Annual Report -2014 · 35. ISM Ayurveda 77 36. Senior Citizen 79 37. Right to Information 79 38....

Annual Report -2014

1 SWAMI DAYANAND HOSPITAL

ANNUAL REPORT 2014

EAST DELHI MUNICIPAL CORPORATION

SWAMI DAYANAND HOSPITAL

&

RAJ MATA VIJAYA RAJE SCINDHIA NURSING SCHOOL

DILSHAD GARDEN, DELHI -95

Annual Report -2014


Annual Report -2014


Important Telephone Numbers

Sr.No. Department Name Telephone No

(Office)

Telephone No.

(Residence/Mobile)

1. E.P.B.X. 22581031,36

Help Line Services 22314029

2. Emergency 22588585

3. Enquiry 22581036 / 267

4. Medical

Superintendent

Dr.M.L.Jaipal 22582512 / 277 8826694667

5. Addl.Medical

Superintendent

Dr. M.P. Singh 22314029 / 278 9810456706

CMO(Admn) I Dr.Santosh Tomar 22581036 / 325 9818579090

6. CMO(Admn) II Dr. K.R. Arya 22581036 / 265 8130561171

7. CMO I/C Pharmacy

& Secretary Sport &

cultural Club

Dr. Gladbin Tyagi 22581036 / 342 9891773939

8. Administrative

Officer

Smt. Lata Singh 2258103 6/ 215 9711730796

9. C.M.O/C Casulity Dr. R.K. Singhal 22581036 / 226 8130561171

11. Blood Bank Dr. Awaindra

Kumar

22581036 / 204 8130191236

12. Library Conference

Hall

Dr. D. Chakravarty 22581036/268 9811237178

13. Biomedical Waste

Management

Dr. D. Chakravarty 22581036 / 231 9811237178

14. M.O.I/C General

Store

Dr.Santosh Tomar 22581036 / 325 9868531999

15. M.O.I/C

Laundary,Linen

Dr. K . R. Arya 22581036 / 225 8130561171

16. Medical Record I/c Mrs. Aradhana

Tyagi

22581036 / 206 9891212192

17. Asst. Chief

Accountant

Sh. Yogesh Kumar

Sharma

22581036 / 276 9911103540

18. HOD Anesthesia Dr. Rajni Kherwal 22581036 / 264 9810355761

19. HOD Medicine Dr. Mukesh Kumar 22581036 / 308 9971443252

20. HOD Surgery Dr. B.K. Dutta 22581036 / 292 9810178476

21. HOD Gynecology Dr. Sunita Fotedar 22581036 / 290 9818810873

22. HOD Pathology Dr. Awanindra

Kumar

22581036 / 204 8506019595

23. HOD Ophthalmology Dr.Anoop Goswami 22581036 / 227 9911066185

24. HOD E.N.T. Dr. N.K. Tangri 22581036 / 223 9213296736

25. HOD Orthopedic Dr. P.K.Dutta 22581036 / 242 9810945234

26. HOD Pediatric Dr. Anand

Aggarwal

22581036 / 268 9810902271

27. HOD Dentistry Dr. Monika 22581036 / 227 9810776922

28. HOD Dermatology Dr. Sandeep

Mohanty

22581036 / 220 9810406418

29. HOD Radiology Dr. Prashant Jain 22581036 / 244 9811052622

Annual Report -2014


Sr.No. TOPIC PAGE NO.

1. Citizen’s Charter 1

2. From the Desk of Medical Superitendent 10

3. From the Desk of Addl. Medical

Superitendent

12

4. General report 13

5. Medicine Department 17

6. Dermatology Department 22

7. Pedistric Department 25

8. General Surgery Department 30

9. Orthopedic Department 33

10. Obstetrics & Gynecology Department 35

11. P.P.T.C.T. 39

12. Ophthalmology Department 43

13. Dentistry Department 46

14. E.N.T. Department 47

15. Pathology & Allied Department 50

16. Blood Bank & Transfusion Medicine

department

55

17. Thallasemia Day Care Unit 57

18. Radio Diagnosis Department 60

19. Casulity / Emergency Services 61

20. Anesthesiology and Critical Care

Department

62

21. Nursing Department 66

22. Hospital Catering Department 66

23. Sport and Cultural Club 67

24. Library Department 69

25. Bio Medical Waster Management 70

26. Pharmacy Department 71

27. Scientific Committee Activities 72

28. Hospital Information Sysytem (HIS) 73

29. Sanitation & House keeping Department 73

30. Stores and Inventory 74

31. Laundary Department 74

32. Private Public partnership 74

Annual Report -2014


33. Ancilliary Department 75

34. Nursing School 76

35. ISM Ayurveda 77

36. Senior Citizen 79

37. Right to Information 79

38. Administrative Wing 80

39. Accounts Department 80

40. Budget Provision 81

41. Medical Record Department 82

42. Annual Statistics 84

43. Disease wise Report 86

44 Notifiable Diseases 87

45 Superannuation 88

46 Acknowledgement 89

Annual Report -2014


CITIZENS’ CHARTER

This charter seeks to provide a framework, which enables our users to know:-

The services available in this hospital

The quality of services they are entitled to

The means through which complaints regarding denial or poor quality

of services will be, readdressed.

Standards of Service:

This is a District Level hospital under EDMC

It provides medical care to all patients who come to the hospital

Standards are influenced by patients load and availability of resources

Yet we insist that all our users receive courteous and prompt attention.

Locations:

It is located at Shahdara North Zone in front of C Block Dilshad Garden

Adjacent landmarks: IHBAS cum GTBH, UCMS.

Nearest Metro Station: Mansarovar Park on Dilshad Garden – Rithala route

Beds: 370 indoor beds.

All Staff member, have been provided with identity cards. Attendance is marked

by Biometrics and also have attendance register with the in charges and HODs. A

movement register is maintained at MS office for recording of visits outside the

hospital on official capacity The supervisory staff, is expected to monitor the work

of employees under them.

OUR MOTTO - SERVICE WITH A SMILE

Annual Report -2014


General Information

Enquiry cum Reception and Admission Registration Services:

o This counter is functioning round the clock

o Location guide, has been put up in this hospital

o Signboards, are fixed at strategic points for guidance

o Telephone enquiries, can be made over telephone numbers:

22581031 & 22581036 Fax: 22583708

Casualty & Emergency Services:

All Casualty Services are available round the clock.

Duty Doctor is available round the clock

One senior Doctor is available for supervisory work

Senior doctors are available on call from duty doctors

Basic emergency services are available for all specialties

as listed in the OPD Services.

Emergency Operations are done in-

OT located on Ground floor of Ward building.

Too Maternity OT on Ground & First Floor adjacent to Labor

Room in MCH Block

Emergency Operation Theatre services are functional

round the clock

At present Emergency OT and Routine OT services are provided in the same

premises.

In serious cases, treatment/management gets priority over paper work like

registration and medico-legal requirements. The decision rests with the treating

doctor.

Annual Report -2014


OPD Services:

Registration counters are located in Main OPD block ground floor and 11nd

Floor near Surgical OPD

Basic lifetime registration for all patients generating Unique Hospital

Identification Number (UHID) is free. UHID, need to be made once only.

OPD card has nominal charges of Rs. 5 per 30 days. UHID is used for creating

electronic folder for lifetime sourcing of medical information.

Registration Time Consultation Time

General O.P.D. 8.30 A.M. to 12.00 P.M

(Monday to Friday.)

8.30 A.M. to 11.00 A.M

(Saturday)

9.00 A.M. to 2 P.M. (To be

present in the concerned

department by 12.15 p.m)

Special Clinic 2.00 P.M to 3.00 P.M. 2.00 P.M to 3.30 P.M To be

present in the concerned

department by 3 P.M)

For all routine non-urgent cases, the treating doctor is allowed to schedule special

tests and interventional procedures including surgeries. This is done in the interest of

optimal care within the facilities of infrastructure and professional man-power

available in the hospital.

ISM Services: (Not under direct control of MS SDNH)

Homeopathic

Ayurvedic

Annual Report -2014


In the OPD specialists (doctors with qualification and experience in the concerned

subject) are available for consultation. Senior consultants are also available.

OPD services are available on all working days excluding Sundays and Gazette

Holidays.

On Saturdays, the hospital functions from 9 AM to 1 PM.

Medical Facilities Not Available:

Super-specialty services like Neurology and Neurosurgery, Cardiology and Cardio

thoracic surgery, Poly-trauma Management, Pediatric Surgery, Psychiatry,

Nephrology, Gastroenterology, and Interventional Radiology

Some specialties do not have indoor patients’ services:

Dental

Dermatology

Laboratory Services:

Routine: Laboratory Services are provided in the field of (as available):

Bio-chemistry

Microbiology

Hematology

Cytology

Histopathology including FNAC

Clinical Pathology

There is a Central Collection Center for receiving and collecting various specimens

for testing. The timings for receiving specimens are 9:15 AM to 11:30 AM.

Emergency: Emergency Laboratory Services are available 24 hours for limited

tests relating to clinical pathology and biochemistry.

Routine: These services include:

X-Rays

Ultrasound

Annual Report -2014


CAT scan _ out sourced to Focus Imaging

Routine X-Rays, will be done from 9:00 AM to 1:00 PM. Registration is done

from 9:00 AM to 11AM.

Ultrasound examination will be done from 9:00 AM to 1:00 PM (excluding

holidays). Special Ultrasound examinations, are conducted, on scheduling between 2

PM to 3.30 PM

DRUG DISTRIBUTION:

Medicines prescribed by the doctors are available as per MCD’s Drugs

Formulary, at Pharmacy Counters free of cost. Medicines are usually given

for three days for OPD Patients but in special clinics as per, they are given on

recommendations of Specialists for up to 15 days.

Separate windows are available for ladies and gents. Separate shared window for

Senior Citizens, Physically Handicapped patients and for MCD

Health Scheme cardholders is available

As soon as more pharmacists are, posted, independent counter will be

startedxclusively for senior citizens..

Emergency: Emergency X-Ray services are available round the clock.

As part of PPP, CAT scan services are also provided round the clockbased upon

the contract agreement..

Indoor Patient Services:

There are total of 10 Wards providing free indoor patient care. The wards are of

Nightingale type with open corridors and dormitory type set up.

We have private rooms or independent rooms for patient care.

Emergency ward admits emergency cases for medical & surgical obstetric &

Gynecological problems.

Annual Report -2014


There is a SIX bedded ICU cum High Dependency Unit (HDU) for care of

seriously ill patients.

MCH casualty exclusive to obstetric gyane operational round the clock has 10

beds. MCH Labour room has 10 labour beds working round the clock with attached

Emergency operation theater to carry out obstetric surgical interventions. MCH

wards of 20 beds each.

MCH-I Post Operative ward

MCH-II Gynae and high risk ANC

MCH-III & MCH-IV PNC

Level 1 Nursery provides necessary care to the medically compromised

Newborns. Otherwise, all mothers are encouraged to provide Kangaroo Care.

All indoor patients receive treatment under the guidance and supervision

of unit in-charge during office hours i.e. 9:00 AM to 4:00 PM.

There are 42 beds in Personalized Care Block.

Outside office hours, treatment is given by doctor on duty; and specialists’ services

are available on call. Medicine, Surgery, OBS & Gynae, HDU and Anesthesiology

have round the clock duty doctor for handling Emergencies.

Diet, is provided to all patients in the General Wards. Diet charges are Rs. 10/- per

day. Free food, is served to those below BPL on production of relevant document /

recommendation of HOD or Unit in charge and permission from MS, Adl, MS,CMO_

Emergency or CMO_Admin.

Every patient is given one attendant pass.

Visitors are, normally allowed only between 5:00 PM to 7:00 PM. Investigations

like CAT scan, are charged as per approved rates (as displayed). Focus Imaging Ltd.

provides this service, as an Outsourced facility. For poor patients, Additional Medical

Superintendent or M.S. can waive off the charges fully or partially, on the

Annual Report -2014


recommendation of HOD or by the Emergency Medical Officer In case of emergency,

CMO (on duty) may waive off these charges, which will be later on endorsed by

HOD. MO will inform HOD regarding this action telephonically. Subsequent to this

same, will be approved by MS or Additional MS.

A Staff Nurse is on duty round the clock in the ward. Admitted patients should

contact the Staff Nurse for any medical assistance they need.

Other Facilities:

Other facilities available include:

Drinking Water

Trolleys are available in the OPD and casualty.

Ambulances are available for transporting patients

referred to tertiary care centers. This service is provided

on recommendation of CMO. In case hospital

ambulance is held up elsewhere, CAT ambulances are

requisitioned by CMO.

Limited police assistance available in the

emergency block

Public Telephone Booth, is provided near Police room

Stand-by Electricity Generators have been provided

Chemist Shops are available outside the hospital but not

within the purview of the hospital authorities

Limited canteen for patients and their attendants is

available

Ramps are available for access to higher floors

Adequate toilet Facilities for use of patients

Refrigerated mortuary to accommodate 4 bodies are

available for exclusive use of the hospital

Annual Report -2014


Complaints & Grievances:

There will be occasions when our services will not be up to your expectations.

Please do not hesitate to register your complaints. It will only help us serve you

better.

Every grievance will be duly acknowledged.

We aim to settle your genuine complaints within 10 working days of its receipt.

Suggestions/Complaint boxes are also provided at various locations in the hospital.

If we cannot, we will explain the reasons and the time we will take to resolve the

grievance, dispute or the conflict.

You can submit your complaints in the administrative block of the hospital

Name, designation and telephone number of the nodal officer

concerned for receiving complaints is duly displayed:

o Dr. K.R. Arya

Designation: A.P.I.O.

Tele (O) 22583708 (M) 9810145046

o Dr. M.P.Singh

Designation: Additional M.S.

P.I.O.

Tele (O) 22583708 (M) 9810456706

Meeting Hours 11 AM to 1 PM

o Dr. M.L. Jaipal

Designation: Medical Superintendent

First Appellate Authority

Tele (O) 22582512 (M) 9868223198

Meeting Hours 11 AM to 1 PM

If they are not free to hear your grievance, they will depute senior Medical Officer

to hear you.

Annual Report -2014


For General Enquiry:

PABX: 22581036, 22581031

Responsibilities of the Users:

The success of this charter depends on the support we receive from our

users

Please try to appreciate the various constraints under which the hospital is

functioning.

On an average more than 6 lacs patients attend the OPD annually and more than

66000 patients are attended annually in the casualty and emergency wards.

Please do not inconvenience other patients.

Please help us in keeping the hospital and its surroundings neat and

clean.

Please obey biomedical waste handling norms

Please use the facilities of this hospital with care. Beware of Touts.

The Hospital is a “No Smoking Zone” and smoking is a Punishable

Offence.

Please refrain from demanding undue favors’ from the staff and

officials as

it encourages corruption.

Please provide useful feedback & constructive suggestions. These,

may be

Addressed to the Medical Superintendent of the Hospital.

We request everyone to observe

“No Smoking Please” zone

Don’t spit here & there

Use Dustbin

Keep Hospital Clean

Give regards to Ladies and Senior Citizens

,

Annual Report -2014


I feel proud of presenting the Annual Report of Swami Dayanand Hospital as

a Medical Superintendent. With the co-operation & co-ordination of all the staff

members, hospital has shown all round progress and is being modernized.

Swami Dayanand Hospital is one of the major hospital of East Delhi

Municipal Corporation in the Trans Yamuna Area of Delhi providing its services not

only to economically disadvantaged population of trans Yamuna but also to the

patients of neighboring district of UP like Loni, Baghpat, Ghaziabad.

Newly constructed 120 Bedded Maternal and child health block, personalized

care block, NICU and multipurpose block have become functional and providing their

services to public/patient.

East Delhi Municipal Corporation has started its first Nursing School at SDN

Hospital named Raj Mata Vijaya Raje Scindhia Nursing School (RVSNS) in Swami

Dayanand Hospital in 2013.Second batch of new students has been admitted in the

year 2014-15.

Web portal of S.D.N.Hospital www.sdnhospital.edu.in has been launched by

Sh. Mahesh Giri ji Member of Parliament East Delhi.

The internal facility is being made available for teaching, training and

reference purpose in library. Library has been upgraded with Audio Visual system.

S.D.N.Hospital has been made designated center to issue Disability Certificate

for physically disabled person.

Electric substation exclusively for SDNH has been inauguration by Shri

Manoj Tiwari ji (Member of Parliament North East District) to meet inaugurated the

newly constructed Electric Substation to meet the increased electric lead due to

expansion of hospital services.

From the desk Of Medical Superintendent

http://www.sdnhospital.edu.in/

Annual Report -2014


I appeal once again to the entire medical fraternity to be sensitive to the fact

that documentation of what all you do, in the correct content and format is important.

I am convinced that all our doctors, Nurses and paramedics have legal responsibility

to provide timely medical service and document the care given. In the eyes of law, all

undocumented effort towards patient care is as good as not done. Computerization is

an easy tool for you to record all your efforts. We need to use computer in all spheres

of data management.

I take this opportunity to thank to all the staff colleague and well wishers for

their. The sports and cultural club of Swami Dayanand Hospital has been doing

remarkable social engineering exercise. Year after year they have been organizing

annual sports and social events. They are active in ensuring the staffs, who retire from

service, are given memorable send off. My thanks are due to them.

The Team work of hospital staff, constructive criticism from health care

seekers, encouragement and the support of the public representatives will help Swami

Dayanand Hospital to flourish and render good care.

As MS of the hospital, I shall continue to the very best to maximize my

contribution in “ Life Care Management System.”

Sd/-

Dr. M.L. Jaipal

(Medical Superintendent)

Annual Report -2014


-

Swami Dayanand Hospital with its 370-bed strength is 2nd

Major General

Hospital with MCD and also the Oldest General Hospital in Trans Yamuna Area of

Delhi, providing health care services to the most poor sections of society.

Every year hospital celebrates birth anniversary of Swami Dayanand

Saraswati as its annual day remembering the noble teachings of Swami ji and holding

various culture and sports events involving the whole of staff and patients. This year

the annual day on 6th

February. Let us re-confirm our faith in the values propagated

by Saint Swami Dayanand Saraswati – gender equality, simplicity, truth and breaking

down of dated practices and norms.

Last year was landmark years in hospital history Nursing School 1St

Batch of

G.N.M. was started, this year II Batch of GNM has been Personalized Care Block

started two floors of OPD block were taken.

I wish to thank all those who have rendered advice cooperation and support both in

letter and spirit over and the long awaited 120 bed maternal and child care block

which has been started and functional.

- KIOSK at OPD Block started during this year.

- Our regular CME is also a born for the doctors & new the frequency in

increased & qualities too.

- The Department of BMW is also doing a great job & has been acknowledged

by concerned authorized.

- Our hospital is recognized for issuing disability certificates.

- Garden is well maintained and developed near laundary.

- A separate gate near to the IHBAS on road no 64 has been made functional due

to this the traffic congestion within the campus is reduced.

Once again Greetings to all

Sd/-

Dr. M.P.Singh

(Addl. Medical Supdt.)

From The Desk of Addl. Medical Superintendent

Annual Report -2014


Swami Dayanand Hospital was established in the year 1963 for providing

Medical Facilities to the residents of trans. Yamuna area and eastern out skirts of the

Union Territory around Delhi. Earlier this hospital was known as Shahdara General

Hospital. This hospital is spread over 19 acre of land.

The sanctioned bed strength is now 370 beds with setting up HDU,

Contingent Ward and Thalassemia Day Care Centre.

There are different specialties and Departments viz. General Medicine,

General Surgery, Dermatology, Pediatrics, Orthopedics, Dentistry, Ophthalmology,

E.N.T., Obstetrics& Gynecology, Anesthesiology and Critical Care, Pathology &

Radiology Emergency Medicine (Casualty Department) Transfusion medicine (Blood

Bank), Thalassemia Day Care Centre and Medical Records in the hospital.

As per policy laid down by Municipal Corporation, the following charges

were adopted in this hospital w.e.f. 1-1-2005. O.P.D. Card charges Rs.5/-

for 30 Days, is chargeable on monthly, biennial or annual basis as

mentioned below:

OPD. Card Rs.5/- for 30 Days

OPD. Card Rs. 30 for 6 Month

OPD. Card Rs. 60 for 1 Year

Other charges are:

Diet Charges for indoor patients. Rs.10/- per day

Medical Certificate Rs.20/(Except MCD Employees)

Medical Examination for Employment Rs. 32/

On approval of M.S, free diet, is provided to all the deserving poor patients

In additions to the routine OPD, Casualty and indoor services, the hospital also runs

number of special clinic in different department as mentioned below: -

GENERAL REPORT

Annual Report -2014


S.NO. NAME OF CLINIC DAYS TIME OF

CLINIC*

1. Infertility clinic Monday 2 P.M. to 3:30 PM

2. Leprosy Clinic Wednesday 2 P.M. to 3:30 PM

3. Cardiac Clinic Wednesday 2 P.M. to 3:30 PM

4. P.N.C. Clinic Wednesday 2 P.M. to 3:30 PM

5. Diabetic Clinic Thursday 2 P.M. to 3:30 PM

6. Vitiligo Clinic Thursday 2 P.M. to 3:30 PM

7. Cancer Clinic & Breast

clinic

Friday 2 P.M. to 3:30 PM

8. Adolescent Clinic Daily 9 AM to 3:30 PM

9. Immunization Clinic Daily 9 AM to 3:30 PM

10. Antenatal Clinic Daily 9 AM to 3:30 PM

11. Glaucoma Clinic Daily 9 AM to 3:30 PM

12. Thalassemia Day Care Daily Only to Registered

Patients as per protocol

for Thalassemia

13. Asthma clinic Thursday 2 PM to 3:30 PM

To be present in the clinic by the time mentioned

Patients will be seen until last patient is handled

New achievement

1. 3rd

& 4th

floor OPD has been started.

2. Nursing School at SDNH with 20 students has been started.

3. Personalized Care Block has been operational.

4. 120 Bedded Ward Block has been started.

5. The Multipurpose Block has been completed.

6. New Entry Gate near IBHASH Hospital has been made.

Annual Report -2014


SWAMI DAYANAND HOSPITAL SHAHDARA

STATISTICS OF OPD CASES

OF LAST FIVE YEARS

Year NEW OLD TOTAL ADMISSION CASUALITY

2010 320237 219229 539466 19187 94542

2011 276039 226806 502845 20194 88572

2012 298903 248302 547205 20955 89172

2013 308737 274802 583636 53564 92587

2014 312162 282415 594577 24318 95556

1

10

100

1000

10000

100000

1000000

NEW OLD TOTAL ADMISSION CASUALTY

2011

2012

2013

2014

Annual Report -2014



STATISTICS OF ADMISSIONS & CASUALITY

OF LAST FIVE YEARS

Year NEW OLD TOTAL ADMISSION CASUALITY

2010 320237 219229 539466 19187 94542

2011 276039 226806 502845 20194 88572

2012 298903 248302 547205 20955 89172

2013 308737 274802 583636 53564 92587

2014 312162 282415 594577 24318 95556

1

10

100

1000

10000

100000

1000000

NEW OLD TOTAL ADMISSION CASUALTY

2010

2011

2012

2013

2014

Annual Report -2014


STATISTICS OF LAST FIVE YEARS

YEAR O.P.D. CASES ADMISSION CASUALTY

NEW OLD TOTAL

2010 320237 219229 539466 19187 94542

2011 276039 226806 502845 20194 88572

2012 298903 248302 547205 20955 89172

2013 308737 274802 583539 26397 92587

2014 312162 282415 594577 24318 95556

SPECIALITIES WISE SANCTION OF BEDS

Number Name of Specialists No. of sanctioned

beds

1. General Medicine 70

2. General Surgery 48

3. Orthopedics 30

4. Eye 11

5. ENT 11

6. Obst.Gynae 100

7. Paeds 40

8. H.D.U 07

9. Tellisemiya 03

10. Recovery 20

11 Causality 20

11. NICU 10

12. Contingency --

Total 370

Annual Report -2014


THE STANDING PATTERN OF MEDICAL OFFICERS

S.No. Name of Post Sanctioned Post

1. Medical Superintendent 1

2. Addl. Medical Superintendent 1

3. General Physician 4

4. General Surgeon 3

5. Orthopedic Surgeon 2

6. Gynecologists 4

7. Anesthesiologist 6

8. Ophthalmologist 2

9. Pathologist 2

10. ENT surgeon 2

11. Radiologist 4

12. Pediatrics 4

13. Medical Microbiologist 1

14. Medical Biochemist 1

15. Skin Specialist 1

16. Dental Surgeon 1

17. G.D.M.O. 50

18. Senior Resident 31

19. Jr. Resident 38

Annual Report -2014


MEDICINE DEPARTMENT

Medicine department is one of the largest departments in the hospital. Besides

providing general medical care & round the clock emergency care, it is running

specialized clinics in the field of basic Cardiology and Metabolic (Diabetes) clinic. The

department is doing some special procedures, i.e. TMT/PFT and Doppler Echo

Cardiography .Recently Doppler Echo Cardiography is started in our Hospital w.e.f.

Oct 2013.

Staff Pattern

The department has two units, having 3 specialists, 6 Medical Officers (some

of them post graduates), 7 Senior Residents, 7 Junior Residents and 5 ECG Technicians.

1. Dr. Mukesh Kumar-

Specialist (SAG)

2. Dr. H. B. Singh

Specialist

3. Dr. Jennet L Stephens-

Specialist Grade-I

4. Dr. Sudhir Mittal- C.M.O. (NFSG)

5. Dr Bhagwat Parsad- C.M.O. 6. Dr D. Chakervorty -C.M.O.

7. Dr. G.B. Tyagi – GDMO 8. Dr. Sachin Gupta- GDMO

Out Patients Department

The OPD attendance is the highest among all departments in the hospital

New Patients 65658

Old Patients 68528

Total Patients 134186

Cardiac Clinics

The department is running cardiac Clinic on every Wednesday at 2 P.M. All

type of cardiac patients are investigated and treated. ECG, TMT & Doppler Echo

Cardiography is available in our hospital. Detail clinical and Bio-chemical evaluation

done of each patient. If patient need Coronary angiography then patient is referred to

G.B. Pant Hospital Delhi .We manage all type of the patients of Hyper tension,

Valvular Heart Disease and CAD.

INTERNAL MEDICINE

Annual Report -2014


New patients - 3958

Old Patients - 9643

Total Patients - 13601

Metabolic Clinic

Metabolic Clinic is held on every Thursday at 2 P.M. The patients are regularly

investigated & managed thoroughly and advised about regular follow up. Diabetic

patients are evaluated for CAD, Diabetic Retinopathy, and Diabetic

Neuropathy/Diabetic Nephropathy. Time to time patient education Camp are organized

in metabolic clinic OPD ( Diet/Exercise/foot care & Eye Care. Obese patient are

evaluate causes of obesity and thyroid disorder. We are also managing the patient of

thyroid disorder in metabolic clinic. Department has organized Public lecture and

Video show for the Diabetic patients to increase the awareness about Diabetic Diet,

proper care of foot , and Exercise .

New Patients - 1217

Old Patients - 10115

Total Patients - 11332

Indoor patients

The department is having 40 beds where patient are admitted from OPD and

Emergency. It also provides specialized consultation to patient referred from other

departments including ICU and other Govt. Hospital like IHBAS.In Causalty and ICU

we are doing Medical Thrambolysis in acute Mycardial infarction (STEMI) .After

Stabilization we refer the cases to higher centre for Coronary Angiography and further

management .In ICU we are also doing Medical Thrambolysis in acute Ischemic Stroke

. Up till now we have Thrambolised 8 patients out of that six patients are doing well .

Total admission- 2658

Total deaths- 64

Specialized Investigations

Beside ECG, the department is regularly doing the TMT, PFT and Doppler

Echo Cardiography. (Doppler Echo Cartography recently started w.e.f. OCT 2013.)

Annual Report -2014


Data for the year 2014

Total ECG- 23795

OPD 12497

Casualty ECG 11298

TMT- 56

PFT- 257

Doppler Echo 335

ECG Service is available round the clock in the Causality.

DOTS Center

DOTS Center of the hospital is under the supervision of the department in

coordination with district TB officer.

Total Slides Examined 2585

Total positive slides for Sputum AFB 294

Total Negative Slide 2291

Slide Positivity rate 11.37%

Sputum positivity rate 12.89%

Total Cases Cat 1 Cat -2

183 151 35

Disease Surveillance and control of Outbreaks

Medicine department in year 2014 successfully contributed in surveillance and

management of communicable diseases like acute gastroenteritis, cholera, typhoid

fever, malarial fever, dengue fever, meningococcemia, Swine Flu and chikungunya

etc.

Annual Report -2014


No. Disease Suspected

cases

Confirmed

cases

Death

1. Dengue Fever 138 20 Nil

2. Chikungunya Nil Nil -

3. Meningococcemia - - -

Medical Examination for Amarnath Yatra –Medical Examination of 282 persons

was done in month of june - july for Amar Nath Yatra.

Preventive Health check up for class (v) Nala Beldar working in EDMC is done

twice a year different Medical Examination for medical fitness before joining the

appointed department is done routinely.

MALARIA CLINIC

The malaria clinic is running under the supervision of Medicine department. The report of malaria

clinic is given below:-

Sr.no Total slide collection Positive case Delhi & other state (Residence)

P.V P.F DELHI OTHER STATE

1 5341 41 _ 1 40

Medical Education Programme and Seminars

The Department is regularly organizing seminars & lectures for the doctors for updating their

knowledge and skill. It also arranged guest lectures in specialized field by the specialist of other

hospitals. Lectures were also arranged for the Paramedical staff on communicable diseases and public

lectures for the general public. Doctors of the department also took part in various health camps and

attended various training courses, workshop, CME and conferences at local and National Level.

Annual Report -2014



MEDICINE DEPARTMENT


Year ECG TMT PFT ENDOSCOPY

2010 12895 39 162 176

2011 13045 68 198 168

2012 13548 85 205 128

2013 20987 66 335 0

2014 35097 56 257 0

1

10

100

1000

10000

100000

ECG TMT PFT ENDOSCOPY

2010

2011

2012

2013

2014

Annual Report -2014


Compiled by: Dr. Mukesh Kumar

INDOOR

PATIENTS

OUTDOOR

PATIENTS

METABOLIC

CLINIC

CARDIAC

CLINIC

2013 2014 2013 2014 2013 2014 2013 2014

New

3470

2666

62551

65658

1019

1217

3958

4215

Old

65819

68528

9929

10115

9643

9775

Total

3470

2666

128370

134186

10948

11332

13601

13993

E.C.G.

20987

35097

T.M.T.

66

56

P.F.T.

325

257

Endoscopy -- ---

Echo 74 335

Annual Report -2014


Department of Dermatology was started on regular basis w.e.f 1st July 2003.

The department runs the OPD on every working day. Special clinics run by the

department are following:

S. NO. Name of the Clinic Days Time

1 Leprosy Clinic Wednesday 2 PM to 4 PM

2. Vitilogo Clinic Thursday 2 PM to 4 PM

3. Minor Procedures Monday, Tuesday &

Friday

2 PM to 4 PM

4. Phototherapy Clinic Monday, Thursday 2PM to 4 PM

STAFF PATTERN: -

Specialist Dr. Sandip Mohanty

S. R. Dr. Kajal Manchanda

Dr. Pallavi Rohtagi

J.R. Dr. Rajiv Sharma

OUT PATIENT DEPARTMENT: -

There has been steady increase in the number of patients seen in Skin OPD

in last five year.

Year New Old Total

2010 13069 23343 36412

2011 16545 24867 41412

2012 17503 25574 43077

2013 18519 26858 45377

2014 19384 27319 46703

LEPROSY CLINIC: -

Leprosy clinic is being run on Wednesday. National Leprosy Elimination Program

is implemented through this clinic. There is a fall in number of Leprosy cases, which due to

achievement of leprosy elimination target with a prevalence rate of 1/10,000 patients in

Delhi. But we are still receiving leprosy patients from adjoining areas of UP and from Bihar,

Jharkhand.

It was being run in two rooms on 1st Floor in OPD block.But since 2013 this has

been shifted to IVth floor in room no. 401 & 405. Room no. 401,402 & 404 are consulting

room . Room No. 403 is for Phototherapy & room no. 405 is for minor procedure.

DERMATOLOGY

Annual Report -2014



DERMATOLOGY DEPARTMENT OPD


1

10

100

1000

10000

100000

2010 2011 2012 2013 2014

NEW

OLD

TOTAL

2010 2011 2012 2013 2014

NEW 13069 15045 17503 18519 19384

OLD 23343 25659 25574 26858 27319

TOTAL 36412 40704 43077 45377 46703

Annual Report -2014


LAST FOUR YEAR STATISTICS OF LEPROSY CLINIC

YEAR PB MB TOTAL

2011 98 72 170

2012 89 82 171

2013 103 98 201

2014 110 102 213

VITILIGO CLINIC: -

Hundreds of patients suffering from Leucoderma or vitiligo have benefited from

this clinic, run every Thursday.

LAST FOUR YEAR STATISTICS OF VITILIGO CLINIC:-

YEAR NEW OLD TOTAL

2011 198 1019 1217

2012 213 1158 1371

2013 219 1248 1467

2014 228 1337 1565

LAST FOUR YEAR STATISTICS OF V.D CLINIC: -

YEAR NEW OLD TOTAL

2011 41 111 152

2012 48 125 173

2013 58 137 195

2014 61 149 210

Annual Report -2014


Procedures

1. Skin Biopsies are done on regular basis in minor O.T.

2. Various minor procedures are done on a regular basis on Monday, Tuesday

and Friday afternoon like: -

Electro cautery/Radiofrequency

Chemical Cautery

Chemical Peeling

Intralesional injection

Expression/ Extirpation

PHOTOTHERAPY CLINIC:- Patient suffering from Vitiligo & Psoriasis are

given Phototherapy in this clinic with the help of Hand & foot Machine and Narrow

Band whole body chamber.

