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The National Accreditation Board for
Hospitals and Healthcare Providers (NABH) has sought suggestions and
feedback from public at large, including the stakeholders like
hospitals, clinical establishments, industry and consumer groups on
first edition draft standards for stroke centres.
NABH standards
for stroke centres have been drafted in collaboration with World Stroke
Organization (WSO). “The comments may be shared on the form within 20
days of publication of this notice on the website. Last date for
receiving suggestions and feedback is June 20, 2023,” according to a
NABH circular.
According to the draft standards for stroke
centres, “The stroke centre shall define and display the services that
it provides. The services provided at the stroke centre shall be defined
and be in consonance with the needs of the community. Each defined
service shall have diagnostic and treatment services with suitably
qualified personnel who provide out-patient, in-patient and emergency
cover.”
The draft standards further stipulate that the stroke
centre’s defined services shall be prominently displayed. The stroke
centre shall have a well-defined registration and admission process. The
stroke centre shall use written guidance for registering and admitting
patients.
A unique identification number shall be generated at
the end of registration. There shall be an appropriate mechanism for
transfer out or referral of patients to a higher level of care. Transfer
out or referral of patients to a higher level of care shall be done
appropriately.
If the stroke centre does transfer patients for
neurosurgical emergencies, there shall be a written guidance for urgent
transfer. The stroke centre shall have a written transfer protocol,
transfer agreement or a memorandum of understanding (MoU) with at least
one hospital being capable of providing timely and essential stroke
related services immediately.
The stroke centre shall give a
summary of the patient’s condition and the treatment given. Patients in
the stroke centre shall be appropriately assessed and documented.
Assessments shall include initial assessment and periodic re-assessment
as applicable and shall be appropriate for each patient. All patients
(emergency and in-patients) shall undergo an assessment based on their
needs. All assessments shall be documented and signed appropriately by
staff.
“The doctor and nursing staff shall develop a documented
care plan for the admitted stroke patient, which includes identification
of individual needs for the patient, based on their condition and the
family’s needs,” as per the draft standards. |
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