DOH ABTC / ABC ASSESSMENT TOOL (MEANS OF VERIFICATION)

Facility:
Major Requirements: YES NO
1. Trained Physician and Nurse on Management of Animal Bites from DOH
recognized training institution
2. Cold Chain equipment (Refrigerator and Vaccine carrier)
3. Standard recording & reporting system

The Animal Bite Treatment Center/ Animal Bite Center provides a safe and effective physical
Goal 1
environment to its patients and staff
The ABTC/ABC is easily located and patients have convenient and safe access to the center
Standard 1
MEANS OF VERIFICATION Scoring
1.1.  Official NRPCP signage infront of the
There is appropriate signage bearing the name of the center that is readable from a 50-meters
ABTC/ABC to assist patients accessing the center distance
 Directional signage from the main
highway to the abtc/abc (if needed)
1.2  Provisions for differently abled (eg ramp,
Physical access is appropriate for the needs of the hand rails etc-if needed)
patients  No obstructions (eg. NO PARKING SIGNS,
)
1.3  Labelled entrance and exit is identified
Entrance/exits are clearly marked and free of w/ no obstruction /clutter
obstruction and of other hazardous conditions
1.4  Schedule of vaccination is posted in
There are resources to inform patients of the daily conspicuous place, clear & visible in
schedule of the facility entrance to the facility
 Schedule of vaccination is distributed
through flyers or through tri-media

The Animal Bite Treatment Center/Animal Bite Center provides a safe and effective physical
Goal 1
environment to its staff and patients
The ABTC/ABC provides facilities for the comfort and privacy of its patients and staff.
Standard 2
MEANS OF VERIFICATION

2.1  Actual observation(clean, no mess or garbage,

The ABTC/ABC maintains a clean and health no offensive smell in & out of the premises)
promoting environment within and immediately  Cleaning schedule
outside its premises.  Person in charge in cleaning
2.2  Well ventilated waiting area w/ chairs
There are resources and processes to ensure the  Iec materials, tv/dvd
quality of patient waiting time.  Patient’s Interview
 Actual observation
2.3  Observation
The facility is adequately lighted.  Readable newsprint
 No shadow while standing
2.4  Examination room is secured, curtains or other
The privacy of every patient is assured materials to see to it that the patients are
afforded their privacy
 Standard room privacy observed
 The Animal Bite Treatment Center/Animal Bite Center Provides a safe and effective physical
Goal 1
environment to its patients and staff
Standard 3 The ABTC/ABC provides safety to its patients and staff

MEANS OF VERIFICATION
3.1  Actual Observation (, Clean source of water,
The facility has adequate clean water for wound soap, and trash can is available)
cleaning, personal hygiene, and sanitation  Wash area ( CR, faucet, dipper & pail etc)
purposes
3.2 Actual Observation:
The facility maintains appropriate levels of  Instruments used in ABTC shld be soaked in
cleanliness and antisepsis of all physical areas, any antiseptic solution; soaking solution is
equipment and instruments. changed every 2 weeks
 Presence of alcohol or other antiseptic
solution; phenolic type of disinfectants
 Sterilizer for instruments
3.3  Waste disposal segregation color coded
General waste, sharps, pathological and bin/properly labelled as to sharps, pathologic,
infectious waste, pharmaceutical and chemical gen waste
wastes are appropriately segregated, safely  Safety box/container for sharps
handled and disposed of according to accepted  Policies & procedures on proper Waste
safe disposal practices. Disposal
3.4  Policy on infection control
There are documented, disseminated, and  PreP Vaccination of ABTC/ABC staff
implemented procedures to identify and
address the risks of contamination of patients
and staff from sources of infectious diseases.

Patients receive appropriate and effective clinical management based on rabies exposure category.
Goal 2
Standard 4 All patients have continuous access to accurate and reliable animal bite exposure management.

MEANS OF VERIFICATION
4.1  Review of records
A physician completes and documents the relevant (ITR- SOAP, RER, PEP Card)
history for each patient
4.2  Algorithm of Categorization
The facility implements policies and procedures for  Policies & procedures
assuring the quality of bite exposure management.
4.3  two way referral system
If Rabies Vaccine/RIG is not available, policies and  Referral form
procedures for referring patients to another  Referral Slip
accessible ABTC/ABC are implemented and  Referral logbook
monitored for effectiveness.

4.4  Observation( presence of refrigerator,

Rabies Vaccine / RIG are secured and proper cold vaccine carrier, thermometer, updated
chain management is observed. temp monitoring chart)
 Review of Documents(Contingency plan
in case of power failure
 Patients receive appropriate and effective clinical management based on rabies exposure
Goal 2
category.
A comprehensive management approach is developed and followed for all patients
Standard 5
MEANS OF VERIFICATION
5.1  Document review(RER, ITR, PEP Card)
Management of rabies exposure is consistent  Patient Interview
with Rabies Prevention and Control Program  Interview Staff
Guidelines.
5.2  Observation ( flow chart)
Flow chart of patient management is visible and  Patient Interview
accessible to expedite the provision of services  Interview Staff
to patients.
5.3  Progress notes on patients chart
A comprehensive evaluation of the patient’s  Updated RER
progress is documented.
5.4  Review Documents( syllabus of Health Ed)
Health education is provided to all patients on  Observation (Presence of IEC Materials)
adherence to management and on responsible  Patient Interview
pet ownership.  Interview Staff
5.5  Defaulter tracing mechanism (SMS, phone
Policies and procedures for detecting PEP calls, email etc)
defaulters and getting them back for  Written policies & procedures
management are implemented and monitored  Defaulter logbook
for effectiveness.

Goal 3 The health staff adheres to clear policies and guidelines on efficient ABTC /ABC operation
The ABTC/ABC maintains accurate and updated records and reports to all animal bite victims.
Standard 6
MEANS OF VERIFICATION
6.1  patient registration number
Each patient is uniquely identified throughout  Look for ITR, RER, PEP Card
the course of management.
6.2  RER, NaRIS ITR
The facility maintains an updated database of  Record-keeping mechanism
patient records that is accessible to authorized
personnel.
6.3  Filed updated Qtrly report (received copy-if
The facility maintains quarterly reports of both emailed indicate date)
animal and human bite cases.
6.4  Vaccine Inventory Report
The facility maintains a quarterly inventory of  Updated vaccine stock card
Rabies vaccine/RIG.  Physical count of vaccines
 Goal 4 The ABTC/ABC Provides quality services with competent manpower to its patient
Standard 7
The ABTC/ABC has complete manpower complement performing assigned tasks.

MEANS OF VERIFICATION
7.1 The facility has qualified personnel trained on Certificate of training from a DOH accredited
Animal Bite Management training facility
7.2 There are personnel responsible for the following
7.2.1 Diagnosis and Management Physician in charge

7.2.2 Provision of Rabies Vaccine/RIG Physician/Nurse

7.2.3 Logistics Management Nurse/Pharmacist

7.2.4 Information Management Physician/Nurse

7.2.5 Financial Management Cashier/Nurse/ Person-in-charge

SCORING
0 grade in any standard means non provision of certification.
Passing score is equivalent to a total score of 50 points and above.

SUMMARY RATING

TOTAL
Standard MAXIMUM RATING
ABTC RATING CERTIFIER
1 8
2 8
3 8
4 8
5 10
6 8
7 12
TOTAL 62

RATER RATER

COMMENTS, COMMENDATIONS AND RECOMMENDATIONS BY THE SURVEY TEAM

(To be completed by the survey team only. The survey team must make comments on items where the survey
team disagrees or partially disagrees with information provided by the Animal Bite and Treatment Center.)