MINIMUM REQUIREMENTS FOR A PRIVATE PRACTICE |
PART 1- FOR A PRIVATE PRACTICE PROVIDING OUT-PATIENT
SERVICE ONLY |
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A. MEDICAL PRACTITIONERS |
1. The Clinic should have: |
- Premises
- a waiting room;
- a consulting room which should be reasonably sound-proofed
so that conversations taking place therein are not easily
audible outside the consulting room;
- an examination room which should be either a separate room
or a curtained off part of a consulting room;
- a treatment room in which such procedures as the giving
of medications and the carrying out of minor surgical operations
can be undertaken;
- adequate toilet facilities.
- All rooms should be clean and adequately furnished, and-
- there should be sufficient sitting accommodation in the
waiting room for the size of the practice;
- 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;
- 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.
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2. EQUIPMENT |
The practitioner shall have the following equipment
available at his private practice- |
- diagnostic instruments such as stethoscope, syphygmomanometer,
foetal stethoscope, torch, patella hammer, auroscope, opthalmoscope,
proctoscope, vaginal speculum, disposable tongue depressors;
- instruments for carrying out certain procedures, for example,
draining abscesses and stitching wounds;
- sterilizers for surgical instruments and containers, etc;
- facility to examine urine on the premises, as for example,
by the use of "labstix" or equivalent reagents;
- a cabinet for patients' records.
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3. STOCKING OF DRUGS |
- 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-
- injections of analgesics (for example, pethedine, morphine,
etc); and
- antibiotics, antihistamines, brochodilators, antienetics,
antispasmodics, local anesthetics and cortisteroids.
- for the purpose of administering injections, a practitioner
should have sterile syringes and needles, or standard and surgical
spirit or other appropriate skin antiseptic.
- 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-
- such drugs as injections of analgesics, antibiotics, bronchodilators,
tranquilizers, local anaesthetics antispasmodics, antiemetics
and similar drugs.
- oral preparations such as antipyretics, analgesics, gastro-intestinal
sedatives, antihistamines, bronchodilators, antibiotics, muscle
relaxants, and others.
- 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.
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(B) DENTISTS |
1. WAITING ROOM: |
  With basic furniture, and other necessary facilities. |
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2. LABORATORY/WORKSHOP: |
- Basic laboratory requirements, as follows-
- investing flasks;
- press and clamp;
- polishing motor;
- laboratory motor and hand piece;
- Bunsen burner;
- Pliers, wax, knife, etc
- Denture materials;
- Plaster for models;
- Polishing brushes, cone felt, etc.
- Basic requirements in filling materials-
- Amalgams
- Dental cements as follows-
- zinc oxide engenel
- zinc and copper phosphates
- calcium hydroxides;
- silicate and silicophosphate cements;
- composites
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3. TOILET: |
This should have a washbasin and water-borne
sanitation. |
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4. SURGERY: |
The dental surgery should consist of the following
basic essentials, as a minimum- |
- dental unit with low and high speed drills which are water
cooled;
- wash-basin with running water;
- sterilizer unit;
- cabinet with basic dental instruments;
- basic drugs and medicaments used in dentistry including antimicrobials,
corticosteroids, analgesics, haemostatic and anaesthetic drugs,
in addition to antiseptics disinfectants;
- lockable cabinet, containing essential emergency drugs;
- emergency oxygen cylinder;
- cabinet for patients records and card system.
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5. INTRAORAL RADIOLOGICAL UNIT: |
This unit must be available at every dental surgery. |
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(C) OUT-PATIENT CLINICS FOR MEDICAL ASSISTANTS, CLINICAL OFFICERS, DENTAL THERAPISTS |
The clinic should- |
- be built with permanent materials
- have a plastered interior
- have adequate ventilation
- have at least four rooms of 4 x 3 metres divided as follows:
- an examination room; and
- a treatment room; and
- a patients’ registration room; and
- a procedure room
- have toilet facilities consisting of either--
- a ventilated pit latrine; or
- a sanitation platform latrine; or
- a water closet.
- have an adequate supply of clean and safe water nearby or running water within the building.
