2. OBJECTIVES OF POSTING
• Describe the philosophy and objectives of
the Choithram college & hospital.
• Observe the principles of administration
applied to nursing at Choithram college &
hospital.
• Evaluate the organizational structure of
health and nursing services at Choithram
college & hospital.
3. OBJECTIVES
• Discuss the planning, supervision and
management of nursing workforce in
various health care settings at Choithram
college & hospital.
• Discuss various collaborative models
between nursing education and nursing
service to improve the quality of nursing
care.
4. OBJECTIVES
• Identify & analyse legal and ethical issues
in nursing administration
• Describe the process of quality assurance
in nursing services at Choithram college &
hospital.
6. • On 1st
march 2019 in Choithram College
Of Nursing.
• Respected Mam, Dr. Ms. Usha Ukande,
Principal At CCON and Respected Mam,
Ms. Rakhi chandal, HOD Of Paediatric
Nursing Department Welcomed us.
7. • Respected principal ma’am gave us
introduction about the history of college
and hospital and the services and facilities
provided at hospital and college.
• From 4th
march we started our clinical
posting in the hospital in various wards
under supervision of Ms . Margaret
Gowrinath , Director of nursing services ,
Choithram hospital , Indore
9. Orientation of college &
hospital
• Ms. Kamlesh show us the Choithram
college of nursing & Choithram hospital
and research centre at 10:30 am. She
gave us brief description about the whole
campus.
• Respected Ma’am, Ms. Rakhi Chandal
gave us duty Rotation plan. She is our co-
ordinator for all the activities throughout
the training.
10. College of nursing
• Choithram college of nursing was
established in 1982 with three years
diploma in nursing (GNM)program and in
the year 1996, collegiate program of B. Sc
nursing was started. Master’s program in
nursing was initiated in 2005.
11.
12. • College has got Certificate of Accreditation from
National Assessment and Accreditation
Council in 2017.
13. PHILOSOPHY
• To prepare nurses for evidence based
practice at basic and advanced level
• Intellectual , moral, spiritual and
psychosocial development of students
• Multifaceted roles
• Assisting the people to attain holistic
health.
14. Philosophy
• Create an intellectually challenging
environment for students
• promote optimal health in populations
15. MISSION
• To develop dedicated, committed and
service minded nursing community
• to equip the graduates with exemplary and
innovative education, practice, research,
and leadership.
16. VISION
• To focus on all round development of
nursing students & empowering nursing
profession through an integrated
education, holistic health care services
and clinical research”.
17.
18. AFFILIATION
• This college is affiliated by Devi Ahilya
Vishwa vidayalaya Indore
• Govt. of Madhya Pradesh
• Madhya Pradesh Medical science
university Jabalpur(M.P.)
• Recognized by Indian nursing council &
Madhya Pradesh nurses registration
council.
19. List of courses
• Basic B.sc nursing
• 75 seats
• M.Sc. Nursing
• 25 seats (5 in each specialty)
• Ph.D. Nursing
• 6 seats
21. Fee Structure
• B. Sc. nursing 1st year –Rs.1,26,500/-
• B. Sc. nursing 2nd
year –Rs.1,21,500/-
• B. Sc. nursing 3rd year –Rs.1,21,500/-
• B. Sc. nursing 4th
year – Rs.1,23,500/-
• M. Sc. nursing 1st
year – Rs.1,77,000/-
• M. Sc. nursing 2nd
year –Rs.1,59,000/-
24. FIRST FLOOR
• Medical surgical department
• Maternal & child health nursing
department
• Psychiatric department
• Nutrition lab
• Obstetric and gynecology lab
25. • Board room
• IJNS room
• Smart class room
• Second floor
• Library
• Community health nursing department
• Classrooms
36. SYSTEM ADMINISTRATOR
MR. SHAILENDRA CARPENTER
LIBRARY
Librarian : Ms. Kiran Wagh
Asst. Librarian: Vineeta yadav
Total number of books in library are
4000 and 30 national and international
journals. It is Wi-Fi enabled with internet
facilities with DELNET connection.
37. First day in hospital – 4th
march , 2019
• On 4th
March . 2019 we visited Choithram
hospital and research centre along with
Ms. Rakhi Chandal . She oriented us
about hospital . Then we met Ms.
