STANDARDS UPON PATIENT’S ADMISSIONThis form to filled upon all patients course in the facility providing and maintaining the ACC chapter criteria to be all over the patients pathway in our facility

STANDARD ACCORDING TO POLICY YES NO COMMENT AND SHORTAGE IF PRESENT1. patients needs matching our facility mission2. diagnostic tests available on OASIS3. the patient needs holding for observation If yes; why? ------------------------------------4. Admission decision made after diagnostic test been available5. screening done at first contact point6. Patient been admitted to best area in the facility matching his/her needs.7. is there any delay in delivering the service to the this patient

If yes:Patient notified: √ ×Delay form documented: √ ×Attached to the file: √ ×Intervention: ------------------------------------

8. the patient and family received information about: proposed care expected outcome expected outcome

Been emphasized in PTC format?

9. is there any detected barrier to access and delivery of service

If yes;Stated?

10. The records of patients documented for why being transferred the other areas in hospital 11. There is clear plan of care in patients records12. Individual responsible for the care plan of the patient is identified and available.13. Discharge planning wrote by qualified individual14. Follow up instruction documented:

Understandable Convenient When to call urgent Matching patients needs

15. Do the family request for discharge summary?16. Upon discharge, transportation assessment documented in patients records