagnosis and relevant endoscopic procedures performed and complications observed if any and checked by designated person before release",null,1]
[null,"2.11.9.7 Infection prevention  ","2.11.9.7.1","Hand‑washing facility with running water and soap is available for practitioners",null,1]
[null,null,"2.11.9.7.2","Personal protective equipment including utility gloves and boots available and used",null,1]
[null,null,"2.11.9.7.3","Separate tubs for washing, disinfection and final cleaning of the scopes available  and used",null,1]
[null,null,"2.11.9.7.4","Automatic / semi auto cleaning system for scopes (external and internal surfaces) available and used",null,1]
[null,null,"2.11.9.7.5","Disinfectant solution (gluteraldehyde) and Citezyme solution for enzymatic cleaning of scopes available and used",null,1]
[null,null,"2.11.9.7.6","Chlorine solution and bleach is available and utilized for decontamination (*not for scopes)",null,1]
["NSI","Standard 2.11.9",null,"Total Score",{"$f":"SUM($E$1100:$E$1119)","v":0},{"$f":"SUM($F$1100:$F$1119)","v":22}]
["NSI",null,null,"Total Percentage (Total Score/ 21 x100)",{"$f":"$E$1120/$F$1120","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Audiometry","2.11.10","Verification"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.11.10.1 Adequate time for patients","2.11.10.1","Audiometry service is available from 10 AM to 3 PM",null,1]
[null,"2.11.10.2 Adequate health workers","2.11.10.2","ENT specialist is available for performing audiometry",null,1]
[null,"2.11.10.3 Patient counseling","2.11.10.3","Counseling is provided to patients about procedure and indication of audiometry and explain patient about the examination booth",null,1]
[null,"2.11.10.4 Adequate instruments, equipment and supplies","2.11.10.4","Functional Audiometer with power supply and response switch, headphones, earphones with audiometric calibration stand and 500g weight and audiometer patch cords available",null,1]
[null,"2.11.10.5 Adequate physical facilities","2.11.10.5.1"," Separate room allocated for audiometry with a special booth made of acoustic medium is available with custom-built triangular table with the audiometer on top and the computer tower beneath and an area outside booth for working area for technologist",null,1]
[null,null,"2.11.10.5.2","Sound dampening materials on the interior walls of the exam room and a rubber seal on the hallway door",null,1]
[null,null,"2.11.10.5.3","Light and ventilation are adequately maintained.",null,1]
[null,"2.11.10.6 Recording and reporting","2.11.10.6.1","Computer available for recording and reporting of the test results",null,1]
[null,null,"2.11.10.6.2","Audiometry is adequately recorded as per requisition form with detail information of patients and diagnosis",null,1]
[null,null,"2.11.10.6.3","Report have adequate information of patient, results of audiometry and advices for further hearing related treatment and checked by designated person before release",null,1]
[null,"2.11.10.7 Infection prevention  ","2.11.10.7.1","Hand‑washing facility with running water and soap is available for practitioners",null,1]
[null,null,"2.11.10.7.2","Chlorine solution and bleach is available and utilized",null,1]
["NSI","Standard 2.11.10",null,"Total Score",{"$f":"SUM($E$1126:$E$1137)","v":0},{"$f":"SUM($F$1126:$F$1137)","v":12}]
["NSI",null,null,"Total Percentage (Total Score/ 12x100)",{"$f":"$E$1138/$F$1138","v":{"v":0,"d":"0.00%"}}]
[]
["NSI","Area","Code","Verification"]
["NSI","Postmortem","2.12.1"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.12.1.1 Physical facility","2.12.1.1.2","Designated area for mortuary room, changing room and store room and bathroom",null,1]
[null,null,"2.12.1.1.2","Body dissection table (at least one) is available and used",null,1]
[null,null,"2.12.1.1.3","Organ dissection table (at least one) is available and used",null,1]
[null,null,"2.12.1.1.4","Adequate ventilation and light and odor management",null,1]
[null,null,"2.12.1.1.5","Water supply with spray is available in the designated space (mortuary table)",null,1]
[null,"2.12.1.2 Availability of postmortem services","2.12.1.2","Examination of the dead body in any unnatural death and suspicious death (Post-mortem examination or autopsy) available from 9 am to 5pm",null,1]
[null,"2.12.1.3 Staffing","2.12.1.3","At least one MD forensic and one trained medical officer for autopsy and clinical medico-legal services",null,1]
[null,"2.12.1.4 Supplies and instruments","2.12.1.4","Adequate supplies and instruments for forensic services (See Annex 2.12.1a Supplies and instrument for post mortem At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2532","v":0},3]
[null,"2.12.1.5 Mortuary van ","2.12.1.5","Mortuary van is available 24 hours (at least one)",null,1]
[null,"2.12.1.6 Recording and reporting","2.12.1.6","Standardized medico-legal examination formats available",null,1]
[null,"2.12.1.7 Infection prevention ","2.12.1.7.1 ","Staff wear mask and gloves at work.",null,1]
[null,null,"2.12.1.7.2","There are colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)",null,1]
[null,null," 2.12.1.7.3","Hand‑washing facility with running water and soap is available and being practiced.",null,1]
[null,null," 2.7.11.4","Chlorine solution is available and utilized. ",null,1]
[null,null," 2.12.1.7.5","Proper disposal of anatomical waste in placenta pit after autoclaving",null,1]
["NSI","Standard 2.12.1",null,"Total Score",{"$f":"SUM($E$1144:$E$1158)","v":0},{"$f":"SUM($F$1144:$F$1158)","v":17}]
["NSI",null,null,"Total Percentage (Total Score/ 17 x100)",{"$f":"$E$1159/$F$1159","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Medico-legal services","2.12.2"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.12.2.1 Physical facility","2.12.2.1","Designated area for medico-legal examination with examination bed and working desk with chair",null,1]
[null,"2.12.2.2 Availability of medico-legal services","2.12.2.2.1","Medico-legal services are available 24 hours ",null,1]
[null,null,"2.12.2.2.2","Injury examination and reporting in cases of physical assaults, attempted murder, sexual offenses (victim and accused), metal status examination, torture victim examination and  drunkenness examination and at least one examination bed allocated for it",null,1]
[null,"2.12.2.3 Staffing","2.12.2.3","At least one MD forensic and one trained medical officer for autopsy and clinical medico-legal services",null,1]
[null,"2.12.2.4 Supplies and instruments","2.12.2.4.1","Adequate supplies and instruments for medico-legal services (See Annex 2.12.2a Supplies and instrument for medico legal services At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2564","v":0},3]
[null,null,"2.12.2.4.2","Preservation of sample ensured before dispatching for test",null,1]
[null,"2.12.2.5 Patient counseling","2.12.2.5","Post-traumatic counseling is done to the victims of medico-legal issues like sexual offence",null,1]
[null,"2.12.2.6 Recording and reporting","2.12.2.6","Standardized medico-legal examination formats available",null,1]
[null,"2.12.2.7 Infection prevention ","2.12.2.7.1","Staff wears mask and gloves at work.",null,1]
[null,null,"2.12.2.7.2","There are well labelled colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.12.2.7.3","Hand‑washing facility with running water and soap is available and being practiced.",null,1]
[null,null,"2.12.2.7.4","Chlorine solution is available and utilized. ",null,1]
["NSI","Standard 2.12.2",null,"Total Score",{"$f":"SUM($E$1166:$E$1177)","v":0},{"$f":"SUM($F$1166:$F$1177)","v":14}]
["NSI",null,null,"Total Percentage (Total Score/ 14 x100)",{"$f":"$E$1178/$F$1178","v":{"v":0,"d":"0.00%"}}]
[]
["NSI","Area","Code","Verification"]
["NSI","One stop crisis management center ",2.13]
["NSI","Components",null,"Service Standards","Obtained Score","Maximum Score"]
[null,"2.13.1 OCMC  coordination committee exists (multi-sectoral)","2.13.1.","Quarterly meeting minute of coordination committee",null,1]
[null,"2.13.2 Functionality of case management committee"," 2.13.2","Monthly meeting minute of case management committee",null,1]
[null,"2.13.3 Timely service for patients","2.13.3.1","Prioritized services for GBV victims/survivors exits",null,1]
[null,null,"2.13.3.2","Treatment for GBV survivors/affected by GBV is available 24 hours ",null,1]
[null,"2.13.4 Physical facilities for OCMC services","2.13.4","Separate space allocated for OCMC services with adequate physical facilities (See Annex 2.13a Physical facilities for OCMC At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2594","v":0},3]
[null,"2.13.5 Staffing","2.13.5.1","At least one Medical officer working in the hospital trained in medico-legal issues is available",null,1]
[null,null," 2.13.5.2","At least two Staff nurse working in the hospital, 1 trained psycho social counselor and one helper",null,1]
[null,"2.13.6 Timely examination from medico-legal aspects and treatment of GBV survivors/ affected by GBV"," 2.13.6.1","Health check-up, medico-legal examination including documentation (See Annex2.13b  Instruments and supplies for treatment in OCMC At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2630","v":0},3]
[null,null," 2.13.6.2","Preservation of samples as legal evidence done for future use (See Annex 2.13c Instruments and supplies for evidence collection in OCMC At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2669","v":0},3]
[null,null," 2.13.6.3","Pregnancy test and emergency contraceptive services, tests for HIV/HBV available",null,1]
[null,"2.13.7 Use of GBV clinical protocol","2.13.7.1","Whole site orientation on GBV clinical protocol conducted ",null,1]
[null,null,"2.13.7.2","Availability and use of the treatment as per the protocol and OCMC guideline",null,1]
[null,"2.13.8 Psycho-social counselling of GBV Survivors/ affected by GBV and rehabilitation","2.13.8.1","Mental health and psychosocial counselling services available",null,1]
[null,null," 2.13.8.2","If the female survivor requires to stay more days or requires advance psychosocial counseling including livelihood training, she/he shall be referred to nearby appropriate safe home/ rehabilitation centers",null,1]
[null,"2.13.9 Referral services in place"," 2.13.9.1","Provide required referral and other services (as per the health service guideline and protocol). (Beyond health: security, legal, shelter, rehabilitation)",null,1]
[null,null,"2.13.9.2","Health related referral services e.g. Safe abortion services ",null,1]
[null,"2.13.10 Information, education and empowerment for GBV survivors/ affected by GBV"," 2.13.10.1","Detailed information concerning the services being provided by OCMC to the survivors of GBV (Citizen charter, leaflets, community radio etc) ",null,1]
[null,null," 2.13.10.2","Information is being given in an integrated manner ( Safe home related, OCMC, Police women children service unit)",null,1]
[null,"2.13.11Recording and reporting","2.13.11.1","Details of the events registered in the OCMC, services (health and non-health) being provided to the survivors, listing of the referred organizations shall be documented to be classified and analyzed in due course.   ",null,1]
[null,null," 2.13.11.2","Confidentiality shall be maintained at all stages of documentation.",null,1]
[null,null," 2.13.11.3","Report to concerned authority (DCC and MoHP)  in monthly report service format",null,1]
[null,null,"2.13.11.4","Documentation of the current status of GBV survivors of at least last 1 year is done ",null,1]
[null,"2.13.12 Infection prevention "," 2.13.12.1","Masks and gloves are available and used",null,1]
[null,null," 2.13.12.2","There are colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.13.12.3","Hand‑washing facility with running water and soap is available for practitioners.",null,1]
[null,null,"2.13.12.4","Needle cutter  is used.",null,1]
[null,null,"2.13.12.5","Chlorine solution is available and utilized. ",null,1]
["NSI","Standard 2.13",null,"Total Score",{"$f":"SUM($E$1184:$E$1210)","v":0},{"$f":"SUM($F$1184:$F$1210)","v":33}]
["NSI",null,null,"Total Percentage (Total Score/ 33 x100)",{"$f":"$E$1211/$F$1211","v":{"v":0,"d":"0.00%"}}]
[]
["NSI","Area","Code ","Verification"]
["NSI","Physiotherapy (Physical Rehabilitation)",2.14]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.14.1 Space ","2.14.1","Separate room for OPD physiotherapy with at least 15 physiotherapy beds ( 8 exercise beds and 7 electric beds)",null,1]
[null,"2.14.2Time for patients","2.14.2.1 ","Physiotherapy OPD is open from 10 AM to 3 PM.",null,1]
[null,null," 2.14.2.2","Inpatient physiotherapy service is available based on the requisition",null,1]
[null,"2.14.3 Staffing"," 2.14.3","At least 3 physiotherapist trained in Masters in Physiotherapy (MPT) (one orthopedics, one cardiac and one neurology specialty), 6 trained in Bachelors in Physiotherapy (BPT),and 3 Certificate in physiotherapy (CPT) or Diploma in physiotherapy  (DPT) and 1 trained office assistant treating at least  40 patients per day on OPD basis",null,1]
[null,null,"2.14.3.1","Duty roster prepared for a month to cover 24 hours service",null,1]
[null,"2.14.4 Maintaining patient privacy","2.14.4","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients).",null,1]
[null,"2.14.5 Patient counseling"," 2.14.5","Counseling is provided to patients about the type of treatment being given and its consequences.",null,1]
[null,"2.14.6 IEC/BCC materials","2.14.6","Appropriate IEC/BCC materials (posters, leaflets etc.) are available in the OPD waiting area.",null,1]
[null,"2.14.7 Instruments and equipment","2.14.7","Instruments and equipment to carry out the Physiotherapy works are available and functioning (See Annex 2.14a Instruments and equipment physiotherapy At the end of this standard).",{"$f":"'Annex 2.1a - 2.16b'!$D$2714","v":0},3]
[null,"2.14.8 Physical facilities","2.14.8.1","Adequate rooms and space for the practitioners and patients are available.",null,1]
[null,null,"2.14.8.2","Light and ventilation are adequately maintained.",null,1]
[null,"2.14.9 Duty rosters","2.14.9","Duty rosters of OPD are developed regularly and available in appropriate location.",null,1]
[null,"2.14.10 Facilities for patients","2.14.10.1","Safe drinking water is available in the waiting lobby throughout the day.",null,1]
[null,null,"2.14.10.2","Hand‑washing facilities are available for patients.",null,1]
[null,"2.14.11 Recording and reporting","2.14.11.1","Recording and reporting throughout treatment and follow up is done",null,1]
[null,"2.14.12 Infection prevention","2.14.12.1","Masks and gloves are available and used",null,1]
[45,null,"2.14.12.2","There are colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.14.12.3","Hand‑washing facility with running water and soap is available for practitioners.",null,1]
[null,null,"2.14.12.4","Needle cutter is used",null,1]
[null,null,"2.14.12.5","Chlorine solution is available and utilized. ",null,1]
["NSI","Standard 2.14",null,"Total Score",{"$f":"SUM($E$1217:$E$1236)","v":0},{"$f":"SUM($F$1217:$F$1236)","v":22}]
["NSI",null,null,"Percentage = Total Score / 22 x 100",{"$f":"$E$1237/$F$1237","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI",null,2.15,"Verification"]
["NSI","Dietetics and Nutrition rehabilitation"]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.15.1 Adequate space ","2.15.1","Separate space allocated for Dietetics and Nutrition rehabilitation ",null,1]
[null,"2.15.2 Adequate time and access for patients","2.15.2.1","Dietetics and Nutrition rehabilitation unit opens from 10 am to 3 pm",null,1]
[null,null,"2.15.2.2","Inpatients monitored for nutritional needs, rehabilitation and therapeutic diets prescribed where needed",null,1]
[null,"2.15.3 Adequate health workers","2.15.3","1 Senior dietitian (Masters in Nutrition & Dietetics with hospital internship, or Bachelors in Nutrition & Dietetics with one year's hospital experience), 1 dietetic assistant and 1 mid-level health workers trained in nutrition rehabilitation available for the dietetics and nutrition rehabilitation service",null,1]
[null,"2.15.4 Maintaining patient privacy","2.15.4","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients, etc).",null,1]
[null,"2.15.5 Patient counseling","2.15.5","Counseling is provided to patients about their nutritional status, diet prescription/ nutritional rehabilitation, use of local food as sources of the diet required and follow up",null,1]
[null,"2.15.6 Information education and communication materials for patients","2.15.6","Appropriate IEC materials (posters, leaflets etc.) are available in waiting area on balanced diet and identification of malnutrition specially among children",null,1]
[null,"2.15.7 Adequate instruments and equipment","2.15.7","Instruments and equipment to carry out the OPD works are available and functioning",null,1]
[null,"2.15.8 Inpatient stabilization center"]
[null,"2.15.8.1 Adequate space ","2.15.8.1","Separate space assigned for inpatient nutrition stabilization",null,1]
[null,"2.15.8.2 Adequate staffing","2.15.8.2","Trained staffs assigned for inpatient nutrition stabilization",null,1]
[null,"2.15.8.3 Adequate instrument, equipment, supplies ","2.15.8.3","Instruments, equipment and supplies needed for inpatient stabilization center available and functional ",null,1]
[null,"2.15.8.4 Adequate physical facilities","2.15.8.4","Adequate rooms and space for the practitioners and patients are available.",null,1]
[null,null,"2.15.8.5","Light and ventilation are adequately maintained.",null,1]
[null,null,"2.15.8.6","The required furniture are available ",null,1]
[null,"2.15.9 Recording and reporting ","2.15.9","Treatment, follow up and progress are recorded and reported ",null,1]
[null,"2.15.10 Facilities for patients","2.15.10.1","Safe drinking water is available in the waiting lobby throughout the day.",null,1]
[null,null,"2.15.10.2","Hand‑washing facilities are available for patients.",null,1]
[null,"2.15.11 Infection prevention ","2.15.11.1","Masks and gloves are available.",null,1]
[null,null,"2.15.11.2","There are colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)",null,1]
[null,null,"2.15.11.3","Hand‑washing facility with running water and soap is available for practitioners.",null,1]
[null,null,"2.15.11.4","Needle cutter is used",null,1]
[null,null,"2.15.11.5","Chlorine solution is available and utilized. ",null,1]
["NSI","Standard 2.15",null,"Total Score",{"$f":"SUM($E$1244:$E$1251,$E$1253:$E$1266)","v":0},{"$f":"SUM($F$1244:$F$1251,$F$1253:$F$1266)","v":22}]
["NSI",null,null,"Total Percentage (Total Score/ 22 x100)",{"$f":"$E$1267/$F$1267","v":{"v":0,"d":"0.00%"}}]
[]
["NSI","Area","Code","Verification"]
["NSI","Cardiac catheterization Laboratory  ",2.16]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"2.16.1 Time for Cardiac catheterization Laboratory  (Cath Lab)","2.161.1","Routine procedures available on scheduled days",null,1]
[null,null,"2.16.1.2","Emergency procedures available round the clock",null,1]
[null,null,"2.16.1.3","At least two functional operating tables",null,1]
[null,"2.16.2 Staffing","2.16.2","For one cardiac intervention, at least a team is composed of: MD Internal Medicine trained in cardiac intervention or cardiologist with one trained medical officer, two  trained nursing/paramedics, and one trained office assistant",null,1]
[null,"2.16.3 Cath Lab services available","2.16.3","Cath lab has at least following services available"]
[null,null,"2.16.3.1","Coronary Angiography",null,1]
[null,null,"2.16.3.2","Percutaneous transluminal coronary angioplasty/ percutaneous coronary intervention(PTCA)",null,1]
[null,null,"2.16.3.3","Right heart catheterization",null,1]
[null,null,"2.16.3.4","Pigtail insertion (Pericardiocentesis)",null,1]
[null,"2.16.4 Patient counseling","2.16.4.1","Indications and reviews the clinical history and physical examination is documented ",null,1]
[null,null,"2.16.4.2","Informed consent is taken before intervention; patients and caretakers are given appropriate counseling about the procedure.",null,1]
[null,"2.16.5 Patient preparation","2.16.5","Preoperative instructions for patient preparation are given and practiced with routine pre-anesthesia check up",null,1]
[null,"2.16.6 Post-procedure care","2.16.6.1","Separate area designated for post-procedure care to stabilize the patient after procedure",null,1]
[null,null,"2.16.6.2","Staffs are specified for the post-procedure care including close monitoring of the vital signs and observation of patient for bleeding in intervention site",null,1]
[null,null,"2.16.6.3","Adequate information shared for patient care and patient followed by at least one mid-level health worker for hand over or transfer of patient within or outside the hospital",null,1]
[null,"2.16.7 Cath Lab Set Up","2.16.7.1","Cath Lab has appropriate physical set up (See Annex 2.16a Physical Set Up for Cath Lab At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2740","v":0},3]
[null,null,"2.16.7.2"," General equipment, instruments and supplies available (See Annex 2.16b Furniture, Equipment, Instruments and Supplies for Cath Lab At the end of this standard)",{"$f":"'Annex 2.1a - 2.16b'!$D$2800","v":0},3]
[null,null,"2.16.7.3","Medicines and supplies available (See Annex 2.16c General Medicine and Supplies for Cath lab At the end of this standard)  ",{"$f":"'Annex 2.1a - 2.16b'!$D$2833","v":0},3]
[null,null,"2.16.7.4","Surgical sets for minimum list of the interventions available (See Annex 2.16d Surgical sets for Minimum list of Interventions At the end of this standard) ",{"$f":"'Annex 2.1a - 2.16b'!$D$2860","v":0},3]
[null,"2.16.8 Safe Surgery Checklist","2.16.8","The Safe Surgery Checklist is available in Cath Lab and used",null,1]
[null,"2.16.9 Records","2.16.9","Recording is done for all surgeries including procedure, observation during surgical procedure and complications if any",null,1]
[null,"2.16.10 Infection prevention protocol is strictly followed by all staffs in Cath Lab"]
[null,"2.16.10.1 Hand hygiene","2.16.10.1","Hand‑washing and scrubbing facility with running water and soap is available and being practiced with elbow tap",null,1]
[null,"2.16.10.2 Appropriate PPE","2.16.10.2","Gowns and sterile drapes for patients and sterile gown for surgery team are available and used whenever required.",null,1]
[null,"2.16.10.3 Fumigation","2.16.10.3","Fumigation is done at least once a week in the Cath Lab",null,1]
[null,"2.16.10.4 Disinfection of instruments","2.16.10.4","High Level Disinfection (e.g. Cidex) facility is available and being practiced.",null,1]
[null,"2.16.10.5 High Dusting","2.16.10.5","High dusting is done at least twice a week in Cath Lab",null,1]
[null,"2.16.10.6 Appropriate segregation of waste","2.16.10.6","Separate colored waste bins based on HCWM guideline 2014 (MoHP) are available and used",null,1]
[null,"2.16.10.7 Disposal of sharps","2.16.10.7","Needle cutter is used",null,1]
[null,"2.16.10.8 Cleaning ","2.16.10.8","Chlorine solution is available and utilized for decontamination. ",null,1]
["NSI","Standard 2.16",null,"Total Score",{"$f":"SUM($E$1273:$E$1293,$E$1295:$E$1302)","v":0},{"$f":"SUM($F$1273:$F$1293,$F$1295:$F$1302)","v":36}]
["NSI",null,null,"Total Percentage= Total Score/ 36 x 100",{"$f":"$E$1303/$F$1303","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Section III: Hospital Support Services Standards"]
["NSI","Area","Code","Verification"]
["NSI","CSSD",3.1]
["NSI","Components",null,"Standards","Obtained Score","Maximum Score"]
[null,"3.1.1 Space","3.1.1.1","Separate central supply sterlie department (CSSD) is available with running water facility",null,1]
[null,null,"3.1.1.2","There are separate rooms designated for dirty utility, cleaning, washing and drying and clean area for sterilizing, packaging and storage",null,1]
[null,"3.1.2 Staffing","3.1.2","Separate staffs (Staff Nurse) assigned for CSSD and is led by CSSD trained personal",null,1]
[null,"3.1.3 Equipment and supplies for CSSD","3.1.3","Equipment and supplies for sterilization available and functional round the clock (See Annex 3.1a CSSD Equipment and Supplies At the end of this standard)",{"$f":"'Annex 3.1a - 3.7a'!$I$30","v":0},3]
[null,"3.1.4 Preparing consumables","3.1.4","Wrapper, gauze, cotton balls, bandages are prepared",null,1]
[null,"3.1.5 Preparing for Sterilization","3.1.5.1","all used instruments are cleaned using brush chemical/ detergents in a separate room.",null,1]
[null,null,"3.1.5.2","All instruments and equipment are dried in a separate place.",null,1]
[null,null,"3.1.5.3","All instruments are packed in double wrappers",null,1]
[null,"3.1.6 Sterilization","3.1.6","All wrapped instruments are indicated with thermal indicator and autoclaved in a separate room",null,1]
[null,"3.1.7 Storage","3.1.7","All sterlie packs with sticker of sterilization date are stored in separate cupboards",null,1]
[null,"3.1.8 Collection and Distribution","3.1.8.1","System for single door collection and different route for distribution of the sterlie supply exist and is practiced",null,1]
[null,null,"3.1.8.2","Sterlie supplies are distributed using basket supply system or on-demand supply system",null,1]
[null,"3.1.9 Inventory","3.1.9","All instruments and wrappers are recorded and inventory maintained",null,1]
[null,"3.1.10 Infection Prevention","3.1.10.1","Staffs use personal protective equipment at work",null,1]
[null,null,"3.1.10.2","There are well labelled colored bins for waste segregation and disposal based on HCWM [1] guideline 2014 (MoHP)",null,1]
[null,null,"3.1.10.3","All linens are recorded and inventory maintained. ",null,1]
[null,null,"3.1.10.4","Staff wear mask and gloves at work.",null,1]
["NSI","Standard 3.2",null,"Total Score",{"$f":"SUM($E$1310:$E$1326)","v":0},{"$f":"SUM($F$1310:$F$1326)","v":19}]
["NSI",null,null,"Percentage = Total Score/ 19 x 100",{"$f":"$E$1327/$F$1327","v":{"v":0,"d":"0.00%"}}]
[null,"[1] HCWM: Health Care Waste Management"]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Laundry",3.2]
["NSI","Components",null,"Standards","Obtained Score","Maximum Score"]
[null,"3.2.1 Space","3.2.1.1","Separate laundry room is available.",null,1]
[null,null,"3.2.1.2","Separate space allocated for clean and dirty linens",null,1]
[null,"3.2.2 Staffing","3.2.2","There is a special schedule for collection and distribution of linens with visible duty roster for staffs",null,1]
[null,"3.2.3 Equipment/ Supplies","3.2.3","Adequate equipment and supplies are available for laundry (See Annex 3.2a Equipment and Supplies for Laundry At the end of this standard)",{"$f":"'Annex 3.1a - 3.7a'!$I$60","v":0},3]
[null,"3.2.4 Segregation and decontamination of linens","3.2.4.1","Linens are segregated (soiled, unsoiled, colorful, white, blood stained) before wash ",null,1]
[null,null,"3.2.4.2","Separated linens are decontaminated before wash",null,1]
[null,"3.2.5 Cleaning","3.2.5","All linens are washed using a washing machine.",null,1]
[null,"3.2.6 Drying","3.2.6.1","Space available for drying linens like blankets in direct sunlight.",null,1]
[null,null,"3.2.6.2","Linen dryer is available and used",null,1]
[null,"3.2.7 Packing","3.2.7","All linens are ironed and packed properly.",null,1]
[null,"3.2.8 Storage","3.2.8","Linens are properly stored in separate cupboard.",null,1]
[null,"3.2.9 Distribution","3.2.9","All linens are distributed using a proper method (basket supply system and on-demand supply system).",null,1]
[null,"3.2.10 Inventory","3.2.10","All linens are recorded and inventory maintained. ",null,1]
[null,"3.2.11 Infection prevention ","3.2.11.1","Staff wear mask and gloves at work.",null,1]
[null,null,"3.2.11.2","There are well labelled colored bins for waste segregation and disposal based on HCWM[1] guideline 2014 (MoHP)",null,1]
[null,null,"3.2.11.3","Hand washing facility with running water and liquid soap is available and being practiced.",null,1]
[null,null,"3.2.11.4","Chlorine solution is available and utilized for decontamination ",null,1]
["NSI","Standard 3.2",null,"Total Score",{"$f":"SUM($E$1335:$E$1351)","v":0},{"$f":"SUM($F$1335:$F$1351)","v":19}]
["NSI",null,null,"Percentage = Total Score/ 19 x 100",{"$f":"$E$1352/$F$1352","v":{"v":0,"d":"0.00%"}}]
[null,"[1] HCWM: Health Care Waste Management"]
[]
["NSI","Area","Code","Verification"]
["NSI","Housekeeping",3.3]
["NSI","Components",null,"Standards","Obtained Score","Maximum Score"]
[null,"3.3.1 Space for storage","3.3.1","Separate space is allocated for storage of the housekeeping basic supplies",null,1]
[null,"3.3.2 Staffing","3.3.2.1","Allocation of the staff for cleaning with visible duty roster ",null,1]
[null,null,"3.3.2.2","There is checklist of cleaning in each department with contact number of assigned working personnel",null,1]
[null,"3.3.3 Basic Supplies","3.3.3","Basic supplies are available (See Annex 3.3a Housekeeping Basic Supplies At the end of this standard).",{"$f":"'Annex 3.1a - 3.7a'!$I$101","v":0},3]
[null,"3.3.4 Cleaning","3.3.4.1.1","The hospital premises are visibly clean and dust free",null,1]
[null,null,"3.3.4.1.2.1","All hospital toilets are clean with no offensive smell",null,1]
[null,null,"3.3.4.1.2.2","All toilets are cleaned at least three times a day",null,1]
[null,null,"3.3.4.3","All doors and windows of hospital are dust-free and cleaned once a day.",null,1]
[null,null,"3.3.4.4","All floors of the hospital are clean and cleaned at least twice a day (like- before registration in morning and after OPD closes)",null,1]
[null,null,"3.3.4.5","All walls of the hospital are clean and are tiled or painted with enamel up to 4 feet",null,1]
[null,null,"3.3.4.6","Every ward/unit must have high wash twice a month and fumigation as per need",null,1]
[null,"3.3.5 Drainage of chlorine solution","3.3.5","Separate drainage system or pit is maintained for drainage of chlorine solution ",null,1]
[null,"3.3.6 Garden","3.3.6","Garden and trees should cover at least 25% of the hospital premises ",null,1]
["NSI","Standard 3.3",null,"Total Score",{"$f":"SUM($E$1359:$E$1371)","v":0},{"$f":"SUM($F$1359:$F$1371)","v":15}]
["NSI",null,null,"Percentage = Total Score / 15 x 100",{"$f":"$E$1372/$F$1372","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Repair, Maintenance and Power system",3.4]
["NSI","Components",null,"Standards","Obtained Score","Maximum Score"]
[null,"3.4.1 Staffing","3.4.1.1","Human resource trained in biomedical engineer is designated for repair and maintenance",null,1]
[null,null,"3.4.1.2","Staffs assigned to cover 24 hours shift with visible duty roster for staffs.",null,1]
[null,"3.4.2 Preventive Maintenance","3.4.2.1","Hospital has regular preventive maintenance practices (calibration, servicing of equipment) and corrective maintenance)",null,1]
[null,null,"3.4.2.2","Biomedical equipment inventory of all equipment and instrument is updated ",null,1]
[null,null,"3.4.2.3","Separate room for storage of repairing tools and instrument",null,1]
[null,null,"3.4.2.4","Availability of spare parts for repair and maintenance of biomedical equipment and instruments ",null,1]
[null,null,"3.4.2.5","Record keeping of repair and maintenance of biomedical equipment and instruments",null,1]
[null,null,"3.4.2.6","Specification of annual maintenance cost of major equipment",null,1]
[null,"3.4.3 Availability of power sources","3.4.3.1","Hospital has main-grid power supply with three‑phase line",null,1]
[null,null,"3.4.3.2","Hospital has alternate power generator capable of running x-ray and other hospital equipment",null,1]
[null,null,"3.4.3.3","Proper inventory of fuel is maintained.",null,1]
[null,null,"3.4.3.4","Hospital has solar system installed (at least for essential clinical services and administrative function).",null,1]
["NSI","Standard 3.4",null,"Total Score",{"$f":"SUM($E$1379:$E$1390)","v":0},{"$f":"SUM($F$1379:$F$1390)","v":12}]
["NSI",null,null,"Percentage = Total Score / 12 x 100",{"$f":"$E$1391/$F$1391","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Water supply",3.5]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"3.5.1 Water supply","3.5.1","There is regular water supply system – boring or well or from drinking water supply dedicated for hospital",null,1]
[null,"3.5.2 Water Storage "," 3.5.2.1","Water storage tank is covered to prevent contamination and cleaned on a regular basis",null,1]
[null,null," 3.5.2.2","Water storage tank has the reserve capacity to supply water for two full days in case of interruptions in main water supply ",null,1]
[null,"3.5.3 Water quality "," 3.5.3","Water quality test is done every year and report is available as per Nepal Drinking Water Quality Standards, 2005  ",null,1]
["NSI","Standard 3.5",null,"Total Score",{"$f":"SUM($E$1398:$E$1401)","v":0},{"$f":"SUM($F$1398:$F$1401)","v":4}]
["NSI",null,null,"Percentage = Total Score / 4 x 100",{"$f":"$E$1402/$F$1402","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Hospital Waste Management",3.6]
["NSI","Components",null,"Standards","Obtained Score","Maximum Score",null," "]
[null,"3.6.1 Staffing","3.6.1.1","There is allocation of staff for HCWM from segregation to final disposal ",null,1]
[null,null,"3.6.1.2","Whole site coaching/ orientation on health care waste management is done",null,1]
[null,"3.6.2 Space","3.6.2","There is separate area/space designated for waste storage and management with functional hand washing facility",null,1]
[null,"3.6.3 Segregation of waste from source to final disposal","3.6.3","Different colored bins (for risk and non-risk waste) based on HCWM guideline 2014 (MoHP) are used from source to final disposal  ",null,1]
[null,"3.6.4 Personal protection","3.6.4","Staff use cap, mask, gloves, boot, and gown while collecting waste.",null,1]
[null,"3.6.5 Public information","3.6.5","Information regarding proper use of waste bins is displayed publicly and basic information of HCWM is displayed in hospital premises",null,1]
[null,"3.6.6 Medication trolley with waste segregation buckets","3.6.6","Medication trolley has well labeled buckets for segregation of waste during procedures  ",null,1]
[null,"3.6.7 Transportation of waste within the hospital","3.6.7","Hospital uses transportation trolleys separate for risk and non-risk waste ",null,1]
[null,"3.6.8 Disposal and recycle/reuse  of waste","3.6.8.1","Infectious waste is sterilized using autoclave before disposal",null,1]
[null,null,"3.6.8.2","Collection of recyclable/reusable items such as plastic bottles, paper, decontaminated sharps is practiced ",null,1]
[null,null,"3.6.8.3","Composting of bio-degradable waste is practiced",null,1]
[null,null,"3.6.8.4","Collection of waste by the local municipality/ rural municipality after sterilization /decontamination",null,1]
[null,null,"3.6.8.5","Placenta pit used for disposal of human anatomical waste such as placenta, human tissue",null,1]
[null,null,"3.6.8.6","Biogas plant in place and energy generated used for hospital support services",null,1]
[null,"3.6.9 Pharmaceutical and radiological waste management","3.6.9","Pharmaceutical waste and radiological waste is disposed based on the HCWM guideline 2014 (MoHP)",null,1]
[null,"3.6.10 Liquid waste management","3.6.10","Hospital liquid waste management is done ",null,1]
[null,"3.6.11 Waste management of electronic goods and products","3.6.11","Hospital has IT personnel to coordinate to manage waste related to electronic goods and products",null,1]
["NSI","Standard 3.6",null,"Total Score",{"$f":"SUM($E$1409:$E$1425)","v":0},{"$f":"SUM($F$1409:$F$1425)","v":17}]
["NSI",null,null,"Percentage = Total Score / 16 x 100",{"$f":"$E$1426/$F$1426","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Safety and Security",3.7]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"3.7.1 Staffing of security personnel","3.7.1.1","Hospital has trained security personnel round the clock.",null,1]
[null,null,"3.7.1.2","All security staffs are oriented with hospital codes like 001- call for help for crashing patients, 007- call for disaster in ER",null,1]
[null,null,"3.7.1.3","All security staffs have participated in emergency drills",null,1]
[null,"3.7.2 Office space allocated for security personnel","3.7.2","A separate office for security with communication system is available",null,1]
[null,"3.7.3 Amenities ","3.7.3","Basic amenities for safety and security are available (See Annex 3.7a Safety and Security Basic Amenities At the end of this standard)",{"$f":"'Annex 3.1a - 3.7a'!$I$122","v":0},3]
[null,"3.7.4 Patient safety","3.7.4","The hospital has replaced all mercury apparatus with other appropriate technologies.",null,1]
[null,"3.7.5 Continuous surveillance of hospital premises","3.7.5","CCTV coverage of major areas and control under Medical Superintendent and security in-charge",null,1]
[null,"3.7.6 Hospital has disaster mitigation system","3.7.6.1","The hospital has fire extinguisher in all blocks including the fire extinguishing system ",null,1]
[null,null,"3.7.6.2","The hospital has installed safety alarm system including smoke detector",null,1]
[null,null,"3.7.6.3","The hospital has prevented lightening by ensuring earthing system in electrification.",null,1]
[null,null,"3.7.6.4","Disaster preparedness orientation has been given to all staff at least every six months.",null,1]
[null,null,"3.7.6.5","Exit signs are displayed to escape during disaster in all departments and wards",null,1]
[null,null,"3.7.6.6","An assembly zone has been specified for disaster",null,1]
[null,null,"3.7.6.7","Hospital has functional rapid response team ",null,1]
[null,null,"3.7.6.8","Medicine stock for post disaster response is available",null,1]
["NSI","Standard 3.7",null,"Total Score",{"$f":"SUM($E$1433:$E$1447)","v":0},{"$f":"SUM($F$1433:$F$1447)","v":17}]
["NSI",null,null,"Percentage = Total Score / 17 x 100",{"$f":"$E$1448/$F$1448","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification"]
["NSI","Transportation and Communication",3.8]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"3.8.1 Transportation","3.8.1.1","24-hour ambulance service is available.",null,1]
[null,null,"3.8.1.2","Hospital has its own well-equipped ambulance at least 2",null,1]
[null,null,"3.8.1.3","The hospital has access to utility van",null,1]
[null,"3.8.2 Communication","3.8.2.1","The hospital has telephone with intercom (EPABX) network.",null,1]
[null,null,"3.8.2.2","Internal communication (paging) system has been installed in all major service stations.",null,1]
[null,null,"3.8.2.3","A notice board is available and being utilized.",null,1]
[null,null,"3.8.2.4","List of important phone numbers including emergency contacts like ambulance, fire brigade, blood banks, hospital administration, hospital staffs is available in the reception, emergency and administration office",null,1]
[null,null,"3.8.2.5","There should be a public contact or information center in prime location of hospital with 24 hours staff availability",null,1]
["NSI","Standard 3.8",null,"Total Score",{"$f":"SUM($E$1455:$E$1462)","v":0},{"$f":"SUM($F$1455:$F$1462)","v":8}]
["NSI",null,null,"Percentage = Total Score / 8 x 100",{"$f":"$E$1463/$F$1463","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code"," Verification "]
["NSI","Store (Medical and Logistics)",3.9]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"3.9.1 Space","3.9.1","Separate room allocated for medical store and general store.",null,1]
[null,null,"3.9.2","The medical store room is maintained at 25°C +/- 2°C temperature",null,1]
[null,null,"3.9.3","Temperature monitoring device (Hygrometer) is installed in medical store",null,1]
[null,null,"3.9.4","Daily temperature monitoring log book is maintained in medical store ",null,1]
[null,"3.9.2 Space","3.9.2.1","The medical store of hospital is lead by pharmacist",null,1]
[null,null,"3.9.2.2","Medical store is under a supervision of hospital pharmacy department",null,1]
[null,null,"3.9.2.3","General store of hospital is led by a administration personnel",null,1]
[null,"3.9.2 Stock in hospital medical store","3.9.2.1","Medical store maintain stock of procured medicine and program medicines and vaccines from government",null,1]
[null,null,"3.9.2.2","Vaccines and other temperature sensitive medicines are stored in cold chain",null,1]
[null,null,"3.9.2.3","3 months' buffer stock of all the medicines and medical supplies is maintained",null,1]
[null,null,"3.9.2.4","Minimum and Maximum stock levels for each item are calculated and used when re-ordering stock",null,1]
[null,"3.9.3 Inventory","3.9.3.1","Medicines, vaccines and medical supplies inventory should be maintained in a First Expiry First Out (FEFO) order",null,1]
[null,null,"3.9.3.2","Electronic database system is used in the hospital medical store.",null,1]
[null,null,"3.9.3.3","Hospital submits web-based of program medicine and vaccines reports to LMIS (eLMIS)",null,1]
[null,"3.9.4 Disposal of expired medicine ","3.9.4","Disposal of expired medicine as per HCWM guideline 2014 (MoHP) practiced in every six month",null,1]
[null,"3.9.5 Auction of logistics","3.9.5","Auction of identified old logistics is done annually",null,1]
["NSI","Standard 3.9",null,"Total Score",{"$f":"SUM($E$1470:$E$1485)","v":0},{"$f":"SUM($F$1470:$F$1485)","v":16}]
["NSI",null,null,"Percentage = Total Score / 7 x 100",{"$f":"$E$1486/$F$1486","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification "]
["NSI","Hospital Canteen",{"v":3.1,"d":"3.10"}]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"3.10.1 Time for patients/ visitors and staff","3.10.1","Hospital has canteen in its premises with 24 hours service",null,1]
[null,"3.10.2 Information to patients/ visitors and staffs","3.10.2","A list of food items with price list approved by Hospital Management Committee is available",null,1]
[null,"3.10.3 Physical facilities","3.10.3.1","Visibly clean floors and space allocated for cooking, cleaning and storage of stock",null,1]
[null,null,"3.10.3.2","Light and ventilation are adequately maintained.",null,1]
[null,null,"3.10.3.3","All walls of the canteen are clean and are tiled or painted with enamel up to 4 feet",null,1]
[null,null,"3.10.3.4","Safe drinking water is available 24 hours",null,1]
[null,"3.10.4 Uniform for canteen staffs","3.10.4","Dress code is maintained",null,1]
[null,"3.10.5 Food for inpatients under supervision of dietetics","3.10.5.1","Staffs assigned for inpatient diet including the intensive care units and patient needing hemodialysis: Trained dietetic staff assigned for inpatient nutrition care: one Senior Dietitian (Masters qualification in Nutrition & Dietetics including hospital internship or Bachelors in Nutrition & Dietetics with 1 years hospital experience) plus one dietetic assistant per hundred general beds, plus one office assistant. Additionally, 1 senior dietitian per 25 beds for all specialized services, including ICU, NICU, PICU, nephrology/ hemodialysis",null,1]
[null,null,"3.10.5.2","The inpatients who are identified needy or covered by SSU are provided with food at least four times a day and the food contains carbohydrate, fats, proteins and at least one vegetable item",null,1]
[null,"3.10.6 IEC/ BCC materials","3.10.6","Appropriate IEC/ BCC materials (posters, leaflets, television) are available in the canteen for balanced diet",null,1]
[null,"3.10.7 Facilities for staffs, patients and visitors","3.10.7","Comfortable space with sitting arrangement is available for at least 50 people",null,1]
[null,"3.10.8 Infection prevention and food hygiene","3.10.8.1","Separate area designated for washing dishes and visibly clean.",null,1]
[null,null,"3.10.8.2","There are colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)",null,1]
[null,null,"3.10.8.3","Hand‑washing facility with running water and soap is available  ",null,1]
[null,null,"3.10.8.4","Mesh/ net used to cover food and refrigerator used to store food used to cover food",null,1]
[null,null,"3.10.8.5","Rat proofing and daily scrubbing of the canteen is done",null,1]
["NSI","Standard 3.10",null,"Total Score",{"$f":"SUM($E$1493:$E$1508)","v":0},{"$f":"SUM($F$1493:$F$1508)","v":16}]
["NSI",null,null,"Percentage = Total Score / 15 x 100",{"$f":"$E$1509/$F$1509","v":{"v":0,"d":"0.00%"}}]
[]
[]
["NSI","Area","Code","Verification "]
["NSI","Social Service Unit",3.11]
["NSI","Components","Std No.","Standards","Obtained Score","Maximum Score"]
[null,"3.11.1 Time for patients","3.11.1.1","SSU open from 8am to 7pm",null,1]
[null,null,"3.11.1.2","Management committee to manage 24 hours SSU services for patients",null,1]
[null,"3.11.2 Physical facilites for SSU services","3.11.2","Separate space allocated for SSU is accessible to patients (See Annex 3.11a Physical Facilities SSU At the end of this standard)",{"$f":"'Annex 3.1a - 3.7a'!$I$146","v":0},3]
[null,"3.11.3 Staffing","3.11.3","Allocation of staffs for SSU under unit chief a team of 2 of 10 facilitators",null,1]
[null,"3.11.4 Identify and display target group and services covered","3.11.4","Refer to ‘deprived citizen treatment fund guideline 2071’ 2075’ to identify target group, and display target group and services covered",null,1]
[null,"3.11.5 Referral mechanism in place","3.11.5.1","Referral of patients based on treatment protocol",null,1]
[null,null,"3.11.5.2","Documentation of referral based on  'deprived citizen treatment fund guideline 2071'",null,1]
[null,null,"3.11.5.3","SSU allocates fund for transportation for referral",null,1]
[null,"3.11.6 Recording and reporting","3.11.6.1","Meetings of SSU every three months to review and discuss problems",null,1]
[null,null,"3.11.6.2","Daily display of names of persons receiving free and partially free services from the unit",null,1]
[null,null,"3.11.6.3","Record information on free and partially free services recipients on the formats to records section of the concerned hospital",null,1]
[null,null,"3.11.6.4","Prepare and submit monthly, trimester and annual report to concerned authority",null,1]
["NSI","Standard 3.11",null,"Total Score",{"$f":"SUM($E$1516:$E$1527)","v":0},{"$f":"SUM($F$1516:$F$1527)","v":14}]
["NSI",null,null,"Percentage = Total Score / 14 x 100",{"$f":"$E$1528/$F$1528","v":{"v":0,"d":"0.00%"}}]

{"sheet":"Checklist 2.1","index":3,"n_rows":25,"n_cols":24,"rows_kept":25,"merged":[[0,1,0,23],[1,1,2,1],[1,2,2,2],[1,3,1,22],[1,23,2,23],[15,2,16,23],[17,2,17,5],[18,2,18,3],[18,4,18,5],[19,2,19,3],[19,4,19,5],[20,2,20,3],[20,4,20,5],[21,2,21,3],[21,4,21,5],[22,2,22,3],[22,4,22,5],[24,2,24,23]]}
[null,"Checklist 2.1 OPD Services \n(1= General Medicine OPD, 2= Obstetrics/Gynecology OPD, 3= Pediatrics, 4=General Surgery, 5=Dental, 6=Orthopedics, 7=Psychiatry, 8=ENT, 9=Dermatology, 10=Opthalmology, 11=Cardiology, 12=Urology, 13=Neurosurgery, 14=Neurology, 15=Burn/Plastic, 16=Nephrology, 17=Gastrology)"]
[null,"Code","Standards","Score",{"$nulls":19},"Direction to use"]
[{"$nulls":3},1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,"Total Score","Percentage","Scoring"]
[null,"2.1.1.1","OPD is open from 10 AM to 3 PM ",{"$nulls":17},{"$f":"SUM($D4:$T4)","v":0},{"$f":"$U4/17","v":{"v":0,"d":"0.00%"}},{"$f":"IF($V4<=0.4999,0, IF($V4<=0.6999,1, IF($V4<=0.8499,2,3)))","v":0},"Go to standard 2.1.1.2"]
[null,"2.1.3","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients) ",{"$nulls":17},0,{"v":0,"d":"0.00%"},0,"Go to standard 2.1.4"]
[null,"2.1.4.1","Counseling is provided to patients about the type of treatment being given and its consequences ",{"$nulls":17},0,{"v":0,"d":"0.00%"},0,"Go to standard 2.1.4.2"]
[null,"2.1.5.1","Adequate rooms and space for the practitioners and patients are available ",{"$nulls":17},0,{"v":0,"d":"0.00%"},0,"Go to standard 2.1.5.2"]
[null,"2.1.5.2","Light and ventilation are adequately maintained",{"$nulls":17},0,{"v":0,"d":"0.00%"},0,"Go to standard 2.1.5.4"]
[null,"2.1.5.4","Each OPD has designated space/room for procedure room/area with basic supplies of dressing, injection and procedures and hand washing facility  ",{"$nulls":17},0,{"v":0,"d":"0.00%"},0,"Go to Standard 2.1.6"]
[null,"2.1.9","OPD register available in every OPD and ICD 11 classification for diagnosis recorded (electronic health recording system)",{"$nulls":17},0,{"v":0,"d":"0.00%"},0,"Go to Standard 2.1.10.1"]
[null,"2.1.10.1","Masks and gloves are available and used ",{"$nulls":17},0,{"v":0,"d":"0.00%"},0,"Go to Standard 2.1.10.2"]
[null,"2.1.10.2","There are well labeled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)",{"$nulls":17},0,{"v":0,"d":"0.00%"},0,"Go to Standard 2.1.10.3"]
[null,"2.1.10.3","Hand washing facility with running water and soap or hand sanitizer is available for practitioners",{"$nulls":17},0,{"v":0,"d":"0.00%"},0,"Go to Standard 2.1.10.4"]
[null,"2.1.10.4","Needle cutter is used ",{"$nulls":17},0,{"v":0,"d":"0.00%"},0,"Go to Standard 2.1.10.5"]
[null,"2.1.10.5","Chlorine solution is available and utilized for decontamination ",{"$nulls":17},0,{"v":0,"d":"0.00%"},0,"Score Standard 2.1"]
[null,null,"Total percentage = Total obtained score / No. of OPD x 100; Each row gets a score of 1 in each row if is available otherwise 0"]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage",null,"Score"]
[null,null,"0% - 50%",null,0]
[null,null,"50% - 70%",null,1]
[null,null,"70% - 85%",null,2]
[null,null,"85% - 100%",null,3]
[]
[null,null,"Plot score based on scoring chart and to the space of obtained marks of respective standards"]

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[null,"Checklist 2.6 Inpatient Services(1= Medicine Ward 2= Surgery ward 3= Pediatrics Ward 4= Orthopedics ward 5=Psychiatry Ward 6= ENTward 7= PNC and Gynecology Ward, 8= Geriatrics Ward)"]
[null,"Code","ServiceStandards","Score"]
[{"$nulls":3},1,2,3,4,5,6,7,8,9,"Total","Percentage","Scoring","Direction to Use"]
[null,"2.6.1.1","Separate space for nursing station is available in each ward",{"$nulls":9},{"$f":"SUM($D4:$L4)","v":0},{"$f":"$M4/9","v":{"v":0,"d":"0.00%"}},{"$f":"IF($N4<=0.4999,0, IF($N4<=0.6999,1, IF($N4<=0.8499,2,3)))","v":0},"Go toStandard2.6.1.2"]
[null,"2.6.1.2","Separate doctors meeting room is available in each ward",{"$nulls":9},{"$f":"SUM($D5:$L5)","v":0},{"$f":"$M5/9","v":{"v":0,"d":"0.00%"}},{"$f":"IF($N5<=0.4999,0, IF($N5<=0.6999,1, IF($N5<=0.8499,2,3)))","v":0},"Go toStandard2.6.1.3"]
[null,"2.6.1.3","Separate changing room available for male and female staffs",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.1.4"]
[null,"2.6.1.4","Separate store room is available",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.2"]
[null,"2.6.4","There is a set of at least one table and two chairs in the nursing station and shelves for storage of charts and inpatient forms and formats",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.5"]
[null,"2.6.5","Adequate numbers of nursing staff are available in ward per shift (nurse patient ratio 1:6 in general ward,1:4 in pediatric ward, 1:2 in high dependency or intermediate ward or postoperative or burn/plastic ward)and at least one trained office assistant/ward attendant pershift in each ward",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.6"]
[null,"2.6.6","Duty roster of doctors, nurses, paramedics and support staffs kept visibly in nursing station",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.7"]
[null,"2.6.7","Telephone facility is available with list of important contact numbers and hospital codes visibly kept",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.8"]
[null,"2.6.8.1","All staffs inwards are trained for BLCS and oriented about emergency code001 or blue code",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.8.2"]
[null,"2.6.8.3","At least onedefibrillatorin immediate accessible area",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.9"]
[null,"2.6.10.1","Separate area designated for admission of male and femaleinpatients in ward",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.10.2"]
[null,"2.6.10.2","There are adequate separate toilets for male and female patients in each ward (1 for 6 female bed and 1 for 8 male beds) with wash basins/sinks for the patients.*",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.10.3"]
[null,"2.6.10.6","Safe drinking water is available24 hours for inpatients",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.10.4"]
[null,"2.6.10.7","Hours/ Time allocated for visitors to meet the inpatients and controlled traffic to prevent cross infection",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.10.6"]
[null,"2.6.10.8","Separate space is available for patients’ visitors (KuruwaGhar).",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.11"]
[null,"2.6.11.1","Basic information regarding admitted patients is displayed in a separate board",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.11.2"]
[null,"2.6.11.2","Separate space with privacy dedicated for regular counseling is done for patient and patient party on conditionand disease of patient. (See Checklist 2.6).",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.12"]
[null,"2.6.12","Appropriate IEC/ BCC materials (posters, leaflets etc.) are available in the inpatient ward with focuson infection prevention",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.13"]
[null,"2.6.13","Admissionand discharge registers are available and are being filledcompletely (HMIS8.1 and 8.2)",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.14"]
[null,"2.6.14.1","PPE areavailable and used whenever required",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.14.2"]
[null,"2.6.14.2","Each ward hashand sanitizer in visible place for health workers to use before and after touching patients",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.14.3"]
[null,"2.6.14.3","There are well labelled color-coded bins for wastesegregation and disposal as per HCWM guideline2014 (MoHP)",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.14.4"]
[null,"2.6.14.4","Hand-washing facility with running water and liquid soap is available and being practiced",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.14.5"]
[null,"2.6.14.5","Needle cutter is used",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.14.6"]
[null,"2.6.14.6","Chlorine solution is availableand utilized for decontamination",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"Go toStandard2.6.14.7"]
[null,"2.6.14.7","Separateisolation room for any communicable disease patients",{"$nulls":9},0,{"v":0,"d":"0.00%"},0,"ScoreStandard2.6"]
[]
[null,"Each row gets a score of 1 if  available otherwise 0.Total Percentage = Total Score/ No of wards (8) x100Plot the scoring based on the scoring chart and fill in the respective standards in tool and"]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
[null,null,"50% - 70%",1]
[null,null,"70% - 85%",2]
[null,null,"85% - 100%",3]
[]
[null,"* For geriatrics ward, commode in toilet and railing on wall in both toilet and bathroom must be kept."]

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[null,"Annex 1.3 a :","Functional Organogram (Standard 1.3.3.1)"]
["Functional Organogram for Primary Hospitals",{"$nulls":3},"Obtained Score","Maximum Score"]
["SN","For Governance and Management"]
[1,"Medical Superintendent",null,1,null,1]
[2,"Hospital Management officer",null,1,null,1]
[3,"Information Management officer",null,1,null,1]
[4,"Information Technology Officer",null,1,null,1]
[5,"Accountant for hospital ",null,2,null,1]
[6,"Medical recorder",null,3,null,1]
[7,"Health Insurance Team",null,"As per health insurance board",null,1]
[null,"For Clinical Services"]
[8,"Doctor : OPD Patients","1:35-50 (1:20)",null,null,1]
[9,"Screening counter","1 paramedics: 4 OPDs and for psychiatry OPD, psychological counselor at least 2, at least one nurse in gynae/obs OPD",null,null,1]
[10,"Special clinics","2 mid-level health workers: 1 Special Clinic*\n\n*For safe abortion services, at least one trained and certified medical officer/ MDGP/ ObGyn for first trimester and second trimester safe abortion services",null,null,1]
[11,"ER beds: Health Workers","5 ER Beds: Doctor (1): Nurse (1): Paramedics (1): Office Assistant (1) \n\nThere should be 1:1 nurse patient ratio in red area, 1:3 in yellow area and 1:6 in green area.",null,null,1]
[12,"Pharmacist"," Pharmacy department is lead by at least one clinical pharmacist.\n\nPharmacy has at least 3 pharmacist, 6 assistant pharmacist and 2 office assistants",null,null,1]
[13,"Nursing and support staff for inpatient services per shift","Nurse patient ratio 1:6 in general ward, 1:4 in pediatric ward, 1:2 in high dependency or intermediate ward or post-operative or burn/plastic ward) and at least one trained office assistant/ward attendant per shift in each ward",null,null,1]
[14,"Nursing staff in labor and maternity per shift","Nurse / SBA Trained/ Midwife and mother ratio 1:2 in pre-labor; 2:1 per delivery table and 1:6 in post-natal ward with at least one ASBA trained medical officer on duty  and one office assistant are available in each shift",null,null,1]
[15,"Nursing staff in haemodialysis per shift","One haemodialysis trained nurse per two Haemodialysis machine",null,null,1]
[16,"Intensive care service team","One coordinator each for ICU, NICU, PICU with at least MD Anesthesiology , MD Pediatrics respectively with at least one  admitting consultant on duty each for ICU, NICU, PICU\n\nOne trained medical officer for each five bed\n\nNurse-in-charge one each for ICU, NICU.PICU with nurse patient ratio:\n1:1 for ventilated and multi organ failure, 2:3 for ventilated or multi-organ failure and 1:2 for other\n\nIP trained office assistant 1 for every five bed and on call biomedical engineer in each shift",null,null,1]
[17,"Nursing supervisor/ administrator","At least three nursing supervisor/administrator (one for IPD, OPD  and emergency, one for maternity services, one for intensive care service and Operation Theatre)",null,null,1]
[18,"Surgery team per surgery","For one surgery, at least a team is composed of: MS with one trained medical officer, two OT trained nurse (one scrub and one circulating), one Anesthesiologist, one anesthesia assistant and one office assistant ( for cleaning and helping)\n\nFor overall management of operation theatre, there is one OT nurse (with minimum bachelors degree) assigned as OT in-charge\n\nAt least two nurses in pre-anesthesia area for receiving and transferring of the patient\n\nAt least two ICU trained nurses for post anesthesia care for receiving patient after OT ",null,null,1]
[19,"Laboratory","Laboratory team is lead by pathologist (at least) 3 (one for histocytopathology and hematology, 1 for biochemistry and 1 for microbiology) with at least 12 lab staffs ( 3 medical technologists, 3 technicians, 2 assistants and 2 helpers are available during routine working hours and on call biomedical engineer.  ",null,null,1]
[20,"X-ray","Adequate numbers of trained healthcare workers are available in x-ray (at least 2 staffs to cover shifts including ER)",null,null,1]
[21,"USG","USG trained medical practitioner and mid-level health worker in each USG room",null,null,1]
[22,"CT Scan","At least one CT scan of 128 slice with radiologist and radiographer/technologist",null,null,1]
[23,"MRI","At least one MRI of 1.5 Tesla with radiologist and radiographer/technologist",null,null,1]
[24,"Echocardiogram","MD internal medicine with echo training or Cardiologist is available for Echo service with at least one mid-level health worker assigned in Echo is available for Echo service with at least one mid-level health worker assigned in Echo",null,null,1]
[25,"Treadmill test ","At least one trained medical officer / cardiologist and one mid-level health worker is allocated for TMT service",null,null,1]
[26,"Endoscopy","Physician/ surgeons having endoscopic training or Gastroenterologist or hepatologist or gastrointestinal surgeons with at least 2 Trained endoscopic nurse/paramedic designated for endoscopy room and one trained record keeping staff nurse/paramedics",null,null,1]
[27,"Medico legal and forensics services","Team led by MD Forensic Medicine with at least one trained medical officer for mortuary service and medico-legal services",null,null,1]
[28,"OCMC","2 Staff nurse working in the hospital and 1 trained psycho social counselor)",null,null,1]
[29,"Physiotherapy"," At least 3 physiotherapist trained in Masters in Physiotherapy (MPT) one each for orthopedics, cardiology and neurology, 6 Bachelors’ in Physiotherapy (BPT) and 3 Certificate in physiotherapy (CPT) or Diploma in physiotherapy  (DPT) and 3 office assistants ",null,null,1]
[30,"Inpatient and outpatient dietetics and nutritional rehabilitation","one Senior Dietitian (Masters qualification in Nutrition & Dietetics including hospital internship or Bachelors in Nutrition & Dietetics with 1 years hospital experience) plus one dietetic assistant per hundred general beds, plus one office assistant\n\nAdditionally, 1 senior dietitian per 25 beds for all specialized services, including ICU, NICU, PICU, nephrology/hemodialysis",null,null,1]
[31,"Stabilization center","Inpatient bed: Nurses trained in stabilization of severely undernourished children with complications – 2:1",null,null,1]
[32,"Cath Lab","For one cardiac intervention, at least a team is composed of: MD Internal Medicine trained in cardiac intervention or cardiologist with one trained medical officer, two trained nursing/paramedics, and one trained office assistant",null,null,1]
[null,"For Hospital Support Services"]
[33,"CSSD","Separate staffs assigned for CSSD under leadership of trained nursing staff",null,null,1]
[34,"Laundry and housekeeping","There is a special schedule for collection and distribution of linens with visible duty roster for staffs laundry and housekeeping",null,null,1]
[35,"BMET","Human resource trained in biomedical engineering is designated for repair and maintenance",null,null,1]
[36,"Security","The hospital has trained security personnel round the clock.",null,null,1]
[37,"SSU ","Facilitators at least 2 to 10 facilitators led by unit chief",null,null,1]
["Total Score",{"$nulls":3},{"$f":"SUM($E$4:$E$10,$E$12:$E$36,$E$38:$E$42)","v":0},{"$f":"SUM($F$4:$F$10,$F$12:$F$36,$F$38:$F$42)","v":37}]
["Total Percentage = Total Score/ 37 x 100",{"$nulls":3},{"$f":"$E$43/$F$43","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 in each row if is available otherwise 0"]
[{"$nulls":3},"Scoring chart"]
[{"$nulls":3},"Total percentage","Score"]
[{"$nulls":3},"0% - 50%",0]
[{"$nulls":3},"50% - 70%",1]
[{"$nulls":3},"70% - 85%",2]
[{"$nulls":3},"85% - 100%",3]
[{"$nulls":3},"Score for Standard 1.3.3.1",{"$f":"IF($E$44<=0.4999,0, IF($E$44<=0.6999,1, IF($E$44<=0.8499,2,3)))","v":0}]

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48,2,1548,3],[1549,2,1549,3],[1550,2,1550,3],[1551,2,1551,3],[1552,2,1552,3],[1553,2,1553,3],[1554,2,1554,3],[1555,2,1555,3],[1556,2,1556,3],[1557,2,1557,3],[1558,2,1558,3],[1559,2,1559,3],[1560,2,1560,3],[1561,2,1561,3],[1562,2,1562,3],[1563,2,1563,3],[1564,2,1564,3],[1565,2,1565,3],[1566,2,1566,3],[1567,2,1567,3],[1568,2,1568,3],[1569,2,1569,3],[1570,2,1570,3],[1571,2,1571,3],[1572,2,1572,3],[1573,2,1573,3],[1574,2,1574,3],[1575,2,1575,3],[1576,2,1576,3],[1577,1,1577,3],[1578,1,1578,3],[1582,2,1582,3],[1592,2,1592,3],[1593,1,1593,4],[1594,2,1594,3],[1595,2,1595,3],[1596,1,1596,4],[1597,2,1597,3],[1598,2,1598,3],[1599,2,1599,3],[1600,2,1600,3],[1601,2,1601,3],[1602,2,1602,3],[1603,2,1603,3],[1604,2,1604,3],[1605,1,1605,3],[1606,1,1606,3],[1610,2,1610,3],[1620,2,1620,3],[1621,2,1621,3],[1622,2,1622,3],[1623,2,1623,3],[1624,2,1624,3],[1625,2,1625,3],[1626,2,1626,3],[1627,2,1627,3],[1628,1,1628,3],[1629,1,1629,3],[1633,2,1633,3],[1643,2,1643,3],[1644,2,1644,3],[1645,2,1645,3],[1646,2,1646,3],[1647,2,1647,3],[1648,2,1648,3],[1649,2,1649,3],[1650,2,1650,3],[1651,2,1651,3],[1652,2,1652,3],[1653,1,1653,3],[1654,1,1654,3],[1658,2,1658,3],[1668,2,1668,3],[1669,2,1669,3],[1670,2,1670,3],[1671,2,1671,3],[1672,2,1672,3],[1673,2,1673,3],[1674,2,1674,3],[1675,2,1675,3],[1676,2,1676,3],[1677,1,1677,3],[1678,1,1678,3],[1682,2,1682,3],[1692,2,1692,3],[1693,2,1693,3],[1694,2,1694,3],[1695,2,1695,3],[1696,2,1696,3],[1697,2,1697,3],[1698,2,1698,3],[1699,2,1699,3],[1700,2,1700,3],[1701,2,1701,3],[1702,1,1702,3],[1703,1,1703,3],[1706,2,1706,3],[1715,1,1715,4],[1768,1,1768,3],[1769,1,1769,3],[1773,2,1773,3],[1801,1,1801,3],[1802,1,1802,3],[1806,2,1806,3],[1861,1,1861,3],[1862,1,1862,3],[1866,2,1866,3],[1899,1,1899,3],[1900,1,1900,3],[1904,2,1904,3],[1915,1,1915,4],[1921,1,1921,4],[1935,1,1935,4],[1942,1,1942,4],[1954,1,1954,4],[1965,1,1965,4],[1974,1,1974,3],[1975,1,1975,3],[1979,2,1979,3],[2012,1,2012,3],[2013,1,2013,3],[2017,2,2017,3],[2056,1,2056,4],[2077,1,2077,3],[2078,1,2078,3],[2082,2,2082,3],[2092,2,2092,3],[2093,2,2093,3],[2094,2,2094,3],[2095,2,2095,3],[2096,2,2096,3],[2097,2,2097,3],[2098,2,2098,3],[2099,2,2099,3],[2100,1,2100,3],[2101,1,2101,3],[2105,2,2105,3],[2127,1,2127,3],[2128,1,2128,3],[2132,2,2132,3],[2145,1,2146,1],[2145,2,2146,2],[2145,3,2146,3],[2145,4,2145,6],[2170,1,2170,3],[2171,1,2171,3],[2176,2,2176,3],[2189,2,2189,3],[2190,1,2190,4],[2191,2,2191,3],[2192,2,2192,3],[2193,2,2193,3],[2194,2,2194,3],[2195,2,2195,3],[2196,2,2196,3],[2197,2,2197,3],[2198,2,2198,3],[2199,2,2199,3],[2200,2,2200,3],[2201,2,2201,3],[2202,2,2202,3],[2203,2,2203,3],[2204,2,2204,3],[2205,2,2205,3],[2206,2,2206,3],[2207,2,2207,3],[2208,2,2208,3],[2209,2,2209,3],[2210,2,2210,3],[2211,2,2211,3],[2212,1,2212,4],[2213,2,2213,3],[2214,2,2214,3],[2215,2,2215,3],[2216,2,2216,3],[2217,2,2217,3],[2218,2,2218,3],[2219,2,2219,3],[2220,2,2220,3],[2221,2,2221,3],[2222,2,2222,3],[2223,2,2223,3],[2224,2,2224,3],[2225,2,2225,3],[2226,2,2226,3],[2227,2,2227,3],[2228,2,2228,3],[2229,2,2229,3],[2230,2,2230,3],[2231,2,2231,3],[2232,2,2232,3],[2233,2,2233,3],[2234,2,2234,3],[2235,2,2235,3],[2236,2,2236,3],[2237,2,2237,3],[2238,2,2238,3],[2239,2,2239,3],[2240,2,2240,3],[2241,2,2241,3],[2242,2,2242,3],[2243,2,2243,3],[2244,2,2244,3],[2245,2,2245,3],[2246,2,2246,3],[2247,2,2247,3],[2248,2,2248,3],[2249,2,2249,3],[2250,2,2250,3],[2251,2,2251,3],[2252,2,2252,3],[2253,1,2253,4],[2254,2,2254,3],[2255,2,2255,3],[2256,2,2256,3],[2257,2,2257,3],[2258,2,2258,3],[2259,1,2259,4],[2260,2,2260,3],[2261,2,2261,3],[2262,2,2262,3],[2263,2,2263,3],[2264,2,2264,3],[2265,2,2265,3],[2266,2,2266,3],[2267,2,2267,3],[2268,2,2268,3],[2269,2,2269,3],[2270,2,2270,3],[2271,2,2271,3],[2272,2,2272,3],[2273,2,2273,3],[2274,2,2274,3],[2275,2,2275,3],[2276,2,2276,3],[2277,2,2277,3],[2278,1,2278,4],[2279,2,2279,3],[2280,2,2280,3],[2281,2,2281,3],[2282,2,2282,3],[2283,2,2283,3],[2284,2,2284,3],[2285,2,2285,3],[2286,2,2286,3],[2287,1,2287,4],[2288,2,2288,3],[2289,2,2289,3],[2290,2,2290,3],[2291,2,2291,3],[2292,2,2292,3],[2293,1,2293,3],[2294,1,2294,3],[2298,2,2298,3],[2334,1,2334,3],[2335,1,2335,3],[2338,2,2338,3],[2359,1,2359,3],[2360,1,2360,3],[2364,2,2364,3],[2389,1,2389,3],[2390,1,2390,3],[2394,2,2394,3],[2437,1,2437,3],[2438,1,2438,3],[2442,2,2442,3],[2484,1,2484,3],[2485,1,2485,3],[2489,2,2489,3],[2520,1,2520,3],[2521,1,2521,3],[2525,2,2525,3],[2552,1,2552,3],[2553,1,2553,3],[2557,2,2557,3],[2582,1,2582,3],[2583,1,2583,3],[2587,2,2587,3],[2618,1,2618,3],[2619,1,2619,3],[2623,2,2623,3],[2657,1,2657,3],[2658,1,2658,3],[2662,2,2662,3],[2702,1,2702,3],[2703,1,2703,3],[2707,2,2707,3],[2718,2,2718,3],[2719,2,2719,3],[2720,2,2720,3],[2721,2,2721,3],[2722,2,2722,3],[2723,2,2723,3],[2724,2,2724,3],[2725,2,2725,3],[2726,2,2726,3],[2727,2,2727,3],[2728,1,2728,3],[2729,1,2729,3],[2733,2,2733,3],[2741,1,2741,5],[2788,1,2788,3],[2789,1,2789,3],[2793,2,2793,3],[2821,1,2821,3],[2822,1,2822,3],[2826,2,2826,3],[2848,1,2848,3],[2849,1,2849,3],[2853,2,2853,3]]}
["Bold","Annex 2.1a Furniture and Supplies for OPD",{"$nulls":18}," "]
["Bold","(1= General Medicine OPD, 2= Obstetrics/Gynecology OPD, 3= Pediatrics, 4=General Surgery, 5=Dental, 6=Orthopedics, 7=Psychiatry, 8=ENT, 9=Dermatology, 10=Opthalmology, 11=Cardiology, 12=Urology, 13=Neurosurgery, 14=Neurology, 15=Burn/Plastic, 16=Nephrology, 17=Gastrology)"]
["NSI","SN","General Items","Required No.","Score"]
["NSI",{"$nulls":3},1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17]
[null,1,"Working desk","1 for each practitioner"]
[null,2,"Working Chairs","1 for each practitioner"]
[null,3,"Patient chairs","2 for each working desk"]
[null,4,"Examination table","1 in each OPD room"]
[null,5,"Foot Steps","1 in each OPD room"]
[null,6,"Curtain separator forexamination beds","In each examination bed"]
[null,7,"Shelves for papers","As per need"]
[null,8,"Weighing scale","Adult and Child"]
["NSI","Total Score",null,null,{"$f":"SUM(E$5:E$12)","v":0},{"$f":"SUM(F$5:F$12)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
["NSI","Total Percentage = Total Score/8 X 100",null,null,{"$f":"E$13/8","v":{"v":0,"d":"0.00%"}},{"$f":"F$13/8","v":{"v":0,"d":"0.00%"}},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"}]
[null,"*For psychiatry OPD, furniture should be fixed to prevent harm from violent patients"]
[]
[]
[null,null,"Each row gets a score of 1 in each row if is available otherwise 0"]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["y",null,"50% - 70%",1]
["b",null,"70% - 85%",2]
["g",null,"85% - 100%",3]
[null,null,"Score for Standard 2.1.5.3.1",{"$f":"IF($E$14<=0.4999,0, IF($E$14<=0.6999,1, IF($E$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.2",{"$f":"IF($F$14<=0.4999,0, IF($F$14<=0.6999,1, IF($F$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.3",{"$f":"IF($G$14<=0.4999,0, IF($G$14<=0.6999,1, IF($G$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.4",{"$f":"IF($H$14<=0.4999,0, IF($H$14<=0.6999,1, IF($H$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.5",{"$f":"IF($I$14<=0.4999,0, IF($I$14<=0.6999,1, IF($I$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.6",{"$f":"IF($J$14<=0.4999,0, IF($J$14<=0.6999,1, IF($J$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.7",{"$f":"IF($K$14<=0.4999,0, IF($K$14<=0.6999,1, IF($K$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.8",{"$f":"IF($L$14<=0.4999,0, IF($L$14<=0.6999,1, IF($L$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.9",{"$f":"IF($M$14<=0.4999,0, IF($M$14<=0.6999,1, IF($M$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.10",{"$f":"IF($N$14<=0.4999,0, IF($N$14<=0.6999,1, IF($N$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.11",{"$f":"IF($O$14<=0.4999,0, IF($O$14<=0.6999,1, IF($O$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.12",{"$f":"IF($P$14<=0.4999,0, IF($P$14<=0.6999,1, IF($P$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.13",{"$f":"IF($Q$14<=0.4999,0, IF($Q$14<=0.6999,1, IF($Q$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.14",{"$f":"IF($R$14<=0.4999,0, IF($R$14<=0.6999,1, IF($R$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.15",{"$f":"IF($S$14<=0.4999,0, IF($S$14<=0.6999,1, IF($S$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.16",{"$f":"IF($T$14<=0.4999,0, IF($T$14<=0.6999,1, IF($T$14<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.5.3.17",{"$f":"IF($U$14<=0.4999,0, IF($U$14<=0.6999,1, IF($U$14<=0.8499,2,3)))","v":0}]
[]
[]
["Bold","Annex 2.1b Basic Equipment and Instruments for OPD"]
["Bold","(1= General Medicine OPD, 2= Obstetrics/Gynecology OPD, 3= Pediatrics, 4=General Surgery, 5=Orthopedics, 6=Psychiatry, 7=ENT, 8=Dermatology, 9=Opthalmology, 10=Cardiology, 11=Urology, 12=Neurosurgery, 13=Neurology, 14=Burn/Plastic, 15=Nephrology, 16=Gastrology)"]
["NSI","SN","Basic equipment and instruments","Required No.","Score"]
["NSI",{"$nulls":3},1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16]
[null,1,"Stethoscope*","1 for each practitioner"]
[null,2,"Sphygmomanometer* (non-mercury) (*Pediatric size in pediatric OPD)","1 for each practitioner"]
[null,3,"Thermometer (digital)","2 in each table"]
[null,4,"Jerk hammer","1 for each practitioner"]
[null,5,"Flash light","1 for each practitioner"]
[null,6,"Disposable wooden tongue depressor","As per need"]
[null,7,"Hand sanitizer","1 in each table"]
[null,8,"Examination Gloves","As per need"]
[null,9,"X-Ray View Box","1 in each OPD"]
[null,10,"Measuring tape","1 in each table"]
[null,11,"Tuning fork","1 in each table"]
[null,12,"Proctoscope",1]
[null,13,"Otoscope",1]
[null,14,"Duck’s Speculum",1]
[null,15,"Aeyer’s Spatula/ Slides (PapSmear/ VIA materials)",1]
[null,16,"Betadine/Swab",1]
[null,17,"Fetoscope",1]
[null,18,"Pediatric Paracetamol","At least one syrup"]
[null,19,"Oral Rehydration Solution","At least one sachet"]
[null,20,"Goniometer","1 in each table"]
[null,21,"Plaster cutter",1]
[null,22,"Diagnostic tools for psychiatry","1 set"]
[null,23,"Nasal speculum of different size","1 set"]
[null,24,"Bull’s eye lamp",1]
[null,25,"Head mirror","1 for each practitioner"]
[null,26,"ENT Forceps","1 set"]
[null,27,"Nasopharyngolaryngoscpe with monitor",1]
[null,28,"Indirect Laryngoscopy mirrors",1]
[null,29,"Posterior rhinoscopy mirrors",1]
[null,30,"Magnifying glass",1]
[null,31,"Table lamp with good light source",1]
[null,32,"Glass slides",1]
[null,33,"Wood's Lamp",1]
[null,34,"Cystoscope",1]
[null,35,"Ophthalmoscope",1]
[null,36,"EEG (24 channel)",1]
[null,37,"EMG machine also supporting MNCV, SMC, VEP",1]
[null,38,"Dressing trolley with drum with gauze pad","1 set"]
[null,39,"Cystoscope in Urology OPD",1]
["NSI","Total score",null,null,{"$f":"SUM($E$48:$E$60)","v":0},{"$f":"SUM($F$48:$F$64)","v":0},{"$f":"SUM(G48:G58,G65:G66)","v":0},{"$f":"SUM(H48:H60,H85)","v":0},{"$f":"SUM(I48:I64,I67:I69)","v":0},{"$f":"SUM(J48:J58,J69)","v":0},{"$f":"SUM(K48:K58,K70:K76)","v":0},{"$f":"SUM(L48:L85)","v":0},{"$f":"SUM(M48:M58,M61,M77:M80)","v":0},{"$f":"SUM(N48:N58,N81)","v":0},{"$f":"SUM(O48:O58)","v":0},{"$f":"SUM(P48:P58,P82:P84)","v":0},{"$f":"SUM(Q48:Q58,Q85)","v":0},{"$f":"SUM(R48:R58)","v":0},{"$f":"SUM(S48:S59)","v":0},{"$f":"SUM(T48:T59)","v":0}]
["NSI","Maximum Score",null,null,13,17,13,15,15,12,18,11,16,12,12,14,12,11,12,12]
["NSI","Total percentage= Total Score/ Maximum Score x 100",null,null,{"$f":"E87/E88","v":{"v":0,"d":"0.00%"}},{"$f":"F87/F88","v":{"v":0,"d":"0.00%"}},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"}]
[]
[null,null,"* For pediatrics OPD, pediatric size"]
[null,null,"(1= General Medicine OPD, 2= Obstetrics/Gynecology OPD, 3= Pediatrics, 4=General Surgery, 5=Orthopedics, 6=Psychiatry, 7=ENT, 8=Dermatology, 9=Opthalmology, 10=Cardiology, 11=Urology, 12=Neurosurgery, 13=Neurology, 14=Burn/Plastic, 15=Nephrology, 16=Gastrology)"]
[null,null,"Each row gets a score of 1 in ech row if is available otherwise 0"]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.1.6.1",{"$f":"IF($E$89<=0.4999,0, IF($E$89<=0.6999,1, IF($E$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.2",{"$f":"IF($F$89<=0.4999,0, IF($F$89<=0.6999,1, IF($F$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.3",{"$f":"IF($G$89<=0.4999,0, IF($G$89<=0.6999,1, IF($G$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.4",{"$f":"IF($H$89<=0.4999,0, IF($H$89<=0.6999,1, IF($H$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.6",{"$f":"IF($I$89<=0.4999,0, IF($I$89<=0.6999,1, IF($I$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.7",{"$f":"IF($J$89<=0.4999,0, IF($J$89<=0.6999,1, IF($J$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.8",{"$f":"IF($K$89<=0.4999,0, IF($K$89<=0.6999,1, IF($K$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.9",{"$f":"IF($L$89<=0.4999,0, IF($L$89<=0.6999,1, IF($L$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.10",{"$f":"IF($M$89<=0.4999,0, IF($M$89<=0.6999,1, IF($M$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.11",{"$f":"IF($N$89<=0.4999,0, IF($N$89<=0.6999,1, IF($N$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.12",{"$f":"IF($O$89<=0.4999,0, IF($O$89<=0.6999,1, IF($O$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.13",{"$f":"IF($P$89<=0.4999,0, IF($P$89<=0.6999,1, IF($P$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.14",{"$f":"IF($Q$89<=0.4999,0, IF($Q$89<=0.6999,1, IF($Q$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.15",{"$f":"IF($R$89<=0.4999,0, IF($R$89<=0.6999,1, IF($R$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.16",{"$f":"IF($S$89<=0.4999,0, IF($S$89<=0.6999,1, IF($S$89<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.1.6.17",{"$f":"IF($T$89<=0.4999,0, IF($T$89<=0.6999,1, IF($T$89<=0.8499,2,3)))","v":0}]
[]
[]
["Bold","Annex 2.1c Basic Equipment and Instrument for Dental OPD"]
[]
["NSI","SN","Instruments and Equipment for DentalOPD","Required numbers","Score"]
[null,"Diagnostic"]
[null,1,"Mouth mirror",10]
[null,2,"Explorer",10]
[null,3,"St. Probe",5]
[null,4,"Tweezers",10]
[null,5,"Periodontal probe",2]
[null,6,"Kidney tray small and large",5]
[null,7,"Plastic tray",10]
[null,"Extraction forceps"]
[null,8,"Upper premolar",1]
[null,9,"Upper molar (right)",2]
[null,10,"Upper molar (left)",1]
[null,11,"Upper third molar",1]
[null,12,"Lower cowhorn forceps",3]
[null,13,"Lower third molar",1]
[null,14,"Lower root forceps",1]
[null,"Elevators"]
[null,15,"Compland elevators (small and large)",10]
[null,16,"Cryers","1 set"]
[null,17,"Pointed elevator",2]
[null,18,"Apexoelevator",2]
[null,"Surgical"]
[null,19,"Bp handle",2]
[null,20,"Needle holder",3]
[null,21,"Artery forceps",2]
[null,22,"Toothed forceps",2]
[null,23,"Scissors (suture cutting)",1]
[null,24,"21 no wire","2 packets"]
[null,25,"Wire cutter",1]
[null,"Restorative"]
[null,26,"Airotor handpiece",2]
[null,"Burs"]
[null,27,"Round burs (smalland large)",5]
[null,28,"Straight bur",2]
[null,29,"Inverted cone bur",2]
[null,30,"Composite finishing bur",1]
[null,31,"Cement spatula",1]
[null,32,"Plastic spatula",1]
[null,33,"Glass slab",1]
[null,34,"Mixing paper pad",1]
[null,35,"Cement carrier",5]
[null,36,"Condenser (round)",5]
[null,37,"Ball burnisher",2]
[null,38,"Spoon excavators",5]
[null,39,"Toffle wire matrix retainer",1]
[null,40,"Matrix band (steel)","2 packets"]
[null,41,"Matrix band (plastic)","1 packets"]
[null,42,"Wedge","1 packets"]
[null,43,"Dycal tip",2]
[null,"Dental materials"]
[null,44,"Gic (restorative)","1 set"]
[null,45,"Miracle mix","1 set"]
[null,46,"Composite filling set"]
[null,47,"Etchant",1]
[null,48,"Bonding agent",1]
[null,49,"Composite = shades a1 a2a3b1b2","1 each"]
[null,50,"Bonding agent applicator","1 packet"]
[null,51,"Dycal","1 set"]
[null,52,"Cavit(temporary restorative)",1]
[null,53,"Zinc phosphate (restorative)","1 set"]
[null,54,"Vaseline",1]
[null,"Scaling"]
[null,55,"Suction tips","2 packets"]
[null,56,"Curette (universal curette)",3]
[null,"Pedo forceps"]
[null,57,"Upper anterior",2]
[null,58,"Upper root",1]
[null,59,"Upper molar",2]
[null,60,"Lower anterior",2]
[null,61,"Lower molar",2]
[null,"Additional instruments/supplies"]
[null,62,"Local anesthesia (2% lidocane withadrenaline)","1 box"]
[null,63,"Syringe 1ml 2ml 3ml","1 packeteach"]
[null,64,"Gauge","1 packet"]
[null,65,"Cotton roll","1 packet"]
[null,66,"Normal sline","1 bottle"]
[null,67,"Betadine","1 bottle"]
[null,68,"Micromotor (slow speed round bur)","1(2)"]
[null,69,"H2o2","1 bottle"]
[null,70,"Dental floss","1 packet"]
[null,71,"Surgical gloves","As per need"]
[null,72,"Loose gloves","As per need"]
["NSI","Total score",null,null,{"$f":"SUM(E122:E128,E130:E136,E138:E141,E143:E149,E151,E153:E169,E171:E181,E183:E184,E186:E190,E192:E202)","v":0}]
["NSI","Percentage= Total score/ 72 x 100",null,null,{"$f":"E203/72","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 in each row if is available otherwise 0"]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score 2.1.6.5.1",{"$f":"IF($E$204<=0.4999,0, IF($E$204<=0.6999,1, IF($E$204<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.2.1a Instruments, equipment and Supplies for Immunization and Growth Monitoring"]
[]
["NSI","SN","Name","Required Quantity","Score"]
[null,1,"Weighing scale (Infantometer and SeccaScale)","At least one each"]
[null,2,"Stadiometer","At least one"]
[null,3,"MUAC tape",2]
[null,4,"Cold chain box set","At least one set"]
[null,5,"Immunization as per national protocol","At least two vial/ampule each"]
[null,6,"Different size syringe for immunization(1,2,3,5,10 ml)","At least 10 each"]
[null,7,"Cotton in swab container","As per needed"]
[null,8,"Container for clean water","As per needed"]
["NSI","Total score",null,null,{"$f":"SUM($E$219:$E$226)","v":0}]
["NSI","Percentage = Total score/ 8 x 100",null,null,{"$f":"E227/8","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 in each row if is available otherwise 0"]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.2.1.5",{"$f":"IF($E$228<=0.4999,0, IF($E$228<=0.6999,1, IF($E$228<=0.8499,2,3)))","v":0}]
[]
[]
["Bold","Annex 2.2.2a Supplies for Family Planning"]
[]
["NSI","SN","Name","Required Quantity","Score"]
[null,1,"Condoms","As per needed"]
[null,2,"Combined oral contraceptive pills","As per needed"]
[null,3,"IUD","As per needed"]
[null,4,"IUD Insertion and removal Set","At least 2"]
[null,5,"Implants","As per needed"]