Margaret Gowrinath director of nursing
services in CH . She told us about various
policies and protocols used in CH for
patient care.
38. • Then we Met , Ms. Divya , Nursing
educator in CH . She told us various
records maintained in Human resource
management office in CH. She gave us
brief introduction about recruitment
procedure in CH.
• Then they show us a prospectus of
Choithram hospital which includes history ,
management , policies , protocols used in
CH.
39. NS OFFICE
• Joint Director Nursing Services (JDNS)-
Mrs. Margaret Roy Gowrinath
• 1 Nurse Manager
• 1 Nurse Educator
• 3- Clerical Staff
42. There was an event organized by govt. of Madhya
Pradesh and Choithram college of nursing
collaboratively from January 2019 , to march 2019.
We attended the last camp of this event which was
organized from 5th
march 2019 to 7th
march , 2019
in auditorium of Choithram college of nursing ,
Indore . This programme was run under Ms.
Blessy Antony , Former professor in CCON ,
Indore
43. The speakers were
Dr. AshishGoyal
Ms. Blessy antony
Mr. Vikas upadhyay
Ms. Vaishali
Ms. Nisha
44. Aim :
The aim was to create awareness
among nurses working in CHCs and
PHCs of Madhya Pradesh regarding
mental diseases and their diagnosis
So that they will refer these patients to
higher centres for their treatment
45. Topics covered
•Introduction to mental health
•Structure of brain and nervous system
•Psychiatric examination
•Child psychiatry
•Substance abuse
•Women and mental health
•Geriatric psychiatry
46. Key features
• Pre test and post test about mental health
• Lectures on various topics of mental
health
• A tool MHGAP which will used by staff
nurses , so that they can recognise mental
health diseases susceptibility in individuals
and then refer them to district hospitals .
• Role play by staff nurses
47.
48. • VISIT TO MANOVRIDHI CENTRE ,
INDORE 7TH
MARCH 2019
49. • Manovruddhi Kendra is an Education And
Training Centre for Special
Children(mentally Challenged Children),
Run By Manovruddhi Samiti, Indore And it
is Registered Society under M.P. Society
Registration Act Since September 2006.
50. • This Institute Under the Patronage of Dr.
M.S. Gill ( Director Of Sono Centre And
Tanish Medical Care Hospital, Indore),
• Dr. Mrs.Taranjeet Sood (Educationist),
• Mrs. Gitendra Kaur Chhabra
(Psychologist),
• Mrs. Shobhna Jain(social Worker) And
Others
51. • There is Facility for the residence of
Parents along with their Special Children.
• They also provide Residency to Elder
people, Widows And Divorcee. 20-25
People approximately lived there.
• Gurudwara Sahib is also located here to
fulfill the religious needs of the people.
52. Objectives
• To identify mentally retarded children
classify there type and diagnose, cause of
learning disability
• To provide educational, vocational,
occupational training for special
children(mentally retarded children)
• To provide personal care, self help skills
and social skills training for special
children
53. • To undertake and promote the activities to
involve the aforesaid children in normal
population
• To provide counselling and training to
parents of special children to provide
monitoring support for the education of
special children of economically weaker
section of society.
• To help and encourage the employment of
aforesaid students
54. Training programme
• Training in self help skills
• verbal and communication
• Social skills development
• Prevocational and vocational training.
55. • Conduct program at various festival
special occasions
• Special classes in summers
• Picnic
• Organize cultural activities and annual
functions.
60. MANAGEMENT MEMBERS
• DMS- DIRECTOR MEDICAL SERVICES
• (DR. Sunil Chandiwal)
• DPD- DIRECTOR PLANNING AND
DEVELOPMENT
• (DR. Ajay Jain)
61. • DDMS- DEPUTY DIRECTOR MEDICAL
SERVICES
• ( DR. Amit Bhatt)
• ADMS- ASSISTANT DIRECTOR
MEDICAL SERVICES
• (DR. Y Rupayana)
• ADHS- ASSISTANT DIRECTOR
HEALTH SERVICES
• (MR. Anil Lakhwani)
• JDNS Ms. Margraret Roy Gowrinath
63. HOSPITAL DEPARMENTS
• Paediatric department
• Medical surgical department
• Obstetrical and gynaecological
department
• Oncology department
• Casuality
64. • Quality control department
• Central supply sterilization department
• Biomedical waste management
department
• Administration department.