- have a wash basin or sink and a large container for storing water.
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(D) DENTAL TECHNICIANS |
As in C above, in addition to the following:- |
- Wax room
- Plaster room
- Fume cabinet/fume extractor
- Fire fighting equipment
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(E) PHYSIOTHERAPISTS |
The Clinic should- |
- be built with permanent materials
- have a plastered interior
- have adequate ventilation and lighting;
- have a gymnastic area of at least 30 square metres;
- have a treatment room of at least 5 square metres;
- have a waiting and reception room;
- have toilet facilities consisting of either-
- a ventilated pitlatrine;or
- a sanitation platform latrine; or
- a water closet;
- have an adequate supply of water nearby or running water within the building;
- have a wash basin or sink and a large container for storing water.
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(F) MEDICAL LABORATORIES |
1.Medical laboratories for private practice shall be classified as- |
- Category "A" laboratories;
- Category "B (1)” laboratories; and
- Category "B (2)” laboratories.
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2. (1) A Category "A" laboratory shall be a laboratory operated as part of the private practice of- |
- a medical practitioner or dentist licensed under the Medical Practitioners and Dentists (Private practice) Regulations; or
- a paramedical licensed under the Paramedicals and Allied Health Professionals (Private Practice) Regulations.
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 (2) Except as otherwise provided in the Regulations cited in sub-regulation (1)
or in addition to such provision- |
- 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–
- full blood count differential;
- urinalysis;
- blood smear for malaria parasites;
- blood suga;r
- pregnancy tests;
- wet preparations for Candida, T.Vaginalis and skin microfilaria
- stool for microscopy
- gram stain
- VDRL
- other tests approved by Council from time to time;
- there shall be maintained in respect of a Category “A” laboratory the following minimum equipment-
- a binocular microscope with at least three objective lenses, including a x40 and x100 oil immension
- a centrifuge and
- a haemoglobinometer or a lovebond comparator
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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. |
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 (2) The range of tests to be performed in a Category “B (1)” laboratory
shall be all or any of the following types –-
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- clinical chemistry
- haemology
- histopathology
- microbiology; and
- parasitology
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as the Council may endorse on the license of the practitioner having regard to his training and experience |
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  (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. |
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  (4) A licence to operate the private practice of a Category “B (1)” laboratory shall –
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- if the applicant is a medical practitioner, be issued under the Medical Practitioners and Dentists
(Private Practice) Regulations; and
- if the applicant is not a medical practitioner, be issued under the Paramedical and Allied Health
Professional (Private Practice) Regulations
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  (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:-
- clinical chemistry;
- haematology;
- microbiology; and
- parasitology,
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as the Council may endorse on the licence of the practitioner having regard to this training and experience. |
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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.
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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.
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 (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-
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- clinical chemistry;
- haematology;
- microbiology; and
- parasitology
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As the Council may endorse on the license of the Practitioner having regard to his training and experience. |
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- 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:-
- specimen reception, preparation of tests
- collection of specimens from patients, e.g blood samples
- waiting room for patients to wait for urgent specimen results; and
- toilet facilities for patients and staff.
- 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.
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G. MEDICAL IMAGING |
- Medical Imaging for private practice shall be classified as-
- Category A – Radiography
- Category B – Sonography
- Category C – Radiology
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Category A |
- 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.
- A licence to operate Category “A” Radiography practice shall be issued under the Paramedicals and Allied
Health Professionals (Private Practice) Regulations.
- 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.
- 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.
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Category B |
- 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.
- A licence to operate Category “B” Sonography Practice shall be licenced under the Paramedicals and
Allied Health Professionals (Private Practice) Regulations.
- 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.
- 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
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Category C |
- 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.
- A licence to operate Category “C” Radiology Practice shall be used under the Medical Practitioners and Dentists
(Private Practice) Regulations.
- 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.
- 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.
