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Protecting the general public and guiding the medical profession
 
 
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Regulations
 
MINIMUM REQUIREMENTS FOR A PRIVATE PRACTICE
PART 1- FOR A PRIVATE PRACTICE PROVIDING OUT-PATIENT SERVICE ONLY
 
A. MEDICAL PRACTITIONERS
1. The Clinic should have:
  1. Premises
    1. a waiting room;
    2. a consulting room which should be reasonably sound-proofed so that conversations taking place therein are not easily audible outside the consulting room;
    3. an examination room which should be either a separate room or a curtained off part of a consulting room;
    4. a treatment room in which such procedures as the giving of medications and the carrying out of minor surgical operations can be undertaken;
    5. adequate toilet facilities.
  2. All rooms should be clean and adequately furnished, and-
    1. there should be sufficient sitting accommodation in the waiting room for the size of the practice;
    2. the consulting room should have a desk for the practitioner, a chair for the practitioner and at least two or three chairs for the patient and persons accompanying the patient; and further, a consulting room should have a facility for the practitioner to wash his hands. For example, where there is no running water there should be a wash-basin with a jug of water which is periodically drained, cleaned and topped up;
    3. there should be an examination couch in the consulting or examination room and another couch in the treatment room and the couches ought to be so designed that it is easy for an infirm patient to get on to them, and further there should be adequate lighting, either daylight or artificial light, to enable the practitioner to see his patient fully.
2. EQUIPMENT
The practitioner shall have the following equipment available at his private practice-
  1. diagnostic instruments such as stethoscope, syphygmomanometer, foetal stethoscope, torch, patella hammer, auroscope, opthalmoscope, proctoscope, vaginal speculum, disposable tongue depressors;
  2. instruments for carrying out certain procedures, for example, draining abscesses and stitching wounds;
  3. sterilizers for surgical instruments and containers, etc;
  4. facility to examine urine on the premises, as for example, by the use of "labstix" or equivalent reagents;
  5. a cabinet for patients' records.
3. STOCKING OF DRUGS
  1. Subject to the relevant provisions of the Pharmacy, Medicines and Poisons Act, 1988, the practitioner should attempt to keep in his premises a stock of those essential drugs which he considers should be administered to his patients in his premises and especially if his practice is not in a location where there may be dispensing pharmacy. The range of drugs that he should have is wide, but he ought to have at least the following-
    1. injections of analgesics (for example, pethedine, morphine, etc); and
    2. antibiotics, antihistamines, brochodilators, antienetics, antispasmodics, local anesthetics and cortisteroids.
  2. for the purpose of administering injections, a practitioner should have sterile syringes and needles, or standard and surgical spirit or other appropriate skin antiseptic.
  3. The practitioner should provide himself with a bag which he can carry with him when visiting patients or when traveling or to be available for him to use whenever his services may be needed. The bag should contain, as a minimum, the following-
    1. such drugs as injections of analgesics, antibiotics, bronchodilators, tranquilizers, local anaesthetics antispasmodics, antiemetics and similar drugs.
    2. oral preparations such as antipyretics, analgesics, gastro-intestinal sedatives, antihistamines, bronchodilators, antibiotics, muscle relaxants, and others.
  4. for the purpose of the doctor's bag, it should be the practice to carry disposable syringes and needles rather than steel and glass syringes which require sterilization. The bag will be adequately furnished if it carries a supply of 2 ml disposable syringes and 25g(I in.) and 21 g (1) all disposable equipment to avoid their possible re-use.
(B) DENTISTS
1. WAITING ROOM:
    With basic furniture, and other necessary facilities.
 
2. LABORATORY/WORKSHOP:
  1. Basic laboratory requirements, as follows-
    1. investing flasks;
    2. press and clamp;
    3. polishing motor;
    4. laboratory motor and hand piece;
    5. Bunsen burner;
    6. Pliers, wax, knife, etc
    7. Denture materials;
    8. Plaster for models;
    9. Polishing brushes, cone felt, etc.
  2. Basic requirements in filling materials-
    1. Amalgams
    2. Dental cements as follows-
      1. zinc oxide engenel
      2. zinc and copper phosphates
      3. calcium hydroxides;
      4. silicate and silicophosphate cements;
      5. composites
3. TOILET:
This should have a washbasin and water-borne sanitation.
 
