GENERAL ADMINISTRATION

1) INTRODUCTION
Choithram Hospital & Research Centre is not only a hospital to treat disease but a
complete institution for care of whole Society. This hospital was established in the year 1979
by Late Shri Thakurdasji in the fond memory of his father Shri Choithramji Pagarani.
Since its inception the founder of this hospital knew the problems of large section of our
society, especially the rural masses who couldnt afford treatment. He laid the principle of
free OPD, where any patient can consult any specialist doctor, and made available all
specialities of medical sciences with finest investigation facilities under one roof.
AIMS
At Choithram hospital quality patient care is the prime objective. Caring
attitude with precise skills are interwoven with modern technology to offer
highly specialised diagnostic and therapeutic service. Our aim is to bring
world class medical facilities within the reach of a common-man.
Sickness is a frightening experience. When a patient comes to a hospital he is
entrusting himself to a team of strangers. At Choithram we stretch ourselves
to create an atmosphere of mutual trust and confidence. All patients receive
the same consideration regardless of cast creed or religion, socio-economic
status or sex. Choithram is a referral hospital covering a large spectrum of
specialities at one place.
Choithram
Hospital
&
Research
Centre.

HISTORY OF THE HOSPITAL

16 Jul 1979

The Choithram Hospital is commissioned

1981

Physiotherapy
block
is
brought
up.
Fibre Optic Endoscopy is initiated which today carries out more
then 200 endoscopies and cystoscopies per month.
Haemodialysis department is also started for renal failure cases.

1983

Gamma Camera (GAMMATONE T-900) for nuclear imaging

installed.
Radioimmunoassay [RIA] installed in pathology for diagnosis of
endocrine
diseases
Installed Computerized Blood Gas and Electrolyte Analyzer
Corona Analyzer in Biochem and Coulter System in haematology
installed.
Microbiology lab was set-up.

1984

Cardiac
Cath
lab
and
Echocardiogram
set
up.
Department of Neurosciences stated with EEG, EMG, ECT and
micro-neuro surgery.

1985

Open
Heart
Percuteneous
Renal
Microsurgery of middle ear started.

Surgery
Lithotripsy

started.
started.

GENERAL ADMINISTRATION

1986

Renal transplant started, so far 262 transplants done.

Diagnostic
Clinical
Immunology
initiated.
Ultrasonography
unit
set
up.
Total Body CT Scanner was installed.

1987

Total Hip Replacement started. More than done so far.

Corneal
Transplant
Surgery
undertaken.
Departments of Neurosurgery and Onco surgery were updated
Several OPD Chambers added to cater for growing daily OPD

1988

60 Bed Paediatric wing added with department of Neonatology.

Paediatric ICU started.fully equipped with incubators, ventilators,
infusion pumps, central monitoring and oxygen system.
Fully equipped 11 Bed ICCU and 7 Bed post operative ICU started.
6
Bed
Burn
Unit
commissioned
Total
bed
strength
goes
up
to
300
Recognised for aids surveillance and conducting research with
ICMR
Solar heater installed for 24-hr hot water supply.
Recognized for House Job by DAVV Indore.

1990

Indigenous CO2 Laser was given to us by CAT for trial and

development
Automated Haematology counter was installed in Path dept.
Dr. Vinod Naneria trained under Dr Ranawat at Connel Uni, USA
for TKR surgery.

1991

Ultra
MK4
AL
ultrasound
machine.
Suzy
Dental
chair.
New
telephone
exchange.
Transit
incubator
for
neonates.
Fiber
optic
gastroscope
and
colonoscope.
Computerized
treadmill
and
Halter
monitor.
Intra
aortic
balloon
pump.
21
Channel
EEG
machine.
Solar
Water
heater
Fundus
camera
for
fluorescein
Angiography..
Protocol of Technical collaboration with 1 St Moscow Medical
Academy & other medical centers of USSR signed.

1992

Benevolent Founder Shri Thakurdasji Choithram Pagarani went to

his
heavenly
abode
on
19
Mar
92.
Colour
Doppler
Hitachi
EUB
565
Cardiofax

Multichannel
ECG
machine.
Nicholet Viking II EMG & Evoke Potential machine.
Close
circuit
TV
Camera
for
microsurgery.
Paging
System.
8
Different
types
of
Laser
Units.
National Neonatology Forum accredited our Neonatal Unit for
special care level II.
2

GENERAL ADMINISTRATION

1993

PG Diploma in Medical Lab Sciences started under DAVV.

Affiliated to Eye Bank Association of India.

1994

Recognised for Post PG DNB Neurology.

1995

Thalacemia
Cancer
detection
Centre
Nd YAG KTP Laser for Ophthalmology
Laser
Prostatectomy
ERCP equipment for Billiary duct Surgery procured.

1997

Online computerisation started for hospital information system.

Donier
Fibrotome
Nd:
YAG
Laser
Leksell
Sterotactic
System
for
Neurosurgery.
Laser orientation course for doctors 7-12 Oct 96
International
Laser
work
shop
29
Jan
97.
National
Conf
on
Hosp
Infection
control.
Conversion of Nursing School into College 01 Aug 96.

1998

Fujinon
Video
Auto
Shimadzu
Ultrasound
14 Bedded Step-down ICU inaugurated 15 Jul. 98.

started.
procured.
started.

Endoscope
Lab
Scanner.

GENERAL ADMINISTRATION

MAIN SERVICE AREA

i.

OUT PATIENT DEPARTMENT (O.P.D.)

DENTAL DEPARTMENT
LAY OUT

:- 02 ROOM
01 DOCTORS ROOM,01 X-RAYS ROOM

STAFF

:- 05 MEMBERS, 02 DOCTOR
02 NURSING ASSISTANT,01 MAID

INCHARGE

:- DR. ABHIJEET SIR

WORKING HOUR :- 08:30 AM TO 02:30 PM

WORK LOAD

:- 15-20 PATIENT / DAY

EQUIPMENT

:- TWO DENTAL CHAIR , X-RAYS MACHINE , SCALLER MACHINE ,

AUTOCLAVE , STERILIZER , COMPRESSOR

CHARGE

:- EXTRACTION 300 TO 750 /DIFFERENT CHARGES FOR DIFFERENT

EYE DEPARTMENT
LAY OUT

:- 02 ROOM
01 DOCTORS ROOM, 01 OPTOMETRIST

STAFF

:- 04 MEMBERS, 01 DOCTOR
01 OPTOMETRIST
01 CLEARK
01 MAID

INCHARGE

:- NIDHI MAM

WORKING HOUR :- 08 AM TO 04 PM
WORK LOAD

:- 20 PATIENT / DAY

EQUIPMENT

:- SLITE LAMP MACHINE , RETINASCOPE ,

OPTHALMOSCOP , VISION DRUM

CHARGE

:- 120 /4

GENERAL ADMINISTRATION

ENT DEPARTMENT
LAY OUT

:- 02 ROOM

STAFF

:- 07 MEMBERS
03 DOCTOR,02 JUNIOR DOCTOR,01 SISTER,01 MAID

INCHARGE

:- DR. PATHAK SIR

WORKING HOUR :- 10:00 AM TO 01:00 PM

WORK LOAD

:- 40 PATIENT / DAY

EQUIPMENT

:- SUCTION NOHTNY , TUNING FORK , PACKING FORCEP ,

ENDOSCOPE , INDIRECT LARYNGOSCOPE MIRROR ,
ORALSPECULLA

CHARGE

:- 40 /300 /- OFTER 01:00 PM

RADIOTHERAPY

LOCATION - Ground floor.

LAYOUT - Near CT scan room, in the west wing.
OBJECTIVE- to treat cancer patient by giving internal and external radiation.
STAFF- 1 In charge- ENN
3 technicians
2 consultants
2 senior registrars
2 maids
1clerical staff
WORKING HOURS-7:00 am to10:00 pm
7:00 am to 3:00 pm (for technician).
ROOMS Recovery room :4 beds, for 1 hour or 1 day only patient admit.
Radiation room:-radiation is of two type- External and Internal
Radiation therapy include 3 steps- surgery, chemotherapy, and radiation

EXTERNAL RADIATION1. It is given Monday to Friday.

