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The letter summarizes concerns about irregularities in protocol for fitness assessments by the Plastic Surgery Department. Specifically, it notes that the Plastic Surgery Department refers patients for cleft lip/palate surgeries to Pediatrics for fitness assessments, though this is normally the responsibility of the Anesthesia Department. It also mentions unclear communication from a "DOD" person and requests the Plastic Surgery Department be directed to send fitness certificates to the proper department, Anesthesia, to avoid overburdening Pediatrics. The letter asks for these issues to be addressed and for the Plastic Surgery Department to follow standard protocols.
The letter summarizes concerns about irregularities in protocol for fitness assessments by the Plastic Surgery Department. Specifically, it notes that the Plastic Surgery Department refers patients for cleft lip/palate surgeries to Pediatrics for fitness assessments, though this is normally the responsibility of the Anesthesia Department. It also mentions unclear communication from a "DOD" person and requests the Plastic Surgery Department be directed to send fitness certificates to the proper department, Anesthesia, to avoid overburdening Pediatrics. The letter asks for these issues to be addressed and for the Plastic Surgery Department to follow standard protocols.
The letter summarizes concerns about irregularities in protocol for fitness assessments by the Plastic Surgery Department. Specifically, it notes that the Plastic Surgery Department refers patients for cleft lip/palate surgeries to Pediatrics for fitness assessments, though this is normally the responsibility of the Anesthesia Department. It also mentions unclear communication from a "DOD" person and requests the Plastic Surgery Department be directed to send fitness certificates to the proper department, Anesthesia, to avoid overburdening Pediatrics. The letter asks for these issues to be addressed and for the Plastic Surgery Department to follow standard protocols.
Bolan Medical Complex Hospital. Subject: Use of Computerized Slips This is with reference to letter no No.1/Supdtt/4140-66. It is with great concern that I bring the following to your notice. 1. The ability of the patients/attendants to reach OPD/Consultant rooms without out computerized OPD slips speaks volumes about the lack of security/screening staff. 2. Your letter mentions about the sub-ordinate staff being directed, but in my humble opinion/experience it is the paramedical staff/doctors that most frequently enter the consultant room/OPD without slips. 3. It is also of great concerns that while the OPD is functional, hordes of patients are roaming in ward corridors to show their kids to their favorite doctors. This is again due to lack of ward security. 4. As for the hospital records there is litany to say about. The names on the slips and the ages of children mentioned therein leave much to be desired. Talking of ward record is more embarrassing since the data entered is inadequate and patients carry their charts with them when discharged/LAMA. This is again due to lack of security. 5. In conclusion, it is the manifestation of lack of security that is responsible for the record or absence thereof. Dated: 21/4/13
Copy to : DMS BMCH
To,
Professor Abdul Bari,
Head Department of Pediatrics Bolan Medical College.
The Medical Superintendent,
Bolan Medical Complex Hospital. Subject: Irregularities in the Protocol of Fitness for Anesthesia by the Plastic Surgery Department This to bring to your notice the following points: 1. The Department of Plastic Surgery invariably and without exception refers the patients of cleft lip/palate to the Department of Pediatrics. Throughout the civilized/westernized world the fitness for general anesthesia or is the discretion and prerogative of the department of Anesthesia. We have written many letters in this regards over the last five years but they have apparently fallen over deaf ears. It is requested that eh Department of Anesthesia may be directed to abstain
from
this
disgusting
and
deplorable
practice.
And
in
redemption refer cases to the Department of Anesthesia for fitness for
all times to come. 2. In all correspondence with our Department, a strange mysterious personality by the name of DOD initiates the conversation. The file is handed to the patient and both the pediatrician and the patient are at their wits ends. The Department of Plastic surgery may be directed that the correspondence is between equals on parity, and therefore the DOD should identify himself and write to a similar DOD. The DOD may not and cannot correspond directly with the consultant. Also here is no example in the civilized world that the patients carry their call themselves. 3. The pediatric OPD has become a comical show with the calls for fitness arriving every now and then, the attendants fighting for fitness, the poor doctor explaining to them that this is not his job description.
4. Pediatric
patients
are
also operated
in ENT, Pediatric
Surgery,
Neurosurgery and Orthopedics but we have never received a call from
them because they perhaps understand that it is not our job but the job of the Department of Anesthesia. 5. Therefor you are requested to have some pity on the Pediatric Department and direct the Plastic Surgery Department to direct the fitness certificate to the Department of Anesthesia and spare the Department or Pediatrics the periodic ordeal.
Dated: 21/4/13
Professor Abdul Bari,
Head Department of Pediatrics Bolan Medical College
Copy to: 1. Department of Plastic Surgery 2. Department of Anesthesia 3. DMS BMCH 4. RMO BMCH