4. SURGERY:
The dental surgery should consist of the following basic essentials, as a minimum-
  1. dental unit with low and high speed drills which are water cooled;
  2. wash-basin with running water;
  3. sterilizer unit;
  4. cabinet with basic dental instruments;
  5. basic drugs and medicaments used in dentistry including antimicrobials, corticosteroids, analgesics, haemostatic and anaesthetic drugs, in addition to antiseptics disinfectants;
  6. lockable cabinet, containing essential emergency drugs;
  7. emergency oxygen cylinder;
  8. cabinet for patients records and card system.
5. INTRAORAL RADIOLOGICAL UNIT:
This unit must be available at every dental surgery.
 
(C) OUT-PATIENT CLINICS FOR MEDICAL ASSISTANTS, CLINICAL OFFICERS, DENTAL THERAPISTS
The clinic should-
  1. be built with permanent materials
  2. have a plastered interior
  3. have adequate ventilation
  4. have at least four rooms of 4 x 3 metres divided as follows:
    1. an examination room; and
    2. a treatment room; and
    3. a patients’ registration room; and
    4. a procedure room
  5. have toilet facilities consisting of either--
    1. a ventilated pit latrine; or
    2. a sanitation platform latrine; or
    3. a water closet.
  6. have an adequate supply of clean and safe water nearby or running water within the building.
  7. have a wash basin or sink and a large container for storing water.
 
(D) DENTAL TECHNICIANS
As in C above, in addition to the following:-
  1. Wax room
  2. Plaster room
  3. Fume cabinet/fume extractor
  4. Fire fighting equipment
 
(E) PHYSIOTHERAPISTS
The Clinic should-
  1. be built with permanent materials
  2. have a plastered interior
  3. have adequate ventilation and lighting;
  4. have a gymnastic area of at least 30 square metres;
  5. have a treatment room of at least 5 square metres;
  6. have a waiting and reception room;
  7. have toilet facilities consisting of either-
    1. a ventilated pitlatrine;or
    2. a sanitation platform latrine; or
    3. a water closet;
    4. have an adequate supply of water nearby or running water within the building;
    5. have a wash basin or sink and a large container for storing water.
 
(F) MEDICAL LABORATORIES
1.Medical laboratories for private practice shall be classified as-
  1. Category "A" laboratories;
  2. Category "B (1)” laboratories; and
  3. Category "B (2)” laboratories.
2. (1) A Category "A" laboratory shall be a laboratory operated as part of the private practice of-
  1. a medical practitioner or dentist licensed under the Medical Practitioners and Dentists (Private practice) Regulations; or
  2. a paramedical licensed under the Paramedicals and Allied Health Professionals (Private Practice) Regulations.
    (2) Except as otherwise provided in the Regulations cited in sub-regulation (1) or in addition to such provision-
  1. the tests to be performed in a Category “A” laboratory shall be such tests as are necessary for the immediate management of the practitioner's own patients and shall be limited to–
    1. full blood count differential;
    2. urinalysis;
    3. blood smear for malaria parasites;
    4. blood suga;r
    5. pregnancy tests;
    6. wet preparations for Candida, T.Vaginalis and skin microfilaria
    7. stool for microscopy
    8. gram stain
    9. VDRL
    10. other tests approved by Council from time to time;
  2. there shall be maintained in respect of a Category “A” laboratory the following minimum equipment-
    1. a binocular microscope with at least three objective lenses, including a x40 and x100 oil immension
    2. a centrifuge and
    3. a haemoglobinometer or a lovebond comparator
3.(1) A Category “B (1)” laboratory shall be a laboratory which may be operated as a private practice for service to the general public only by        a person registered as a pathologist under the Specialist Register keptand maintained by the Council in accordance with the Medical        Practitioners and Dentists (Special Register) Qualifications) Rules.
 
    (2) The range of tests to be performed in a Category “B (1)” laboratory shall be all or any of the following types –-
  1. clinical chemistry
  2. haemology
  3. histopathology
  4. microbiology; and
  5. parasitology
     as the Council may endorse on the license of the practitioner having regard to his training and experience
 
   (3) The premises for use by a practitioner licensed to operate a Category “B (1)” laboratory shall as a minimum comply with the requirements specified in Part II of the Schedule and there shall be kept and maintained for use at every such laboratory, as a minimum, the equipment specified in that Part.
 
