Modifications in the updated Sub Divisional Hospital (SDH) 51 ... - IIMB

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Seismic safety of non-structural elements of Hospitals/Health facility. Annexure VI • Health Facility/Hospital should remain intact and functional after an earthquake to carry on routine and emergency medical care. • There may be increased demand for its services after an earthquake. • Hospital accommodates large number of patients who cannot be evacuated in the event of earthquake. • Hospitals have complex network of equipment specialised furniture, ducting, wiring, electrical, mechanical fittings which are vulnerable due to earthquake. • The Non-structural element may value very high from 80% to 90% incase of Hospital unlike office buildings due to specialized medical equipments. • Even if building remains intact, it may be rendered non-functional due to damage to equipments, pipelines, fall of partitions and store material, etc. • While the safety of building structure is the duty of PWD and designers of the building, the risk of non-structural component has to be dealt by staff and authorities of the health facility. • This non-structural Mitigation & reduction of risk can be achieved through series of steps: i) Sensitization (understanding earthquakes and safety requirements) ii) Earthquake Hazard Identification in the hospital iii) Hazard survey and prioritization. iv) Reducing non-structural hazards. Step I : Understanding Earthquakes and Safety requirements • Awareness and sensitization about safety • The structural elements of a building carry the weight of the building like columns, beams, slabs, walls, etc. • The Non-structural elements do not carry weight of the building, but include windows, doors, stairs, partition and the building contents: furniture, water tank, hospital equipment, medical equipment, pharmacy items and basic installation like water tanks, medical gases, pipelines, air conditioning, telecommunications, electricity etc. Step II : Earthquakes hazard identification in the hospital • Tall, narrow furniture like cupboards can fall on people, block doors/ passages/exits • Items on wheels or smooth surfaces can roll and crash • Large and small things on shelves, etc. can knock, fall, crash and damage severely. • Hangings objects can fall 110
• Shelves/almirahs, storage cabinets can topple and block exits and obstruct evacuation. • Pipes can break and disrupt water supply Step III : Reducing non-structural hazard a) To relocate furniture and other contents b) To secure non-structural building elements with the help of structural engineers c) To secure the furnishings and equipments to the walls, columns or the floors with help of engineers and technicians. Step IV: Hazard Survey and Prioritization All the non-structural hazard should be identified systematically and prioritise for as high, medium or low priority and action taken immediately or in due course. This involves systematic survey and categorisation of all hazards in each area of the hospital and action thereof. Hospital/health facility should have a Committee dedicated to undertake this task and monitor on continuous ongoing basis. 111
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Modifications in the updated Sub Di
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Executive Summary Sub-district (Sub
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touching the boundaries walls with
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Laboratory services, X-ray, Ultraso
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Paediatric Procedures Immunization
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6.1 - Direct Laryngoscopy 6.2 - Hyp
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1 Emergency Appendisectomy 2 Interv
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9 Surgery concerning disability wit
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7 Infertility Investigate and refer
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S. No NAME OF THE ILLNESS NEONATALO
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7 Fibroma, Benign Surface,Tumors /
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NEPHROLOGY* S. No NAME OF THE ILLNE
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OPTHALMOLOGY S. NAME OF THE ILLNESS
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S. No. NAME OF THE ILLNESS ADULT RE
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7. Physical infrastructure 7.1. Siz
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Building structure and the internal
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Provision for following Space be ma
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Location Facilities The number of p
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Delivery Suite Unit The delivery su
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Electric Engineering Sub Station an
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Annual Maintenance Contract (AMC) A
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8.2. MAN POWER - PARA MEDICAL S. No
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Karamchari Total 8.5. Man Power - B
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8 Room Warmer 2 9 Foetal Doppler 1+
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VI Ear Nose Throat Equipments S. No
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IX Operation Theatre Equipment S. N
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S. XI Surgical Equipment Sets 51-10
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S. XIII Endoscopy Equipments 51-100
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S. XV Furniture & Hospital Accessor
Page 59 and 60: 15 Paediatric Mattress 16 16 Abdomi
Page 61 and 62: immunization purpose 20 Coolers* As
Page 63 and 64: 10. Laboratory Services: Following
Page 65 and 66: Ophthalmoscopy VIII. ENT Audiometry
Page 67 and 68: 12. LIST OF MEDICINES / INSTRUMENTS
Page 69 and 70: 73 Framycetin skin oint 100 G tube
Page 71 and 72: 123 Homatropine 2% 124 Tropicamide
Page 73 and 74: 33 Sy.Pyrantel Pamoate 34 Tab.Bella
Page 75 and 76: S) Drugs acting on Uterus and Femal
Page 77 and 78: (W) 1 Tab.Liv52 2 Syrup Liv52 3 Cap
Page 79 and 80: 82 Cream Miconozole 2% 15gm tube 83
Page 81 and 82: (to be used with Nubulisable nebuli
Page 83 and 84: OUR MOTTO - SERVICE WITH SMILE CITI
Page 85 and 86: Urology Cardiology Psychiatry Radio
Page 87 and 88: Indoor Patient Services: There are
Page 89 and 90: Meeting Hours…………… to …
Page 91 and 92: This includes human tissues, organs
Page 93 and 94: The trolleys which are used to coll
Page 95 and 96: 6.3 The authorised person should ta
Page 97 and 98: 8.2.2 Deep burial: Standard for dee
Page 99 and 100: 10.1 All the medical professional m
Page 101 and 102: REFERRAL LABORATORY NETWORKS Referr
Page 103 and 104: Malaria All State Public Health Lab
Page 105 and 106: Production & supply of reagents/ ki
Page 107 and 108: Item No Item Description Essential
Page 109: Item No Equipments and Renewable re
Page 113 and 114: Consumables Quantity: Pasteur pipet
Page 115 and 116: Since all the blood bags will alrea
Page 117 and 118: Lamp, spirit W/screw cap. Metal 60
Page 119: References 1. Indian Standard Basic
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Modifications in the updated Sub Divisional Hospital (SDH) 51 ... - IIMB

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