1 Yr Project

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GENERAL ADMINISTRATION

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1) INTRODUCTION

Choithram Hospital & Research Centre is not only a hospital to treat disease but acomplete institution for care of whole Society. This hospital was established in the year 1979

by Late Shri Thakurdasji in the fond memory of his father Shri Choithramji Pagarani .Since its inception the founder of this hospital knew the problems of large section of oursociety, especially the rural masses who couldnt afford treatment. He laid the principle offree OPD , where any patient can consult any specialist doctor, and made available allspecialities of medical sciences with finest investigation facilities under one roof.

AIMS At Choithram hospital quality patient care is the prime objective. Caringattitude with precise skills are interwoven with modern technology to offerhighly specialised diagnostic and therapeutic service. Our aim is to bringworld class medical facilities within the reach of a common-man.

Sickness is a frightening experience. When a patient comes to a hospital he isentrusting himself to a team of strangers. At Choithram we stretch ourselvesto create an atmosphere of mutual trust and confidence. All patients receivethe same consideration regardless of cast creed or religion, socio-economicstatus or sex. Choithram is a referral hospital covering a large spectrum ofspecialities at one place.

Choithram Hospital & Research Centre.

HISTORY OF THE HOSPITAL

16 Jul 1979 The Choithram Hospital is commissioned

1981 Physiotherapy block is brought up.Fibre Optic Endoscopy is initiated which today carries out morethen 200 endoscopies and cystoscopies per month.Haemodialysis department is also started for renal failure cases.

1983 Gamma Camera (GAMMATONE T-900) for nuclear imaginginstalled.Radioimmunoassay [RIA] installed in pathology for diagnosis of

endocrine diseasesInstalled Computerized Blood Gas and Electrolyte AnalyzerCorona Analyzer in Biochem and Coulter System in haematologyinstalled.Microbiology lab was set-up.

1984 Cardiac Cath lab and Echocardiogram set up.Department of Neurosciences stated with EEG, EMG, ECT andmicro-neuro surgery.

1985 Open Heart Surgery started.

Percuteneous Renal Lithotripsy started.Microsurgery of middle ear started.


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1986 Renal transplant started, so far 262 transplants done.Diagnostic Clinical Immunology initiated.Ultrasonography unit set up.Total Body CT Scanner was installed.

1987 Total Hip Replacement started. More than done so far.Corneal Transplant Surgery undertaken.Departments of Neurosurgery and Onco surgery were updatedSeveral OPD Chambers added to cater for growing daily OPD

1988 60 Bed Paediatric wing added with department of Neonatology.Paediatric ICU started.fully equipped with incubators, ventilators,infusion pumps, central monitoring and oxygen system.Fully equipped 11 Bed ICCU and 7 Bed post operative ICU started.6 Bed Burn Unit commissionedTotal bed strength goes up to 300Recognised for aids surveillance and conducting research withICMRSolar heater installed for 24-hr hot water supply.Recognized for House Job by DAVV Indore.

1990 Indigenous CO2 Laser was given to us by CAT for trial anddevelopmentAutomated Haematology counter was installed in Path dept.Dr. Vinod Naneria trained under Dr Ranawat at Connel Uni, USAfor TKR surgery.

1991 Ultra MK4 AL ultrasound machine.Suzy Dental chair.

New telephone exchange.Transit incubator for neonates.Fiber optic gastroscope and colonoscope.Computerized treadmill and Halter monitor.Intra aortic balloon pump.21 Channel EEG machine.Solar Water heaterFundus camera for fluorescein Angiography..

Protocol of Technical collaboration with 1 St Moscow MedicalAcademy & other medical centers of USSR signed.

1992 Benevolent Founder Shri Thakurdasji Choithram Pagarani went tohis heavenly abode on 19 Mar 92.Colour Doppler Hitachi EUB 565Cardiofax Multichannel ECG machine.

Nicholet Viking II EMG & Evoke Potential machine.Close circuit TV Camera for microsurgery.Paging System.8 Different types of Laser Units.

National Neonatology Forum accredited our Neonatal Unit forspecial care level II.


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1993 PG Diploma in Medical Lab Sciences started under DAVV.Affiliated to Eye Bank Association of India.

1994 Recognised for Post PG DNB Neurology.

1995 Thalacemia Cancer detection Centre started. Nd YAG KTP Laser for Ophthalmology procured.Laser Prostatectomy started.ERCP equipment for Billiary duct Surgery procured.

1997 Online computerisation started for hospital information system.Donier Fibrotome Nd: YAG LaserLeksell Sterotactic System for Neurosurgery.Laser orientation course for doctors 7-12 Oct 96International Laser work shop 29 Jan 97.

National Conf on Hosp Infection control.Conversion of Nursing School into College 01 Aug 96.

1998 Fujinon Video EndoscopeAuto LabShimadzu Ultrasound Scanner.14 Bedded Step-down ICU inaugurated 15 Jul. 98.


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MAIN SERVICE AREA

i OUT PATIENT DEPARTMENT (O.P.D.) DENTAL DEPARTMENT

LAY OUT :- 02 ROOM

01 DOCTORS ROOM,01 X-RAYS ROOM

STAFF :- 05 MEMBERS, 02 DOCTOR

02 NURSING ASSISTANT,01 MAID

INCHARGE :- DR. ABHIJEET SIR

WORKING HOUR :- 08:30 AM TO 02:30 PM

WORK LOAD :- 15-20 PATIENT / DAY

EQUIPMENT :- TWO DENTAL CHAIR , X-RAYS MACHINE , SCALLER MACHINE ,AUTOCLAVE , STERILIZER , COMPRESSOR

CHARGE :- EXTRACTION 300 TO 750 /-

DIFFERENT CHARGES FOR DIFFERENT

EYE DEPARTMENTLAY OUT :- 02 ROOM

01 DOCTORS ROOM, 01 OPTOMETRIST

STAFF :- 04 MEMBERS, 01 DOCTOR

01 OPTOMETRIST

01 CLEARK

01 MAID

INCHARGE :- NIDHI MAM

WORKING HOUR :- 08 AM TO 04 PM

WORK LOAD :- 20 PATIENT / DAY

EQUIPMENT :- SLITE LAMP MACHINE , RETINASCOPE ,OPTHALMOSCOP , VISION DRUM

CHARGE :- 120 /-


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ENT DEPARTMENTLAY OUT :- 02 ROOM

STAFF :- 07 MEMBERS

03 DOCTOR,02 JUNIOR DOCTOR,01 SISTER,01 MAID

INCHARGE :- DR. PATHAK SIR

WORKING HOUR :- 10:00 AM TO 01:00 PM

WORK LOAD :- 40 PATIENT / DAY

EQUIPMENT :- SUCTION NOHTNY , TUNING FORK , PACKING FORCEP ,ENDOSCOPE , INDIRECT LARYNGOSCOPE MIRROR ,ORALSPECULLA

CHARGE :- 40 /-

300 /- OFTER 01:00 PM

RADIOTHERAPY LOCATION - Ground floor. LAYOUT - Near CT scan room, in the west wing. OBJECTIVE - to treat cancer patient by giving internal and external radiation. STAFF - 1 In charge- ENN

3 technicians2 consultants

2 senior registrars2 maids1clerical staff

WORKING HOURS -7:00 am to10:00 pm

7:00 am to 3:00 pm (for technician). ROOMS- Recovery room :-

4 beds, for 1 hour or 1 day only patient admit. Radiation room:-radiation is of two type- External and Internal

Radiation therapy include 3 steps- surgery, chemotherapy, and radiation

EXTERNAL RADIATION-

1. It is given Monday to Friday.2. Machine- linear accelerator.


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a. Gantry (It rotates 360 degree). b. Couch.c. Coli meter (Radiation emits.)d. 6 MB high energy x-ray.

e. Side effect is low- Blackening, pilling of cell, Nausea, oral ulcer,Headache.

INTERNAL RADIATION (Breaking area)-

1. Needle, beats, seeds are implanted in the body.2. Nucleation machine- In this machine cancer of cervix, buccal mucosa.3. Patient is kept for 10 to 15 min. for internal radiation.

Two changing rooms.

One TRS Room (treatment plan section).One Countering station.One mould room-

a. Only head, neck mould is made. b. It is made of plastic sheet.c. Plastic sheet is kept in water bath at 60 degree temp.d. Then it become flexible it can be shaped according to patients head and neck.e. With the mould, patients go for CT scan and through laser the area is marked

and then radiation is given.

One Administration area.

Charges : - 45000 Rupees, 75000 Rupees, 95000Rupees. Charges of machine : - 3.5 cr. Record :- Radiotherapy register and chemotherapeutic register.


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ENDOSCOPY LOCATION: Ground floor, left hand side of day care center, near corporate

desk.

LAYOUT: One reception room, two rooms for maam and sir, one room forcapsule endoscopy , one room for colonoscopy, one room for seminar, one autoresearch room, one ERCP and EVS room.

OBJECTIVE: To diagnose the problem inside the body. STAFF : four nursing staff, one technician, two clerk, one word boy, three junior doctors.

WORKING HOUR: For nursing it is 8 am to 4 pm and procedure happens between 10 am to 4 pm.Endoscopy hardly takes five minute.And colonoscopy takes thirty minute.

EQUIPMENT:Two monitor (one for endoscopy image).

Anesthesia traully.ECG leads.One endoscopy traully.Sphygmamometer.Saturation prob.

Suuction.Hydroxide .

AVERAGE PATIENT: 18 to 19 patients per day but someday 5 to 10 patients per day.

CHARGES: Endoscopy charges are 1600 Rupees and if biopsy is done thencharge will be 750 Rupees.

RECORD: All the record is maintained in the CD.


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Wards

ACUTE MALE SURGICAL WARD

All male surgical and accidental patients are admitted here. This ward is situated in first floor.

LAYOUT-:

24 Bedded

2 semi private room with A.C

3 Semi private room without A.C

14 General room

CHARGES-:

General room charge- Rs. 400

Doctor visit- 350

Semi private room with A.C charge -Rs. 1000

Semi private room without A.C charge - Rs. 800

STAFF-:

Morning: 3 nursesEvening: 3 nurses

Night: 2 nurses

1 ward boy

4 Aaya-bai

WORK-LOAD-:

4-5 Patients admitted per day.

EQUIPMENT-:

Glucometer,

sphgnomanometer,

nabolizer.

STORE -:

Badsheet, emergency drugs,pillow


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MALE WARDLOCATION- 3 rd floor.

LAYOUT-

1. RECEPTION2. GASTROENTEROLOGY AND LIVER WARD-13. GENERAL WARD-34. STORE ROOM-15. MEDICINE WARD-1

OBJECTIVE-male ward is for better care under medical supervision during treatment or duringrecovery. it is specified for males.

STAFFING-

Three shifts-

1. at morning-3 staff2. at evening-3 staff3. at night-2 staff

EACH SHIFT-in every ward there is one in charge.

1. 1 doctor available between 8am to 1 pm.2. 3 doctors available after 1 pm.3. 1 staff supervise 9-12 patients.

EQUIPMENTS-

1. Syringes

2. Glucometer pump

CHARGES-

General ward-600 rs per day. Semi private ward,-non a/c-800 per day

A/c-1000 per day.

Private ward-non a/c- 1400 per day a/c-1700 per day.

RECORDS-

1. MRD register.2. pathology register3. Morning, evening, night census.4. Emergency doctor calls register.


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FEMALE WARDLocation : - female ward of CH is situated on this third floor to the male ward

Layout : - two general ward four bed in each word

There are three semi private wards, two beds in each ward.

Total 24Beds

Objective :-female ward is for better care under medical supervision during treatment andduring recovery.

It is specified for female

Staffing: -one ward incharge

One assistant incharge

Eleven staff clerk

one floor clerk

one nursing assistant

seven ayaa bai, four sweeper

total staff is of 25Timing:- morning 07.30am-3.00 pm

Evening03.00pm-11.00pm

in night shift, in morning incharge is present in female ward in night supervisor is present infemale ward.

Workload: - 20 patients/day

Record : - diagnosis register, evening night register, emergency article book

Admission book, laundry book, discharge book

Cost : - Rs 600/pat for semiprivate (dr. visit fee-300 extra)

Rs 350/pat for general

Equipment : - laryngoscope emergency injection tablets oxygen and suction


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CATH LABHospital or clinical diagnosis imaging equipment used to support the catherization procedure.cath lab has its own operation theatre angioplasty are done.

Cardiac catheterization is an invasive imaging procedure that allow your dr. to evaluate yourheart function .

Confirm the presence of coronary ,valve disease of the arota evalaute your heart musclesfuntion.Determine the need for further treatment later angioplasty is also perform in the lab

Location :- Present at the first floor of the hospital

Layout :- near the opration theatre and acute surgical ward

Objective :- perform the angioplasty and angiography

Staffing:- 6 docter-4 permanent and 2 visiting

One intravesional cardiologist

Thre technichians

four sister

Two ward boy.

Timing :- The staff work in two shift

1. 8am to 4 pm

2. 3 pm to 10 pm

Workload:- 60-70 patients per month

Equipment :

C-arm machine (ofseimens)

angiotray contains bowlsponges

holdergreen towels

diagnostic catheters

differents stents

Three computer forangiography andangioplastyocedures

One patiants vitalmonitoring

One memory backupand

report genration


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Charges:- for angioplasty

procedure charge -Rs4000

medicine-Rs700 investigation charges -

Rs1000

CD-charges-Rs-500

for angiography

general/simple-Rs-50000

complicated-Rs-65000

Record:- patiants records is maintained consist of

main cath lab ragister

1-angioplasty ragister

CDragister

E.S.I.C. RAGISTER

DIETICIANLOCATION- It is located on ground floor

LAYOUT- 1room

OBJECTIVE- A dietitian is a health care professional who focuses on proper food and

nutrition in order to promote good health. The goals of dietetians are to provide medicalnutritional intervention, and to obtain, safely prepare, and serve and advise on flavorsome,attractive, and nutritious food for patients, groups and communities.

STAFF-1 doctor, 2 trainee

WORKING HOURS- 9am to 1pm

WORKLOAD- average patient 10/day

CHARGE- Rs. 40

RECORD- computerized

INTENSIVE CRITIC L C RE UNIT


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LOCATION --first floor near canteen, front of stairs going to second floor.

LAYOUT Layout of I.C.C.U is:-

OBJECTIVE - To treat the critical patients.


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DIVISION Main I.C.U.is divided into two parts

1. Surgical side

2 .Medical side

Total 21 beds:-17 general

4 private rooms

STAFF There are 35 members in two shifts.

12-15 staff in each shift

Two I.C.U incharge

One Nursing incharge

WORKING HOURS - Nursing hours 8:00 am to 8:00 pm

Doctors hours 8:00 am to 3:00 pm

EQUIPMENTS Monitor-heart rate ,oxygen saturation ,arterial B.P. recorded

Ventilator there are 4 different companies ventilator in I.C.U.

