HRM.

1: Human Resource Planning

1. Workforce Analysis Reports.
2. Human Resource (HR) Planning Documents.
3. Staff Allocation Charts (by department and shifts).
4. Succession Planning Records.
HRM.2: Recruitment Process
1. Job Descriptions (JDs) and Job Specifications.
2. Recruitment Policies and Procedures.
3. Candidate Application Records.
4. Pre-Employment Medical Examination Records.
5. Background Check and Reference Verification Reports.
HRM.3: Induction Training
1. Induction Training Policy.
2. Induction Training Schedules (organization-wide and department-specific).
3. Attendance Records for Induction Programs.
4. Feedback Forms from Induction Participants.
5. Training Materials (e.g., organization vision, mission, and values).
HRM.4: Professional Training and Development
1. Training and Development Policy.
2. Annual Training Calendar.
3. Training Attendance Sheets.
4. Training Feedback Forms.
5. Training Evaluation Reports (Pre- and Post-Training Assessments).
HRM.5: Job-Specific Training
1. Updated Job Descriptions (JDs).
2. Competency Assessment Records.
3. Training Needs Analysis Reports.
4. Attendance Sheets for Job-Specific Training.
5. Certification Records for Specialized Training (e.g., CPR, infection control).
HRM.6: Safety and Quality Training
1. Safety and Quality Training Modules.
2. Training Schedules for Safety Drills and Emergency Preparedness.
3. Attendance Sheets for Safety Training Programs.
4. Incident Reports and Root Cause Analysis Documents (if applicable).
5. Evaluation Reports for Training Effectiveness.
HRM.7: Performance Appraisal
1. Performance Appraisal Policy and Guidelines.
2. Appraisal Forms and Templates.
3. Documentation of Appraisal Feedback and Review Meetings.
4. Performance Improvement Plans (for underperforming staff).
5. Annual Summary Reports of Appraisal Outcomes.
HRM.8: Disciplinary and Grievance Handling
1. Disciplinary Policies and Procedures.
2. Grievance Handling Policies.
3. Grievance Logs and Complaint Registers.
4. Investigation and Resolution Reports.
5. Appeal Records for Disciplinary Cases.
HRM.9: Staff Well-Being
1. Annual Health Check-Up Records.
2. Counseling and Mental Health Support Logs.
3. Workplace Safety Audit Reports.
4. Incident Reports for Workplace Injuries.
5. Records of Wellness Programs and Participation.
HRM.10: Personal Information
1. Personal Files for Each Staff Member
(including qualifications, job descriptions, and health status).

2. Credential Verification Records.

3. In-Service Training and Education Records.
4. Performance Appraisal Results and Remarks.
5. Confidentiality Agreements.
HRM.11: Credentialing and Privileging of Medical Professionals
1. Copies of Medical Degrees, Registrations, and Licenses.
2. Credential Verification Records.
3. Privilege Matrices for Medical Professionals.
4. Credentialing and Privileging Committee Meeting Minutes.
5. Annual Credential Review Reports.
HRM.12: Credentialing and Privileging of Nursing Professionals
1. Nursing Qualification and Registration Certificates.
2. Credential Verification Records.
3. Privilege Approval Documents for Nursing Professionals.
4. Training and Competency Records for Specialized Skills (e.g., IV therapy).
5. Annual Credential Review Reports.
HRM.13: Credentialing and Privileging of Para-Clinical Professionals
1. Para-Clinical Professionals’ Qualification and Certification Documents.
2. Credential Verification Records.
3. Privilege Approval Records for Para-Clinical Professionals.
4. Competency Assessment Reports.
5. Annual Credential Review and Privilege Updates.
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COP.1: Uniform Care Across All Settings
1. Patient Care Policies and Protocols.
2. Standard Operating Procedures (SOPs) for patient care delivery.
3. Guidelines for Outpatient, Inpatient, and Emergency Care.
4. Clinical Practice Guidelines (CPGs).
5. Documentation of Patient Rights and Responsibilities.
6. Training Records for Staff on Uniform Care Delivery.

COP.2: Emergency Services

1. Emergency Care Policies and Guidelines.
2. Emergency Response Protocols.
3. Emergency Department Staff Training Records.
4. Incident Reports for Emergency Cases.
5. Documentation of Patient Management in Emergencies.
6. Equipment Maintenance Records for Emergency Services.

COP.3: Ambulance Services

1. Ambulance Services Operational Policies.
2. Protocols for Emergency Transport and Patient Handover.
3. Maintenance Logs for Ambulances.
4. Training Records for Ambulance Crew (e.g., CPR, First Aid).
5. Patient Transport Records.
6. Communication Logs between Ambulance and Hospital.

COP.4: Care During Community Emergencies, Epidemics, and Disasters

1. Disaster Management Plan (DMP).
2. Emergency Preparedness and Response Policies.
3. Training and Drill Records for Disaster Management.
4. Inventory Records for Emergency Supplies.
5. Documentation of Community Emergency or Disaster Response Activities.
6. Reports of Past Disaster Handling and Lessons Learned.