[null,6,"Implants insertion and removal set","At least 2"]
[null,7,"Injection Depo provera","As per needed"]
[null,8,"Emergency contraceptive pills","As per need"]
[null,9,"Sterile surgical gloves(different sizes)","2-3 "]
["NSI","Total score",null,null,{"$f":"SUM($E$244:$E$252)","v":0}]
["NSI","Percentage = Total score/ 9 x 100",null,null,{"$f":"E253/9","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 in each row if is available otherwise 0"]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.2.2.6",{"$f":"IF($E$254<=0.4999,0, IF($E$254<=0.6999,1, IF($E$254<=0.8499,2,3)))","v":0}]
[]
[]
["Bold","Annex 2.2.4a Instruments, equipment and supplies for Safe Abortion services"]
[]
["NSI","SN","Name","RequiredQuantity","Score"]
[null,1,"Bed (with specification for SAS procedure/ post procedure)","At least 1"]
[null,2,"Shelf for storage","At least 1"]
[null,3,"Reliable Light source (goose neck light)","At least 1"]
[null,4,"Oxygen concentrater/ Oxygen filled cylinder with flow meter and mask","At least 1 Set"]
[null,5,"Light view box with glass/ plastic container and sieve for POC check","At least 1 each"]
[null,6,"Intubation set adult","1 set"]
[null,7,"IV stand","At least 1"]
[null,8,"Surgical drum (2)","As per needed"]
[null,9,"Sterilized Chettle forceps with jar","At least 2"]
[null,10,"Bivalve Speculum (3 sized- small, medium and large)","At least 3 each"]
[null,11,"Stainless steel container with cover for storing instruments","At least 2"]
[null,12,"Instrument trolley","At least 2"]
[null,13,"Abdominal drapes","As per need"]
[null,14,"MVA aspirator","At least 2"]
[null,15,"MVA cannula sizes 4-12","At least 2 each"]
[null,16,"MVA cannula number (14 & 16)","At least 2 each"]
[null,17,"MVA set","At least 2 Set"]
[null,18,"D&E set","At least 2 Set"]
[null,19,"Suture set with Long needle holder","At least 2"]
[null,20,"Combi-pack (Mifepristone and Misoprostol)"]
[null,21,"Misoprostol only to treat incomplete abortion"]
[null,22,"Antibiotics (Injection Metronidazole500mg/100ml, Tab Azithromycin 500mg)","As per need"]
[null,23,"Uterotonics (Injection Oxytocin, TabletMisoprotol, Injection ergometrine)","As per need"]
[null,24,"Injection Xylocaine 1% /2% withoutadrenaline","2 vail each"]
[null,25,"Injection Atropine","10 ampules"]
[null,26,"Injection Adrenaline","10 ampules"]
[null,27,"Injection Hydrocortisone","At least 3 vail"]
[null,28,"Injection Dexamethasone","At least 3 vail"]
[null,29,"Distilled Water (100ml)","At least 2 bottles"]
[null,30,"Gloves (disposable) for P/V examination","At least 2 box"]
[null,31,"Surgical gloves different size","At least 2 each"]
[null,32,"Betadine Solution","At least 1 bottle"]
[null,33,"Disposable syringes 2 ml, 5 ml, 10 ml, 20 ml","At least 5 each"]
[null,34,"ET tubes of different size","At least 2 of each size"]
[null,35,"IV fluids (Normal Saline 0.9%, Ringers; Lactate, Dextrose 5% Normal Saline 0.9%)","At least 5 each"]
[null,36,"IV Infusion set","At least 5"]
[null,37,"IV canula (18 Gz, 20Gz)","At least 2 each"]
[null,38,"Foley’s catheter and Urobag,","At least 2 set"]
[null,39,"Sutures of different size","At least 5 each"]
[null,40,"Soft brush for cleaning equipments","At least 2"]
[null,41,"Bucket or Basin","2-3 each of different size"]
[null,42,"IP flex available for processing MVAaspirator and cannula","One"]
["NSI","Total score",null,null,{"$f":"SUM($E$270:$E$311)","v":0}]
["NSI","Percentage = Total score/ 42 x 100",null,null,{"$f":"E312/42","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 in each row if is available otherwise 0"]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.2.4.7.1",{"$f":"IF($E$313<=0.4999,0, IF($E$313<=0.6999,1, IF($E$313<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.3a Furniture and General Supplies for ER"]
[]
["NSI","SN","Furniture and General Supplies","Required Quantity","Score"]
[null,1,"Wheel chair","2 for every 5 ER beds"]
[null,2,"Trolley","1 for every 5 ER beds"]
[null,3,"Stretcher","1 for every 5 ER beds"]
[null,4,"Information board",1]
[null,5,"Foot Step","2 for every 5 ER beds"]
[null,6,"Working Table/Station with 2 chairs",1]
[null,7,"Stool (for visitor) each bed",1]
[null,8,"Medicine Rack",1]
[null,9,"Supplies Rack",1]
[null,10,"Waste Bins (color coded and labelled as per guideline 2014 (MoHP))","1 set for every 5 ERbeds"]
[null,11,"Poisoning Chart",1]
[null,12,"Telephone set/Mobile",1]
[null,13,"Reference Books with cupboard",1]
[null,14,"Cup Board ",1]
[null,15,"Screen","As per need"]
[null,16,"Cart/Trolley with medicines for emergencyprocedures",1]
[null,17,"IV stand","At least one per bed"]
[null,18,"Bed Pan","2 for every 5 bed"]
[null,19,"Urinal","2 for every 5 bed"]
["NSI","Total Score",null,null,{"$f":"SUM($E$328:$E$346)","v":0}]
["NSI","Total Percentage = Total Score/19 X 100",null,null,{"$f":"E347/19","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.3.3.2",{"$f":"IF($E$348<=0.4999,0, IF($E$348<=0.6999,1, IF($E$348<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.3b ER Equipment and Instrument"]
[]
["NSI","SN","Equipment /Instruments","Required No.","Score"]
[null,1,"ECG machine (12 Leads)",1]
[null,2,"Defibrillator",1]
[null,3,"Foot / Electric Suction Machine",2]
[null,4,"Portable ventilator/ Non-invasive ventilator",1]
[null,5,"Positive Airway Pressure machine with accessories",1]
[null,6,"Nebulizer set",3]
[null,7,"Cardiac monitors with non-invasive BP cuffs","1 (For 5 beds)"]
[null,8,"BP set and Stethoscope (each treatment room)",2]
[null,9,"Pulse oximeter",1]
[null,10,"Glucometer with strips",1]
[null,11,"Duck Speculum",2]
[null,12,"Protoscope",2]
[null,13,"Otoscope set",1]
[null,14,"Nasal Speculum",1]
[null,15,"Laryngoscope with batteries and blades",2]
[null,16,"Torch Light",2]
[null,17,"Geudel Airway",2]
[null,18,"Ambu Bag (Adult and Pediatric)",2]
[null,19,"Bougie",2]
[null,20,"Endotracheal tube of different sizes",6]
[null,21,"Different size mask",6]
[null,22,"Laryngeal mask airway (Adult and Peadiatric)","1 each"]
[null,23,"Oxygen tubes and masks","10 each"]
[null,24,"Suture Set",4]
[null,25,"Catheterization set",2]
[null,26,"Dressing set",2]
[null,27,"Water sealed drainage set",1]
[null,28,"N/G tube Aspiration set",1]
[null,29,"Ear Irrigation Set",1]
[null,30,"Cervical collar",4]
[null,31,"Spinal backboard",1]
[null,32,"Splints",3]
[null,33,"Arm Slings",3]
[null,34,"Portable Light",2]
["NSI","Total Score",null,null,{"$f":"SUM($E$363:$E$396)","v":0}]
["NSI","Total Percentage = Total Score/34X 100",null,null,{"$f":"E397/34","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.3.4",{"$f":"IF($E$398<=0.4999,0, IF($E$398<=0.6999,1, IF($E$398<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.3c Medicines and supplies for ER (required number proportionate to ER beds 1:2) "]
[]
[]
["NSI","SN","Name",null,"Score"]
[null,1,"Atropine Injection"]
[null,2,"Adrenaline Injection"]
[null,3,"Xylocaine 1% and 2% Injections with Adrenaline"]
[null,4,"Xylocaine 1% and 2 % Injections without Adrenaline"]
[null,5,"Xylocaine Gel"]
[null,6,"Diclofenac Injection"]
[null,7,"Hyoscine Butylbromide Injection"]
[null,8,"Diazepam injection"]
[null,9,"Morphine Injection / Pethidine Injection"]
[null,10,"Hydrocortisone Injection"]
[null,11,"Antihistamine Injection"]
[null,12,"Dexamethasone Injection"]
[null,13,"Ranitidine/Omeperazole Injection"]
[null,14,"Frusemide Injection"]
[null,15,"Dopamine injection"]
[null,16,"Noradrenaline injection"]
[null,17,"Digoxin injection"]
[null,18,"Verapamil injection"]
[null,19,"Amidarone injection"]
[null,20,"Glyceryl trinitrate injection/ tab"]
[null,21,"Labetolol injection"]
[null,22,"Magnesium Sulphate injection (loading dose)"]
[null,23,"Sodium bicarbonate injection"]
[null,24,"Calcium Gluconate injection"]
[null,25,"Ceftriaxone Injection"]
[null,26,"Metronidazole Injection"]
[null,27,"Charcoal Power"]
[null,28,"Normal Saline Injection"]
[null,29,"Ringers’ Lactate Injection"]
[null,30,"Dextrose 5% Normal Saline Injection"]
[null,31,"Dextrose 5% Injection"]
[null,32,"Dextrose 25%/50% Injection (ampoule )"]
[null,33,"IV Infusion set (Adult/Pediatric)"]
[null,34,"IV Canula (16, 18, 20, 22, 24, 26 Gz)"]
[null,35,"Foley’s Catheter (different French)"]
[null,36,"Disposable syringes (1 ml, 3 ml, 5 ml, 10 ml, 20ml, 50 ml)"]
[null,37,"Disposable Gloves (Size- 6, 6.5, 7, 7.5)"]
[null,38,"Distilled Water"]
[null,39,"Sodium chloride-15%w/v and Glycerin-15% w/v(for enema)"]
["NSI","Total Score",null,null,{"$f":"SUM($E$414:$E$452)","v":0}]
["NSI","Total Percentage = Total Score/39 X100",null,null,{"$f":"E453/39","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.3.5.1",{"$f":"IF($E$454<=0.4999,0, IF($E$454<=0.6999,1, IF($E$454<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.3d List of equipment, instrument, medicine and supplies for Disaster Store"]
[]
["NSI","SN","Equipment and Instruments","RequiredNumber","Score"]
[null,1,"Stretcher/ trolley",5]
[null,2,"Spinal boards",5]
[null,3,"Wheel chairs",5]
[null,4,"Medicine trolley",2]
[null,5,"Portable suction machine",2]
[null,6,"Nebulizer machine",2]
[null,7,"Fluid warmer",2]
[null,8,"BP instrument",10]
[null,9,"Stethoscope",10]
[null,10,"Saturation probe",5]
[null,11,"Thermometer",5]
[null,12,"Suture sets",5]
[null,13,"Dressing sets",5]
[null,"MEDICINES"]
[null,14,"Tetanus Toxoid Injection",50]
[null,15,"Diclofenac Paracetamol Injection",50]
[null,16,"Tramadol Injection",50]
[null,17,"Ondensterone Injection",50]
[null,18,"Cefazoline Injection",20]
[null,19,"Metronidazole Injection",20]
[null,20,"Ketorolac Injection",20]
[null,21,"Transemic Acetate Injection",20]
[null,22,"Atropine Injection",50]
[null,23,"Adrenaline Injection",50]
[null,24,"Midazolam Injection",20]
[null,25,"Xylocaine 2% Injection",20]
[null,26,"Vitamin B-complex Injection",20]
[null,27,"Succinylcholine Injection",20]
[null,28,"Normal Saline /Ringers’ Lactate/ Dextrose 5% NormalSaline Injection","20 each"]
[null,29,"Hemaecel Injection",5]
[null,"Intubation articles"]
[null,30,"Ambu bag (adult,paed.)",10]
[null,31,"Resuscitation masks (adult, pediatric, newborn)","10 each"]
[null,32,"ET tubes different size","5 each"]
[null,33,"Airways",5]
[null,34,"Laryngoscope",5]
[null,35,"ECG Leads",30]
[null,"SUPPLIES"]
[null,36,"Triage tags",100]
[null,37,"Extra I/V stand",20]
[null,38,"Portable oxygen cylinder",5]
[null,39,"Plastic aprons",10]
[null,40,"Gowns",10]
[null,41,"Extra Mattress",50]
[null,42,"Blankets",50]
[null,43,"Screens",3]
[null,44,"Scissors",5]
[null,45,"Splints",15]
[null,46,"Cervical collar(hard/soft)",20]
[null,47,"Arm slings",20]
[null,48,"Pelvic binder",5]
[null,49,"Bandages",50]
[null,50,"Crepe bandage",20]
[null,51,"Elastoplast",20]
[null,52,"Leuckoplast",20]
[null,53,"Nebulizer kit set",2]
[null,54,"Oxygen masks",10]
[null,55,"PMO line",10]
[null,56,"Chest tube set (No.28,32)",10]
[null,57,"Drainage bag",20]
[null,58,"Foleys catheter/ urobag","20 each"]
[null,59,"Surgical gloves Different Size","30 of eachsize"]
[null,60,"Examination gloves","2 boxes"]
[null,61,"Utility gloves",10]
[null,62,"Betadine /spirit",10]
[null,63,"IVCannulas of all size, IV set and Buret Set","20 each"]
[null,64,"Syringes of different size (3ml,5ml, and 10ml) / (20ml,50ml)","50 each/ 20 each"]
[null,65,"Suction   tubes different size","5 each"]
[null,66,"Yanker suction",1]
[null,67,"Sterile gauze, cotton, dressing pads.","1 medium size steel drum each"]
[null,68,"Hand Sanitizer",20]
[null,69,"Torch lights",5]
[null,70,"Note book",10]
[null,71,"Ball pens",10]
["NSI","Total score",null,null,{"$f":"SUM($E$469:$E$481,$E$483:$E$498,$E$500:$E$505,$E$507:$E$542)","v":0}]
["NSI","Total percentage = Total Score/ 71 x100",null,null,{"$f":"E543/71","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.3.10.3",{"$f":"IF($E$544<=0.4999,0, IF($E$544<=0.6999,1, IF($E$544<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.4a Furniture, Equipment, Instruments and Supplies for Minor OT"]
[]
["NSI","SN","General Equipment and Instruments for OT","Standard Quantity","Score"]
[null,1,"Wheel chair foldable, adult size","As per need"]
[null,2,"Stretcher","As per need"]
[null,3,"Patient trolley","As per need"]
[null,4,"Cupboards and cabinets for store","As per need"]
[null,5,"Working desk for anesthesia, nursing station, gowning","1 each"]
[null,6,"OT Table- universal type/ with wedge to positionpatient","At least 1"]
[null,7,"Examining table",1]
[null,8,"Mayo Stand with tray",2]
[null,9,"Operation theatre lights",1]
[null,10,"Ultra violet light source",1]
[null,11,"Electronic suction machine/ Foot-operated suction machine","1/1"]
[null,12,"Refrigerator / cold box",1]
[null,13,"Boiler/ Autoclave","1/1"]
[null,14,"Anesthesia machine with cardiac monitor",1]
[null,15,"Cautery/Diathermy machine",1]
[null,16,"Oxygen concentrator/ Oxygen Cylinder",1]
[null,17,"Baby warmer",1]
[null,18,"Baby weight machine",1]
[null,19,"Anesthesia trolley",2]
[null,20,"Instrument trolley",2]
[null,21,"BP instrument with stethoscope",1]
[null,22,"Thermometer",1]
[null,23,"Steel Drum for gloves",1]
[null,24,"Steel Drum for Cotton",1]
[null,25,"Tourniquet, latex rubber, 75 cm",2]
[null,26,"Kidney tray (600cc)",2]
[null,27,"Covered instrument trays",4]
[null,28,"Mackintosh sheet",1]
[null,29,"Lead gown","2 sets"]
[null,30,"Bowl stand",2]
[null,31,"Cheatle forceps in jar",2]
[null,32,"Drapes for abdominal site(laparotomy sheet, table cover, hook towel, mayo cover, plastic sheet, tetra)","As per need"]
[null,33,"Drapes for perineal region(Laparotomy sheet, table cover, hook towel, mayo cover, plastic sheet, tetra, leggings)","As per need"]
[null,34,"Packing towel double wrapper","As per need"]
[null,35,"Sterile gloves (6,6.5,7,7.5,8)","5/5/5/5/5/5"]
[null,36,"Towels/ eye hole","As per need"]
[null,37,"Masks and caps","As per need"]
[null,38,"Torch light and batteries","1 set"]
[null,39,"Foot steps",2]
[null,40,"Wall clock",1]
[null,41,"Waste bucket for scrub nurse",1]
[null,42,"IV stand",2]
[null,43,"Leak proof sharp container",1]
[null,44,"Generator back up for OT",1]
[null,45,"Color coded waste bins (based on HCWM guideline2014 (MoHP))","1 set"]
["NSI","Total Score",null,null,{"$f":"SUM($E$559:$E$603)","v":0}]
["NSI","Total percentage= Total/ 45 x 100",null,null,{"$f":"E604/45","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.4.2",{"$f":"IF($E$605<=0.4999,0, IF($E$605<=0.6999,1, IF($E$605<=0.8499,2,3)))","v":0}]
[]
[]
["Bold","Annex 2.4b List of Minimum Services from ER Minor OT"]
[]
["NSI","SN","List of Minimum Services from ER Minor OT",null,"Score"]
[null,"Minor"]
[null,1,"Incision & Drainage under Local Anesthesia"]
[null,2,"Excision of cysts, ganglion, lump, lymhnode, lipoma, skin papilloma, corn under LA"]
[null,3,"Excision of ingrowing toe nail under digital block"]
[null,4,"Breast Abscess aspiration"]
[null,5,"Wound debridement"]
[null,6,"Skin suturing < 5cm size"]
[null,7,"Foreign Body removal under LA"]
[null,8,"Repair split ear"]
[null,9,"True cut biopsy"]
[null,10,"Chest tube insertion under LA"]
[null,11,"Circumcision Under LA"]
[null,12,"Eversion of sac for hydrocele (EVS)"]
[null,13,"Haemorrhoid banding"]
[null,"Intermediate"]
[null,14,"Herniotomy under IVA"]
[null,15,"Mesh Repair / Darn Repair (under LA/SA)"]
[null,16,"Amputation"]
[null,17,"Large wound dressing / debridement under IVA/SA"]
[null,18,"Chest tube insertion under IVA"]
[null,19,"Circumcision under IVA"]
[null,20,"Incision & Drainage under IVA eg. Breast abscess, perineal abscess"]
[null,21,"Haemorrhoidectomy"]
["NSI","Total score",null,null,{"$f":"SUM($E$622:$E$634,$E$636:$E$643)","v":0}]
["NSI","Total Percentage= Total score/21 x 100",null,null,{"$f":"E644/21","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.4.3",{"$f":"IF($E$645<=0.4999,0, IF($E$645<=0.6999,1, IF($E$645<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.4c Medicine and Supplies for Minor OT"]
[]
["NSI","SN","Emergency Drugs (including neonates) for OT","Standard Quantityfor 1 patient","Score"]
[null,1,"Adrenaline injection ","5 ampules"]
[null,2,"Midazolam Injection","5 vials"]
[null,3,"Hydrocortisone Powder for Injection","100ml 2 vial"]
[null,4,"Frusemide Injection","2 ampules"]
[null,5,"Dopamine Injection","5 vials"]
[null,6,"Transemic Acetate Injection","2 ampules"]
[null,7,"Hydralizine Injection","5 vials"]
[null,8,"Calcium Gluconate Injection","10ml X 2 ampules"]
[null,9,"Magnesium sulphate Injection","0.5 gms X 28"]
[null,10,"Oxytocin Injection","10 Ampules"]
[null,11,"Dextrose (25%) / (50%) Injection","2 ampules"]
[null,12,"Naloxone Injection","1 ampule"]
[null,13,"Aminophyline Injection","2 ampules"]
[null,14,"Chloropheniramine Injection","2 ampules"]
[null,15,"Mephentine Injection","1 vial"]
[null,16,"IV Fluids- Ringers Lactate / Normal Saline/ Dextrose5% Normal Saline/ Dextrose 5%","6 bottles each"]
[null,17,"IV infusion Set",4]
[null,18,"IV Canula 22G/20G/18G","4 each"]
["NSI","Total Score",null,null,{"$f":"SUM($E$660:$E$677)","v":0}]
["NSI","Total Percentage = Total Score/18 X 100",null,null,{"$f":"$E$678/18","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0"]
[]
[null,null,"Scoring Chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.4.5",{"$f":"IF($E$679<=0.4999,0, IF($E$679<=0.6999,1, IF($E$679<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.4d Sterile Supplies for Minor OT"]
[]
["NSI","SN","Items","Required number","Score"]
[null,1,"Catheter set","At least 5"]
[null,2,"Suture set","At least5"]
[null,3,"Dressing set of different size (small, medium,large)","At least 2each"]
[null,4,"Incision and drainage set","At least 5"]
[null,5,"Laparotomy set","At least 2"]
["NSI","Total Score",null,null,{"$f":"SUM($E$694:$E$698)","v":0}]
["NSI","Total Percentage= Total Score/5 x 100",null,null,{"$f":"$E$699/5","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0"]
[]
[null,null,"Scoring Chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.4.6.1",{"$f":"IF($E$700<=0.4999,0, IF($E$700<=0.6999,1, IF($E$700<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.4e Equipment, Instrument and Supplies for Anesthesia for Minor OT"]
[]
["NSI","SN","List of equipment, instruments and supplies for anesthesia","Required Number","Score"]
[null,1,"Supply of oxygen(e.g., oxygen concentrator, cylinders or pipeline)with regulator and flow meter","At least 2 oxygen concentrator"]
[null,2,"Oropharyngeal airways(Size 000, 00, 0, 1, 2, 3, 4)","At least 2 each"]
[null,3,"Anesthesia face masks(Size 0, 1, 2, 3, 4)","At least 2 each"]
[null,4,"Laryngoscope, Mc Coy's curved blade andMiller's straight blade(small, medium and large sizes for both adult and pediatric patients)","At least two"]
[null,5,"Endotracheal tubes, cuffed, uncuffed, different sizes (Sizes 2.5 - 8.0 ID)","At least two of each size"]
[null,6,"Intubation aids(Magillsforcep of small and large size, bougie, stylets of small and large size)","As per need"]
[null,7,"Suction device and suction catheters of different sizes (Size 8 -16 Fr)","As per need"]
[null,8,"Adult and pediatric self-inflating bags(Size 2L, 1L, 0.5L)","As per need"]
[null,9,"Equipment for intravenous infusions and injection of medications for adult and pediatric patients(IV stand, IV canula, fixing tapes, infusion sets, blood transfusion sets, burette sets, syringes, three-way stop cocks)","As per need"]
[null,10,"Examination (non-sterile) gloves","As per need"]
[null,11,"Sterile gloves","As per need"]
[null,12,"Pulse oximeter","At least 2"]
[null,13,"Access to a defibrillator","At least 1"]
[null,14,"Stethoscope","At least 2"]
[null,15,"Sphygmomanometer with appropriate sized cuffs for adult and pediatric patients","As per need"]
[null,16,"Non-invasive blood pressure monitor with appropriate sized cuffs for adult and pediatric patients","As per need"]
[null,17,"Electrocardiogram - three leads","As per need"]
[null,18,"Temperature monitor (intermittent)","As per need"]
["NSI","Total Score",null,null,{"$f":"SUM($E$715:$E$732)","v":0}]
["NSI","Total percentage = Total score/ 18 x 100",null,null,{"$f":"$E$733/18","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0"]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.4.7.1",{"$f":"IF($E$734<=0.4999,0, IF($E$734<=0.6999,1, IF($E$734<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.4f Medicines and Supplies for Anesthesia for Minor OT"]
[]
["NSI","SN","List of Medicines","RequiredNumber","Score"]
[null,"Preoperative medications"]
[null,1,"Ranitidine Injection",5]
[null,2,"Metoclopramide Injection",5]
[null,3,"Atropine Injection",10]
[null,4,"Diazepam Tablet",5]
[null,"Intraoperative medications"]
[null,5,"Ketamine Injection",3]
[null,6,"Midazolam Injection",3]
[null,7,"Opioid analgesics injections ( Morphine, Pethidine, Fentanyl)","2 each"]
[null,8,"Lignocaine 2% Injection for IV infusion",2]
[null,9,"Lignocaine Inj 1%, 2% with or withoutAdrenaline 1:200000",2]
[null,10,"Thiopental Powder 500mg","As per need"]
[null,11,"Propofol Injection","As per need"]
[null,12,"Appropriate inhalational anesthetic (Halothane,Isoflurane, Sevoflurane)","As per need"]
[null,13,"Succinylcholine Injection","As per need"]
[null,14,"Appropriate non-depolarizing muscle relaxant (Pancuronium, Vecuronium, Rocuronium, Atracurium Injections)","As per need"]
[null,15,"Neostigmine Injection","As per need"]
[null,16,"Atropine Injection / Glycopyrolate Injection","10/10"]
[null,17,"Bupivacaine Heavy 0.5%",2]
[null,"Intravenous fluids"]
[null,18,"Water for injection","As per need"]
[null,19,"Normal saline / Ringer’s lactate","As per need"]
[null,20,"5% Dextrose / Dextrose normal saline","As per need"]
[null,21,"1/5Dextrose 1/3Normal saline","As per need"]
[null,22,"Mannitol Inj 20%","As per need"]
[null,23,"Haemaccel Injection / Gelafusine Injection /Voluven Injection","As per need"]
[null,"Resuscitative medications"]
[null,24,"Dextrose 25%/ 50% Injection","5 each"]
[null,25,"Mephenteramine or Ephedrine Injection",5]
[null,26,"Dopamine Injection",5]
[null,27,"Noradrenaline Injection",5]
[null,28,"Amiodarone Injection",5]
[null,29,"Hydrocortisone Injection",5]
[null,30,"Dexomethasone Injection",5]
[null,31,"Chlorpheniramine Injection",5]
[null,32,"Calcium gluconate Injection",5]
[null,33,"Beta-blockers (Metoprolol, Labetolol, Esmolol)Injection","As per need"]
[null,34,"Naloxone Injection",5]
[null,"Post-operative medications"]
[null,35,"Morphine Injection","As per need"]
[null,36,"Pethidine Injection","As per need"]
[null,37,"Tramadol Injection","As per need"]
[null,38,"Pentazocine Injection","As per need"]
[null,39,"Paracetamol Injection 1gm, Suppository125mg","As per need"]
[null,40,"Diclofenac Injection","As per need"]
[null,41,"Ketorolac Injection","As per need"]
[null,42,"Promethazine Injection","As per need"]
[null,43,"Ondansetron Injection","As per need"]
[null,44,"Gabapentin Injection","As per need"]
[null,"Other medications"]
[null,45,"Magnesium Injection","As per need"]
[null,46,"Salbutamol Injection (for inhalation)","As per need"]
[null,47,"Ipratropium bromide Injection (for inhalation)","As per need"]
[null,48,"Furosemide Injection","As per need"]
[null,49,"Glyceryl trinitrate/nitroglycerine Injection","As per need"]
[null,50,"Sodium nitroprusside Injection","As per need"]
[null,51,"Heparin Injection","As per need"]
[null,52,"Aminophylline Injection","As per need"]
["NSI","Total Score",null,null,{"$f":"SUM(E750:E753,E755:E767,E769:E774,E776:E786,E788:E797,E799:E806)","v":0}]
["NSI","Total percentage = Total score/ 52x 100",null,null,{"$f":"$E$807/52","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0"]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.4.7.2",{"$f":"IF($E$808<=0.4999,0, IF($E$808<=0.6999,1, IF($E$808<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.6a Furniture and Supplies for inpatient wards"]
["Bold","(1= Medicine Ward 2= Surgery ward 3= Pediatrics Ward 4= Orthopedics Ward 5=Psychiatry Ward 6= ENT Ward 7= PNC Ward 8=Burn/Pastic Ward 9= Geriatrics Ward)"]
[]
["NSI","SN","General Items","Required Number","Score"]
["NSI",{"$nulls":3},1,2,3,4,5,6,7,8,9]
[null,1,"Working table","1-2"]
[null,2,"Chairs",2]
[null,3,"Cup board",2]
[null,4,"Shelves",1]
[null,5,"Bed side table","per bed-1"]
[null,6,"Stools (for visitor)","per bed 1"]
[null,7,"Patient Beds (Metal bed / adjustable head/ mechanical ratchet, 3X 6 ft.)","As per sanctioned bed(fixed (immobile)for psychiatry ward) (for geriatrics, pneumatic beds/ geriatrics friendly bed)"]
[null,8,"Bed Cradle","As per sanctioned bed"]
[null,9,"Cardiac monitor","As per sanctioned bed"]
[null,10,"Hot air blower","At least 1"]
[null,11,"Hair dryer","At least 1"]
[null,12,"Radio or Television for patients","At least 1 audible/visible from beds"]
[null,13,"Pneumatic tourniquet with different cuff size","At least 1"]
[null,14,"IV stand","As per bed"]
[null,15,"Medicine trolley",1]
[null,16,"Dressing trolley",1]
[null,17,"Wall Clock",2]
[null,18,"Oxygen Concentrator","1 per 5 bed"]
[null,19,"Suction machine (foot/electric)",1]
[null,20,"Refrigerator",1]
[null,21,"Laryngoscope with blade and batteries",1]
[null,22,"ET tubes of different sizes","At least 2 each"]
[null,23,"Self-inflating bag air mask – adult, child, neonate size","1 set"]
[null,24,"BP set and stethoscope (Non- Mercury)","2 sets"]
[null,25,"Thermometer","2019-03-05"]
[null,26,"Baby and adult weighing scale","1 each"]
[null,27,"Nasal speculum set and otoscope","1 each"]
[null,28,"Plaster cutter","At least 1"]
[null,29,"Steel drum with sterilecotton",1]
[null,30,"Steel drum with sterile gauze and pad",1]
[null,31,"Scissors",2]
[null,32,"Cheatle Forceps withJar",2]
[null,33,"Catheter set",2]
[null,34,"Dressing set","At least 10"]
[null,35,"Minor-set for burn","At least 2 each"]
[null,36,"Mattress with bedcover, pillow with pillow cover, blanket with cover","1 set per bed"]
[null,37,"Torch with extra batteries and bulb","2-3"]
[null,38,"Inpatient register/entered per ICD code","As per need (1)"]
[null,39,"Inventory Records/entered per ICD code","As per need (1)"]
[null,40,"Cardex files","As per bed"]
[null,41,"Waste bins color coded based on HCWM 2014 (MoHP)","1 set per room"]
["NSI","Total Score",null,null,{"$f":"SUM($E$825:$E$831,$E$838:$E$850,$E$853:$E$858,$E$860:$E$865)","v":0},{"$f":"SUM($F$825:$F$831,$F$838:$F$850,$F$853:$F$858,$F$860:$F$865)","v":0},{"$f":"SUM($G$825:$G$831,$G$838:$G$850,$G$853:$G$858,$G$860:$G$865)","v":0},{"$f":"SUM($H$825:$H$831,$H$838:$H$850,$H$852:$H$858,$H$860:$H$865)","v":0},{"$f":"SUM($I$825:$I$831,$I$838:$I$850,$I$853:$I$858,$I$860:$I$865)","v":0},{"$f":"SUM($J$825:$J$831,$J$838:$J$851,$J$853:$J$858,$J$860:$J$865)","v":0},{"$f":"SUM($K$825:$K$831,$K$838:$K$850,$K$853:$K$858,$K$860:$K$865)","v":0},{"$f":"SUM($L$825:$L$850,$L$853:$L$865)","v":0},{"$f":"SUM($M$825:$M$831,$M$838:$M$850,$M$853:$M$858,$M$860:$M$865)","v":0}]
["NSI","Maximum Score",null,null,32,32,32,33,32,33,32,39,32]
["NSI","Total percentage= Total Score/Maximum Score x 100",null,null,{"$f":"E$866/E$867","v":{"v":0,"d":"0.00%"}},{"$f":"F$866/F$867","v":{"v":0,"d":"0.00%"}},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"}]
[]
[null,"Each row gets a score of 1 if the mentioned medicines are available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.6.2.1",{"$f":"IF(E$868<=0.4999,0, IF(E$868<=0.6999,1, IF(E$868<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.2.2",{"$f":"IF(F$868<=0.4999,0, IF(F$868<=0.6999,1, IF(F$868<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.2.3.1",{"$f":"IF(G$868<=0.4999,0, IF(G$868<=0.6999,1, IF(G$868<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.2.4",{"$f":"IF(H$868<=0.4999,0, IF(H$868<=0.6999,1, IF(H$868<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.2.5",{"$f":"IF(I$868<=0.4999,0, IF(I$868<=0.6999,1, IF(I$868<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.2.6",{"$f":"IF(J$868<=0.4999,0, IF(J$868<=0.6999,1, IF(J$868<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.2.7",{"$f":"IF(K$868<=0.4999,0, IF(K$868<=0.6999,1, IF(K$868<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.2.8",{"$f":"IF(L$868<=0.4999,0, IF(L$868<=0.6999,1, IF(L$868<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.2.9",{"$f":"IF(M$868<=0.4999,0, IF(M$868<=0.6999,1, IF(M$868<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.6b Medicine and Supplies for Inpatient Ward(1= Medicine Ward 2= Surgery ward 3= Pediatrics Ward 4= Orthopedics ward, 5= Psychiatry ward,6= ENT ward 7= PNC Ward 8=Burn/ plastic ward, 9= Geriatrics Ward)"]
[]
["NSI","SN","Medicine and supplies","RequiredNo.","Score"]
["NSI",{"$nulls":3},1,2,3,4,5,6,7,8,9]
[null,1,"Normal Saline Injection",15]
[null,2,"Dextrose 5% Injection",15]
[null,3,"Ringers’ Lactate Injection",15]
[null,4,"Dextrose 5% Normal SalineInjection",15]
[null,5,"Distilled Water",10]
[null,6,"IV Infusion Set",10]
[null,7,"Blood Transfusion Set",5]
[null,8,"IV Canula (16,18,20,22,24,26Gz)","5 each"]
[null,9,"Surgical gloves"," As per need"]
[null,10,"Gloves (Utility)","As per need"]
[null,11,"Mask, Cap, Gowns","1 box"]
[null,12,"Mask, Cap, Gowns","As per need"]
[null,13,"Disposable syringes 1 ml, 3 ml, 5 ml, 10 ml, 30 ml, 50 ml","As per need"]
[null,14,"Needle 18-25","As per need"]
[null,15,"Traction set with different weights","As per need"]
[null,16,"Restrain set including belts( magnetic preferred)","As per need"]
[null,17,"Epistaxis management set","At least 2"]
[null,18,"Condom tamponade set","At least 2"]
[null,19,"Ophthalmoscope*",1]
[null,20,"Negative pressure vacuum"]
[null,21,"Silver dressing"]
[null,22,"Collagen dressing"]
["NSI","Total Score",null,null,{"$f":"SUM(E892:E905,E910)","v":0},{"$f":"SUM(F892:F905,F910)","v":0},{"$f":"SUM(G892:G905)","v":0},{"$f":"SUM(H892:H906)","v":0},{"$f":"SUM(I892:I905,I907)","v":0},{"$f":"SUM(J892:J905,J908)","v":0},{"$f":"SUM(K892:K905,K909)","v":0},{"$f":"SUM(L892:L905,L911:L913)","v":0},{"$f":"SUM(M892:M905,M910)","v":0}]
["NSI","Maximum Score",null,null,15,15,14,15,15,15,15,17,15]
["NSI","Total Percentage = Total Score/ Maximum Score x 100",null,null,{"$f":"$E$914/$E$915","v":{"v":0,"d":"0.00%"}},{"$f":"$F$914/$F$915","v":{"v":0,"d":"0.00%"}},{"$f":"$G$914/$G$915","v":{"v":0,"d":"0.00%"}},{"$f":"$H$914/$H$915","v":{"v":0,"d":"0.00%"}},{"$f":"$I$914/$I$915","v":{"v":0,"d":"0.00%"}},{"$f":"$J$914/$J$915","v":{"v":0,"d":"0.00%"}},{"$f":"$K$914/$K$915","v":{"v":0,"d":"0.00%"}},{"$f":"$L$914/$L$915","v":{"v":0,"d":"0.00%"}},{"$f":"$M$914/$M$915","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned medicines are available otherwise 0.*Required for neurosurgery and neurology"]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.6.3.1",{"$f":"IF($E$916<=0.4999,0, IF($E$916<=0.6999,1, IF($E$916<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.3.2",{"$f":"IF($F$916<=0.4999,0, IF($F$916<=0.6999,1, IF($F$916<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.3.3",{"$f":"IF($G$916<=0.4999,0, IF($G$916<=0.6999,1, IF($G$916<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.3.4",{"$f":"IF($H$916<=0.4999,0, IF($H$916<=0.6999,1, IF($H$916<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.3.5",{"$f":"IF($I$916<=0.4999,0, IF($I$916<=0.6999,1, IF($I$916<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.3.6",{"$f":"IF($J$916<=0.4999,0, IF($J$916<=0.6999,1, IF($J$916<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.3.7",{"$f":"IF($K$916<=0.4999,0, IF($K$916<=0.6999,1, IF($K$916<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.3.8",{"$f":"IF($L$916<=0.4999,0, IF($L$916<=0.6999,1, IF($L$916<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.3.9",{"$f":"IF($M$916<=0.4999,0, IF($M$916<=0.6999,1, IF($M$916<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.6c Medicines and Supplies for ER Trolley for Inpatient Ward (1= Medicine Ward, 2= Surgery Ward, 3= Pediatrics Ward, 4= Orthopedics Ward, 5= Psychiatry Ward, 6= ECT Room, 7= ENT ward, 8 = PNC Ward, 9=Burn/ Plastic Ward, 10=Geriatrics Ward)"]
[]
["NSI","SN","Name","RequiredNo","Score"]
["NSI",{"$nulls":3},1,2,3,4,5,6,7,8,9,10]
[null,1,"Atropine Injection",10]
[null,2,"Adrenaline Injection",3]
[null,3,"Xylocaine 1% and 2% Injectionswith Adrenaline",2]
[null,4,"Xylocaine 1% and 2 % Injectionswithout Adrenaline",2]
[null,5,"Xylocaine Gel",2]
[null,6,"Diclofenac Injection",5]
[null,7,"Hyoscine Butylbromide Injection",5]
[null,8,"Diazepam injection",2]
[null,9,"Morphine Injection / PethidineInjection",2]
[null,10,"Hydrocortisone Injection",4]
[null,11,"Antihistamine Injection",4]
[null,12,"Dexamethasone Injection",4]
[null,13,"Ranitidine/Omeperazole Injection",4]
[null,14,"Frusemide Injection",5]
[null,15,"Dopamine injection",2]
[null,16,"Noradrenaline injection",2]
[null,17,"Digoxin injection",2]
[null,18,"Verapamil injection",2]
[null,19,"Amidarone injection",2]
[null,20,"Glyceryltrinitrate injection",1]
[null,21,"Labetolol injection",1]
[null,22,"Sodium bicarbonate injection",2]
[null,23,"Injection Ketamine","5-10"]
[null,24,"Phenytoin* Injection","5-10"]
[null,25,"Sodium Valporate* Injection","5-10"]
[null,26,"Phenobarbitone* Injection","5-10"]
[null,27,"Levetiraceta* Injection","2-5"]
[null,28,"Ceftriaxone Injection",4]
[null,29,"Metronidazole Injection",4]
[null,30,"Injection Manitolol"]
[null,31,"Injection Transemic acid"]
[null,32,"Injection Paracetamol"]
[null,33,"Dextrose 25%/50% ampoule",2]
[null,34,"IV Infusion set (Adult/Pediatric)",2]
[null,35,"IV Canula (16, 18, 20, 22, 24, 26Gz)","2 each"]
[null,36,"Disposable syringes 1 ml, 3 ml, 5 ml, 10 ml, 20 ml, 50 ml","5 each"]
[null,37,"Disposable Gloves (Size 6, 6.5, 7,7.5)","3 each"]
[null,38,"Distilled Water",3]
[null,39,"Free needles (18-24 Gz)","As per need"]
[null,40,"Sodium chloride-15%w/v andGlycerin-15% w/v (for enema)",5]
["NSI","Total Score",null,null,{"$f":"SUM(E940:E961,E963:E979)","v":0},{"$f":"SUM(F940:F961,F963:F979)","v":0},{"$f":"SUM(G940:G961,G967:G979)","v":0},{"$f":"SUM(H940:H961,H967:H979)","v":0},0,0,0,0,{"$f":"SUM(M940:M962,M967:M979)","v":0},{"$f":"SUM(N940:N961,N967:N979)","v":0}]
["NSI","Maximum Score",null,null,39,39,35,35,35,35,35,35,36,35]
["NSI","Total Percentage = Total Score/Maximum ScoreX100",null,null,{"$f":"E$980/E$981","v":{"v":0,"d":"0.00%"}},{"$f":"F$980/F$981","v":{"v":0,"d":"0.00%"}},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"$f":"J$980/J$981","v":{"v":0,"d":"0.00%"}},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"},{"v":0,"d":"0.00%"}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0.*For neurology and neurosurgery inpatients"]
[]
[null,null,"Scoring Chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.6.8.2.1",{"$f":"IF($E$982<=0.4999,0, IF($E$982<=0.6999,1, IF($E$982<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.8.2.2",{"$f":"IF($F$982<=0.4999,0, IF($F$982<=0.6999,1, IF($F$982<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.8.2.3",{"$f":"IF($G$982<=0.4999,0, IF($G$982<=0.6999,1, IF($G$982<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.8.2.4",{"$f":"IF($H$982<=0.4999,0, IF($H$982<=0.6999,1, IF($H$982<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.8.2.5.1",{"$f":"IF($I$982<=0.4999,0, IF($I$982<=0.6999,1, IF($I$982<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.8.2.5.2",{"$f":"IF($J$982<=0.4999,0, IF($J$982<=0.6999,1, IF($J$982<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.8.2.6",{"$f":"IF($K$982<=0.4999,0, IF($K$982<=0.6999,1, IF($K$982<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.8.2.7",{"$f":"IF($L$982<=0.4999,0, IF($L$982<=0.6999,1, IF($L$982<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.8.2.8",{"$f":"IF($M$982<=0.4999,0, IF($M$982<=0.6999,1, IF($M$982<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.6.8.2.9",{"$f":"IF($N$982<=0.4999,0, IF($N$982<=0.6999,1, IF($N$982<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.7.1a Furniture, equipment, instrument and general supplies for labor room"]
[]
["NSI","SN","Items","RequiredNumber","Score"]
[null,1,"Delivery bed","At least 1 for every 15 beds"]
[null,2,"Clean bed linen","Each bed"]
[null,3,"Curtains","As per need"]
[null,4,"Clean surface (for alternative delivery position)","Available"]
[null,5,"Newborn Resuscitation table",1]
[null,6,"Light source",1]
[null,7,"Room Heater",1]
[null,8,"Baby heater","1 per deliverybed"]
[null,9,"Refrigerator for labor room",1]
[null,"Equipment and Instruments"]
[null,10,"BP Set and Stethoscope",1]
[null,11,"Body Thermometer (Non- mercury)",1]
[null,12,"Room thermometer",1]
[null,13,"Fetoscope",2]
[null,14,"Fetal stethoscope",1]
[null,15,"Baby weighing scale",1]
[null,16,"Self-inflating bag air mask - neonatal size",1]
[null,17,"Mucus extractor with suction tube/ (Penguin)",2]
[null,18,"Doppler",1]
[null,19,"Vaginal speculum (Sims)",2]
[null,20,"Neonatal resuscitation kit",1]
[null,21,"Adult resuscitation kit",1]
[null,22,"Sterile Delivery Instrument Set (Check each set)","4 sets per delivery beds"]
[null,22.1,"Sponge forceps",2]
[null,null,"Artery forceps",2]
[null,null,"S/S bowl (Galli pot)",1]
[null,null,"S/S bowl (receive placenta) (1-2 litre)",1]
[null,null,"Cord cutting Scissors (blunt end)",1]
[null,null,"Cord ties/ cord clamp",2]
[null,null,"Plastic sheet/ rubber sheet",1]
[null,null,"Gauze swabs",4]
[null,null,"Cloth squared",3]
[null,null,"Kidney tray",1]
[null,null,"Peripad/ big dressing pad",2]
[null,null,"Leggings",2]
[null,null,"Perineal sheet",1]
[null,null,"Baby receiving towel",1]
[null,null,"Sterile gown",1]
[null,23,"Suture set (Check each set)","2 sets per delivery beds"]
[null,23.1,"Needle holder",1]
[null,null,"Sponge holder",1]
[null,null,"Suture cutting scissors",1]
[null,null,"Dissecting forceps (tooth and plain)",2]
[null,null,"Artery forceps",1]
[null,null,"Galliport",2]
[null,24,"Episiotomy set (Check each set)","2 sets per delivery beds"]
[null,24.1,"Episiotomy scissors",1]
[null,null,"Needle holder",1]
[null,null,"Suture cutting scissor",1]
[null,null,"Dissecting forceps(tooth and plain)",2]
[null,null,"Artery forceps",1]
[null,25,"Vacuum set",2]
[null,26,"Forceps set for delivery",1]
["NSI","Total Score",null,null,{"$f":"SUM($E$1006:$E$1014,$E$1016:$E$1058)","v":0}]
["NSI","Total percentage= Total Score/26x100",null,null,{"$f":"$E$1059/26","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned medicines are available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard2.7.9.2",{"$f":"IF($E$1060<=0.4999,0, IF($E$1060<=0.6999,1, IF($E$1060<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.7.1b Medicines and Supplies for Labor Room"]
[]
["NSI","SN","Medicines and supplies","Required No.","Score"]
[null,"Medicines"]
[null,1,"Oxytocin injection (keep in 2-8oC)","20 amp"]
[null,2,"Tranexamic acetate injection","10 amp"]
[null,3,"Ergometrine injection","10 amp"]
[null,4,"Magnesium sulphate injection","50 amp"]
[null,5,"Calcium gluconate injection","10 amp"]
[null,6,"Diazepam injection",10]
[null,7,"Labetolol injection",10]
[null,8,"Ampicillin injection",10]
[null,9,"Gentamycin injection",5]
[null,10,"Metronidazole injection",5]
[null,11,"Lignocaine injection",2]
[null,12,"Adrenaline injection",5]
[null,13,"Ringers’ lactate injection",10]
[null,14,"Normal saline injection",10]
[null,15,"Dextrose 5% injection",10]
[null,16,"Water for injection",5]
[null,17,"Eye antimicrobial (1% silver nitrate orTetracycline 1% eye ointment)",2]
[null,18,"Povidone iodine",5]
[null,19,"Tetracycline 1% eye ointment",2]
[null,20,"Paracetamol Tablet",20]
[null,21,"Nefidipine SL Tablet 5 mg","4 tab"]
[null,22,"Misoprostol Tablet","5 tabs"]
[null,"Supplies"]
[null,23,"Syringes and needles",20]
[null,24,"IV set",10]
[null,25,"Spirit (70% alcohol)","1 bottle"]
[null,26,"Steel drum with cotton",1]
[null,27,"Urinary catheter(plain and folys)","5 each"]
[null,28,"Sutures for tear or episiotomy repair (2.0 chromic catgut)","12 PC"]
[null,29,"Bleach (chlorine-base compound)","2 packets"]
[null,30,"Clean (plastic) sheet to place under mother",4]
[null,31,"Sanitary pads","1 box"]
[null,32,"Peri-pads Sterile","As per need"]
[null,33,"Clean towels for drying and wrapping the baby",5]
[null,34,"Cord ties (sterile)",50]
[null,35,"Blanket for the baby",5]
[null,36,"Baby feeding cup",3]
[null,37,"Impregnated bed net",2]
[null,38,"Utility Gloves","10 pairs"]
[null,39,"Sterile Gloves","50 pairs"]
[null,40,"Long plastic apron",2]
[null,41,"Goggles",2]
[null,42,"Container for sharps disposal",1]
[null,43,"Needle cutter",1]
[null,44,"Receptacle for soiled linens",1]
[null,45,"Bucket for soiled pads and swabs",2]
[null,46,"Bucket for placenta (5 ltr.)",2]
[null,47,"Well labelled color coded bins as perHCWM guideline 2014 (MoHP)","1 set"]
[null,48,"Wall Clock",1]
[null,49,"Torch with extra batteries and bulb","1-2"]
[null,50,"Maternity register","1-2"]
[null,51,"Birth certificate","as per need"]
[null,52,"Partograph","As per need"]
["NSI","Total Score",null,null,{"$f":"SUM($E$1076:$E$1097,$E$1099:$E$1128)","v":0}]
["NSI","Total percentage= Total Score/52 x 100",null,null,{"$f":"$E$1129/52","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned medicines are available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for standard 2.7.1.9.3",{"$f":"IF($E$1130<=0.4999,0, IF($E$1130<=0.6999,1, IF($E$1130<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.7.1c Medicines and Supplies for ER Trolley Labor Room"]
[]
["NSI","SN","Name","Required No","Score"]
[null,1,"Atropine Injection","10 amp"]
[null,2,"Adrenaline Injection","3vial"]
[null,3,"Xylocaine 1% and 2% Injections with Adrenaline","2vial"]
[null,4,"Xylocaine 1% and 2 % Injections without Adrenaline","2vial"]
[null,5,"Xylocaine Gel","2 tube"]
[null,6,"Diclofenac Injection","5 amp"]
[null,7,"Hyoscine Butylbromide Injection","5amp"]
[null,8,"Diazepam injection","2 amp"]
[null,9,"Morphine Injection / Pethidine Injection","2 amp"]
[null,10,"Hydrocortisone Injection","4vial"]
[null,11,"Chlorpheniramine meliate Injection","4amp"]
[null,12,"Dexamethasone Injection","4vial"]
[null,13,"Ranitidine/Omeperazole Injection","4 amp"]
[null,14,"Frusemide Injection","5 amp"]
[null,15,"Dopamine injection","2 amp"]
[null,16,"Noradrenaline injection","2 amp"]
[null,17,"Digoxin injection","2 amp"]
[null,18,"Verapamil injection","2 amp"]
[null,19,"Amidarone injection","2 amp"]
[null,20,"Glyceryl trinitrate/nitroglycerine injection","10 tab/ 5amp"]
[null,21,"Labetolol injection","5 amp"]
[null,22,"Magnesium sulphate injection","30 amp"]
[null,23,"Calcium gluconate injection","2 amp"]
[null,24,"Sodium bicarbonate injection","2 amp"]
[null,25,"Ceftriaxone Injection","4 vials"]
[null,26,"Metronidazole Injection","4 bottles"]
[null,27,"Dextrose 25%/ 50% Injection",2]
[null,28,"IV Infusion set (Adult/Pediatric)",2]
[null,29,"IV Canula (16, 18, 20, 22, 24, 26 Gz)","2 each"]
[null,30,"Disposable syringes 1 ml, 3 ml, 5 ml, 10 ml, 20 ml, 50 ml","5 each"]
[null,31,"Disposable Gloves (Size 6, 6.5, 7, 7.5)","3 each"]
[null,32,"Water for injection 10 ml","10 amp"]
[null,33,"Sodium chloride-15%w/v and Glycerin-15% w/v (forenema)",5]
[null,34,"PPH management Set\n• (IV canula: 16/18G, IV fluids as per treatmentprotocol, IV set, Foley’s catheter, Urobag) \n• Condom tamponade set- Sponge holder:2, Sim’s speculum:1, Foley’s catheter:1, Condom:2, IV fluids: NS1, IV set, Thread, Cord Clamp), \n• Inj Oxytocin, Tab Misoprostol,\n• Inj Carbopost\n• Cervical tear repair set (refer annex……) \n• MRP Gloves","At least 1"]
[null,35,"Eclampsia management Set(Knee hammer, IV canula: 16/18G, IV fluids, IV set,Foley’s catheter, Urobag, ambu bag, Oxygen, Inj MgSO4:46 ampoules, Inj lignocaine 2%, Inj Calcium gluconate, Distilled water, Disposable syringe 20ml-1, 10ml-8, Cap Nifedipin- 5mg 4 Cap)","At least 1"]
["NSI","Total Score",null,null,{"$f":"SUM($E$1145:$E$1179)","v":0}]
["NSI","Total Percentage =Total Score/35X100",null,null,{"$f":"$E$1180/35","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0"]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.7.1.9.4",{"$f":"IF($E$1181<=0.4999,0, IF($E$1181<=0.6999,1, IF($E$1181<=0.8499,2,3)))","v":0}]
[]
[]
["Bold","Annex 2.7.2a Furniture and Supplies for Maternity Inpatient wards"]
[]
["NSI","SN","General Items","RequiredNo.","Score"]
[null,1,"Working table","1-2"]
[null,2,"Chairs",2]
[null,3,"Cup board",2]
[null,4,"Shelves",1]
[null,5,"Bed side table","per bed-1"]
[null,6,"Stools (for visitor)","per bed 1"]
[null,7,"Patient Beds (Metal bed / adjustable head/mechanical ratchet, 3 X 6 ft.)","As per sanctioned bed"]
[null,8,"IV stand","As per bed"]
[null,9,"Medicine trolley",1]
[null,10,"Dressing trolley",1]
[null,11,"Wall Clock",2]
[null,12,"Oxygen Concentrator","1 per 5 bed"]
[null,13,"Suction machine (foot/electric)",1]
[null,14,"Laryngoscope with blade and batteries",1]
[null,15,"ET tubes of different sizes","At least 2each"]
[null,16,"Self-inflating bag air mask – adult, child,neonate size","1 set"]
[null,17,"BP set and stethoscope (Non-Mercury)","2 sets"]
[null,18,"Thermometer","3-5"]
[null,19,"Baby and adult weighing scale","1 each"]
[null,20,"Steel drum with sterile cotton",1]
[null,21,"Steel drum with sterile gauze and pad",1]
[null,22,"Scissors",2]
[null,23,"Cheatle Forceps with Jar",2]
[null,24,"Catheter set",2]
[null,25,"Dressing set",2]
[null,26,"Mattress with bedcover, pillow with pillowcover, blanket with cover","2-3 set perbed"]
[null,27,"Torch with extra batteries and bulb","2-3"]
[null,28,"Inpatient register as per ICD code","As per need"]
[null,29,"Inventory Records","As per need"]
[null,30,"Cardex files","As per bed"]
[null,31,"Waste bins color coded based on HCWMguideline 2014 (MoHP)","1 set perroom"]
["NSI","Total Score",null,null,{"$f":"SUM($E$1197:$E$1227)","v":0}]
["NSI","Total percentage= Total Score/31x 100",null,null,{"$f":"$E$1228/31","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned medicines are available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.7.2.2",{"$f":"IF($E$1229<=0.4999,0, IF($E$1229<=0.6999,1, IF($E$1229<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.7.2b Medicine and Supplies for Maternity Inpatient Ward"]
[]
["NSI","SN","Medicine and supplies","Required No.","Score"]
[null,1,"Normal Saline Injection",15]
[null,2,"Dextrose 5% Injection",15]
[null,3,"Ringers’ Lactate Injection",15]
[null,4,"Dextrose 5% NormalSaline Injection",15]
[null,5,"Distilled Water",10]
[null,6,"IV Infusion Set",10]
[null,7,"IV set",5]
[null,8,"IV Catheter18G,20G,22G,24G,26G","5 each"]
[null,9,"Gloves (Utility)","1 box"]
[null,10,"Mask, Cap, Gowns","As per need"]
[null,11,"Disposable syringes 1 ml,3 ml, 5 ml, 10 ml, 30 ml,50 ml","As per need"]
["NSI","Total Score",null,null,{"$f":"SUM($E$1244:$E$1254)","v":0}]
["NSI","Total Percentage = Total Score/ 11 x 100",null,null,{"$f":"$E$1255/11","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned medicines are available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.7.2.3",{"$f":"IF($E$1256<=0.4999,0, IF($E$1256<=0.6999,1, IF($E$1256<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.7.2c Medicines and Supplies for ER Trolley Maternity Inpatient Ward"]
[]
["NSI","SN","Name","Required No","Score"]
[null,1,"Atropine Injection",10]
[null,2,"Adrenaline Injection",3]
[null,3,"Xylocaine 1% and 2% Injections with Adrenaline",2]
[null,4,"Xylocaine 1% and 2% Injections without Adrenaline",2]
[null,5,"Xylocaine Gel",2]
[null,6,"Diclofenac Injection",5]
[null,7,"Hyoscine Butylbromide Injection",5]
[null,8,"MetharginInjecyion",5]
[null,9,"Diazepam injection",2]
[null,10,"Morphine Injection / Injection Pethidine",2]
[null,11,"Hydrocortisone Injection",4]
[null,12,"Antihistamine Injection",4]
[null,13,"Dexamethasone Injection",4]
[null,14,"Ranitidine/Omeperazole Injection",4]
[null,15,"Frusemide Injection",5]
[null,16,"Dopamine injection",2]
[null,17,"Noradrenaline injection",2]
[null,18,"Digoxin injection",2]
[null,19,"Verapamil injection",2]
[null,20,"Amidarone injection",2]
[null,21,"Glyceryl trinitrate/ notroglycerine","1o tab/ 5 amp"]
[null,22,"Labetolol injection",1]
[null,23,"Magnesium sulphate injection",30]
[null,24,"Calcium gluconate injection",2]
[null,25,"Sodium bicarbonate injection",2]
[null,26,"Ceftriaxone Injection",4]
[null,27,"Metronidazole Injection",4]
[null,28,"Dextrose 25% / 50% Injection",2]
[null,29,"IV Infusion set (Adult/Pediatric)","5 each"]
[null,30,"IV Canula (16, 18, 20, 22, 24, 26 Gz)",2]
[null,31,"Disposable syringes 1 ml, 3 ml, 5 ml, 10 ml, 20 ml, 50 ml","2 each"]
[null,32,"Disposable Gloves 6, 6.5, 7, 7.5","5 each"]
[null,33,"Distilled Water",3]
[null,34,"Sodium chloride-15%w/v and Glycerin-15% w/v (forenema)",5]
["NSI","Total Score",null,null,{"$f":"SUM($E$1271:$E$1304)","v":0}]
["NSI","Total Percentage = Total Score/34 X100",null,null,{"$f":"$E$1305/34","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.7.2.8.2",{"$f":"IF($E$1306<=0.4999,0, IF($E$1306<=0.6999,1, IF($E$1306<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.7.3a Furniture and Supplies for Birthing Center"]
[]
["NSI","SN","General Items","Required No.","Score"]
[null,1,"Working table","1-2"]
[null,2,"Chairs",2]
[null,3,"Cup board",2]
[null,4,"Shelves",1]
[null,5,"Bed side table","per bed-1"]
[null,6,"Stools (for visitor)","per bed 1"]
[null,7,"Patient Beds (Metal bed / adjustable head/ mechanical ratchet, 3 X 6 ft.)","As per sanctioned bed"]
[null,8,"IV stand","As per bed"]
[null,9,"Medicine trolley",1]
[null,10,"Dressing trolley",1]
[null,11,"Wall Clock",2]
[null,12,"OxygenConcentrator","1 per 5 bed"]
[null,13,"Suction machine (foot/electric)",1]
[null,14,"Laryngoscope with blade and batteries",1]
[null,15,"ET tubes of different sizes","At least 2 each"]
[null,16,"Self-inflating bag air mask – adult,child, neonate size","1 set"]
[null,17,"BP set and stethoscope (Non- Mercury)","2 sets"]
[null,18,"Thermometer","3-5"]
[null,19,"Baby and adult weighing scale","1 each"]
[null,20,"Steel drum with sterile cotton",1]
[null,21,"Steel drum with sterile gauze andpad",1]
[null,22,"Scissors",2]
[null,23,"Cheatle Forceps with Jar",2]
[null,24,"Catheter set",2]
[null,25,"Dressing set",2]
[null,26,"Delivery set","At least 5"]
[null,27,"Delivery forceps set","At least 2"]
[null,28,"Delivery vacuum set","At least 2"]
[null,29,"Mattress with bedcover, birthing pillow with pillow cover, blanket with cover","1 set per bed"]
[null,30,"Birthing balls","At least 3"]
[null,31,"Torch with extra batteries and bulb","2-3"]
[null,32,"Inpatient register/entered per ICDcode","As per need (1)"]
[null,33,"Inventory Records/ entered perICD code","As per need (1)"]
[null,34,"Cardex files","As per bed"]
[null,35,"Waste bins color coded based onHCWM guideline 2014 (MoHP)","1 set per room"]
["NSI","Total Score",null,null,{"$f":"SUM($E$1321:$E$1355)","v":0}]
["NSI","Total percentage= Total Score/35 x 100",null,null,{"$f":"$E$1356/35","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned medicines are available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.7.3.3",{"$f":"IF($E$1357<=0.4999,0, IF($E$1357<=0.6999,1, IF($E$1357<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.7.3b Medicine and Supplies for Birthing Center"]
[]
["NSI","SN","Medicine and supplies","RequiredNo.","Score"]
[null,1,"Normal Saline Injection",15]
[null,2,"Dextrose 5% Injection",15]
[null,3,"Ringers’ Lactate Injection",15]
[null,4,"Dextrose 5% Normal SalineInjection",15]
[null,5,"Distilled Water",10]
[null,6,"IV Infusion Set",10]
[null,7,"IV set",5]
[null,8,"IV Canula(16G,18G,20G,22G,24G,26G)","5 each"]
[null,9,"Gloves (Utility)","1 box"]
[null,10,"Mask, Cap, Gowns","As per need"]
[null,11,"Disposable syringes 1 ml, 3 ml, 5 ml, 10 ml, 30 ml, 50 ml","As per need"]
["NSI","Total Score",null,null,{"$f":"SUM($E$1372:$E$1382)","v":0}]
["NSI","Total Percentage = Total Score/ 11 x 100",null,null,{"$f":"$E$1383/11","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned medicines are available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.7.3.4",{"$f":"IF($E$1384<=0.4999,0, IF($E$1384<=0.6999,1, IF($E$1384<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.7.3c Medicines and Supplies for ER Trolley Labor Room"]
[]
["NSI","SN","Name","Required No","Score"]
[null,1,"Atropine Injection","10 amp"]
[null,2,"Adrenaline Injection","3vial"]
[null,3,"Xylocaine 1% and 2% Injections with Adrenaline","2vial"]
[null,4,"Xylocaine 1% and 2% Injections without Adrenaline","2vial"]
[null,5,"Xylocaine Gel","2 tube"]
[null,6,"Diclofenac Injection","5 amp"]
[null,7,"Hyoscine Butylbromide Injection","5amp"]
[null,8,"Diazepam injection","2 amp"]
[null,9,"Morphine Injection / Pethidine Injection","2 amp"]
[null,10,"Hydrocortisone Injection","4vial"]
[null,11,"Antihistamine Injection","4amp"]
[null,12,"Dexamethasone Injection","4vial"]
[null,13,"Ranitidine/Omeperazole Injection","4 amp"]
[null,14,"Frusemide Injection","5 amp"]
[null,15,"Dopamine injection","2 amp"]
[null,16,"Noradrenaline injection","2 amp"]
[null,17,"Digoxin injection","2 amp"]
[null,18,"Verapamil injection","2 amp"]
[null,19,"Amidarone injection","2 amp"]
[null,20,"Glyceryl trinitrate/ nitroglycerine injection","10 tab/ 5amp"]
[null,21,"Labetolol injection","5 amp"]
[null,22,"Magnesium sulphate injection","30 amp"]
[null,23,"Calcium gluconate injection","2 amp"]
[null,24,"Sodium bicarbonate injection","2 amp"]
[null,25,"Ceftriaxone Injection","4 vials"]
[null,26,"Metronidazole Injection","4 bottles"]
[null,27,"Dextrose 25% / 50% Injection",2]
[null,28,"IV Infusion set (Adult/Pediatric)",2]
[null,29,"IV Canula (16, 18, 20, 22, 24, 26 Gz)","2 each"]
[null,30,"Disposable syringes 1 ml, 3 ml, 5 ml, 10 ml, 20 ml,50 ml","5 each"]
[null,31,"Disposable Gloves 6, 6.5, 7, 7.5","3 each"]
[null,32,"Distilled Water","10 amp"]
[null,33,"Sodium chloride-15%w/v and Glycerin-15% w/v (forenema)",5]
[null,34,"PPH management Set•     (IV canula: 16/18G, IV fluids as per treatmentprotocol, IV set, Foley’s catheter, Urobag)•  Condom tamponade set- Sponge holder:2, Sim’s speculum:1, Foley’s catheter:1, Condom:2, IV fluids: NS1, IV set, Thread, Cord Clamp),•     Inj Oxytocin, Tab Misoprostol,","At least 1"]
[null,35,"Eclampsia management Set(Knee hammer, IV canula: 16/18G, IV fluids, IV set, Foley’s catheter, Urobag, ambu bag, Oxygen, Inj MgSO4: 46 ampoules, Inj lignocaine 2%, Inj Calcium gluconate, Distilled water, Disposable syringe 20ml-1, 10ml-8, Cap Nifedipin- 5mg 4 Cap)","At least 1"]
["NSI","Total Score",null,null,{"$f":"SUM($E$1399:$E$1433)","v":0}]
["NSI","Total Percentage =Total Score/35X100",null,null,{"$f":"$E$1434/35","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.7.3.9.2",{"$f":"IF($E$1435<=0.4999,0, IF($E$1435<=0.6999,1, IF($E$1435<=0.8499,2,3)))","v":0}]
[]
[]
["Bold","Annex 2.8a General Surgeries Available"]
[]
["NSI","SN","List of the surgeries available (minimum)",null,"Score"]
[null,"Minor"]
[null,1,"Incision & Drainage under Local Anesthesia"]
[null,2,"Excision of cysts, ganglion, lump, lymhnode, lipoma, skin papilloma, corn under LA"]
[null,3,"Excision of ingrowing toe nail under digital block"]
[null,4,"Wound debridement"]
[null,5,"Skin suturing < 5cm size"]
[null,6,"Foreign Body removal under LA"]
[null,7,"Repair split ear"]
[null,8,"True cut biopsy"]
[null,9,"Circumcision Under LA"]
[null,10,"Haemorrhoid banding"]
[null,"Intermediate"]
[null,11,"Chest tube insertion under LA"]
[null,12,"Eversion of sac for hydrocele (EVS)"]
[null,13,"Herniotomy under IVA"]
[null,14,"Mesh Repair / Darn Repair (under LA/SA)"]
[null,15,"Amputation"]
[null,16,"Split Skin Graft(SSG) (<1% TBSA)"]
[null,17,"Large wound dressing / debridement under IVA/SA"]
[null,18,"Chest tube insertion under IVA"]
[null,19,"Circumcision under IVA"]
[null,20,"I & D under IVA eg. Breast abscess, Perineal abscess"]
[null,21,"Release of tongue tie"]
[null,22,"Fistulotomy"]
[null,23,"Haemorrhoidectomy"]
[null,24,"Vasectomy"]
[null,"Major"]
[null,25,"Exploratory laparotomy"]
[null,26,"Appendectomy"]
[null,27,"Exploration for obstructed hernia"]
[null,28,"Mesh repair incisional hernia"]
[null,29,"Open cholecystectomy"]
[null,30,"Ileostomy / colostomy formation"]
[null,31,"Open pyelolithotomy"]
[null,32,"Open ureterolithotomy"]
[null,33,"Open suprapubic cystolithotomy"]
[null,34,"Oophorectomy"]
[null,35,"Extensive wound debridement (Necrotising Fascitis)"]
["NSI","Total score",null,null,{"$f":"SUM(E1453:E1462,E1464:E1477,E1479:E1489)","v":0}]
["NSI","Total Percentage= Total score/35 x 100",null,null,{"$f":"$E$1490/35","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.8.3.1",{"$f":"IF($E$1491<=0.4999,0, IF($E$1491<=0.6999,1, IF($E$1491<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.8b Types of   Obstetrics and Gynecology Surgeries Available"]
[]
["NSI","S.N."," list of Surgeries Available (Minimum)",null,"Score"]
[null,"Intermediate"]
[null,1,"I & D under IVA eg. Breast abscess"]
[null,2,"Removal of product of conception and surgical Abortion"]
[null,3,"Cervical Tear Repair"]
[null,"Major"]
[null,4,"Caesarean Section"]
[null,5,"Minilap"]
[null,6,"Vaginal hysterectomy"]
[null,7,"Abdominal hysterectomy"]
[null,8,"Oophorectomy"]
[null,9,"Tumor removal (Obstetrics and gynaecological)"]
[null,10,"Exploratory laparotomy"]
["NSI","Total Score",null,null,{"$f":"SUM($E$1507:$E$1509,$E$1511:$E$1517)","v":0}]
["NSI","Total Percentage= Total score/10 x 100",null,null,{"$f":"$E$1518/10","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.8.3.2",{"$f":"IF($E$1519<=0.4999,0, IF($E$1519<=0.6999,1, IF($E$1519<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.8c Types of Orthopedics Surgeries Available"]
[]
["NSI","S.N.","Minimum list of Orthopedic Surgeries",null,"Score"]
[null,1,"POP + Immobilization without anesthesia"]
[null,2,"POP + cast under anesthesia"]
[null,3,"Hip Spica cast"]
[null,4,"Joint aspiration"]
[null,5,"Intralesional steriod injection"]
[null,6,"Skin traction"]
[null,7,"Gallows traction"]
[null,8,"Skeletal Traction"]
[null,9,"Reduction of shoulder, elbow, small joints dislocation"]
[null,10,"Reduction of hip and knee dislocation"]
[null,11,"Extensor Tendon Repair"]
[null,12,"Flexor Tendon Repair"]
[null,13,"Amputation under LA and/or sedation"]
[null,14,"Simple implant removal"]
[null,15,"Soft tissue benign tumor excision"]
[null,16,"Trigger finger Release"]
[null,17,"DeQuervain's Release"]
[null,18,"Carpal Tunnel Release"]
[null,19,"Dupuytren's Contracture Surgery"]
[null,20,"CRPP (small joints)"]
[null,21,"CRPP (supracondylar fractures)"]
[null,22,"CRPP (distal radial fractures)"]
[null,23,"CRPP (proximal humerus)"]
[null,24,"Amputation (life-saving) under GA"]
[null,25,"Rush Nailing"]
[null,26,"Arthrotomy small joints"]
[null,27,"Arthrotomy large joints"]
[null,28,"ORIF Lateral condyle fracture"]
[null,29,"ORIF Supracondylar fracture"]
[null,30,"ORIF Short Long Bones"]
[null,31,"ORIF olecranon process/patella"]
[null,32,"ORIF Long Long Bones"]
[null,33,"ORIF ankle/knee/wrist/elbow/shoulder/hip"]
[null,34,"External Fixation"]
[null,35,"Radial head excision"]
[null,36,"IMIL Nailing Tibia/Femur"]
[null,37,"PFN"]
[null,38,"MIPO various bones"]
[null,39,"DHS/DCS/CCS hip"]
[null,40,"HRA"]
[null,41,"Arthroscopy"]
[null,42,"Discectomy"]
[null,43,"Fasciotomy"]
[null,44,"Decompression surgery for Acute osteomyelitis"]
["NSI","Total score",null,null,{"$f":"SUM($E$1534:$E$1577)","v":0}]
["NSI","Total Percentage= Total score/44 x 100",null,null,{"$f":"$E$1578/44","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.8.3.3",{"$f":"IF($E$1579<=0.4999,0, IF($E$1579<=0.6999,1, IF($E$1579<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.8d Types of ENT Surgeries Available"]
[]
["NSI","S.N.","Minimum list of ENT Surgeries Available",null,"Score"]
[null,"Emergency ENT Surgeries"]
[null,1,"Ludwigs’ Angina"]
[null,2,"Foreign Body removal (including bronchsocopy)"]
[null,"Routine ENT Surgery"]
[null,3,"Myringoplasty /Tympanoplasty"]
[null,4,"Mastoid drill / Motor with burrs"]
[null,5,"Stapes  surgery"]
[null,6,"Rigid oesophagoscopy"]
[null,7,"Tonsil adenoid"]
[null,8,"Endosopic sinus surgery and FESS"]
[null,9,"Septoplasty/ Rhinoplasty"]
[null,10,"Laryngeal surgery"]
["NSI","Total score",null,null,{"$f":"SUM($E$1595:$E$1596,$E$1598:$E$1605)","v":0}]
["NSI","Total Percentage= Total score/10 x 100",null,null,{"$f":"$E$1606/10","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.8.3.4",{"$f":"IF($E$1607<=0.4999,0, IF($E$1607<=0.6999,1, IF($E$1607<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.8e Types of Neurology Surgeries Available"]
[]
["NSI","S.N.","Minimum list of Neurology Surgeries Available",null,"Score"]
[null,1,"Carniotomy"]
[null,2,"Head injury"]
[null,3,"Stroke"]
[null,4,"Chronic subdural"]
[null,5,"Hydrocephalus"]
[null,6,"Superficial tumors"]
[null,7,"Extra ventricular drain"]
["NSI","Total score",null,null,{"$f":"SUM($E$1622:$E$1628)","v":0}]
["NSI","Total Percentage= Total score/7 x 100",null,null,{"$f":"$E$1629/7","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.8.3.5",{"$f":"IF($E$1630<=0.4999,0, IF($E$1630<=0.6999,1, IF($E$1630<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.8f Types of Urology Surgeries Available"]
[]
["NSI","S.N.","Minimum list of Urology Surgeries Available",null,"Score"]
[null,1,"Supra-pubic catheterization"]
[null,2,"Transurethral resection of prostate"]
[null,3,"Testicular surgery"]
[null,4,"Penile surgery (including repair of penile fracture)"]
[null,5,"Fournier's Gangrene Debridement and drainage"]
[null,6,"Open pyelolithotomy"]
[null,7,"Open ureterolithotomy"]
[null,8,"Open suprapubic cystolithotomy"]
[null,9,"Renal surgery (nephrectomy, pyelopasty)"]
["NSI","Total score",null,null,{"$f":"SUM($E$1645:$E$1653)","v":0}]
["NSI","Total Percentage= Total score/9 x 100",null,null,{"$f":"$E$1654/9","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.8.3.6",{"$f":"IF($E$1655<=0.4999,0, IF($E$1655<=0.6999,1, IF($E$1655<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.8g Types of Burn/ Plastic Surgeries Available"]
[]
["NSI","S.N.","Minimum list of Burn/Plastic Surgeries Available",null,"Score"]
[null,1,"Skin Graft"]
[null,2,"Flap (Cutaneous, Musculo-cutaneous, Fasciocutaneous)"]
[null,3,"Contracture release"]
[null,4,"Hand reconstruction surgery"]
[null,5,"Ear reconstruction"]
[null,6,"Rhinoplasty"]
[null,7,"Eyelid reconstruction"]
[null,8,"Burn surgery"]
["NSI","Total score",null,null,{"$f":"SUM($E$1670:$E$1677)","v":0}]
["NSI","Total Percentage= Total score/8 x 100",null,null,{"$f":"$E$1678/8","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.8.3.7",{"$f":"IF($E$1679<=0.4999,0, IF($E$1679<=0.6999,1, IF($E$1679<=0.8499,2,3)))","v":0}]
[]
[]
["Bold","Annex 2.8h Physical Set Up for OT"]
["NSI","SN","Physical Set up",null,"Score"]
[null,1,"Separate room designated for OT with recovery room"]
[null,2,"Space designated for changing room for male and female staffs separately"]
[null,3,"Lockers for storage of the belongings of staffs"]
[null,4,"separate shelves for storage of clean and dirty shoes at the entrance of the OT area demarked with red line"]
[null,5,"Space designated with sink facilitated with elbow tap for scrubbing"]
[null,6,"Designated space for tea room"]
[null,7,"Separate bathroom with at least one universal toilet for OT"]
[null,8,"Scrub basins with running water"]
[null,9,"Utility basins (at least 4)"]
["NSI","Total Score",null,null,{"$f":"SUM($E$1694:$E$1702)","v":0}]
["NSI","Total Percentage=Total score/9X100",null,null,{"$f":"$E$1703/9","v":{"v":0,"d":"0.00%"}}]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.8.7.1",{"$f":"IF($E$1704<=0.4999,0, IF($E$1704<=0.6999,1, IF($E$1704<=0.8499,2,3)))","v":0}]
[]
[]
["Bold","Annex 2.8i Furniture, Equipment, Instruments and Supplies for each OT Room"]
[]
["NSI","SN","General Equipment and Instruments for OT","Standard Quantityfor each OT room","Score"]
[null,1,"Wheel chair foldable, adult size",2]
[null,2,"Stretcher",2]
[null,3,"Patient trolley",2]
[null,4,"Cupboards and cabinets for store",2]
[null,5,"Working desk for anesthesia, nursing station, gowning","1 each"]
[null,6,"OT Table- universal type/ with wedge to position patient (*Radioluscent OT table with orthopedic attachment including C-arm for orthopedics)",1]
[null,7,"Examining table",1]
[null,8,"Mayo Stand with tray","At least 2"]
[null,9,"Operation theatre lights","At least 1*"]
[null,10,"Ultra violet light source","At least 1"]
[null,11,"Medical Microscope for Surgeries (*for ENT)","At least 1 each *"]
[null,12,"Colposcope (*for Obstetrics and GynecologySurgery)","At least 1"]
[null,13,"Central suction supply","Available"]
[null,14,"Central oxygen supply","Available"]
[null,15,"Electronic suction machine/ Foot-operated suction machine","At least 2"]
[null,16,"Oxygen concentrator/ Oxygen Cylinder","At least 2"]
[null,17,"Refrigerator / cold box","At least 1 each"]
[null,18,"Anesthesia machine with cardiac monitor","At least 1"]
[null,19,"Defibrillator","At least 1"]
[null,20,"Cautery/Diathermy machine","At least 1"]
[null,21,"Baby warmer","At least 1"]
[null,22,"Baby weight machine","At least 1"]
[null,23,"Anesthesia trolley","At least 2"]
[null,24,"Instrument trolley","At least 2"]
[null,25,"BP instrument with stethoscope","At least 1"]
[null,26,"Thermometer","At least 1"]
[null,27,"Steel Drum for gloves","At least 1"]
[null,28,"Steel Drum for cotton/ guaze","At least 1"]
[null,29,"Tourniquet, latex rubber, 75 cm","At least 2"]
[null,30,"Kidney tray (600cc)","At least 2"]
[null,31,"Covered instrument trays","At least 4"]
[null,32,"Mackintosh sheet","At least 1"]
[null,33,"Lead gown set","At least 4 sets"]
[null,34,"Bowl stand","At least 2"]
[null,35,"Chele forceps in jar","At least 2"]
[null,36,"Drapes for abdominal site(laparotomy sheet, table cover, hook towel, mayo cover, plastic sheet, tetra)","As per need"]
[null,37,"Drapes for perineal region(Laparotomy sheet, table cover, hook towel, mayo cover, plastic sheet, tetra, leggings)","As per need"]
[null,38,"Packing towel double wrapper","As per need"]
[null,39,"Sterile gloves (6,6.5,7,7.5,8)","5/5/5/5/5/5 each"]
[null,40,"Towels/ eye hole","As per need"]
[null,41,"Masks and caps","As per need"]
[null,42,"Torch light and batteries","At least 1 set"]
[null,43,"Foot steps","At least 2"]
[null,44,"Wall clock","At least 1"]
[null,45,"Waste bucket for scrub nurse","At least 1"]
[null,46,"IV stand","At least 2"]
[null,47,"Leak proof sharp container","At least 1"]
[null,48,"Generator back up for OT","At least 1"]
[null,49,"Flash autoclave (for orthopedics instruments)","At least 1"]
[null,50,"Color coded waste bins (based on HCWM guideline2014 (MoHP))","At least 1 set"]
["NSI","Total Score",null,null,{"$f":"SUM($E$1719:$E$1768)","v":0}]
["NSI","Total percentage= Total/ 50x 100",null,null,{"$f":"$E$1769/50","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.8.7.2",{"$f":"IF($E$1770<=0.4999,0, IF($E$1770<=0.6999,1, IF($E$1770<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.8j Medicine and Supplies for OT"]
[]
["NSI","SN","Emergency Drugs (including neonates) for OT","Standard Quantityfor 1 patient","Score"]
[null,1,"Midazolam Injection","5 vials"]
[null,2,"Hydrocortisone Powder for Injection","100mg 2 vial"]
[null,3,"Frusemide Injection","2 ampules"]
[null,4,"Dopamine Injection","5 vials"]
[null,5,"Transemic Acetate Injection","2 ampules"]
[null,6,"Hydralizine Injection","5 vials"]
[null,7,"Calcium Gluconate Injection","10ml X 2 ampules"]
[null,8,"Magnesium sulphate Injection","0.5 gms X 28"]
[null,9,"Oxytocin Injection","10 Ampules"]
[null,10,"Dextrose (25%) / (50%) Injection","2 ampules"]
[null,11,"Naloxone Injection","1 ampule"]
[null,12,"Aminophyline Injection","2 ampules"]
[null,13,"Chloropheniramine Injection","2 ampules"]
[null,14,"Mephentine Injection","1 vial"]
[null,15,"IV Fluids- Ringers Lactate / Normal Saline/ Dextrose5% Normal Saline/ Dextrose 5%","6 bottles each"]
[null,16,"IV infusion Set",4]
[null,17,"IV Canula 22G/20G/18G","4 each"]
["NSI","Total Score",null,null,{"$f":"SUM($E$1785:$E$1801)","v":0}]
["NSI","Total Percentage = Total Score/17 X 100",null,null,{"$f":"$E$1802/17","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0"]
[]
[null,null,"Scoring Chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.8.7.3",{"$f":"IF($E$1803<=0.4999,0, IF($E$1803<=0.6999,1, IF($E$1803<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.8k Minimum List of Surgical Sets"]
[]
["NSI","SN","Items","Required number","Score"]
[null,1,"Catheter set","At least 5"]
[null,2,"Suture set","At least  5 "]
[null,3,"Dressing set of different size (small, medium,large)","At least 2 each"]
[null,4,"Incision and drainage set","At least 5 "]
[null,5,"Appendectomy set","At least 2"]
[null,6,"Caesarian section set","At least 5"]
[null,7,"Hernia repair set","At least 2"]
[null,8,"Laparotomy set","At least 2"]
[null,9,"Vasectomy set","At least 2"]
[null,10,"Minilap set","At least 2"]
[null,11,"Open cholecystectomy set","At least 2"]
[null,12,"Ileostomy / colostomy formation","At least 1"]
[null,13,"Open pyelolithotomy ","At least 1"]
[null,14,"Open ureterolithotomy","At least 1"]
[null,15,"Open suprapubic cystolithotomy","At least 1"]
[null,16,"Oophorectomy","At least 1"]
[null,17,"Orthopedics Basic Surgical Set","At least 2"]
[null,18,"K wire set","At least 2 set"]
[null,19,"IM Nailing set","At least 2 set"]
[null,20,"Hemi-Replacement Arthoplasty set","At least 1 set"]
[null,21,"External fixation set","At least 1 set"]
[null,22,"Amputation set (bone saw, bone file)","At least 1 set"]
[null,23,"Bronchoscope","At least 1set"]
[null,24,"Myringoplasty /Tympanoplasty Set","At least 1 set"]
[null,25,"Mastoid drill / Motor with burrs","At least 1 set"]
[null,26,"Stapes  surgery set","At least 1 set"]
[null,27,"Rigid oesophagoscope","At least 1 set"]
[null,28,"Tonsil adenoid set","At least 1 set"]
[null,29,"Endosopic sinus surgery and FESS set","At least 1 set"]
[null,30,"Septoplasty/ Rhinoplasty set","At least 1 set"]
[null,31,"Laryngealsurgery set","At least 1 set"]
[null,32,"Craniotomy set","At least 2 set"]
[null,33,"Supra-pubic Catheterization set","At least 3 set"]
[null,34,"Set for Transurethral resection of prostate","At least 2 set"]
[null,35,"Set for Testicular torsion","At least 2 set"]
[null,36,"Penile surgery set","At least 2 set"]
[null,37,"Renal stone removal set","At least 2 set"]
[null,38,"Nephrectomry set","At least 2 set"]
[null,39,"Pyelopasty set","At leaset 2 set"]
[null,40,"Hand set","At least 2"]
[null,41,"Reconstruction set (eyelid, ear, nose)","At least 1 each"]
[null,42,"Basic Plastic Surgery set","At least 2"]
[null,43,"Microsurgical set for grafting","At least 1"]
[null,44,"Mic-micorgraft","At least 1"]
["NSI","Total Score",null,null,{"$f":"SUM($E$1818:$E$1861)","v":0}]
["NSI","Total Percentage= Total Score/44x100",null,null,{"$f":"$E$1862/44","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0"]
[]
[null,null,"Scoring Chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.8.7.4",{"$f":"IF($E$1863<=0.4999,0, IF($E$1863<=0.6999,1, IF($E$1863<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.8l Equipment, Instruments and Supplies for Anesthesia"]
[]
["NSI","SN","List of equipment, instruments and supplies for anesthesia","Required Number","Score"]
[null,1,"Supply of oxygen\n(e.g., oxygen concentrator, cylinders or pipeline)with regulator and flow meter","At least 2 oxygen concentrator"]
[null,2,"Oropharyngeal airways\n(Size 000, 00, 0, 1, 2, 3, 4)","At least 2 each"]
[null,3,"Anesthesia face masks\n(Size 0, 1, 2, 3, 4)","At least 2 each"]
[null,4,"Laryngoscope, Mc Coy's curved blade andMiller's straight blade\n(small, medium and large sizes for both adult and pediatric patients)","At least two"]
[null,5,"Endotracheal tubes, cuffed, uncuffed, different sizes (Sizes 2.5 - 8.0 ID)","At least two of each size"]
[null,6,"Intubation aids(Magillsforcep of small and large size, bougie, stylets of small and large size)","As per need"]
[null,7,"Suction device and suction catheters of different sizes (Size 8 -16 Fr)","As per need"]
[null,8,"Adult and pediatric self inflating bags(Size 2L, 1L, 0.5L)","As per need"]
[null,9,"Bain's breathing circuit","At least 2"]
[null,10,"Pediatric breathing circuit: Ayre's T-piece","At least 2"]
[null,11,"Equipment for intravenous infusions andinjection of medications for adult and pediatric patients\n(IV stand, IV canula, fixing tapes, infusion sets, blood transfusion sets, burette sets, syringes, three-way stop cocks)","As per need"]
[null,12,"Equipment for spinal anesthesia or regional blocks\n(e.g., a set of spinal needle 25/26 G, small bowl,5-10ml syringe, sponge holding forceps, kidney tray, large eye towel, cotton pieces, gauze pieces)","As per need"]
[null,13,"Examination (non-sterile) gloves","As per need"]
[null,14,"Sterile gloves","As per need"]
[null,15,"Pulse oximeter","At least 2"]
[null,16,"Access to a defibrillator","At least 1"]
[null,17,"Stethoscope","At least 2"]
[null,18,"Sphygmomanometer with appropriate sized cuffs for adult and pediatric patients","As per need"]
[null,19,"Non-invasive blood pressure monitor with appropriate sized cuffs for adult and pediatric patients","As per need"]
[null,20,"Anesthesia machine with inspired oxygen concentration monitor, anti-hypoxia deviceto prevent delivery of a hypoxic gas mixture, system to prevent misconnection of gas sources (e.g., tank yokes, hose connectors), automated ventilator with disconnect alarm.","At least 1"]
[null,21,"Electrocardiogram - three leads","As per need"]
[null,22,"Temperature monitor (intermittent)","As per need"]
["NSI","Total Score",null,null,{"$f":"SUM($E$1878:$E$1899)","v":0}]
["NSI","Total percentage = Total score/ 22 x 100",null,null,{"$f":"$E$1900/22","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.8.8.2",{"$f":"IF($E$1901<=0.4999,0, IF($E$1901<=0.6999,1, IF($E$1901<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.8m Medicines for Anesthesia"]
[]
["NSI","SN","List of Medicines","Required Number","Score"]
[null,"Preoperative medications"]
[null,1,"Ranitidine Injection",5]
[null,2,"Metoclopramide Injection",5]
[null,3,"Aluminium hydroxide or magnesium trisilicatesuspension",5]
[null,4,"Atropine Injection",10]
[null,5,"Diazepam Tablet",5]
[null,"Intraoperative medications"]
[null,6,"Ketamine Injection",3]
[null,7,"Midazolam Injection",3]
[null,8,"Opioid analgesics injections \n(Morphine, Pethidine, Fentanyl)","2 each"]
[null,9,"Lignocaine 2% Injection for IV infusion",2]
[null,10,"Lignocaine Inj 1%, 2% with or withoutAdrenaline 1:200000",2]
[null,11,"Thiopental Powder 500mg","As per need"]
[null,12,"Propofol Injection","As per need"]
[null,13,"Appropriate inhalational anesthetic (e.g.,Halothane, Isoflurane, Sevoflurane)","As per need"]
[null,14,"Succinylcholine Injection","As per need"]
[null,15,"Appropriate non-depolarizing muscle relaxant ( pancuronium, vecuronium, rocuronium, atracurium)","As per need"]
[null,16,"Neostigmine Injection","As per need"]
[null,17,"Atropine Injection / Glycopyrolate Injection","10/10"]
[null,18,"Bupivacaine Heavy 0.5%",5]
[null,"Intravenous fluids"]
[null,19,"Water for injection","As per need"]
[null,20,"Normal saline / Ringer’s lactate","As per need"]
[null,21,"5% Dextrose / Dextrose normal saline","As per need"]
[null,22,"1/5Dextrose 1/3Normal saline","As per need"]
[null,23,"Mannitol 20% Injection","As per need"]
[null,24,"Haemaccel Injection / Gelafusine Injection / Voluven Injection","As per need"]
[null,"Resuscitative medications"]
[null,25,"Dextrose 25%/ 50% Injection",5]
[null,26,"Mephenteramine or Ephedrine Injection",5]
[null,27,"Dopamine injection",5]
[null,28,"Noradrenaline injection",5]
[null,29,"Amiodarone injection",5]
[null,30,"Hydrocortisone injection",5]
[null,31,"Dexomethasone injection",5]
[null,32,"Chlorpheniramine injection",5]
[null,33,"Calcium gluconate injection",5]
[null,34,"Beta-blockers (Metoprolol, Labetolol, Esmolol) Injection","As per need"]
[null,35,"Naloxone Injection",5]
[null,"Post-operative medications"]
[null,36,"Morphine Injection","As per need"]
[null,37,"Pethidine Injection","As per need"]
[null,38,"Tramadol Injection","As per need"]
[null,39,"Pentazocine Injection","As per need"]
[null,40,"Paracetamol Injection 1gm, Suppository125mg","As per need"]
[null,41,"Diclofenac Injection","As per need"]
[null,42,"Ketorolac Injection","As per need"]
[null,43,"Promethazine Injection","As per need"]
[null,44,"Ondansetron Injection","As per need"]
[null,45,"Gabapentin Injection","As per need"]
[null,"Other medications"]
[null,46,"Magnesium Injection","As per need"]
[null,47,"Salbutamol Injection (for inhalation)","As per need"]
[null,48,"Ipratropium bromide Injection (for inhalation)","As per need"]
[null,49,"Furosemide Injection","As per need"]
[null,50,"Glyceryl trinitrate/nitroglycerine Injection","As per need"]
[null,51,"Sodium nitroprusside Injection","As per need"]
[null,52,"Heparin Injection","As per need"]
[null,53,"Aminophylline Injection","As per need"]
["NSI","Total Score",null,null,{"$f":"SUM(E1917:E1921,E1923:E1935,E1937:E1942,E1944:E1954,E1956:E1965,E1967:E1974)","v":0}]
["NSI","Total percentage = Total score/ 53 x 100",null,null,{"$f":"$E$1975/53","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.8.8.3",{"$f":"IF($E$1976<=0.4999,0, IF($E$1976<=0.6999,1, IF($E$1976<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.9a Medical equipment and instrument for hemodialysis"]
[]
["NSI","S.N.","Medical equipment and instrument","Required No","Score"]
[null,1,"Hemodialysis machine","at least 10"]
[null,2,"Blood Pressure Apparatus",2]
[null,3,"Stethoscope",2]
[null,4,"Thermometer(Patient and Refrigerator)",2]
[null,5,"Glucometer",2]
[null,6,"Hemodialysis set",2]
[null,7,"Curtain","as per need"]
[null,8,"Wheel Chair","at least 2"]
[null,9,"Stretcher","at least 1"]
[null,10,"Bed","as least 2"]
[null,11,"Bed side Tray","1 in each bed"]
[null,12,"Standby Rechargeable light",1]
[null,13,"Hygrometer",1]
[null,14,"Resuscitation set","at least 1"]
[null,15,"Suction Apparatus","at least 1"]
[null,16,"Oxygen cylinder with flow meter,nasalprongs and mask or central oxygen","at least 1/available"]
[null,17,"Defibrillator","at least 1"]
[null,18,"ECG machine","at least 1"]
[null,19,"Pulse oximeter","at least 1"]
[null,20,"Nebulizer","at least 1"]
[null,21,"Cardiac monitor","at least 1"]
[null,22,"Torch light","at least 1"]
["NSI","Total score",null,null,{"$f":"SUM($E$1991:$E$2012)","v":0}]
["NSI","Total percentage= Total score/22 x 100",null,null,{"$f":"$E$2013/22","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.9.5.3",{"$f":"IF($E$2014<=0.4999,0, IF($E$2014<=0.6999,1, IF($E$2014<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.9b Medicines and Supplies for Hemodialysis"]
[]
["NSI","S.No","Medicines and supplies","Required No","Score"]
[null,1,"Diazepam Injection",5]
[null,2,"Frusemide Injection",5]
[null,3,"Ondansetron Injection",5]
[null,4,"Ranitidine Injection",5]
[null,5,"Noradrenaline Injection",5]
[null,6,"Phenytoin Injection",5]
[null,7,"Diclofenac sodium Injection",5]
[null,8,"Deriphylline Injection",5]
[null,9,"Hydrocortisone Injection",5]
[null,10,"Atropine Injection",5]
[null,11,"Adrenaline Injection",5]
[null,12,"Potassium Chloride (KCL) Injection",5]
[null,13,"Pheniramine Injection",5]
[null,14,"Sterile Water",5]
[null,15,"Soda bicarbonate Injection",5]
[null,16,"Dopamine Injection",5]
[null,17,"Calcium Gluconate Injection",5]
[null,18,"Dextrose 25 %/ 50% Injection","5each"]
[null,19,"Tranxemic Acetate Injection",5]
[null,20,"Protamine Sulphate Injection",5]
[null,21,"Vitamin K Injection",5]
[null,22,"Tramadol Injection",5]
[null,23,"Hyoscine Butylbromide Injection",5]
[null,24,"Aspirin Tablet","1 strip"]
[null,25,"Clopilet Tablet","1 strip"]
[null,26,"Isodril Tablet","1 stirp"]
[null,27,"Nefedipin 5 mg/10mg Cap","1 strip each"]
[null,28,"Injection Heparin","as per need"]
[null,"Dialysis Consumables"]
[null,29,"Adhesive Tape","as per need"]
[null,30,"Leukoband","as per need"]
[null,31,"Paper Tape","as per need"]
[null,32,"Betadine","as per need"]
[null,33,"Spirit","as per need"]
[null,34,"Dialyzer","as per need"]
[null,35,"A/V Tubing","as per need"]
[null,36,"Fistula Needle","as per need"]
[null,37,"I/V Set","as per need"]
[null,38,"I/V Cannula different size","as per need"]
[null,39,"Transducer","as least 2"]
[null,40,"Sub clavien Catheter","at least 2"]
[null,41,"Femoral Catheter","at least2"]
[null,42,"Guide wire","at least 2"]
[null,43,"Normal Saline 1000ml","as per need"]
[null,44,"Normal Saline 500ml","at least 5"]
[null,45,"Disposable Syringe 20ml","as least 5"]
[null,46,"Disposable Syringe 10ml","at least 5"]
[null,47,"Disposable Syringe 5ml","at least 5"]
[null,48,"Rubber Sheet","as per need"]
["NSI","Total Score",null,null,{"$f":"SUM($E$2029:$E$2056,$E$2058:$E$2077)","v":0}]
["NSI","Total percentage= Total Score/48 x100",null,null,{"$f":"$E$2078/48","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.9.5.4",{"$f":"IF($E$2079<=0.4999,0, IF($E$2079<=0.6999,1, IF($E$2079<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.10.1a Proper Bed Area for ICU"]
[]
["NSI","SN","Appropriate bed space and supplies",null,"Score"]
[null,1,"100 sq. ft per patient care area"]
[null,2,"Bed length: 7 ft; Bed width: 3.5 ft"]
[null,3,"The head end of the bed must be kept at least 2 ft from the wall to have adequate access for endotracheal intubation, resuscitation, and central venous catherization"]
[null,4,"The foot end of the bed must be kept at least 3 ft from the corridor or wall."]
