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

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

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Depend<strong>in</strong>g upon <strong>the</strong> requirement of <strong>the</strong> hospital and catchment area, appropriate<br />

beds may be allowed for private facility. 10% of <strong>the</strong> total bed strength is<br />

recommended as private wards beds.<br />

Location<br />

Location of <strong>the</strong> ward should be such to ensure quietness and to control number of<br />

visitors.<br />

Ward Unit<br />

The basic aim <strong>in</strong> plann<strong>in</strong>g a ward unit should be to m<strong>in</strong>imize <strong>the</strong> work of <strong>the</strong><br />

nurs<strong>in</strong>g staff and provide basic amenities to <strong>the</strong> patients with<strong>in</strong> <strong>the</strong> unit. The<br />

distances to be traveled by a nurse from bed areas to treatment room, pantry etc.<br />

should be kept to <strong>the</strong> m<strong>in</strong>imum. Ward unit will <strong>in</strong>clude nurs<strong>in</strong>g station, doctors’<br />

duty room, pantry, isolation room, treatment room, nurs<strong>in</strong>g store along with wards<br />

and toilets as per <strong>the</strong> norms. On an average one nurs<strong>in</strong>g station per ward will be<br />

provided. It should be ensure that nurs<strong>in</strong>g station caters to around 40-45 beds, out<br />

of which half will be for acute patients and rest for chronic patients.<br />

Private ward: Depend<strong>in</strong>g upon <strong>the</strong> requirement of <strong>the</strong> hospital and catchment<br />

area appropriate beds may be allocated for private facilities. However, 10% of <strong>the</strong><br />

total bed strength is recommended as private wards beds.<br />

Patient Conveniences: It is to be as per local byelaws.<br />

Pharmacy (Dispensary)<br />

The pharmacy should be located <strong>in</strong> an area conveniently accessible from all<br />

cl<strong>in</strong>ics. The size should be adequate to conta<strong>in</strong> 5 percent of <strong>the</strong> total cl<strong>in</strong>ical visits<br />

to <strong>the</strong> OPD <strong>in</strong> one session.<br />

Pharmacy should have component of medical store facility for <strong>in</strong>door patients and<br />

separate pharmacy with accessibility for OPD patients.<br />

Patient Conveniences: It is to be as per local byelaws.<br />

Intensive Care Unit & High Dependency Wards (Desirable)<br />

General<br />

In this unit, critically ill patients requir<strong>in</strong>g highly skilled life sav<strong>in</strong>g medical aid<br />

and nurs<strong>in</strong>g care are concentrated. These should <strong>in</strong>clude major surgical and<br />

medical cases, head <strong>in</strong>juries, severe haemorrhage, acute coronary occlusion,<br />

kidney and respiratory catastrophe, poison<strong>in</strong>g etc. It should be <strong>the</strong> ultimate<br />

medicare <strong>the</strong> hospital can provide with highly specialized staff and equipment.<br />

33

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