Z

INSTITUTE OF MANAGEMENT
STUDIES
DEVI AHILYA VISHWAVIDYALAYA, INDORE

PROJECT ON : General Orientiation at

APPLE HOSPITAL , INDORE

SUBMITTED TO: SUBMITTED BY:

KESHAV NAGALKAR
BBA (HA) IV th SEM.

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DECLARATION

I Keshav Nagalkar, student of Bachelor of Business

Administration (Hospital Administration) at INSTITUTE OF
MANAGEMENT STUDIES D.A.V.V. Indore, declare that the report
entitled “GENERAL ORIENTIATION” at APPLE HOSPITAL, Indore, record of
my original work done by me under the guidance of MUSKAN
PATHAK MAM and SWATI UPADHYAY MAM.

This entire project is my own, authentic piece of work, wherever

experts have been taken from other document the same has been
duly acknowledged at the end of this work. The Entire Data, figures
And Information Mentioned in the project belongs to Apple Hospital .

I also declare that I will not Share /Misuse /Disclose the Data,
Records and information collected /gained during the training
period from the Hospital.

Date: Keshav Nagalkar

Place: Indore BBA (HA)
IV th Semester
Signature Roll No. 69434

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AKNOWLEDGEMENT

Any Job in this world, however trivial or tough cannot be

accomplished without the assistance of others. I would hereby take this
opportunity to express my sincere indebtment to people who have helped me
to accomplish this task.
I would like to sincerely acknowledge my deep thanks to, Dr.
Piyush Krendulkar, Head of Department Hospital Administration, Institute
of management studies and Dr. Nishikant Waikar, Administrative Officer,
Institute of management studies.

I would like to thank Mr. Anupam Sahay, Managing Director, of

APPLE HOSPITAL, Indore, for providing me the opportunity to work in this
organization.
I am thankful to Dr. Sanjay Rathore, Medical Superintendent of
APPLE HOSPITAL , Indore, for his support during my internship.

Further, I would like to thank Miss. MUSKAN PATHAK and Miss. Swati
Upadhyay , APPLE HOSPITAL, Indore, for for their guidance, immenseful support
and valuable advice and also I convey my sincere thanks to the staff of the
hospital that supported me in routine activities required for completion of
project and spared their precious time for guiding me in respective field of
concern.

Preparing this project report has been an enlightening experience for

me as I have added much to myself in knowledge as well as experience. I
cannot afford to forget the invaluable support provided by colleagues in
completion of this project. My hearty gratitude to all those people who
knowingly or unknowingly supported me and boosted my morale to make this
project a reality.

Place: Indore (M.P.) KESHAV NAGALKAR

Date: 05/04/2021 BBA (HA)
IV th semester
Roll No. 69434

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CERTIFICATE

This is certify that this project report entitled “GENERAL ORIENTATION .” At

Apple Hospital , Indore, has been prepared at our organization by Keshav
Nagalkar student of Bachelors of Hospital Administration IVTH semester, of
Institute of Management Studies, DAVV, Indore.

This project is the result of her authentic work, the standard of which is
coherent with expected outcomes for the successful completion of the project.

To the best of my knowledge this project is the original work of the

candidate and it has not been submitted in any other university or institution
for award of any degree.

The duration of training was 30 days.

During his training he was found to be sincere and hard working.

I wish his success and hope. He will works for use the knowledge gained
during his term at Apple Hospital, Indore for the future endeavors.

Date: 05/04/2021 Mr. Anupam Sahay

Place: Indore (Managing Director)
INDEX
S.NO. PARTICULARS PAGE NO.

1. Declaration

2. Acknowledgement

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3. Certificate

4. Introduction of hospital

5. Specialities and Services

6. Departments list

7. Infrastructural Information (Floor wise)

GENERAL INTRODUCTION OF
APPLE HOSPITAL

APPLE HOSPITAL IS A MULTI-SPECIALITY HOSPITAL , AND ONE

OF THE LEADING HEALTHCARE SERVICE PROVIDERS IN CENTRAL INDIA.
IT IS LOCATED IN INDORE, MADHYA PRADESH.

