Machinery & Equipments X UNIT

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This PPT deals about Machinery & equipment of Nursing Foundation of I Year B.Sc. Nursing as per INC Syllabus

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U nit X: Machinery ,Equipment and linen:

U nit X: Machinery ,Equipment and linen Shri Vinoba Bhave College of Nursing, Silvassa 7/22/2016 1 Mrs. P. Vadivukkarasi Ramanadin , Professor, Dept. Of OBG (N), Shri Vinoba Bhave College of Nursing, Shri Vinoba Bhave Civil Hospital, Silvassa, DNH.

Machinery ,Equipment and linen:

Machinery ,Equipment and linen Unit: X 5 Hrs •Introduction: o Indent o Maintenance o Inventory Types: Disposables and Reusables -Linen, rubber goods, glass ware, metal, plastics, furniture, machinery 7/22/2016 2 Shri Vinoba Bhave College of Nursing, Silvassa

Slide3:

Machinery and equipments are essential and basic tools for hospital services, used on an everyday basis for patient care Handling materials and equipments are very important responsibility of the nurse working in the hospital 7/22/2016 3 Shri Vinoba Bhave College of Nursing, Silvassa

Types Of Materials Used In Hospital :

Types Of Materials Used In Hospital 7/22/2016 4 Shri Vinoba Bhave College of Nursing, Silvassa

EQUIPMENTS:

EQUIPMENTS It refers to various devices, tools, instruments that are used in hospitals and health care works These equipments must be well functioning and adequate supplies must be there to provide optimum nursing care Insufficient and ill functioning equipments results in increased work and dangerous for patient 7/22/2016 5 Shri Vinoba Bhave College of Nursing, Silvassa

TYPES OF EQUIPMENTS:

TYPES OF EQUIPMENTS 1. Self care equipments (for patient’s daily life) 2. Electronic equipments (ECG monitor, ventilator, etc) 3. Diagnostic equipments (tools used to test) 4. Surgical equipments (stainless steel tools, OT tools) 5. Acute care equipments (dressing materials, etc) 6. Storage and transport equipments 7/22/2016 6 Shri Vinoba Bhave College of Nursing, Silvassa

 Categorization of machineries and equipments:

  Categorization of machineries and equipments 7/22/2016 7 Shri Vinoba Bhave College of Nursing, Silvassa

machineries and equipments:

Disposable Equipments Reusable Equipments • items used only once • discarded after use • new item for each patient • Items and equipments used for very long time • These are cleaned, disinfected and sterilized before and after each use • More care should be given to reusable items than disposable items machineries and equipments 7/22/2016 8 Shri Vinoba Bhave College of Nursing, Silvassa

LINENS:

LINENS • Linen is a fabric made from fibers • It includes clothes, sheets, etc • In hospital setting, linens are used for many purposes such as covering the bed, articles, etc 7/22/2016 9 Shri Vinoba Bhave College of Nursing, Silvassa

Linens used in hospital setup :

Linens used in hospital setup • Bed sheets • Blankets • Curtains • Cloth covers : pillows, mattress, hot water bottle, air cushion, inhaler cover, etc • Towels • Wrappers for trays, dressing set, etc • Patient’s clothes : gowns, shirts • Staff clothes : mask, cap, gown, OT dress, etc Binders, Bandages Restraints- Elbow, Jacket Dusters & Mitten Other: Diet Napkin, Tray Covers 7/22/2016 10 Shri Vinoba Bhave College of Nursing, Silvassa

TYPES OF LINEEN:

TYPES OF LINEEN 7/22/2016 11 Shri Vinoba Bhave College of Nursing, Silvassa

General instructions to avoid spoiling and wastage of linen:

General instructions to avoid spoiling and wastage of linen Care of linens Care of linen is important, as it is an expensive item in the running of a hospital Follow hospital policy for maintenance of linen Store the clean linen in cupboard and maintain stock register Lock the cupboard when not in use Care should be taken to avoid linen being taken home by the clients on their discharge Stocks should be checked at regular intervals Torn linen should not be used on the bed but sent for mending Soiled linen should not be placed on the floor Regularly send the dirty linen to laundry for washing and ironing 7/22/2016 12 Shri Vinoba Bhave College of Nursing, Silvassa

Cont . .. . :

