INTERNSHIP REPORT
International Friendship
Children’s Hospital
(IFCH)
Maharajgunj, Kathmandu, Nepal
Prepare
d by:Rabeendra Basnet
Chapter 1
• The introduction
• Background of the study
• Purpose and objective
• Organization of the paper
• Methodology
•...
Chapter 3
• Introduction of Out Patient Department
• Objectives
• Functions
• location and layout
• staffing pattern
• Org...
Chapter 5
• Introduction to Medical Record Department
• Objective and Function
• Content of MR/Types of data
• Location
• ...
Chapter One
Introduction
Hospital is multi-facet complex organization composed of
various multi skilled professionals, sen...
Objectives of the study
1. General objective
• Develop managerial skills in hospital
• Figure out operational level functi...
Methodology
• observation with the administration and the hospital
staffs with the motive of learning the best practice
to...
Data Collection:
1. Primary data:
i. Observation in ED, OPD and MRD
ii. Consulting with the Hospital Director, Administrat...
Scope
• The practicum is motivated at learning the managerial
practices, hospital activity to enhance knowledge in the
man...
Limitation of study
• The study was limited to the management aspect of an
individual health care organization and few dep...
Chapter Two
Organization under study
History
• IFCH was registered under cooperative organization “Bal Maitri
Samudayik Sa...
Location of IFCH
Philosophy / Vision and Mission
“ The Best Care For Your Child”
• to provide quality health facilities to children of diff...
International Friendship Children’s
Hospital (IFCH)
Future Plans:
• Upgrading and expansion of the IFCH as per the requirements.
• Educational programs.
• To be actively invo...
Chapter Three
` Outpatient Department
Introduction of OPD
• a part of the hospital with allotted physical facilities and m...
Objectives
• To provide general medical services to outpatients on
scheduled/unscheduled basis.
• To provide Preventive, P...
Functions
• Early diagnosis
• Effective treatment on ambulatory basis.
• The admission or referral for admission.
• Vaccin...
Location
• The registration desk of OPD is located at the ground
floor of the main building which is next to the
entrance ...
Services:
• Pediatric:
» Medicine/Surgery
» Neurology
» Orthopedics
» Cardiology
» Nephrology
» ENT
» Ophthalmology
» Derm...
Medical Director
OPD Incharge
Registrar
Consultants
Organogram of the OPD
Medial Officer
Staffing Pattern
In Medical and Surgical OPD, one doctor is available all the concerned
time. The other OPD services are m...
Chapter Four
Emergency department
Introduction
EMERGENCY’ is a condition determined clinically or
considered by the patien...
Objectives
• To provide treatment for cases requiring emergency measures.
• To complete official procedures of medical rec...
Functions
• Collection of casualties.
• Community oriented infant and child health services.
• Education, training and res...
• Staffing Pattern
• Emergency department have qualified and experienced
doctor, nurses and auxiliary staff. ER department...
ER Consultant
ER Incharge
Medical Off
Staff Nurse
Organogram of the Emergency
0
500
1000
1500
2000
2500
3000
3500
4000
2068 2069 2070
ER Patients
ER Patients
Finding:
• Emergency is easy to access with ambulatory structure.
• Round the clock emergency services.
• Least cost with ...
Critical Observation
• There is no Triage system available emergency due to
lack of area.
• Less number of beds for emerge...
Chapter 5
Medical Record Department
Introduction:
• A medical record or health record in general is
a systematic documenta...
Objectives
• To provide quality and effective treatment and care to
patient.
• To serve as means of communication between ...
Functions:
• Patient registration.
• Booking of appointments and initiation of medical record.
• Filing, custody, storage,...
MRD Location and Layout
MRD Staffing Pattern
Staffing Pattern
MRD incharge :1
MR staff : 1
Findings
• OPD and emergency medical files, folders and
registers are provided to MRD at end of every
month.
• Files are s...
Critical Observations
• There is less available staffs at MRD during office
hours.
• Medical records are not systematicall...
Conclusion
• IFCH in fully functioning Pediatric Hospital.
• It is Nepal first cooperative children’s hospital.
• Equipped...
References:
• Sakharkar B.M. . “ Principle of Hospital
Administration and Planning”
• Kaini B.K, “Principles of Hospital
M...
Any Queries..
International Friendship Children's Hospital-IFCH
International Friendship Children's Hospital-IFCH
International Friendship Children's Hospital-IFCH
International Friendship Children's Hospital-IFCH
Upcoming SlideShare
Loading in …5
×

