• INTERNAL MEDICINE CHECKLIST

     

    Welcome to the INTERNAL MEDICINE Checklist for PROJECT HEAL. Thank you for accepting to be part of our group of experts. This checklist consists of resources i.e. manpower, skills, consumables, equipment that are deemed relevant for a health facility to be deemed INTERNAL MEDICINE competent or biased. Please read and select the relevance level of the underlisted.


    The relevant resources would be scored and used in developing a system of ranking. The total scores will be used to develop a checklist for which hospitals can independently administer to determine their level of health care provision based on specific specialization and over score. These can then inform the emergency care services, referral facilities, health workers and the general public on which facility provides which level of care.


    Be assured your response is confidential. Only aggregated results would be seen by the Delphi group.


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  • HOSPITAL ORGANIZATION

  • The presence of Internal Medicine Service in the hospital
  • Designated Head of Internal Medicine (registered Internal Medicine Physician/Specialist)
  • Designated medical officers in the department of  Internal Medicine
  • Designated 24hr Internal Physician Specialist on call
  • SUBSPECIALTIES IN THE DEPARTMENT OF INTERNAL MEDICINE

  • Cardiologist
  • Endocrinologist
  • Nephrologist
  • Dermatologist
  • Rheumatologist
  • Infectious disease Specialist
  • PERSONNEL

  • Designated Medical officer in Internal medicine in charge of the shift
  • Doctor with special competence in the care of critically ill is a designated member of the Internal Medicine team and is physically present in the emergency department 24 hours a day
  • BLS(R)-trained personnel 24 hours a day
  • ACLS(R)-trained personnel 24 hours a day
  • A nursing personnel with specific training in Adult Medical care who provides continual monitoring of the patient from hospital arrival to disposition Patient care ward, or to ICU
  • The following are a list of Medical resuscitative equipment. Please list the relevance of each item.

  • Oral and nasal airway
  • Suction device: at least manual (bulb) or foot pump
  • Suction device: power: electric/pneumatic
  • Suction tubing
  • Yankauer or other stiff suction tips
  • Laryngoscope
  • Endotracheal tube
  • Oesophageal detector device
  • Bag-valve-mask
  • Peakflow meter
  • CPAP/BiPAP face masks and device
  • Stethoscope
  • Oxygen supply (cylinder concentrator or other sources)
  • Nasal prong, face mask, associate tubing
  • Needles & syringes
  • Chest tubes
  • Underwater seal bottle (or equivalent)
  • Bag-valve-mask
  • Mechanical ventilator
  • Perfusor
  • Electrocardiograph monitor
  • Electroencephalogram machine
  • Echocardiogram monitor
  • Clock or watch with second hand
  • Nebulizer machine
  • Blood pressure (BP) cuff
  • Gauze and bandage
  • IV cannulation of varying adult sizes
  • AED/Defribillator
  • Crystalloid
  • Colloid
  • Intravenous infusion set (lines and cannulas)
  • Intraosseous needle or equivalent
  • Central venous lines
  • Haemodialysis unit
  • Urinary catheter
  • The following are a list of Medical test and competencies. Please list the relevance of each item.

  • Pulse oximetry
  • Blood transfusion capabilities
  • Arterial blood gas measurement
  • Capnography
  • Emergency endoscopy service
  • Bronchoscopy
  • Electronic cardiac monitoring
  • Monitoring of central venous pressure
  • Right-heart catheterization
  • Laboratory facilities for haempglobin or haematocrit
  • Medical ICU capabilities
  • Should be Empty: