HOSPITAL TRAINING REPORT

CHC CHOLAPUR VARANASI

A Report Submitted
In Partial Fulfillment of the Requirements
for the Degree of

BACHELOR OF PHARMACY
by

ABHISHEK
(Roll no. 19020505XXXX)
Under the Supervision of

Dr. Manish Kumar Gupta

Institute of Pharmacy, HCPG College
Varanasi-221002

to the
Faculty of Pharmacy

Dr. A.P.J. ABDUL KALAM TECHNICAL

UNIVERSITY
(Formerly Uttar Pradesh Technical University)
LUCKNOW
December, 2021
 CERTIFICATE

Certified that ABHISHEK (Roll no. 1902050XXXXX) has carried out the hospital training

presented in this report CHC CHOLAPUR VARANASI for the completion of Bachelor of Pharmacy

from Dr. A. P. J. Abdul Kalam Technical University, Lucknow under our supervision. The

report submitted by the student himself/herself (print only that is applicable) and the contents

of the this report do not form the basis for the award of any other degree to the candidate or to

anybody else from this or any other University/Institution.

Date: 21/12/2021

Dr. Manish Kumar Gupta

Director
Institute of Pharmacy,
Harish Chandra P. G. College,
Varanasi-221002
 CONTENT TABLE

CONTENT

1.GENERAL INTRODUCTION

2.DETAILS OF TRAINER ORGANIZATION/HOSPITAL

3.TRAINING CONTENTS WITH IDEAL SPECIFICATION

4.CONCLUSION
 CHC CHOLAPUR VARANASI

Fig – CHC Cholapur Varanasi

CHC Cholapur is one of a leading Government hospital in Varanasi, Uttar Pradesh. It is
situated at Cholapur, Varanasi. They provide services to insured patients (who have health
insurance) as well as those patients who are paying for their own treatment.
The Hospital provides their 100% efforts to treat patients. They also monitor consumer
satisfaction with regard to clinical care such as the approach of the doctor, examination,
education on taking medication, availability of services, waiting time, and cost provided in
the outpatient department.
It is manned by four medical specialists i.e. surgeon, physician, gynaecologist and
paediatrician supported by 21 paramedical and other staff.
It has 30 in-door beds with one OT, X-ray, labour room and laboratory facilities.
It established and maintained by the State government under MNP/BMS programme
Details of Trainer organization/Hospital -
Mr. Rajesh Kumar Jaiswal is pharmacist in community health centre cholapur
Varanasi, Mr. Jaiswal is very good trainer who gave us very important knowledge
about training and various types of knowledge about patient caring
 FIRST AID

 First aid is the first and immediate assistance given to any person suffering from either
a minor or serious illness or injury, with care provided to preserve life, prevent the
condition from worsening, or to promote recovery.

 First aid is generally performed by someone with basic medical training

Aim -
 Preserve life: The overriding aim of all medical care which includes first aid, is to save
lives and minimize the threat of death. First aid done correctly should help reduce the
patient's level of pain and calm them down during the evaluation and treatment
process.

 Prevent further harm: Prevention of further harm includes addressing both external
factors, such as moving a patient away from any cause of harm, and applying first aid
techniques to prevent worsening of the condition, such as applying pressure to stop
a bleed becoming dangerous.

 Promote recovery: First aid also involves trying to start the recovery process from
the illness or injury, and in some cases might involve completing a treatment, such as
in the case of applying a plaster to a small wound.

Protocols -

Basic points of these protocols include: -

 Catastrophic bleeding (massive external bleeding)
 Airway (clearing airways)
 Breathing (ensuring respiration)
 Circulation (internal bleeding)
 Disability (neurological condition)
 Environment (overall examination, environment)

Fig – ABCDE First Aid Protocol

 WOUND DRESSING
 A wound is any damage or break in the surface of the skin.
 Applying appropriate first aid to a wound can speed up the healing process and reduce
the risk of infection.
 Wounds including minor cuts, lacerations, bites and abrasions can be treated with first
aid.

1.Control bleeding
Use a clean towel to apply light pressure to the area until bleeding stops (this may take
a few minutes). Be aware that some medicines (e.g. aspirin and warfarin) will affect
bleeding, and may need pressure to be applied for a longer period of time.
2.Wash your hands well
Prior to cleaning or dressing the wound, ensure your hands are washed to prevent
contamination and infection of the wound.
3.Rinse the wound
Gently rinse the wound with clean, lukewarm water to cleanse and remove any
fragments of dirt, e.g. gravel, as this will reduce the risk of infection.
4.Dry the wound
Gently pat dry the surrounding skin with a clean pad or towel.
5.Replace any skin flaps if possible
If there is a skin flap and it is still attached, gently reposition the skin flap back over
the wound as much as possible using a moist cotton bud or pad.
6.Cover the wound
Use a non-stick or gentle dressing and lightly bandage in place; try to avoid using tape
on fragile skin to prevent further trauma on dressing removal.
7.Seek help
Contact your GP, nurse or pharmacist as soon as possible for further treatment and
advice to ensure the wound heals quickly.
8.Manage pain
Wounds can be painful, so consider pain relief while the wound heals. Talk to your GP
about options for pain relief.

