Healthcare SOPs

Healthcare SOPs

Industry Overview

General trends about the industry

Industry Structure

The different types of players in the industry

Regulators across the globe

Typical Processes

The list of Healthcare SOPs

Healthcare SOPs – HR

SOP-HR-01 : Functions and Services offered by HR Department
SOP-HR-02 : Policies and Procedures to be adopted by HR Department
SOP-HR-03 : Employee hiring process
SOP-HR-04 : New Employee Orientation
SOP-HR-05 : Employee Personal File
SOP-HR-06 : Employee Suggestion Scheme
SOP-HR-07 : Salary Processing and Disbursement
SOP-HR-08 : Provident Fund
SOP-HR-10 : Employee Benefits
SOP-HR-11 : Attendance Tracking
SOP-HR-12 : Leave Management
SOP-HR-13 : Organisation Code of Conduct
SOP-HR-14 : Performance Appraisal, Increment & Promotion
SOP-HR-15 : Grooming Standards
SOP-HR-16 : Healthy & Safety
SOP-HR-17 : List of employees
SOP-HR-18 : Procedure for lay-offs
SOP-HR-19 : Interaction with patients, doctors and management
SOP-HR-20 : List of employees
SOP-HR-21 : Asset Register
SOP-HR-22 : Disciplinary Proceedings
SOP-HR-23 : IT, E-mail & Social Media Policy
SOP-HR-24 : Transfer Policy
SOP-HR-25 : Grooming Standards

Healthcare SOPs – Imaging Department

SOP-ID-01 : Functions and Services of Imaging Department
SOP-ID-02 : Procedures to be adopted by Imaging Department
SOP-ID-03 : Roles and responsibilities of Radiographer
SOP-ID-04 : Stock Register
SOP-ID-05 : Equipment Log Book
SOP-ID-06 : X-Ray Envelope
SOP-ID-07 : X-Ray Requisition Slip
SOP-ID-08 : X-Ray Record Register
SOP-ID-09 : CT Record Register

Healthcare SOPs – Security Services

SOP-SS-01 : Functions and Services of Security Department
SOP-SS-02 : Procedures to be adopted by Security Department
SOP-SS-03 : Roles and responsibilities of Guards
SOP-SS-04 : Roles and responsibilities of Security Officer
SOP-SS-05 : Roles and responsibilities of Hospital Fire Officer
SOP-SS-06 : Fire Orders and Precautions against outbreak of Fire
SOP-SS-07 : Attendant Pass
SOP-SS-08 : Format for Security Agreement

Healthcare SOPs – Stores and Materials Management

SOP-MS-01 : Functions and Services
SOP-MS-02 : Procedures to be adopted by Stores
SOP-MS-03 : Roles and responsibilities of In-charge Storekeeper
SOP-MS-04 : Demands Book
SOP-MS-05 : Requisition Slip
SOP-MS-06 : Requisition-cum-Issue Slip
SOP-MS-07 : Bin Card
SOP-MS-08 : Log Card
SOP-MS-09 : Gate Pass
SOP-MS-10 : Daily/ Weekly / Monthly Material Receipt Summary
SOP-MS-11 : Material Inward Report
SOP-MS-12 : Material Receipt Report
SOP-MS-13 : Rate Comparison Sheet
SOP-MS-14 : Purchase Order
SOP-MS-15 : Stock Register
SOP-MS-16 : Room Inventory
SOP-MS-17 : Daily Material Outward Report
SOP-MS-18 : Material Return Slip
SOP-MS-19 : Stationery Inquiry Guidelines
SOP-MS-20 : Vehicle Gate Pass

Healthcare SOPs – Physiotherapy and Rehabilitation Services

SOP-PR-01 : Functions and Services
SOP-PR-02 : Procedures to be adopted by Physiotherapy & Rehabilitation Services
SOP-PR-03 : Roles and responsibilities of Physiotherapist
SOP-PR-04 : Record of treatment
SOP-PR-05 : Stock Register, Consumables and Non-Consumables
SOP-PR-06 : Format Agreement

