DIVISIONAL RAILWAY HOSPITAL, JHANSI :DIVISIONAL RAILWAY HOSPITAL, JHANSI DR UMESH CHANDRA MD


MEDICARE (SERVICES PROVIDED) :MEDICARE (SERVICES PROVIDED) Delivery Of Health Services On Indian Railways Is Catered Through 3 Tiers Of Hospital Spread Out In Each Zone. ZONAL DIVISIONAL H.UNIT SERVICES PROVIDED CURATIVE PREVENTIVE PROMOTIVE


OBJECTIVES OF IRMS :OBJECTIVES OF IRMS IRMS At Its Inception Had The Following Objectives PME Of Employees Medical Examination Of New Recruits Regulation Of Sickness Of Staff T/T Of Minor Ailments


OBJECTIVES OF IRMS :OBJECTIVES OF IRMS Present Objectives Of IRMS: Provide Comprehensive Health Care To Employees, Retired Employees And Their Families Ensure Medical Fitness Of Candidates And Employees For Safe Performance Of The Duties Implementation Of WCA Occupational Health & Hygiene Service Accident Services In Case Of Rail Accidents And Eventualities In Railway Premises First Aid To Travelling Public Implementation Of National Health Programs


MISSION STATEMENT :MISSION STATEMENT TOTAL PATIENT SATISFACTION THROUGH HUMANE APPROACH & SHARED COMMITMENT OF EVERY SINGLE DOCTOR & PARAMEDIC TO PROVIDE QUALITY HEALTH CARE USING MODERN & COST EFFECTIVE TECHNIQUES & TECHNOLOGIES


Slide 6: DIVISIONAL RAILWAY HOSPITAL, JHANSI


JHANSI DIVISIONAL HOSPITAL :JHANSI DIVISIONAL HOSPITAL 205 BEDS VACANCY-


Slide 8:JHANSI JHANSI-MKP SECTION MAIN LINE JHANSI-CNB SECTION W.SHOP Sr DMO-02 RANI LAXMI BAI H .UNIT Sr DMO- 01 MBA VACANT BNDA ADMO-01(on EOL) MKP VACANT LAR CMP-01 STLI Sr DMO-01 GWL Sr DMO-01 CMP-01 DHO CMP-01 OR ADMO-1 JUHI Sr DMO-01 HEALTH UNITS


HOSPITAL INFRASTRUCTURE :HOSPITAL INFRASTRUCTURE Railway Hospital Was Commissioned In 1958 As 100 Bed Hospital 1965 - 100 to 125 beds 1966 - 125 to 145 beds 1972 - 145 to 165 beds 1975 - 165 to 169 beds 1983 - 169 to 180 beds 1999 - 180 to 205 beds


HOSPITAL INFRASTRUCTURE :HOSPITAL INFRASTRUCTURE On ground floor OPD wing, X-Ray dept., Laboratory, Family Welfare office, Administrative Offices, Male Medical Ward A&B TB Ward & Burn Unit, Two cabins First floor : OT, Labour room, Surgical Ward (Male&Female), Female medical ward, Mat. Ward , Paed ward, ICU( Med & Surg), Three AC cabins


Slide 11:HOSPITAL LAYOUT PLAN


OPD WORK HOURS :OPD WORK HOURS GEN.OPD SERVICES : 9AM TO 1:30 PM,AND 2:30PM TO 4 PM DURING SUMMER : 8AM TO 2 PM SPECIALISED CLINICS: 2:30-4:00 PM CASUALTY SERVICES- ROUND THE CLOCK


SPECIALISED CLINICS :SPECIALISED CLINICS MEDICINE: Diabetic Clinic, Hypertensive Clinic, Neurology Clinic, Cardiac Clinic PAEDIATRIC: Paediatric Neurology , Neonatology Clinic Well Baby Clinic OBS & GYNAE: Ante Natal Clinic, Well Mother Clinic , Family Planning Councelling Infertility Clinic SURGERY: Infertility & Andrology Clinic


INDOOR PATIENT DEPARTMENT :INDOOR PATIENT DEPARTMENT


Slide 15:ARME-I : MEDICAL VAN JHS, BNDA ARME-II : DHO,GWL,OR,MKP POMKA : LAR,MBA DISASTER MANAGEMENT


STAFF :STAFF GROUP A DOCTORS(INCLUDING SPECIALIST)- 32 On roll 28. (Vacancy 04) CMP 03 HON. CONSULTANT 06 (ON CASE TO CASE BASIS) ALL SUPERSPECIALITIES GROUP C STAFF 175 (NURSING, PHARMACIST, OFFICE, LAB& X-RAY TECH, DRESSERS, ETC.) GROUP D STAFF 368 HOUSE SURGEON 08 TOTAL REGULAR STAFF- 575


BENEFICIARIES :BENEFICIARIES APPROX. 1.5 LACS WHICH INCLUDES RAILWAY OFFICERS, EMPLOYEES, RETIRED RAILWAY EMPLOYEES & THEIR DEPENDANTS IT ALSO GIVES SERVICES TO Railway Coolies . First aid t/t to travelling passengers, and General public on payment basis. During train accident it provides immediate medical attention to injured passengers. The hospital also serves as referral hospital to 11 H. Units of Jhansi div.


