rules and regulations for operating temporary medical ... · organizational structure with names,...

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السعوديةالمملكة العربية

وزارة الصحة

الصحية بالعاصمة المقدسة ونؤالشـ مديرية

الرخص الطبية وشؤون الصيدلةإدارة

......................................... :رقم ال ھـ ١٤: / / التاریــــــــخ

.........................................: المشفوعات

Rules and regulations for operating temporary medical services during hajj season by

hajj medical missions

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.........................................: المشفوعات

All missions should be committed to the following:

- Fill the application form of the temporary medical mission for hajj from Saudi MOH/ general directorate of health affairs Makkah through the Internet or Saudi embassy.

- Meet the requirements for medical in hajj before renting any building, through the net.

- Send the application form through the net before the end of Rabe Al awal 30-3-1430H.

- You will get the license after fulfilling the requirements.

- MOH licensure will be recommended officially to get the needed visas.

- It is contraindicated to open branches in the airports, Arafat, and Muna.

- Each mission should have a liaison officer to coordinate with the MOH.

- Each mission should fill the application form for drug permission and send it to the MOH.

- Each mission should provide all the necessary drugs preferably from the Saudi market.

- It is not permitted to have in-patients in the polyclinics.

- Each mission should have at least one well equipped Ambulance.

- The ambulances number should be proportionate with the size of medical mission (one ambulance per 10.000)

*Each hospital, polyclinic, or clinic should have the following records:

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A record to register the patients including serial numbers, date, name in full, sex, age, nationality, passport number, address of residence, name of establishment, patient address in his country, diagnosis, treatment and results.

A record to register Lab analysis,

A record to register X-rays and results,

A record of cases that arrive dead or those who die after arrival including the information mentioned above.

*Each hospital, polyclinic, or clinic should have the following reports:

-daily reports of current diseases.

-referral cases,

-daily statistics of out patients,

All should be sent to the MOH fax number s481814 at 6am.

- All communicable diseases should be reported immediately at the same day.

- All communicable diseases will transferred to isolation department in KFH in Makkah

by the mission ambulance.

- All communicable diseases will transferred to isolation department in Abar Ali in Al

Medina almunawara by the mission ambulance.

- The ambulance should be disinfected after each patient transfer.

- Unreported communicable disease will be considered a crime.

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- The medical service should be in a place that is easily accessible by ambulances.

- The clinic should be situated on a ground floor.

- Well equipped emergency room at a ground floor is required.

- Buildings, three floors and above-should have an elevator.

- The director of the medical mission should be a physician for the clinic or the policlinic

and consultant or specialist/ hospital administration/ or health care quality personnel for

the hospitals.

- All employees should be qualified, and having there updated CV's ready at the time of

application.

- Well equipped ambulance – at least one – is required.

- A valid contract of elimination of medical waste with one of specialized company is

required.

1. A stethoscope.

2. Patella hammer.

3. Sphygmomanometers.

4. Disposable thermometers (anal and oral)

5. Medical scale.

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6. ENT Set.

7. Disposable tongue depressors.

8. Disposable syringes.

9. Examination table.

10. Oxygen cylinder with all its fittings.

11. Suction machine.

12. Small autoclave.

13. Tourniquet.

14. X-ray viewer.

15. Side lamp.

16. Sterile plastic gloves.

17. Table with drawers for instruments.

18. I.V. Fluid stand with two arms.

19. Resuscitation drugs such as cortisone, adrenaline.

20. Water sink and disinfectant.

21. Gauze bandages.

22. Antiseptic solution.

23. Bladder catheters of different sizes.

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24. A curette.

25. ECG machine.

26. Waste baskets.

27. Furniture inc. sufficient chairs.

28. Number of clean bed sheets for the Examination table.

29. A ladder of two steps and a screen for the Examination table should be available.

- Each policlinic should have a suitable number of human resources as MOH standards, according to the size of the clinics, at least 3 physicians with there assistants in every shift, preferred to be supervised by medical or surgical specialist.

- Each clinic should have one physician with a nurse in each shift.

- The number of physicians in the medical mission should proportionate with the number of pilgrims of the same country, according that one physician for each 500 pilgrims.

- Each policlinic should have enough number of

Well air conditioning and lightening room each of 4*4 meter (15meter square) or more,

Two observation rooms, one for male and one for female,

One room for each supportive service,

Tow rooms for patient waiting one for mail and one for females,

separate path rooms for males and females,

Well equipped ER,

well equipped ambulance,

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written policy and procedure known by all employees,

Clear organizational chart with names,

Guide line for infection control.