[null,5,"Space between the two adjacent beds: 6 ft"]
[null,6,"Wall or ceiling mounted pendants to reduce the space requirements and to provide hindrance free and smooth accessibility at the head end of the bed."]
[null,7,"Utilities per bed in the pendant: 2 oxygen outlets with flow meters,2 vaccuum, 8 universal electric outlets distributed on both sides of the bed."]
["NSI","Total Score",null,null,{"$f":"SUM($E$2094:$E$2100)","v":0}]
["NSI","Total percentage= Total Score/7 x 100",null,null,{"$f":"$E$2101/7","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard\n2.10.1.11",{"$f":"IF($E$2102<=0.4999,0, IF($E$2102<=0.6999,1, IF($E$2102<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.10.1b Staffing for Intensive Care Services"]
[]
["NSI","SN","Staffing of ICU","Required Number","ICU","NICU","PICU"]
[null,1,"ICU Coordinator  / Chief with at least MD Anesthesiology plus 2 years experience (dedicates 50% professional time for ICU) or Fellowship in Adult Critical Care or DM Critical Care Medicine",1]
[null,2,"NICU/ PICU Coordinator  with at least MD Pediatrics plus 2 years experience (dedicates 50% professional time for NICU/PICU)"]
[null,3,"Admitting consultant on duty",1]
[null,4,"One trained medical officer or MD Resident for every  5 bed","1 per shift per 6 bed"]
[null,5,"Nurse in-charge with 5 years’ experience in ICU (Nursing officer) with Bachelors’ degree in Nursing with at least three month training or Certification in Critical Care Nurse Training ",1]
[null,6,"Nurse: patient ventilated and multi-organ failure patients","1:1"]
[null,7,"Nurse: Patients ventilated or multi-organ failure patients","2:3"]
[null,8,"Nurse: Patients less seriously sick patients who do not require above modalities. (For Level I Patients)","1:2"]
[null,9,"IP trained office assistants","1 in each shift for 5 bedded ICU"]
[null,10,"Security staffs","2 in each shift"]
[null,11,"Biomedical technician/engineer on duty","At least one"]
["NSI","Total Score",null,null,{"$f":"SUM(E2117,E2119:E2127)","v":0},{"$f":"SUM(F2118:F2127)","v":0},{"$f":"SUM(G2118:G2127)","v":0}]
["NSI","Total percentage= Total Score/10 x 100",null,null,{"$f":"E2128/10","v":{"v":0,"d":"0.00%"}},{"$f":"F2128/10","v":{"v":0,"d":"0.00%"}},{"$f":"G2128/10","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.10.1.3.1",{"$f":"IF($E$2129<=0.4999,0, IF($E$2129<=0.6999,1, IF($E$2129<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.10.2.3",{"$f":"IF($F$2129<=0.4999,0, IF($F$2129<=0.6999,1, IF($F$2129<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.10.3.3",{"$f":"IF($G$2129<=0.4999,0, IF($G$2129<=0.6999,1, IF($G$2129<=0.8499,2,3)))","v":0}]
[]
[]
["Bold","Annex 2.10.1c Equipment and Instrument for Intensive Care Services"]
[]
["NSI","S.N.","Equipment, Instrument and Supplies for ICU","Required number","Score"]
["NSI",{"$nulls":3},"ICU","NICU","PICU"]
[null,1,"ICU bed (With mattress, two IV stands and all position possible: head up, height adjustment, back section and leg section adjustment, tredelenberg and reverse trendelenberg position)","one per bed"]
[null,2,"Bedside Patient monitor (Modular - ECG, SPO2, NIBP, RR, Temp Probes with trays) upgradable to invaseive BP","one per bed"]
[null,3,"Bedside Patient monitor (Modular - ECG, SPO2, NIBP, RR, Temp Probes, 2 Invasive BP, ETCO2","One in every 4 bed"]
[null,4,"ICU Ventilator (With paediatric and adult provisions, graphics and Non- Invasive Modes, Humidifier, inbuilt nebulisation, turbine/air-compressor)","one per bed"]
[null,5,"BiPAP Machine","two for five beds"]
[null,6,"High Flow Oxygen Therapy Device","One"]
[null,7,"Defibrillator (manual and automatedwith transcutaneous pacing facility)","One"]
[null,8,"Syringe pumps","3 per bed"]
[null,9,"Infusion pumps","1 per bed"]
[null,10,"Over Bed Table – Patient Table ","1 per bed"]
[null,11,"Bedside Cabinet","1 per bed"]
[null,12,"Handheld Pulse oximeter",2]
[null,13,"USG Machine (with all three Linear, Convex, Curvilinear Probes) (Inside ICU)",1]
[null,14,"ABG Machine (Inside ICU)",1]
[null,15,"Hemodialysis Machine (Inside ICU)",1]
[null,16,"Intermittent Leg Compressing Device to prevent DVT","1 per bed"]
[null,17,"Feeding Pump for Continuous Feed","1 per 4 bed"]
[null,18,"Air mattress","1 per bed"]
[null,19,"Crash/Resuscitation trolley",1]
[null,20,"Glucometer",2]
[null,21,"Portable X-ray machine",1]
[null,22,"Clinical Lab facility with lactate value, culture and sensitivity","Available"]
[null,23,"Warming devices: blanket, blower","1 per 4 bed"]
["NSI","Total Score",null,null,{"$f":"SUM(E2148:E2170)","v":0},{"$f":"SUM(F2148:F2170)","v":0},0]
["NSI","Total percentage= Total Score/ 23x 100",null,null,{"$f":"E2171/23","v":{"v":0,"d":"0.00%"}},{"$f":"F2171/23","v":{"v":0,"d":"0.00%"}},{"$f":"G2171/23","v":{"v":0,"d":"0.00%"}}]
[]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0"]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.10.1.4",{"$f":"IF($E$2172<=0.4999,0, IF($E$2172<=0.6999,1, IF($E$2172<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.10.2.4",{"$f":"IF($F$2172<=0.4999,0, IF($F$2172<=0.6999,1, IF($F$2172<=0.8499,2,3)))","v":0}]
[null,null,"Score for Standard 2.10.3.4",{"$f":"IF($G$2172<=0.4999,0, IF($G$2172<=0.6999,1, IF($G$2172<=0.8499,2,3)))","v":0}]
[]
[]
["Bold","Annex 2.11.1.1a List of Investigations for Laboratory"]
[]
["NSI","SN","Test",null,"Routinely available"]
[null,"Hematology"]
[null,1,"Hb"]
[null,2,"Total Leucocyte count"]
[null,3,"Differential leucocyte count"]
[null,4,"ESR"]
[null,5,"Blood grouping for non- transfusion"]
[null,6,"Blood grouping for transfusion"]
[null,7,"Bleeding time"]
[null,8,"PT"]
[null,9,"APTT"]
[null,10,"Platelet count"]
[null,11,"MCV"]
[null,12,"MCH"]
[null,13,"MCHC"]
[null,14,"Hematocrit (PCV)"]
[null,15,"Malaria RDT or microscopy"]
[null,16,"Absolute count"]
[null,17,"Reticulocyte"]
[null,18,"Peripheral smear examination"]
[null,19,"D dimer"]
[null,20,"Sickling test"]
[null,21,"Bone marrow for hematological diseases and LD bodies"]
[null,"Chemistry and Endocrinology"]
[null,22,"Blood Sugar"]
[null,23,"Urea"]
[null,24,"Creatinine"]
[null,25,"Billirubin total"]
[null,26,"Billirubin direct"]
[null,27,"Serum Uric acid"]
[null,28,"Total Protein"]
[null,29,"Serum  albumin"]
[null,30,"SGOT"]
[null,31,"SGPT"]
[null,32,"Alkaline phosphatase"]
[null,33,"Triglyceride"]
[null,34,"Total Cholesterol"]
[null,35,"HDL"]
[null,36,"LDL"]
[null,37,"Serum sodium"]
[null,38,"Serum potassium"]
[null,39,"HbA1c"]
[null,40,"Beta hCG"]
[null,41,"Urine microalbumin"]
[null,42,"Urine albumin creatinine ratio"]
[null,43,"Total CK"]
[null,44,"CK-MB"]
[null,45,"Troponin T/I"]
[null,46,"Amylase"]
[null,47,"Lipase"]
[null,48,"Thyroid function test"]
[null,49,"Anti TPO"]
[null,50,"LDH"]
[null,51,"CEA"]
[null,52,"CA 125"]
[null,53,"CA 19.9"]
[null,54,"Serum Beta HCG"]
[null,55,"LH"]
[null,56,"FSH"]
[null,57,"Estradiole"]
[null,58,"Serum ferritin"]
[null,59,"serum Iron"]
[null,60,"TIBC"]
[null,61,"Vitamin D3"]
[null,"Microbiology"]
[null,62,"Sputum AFB"]
[null,63,"KOH mount"]
[null,64,"Routine bacteriology culture (blood,urine, pus, body fluid, swab)"]
[null,65,"Antibiotic susceptibility"]
[null,66,"Gram stain"]
[null,"Serology"]
[null,67,"RPR"]
[null,68,"Widal"]
[null,69,"ASO"]
[null,70,"RA factor"]
[null,71,"CRP (Qualitative and Quantitative)"]
[null,72,"rK39 (kit)"]
[null,73,"Montoux test"]
[null,74,"TPHA (rapid)"]
[null,75,"HbsAg (rapid)"]
[null,76,"HCV (rapid)"]
[null,77,"HIV (rapid)"]
[null,78,"HIV (other than rapid)"]
[null,79,"HbsAg (Other than rapid)"]
[null,80,"Anti HCV (Other than rapid)"]
[null,81,"Anti HBc (Other than rapid)"]
[null,82,"HBe antigen"]
[null,83,"ANA"]
[null,84,"Cryptococcal anatigen test"]
[null,"Miscellaneous"]
[null,85,"Urine routine and microscopy"]
[null,86,"Urine Pregnancy Test"]
[null,87,"Stool routine and microscopy"]
[null,88,"Stool for occult blood"]
[null,89,"Stool for reducing substance"]
[null,90,"Urine ketone bodies"]
[null,91,"CSF and body fluid examination (sugar, protein, total and differential count, malignant cells)"]
[null,92,"Semen analysis (total count andmotility)"]
[null,"Histo/cytopathology"]
[null,93,"Pap smear examination"]
[null,94,"Sputum cytology"]
[null,95,"Body fluid cytology"]
[null,96,"Fine Needle Aspiration Cytology (FNAC)"]
[null,97,"Histopathology"]
["NSI","Total Score",null,null,{"$f":"SUM($E$2192:$E$2212,$E$2214:$E$2253,$E$2255:$E$2259,$E$2261:$E$2278,$E$2280:$E$2287,$E$2289:$E$2293)","v":0}]
["NSI","Total Percentage = Total Score/ 97 x 100",null,null,{"$f":"$E$2294/97","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.11.1.1.1.2",{"$f":"IF($E$2295<=0.4999,0, IF($E$2295<=0.6999,1, IF($E$2295<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.11.1.1b Equipment and Instrument for Laboratory"]
[]
["NSI","S.N.","Name of Instruments","Required Quantity","Score"]
[null,1,"Microscope",3]
[null,2,"Fully automated biochemistry analyser",1]
[null,3,"Fully automated hematology analyser",1]
[null,4,"CLIA/ECLIA",1]
[null,5,"Incubator",1]
[null,6,"Biosafety cabinet ( formicrobiology)",1]
[null,7,"Chemical Balance",1]
[null,8,"Electrolyte Analyzer",1]
[null,9,"HBA 1c measuring instrument (semiautomated/automated)",1]
[null,10,"Hot air Oven",1]
[null,11,"Refrigerator","1-2"]
[null,12,"Centrifuge","1-2"]
[null,13,"Counting Chamber","1-2"]
[null,14,"DLC counter","1-2"]
[null,15,"Tissue Processor",1]
[null,16,"Microtome",1]
[null,17,"Liquid based cytology machine",1]
[null,18,"Pipettes, Glassware/kits","As per need"]
[null,19,"Computer with printer",1]
[null,20,"Water Bath",1]
[null,21,"Tissue flotation bath",1]
[null,22,"Disposable test tubes","As per need"]
[null,23,"Different Closed Vacuum set (for sample)- hematology, biochemistry","As per need"]
[null,24,"Histo/cyto staining boxes with stains","As per need"]
[null,25,"Autoclave for waste disposal (250 liter, pre-vacuum with horizontal outlet)",1]
["NSI","Total Score",null,null,{"$f":"SUM($E$2310:$E$2334)","v":0}]
["NSI","Total percentage = Total Score/ 25 x 100",null,null,{"$f":"$E$2335/25","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.11.1.1.3.1",{"$f":"IF($E$2336<=0.4999,0, IF($E$2336<=0.6999,1, IF($E$2336<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.11.1.2a Blood Bank Furniture and Supplies"]
[]
["NSI","S.N.","Furniture and supplies","Required Quantity","Score"]
[null,1,"Working desk with two chairs","1 set"]
[null,2,"Patient chair for blood collection",1]
[null,3,"Blood bag single and/or component","As per need"]
[null,4,"BP cuff",1]
[null,5,"Stethoscope",1]
[null,6,"Weighing machine (for patient and for blood)","As per need"]
[null,7,"Band aid, cotton and spirit","As per need"]
[null,8,"Needle cutter","as per need"]
[null,9,"Reagents Kits for ABO/Rh serology/cross-matching requirement","as per need"]
[null,10,"Glass ware for blood grouping (ABO/Rh)","as per need"]
["NSI","Total score",null,null,{"$f":"SUM($E$2350:$E$2359)","v":0}]
["NSI","Total percentage= Total Score/ 10 x 100",null,null,{"$f":"$E$2360/10","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score 2.11.1.2.3.1",{"$f":"IF($E$2361<=0.4999,0, IF($E$2361<=0.6999,1, IF($E$2361<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.11.1.2b Equipment and Instrument for Blood Bank"]
[]
["NSI","S.N.","Name of Instruments","Required Quantity","Score"]
[null,1,"Blood bank refrigerator 2 to 4٥ C",2]
[null,2,"Ordinary centrifuge",3]
[null,3,"Deep freezer (-20°C to -30°C)",1]
[null,4,"Deep freezer (-80°C)",1]
[null,5,"Platelet Shaker",1]
[null,6,"Autoclave",1]
[null,7,"Computer with printer",1]
[null,8,"Gamma radiation chamber","1 (optional*)"]
[null,9,"Microscope",1]
[null,10,"Auto pipettes (20, 50, 100 μl)","2 each"]
[null,11,"Incubator",2]
[null,12,"Water Bath",3]
[null,13,"Hot Air Oven",2]
[null,14,"Generator 60 KVA","as per need"]
["NSI","Total score",null,null,{"$f":"SUM(E2376:E2382,E2384:E2389)","v":0}]
["NSI","Total percentage= Total Score/ 13 x 100",null,null,{"$f":"$E$2390/13","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score 2.11.1.2.3.3",{"$f":"IF($E$2391<=0.4999,0, IF($E$2391<=0.6999,1, IF($E$2391<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.11.8a Emergency Trolley TMT"]
[]
["NSI","SN","Name","Required No","Score"]
[null,1,"Atropine Injection",10]
[null,2,"Adrenaline Injection",3]
[null,3,"Xylocaine 1% and 2% Injections with Adrenaline",2]
[null,4,"Xylocaine 1% and 2 % Injections withoutAdrenaline",2]
[null,5,"Xylocaine Gel",2]
[null,6,"Diclofenac Injection",5]
[null,7,"Hyoscine Butylbromide Injection",5]
[null,8,"Diazepam injection",2]
[null,9,"Morphine Injection / Injection Pethidine",2]
[null,10,"Hydrocortisone Injection",4]
[null,11,"Phenaramine Injection",4]
[null,12,"Dexamethasone Injection",4]
[null,13,"Ranitidine/Omeperazole Injection",4]
[null,14,"Frusemide Injection",5]
[null,15,"Dopamine injection",2]
[null,16,"Noradrenaline injection",2]
[null,17,"Digoxin injection",2]
[null,18,"Verapamil injection",2]
[null,19,"Amidarone injection",2]
[null,20,"Glyceryltrinitrate Injection",1]
[null,21,"Labetolol injection",1]
[null,22,"Sodium bicarbonate injection",2]
[null,23,"Ceftriaxone Injection",4]
[null,24,"Metronidazole Injection",4]
[null,25,"Dextrose 25% / 50% Injection","2 each"]
[null,26,"IV Infusion set (Adult/Pediatric)",2]
[null,27,"IV Canula ( 18, 20, 22, 24 Gz)","2 each"]
[null,28,"Disposable syringes 1 ml, 3 ml, 5 ml, 10 ml, 20 ml,50 ml","5 each"]
[null,29,"Disposable Gloves 6, 6.5, 7, 7.5","3 each"]
[null,30,"Distilled Water",3]
[null,31,"Needle 18-25","As per need"]
[null,32,"Sodium chloride-15%w/v and Glycerin-15% w/v (forenema)",5]
["NSI","Total Score",null,null,{"$f":"SUM($E$2406:$E$2437)","v":0}]
["NSI","Total Percentage (Total Score/ 32x100)",null,null,{"$f":"$E$2438/32","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.11.8.4.2",{"$f":"IF($E$2439<=0.4999,0, IF($E$2439<=0.6999,1, IF($E$2439<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.11.9a Emergency Trolley Endoscopy"]
[]
["NSI","SN","Name","Required No","Score"]
[null,1,"Atropine Injection",10]
[null,2,"Adrenaline Injection",3]
[null,3,"Xylocaine 1% and 2% Injections with Adrenaline",2]
[null,4,"Xylocaine 1% and 2 % Injections without Adrenaline",2]
[null,5,"Xylocaine Gel",2]
[null,6,"Diclofenac Injection",5]
[null,7,"Hyoscine Butylbromide Injection",5]
[null,8,"Diazepam injection",2]
[null,9,"Morphine Injection / Pethidine Injection",2]
[null,10,"Hydrocortisone Injection",4]
[null,11,"Pheramine Injection",4]
[null,12,"Dexamethasone Injection",4]
[null,13,"Ranitidine/Omeperazole Injection",4]
[null,14,"Frusemide Injection",5]
[null,15,"Dopamine injection",2]
[null,16,"Noradrenaline injection",2]
[null,17,"Digoxin injection",2]
[null,18,"Verapamil injection",2]
[null,19,"Amidarone injection",2]
[null,20,"Glyceryltrinitrate injection",1]
[null,21,"Labetolol injection",1]
[null,22,"Sodium bicarbonate injection",2]
[null,23,"Ceftriaxone Injection",4]
[null,24,"Metronidazole Injection",4]
[null,25,"Dextrose 25%/50% ampoule",2]
[null,26,"IV Infusion set (Adult/Pediatric)",2]
[null,27,"IV Canula (16, 18, 20, 22, 24, 26 Gz)","2 each"]
[null,28,"Disposable syringes 1 ml, 3 ml, 5 ml, 10 ml, 20 ml,50 ml","5 each"]
[null,29,"Disposable Gloves (Size 6, 6.5, 7, 7.5)","3 each"]
[null,30,"Distilled Water",3]
[null,31,"Sodium chloride-15%w/v and Glycerin-15% w/v (forenema)","As per need"]
["NSI","Total Score",null,null,{"$f":"SUM($E$2454:$E$2484)","v":0}]
["NSI","Total Percentage (Total Score/ 31x100)",null,null,{"$f":"$E$2485/31","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.11.9.5.3",{"$f":"IF($E$2486<=0.4999,0, IF($E$2486<=0.6999,1, IF($E$2486<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.12.1a Supplies and instrument for post mortem services"]
[]
["NSI","SN","Supplies and instrument","Required Number","Score"]
[null,1,"Refrigeration chamber or cool room for body preservation","8-10 bodiescapacity"]
[null,2,"Dissection set of instruments for autopsy","2 sets"]
[null,3,"Magnifying lens; 20 and 40 times","1 each"]
[null,4,"Measuring tape",2]
[null,5,"Weighing machine for organs and if possible for dead body",1]
[null,6,"Camera for photography",1]
[null,7,"Glass tubes for blood collection and tissue collection; reasonable numbers for regular use","as per need"]
[null,8,"Glass slides; reasonable number for regular use","as per need"]
[null,9,"EDTA","as per need"]
[null,10,"Sodium Flouride -200 or 500 gm","As per need"]
[null,11,"Formalin solution","as per need"]
[null,12,"Plastic made wide mouth containers of 500 ml capacity ;reasonable numbers for regular need","as per need"]
[null,13,"Sodium chloride (table salt); reasonable amount for regular use","as per need"]
[null,14,"Autopsy gown","2 sets"]
[null,15,"Gum boots","2 pairs"]
[null,16,"Gloves and masks","as per need"]
[null,17,"Computer with printer for report preparation",1]
[null,18,"Cleaning agents; soap, detergents","as per need"]
[null,19,"Sealing materials; specific seal tape or wax seal and seal print","as per need"]
[null,20,"Autopsy and skeletal remains SOP, Reference Manual","as per need"]
["NSI","Total score",null,null,{"$f":"SUM($E$2501:$E$2520)","v":0}]
["NSI","Percentage= Total score/20 x 100",null,null,{"$f":"$E$2521/20","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.12.1.4",{"$f":"IF($E$2522<=0.4999,0, IF($E$2522<=0.6999,1, IF($E$2522<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.12.2a Supplies and instrument for clinical  medico-legal services"]
[]
["NSI","SN","Supplies and instrument","Required number","Score"]
[null,1,"Weighing machine and height scale","1 each"]
[null,2,"BP set, stethoscope and torch light","1 each"]
[null,3,"Examination kits; sexual offence cases (rape victim examination kit)","as per need"]
[null,4,"Gloves and masks","as per need"]
[null,5,"Magnifying lens; 20 and 40 times","1 each"]
[null,6,"Measuring tape","As per need"]
[null,7,"Camera for photography",1]
[null,8,"Paper envelopes of different sizes for collection of samples and packing","as per need"]
[null,9,"Glass tubes for collection of blood urine; reasonable number for regular use","as per need"]
[null,10,"X ray plate view box",1]
[null,11,"EDTA and Sodium floride 500 gm","As per need"]
[null,12,"Glass slides; reasonable number for regular use","as per need"]
[null,13,"Cupboards for store and necessary other furniture for examination room","as per need"]
[null,14,"Sealing materials as for autopsy room","as per need"]
[null,15,"Computer and printer for report preparation as in autopsy",1]
[null,16,"SOPs and Reference Manuals for age estimation, sexual offence case examination, injury examination, drunkenness examination, mental state examination and torture victim examination.",1]
["NSI","Total score",null,null,{"$f":"SUM($E$2537:$E$2552)","v":0}]
["NSI","Percentage= Total score/16 x 100",null,null,{"$f":"$E$2553/16","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.12.2.4.1",{"$f":"IF($E$2554<=0.4999,0, IF($E$2554<=0.6999,1, IF($E$2554<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.13a Physical Facilities for OCMC"]
[]
["NSI","SN","General Items","Required No.","Score"]
[null,1,"Rooms for treatment room/examination room, officeand guard room","1 each"]
[null,2,"Toilet allocated for OCMC services","as per need"]
[null,3,"Curtains to maintain confidentiality during the forensicexamination","as per need"]
[null,4,"Examination table",1]
[null,5,"Desk",1]
[null,6,"Chairs",3]
[null,7,"Cupboard to keep clients' information with filingcabinet",1]
[null,8,"Movable table lamp",1]
[null,9,"toilet and bathroom for clients' use (water, bucket,mug, soap, towel)","as per need"]
[null,10,"Hand washing facility for service provider","as per need"]
[null,11,"Refrigerator and lockable cupboard for specimenstore",1]
[null,12,"Telephone",1]
[null,13,"Computer and printer","1set"]
[null,14,"Boiler (for tea)","1 set"]
["NSI","Total score",null,null,{"$f":"SUM($E$2569:$E$2582)","v":0}]
["NSI","Percentage= Total score/14 x 100",null,null,{"$f":"$E$2583/14","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.13.4",{"$f":"IF($E$2584<=0.4999,0, IF($E$2584<=0.6999,1, IF($E$2584<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.13b Instruments and supplies for treatment in OCMC"]
[]
["NSI","SN","General Items","Required No.","Score"]
[null,1,"Sphygmomanometer (B.P. Instrument)",1]
[null,2,"Stethoscope",1]
[null,3,"Torch Light",1]
[null,4,"Tongue Depressor","as per need"]
[null,5,"Tourniquet",1]
[null,6,"Sterilized Gloves as required","as per need"]
[null,7,"Sterilized Syringe and Needles as required","as per need"]
[null,8,"Cotton and Bandage as required","as per need"]
[null,9,"Sterilized Vial for sample collection","as per need"]
[null,10,"Different sized Reflecting Mirrors (big, medium and small)","1 each"]
[null,11,"Sterilized Speculum",1]
[null,12,"Glutaradehylde solution for high level of infection prevention","as per need"]
[null,13,"Chlorine powder to sterilize the used materials/tools","as per need"]
[null,14,"Protoscope /Anscope",1]
[null,15,"Pregnancy Test Kit","as per need"]
[null,16,"Specimen collection materials for communicable SexuallyTransmitted Infections","as per need"]
[null,17,"Lubricant, Clean Water, Normal Saline","as per need"]
[null,18,"Tray for sharp instruments, such as scissors, knife etc.","as per need"]
[null,19,"Height Measuring Scale",1]
[null,20,"Weight Measuring Scale",1]
["NSI","Total score",null,null,{"$f":"SUM($E$2599:$E$2618)","v":0}]
["NSI","Total Percentage = Total Score/ 20 x 100",null,null,{"$f":"$E$2619/20","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.13.6.1",{"$f":"IF($E$2620<=0.4999,0, IF($E$2620<=0.6999,1, IF($E$2620<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.13c Instruments and supplies for evidence collection in OCMC"]
[]
["NSI","SN","General Items","Required No.","Score"]
[null,1,"Cotton/material to collect sperm, Blood, Saliva etc. from survivor","as per need"]
[null,2,"Container/vessel to keep the collected specimen","as per need"]
[null,3,"Materials to swab","as per need"]
[null,4,"Microscope slide","as per need"]
[null,5,"Vials for blood collection","as per need"]
[null,6,"Vials to collect urine for pregnancy test","as per need"]
[null,7,"Paper or plastic seat","as per need"]
[null,8,"Paper bag to hold clothes and other items","as per need"]
[null,9,"Air spatula and slide for pap smear","as per need"]
[null,10,"Fixing solutions: hair spray, alcohol etc","as per need"]
[null,11,"Analgesic : Normal medications like Paracetamol, Ibuprofen etc. for pain relief","as per need"]
[null,12,"Emergency Contraceptives: Pills and IUCD","as per need"]
[null,13,"Thread for Suturing","as per need"]
[null,14,"Immunization for Tetanus and Hepatitis","as per need"]
[null,15,"STI Preventive","as per need"]
[null,16,"Bed Sheet and Blankets for examination table","as per need"]
[null,17,"Towel","as per need"]
[null,18,"Clothes for Survivor (if her clothes are torn or stained).","as per need"]
[null,19,"Gown to be worn during the examination","as per need"]
[null,20,"Sanitary Pads and Tampons for internal use","as per need"]
[null,21,"Documentation forms and recording forms","as per need"]
[null,22,"Camera and Film for evidence collection",1]
[null,23,"Colposcope or Magnifying Glass",1]
["NSI","Total score",null,null,{"$f":"SUM(E2635:E2657)","v":0}]
["NSI","Total Percentage = Total Score/ 23 x 100",null,null,{"$f":"$E$2658/23","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.13.6.2",{"$f":"IF($E$2659<=0.4999,0, IF($E$2659<=0.6999,1, IF($E$2659<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.14a Instruments and equipment physiotherapy"]
[]
["NSI","SN","Instruments and equipment","Required No.","Score"]
[null,1,"Traction unit",2]
[null,2,"IFT(Interferential treatment)",4]
[null,3,"Ultrasound(treatment) unit",4]
[null,4,"TENS (Transcutaneous nerve stimulation)",4]
[null,5,"Muscle stimulator",3]
[null,6,"Parallel bar",1]
[null,7,"Quadriceps Table",1]
[null,8,"Therabands",5]
[null,9,"Heel exerciser",1]
[null,10,"CPM machine knee and elbow",1]
[null,11,"Physio ball 55'' 65'' and 90''",3]
[null,12,"Moist heat unit",1]
[null,13,"Wax unit",1]
[null,14,"Foot step",1]
[null,15,"Shoulder wheel",2]
[null,16,"Pulley Set",2]
[null,17,"Static Cycle",1]
[null,18,"Weight Cuffs set",2]
[null,19,"Dumbell set",2]
[null,20,"Shortwave diathermy",1]
[null,21,"Tit table (electronic)",3]
[null,22,"Microwave diathermy",1]
[null,23,"Cryotherapy unit",1]
[null,24,"Hand exercise table",1]
[null,25,"Mobilization table / bed",2]
[null,26,"Laser therapy unit",1]
[null,27,"Shockwave Therapy",1]
[null,28,"Ergometer",1]
[null,29,"Multi-gym exercise set",1]
["NSI","Total Score",null,null,{"$f":"SUM($E$2674:$E$2702)","v":0}]
["NSI","Total Percentage= Total Score/29 x100",null,null,{"$f":"$E$2703/29","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.14.7",{"$f":"IF($E$2704<=0.4999,0, IF($E$2704<=0.6999,1, IF($E$2704<=0.8499,2,3)))","v":0}]
[]
[]
["Bold","Annex 2.16a Physical Set Up for Cath Lab"]
[]
["NSI","SN","Physical Set Up",null,"Score"]
[null,1,"Separate room designated for Cath Lab with recovery room and control room"]
[null,2,"Space designated for changing room for male and female staffs separately"]
[null,3,"Lockers for storage of the belongings of staffs"]
[null,4,"Separate shelves for storage of clean and dirty shoes at the entrance of the Cath Lab area demarked with red line"]
[null,5,"Space designated with sink facilitated with elbow tap for scrubbing"]
[null,6,"Designated space for tea room"]
[null,7,"Separate bathroom with at least one universal toilet for Cath Lab"]
[null,8,"Scrub basins with running water"]
[null,9,"Utility basins (at least 4)"]
["NSI","Total Score",null,null,{"$f":"SUM($E$2720:$E$2728)","v":0}]
["NSI","Total percentage= Total Score/ 9 x 100",null,null,{"$f":"$E$2729/9","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.16.7.1",{"$f":"IF($E$2730<=0.4999,0, IF($E$2730<=0.6999,1, IF($E$2730<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.16b Furniture, Equipment, Instruments and Supplies for Cath Lab"]
[]
["NSI","SN","General Equipment and Instruments for OT","Standard Quantity","Score"]
[null,1,"Wheel chair foldable, adult size",1]
[null,2,"Stretcher",1]
[null,3,"Patient trolley",1]
[null,4,"Cupboards and cabinets for store",1]
[null,5,"Working desk for anesthesia, nursing station, gowning","1 each"]
[null,6,"OT Table- universal type/ with wedge to position patient","At least 2"]
[null,7,"Flurosope","At least 1"]
[null,8,"Cardiac Monitors","At least 2"]
[null,9,"Computer with display monitor and printer in control room","At least 1 set"]
[null,10,"Examining table",1]
[null,11,"Mayo Stand with tray",2]
[null,12,"Operation theatre lights",1]
[null,13,"Ultra violet light source",1]
[null,14,"Electronic suction machine/ Foot-operated suction machine","1/1"]
[null,15,"Refrigerator / cold box",1]
[null,16,"Boiler/ Autoclave","1/1"]
[null,17,"Oxygen concentrator/ Oxygen Cylinder/ Central oxygen","1/1/ available"]
[null,18,"Instrument trolley",2]
[null,19,"BP instrument with stethoscope",1]
[null,20,"Thermometer",1]
[null,21,"Steel Drum for gloves",1]
[null,22,"Steel Drum for Cotton",1]
[null,23,"Tourniquet, latex rubber, 75 cm",2]
[null,24,"Kidney tray (600cc)",2]
[null,25,"Covered instrument trays",4]
[null,26,"Mackintosh sheet",1]
[null,27,"Lead gown","2 sets"]
[null,28,"Bowl stand",2]
[null,29,"Cheatle forceps in jar",2]
[null,30,"Packing towel double wrapper","As per need"]
[null,31,"Sterile gloves (6,6.5,7,7.5,8)","5 each"]
[null,32,"Towels/ eye hole","As per need"]
[null,33,"Masks and caps","As per need"]
[null,34,"Torch light and batteries","1 set"]
[null,35,"Foot steps",2]
[null,36,"Wall clock",1]
[null,37,"Waste bucket for scrub nurse",1]
[null,38,"IV stand",2]
[null,39,"Big tray, Big bowl, small bowl, kidney tray, spongeholder","2 each"]
[null,40,"Lap Pack","At least 2"]
[null,41,"IV set and PMO line","At least 10 each"]
[null,42,"Leak proof sharp container",1]
[null,43,"Color coded waste bins (based on HCWM guideline2014 (MoHP)","1 set per OT"]
[null,44,"Disposable syringes of different size, 3 way connector","As per need"]
["NSI","Total Score",null,null,{"$f":"SUM($E$2745:$E$2788)","v":0}]
["NSI","Total percentage= Total/ 44 x 100",null,null,{"$f":"$E$2789/44","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if the mentioned test is available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.16.7.2",{"$f":"IF($E$2790<=0.4999,0, IF($E$2790<=0.6999,1, IF($E$2790<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.16c Medicine and Supplies for Cath Lab"]
[]
["NSI","SN","Emergency Drugs (including neonates) for OT","Standard Quantityfor 1 patient","Score"]
[null,1,"Verapamil  Injection","4 ampules"]
[null,2,"Heparin Injection","2 vials"]
[null,3,"Midazolam Injection","5 vials"]
[null,4,"Hydrocortisone Powder for Injection","100ml 2 vial"]
[null,5,"Frusemide Injection","2 ampules"]
[null,6,"Dopamine Injection","5 vials"]
[null,7,"Ergometrine Injection","2 ampules"]
[null,8,"Hydralizine injection","5 vials"]
[null,9,"Calcium Gluconate Injection","10ml X 2 ampules"]
[null,10,"Dextrose (25%/50%) Injection","2 ampules each"]
[null,11,"Naloxone Injection","1 ampule"]
[null,12,"Aminophyline Injection","2 ampules"]
[null,13,"Chloropheniramine Injection","2 ampules"]
[null,14,"Mephentine Injection","1 vial"]
[null,15,"IV Fluids- Ringer Lactate / Normal Saline/ DNS/D5%","6 bottles each"]
[null,16,"IV infusion Set",4]
[null,17,"IV Canula 22G/20G/18G","4 each"]
["NSI","Total Score",null,null,{"$f":"SUM($E$2805:$E$2821)","v":0}]
["NSI","Total Percentage = Total Score/17 X 100",null,null,{"$f":"$E$2822/17","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0"]
[]
[null,null,"Scoring Chart"]
[null,null,"Total percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.16.7.3",{"$f":"IF($E$2823<=0.4999,0, IF($E$2823<=0.6999,1, IF($E$2823<=0.8499,2,3)))","v":0}]
[]
["Bold","Annex 2.16d Minimum List of Surgical Sets for Intervention"]
[]
["NSI","SN","Items","Required number","Score"]
[null,1,"Catheterization set","At least 5"]
[null,2,"Coronary angiography set","At least 2"]
[null,3,"PTCA kit","At least 2"]
[null,4,"TPI Set","At least 2"]
[null,5,"Swan Ganz Catheter","At least 2"]
[null,6,"Teurmo Wire J tip","At least 5"]
[null,7,"Radial/ femoral sheath 5 Fr","At least 10 each"]
[null,8,"Port manifold","At least 10"]
[null,9,"Ordinary wire","At least 5"]
[null,10,"Mersilk (2-0) cutting body","As per need"]
[null,11,"Pigtail 5/6 Fr","At least 5"]
["NSI","Total Score",null,null,{"$f":"SUM($E$2838:$E$2848)","v":0}]
["NSI","Total Percentage = Total Score/11 x 100",null,null,{"$f":"$E$2849/11","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 if all the required number is available otherwise 0."]
[]
[null,null,"Scoring Chart"]
[null,null,"Total Percentage","Score"]
[null,null,"0% - 50%",0]
["Y",null,"50% - 70%",1]
["B",null,"70% - 85%",2]
["G",null,"85% - 100%",3]
[null,null,"Score for Standard 2.16.7.4",{"$f":"IF($E$2850<=0.4999,0, IF($E$2850<=0.6999,1, IF($E$2850<=0.8499,2,3)))","v":0}]

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[null,"Annex 3.1 a :",null,"CSSD Equipment and Supplies"]
[]
[null,"SN","Items",{"$nulls":3},"Required No.",null,"Score","Max Score"]
[null,1,"Working Table",{"$nulls":3},3,null,null,1]
[null,2,"Trolley for Transportation",{"$nulls":3},2,null,null,1]
[null,3,"Steel Drums",{"$nulls":3},10,null,null,1]
[null,4,"Storage Shelves",{"$nulls":3},2,null,null,1]
[null,5,"Autoclave Machine (250 liter, pre-vacuum, with horizontal outlet)",{"$nulls":3},2,null,null,1]
[null,6,"Double Wrappers",{"$nulls":3},"As per need",null,null,1]
[null,7,"Timer",{"$nulls":3},2,null,null,1]
[null,8,"Thermal Indicator Tape",{"$nulls":3},"As per need",null,null,1]
[null,9,"Cap, Mask, Gown, Apron",{"$nulls":3},"As per need",null,null,1]
[null,10,"Gloves",{"$nulls":3},"1 box",null,null,1]
[null,11,"Cotton Rolls",{"$nulls":3},"As per need",null,null,1]
[null,12,"Cotton Gauze ",{"$nulls":3},"As per need",null,null,1]
[null,13,"Scissors",{"$nulls":3},2,null,null,1]
[null,14,"Gauze cutter",{"$nulls":3},2,null,null,1]
[null,15,"Buckets",{"$nulls":3},5,null,null,1]
[null,16,"Scrub Brush",{"$nulls":3},"As per need",null,null,1]
[null,17,"Hamper bag (cloth sack for collection of wrappers)",{"$nulls":3},"As per need",null,null,1]
[null,"Total Score",{"$nulls":6},{"$f":"SUM($I$4:$I$20)","v":0},{"$f":"SUM($J$4:$J$20)","v":17}]
[null,"Total Percentage = Total Score/17 X 100",{"$nulls":6},{"$f":"$I$21/$J$21","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 in each row if is available otherwise 0",{"$nulls":4},"Scoring chart"]
[{"$nulls":6},"Total percentage",null,"Score"]
[{"$nulls":6},"0% - 50%",null,0]
[{"$nulls":6},"50% - 70%",null,1]
[{"$nulls":6},"70% - 85%",null,2]
[{"$nulls":6},"85% - 100%",null,3]
[{"$nulls":6},"Score for Standard 3.1.3",null,{"$f":"IF($I$22<=0.4999,0, IF($I$22<=0.6999,1, IF($I$22<=0.8499,2,3)))","v":0}]
[]
[]
[null,"Annex 3.2 a :",null," Equipment and Supplies for Laundry"]
[]
[null,"SN","List of equipment and supplies ",{"$nulls":3},"Required No.",null,"Score","Max Score"]
[null,1,"Working table",{"$nulls":3},1,null,null,1]
[null,2,"Ironing Table",{"$nulls":3},1,null,null,1]
[null,3,"Storage Shelves",{"$nulls":3},2,null,null,1]
[null,4,"Trolley for Transportation ",{"$nulls":3},2,null,null,1]
[null,5,"Washing Machine (at least 10 kg capacity with semi/full dryer)",{"$nulls":3},2,null,null,1]
[null,6,"Iron Machine",{"$nulls":3},1,null,null,1]
[null,7,"Buckets/ Basins",{"$nulls":3},5,null,null,1]
[null,8,"Stirrer (wooden)",{"$nulls":3},2,null,null,1]
[null,9,"Boots",{"$nulls":3},"2 pairs",null,null,1]
[null,10,"Cap, Mask, Gowns",{"$nulls":3},"As per need",null,null,1]
[null,11,"Ropes (for drying)",{"$nulls":3},"As per need",null,null,1]
[null,12,"Scrub Brush",{"$nulls":3},"As per need",null,null,1]
[null,13,"House/ Utility Gloves",{"$nulls":3},"As per need",null,null,1]
[null,14,"Washing Powder",{"$nulls":3},"As per need",null,null,1]
[null,15,"Chlorine Liquid/ Powder",{"$nulls":3},"As per need",null,null,1]
[null,"Total Obtained Score",{"$nulls":6},{"$f":"SUM($I$36:$I$50)","v":0},{"$f":"SUM($J$36:$J$50)","v":15}]
[null,"Total Percentage = Total Obtained Score/15 X 100",{"$nulls":6},{"$f":"$I$51/$J$51","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 in each row if is available otherwise 0",{"$nulls":4},"Scoring chart"]
[{"$nulls":6},"Total percentage",null,"Score"]
[{"$nulls":6},"0% - 50%",null,0]
[{"$nulls":6},"50% - 70%",null,1]
[{"$nulls":6},"70% - 85%",null,2]
[{"$nulls":6},"85% - 100%",null,3]
[{"$nulls":6},"Score for Standard 3.2.3",null,{"$f":"IF($I$52<=0.4999,0, IF($I$52<=0.6999,1, IF($I$52<=0.8499,2,3)))","v":0}]
[]
[]
[null,"Annex 3.3 a :",null,"Housekeeping Basic Supplies"]
[]
[null,"SN","General Items",{"$nulls":3},"Required No.",null,"Score","Max Score"]
[null,1,"Working Table and Chair",{"$nulls":3},1,null,null,1]
[null,2,"Telephone",{"$nulls":3},1,null,null,1]
[null,3,"Housekeeping Storage Room",{"$nulls":3},1,null,null,1]
[null,4,"Shelves",{"$nulls":3},2,null,null,1]
[null,5,"Cupboards",{"$nulls":3},2,null,null,1]
[null,6,"Log Book for Records",{"$nulls":3},1,null,null,1]
[null,7,"Vacuum Cleaner",{"$nulls":3},1,null,null,1]
[null,8,"Sickle",{"$nulls":3},"As per need",null,null,1]
[null,9,"Spade",{"$nulls":3},"As per need",null,null,1]
[null,10,"Shovel ",{"$nulls":3},"As per need",null,null,1]
[null,11,"Ropes",{"$nulls":3},"As per need",null,null,1]
[null,12,"Scrub Brush",{"$nulls":3},"As per need",null,null,1]
[null,13,"Broom",{"$nulls":3},"As per need",null,null,1]
[null,14,"Buckets",{"$nulls":3},"As per need",null,null,1]
[null,15,"Jars",{"$nulls":3},"As per need",null,null,1]
[null,16,"Sprinkle Pipe",{"$nulls":3},"As per need",null,null,1]
[null,17,"Soaps",{"$nulls":3},"As per need",null,null,1]
[null,18,"Washing Powder",{"$nulls":3},"As per need",null,null,1]
[null,19,"Additional Bed Covers for Replacement",{"$nulls":3},"As per need",null,null,1]
[null,20,"Additional Pillow ",{"$nulls":3},"As per need",null,null,1]
[null,21,"Pillow cover",{"$nulls":3},"As per need",null,null,1]
[null,22,"Blankets",{"$nulls":3},"As per need",null,null,1]
[null,23,"Personal Protective Items",{"$nulls":3},"As per need",null,null,1]
[null,24,"Window screens (jaali)",{"$nulls":3},"In all windows ",null,null,1]
[null,25,"Mosquito nets",{"$nulls":3},"As per need",null,null,1]
[null,26,"Flower Pots",{"$nulls":3},"As per need",null,null,1]
[null,"Total Score",{"$nulls":6},{"$f":"SUM($I$66:$I$91)","v":0},{"$f":"SUM($J$66:$J$91)","v":26}]
[null,"Total Percentage = Total Score/26 X 100",{"$nulls":6},{"$f":"$I$92/$J$92","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 in each row if is available otherwise 0",{"$nulls":4},"Scoring chart"]
[{"$nulls":6},"Total percentage",null,"Score"]
[{"$nulls":6},"0% - 50%",null,0]
[{"$nulls":6},"50% - 70%",null,1]
[{"$nulls":6},"70% - 85%",null,2]
[{"$nulls":6},"85% - 100%",null,3]
[{"$nulls":6},"Score for Standard 3.3.3",null,{"$f":"IF($I$93<=0.4999,0, IF($I$93<=0.6999,1, IF($I$93<=0.8499,2,3)))","v":0}]
[]
[]
[null,"Annex 3.7 a :",null," Safety and Security Basic Amenities"]
[]
[null,"SN","General Items",{"$nulls":5},"Score","Max Score"]
[null,1,"Flash light",{"$nulls":6},1]
[null,2,"Whistle",{"$nulls":6},1]
[null,3,"List of Important Phone Numbers",{"$nulls":6},1]
[null,4,"Key Box",{"$nulls":6},1]
[null,5,"Emergency Alarm",{"$nulls":6},1]
[null,6,"Fire extinguisher at least one in each block",{"$nulls":6},1]
[null,"Obtained Score",{"$nulls":6},{"$f":"SUM($I$107:$I$112)","v":0},{"$f":"SUM($J$107:$J$112)","v":6}]
[null,"Total Percentage = Total Score/6 X 100",{"$nulls":6},{"$f":"$I$113/$J$113","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 in each row if is available otherwise 0",{"$nulls":4},"Scoring chart"]
[{"$nulls":6},"Total percentage",null,"Score"]
[{"$nulls":6},"0% - 50%",null,0]
[{"$nulls":6},"50% - 70%",null,1]
[{"$nulls":6},"70% - 85%",null,2]
[{"$nulls":6},"85% - 100%",null,3]
[{"$nulls":6},"Score for Standard 3.7.4",null,{"$f":"IF($I$114<=0.4999,0, IF($I$114<=0.6999,1, IF($I$114<=0.8499,2,3)))","v":0}]
[]
[]
[]
[]
[null,"Annex 3.11 a :",null,"Physical Facilities SSU"]
[]
[null,"SN","General Items",{"$nulls":3},"Required No.",null,"Score","Max Score"]
[null,1,"Separate space for SSU",{"$nulls":3},"Available",null,null,1]
[null,2,"Desk ",{"$nulls":3},2,null,null,1]
[null,3,"Chairs",{"$nulls":3},3,null,null,1]
[null,4,"Cupboard to keep clients' information with filing cabinet",{"$nulls":3},1,null,null,1]
[null,5,"Recording and reporting forms",{"$nulls":3},"as per need",null,null,1]
[null,6,"Telephone",{"$nulls":3},1,null,null,1]
[null,7,"Computer and printer",{"$nulls":3},1,null,null,1]
[null,"Total Score",{"$nulls":6},{"$f":"SUM(I130:I136)","v":0},7]
[null,"Total Percentage = Total Score/7 X 100",{"$nulls":6},{"$f":"$I$137/$J$137","v":{"v":0,"d":"0.00%"}}]
[]
[null,"Each row gets a score of 1 in each row if is available otherwise 0",{"$nulls":4},"Scoring chart"]
[{"$nulls":6},"Total percentage",null,"Score"]
[{"$nulls":6},"0% - 50%",null,0]
[{"$nulls":6},"50% - 70%",null,1]
[{"$nulls":6},"70% - 85%",null,2]
[{"$nulls":6},"85% - 100%",null,3]
[{"$nulls":6},"Score for Standard 3.11.2",null,{"$f":"IF($I$114<=0.4999,0, IF($I$114<=0.6999,1, IF($I$114<=0.8499,2,3)))","v":0}]

{"sheet":"Action Plan","index":8,"n_rows":1172,"n_cols":10,"rows_kept":1172,"merged":[[0,2,0,9],[1,2,1,8],[4,7,4,8]]}
[null,null,"HOSPITAL MANAGEMENT STRENGTHENING PROGRAM (HMSP)"]
[null,null,"Minimum Service Standards (MSS)\nPlan of Action to Fulfill the Standard Gap"]
[]
[null,null,"Name:",{"$f":"'Summary Sheet'!$A$3","v":"Hospital Name"},null,null,"Date :",{"$f":"'Summary Sheet'!$C$5","v":"00:00:00"}]
[null,null,"Event:",{"$f":"'Summary Sheet'!C7&\" \"&'Summary Sheet'!D7","v":" "},null,null,"Venue :"]
[]
["Annex\nScore","Standard Score","Std No.","Prioritized Gap","Action Step to be taken to fulfill the gaps","Person Responsible","Time Frame","Tentative Cost","Type of Support (Managerial)","Type of Support (Budgetary)"]
[null,{"$f":"Standards!$E$5","v":0},"1.1.1","Hospital Management Committee is formed"]
[null,{"$f":"Standards!$E$6","v":0},"1.1.2","All HMC members have received an orientation on HMC functions"]
[null,{"$f":"Standards!$E$7","v":0},"1.1.3","Medical Superintendent/ Director is fulfill as per organogram"]
[null,{"$f":"Standards!$E$8","v":0},"1.1.4.1","HMC meetings called upon by member secretary / Medical Superintendent headed by chairperson conducted at least 3 times per year or as per need"]
[null,{"$f":"Standards!$E$10","v":0}," 1.1.4.2.1","Hospital services and utilization"]
[null,{"$f":"Standards!$E$11","v":0}," 1.1.4.2.2","Hospital’s financial issues"]
[null,{"$f":"Standards!$E$12","v":0},"1.1.4.2.3","Patient rights issues e.g. patient facilities, analysis of complaints received, patient security"]
[null,{"$f":"Standards!$E$13","v":0},"1.1.4.2.4","Management issues- HR issues, security issues"]
[null,{"$f":"Standards!$E$14","v":0},"1.1.4.2.5","Infrastructure/ Equipment issues"]
[null,{"$f":"Standards!$E$15","v":0},"1.1.4.2.6","Coordination issues with local governance- rural municipality/ municipality, provincial, federal, DoHS, MoHP"]
[null,{"$f":"Standards!$E$16","v":0},"1.1.4.2.7","Review of decisions and recommendations of staff meeting and QI Committee meetings discussions"]
[null,{"$f":"Standards!$E$17","v":0},"1.1.5.1","Hospital implements health insurance program"]
[null,{"$f":"Standards!$E$18","v":0},"1.1.5.2","All targeted women receive Aama Surakhsya program incentives on time from hospital having this program (in last quarter)"]
[null,{"$f":"Standards!$E$19","v":0},"1.1.6","Annual plan & budget is approved by HMC before the fiscal year starts"]
[null,{"$f":"Standards!$E$20","v":0},"1.1.7","There is a separate locker for HMC documents."]
[null,{"$f":"Standards!$E$21","v":0},"1.1.8.1","Updated citizens charter is displayed"]
[null,{"$f":"Standards!$E$22","v":0},"1.1.8.2","Notices of public concern are displayed publicly"]
[null,{"$f":"Standards!$E$23","v":0},"1.1.8.3","Complaint boxes are kept in a visible place in administration block "]
[null,{"$f":"Standards!$E$24","v":0},"1.1.8.4","Information officer opens complaint box at least once a week and issues are timely addressed"]
[null,{"$f":"Standards!$E$25","v":0},"1.1.8.5","Hospital has a website available and functional with latest information"]
[null,{"$f":"Standards!$E$26","v":0},"1.1.8.6","Hospital has geriatrics friendly infrastructure (like side rails for mobilization and support)"]
[null,{"$f":"Standards!$E$27","v":0},"1.1.8.7","Hospital has friendly environment for people with disability"]
[null,{"$f":"Standards!$E$28","v":0},"1.1.9.1","Mechanism for grievance and complain handling institutionalized   "]
[null,{"$f":"Standards!$E$29","v":0},"1.1.9.2","Grievance and complains are effectively addressed"]
[null,{"$f":"Standards!$E$30","v":0}," 1.1.10","Hospital its own operational manual with clear information on how the hospital operates its’ services"]
[null,{"$f":"Standards!$E$31","v":0},"1.1.11","Hospital Annual Report is available in website"]
[null,{"$f":"Standards!$E$32","v":0},"1.1.12","Social audit is conducted for last year"]
[null,{"$f":"Standards!$E$39","v":0},"1.2.1.1","Organogram of hospital showing departments/units with number of staffs is displayed"]
[null,{"$f":"Standards!$E$40","v":0},"1.2.1.2","Organogram of hospital is reviewed every 2 years and forwarded to higher authority"]
[null,{"$f":"Standards!$E$41","v":0},"1.2.1.3","Hospital provides 10 clinical services – OPD "]
[null,{"$f":"Standards!$E$42","v":0},"1.2.1.4","Hospital provides at least 5 super-specialized clinical services"]
[null,{"$f":"Standards!$E$43","v":0}," 1.2.2","Written delegation of authorities is maintained"]
[null,{"$f":"Standards!$E$44","v":0},"1.2.3","Navigation chart with services and departments guiding clients to access services"]
[null,{"$f":"Standards!$E$45","v":0},"1.2.4","Hospital implements token and / or queue system for users (separate for elderly, disable and pregnant)"]
[null,{"$f":"Standards!$E$46","v":0},"1.2.5","All staffs of hospital use electronic attendance"]
[null,{"$f":"Standards!$E$47","v":0},"1.2.6.1","All clinical, technical and administrative staffs have apron / uniform which is worn on duty"]
[null,{"$f":"Standards!$E$48","v":0},"1.2.6.2","All hospital staffs carry personal ID cards when on duty"]
[null,{"$f":"Standards!$E$49","v":0}," 1.2.7.1","Hand-over meetings are conducted daily and also in concerned department"]
[null,{"$f":"Standards!$E$50","v":0},"1.2.7.2","Morning conference is conducted everyday"]
[null,{"$f":"Standards!$E$52","v":0},"1.2.7.3.1","Intra- departmental meeting every two weeks"]
[null,{"$f":"Standards!$E$53","v":0},"1.2.7.3.2","Inter-departmental meeting once a month"]
[null,{"$f":"Standards!$E$54","v":0},"1.2.7.3.3","Staff meeting once a month"]
[null,{"$f":"Standards!$E$55","v":0},"1.2.7.4","Staff quarters are provided and adequate for the staffs"]
[null,{"$f":"Standards!$E$56","v":0},"1.2.7.5","Separate space allocated for breast feeding for staffs/ Separate space in duty room designated for breast feeding"]
[null,{"$f":"Standards!$E$57","v":0},"1.2.7.6","Transport services for hospital staffs covering all shifts"]
[null,{"$f":"Standards!$E$65","v":0},"1.3.1","Personnel administration guideline of HMC is available (for all staffs including locally hired staff) and practiced accordingly"]
[null,{"$f":"Standards!$E$66","v":0},"1.3.2","Individual records of all staffs including contract staffs are maintained and updated."]
[{"$f":"Standards!$E$67","v":0},null,"1.3.3.1","Staffs available for service in hospital as per organogram (See Annex 1.3a Functional Organogram Section I: At the end of this standard)"]
[null,{"$f":"Standards!$E$68","v":0},"1.3.3.2","Maaga Akriti form (माग आकृति फारम) correspondence to fulfill vacant positions to concerned authority as per guideline"]
[null,{"$f":"Standards!$E$69","v":0},"1.3.4","All staffs including HMC staffs are given a job description when they are recruited/ posted to the hospital (permanent and contract staff) "]
[null,{"$f":"Standards!$E$70","v":0},"1.3.5.1","Performance appraisal (का. स. मु.) of all staffs is done as per guideline"]
[null,{"$f":"Standards!$E$71","v":0},"1.3.6.1","A training plan for the hospital is developed based on the training needs of the staff identified at the performance appraisal"]
[null,{"$f":"Standards!$E$72","v":0},"1.3.6.2","For training and related activities, at any point of time, the acceptable work absenteeism is <10% of staff"]
[null,{"$f":"Standards!$E$73","v":0},"1.3.6.3","There is activity conducted to motivate staff (staff retreat, rewards, recognition of performances, etc.) at least once a year."]
[null,{"$f":"Standards!$E$74","v":0},"1.3.6.4","Hospital has system for addressing occupational hazard like needle stick injury, radiation exposure, vaccination"]
[null,{"$f":"Standards!$E$75","v":0},"1.3.7.1","Hospital conducts CPD / CME classes to technical staff weekly   "]
[null,{"$f":"Standards!$E$76","v":0},"1.3.7.2","Written record of attendance, subjects presented and discussed during CPD/CME"]
[null,{"$f":"Standards!$E$77","v":0},"1.3.7.3","Separate space with furniture, audio-visual aids and internet for CPD/CME/meeting are available."]
[null,{"$f":"Standards!$E$78","v":0},"1.3.7.4","If hospital is a training site, training guideline of National Health Training Centre is followed"]
[null,{"$f":"Standards!$E$79","v":0},"1.3.8.1","Hospital has space designated for library  with sitting arrangement for readers  "]
[null,{"$f":"Standards!$E$80","v":0},"1.3.8.2","A list of national health guidelines and treatment protocols available and inventory managed for readers accessing it"]
[null,{"$f":"Standards!$E$81","v":0},"1.3.8.3","Computers with printing and photocopy facility available"]
[null,{"$f":"Standards!$E$82","v":0},"1.3.8.6","Access to internet facility with institutional access to at least one of the international health related domain like HINARI"]
[null,{"$f":"Standards!$E$90","v":0},"1.4.1.1","Dedicated account department of hospital with space and furniture"]
[null,{"$f":"Standards!$E$91","v":0},"1.4.1.2","At least one accountant available for hospital financial management "]
[null,{"$f":"Standards!$E$92","v":0},"1.4.2.1","An annual hospital budget is developed incorporating the revenue from services, government grants, and support provided by other organizations."]
[null,{"$f":"Standards!$E$93","v":0},"1.4.2.2","Internal income is reviewed during budgeting every year."]
[null,{"$f":"Standards!$E$94","v":0},"1.4.3","The service fees of the hospital are fixed by HMC every year."]
[null,{"$f":"Standards!$E$95","v":0},"1.4.4","Daily income is deposited in the bank every day."]
[null,{"$f":"Standards!$E$96","v":0},"1.4.5.1","Budget absorption rate of last fiscal year is as per national target"]
[null,{"$f":"Standards!$E$97","v":0},"1.4.5.2","Internal audit, financial and physical progress review is done at least once each trimester (once in every 4 months)."]
[null,{"$f":"Standards!$E$98","v":0}," 1.4.5.3","Final audit/ external audited accounts are available for last year."]
[null,{"$f":"Standards!$E$99","v":0},"1.4.6.1","The hospital uses central electronic billing system  "]
[null,{"$f":"Standards!$E$100","v":0},"1.4.6.2","The hospital uses TABUCS/ LMBIS for accounting including local income and expenses by HMC."]
[null,{"$f":"Standards!$E$101","v":0},"1.4.7.1","The hospital prepares and keeps monthly financial report."]
[null,{"$f":"Standards!$E$102","v":0},"1.4.7.2","Trimester financial report is produced (every 4 months) and financial status tracked and discussed in meetings"]
[null,{"$f":"Standards!$E$103","v":0},"1.4.7.3","Annual financial report is submitted to HMC."]
[null,{"$f":"Standards!$E$104","v":0},"1.4.8.1","Financial irregularities are responded within 35 days  "]
[null,{"$f":"Standards!$E$105","v":0},"1.4.8.2","Clearance of financial authorities is done as per national target"]
[null,{"$f":"Standards!$E$106","v":0},"1.4.9","Inventory inspection is done once in a year and managed accordingly"]
[null,{"$f":"Standards!$E$114","v":0},"1.5.1.1","Client registration is digitalized using standard software "]
[null,{"$f":"Standards!$E$115","v":0},"1.5.1.2","Referral in and out records are kept using the standard form (HMIS 1.4) and register."]
[null,{"$f":"Standards!$E$116","v":0},"1.5.1.3","Electronic health record system that generates the HMIS monthly report (HMIS 9.4) is in place"]
[null,{"$f":"Standards!$E$117","v":0},"1.5.2.1","There is a functional Medical Record Section "]
[null,{"$f":"Standards!$E$118","v":0},"1.5.2.2","All patients' records are kept in individual folders in racks or held digitally."]
[null,{"$f":"Standards!$E$119","v":0},"1.5.2.3","There is a set of functional computer and printer available for maintaining medical records."]