It is incorporated under the status of the company “Friends Unity Hospital &
Research Centre”. The healthcare verticals of the company primarily comprise of
diagnostics & day care speciality facilities.

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A Quick Glance:
 Located in a popular area of Indore, accessible by road & train.
 7 floors with 153 beds.
 2 floors dedicated to ICU & NICU.
 6 fully-equipped, well-maintained Operation Theatres.
 250+ full-time employees.
 48+ skilled doctors – pioneers in their fields.

Vision :
To offer world-class healthcare services at affordable prices to Central India, and to
establish a foundation that humanity believes in for their health and well-being.

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Mission :
Trust : To maintain the trust we were built on by working together.

Care & Empathy : To cure our patients with care, empathy, & warmth by giving
them a comfortable environment.

Innovation : To continuously innovate, improve, and develop our medical facilities.

NABH Accredited:
Apple Hospital is now accredited by the National Accreditation Board for Hospitals
& Healthcare Providers (NABH), the highest recognition for quality patient care and safety
in India thereby joining the league of very few NABH Accredited Hospitals in Indore.

SPECIALITIES AND SERVICES

SPECIALITY DIAGNOSTIC SERVICES
1. Anaesthesiology 1. Cath Lab
2. Assisted Reproduction 2. Endoscopy
3. Cardiology 3. Dialysis
4. Angiography 4. Health checking
Angioplasty ,TPI & PPI 5. Radiology
5. Critical Care Medicine  X ray
6. Dermatology  CT
7. Diabetology  MRI
8. Ear Nose & Throat Surgery
 Ultrasound
9. Endocrinology &
Metabolism  Digital Subtraction Angiography (DSA)
10. Endoscopic Gynaecology
6. Laboratory
11. Gastroenterology and
7. Non interventional Cardiology
Hepatology
12. Gastro intestinal (GI)  ECG
Surgery  Stress Test (TMT
13. General And laparoscopic  Echocardiography
Surgery

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14. General Medicine  Holter Monitoring

15. Dental Department
16. Laboratory Medicine 8. Neurophysiology
17. Nephrology & Renal  EEG
18. Neurolog  EMG
19. Neurosurgery  NCV
20. Obstetrics and Gynecology
21. Opthalmology 9. CCT
22. Oral and Maxillofacial 10. Pulmonary Function Test
Surgery
23. Orthopedics, joint
Replacement and
Arthroscopy
24. Paediatrics and
neonatalogy
25. Plastic and Reconstructive
Surgery
26. Psychiatry
27. Rehabilitation Medicine
28. Rheumatology
29. Surgical oncology

SUPPORT SERVICES OTHER 24 X 7 SERVICES SERVICES NOT

FACILITIES AVAILABLE

1. Physiotherapy 1 Insurance 1. Emergency 1. Heart

2. Dietetic services and TPA medical Transplant
3. Housekeeping 2 MRD services/ 2. Renal
services 3 Linen and Casualty Transplant
Laundry 2. Critical Care 3. Liver Transplant
Department Unit 4. Nuclear
3. Neonatal and medicine
PediatricInten 5. Radiotherapy
sive Care Unit 6. Robotic surgery
4. Labour room 7. Open heart
5. Ambulance surgery
Facility

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DEPARTMENTS

1. PHARMACY
2.
RECEPTION
3.
EMERGENCY
4.
ADMISSION
5.
TPA/MEDICLAIM
6.
DISCHARGE/BILLING
7.
OPERATIONS
(transport, linen & laundry, housekeeping, security, maintenance)
8.
OPD (billing & coordination)
9.
HEALTH CHECK UP
10.
RADIOLOGY
–CARDIAC (echo, TMT,PFT)
-DIAGNOSTIC (CT,MRI, X-Ray,ultrasound))
11.
BIOMEDICAL ENGINEERING
12.
PHYSIOTHERAPY
13.
DIALYSIS
14.
ENDOSCOPY
15.
ICU
Medical
Surgical
NICU/PCU/STI
16.
CATH LAB
17.
CSSD
18.
PATHOLOGY
19.
ACCOUNTS
20.
MARKETING
21.
STORE/PURCHASE /SERVICE AREA
22.
MRD
23.
HR
24.
QUALITY
25.
IT
26.
- CUBICLE WARD
SEMI PRIVATE WARD
PRIVATE WARD
DELUXE /SUPER DELUXE
27.
Covid-19 Vaccination department