2. Machine- linear accelerator.
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GENERAL ADMINISTRATION

a.
b.
c.
d.
e.

Gantry (It rotates 360 degree).

Couch.
Coli meter (Radiation emits.)
6 MB high energy x-ray.
Side effect is low- Blackening, pilling of cell, Nausea, oral ulcer,
Headache.

INTERNAL RADIATION (Breaking area)1. Needle, beats, seeds are implanted in the body.
2. Nucleation machine- In this machine cancer of cervix, buccal mucosa.
3. Patient is kept for 10 to 15 min. for internal radiation.
Two changing rooms.
One TRS Room (treatment plan section).
One Countering station.
One mould rooma. Only head, neck mould is made.
b. It is made of plastic sheet.
c. Plastic sheet is kept in water bath at 60 degree temp.
d. Then it become flexible it can be shaped according to patients head and neck.
e. With the mould, patients go for CT scan and through laser the area is marked
and then radiation is given.
One Administration area.
Charges: - 45000 Rupees, 75000 Rupees, 95000Rupees.
Charges of machine: - 3.5 cr.
Record:- Radiotherapy register and chemotherapeutic register.

GENERAL ADMINISTRATION

UROLOGY
LOCATION- First floor, in the west wing.
LAYOUT- Right hand side of the dialysis room.
OBJECTIVES- To see the capacity of bladder and urine flow.
STAFF- There is two staff: one doctor Sattya Bhatiya and one nurse for help.
WORKING HOUR- 8.00 am to 4.00 pm...
EQUIPMENTS, CHARGES AND THEIR FUNCTION URODYNAMIC MACHINE: its function is to check the capacity of
bladder and charges is 1800 Rupees/ UROFLAMETRY: It is a small machine whose function is to show the
flow of urine and charges is 500 Rupees/ CATHEDRE or URETHERAL CATHEDRE: It is put under urethra.
AVERAGE PATIENT- 2 to 3 patient per day.
RECORD- one register is to be maintained in that: S. NO, Date, Hospital/IPD
no., patient name, procedure, Doctor Name, reference, amount, receipt no.

GENERAL ADMINISTRATION

ENDOSCOPY
LOCATION: Ground floor, left hand side of day care center, near corporate
desk.
LAYOUT: One reception room, two rooms for maam and sir, one room for
capsule endoscopy , one room for colonoscopy, one room for seminar, one auto
research room, one ERCP and EVS room.
OBJECTIVE: To diagnose the problem inside the body.
STAFF: four nursing staff, one technician, two clerk, one word boy, three
junior doctors.
WORKING HOUR: For nursing it is 8 am to 4 pm and
procedure happens between 10 am to 4 pm.
Endoscopy hardly takes five minute.
And colonoscopy takes thirty minute.
EQUIPMENT:
Two monitor (one for endoscopy image).
Anesthesia traully.
ECG leads.
One endoscopy traully.
Sphygmamometer.
Saturation prob.
Suuction.
Hydroxide.
AVERAGE PATIENT: 18 to 19 patients per day but someday 5 to 10 patients
per day.
CHARGES: Endoscopy charges are 1600 Rupees and if biopsy is done then
charge will be 750 Rupees.
RECORD: All the record is maintained in the CD.

GENERAL ADMINISTRATION

Wards
ACUTE MALE SURGICAL WARD
All male surgical and accidental patients are admitted here. This ward is situated in first floor.
LAYOUT-:
24 Bedded
2 semi private room with A.C
3 Semi private room without A.C
14 General room
CHARGES-:
General room charge- Rs. 400
Doctor visit- 350
Semi private room with A.C charge -Rs. 1000
Semi private room without A.C charge - Rs. 800
STAFF-:
Morning: 3 nurses
Evening: 3 nurses
Night: 2 nurses
1 ward boy
4 Aaya-bai
WORK-LOAD-:
4-5 Patients admitted per day.
EQUIPMENT-:
Glucometer,
sphgnomanometer,
nabolizer.
STORE -:
Badsheet, emergency drugs,pillow

GENERAL ADMINISTRATION

MALE WARD
rd

LOCATION- 3 floor.
LAYOUT1. RECEPTION
2. GASTROENTEROLOGY AND LIVER WARD-1
3. GENERAL WARD-3
4. STORE ROOM-1
5. MEDICINE WARD-1
OBJECTIVE-male ward is for better care under medical supervision during treatment or during
recovery. it is specified for males.
STAFFINGThree shifts1. at morning-3 staff
2. at evening-3 staff
3. at night-2 staff
EACH SHIFTin every ward there is one in charge.
1. 1 doctor available between 8am to 1 pm.
2. 3 doctors available after 1 pm.
3. 1 staff supervise 9-12 patients.
EQUIPMENTS1. Syringes
2. Glucometer pump
CHARGES

General ward-600 rs per day.

Semi private ward,-non a/c-800 per day
A/c-1000 per day.

Private ward-non a/c- 1400 per day

a/c-1700 per day.

RECORDS1.
2.
3.
4.

MRD register.
pathology register
Morning, evening, night census.
Emergency doctor calls register.

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GENERAL ADMINISTRATION

FEMALE WARD
Location: - female ward of CH is situated on this third floor to the male ward
Layout: -

two general ward four bed in each word

There are three semi private wards, two beds in each ward.
Total 24Beds
Objective:-female ward is for better care under medical supervision during treatment and
during recovery.
It is specified for female
Staffing:-one ward incharge
One assistant incharge
Eleven staff clerk
one floor clerk
one nursing assistant
seven ayaa bai, four sweeper
total staff is of 25
Timing:-morning 07.30am-3.00 pm
Evening03.00pm-11.00pm
in night shift, in morning incharge is present in female ward in night supervisor is present in
female ward.
Workload: - 20 patients/day
Record: - diagnosis register, evening night register, emergency article book
Admission book, laundry book, discharge book
Cost : - Rs 600/pat for semiprivate (dr. visit fee-300 extra)
Rs 350/pat for general
Equipment: - laryngoscope emergency injection tablets oxygen and suction

11

GENERAL ADMINISTRATION

CATH LAB
Hospital or clinical diagnosis imaging equipment used to support the catherization procedure.
cath lab has its own operation theatre angioplasty are done.
Cardiac catheterization is an invasive imaging procedure that allow your dr. to evaluate your
heart function .
Confirm the presence of coronary ,valve disease of the arota evalaute your heart muscles
funtion.
Determine the need for further treatment later angioplasty is also perform in the lab
Location :- Present at the first floor of the hospital
Layout:- near the opration theatre and acute surgical ward
Objective:- perform the angioplasty and angiography
Staffing:- 6 docter-4 permanent and 2 visiting

One intravesional cardiologist

Thre technichians

four sister

Two ward boy.

Timing:- The staff work in two shift

1. 8am to 4 pm
2.

3 pm to 10 pm

Workload:- 60-70 patients per month

Equipment :

C-arm machine (of

seimens)

angiotray contains
bowlsponges

holdergreen towels

diagnostic catheters

differents stents

Three computer for

angiography and
angioplastyocedures

One patiants vital

monitoring

One memory backup

and

report genration

12

GENERAL ADMINISTRATION

Charges:- for angioplasty

procedure charge Rs4000

medicine-Rs700
investigation charges Rs1000

CD-charges-Rs-500

for angiography

general/simple-Rs50000

complicated-Rs-65000

CDragister

Record:- patiants records is maintained consist of

main cath lab ragister

1-angioplasty ragister

E.S.I.C. RAGISTER

DIETICIAN
LOCATION- It is located on ground floor
LAYOUT- 1room
OBJECTIVE- A dietitian is a health care professional who focuses on proper food and
nutrition in order to promote good health. The goals of dietetians are to provide medical
nutritional intervention, and to obtain, safely prepare, and serve and advise on flavorsome,
attractive, and nutritious food for patients, groups and communities.
STAFF-1 doctor, 2 trainee
WORKING HOURS- 9am to 1pm
WORKLOAD- average patient 10/day
CHARGE-

Rs. 40

RECORD- computerized

INTENSIVE CRITICAL CARE UNIT

13

GENERAL ADMINISTRATION

LOCATION--first floor near canteen, front of stairs going to second floor.

