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NHIS Operational Guidelines - . FACILITY AND PERSONNEL REQUIREMENTS FOR THE PRIMARY HEALTHCARE PROVIDERS

Article Index
NHIS Operational Guidelines
GUIDELINES FOR THE OPERATION OF THE FORMAL SECTOR SOCIAL HEALTH INSURANCE PROGRAMME
Guidelines For The Armed Forces, Police and Allied Services
Guidelines for Students in Tertiary Institutions
Guidelines for Voluntary Contributors
Categories of Healthcare Professionals Under the NHIS
General Requirements for Health Care Providers
7. Requirements for Health Professionals
Registration
Identity Cards
Payment of Contributions
CLASSIFICATION OF HEALTH PROVIDERS
. FACILITY AND PERSONNEL REQUIREMENTS FOR THE PRIMARY HEALTHCARE PROVIDERS
FACILITY AND PERSONNEL REQUIREMENTS FOR THE SECONDARY HEALTH CARE PROVIDER
REQUIREMENTS FOR THE PROVISION OF LABORATORY SERVICES
RADIODIAGNOSTIC/ULTRASONOGRAPHY SERVICES
PHYSIOTHERAPY SERVICES
DENTAL CLINICS
EAR, NOSE AND THROAT/OTORRLARYNGOLOGY
PEADIATRIC CLINICS
EYE CLINICS
THE TERTIARY HEALTH CARE PROVIDER
All Pages
13.         FACILITY AND PERSONNEL REQUIREMENTS FOR THE SECONDARY HEALTH CARE PROVIDER

 

This level of health care is to have facilities for out-patient and in-patient services, for general, medical, surgical, paediatric, maternal care, etc. The wards are divided strictly into gender compartments as follows:

 

i)        Out-patient care, and

ii)       In-patient care.

 

 

1.         FACILITY REQUIREMENTS

 

In addition to the requirements specified for primary health care providers, the secondary health care provider shall possess the following:

 

i)                    Laboratory

ii)                   X-ray and allied diagnostics

iii)                 Surgical operating theatre

iv)                 Pharmacy (in-house)

v)                  Lying-in ward with minimum distance of one metre in-between adjoining beds, and 1 x 3 sq. metres between two rows of beds

vi)                 A locker and an over-bed table for each bed

vii)               Separate wards for male, female and children

viii)              Delivery room, where applicable, to be 12sq. metres

ix)                 Sterilizer/Autoclave

x)                  Wheel chair/patients’ trolley

xi)                 Ward screen

xii)               Sluice room

xiii)              Adequate illumination

xiv)             Clean water

xv)               Clean toilet and bath facilities with adequate water supply

xvi)             Washable floors

xvii)            Adequate drainage

xviii)          Fire fighting facilities in good condition that are appropriately distributed throughout the premises

xix)             Mosquito screening for the wards

xx)               Nurses ‘ bay

xxi)             Doctors’ room

xxii)            Possession of required malpractice/professional indemnity insurance as stipulated in the NHIS Guidelines

xxiii)          Possession of appropriate equipment and staff to render services in the field of specialization

xxiv)          Registration of premises by the Government of the State in which they operate, where applicable

xxv)           Alternative power supply in good condition.

xxvi)          Any other facility that may be prescribed by the NHIS

2.         MINIMUM REQUIREMENTS FOR LABOUR ROOM

            i)   Labour room: at least 12sq metres

ii)  Resuscitative Equipment to include:-

·        Oxygen     

·        Suction machine    

·        Resuscitative table    

·        Oropharyngeal tube  

·        Disposable gloves 

·        Needle & syringe 

·        50% dextrose  

·        Scalp vein needle 21G, 23G   

·        I/V giving set  

·        Normal saline   

·        Dextrose saline

iii)         At least 1 bed

iv)        Adequate toilet facilities

            v)         Adequate lighting   

            vi)        Adequate water supply

            vii)        Adequate waste disposal

            viii)       Washable floors

 

3.         Minimum Requirements for the Operating Theatre

 

i)          Standard theatre room

ii)         Operating table

iii)         Anaesthetic machine

iv)        Autoclave

v)         Adequate air conditioning units

vi)        Adequate resuscitative equipment

vii)        Operating light source

viii)       Washable floor

 

 

4.         Minimum Personnel Requirements where applicable

 

·              At least one registered full-time medical practitioner

·              At least one full-time or part-time specialist in a relevant area of    specialty

·              At least one registered nurse and midwife per 8 beds per shift

·              At least four hospital assistants

·              At least two administrative staff

·              At least one Pharmacist

·              At least one Radiographer

·              At least one Physiotherapist

·          At least one Laboratory Scientist

 

 

5.         Requirements for the Pharmacy

i)                    Possession of approved and registered premises as specified by the Pharmacist Council of Nigeria (PCN)

ii)                   Possession of required malpractice/professional indemnity insurance as stipulated in the Guidelines

iii)                 Presence of a resident pharmacist

iv)                 Pharmacy must be equipped to meet the minimum requirements as prescribed below:

1)         Pharmacist with basic qualification that is registrable with the Pharmacists Council of Nigeria

2)         Pharmacist’s possession of current licence to practise from the Pharmacists Council of Nigeria (PCN)

3)         Possession of current premises licence issued by the      PCN

4)         Compliance with the contractual Agreement with the      NHIS & the HMOs

5)         Pharmacy must be supervised by a resident pharmacist, approved and registered by the Pharmacists Council of Nigeria

6)         General outlay of the premises:

a)         Entire space area of at least 20 sqm

      b)         Arrangement of shelves and drugs for easy access

c)         Pharmacist’s office/counselling area

d)         Display of original certificates

e)         Separate dispensing area with tray and spatula/spoon

f)          Washable floor

 

7)                     Adequate storage for drugs:

a)         Adequate shelves

b)         Separate air-conditioned store with shelves

c)         Refrigerator

d)         Air-conditioner

e)         Fans

 

8)               Possession of reference books:

a)   Medi-Pharm or MIMs Africa

b)   Martindale – Extra-pharmacopoeia

c)   Pharmacy Laws

d)   British Pharmacopoeia

e)   National Drug Policy 

f)    National Essential Drugs List

 

9)            Schedule drugs

 

a)  Separation of schedule drugs from over-the-counter  drugs

b)  Availability of lockable DDA cupboard

 

                     10)          a) Adequate record keeping/computerization

                  Drug receipts

                  Sales invoices

                  Sales books/ledgers

                  Bin cards

 

                  b)         i)   Availability of a Dangerous Drugs Register

                              ii)  Regular entries into the Dangerous Drugs                                                           Register

  

Note:         Pharmacy services may be provided by hospital facilities as stated above, or by the community pharmacies accredited by the NHIS. 



 

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