Amaya primary HOSPITAL
OPD SERVICE PROTOCOL
By QU
SEP 2017 EC
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Introduction
An outpatient department or outpatient clinic is the part of a hospital designed for the treatment of
outpatients, people with health problems who visit the hospital for diagnosis or treatment, but do not at this
time require a bed or to be admitted for overnight care. Modern outpatient departments offer a wide range
of treatment services, diagnostic tests and minor surgical procedures Early initiation of hospital service -
decrease hospital workload scope based disposal of patient and block base appointment system improve
quality of care , patient satisfaction and good client out come so The MOH over the past three decades has
strived to increase the number, quality and modality of Outpatient clinics; which can be seen by increase in
the number of clients being served, increase in number of specialty and subspecialty clinics, relative
increase in satisfaction. However, despite the strive to increase the number and quality of Outpatient
clinics, MOH has come short of achieving most relevant quality indicators such Waiting time to treatment
which has been increasing exponentially, weak archiving system which contributes of poor data quality,
increased stay at facility and decreased satisfaction, weak appointment system and disarrayed care being
provided at chronic and specialty and subspecialty clinic
Objective of the protocol
increase the number and quality of Outpatient clinics
increase in the number of clients being served,
increase in number of patient at specialty clinic
Increase patient satisfaction.
To reduce patient not seen in same days
Better appointment system
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Outpatient services consists
A. Central triage
B. Medical Record Room
C. Examination(clinical assessment) room, sample collection and treatment rooms OPDS
D. specialty clinic
E. Pharmacy dispensing unit and cashier
F. Laboratory team, with cashier
G. imaging diagnostic team, with cashier
A. Central triage: A triage system which is well equipped and facilitate one stop triage,
registration and cashier service and accommodate for the needs of highly infectious cases
Highly infectious patient should be screened and isolated before triaging
Triage has to be done by at least GPs and above and the assigned GP should have letter of
assignment
The central triage should be equipped with Diagnostic triage tool kit - BP apparatus, stethoscope,
pulse ox meter, glucometer, weighing scale
There are personnel trained in triage processes working in both the central triage
Dispose patients to the appropriate scope level and Client evaluation at the initial point of contact
should be by physicians with the appropriate level of scope
Patients referred from other facilities should be seen by at least 1 step higher professional from
referring clinician
Triage service started at 7;30 am
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B. Medical Record Room
Patient medical record started to disposed before 8; 00 am at outpatient clinic
Patients on appointment Medical record folders are retrieved a day before appointment
date at central appointment unit/ liaison office and disposed per block based
Appointment System
C. Outpatient clinic
Outpatient department is managed by at least a GP and specialty clinics by a service specific
specialist
All OPDs should start at 8:00am (OPD assignment can be done in rotation and
OPD assigned physicians can not join morning meeting
Shift based physicians assignment
Shift 1: 8am to 1pm (including lunch time)
Shift 2: 1pm to 5:30pm
Physician on night duty not assigned for morning shift
(Time bound assignment. Assigned physician cannot leave even if he/she
Completes available chart)
D. specialty clinic /Referral Clinic
Specialty clinics run by a service specific specialist by Dividing Clinic work hours based on specialty
Service morning and afternoon hours
Monday morning –medical (GRC)
Afternoon – medical (GRC)
Tuesday- morning - surgical (SRC) and MRC
Afternoon –surgical (SRC) and MRC
Wednesday- morning –medical (GRC)
Afternoon – medical (GRC)
Thursday- morning – surgical (SRC) and MRC
Afternoon - surgical (SRC) and MRC
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For Better client education and counseling system for common Chronic illnesses clients linked to
health literacy unit ( DM , HTN ,CRD and mental illness
E. Pharmacy dispensing unit and cashier
Outpatient Pharmacy dispensing unit and cashier should start at 8;00 am
F. Laboratory team, with cashier should start at 8; 00 am
Outpatient Laboratory team, with cashier start at 8; 00 am
G. Imaging diagnostic team, with cashier
Outpatient imaging diagnostic team, with cashier start at 8; 00 am
