About Medical Services

A stand-alone Division of HCCL mandated with the provision of comprehensive Medical Care Services. Dedicated Diagnostic services are available through a state of the art Medical laboratory and Radiology services. Preventive health area covers pest and vector control, disease surveillance and control, enforcement of public health statutes, monitoring employee health and health promotion as well as health education both in the work place and in the community.

Key Services

Community & Industrial Clinics – Primary Health Care & emergency services

Wards admitted patients care Including Maternal services.

Two Out-Patients Departments.

Pharmacy and Dispensary stores – for Medicines and Medical Sundries.

Radiography – For X-Rays and Ultrasonography.

Physiotherapy – for rehabilitation services.

3 Theatres – all procedures that require operations.

VIAC – for visual inspections of possible female uterine cancers.

Dental Services – care of all conditions associated with the Oral cavity.

Occupational Health Services for ensuring a healthy workforce.

Mortuary services – for the care and cold storage storeage of bodies.

Ambulance services – to ferry to hospital all acute cases in need of urgent care.

Community Outreach services .

Corporate Social Responsibility.

Laboratory- for Diagnostic & Pathology Tests.

School of Nursing –as social corporate service to the country.

Team

Dr. N Deredzai
Chief Medical Officer

Head of Medical Services division which supports HCCL production by ensuring a healthy workforce by treating illness and injuries timeously. The division consists of 12 sections including the following:

Hospital Administration
Nursing Services
Medical Imaging
Laboratory
Pharmacy
Physiotherapy
Dental Surgery
Occupational Health
Health Services
School of Nursing

Mr. R R Ndlovu
Hospital Administration Manager

Mr Ronald Roy Ndlovu heads the administration
section which includes Accounts, Ambulance services,
Sewing room, Laundry, Domestic services and
hospital kitchen.

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PA to CMO

Mrs. S Mnkandla
Buyer

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Hospital Accounts

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Hospital Laundry

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Domestic Services

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Hospital Kitchen

Sr. Sylvia Ncube
Infection Prevention & Control

Nurse Aid Nkomazana
CSSU

Mr Ncube
Citrus Farm

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Covid-19 Isolation Centre

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Maternity

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Neonatal

Mr. Y Phiri
Ophthalmic Nurse

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Ambulance Services

Mr. B Nyoni
Anaesthetist

Nursing Services

The role of Nursing Services is to provide care to patients, individuals, families and the community to attain, maintain or recover optimal health and quality of life. As Nursing services, we have a wide range of specialties providing care under the following units, Out-Patients (VIAC, EPI, Counselling, Family Planning ANC and PNC), admission wards (surgery/medical & maternity), ophthalmic unit, theatre, O.I. & ART services, and community nursing.

Ms. B Santungwana
Principal Nursing Officer

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PNO with Nurse Managers

Sr. J Ncube
Sister in Charge - SOPD

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Client accessing services

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Number 3 Clinic

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Number 2 Clinic

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Number 1 Clinic

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Number 5 Clinic

O.I Clinic

Mr. T Ndlovu
TB Coordinator, Mental Health Nurse

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O.I Team

Operating Theatres

The theatre has the capacity to conduct minor and major surgeries conducted as emergencies or elective. Specialists like, General surgeons, ophthalmologist, Orthopaedic surgeons and Gynaecologist visit sessionally.

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Operating Theatre

The School of nursing produces a high quality cadre that has been absorbed by both the local and international market. The cadres are drawn predominantly from the local community and Zimbabwe at large. The diverse social backgrounds, engaged learning, scholarly inquiry and clinical excellence result in a balanced nurse. Use of web-based and simulations technologies assist the nurse to be abreast with technological advances related in their professional practice of caring.

Mr. J Maduma
Principal Tutor

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Nurse Tutors & School Secretary

Mr. J Munsaka
Describing structure of heart

Students
First Aid Training

Students
January A 2022

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Tea Break

Medical Imaging

The section is responsible for medical imaging diagnostics in the hospital. The modalities available are general X-Ray and ultrasound scans. The section is also responsible for Electrocardiograms (ECG) in hospital. On available equipment there is Digital Radiography machine, analogue X-Ray machine, computer radiography processor, ultrasound machine and ECG machine.. Bigger percentage of the section work volume comes from occupational health chest X-Rays and injuries at \ work. Section workforce includes Radiographer and two Radiology Technicians.

Mr. Z Chihohwa
Radiographer

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Radiology Technician

Laboratory

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Laboratory

Physiotherapy

Physiotherapy caters for all sports injuries, musculoskeletal disorders, including women’s health issues. Neurological disorders, such as foot drop, peripheral neuropathy, stroke, paralysis and intractable pain can be managed using a combination of modalities, such as interferential therapy and manual therapy. Physiotherapy can be used to ease pulmonary congestion as well as assist patients unable to mobilise to gain some functional independence.

Ms. J Sarandega
Physiotherapist

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Treatment Area

Mrs. A Phiri
Rehabilitation Technician

Mr. B Mugande
Rehabilitation Technician

Pharmacy

Headed by Mr Mapokotera whose responsibility is to ensure that supplies of both medication and sundries are available for smooth flow of medical service provision.