[null,{"$f":"Standards!$E$120","v":0},"1.5.3.1","Hospital monthly reports (HMIS 9.4) of the last three months are shared to the national database  "]
[null,{"$f":"Standards!$E$121","v":0},"1.5.3.2","Hospital services utilization statistics are analyzed at least every month and shared with all the HODs and in-charge via email, paper and/or dashboard. (Check last three months status)"]
[null,{"$f":"Standards!$E$122","v":0},"1.5.3.3","Statistics including OPD morbidity pattern data, IPD data, surveillance data are analyzed and discussed in staff meeting and CPD/CME (Check the status in the last meeting)"]
[null,{"$f":"Standards!$E$123","v":0},"1.5.3.4","Key statistics of service utilization is displayed in respective Departments/ Wards "]
[null,{"$f":"Standards!$E$124","v":0},"1.5.3.5","Medico-legal incidents and services are recorded"]
[null,{"$f":"Standards!$E$125","v":0},"1.5.4.1","Medical recorder is trained on ICD and DHIS2"]
[null,{"$f":"Standards!$E$126","v":0},"1.5.4.2","An information officer is specified to communicate with patients/clients, their relatives, media and other stakeholders."]
[null,{"$f":"Standards!$E$127","v":0},"1.5.4.3","Contact details of information officer is displayed in hospital premises with photo and phone number."]
[null,{"$f":"Standards!$E$135","v":0},"1.6.1.1","Hospital QI committee is formed according to Guideline."]
[null,{"$f":"Standards!$E$136","v":0},"1.6.1.2","Hospital QHSDMS committee meetings are held at least every 4 months."]
[null,{"$f":"Standards!$E$137","v":0},"1.6.2","The hospital has a statement of patient rights and responsibilities, which is posted in public places in the hospital."]
[null,{"$f":"Standards!$E$138","v":0},"1.6.3","The findings of social audit like client exit interview are shared in whole staff meeting"]
[null,{"$f":"Standards!$E$139","v":0},"1.6.4","The hospital has assessed the hospital quality using the MSS tool at least every 4 months"]
[null,{"$f":"Standards!$E$140","v":0},"1.6.5","The hospital has developed specific plans to improve quality based on the MSS assessment."]
[{"$f":"Standards!$E$141","v":0},null,"1.6.6","Hospital uses QI tools for assessment of the major priority government programs\n\n(less than 50%=0, 50-70% =1, 70-85% = 2, 85-100% =3)"]
[null,{"$f":"Standards!$E$142","v":0},"1.6.7.1","Hospital has implemented the specific activities based on the MSS plan."]
[null,{"$f":"Standards!$E$143","v":0},"1.6.7.2","Hospital has implemented specific activities based on gap analysis of QI tools"]
[null,{"$f":"Standards!$E$144","v":0},"1.6.8.1","The hospital has functional MPDSR committee (in program district)"]
[null,{"$f":"Standards!$E$146","v":0},"1.6.8.2.1","Investigations and complications of treatment including medication error"]
[null,{"$f":"Standards!$E$147","v":0},"1.6.8.2.2","Hospital acquired infections (HAI)"]
[null,{"$f":"Standards!$E$148","v":0},"1.6.8.3","Mortality audit of every death in the hospital is done and reported"]
[null,{"$f":"Standards!$E$149","v":0},"1.6.8.4","Hospital implements Robson’s classification (hospitals with CEONC services) "]
[null,{"$f":"Standards!$E$150","v":0},"1.6.8.5","Hospital implements baby friendly initiative"]
[{"$f":"Standards!$E$159","v":0},null,"2.1.1.1","OPD is open from 10 AM to 3 PM (See Checklist 2.1 At the end of this standard for scoring)."]
[null,{"$f":"Standards!$E$160","v":0},"2.1.1.2","Tickets for routine OPD are available till 2 pm"]
[null,{"$f":"Standards!$E$161","v":0},"2.1.1.3","EHS services from 3PM onwards and tickets available from 2PM onwards"]
[null,{"$f":"Standards!$E$162","v":0},"2.1.2.1","There should be one administrator to manage all OPDs and procedure room"]
[null,{"$f":"Standards!$E$163","v":0},"2.1.2.2","Doctor: OPD Patients- 1:35-50 per day for quality of care (*for dental services this ratio is 1:20)"]
[null,{"$f":"Standards!$E$164","v":0},"2.1.1.2.3","One screening counter with 1 paramedics for every four OPDs and there should be one nurse in OBGYN OPD"]
[{"$f":"Standards!$E$165","v":0},null,"2.1.3","Patient privacy maintained with separate rooms, curtains hung, maintaining queuing of patients with paging system in OPD (See Checklist 2.1 At the end of this standard for scoring)."]
[{"$f":"Standards!$E$166","v":0},null,"2.1.4.1","Counseling is provided to patients about the type of treatment being given and its consequences (See Checklist 2.1 At the end of this standard for scoring)."]
[null,{"$f":"Standards!$E$167","v":0}," 2.1.4.2","Appropriate IEC materials (posters, leaflets etc.) as an IEC corner available in the OPD waiting area."]
[{"$f":"Standards!$E$168","v":0},null,"2.1.5.1","Adequate rooms and space for the practitioners and patients are available (See Checklist 2.1 At the end of this standard for scoring)."]
[{"$f":"Standards!$E$169","v":0},null,"2.1.5.2","Light and ventilation are adequately maintained. (See Checklist 2.1 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$171","v":0},null,"2.1.5.3.1","General Medicine OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$172","v":0},null,"2.1.5.3.2","Obstetrics and Gynecology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$173","v":0},null,"2.1.5.3.3","Pediatrics OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$174","v":0},null,"2.1.5.3.4","Surgical OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$175","v":0},null,"2.1.5.3.5","Dental OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$176","v":0},null,"2.1.5.3.6","Orthopedics OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$177","v":0},null,"2.1.5.3.7","Psychiatry OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$178","v":0},null,"2.1.5.3.8","ENT OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$179","v":0},null,"2.1.5.3.9","Dermatology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$180","v":0},null,"2.1.5.3.10","Opthalmology OPD  (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$181","v":0},null,"2.1.5.3.11","Cardiology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$182","v":0},null,"2.1.5.3.12","Urology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$183","v":0},null,"2.1.5.3.13","Neurosurgery OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$184","v":0},null,"2.1.5.3.14","Neurology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$185","v":0},null,"2.1.5.3.15","Burn/Plastic OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$186","v":0},null,"2.1.5.3.16","Nephrology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$187","v":0},null,"2.1.5.3.17","Gastrology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$188","v":0},null,"2.1.5.4","Each OPD has designated space/room for procedure room/area with basic supplies of dressing, injection and procedures (specific to OPD like PV for Obstetrics /gynecology, PR for surgery) and hand washing facility (See Checklist 2.1 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$190","v":0},null,"2.1.6.1","General OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[{"$f":"Standards!$E$191","v":0},null,"2.1.6.2","Obstetrics and Gynecology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[{"$f":"Standards!$E$192","v":0},null,"2.1.6.3","Pediatrics OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[{"$f":"Standards!$E$193","v":0},null,"2.1.6.4","Surgical OPD(See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[{"$f":"Standards!$E$194","v":0},null,"2.1.6.5.1","Dental OPD (See Annex 2.1cBasic Equipment and Instrument for Dental OPD At the end of this standard)"]
[null,{"$f":"Standards!$E$195","v":0},"2.1.6.5.2","Dental OPD has fully functioning electric dental chair with adequate light, water supply and drainage system with suction machine"]
[null,{"$f":"Standards!$E$196","v":0},"2.1.6.5.3","Dental OPD has iopa x-ray machine (along with lead apron and thyroid collar"]
[{"$f":"Standards!$E$197","v":0},null,"2.1.6.6","Orthopedics OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[{"$f":"Standards!$E$198","v":0},null,"2.1.6.7","Psychiatry OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[{"$f":"Standards!$E$199","v":0},null,"2.1.6.8","ENT OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[{"$f":"Standards!$E$200","v":0},null,"2.1.6.9","Dermatology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[{"$f":"Standards!$E$201","v":0},null,"2.1.6.10","Opthalmology OPD  (See Annex 2.1b Furniture and supplies for OPD At the end of this standard)"]
[{"$f":"Standards!$E$202","v":0},null,"2.1.6.11","Cardiology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[{"$f":"Standards!$E$203","v":0},null,"2.1.6.12","Urology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[{"$f":"Standards!$E$204","v":0},null,"2.1.6.13","Neurosurgery OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[{"$f":"Standards!$E$205","v":0},null,"2.1.6.14","Neurology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[{"$f":"Standards!$E$206","v":0},null,"2.1.6.15","Burn/Plastic OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[{"$f":"Standards!$E$207","v":0},null,"2.1.6.16","Nephrology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[{"$f":"Standards!$E$208","v":0},null,"2.1.6.16","Gastrology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"]
[null,{"$f":"Standards!$E$209","v":0},"2.1.7","Duty rosters of all OPDs are developed regularly and available in appropriate location."]
[null,{"$f":"Standards!$E$210","v":0},"2.1.8.1","Comfortable waiting space with sitting arrangement is available for at least 100 persons in waiting lobby (for total OPDs)"]
[null,{"$f":"Standards!$E$211","v":0},"2.1.8.2","Safe drinking water is available in the waiting lobby throughout the day."]
[null,{"$f":"Standards!$E$212","v":0},"2.1.8.3","There are four toilets with hand‑washing facilities (2 for males and 2 for females separate, one each universal toilet)"]
[null,{"$f":"Standards!$E$213","v":0},"2.1.8.4","Hand‑washing facilities are available for patients"]
[{"$f":"Standards!$E$214","v":0},null,"2.1.9","OPD register available in every OPD with ICD 10 classification for diagnosis recorded (electronic health recording system) (See checklist 2.1 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$215","v":0},null,"2.1.10.1","Masks and gloves are available and used (See Checklist 2.1 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$216","v":0},null,"2.1.10.2","There are well labeled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP) (See Checklist 2.1 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$217","v":0},null,"2.1.10.3","Hand‑washing facility with running water and soap or hand sanitizer is available for practitioners (See Checklist 2.1 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$218","v":0},null,"2.1.10.4","Needle cutter is used (See Checklist 2.1 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$219","v":0},null,"2.1.10.5","Chlorine solution is available and utilized for decontamination (See Checklist 2.1 At the end of this standard for scoring). "]
[null,{"$f":"Standards!$E$229","v":0},"2.2.1.1","Immunization and growth monitoring service is available from 10 AM to 3 PM."]
[null,{"$f":"Standards!$E$230","v":0},"2.2.1.2","Adequate numbers of healthcare workers are available (at least 2 HA/SN)"]
[null,{"$f":"Standards!$E$231","v":0},"2.2.1.3","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)."]
[null,{"$f":"Standards!$E$232","v":0},"2.2.1.4.1","Counseling is provided to caretaker about the type of vaccine, its schedule, nutritional status of child."]
[null,{"$f":"Standards!$E$233","v":0},"2.2.1.4.2","Appropriate IEC/BCC materials on vaccine, schedule and child growth and nutrition are available in clinic"]
[{"$f":"Standards!$E$234","v":0},null,"2.2.1.5","Immunization and growth monitoring instrument, equipment and supplies are available (See Annex 2.2.1a Immunization and growth monitoring At the end of this standard)"]
[null,{"$f":"Standards!$E$235","v":0},"2.2.1.6.1","Adequate rooms and space for health worker and patients are available with at least one working table, chair for health worker and two patients’ chair"]
[null,{"$f":"Standards!$E$236","v":0},"2.2.1.6.2","Light and ventilation are adequately maintained."]
[null,{"$f":"Standards!$E$237","v":0},"2.2.1.7.1","Patient’s card (Health card, growth chart) and register available and services recorded"]
[null,{"$f":"Standards!$E$238","v":0},"2.2.1.7.2","Adverse immunization reactions, complication, severe under-nutrition and referral to other sites recorded and reported"]
[null,{"$f":"Standards!$E$239","v":0},"2.2.1.8.1","Masks and gloves are available and used"]
[null,{"$f":"Standards!$E$240","v":0},"2.2.1.8.2","There are well labelled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E$241","v":0},"2.2.1.8.3","Hand‑washing facility with running water and soap is available for practitioners."]
[null,{"$f":"Standards!$E$242","v":0},"2.2.1.8.4","Needle cutter is used"]
[null,{"$f":"Standards!$E$243","v":0},"2.2.1.8.5","Chlorine solution is available and utilized. "]
[null,{"$f":"Standards!$E$251","v":0},"2.2.2.1","Family planning service is available from 10 AM to 3 PM."]
[null,{"$f":"Standards!$E$252","v":0},"2.2.2.2","A separate area dedicated for FP counseling  and Services "]
[null,{"$f":"Standards!$E$253","v":0},"2.2.2.3","Adequate numbers of healthcare workers are available (at least 2 HA/ SN)"]
[null,{"$f":"Standards!$E$254","v":0},"2.2.2.4","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)."]
[null,{"$f":"Standards!$E$255","v":0},"2.2.2.5.1","Counseling is provided to users for family planning methods"]
[null,{"$f":"Standards!$E$256","v":0},"2.2.2.5.2","Appropriate IEC/BCC materials on family planning including DMT tool used for counseling"]
[{"$f":"Standards!$E$257","v":0},null,"2.2.2.6","Supplies for Family Planning Services available (See Annex 2.2.2a Supplies for FP services At the end of this standard)"]
[null,{"$f":"Standards!$E$258","v":0},"2.2.2.7","Sphygmomanometer, stethoscope, thermometer, and weighing scale available"]
[null,{"$f":"Standards!$E$259","v":0},"2.2.2.8.1","Adequate rooms and space for health worker and patients are available with at least one working table, chair for health worker and two patients’ chair and one examination bed"]
[null,{"$f":"Standards!$E$260","v":0},"2.2.2.8.2","Light and ventilation are adequately maintained."]
[null,{"$f":"Standards!$E$261","v":0},"2.2.2.9.1","Patient’s health card and register available and services recorded"]
[null,{"$f":"Standards!$E$262","v":0},"2.2.2.9.2","FP related complication, defaulter and contraceptive failure are recorded and reported"]
[null,{"$f":"Standards!$E$263","v":0},"2.2.2.10.1","Masks and gloves are available and used"]
[null,{"$f":"Standards!$E$264","v":0},"2.2.2.10.2","There are well labelled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E$265","v":0},"2.2.2.10.3","Hand‑washing facility with running water and soap is available for practitioners."]
[null,{"$f":"Standards!$E$266","v":0},"2.2.2.10.4","Needle cutter is used"]
[null,{"$f":"Standards!$E$267","v":0},"2.2.2.10.5","Chlorine solution is available and utilized. "]
[null,{"$f":"Standards!$E$275","v":0},"2.2.3.1","Clinic is open from 10 AM to 3 PM."]
[null,{"$f":"Standards!$E$276","v":0},"2.2.3.2","Adequate numbers of healthcare workers are available in OPD (at least 2 mid-level health workers are assigned)"]
[null,{"$f":"Standards!$E$277","v":0},"2.2.3.3","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)."]
[null,{"$f":"Standards!$E$278","v":0},"2.2.3.4.1","Counseling is provided to patients about the type of treatment being given and its consequences."]
[null,{"$f":"Standards!$E$279","v":0},"2.2.3.4.2","Appropriate IEC/BCC materials on TB, HIV/AIDS (posters, leaflets) are available in the OPD waiting area."]
[null,{"$f":"Standards!$E$280","v":0},"2.2.3.5","Medicines for TB, HIV/AIDS as per government treatment protocol available in OPD"]
[null,{"$f":"Standards!$E$281","v":0},"2.2.3.6","OPD has functional BP set, stethoscope, thermometer and weighing scale"]
[null,{"$f":"Standards!$E$282","v":0},"2.2.3.7.1","Adequate rooms and space for health worker and patients are available with at least one working table, chair for health worker and two patients’ chair"]
[null,{"$f":"Standards!$E$283","v":0},"2.2.3.7.2","Light and ventilation are adequately maintained."]
[null,{"$f":"Standards!$E$284","v":0},"2.2.3.8.1","Safe drinking water with mug or glass is available for taking medicine"]
[null,{"$f":"Standards!$E$285","v":0},"2.2.3.8.2","Hand‑washing facilities are available for patients."]
[null,{"$f":"Standards!$E$286","v":0},"2.2.3.9.1","Patient’s card (TB, ART) and register available and services recorded"]
[null,{"$f":"Standards!$E$287","v":0},"2.2.3.9.2","Drug resistance, complication and referral to other sites recorded and reported"]
[null,{"$f":"Standards!$E$288","v":0},"2.2.3.10.1","Masks and gloves are available and used"]
[null,{"$f":"Standards!$E$289","v":0},"2.2.3.10.2","There are well labelled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E$290","v":0},"2.2.3.10.3","Hand‑washing facility with running water and soap is available for practitioners."]
[null,{"$f":"Standards!$E$291","v":0},"2.2.3.10.4","Needle cutter is used"]
[null,{"$f":"Standards!$E$292","v":0},"2.2.3.10.5","Chlorine solution is available and utilized. "]
[null,{"$f":"Standards!$E$300","v":0},"2.2.4.1","Safe abortion services is available from 10 AM to 3 PM."]
[null,{"$f":"Standards!$E$301","v":0},"2.2.4.2","A separate area dedicated for Safe Abortion counseling and services, area is washable and has separate instrument processing space for decontamination"]
[null,{"$f":"Standards!$E$302","v":0},"2.2.4.3.1","At least one medical officer or gynecologist trained and certified in first trimester SAS is available"]
[null,{"$f":"Standards!$E$303","v":0},"2.2.4.3.1","For surgical abortion, at least  one gynecologist and SN trained and certified in second trimester SAS is available"]
[null,{"$f":"Standards!$E$304","v":0},"2.2.4.4","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)."]
[null,{"$f":"Standards!$E$305","v":0},"2.2.4.5.1","Counseling is provided to users on Safe Abortion Services, complication and family planning post abortion along with clear discharge instructions"]
[null,{"$f":"Standards!$E$306","v":0},"2.2.4.5.2","Appropriate IEC/BCC materials on safe abortion services and post abortion family planning services –Medical Abortion Chart, CAC counseling flip chart, second trimester counseling flipchart, DMT Tools used for counseling"]
[null,{"$f":"Standards!$E$307","v":0},"2.2.4.6","WHO safe surgery checklist is available and used for safe abortion services including written informed consent"]
[{"$f":"Standards!$E$308","v":0},null,"2.2.4.7.1","Instruments, equipments and supplies for Safe Abortion Services available (See Annex 2.2.4a Instruments, equipments and supplies for Safe Abortion services At the end of this standard)"]
[null,{"$f":"Standards!$E$309","v":0},"2.2.4.7.2","Functional BP set, stethoscope, thermometer, and weighing scale available"]
[null,{"$f":"Standards!$E$310","v":0},"2.2.4.8.1","Adequate rooms and space for health worker and patients are available with at least one working table, chair for health worker and two patients’ chair, one examination bed, one procedure table and one foot step "]
[null,{"$f":"Standards!$E$311","v":0},"2.2.4.8.2","Light and ventilation are adequately maintained."]
[null,{"$f":"Standards!$E$312","v":0},"2.2.4.9.1","Patient’s health card and register available and services recorded along with complications if any"]
[null,{"$f":"Standards!$E$313","v":0},"2.2.4.9.2"," Product of conception is sent for histopathlogical examination and reports followed up"]
[null,{"$f":"Standards!$E$314","v":0},"2.2.4.10.1","Utility Gloves, Gumboot, Mask, Plastic Apron, Caps are available and used"]
[null,{"$f":"Standards!$E$315","v":0},"2.2.4.10.2","There are well labelled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E$316","v":0},"2.2.4.10.3","Hand‑washing facility with running water and soap is available for practitioners."]
[null,{"$f":"Standards!$E$317","v":0},"2.2.4.10.4","Needle cutter is used."]
[null,{"$f":"Standards!$E$318","v":0},"2.2.4.10.5","Chlorine solution is available and utilized. "]
[null,{"$f":"Standards!$E$326","v":0},"2.3.1","Emergency department is open 24 hours "]
[null,{"$f":"Standards!$E$327","v":0},"2.3.2.1.1","For 5-10 ER beds (Doctor: Nurse: Paramedics: Office Assistant = 1:1:1:1)"]
[null,{"$f":"Standards!$E$328","v":0},"2.3.2.1.2","For every increased 5 ER beds, proportionate  additional health workers is done (Doctor: Nurse: Paramedics: helper = 1:1:1:1)"]
[null,{"$f":"Standards!$E$329","v":0},"2.3.2.2","There should be 1:1 nurse patient ration in red area, 1:3 in yellow area and 1:6 in green area."]
[null,{"$f":"Standards!$E$330","v":0},"2.3.2.3","The doctor, nurse and paramedics are trained in PTC, ETM, BLS and ACLS [1]training"]
[null,{"$f":"Standards!$E$331","v":0},"2.3.3.1","10% of the total hospital beds are allocated for ER of which 1% for red, 2% for yellow, 3% for green and 1 % for black color coded "]
[{"$f":"Standards!$E$332","v":0},null,"2.3.3.2","Adequate furniture and supplies (See Annex 2.3a Furniture and General Supplies for ER At the end of this standard)"]
[null,{"$f":"Standards!$E$333","v":0},"2.3.3.3","Light and ventilation are adequately maintained."]
[null,{"$f":"Standards!$E$334","v":0},"2.3.3.4","Designated area for nursing station centrally placed in ER and all beds visible from nursing station"]
[null,{"$f":"Standards!$E$335","v":0},"2.3.3.5","Space allocated for duty room and changing room separate for male and female staffs with facilities of tea room "]
[null,{"$f":"Standards!$E$336","v":0},"2.3.3.6","Separate toilets for staffs at least one each-male, female and universal "]
[null,{"$f":"Standards!$E$337","v":0},"2.3.3.7","Separate land line/ mobile phone for emergency  "]
[{"$f":"Standards!$E$338","v":0},null,"2.3.4","Instruments and equipment to carry out the ER works are available and functioning (See Annex 2.3b ER Instruments and Equipment At the end of this standard)"]
[{"$f":"Standards!$E$339","v":0},null,"2.3.5.1","Medicines and supplies to carry out the ER works are available (See Annex 2.3c Medicines and Supplies for ER At the end of this standard) "]
[null,{"$f":"Standards!$E$340","v":0},"2.3.5.2","Emergency stock of medicines and supplies for mass casualty management"]
[null,{"$f":"Standards!$E$341","v":0},"2.3.6.1","Hospital maintains a triage system in the ER with 24 hours triage service "]
[null,{"$f":"Standards!$E$342","v":0},"2.3.6.2","Availability of at least two sets of triaging equipment- thermometer, stethoscope, BP instrument, Pulse Oxy-meter, glucometer"]
[null,{"$f":"Standards!$E$343","v":0},"2.3.6.3","Triage category board and information to the public (Red, Yellow, Green Board)"]
[null,{"$f":"Standards!$E$344","v":0},"2.3.7.1","In red area one of the bed is Resuscitation bed with availability of emergency crash trolley with emergency lifesaving drugs, cardiac monitor, non-invasive ventilator, oxygen concentrator   "]
[null,{"$f":"Standards!$E$345","v":0},"2.3.7.2","Development of 001 or Blue code call system whenever any patient visited in Emergency collapses and need immediate and urgent emergency care"]
[null,{"$f":"Standards!$E$346","v":0},"2.3.7.3","Emergency disposition of the patient either in observation ward or definite care ward or referral or discharge within 3-6 hours"]
[null,{"$f":"Standards!$E$347","v":0},"2.3.7.4","Critical patient transfer from emergency to OT or Inter-hospital transfer is accompanied at least by paramedics or Nurse for handover of patient   "]
[null,{"$f":"Standards!$E$348","v":0},"2.3.8","Appropriate methods have been used to ensure patient privacy (separate rooms, curtains hung)"]
[null,{"$f":"Standards!$E$349","v":0},"2.3.9","The hospital has maintained security system for ER for 24 hours with CCTV coverage"]
[null,{"$f":"Standards!$E$350","v":0},"2.3.10.1","The hospital has mass casualty management protocol, and all staffs are updated with well labelled direction, prepositioning clipboards"]
[null,{"$f":"Standards!$E$351","v":0},"2.3.10.2","Disaster area identified with adequate furniture to carry out Triage in case of disaster"]
[{"$f":"Standards!$E$352","v":0},null,"2.3.10.3","There must be disaster store in ER with required medicines, supplies and equipment (See Annex 2.3d List of medicine, supplies and equipment for Disaster Store)"]
[null,{"$f":"Standards!$E$353","v":0},"2.3.10.4","Hospital carries out at least one mock drill and disaster preparedness once a year"]
[null,{"$f":"Standards!$E$354","v":0},"2.3.11","Duty rosters of the ER are developed regularly and available in appropriate location"]
[null,{"$f":"Standards!$E$355","v":0},"2.3.12","Separate inventories for emergency lifesaving drugs/equipment and narcotics are maintained"]
[null,{"$f":"Standards!$E$356","v":0},"2.3.13","Narcotic drugs are kept separately and securely with mandatory recording system"]
[null,{"$f":"Standards!$E$357","v":0},"2.3.14.1","Safe drinking water is available 24 hours"]
[null,{"$f":"Standards!$E$358","v":0},"2.3.14.2","Hand‑washing facility with running water and liquid soap"]
[null,{"$f":"Standards!$E$359","v":0},"2.3.14.3","There are at least 3 toilets with hand‑washing facilities (1 for males, 1 for females, and 1 universal) for every 10 ER beds and for additional beds increase proportionately for male and female "]
[null,{"$f":"Standards!$E$360","v":0},"2.3.15","Decontamination area specified and practiced"]
[null,{"$f":"Standards!$E$361","v":0},"2.3.16.1","Staff wear mask and gloves at work"]
[null,{"$f":"Standards!$E$362","v":0},"2.3.16.2","There are clearly labelled colored bins for waste segregation and disposal as per HCWM Guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E$363","v":0},"2.3.16.3","Needle cutter is used"]
[null,{"$f":"Standards!$E$364","v":0},"2.3.16.4","Chlorine solution is available and utilized for decontamination"]
[null,{"$f":"Standards!$E$372","v":0},"2.4.1","A separate minor OT room space dedicated for emergency minor operative procedures "]
[{"$f":"Standards!$E$373","v":0},null,"2.4.2","Adequate furniture and general supplies are available (See Annex 2.4a Furniture and General Supplies for ER Minor OT At the end of this standard)."]
[{"$f":"Standards!$E$374","v":0},null,"2.4.3","Minimum dressing services and routine procedures are available (See Annex 2.4b List of Minimum Services from ER Minor OT At the end of this standard). "]
[null,{"$f":"Standards!$E$375","v":0},"2.4.4","Duty roster prepared to assign staffs for emergency minor OT "]
[{"$f":"Standards!$E$376","v":0},null,"2.4.5","Medicines and supplies needed for surgical procedures available (See Annex 2.4c Medicine and Supplies for Minor OT At the end of this standard)."]
[{"$f":"Standards!$E$377","v":0},null,"2.4.6.1","Adequate quantity of sterilized packs for Minor OT are available (See Annex 2.4d Sterile Supplies for Minor OT At the end of this standard)."]
[null,{"$f":"Standards!$E$378","v":0},"2.4.6.2","Separate containers for sterile gauze and cotton balls are available."]
[{"$f":"Standards!$E$379","v":0},null,"2.4.7.1","Minor OT has equipment, instrument and supplies for anesthesia services (See Annex 2.4e Equipment, Instrument and Supplies for Anesthesia for Minor OT At the end of this standard)"]
[{"$f":"Standards!$E$380","v":0},null,"2.4.7.2","Minor OT has medicines and supplies for anesthesia services (See Annex 2.4f Medicine and Supplies for Anesthesia for Minor OT At the end of this standard)"]
[null,{"$f":"Standards!$E$381","v":0},"2.4.8.1","Mask, gloves, plastic apron, boots and goggles are available and used whenever required."]
[null,{"$f":"Standards!$E$382","v":0},"2.4.8.2","At least three color coded waste bins as per HCWM guideline 2014 (MoHP)  are available and used"]
[null,{"$f":"Standards!$E$383","v":0},"2.4.8.3","Supplies trolley with needle cutter is available and used"]
[null,{"$f":"Standards!$E$384","v":0},"2.4.8.4","Hand‑washing facility with running water and soap "]
[null,{"$f":"Standards!$E$385","v":0},"2.4.8.5","Chlorine solution is available and utilized for decontamination"]
[null,{"$f":"Standards!$E$386","v":0},"2.4.9","Proper records of all procedures are kept and reported."]
[null,{"$f":"Standards!$E$394","v":0},"2.5.1.1","Hospital has designated pharmacy department"]
[null,{"$f":"Standards!$E$395","v":0},"2.5.1.2","Pharmacy department has designated outpatient unit, inpatient unit, insurance, free and program drug supply unit."]
[null,{"$f":"Standards!$E$396","v":0},"2.5.1.3","There is separate office room allocated within the pharmacy department"]
[null,{"$f":"Standards!$E$397","v":0},"2.5.1.4","Hospital does not have other pharmacies within hospital premises"]
[null,{"$f":"Standards!$E$399","v":0},"2.5.2.1","Drug and Therapeutic committee (DTC) chaired by medical superintendent or hospital director"]
[null,{"$f":"Standards!$E$400","v":0},"2.5.2.2","Hospital pharmacy operation committee chaired by chief hospital pharmacist"]
[null,{"$f":"Standards!$E$401","v":0},"2.5.3.1","Hospital has hospital formulary based on Nepalese National Formulary (NNF) and approved by DTC"]
[null,{"$f":"Standards!$E$402","v":0},"2.5.3.2","Hospital formulary includes all medicines and supplies as per services provided by hospital"]
[null,{"$f":"Standards!$E$403","v":0},"2.5.3.3","Hospital has all, medicines and supplies available as per approved hospital formulary list"]
[null,{"$f":"Standards!$E$404","v":0},"2.5.4.1","Annual procurement plan for medicines and supplies for pharmacy services is available"]
[null,{"$f":"Standards!$E$405","v":0},"2.5.4.2","Procurement is done based on public procurement guideline"]
[null,{"$f":"Standards!$E$406","v":0},"2.5.4.3","Product specification for each medicine and related supplies of approved formulary list is available"]
[null,{"$f":"Standards!$E$407","v":0},"2.5.4.4","Technical criteria on quality assurance of procured medicines is included in standard bidding document"]
[null,{"$f":"Standards!$E$408","v":0},"2.5.4.5","Certificate of analysis (CoA) from manufacturer of each batch of procured medicine is available"]
[null,{"$f":"Standards!$E$409","v":0},"2.5.4.6","Selling price of the drugs does not exceed 20% of the procurement price"]
[null,{"$f":"Standards!$E$410","v":0},"2.5.4","The hospital pharmacy is open 24x7"]
[null,{"$f":"Standards!$E$411","v":0},"2.5.5.1"," Pharmacy department is led by at least one clinical pharmacist"]
[null,{"$f":"Standards!$E$412","v":0},"2.5.5.2","Pharmacy has at least 3 pharmacist, 6 assistant pharmacist and 2 office assistants for each shift"]
[null,{"$f":"Standards!$E$413","v":0},"2.5.5.3","Duty roster of pharmacy to cover 24 hours service is prepared and visibly placed"]
[null,{"$f":"Standards!$E$414","v":0},"2.5.7","The list of free medicines is displayed in a clearly visible place."]
[{"$f":"Standards!$E$415","v":0},null,"2.5.8","All of the required medicines and supplies for specific programs are available in pharmacy (less than 50%= 0; 50-70 =1, 70-85=2 85-100= 3)"]
[null,{"$f":"Standards!$E$416","v":0},"2.5.9","Hospital pharmacy directly supplies inpatient medicine and supplies to wards and OT"]
[null,{"$f":"Standards!$E$417","v":0},"2.5.10","Pharmacy uses computer with software for inventory management and medicine use"]
[{"$f":"Standards!$E$418","v":0},null,"2.5.12","Number of items of hospital formulary stocked in pharmacy (less than 50%= 0; 50-70 =1, 70-85=2, 85-100= 3)"]
[null,{"$f":"Standards!$E$419","v":0},"2.5.13.1","All the medicines and supplies are displayed in clean racks following either alphabetical orders and generic names or grouping as use"]
[null,{"$f":"Standards!$E$420","v":0},"2.5.13.2","Temperature of pharmacy is monitored and recorded and is maintained in range of (25+/-2°C)"]
[null,{"$f":"Standards!$E$421","v":0},"2.5.13.3","Functional freeze 5°C +/-2°C for thermolabile medicine"]
[null,{"$f":"Standards!$E$422","v":0},"2.5.14.1","Pharmacy department has its allocated separate information and counseling unit with reference books or e-books with internet facility"]
[null,{"$f":"Standards!$E$423","v":0},"2.5.14.2","Information regarding the medicines is provided to the patients."]
[null,{"$f":"Standards!$E$424","v":0},"2.5.14.3","IEC materials (posters, leaflets, national hospital formulary) about the appropriate use for medicines are available in the pharmacy area."]
[null,{"$f":"Standards!$E$425","v":0},"2.5.15","Hospital has pre-printed list of medicines for  generic prescription  available"]
[null,{"$f":"Standards!$E$426","v":0}," 2.5.16.1"," Medicine is dispensed using electronic billing with barcode system"]
[null,{"$f":"Standards!$E$427","v":0},"2.5.16.2","Each medicine is given with written instructions on how to take "]
[null,{"$f":"Standards!$E$428","v":0},"2.5.17","FEFO system is maintained using standard stock book/cards."]
[null,{"$f":"Standards!$E$429","v":0},"2.5.18","Every month, all medicines and supplies are counted, out- of-date discarded, and tallied with the medical store."]
[null,{"$f":"Standards!$E$430","v":0},"2.5.19.1","Pharmacy department operates pharmacovigilance  activities and adverse drug reaction (ADR) Reporting"]
[null,{"$f":"Standards!$E$431","v":0},"2.5.19.2","Pharmacy department conducts studies on drug utilization and quantification "]
[null,{"$f":"Standards!$E$432","v":0},"2.5.19.3","Antimicrobial stewardship programme , proper antimicrobial utilization review and provide data on antimicrobial use  "]
[null,{"$f":"Standards!$E$433","v":0},"2.5.20","Pharmaceutical waste (expired or unused pharmaceutical products, spilled contaminated pharmaceutical products surplus drugs, vaccines or sera, etc) management is done based on HCWM guideline 2014 (MoHP)  or returned to the supplier on time"]
[{"$f":"Standards!$E$440","v":0},null,"2.6.1.1","Separate space for nursing station is available in each ward (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$441","v":0},null,"2.6.1.2","Separate doctors meeting room is available in each ward (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$442","v":0},null,"2.6.1.3","Separate changing room available for male and female staffs (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$443","v":0},null,"2.6.1.4","Separate store room is available (See Checklist 2.6 At the end of this standard for scoring)"]
[null,{"$f":"Standards!$E$444","v":0},"2.6.1.5","One ward should not exceed 25 beds for general ward"]
[{"$f":"Standards!$E$446","v":0},null,"2.6.2.1","Medicine Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$447","v":0},null,"2.6.2.2","Surgery Ward(See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$448","v":0},null,"2.6.2.3.1","Pediatrics Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"]
[null,{"$f":"Standards!$E$449","v":0},"2.6.2.3.2","Separate area dedicated for play room with play materials for different pediatric age groups"]
[{"$f":"Standards!$E$450","v":0},null,"2.6.2.4","Orthopedics ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$451","v":0},null,"2.6.2.5.1","Psychiatry ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"]
[null,{"$f":"Standards!$E$452","v":0},"2.6.2.5.2","Separate area dedicated for recreational activities for psychiatry patients"]
[null,{"$f":"Standards!$E$453","v":0},"2.6.2.5.3","Separate space designated for ECT procedure with treatment bed, ECT machine, emergency trolley with medicines and supplies"]
[{"$f":"Standards!$E$454","v":0},null,"2.6.2.6","ENT Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$455","v":0},null,"2.6.2.7","PNC and Gynecology Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$456","v":0},null,"2.6.2.8","Burn/Plastic Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"]
[null,{"$f":"Standards!$E$457","v":0},"2.6.2.8.1","Separate space designated for physiotherapy with walker, weight lifting and cycle exercise facility for burn inpatients"]
[null,{"$f":"Standards!$E$458","v":0},"2.6.2.8.2","Separate OT is designated for burn "]
[null,{"$f":"Standards!$E$459","v":0},"2.6.2.8.3","Separate ICU is designated for burn patient "]
[null,{"$f":"Standards!$E$460","v":0},"2.6.2.8.4","Separate space designated for shower (bathing) for burn patient"]
[{"$f":"Standards!$E$461","v":0},null,"2.6.2.9","Geriatrics Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$463","v":0},null,"2.6.3.1","Medicine Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$464","v":0},null,"2.6.3.2","Surgery Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$465","v":0},null,"2.6.3.3","Pediatrics Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$466","v":0},null,"2.6.3.4","Orthopedics ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$467","v":0},null,"2.6.3.5","Psychiatry ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$468","v":0},null,"2.6.3.6","ENT Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$469","v":0},null,"2.6.3.7","PNC and Gynecology Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$470","v":0},null,"2.6.3.8","Burn/Plastic Ward(See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$471","v":0},null,"2.6.3.9","Geriatrics Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"]
[{"$f":"Standards!$E$472","v":0},null,"2.6.4","There is a set of at least one table and two chairs in the nursing station and shelves for storage of charts and inpatient forms and formats (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$473","v":0},null," 2.6.5","Adequate numbers of nursing staff are available in ward per shift (nurse patient ratio 1:6 in general ward, 1:4 in pediatric ward, 1:2 in high dependency or intermediate ward or post-operative ward or burn/plastic) and at least one trained office assistant/ward attendant per shift in each ward (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$474","v":0},null,"2.6.6","Duty roster of doctors, nurses, paramedics and support staffs kept visibly in nursing station (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$475","v":0},null,"2.6.7","Telephone facility is available with list of important contact numbers and hospital codes visibly kept (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$476","v":0},null,"2.6.8.1","All staffs in wards are trained for BLS and oriented about emergency code 001 or blue code (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$478","v":0},null,"2.6.8.2.1","Medicine Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"]
[{"$f":"Standards!$E$479","v":0},null,"2.6.8.2.2","Surgery Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"]
[{"$f":"Standards!$E$480","v":0},null,"2.6.8.2.3","Pediatrics Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"]
[{"$f":"Standards!$E$481","v":0},null,"2.6.8.2.4","Orthopedics ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"]
[{"$f":"Standards!$E$482","v":0},null,"2.6.8.2.5.1","Psychiatry ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"]
[{"$f":"Standards!$E$483","v":0},null,"2.6.8.2.5.2","ECT room (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"]
[{"$f":"Standards!$E$484","v":0},null,"2.6.8.2.6","ENT Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"]
[{"$f":"Standards!$E$485","v":0},null,"2.6.8.2.7","PNC and Gynecology Ward(See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"]
[{"$f":"Standards!$E$486","v":0},null,"2.6.8.2.8","Burn/plastic Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"]
[{"$f":"Standards!$E$487","v":0},null,"2.6.8.2.9","Geriatrics Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"]
[{"$f":"Standards!$E$488","v":0},null,"2.6.8.3","At least one defibrillator in immediate accessible area (See Checklist 2.6 At the end of this standard for scoring)"]
[null,{"$f":"Standards!$E$489","v":0},"2.6.9","Safe abortion service (SAS) is available as per National SAS Implementation Guideline"]
[{"$f":"Standards!$E$490","v":0},null,"2.6.10.1","Separate area designated for admission of male and female inpatients in wards (See Checklist At the end of this standard for scoring)"]
[{"$f":"Standards!$E$491","v":0},null,"2.6.10.2","There are adequate separate toilets for male and female patients in each ward (1 for 6 female bed and 1 for 8 male beds) and also adequate wash basins/sinks for the patients. (See Checklist 2.6 At the end of this standard for scoring)"]
[null,{"$f":"Standards!$E$492","v":0},"2.6.10.3","Patient safety in taken care of in all inpatient wards including proper fixation of the furniture and equipment"]
[null,{"$f":"Standards!$E$493","v":0},"2.6.10.4","Separate waiting area for visitors."]
[null,{"$f":"Standards!$E$494","v":0},"2.6.10.5","For psychiatry ward, ensure that there is special arrangements for securing all furniture, equipment and instrument; all doors with no internal laches or locks, all the windows have grills and half doors in toilets and bathrooms for visible head and foot parts from outside"]
[{"$f":"Standards!$E$495","v":0},null,"2.6.10.6","Safe drinking water is available 24 hours for inpatients(See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$496","v":0},null,"2.6.10.7","Hours/ Time allocated for visitors to meet the inpatients and controlled traffic to prevent cross infection (See Checklist 2.6 At the end of this standard for scoring)"]
[null,{"$f":"Standards!$E$497","v":0},"2.6.10.8","Separate space is available for patients’ visitors (KuruwaGhar)."]
[{"$f":"Standards!$E$498","v":0},null," 2.6.11.1","Basic information regarding admitted patients is displayed in a separate board  (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$499","v":0},null,"2.6.11.2","Separate space with privacy dedicated for regular counselling is done for patient and patient party on condition and disease of patient (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$500","v":0},null,"2.6.12","Appropriate IEC/BCC materials (posters, leaflets etc.) are available in the inpatient ward with focus on infection prevention (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$501","v":0},null,"2.6.13","Admission and discharge registers are available and are being filled completely (HMIS 8.1 and 8.2) (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$502","v":0},null,"2.6.14.1","PPE are available and used whenever required (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$503","v":0},null,"2.6.14. 2","Each ward has hand sanitizer in visible place for health workers to use before and after touching patients (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$504","v":0},null,"2.6.14.3","There are well labelled color coded bins for waste segregation and disposal as per HCWM guideline  2014 (MoHP) (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$505","v":0},null,"2.6.14.4","Hand‑washing facility with running water and liquid soap is available and being practiced (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$506","v":0},null,"2.6.14.5","Needle cutter is used (See Checklist 2.6 At the end of this standard for scoring)"]
[{"$f":"Standards!$E$507","v":0},null,"2.6.14..6","Chlorine solution is available and utilized for decontamination (See Checklist 2.6 At the end of this standard for scoring)"]
[null,{"$f":"Standards!$E$508","v":0},"2.6.17.7","Separate isolation room for any communicable disease patients"]
[null,{"$f":"Standards!$E$516","v":0},"2.7.1.1.1","Separate pre-labor room/ labor room with privacy is available."]
[null,{"$f":"Standards!$E$517","v":0},"2.7.1.1.2","Delivery service is available round the clock"]
[null,{"$f":"Standards!$E$518","v":0},"2.7.1.1.3","At least one delivery bed is assigned for every 15 maternity beds"]
[null,{"$f":"Standards!$E$519","v":0},"2.7.1.1.4","Labor room has adequate space for accommodating team of health workers during emergencies and easy access to OT"]
[null,{"$f":"Standards!$E$520","v":0},"2.7.1.1.5","Separate OT for Obstetric Emergencies is available"]
[null,{"$f":"Standards!$E$522","v":0},"2.7.1.2.1.1","Nurse: pregnant women ratio 1:2 in pre-labor; 2:1 per delivery table and 1:6 in post-natal ward"]
[null,{"$f":"Standards!$E$523","v":0},"2.7.1.2.1.2"," At least one ASBA trained medical officer on duty "]
[null,{"$f":"Standards!$E$524","v":0},"2.7.1.2.1.3"," At least one office assistant is available per shift"]
[null,{"$f":"Standards!$E$525","v":0},"2.7.1.2.2","All staffs- nursing, medical practitioner designated for delivery services are trained skilled birth attendants"]
[null,{"$f":"Standards!$E$526","v":0},"2.7.1.3","Duty roster to cover 24 hours shift is developed and placed in visible place"]
[null,{"$f":"Standards!$E$527","v":0},"2.7.1.4","Partograph available and being used rationally"]
[null,{"$f":"Standards!$E$528","v":0},"2.7.1.5","At least 2 KMC chairs available for providing KMC to premature and preterm babies"]
[null,{"$f":"Standards!$E$529","v":0},"2.7.1.6","A formally signed standard birth certificate is issued."]
[null,{"$f":"Standards!$E$530","v":0},"2.7.1.7.1","Pre-labor/ during labor patient and patients’ family are adequately given counseling on labor, possible complications and written consent taken"]
[null,{"$f":"Standards!$E$531","v":0},"2.7.1.7.2","Health education on PNC, danger signs of mother and child, Immunization, nutrition, hygiene and family planning is given "]
[null,{"$f":"Standards!$E$532","v":0},"2.7.1.7.3","Postpartum family planning and breastfeeding- early, exclusive and extended counseling is done prior to discharge."]
[null,{"$f":"Standards!$E$533","v":0},"2.7.1.8","Appropriate IEC/BCC materials (posters, leaflets etc.) on postnatal care, breastfeeding- early, exclusive and extended, nutrition, immunization are used and available for users"]
[null,{"$f":"Standards!$E$534","v":0}," 2.7.1.9.1","Separate store room for delivery service related logistics"]
[{"$f":"Standards!$E$535","v":0},null,"2.7.1.9.2","The facility has adequate equipment, instrument and general supplies for delivery services (See Annex 2.7.1a Furniture, equipment, instrument and general supplies for labor room At the end of this standard)"]
[{"$f":"Standards!$E$536","v":0},null,"2.7.1.9.3","Labor room has medicines and supplies available for delivery services (See Annex 2.7.1bmedicines and supplies for Labor Room At the end of this standard)"]
[{"$f":"Standards!$E$537","v":0},null,"2.7.1.9.4","Labor room has emergency cart with medicines and supplies available (See Annex 2.7.1c Medicines and Supplies for ER[2] Trolley Labor Room At the end of this standard)"]
[null,{"$f":"Standards!$E$538","v":0},"2.7.1.10.1","Safe drinking water is available 24 hours."]
[null,{"$f":"Standards!$E$539","v":0},"2.7.1.10.2","Separate toilet for patient is available in pre-labor room and accessible to patient after delivery"]
[null,{"$f":"Standards!$E$540","v":0},"2.7.1.10.3","There should be maternity waiting homes[3]where there is more than 20 deliveries per day and the waiting home must be taken round by every shift with at least one visit (by nurse)"]
[null,{"$f":"Standards!$E$541","v":0},"2.7.1.11.1","Personal protective equipment are available and used whenever required."]
[null,{"$f":"Standards!$E$542","v":0},"2.7.1.11.2","Washable labor room"]
[null,{"$f":"Standards!$E$543","v":0},"2.7.1.11.3","Separate slipper designated for labor room and hand sanitizer placed in visible place for use"]
[null,{"$f":"Standards!$E$544","v":0},"2.7.1.11.4","There are at well labelled color-coded bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E$545","v":0},"2.7.1.11.5","Hand‑washing facility with running water and liquid soap is available"]
[null,{"$f":"Standards!$E$546","v":0},"2.7.1.11.6","Needle cutter is used"]
[null,{"$f":"Standards!$E$547","v":0},"2.7.1.11.7"," Liquid sodium hypochoride (0.5% Chlorine solution) is available and utilized for decontamination. "]
[null,{"$f":"Standards!$E$548","v":0},"2.7.1.11.8","Dry gauze and cotton are stored separately in clean containers."]
[null,{"$f":"Standards!$E$549","v":0},"2.7.1.11.9","Separate bowls/ bucket for placenta and plastic "]
[null,{"$f":"Standards!$E$550","v":0},"2.7.1.11.10","Placenta pit is used to dispose placenta."]
[null,{"$f":"Standards!$E$558","v":0},"2.7.2.1.1","Separate space for nursing station is available "]
[null,{"$f":"Standards!$E$559","v":0}," 2.7.2.1.2","Separate changing room available for male and female staffs"]
[null,{"$f":"Standards!$E$560","v":0},"2.7.2.1.3","Separate store room is available "]
[null,{"$f":"Standards!$E$561","v":0},"2.7.2.1.4","Separate space dedicated for pre-labor, labor and post-labor patients"]
[{"$f":"Standards!$E$562","v":0},null,"2.7.2.2","Furniture and supplies to carry out the inpatient services are available and functioning (See annex 2.7.2a Furniture and supplies for maternity inpatient wards At the end of this standard ) (including nursing station)"]
[{"$f":"Standards!$E$563","v":0},null,"2.7.2.3","Medicine and supplies to carry out the inpatient services are available General Ward (See Annex 2.7.2bmedicine and supplies for maternity inpatient wards At the end of this standard)"]
[null,{"$f":"Standards!$E$564","v":0}," 2.7.2.4.1","Adequate numbers of nursing staff are available in ward per shift (nurse patient ratio 1:6 in general ward)    "]
[null,{"$f":"Standards!$E$565","v":0},"2.7.2.4.2","At least one trained office assistant per shift in each ward"]
[null,{"$f":"Standards!$E$566","v":0},"2.7.2.5","Duty roster of doctors, nurses, paramedics and support staffs kept visibly in nursing station "]
[null,{"$f":"Standards!$E$567","v":0},"2.7.2.6","Telephone facility is available with list of important contact numbers and hospital codes visibly kept "]
[null,{"$f":"Standards!$E$568","v":0},"2.7.2.7.1","All staffs in wards are trained for BLS and oriented about emergency code 001 or blue code"]
[{"$f":"Standards!$E$569","v":0},null,"2.7.2.7.2","At least one emergency trolley with emergency medicine available in ward ( See Annex 2.7.2c Medicine and Supplies for ER Trolley for Maternity In patient Ward At the end of this standard) "]
[null,{"$f":"Standards!$E$570","v":0},"2.7.2.7.3","At least one defibrillator in immediate accessible area "]
[null,{"$f":"Standards!$E$571","v":0},"2.7.2.8.1","Area designated for admission of inpatients in general ward"]
[null,{"$f":"Standards!$E$572","v":0},"2.7.2.8.2","There are adequate toilets for male and female patients in each ward (1 for 6 female bed)"]
[null,{"$f":"Standards!$E$573","v":0},"2.7.2.8.3","Safe drinking water is available 24 hours for inpatients"]
[null,{"$f":"Standards!$E$574","v":0},"2.7.2.8.4","Hours/ Time allocated for visitors to meet the inpatients and controlled traffic to prevent cross infection"]
[null,{"$f":"Standards!$E$575","v":0},"2.7.2.8.5","Separate space is available for patients’ visitors (Kuruwa Ghar)."]
[null,{"$f":"Standards!$E$576","v":0},"2.7.2.8.6","Separate space for pericare and peri light"]
[null,{"$f":"Standards!$E$577","v":0}," 2.7.2.9","Basic information regarding admitted patients is displayed in a separate board  "]
[null,{"$f":"Standards!$E$578","v":0},"2.7.2.10","Appropriate IEC materials (posters, leaflets etc.) are available in the inpatient ward with focus on infection prevention"]
[null,{"$f":"Standards!$E$579","v":0},"2.7.2.11","Admission and discharge registers are available and are being filled completely (HMIS 8.1 and 8.2)"]
[null,{"$f":"Standards!$E$580","v":0},"2.7.2.12.1","Personal Protective equipment are available and used whenever required "]
[null,{"$f":"Standards!$E$581","v":0},"2.7.2.12.2","Each ward has hand sanitizer in visible place for health workers to use before and after touching patients"]
[null,{"$f":"Standards!$E$582","v":0},"2.7.2.12.3","There are well labelled color-coded bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)  "]
[null,{"$f":"Standards!$E$583","v":0},"2.7.2.12.4","Hand washing facility with running water and liquid soap is available and being practiced "]
[null,{"$f":"Standards!$E$584","v":0},"2.7.2.12.5","Needle cutter is used"]
[null,{"$f":"Standards!$E$585","v":0},"2.7.2.12.6","Chlorine solution is available and utilized for decontamination "]
[null,{"$f":"Standards!$E$594","v":0},"2.7.3.1","Dedicated block for birthing center with health facility having more than 500 deliveries per month"]
[null,{"$f":"Standards!$E$595","v":0},"2.7.3.2.1","Separate space for nursing station is available "]
[null,{"$f":"Standards!$E$596","v":0}," 2.7.3.2.2","Separate changing room available for male and female staffs"]
[null,{"$f":"Standards!$E$597","v":0},"2.7.3.2.3","Separate store room is available "]
[null,{"$f":"Standards!$E$598","v":0},"2.7.3.2.4","Separate space dedicated for pre-labor, labor and post-labor patients"]
[{"$f":"Standards!$E$599","v":0},null,"2.7.3.3","Furniture and supplies to carry out the inpatient services are available and functioning (See Annex 2.7.3aFurniture and supplies for birthing center At the end of this standard)"]
[{"$f":"Standards!$E$600","v":0},null,"2.7.3.4","Medicine and supplies to carry out the inpatient services are available General Ward (See Annex 2.7.3b Medicine and supplies for Birthing Center At the end of this standard)"]
[null,{"$f":"Standards!$E$601","v":0},"2.7.3.5","There is a set of at least one table and two chairs in the nursing station and shelves for storage of charts and inpatient forms and formats "]
[null,{"$f":"Standards!$E$603","v":0},"2.7.3.6.1","Nurse/Midwife: pregnant women ratio 1:2 in pre-labor; 2:1 per delivery table and 1:6 in post-natal ward"]
[null,{"$f":"Standards!$E$604","v":0},"2.7.3.6.2"," At least one ASBA trained medical officer on duty "]
[null,{"$f":"Standards!$E$605","v":0},"2.7.3.6.3"," At least one office assistant is available per shift"]
[null,{"$f":"Standards!$E$606","v":0},"2.7.3.6.4","All staffs- nursing, medical practitioner designated for delivery services are trained skilled birth attendants/Midwife"]
[null,{"$f":"Standards!$E$607","v":0},"2.7.3.7","Duty roster to cover 24 hours shift is developed and placed in visible place"]
[null,{"$f":"Standards!$E$608","v":0},"2.7.3.8","Telephone facility is available with list of important contact numbers and hospital codes visibly kept "]
[null,{"$f":"Standards!$E$609","v":0},"2.7.3.9.1","All staffs in wards are trained for BLS and oriented about emergency code 001 or blue code"]
[{"$f":"Standards!$E$610","v":0},null,"2.7.3.9.2","At least one emergency trolley with emergency medicine available in ward (See Annex 2.7.3c Medicine and Supplies for ER Trolley for Maternity Inpatient Ward At the end of this standard)"]
[null,{"$f":"Standards!$E$611","v":0},"2.7.3.9.3","At least one defibrillator in immediate accessible area "]
[null,{"$f":"Standards!$E$612","v":0},"2.7.3.10.1","Area designated for admission of inpatients in general ward"]
[null,{"$f":"Standards!$E$613","v":0},"2.7.3.10.2","Each bed is screened to maintain patient privacy"]
[null,{"$f":"Standards!$E$614","v":0},"2.7.3.10.3","There are adequate toilets for male and female patients in each ward (1 for 6 female bed)"]
[null,{"$f":"Standards!$E$615","v":0},"2.7.3.10.4","Safe drinking water is available 24 hours for inpatients"]
[null,{"$f":"Standards!$E$616","v":0},"2.7.3.10.5","Hours/ Time allocated for visitors to meet the inpatients and controlled traffic to prevent cross infection"]
[null,{"$f":"Standards!$E$617","v":0},"2.7.3.10.6","Separate space is available for patients’ visitors (Kuruwa Ghar)."]
[null,{"$f":"Standards!$E$618","v":0}," 2.7.3.11","Basic information regarding admitted patients is displayed in a separate board  "]
[null,{"$f":"Standards!$E$619","v":0},"2.7.3.12","Appropriate IEC materials (posters, leaflets etc.) are available in the inpatient ward with focus on infection prevention"]
[null,{"$f":"Standards!$E$620","v":0},"2.7.3.13","Admission and discharge registers are available and are being filled completely (HMIS 8.1 and 8.2)"]
[null,{"$f":"Standards!$E$621","v":0},"2.7.3.14.1","PPE are available and used whenever required "]
[null,{"$f":"Standards!$E$622","v":0},"2.7.3.14.2","Each ward has hand sanitizer in visible place for health workers to use before and after touching patients"]
[null,{"$f":"Standards!$E$623","v":0},"2.7.3.14.3","There are well labelled color-coded bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E$624","v":0},"2.7.3.14.4","Hand‑washing facility with running water and liquid soap is available and being practiced "]
[null,{"$f":"Standards!$E$625","v":0},"2.7.3.14.5","Needle cutter is used"]
[null,{"$f":"Standards!$E$626","v":0},"2.7.3.14.6","Chlorine solution is available and utilized for decontamination "]
[null,{"$f":"Standards!$E$634","v":0},"2.8.1.1.1","Routine minor and intermediate surgeries available on scheduled days"]
[null,{"$f":"Standards!$E$635","v":0},"2.8.1.1.2","Routine major surgeries available on scheduled days"]
[null,{"$f":"Standards!$E$636","v":0},"2.8.1.2","Emergency surgeries available round the clock"]
[null,{"$f":"Standards!$E637","v":0},"2.8.2.1","For one surgery, at least a team is composed of: MS with one trained medical officer, two OT trained nurse (one scrub and one circulating), one Anesthesiologist, one anesthesia assistant and one office assistant ( for cleaning and helping)"]
[null,{"$f":"Standards!$E638","v":0},"2.8.2.2","For overall management of operation theatre, there is one OT nurse (with minimum bachelors degree) assigned as OT in-charge"]
[null,{"$f":"Standards!$E639","v":0},"2.8.2.3","At least two nurses in pre-anesthesia area for receiving and transferring of the patient"]
[null,{"$f":"Standards!$E640","v":0},"2.8.2.4","At least two ICU trained nurses for post anesthesia care for receiving patient after OT "]
[{"$f":"Standards!$E641","v":0},null,"2.8.3.1","General Surgeries (See Annex 2.8a List of Minimum Surgeries Available At the end of this standard)"]
[{"$f":"Standards!$E642","v":0},null,"2.8.3.2","Obstetrics and gynecology surgeries (See Annex 2.8b List of Minimum Obstetrics and gynecology surgeries Available At the end of this standard)"]
[{"$f":"Standards!$E643","v":0},null,"2.8.3.3","Orthopedic Surgeries (See Annex 2.8c List of Minimum Orthopedics Surgeries Available At the end of this standard)"]
[{"$f":"Standards!$E644","v":0},null,"2.8.3.4","ENT surgeries available (See Annex 2.8d Types of ENT Surgeries Available At the end of this standard)"]
[{"$f":"Standards!$E645","v":0},null,"2.8.3.5","Neurosurgeries available (See Annex 2.8e Types of Neurology Surgeries Available At the end of this standard)"]
[{"$f":"Standards!$E646","v":0},null,"2.8.3.6","Urology Surgeries available (See Annex 2.8f Types of Urology Surgery Available At the end of this standard)"]
[{"$f":"Standards!$E647","v":0},null,"2.8.3.7","Burn/plastic Surgeries available (See Annex Types of Burn/Plastic 2.8g Surgery Available At the end of this standard)"]
[null,{"$f":"Standards!$E648","v":0},"2.8.4.1","Indications and reviews the clinical history and physical examination is documented "]
[null,{"$f":"Standards!$E649","v":0},"2.8.4.2","Pre-anesthesia checkup done for routine surgeries and documented"]
[null,{"$f":"Standards!$E650","v":0},"2.8.4.3","Informed consent is taken before surgery; patients and caretakers are given appropriate counseling about the surgery"]
[null,{"$f":"Standards!$E651","v":0},"2.8.5","The WHO Safe Surgery Checklist is available in OT and used"]
[null,{"$f":"Standards!$E652","v":0},"2.8.6","Preoperative instructions for patient preparation are given and practiced with routine pre-anesthesia check up"]
[null,{"$f":"Standards!$E653","v":0},"2.8.7.1","At least six (6) functional modular operating theater (OT)  with Heating Ventilation Air Conditioning (HVAC) system with HEPA filter and positive pressure."]
[null,{"$f":"Standards!$E654","v":0},"2.8.7.2","OT room corners are coved. "]
[null,{"$f":"Standards!$E655","v":0},"2.8.7.3","OT lights and pipelines are concealed with epoxy coating floor and wall"]
[{"$f":"Standards!$E656","v":0},null,"2.8.7.4","OT has appropriate physical set up (See Annex 2.8h Physical Set Up for OT At the end of this standard)."]
[{"$f":"Standards!$E657","v":0},null,"2.8.7.5","Each operating room has general equipment, instruments and supplies available (See Annex 2.8i Furniture, Equipment, Instruments and Supplies for OT At the end of this standard)"]
[{"$f":"Standards!$E658","v":0},null,"2.8.7.6","Each operating room has medicines and supplies available (See Annex 2.8j General Medicine and Supplies for OT At the end of this standard)  "]
[{"$f":"Standards!$E659","v":0},null,"2.8.7.7","Surgical sets for minimum list of the surgical services available (See Annex 2.8k Surgical sets for Minimum list of the surgical procedures At the end of this standard) "]
[null,{"$f":"Standards!$E661","v":0},"2.8.8.1.1","Local anesthesia "]
[null,{"$f":"Standards!$E662","v":0},"2.8.8.1.2","Regional anesthesia "]
[null,{"$f":"Standards!$E663","v":0},"2.8.8.1.3","Spinal anesthesia  "]
[null,{"$f":"Standards!$E664","v":0},"2.8.8.1.4","General anesthesia"]
[{"$f":"Standards!$E665","v":0},null,"2.8.8.2","Equipment, instrument and supplies for anesthesia available (See Annex 2.8l Equipment, Instrument and Supplies for Anesthesia At the end of this standard)"]
[{"$f":"Standards!$E666","v":0},null,"2.8.8.3","Medicine and supplies for anesthesia available (See Annex 2.8m Medicine and Supplies for Anesthesia At the end of this standard)"]
[null,{"$f":"Standards!$E667","v":0},"2.8.8.4.1","Anesthesia should be provided, led, or overseen by an anesthesiologist"]
[null,{"$f":"Standards!$E668","v":0},"2.8.9.1","Dedicated space for pre-anesthesia assessment  and post-anesthesia recovery with patient bed, IV stand, IV cannula, fixing tapes, infusion sets, burette sets, syringes, three-way stop cocks and at least one cardiac monitor "]
[null,{"$f":"Standards!$E669","v":0},"2.8.9.2","Separate area designated for post-operative care to stabilize the patient after surgery"]
[null,{"$f":"Standards!$E670","v":0},"2.8.9.3","Staffs are specified for the post-operative care including close monitoring of the vital signs and observation of patient"]
[null,{"$f":"Standards!$E671","v":0},"2.8.9.4","Patients’ pain management is prioritized, measures well documented and analgesic effect followed up"]
[null,{"$f":"Standards!$E672","v":0},"2.8.9.5","Patient undergoing surgical procedure is done pre- anesthetic check-up, continuously monitored during and at least 2 hours post- anesthesia"]
[null,{"$f":"Standards!$E673","v":0},"2.8.9.6","Adequate information shared for patient care and patient followed by at least one nurse/doctor for hand over or transfer of patient within or outside the hospital"]
[null,{"$f":"Standards!$E674","v":0},"2.8.10.1","Recording is done for all surgeries procedure including observation, management and complications if any"]
[null,{"$f":"Standards!$E675","v":0},"2.8.10.2","Records of all anesthetic procedures are kept and reported"]
[null,{"$f":"Standards!$E677","v":0},"2.8.11.1","Hand‑washing and scrubbing facility with running water and soap is available and being practiced with elbow tap"]
[null,{"$f":"Standards!$E678","v":0},"2.8.11.2","Gowns and sterile drapes for patients and sterile gown for surgery team are available and used whenever required."]
[null,{"$f":"Standards!$E679","v":0},"2.8.11.3","Fumigation is done at least once a week in the OT on Saturdays and as per need and maintained logbook."]
[null,{"$f":"Standards!$E680","v":0},"2.8.11.4","High Level Disinfection (e.g. Cidex) facility is available and being practiced."]
[null,{"$f":"Standards!$E681","v":0},"2.8.11.5","High wash is done once a month in OT and maintained logbook"]
[null,{"$f":"Standards!$E682","v":0},"2.8.11.6","Separate colored waste bins based on HCWM guideline 2014 (MoHP)  are available and used"]
[null,{"$f":"Standards!$E683","v":0},"2.8.11.7","Needle cutter is used"]
[null,{"$f":"Standards!$E684","v":0},"2.8.11.8.1","Chlorine solution is available and utilized for decontamination. "]
[null,{"$f":"Standards!$E685","v":0},"2.8.11.8.2","Standard Operating Procedure (SOP) for cleaning and fumigation is available"]
[null,{"$f":"Standards!$E686","v":0},"2.8.11.8.3","Cleaning agent and disinfectants for OT are used in rotation as per SOP"]
[null,{"$f":"Standards!$E687","v":0},"2.8.11.8.4","Microbiological bio-burden is monitored in OT and log book maintained"]
[null,{"$f":"Standards!$E694","v":0},"2.9.1.1","Hemodialysis service is available in three shifts  and appointments of patient scheduled"]
[null,{"$f":"Standards!$E695","v":0},"2.9.1.2","Emergency hemodialysis is available round the clock"]
[null,{"$f":"Standards!$E696","v":0},"2.9.1.3","Under privilege citizen facilities as per norms of government of Nepal"]
[null,{"$f":"Standards!$E697","v":0},"2.9.2.1","Separate block/rooms designated for hemodialysis with space for at least two hemodialysis beds and machines and a working."]
[null,{"$f":"Standards!$E698","v":0}," 2.9.2.2","The dialysis station is easily accessible in time of emergency and have adequate space for resuscitation to be carried out."]
[null,{"$f":"Standards!$E699","v":0},"2.9.2.3","There is designated space for dialyzer reprocessing and proper cleaning and preparation of dialysers for reuse done based on protocol"]
[null,{"$f":"Standards!$E700","v":0},"2.9.2.4","There is designated space for medicine preparation and storage of medicines, equipment, instruments and supplies in shelves with separate dry and wet storage shelves"]
[null,{"$f":"Standards!$E701","v":0},"2.9.2.5","Separate bed is available for rest to patient after dialysis or to give injection on OPD as erythropoietin, cyclophosphamide, and others."]
[null,{"$f":"Standards!$E702","v":0},"2.9.3.1","There should be at least one haemodialysis trained medical officer with on call MD Internal Medicine or Nephrologist and one nurse per two dialysis machine per shift "]
[null,{"$f":"Standards!$E703","v":0},"2.9.3.2","All hemodialysis staffs are trained on BLS, ACLS and basic maintenance of hemodialysis machine."]
[null,{"$f":"Standards!$E704","v":0},"2.9.3.3","Biomedical equipment trained technician is available any time in case of technical emergencies"]
[null,{"$f":"Standards!$E705","v":0},"2.9.4.1","Counselling to the patient and attendant is done by multi-disciplinary team to adhere the patient to the treatment therapy including dietary counseling and follow up"]
[null,{"$f":"Standards!$E706","v":0},"2.9.4.2","Proper care and monitoring of the Vascular access is done during treatment and patient counseled about its care"]
[null,{"$f":"Standards!$E707","v":0},"2.9.5.1","At least 10 Dialysis machines are equipped with monitors and audio-visual alarms to ensure safe dialysis."]
[null,{"$f":"Standards!$E708","v":0},"2.9.5.2","Dedicated hemodialysis area and dedicated dialysis machines for patients with hepatitis B, Hepatitis C and PLHA"]
[{"$f":"Standards!$E709","v":0},null,"2.9.5.3","Adequate medical equipment and instruments available. (See Annex 2.9aList of medical equipment and instruments for hemodialysis At the end of this standard)"]
[{"$f":"Standards!$E710","v":0},null,"2.9.5.4","Adequate drugs and consumables available (See Annex 2.9b Medicines and supplies for hemodialysis At the end of this standard)"]
[null,{"$f":"Standards!$E711","v":0}," 2.9.6.1","Product water is free from harmful chemicals and bacterial contamination with reverse osmosis done"]
[null,{"$f":"Standards!$E712","v":0},"2.9.6.2","Water used to prepare the dialysate has colony count of less than 100CFU/ml. (AAMI Standard)"]
[null,{"$f":"Standards!$E713","v":0},"2.9.6.3","Recommended water quality by provision of water analysis for bacteria at least monthly and chemical at least six monthly."]
[null,{"$f":"Standards!$E714","v":0},"2.9.6.4","Endotoxin test of RO water and dialysate is performed in annual basis."]
[null,{"$f":"Standards!$E715","v":0},"2.9.6.5","Power back up supply is ensured in hemodialysis unit at least for reverse osmosis and dialysis machine"]
[null,{"$f":"Standards!$E716","v":0},"2.9.6.6","Plumbing is installed in manner as to prevent back flow of the dialysate drainage"]
[null,{"$f":"Standards!$E717","v":0},"2.9.6.7","There is adequate light, well ventilation and suitable temperature maintained"]
[null,{"$f":"Standards!$E718","v":0},"2.9.6.8","Separate toilets for male and female staff with at least one universal toilet"]
[null,{"$f":"Standards!$E719","v":0},"2.9.7","Biomedical equipment log book is maintained along with preventive maintenance records"]
[null,{"$f":"Standards!$E720","v":0},"2.9.8","There is provision of transporting patient for transfer/referral in safe manner accompanied by at least one mid-level health worker and if needed medical officer"]
[null,{"$f":"Standards!$E721","v":0},"2.9.9.1","Medical record is maintained in register and digital format."]
[null,{"$f":"Standards!$E722","v":0},"2.9.9.2","Dialysis schedule of the patient is maintained in board along with time."]
[null,{"$f":"Standards!$E723","v":0},"2.9.10.1","Personal protective equipment as gown, mask, face shield as per requirement."]
[null,{"$f":"Standards!$E724","v":0},"2.9.10.2 ","Dialyzers and AV blood lines of PLHA, Hepatitis B and Hepatitis C positive is discarded after each use."]
[null,{"$f":"Standards!$E725","v":0},"2.9.10.3","Rinsing of machine is done after each shift and disinfection is done as per protocol"]
[null,{"$f":"Standards!$E726","v":0},"2.9.10.4","Dedicated shoes and gown is available in entrance of dialysis unit."]
[null,{"$f":"Standards!$E727","v":0},"2.9.10.5","Autoclave of infected waste before disposal"]
[null,{"$f":"Standards!$E728","v":0},"2.9.10.6","There are colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E729","v":0},"2.0.10.7","Hand‑washing facility with running water and liquid soap is available for practitioners  "]
[null,{"$f":"Standards!$E730","v":0},"2.9.10.8","Needle cutter is used"]
[null,{"$f":"Standards!$E731","v":0},"2.9.10.9","Chlorine solution is available and utilized for decontamination. "]
[null,{"$f":"Standards!$E740","v":0},"2.10.1.1","ICU service is available for inpatients and referral critical cases round the clock"]
[null,{"$f":"Standards!$E741","v":0},"2.10.1.2","Minimum number of Level III ICU beds is 5% of total hospital beds"]
[null,{"$f":"Standards!$E742","v":0},"2.10.1.3","At least six (8) functional ICU beds with Heating Ventilation Air Conditioning (HVAC) system with HEPA filter and positive pressure."]
[null,{"$f":"Standards!$E743","v":0},"2.10.1.4","ICU room corners are coved. "]
[null,{"$f":"Standards!$E744","v":0},"2.10.1.5","ICU lights and pipelines are concealed with epoxy coating floor and wall"]
[null,{"$f":"Standards!$E746","v":0},"2.10.1.2.1","ICU must have easy access and connectivity with operation theatre complex, emergency department, radio-imaging and clinical lab."]
[null,{"$f":"Standards!$E747","v":0},"2.10.1.2.2","ICU must have a single entry and exit point to allow free access to heavy duty machines like mobile x-ray, bed and trolleys on wheels"]
[null,{"$f":"Standards!$E748","v":0},"2.10.1.2.3","There must be at least two barriers to the entry of ICU"]
[null,{"$f":"Standards!$E750","v":0},"2.10.1.2.4","Family waiting area with chairs at least one for each ICU bed"]
[null,{"$f":"Standards!$E751","v":0},"2.10.1.2.5","Counselling room with working desk and chairs"]
[null,{"$f":"Standards!$E752","v":0},"2.10.1.2.6","Central Nursing Station with working desk, centrally connected monitors display of each bed and at least three chairs"]
[null,{"$f":"Standards!$E753","v":0},"2.10.1.2.7","Nurse's Room with tea room facility and reference books in shelves"]
[null,{"$f":"Standards!$E754","v":0},"2.10.1.2.7","Doctor's Room with tea room facility and reference books in shelves"]
[null,{"$f":"Standards!$E755","v":0},"2.10.1.2.8","Utility Room with separate dirty and clean linen storage "]
[null,{"$f":"Standards!$E756","v":0},"2.10.1.2.9","Changing Room (Separate for male and female) with adequate number of lockers for staffs’ belongings"]
[null,{"$f":"Standards!$E757","v":0},"2.10.1.2.10","Wash room (Separate for male and female with at least one universal)"]
[{"$f":"Standards!$E758","v":0},null,"2.10.1.2.11","Proper bed area allocated for each bed with supplies (See Annex 2.10.1a Proper Bed Area for ICU At the end of the standard)"]
[null,{"$f":"Standards!$E759","v":0},"2.10.1.2.12","There should be system of central oxygen supply and vacuum for suction"]
[null,{"$f":"Standards!$E760","v":0},"2.10.1.2.13","Lighting: Access to natural light for each bed"]
[null,{"$f":"Standards!$E761","v":0},"2.10.1.2.14","ICU must have air conditioner to maintain the temperature, humidity and air flow and closed to outer environment"]
[null,{"$f":"Standards!$E762","v":0},"2.10.1.2.15","High illumination spot lighting for procedures, like putting central lines etc."]
[null,{"$f":"Standards!$E763","v":0},"2.10.1.2.16","There must be proper fire extinguishing machines."]
[{"$f":"Standards!$E764","v":0},null,"2.10.1.3.1","ICU has staffing as per annex . (See Annex 2.10.1b Staffing of Intensive care services At the end of the standard)"]
[null,{"$f":"Standards!$E765","v":0},"2.10.1.3.2","There must be one ICU in-charge with 5 years experience in ICU (Nursing officer) with minimum of Bachelor in Nursing with at least three month training or Certification in Critical Care Nurse Training ) in for overall nursing management of ICU"]
[{"$f":"Standards!$E766","v":0},null,"2.10.1.4","ICU has adequate equipment and instruments to function adequately (See Annex 2.10.1c Equipment and Instrument for intensive care services At the end of the standard)"]
[null,{"$f":"Standards!$E767","v":0},"2.10.1.5.1","Duty roster for 24 hours is prepared and placed in visible area for all ICU staffs including doctors and nurses."]
[null,{"$f":"Standards!$E768","v":0},"2.10.1.5.2","Each ICU Bed has to be assigned a ICU Nurse per shift who is responsible for nursing management of that patient. (One patient should be assigned only one nurse but one nurse can take care of two patient)"]
[null,{"$f":"Standards!$E769","v":0},"2.10.1.6.1","ICU must practice ICU protocols (e.g. Published by Nepalese Society for Critical Care Medicine (NSCCM)) on given clinical conditions AND all staffs in ICU trained in Basic Life Support, Advance Life Support, Mechanical Ventilation, Infection prevention, Therapeutic Feeding"]
[null,{"$f":"Standards!$E770","v":0},"2.10.1.6.2","All ICUs must be designed to handle disasters both within ICU and outside the ICU"]
[null,{"$f":"Standards!$E771","v":0},"2.10.1.7.1","Separate Nursing Flow Sheet tailored for ICU set up is used for continuous monitoring of the patients and e-recording done in standard software approved by MoHP"]
[null,{"$f":"Standards!$E772","v":0},"2.10.1.7.2","Handover and takeover of the patients from ER or other wards is done with patient being received in ICU accompanied by respective ward at least staff nurse or paramedics "]
[null,{"$f":"Standards!$E773","v":0},"2.10.1.7.3","Complications, morbidity and mortality are recorded, reported and proceeded for clinical audit on regular basis (at least weekly)"]
[null,{"$f":"Standards!$E774","v":0},"2.10.1.8.1","10% of beds (1 to 2) should be separated as isolation beds in each ICU"]
[null,{"$f":"Standards!$E775","v":0},"2.10.1.8.2","Hand Hygiene protocol developed and followed between each ICU bed with alcohol hand rubs or sanitizer. Hand Hygiene compliance should be monitored at least two times a year."]
[null,{"$f":"Standards!$E776","v":0},"2.10.1.8.3","Separate space designated for scrub station with running water and liquid soap, elbow lever and hand drier available and functional"]
[null,{"$f":"Standards!$E777","v":0},"2.10.1.8.4","Waste disposal as per HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E778","v":0},"2.10.1.8.5","Gown and slippers for doctors, nurses, visitors – as required"]
[null,{"$f":"Standards!$E779","v":0},"2.10.1.8.6","Chlorine solution is available and utilized for decontamination"]
[null,{"$f":"Standards!$E780","v":0},"2.10.1.8.7","Cleaning agent and disinfectants for ICU are used in rotation as per SOP"]
[null,{"$f":"Standards!$E781","v":0},"2.10.1.8.8","Microbial bio-burden of ICU is monitored and logbook maintained"]
[null,{"$f":"Standards!$E788","v":0},"2.10.2.1.1","NICU service is available for inpatients and referral critical cases round the clock"]
[null,{"$f":"Standards!$E789","v":0},"2.10.2.1.2","Minimum number of NICU beds is 5% of total hospital beds"]
[null,{"$f":"Standards!$E790","v":0},"2.10.2.1.3","One NICU set up has at least 5 NICU beds"]
[null,{"$f":"Standards!$E791","v":0},"2.10.2.2.1","NICU must have easy access and connectivity with operation theatre complex, emergency department, radio-imaging and clinical lab."]
[null,{"$f":"Standards!$E792","v":0},"2.10.2.2.2","NICU must have a single entry and exit point to allow free access to heavy duty machines like mobile x-ray, bed and trolleys on wheels"]
[null,{"$f":"Standards!$E793","v":0},"2.10.2.2.3","There must be at least two barriers to the entry of NICU"]
[null,{"$f":"Standards!$E795","v":0},"2.10.2.2.4.1","Family waiting area with chairs at least one for each NICU bed"]
[null,{"$f":"Standards!$E796","v":0},"2.10.2.2.4.2","Counselling room with working desk and chairs"]
[null,{"$f":"Standards!$E797","v":0},"2.10.2.2.4.3","Breast feeding room with comfortable chair and air conditioning for mother to feed or express breast milk"]
[null,{"$f":"Standards!$E798","v":0},"2.10.2.2.4.4","Central Nursing Station with working desk, centrally connected monitors display of each bed and at least three chairs"]
[null,{"$f":"Standards!$E799","v":0},"2.10.2.2.4.5","Nurse's Room with tea room facility and reference books in shelves"]
[null,{"$f":"Standards!$E800","v":0},"2.10.2.2.4.6","Doctor's Room with tea room facility and reference books in shelves"]
[null,{"$f":"Standards!$E801","v":0},"2.10.2.2.4.7","Utility Room with separate dirty and clean linen storage "]
[null,{"$f":"Standards!$E802","v":0},"2.10.2.2.4.8","Changing Room (Separate for male and female) with adequate number of lockers for staffs’ belongings"]
[null,{"$f":"Standards!$E803","v":0},"2.10.2.2.4.9","Wash room (Separate for male and female with at least one universal)"]
[null,{"$f":"Standards!$E804","v":0},"2.10.2.2.4.10","Lighting: Access to natural light"]
[null,{"$f":"Standards!$E805","v":0},"2.10.2.2.4.11","NICU must have air conditioner to maintain the temperature, humidity and air flow and closed to outer environment"]
[null,{"$f":"Standards!$E806","v":0},"2.10.2.2.4.12","There should be central oxygen supply and suction"]
[null,{"$f":"Standards!$E807","v":0},"2.10.2.2.4.13","High illumination spot lighting for procedures, like putting central lines etc."]
[null,{"$f":"Standards!$E808","v":0},"2.10.2.2.4.14","There must be proper fire extinguishing machines."]