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2. Premises for Radiographers and Radiography Technicians
- be built with permanent materials
- have waiting room of adequate size to hold 10 people, with adequate ventilation and toilet facilities;
- have x-ray room of at least 30 sq metres with length at least 4-6m;
- 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;
- have doors lined with lead of 2mm pb or brick 9 inches with maze format all 3m high
- 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;
- have ventilation provided by window on the side of the room that is NOT used by persons or by air-Conditioner;
- have at least one change room for patients;
- have dark room should be of adequate size for purposes automatic or manual film processing with a window painted black;
- have work benches in the darkroom must be made of cleanable and non corrosive material;
- have film storage of hopper or equivalent holder to avoid light fogging;
- have supply of running water;
- have washing hands facilities: sink and washing basin.
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3. The premises for Sonographers should have all the above in addition to the following: |
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4. Adequate ultrasound room to fit a patient’s couch, scanner, stools, small table and three persons, well ventilated. |
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(H) OPTICIANS |
Premises - as required for medical practitioners and dentists under the Medical Practitioners and Dentists (Private Practice) Regulations. |
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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-
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- generally; or
- in relation to a particular private practice having regard to the size or type of the practice and to other factors.
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1. WARDS |
Minimum requirements are- |
- where there are open wards at least 2 rooms for isolation as necessary;
- there should be 1 toilet to 10 patients with separation of male and female toilets;
- a curtain or other partitions, etc, to separate beds;
- an admission/examination room;
- 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;
- at least a nurses station in every ward;
- there shall be a wash hand basin within the wards of the hospital;
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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.
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(1) Premises |
- permanent building material;
- adequate size for tests to be carried out;
- adequate lighting;
- good ventilation;
- each room must have a fire extinguisher;
- supply of running water with wash basin;
- bench tops must be made of cleanable and non-corrosive materials;
- a specimen reception area for preparation and performance of tests;
- toilet facilities for patients;
- waiting room for patients; and
- a place for handling dangerous specimens.
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(2)Laboratory Tests and Equipment |
The range of tests to be performed includes- |
- Haematology
- Haemoglobin - colorimetric
- White cell count-manual
- Hematocrit-centrifugal
- White cell-differential count
- Parasitology
- Routine urinalysis;
- Examination of stool for cysts and parasites;
- Blood films for malaria parasites;
- Bacteriology
- Gram stains;
- Acid fast bacilli staining;
- Culture and sensitivity;
- Bio-chemistry
- Blood and CSF proteins-colorimetric;
- Birilibin-colorimetric is recommended;
- Urea-colorimetric is recommended;
- The laboratory should be able to do blood and CSF glucose.
- Serology
- VDRL tests for syphilis;
- Pregnancy test; and HIV tests.
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(3) Blood Transfusion |
All private hospitals should have facilities for blood grouping and cross-matching. |
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(4) Laboratory equipment and other procedures |
- Laboratory equipment should be appropriate for the range of tests to be performed;
- the equipment should be regularly serviced;
- 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
- all tests done in the laboratory should be properly documented and monthly returns should be made to the Secretary for Health.
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3. OPERATING THEATRE |
All categories of private hospitals may have a suitable operating theatre
approved by the Council from time to time. |
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4. PHARMACY |
The clinic should have at least- |
- It should be of adequate size for the practice;
- The internal walls and the floors should be easily cleanable;
- 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:
- It should be constructed in such a manner that moisture is excluded;
- It should be adequately lit with approved fittings so as to facilitate easy identification of drugs;
- It should have a provision of wash basin;
- It should have cold storage facilities for storing heat sensitive drugs;
- It should be kept free of vermin;
- 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;
- All drug containers should be clearly labeled;
- The doors and windows or any other openings in the pharmacy should be properly and adequately secured;
- Access to the pharmacy area shall be strictly limited to authorized personnel only;
- The pharmacy should be staffed by persons with adequate and approved pharmaceutical training as required by the Pharmacy, Medicines and Poisons Act, 1988.
- Proper inventory should be maintained of all drugs kept in the pharmacy;
- The pharmacy should at all times be kept clean and tidy;
- prescription record shall be maintained in the pharmacy;
- 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.
- A lockable controlled drug cupboard and register for such drugs should be provided to avoid abuse.
