Documents mapping Matrix for N

Doc No
Punyam/HM/01
Punyam/AAC/01
Punyam/AAC/02
Punyam/AAC/03
Punyam/AAC/04
Punyam/AAC/05
Punyam/AAC/06
Punyam/AAC/07
Punyam/AAC/08
Punyam/AAC/09
Punyam/AAC/10
Punyam/AAC/11
Punyam/AAC/12
Punyam/COP/01
Punyam/COP/02
Punyam/COP/03
Punyam/COP/04
Punyam/COP/05
Punyam/COP/06
Punyam/COP/07
Punyam/COP/08
Punyam/COP/09
Punyam/COP/10
Punyam/COP/11
Punyam/COP/12
Punyam/COP/13
Punyam/COP/14
Punyam/COP/15
Punyam/COP/16
Punyam/COP/17
Punyam/COP/18
Punyam/COP/19
Punyam/MOM/01
Punyam/MOM/02
Punyam/MOM/03
Punyam/MOM/04
Punyam/MOM/05
Punyam/MOM/06
Punyam/MOM/07
Punyam/MOM/08
Punyam/MOM/09

Punyam/MOM/10
Punyam/MOM/11
Punyam/MOM/12
Punyam/MOM/13
Punyam/MOM/14
Punyam/MOM/15
Punyam/PRE/01
Punyam/PRE/02
Punyam/PRE/03
Punyam/PRE/04

Punyam/ICM/01
Punyam/CSSD/01
Punyam/CSSD/02
Punyam/CSSD/03
Punyam/CSSD/04
Punyam/CSSD/05
Punyam/CSSD/06
Punyam/CSSD/07
Punyam/CSSD/08
Punyam/CSSD/09
Punyam/CSSD/10
Punyam/CSSD/11
Punyam/CSSD/12
Punyam/CSSD/13
Punyam/CSSD/14
Punyam/CSSD/15
Punyam/CSSD/16
Punyam/CSSD/17
Punyam/CSSD/18
Punyam/CSSD/19
Punyam/CSSD/20
Punyam/CSSD/21
Punyam/CSSD/22
Punyam/CSSD/23
Punyam/CSSD/24
Punyam/CSSD/25
Punyam/CSSD/26
Punyam/CSSD/27
Punyam/CSSD/28
Punyam/CQI/01
Punyam/CQI/02
Punyam/HC/01

Punyam/EPM/01
Punyam/Bio/04
Punyam/HRM/01
Punyam/MRD/01

Punyam/GEN/01
Punyam/GEN/02
Punyam/GEN/03
Punyam/GEN/04
Punyam/GEN/05
Punyam/GEN/06
Punyam/GEN/07
Punyam/GEN/08
Punyam/GEN/09
Punyam/GEN/10
Punyam/GEN/11
Punyam/GEN/12
Punyam/GEN/13
Punyam/GEN/14
Punyam/GEN/15
Punyam/GEN/16
Punyam/GEN/17
Punyam/GEN/18
Punyam/GEN/19
Punyam/GEN/20
Punyam/GEN/21
Punyam/GEN/22
Punyam/GEN/23
Punyam/GEN/24
Punyam/GEN/25

PRO/SYS/01
PRO/SYS/02
PRO/SYS/03
PRO/SYS/04
PRO/SYS/05
PRO/SYS/06
PRO/SYS/07
PRO/PRD/01

PRO/OHS/01
PRO/OHS/02
PRO/OHS/03

PRO/OHS/04
PRO/OHS/05
PRO/OHS/06
PRO/OHS/07
PRO/OHS/08
PRO/OHS/09

E/SYS/02/BILLING
E/SYS/02/CAT
E/SYS/02/CSD
E/SYS/02/EET
E/SYS/02/ENG
E/SYS/02/HRD
E/SYS/02/LINEN
E/SYS/02/MKT
E/SYS/02/MED
E/SYS/02/MCL
E/SYS/02/NST
E/SYS/02/PTL
E/SYS/02/PUR
E/SYS/02/STR
E/SYS/02/UTY
E/SYS/02/XSL

F/HK/01
F/HK/02
F/HK/03
F/HK/04
F/HK/05
F/HK/06
F/MKT/01
F/MKT/02
F/MKT/03
F/OHS/01
F/OHS/02
F/OHS/03
F/OHS/04
F/OHS/05
F/OHS/06
F/OHS/07
F/OHS/08
F/OHS/09
F/OHS/10
F/OHS/11

F/OHS/12
F/OHS/13
F/OHS/14
F/OHS/15
F/OPN/01
F/OPN/02
F/OPN/03
F/OPN/04
F/OPN/05
F/OPN/06
F/OPN/07
F/OPN/08
F/OPN/09
F/OPN/10
F/OPN/11
F/OPN/12
F/PUR/01
F/PUR/02
F/PUR/03
F/PUR/04
F/ST/01
F/ST/02
F/ST/03
F/SYS/01
F/SYS/02
F/SYS/03
F/SYS/04
F/SYS/05
F/SYS/06
F/SYS/07
F/SYS/08
F/SYS/09
F/SYS/10
F/SYS/11
F/TRG/01
F/TRG/02
F/TRG/03
F/TRG/04
F/TRG/ 05
F/BL/01
F/BL/02

Audit questions
Audit questions

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ents mapping Matrix for NABH Standard Requirments