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Infrastructural Information:

-2 FLOOR
1. PHYSIOTHERAPY DEPARTMENT
2. CSSD (CENTRAL STERILE SUPPLY DEPARTMENT)
3. FIRE PLANT
4. WTP (WATER TREATMENT PLANT)
5. STP (SEWAGE TREATMENT PLANT)
6. PPE KIT CHANGING AREA
7. BIOMEDICAL WASTE AREA (NON COVID)
8. TWO WHEELER PARKING
9. ACCOUNTS DEPARTMENT1
10. TWO WHEELER PARKING

PHYSIOTHERAPY DEPARTMENT

The aim of Physiotherapy is to help restore movement and normal body function in cases
of illness, injury and disability & thus patients general wellbeing with the help of regular
exercise to maintain a good health.

Physiotherapy department help patients

 To develop and review treatment programmes , that encourage exercise and movement by
the use of a range of techniques.

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 Assist patients with joint and spinal problems to reduce pain & improve movement
 Help patient’s re-habiliation following accidents, injury and strokes.
 To keep up to date with new techniques and technologies available for treating patients .

COVID – 19 VACCINATION DEPARTMENT

Physiotherapy section at Apple hospital situated on 2nd basement is currently

used as Vaccination department under the supervision of Dr. Sanjay Rathore , medical
superintendent of Apple hospital.
Vaccination is done under the protocols determined by Govt. of India and all the
rules and regulations been strictly followed.

ACCOUNTS DEPARTMENT

The accounting department is responsible for recording and reporting the cash
flow transactions of a Hospital. This department has some key roles and responsibilities,
including accounts receivable, accounts payable, payroll, financial reporting, and
maintaining financial controls.

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CSSD (CENTRAL STERILE SUPPLY DEPARTMENT)

The central sterile services department (CSSD), also called sterile processing

department (SPD), sterile processing, central supply department (CSD), or central supply,
is an integrated place in hospitals and other health care facilities that
performs sterilization and other actions on medical devices, equipment and consumables;
for subsequent use by health workers in the operating theatre of the hospital and also for
other aseptic procedures, e.g. catheterization, wound stitching and bandaging in
a medical, surgical, maternity or paediatric ward.

Departmental Objective:

Central Sterile Supply Department (CSSD) at APPLE HOSPITAL, INDORE is

committed to the efficiency, economy & uniformity of sterile supply for the care of all
patients with aseptic techniques. The main aim is to supply the sterile medical devices to
the clinical areas at right time, right place and right condition.

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FUNCTIONS OF CSSD

 Receiving and sorting soiled materials used in the hospital.

 Determining whether the item should be reused or discarded.
 Carry out the process of decontamination or disinfection prior to sterilization.
 Carry out specialized cleaning of equipments and supplies.
 Inspecting and testing instruments, equipments and linen.
 Assembling treatments trays, instrument sets, linen packs, etc.
 Packing all materials for sterilization.
 Sterilizing.
 Labeling and dating materials.
 Storing and controlling inventory.
 Issuing and distributing.

SOME CSSD EQUIPMENTS:

Ultrasonic Cleaner

Thermal Drying

Rotary sealer
This is kept in the preparation (packaging) area. It is used for sealing the
individual packed items.

Steam sterilizer (Autoclave)

It is used to sterilize the heat resistant items.

Ethelene oxide gas sterilizer (ETO)

It is used to sterilize the heat sensitive items.