Suction pump Infusion pump Humidifier Non invasive pump Defibrillator Needle container Hand rub near each bed for infection control Crash trolley all emergency medicine put here ABG Machine (arterial blood gas)- detect oxygen level in arterial

blood

CHARGES - General 1800 rupees per day.+ 350 doctor .visit

Private- 2300 rupees per day + 350 doctor visit

Ventilator -1800 rupees per day.

RECORDS Daily records of patients maintain in ICU register.

WORKLOAD Average 15 patients per day.


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DI LYSIS

LOCATION -first floor

LAYOUT - Near urology department, west wing.

OBJECTIVE- serves as an artificial kidney and purifies blood

DIVISION whole department is divided into 3 portionsTotal 25 beds

In one portion 14 beds for NR patientsIn middle portion 5 beds for hepatitis C patientsHIV patients are also concerned here.In other portion remaining beds

STAFF-22 members including technician3 doctors-Dr. SalviyDr. Saxena

Dr. Sepaha2 ward boy

2 sweepers

WORKING HOURS -6:00 am to 10:00 pm

EQUIPMENTS Nipro surdial dialyser machineSphygmomanometer NebulizerSuctionDialyser tube

Dialyser can be used for 8 timesTube can be used for 12 timesDialysis machine is filled with formalin for cleaning after once used.

CHARGES 1300 Rupees for first time

Then 850 Rupees per day.Renal profile and Serology test is also done here.

RECORDS - Daily record maintain in register.Record book in which measurement of weight, B.P., Ultra filtration rate

at time of both admission and dischargeAverage 15 patients come daily.


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MortuaryLOCATION :-Outside the Choithram Hospital near Physiotherapy unit.

LAYOUT:- 1 Room

OBJECTIVE :-A morgue or mortuary (as in Choithram hospital) is used for the storage ofhuman corpses awaiting identification, or removal for autopsy or disposal by burial, cremation or otherwise. In modern times they have customarily been refrigerated to delaydecomposition.

Types of cold chambers:- There are two types of mortuary cold chambers:

1.Positive temperature

Bodies are kept between 2C (36F) and 4C (39F). While this is usually used for keeping bodies for up to several weeks, it does not prevent decomposition, which continues at aslower rate than at room temperature.

2.Negative temperature

Bodies are kept at between -10C (14F) and -50C (-58F). Usually used at forensicinstitutes, particularly when a body has not been identified. At these temperatures the body iscompletely frozen and decomposition is very much reduced.

In Choithram Hospital human corpuses are stord in positive temperature cold chamber knownas YORCO mortuary chamber.

STAFF:- 1.)Incharge-C.M.O 2.)Ward Boys-2

WORKING HOUR :- Round The Clock

CAPACITY :-6 bodies at a time.

CHARGES :-For 1 st day its free from next day Rs.300/day.

RECORDS :-Death Register
http://en.wikipedia.org/wiki/Hospitalhttp://en.wikipedia.org/wiki/Corpsehttp://en.wikipedia.org/wiki/Autopsyhttp://en.wikipedia.org/wiki/Burialhttp://en.wikipedia.org/wiki/Cremationhttp://en.wikipedia.org/wiki/Refrigeratedhttp://en.wikipedia.org/wiki/Decompositionhttp://en.wikipedia.org/wiki/Freezinghttp://en.wikipedia.org/wiki/Decompositionhttp://en.wikipedia.org/wiki/Decompositionhttp://en.wikipedia.org/wiki/Freezinghttp://en.wikipedia.org/wiki/Decompositionhttp://en.wikipedia.org/wiki/Refrigeratedhttp://en.wikipedia.org/wiki/Cremationhttp://en.wikipedia.org/wiki/Burialhttp://en.wikipedia.org/wiki/Autopsyhttp://en.wikipedia.org/wiki/Corpsehttp://en.wikipedia.org/wiki/Hospital


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DAY CARE CENTREINTRODUCTION

Health care services provided by an impatient or outpatient healthcare provider , whenthe patient has to stay for treatment (operation, procedure, or examination ) . But notstay overnight

In choithram hospital day care centre is OPD unit. where treatement is provide to the patients for a few hours during the day time.Here patients are not admitted.

Layout

Total bed in the day care centre :- 9 beds

In which:-

4 general

4 semi-private

1 private

Charges for all beds are same

Objective

Objective of day care unit :-

1.observation

2.provide treatment in a day time.

3.No need of admission of patient.

Function

Provide treatments :-

1.Chemotherapy

2.Blood transfusion

3.Pleural& peritoneal tapping

Procedure of treatment :-

1.Intramuscular injection

2.Intra-venous injection

3.Lumber puncture

CHARGES FOR TREATMENT

1.For observation :-

6 hours :- 300 Rs.

Moe than 6 hours:- 600 Rs.

2.For chemotherapy :-

6 hours :- 900 Rs.

More than 6 hours:- 1200 Rs

3. blood transfusion

CHARGES FOR TREATMENT

6 hours:- 1050 Rs. More than 6 hours :-1350 Rs.

Staff


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2 members present in the staff :-

1. incharge

2. nurse

Working hours

Working hours of day care unit :- 8 am. 4 pm.

Work load

9 patients per day

Equipments

All emergency equipments are present

Suction apparatus

Nebulizer

B.p. appratus

Waste management

1.30 Ltr. Bucket with red polythene :-

Dressing , gauze piece , cotton pad

Any soaked clothing

2. 30 Ltr. Blue bucket :-

Drain tubings , drain bag , separated barrel & piston of a syringe

3.30 Ltr. Bucket with 0.5 % sodium hypochloride solution:-

For rubber gloves

4.50 Ltr. Of blue bucket :-

IV bottels

IV plastic bottels

Plastic hangers

5.30 Ltr. Bucket with black polythene:-

Non infected items such as

Paper,food items,plastic polythenes, plastic milky golves

Records

Procedure record maintain in day care centre


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BURN UNIT :-1.Location- Located at 3 nd floor. Near the female ward.

2.Layout - Rooms in burn unit :-

4 rooms of 12 beded capacity One staff room dressing room

One store rooms One reception Room

3.Objective - Objectives of burn unit :-

Provide quick treatment to burn patients. Healing the wounds of patients & make them able to go for work & in society ,

home.

Provide intensive care to the patients.4.Staff -Total staff in burn unit :-

eight nurses six nursing assistant four ward boy

three sweeper one clerk one doctor

5.Working hours- 24 hours in three shifts:-

8am. to 4 pm.

4pm. To 12 am. 12am. to 8 am.

6. work load 15 to 20 patients/ month

7.Equipment - All emergency equipments are present :-

Ventilator Cardiac monitor

Pulse oxymitre

Angioscope

8. charges -charges in burn unit:-

bed charge :- 500 Rs./day For doctors visit :- 300 Rs./day

9. Records- Records in burn unit:-

All burn cases are medico legalcases.mlc register is maintained

Maintain burn data Admission- discharge register

Evening night register Emergency acute register

Pathology register Diagnose registers


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DELUXE & PRIVATE WARDLOCATION :- it is located on the ground floor of ther hospital.