Mr. I Mapokotera
Senior Pharmacist

Mr. L Ncube
Packaging Medication

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Pharmacy Team

Ms. B Chademana
Dispensary Store Keeper

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Dispensary Stores

Dental

Dentistry – The branch of medicine that deals with the diagnosis, prevention and treatment of the teeth and other structures of the mouth. Common procedures offered at our centre are Fillings –these are used to treat teeth that have cavities or decay. Tooth extractions –When a decayed tooth is too far gone to be saved ,it will be pulled out or removed under an anaesthetic injection. Scaling / professional cleaning of teeth – this is a time for cleaning of teeth and removing of plaque and tartar buildup. Artificial teeth- these a fabricated teeth which are used to replace missing teeth.

Mr. F Mathe
Dental Therapist

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Dental Team

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Dental Services

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Procedure Room

Occupational Health Unit

Sr. P Ngorora
Occupational Health Officer

Sr. L Ncube
Perfoming XX test

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OHU Team

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Opencast Dressing Station

Health services

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Health Services

Medical Services Documents

All
Physiotherapy
Administration
Accounts
Kitchen
Mortuary
Ambulance
Dental
School of Nursing
Hospital Nursing
Community Nursing
Medical Imaging
Pharmacy
Medical Officers
Occupational Health
Public Health
Medical Laboratory
Anaesthesia
VMMC

MSP 2.01 PATIENT CARE PROCEDURE

The procedure is on how; care, diagnosis, cure, comfort, and rehabilitation are rendered by the Nursing Services Sections to all patients under its care at Hwange Colliery Company Hospital.

MSP 2.02 INFECTION CONTROL PROCEDURE

This is a procedure on the control and prevention of health care associated infections in the Medical Services Division.

MSP 2.03 HOSPITAL ADMINISTRATION PROCEDURE

This procedure is put down to ensure the provision of efficient and effective Hospital Administration Services and sets the minimum standards that are expected by the Division.

MSP 2.04 ACCOUNTING SERVICES PROCEDURE

This is a procedure outlines steps followed in the maintenance of the Medical Services Department’s books of accounts, financial control, and the reporting of divisional financial performance.

MSP 2.05CONTROL OF OCCUPATIONAL DISEASES

This procedure gives guidelines for health operations in the control of Occupational Diseases.

MSP 2.06 EMERGENCY PREPAREDNESS PROCEDURE

This procedure outlines action that will be taken in the event of any emergency occurring within or externally, but affecting the operations of the Medical Services Division.

MSP 2.07 HEALTH COMMUNICATION PROCEDURE

To manage the dissemination of Health information that enables individuals and communities to be responsible for their health in a preventive, supportive, curative and rehabilitative manner.

MSP 2.08 PHARMACY PROCEDURE

A procedure on management of orders, goods receipts and goods issues as processed in the pharmacy.

MSP 2.09 COUNSELING PROCEDURE

This procedure outlines the steps taken by Medical Services Staff when counseling a patient/client.

MSP 2.10 STAFF DEVELOPMENT PROCEDURE

This procedure elaborates on how the Medical Services Division identifies staff members and manages staff development.

MSP 2.11 POST EXPOSURE PROPHYLAXIS

A procedure on management of the process that is followed in the event of a medical worker, patient or any member of the public being accidentally exposed to HIV infective material within the clinic, dressing station or hospital premises.

MSP 2.12 GENERAL PATIENT BILLING

The purpose of this procedure is to ensure that revenue is recognized for services provided by the Medical Services Division.

MSP 2.15 DENTAL PROCEDURES

Dental Practitioner clinically checks and inspects the condition of teeth and the associated tissues inside and outside the mouth, plans and implements a program of oral care.

MSP 2.16 MEDICAL IMAGING

Management of the processes which occur during radiological production of a clinical image using x-rays and or ultrasound.

MSP 2.17 LABORATORY PROCEDURE

Management of the process of sample collection and analysis of human specimens and or samples made available for diagnosis, monitoring and screening of diseases in a safe manner to the worker and with no negative impact to the environment.

MSP 2.19 PNEUMOCONIOSIS PROCEDURE

This procedure is on pneumococcus monitoring and surveillance programme done throughout the Company.

MSP 2.20 STUDENT RECRUITMENT PROCEDURE

This is a procedure on the management of student recruitment for the General Nurse Diploma.

MSP 2.21 INVENTORY MANAGEMENT

This procedure is on inventory management in the Medical Services Division.

MSP 2.22 DISPOSAL OF EXPIRED MEDICAL PRODUCTS

The procedure is on the disposal of expired medical products in the Medical Services Division.

MSP 2.24 STUDENT TEACHING

This procedure is on how the School of Nursing conducts the learning / teaching programme for General Nurse Training.

MSP 2.25 OPPORTUNIST INFECTIONS

The procedure deals with how the Medical Services Division will diagnose and appropriately manage clients with HIV and AIDS suspected infections and complications.