Building should align with a healthy requirement, the site, cleaning, and general appearance, sanitation.

The males should be separated from the female, in presence of enough number of workers.

Number of doctors required in each hospital.

Each medical unit have to have 1consultent OR specialist +2 residents.

Each unit is covering 20 beds.

Physician is physically available in the hospital according to the duties schedule.

Each hospital should have at least one public health physician, one surgeon, and one anesthetist.

Each hospital has to have the:

Pharmacy contains refrigerator to keep all drugs that may be heat or need specific temperature.

Laboratory with a basic requirement CBC, Chemistry, and serology machines.

X-ray department with full basic requirements.

Equipment for pharmacy

1. Medicine cart.

2. Dispensing tables.

3. Drug dispensing sites for males and females.

4. Large refrigerator to keep medicines and solutions that are affected by heat and need certain temperature.

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5. Office furniture for pharmacy employees.

Equipment for laboratory in hospitals

The laboratory should contain all the necessary Equipment for making the basic investigations:

1. CBC.

2. ESR.

3. Clotting & Bleeding Time.

4. Blood groups.

5. Blood glucose.

6. Complete urine analysis.

7. Complete stool analysis.

8. Chemistry.

9. T.B. sputum analysis.

10. Table for the preparation of slides.

11. Small refrigerator.

12. Centrifuge.

13. Test tube stand.

14. Water distiller.

15. Hot oven.

16. Table for two microscopes.

17. Stop watch.

18. Automatic suction.

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Equipment for laboratory in policlinic

The laboratory should contain all the necessary Equipment for making the basic investigations:

1. CBC

2. Blood groups

3. Blood glucose.

4. Complete urine analysis

5. Complete stool analysis

6. Chemistry

Equipment for X-ray Room

1. Portable x-ray machine.

2. Compete electric x-ray film processor

3. Lead apron to protect technicians

4. Lead apron to protect patients.

5. Exhaust fan.

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6. Film cassette.

7. X-ray viewer (double).

8. Timer (timing clock).

9. Table for dark room.

10. Table with three drawer.

11. Film printer.

Each hospital should have full records for OPD and in patient

Departments as mentioned previously,

Separate ER for male and females,

A room for heat stroke,

Well equipped ambulance,

Written policy and procedure known by all employees, every one in his area,

Organizational structure with names,

Written policy for infection control,

Written policy on how to manage alert drugs,

Written policy to label the medications given to the patients,

Written policy on how to manage drug side effects,

Written policy on patient identification before give medication or any clinical procedure.

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_________________

INTERNAL USE ONLY _________________

SOME OF THE IMPORTANT MEDICATION

I.TBAT SHOULD BE AVAILABLE

I. ANALGESIC ANTIPYRETICS

1. Tab. Acetyl Salicylic Acid

2. Tab. Paracetamol

3. Paracetamol Syrup

4. Paracetamol Suspension

II. ANAESTHETICS (LOCAL):

1. INJ. 2% Xylocaine Hcl.

2. Xylocaine Ointment

3. Xylocaine Gel.

4. Ethyl Chloride/Xylocaine Spray

III. ANTACIDS:

1. Antacid Syrup

2. Antacid Antiflatulent Tab.

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IV. ANTIAMOEBIC:

1. Tab. Metronidazole 200 mg.

2. Metronidazole Syrup 100mg/tst.

VII. ANTIBIOTICS:

1. Inj. Benzyl Penicllin 5000000 I.U.

2. Inj. Streptomycin 0.50., 0.75G. and I.G.

3. Cephalsporin 250 – 500 mg.

4. Cap. Ampicillin 250mg.

5. Ampicillin dry – Syrup 125 mgfist.

6. Tab. Penicillin V. – 125mg

7. Penicillin V. Dry – Synip

8. Erythromycin Syrup

9. Ampiclox Drops.

10. Erythromycin Tab.

VIII. ANTICONVULSANTS:

1. Inj. Diazepam

2. Tab. Phenobarbitone.

3. Inj. Phenobarbitone.

IX. FOR DIABETES MELLITHE:

1. Inj. Soluble insulin

2. NPH

3. Tab. Tolbutamide

4. Tab. Glibenclamide

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X. ANTIDIARRHOEAL:

1. Oral Rehyddration Salt

2. Pecta – Kaoline Suspension

3. Tab – Furazolidone.

4. Furazolidone Suspension

XI. ANTIEMETICS:

1. Metoclopromide Syrup

2. Inj. Metoclopromide Hcl.

3. Tab. Metoclopromide Hcl.

4. Tab. Meclosine with Vit. BG

_________________

XII. ANTIFUNGAL (DRUGS FOR SKIN CONDITION)

1. Tab. Griseofulvin

2. Mycostatin Vaginal Tabs.

3. Whitefield Ointment

4. Hydrocortisone Ointment

5. Calamine Lotion

6. Benzyl Benzoate Emulsin

7. Antiscables Cream

8. Antipediculosis Powder & Lotion

9. Silver Sulphadiazine Cream

10. kenaComb Cream

11. Antirheumatic Cream

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XIII. ANTHELMENTICS:

1. Piperazine Citrate Syrup 30ml Bottle

2. Tab. Mebendazole 100mg.

3. Tab. Niclosmide 500mg.

4. Bephenium Hydroxy Naphthoate Granules 2.5G base.

XIV. ANTHISTAMINICS:

1. Antihistaminic Tab. (Shortacting)

2. Antihistamine Tab. (Long Acting)

3. Antihistaminic Syrup

XV. ANTHYPERTENSIVE:

1. B.Blocker Tab.

2. Methyldopa Tab.

3. Adalat Cap.

4. Lasix

XVI. ANTINFLAMMATORY:

1. Ibubrofen Tab.

XVII. ANTIMALARIALS:

1. Chloroquin Tab. 200mg.

2. Primaquin Tab. 7.5mg oofbase.

3. Chloroquin Syrup 50mg base/5ml

XVIIII. ANTISCHISTOSOMIATIC:

1. Praziquantel Tab.

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XIX. ANTISEPTICS & DISINFECTANTS:

1. Gentian Violet

2. Hydrogen Peroxide

3. Lysol

4. Mercurochrome

5. Savlon Antiseptic Liquid

6. Tr. Benzoin

XX. ANTISPASMODICS:

1. Buscupan Ampule, Syrup & Tab.

2. Belladenal Tab.

3. Antispasmodic Drops and Tab.

4. Hyoscine Butyl Bromide Inj.

5. Glucolinamide Inj.

XXI. ANTITUSERCULOUS DRUGS:

1. I.N.H. Tab.

2. Rifampicin Syrup

3. Rifampicin Cap.

4. Ethambutol Tab.

5. Glucolenamine Inj.

XXII.CHAEMOTHERAPUTIC AGENTS:

1. Cometroxazole Tab.

2. Cometroxazole Syrup

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XXIII. COUGH SYRUP:

1. Cough Sedative Syrup

2. Bromhexine Syrup

3. Antitussive Tab.

XXIV. CORDIAC DISEASES (DRUGS USED IN):

1. Digoxin Tab. 0.125mg. 0.25mg.

2. Digoxin Elixir.

3. Proparnolol Tab. 40mg.

4. S/L Isordel 5mg. Tab.

5. Isordel 10mg. Tab.

XXV. DIURETICS:

1. Frusemide Inj.

2. Hydrochlorthiazide

XXVI. DRUGS USED IN EYE AND NOSE CONDITIONS:

1. Sulphacetamide Opth/Ear Drops (10% and 20%)

2. Oxytetracycline Ophalmic Ointment

3. Nasal Decongestant Drops (Adult and Child)

4. Antibiotic Anaesthetic Ear Drops

5. Antihistaminic Opothalmic Drops

XXVII. DRUGS USED IN EMERGENCY:

1. Inj. Adrenalin

2. Inj. Mephentaramine

3. Inj. Pentazocin

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4. Inj. Sodium Bicarbonate

5. Inj. Orciprenalin Sulphate

6. Inj. Digoxin

7. Inj. Hydrocortisone 100mg.

8. Activated Charcoal Powder

9. Inj. Nalaxone

10. Atopen Sulphate

XXVIII. INTRAVENOUS SOLUTIONS:

1. Inj. 5% Dextrose 500ml.

2. Inj. 25% Dextrose 25ml.

3. Inj. Normal Saline 500ml.

4. Inj. Dextran 500ml.

5. Inj. Ringer Lactate 500ml.

XXIX. LAXATIVES:

1. Vegetable Laxative Tablets

2. Liquid Paratfin

3. Glycerine Suppository (Adult and Child)

XXX. VITAMIN:

1. Vit.C.

2. Vit.B6

3. Vit.A.D.Drops

4. Multivitamin Syrup

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XXXI.OBSTETRIC CONDITION:

1. Inj. Methylergo

2. Tab. Methylergometrine Malcate.

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