The staff are oriented to Scope of services. [All the staff in the hospital mainly in the reception/registration, OPD, IPD are oriented to the services offered by the hospital through training programme or through manuals. ?Records available.]

The documented policies and procedures also address managing patients during non-availability of beds. *

Laboratory personnel are appropriately trained in safe practices.

Imaging and ancillary personnel are trained in imaging safety practices and radiation-safety measures.

Documented policies and procedures guide the triage of patients for initiation of appropriate care. * (BLS, ACLS,NALS & PALS).

Staff providing direct patient care are trained and periodically updated in cardiopulmonary resuscitation .

Staff are trained to implement the policies and procedures for rational use of blood & blood products.

Admission & discharge criteria - Staff are trained to apply these criteria.

Staff are trained to care for the vulnerable group.

Staff receives training and periodic updating in control and restraint techniques.

Staff are educated and trained in end of life care.

Staff, patients and visitors are educated on safety precautions - Radioactive drugs.

Staff are aware of their responsibility in protecting patient and family rights.

Staff are aware of the informed consent procedure.

The organisation conducts induction training for all staff for infection control practices.

The organisation conducts appropriate “in-service” training sessions for all staff atleast once in a year for infection control practices.

Training in quality improvement programme - The designated programme is communicated and coordinated amongst all the staff of the organisation through appropriate training mechanism.

There is a safety education programme for staff.

Fire and non fire emergencies - Staff is trained for its role in case of such emergencies.

There is a plan for managing spills of hazardous materials. *

Hazardous materials - Staff are educated and trained for handling such materials.

The induction training includes orientation to the organisation’s vision, mission and values.

The induction training includes awareness on employee rights and responsibilities.

The induction training includes awareness on patient’s rights and responsibilities.

The induction training includes orientation to the service standards of the organisation.

Every staff member is made aware of organisation’s wide policies and procedures as well as relevant department/unit/service/programme’s policies and procedures.

The organisation conducts induction training for all staff in infection practices.

The employees are made aware of the system of appraisal at the time of induction.

A documented training and development policy exists for the staff. *

The organisation maintains the training record.

Training also occurs when job responsibilities change/new equipment is introduced.

Evaluation of training effectiveness is done by the organisation

Feedback mechanisms are in place for improvement of training and development programme.

Staff are trained on the risks within the organisation’s environment.

Staff members are made aware of procedures to follow in the event of an incident.

Staff are trained on occupational safety aspects.

Disciplinary and grievance handling - The policies and procedures are known to all categories of staff of the organisation.