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OUT-PATIENT SERVICES AND
ADMISSION PROCEDURE
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| A. Location: |
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| Ground floor OPDs |
First floor OPDs
(Access: ramp, lifts, stain cases)
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| Obstetrics & Gynaecology | B – block |
ENT | D – block |
| Dermatology & Venereal Diseases | E- block |
Paediatrics | M – block |
| Pulmonary Medicine | H- block |
Surgery & Speciality Clinics | L - block |
| Ophthalmics | G – block |
Pain clinics | H,I block (Main OT complex) |
| General Medicine & speciality clinic | J – block |
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| Orthopaedics | L – block |
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| Physiotherapy & Physical Rehabilitation | M – block |
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| Psychiatry | G - block |
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| B. REGISTRATION |
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Registration counter is present at the main reception area of CSSH with facility of waiting area. The waiting area has got adequate setting facility and other supportive services like public telephone, patient transport (wheel chairs and stretchers) as well as common amnesties like drinking water, and separate wash rooms for male and female patients and attendants.
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| FUNCTIONING |
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After the proper registration procedure the patient is provided with an OPD card and is guided to the respective OPD complex. The OPD waiting number is given to the patient and the patients are requested to sit at the reception and on their turn are guided to the respective doctors for consultation & treatment. The hospital takes due consideration for physically handicapped and senior citizens. Immediate measures are taken for the shifting of serious patients to respective critical care unit.
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| REFERRALS FROM OUT-PATIENT DEPARTMENT |
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The patient could reach to the OPD as a referred case which is seen by other departments and referred to a particular dept. for expert opinion and management.
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| REFERRALS |
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Patients can be referred to the respective wards from:
a) OPD’s
b) In-patient Departments: patients can be referred for opinion from one department to the other whenever it is deemed necessary by the treating consultants.
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| A. ADMISSION PROCEDURES |
| Admission Procedure for the Emergency Wards: There is a three cubicle ward with twenty beds only in the casualty ward. The EMO, in consultation with the Senior Resident or the faculty of the unit-on-call, decides on the admission. it is the responsibility of the unit under which the patient is admitted to transfer the case back to their own ward services at the earliest so that the casualty beds are available for other emergencies or disaster management.
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| ADMISSION OF THE PATIENTS TO THE HOSPITAL FROM THE SUB-SPECIALITY CLINICS |
Admission procedures for the sub-speciality wards and beds: There are 3 inlets for admission to these wards.
1. From the speciality clinics: Patients seen in the sub-speciality clinics run by the speciality departments may be advised admission to their wards directly. The formalities of admission are the same as described above.
2. From the Casualty: Occasionally a patient seen for the first time in the casualty may have an illness which make him more suitable for admission and care by a sub-speciality department. The EMO may directly, or in consultation with the Senior Resident of the general discipline, call the Senior Resident of the sub-speciality department who may admit the patient directly under his care.
3. Ward Transfers: Occasionally a patient may be admitted to general wards and later due to the special type of care required due to patient’s illness, he or she may be transferred to the sub-speciality wards, in this case, the bed has to be provided by the concerned sub-speciality.
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| DEPARTMENT/UNITWISE BED DISTRIBUTION |
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UNIT BEDS +CRITICAL CARE AND OTHER BEDS =860+110+43= 1013 BEDS |
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| DEPARTMENT/UNITWISE BED DISTRIBUTION |
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| Specialization | No. of Units | No. of Beds |
| General Medicine | 04 | 160 |
| Paediatrics | 02 | 80 |
| T.B.& Respiratory Diseases | 01 | 40 |
| Dermatology | 01 | 40 |
| Psychiatry | 01 | 40 |
| General Surgery | 04 | 160 |
| Orthopaedics | 02 | 120 |
| Ophthalmology | 02 | 80 |
| E.N.T | 01 | 40 |
| Obs. & Gynae. | 02 | 100 |
| TOTAL | 860 |
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| Critical Area Beds
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| S.No. | Critical care Units : | Beds |
| 1 | Medical ICU (MICU) | 18(11+7) |
| 2 | Paediatric ICU | 06 |
| 3 | Neonatal ICU
| 06 |
| 4 | Dialysis
| 04 |
| 5 | Sleep Lab
| 01 |
| 6 | Emergency
| 22 |
| 7 | General Triage Room
| 03 |
| 8 | Respiratory ICU
| 05 |
| 9 | Surgical ICU
| 14 |
| 10 | Burn ICU
| 02 |
| 11 | Pre Operative
| 10 |
| 12 | Post Operative
| 10 |
| 13 | Labour Room
| 08 |
| 14 | Student Sick Room
| 01 |
| TOTAL | 110 |
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| Private/Semiprivate Beds
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| 1 | Private/Semi Private Beds
| 43 |
| TOTAL | 43 |
| GRAND TOTAL | 153 |
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PREPARATION FOR ANAESTHESIA AND POST OPERATIVE
INSTRUCTIONS
Pre-Anaesthesia Clinic |
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The Department of Anaesthesia runs “Pre-Anaesthesia Clinic” six days a week. PAC is held in O.T. complex and is run by consultant Anaesthestist with the help of their able faculty and support from Senior and Junior Residents. The patients requiring surgery under any kind of Anaesthesia (except local anaesthesia) are referred to this clinic after obtaining basic investigative reports like haemogram, routine urine and microscopy, ECG, chest X-ray (for patients above 35 years age and all patients requiring general anaesthesia) and any other investigations depending on the nature of the disease. Patients having chest, cardiac, neurological or endocrine problems are referred to the respective clinics and clearance for Anaesthesia has to be obtained from the consultant there, before referring the patient to the Pre-Anaesthesia clinic. PAC of the bed ridden patient by the anaesthetic unit is done bed side on request.
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