Billing Desk forms and formats for polyclinic setting up
- Registration form
- Financial counselling form
Doctor
- OPD Prescription
- Initial assessment sheet
Nursing
- Initial assessment
- Intake output chart
- Clinical charts
- Nurse care plan
- Investigation sheet
- Crash cart item list for procedure room
- General consent
- Procedure consent form
- Anaesthesia consent
- High-risk consent form
- Special procedure consent form
- HIV Consent
Procedure room
- Surgical safety checklist
- Procedure room record sheet
- Consumables sheet
Stores & Pharmacy
- Purchase order
- Indent sheet
- Issue sheet
- Narcotic drug indent form
Requisition
- Blood component requisition form
- Laboratory medicine requisition form
Hospital HIC forms and formats for polyclinic setting up
- Equipment disinfection log sheet
- Fogging log sheet
- Surface disinfectant register
- Infection control surveillance checklist
- Urinary catheter insertion checklist
- Hand hygiene monitoring tools
- Infection control risk assessment register
Quality
- Incidence reporting form
- Sentinel event reporting forms
- Adverse drug reaction form
- Minutes of meeting templates
- Internal audit checklist
- Feedback form
Biomedical engineering
- History card
- Preventive maintenance format for all types of equipment
- Master list of all types of equipment
- Calibration list – Equipment-wise
- Breakdown monitoring record template
- Equipment replacement register
Maintenance
- Temperature monitoring log
- Preventive maintenance format for electrical types of equipment
Check out these books on hospital management and planning
Human Resource
- Leave application form
- Interview assessment sheet – General
- Interview assessment sheet – Nursing
- Joining report
- Personal file checklist
- Induction training checklist
- Induction pre and post-training questionnaire
- Pre-employment health check-up
- Annual employment health check-up
- Performance appraisal form
- Performance evaluation form
- Job Description sheet
- Privileging forms
- Exit interview
- Employee job satisfaction survey
- Disciplinary action committee
- Training attendance
- Trainer evaluation feedback
- Manpower requisition form