   (4) A licence to operate the private practice of a Category “B (1)” laboratory shall –
  1. if the applicant is a medical practitioner, be issued under the Medical Practitioners and Dentists (Private Practice) Regulations; and
  2. if the applicant is not a medical practitioner, be issued under the Paramedical and Allied Health Professional (Private Practice) Regulations
   (5)(i) A Category “B (2)” laboratory shall be Category “B (2)” laboratory which may be operated by a person registered as a laboratory technician under the Medical Practitioners and Dentists (Registration and Miscellaneous Fees) Regulations.

       (ii)The range of tests to be performed in a Category “B (2)” laboratory shall be limited to any of the following types:-

  1. clinical chemistry;
  2. haematology;
  3. microbiology; and
  4. parasitology,
as the Council may endorse on the licence of the practitioner having regard to this training and experience.
 
4. (1) A Category "B (1)” laboratory shall be a laboratory which may operated by a registered Laboratory Assistant or Laboratory Technician as a private practice for service to the general public only by a person registered as a pathologist under the Specialist Register kept and maintained by the Council in accordance with the Medical Practitioners and Dentists (Specialist Register) (Qualifications) Rules.
 
5. (1) A Category "B(2)" laboratory shall be a Category "B(2)" laboratory which may be operated by a person registered as a laboratory technician under the Medical Practitioners and Dentists (Registration and Miscellaneous Fees) Regulations.
 
  (2) The range of tests to be performed in a Category "B(2)" laboratory shall be limited to any or all of the following types-
  1. clinical chemistry;
  2. haematology;
  3. microbiology; and
  4. parasitology
As the Council may endorse on the license of the Practitioner having regard to his training and experience.
 
  1. Premises should be of permanent building materials and should be of adequate size for the number and range of tests to be performed. There should be distinct areas for:-
    1. specimen reception, preparation of tests
    2. collection of specimens from patients, e.g blood samples
    3. waiting room for patients to wait for urgent specimen results; and
    4. toilet facilities for patients and staff.

  2. Arrangements must be made for disposal of examined specimen. Some may require decontamination before final disposal, e.g. autoclaving, incineration, pit latrine or sewer disposal.
G. MEDICAL IMAGING
  1. Medical Imaging for private practice shall be classified as-
    1. Category A – Radiography
    2. Category B – Sonography
    3. Category C – Radiology
 
Category A
  1. A Category “A” Radiography practice shall be a private practice which may be operated as a private practice for service to the general public only by a person registered as a Radiography Technician or Radiographer under the Medical Practitioners and Dentists (Registration and Miscellaneous Fees) Regulations.
  2. A licence to operate Category “A” Radiography practice shall be issued under the Paramedicals and Allied Health Professionals (Private Practice) Regulations.
  3. The tests to be performed in Category A Radiography Practice shall be as listed in the Third Schedule, Part E of the Paramedicals and Allied Health Professionals Regulations.
  4. The premises for use by a Radiographer/Radiography Technician licensed to operate Category “A” Radiography practice shall, as a minimum, comply with the requirements specified in these regulations and in Part III.
 
Category B
  1. Category “B” Sonography practice shall be a practice which may be operated as a private practice by a person registered as a Sonographer under Medical Practitioners and Dentists (Registration and Miscellaneous Fees) Regulations.
  2. A licence to operate Category “B” Sonography Practice shall be licenced under the Paramedicals and Allied Health Professionals (Private Practice) Regulations.
  3. The tests to be performed in a Category “B” Sonography practice shall be as listed in Part E of the Third Schedule of the Paramedicals and Allied Health Professionals (Private Practice) Regulations.
  4. The premises for use by a practitioner licenced to operate a Category “B” Sonography practice shall, as a minimum, comply with the requirements specified in these regulations
 