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-1 FLOOR / Ist Basement

1. STAFF PARKING

2. CHILLER PLANT

3. STAFF ENTRY

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GROUND FLOOR
1. RECEPTION
2. EMERGENCY/CASUALTY
3. PHARMACY
4. OPD 1-5 /
ADMINISTRATOR GM, FACILITY MANAGER, COOPERATE DESK, PRO PUBLIC
RELATION OFFICER
5. MEDICLAIM AND BILLING
6. MANDIR
7. ATM

RECEPTION
Reception is the first point of call for all patients, visitors, carers and members of the
public visiting the hospital. Members of staff are happy to help with any enquiry that you
have about the hospital and its services.

Some enquiries they can assist with are:

 Directions to all areas of the hospital site

 General enquiries including patient or telephone enquiries

 Car parking validations (NOT complaints) – relevant documentation is required

 Accessing services
 Limited lost property enquiries
 Out of hours Staff residence accommodation

The reception area should have all the information pertaining to the
hospital and public services. This includes information regarding facilities, cost of
treatment and procedures, name of the physicians and surgeons, and duration of hospital
stay for all available treatments and problems, queries related on medical record number
and room number of inpatient. The receptionist should also be familiar with the timings for
buses, trains and airways . A guide map of the places of interest to see in the city can also be
kept for patients guide.

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EMERGENCY/CASUALTY

The main function of an emergency department, or ED, is to treat patients who are
suffering from an acute serious illness or injury that would lead to severe complications if
not treated quickly. The ED is not designed to provide ongoing care. Patients requiring
urgent attention will always be seen first.

Treatment in the ED is based on clinical need and not your financial situation or
whether you have health insurance. Most emergency departments are very busy and treat
thousands of patients each year. Patients are treated in order of medical urgency, not
necessarily in order of arrival. Care is delivered to all patients regardless of culture, beliefs,
conscientious convictions, sexual orientation or disability and privacy will be respected at
all times.

To ensure the sickest patients are seen first, a sorting mechanism called triage (to sort)
is used to categorise patients. Triage is performed by an experienced triage nurse and
occurs very soon after arrival. The triage system is in place in all hospitals throughout
Australia. The activities of our emergency departments are reviewed regularly as a part of
the Area's commitment to providing quality care and skill, in keeping with recognised
standards, practices and ethics.

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Function of the Emergency Room

It is characteristic for an Emergency Room that the number of patients varies and
situations are unpredictable, thus the Emergency Room is crowded and it may take a long
time to get treatment.

If a patient is in danger of life or in imminent danger of life, he gets immediate treatment.

 First, we evaluate urgency of the need for care. We always treat the urgent and
emergent patients first based on our triage classification.

 We treat patients of several medical specialities, thus queuing times may

substantially vary.

 In addition to Emergency Room patients, our Casualty Officers treat patients in

wards, do emergency operations and procedures in other facilities as well.

 Patient information is recorded and read by using computers.

 We use an electronic patient record system, Mediatri®, which covers the patient
information of the province.

The Emergency Department of Apple Hospital is a purpose-built facility, for

people who need immediate hospital attention due to serious illness or injury.
Hospital provide a 24 hour, 7 day a week consultant-led service to the people of
Indore and surrounding communities.

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BILLING DEPARTMENT

The medical billing process is not undertaken by a single individual. Medical

coding involves front office administrators, such as receptionists, as well as back office
staff, including the medical biller and coder. It is important to understand every step of
this process if you intend to pursue a career in medical billing and coding. For the
purposes of this lesson, we will cover the end-to-end process of medical billing as a
whole, and not just the responsibilities of the biller and coder.

The primary job of medical billing specialists is to:

1. Understand each individual’s responsibility for payment, as they may

differ from patient to patient

2. Evaluate and analyze insurance coverage and medical charges,

and prepare accurate billing forms

3. Collect accurate payments from insurance plans and/or individual

Patients

The very first stage of a patient's appointment should include the notation of the
patient's demographic information as well as information about his/her insurance, such
as the insurance payer and policy number. Any information that will be useful and/or
necessary in a claim situation should be detailed at patient check in.