OPD WORKLOAD :OPD WORKLOAD


OUTDOOR PATIENTS :OUTDOOR PATIENTS


INDOOR INDICES :INDOOR INDICES


O.T & ANAESTHESIA :O.T & ANAESTHESIA Two Major O.T, Eye & Ent O.T Equipped With Boyle’s Machine C-arm, Latest Laparascopic And Endoscopic Surgery Instruments Latest Remote Controlled O.T Table With Shadowless O.T Lights Pulse Oxymeter Ventilator In Future O.T To Be Converted To Seamless


Slide 22:Equipped With State-of-art C-arm With Image Intensifier Minimal Invasive Surgery Techniques In Future Total Joint Replacement And Keyhole Surgery With Arthroscope SURGERIES MAJOR MINOR TOTAL 06-07 87 181 268 07-08 90 198 288 08-09 97 167 264 ORTHOPAEDICS


PHYSIOTHERAPY :Manned By A Fulltime Physiotherapist Dept. Is Equipped With Latest Ultrasonic Therapy Shortwave Diathermy Cervical Lumbar Traction And Other State-of-art Equipment Which Are Joint Specific For Early Ambulation And Recovery PHYSIOTHERAPY


GENERAL SURGERY :Minimal Invasive Surgery Instruments For Surgery On Abdominal Organs Like Lapchole Cystoscope And Resectoscope For Operation On Genitourinary Tract Including TURP & Dormia Basketing Diagnostic And Therapeutic Endoscopy For Bleeding Varices And Biopsy For Early Detection Of Cancer & ERCP SURGERIES MAJOR MINOR TOTAL 06-07 196 429 626 07-08 192 425 617 08-09 164 449 613 GENERAL SURGERY


DEPT. OF OBS & GYNAE :DEPT. OF OBS & GYNAE Labour Room Latest Laparascope And Hysteroscope About 200 Normal Deliveries And 150 C.S Annually. Hysterectomies (TAH & VH), Excision Of Fibroid And Polyps, Vaginoplasty And Tuboplasty On Regular Basis. SURGERIES MAJOR MINOR TOTAL 06-07 154 206 360 07-08 195 207 402 08-09 183 158 341


ENT :ENT Equipped With Operating Microscope Audiometry Operations On Tonsil, Ear Drum, Hearing Mechanism And Sinus Are Being Done SURGERIES MAJOR MINOR TOTAL 2006-07 31 110 141 2007-08 10 158 168 2008-09 14 123 137


OPHTHALMOLOGY :OPHTHALMOLOGY A-scan & Keratometer For Lens Power Calculation. Phaco Emulsification Equipment For Sutureless Cataract Surgery Nd YAG LASER Future Plans: Computerised Field Analyser For Glaucoma High Resolution Microscope For Surgery SURGERIES MAJOR MINOR TOTAL 06-07 276(IOL) 83 359 07-08 439 103 542 08-09 436 76 512


DENTAL :DENTAL Latest state of the art dental chair with attached x-ray unit with a monitor and light system Part time Dental Surgeon SURGERIES MAJOR MINOR TOTAL 06-07 04 - 04 07-08 19 31 50 08-09 - 37 37


SURGERIES :SURGERIES TOTAL SURGERIES- 06-07 = 1745 07-08 = 2069 08-09 = 1904


DEPT. OF MEDICINE :DEPT. OF MEDICINE SPECIAL INVESTIGATION FACILITIES TMT- 5-7 TMT per month. HOLTER- 2-3 PER MONTH 2D-Echo, CT, MRI like specific investigation facilities on bill system HOLTER SPECIAL CLINIC DIABETES & NEURO CLINIC (Thursday) CARDIAC & HTN CLINIC (Monday) TB CLINIC (Daily) & DOTS 4. STI Clinic- (Daily)


Slide 31:I.C.U Six bedded Airconditioned I.C.U. with Bed side and central monitoring facilities. DEFIBRILLATOR BED SIDE X-RAY FUTURE PLANS: COLOR DOPPLER 2D-ECHO EXTENSION OF I.C.U (Under Process) DEPT. OF MEDICINE


PAEDIATRICS :Future Plans Neonatal Wd, Electronic Weighing Machine PHOTOTHERAPY INCUBATOR DEPT. IS EQUIPPED WITH Neonatal Incubator Phototherapy Unit Resuscitation Kit Specialised Well Baby Clinic, Neonatal Clinics And Immunization Clinics C-PAP PAEDIATRICS