LAYOUT Layout of I.C.C.U is:-

OBJECTIVE- To treat the critical patients.

14

GENERAL ADMINISTRATION

DIVISION Main I.C.U.is divided into two parts

1. Surgical side
2 .Medical side
Total 21 beds:-17 general
4 private rooms
STAFF There are 35 members in two shifts.
12-15 staff in each shift
Two I.C.U incharge
One Nursing incharge
WORKING HOURS - Nursing hours 8:00 am to 8:00 pm
Doctors hours 8:00 am to 3:00 pm
EQUIPMENTS Monitor-heart rate ,oxygen saturation ,arterial B.P. recorded

Ventilator there are 4 different companies ventilator in I.C.U.

Suction pump
Infusion pump
Humidifier
Non invasive pump
Defibrillator
Needle container
Hand rub near each bed for infection control
Crash trolley all emergency medicine put here
ABG Machine (arterial blood gas)- detect oxygen level in arterial
blood

CHARGES - General 1800 rupees per day.+ 350 doctor .visit

Private- 2300 rupees per day + 350 doctor visit
Ventilator -1800 rupees per day.
RECORDS Daily records of patients maintain in ICU register.
WORKLOAD Average 15 patients per day.

15

GENERAL ADMINISTRATION

DIALYSIS
LOCATION-first floor
LAYOUT- Near urology department, west wing.
OBJECTIVE- serves as an artificial kidney and purifies blood
DIVISION whole department is divided into 3 portions
Total 25 beds
In one portion 14 beds for NR patients
In middle portion 5 beds for hepatitis C patients
HIV patients are also concerned here.
In other portion remaining beds
STAFF-22 members including technician
3 doctorsDr. Salviy
Dr. Saxena
Dr. Sepaha
2 ward boy
2 sweepers
WORKING HOURS -6:00 am to 10:00 pm
EQUIPMENTS Nipro surdial dialyser machine
Sphygmomanometer
Nebulizer
Suction
Dialyser tube
Dialyser can be used for 8 times
Tube can be used for 12 times
Dialysis machine is filled with formalin for cleaning after once used.
CHARGES 1300 Rupees for first time
Then 850 Rupees per day.
Renal profile and Serology test is also done here.
RECORDS - Daily record maintain in register.
Record book in which measurement of weight, B.P., Ultra filtration rate
at time of both admission and discharge
Average 15 patients come daily.

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GENERAL ADMINISTRATION

Mortuary
LOCATION:-Outside the Choithram Hospital near Physiotherapy unit.
LAYOUT:-1 Room
OBJECTIVE:-A morgue or mortuary (as in Choithram hospital)is used for the storage of
human corpses awaiting identification, or removal for autopsy or disposal by burial,
cremation or otherwise. In modern times they have customarily been refrigerated to delay
decomposition.
Types of cold chambers:-There are two types of mortuary cold chambers:
1.Positive temperature
Bodies are kept between 2C (36F) and 4C (39F). While this is usually used for keeping
bodies for up to several weeks, it does not prevent decomposition, which continues at a
slower rate than at room temperature.
2.Negative temperature
Bodies are kept at between -10C (14F) and -50C (-58F). Usually used at forensic
institutes, particularly when a body has not been identified. At these temperatures the body is
completely frozen and decomposition is very much reduced.
In Choithram Hospital human corpuses are stord in positive temperature cold chamber known
as YORCO mortuary chamber.
STAFF:-1.)Incharge-C.M.O

2.)Ward Boys-2

WORKING HOUR:- Round The Clock

CAPACITY:-6 bodies at a time.
CHARGES:-For 1st day its free from next day Rs.300/day.
RECORDS:-Death Register

17

GENERAL ADMINISTRATION

DAY CARE CENTRE

INTRODUCTION
Health care services provided by an impatient or outpatient healthcare provider , when
the patient has to stay for treatment (operation, procedure, or examination ) . But not
stay overnight
In choithram hospital day care centre is OPD unit. where treatement is provide to the
patients for a few hours during the day time.Here patients are not admitted.
Layout
Total bed in the day care centre :- 9
beds
In which:-

4 semi-private
1 private
Charges for all beds are same

4 general
Objective
Objective of day care unit :-

2.provide treatment in a day time.

1.observation

3.No need of admission of patient.

Function
Provide treatments :-

Procedure of treatment :-

1.Chemotherapy

1.Intramuscular injection

2.Blood transfusion

2.Intra-venous injection

3.Pleural& peritoneal tapping

3.Lumber puncture

CHARGES FOR TREATMENT

1.For observation :-

6 hours :- 900 Rs.

6 hours :- 300 Rs.

More than 6 hours:- 1200 Rs

Moe than 6 hours:- 600 Rs.

3. blood transfusion

2.For chemotherapy :CHARGES FOR TREATMENT

6 hours:- 1050 Rs.

More than 6 hours :-1350 Rs.

Staff

18

GENERAL ADMINISTRATION

2 members present in the staff :-

2. nurse

1. incharge
Working hours
Working hours of day care unit :-

8 am. 4 pm.

Work load
9 patients per day
Equipments
All emergency equipments are
present

Nebulizer
B.p. appratus

Suction apparatus
Waste management
1.30 Ltr. Bucket with red polythene : Dressing , gauze piece , cotton pad
Any soaked clothing
2. 30 Ltr. Blue bucket : Drain tubings , drain bag , separated barrel & piston of a syringe
3.30 Ltr. Bucket with 0.5 % sodium hypochloride solution: For rubber gloves
4.50 Ltr. Of blue bucket : IV bottels
IV plastic bottels
Plastic hangers
5.30 Ltr. Bucket with black polythene: Non infected items such as
Paper,food items,plastic polythenes, plastic milky golves
Records
Procedure record maintain in day care centre

19

GENERAL ADMINISTRATION

BURN UNIT :1.Location- Located at 3nd floor. Near the female ward.
2.Layout- Rooms in burn unit : 4 rooms of 12 beded capacity
One staff room
dressing room
3.Objective- Objectives of burn unit :

One store rooms

One reception Room

Provide quick treatment to burn patients.

Healing the wounds of patients & make them able to go for work & in society ,
home.
Provide intensive care to the patients.

4.Staff-Total staff in burn unit :

eight nurses
six nursing assistant
four ward boy

three sweeper
one clerk
one doctor

5.Working hours- 24 hours in three shifts:

8am. to 4 pm.
4pm. To 12 am.
12am. to 8 am.

6. work load 15 to 20 patients/ month

7.Equipment- All emergency equipments are present :

Ventilator
Cardiac monitor
Angioscope

Pulse oxymitre

For doctors visit :- 300 Rs./day

Pathology register
Diagnose registers

8. charges-charges in burn unit:

bed charge :- 500 Rs./day

9. Records- Records in burn unit:

All burn cases are medico legal

cases.mlc register is maintained
Maintain burn data
Admission- discharge register
Evening night register
Emergency acute register

20

GENERAL ADMINISTRATION

DELUXE & PRIVATE WARD

LOCATION:- it is located on the ground floor of ther hospital.
LAYOUT:-it has 13 rooms
2- NON AC ROOMS
1 -AC ROOM
2-SUPER DELUXE ROOMS
OBJECTIVES:- 1day ICU stay +2days ward

STAFF :-

Fees for cardiologists &anesthetists

Medicine as per lists
Investigation as per lists
Cath lab charges , routine consumables & disposables
C.D.
Food
Non ionic contrast upto 50 ml
Balloon guiding catheter as- per actual
One day ICU stay +2 day ward (BMV)+3 day in ward (in
balloon aortic
valvoplasty & balloon angioplasty of coarctation aorta)

1 incharge
One Dietician

WORKING HOURS:- morning hours -6 hours duty

EQUIPTMENTS:- vaccum tube which is centralized means there is no need of tube.
CHARGES:-

Non AC Rooms -Rs14,000/AC Rooms- Rs1700/-

Dr visit- Rs400/-

Doctor visit-Rs500/-

Super deluxe room -Rs3000/-/- Doctor visit-Rs -Rs600/RECORDS:-Doctor sheet & Nurse Sheet, Intake and out take sheet, Temperature sheet,
Equipment and store list

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GENERAL ADMINISTRATION

NEW SURGICAL WARD

LOCATION

:- FIRST FLOOR RIGHT SIGHT

LAY OUT

16 ROOM IN NEW SERGICAL WARD

13 ROOM PRIVATE IN NEW SERGICAL
WARD

6 A.C. ROOM
7 NON A.C. ROOM

3 SEMI PRIVATE A.C. ROOM

OBJECTIVES

:- SURGARY PATIENT

STAFF

:- DEPEND ON PATIENT

INCHARGE

:- ASHUNTA MAM

WORKING HOUR :- 24 HOUR

WORK LOAD

:- 100 AVG.