LAYOUT :-it has 13 rooms

2- NON AC ROOMS

1 -AC ROOM

2-SUPER DELUXE ROOMS

OBJECTIVES :- 1day ICU stay +2days ward Fees for cardiologists &anesthetists Medicine as per lists

Investigation as per lists Cath lab charges , routine consumables & disposables C.D. Food Non ionic contrast upto 50 ml Balloon guiding catheter as- per actual One day ICU stay +2 day ward (BMV)+3 day in ward (in

balloon aortic valvoplasty & balloon angioplasty of coarctation aorta)

STAFF :- 1 incharge

One DieticianWORKING HOURS :- morning hours -6 hours duty

EQUIPTMENTS :- vaccum tube which is centralized means there is no need of tube.

CHARGES :- Non AC Rooms -Rs14,000/- Dr visit- Rs400/-

AC Rooms- Rs1700/- Doctor visit-Rs500/-

Super deluxe room -Rs3000/-/- Doctor visit-Rs -Rs600/-

RECORDS :-Doctor sheet & Nurse Sheet, Intake and out take sheet, Temperature sheet,Equipment and store list


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NEW SURGICAL WARD

LOCATION :- FIRST FLOOR RIGHT SIGHT

LAY OUT :- 16 ROOM IN NEW SERGICAL WARD

13 ROOM PRIVATE IN NEW SERGICALWARD

6 A.C. ROOM7 NON A.C. ROOM

3 SEMI PRIVATE A.C. ROOM

OBJECTIVES :- SURGARY PATIENT

STAFF :- DEPEND ON PATIENT

INCHARGE :- ASHUNTA MAM

WORKING HOUR :- 24 HOUR

WORK LOAD :- 100 AVG.

CHARGE :- PRIVATE A.C. 1700 / DAY + DOCTERVISIT 500

NON A.C. 1400 / DAY + DOCTER VISIT 500

RECORD :- DIAGNOSIS BOOK , EVENING NIGHTRECORD , DOCTERS CALL BOOK ,ARTICLE OVER BOOK , ITEMCHARGE BOOK


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OPEN HEART UNITLOCATION :- FIRST FLOOR RIGHT SIGHT

LAY OUT :- 03 BADED IN OHU

OBJECTIVES :- ONLY HEART PATIENT

STAFF :- TWO MEMBERS

MORNING 7: 30 AM TO 3: 30 PM EVENING 3:30 PM TO 11:00 PM

NIGHT 11:00 PM TO 7:00 AM



WORK LOAD :- 10 PATIENT / MONTH

CHARGE :- 800 / DAY + DOCTER VISIT 500

RECORD :- DIAGNOSIS BOOK ,

EVENING NIGHT RECORD , DOCTERS CALL BOOK , ARTICLE OVER BOOK , ITEM CHARGE BOOK ,

NURSES SHEET , INTAKE SHEET , TEMPRETURE CHART

RENAL TRANSPLANT UNIT

LOCATION :- FIRST FLOOR RIGHT SIGHT

LAY OUT :- 03 BADED IN RTU

02 ROOM PRIVATE IN RTU, 02 ISOLATION ROOM

OBJECTIVES :- SURGARY PATIENT

STAFF :- 01 NURSE



EQUIPMENT :- C.P.U., MONITERS ( HEART RATE , PULSE ), T.V.,DOUBLE A.C.

CHARGE :- 1400 / DAY + DOCTER VISIT 500


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Step-down I CU:-

1.Location- Step down ICU located at 1 st floor.

2.Layout- Rooms in step down ICU :-

Store room Linen room Sluice room Staff room Extra room Two rooms of 15 bed capacity. In which two beds for dialysis.

3.Objective- Objective of Step down ICU :- intensive care of patients.patients in the stable

condition in main ICU shifted into step down ICU for intensive care. In step down ICU patients kept without ventilator.

4.Staff- In staff total 15 members are present.

Staff patient ratio :- 1 staff : 2 patients Four nursing assistant Two sweeper Three aaya bai

5.Working hours- 24 hours in two shifts :-

8am.to 8 pm. 8 pm. To 8 am.

6.Equipment- All emergency equipments are present :-

Oxygen supply E.C.G. machine Suction pump

Infusion pump Mainly monitors

7. Charges- Charges in step down ICU:-

Bed charge :- 1000 Rs./day Doctors visit :- 300 Rs./day

8. Records- Records of step down ICU :-

Evening-night register Emergency equipment register Diagnosis register Dr. code book Stock registers


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PEDIATRIC WARDLOCATION - It is located on the second floor.

LAYOUT - 1. NICU-Neonatal Intensive Care Unit {from birth to 1month}

#This unit is devided into three:

Inborn, Outborn , Sickborn.

2. PICU- Pediatric ICU{upto 15 years}

3. Thalasemia daycare

4. Private ward{AC/NonAC}

5. Semiprivate ward{AC/Non AC}

6. General ward

7. Seminar hall {training & meeting for nurses& doctors}

8. Store room

9. Pantry

OBJECTIVE - This department have all possible facilities for care of children & new born babies. NICU look after premature, small, and sick newborn babies. PICU have special procedure like CPR, ventilator support, exchange transfusions.

The thalassemia daycare center arrange for transfusions & other need of the thallasemicchildren. The development & disability clinic with speech therapist and physiotherapist

provides complete assessment, treatment and guidance facilities for disabled children.

STAFF - Incharge: Sister Meena

5 nursing assistant, 2 sweeper,6 aya bai.

WORKING HOURS - 8 hours duty

Morning 7:30a.m. to 3:30p.m.

Evening- 3:00pm to 11:00pm

Night- 11:00pm to 8:00a.m.

WORKLOAD - average patient 30-40/day

EQUIPMENTS - Incubator, Weight machine


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Monitor, Infisor pump, ventilator.

CHARGE -

#private ward-

AC-1800

NAC-1400

D- 500

#Semiprivate ward-

AC-1000

NAC-800

D-350

#General ward 400+300{doctor visit}

#NICU- 800

#Thalassemia daycare - 1000/ month

RECORD - 1. Doctors call book

2. diagonosis register3. discharge card


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OPERATION THEATRS

LAYOUT:- Total 8 OT in the hospital. On the ground floor one OT which is Labor OT. On first floor remaining OT is present. 1st & 2 nd OT is renal OT. 3rd OT is for Leprotomy & Infected cases. 4th OT is Burn OT. 5th OT is Minor OT. 6th OT is Local OT. 7th OT is Cardiac OTs. Opening of cath lab.

OBJECTIVE: - To provide operational services to the patients.

STAFF:- In one OT 2 nurses & 1 technician and 1 ward boy always availableWORKING HOUR: - 8am to 4pm .

Then emergency in evening & night one nurse availableWORK LOAD: - 15 operations per day EQUIPMENTS:-

OT TABLE:- on the time of surgery doctors take patients on this. BOIL MACHINE. SUCCTION MACHINE:- for suction some waste fluid or air from

the body of patient. QUATRISE MACHINE:- for coagulation of blood during surgery.

SOME TRAULYS- ONE DOUBLE TRAULY:- gaun and gloves kept in this. ONE SINGLE TRAULY:- for covering the trauly, sheet kept in

this. ONE CERVE TRAULY:- instruments kept in this. ONE MYO TRAULY:- this is also for keeping instruments. ONE DOUBLE BASIN:- keeping extra instruments. ONE SINGLE BASIN:- ABC pack is kept in this for sucking fluid

& blood. MONITERS:- for seeing the heart rate, blood pressure, blood sugar

etc. DEFEBRILATOR:- when patient cant breath then give him shock

so that he will again breath. BLANCO TABLE:- the top of this table is penetrates by the X-

rays, so that it will joint with the C-arm machine which gives x-rayof the body part. Like in Uro-surgery, orthropedics etc.