Healthcare SOPs – Immunisation Services

SOP-IM-01 : Functions and Services
SOP-IM-02 : Policies
SOP-IM-03 : Immunisation Schedules
SOP-IM-04 : Procedures to be adopted by Immunisation Department
SOP-IM-05 : Immunisation Record Register
SOP-IM-06 : Immunisation Card / Booklet
SOP-IM-07 : Birth Record

Healthcare SOPs – Laboratory Services

SOP-LS-01 : Services and Functions of Lab services
SOP-LS-02 : Procedures to be adopted in Lab
SOP-LS-03 : Roles and responsibilities of Laboratory Technician
SOP-LS-04 : Report and Lab Record
SOP-LS-05 : Stock Register of non-consumables and consumables
SOP-LS-06 : Investigations Requisition Slip

Healthcare SOPs – Operation Theater Services

SOP-OT-01 : Services offered by Operation Theater
SOP-OT-02 : Policies to be adhered the Operation Theater
SOP-OT-03 : Operation Theater Procedure
SOP-OT-04 : Roles and responsibilities of In-Charge Operation Theater (O.T.)
SOP-OT-05 : Roles and responsibilities of O.T. Technician
SOP-OT-06 : OT Register
SOP-OT-07 : Non-consumable Stock Register
SOP-OT-08 : Consumable Stock Register
SOP-OT-09 : PAC & Operation Notes
SOP-OT-10 : Anesthesia Record
SOP-OT-11 : OT Charge Slip
SOP-OT-12 : OT Drug Charge Slip
SOP-OT-13 : Operation List Proforma
SOP-OT-14 : Blood Requisition Form

Healthcare SOPs – Central Sterile and Supply Department Services

SOP-CD-01 : Services and Functions of CSSD
SOP-CD-02 : CSSD Procedure
SOP-CD-03 : Roles and responsibilities of Technician
SOP-CD-04 : Roles and responsibilities of CSSD Technician
SOP-CD-05 : Register for material received and delivered
SOP-CD-06 : Stock register of equipments and furnishings
SOP-CD-07 : Stock register of consumables
SOP-CD-08 : Log Book / Card of each machine
SOP-CD-09 : Record register for each cycle of autoclaving
SOP-CD-10 : Working Register

Healthcare SOPs – Medical Records Department (MRD)

SOP-MR-01 : Services and Functions of MRD
SOP-MR-02 : MR Operating Procedure
SOP-MR-03 : Roles and responsibilities of Medical Records Officer
SOP-MR-04 : MRD Records Register
SOP-MR-05 : Birth Record Register
SOP-MR-06 : Death Record Register
SOP-MR-07 : Report to Municipal Authorities

Healthcare SOPs – Generator Services

SOP-GS-01 : Services and Functions of Generator upkeep group
SOP-GS-02 : Generator Services Operating Procedure
SOP-GS-03 : Roles and responsibilities of Electrician
SOP-GS-04 : Generator Log Book
SOP-GS-05 : Diesel /Oil Stock Register

Healthcare SOPs – Blood Bank Services

SOP-BB-01 : Facilities and Functions of Blood Bank
SOP-BB-02 : Services offered by Blood bank
SOP-BB-03 : Procedures to be followed in Blood bank
SOP-BB-04 : Donor Card
SOP-BB-05 : Donor Register
SOP-BB-06 : Record Register- Blood Component
SOP-BB-07 : Record Register- Outside Blood
SOP-BB-08 : Laboratory tests on Donor’s Blood
SOP-BB-09 : Blood Requisition Form
SOP-BB-10 : Laboratory Tests on Recipient Blood
SOP-BB-11 : Compatibility Record
SOP-BB-12 : Issue Register
SOP-BB-13 : Adverse Reaction Report Register
SOP-BB-14 : Quality Assurance Records
SOP-BB-15 : Daily Assessment Register
SOP-BB-16 : Blood Bank Register
SOP-BB-17 : Blood Cross- matching Report
SOP-BB-18 : Blood Requisition Form
SOP-BB-19 : Blood Return Form
SOP-BB-20 : Blood Component Register
SOP-BB-21 : Records of Blood and Components received from Outside Source
SOP-BB-22 : Record of Recipient
SOP-BB-23 : Issue Register
SOP-BB-24 : Report on adverse reactions and record of their investigation
SOP-BB-25 : Quality Assurance Records
SOP-BB-26 : Compliance – Local Govt. grant of licence application
SOP-BB-27 : Compliance – Renewal of license to operate a blood bank for preparation for sale or distribution of its components
SOP-BB-28 : Compliance – Certificate of renewal of license for manufacture of blood products
SOP-BB-29 : Certificate of approval to storage center for storage of whole human blood or its components

