1. MINI PROJECT ON
DEPARTMENT OF MEDICINE AT
ACHARYA VINOBA BHAVE RURAL HOSPITAL
DEPARTMENT OF MHA & M, DMIMS, SAWANGI
WARDHA
PREPARED BY
DR MANJIT RAMESH
BARSAGADE
MHA & M 1ST YEAR

2. ACKNOWLEDGEMENT
 I WOULD LIKE TO EXPRESS MY GRATITUDE TO ALL THOSE WHO GAVE ME
THE POSSIBILITY TO COMPLETE MY STUDY SUCCESFULLY. I WOULD LIKE
TO THANKS DR GODE MADAM (DIRECTOR, MHA & M, DMIMS) FOR GIVING
ME PERMISSION TO COMMENCE MY STUDY IN AVBRH HOSPITAL.
 IN ADDITION, I WOULD LIKE TO THANK ADMINISTRATOR OFFICER MRS
PARIHAR MADAM (AO) AT AVBRH FOR PROVIDING ME BASIC SUPPORT FOR
INTERACTIVE SESSION WITH CONCERNED STAFF & FOR CO-OPERATION
DURING WHOLE STUDY.
 I WOULD LIKE TO THANKS DR AMOL AMLE FOR PROVIDING ME VALUABLE
INPUTS & GUIDELINE.
 ESPECIALLY I AM DEEPLY INDEBTED TO DR SANTOSH TIWARI (FACULTY)
WHO IS HELP; STIMULATING SUGGESTIONS & ENCOURAGEMENT HELPED
ME IN ALL THE TIME OF STUDY & ACEDEMIC SESSION.
 LASTLY MY DEEP HEARTED REGARDS TO MY PARENTS & FAMILY WHO
ALWAYS STOOD NEXT TO US IN ANY CIRCUMSTANCES.

3. DECLARATION
 I DECLARE THAT I DR. MANJIT RAMESH BARSAGADE STUDENT
OF MASTER IN HOSPITAL ADMINISTRATION AND MANAGEMENT
1ST YEAR , DATTA MEGHE INSTITUTE OF MEDICAL SCIENCES ,
SAWANGI , WARDHA HAS COMPLETED ONE WEEK TRANING ON
MINI PROJECT TITLE “ DEPARTMENT OF MEDICINE ” AT
ACHARYA VINOBA BHAVE RURAL HOSPITAL , SAWANGI ,
WARDHA .
 I ASSURE YOU THAT IT IS MY ORIGINAL WORK
YOUR’S SINCERELY,
MANJIT RAMESH BARSAGADE
MHA & M 1ST YEAR
DMIMS, SAWANGI
WARDHA

4. TABLE OF CONTENT
SR NO PARTICULARS PAGE NO
1 INFORMATION ABOUT AVBRH
2 INTRODUCTION TO MEDICINE
DEPARTMENT
3 AIMS & OBJECTIVES
4 METHODOLOGY
5 MEDICINE OPD
6 MEDICINE WARD
7 MEDICINE ICU
8 OBSERVATION
9 RECOMMENDATION
10 BIBLIOGRAPHY

5. INFORMATION ABOUT AVBRH SAWANGI
WARDHA
 INTRODUCTION
 ACHARYA VINOBA BHAVE RURAL HOSPITAL WAS ESTABLISHED IN 1991 BY HONOURABLE DATTA
MEGHE WITH ADVANCE MEDICAL SERVICES AND FACILITES.
 IT IS LOCATED 4 KM FROM WARDHA CITY & WELL CONNECTED WITH ALL MODES OF TRANSPORT.
AVBRH IS 1138 BEDDED FULLY EQUIPPED TEACHING HOSPITAL.
 ITS MOTTO IS “CURE WITH CARE”.
 IT OFFER SUPER SPECIALITY TREATMENT IN THE FORM OF ADVANCED SURGERIES SUCH AS RENAL
TRANSPLANT, JOINT REPLACEMENT, CORNEAL TRANSPLANT, ENDOSCOPIES AND LAPAROSCOPIC
SURGERIES, NEURO AND SPINAL SURGERIES, MAXILLOFACIAL AND PLASTIC SURGERIES AS WELL AS
ONCOSURGERY TO NAME A FEW.
 IT IS BACKED BY THE LATEST MEDICAL, IMAGING AND DIAGNOSTIC EQUIPMENT SUCH AS COLOUR
DOPPLER, CT SCAN, HIGH PRECISION MONITORS, WHICH ARE UPGRADED PERIODICALLY TO KEEP PACE
WITH THE LATEST ADVANCEMENTS IN THE FIELD OF MEDICINE.
 IT IS ALSO EQUIPPED WITH AN ULTRA MODERN OPERATION THEATRE COMPLEX WITH ATTACHED ICU,
ICCU, SURGICAL ICU, PEDIATRIC ICU AND NEONATAL ICUS HAVING ALL THE NECESSARY EQUIPMENTS
SUCH AS MULTIPARA MONITORS, CENTRAL MONITORING SYSTEM, VENTILATORS FOR PROVIDING THE
BEST POSSIBLE TREATMENT TO THE PATIENT.
 24 HRS TRAUMA & EMERGENCY SERVICES IS AVAILABLE.

6. INFORMATION ABOUT AVBRH SAWANGI
WARDHA
 INTRODUCTION
 HOSPITAL IS HAVING DAILY OPD 1000 – 1200 PATIENTS.
 FREE BUS FACILITIES IN VILLAGES IS AVAILABLE.
 THIS COMPREHENSIVE TERTIARY LEVEL HOSPITAL IS FAST DEVELOPING
INTO A REFERRAL CENTRE OF CENTRAL INDIA.
 ANOTHER FEATHER HAS BEEN ADDED TO ITS CAP WITH THE INAUGURATION
OF THE ‘CARDIAC CENTRE’ ON THE 5TH OF APRIL 2010 WHICH WILL OFFER
ALL SURGERIES RELATED TO THE HEART INCLUDING ANGIOPLASTY, OPEN
HEART SURGERY, BY- PASS SURGERY ETC. THIS IS THE FIRST OF ITS KIND IN
WARDHA AND WILL BENEFIT THOUSANDS OF PATIENTS OF WARDHA AND
NEIGHBOURING DISTRICTS.
 AVBRH IS A TEACHING HOSPITAL HAVING A WELL KNOWN INSTITUTION
JAWAHARLAL NEHRU MEDICAL COLLEGE. DATTA MEGHE INSTITUTE OF
MEDICAL COLLEGE IS A PUBLIC TRUST REGISTERED UNDER BOMBAY PUBLIC
TRUST IN 1950 IT WAS PREVIOUSLY KNOWN AS SMT. RADHIKABAI MEGHE
MEMORIAL MEDICAL TRUST.