Cont . .. . Damp linen should be dried Try to remove fresh stains by using appropriate stain remover Draw mackintosh over bed sheets to protect from stains The linen used for an infectious patient should be disinfected first before they are sent to laundry Always use mackintosh over top linen while doing any procedure Teach the importance of keeping clean hospital linen to the patient and family members 7/22/2016 13 Shri Vinoba Bhave College of Nursing, Silvassa

Removal of stains :

Removal of stains Medicine stain (apply spirit) Rust marks (apply salt and lemon juice) Tea/coffee stain (pour milk & wash) Blood stain • fresh – soak in cold water • old – soak in H2O2 • thick – apply thick paste of starch & dry in sun Iodine (dip in rice water) Paint (turpentine, alcohol) Ink stain •Dip in cool water • Sprinkle salt and lemon •Dry in sun Food stain (apply salt and pour hot water) 7/22/2016 14 Shri Vinoba Bhave College of Nursing, Silvassa

Disinfection of contaminated/Soiled Linen :

Disinfection of contaminated/Soiled Linen • Always use laundry box/hamper trolley for collecting contaminated linen. • It should not be put on the floor, as it will cause more contamination. • Dip the linen in a bucket containing 0.5% solution of chlorine for 10 minutes. • Rinse it in water and get dry in sun. • Send for autoclaving(sterilization) • After disinfecting the linen, store them in appropriate cupboards. Autoclave 7/22/2016 15 Shri Vinoba Bhave College of Nursing, Silvassa

Disinfectants used for cleaning :

Disinfectants used for cleaning • Sodium hypochloride solution 0.5% Duration – 5 minutes • Glutaraldehyde 2% Duration – 20 to 30 minutes • For sterilization, glutaraldehyde 2% Duration – 10 hours 7/22/2016 16 Shri Vinoba Bhave College of Nursing, Silvassa

Care of blankets :

Care of blankets • Blankets are expensive articles and it will shrink while washing • Blankets should not be washed, it should be dusted in open place then dried in sunlight to disinfect • They should not be exposed to dust • They should be covered with dust proof sheets 7/22/2016 17 Shri Vinoba Bhave College of Nursing, Silvassa

Care of mattresses and pillows :

Care of mattresses and pillows • They should be prevented from becoming wet and stained • They should be brushed at regular intervals to prevent collection of dust • Washable covers should be covered over the mattresses and pillows • They are disinfected by exposing them to sunlight • If needed to wash, wash it under running cold water 7/22/2016 18 Shri Vinoba Bhave College of Nursing, Silvassa

Importance of maintaining linen in hospital :

Importance of maintaining linen in hospital • We can provide clean and tidy linen and bed to the patient • Provides comfort to the patient • Limits cross – infection • Promotes cost – effectiveness of hospital by prolonging the life of the items 7/22/2016 19 Shri Vinoba Bhave College of Nursing, Silvassa

Rubber equipment:

Rubber equipment Equipment or articles made up of rubber come under this category. Different rubber articles used in hospital Mackintosh Rubber tubes Hot water bottle, ice caps , air cushions Gloves, mouthpiece of ambu bag Pillows and aquathermia pads Rubber bulb , used with asepto syringe and breast pump 7/22/2016 20 Shri Vinoba Bhave College of Nursing, Silvassa

Care &maintenance of equipment :

Care &maintenance of equipment Rubber items : purposes To prevent spread of infection To clean the article and prepare for reuse To remove stains To preserve life of articles 7/22/2016 21 Shri Vinoba Bhave College of Nursing, Silvassa

General principles of care of rubber articles:

General principles of care of rubber articles Rubber articles get destroyed with heat. Do not use hot water to clean, sunlight for drying or keep near radiator. Hydrocarbons like kerosine,benzene,oils can destroy, hence do not use such things on rubber for cleaning Do not fold rubber sheets instead roll them with paper or thin cloth after powdering them Do not stick pins on rubber goods as they can cut through and cause leakage Rubber mackintosh should be stored in dry, dark and cool place. It is preferable to store rubber goods in wooden cupboard Always dry rubber goods after cleaning them in shade as heat destroy them Do not use clamps for long periods on rubber tubes or catheters Time period of the use of a hot water bottle, ice collars cap should not be more than 15-20mts 7/22/2016 22 Shri Vinoba Bhave College of Nursing, Silvassa

Mackintosh :