Healthcare SOPs – Anesthesia Services

SOP-AN-01 : Services offered by department of Anesthesiology
SOP-AN-02 : Procedures performed by Anesthetist
SOP-AN-03 : Anesthesia Record
SOP-AN-04 : PAC and Operation Notes
SOP-AN-05 : Consent Form for Operative / Special Procedure

Healthcare SOPs – Ambulance Services

SOP-AS-01 : Services offered by Ambulance
SOP-AS-02 : Ambulance Informing Procedures
SOP-AS-03 : Roles and Responsibilities of Driver
SOP-AS-04 : Roles and Responsibilities of Ambulance Paramedic
SOP-AS-05 : Roles and Responsibilities of Transport Section
SOP-AS-05 : Ambulance Inventory – Basic Medical Items
SOP-AS-06 : Ambulance Inventory – Special Stretcher Trolley
SOP-AS-07 : Ambulance Log Book Format

Healthcare SOPs – Laundry and Linen Services

SOP-LL-01 : Functions of laundry & linen services
SOP-LL-02 : Services offered by the laundry & linen services
SOP-LL-03 : Procedures involved in laundry & linen services
SOP-LL-04 : Assessing Missing and Torn Linen
SOP-LL-05 : Roles and Responsibilities of Linen Keeper
SOP-LL-06 : Agreement : Format for Outsourced Laundry Agency
SOP-LL-07 : Dhobi’s Book
SOP-LL-08 : Log Card for Laundry Machines
SOP-LL-09 : Stock Register

Healthcare SOPs – House Keeping Services

SOP-HK-01 : Functions of Housekeeping Department
SOP-HK-02 : Procedures involved in Housekeeping
SOP-HK-03 : Roles and Responsibilities of Sanitary Technician
SOP-HK-04 : Roles and Responsibilities of Housekeeper
SOP-HK-05 : Roles and Responsibilities of Sweeper
SOP-HK-06 : Agreement – Format for Outsourced Housekeeping Services
SOP-HK-07 : Roster Format for Housekeeping Staff

Healthcare SOPs – Dietetic Services

SOP-DS-01 : Functions of Dietetic Services
SOP-DS-02 : General Procedures & Policies
SOP-DS-03 : Procedure for Canteen Operations
SOP-DS-04 : Diet Chart: Anti-Obesity Diet Chart
SOP-DS-05 : Calories Chart
SOP-DS-06 : Diabetic Diet Chart
SOP-DS-07 : Hepatic Diet Chart
SOP-DS-08 : Lactose Free Diet Chart
SOP-DS-09 : Low Cholesterol, Low Fat, High Fiber Diet Chart
SOP-DS-10 : Low Protein
SOP-DS-11 : General Diet Recommendations for Diabetic and Hypertensive Patients
SOP-DS-12 : Roles and Responsibilities of Dietitian
SOP-DS-13 : Patient’s Inquiry Proforma
SOP-DS-14 : Diet Requisition Form
SOP-DS-15 : Format for Agreement, if Outsourced