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5. STANDARD EQUIPMENT |
- wheel chair;
- emergency drug tray;
- resuscitation equipment;
- supply of oxygen;
- blood pressure machine;
- suction machine;
- patient's stretcher;
- a vehicle for transporting referred patients to other hospitals;
- diagnostic sets;
- lockable drug cabinet;
- ECG machine (optional)
- Weighing scales and thermometers.
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6. KITCHEN |
- 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;
- the kitchen must always be kept clean and hygienic.
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7. STERILIZATION |
- All private hospitals should provide adequate sterilization equipment having regard to the size of the hospital;
- Both hot water and cold water should be available in a running state.
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8. MORTUARY |
Where a private hospital has a mortuary shall be in a separate building, preferably with a coldroom. |
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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. |
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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. |
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11. STAFFING LEVELS |
All staff working in private hospitals should be registered with the appropriate authorities; |
- doctor to patient ration shall be 1-50
- general nurse to patient ratio shall be 1-10
- nurse/midwife working in maternity shall be 1-7.
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12 OTHER REQUIREMENTS |
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(1) General Cleanliness of the hospital |
- Hospital grounds should always be kept clean;
- Dust bins should be emptied at least twice a week for appropriate final disposal of waste;
- An adequate number of wards and floors always clean to avoid breeding of flies.
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(2) Toilet Facilities |
The toilet/patient ratio should be 1-10. |
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(3) Floor Area |
Minimum floor area should be 4 square metres for patient's bed to facilitate movement. |
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(4) Lighting and Ventilation |
- Minimum of 1/10 floor area should be provided for ventilation
and half of it shall be made openable for lighting;
- Permanent ventilation should be made available by provision
of air vents on opposite walls.
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(5) prevention of fire and
fire fighting facilities |
- fire extinguishers should be provided at appropriate points:
- emergency exit doors should be provided;
- wherever possible alarm system should be provided.
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(6) Water Supply |
- adequate running water supply;
- provision of wash basins in the treatment, examination and
consultation room;
- water drums could be used for storing water.
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PART III- EQUIPMET AND SUPPLIES |
A. MEDICAL ASSISTANTS AND CLINICAL OFFICERS |
The following should be available---- |
- Lockable drug cupboard
- Examination couch/bed
- Good examination light
- Table in the registration room
- Seats for patients in the waiting room
- Stethoscope
- Auto scope
- Blood pressure machine
- Torch or other source of light for throat examination
- Weighing scale
- Adequate stocks of disinfectants, e.g. Jik
- At least two basins for disinfection
- At least two thermometers
- A minimum of 100 glass syringes as follows:
- 5 x 2ml syringes
- 5 x 5ml syringes
- 5 x 10ml syringes
- At least 100 needles for injection
- At least one sterilizer (e.g. fish kettle type)
- At least one stove
- At least two needle holders
- At least one sterile syringes tray
- At least two pairs of dressing scissors
- At least two dissecting forceps
- Cheatle forceps x 2
- At least 25 metal spatulae or a box of disposable spatulae
- A microscope for examination of stool and urine (optional)
- Refrigerator for the storage of drugs requiring refrigeration
- Resuscitation equipment
- Appropriate and current reference books for the practice
- 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.