Mackintosh Spread it on a flat surface and wet it with cold water Rub the upper surface with soap and water using a clean cloth Turn the other side and repeat the same Wash both surfaces under running water If stains are present, it should be removed by appropriate method For disinfection, Lysol or Dettol is used in the ratio 1:40 Hand them horizontally in shade to dry When both surfaces are dried, powder them with French chalk powder Roll it and store in dark cool place 7/22/2016 23 Shri Vinoba Bhave College of Nursing, Silvassa

Rubber tubes and catheters :

Rubber tubes and catheters Hold the tube upside down under running water to let the stream of water run through it Use swab stick to remove any organic matter blocking the tip of the tube. Ensure the patency of tube by flow of water through eye of the catheter or tube Using soap and water clean the dirt and grease on the surface of the catheter or tube Wrap the individual tube and catheter using a thin clean cloth and boil for five minutes or autoclave To sterilize them, boil the tubes for 5 minutes by putting them in the boiling water Hang the tubes for drying in shaded place After drying separate same sized catheters and tube Powder the outer surface using dusting powder, coil the tube by securing tip into the broad end 7/22/2016 24 Shri Vinoba Bhave College of Nursing, Silvassa

Hot water bottles, ice cap, air cushion :

Hot water bottles, ice cap, air cushion Remove the outer cloth cover of each item after use. Decontaminate the air cushion cover Empty the content and deflate the air cushion. Clean the outside of the air cushion with soap & water Wipe the outer surface of the hot water bottle, ice cap and collar using a piece of clean cloth The valves of the air cushions or beds should never be immersed in water Hang them upside down for drying Blow some air into each rubber items and close the valve Check each rubber item for leakage of air or water Store in a cool dry place Send for laundry and store separately linen In case of hot water bottles, ice caps, etc empty the contents immediately after use 7/22/2016 25 Shri Vinoba Bhave College of Nursing, Silvassa

Care of Gloves :

Care of Gloves Types Disposable: Incinerated Reusable : Disinfected & Reused 7/22/2016 26 Shri Vinoba Bhave College of Nursing, Silvassa

Gloves :

Gloves decontaminate gloves on hands before removal by dipping them either in the disinfectant solution 0.5% chlorine solution or just wash hands under running water. Remove gloves and discard in a decontamination bucket Disposable gloves should be sent for incineration For reusable gloves wash the gloves using soap and water first from the outside surface and then the inside surface Holes and tears are discovered by submerging the glove filled with air in the water. If there are holes, the bubbles will pass up, separate torn gloves Hang the gloves to dry first the inside surface and then outside surface in a shade Once dried powder the both surface and pack them with gauze in paper or cloth envelope by separating even number gloves of right and left hand side. Fold the upper end of the glove little before packing each glove. Label the size of glove on each envelope Pack in drum and send for autoclaving Store autoclaved supply in appropriate cupboard 7/22/2016 27 Shri Vinoba Bhave College of Nursing, Silvassa

Rubber air /water mattress and pillows:

Rubber air /water mattress and pillows Deflate the mattress, pillow. Remove the cloth cover. If soiled decontaminate the cover with 0.5%chlorine solution and send to laundry Clean the mattress and pillow using a piece of clean cloth and if soiled decontaminate 0.5% sodium hypochlorite and let it dry Clean with soap and water on a flat surface Dry in shade on a dry flat surface by exposing both surfaces to air. Inflate some air into the mattress and pillow using an air pump Roll the mattress and pillow and store as indicated by manufacturing unit 7/22/2016 28 Shri Vinoba Bhave College of Nursing, Silvassa

Ambu bag with mask :

Ambu bag with mask Wipe the bag and rubber part of the face mask using a piece of clean cloth Disinfect using a cotton ball soaked in pure savlon or methylated spirit or 70% alcohol 7/22/2016 29 Shri Vinoba Bhave College of Nursing, Silvassa

Water flow (aquathermia pads):

Water flow (aquathermia pads) Disconnect the pad from electrical unit Remove the cloth cover from the pad Decontaminate the cover if soiled Empty the water from the pad by unscrewing Hang the pad upside down to drip dry by air Inflate the some air using an air pump and store following manufactures instructions Send the cloth cover to laundry 7/22/2016 30 Shri Vinoba Bhave College of Nursing, Silvassa

Bulb syringes :

Bulb syringes Gently pull out the rubber bulb to separate it from the glass syringe or pump Wipe it using a piece of clean cloth Disinfect using pure savlon or spirit Lightly powder the bulb using powder and store in a cool dry place 7/22/2016 31 Shri Vinoba Bhave College of Nursing, Silvassa

Sterilization of rubber articles :