[{"$f":"Standards!$E809","v":0},null,"2.10.2.3","NICU has staffing as per annex (See Annex 2.10.1b Staffing of Intensive care services At the end of this standard)"]
[{"$f":"Standards!$E810","v":0},null,"2.10.2.4","NICU has adequate equipment and instruments to function adequately (See Annex 2.10.1c Equipment and Instrument for intensive care services At the end of this standard)"]
[null,{"$f":"Standards!$E811","v":0},"2.10.2.5","Duty roster for 24 hours is prepared and placed in visible area for all NICU staffs including doctors and nurses"]
[null,{"$f":"Standards!$E812","v":0},"2.10.2.6.1","NICU must practice given protocols on all given clinical conditions with all staffs in NICU trained in Basic Life Support, Pediatric Advance Life Support, Critical Care Support, Mechanical Ventilation, Infection prevention, Tube feeding, Incubators, Warmer, Phototherapy"]
[null,{"$f":"Standards!$E813","v":0},"2.10.2.6.2","All NICUs must be designed to handle disasters both within NICU and outside the NICU"]
[null,{"$f":"Standards!$E814","v":0},"2.10.2.7.1","Separate sheet tailored for NICU set up is used for continuous monitoring of the patients and e-recording done in standard software approved by MoHP"]
[null,{"$f":"Standards!$E815","v":0},"2.10.2.7.2","Handover and takeover of the patients from ER or other wards is done with patient being received in NICU accompanied by respective ward at least  staff nurse or paramedics "]
[null,{"$f":"Standards!$E816","v":0},"2.10.2.7.3","Complications, morbidity and mortality are recorded, reported and proceeded for clinical audit on regular basis (at least weekly)"]
[null,{"$f":"Standards!$E817","v":0},"2.10.2.8.1","10% of beds (1 to 2) should be separated as isolation beds in each NICU"]
[null,{"$f":"Standards!$E818","v":0},"2.10.2.8.2","Hand Hygiene protocol developed and followed between each NICU bed with alcohol hand rubs or sanitizer"]
[null,{"$f":"Standards!$E819","v":0},"2.10.2.8.3","Separate space designated for scrub station with running water and liquid soap, elbow lever and hand drier available and functional"]
[null,{"$f":"Standards!$E820","v":0},"2.10.2.8.4","Every neonate must be properly cleaned /wiped everyday by using approved solution. "]
[null,{"$f":"Standards!$E821","v":0},"2.10.2.8.5","Use of personal protective equipment while caring each neonate to prevent cross infection."]
[null,{"$f":"Standards!$E822","v":0},"2.10.2.8.6","Waste disposal as per HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E823","v":0},"2.10.2.8.7","Gown and slippers for doctors, nurses, visitors"]
[null,{"$f":"Standards!$E824","v":0},"2.10.2.8.8","Chlorine solution is available and utilized for decontamination"]
[null,{"$f":"Standards!$E825","v":0},"2.10.2.8.9","Cleaning agent and disinfectants for NICU are used in rotation as per SOP"]
[null,{"$f":"Standards!$E826","v":0},"2.10.2.8.10","Microbial bio-burden of NICU is monitored and logbook maintained"]
[null,{"$f":"Standards!$E833","v":0},"2.10.3.1.1","PICU service is available for inpatients and referral critical cases round the clock"]
[null,{"$f":"Standards!$E834","v":0},"2.10.3.1.2","One PICU set up has at least 5 PICU beds"]
[null,{"$f":"Standards!$E835","v":0},"2.10.3.2.1","PICU must have easy access and connectivity with operation theatre complex, emergency department, radio-imaging and clinical lab."]
[null,{"$f":"Standards!$E836","v":0},"2.10.3.2.2","PICU must have a single entry and exit point to allow free access to heavy duty machines like mobile x-ray, bed and trolleys on wheels"]
[null,{"$f":"Standards!$E837","v":0},"2.10.3.2.3","There must be at least two barriers to the entry of PICU"]
[null,{"$f":"Standards!$E839","v":0},"2.10.3.2.5","Family waiting area with chairs at least one for each PICU bed"]
[null,{"$f":"Standards!$E840","v":0},"2.10.3.2.6","Counselling room with working desk and chairs"]
[null,{"$f":"Standards!$E841","v":0},"2.10.3.2.7","Central Nursing Station with working desk, centrally connected monitors display of each bed and at least three chairs"]
[null,{"$f":"Standards!$E842","v":0},"2.10.3.2.8","Nurse's Room with tea room facility and reference books in shelves"]
[null,{"$f":"Standards!$E843","v":0},"2.10.3.2.9","Doctor's Room with tea room facility and reference books in shelves"]
[null,{"$f":"Standards!$E844","v":0},"2.10.3.2.10","Utility Room with separate dirty and clean linen storage "]
[null,{"$f":"Standards!$E845","v":0},"2.10.3.2.11","Changing Room (Separate for male and female) with adequate number of lockers for staffs’ belongings"]
[null,{"$f":"Standards!$E846","v":0},"2.10.3.2.12","Wash room (Separate for male and female with at least one universal)"]
[null,{"$f":"Standards!$E847","v":0},"2.10.3.2.13","Proper bed area allocated for each bed with supplies "]
[null,{"$f":"Standards!$E848","v":0},"2.10.3.2.14","Lighting: Access to natural light"]
[null,{"$f":"Standards!$E849","v":0},"2.10.3.2.15 ","PICU must have air conditioner to maintain the temperature, humidity and air flow and closed to outer environment"]
[null,{"$f":"Standards!$E850","v":0},"2.10.3.2.16","There should be central oxygen supply and suction"]
[null,{"$f":"Standards!$E851","v":0},"2.10.3.2.17","High illumination spot lighting for procedures, like putting central lines etc."]
[null,{"$f":"Standards!$E852","v":0},"2.10.3.2.18","There must be proper fire extinguishing machines."]
[{"$f":"Standards!$E853","v":0},null,"2.10.3.3","PICU has staffing as per annex. (See Annex 2.10.1b Staffing of Intensive care services At the end of this standard)"]
[{"$f":"Standards!$E854","v":0},null,"2.10.3.4","PICU has adequate equipment and instruments to function adequately (See Annex 2.10.1c Equipment and Instrument for intensive care services At the end of this standard)"]
[null,{"$f":"Standards!$E855","v":0},"2.10.3.5","Duty roster for 24 hours is prepared and placed in visible area for all PICU staffs including doctors and nurses"]
[null,{"$f":"Standards!$E856","v":0},"2.10.3.6.1","PICU must practice given protocols on all given clinical conditions with all staffs in PICU trained in Basic Life Support, Advance Life Support, Critical Care Support, Mechanical Ventilation, Infection prevention, Therapeutic Feeding"]
[null,{"$f":"Standards!$E857","v":0},"2.10.3.6.2","All PICUs must be designed to handle disasters both within PICU and outside the PICU"]
[null,{"$f":"Standards!$E858","v":0},"2.10.3.7.1","Separate sheet tailored for PICU set up is used for continuous monitoring of the patients and e-recording done in standard software approved by MoHP"]
[null,{"$f":"Standards!$E859","v":0},"2.10.3.7.2","Handover and takeover of the patients from ER or other wards is done with patient being received in PICU accompanied by respective ward at least staff nurse or paramedics "]
[null,{"$f":"Standards!$E860","v":0},"2.10.3.7.3","Complications, morbidity and mortality are recorded, reported and proceeded for clinical audit on regular basis (at least weekly)"]
[null,{"$f":"Standards!$E861","v":0},"2.10.3.8.1","10% of beds (1 to 2) should be separated as isolation beds in each PICU"]
[null,{"$f":"Standards!$E862","v":0},"2.10.3.8.2","Hand hygiene protocol developed and followed between each PICU bed with alcohol hand rubs or sanitizer"]
[null,{"$f":"Standards!$E863","v":0},"2.10.3.8.3","Separate space designated for scrub station with running water and liquid soap, elbow lever and hand drier available and functional"]
[null,{"$f":"Standards!$E864","v":0},"2.10.3.8.4","Every neonate must be properly cleaned /wiped everyday by using approved solution."]
[null,{"$f":"Standards!$E865","v":0},"2.10.3.8.5","Use of personal protective equipment while caring each neonate to prevent cross infection."]
[null,{"$f":"Standards!$E866","v":0},"2.10.3.8.6","Waste disposal as per HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E867","v":0},"2.10.3.8.7","Gown and slippers for doctors, nurses, visitors"]
[null,{"$f":"Standards!$E868","v":0},"2.10.3.8.8","Chlorine solution is available and utilized for decontamination"]
[null,{"$f":"Standards!$E869","v":0},"2.10.3.8.9","Cleaning agent and disinfectants for PICU are used in rotation as per SOP"]
[null,{"$f":"Standards!$E870","v":0},"2.10.3.8.10","Microbial bio-burden of PICU is monitored and logbook maintained"]
[null,{"$f":"Standards!$E879","v":0},"2.11.1.1.1.1","Laboratory is open from 10 AM to 5 PM  for routine services and separate emergency lab service available round the clock"]
[{"$f":"Standards!$E880","v":0},null,"2.11.1.1.1.2","Basic investigations are available (See Annex 2.11.1.1a List of investigations for Laboratory At the end of this standard)"]
[null,{"$f":"Standards!$E881","v":0},"2.11.1.1.2.1","Laboratory team is leadcomprised of by pathologist (at least) 3 (one for histocytopathology and hematology, 1 for biochemistry and 1 for microbiology)"]
[null,{"$f":"Standards!$E882","v":0},"2.11.1.1.2.2","At least 12 lab staffs ( 4 medical technologists, 4technicians, 2 assistants and 2 helpers are available during routine lab    "]
[null,{"$f":"Standards!$E883","v":0},"2.11.1.1.2.3","At least 3 staffs (1 Technician, 1 Assistant and 1 Helper) in each shift in emergency lab including staffs in off (Total 12)"]
[null,{"$f":"Standards!$E884","v":0},"2.11.1.1.2.4","On call biomedical engineer available for maintenance of lab equipment"]
[{"$f":"Standards!$E885","v":0},null,"2.11.1.1.3.1","Instruments and equipment to carry out all parameters of tests are available and functioning(See Annex 2.11.1.1b Equipment and Instrument for Lab At the end of this standard)"]
[null,{"$f":"Standards!$E886","v":0},"2.11.1.1.3.2","Instrument are maintained and calibrated as per manufacturer instructions "]
[null,{"$f":"Standards!$E887","v":0},"2.11.1.3.3","Quality control sera and standards are run regularly and record kept"]
[null,{"$f":"Standards!$E888","v":0},"2.11.1.1.4.1","Separate space with working desk and chair designated for specific laboratory procedures like- hematology, biochemistry, microbiology, serology, histopathology and cytology"]
[null,{"$f":"Standards!$E889","v":0},"2.11.1.1.4.2","Light and ventilation are adequately maintained."]
[null,{"$f":"Standards!$E890","v":0},"2.11.1.1.4.3","Designated area well labelled for reception of sample and dispatch of reports "]
[null,{"$f":"Standards!$E891","v":0},"2.11.1.1.4.4","Power back up is available for the lab for preservation of sample and regents"]
[null,{"$f":"Standards!$E892","v":0},"2.11.1.1.5","Duty rosters of lab are developed regularly and available in appropriate location. "]
[null,{"$f":"Standards!$E893","v":0},"2.11.1.1.6.1","Waiting space with sitting arrangement is available for at least 15 persons in waiting lobby."]
[null,{"$f":"Standards!$E894","v":0},"2.11.1.1.6.2","At least one separate toilet for male andfemale and universal toilet for patients using laboratory services"]
[null,{"$f":"Standards!$E895","v":0},"2.11.1.1.6.3","Safe drinking water is available in the waiting lobby throughout the day."]
[null,{"$f":"Standards!$E896","v":0},"2.11.1.1.7.1","Electronic Laboratory Information System (LIS) available "]
[null,{"$f":"Standards!$E897","v":0},"2.11.1.1.7.2","Major instruments are interfaced"]
[null,{"$f":"Standards!$E898","v":0},"2.11.1.1.7.3","Sample is adequately recorded with requisition form with detail information of patients"]
[null,{"$f":"Standards!$E899","v":0},"2.11.1.1.7.4","Copy of computerized report is kept safe for future use at least hard copy (1 year) and soft copies(5 years) and report is available to patient"]
[null,{"$f":"Standards!$E900","v":0},"2.11.1.1.7.5","Report have adequate information of patient and checked by designated person before release"]
[null,{"$f":"Standards!$E901","v":0},"2.11.1.1.8.1","At least three months buffer stock of laboratory supplies is available."]
[null,{"$f":"Standards!$E902","v":0},"2.11.1.1.8.2","Reagents are stored at appropriate temperature in store and lab"]
[null,{"$f":"Standards!$E903","v":0},"2.11.1.1.9","Blood bank should be available inside hospital premises either owned by hospital or Nepal Red Cross Society \n(If hospital has its own blood bank refer to standard 2.11.1.2)"]
[null,{"$f":"Standards!$E904","v":0},"2.11.1.1.10.1","Closed vacuum system is used for sample collection"]
[null,{"$f":"Standards!$E905","v":0},"2.11.1.1.10.2","Biohazard signs and symbols are used at appropriate places visibly"]
[null,{"$f":"Standards!$E906","v":0},"2.11.1.1.10.3","All staffs know how to respond in case of spillage and other incidents"]
[null,{"$f":"Standards!$E907","v":0},"2.11.1.1.10.4","Masks and gloves are available"]
[null,{"$f":"Standards!$E908","v":0},"2.11.1.1.10.5","There are colored bins for waste segregation based on HCWM guideline 2014 (MoHP)  and infectious waste is sterilized using autoclave before disposal"]
[null,{"$f":"Standards!$E909","v":0},"2.11.1.1.10.6","Hand‑washing facility with running water and liquid soap is available for practitioners "]
[null,{"$f":"Standards!$E910","v":0},"2.11.1.1.10.7","Needle cutter is used"]
[null,{"$f":"Standards!$E911","v":0},"2.11.1.1.10.8","Chlorine solution and bleach is available and utilized for decontamination"]
[null,{"$f":"Standards!$E919","v":0}," 2.11.1.2.1","Blood bank is open / facility is available round the clock"]
[null,{"$f":"Standards!$E920","v":0},"2.11.1.2.2","Adequate numbers of trained healthcare workers are available in blood bank (at least 2 blood bank staffs to cover shifts including ER)"]
[null,{"$f":"Standards!$E921","v":0},"2.11.1.2.3.1","Adequate rooms and space for the staffs and patients are available (area of more than 10 meter squares)"]
[null,{"$f":"Standards!$E922","v":0},"2.11.1.2.3.2","Light and ventilation are adequately maintained."]
[{"$f":"Standards!$E923","v":0},null,"2.11.1.2.3.3","The required furniture and supplies are available (See Annex 2.11.1.2a Blood Bank Furniture and Supplies At the end of the standard)"]
[null,{"$f":"Standards!$E924","v":0},"2.11.1.2.3.4","Thermometers are attached to all equipment requiring temperature control and temperatures are recorded daily or temperature sensor based equipment"]
[{"$f":"Standards!$E925","v":0},null,"2.11.1.2.4","Instruments and equipment are calibrated, available and functioning with record of smear kept (See Annex 2.11.1.2b Equipment and Instrument for Blood Bank At the end of the standard)"]
[null,{"$f":"Standards!$E926","v":0},"2.11.1.2.5","Duty rosters of lab are developed regularly and available in appropriate location. "]
[null,{"$f":"Standards!$E927","v":0},"2.11.1.2.6.1","Comfortable waiting space with sitting arrangement is available for at least 10 persons in waiting lobby."]
[null,{"$f":"Standards!$E928","v":0},"2.11.1.2.6.2","Safe drinking water is available in the waiting lobby throughout the day."]
[null,{"$f":"Standards!$E929","v":0},"2.11.1.2.7.1","Sample is adequately recorded with requisition form with detail information of patients"]
[null,{"$f":"Standards!$E930","v":0},"2.11.1.2.7.2","Standard reporting sheets are being used and all reports are recorded in a standard register or NBBTS software and computerized bill available to patients"]
[null,{"$f":"Standards!$E931","v":0},"2.11.1.2.7.3","Report have adequate information of patient and checked by designated person before release"]
[null,{"$f":"Standards!$E932","v":0},"2.11.1.2.7.3","BTSC submits regular reports to NPHL/NBBTS of provided proficiency panels related to TTIs"]
[null,{"$f":"Standards!$E933","v":0},"2.11.1.2.8.1","At least three months buffer stock of laboratory supplies is available."]
[null,{"$f":"Standards!$E934","v":0},"2.11.1.2.8.2","Blood bags, transfusion sets, blood and blood components, reagents are stored at appropriate temperature in store and lab"]
[null,{"$f":"Standards!$E935","v":0},"2.11.1.2.9.1","Biohazard signs and symbols are used at appropriate places"]
[null,{"$f":"Standards!$E936","v":0},"2.11.1.2.9.2","All staffs know how to respond in case of spillage and other incidents"]
[null,{"$f":"Standards!$E937","v":0},"2.11.1.2.9.3","Masks and gloves are available"]
[null,{"$f":"Standards!$E938","v":0},"2.11.1.2.9.4","Bio-waste disposal is done based on HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E939","v":0},"2.11.1.2.9.5","Hand‑washing facility with running water and soap is available for practitioners "]
[null,{"$f":"Standards!$E940","v":0},"2.11.1.2.9.6","Needle cutter is used"]
[null,{"$f":"Standards!$E941","v":0},"2.11.1.2.9.7","Chlorine solution and bleach is available and utilized for decontamination"]
[null,{"$f":"Standards!$E948","v":0},"2.11.2.1.1","X-ray service is open from 10 AM to 3 PM "]
[null,{"$f":"Standards!$E949","v":0},"2.11.2.1.2","Emergency x-ray service is available round the clock"]
[null,{"$f":"Standards!$E950","v":0},"2.11.2.2.1","Adequate number of radiographer/radiographer technologists are available in x-ray (at least 10 staffs to cover shifts including ER along with two helpers) "]
[null,{"$f":"Standards!$E951","v":0},"2.11.2.2.2","At least two radiologist are available"]
[null,{"$f":"Standards!$E952","v":0},"2.11.2.3","Counseling is provided to patients about radiation hazard, site and position for x-ray"]
[null,{"$f":"Standards!$E953","v":0},"2.11.2.4","Radiation sign, appropriate Radiation awareness posters, leaflets are available in the department and OPD waiting area."]
[null,{"$f":"Standards!$E954","v":0},"2.11.2.5","At least two (four in hospital with OPD patient of more than 1500 per day) General X ray unit (with minimum 125KV and\n300ma X-ray machine) with floatation table top and vertical bucky 4 view box at the reporting site"]
[null,{"$f":"Standards!$E955","v":0},"2.11.2.6","Mobile X ray unit 1 for bed side radiography for inpatient is available and functioning."]
[null,{"$f":"Standards!$E956","v":0},"2.11.2.7","Complete CR system with CR cassette at least 5 of 14 x 17 inch   and 3 of 10x12inch."]
[null,{"$f":"Standards!$E957","v":0},"2.11.2.8.1","X ray room of at least 4x4sqm with wall of at least 23cm of brick or 6cm RCC or 2mm lead equivalent."]
[null,{"$f":"Standards!$E958","v":0},"2.11.2.8.2","Light and ventilation are adequately maintained."]
[null,{"$f":"Standards!$E959","v":0},"2.11.2.8.3","The required furniture  and supplies including radiation protective measures for patients, visitors and staffs are available including lead gown"]
[null,{"$f":"Standards!$E960","v":0},"2.11.2.8.4","Radiation dose measuring devices should be there for operator."]
[null,{"$f":"Standards!$E961","v":0},"2.11.2.9","Duty rosters of X-ray are developed regularly and available in appropriate location. "]
[null,{"$f":"Standards!$E962","v":0},"2.11.2.10","Waiting space with sitting arrangement is available for at least 5 persons in waiting lobby."]
[null,{"$f":"Standards!$E963","v":0},"2.11.2.11.1","X-ray is adequately recorded as per requisition form with detail information of patients, date of x-ray and site and view"]
[null,{"$f":"Standards!$E964","v":0},"2.11.2.11.2","Report have adequate information of patient and checked by designated person before release"]
[null,{"$f":"Standards!$E965","v":0},"2.11.2.12","Biohazard signs and symbols are used at appropriate places"]
[null,{"$f":"Standards!$E966","v":0},"2.11.2.12.1","Radiological waste is disposed based on HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E967","v":0},"2.11.2.12.2","Hand‑washing facility with running water and soap is available for practitioners "]
[null,{"$f":"Standards!$E968","v":0},"2.11.2.12.3","Needle cutter is used"]
[null,{"$f":"Standards!$E969","v":0},"2.11.2.12.4","Chlorine solution and bleach is available and utilized for decontamination"]
[null,{"$f":"Standards!$E977","v":0},"2.11.3.1","USG is open from 10 AM to 3 PM for obstetrics, abdominal, pelvic and superficial structure like testis, thyroid"]
[null,{"$f":"Standards!$E978","v":0},"2.11.3.2","Four (4) radiologist and 2 HA/SN in each USG room with one helper"]
[null,{"$f":"Standards!$E979","v":0},"2.11.3.3","Counseling is provided to patients about site and indication of USG"]
[null,{"$f":"Standards!$E980","v":0},"2.11.3.4","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)"]
[null,{"$f":"Standards!$E981","v":0},"2.11.3.5","At least 3 (five in OPD patient flow more than 1500) USG machine (advanced) with back up power supply at least for half an hour along with\ndifferent probes (at least one should have 3D/4D probe, computer and printer with USG papers, gel and wipes is available and functional"]
[null,{"$f":"Standards!$E982","v":0},"2.11.3.6.1"," Adequate space for practitioner and patient for USG with working table and examination bed one per each USG machine"]
[null,{"$f":"Standards!$E983","v":0},"2.11.3.6.2","Proper light and ventilation maintained."]
[null,{"$f":"Standards!$E984","v":0},"2.11.3.7","Comfortable waiting space with sitting arrangement is available for at least 15 persons in waiting lobby."]
[null,{"$f":"Standards!$E985","v":0},"2.11.3.8.1","USG is adequately recorded as per requisition form with detail information of patients, date of USG"]
[null,{"$f":"Standards!$E986","v":0},"2.11.3.8.2","Report have adequate information of patient, information of area of examination and radiological opinion, further referral and checked by designated person before release"]
[null,{"$f":"Standards!$E987","v":0},"2.11.3.9.1","Hand‑washing facility with running water and soap is available for practitioners"]
[null,{"$f":"Standards!$E988","v":0},"2.11.3.9.2","Chlorine solution and bleach is available and utilized for decontamination"]
[null,{"$f":"Standards!$E994","v":0},"2.11.4.1.1","CT Scan service is open from 10 AM to 3 PM and appointments date given"]
[null,{"$f":"Standards!$E995","v":0},"2.11.4.1.2","Emergency CT Scan service is available round the clock"]
[null,{"$f":"Standards!$E996","v":0},"2.11.4.2.1","Adequate number of radiographic technologists are available in CT scan (at least 6 staffs to cover shifts including ER along with two helpers) under supervision of Radiologists"]
[null,{"$f":"Standards!$E997","v":0},"2.11.4.2.2","Three (3) Radiologist are available"]
[null,{"$f":"Standards!$E998","v":0},"2.11.4.3","Counseling is provided to patients about radiation hazard, site and position for CT Scan and assessed for claustrophobia"]
[null,{"$f":"Standards!$E999","v":0},"2.11.4.4","Radiation sign, appropriate Radiation awareness posters, leaflets are available in the department and OPD waiting area."]
[null,{"$f":"Standards!$E1000","v":0},"2.11.4.5","At least 1 CT Scan Machine (at least two in OPD patient 1000 to 2000 and at least three if more than 2000 patient flow in OPD) (at least 128 slice) back up power supply at least for half an hour available   "]
[null,{"$f":"Standards!$E1001","v":0},"2.11.4.6.1","CT Scan room of at least 16x20 feet with wall of at least 23cm of brick or 6cm RCC or 2mm lead equivalent and control room of 10x 12 feet"]
[null,{"$f":"Standards!$E1002","v":0},"2.11.4.6.2","Light and ventilation are adequately maintained with help of air conditioner and exhaust fans."]
[null,{"$f":"Standards!$E1003","v":0},"2.11.4.6.3","The required furniture  and supplies including radiation protective measures for patients,, visitors and staffs are available including magnetic gown"]
[null,{"$f":"Standards!$E1004","v":0},"2.11.4.6.4","There should be central oxygen supply and suction "]
[null,{"$f":"Standards!$E1005","v":0},"2.11.4.7","Duty rosters for CT Scan service are developed regularly and available in appropriate location. "]
[null,{"$f":"Standards!$E1006","v":0},"2.11.4.8.1","Comfortable waiting space with sitting arrangement is available for at least 5 persons in waiting lobby."]
[null,{"$f":"Standards!$E1007","v":0},"2.11.4.8.2","Safe drinking water is available in the waiting lobby throughout the day."]
[null,{"$f":"Standards!$E1008","v":0},"2.11.4.9.1","CT Scan is adequately recorded as per requisition form with detail information of patients, date of Ct Scan and site and view"]
[null,{"$f":"Standards!$E1009","v":0},"2.11.4.9.2","Report have adequate information of patient, radiological diagnosis of CT Scan and checked by radiologist designated person before release"]
[null,{"$f":"Standards!$E1010","v":0},"2.11.4.10","Biohazard signs and symbols are used at appropriate places"]
[null,{"$f":"Standards!$E1011","v":0},"2.11.4.11.1","Radiological waste is disposed based on HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E1012","v":0},"2.11.4.11.2","Hand‑washing facility with running water and soap is available for practitioners "]
[null,{"$f":"Standards!$E1013","v":0},"2.11.4.11.3","Needle cutter is used"]
[null,{"$f":"Standards!$E1014","v":0},"2.11.4.11.4","Chlorine solution and bleach is available and utilized for decontamination"]
[null,{"$f":"Standards!$E1020","v":0},"2.11.5.1.1","MRI Scan service is open from 10 AM to 3 PM and appointments date given"]
[null,{"$f":"Standards!$E1021","v":0},"2.11.5.1.2","Emergency MRI Scan service is available round the clock"]
[null,{"$f":"Standards!$E1022","v":0},"2.11.5.2.1","Adequate number of radiographic technologists are available for MRI scan (at least 3 staffs to cover shifts including ER along with two helpers) under supervision of Radiologists"]
[null,{"$f":"Standards!$E1023","v":0},"2.11.5.2.2","3 Radiologist are available"]
[null,{"$f":"Standards!$E1024","v":0},"2.11.5.3","Counseling is provided to patients about site and position for MRI scan and assessed for claustrophobia"]
[null,{"$f":"Standards!$E1025","v":0},"2.11.5.4.1","MRI of at least one of 1.5T (at least two in OPD patient 1000 to 2000 and at least three if more than 2000 patient flow in OPD) with basic and angiographic facility. Breast MRI facility should be available."]
[null,{"$f":"Standards!$E1026","v":0},"2.11.5.4.2","Availability of digitalized 4 view box in reporting room"]
[null,{"$f":"Standards!$E1027","v":0},"2.11.5.4.3","Emergency medicine (Specify in Annexes), cannula, catheter along with bag and mask and oxygen supply facility should be available"]
[null,{"$f":"Standards!$E1028","v":0},"2.11.5.5.1","MRI suites should have 3 rooms (scan room, equipment room and console room) Scan room should be at least 21x31 feet, equipment room of 11x11 feet and console of 12x8 feet. Height of scan room of should be 8 feet"]
[null,{"$f":"Standards!$E1029","v":0},"2.11.5.5.2","Separate dress changing room for patient and reporting room for doctors should be available"]
[null,{"$f":"Standards!$E1030","v":0},"2.11.5.5.3","MRI scan machine should have backup power supply with minimum of half an hour backup for the machine and 24 hours back up power supply for chiller"]
[null,{"$f":"Standards!$E1031","v":0},"2.11.5.5.4","MRI room should equipped with central oxygen supply and MRI compatible suction machine"]
[null,{"$f":"Standards!$E1032","v":0},"2.11.5.6","Duty rosters for MRI scan service are developed regularly and available in appropriate location."]
[null,{"$f":"Standards!$E1033","v":0},"2.11.5.7.1","Comfortable waiting space with sitting arrangement is available for at least 5 persons in waiting lobby."]
[null,{"$f":"Standards!$E1034","v":0},"2.11.5.7.2","Safe drinking water is available in the waiting lobby throughout the day."]
[null,{"$f":"Standards!$E1035","v":0},"2.11.5.8.1","Reporting and recording should be in digitalized form. Report have adequate information of patient and be signed by radiologist before release"]
[null,{"$f":"Standards!$E1036","v":0},"2.11.5.8.2","Risk and high risk consent form must be signed before injecting contrast and signed form should be filed"]
[null,{"$f":"Standards!$E1037","v":0},"2.11.5.9.1","Radiological waste is disposed based on HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E1038","v":0},"2.11.5.9.2","Hand‑washing facility with running water and soap is available for practitioners"]
[null,{"$f":"Standards!$E1039","v":0},"2.11.5.9.3","Needle cutter is used"]
[null,{"$f":"Standards!$E1040","v":0},"2.11.5.9.4","Chlorine solution and bleach is available and utilized for decontamination"]
[null,{"$f":"Standards!$E1048","v":0},"2.11.6.1","ECG service is available for patients in OPD, Emergency and Indoor  "]
[null,{"$f":"Standards!$E1049","v":0},"2.11.6.2","ECG trained health service provider is available"]
[null,{"$f":"Standards!$E1050","v":0},"2.11.6.3","Separate space is dedicated for ECG Service"]
[null,{"$f":"Standards!$E1051","v":0},"2.11.6.4","Counseling is provided to patients about procedure and indication of ECG"]
[null,{"$f":"Standards!$E1052","v":0},"2.11.6.5","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)"]
[null,{"$f":"Standards!$E1053","v":0},"2.11.6.6","Functional ECG machine (12 lead with power back up), paper, gel, wipes and hand sanitizer are available in ECG trolley "]
[null,{"$f":"Standards!$E1054","v":0},"2.11.6.7.1","ECG is adequately recorded as per requisition form with detail information of patients, date of ECG"]
[null,{"$f":"Standards!$E1055","v":0},"2.11.6.7.2","Reporting folder of ECG should have adequate information of patient, including analysis of 12 lead ECG with final impression of ECG diagnosis done by cardiologist person before release"]
[null,{"$f":"Standards!$E1056","v":0},"2.11.6.8.1","Hand‑washing facility with running water and liquid soap is available for practitioners"]
[null,{"$f":"Standards!$E1057","v":0},"2.11.6.8.2","Chlorine solution and bleach is available and utilized for decontamination"]
[null,{"$f":"Standards!$E1064","v":0},"2.11.7.1.1","Echo service is available from 10 AM to 3 PM  "]
[null,{"$f":"Standards!$E1065","v":0},"2.11.7.1.2","Emergency Echo is available round the clock (optional)"]
[null,{"$f":"Standards!$E1066","v":0},"2.11.7.2","Cardiologist is available for Echo service with at least one mid-level health worker and helper assigned in Echo"]
[null,{"$f":"Standards!$E1067","v":0},"2.11.7.3","Counseling is provided to patients about procedure and indication of Echo"]
[null,{"$f":"Standards!$E1068","v":0},"2.11.7.4","Functional Echo machine (2D, M-mode, color doppler), computer and printer with Echo papers, gel, wipes and hand sanitizer are available  "]
[null,{"$f":"Standards!$E1069","v":0},"2.11.7.5.1","Separate space allocated for Echo with changing room and patients’ gown"]
[null,{"$f":"Standards!$E1070","v":0},"2.11.7.5.2","Proper light and ventilation are adequately maintained"]
[null,{"$f":"Standards!$E1071","v":0},"2.11.7.5.3","Echo examination bed with mattress and bed cover and pillow with curtains for privacy of patients"]
[null,{"$f":"Standards!$E1072","v":0},"2.11.7.6.1","Echo is adequately recorded as per requisition form with detail information of patients, date of echo and echo diagnosis"]
[null,{"$f":"Standards!$E1073","v":0},"2.11.7.6.2","Report have adequate information of patient and checked by designated person before release"]
[null,{"$f":"Standards!$E1074","v":0},"2.11.7.7.1","Hand‑washing facility with running water and soap is available for practitioners"]
[null,{"$f":"Standards!$E1075","v":0},"2.11.7.7.2","Chlorine solution and bleach is available and utilized"]
[null,{"$f":"Standards!$E1081","v":0},"2.11.8.1","Treadmill (TMT) service is available from 10 AM to 3 PM"]
[null,{"$f":"Standards!$E1082","v":0},"2.11.8.2","At least one trained medical officer / cardiologist and one mid-level health worker is allocated for TMT service"]
[null,{"$f":"Standards!$E1083","v":0},"2.11.8.3","Counseling is provided to patients about procedure, indication and anticipated complication during TMT as well as to modify the routine cardiac medications as per TMT protocol."]
[null,{"$f":"Standards!$E1084","v":0},"2.11.8.4.1","Functional TMT machine with display monitor and printer, paper, ECG lead, wipes and hand sanitizer are available "]
[{"$f":"Standards!$E1085","v":0},null,"2.11.8.4.2","Emergency trolley with emergency drugs and supplies readily available (See Annex 2.11.8a Emergency Trolley TMT At the end of this standard) "]
[null,{"$f":"Standards!$E1086","v":0},"2.11.8.4.3","Synchronized Defibrillator is available in TMT room"]
[null,{"$f":"Standards!$E1087","v":0},"2.11.8.4.4","Injection Dobutamine available for Stress TMT"]
[null,{"$f":"Standards!$E1088","v":0},"2.11.8.5.1","Separate room allocated for TMT with changing room, gown for patient and locker for patients’ belongings"]
[null,{"$f":"Standards!$E1089","v":0},"2.11.8.5.2","Light and ventilation are adequately maintained."]
[null,{"$f":"Standards!$E1090","v":0},"2.11.8.6.1","TMT is adequately recorded as per requisition form with detail information of patients, date of TMT "]
[null,{"$f":"Standards!$E1091","v":0},"2.11.8.6.2","TMT report should have adequate information of patient, achievement of target heart rate, blood pressure response with exercise, any ECG changes, any complication observed during exercise and recovery period and checked by designated person before release"]
[null,{"$f":"Standards!$E1092","v":0},"2.11.8.7.1","Hand‑washing facility with running water and liquid soap is available for practitioners"]
[null,{"$f":"Standards!$E1093","v":0},"2.11.8.7.2","Chlorine solution and bleach is available and utilized for decontamination"]
[null,{"$f":"Standards!$E1100","v":0},"2.11.9.1. 1","Endoscopy service is available from 10 AM to 3 PM  "]
[null,{"$f":"Standards!$E1101","v":0},"2.11.9.1. 2","Emergency endoscopy is available round the clock"]
[null,{"$f":"Standards!$E1102","v":0},"2.11.9.2.1","Separate room designated for endoscopy with adjustable patient bed, head adjustable recovery bed, working chair for practitioner and working table with at least two chairs"]
[null,{"$f":"Standards!$E1103","v":0},"2.11.9.2.2","Scopes hanging area for storage. (covered cupboards/ shelves)"]
[null,{"$f":"Standards!$E1104","v":0},"2.11.9.2.3","Proper light and ventilation maintained"]
[null,{"$f":"Standards!$E1105","v":0},"2.11.9.3.1","Physician/ surgeons having endoscopic training or Gastroenterologist or hepatologist or gastrointestinal surgeons with at least 2 Trained endoscopic nurse/paramedic designated for endoscopy room"]
[null,{"$f":"Standards!$E1106","v":0},"2.11.9.3.2","One mid-level trained health worker for record keeping, booking, and report dispatch , counselling before procedure"]
[null,{"$f":"Standards!$E1107","v":0},"2.11.9.4","Counseling is provided to patients about procedure and indication of Endoscopy with possible complications"]
[null,{"$f":"Standards!$E1108","v":0},"2.11.9.5.1","Functional Video-endoscopy machine with attachable gastroscope and colonscope; bronchoscope (optional) with cardiac monitor available "]
[null,{"$f":"Standards!$E1109","v":0},"2.11.9.5.2","Portable Diathermy machine with cautery wires for endoscopic procedure standard."]
[{"$f":"Standards!$E1110","v":0},null,"2.11.9.5.3","Emergency trolley with emergency drugs and supplies readily available  (See Annex 2.11.9a  Emergency Trolley Endoscopy At the end of this standard)"]
[null,{"$f":"Standards!$E1111","v":0},"2.11.9.6.1","Recording and printing system (computer, color printer with capture card and reporting software for UGI endoscopy, colonoscopy)"]
[null,{"$f":"Standards!$E1112","v":0},"2.11.9.6.2","Endoscopy report is adequately recorded as per requisition form with detail information of patients, date of endoscopy and pictures attached"]
[null,{"$f":"Standards!$E1113","v":0},"2.11.9.6.3","Report have adequate information of patient, visibly printed pictures captured during endoscopy, endoscopic observation of structure, diagnosis and relevant endoscopic procedures performed and complications observed if any and checked by designated person before release"]
[null,{"$f":"Standards!$E1114","v":0},"2.11.9.7.1","Hand‑washing facility with running water and soap is available for practitioners"]
[null,{"$f":"Standards!$E1115","v":0},"2.11.9.7.2","Personal protective equipment including utility gloves and boots available and used"]
[null,{"$f":"Standards!$E1116","v":0},"2.11.9.7.3","Separate tubs for washing, disinfection and final cleaning of the scopes available  and used"]
[null,{"$f":"Standards!$E1117","v":0},"2.11.9.7.4","Automatic / semi auto cleaning system for scopes (external and internal surfaces) available and used"]
[null,{"$f":"Standards!$E1118","v":0},"2.11.9.7.5","Disinfectant solution (gluteraldehyde) and Citezyme solution for enzymatic cleaning of scopes available and used"]
[null,{"$f":"Standards!$E1119","v":0},"2.11.9.7.6","Chlorine solution and bleach is available and utilized for decontamination (*not for scopes)"]
[null,{"$f":"Standards!$E1126","v":0},"2.11.10.1","Audiometry service is available from 10 AM to 3 PM"]
[null,{"$f":"Standards!$E1127","v":0},"2.11.10.2","ENT specialist is available for performing audiometry"]
[null,{"$f":"Standards!$E1128","v":0},"2.11.10.3","Counseling is provided to patients about procedure and indication of audiometry and explain patient about the examination booth"]
[null,{"$f":"Standards!$E1129","v":0},"2.11.10.4","Functional Audiometer with power supply and response switch, headphones, earphones with audiometric calibration stand and 500g weight and audiometer patch cords available"]
[null,{"$f":"Standards!$E1130","v":0},"2.11.10.5.1"," Separate room allocated for audiometry with a special booth made of acoustic medium is available with custom-built triangular table with the audiometer on top and the computer tower beneath and an area outside booth for working area for technologist"]
[null,{"$f":"Standards!$E1131","v":0},"2.11.10.5.2","Sound dampening materials on the interior walls of the exam room and a rubber seal on the hallway door"]
[null,{"$f":"Standards!$E1132","v":0},"2.11.10.5.3","Light and ventilation are adequately maintained."]
[null,{"$f":"Standards!$E1133","v":0},"2.11.10.6.1","Computer available for recording and reporting of the test results"]
[null,{"$f":"Standards!$E1134","v":0},"2.11.10.6.2","Audiometry is adequately recorded as per requisition form with detail information of patients and diagnosis"]
[null,{"$f":"Standards!$E1135","v":0},"2.11.10.6.3","Report have adequate information of patient, results of audiometry and advices for further hearing related treatment and checked by designated person before release"]
[null,{"$f":"Standards!$E1136","v":0},"2.11.10.7.1","Hand‑washing facility with running water and soap is available for practitioners"]
[null,{"$f":"Standards!$E1137","v":0},"2.11.10.7.2","Chlorine solution and bleach is available and utilized"]
[null,{"$f":"Standards!$E1144","v":0},"2.12.1.1.2","Designated area for mortuary room, changing room and store room and bathroom"]
[null,{"$f":"Standards!$E1145","v":0},"2.12.1.1.2","Body dissection table (at least one) is available and used"]
[null,{"$f":"Standards!$E1146","v":0},"2.12.1.1.3","Organ dissection table (at least one) is available and used"]
[null,{"$f":"Standards!$E1147","v":0},"2.12.1.1.4","Adequate ventilation and light and odor management"]
[null,{"$f":"Standards!$E1148","v":0},"2.12.1.1.5","Water supply with spray is available in the designated space (mortuary table)"]
[null,{"$f":"Standards!$E1149","v":0},"2.12.1.2","Examination of the dead body in any unnatural death and suspicious death (Post-mortem examination or autopsy) available from 9 am to 5pm"]
[null,{"$f":"Standards!$E1150","v":0},"2.12.1.3","At least one MD forensic and one trained medical officer for autopsy and clinical medico-legal services"]
[{"$f":"Standards!$E1151","v":0},null,"2.12.1.4","Adequate supplies and instruments for forensic services (See Annex 2.12.1a Supplies and instrument for post mortem At the end of this standard)"]
[null,{"$f":"Standards!$E1152","v":0},"2.12.1.5","Mortuary van is available 24 hours (at least one)"]
[null,{"$f":"Standards!$E1153","v":0},"2.12.1.6","Standardized medico-legal examination formats available"]
[null,{"$f":"Standards!$E1154","v":0},"2.12.1.7.1 ","Staff wear mask and gloves at work."]
[null,{"$f":"Standards!$E1155","v":0},"2.12.1.7.2","There are colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E1156","v":0}," 2.12.1.7.3","Hand‑washing facility with running water and soap is available and being practiced."]
[null,{"$f":"Standards!$E1157","v":0}," 2.7.11.4","Chlorine solution is available and utilized. "]
[null,{"$f":"Standards!$E1158","v":0}," 2.12.1.7.5","Proper disposal of anatomical waste in placenta pit after autoclaving"]
[null,{"$f":"Standards!$E1166","v":0},"2.12.2.1","Designated area for medico-legal examination with examination bed and working desk with chair"]
[null,{"$f":"Standards!$E1167","v":0},"2.12.2.2.1","Medico-legal services are available 24 hours "]
[null,{"$f":"Standards!$E1168","v":0},"2.12.2.2.2","Injury examination and reporting in cases of physical assaults, attempted murder, sexual offenses (victim and accused), metal status examination, torture victim examination and  drunkenness examination and at least one examination bed allocated for it"]
[null,{"$f":"Standards!$E1169","v":0},"2.12.2.3","At least one MD forensic and one trained medical officer for autopsy and clinical medico-legal services"]
[{"$f":"Standards!$E1170","v":0},null,"2.12.2.4.1","Adequate supplies and instruments for medico-legal services (See Annex 2.12.2a Supplies and instrument for medico legal services At the end of this standard)"]
[null,{"$f":"Standards!$E1171","v":0},"2.12.2.4.2","Preservation of sample ensured before dispatching for test"]
[null,{"$f":"Standards!$E1172","v":0},"2.12.2.5","Post-traumatic counseling is done to the victims of medico-legal issues like sexual offence"]
[null,{"$f":"Standards!$E1173","v":0},"2.12.2.6","Standardized medico-legal examination formats available"]
[null,{"$f":"Standards!$E1174","v":0},"2.12.2.7.1","Staff wears mask and gloves at work."]
[null,{"$f":"Standards!$E1175","v":0},"2.12.2.7.2","There are well labelled colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E1176","v":0},"2.12.2.7.3","Hand‑washing facility with running water and soap is available and being practiced."]
[null,{"$f":"Standards!$E1177","v":0},"2.12.2.7.4","Chlorine solution is available and utilized. "]
[null,{"$f":"Standards!$E1184","v":0},"2.13.1.","Quarterly meeting minute of coordination committee"]
[null,{"$f":"Standards!$E1185","v":0}," 2.13.2","Monthly meeting minute of case management committee"]
[null,{"$f":"Standards!$E1186","v":0},"2.13.3.1","Prioritized services for GBV victims/survivors exits"]
[null,{"$f":"Standards!$E1187","v":0},"2.13.3.2","Treatment for GBV survivors/affected by GBV is available 24 hours "]
[{"$f":"Standards!$E1188","v":0},null,"2.13.4","Separate space allocated for OCMC services with adequate physical facilities (See Annex 2.13a Physical facilities for OCMC At the end of this standard)"]
[null,{"$f":"Standards!$E1189","v":0},"2.13.5.1","At least one Medical officer working in the hospital trained in medico-legal issues is available"]
[null,{"$f":"Standards!$E1190","v":0}," 2.13.5.2","At least two Staff nurse working in the hospital, 1 trained psycho social counselor and one helper"]
[{"$f":"Standards!$E1191","v":0},null," 2.13.6.1","Health check-up, medico-legal examination including documentation (See Annex2.13b  Instruments and supplies for treatment in OCMC At the end of this standard)"]
[{"$f":"Standards!$E1192","v":0},null," 2.13.6.2","Preservation of samples as legal evidence done for future use (See Annex 2.13c Instruments and supplies for evidence collection in OCMC At the end of this standard)"]
[null,{"$f":"Standards!$E1193","v":0}," 2.13.6.3","Pregnancy test and emergency contraceptive services, tests for HIV/HBV available"]
[null,{"$f":"Standards!$E1194","v":0},"2.13.7.1","Whole site orientation on GBV clinical protocol conducted "]
[null,{"$f":"Standards!$E1195","v":0},"2.13.7.2","Availability and use of the treatment as per the protocol and OCMC guideline"]
[null,{"$f":"Standards!$E1196","v":0},"2.13.8.1","Mental health and psychosocial counselling services available"]
[null,{"$f":"Standards!$E1197","v":0}," 2.13.8.2","If the female survivor requires to stay more days or requires advance psychosocial counseling including livelihood training, she/he shall be referred to nearby appropriate safe home/ rehabilitation centers"]
[null,{"$f":"Standards!$E1198","v":0}," 2.13.9.1","Provide required referral and other services (as per the health service guideline and protocol). (Beyond health: security, legal, shelter, rehabilitation)"]
[null,{"$f":"Standards!$E1199","v":0},"2.13.9.2","Health related referral services e.g. Safe abortion services "]
[null,{"$f":"Standards!$E1200","v":0}," 2.13.10.1","Detailed information concerning the services being provided by OCMC to the survivors of GBV (Citizen charter, leaflets, community radio etc) "]
[null,{"$f":"Standards!$E1201","v":0}," 2.13.10.2","Information is being given in an integrated manner ( Safe home related, OCMC, Police women children service unit)"]
[null,{"$f":"Standards!$E1202","v":0},"2.13.11.1","Details of the events registered in the OCMC, services (health and non-health) being provided to the survivors, listing of the referred organizations shall be documented to be classified and analyzed in due course.   "]
[null,{"$f":"Standards!$E1203","v":0}," 2.13.11.2","Confidentiality shall be maintained at all stages of documentation."]
[null,{"$f":"Standards!$E1204","v":0}," 2.13.11.3","Report to concerned authority (DCC and MoHP)  in monthly report service format"]
[null,{"$f":"Standards!$E1205","v":0},"2.13.11.4","Documentation of the current status of GBV survivors of at least last 1 year is done "]
[null,{"$f":"Standards!$E1206","v":0}," 2.13.12.1","Masks and gloves are available and used"]
[null,{"$f":"Standards!$E1207","v":0}," 2.13.12.2","There are colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E1208","v":0},"2.13.12.3","Hand‑washing facility with running water and soap is available for practitioners."]
[null,{"$f":"Standards!$E1209","v":0},"2.13.12.4","Needle cutter  is used."]
[null,{"$f":"Standards!$E1210","v":0},"2.13.12.5","Chlorine solution is available and utilized. "]
[null,{"$f":"Standards!$E1217","v":0},"2.14.1","Separate room for OPD physiotherapy with at least 15 physiotherapy beds ( 8 exercise beds and 7 electric beds)"]
[null,{"$f":"Standards!$E1218","v":0},"2.14.2.1 ","Physiotherapy OPD is open from 10 AM to 3 PM."]
[null,{"$f":"Standards!$E1219","v":0}," 2.14.2.2","Inpatient physiotherapy service is available based on the requisition"]
[null,{"$f":"Standards!$E1220","v":0}," 2.14.3","At least 3 physiotherapist trained in Masters in Physiotherapy (MPT) (one orthopedics, one cardiac and one neurology specialty), 6 trained in Bachelors in Physiotherapy (BPT),and 3 Certificate in physiotherapy (CPT) or Diploma in physiotherapy  (DPT) and 1 trained office assistant treating at least  40 patients per day on OPD basis"]
[null,{"$f":"Standards!$E1221","v":0},"2.14.3.1","Duty roster prepared for a month to cover 24 hours service"]
[null,{"$f":"Standards!$E1222","v":0},"2.14.4","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)."]
[null,{"$f":"Standards!$E1223","v":0}," 2.14.5","Counseling is provided to patients about the type of treatment being given and its consequences."]
[null,{"$f":"Standards!$E1224","v":0},"2.14.6","Appropriate IEC/BCC materials (posters, leaflets etc.) are available in the OPD waiting area."]
[{"$f":"Standards!$E1225","v":0},null,"2.14.7","Instruments and equipment to carry out the Physiotherapy works are available and functioning (See Annex 2.14a Instruments and equipment physiotherapy At the end of this standard)."]
[null,{"$f":"Standards!$E1226","v":0},"2.14.8.1","Adequate rooms and space for the practitioners and patients are available."]
[null,{"$f":"Standards!$E1227","v":0},"2.14.8.2","Light and ventilation are adequately maintained."]
[null,{"$f":"Standards!$E1228","v":0},"2.14.9","Duty rosters of OPD are developed regularly and available in appropriate location."]
[null,{"$f":"Standards!$E1229","v":0},"2.14.10.1","Safe drinking water is available in the waiting lobby throughout the day."]
[null,{"$f":"Standards!$E1230","v":0},"2.14.10.2","Hand‑washing facilities are available for patients."]
[null,{"$f":"Standards!$E1231","v":0},"2.14.11.1","Recording and reporting throughout treatment and follow up is done"]
[null,{"$f":"Standards!$E1232","v":0},"2.14.12.1","Masks and gloves are available and used"]
[null,{"$f":"Standards!$E1233","v":0},"2.14.12.2","There are colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E1234","v":0},"2.14.12.3","Hand‑washing facility with running water and soap is available for practitioners."]
[null,{"$f":"Standards!$E1235","v":0},"2.14.12.4","Needle cutter is used"]
[null,{"$f":"Standards!$E1236","v":0},"2.14.12.5","Chlorine solution is available and utilized. "]
[null,{"$f":"Standards!$E1244","v":0},"2.15.1","Separate space allocated for Dietetics and Nutrition rehabilitation "]
[null,{"$f":"Standards!$E1245","v":0},"2.15.2.1","Dietetics and Nutrition rehabilitation unit opens from 10 am to 3 pm"]
[null,{"$f":"Standards!$E1246","v":0},"2.15.2.2","Inpatients monitored for nutritional needs, rehabilitation and therapeutic diets prescribed where needed"]
[null,{"$f":"Standards!$E1247","v":0},"2.15.3","1 Senior dietitian (Masters in Nutrition & Dietetics with hospital internship, or Bachelors in Nutrition & Dietetics with one year's hospital experience), 1 dietetic assistant and 1 mid-level health workers trained in nutrition rehabilitation available for the dietetics and nutrition rehabilitation service"]
[null,{"$f":"Standards!$E1248","v":0},"2.15.4","Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients, etc)."]
[null,{"$f":"Standards!$E1249","v":0},"2.15.5","Counseling is provided to patients about their nutritional status, diet prescription/ nutritional rehabilitation, use of local food as sources of the diet required and follow up"]
[null,{"$f":"Standards!$E1250","v":0},"2.15.6","Appropriate IEC materials (posters, leaflets etc.) are available in waiting area on balanced diet and identification of malnutrition specially among children"]
[null,{"$f":"Standards!$E1251","v":0},"2.15.7","Instruments and equipment to carry out the OPD works are available and functioning"]
[null,{"$f":"Standards!$E1253","v":0},"2.15.8.1","Separate space assigned for inpatient nutrition stabilization"]
[null,{"$f":"Standards!$E1254","v":0},"2.15.8.2","Trained staffs assigned for inpatient nutrition stabilization"]
[null,{"$f":"Standards!$E1255","v":0},"2.15.8.3","Instruments, equipment and supplies needed for inpatient stabilization center available and functional "]
[null,{"$f":"Standards!$E1256","v":0},"2.15.8.4","Adequate rooms and space for the practitioners and patients are available."]
[null,{"$f":"Standards!$E1257","v":0},"2.15.8.5","Light and ventilation are adequately maintained."]
[null,{"$f":"Standards!$E1258","v":0},"2.15.8.6","The required furniture are available "]
[null,{"$f":"Standards!$E1259","v":0},"2.15.9","Treatment, follow up and progress are recorded and reported "]
[null,{"$f":"Standards!$E1260","v":0},"2.15.10.1","Safe drinking water is available in the waiting lobby throughout the day."]
[null,{"$f":"Standards!$E1261","v":0},"2.15.10.2","Hand‑washing facilities are available for patients."]
[null,{"$f":"Standards!$E1262","v":0},"2.15.11.1","Masks and gloves are available."]
[null,{"$f":"Standards!$E1263","v":0},"2.15.11.2","There are colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E1264","v":0},"2.15.11.3","Hand‑washing facility with running water and soap is available for practitioners."]
[null,{"$f":"Standards!$E1265","v":0},"2.15.11.4","Needle cutter is used"]
[null,{"$f":"Standards!$E1266","v":0},"2.15.11.5","Chlorine solution is available and utilized. "]
[null,{"$f":"Standards!$E1273","v":0},"2.161.1","Routine procedures available on scheduled days"]
[null,{"$f":"Standards!$E1274","v":0},"2.16.1.2","Emergency procedures available round the clock"]
[null,{"$f":"Standards!$E1275","v":0},"2.16.1.3","At least two functional operating tables"]
[null,{"$f":"Standards!$E1276","v":0},"2.16.2","For one cardiac intervention, at least a team is composed of: MD Internal Medicine trained in cardiac intervention or cardiologist with one trained medical officer, two  trained nursing/paramedics, and one trained office assistant"]
[null,{"$f":"Standards!$E1278","v":0},"2.16.3.1","Coronary Angiography"]
[null,{"$f":"Standards!$E1279","v":0},"2.16.3.2","Percutaneous transluminal coronary angioplasty/ percutaneous coronary intervention(PTCA)"]
[null,{"$f":"Standards!$E1280","v":0},"2.16.3.3","Right heart catheterization"]
[null,{"$f":"Standards!$E1281","v":0},"2.16.3.4","Pigtail insertion (Pericardiocentesis)"]
[null,{"$f":"Standards!$E1282","v":0},"2.16.4.1","Indications and reviews the clinical history and physical examination is documented "]
[null,{"$f":"Standards!$E1283","v":0},"2.16.4.2","Informed consent is taken before intervention; patients and caretakers are given appropriate counseling about the procedure."]
[null,{"$f":"Standards!$E1284","v":0},"2.16.5","Preoperative instructions for patient preparation are given and practiced with routine pre-anesthesia check up"]
[null,{"$f":"Standards!$E1285","v":0},"2.16.6.1","Separate area designated for post-procedure care to stabilize the patient after procedure"]
[null,{"$f":"Standards!$E1286","v":0},"2.16.6.2","Staffs are specified for the post-procedure care including close monitoring of the vital signs and observation of patient for bleeding in intervention site"]
[null,{"$f":"Standards!$E1287","v":0},"2.16.6.3","Adequate information shared for patient care and patient followed by at least one mid-level health worker for hand over or transfer of patient within or outside the hospital"]
[{"$f":"Standards!$E1288","v":0},null,"2.16.7.1","Cath Lab has appropriate physical set up (See Annex 2.16a Physical Set Up for Cath Lab At the end of this standard)"]
[{"$f":"Standards!$E1289","v":0},null,"2.16.7.2"," General equipment, instruments and supplies available (See Annex 2.16b Furniture, Equipment, Instruments and Supplies for Cath Lab At the end of this standard)"]
[{"$f":"Standards!$E1290","v":0},null,"2.16.7.3","Medicines and supplies available (See Annex 2.16c General Medicine and Supplies for Cath lab At the end of this standard)  "]
[{"$f":"Standards!$E1291","v":0},null,"2.16.7.4","Surgical sets for minimum list of the interventions available (See Annex 2.16d Surgical sets for Minimum list of Interventions At the end of this standard) "]
[null,{"$f":"Standards!$E1292","v":0},"2.16.8","The Safe Surgery Checklist is available in Cath Lab and used"]
[null,{"$f":"Standards!$E1293","v":0},"2.16.9","Recording is done for all surgeries including procedure, observation during surgical procedure and complications if any"]
[null,{"$f":"Standards!$E1295","v":0},"2.16.10.1","Hand‑washing and scrubbing facility with running water and soap is available and being practiced with elbow tap"]
[null,{"$f":"Standards!$E1296","v":0},"2.16.10.2","Gowns and sterile drapes for patients and sterile gown for surgery team are available and used whenever required."]
[null,{"$f":"Standards!$E1297","v":0},"2.16.10.3","Fumigation is done at least once a week in the Cath Lab"]
[null,{"$f":"Standards!$E1298","v":0},"2.16.10.4","High Level Disinfection (e.g. Cidex) facility is available and being practiced."]
[null,{"$f":"Standards!$E1299","v":0},"2.16.10.5","High dusting is done at least twice a week in Cath Lab"]
[null,{"$f":"Standards!$E1300","v":0},"2.16.10.6","Separate colored waste bins based on HCWM guideline 2014 (MoHP) are available and used"]
[null,{"$f":"Standards!$E1301","v":0},"2.16.10.7","Needle cutter is used"]
[null,{"$f":"Standards!$E1302","v":0},"2.16.10.8","Chlorine solution is available and utilized for decontamination. "]
[null,{"$f":"Standards!$E1310","v":0},"3.1.1.1","Separate central supply sterlie department (CSSD) is available with running water facility"]
[null,{"$f":"Standards!$E1311","v":0},"3.1.1.2","There are separate rooms designated for dirty utility, cleaning, washing and drying and clean area for sterilizing, packaging and storage"]
[null,{"$f":"Standards!$E1312","v":0},"3.1.2","Separate staffs (Staff Nurse) assigned for CSSD and is led by CSSD trained personal"]
[{"$f":"Standards!$E1313","v":0},null,"3.1.3","Equipment and supplies for sterilization available and functional round the clock (See Annex 3.1a CSSD Equipment and Supplies At the end of this standard)"]
[null,{"$f":"Standards!$E1314","v":0},"3.1.4","Wrapper, gauze, cotton balls, bandages are prepared"]
[null,{"$f":"Standards!$E1315","v":0},"3.1.5.1","all used instruments are cleaned using brush chemical/ detergents in a separate room."]
[null,{"$f":"Standards!$E1316","v":0},"3.1.5.2","All instruments and equipment are dried in a separate place."]
[null,{"$f":"Standards!$E1317","v":0},"3.1.5.3","All instruments are packed in double wrappers"]
[null,{"$f":"Standards!$E1318","v":0},"3.1.6","All wrapped instruments are indicated with thermal indicator and autoclaved in a separate room"]
[null,{"$f":"Standards!$E1319","v":0},"3.1.7","All sterlie packs with sticker of sterilization date are stored in separate cupboards"]
[null,{"$f":"Standards!$E1320","v":0},"3.1.8.1","System for single door collection and different route for distribution of the sterlie supply exist and is practiced"]
[null,{"$f":"Standards!$E1321","v":0},"3.1.8.2","Sterlie supplies are distributed using basket supply system or on-demand supply system"]
[null,{"$f":"Standards!$E1322","v":0},"3.1.9","All instruments and wrappers are recorded and inventory maintained"]
[null,{"$f":"Standards!$E1323","v":0},"3.1.10.1","Staffs use personal protective equipment at work"]
[null,{"$f":"Standards!$E1324","v":0},"3.1.10.2","There are well labelled colored bins for waste segregation and disposal based on HCWM [1] guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E1325","v":0},"3.1.10.3","All linens are recorded and inventory maintained. "]
[null,{"$f":"Standards!$E1326","v":0},"3.1.10.4","Staff wear mask and gloves at work."]
[null,{"$f":"Standards!$E1335","v":0},"3.2.1.1","Separate laundry room is available."]
[null,{"$f":"Standards!$E1336","v":0},"3.2.1.2","Separate space allocated for clean and dirty linens"]
[null,{"$f":"Standards!$E1337","v":0},"3.2.2","There is a special schedule for collection and distribution of linens with visible duty roster for staffs"]
[{"$f":"Standards!$E1338","v":0},null,"3.2.3","Adequate equipment and supplies are available for laundry (See Annex 3.2a Equipment and Supplies for Laundry At the end of this standard)"]
[null,{"$f":"Standards!$E1339","v":0},"3.2.4.1","Linens are segregated (soiled, unsoiled, colorful, white, blood stained) before wash "]
[null,{"$f":"Standards!$E1340","v":0},"3.2.4.2","Separated linens are decontaminated before wash"]
[null,{"$f":"Standards!$E1341","v":0},"3.2.5","All linens are washed using a washing machine."]
[null,{"$f":"Standards!$E1342","v":0},"3.2.6.1","Space available for drying linens like blankets in direct sunlight."]
[null,{"$f":"Standards!$E1343","v":0},"3.2.6.2","Linen dryer is available and used"]
[null,{"$f":"Standards!$E1344","v":0},"3.2.7","All linens are ironed and packed properly."]
[null,{"$f":"Standards!$E1345","v":0},"3.2.8","Linens are properly stored in separate cupboard."]
[null,{"$f":"Standards!$E1346","v":0},"3.2.9","All linens are distributed using a proper method (basket supply system and on-demand supply system)."]
[null,{"$f":"Standards!$E1347","v":0},"3.2.10","All linens are recorded and inventory maintained. "]
[null,{"$f":"Standards!$E1348","v":0},"3.2.11.1","Staff wear mask and gloves at work."]
[null,{"$f":"Standards!$E1349","v":0},"3.2.11.2","There are well labelled colored bins for waste segregation and disposal based on HCWM[1] guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E1350","v":0},"3.2.11.3","Hand washing facility with running water and liquid soap is available and being practiced."]
[null,{"$f":"Standards!$E1351","v":0},"3.2.11.4","Chlorine solution is available and utilized for decontamination "]
[null,{"$f":"Standards!$E1359","v":0},"3.3.1","Separate space is allocated for storage of the housekeeping basic supplies"]
[null,{"$f":"Standards!$E1360","v":0},"3.3.2.1","Allocation of the staff for cleaning with visible duty roster "]
[null,{"$f":"Standards!$E1361","v":0},"3.3.2.2","There is checklist of cleaning in each department with contact number of assigned working personnel"]
[{"$f":"Standards!$E1362","v":0},null,"3.3.3","Basic supplies are available (See Annex 3.3a Housekeeping Basic Supplies At the end of this standard)."]
[null,{"$f":"Standards!$E1363","v":0},"3.3.4.1.1","The hospital premises are visibly clean and dust free"]
[null,{"$f":"Standards!$E1364","v":0},"3.3.4.1.2.1","All hospital toilets are clean with no offensive smell"]
[null,{"$f":"Standards!$E1365","v":0},"3.3.4.1.2.2","All toilets are cleaned at least three times a day"]
[null,{"$f":"Standards!$E1366","v":0},"3.3.4.3","All doors and windows of hospital are dust-free and cleaned once a day."]
[null,{"$f":"Standards!$E1367","v":0},"3.3.4.4","All floors of the hospital are clean and cleaned at least twice a day (like- before registration in morning and after OPD closes)"]
[null,{"$f":"Standards!$E1368","v":0},"3.3.4.5","All walls of the hospital are clean and are tiled or painted with enamel up to 4 feet"]
[null,{"$f":"Standards!$E1369","v":0},"3.3.4.6","Every ward/unit must have high wash twice a month and fumigation as per need"]
[null,{"$f":"Standards!$E1370","v":0},"3.3.5","Separate drainage system or pit is maintained for drainage of chlorine solution "]
[null,{"$f":"Standards!$E1371","v":0},"3.3.6","Garden and trees should cover at least 25% of the hospital premises "]
[null,{"$f":"Standards!$E1379","v":0},"3.4.1.1","Human resource trained in biomedical engineer is designated for repair and maintenance"]
[null,{"$f":"Standards!$E1380","v":0},"3.4.1.2","Staffs assigned to cover 24 hours shift with visible duty roster for staffs."]
[null,{"$f":"Standards!$E1381","v":0},"3.4.2.1","Hospital has regular preventive maintenance practices (calibration, servicing of equipment) and corrective maintenance)"]
[null,{"$f":"Standards!$E1382","v":0},"3.4.2.2","Biomedical equipment inventory of all equipment and instrument is updated "]
[null,{"$f":"Standards!$E1383","v":0},"3.4.2.3","Separate room for storage of repairing tools and instrument"]
[null,{"$f":"Standards!$E1384","v":0},"3.4.2.4","Availability of spare parts for repair and maintenance of biomedical equipment and instruments "]
[null,{"$f":"Standards!$E1385","v":0},"3.4.2.5","Record keeping of repair and maintenance of biomedical equipment and instruments"]
[null,{"$f":"Standards!$E1386","v":0},"3.4.2.6","Specification of annual maintenance cost of major equipment"]
[null,{"$f":"Standards!$E1387","v":0},"3.4.3.1","Hospital has main-grid power supply with three‑phase line"]
[null,{"$f":"Standards!$E1388","v":0},"3.4.3.2","Hospital has alternate power generator capable of running x-ray and other hospital equipment"]
[null,{"$f":"Standards!$E1389","v":0},"3.4.3.3","Proper inventory of fuel is maintained."]
[null,{"$f":"Standards!$E1390","v":0},"3.4.3.4","Hospital has solar system installed (at least for essential clinical services and administrative function)."]
[null,{"$f":"Standards!$E1398","v":0},"3.5.1","There is regular water supply system – boring or well or from drinking water supply dedicated for hospital"]
[null,{"$f":"Standards!$E1399","v":0}," 3.5.2.1","Water storage tank is covered to prevent contamination and cleaned on a regular basis"]
[null,{"$f":"Standards!$E1400","v":0}," 3.5.2.2","Water storage tank has the reserve capacity to supply water for two full days in case of interruptions in main water supply "]
[null,{"$f":"Standards!$E1401","v":0}," 3.5.3","Water quality test is done every year and report is available as per Nepal Drinking Water Quality Standards, 2005  "]
[null,{"$f":"Standards!$E1409","v":0},"3.6.1.1","There is allocation of staff for HCWM from segregation to final disposal "]
[null,{"$f":"Standards!$E1410","v":0},"3.6.1.2","Whole site coaching/ orientation on health care waste management is done"]
[null,{"$f":"Standards!$E1411","v":0},"3.6.2","There is separate area/space designated for waste storage and management with functional hand washing facility"]
[null,{"$f":"Standards!$E1412","v":0},"3.6.3","Different colored bins (for risk and non-risk waste) based on HCWM guideline 2014 (MoHP) are used from source to final disposal  "]
[null,{"$f":"Standards!$E1413","v":0},"3.6.4","Staff use cap, mask, gloves, boot, and gown while collecting waste."]
[null,{"$f":"Standards!$E1414","v":0},"3.6.5","Information regarding proper use of waste bins is displayed publicly and basic information of HCWM is displayed in hospital premises"]
[null,{"$f":"Standards!$E1415","v":0},"3.6.6","Medication trolley has well labeled buckets for segregation of waste during procedures  "]
[null,{"$f":"Standards!$E1416","v":0},"3.6.7","Hospital uses transportation trolleys separate for risk and non-risk waste "]
[null,{"$f":"Standards!$E1417","v":0},"3.6.8.1","Infectious waste is sterilized using autoclave before disposal"]
[null,{"$f":"Standards!$E1418","v":0},"3.6.8.2","Collection of recyclable/reusable items such as plastic bottles, paper, decontaminated sharps is practiced "]
[null,{"$f":"Standards!$E1419","v":0},"3.6.8.3","Composting of bio-degradable waste is practiced"]
[null,{"$f":"Standards!$E1420","v":0},"3.6.8.4","Collection of waste by the local municipality/ rural municipality after sterilization /decontamination"]
[null,{"$f":"Standards!$E1421","v":0},"3.6.8.5","Placenta pit used for disposal of human anatomical waste such as placenta, human tissue"]
[null,{"$f":"Standards!$E1422","v":0},"3.6.8.6","Biogas plant in place and energy generated used for hospital support services"]
[null,{"$f":"Standards!$E1423","v":0},"3.6.9","Pharmaceutical waste and radiological waste is disposed based on the HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E1424","v":0},"3.6.10","Hospital liquid waste management is done "]
[null,{"$f":"Standards!$E1425","v":0},"3.6.11","Hospital has IT personnel to coordinate to manage waste related to electronic goods and products"]
[null,{"$f":"Standards!$E1433","v":0},"3.7.1.1","Hospital has trained security personnel round the clock."]
[null,{"$f":"Standards!$E1434","v":0},"3.7.1.2","All security staffs are oriented with hospital codes like 001- call for help for crashing patients, 007- call for disaster in ER"]
[null,{"$f":"Standards!$E1435","v":0},"3.7.1.3","All security staffs have participated in emergency drills"]
[null,{"$f":"Standards!$E1436","v":0},"3.7.2","A separate office for security with communication system is available"]
[{"$f":"Standards!$E1437","v":0},null,"3.7.3","Basic amenities for safety and security are available (See Annex 3.7a Safety and Security Basic Amenities At the end of this standard)"]
[null,{"$f":"Standards!$E1438","v":0},"3.7.4","The hospital has replaced all mercury apparatus with other appropriate technologies."]
[null,{"$f":"Standards!$E1439","v":0},"3.7.5","CCTV coverage of major areas and control under Medical Superintendent and security in-charge"]
[null,{"$f":"Standards!$E1440","v":0},"3.7.6.1","The hospital has fire extinguisher in all blocks including the fire extinguishing system "]
[null,{"$f":"Standards!$E1441","v":0},"3.7.6.2","The hospital has installed safety alarm system including smoke detector"]
[null,{"$f":"Standards!$E1442","v":0},"3.7.6.3","The hospital has prevented lightening by ensuring earthing system in electrification."]
[null,{"$f":"Standards!$E1443","v":0},"3.7.6.4","Disaster preparedness orientation has been given to all staff at least every six months."]
[null,{"$f":"Standards!$E1444","v":0},"3.7.6.5","Exit signs are displayed to escape during disaster in all departments and wards"]
[null,{"$f":"Standards!$E1445","v":0},"3.7.6.6","An assembly zone has been specified for disaster"]
[null,{"$f":"Standards!$E1446","v":0},"3.7.6.7","Hospital has functional rapid response team "]
[null,{"$f":"Standards!$E1447","v":0},"3.7.6.8","Medicine stock for post disaster response is available"]
[null,{"$f":"Standards!$E1455","v":0},"3.8.1.1","24-hour ambulance service is available."]
[null,{"$f":"Standards!$E1456","v":0},"3.8.1.2","Hospital has its own well-equipped ambulance at least 2"]
[null,{"$f":"Standards!$E1457","v":0},"3.8.1.3","The hospital has access to utility van"]
[null,{"$f":"Standards!$E1458","v":0},"3.8.2.1","The hospital has telephone with intercom (EPABX) network."]
[null,{"$f":"Standards!$E1459","v":0},"3.8.2.2","Internal communication (paging) system has been installed in all major service stations."]
[null,{"$f":"Standards!$E1460","v":0},"3.8.2.3","A notice board is available and being utilized."]
[null,{"$f":"Standards!$E1461","v":0},"3.8.2.4","List of important phone numbers including emergency contacts like ambulance, fire brigade, blood banks, hospital administration, hospital staffs is available in the reception, emergency and administration office"]
[null,{"$f":"Standards!$E1462","v":0},"3.8.2.5","There should be a public contact or information center in prime location of hospital with 24 hours staff availability"]
[null,{"$f":"Standards!$E1470","v":0},"3.9.1","Separate room allocated for medical store and general store."]
[null,{"$f":"Standards!$E1471","v":0},"3.9.2","The medical store room is maintained at 25°C +/- 2°C temperature"]
[null,{"$f":"Standards!$E1472","v":0},"3.9.3","Temperature monitoring device (Hygrometer) is installed in medical store"]
[null,{"$f":"Standards!$E1473","v":0},"3.9.4","Daily temperature monitoring log book is maintained in medical store "]
[null,{"$f":"Standards!$E1474","v":0},"3.9.2.1","The medical store of hospital is lead by pharmacist"]
[null,{"$f":"Standards!$E1475","v":0},"3.9.2.2","Medical store is under a supervision of hospital pharmacy department"]
[null,{"$f":"Standards!$E1476","v":0},"3.9.2.3","General store of hospital is led by a administration personnel"]
[null,{"$f":"Standards!$E1477","v":0},"3.9.2.1","Medical store maintain stock of procured medicine and program medicines and vaccines from government"]
[null,{"$f":"Standards!$E1478","v":0},"3.9.2.2","Vaccines and other temperature sensitive medicines are stored in cold chain"]
[null,{"$f":"Standards!$E1479","v":0},"3.9.2.3","3 months' buffer stock of all the medicines and medical supplies is maintained"]
[null,{"$f":"Standards!$E1480","v":0},"3.9.2.4","Minimum and Maximum stock levels for each item are calculated and used when re-ordering stock"]
[null,{"$f":"Standards!$E1481","v":0},"3.9.3.1","Medicines, vaccines and medical supplies inventory should be maintained in a First Expiry First Out (FEFO) order"]
[null,{"$f":"Standards!$E1482","v":0},"3.9.3.2","Electronic database system is used in the hospital medical store."]
[null,{"$f":"Standards!$E1483","v":0},"3.9.3.3","Hospital submits web-based of program medicine and vaccines reports to LMIS (eLMIS)"]
[null,{"$f":"Standards!$E1484","v":0},"3.9.4","Disposal of expired medicine as per HCWM guideline 2014 (MoHP) practiced in every six month"]
[null,{"$f":"Standards!$E1485","v":0},"3.9.5","Auction of identified old logistics is done annually"]
[null,{"$f":"Standards!$E1493","v":0},"3.10.1","Hospital has canteen in its premises with 24 hours service"]
[null,{"$f":"Standards!$E1494","v":0},"3.10.2","A list of food items with price list approved by Hospital Management Committee is available"]
[null,{"$f":"Standards!$E1495","v":0},"3.10.3.1","Visibly clean floors and space allocated for cooking, cleaning and storage of stock"]
[null,{"$f":"Standards!$E1496","v":0},"3.10.3.2","Light and ventilation are adequately maintained."]
[null,{"$f":"Standards!$E1497","v":0},"3.10.3.3","All walls of the canteen are clean and are tiled or painted with enamel up to 4 feet"]
[null,{"$f":"Standards!$E1498","v":0},"3.10.3.4","Safe drinking water is available 24 hours"]
[null,{"$f":"Standards!$E1499","v":0},"3.10.4","Dress code is maintained"]
[null,{"$f":"Standards!$E1500","v":0},"3.10.5.1","Staffs assigned for inpatient diet including the intensive care units and patient needing hemodialysis: Trained dietetic staff assigned for inpatient nutrition care: one Senior Dietitian (Masters qualification in Nutrition & Dietetics including hospital internship or Bachelors in Nutrition & Dietetics with 1 years hospital experience) plus one dietetic assistant per hundred general beds, plus one office assistant. Additionally, 1 senior dietitian per 25 beds for all specialized services, including ICU, NICU, PICU, nephrology/ hemodialysis"]
[null,{"$f":"Standards!$E1501","v":0},"3.10.5.2","The inpatients who are identified needy or covered by SSU are provided with food at least four times a day and the food contains carbohydrate, fats, proteins and at least one vegetable item"]
[null,{"$f":"Standards!$E1502","v":0},"3.10.6","Appropriate IEC/ BCC materials (posters, leaflets, television) are available in the canteen for balanced diet"]
[null,{"$f":"Standards!$E1503","v":0},"3.10.7","Comfortable space with sitting arrangement is available for at least 50 people"]
[null,{"$f":"Standards!$E1504","v":0},"3.10.8.1","Separate area designated for washing dishes and visibly clean."]