Category C
  1. A Category “C” Radiology practice shall be a private practice which may be operated for the service of the general public by a person registered as a Radiologist under the Specialist Register kept and maintained by the Council in accordance with the Medical Practitioners and Dentists (Specialist Register) Qualification Rules.
  2. A licence to operate Category “C” Radiology Practice shall be used under the Medical Practitioners and Dentists (Private Practice) Regulations.
  3. The range of tests to be performed in Category “C” Radiology Practice shall include all or any of those applicable in Category “A” and “B” and as the Council may endorse on the licence of the practitioner having regard to his training, experience and equipment.
  4. The premises for use by a practitioner licenced to operate a Category “C” Imaging (Radiology) shall as a minimum, comply with the requirements specified in Part III.
2. Premises for Radiographers and Radiography Technicians
  1. be built with permanent materials
  2. have waiting room of adequate size to hold 10 people, with adequate ventilation and toilet facilities;
  3. have x-ray room of at least 30 sq metres with length at least 4-6m;
  4. have wall thickness of 9 inches plastered brick wall all round or 4.5 inches brick wall plastered with 1.25mm, barium plaster or 150mm concrete or; other equivalents of 22 mm pb;
  5. have doors lined with lead of 2mm pb or brick 9 inches with maze format all 3m high
  6. have viewing window for control panel should be of 1.6mm Pb glass or equivalent radiation protection window or surrounded in a maze format of equivalent brick or potable radiation protection shield;
  7. have ventilation provided by window on the side of the room that is NOT used by persons or by air-Conditioner;
  8. have at least one change room for patients;
  9. have dark room should be of adequate size for purposes automatic or manual film processing with a window painted black;
  10. have work benches in the darkroom must be made of cleanable and non corrosive material;
  11. have film storage of hopper or equivalent holder to avoid light fogging;
  12. have supply of running water;
  13. have washing hands facilities: sink and washing basin.
3. The premises for Sonographers should have all the above in addition to the following:
 
4. Adequate ultrasound room to fit a patient’s couch, scanner, stools, small table and three persons, well ventilated.
 
(H) OPTICIANS
Premises - as required for medical practitioners and dentists under the Medical Practitioners and Dentists (Private Practice) Regulations.
  Top
PART II- FOR A PRIVATE PRACTICE PROVIDING IN-PATIENT SERVICE
All the requirements specified in Part 1 of this Schedule and, in addition, all such other requirements as the Council may specify, either-
  1. generally; or
  2. in relation to a particular private practice having regard to the size or type of the practice and to other factors.
1. WARDS
Minimum requirements are-
  1. where there are open wards at least 2 rooms for isolation as necessary;
  2. there should be 1 toilet to 10 patients with separation of male and female toilets;
  3. a curtain or other partitions, etc, to separate beds;
  4. an admission/examination room;
  5. a separate maternity room to be provided where such services are offered with a delivery room which shall consist of a delivery bed/couch, suction machine, nursery and a vacuum extractor;
  6. at least a nurses station in every ward;
  7. there shall be a wash hand basin within the wards of the hospital;
2. LABORATORY
Private hospitals should have clinical laboratories located within the premises to be staffed by suitably qualified personnel depending on the type of services offered.
 
(1) Premises
  1. permanent building material;
  2. adequate size for tests to be carried out;
  3. adequate lighting;
  4. good ventilation;
  5. each room must have a fire extinguisher;
  6. supply of running water with wash basin;
  7. bench tops must be made of cleanable and non-corrosive materials;
  8. a specimen reception area for preparation and performance of tests;
  9. toilet facilities for patients;
  10. waiting room for patients; and
  11. a place for handling dangerous specimens.
(2)Laboratory Tests and Equipment
The range of tests to be performed includes-
  1. Haematology
    1. Haemoglobin - colorimetric
    2. White cell count-manual
    3. Hematocrit-centrifugal
    4. White cell-differential count
  2. Parasitology
    1. Routine urinalysis;
    2. Examination of stool for cysts and parasites;
    3. Blood films for malaria parasites;
  3. Bacteriology
    1. Gram stains;
    2. Acid fast bacilli staining;
    3. Culture and sensitivity;
  4. Bio-chemistry
    1. Blood and CSF proteins-colorimetric;
    2. Birilibin-colorimetric is recommended;
    3. Urea-colorimetric is recommended;
    4. The laboratory should be able to do blood and CSF glucose.
  5. Serology
    1. VDRL tests for syphilis;
    2. Pregnancy test; and HIV tests.
(3) Blood Transfusion
All private hospitals should have facilities for blood grouping and cross-matching.
 