RADIOLOGY :500 MA, 100 MA X-RAY MACHINE AVG. 40-45 X-RAYS PER DAY ARE BEING DONE ULTRASOUND (WITH COLOR DOPPLER), LATEST MODEL- TOSHIBA-ECOCCEE ON AN AVG. 200-210 PER MONTH USG GUIDED OPERATINS ASPIRATIONS OF LIVER ABSCESSES, RENAL CYST PUNCTURE BIOPSIES OF LIVER,KIDNEY ,LN CT SCAN,MRI ON BILL SYSTEM RADIOLOGY


PATHOLOGY :PATHOLOGY LAB ACCREDITATED BY EQAP SPONSORED BY INDIAN ASSOCIATION OF PATHOLOGISTS AND MICROBIOLOGISTS(WHO RECOGNISED), REGN. NO.-1181 EQUIPPED WITH LATEST CHEMISTRY AUTO AND SEMI-AUTO ANALYSERS AUTOMATED BLOOD CELL COUNTER FLAMEPHOTOMETER FOR ELECTROLYTES QBC FOR MALARIA & FILARIAL PARASITE ELISA READER FOR HIV, HORMONAL ASSAYS LIKE T3 T4 TSH DR UMESH CHANDRA is Head of Department, Department of Pathology


PATHOLOGY :PATHOLOGY SPECIAL INVESTIGATIONS ELISA FOR HIV THYROID FUNCTION TEST LIVER FUNCTION TEST KIDNEY FUNCTION TEST WATER CULTURE ABOUT 30-40 WATER SAMPLES ARE EXAMINED PER WEEK. BLOOD CULTURE FUNGAL CULTURE Glycosylated Hb Australia Antigen Test for Dengue Bacterial Identification CRP, ASO ABOUT 1 LAC DIFF. INVESTIGATIONS ARE BEING PERFORMED PER YEAR.


CASUALTY SERVICES :CASUALTY SERVICES ROUND THE CLOCK AVAILABILITY OF DOCTORS & PARAMEDICAL STAFF WELL EQUIPPED WITH MODERN GADGETS CRASH CART WITH ALL LIFE SAVING DRUGS. TWO CASUALTY OBSERVATION BEDS, DEFIBRILLATOR, PULSE OXYMETER WELL CONNECTED BY A RAMP TO ICU, O.T AND WARDS ONE FULLY FUNCTIONAL AMBULANCE


Slide 37:Kitchen & Diet Pharmacy Laundry Services Ambulance Services 6 Bedded Air-conditioned Mortuary Chambers Rainbasera Feed Back System Hosp. Waste Management OTHER SERVICES OF DIVL. HOSPITAL


Slide 38:Headed by Sr DMO(H&FW) Family planning councilling IUCD,oral pills & condoms Special clinics for STD/HIV/AIDS Theme camps like general health check up camp Anaemia,HTN,DM camp, cancer detection camps Special- women health check up Healthy baby shows Pulse polio program (Recognised by World Health Organisation as prominent reporting centre for Polio eradication) HIV/AIDS awareness training programs Sampling of potable water School health checkup camp Executive health check up camps HEALTH AND FAMILY WELFARE


Sanitation of Hospital, H.Units, Stations & Colonies :Sanitation of Hospital, H.Units, Stations & Colonies


OTHER WELFARE ACTIVITIES & ACHIEVEMENT (2008) :OTHER WELFARE ACTIVITIES & ACHIEVEMENT (2008) First Aid Training: 78 courses, 488 Employees Paramedical Staff Training- 25 Courses, staff trained- 274 Executive health check up camps Clinical Meetings- Once in two weeks Multipurpose health check up camps- 23 camps, Pt examined- 2130 Conferences/lectures/seminars for upgradation & health education.


ACTIVITIES :ACTIVITIES World TB Day – 24th March 2008 National safe motherhood day -11th April 08 World health day – 7th April 08 Red cross day – 8th May 08 International day against drug abuse – 26th june Anti Filaria Day – 5th June 08 World no tobacco day – 31st May 08 Diabetes day – 27th june 08 World population day – 11th july 08 World breast feeding week – 6th Aug 08 Anti leprosy day – 2nd Oct 08 Deafness day – 1st Oct 08 World AIDS day – 1st Dec 08 International day for disabled person- 3rd Dec 08 National cancer awareness day – 17th dec 08 Inhouse Mini CME – 27th March 2009


Slide 42:TARGETS & ACHIEVEMENT


Slide 43:TARGETS & ACHIEVEMENTS 2008 (Family Planning)


Slide 44:Recognised and received Certificate of appreciation from WHO for its contribution towards Polio eradication Zonal hospital efficiency shield (08-09) for Divisional Hospitals awarded to Jhansi hospital. Family welfare shield for best unit/station(08-09) by DRM Other achievements


Slide 45:THANK YOU