Compiled by: Dr. S Mohanty

Annual Report -2014


STAFF PATTERN: -

1. Head of Deptt. : Dr. Anand Agarwal

2. Specialists: Dr. Amita Tyagi,Dr., Surender Singh Bisht, Dr. Sandeep

Duggal (NRHM),Dr. A.P.Azad, Dr.Sumit, Dr. Sheffali Roy

3. GDMOs : Dr. Jaswant Singh, Dr. Kailash Ram Verma, Dr. Shweta

The department has following major work areas:

1. Out- Patient Facility: Out patient facility which was shifted to new

spacious facility in 3rd

floor of OPD block helped to see patients in more patient-

friendly way. It has its own registration and pharmacy counter thereby enabling

mothers to quickly get their children examined and collect the drugs prescribed &

go home.

2. Inpatient Facility: comprises of

a) Two pediatric wards Ward No. 6 & Ward No.9

b) Level II nursery for neonatal care.

c) One post-natal ward where all newborn babies, are kept with their mothers

and immunized at birth. Mothers are encouraged and supervised to breastfeed

their babies

d) Labour room: round the clock neonatal resuscitation services are provided

in labor room to all high-risk deliveries. Sick newborns are stabilized till the time

they can be shifted to the mother side in postnatal ward or transferred to nursery

for ongoing treatment.

e) High- dependency care unit: whenever sick children more than 1 year of

age require intensive monitoring and treatment, HDU facility, is utilized.

Pediatricians contribute to care through ongoing consultations, observations and

interaction with the team attending to the patient. Subsequent step down care is

ensured in pediatric ward to those children discharged from HDU to Ward

f) Emergency care is given to patients reporting to the hospital in Casualty.

Sick children are kept for observation and appropriately treated and managed by

E.M.O. (Pediatrics) under supervision of a specialist. Besides one Medical

Officer/senior resident is regularly sent as Casualty Medical Officer (CMO) also.

g) Thalassemia Day Care Center: - Thalassemia children are regularly

admitted for regular blood transfusion & all facilities are provided to them. Total

24 Thalassemia children are registered with SDNH for regular Blood transfusion.

This service is being provided under the roof of Blood Bank premises with active

support and supervision of Transfusion Medicine Officer. Active and continuous

support from National Thalassemia Welfare Society and GTBH (for cardiac

evaluation) is also quite beneficial in better care of these children.

Total Patients admitted under pediatrics department in 2013 were 8508. Out of

these 6164 were newborns.

PEADIATRIC

Deapr

Annual Report -2014


The department, besides conducting regular OPD and IPD services offers Well

Baby Clinic daily, oversees immunization program and actively participates in Pulse

Polio Program.

The new facilities, i.e., NRC centre and High risk follow-up clinic & early

intervention clinic in pediatric OPD added new patients with satisfying results.

The highlight of the year was start of 120 bed MCH Block. The nursery was shifted to

more spacious area in the new block.

Nutritional Rehabilitation & Counseling ( NRC) Centre: - Anthropometry of all

children attending OPD is done and appropriate nutritional advice is given. Severe acute

malnutrition (SAM) cases that are picked up in OPD or IYCF centers are treated as per

the SAM protocol. Separate beds are allocated for this. Provision of staff, including a

nutritionist, through NRHM has helped to streamline the management.

High risk follow-up clinic & early intervention clinic:- High risk follow-up clinic &

early intervention clinic is held on Friday in which children with developmental delay or

at high risk for developmental delay like birth asphyxia, prematurity &

hyperbilirubinemia are followed up. Early intervention including developmental

stimulation helps these children to reach their full potential.

Well Baby Clinic:

Well baby clinic is held on every day where babies are immunized. Preventive and

promotional aspects in the newborn care are stressed upon.

Immunization:

Special care is given to preventive aspect of all vaccine preventable diseases by

offering vaccination in Pediatric OPD as per Immunization program of Delhi Govt.

All newborns delivered in the hospital are given BCG, 0 dose of OPV and Hepatitis B

1st dose before discharge as per the recommendation.

Annual Report -2014



PAEDIATRICS DEPARTMENT

STATISTICS IMMUNISATION OF LAST FIVE YEARS

1

10

100

1000

10000

100000

BCG DPT MEASLES M.M.R H.B POLIO

2011

2012

2013

2014

BCG DPT MEASLES M.M.R M.M.R POLIO

2010 3373 3960 903 671 5973 7401

2011 4668 4992 897 903 8571 9248

2012 4416 4303 838 814 7799 8708

2013 5435 2242 632 660 6766 9039

2014 5739 1080 540 461 5965 80733

Annual Report -2014


IMMUNIZATION

Immunization 2010 2011 2012 2013 2014

B.C.G. 3373 4668 4416 5435 5739

Pentavalent 0 0 0 1799 2099

D.P.T. 3960 4992 4303 2242 1080

OPV 7401 9248 8708 9039 8733

Measles 903 897 838 632 540

M.M.R. 871 903 814 660 461

Hepatitis B 5973 8571 7799 6786 5965

Typhoid 885 653 718 635 695

Pediatric Asthma Clinic:

This year Pediatric Asthma Clinic registered around 150 new patients with total

600 patients attending follow- up clinic on every Thursday. Regular patient and family

education is also provided. The hospital could provide most of the inhalers, spacer

devices and baby masks. This has greatly improved the compliance and prevented

repeated relapses.

Infant & Young Child Feeding (IYCF) Centre: - IYCF centre to promote breast

feeding is functioning in the hospital. Mother in the OPD & Post Natal Ward are

counseled & supported to breast feeding their babies. Mothers of children under 5 years

are also advised regarding healthy feeding practices to reduce malnutrition. Healthy

feeding practices are further promoted by imparting health education through audio visual

aids in the PNC & OPD areas. Provision of manpower and funds through NRHM has

helped in improving these services.

A.F.P. Surveillance:

All case of suspected AFP, were admitted in the pediatric ward and reported. As

per the protocol, stool samples were sent to N.I.C.D of all AFP cases

Active participation in pulse polio immunization: Medical and Para-medical staff

actively participated in the campaign on all NID days as well as in house-to-house

immunization. A center for immunization is regularly set up in SDNH on NIDs.

Annual Report -2014


Some of the MIS and IEC activities are:

1. Regular Peri-natal mortality meeting and Death Review Meetings are

conducted to discuss ways to improve patient care in the hospital.

2. District Level NRP TOT for Medical Officer was organized on19.042014.

3. Several workshops on basic NRP were conducted in the hospital for

doctors , nurses, nursing students to teach them in neonatal resuscitation.

4. ORS week was celebrated in May 2014 with usual enthusiasm with public

lecture on ORS and its benefits. General public was educated about ORS

benefits and its importance in preventing diarrheal deaths.

5. A BLS course for Health Care professional and police personal was

conducted on 18/5/14.

6. World Breastfeeding Fortnight was celebrated from 1st to 15

th August

2014. Public health lectures on benefits of breastfeeding were taken by

pediatrics and Obstetrics & Gynecology doctor’s in their OPD’s and

wards.

7. Workshop on CPAP was organized on 10/8/14 with IAP EDB which was

attended by doctors from East Delhi, Eminent faculty from AIIMS

participated.

8. Workshop on SAM with an NGO Anchal trust was conducted for

ASHA,ANM workers from MCD dispensaries to train them in screening

of SAM cases and their management on 29/9/14.

9. Polio awareness programme for Health Care Professionals was conducted

in November 2014 .

10. A Painting Competition for children was organized in the Children OPD

on the Children’s Day14th November.

11. National Newborn Week (15th

to 21st Nov-2014), Neonatal Resuscitation

Workshop was organized for pediatric and Obst. & Gynae resident.

12. Hepatitis B Awareness week as celebrated on 4th to 11th

Dec 2014 to

educates patients about the dangers of Hepatitis B and its prevention by

immunization.

Medical Education topics discussed for Doctors: -

The Department carries on academic activities on regular basis especially for

benefit of resident doctors. Some of topics that were discussed included:-

Nutrition and child development common infection and pediatric if

topics related to the neonatology & general pediatrics

Public Lectures:

Public lectures were organized in Pediatrics Dept. regarding:-

Pulse polio

Immunization

Water Born diseases.

Nutrition

Annual Report -2014


Oral Rehydration Solution

Hygiene & Prevention of diseases

Talks in simple language are given by the doctors of the department to patients

waiting in the OPD area. These are two way interactive talks, where patients are

encouraged to ask questions which are very educative for the patients.

Academic Achievements:

The doctors of the department attended many lectures, seminars and

conferences at local and national level.

Doctors of the department are participating as Chairperson or faculty in

various conferences, workshops and training program of national and state

level.

STATISTICS OF PEADIATRICS DEPARTMENT

YEAR INDOOR OUTDOOR

NEW OLD TOTAL

2007 2055 45215 26017 71232

2008 2575 50815 32788 83603

2009 2273 47186 27124 74310

2010 6855(4551 -

New Born)

41515 39871 81386

2011 7823(5211-

new born)

43585 43873 87458

2012 7723(6346-

newborn)

44828

42757

87585

2013 8508(6308-

newborn)

45146 43805 88951

2014 8577(6775-

new born)

46254 44578 90832

Compiled by: Dr. Anand Agarwal

Annual Report -2014


Composition and basic outline of functioning.

The Dept. of Surgery saw many ups & downs during calendar year 2014.Down by

retirement of Dr. Chatterjee (a broad – minded, big open hearted Surgeon to all patients )

& transfer of Dr. P.K.Padhy (a world-wide friend & great surgeon), resulted in shortage

of working hands. Now in Jan 2015, Strength of Dept of Surgery consist of 5 Permanent

postgraduate doctors & 2 Contract Specialist. We are managing all surgical cases coming

to SDNH in SOPD Emergency (24x7) with indoor bed 54+.

LAPAROSCOPIC SURGERY:-A part from record number of General surgery Case,

we are doing most type of Laproscopic Surgery for:-

1. Gall Bladder Disease

2. Groin Hernia as well as Umbilical hernia

3. Appendicectomy (both routine & Emergency )

4. Diagnostic Laparoscopy & follow-up Biopsy.

Urology:- The Dept of Surgery is running Urology Clinic on Friday. We are doing lots of

Endourological procedure such as Cystoscopy & Urethroscopy. Following are the

therapeutic procedures done in 2014.

1.TURP for BPH

2.TURBT for bladder Tumour.

3.Endoscopic Cystolithotomy

4 D-J stenting of ureter for Various indications.

5.Optical internal urethrotomy

Cancer Surgery:- Dept. of Surgery contribute to surgical (operative) part of cancer

treatment . Other than Tru-cut Biopsy & part/incisional Biopsy for diagnostic purpose,

following are Therapeatic Surgery procedure are done in 2014.

i)Ca Breast – Infiltrating ductal Carcinoma

ii)Skin Basal Cell Carcinoms

iii) Buccal Ca - Biopsy

iv)Rectum- Adenocarcinoma

General Surgery

Annual Report -2014



SURGERY DEPARTMENT

STATISTICS OF INDOOR, OUTDOOR & OPERATIONS

FOR LAST FIVE YEARS

INDOOR OPD OPERATIONS

UNIT-1 UNIT-II UNIT-1 UNIT-11 UNIT-1 UNIT-11

2010 939 926 15245 15536 3588 3510

2011 828 805 16232 16058 4028 3628

2012 815 901 17426 16980 5238 5274

2013 798 915 18013 17467 5625 5354

2014 714 968 18712 18267 5819 5979

1

10

100

1000

10000

100000

UNIT-1 UNIT-II UNIT-1 UNIT-11 UNIT-1 UNIT-11

2010

2011

2012

2013

2014

Annual Report -2014


v)Large gut- Adenocarcinoma 1

vi)Prostate – Adenocarcinoma (biopsy)

vii) Soft Tissue Sarcoma

For completion of treatment of cancer patient we refer them to Delhi Institute of cancer

institute (DSCI) for Radiotherapy & Chemotherapy with all details of records.

FAMILY WELFARE : Surgery dept. contribute to Family welfare programme in form

of :

i) NSV –Non scalpel Vasectomy

ii) Participating in awareness camp of population control.

INTER DEPARTMENT

Support of other Dept:- Surgery dept. also give positive support to Gynecology &

obstetrics . Dept for all Gynecological cancer cases as well as any urological injuries(both

bladder injury & ureteric injury )

CONFERANCES: To update sill & knowledge , all doctors of surgery department

attends local as well as National Conferances.eg. Dr. Pramod Kumar attended i)ASCION

at Ahmedabad for CME and live demonstration Oncosurgery Conference at BLK, Delhi

Dr. Manoj Kumar attended Basic Life Support Courses held by IMA, East Delhi.

The department is grateful for the administrative support it gets to upgrade the services

and looks forward to have an increase in the number of O.T. days and filling up of vacant

posts through UPSC.

INDOOR ADMISSION

2013 2014

UNIT – I 798 714

UNIT – II 915 968

TOTAL 1713 1682

OUTDOOR

UNIT – I

2013 2014

NEW 8015 8158

OLD 9998 10554

TOTAL 18013 18712

Annual Report -2014


OUTDOOR

UNIT – II 2013 2014

NEW 8529 8929

OLD 8938 9338

TOTAL 17467 18267

Total patients of

Unit I & Unit II

34406

35480

OPERATIONS

UNIT I 2013 2014

MAJOR 829 825

MINOR 3468 3808

EMERGENCY 1328 1186

TOTAL 5625 5819

OPERATIONS

UNIT II 2013 2014

MAJOR 628 775

MINOR 3158 3908

EMERGENCY 1568 1292

TOTAL 5354 5975

Total Operations of

Unit I & Unit II

10979 11794

Compiled by: Dr. B.K. Dutta

Annual Report -2014


ORTHOPEDICS

Department of orthopedics is one of the busiest in the hospital. At present there are three senior medical

officers in the department. Amongst them two have post graduate degrees in Orthopedics. There are 2

specialist on contract basis, there are five senior and two junior residents in the department. At present

there are five sanctioned posts of plaster assistant and one post of ortho technician. But there are only

two plaster assistants working against these posts. The department possesses an operating arthroscopy

set complete with monitors; shaving systems etc. we have fully equipped operation theatres with a

pneumatically powered drill and saw system, an image intensifier and other orthopedic instruments.

With this infrastructure, all kinds of modern orthopedic operations are being conducted here. In the

past one year, the orthopedic department rendered invaluable services to the multitude of attending

patients. In addition to the routine and common orthopedic operations we have done all kinds of

surgeries including arthroscopic surgeries for both knee and shoulder, total joint replacements of hips and

knees, spinal surgeries for prolapsed intervertebral discs, fixation and fusion of the spine and other

surgeries as well.

In the year 2014 we have performed more than 350 major and 750 minor surgeries which included

cases done in the minor OT in OPD and closed reduction of fractures in the orthopedic OPD. In addition to

this we have administered about 1000 intraarticular hydrocortisone injections, applied more than 12000

plasters and removed about 11000 plasters in 2014.

In addition to the routine cases all emergency cases are handled too. Round the clock emergency

services in ortho are being provided. About 3000 plasters have been applied in the casualty department in

the past year. Many emergency cases which had to be referred to other hospitals earlier due to the lack of

emergency facilities are being handled now. Many emergency procedures which include open reduction

and internal fixation of fractures and drainage of bone and joint abscess have been done in the past year.

The Ortho OPD is one of the heaviest amongst all with approximately 300 patients being catered to

daily. Even on Wednesdays, on which operations are performed, OPD is being run. Minor cases are

performed on OPD basis in the minor OT in the OPD. Also many closed reductions under anesthesia are

performed in OPD itself. Regular CTEV clinic run on every Friday in the OPD, whereby about 700 CTEV

plasters have been applied.

Physiotherapy which is an integral part of this department has been doing a commendable job.

Excellent services are being provided to the needy and they are being rehabilitated to resume their

occupation at earliest. Physiotherapy services are being provided to indoor and outdoor patients from all

departments including orthopedics, medicine, pediatrics, gynecology and obstetrics and ICU as well. In the

year 2014 the physiotherapy has been catered to more than 38000 patients in indoor and outdoor basis.

At present there is only one regular physiotherapist, two on contract basis and one physiotherapist on

deputation thrice weekly and with the increasing number of patients it is becoming difficult to manage the

physiotherapy department. Increasing of physiotherapist posts is of utmost importance at present.

ORTHOPEDICS

Annual Report -2014


INDOOR

PATIENTS

OUTDOOR

PATIENTS

OPERATION

PHYSIO

THEROPY

PLASTER

New

2013 2014 2013 2014 2013 2014 201

3

2014 2013 2014

476

466

16949

18243

Old

20113

21374

Major

519

350

Minor

1468

750

Emerge

ncy

2717

2726

Total

402

476

37062

39617

4704

3826

325

47

38000

7658

12000

Compiled by Dr. P.K .Dutta

Annual Report -2014



ORTHOPEADIC DEPARTMENT OPD

STASTICS OF LAST FIVE YEARS

INDOOR OPD OPERATIONS PHYSIOTHERAPY PLASTER

2010 328 32750 3752 28379 5872

2011 379 34562 4565 28565 6123

2012 402 32988 4177 30928 7158

2013 476 37062 4704 32587 7658

2014 466 39617 3826 38000 12000

1

10

100

1000

10000

100000

INDOOR OPD OPERATIONS PHYSIOTHERAPY PLASTER

2010

2011

2012

2013

2014

Annual Report -2014


MCH block comprising of 100 beds of Obgyn and 10 beds of nursery has become

operational from September 2014. Increase in the indoor bed strength has provided relief to the

maternity patients availing the medical services.

