Blood Donation Form Checklist

Diagnostics
Equipment and their functioning status
Provision of reports
Storage of medicines and administration
Dispensary
Availability of emergency tray
Status of the emergency ward
Availability of sufficient drug stock
Stock book entry, daily expenditure, and entry verification
Drug dispensing procedure
Ambulance availability and functioning
Daily log book verification
Housekeeping
Cleanliness of interior, exterior, and restrooms
Waste collection and management
Water supply and drainage clearance
Pests/rodents control
Electrical maintenance and backup
Restroom maintenance and fittings
Functioning of HVAC
Cleanliness of utensils
Timings of food supply
Sanitization of kitchen and meal consumption areas
Additional information
Images
Images
Inspectors Name/signature:
Inspection Date:
Medication
Pharmacy check
Availability of supportive staff
OPD
Complaint box and grievance redressal
Reception and help desk
Patient guidance, information regarding services, and doctor
Stationary, prescription slips, registration forms
Counters and display
Chambers of doctors, specialists, patient's sitting arrangement, patient disposal
Are all patient records properly maintained?
Operating rooms
Sterilization of linens, instruments and equipment
Availability of staff, drugs, trays
Cleanliness, dustbins, water supply, etc
Status of mattress, sheets, linens
Ensuring regular rounds by a medical specialist
Wards
Maintenance of records
Adequate supportive staff
Feedback from patients

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