Modifications in the updated Sub Divisional Hospital (SDH) 31 ... - IIMB

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Nursing Station: Need based space required for Nursing Station in OPD for dispensing nursing services. (Based on OPD load of patient) Diagnostic Services Provision for following Space be made -Space for common collection area -Separate room for doctors/consultants -rooms for reporting -space for technicians -storage /records areas -sufficient waiting areas Imaging Role of imaging department should be radio-diagnosis and ultrasound along with hire facilities depending on the bed strength. The department should be located at a place which is accessible to both OPD and wards and also to operation theatre department. The size of the room should depend on the type of instrument installed. The room should have a sub-waiting area with toilet facility and a change room facility, if required. Film developing and processing (dark room) shall be provided in the department for loading, unloading, developing and processing of X-ray films. Separate Reporting Room for doctors should be there. Clinical Laboratory For quick diagnosis of blood, urine, etc., a small sample collection room facility shall be provided. Separate Reporting Room for doctors should be there. Blood Storage Unit (annexure VII) The area required for setting up the facility is only 10 square meters, well-lighted, clean and preferably air-conditioned. Intermediate Care Area (Inpatient Nursing Units) General Nursing care should fall under following categories: General Wards: Male / Female Private Wards Wards for Specialities 32
Depending upon the requirement of the hospital and catchment area, appropriate beds may be allowed for private facility. 10% of the total bed strength is recommended as private wards beds. Location Location of the ward should be such to ensure quietness and to control number of visitors. Ward Unit The basic aim in planning a ward unit should be to minimize the work of the nursing staff and provide basic amenities to the patients within the unit. The distances to be traveled by a nurse from bed areas to treatment room, pantry etc. should be kept to the minimum. Ward unit will include nursing station, doctors’ duty room, pantry, isolation room, treatment room, nursing store along with wards and toilets as per the norms. On an average one nursing station per ward will be provided. It should be ensure that nursing station caters to around 40-45 beds, out of which half will be for acute patients and rest for chronic patients. Private ward: Depending upon the requirement of the hospital and catchment area appropriate beds may be allocated for private facilities. However, 10% of the total bed strength is recommended as private wards beds. Patient Conveniences: It is to be as per local byelaws. Pharmacy (Dispensary) The pharmacy should be located in an area conveniently accessible from all clinics. The size should be adequate to contain 5 percent of the total clinical visits to the OPD in one session. Pharmacy should have component of medical store facility for indoor patients and separate pharmacy with accessibility for OPD patients. Patient Conveniences: It is to be as per local byelaws. Intensive Care Unit & High Dependency Wards (Desirable) General In this unit, critically ill patients requiring highly skilled life saving medical aid and nursing care are concentrated. These should include major surgical and medical cases, head injuries, severe haemorrhage, acute coronary occlusion, kidney and respiratory catastrophe, poisoning etc. It should be the ultimate medicare the hospital can provide with highly specialized staff and equipment. 33
Page 1 and 2: Modifications in the updated Sub Di
Page 3 and 4: DRAFT Indian Public Health Standard
Page 5 and 6: 1. Introduction Sub-district (Sub-d
Page 7 and 8: 5. Functions A sub district hospita
Page 9 and 10: * Financial accounting and auditing
Page 11 and 12: 1.15 - Corneal Scraping 1.16 - I &
Page 13 and 14: 9 Anal Sphincter Repair after injur
Page 15 and 16: RECOMMENDED SERVICE MIX (SUGGESTED
Page 17 and 18: GENERAL MEDICINE S. No NAME OF THE
Page 19 and 20: 7 Neonatal Sepsis Treat and refer i
Page 21 and 22: CHEST DISEASES S. No 1 Fever NAME O
Page 23 and 24: * To be provided by General Physici
Page 25 and 26: NOSE 1 Epistaxis First aid & Refer
Page 27 and 28: HEALTH PROMOTION & COUNSELLING S. N
Page 29 and 30: ♦ Disability Act will be followed
Page 31: The room height should not be less
Page 35 and 36: life service, if the theatres are l
Page 37 and 38: Minimum and maximum Stock (0.5 and
Page 39 and 40: Building Maintenance: Provision for
Page 41 and 42: 8.2. Man Power - Para Medical S. No
Page 43 and 44: S. No 8.3. Manpower- Administrative
Page 45 and 46: Newborn Care Equipments 1 set each
Page 47 and 48: VI Eye Equipments S. 31-50 bedded S
Page 49 and 50: S. IX Operation Theatre Equipment 3
Page 51 and 52: S. XI Surgical Equipment Sets 31-50
Page 53 and 54: S. XV Furniture & Hospital Accessor
Page 55 and 56: XVII Linen S. No. Name of the Equip
Page 57 and 58: 5 Hotwater geiser* 1 6 Fire extingu
Page 59 and 60: S. No. Speciality Diagnostic Servic
Page 61 and 62: 22. Syrup Cotrimoxazole 50ml 23. Sy
Page 63 and 64: g)No.25 h)No.26 87. Scalp vein sets
Page 65 and 66: 143. Inj. Hylase (Hyaluronidase) 14
Page 67 and 68: 61. Inj.Pentazocine (Fortwin) 62. I
Page 69 and 70: 135. Inj.Antirabies vaccine 136. In
Page 71 and 72: 34. Inj.Calcium pantothernate 35. I
Page 73 and 74: 115. Blades (Carbon Steel) 116. Ops
Page 75 and 76: Training of all cadres of workers a
Page 77 and 78: This hospital has- Doctors: ……
Page 79 and 80: ……………………… Some sp
Page 81 and 82: Other facilities available include:
Page 83 and 84:
Annexure - II NATIONAL GUIDELINES O
Page 85 and 86:
Category No.8- Liquid Waste This in
Page 87 and 88:
5.5 Location of Containers: All con
Page 89 and 90:
7.2.2 The containers for transporta
Page 91 and 92:
The affluent generated from the hos
Page 93 and 94:
Annexure III Guidelines to Reduce E
Page 95 and 96:
Tuberculosis State TB Demonstration
Page 97 and 98:
Microbial water quality monitoring
Page 99 and 100:
Newborn Corner in OT/ Labour Room N
Page 101 and 102:
NEWBORN CARE STABILIZATION UNIT Set
Page 103 and 104:
Seismic Safety Guidelines Seismic s
Page 105 and 106:
Extracts from National Guidelines o
Page 107 and 108:
3. Storage & transportation Cold ch
Page 109 and 110:
A "Standard Operating Procedures Ma
Page 111 and 112:
LIST OF ABBREVIATIONS Annexure VIII
Page 113:
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Modifications in the updated Sub Divisional Hospital (SDH) 31 ... - IIMB

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