FRACTURE TABLE:- for arthro cases. In Cardiac OT some extra equipments are there included above

these all- ONE WARMER:- to give heat to patient. ONE PLASTIC SHEET:- filled with a fluid so that patient dont

feel the pressure .


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ONE HEART LUNG MACHINE:- for artificial breathing, sameworks as heart and patient fully depend on this. Mainly used inMITRAL VALVE REPLACEMENT, ARTERIAL SEPTALDEFECT, DOUBLE VALVE REPLACEMENT.

ONE PACE MAKER MACHINE ONE X-RAY BOX. ANGIOGRAPHY MACHIN.

CHARGES :- Charges depend on the surgery.RECORD:-

1. BOOKING REGISTER-

Date &timeOfbooking

OT Serialno.

Patientname

Age Ward Diagnosis Operation Surgeon Anaesthesia

Anesthetist Scheduledtime ofsurgery

2. SURGERY MAINTAIN REGISTERSTORE :-

Emergency drugkit.

Spirit solution. Microscope. C-arm machine.

TV cameras. Sets. Special kits. Instruments

SUPPORTIVE AREAS

PATHOLOGY

INTRODUCTION-

Pathology is a scientific study of disease and its nature,causes,mechanism,and effects.Depending upon species studied there are various discipline of pathology such as human

pathology,animal pathology,etc.human pathology is the largest branch of pathology.it isconventionally divided into general pathology,dealing with general principles of disease,andsystemic pathology that includes study of disease pertaing to the specific organs of the bodysystems.

The specialty of pathology has come to include the following sub specialities:-

1. Histopathology 4.biochemistry.

2. Haematology. 5. Microbiology

3. Serology 6.cytology.

FUNCTION:-


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1.To assist doctor in arriving at confirm diagnosis and to assist treatment.

2.The lab not only generates promt and liable reports,but also functions as a store house ofreports for future refrences.

3.To carry out urgrnt tests at any part of day or night and thus,provide 24 hour services.

A. HISTOPATHOLOGY:-Histopathology used synonymously with anatomic pathology,pathological anatomy ormorbid anatomy,is the classic method study and still the most useful one,which has stood thetest of time.the study includes structural changes observed by naked eyes examinationreffered to as gross or macroscopic changes,and the changes detected by light and electronmicroscopy supported by numerous special staining method including histochemicalimmunological techniques to arrive at the most accurate diagnosis.

STAFFING-1. histo-pathologist.2. 2 technicians.3. 1 aaya bai.

INSTRUMENT-

1. Tissue processor.

2. Microtone.

3. Automatic knife sharpener.

4. Centrifuge.

Slides and blocks are preserved for 5 years which have medico legal importance.

On an average 200 tests are performed monthly.

B. HEMATOLOGY:-Hematology deals with the disease of blood.it includes clinical and laboratory.thedifferent tests performed at laboratory are

1. Hb2. RBC count3. WBC count4. Platelet count5. ESR6. PCV(packed cell volume)7. MCV8. Totalcount


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STAFFING:-

1. Hematologist

2. Technicians

INSTRUMENTS:-

1.ms-9 cell ounter colorimeter.

2.coulter 30-40 reagents.

About 100-150 tests are performed daily,out of which hb is most common.

C. BIOCHEMISTRYInvitro diagnosis quantification of biological fluid, as well as quantitative determination ofdrug abuse in urine. access Immunoassay system,Tumor makers,Hormone test,test on serumseparated from blood.

STAFFING_

1. HOD2. 1 senior technician3. 1 junior scientific officer4. 7 junior technicians.INSTRUMENTS:-

Fully automated analyzer which includes:

1.hitachi 704.

2.easy lyte.

OTHER EQUIPMENTS:-

1. blood gas.2. 2. balance3. spectrophotometer.

total test available in this department are 125.

D.MICROBIOLOGY:-

Basically it is for cell,tissue culture.the specimen is in form of stool,urine,and sputummainly.the microorganisms are allowed to grow on agar medium and then growth is stidied.

STAFFING:-

Incharge-Dr. D.S. chitins

Senior technicians-7

Junior technicia


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x-ray :-1. location- x-ray department located at ground floor. Near the casualty

2. layout- There are three rooms in x-ray department which contain x ray machines of 300mA with image intensifier & T.V. system there three portable machines , one for O.T.radiography & another two machines are utilized for beside radiography in I.C.U. & wards

3. objective-

Diagnosis of abnormalities in the body Radiology are done which includes :-barium studies , I.V.Ps , urethrograms ,

sinograms, , fistulograms

4. staff-Total staff of x - ray department are:-

Twelve technician Two sisters Two ward boy Five doctors One sweeper One typiest

5. working hours- 24 hours in three shifts :-

8 am. To 4 pm. 4pm. To 12 am. 12am. To 8 am.

6. work load 100 to 110 patients/day

7. equipment- x ray machine. Parts of x ray machine:-

Two x ray tubes , camera, bucky tray:- a sliding metal tray under the radiographic tablewhich holds the cassette, cassatte,table top, control machine , lead curtain for the safety oftechnician.

8. charges-Charges of x ray depend on the body part .

Minimum charge for x - ray :- 250 Rs. Maximum charge for x - ray :- 1650 to 3500 Rs.

9. records- No manual record maintained in x ray department. All records are computerized.


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NUCLEAR MEDICINE

In The Field Of The Nuclear Medicine Choitram Hospital And Research

Centre, Indore Has been the pioneer in MP since 1983.Here Scans occurs of Thyroid,Renal,Renal DMSA

,Heptatobiliary,GBP,Liver spleen,Bone,Nuclear myocardial perfusion

Done and Radioactive Iodine (I- 131) Therapy for Thyrotoxicosis

occurs.

The milienium SPECT GAMMA Camera/computer system is capable of

acquring and processing the whole gamut of nuclear medicine procedures

like static,dynamic,whole body,multigated cardiac,tomographic and

gated tomographic studies.

LAYOUT -:

3 Rooms

WORKLOAD-:

5-6 Patient per day

CHARGES-:

Depend on body parts

INCHARGE-:

Dr.R.K Soni

STAFF-:

1 R.S.O

1 Technichian

1 Pe on


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EEG & EMG department:-1.Location- located at ground floor.

2.Layout - Two rooms:-

EEG machineroom

EMG machineroom

One receptionRoom

3.Objective - electroencephlography & electromylography of patients

4.Staff- Total staff :-

One incharge Two technician

5.Working hours-

8:30 am. To 4:30 pm.

6. work load

70 to 80 patients/month

7.Equipment-

EEG machine :-EEG grass machine, EEG video machine .basic parts of machine 22

electrodes present in a electrode box . All electrods connected to the different lobes ofthe brain by paste.

An EEG, or electroencephalogram, is a test that can help diagnose epilepsy. During an EEG,the electrical signals of the brain are recorded. This electrical activity is detected byelectrodes, or sensors, placed on the patient's scalp and transmitted to a polygraph thatrecords the activity.

Electrical signals produced by the brain neurons are picked up by the electrodes andtransmitted to a polygraph, where they produce separate graphs on moving paper using an ink

writing pen or on a computer screen. EMG machine :- Three test conduct by this machine:-

EMG :- for electrical activity of muscles

NCS:- for electrical activity of nerve

EPG:- In which view the path between vision & auditory brain stream to optic nerve

8. charges - charges are :-

For EEG :- 600 Rs.