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MEDICLAIM

Even regular patients need to verify their insurance information and eligibility before
every appointment. Insurance information can change at any time, which is why you need
to ask patients before every visit if their insurance information has changed. A change in
insurance information can also impact benefit and authorization information, so it is
always worth the trouble of double-checking.

Responsibility describes who owes what for a particular doctor’s visit. Once the biller
has the pertinent info from the patient, that biller can then determine which services are
covered under the patient’s insurance plan.

Insurance coverage differs dramatically between companies, individuals, and plans, so

the biller must check each patient’s coverage in order to assign the bill correctly. Certain
insurance plans do not cover certain services or prescription medications. If the patient’s
insurance does not
cover the procedure or service to be rendered, the biller must make the patient aware that
they will cover the entirety of the bill.

Empanelled insurance companies

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1. New India assurance company limited

2. The Oriental insurance company limited
3. United India insurance company limited
4. National insurance company limited
5. HDFC Erogeneneral insurance company
6. Religare health insurance company
7. Star health and allied insurance company
8. Bajaj Alliane general insurance company
9. Chola mandalam health insurance company
10. Aditya Birla health insurance company limited
11. Future general health insurance company
12. HDFC ergo health Apollo Munich
13. SBI health insurance company
14. Edelweiss health insurance company
15. Royal Sundaram health insurance company
16. Liberty health insurance company

TPA INSURANCE COMPANY

a. Vipul medicorp TPA

b. Raksha TPA
c. MD India health insurance TPA
d. Medi assist India TPA
e. MED save health TPA
f. Heritage health insurance TPA
g. Health India TPA
h. Health insurance TPA of India
i. Paramount Health insurance TPA
j. Safe way TPA
k. Vidal health care TPA
l. Family health plan TPA
m. Good health TPA
n. Liberty health TPA

Ist FLOOR

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1. OPD 6-14
2. DEPARTMENT OF RADIOLOGY AND ADVANCED IMAGING
- ULTRA SOUND , ECHO,TMT,PFT
- CT SCAN
- MRI
- X-RAY
- BMD (BONE MINERAL DENSITY)
- EQUIPMENT ROOM A AND B
3. DEPARTMENT OF PATHOLOGY SAMPLE COLLECTION
4. DRESSING AREA
5. RECEPTION

OUT PATIENT DEPARTMENT

An OPD is a hospital department designed to be a first contact point between the patient
and the hospital staff. A Patient who goes first time to the hospital, he directly goes to OPD
and then the OPD decides to which department a patient should go.

Generally an OPD is constructed on the ground floor of any hospital and divided into
several parts like Neurology department,Orthopedics department, Gynecology department,
General medicine department etc. Here the patient completes all the formalities and then
go the respective department.

Outpatient: An Outpatient is the patient who is not hospitalized for 24 hours or more but
visits the hospital or clinic for treatment or diagnosis.

Problems In OPD

- Wild search of speciality OPDs by patients.

- Appointment jumping.
- Long waiting hours at each point of contact.
- Non-availability of reports of various investigations.
- Inadequate time given for each.
- Poor rapport or communication between doctors and patients.
- Non-availability of equipment and supplies.

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HR DEPARTMENT ( room no.

Human Resource Management

Most people think that a human resource department exists only to handle employee
issues. In reality, the function of a human resource department is more crucial than you
may think. A human resource management (HRM) department or team can contribute to a
company's overall success
in multiple ways. In the hospital industry, HRM is key when it comes to maintaining
effective services, attracting talented employees, and promoting a positive, professional
atmosphere and workplace safety.

HRM in the Hospital Industry

Human resource management is the process of hiring and developing employees so that
they're more useful to both their specific fields of work and the organization as a whole.
This process includes recruiting, training, and evaluating employees; analyzing jobs;
communicating with staff
members; and managing salaries.