International Friendship Children's Hospital-IFCH

1,011 views

Published on

Presentation on IFCH - OPD, Emergency and Medical Record Department

Published in: Healthcare, Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,011
On SlideShare
0
From Embeds
0
Number of Embeds
5
Actions
Shares
0
Downloads
25
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

International Friendship Children's Hospital-IFCH

  1. 1. INTERNSHIP REPORT International Friendship Children’s Hospital (IFCH) Maharajgunj, Kathmandu, Nepal
  2. 2. Prepare d by:Rabeendra Basnet
  3. 3. Chapter 1 • The introduction • Background of the study • Purpose and objective • Organization of the paper • Methodology • Scope and limitation of the study Chapter 2 • The history • Promoters • management • vision and mission • location and layout • staffing pattern • services rendered • future plans of IFCH.
  4. 4. Chapter 3 • Introduction of Out Patient Department • Objectives • Functions • location and layout • staffing pattern • Organogram • OPD charge • OPD time Chapter 4 • Introduction of Emergency Department • Objectives • Functions • Organogram • Staffing patterns • Location and layout • Statistics of ED.
  5. 5. Chapter 5 • Introduction to Medical Record Department • Objective and Function • Content of MR/Types of data • Location • Staffing pattern and work flow • Finding and critical observation • Conclusion
  6. 6. Chapter One Introduction Hospital is multi-facet complex organization composed of various multi skilled professionals, sensible services with the use of sound technology and high level managerial capabilities. According to WHO According to WHO (1951) ”Hospital is defined as an integral part of a social organization , the function of which is to provide for the population complete healthcare, both curative and preventive, and whose outpatient services reach out to the family in its home environment, the hospital is also a center for the training of health workers and bio social research”.
  7. 7. Objectives of the study 1. General objective • Develop managerial skills in hospital • Figure out operational level functions and challenges 2. Specific objective • To study the nature of services being rendered to people through medium of ER,OPD and MRD • To enlarge the managerial competency. • To identify the hospital administrative problems and solution
  8. 8. Methodology • observation with the administration and the hospital staffs with the motive of learning the best practice towards delivery of health care and hospital management system. • Several tools and techniques were used for comprehensive management practice study.
  9. 9. Data Collection: 1. Primary data: i. Observation in ED, OPD and MRD ii. Consulting with the Hospital Director, Administrator, Department In charge iii. Interview with the incharge of each department ED, OPD v. Queries with the patient and patient parties and their feedback about the health care services being rendered to them. 2. Secondary data: i. Hospital statistics ii. Hospital brochure, website iii. Medical records and annual reports v. Reports and reference books regarding hospital management
  10. 10. Scope • The practicum is motivated at learning the managerial practices, hospital activity to enhance knowledge in the managerial aspect. • It helps to increase managerial skills and practices so that management practices being adopted by particular organization could be studied well along with internal strength and weakness external opportunities and threat • It is also useful to research personnel for future research useful to student as reference increasing their knowledge and skill
  11. 11. Limitation of study • The study was limited to the management aspect of an individual health care organization and few depart only which cannot be generated to other organization. • time duration is not sufficient for internship. • The confidentially problem of the hospital and syllabus focused by university most of the things are not allowed to keep in this report.
  12. 12. Chapter Two Organization under study History • IFCH was registered under cooperative organization “Bal Maitri Samudayik Sahakari Sanstha” on 27th Kartik 2065 BS (12th Nov 2008 AD) as a specialized 50 bedded pure pediatric hospital by the group of medical professionals. It is the first pediatric community hospital of Nepal. Promoters • Full responsibility given to Dr. Shanta Chandra Shakya Management under : Managing director- Dr. Shanta Chandra Shakya (MD, MS, Phd, Er)
  13. 13. Location of IFCH
  14. 14. Philosophy / Vision and Mission “ The Best Care For Your Child” • to provide quality health facilities to children of different part of the country “ Working together we provide better health care to your children”. • Location: • In between the Police hospital and Kanti Children’s Hospital Staffing Pattern • Three shifts for all doctors and health workers; 6 hours duty (Morning: 7am- 1pm, Evening: 1pm-7pm) & Night (7pm-7am) Services rendered: • Pediatric General, Emergency, Intensive , Immunization, nutrition center and Dot’s Clinic facilities
