1. LEGAL ASPECTS OF MEDICAL CARE DR.N.C.DAS

5. HOSPITAL RESPONSIBILITY SOCIETY WOMEN ORGN . YOUTH ORGN . OWNER LOCAL GOVT. RELATIVES PATIENT HOSPITAL STAFF VISITOR POLICE

8. CIVIL LAW LAW OF CONTRACTS LAW OF TORTS ( Not covered by contracts) LAW OF VICARIOUS RESPONSIBILITY EXPRESSED IMPLIED NEGLIGENCE INTENTIONAL INTERFERENCE COMMUNITY CARE RIGHTS MEDICAL LAWS

17. EXAMINATION OF MEDICO LEGAL CASE 4.If a case is brought by police, several days after the incident, for Medico Legal examination. -The opinion regarding the case is to be given according to the present exam findings and present condition of the patient. 5.If a case has already been dealt as Non Medico Legal by the first examining doctor in the casualty, it can be made Medico Legal by the concerned treating unit doctor, if they suspect any foul play at any stage, while the patient is in the hospital. They have to do all Medico Legal formalities in such cases. 6.Not registering a case as MLC by CMO shall solely depend on his assessment and not with anybody’s request or order. He will be held responsible if anything goes wrong.

19. PREPARATION OF MEDICAL LEGAL CASE SHEET 6. If patient is admitted it must be mentioned in the injury sheet, “Admitted For Detailed Examination and Management”. 7. Type of weapon (if possible) must be mentioned whether blunt or sharp, hard blunt, soft blunt, cutting weapon, stabbing weapon firearm on the basis of injury/ examination. 8. Nature of injury may be mentioned (either simple, grievous or dangerous/serious). 9. In case of suspected poisoning it must be mentioned as,” poisoning nature not known”, instead of “unknown poisoning”.

20. PREPARATION OF MEDICAL LEGAL CASE SHEET 10. In very critical cases where management is the first priority the general findings may be noted and patient may immediately be admitted for immediate treatment and above facts must be mentioned on the injury sheet, also that the case has been admitted for further detailed exam. and management. 11. A fresh injury sheet may not be prepared, if it had already been registered as Medico legal by some other hospital/ doctor. Only previous Medico legal registration number may be mentioned in the document labeling as Medico legal.

21. 12.If decision is taken to make a medico legal case after admission, the treating unit doctor (not below the rank of S.R./M.O.) should prepare the injury sheet. 13.In Medico legal cases brought dead injury sheet must be prepared where all details about the case may be mentioned. 14.If a Medico legal case is referred to the specialty doctor and he wants to admit the case or send the case to home, he must inform the C.M.O. concerned about the same, after examination, so that such an entry may be made in the Medico legal Injury sheet. 15. All victims of alleged rape and criminal abortion should be shown to lady doctor for examination and preparation of medico-legal injury sheet and other formalities. 16. Consent for medical examination should be taken unless he/she is arrested on charge of committing an offence and produced before C M O for medical examination. 17. If a person is below 18 years of age, consent of guardian is to be taken for private part examination. PREPARATION OF MEDICAL LEGAL CASE SHEET

23. 18. Casualty duty officer or any other doctor dealing with a medico legal case must complete all the formalities before he is relieved from duty. It is mandatory on the part of CMO to put time of arrival of patient in the casualty register. 19. The attending doctor to put his legible signature full name in capital letter and designation for future reference . 20. A copy of the MLC to be handed over to police taking a receipt. “ NO MLC SHOULD BE BACK DATED” ( THERE IS A SEPARATE PRESENTATION ON MEDICO LEGAL CASE RECORD)

24. HOSPITAL ADMINISTRATION MADE EASY http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. hospi ad DR. N. C. DAS