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PROJECT REPORT ON PRACTICAL TRAINING SESSION IN A HOSPITAL

Centre for Hospital Administration JIWAJI UNIVERSITY

Under the Guidance of

DR. V.K.MAHESHWARI
Director

MAHESHWARI NURSING HOME

85, Laxmibai colony, Gwalior

Submitted by-

DR. VIKASH KUMAR PULAIYA

Contents
Process of registration and administration of patients at reception Functioning of various departments within hospital OPD services Pharmacy services Wards Personnel/HR depart.& public relations Library in hospital Marketing Laboratory services(investigation) Billing and discharge

Process of registration and administration of patients at reception

Process of registration and administration of patients at reception

Reception/ enquiry Registration counter Admissions Medical records room

Admission
OUTER PATIENTS:1. Doctor 2. Visiting Time 3. Registration Fees INPATIENTS :1. ROOMS 2. TARIFF 3. DEPOSIT 4. NURSING SERVICES

Functioning of various

MAHESHWARI NURSING HOME

ADMIN DEPARTMENT

PATIENT CARE DEPARTMENT

ACCOUNT DEPARTMENT

MAINTENANCE DEPARTMENT ELECTRICAL &POWER

OPD

DEPARTMENTS

IPD

OPD

BILLING

NURSING STAFF NON- NURSING STAFF

PHARMACY

ICCU

ADMISSION

HRA MARKETING PUBLIC RELATION

SECURITY

PATHOLOGY

ICU

MEDICAL RECORD

BIOMEDICAL

X-RAY

ORTHO

PLUMBING

USG

BURN UNIT

HOUSE KEEPING
FOOD SERVICES

CSSD

DELIVERY

OPERATION THEATRE

GENERAL

OPD DERVICES

The scope of OPD:

It gives the first impression of the hospital, and this is the best impression. Helps in reduction of morbidity. Helps in reducing the number of admissions. Acts as the shop window of the hospital.

The OPD must have the following facilities.

Entrance easily accessible with ramp, steps and a wide door. Flooring- tiled with a slope towards an outlet, so that washing with a hose is easier. Reception/Enquiry- can be combined or separate. Reception must have counters, for new and old cases. Waiting hall Consulting rooms Signboards and layout plan-This must be at the entry, and prominently displayed. Boy for trolley and wheelchairs. Toilets -separate for males and females. Public telephone nearby. Board indicating names of consultants who are absent on that day.

Location Types of patients in opd Waiting hall Reception Enquiry Registration counter Admissions Medical records room Support services Emergency medical services/ casuality Ambulance services

Hospital is having all the necessary supportive services within the hospital premises. These services include Catering, Banking, Pharmacy, Social workers, STD & Fax, and spacious airconditioned waiting lounge.

An Emergency Medical service takes care of all emergency patients which has got telephone access and round the clock red alert team along with all concerned specialities. The services/facilities include:
Road Traffic Accident (RTA) Hypoglycemia Management Pain abdomen Poison cases Breathlessness Myocardial Infarction Etc.

 There are two standby ambulances: one well equipped Cardiac and the other ambulance is non-cardiac ordinary ambulance. There are five trained ambulance drivers available round the clock. A qualified doctor from the ICCU or EMS, a nurse and a well-trained ward boy mans the cardiac ambulance. The ambulance is equipped with drugs and new machines

Diagnostic services available in this Hospital:

Stress Test Ultra Sonography Digital subtraction Angiography Digital X-Rays Pathology Hematology Microbiology Immunology Endoscopy Services

Responsibilities of the Pharmacist

Control of all drug supplies on the patient-care unit. Receive, evaluate, and interpret physicians' orders for drugs. Maintain a record of drug usage for each patient. Prepare all drugs and dosage forms for administration by the nurse. Regulate and standardize dosage administration schedules. Initiate and develop a drug information service to members of the health-care team according to professional needs. Work cooperatively with members of the nursing service and medical staff in developing programs related to patient care.

Hospital pharmacies can usually be found within the premises of the hospital. Hospital pharmacies usually stock a larger range of medications, including more specialized medications, than would be feasible in the community setting. In Maheshwari nursing home have a pharmacy. Who is working 24X7 in two shift 12 hours. All hospital medicine supplied by this pharmacy. Who is situated in inner part in hospital .

IPD
HOSPITAL

OPD

OPD department
OPD department have consulting doctors chambers. They are situated in specialization order as general physician, orthopedic, gastroenterologist, pediatrics, obstetric & gynecologist, ENT specialist, radiologist, neuro- surgeon, urologist, ophthalmologist, and other specialist doctors.

Maheshwari Nursing Home has 120 bedded hospital. In Inner patient department (IPD), Hospital is running many wards. In this hospital 6 specialist Residential Doctors and many duty Doctors, who working round the clock duty in different wards. In these hospital approx. 50 nurses, who gave their lovely services for patients. And 30 bai and ward boy, 15 sweepers has working here. In this Hospital have many wards with their specialties.

ICCU
20 intensive care beds in various units are recognized as among the best in the city and compare well with international standards.

BURN UNIT
in this ward has 10 beds with 2 private room . This ward has fully sterile ward for patients and staff.