MSP 2.27 CUSTOMER COMPLAINT HANDLING

The procedure describes how customer complaints/ suggestions are handled in the Medical Services Division.

MSP 2.28 HAND HYGIENE

To provide guidelines for the use of hand hygiene as the single most effective action in the prevention of transmission of infection. Hand hygiene includes both washing, use of adjunct alcohol based hand rubs, and the care of the skin of the hands and nails.

MSP 2.29 CUSTOMER SATISFACTION

A procedure on the assessment of customer satisfaction through surveys carried out in the Medical Services Department.

MSP 2.30 MECICAL OFFICERS PROCEDURE

This procedure describes the functions of a medical officer in the Medical Services Division within Hwange Colliery Company.

MSP 2.32 DAY CASE SURGERY

This procedure outlines actions that will be taken in the care of a patient prior to, during and after day case surgery.

MSP 2.33 TB IPC PROCEDURE

This procedure ensures the provision of efficient controls to prevent the spread of TB in hospital settings.

MSP 2.35 PURCHASING PROCEDURE

The purpose of this procedure is to facilitate the timely and cost effective acquisition of spares, consumables and other Hospital process inputs.

MSP 2.36 DISPOSAL OF CLINICAL WASTE

The purpose of this procedure is to provide for the management of Clinical and medical waste generated from health facilities within the Colliery Concession in line with existing statutory requirements.

MSP 2.37 INJURY ON DUTY

The purpose of this procedure is to facilitate the management of incidents involving injuries incurred on duty. These incidents include needle stick injuries, accidents at work, crush injuries and any other injuries involving body parts hurt during work.

MSP 2.38 CSR PROCEDURE

The procedure ensures that Hwange Colliery Hospital is ready to respond to acute public health events and cater for patients and the community who are in need for emergency medical care, in a timely, consistent and efficient manner.

MSP 2.41 FOOD HYGIENE PROCEDURE

The purpose of this procedure is to ensure food hygiene and safety during handling, preparation, serving at all food premises in the Hwange Colliery Concession area.

MSP 2.44 MEDICAL INDUCTION PROCEDURE

To ensure that a new employee or locum, Attachee, graduate leaner to the Medical Services Division an appreciation of the Medical Services operations and the hazards and dangers involved in carrying out such operations so that they are able to conduct themselves in a safe manner Manner. These induction/orientation processes shall also apply for permanent employees who have been away on prolonged leave, locums, attaches and graduate learners.

MSP 2.42 EBOLA PREPAREDNESS

This is a procedure on the Ebola Preparedness plan for Hwange Colliery Hospital.

MSP 2.43 SCREENING OF INFECTIONS

To detect infections early thereby preventing spread of infections in the Medical Services Division.

MSP 2.46 VISITING DENTIST PROCEDURE

The purpose of this procedure is to give guidance on the work processes to be carried out by a visiting dental practitioner at Hwange Colliery Dental Surgery.

MSP 2.47 POSTMORTEM FOR COVID-19

To provide clear management protocols on conducting postmortems for confirmed, probable and suspected Covid-19 cadavers at the mortuary of the Medical Services Division of Hwange Colliery Company Ltd.

MSP 2.48 EXTERNAL DOCTORS

To guide the processes that must be fulfilled by visiting medical officers who wish to access our Colliery theaters for their private patients.

MSP 2.49 EMERGENCY MANAGEMENT MEETING

To ensure that a standard practice is followed when the Head of Division of Medical Services calls for Emergency or Ad Hoc meetings at short notice.

MSP 2.50 MANAGEMENT OF COVID-19 PATIENTS

The procedure is on handling of all patients, staff and visitors presenting to Medical Services service points.

MSP 2.51 MANAGEMENT OF SCHOOL FUNDS

This procedure outlines steps followed in the maintenance of school of nursing generated funds and the reporting of the financial performance.

MSP 2.52 CHEMICAL HANDLING PROCEDURE

The purpose of this procedure is to ensure that all risks associated with the storage, use and disposal of chemicals within the Medical Services Division are controlled and managed.

MSP 2.40 PHYSIOTHERAPY PATIENT CARE PROCEDURE

This procedure states the steps taken when managing conditions that patients present with; which indicate physiotherapy/rehabilitation.

MSP 2.14 PHYSIOTHERAPY CARE PROCEDURE

This procedure states the steps taken when managing conditions that patients present with; which indicate physiotherapy/rehabilitation.

MSP 2.13 NSSA Accident Reporting and Claim Procedures

This procedure lays down the process undertaken by the Medical Services Division in the event of an occupational accident. It defines how the Division reports the accident to NSSA. It enumerates the process undertaken to claim for service fees from NSSA and assists the employee to make a claims to the Worker-man’s Compensation Scheme.

MSP 2.40 WELLNESS PROGRAM

The purpose of this procedure is to monitor the physical, mental and behavioural health of employees, through periodic medical assessments. Further, the procedure shall evaluate the working environment for its suitability to worker’s health through environmental impacts/risk assessments.