Layout of the MCH block wing

MCH casuality of 10 beds, run 24x7, it is equipped with facilities of observation, treatment

and day care procedures. It has a equipped resustation room.

Labour room functions 24x7 with 10 beds for 1st stage of labour and delivery room with

attached neonatal care corner fully equipped.

Labour room is also attached with emergency operation theatre carrying out various

operative interventions round the clock.

New MCH block has four wards of 20 beds each, meant for high risk ANC, post operative

ward and 2 post natal ward however due to some pending work in two wards, presently

only 2 wards and a temporary post operative ward is functional.

New block also has provision for a second operative theatre which shall look after routine

gynecological surgeries, laparoscopic surgeries and all operative family planning

procedures. Presently it is being occupied by a make shift nursery as the designated

nursery is undergoing completion of pending gas pipe line work.

Staff position

Regular consultants:-2

Adhoc consultants:-4

SAG Medical officer:-2

Medical officer:-3

SR’s :-17 Present 15 Vacant 2

JR’s:-10 present 8 Vacant 2

Family planning Medical officer I/c-:-1

ANM regular:-2 Present 01 Vacant 01

LHV:-1

Vacancy :-1 MO, 1 anesthetist & 1 driver

Services and activities of the Obgyn deptt.

OPD complete ANC check up of all pregnant patients.

Gynecological examination and treatment of GYNE patients.

Thalaseemia screnning in 1st trimester of all primi gravidas

HIV counseling & testing of all pregnant women.

HIV counseling & testing of high risk client

High risks identification & specialised care

Correction of antenatal anemia by giving- I/v iron total dose as day care

Fetal surveillance by CTG recording and USG

Ante partum RH immunization and tetnus toxide.

OBSTETRICS & GYNECOLOGY

Annual Report -2014


Special clinics

Monday- Infertility – 2.00 pm to 4.00 pm

Wednesday- postpartum care & counseling – 2.00 pm to 4.00 pm

Thursday- cancer screening- 2.00 pm to 4.00 pm

STATISTICS OF OUT PATIENTS DEPARTMENT

ANC DEPARTEMNT GYNAE DEPARTEMNT

2013 2014 2013 2014

NEW 19878 20128 5568 5815

OLD 31729 3284 12125 12922

TOTAL 51607 53071 17693 18537

Month wise Departmental census of all Obstetric indoor patients

Months Deliveries Vaginal

Deliveries

LSCS Booked Unbooked <2.5kg >2.5kg Male Female Blood

transfusion

Abortion Still

birth

Perinatal

death

Jan 530 385 145 398 132 88 442 267 263 56 38 11 16

Feb 479 335 144 349 101 92 374 236 243 53 30 13 16

March 415 297 118 329 89 37 360 228 194 53 60 7 15

April 415 301 114 292 72 46 312 218 170 53 25 13 15

May 412 314 98 317 97 71 341 266 175 60 21 13 15

June 471 328 143 384 87 39 432 273 209 41 28 12 15

July 603 459 144 459 144 125 478 314 289 82 30 22 24

Aug 731 530 201 255 476 200 531 409 334 62 38 12 18

Sep 667 491 176 482 185 157 489 350 338 105 32 21 29

Oct 691 509 182 579 111 162 528 376 321 75 16 6 10

Nov 717 555 162 524 208 171 539 406 326 63 32 15 18

Dec 715 545 170 491 224 184 514 379 353 93 22 17 26

6846 5049 1797 4949 1926 1372 5340 3722 3215 796 372 162 217

Annual Report -2014


Name of the Specialty: Obs & Gynae

SPECTRUM OF DIAGNOSIS IN THE SURGICAL SPECIALTY APPLIED FOR:

Spectrum of Diagnosis

Year wise No. of Surgical Procedures

2014 2013 2012

Emergency LSCS 1750 1635 1051

Laparoscopic Tubal Ligation 480 451 457

Vaginal Hystrectomy 82 72 67

Abdominal Hystrectomy 35 42 35

Nondecant Vaginal Hystrectomy 40 22 33

Tuboorarian Masses Laparotomy 30 20 16

Laparotomy For Ectopics 45 23 36

Post partum tubal ligation 60 41 45

Cesearean Hystrectomy 4 2 3

Sarocolpopexy for vault Prolapse 8 4 6

Fothergill Operation 6 8 4

Family planning activities

Counseling of JSY patients in daily OPD

Counseling of postpartum IUCD in daily OPD

Counseling of various contraceptive methods in daily OPD

Medical termination of pregnancy with IUCD done in minor O.T - 2 days/ week

MTP with laparoscopic ligation done in gynae OT - 3 days/week

Postpartum tubectomy done on all working days

Incentive money of JSY beneficiary procurement, dispersion and auditing

Distribution of Incentive money of sterilization

Plain CUT insertions/ removal in OPD basis and follow up

Indoor counseling in various contraceptive techniques

Annual Report -2014


FAMILY Welfare OPD procedures

Months Total

ANC

Female

sterilization

vasectomy M

T

P

I

U

C

D

Mate

rnal

Deat

h

HI

V

+v

e

JSY

Beneficiary

I/v

ferri

ABORH

testing of

ANC

Hemoglobin

Testing of

ANC

Minor

Gynecological

Surgeries

Major

Gynecol

ogical

Surgeries

Jan 3950 47 0 23 56 0 1 14 37 1887 1947 17 21

Feb 3900 39 2 18 61 1 1 10 55 2240 2297 18 20

March 3300 50 0 26 56 2 1 6 56 2470 2500 15 18

April 4200 22 1 15 44 1 4 8 63 1781 1861 20 19

May 3500 36 0 17 59 0 0 5 101 1903 1978 18 16

June 2800 32 0 26 69 0 1 10 309 2123 2158 15 20

July 4300 39 0 16 56 3 2 12 234 1204 1257 33 18

Aug 3800 26 0 9 50

3

1 11 173 1366 1426 9 13

Sep 3950 14 0 17 38 1 2 11 244 1179 1234 6 12

Oct 4596 17 0 12 57 2 1 3 347 1375 1465 11 18

Nov 4975 52 0 34 125 1 1 10 324 1210 1580 19 12

Dec 6245 38 1 23 85 2 0 11 308 1060 1360 20 19

Total 49516 412 4 236 756 16 15 111 22511 19798 21063 201 206

Annual Report -2014


P.P.T.C.T.

“Prevention of the parent to child transmissions” Centre was started in

August 2006 under the sponsorship of D.S.A.C.S. (NACO) at Swami Dayanand Hospital

to benefit Antenatal mothers & their Newborns. Aim of this centre is to find HIV status of

the antenatal mothers so that timely interventions can be done in HIV +ve mother to

prevent, parent to child transmission along with the timely initiation of ART in the

HIV+ve mothers. In the center, efforts are made to encourage antenatal mothers by

counseling to come forward for HIV testing, help build their confidence in the medical

personals by maintaining confidentiality & motivating them for institutional deliveries.

Dr. Rashmi Saini is the Nodal In-charge. PPTCT Section has 4 Counselors and

2 Lab Technician and 1 Outreach Worker. Counseling of all Antenatal patients is done on

the awareness of HIV infection and willing patients are tested accordingly.

Staff position :- Nodal officer I/c Dr Rashmi Saini, 2 consulars from NACO, 2 lab technicians from

NACO

Caters to all antenatal patients for counseling and testing in OPD and outside referrals.

All HIV +ve cases are followed up till delivery and appropriate ART therapy given to all antenatal

patients. Children are also followed up for 1 year and tested as scheduled

General

clients

Pregnant

women

Emergency

testing L.R

DBS for

HIV

exposed

infants

Confirmatory

testing after18

months follow

up HIV-

exposed

infants

Total

Pre test

counseling

4443 10432 1032 13 8 15328

Testing

4413 10388 1032 13 8 15854

Detected in

3 specifies

test

85 11 3 0 0 99

Post test

4413 10388 3 13 8 15854

Refer to

ART

83 11 2 0 0 96

Annual Report -2014


sN.B. 2 General Clients expired jus after their HIV test so they could not be referred to ART

1 Pregnant lady was expired in casualty on arrival

No. of HIV positive Pregnant Women detected - 11

Delivered in our hospital – 14

DBS kit no available since May 2014 concerned person in NACO informed.

The Statistics for the year 2014 as follow: -

1. Pregnant Ladies :-

Total Counseling -9552

Testing -9151

HIV + detected - 11

Emergency Testing & Counselling (in Labour room ):-1017

HIV + Detected - 2

HIV + Delivered -12 (NVP given to MB –pair) (delivered at

G.T.B.)

2. Counseling , testing & follow up of HIV exposed infort:-

DSB after 6 weeks - 16 (all are defect negative)

Repeat DBS - 8

Confirmatory Anti bodies tested - 8(All babies are negative)

(N.B. – 1 baby detected +ve in repeat DBS after 6 months seat to ART –G.T.B.)

3. General Clients:-

Total Counseling - 3076

Tested - 3032

Detected +ve - 61

Annual Report -2014


Thalassemia Screening

Nodal Incharge Dr. Shamoli Kundu for EDMC

Thalaseemia screening was introduced 4-5 years back when it was being done mainly by

nestroft reagent but since it was not cost effective and its shelf life was also less, gradually it is

being replaced by CBC method. Hence autoanalyzers were purchased and lab technicians were

trained in this method. Following are the centers under EDMC where the screening was being

done by nestroft method, because of the unavailability of the reagent these centers are

diverting their patients to nearby major hospitals and centers where autoanalyzer is available

and the screening done by CBC method.

i. Maternity centre Yamuna vihar

ii. Maternity centre Chandiwala

iii. Maternity centre Khichripur

iv. Maternity centre Geeta colony

v. Maternity centre Karawal nagar

vi. Maternity centre Welcome seelam pur

vii. Maternity centre Seemapuri

SDN Hospital

Total number of patients screening 351

0-12 weeks:- 146

CBC+ve:-12

CBC-ve:-134

12-20 weeks:- 205

CBC+ve:-19

CBC-ve:-186

Total CBC +ve patients:-31

Out of all CBC +ve patients, all of these were HPLC WNL excepting to 2, in these two HPLC was

deranged. Their family studies were done where HPLC was found WNL

Following are the patients thalaseemia +ve trait :-

1st Ganga of Amar Colony with HPLC report HPLC HbF < 0.8 and Hb A2 3.6

2nd Beeta Seriman of 759 Tahir pur with HPLC report HbF=2 and HbA2 5.6 she was advised

family studies but did not turn up for follow up.

Patparganj Mty centre

Annual Report -2014


Total number of patients screened :- 538

0-12 weeks:- 538

CBC+ve:-44

CBC-ve:-230

12-20 weeks:- 264

CBC+ve:-42

CBC-ve:-222

Total CBC positive:-86 all of them were HPLC -ve

Anemia eradication programme under taken by the deptt. Of OBGYNE

All the ANC who are mild to moderately anemic receive I/v iron sucrose as total calculated dose.

This is done daily on OPD basis so that patients who come for antenatal check up also receive

the injection as day care procedure. By this intervention we are able to over come the micro

cytic type of iron deficiency anemia which was largely due to non compliance of oral therapy.

In-house activities

Auditing is the back bone of our department which helps us to formulate policies & protocols

regarding patients care. Each neonatal and maternal death is critically evaluated and analysed.

We learn from each case deduced.

CME on various current topics done during the current year.

Achievements for the year 2014

1. Department shifted to new MCH block with dedicate Gynae casuality

2. 100% high risk obstetric management in collaboration with ICU team

3. Significant decrease in neonatal mortality in collaboration with the peads deptt.

4. Increase in post partum IUCD numbers

5. Increase in JSY beneficiaries

6. 80% MCTS enrollments.

Compiled by: Dr. Richa Sharma

Dr. Rashmi Saini

Dr. Shamoli Kundu

Dr. Sunita Fotedar

HOD (OBGYN)

Annual Report -2014



STASTICS OF GYNAE DEPARTMENT

FOR LAST FIVE YEARS

ANC CLINIC LAPSTER I.U.C.D NIRODH ORAL PILLS VASECTOMY

2010 46512 515 342 33000 960 9

2011 48274 482 39 358 39000 1068

2012 50191 491 369 33000 1098 41

2013 51607 444 838 25000 1480 8

1

10

100

1000

10000

100000

ANC CLINIC LAPSTER I.U.C.D NIRODH ORAL PILLS VASECTOMY

2010

2011

2012

2013

2014

Annual Report -2014



STASTICS OF GYNAE DEPARTMENT

FOR LAST FIVE YEARS

Deliveries Normal Deliveries L.S.C.S Abortion M.T.P

2010 4660 3719 845 231 377

2011 4864 3832 957 298 398

2012 5483 4973 1118 298 401

2013 6308 4727 1581 275 237

2014 6846 5049 1797 372 236

1

10

100

1000

10000

Deliveries Normal Deliveries

L.S.C.S Abortion M.T.P

2010

2011

2012

2013

2014

Annual Report -2014


DEPARTMENT OF OPHTHALMOLOGY, SWAMI DAYANAND HOSPITAL

The department of ophthalmology is a well equipped section of Swami Dayanand

Hospital. The deptt is equipped with most of anterior segment and posterior segment

diagnostic equipments. The department has facilities for anterior segment and squint

surgeries. The department is manned by two specialists, three medical officers, one senior

resident and one refractionist.

The department : Catered to approx 29000 patients ( 13000 new patients : 16000 old

patients)

: Performed approximately 650 major and 200 minor surgeries

: About 12789 (Male:6419 , Female:6370) refractions were also

performed.

Operation Theater and Surgeries :The department has a fully equipped Operation

Theatre with two phacoemulsification machines. The various surgeries performed in 2013

were Cataract surgeries including phacoemulsification with foldable intraocular lenses ,

Glaucoma surgeries, Combined (cataract + glaucoma) surgeries, Squint surgery,

Pterygium surgery including conjunctival autograft, Scleral/corneal repair with traumatic

cataract extraction, Dermoid / lipoma excision, minor procedures as chalazion excision,

syringing & probing, wart and foreign body removal.

Ophthalmic Diagnostic lab:

The Eye OPD setup has a well equipped ophthalmic diagnostic lab with YAG laser unit,

Autorefractokeratometer, A-scan biometer, Lensometer, Non-Contact Tonometer,

Automated Perimeter, keratometer (Manual), Indirect ophthalmoscope, B-scan

ultrasound. A wireless video indirect ophthalmoscope has been added this year to

facilitate disposal of outdoor patients requiring retinal examination.

Besides diagnostic procedures curative procedures as posterior capsulotomy and laser

peripheral iridotomy are performed in the lab.

Glaucoma management/ work up: The doctors of the department also perform regular

follow up of glaucoma patients and various investigations like gonioscopy, tonometry and

field charting are done.

Conferences:- The doctors of the department regularly attended local/national

conferences to update knowledge and skills.

.

CME programs: The deptt conducted following CME’s in the hospital/deptt

OPHTHALMOLOGY

Annual Report -2014


CME attended

1 Annual conf of Delhi Ophthalmological Society attended by all doctors of eye

deptt.

2 Annual conf of All India Ophthalmological Society. Feb 2014,Agra attended by

Dr Anup K Goswami.

CME organized

1 CME on Toric IOL s conducted in May 2014

2 CME on Contact lens use/fitting conducted in May 2014

3 CME on dry eye syndrome organized in June

4 CME on eye donation organized in Sept 2014

5 CME on ‘Cataract –the changing face’ conducted in Oct 2014 to commemorate

world sight day.

Participation in National Health programs: The doctors of the department have

actively participated in various national programs as

-National eye donation awareness program

-Motiabind mukti abhiyan

-Glaucoma awareness week program

-National disaster management program including mock drill

Participation in Health camps: The doctors of the department regularly participate in

various health camps organized outside the hospital.