[null,{"$f":"Standards!$E1505","v":0},"3.10.8.2","There are colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)"]
[null,{"$f":"Standards!$E1506","v":0},"3.10.8.3","Hand‑washing facility with running water and soap is available  "]
[null,{"$f":"Standards!$E1507","v":0},"3.10.8.4","Mesh/ net used to cover food and refrigerator used to store food used to cover food"]
[null,{"$f":"Standards!$E1508","v":0},"3.10.8.5","Rat proofing and daily scrubbing of the canteen is done"]
[null,{"$f":"Standards!$E1516","v":0},"3.11.1.1","SSU open from 8am to 7pm"]
[null,{"$f":"Standards!$E1517","v":0},"3.11.1.2","Management committee to manage 24 hours SSU services for patients"]
[{"$f":"Standards!$E1518","v":0},null,"3.11.2","Separate space allocated for SSU is accessible to patients (See Annex 3.11a Physical Facilities SSU At the end of this standard)"]
[null,{"$f":"Standards!$E1519","v":0},"3.11.3","Allocation of staffs for SSU under unit chief a team of 2 of 10 facilitators"]
[null,{"$f":"Standards!$E1520","v":0},"3.11.4","Refer to ‘deprived citizen treatment fund guideline 2071’ 2075’ to identify target group, and display target group and services covered"]
[null,{"$f":"Standards!$E1521","v":0},"3.11.5.1","Referral of patients based on treatment protocol"]
[null,{"$f":"Standards!$E1522","v":0},"3.11.5.2","Documentation of referral based on  'deprived citizen treatment fund guideline 2071'"]
[null,{"$f":"Standards!$E1523","v":0},"3.11.5.3","SSU allocates fund for transportation for referral"]
[null,{"$f":"Standards!$E1524","v":0},"3.11.6.1","Meetings of SSU every three months to review and discuss problems"]
[null,{"$f":"Standards!$E1525","v":0},"3.11.6.2","Daily display of names of persons receiving free and partially free services from the unit"]
[null,{"$f":"Standards!$E1526","v":0},"3.11.6.3","Record information on free and partially free services recipients on the formats to records section of the concerned hospital"]
[null,{"$f":"Standards!$E1527","v":0},"3.11.6.4","Prepare and submit monthly, trimester and annual report to concerned authority"]

{"sheet":"Background Sheet","index":9,"n_rows":4809,"n_cols":21,"rows_kept":4809,"hidden":true}
[]
["Summary Sheet",{"$nulls":4},"Province","Province_Name","Province_1","Province_2","Province_3","Gandaki_Province","Province_5","Karnali_Province","Sudur_Paschim_Province",null,"दिन","Day","महिना","Month","साल","Year"]
[{"$nulls":5},"Province_Name","Hospital Name",{"$nulls":8},1,1,"बैशाख","Baishakh",2075,2075]
["Summary_Province",null,{"$f":"'Summary Sheet'!#REF!","v":{"$error":"#REF!"}},null,null,"Province_1",null,"Bhojpur District Hospital","Bardibas Hospital, Mahottari","Bagauda Hospital, Chitwan","Bandipur Hospital, Tanahun","Arghakhanchi Hospital","Dailekh District Hospital","Achham District Hospital",null,2,2,"जेष्ठ","Jestha",2076,2076]
["Summary_Name",null,{"$f":"'Summary Sheet'!$A$3","v":"Hospital Name"},null,null,"Province_2",null,"Damak Hospital, Jhapa","Bhardaha Hospital, Saptari","Bakulahar Ratna Nagar Hospital, Chitwan","Beni Hospital, Myagdi","Bhim Hospital, Rupandehi","Dolpa District Hospital","Baitadi District Hospital",null,3,3,"असार","Asar",2077,2077]
["Summary_Date",null,{"$f":"'Summary Sheet'!$C$5","v":"00:00:00"},null,null,"Province_3",null,"Dhankuta District Hospital","Chandranigahapur Hospital, Rautahat","Chautara Hospital, Sindhupalchowk ","Chapakot Hospital, Syangja","Chisapani Hospital, Parasi","Dullu Hospital, Dailekh","Bajhang District Hospital",null,4,4,"श्रावन","Sharwan",2078,2078]
["Summary_Event",null,{"$f":"'Summary Sheet'!$C$7","v":0},null,null,"Gandaki_Province",null,"Gaighat Hospital, Udayapur","Gaur Hospital, Rautahat","Dhading District Hospital","Damauli Hospital, Tanahun","Gulariya Hospital, Bardiya","Humla District Hospital","Bajura District Hospital",null,5,5,"भाद्र ","Bhadra",2079,2079]
["Summary_Number",null,{"$f":"'Summary Sheet'!$D$7","v":""},null,null,"Province_5",null,"Ilam District Hospital","Jaleshwor  Hospital, Mahottari","Hetauda Hospital, Makwanpur","Gorkha District Hospital","Gulmi District Hospital","Jajarkot District Hospital","Dadeldhura District Hospital",null,6,6,"अशोज ","Ashwin",2080,2080]
["Summary_Score_Gov",null,{"$f":"'Summary Sheet'!$H$17","v":0},null,null,"Karnali_Province",null,"Inaruwa Hospital, Sunsari","Kalaiya Hospital,  Bara","Jiri Hospital, Dolakha","Manang District Hospital","Lamahi Hospital, Dang ","Kalikot District Hospital","Darchula District Hospital",null,7,7,"कार्तिक ","Kartik",2081,2081]
["Summary_Score_Org_Mgmt",null,{"$f":"'Summary Sheet'!$H$18","v":0},null,null,"Sudur_Paschim_Province",null,"Katari Hospital, Udayapur","Lahan Hospital, Siraha","Methinkot Hospital, Kavre","Matri Sishu Miteri Hospital, Kaski","Palpa District Hospital","Mehelkuna Hospital, Surkhet","Doti District Hospital",null,8,8,"मङ्सिर","Mangshir",2082,2082]
["Summary_Score_HRM&D",null,{"$f":"'Summary Sheet'!$H$19","v":0},{"$nulls":4},"Khotang District Hospital","Malangawa Hospital, Sarlahi","Ramechhap District Hospital","Mustang District Hospital","Pipara Hospital, Kapilvastu","Mugu District Hospital","Gokuleshwor Hospital, Darchula",null,9,9,"पौष ","Poush",2083,2083]
["Summary_Score_Fin_Mgmt",null,{"$f":"'Summary Sheet'!$H$20","v":0},{"$nulls":4},"Mangalbare Hospital, Morang","Pokhariya Hospital, Parsa","Rasuwa District Hospital","Parbat District Hospital","Prithivi Chandra Hospital, Parasi","Rukum Hospital, Rukum (West)","Malakheti Hospital, Kailali",null,10,10,"माघ ","Magh",2084,2084]
["Summary_Score_Med_Records",null,{"$f":"'Summary Sheet'!$H$21","v":0},{"$nulls":4},"Panchthar District Hospital","Siraha District Hospital","Sindhuli District Hospital","Sisuwa Hospital, Kaski","Pyuthan District Hospital","Salyan District Hospital","Tikapur Hospital, Kailali",null,11,11,"फागुन ","Falgun",2085,2085]
["Summary_Score_Qlty_Mgmt",null,{"$f":"'Summary Sheet'!$H$22","v":0},{"$nulls":4},"Phaplu Hospital, Solukhumbu",null,"Trishuli Hospital, Nuwakot","Sundar Bazar, Lamjung","Rampur Hospital, Palpa",{"$nulls":3},12,12,"चैत्र ","Chaitra",2086,2086]
["Summary_Score_Total _Gov&Mgmt",null,{"$f":"'Summary Sheet'!$H$23","v":0},{"$nulls":4},"Rangeli Hospital, Morang",null,null,"Syangja District Hospital","Rolpa District Hospital",{"$nulls":3},13,13,null,null,2087,2087]
["Summary_Score_OPD",null,{"$f":"'Summary Sheet'!$H$25","v":0},{"$nulls":4},"Rumjatar Hospital, Okhaldhunga",{"$nulls":3},"Shibaraj Hospital, Kapilvastu",{"$nulls":3},14,14,null,null,2088,2088]
["Summary_Score_Speical_Clinic",null,{"$f":"'Summary Sheet'!$H$26","v":0},{"$nulls":4},"Sankhuwasabha District Hospital",{"$nulls":3},"Taulihawa Hospital, Kapilvastu",{"$nulls":3},15,15,null,null,2089,2089]
["Summary_Score_ER_Service",null,{"$f":"'Summary Sheet'!$H$27","v":0},{"$nulls":4},"Taplejung District Hospital",{"$nulls":7},16,16,null,null,2090,2090]
["Summary_Score_Emergency_Minor_OT",null,{"$f":"'Summary Sheet'!$H$28","v":0},{"$nulls":4},"Terhathum District Hospital",{"$nulls":7},17,17]
["Summary_Score_Hspt_Pharmacy",null,{"$f":"'Summary Sheet'!$H$29","v":0},{"$nulls":12},18,18]
["Summary_Score_Inpatient_Service ",null,{"$f":"'Summary Sheet'!$H$30","v":0},{"$nulls":12},19,19]
["Summary_Score_Delivery_Service",null,{"$f":"'Summary Sheet'!$H$31","v":0},{"$nulls":12},20,20]
["Summary_Score_Maternity_Inpatient",null,{"$f":"'Summary Sheet'!$H$32","v":0},{"$nulls":12},21,21]
["Summary_Score_Birthing_Center",null,{"$f":"'Summary Sheet'!$H$33","v":0},{"$nulls":12},22,22]
["Summary_Score_Surgery",null,{"$f":"'Summary Sheet'!$H$34","v":0},{"$nulls":4},"Hospital Name","Province",{"$nulls":6},23,23]
["Summary_Score_Hemodialysis",null,{"$f":"'Summary Sheet'!$H$35","v":0},{"$nulls":4},"Bhojpur District Hospital","Province 1",{"$nulls":6},24,24]
["Summary_Score_ICU",null,{"$f":"'Summary Sheet'!$H$36","v":0},{"$nulls":4},"Damak Hospital, Jhapa","Province 1",{"$nulls":6},25,25]
["Summary_Score_NICU",null,{"$f":"'Summary Sheet'!$H$37","v":0},{"$nulls":4},"Dhankuta District Hospital","Province 1",{"$nulls":6},26,26]
["Summary_Score_PICU",null,{"$f":"'Summary Sheet'!$H$38","v":0},{"$nulls":4},"Gaighat Hospital, Udayapur","Province 1",{"$nulls":6},27,27]
["Summary_Score_Diagnostics_&_Lab",null,{"$f":"'Summary Sheet'!$H$39","v":0},{"$nulls":4},"Ilam District Hospital","Province 1",{"$nulls":6},28,28]
["Summary_Score_Post-mortem",null,{"$f":"'Summary Sheet'!$H$40","v":0},{"$nulls":4},"Inaruwa Hospital, Sunsari","Province 1",{"$nulls":6},29,29]
["Summary_Score_Medico-legal",null,{"$f":"'Summary Sheet'!$H$41","v":0},{"$nulls":4},"Katari Hospital, Udayapur","Province 1",{"$nulls":6},30,30]
["Summary_Score_OSCM",null,{"$f":"'Summary Sheet'!$H$42","v":0},{"$nulls":4},"Khotang District Hospital","Province 1",{"$nulls":6},31,31]
["Summary_Score_Physiotherapy",null,{"$f":"'Summary Sheet'!$H$43","v":0},{"$nulls":4},"Mangalbare Hospital, Morang","Province 1",{"$nulls":6},32,32]
["Summary_Score_Dietetics",null,{"$f":"'Summary Sheet'!$H$44","v":0},{"$nulls":4},"Panchthar District Hospital","Province 1"]
["Summary_Score_Cardiac",null,{"$f":"'Summary Sheet'!$H$45","v":0},{"$nulls":4},"Phaplu Hospital, Solukhumbu","Province 1"]
["Summary_Score_Total_Clinical",null,{"$f":"'Summary Sheet'!$H$46","v":0},{"$nulls":4},"Rangeli Hospital, Morang","Province 1"]
["Summary_Score_CSSD",null,{"$f":"'Summary Sheet'!$H$48","v":0},{"$nulls":4},"Rumjatar Hospital, Okhaldhunga","Province 1"]
["Summary_Score_Laundry",null,{"$f":"'Summary Sheet'!$H$49","v":0},{"$nulls":4},"Sankhuwasabha District Hospital","Province 1"]
["Summary_Score_Housekeeping",null,{"$f":"'Summary Sheet'!$H$50","v":0},{"$nulls":4},"Taplejung District Hospital","Province 1"]
["Summary_Score_Repair",null,{"$f":"'Summary Sheet'!$H$51","v":0},{"$nulls":4},"Terhathum District Hospital","Province 1"]
["Summary_Score_Water_Supply",null,{"$f":"'Summary Sheet'!$H$52","v":0},{"$nulls":4},"Bhardaha Hospital, Saptari","Province 2"]
["Summary_Score_HWM",null,{"$f":"'Summary Sheet'!$H$53","v":0},{"$nulls":4},"Chandranigahapur Hospital, Rautahat","Province 2"]
["Summary_Score_Safety_Security",null,{"$f":"'Summary Sheet'!$H$54","v":0},{"$nulls":4},"Gaur Hospital, Rautahat","Province 2"]
["Summary_Score_Trans_Comm",null,{"$f":"'Summary Sheet'!$H$55","v":0},{"$nulls":4},"Kalaiya Hospital,  Bara","Province 2"]
["Summary_Score_Store",null,{"$f":"'Summary Sheet'!$H$56","v":0},{"$nulls":4},"Lahan Hospital, Siraha","Province 2"]
["Summary_Score_Canteen",null,{"$f":"'Summary Sheet'!$H$57","v":0},{"$nulls":4},"Malangawa Hospital, Sarlahi","Province 2"]
["Summary_Score_SSU",null,{"$f":"'Summary Sheet'!$H$58","v":0},{"$nulls":4},"Pokhariya Hospital, Parsa","Province 2"]
["Summary_Score_Total_Support Services",null,{"$f":"'Summary Sheet'!$H$59","v":0},{"$nulls":4},"Siraha District Hospital","Province 2"]
["Std_1.1.1",{"$f":"Standards!$D$5","v":"Hospital Management Committee is formed"},{"$f":"Standards!$E$5","v":0},{"$nulls":4},"Bagauda Hospital, Chitwan","Province 3"]
["Std_1.1.2",{"$f":"Standards!$D$6","v":"All HMC members have received an orientation on HMC functions"},{"$f":"Standards!$E$6","v":0},{"$nulls":4},"Bakulahar Ratna Nagar Hospital, Chitwan","Province 3"]
["Std_1.1.3",{"$f":"Standards!$D$7","v":"Medical Superintendent/ Director is fulfill as per organogram"},{"$f":"Standards!$E$7","v":0},{"$nulls":4},"Bardibas Hospital, Mahottari","Province 3"]
["Std_1.1.4.1",{"$f":"Standards!$D$8","v":"HMC meetings called upon by member secretary / Medical Superintendent headed by chairperson conducted at least 3 times per year or as per need"},{"$f":"Standards!$E$8","v":0},{"$nulls":4},"Chautara Hospital, Sindhupalchowk ","Province 3"]
["Std_ 1.1.4.2.1",{"$f":"Standards!$D$10","v":"Hospital services and utilization"},{"$f":"Standards!$E$10","v":0},{"$nulls":4},"Dhading District Hospital","Province 3"]
["Std_ 1.1.4.2.2",{"$f":"Standards!$D$11","v":"Hospital’s financial issues"},{"$f":"Standards!$E$11","v":0},{"$nulls":4},"Hetauda Hospital, Makwanpur","Province 3"]
["Std_1.1.4.2.3",{"$f":"Standards!$D$12","v":"Patient rights issues e.g. patient facilities, analysis of complaints received, patient security"},{"$f":"Standards!$E$12","v":0},{"$nulls":4},"Jaleshwor  Hospital, Mahottari","Province 3"]
["Std_1.1.4.2.4",{"$f":"Standards!$D$13","v":"Management issues- HR issues, security issues"},{"$f":"Standards!$E$13","v":0},{"$nulls":4},"Jiri Hospital, Dolkha","Province 3"]
["Std_1.1.4.2.5",{"$f":"Standards!$D$14","v":"Infrastructure/ Equipment issues"},{"$f":"Standards!$E$14","v":0},{"$nulls":4},"Methinkot Hospital, Kavre","Province 3"]
["Std_1.1.4.2.6",{"$f":"Standards!$D$15","v":"Coordination issues with local governance- rural municipality/ municipality, provincial, federal, DoHS, MoHP"},{"$f":"Standards!$E$15","v":0},{"$nulls":4},"Ramechhap District Hospital","Province 3"]
["Std_1.1.4.2.7",{"$f":"Standards!$D$16","v":"Review of decisions and recommendations of staff meeting and QI Committee meetings discussions"},{"$f":"Standards!$E$16","v":0},{"$nulls":4},"Rasuwa District Hospital","Province 3"]
["Std_1.1.5.1",{"$f":"Standards!$D$17","v":"Hospital implements health insurance program"},{"$f":"Standards!$E$17","v":0},{"$nulls":4},"Sindhuli District Hospital","Province 3"]
["Std_1.1.5.2",{"$f":"Standards!$D$18","v":"All targeted women receive Aama Surakhsya program incentives on time from hospital having this program (in last quarter)"},{"$f":"Standards!$E$18","v":0},{"$nulls":4},"Trishuli Hospital, Nuwakot","Province 3"]
["Std_1.1.6",{"$f":"Standards!$D$19","v":"Annual plan & budget is approved by HMC before the fiscal year starts"},{"$f":"Standards!$E$19","v":0},{"$nulls":4},"Bandipur Hospital, Tanahun","Province 4"]
["Std_1.1.7",{"$f":"Standards!$D$20","v":"There is a separate locker for HMC documents."},{"$f":"Standards!$E$20","v":0},{"$nulls":4},"Beni Hospital, Myagdi","Province 4"]
["Std_1.1.8.1",{"$f":"Standards!$D$21","v":"Updated citizens charter is displayed"},{"$f":"Standards!$E$21","v":0},{"$nulls":4},"Chapakot Hospital, Syangja","Province 4"]
["Std_1.1.8.2",{"$f":"Standards!$D$22","v":"Notices of public concern are displayed publicly"},{"$f":"Standards!$E$22","v":0},{"$nulls":4},"Damauli Hospital, Tanahun","Province 4"]
["Std_1.1.8.3",{"$f":"Standards!$D$23","v":"Complaint boxes are kept in a visible place in administration block "},{"$f":"Standards!$E$23","v":0},{"$nulls":4},"Gorkha District Hospital","Province 4"]
["Std_1.1.8.4",{"$f":"Standards!$D$24","v":"Information officer opens complaint box at least once a week and issues are timely addressed"},{"$f":"Standards!$E$24","v":0},{"$nulls":4},"Manang District Hospital","Province 4"]
["Std_1.1.8.5",{"$f":"Standards!$D$25","v":"Hospital has a website available and functional with latest information"},{"$f":"Standards!$E$25","v":0},{"$nulls":4},"Matri Sishu Miteri Hospital, Kaski","Province 4"]
["Std_1.1.8.6",{"$f":"Standards!$D$26","v":"Hospital has geriatrics friendly infrastructure (like side rails for mobilization and support)"},{"$f":"Standards!$E$26","v":0},{"$nulls":4},"Mustang District Hospital","Province 4"]
["Std_1.1.8.7",{"$f":"Standards!$D$27","v":"Hospital has friendly environment for people with disability"},{"$f":"Standards!$E$27","v":0},{"$nulls":4},"Parbat District Hospital","Province 4"]
["Std_1.1.9.1",{"$f":"Standards!$D$28","v":"Mechanism for grievance and complain handling institutionalized   "},{"$f":"Standards!$E$28","v":0},{"$nulls":4},"Sisuwa Hospital, Kaski","Province 4"]
["Std_1.1.9.2",{"$f":"Standards!$D$29","v":"Grievance and complains are effectively addressed"},{"$f":"Standards!$E$29","v":0},{"$nulls":4},"Sundar Bazar, Lamjung","Province 4"]
["Std_ 1.1.10",{"$f":"Standards!$D$30","v":"Hospital its own operational manual with clear information on how the hospital operates its’ services"},{"$f":"Standards!$E$30","v":0},{"$nulls":4},"Syangja District Hospital","Province 4"]
["Std_1.1.11",{"$f":"Standards!$D$31","v":"Hospital Annual Report is available in website"},{"$f":"Standards!$E$31","v":0},{"$nulls":4},"Taulihawa Hospital, Kapilvastu","Province 5"]
["Std_1.1.12",{"$f":"Standards!$D$32","v":"Social audit is conducted for last year"},{"$f":"Standards!$E$32","v":0},{"$nulls":4},"Arghakhanchi (Sandhikharka)","Province 5"]
["Std_1.1_Total",{"$f":"Standards!$D$33","v":"Total Score"},{"$f":"Standards!$E$33","v":0},{"$nulls":4},"Bardaghat Hospital, Parasi","Province 5"]
["Std_1.1_Percent",{"$f":"Standards!$D$34","v":"Percentage = Total Score / 27 x 100"},{"$f":"Standards!$E$34","v":0},{"$nulls":4},"Bhim Hospital, Rupandehi","Province 5"]
["Std_1.2.1.1",{"$f":"Standards!$D$39","v":"Organogram of hospital showing departments/units with number of staffs is displayed"},{"$f":"Standards!$E$39","v":0},{"$nulls":4},"Dullu Hospital, Dailekh","Province 5"]
["Std_1.2.1.2",{"$f":"Standards!$D$40","v":"Organogram of hospital is reviewed every 2 years and forwarded to higher authority"},{"$f":"Standards!$E$40","v":0},{"$nulls":4},"Gulariya Hospital, Bardiya","Province 5"]
["Std_ 1.2.2",{"$f":"Standards!$D$43","v":"Written delegation of authorities is maintained"},{"$f":"Standards!$E$43","v":0},{"$nulls":4},"Gulmi District Hospital","Province 5"]
["Std_1.2.3",{"$f":"Standards!$D$44","v":"Navigation chart with services and departments guiding clients to access services"},{"$f":"Standards!$E$44","v":0},{"$nulls":4},"Lamahi Hospital, Dang ","Province 5"]
["Std_1.2.4",{"$f":"Standards!$D$45","v":"Hospital implements token and / or queue system for users (separate for elderly, disable and pregnant)"},{"$f":"Standards!$E$45","v":0},{"$nulls":4},"Mehelkuna Hospital, Surkhet","Province 5"]
["Std_1.2.5",{"$f":"Standards!$D$46","v":"All staffs of hospital use electronic attendance"},{"$f":"Standards!$E$46","v":0},{"$nulls":4},"Palpa District Hospital","Province 5"]
["Std_1.2.6.1",{"$f":"Standards!$D$47","v":"All clinical, technical and administrative staffs have apron / uniform which is worn on duty"},{"$f":"Standards!$E$47","v":0},{"$nulls":4},"Pipara Hospital, Kapilvastu","Province 5"]
["Std_1.2.6.2",{"$f":"Standards!$D$48","v":"All hospital staffs carry personal ID cards when on duty"},{"$f":"Standards!$E$48","v":0},{"$nulls":4},"Prithivi Chandra Hospital, Parasi","Province 5"]
["Std_ 1.2.7.1",{"$f":"Standards!$D$49","v":"Hand-over meetings are conducted daily and also in concerned department"},{"$f":"Standards!$E$49","v":0},{"$nulls":4},"Prithivi Chandra Hospital, Parasi","Province 5"]
["Std_1.2.7.2",{"$f":"Standards!$D$50","v":"Morning conference is conducted everyday"},{"$f":"Standards!$E$50","v":0},{"$nulls":4},"Pyuthan District Hospital","Province 5"]
["Std_1.2.7.3.1",{"$f":"Standards!$D$52","v":"Intra- departmental meeting every two weeks"},{"$f":"Standards!$E$52","v":0},{"$nulls":4},"Rampur Hospital, Palpa","Province 5"]
["Std_1.2.7.3.2",{"$f":"Standards!$D$53","v":"Inter-departmental meeting once a month"},{"$f":"Standards!$E$53","v":0},{"$nulls":4},"Rolpa District Hospital","Province 5"]
["Std_1.2.7.3.3",{"$f":"Standards!$D$54","v":"Staff meeting once a month"},{"$f":"Standards!$E$54","v":0},{"$nulls":4},"Rukum Hospital, Rukum (East)","Province 5"]
["Std_1.2.7.4",{"$f":"Standards!$D$55","v":"Staff quarters are provided and adequate for the staffs"},{"$f":"Standards!$E$55","v":0},{"$nulls":4},"Salyan District Hospital","Province 5"]
["Std_1.2.7.5",{"$f":"Standards!$D$56","v":"Separate space allocated for breast feeding for staffs/ Separate space in duty room designated for breast feeding"},{"$f":"Standards!$E$56","v":0},{"$nulls":4},"Shibaraj Hospital, Kapilvastu","Province 5"]
["Std_1.2.7.6",{"$f":"Standards!$D$57","v":"Transport services for hospital staffs covering all shifts"},{"$f":"Standards!$E$57","v":0},{"$nulls":4},"Dailekh District Hospital","Province 6"]
["Std_1.2_Total",{"$f":"Standards!$D$58","v":"Total Score"},{"$f":"Standards!$E$58","v":0},{"$nulls":4},"Dolpa District Hospital","Province 6"]
["Std_1.2_Percent",{"$f":"Standards!$D$59","v":"Percentage = Total Score / 16 x 100"},{"$f":"Standards!$E$59","v":0},{"$nulls":4},"Humla District Hospital","Province 6"]
["Std_1.3.1",{"$f":"Standards!$D$65","v":"Personnel administration guideline of HMC is available (for all staffs including locally hired staff) and practiced accordingly"},{"$f":"Standards!$E$65","v":0},{"$nulls":4},"Jajarkot District Hospital","Province 6"]
["Std_1.3.2",{"$f":"Standards!$D$66","v":"Individual records of all staffs including contract staffs are maintained and updated."},{"$f":"Standards!$E$66","v":0},{"$nulls":4},"Kalikot District Hospital","Province 6"]
["Std_1.3.3.1",{"$f":"Standards!$D$67","v":"Staffs available for service in hospital as per organogram (See Annex 1.3a Functional Organogram Section I: At the end of this standard)"},{"$f":"Standards!$E$67","v":0},{"$nulls":4},"Mugu District Hospital","Province 6"]
["Std_1.3.3.2",{"$f":"Standards!$D$68","v":"Maaga Akriti form (माग आकृति फारम) correspondence to fulfill vacant positions to concerned authority as per guideline"},{"$f":"Standards!$E$68","v":0},{"$nulls":4},"Rukum Hospital, Rukum (West)","Province 6"]
["Std_1.3.4",{"$f":"Standards!$D$69","v":"All staffs including HMC staffs are given a job description when they are recruited/ posted to the hospital (permanent and contract staff) "},{"$f":"Standards!$E$69","v":0},{"$nulls":4},"Achham District Hospital","Province 7"]
["Std_1.3.5.1",{"$f":"Standards!$D$70","v":"Performance appraisal (का. स. मु.) of all staffs is done as per guideline"},{"$f":"Standards!$E$70","v":0},{"$nulls":4},"Baitadi District Hospital","Province 7"]
["Std_1.3.6.1",{"$f":"Standards!$D$71","v":"A training plan for the hospital is developed based on the training needs of the staff identified at the performance appraisal"},{"$f":"Standards!$E$71","v":0},{"$nulls":4},"Bajhang District Hospital","Province 7"]
["Std_1.3.6.2",{"$f":"Standards!$D$72","v":"For training and related activities, at any point of time, the acceptable work absenteeism is <10% of staff"},{"$f":"Standards!$E$72","v":0},{"$nulls":4},"Bajura District Hospital","Province 7"]
["Std_1.3.6.3",{"$f":"Standards!$D$73","v":"There is activity conducted to motivate staff (staff retreat, rewards, recognition of performances, etc.) at least once a year."},{"$f":"Standards!$E$73","v":0},{"$nulls":4},"Dadeldhura District Hospital","Province 7"]
["Std_1.3.6.4",{"$f":"Standards!$D$74","v":"Hospital has system for addressing occupational hazard like needle stick injury, radiation exposure, vaccination"},{"$f":"Standards!$E$74","v":0},{"$nulls":4},"Darchula (Gokuleshwor)","Province 7"]
["Std_1.3.7.1",{"$f":"Standards!$D$75","v":"Hospital conducts CPD / CME classes to technical staff weekly   "},{"$f":"Standards!$E$75","v":0},{"$nulls":4},"Darchula District Hospital","Province 7"]
["Std_1.3.7.2",{"$f":"Standards!$D$76","v":"Written record of attendance, subjects presented and discussed during CPD/CME"},{"$f":"Standards!$E$76","v":0},{"$nulls":4},"Doti District Hospital","Province 7"]
["Std_1.3.7.3",{"$f":"Standards!$D$77","v":"Separate space with furniture, audio-visual aids and internet for CPD/CME/meeting are available."},{"$f":"Standards!$E$77","v":0},{"$nulls":4},"Malakheti Hospital, Kailali","Province 7"]
["Std_1.3.7.4",{"$f":"Standards!$D$78","v":"If hospital is a training site, training guideline of National Health Training Centre is followed"},{"$f":"Standards!$E$78","v":0},{"$nulls":4},"Tikapur Hospital, Kailali","Province 7"]
["Std_1.3.8.1",{"$f":"Standards!$D$79","v":"Hospital has space designated for library  with sitting arrangement for readers  "},{"$f":"Standards!$E$79","v":0}]
["Std_1.3.8.2",{"$f":"Standards!$D$80","v":"A list of national health guidelines and treatment protocols available and inventory managed for readers accessing it"},{"$f":"Standards!$E$80","v":0}]
["Std_1.3.8.3",{"$f":"Standards!$D$81","v":"Computers with printing and photocopy facility available"},{"$f":"Standards!$E$81","v":0}]
["Std_1.3.8.6",{"$f":"Standards!$D$82","v":"Access to internet facility with institutional access to at least one of the international health related domain like HINARI"},{"$f":"Standards!$E$82","v":0}]
["Std_1.3_Total",{"$f":"Standards!$D$83","v":"Total Score"},{"$f":"Standards!$E$83","v":0}]
["Std_1.3_Percent",{"$f":"Standards!$D$84","v":"Percentage = Total Score / 19 x 100"},{"$f":"Standards!$E$84","v":0}]
["Std_1.4.1.1",{"$f":"Standards!$D$90","v":"Dedicated account department of hospital with space and furniture"},{"$f":"Standards!$E$90","v":0}]
["Std_1.4.1.2",{"$f":"Standards!$D$91","v":"At least one accountant available for hospital financial management "},{"$f":"Standards!$E$91","v":0}]
["Std_1.4.2.1",{"$f":"Standards!$D$92","v":"An annual hospital budget is developed incorporating the revenue from services, government grants, and support provided by other organizations."},{"$f":"Standards!$E$92","v":0}]
["Std_1.4.2.2",{"$f":"Standards!$D$93","v":"Internal income is reviewed during budgeting every year."},{"$f":"Standards!$E$93","v":0}]
["Std_1.4.3",{"$f":"Standards!$D$94","v":"The service fees of the hospital are fixed by HMC every year."},{"$f":"Standards!$E$94","v":0}]
["Std_1.4.4",{"$f":"Standards!$D$95","v":"Daily income is deposited in the bank every day."},{"$f":"Standards!$E$95","v":0}]
["Std_1.4.5.1",{"$f":"Standards!$D$96","v":"Budget absorption rate of last fiscal year is as per national target"},{"$f":"Standards!$E$96","v":0}]
["Std_1.4.5.2",{"$f":"Standards!$D$97","v":"Internal audit, financial and physical progress review is done at least once each trimester (once in every 4 months)."},{"$f":"Standards!$E$97","v":0}]
["Std_ 1.4.5.3",{"$f":"Standards!$D$98","v":"Final audit/ external audited accounts are available for last year."},{"$f":"Standards!$E$98","v":0}]
["Std_1.4.6.1",{"$f":"Standards!$D$99","v":"The hospital uses central electronic billing system  "},{"$f":"Standards!$E$99","v":0}]
["Std_1.4.6.2",{"$f":"Standards!$D$100","v":"The hospital uses TABUCS/ LMBIS for accounting including local income and expenses by HMC."},{"$f":"Standards!$E$100","v":0}]
["Std_1.4.7.1",{"$f":"Standards!$D$101","v":"The hospital prepares and keeps monthly financial report."},{"$f":"Standards!$E$101","v":0}]
["Std_1.4.7.2",{"$f":"Standards!$D$102","v":"Trimester financial report is produced (every 4 months) and financial status tracked and discussed in meetings"},{"$f":"Standards!$E$102","v":0}]
["Std_1.4.7.3",{"$f":"Standards!$D$103","v":"Annual financial report is submitted to HMC."},{"$f":"Standards!$E$103","v":0}]
["Std_1.4.8.1",{"$f":"Standards!$D$104","v":"Financial irregularities are responded within 35 days  "},{"$f":"Standards!$E$104","v":0}]
["Std_1.4.8.2",{"$f":"Standards!$D$105","v":"Clearance of financial authorities is done as per national target"},{"$f":"Standards!$E$105","v":0}]
["Std_1.4.9",{"$f":"Standards!$D$106","v":"Inventory inspection is done once in a year and managed accordingly"},{"$f":"Standards!$E$106","v":0}]
["Std_1.4_Total",{"$f":"Standards!$D$107","v":"Total Score"},{"$f":"Standards!$E$107","v":0}]
["Std_1.4_Percent",{"$f":"Standards!$D$108","v":"Percentage = Total Score / 17 x 100"},{"$f":"Standards!$E$108","v":0}]
["Std_1.5.1.1",{"$f":"Standards!$D$114","v":"Client registration is digitalized using standard software "},{"$f":"Standards!$E$114","v":0}]
["Std_1.5.1.2",{"$f":"Standards!$D$115","v":"Referral in and out records are kept using the standard form (HMIS 1.4) and register."},{"$f":"Standards!$E$115","v":0}]
["Std_1.5.1.3",{"$f":"Standards!$D$116","v":"Electronic health record system that generates the HMIS monthly report (HMIS 9.4) is in place"},{"$f":"Standards!$E$116","v":0}]
["Std_1.5.2.1",{"$f":"Standards!$D$117","v":"There is a functional Medical Record Section "},{"$f":"Standards!$E$117","v":0}]
["Std_1.5.2.2",{"$f":"Standards!$D$118","v":"All patients' records are kept in individual folders in racks or held digitally."},{"$f":"Standards!$E$118","v":0}]
["Std_1.5.2.3",{"$f":"Standards!$D$119","v":"There is a set of functional computer and printer available for maintaining medical records."},{"$f":"Standards!$E$119","v":0}]
["Std_1.5.3.1",{"$f":"Standards!$D$120","v":"Hospital monthly reports (HMIS 9.4) of the last three months are shared to the national database  "},{"$f":"Standards!$E$120","v":0}]
["Std_1.5.3.2",{"$f":"Standards!$D$121","v":"Hospital services utilization statistics are analyzed at least every month and shared with all the HODs and in-charge via email, paper and/or dashboard. (Check last three months status)"},{"$f":"Standards!$E$121","v":0}]
["Std_1.5.3.3",{"$f":"Standards!$D$122","v":"Statistics including OPD morbidity pattern data, IPD data, surveillance data are analyzed and discussed in staff meeting and CPD/CME (Check the status in the last meeting)"},{"$f":"Standards!$E$122","v":0}]
["Std_1.5.3.4",{"$f":"Standards!$D$123","v":"Key statistics of service utilization is displayed in respective Departments/ Wards "},{"$f":"Standards!$E$123","v":0}]
["Std_1.5.3.5",{"$f":"Standards!$D$124","v":"Medico-legal incidents and services are recorded"},{"$f":"Standards!$E$124","v":0}]
["Std_1.5.4.1",{"$f":"Standards!$D$125","v":"Medical recorder is trained on ICD and DHIS2"},{"$f":"Standards!$E$125","v":0}]
["Std_1.5.4.2",{"$f":"Standards!$D$126","v":"An information officer is specified to communicate with patients/clients, their relatives, media and other stakeholders."},{"$f":"Standards!$E$126","v":0}]
["Std_1.5.4.3",{"$f":"Standards!$D$127","v":"Contact details of information officer is displayed in hospital premises with photo and phone number."},{"$f":"Standards!$E$127","v":0}]
["Std_1.5_Total",{"$f":"Standards!$D$128","v":"Total Score"},{"$f":"Standards!$E$128","v":0}]
["Std_1.5_Percent",{"$f":"Standards!$D$129","v":"Percentage = Total Score / 14 x 100"},{"$f":"Standards!$E$129","v":0}]
["Std_1.6.1.1",{"$f":"Standards!$D$135","v":"Hospital QI committee is formed according to Guideline."},{"$f":"Standards!$E$135","v":0}]
["Std_1.6.1.2",{"$f":"Standards!$D$136","v":"Hospital QHSDMS committee meetings are held at least every 4 months."},{"$f":"Standards!$E$136","v":0}]
["Std_1.6.2",{"$f":"Standards!$D$137","v":"The hospital has a statement of patient rights and responsibilities, which is posted in public places in the hospital."},{"$f":"Standards!$E$137","v":0}]
["Std_1.6.3",{"$f":"Standards!$D$138","v":"The findings of social audit like client exit interview are shared in whole staff meeting"},{"$f":"Standards!$E$138","v":0}]
["Std_1.6.4",{"$f":"Standards!$D$139","v":"The hospital has assessed the hospital quality using the MSS tool at least every 4 months"},{"$f":"Standards!$E$139","v":0}]
["Std_1.6.5",{"$f":"Standards!$D$140","v":"The hospital has developed specific plans to improve quality based on the MSS assessment."},{"$f":"Standards!$E$140","v":0}]
["Std_1.6.6",{"$f":"Standards!$D$141","v":"Hospital uses QI tools for assessment of the major priority government programs\n\n(less than 50%=0, 50-70% =1, 70-85% = 2, 85-100% =3)"},{"$f":"Standards!$E$141","v":0}]
["Std_1.6.7.1",{"$f":"Standards!$D$142","v":"Hospital has implemented the specific activities based on the MSS plan."},{"$f":"Standards!$E$142","v":0}]
["Std_1.6.7.2",{"$f":"Standards!$D$143","v":"Hospital has implemented specific activities based on gap analysis of QI tools"},{"$f":"Standards!$E$143","v":0}]
["Std_1.6.8.1",{"$f":"Standards!$D$144","v":"The hospital has functional MPDSR committee (in program district)"},{"$f":"Standards!$E$144","v":0}]
["Std_1.6.8.2.1",{"$f":"Standards!$D$146","v":"Investigations and complications of treatment including medication error"},{"$f":"Standards!$E$146","v":0}]
["Std_1.6.8.2.2",{"$f":"Standards!$D$147","v":"Hospital acquired infections (HAI)"},{"$f":"Standards!$E$147","v":0}]
["Std_1.6.8.3",{"$f":"Standards!$D$148","v":"Mortality audit of every death in the hospital is done and reported"},{"$f":"Standards!$E$148","v":0}]
["Std_1.6.8.4",{"$f":"Standards!$D$149","v":"Hospital implements Robson’s classification (hospitals with CEONC services) "},{"$f":"Standards!$E$149","v":0}]
["Std_1.6.8.5",{"$f":"Standards!$D$150","v":"Hospital implements baby friendly initiative"},{"$f":"Standards!$E$150","v":0}]
["Std_1.6_Total",{"$f":"Standards!$D$151","v":"Total Score"},{"$f":"Standards!$E$151","v":0}]
["Std_1.6_Percent",{"$f":"Standards!$D$152","v":"Percentage = Total Score/17 x 100"},{"$f":"Standards!$E$152","v":0}]
["Std_2.1.1.1",{"$f":"Standards!$D$159","v":"OPD is open from 10 AM to 3 PM (See Checklist 2.1 At the end of this standard for scoring)."},{"$f":"Standards!$E$159","v":0}]
["Std_2.1.1.2",{"$f":"Standards!$D$160","v":"Tickets for routine OPD are available till 2 pm"},{"$f":"Standards!$E$160","v":0}]
["Std_2.1.1.3",{"$f":"Standards!$D$161","v":"EHS services from 3PM onwards and tickets available from 2PM onwards"},{"$f":"Standards!$E$161","v":0}]
["Std_2.1.2.1",{"$f":"Standards!$D$162","v":"There should be one administrator to manage all OPDs and procedure room"},{"$f":"Standards!$E$162","v":0}]
["Std_2.1.2.2",{"$f":"Standards!$D$163","v":"Doctor: OPD Patients- 1:35-50 per day for quality of care (*for dental services this ratio is 1:20)"},{"$f":"Standards!$E$163","v":0}]
["Std_2.1.1.2.3",{"$f":"Standards!$D$164","v":"One screening counter with 1 paramedics for every four OPDs and there should be one nurse in OBGYN OPD"},{"$f":"Standards!$E$164","v":0}]
["Std_2.1.3",{"$f":"Standards!$D$165","v":"Patient privacy maintained with separate rooms, curtains hung, maintaining queuing of patients with paging system in OPD (See Checklist 2.1 At the end of this standard for scoring)."},{"$f":"Standards!$E$165","v":0}]
["Std_2.1.4.1",{"$f":"Standards!$D$166","v":"Counseling is provided to patients about the type of treatment being given and its consequences (See Checklist 2.1 At the end of this standard for scoring)."},{"$f":"Standards!$E$166","v":0}]
["Std_ 2.1.4.2",{"$f":"Standards!$D$167","v":"Appropriate IEC materials (posters, leaflets etc.) as an IEC corner available in the OPD waiting area."},{"$f":"Standards!$E$167","v":0}]
["Std_2.1.5.1",{"$f":"Standards!$D$168","v":"Adequate rooms and space for the practitioners and patients are available (See Checklist 2.1 At the end of this standard for scoring)."},{"$f":"Standards!$E$168","v":0}]
["Std_2.1.5.2",{"$f":"Standards!$D$169","v":"Light and ventilation are adequately maintained. (See Checklist 2.1 At the end of this standard for scoring)"},{"$f":"Standards!$E$169","v":0}]
["Std_2.1.5.3.1",{"$f":"Standards!$D$171","v":"General Medicine OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"},{"$f":"Standards!$E$171","v":0}]
["Std_2.1.5.3.2",{"$f":"Standards!$D$172","v":"Obstetrics and Gynecology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"},{"$f":"Standards!$E$172","v":0}]
["Std_2.1.5.3.3",{"$f":"Standards!$D$173","v":"Pediatrics OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"},{"$f":"Standards!$E$173","v":0}]
["Std_2.1.5.3.4",{"$f":"Standards!$D$174","v":"Surgical OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"},{"$f":"Standards!$E$174","v":0}]
["Std_2.1.5.3.5",{"$f":"Standards!$D$175","v":"Dental OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"},{"$f":"Standards!$E$175","v":0}]
["Std_2.1.5.3.6",{"$f":"Standards!$D$176","v":"Orthopedics OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"},{"$f":"Standards!$E$176","v":0}]
["Std_2.1.5.3.7",{"$f":"Standards!$D$177","v":"Psychiatry OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"},{"$f":"Standards!$E$177","v":0}]
["Std_2.1.5.3.8",{"$f":"Standards!$D$178","v":"ENT OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"},{"$f":"Standards!$E$178","v":0}]
["Std_2.1.5.3.9",{"$f":"Standards!$D$179","v":"Dermatology OPD (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"},{"$f":"Standards!$E$179","v":0}]
["Std_2.1.5.3.10",{"$f":"Standards!$D$180","v":"Opthalmology OPD  (See Annex 2.1a Furniture and supplies for OPD At the end of this standard)"},{"$f":"Standards!$E$180","v":0}]
["Std_2.1.5.3.11",{"$f":"Standards!#REF!","v":{"$error":"#REF!"}},{"$f":"Standards!$E$181","v":0}]
["Std_2.1.5.3.12",{"$f":"Standards!#REF!","v":{"$error":"#REF!"}},{"$f":"Standards!$E$182","v":0}]
["Std_2.1.5.3.13",{"$f":"Standards!#REF!","v":{"$error":"#REF!"}},{"$f":"Standards!$E$183","v":0}]
["Std_2.1.5.3.14",{"$f":"Standards!#REF!","v":{"$error":"#REF!"}},{"$f":"Standards!$E$184","v":0}]
["Std_2.1.5.3.15",{"$f":"Standards!#REF!","v":{"$error":"#REF!"}},{"$f":"Standards!$E$185","v":0}]
["Std_2.1.5.3.16",{"$f":"Standards!#REF!","v":{"$error":"#REF!"}},{"$f":"Standards!$E$187","v":0}]
["Std_2.1.5.4",{"$f":"Standards!$D$188","v":"Each OPD has designated space/room for procedure room/area with basic supplies of dressing, injection and procedures (specific to OPD like PV for Obstetrics /gynecology, PR for surgery) and hand washing facility (See Checklist 2.1 At the end of this standard for scoring)"},{"$f":"Standards!$E$188","v":0}]
["Std_2.1.6.1",{"$f":"Standards!$D$190","v":"General OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"},{"$f":"Standards!$E$190","v":0}]
["Std_2.1.6.2",{"$f":"Standards!$D$191","v":"Obstetrics and Gynecology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"},{"$f":"Standards!$E$191","v":0}]
["Std_2.1.6.3",{"$f":"Standards!$D$192","v":"Pediatrics OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"},{"$f":"Standards!$E$192","v":0}]
["Std_2.1.6.4",{"$f":"Standards!$D$193","v":"Surgical OPD(See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"},{"$f":"Standards!$E$193","v":0}]
["Std_2.1.6.5.1",{"$f":"Standards!$D$194","v":"Dental OPD (See Annex 2.1cBasic Equipment and Instrument for Dental OPD At the end of this standard)"},{"$f":"Standards!$E$194","v":0}]
["Std_2.1.6.5.2",{"$f":"Standards!$D$195","v":"Dental OPD has fully functioning electric dental chair with adequate light, water supply and drainage system with suction machine"},{"$f":"Standards!$E$195","v":0}]
["Std_2.1.6.5.3",{"$f":"Standards!$D$196","v":"Dental OPD has iopa x-ray machine (along with lead apron and thyroid collar"},{"$f":"Standards!$E$196","v":0}]
["Std_2.1.6.6",{"$f":"Standards!$D$197","v":"Orthopedics OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"},{"$f":"Standards!$E$197","v":0}]
["Std_2.1.6.7",{"$f":"Standards!$D$198","v":"Psychiatry OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"},{"$f":"Standards!$E$198","v":0}]
["Std_2.1.6.8",{"$f":"Standards!$D$199","v":"ENT OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"},{"$f":"Standards!$E$199","v":0}]
["Std_2.1.6.9",{"$f":"Standards!$D$200","v":"Dermatology OPD (See Annex 2.1b Basic Equipment and Instrument for OPD At the end of this standard)"},{"$f":"Standards!$E$200","v":0}]
["Std_2.1.6.10",{"$f":"Standards!$D$201","v":"Opthalmology OPD  (See Annex 2.1b Furniture and supplies for OPD At the end of this standard)"},{"$f":"Standards!$E$201","v":0}]
["Std_2.1.6.11",{"$f":"Standards!#REF!","v":{"$error":"#REF!"}},{"$f":"Standards!$E$202","v":0}]
["Std_2.1.6.12",{"$f":"Standards!#REF!","v":{"$error":"#REF!"}},{"$f":"Standards!$E$203","v":0}]
["Std_2.1.6.13",{"$f":"Standards!#REF!","v":{"$error":"#REF!"}},{"$f":"Standards!$E$204","v":0}]
["Std_2.1.6.14",{"$f":"Standards!#REF!","v":{"$error":"#REF!"}},{"$f":"Standards!$E$205","v":0}]
["Std_2.1.6.15",{"$f":"Standards!#REF!","v":{"$error":"#REF!"}},{"$f":"Standards!$E$206","v":0}]
["Std_2.1.6.16",{"$f":"Standards!#REF!","v":{"$error":"#REF!"}},{"$f":"Standards!$E$207","v":0}]
["Std_2.1.7",{"$f":"Standards!$D$209","v":"Duty rosters of all OPDs are developed regularly and available in appropriate location."},{"$f":"Standards!$E$209","v":0}]
["Std_2.1.8.1",{"$f":"Standards!$D$210","v":"Comfortable waiting space with sitting arrangement is available for at least 100 persons in waiting lobby (for total OPDs)"},{"$f":"Standards!$E$210","v":0}]
["Std_2.1.8.2",{"$f":"Standards!$D$211","v":"Safe drinking water is available in the waiting lobby throughout the day."},{"$f":"Standards!$E$211","v":0}]
["Std_2.1.8.3",{"$f":"Standards!$D$212","v":"There are four toilets with hand‑washing facilities (2 for males and 2 for females separate, one each universal toilet)"},{"$f":"Standards!$E$212","v":0}]
["Std_2.1.8.4",{"$f":"Standards!$D$213","v":"Hand‑washing facilities are available for patients"},{"$f":"Standards!$E$213","v":0}]
["Std_2.1.9",{"$f":"Standards!$D$214","v":"OPD register available in every OPD with ICD 10 classification for diagnosis recorded (electronic health recording system) (See checklist 2.1 At the end of this standard for scoring)"},{"$f":"Standards!$E$214","v":0}]
["Std_2.1.10.1",{"$f":"Standards!$D$215","v":"Masks and gloves are available and used (See Checklist 2.1 At the end of this standard for scoring)"},{"$f":"Standards!$E$215","v":0}]
["Std_2.1.10.2",{"$f":"Standards!$D$216","v":"There are well labeled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP) (See Checklist 2.1 At the end of this standard for scoring)"},{"$f":"Standards!$E$216","v":0}]
["Std_2.1.10.3",{"$f":"Standards!$D$217","v":"Hand‑washing facility with running water and soap or hand sanitizer is available for practitioners (See Checklist 2.1 At the end of this standard for scoring)"},{"$f":"Standards!$E$217","v":0}]
["Std_2.1.10.4",{"$f":"Standards!$D$218","v":"Needle cutter is used (See Checklist 2.1 At the end of this standard for scoring)"},{"$f":"Standards!$E$218","v":0}]
["Std_2.1.10.5",{"$f":"Standards!$D$219","v":"Chlorine solution is available and utilized for decontamination (See Checklist 2.1 At the end of this standard for scoring). "},{"$f":"Standards!$E$219","v":0}]
["Std_2.1_Total",{"$f":"Standards!$D$220","v":"Total Score"},{"$f":"Standards!$E$220","v":0}]
["Std_2.1_Percent",{"$f":"Standards!$D$221","v":"Total Percentage (Total Score/ 145 x100)"},{"$f":"Standards!$E$221","v":0}]
["Std_2.2.1.1",{"$f":"Standards!$D$229","v":"Immunization and growth monitoring service is available from 10 AM to 3 PM."},{"$f":"Standards!$E$229","v":0}]
["Std_2.2.1.2",{"$f":"Standards!$D$230","v":"Adequate numbers of healthcare workers are available (at least 2 HA/SN)"},{"$f":"Standards!$E$230","v":0}]
["Std_2.2.1.3",{"$f":"Standards!$D$231","v":"Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)."},{"$f":"Standards!$E$231","v":0}]
["Std_2.2.1.4.1",{"$f":"Standards!$D$232","v":"Counseling is provided to caretaker about the type of vaccine, its schedule, nutritional status of child."},{"$f":"Standards!$E$232","v":0}]
["Std_2.2.1.4.2",{"$f":"Standards!$D$233","v":"Appropriate IEC/BCC materials on vaccine, schedule and child growth and nutrition are available in clinic"},{"$f":"Standards!$E$233","v":0}]
["Std_2.2.1.5",{"$f":"Standards!$D$234","v":"Immunization and growth monitoring instrument, equipment and supplies are available (See Annex 2.2.1a Immunization and growth monitoring At the end of this standard)"},{"$f":"Standards!$E$234","v":0}]
["Std_2.2.1.6.1",{"$f":"Standards!$D$235","v":"Adequate rooms and space for health worker and patients are available with at least one working table, chair for health worker and two patients’ chair"},{"$f":"Standards!$E$235","v":0}]
["Std_2.2.1.6.2",{"$f":"Standards!$D$236","v":"Light and ventilation are adequately maintained."},{"$f":"Standards!$E$236","v":0}]
["Std_2.2.1.7.1",{"$f":"Standards!$D$237","v":"Patient’s card (Health card, growth chart) and register available and services recorded"},{"$f":"Standards!$E$237","v":0}]
["Std_2.2.1.7.2",{"$f":"Standards!$D$238","v":"Adverse immunization reactions, complication, severe under-nutrition and referral to other sites recorded and reported"},{"$f":"Standards!$E$238","v":0}]
["Std_2.2.1.8.1",{"$f":"Standards!$D$239","v":"Masks and gloves are available and used"},{"$f":"Standards!$E$239","v":0}]
["Std_2.2.1.8.2",{"$f":"Standards!$D$240","v":"There are well labelled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$240","v":0}]
["Std_2.2.1.8.3",{"$f":"Standards!$D$241","v":"Hand‑washing facility with running water and soap is available for practitioners."},{"$f":"Standards!$E$241","v":0}]
["Std_2.2.1.8.4",{"$f":"Standards!$D$242","v":"Needle cutter is used"},{"$f":"Standards!$E$242","v":0}]
["Std_2.2.1.8.5",{"$f":"Standards!$D$243","v":"Chlorine solution is available and utilized. "},{"$f":"Standards!$E$243","v":0}]
["Std_2.2.1_Total",{"$f":"Standards!$D$244","v":"Total Score"},{"$f":"Standards!$E$244","v":0}]
["Std_2.2.1_Percent",{"$f":"Standards!$D$245","v":"Total Percentage (Total Score/ 17 x100)"},{"$f":"Standards!$E$245","v":0}]
["Std_2.2.2.1",{"$f":"Standards!$D$251","v":"Family planning service is available from 10 AM to 3 PM."},{"$f":"Standards!$E$251","v":0}]
["Std_2.2.2.2",{"$f":"Standards!$D$252","v":"A separate area dedicated for FP counseling  and Services "},{"$f":"Standards!$E$252","v":0}]
["Std_2.2.2.3",{"$f":"Standards!$D$253","v":"Adequate numbers of healthcare workers are available (at least 2 HA/ SN)"},{"$f":"Standards!$E$253","v":0}]
["Std_2.2.2.4",{"$f":"Standards!$D$254","v":"Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)."},{"$f":"Standards!$E$254","v":0}]
["Std_2.2.2.5.1",{"$f":"Standards!$D$255","v":"Counseling is provided to users for family planning methods"},{"$f":"Standards!$E$255","v":0}]
["Std_2.2.2.5.2",{"$f":"Standards!$D$256","v":"Appropriate IEC/BCC materials on family planning including DMT tool used for counseling"},{"$f":"Standards!$E$256","v":0}]
["Std_2.2.2.6",{"$f":"Standards!$D$257","v":"Supplies for Family Planning Services available (See Annex 2.2.2a Supplies for FP services At the end of this standard)"},{"$f":"Standards!$E$257","v":0}]
["Std_2.2.2.7",{"$f":"Standards!$D$258","v":"Sphygmomanometer, stethoscope, thermometer, and weighing scale available"},{"$f":"Standards!$E$258","v":0}]
["Std_2.2.2.8.1",{"$f":"Standards!$D$259","v":"Adequate rooms and space for health worker and patients are available with at least one working table, chair for health worker and two patients’ chair and one examination bed"},{"$f":"Standards!$E$259","v":0}]
["Std_2.2.2.8.2",{"$f":"Standards!$D$260","v":"Light and ventilation are adequately maintained."},{"$f":"Standards!$E$260","v":0}]
["Std_2.2.2.9.1",{"$f":"Standards!$D$261","v":"Patient’s health card and register available and services recorded"},{"$f":"Standards!$E$261","v":0}]
["Std_2.2.2.9.2",{"$f":"Standards!$D$262","v":"FP related complication, defaulter and contraceptive failure are recorded and reported"},{"$f":"Standards!$E$262","v":0}]
["Std_2.2.2.10.1",{"$f":"Standards!$D$263","v":"Masks and gloves are available and used"},{"$f":"Standards!$E$263","v":0}]
["Std_2.2.2.10.2",{"$f":"Standards!$D$264","v":"There are well labelled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$264","v":0}]
["Std_2.2.2.10.3",{"$f":"Standards!$D$265","v":"Hand‑washing facility with running water and soap is available for practitioners."},{"$f":"Standards!$E$265","v":0}]
["Std_2.2.2.10.4",{"$f":"Standards!$D$266","v":"Needle cutter is used"},{"$f":"Standards!$E$266","v":0}]
["Std_2.2.2.10.5",{"$f":"Standards!$D$267","v":"Chlorine solution is available and utilized. "},{"$f":"Standards!$E$267","v":0}]
["Std_2.2.2_Total",{"$f":"Standards!$D$268","v":"Total Score"},{"$f":"Standards!$E$268","v":0}]
["Std_2.2.2_Percent",{"$f":"Standards!$D$269","v":"Total Percentage (Total Score/ 19 x100)"},{"$f":"Standards!$E$269","v":0}]
["Std_2.2.3.1",{"$f":"Standards!$D$275","v":"Clinic is open from 10 AM to 3 PM."},{"$f":"Standards!$E$275","v":0}]
["Std_2.2.3.2",{"$f":"Standards!$D$276","v":"Adequate numbers of healthcare workers are available in OPD (at least 2 mid-level health workers are assigned)"},{"$f":"Standards!$E$276","v":0}]
["Std_2.2.3.3",{"$f":"Standards!$D$277","v":"Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)."},{"$f":"Standards!$E$277","v":0}]
["Std_2.2.3.4.1",{"$f":"Standards!$D$278","v":"Counseling is provided to patients about the type of treatment being given and its consequences."},{"$f":"Standards!$E$278","v":0}]
["Std_2.2.3.4.2",{"$f":"Standards!$D$279","v":"Appropriate IEC/BCC materials on TB, HIV/AIDS (posters, leaflets) are available in the OPD waiting area."},{"$f":"Standards!$E$279","v":0}]
["Std_2.2.3.5",{"$f":"Standards!$D$280","v":"Medicines for TB, HIV/AIDS as per government treatment protocol available in OPD"},{"$f":"Standards!$E$280","v":0}]
["Std_2.2.3.6",{"$f":"Standards!$D$281","v":"OPD has functional BP set, stethoscope, thermometer and weighing scale"},{"$f":"Standards!$E$281","v":0}]
["Std_2.2.3.7.1",{"$f":"Standards!$D$282","v":"Adequate rooms and space for health worker and patients are available with at least one working table, chair for health worker and two patients’ chair"},{"$f":"Standards!$E$282","v":0}]
["Std_2.2.3.7.2",{"$f":"Standards!$D$283","v":"Light and ventilation are adequately maintained."},{"$f":"Standards!$E$283","v":0}]
["Std_2.2.3.8.1",{"$f":"Standards!$D$284","v":"Safe drinking water with mug or glass is available for taking medicine"},{"$f":"Standards!$E$284","v":0}]
["Std_2.2.3.8.2",{"$f":"Standards!$D$285","v":"Hand‑washing facilities are available for patients."},{"$f":"Standards!$E$285","v":0}]
["Std_2.2.3.9.1",{"$f":"Standards!$D$286","v":"Patient’s card (TB, ART) and register available and services recorded"},{"$f":"Standards!$E$286","v":0}]
["Std_2.2.3.9.2",{"$f":"Standards!$D$287","v":"Drug resistance, complication and referral to other sites recorded and reported"},{"$f":"Standards!$E$287","v":0}]
["Std_2.2.3.10.1",{"$f":"Standards!$D$288","v":"Masks and gloves are available and used"},{"$f":"Standards!$E$288","v":0}]
["Std_2.2.3.10.2",{"$f":"Standards!$D$289","v":"There are well labelled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$289","v":0}]
["Std_2.2.3.10.3",{"$f":"Standards!$D$290","v":"Hand‑washing facility with running water and soap is available for practitioners."},{"$f":"Standards!$E$290","v":0}]
["Std_2.2.3.10.4",{"$f":"Standards!$D$291","v":"Needle cutter is used"},{"$f":"Standards!$E$291","v":0}]
["Std_2.2.3.10.5",{"$f":"Standards!$D$292","v":"Chlorine solution is available and utilized. "},{"$f":"Standards!$E$292","v":0}]
["Std_2.2.3_Total",{"$f":"Standards!$D$293","v":"Total Score"},{"$f":"Standards!$E$293","v":0}]
["Std_2.2.3_Percent",{"$f":"Standards!$D$294","v":"Total Percentage (Total Score/ 18 x100)"},{"$f":"Standards!$E$294","v":0}]
["Std_2.2.4.1",{"$f":"Standards!$D$300","v":"Safe abortion services is available from 10 AM to 3 PM."},{"$f":"Standards!$E$300","v":0}]
["Std_2.2.4.2",{"$f":"Standards!$D$301","v":"A separate area dedicated for Safe Abortion counseling and services, area is washable and has separate instrument processing space for decontamination"},{"$f":"Standards!$E$301","v":0}]
["Std_2.2.4.3.1",{"$f":"Standards!$D$302","v":"At least one medical officer or gynecologist trained and certified in first trimester SAS is available"},{"$f":"Standards!$E$302","v":0}]
["Std_2.2.4.3.1",{"$f":"Standards!$D$303","v":"For surgical abortion, at least  one gynecologist and SN trained and certified in second trimester SAS is available"},{"$f":"Standards!$E$303","v":0}]
["Std_2.2.4.4",{"$f":"Standards!$D$304","v":"Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)."},{"$f":"Standards!$E$304","v":0}]
["Std_2.2.4.5.1",{"$f":"Standards!$D$305","v":"Counseling is provided to users on Safe Abortion Services, complication and family planning post abortion along with clear discharge instructions"},{"$f":"Standards!$E$305","v":0}]
["Std_2.2.4.5.2",{"$f":"Standards!$D$306","v":"Appropriate IEC/BCC materials on safe abortion services and post abortion family planning services –Medical Abortion Chart, CAC counseling flip chart, second trimester counseling flipchart, DMT Tools used for counseling"},{"$f":"Standards!$E$306","v":0}]
["Std_2.2.4.6",{"$f":"Standards!$D$307","v":"WHO safe surgery checklist is available and used for safe abortion services including written informed consent"},{"$f":"Standards!$E$307","v":0}]
["Std_2.2.4.7.1",{"$f":"Standards!$D$308","v":"Instruments, equipments and supplies for Safe Abortion Services available (See Annex 2.2.4a Instruments, equipments and supplies for Safe Abortion services At the end of this standard)"},{"$f":"Standards!$E$308","v":0}]
["Std_2.2.4.7.2",{"$f":"Standards!$D$309","v":"Functional BP set, stethoscope, thermometer, and weighing scale available"},{"$f":"Standards!$E$309","v":0}]
["Std_2.2.4.8.1",{"$f":"Standards!$D$310","v":"Adequate rooms and space for health worker and patients are available with at least one working table, chair for health worker and two patients’ chair, one examination bed, one procedure table and one foot step "},{"$f":"Standards!$E$310","v":0}]
["Std_2.2.4.8.2",{"$f":"Standards!$D$311","v":"Light and ventilation are adequately maintained."},{"$f":"Standards!$E$311","v":0}]
["Std_2.2.4.9.1",{"$f":"Standards!$D$312","v":"Patient’s health card and register available and services recorded along with complications if any"},{"$f":"Standards!$E$312","v":0}]
["Std_2.2.4.9.2",{"$f":"Standards!$D$313","v":" Product of conception is sent for histopathlogical examination and reports followed up"},{"$f":"Standards!$E$313","v":0}]
["Std_2.2.4.10.1",{"$f":"Standards!$D$314","v":"Utility Gloves, Gumboot, Mask, Plastic Apron, Caps are available and used"},{"$f":"Standards!$E$314","v":0}]
["Std_2.2.4.10.2",{"$f":"Standards!$D$315","v":"There are well labelled colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$315","v":0}]
["Std_2.2.4.10.3",{"$f":"Standards!$D$316","v":"Hand‑washing facility with running water and soap is available for practitioners."},{"$f":"Standards!$E$316","v":0}]
["Std_2.2.4.10.4",{"$f":"Standards!$D$317","v":"Needle cutter is used."},{"$f":"Standards!$E$317","v":0}]
["Std_2.2.4.10.5",{"$f":"Standards!$D$318","v":"Chlorine solution is available and utilized. "},{"$f":"Standards!$E$318","v":0}]
["Std_2.2.4_Total",{"$f":"Standards!$D$319","v":"Total Score"},{"$f":"Standards!$E$319","v":0}]
["Std_2.2.4_Percent",{"$f":"Standards!$D$320","v":"Total Percentage (Total Score/ 19 x100)"},{"$f":"Standards!$E$320","v":0}]
["Std_2.3.1",{"$f":"Standards!$D$326","v":"Emergency department is open 24 hours "},{"$f":"Standards!$E$326","v":0}]
["Std_2.3.2.1.1",{"$f":"Standards!$D$327","v":"For 5-10 ER beds (Doctor: Nurse: Paramedics: Office Assistant = 1:1:1:1)"},{"$f":"Standards!$E$327","v":0}]
["Std_2.3.2.1.2",{"$f":"Standards!$D$328","v":"For every increased 5 ER beds, proportionate  additional health workers is done (Doctor: Nurse: Paramedics: helper = 1:1:1:1)"},{"$f":"Standards!$E$328","v":0}]
["Std_2.3.2.2",{"$f":"Standards!$D$329","v":"There should be 1:1 nurse patient ration in red area, 1:3 in yellow area and 1:6 in green area."},{"$f":"Standards!$E$329","v":0}]
["Std_2.3.2.3",{"$f":"Standards!$D$330","v":"The doctor, nurse and paramedics are trained in PTC, ETM, BLS and ACLS [1]training"},{"$f":"Standards!$E$330","v":0}]
["Std_2.3.3.1",{"$f":"Standards!$D$331","v":"10% of the total hospital beds are allocated for ER of which 1% for red, 2% for yellow, 3% for green and 1 % for black color coded "},{"$f":"Standards!$E$331","v":0}]
["Std_2.3.3.2",{"$f":"Standards!$D$332","v":"Adequate furniture and supplies (See Annex 2.3a Furniture and General Supplies for ER At the end of this standard)"},{"$f":"Standards!$E$332","v":0}]
["Std_2.3.3.3",{"$f":"Standards!$D$333","v":"Light and ventilation are adequately maintained."},{"$f":"Standards!$E$333","v":0}]
["Std_2.3.3.4",{"$f":"Standards!$D$334","v":"Designated area for nursing station centrally placed in ER and all beds visible from nursing station"},{"$f":"Standards!$E$334","v":0}]
["Std_2.3.3.5",{"$f":"Standards!$D$335","v":"Space allocated for duty room and changing room separate for male and female staffs with facilities of tea room "},{"$f":"Standards!$E$335","v":0}]
["Std_2.3.3.6",{"$f":"Standards!$D$336","v":"Separate toilets for staffs at least one each-male, female and universal "},{"$f":"Standards!$E$336","v":0}]
["Std_2.3.3.7",{"$f":"Standards!$D$337","v":"Separate land line/ mobile phone for emergency  "},{"$f":"Standards!$E$337","v":0}]
["Std_2.3.4",{"$f":"Standards!$D$338","v":"Instruments and equipment to carry out the ER works are available and functioning (See Annex 2.3b ER Instruments and Equipment At the end of this standard)"},{"$f":"Standards!$E$338","v":0}]
["Std_2.3.5.1",{"$f":"Standards!$D$339","v":"Medicines and supplies to carry out the ER works are available (See Annex 2.3c Medicines and Supplies for ER At the end of this standard) "},{"$f":"Standards!$E$339","v":0}]
["Std_2.3.5.2",{"$f":"Standards!$D$340","v":"Emergency stock of medicines and supplies for mass casualty management"},{"$f":"Standards!$E$340","v":0}]
["Std_2.3.6.1",{"$f":"Standards!$D$341","v":"Hospital maintains a triage system in the ER with 24 hours triage service "},{"$f":"Standards!$E$341","v":0}]
["Std_2.3.6.2",{"$f":"Standards!$D$342","v":"Availability of at least two sets of triaging equipment- thermometer, stethoscope, BP instrument, Pulse Oxy-meter, glucometer"},{"$f":"Standards!$E$342","v":0}]
["Std_2.3.6.3",{"$f":"Standards!$D$343","v":"Triage category board and information to the public (Red, Yellow, Green Board)"},{"$f":"Standards!$E$343","v":0}]
["Std_2.3.7.1",{"$f":"Standards!$D$344","v":"In red area one of the bed is Resuscitation bed with availability of emergency crash trolley with emergency lifesaving drugs, cardiac monitor, non-invasive ventilator, oxygen concentrator   "},{"$f":"Standards!$E$344","v":0}]
["Std_2.3.7.2",{"$f":"Standards!$D$345","v":"Development of 001 or Blue code call system whenever any patient visited in Emergency collapses and need immediate and urgent emergency care"},{"$f":"Standards!$E$345","v":0}]
["Std_2.3.7.3",{"$f":"Standards!$D$346","v":"Emergency disposition of the patient either in observation ward or definite care ward or referral or discharge within 3-6 hours"},{"$f":"Standards!$E$346","v":0}]
["Std_2.3.7.4",{"$f":"Standards!$D$347","v":"Critical patient transfer from emergency to OT or Inter-hospital transfer is accompanied at least by paramedics or Nurse for handover of patient   "},{"$f":"Standards!$E$347","v":0}]
["Std_2.3.8",{"$f":"Standards!$D$348","v":"Appropriate methods have been used to ensure patient privacy (separate rooms, curtains hung)"},{"$f":"Standards!$E$348","v":0}]
["Std_2.3.9",{"$f":"Standards!$D$349","v":"The hospital has maintained security system for ER for 24 hours with CCTV coverage"},{"$f":"Standards!$E$349","v":0}]
["Std_2.3.10.1",{"$f":"Standards!$D$350","v":"The hospital has mass casualty management protocol, and all staffs are updated with well labelled direction, prepositioning clipboards"},{"$f":"Standards!$E$350","v":0}]
["Std_2.3.10.2",{"$f":"Standards!$D$351","v":"Disaster area identified with adequate furniture to carry out Triage in case of disaster"},{"$f":"Standards!$E$351","v":0}]
["Std_2.3.10.3",{"$f":"Standards!$D$352","v":"There must be disaster store in ER with required medicines, supplies and equipment (See Annex 2.3d List of medicine, supplies and equipment for Disaster Store)"},{"$f":"Standards!$E$352","v":0}]
["Std_2.3.10.4",{"$f":"Standards!$D$353","v":"Hospital carries out at least one mock drill and disaster preparedness once a year"},{"$f":"Standards!$E$353","v":0}]
["Std_2.3.11",{"$f":"Standards!$D$354","v":"Duty rosters of the ER are developed regularly and available in appropriate location"},{"$f":"Standards!$E$354","v":0}]
["Std_2.3.12",{"$f":"Standards!$D$355","v":"Separate inventories for emergency lifesaving drugs/equipment and narcotics are maintained"},{"$f":"Standards!$E$355","v":0}]
["Std_2.3.13",{"$f":"Standards!$D$356","v":"Narcotic drugs are kept separately and securely with mandatory recording system"},{"$f":"Standards!$E$356","v":0}]
["Std_2.3.14.1",{"$f":"Standards!$D$357","v":"Safe drinking water is available 24 hours"},{"$f":"Standards!$E$357","v":0}]
["Std_2.3.14.2",{"$f":"Standards!$D$358","v":"Hand‑washing facility with running water and liquid soap"},{"$f":"Standards!$E$358","v":0}]
["Std_2.3.14.3",{"$f":"Standards!$D$359","v":"There are at least 3 toilets with hand‑washing facilities (1 for males, 1 for females, and 1 universal) for every 10 ER beds and for additional beds increase proportionately for male and female "},{"$f":"Standards!$E$359","v":0}]
["Std_2.3.15",{"$f":"Standards!$D$360","v":"Decontamination area specified and practiced"},{"$f":"Standards!$E$360","v":0}]
["Std_2.3.16.1",{"$f":"Standards!$D$361","v":"Staff wear mask and gloves at work"},{"$f":"Standards!$E$361","v":0}]
["Std_2.3.16.2",{"$f":"Standards!$D$362","v":"There are clearly labelled colored bins for waste segregation and disposal as per HCWM Guideline 2014 (MoHP)"},{"$f":"Standards!$E$362","v":0}]
["Std_2.3.16.3",{"$f":"Standards!$D$363","v":"Needle cutter is used"},{"$f":"Standards!$E$363","v":0}]
["Std_2.3.16.4",{"$f":"Standards!$D$364","v":"Chlorine solution is available and utilized for decontamination"},{"$f":"Standards!$E$364","v":0}]
["Std_2.3_Total",{"$f":"Standards!$D$365","v":"Total Score"},{"$f":"Standards!$E$365","v":0}]
["Std_2.3_Percent",{"$f":"Standards!$D$366","v":"Total Percentage (Total Score/ 47 x100)"},{"$f":"Standards!$E$366","v":0}]
["Std_2.4.1",{"$f":"Standards!$D$372","v":"A separate minor OT room space dedicated for emergency minor operative procedures "},{"$f":"Standards!$E$372","v":0}]
["Std_2.4.2",{"$f":"Standards!$D$373","v":"Adequate furniture and general supplies are available (See Annex 2.4a Furniture and General Supplies for ER Minor OT At the end of this standard)."},{"$f":"Standards!$E$373","v":0}]
["Std_2.4.3",{"$f":"Standards!$D$374","v":"Minimum dressing services and routine procedures are available (See Annex 2.4b List of Minimum Services from ER Minor OT At the end of this standard). "},{"$f":"Standards!$E$374","v":0}]
["Std_2.4.4",{"$f":"Standards!$D$375","v":"Duty roster prepared to assign staffs for emergency minor OT "},{"$f":"Standards!$E$375","v":0}]
["Std_2.4.5",{"$f":"Standards!$D$376","v":"Medicines and supplies needed for surgical procedures available (See Annex 2.4c Medicine and Supplies for Minor OT At the end of this standard)."},{"$f":"Standards!$E$376","v":0}]
["Std_2.4.6.1",{"$f":"Standards!$D$377","v":"Adequate quantity of sterilized packs for Minor OT are available (See Annex 2.4d Sterile Supplies for Minor OT At the end of this standard)."},{"$f":"Standards!$E$377","v":0}]
["Std_2.4.6.2",{"$f":"Standards!$D$378","v":"Separate containers for sterile gauze and cotton balls are available."},{"$f":"Standards!$E$378","v":0}]
["Std_2.4.7.1",{"$f":"Standards!$D$379","v":"Minor OT has equipment, instrument and supplies for anesthesia services (See Annex 2.4e Equipment, Instrument and Supplies for Anesthesia for Minor OT At the end of this standard)"},{"$f":"Standards!$E$379","v":0}]
["Std_2.4.7.2",{"$f":"Standards!$D$380","v":"Minor OT has medicines and supplies for anesthesia services (See Annex 2.4f Medicine and Supplies for Anesthesia for Minor OT At the end of this standard)"},{"$f":"Standards!$E$380","v":0}]
["Std_2.4.8.1",{"$f":"Standards!$D$381","v":"Mask, gloves, plastic apron, boots and goggles are available and used whenever required."},{"$f":"Standards!$E$381","v":0}]
["Std_2.4.8.2",{"$f":"Standards!$D$382","v":"At least three color coded waste bins as per HCWM guideline 2014 (MoHP)  are available and used"},{"$f":"Standards!$E$382","v":0}]
["Std_2.4.8.3",{"$f":"Standards!$D$383","v":"Supplies trolley with needle cutter is available and used"},{"$f":"Standards!$E$383","v":0}]
["Std_2.4.8.4",{"$f":"Standards!$D$384","v":"Hand‑washing facility with running water and soap "},{"$f":"Standards!$E$384","v":0}]
["Std_2.4.8.5",{"$f":"Standards!$D$385","v":"Chlorine solution is available and utilized for decontamination"},{"$f":"Standards!$E$385","v":0}]
["Std_2.4.9",{"$f":"Standards!$D$386","v":"Proper records of all procedures are kept and reported."},{"$f":"Standards!$E$386","v":0}]
["Std_2.4_Total",{"$f":"Standards!$D$387","v":"Total Score"},{"$f":"Standards!$E$387","v":0}]
["Std_2.4_Percent",{"$f":"Standards!$D$388","v":"Total Percentage (Total Score/ 27 x100)"},{"$f":"Standards!$E$388","v":0}]
["Std_2.5.1",{"$f":"Standards!$D$394","v":"Hospital has designated pharmacy department"},{"$f":"Standards!$E$394","v":0}]
["Std_2.5.2.1",{"$f":"Standards!$D$399","v":"Drug and Therapeutic committee (DTC) chaired by medical superintendent or hospital director"},{"$f":"Standards!$E$399","v":0}]
["Std_2.5.2.2",{"$f":"Standards!$D$400","v":"Hospital pharmacy operation committee chaired by chief hospital pharmacist"},{"$f":"Standards!$E$400","v":0}]
["Std_2.5.3.1",{"$f":"Standards!$D$401","v":"Hospital has hospital formulary based on Nepalese National Formulary (NNF) and approved by DTC"},{"$f":"Standards!$E$401","v":0}]
["Std_2.5.3.2",{"$f":"Standards!$D$402","v":"Hospital formulary includes all medicines and supplies as per services provided by hospital"},{"$f":"Standards!$E$402","v":0}]
["Std_2.5.3.3",{"$f":"Standards!$D$403","v":"Hospital has all, medicines and supplies available as per approved hospital formulary list"},{"$f":"Standards!$E$403","v":0}]
["Std_2.5.4.1",{"$f":"Standards!$D$404","v":"Annual procurement plan for medicines and supplies for pharmacy services is available"},{"$f":"Standards!$E$404","v":0}]
["Std_2.5.4.2",{"$f":"Standards!$D$405","v":"Procurement is done based on public procurement guideline"},{"$f":"Standards!$E$405","v":0}]
["Std_2.5.4.3",{"$f":"Standards!$D$406","v":"Product specification for each medicine and related supplies of approved formulary list is available"},{"$f":"Standards!$E$406","v":0}]
["Std_2.5.4.4",{"$f":"Standards!$D$407","v":"Technical criteria on quality assurance of procured medicines is included in standard bidding document"},{"$f":"Standards!$E$407","v":0}]
["Std_2.5.4.5",{"$f":"Standards!$D$408","v":"Certificate of analysis (CoA) from manufacturer of each batch of procured medicine is available"},{"$f":"Standards!$E$408","v":0}]
["Std_2.5.4.6",{"$f":"Standards!$D$409","v":"Selling price of the drugs does not exceed 20% of the procurement price"},{"$f":"Standards!$E$409","v":0}]
["Std_2.5.4",{"$f":"Standards!$D$410","v":"The hospital pharmacy is open 24x7"},{"$f":"Standards!$E$410","v":0}]
["Std_2.5.5.1",{"$f":"Standards!$D$411","v":" Pharmacy department is led by at least one clinical pharmacist"},{"$f":"Standards!$E$411","v":0}]
["Std_2.5.5.2",{"$f":"Standards!$D$412","v":"Pharmacy has at least 3 pharmacist, 6 assistant pharmacist and 2 office assistants for each shift"},{"$f":"Standards!$E$412","v":0}]
["Std_2.5.5.3",{"$f":"Standards!$D$413","v":"Duty roster of pharmacy to cover 24 hours service is prepared and visibly placed"},{"$f":"Standards!$E$413","v":0}]
["Std_2.5.7",{"$f":"Standards!$D$414","v":"The list of free medicines is displayed in a clearly visible place."},{"$f":"Standards!$E$414","v":0}]
["Std_2.5.8",{"$f":"Standards!$D$415","v":"All of the required medicines and supplies for specific programs are available in pharmacy (less than 50%= 0; 50-70 =1, 70-85=2 85-100= 3)"},{"$f":"Standards!$E$415","v":0}]
["Std_2.5.9",{"$f":"Standards!$D$416","v":"Hospital pharmacy directly supplies inpatient medicine and supplies to wards and OT"},{"$f":"Standards!$E$416","v":0}]
["Std_2.5.10",{"$f":"Standards!$D$417","v":"Pharmacy uses computer with software for inventory management and medicine use"},{"$f":"Standards!$E$417","v":0}]
["Std_2.5.12",{"$f":"Standards!$D$418","v":"Number of items of hospital formulary stocked in pharmacy (less than 50%= 0; 50-70 =1, 70-85=2, 85-100= 3)"},{"$f":"Standards!$E$418","v":0}]
["Std_2.5.13.1",{"$f":"Standards!$D$419","v":"All the medicines and supplies are displayed in clean racks following either alphabetical orders and generic names or grouping as use"},{"$f":"Standards!$E$419","v":0}]
["Std_2.5.13.2",{"$f":"Standards!$D$420","v":"Temperature of pharmacy is monitored and recorded and is maintained in range of (25+/-2°C)"},{"$f":"Standards!$E$420","v":0}]
["Std_2.5.13.3",{"$f":"Standards!$D$421","v":"Functional freeze 5°C +/-2°C for thermolabile medicine"},{"$f":"Standards!$E$421","v":0}]
["Std_2.5.14.1",{"$f":"Standards!$D$422","v":"Pharmacy department has its allocated separate information and counseling unit with reference books or e-books with internet facility"},{"$f":"Standards!$E$422","v":0}]
["Std_2.5.14.2",{"$f":"Standards!$D$423","v":"Information regarding the medicines is provided to the patients."},{"$f":"Standards!$E$423","v":0}]
["Std_2.5.14.3",{"$f":"Standards!$D$424","v":"IEC materials (posters, leaflets, national hospital formulary) about the appropriate use for medicines are available in the pharmacy area."},{"$f":"Standards!$E$424","v":0}]
["Std_2.5.15",{"$f":"Standards!$D$425","v":"Hospital has pre-printed list of medicines for  generic prescription  available"},{"$f":"Standards!$E$425","v":0}]
["Std_ 2.5.16.1",{"$f":"Standards!$D$426","v":" Medicine is dispensed using electronic billing with barcode system"},{"$f":"Standards!$E$426","v":0}]
["Std_2.5.16.2",{"$f":"Standards!$D$427","v":"Each medicine is given with written instructions on how to take "},{"$f":"Standards!$E$427","v":0}]
["Std_2.5.17",{"$f":"Standards!$D$428","v":"FEFO system is maintained using standard stock book/cards."},{"$f":"Standards!$E$428","v":0}]
["Std_2.5.18",{"$f":"Standards!$D$429","v":"Every month, all medicines and supplies are counted, out- of-date discarded, and tallied with the medical store."},{"$f":"Standards!$E$429","v":0}]
["Std_2.5.19.1",{"$f":"Standards!$D$430","v":"Pharmacy department operates pharmacovigilance  activities and adverse drug reaction (ADR) Reporting"},{"$f":"Standards!$E$430","v":0}]
["Std_2.5.19.2",{"$f":"Standards!$D$431","v":"Pharmacy department conducts studies on drug utilization and quantification "},{"$f":"Standards!$E$431","v":0}]
["Std_2.5.19.3",{"$f":"Standards!$D$432","v":"Antimicrobial stewardship programme , proper antimicrobial utilization review and provide data on antimicrobial use  "},{"$f":"Standards!$E$432","v":0}]
["Std_2.5.20",{"$f":"Standards!$D$433","v":"Pharmaceutical waste (expired or unused pharmaceutical products, spilled contaminated pharmaceutical products surplus drugs, vaccines or sera, etc) management is done based on HCWM guideline 2014 (MoHP)  or returned to the supplier on time"},{"$f":"Standards!$E$433","v":0}]
["Std_2.5_Total",{"$f":"Standards!$D$434","v":"Total Score"},{"$f":"Standards!$E$434","v":0}]
["Std_2.5_Percent",{"$f":"Standards!$D$435","v":"Total Percentage (Total Score/43 x100)"},{"$f":"Standards!$E$435","v":0}]
["Std_2.6.1.1",{"$f":"Standards!$D$440","v":"Separate space for nursing station is available in each ward (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$440","v":0}]
["Std_ 2.6.1.2",{"$f":"Standards!$D$442","v":"Separate changing room available for male and female staffs (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$442","v":0}]
["Std_2.6.1.3",{"$f":"Standards!$D$443","v":"Separate store room is available (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$443","v":0}]
["Std_2.6.1.4",{"$f":"Standards!$D$444","v":"One ward should not exceed 25 beds for general ward"},{"$f":"Standards!$E$444","v":0}]
["Std_2.6.2.1",{"$f":"Standards!$D$446","v":"Medicine Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$446","v":0}]
["Std_2.6.2.2",{"$f":"Standards!$D$447","v":"Surgery Ward(See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$447","v":0}]
["Std_2.6.2.3.1",{"$f":"Standards!$D$448","v":"Pediatrics Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$448","v":0}]
["Std_2.6.2.3.2",{"$f":"Standards!$D$449","v":"Separate area dedicated for play room with play materials for different pediatric age groups"},{"$f":"Standards!$E$449","v":0}]
["Std_2.6.2.4",{"$f":"Standards!$D$450","v":"Orthopedics ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$450","v":0}]