DENTAL DEPARTMENT
This department is situated in one of the OPD ensuring the convenience of patients . The
department is nearby to IPD as well as OPD patients as it is situated on 1 floor.
st

QUALITY DEPARTMENT ( room no. 9)

Hospital quality management means the process of managing the entire
entailed hospital operation in a worthwhile fashion by applying the various hospital quality
measures and standards, so that the hospital functions in a desirable condition. The Indian
hospital system follows NABH Quality Standards, which provides guidelines to healthcare
administrators and also facilitates the overall hospital functions to remain exceptional and
patient-friendly. However, the hospital management has to control all the related activities
prudently, by applying the appropriate hospital quality measures, with special attention to
the key areas of organizational activities such as the process improvement, cost reduction,
productivity & performance improvement, and throughput time.

DEPARTMENT OF RADIOLOGY AND ADVANCED IMAGING

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Radiology is a medical specialty that uses imaging to diagnose and treat diseases
seen within the body. Radiologists use a variety of imaging techniques such as X-ray,
ultrasound, computed tomography (CT), nuclear medicine including positron emission
tomography (PET), and magnetic resonance imaging (MRI) to diagnose and/or treat
diseases.

Radiographers use a range of techniques including:

X-rays – used to look through tissue to examine bones, cavities and foreign objects. May be
used with contrast agents to provide a live motion image, eg. fluoroscopy to image the
digestive system, or angiography to investigate blood vessels
CT (computed tomography) – provides cross-sectional views (slices) of the body allowing
disease to be identified and localised
Ultrasound – uses high frequency sound. This technique is widely used in obstetrics,
gynaecology and paediatrics and for patients with abdominal, vascular or musculoskeletal
conditions
MRI (magnetic resonance imaging) – provides high quality imaging of body parts
without the need for radiation. A diagnostic radiographer is a person who has been trained
to take your Xray or perform your MRI or CT scan. If trained to perform an ultrasound a
radiographer is known as a sonographer. Radiographers also support a radiologist in
performing interventional procedures.

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DEPARTMENT OF PATHOLOGY SAMPLE COLLECTION

All the samples of pathology are collected here . The department is located near the
OPD reception, this ensures all the convenience to the patients . The laboratory section is
situated on IVth floor where all the laboratory investigations were done by respected
professionals.

IIND FLOOR

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OPERATION THEATRE

An operating theater (also known as an operating room (OR), operating suite, or

operation suite) is a facility within a hospital where surgical operations are carried out in
an aseptic environment.

 The operating table in the center of the room can be raised, lowered, and tilted in
any direction.

 The operating room lights are over the table to provide bright light, without
shadows, during surgery.

 The anesthesia machine is at the head of the operating table. This machine has tubes
that connect to the patient to assist them in breathing during surgery, and built-in
monitors that help control the mixture of gases in the breathing circuit.

 The anesthesia cart is next to the anesthesia machine. It contains the medications,
equipment, and other supplies that the anesthesiologist may need.

 Sterile instruments to be used during surgery are arranged on a stainless steel table.

 An electronic monitor (which records the heart rate and respiratory rate by
adhesive patches that are placed on the patient's chest).

 The pulse oximeter machine attaches to the patient's finger with an elastic band aid.
It measures the amount of oxygen contained in theblood.

 Automated blood pressure measuring machine that automatically inflates the blood
pressure cuff on patient's arm.

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The Operation Theatre

The Operation Theatre is a sterile area where operations are conducted both minor and
major.
The OT has three different zones as follows:
 The Outer Zone or the Outermost protective zone.
 The Inner Zone or the Clean zone.
 The Innermost Zone or the Aseptic Zoneor the Sterile Zone.

The OT has been divided into these zones so that:

 There is no chance of any compromise with the sterility of the surgery.
 To give to the patient an infection free recovery.
 To give to the consumer the highest quality of treatment and surgery.
 For customer satisfaction for the money being spent.
 To give to the patient the highest standardised quality of healthcare.

Outermost Protective Zone.

Positive air pressure is maintained in this zone. Here the patient and the staff remove their
footwear and change to the OT dress. There is a mini-cafeteria for refreshments. There are
lounges and lockers for the surgeons, doctors and staff. There is a conference room for the
staff and doctors. This zone has a staff change area, control-room, toilets, store-room and
there is an area used for the reception and transfer of the patients.