Sterilization of rubber articles Autoclaving: this is the best method of sterilization of rubber goods. It is done at lower temperature of 121-123◦C and pressure of 15-17pounds for 15mts Boiling : wrap the rubber item in soft thin cloth and boil for 15-20mts. Hard rubber goods should not be boiled for more than 5mts and cooled fast to retain their shape Chemicals : savlon 100% ---30mts glutaraldehyde 2%---10-20mts alcohol 50-70% --20-30mts Goods must be rinsed with distilled water,after chemical disinfection before use 7/22/2016 32 Shri Vinoba Bhave College of Nursing, Silvassa

Glass items :

Glass items Articles made up of glass are very fragile and special care is needed while handling them List of glass items Ounce glass Syringes, test tubes, funnel Jars, slides, specimen bottles, connection tube-straight, y-shape Thermometers Pipettes, dropper, glass rodes , Intravenous fluid bottles 7/22/2016 33 Shri Vinoba Bhave College of Nursing, Silvassa

Cleaning, disinfection and sterilization of glass items:

Cleaning, disinfection and sterilization of glass items Steps Rationale Scientific principles Nursing principles Disinfect the item by immersing 0.5%chlorine,sodium hypochlorite chlorhexidine solution minimum for 5mts in plastic container covered with lid To lessen the number of micro organisms on the surface of the item Chlorine kills many microorganism by releasing free oxygen Safety Clean glass wars using mild liquid soap If used for clients with a communicable disease Strong soap and detergent can damage the smooth surface of glass Soap facilitates removal of dirt by reducing surface tension Safety of the client prevents cross infection 7/22/2016 34 Shri Vinoba Bhave College of Nursing, Silvassa

Slide35:

Use plastic brushes of an appropriate size to clean the tubes, jars and bottles Brushing dislodges sticky substances and organic matter from corners and grooves Physics – friction dislodges any foreign material Safety of the client prevents cross infection Rinse the glass items under cold running water remove plunger from syringe and wash them separately ,keep each size syringes seperately . Keep plunger of each syringe beside it to avoid mixing up To wash off the organic material Cold water does not coagulate the proteins of organic material (chemistry) Safety 7/22/2016 35 Shri Vinoba Bhave College of Nursing, Silvassa

Slide36:

Dry the item on a rack or appropriate stand by placing the item in an inverted position To drain the water from the items Inverted position facilitates flow of water Clean and dry items are considered to be free from non pathogenic organisms Safety of the client prevents cross infection Separate any glass item with cracks or chipped brim To prevent infection and breakage of the item To make it safe for use Chipped surface encourages growth of micro organisms Cracks may cause injury Safety Wrap the glass item in piece of thin cloth before sending autoclaving or boiling To render the item free from all types of microorganisms including spores Steam under pressure at 121◦C for 10-15mts . Safety of the client prevents cross infection 7/22/2016 36 Shri Vinoba Bhave College of Nursing, Silvassa

Slide37:

Immerse the glass with no air bubbles in 2% gluteraldehyde for 20-30mts To achieve rapid disinfection Contact the high quality disinfectant destroy microorganisms Safety of the client prevents cross infection Immerse with no air bubbles 2% gluteraldehyde for 10hrs To achieve sterilization Prolonged contact with high quality disinfectant ensures sterilization Safety 7/22/2016 37 Shri Vinoba Bhave College of Nursing, Silvassa

Thermometers :

Thermometers Steps Rationale Nursing principles Remove the thermometer from antiseptic solution and wipe it dry from bulb to stem with dry cotton ball before using To wipe the disinfectant away from the bulb before use Disinfectant can cause damage to the mucous membrane Clean the thermometer from stem to bulb after use, using a wet soapy cotton ball in a circular movement. To wipe away the saliva from the stem To clearly read the thermometer. Safety Rinse the thermometer holding from the stem with bulb downward under running water To clean the secretions from the thermometer Running water is a good cleanser. Safety 7/22/2016 38 Shri Vinoba Bhave College of Nursing, Silvassa

Slide39:

Immerse the thermometer in a disinfectant solution as per hospital policy Disinfectant kills the organisms Safety Store dry in its container To ensure proper safety before re use To prevent breakage Safety Use disposable sleeve for electronic thermometer and wipe probe with 70% alcohol Prevent infeciton Safety Lotion thermometers can be wiped using a dry cotton swab before storing them in the container After care of equipment for its maintenance Good workmanship 7/22/2016 39 Shri Vinoba Bhave College of Nursing, Silvassa

