Hospital administrative SOP template

Record which department this covers, who owns the routines, and which administrative routines are in scope, stating clearly that clinical care is excluded.

List every routine that touches clinical or infection-control content and send that list to the lead responsible, with a due date for their answer.

For each handoff, record who sends, who receives and which non-clinical item or status is passed, using role names and no patient details.

Set out how the registration queue is ordered, who may escalate a delay, and to whom, using the wait-time target the hospital has set.

List the paperwork and status checks the ward administration completes, and the signal that tells the billing desk the file is ready, with an owner for each.

Name who requests a room to be turned around, who cleans, who inspects and who marks it ready, and have the infection-control lead set the cleaning method.

Give each ward its own daily housekeeping round as a recurring task under that ward's housekeeping supervisor, and look for gaps in the first week.

Define who may request supplies, who approves, who issues from the store, and where each issue is recorded so stock can be reconciled.

Create a weekly recurring count task and have the store owner set a reorder level for every item the department uses.

Brief each team only on the routines it uses, answer questions on the spot, and record which teams have been briefed.

Follow one shift with the routines in hand and note each step where what happens differs from what is written, and why.

Schedule a monthly review with the department leads, and keep a log where any staff member can suggest a change to a routine.