Units of Shahid RajaeeTeaching Center

Quality Improvement

1. Coordination and integration of activities related to quality improvement in the Center

2. Development of a comprehensive quality improvement plan in the Center on clinical and non-clinical topics

3. Developing systems and processes of the Center in accordance with the designed principles of quality improvement

4. Developing special, measurable, achievable performance indicators for different processes of the Center

5. Continuous monitoring of quality improvement program, data, management measures and interventions by analyzing indicators

6. Following up and coordinating the implementation of accreditation standards, administrative and paraclinical units of the Center

7. Developing an annual operational plan in collaboration with different departments, wards and units of the Center

8. Following up committees of the Center and enforcement of approvals

Education

1. Continuous monitoring and control over nursing care work under supervision

2. Identifying and defining educational objectives / identifying training needs / prioritizing educational needs

3. Developing continuous education programs to meet the educational needs in accordance with major goals of the Center

4. Participating in all nursing training sessions

5. Leading and encouraging nursing staff to take the necessary training courses

6. Recording and reporting general educational activities and sending the results to the nursing director

7. Providing and reporting performance in accordance with the training program

8. Identify and determining the educational needs of learners and formulating educational programs to meet educational needs

9. Planning for the continuous attendance of learners (residents, interns and ...) at the Center

10. Holding an exam at the end of the course

11. Monthly assessment of the residents at the Center

Medical Documents

1. Supervision of units covered by patient registration and clearance, archives, Center statistics and ...

2. Monitoring the arrival and departure of files and their completeness at the time of admission until the patient's discharge

3. Supervising how to respond to legal complaints

4. Checking and researching on improving medical document forms, methods of work and ...

5. Requesting and supervising the provision of all forms of the Center documents

6. Configuring patient file system control

7. Participation in hospital committees and having the responsibility of the Medical Documents Committee

8. Collaborating on the quality analysis of medical documents with relevant committees

9. Supervising the issuance of death certificates

10. Supervising the application of documents from different Units of the Center

11. Collaboration in the delivery of documents regarding case studies for doctors and students

12. Participating in training programs, research and studying the latest advances in the field of business

13. Theoretical and practical teaching for people under observation

14. Supervision of compliance with the administrative discipline of personnel

15. Following up the supply of human resources in the relevant Units

16. Annual and monthly evaluation of the covered staff  

17. Planning, division of labor and replacement of manpower in the relevant unit

18. Supervision over the operation and treatment of covered employees

19. Registering and reporting all related affairs to relevant authorities including requests, unexpected events, incidents, deficiencies and defects

Medical Records

1- Reviewing the affairs and supervision of the personnel

2- Examining insurance records (before and after sending to insurance companies)

3. Communication with the Informatics of the Center for setting up bills and deficiencies in records

4. Encoding surgeries based on California's book

5. Determining the follow-up days for traffic incident patients

6. Determining the deductions of the sectors and providing solutions to eliminate the deductions

7. Communicating with insurance representatives

8. Referring to insurance organizations and recording deductions

9. Calculating the Rials of deductions and sending them to Financial Affairs

10. Communicating with authorities of the departments, wards, radiology, CT scan and ...

Medical Equipment

1. Supervising the repair of medical equipment

2. Consideration of medical equipment issues and the preparation of maintenance plans and devices

3. Collecting information in the field of maintenance, repairs and supplies of machinery and medical devices

4. Installation of medical equipment according to established standards

5. Teaching how to repair and maintain medical devices and equipment to repair technicians of medical equipment

6. Following up and pursuit of the project and solving the problems of medical equipment

7. Carrying out theoretical and practical research on improving the quality of production, maintenance and repair of medical equipment

8. Supervising the provision of spare parts and installing them

9. Preparation of equipment plans of the Center

10. Providing instructions and training to staff of Units on how to work with devices

11. Monitoring how devices are calibrated

Nutrition

1. Preparation and adjustment of dietary plan for regular patients and dietary members as well as staff of the Center

2. Reviewing and controlling food lists of patients with coordination of departmental authorities

3. Preparing and supplying all kinds of food needed for the Center regarding different periods of time

Environmental Health

1. Coordinating and acting on the establishment of the Health Committee and the control of the infection of the Center and the active participation in it and following the relevant regulations

2. Preparing educational materials and forming educational sessions related to environmental health and public health for personnel of different categories

3. Supervision and intervention in the contract of services of the Center and the request for medical examination card, labor examination card and health education certificate of the personnel subjected to the law

4. Reviewing the water use of the Center (public network, private network) and its related records

5. Health and sanitary control of quantitative and qualitative water use and periodic microbiological and chemotherapy tests, based on available guidelines, standards and conditions