7. VISION
 “TO EMERGE AS THE GLOBAL CENTER OF
EXCELLENCE IN THE BEST EVIDENCE
BASED HIGHER EDUCATION
ENCOMPASSING A QUALITY CENTRIC,
INNOVATIVE AND INTERDISCIPLINARY
APPROACH, GENERATING REFUTATIVE
RESEARCH AND OFFERING EFFECTIVE
AND AFFORDABLE HEALTH CARE FOR
THE BENEFIT OF THE MANKIND”.

8. MISSION
 DMIMS SHALL DEVLOP COMPETENT, CONFIDENT, CONCERNED,
COMPASSIONATE AND GLOBALLY RELEVANT PROFESSIONALS
BY QUALITY, LEARNER, COMMUNITY AND EVIDENCE CENTRIC
‘COMPETENCY BASED MODEL’ OF HIGHER EDUCATION WITH
VALUE ORIENTATION, THROUGH ALL ITS CONSTITUENT UNIT.
 IT SHALL FOSTER A CONDUCIVE MILIEU FOR
INTERDISCIPLINARY RESEARCH PRACTICES GENERATING
CONSEQUENTIAL AND MEANINGFUL OUTCOMES FOR THE
NATION IN GENERAL AND THE REGION IN PARTICULAR.
 IT SHALL DELIVER COMPREHENSIVE QUALITY HEALTH CARE
SERVICES TO THE RURAL, NEEDY, MARGINALIZED AND
UNDERPRIVILEGED POPULACE.
 THIS SHALL BE ACHIEVED THROUGH APPROPRIATE
COLLABORATIVE LINKAGE AND A PROACTIVE TRANSPARENT
AND ACCOUNTABLE DECENTRALIZED GOVERNANCE SYSTEM.

9. LOCATION
 ACHARYA VINOBA BHAVE RURAL HOSPITAL IS
ATTACHED TO JAWAHARLAL NEHRU MEDICAL
COLLEGE RUNS BY SMT. RADHIKABAI MEGHE
MEMORIAL MEDICAL TRUST, NAGPUR AS A
TEACHING HOSPITAL.
 THIS 1138 BEDDED HOSPITAL STARTED IN THE
YEAR 1990 HAS DEVELOPED RAPIDLY DURING
THESE YEARS. THE BASIC IDEA OF THE TRUST
WHILE STARTING THIS HOSPITAL WAS TO CATER
TO THE RURAL POPULATION OF WARDHA DISTRICT
AND CENTRAL INDIA AND PROVIDE ADVANCED
MEDICAL CARE FACILITIES TO THE
DOWNTRODDEN. IT IS 70KM FROM NAGPUR BY
BUS/CAR. 2 KM FROM WARDHA RAILWAY STATION,
7 KM FROM SEWAGRAM RAILWAY STATION.

10. HOSPITAL RECOGNITION
 MAHARASHTRA STATE GOVERNMENT EMPLOYEES.
 M.S.R. TRANSPORT CORPORATION.
 BSNL (BHARAT SANCHAR NIGAM LTD).
 CENTER AMMUNITION DEPARTMENT PULGAON.
 TTK HEALTH SERVICES.
 MD INDIA HEALTH PLAN LTD.
 LLOYDS STEEL.
 MAHARASHTRA RAJYA POLICE MUKHALAYA.
 DEDICATED HEALTH CARE SERVICES.
 GOODS HEALTH PLAN LTD.

11. HOSPITAL SERVICES
 MEDICAL SERVICES
 DERMATOLOGY.
 PSYCHIATRY.
 ENDOCRINOLOGY.
 PULMONOLOGY.
 CARDIOLOGY.
 NEPHROLOGY.

12. HOSPITAL SERVICES
 SURGICAL SERVICES
 LAPROENDOSCOPY & GENERAL SURGERY.
 TRAUMA CENTER & ORTHOPEDICS.
 OPHTALMOLOGY.
 GYNECOLOGY & OBSTETRICS.
 NEUROSURGERY.

13. HOSPITAL SERVICES
 CLINICAL SERVICES
 INTERVENTIONAL RADIOLOGY (ANGIOGRAPHY) ETC.
 CT SCAN, MRI, ULTRASOUND & XRAY ETC.
 LAB SERVICES:-BIOCHEMISTRY, MICROBIOLOGY, CLINICAL
PATHOLOGY, HISTOPATHOLOGY, CYTOLOGY, HEMATOLOGY,
SEROLOGY, IMMUNOLOGY ETC.
 2D ECHO, COLOUR DOPPLER, TMT, DIALYSIS, ECG, EEG ETC.
 VIDEO ENDOSCOPY, COLONOSCOPY, SIGMOIDOSCOPY ETC.

14. PUBLIC HEALTH SCHEME
IMPLIMENTED AT AVBRH

HOSPITAL
DATTATRAYA AYROGYA DATTAK YOJNA (DADY)
 VANDE MATRAM SCHEME FOR ALL PATIENTS
 FAMILY CARD HOLDER
 SANJIWANI SCHEME
 KAWACH KUNDAL YOJNA
 BAL SANJIWANI SCHEME
 FREE TRANSPORTATION SCHEME
 JANANI SURAKSHA YOJANA (GOVT. FUNDED SCHEMES)
 JEEVAN DAI YOJNA (GOVT. FUNDED SCHEMS
 SMILE TRAIN
 SARVA SHIKSHAN ABHIYAN (GOVERNMENT OF INDIA’S SCHEME)
 RSBY SCHEME (RASHTRIYA SWASTH BEEMA YOJNA)

15. INTRODUCTION TO MEDICINE
DEPARTMENT
 MEDICINE DEPARTMENT CONSIST OF
 MEDICINE OPD.
 MALE MEDICINE WARDS.
 FEMALE MEDICINE WARDS.
 MEDICINE ICU (MICU).
 ECG ROOM.
 INJECTION ROOM.
 IT IS MOST IMPORTANT AND BUSY DEPARTMENT AT AVBRH BECAUSE MOST OF THE PATIENTS COMES TO
MEDICINE OPD AND MOST OF THE PATIENTS ARE ADMITTED IN MEDICINE WARD AND MICU.
 MEDICINE DEPARTMENT IS TOTAL 210 BEDDED
 MEDICINE DEPARTMENT HAS 13-BEDDED ICU.
 MEDICINE WARDS ARE DISTRIBUTED INTO 7 WARDS THEY ARE AS FOLLOWS
 27 & 28 FEMALE MEDICINE WARD.
 16, 17,18,33,MALE MEDICINES WARD.

16. AIM
 TO STUDY THE PLANNING,
ORGANISATIONAL STRUCTURE,
MANAGEMENT, EVALUATION AND GIVE
RECOMMENDATIONS IF ANY OF MEDICINE
DEPARTMENT AT AVBRH HOSPITAL
SAWANGI WARDHA.

