DOH / CHD SELF ASSESSMENT TOOL (RPCP)

Facility:
Major Requirements: YES NO
1. Trained Physician and Nurse on Management of Animal Bites from DOH
recognized training institution
2. Cold Chain equipment (Refrigerator and Vaccine carrier)
3. Standard recording & reporting system

PART I PART II
Evidence by
Item Criterion Facility Certifiers’ Certifiers’
Progress and
Achievements Rating Comments Team Rating
The Animal Bite Treatment Center/ Animal Bite Center provides a safe and
Goal 1
effective physical environment to its patients and staff
The ABTC/ABC is easily located and patients have convenient and safe access to
Standard 1
the center
This standard will be achieved when:
1.1.
There is appropriate signage bearing the
name of the ABTC/ABC to assist patients
accessing the center
1.2
Physical access is appropriate for the needs
of the patients
1.3
Entrance/exits are clearly marked and free
of obstruction and of other hazardous
conditions
1.4
There are resources to inform patients of the
daily schedule of the facility
TOTAL RATING

Rating Scale

0 – Non Compliant
1- Incomplete
2- Complete

REMARKS BY THE CERTIFIERS’ TEAM

(To be completed if and when there are disparities with the information provided by the facility
staff)

Goal: The Animal Bite Treatment Center/Animal Bite Center provides a safe and effective physical
environment to its patients and staff.
Standard 1: The Animal Bite (and) Treatment Center/Animal Bite Center is easily located and
patients have convenient and safe access to the center.

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 PART I PART II
Evidence by Facility Rating Certifiers’ Certifiers’
Item Criterion
Progress and Comments Team
Achievements Rating
The Animal Bite Treatment Center/Animal Bite Center provides a safe and effective physical
Goal 1 environment to its staff and patients
The ABTC/ABC provides facilities for the comfort and privacy of its patients and staff.
Standard 2
This standard will be achieved when:
2.1
The ABTC/ABC maintains a clean and health
promoting environment within and immediately
outside its premises.
2.2
There are resources and processes to ensure the
quality of patient waiting time.
2.3
The facility is adequately lighted.
2.4
The privacy of every patient is assured
TOTAL RATING

Rating Scale

0 – Non Compliant
1 – Incomplete
2 - Complete

REMARKS BY THE CERTIFIERS’ TEAM

(To be completed if and when there are disparities with the information provided by the facility staff)

Goal: The Animal Bite Treatment Center/Animal Bite Center provides a safe and effective physical
environment to its patients and staff
Standard 2: The ABTC/ABC provides facilities for the comfort and privacy of its patients and staff.

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 PART I PART II
Evidence by Facility Rating Certifiers’ Certifiers’
Item Criterion
Progress and Comments Team
Achievements Rating
The Animal Bite Treatment Center/Animal Bite Center Provides a safe and effective physical
Goal 1
environment to its patients and staff
Standard 3 The ABTC/ABC provides safety to its patients and staff

This standard will be achieved when:

3.1
The facility has adequate clean water for wound
cleaning, personal hygiene, and sanitation
purposes
3.2
The facility maintains appropriate levels of
cleanliness and antisepsis of all physical areas,
equipment and instruments.
3.3
General waste, sharps, pathological and
infectious waste, pharmaceutical and chemical
wastes are appropriately segregated, safely
handled and disposed of according to accepted
safe disposal practices.
3.4
There are documented, disseminated, and
implemented procedures to identify and address
the risks of contamination of patients and staff
from sources of infectious diseases.
TOTAL RATING

Rating Scale

0 – Non Compliant
1 – Incomplete
2 – Complete

REMARKS BY THE CERTIFIERS’ TEAM

(To be completed if and when there are disparities with the information provided by the facility staff)

Goal: The Animal Bite Treatment Center/Animal Bite Center provides a safe and effective physical
environment to its patients and staff

Standard 3 The ABTC/ABC provides safety to its patients and staff

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 PART I PART II
Evidence by Facility Rating Certifiers’ Certifiers’
Item Criterion
Progress and Comments Team Rating
Achievements
Patients receive appropriate and effective clinical management based on rabies exposure category.
Goal 2
Standard 4 All patients have continuous access to accurate and reliable animal bite exposure management.