COP.5: Cardio-Pulmonary Resuscitation (CPR) Services

1. CPR Policies and Procedures.
2. Staff Training and Certification Records for CPR.
3. CPR Incident and Outcome Reports.
4. Maintenance Logs for Defibrillators and CPR Equipment.
5. Emergency Response Team (ERT) Deployment Records.

COP.6: Nursing Care

1. Nursing Care Policies and Guidelines.
2. Patient Assessment and Care Plan Documentation.
3. Nursing Staff Training and Competency Records.
4. Nursing Roster and Shift Allocation.
 5. Incident Reports Related to Nursing Care.

COP.7: Clinical Procedures

1. Clinical Procedure Protocols and Guidelines.
2. Consent Forms for Clinical Procedures.
3. Documentation of Performed Procedures and Outcomes.
4. Staff Training and Competency Assessment Records.
5. Equipment Maintenance Logs for Clinical Procedures.

COP.8: Transfusion Services

1. Blood Transfusion Policies and Guidelines.
2. Blood Bank Accreditation Certificates.
3. Blood Donation and Compatibility Testing Records.
4. Documentation of Transfusion Reactions and Follow-Up Actions.
5. Training Records for Staff Handling Transfusions.

COP.9: Intensive Care and High Dependency Units

1. ICU and HDU Operational Policies and Guidelines.
2. Patient Monitoring and Treatment Records.
3. ICU/HDU Equipment Maintenance and Calibration Logs.
4. Staff Training Records for Critical Care.
5. Incident Reports for ICU/HDU Patients.

COP.10: Obstetric Care

1. Policies and Guidelines for Obstetric Care.
2. Maternal and Fetal Risk Assessment Documentation.
3. Records of Delivery and Postnatal Care Plans.
4. Emergency Obstetric Care Protocols.
5. Staff Training Records for Obstetric Emergencies.

COP.11: Paediatric Services

1. Paediatric Care Policies and Protocols.
2. Documentation of Paediatric Growth and Development Assessments.
3. Emergency Paediatric Care Guidelines.
4. Paediatric Resuscitation Training Records.
5. Incident Reports for Paediatric Patients.

COP.12: Procedural Sedation

1. Procedural Sedation Policies and Guidelines.
2. Consent Forms for Sedation.
3. Sedation Monitoring and Documentation Records.
4. Staff Training and Competency Records in Sedation Techniques.
5. Incident Reports for Sedation-Related Adverse Events.

COP.13: Anaesthesia Services

 1. Anaesthesia Policies and Protocols.
2. Pre-Anaesthesia Assessment Forms.
3. Anaesthesia Incident and Complication Reports.
4. Anaesthesia Equipment Maintenance Logs.
5. Staff Training Records in Anaesthesia Techniques.

COP.14: Surgical Services

1. Surgical Policies and Guidelines.
2. Pre-Surgical Assessment and Consent Documentation.
3. Post-Operative Care Plans and Records.
4. Surgical Team Training and Competency Records.
5. Equipment Sterilization and Maintenance Logs.

COP.15: Organ Transplant Programme

1. Organ Transplant Policies and Guidelines.
2. Donor and Recipient Consent Forms.
3. Records of Donor Matching and Pre-Operative Assessments.
4. Documentation of Post-Transplant Care Plans and Follow-Ups.
5. Training Records for Staff Involved in Transplantation.

COP.16: High-Risk Patient Management

1. Risk Assessment Protocols and Guidelines.
2. Documentation of High-Risk Patient Monitoring and Care Plans.
3. Incident Reports for High-Risk Patients.
4. Staff Training Records on Managing High-Risk Cases.
5. Clinical Guidelines for Preventing Adverse Outcomes.

COP.17: Pain Management

1. Pain Management Policies and Guidelines.
2. Patient Pain Assessment Records.
3. Documentation of Pain Management Plans.
4. Training Records for Pain Management Techniques.
5. Effectiveness Reports on Pain Management Interventions.

COP.18: Rehabilitation Services

1. Rehabilitation Policies and Protocols.
2. Patient Rehabilitation Plans and Progress Records.
3. Maintenance Records of Rehabilitation Equipment.
4. Staff Training and Competency Records in Rehabilitation Techniques.
5. Outcome Evaluation Reports for Rehabilitation Services.

COP.19: Nutritional Therapy

1. Nutritional Therapy Policies and Guidelines.
2. Patient Nutritional Assessment and Diet Plans.
 3. Records of Specialized Diets (e.g., for ICU or diabetic patients).
4. Training Records for Dietitians and Nutrition Staff.
5. Documentation of Nutritional Therapy Outcomes.

COP.20: End-of-Life Care

1. End-of-Life Care Policies and Guidelines.
2. Documentation of Advance Care Directives and Consent.
3. Patient End-of-Life Care Plans and Records.
4. Bereavement Support Resources and Documentation.
5. Staff Training Records in Compassionate Communication and End-of-Life Care.