Assesment Tool for HBRP

8/10/2019 Assesment Tool for HBRP

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Assessment Tool of

Universities and Affiliate

Hospitals for Hospital

based Surgical andObstetrics/Gynecology

Residency Program


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Introduction

Hello, my name is _____________.

The federal ministry of health (FMOH) with the federal ministry of

education has planned to commence hospital based Ob/Gyne and

surgery residency program in selected universities and their affiliated

hospitals. This facility has been listed as one of the

hospitals/universities that would possibly be embraced in this initiative.

I am here today on behalf of federal ministry of health to collectbaseline information about your institution.

Our stay here for this purpose will approximately take two hours and

would involve visits of OB/Gyne and surgical wards, Outpatient

departments, FP Units ,OR and labor wards. Your participation in the

discussion is very much appreciated.

Thank you


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Name of Hospital_______________________________________ Region______________________

City _____________________________

Telephone____________________________e-mail_______________________________________

Date of assessment_______________________

Person Interviewed________________________

Owner (tick appropriate)

a. University Teaching Hospital [ ]

b. Government Hospital [ ]

c. Private Hospital [ ]

d. NGO/faith-based/Mission [ ]

e. Other: (specify) ____________________________________________________________

Total Number of beds_____________

Annual Budget______________________________________

Name of Assessors:

1. ______________________ Designation________________ Institution____________________



4.______________________Designation___________________Institution_______________________


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Section One

Cross Cutting Information


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I. Human Resource Availability and Facilities

Information on this section can be gathered by interviewing CEOs/Medical directors of

hospitals or review of administrative records

Facilities Numbers

Yes/No

Remarks

1 Surgical and OB/Gyn facilities

No of General Surgeons:

No of obstetrician/Gynecologists

Number of subspecialists( specify):

No of Orthopedic surgeons

No of scrub nurses:

No of anesthetists

No of surgical ward nurses

No of midwives

II.SUPPORT SERVICES availability

SUPPORT SERVICES availability Yes/No Remarks

Pathology

Bacteriology

Clinical Chemistry

Hematology

Blood transfusion

Medical & other specialty support

Dedicated OB/Gyn lecture rooms(if yes

number on the remark)

Dedicated surgery lecture rooms(if yes

number on the remark)

Library & IT Facilities

Meeting room

Audit & Morning Meetings


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Availability of

Endoscopy

Hysteroscopy

Laparoscopy

Ultrasound

Plain X/ray

Hystero-slapingio-graphic

(HSG)study

Fluoroscopy

Barium study

Others.

Pharmacy

PhysiotherapyTechnical Department

Accommodation for Trainees

Functional Ambulances/similar

Vehicles serving as Ambulance(if yes

number in the remark)

Electric Generator

Laundry services

III.Hospital Laboratory Functional status

Service hours _________________ Remark __________________

CBC 1. Yes 2. No 3. Remark ____________________________

Cross match 1. Yes 2. No 3. Remark ____________________

HIV test 1. Yes 2. No 3. Remark __________________ Urine test 1. Yes 2. No 3. Remark ____________________

If yes, specify the kind of available urine test

___________________________________________________________________

Chemistry 1. Yes 2. No 3. Remark ____________________

If yes, specify the kind of available chemistry test

_______________________________________________________________________


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Blood for transfusion: specify availability, storage facility and

adequacy__________________________________

IV. Radiology unit

Type of facility Required number Available number Functional (1)Non-functional (2)

X-ray machine

Ultrasound

Service hours, please

specify ________

V. Operation Theatre

Type of facility Required number Available number Functional (1)

Non-functional (2)

Major OR

Operating tables in the

operation theatres

Anesthesia

machine/accessories

Minor OR for Gyn/OBS

Minor OR for Surgery

Dedicated C/S room

ICU

No of ICU/High

Dependency beds


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No of mechanical

Ventilators

Recovery room

VI. Equipments in the Operation Theater

Type Required

number

Available

number

Functional

(1)

Non-

functional (2)

General abdominal sets

Gyn-abdominal set (laparatomies set)

Vaginal hysterectomy set

C/S set

Minor surgical sets

Orthopedic sets

Orthopedic appliances

OR light

Water supply

Autoclave

Suction machine

Oxygen source

Resuscitation set (Adult)

Resuscitation set (Pediatric)

Monitor- ECG, pulse oxymeter

Consumables (anesthetics, suture materials)

OR personal protective equipments (OR

clothes, Apron, Googles, Face shield, shoe)


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VII. If yes specify the available PPE

VII. Trainee load

Information on this section can be gathered by interviewing key personnel at theregistrar office of universities, deans of Health Science and Medical colleges and

CEOs of affiliate hospitals

TYPE OF TRAINEE AVAILABILITY

(YES/NO)

NUMBERS REMARK

Health science and medical students

1. Medical students

2. Midwives

3. Anesthetists

4. Health officers

Other category of students who require surgical

and obstetrics/gynecology training

1. Surgical residents

2. Obs-Gyn residents

3. Trainees on IESO

VIII. Teaching Facility

Information on this section can be gathered by interviewing deans of Health

Science and Medical colleges and CEOs or seniors at affiliate hospitals

1. Classrooms

a. Number of classrooms available for the training

___________________________

b. Total seat capacity per room

________________________________________________

a. Availability of Weekly schedule to use the hall Yes ---- No---


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2. Library

a. Is there a library in the facility? Yes ---- No---

b. Are students issued with library borrowing cards? Yes ---- No------

c. Service hours ______________________________________

d. Seat capacity ____________________________

e. Availability of text books

TEXT BOOK NUMBER

OF

COPIES

AVAILAB

LE

EDITION REQUIRED

NUMBER

Current Diagnosis & Treatment Obstetrics &Gynecology

Williams Obstetrics

Novaks Gynecology

Bailey and Love's Short Practice of Surgery

Schwarz's Principle of Surgery

Primary Surgery, Vol 1, Non-trauma

Primary Surgery, Vol 2, Trauma

Surgical care at district hospital by WHO

Gray's Anatomy: The Anatomical Basis of

Medicine & Surgery

Gerard J. Tortora. Principles of Anatomy and

Physiology

Guyton and Hall Textbook of Medical Physiology

Robbin's Basic Pathology

Books in Emergency Medicine, please specify

________________________________________

Books in Anesthesia, please specify

3. Skills laboratory

a. Are there clinical skills labs for acquiring surgical skills? Yes ------ No---------