6. Supervision, examination and control of the health of the various stages of collection, separation, transfer, temporary storage and disposal of hospital waste, as well as preventing the sale and recycling of the Center waste

7. Supervision and sanitary control of waste disposal of the Center and, if there is a problem, providing appropriate executive suggestions

8. Sampling effluent from sewage treatment system in accordance with the stated instructions (if there is a refinery) to check the quality of sewage treatment

9. Controlling insects and rodents with the priority of environmental improvement, waste disposal and, the principled use of chemical methods and the prevention of the activities of unauthorized spraying companies, if necessary

10. Supervision and intervention in the provision and use of disinfectants and cleaners of the Center

11. Performing the necessary actions in the field of clothing and supplies required for spraying and disinfection (hood, hat, gloves, mask, boots, etc.), and the provision of toxins and other disinfectants  and other equipment and devices used for spraying and disinfection with the coordination of the authorities of the Center

12. Checking the technical and sanitary condition of the air conditioner in the Center (heating, cooling) and following up to eliminate potential problems

13. Performing and following up on the health and safety issues of the ionizing radiation section with the assistance of the responsible health physicist

14. Continuous technical and sanitary supervision over the work of the kitchen

15. Supervision and coordination in the supply chain, cooking and distribution of nutrients in collaboration with a nutrition expert to ensure the health of distribution and consumption of food

16. Supervision and constant control over the laundry room and observance of all safety and health tips

Infection Control

1) Identifying the sources of hospital-acquired infections through investigation and research

2) Implementation of the results of new research and studies on caring for the prevention and control of hospital-acquired infection

3) Collaborating on the development and implementation of educational programs for nursing staff, students and other staff for the prevention and control of infection by educational supervisor, if necessary

4) Participating in training sessions and training courses on infection control with other groups for nursing staff

5) Establishing health records and regulating the schedule of examinations and vaccinations for staff of the Center and submitting a report of positive cases

6) Evaluation of the necessary equipment for hazardous infections and providing a proper solution to the Hospital-Acquired Infection Control Committee

7) Evaluating the need for Center staff training in hospital-acquired infections and following up the training provided to comply with the laws and regulations of infection control

8) Daily visits from different parts of the Center to discover possible new cases and following up previous cases through the results of clinical trials, recording and providing necessary reports

9) Providing and developing guidelines for controlling clinical infections for special sectors and other vulnerable parts based on care standards in collaboration with the Infection Control Committee

10) Monitoring and evaluating the implementation of the rules and regulations recommended by the Infection Control Committee in all units of the Center and reporting the results to the Committee

11) Monitoring and supporting the isolation of infectious patients in accordance with Committee policies and facilities

12) Collaboration with the Infectious Disease Control Team of the Center to diagnose, research, control, and evaluate the incidence of infection in hospital epidemics

13) Participating in the Infectious Disease Control Committee meetings to provide information and reports and to receive executive guidelines with full consideration

Library

1. Providing information to the clients including faculty members, students and staff regarding the status of the latest information and medical reference resources

2. Continuous training and collaboration with referrers on how to use medical reference resources, such as medical databases and existing CDs

3. Co-operation with and continuing education to referrers, including professors and students who seek medical papers through a computer, and identifying the appropriate keywords for their research and investigation

4. Investigating the scientific and new needs of the clients and proposing its management

5. Collaboration on the binding of resources and lending them to applicants

6. Instructions for referrals to other scientific and research centers as needed

7. Cooperation in the purchase of resources and journals

Public Relations

1. Establishing and enhancing hospital communication with organizations and institutions within the scope of their duties

2. Monitoring the implementation of the system of proposals for people, employees and clients in order to encourage them to participate as effectively as possible in improving the affairs

3. Planning seminars, conferences and celebrations for various and special occasions

4. Providing performance reports of the public relations activities of the Center to authorities

5. Preparing news, issuing statements, announcements, banners and preparing the required responses in cases of necessity for reflection in the mass media and the press

6. Coordinating with the mass media in order to conduct interviews and participating in news conferences and conferences of Center officials and managers

7. Providing a good solution for the implementation and strengthening of electronic communication and better use of the Center site in the field of communication and sending messages to the audience

8. Establishing necessary coordination among other sections, internal and external sections for welcoming and conducting formal as well as informal visits and meetings

9. Following up and implementation of all public relations directives

10. Performing other tasks assigned by the management and the head of the hospital

Departments and Wards of the Center

Emergency, Supervision, Burn, Burn Operating Room, Day Care, Orthopedic, Men’s Neurosurgical, Women’s Neurosurgical, Men’s General Surgery, Operating Room, ICU

