Patient delivery and receipt policy

Policy: the hospital's medical team is committed to the process of delivery and receipt of patients ' conditions in various departments, including:

* Identify the necessary duties to be handled during the delivery and delivery process.

* Identify the person responsible for delivery and delivery.

* Determine how to document the delivery and delivery process.

Purpose:

The process of delivery and receipt is vital in order to maintain the safety and security of patients by rationalizing the circulation of patient information among the medical team while in the hospital for the continuity of providing medical care to patients. 

Responsible for delivery and delivery:

• Between doctors of the same specialty by using the delivery and receipt form.

* Among doctors with different specialties, for patients whose condition requires consulting doctors from more than one specialty using the medical consultation form.

* Emergency doctors when transporting the patient to and from the hospital departments (patient transfer form).

* Between the members of the nursing staff with each shift change (status book).

* Members of the nursing staff when transferring the patient to and from operations, care or to another department (time-out form )

Working procedures:

* The head nurse or her representative, upon admission of a new patient, receives the patient from the paramedic and the operator of the admission or reception office and records all the patient's data and what the attending physician requested in the patient's case record.

* The nurse records the patient's conditions throughout the lip in the patient's condition register.

• After the end of the lip and the attendance of the next lip nursing, the nurse delivers the conditions of all patients in terms of the development of their pathological condition, especially critical cases, Operations, treatment given to the patient, any change that has occurred, and any requests such as bringing test results or rumors about the patient and preparing the patient for operations, if any............With the documentation of delivery and receipt of the nursing signature in the notebook .

* In cases of operations, the nurse prepares the patient for the operation according to the doctor's instructions, and the nurse delivers the patient and the patient's dossier to the operations nurse and the patient's treatment if requested by the doctor according to the patient's preparation form for operations and the patient's receipt part of the time-out form.

• After the completion of the operation, the operations nurse calls the nursing role to come to receive the patient and the patient's dossier.

* When the patient needs to be transferred, the nurse transfers the patient and hands over the patient's file after updating it to the nursing department of the transferred patient inside the hospital.

* Resident doctors pick up and receive the patient at the start of the work shift according to the patient delivery form, which includes: ) patient name - file number - diagnosis - positive medical examination results - positive test results - follow-up and notes ).

* When the patient needs to be offered a consultation, the consultation form is used and the required data is recorded according to the form. 

In charge:

* Members of the nursing staff.

* Doctors.

Models:

* Medical file.

* Record of patient conditions.

* Consultation form.

* Delivery and delivery form for doctors.

* Sample time-out operations.

References:

* World standard standards for patient safety.

* Egyptian accreditation standards.

Policy to avoid incorrect connection of catheters and tubes

Policy: 

specifies the necessary data that must be placed on the catheters as well as those responsible for handling them to avoid the wrong connection or use of catheters.

Purpose:

* Achieving patient safety by avoiding the wrong connection of catheters and tubes in all departments of the hospital.

Working procedures:

* Patients, their families or hospital staff do not have the right to disconnect, install and reinstall any type of tubes or catheters, except:

* The doctor .

* Nursing.

* Supervisor.

Informing the patient about this is the responsibility of the nurse responsible for the patient's room.

· The department makes a policy for each type of tubes and catheters in the department, explaining :

o responsible for the installation.

o installation and installation method.

o ensure the integrity of the installation.

O follow-up and care of the link. 

* It is required to indicate on each catheter the following data: the name of the installer, date and hour.

* Installation and ensuring the correct installation of each type is carried out according to its own policy.

* The doctor must specify the name and type of tube through which the drug will be administered.

* The nurse must check all the connections before giving any medicine and before and after performing any procedure according to the policy for each type .

In charge:

* Members of the nursing staff.

* Doctors.

References:

* International standard standards for patient safety.

* Egyptian accreditation standards.