An institution providing medical and surgical treatment and nursing care for sick or injured people.
By WHO "Directory of Hospitals in India, 1988" is to some extent simple and short.
According to this,
definition. "A hospital is an institution which is operated for the medical surgical and/or obstetrical care of in-patients and which is treated as a hospital by the Centrally State Government/Local bodies or licensed by the appropriate authority.
1. Patient care:- patient care involves diagnosis, treatment ofllness or injury preventive medicine, rehabilitation, convalescent care, dental care, personalized services
2. Education services :- The education services are two form:-
a. Medical & allied health profession education: - Teaching of physician nurses, pharmacist, medical technologist, medical social service worker, hospital administration & training, dietician etc.
b. Patient education: - children, general education, social education for rehabilitation health care & also patient counseling.
3.Research: - Research is important to advanced medical knowledge against disease & to improve hospital service. This is important for better health care of patient.
4. Public health care: - public health is important to assist the community to reduce chance of illness & to improve general health population.
2. Hospital
HOSPITAL :
An institution providing medical and surgical
treatment and nursing care for sick or injured people.
By WHO "Directory of Hospitals in
India, 1988" is to some extent simple and short.
According to this,
definition. "A hospital is an institution which is
operated for the medical surgical and/or obstetrical
care of in-patients and which is treated as a hospital
by the Centrally State Government/Local bodies or
licensed by the appropriate authority
3. 1. Patient care:- patient care involves diagnosis, treatment ofllness or injury preventive
medicine, rehabilitation, convalescent care, dental care, personalized services
2. Education services :- The education services are two form:-
a. Medical & allied health profession education: - Teaching of physician nurses,
pharmacist, medical technologist, medical social service worker, hospital administration &
training, dietician etc.
b. Patient education: - children, general education, social education for rehabilitation
health care & also patient counseling.
3.Research: - Research is important to advanced medical knowledge against disease & to
improve hospital service. This is important for better health care of patient.
4. Public health care: - public health is important to assist the community to reduce
chance of illness & to improve general health population.
Function of Hospital
4. Classification of hospitals
On the basis of system of medicine:
like Allopathic, Ayurvedic, Unani, Tibb,
Homeopathy, have their own hospital.
1. According to service-
a. General hospital: - District hospital,
Thana hospital.
b. Special hospital: - Medical college
hospital, mental hospital, cancer
hospital.
2. According to ownership:-
a. Government hospital: - Unforced
hospital, public health hospital.
b. Non –Government hospital: - Private
hospital.
c. Corporation hospital: - (I. Profitable,
Ii. Non-profitable, Partnership hospital).
3. According to bed capacity:-
a. Fewer than 50 beds Thana label hospital.
b. 51 to 100 beds district label hospital.
c. 200 bed hospital Ex: - Kanpur hospital, Nariyongong. (Bangladesh)
d. 200 -300 bed hospital Ex: - faridpur medical. (Bangladesh)
e. 400-500 beds hospital an over. Ex: - Dhaka medical college hospital .
(Bangladesh)
On the other hand, hospital is classified
are as follows:-
1. Teaching hospital: - Medical
college hospital.
2. Specialist hospital: - TB hospital,
cancer hospital.
3. General hospital: - District
hospital.
4. Nursing home or clinic.
5. Secondary hospital.
6. Tertiary hospital
5. Organization of Hospitals
Orgnization is “ A DYNAMIC PROCESS in which various
MANAGERIAL ACTIVITY bring and bind people together , for the
achievement of COMMON GOALS & OBJECTIVES .
• Most important body of the hospital is GOVERNING BODY/
BOARD OF DIRECTORS / BOARD OF TRUSTIES.
• Governing body consist of various eminent personalities in the
field of :
a) Medical education c) Administration
b) Research d) Politics ( optional )
• Function of GOVERNING BODY is to FRAME all MAJOR
policies , PLANS & PROGRAMMES of Hospitals
• Governing body appointed a Hospital administrator t get various
function perform like a clinical service , Nursing , Pharmacy Service
, etc……..