This standard will be achieved when:

4.1
A physician completes and documents the relevant
history for each patient
4.2
The facility implements policies and procedures for
assuring the quality of bite exposure management.
4.3
If Rabies Vaccine/RIG is not available, policies
and procedures for referring patients to another
accessible ABTC/ABC are implemented and
monitored for effectiveness.
4.4
Rabies Vaccine / RIG are secured and proper cold
chain management is observed.
TOTAL RATING
Rating Scale

0 – Non Compliant
1 – Incomplete
2 - Complete

REMARKS BY THE CERTIFIERS’ TEAM

(To be completed if and when there are disparities with the information provided by the facility staff)

Goal: Patients receive appropriate and effective clinical management based on rabies exposure category.

Standard 4: All patients have continuous access to accurate and reliable animal bite exposure management.

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 PART I PART II
Evidence by Facility Certifiers’ Certifiers’
Item Criterion
Progress and Rating Comments Team
Achievements Rating
Patients receive appropriate and effective clinical management based on rabies exposure
Goal 2
category.
A comprehensive management approach is developed and followed for all patients
Standard 5

This standard will be achieved when:

5.1
Management of rabies exposure is consistent
with Rabies Prevention and Control Program
Guidelines.
5.2
Flow chart of patient management is visible
and accessible to expedite the provision of
services to patients.
5.3
A comprehensive evaluation of the patient’s
progress is documented.
5.4
Health education is provided to all patients on
adherence to management and on responsible
pet ownership.
5.5
Policies and procedures for detecting PEP
defaulters and getting them back for
management are implemented and monitored
for effectiveness.
TOTAL RATING
Scale Rating

0 – Non Compliant
1 – Incomplete
2 - Complete

REMARKS BY THE CERTIFIERS’ TEAM

(To be completed if and when there are disparities with the information provided by the facility staff)

Goal: Patients receive appropriate and effective clinical management based on rabies exposure category.

Standard 5: A comprehensive management approach is developed and followed for all patients

Item Criterion PART I PART II

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 Evidence by Facility Certifiers’ Certifiers’
Progress and Rating Comments Team
Achievements Rating
Goal 3 The health staff adheres to clear policies and guidelines on efficient ABTC /ABC operation
The ABTC/ABC maintains accurate and updated records and reports to all animal bite victims.
Standard 6

This standard will be achieved when:

6.1
Each patient is uniquely identified throughout the
course of management.
6.2
The facility maintains an updated database of
patient records that is accessible to authorized
personnel.
6.3
The facility maintains quarterly reports of both
animal and human bite cases.
6.4
The facility maintains a quarterly inventory of
Rabies vaccine/RIG.
TOTAL RATING

Rating Scale

0 – Non Compliant
1 – Incomplete
2 – Complete

REMARKS BY THE CERTIFIERS’ TEAM

(To be completed if and when there are disparities with the information provided by the facility staff)

Goal: The health staff adheres to clear policies and guidelines on efficient ABTC /ABC operation

Standard 6: The ABTC/ABC maintains accurate and updated records and reports of all animal bite victims.

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 PART I PART II
Evidence by Facility Certifiers’ Certifiers’
Item Criterion
Progress and Rating Comments Team
Achievements Rating
Goal IV The ABTC/ABC Provides quality services with competent manpower to its patient
The ABTC/ABC has complete manpower complement performing assigned tasks.
Standard 7

This standard will be achieved when:

7.1 The facility has qualified personnel trained on

Animal Bite Management
7.2 There are personnel responsible for the
following:
7.2.1 Diagnosis and Management

7.2.2 Provision of Rabies Vaccine/RIG

7.2.3 Logistics Management

7.2.4 Information Management

7.2.5 Financial Management

Rating Scale

0 – Non Compliant
1 – Incomplete
2 – Complete

REMARKS BY THE CERTIFIERS’ TEAM

(To be completed if and when there are disparities with the information provided by the facility staff)

Goal: The ABTC/ABC Provides quality services with competent manpower to its patient

Standard 7: The ABTC/ABC has complete manpower complement performing assigned tasks.

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OVERALL RATING AND SUMMARY PER GOAL

TOTAL
GOAL MAXIMUM RATING
ABTC RATING ASSESORS
1 8
2 8
3 8
4 8
5 10
6 8
7 12
TOTAL 62

RATER
REMARKS BY THE CERTIFIERS’ TEAM
(To be completed if and when there are disparities with the information provided by the facility staff)

The decision of the CHD certifying team shall remain FINAL and OFFICIAL

The certification of the facility shall be valid for period of two (2) years but can be revoked at any point in time
if for three (3) consecutive occasions seem to be not adhering to the standards.

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