Component - Organization and planning
|
Category
|
Criterion/Indicator
|
P
|
MS
|
VS
|
Human resources |
Coordinator and / or other professionals with specialization in public health, or >2 years of experience in the service |
5 |
15 |
DA; I. |
Minimum team for care actions (1 nurse, 1 physician, and 1 social worker) |
5 |
At least one technician for administrative support |
5 |
Reception and register |
Reception and registration room, side table, and chair |
1 |
3 |
DA; OD. |
Reception and registration room, coffee table, chair, and computer |
2 |
Reception and registration room, coffee table, chair, computer and telephone |
3 |
Clinic |
Waterproof gurney |
1 |
10 |
DA; OD. |
Step ladder |
1 |
Hand washing sink, liquid soap dispenser, and paper towel |
1 |
Exclusive bathroom with hygienic shower |
1 |
Mirror with minimum dimensions of 120 × 50 cm |
1 |
Sphygmomanometer and stethoscope |
1 |
Thermometer |
1 |
Dressing material |
1 |
Ostomy cleaning and hygiene material |
1 |
Irrigation material |
1 |
Storage area for collecting supplies |
Cabinet with closed doors |
3 |
3 |
DA; OD. |
Open shelves |
2 |
Technical quality of equipment |
Unexpired material |
2.5 |
5 |
DA; OD. |
Entry and Exit Control material record |
2.5 |
Collecting and adjuvant material |
Monthly distribution of sufficient collecting and adjuvant material over the past year |
10 |
10 |
DA; OD, I. |
Lack of sufficient collection and adjuvant material over the past year, hampering delivery to patients for up to two months |
3 |
Lack of sufficient collection and adjuvant material over the past year, for more than two months |
2 |
Group meeting room |
Meeting room for group service |
2 |
2 |
DA; OD, I. |
Available standards, charts and protocols |
Presence of norms, medical records and protocols |
1 |
1 |
|
Quantitative and qualitative planning of collection and adjuvant equipment |
No annual planning meeting |
0 |
2 |
DA; I. |
One or more annual planning meetings |
2 |
SER user registration |
No user registration in SER |
0 |
|
|
Proof of registration of users in SER |
2 |
Quality of Records |
No record of control or patient history in digital media |
0 |
3 |
DA; OD. |
Presence of control record and patient history in digital media, with at least 75% of fields completed |
3 |
Presence of control record and patient history in full digital media, below 75% of fields completed |
2 |
Component - Health Care
|
Category
|
Criteria or Indicators
|
P
|
MS
|
VS
|
Dispensation (scheduling and / or spontaneous demand) |
Dispensing of bags and adjuvants sufficient for a period of 30 days or more |
10 |
10 |
DA; OD; I. |
Bags or adjuvants for dispensing not sufficient for 30 days |
0 |
Consultations with social worker |
100% of appointments scheduled for the same month |
2.5 |
5 |
DA; OD; I |
100% of consultations performed by spontaneous demand |
2.5 |
Stomatherapy care |
100% of appointments scheduled for the same month |
2.5 |
5 |
100% of consultations performed by spontaneous demand |
2.5 |
Medical care |
100% of appointments scheduled for the same month |
2.5 |
5 |
100% of consultations performed by spontaneous demand |
2.5 |
Nutritional support |
100% of appointments scheduled for the same month |
2.5 |
5 |
At least 50% of consultations performed by spontaneous demand |
2.5 |
Component - Health Care
|
Category
|
Criteria or Indicators
|
P
|
MS
|
VS
|
Treatment and / or referral of ostomy complications |
Presence of physician to treat complications |
5 |
10 |
DA. |
Presence of nurse to treat complications |
5 |
Lack of specialized references for ostomy complications |
0 |
Component - Permanent education and formation
|
Category
|
Criteria or Indicators
|
P
|
MS
|
VS
|
Self-care Groups |
No self-care group meetings |
0 |
3 |
DA; I. |
At least one self-care group meeting every two months |
2 |
A monthly self-care group meeting |
3 |
Knowledge of legal regulations |
Lack of knowledge about legal instruments governing care services |
0 |
3 |
DA; I |
At least the coordinator with knowledge of laws governing care services |
2 |
All professionals with knowledge of laws governing care services |
3 |
Participation in training courses |
Lack of training of technicians, promoted by any management level, regarding the service |
0 |
3 |
DA; I. |
Training of 10% of the technicians, promoted by any management level, regarding the service, in the last 2 years. |
2 |
Training of more than 10% of technicians, promoted by any level of management, related to the service, in the last 2 years. |
3 |