6. Services Programmed by Hospital
organization
A . NURSING SERVICE :
• LARGEST part of the hospital
• Function all 24 hours
• NURSES Assign specific no. of beds
have to give personal attention to patient .
• Nurses are trained for PRENATAL CARE ,
OBESERVATION , ATIENT COMFORT
DURING LABOUR , etc.
• Nursing director is the in-charge of nursing
services…..
7. B .OUT PATIENT SERVICES :
• Focus on Comfort for out-patient as the
approached for major / minor illness
• These cervices make hospital an ideal
community institution
• Hospital is the duty bound to provide
Diagnostic Preventive & curative measure to
the OUT-PATIENT
8. C .RADIOLOGICAL SERVICE
• Perform under dirction of competent RADIOLOGIT
• CHIEF RADIOLOGIST Assigned by various Techniques
• Services include UTILIZATION OF EQUIPMENT
SONOGRAPHY
X-RAY
ECG
Contents
Contents
CT-SCAN
9. D. CENTRAL STERILE
CERVICE
Supplye all necessary requirement in
sterile condition to nursing unit which
include needle , syringe , linen and
others surgical .
10. DIETETICS DEPARTMENT
A dietician is an expert in dietetics that is, human nutrition and the regulation of diet. Dietician plays a key role in the treatment
and management of all disease conditions, especially ailments such as diabetes, hypertension, cardiac, renal and gastrointestinal
disease. ACE Heart & Vascular Institute has well experienced dieticians who provide nutritional care and counselling to patients in
all age groups. Our department provides OPD services as well as diets for indoor patients also.
FUNCTIONS:
1. Nutritional Care of Patients 2.Food service management 3. Upcoming activities
OPD DIET CLINIC
The OPD patients referred from various doctors are given counselling in the diet clinic. A careful dietary history, investigations &
BMI of the patients are reviewed at the time of counselling and customized dietary advise is accordingly given
Dieticion’s work Good meal Nutritious food with medical Diet Plan
Record
11. F. MEDICAL RECORD SERVICE
Hospital maintain adequate medical
record for purposes
Complete medical record
include :
1. Identification & sociological data
2. Family history & sociological data
3. Physical examination data
4. Special examination data : Clinical
laboratory data, X-ray finding
5. Provisional diagnosis
6. Medical or surgical treatment
7. Microscopic pathologic finding
8. Progress notes
9. Final diagnosis
10. Condition on dischsrge
11. Autopsy finding
12. G. ANAESTHESIA SERVICE
Quality of anesthesia care
Availability of equipment required for administration of
anaesthetics
Development of regulations and evaluation of an
anaesthesia care
• Anaesthesia care is usually provided by anaesthesiaologist or qualified
physician anaesthetist.
• Anaesthetist is responsible for ;
13. • Most hospital have blood bank as
blood is required frequently.
• Blood supply service under the
supervision of licensed physician .
• Some hospital , blood supply service
is assigned to the pathology
department .
• Depending on the hospital size , an
adequate supply of blood may be
maintained in hospital own blood
bank
14.
15. J. MISCELLANEOUS SERVICES
a. Laundry service :
b. Ambulatory service
c. Transport service
d. Mortuary service
a. Library service
17. Health Delivery system in India
The Central government has a “ Union of Health and Family Welfare’’ and
the state government has a “ Ministry of Health” Which Formulate and Plan
the overall health policy and health scheme.
Chart of
Organization
of health
delivery
system
19. • A Chief Medical Officer ( CMO ) is appointed for each district and is
responcible for any Health problem in that district.
• Sometimes separate officer called as District Health areas of the ( DHO ) is
appointed by the state government .
• The DHO is responsible for supervision of health service in following areas
of the district.
(i) Primery Health Centres
(ii) City Hospital administered by the corporation .
(iii) Town hospital administered by municipalty
• The Primery Health Centres ( PHC) look after the health needs of the rural
areas.
• The different family welfare activities are linked to these PHCs depend on
the facilities provided by the civil hospital .