All
Physiotherapy
Administration
Accounts
Kitchen
Mortuary
Ambulance
Dental
School of Nursing
Hospital Nursing
Community Nursing
Medical Imaging
Pharmacy
Medical Officers
Occupational Health
Public Health
Medical Laboratory
Anaesthesia
VMMC

Patient Assessment

How a patient is assessed to determine the diagnosis and treatment plan.

Chest Physiotherapy

Describes how chest physiotherapy is conducted to relieve chest congestion.

Therapeutic Exercises

Describes how exercises are conducted for patients whose function has been impaired.

Electrotherapy

Describes the different electrical modalities which are used for various conditions.

Issue of aids and appliances

This work instruction describes how mobility appliances are prescribed and how patients are instructed in their use. It also describes the use of orthotic devices.

Cryotherapy

the work instruction describes how cold compress is applied to acute conditions.

Therapeutic massage

This work instruction describes the different massage strokes and how they are applied to various conditions.

Messenger, porter and outrider motocycle services

The work instruction describes how packages, letters, specimens and patients are ferried withing the Medical Services Division.

Secretarial, telephone reception and client services

This work instruction describes the duties that are carried out by personnel manning the Front Office.

Staff Change Room

This work instruction details how personnel access and use the staff change room.

Domestic services

The work instruction details how the whole Division is kept clean.

Food production and serving

The work instruction describes how food is produced and served in the hospital.

Ordering and stock control

This work instruction details how food stock items are ordered, stored and withdrawn from storage.

Ambulance and standby vehicle services

The work instruction details how ambulances are dispatched for patient evacuation and how the standby trucks are requisitioned and used in the Division.

Laundry Services

This work instruction enumerates how linen is laundered at the hospital laundry.

Sewing Room Services

The work instruction describes the functions of the hospital sewing room in the manufacture and repair of linens used in hospital.

Waste Disposal

The work instruction describes how waste is handled by the Hospital Kitchen until its final removal from site.

Preservation of Dead Bodies

This work instruction enumerates how the mortician preserves dead bodies while in storage and when they are dispatched for long range distances before final burial.

Handling of Dead Bodies

This work instruction details how dead bodies are received, stored and released to relatives.

Cook's Work Instruction

The work instruction describes the functions of a hospital cook.

Endotyracheal Intubation

The work instruction details how endotracheal tubes are inserted in patients.

Pre and Post Operative Work Instruction

This work instruction details what the Anesthetist does before and after a patient is taken to theater for surgical procedures.

Rapid Sequence Induction

The work instruction describes how general anesthesia id administered to patients.

Spinal Anaesthesia

This work instruction describes how a spinal block is given to surgical patients in theater.

Sreening & Registration of Patients

The document describes how the Community Nursing Services will vet and register all patients/clients presenting at Hwange Colliery clinics.

Patient Assessment

This work instruction describes steps taken by a nurse to come up with a diagnosis at initial contact, or at subsequent visits to determine if the patient is improving or not.

Antenatal Booking

The work instruction describes how the community nursing department will render care to all pregnant clients during antenatal booking.

Care Plan & Implementation

The work instruction describes how the Community Nursing Services will plan and implement appropriate care to its clients/patients.

Family Planning

The work instruction describes how the Community Nursing Section will provide service to all clients in need of family planning.

Packing of Drugs

This work instruction describes steps that will be taken to ensure drug accountability and security.

Management of Receipts at Clinics

The work instruction describes how cash paid by cash Clients to the Community Nursing Department is counted, reconciled, receipted and collected for banking Hospital by Accounts.

Emergency Plan During Power Outage

This document describes how the Community Nursing Services will react to power outage and preserve the cold chain to maintain the integrity of vaccines.

Collection of Dried Blood Specimen

This work instruction describes how dried blood spot specimens are collected in the clinical area to assist in the diagnoses care and treatment of an infant.

Intra and Extra Oral Examination

This work instruction describes how dental clinical examinations will be done for all patients seeking dental services at Hwange Colliery Company Hospital.

Infection Control for Oral Health Care

This work instruction describes how infection prevention and control for oral health care will be carried out at Hwange colliery hospital dental surgery.

Dental Extraction

This work instruction describes how a tooth extraction will be done at Hwange Colliery Hospital dental surgery.

Dental Restorations

The work instruction describes the way in which a tooth is restored to its normal function by way of a tooth filling procedure on all patients presenting to the Hwange Colliery hospital dental surgery.

Dental Record Keeping

The work instruction describes the way in which dental patient records will kept and secured at the Hwange Colliery Hospital.

Handling & Storing Sterile Stock

The purpose of this work instruction is to provide the criteria through which sterile packs will be handled and stored at Hwange Colliery Hospital Dental Surgery.

Management of Post Dental Haemorrhage

The purpose of this work instruction is to provide care and management of a post dental extraction haemorrhage to all patients presenting at Hwange Colliery hospital dental surgery.

Pit & Fissure Sealing

The purpose is to provide criteria for working procedures on pit and fissure sealants for the clients seen at the Hwange Colliery Hospital Dental Surgery.

Care and maintenance of Dental Equipment

This work instruction describes how care and maintenance of dental instruments will be done at Hwange colliery dental surgery.