• Physiotherapy department
• Canteen Etc.
65. FACILITIES AVAILABLE IN
HOSPITAL
– Blood bank
– Burn unit
– Dialysis
– Cath lab
– Cardiology and Cardiac surgery
– Dermatology
– Dental department
– Endocrinology
– General surgery
– Paediatric and paed surgery
– General medicine
– Intensive care unit
66. – Paediatric and paed surgery
– General medicine
– Intensive care unit
– Ophthalmology
– Orthopaedics
– General health check up
– Heart transplant
– Organ transplant dept.
– Pain management
– Pathology
– CT scan and MRI department
– Physiotherapy
– Laser urinary surgery
– Gastroenterology – GI surgery and endoscopy
– Nephrology , urology and uro surgery
67. Nuclear medicine , PET CT AND
SPECT
Sonography and X-ray department
Neonatal intensive care unit
Laproscopy surgery
Dietetics
Mortuary
Eye , ear , nose department
Onco medicine and onco surgery
Obstetrics and gynae surgery
Emergency
Pharmacy
Rheumatology
Neurology and neuro surgery
Plastic surgery
Well baby clinic
Radiotherapy
Respiratory medicine
Canteen
Ambulance services
Dhramshala
Psychiatry and psychology
69. CASUALITY DEPARTMENT
• It is 4 bedded
• Code green when disaster arises
• CMO is in charge of causality
• Mock drill is performed quarterly. In this CMO
inform to DDMS & JDNS about disaster. Then
EPBAX make announcement.
• Different department Doctors arrive at main door of
hospital. house keeping personnel also arrive there
with wheel chair, stretchers etc.
71. CANCER UNIT
• External radiation therapy
• procedure of moulding .
Physical layout
1. Oncology
2. Day care chemotherapy unit
3. Linear acceleration
4. Brachytherapy room
5. Moulding room
72.
73. FIRST FLOOR
• DIALYSIS UNIT
It is 25 bedded ward and 25 machines in which
separate machines for non-reactive patients and
reactive patients.
Staffing pattern :-
1 ward In charge, staff ratio is 2:7
Neurologist OPD
Burn OPD
Urology OPD
74. DIALYSIS UNIT
• Ward in charge- Mr. Bhupinder Sharma
• Total bed capacity- 25
• There are 3 Zones –
• Non- reactive ( 12
BEDS)
• HCV ( 6 BEDS)
• HbS Ag ( 3 BEDS)
75. Register maintained in ward-
• Quality indicator
• Report book
• Doctors call book
• Inventory
• Item charge
• HAI surveillance
• Discharge summary handing over
• Laundry / CSSD book
76. • Lab/ radiology
• MRD
• Communication register
• Outsource workers
• Department specific
• Temperature monitoring register
• Nurses report register
• Due medication register
• Hepatitis vaccination register
78. Points to keep in mind
• For NR, HCV, HbsAg patients use dialysis
set 10 times.
• For HIV patient, it is used once.
• Set is cleaned by hypochlorite 5% and
filled with renaclean i.e. preservative till
next use.
79. Red colour bin :-
• Uro bags, catheter or plastic waste
• Blue colour bin :-
• Glass articles like glass bottles
81. White colour bin
• Sharp articles like needles, blades.
• Other polices
• Peripheral line insertion & maintenance
bundle checklist.
• Infusion therapy complication chart.
• Surgical site infection
82. WING B
• General ward : To treat patients of all
illness
• General ward consist of 24 bedded and 10
bedded. One separate room for
procedure.
• Semi-private rooms are 10 bedded.
• Staff ratio :-1:6
• Ward in chrage – Mr. Rahul
86. AIM
• In order to provide exposure to M.Sc.
nursing students because there is no
inpatient in the hospital.
• Students can perform history taking,
MSE, case presentation.