Orthopedic Ward

Head of the Orthopedic Ward: Dr. Seyed Ali Sajadi, MD, Orthopedist

Patients admitted in the Ward:

Patients with orthopedic problems requiring orthopedic surgeries

Men’s Neurosurgical Ward

Head of the Men’s Neurosurgical Ward: Dr. Seyed Mehran Molavi Shirazi, MD, Neurosurgeon

Patients admitted in the Ward:

Multiple trauma patients in neurosurgery

Neurosurgical patient

Activities:

1. Provision of therapeutic and supportive care for patients with orthopedic problems requiring orthopedic surgeries, multiple trauma patients in neurosurgery, neurosurgical patients

2. Conducting tests, counseling and following up patients' diagnostic and therapeutic procedures

3. Providing support services including physiotherapy, diets and ...

4. Providing services to post ICU patients

5. Providing the necessary tools for patients with orthopedic and neurological diseases by their own wards

Women’s Neurosurgical Ward

Head of the Men’s Neurosurgical Ward: Dr. Seyed Mehran Molavi Shirazi, MD, Neurosurgeon

Patients admitted in the Ward:

Multiple trauma patients in neurosurgery

Neurosurgical patient

Activities:

1. Provision of therapeutic and supportive care for patients with orthopedic problems requiring orthopedic surgeries, multiple trauma patients in neurosurgery, neurosurgical patients

2. Conducting tests, counseling and following up patients' diagnostic and therapeutic procedures

3. Providing support services including physiotherapy, diets and ...

4. Providing services to post ICU patients

5. Providing the necessary tools for patients with orthopedic and neurological diseases by their own wards

Men’s General Surgery Ward

Head: Dr. Ahmad Ebrahimi, MD, General Surgeon, Subspecialty in Plastic Surgery

Patients admitted in the Ward:

Patients with surgical problems requiring surgery

Activities:

1. Hospitalization of patients for surgery and pre and postoperative care such as appendicitis, gallstones, hemorrhoids, various cancers (chest-intestinal stomach, varieties of hernia, ....)

2. Hospitalization of patients after emergency surgery and patients admitted to the ICU, Post ICU, and postoperative care such as chest and abdominal trauma, spleen, chest tube and ...

3. Hospitalization of trauma patients for further clinical examination

4. Hospitalization of patients with postoperative complications such as surgical site infections and patients with wound infections and bed sores

5. Hospitalization of restorative patients, grafts and … .

Day Care Ward

Patients admitted in the Ward:

Patients are prepared for elective surgery with orthopedic, surgical, neurological, jaw and facial problems

Activities:

1. Performing tests, counseling and following up patients' diagnostic and therapeutic procedures

2. Following up the supply of required equipment for orthopedic and neurological and maxillofacial patients by the medical unit

Burn Ward

Head: Dr. Ali Taromiha, MD, General Surgeon

The Burn Ward of this Center is the only active Burn Ward that is responsible for the burned patients in Qazvin.

The Burn Ward of ​​this Center has two parts including operating room and burn unit. The Burn Ward has 6 rooms and 18 beds for men and women, a packing room, a drug store and a resting room. Burned patients are admitted to the Burn Ward after they are admitted to the Emergency Ward and doing such things as dressing and visits by the doctor, if necessary.

Patients will be dressing daily in the dressing room, will be trained after being rinsed by nurses and visited by a physician and would be placed on the list of surgery if necessary and with the practitioner’s discretion, and the next day, they will be subjected to scartomy, debridement, and sometimes fasciotomy and, graft, if necessary. Patients are under the supervision of physiotherapists who, in cooperation with a specialist physician, will carry out the relevant services. The nutrition of these patients is controlled by a nutrition expert at the Center and a suitable diet will be given to them.

Emergency Ward

Activities:

- Rehabilitation for patients requiring CPR

- Treatment of patients until the patient's general condition is established

- Initial diagnostic and therapeutic services until the patient is admitted to the hospital

- Intravenous therapy for patients

- Observing patients who require temporary care because of acute problems, such as accidents and …

- Stitches of the various parts of the body, face, lips and eyes, as well as burning dressing, accidental dressing and ...