(4) Laboratory equipment and other procedures
  1. Laboratory equipment should be appropriate for the range of tests to be performed;
  2. the equipment should be regularly serviced;
  3. every laboratory should be able to participate in the national laboratory quality assurance scheme (where any has been established with approval of the Council) to ensure that standards are maintained; and
  4. all tests done in the laboratory should be properly documented and monthly returns should be made to the Secretary for Health.
3. OPERATING THEATRE
All categories of private hospitals may have a suitable operating theatre approved by the Council from time to time.
 
4. PHARMACY
The clinic should have at least-
  1. It should be of adequate size for the practice;
  2. The internal walls and the floors should be easily cleanable;
  3. It should be partitioned in such a way that there will be enough storage space and a dispensing area where prescription drugs can be collected:
  4. It should be constructed in such a manner that moisture is excluded;
  5. It should be adequately lit with approved fittings so as to facilitate easy identification of drugs;
  6. It should have a provision of wash basin;
  7. It should have cold storage facilities for storing heat sensitive drugs;
  8. It should be kept free of vermin;
  9. All areas in the pharmacy should be adequately and suitably shelved to enable proper and hygienic storage of drugs and any other items stored therein;
  10. All drug containers should be clearly labeled;
  11. The doors and windows or any other openings in the pharmacy should be properly and adequately secured;
  12. Access to the pharmacy area shall be strictly limited to authorized personnel only;
  13. The pharmacy should be staffed by persons with adequate and approved pharmaceutical training as required by the Pharmacy, Medicines and Poisons Act, 1988.
  14. Proper inventory should be maintained of all drugs kept in the pharmacy;
  15. The pharmacy should at all times be kept clean and tidy;
  16. prescription record shall be maintained in the pharmacy;
  17. All drugs should be dispensed in clean and tidy containers which shall bear the name and strength of the drug, quantity dispensed, directions for use, name of hospital, name of patient and expiry date.
  18. A lockable controlled drug cupboard and register for such drugs should be provided to avoid abuse.
 
5. STANDARD EQUIPMENT
  1. wheel chair;
  2. emergency drug tray;
  3. resuscitation equipment;
  4. supply of oxygen;
  5. blood pressure machine;
  6. suction machine;
  7. patient's stretcher;
  8. a vehicle for transporting referred patients to other hospitals;
  9. diagnostic sets;
  10. lockable drug cabinet;
  11. ECG machine (optional)
  12. Weighing scales and thermometers.
 
6. KITCHEN
  1. where food is provided, necessary equipment for providingthe food should be available depending on the size of the hospital and a balanced diet should be provided;
  2. the kitchen must always be kept clean and hygienic.
 
7. STERILIZATION
  1. All private hospitals should provide adequate sterilization equipment having regard to the size of the hospital;
  2. Both hot water and cold water should be available in a running state.
 
8. MORTUARY
Where a private hospital has a mortuary shall be in a separate building, preferably with a coldroom.
 
9. LAUNDRY
Private hospitals should provide a suitable area for washing, hanging and ironing linen. Hospital linen supplies must be adequate to metro the needs in the wards.
 
10. PATIENTS' UNIFORM
Every private hospital should provide uniform to be worn by patients in the hospital. The hospital should also provide separate space for storage for the patients' clothes.
 
11. STAFFING LEVELS
All staff working in private hospitals should be registered with the appropriate authorities;
  1. doctor to patient ration shall be 1-50
  2. general nurse to patient ratio shall be 1-10
  3. nurse/midwife working in maternity shall be 1-7.
12 OTHER REQUIREMENTS
 
(1) General Cleanliness of the hospital
  1. Hospital grounds should always be kept clean;
  2. Dust bins should be emptied at least twice a week for appropriate final disposal of waste;
  3. An adequate number of wards and floors always clean to avoid breeding of flies.
(2) Toilet Facilities
The toilet/patient ratio should be 1-10.
 
(3) Floor Area
Minimum floor area should be 4 square metres for patient's bed to facilitate movement.
 