17. OBJECTIVES
 TO STUDY ORGANISATION AND WORKING OF
MEDICINE OPD.
 TO STUDY ORGANISATION AND WORKING OF
MEDICINE WARDS.
 TO STUDY ORGANISATION AND WORKING OF
MEDICINE ICU (MICU).
 TO SEE THE FACILITY AND SERVICES PROVIDED
TO PATIENTS.
 TO FIND OUT ANY NEED TO IMPROVE BASIC
SERVICES PROVIDED TO PATIENTS.

18. METHODOLOGY
 AN OBSERVATIONAL STUDY WAS CARRIED OUT IN MEDICINE
OPD, MEDICINE WARDS, MEDICINE ICU, WHICH COMES UNDER
MEDICINE DEPARTMENT OF AVBRH HOSPITAL SAWANGI FROM
19/03/2012 TO 25/03/2012.
 THE DATA HAS BEEN COLLETED THROUGH OBSERVATIONAL
AND INFORMAL DISCUSSION WITH DOCTORS, NURSES,
PATIENTS & OTHER STAFFS.
 FOR THIS STUDY DATA COLLECTED INCLUDED-
 TOTAL NO. OF OPD PATIENTS.
 TOTAL NO. OF ADMISSION
 TOTAL NO. OF DISCHARGE
 AVERAGE LENGTH OF STAY OF PATIENTS

19. HIEARCHY STRUCTURE OF
MEDICINE DEPARTMENT
 HEAD OF DEPARTMENT (HOD) – 1
 PROFESSOR – 10 INCLUDING (HOD)
 ASSOCIATE PROFESSOR – 4
 ASSISTANT PROFESSOR – 7
•DR S.N.MAHAJAN PROFESSOR & HOD
•DR S.R.TANKHIWALE PROFESSOR
•DR S.K.DIWAN PROFESSOR
•DR ANIL.H.INAMDAR PROFESSOR
•DR A.K.WANJARI PROFESSOR
•DR M.V.DHAKATE PROFESSOR
•DR RAJESH SARODE PROFESSOR
•DR T.K.KAMBLE PROFESSOR
•DR M.M.PATIL PROFESSOR
•DR SOURYA ACHARYA PROFESSOR

20. HIEARCHY STRUCTURE OF
MEDICINE DEPARTMENT
•DR S.K.GUPTA ASSOCIATE PROFESSOR
•DR SUNIL KUMAR ASSOCIATE PROFESSOR
•DR R.T.REWEKAR ASSOCIATE PROFESSOR
•DR BHARTI GANVIR ASSOCIATE PROFESSOR
•DR SHILPA BAWANKULE ASSISTANT PROFESSOR
•DR SAMMIR CHAUDHARI ASSISTANT PROFESSOR
•DR AMOL SAMARTH ASSISTANT PROFESSOR
•DR SIDDHART SUBHEDAR ASSISTANT PROFESSOR
•DR R.N.KALMEGH ASSISTANT PROFESSOR
•DR PARIMAL TAYDE ASSISTANT PROFESSOR
•DR N.S.KOTHARI ASSISTANT PROFESSOR

21. MEDICINE OPD
 LOCATION OF OPD
 MEDICINE OPD IS SITUATED IN A WING AT GROUND FLOOR.
 NO OF MEDICINE OPD IS 11.
 MEDICINE OPD TIMINGS
 MONDAY TO FRIDAY- 8.30AM TO 3.30PM.
 SATURDAY – 8.30AM TO 1:00PM.
 SUNDAY – CLOSED.
 STAFF
 ATTENDENT – 1.
 SISTER – 1.
 INSTRUMENTS USED IN OPD
 BP APPRATUS.
 TORCH.
 STETOSCOPE.
 HAMMER – 4.
 SUCTION MACHINE – 1.
 O2 CYLINDER – 1.
 INSPECTION TABLE – 4.
 INSPECTING STOOLS – 4.

22. MEDICINE OPD
MEDICINE OPD CONSIST OF
WAITING AREA.
RECEPTION.
CONSULTATION ROOM – 4.
TEACHING AREA.
 WAITING AREA
 WAITING AREA OF OPD IS SITUATED OUTSIDE OF OPD.
 WAITING AREA CONSIST OF FACILITY FOR SITTING FOR PATIENTS.
 RECEPTION
 IT IS SITUATED IN FRONT OF THE ENTRY OF OPD.
 RECEPTION IS COMPUTERISED WITH HIS SYSTEM.
 SISTER HANDELS THIS RECEPTION COUNTER.
 CONSULTATION ROOM
 MEDICINE OPD CONSIST OF 4 CONSULTATION ROOM.
 EACH ROOM CONSISTS OF INSEPECTION STOOL, INSEPECTION TABLE, DOCTORS CHAIR, AND TABLE.
 TEACHING AREA
 MEDICINE OPD HAS CLINICAL DEMO ROOM.
 AS AVBRH IS A TEACHING HOSPITAL SO THERE IS A CLINICAL DEMO ROOM TO CARRY OUT
LECTURES FOR STUDENTS.
 IT CONSISTS OF BOARD, EXAMINATION TABLE AND CHAIRS.

23. MEDICINE OPD
 DAILY OPD
DAY UNIT DOCTORS DOCTORS
MONDAY 1 DR SATISH DR ANIL WANJARI
MAHAJAN
TUESDAY 2 DR T.K.KAMBLE DR ANIL INAMDAR
WENESDAY 3 DR SANJAY DIWAN DR M.M.PATIL
THURSDAY 4 DR ANIL INAMDAR. DR T K.KAMBLE
FRIDAY 5 DR ANIL WANJARI DR SATISH
MAHAJAN
SATURDAY 6 DR M.M.PATIL DR SANJAY DIWAN
SUNDAY CLOSED

24. MEDICINE OPD
 SPECIALITY CLINIC OPD
DAY SPECIALITY CLINIC TIME DOCTOR NAME
MONDAY DIABETES 12PM TO 2PM •DR S.N.MAHAJAN
•DR SOURYA ACHARYA
•DR NIRMESH KOTHARI
TUESDAY NEUROLOGY 12PM TO 2PM •DR S.R.TANKHLWALA
•DR T.K.KAMBLE
•DR ROHAN KALMEGH
WEDNESDAY NEPHROLOGY 12PM TO 2PM •DR S K DIWAN
•DR SUNIL KUMAR
•DR SHEETAL KRIPLANI
WEDNESDAY HEMATOLOGY 12PM TO 2PM •DR S B KANE
•DR S K DIWAN
•DR SHEETAL KRIPLANI
THURSDAY GASTRO+ 12PM TO 2PM •DR AMOL SAMARTH
HEPATOBILIARY
FRIDAY CARDIOLOGY 12PM TO 2PM •DR A K WANJARI
•DR M V DHAKATE
•DR PARIMAL TAYDE
FRIDAY ENDOCRINOLOGY 12PM TO 2PM •DR SOURYA ACHARYA
•DR NIRMESH KOTHARI

25. EVALUATION- DATA
ANALYSIS
 TOTAL NO. OF OPD PATIENTS
DATE NO OF PATIENT
19/03/2012 381
20/03/2012 376
21/03/2012 355
22/03/2012 370
23/03/2012 0
24/03/2012 345
25/03/2012 0
TOTAL 1827
AVERAGE TIME TAKEN FOR CHECKUP IN MEDICINE OPD WAS 10 TO 15
MINUTES.