Eye Donation Fortnight (25th

to 8th

Sept 2013) was conducted to increase awareness

and motivate people for eye donation. Various motivational activities carried were

-CME conducted emphasizing role of non-ophthalmic physicians/hospital staff in eye

donation

-Nukkad Natak performed in ground floor OPD area to create awareness about eye

donation in general public

-Banners and posters were displayed in the hospital

-Eye donation forms/pamphlets distributed through registration counters and in Eye OPD

Annual Report -2014



OPHTHALMOLOGY DEPARTMENT


INDOOR OPD OPERATIONS REFRECTIONS

2010 610 25242 947 12549

2011 669 27598 959 13657

2012 558 29596 1070 13938

2013 603 30379 1129 14145

2014 600 31316 1102 15262

1

10

100

1000

10000

100000

INDOOR OPD OPERATIONS REFRECTIONS

2010

2011

2012

2013

2014

Annual Report -2014


Achievements

Wireless video indirect ophthalmoscope added in OPD

New YAG laser unit commissioned

Squint surgery started

INDOOR

PATIENTS

OUTDOOR

PATIENTS

OPERATIONS

REFRECTIONS

2013 2014 2013 2014 2013 2014 2013 2014

New 603 600 14721 15146

Old 15658 16170

Refractions 14145 15262

Major 651 622

Minor 478 480

TOTAL 603 600 30379 31316 1129 1102 13938 15262

Compiled by: Dr. Anup Goswami

Annual Report -2014


The Dental Department of Swami Dayanand Hospital is headed by Dr Monica

Narwal and managed with the help of one GDMO, two contractual house surgeon one

dental hygienist (on contractual basis), one staff nurse and one ward boy. There are

honorary house surgeons, which varies from 2-3 in number.

OPD of the Department has increased has increased by almost 100% in last two

years with the addition of new infrastructure and joining of a senior dentist. Tooth

conservation approach was followed religiously by the department.

Numberof patients in OPD

PROCEDURES:

S.NO Procedures done Total

1 Restorations 3,426

2 Root canal treatment 1,832

3 B.M.P. 2,103

4 Oral prophylaxis 756

5 Extraction of teeth 722

6 Extraction of teeth with surgical

drainage of pus

296

7 Extraction of impacted teeth 36

8 Surgical extraction 39

9 Apicoectomy 4

10 Closed reduction 2

11 Periodontal wiring and splinting 14

12 Miscellanous 462

13 IOPA-Xrays 396

Total procedures done= 10,088

Compiled by: Dr. Monica Narwal

2013 2014

New Patients 7,040 8,262

Old Patients 11,828 12,719

TOTAL 19,582 20,981

DENTAL

Annual Report -2014



DENTAL DEPARTMENT


OUTDOOR EXTRACTIONS FILLING ROOT CANAL

2010 11056 1042 1253 350

2011 11969 1141 1356 465

2012 18857 1368 1569 560

2013 19582 1469 1656 536

1

10

100

1000

10000

100000

OUTDOOR EXTRACTIONS FILLING ROOT CANAL

2010

2011

2012

2013

2014

Annual Report -2014


E.N.T. is located in the New OPD Building 1st floor in 2 rooms 39 & 40. Department is

being managed by Following doctors at present.

Three Sr. ENT Surgeon.

One SR

ENT department is providing outdoor, indoor & emergency services to the nearby

population as well as floating population from adjoining areas like

Ghaziabad,Loni,shamli,bagpat etc . OPD cases Data is stored in computers.

I. O.P.D SERVICES :-

Daily OPD load is around 150-200 patients in outdoor daily.

I. Examination + diagnostic facilities support by Biochemistry

& pathology Lab of the hospital.

II. Minor OPD Processor like

Lobuloplasty

Cyst & L.N. removal

Biopsy from ENT region.

2. . INDOOR SERVICES :-

No of Indoor bed allotted -7.

3 for female patients

4 for male patients

However in view of many patients being operated other Departments beds are

being utilized on operation day.

3. EMERGENCY SERVICES :-

As being provided by SR & Senior ENT Surgeon ,who are on call duties daily to

attend calls from Casualty.

4. EAR SERVICES :-

Variety of Ear operations are being performed under local as well as general

anesthesia.:-

Mastoidectomy

Tympanoplasty

Ossiculoplasty.

Myringoplasty

Stapedotomy + prosthesis insertion

5. NASAL SURGERIES:-

Surgery for facial trauma & Aesthetic surgery for nose is being done.

Septoplasty.

Seprrhinoplasty

# Nasal Bone & facial bone # correction.

EAR NOSE THROAT

DEPARTMENT

Annual Report -2014


Endoscope Nasal Surgeries

Fungal sinusitis, Sino Nasal Polyposis.

Endoscopic Endo nasal DCR.

6 . SURGERY OF THROAT:-

Surgeries of upper Aero digestive e tract & limited phow surgery is being

performed.

Tonsillectomy & Adeno Tonsillectomy

Voice disorder surgeries like:-

a) Vocal Nodule

b) Vocal Polyp

c) Laryngeal cyst removal

Biopsy from Larynx & Laryngopharynx

Removal of F.B. from upper Aero digestive tract.

VI. HEAD & NECK SURGERIES.

Removal of Cysts + Sinuses of neck.

Hemi Thyroidectomy., near total thyroidectomy

Submand Salivary gland excision.

Surgery of elebt- palate

F.B removal like coins, meat bone removal from obophegus.

6. HEAD & NECK SURGERY :-

Removal of neck Cysts.nck masses

Surgery for thyroglosal. Cyst+thyroglosal fistula, hydatid cyst neck

Branchial sinus

Removal of Salivary calculus.

Removal of submmdibular salivary gland, & parotid gland

Thyroidectomies.

7. SPECIAL ACHIEVEMENT :-

Diode Laser was acquired last year which has been used for following

surgeries.

Laser tonsillectomy - 10 Cases

Laryngal Cyst - 1 Case

Palatal growth excision - 1 Case

8. ACADEMIC ACTIVITES :-

1) ENT clinically meeting conducted by AOI are attended every month.

2) AOI Annual meeting held in Delhi every year is attended.

3) Cancer surgery updated symposia & CMEs held in Delhi are attended as

& when they are held.

4) Various CME conducted in Swami Dayanand Hospital are also attended.

5) ENT conference held energy year is also attended updating of knowledge.

Annual Report -2014



E.N.T. DEPARTMENT


2010 298 28829 715 905 1310 918 2458

2011 353 30069 862 969 1455 998 2596

2012 369 32150 525 652 552 1200 2655

2013 297 32356 425 782 519 1102 2733

2014 254 33394 104 89 224 97 373

.

1

10

100

1000

10000

100000

INDOOR OPD FORIGEN BODY (NOSE )

REMOVAL

FORIGEN BODY (EAR)

REMOVAL

SYRING TONGUE OPERATIONS

2010

2011

2012

2013

2014

Annual Report -2014


LAST TWO YEAR STATISTICS OF OPD AND OPERATIONS CASES

INDOOR OUTDOOR

2013 2014 2013 2014

12218 12438

20138 20856

297 254 32356 33394

OPERATIONS

2013 2014

Major 401 249

Minor 2631 124

Emergency 3198 --

TOTAL 6230 373

1 Foreign body (nose) removal 104

2 Foreign Body (ear) removal 89

3 Syringe of ear for wax & fungus 224

4 Tongue tie release 97

Compiled by: Dr. N.K. Tangri

Annual Report -2014


INTRODUCTION: -

The Department of Pathology provides diagnostic facilities essentially to confirm/

establish the diagnosis for appropriate management of patients admitted in various wards

including Emergency, Obstetrics and Gynae/ LR, HDU as well as the outdoor patients. It

also facilitates the necessary laboratory screening of patients attending ANC, Diabetic

clinic, Cardiac clinic, Skin clinic, Thalassemia unit & Adolescent clinic.

The Pathology Department of Swami Dayanand Hospital has nine sections,

namely Histopathology, cytopathology, hematology& HPLC Lab, clinical

pathology, biochemistry, and microbiology section,Emergency Lab/OPD

Lab,ANc Lab.

The department is not only providing diagnostic and prognostic information via

the patient reports but also is involved in preventive and health promotion actions

for the society. These actions include, screening for Thalassemia carriers thereby

preventing accumulation of Thalassemia majors in the society. Screening of

cervical pap smears helps in diagnosis of early cancers thereby preventing the

advanced cervical cancers.

Considering the need for uniformity and standardization in the Cytology

reporting the cytopathology section of Swami Dayanand hospital is reporting

FNA of breast lesions according to the guidelines laid down in the NHS UK

Breast Cancer Screening Programme. The pathology department is issuing various

reports only after thorough internal quality control.

The department is actively involved in the Prevention of Hospital Acquired

Infection.

The department is actively participating & rendering its services for the early

cancer detection Program, PAP smear screening, HIV screening & Thalassemia Trait

screening under DSACS project & Thallassemia control project of all ANC cases

attending the hospital.

Since the HIS is fully operational now at SDN Hospital, the laboratory test

requisitions are received, acknowledged on-line and the test reports are also entered on

line which can be retrieved by the concerned physician.

BIOCHEMISTRY, MICROBIOLOGY & PATHOLOGY

Annual Report -2014


EQUIPMENTS: -

The Pathology Department laboratory are equipped with the latest technology,

microprocessor based fully automatic/ semiautomatic machines and gazettes for efficient

processing, accuracy, quality control & precision of results. These equipments include

computerized machines such as.

Automatic tissue processor (Yorco).

Histopathology Grossing table

Hematology Analyzers (Three parts Differential Count (4 NOS))

Automatic (biochemistry) Batch Analyzer

Up gradable Electrolytes analyzer (Esch, German)

Semi automatic Biochemistry Analyzer (Transasia)

Elisa Reader with Automatic plate washer – 2 NOS (Tecan Austria)

Micro typing centrifuge machine (DIAMED)

Coagulation Analyzer (Stago, France)

Automatic urine Analyzer (Baeyer')

Laminar flow

Bacteriology incubators

Laboratory centrifuge & Overs

Autoclave machines

Binocular & trinacular Microscopes

Laboratory Airpurifer machine, etc

Deep freezer (-30)

ILR & Laboratory refrigerator with digital temp display and thermograph

recorder

Tissue block cabinets & slide cabinets, etc.

12-Multichannel, variable volume & fixed volume imported fine

micropipettes.

Automatic Tissue Processor (Leica Japan)

Five part differential count Hematology Analyzer (SYSMEX)

Fully automatic biochemistry analyzer (TRANSASIA)

Antigen Retrieval System (Microwave Based)

Ultra Deep Freezer (-80˚C)

Platelet Inculator & Agitator Machine

Electronic balances

Bio- mixers for blood collection

Dielectric sealers

Plasma thawing & separation machine.

Refrigerated Centrifuge

Biosafety Cabinet

HPLC Machine

Kit Storage Refrigerator

Plasma expressive with sensor

Bench top tube seater.

All these equipments are serviced regularly under AMC contract &

calibrated as per protocol :

-Automatic Slides stainer

Annual Report -2014


- Embedding Station

- Trihead Microscope

- 3 Slides cabinet

- One Block cabinet

- Scale for blood bag

-Electronic weighing cum balance scale for Blood Bank

AUGMENTATION OF EXISTING SERVICES

During the financial year 2013-14 the department of pathology has taken a great leap

forward to strengthen and augment the existing services for better efficiency, accuracy &

quality control of tests conducted in the various sections of the Laboratory. This was

possible with the acquisition and installation of equipments in the department during the

period-

1. Histopathology Lab: -

High resolution Trihead Microscope

Block cabinet & slide cabinets for 20,000 pcs.

Automatic Slide Steimer

• Embedding station

EZ-Retrieval system for Immuno histochemistry has been installed & is

being used for information of diagnosis & sub typing of various

lesions.Tinhead Microscope.

Ongoing Technician Training/CME’s

The department conducts in house training program for the reorientation of the

laboratory technician’s w.r.t the recent development, standardization of various

laboratory tests and techniques aimed at further improvement of the quality and

standards of laboratory practices.

Interactive programs are held on monthly basis at various workstations

wherein the technical staffs have a free discussion on a given topic testing

technique followed by practical demonstration & evaluation of the

participants. The staffs, are strictly instructed to adhere to the universal

precautions for personal protection.

MW Meetings are held every month to reinforce the technical staff to

follow the instructions w.r.t. proper segregation & disposal of biological

wasptes in accordance with the guidelines.

All the officers in the department actively participate in the interactive

CME’s conducted periodically by the scientific committee of SDN

Hospital every Friday.

The MO I/c participated in the scientific seminar at AIIMS & RML

Hospital Safe Blood Transfusion practices & appropriate use of

Blood/Components held on 11.06.2011

The under mentioned Lab Technicians attended the Training Programme

on Laboratory Testing for Dengue/Chickengunia held on June 8& 10 at

NICD:-

Annual Report -2014


1.Mr.Chaman Lal & Nidhi have done 1 weak Blood Bank Training in

RML Hospital conducted by NACO.

2. Mr. Devender Kumar has completed 6 months training of Blood

Component preparation in RBTC.

3.Miss Sweta (Lab Trchnician)

4.Dr. Prashant Goyal (SR)

Quality Control: -

The quality controls of various laboratory tests, techniques, reagents & equipment,

have been maintained on daily basis under the supervision of the respective in

charges/specialists.

All the expensive equipments are under AMC & serviced on quarterly basis and

on demand whenever required. Calibration of these machines is done periodically.

Internal and External Controls are put in place for maintaining Quality Assurance

of the tests by participating in EQAS (CMC vellore ) & EQAP by AIIMS.

The kits and reagents are observed for deterioration & contamination.

The tests for specificity, sensitivity, avidity & titer are being put on every new

batch/lot of reagents and kits.

The Testing Report from a reputed laboratory is mandatory; to be received

before the department approves the kits/reagents/disposable laboratory items.The

results of Lab investigations specially Histopathology Cytology & all abnormal

reports are done by the SR & MO & Dept.

1. DR. Awanindra Kumar (Mo)

2. DR. Deepti Mohan (SR)

3. Dr. Shelly Sehgal, Sr. Resident.

4. Dr. Prasant Goyal (SR)

5. Dr. Ghosh Soumyesh (SR)

Dr. Awanindra Kumar managed day-to-day administrative activities

of Department of Pathology & Transfusion Medicine.

The technical staffs are directed to strictly follow the SOP’s at their

assigned workstation to ensure standard processing techniques. These

SOP’s are reviewed and modified by the respective in charges by

incorporating the manufacturer instruction on the kits being used and the

cut off values specified on the available kits for precise interpretation.

Miscellaneous

The officials and the technical staff participated in the NPEP and various state health

programs during the year 2013. In addition the laboratory staff managed the ‘Health

Camps’ organized by the EDMC on various occasions.

The department of Pathology is actively participating in Thalassemia Screening of

ANC patients, HIV screening of ANC cases under the DSACS project PPTCT &

early Cancer Detection Programme.

There are 21 patients registered in the Thallassemia Day Care Unit. It has

been functioning from the Department premises and over 543 units of

supervised blood (packed red cell concentrate) transfusion were given to

the children registered at this unit. These children have been screened for transfusion ‘transmissible’ infectious markers particularly HBs Ag, HCV, HIV &

also Hemogram.

Annual Report -2014


The Laboratory Services were further strengthen with the posting of 6 Lab Asst.

from EDMC. These technicians were assigned to work under the senior lab

technicians of the hospital under supervision of the Senior Resident Doctors in

different laboratory sections on quarterly rotation basis:-

Mrs.Nidhi

Mrs.Rajesh

Miss Priyanka

Miss Preeti

Mr.Chaman Lal

STATEMENT OF HISTO-PATHOLOGY DEPTT. SDN HOSPITAL (YEAR 2014)

MONTHS NO. OF

BLOCKS In

2014

TOTAL

SPECIMEN(2014)

JANUARY 484 202

FEBRUARY 218 75

MARCH 338 155

APRIL 332 147

MAY 459 185

JUNE 290 147

JULY 317 156

AUGUST 373 180

SEPTEMBER 317 156

OCTOBER 267 130

NOVEMBER 363 145

DECEMBER 407 190

TOTAL 4181 1879

LAST TWO YEAR STATISTICS OF LABORATORY INVESTIGATIONS

TEST 2013 2014

Hematology 118984 162254

Clinical Path 13449 7232

Histo-Pathology 4548 4181

Cytology +PAP 992 899

Microbiology 25105 22309

HPLC Lab 602 153/396(CBC for

thallasemia)

Bio-Chemistry 110518 175736

F.N.A.C. 2639 3026

A.N.C. Lab 51379 21998

Emergency Lab 79630 42217

Blood bank 54280 42323

OPD LAB

1. Hematology 127853 132813

2. Routine Test (urine&

Stool)

26835 56833

Total 575782 5,10,532

Compiled by Dr. Awanindra Kumar

Annual Report -2014



PATHOLOGY DEPARTMENT

INVESTIGATION OF LAST FIVE YEARS

HEAMATOLOGY CLINICAL

PATH. HISTO.PATH. CYTOLOGY+PAP MICROLOGY BIO.CHEM. F.N.A.C. A.N.C.

LAB O.P.D.

LAB EMER.

