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HeFRA Requirement for Licensing A Primary Hospital

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A Hospital shall have the following minimum requirements under the sections of personnel, premises, safety and equipment.

Personnel

At least two Medical Doctors ( must have at least five years post qualification experience and to be in good standing with the Medical and Dental Council of Ghana)
At least eight registered nurses/ nurse practitioners/midwives (must have at least five years post qualification experience and in good standing with Nursing and Midwifery Council.)
2 Part Time Specialists
1 Pharmacist (must have at least five years post qualification experience and to be in standing with the Pharmacy Council of Ghana.)
4 Hospital Assistants
4 Nurse Assistants (must be in good standing with Nursing and Midwifery Council.)
1 Radiographer (must have at least five years post qualification experience and to be in good standing with the Allied Health Professionals Council of Ghana)
1 Physiotherapist (must have at least five years post qualification experience and to be in good standing with the Allied Health Professionals Council of Ghana)
1 Laboratory Scientist (must have at least five years post qualification experience and to be in good standing with the Allied Health Professionals Council of Ghana)
1 Anesthetist ((must have at least five years post qualification experience and to be in good standing with approved Council of Ghana)

Premises

Waiting and reception area of at least 4 x 3 metres size with seating facilities, a reception table, a registration table, medical record keeping facilities, a wheel chair/ patients’ trolley, adequate ventilation, a weighing scale and stadiometer for heights.
Nurses bay
Doctors rooms
Consulting rooms of least 4×3 meters with an examination couch, a wash hand basin, thermometer, good light source, stethoscope, diagnostic set, sphygmomanometer, table and chairs and adequate ventilation;
Treatment rooms of at least 2×3 metres with instruments cabinet, with washable floors and floor drains.
Separate wards for male, female, children and maternity with locker and over-bed table for each bed, ward screen
Operating theatres with sluice, washable floors and floor drains.
X-ray rooms with protective gear and changing area.
Clean patients’ toilet and bath facilities with adequate water supply.
Central sterile supply department
Medical records department with up to date records.
Mosquito proof doors and windows
Washable floors with floor drain
Clean patients’ toilet and bath facilities with adequate water supply
Constant electricity supply with alternative power supply in good working condition
Adequate general water supply.

Service

First line treatment
Primary Health Care Service
Health Promotion
Out-Patient Services for general, medical, surgical, pediatric and maternal care.
In-patient services, for general, medical, surgical, pediatric and maternal care.
Laboratory services
Pharmacy services
X-ray services
Blood Bank
Specialty health services (Optical, Dental Psychiatry etc.)

Equipment

Dressing trolley/tray with cotton swab, needles and syringes, galipot dressing, forceps needle holder, antiseptics and disinfectants, gauze/bandages, disposable gloves, injection trolley and equipment, wash hand basin and dressing stool.
Sterilizer/autoclave.
1. Emergency tray containing needles and syringes, scalp vein needles, iv giving set, injection hydrocortisone, injection adrenaline, 5% dextrose, normal saline, injection aminophylline, gloves;
2. Suture kit containing needles, nylon, analgesics, iodine, gauge etc
3. Resuscitative equipment including ambubag, oxygen trolley, suction machine( auto or pedal) and drip stand;
4. Possession of appropriate equipment and staff to render services in the fields of specialization;

For the following units/clinics please refer to the specific requirements for the respective facilities
1. Laboratory unit of a Hospital
2. Eye clinic of a Hospital
3. Maternity ward of a Hospital
4. Dental clinic of a Hospital
5. Psychiatric clinic of a Hospital
6. Pharmacy of a hospital
7. Diagnostic Units of a Hospital ( X-ray, MRI, Ultrasound, CT, Mammography, bone Densitometry

OPERATING THEATER

Personnel

At least two Medical Doctors (must have at five years post qualification experience and to in good standing with the Medical and Dental Council of Ghana)
At least two registered nurses/nurse practitioners/midwives (must have at five years post qualification experience and in good standing with the Nurses and Midwifery Council.)
Anesthetist ((must have at least five years post qualification experience and to be in good standing with approved Council of Ghana)
Services
Major Surgeries
Minor Surgeries
Premises
Standard theatre room
Operating table
Autoclave
Adequate air conditioning units
Operating light source
Washable floor

Equipment

1. Autoclave
2. Adequate resuscitative equipment
3. Anesthetic machine.

Blood Bank in The Hospital

1. Blood bank fridge
2. Transfusion records book
3. Blood Donors card.

Or an arrangement with a nearby healthcare facility with a blood bank

DOWNLOAD ALL HeFRA FORMS AND DOCUMENTS HERE

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