26. MEDICINE WARDS
 MEDICINE WARDS ARE SITUATED IN DIFFERENT WINGS OF
HOSPITAL.
 WARDS ARE DIFFERENTIATED ON BASIS OF SEX OF PATIENTS.
 EACH WARD IS FURTHER SUBDIVIDED ON THE BASIS OF VARIOUS
UNITS DEPENDING UPON THE DAY OF ADMISSION
MALE MEDICINE WARD NO 33
UNIT UNIT INCHARGE CALL DAY
5 DR WANJARI FRIDAY
6 DR PATIL SATURDAY
7 DR TANKIWALE TUESDAY
MALE MEDICINE WARD NO 27
UNIT UNIT INCHARGE CALL DAY
1 DR MAHAJAN MONDAY
2 DR DIWAN TUESDAY
3 DR KAMBLE WENESDAY

27. MEDICINE WARDS
 MALE MEDICINE WARD NO 17 & 18
UNIT UNIT INCHARGE CALL DAY
3 DR KAMBLE TUESDAY
4 DR INAMDER THURSDAY
 MALE MEDICINE WARD NO 16
UNIT UNIT INCHARGE CALL DAY
1 DR S N MAHAJAN MONDAY
2 DR S K DIWAN WENESDAY
 FEMALE MEDICINE WARD NO 28
UNIT UNIT INCHARGE CALL DAY
4 DR INAMDAR THURSDAY
5 DR WANJARI FRIDAY
6 DR PATIL SATURDAY
7 DR TANKHIWALE TUESDAY

28. LOCATION OF WARDS
 MALE MEDICINE WARD NO 33 – SITUATED IN E BLOCK
OPPOSITE TO ENT OPD
 MALE MEDICINE WARD NO 16 – SITUATED IN A BLOCK
AT SECOND FLOOR.
 FEMALE MEDICINE WARD NO 27 – SITUATED IN A
BLOCK AT THIRD FLOOR.
 FEMALE MEDICINE WARD NO 28 – SITUATED IN A
BLOCK AT THIRD FLOOR.
 MALE MEDICINE WARD NO 17 & 18 – SITUATED IN A
BLOCK AT SECOND FLOOR.

29. DESIGN OF WARDS
 THIS ALL MEDICINE WARDS ARE DESIGNED IN
SUCH A WAY THAT THEY ARE EASILY
ASSESABLE WITH STAIR CASES AND LIFT.
 ALL MEDICAL WARDS ARE BIG IN SIZE AND
AMPLE SPACE TO ACCOMODATE LARGE NO
OF PATIENTS.
 WARDS ARE OF NIGHTINGALE TYPE.
(NIGHTINGALE WARDS IS A TYPE OF HOSPITAL
WARDS WHICH CONTAIN A LARGE ROOM
WITHOUT SUBDIVISON FOR PATIENTS
OCCUPANCY.)

30. FUNCTIONAL AREA OF MEDICINE
WARDS
 NURSING STATION
 EXAMINATION & TREATMENT ROOM
 CLINICAL DEMO ROOM
 STORE ROOM
 DOCTORS DUTY ROOM
 SR RESIDENT ROOM
 PANTRY
 TOILET

31. ORGANOGRAM
 ORGANISATIONAL CHART FOR MEDICAL
STAFF
HOD
UNIT
INCHARG
E
ASSOCIAT
E
PROFESSO
R LECTURE
R
JR 1, 2, 3
INTER
N

32. ORGANISATIONAL CHART FOR
NURSING STAFF
CHIEF NURSING
SUPRITENDANT
MATRON
WARD
INCHARGE
HEAD NURSE
STAFF NURSE
ATTENDANT
SWEEPAR

33. TIMING FOR WARD STAFF
 SHIFTS
 DUTY DOCTORS – 9AM TO 9PM (24HRS)
 INCHARGE SISTER – 7:30AM TO 3:00PM
 SISTER & ATTENDANT – MORNING - 7AM TO 2PM
 EVENING – 2PM TO 8PM
 NIGHT – 8PM TO 7AM
 DOCTORS VISITING TIMES
 MORNING – 10:00AM ONWARDS BY HOD, LECTURER, PG
STUDENT
 EVENING – 5:00PM ONWARDS BY LECTURER, PG
STUDENTS

34. MANAGEMENT
 FLOW CHART SHOWING WORKING OF MEDICINE WARDS
PATIENT TO BE ADMITTED COMES FROM CASULTY, OPD, ADMISSION COUNTER, AND ICU.
↓
NECESSARY FORMALITIES ARE CARRIED OUT AT ADMISSION
COUNTER
↓
PATIENT GETS ADMITTED IN WARD
↓
PATIENT GETS FULL NURSING CARE, MEDICINES, FOOD, AND INVESTIGATIONS ARE DONE
↓
PATIENT GETS CURE AFTER GEETING ALL HOSPITAL SERVICES
↓
CONSULTANT ADVICE DISCHARGE TO PATIENT
↓
NURSES PREPARE RECORD TO ATTACH IN DISCHARGE FILE
↓
AFTER DISCHARGE FILE IS COMPLETE NURSES PREPARE THE BILL OF THE PATIENT
↓
FAMILY MEMBERS ARE INTIMATED FOR CLERANCE OF BILL
↓
AFTER CLERANCE OF BILL NURSES HAND OVER ALL DOCUMENT TO PATIENT AND THE
PATIENT IS DISCHARGE

35. HOW ON CALL DOCTORS ARE
CALLED
IN CASE OF EMERGENCY IN WARD
SISTER CALL IN MICU.AS TOLD BY
SISTERS DOCTORS ARE PRESENT IN
MICU
IF DOCTORS ARE PRESENT IN MICU
THEY COMES IN 5 TO 10 MINUTES AT
WARD
IF THEY ARE NOT PRESENT IN MICU
SISTER CALL THEM ON THERE
PERSONAL MOBILE NUMBER