Fig – Procedure of wound dressing

 ARTIFICIAL RESPIRATION
Artificial respiration is generally known as “the kiss of life” or “mouth-to-mouth
resuscitation.” It is the act of simulating respiration for a person who is not breathing or not
making sufficient respiratory effort on his or her own.
There are various methods for artificial respiration are -
Mouth to Mouth: The rescuer makes a seal between his or her mouth and the person’s
mouth. The rescuer blows air into the person.
Mouth to Mask: The recommended method for delivering rescue breaths while in water is
the use of a pocket mask. The pocket mask protects the injured diver from the surrounding
water since it covers the mouth and nose and is held in place with an elastic retainer. The
mask provides a higher tidal volume and reduces the cross infection risk. Because a person
metabolizes very little oxygen (± 4% of 21% oxygen) within a breath, there is more than
enough residual oxygen available in the exhaled breath.
Mouth to Nose: It is the rescuer’s choice to use this method because there may be vomit in
the mouth or injuries. This method will not be practiced.
Giving Oxygen: The amount of oxygen delivered to a victim during mouth-to-mouth
resuscitation is about 16% (compared to 21% in normal fresh air). If a pocket mask is
utilized, oxygen feeds can be fitted to the mask without removing it from the diver. This
saves time that, of course, is essential. When using a constant flow system for addition of
oxygen, this increases to about 40% oxygen. If a mechanical respirator is used with an
oxygen supply, this rises to 99% oxygen. This is the most common method. The greater the
oxygen concentration, the more efficient the gas exchange will be in the lungs.
Fig – with mouth to mouth

Fig – Giving Oxygen

Fig – Mouth to nose

 DIFFERENT ROUTE OF INJECTION

Administration by injection (parenteral administration) includes the following routes:

 Intravenous (in a vein)
 Intramuscular (in a muscle)
 Subcutaneous (under the skin)
 Intradermal (middle layer of skin)
1. Intravenous (IV) injections. An IV injection is the fastest way to inject a medication and
involves using a syringe to inject a medication directly into a vein. When people talk about
receiving medication via IV, however, they are usually talking about an IV infusion or drip,
which involves using a pump or gravity to infuse the medication into a vein, rather than a
syringe. IV infusions allow a set amount of medication to be administered in a controlled
manner over a period of time.
2. Intramuscular (IM) injections. IM injections are given deep into a muscle where the
medication is then absorbed quickly by surrounding blood vessels.
3. Subcutaneous (SC) injections. SC injections are injected into the innermost layer of the skin
called the sub cutis or hypodermis, which is made up of a network of fat and collagen cells.
SC injections are also known as ‘sub cut’ or ‘SQ’ injections. These injections work more slowly
than an IV or IM injection because the area does not have such a rich blood supply.
4. Intradermal (ID) injections. ID injections are given directly into the middle layer of the skin
called the dermis. This type of injection is absorbed more slowly again than IV, IM or SC
injections.

Injection Examples of medications injected via this route

type
IV Certain antimicrobials, anticonvulsants, diuretics, steroids and analgesics
injections

IM Allergy medications, certain antibiotics and contraceptive hormones, other hormones such
injections as testosterone, Botox, steroids, flu shots, Comirnaty (COVID-19 vaccine, mRNA) and other
vaccines, B12 injections and certain antipsychotic drugs

SC Insulin and other medications for diabetes, certain hormone medications such as
injections testosterone, blood thinners, allergy medications, analgesics and arthritis medications

ID Botox, steroids, and the tuberculosis (TB) vaccine. Also used for allergy testing
injections
 Fig – Administration of drug to patients

STUDY OF PATIENT

1.OBSERVATION CHARTS

 An observation and response chart is a document that allows the recording of patient
observations, and specifies the actions to be taken in response to deterioration from
the norm.

 The purpose of these charts is to support accurate and timely recognition of clinical
deterioration, and prompt action when deterioration is observed.

 be designed according to human factors principles

 have the capacity to record the core physiological observations specified in the
National Consensus Statement

 specify the physiological parameters and other factors that trigger an escalation of
care

 specify the actions required when care is escalated.

Fig – Observation charts of Patients
2.PRESCRIPTION
A prescription, often abbreviated ℞ or Rx, is a formal communication from a physician or other
registered health-care professional to a pharmacist, authorizing them to dispense a specific
prescription drug for a specific patient.

Fig – Format of Prescription

3.SIMPLE DIAGNOSTIC REPORTS

 A diagnostic report is the set of information that is typically provided by a diagnostic

service when investigations are complete. The information includes a mix of atomic
results, text reports, images, and codes.

 The Diagnostic Report resource has information about the diagnostic report itself,
and about the subject and, in the case of laboratory tests,
The Diagnostic Report resource is suitable for the following kinds of diagnostic reports: -
 Laboratory (Clinical Chemistry, Haematology, Microbiology, etc.)
 Pathology / Histopathology / related disciplines
 Imaging Investigations (x-ray, CT, MRI etc.)
 Other diagnostics - Cardiology, Gastroenterology etc.

Fig – Lab Report

 CONCLUSION

The project Hospital Training is the working in a hospital. The process takes care of all the
requirements of an average hospital and is capable to provide easy and effective storage of
information related to patients that come up to the hospital.
It generates test reports; provide prescription details including various tests, diet advice, and
medicines prescribed to patient and doctor. It also provides injection detail and billing facility
on the basis of patient's status whether it is an indoor or outdoor patient.
The system also provides the facility of backup as per the requirement. Patients who are non-
local language speakers or come from migrant populations or ethnic minority groups often
are not able to communicate effectively with their clinicians to receive complete information
about their care. At the same time, clinical staff is often not able to understand the patients'
needs or to elicit other relevant information from the patient.
Professional interpreter services should be made available whenever necessary to ensure
good communication between non-local language speakers and clinical staff.
The task force brings together practitioners, managers, scientists and community
representatives with specific expertise and competence policy-relevant in knowledge in the
field.