Filing Archiving

To ensure speedy retrieval of discharged patients’ notes for patients review, retrospective analysis and continuation.

Vetting of Patients

To ensure efficient vetting of prospective patients to determine their eligibility to access services using medical insurance, or other forms of consideration.

Cash Collection Deposits Monitoring

To ensure that amounts due from patients are effectively collected and receipted. To continually monitor patients’ deposits versus their accounts so that patients continually top up on their payments and do not end up owing the hospital.

Checking Dispatch of Claims

This working instruction describes the process of checking of claims for veracity prior to dispatching the claims to Medical Aid Society/ Health Funders.

Debtors Reconciliation

This working instruction describes the process of analysis of debtors’ payments and their remittance advises attached to payment for service. The reconciliation to look at whether the debtor has paid the bill in full and if not the reason for short falling. Where short falls arise, to determine the person/s responsible for making good such balances.

Medicall Aid Claims Processing

To explain the handling and processing of Medical Aid Claim Forms by Medical Services staff inclusive of Service Providers and Accounts staff in the Medical Services Division. To improve the rate of movement of forms to Medical Funders and reduce claims rejection rate

Cashbook Maintenance & Reconciliation

To ensure that cashbooks are properly maintained in line with Generally Accepted Accounting Principles

Capturing Receipts

To ensure that all receipts are posted in the Ellipse system.

Capturing Credit Notes

To ensure that adjustment credits on customer accounts are posted in the Ellipse system

Extracting Debtors Age Analysis

To ensure that a detailed age analysis is extracted from the system for further analysis on a monthly basis.

Creditors Reconciliation

To ensure that creditors transactions in the MEDD ledger are validated using the Suppliers’ records.

Budgeting Variance Analysis

To ensure that budgeting & variance analysis are performed in line with Generally Accepted Accounting Principles.

Financial Reporting

To ensure that monthly management accounts are prepared as per calendar to enable timely decision making.

Price variance and Invoice Mismatch Handling

To ensure that issues of non-conforming supplies and price variances are addressed systematically.

Biometric Enrolment EDI Claims Submission

To biometrically enroll patients and ensure timely submission of accurate claims to medical aid societies that have the relevant EDI facility.

Control of Vector & Household Pests

This work instruction describes the control of vector and household pests in Company Premises Residential areas, trading and non-trading premises.

Control of Intruder Snake

This work instruction gives guide lines for the snake handling team in translocation and controlling of intruder snakes.

Treatment Seeking Time Survey

This work instruction describes how treatment seeking time survey is done in the Medical Services Division.

Postmortem Meat Inspection

To describe the manner in which meat is examined for pass for human consumption. This involves the postmortem inspection of bovine, porcine, sheep, goat, poultry and other related wild animals.

Treatment of Measly Beef, Pork and Offals

To describe the manner in which measly meat is treated so that it is suitable for human consumption..

Condemned Meat

To describe the manner in which condemned meat is disposed of so as to safeguard public health.

Bacteriological Water Sampling

This work instruction describes how a Bacteriological water Sample is done in the Medical Services Division.

Cleaning of Compression Sprayer

The purpose of this Work Instruction is to describe the safe procedure for cleaning a Compression Sprayer.

Operating a Compression Sprayer

The purpose of this Work Instruction is to describe the safe procedure for operating a Compression Sprayer.

Maintenance of Compression Sprayer

To describe the manner in which a Compression Sprayer is maintained so as to enhance the Sprayer Operator’s safety and increase the Compression Sprayer’s life span and efficiency.

Swabbing for Food Hygiene Standards Monitoring

The purpose of this work instruction is to describe the manner in which the Microbiological Swabbing is conducted so as to determine the microbiological contamination on food handlers’ finger nails, palms, equipment and working surfaces.

Examination of Building Plans

This work instruction gives guide lines for the inspection of building plans.

Operating a Fire Arm

The purpose of this Work Instruction is to describe the safe procedure for operating the Fire Arm for Vermin Control. .

Water Sampling for Chemical Analysis

This work instruction describes how a Chemical Water Sample is done in the Medical Services Division.

Handling of Bodies for Highly Infectious Diseases

To guide the safe handling bodies of deceased persons who have died of suspected or confirmed with COVID-19 and prevent transmission of the SARS-CoV-2 virus to healthcare workers, family, the community and the environment.

Waste Management Plan

1. To reduce the generation of waste at Medical Service Division i.e. waste minimization strategies. 2. To maximize the collection of solid waste with a view of averting land, water and air pollution. 3. To provide information and guidance to the Medical Services Division with regards to waste management 4. To minimize the environmental, health, social and economic impacts of hazardous waste generation and management.

Rapid Response Guidelines in Covid-19 Pandemic

To ensure that all outbreak response is immediate and appropriately carried out. This includes investigation, verification/confirmation, management of cases, improved reporting system and appropriate control measures are put in place.

Registration & Consultation Outpatients

The Work instruction describes how health care workers in the Medical Division receives a patient or client into the system.

Antenatal and Postnatal Care

The Work instruction describes the care rendered to antenatal and postnatal mothers by the midwife.

