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A Manual for Setting up Clinical Practice in Obstetrics and Gynecology
Sanjay Gupte, Girija Wagh, Gorakh Gopalkrishna Mandrupkar
CHAPTER 1:
Accreditation: What We must Know?
ISO 9008-2000
ADVANTAGES OF ISO 9001-2000
CHAPTER 2:
Ultrasound Lab Set-up
CONSTRUCTION OF THE ROOM AND ITS INTERIOR
DEFINING THE REQUIREMENTS
AVAILABILITY OF FUNDS
MACHINE SELECTION
PROBE SELECTION
REGISTRATION IN CIVIL SURGEON'S OFFICE AND PCPNDT ACT
MAINTENANCE OF RECORDS
Other Guidelines for Ultrasound Clinic
CHAPTER 3:
How to Establish a Laparoscopy Center?
OPERATING THEATER
POSTANESTHESIA CARE UNIT
OT SET-UP
LAPAROSCOPY EQUIPMENT
VIDEO CAMERA
VIDEO MONITORS
LIGHT GENERATORS
Fiberoptic Light Cables
Insufflators
Trocars
LAPAROSCOPES
OPERATIVE INSTRUMENTS
Grasping Forceps
SCISSORS
MYOMA FIXATION SCREW
SUCTION IRRIGATION DISSECTOR
NEEDLE DRIVERS
ULTRASONIC ENERGY
ELECTROSURGERY
Coagulating and Dissecting Electrodes
Bipolar Forceps
MORCELLATION
UTERINE MANIPULATORS
RECORD KEEPING
Basic Qualifications for Endoscopic Surgeon
APPENDIX 1—DISCHARGE SUMMARY
CHAPTER 4:
Before Starting MTP Center
CHAPTER 5:
Essentials of an Effective IUI Facility
INTRODUCTION
IUI Facility
Minimal Physical Requirements (ICMR-guidelines)
Health check-up Area Comprises of
Semen Processing Area Comprises of
HEALTH CHECK-UP AREA
Gynecological Consulting Room
Examination Room
Ultrasound Scan Room
PROCESSING AREA
Semen Collection Room
Semen Preparation Laboratory
Insemination Room
EQUIPMENT (Table 5.3)
Laminar Airflow Unit (Fig. 5.1)
Microscope (Fig. 5.2)
Incubator (Fig. 5.3)
Sperm Counting Device (Fig. 5.4)
Centrifuge (Fig. 5.5)
Refrigerator
Water Bath
IUI Preparation Media
POWER BACK UP
REGISTRATION OF AN IUI FACILITY
PERSONNEL'S REQUIRED (ICMR-GUIDELINES)
Information and Counseling to be Given to Patients (Section 3.4 of ICMR guidelines)
Desirable Practices and Prohibited Scenarios
AID (Artificial Insemination Donor) Common Indications
Requirements of a Sperm Donor
SOURCING OF SPERM DONOR – SEMEN BANK
LEGAL ISSUES IN IUI
Legitimacy of the Child born through ART
Adultery in Case of ART
Consummation of Marriage in Case of AIH
Rights of an Unmarried Woman to AID
Posthumous AIH through a Sperm Bank
RECORD KEEPING
CONCLUSION
CHAPTER 6:
How to Start an IVF Center?
Introduction
PERSONNEL
Minimum Requirement Regarding Staff in Infertility Clinics as per ICMR Regulations
Gynecologist
Andrologist
Embryologist
Counselor
ART LABORATORY ENVIRONMENT AND DESIGN
EQUIPMENT
1. CO2 Incubator
2. Laminar Air Flow (LAF)
3. Biofreezer
4. Microscopes
Hydrogen lon Concentration (pH)
Osmolality
Humidity
Temperature
Light
QUALITY CONTROL GUIDELINES
Laboratory Hygiene
Personnel Hygiene
Embryo Hygiene
MISCELLANEOUS
Identification
Record Keeping
Data Analysis
CONCLUSION
CHAPTER 7:
Setting up Practice in Cervical Cytology and Colposcopy
INTRODUCTION
ORGANIZATION OF CLINIC
TAKING PAP SMEAR
COLPOSCOPY DOCUMENTATION
ORGANIZATION OF LAB
RECORD KEEPING
TRAINING
STARTING WORK
COLPOSCOPY
SAVE THE UTERUS
CHAPTER 8:
Documentation and Record Keeping: Important Appendages of Clinical Practice
CHAPTER 9:
Giving Holistic Approach to Medical Practice
CHAPTER 10:
Clinical Practice: Gateway to Wealth Creation and Distribution
MANAGING MONEY MATTERS IN CLINICAL PRACTICE
ESSENCE OF ECONOMICS IN CLINICAL PRACTICE
STEPS IN RECORD KEEPING
WEALTH CREATION AND DISTRIBUTION
INVESTMENT PATTERN-AVENUE
CONCLUSION
ANNEXURE 1:
Ideal Documentations
CONSENT FORM
Name and Address of the Hospital/Nursing Home
PREOPERATIVE INSTRUCTIONS FOR THE PATIENT
ANNEXURE 2:
List of Recognized Centers for USG Training (FOGSI – Imaging Science Committee)
ANNEXURE 3:
List of FOGSI Accredited Training Centers for Infertility/IUI
ANNEXURE 4:
List of Recognized Centers for Endoscopy Training, FOGSI
ANNEXURE 5:
FOGSI Recognized Cytology and Colposcopy Training Centers
INDEX
TOC
Index
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