36. LIST OF REGISTAR
MAINTAINED IN WARDS
 MEDICINE TABLET BOOK
 INJECTION BOOK
 LINEN BOOK
 STATIONARY BOOK
 CONSUMABLE BOOK
 INSTRUMENT BOOK
 FURNITURE + EQUIPMENT BOOK
 DAILY INVENTORY BOOK
 ASSIST + STUDENT BOOK
 INTERN BOOK
 HFC BOOK
 DIET BOOK
 DAILY ACCOUNT BOOK
 DAILY PATIENT ACCOUNT BOOK
 AUTO CLAVE SENDING BOOK
 PATIENT CALL BOOK
 TOILET CLEANING BOOK
 MRD BOOK
 INVESTIGATION BOOK
 DAILY INSTRUMENT HAND OVER BOOK
 LEAVE UNFIT REGISTER
 MEDICAL FITNESS
 PHONE BOOK
 MOVEMENT BOOK
 ADMISSION REGISTAR
 DISCHARGE REGISTAR
 BLOOD TRANFUSION BOOK
 DEATH BOOK
 MLC BOOK
 ATTENDANT BOOK
 DUTY BOOK
 BREAK DOWN EQUIPMENT BOOK
 REQUISITION BOOK

37. LISTS OF FILES MAINTAINED IN
WARDS
 CIRCULAR FILE
 MRD FILE
 DISCHARGE REPORT FILE
 COMPLAINT FILE
 STUDENT CIRCULAR FILE

38. INSTRUMENTS USED IN
MEDICINE WARDS
 O2 CYLINDER
 SUCTION MACHINE
 BP APPRATUS
 THERMOMETER
 NEBULIZER MACHINE
 HUMIDIFIER
 O2 FLOW METER
 INJECTION TRAY
 STEEL KIDNEY TRAY
 LARINGOSCOPE SET
 AMBUBAG
 NEEDLE CUTTER
 SUCTION BOTTLES
 CHITTLE FORCEPS
 PLAIN THUMB FORCEPS (BIG & SMALL)
 BIG PLAIN CURVE FORCEPS
 MOSQUITE PLAIN FORCEPS (ARTERY)
 SUTURE PLAIN SCISSOR
 SUTURE PLAIN CURVE SCISSOR
 SPONGE HOLDING FORCEPS
 O2 KEY
 TOUNGE DEPRESSURE
 CURVE ARTERY FORCEPS
 ECG MACHINE
 VENISECTION TRAY
 VASOFIX

39. EMERGENCY TROLLEY IN
MEDICINE WARD CONSIST OF
 INJ ADRENALIN
 INJ DOPAMIN
 INJ DIAZIPAM
 INJ ATROPIN
 INJ POTASSIUM
 INJ CALCIUM GLUCONATE
 IINJ KESOL
 INJ SODA BICARB
 IV RL
 IV D5%
 IV D25%
 DNS
 IV METRO
 IV CIPRO
 2ML SYRINGE
 5ML SYRINGE
 10ML SYRINGE
 20ML SYRINGE
 ISOPROPYL RUBBING
 BP APPRATUS
 CHITALS FORCEP
 ECG MACHINE
 RYLES TUBE
 LARYNGOSCOPE
 AMBUBAG
 GLOVES
 STERILIUM
SAFTEY EQUIPMENT
 FIRE EXTINGUISHER

40. NURSING STAFF
WARD NO NURSING INCHARGE PRESENT ATTENDANT
STATION SISTER STAFF STAFF
33 MMW 1 1 5 4
28 FMW 1 1 9 5 FOR
27 FMW 1 1 9 BOTH 27
&28
17 & 18 1 1 10 4
MMW
16 MMW 1 1 5 3

41. BED DISTRIBUTION IN
EACH WARD
WARD NO NO OF BEDS
MALE MEDICINE WARD 33 30
FEMALE MEDICINE WARD 28 45
FEMALE MEDICINE WARD 27 45
MALE MEDICINE WARD 17&18 60
MALE MEDICINE WARD 16 30
TOTAL 210

42. WHEEL CHAIRS AND
STRETCHERS
WARD NO WHEEL CHAIR STRETCHER BEDS
33 MMW 2 2 30
28 FMW 1 1 45
27 FMW 1 1 45
17 & 18 MMW 2 2 60
16 MMW 2 1 30

43. BED ARRANGMENT IN
 WARD
THE ARRANGEMENT IN THIS WARD IS OF NIGHTINGALE TYPE.
 DISTANCE BETWEEN TWO BEDS IS AROUND 3 FEETS.
 THERE ARE ABOUT 4 TO 5 SEMI FLOWER BEDS IN EACH WARD.
 BESIDE EACH BED BEDSIDE TROLLEYS ARE KEPT .

44. NURSING STATIONS
 EACH WARD HAS ONE NURSING STATION.
 IT IS SITUATED IN SUCH A WAY THAT EVERY PATIENT CAN BE OBSERVED FOR THERE.
 EACH NURSING STATION IS INSTALLED WITH COMPUTER HAVING HOSPITAL INFORMATION
SYSTEM (HIS).
 IT HAS TELEPHONE WITH INTERCOM NUMBERS.
 IT HAS CABINET FOR FILE STORAGE.

45. DOOR AND WINDOWS OF
WARDS
 DOORS ARE BIG TO FACILITATE EASY
PASSAGE OF STRETCHER, WHEEL CHAIR,
EQUIPMENTS, AND BEDS.
 ALL WARD HAVE ABOUT 12 TO 15 GLASS
WINDOWS SO THAT THERE IS SUFFICIENT
NATURAL LIGHT IN WARDS.
 WINDOWS ARE PROVIDED WITH CURTAIN
AND NETS.

46. LIGHT AND COOLING
SYSTEM IN WARDS
 THERE ARE 12 TO 15 LIGHTS IN EACH WARD FOR
ADEQUATE LIGHT IN WARD.
 GENERATOR BACKUP IS THERE IN CASE OF
EMERGENCY.
 DUCTING FACILITY IS AVAILABLE IN EACH WARD
FOR COOLING.
 BESIDES DUCTING 15 TO 18, FANS ARE AVAILABLE
IN EACH WARD FOR COOLING.

