OUT-PATIENT SERVICES AND ADMISSION PROCEDURE


A. Location:
Ground floor OPDs First floor OPDs (Access: ramp, lifts, stain cases)
Obstetrics & Gynaecology B – block ENT D – block
Dermatology & Venereal Diseases E- block Paediatrics M – block
Pulmonary Medicine H- block Surgery & Speciality Clinics L - block
Ophthalmics G – block Pain cPain Clinics H,I block (Main OT complex)
GenerGeneral Medicine & Speciality Clinic J – block
Orthopaedics L – block
Physiotherapy & Physical Rehabilitation M – block
Psychiatry G - block

B. REGISTRATION
Registration counter is present at the main reception area of CSSH with facility of waiting area. The waiting area has been provided with adequate sitting facility and other supportive services like public telephone, patient transport (wheel chairs and stretchers) besides common amemties like drinking water, and separate wash rooms for male and female patients and attendants, respectively.

FUNCTIONING
After the proper registration procedure the patient is provided with an OPD card and is guided to the respective OPD complex. The OPD waiting number is given to the patient and then requested to be seated at the reception area. On their turn they are guided to the respective doctors for consultation & treatment. The hospital takes due consideration for physically handicapped and senior citizens. Immediate measures are taken for the shifting of serious patients to respective critical care unit.

REFERRALS FROM OUT-PATIENT DEPARTMENT
The patient could reach the OPD as a referred case which is seen by other departments and referred to a particular dept. for expert opinion and management.

REFERRALS
Patients can be referred to the respective wards from:
a) OPD’s
b) In-patient Departments: patients can be referred for opinion from one department to the other whenever it is deemed necessary by the treating consultants.

A. ADMISSION PROCEDURES
Admission Procedure for the Emergency Wards: There is a three cubicle ward with twenty beds only in the casualty ward. The EMO, in consultation with the Senior Resident or the faculty of the unit-on-call, decides on the admission. It is the responsibility of the unit under which the patient is admitted to transfer the case back to their own ward services at the earliest so that the casualty beds are available for other emergencies or disaster management.

ADMISSION OF THE PATIENTS TO THE HOSPITAL FROM THE SUB-SPECIALITY CLINICS
Admission procedures for the sub-speciality wards and beds: There are 3 inlets for admission to these wards.
1. From the speciality clinics: Patients seen in the sub-speciality clinics run by the speciality departments may be advised admission to their wards directly. The formalities of admission are the same as described above.
2. From the Casualty: Occasionally a patient seen for the first time in the casualty may have an illness which makes him more suitable for admission and care by a sub-speciality department. The EMO may directly, or in consultation with the Senior Resident of the general discipline, call the Senior Resident of the sub-speciality department who may admit the patient directly under his care.
3. Ward Transfers: Occasionally a patient may be admitted to general ward and later due to the special type of care required due to patient’s illness, he or she may be transferred to the sub-speciality ward, in this case, the bed has to be provided by the concerned sub-speciality.

DEPARTMENT/UNITWISE BED DISTRIBUTION
UNIT BEDS +CRITICAL CARE AND OTHER BEDS =860+110+43= 1013 BEDS

DEPARTMENT/UNITWISE BED DISTRIBUTION
Specialization No. of Units No. of Beds
General Medicine 04 160
Paediatrics 02 80
T.B.& Respiratory Diseases 01 40
Dermatology 01 40
Psychiatry 01 40
General Surgery 04 160
Orthopaedics 02 120
Ophthalmology 02 80
E.N.T 01 40
Obs. & Gynae. 02 100
TOTAL 860

Critical Area Beds
S.No. Critical care Units : Beds
1 Medical ICU (MICU) 18(11+7)
2 Paediatric ICU 06
3 Neonatal ICU 06
4 Dialysis 04
5 Sleep Lab 01
6 Emergency 22
7 General Triage Room 03
8 Respiratory ICU 05
9 Surgical ICU 14
10 Burn ICU 02
11 Pre Operative 10
12 Post Operative 10
13 Labour Room 08
14 Student Sick Room 01
TOTAL 110

Private/Semiprivate Beds
1 Private/Semi Private Beds 43
TOTAL 43
GRAND TOTAL 153

PREPARATION FOR ANAESTHESIA AND POST OPERATIVE INSTRUCTIONS
Pre-Anaesthesia Clinic
The Department of Anaesthesia runs “Pre-Anaesthesia Clinic” six days a week. PAC is held in O.T. complex and is run by consultant Anaesthestist with the help of their able faculty and support from Senior and Junior Residents. The patients requiring surgery under any kind of Anaesthesia (except local anaesthesia) are referred to this clinic after obtaining basic investigative reports like haemogram, routine urine and microscopy, ECG, chest X-ray (for patients above 35 years age and all patients requiring general anaesthesia) and any other investigations depending on the nature of the disease. Patients with chest, cardiac, neurological or endocrine problems are referred to the respective clinics and clearance for Anaesthesia has to be obtained from the consultant there, before referring the patient to the Pre-Anaesthesia clinic. PAC of the bed ridden patient by the anaesthetic unit is done bed side on request.