b. Are there clinical skills labs for acquiring skills for family planning, MVA,

D&C and delivery? Yes ------ No---------


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c. If yes are students allowed access to these facilities? Yes ------- No-----------

d. List of essential holdings (models/mannequins, equipments and materials) for a

surgical skill lab

________________________________________________________________

________________________________________________________________

________________________________________________________________

_____________

e. Is there any assigned professional to run the skill lab? Yes ------ No---------

f. How many regular sessions per week? _____________________________

4. Teaching-Learning Aids

Indicate availability and number of teaching and learning aids for the training

LEARNING AID AVAILABLE NUMBER REQUIRED

NUMBER

Dissection room

Cadavers for anatomy session

Biomedical lab

TV and VCD/DVD player

Internet access

VCD/DVDs for surgical training

E-Books

Desktop computers

Laptop computers

Overhead projector

LCD projector

Printer

Photocopier

White board


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Black board

IX. Transport Facility

a. Is there any transport service for students (from university to hospital)?

Yes ------ No---------

b. The kind of available vehicle

Bus Yes ------ No---------, How many ------------, Seat capacity --------

-----

Land Cruiser Yes ------ No---------, How many ------------, Seat

capacity -------------

Other type Yes ------ No---------, How many ------------, Seat

capacity -------------

X. Sites for practical attachment (affiliate hospitals)

Status of selection of sites for practical attachment

a. Sites identified based on the requirement of at least one general surgeon and one

Gyn-Obs specialist Yes ------ No---------

b. Name of selected practical attachment sites

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

c. MOU signed between university and affiliate hospitals? Yes ------ No---------d. If MOU not signed, any agreement reached between university and affiliate

hospitals? Yes ------ No---------


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Section Two

Specific Department Based

Information

I. Obstetrics and Gynecology Department

A. Case Load


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Please provide information on number of Gyne/ Obs cases based on the past one year

(2006 EFY) record. HMIS/facility registers will be used as source of information

TYPE OF CASES NUMBER OF

CASES

REMARK

All gynecologic OPD patients seen

Cases coming for ANC( of all visits)

Cases coming for postnatal care

Post abortion cases

First trimester safe abortion cases

Second trimester safe abortion cases

Number of deliveries (total)

Instrumental deliveries( both vacuum and obstetrics forceps)

Elective caesarean sections

Emergency caesarean sections

Elective abdominal hysterectomies

Elective vaginal hysterectomies

Annual number of other emergency obstetric and gynecologic

surgeries, if yes specify in the remarks

Interval bilateral tubal ligation for family planning

Cesarean tubal ligation for family planning

Vasectomies

Pospartum IUCD insertions

Postpartum implant insertions

Postpatum short acting family planning methods (pills, injectables,

condoms)

IUCD insertions in the family planning unit


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Implant insertions in the family planning unit

Short acting family planning methods (pills, injectables, condoms)

provided in the family planning unit

B. Supplies, Support Facility and equipments

Information in this section can be gathered by inventory of resources, interviewing key

personnel like heads at the Gyne/Obs departments (like labor ward, maternity wards, etc.)

Type of facility Required number Available number Functional( not

expired) (1)

Non-

functional( expired)

(2)

Total beds in

Gyne/Obs

OPD( emergency beds)

Total Gyn ward Beds

Total maternity Beds

for prenatal care

Total beds in the labor

ward

First stage bed

Second stage beds

Total beds for postnatal

care

Duty rooms

Discussion corners


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Delivery sets

Vacuum

Obstetrics Forceps

Destructive delivery

sets

Labor monitoring

chart (Partograph)

Pinnard fetoscope

Doppler fetoscope

CTG

Radiantheater/Warming bulb

New born

resuscitation corner

Bag and mask

ventilator

Mucus

extractor/suction

catheter

Vitamin K ampoules

Rectal thermometer

Weighing scale

Naloxone

Endo-tracheal tube

Pediatric

laryngoscope

Umbilical catheter

Newborn couch


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Pulse oximeter

Fetal heart

monitoring tools

MVA set

E & C set

D & C sets

Misoprostol

Mifeprostol

IUCD

Implant

II.Surgery Department

A. Case Load

Please provide information on number of cases based on the past one year (2006 EFY)

record. HMIS/facility registers will be used as source of information


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TYPE OF CASES NUMBER OF

CASES

REMARK

Annual number of major elective general surgeries

Annual number of appendectomies

Annual number of small bowel resection and anastomosis

Annual number of laparatomies for peritonitis

B. Supplies, Support Facility and equipments

Information in this section can be gathered by inventory of resources, interviewing key

personnel like heads at the surgery departments.

Type of facility Required number Available number Functional( not

expired) (1)

Non-

functional( expired)

(2)

Beds in Surgical

wards

Orthopedics beds

Bed for emergency

surgical patients inoutpatient

Duty rooms

Discussion corners

Documents

Assesment Tool for HBRP