LAB BLOOD BANK

2010 54871 8758 6629 965 14019 99089 2520 33439 19502 73312 52783

2011 68987 9158 7828 1012 15039 101269 2869 35286 20583 74358 51838

2012 102195 8183 8901 1129 18738 112676 2555 37120 26835 75427 54040

2013 118984 13449 4548 992 25105 110518 2639 51379 38176 79630 54280

2014 162254 7232 4181 899 22309 175736 3026 21998 56833 42217 42323

1

10

100

1000

10000

100000

1000000

2010

2011

2012

2013

2014

Annual Report -2014


INTRODUCTION: -

The Blood Bank of this Hospital is recognized by the State Blood Transfusions

Council headed by Chief Secretary, Govt. of NCT, Delhi & is licensed by the Drug

Controller Authority vide No. 1334/90. It is mandatory for the blood bank to comply with

all the provision of the Drugs and Cosmetic Act 1999 of the Govt. of India. Now the

blood bank is interacting with all other 28 Recognized Blood Bank in the NCT of Delhi to

standardize various aspect of blood banking, share information & meet the requirement of

blood /specific blood component of its patients.

The blood bank provides round the clock transaction service of safe adequate

supply of blood to meet the life saving requirement of patients admitted to the hospital in

emergency I.C.U., Labor room & various wards. It is also responsible for various blood

banking activities including:-

Screening and recruitment of healthy blood donors

Collection, storage of blood

Pre-transfusion screening of transfusion transmissible infections (TTI) eg. HIV,

HBsAg, HCV, Syphilis, Malaria

Detection of any abnormal antibodies in the donated blood, DCT,ICT,

Compatibility testing & issue of blood units/ specific recipient blood Component

FFP/PC.

Internal and External quality control of various blood banking procedures & lab

tests

Despite the constraint of shortage of staff, the blood bank organizers periodical

voluntary Blood Donation camps independently & in collaboration with RBTC’s and

Indian Red Cross Society.

The Blood Bank Stock of Blood Units is updated online on the official website of

MCD on daily basis.

STRENGTHENING & UPGRADATION OF B.T.S (2013-14 )

During the year 2013-14, the department of Transfusion Medicine has further

strengthened the existing facilities and services by reviewing SOP’s in accordance with

the DGHS guidelines, Drug Act 1999. The hospital blood bank hopes to achieve its most

cherished goal of up gradation to process the blood units to prepare various components

by the middle of 2015. In its Endeavour to realize the aforesaid goal, the BTS has geared

up the administrative efforts to expedite the availability of infrastructure, necessary

equipments & personnel required for the setup.

BLOOD BANK & TRANSFUSION MEDICINE

Annual Report -2014


In addition to the Deep Freezer (-30˚C), an Ultra Low Temp Deep Freezer (-

80˚C) Detective Blood Bag tube Sealer has been installed for storage of FFP.

The blood bank has recently purchased a bench to tube seater plasma expression

with sensor, sterile connecting device for component preparation.

The department has already acquired & commissioned a Platelet Incubator and

Agitator Machine for storage of Platelet Units at 20-22˚C.

The blood bank lab is already equipped with a Coagulation Analyzer Machine

(Stago-4 Model, France)

TRAINING / UPDATING THE TECHNICAL PERSONNEL: -

The blood bank has conducted fortnightly interactive meetings cum practical training

to standardize the various aspects of blood banking techniques with particular stress on

recent advancement / recommendations of NBTC. The aim of these ongoing activities is

to attain good laboratory practices (GLP) & good manufacturing practices (GMP) as

envisaged in the N.B.T.C. Guidelines and to impart knowledge of recent advancement to

the technical staff in the field of transfusion medicine. These interactive meet also help

these staff members to get their queries answered, discuss the problem areas & the

remedies available to streamline the B.T.S

In pursuance of the above stated objectives the blood bank personnel participated

in a training Programme at Department of Transfusion Medicine, RML Hospital under

the auspices of the DSACS. It was an intensive training programme conduced by experts

from AIIMS, PGI, and Apollo Hospital & USA. The focus of the Programme was to

ensure supply of safe blood & follow standardized lab techniques in all the blood bank.

This was, followed by participant in terms of knowledge, proficiency and accuracy.

DETAILS OF VOLUNTARY BLODD DONOR CAMPS:-

In year 2014 7 voluntary Blood donation camp have been organized :-

ACHIEVEMENT OF TARGETS: -

During the calendar year of 2014 the hospital Blood Bank achieved its target of

collection of 2107 units of blood from replacement and voluntary blood donors. In

addition, 410 units of blood were received from RBTC & IRCS & 269 units transferred to

other Hospital. The BTS issued over units of blood to the patients in need. No major

reaction attributed to blood transfusion, is reported by the clinicians this year.

In addition, the hospital blood bank arranged to issue the specific component

required to correct the specific deficiency and appropriate management of the indigent

patients in collaboration with the R.B.T.C’s and the IRCS. During 2014.

MISCELLANEOUS

The Thallassemia Day care unit has been functioning from the Department

premises for the management of, diagnosed patient .All the registered patients numbering

21 are given blood transfusion under close supervision.

Annual Report -2014


The blood bank issued 626 units of Red cell concentrate / Semi packed RBCs

required for maintaining the patient Hb more than / equal to 10 mg%. These children were

also screened for various markers of, transfusion transmitted diseases periodically at

stipulated time, as per the guidelines of National Thallasemia Welfare Society. The

screening test done in the department includes Haemogram., HIV ,HBsAg & HCV

(Serum ferretin test is done at Thalassemia Society or HRH ) at present .

FUTURE UPGADATION PLANS FOR THE 2013-14

It is proposed to start preparation of components from whole blood to meet the

specific needs of the patients & in consequence of it purchase of aphaeresis machine is in

process. It is also proposed to upgrade the BTS in terms of safety of blood recipients by

issuing safe blood with highest degree of compatibility. To ensure transfusion of safe

blood & minimize any associated risks, the blood bank plans to purchase the under

mentioned machines in the year 2014-15:-

1.Deep Freezeer

2. Platelet inculcator cum agitator

Compiled by Dr.Awanindra Kumar

The SDN Hospital is running a Thallassemia Day care unit since August 2004.

This is professionally managed in collaboration with the NATIONAL THALLASEMIA

WELFARE SOCIETY .The day care unit already has 24 patients registered who are

suffering from Thallassemia major, and managed as per the international protocol

.Thallassemia is a type of severe anemia which cannot be treated by any medication &

survival depends on repeated blood transfusions with proper chelating therapy . The

hospital Blood Bank meets all the requirements of all the patients admitted in this unit.

The T.D.C unit functions under the guidance of specialists and qualified staff including: -

1. Consultant Pediatrician Dr. Anand Aggarwal

2. Pediatrician I/C Dr. Jaswant

3. Sr. Residents (Pediatric Department & Pathology Department)

4. B.B.O, Dr. Awanindra Kumar

5. S/N Mrs. Meenakshi Puri

6. Lab. Technician (BB)

FACILITY PROVIDED: -

The Thalassemia children are provided regular and supervised blood

transfusion for maintaining the hemoglobin level more then 10 gm %.

The Thalassemia Day Care Unit also has facility for providing regular and

proper iron chelating therapy (I/V and subcutaneous with infusion pump

with Inj. Desferoxamine).

THALLASEMIA DAY CARE

Annual Report -2014


Providing oral chelating agent (cap. Kelfer) for every patients.

Providing routine check-up every 3 months duration.

Every patient, is immunized with Inj. Hepatitis-B before getting, their

treatment & as per the schedule

Providing all facility related to safe and screened Blood transfusions.

Providing leucocytes mono filters which are used to transfuse only

leucocytes depleted blood, which minimized the transfusion, related

reactions. These filters are very expensive, & every patient cannot afford

to purchase from the market.

Family screening, & counseling

Providing the testing facility such as: -

Hemogram

LFT, KFT

S. Calcium, S. Protein

Blood sugar

HIV, HCV, HBSAG

Echocardiography

Chest X-ray

We have liaison with Hindu Rao Hospital for providing Electrophoresis facility

for patients and their family members’ .The HPLC machine has been installed & test for

Thalassemia is being done & reported in Lab & SDNH

ACTIVITIES UNDERTAKEN: -

We, are linked to National Thallassemia welfare society to provide appropriate

counseling to the patients & information regarding latest developments and

facilities available globally in treatment, follow-up and rehabilitation of the

patients.

Conducting blood donor camps and motivate the people for Blood donation

for Thallassemia patients

Helps in the voluntary Blood donations campaign

Ensures arrangement of Blood units before arrival of Patients as per prior

appointment

Annual Report -2014


ANNUAL STATISTICS FOR THE YEAR OF 2013-14: -

1. Total number of blood transfusions- 626

2. Total chelating therapy by I/V route NIL

3. Total number of Lab Test done Total CBC-626

KFT – 72 times

LFT – 72 times

HIV HCV – HBSAG – 48 times

Calcium - 48 times

B. Sugar - 48 times

Total protein - 48 times

Compiled by Dr. Awanindra Kumar

Annual Report -2014


A Sr. specialist, and on Senior Resident is managing the department of radiology.

Sonography is done routinely and includes abdominal scanning(whole abdomen,upper

abdomen and lower abdomen) obstetrics scanning(including biophysical scoring)

gynecology USG (including TVS),neuro-sonography , thyroid, breast and scrotal scans.

Eighteen (18) X-Ray assistants are giving round the clock X-Ray Facility for OPD in

patients, emergency services and for medicolegal cases.

In spite of acute shortage of Technical staff, the following work was carried out

during, the year of report.

RADIODIAGNOSIS

X-ray 2013 2014

Chest 22045 21576

Abdomen/KUB 3430 1351

Bone & Joints 5462 14078

E.N.T. 653 153

Spine 2817 4204

TOTAL 34871 41362

ULTRASOUND & C.T. SCAN

Ultrasound 2013 2014

Obstetrics &

Gynecology

2434 1628

KUB/Lower/Upper

Abdomen.

1209 5118

Whole abd. 2802 2440

Others 193 428

G. Total 12387 11347

C.T. SCAN 1519 967

The New C.T. Scan Machine is installed on franchise basis through M/S

Focus C.T Center services in March 2009. 20% of all cases are done free of cost on

recommendation of Clinician in charge of the patient and endorsement from M.S/SDNH

Vacancy position of Radiology Staff

SR.

No.

Name of Post Plan Non

Plan

Filled

Up

Vacant

1 Technical Asstt 1 -- Nil 1

2 X-Ray Technician 7 3 Nil 10

3 X-Ray Asstt. 10 3 9 4

Compiled by: Dr. Prashant Jain

Radio Diagnosis & Imaging

Annual Report -2014



RADIOLOGY DEPARTMENT

STATISTICS OF LAST THREE YEARS

Xray chest Abdomen/KUB Bone & Joints ENT Spine

2012 7928 618 6439 319 739

2013 22045 3430 5662 653 2817

2014 21576 1351 14078 153 4204

1

10

100

1000

10000

100000

Xray chest Abdomen/KUB Bone & Joints ENT Spine

2012

2013

2014

Annual Report -2014



RADIO DIAGNOSIS & IMAGING DEPARTMENT


2010 2457 6078 8321 1032 1170

2011 3001 7000 8500 1101 1350

2012 2786 5028 7315 948 1338

2013 2434 1209 2802 193 1519

2014 1628 1733 2440 428 967

1

10

100

1000

10000

Obestertrics & gynecology

Kub/lower /upper abdomen

Whole Abd. Others C.T.Scan

2010

2011

2012

2013

2014

Annual Report -2014


The Accident & Emergency (Casualty) Department of hospital is 18 bedded is one

the main pillars of the hospital functioning. All efforts are done strengthen it and in order

to help the patient coming to the department, not only from Delhi but also from

neighbouring states and hospitals. The place is centrally air conditioned and provides

care to the needy patients. Running in three shift the casualty is open 24*7 for patients.

Being in proximity of our ICU is a boon to the very serious patient as they

immediately get access to ICU in case of needs. The resuscitation room is upgraded.

There is a defibrillator, portable ventilator and multifunction monitor. There is an ongoing

effort to improve it further.

There is a room for examination of rape victims which is managed in the Gynae

Department. There are 24 hours Lab facilities, X-ray & ECG availability.

This year we have added a Dog/Animal Bite Clinic in the Casualty. It is providing

both ARS and ARV injection to about 150-200 patients daily. It is managed by Dr. Manoj

Kumar who is a Nodal Officer and a Junior Resident, Nursing & Paramedical Staff. No

patient is sent back for want of treatment.

The dressing room in Casualty has been upgraded with a new light and 24 x 7

facility for antiseptic dressing and stitching facilities.

The Casualty waiting area is also upgraded and 12 patients educating board have

been put on various themes like blood, eye donation, smooking, thallesemia and

thrombolytic etc.

The Causalty is having support from Assistant Sub Inspect, Delhi Police and there

Constable, Delhi Police to handle medicolegal cases 24x7.

Total No.patients 93,002 out of which 4,830 were MLC cases in the year 2014.

All this has been possible due to the ever responsive administrative support in

procuring any thing including medicines, equipment and furniture etc. An ACLS

Ambulance procurement plan is in the pipe line.

The Casualty is not sparing any effort in treating all the patients coming here with

best of abilities. All t he staff the doctors and Paramedical staff strive hard to give best

care to the patients coming to our hospital.

compiled by Dr.R.Singhal

CASUALTY / EMERGENCY

Annual Report -2014


ICU CENSUS 2013-14

Overview

The chief minister of Delhi inaugurated the HDU of Swami Dayanand Hospital on

October 1rd

2005..It started functioning from 2nd

October 2005.Since then it has been an immense

support to the critically ill patients of the hospital. The popularity as well as the workload

gradually increased over these eight years. The patients admission increased by 107% from the

initial year. The ICU is catering patients referred from other government and corporate hospitals

from all over Delhi. Critically ill patients from the Trans Yamuna area and distant hospitals in

neighboring states are also referred to the ICU. The ICU is catering critically ill patients from

medicine, surgery, obstetrics and gynecology, pediatrics and others. Swami Dayanand hospital is

performing a lot of major laparoscopy/oncosurgery. The ICU also performs academic activities

regularly in the form of case presentations, seminars etc both intrahospital and intradepartmental.

The ICU has also represented the hospital all over India in different national conferences either as

chair or as faculty.

ICU DATA 2014

Number of patients 589

Death 187

Recovered/transferred 402

The cases treated in ICU: septicemia, CAP, COPD ,acute pancreatitis, ecclampsia, ischemic

stroke, haemorrhagic stroke,, post operative cases of perforation peritonitis ,meningitis ,poisoning

patients , HELLP, post perforation peritonitis, pediatric patients suffering from acute severe

asthma, bronchopneumonia, myocarditis, sepsis and severe sepsis, DKA, Hypertensive

emergencies,acute coronary syndrome, restrictive lung disease, ARDS and patients of electrolyte

imbalance and metabolic disorders.

CHRONOLOGY

YEAR NO OF PATIENTS % INCREASE IN PATIENTS

2006 262

2007 307 20%

2008 369 41%

2009 351 33%

2010 445 69%

2011 508 97%

2012 519 101%

2013 545 107%

2014 589 125%

Anesthesia & Critical Care

Annual Report -2014


Existing Staffing Pattern

HOD ANAESTHESIA

DR RAJNI KHERWAL

SAG

DR RAKESH SINGHAL

CMO(NFSG) DR RANAJIT CHATTERJEE

SENIOR RESIDENTS 5

JUNIOR RESIDENTS:

3

SISTER INCHARGE

2

NURSING STAFF

8

1. TECHNICIAN

6

The senior residents, nurses and technicians are on duty 24×7 365 days. Dr Rakesh Singhal and

Dr Ranajit Chatterjee are on call duties on alternate days .The ICU team is also gives effective

support in resuscitating emergency patients in the hospital

Major ICU equipments

Equipments Number

VENTILATORS 5

VENTILATOR- TRANSPORT 2

MULTIPARAMETER MONITOR: 7

PULSE OXYMETER 4

COOXYMETER 1

DEFIBRILLATOR MONOPHASIC 1

NICCO MONITOR

1

MINIMALLY INVASIVE CO MONITOR

1

USG MACHINE

1

BRONCHOSCOPE

1

ABG MACHINE

2

SYRINGE PUMP

16

BIPAP

2

AED

1

MACOY LARYNGISCOPE

1

MEDICAL TROLLEY

2

THROMBOELASTOGRAM 1

Annual Report -2014


CRRT MACHINE

1

SLEDD machine

1

INBUILT CAMERA (MONITORING

SYSTEM):

2

It has been found by internal audit the mean utilization of instruments is over 90%.

Specific ICU Programme-

1. The ICU along with the department of medicine has started ‘stroke program’in Swami

Dayanand Hospital. Patients of acute ischemic stroke who come within 4.5 hours of attack can be

thrombolysed . Till date 8 patients has been thrombolysed and six of them are doing well. We

hope to continue the program with the active support of administration.

2. The ICU has the unique facility of CRRT( Continuous renal replacement therapy ) and

SLEDD( sustained low efficacy daily hemodiafiltration).The critically ill patients suffering from

acute kidney injury(AKI) are salvaged by this unique technique.

3. Regular thrombolysis of patients of ACS.

CONCLUSION

MONTHS G.A. EPIDURAL L.A S.A.C.