Inner Clean Zone.

Higher level of positive air pressure is maintained than the outermost zone. There is a
storage and post-operative patient recovery room. There is the pre-operative patient
waiting area also. In this zone there is a plaster room, room for blood storage, mobile X-ray,

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dark room, staff room, anaesthetic and OT sister room and work room to receive OT
unsterile theatre instruments.

Innermost Aseptis Sterile Zone.

Very high positive air pressure is maintained in this zone. Staff and doctors scrub here and
wear gowns. The taps are three feet apart. There is an anaesthetic induction room and
supply room for sterile instruments. The OT set up is here. The HEPA filters maintain
sterility 20 air changes take
place per hour. Thus a very high sterile condition is maintained here.

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CATH LAB

A catheterization laboratory or cath. lab is an examination room in a

hospital or clinic with diagnostic imaging equipment used to visualize the
arteries of the heart and the chambers of the heart and treat any stenosis or
abnormality found.

Most catheterization laboratories are "single plane" facilities, those that

have a single X-ray generator source and an x-ray image intensifier for
fluoroscopic imaging. Older cath. labs used cine film to record the
information obtained, but since 2000, most new facilities are digital. The latest
digital cath. labs are biplane (have two X-ray sources) and use flat panel
detectors.

Staff

Cardiac catheterisation laboratories (or Cath Lab) are usually staffed by a

multidisciplinary team. This may include a medical practitioner (normally
either a consultant cardiologist or radiologist), cardiac physiologist,
radiographer and nurse.

Medical practitioner
The consultant cardiologist is responsible for gaining arterial access,
inserting a sheath into either the radial or femoral artery, passing a wire and
catheter into the coronary artery and selectively injecting contrast media into
the coronary arteries. They then interpret the images taken to ascertain
where the narrowed or blocked artery has the problem. They use a variety of
techniques and imaging tools to work the size of things such as balloons and
stents.

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Cardiac physiologist
Cardiac physiologists usually set up what is known as a transducer to
monitor pressure in the arteries. They also have a live view of the patients
ECG so they can tell whether or not there is a problem being caused by the
insertion of the catheter into the heart to the electrical pathways.
The physiologist will also set up a temporary pacemaker if the procedure is
an angioplasty or a PCI. Finally, they also set up defibrillators on to the patient
for emergency use if needed. In some locations, some of these responsibilities
may be carried out by other personnel, such as trained nurses or
technologists.

Cardiac catheterization
Cardiac catheterization is a general term for a group of procedures that are
performed in the cath. lab, such as coronary angiography. Once a catheter is in
place, it can be used to perform a number of procedures including angioplasty,
PCI (percutaneous coronary intervention) angiography, transcatheter aortic
valve replacement, balloon septostomy, and an electrophysiology study or
catheter ablation. Devices such as pacemakers may be fitted, or rotablation to
remove plaque can be performed.

MEZZANINE FLOOR / 21/2 FLOOR

1. Central store
2. MRD (storage area)
3. IT Support
4. AHU (air handeling unit)

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IIIRD FLOOR :

1. ICU/IICU/CICU
2. IPD PRIVATE AND SEMI-PRIVATE ROOMS
301-307
3. DIALYSIS
4. REST ROOM/ WAITING AREA

INTENSIVE CARE UNIT :

The Critical Care Centre at Apple Hospital is a multidisciplinary healthcare specialty that
cares for patients with acute, life-threatening illness or injury. Critical care unit in Apple Hospital
has medical teams from several specialties and a wide range of technologies to ensure the
survival and health of patients who are critically ill.

The centre is staffed by a team of specialists qualified in critical care management, available
round-the-clock. They are supported by an efficient team of trained nurses and paramedical
staff.. Emphasis is placed on intensive training of the support teams in emergency and standard
care for patients.

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DIALYSIS
The Dialysis department of APPLE Hospital gives comprehensive care which
includes haemodialysis and peritoneal dialysis.