CHARGE

:- PRIVATE

A.C. 1700 / DAY + DOCTER

VISIT 500
NON A.C. 1400 / DAY + DOCTER VISIT 500

RECORD
RECORD ,
ARTICLE OVER BOOK ,
CHARGE BOOK

:- DIAGNOSIS BOOK , EVENING NIGHT

DOCTERS CALL
BOOK ,
ITEM

22

GENERAL ADMINISTRATION

OPEN HEART UNIT

LOCATION

:- FIRST FLOOR RIGHT SIGHT

LAY OUT

:- 03 BADED IN OHU

OBJECTIVES

:- ONLY HEART PATIENT

STAFF

:- TWO MEMBERS

MORNING 7: 30 AM TO 3: 30 PM
EVENING 3:30 PM TO 11:00 PM
INCHARGE
:- ASHUNTA MAM

NIGHT 11:00 PM TO 7:00 AM

WORKING HOUR :- 24 HOUR

WORK LOAD

:- 10 PATIENT / MONTH

CHARGE

:- 800 / DAY + DOCTER VISIT 500

RECORD

:- DIAGNOSIS BOOK ,

EVENING NIGHT RECORD ,

DOCTERS CALL BOOK ,
ARTICLE OVER BOOK ,
ITEM CHARGE BOOK ,

NURSES SHEET ,
INTAKE SHEET ,
TEMPRETURE CHART

RENAL TRANSPLANT UNIT

LOCATION

:- FIRST FLOOR RIGHT SIGHT

LAY OUT

:- 03 BADED IN RTU

02 ROOM PRIVATE IN RTU, 02 ISOLATION ROOM

OBJECTIVES

:- SURGARY PATIENT

STAFF

:- 01 NURSE

INCHARGE

:- ASHUNTA MAM

WORKING HOUR

:- 24 HOUR

EQUIPMENT

:- C.P.U., MONITERS ( HEART RATE , PULSE ), T.V.,

DOUBLE A.C.

CHARGE

:- 1400 / DAY + DOCTER VISIT 500

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GENERAL ADMINISTRATION

Step-down ICU:1.Location- Step down ICU located at 1st floor.

2.Layout- Rooms in step down ICU :

Store room
Linen room
Sluice room
Staff room
Extra room
Two rooms of 15 bed capacity. In which two beds for dialysis.

3.Objective- Objective of Step down ICU :- intensive care of patients.patients in the stable
condition in main ICU shifted into step down ICU for intensive care. In step down ICU
patients kept without ventilator.
4.Staff- In staff total 15 members are present.

Staff patient ratio :- 1 staff : 2 patients

Four nursing assistant
Two sweeper
Three aaya bai

5.Working hours- 24 hours in two shifts :

8am.to 8 pm.
8 pm. To 8 am.

6.Equipment- All emergency equipments are present : Oxygen supply

E.C.G. machine
Suction pump
7. Charges- Charges in step down ICU:

Infusion pump
Mainly monitors

Bed charge :- 1000 Rs./day

Doctors visit :- 300 Rs./day

8. Records- Records of step down ICU :

Evening-night register
Emergency equipment register
Diagnosis register
Dr. code book
Stock registers
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GENERAL ADMINISTRATION

PEDIATRIC WARD
LOCATION - It is located on the second floor.
LAYOUT- 1. NICU-Neonatal Intensive Care Unit
month}

{from birth to 1

#This unit is devided into three:

Inborn, Outborn , Sickborn.
2. PICU- Pediatric ICU{upto 15 years}
3. Thalasemia daycare
4. Private ward{AC/NonAC}
5. Semiprivate ward{AC/Non AC}
6. General ward
7. Seminar hall {training & meeting for nurses& doctors}
8. Store room
9. Pantry
OBJECTIVE - This department have all possible facilities for care of children & new born
babies. NICU look after premature, small, and sick newborn babies. PICU have special
procedure like CPR, ventilator support, exchange transfusions.
The thalassemia daycare center arrange for transfusions & other need of the thallasemic
children. The development & disability clinic with speech therapist and physiotherapist
provides complete assessment, treatment and guidance facilities for disabled children.
STAFF - Incharge: Sister Meena
5 nursing assistant, 2 sweeper,6 aya bai.
WORKING HOURS - 8 hours duty
Morning 7:30a.m. to 3:30p.m.
Evening- 3:00pm to 11:00pm
Night- 11:00pm to 8:00a.m.
WORKLOAD - average patient 30-40/day
EQUIPMENTS - Incubator, Weight machine

25

GENERAL ADMINISTRATION

Monitor, Infisor pump, ventilator.

CHARGE#private wardAC-1800
NAC-1400
D- 500
#Semiprivate wardAC-1000
NAC-800
D-350
#General ward 400+300{doctor visit}
#NICU- 800
#Thalassemia daycare - 1000/ month
RECORD - 1. Doctors call book
2. diagonosis register
3. discharge card

26

GENERAL ADMINISTRATION

OPERATION THEATRS
LAYOUT:-

Total 8 OT in the hospital.

On the ground floor one OT which is Labor OT.
On first floor remaining OT is present.
1st & 2nd OT is renal OT.
3rd OT is for Leprotomy & Infected cases.
4th OT is Burn OT.
5th OT is Minor OT.
6th OT is Local OT.
7th OT is Cardiac OTs.
Opening of cath lab.
OBJECTIVE: - To provide operational services to the patients.
STAFF:- In one OT 2 nurses & 1 technician and 1 ward boy always available
WORKING HOUR: - 8am to 4pm.
Then emergency in evening & night one nurse available
WORK LOAD: - 15 operations per day
EQUIPMENTS: OT TABLE:- on the time of surgery doctors take patients on this.
BOIL MACHINE.
SUCCTION MACHINE:- for suction some waste fluid or air from
the body of patient.
QUATRISE MACHINE:- for coagulation of blood during surgery.
SOME TRAULYS ONE DOUBLE TRAULY:- gaun and gloves kept in this.
ONE SINGLE TRAULY:- for covering the trauly, sheet kept in
this.
ONE CERVE TRAULY:- instruments kept in this.
ONE MYO TRAULY:- this is also for keeping instruments.
ONE DOUBLE BASIN:- keeping extra instruments.
ONE SINGLE BASIN:- ABC pack is kept in this for sucking fluid
& blood.
MONITERS:- for seeing the heart rate, blood pressure, blood sugar
etc.
DEFEBRILATOR:- when patient cant breath then give him shock
so that he will again breath.
BLANCO TABLE:- the top of this table is penetrates by the Xrays, so that it will joint with the C-arm machine which gives x-ray
of the body part. Like in Uro-surgery, orthropedics etc.
FRACTURE TABLE:- for arthro cases.
In Cardiac OT some extra equipments are there included above
these all ONE WARMER:- to give heat to patient.
ONE PLASTIC SHEET:-filled with a fluid so that patient dont
feel the pressure .