For EMG:- 1400 Rs.

For EVP :- 400 Rs.

For NCS :- 100 Rs.


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CT SCAN

LOCATION :- WEST WING RIGHT SIGHT

LAY OUT :- 02 ROOM IN CT SCAN

STAFF :- 03 MEMBERS

01 SENIOR TECHNICIAN

02 JUNIOR TECHNICION

INCHARGE :- SUDAKAR SIR

WORKING TIME :- 8:00 AM TO 10:00 PM

WORK LOAD :- 10 PATIENT/DAY

EQUIPMENT :- CT SCAN MACHINE,MONITERS

CHARGE :- DEPEND ON BODY PARTS

Sample collection department

Location: In the ground floor Layout: Two rooms one is reception & another is sample collection room. Objective: Is to collect samples for different pathological tests Staff: seven member

1- In charge

3- Technician, with two junior members & one senior member.

2- Assistant

1- Nurse.

Working hours: eight hours working from morning 8am to evening 5pm. Work load: 400-500 registration per day. Equipments: syringes, blood collecting bottles, blood pressure instrument. Charges: It depends according to the type of test. Record: In computers record is maintained in which patient name, IPD number,

receipt number, time, date, type of sample is recorded.


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Private branch extension department Location: In ground floor near audit room. Layout: Two rooms one is phone reception room & another exchange board

machine room. Objective: It is used for enquiry of hospital from outsiders and this act as an

intermediate room to link between hospital and outsiders for any information. Staff: two supervisors with one junior and other senior. Working hours: Twelve hours working in two shifts from [10am to 4pm & 4pm to

10pm] Work load: one thousand calls per day approx. are attend. Equipments: Exchange board machine, amplifier & telephone.

Pharmacy Location: In ground floor in out patient department. Layout : one room Objective: provide drug and medicine to hospital staff with the Head of

department subscription. Staff: two members with one in charge and one assistant. Working hours: from [8a.m to 4p.m] Record: maintained in computers .

BLOOD BANK LAYOUT

DONAR ROOM:- in this room the donor donates blood to the blood bank. REFRESHMENT ROOM:- in this room donor comes after donate blood and

take some snacks. REGISTRATION ROOM:- in this room donor comes and registers himself. WORKING ROOM:- in this room the test of blood group occurs. BLOOD BANK ROOM:- in this screening blood is kept. Means that blood

which ready to give to receiver. COMPONANT ROOM:- in this room the component of blood is kept.

OBJECTIVE :-To provide blood to the need able patients. And save their life. STAFF :- 6 member,1 ward boy,1 sweeper

INCHARGE- Dr. Neetu Thakur.

WORKING HOUR :- 9am to 5pm Night emergency staff

WORK LOAD:- 30 TO 35 donor per day EQUIPMENTS

BLOOD BAG:- there are 2 bags kept together in a packet One is for separation of plasma.

Another is for blood elements There are 2 types of bag -


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one is of 450 ml- for those whose weight is above from 55 kg Another is of 350 ml- for those whose weight is below from 55

kg. SHAKER MACHINE:- for shaking blood during the time of donation.

EMBIBO MACHINE:- by this machine we give oxygen to patient by this. CLUMP:- by this we can stop the blood flow of patient. TWO WATER BATH :- by this maintain the temperature of blood

component. THREE CENTRIFUSE MACHINE THREE FFP(fresh frozen plasma)STORAGE:- its expiry date is 1 year. ONE PLATELET HESITATER MACHINE:- in this platelet kept up to 5

days after, they expires. ONE COLDAGE ONE SILAR MACHINE :- by this bag tube soled.

CHARGES Charges depend on the component of blood required

RECORD Date Blood

bank No

Name Age/sex Address Bloodgroup& Rh

Hb Weight B.P. Pulserate/min

Temp RespiratoryRate

VdR d

STORE Emergency drug kit. Spirit solution.

GENERAL HEALTH CHECK UPLAYOUT:-

TWOROM:-

ONE ROOM:- check up roomONE ROOM:- assistant director hospital services

OBJECTIVE:- To provide genera health check up to the people and also the awareness of their

health.

STAFF One nursing assistant, one made, three doctors

WORKING HOUR :- 8am to 4pm

WORK LOAD: - 10 patients per day


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EQUIPMENTS: - 1 weighing machine CHARGES :- Charges depend on the check up.RECORD:-

Serialno.

Date Hospitalno.

G.H.C.no

Patientsname

Amount R.no.

Package Address

PHYSIOTHARAPY

LAYOUT:- ONE ROOM:- 5 bedded.

ONE ROOM:- for assist patients. ONE ROOM:- in this room 2 bed & 1 table is kept. ONESPEECH THARAPY ROOM STAFF ROOM. ONE HALL:- 5 bedded, ONE WAX ROOM:- paraffin wax therapy is give to the patients.

OBJECTIV: - To provide good health to the patients and improve their fitness. STAFF :-

Five P.G. Doctors.

four graduates Doctors. Two technicians. INCHARGE- Dr. J. Denial.

WORKING HOUR:- 9am to 4pm . WORK LOAD:- 40 to 50 patients per day EQUIPMENTS:-

THREE SHORT WAVE DITHALAMY MACHINE: - by this heatgiving to the patients.

ONE ULTRA SOUND: - by this can take sonography of patients. ONE TRANS CUTENIOUS ELECTRICAL NERVE

STIMULATION: - for pain relief. TWO INTER FAYRANCIAL THARAPY TWO MUSSLE STIMULATOR TWO TRACTION:- for sodalities. TWO QUARDS TABLE TWO C.P.M. MACHINE SOME PULLYS ONE INFRA RED RADIATIO AND ONE PARALLEL BAR.

CHARGES Charges depend on the modality exercise -100Rs.

For opd who comes only for one day-100Rs.


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RECORD Date Treatment

servicesAmount Receipt

no.

STORE:- Walker, wheel chair

Magnetic resonance imaging [M.R.I] Location: outside hospital Layout: two rooms Objective: more detailed study of body parts is done.

Staff: eight members, two technicians, two receptionists, one maid, oneradiologist, one accountant & one ward boy. Working hours: twelve hours per day [8a.m-8p.m] Work load: eight patients per day. Equipment: M.R.I machine. Charges: depend upon different body parts. [ex: brain 5000rs] Record: patient register is maintained.

Admission counter Location: In ground floor at the entrance. Layout: Two admission counters with two rooms. One is for new registration and

another is for old registration Objective: for the registration of patients in hospital Staff: In new registration counter five members

2- New registration members

1-enquiry member

2-cash counter members

In old registration counter two members.

2- Old registration members.

Working hours: from[ 8a.m to 4p.m ]. Workload: 500 to 600 approx registrations per day. Equipments: computers for registration.


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Audit room Location: In ground floor near admission counter Layout: one room.

Objective: Is to check all credit receipts, operation theater bills, cancellation of billsreports, correcting bills, final bill checking is done in this department. Staff: three members. Working hours: from morning [9a.m to 5p.m]. Work load: nearly 150 to 200 bills are being checked per day with cancellation,

correction and final checking of bills. Equipment: computers are used for all transactions. Record: maintained in computers with final bills, cancellation bills etc records are being maintained.