47. TREATMENT &
EXAMINATION ROOM
 EACH WARD CONSISTS OF TREATMENT AND EXAMINATION ROOM.
 TREATMENT & EXAMINATION ROOM IS USED FOR DRESSING &
OTHER MINOR PROCEDURE.
 TREATMENT & EXAMINATION ROOM CONSISTS OF
 SAVLON SOAP
 HYDROGEN PEROXIDE
 POVIDONE IODINE
 CARDIAC GEL
 LIQUID PARAFFIN
 INJ LIGNOCANE
 INJ XYLOCAIN 4%
 CHITAL FORCEP
 SURGICAL TRAY
 MERCURY CHROM SOLUTION
 CATHERATER TRAY
 DRESSING TRAY

48. DOCTORS DUTY ROOM
 EACH WARD CONSISTS OF DOCTORS DUTY ROOM FOR RESIDENT
DOCTOR ON DUTY.
 THIS ROOM CONSISTS OF BED AND CHAIRS.
STORE ROOM
EACH WARD CONSISTS OF STORE ROOM
IN THIS ROOM CLEAN LINEN, STATIONARY, MEDICINE, OFFICIAL REGISTARS
ETC ARE KEPT.
CLINICAL DEMO ROOM
EACH WARD HAS CLINICAL DEMO ROOM.
AS AVBRH IS A TEACHING HOSPITAL SO THERE IS A CLINICAL DEMO ROOM
TO CARRY OUT LECTURES FOR STUDENTS.
IT CONSISTS OF BOARD, EXAMINATION TABLE AND CHAIRS.

49. PANTRY
 EACH WARD CONSISTS OF PANTRY ROOM.
 PANTRY CONSISTS OF GAS & CYLINDER.
HOUSKEEPING
IN EACH WARD HOUSKEEPING IS DONE BY ATTENDANT.
CLEANING OF WARDS IS DONE THRICE A DAY IN MORNING, EVENING AND NIGHT.
TOILET IS ALO CLEANED THRICE A DAY BY ATTENDANT.
LINEN IS CHANGED EVERY DAY AND DIRTY LINEN IS KEPT IN A DRUM.
DIRTY LINEN IS TAKEN TO LAUNDARY BY ATTENDANT IN MORNING AT 10AM TO 11AM
AND CLEAN LINEN IS BROUGHT AT 4PM.

50. BIO MEDICAL WASTE
MANAGEMANT
 EACH WARD CONSISTS OF FOLLOWING COLOUR CODING
BUCKETS FOR COLLECTION OF WASTES.
 RED - INFECTIOUS PLASTIC WASTE, DISPOSABLE TUBING,
CATHRETER, GLOVES, PLASTIC GOWNS AND SYRINGES.
 BLACK – PAPERS, EXPIRED MEDICINE, GENERAL WASTE.
 YELLOW – INFECTOUS WASTE, HUMAN TISSUE, ORGANS,
PATHOLOGICAL WASTE, PLACENTA, SOLID COTTON, BANDAGE,
PLASTER ETC.
 CARD BOARD BOX – GLASS WASTE, AMPOULES, BROKEN
GLASS, TUBING, PLASTIC WASTE ETC.
 BIO MEDICAL WASTE IS COLLECTED DAILY IN MORNING AT 8:30
AM.

51. SOME OF THE SCHEMES RUNNING
IN HOSPITAL THAT IS COMMAN
FOR MEDICINE WARDS
 SANJEEVANI YOJNA – IN THIS YOJNA MEDICINES ARE
GIVEN FREE TO PATIENTS.
 RASHTRIYA SWASTH BEEMA YOJNA (RSBY)
– OPD & IPD SERVICES, AND INVESTIGATIONS ARE FREE.
 ADHAR YOJNA – FREE TREATMENT, INVESTIGATIONS,
MEDICATION, BREAK FAST.

52. HIGH DEPANDANCY UNIT (HDU)
 IT IS ALSO CALLED AS STEP DOWN ICU
 PATIENT WHO REQUIRES LESS CARE ARE SHIFTED TO HDU
 IT IS SITUATED IN WARD NO 16.
 PORTABLE PARTITION IS USED FOR PRIVACY OF PATIENTS.
 IT CONSIST OF TOTAL 6 BED EACH BED HAS FOLLOWING ARRANGEMENT
 CRADEL BED
 CENTRAL O2
 CENTRAL SUCTION
 PULSE OXIMETER
 MONITOR
 ELETRIC SOCKET
 STOOL.
 NURSING STAFF FOR HDU - 5

53. EVALUATION- DATA
ANALYSIS
 NUMBERS OF ADMISSIONS DISCHARGES OF
MEDICINE WARD
DATE ADMISSION DISCHARGE
19/03/2012 64 49
20/03/2012 51 47
21/03/2012 43 31
22/03/2012 44 41
23/03/2012 10 32
24/03/2012 38 52
25/03/2012 08 06
TOTAL 258 258
AVERAGE LENGTH OF STAY OF PATIENT-
Data was collected regarding the admission & discharge of 20 patients in medical ward and it was seen
that the average length of stay of patient was about 7-10 days.

54. MEDICINE INTENSIVE
CARE UNIT (MICU)
 IT IS SITUATED IN A WING ON SECOND FLOOR NEAR GENERAL MEDICINE WARD NO 16.
 MICU IS 13 BEDDED.
 NURSING STAFF – 22 INCLUDING INCHARGE SISTER.
 ATTENDANT – 3
 MICU IS FULLY EQUIPPED WITH AIR CONDITIONER.
 8 VENTILATORS
 THERE IS PARTITION OF CURTAIN FOR EVERY BED FOR PRIVACY OF PATIENT.
NURSING STAFF & ATTENDANT STAFF
SHIFT NURSING STAFF ATTENDANT STAFF
MORNING 4 TO 5 1
EVENING 4 1
NIGHT 4 1
DOCTORS DUTY
SHIFT DOCTOR AVAILABLE
MORNING 1 JUNIOR RESIDENT
EVENING 1 JUNIOR RESIDENT
NIGHT 1 JUNIOR RESIDENT

55. MANAGEMENT
PATIENT TO BE ADMITTED COMES FROM CASULTY, OPD, ADMISSION COUNTER, AND
WARDS.
↓
NECESSARY FORMALITIES ARE CARRIED OUT AT ADMISSION
COUNTER
↓
PATIENT GETS ADMITTED IN MICU
↓
PATIENT GETS FULL NURSING CARE, MEDICINES, FOOD, AND INVESTIGATIONS ARE
DONE
↓
PATIENT GETS CURE AFTER GEETING ALL HOSPITAL SERVICES
↓
CONSULTANT ADVICE DISCHARGE TO PATIENT
↓
NURSES PREPARE RECORD TO ATTACH IN DISCHARGE FILE
↓
AFTER DISCHARGE FILE IS COMPLETE NURSES PREPARE THE BILL OF THE PATIENT
↓
FAMILY MEMBERS ARE INTIMATED FOR CLERANCE OF BILL
↓
AFTER CLERANCE OF BILL NURSES HAND OVER ALL DOCUMENT TO PATIENT AND
THE PATIENT IS DISCHARGE.