27

GENERAL ADMINISTRATION

ONE HEART LUNG MACHINE:- for artificial breathing, same

works as heart and patient fully depend on this. Mainly used in
MITRAL VALVE REPLACEMENT, ARTERIAL SEPTAL
DEFECT, DOUBLE VALVE REPLACEMENT.
ONE PACE MAKER MACHINE
ONE X-RAY BOX.
ANGIOGRAPHY MACHIN.
CHARGES:- Charges depend on the surgery.
RECORD:1. BOOKING REGISTER-

Date & OT Serial Patient Age Ward Diagnosis Operation Surgeon An

Anesthetist Scheduled C
time
no.
name
aesthesia
time of
Of
surgery
booking

2. SURGERY MAINTAIN REGISTER

STORE: Emergency drug
kit.
Spirit solution.
Microscope.
C-arm machine.

TV cameras.
Sets.
Special kits.
Instruments

SUPPORTIVE AREAS

PATHOLOGY
INTRODUCTIONPathology is a scientific study of disease and its nature,causes,mechanism,and effects.
Depending upon species studied there are various discipline of pathology such as human
pathology,animal pathology,etc.human pathology is the largest branch of pathology.it is
conventionally divided into general pathology,dealing with general principles of disease,and
systemic pathology that includes study of disease pertaing to the specific organs of the body
systems.
The specialty of pathology has come to include the following sub specialities:1. Histopathology

4.biochemistry.

2. Haematology.

5. Microbiology

3. Serology

6.cytology.

FUNCTION:28

GENERAL ADMINISTRATION

1.To assist doctor in arriving at confirm diagnosis and to assist treatment.

2.The lab not only generates promt and liable reports,but also functions as a store house of
reports for future refrences.
3.To carry out urgrnt tests at any part of day or night and thus,provide 24 hour services.
A. HISTOPATHOLOGY:Histopathology used synonymously with anatomic pathology,pathological anatomy or
morbid anatomy,is the classic method study and still the most useful one,which has stood the
test of time.the study includes structural changes observed by naked eyes examination
reffered to as gross or macroscopic changes,and the changes detected by light and electron
microscopy supported by numerous special staining method including histochemical
immunological techniques to arrive at the most accurate diagnosis.
STAFFING1. histo-pathologist.
2. 2 technicians.
3. 1 aaya bai.

INSTRUMENT1. Tissue processor.

2. Microtone.
3. Automatic knife sharpener.
4. Centrifuge.
Slides and blocks are preserved for 5 years which have medico legal importance.
On an average 200 tests are performed monthly.
B. HEMATOLOGY:Hematology deals with the disease of blood.it includes clinical and laboratory.the
different tests performed at laboratory are
1.
2.
3.
4.
5.
6.
7.
8.

Hb
RBC count
WBC count
Platelet count
ESR
PCV(packed cell volume)
MCV
Totalcount

29

GENERAL ADMINISTRATION

STAFFING:1. Hematologist
2. Technicians
INSTRUMENTS:1.ms-9 cell ounter colorimeter.
2.coulter 30-40 reagents.
About 100-150 tests are performed daily,out of which hb is most common.
C. BIOCHEMISTRY
Invitro diagnosis quantification of biological fluid, as well as quantitative determination of
drug abuse in urine. access Immunoassay system,Tumor makers,Hormone test,test on serum
separated from blood.
STAFFING_
1. HOD
2. 1 senior technician
3. 1 junior scientific officer
4. 7 junior technicians.
INSTRUMENTS:Fully automated analyzer which includes:
1.hitachi 704.
2.easy lyte.
OTHER EQUIPMENTS:1. blood gas.
2. 2. balance
3. spectrophotometer.
total test available in this department are 125.
D.MICROBIOLOGY:Basically it is for cell,tissue culture.the specimen is in form of stool,urine,and sputum
mainly.the microorganisms are allowed to grow on agar medium and then growth is stidied.
STAFFING:Incharge-Dr. D.S. chitins
Senior technicians-7
Junior technicia
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GENERAL ADMINISTRATION

x-ray :1. location- x-ray department located at ground floor. Near the casualty
2. layout- There are three rooms in x-ray department which contain x ray machines of 300
mA with image intensifier & T.V. system there three portable machines , one for O.T.
radiography & another two machines are utilized for beside radiography in I.C.U. & wards
3. objective

Diagnosis of abnormalities in the body

Radiology are done which includes :-barium studies , I.V.Ps , urethrograms ,
sinograms, , fistulograms

4. staff-Total staff of x - ray department are:

Twelve technician
Two sisters
Two ward boy
Five doctors
One sweeper
One typiest

5. working hours- 24 hours in three shifts :-

8 am. To 4 pm.
4pm. To 12 am.
12am. To 8 am.

6. work load 100 to 110 patients/day

7. equipment- x ray machine. Parts of x ray machine:Two x ray tubes , camera, bucky tray:- a sliding metal tray under the radiographic table
which holds the cassette, cassatte,table top, control machine , lead curtain for the safety of
technician.
8. charges-Charges of x ray depend on the body part .

Minimum charge for x - ray :- 250 Rs.

Maximum charge for x - ray :- 1650 to 3500 Rs.

9. records- No manual record maintained in x ray department. All records are computerized.

31

GENERAL ADMINISTRATION

Ultrasonography :1. location- ultrasonography department located at ground floor. Near the casualty
2. layout- There are three rooms in ultrasonography department & one changing room.
3. objectiveUSG studies undertaken : All joints knee, hip , ankle,shoulder & wrist muscles & tendon
Colour Doppler studies

Carotid, peripheral vessels,scrotal Doppler, abdominal Doppler, penile Doppler ,

obst.doppler & foetal echocardiography

4. staff- Total staff of ultrasonography department are:

Two typiest
One rereception
Two nursing assistant
Three doctors
One sweeper

6. work load 50 to 60 patients/day

7. equipment- ultrasonography machine basic Parts of ultrasonography machine:transducer probe, display,transducer pulse control, printer, crystal which vibrate & produce
the ultrasonic waves
8. charges-Charges of ultrasonography depend on the body part

some charges are:-

Renal sonography :- 550 Rs.

Obst. Sonography :- 700 Rs.
Pelvic sonography :- 550 Rs.
Lower abdominal in male :- 550 Rs.
Tyroid sonography , cranial sonography, neck sonography sonomemography:- 850 Rs
Transplant kidney Doppler :- 1250Rs.
Colour Doppler :- 2800 Rs.
Target scan in pregnancy :- 2000 Rs.
Foetal echocardio graphy :- 2000 Rs.
Liver elastography :- 1750 Rs.

9. records- patient records maintained in sonography department. All records are

computerized.

32

GENERAL ADMINISTRATION

NUCLEAR MEDICINE
In The Field Of The Nuclear Medicine Choitram Hospital And Research
Centre, Indore Has been the pioneer in MP since 1983.
Here Scans occurs of Thyroid,Renal,Renal DMSA
,Heptatobiliary,GBP,Liver spleen,Bone,Nuclear myocardial perfusion
Done and Radioactive Iodine (I- 131) Therapy for Thyrotoxicosis
occurs.
The milienium SPECT GAMMA Camera/computer system is capable of
acquring and processing the whole gamut of nuclear medicine procedures
like static,dynamic,whole body,multigated cardiac,tomographic and
gated tomographic studies.
LAYOUT -:
3 Rooms
WORKLOAD-:
5-6 Patient per day
CHARGES-:
Depend on body parts
INCHARGE-:
Dr.R.K Soni
STAFF-:
1 R.S.O
1 Technichian
1 Peon

33

GENERAL ADMINISTRATION

EEG & EMG department:1.Location- located at ground floor.

2.Layout- Two rooms:

EEG machine
room

EMG machine
room

One reception
Room

3.Objective- electroencephlography & electromylography of patients

4.Staff- Total staff :

One incharge
Two technician

5.Working hours

8:30 am. To 4:30 pm.

