Current Store Status of Medicines & Surgical Consumables

  Inventory of Stocks & Consumables As on 21-06-2012   

 Bhagwan Mahavir Hospital

Pitam Pura, Delhi-110034.

 Number of Beds available                                                           250

Address                                                                                 H-4,5 Pitam Pura, Delhi-110034

 Location on City map                                                        Near Pitam Pura Club,

                                                                                                 Near Keshav Maha Vidhyalaya,

                                                                                                 Near Apeejay School

 Bus Routes                                                                           D.T.C. Bus No.  85

                                                                                                 Metro feeder Bus (Budh vihar to Netajee subhash Place, West Enclave to Kirti Nagar)

Name of Medical Superintendent

Dr. Ashok K Dang

Name of P.R.O. / Grievance Redressal Officer

Dr. Sushma Kaura

Contact No. of PRO/Help Desk/Hospital information

27033947

Fax No.

27034540

Contact Email

msbmh-dhs-delhi@nic.in

List of Senior Resident and Junior Resident working in BMH

Click here

Vision Statement

“Sarve Santu Niramayah”

 The vision of the hospital is to provide quality health services in all the specialties in a harmonious atmosphere to every section of society especially the under privileged through this 250 bedded multi specialty hospital, whereby quality to be ensured by close monitoring, constant feedback from the people and regular CME’s for the staff, well equipped library & yoga work outs.

Patients have rights at par with any other medical institution, to get best possible treatment in the hospital and to get information regarding his ailment. He has a right for privacy/confidentiality about his disease to be maintained.

Hospital is responsible for providing quality medical services to people in its catchment area and ensuring that basic amenities listed below are available :-   

·      Clean and hygienic environment

·      Potable water

·      Clean toilets

·      Comfortable sitting arrangement

·      Adequate illumination

·      Proper signage system

·      IEC activates for patients and visitors through all possible means

Above all the courteous behavior of staff is very important.

     Responsibility of patients

 Rights & responsibilities go hand to hand. Along with the rights, the patients should be aware of their responsibilities without which the hospital authorities would not be able to deliver the desired services successfully :-

·      The patient should follow the directions & instruction given to them meticulously.

·      They should maintain decorum of the hospital by following various instructions issued to  them.

·      Patient should be sensitive towards maintenance of hygiene & discipline in hospital.

·      Patient should understand the constraints faced by hospital authorities & cooperate to maintain cordial atmosphere.

·      Patient should facilitate the smooth functioning of hospital services rendered in their interest.

·      Healthy feedback/suggestions are always welcome as they help in improving further.

 Disclaimer

The hospital is not responsible to any loss or damage to any property or belonging of patient. They are advised not be keep valuables with them in the Hospital.

      Although complete care has been taken to provide true, complete & updated information on this Hospital website but hospital do not take any responsibility for any error in the contents of the website.

Services Available

Out Patient Services

 Medicine,

 Pediatrics,

 Gynecology & obstetrics,

 Surgery,

Orthopaedics with Physiotherapy,

 ENT,   

Ophthalmology (Eye),

Dental &

 Dermatology(Skin),

Homeopathic,

Ayurvedic,

Unani

Unaninani

     Immunization services: -

 Room no 202 & 207, 9.00AM to 4.00PM on Wednesday &Friday

Preventive health checkups for outsourced staff including ancillary services    (Kitchen, Housekeeping, Laundry, Security, Nursing Orderlies)

Special Clinics

Medicine:

1.                   Diabetes: Monday/ Wednesday. 1.30 pm to 3.30 pm

2.                   Chest Clinic: Friday 1.30 pm to 3.30 pm

              Pediatrics :

1.                   Well baby clinic : Wednesday. 1.30- 3.30 pm

2.                   Nutritional Clinic: Monday 1.30- 3.30 pm

LAB SERVICES

INVESTIGATIONS

  HAEMATOLOGY

    - Complete Haemogram ( Hb, TLC, DLC, ESR)

    - Peripheral Smear, M.P., AEC, platelet count

    - BT.CT, PT, PTTK, INR

    - Blood Grouping (A B O, Rh.)