(4) Lighting and Ventilation
  1. Minimum of 1/10 floor area should be provided for ventilation and half of it shall be made openable for lighting;
  2. Permanent ventilation should be made available by provision of air vents on opposite walls.
(5) prevention of fire and fire fighting facilities
  1. fire extinguishers should be provided at appropriate points:
  2. emergency exit doors should be provided;
  3. wherever possible alarm system should be provided.
(6) Water Supply
  1. adequate running water supply;
  2. provision of wash basins in the treatment, examination and consultation room;
  3. water drums could be used for storing water.
  Top
PART III- EQUIPMET AND SUPPLIES
A. MEDICAL ASSISTANTS AND CLINICAL OFFICERS
The following should be available----
  1. Lockable drug cupboard
  2. Examination couch/bed
  3. Good examination light
  4. Table in the registration room
  5. Seats for patients in the waiting room
  6. Stethoscope
  7. Auto scope
  8. Blood pressure machine
  9. Torch or other source of light for throat examination
  10. Weighing scale
  11. Adequate stocks of disinfectants, e.g. Jik
  12. At least two basins for disinfection
  13. At least two thermometers
  14. A minimum of 100 glass syringes as follows:
    1. 5 x 2ml syringes
    2. 5 x 5ml syringes
    3. 5 x 10ml syringes
  15. At least 100 needles for injection
  16. At least one sterilizer (e.g. fish kettle type)
  17. At least one stove
  18. At least two needle holders
  19. At least one sterile syringes tray
  20. At least two pairs of dressing scissors
  21. At least two dissecting forceps
  22. Cheatle forceps x 2
  23. At least 25 metal spatulae or a box of disposable spatulae
  24. A microscope for examination of stool and urine (optional)
  25. Refrigerator for the storage of drugs requiring refrigeration
  26. Resuscitation equipment
  27. Appropriate and current reference books for the practice
  28. Two bins for the disposal of waste, one of which shall be for the disposal of sharp instruments and the other for the disposal of waste material in either case using an incinerator of the ordinary type or of a 44-gallon drum with specifications approved by the Council.
  29. Registers of patients
  30. Patient’s prescription tickets
  31. Case record cards to be carried by patients or to be kept by the clinic
  32. Reporting forms for submission for clinic statistics to the Ministry of Health
  33. Rubbish disposal pit or rubbish bin
  34. At least fifty pairs of surgical and sterile gloves
  35. Receipt book for the fees charged
  36. Receipt of drugs purchased
  37. Record of drugs purchased
B. DENTAL THERAPISTS
The following should be available-
  1. Dental unit with low and high speed drills which are water cooled
  2. Wash basin
  3. Autoclave
  4. Cabinet with basic dental instruments
  5. Basic drugs and medications used in dentistry
  6. Intra oral radiological unit and a developing unit
  7. Basic requirements in filling materials:
    1. amalgams
    2. dental cements
    3. composite chemically cured
    4. glass ionomer
c. DENTAL TECHNICIANS
  1. Prosthetics
    1. Bunsen burner
    2. Articulator
    3. Suspension motor
    4. Model trimmer
    5. Polishing lathe
    6. Acrylic curing appliance
    7. Mixing bowl
    8. 2 flasks with a clamp
    9. casting machine
    10. vibrator
    11. duplicating flasks
    12. surveyor
    13. electro polishing bath
    14. bench press
    15. protective eye ware
    16. Dental Technician’s kit which should include:
      1. Lecron
      2. Plaster knife
      3. Spatula
      4. Ash five
      5. Wire cutters
  2. Orthodontics
    1. 64 and 65 orthodontic pliers
    2. Technicians kit as in prothestics
    3. Model trimmer
  3. Crown and Bridge
    1. ceramic kit
    2. ceramic firing furnace
    3. technician’s kit
    4. centrifugal casting machine
    5. sand blasters
    6. model trimmer
    7. burn out furnices
D. PHYSIOTHERAPISTS
The clinic should have at least-
  1. One treatment couch
  2. Two sets of linen – blanket, sheets, towels
  3. Four pillows
  4. One wheelchair
  5. Two pairs of crutches – adjustable
  6. One adjustable walking frame
  7. One set of parallel bars
  8. One wall bar
  9. One full-length exercise mirror
  10. One exercise mat
  11. Toys
  12. Two gymnastic balls
  13. Weights, e.g. sandbags
  14. One foot/arm bath
  15. One measuring tape
  16. One Goniometer
  17. One Stethoscope
  18. One Sphygmomanometer
  19. One complete First Aid box
  20. Disinfectants and other cleaning materials
E. OPTICIANS
The practice should have-
  1. snellen test chart types;
  2. a slit lamp;
  3. an opthalmometer;
  4. a photoptometer;
  5. a set of trial lens;
  6. a trial frame;
  7. an edger machine;
  8. a lens meter;
  9. a refractometer;
  10. fluorescein drops;
  11. amethocaine;
  12. artificial tears;
  13. a sink.
 