  15. 15. International Friendship Children’s Hospital (IFCH)
  16. 16. Future Plans: • Upgrading and expansion of the IFCH as per the requirements. • Educational programs. • To be actively involved as a health related research center. • Build own building for hospital and college and its specialized branches to all over the country. • Participate in children health program with national and international child health related communities.
  17. 17. Chapter Three ` Outpatient Department Introduction of OPD • a part of the hospital with allotted physical facilities and medical and other staff in sufficient number with regularly scheduled hour, to provide care for the patients who are not registered as inpatients. • It is a stepping stone for health promotion and disease prevention. • It acts as a filter for inpatient, help to use hospital bed efficiently and help to earn significant income for hospital. • It can be taken as shopping window of hospital or first contact of care.
  18. 18. Objectives • To provide general medical services to outpatients on scheduled/unscheduled basis. • To provide Preventive, Promotive, Curative and rehabilative services. • Rehabilitative (Physiotherapy, Restorative services) • Follow of discharged patients, chronic illness. • Children welfare services/counselling. • Necessary Immunization. • Health education. • Nutritional care. • Medical Nursing and Paramedical education. • To establish good impression of the hospital to the general public.
  19. 19. Functions • Early diagnosis • Effective treatment on ambulatory basis. • The admission or referral for admission. • Vaccination, Immunization • Nutrition • Medical rehabilitation. • Promotion and health of the individuals. • Training and research. • Proper record keeping. • Screening and investigation for admission to hospital.
  20. 20. Location • The registration desk of OPD is located at the ground floor of the main building which is next to the entrance gate. • It is easily accessible and near to diagnostic . • The clinics, Radiology and other departments are left of the registration desk and also in first floor. • X-ray room is located to the Right straight corner of OPD entrance. Laboratory room is located in the first floor . • Likewise ECHO, EEG, ECG, USG, and Physiotherapy are at other sides of OPD room and which well designed .
  21. 21. Services: • Pediatric: » Medicine/Surgery » Neurology » Orthopedics » Cardiology » Nephrology » ENT » Ophthalmology » Dermatology » Dental » Psychotherapy » Physiotherapy
  22. 22. Medical Director OPD Incharge Registrar Consultants Organogram of the OPD Medial Officer
  23. 23. Staffing Pattern In Medical and Surgical OPD, one doctor is available all the concerned time. The other OPD services are made on call basis and the schedule appointments. OPD charges: Private OPD Rs 450 General OPD Rs 195 Special OPD Rs 675 (for foreigners) OPD time: 7:00 am to 9:00 pm. Emergency OPD : On call services
  24. 24. Chapter Four Emergency department Introduction EMERGENCY’ is a condition determined clinically or considered by the patient or his relatives as requiring urgent medical or allied services failing which it hold result in loss of life or limb. Emergency is an illness or injury for which the patient requires/desires the immediate attention of a clinical person.
  25. 25. Objectives • To provide treatment for cases requiring emergency measures. • To complete official procedures of medical record. • To be available as an information center for the emergency medical question of the community. • To provide immediate relief and management of accident victims, providing first-aid treatment of minor injuries as well. • To provide well organized services during the disaster situation. • To deal with ethical and medical problems that can arise in an emergency room. • To refer the cases to the specialist after proper screening. • To maintain effective communication and coordination with all department. • To manage medico-legal cases as per requirement.
  26. 26. Functions • Collection of casualties. • Community oriented infant and child health services. • Education, training and research activities. • Emergency diagnostic services and Information center. • Liaison with the policies and local authority in case of medical-legal cases. • Provide emergency medical care and facilities. • Referral center for admission and other center. • Early detection, reporting and response. • Transfer to required specialists.
  27. 27. • Staffing Pattern • Emergency department have qualified and experienced doctor, nurses and auxiliary staff. ER department consists of • Registrar 1 • Medical officer 1 • Staff nurse 2 • Ward Attendant 1 • Security 1 Total 20 staffs Duty hour is from 7am to 1pm (morning shift), 1pm to 7pm (evening shift), & 7pm to 7am (night shift). In each shift, it consists of 4-5 staffs.