6. work load
70 to 80 patients/month
7.Equipment

EEG machine :-EEG grass machine, EEG video machine .basic parts of machine 22
electrodes present in a electrode box . All electrods connected to the different lobes of
the brain by paste.

An EEG, or electroencephalogram, is a test that can help diagnose epilepsy. During an EEG,
the electrical signals of the brain are recorded. This electrical activity is detected by
electrodes, or sensors, placed on the patient's scalp and transmitted to a polygraph that
records the activity.
Electrical signals produced by the brain neurons are picked up by the electrodes and
transmitted to a polygraph, where they produce separate graphs on moving paper using an ink
writing pen or on a computer screen.

EMG machine :- Three test conduct by this machine:EMG :- for electrical activity of muscles
NCS:- for electrical activity of nerve
EPG:- In which view the path between vision & auditory brain stream to optic nerve

8. charges- charges are :

For EEG :- 600 Rs.

For EVP :- 400 Rs.

For EMG:- 1400 Rs.

For NCS :- 100 Rs.

34

GENERAL ADMINISTRATION

CT SCAN
LOCATION

:- WEST WING RIGHT SIGHT

LAY OUT

:- 02 ROOM IN CT SCAN

STAFF

:- 03 MEMBERS
01 SENIOR TECHNICIAN
02 JUNIOR TECHNICION

INCHARGE

:- SUDAKAR SIR

WORKING TIME

:- 8:00 AM TO 10:00 PM

WORK LOAD

:- 10 PATIENT/DAY

EQUIPMENT

:- CT SCAN MACHINE,MONITERS

CHARGE

:- DEPEND ON BODY PARTS

Sample collection department

Location: In the ground floor

Layout: Two rooms one is reception & another is sample collection room.
Objective: Is to collect samples for different pathological tests
Staff: seven member
1- In charge
3- Technician, with two junior members & one senior member.
2- Assistant
1- Nurse.

Working hours: eight hours working from morning 8am to evening 5pm.
Work load: 400-500 registration per day.
Equipments: syringes, blood collecting bottles, blood pressure instrument.
Charges: It depends according to the type of test.
Record: In computers record is maintained in which patient name, IPD number,
receipt number, time, date, type of sample is recorded.

35

GENERAL ADMINISTRATION

Private branch extension department

Location: In ground floor near audit room.
Layout: Two rooms one is phone reception room & another exchange board
machine room.
Objective: It is used for enquiry of hospital from outsiders and this act as an
intermediate room to link between hospital and outsiders for any information.
Staff: two supervisors with one junior and other senior.
Working hours: Twelve hours working in two shifts from [10am to 4pm & 4pm to
10pm]
Work load: one thousand calls per day approx. are attend.
Equipments: Exchange board machine, amplifier & telephone.

Pharmacy
Location: In ground floor in out patient department.
Layout : one room
Objective: provide drug and medicine to hospital staff with the Head of
department subscription.
Staff: two members with one in charge and one assistant.
Working hours: from [8a.m to 4p.m]
Record: maintained in computers.

BLOOD BANK

LAYOUT
DONAR ROOM:- in this room the donor donates blood to the blood bank.
REFRESHMENT ROOM:- in this room donor comes after donate blood and
take some snacks.
REGISTRATION ROOM:- in this room donor comes and registers himself.
WORKING ROOM:- in this room the test of blood group occurs.
BLOOD BANK ROOM:- in this screening blood is kept. Means that blood
which ready to give to receiver.
COMPONANT ROOM:- in this room the component of blood is kept.
OBJECTIVE :-To provide blood to the need able patients. And save their life.
STAFF :- 6 member,1 ward boy,1 sweeper
INCHARGE- Dr. Neetu Thakur.
WORKING HOUR :- 9am to 5pm
Night emergency staff
WORK LOAD:- 30 TO 35 donor per day
EQUIPMENTS
BLOOD BAG:- there are 2 bags kept together in a packet
One is for separation of plasma.
Another is for blood elements
There are 2 types of bag 36

GENERAL ADMINISTRATION

one is of 450 ml- for those whose weight is above from 55 kg

Another is of 350 ml- for those whose weight is below from 55
kg.
SHAKER MACHINE:- for shaking blood during the time of donation.
EMBIBO MACHINE:- by this machine we give oxygen to patient by this.
CLUMP:- by this we can stop the blood flow of patient.
TWO WATER BATH :- by this maintain the temperature of blood
component.
THREE CENTRIFUSE MACHINE
THREE FFP(fresh frozen plasma)STORAGE:- its expiry date is 1 year.
ONE PLATELET HESITATER MACHINE:- in this platelet kept up to 5
days after, they expires.
ONE COLDAGE
ONE SILAR MACHINE :- by this bag tube soled.

CHARGES
Charges depend on the component of blood required

RECORD
Date Blood Name Age/sex Address Blood Hb Weight B.P. Pulse
Temp Respiratory Vo
bank
group
rate/min
Rate
do
No
& Rh
Re
do

STORE
Emergency drug kit.
Spirit solution.

GENERAL HEALTH CHECK UP

LAYOUT:TWOROM:ONE ROOM:- check up room
ONE ROOM:- assistant director hospital services
OBJECTIVE:To provide genera health check up to the people and also the awareness of their
health.
STAFF
One nursing assistant, one made, three doctors
WORKING HOUR:- 8am to 4pm
WORK LOAD: - 10 patients per day
37

GENERAL ADMINISTRATION

EQUIPMENTS: - 1 weighing machine

CHARGES:- Charges depend on the check up.
RECORD:Serial Date Hospital G.H.C. Patients Amount R. Package Address
no.
no.
no
name
no.

PHYSIOTHARAPY

LAYOUT:-

ONE ROOM:- 5 bedded.

ONE ROOM:- for assist patients.
ONE ROOM:- in this room 2 bed & 1 table is kept.
ONESPEECH THARAPY ROOM
STAFF ROOM.
ONE HALL:- 5 bedded,
ONE WAX ROOM:- paraffin wax therapy is give to the patients.

OBJECTIV: - To provide good health to the patients and improve their fitness.
STAFF: Five P.G. Doctors.
four graduates Doctors.
Two technicians.
INCHARGE- Dr. J. Denial.
WORKING HOUR:- 9am to 4pm .
WORK LOAD:- 40 to 50 patients per day
EQUIPMENTS: THREE SHORT WAVE DITHALAMY MACHINE: - by this heat
giving to the patients.
ONE ULTRA SOUND: - by this can take sonography of patients.
ONE TRANS CUTENIOUS ELECTRICAL NERVE
STIMULATION: - for pain relief.
TWO INTER FAYRANCIAL THARAPY
TWO MUSSLE STIMULATOR
TWO TRACTION:- for sodalities.
TWO QUARDS TABLE
TWO C.P.M. MACHINE
SOME PULLYS
ONE INFRA RED RADIATIO AND ONE PARALLEL BAR.
CHARGES
Charges depend on the modality exercise -100Rs.
For opd who comes only for one day-100Rs.

38

GENERAL ADMINISTRATION

RECORD
Date

Treatment Amount Receipt

services
no.

STORE:- Walker, wheel chair

Magnetic resonance imaging [M.R.I]

Location: outside hospital

Layout: two rooms
Objective: more detailed study of body parts is done.
Staff: eight members, two technicians, two receptionists, one maid, one
radiologist, one accountant & one ward boy.
Working hours: twelve hours per day [8a.m-8p.m]
Work load: eight patients per day.
Equipment: M.R.I machine.
Charges: depend upon different body parts. [ex: brain 5000rs]
Record: patient register is maintained.

Admission counter
Location: In ground floor at the entrance.
Layout: Two admission counters with two rooms. One is for new registration and
another is for old registration
Objective: for the registration of patients in hospital
Staff: In new registration counter five members
2- New registration members
1-enquiry member
2-cash counter members
In old registration counter two members.
2- Old registration members.
Working hours: from[ 8a.m to 4p.m ].
Workload: 500 to 600 approx registrations per day.
Equipments: computers for registration.

