Management of Medical Sharps Wastes in Clinics

Medical sharps wastes like needles and blades should be placed immediately after use in appropriate puncture-resistant containers.

This is to avoid medical sharp injuries to the medical staff as well as to people disposing the sharp wastes.

In my clinic, I use this kind of recycled puncture-resistant containers to dispose of the used needles and blades.  Such a practice is in conformity with the requirements of PhilHealth Benchbook and other international health care standards.

IMG_5273

IMG_5271

PhilHealth Benchbook Standards:

There are programs for prevention and treatment of injuries from sharps and needles.

a. Policies and procedures for the safe disposal of used sharps and needles comply with national laws and technical requirements.

b. Sharps and needles are segregated and disposed according to regulatory and infection control standards.

c. Injuries from sharps and needles are monitored.

d. Staff are trained in preventing and treating injuries from sharps and needles.

Joint Commission International Standards:

The hospital implements practices for safe handling and disposal of sharps and needles.

1. The hospital identifies and implements practices to reduce the risk of injury and infection from the handling and management of sharps and needles.
2. Sharps and needles are collected in dedicated, closable, puncture-proof, leakproof containers that are not reused.
3. The hospital disposes of sharps and needles safely or contracts with sources that ensure the proper disposal of sharps containers in dedicated hazardous waste sites or as determined by national laws and regulations.

ROJ@17aug7

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Elements of a Management System

Always include the following elements in formulating a management system and you won’t go wrong!

  • Design and Development Plan
  • Deployment, Education and Implementation Plan
  • Evaluation and Review Plan
  • Documentation and Archiving Plan
  • Management Review Plan
  • Independent Audit Plan

ROJ@17aug4

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Patient Rights and Responsibilities – ROJMC – 2017

At ROJMC, our goal is to provide quality and safe health care to every patient.

ROJMC has formulated a set of essential (but not exclusive) patient rights and responsibilities to facilitate patient care partnership and promote patient experience.  These shall be observed for and by all patients regardless of race, culture, religion, age, sex, and socioeconomic status.

Patient rights include those actions on the part of the ROJMC that are needed to protect the basic rights of patients so that they can be provided with quality and safe health care services.

Patient responsibilities include those actions on the part of patients that are needed so that healthcare providers can provide appropriate care, make accurate and responsible care decisions, address patients’ needs, and maintain a sound and viable health care facility.

All patients have the right to:

  • Quality and safe health care in accordance with generally approved medical principles
  • Respect and dignity without discrimination
  • Participation in care decisions
  • Informed consent and informed refusal without prejudice to continuing health care
  • Second opinion from alternate health care professionals of choice
  • Privacy and confidentiality of personal information subject to applicable laws
  • Availment of benefits and privileges in accordance with government regulations
  • Complaint about the care and services provided without fear of reprisal

All patients while availing services are responsible to:

  • Provide the hospital with truthful and complete information
  • Heed hospital rules and regulations, particularly those affecting patient care, safety and conduct
  • Be active partner in regaining and maintaining health
  • Promptly settling financial obligations
  • Comply and submit documents necessary to avail of benefits (e.g., PhilHealth, Senior Citizen, Person with Disability discounts, letters of authorization for HMO and corporate account members)
  • Actively help ROJMC improve quality and safe patient care through feedback with recommendations

ROJMC shall provide general guidelines in Information, Education and Communication (IEC) materials to promote protection of patient rights and to assist patients in fulfilling their responsibilities.

 


ROJ@17jul14

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Life Expectancy – World, ASEAN, Philippines – 2015

Life expectancy

Definition: the average period that a person may expect to live.

Definition: Life expectancy equals the average number of years a person born in a given country is expected to live if mortality rates at each age were to remain steady in the future. 


WORLD

Global life expectancy for children born in 2015 was 71.4 years (73.8 years for females and 69.1 years for males), but an individual child’s outlook depends on where he or she is born.

The report shows that newborns in 29 countries – all of them high-income — have an average life expectancy of 80 years or more, while newborns in 22 others – all of them in sub-Saharan Africa — have life expectancy of less than 60 years.

With an average lifespan of 86.8 years, women in Japan can expect to live the longest. Switzerland enjoys the longest average survival for men, at 81.3 years. People in Sierra Leone have the world’s lowest life-expectancy for both sexes: 50.8 years for women and 49.3 years for men.

Women on average live longer than men.

http://www.who.int/mediacentre/news/releases/2016/health-inequalities-persist/en



ASEAN

 
ASEAN Countries

World Standing

Life Expectancy (2015)

Overall

Female

Male

Singapore

3

83.1

86.1

80.0

Brunei

39

77.7

79.2

76.3

Vietnam

56

76.0

80.7

71.3

Malaysia

67

75.0

77.3

72.7

Thailand

70

74.9

78.0

71.9

Indonesia

120

69.1

71.2

67.1

Cambodia

123

68.7

70.7

66.6

Philippines

124

68.5

72.0

65.3

Myanmar

129

66.6

68.5

64.6

Lao

137

65.7

67.2

64.1

Average

72.53 75.09 69.99


PHILIPPINES – 2015 (WHO Data)
 
Rank worldwide – No. 124
Rank in ASEAN – No. 8
 
Overall – 68.5 years
 
Female – 72.0
Male – 65.3
ROJ@17apr14
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Population – World, ASEAN, Philippines – 2017

World Population

7.5 billion (as of April 2017)

7 billion (2011)

Forecast:

8 billion by 2023

10 billion by 2057

Population in the world is currently (2017) growing at a rate of around 1.11% per year (down from 1.13% in 2016). The current average population change is estimated at around 80 million per year.