Document title
Hospital manual
Access, Assessment and Continuity of Care (AAC)
Scope of services
Registration
Policy for Admission
Filling the admission form
Procedure during non availability of beds
Laboratory safe practices
Radiology services
Admission of patient in ICU
Assessment Policy
Handling and disposal of radioactive wastes
Discharge Procedure
Patient Education on expected cost
Care of Patients (COP)
Uniform care of patient
Administration of Anesthesia
Admission Criteria for ICU
Ambulance services
Bed Management in ICU
Care of patient under Surgical Procedure
Care of Vulnerable Patient
Cardiac Pulmonary Resuscitation
Criteria for Discharge of Patient
Emergency care
Handling of Medical Legal Cases
End of Life Care
Nutritional Assessment of Patient
Pain Management
Prevention on Adverse Event in Surgical Patient
Quality Assurance Programme- Surgical Services
Rationale use of Blood & Blood Products
Rehabilitative Services
Sedation
Management of Medications
Pharmacy Services
Hospital Formulary
Acquisition of medicines
Storage of medication
Use of medical gases
Disposal of Chemotherapeutic drugs
Prescription of medicines
Verbal order of medication
List of high risk medication

Dispensing of medication
Use of Implantable Prosthesis
Medication administration
Use of Radioactive and Investigational Drugs
Use of Narcotics and Psychotropic Substances
Usage of Chemotherapeutic Agents
Patient Rights and Education (PRE)
Patient Rights
Informed Consent
Protection of patient rights
List of condition required informed consent
Patient CharterDisplay Copy
Hospital Infection Control (HIC)
Infection control manual
Personal Hygiene
Personal Attire
Hand Washing
Receipt of used material for Processing
Proper Method of cleaning
Manual Cleaning
Cleaning by machines
Pre cautions to be followed during cleaning
Preliminary checking of supplies
Inspection and Assembling
Packaging of Instruments set
Labeling
Method of wrapping sets
Procedure for sterilizing linen
Principles of sterilization
Steam Sterilization
Preparation and loading of autoclave
Bowi and dick test for pre vacuum sterilizer
Principles of Ethylene Oxide sterilization
Maintenance and Operation of ETO sterilizer
Checks for proper functioning of sterilizer
Environment Cleanliness
Fumigation of sterile area
Procedure for outdated items
Sharp disposal and needle stick policy
Indexing of records
Physical separation of sterile and non sterile area
Maintenance of sterile storage
Continuous Quality Improvement (CQI)
Indicator Monitoring system
Sentinel events
Responsibility of Management (ROM)
Hospital committee manual
Facility Management and Safety (FMS)

Emeregency prepreadness manual

Bio Medical manual
Human Resource Management(HRM)
Human Resource Manual
Information Management System(IMS)
Medical records manual

Reference docs
Casualty
CCU
CTOT
Dialysis
Dressing and plaster
EEG
Endoscopy
Enquiry
ENT
Eye OT
General Health Check Up
GOT
Gynac
Kitchen
Nursing Station
Ortho and Neuro OT
Paediatric
Physiotherapy
Plastic OT
Urology and Lithotripsy
Security
SICU
Landry
Library
Dental
System Procedure
Management Review
Document And Data Control
Corrective And Preventive Action
Control Of Quality Records
Internal Quality Audit
Control Of Monitoring And Measuring Equipment
Training
Control Of NonConforming Products / Services
OHS Procedure
Hazards Identification And Risk Assessment
Identification Of Legal And Other Requirements
Objectives and targets

OHSMP
Consultation And Communication
Operational Control
Emergency Preparedness And Response
Performance Monitoring And Measurement
Incident Investigation, NonConformity, Corrective Action And Preventive Action
Process Approach
Billing Section Activity
CATH (Cardiac Catheterization And Angiography) Laboratory
Patient Service
ECHO, ECG And TMT Laboratory
Engineering
HR
Linen Activity
Marketing
Medical Shop
Microbiology Laboratory
Nursing Station
Pathology Laboratory
Purchase
Store
Utility
X Ray And Sonography Laboratory
Formats For Hosuekeeping
Sanitation audit report
Pest control report
Fumigation report
Operation theatre readiness form
Toilet Cleaning record
Daily Equipment Cleaning record
Formats For Marketing
Suggestion Card
Patient Complaint Report
Inquiry Monitoring record
Formats For OHS
List of chain pulley blocks, lifts ,pressure vessels etc
Evaluation Of OHS Hazards and Risks
OHS Review Of Prioritization Of Significant OHS Hazards Its Risks Feasibility Analysis
OHSMP Progress Monitoring Report
Near Miss Report
Investigation Report
Safety Inspection Check List
Work Permit Report
First aid box check list
Fire fighting checklist
PPE Preventive Maintenance check points

Location List of fire extinguisher

Fire hydrant checklist
Ambulance review checklist
Earthing pit test report
Formats For Operation
Disposal of non confirming work
Sterilization report
DG Set monitoring report
Steam Boiler Monitoring report
Incineration plant report
Preventive maintenance schedule
Breakdown History card
Request for microbiological testing
Room Check list
Anti termite treatment
Rodent Treatment
Cockroach Treatment
Formats For Purchase
Purchase Order
Indent cum incoming inspection report
Supplier Registration form
Approved Vendor list
Formats For Store
Daily stock statement
Gate pass
Preservation assessment Report
Formats For System
Master list cum distribution list of documents
Change Note
Calibration status of instruments
Master list of records
Quality Objectives
Audit schedule/plan
Internal audit non conformity report
Clause wise document wise audit review report
Continual Improvement Plan
Corrective Action report
Preventive Action report
Formats For Training
Training calendar
Training need cum record sheet
Induction training report
Job description and specification
Multi skill Index
Formats For Admin
Admission Check list
Discharge Check list

Self assessment tool kit

Clause wise audit questions

ager Group is only organization, which provides complete list of ISO Docume
g of related ISO Standard's clausewise requirements as above matrix. For M
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equirements as above matrix. For More
Kit, visit our ISO E-shop at:

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