bhopal within three days after madhya pradesh health minister tulsi silawat warned strict action against those responsible for asking women to rest on floor post sterilization operations a fresh incident was reported from shivpuri district on thursday where 50 more women laid out on the floor after they underwent surgeries at the government health facilityfirst three cases were reported from vidisha and chhatarpur districts where nearly 150 women were operated at government hospitals reacting to media reports on these cases the health minister had said that those found accountable would have to face action two such were reported from vidisha district collector had suspended the block medical officer after receiving the information authorities in shivpuri district have also assured action when they were approached by the local media while health minister tulsi suilavat could not be contacted for his version commissioner prateek hajela didnt respond one of the senior officials however admitted that the government hospitals lack basic facilities with inadequate beds and stretchersmost of the district hospitals are violating the sop of sterilisation mandated by the union ministry of health and family welfare the hospital have been asked to follow guidelines over and again but to no avail senior authorities pose a deaf ear on this issue cases of infections are underreported to save own jobs said the health officer wishing anonymitybefore discharging women after operations onduty staff should assure that she understands the signs of potential problems warning signs she should know that she must return to the hospital immediately or seek emergency care if a problem develops but there are no such procedures he addedpostoperative care guidelines issued by goiwomen client should be kept under observation by a nursedoctor make the client as comfortable as possible handle the woman gently when moving her make sure that an over sedated client is never left unattended monitor the clients vital signs check blood pressure respiration and pulse every 15 minutes for one hour following surgery or till the patient is stable and awake thereafter check vitals every one hour until four hours after surgery record vital signs in the client record each time they are checked check the surgical dressing for oozing or bleeding for interval cases check for vaginal bleeding other than menstruationadminister drugs or treatment for symptoms according to the doctors orders water tea and fruit juices to be provided when the client feels comfortable client record form to be completed to determine when the client is ready for dischargeafter at least four hours of the procedure when the vital signs are stable and the client is fully awake has passed urine and can talk drink and walkthe client has been seen and evaluated by the health care provider whenever necessary the client should be kept overnight at the facility the client is accompanied by a responsible adult while returning home analgesics antibiotics and other medicines may be provided andor prescribed as required after sedation has worn off and before discharge a trained staff member should