F. MEDICAL LABORATORIES
  1. CATEGORY “B (1)’’ LABORATORIES
    1. Equipment will depend on tests allowed by the Council on the basis of applicant’s training and experience. The following equipment is required as a minimum-
      1. binocular microscope with built-in light source and at least three objective lenses including a x40 and x100, oil immersion lens, and where there is no electricity a 6 volt or 12 volt car battery and AC/DC transformer should be used;
      2. centrifuge – electrical or manual
      3. waterbath, or heating block preferably with a thermostat;
      4. spectrophometer or calorimeter for biochemistry tests and or haemoglobin measurement
      5. refrigerator for reagents and specimens requiring to be stored at refrigeration temperature
      6. hot boiler for sterilization
      7. burnsen burner or spirit lamp
      8. waste disposal bucket with appropriate liners or waste bin bags;
      9. assorted glassware, pipettes etc

    2. Other essential equipment would depend on the type of work done in the laboratory, as follows-
      1. for microbiology–
        1. incubator with thermostat
        2. autoclave or steam sterilizer
        3. hot air oven for drying glassware;
        4. medical sterilizer
        5. anaerobic jar; and
        6. safety cabinet with UV – sterilization for mycobacterial work.

      2. for serology – shaker (VDRL type)
      3. for histology/cytology
        1. microtome with appropriate microtome knives;
        2. floating bath;
        3. hot plate;
        4. wax dispenser;
        5. tissue processor; and
        6. knife sharpener wither leather strap or automatic machine;
        7. cytology centrifuge;
        8. slide filing cabinet
        9. assorted items e.g. blade with handle, pair of scissors, forceps etc

      4. for haematology –
        1. haemoglobinometer;
        2. haematocrite centrifuge and reader;
        3. differential counter;
        4. haemocytometer; and
        5. ESR apparatus

    3. A number of small items though not essential, improve the safety working conditions in the laboratory. These include:
      1. reagent dispensers;
      2. variable volume pipettes
      3. pipette fillers; and
      4. slide filing cabinets
    4. Appropriate and current reference books

  2. CATEGORY “B (2)” LABORATORIES
    1. As for Category B (2) laboratories
 
G. OPHTHALMOLOGIST
The Ophthalmologists would need the following in the clinic-
  1. a good light source
  2. ophthalmoscope
  3. schiotz tonometer
  4. magnifying loopes
  5. Bp machine
  6. snellen chart
  7. trial flame
  8. slit lamp
  9. epilation forceps
  10. artery forceps
  11. lid retractors
  12. blade holder
  13. galliports
  14. cannulas for syringing
All conditions including refractive errors which do not require surgery can be treated in the out-patient set up. However, the following surgical procedures can be done in the clinic.
  1. epilation
  2. I & D for style and lid abscess;
  3. removal of foreign body;
  4. removal of sutures
  5. corneal scrapings
  6. syringing of the punctum
 
H. MEDICAL IMAGING
The following X-ray equipment shall be available
  1. stationery or mobile X-ray unit in good working order, one per room;
  2. patient couch
  3. erect chest stand, gotional
  4. pb gown
  5. various sizes of cassettes
  6. grids optional
  7. automatic processor in good working order
  8. manual processing facility
  9. at least one viewing box
  10. sonar scanner in good working order
  11. printer, optional
  12. CT Scan, optional
  13. MRI Scanner, optional; and
  14. Coupling, medium
 
   
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