SA+GA Brachial

JAN 117 8 410 185 7 10

FEB 107 4 260 170 7 3

MAR 64 16 411 183 10 2

APR 114 6 420 182 4 2

MAY 132 20 430 179 12 7

JUN 93 2 447 184 1 2

JUL 135 1 558 189 4 3

AUG 95 3 415 186 6 3

SEP 114 3 525 150 8 1

Annual Report -2014



ANAESTHESIA DEPARTMENT

STATISTICS OF OPERATIONS OF LAST FIVE YEARS

MAJOR MINOR EMERGENCY TOTAL P.A.C.

2010 4343 8264 4687 17294 13858

2011 2700 9358 4025 17690 13058

2012 2771 10732 4258 17294 13858 2013 4638 13928 5387 23953 17938

2014 5419 13630 5204 24253 9642

1

10

100

1000

10000

100000

MAJOR MINOR EMERGENCY TOTAL P.A.C.

2010

2011

2012

2013

2014

Annual Report -2014


The ICU of Swami Dayanand Hospital is doing an exemplary work. Young and dynamic doctors,

nurses and technical staff are giving tireless service to the community. A dedicated and committed

team is always on its toes to help any patient in a dire state in an effort to help him/her to the

extent possible. We sincerely hope that this effort will prevail and as always the results of ICU

will make the hospital and the department proud in times to come

Total numbers of operations & PAC in the year

2013 & 2014

2013 2014

Major 4638 5419

Minor 13928 13630

Emergency 5387 5204

TOTAL 17294 24253

P.A.C. 17938 9642

Compiled by: Dr. Rajan Khanna,Dr. M.K. Mandal & Mr. Om

Prakash

OCT 38 4 338 147 3 1

NOV 66 2 337 138 3 2

DEC 77 1 383 160 1 5

TOTAL 1152 146 4943 2053 66 41

Annual Report -2014


Nursing forms, the back bone any good medical care. Compassionate proactive

care is instrumental in overall quality of the medical services rendered. SDN nursing

fraternity provides excellent nursing care in all the key areas like HDU, Operation

Theater and Labor room.

1. The hospital Nursing Staff under supervisory control of ANS’ are grouped into six

sections for effective Patient Care in Emergency, L.R. OT, Wards and HDU and

Old Children Ward and New born baby.

2. There is ongoing training program for computerization and use of HIS.

3. Awareness and skill up gradation training also conducted this year for handling of

New Born, Low birth weight. Physical check up training for CA Breast

Awareness & Dengue.

Staff pattern of nursing department is as below:

POST SANCTIONED VACANT

Matron 1 1

Asstt. Matron 1 1

A.N.S 9 4

D.N.S 1 1

Nursing Sister 59 31

Staff Nurse 200 6

Compiled by ANS ANITA

This hospital provides general diet as well as special diet to the indoor patients as

recommended by the Medical Officer. An ultra modern kitchen equipped with L.P.G.

stoves, fridge and steel utensils is situated in the heart of the hospital. Modern steel

trolleys are provided for the distribution of hygienically prepared food to the patients.

Nutritional needs of the patients are assessed and special meals are provided to

diabetics, renal cases and to nutritionally compromised patients.

A nominal charge of rupees ten levied per day. However, on recommendation of

Unit in charge or HOD the same is waived off.

NURSING CARE

Hospital Catering

Annual Report -2014


The staff position of kitchen is as under:


Steward 1 --

Dietician 1 --

Head Cook 2 2

Cook 8 --

Bearer 10 --

Masalchi 4 --

Compiled by: Dr.S.K.Tomar

Swami Dayanand Hospital Sports & Cultural Club a registered society. It was

established in year 1989 with a vision “Humanity in Human” with the grace of god and

dedicated efforts of the previous exercises the club has grown to present state.All SDN

hospital staff whether he/she is a doctor, nurse, technician, office staff, data entry

operator, ward boy, Safai karamchari or from engineering department,are members of the

club and they participate in all the sports and cultural activities without any

discrimination. This helps in establishing among harmony the workers and improved

interpersonal relations.

Major Activities preceding the Annual Day are:

1. Annual Day Celebration on the birth anniversary of Swami Dayanand

Saraswatiji

2. Annual Sports festival in the months of Jan- Feb every year

3. Cultural activities with public health messages on HIV awareness, Eye Donation

and save Girl child etc.

4. Well Baby Show emphasizing healthy practices in child care,

Sports & Cultural Club

Annual Report -2014


5. Selecting and rewarding Best Workers:- In each category of Staff nurse,

Ward Boy/Aya, Safai Karamchari, technician, Office staff, engineering deptt etc.

6. Selecting the Best Ward:- This gives the immense satisfaction to the incharges of

the wards as their tireless efforts throughout the year is acknowledged

Major Activities throughout the Year by the club are: -

1. Organizing farewell to all the employees of SDN Hospital .This is, attended by all

categories of workers regularly. Sports and Cultural Club presents Prateek Chiñnh

and Appreciation letter (Prashashti Patra) to all the employees on their

superannuation.

2. Felicitating major achievements of its workers

3. Condolence meetings on demise of workers or their family members

4. Dramatization of Health messages.

5. Birthday Celebrations of freedom fighters and great national leaders.

6. National Festivals like Independence Day and Republic day celebrations.

7. Common get together of all employees on special occasions

8. Active participation in govt. programmes like “Swachh Bharat Abhiyan”.

9. Organizing debates, essay competition etc. on “Hindi Divas”.

10. Awareness programme for general public.

Compiled By Dr. GladbinTyagi

Annual Report -2014


The Hospital has conducted many workshop, meeting and seminar for their employee

in the year n2014 in the Conference cum Lecture Hall, which is situated in Library of

Hospital. Hospital appoint new staff for the Library, also renovate library. Library

provides service and manage time to time for the workshops, guest lectures and other

functions in the honor of the hospital.

Guest Lecture:-

1. I.A.P.Delhi

2. Hepatitis Diseases

3. New Born care.

4. Basic of Ebola Fever

5. Management of Diabetics mellitus in India perspective with evidence

6. PEP for HIV

7. A fordable housing for doctors

8. Functioning of personalized care block.

Public Health lecture:-

1. Eye Donation awareness

2. Malaria awareness

3. Dengue awareness

Workshop:-

1. Non- invasive ventilation

2. NPSP

3. Neonatal resuscitation

New Facility in Library:-

1. A/c Internet online library with 6 computers and internet

LAN facility, inaugurated by Hon’ble M.P.Sh. Manoj

Tiwari ji and Hon’ble M.P. Sh. Mahesh Giri Ji.

2. A/c guest for small meeting with new sofa and table.

3. One computer in the conference and Lecture Hall.

4. Overhead ceiling projector with new screen installed.

5. New Proposal for DNB residents and doctors has been

under process and work amended.

Complied by Dr. S.S.Bisht

LIBRARY Science

Annual Report -2014


Under implementation scenario of BIOMEDICAL WASTE MANAGEMENT

ACT (Handling Rules ‘1998), BMW management, the work, is done at 32 nursing

stations of the SDN hospital.

The Segregation of different types of waste and its on-site prescribed

treatment is carried at the source of generation.

Following categories of waste, is being generated and treated.

Category Quantity Mode of

treatment Month Day

1 Human Anatomical Waste 1068.5 Kg. 35.61 Kg. Out Sourced to

Biotic Solution

Pvt Ltd.

2

Soiled Waste (items

contaminated with

Blood, body fluids

including, Cotton,

Dressings, plasters etc.

3720 Kg. 124 Kg. Out Sourced to

Biotic Solution

Pvt Ltd.

3 Microbiological &

Biotechnological

38 Kg. 1.26 Kg. Out Sourced to

Biotic Solution

Pvt Ltd.

4

Waste Sharps-needles,

scalpels, blades,

Glass etc.

224Kg. 7.46Kg. Out Sourced to

Biotic Solution

Pvt Ltd.

5

Solid Waste-generated from

disposable

Items other than

sharp…plastic

Syringes,

Tubing I/V sets, Catchers

etc.

1196 Kg. 39.86 Kg. Out Sourced to

Biotic Solution

Pvt Ltd.

BIO MEDICAL WASTE MANAGEMENT

Annual Report -2014


Various Training programs,, were conducted, corner meetings held & training

imparted to Medical officers, nursing staff, paramedical & technical staff, as on –going

continued training.

- Solar water heater will be functional soon.

- CFC bulbs are being used in place of ordinary bulbs.

- The possibility of installation of rain water harvesting system is being explored.

- The installation of ETP Plant is in progress. The meeting of various Ex. Engineers

has been held and now it is under process.

- Very soon we will be setting up of the process of Electronic waste also. It has

become mandatory now under the direction of DPCC.

- As per policy we have stopped the increase

- We have out sourced our disport/department

Compiled by: Dr. Sudhir Mittal

Hospital pharmacy is managed by 10 Pharmacist. Our 3 pharmacists are engaged

in the procurement & distributions of Medicines, Medical Item and Surgical Items as

Medical and Surgical storekeepers. We have separate pharmacy counters for paediatric

and Gynecology Deptt which are situated in the visibility of respective OPD’s. We have a

separate pharmacy counter for Senior Citizens. We do have a separate Pharmacy counter

for Pensioners, Hospital staff & Handicapped Persons as well.

We are conducting in house practical training for students of pharmacy, which

is mandatory for their degree.

At present all the work in pharmacy stores and OPDs is performed on line on

Computerized, .HIS module.

Compiled by Dr. D.Chakarvarty

Pharmacy

Annual Report -2014


The Scientific Committee of Swami Dayanand Hospital is pioneering the

academic atmosphere of Hospital. It is regularly conducting seminars & workshop for

Medical as well as paramedical personnel under its Banner. Under this forum we have

discussions on various topics which help the Doctors, not only of our Hospital but from

various dispensaries of East Delhi, ultimately helping lot of poor patients of East Delhi.

Here is the brief descriptions of various activities conducted by Scientific

Committee in the year 2014:-

Workshops:-

1. Malaria, Dengue & Pulse Polio Immunization in with NPSP from WHO on

07.04.2014 (1 Day Workshop).

2. Orientation Training Programme for Nodal Teachers EDMC Schools for

prevention & control of vector borne Diseases on 09.05.2014. (1 Day

Workshop)

Seminars & CME:-

9. Medico legal formality in Hospital by Professor:- Mr.T.D. Dogra.(Former

Director AIIMS & information Forensic Expert) on 23.05.2014.

10. Dry Eye Syndrome- An overview by Dr. Neha Sharma SR (Optho) &

Moderated by Dr. Anup Goswami HOD Eye on 17.06.2014.

11. Brain Tumar Review by Dr. H.S.Bhatoe (Director Neurosurgery Max

Hospital Patparganj & Acute stroke Management by Dr. Amit Batra on

11.07.2014.

12. Dengue fever Medical Management by Dr. Mukesh Kumar HOD Medicine

& Lab Diagnosis by Dr. Awaninder Kumar HOD Pathology on 01.08.2014.

13. Radiological aspect of Head Trauma by Dr. Anmol Radiologist House of

Diagnostic on 05.09.2014.

14. Management of Non STEMI by Dr. Ajay Mittal Cardiologist (Metro

Hospital Preet Vihar on 08.09.2014.

15. Management of DIABETES in Indian respective with evidence by Dr.D.

Chakarvarty (Medicine Deptt S.D.N.Hospital) & Basics of Ebola Fever by

Dr. Jannet Stephens Medicine Deptt S.D.N.Hospital on 14.11.2014 to world

Diabetic Day.

16. Catheter related Blood infection by Dr. Allen SR (Anesthesia)

S.D.N.Hospital on 10.12.14.

Scientific Committee Activities

Annual Report -2014


With blessings and good wishes for all other Departments,

particularly sincere co-operation & Sincere advise for our

M.S.Dr.M.L.Jaipal, Scientific Committee is hopeful to achieve

MILESTONE in future.

Compiled By Dr. D Chakravarty

MO I/c Scientific Committee.

HIS system is installed in S.D.N. Hospital by WIPRO Info Tech Ltd in the

year 2005-06. They have been sustaining the system by providing in house SA & DBA.

The LAAN, the Server & Client System are kept serviced with the help of GTL Ltd.

(now, Orange) CCS Computers Ltd. and IT Software.

Director I.T. has been very supportive and helping as co-ordinator to the

inputs, processor and monitoring of output. In 2011 once Tec Mahindra implements E

governace in totality the HIS system will be be administered by them the better access

and web enabled features.

Assistant Sanitary Inspector manages sanitation services. This hospital provides

necessary material for up keeping and cleanliness in indoor and outdoors department, in

spite of shortage of staff: -

Total Staff Position is as under: -


A.S.I 2 --

Sanitary Guide - --

Safai Karamchari 73 6

A team of three sanitation workers are equipped with modern pressure jet equipment

and they clean the service areas of public use as per schedule. The pressure jet system is

proving to be an excellent cleaning device.

On experimental basis a small team of SULABH workers are engaged to further

facilitate the sanitation drive. This effort has visible impact at Emergency, Main OPD

and at PNC ANC wards

Compiled by Smt. Lata Singh

Sanitation & House keeping

Hospital Information System (HIS)

Annual Report -2014


There are five stores in this hospital:

1. Medical Store Mr. Grish Soni

2. Surgical Store Mr. Subhash Tyagi

3. General Store Mr. Anil Kumar

4. Linen Store Mr. Anil Kumar

5. Stationery Store Mr. Anil Kumar

6. I.T. STORE Mr. Yograj Aggarwal

These stores are controlled and supervised by the Addl. Medical Superintendent,

and assisted by two pharmacists, one U.D.C., one L.D.C. and one statistical clerk.

Material management has been computerized as per HIS Module. All the work of stores

has been computerized. All the stores always ensure stock of essential items. The

pharmacy has three OPD out lets in the Main block, Pediatrics block and OBG block.

Compiled by Dr.M.P. Singh

Hospital is having well equipped mechanical laundry. This department provides

washed and clean linen to all indoor and outdoor patients of the hospital. The unit

collects linen from the wards, Labor room and OT as per schedule, sorts them into

serviceable non serviceable linen, wash dry calendar and deliver to the respective

sections. The laundry section is under supervision of CMO_ Admin. This year we plan to

out sourse the laundry services revamp the Laundry infrastructure.

Compiled by Dr.S.K.Tomar

This Hospital has engaged some private Partnership agencies to maintain/ look

after the following work in this hospital to facilitate the services for the patients of this

hospital.

1. C. T. Scan Center: - C. T. Scan machine in Swami dayanand hospital

was installed on franchise basis as public private partnership. Accordingly, C. T.

Scans are done on payment of certain amount as per agreement with the operating

agency. There is provision of free C. T. Scan for poor patients or

M.L.C/emergency cases from SDNH or other corporation hospitals with the

approval of MS/SDNH & also casualty Medical Officer beyond hospital timing

not exceeding 20% of the total scans done. The CT Scan is run and maintained

Laundry Services

Stores

Private Public Partnership

Annual Report -2014


by M/S Focus C. T. Center. The rate of the different C T Scan are approved by

competent authority of the M. C. D.

FOCUS IMAGING & RESEARCH CENTRE PVT. LTD.

DETAIL OF C.T. SCAN CASES FROM JAUNARY 2013 TO

DECEMBER 2013

TOTAL NO: OF PATIENT TOTAL FREE CASES

826 141

2. Security Services: - The hospital has deployed Private Security M/S

Sulabh International Social Service Organization. 7 Security supervisors & 108

Security guards are managing the services round the clock.

All Security staff deployed at various places of the hospital wear uniform,

name plate (Identity card) and found to be alert. None of the vital posts, are left

unmanned. During the on National functions the security staff are always in

ceremonial dresses and ensure proper conduct of flag hoisting.

4. Sanitation Services: - 95 Sulabh international karamcharis as engaged

against vacant post of class 1V employees. Since their engagement they are

maintaining sanitation at the place of their posting & sanitation is improving.

Compiled by Dr. S.S. Bhist

This hospital has some coordination department, which helps in maintaining several

services of this hospital.

17. Electrical Department: - This department runs by the electric department

of EDMC Shahdara North Zone Division. Mr. Kabir Puran Chand J.E.

electric to look after all the power supply including the generator sets and

running & maintenance of the air conditioning plants in the hospital

premises.

18. Works Department: - This department by the divisional works department

of EDMC Shahdra North Zone. One J. E. works is posted in this hospital to

look after all the civil works including sewerage system in the hospital

premises.

One Jr. Engineer works and one Jr. Engineer Electric has been provided for proper

maintenance and up-keep of the hospital building as well as electric supply. Engineering

department is managing the maintenance work.

Compiled by Dr. Surindra Kumar

Ancillary Departments

Annual Report -2014


NURSING SCHOOL

Rajmata Vijayaraje Scindia Nursing School is only Nursing School of EDMC.

R.V.S.Nursing School,Swami Dayanand Hospital, has been established since 1st August 2013, to

provide Diploma in G.N.M. 3½ Years Course with a batch strength of 20 students per year in

affiliation with the Indian Nursing Council and Delhi Nursing Council.There is a common

entrance test for admitting students as per merit.At present we have 19 Students 1st year and 20

students in 2nd

year.