56. LIST OF FACILITIES
AVAILABLE IN MEDICINE

 ICU
ARTERIAL BLOOD GAS ANALYSER
CENTRAL CARDIAC MONITORS
 VENTILATORS – INVASIVE
 NON – INVASIVE
 MULTIPARA MONITORS, CARDIAC MONITOR CUM DEFIBRILLATORS
 PULSE OXYMETERS
 PORTABLE X-RAY MACHINE
 E.C.G. MACHINE
 NEBULIZERS
 CENTRAL 02
 CENTRAL SUCTION
 NON INVASIVE B. P. APPARATUS
 SYRINGE INFUSION PUMPS
 EXTERNAL CARDIAC PACEMAKER
 INTERNAL CARDIAC PACEMAKER
 OPHTHALMOSCOPES
 CENTRALIZED COMPRESSED AIR
 HEMODIALYSIS MACHINE
 2-D ECHO- CARDIOGRAPHY
 COMPUTERIZED T.M.T.
 COLOUR DOPPLER'S
 PORTABLE X-RAY MACHINE
 P.F.T. MACHINE
 HOLTERMONITOR

57. SOME PICTURES FROM
MICU
FUNCTIONAL AREA OF MICU
NURSING STATION
STORE ROOM
DOCTORS DUTY ROOM
TOILET
DIALYSIS ROOM

58. NURSING STATION
 MICU HAS ONE NURSING STATION.
 IT IS SITUATED IN SUCH A WAY THAT EVERY PATIENT CAN BE OBSERVED FOR THERE.
 EACH NURSING STATION IS INSTALLED WITH COMPUTER HAVING HOSPITAL
INFORMATION SYSTEM (HIS).
 IT HAS TELEPHONE WITH INTERCOM NUMBERS.
 IT HAS CABINET FOR FILE STORAGE

59. DIALYSIS ROOM
 IT IS SITUATED IN BETWEEN THE BARRIERS OF ENTRY OF ICU.
 THERE ARE 3 DIALYSIS MACHINE AND 3 BED IN DIALYSIS ROOM.
 ONE DIALYSIS MACHINE IS NOT WORKING AND IT IS KEPT IN
DIALYSIS STORE ROOM.
 THERE IS ONE STORE ROOM INSIDE DIALYSIS ROOM.
 DIALYSIS ROOM IS VERY SMALL.
 THERE ARE 2 ASSISTANTS IN DIALYSIS ROOM WHO CARRY OUT
THE DIALYSIS PROCEDURE.
DOCTORS ROOM
SITUATED IN FRONT OF DIALYSIS ROOM.
DOCTORS ROOM CONSISTS OF CHAIR AND BED.
STORE ROOM
 IN STORE ROOM MEDICINE, CLEAN LINEN, AND OFFICIAL REGISTARS ARE
KEPT.

60. BED ARRANGEMENT
 ARRANGMENT OF BED IN ICU IS OF NIGHTINGALE TYPE
 THERE IS PARTITION OF CURTAIN FOR EACH BED FOR PRIVACY OF
PATIENT.
 CEILING HANGING IV STAND IS USED FOR EVERY BED.
 THERE IS STOOL AND DUSTBIN BUCKET FOR EACH BED.
 WALL MOUNTED FANS ARE THERE FOR EVERY BED.
 BESIDE EVER BED, THERE IS BED SIDE TROLLEY.
 CENTRAL O2 AND SUCTION IS PROVIDED TO EACH BED.
DOORS AND WINDOWS
TO ENTER IN ICU WE HAVE TO COME THROUGH 2 DOORS.
DOORS ARE BIG TO FACILITATE EASY ENTRY OF STRETCHER AND WHEEL
CHAIR.
WINDOWS ARE PACKED WITH GLASS TO PREVENT OUTSIDE SOUND AND
PREVENTS FROM INSECTS.

61. LIGHT
 THERE ARE 12 TO 15 LIGHTS IN MICU.IT SEEMED TO BE ADEQUATE FOR
PROPER ILLUMINATION.
 GENERATOR BACKUP IS ALSO THERE IN CASE OF EMERGENCY.
HOUSKEEPING
ATTENDANT DOES MICU HOUSKEEPING.
CLEANING OF MICU IS DONE THRICE A DAY IN MORNING, EVENING AND NIGHT.
TOILET IS ALO CLEANED THRICE A DAY BY ATTENDANT.
LINEN IS CHANGED EVERY DAY AND DIRTY LINEN IS KEPT IN A DRUM.
ATTENDANT TAKES DIRTY LINEN TO LAUNDARY IN MORNING AT 10AM TO 11AM AND CLEAN LINEN
IS BROUGHT AT 4PM.
BIO MEDICAL WASTE MANAGEMANT
MICU CONSISTS OF FOLLOWING COLOUR CODING BUCKETS FOR COLLECTION OF
WASTES.
RED - INFECTIOUS PLASTIC WASTE, DISPOSABLE TUBING, CATHRETER,
GLOVES, PLASTIC GOWNS AND SYRINGES.
BLACK – PAPERS, EXPIRED MEDICINE, GENERAL WASTE.
YELLOW – INFECTOUS WASTE, HUMAN TISSUE, ORGANS, PATHOLOGICAL
WASTE, PLACENTA, SOLID COTTON, BANDAGE, PLASTER ETC.
CARD BOARD BOX – GLASS WASTE, AMPOULES, BROKEN GLASS, TUBING,
PLASTIC WASTE ETC.
BIO MEDICAL WASTE IS COLLECTED DAILY IN MORNING AT 8:30 AM.

62. OBSERVATION
 AVBRH IS FULLY EQUIPPED HOSPITAL.AS IT COVERS ALL WARDHA DISTRICT
IT PROVIDES A QUALITY SERVICES TO THE RURAL POPULATION RESIDING
NEAR BY AT A VERY RESONABLE & AFFORDABLE COST.ALSO VARIOUS
TYPE OF CONCESSIONS ARE PROVIDED IN FORM OF SCHEMES SUCH AS
DADY, ADHAR ETC RUNNING IN HOSPITAL.
 HIGHLY QUALIFIED AND BEST DOCTORS IN MEDICINE OPD TREAT THE
PATIENTS. MEDICINE OPD IS SITUATED AT GROUND FLOOR, AS IT IS VERY
EASILY ACCESSIBLE TO PATIENTS.
 SPECIALITY CLINICS ARE ALSO RUNNED IN MEDICINE OPD AT THERE
RESPECTIVE DAYS.
 MEDICINE OPD IS ONE OF THE BUSIEST OPD IN HOSPITAL. AS AVERAGE OPD
OF EACH DAY IS, MORE THAN 100, IT IS MANAGED BY ONE ATTENDENT &
ONE SISTER.IT IS DIFFICULT FOR THEM TO MANAGE MORE THAN 100
PATIENTS AS WELL AS DOCTORS ORDERS.
 MEDICINE WARDS IS 210 BEDDED.THEY ARE SPACIOUS AND WELL
DESIGNED.THEY ARE EASILY ACCESSIBLE BY LIFT AND STAIRCASE.THERE
IS PROPER VENTILATION, LIGHT,COOLING FACILITY IN WARD.