Expanded Program of Immunization

Work instruction describes how expanded programme of Immunization Services is implemented in the Outpatient Department and Clinics.

Registration in the Ward

To obtain demographic data and record on patient admission form and book.

Consultation in the Ward

The work instruction describes how an Registered General Nurse obtains objective and subjective data from the client that will facilitate Nursing care plan.

Health Assessment

The work instruction describes how the Registered General Nurse obtains subjective and objective data. Performs a head to toe examination on the patient in order to identify patient’s problems and come up with solutions.

Intensive Patient Care

The work instruction describes how Medical Services Division will render intensive patient care to all patients in the Intensive care unit. This refers to medical treatment provided to patients with acute life-threatening illnesses or injuries.

Specialized care: Preterm Sick Baby

The working instruction describes how the midwife in the maternity ward renders care to a preterm or sick baby

Discharge Plan Maternity

This work instruction describes how the midwife discharges the patient.

Delivery of a Baby

The work instruction describes how the midwife facilitates the safe arrival of the baby.

Post Natal Examination

The work instruction describes how a midwife examines a mother post delivery.

Discharge Plan General Wards

The work instruction describes how the Registered General Nurse will discharge a patient.

Use of Disinfectants, Detergents and Sanitizers

To ensure that disinfectants, detergents and sanitizers are handled and used properly.

Health Communication OPD

To disseminate information which will enable individuals to be responsible for their health in a preventive, supportive, curative and rehabilitative manner.

Counselling

The instruction outlines the steps taken by medical staff when counseling a client.

Health Communication in Patients

To disseminate information which will enable individuals to be responsible for their health in a preventive, supportive, curative and rehabilitative manner.

Packing and Sterilization: CSSU

This work instruction offers directions of systems on how packing and sterilization of packs is carried out in CSSU.

Consultation and registration at OI Clinic

This work instruction describes how the O.I. Clinic receives a patient/client into the system.

Management of the Unconscious Patient in the Recovery Room

This work instruction describes how the unconscious patient is recovered in the Recovery Room post-operatively.

Reception of a Patient in the Operating Theatres

This work instruction enumerates the steps that should be taken at all times when patients arrive in theatre for surgical procedures.

VIAC

The working instruction describes how Visual Inspection with Acetic Acid and Cervicography is done with the view of early detection of cervical cancer.

Cryotherapy

The working instruction describes how ice cold gas is applied to destroy pre-cancer cells on the cervix.

Decontamination of Equipment

To ensure a system is in place for effective decontamination of all patient care equipment used for and between each patient and that risks associated with decontamination facilities and processes are properly managed.

Donning PPE

To reduce the risk of infection to health care workers by ensuring adequate and proper donning of personal protective equipment when caring for COVID-19 patients.

Doffing PPE

To reduce the risk of self-contamination by healthcare workers when removing personal protective equipment used in the care of COVID-19 patients.

Linen management for Covid-19

To minimize the risk of transmission of COVID-19 while handling linen used in the care of suspected or confirmed COVID-19 patients.

Surgical Scrubbing in the Operating Theatres

To ensure that all parts of the hands and forearms are cleaned thoroughly before any surgery is carried out.

Respiratory Hygiene and Cough Etiquette

To reduce risk of transmission of SARS-CoV -2 virus- the organism that causes COVID-19 disease including other pathogens such as Tuberculosis, Measles and influenza that may be generated from the respiratory tract of infected individuals (patients, health workers and visitors).

Disinfection and Sterilization of Patient care Equipment

Emergency Theatre cases

This working instruction is on Emergency Theatre Cases done by Medical Officers.

Elective Theatre cases

This working instruction is on Elective Theatre Cases done by Medical Officers.

Emergency Ward Rounds

This working instruction is on Emergency Ward Rounds done by Medical Officers in the Private Wards.

Ward Round

This working instruction is on Ward Rounds done by Medical Officers in the Private Wards.

Bedside procedures

This working instruction is on Bedside Procedures done by Medical Officers in the Private Wards.

Management of RTAs

The work instruction describes the management of road traffic accident victims that present at Hwange Colliery Hospital.

Dispensing of drugs

The work instruction describes the dispensing process in the pharmacy.

Manufacture of Salicylic Acid Ointment

This work instruction describes how Salicylic Acid ointment is manufactured.

Medical Services Stock Take

The work instruction describes how stock take is done at Pharmacy.

Bed making

The work instruction describes how bed making is carried out to enhance the patient’s comfort and prevent spread of infection.

Bed Bath

The work instruction describes how a bed bath is done.

Mouth Care

The work instruction describes how mouth care is carried out.

Application of paul's Tubing

The work instruction describes how a Paul’s tubing is applied.

Toileting

This work instruction describes how a patient is assisted with toileting.

Patient Meals and Feeding

The work instruction describes how patients are assisted during meals.

Bathing Babies

The work instruction describes how bathing of babies is done.

Care of the Dead: last Office

This work instruction describes the last services performed for the patient who has rested in peace.

Administration of Oral Drugs

The work instruction describes the conduct of administration of oral medications.