Healthcare SOPs – Nursing Services

SOP-NS-01 : Grooming Standards
SOP-NS-02 : Functions of Nursing Services
SOP-NS-03 : Admission of Patient
SOP-NS-04 : Discharge of Patient
SOP-NS-05 : Room preparation after Death / Discharge
SOP-NS-06 : Nursing Care of the Patient
SOP-NS-07 : Intra- department Transfer
SOP-NS-08 : Medicine / Drugs Procedure
SOP-NS-09 : Arranging of Blood
SOP-NS-10 : Investigations
SOP-NS-11 : Pre-operative Care of patient
SOP-NS-12 : Post-operative Care of patient
SOP-NS-13 : Roles & Responsibilities of Nursing
SOP-NS-14 : Roles & Responsibilities of Nursing Supervisor
SOP-NS-15 : Roles & Responsibilities of Ward In-charge / Sister
SOP-NS-16 : Roles & Responsibilities of Staff Nurse: General
SOP-NS-17 : Roles & Responsibilities of Staff Nurse: Technical
SOP-NS-18 : Roles & Responsibilities of Staff Nurse: ICU Patients
SOP-NS-19 : Roles & Responsibilities of Sister Tutor
SOP-NS-20 : Hostel Rules for Nurses
SOP-NS-21 : Policies: Routine Medication Times
SOP-NS-22 : Policies: Parental Therapy
SOP-NS-23 : Nurses – Contractual Agreement
SOP-NS-24 : Nurses – Bond
SOP-NS-25 : Nurses Night Register
SOP-NS-26 : Stock Register
SOP-NS-27 : Medicines and Consumables Stock Register
SOP-NS-28 : Patient Case Sheet Papers
SOP-NS-29 : Nursing Roster Format

Healthcare SOPs – Hospital Issuing Certificates

SOP-HC-01 : Procedure to issue Medical Certificate for Leave and Fitness
SOP-HC-02 : Procedure to issue Medical Insurance for Patients
SOP-HC-03 : Procedure for issue of experience certificate
SOP-HC-04 : Procedure for issue of Death Certificates
SOP-HC-05 : Procedure for issue of Birth Certificate

Healthcare SOPs – Accounts

SOP-AC-01 : General Billing Guidelines
SOP-AC-02 : Computing Gratuity
SOP-AC-03 : Billing for patients
SOP-AC-04 : Cash Management
SOP-AC-05 : Concession policy for the underprivileged
SOP-AC-06 : Roles and Responsibilities of Cashier
SOP-AC-07 : Roles and Responsibilities of Accounts Officer
SOP-AC-08 : Cash Voucher formats
SOP-AC-09 : Receipt Book
SOP-AC-10 : Clearance Form
SOP-AC-11 : Full and Final Settlement
SOP-AC-12 : I Owe You
SOP-AC-13 : Indent for Cash
SOP-AC-14 : Local Conveyance Bill
SOP-AC-15 : Over Time Sheet
SOP-AC-16 : TA Bills format
SOP-AC-17 : Salary Slip formats
SOP-AC-18 : Sundry Debtors Report
SOP-AC-19 : Daily Wages Payment Format
SOP-AC-20 : Indoor Bill
SOP-AC-21 : Subsidy Application
SOP-AC-22 : P & L Statement
SOP-AC-23 : Bank Accounts Book
SOP-AC-24 : Cheque Records Register
SOP-AC-25 : Doctor’s Professional Income Calculation Sheet

Healthcare SOPs – Finance Department

SOP-FN-01 : Billing Procedures Policies
SOP-FN-02 : Collection Policies
SOP-FN-03 : Invoice Review & Processing
SOP-FN-04 : Cash Flow : Late Payment Policy
SOP-FN-05 : Invoice Review & Processing
SOP-FN-06 : Running Regular Financial Reports
SOP-FN-07 : Vendor Management & Co-ordination
SOP-FN-08 : Vendor / Distributor Record Keeping
SOP-FN-09 : Inventory Management
SOP-FN-10 : Annual Budgeting
SOP-FN-11 : Tracking Credit Card Auto-Payments