ICU
In this ward have 20 beds with 4 private rooms. Who has fully air condition, with many latest medical types of equipment. The conflicting requirement of continuous observation and privacy, is met by, overhead curtains, in between beds.

ORTHO WARD
Ortho ward is a orthopedic ward. It has 20 bedded ward. It is divided in two ward pre- operative post- operative ward.

This ward is reserve for pregnancy cases. Those patients, who are suffering from labour pain (delivery), have admitted in this ward. This ward has 10 beds and 2 private, 2 semiprivate rooms. Total beds number is 16. In this ward have 2 labour rooms for delivery.

In this hospital have 3 general wards. Every general ward has 8 beds with 2 paramedical staff. Total beds number for all general wards is 24. All type patients who have wanted minimum charges for treatment

the present trend is for the patients and the bystanders, to demand privacy. Most patients in urban areas demand single bedded rooms with attached toilet, to double bedded rooms.

ICCU Burn Unit ICU Ortho ward Delivery wardGeneral wardPrivate rooms-

20 10 20 20 16 24 10 120

Total beds

PERSONNEL/H.R.DEPT.& PUBLIC RELATION

The broad objective of HRM is to contribute towards realization of the hospitals goals. The specific objectives are to:
Achieve and maintain good human relations within the hospital. Enable each employee to make his/her maximum personal contribution to the effective working of the hospital. Ensure respect and the well-being of the individual employee. Ensure the maximum development of the individual and to help him/ her contribute his/her best to the hospital Ensure the satisfaction of the various needs of individuals in order to obtain their maximum contribution to achieve the hospitals goals.

 Manpower estimation Recruitment Selection Induction or socialization placement

Understanding the patient confidentiality and privacy act Ability to communicate thoughts and ideas effectively an accurately Knowledge of in community and health care administration i.e. patient consent forms an their use Analytical and problem-solving ability Knowledge of profit hospital operate and how non-profit one are one are funded Knowing the hospital structure, department and support group Familiar with the community where the hospital is located Writing skill and ability to handle different type of media.

outlines the hospital library on clinical research services in the status quo, development, emphasizing the hospital library should attach importance to clinical research services to improve their own value. hospital library-based research services digital network automation .

1- for clinical research services to provide the status of - The self-awareness is not enough to restrict the research and service development -low quality of personnel, information services is limited -digital, network-based, automated process is slow 2- to improve the quality of services for clinical research and the way -Establishment and research needs of the collection system compatible -to fully tap a variety of bio-medical information resources -to improve awareness of information services librarians and service level -provides in-depth reader service -assisting medical personnel do scientific research topics -to track the entire process of clinical research -the promotion of medical research results into

3- to enhance digital, network, automation -to create a good network environment -strengthen the collection of digital resources -self-built characteristics of a database -increase the intensity of electronic document acquisition

M A R K E T I N G

Hospital marketing is a specialized field that deals with connecting patients, physicians, and hospitals in mutual relationships.
According to Ashok Anantram, president, business development, Apollo Hospitals, Chennai, Marketing as a concept is the same in product and service industry. There is a product or service - one section produces it and the other consumes it. Marketing is an interplay between producers and consumers. The success of the marketing department depends on its association with various other departments. Organisational excellence is very important than the departmental excellence. The front end cannot perform its duties without the backing of the quality of back end operations, says Anantram.

"The marketing department is sets the tone of the hospital where the brand is created, carved, fashioned and communicated"
Dr G Surender Rao Executive Director Yashoda Group of Hospitals Hyderabad

"Unless hospitals provide for such investment, success will always elude them'

Dr Ravindra Karanjekar Associate VP Wockhardt Hospitals Group Mumbai

SOMEPROGRAMME RUN BY MAHESHWARI NURSING HOME Master Health Check-up Executive Health Check-up Whole Body Health Checkup-up Pre-Employment Check-up Senior Citizen Health Check-up Health Check-up for children Comprehensive Diabetic Checkup Comprehensive Heart Check-up OBESITY Health Checkup (Adults)

Maheshwari Nursing Homes 24/7 Laboratory Services are established with a view to provide wide range of Laboratory investigations, necessary for patient care. It consists of disciplines of Hematology, Histopathology, Biochemistry, Microbiology, and Immunology.

Your physician will write a discharge order and inform you when you are ready to leave the hospital. Your nurse will give you a discharge slip. You or a member of your family should present this slip to Central Registration on the first floor and complete the necessary financial arrangements.

You will periodically receive a statement from the hospital until your account is completely settled, either by insurance or personal payment. Please remember to bring all insurance information with you upon admission. If you have any questions regarding your hospital bill or insurance coverage, please feel free to contact our customer service representative

Your daily "room charge" includes many items and services important to your healthcare, including your room, nursing care, meals, housekeeping, linens, building maintenance, telephone service, and fees for admitting, discharge planning, and medical records. Separate charges are made for the operating room, post-anesthesia care unit, critical care units, oxygen, drugs and medications, and special treatments or therapies. Fees from your physician, and if required, services rendered by consulting physicians, radiologists, pathologists, and anesthesiologists are not included.