Administration of Injections

The work instruction describes the administration of injections.

Wound Dressing

The instruction states the conduct of wound dressing.

Administration and Control of DDA

The instruction describes the storage and administration of controlled / dangerous drugs.

Application of Roller bandage

The instructions describe the method of applying a roller bandage.

Admission of Adult Patient

The work instruction explains how adult patients are admitted via main out patients and senior out patients during working hours or directly into the ward after hours.

Maintaining Fluid Balance Chart

The work instruction describes how to monitor fluid gained and lost from the body.

Tepid Sponging

The procedure describes how tepid sponging is done.

Changing of Napkin

The work instructions describe changing of baby napkin.

Giving an Enema

The work instruction describes how to give an enema.

Administration of Blood and Blood Products

This work instruction describes how to administer blood and blood products.

Collection of Blood Specimens

This work instruction describes how blood specimens are collected in the clinical area to assist in the diagnoses care and treatment of a patient.

Neurological Observations

The work instruction describes how Neurological Observations will be carried out on adults.

Catheter Care

The work instruction describes how catheter care and cleansing will be carried out on female and male clients.

Checking Vital Signs

The work instruction explains how the observations of the vital signs are carried out.

Nasogastric Tube feeding

This work instruction describes how to administer nasogastric tube feeds.

Bowel Washout

This work instruction explains how a bowel washout is done.

Gastric Lavage

The work instruction describes how gastric lavage is done at Hwange Medical Services Department.

Passing a Nasogastric Tube

The work instruction describes how to pass a nasogastric tube at Hwange Medical Services Department.

Urinary Catheterization

The Work instruction describes how urinary catheterization is carried out on female and male patients to enhance the patients’ comfort, care and treatment.

Letting out of Conference Facilities for Hire

To ensure that a standard practice is followed when the Medical Services facilities – in this case the Recreation Hall and the Conference Center are let out to Government Organisations or Departments, Private Individuals, Corporate bodies and Non-Governmental Organisation either for free or for a consideration in the form of fees.

Bed Making

The work instruction describes how bed making is done to enhance patient comfort and prebvent spread of infections.

Bed Bath

Describes how to bath patients.

Mouth Care

Describes how mouth care is conducted.

Application of Paul's Tubing

Describes how Paul's tubing is applied to patients.

Toileting

Describes how toileting is done for patients who need assistance.

Patient Meals and Feeding

Describes how patients are assisted to feed.

Bathing Babies

Describes how babies are bathed.

Care of the Dead: last Office

Describes how the last offices are conducted on deceased patients in the wards.

Administration of Oral Drugs

Describes how oral medicines are administered to patients.

Administration of Injections

Describes how to administer injections to patients.

Wound Dressing

Describes how to perform dressings on patients.

Administration and Control of DDA

The instruction describes the storage and administration of controlled / dangerous drugs.

Applying a Roller Bandage

Describes how a roller bandage is applied.

Maintaining Fluid Balance Chart

The work instruction describes how to monitor fluid gained and lost from the body

Tepid Sponging

Describes how tepid sponging is performed.

Changing of Napkin

Describes how to change napkins on babies.

Giving an Enema

The work instruction describes how to give an enema.

Administration of Blood and Blood Products

Describes how blood and blood products are administered to patients.

Admission of Adult Patient

Describes how to admit an adult patient in the wards.

Collection of Blood Specimens

Describes how to safely collect blood specimens from patients.

Neurological Observations

Describes how to conduct neurological observations.

Catheter Care

Describes how to conduct catheter care.

Checking Vital Signs

Describes how to check patient's vital signs.

Nasogastric Tube feeding

The instruction describes how to feed patients using a nasogastric tube.

Bowel Washout

Describes how to conduct bowel washout.

Gastric Lavage

Describes how gastric lavage is performed.

Passing a Nasogastric Tube

Describes how to pass a nasogastric tube.

Urinary Catheterization

Describes how urinary catheters are applied on patients.

Pre-test and VMMC Counseling

The work instruction describes how to pre-test clients who seek medical male circumcision and how the counseling is done.

VMMC Informed Consent process

The work instruction describes how an informed consent is obtained from a client before VMMC procedure is carried out.

Logistics Management of VMMC Commodities

The work instruction puts in place the system to ensure that clients always get commodities needed to undergo VMMC.

Data Capture

The purpose of this work instruction is to clearly spell out the steps that are taken in the process of capture from clients onto pre-prepared documents that have to be filled in systematically and with uniformity for reporting and future reference.

Surgical VMMC

The work instruction describes how surgical circumcision is performed for clients seeking VMMC.

Genital Examination

The work instruction describes how genital examination and screening is done for clients seeking VMMC

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Physiotherapy
Administration
Accounts
Kitchen
Mortuary
Ambulance
Dental
School of Nursing
Hospital Nursing
Community Nursing
Medical Imaging
Pharmacy
Medical Officers
Occupational Health
Public Health
Medical Laboratory
Anaesthesia
VMMC

Certificate of Pre-payment

A form used to capture pre0payment for services to be rendered at a future date, e.g. for maternity services.