     - COOMS TEST,

    - Glycosylated Hemoglobin,

   BIOCHEMISTRY

1        Blood Sugar, GCT, GTT

2        Kidney Function Test (KFT)

        - Blood Urea

        - Serum Creatinine

         -Serum Uric Acid

3        Liver Function Test (LFT)

        - Serum Bilrubin

        -SGOT

        -SGPT

        -Serum Alkaline Phosphate

4        Lipid Profile (Serum triglycerides, HDL, LDL, VLDL)

5        Serum Cholesterol

6        Total Proteins

7        Serum Albumin

8        Serum Electrolytes

9        Serum Amylase

SEROLOGY

10        RA Factor, CRP, ASO

11        VDRL

12        HBsAg, HCV

13       Serum Widal test

14        Thyphi Dot

15        Dengue Serology

16        Malaria Serology

17        PCT (Pro Calcitonin)

18      TORCH Profile

19      ANA Profile

HIV Counseling with Testing

ROUTINE & MICROSCOPIC EXAMINATION: - Urine & Stool

UPT (Urine Pregnancy Test)

FINE NEEDLE ASPIRATON CYTOLOGY (FNAC)

on TUESDAY & THURSDAY

CYTOLOGY 

Pleural Fluid, Ascitic Fluid , CSF, Synovial Fluid- Daily

PAP smear examination

SEMEN EXAMINATION                                              

Only on WEDNESDAY

   MICROBIOLOGY

     Blood Cultures, Pus Culture, Wound culture

     Urine Cultures, Fungal culture

     Other Cultures (Body fluids)

RADIOLOGY

Routine

X-Ray

Ultrasound (Charged Rs. 50/-)

Color Doppler

 Special investigations

IVP

Sinogram

HSG

USG guided procedures (Charged Rs. 50/-)

PHARMACY

 Medicines are available free of cost in routine hours. All drugs in essential list of CPA are available. Separate counters are there for Senior citizens and Disabled.

Physiotherapy

Well Equiped physiotherapy department with various modalities like Diathermy, Ultra Sound, Hot Packs, Wax Bath, CPM, Infra Red, Muscle Stimulator, Exercise equipments for Physio & Occupational Therapy are available. Training for Spastic Children

Indoor Services

250 Beds along with  Labor Room, Nursery, ICU & Emergency services (including Operative)

Operative Services

 Well-equipped operation theatres are available and all major & minor surgeries are done in Orthopaedics (Trauma surgeries, Joint Replacement, Spine surgeries, Arthroscopic surgeries) , Surgery, Obs   & Gynaec, ENT & Eye.

EMERGENCY services

Are available round the clock in all major specialties with operative facilities available

Fracture clinic

runs in Room no. – 4 on all working days.

Intensive care unit (ICU)

a well equipped 10 bed ICU is fully functional  

We have one ambulance used for transporting the referred patients. CATS ambulance service are available.

BLOOD STORAGE UNIT

Functional Blood storage unit

POST OPERATIVE WARD

Fully functional 16 bedded post operative ward

Disaster Management Service

Disaster management team is ready with facilities  necessary to combat/ tackle roughly 20 causality at a given point of time. This can be done with minimum lag period. Regular drill exercise are conducted for keeping disaster management team updated.

Bio Medical Waste

 is the waste generated in the hospital as a result of patient diagnosis treatment or investigation of human beings/ animals.  Necessary equipments are available at the work stations for proper management & segregation of biomedical waste. (Needle Destroyer, Segregation bags, Colour Coded bags, Transport Trolleys/ Wheel barrows)

 Bio Medical Waste is stored in a separate waste storage room, handed over daily to the  CTF operator for final treatment & disposal. Record regarding quantity of Bio Medical waste handed over daily to the CTF  operator. Records are properly maintained.  Time to time training is given to Medical/ Para Medical staff regarding handling & management of Bio Medical Waste.

DOTS Services & Malaria

are functional at the hospital.

Homeopathy UNANI and Ayurvedic

Services with free drug distribution

Outsourced services

Housekeeping, Security, Nursing orderlies, Laundry, Kitchen

List of Services not available in Hospital

Full-fledged Blood Bank, CCU, Mortuary & Super Specialty service.

Organization Chart

 No. of Doctors                               124

No. of Nursing Staff                      125

No of Technical Staff       

(Including Pharmacist

& Paramedical Staff)                    46

No of Ministerial Staff                  16

No of Ancillary staff                      65

(Data as on 1^st Dec 2011)

Osteoporosis

Disease of old age

(Contribution by Orthopaedics Deptt.)

Ques :- What is Osteoporosis?

Ans   :-  Osteoporosis means decrease in the Bone density. Weakness of bones and increased

              risk of fractures.

Ques :- What is the use of measuring Bone density?

Ans   :- Density as we all know is mass/volume. So is the bone density. With decrease in bone density, chances of having fractures are increased.

Ques :- Why this diseases  wants public awareness?

Ans   :- As such public should be aware of common disease. This has been declared by WHO, the disease of decade, Osteoporosis has gained popularity in the present era because of the following factors-

i)                   Increasing population (old age population)

ii)                 Fractures leads to morbidity.

iii)               Fractures can be prevented to an extent.

Ques :- Why osteoporosis occurs?

Ans   :-  This is a part of aging. Bone is a dynamic tissue that is bone is continuously remodeled. Up to the age of 30 years the bone mass(weight) increases, 30-40 years the bone mass remains static. After the age of 40 years the bone mass starts decreasing. That means the bone density decreases.

