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Nursing DepartmentOPERATING ROOMGoals and Objectives

Original Issue Date: June 2011Effective Date: July 2011Due for Revision on: July 2013Number of Pages: 1 of 4

1.0 Title:The Goals and Objectives for the Operating Room are based on the Hospital,

Department of Nursing and the Units Mission Statement and are updatedyearly.

1.1 Primary Goal:

To improve the quality of the services in the Operating Room byachieving hospital accreditation through compliance with CBAHIstandards by the year end 2011.

1.1.1 Objectives:

1.1.1.1 Review and Formulation of Policy and Procedures,Procedure Guidelines and Departmental Manual.

1.1.1.2 Formulation and Implementation of the General and SpecificNursing Orientation Skills Assessment Program to new staffnurses.

1.1.1.3 Formulation and Implementation of Infection Control Policyand Procedure as well as Guidelines Specific to the OperatingRoom set up.

1.1.1.4 Development and Implementation of Competency Checklistto all staff members in the Operating Room.

1.1.1.5 Ensure that all professional staff is functioning in accordanceto the expected level of performance.

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Original Issue Date: June 2011Effective Date: July 2011Due for Revision on: July 2013Number of Pages: 2 of 4

1.1.1.6 Conduct annual staff performance evaluation against jobdescription per review evaluation (Implementation of AnecdotalReporting).

1.1.1.7 To promote consideration of patients rights, values andpreferences among Operating Room staff and ensure staffcompliance in adherence to it.

1.2 Other Goals and Objectives:

1.2.1 To have a 100% ACLS passers within two years.

1.2.2 Ensure appropriate ongoing staff development across alldisciplines internal and external; and promote quality managementconcept, technique through education sessions and in services.

1.2.1.1 All Staff Nurses will be able to identify and recognize thedifferent kinds of arrhythmias and dysrhythmias through BasicECG Course within 1 year.

1.2.3 Assess department level leadership to identify training needs andrequirements.

1.2.4 Develop a safe work environment program to ensure that the workplace is safe and free of hazards which may cause injuries or affectthe health of the patients and employees.

1.2.4.1 Develop and implement a comprehensive disaster plan mayit be internal or external to train staff members in the OR.

1.2.4.2 Develop and implement fire safety drills vigorously as totrain staff members in the OR.

1.2.5 To keep administration informed of anything that hinders theprovision of quality care. e.g. lack of equipments and supplies orthe inability to have equipment maintained and repaired.

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Original Issue Date: June 2011Effective Date: July 2011Due for Revision on: July 2013Number of Pages: 3 of 4

2.0 Approval Section:

Prepared by:

__________________________________ ______________Ms. Bella M. Samonte DateClinical Quality Assurance Manager

__________________________________ ______________

Ms. Jasmin Aeryll T. Lapnawan DateDepartment Quality Coordinator(OR PACU Nurse)

Reviewed by:

__________________________________ ______________Ms. Pacita C. Frias DateNursing Department Head

__________________________________ ______________Dr. Abdulaziz Dorra DateHead of the Surgery Department

__________________________________ ______________Dr. Mohammad Askar DateChief of Anesthesia/Head of Operating Room

Approved by :

__________________________________ ______________Dr. Abdulaziz Al Hammadi Date

Vice Director of Medical Affairs

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Original Issue Date: June 2011Effective Date: July 2011Due for Revision on: July 2013Number of Pages: 4 of 4

__________________________________ ______________Dr. Reema Al Hammadi DateDirector of Medical Affairs

__________________________________ ______________Mr. Mohammad Al Hammadi Date

Executive Director