Admission Authorization Form

Form used to capture all patient payment details and ensure that necessary deposits are paid prior admission.

Admission Form

Admission form used to capture all patient details and presenting complaints, doctor's orders and treatment plan.

Admission Continuation Form

The form used for admitted patients to capture all procedures done.

Admission Register Isolation Centre

The admission register on which patients placed in isolation at Cinderella are captured.

Ambulance Requisition Form

Form used to requisition for ambulance services.

Theatre Charge Sheet

This for is used to keep a tally on all sundries and medicines used while a patient is having a procedure done in theatre.

After Hour Form

The form is used to capture demographic and clinical data for those patients who present after 1600 hours at Hospital. These require outpatient services and not admission.

Ambulance Charge Sheet

The form is used by personnel in the Ambulance service to account for mileage and any other sundries or medicines used while patient is on board the ambulance.

Ambulance Requisition

This form is used to request for ambulance services. It helps the personnel account for all trips and update their mileage accurately. It also ensures that appropriate authorizations are given before the ambulance leaves the parking bay.

Ambulance Vehicle Checklist

The checklist is used by Ambulance Drivers daily to ensure the integrity and road-worthiness of the ambulance.

Anaesthetic Machine & Sundries Checklist

The form is used by Anaesthetists when the do their routine checks on the readiness of the anaesthetic machines.

Anaesthetic Record

This is the form where clinical information is logged on by Anaesthetists as they put a patient to sleep, until the patient is deemed fit to return to the ward.

Blood Transfusion Patient Consent Form

This is the form that all patients or their guardians are required to give written consent to having blood transfused on them or their minor relatives.

Bowie Dick Test Form

This form is used to capture the results of how well autoclaved packs have been sterilized.

Caesarian Section Operating Sheet

This form is used by the operating surgeon to track the well-being of both mother and baby during delivery by C-Section.

Customer Complaint Form

This is the form that any visitor, patient or client can use to record a complaint, suggestion or compliment.

Dental Record

This is a form on which the dentist will record critical clinical information about a patient.

Dental IPC Checklist

this form is used to check or verify is the minimum infection prevention and control measures are in place at any one time in the Dental Surgery.

Discharge Slip

This form is given to discharged patients and on it will be critical care instructions and a summary on what was done on the patient while admitted.

Diet Slip

It is on this form that the nursing staff records dietary requirements for admitted patients per feeding time. this form then informs Hospital Kitchen on what the expectations are for the patients.

Disease Notification Form

The Health Officer or EHT will use this form to formally notify Ministry of Health of notifiable diseases, such as Covid-19, Ebola, Cholera, etc.

Disposal of Expired/Damaged Goods

The Pharmacy staff keeps a list of all expired goods/drugs and separates them from other stock. These are then disposed after authorization has been sought from the Chief Medical Officer.

Drug Chart

This is the form on which prescribed drugs for inpatients are charted by Registered General Nurses.

Environmental Cleaning Log

This chart tracks whether or not cleaning has been done in any particular work station in the Medical Services Division.

Fluid Balance Chart

It is upon this form that patients on intravenous fluids have the type, quantity of fluid being given is logged. It also records how much patients lose through urination, vomiting, etc.

Fit Chart

This form records the number and duration of fits for patients experiencing seizures.

Food Handler's Medical Certificate

The form records the personnel who handle food and whose medical fitness has been ascertained by a Medical Doctor.

Food Inspection Certificate

The form record food that has been inspected and details that the items are fit for human consumption.

Health Facility IPC Risk Assessment Tool

The form is used to determine any infection prevention and control parameters that are been met or flaunted in a health facility.

Hospital Admission Refusal Form

The form is completed in those situations that patients refuse to be admitted against medical advice.

Medical Services Training Register

The form is used to capture internal and external trainings that Health Care Workers undertake. It helps tack CPD points accrued in any given year.

VMMC consent Form

This is a consent form that is completed prior having voluntary medical male circumcision.

TPR and BP Chart

The form is used to track the pulse, temperature, respiration and blood pressure of admitted patients.

Neurological Observation Chart

The form is used to monitor the level of consciousness of patients with poor level of wakefulness, such as head injured patients.

Refrigeration Monitoring Form

The form is used to track temperatures in all fridges where medicines and reagents are stored.

Theatre Charge Sheet

The form is used in theatre to track sundries and medicines used and apportion a charge for each item consumed.

Post Operative care Instruction

The form spells out the instructions that operated patients must observe for set periods. This is to assist their recovery.

Post Delivery Chart

The form captures important parameters after a mother has delivered a baby/babies, to assist the midwives to monitor and react appropriately to any adverse events.

Peak Flow Report

The form captures the lung volumes noted upon forced expiration. It assists detect any abnormal lung volumes.

Physiotherapy Appointment Slip

The appointment slip is given to any patient whose Physiotherapy may take long. It assist the patient supervisors to release patients for therapy.

Resuscitation Box Checklist

The form is used to monitor medicines and sundries used in emergencies. the health personnel check for expired items so that they can be withdrawn and for used up items so that they can be replenished.

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