Ques :-At what rate osteoporosis occurs?

Ans   :- The usual rate of osteoporosis after 40 years is at a rate of 0.3 to 0.5% per year. However the rate rises sharply after menopause in females & in both sexes after the age of 70 years.

Ques :- What is the symptoms of this disease?

Ans   :- The main symptoms are

a)     In early stages the patient is asymptomatic.

b)     The Patient  presents with pain in limbs & back (Bony pains)

c)      Other symptoms are bony deformities & pathological fractures.

Ques :- What fractures are common in osteoporosis?

Ans  :-  The following fractures are common:

a)     Spine fracture (Back bone)

b)     Fracture of femur (Thigh bone)

c)      Fracture of distal end of radius (Fore arm bone)

d)     Fracture in proximal humerus. (Arm bone)

Ques :- How osteoporosis can be diagnosed?

Ans  :- The osteoporosis can be diagnosed on X-rays. But X-ray can diagnose when at least 30% of the skeleton mass has been lost.

Ques :- Is there any better method to diagnose osteoporosis?

Ans  :- The gold standard for diagnosis of osteoporosis is DEXA scan (Bone densitometry ) (Dual energy X-ray absorptiometry)

Ques :- What is DEXA scan?

Ans  :- This is an non-invasive test. In DEXA scan the bone density is taken by using small doses of X-rays. This density is then compared with pre fed values. The values less then-2.5SD from normal is called osteoporosis.

Ques :- Osteoporosis is age related condition. Should it be treated?

Ans  :- Yes, it should be treated. Although the process of decreasing bone density can not be halted but the rate can be altered.

Ques :- What is the treatment?

Ans  :- Treatment involves two parts:

-          Prevention of fractures.

-          Medical treatment to increase Bone density.

Ques :- How fracture can be prevented & what is the medical treatment?

Ans  :- I)  By prevention we means, the rate of fractures due to osteoporosis can be decreased. The following measures should be taken by senior citizens:

a) Avoid walking on wet surfaces.

b) Keep wash rooms dry.

C) Use railing in wash rooms.

d) Avoid going out in low illumination.

e) Regular eye check-ups (for cataract & other conditions)

f) use walking stick if required.

g) Avoid walking on irregular surfaces.

II) The various drugs are available for the treatment of osteoporosis. These drugs should only be taken under medical supervision. Kindly visit your nearest medical centre/orthopedic surgeon for the treatment.

CATRACT

Cataract is the most common cause of blindness prevailing in India

(Contribution by Eye Deptt.)

Ques :- What is cataract? (Safed Motiabind)

Ans  :- Any opacity of lens is called Cataract.

Ques:- What are the causes of Cataract?

Ans :- 1. The common cause of Cataract is ageing

2. Systemic ailments: HTN, DM

3. Excessive drug intake: OCP’s, Steroids,

4. Trauma

5. Malnutrition

6. Exposure of UV radiation.

7. Idiopathic

Ques :-What are the complaints of patients?

Ans  :- Patients will complaint of gradual, progressive, painless loss of vision which may or may not be associated with colored halos of light the subject should consult ophthalmologist for  necessary intervention.

Ques:- What is the treatment of Cataract?

Ans  :-The treatment is only surgical. No conservative/medical treatment help in removing Catract.The mode of treatment is surgical by removing the opacified lens & replacing it with artificial intraocular lens. The latest procedure is known as phaco emulsification in which high energy is used to emulsify & aspirate natural opaque lens.

Ques:- What advantage of phaco over conventional procedure?

Ans  :- 1. Small incision

2. Suture less Surgery

3. Post-Op recovery is fast.

Ques:- What are Pre-Op investigations?

Ans  :- 1. Systemic:-To R/O Systemic ailment is:

HTN

DM

BA

Or any other cardiac ailment

2.Occular :- YA &BCVA

Intraocular pressure

Status of Anterior segment/retina

Ques:- What are the medication used after post-op period?

Ans  :- a. Requires use of steroids & antibiotics

b. Personal hygiene to be maintained.

Family Planning (Contraception)

(contribution by Gynae & Obs. Deptt.)

     The population of India is growing at alarming proportions. Latest population growth estimates state that 4 babies are born every minute in India. This growth is putting a heavy strain on the national health, social and economic resources. Hence there is an urgent need for increased contraceptive awareness to curb this growth.

     There are several methods of contraception available today. These can be tailored to the needs of the couple desiring contraception. In the ‘Cafeteria Approach’, various contraceptive methods and their advantages/disadvantages are explained to the eligible couple. The final decision regarding the choice of contraception is made by the couple as per their convenience.