PHILOSOPHY OF THE SCHOOL OF NURSING:

We believe that basic course of modern nursing is a dynamic, education process in

meeting the complete health goals & therapeutic needs of the individuals , family ,

community and the nation.

OBJECTIVE OF EDUCATIONAL PROGRAMME :

To help the students to acquire knowledge understanding and the correct attitude

necessary for carrying out nursing activities both in the hospital and in the community.

To help the students in acquiring the skills essential in providing care according to the

needs of individual patient and developing the skills to enhance interpersonal relationship

communication & counseling.

ACHIEVEMENTS IN THE YEAR 2013-14 & 2014-15

Six faculty appointed including Principal.

Saparate budget allocation for Nursing School.

Nursing Art Laboratory, Anatomy lab, Community lab and Midwifery lab furnished with

new equipments including furniture.

. Power point projectors installed in two classrooms.

Saparate mess and recreation room for students.

Furnished rooms for hostel students.

Books and furniture for library procured

Mannequin /dummy provided in all labs

Saparate Photocopier procured for Nursing School

Assistant Librarian appointed for Nursing School

Ten Computers installed in Computer lab

Procurement of Bus and Multipurpose vehicle is in process

NURSING SCHOOL

Annual Report -2014


Cultural Programs celebrated in RVS Nursing School

DNC inspected RVS Nursing School for A.Y. 2015-16

TARGET FOR THE YEAR 2015-16

Staff for Hostel (Warden-4, Driver-2)

Staff for Office (Stenographer-1, Cleaner-1 Machine Operator-1)

Enhancement of Furniture

Procurement of Linen & Stationary

TEACHING FACULTY OF RVS NURSING SCHOOL, SDNH

Principal Mrs. Ritu Singh

Tutors Mrs.Akhila. S. Ms. Shanti Kathet Mrs. Rohini Sharma

Mr.Mukesh K.Suman Mr. Arun K. Goyal

Compiled by Mrs. Ritu Singh

Principal of RVS Nursing School

ISM: Ayurveda

One Ayurvedic physician one pharmacist and one ANM are posted in this

department. Free of cost Ayurvedic Treatment is available to patients desiring to follow

the indigenous system of medicine.

The dispensary was shifted from within the premised of SDNH to a three room

accommodates in the newly constructed building of Swami Dayanand Ayurcedic

Panchkarma Hospital, Dilshad Garden Delhi,Inspite of the shifting the response of

patients is good

Also, SDNH Ayurvedic Dispensary now not only callers to general patients, but also

advises patients regarding Panchkarma therapies. The response to Ayurvedic medicines

has been good nor the years and is expected to go up with the Panchkarma hospital to be

opened shortly.

Annual Report -2014


ANNUAL DATA OF PATIENT & FINANCIAL TURNOVER FOR THE YEAR

2014.

Month No. of OPD

(New & Old)

Patients

No.of

Panchkarma

Therapies

Done

OPD Charges Panchkarma

Charges

January 564 33 2210 5550

February 1011 82 3155 19050

March 1148 62 3350 14500

April 1092 117 3365 33900

May 935 120 3135 21700

June 940 133 2870 27750

July 1330 136 4180 31150

August 1269 139 4085 31200

September 2000 152 6190 41300

October 1887 140 5675 41500

November 1577 117 5075 39400

December 1403 129 4605 37850

Total 15156 1360 47895 344850

TOTAL 392745

ANNUAL DATA OF PATIENT & FINANCIAL TURNOVER FOR THE YEAR

2014

Month No. of OPD

(New & Old)

Patients

No.of

Panchkarma

Therapies

Done

OPD Charges Panchkarma

Charges

January 920 142 3305 30500

February 921 124 3480 28350

March 1259 175 4365 53550

April 1508 176 4625 57950

May 1477 185 4490 47600

June 1257 168 3610 27750

July 1263 118 3850 36060

August 1172 103 3755 29350

September 1121 162 3605 34950

October 982 107 3105 25200

November 1352 163 4140 36550

December 1327 134 3915 32800

Total 14559 1757 46245 440610

Compiled by Dr. Kamlesh Sharma

Annual Report -2014


There is a separate OPD counter for registration of Senior citizens in OPD and

Special attention, is given to all the Senior Citizen in Doctors consulting room as well as

in all the investigation procedure including the Pharmacy depts. of this hospital. There

is regular interaction between the retired MCD employees association and the SDN

administration for monitoring and improving the facilities for senior citizen. At present

due to logistic reason the suggestion have dedicated segregated multi specialty OPD

services for senior citizens are not feasible.

Compiled by Dr. S. kumar

Right to information Act-2005 introduced and first application was received in

year -2014. Following officers are designated and handling R.T.I.:

Dr. M.L. Jaipal 1st Appellate Authority

Dr. M.P. Singh P.I.O.

Dr. K. Arya A.P.I.O.

Sh. Manu Gautam Dealing Assistant

Total No. of R.T.I. application in year 2014

Total No of R.T.I. 100

No. of R.T.I. received directly 78

No. of R.T.I. received through transfer 22

No. of Appeal to 1st Appellate Authority 13

No. of R.T.I. appeal received through CIC 04

We have supplied information to all RTI’s on stipulated time.

Compiled by Mr. Manu Gautam

Senior Citizens

Right to Information

Annual Report -2014


The Administration Deptt is, working under the supervision of Administrative

officer. This office takes up all the administrative and service matters of all hospital

employees viz, salary bills, electricity, water, telephone bill, stores maintenance. They

also look and pursue various issues related to court.

This department has done exemplary work in providing all retirement benefits and

dues together on the last day of employee’s service for last many years.

S.No. Post Sanctioned Vacant

1 Administrative Officer 1 -

2 Sr. Stenographer 1 -

3 Head Clerk 3 -

4 Jr. Accountant 1 --

5 U.D.C. 5 3

6 L.D.C. 5 --

7 Mohrer/Dafteri 1 --

8 Peon 6 --

The salary and Diary dispatch sections are now computerized.

Compiled by Mrs. Lata Singh (Administrative Officer)

ACA: Mr. Yogesh Kumar Sharma

The Department has 1 Junior Accountant and 1 UDC’s which work efficiently towards

passing bills and payment through ECS system(Both Visual pay & on line) They also

monitor hospital budget and Reconcile of bank accounts and ensure timely payment to the

employees. The department is responsible to monitor cash flows and utilization of budget

in both Non Plan and Plan.

Compiled by Mr. Yogesh Kumar Sharma

Administrative Wing

Accounts

Annual Report -2014


NON PLAN

1 VI-B (P) I ( A )

( B )

( C )

( D )

47 -1001

47 -1002

47 - 1003

47 - 1004

Salary

Salary

Salary

Salary

1650.00 lacs

935.00 lacs

550.00 lacs

440.00 lacs

2 VI-B (P) II (ii)

(iii)

(IV)

47 -1193

47 -1156

47 -1119

Telephone

Postage

Miscellaneous

13.00 Lacs

0.60 Lacs

100.00 Lacs

3 VI-B (P) III 47 - 1089 Equipment 200.00 Lacs

4 VI-B (P) IV 47 1098 Medicine 1500.00 Lacs

5 VI-B (P) V 47 - 1040 Diet 100.00 Lacs

6 VI-B (P) VI 47 1187 Stores 120.00 Lacs

7 VI-F( 47 - 1092 Medical relief to

MCD Pensioner

60.00 Lacs

8 VI- A-IV-9 47 - 1217 Repair of

maintenance of

hospital.

90.00 Lacs

9 XVI-J-VII-I 41-13.63 Repair of

Thalesemia

control project

30.00 Lacs

10 VI-B (P) X 47 - 1100 Security services 160.00 Lacs

11 47-104 BMW 50.00 lacs

PLAN HEAD

1. XLIV-B -C III Revenue 300 Lacs

2. X L-IX (Medical) Capital 2120 Lacs

Compiled by Mr. Yogesh Kumar Sharma

BUDGET PROVISION

Annual Report -2014


A Medical Record Department of Swami Dayanand Hospital is working under the

Supervision CMO (Administration). The Medical Record Department is the most

important department of the hospital for documentation of medical records, facilitating

OPD registration, Admission & Discharges, safe custody Medico-Legal Records, ensure

Birth and Death registrations, prepare document related to MIS and Annual reports.

Disease identification and coding of disease as per ICD 10 is also done.

The work of Medical Record department has increased many folds during last

few years. Some of the details about mandatory operations are as below:

The following registration counter is provided for easy & smooth functioning

and facility to the OPD patients.

1. Two UHID & Billing Registration counter for Female Patients at Ground Floor.

2. Two UHID & Billing Registration Counter for Male Patients at IInd Floor Near

Surgical OPD.

3. One UHID & Billing Registration counter for Senior Citizen/Retire

Employee/Hospital Staff at Ground Floor.

4. One Pediatrics Registration counter at 2nd

floor Near Surgical OPD

5. Obst. & Gynae Registration counters at ground Floor.

Besides the above counters, the registration of patients in different clinic in

every day are also been made by the Medical Record Department such as Diabetic clinic,

Cardiac, Infertility, A.N.C. Vitiligo, Leprosy, V.D. Glaucoma and Cancer Clinic.

This department completes all types of statistic of indoor and outdoor patients

daily/weekly/monthly/ Quarterly /yearly statistical report and analysis. Due to vast

reporting system for all communicable disease and information for health activity, linking

with Zonal offices and collecting data/report regarding Dengue fever, Cholera,

Meningococcemia Gastroenteritis, Daily ward census report from different

ward/OPD/Casualty and laboratory for onward transmission to higher authorities.

The day hour’s enquiry services have been converted into round the clock

which is fully computerized and touch being hospital with wards/ casualty. All the wards

admission / discharge work, has also been computerized during the year under report.

Medical legal cases are also deal with this department. All relevant record such as M.L.C.

Register, M.L.C. case sheet, MLC X-ray. Patient’s case sheet etc is provided to

doctors/officer who attended the court. Medical Record Clerk is also attending the court.

The Medical Record department is also maintaining the 10 years record of OPD and 5

years record of indoor patients for the Court purpose and interest of patients.

Medical Record Department

Annual Report -2014


Birth & Death Registration has become on line w.e.f. August -2003. One

dedicated DEO uploads data on the web site as per documents collected from Labor

room. Sister in charge LR and staff on duty has the mandatory responsibility of

maintaining daily register of all deliveries conducted with complete details relevant for

Birth registration.

The Medical Record Deptt. Is also providing the Medical facility to:-

a) The persons for job

b) The students for Education

c) The Nalla Beldar EDMC

d) The Amar Nath Yatra.

e) The Disability certificate to physically challenged person.

Since 6th

January 2012 we have been authorized to issue first free copy of birth

certificate to babies born at this hospital. Additional MS is the authorized signatory of

the certificates.

The Staff Position of Medical Record Department is as under:

For computerized work 13 Data Entry Operator for H.I.S. and One for Birth &

Death Registration have been engaged through ICSIL.

Compiled by Mrs. Ardhana Tyagi

S. No. Name of The Post Sanctioned Post Vacant Post

1. M.R.O. 1 1

2. M.R.T. 2 Two Data entry operator is

working on contract basis

3. Statistical Clerk 16 Two Statistical Clerk are working

on contract basis

10 Data Entry Operators are

working Against vacant post of St.

Clerk

4. Medical Record Clerk 2 Nil

5. M.R.A. 2 One MRA is working on Contract

basis.

Annual Report -2014


Annual Statistics of Swami Dayanand Hospital Year 2014

S.No. Outdoor Patients Treated New Old Total

1. Male 136054 99927 235981

2. Female 176108 182488 358596

Total 312162 282415 594577

Indoor Patients

Admission

24318

1. Male 8096

2. Female 16222

3. New Born 6775

Indoor Patients

Discharge

23087

1. Cured 13156

2. Improved 9717

3. Referred or transfer to

other Hospital

214

Died 307

Days of cure to patients

discharge

89650

Average length stay even

month

04

No. of Birth in the

Hospital

6937

1. Live Birth 6775

2. Still Birth 162

Annual Report -2014


Total death including new

born

307

1. Infant Death 67

2. Within 28 days (Neonatal) 54

3. More than 28 days but less

than one year

13

No. of Maternal Death 14

1. Total Male delivered 3645

2. Total Female delivered 3130

ANNUAL REPORT 2014

Annual Statistics of Swami Dayanand Hospital Year 2014

No. of Sanctioned beds 250 (HDU, Thalassemia & Contingency ward added in Nov,

2005)

No. of Patients treated during the

month

a) Indoor Outdoor

New 24318 312162

Old 97236 282415

Total 121554 594577

b) No. of deliveries conducted (if

any)

6937

1. Live Birth 6775

2. Still Birth 162

c) No. of cases of abortions (if any) 372

1. Anti Rabies Treatment given --

a) No. of Patients Treated 17367

Compiled by Mrs Babita

Annual Report -2014


No. of patients treated (diseases wise Statistics)

S.No DISEASE INDOOR OUTDOOR TOTAL DEATH

1 Cholera -- -- - --

2 Small Pox -- -- -- --

3 Plague -- -- -- --

4 Poliomyelitis -- -- -- --

5 Infectious Hepatitis` 59 877 312 --

6 Influenza -- -- -- --

7 Tuberculosis 127 2720 2522 09

8 Gastro-enteritis 88 4039 3869 --

9 Virus Encephalitis 42 152 168 -

10 Dysentery 34 750 471 --

11 Whooping Cough -- -- -- --

12 Diarrhea 131 1076 1255 --

13 Mumps -- -- -- --

14 Chicken Pox -- -- -- --

15 Measles -- -- -- --

16 Enteric Fever 97 1161 1176 --

17 Acute Respiratory 121 2868 2751 27

18 Pneumonia 216 3307 3535 16

19 Viral fever 316 3095 2861 --

20 Cerebrospinal Fever -- -- -- --

21 Relapsing Fever -- -- -- --

22 Puerperal Fever -- -- -- --

23 Diphtheria -- -- -- --

24 Erysipelas -- -- -- --

25 Snakebite -- -- -- --

26 P.U.O 301 2786 4019 --

27 U.R.C. 117 993 1757 --

28 Dengue Fever 20 20 --

29 Hemorrhagic Fever -- -- -- --

30 Guniee Worm -- -- -- --

31 Meningococal - -- - --

32 Rabies -- -- -- --

33 Syphilis -- -- -- --

34 Gonoccoceal -- -- -- --

35 Tetanus -- -- -- --

36 Scabies -- 2886 2886 --

37 Kalazar -- -- -- --

38 Japanese Encephalitis -- -- -- --

Annual Report -2014


YEARLY REPORT OF NOTIFIABLE DISEASE

SL.No. Diseases Indoor

Patients

Outdoor

Patients

Deaths

1. Acute Diarrhea Diseases 140 1076 --

2. Diphtheria -- -- --

3. Acute Poliomyelitis -- -- --

4. Tetanus other than Neonatal - -- --

5. Neonatal Tetanus -- -- --

6. Dengue Fever 20 --- -

7. Measles -- --- --

8. Acute Respiratory Infection 121 2868 27

9. Pneumonia 216 3307 16

10. Enteric Fever 97 1161 --

11. Viral Hepatitis 59 877 --

12. Japanese Encephalitis -- -- --

13 Meningococcal meningitis - --- --

14 Rabies -- --- ---

15 Syphilis -- --- --

16 Gonococcus Infection -- -- --

17 Pulmonary Tuberculosis 127 2720 9

18 Kala Aza -- -- --

19 All other Disease with abnormal

signs treated in institution

excluding above Mentioned

diseases

-- -- --

20 HIV-AIDS - 85

Annual Report -2014


Following Staff attained Superannuation in the Year 2014

S. No. Name of Official Designation Date of Retirement

1. Sh Vinod Tyagi Lab. Asstt. 31.03.2014

2 Sh. Rajener Kumar Ward Boy 31.03.2014

3 Smt. Sarla S.K 31.03.2014

4 Dr. Rama Kant Gupta Medical

Superintendent

31.03.2014

5. Smt. Prem Lata Arora A.N.S 30.04.214

6. Smt. Margat pal Nursing Sister 30.06.2014

7. Dr. Manoj Kumar Mandal CMO(SAG) 30.06.2014

8. Smt. Veena S.S Jacob Staff Nurse 31.07.2014

9. Dr. D.Chattarjee N.F.S.G. 30.09.2014

10. Dr. M.L. Bharti CMO SAG 31.10.2014

11. Sh. Jai Kishan Gupta St.Clerk 31.10.2014

12. Sh. Inder Pal Ward boy 31.12.2014

13 Smt. Sona Devi S.k 31.12.2014

14. Chiranji lal Yadav Security warden 30.09.2014

Annual Report -2014


ACKNOWLEDGEMENT

Due care has been taken to ensure their all details are

correct. Errors if any are regretted.

I acknowledge that the Annual Report has been compiled

and made possible, only because of the contributions from like

Mr. Yograj Aggarwal & Mrs. Babita have made this report

possible.

Dr. M.L. Jaipal

(Medical Superintendent)

Annual Report -2014 · 35. ISM Ayurveda 77 36. Senior Citizen 79 37. Right to Information 79 38....

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