IPD PRIVATE AND SEMI-PRIVATE ROOMS (301-307)

PRIVATE ROOMS : 301, 302, 303, 304, 305, 307, 308

SEMI PRIVATE : 306 (A and B)

NURSING COUNTER

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IVTH FLOOR

1. NICU, PICU
Step down NICP
Step down PICU
2. Cubical / General Ward
3. IPD
Private room
Semi private
Deluxe room
4. Pathology Lab
5. MRD Department

NEONATAL INTENSIVE CARE UNIT

A neonatal intensive care unit (NICU), also known as an intensive care nursery
(ICN), is an intensive care unit specializing in the care of ill or premature
newborn.

The NICU is a unit of the hospital that includes a specialized team of medical
professionals and advanced technology to provide routine care for premature
or sick babies. In the NICU, a neonatologist, along with an extensive team of
trained personnel, will work with the parents to care for the newborn and get
him or her on the right track toward optimal health.

The NICU is a unit of the hospital that includes a specialized team of medical
professionals and advanced technology to provide routine care for premature
or sick babies. In the NICU, a neonatologist, along with an extensive team of
trained personnel, will work with the parents to care for the newborn and get
him or her on the right track toward optimal health.

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GENERAL WARD / CUBICAL WARD

These are the general wards they provide less privacy to the patients.
There is a single set of let-bath in the cubicle of around 10 beds .Patient have
to wait for some general services of nursing and housekeeping , although food
services are on time always .

It have a separate desk for Dr and nursing staff , the details of patients
are recorded and maintained there only , the file goes out in case of discharge
or some mediclaim procedures .

There is a choice between with meal and without meal category .

 12 Bed Occupancy
 Bed no. 409 - 420

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PRIVATE ROOMS
The term suggests, probably the greatest reason why people would
ask for a private room is to maintain their privacy. Despite the fact that
hospital wards are designed as best as they can be so that you maintain some
privacy and dignity by being partitioned off with curtain rails for when you’re
being attended to, for the most part, you don’t get an awful lot of privacy from
the other people in the beds surrounding you.

In a private room, the facilities can vary but you can expect to have
your own TV and, perhaps, phone facilities and you may also get your own en
suite facilities with your own bathroom and toilet.
There are 5 private rooms on IVth Floor. Each private room has single bed
occupancy.

 402, 403, 404, 405 and 406

SEMI-PRIVATE ROOMS
These are also called twin share ward , here 2 patients are admitted
in a single Room. The room is well separated with curtons to
provide privacy to both the patients .This type of ward also have
single toilet which is shared by 2 patients.
The room is provided with great facilities including TV , AC etc.
Attenders are provided with a telephone also.

There are 2 Semi-Private rooms on IVth Floor. Each Semi-Private

room has 2 beds namely A and B.

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 401 and 407

SUPER DELUXE ROOM

There is single Super deluxe room is there on IVth Floor.

 Room no. 408

Beds and rooms allotted to patients according to their

preference. Semi private rooms were allotted on priority of
female with female and male with male.

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MEDICAL RECORD DEPARTMENT

Medical Record Department (MRD) has a vital role in making short and long term plans to
improve health system services. The aim of this study was to describe performance
improvement indicators of hospital MRD and information technology (IT).

Medical Records Departments (MRD) in the hospitals are supposed to have complete
records of patient’s admission. Medical Records (MR) documentation in accordance with
predetermined standards; medical information coding process; creation and maintenance
of statistical information database for planning and budgeting for hospitals; organizing
outpatient and emergency medical records.1,2Some deficiencies in hospitals MR
performance necessitate the ever increasing use of information technology (IT)
Deficiencies such as poor performance on patients’ admission and issuance of compiled
instructions; lack of appropriate standard archive; weakness in informing referrals to MRD;
incomplete records tracking system; incomplete MR coding; lack of effective and efficient
use of information.

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VTH AND VITH FLOOR

These Floors are currently used for Covid 19 Patients Treatment. Only
concerned people were allowed in covid section with proper precautions .
Wearing PPE kit is must to enter to Covid section .

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Thank you

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