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 1. Purpose


The Resuscitation Committee is a hospital-wide, multidisciplinary committee that provides clear leadership to ensure efficient functioning of the resuscitation service.


2. Organization and Composition

The Chairperson shall be a doctor supervising emergency and high dependency services. A Co- chair and a secretary shall be elected among committee members as necessary


  • A medical doctor responsible for emergency 1

  • Anesthetist:1

  • Representative from each major department ( pediatrics, Neonatology, internal medicine, surgery, gynecology & obstetrics and  emergency,  which includes the HDU)

    NB: The Doctor shall be the chairman of the committee and the Co-Chair, secretary and Timekeeper will be voted among committee members.


3. Responsibilities

The resuscitation committee should be responsible for

  • Develop an effective resuscitation plan of action for the hospital

  • Create specific training programs that would include training for basic, advanced, and pediatric levels

  • Coordinate all departments to provide an effective and efficient Resuscitation Team

  • Develop and review policies and procedures related to the Resuscitation Plan of Action

  • Ensure implementation of operational policies governing resuscitation practice and training

  • Develop staff training program in resuscitative techniques, the level of training, and the required frequency (i.e. every two years for basic, and according to recognized guidelines for advanced and pediatric levels)

  • Determine the level of resuscitation training required by departments and individual staff members and Schedule appropriate level of training for all staff with direct patient care responsibilities

  • Assess resuscitation training needs and plan relevant trainings

  • Monitor and evaluate a District Hospital to the resuscitation plan of action and clinical guidelines

  • Propose to the management the required resuscitation equipment, drugs and materials for clinical use

  • Ensure documented evidence of completion of training (including achievement of required proficiency) after trainings

  • Advise management on requirements of resuscitation services in major departments.

4. Meeting  

The committee shall meet quarterly unless otherwise decided by the committee. Meetings shall be considered a quorum if five members or more than 50% are present, otherwise the meeting shall continue as an ad hoc meeting. If two successive ad hoc meetings occur, binding decisions may be taken in the second meeting. Minutes of the meetings and documentation of the recommendations made shall be kept and submitted to the Quality improvement committee.

Feedback of the meeting shall be given to the concerned district hospital departments within one week of a meeting.


5. Reporting

  • The committee must submit a report of its activities to the Hospital administration through quality improvement committee such reports will include advice and recommendations.

  • The minutes of all meetings of the Committee will be safely kept by Hospital Administration.

  • Minutes will only be circulated to members of the Committee.


6. Linkage 

The Resuscitation Committee links with the following committees:

  • Results of monitoring and evaluation of the resuscitation service is reported to the Quality Improvement Committee

  • New or revised resuscitation policies and procedures are processed through the Accreditation steering committee