COORPOR TE DESK

LOCATION:-Situated on the ground floorLAYOUT:-1 RoomOBJECTIVE:-Serves for

Marketing Purpose Mediclaim facilities Cashless facilities Professional and Ethical

satisfaction of patients

Dealing with third partyassociation

Personalize care Assistance when patients are

admitted Refferal cases

THIRD PARTY ASSOCIATION (TPA):-There are total thirteen tpas associated with CH&RC.Some of them are:

Vipul M.D.India Raksha

Med-safe E-medicap

Companies associated with this hospital :-

R.R.CAT- Pithampur Spentex-Pithampur

Ischier- Pithampur Ranbaxy- Pithampur IIM-INDORE

DAVV-INDORE Mahindra two wheeler- Pithampur

STI- Pithampur Soya bean amendra NLF etc.

STAFF:-

Incharge-Mr. Anil Lakhwani(Clinical Marketing Manager)Coorporate front officer:oneTPA Workers: fourFloor Manager: oneWORKING HOURS: - 8:30a.m. To 6:00 p.m.RECORDS:-Files are kept in Medical Record Department.


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INFORMATION TECHNOLOGY CENTERLAYOUT: -

TWO ROOM. ONE ROOM: - SERVER ROOM . ONE ROOM:- MAIN ROOM

OBJECTIVE: - To provide INFORMATION throughout the hospital. And alsokeepingthe records of the patients.STAFF:- Five members.

One IT manager. 4 systemadministrator

WORKING HOUR:- Morning-8am to 4pm .Evening-3pm to 11pm.

Night-11pm to 8am

EQUIPMENTS :- Total client system- 70-75. Server- 4

In this- one data base server .One application server .One stand by server .One bake up server

All wards, departments, nursing stations linked up to IT center. In this department they keep the Main hospital system data, informations,

Masters( all the updating, creation, OPD schedules of patients ), policy of companyetc.

In the year 1996 they were used UNIX operating system upto 2005 after that theyused windows based software upto current time.

They uses windows 2003 operating system Data base is - oracle

Client operating system is - window Xp Programming language is - v.b.net The academic department manage the website of choithram hospital. Hospital kept record of 2 to 3 years then removed but they dont remove the

record of major diagnostic like- O.H.S. , Renal transplant etc.UTILITY SERVICES


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3. Multi rapid enzyme 4. Linotox

b.)Bio-medical waste management

S.No. Name of disinfectant Dilution Use

1. Bacilloid solution 0.5% For disinfection inO.T.,I.C.U,PAEDIATRICI.C.U.,R.T.U.,OHU,DIALYSIS

2. Sodium Hypochlorite 0.1% Mopping of the floorInfected patient linen disinfection.

3. Sodium Hypochlorite 0.5% Disinfection of gloves &medicinal plastic items.

4. Aseptic 5% Instrument disinfectionDressing purpose.

5. Dettol 5% Dressing purpose.Green cap and mask disinfection

6. Scented with phenyl 8% Toilet % bathroom cleaning.

7. Linton 1% To remove blood stains.

8. Baktoline - Hand washing

9. Sterillium - Hand rub10. Glutihyde 2% For instrument disinfection11. Bacillol - For incubator, scopes & monitor

cleaning

Records :-

1.) Vaccination registers

2.) Kitchen staff health check up recordregister

3.) Sharp injury record register

4.) Air filter cleaning register

5.) Biological indicator (steam and e .o.)

6.) Daily solution distribution registers

7.) Disinfectants issue register

8.) Hospital waste and disposal

9.) Infectious bio-medical waste-dailyregister

10.) Air and swab culture sentivity regi


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HOUSEKEEPING

LOCATION- inside the hospital campus, in front of central store room..

OBJECTIVE The main aim of the housekeeping department is to provide additionalor external help to the hospital by giving their services.

SERVICES - All services of hospital is coming under housekeeping. Services includetechnical as well as non technical . Patients requirement like bed, in summer seasonarrangement of AC and cooler is all seen by housekeeping.

Technica l- Electrical or Electronic problems (fan, cooler, AC), biomedicalmachinery or waste.

Non Technical - dealing with painter, carpenter, civil vendor, plumber andmaintaining all fourth class worker (word boy, maid, sweeper.), CSSD,Sanitary department..

Priority of managing all this facilities is decided by housekeeping manager.

STAFF - There is 13 members in total staff.

1. Three workers.2. Two sweeper3. Four secondary supervisor4. Three housekeeping supervisor5. One housekeeping manager.

WORKING HOURS -8:30 am to 4:30 pm

CHARGES As per management. .

RECORDS- stoke registers

Distribution register

Scenting register

Biomedical waste register

Municipal waste register

Water checking register

E.T.P registers.


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CENTRAL STERLISATION SUPPLAY DEPARTMENT

LOCATION: - CSSD IS LOCATED UNDER GROUND.

LAY OUT : - ONE GLOVES PREPARATION ROOM.

ONE LINEN ROOM.

ONE SET PREPARATION ROOM,

ONE ETO ROOM,

ONE ELECTRONIC AIR COMPRESSOR ROOM

ONE DUMP ELEVATOR LIFT.

FUNCTION OF ROOMS:-

GLOVES PREPARATION ROOM Gloves are washed with plane water

Dried

Arranged them according to their size

Before sterilization labelling done

A tag of gas is written in brown colour

After sterilization tag is written in green color

LINEN ROOM-Linen of O.T is kept here

Washed linen are arranged


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From here linen is send for sterilization.

SET PREPARINNG ROOM-Washed sets (instrument, seizer, bowl, tray etc) come here

Goes in to

Ultra sonic cleaner machine

Washed sets again washed by enzyme cleaner.

ETO ROOM-One Ethylene oxide gas sterilizer:- In this machine along with the materialwhich has to be sterilized, ethylene oxide gas cartridges are kept. Gloves, all

plastic material, catheter, OT devices etc are sterilized. ETO machine is aautomated machine.

Pressure of ETO machine is 935 milli bar.

There are two cycles occurring in this machine:

Cold cycle: i. Temperature is 40 degree centigrade.

ii. Exposer time is 360 minute.iii. Aeration time is 360 minute.

Hot cycle: i. Temperature is 50 degree centigrade.

ii. Exposer time is 240 minute.iii. Aeration time is 360 minute.

DUMP ELIVATOR ROOM-Dumb waiter is a small lift which directly opens into operation theatre.

STAFF : - 18 MEMBERS

ONE INCHARGE

ONE TECHNICIAN

FOUR NURSING ASSISTANT

TWELVE WARD BOYS


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EQUIPMENT : - 03 STEM STERLIZER MACHINE, ETHYLENE OXIDE GAS (cartridges) INSTERLIZER MACHINE, OT. DEVICES, CATHETAR KEPT

RECORD: - CSSD SUPPLY REGISTOR, OT LINEN BOOK, AND OT LINENREGISTOR.

ENGINEERING SECTIONLocation :- Outside the hospital building.

Incharge :-Mr. Tiwari

The Engineering section is further divided in many sections:-

A.OXYGEN PLANT:-

Layout:-1 Room

OBJECTIVE :-

In this department those gases used in hospital are stored mainly oxygen &nitrousoxide is stored.

2 big tanks filled with liquid oxygen. Nearly 50-60 cylinders are there in which oxygen & nitrous oxide gas is filled. These gases are supplied to hospital through pipes or through cylinders. The capacity of cylinder is 875 Litres.

STAFF :- 4 Technicians

WORKLOAD :-70-90 Cylinders are used per day.

1 nitrous oxide cylinder used per day.

Record :-Log book(hand over book & take over book).