- Different dressings including dressing after surgery and urine catheterization in the dressing room, plastering and plating in plating room of the Clinic

- And other services required for patients in the Emergency Ward

ICU

Head: Dr. Siamak Yaghoubi, MD, Fellowship in Anesthesia

Patients admitted to the ICU:

Patients who do not have good general condition before or after surgery (general, neurological, urological and orthopedic surgery) and need artificial ventilation and cardiorespiratory intensive care are referred to this Department. Among patients admitted to ICU, an important group of patients with respiratory disorders needs an artificial airway and a ventilator device. This group of patients includes:

1) Postoperative respiratory failure

2) Blows and crashes, especially blow to the head

3) Respiratory patients such as COPD or rib fractures

4) General disorders that cause respiratory problems

5) Patients who under neurological surgery have surgical shock or septic infections

The ICU Department is ready to accept all patients requiring critical care during the various hours of the day. The patient's admission will be coordinated by the departmental staff and the anesthetic specialists through the Emergency Ward or through the transfer from other Departments and Wards of the Center.

One of the most prominent features of this Department is the permanent attendance of an anesthetist who is responsible for observing the health care and treatment of ICU patients, as well as consulting the sick patients in other Departments and Wards as well as deciding on their transfer.

Patients in this Department are forbidden to visit and do not need a companion. Due to infection control, visit is limited. This section has a standard number of nurses trained to work in the ICU Department in each shift. Medical personnel are available 24 hours a day, when necessary and when device have problems, and the service will be performed in a timely manner.

An observation room is available for patients' companions in the Department and they can fully observe their patients (at certain hours).

Operating Room

Head: Dr. Mohsen Safari Zadeh (Orthopedist)

The operating rooms of Shahid Rajaee Center are available with nine active operating rooms for surgical services in various surgical wards as follows:

• A prominent feature of operating rooms is the use of all common facilities and equipment that allows for a wide range of surgical procedures.
• The CSR collection is distinct from other parts and is managed in accordance with strict sterile technique.
• The operating hours are from 7.30 am to 8.00 pm and according to the presence of surgeons in the Center, surgical operations can be performed all day and night.

Duties:

• Performing all general surgeries including:

Appendectomy, Hernia, Cholecystectomy, Tracheotomy, Thyroidectomy, Hemorrhoid, Pilonidal sinus, Synovial sinus, Mastectomy, different kinds of Biopsy, different kinds of Gastro-Intestinal cancer, Nerve repair, Jaw fractures

• Performing neurological and spine surgery:

Brain tumors, lumbar and cervical discs, cerebral hemorrhages caused by blows to the head, congenital brain anomalies and …

• Performing orthopedic surgeries:

Types of organ fractures, tendon rupture and nerve injury, congenital orthopedic anomalies and ...

• Moreover, the operating room of the Burn Ward on the ground floor performs the following surgeries: debridement, fasciotomy, burn repair and …
• Performing all outpatient surgeries including: Chest tube placement, , and CVP Line
• Providing scientific and practical training to residents of Surgery and Anesthesia
• Providing scientific and practical training to students of Operating Room Technology, Nursing or Anesthesia

• Acceptance of the patient in the operating room

Outpatient Acceptance:

Control of tests, control of operation management and satisfaction, control of blood reservation if needed, NPO control, VS control, patient control regarding the withdrawal of prosthetics, artificial teeth and jewelry, control of the place of operation, control of changing clothes

In case of transfer from Departments and Wards:

Pre-operative care sheet control, test control, control of satisfaction, if the patient is at High Risk, satisfaction is taken in the operating room, writing the patient case report and clinical patient notes, controlling the patient in the absence of artificial limbs and jewelry, ensuring the patients’ NPO

• Controlling the patient's readiness for starting surgery (monitoring, blood pressure, IV line control, patient control reassessment, appropriate positioning)

• Injection of anesthetic drugs under the supervision of anesthesiologist

• Intubation of the patient (if necessary)

• The anesthetic doctor's order to start the operation

• Performing surgery

• Patient control during the operation by technicians and anesthesiologists

• Exit procedure for patient from anesthesia

• Patient transfer to Recovery

• Delivering the patient to the recovery (giving a full explanation about the patient's situation during the operation to the recovery)

• Oxygen therapy, IO control, control of the level of consciousness, requesting blood and performing the required tests according to the order of the anesthetist (if necessary), injection of narcotics to relieve the patients’ pain by anesthesiologists’ prescription, completing the patient's case

• Transferring the patient to the relevant Departments and Wards

• Calling the head nurse of the Departments and Wards to deliver the patient, transferring the patient with the stretcher, controlling the patient's case, controlling the completion of the postoperative care sheet, controlling the level of consciousness, controlling the bleeding in the operation, delivering the patient by the nurse of the relevant Departments and Wards

• Knowing all devices, using the correct equipment and, troubleshooting the devices, if necessary