- Registers of patients
- Patient’s prescription tickets
- Case record cards to be carried by patients or to be kept by the clinic
- Reporting forms for submission for clinic statistics to the Ministry of Health
- Rubbish disposal pit or rubbish bin
- At least fifty pairs of surgical and sterile gloves
- Receipt book for the fees charged
- Receipt of drugs purchased
- Record of drugs purchased
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B. DENTAL THERAPISTS |
The following should be available- |
- Dental unit with low and high speed drills which are water cooled
- Wash basin
- Autoclave
- Cabinet with basic dental instruments
- Basic drugs and medications used in dentistry
- Intra oral radiological unit and a developing unit
- Basic requirements in filling materials:
- amalgams
- dental cements
- composite chemically cured
- glass ionomer
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c. DENTAL TECHNICIANS |
- Prosthetics
- Bunsen burner
- Articulator
- Suspension motor
- Model trimmer
- Polishing lathe
- Acrylic curing appliance
- Mixing bowl
- 2 flasks with a clamp
- casting machine
- vibrator
- duplicating flasks
- surveyor
- electro polishing bath
- bench press
- protective eye ware
- Dental Technician’s kit which should include:
- Lecron
- Plaster knife
- Spatula
- Ash five
- Wire cutters
Orthodontics
- 64 and 65 orthodontic pliers
- Technicians kit as in prothestics
- Model trimmer
Crown and Bridge
- ceramic kit
- ceramic firing furnace
- technician’s kit
- centrifugal casting machine
- sand blasters
- model trimmer
- burn out furnices
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D. PHYSIOTHERAPISTS |
The clinic should have at least- |
- One treatment couch
- Two sets of linen – blanket, sheets, towels
- Four pillows
- One wheelchair
- Two pairs of crutches – adjustable
- One adjustable walking frame
- One set of parallel bars
- One wall bar
- One full-length exercise mirror
- One exercise mat
- Toys
- Two gymnastic balls
- Weights, e.g. sandbags
- One foot/arm bath
- One measuring tape
- One Goniometer
- One Stethoscope
- One Sphygmomanometer
- One complete First Aid box
- Disinfectants and other cleaning materials
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E. OPTICIANS |
The practice should have- |
- snellen test chart types;
- a slit lamp;
- an opthalmometer;
- a photoptometer;
- a set of trial lens;
- a trial frame;
- an edger machine;
- a lens meter;
- a refractometer;
- fluorescein drops;
- amethocaine;
- artificial tears;
- a sink.
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F. MEDICAL LABORATORIES |
- CATEGORY “B (1)’’ LABORATORIES
- 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-
- 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;
- centrifuge – electrical or manual
- waterbath, or heating block preferably with a thermostat;
- spectrophometer or calorimeter for biochemistry tests and or haemoglobin measurement
- refrigerator for reagents and specimens requiring to be stored at refrigeration temperature
- hot boiler for sterilization
- burnsen burner or spirit lamp
- waste disposal bucket with appropriate liners or waste bin bags;
- assorted glassware, pipettes etc
- Other essential equipment would depend on the type of work done in the laboratory, as follows-
- for microbiology–
- incubator with thermostat
- autoclave or steam sterilizer
- hot air oven for drying glassware;
- medical sterilizer
- anaerobic jar; and
- safety cabinet with UV – sterilization for mycobacterial work.
- for serology – shaker (VDRL type)
- for histology/cytology
- microtome with appropriate microtome knives;
- floating bath;
- hot plate;
- wax dispenser;
- tissue processor; and
- knife sharpener wither leather strap or automatic machine;
- cytology centrifuge;
- slide filing cabinet
- assorted items e.g. blade with handle, pair of scissors, forceps etc
- for haematology –
- haemoglobinometer;
- haematocrite centrifuge and reader;
- differential counter;
- haemocytometer; and
- ESR apparatus
- A number of small items though not essential, improve the safety working conditions in the laboratory. These include:
- reagent dispensers;
- variable volume pipettes
- pipette fillers; and
- slide filing cabinets
- Appropriate and current reference books
- CATEGORY “B (2)” LABORATORIES
- As for Category B (2) laboratories
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G. OPHTHALMOLOGIST |
The Ophthalmologists would need the following in the clinic- |
- a good light source
- ophthalmoscope
- schiotz tonometer
- magnifying loopes
- Bp machine
- snellen chart
- trial flame
- slit lamp
- epilation forceps
- artery forceps
- lid retractors
- blade holder
- galliports
- cannulas for syringing
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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. |
- epilation
- I & D for style and lid abscess;
- removal of foreign body;
- removal of sutures
- corneal scrapings
- syringing of the punctum
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H. MEDICAL IMAGING |
The following X-ray equipment shall be available |
- stationery or mobile X-ray unit in good working order, one per room;
- patient couch
- erect chest stand, gotional
- pb gown
- various sizes of cassettes
- grids optional
- automatic processor in good working order
- manual processing facility
- at least one viewing box
- sonar scanner in good working order
- printer, optional
- CT Scan, optional
- MRI Scanner, optional; and
- Coupling, medium
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