63. OBSERVATION
 CLEANESS IN WARDS WAS MAINTAINED AS IT IS CLEANED THRICE A DAY AS TOLD
BY SISTER IN SOME WARD & IN SOME WARD IT WAS TOLD THAT IT IS CLEANED
ONCE A DAY.HYGIENE IS MAINTAINED IN WARDS.TOILETS ARE NOT CLEANED
PROPERLY.
 ONLY ONE RELATIVE SHOULD BE ALLOWED IN WARD.I SAW TOO MUCH NO OF
RELATIVES IN WARD BECAUSE OF WHICH OTHER PATIENTS GET DISTURBED.
 IN WARD SISTERS FIRST PRIORITY IS PATIENTS CARE.THEY ALSO HAVE TO OBEY
THE ORDERS GIVEN BY DOCTORS.BILLING IS ALSO DONE BY SISTER AS IT IS NOT
THERE WORK BECAUSE OF WHICH PATIENT CARE IS BEING NEGLECTED BY
THEM.
 EVERY WARD HAS A NURSING STATION SITUATED IN SUCH A WAY THAT IT
COMMANDS A CLEAR, UNOBSTRUCTED VIEW OF COMPLETELY PATIENT AREA. IT
ALSO HAS TELEPHONE SERVICE& ADEQUATE SPACE FOR SECRETARIAL WORK.
IN SOME WARDS, THERE WAS A BOWL FILLED WITH SAVLON SOLUTION FOR
HAND WASHING, BUT MANY WARDS DO NO HAVE IT.
 IN EACH WARD, I OBSERVED THAT THERE IS NO FACILITY OF DRINKING WATER
FOR PATIENTS.
 IN SOME, WARD FIRE EXTINGUISHER IS INSTALLED AND IN SOME WARD, IT IS NOT
INSTALLED.

64. OBSERVATION
 IT IS DIFFICULT FOR PATIENTS TO GO BY STAIR CASE IN SOME WARDS THAT ARE
SITUATED ON THIRD FLOOR.PATIENTS LIFT IS ONLY TILL 2ND FLOOR.
 IN WARD NO 28 & 27 THERE ARE 5 ATTENDENT OF WHICH 2 ATTENDANT ARE IN
MORNING, 1 ATTENDANT IN EVENING, AND 1 ATTENDANT IN NIGHT.THIS 5 ATTENDANT
CANT HANDEL TWO WARD AT A TIME.SO THERE IS DEMAND FOR INCREASE
ATTENDANT STAFF IN WARD NO 28 & 27.
 NO REFRIGARATOR IN EACH WARD FOR STORAGE OF DRUGS.
 HOWEVER, NONE OF THE WARD I OBSERVED WAS HAVING A DIRTY UTILITY ROOM &
THEY WERE KEPT NEARBY PATIENT AREAS.THE DIRTY LINEN WAS COLLECTED IN A
BIG CONTAINAR AND THAT IS KEPT IN CORNER OF A WARD.IN ADDITION, THE BROOMS,
BUCKETS BRUSHES WERE KEPT IN OPEN SPACE. THIS IS NOT JUST A REASON TO
SPREAD INFECTION BUT IS ALSO A THREAT FOR HOSPITAL’S REPUTATION.
 MEDICINE ICU IS 13 BEDDED THEY ARE SPACIOUS, WELL DESIGNED.THEY ARE EASILY
ACCESSIBLE BY LIFT, AND STAIRCASE.THERE IS PROPER VENTILATION, LIGHT,
COOLING FACILITY IN ICU.
 IN FRONT OF MICU THERE WERE TOO MANY RELATIVES OF THE PATIENTS AND THEY
WERE ENTERING MICU IN BULK BY WEARING THERE FOOTWARES.AS THERE WAS
NOBODY TO STOP THEM.
 DIALYSIS ROOM IS TOO SMALL.

65. RECOMMENDATIONS
 ONE MORE ATTENDANT AND SISTER MUST BE PROVIDED IN MEDICINE OPD.
 STRICT CONTROL OVER VISITOR TIMING SHOULD BE FOLLOWED TO MAINTAIN
QUIETNESS IN WARD
 SECURITY GUARD SHOULD BE PROVIDED IN BUSY AREA OF EACH FLOOR TO
CONTROL THE CROWD & RELATIVES & FOR THE SAFTEY OF STAFF.
 BILLING DEPARTMENT SHOULD BE REMOVED FROM SISTERS AS THERE FIRST
PREFERENCE IS PATIENTS CARE.AS THEY ALSO HAVE OTHER DOCUMENTATION
WORK OF FILLING SUMMARY,DISCHARGE FILES ETC ALSO THEY HAVE TO OBEY
THE ORDERS GIVEN BY DOCTORS.
 BOWLS FILLED WITH SAVLON SOLUTION FOR HAND WASHING SHOULD BE MADE
COMPULSARY IN EVERY WARD.
 IN EVERY WARD, FILTERED HOT AND COLD WATER FOR DRINKING SHOULD BE
PROVIDED FOR PATIENTS.

66. RECOMMENDATIONS
 FOR SAFTEY PURPOSE OF WARDS AS WELL AS HOSPITAL IT
SHOULD BE MADE COMPULSARY TO INSTALL, A FIRE EXTINGUISHER
IN EACH WARDS.IF POSSIBLE SMOKE DETACTORS SHOULD ALSO BE
INSTALLED IN WARDS & ICU.
 IT SHOULD BE TRIED THAT PATIENTS LIFT SHOULD BE EXTENDED
TILL 3RD FLOOR FOR PATIENTS CONVINENCE.
 STAFF OF ATTENDANTS SHOULD BE INCREASED IN WARDS
ESPECIALLY IN WARD NO 28 & 27.
 TOILETS& BATHROOMS NEEDS MORE FREQUENT CLEANING.
 DIRTY UTILITY ROOM SHOULD BE PROVIDED IN EVERY WARD.
 SECURITY GUARD MUST BE MADE COMPULSARY IN FRONT OF MICU.
 DIALYSIS ROOM SHOULD BE MADE LARGE.

67. BIBLIOGRAPHY
 HOSPITAL: PLANNING & DESIGNING &
MANAGEMENT: G.D.KUNDER.
 MODERN TRENDS IN PLANNING & DESIGNING OF
HOSPITAL: SHAKTI KUMAR, GUPTA SUNIL KANT.
 PRINCIPLES OF HOSPITAL ADMINISTRATION &
PLANNING B.M.SAKHARKAR.
 ACHARYA VINOBA BHAVE RURAL HOSPITAL.
 DMIMS WEBSITE.

68. THANK
YOU