39

GENERAL ADMINISTRATION

Audit room
Location: In ground floor near admission counter
Layout: one room.
Objective: Is to check all credit receipts, operation theater bills, cancellation of bills
reports, correcting bills, final bill checking is done in this department.
Staff: three members.
Working hours: from morning [9a.m to 5p.m].
Work load: nearly 150 to 200 bills are being checked per day with cancellation,
correction and final checking of bills.
Equipment: computers are used for all transactions.
Record: maintained in computers with final bills, cancellation bills etc records are
being maintained.

COORPORATE DESK
LOCATION:-Situated on the ground floor
LAYOUT:-1 Room
OBJECTIVE:-Serves for
Marketing Purpose
Mediclaim facilities
Cashless facilities
Professional and Ethical
satisfaction of patients

Dealing with third party

association
Personalize care
Assistance when patients are
admitted
Refferal cases

THIRD PARTY ASSOCIATION (TPA):There are total thirteen tpas associated with CH&RC.Some of them are:
Vipul
Med-safe
M.D.India
E-medicap
Raksha
Companies associated with this hospital :

R.R.CAT- Pithampur
Spentex-Pithampur
Ischier- Pithampur
Ranbaxy- Pithampur
IIM-INDORE

DAVV-INDORE
Mahindra two wheeler- Pithampur
STI- Pithampur
Soya bean amendra
NLF etc.

STAFF:Incharge-Mr. Anil Lakhwani(Clinical Marketing Manager)

Coorporate front officer:one
TPA Workers: four
Floor Manager: one
WORKING HOURS: - 8:30a.m. To 6:00 p.m.
RECORDS:-Files are kept in Medical Record Department.

40

GENERAL ADMINISTRATION

INFORMATION TECHNOLOGY CENTER

LAYOUT:

TWO ROOM.
ONE ROOM: - SERVER ROOM.
ONE ROOM:- MAIN ROOM

OBJECTIVE: - To provide INFORMATION throughout the hospital. And alsokeeping

the records of the patients.
STAFF:- Five members.
One IT manager.
4 system
administrator
WORKING HOUR:- Morning-8am to 4pm .
Evening-3pm to 11pm.
Night-11pm to 8am
EQUIPMENTS : Total client system- 70-75.
Server- 4
In this- one data base server.
One application server.
One stand by server.
One bake up server
All wards, departments, nursing stations linked up to IT center.
In this department they keep the Main hospital system data, informations,
Masters(all the updating, creation, OPD schedules of patients), policy of company
etc.
In the year 1996 they were used UNIX operating system upto 2005 after that they
used windows based software upto current time.
They uses windows 2003 operating system
Data base is - oracle
Client operating system is - window Xp
Programming language is - v.b.net
The academic department manage the website of choithram hospital.
Hospital kept record of 2 to 3 years then removed but they dont remove the
record of major diagnostic like- O.H.S. , Renal transplant etc.

UTILITY SERVICES

41

GENERAL ADMINISTRATION

Infection control department

Location: - It is situated on the second floor.
Layout:-it consists of one room in which one table &one Elmira is there.
Objective:-The aim of infection control policy is to continuously improve the quality of
health care offered to patients so as to minimize the hospital acquired infections. The policy
also aims to control professional hazards to health care workers and any risk of infection
/hazard from the hospital to the health of the community at large.
Staff:In charge: Miss Lincy Varghese
Other nurses: two nurse.
Ward boy: one ward boy.
Working hour:Distribution time:-7:30a.m. To 9:30a.m.
Function:a.) Solutions distributed to other departments:The solutions are of three types:
A. Solutions distributed daily
1. per acetic acid used for mopping
2. White phenyl used for toilet cleaning
3. Sodium hypo chloride solution for cleaning of gloves &linens.
B. Solutions distributed on specific days.
1. Liquid soap on Monday
2. Aseptic on Tuesday

4. Dettol on Wednesday
5. Glutihyde on every 21st day

3. Nuwan (0.5%) on Tuesday

C. Solutions distributed on demand basis
1. Sterrilium

2. Baktolin

42

GENERAL ADMINISTRATION

3. Multi rapid enzyme

4. Linotox

b.)Bio-medical waste management

S.No.

Name of disinfectant

Dilution

Use

1.

Bacilloid solution

0.5%

2.

Sodium Hypochlorite

0.1%

3.

Sodium Hypochlorite

0.5%

4.

Aseptic

5%

5.

Dettol

5%

6.

Scented with phenyl

8%

Toilet % bathroom cleaning.

7.

Linton

1%

To remove blood stains.

8.

Baktoline

9.
10.
11.

Sterillium
Glutihyde
Bacillol

2%
-

For disinfection in
O.T.,I.C.U,PAEDIATRIC
I.C.U.,R.T.U.,OHU,DIALYSIS
Mopping of the floor
Infected patient linen disinfection.
Disinfection of gloves &medicinal
plastic items.
Instrument disinfection
Dressing purpose.
Dressing purpose.
Green cap and mask disinfection

Hand washing
Hand rub
For instrument disinfection
For incubator, scopes & monitor
cleaning

Records:1.) Vaccination registers

6.) Daily solution distribution registers

2.) Kitchen staff health check up record

register

7.) Disinfectants issue register

3.) Sharp injury record register

8.) Hospital waste and disposal

4.) Air filter cleaning register

9.) Infectious bio-medical waste-daily

register

5.) Biological indicator (steam and e .o.)

10.) Air and swab culture sentivity regi

43

GENERAL ADMINISTRATION

HOUSEKEEPING
LOCATION- inside the hospital campus, in front of central store room..
OBJECTIVE The main aim of the housekeeping department is to provide additional
or external help to the hospital by giving their services.
SERVICES -All services of hospital is coming under housekeeping. Services include
technical as well as non technical. Patients requirement like bed, in summer season
arrangement of AC and cooler is all seen by housekeeping.
Technical- Electrical or Electronic problems (fan, cooler, AC), biomedical
machinery or waste.
Non Technical- dealing with painter, carpenter, civil vendor, plumber and
maintaining all fourth class worker (word boy, maid, sweeper.), CSSD,
Sanitary department..
Priority of managing all this facilities is decided by housekeeping manager.
STAFF- There is 13 members in total staff.
1.
2.
3.
4.
5.

Three workers.
Two sweeper
Four secondary supervisor
Three housekeeping supervisor
One housekeeping manager.

WORKING HOURS -8:30 am to 4:30 pm

CHARGES As per management. .
RECORDS- stoke registers
Distribution register
Scenting register
Biomedical waste register
Municipal waste register
Water checking register
E.T.P registers.
44

GENERAL ADMINISTRATION

CENTRAL STERLISATION SUPPLAY DEPARTMENT

LOCATION: - CSSD IS LOCATED UNDER GROUND.
LAY OUT: - ONE GLOVES PREPARATION ROOM.
ONE LINEN ROOM.
ONE SET PREPARATION ROOM,
ONE ETO ROOM,
ONE ELECTRONIC AIR COMPRESSOR ROOM
ONE DUMP ELEVATOR LIFT.
FUNCTION OF ROOMS:

GLOVES PREPARATION ROOM

Gloves are washed with plane water

Dried

Arranged them according to their size

Before sterilization labelling done

A tag of gas is written in brown colour

After sterilization tag is written in green color

LINEN ROOMLinen of O.T is kept here

Washed linen are arranged

45

GENERAL ADMINISTRATION

From here linen is send for sterilization.

SET PREPARINNG ROOMWashed sets (instrument, seizer, bowl, tray etc) come here
Goes in to
Ultra sonic cleaner machine

Washed sets again washed by enzyme cleaner.

ETO ROOMOne Ethylene oxide gas sterilizer:- In this machine along with the material
which has to be sterilized, ethylene oxide gas cartridges are kept. Gloves, all
plastic material, catheter, OT devices etc are sterilized. ETO machine is a
automated machine.
Pressure of ETO machine is 935 milli bar.
There are two cycles occurring in this machine:
Cold cycle:
i. Temperature is 40 degree centigrade.
ii. Exposer time is 360 minute.
iii. Aeration time is 360 minute.
Hot cycle:
i. Temperature is 50 degree centigrade.
ii. Exposer time is 240 minute.
iii. Aeration time is 360 minute.