  28. 28. ER Consultant ER Incharge Medical Off Staff Nurse Organogram of the Emergency
  29. 29. 0 500 1000 1500 2000 2500 3000 3500 4000 2068 2069 2070 ER Patients ER Patients
  30. 30. Finding: • Emergency is easy to access with ambulatory structure. • Round the clock emergency services. • Least cost with Medical officer visit to treatment. • Based on digital and manual recording system. • Pharmacy, Laboratory, Radiology at door service. • Good Communication, security services, available trolly, stretcher, lift etc • Emergency cases are RTA, Pneumonia, fever, RTI etc • 24 hours of ambulance services. • Located at ground floor for quick receive of emergency patients.
  31. 31. Critical Observation • There is no Triage system available emergency due to lack of area. • Less number of beds for emergency observation care. • No Medical Record, Cash, Inquiry, Laboratory stations are closely available. • Small area of lift, no ramp is available. • Patients are needed to carry for radiological services. • No waiting room for patient’s party. • No area in treatment at mass casualties. • No isolation room, plaster room, available. • No enough number of baby cot.
  32. 32. Chapter 5 Medical Record Department Introduction: • A medical record or health record in general is a systematic documentation of a single patient's long-term medical history and care. • According to B.M Sakharkar, “MR is simply defined as a systematic documentation of a patient’s personal and social data, history of his or her ailment, clinical findings, Investigations, diagnosis, treatment given and an account of follow up and final outcomes.”
  33. 33. Objectives • To provide quality and effective treatment and care to patient. • To serve as means of communication between the physicians and the entire professionals group contributing to the care of the patient. • To provide detail history of the patient. • To save time, effort, and money. • To help in auditing purpose. • To evaluate the hospital performance. • To help for teaching, research and training purpose. • To act as legal proof for patient, physician, institution, health authorities and so on. • To avoid unnecessary duplication of diagnosis and treatment.
  34. 34. Functions: • Patient registration. • Booking of appointments and initiation of medical record. • Filing, custody, storage, prompt retrieval, file track in/out, issues and transport of patients files to clinics and wards, collection of the files promptly ate patient disposal. • Issues and transport of patients files to clinics and wards. • Collection of files promptly after patients disposal • Ensuring confidentiality of patient’s data. • Reporting births and deaths, and notifiable disease to state health authorities. • Storage of medico-legal data and evidence, liaison with police. • Issues of birth/death notification certificates, medical reports, coordination and release of sickness and medico-legal certificates. • Providing data for infection control, risk management, medical audit, quality assurance, utilization review.
  35. 35. MRD Location and Layout
  36. 36. MRD Staffing Pattern Staffing Pattern MRD incharge :1 MR staff : 1
  37. 37. Findings • OPD and emergency medical files, folders and registers are provided to MRD at end of every month. • Files are submitted to MRD every day after discharge from wards. • Medical records are manually and digitally stored. • All available files are categorized at monthly basis. • Files and folders are stored after the payments are made.
  38. 38. Critical Observations • There is less available staffs at MRD during office hours. • Medical records are not systematically stored. • Lack of adequate space for MRD. • No specific orders of files and folders. • Medical records are retrieved with the reference of report submitted to District Public Health office. • No enough physical resources for handling, retrieving and disseminating final report. • No cross check and analysis of duly record handling system.
  39. 39. Conclusion • IFCH in fully functioning Pediatric Hospital. • It is Nepal first cooperative children’s hospital. • Equipped with essential life saving features. • Based upon children affordability prices. • Run with International donation and free bed charity ward. • Immunization, Nutrition Home, Mother’s Room, Visitor’s Room available facilities. • Dedicated, specialized and experience manpower. • 24/7 pediatric medicine and surgery facilities with ambulance service. • Focused on hygienic and children friendly environment with playground and playroom.
  40. 40. References: • Sakharkar B.M. . “ Principle of Hospital Administration and Planning” • Kaini B.K, “Principles of Hospital Management” • Brochure of International Friendship Children’s Hospital • Hospital Practicum Report “National Open College”
  41. 41. Any Queries..

×