["Std_2.6.2.5.1",{"$f":"Standards!$D$451","v":"Psychiatry ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$451","v":0}]
["Std_2.6.2.5.2",{"$f":"Standards!$D$452","v":"Separate area dedicated for recreational activities for psychiatry patients"},{"$f":"Standards!$E$452","v":0}]
["Std_2.6.2.5.3",{"$f":"Standards!$D$453","v":"Separate space designated for ECT procedure with treatment bed, ECT machine, emergency trolley with medicines and supplies"},{"$f":"Standards!$E$453","v":0}]
["Std_2.6.2.6",{"$f":"Standards!$D$454","v":"ENT Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$454","v":0}]
["Std_2.6.2.7",{"$f":"Standards!$D$455","v":"PNC and Gynecology Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$455","v":0}]
["Std_2.6.2.8",{"$f":"Standards!$D$456","v":"Burn/Plastic Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$456","v":0}]
["Std_2.6.2.8.1",{"$f":"Standards!$D$457","v":"Separate space designated for physiotherapy with walker, weight lifting and cycle exercise facility for burn inpatients"},{"$f":"Standards!$E$457","v":0}]
["Std_2.6.2.8.2",{"$f":"Standards!$D$458","v":"Separate OT is designated for burn "},{"$f":"Standards!$E$458","v":0}]
["Std_2.6.2.8.3",{"$f":"Standards!$D$459","v":"Separate ICU is designated for burn patient "},{"$f":"Standards!$E$459","v":0}]
["Std_2.6.2.8.4",{"$f":"Standards!$D$460","v":"Separate space designated for shower (bathing) for burn patient"},{"$f":"Standards!$E$460","v":0}]
["Std_2.6.2.9",{"$f":"Standards!$D$461","v":"Geriatrics Ward (See Annex 2.6a Furniture and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$461","v":0}]
["Std_2.6.3.1",{"$f":"Standards!$D$463","v":"Medicine Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$463","v":0}]
["Std_2.6.3.2",{"$f":"Standards!$D$464","v":"Surgery Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$464","v":0}]
["Std_2.6.3.3",{"$f":"Standards!$D$465","v":"Pediatrics Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$465","v":0}]
["Std_2.6.3.4",{"$f":"Standards!$D$466","v":"Orthopedics ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$466","v":0}]
["Std_2.6.3.5",{"$f":"Standards!$D$467","v":"Psychiatry ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$467","v":0}]
["Std_2.6.3.6",{"$f":"Standards!$D$468","v":"ENT Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$468","v":0}]
["Std_2.6.3.7",{"$f":"Standards!$D$469","v":"PNC and Gynecology Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$469","v":0}]
["Std_2.6.3.8",{"$f":"Standards!$D$470","v":"Burn/Plastic Ward(See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$470","v":0}]
["Std_2.6.3.9",{"$f":"Standards!$D$471","v":"Geriatrics Ward (See Annex 2.6b medicine and supplies for inpatient wards At the end of this standard)"},{"$f":"Standards!$E$471","v":0}]
["Std_2.6.4",{"$f":"Standards!$D$472","v":"There is a set of at least one table and two chairs in the nursing station and shelves for storage of charts and inpatient forms and formats (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$472","v":0}]
["Std_ 2.6.5",{"$f":"Standards!$D$473","v":"Adequate numbers of nursing staff are available in ward per shift (nurse patient ratio 1:6 in general ward, 1:4 in pediatric ward, 1:2 in high dependency or intermediate ward or post-operative ward or burn/plastic) and at least one trained office assistant/ward attendant per shift in each ward (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$473","v":0}]
["Std_2.6.6",{"$f":"Standards!$D$474","v":"Duty roster of doctors, nurses, paramedics and support staffs kept visibly in nursing station (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$474","v":0}]
["Std_2.6.7",{"$f":"Standards!$D$475","v":"Telephone facility is available with list of important contact numbers and hospital codes visibly kept (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$475","v":0}]
["Std_2.6.8.1",{"$f":"Standards!$D$476","v":"All staffs in wards are trained for BLS and oriented about emergency code 001 or blue code (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$476","v":0}]
["Std_2.6.8.2.1",{"$f":"Standards!$D$478","v":"Medicine Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"},{"$f":"Standards!$E$478","v":0}]
["Std_2.6.8.2.2",{"$f":"Standards!$D$479","v":"Surgery Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"},{"$f":"Standards!$E$479","v":0}]
["Std_2.6.8.2.3",{"$f":"Standards!$D$480","v":"Pediatrics Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"},{"$f":"Standards!$E$480","v":0}]
["Std_2.6.8.2.4",{"$f":"Standards!$D$481","v":"Orthopedics ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"},{"$f":"Standards!$E$481","v":0}]
["Std_2.6.8.2.5.1",{"$f":"Standards!$D$482","v":"Psychiatry ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"},{"$f":"Standards!$E$482","v":0}]
["Std_2.6.8.2.5.2",{"$f":"Standards!$D$483","v":"ECT room (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"},{"$f":"Standards!$E$483","v":0}]
["Std_2.6.8.2.6",{"$f":"Standards!$D$484","v":"ENT Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"},{"$f":"Standards!$E$484","v":0}]
["Std_2.6.8.2.7",{"$f":"Standards!$D$485","v":"PNC and Gynecology Ward(See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"},{"$f":"Standards!$E$485","v":0}]
["Std_2.6.8.2.8",{"$f":"Standards!$D$486","v":"Burn/plastic Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"},{"$f":"Standards!$E$486","v":0}]
["Std_2.6.8.2.9",{"$f":"Standards!$D$487","v":"Geriatrics Ward (See Annex 2.6c Emergency Trolley for Inpatient At the end of this standard)"},{"$f":"Standards!$E$487","v":0}]
["Std_2.6.8.3",{"$f":"Standards!$D$488","v":"At least one defibrillator in immediate accessible area (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$488","v":0}]
["Std_2.6.9",{"$f":"Standards!$D$489","v":"Safe abortion service (SAS) is available as per National SAS Implementation Guideline"},{"$f":"Standards!$E$489","v":0}]
["Std_2.6.10.1",{"$f":"Standards!$D$490","v":"Separate area designated for admission of male and female inpatients in wards (See Checklist At the end of this standard for scoring)"},{"$f":"Standards!$E$490","v":0}]
["Std_2.6.10.2",{"$f":"Standards!$D$491","v":"There are adequate separate toilets for male and female patients in each ward (1 for 6 female bed and 1 for 8 male beds) and also adequate wash basins/sinks for the patients. (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$491","v":0}]
["Std_2.6.10.3",{"$f":"Standards!$D$492","v":"Patient safety in taken care of in all inpatient wards including proper fixation of the furniture and equipment"},{"$f":"Standards!$E$492","v":0}]
["Std_2.6.10.4",{"$f":"Standards!$D$493","v":"Separate waiting area for visitors."},{"$f":"Standards!$E$493","v":0}]
["Std_2.6.10.5",{"$f":"Standards!$D$494","v":"For psychiatry ward, ensure that there is special arrangements for securing all furniture, equipment and instrument; all doors with no internal laches or locks, all the windows have grills and half doors in toilets and bathrooms for visible head and foot parts from outside"},{"$f":"Standards!$E$494","v":0}]
["Std_2.6.10.6",{"$f":"Standards!$D$495","v":"Safe drinking water is available 24 hours for inpatients(See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$495","v":0}]
["Std_2.6.10.7",{"$f":"Standards!$D$496","v":"Hours/ Time allocated for visitors to meet the inpatients and controlled traffic to prevent cross infection (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$496","v":0}]
["Std_2.6.10.8",{"$f":"Standards!$D$497","v":"Separate space is available for patients’ visitors (KuruwaGhar)."},{"$f":"Standards!$E$497","v":0}]
["Std_ 2.6.11.1",{"$f":"Standards!$D$498","v":"Basic information regarding admitted patients is displayed in a separate board  (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$498","v":0}]
["Std_2.6.11.2",{"$f":"Standards!$D$499","v":"Separate space with privacy dedicated for regular counselling is done for patient and patient party on condition and disease of patient (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$499","v":0}]
["Std_2.6.12",{"$f":"Standards!$D$500","v":"Appropriate IEC/BCC materials (posters, leaflets etc.) are available in the inpatient ward with focus on infection prevention (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$500","v":0}]
["Std_2.6.13",{"$f":"Standards!$D$501","v":"Admission and discharge registers are available and are being filled completely (HMIS 8.1 and 8.2) (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$501","v":0}]
["Std_2.6.14.1",{"$f":"Standards!$D$502","v":"PPE are available and used whenever required (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$502","v":0}]
["Std_2.6.14. 2",{"$f":"Standards!$D$503","v":"Each ward has hand sanitizer in visible place for health workers to use before and after touching patients (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$503","v":0}]
["Std_2.6.14.3",{"$f":"Standards!$D$504","v":"There are well labelled color coded bins for waste segregation and disposal as per HCWM guideline  2014 (MoHP) (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$504","v":0}]
["Std_2.6.14.4",{"$f":"Standards!$D$505","v":"Hand‑washing facility with running water and liquid soap is available and being practiced (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$505","v":0}]
["Std_2.6.14.5",{"$f":"Standards!$D$506","v":"Needle cutter is used (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$506","v":0}]
["Std_2.6.14..6",{"$f":"Standards!$D$507","v":"Chlorine solution is available and utilized for decontamination (See Checklist 2.6 At the end of this standard for scoring)"},{"$f":"Standards!$E$507","v":0}]
["Std_2.6.17.7",{"$f":"Standards!$D$508","v":"Separate isolation room for any communicable disease patients"},{"$f":"Standards!$E$508","v":0}]
["Std_2.6_Total",{"$f":"Standards!$D$509","v":"Total Score"},{"$f":"Standards!$E$509","v":0}]
["Std_2.6_Percent",{"$f":"Standards!$D$510","v":"Total Percentage (Total Score/ 170x100)"},{"$f":"Standards!$E$510","v":0}]
["Std_2.7.1.1.1",{"$f":"Standards!$D$516","v":"Separate pre-labor room/ labor room with privacy is available."},{"$f":"Standards!$E$516","v":0}]
["Std_2.7.1.1.2",{"$f":"Standards!$D$517","v":"Delivery service is available round the clock"},{"$f":"Standards!$E$517","v":0}]
["Std_2.7.1.1.3",{"$f":"Standards!$D$518","v":"At least one delivery bed is assigned for every 15 maternity beds"},{"$f":"Standards!$E$518","v":0}]
["Std_2.7.1.1.4",{"$f":"Standards!$D$519","v":"Labor room has adequate space for accommodating team of health workers during emergencies and easy access to OT"},{"$f":"Standards!$E$519","v":0}]
["Std_2.7.1.1.5",{"$f":"Standards!$D$520","v":"Separate OT for Obstetric Emergencies is available"},{"$f":"Standards!$E$520","v":0}]
["Std_2.7.1.2.1.1",{"$f":"Standards!$D$522","v":"Nurse: pregnant women ratio 1:2 in pre-labor; 2:1 per delivery table and 1:6 in post-natal ward"},{"$f":"Standards!$E$522","v":0}]
["Std_2.7.1.2.1.2",{"$f":"Standards!$D$523","v":" At least one ASBA trained medical officer on duty "},{"$f":"Standards!$E$523","v":0}]
["Std_2.7.1.2.1.3",{"$f":"Standards!$D$524","v":" At least one office assistant is available per shift"},{"$f":"Standards!$E$524","v":0}]
["Std_2.7.1.2.2",{"$f":"Standards!$D$525","v":"All staffs- nursing, medical practitioner designated for delivery services are trained skilled birth attendants"},{"$f":"Standards!$E$525","v":0}]
["Std_2.7.1.3",{"$f":"Standards!$D$526","v":"Duty roster to cover 24 hours shift is developed and placed in visible place"},{"$f":"Standards!$E$526","v":0}]
["Std_2.7.1.4",{"$f":"Standards!$D$527","v":"Partograph available and being used rationally"},{"$f":"Standards!$E$527","v":0}]
["Std_2.7.1.5",{"$f":"Standards!$D$528","v":"At least 2 KMC chairs available for providing KMC to premature and preterm babies"},{"$f":"Standards!$E$528","v":0}]
["Std_2.7.1.6",{"$f":"Standards!$D$529","v":"A formally signed standard birth certificate is issued."},{"$f":"Standards!$E$529","v":0}]
["Std_2.7.1.7.1",{"$f":"Standards!$D$530","v":"Pre-labor/ during labor patient and patients’ family are adequately given counseling on labor, possible complications and written consent taken"},{"$f":"Standards!$E$530","v":0}]
["Std_2.7.1.7.2",{"$f":"Standards!$D$531","v":"Health education on PNC, danger signs of mother and child, Immunization, nutrition, hygiene and family planning is given "},{"$f":"Standards!$E$531","v":0}]
["Std_2.7.1.7.3",{"$f":"Standards!$D$532","v":"Postpartum family planning and breastfeeding- early, exclusive and extended counseling is done prior to discharge."},{"$f":"Standards!$E$532","v":0}]
["Std_2.7.1.8",{"$f":"Standards!$D$533","v":"Appropriate IEC/BCC materials (posters, leaflets etc.) on postnatal care, breastfeeding- early, exclusive and extended, nutrition, immunization are used and available for users"},{"$f":"Standards!$E$533","v":0}]
["Std_ 2.7.1.9.1",{"$f":"Standards!$D$534","v":"Separate store room for delivery service related logistics"},{"$f":"Standards!$E$534","v":0}]
["Std_2.7.1.9.2",{"$f":"Standards!$D$535","v":"The facility has adequate equipment, instrument and general supplies for delivery services (See Annex 2.7.1a Furniture, equipment, instrument and general supplies for labor room At the end of this standard)"},{"$f":"Standards!$E$535","v":0}]
["Std_2.7.1.9.3",{"$f":"Standards!$D$536","v":"Labor room has medicines and supplies available for delivery services (See Annex 2.7.1bmedicines and supplies for Labor Room At the end of this standard)"},{"$f":"Standards!$E$536","v":0}]
["Std_2.7.1.9.4",{"$f":"Standards!$D$537","v":"Labor room has emergency cart with medicines and supplies available (See Annex 2.7.1c Medicines and Supplies for ER[2] Trolley Labor Room At the end of this standard)"},{"$f":"Standards!$E$537","v":0}]
["Std_2.7.1.10.1",{"$f":"Standards!$D$538","v":"Safe drinking water is available 24 hours."},{"$f":"Standards!$E$538","v":0}]
["Std_2.7.1.10.2",{"$f":"Standards!$D$539","v":"Separate toilet for patient is available in pre-labor room and accessible to patient after delivery"},{"$f":"Standards!$E$539","v":0}]
["Std_2.7.1.10.3",{"$f":"Standards!$D$540","v":"There should be maternity waiting homes[3]where there is more than 20 deliveries per day and the waiting home must be taken round by every shift with at least one visit (by nurse)"},{"$f":"Standards!$E$540","v":0}]
["Std_2.7.1.11.1",{"$f":"Standards!$D$541","v":"Personal protective equipment are available and used whenever required."},{"$f":"Standards!$E$541","v":0}]
["Std_2.7.1.11.2",{"$f":"Standards!$D$542","v":"Washable labor room"},{"$f":"Standards!$E$542","v":0}]
["Std_2.7.1.11.3",{"$f":"Standards!$D$543","v":"Separate slipper designated for labor room and hand sanitizer placed in visible place for use"},{"$f":"Standards!$E$543","v":0}]
["Std_2.7.1.11.4",{"$f":"Standards!$D$544","v":"There are at well labelled color-coded bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$544","v":0}]
["Std_2.7.1.11.5",{"$f":"Standards!$D$545","v":"Hand‑washing facility with running water and liquid soap is available"},{"$f":"Standards!$E$545","v":0}]
["Std_2.7.1.11.6",{"$f":"Standards!$D$546","v":"Needle cutter is used"},{"$f":"Standards!$E$546","v":0}]
["Std_2.7.1.11.7",{"$f":"Standards!$D$547","v":" Liquid sodium hypochoride (0.5% Chlorine solution) is available and utilized for decontamination. "},{"$f":"Standards!$E$547","v":0}]
["Std_2.7.1.11.8",{"$f":"Standards!$D$548","v":"Dry gauze and cotton are stored separately in clean containers."},{"$f":"Standards!$E$548","v":0}]
["Std_2.7.1.11.9",{"$f":"Standards!$D$549","v":"Separate bowls/ bucket for placenta and plastic "},{"$f":"Standards!$E$549","v":0}]
["Std_2.7.1.11.10",{"$f":"Standards!$D$550","v":"Placenta pit is used to dispose placenta."},{"$f":"Standards!$E$550","v":0}]
["Std_2.7.1_Total",{"$f":"Standards!$D$551","v":"Total Score"},{"$f":"Standards!$E$551","v":0}]
["Std_2.7.1_Percent",{"$f":"Standards!$D$552","v":"Total Percentage = Total Score/ 40 x100"},{"$f":"Standards!$E$552","v":0}]
["Std_2.7.2.1.1",{"$f":"Standards!$D$558","v":"Separate space for nursing station is available "},{"$f":"Standards!$E$558","v":0}]
["Std_ 2.7.2.1.2",{"$f":"Standards!$D$559","v":"Separate changing room available for male and female staffs"},{"$f":"Standards!$E$559","v":0}]
["Std_2.7.2.1.3",{"$f":"Standards!$D$560","v":"Separate store room is available "},{"$f":"Standards!$E$560","v":0}]
["Std_2.7.2.1.4",{"$f":"Standards!$D$561","v":"Separate space dedicated for pre-labor, labor and post-labor patients"},{"$f":"Standards!$E$561","v":0}]
["Std_2.7.2.2",{"$f":"Standards!$D$562","v":"Furniture and supplies to carry out the inpatient services are available and functioning (See annex 2.7.2a Furniture and supplies for maternity inpatient wards At the end of this standard ) (including nursing station)"},{"$f":"Standards!$E$562","v":0}]
["Std_2.7.2.3",{"$f":"Standards!$D$563","v":"Medicine and supplies to carry out the inpatient services are available General Ward (See Annex 2.7.2bmedicine and supplies for maternity inpatient wards At the end of this standard)"},{"$f":"Standards!$E$563","v":0}]
["Std_ 2.7.2.4.1",{"$f":"Standards!$D$564","v":"Adequate numbers of nursing staff are available in ward per shift (nurse patient ratio 1:6 in general ward)    "},{"$f":"Standards!$E$564","v":0}]
["Std_2.7.2.4.2",{"$f":"Standards!$D$565","v":"At least one trained office assistant per shift in each ward"},{"$f":"Standards!$E$565","v":0}]
["Std_2.7.2.5",{"$f":"Standards!$D$566","v":"Duty roster of doctors, nurses, paramedics and support staffs kept visibly in nursing station "},{"$f":"Standards!$E$566","v":0}]
["Std_2.7.2.6",{"$f":"Standards!$D$567","v":"Telephone facility is available with list of important contact numbers and hospital codes visibly kept "},{"$f":"Standards!$E$567","v":0}]
["Std_2.7.2.7.1",{"$f":"Standards!$D$568","v":"All staffs in wards are trained for BLS and oriented about emergency code 001 or blue code"},{"$f":"Standards!$E$568","v":0}]
["Std_2.7.2.7.2",{"$f":"Standards!$D$569","v":"At least one emergency trolley with emergency medicine available in ward (Annex 2.7.2c Medicine and Supplies for ER Trolley for Maternity In patient Ward At the end of this standard) "},{"$f":"Standards!$E$569","v":0}]
["Std_2.7.2.7.3",{"$f":"Standards!$D$570","v":"At least one defibrillator in immediate accessible area "},{"$f":"Standards!$E$570","v":0}]
["Std_2.7.2.8.1",{"$f":"Standards!$D$571","v":"Area designated for admission of inpatients in general ward"},{"$f":"Standards!$E$571","v":0}]
["Std_2.7.2.8.2",{"$f":"Standards!$D$572","v":"There are adequate toilets for male and female patients in each ward (1 for 6 female bed)"},{"$f":"Standards!$E$572","v":0}]
["Std_2.7.2.8.3",{"$f":"Standards!$D$573","v":"Safe drinking water is available 24 hours for inpatients"},{"$f":"Standards!$E$573","v":0}]
["Std_2.7.2.8.4",{"$f":"Standards!$D$574","v":"Hours/ Time allocated for visitors to meet the inpatients and controlled traffic to prevent cross infection"},{"$f":"Standards!$E$574","v":0}]
["Std_2.7.2.8.5",{"$f":"Standards!$D$575","v":"Separate space is available for patients’ visitors (Kuruwa Ghar)."},{"$f":"Standards!$E$575","v":0}]
["Std_ 2.7.2.9",{"$f":"Standards!$D$577","v":"Basic information regarding admitted patients is displayed in a separate board  "},{"$f":"Standards!$E$577","v":0}]
["Std_2.7.2.10",{"$f":"Standards!$D$578","v":"Appropriate IEC materials (posters, leaflets etc.) are available in the inpatient ward with focus on infection prevention"},{"$f":"Standards!$E$578","v":0}]
["Std_2.7.2.11",{"$f":"Standards!$D$579","v":"Admission and discharge registers are available and are being filled completely (HMIS 8.1 and 8.2)"},{"$f":"Standards!$E$579","v":0}]
["Std_2.7.2.12.1",{"$f":"Standards!$D$580","v":"Personal Protective equipment are available and used whenever required "},{"$f":"Standards!$E$580","v":0}]
["Std_2.7.2.12.2",{"$f":"Standards!$D$581","v":"Each ward has hand sanitizer in visible place for health workers to use before and after touching patients"},{"$f":"Standards!$E$581","v":0}]
["Std_2.7.2.12.3",{"$f":"Standards!$D$582","v":"There are well labelled color-coded bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)  "},{"$f":"Standards!$E$582","v":0}]
["Std_2.7.2.12.4",{"$f":"Standards!$D$583","v":"Hand washing facility with running water and liquid soap is available and being practiced "},{"$f":"Standards!$E$583","v":0}]
["Std_2.7.2.12.5",{"$f":"Standards!$D$584","v":"Needle cutter is used"},{"$f":"Standards!$E$584","v":0}]
["Std_2.7.2.12.6",{"$f":"Standards!$D$585","v":"Chlorine solution is available and utilized for decontamination "},{"$f":"Standards!$E$585","v":0}]
["Std_2.7.2_Total",{"$f":"Standards!$D$586","v":"Total Score"},{"$f":"Standards!$E$586","v":0}]
["Std_2.7.2_Percent",{"$f":"Standards!$D$587","v":"Total Percentage (Total Score/ 34 x100)"},{"$f":"Standards!$E$587","v":0}]
["Std_2.7.3.1",{"$f":"Standards!$D$594","v":"Dedicated block for birthing center with health facility having more than 500 deliveries per month"},{"$f":"Standards!$E$594","v":0}]
["Std_2.7.3.2.1",{"$f":"Standards!$D$595","v":"Separate space for nursing station is available "},{"$f":"Standards!$E$595","v":0}]
["Std_ 2.7.3.2.2",{"$f":"Standards!$D$596","v":"Separate changing room available for male and female staffs"},{"$f":"Standards!$E$596","v":0}]
["Std_2.7.3.2.3",{"$f":"Standards!$D$597","v":"Separate store room is available "},{"$f":"Standards!$E$597","v":0}]
["Std_2.7.3.2.4",{"$f":"Standards!$D$598","v":"Separate space dedicated for pre-labor, labor and post-labor patients"},{"$f":"Standards!$E$598","v":0}]
["Std_2.7.3.3",{"$f":"Standards!$D$599","v":"Furniture and supplies to carry out the inpatient services are available and functioning (See Annex 2.7.3aFurniture and supplies for birthing center At the end of this standard)"},{"$f":"Standards!$E$599","v":0}]
["Std_2.7.3.4",{"$f":"Standards!$D$600","v":"Medicine and supplies to carry out the inpatient services are available General Ward (See Annex 2.7.3b Medicine and supplies for Birthing Center At the end of this standard)"},{"$f":"Standards!$E$600","v":0}]
["Std_2.7.3.5",{"$f":"Standards!$D$601","v":"There is a set of at least one table and two chairs in the nursing station and shelves for storage of charts and inpatient forms and formats "},{"$f":"Standards!$E$601","v":0}]
["Std_2.7.3.6.1",{"$f":"Standards!$D$603","v":"Nurse/Midwife: pregnant women ratio 1:2 in pre-labor; 2:1 per delivery table and 1:6 in post-natal ward"},{"$f":"Standards!$E$603","v":0}]
["Std_2.7.3.6.2",{"$f":"Standards!$D$604","v":" At least one ASBA trained medical officer on duty "},{"$f":"Standards!$E$604","v":0}]
["Std_2.7.3.6.3",{"$f":"Standards!$D$605","v":" At least one office assistant is available per shift"},{"$f":"Standards!$E$605","v":0}]
["Std_2.7.3.6.4",{"$f":"Standards!$D$606","v":"All staffs- nursing, medical practitioner designated for delivery services are trained skilled birth attendants/Midwife"},{"$f":"Standards!$E$606","v":0}]
["Std_2.7.3.7",{"$f":"Standards!$D$607","v":"Duty roster to cover 24 hours shift is developed and placed in visible place"},{"$f":"Standards!$E$607","v":0}]
["Std_2.7.3.8",{"$f":"Standards!$D$608","v":"Telephone facility is available with list of important contact numbers and hospital codes visibly kept "},{"$f":"Standards!$E$608","v":0}]
["Std_2.7.3.9.1",{"$f":"Standards!$D$609","v":"All staffs in wards are trained for BLS and oriented about emergency code 001 or blue code"},{"$f":"Standards!$E$609","v":0}]
["Std_2.7.3.9.2",{"$f":"Standards!$D$610","v":"At least one emergency trolley with emergency medicine available in ward (See Annex 2.7.3c Medicine and Supplies for ER Trolley for Maternity Inpatient Ward At the end of this standard)"},{"$f":"Standards!$E$610","v":0}]
["Std_2.7.3.9.3",{"$f":"Standards!$D$611","v":"At least one defibrillator in immediate accessible area "},{"$f":"Standards!$E$611","v":0}]
["Std_2.7.3.10.1",{"$f":"Standards!$D$612","v":"Area designated for admission of inpatients in general ward"},{"$f":"Standards!$E$612","v":0}]
["Std_2.7.3.10.2",{"$f":"Standards!$D$614","v":"There are adequate toilets for male and female patients in each ward (1 for 6 female bed)"},{"$f":"Standards!$E$614","v":0}]
["Std_2.7.3.10.3",{"$f":"Standards!$D$615","v":"Safe drinking water is available 24 hours for inpatients"},{"$f":"Standards!$E$615","v":0}]
["Std_2.7.3.10.4",{"$f":"Standards!$D$616","v":"Hours/ Time allocated for visitors to meet the inpatients and controlled traffic to prevent cross infection"},{"$f":"Standards!$E$616","v":0}]
["Std_2.7.3.10.5",{"$f":"Standards!$D$617","v":"Separate space is available for patients’ visitors (Kuruwa Ghar)."},{"$f":"Standards!$E$617","v":0}]
["Std_ 2.7.3.11",{"$f":"Standards!$D$618","v":"Basic information regarding admitted patients is displayed in a separate board  "},{"$f":"Standards!$E$618","v":0}]
["Std_2.7.3.12",{"$f":"Standards!$D$619","v":"Appropriate IEC materials (posters, leaflets etc.) are available in the inpatient ward with focus on infection prevention"},{"$f":"Standards!$E$619","v":0}]
["Std_2.7.3.13",{"$f":"Standards!$D$620","v":"Admission and discharge registers are available and are being filled completely (HMIS 8.1 and 8.2)"},{"$f":"Standards!$E$620","v":0}]
["Std_2.7.3.14.1",{"$f":"Standards!$D$621","v":"PPE are available and used whenever required "},{"$f":"Standards!$E$621","v":0}]
["Std_2.7.3.14.2",{"$f":"Standards!$D$622","v":"Each ward has hand sanitizer in visible place for health workers to use before and after touching patients"},{"$f":"Standards!$E$622","v":0}]
["Std_2.7.3.14.3",{"$f":"Standards!$D$623","v":"There are well labelled color-coded bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$623","v":0}]
["Std_2.7.3.14.4",{"$f":"Standards!$D$624","v":"Hand‑washing facility with running water and liquid soap is available and being practiced "},{"$f":"Standards!$E$624","v":0}]
["Std_2.7.3.14.5",{"$f":"Standards!$D$625","v":"Needle cutter is used"},{"$f":"Standards!$E$625","v":0}]
["Std_2.7.3.14.6",{"$f":"Standards!$D$626","v":"Chlorine solution is available and utilized for decontamination "},{"$f":"Standards!$E$626","v":0}]
["Std_2.7.3_Total",{"$f":"Standards!$D$627","v":"Total Score"},{"$f":"Standards!$E$627","v":0}]
["Std_2.7.3_Percent",{"$f":"Standards!$D$628","v":"Total Percentage (Total Score/ 38 x100)"},{"$f":"Standards!$E$628","v":0}]
["Std_2.8.1.1.1",{"$f":"Standards!$D$634","v":"Routine minor and intermediate surgeries available on scheduled days"},{"$f":"Standards!$E$634","v":0}]
["Std_2.8.1.1.2",{"$f":"Standards!$D$635","v":"Routine major surgeries available on scheduled days"},{"$f":"Standards!$E$635","v":0}]
["Std_2.8.1.2",{"$f":"Standards!$D$636","v":"Emergency surgeries available round the clock"},{"$f":"Standards!$E$636","v":0}]
["Std_2.8.1.3",{"$f":"Standards!#REF!","v":{"$error":"#REF!"}},{"$f":"Standards!#REF!","v":{"$error":"#REF!"}}]
["Std_2.8.2.1",{"$f":"Standards!$D$637","v":"For one surgery, at least a team is composed of: MS with one trained medical officer, two OT trained nurse (one scrub and one circulating), one Anesthesiologist, one anesthesia assistant and one office assistant ( for cleaning and helping)"},{"$f":"Standards!$E$637","v":0}]
["Std_2.8.2.2",{"$f":"Standards!$D$638","v":"For overall management of operation theatre, there is one OT nurse (with minimum bachelors degree) assigned as OT in-charge"},{"$f":"Standards!$E$638","v":0}]
["Std_2.8.2.3",{"$f":"Standards!$D$639","v":"At least two nurses in pre-anesthesia area for receiving and transferring of the patient"},{"$f":"Standards!$E$639","v":0}]
["Std_2.8.2.4",{"$f":"Standards!$D$640","v":"At least two ICU trained nurses for post anesthesia care for receiving patient after OT "},{"$f":"Standards!$E$640","v":0}]
["Std_2.8.3.1",{"$f":"Standards!$D$641","v":"General Surgeries (See Annex 2.8a List of Minimum Surgeries Available At the end of this standard)"},{"$f":"Standards!$E$641","v":0}]
["Std_2.8.3.2",{"$f":"Standards!$D$642","v":"Obstetrics and gynecology surgeries (See Annex 2.8b List of Minimum Obstetrics and gynecology surgeries Available At the end of this standard)"},{"$f":"Standards!$E$642","v":0}]
["Std_2.8.3.3",{"$f":"Standards!$D$643","v":"Orthopedic Surgeries (See Annex 2.8c List of Minimum Orthopedics Surgeries Available At the end of this standard)"},{"$f":"Standards!$E$643","v":0}]
["Std_2.8.3.4",{"$f":"Standards!$D$644","v":"ENT surgeries available (See Annex 2.8d Types of ENT Surgeries Available At the end of this standard)"},{"$f":"Standards!$E$644","v":0}]
["Std_2.8.3.5",{"$f":"Standards!$D$645","v":"Neurosurgeries available (See Annex 2.8e Types of Neurology Surgeries Available At the end of this standard)"},{"$f":"Standards!$E$645","v":0}]
["Std_2.8.3.6",{"$f":"Standards!$D$646","v":"Urology Surgeries available (See Annex 2.8f Types of Urology Surgery Available At the end of this standard)"},{"$f":"Standards!$E$646","v":0}]
["Std_2.8.3.7",{"$f":"Standards!$D$647","v":"Burn/plastic Surgeries available (See Annex Types of Burn/Plastic 2.8g Surgery Available At the end of this standard)"},{"$f":"Standards!$E$647","v":0}]
["Std_2.8.4.1",{"$f":"Standards!$D$648","v":"Indications and reviews the clinical history and physical examination is documented "},{"$f":"Standards!$E$648","v":0}]
["Std_2.8.4.2",{"$f":"Standards!$D$649","v":"Pre-anesthesia checkup done for routine surgeries and documented"},{"$f":"Standards!$E$649","v":0}]
["Std_2.8.4.3",{"$f":"Standards!$D$650","v":"Informed consent is taken before surgery; patients and caretakers are given appropriate counseling about the surgery"},{"$f":"Standards!$E$650","v":0}]
["Std_2.8.5",{"$f":"Standards!$D$651","v":"The WHO Safe Surgery Checklist is available in OT and used"},{"$f":"Standards!$E$651","v":0}]
["Std_2.8.6",{"$f":"Standards!$D$652","v":"Preoperative instructions for patient preparation are given and practiced with routine pre-anesthesia check up"},{"$f":"Standards!$E$652","v":0}]
["Std_2.8.7.1",{"$f":"Standards!$D$656","v":"OT has appropriate physical set up (See Annex 2.8h Physical Set Up for OT At the end of this standard)."},{"$f":"Standards!$E$656","v":0}]
["Std_2.8.7.2",{"$f":"Standards!$D$657","v":"Each operating room has general equipment, instruments and supplies available (See Annex 2.8i Furniture, Equipment, Instruments and Supplies for OT At the end of this standard)"},{"$f":"Standards!$E$657","v":0}]
["Std_2.8.7.3",{"$f":"Standards!$D$658","v":"Each operating room has medicines and supplies available (See Annex 2.8j General Medicine and Supplies for OT At the end of this standard)  "},{"$f":"Standards!$E$658","v":0}]
["Std_2.8.7.4",{"$f":"Standards!$D$659","v":"Surgical sets for minimum list of the surgical services available (See Annex 2.8k Surgical sets for Minimum list of the surgical procedures At the end of this standard) "},{"$f":"Standards!$E$659","v":0}]
["Std_2.8.8.1.1",{"$f":"Standards!$D$661","v":"Local anesthesia "},{"$f":"Standards!$E$661","v":0}]
["Std_2.8.8.1.2",{"$f":"Standards!$D$662","v":"Regional anesthesia "},{"$f":"Standards!$E$662","v":0}]
["Std_2.8.8.1.3",{"$f":"Standards!$D$663","v":"Spinal anesthesia  "},{"$f":"Standards!$E$663","v":0}]
["Std_2.8.8.1.4",{"$f":"Standards!$D$664","v":"General anesthesia"},{"$f":"Standards!$E$664","v":0}]
["Std_2.8.8.2",{"$f":"Standards!$D$665","v":"Equipment, instrument and supplies for anesthesia available (See Annex 2.8l Equipment, Instrument and Supplies for Anesthesia At the end of this standard)"},{"$f":"Standards!$E$665","v":0}]
["Std_2.8.8.3",{"$f":"Standards!$D$666","v":"Medicine and supplies for anesthesia available (See Annex 2.8m Medicine and Supplies for Anesthesia At the end of this standard)"},{"$f":"Standards!$E$666","v":0}]
["Std_2.8.8.4.1",{"$f":"Standards!$D$667","v":"Anesthesia should be provided, led, or overseen by an anesthesiologist"},{"$f":"Standards!$E$667","v":0}]
["Std_2.8.9.1",{"$f":"Standards!$D$668","v":"Dedicated space for pre-anesthesia assessment  and post-anesthesia recovery with patient bed, IV stand, IV cannula, fixing tapes, infusion sets, burette sets, syringes, three-way stop cocks and at least one cardiac monitor "},{"$f":"Standards!$E$668","v":0}]
["Std_2.8.9.2",{"$f":"Standards!$D$669","v":"Separate area designated for post-operative care to stabilize the patient after surgery"},{"$f":"Standards!$E$669","v":0}]
["Std_2.8.9.3",{"$f":"Standards!$D$670","v":"Staffs are specified for the post-operative care including close monitoring of the vital signs and observation of patient"},{"$f":"Standards!$E$670","v":0}]
["Std_2.8.9.4",{"$f":"Standards!$D$671","v":"Patients’ pain management is prioritized, measures well documented and analgesic effect followed up"},{"$f":"Standards!$E$671","v":0}]
["Std_2.8.9.5",{"$f":"Standards!$D$672","v":"Patient undergoing surgical procedure is done pre- anesthetic check-up, continuously monitored during and at least 2 hours post- anesthesia"},{"$f":"Standards!$E$672","v":0}]
["Std_2.8.9.6",{"$f":"Standards!$D$673","v":"Adequate information shared for patient care and patient followed by at least one nurse/doctor for hand over or transfer of patient within or outside the hospital"},{"$f":"Standards!$E$673","v":0}]
["Std_2.8.10.1",{"$f":"Standards!$D$674","v":"Recording is done for all surgeries procedure including observation, management and complications if any"},{"$f":"Standards!$E$674","v":0}]
["Std_2.8.10.2",{"$f":"Standards!$D$675","v":"Records of all anesthetic procedures are kept and reported"},{"$f":"Standards!$E$675","v":0}]
["Std_2.8.11.1",{"$f":"Standards!$D$677","v":"Hand‑washing and scrubbing facility with running water and soap is available and being practiced with elbow tap"},{"$f":"Standards!$E$677","v":0}]
["Std_2.8.11.2",{"$f":"Standards!$D$678","v":"Gowns and sterile drapes for patients and sterile gown for surgery team are available and used whenever required."},{"$f":"Standards!$E$678","v":0}]
["Std_2.8.11.3",{"$f":"Standards!$D$679","v":"Fumigation is done at least once a week in the OT on Saturdays and as per need and maintained logbook."},{"$f":"Standards!$E$679","v":0}]
["Std_2.8.11.4",{"$f":"Standards!$D$680","v":"High Level Disinfection (e.g. Cidex) facility is available and being practiced."},{"$f":"Standards!$E$680","v":0}]
["Std_2.8.11.5",{"$f":"Standards!$D$681","v":"High wash is done once a month in OT and maintained logbook"},{"$f":"Standards!$E$681","v":0}]
["Std_2.8.11.6",{"$f":"Standards!$D$682","v":"Separate colored waste bins based on HCWM guideline 2014 (MoHP)  are available and used"},{"$f":"Standards!$E$682","v":0}]
["Std_2.8.11.7",{"$f":"Standards!$D$683","v":"Needle cutter is used"},{"$f":"Standards!$E$683","v":0}]
["Std_2.8.11.8",{"$f":"Standards!$D$684","v":"Chlorine solution is available and utilized for decontamination. "},{"$f":"Standards!$E$684","v":0}]
["Std_2.8_Total",{"$f":"Standards!$D$688","v":"Total Score"},{"$f":"Standards!$E$688","v":0}]
["Std_2.8_Percent",{"$f":"Standards!$D$689","v":"Total Percentage= Total Score/ 78 x 100"},{"$f":"Standards!$E$689","v":0}]
["Std_2.9.1.1",{"$f":"Standards!$D$694","v":"Hemodialysis service is available in three shifts  and appointments of patient scheduled"},{"$f":"Standards!$E$694","v":0}]
["Std_2.9.1.2",{"$f":"Standards!$D$695","v":"Emergency hemodialysis is available round the clock"},{"$f":"Standards!$E$695","v":0}]
["Std_2.9.1.3",{"$f":"Standards!$D$696","v":"Under privilege citizen facilities as per norms of government of Nepal"},{"$f":"Standards!$E$696","v":0}]
["Std_2.9.2.1",{"$f":"Standards!$D$697","v":"Separate block/rooms designated for hemodialysis with space for at least two hemodialysis beds and machines and a working."},{"$f":"Standards!$E$697","v":0}]
["Std_ 2.9.2.2",{"$f":"Standards!$D$698","v":"The dialysis station is easily accessible in time of emergency and have adequate space for resuscitation to be carried out."},{"$f":"Standards!$E$698","v":0}]
["Std_2.9.2.3",{"$f":"Standards!$D$699","v":"There is designated space for dialyzer reprocessing and proper cleaning and preparation of dialysers for reuse done based on protocol"},{"$f":"Standards!$E$699","v":0}]
["Std_2.9.2.4",{"$f":"Standards!$D$700","v":"There is designated space for medicine preparation and storage of medicines, equipment, instruments and supplies in shelves with separate dry and wet storage shelves"},{"$f":"Standards!$E$700","v":0}]
["Std_2.9.2.5",{"$f":"Standards!$D$701","v":"Separate bed is available for rest to patient after dialysis or to give injection on OPD as erythropoietin, cyclophosphamide, and others."},{"$f":"Standards!$E$701","v":0}]
["Std_2.9.3.1",{"$f":"Standards!$D$702","v":"There should be at least one haemodialysis trained medical officer with on call MD Internal Medicine or Nephrologist and one nurse per two dialysis machine per shift "},{"$f":"Standards!$E$702","v":0}]
["Std_2.9.3.2",{"$f":"Standards!$D$703","v":"All hemodialysis staffs are trained on BLS, ACLS and basic maintenance of hemodialysis machine."},{"$f":"Standards!$E$703","v":0}]
["Std_2.9.3.3",{"$f":"Standards!$D$704","v":"Biomedical equipment trained technician is available any time in case of technical emergencies"},{"$f":"Standards!$E$704","v":0}]
["Std_2.9.4.1",{"$f":"Standards!$D$705","v":"Counselling to the patient and attendant is done by multi-disciplinary team to adhere the patient to the treatment therapy including dietary counseling and follow up"},{"$f":"Standards!$E$705","v":0}]
["Std_2.9.4.2",{"$f":"Standards!$D$706","v":"Proper care and monitoring of the Vascular access is done during treatment and patient counseled about its care"},{"$f":"Standards!$E$706","v":0}]
["Std_2.9.5.1",{"$f":"Standards!$D$707","v":"At least 10 Dialysis machines are equipped with monitors and audio-visual alarms to ensure safe dialysis."},{"$f":"Standards!$E$707","v":0}]
["Std_2.9.5.2",{"$f":"Standards!$D$708","v":"Dedicated hemodialysis area and dedicated dialysis machines for patients with hepatitis B, Hepatitis C and PLHA"},{"$f":"Standards!$E$708","v":0}]
["Std_2.9.5.3",{"$f":"Standards!$D$709","v":"Adequate medical equipment and instruments available. (See Annex 2.9aList of medical equipment and instruments for hemodialysis At the end of this standard)"},{"$f":"Standards!$E$709","v":0}]
["Std_2.9.5.4",{"$f":"Standards!$D$710","v":"Adequate drugs and consumables available (See Annex 2.9b Medicines and supplies for hemodialysis At the end of this standard)"},{"$f":"Standards!$E$710","v":0}]
["Std_ 2.9.6.1",{"$f":"Standards!$D$711","v":"Product water is free from harmful chemicals and bacterial contamination with reverse osmosis done"},{"$f":"Standards!$E$711","v":0}]
["Std_2.9.6.2",{"$f":"Standards!$D$712","v":"Water used to prepare the dialysate has colony count of less than 100CFU/ml. (AAMI Standard)"},{"$f":"Standards!$E$712","v":0}]
["Std_2.9.6.3",{"$f":"Standards!$D$713","v":"Recommended water quality by provision of water analysis for bacteria at least monthly and chemical at least six monthly."},{"$f":"Standards!$E$713","v":0}]
["Std_2.9.6.4",{"$f":"Standards!$D$714","v":"Endotoxin test of RO water and dialysate is performed in annual basis."},{"$f":"Standards!$E$714","v":0}]
["Std_2.9.6.5",{"$f":"Standards!$D$715","v":"Power back up supply is ensured in hemodialysis unit at least for reverse osmosis and dialysis machine"},{"$f":"Standards!$E$715","v":0}]
["Std_2.9.6.6",{"$f":"Standards!$D$716","v":"Plumbing is installed in manner as to prevent back flow of the dialysate drainage"},{"$f":"Standards!$E$716","v":0}]
["Std_2.9.6.7",{"$f":"Standards!$D$717","v":"There is adequate light, well ventilation and suitable temperature maintained"},{"$f":"Standards!$E$717","v":0}]
["Std_2.9.6.8",{"$f":"Standards!$D$718","v":"Separate toilets for male and female staff with at least one universal toilet"},{"$f":"Standards!$E$718","v":0}]
["Std_2.9.7",{"$f":"Standards!$D$719","v":"Biomedical equipment log book is maintained along with preventive maintenance records"},{"$f":"Standards!$E$719","v":0}]
["Std_2.9.8",{"$f":"Standards!$D$720","v":"There is provision of transporting patient for transfer/referral in safe manner accompanied by at least one mid-level health worker and if needed medical officer"},{"$f":"Standards!$E$720","v":0}]
["Std_2.9.9.1",{"$f":"Standards!$D$721","v":"Medical record is maintained in register and digital format."},{"$f":"Standards!$E$721","v":0}]
["Std_22.9.9.2",{"$f":"Standards!$D$722","v":"Dialysis schedule of the patient is maintained in board along with time."},{"$f":"Standards!$E$722","v":0}]
["Std_ 2.9.10.1",{"$f":"Standards!$D$723","v":"Personal protective equipment as gown, mask, face shield as per requirement."},{"$f":"Standards!$E$723","v":0}]
["Std_ 2.9.10.2 ",{"$f":"Standards!$D$724","v":"Dialyzers and AV blood lines of PLHA, Hepatitis B and Hepatitis C positive is discarded after each use."},{"$f":"Standards!$E$724","v":0}]
["Std_2.9.10.3",{"$f":"Standards!$D$725","v":"Rinsing of machine is done after each shift and disinfection is done as per protocol"},{"$f":"Standards!$E$725","v":0}]
["Std_2.9.10.4",{"$f":"Standards!$D$726","v":"Dedicated shoes and gown is available in entrance of dialysis unit."},{"$f":"Standards!$E$726","v":0}]
["Std_2.9.10.5",{"$f":"Standards!$D$727","v":"Autoclave of infected waste before disposal"},{"$f":"Standards!$E$727","v":0}]
["Std_2.9.10.6",{"$f":"Standards!$D$728","v":"There are colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$728","v":0}]
["Std_2.0.10.7",{"$f":"Standards!$D$729","v":"Hand‑washing facility with running water and liquid soap is available for practitioners  "},{"$f":"Standards!$E$729","v":0}]
["Std_2.9.10.8",{"$f":"Standards!$D$730","v":"Needle cutter is used"},{"$f":"Standards!$E$730","v":0}]
["Std_2.9.10.9",{"$f":"Standards!$D$731","v":"Chlorine solution is available and utilized for decontamination. "},{"$f":"Standards!$E$731","v":0}]
["Std_2.9_Total",{"$f":"Standards!$D$732","v":"Total Score"},{"$f":"Standards!$E$732","v":0}]
["Std_2.9_Percent",{"$f":"Standards!$D$733","v":"Total Percentage (Total Score/ 42 x100)"},{"$f":"Standards!$E$733","v":0}]
["Std_2.10.1.1",{"$f":"Standards!$D$740","v":"ICU service is available for inpatients and referral critical cases round the clock"},{"$f":"Standards!$E$740","v":0}]
["Std_2.10.1.2",{"$f":"Standards!$D$741","v":"Minimum number of Level III ICU beds is 5% of total hospital beds"},{"$f":"Standards!$E$741","v":0}]
["Std_2.10.1.3",{"$f":"Standards!$D$744","v":"ICU lights and pipelines are concealed with epoxy coating floor and wall"},{"$f":"Standards!$E$744","v":0}]
["Std_2.10.1.2.1",{"$f":"Standards!$D$746","v":"ICU must have easy access and connectivity with operation theatre complex, emergency department, radio-imaging and clinical lab."},{"$f":"Standards!$E$746","v":0}]
["Std_2.10.1.2.2",{"$f":"Standards!$D$747","v":"ICU must have a single entry and exit point to allow free access to heavy duty machines like mobile x-ray, bed and trolleys on wheels"},{"$f":"Standards!$E$747","v":0}]
["Std_2.10.1.2.3",{"$f":"Standards!$D$748","v":"There must be at least two barriers to the entry of ICU"},{"$f":"Standards!$E$748","v":0}]
["Std_2.10.1.2.4",{"$f":"Standards!$D$750","v":"Family waiting area with chairs at least one for each ICU bed"},{"$f":"Standards!$E$750","v":0}]
["Std_2.10.1.2.5",{"$f":"Standards!$D$751","v":"Counselling room with working desk and chairs"},{"$f":"Standards!$E$751","v":0}]
["Std_2.10.1.2.6",{"$f":"Standards!$D$752","v":"Central Nursing Station with working desk, centrally connected monitors display of each bed and at least three chairs"},{"$f":"Standards!$E$752","v":0}]
["Std_2.10.1.2.7",{"$f":"Standards!$D$753","v":"Nurse's Room with tea room facility and reference books in shelves"},{"$f":"Standards!$E$753","v":0}]
["Std_2.10.1.2.7",{"$f":"Standards!$D$754","v":"Doctor's Room with tea room facility and reference books in shelves"},{"$f":"Standards!$E$754","v":0}]
["Std_2.10.1.2.8",{"$f":"Standards!$D$755","v":"Utility Room with separate dirty and clean linen storage "},{"$f":"Standards!$E$755","v":0}]
["Std_2.10.1.2.9",{"$f":"Standards!$D$756","v":"Changing Room (Separate for male and female) with adequate number of lockers for staffs’ belongings"},{"$f":"Standards!$E$756","v":0}]
["Std_2.10.1.2.10",{"$f":"Standards!$D$757","v":"Wash room (Separate for male and female with at least one universal)"},{"$f":"Standards!$E$757","v":0}]
["Std_2.10.1.2.11",{"$f":"Standards!$D$758","v":"Proper bed area allocated for each bed with supplies (See Annex 2.10.1a Proper Bed Area for ICU At the end of the standard)"},{"$f":"Standards!$E$758","v":0}]
["Std_2.10.1.2.12",{"$f":"Standards!$D$760","v":"Lighting: Access to natural light for each bed"},{"$f":"Standards!$E$760","v":0}]
["Std_2.10.1.2.13",{"$f":"Standards!$D$761","v":"ICU must have air conditioner to maintain the temperature, humidity and air flow and closed to outer environment"},{"$f":"Standards!$E$761","v":0}]
["Std_2.10.1.2.14",{"$f":"Standards!$D$762","v":"High illumination spot lighting for procedures, like putting central lines etc."},{"$f":"Standards!$E$762","v":0}]
["Std_2.10.1.2.15",{"$f":"Standards!$D$763","v":"There must be proper fire extinguishing machines."},{"$f":"Standards!$E$763","v":0}]
["Std_2.10.1.3.1",{"$f":"Standards!$D$764","v":"ICU has staffing as per annex . (See Annex 2.10.1b Staffing of Intensive care services At the end of the standard)"},{"$f":"Standards!$E$764","v":0}]
["Std_2.10.1.3.2",{"$f":"Standards!$D$765","v":"There must be one ICU in-charge with 5 years experience in ICU (Nursing officer) with minimum of Bachelor in Nursing with at least three month training or Certification in Critical Care Nurse Training ) in for overall nursing management of ICU"},{"$f":"Standards!$E$765","v":0}]
["Std_2.10.1.4",{"$f":"Standards!$D$766","v":"ICU has adequate equipment and instruments to function adequately (See Annex 2.10.1c Equipment and Instrument for intensive care services At the end of the standard)"},{"$f":"Standards!$E$766","v":0}]
["Std_2.10.1.5",{"$f":"Standards!$D$767","v":"Duty roster for 24 hours is prepared and placed in visible area for all ICU staffs including doctors and nurses."},{"$f":"Standards!$E$767","v":0}]
["Std_2.10.1.6.1",{"$f":"Standards!$D$769","v":"ICU must practice ICU protocols (e.g. Published by Nepalese Society for Critical Care Medicine (NSCCM)) on given clinical conditions AND all staffs in ICU trained in Basic Life Support, Advance Life Support, Mechanical Ventilation, Infection prevention, Therapeutic Feeding"},{"$f":"Standards!$E$769","v":0}]
["Std_2.10.1.6.2",{"$f":"Standards!$D$770","v":"All ICUs must be designed to handle disasters both within ICU and outside the ICU"},{"$f":"Standards!$E$770","v":0}]
["Std_2.10.1.7.1",{"$f":"Standards!$D$771","v":"Separate Nursing Flow Sheet tailored for ICU set up is used for continuous monitoring of the patients and e-recording done in standard software approved by MoHP"},{"$f":"Standards!$E$771","v":0}]
["Std_2.10.1.7.2",{"$f":"Standards!$D$772","v":"Handover and takeover of the patients from ER or other wards is done with patient being received in ICU accompanied by respective ward at least staff nurse or paramedics "},{"$f":"Standards!$E$772","v":0}]
["Std_2.10.1.7.3",{"$f":"Standards!$D$773","v":"Complications, morbidity and mortality are recorded, reported and proceeded for clinical audit on regular basis (at least weekly)"},{"$f":"Standards!$E$773","v":0}]
["Std_2.10.1.8.1",{"$f":"Standards!$D$774","v":"10% of beds (1 to 2) should be separated as isolation beds in each ICU"},{"$f":"Standards!$E$774","v":0}]
["Std_2.10.1.8.2",{"$f":"Standards!$D$775","v":"Hand Hygiene protocol developed and followed between each ICU bed with alcohol hand rubs or sanitizer. Hand Hygiene compliance should be monitored at least two times a year."},{"$f":"Standards!$E$775","v":0}]
["Std_2.10.1.8.3",{"$f":"Standards!$D$776","v":"Separate space designated for scrub station with running water and liquid soap, elbow lever and hand drier available and functional"},{"$f":"Standards!$E$776","v":0}]
["Std_2.10.1.8.4",{"$f":"Standards!$D$777","v":"Waste disposal as per HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$777","v":0}]
["Std_2.10.1.8.5",{"$f":"Standards!$D$778","v":"Gown and slippers for doctors, nurses, visitors – as required"},{"$f":"Standards!$E$778","v":0}]
["Std_2.10.1.8.6",{"$f":"Standards!$D$779","v":"Chlorine solution is available and utilized for decontamination"},{"$f":"Standards!$E$779","v":0}]
["Std_2.10.1_Total",{"$f":"Standards!$D$782","v":"Total Score"},{"$f":"Standards!$E$782","v":0}]
["Std_2.10.1_Percent",{"$f":"Standards!$D$783","v":"Total percentage= Total Score/44 x 100"},{"$f":"Standards!$E$783","v":0}]
["Std_2.10.2.1.1",{"$f":"Standards!$D$788","v":"NICU service is available for inpatients and referral critical cases round the clock"},{"$f":"Standards!$E$788","v":0}]
["Std_2.10.2.1.2",{"$f":"Standards!$D$789","v":"Minimum number of NICU beds is 5% of total hospital beds"},{"$f":"Standards!$E$789","v":0}]
["Std_2.10.2.1.3",{"$f":"Standards!$D$790","v":"One NICU set up has at least 5 NICU beds"},{"$f":"Standards!$E$790","v":0}]
["Std_2.10.2.2.1",{"$f":"Standards!$D$791","v":"NICU must have easy access and connectivity with operation theatre complex, emergency department, radio-imaging and clinical lab."},{"$f":"Standards!$E$791","v":0}]
["Std_2.10.2.2.2",{"$f":"Standards!$D$792","v":"NICU must have a single entry and exit point to allow free access to heavy duty machines like mobile x-ray, bed and trolleys on wheels"},{"$f":"Standards!$E$792","v":0}]
["Std_2.10.2.2.3",{"$f":"Standards!$D$793","v":"There must be at least two barriers to the entry of NICU"},{"$f":"Standards!$E$793","v":0}]
["Std_2.10.2.2.4.1",{"$f":"Standards!$D$795","v":"Family waiting area with chairs at least one for each NICU bed"},{"$f":"Standards!$E$795","v":0}]
["Std_2.10.2.2.4.2",{"$f":"Standards!$D$796","v":"Counselling room with working desk and chairs"},{"$f":"Standards!$E$796","v":0}]
["Std_2.10.2.2.4.3",{"$f":"Standards!$D$797","v":"Breast feeding room with comfortable chair and air conditioning for mother to feed or express breast milk"},{"$f":"Standards!$E$797","v":0}]
["Std_2.10.2.2.4.4",{"$f":"Standards!$D$798","v":"Central Nursing Station with working desk, centrally connected monitors display of each bed and at least three chairs"},{"$f":"Standards!$E$798","v":0}]
["Std_2.10.2.2.4.5",{"$f":"Standards!$D$799","v":"Nurse's Room with tea room facility and reference books in shelves"},{"$f":"Standards!$E$799","v":0}]
["Std_2.10.2.2.4.6",{"$f":"Standards!$D$800","v":"Doctor's Room with tea room facility and reference books in shelves"},{"$f":"Standards!$E$800","v":0}]
["Std_2.10.2.2.4.7",{"$f":"Standards!$D$801","v":"Utility Room with separate dirty and clean linen storage "},{"$f":"Standards!$E$801","v":0}]
["Std_2.10.2.2.4.8",{"$f":"Standards!$D$802","v":"Changing Room (Separate for male and female) with adequate number of lockers for staffs’ belongings"},{"$f":"Standards!$E$802","v":0}]
["Std_2.10.2.2.4.9",{"$f":"Standards!$D$803","v":"Wash room (Separate for male and female with at least one universal)"},{"$f":"Standards!$E$803","v":0}]
["Std_2.10.2.2.4.10",{"$f":"Standards!$D$804","v":"Lighting: Access to natural light"},{"$f":"Standards!$E$804","v":0}]
["Std_2.10.2.2.4.11",{"$f":"Standards!$D$805","v":"NICU must have air conditioner to maintain the temperature, humidity and air flow and closed to outer environment"},{"$f":"Standards!$E$805","v":0}]
["Std_2.10.2.2.4.12",{"$f":"Standards!$D$807","v":"High illumination spot lighting for procedures, like putting central lines etc."},{"$f":"Standards!$E$807","v":0}]
["Std_2.10.2.2.4.13",{"$f":"Standards!$D$808","v":"There must be proper fire extinguishing machines."},{"$f":"Standards!$E$808","v":0}]
["Std_2.10.2.3",{"$f":"Standards!$D$809","v":"NICU has staffing as per annex (See Annex 2.10.1b Staffing of Intensive care services At the end of this standard)"},{"$f":"Standards!$E$809","v":0}]
["Std_2.10.2.4",{"$f":"Standards!$D$810","v":"NICU has adequate equipment and instruments to function adequately (See Annex 2.10.1c Equipment and Instrument for intensive care services At the end of this standard)"},{"$f":"Standards!$E$810","v":0}]
["Std_2.10.2.5",{"$f":"Standards!$D$811","v":"Duty roster for 24 hours is prepared and placed in visible area for all NICU staffs including doctors and nurses"},{"$f":"Standards!$E$811","v":0}]
["Std_2.10.2.6.1",{"$f":"Standards!$D$812","v":"NICU must practice given protocols on all given clinical conditions with all staffs in NICU trained in Basic Life Support, Pediatric Advance Life Support, Critical Care Support, Mechanical Ventilation, Infection prevention, Tube feeding, Incubators, Warmer, Phototherapy"},{"$f":"Standards!$E$812","v":0}]
["Std_2.10.2.6.2",{"$f":"Standards!$D$813","v":"All NICUs must be designed to handle disasters both within NICU and outside the NICU"},{"$f":"Standards!$E$813","v":0}]
["Std_2.10.2.7.1",{"$f":"Standards!$D$814","v":"Separate sheet tailored for NICU set up is used for continuous monitoring of the patients and e-recording done in standard software approved by MoHP"},{"$f":"Standards!$E$814","v":0}]
["Std_2.10.2.7.2",{"$f":"Standards!$D$815","v":"Handover and takeover of the patients from ER or other wards is done with patient being received in NICU accompanied by respective ward at least  staff nurse or paramedics "},{"$f":"Standards!$E$815","v":0}]
["Std_2.10.2.7.3",{"$f":"Standards!$D$816","v":"Complications, morbidity and mortality are recorded, reported and proceeded for clinical audit on regular basis (at least weekly)"},{"$f":"Standards!$E$816","v":0}]
["Std_2.10.2.8.1",{"$f":"Standards!$D$817","v":"10% of beds (1 to 2) should be separated as isolation beds in each NICU"},{"$f":"Standards!$E$817","v":0}]
["Std_2.10.2.8.2",{"$f":"Standards!$D$818","v":"Hand Hygiene protocol developed and followed between each NICU bed with alcohol hand rubs or sanitizer"},{"$f":"Standards!$E$818","v":0}]
["Std_2.10.2.8.3",{"$f":"Standards!$D$819","v":"Separate space designated for scrub station with running water and liquid soap, elbow lever and hand drier available and functional"},{"$f":"Standards!$E$819","v":0}]
["Std_2.10.2.8.4",{"$f":"Standards!$D$820","v":"Every neonate must be properly cleaned /wiped everyday by using approved solution. "},{"$f":"Standards!$E$820","v":0}]
["Std_2.10.2.8.5",{"$f":"Standards!$D$821","v":"Use of personal protective equipment while caring each neonate to prevent cross infection."},{"$f":"Standards!$E$821","v":0}]
["Std_2.10.2.8.6",{"$f":"Standards!$D$822","v":"Waste disposal as per HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$822","v":0}]
["Std_2.10.2.8.7",{"$f":"Standards!$D$823","v":"Gown and slippers for doctors, nurses, visitors"},{"$f":"Standards!$E$823","v":0}]
["Std_2.10.2.8.8",{"$f":"Standards!$D$824","v":"Chlorine solution is available and utilized for decontamination"},{"$f":"Standards!$E$824","v":0}]
["Std_2.10.2_Total",{"$f":"Standards!$D$827","v":"Total Score"},{"$f":"Standards!$E$827","v":0}]
["Std_2.10.2_Percent",{"$f":"Standards!$D$828","v":"Total percentage= Total Score/42 x 100"},{"$f":"Standards!$E$828","v":0}]
["Std_2.10.3.1.1",{"$f":"Standards!$D$833","v":"PICU service is available for inpatients and referral critical cases round the clock"},{"$f":"Standards!$E$833","v":0}]
["Std_2.10.3.1.2",{"$f":"Standards!$D$834","v":"One PICU set up has at least 5 PICU beds"},{"$f":"Standards!$E$834","v":0}]
["Std_2.10.3.2.1",{"$f":"Standards!$D$835","v":"PICU must have easy access and connectivity with operation theatre complex, emergency department, radio-imaging and clinical lab."},{"$f":"Standards!$E$835","v":0}]
["Std_2.10.3.2.2",{"$f":"Standards!$D$836","v":"PICU must have a single entry and exit point to allow free access to heavy duty machines like mobile x-ray, bed and trolleys on wheels"},{"$f":"Standards!$E$836","v":0}]
["Std_2.10.3.2.3",{"$f":"Standards!$D$837","v":"There must be at least two barriers to the entry of PICU"},{"$f":"Standards!$E$837","v":0}]
["Std_2.10.3.2.5",{"$f":"Standards!$D$839","v":"Family waiting area with chairs at least one for each PICU bed"},{"$f":"Standards!$E$839","v":0}]
["Std_2.10.3.2.6",{"$f":"Standards!$D$840","v":"Counselling room with working desk and chairs"},{"$f":"Standards!$E$840","v":0}]
["Std_2.10.3.2.7",{"$f":"Standards!$D$841","v":"Central Nursing Station with working desk, centrally connected monitors display of each bed and at least three chairs"},{"$f":"Standards!$E$841","v":0}]
["Std_2.10.3.2.8",{"$f":"Standards!$D$842","v":"Nurse's Room with tea room facility and reference books in shelves"},{"$f":"Standards!$E$842","v":0}]
["Std_2.10.3.2.9",{"$f":"Standards!$D$843","v":"Doctor's Room with tea room facility and reference books in shelves"},{"$f":"Standards!$E$843","v":0}]
["Std_2.10.3.2.10",{"$f":"Standards!$D$844","v":"Utility Room with separate dirty and clean linen storage "},{"$f":"Standards!$E$844","v":0}]
["Std_2.10.3.2.11",{"$f":"Standards!$D$845","v":"Changing Room (Separate for male and female) with adequate number of lockers for staffs’ belongings"},{"$f":"Standards!$E$845","v":0}]
["Std_2.10.3.2.12",{"$f":"Standards!$D$846","v":"Wash room (Separate for male and female with at least one universal)"},{"$f":"Standards!$E$846","v":0}]
["Std_2.10.3.2.13",{"$f":"Standards!$D$847","v":"Proper bed area allocated for each bed with supplies "},{"$f":"Standards!$E$847","v":0}]
["Std_2.10.3.2.14",{"$f":"Standards!$D$848","v":"Lighting: Access to natural light"},{"$f":"Standards!$E$848","v":0}]
["Std_2.10.3.2.15 ",{"$f":"Standards!$D$849","v":"PICU must have air conditioner to maintain the temperature, humidity and air flow and closed to outer environment"},{"$f":"Standards!$E$849","v":0}]
["Std_2.10.3.2.16",{"$f":"Standards!$D$851","v":"High illumination spot lighting for procedures, like putting central lines etc."},{"$f":"Standards!$E$851","v":0}]
["Std_2.10.3.2.17",{"$f":"Standards!$D$852","v":"There must be proper fire extinguishing machines."},{"$f":"Standards!$E$852","v":0}]
["Std_2.10.3.3",{"$f":"Standards!$D$853","v":"PICU has staffing as per annex. (See Annex 2.10.1b Staffing of Intensive care services At the end of this standard)"},{"$f":"Standards!$E$853","v":0}]
["Std_2.10.3.4",{"$f":"Standards!$D$854","v":"PICU has adequate equipment and instruments to function adequately (See Annex 2.10.1c Equipment and Instrument for intensive care services At the end of this standard)"},{"$f":"Standards!$E$854","v":0}]
["Std_2.10.3.5",{"$f":"Standards!$D$855","v":"Duty roster for 24 hours is prepared and placed in visible area for all PICU staffs including doctors and nurses"},{"$f":"Standards!$E$855","v":0}]
["Std_2.10.3.6.1",{"$f":"Standards!$D$856","v":"PICU must practice given protocols on all given clinical conditions with all staffs in PICU trained in Basic Life Support, Advance Life Support, Critical Care Support, Mechanical Ventilation, Infection prevention, Therapeutic Feeding"},{"$f":"Standards!$E$856","v":0}]
["Std_2.10.3.6.2",{"$f":"Standards!$D$857","v":"All PICUs must be designed to handle disasters both within PICU and outside the PICU"},{"$f":"Standards!$E$857","v":0}]
["Std_2.10.3.7.1",{"$f":"Standards!$D$858","v":"Separate sheet tailored for PICU set up is used for continuous monitoring of the patients and e-recording done in standard software approved by MoHP"},{"$f":"Standards!$E$858","v":0}]
["Std_2.10.3.7.2",{"$f":"Standards!$D$859","v":"Handover and takeover of the patients from ER or other wards is done with patient being received in PICU accompanied by respective ward at least staff nurse or paramedics "},{"$f":"Standards!$E$859","v":0}]
["Std_2.10.3.7.3",{"$f":"Standards!$D$860","v":"Complications, morbidity and mortality are recorded, reported and proceeded for clinical audit on regular basis (at least weekly)"},{"$f":"Standards!$E$860","v":0}]
["Std_2.10.3.8.1",{"$f":"Standards!$D$861","v":"10% of beds (1 to 2) should be separated as isolation beds in each PICU"},{"$f":"Standards!$E$861","v":0}]
["Std_2.10.3.8.2",{"$f":"Standards!$D$862","v":"Hand hygiene protocol developed and followed between each PICU bed with alcohol hand rubs or sanitizer"},{"$f":"Standards!$E$862","v":0}]
["Std_2.10.3.8.3",{"$f":"Standards!$D$863","v":"Separate space designated for scrub station with running water and liquid soap, elbow lever and hand drier available and functional"},{"$f":"Standards!$E$863","v":0}]
["Std_2.10.3.8.4",{"$f":"Standards!$D$864","v":"Every neonate must be properly cleaned /wiped everyday by using approved solution."},{"$f":"Standards!$E$864","v":0}]
["Std_2.10.3.8.5",{"$f":"Standards!$D$865","v":"Use of personal protective equipment while caring each neonate to prevent cross infection."},{"$f":"Standards!$E$865","v":0}]
["Std_2.10.3.8.6",{"$f":"Standards!$D$866","v":"Waste disposal as per HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$866","v":0}]
["Std_2.10.3.8.7",{"$f":"Standards!$D$867","v":"Gown and slippers for doctors, nurses, visitors"},{"$f":"Standards!$E$867","v":0}]
["Std_2.10.3.8.8",{"$f":"Standards!$D$868","v":"Chlorine solution is available and utilized for decontamination"},{"$f":"Standards!$E$868","v":0}]
["Std_2.10.3_Total",{"$f":"Standards!$D$871","v":"Total Score"},{"$f":"Standards!$E$871","v":0}]
["Std_2.10.3_Percent",{"$f":"Standards!$D$872","v":"Total percentage= Total Score/41 x 100"},{"$f":"Standards!$E$872","v":0}]
["Std_2.11.1.1.1.1",{"$f":"Standards!$D$879","v":"Laboratory is open from 10 AM to 5 PM  for routine services and separate emergency lab service available round the clock"},{"$f":"Standards!$E$879","v":0}]
["Std_2.11.1.1.1.2",{"$f":"Standards!$D$880","v":"Basic investigations are available (See Annex 2.11.1.1a List of investigations for Laboratory At the end of this standard)"},{"$f":"Standards!$E$880","v":0}]
["Std_2.11.1.1.2.1",{"$f":"Standards!$D$881","v":"Laboratory team is leadcomprised of by pathologist (at least) 3 (one for histocytopathology and hematology, 1 for biochemistry and 1 for microbiology)"},{"$f":"Standards!$E$881","v":0}]
["Std_2.11.1.1.2.2",{"$f":"Standards!$D$882","v":"At least 12 lab staffs ( 4 medical technologists, 4technicians, 2 assistants and 2 helpers are available during routine lab    "},{"$f":"Standards!$E$882","v":0}]
["Std_2.11.1.1.2.3",{"$f":"Standards!$D$883","v":"At least 3 staffs (1 Technician, 1 Assistant and 1 Helper) in each shift in emergency lab including staffs in off (Total 12)"},{"$f":"Standards!$E$883","v":0}]
["Std_2.11.1.1.2.4",{"$f":"Standards!$D$884","v":"On call biomedical engineer available for maintenance of lab equipment"},{"$f":"Standards!$E$884","v":0}]
["Std_2.11.1.1.3.1",{"$f":"Standards!$D$885","v":"Instruments and equipment to carry out all parameters of tests are available and functioning(See Annex 2.11.1.1b Equipment and Instrument for Lab At the end of this standard)"},{"$f":"Standards!$E$885","v":0}]
["Std_2.11.1.1.3.2",{"$f":"Standards!$D$886","v":"Instrument are maintained and calibrated as per manufacturer instructions "},{"$f":"Standards!$E$886","v":0}]
["Std_2.11.1.3.3",{"$f":"Standards!$D$887","v":"Quality control sera and standards are run regularly and record kept"},{"$f":"Standards!$E$887","v":0}]
["Std_2.11.1.1.4.1",{"$f":"Standards!$D$888","v":"Separate space with working desk and chair designated for specific laboratory procedures like- hematology, biochemistry, microbiology, serology, histopathology and cytology"},{"$f":"Standards!$E$888","v":0}]
["Std_2.11.1.1.4.2",{"$f":"Standards!$D$889","v":"Light and ventilation are adequately maintained."},{"$f":"Standards!$E$889","v":0}]
["Std_2.11.1.1.4.3",{"$f":"Standards!$D$890","v":"Designated area well labelled for reception of sample and dispatch of reports "},{"$f":"Standards!$E$890","v":0}]
["Std_2.11.1.1.4.4",{"$f":"Standards!$D$891","v":"Power back up is available for the lab for preservation of sample and regents"},{"$f":"Standards!$E$891","v":0}]
["Std_2.11.1.1.5",{"$f":"Standards!$D$892","v":"Duty rosters of lab are developed regularly and available in appropriate location. "},{"$f":"Standards!$E$892","v":0}]
["Std_2.11.1.1.6.1",{"$f":"Standards!$D$893","v":"Waiting space with sitting arrangement is available for at least 15 persons in waiting lobby."},{"$f":"Standards!$E$893","v":0}]
["Std_2.11.1.1.6.2",{"$f":"Standards!$D$894","v":"At least one separate toilet for male andfemale and universal toilet for patients using laboratory services"},{"$f":"Standards!$E$894","v":0}]
["Std_2.11.1.1.6.3",{"$f":"Standards!$D$895","v":"Safe drinking water is available in the waiting lobby throughout the day."},{"$f":"Standards!$E$895","v":0}]
["Std_2.11.1.1.7.1",{"$f":"Standards!$D$896","v":"Electronic Laboratory Information System (LIS) available "},{"$f":"Standards!$E$896","v":0}]
["Std_2.11.1.1.7.2",{"$f":"Standards!$D$897","v":"Major instruments are interfaced"},{"$f":"Standards!$E$897","v":0}]
["Std_2.11.1.1.7.3",{"$f":"Standards!$D$898","v":"Sample is adequately recorded with requisition form with detail information of patients"},{"$f":"Standards!$E$898","v":0}]
["Std_2.11.1.1.7.4",{"$f":"Standards!$D$899","v":"Copy of computerized report is kept safe for future use at least hard copy (1 year) and soft copies(5 years) and report is available to patient"},{"$f":"Standards!$E$899","v":0}]
["Std_2.11.1.1.7.5",{"$f":"Standards!$D$900","v":"Report have adequate information of patient and checked by designated person before release"},{"$f":"Standards!$E$900","v":0}]
["Std_2.11.1.1.8.1",{"$f":"Standards!$D$901","v":"At least three months buffer stock of laboratory supplies is available."},{"$f":"Standards!$E$901","v":0}]
["Std_2.11.1.1.8.2",{"$f":"Standards!$D$902","v":"Reagents are stored at appropriate temperature in store and lab"},{"$f":"Standards!$E$902","v":0}]
["Std_2.11.1.1.9",{"$f":"Standards!$D$903","v":"Blood bank should be available inside hospital premises either owned by hospital or Nepal Red Cross Society \n(If hospital has its own blood bank refer to standard 2.11.1.2)"},{"$f":"Standards!$E$903","v":0}]
["Std_2.11.1.1.10.1",{"$f":"Standards!$D$904","v":"Closed vacuum system is used for sample collection"},{"$f":"Standards!$E$904","v":0}]
["Std_2.11.1.1.10.2",{"$f":"Standards!$D$905","v":"Biohazard signs and symbols are used at appropriate places visibly"},{"$f":"Standards!$E$905","v":0}]
["Std_2.11.1.1.10.3",{"$f":"Standards!$D$906","v":"All staffs know how to respond in case of spillage and other incidents"},{"$f":"Standards!$E$906","v":0}]
["Std_2.11.1.1.10.4",{"$f":"Standards!$D$907","v":"Masks and gloves are available"},{"$f":"Standards!$E$907","v":0}]
["Std_2.11.1.1.10.5",{"$f":"Standards!$D$908","v":"There are colored bins for waste segregation based on HCWM guideline 2014 (MoHP)  and infectious waste is sterilized using autoclave before disposal"},{"$f":"Standards!$E$908","v":0}]
["Std_2.11.1.1.10.6",{"$f":"Standards!$D$909","v":"Hand‑washing facility with running water and liquid soap is available for practitioners "},{"$f":"Standards!$E$909","v":0}]
["Std_2.11.1.1.10.7",{"$f":"Standards!$D$910","v":"Needle cutter is used"},{"$f":"Standards!$E$910","v":0}]
["Std_2.11.1.1.10.8",{"$f":"Standards!$D$911","v":"Chlorine solution and bleach is available and utilized for decontamination"},{"$f":"Standards!$E$911","v":0}]
["Std_2.11.1.1_Total",{"$f":"Standards!$D$912","v":"Total Score"},{"$f":"Standards!$E$912","v":0}]
["Std_2.11.1.1_Percent",{"$f":"Standards!$D$913","v":"Total Percentage (Total Score/ 36 x100)"},{"$f":"Standards!$E$913","v":0}]
["Std_ 2.11.1.2.1",{"$f":"Standards!$D$919","v":"Blood bank is open / facility is available round the clock"},{"$f":"Standards!$E$919","v":0}]
["Std_2.11.1.2.2",{"$f":"Standards!$D$920","v":"Adequate numbers of trained healthcare workers are available in blood bank (at least 2 blood bank staffs to cover shifts including ER)"},{"$f":"Standards!$E$920","v":0}]
["Std_2.11.1.2.3.1",{"$f":"Standards!$D$921","v":"Adequate rooms and space for the staffs and patients are available (area of more than 10 meter squares)"},{"$f":"Standards!$E$921","v":0}]
["Std_2.11.1.2.3.2",{"$f":"Standards!$D$922","v":"Light and ventilation are adequately maintained."},{"$f":"Standards!$E$922","v":0}]
["Std_2.11.1.2.3.3",{"$f":"Standards!$D$923","v":"The required furniture and supplies are available (See Annex 2.11.1.2a Blood Bank Furniture and Supplies At the end of the standard)"},{"$f":"Standards!$E$923","v":0}]
["Std_2.11.1.2.3.4",{"$f":"Standards!$D$924","v":"Thermometers are attached to all equipment requiring temperature control and temperatures are recorded daily or temperature sensor based equipment"},{"$f":"Standards!$E$924","v":0}]
["Std_2.11.1.2.4",{"$f":"Standards!$D$925","v":"Instruments and equipment are calibrated, available and functioning with record of smear kept (See Annex 2.11.1.2b Equipment and Instrument for Blood Bank At the end of the standard)"},{"$f":"Standards!$E$925","v":0}]
["Std_2.11.1.2.5",{"$f":"Standards!$D$926","v":"Duty rosters of lab are developed regularly and available in appropriate location. "},{"$f":"Standards!$E$926","v":0}]
["Std_2.11.1.2.6.1",{"$f":"Standards!$D$927","v":"Comfortable waiting space with sitting arrangement is available for at least 10 persons in waiting lobby."},{"$f":"Standards!$E$927","v":0}]
["Std_2.11.1.2.6.2",{"$f":"Standards!$D$928","v":"Safe drinking water is available in the waiting lobby throughout the day."},{"$f":"Standards!$E$928","v":0}]
["Std_2.11.1.2.7.1",{"$f":"Standards!$D$929","v":"Sample is adequately recorded with requisition form with detail information of patients"},{"$f":"Standards!$E$929","v":0}]
["Std_2.11.1.2.7.2",{"$f":"Standards!$D$930","v":"Standard reporting sheets are being used and all reports are recorded in a standard register or NBBTS software and computerized bill available to patients"},{"$f":"Standards!$E$930","v":0}]
["Std_2.11.1.2.7.3",{"$f":"Standards!$D$931","v":"Report have adequate information of patient and checked by designated person before release"},{"$f":"Standards!$E$931","v":0}]
["Std_2.11.1.2.7.3",{"$f":"Standards!$D$932","v":"BTSC submits regular reports to NPHL/NBBTS of provided proficiency panels related to TTIs"},{"$f":"Standards!$E$932","v":0}]
["Std_2.11.1.2.8.1",{"$f":"Standards!$D$933","v":"At least three months buffer stock of laboratory supplies is available."},{"$f":"Standards!$E$933","v":0}]
["Std_2.11.1.2.8.2",{"$f":"Standards!$D$934","v":"Blood bags, transfusion sets, blood and blood components, reagents are stored at appropriate temperature in store and lab"},{"$f":"Standards!$E$934","v":0}]
["Std_2.11.1.2.9.1",{"$f":"Standards!$D$935","v":"Biohazard signs and symbols are used at appropriate places"},{"$f":"Standards!$E$935","v":0}]
["Std_2.11.1.2.9.2",{"$f":"Standards!$D$936","v":"All staffs know how to respond in case of spillage and other incidents"},{"$f":"Standards!$E$936","v":0}]
["Std_2.11.1.2.9.3",{"$f":"Standards!$D$937","v":"Masks and gloves are available"},{"$f":"Standards!$E$937","v":0}]
["Std_2.11.1.2.9.4",{"$f":"Standards!$D$938","v":"Bio-waste disposal is done based on HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$938","v":0}]
["Std_2.11.1.2.9.5",{"$f":"Standards!$D$939","v":"Hand‑washing facility with running water and soap is available for practitioners "},{"$f":"Standards!$E$939","v":0}]
["Std_2.11.1.2.9.6",{"$f":"Standards!$D$940","v":"Needle cutter is used"},{"$f":"Standards!$E$940","v":0}]
["Std_2.11.1.2.9.7",{"$f":"Standards!$D$941","v":"Chlorine solution and bleach is available and utilized for decontamination"},{"$f":"Standards!$E$941","v":0}]