Healthcare SOPs – Prevention and Control of Infection

SOP-PR-01 : Occupational Health Risk
SOP-PR-02 : Barrier Precautions for Students
SOP-PR-03 : Healthy Behaviors Adaptation for Prevention and
SOP-PR-04 : Control of Hepatitis
SOP-PR-05 : SOP’s for Injection Safety, Device Control and Hospital Waste Management
SOP-PR-06 : Waste Disposal Policy

Healthcare SOPs – In-Patient Department (IPD) Services

SOP-IP-01 : Grooming Standards
SOP-IP-02 : General Procedures
SOP-IP-03 : Admission Procedure
SOP-IP-04 : Discharge Procedure
SOP-IP-05 : Ward Transfer Procedure
SOP-IP-06 : List of Important Instrument Sets
SOP-IP-07 : Infectious and Isolation Policies
SOP-IP-08 : Infection Control Policies
SOP-IP-09 : Roles and responsibilities of Nursing Staff
SOP-IP-10 : Roles and Responsibilities of Resident Medical Officer
SOP-IP-11 : Duties and responsibilities of Ward Assistants
SOP-IP-12 : Maintaining Patient File with Case papers
SOP-IP-13 : Nurses Report Book
SOP-IP-14 : Ward Inventory Book / Sheet
SOP-IP-15 : Emergency Medicines Stock Register
SOP-IP-16 : Patient Case Sheet Papers
SOP-IP-17 : Patient File Folder
SOP-IP-18 : Face Sheet / Admission Discharge Summary
SOP-IP-19 : Patient Consent Form
SOP-IP-20 : Patient Treatment Sheet
SOP-IP-21 : Doctor’s Oder Sheet
SOP-IP-22 : Patient Temperature Chart Maintenance
SOP-IP-23 : Input – Output Chart
SOP-IP-24 : Certificate for Admission
SOP-IP-25 : Referral Sheet
SOP-IP-26 : Charge- Slip- Indoor Patient
SOP-IP-27 : Operation Theater Charge Sheet for Procedure
SOP-IP-28 : Operation Theater Charge Sheet for Medicines / Drugs
SOP-IP-29 : Patient Visit Record –Doctor
SOP-IP-30 : Post Acute Care & Operation Notes
SOP-IP-31 : Nurses Notes / Vital Sign
SOP-IP-32 : Blood Requisition Form
SOP-IP-33 : Discharge Booklet
SOP-IP-34 : Investigation Record Sheet
SOP-IP-35 : Subsidy Application- For the underprivileged

Healthcare SOPs – Administrative Services

SOP-AD-01 : Grooming Standards
SOP-AD-02 : Procedure to release Medical Information
SOP-AD-03 : Hospital Indemnity Policy
SOP-AD-04 : Records of Doctors with Departments
SOP-AD-05 : Records of Technicians with Departments
SOP-AD-06 : Records of Facilities
SOP-AD-07 : Brochure Information related to hospital
SOP-AD-08 : Roles and Responsibilities of officers
SOP-AD-09 : Roles and Responsibilities of Medical Superintendent / Medical Director
SOP-AD-10 : Roles and Responsibilities of Hospital Administrator
SOP-AD-11: Roles and Responsibilities of Head Clerks
SOP-AD-12: Marketing Circular formats
SOP-AD-13: Templates for Experience Certificate for Staffs
SOP-AD-14: Templates for Certificate required by patients for Medi-Claim
SOP-AD-15: List of Specialty Departments available in hospital
SOP-AD-16: Press Release Notes

Healthcare SOPs – Reception Services

SOP-RS-01 : Receptionist Grooming standards
SOP-RS-02 : Answering Visitor Queries
SOP-RS-03 : Registering Out Patient Department Patients
SOP-RS-04 : Handling EPBAX
SOP-RS-05 : Fees collection pertaining to registration, fees for various Out Patient Department investigation / Procedures
SOP-RS-06 : Advance collection from patients getting admitted.
SOP-RS-07 : Attendant Pass
SOP-RS-08 : Appointment Card
SOP-RS-09 : Admission – Discharge Register
SOP-RS-10 : Doctor’s Attendance Register
SOP-RS-11 : Maintenance Log Book
SOP-RS-12 : Dispatch Register
SOP-RS-13 : Medical Certificate Book
SOP-RS-14 : Death Certificate Book
SOP-RS-15 : Daily Report
SOP-RS-16 : Patient Suggestion/ Feedback Letter

