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    DOH Checklist For Review - HEMODIALYSIS CLINIC

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    Rhea
    This document contains guidelines and a checklist for reviewing floor plans of hemodialysis clinics in the Philippines. It outlines requirements for the physical layout, including a treatment area with dialysis stations and a nursing station, and support areas like storage, a water treatment area, and toilets. It also lists requirements for planning and design, such as the nurse station allowing oversight of patients and separate access for staff and support areas. Reviewers must check that the floor plans meet all specifications and comment on any issues found. Finally, a health facilities committee will approve or disapprove the plans.

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    © All Rights Reserved
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    DOH Checklist For Review - HEMODIALYSIS CLINIC

    Uploaded by

    Rhea
    382 views3 pages
    This document contains guidelines and a checklist for reviewing floor plans of hemodialysis clinics in the Philippines. It outlines requirements for the physical layout, including a treatment area with dialysis stations and a nursing station, and support areas like storage, a water treatment area, and toilets. It also lists requirements for planning and design, such as the nurse station allowing oversight of patients and separate access for staff and support areas. Reviewers must check that the floor plans meet all specifications and comment on any issues found. Finally, a health facilities committee will approve or disapprove the plans.

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    DOH Checklist for Review - HEMODIALYSIS CLINIC

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    This document contains guidelines and a checklist for reviewing floor plans of hemodialysis clinics in the Philippines. It outlines requirements for the physical layout, including a treatment area with dialysis stations and a nursing station, and support areas like storage, a water treatment area, and toilets. It also lists requirements for planning and design, such as the nurse station allowing oversight of patients and separate access for staff and support areas. Reviewers must check that the floor plans meet all specifications and comment on any issues found. Finally, a health facilities committee will approve or disapprove the plans.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    382 views3 pages

    DOH Checklist For Review - HEMODIALYSIS CLINIC

    Uploaded by

    Rhea
    This document contains guidelines and a checklist for reviewing floor plans of hemodialysis clinics in the Philippines. It outlines requirements for the physical layout, including a treatment area with dialysis stations and a nursing station, and support areas like storage, a water treatment area, and toilets. It also lists requirements for planning and design, such as the nurse station allowing oversight of patients and separate access for staff and support areas. Reviewers must check that the floor plans meet all specifications and comment on any issues found. Finally, a health facilities committee will approve or disapprove the plans.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Republic of the Philippines

    Department of Health
    HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

    ANNEX H-5
    A.O. No. 2016- 0042

    CHECKLIST FOR REVIEW OF FLOOR PLANS


    HEMODIALYSIS CLINIC

    Name of Health Facility:


    Address:
    Date: Review: 1st 2nd 3rd

    Classification According to Ownership: Institution-Based _ Free-Standing__________

    1. PHYSICAL PLANT
    1.1 A. Treatment Area
    1.1.1 Dialysis Station (at least 6m2 per station)
    1.1.2 Nursing Station
    1.1.3 Work Area (within nurse station)
    1.1.3.1 Work Counter
    1.1.3.2 Hand Washing sink
    1.1.3.3 Storage Cabinets
    B. Treatment Support Area
    1.1.1 Storage Room for sterile instruments/supplies, etc.
    1.1.2 Toilet Facility with water closet, urinal and lavatory
    1.1.3 Water Treatment Area (min. 12m 2)
    1.1.4 Reprocessing Room (optional) for reprocessing of dialyzer
    1.1.5
    1.2 Non-Treatment Area
    1.2.1 Business Area
    1.2.1.1 Information
    1.2.1.2 Admitting
    1.2.1.3 Cashier
    1.2.2 Waiting Area
    1.2.3 Pantry
    1.2.4 Toilet

    2. PLANNING AND DESIGN


    2.1 Floor plans properly identified and completely labeled
    2.2 The Dialysis Treatment Area and the Nurse Station are cohesively planned in
    enclosed section or environment appropriately with control doors for
    entry and exit of patients and staff in order to attain/maintain Patient Safety
    including Patient Comfort, Privacy/Convenience and at the same time Infection
    Control.
    2.3 Nurse station located and designed to allow adequate surveillance of patients on
    dialysis machines including control of main entry of treatment section for patient HDC-PTC-CR
    receiving and patient security reasons. Revision:01
    3/29/2019
    Page 1 of 3
    2.4 All other Support Areas/Rooms such as but not limited to the Water Treatment

    Dialysis Treatment Section.


    2.5 The staff and service access or passage to these Support Areas/Rooms does not
    intrude the Dialysis Treatment Section in view of maintaining Patient Safety
    including Patient Comfort, Privacy/Convenience and at the same time Infection
    Control at all times.
    _____2.6 Appropriate waiting area is provided and found commensurate to the number of
    companions/relatives of dialysis patients (provide at least 0.65 sq.m /person).

    COMMENTS:
    ____________________________________________________________________________________
    ____________________________________________________________________________________
    ____________________________________________________________________________________
    ____________________________________________________________________________________
    ____________________________________________________________________________________

    HDC-PTC-CR
    Revision:01
    3/29/2019
    Page 2 of 3
    Republic of the Philippines
    Department of Health
    HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

    Name of Health Facility:

    Address:

    COMMENTS:

    HEALTH FACILITIES EVALUATION AND REVIEW COMMITTEE (HFERC)

    [ ] Approved [ ] Disapproved

    __________________________
    Chairperson, HFERC

    __________________________
    Vice-Chairperson, HFERC

    Member Member Member

    Member Member Member

    ______________________________________________________________________________________________

    ______________________________________________________________________________________________

    ______________________________________________________________________________________________

    HDC-PTC-CR
    Revision:01
    3/29/2019
    Page 3 of 3

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