["Std_2.11.1.2_Total",{"$f":"Standards!$D$942","v":"Total Score"},{"$f":"Standards!$E$942","v":0}]
["Std_2.11.1.2_Percent",{"$f":"Standards!$D$943","v":"Total Percentage (Total Score/27x100)"},{"$f":"Standards!$E$943","v":0}]
["Std_2.11.2.1.1",{"$f":"Standards!$D$948","v":"X-ray service is open from 10 AM to 3 PM "},{"$f":"Standards!$E$948","v":0}]
["Std_2.11.2.1.2",{"$f":"Standards!$D$949","v":"Emergency x-ray service is available round the clock"},{"$f":"Standards!$E$949","v":0}]
["Std_2.11.2.2",{"$f":"Standards!$D$950","v":"Adequate number of radiographer/radiographer technologists are available in x-ray (at least 10 staffs to cover shifts including ER along with two helpers) "},{"$f":"Standards!$E$950","v":0}]
["Std_2.11.2.3",{"$f":"Standards!$D$952","v":"Counseling is provided to patients about radiation hazard, site and position for x-ray"},{"$f":"Standards!$E$952","v":0}]
["Std_2.11.2.4",{"$f":"Standards!$D$953","v":"Radiation sign, appropriate Radiation awareness posters, leaflets are available in the department and OPD waiting area."},{"$f":"Standards!$E$953","v":0}]
["Std_2.11.2.5",{"$f":"Standards!$D$954","v":"At least two (four in hospital with OPD patient of more than 1500 per day) General X ray unit (with minimum 125KV and\n300ma X-ray machine) with floatation table top and vertical bucky 4 view box at the reporting site"},{"$f":"Standards!$E$954","v":0}]
["Std_2.11.2.6",{"$f":"Standards!$D$955","v":"Mobile X ray unit 1 for bed side radiography for inpatient is available and functioning."},{"$f":"Standards!$E$955","v":0}]
["Std_2.11.2.7",{"$f":"Standards!$D$956","v":"Complete CR system with CR cassette at least 5 of 14 x 17 inch   and 3 of 10x12inch."},{"$f":"Standards!$E$956","v":0}]
["Std_2.11.2.8.1",{"$f":"Standards!$D$957","v":"X ray room of at least 4x4sqm with wall of at least 23cm of brick or 6cm RCC or 2mm lead equivalent."},{"$f":"Standards!$E$957","v":0}]
["Std_2.11.2.8.2",{"$f":"Standards!$D$958","v":"Light and ventilation are adequately maintained."},{"$f":"Standards!$E$958","v":0}]
["Std_2.11.2.8.3",{"$f":"Standards!$D$959","v":"The required furniture  and supplies including radiation protective measures for patients, visitors and staffs are available including lead gown"},{"$f":"Standards!$E$959","v":0}]
["Std_2.11.2.9",{"$f":"Standards!$D$961","v":"Duty rosters of X-ray are developed regularly and available in appropriate location. "},{"$f":"Standards!$E$961","v":0}]
["Std_2.11.2.10",{"$f":"Standards!$D$962","v":"Waiting space with sitting arrangement is available for at least 5 persons in waiting lobby."},{"$f":"Standards!$E$962","v":0}]
["Std_2.11.2.11.1",{"$f":"Standards!$D$963","v":"X-ray is adequately recorded as per requisition form with detail information of patients, date of x-ray and site and view"},{"$f":"Standards!$E$963","v":0}]
["Std_2.11.2.11.2",{"$f":"Standards!$D$964","v":"Report have adequate information of patient and checked by designated person before release"},{"$f":"Standards!$E$964","v":0}]
["Std_2.11.2.12",{"$f":"Standards!$D$965","v":"Biohazard signs and symbols are used at appropriate places"},{"$f":"Standards!$E$965","v":0}]
["Std_2.11.2.12.1",{"$f":"Standards!$D$966","v":"Radiological waste is disposed based on HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$966","v":0}]
["Std_2.11.2.12.2",{"$f":"Standards!$D$967","v":"Hand‑washing facility with running water and soap is available for practitioners "},{"$f":"Standards!$E$967","v":0}]
["Std_2.11.2.12.3",{"$f":"Standards!$D$968","v":"Needle cutter is used"},{"$f":"Standards!$E$968","v":0}]
["Std_2.11.2.12.4",{"$f":"Standards!$D$969","v":"Chlorine solution and bleach is available and utilized for decontamination"},{"$f":"Standards!$E$969","v":0}]
["Std_2.11.2_Total",{"$f":"Standards!$D$970","v":"Total Score"},{"$f":"Standards!$E$970","v":0}]
["Std_2.11.2_Percent",{"$f":"Standards!$D$971","v":"Total Percentage (Total Score/ 21 x100)"},{"$f":"Standards!$E$971","v":0}]
["Std_2.11.3.1",{"$f":"Standards!$D$977","v":"USG is open from 10 AM to 3 PM for obstetrics, abdominal, pelvic and superficial structure like testis, thyroid"},{"$f":"Standards!$E$977","v":0}]
["Std_2.11.3.2",{"$f":"Standards!$D$978","v":"Four (4) radiologist and 2 HA/SN in each USG room with one helper"},{"$f":"Standards!$E$978","v":0}]
["Std_2.11.3.3",{"$f":"Standards!$D$979","v":"Counseling is provided to patients about site and indication of USG"},{"$f":"Standards!$E$979","v":0}]
["Std_2.11.3.4",{"$f":"Standards!$D$980","v":"Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)"},{"$f":"Standards!$E$980","v":0}]
["Std_2.11.3.5",{"$f":"Standards!$D$981","v":"At least 3 (five in OPD patient flow more than 1500) USG machine (advanced) with back up power supply at least for half an hour along with\ndifferent probes (at least one should have 3D/4D probe, computer and printer with USG papers, gel and wipes is available and functional"},{"$f":"Standards!$E$981","v":0}]
["Std_2.11.3.6.1",{"$f":"Standards!$D$982","v":" Adequate space for practitioner and patient for USG with working table and examination bed one per each USG machine"},{"$f":"Standards!$E$982","v":0}]
["Std_2.11.3.6.2",{"$f":"Standards!$D$983","v":"Proper light and ventilation maintained."},{"$f":"Standards!$E$983","v":0}]
["Std_2.11.3.7",{"$f":"Standards!$D$984","v":"Comfortable waiting space with sitting arrangement is available for at least 15 persons in waiting lobby."},{"$f":"Standards!$E$984","v":0}]
["Std_2.11.3.8.1",{"$f":"Standards!$D$985","v":"USG is adequately recorded as per requisition form with detail information of patients, date of USG"},{"$f":"Standards!$E$985","v":0}]
["Std_2.11.3.8.2",{"$f":"Standards!$D$986","v":"Report have adequate information of patient, information of area of examination and radiological opinion, further referral and checked by designated person before release"},{"$f":"Standards!$E$986","v":0}]
["Std_2.11.3.9.1",{"$f":"Standards!$D$987","v":"Hand‑washing facility with running water and soap is available for practitioners"},{"$f":"Standards!$E$987","v":0}]
["Std_2.11.3.9.2",{"$f":"Standards!$D$988","v":"Chlorine solution and bleach is available and utilized for decontamination"},{"$f":"Standards!$E$988","v":0}]
["Std_2.11.3_Total",{"$f":"Standards!$D$989","v":"Total Score"},{"$f":"Standards!$E$989","v":0}]
["Std_2.11.3_Percent",{"$f":"Standards!$D$990","v":"Total Percentage (Total Score/ 12 x100)"},{"$f":"Standards!$E$990","v":0}]
["Std_2.11.4.1",{"$f":"Standards!$D$1048","v":"ECG service is available for patients in OPD, Emergency and Indoor  "},{"$f":"Standards!$E$1048","v":0}]
["Std_2.11.4.2",{"$f":"Standards!$D$1050","v":"Separate space is dedicated for ECG Service"},{"$f":"Standards!$E$1050","v":0}]
["Std_2.11.4.3",{"$f":"Standards!$D$1051","v":"Counseling is provided to patients about procedure and indication of ECG"},{"$f":"Standards!$E$1051","v":0}]
["Std_2.11.4.4",{"$f":"Standards!$D$1052","v":"Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)"},{"$f":"Standards!$E$1052","v":0}]
["Std_2.11.4.5",{"$f":"Standards!$D$1053","v":"Functional ECG machine (12 lead with power back up), paper, gel, wipes and hand sanitizer are available in ECG trolley "},{"$f":"Standards!$E$1053","v":0}]
["Std_2.11.4.6.1",{"$f":"Standards!$D$1054","v":"ECG is adequately recorded as per requisition form with detail information of patients, date of ECG"},{"$f":"Standards!$E$1054","v":0}]
["Std_2.11.4.6.2",{"$f":"Standards!$D$1055","v":"Reporting folder of ECG should have adequate information of patient, including analysis of 12 lead ECG with final impression of ECG diagnosis done by cardiologist person before release"},{"$f":"Standards!$E$1055","v":0}]
["Std_2.11.4.7.1",{"$f":"Standards!$D$1056","v":"Hand‑washing facility with running water and liquid soap is available for practitioners"},{"$f":"Standards!$E$1056","v":0}]
["Std_2.11.4.7.2",{"$f":"Standards!$D$1057","v":"Chlorine solution and bleach is available and utilized for decontamination"},{"$f":"Standards!$E$1057","v":0}]
["Std_2.11.4_Total",{"$f":"Standards!$D$1058","v":"Total Score"},{"$f":"Standards!$E$1058","v":0}]
["Std_2.11.4_Percent",{"$f":"Standards!$D$1059","v":"Total Percentage (Total Score/ 10 x100)"},{"$f":"Standards!$E$1059","v":0}]
["Std_2.11.6.1.1",{"$f":"Standards!$D$1064","v":"Echo service is available from 10 AM to 3 PM  "},{"$f":"Standards!$E$1064","v":0}]
["Std_2.11.6.1.2",{"$f":"Standards!$D$1065","v":"Emergency Echo is available round the clock (optional)"},{"$f":"Standards!$E$1065","v":0}]
["Std_2.11.6.2",{"$f":"Standards!$D$1066","v":"Cardiologist is available for Echo service with at least one mid-level health worker and helper assigned in Echo"},{"$f":"Standards!$E$1066","v":0}]
["Std_2.11.6.3",{"$f":"Standards!$D$1067","v":"Counseling is provided to patients about procedure and indication of Echo"},{"$f":"Standards!$E$1067","v":0}]
["Std_2.11.6.4",{"$f":"Standards!$D$1068","v":"Functional Echo machine (2D, M-mode, color doppler), computer and printer with Echo papers, gel, wipes and hand sanitizer are available  "},{"$f":"Standards!$E$1068","v":0}]
["Std_2.11.6.5.1",{"$f":"Standards!$D$1069","v":"Separate space allocated for Echo with changing room and patients’ gown"},{"$f":"Standards!$E$1069","v":0}]
["Std_2.11.6.5.2",{"$f":"Standards!$D$1070","v":"Proper light and ventilation are adequately maintained"},{"$f":"Standards!$E$1070","v":0}]
["Std_2.11.6.5.3",{"$f":"Standards!$D$1071","v":"Echo examination bed with mattress and bed cover and pillow with curtains for privacy of patients"},{"$f":"Standards!$E$1071","v":0}]
["Std_2.11.6.6.1",{"$f":"Standards!$D$1072","v":"Echo is adequately recorded as per requisition form with detail information of patients, date of echo and echo diagnosis"},{"$f":"Standards!$E$1072","v":0}]
["Std_2.11.6.6.2",{"$f":"Standards!$D$1073","v":"Report have adequate information of patient and checked by designated person before release"},{"$f":"Standards!$E$1073","v":0}]
["Std_2.11.6.7.1",{"$f":"Standards!$D$1074","v":"Hand‑washing facility with running water and soap is available for practitioners"},{"$f":"Standards!$E$1074","v":0}]
["Std_2.11.6.7.2",{"$f":"Standards!$D$1075","v":"Chlorine solution and bleach is available and utilized"},{"$f":"Standards!$E$1075","v":0}]
["Std_2.11.6_Total",{"$f":"Standards!$D$1076","v":"Total Score"},{"$f":"Standards!$E$1076","v":0}]
["Std_2.11.6_Percent",{"$f":"Standards!$D$1077","v":"Total Percentage (Total Score/ 11 x100)"},{"$f":"Standards!$E$1077","v":0}]
["Std_2.11.7.1",{"$f":"Standards!$D$1081","v":"Treadmill (TMT) service is available from 10 AM to 3 PM"},{"$f":"Standards!$E$1081","v":0}]
["Std_2.11.7.2",{"$f":"Standards!$D$1082","v":"At least one trained medical officer / cardiologist and one mid-level health worker is allocated for TMT service"},{"$f":"Standards!$E$1082","v":0}]
["Std_2.11.7.3",{"$f":"Standards!$D$1083","v":"Counseling is provided to patients about procedure, indication and anticipated complication during TMT as well as to modify the routine cardiac medications as per TMT protocol."},{"$f":"Standards!$E$1083","v":0}]
["Std_2.11.7.4.1",{"$f":"Standards!$D$1084","v":"Functional TMT machine with display monitor and printer, paper, ECG lead, wipes and hand sanitizer are available "},{"$f":"Standards!$E$1084","v":0}]
["Std_2.11.7.4.2",{"$f":"Standards!$D$1085","v":"Emergency trolley with emergency drugs and supplies readily available (See Annex 2.11.8a Emergency Trolley TMT At the end of this standard) "},{"$f":"Standards!$E$1085","v":0}]
["Std_2.11.7.4.3",{"$f":"Standards!$D$1086","v":"Synchronized Defibrillator is available in TMT room"},{"$f":"Standards!$E$1086","v":0}]
["Std_2.11.7.4.4",{"$f":"Standards!$D$1087","v":"Injection Dobutamine available for Stress TMT"},{"$f":"Standards!$E$1087","v":0}]
["Std_2.11.7.5.1",{"$f":"Standards!$D$1088","v":"Separate room allocated for TMT with changing room, gown for patient and locker for patients’ belongings"},{"$f":"Standards!$E$1088","v":0}]
["Std_2.11.7.5.2",{"$f":"Standards!$D$1089","v":"Light and ventilation are adequately maintained."},{"$f":"Standards!$E$1089","v":0}]
["Std_2.11.7.6.1",{"$f":"Standards!$D$1090","v":"TMT is adequately recorded as per requisition form with detail information of patients, date of TMT "},{"$f":"Standards!$E$1090","v":0}]
["Std_2.11.7.6.2",{"$f":"Standards!$D$1091","v":"TMT report should have adequate information of patient, achievement of target heart rate, blood pressure response with exercise, any ECG changes, any complication observed during exercise and recovery period and checked by designated person before release"},{"$f":"Standards!$E$1091","v":0}]
["Std_2.11.7.7.1",{"$f":"Standards!$D$1092","v":"Hand‑washing facility with running water and liquid soap is available for practitioners"},{"$f":"Standards!$E$1092","v":0}]
["Std_2.11.7.7.2",{"$f":"Standards!$D$1093","v":"Chlorine solution and bleach is available and utilized for decontamination"},{"$f":"Standards!$E$1093","v":0}]
["Std_2.11.7_Total",{"$f":"Standards!$D$1094","v":"Total Score"},{"$f":"Standards!$E$1094","v":0}]
["Std_2.11.7_Percent",{"$f":"Standards!$D$1095","v":"Total Percentage = Total Score/ 15x100"},{"$f":"Standards!$E$1095","v":0}]
["Std_2.11.8.1. 1",{"$f":"Standards!$D$1100","v":"Endoscopy service is available from 10 AM to 3 PM  "},{"$f":"Standards!$E$1100","v":0}]
["Std_2.11.8.1. 2",{"$f":"Standards!$D$1101","v":"Emergency endoscopy is available round the clock"},{"$f":"Standards!$E$1101","v":0}]
["Std_2.11.8.2.1",{"$f":"Standards!$D$1102","v":"Separate room designated for endoscopy with adjustable patient bed, head adjustable recovery bed, working chair for practitioner and working table with at least two chairs"},{"$f":"Standards!$E$1102","v":0}]
["Std_2.11.8.2.2",{"$f":"Standards!$D$1103","v":"Scopes hanging area for storage. (covered cupboards/ shelves)"},{"$f":"Standards!$E$1103","v":0}]
["Std_2.11.8.2.3",{"$f":"Standards!$D$1104","v":"Proper light and ventilation maintained"},{"$f":"Standards!$E$1104","v":0}]
["Std_2.11.8.3.1",{"$f":"Standards!$D$1105","v":"Physician/ surgeons having endoscopic training or Gastroenterologist or hepatologist or gastrointestinal surgeons with at least 2 Trained endoscopic nurse/paramedic designated for endoscopy room"},{"$f":"Standards!$E$1105","v":0}]
["Std_2.11.8.3.2",{"$f":"Standards!$D$1106","v":"One mid-level trained health worker for record keeping, booking, and report dispatch , counselling before procedure"},{"$f":"Standards!$E$1106","v":0}]
["Std_2.11.8.4",{"$f":"Standards!$D$1107","v":"Counseling is provided to patients about procedure and indication of Endoscopy with possible complications"},{"$f":"Standards!$E$1107","v":0}]
["Std_2.11.8.5.1",{"$f":"Standards!$D$1108","v":"Functional Video-endoscopy machine with attachable gastroscope and colonscope; bronchoscope (optional) with cardiac monitor available "},{"$f":"Standards!$E$1108","v":0}]
["Std_2.11.8.5.2",{"$f":"Standards!$D$1109","v":"Portable Diathermy machine with cautery wires for endoscopic procedure standard."},{"$f":"Standards!$E$1109","v":0}]
["Std_2.11.8.5.3",{"$f":"Standards!$D$1110","v":"Emergency trolley with emergency drugs and supplies readily available  (See Annex 2.11.9a  Emergency Trolley Endoscopy At the end of this standard)"},{"$f":"Standards!$E$1110","v":0}]
["Std_2.11.8.6.1",{"$f":"Standards!$D$1111","v":"Recording and printing system (computer, color printer with capture card and reporting software for UGI endoscopy, colonoscopy)"},{"$f":"Standards!$E$1111","v":0}]
["Std_2.11.8.6.2",{"$f":"Standards!$D$1112","v":"Endoscopy report is adequately recorded as per requisition form with detail information of patients, date of endoscopy and pictures attached"},{"$f":"Standards!$E$1112","v":0}]
["Std_2.11.8.6.3",{"$f":"Standards!$D$1113","v":"Report have adequate information of patient, visibly printed pictures captured during endoscopy, endoscopic observation of structure, diagnosis and relevant endoscopic procedures performed and complications observed if any and checked by designated person before release"},{"$f":"Standards!$E$1113","v":0}]
["Std_2.11.8.7.1",{"$f":"Standards!$D$1114","v":"Hand‑washing facility with running water and soap is available for practitioners"},{"$f":"Standards!$E$1114","v":0}]
["Std_2.11.8.7.2",{"$f":"Standards!$D$1115","v":"Personal protective equipment including utility gloves and boots available and used"},{"$f":"Standards!$E$1115","v":0}]
["Std_2.11.8.7.3",{"$f":"Standards!$D$1116","v":"Separate tubs for washing, disinfection and final cleaning of the scopes available  and used"},{"$f":"Standards!$E$1116","v":0}]
["Std_2.11.8.7.4",{"$f":"Standards!$D$1118","v":"Disinfectant solution (gluteraldehyde) and Citezyme solution for enzymatic cleaning of scopes available and used"},{"$f":"Standards!$E$1118","v":0}]
["Std_2.11.8.7.5 ",{"$f":"Standards!$D$1119","v":"Chlorine solution and bleach is available and utilized for decontamination (*not for scopes)"},{"$f":"Standards!$E$1119","v":0}]
["Std_2.11.8_Total",{"$f":"Standards!$D$1120","v":"Total Score"},{"$f":"Standards!$E$1120","v":0}]
["Std_2.11.8_Percent",{"$f":"Standards!$D$1121","v":"Total Percentage (Total Score/ 21 x100)"},{"$f":"Standards!$E$1121","v":0}]
["Std_2.11.9.1",{"$f":"Standards!$D$1126","v":"Audiometry service is available from 10 AM to 3 PM"},{"$f":"Standards!$E$1126","v":0}]
["Std_2.11.9.2",{"$f":"Standards!$D$1127","v":"ENT specialist is available for performing audiometry"},{"$f":"Standards!$E$1127","v":0}]
["Std_2.11.9.3",{"$f":"Standards!$D$1128","v":"Counseling is provided to patients about procedure and indication of audiometry and explain patient about the examination booth"},{"$f":"Standards!$E$1128","v":0}]
["Std_2.11.9.4",{"$f":"Standards!$D$1129","v":"Functional Audiometer with power supply and response switch, headphones, earphones with audiometric calibration stand and 500g weight and audiometer patch cords available"},{"$f":"Standards!$E$1129","v":0}]
["Std_2.11.9.5.1",{"$f":"Standards!$D$1130","v":" Separate room allocated for audiometry with a special booth made of acoustic medium is available with custom-built triangular table with the audiometer on top and the computer tower beneath and an area outside booth for working area for technologist"},{"$f":"Standards!$E$1130","v":0}]
["Std_2.11.9.5.2",{"$f":"Standards!$D$1131","v":"Sound dampening materials on the interior walls of the exam room and a rubber seal on the hallway door"},{"$f":"Standards!$E$1131","v":0}]
["Std_2.11.9.5.3",{"$f":"Standards!$D$1132","v":"Light and ventilation are adequately maintained."},{"$f":"Standards!$E$1132","v":0}]
["Std_2.11.9.6.1",{"$f":"Standards!$D$1133","v":"Computer available for recording and reporting of the test results"},{"$f":"Standards!$E$1133","v":0}]
["Std_2.11.9.6.2",{"$f":"Standards!$D$1134","v":"Audiometry is adequately recorded as per requisition form with detail information of patients and diagnosis"},{"$f":"Standards!$E$1134","v":0}]
["Std_2.11.9.6.3",{"$f":"Standards!$D$1135","v":"Report have adequate information of patient, results of audiometry and advices for further hearing related treatment and checked by designated person before release"},{"$f":"Standards!$E$1135","v":0}]
["Std_2.11.9.7.1",{"$f":"Standards!$D$1136","v":"Hand‑washing facility with running water and soap is available for practitioners"},{"$f":"Standards!$E$1136","v":0}]
["Std_2.11.9.7.2",{"$f":"Standards!$D$1137","v":"Chlorine solution and bleach is available and utilized"},{"$f":"Standards!$E$1137","v":0}]
["Std_2.11.9_Total",{"$f":"Standards!$D$1138","v":"Total Score"},{"$f":"Standards!$E$1138","v":0}]
["Std_2.11.9_Percent",{"$f":"Standards!$D$1139","v":"Total Percentage (Total Score/ 12x100)"},{"$f":"Standards!$E$1139","v":0}]
["Std_2.11.10.1.1",{"$f":"Standards!$D$994","v":"CT Scan service is open from 10 AM to 3 PM and appointments date given"},{"$f":"Standards!$E$994","v":0}]
["Std_2.11.10.1.2",{"$f":"Standards!$D$995","v":"Emergency CT Scan service is available round the clock"},{"$f":"Standards!$E$995","v":0}]
["Std_2.11.10.2",{"$f":"Standards!$D$996","v":"Adequate number of radiographic technologists are available in CT scan (at least 6 staffs to cover shifts including ER along with two helpers) under supervision of Radiologists"},{"$f":"Standards!$E$996","v":0}]
["Std_2.11.10.3",{"$f":"Standards!$D$998","v":"Counseling is provided to patients about radiation hazard, site and position for CT Scan and assessed for claustrophobia"},{"$f":"Standards!$E$998","v":0}]
["Std_2.11.10.4",{"$f":"Standards!$D$999","v":"Radiation sign, appropriate Radiation awareness posters, leaflets are available in the department and OPD waiting area."},{"$f":"Standards!$E$999","v":0}]
["Std_2.11.10.5",{"$f":"Standards!$D$1000","v":"At least 1 CT Scan Machine (at least two in OPD patient 1000 to 2000 and at least three if more than 2000 patient flow in OPD) (at least 128 slice) back up power supply at least for half an hour available   "},{"$f":"Standards!$E$1000","v":0}]
["Std_2.11.10.6.1",{"$f":"Standards!$D$1001","v":"CT Scan room of at least 16x20 feet with wall of at least 23cm of brick or 6cm RCC or 2mm lead equivalent and control room of 10x 12 feet"},{"$f":"Standards!$E$1001","v":0}]
["Std_2.11.10.6.2",{"$f":"Standards!$D$1002","v":"Light and ventilation are adequately maintained with help of air conditioner and exhaust fans."},{"$f":"Standards!$E$1002","v":0}]
["Std_2.11.10.6.3",{"$f":"Standards!$D$1003","v":"The required furniture  and supplies including radiation protective measures for patients,, visitors and staffs are available including magnetic gown"},{"$f":"Standards!$E$1003","v":0}]
["Std_2.11.10.7",{"$f":"Standards!$D$1005","v":"Duty rosters for CT Scan service are developed regularly and available in appropriate location. "},{"$f":"Standards!$E$1005","v":0}]
["Std_2.11.10.8.1",{"$f":"Standards!$D$1006","v":"Comfortable waiting space with sitting arrangement is available for at least 5 persons in waiting lobby."},{"$f":"Standards!$E$1006","v":0}]
["Std_2.11.10.8.2",{"$f":"Standards!$D$1007","v":"Safe drinking water is available in the waiting lobby throughout the day."},{"$f":"Standards!$E$1007","v":0}]
["Std_2.11.10.9.1",{"$f":"Standards!$D$1008","v":"CT Scan is adequately recorded as per requisition form with detail information of patients, date of Ct Scan and site and view"},{"$f":"Standards!$E$1008","v":0}]
["Std_2.11.10.9.2",{"$f":"Standards!$D$1009","v":"Report have adequate information of patient, radiological diagnosis of CT Scan and checked by radiologist designated person before release"},{"$f":"Standards!$E$1009","v":0}]
["Std_2.11.10.10",{"$f":"Standards!$D$1010","v":"Biohazard signs and symbols are used at appropriate places"},{"$f":"Standards!$E$1010","v":0}]
["Std_2.11.10.11.1",{"$f":"Standards!$D$1011","v":"Radiological waste is disposed based on HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$1011","v":0}]
["Std_2.11.10.11.2",{"$f":"Standards!$D$1012","v":"Hand‑washing facility with running water and soap is available for practitioners "},{"$f":"Standards!$E$1012","v":0}]
["Std_2.11.10.11.3",{"$f":"Standards!$D$1013","v":"Needle cutter is used"},{"$f":"Standards!$E$1013","v":0}]
["Std_2.11.10.11.4",{"$f":"Standards!$D$1014","v":"Chlorine solution and bleach is available and utilized for decontamination"},{"$f":"Standards!$E$1014","v":0}]
["Std_2.11.10_Total",{"$f":"Standards!$D$1015","v":"Total Score"},{"$f":"Standards!$E$1015","v":0}]
["Std_2.11.10_Percent",{"$f":"Standards!$D$1016","v":"Total Percentage (Total Score/ 21 x100)"},{"$f":"Standards!$E$1016","v":0}]
["Std_2.12.1.1.2",{"$f":"Standards!$D$1144","v":"Designated area for mortuary room, changing room and store room and bathroom"},{"$f":"Standards!$E$1144","v":0}]
["Std_2.12.1.1.2",{"$f":"Standards!$D$1145","v":"Body dissection table (at least one) is available and used"},{"$f":"Standards!$E$1145","v":0}]
["Std_2.12.1.1.3",{"$f":"Standards!$D$1146","v":"Organ dissection table (at least one) is available and used"},{"$f":"Standards!$E$1146","v":0}]
["Std_2.12.1.1.4",{"$f":"Standards!$D$1147","v":"Adequate ventilation and light and odor management"},{"$f":"Standards!$E$1147","v":0}]
["Std_2.12.1.2",{"$f":"Standards!$D$1149","v":"Examination of the dead body in any unnatural death and suspicious death (Post-mortem examination or autopsy) available from 9 am to 5pm"},{"$f":"Standards!$E$1149","v":0}]
["Std_2.12.1.3",{"$f":"Standards!$D$1150","v":"At least one MD forensic and one trained medical officer for autopsy and clinical medico-legal services"},{"$f":"Standards!$E$1150","v":0}]
["Std_2.12.1.4",{"$f":"Standards!$D$1151","v":"Adequate supplies and instruments for forensic services (See Annex 2.12.1a Supplies and instrument for post mortem At the end of this standard)"},{"$f":"Standards!$E$1151","v":0}]
["Std_2.12.1.5",{"$f":"Standards!$D$1152","v":"Mortuary van is available 24 hours (at least one)"},{"$f":"Standards!$E$1152","v":0}]
["Std_2.12.1.6",{"$f":"Standards!$D$1153","v":"Standardized medico-legal examination formats available"},{"$f":"Standards!$E$1153","v":0}]
["Std_2.12.1.7.1 ",{"$f":"Standards!$D$1154","v":"Staff wear mask and gloves at work."},{"$f":"Standards!$E$1154","v":0}]
["Std_2.12.1.7.2",{"$f":"Standards!$D$1155","v":"There are colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$1155","v":0}]
["Std_ 2.12.1.7.3",{"$f":"Standards!$D$1156","v":"Hand‑washing facility with running water and soap is available and being practiced."},{"$f":"Standards!$E$1156","v":0}]
["Std_ 2.7.11.4",{"$f":"Standards!$D$1157","v":"Chlorine solution is available and utilized. "},{"$f":"Standards!$E$1157","v":0}]
["Std_ 2.12.1.7.5",{"$f":"Standards!$D$1158","v":"Proper disposal of anatomical waste in placenta pit after autoclaving"},{"$f":"Standards!$E$1158","v":0}]
["Std_2.12.2_Total",{"$f":"Standards!$D$1159","v":"Total Score"},{"$f":"Standards!$E$1159","v":0}]
["Std_2.12.2_Percent",{"$f":"Standards!$D$1160","v":"Total Percentage (Total Score/ 17 x100)"},{"$f":"Standards!$E$1160","v":0}]
["Std_2.12.2.1",{"$f":"Standards!$D$1166","v":"Designated area for medico-legal examination with examination bed and working desk with chair"},{"$f":"Standards!$E$1166","v":0}]
["Std_2.12.2.2.1",{"$f":"Standards!$D$1167","v":"Medico-legal services are available 24 hours "},{"$f":"Standards!$E$1167","v":0}]
["Std_2.12.2.2.2",{"$f":"Standards!$D$1168","v":"Injury examination and reporting in cases of physical assaults, attempted murder, sexual offenses (victim and accused), metal status examination, torture victim examination and  drunkenness examination and at least one examination bed allocated for it"},{"$f":"Standards!$E$1168","v":0}]
["Std_2.12.2.3",{"$f":"Standards!$D$1169","v":"At least one MD forensic and one trained medical officer for autopsy and clinical medico-legal services"},{"$f":"Standards!$E$1169","v":0}]
["Std_2.12.2.4.1",{"$f":"Standards!$D$1170","v":"Adequate supplies and instruments for medico-legal services (See Annex 2.12.2a Supplies and instrument for medico legal services At the end of this standard)"},{"$f":"Standards!$E$1170","v":0}]
["Std_2.12.2.4.2",{"$f":"Standards!$D$1171","v":"Preservation of sample ensured before dispatching for test"},{"$f":"Standards!$E$1171","v":0}]
["Std_2.12.2.5",{"$f":"Standards!$D$1172","v":"Post-traumatic counseling is done to the victims of medico-legal issues like sexual offence"},{"$f":"Standards!$E$1172","v":0}]
["Std_2.12.2.6",{"$f":"Standards!$D$1173","v":"Standardized medico-legal examination formats available"},{"$f":"Standards!$E$1173","v":0}]
["Std_2.12.2.7.1",{"$f":"Standards!$D$1174","v":"Staff wears mask and gloves at work."},{"$f":"Standards!$E$1174","v":0}]
["Std_2.12.2.7.2",{"$f":"Standards!$D$1175","v":"There are well labelled colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$1175","v":0}]
["Std_2.12.2.7.3",{"$f":"Standards!$D$1176","v":"Hand‑washing facility with running water and soap is available and being practiced."},{"$f":"Standards!$E$1176","v":0}]
["Std_2.12.2.7.4",{"$f":"Standards!$D$1177","v":"Chlorine solution is available and utilized. "},{"$f":"Standards!$E$1177","v":0}]
["Std_2.12.2_Total",{"$f":"Standards!$D$1178","v":"Total Score"},{"$f":"Standards!$E$1178","v":0}]
["Std_2.12.2_Percent",{"$f":"Standards!$D$1179","v":"Total Percentage (Total Score/ 14 x100)"},{"$f":"Standards!$E$1179","v":0}]
["Std_2.13.1.",{"$f":"Standards!$D$1184","v":"Quarterly meeting minute of coordination committee"},{"$f":"Standards!$E$1184","v":0}]
["Std_ 2.13.2",{"$f":"Standards!$D$1185","v":"Monthly meeting minute of case management committee"},{"$f":"Standards!$E$1185","v":0}]
["Std_2.13.3.1",{"$f":"Standards!$D$1186","v":"Prioritized services for GBV victims/survivors exits"},{"$f":"Standards!$E$1186","v":0}]
["Std_2.13.3.2",{"$f":"Standards!$D$1187","v":"Treatment for GBV survivors/affected by GBV is available 24 hours "},{"$f":"Standards!$E$1187","v":0}]
["Std_2.13.4",{"$f":"Standards!$D$1188","v":"Separate space allocated for OCMC services with adequate physical facilities (See Annex 2.13a Physical facilities for OCMC At the end of this standard)"},{"$f":"Standards!$E$1188","v":0}]
["Std_2.13.5.1",{"$f":"Standards!$D$1189","v":"At least one Medical officer working in the hospital trained in medico-legal issues is available"},{"$f":"Standards!$E$1189","v":0}]
["Std_ 2.13.5.2",{"$f":"Standards!$D$1190","v":"At least two Staff nurse working in the hospital, 1 trained psycho social counselor and one helper"},{"$f":"Standards!$E$1190","v":0}]
["Std_ 2.13.6.1",{"$f":"Standards!$D$1191","v":"Health check-up, medico-legal examination including documentation (See Annex2.13b  Instruments and supplies for treatment in OCMC At the end of this standard)"},{"$f":"Standards!$E$1191","v":0}]
["Std_ 2.13.6.2",{"$f":"Standards!$D$1192","v":"Preservation of samples as legal evidence done for future use (See Annex 2.13c Instruments and supplies for evidence collection in OCMC At the end of this standard)"},{"$f":"Standards!$E$1192","v":0}]
["Std_ 2.13.6.3",{"$f":"Standards!$D$1193","v":"Pregnancy test and emergency contraceptive services, tests for HIV/HBV available"},{"$f":"Standards!$E$1193","v":0}]
["Std_2.13.7.1",{"$f":"Standards!$D$1194","v":"Whole site orientation on GBV clinical protocol conducted "},{"$f":"Standards!$E$1194","v":0}]
["Std_2.13.7.2",{"$f":"Standards!$D$1195","v":"Availability and use of the treatment as per the protocol and OCMC guideline"},{"$f":"Standards!$E$1195","v":0}]
["Std_2.13.8.1",{"$f":"Standards!$D$1196","v":"Mental health and psychosocial counselling services available"},{"$f":"Standards!$E$1196","v":0}]
["Std_ 2.13.8.2",{"$f":"Standards!$D$1197","v":"If the female survivor requires to stay more days or requires advance psychosocial counseling including livelihood training, she/he shall be referred to nearby appropriate safe home/ rehabilitation centers"},{"$f":"Standards!$E$1197","v":0}]
["Std_ 2.13.9.1",{"$f":"Standards!$D$1198","v":"Provide required referral and other services (as per the health service guideline and protocol). (Beyond health: security, legal, shelter, rehabilitation)"},{"$f":"Standards!$E$1198","v":0}]
["Std_2.13.9.2",{"$f":"Standards!$D$1199","v":"Health related referral services e.g. Safe abortion services "},{"$f":"Standards!$E$1199","v":0}]
["Std_ 2.13.10.1",{"$f":"Standards!$D$1200","v":"Detailed information concerning the services being provided by OCMC to the survivors of GBV (Citizen charter, leaflets, community radio etc) "},{"$f":"Standards!$E$1200","v":0}]
["Std_ 2.13.10.2",{"$f":"Standards!$D$1201","v":"Information is being given in an integrated manner ( Safe home related, OCMC, Police women children service unit)"},{"$f":"Standards!$E$1201","v":0}]
["Std_2.13.11.1",{"$f":"Standards!$D$1202","v":"Details of the events registered in the OCMC, services (health and non-health) being provided to the survivors, listing of the referred organizations shall be documented to be classified and analyzed in due course.   "},{"$f":"Standards!$E$1202","v":0}]
["Std_ 2.13.11.2",{"$f":"Standards!$D$1203","v":"Confidentiality shall be maintained at all stages of documentation."},{"$f":"Standards!$E$1203","v":0}]
["Std_ 2.13.11.3",{"$f":"Standards!$D$1204","v":"Report to concerned authority (DCC and MoHP)  in monthly report service format"},{"$f":"Standards!$E$1204","v":0}]
["Std_2.13.11.4",{"$f":"Standards!$D$1205","v":"Documentation of the current status of GBV survivors of at least last 1 year is done "},{"$f":"Standards!$E$1205","v":0}]
["Std_ 2.13.12.1",{"$f":"Standards!$D$1206","v":"Masks and gloves are available and used"},{"$f":"Standards!$E$1206","v":0}]
["Std_ 2.13.12.2",{"$f":"Standards!$D$1207","v":"There are colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$1207","v":0}]
["Std_2.13.12.3",{"$f":"Standards!$D$1208","v":"Hand‑washing facility with running water and soap is available for practitioners."},{"$f":"Standards!$E$1208","v":0}]
["Std_2.13.12.4",{"$f":"Standards!$D$1209","v":"Needle cutter  is used."},{"$f":"Standards!$E$1209","v":0}]
["Std_2.13.12.5",{"$f":"Standards!$D$1210","v":"Chlorine solution is available and utilized. "},{"$f":"Standards!$E$1210","v":0}]
["Std_2.13_Total",{"$f":"Standards!$D$1211","v":"Total Score"},{"$f":"Standards!$E$1211","v":0}]
["Std_2.13_Percent",{"$f":"Standards!$D$1212","v":"Total Percentage (Total Score/ 33 x100)"},{"$f":"Standards!$E$1212","v":0}]
["Std_2.14.1",{"$f":"Standards!$D$1217","v":"Separate room for OPD physiotherapy with at least 15 physiotherapy beds ( 8 exercise beds and 7 electric beds)"},{"$f":"Standards!$E$1217","v":0}]
["Std_2.14.2.1 ",{"$f":"Standards!$D$1218","v":"Physiotherapy OPD is open from 10 AM to 3 PM."},{"$f":"Standards!$E$1218","v":0}]
["Std_ 2.14.2.2",{"$f":"Standards!$D$1219","v":"Inpatient physiotherapy service is available based on the requisition"},{"$f":"Standards!$E$1219","v":0}]
["Std_ 2.14.3",{"$f":"Standards!$D$1220","v":"At least 3 physiotherapist trained in Masters in Physiotherapy (MPT) (one orthopedics, one cardiac and one neurology specialty), 6 trained in Bachelors in Physiotherapy (BPT),and 3 Certificate in physiotherapy (CPT) or Diploma in physiotherapy  (DPT) and 1 trained office assistant treating at least  40 patients per day on OPD basis"},{"$f":"Standards!$E$1220","v":0}]
["Std_2.14.3.1",{"$f":"Standards!$D$1221","v":"Duty roster prepared for a month to cover 24 hours service"},{"$f":"Standards!$E$1221","v":0}]
["Std_2.14.4",{"$f":"Standards!$D$1222","v":"Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients)."},{"$f":"Standards!$E$1222","v":0}]
["Std_ 2.14.5",{"$f":"Standards!$D$1223","v":"Counseling is provided to patients about the type of treatment being given and its consequences."},{"$f":"Standards!$E$1223","v":0}]
["Std_2.14.6",{"$f":"Standards!$D$1224","v":"Appropriate IEC/BCC materials (posters, leaflets etc.) are available in the OPD waiting area."},{"$f":"Standards!$E$1224","v":0}]
["Std_2.14.7",{"$f":"Standards!$D$1225","v":"Instruments and equipment to carry out the Physiotherapy works are available and functioning (See Annex 2.14a Instruments and equipment physiotherapy At the end of this standard)."},{"$f":"Standards!$E$1225","v":0}]
["Std_2.14.8.1",{"$f":"Standards!$D$1226","v":"Adequate rooms and space for the practitioners and patients are available."},{"$f":"Standards!$E$1226","v":0}]
["Std_2.14.8.2",{"$f":"Standards!$D$1227","v":"Light and ventilation are adequately maintained."},{"$f":"Standards!$E$1227","v":0}]
["Std_2.14.9",{"$f":"Standards!$D$1228","v":"Duty rosters of OPD are developed regularly and available in appropriate location."},{"$f":"Standards!$E$1228","v":0}]
["Std_2.14.10.1",{"$f":"Standards!$D$1229","v":"Safe drinking water is available in the waiting lobby throughout the day."},{"$f":"Standards!$E$1229","v":0}]
["Std_2.14.10.2",{"$f":"Standards!$D$1230","v":"Hand‑washing facilities are available for patients."},{"$f":"Standards!$E$1230","v":0}]
["Std_2.14.11.1",{"$f":"Standards!$D$1231","v":"Recording and reporting throughout treatment and follow up is done"},{"$f":"Standards!$E$1231","v":0}]
["Std_2.14.12.1",{"$f":"Standards!$D$1232","v":"Masks and gloves are available and used"},{"$f":"Standards!$E$1232","v":0}]
["Std_2.14.12.2",{"$f":"Standards!$D$1233","v":"There are colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$1233","v":0}]
["Std_2.14.12.3",{"$f":"Standards!$D$1234","v":"Hand‑washing facility with running water and soap is available for practitioners."},{"$f":"Standards!$E$1234","v":0}]
["Std_2.14.12.4",{"$f":"Standards!$D$1235","v":"Needle cutter is used"},{"$f":"Standards!$E$1235","v":0}]
["Std_2.14.12.5",{"$f":"Standards!$D$1236","v":"Chlorine solution is available and utilized. "},{"$f":"Standards!$E$1236","v":0}]
["Std_2.14_Total",{"$f":"Standards!$D$1237","v":"Total Score"},{"$f":"Standards!$E$1237","v":0}]
["Std_2.14_Percent",{"$f":"Standards!$D$1238","v":"Percentage = Total Score / 22 x 100"},{"$f":"Standards!$E$1238","v":0}]
["Std_2.15.1",{"$f":"Standards!$D$1244","v":"Separate space allocated for Dietetics and Nutrition rehabilitation "},{"$f":"Standards!$E$1244","v":0}]
["Std_2.15.2.1",{"$f":"Standards!$D$1245","v":"Dietetics and Nutrition rehabilitation unit opens from 10 am to 3 pm"},{"$f":"Standards!$E$1245","v":0}]
["Std_2.15.2.2",{"$f":"Standards!$D$1246","v":"Inpatients monitored for nutritional needs, rehabilitation and therapeutic diets prescribed where needed"},{"$f":"Standards!$E$1246","v":0}]
["Std_2.15.3",{"$f":"Standards!$D$1247","v":"1 Senior dietitian (Masters in Nutrition & Dietetics with hospital internship, or Bachelors in Nutrition & Dietetics with one year's hospital experience), 1 dietetic assistant and 1 mid-level health workers trained in nutrition rehabilitation available for the dietetics and nutrition rehabilitation service"},{"$f":"Standards!$E$1247","v":0}]
["Std_2.15.4",{"$f":"Standards!$D$1248","v":"Appropriate techniques have been used to ensure the patient privacy (separate rooms, curtains hung, maintaining queuing of patients, etc)."},{"$f":"Standards!$E$1248","v":0}]
["Std_2.15.5",{"$f":"Standards!$D$1249","v":"Counseling is provided to patients about their nutritional status, diet prescription/ nutritional rehabilitation, use of local food as sources of the diet required and follow up"},{"$f":"Standards!$E$1249","v":0}]
["Std_2.15.6",{"$f":"Standards!$D$1250","v":"Appropriate IEC materials (posters, leaflets etc.) are available in waiting area on balanced diet and identification of malnutrition specially among children"},{"$f":"Standards!$E$1250","v":0}]
["Std_2.15.7",{"$f":"Standards!$D$1251","v":"Instruments and equipment to carry out the OPD works are available and functioning"},{"$f":"Standards!$E$1251","v":0}]
["Std_2.15.8.1",{"$f":"Standards!$D$1253","v":"Separate space assigned for inpatient nutrition stabilization"},{"$f":"Standards!$E$1253","v":0}]
["Std_2.15.8.2",{"$f":"Standards!$D$1254","v":"Trained staffs assigned for inpatient nutrition stabilization"},{"$f":"Standards!$E$1254","v":0}]
["Std_2.15.8.3",{"$f":"Standards!$D$1255","v":"Instruments, equipment and supplies needed for inpatient stabilization center available and functional "},{"$f":"Standards!$E$1255","v":0}]
["Std_2.15.8.4",{"$f":"Standards!$D$1256","v":"Adequate rooms and space for the practitioners and patients are available."},{"$f":"Standards!$E$1256","v":0}]
["Std_2.15.8.5",{"$f":"Standards!$D$1257","v":"Light and ventilation are adequately maintained."},{"$f":"Standards!$E$1257","v":0}]
["Std_2.15.8.6",{"$f":"Standards!$D$1258","v":"The required furniture are available "},{"$f":"Standards!$E$1258","v":0}]
["Std_2.15.9",{"$f":"Standards!$D$1259","v":"Treatment, follow up and progress are recorded and reported "},{"$f":"Standards!$E$1259","v":0}]
["Std_2.15.10.1",{"$f":"Standards!$D$1260","v":"Safe drinking water is available in the waiting lobby throughout the day."},{"$f":"Standards!$E$1260","v":0}]
["Std_2.15.10.2",{"$f":"Standards!$D$1261","v":"Hand‑washing facilities are available for patients."},{"$f":"Standards!$E$1261","v":0}]
["Std_2.15.11.1",{"$f":"Standards!$D$1262","v":"Masks and gloves are available."},{"$f":"Standards!$E$1262","v":0}]
["Std_2.15.11.2",{"$f":"Standards!$D$1263","v":"There are colored bins for waste segregation and disposal as per HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$1263","v":0}]
["Std_2.15.11.3",{"$f":"Standards!$D$1264","v":"Hand‑washing facility with running water and soap is available for practitioners."},{"$f":"Standards!$E$1264","v":0}]
["Std_2.15.11.4",{"$f":"Standards!$D$1265","v":"Needle cutter is used"},{"$f":"Standards!$E$1265","v":0}]
["Std_2.15.11.5",{"$f":"Standards!$D$1266","v":"Chlorine solution is available and utilized. "},{"$f":"Standards!$E$1266","v":0}]
["Std_2.15_Total",{"$f":"Standards!$D$1267","v":"Total Score"},{"$f":"Standards!$E$1267","v":0}]
["Std_2.15_Percent",{"$f":"Standards!$D$1268","v":"Total Percentage (Total Score/ 22 x100)"},{"$f":"Standards!$E$1268","v":0}]
["Std_2.161.1",{"$f":"Standards!$D$1273","v":"Routine procedures available on scheduled days"},{"$f":"Standards!$E$1273","v":0}]
["Std_2.16.1.2",{"$f":"Standards!$D$1274","v":"Emergency procedures available round the clock"},{"$f":"Standards!$E$1274","v":0}]
["Std_2.16.1.3",{"$f":"Standards!$D$1275","v":"At least two functional operating tables"},{"$f":"Standards!$E$1275","v":0}]
["Std_2.16.2",{"$f":"Standards!$D$1276","v":"For one cardiac intervention, at least a team is composed of: MD Internal Medicine trained in cardiac intervention or cardiologist with one trained medical officer, two  trained nursing/paramedics, and one trained office assistant"},{"$f":"Standards!$E$1276","v":0}]
["Std_2.16.3.1",{"$f":"Standards!$D$1278","v":"Coronary Angiography"},{"$f":"Standards!$E$1278","v":0}]
["Std_2.16.3.2",{"$f":"Standards!$D$1279","v":"Percutaneous transluminal coronary angioplasty/ percutaneous coronary intervention(PTCA)"},{"$f":"Standards!$E$1279","v":0}]
["Std_2.16.3.3",{"$f":"Standards!$D$1280","v":"Right heart catheterization"},{"$f":"Standards!$E$1280","v":0}]
["Std_2.16.3.4",{"$f":"Standards!$D$1281","v":"Pigtail insertion (Pericardiocentesis)"},{"$f":"Standards!$E$1281","v":0}]
["Std_2.16.4.1",{"$f":"Standards!$D$1282","v":"Indications and reviews the clinical history and physical examination is documented "},{"$f":"Standards!$E$1282","v":0}]
["Std_2.16.4.2",{"$f":"Standards!$D$1283","v":"Informed consent is taken before intervention; patients and caretakers are given appropriate counseling about the procedure."},{"$f":"Standards!$E$1283","v":0}]
["Std_2.16.5",{"$f":"Standards!$D$1284","v":"Preoperative instructions for patient preparation are given and practiced with routine pre-anesthesia check up"},{"$f":"Standards!$E$1284","v":0}]
["Std_2.16.6.1",{"$f":"Standards!$D$1285","v":"Separate area designated for post-procedure care to stabilize the patient after procedure"},{"$f":"Standards!$E$1285","v":0}]
["Std_2.16.6.2",{"$f":"Standards!$D$1286","v":"Staffs are specified for the post-procedure care including close monitoring of the vital signs and observation of patient for bleeding in intervention site"},{"$f":"Standards!$E$1286","v":0}]
["Std_2.16.6.3",{"$f":"Standards!$D$1287","v":"Adequate information shared for patient care and patient followed by at least one mid-level health worker for hand over or transfer of patient within or outside the hospital"},{"$f":"Standards!$E$1287","v":0}]
["Std_2.16.7.1",{"$f":"Standards!$D$1288","v":"Cath Lab has appropriate physical set up (See Annex 2.16a Physical Set Up for Cath Lab At the end of this standard)"},{"$f":"Standards!$E$1288","v":0}]
["Std_2.16.7.2",{"$f":"Standards!$D$1289","v":" General equipment, instruments and supplies available (See Annex 2.16b Furniture, Equipment, Instruments and Supplies for Cath Lab At the end of this standard)"},{"$f":"Standards!$E$1289","v":0}]
["Std_2.16.7.3",{"$f":"Standards!$D$1290","v":"Medicines and supplies available (See Annex 2.16c General Medicine and Supplies for Cath lab At the end of this standard)  "},{"$f":"Standards!$E$1290","v":0}]
["Std_2.16.7.4",{"$f":"Standards!$D$1291","v":"Surgical sets for minimum list of the interventions available (See Annex 2.16d Surgical sets for Minimum list of Interventions At the end of this standard) "},{"$f":"Standards!$E$1291","v":0}]
["Std_2.16.8",{"$f":"Standards!$D$1292","v":"The Safe Surgery Checklist is available in Cath Lab and used"},{"$f":"Standards!$E$1292","v":0}]
["Std_2.16.9",{"$f":"Standards!$D$1293","v":"Recording is done for all surgeries including procedure, observation during surgical procedure and complications if any"},{"$f":"Standards!$E$1293","v":0}]
["Std_2.16.10.1",{"$f":"Standards!$D$1295","v":"Hand‑washing and scrubbing facility with running water and soap is available and being practiced with elbow tap"},{"$f":"Standards!$E$1295","v":0}]
["Std_2.16.10.2",{"$f":"Standards!$D$1296","v":"Gowns and sterile drapes for patients and sterile gown for surgery team are available and used whenever required."},{"$f":"Standards!$E$1296","v":0}]
["Std_2.16.10.3",{"$f":"Standards!$D$1297","v":"Fumigation is done at least once a week in the Cath Lab"},{"$f":"Standards!$E$1297","v":0}]
["Std_2.16.10.4",{"$f":"Standards!$D$1298","v":"High Level Disinfection (e.g. Cidex) facility is available and being practiced."},{"$f":"Standards!$E$1298","v":0}]
["Std_2.16.10.5",{"$f":"Standards!$D$1299","v":"High dusting is done at least twice a week in Cath Lab"},{"$f":"Standards!$E$1299","v":0}]
["Std_2.16.10.6",{"$f":"Standards!$D$1300","v":"Separate colored waste bins based on HCWM guideline 2014 (MoHP) are available and used"},{"$f":"Standards!$E$1300","v":0}]
["Std_2.16.10.7",{"$f":"Standards!$D$1301","v":"Needle cutter is used"},{"$f":"Standards!$E$1301","v":0}]
["Std_2.16.10.8",{"$f":"Standards!$D$1302","v":"Chlorine solution is available and utilized for decontamination. "},{"$f":"Standards!$E$1302","v":0}]
["Std_2.16_Total",{"$f":"Standards!$D$1303","v":"Total Score"},{"$f":"Standards!$E$1303","v":0}]
["Std_2.16_Percent",{"$f":"Standards!$D$1304","v":"Total Percentage= Total Score/ 36 x 100"},{"$f":"Standards!$E$1304","v":0}]
["Std_3.1.1.1",{"$f":"Standards!$D$1310","v":"Separate central supply sterlie department (CSSD) is available with running water facility"},{"$f":"Standards!$E$1310","v":0}]
["Std_3.1.1.2",{"$f":"Standards!$D$1311","v":"There are separate rooms designated for dirty utility, cleaning, washing and drying and clean area for sterilizing, packaging and storage"},{"$f":"Standards!$E$1311","v":0}]
["Std_3.1.2",{"$f":"Standards!$D$1312","v":"Separate staffs (Staff Nurse) assigned for CSSD and is led by CSSD trained personal"},{"$f":"Standards!$E$1312","v":0}]
["Std_3.1.3",{"$f":"Standards!$D$1313","v":"Equipment and supplies for sterilization available and functional round the clock (See Annex 3.1a CSSD Equipment and Supplies At the end of this standard)"},{"$f":"Standards!$E$1313","v":0}]
["Std_3.1.4",{"$f":"Standards!$D$1314","v":"Wrapper, gauze, cotton balls, bandages are prepared"},{"$f":"Standards!$E$1314","v":0}]
["Std_3.1.5.1",{"$f":"Standards!$D$1315","v":"all used instruments are cleaned using brush chemical/ detergents in a separate room."},{"$f":"Standards!$E$1315","v":0}]
["Std_3.1.5.2",{"$f":"Standards!$D$1316","v":"All instruments and equipment are dried in a separate place."},{"$f":"Standards!$E$1316","v":0}]
["Std_3.1.5.3",{"$f":"Standards!$D$1317","v":"All instruments are packed in double wrappers"},{"$f":"Standards!$E$1317","v":0}]
["Std_3.1.6",{"$f":"Standards!$D$1318","v":"All wrapped instruments are indicated with thermal indicator and autoclaved in a separate room"},{"$f":"Standards!$E$1318","v":0}]
["Std_3.1.7",{"$f":"Standards!$D$1319","v":"All sterlie packs with sticker of sterilization date are stored in separate cupboards"},{"$f":"Standards!$E$1319","v":0}]
["Std_3.1.8.1",{"$f":"Standards!$D$1320","v":"System for single door collection and different route for distribution of the sterlie supply exist and is practiced"},{"$f":"Standards!$E$1320","v":0}]
["Std_3.1.8.2",{"$f":"Standards!$D$1321","v":"Sterlie supplies are distributed using basket supply system or on-demand supply system"},{"$f":"Standards!$E$1321","v":0}]
["Std_3.1.9",{"$f":"Standards!$D$1322","v":"All instruments and wrappers are recorded and inventory maintained"},{"$f":"Standards!$E$1322","v":0}]
["Std_3.1.10.1",{"$f":"Standards!$D$1323","v":"Staffs use personal protective equipment at work"},{"$f":"Standards!$E$1323","v":0}]
["Std_3.1.10.2",{"$f":"Standards!$D$1324","v":"There are well labelled colored bins for waste segregation and disposal based on HCWM [1] guideline 2014 (MoHP)"},{"$f":"Standards!$E$1324","v":0}]
["Std_3.1.10.3",{"$f":"Standards!$D$1325","v":"All linens are recorded and inventory maintained. "},{"$f":"Standards!$E$1325","v":0}]
["Std_3.1.10.4",{"$f":"Standards!$D$1326","v":"Staff wear mask and gloves at work."},{"$f":"Standards!$E$1326","v":0}]
["Std_3.1_Total",{"$f":"Standards!$D$1327","v":"Total Score"},{"$f":"Standards!$E$1327","v":0}]
["Std_3.1_Percent",{"$f":"Standards!$D$1328","v":"Percentage = Total Score/ 19 x 100"},{"$f":"Standards!$E$1328","v":0}]
["Std_3.2.1.1",{"$f":"Standards!$D$1335","v":"Separate laundry room is available."},{"$f":"Standards!$E$1335","v":0}]
["Std_3.2.1.2",{"$f":"Standards!$D$1336","v":"Separate space allocated for clean and dirty linens"},{"$f":"Standards!$E$1336","v":0}]
["Std_3.2.2",{"$f":"Standards!$D$1337","v":"There is a special schedule for collection and distribution of linens with visible duty roster for staffs"},{"$f":"Standards!$E$1337","v":0}]
["Std_3.2.3",{"$f":"Standards!$D$1338","v":"Adequate equipment and supplies are available for laundry (See Annex 3.2a Equipment and Supplies for Laundry At the end of this standard)"},{"$f":"Standards!$E$1338","v":0}]
["Std_3.2.4.1",{"$f":"Standards!$D$1339","v":"Linens are segregated (soiled, unsoiled, colorful, white, blood stained) before wash "},{"$f":"Standards!$E$1339","v":0}]
["Std_3.2.4.2",{"$f":"Standards!$D$1340","v":"Separated linens are decontaminated before wash"},{"$f":"Standards!$E$1340","v":0}]
["Std_3.2.5",{"$f":"Standards!$D$1341","v":"All linens are washed using a washing machine."},{"$f":"Standards!$E$1341","v":0}]
["Std_3.2.6.1",{"$f":"Standards!$D$1342","v":"Space available for drying linens like blankets in direct sunlight."},{"$f":"Standards!$E$1342","v":0}]
["Std_3.2.6.2",{"$f":"Standards!$D$1343","v":"Linen dryer is available and used"},{"$f":"Standards!$E$1343","v":0}]
["Std_3.2.7",{"$f":"Standards!$D$1344","v":"All linens are ironed and packed properly."},{"$f":"Standards!$E$1344","v":0}]
["Std_3.2.8",{"$f":"Standards!$D$1345","v":"Linens are properly stored in separate cupboard."},{"$f":"Standards!$E$1345","v":0}]
["Std_3.2.9",{"$f":"Standards!$D$1346","v":"All linens are distributed using a proper method (basket supply system and on-demand supply system)."},{"$f":"Standards!$E$1346","v":0}]
["Std_3.2.10",{"$f":"Standards!$D$1347","v":"All linens are recorded and inventory maintained. "},{"$f":"Standards!$E$1347","v":0}]
["Std_3.2.11.1",{"$f":"Standards!$D$1348","v":"Staff wear mask and gloves at work."},{"$f":"Standards!$E$1348","v":0}]
["Std_3.2.11.2",{"$f":"Standards!$D$1349","v":"There are well labelled colored bins for waste segregation and disposal based on HCWM[1] guideline 2014 (MoHP)"},{"$f":"Standards!$E$1349","v":0}]
["Std_3.2.11.3",{"$f":"Standards!$D$1350","v":"Hand washing facility with running water and liquid soap is available and being practiced."},{"$f":"Standards!$E$1350","v":0}]
["Std_3.2.11.4",{"$f":"Standards!$D$1351","v":"Chlorine solution is available and utilized for decontamination "},{"$f":"Standards!$E$1351","v":0}]
["Std_3.2_Total",{"$f":"Standards!$D$1352","v":"Total Score"},{"$f":"Standards!$E$1352","v":0}]
["Std_3.2_Percent",{"$f":"Standards!$D$1353","v":"Percentage = Total Score/ 19 x 100"},{"$f":"Standards!$E$1353","v":0}]
["Std_3.3.1",{"$f":"Standards!$D$1359","v":"Separate space is allocated for storage of the housekeeping basic supplies"},{"$f":"Standards!$E$1359","v":0}]
["Std_3.3.2.1",{"$f":"Standards!$D$1360","v":"Allocation of the staff for cleaning with visible duty roster "},{"$f":"Standards!$E$1360","v":0}]
["Std_3.3.2.2",{"$f":"Standards!$D$1361","v":"There is checklist of cleaning in each department with contact number of assigned working personnel"},{"$f":"Standards!$E$1361","v":0}]
["Std_3.3.3",{"$f":"Standards!$D$1362","v":"Basic supplies are available (See Annex 3.3a Housekeeping Basic Supplies At the end of this standard)."},{"$f":"Standards!$E$1362","v":0}]
["Std_3.3.4.1.1",{"$f":"Standards!$D$1363","v":"The hospital premises are visibly clean and dust free"},{"$f":"Standards!$E$1363","v":0}]
["Std_3.3.4.1.2.1",{"$f":"Standards!$D$1364","v":"All hospital toilets are clean with no offensive smell"},{"$f":"Standards!$E$1364","v":0}]
["Std_3.3.4.1.2.2",{"$f":"Standards!$D$1365","v":"All toilets are cleaned at least three times a day"},{"$f":"Standards!$E$1365","v":0}]
["Std_3.3.4.3",{"$f":"Standards!$D$1366","v":"All doors and windows of hospital are dust-free and cleaned once a day."},{"$f":"Standards!$E$1366","v":0}]
["Std_3.3.4.4",{"$f":"Standards!$D$1367","v":"All floors of the hospital are clean and cleaned at least twice a day (like- before registration in morning and after OPD closes)"},{"$f":"Standards!$E$1367","v":0}]
["Std_3.3.4.5",{"$f":"Standards!$D$1368","v":"All walls of the hospital are clean and are tiled or painted with enamel up to 4 feet"},{"$f":"Standards!$E$1368","v":0}]
["Std_3.3.4.6",{"$f":"Standards!$D$1369","v":"Every ward/unit must have high wash twice a month and fumigation as per need"},{"$f":"Standards!$E$1369","v":0}]
["Std_3.3.5",{"$f":"Standards!$D$1370","v":"Separate drainage system or pit is maintained for drainage of chlorine solution "},{"$f":"Standards!$E$1370","v":0}]
["Std_3.3.6",{"$f":"Standards!$D$1371","v":"Garden and trees should cover at least 25% of the hospital premises "},{"$f":"Standards!$E$1371","v":0}]
["Std_3.3_Total",{"$f":"Standards!$D$1372","v":"Total Score"},{"$f":"Standards!$E$1372","v":0}]
["Std_3.3_Percent",{"$f":"Standards!$D$1373","v":"Percentage = Total Score / 15 x 100"},{"$f":"Standards!$E$1373","v":0}]
["Std_3.4.1.1",{"$f":"Standards!$D$1379","v":"Human resource trained in biomedical engineer is designated for repair and maintenance"},{"$f":"Standards!$E$1379","v":0}]
["Std_3.4.1.2",{"$f":"Standards!$D$1380","v":"Staffs assigned to cover 24 hours shift with visible duty roster for staffs."},{"$f":"Standards!$E$1380","v":0}]
["Std_3.4.2.1",{"$f":"Standards!$D$1381","v":"Hospital has regular preventive maintenance practices (calibration, servicing of equipment) and corrective maintenance)"},{"$f":"Standards!$E$1381","v":0}]
["Std_3.4.2.2",{"$f":"Standards!$D$1382","v":"Biomedical equipment inventory of all equipment and instrument is updated "},{"$f":"Standards!$E$1382","v":0}]
["Std_3.4.2.3",{"$f":"Standards!$D$1383","v":"Separate room for storage of repairing tools and instrument"},{"$f":"Standards!$E$1383","v":0}]
["Std_3.4.2.4",{"$f":"Standards!$D$1384","v":"Availability of spare parts for repair and maintenance of biomedical equipment and instruments "},{"$f":"Standards!$E$1384","v":0}]
["Std_3.4.2.5",{"$f":"Standards!$D$1385","v":"Record keeping of repair and maintenance of biomedical equipment and instruments"},{"$f":"Standards!$E$1385","v":0}]
["Std_3.4.2.6",{"$f":"Standards!$D$1386","v":"Specification of annual maintenance cost of major equipment"},{"$f":"Standards!$E$1386","v":0}]
["Std_3.4.3.1",{"$f":"Standards!$D$1387","v":"Hospital has main-grid power supply with three‑phase line"},{"$f":"Standards!$E$1387","v":0}]
["Std_3.4.3.2",{"$f":"Standards!$D$1388","v":"Hospital has alternate power generator capable of running x-ray and other hospital equipment"},{"$f":"Standards!$E$1388","v":0}]
["Std_3.4.3.3",{"$f":"Standards!$D$1389","v":"Proper inventory of fuel is maintained."},{"$f":"Standards!$E$1389","v":0}]
["Std_3.4.3.4",{"$f":"Standards!$D$1390","v":"Hospital has solar system installed (at least for essential clinical services and administrative function)."},{"$f":"Standards!$E$1390","v":0}]
["Std_3.4_Total",{"$f":"Standards!$D$1391","v":"Total Score"},{"$f":"Standards!$E$1391","v":0}]
["Std_3.4_Percent",{"$f":"Standards!$D$1392","v":"Percentage = Total Score / 12 x 100"},{"$f":"Standards!$E$1392","v":0}]
["Std_3.5.1",{"$f":"Standards!$D$1398","v":"There is regular water supply system – boring or well or from drinking water supply dedicated for hospital"},{"$f":"Standards!$E$1398","v":0}]
["Std_ 3.5.2.1",{"$f":"Standards!$D$1399","v":"Water storage tank is covered to prevent contamination and cleaned on a regular basis"},{"$f":"Standards!$E$1399","v":0}]
["Std_ 3.5.2.2",{"$f":"Standards!$D$1400","v":"Water storage tank has the reserve capacity to supply water for two full days in case of interruptions in main water supply "},{"$f":"Standards!$E$1400","v":0}]
["Std_ 3.5.3",{"$f":"Standards!$D$1401","v":"Water quality test is done every year and report is available as per Nepal Drinking Water Quality Standards, 2005  "},{"$f":"Standards!$E$1401","v":0}]
["Std_3.5_Total",{"$f":"Standards!$D$1402","v":"Total Score"},{"$f":"Standards!$E$1402","v":0}]
["Std_3.5_Percent",{"$f":"Standards!$D$1403","v":"Percentage = Total Score / 4 x 100"},{"$f":"Standards!$E$1403","v":0}]
["Std_3.6.1.1",{"$f":"Standards!$D$1409","v":"There is allocation of staff for HCWM from segregation to final disposal "},{"$f":"Standards!$E$1409","v":0}]
["Std_3.6.1.2",{"$f":"Standards!$D$1410","v":"Whole site coaching/ orientation on health care waste management is done"},{"$f":"Standards!$E$1410","v":0}]
["Std_3.6.2",{"$f":"Standards!$D$1411","v":"There is separate area/space designated for waste storage and management with functional hand washing facility"},{"$f":"Standards!$E$1411","v":0}]
["Std_3.6.3",{"$f":"Standards!$D$1412","v":"Different colored bins (for risk and non-risk waste) based on HCWM guideline 2014 (MoHP) are used from source to final disposal  "},{"$f":"Standards!$E$1412","v":0}]
["Std_3.6.4",{"$f":"Standards!$D$1413","v":"Staff use cap, mask, gloves, boot, and gown while collecting waste."},{"$f":"Standards!$E$1413","v":0}]
["Std_3.6.5",{"$f":"Standards!$D$1414","v":"Information regarding proper use of waste bins is displayed publicly and basic information of HCWM is displayed in hospital premises"},{"$f":"Standards!$E$1414","v":0}]
["Std_3.6.6",{"$f":"Standards!$D$1415","v":"Medication trolley has well labeled buckets for segregation of waste during procedures  "},{"$f":"Standards!$E$1415","v":0}]
["Std_3.6.7",{"$f":"Standards!$D$1416","v":"Hospital uses transportation trolleys separate for risk and non-risk waste "},{"$f":"Standards!$E$1416","v":0}]
["Std_3.6.8.1",{"$f":"Standards!$D$1417","v":"Infectious waste is sterilized using autoclave before disposal"},{"$f":"Standards!$E$1417","v":0}]
["Std_3.6.8.2",{"$f":"Standards!$D$1418","v":"Collection of recyclable/reusable items such as plastic bottles, paper, decontaminated sharps is practiced "},{"$f":"Standards!$E$1418","v":0}]
["Std_3.6.8.3",{"$f":"Standards!$D$1419","v":"Composting of bio-degradable waste is practiced"},{"$f":"Standards!$E$1419","v":0}]
["Std_3.6.8.4",{"$f":"Standards!$D$1420","v":"Collection of waste by the local municipality/ rural municipality after sterilization /decontamination"},{"$f":"Standards!$E$1420","v":0}]
["Std_3.6.8.5",{"$f":"Standards!$D$1421","v":"Placenta pit used for disposal of human anatomical waste such as placenta, human tissue"},{"$f":"Standards!$E$1421","v":0}]
["Std_3.6.8.6",{"$f":"Standards!$D$1422","v":"Biogas plant in place and energy generated used for hospital support services"},{"$f":"Standards!$E$1422","v":0}]
["Std_3.6.9",{"$f":"Standards!$D$1423","v":"Pharmaceutical waste and radiological waste is disposed based on the HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$1423","v":0}]
["Std_3.6.10",{"$f":"Standards!$D$1424","v":"Hospital liquid waste management is done "},{"$f":"Standards!$E$1424","v":0}]
["Std_3.6.11",{"$f":"Standards!$D$1425","v":"Hospital has IT personnel to coordinate to manage waste related to electronic goods and products"},{"$f":"Standards!$E$1425","v":0}]
["Std_3.6_Total",{"$f":"Standards!$D$1426","v":"Total Score"},{"$f":"Standards!$E$1426","v":0}]
["Std_3.6_Percent",{"$f":"Standards!$D$1427","v":"Percentage = Total Score / 16 x 100"},{"$f":"Standards!$E$1427","v":0}]
["Std_3.7.1.1",{"$f":"Standards!$D$1433","v":"Hospital has trained security personnel round the clock."},{"$f":"Standards!$E$1433","v":0}]
["Std_3.7.1.2",{"$f":"Standards!$D$1434","v":"All security staffs are oriented with hospital codes like 001- call for help for crashing patients, 007- call for disaster in ER"},{"$f":"Standards!$E$1434","v":0}]
["Std_3.7.1.3",{"$f":"Standards!$D$1435","v":"All security staffs have participated in emergency drills"},{"$f":"Standards!$E$1435","v":0}]
["Std_3.7.2",{"$f":"Standards!$D$1436","v":"A separate office for security with communication system is available"},{"$f":"Standards!$E$1436","v":0}]
["Std_3.7.3",{"$f":"Standards!$D$1437","v":"Basic amenities for safety and security are available (See Annex 3.7a Safety and Security Basic Amenities At the end of this standard)"},{"$f":"Standards!$E$1437","v":0}]
["Std_3.7.4",{"$f":"Standards!$D$1438","v":"The hospital has replaced all mercury apparatus with other appropriate technologies."},{"$f":"Standards!$E$1438","v":0}]
["Std_3.7.5",{"$f":"Standards!$D$1439","v":"CCTV coverage of major areas and control under Medical Superintendent and security in-charge"},{"$f":"Standards!$E$1439","v":0}]
["Std_3.7.6.1",{"$f":"Standards!$D$1440","v":"The hospital has fire extinguisher in all blocks including the fire extinguishing system "},{"$f":"Standards!$E$1440","v":0}]
["Std_3.7.6.2",{"$f":"Standards!$D$1441","v":"The hospital has installed safety alarm system including smoke detector"},{"$f":"Standards!$E$1441","v":0}]
["Std_3.7.6.3",{"$f":"Standards!$D$1442","v":"The hospital has prevented lightening by ensuring earthing system in electrification."},{"$f":"Standards!$E$1442","v":0}]
["Std_3.7.6.4",{"$f":"Standards!$D$1443","v":"Disaster preparedness orientation has been given to all staff at least every six months."},{"$f":"Standards!$E$1443","v":0}]
["Std_3.7.6.5",{"$f":"Standards!$D$1444","v":"Exit signs are displayed to escape during disaster in all departments and wards"},{"$f":"Standards!$E$1444","v":0}]
["Std_3.7.6.6",{"$f":"Standards!$D$1445","v":"An assembly zone has been specified for disaster"},{"$f":"Standards!$E$1445","v":0}]
["Std_3.7.6.7",{"$f":"Standards!$D$1446","v":"Hospital has functional rapid response team "},{"$f":"Standards!$E$1446","v":0}]
["Std_3.7.6.8",{"$f":"Standards!$D$1447","v":"Medicine stock for post disaster response is available"},{"$f":"Standards!$E$1447","v":0}]
["Std_3.7_Total",{"$f":"Standards!$D$1448","v":"Total Score"},{"$f":"Standards!$E$1448","v":0}]
["Std_3.7_Percent",{"$f":"Standards!$D$1449","v":"Percentage = Total Score / 17 x 100"},{"$f":"Standards!$E$1449","v":0}]
["Std_3.8.1.1",{"$f":"Standards!$D$1455","v":"24-hour ambulance service is available."},{"$f":"Standards!$E$1455","v":0}]
["Std_3.8.1.2",{"$f":"Standards!$D$1456","v":"Hospital has its own well-equipped ambulance at least 2"},{"$f":"Standards!$E$1456","v":0}]
["Std_3.8.1.3",{"$f":"Standards!$D$1457","v":"The hospital has access to utility van"},{"$f":"Standards!$E$1457","v":0}]
["Std_3.8.2.1",{"$f":"Standards!$D$1458","v":"The hospital has telephone with intercom (EPABX) network."},{"$f":"Standards!$E$1458","v":0}]
["Std_3.8.2.2",{"$f":"Standards!$D$1459","v":"Internal communication (paging) system has been installed in all major service stations."},{"$f":"Standards!$E$1459","v":0}]
["Std_3.8.2.3",{"$f":"Standards!$D$1460","v":"A notice board is available and being utilized."},{"$f":"Standards!$E$1460","v":0}]
["Std_3.8.2.4",{"$f":"Standards!$D$1461","v":"List of important phone numbers including emergency contacts like ambulance, fire brigade, blood banks, hospital administration, hospital staffs is available in the reception, emergency and administration office"},{"$f":"Standards!$E$1461","v":0}]
["Std_3.8.2.5",{"$f":"Standards!$D$1462","v":"There should be a public contact or information center in prime location of hospital with 24 hours staff availability"},{"$f":"Standards!$E$1462","v":0}]
["Std_3.8_Total",{"$f":"Standards!$D$1463","v":"Total Score"},{"$f":"Standards!$E$1463","v":0}]
["Std_3.8_Percent",{"$f":"Standards!$D$1464","v":"Percentage = Total Score / 8 x 100"},{"$f":"Standards!$E$1464","v":0}]
["Std_3.9.1",{"$f":"Standards!$D$1470","v":"Separate room allocated for medical store and general store."},{"$f":"Standards!$E$1470","v":0}]
["Std_3.9.2.1",{"$f":"Standards!$D$1477","v":"Medical store maintain stock of procured medicine and program medicines and vaccines from government"},{"$f":"Standards!$E$1477","v":0}]
["Std_3.9.2.3",{"$f":"Standards!$D$1478","v":"Vaccines and other temperature sensitive medicines are stored in cold chain"},{"$f":"Standards!$E$1478","v":0}]
["Std_3.9.3.1",{"$f":"Standards!$D$1481","v":"Medicines, vaccines and medical supplies inventory should be maintained in a First Expiry First Out (FEFO) order"},{"$f":"Standards!$E$1481","v":0}]
["Std_3.9.3.2",{"$f":"Standards!$D$1482","v":"Electronic database system is used in the hospital medical store."},{"$f":"Standards!$E$1482","v":0}]
["Std_3.9.4",{"$f":"Standards!$D$1484","v":"Disposal of expired medicine as per HCWM guideline 2014 (MoHP) practiced in every six month"},{"$f":"Standards!$E$1484","v":0}]
["Std_3.9.5",{"$f":"Standards!$D$1485","v":"Auction of identified old logistics is done annually"},{"$f":"Standards!$E$1485","v":0}]
["Std_3.9_Total",{"$f":"Standards!$D$1486","v":"Total Score"},{"$f":"Standards!$E$1486","v":0}]
["Std_3.9_Percent",{"$f":"Standards!$D$1487","v":"Percentage = Total Score / 7 x 100"},{"$f":"Standards!$E$1487","v":0}]
["Std_3.10.1",{"$f":"Standards!$D$1493","v":"Hospital has canteen in its premises with 24 hours service"},{"$f":"Standards!$E$1493","v":0}]
["Std_3.10.2",{"$f":"Standards!$D$1494","v":"A list of food items with price list approved by Hospital Management Committee is available"},{"$f":"Standards!$E$1494","v":0}]
["Std_3.10.3.1",{"$f":"Standards!$D$1495","v":"Visibly clean floors and space allocated for cooking, cleaning and storage of stock"},{"$f":"Standards!$E$1495","v":0}]
["Std_3.10.3.2",{"$f":"Standards!$D$1496","v":"Light and ventilation are adequately maintained."},{"$f":"Standards!$E$1496","v":0}]
["Std_3.10.3.3",{"$f":"Standards!$D$1497","v":"All walls of the canteen are clean and are tiled or painted with enamel up to 4 feet"},{"$f":"Standards!$E$1497","v":0}]
["Std_3.10.3.4",{"$f":"Standards!$D$1498","v":"Safe drinking water is available 24 hours"},{"$f":"Standards!$E$1498","v":0}]
["Std_3.10.4",{"$f":"Standards!$D$1499","v":"Dress code is maintained"},{"$f":"Standards!$E$1499","v":0}]
["Std_3.10.5.1",{"$f":"Standards!$D$1500","v":"Staffs assigned for inpatient diet including the intensive care units and patient needing hemodialysis: Trained dietetic staff assigned for inpatient nutrition care: one Senior Dietitian (Masters qualification in Nutrition & Dietetics including hospital internship or Bachelors in Nutrition & Dietetics with 1 years hospital experience) plus one dietetic assistant per hundred general beds, plus one office assistant. Additionally, 1 senior dietitian per 25 beds for all specialized services, including ICU, NICU, PICU, nephrology/ hemodialysis"},{"$f":"Standards!$E$1500","v":0}]
["Std_3.10.5.2",{"$f":"Standards!$D$1501","v":"The inpatients who are identified needy or covered by SSU are provided with food at least four times a day and the food contains carbohydrate, fats, proteins and at least one vegetable item"},{"$f":"Standards!$E$1501","v":0}]
["Std_3.10.6",{"$f":"Standards!$D$1502","v":"Appropriate IEC/ BCC materials (posters, leaflets, television) are available in the canteen for balanced diet"},{"$f":"Standards!$E$1502","v":0}]
["Std_3.10.7",{"$f":"Standards!$D$1503","v":"Comfortable space with sitting arrangement is available for at least 50 people"},{"$f":"Standards!$E$1503","v":0}]
["Std_3.10.8.1",{"$f":"Standards!$D$1504","v":"Separate area designated for washing dishes and visibly clean."},{"$f":"Standards!$E$1504","v":0}]
["Std_3.10.8.2",{"$f":"Standards!$D$1505","v":"There are colored bins for waste segregation and disposal based on HCWM guideline 2014 (MoHP)"},{"$f":"Standards!$E$1505","v":0}]
["Std_3.10.8.3",{"$f":"Standards!$D$1506","v":"Hand‑washing facility with running water and soap is available  "},{"$f":"Standards!$E$1506","v":0}]
["Std_3.10.8.4",{"$f":"Standards!$D$1507","v":"Mesh/ net used to cover food and refrigerator used to store food used to cover food"},{"$f":"Standards!$E$1507","v":0}]
["Std_3.10.8.5",{"$f":"Standards!$D$1508","v":"Rat proofing and daily scrubbing of the canteen is done"},{"$f":"Standards!$E$1508","v":0}]
["Std_3.10_Total",{"$f":"Standards!$D$1509","v":"Total Score"},{"$f":"Standards!$E$1509","v":0}]
["Std_3.10_Percent",{"$f":"Standards!$D$1510","v":"Percentage = Total Score / 15 x 100"},{"$f":"Standards!$E$1510","v":0}]
["Std_3.11.1.1",{"$f":"Standards!$D$1516","v":"SSU open from 8am to 7pm"},{"$f":"Standards!$E$1516","v":0}]
["Std_3.11.1.2",{"$f":"Standards!$D$1517","v":"Management committee to manage 24 hours SSU services for patients"},{"$f":"Standards!$E$1517","v":0}]
["Std_3.11.2",{"$f":"Standards!$D$1518","v":"Separate space allocated for SSU is accessible to patients (See Annex 3.11a Physical Facilities SSU At the end of this standard)"},{"$f":"Standards!$E$1518","v":0}]
["Std_3.11.3",{"$f":"Standards!$D$1519","v":"Allocation of staffs for SSU under unit chief a team of 2 of 10 facilitators"},{"$f":"Standards!$E$1519","v":0}]
["Std_3.11.4",{"$f":"Standards!$D$1520","v":"Refer to ‘deprived citizen treatment fund guideline 2071’ 2075’ to identify target group, and display target group and services covered"},{"$f":"Standards!$E$1520","v":0}]
["Std_3.11.5.1",{"$f":"Standards!$D$1521","v":"Referral of patients based on treatment protocol"},{"$f":"Standards!$E$1521","v":0}]
["Std_3.11.5.2",{"$f":"Standards!$D$1522","v":"Documentation of referral based on  'deprived citizen treatment fund guideline 2071'"},{"$f":"Standards!$E$1522","v":0}]
["Std_3.11.5.3",{"$f":"Standards!$D$1523","v":"SSU allocates fund for transportation for referral"},{"$f":"Standards!$E$1523","v":0}]
["Std_3.11.6.1",{"$f":"Standards!$D$1524","v":"Meetings of SSU every three months to review and discuss problems"},{"$f":"Standards!$E$1524","v":0}]
["Std_3.11.6.2",{"$f":"Standards!$D$1525","v":"Daily display of names of persons receiving free and partially free services from the unit"},{"$f":"Standards!$E$1525","v":0}]
["Std_3.11.6.3",{"$f":"Standards!$D$1526","v":"Record information on free and partially free services recipients on the formats to records section of the concerned hospital"},{"$f":"Standards!$E$1526","v":0}]
["Std_3.11.6.4",{"$f":"Standards!$D$1527","v":"Prepare and submit monthly, trimester and annual report to concerned authority"},{"$f":"Standards!$E$1527","v":0}]
["Std_3.11_Total",{"$f":"Standards!$D$1528","v":"Total Score"},{"$f":"Standards!$E$1528","v":0}]
["Std_3.11_Percent",{"$f":"Standards!$D$1529","v":"Percentage = Total Score / 14 x 100"},{"$f":"Standards!$E$1529","v":0}]
["Checklist_2.1_GM_2.1.1.1",null,{"$f":"'Checklist 2.1'!$D$4","v":0}]
["Checklist_2.1_GM_2.1.3",null,{"$f":"'Checklist 2.1'!$D$5","v":0}]
["Checklist_2.1_GM_2.1.4.1",null,{"$f":"'Checklist 2.1'!$D$6","v":0}]
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