DUMP ELIVATOR ROOMDumb waiter is a small lift which directly opens into operation theatre.
STAFF: - 18 MEMBERS
ONE INCHARGE
ONE TECHNICIAN
FOUR NURSING ASSISTANT
TWELVE WARD BOYS
46

GENERAL ADMINISTRATION

EQUIPMENT: - 03 STEM STERLIZER MACHINE, ETHYLENE OXIDE GAS (cartridges) IN

STERLIZER MACHINE, OT. DEVICES, CATHETAR KEPT
RECORD: - CSSD SUPPLY REGISTOR, OT LINEN BOOK, AND OT LINEN
REGISTOR.

ENGINEERING SECTION
Location:- Outside the hospital building.
Incharge:-Mr. Tiwari
The Engineering section is further divided in many sections:A.OXYGEN PLANT:Layout:-1 Room
OBJECTIVE:

In this department those gases used in hospital are stored mainly oxygen &nitrous
oxide is stored.
2 big tanks filled with liquid oxygen.
Nearly 50-60 cylinders are there in which oxygen & nitrous oxide gas is filled.
These gases are supplied to hospital through pipes or through cylinders.
The capacity of cylinder is 875 Litres.

STAFF:- 4 Technicians
WORKLOAD:-70-90 Cylinders are used per day.
1 nitrous oxide cylinder used per day.
Record:-Log book(hand over book & take over book).
B.ELECTRICAL DEPARTMENT:OBJECTIVE:

It consists of 33 Kvsubstation called as power house.

MPEB supply 3300V electricity to this power house which gets converted into 440V
then is supplied to transformer.
3 phase line are there:500Kv
320Kv
250Kv
Auto manual setup is there i.e. as supply of electricity stops so within 12 sec generator
starts.
In the morning everyday 10 min trial of generator done.
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STAFF:Incharge: Mr Arvind Jain (executive engineer)

Assistant engineer:2
Supervisor:2-3
WORKING HOUR:-9:30a.m. to 5:30P.M
C.BOILER:OBJECTIVE:- A boiler is a closed vessel in which water or other fluid is heated. The heated
or vaporized fluid exits the boiler for use in various processes or heating applications eg in
Laundry,C.S.S.D. etc
STAFF:2 boiler attendant
1 reliever
1 binder
3 helper
WORKING HOURS:-Round the clock
D. LAUNDRY SERVICES:OBJECTIVE:-Is that refers to the act of washing clothing and linens, the place where that
washing is done, and/or that which needs to be, is being, or has been laundered. Laundry can
be considered a room or area, as in a home or apartment building, reserved for doing the
family wash.
STAFF:Incharge:Mr. Harish Solanki
16 Workers
WORKING HOURS:-8 a.m. to 4 p.m.
WORKLOAD:-4000-5000 Clothes washed every day.
FUNCTIONS:The functions of the laundry services:

Collecting soiled linen from various places.

Sorting the linen and processing them
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GENERAL ADMINISTRATION

Inspecting and repairing or replacing damaged materials.

Distributing clean linen to the respective user departments.
Maintaining different types of registers.

EQUIPMENTS USED IN LAUNDRY:

7 Washing machine;3 for OT;3 for Wards ;1 for infectious disease

2 hydro extractor
3 Dryers or Tremblers
2 Flatwork ironer of calendar
1 Stitching machine.

RECORDS:1.
2.
3.
4.

Daily transaction registers for wards.

Linen stock register.
Daily transaction registers for other areas.
Dhobi pays register.

CENTRAL STORE
LOCATION:- It is located on the ground floor of the hospital.
STAFF:- 5 incharge
3 helper
1 store incharge
EUIPMENTS:

Pathology:-chemicals, pathology kids, glassware

Surgical Goods:-cathedrers & feeding tube
General Goods:-washing powder, & cleaning powder
Instruments:-scissor, forceps
Linen:-bedsheets, pillow covers
Stationary:-rubber
Radiology:-x-ray, nuclear medicine
Sutures:-used in surgery, threads
Electrical Engineering:-fans, lights
Here some medicines & vaccines are stored.

Cold Room:- where 15 to 25 degree of temperature is

x-ray pins & some injections are stored.

maintained. Cathedrers, pathology,

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WORKING HOURS:- 9:30a.m. to 5:30p.m.

RECORDS: - Bills (receipt)
orders

EFFLUENT TREATMENT PLANT

The ETP plant was designed and erected at the hospital by the firm. The construction
work was completed in 6 months at the cost of rupees 14 laces and commissioned in
November 2001.
LOCATION ETP is situated outside the hospital building.
LAYOUT There is large free space in which number of different tanks is made in
which water can be collected.
OBJECTIVE Main purpose of ETP is to recycle the water and filter dirty water.
PROCEDURE Water can be filtered by effluent treated plant by follows various stages.
1. Dirty water from hospital, school, and college is collected in Effluent collection
tank.
2. Then collected water goes to screen bar through channels and slug is and slug
is separated.
3. Now from aeration tank water goes into CLARIFIER TANK and then it
supplies to the holding tank.
4. From clarifier tank water goes to the INTERMEDIATE HOLDING TANK.
Here water is collected.
5. From holding tank water can goes to the PRESSURE FILTER
6. From pressure filter water can be totally filtered and remove the fine suspended
matter from effluent tank.
7. Now water goes through pipe into CHLORINE CONTACT TANK. Here
chlorine is added continuously to inactivate the microbial population.
8. Now finally the purified water comes in TREATED WATER TANK. In this
tank water can be collected before lifting to high level storage tank, then this
water can be supplies into garden, toilets.
STAFF Total Five members in total staff of ETP.
One in charge- Chouhan sir
4 operators.
WORKLOAD -2 TO 3 laces liter water is filter daily.
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RECORD Register maintained about how much water is filtered daily.

MEDICAL RECORD DEPARTMENT

LOCATION- It is located on ground floor.
LAYOUT- 1 room
OBJECTIVE- This department is an integral part of hospital. New and all admission
handles here,
Patient flowchart and admission flowchart are routine.
Emergency & Medicolegal case.ie; Burn, accident, suicide, poisioning cases.are handel.
File processing is done here after discharge of the patient.
STAFF-1incharge; 3 officers
WORKING HOURS- 9am to 5pm
WORKLOAD- average 60 file/day
PROCEDURE- (1) Assembling assembling of all sheets or record.ie; admission sheet,
history sheet, doctors sheet, operation sheet, consent sheet, anesthesia sheet, nursing sheet,
medication sheet etc.
for Investigation summery and to check observation deficiency or for future need.
(2) Coding coding of the disease according to WHO, It is for to check out how many
patient comes for a particular disease or to bring out the statical data for researches.
(3) Indexing for save data according to coding.
MLC form filling, certificate distributions is done through this department. Certificate of
fitness, fever, estimate are given.
CHARGE- 50; average 10 certificate.

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CONCLUSIONS

Choithram Hospital & Research Centre is not only a

hospital to treat disease but a complete institution for
care of whole Society.Since its inception the founder of
this hospital knew the problems of large section of our
society, especially the rural masses who couldnt afford
treatment. He laid the principle of free OPD, where any
patient can consult any specialist doctor, and made
available all specialities of medical sciences with finest
investigation facilities under one roof.

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BIBLIOGRAPHY

1. Sakharkar B.M.:- Principles Of Hospital Administration

And Planning . Jaypee Brothers Medical Publishers (P)
Ltd.New Delhi Second Edition 2009
2. KUNDERS G.D.:-Hospital Facilities Planning and
Management.Tata Mcgraw-Hill Publishing Company
Limited.New Delhi,10th Reprint 2008.
3. Hospital Brochures-CH&RC Indore

WEBLIOGRAPHY
1.) www.choithram.org
2.) www.wikipedia.com

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