Healthcare SOPs – Human Resources Department

SOP-HR-01 : Hiring Process
SOP-HR-02 : Outsourcing Process
SOP-HR-03 : Employee On-board Orientation
SOP-HR-04 : Roles of responsibilities of Front Office Executive
SOP-HR-05 : Roles of responsibilities of Service Manager
SOP-HR-06 : Roles of responsibilities of Technician
SOP-HR-07 : Honesty, Integrity and Teamwork Anthem
SOP-HR-08 : Annual Performance Review
SOP-HR-09 : Procedure for Lay-offs and Downsizing
SOP-HR-10 : Time Sheet Submission and Approval Process
SOP-HR-11 : Employee Benefits
SOP-HR-12: Travel Policies

Healthcare SOPs – Emergency / Casualty

SOP-EC-01 : Grooming Standards of Emergency Staff
SOP-EC-02 : Emergency Handling Procedure
SOP-EC-03 : Handling a dead body
SOP-EC-04: Miscellaneous activity handling
SOP-EC-05 : Handling blood and body secretions of patients Spills
SOP-EC-06 : Checklist of minimum basic medicines required in Emergency Department
SOP-EC-07 : Instrument sets requirement in Emergency Department
SOP-EC-08 : Roles and Responsibilities of Nursing Staff
SOP-EC-09 : Roles and Responsibilities of Medical Officer, Emergency
SOP-EC-10 : Emergency Record Register
SOP-EC-11 : Police Information Book
SOP-EC-12 : Injury Register
SOP-EC-13 : Death Certificate Book
SOP-EC-14 : Medical Certificate Book
SOP-EC-15 : Pt. Treatment File
SOP-EC-16 : Patient Reference Forms
SOP-EC-17 : Investigation Requisition Form

Healthcare SOPs – Patient Care

SOP-PC-01 : Emergency Department
SOP-PC-02 : Reception and Treatment of Patient in ER
SOP-PC-03 : Process Flow for Medical Patients in E.R.
SOP-PC-04 : Process Flow for Surgical Patients in E.R.
SOP-PC-05 : Intensive Care Unit
SOP-PC-06 : In-Door Patient Care
SOP-PC-07 : Out Patient Department
SOP-PC-08 : Procedure Room
SOP-PC-09 : Endoscopy Room / Electrocardiography
SOP-PC-10 : Pathology Reception
SOP-PC-11 : Radiology Department
SOP-PC-12 : Ultrasound and Doppler Examination
SOP-PC-13 : Cleaning and Washing

Healthcare SOPs – Out Patient Department (OPD) Services

SOP-OP-01 : Special Duties performed by OPD Staff
SOP-OP-02 : Grooming Standards
SOP-OP-03 : Facility requirements at OPD
SOP-OP-04 : OPD Registers
SOP-OP-05 : Treatment Register
SOP-OP-06 : OPD Slip
SOP-OP-07 : Prescription Slip
SOP-OP-08: Investigation Requisitions
SOP-OP-09 : Referral Slips
SOP-OP-10 : Receipt Book
SOP-OP-11 : Appointment Card
SOP-OP-12 : Immunization Card
SOP-OP-13 : Cardiac Clinic Record
SOP-OP-14 : Eye Examination Form

Healthcare SOPs – Medico – Legal Services

SOP-ML-01 : Scope of Legal services team
SOP-ML-02 : Procedures to be followed
SOP-ML-03 : Minimum requirements for Case Sheet /Record
SOP-ML-04 : Roles and Responsibilities of Paramedical Staff
SOP-ML-05 : Medical records