87. Scope of services
• Counselling
• Behaviour therapy
• Psychoeducation
• Group therapy
• Family counselling
• Individual Therapy
• Cognitive behaviour therapy
89. LABOUR WARD
• To provide quality and affordable health
care to all segments of society
• To provide super speciality tertiary care
referral institute for providing quality
ethical and affordable nursing care
90. • LABOUR ROOM WITH LABOUR OT
• ECLAMPSIA ROOM:- It is 3 bedded
• Pre –Eclampsia :- It is 2 bedded with
instrument
• Critical area
• General ward- 9 bedded
• Private room
91. Staffing pattern
• Ward In charge:- Ms. Shabba
• Duty shifting of staff nurses:-3 shifts
• Morning :- 7:30 a.m. to 2:00 p.m.
• Evening:- 2:00 p.m. to 9:00 p.m.
• Night :- 9:00 p.m. to 8:00 a.m.
• Clerical staff:- 2
92. Record
• Quality indicator
• Report book
• Doctors call book
• Inventory
• Item charges
• Discharge summary handling over
• Laundry/CSSD book
93. • Discharge summary handling over
• Laundry/CSSD book
• Lab/radiology
• MRD
• Communication register
• Outsources workers
• Department specific
• Temperature monitoring register
94. PATIENT’S FILE DOCUMENTS
• Doctor order sheet
• Medication
• Investigation sheet
• Initial assessment
• Vital sign
• Nursing care plan
• Input output
• Nursing order
• Nursing sheet
95. Infection control in the labour ward
• Every bed side of the patient has one
sterilium.
• Cleaning checklist properly maintained
by the ward In charge
• Proper use of the Biomedical Waste
Management
• Use of the Bacillol for the mopping for
every day
96. NATURAL BIRTHING
CENTRE
• To provide safe, high quality individualized
continuity of care to meet the needs of
women and their family.
• To enhance natural births supervised by
skilled and competent midwives.
• To create a birth centre that a baby into a
natural environment of love.
• The main motive of the birthing centre is to
NO USE OF MEDICINE, NO
CANNULIZATION, NO INDUCTION.
100. • Washroom
• Garden
• Antenatal mother come in birthing centre
for counselling
• In the counselling session, there is
teaching of exercises and yoga.
• In counselling session, told the antenatal
mother to take adequate nutritious diet.
101.
102. SWA
• “We believe that women have the right to
make choice to have a spontaneous, safe
and supported birth.”
• Inaugurated on 14th sept 2016
103.
104. Have an uncomplicated pregnancy
Are in 37-42 weeks into your pregnancy
Are not anemic
Have healthy pregnancy
Have no associated medical conditions.
Baby has developed normally and is head
down
105. SERVICES
1. Meditation & Breathing exercises
2. Hydrotherapy
3. Use of birthing ball
4. Selected Acupressure
5. Abdominal effleurage/ Back Massage
6. Specific Yoga Asana
7. Keeping the woman
hydrated enough by giving her fluids and light food
8. Garb sanskar music
9.
Encourage Walking
10. STS & initiation of breast feeding
106. FIRST FLOOR
• ACUTE SURGICAL WARD
• DRUG STORE
• CANTEEN
• ICU/CC/OT/ISOLATION
• STORE ROOM/CHANGING ROOM
• DAY CARE CENTER
• OHU
• MULTI ORGAN TRANSPLANT UNIT
• CATH LAB
• CONSOLE ROOM
107. ICU
• Critical Care Medicine
• It is 21 bedded
• Staff ratio -1:1 for ventilator patient
• 1:2 for non-ventilator patient
116. PEDIATRIC WARD
• Located at first floor.
• It comprises of :-
I. GENERAL : - P9,P14
II.PRIVATE : - P10,P12A, P12B
III.SEMIPRIVATE : - P15, P17, P18
IV.THALASSEMIA : - 10 BEDED
117.
118. STAFF
• NURSE PATIENT RATIO
• PICU - 1
• NICU -2
• SEMIPRIVATE -1
• PRIVATE -1
• 2nd FLOOR
• HOSPITAL INFECTION CONTROL
ROOM
119. HOSPITAL INFECTION
CONTROL ROOM
• To monitor infections in hospital and take
preventive measures to put control on
them
• To keep record of infections
• To monitor house keeping department
• To check quality indicators
120.