Care of Plastic items:

Care of Plastic items Items made up of polyvinyl chloride(PVC) are the plastic items. These items are heat sensitive and hence they should be protected from heat, radiations, etc List of plastic items Basin, bowl Kidney tray Bad pan, urinal Syringes Airways, connectors Oxygen hood 7/22/2016 40 Shri Vinoba Bhave College of Nursing, Silvassa

Care of kidney tray/bed pan/urinals:

Care of kidney tray/bed pan/urinals The contents of kidney tray, bed pan or urinals should be discarded in appropriate area. Its contents should not be left standing for a long time Rinse it in cold running water Wash with soap and warm water using a brush and rinse it well to disinfect, soak them in Lysol 1:40 for one hour They can be placed in direct sunlight for few hours 7/22/2016 41 Shri Vinoba Bhave College of Nursing, Silvassa

Enamel items :

Enamel items Trays Kidney trays Basins * chetal forceps jar Bowls Funnel * soap dish Jugs Urinals Bed pans Enema can Bath tubs Sputum mugs 7/22/2016 42 Shri Vinoba Bhave College of Nursing, Silvassa

General priniples :

General priniples One should avoid mishandling Do not boil for long periods and rapidly cool them as enamel cannot withstand heat It is preferable not to use enamel items for surgical procedure Wash enamel soon after use especially when some antiseptic reagents are used in them 7/22/2016 43 Shri Vinoba Bhave College of Nursing, Silvassa

Slide44:

Steps Rationale Scientific principles Nursing principles Empty the contents of used enamelware To avoid contamination Avoid air pollution in the ward s Safety and comfort Immerse the item in a chlorine solution of 0.5% To disinfectant Disinfection can kill most of the bacteria and viruses Safety Wash the item with cold water and then hot soapy water and rinse. Remove fluid remaining in the item after cleaning To remove dirt To cleanse To clean away the material effectively Soap reduces athe number of organisms Soap facilities removal of dirt by reducing surface tension Safety Dry the item by keeping in an inverted position. Store appropriate cupboard To deodorize To prevent growth of bacteria Microbiology Safety 7/22/2016 44 Shri Vinoba Bhave College of Nursing, Silvassa

Slide45:

Bed pans can also kept in direct sunlight To disinfect Ultraviolet rays of sun can penetrate the surface and kill pathogens Safety If needed boil the item in a big water filled container. Ensure the item is fully dipped in the water and cover the container. There is no need to wrap them. Boil for 10mts To destroy pathogens Safety from spread of infection specially in infectious disease hospitals Boiling for 10mts destroy the pathogens Safety Prevent cross infection If needed send for autoclaving wrapped in a piece of cloth or paper put label on the wrapper one can also use chemicals for sterilizing the item To sterilize To prevent infection Autoclaving destroys all kinds of pathogens Prevent cross infection 7/22/2016 45 Shri Vinoba Bhave College of Nursing, Silvassa

Slide46:

Carry out terminal disinfection of clients bedside,bowls,buckets with chlorine or phenolics To disinfect To prevent spread of infection Chlorine or phenolic kills many microorganisms by releasing free oxygen Safety Clean dry and store To facilitate re use of articles Cleaning and drying prevent growth of microorganisms Good workmanship In specified utility areas To prevent cross infection Prevent chipping of enamelware Economy of material and time 7/22/2016 46 Shri Vinoba Bhave College of Nursing, Silvassa

Stainless steel items :

Stainless steel items It includes all items mentioned under enamel items and the additional items are , forceps Sharp instruments Miscellaneous Different needles Different scopes Cleaning, disinfection and sterilization of articles All stainless steel items are heat resistant and they should be handed well Do not boil stainless steel items repeatedly as they get dull They can be easily sterilized using chemicals and by autoclaving Always use gloves while cleaning and washing contaminated instruments 7/22/2016 47 Shri Vinoba Bhave College of Nursing, Silvassa

Slide48:

Dip items in 5% chlorine for 5 to 6 minutes then wash under running water Make sure that tips, toothed ends, grooves of forceps are cleaned properly Instruments with fine tip are covered in hard rubber cap After drying, send it for sterilization 7/22/2016 48 Shri Vinoba Bhave College of Nursing, Silvassa

Care of laryngoscope:

Care of laryngoscope Take dry gauze piece to clean saliva from laryngoscope Separate blade from laryngoscope and dip it in disinfectant for 20 – 30 minutes With the help of cheatle forceps, take it out and dry it Reattach blade to laryngoscope and store on emergency trolley for resuscitation 7/22/2016 49 Shri Vinoba Bhave College of Nursing, Silvassa

Care of furniture:

Care of furniture Furniture is movable article in a room established to fit for living or working. • In hospital setting, it is a collective term used for different types of portable objects . Types Of Furniture Wooden furniture : Table , chairs, cupboard , locker * stool, sofa * bed, bench Metal furniture: B ed , trolley , chair , wheel chair, locker , back rest, OT table, IV stand, screen, Bowl stand, bed cradle 7/22/2016 50 Shri Vinoba Bhave College of Nursing, Silvassa

Care and maintenance of furniture:

Care and maintenance of furniture Always keep the furniture dust free, clean it with a piece of soft cloth They can be disinfected with glutaraldehyde or savlon and also washed with soap and water Hospital beds should be cleaned daily Trolleys , lockers, IV stand and treatment table must be disinfected after discharge or death of a patient Iron furniture should be cleaned with dry duster Repair of furniture must be done regularly Stock record of furniture should be maintained and old damaged furniture are sent for condeminization 7/22/2016 51 Shri Vinoba Bhave College of Nursing, Silvassa

Importance of maintaining furniture:

Importance of maintaining furniture Maintenance of furniture is very important for preserving its maximum usefulness It gives aesthetic sense for patient It prevents cross infection It helps in prolonging the life of furniture It provides favorable environment for the recovery of the patient 7/22/2016 52 Shri Vinoba Bhave College of Nursing, Silvassa

Care Of Machinery Equipments :

Care Of Machinery Equipments Items using electric current are included in this category It includes Suction apparatus Defibrillator Nebulizer machine Refrigerator Monitor Ventilator Pulse oxymeter 7/22/2016 53 Shri Vinoba Bhave College of Nursing, Silvassa

Points to remember:

Points to remember Power off the equipments when not in use Clean the equipments and its parts with wet soft cloth In suction apparatus, the tubings should changed for every 24 hours The working condition of the equipments should be checked before using it The equipments should be kept in safe and appropriate place The defibrillator should be in the charge always In refrigerator, unnecessary things such as food items, expired medicines, opened medications, unused blood samples, etc should not be kept 7/22/2016 54 Shri Vinoba Bhave College of Nursing, Silvassa

MAINTENANCE OF WARDINVENTORY :

MAINTENANCE OF WARDINVENTORY Inventory is a list of articles available in ward, their characteristics, standard number. It is record of articles available in the ward. Inventory control means stocking an adequate number and type of stores, so that the materials are available whenever required Inventory control is the process of maintaining the optimum needed quantity that is sufficient for the smooth operation of the organization 7/22/2016 55 Shri Vinoba Bhave College of Nursing, Silvassa

Purposes/uses of maintaining ward inventory:

Purposes/uses of maintaining ward inventory To provide maximum supply of materials To facilitate the smooth functioning of the ward To avoid shortage and insufficiency To determine the condition of articles and to order repair or replacement if necessary To provide a cushion between availability of material and the actual demand for a material To reduce financial investment Inventory helps to handle unforeseen circumstances Inventory also helps to avoid workers and machinery being idle To check the functioning status of article To return the articles to its proper place It helps to avoid missing of articles and to keep a check on the article 7/22/2016 56 Shri Vinoba Bhave College of Nursing, Silvassa

INDENT:

INDENT Indent is a list of items made for availing in the ward. A list of items is made, which are not available in the stock. Indent is done weekly/monthly basis depending upon the shortage of items. After making the list, it is been sent to the main store. Record is maintained on register/note book know as Indent Book 7/22/2016 57 Shri Vinoba Bhave College of Nursing, Silvassa

Model Indent Book Name of the Hospital Date, Year, Time:

Model Indent Book Name of the Hospital Date, Year, Time Sl.no Items Quantity Indent issued                 Signature 7/22/2016 58 Shri Vinoba Bhave College of Nursing, Silvassa

Model Inventory Name of the Hospital, Name of the Ward Emergency article checklist :

Model Inventory Name of the Hospital, Name of the Ward Emergency article checklist Sl.no Items Quantity Months Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec                               Signature of Ward In charge Signature of Nursing Superintendent 7/22/2016 59 Shri Vinoba Bhave College of Nursing, Silvassa

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