Annual growth rate reached its peak in the late 1960s, when it was at 2% and above. The rate of increase has therefore almost halved since its peak of 2.19 percent, which was reached in 1963.

The annual growth rate is currently declining and is projected to continue to decline in the coming years. Currently, it is estimated that it will become less than 1% by 2020 and less than 0.5% by 2050.



ASEAN Population

Founded in 1967, ASEAN encompasses Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, the Philippines, Singapore, Thailand, and Vietnam

Approximately 646 million people, 8.6% of the world’s population.

ASEAN Countries Population (April 2017)
Indonesia 263,510,146
Philippines 103,796,832
Vietnam 95,414,640
Thailand 68,297,547
Myanmar 54,836,483
Malaysia 31,164,177
Cambodia 16,076,370
Laos 7,037,521
Singapore 5,784,538
Brunei 434,448
Total 646,352,702

http://www.worldometers.info/population/countries-in-asia-by-population/



Philippines

Philippines (103,796,832 – 104 million) – No. 13 in the world standing; No. 2 in ASEAN

Year

Population

Yearly % Change

Yearly Change

2017

103,796,832

1.51 %

1,546,699

2016

102,250,133

1.54 %

1,550,738

2015

100,699,395

1.6 %

1,532,099

2010

93,038,902

1.55 %

1,379,506

2005

86,141,373

2.02 %

1,641,825

2000

77,932,247

2.22 %

1,619,307

Sex ratio: approximately 1:1

ROJ@17apr14

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Emergency Room and Availability of Physicians for Referral During Long Holidays

Holy Week 2017 – April 10-16, 2017

Emergency Room (ER) of a hospital has a management system that calls for quick referral to other physician-specialists for patients who need further treatment outside the ER limited set-up.

There is no problem if the hospital or its ER has always teams of resident-specialists or consultant-specialists who are physically present within the hospital ready to answer referrals from ER.  If the teams are on-call, the ER staff should make sure they are physically nearby the hospital ready and quick to answer referrals.

During long holidays, such as the Holy Week and during Christmas season, consultant-specialists are often out-of-town or out-of-country for a vacation or for other reasons.  Thus, if they are on-call and if they do not inform the ER staff of their out-of-town or out-of-country travel, there will be hitches in the ER referral system.  The consequence will be difficulty of the ER staff to contact them with resulting delay in referral and management of the ER patients.

Recommendations:

  1. The hospital and ER should have a daily list of consultant-specialists on call for ER referral even during public holidays.
  2. ER should have a system of ensuring that the consultant-specialists are physically near the hospital when they are on call.  One procedure is to call each on-call consultant-specialist every day either a day before or in the morning of the scheduled day of on-call duty to remind them of the schedule and to confirm their ready availability.  Another procedure is to make it a hospital policy to require all consultant-specialists who will answer referral from ER to inform the hospital and ER of their leave of absence in advance.  The third procedure is to furnish the consultant-specialists of their schedule of ER-on-call duty in advance, say one month lead-time.  This schedule is supposed to be furnished to the ER by the departments of the consultant-specialists.  It should contain a second- or third-on call set-up in case the first on-call is not available.  This advance schedule of activity will serve two purposes: information and reminder for the consultant-specialists and timely adjustment in case the consultant-specialists are not available on the published scheduled dates. Note: the three procedures mentioned above, if done altogether, will ensure that consultant-specialists will be physically near the hospital to quickly respond to referrals from ER.
  3. Lastly, the hospital and ER should make it a policy for the consultant-specialists on call to answer the referral right away.  A time limit for answering the referral should be stipulated.  If the time limit is exceeded, the ER can refer to the second-on-call consultant-specialists.

If the procedures mentioned in No. 2 are being enforced to the letter, as mentioned these will ensure that consultant-specialists will be physically near the hospital to quickly respond to referrals from ER.  As an added preparedness measure, a recommendation is to put special attention during long holidays in which the consultant-specialists are commonly out-of-town or out-of-country, meaning ER should send out reminders on the policies and procedures a week or two before the holidays.

Outcome expected from these recommendations: no difficulty of the ER staff to contact on-call consultant-specialists with no delay in referral and management of the ER patients.  

This will promote excellent patient experience with the ER and hospital.

ROJ-TPOR@17apr14

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Action Plans Templates

There are so many action plan templates that one may use.  Choose one which is most practical and useful for your setting.



Department:

Key Result Area:

Milestone:

Activities / Strategies:

Task Breakdown Target Output Measure Person Responsible In Coordination With Resource Needed Timetable Remarks / Results
             
           

action_plan_template_1_roj_17apr13



Goal:

  Objective Task/Project Particulars Project Lead Partners (Internal/External) Resources Timeline Challenges Accomplishment Gated Amount
  What do you want to achieve? What will be done? What are the details of the Project? Who will be responsible? Who will help to carry out the Project? What resources do you need? When will it begin and duration? What difficulties/barriers do you anticipate? What is the measure of success? How much is the approximate cost?
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Goal:

  Objective Task/Project Particulars Project Lead Partners (Internal/External) Resources Timeline Challenges Accomplishment Gated Amount
  What do you want to achieve? What will be done? What are the details of the Project? Who will be responsible? Who will help to carry out the Project? What resources do you need? When will it begin and duration? What difficulties/barriers do you anticipate? What is the measure of success? How much is the approximate cost?
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Action Plan Template Excel



 

Different types in one MS Word File.

action_plan_templates_different_types_roj_17apr13

Will add some more in the future.

ROJ@17apr13

 

 

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