121. Quality indicators of HIC
• VAP
• CAUTI
• CLABSI
• SSI
• NSI
• PEP
• Compliance to hand washing
122. SPECIAL CARE COLOUR
CARDS
• BLUE CARD: BLOOD BORNE
INFECTION
• GREEN CARD : NOSO –COMIAL
INFECTION
• ORANGE CARD: WATER BORNE &
FECAL- ORAL ROUTE INFECTION
124. Quality control department
• Phlebitis
• Bed sore
• Medication error
• Incidence of fall risk
• High risk medication
• Near miss
• Sentinel event
• Prophylactic antibiotic
• Discharge time
• Adverse drug reaction
• Incidence of NSI
• Incidence of blood body fluid exposure
125. 3rd FLOOR
• MALE WARD & FEMALE WARD:-
• 34 Bedded General ward₊
127. SPECIAL FEATURES
• To provide functional information of
organs to the clinicians.
• Safety of nuclear medicine procedure
• Not retained in the body
• Can be performed in children
• Radioactive tracers are of low energy,
physiologically and biologically inert.
130. CENTRAL STERILE SUPPLY
DEPARTMENT
• To provide an efficient, economic,
continuous and quality sterile supply to the
hospital department
• AREAS
• DIRTY AREA:
• CLEAN ZONE
• STERILE ZONE
131. Staffing pattern
• In charge : Mr. Shrinath
• TOTAL WORKERS: 20
• WARD BOY: 12
• CSSD : 08
132. PRAYAS
• A divison of Pediatric department of ,
Choithram hospital , Indore
• Started in 1992
• Centre for assessment and training of
special children
133. Philosophy
• “every child is gift of god either with
potential or limitation so as we need to
live happily with these gifts make them
happy for qualitative living.”
136. OBJECTIVE
• To train or generate maximum potential to
live normal and independent life To
develop the physical skill and improve the
strength to perform the activities of daily
living.
• To enhance the communication skills
• To improve the socialisation
• To use their potentials at maximum
137. VISIT TO Morpheus IVF - Indo
German Fertility Centre
• On 28th
March 2019 we went for visit of
Choithram Clinic (IVF Centre)in morning
11:30 am to 12:30 pm.
• 8 students of M.Sc. Nursing 2nd Year from
SINPMS Badal. With MMU , Ambala and
Ms. Kamlesh went with us.
138.
139. Aim of clinic
• Counsel Antenatal Mother
• 3 Departments Are Involved:
• Community Health Nursing
• Obstetrics & Gynaecology
• Child Health Nursing
• 2 Days/ Each Department
• To prepare mother for normal vaginal
delivery
• To educate mother about exercises, diet
plan and breast feeding importance
142. Maternal and child health
counselling centre .
• It was initiated in August 2016 with main
objective to provide mothers the right to
choose the way in which they would like to
give birth to their child. This centre is run
by maternal health dept. of the college.
143. Crèche
• It was initiated in 2010 for the working
mothers of college and hospital with the
objective to ensure exclusive breast
feeding till six month
144. EXTRA CURRICULAR
ACTIVITIES
• Lamp lighting
Ceremony
• Christmas
• Diwali festival
• Ganesh festival
• Navratri Festival
• Holi festival
• Republic Day
• Independence day
• Teachers day
• Nurses day
• Annual Sports
145. HOLI CELEBRATION
• Holi was celebrated on 21st
March 2019 by
teachers and students with enthusiasm &
joy
148. HOSTEL MESS
• Hostel mess hall can seat 80% of the
students at one time. The students are
provided with tea, Breakfast, Lunch,
Evening tea and dinner at specified
timings.
149.
150. PHYSICAL SET UP UG
BLOCK• AUDITORIUM
• BSC NURSING CLASSROOM
• COMMUNITY LAB
• FUNDAMENTAL LAB
• PAEDIATRIC LAB
151.
152. • Thank you for providing guidance ,
care , affection , love as much as
possible in whatever way possible .
• We are feeling overwhelmed and joyful
• It was an amazing experience to be
here with all of you
153. • Thank you for making our
experience unforgettable and
amazing!!!