     Most commonly utilized methods at present are:

1. Barrier contraception                – Condom (Nirodh0
2. Oral Contraceptive pills              – Mala N
3. Intrauterine devices                   – Copper-T
4. Permanent sterilization methods   – Vasectomy

                                                -  Tubectomy

    Frequenctly Asked Questions (FAQs ) pertaining to the above and their answers.

1. Barrier Contraception

Ques:- What is a Condom/Nirodh?

Ans  :- It is a barrier device made of latex rubber to be worn by the male partner during coitus.

Ques:- What are the benefits of Nirodh?

Ans  :- Benefits of Nirodh:

-          Protection from unwanted pregnancy

-          Easy to use and dispose

-          Easily available with family planning departments of all government hospitals

-          No ill effects on male/female partner

Ques:- What are risks with Nirodh?

Ans  :- Risks with Nirodh

-          Single use; can’t be reused

-          Chances of failure due to rupture/slippage are high

-          Some males complain of decreased sensation with use of condom

2.Oral Contraceptive pills

Ques:- Type of pills available in the market?

Ans  :- Type of pills available in the market:

-          Mala N – Available free of cost at all Govt. hospitals

-          Mala D – Available at 1/10^th price of other pills

-          Emergency contraception

Ques:- Method of use?

Ans  :- Mathod of use :

-          Pack of 28 tablets, containing 21 tablets of combined pills for the 1^st 21 days of the cycle and 7 tablets containing iron-folic acid for the last 7 days of the cycle.

-          To be started from the 1^st-2^nd day of menses and one tablet to be taken daily

-          Post MTP – from day 1 or within the 1^st week

-          Post pregnancy – after 6 months of delivery

                                      -  not used in lactation

3. Intrauterine Contraceptive Device:

Ques:- What is a Copper-T?

Ans  :- - It is a plastic T shaped device impregnated with copper which acts a

               contraceptive

-          Copper-T 380 A (Life span 10years) is available at all Govt. hospitals free of

        cost.

Ques:- What is ideal time of insertion?

Ans  :- Ideal time for insertion:

-          Post menses Day 3-Day 5

-          Post MTP – within 2 weeks of 2^nd trimester MTP

                       - immediately after 1^st trimester MTP

-          Post delivery – After onset of menses or 6 weeks postpartum whichever is earlier

Ques:- What is place of insertion?

Ans  :- Places of insertion:

-          All Govt. hospitals

-          Primary health centers

-          Sub centers

-          Community health centers

Ques:- Who can use a Copper-T?

Ans  :- Women with 1 child who do not desire a second child or wish to space the childrens

Ques:- When to remove or lifespan of device?

Ans  :-   - Copper-T 380A – 10 years

        - Copper-T 200B – 3 years

        - Multiwad250 – 3 years

        - Multiwad375 – 5 years

Ques:- What are the advices after Copper-T insertion?

Ans  :- Advices after Copper-T insertion:

-          Lady should be able to feel threads

-          To follow up after menses every 3 months to check threads, if intact

-          To report to the nearby health center if:

                     -Threads not felt

                     - Heavy bleeding

                     - Severe cramping pain in abdomen

4.Permanent sterilization

Ques:- What are the method available?

Ans  :- Method available:

-          Male – Vasectomy

-          Female – Tubectomy[(Post partum, Interval (Post menses), Laparoscopic]

5.Emergency Contraception

Ques:- What is “E” Contraception?

Ans  :- “E” Contraception:

-          Method of contraception used in case of unprotected coitus when an accidental pregnancy is anticipated.

-          Can also be used when standard methods fail.

Ques:- What are the methods of use?

Ans  :- Method of use:

-          To be taken within 72 hours of unprotected coitus

-          1 tablet to be taken immediately followed by 2^nd tablet 12 hour later.

Immunization

 (Contribution by Peads Deptt.)

- Infectious disease can be prevented through immunization

- Diseases preventable only by immunization:

Poliomyelitis, Diphtheria, Measles, Tetanus, Rubella, Peruses, mumps, H. influenzae, Chicken Pox, Hepatitis-B, Meningococcal, Meningitis (A&B Serotypes)

- National Immunization Schedule

Birth               - BCG, OPV, Hep-B

6 Weeks         - DPT 1, OPV 1,Hep-B

10 Weeks       - DPT 2, OPV 2,Hep-B

14 Weeks       - DPT 3, OPV 3,Hep-B

9 Month          - Measles

15 Month       - MMR

18-24 Month  - DTP & OPV 1^st booster

2 Year             - Typhoid

5 Year             - DT

10Yr & 16 Yr - TT

- Following are not contraindicated for administration of vaccines:

1. Mild acute illness
2. Low grade fever
3. Mild diarrhea
4. Pre maturity
5. Malnutrition
6. History of allergies