Overview of COP – Care of Patients (NABH 6th Edition, 2025)

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This article will cover all 20 standards of Chapter COP with a focus on objective elements, key expectations, and implementation summaries.

🔷 Standard-wise Breakdown:

1. COP.1 – Uniform Care Across All Settings
   • Implement written protocols for all patient care settings (OPD, IPD, ICU, OT, daycare).
   • Clinical pathways and evidence-based protocols must be documented and practiced.
2. COP.2 – Emergency Services
   • Clearly marked emergency areas with trained staff, triage system, medico-legal protocols, and reassessment procedures.
3. COP.3 – Ambulance Services
   • Availability, equipment, communication, trained staff, and daily checklist. Fit-for-purpose verification.
4. COP.4 – Community Emergencies & Disaster Response
   • Bi-annual drills, stockpiles, disaster plans with team roles.
5. COP.5 – CPR Services
   • CPR availability everywhere. Trained staff, crash carts, CPR event documentation, and audits.
6. COP.6 – Nursing Care
   • Acuity-based staffing, nursing protocols, adequate equipment, documentation, integration with treatment plans.
7. COP.7 – Clinical Procedures
   • Informed consent, qualified staff, procedure checklist, intra & post-monitoring, and documentation.
8. COP.8 – Transfusion Services
   • Scope-based transfusion practice, quality assurance, emergency availability, documentation, and rational use.
9. COP.9 – ICU and HDU Care
   • Admission/discharge criteria, equipment, IPC practices, staff sufficiency, and counseling mechanism.
10. COP.10 – Obstetric Care
    • High-risk case identification, ART compliance, antenatal/postnatal care, privacy, and birth companion support.
11. COP.11 – Paediatric Care
    • Neonatal/paediatric competencies, immunization records, abuse prevention, age-specific assessment.
12. COP.12 – Procedural Sedation
    • Informed consent, separate sedation monitor, documentation of parameters, recovery criteria.
13. COP.13 – Anaesthesia
    • Pre-anesthesia plan, induction assessment, consent, intra-operative monitoring, recovery documentation.
14. COP.14 – Surgical Services
    • Pre-op checklist, post-op notes, infection prevention, and QA programme including OT environment surveillance.
15. COP.15 – Organ Transplant
    • Legal compliance, patient and donor counselling, public awareness programs.
16. COP.16 – High-Risk Patient Management
    • Fall risk, DVT, pressure ulcers, physical restraints – identification, prevention, and management protocols.
17. COP.17 – Pain Management
    • Routine screening, titration, periodic reassessment, and individualized pain protocols.
18. COP.18 – Rehabilitative Services
    • Functional assessments, collaborative care plans, space/equipment adequacy, IPC protocols.
19. COP.19 – Nutritional Therapy
    • Screening, nutritional assessments, diet planning, and patient/family education about dietary restrictions.
20. COP.20 – End-of-Life Care
    • Compassionate care, legal compliance, multidisciplinary teams, symptom management, and family needs.

 

[Vibhav Gautam]

Could you please give some detail related to End of Life Care – Procedures to follow.

Thanks

[Author]

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