B.ELECTRICAL DEPARTMENT:-

OBJECTIVE:-

It consists of 33 Kvsubstation called as power house. MPEB supply 3300V electricity to this power house which gets converted into 440V

then is supplied to transformer. 3 phase line are there:500Kv

320Kv250Kv

Auto manual setup is there i.e. as supply of electricity stops so within 12 sec generatorstarts.

In the morning everyday 10 min trial of generator done.


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STAFF:-

Incharge : Mr Arvind Jain (executive engineer)

Assistant engineer:2

Supervisor:2-3

WORKING HOUR :-9:30a.m. to 5:30P.M

C.BOILER:-

OBJECTIVE:- A boiler is a closed vessel in which water or other fluid is heated. The heatedor vaporized fluid exits the boiler for use in various processes or heating applications eg inLaundry,C.S.S.D. etc

STAFF:-2 boiler attendant

1 reliever

1 binder

3 helper

WORKING HOURS :-Round the clock

D. LAUNDRY SERVICES:-

OBJECTIVE:-Is that refers to the act of washing clothing and linens, the place where thatwashing is done, and/or that which needs to be, is being, or has been laundered. Laundry can

be considered a room or area, as in a home or apartment building, reserved for doing thefamily wash.

STAFF:-

Incharge :Mr. Harish Solanki

16 Workers

WORKING HOURS:-8 a.m. to 4 p.m.

WORKLOAD :-4000-5000 Clothes washed every day.

FUNCTIONS :-

The functions of the laundry services:

Collecting soiled linen from various places. Sorting the linen and processing them
http://en.wikipedia.org/wiki/Pressure_vesselhttp://en.wikipedia.org/wiki/Waterhttp://en.wikipedia.org/wiki/Fluidhttp://en.wikipedia.org/wiki/Washinghttp://en.wikipedia.org/wiki/Clothinghttp://en.wikipedia.org/wiki/Linenhttp://en.wikipedia.org/wiki/Linenhttp://en.wikipedia.org/wiki/Clothinghttp://en.wikipedia.org/wiki/Washinghttp://en.wikipedia.org/wiki/Fluidhttp://en.wikipedia.org/wiki/Waterhttp://en.wikipedia.org/wiki/Pressure_vessel


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Inspecting and repairing or replacing damaged materials. Distributing clean linen to the respective user departments. Maintaining different types of registers.

EQUIPMENTS USED IN LAUNDRY:-

7 Washing machine;3 for OT;3 for Wards ;1 for infectious disease 2 hydro extractor 3 Dryers or Tremblers 2 Flatwork ironer of calendar 1 Stitching machine.

RECORDS:-

1. Daily transaction registers for wards.2. Linen stock register.3. Daily transaction registers for other areas.4. Dhobi pays register.

CENTRAL STORELOCATION :- It is located on the ground floor of the hospital.

STAFF:- 5 incharge

3 helper

1 store incharge

EUIPMENTS:-

Pathology:-chemicals, pathology kids, glassware Surgical Goods:-cathedrers & feeding tube General Goods:-washing powder, & cleaning powder Instruments:-scissor, forceps Linen:-bedsheets, pillow covers Stationary:-rubber Radiology:-x-ray, nuclear medicine Sutures:-used in surgery, threads Electrical Engineering:-fans, lights Here some medicines & vaccines are stored.

Cold Room :- where 15 to 25 degree of temperature is maintained. Cathedrers, pathology,

x-ray pins & some injections are stored.


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WORKING HOURS :- 9:30a.m. to 5:30p.m.

RECORDS : - Bills (receipt)

orders

EFFLUENT TREATMENT PLANTThe ETP plant was designed and erected at the hospital by the firm. The construction

work was completed in 6 months at the cost of rupees 14 laces and commissioned in November 2001.

LOCATION ETP is situated outside the hospital building.

LAYOUT There is large free space in which number of different tanks is made inwhich water can be collected.

OBJECTIVE Main purpose of ETP is to recycle the water and filter dirty water.

PROCEDURE Water can be filtered by effluent treated plant by follows various stages.

1. Dirty water from hospital, school, and college is collected in Effluent collectiontank.

2. Then collected water goes to screen bar through channels and slug is and slugis separated.

3. Now from aeration tank water goes into CLARIFIER TANK and then itsupplies to the holding tank.

4. From clarifier tank water goes to the INTERMEDIATE HOLDING TANK.Here water is collected.

5. From holding tank water can goes to the PRESSURE FILTER 6. From pressure filter water can be totally filtered and remove the fine suspended

matter from effluent tank.7. Now water goes through pipe into CHLORINE CONTACT TANK. Here

chlorine is added continuously to inactivate the microbial population.8. Now finally the purified water comes in TREATED WATER TANK. In this

tank water can be collected before lifting to high level storage tank, then thiswater can be supplies into garden, toilets.

STAFF Total Five members in total staff of ETP. One in charge- Chouhan sir4 operators.

WORKLOAD - 2 TO 3 laces liter water is filter daily.


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RECORD Register maintained about how much water is filtered daily.

MEDICAL RECORD DEPARTMENTLOCATION - It is located on ground floor.

LAYOUT - 1 room

OBJECTIVE- This department is an integral part of hospital. New and all admissionhandles here,

Patient flowchart and admission flowchart are routine.

Emergency & Medicolegal case.ie; Burn, accident, suicide, poisioning cases.are handel.

File processing is done here after discharge of the patient.

STAFF -1incharge; 3 officers

WORKING HOURS - 9am to 5pm

WORKLOAD- average 60 file/day

PROCEDURE- (1) Assembling assembling of all sheets or record.ie; admission sheet,history sheet, doctors sheet, operation sheet, consent sheet, anesthesia sheet, nursing sheet,medication sheet etc.

for Investigation summery and to check observation deficiency or for future need.

(2) Coding coding of the disease according to WHO, It is for to check out how many

patient comes for a particular disease or to bring out the statical data for researches. (3) Indexing for save data according to coding.

MLC form filling, certificate distributions is done through this department. Certificate offitness, fever, estimate are given.

CHARGE- 50; average 10 certificate.


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CONCLUSIONS

Choithram Hospital & Research Centre is not only a

hospital to treat disease but a complete institution forcare of whole Society.Since its inception the founder ofthis hospital knew the problems of large section of oursociety, especially the rural masses who couldnt affordtreatment. He laid the principle of free OPD , where any

patient can consult any specialist doctor, and madeavailable all specialities of medical sciences with finestinvestigation facilities under one roof.


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BIBLIOGRAPHY

1. Sakharkar B.M.:- Principles Of Hospital Administration

And Planning . Jaypee Brothers Medical Publishers (P)Ltd. New Delhi Second Edition 2009

2. KUNDERS G.D. :-Hospital Facilities Planning andManagement.Tata Mcgraw-Hill Publishing CompanyLimited.New Delhi,10 th Reprint 2008.

3. Hospital Brochures-CH&RC Indore

WEBLIOGRAPHY

1.) www.choithram.org2.) www.wikipedia.com
http://www.booksworldstore.com/b-m-sakharkar--author.htmlhttp://www.booksworldstore.com/b-m-sakharkar--author.htmlhttp://www.booksworldstore.com/jaypee-brothers-medical-publishers-p-ltd--publisher.htmlhttp://www.booksworldstore.com/jaypee-brothers-medical-publishers-p-ltd--publisher.htmlhttp://www.booksworldstore.com/jaypee-brothers-medical-publishers-p-ltd--publisher.htmlhttp://www.booksworldstore.com/jaypee-brothers-medical-publishers-p-ltd--publisher.htmlhttp://www.booksworldstore.com/b-m-sakharkar--author.html

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