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    Notification-Dialysis Services in The State Including COVID Dialysis Services

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    Notification-Dialysis Services in The State Including COVID Dialysis Services

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    GOVERNMENT OF WEST BENGAL DEPARTMENT OF HEALTH & FAMILY WELFARE GN-29, SECTOR-V, SALT LAKE, KOLKATA-700 091 Memo No: HF/SPSRC/19/2020/ 23 & Date: 2104/2021 Notification : Sub:- Dialysis Services in the state including COVID Dialysis services. Reference:- 1, Memo No HF/SPSRC/19/2020/79 dated 13/05/2020 (Guidelines for smooth running of Dialysis Services in the state) 2, Memo No HF/SPSRC/19/2020/84 dated 29/05/2020 (Guidelines for Pvt Hospitals regarding Dialysis Services inthe state ) 5. Memo No HPH/9M-21/2020/110 Dated May 22, 2020 ( Revised discharge policy for COVID-19 ) 4. Memo No HFW-14015(17)/12/2020-SPSRC SEC -Dept of H&eFW/PPP/1305 dated 28-07-2020 (Equipment and Logistic management for COVID/pre COVID dialysis units of State Department of Health & Family Welfare has a established chain of Dialysis services both run departmentally as well as in Public Private Partnership model covering every corners of the state. Also as part of COVID-19 management, several new Dialysis units have also been set up in COVID Hospitals to deal with COVID positive as well as suspect COVID dialysis cases. MT Dialysis has been deployed. Relevant guidelines and orders issued from time to time. (Reference above). Now considering the recent surge of COVID cases including increased requirement of COVID Dialysis cases, the following.instructions may be followed stricty:~ 1, Admission of COVID positive patients with CKD (Chronic Kidney Diseases) and requiring Dialysis may be done at COVID Hospitals where dedicated COVID Dialysis units are functional. Accordingly the admission cell of state / district may advice for admission, (Updated Lists of all Dialysis units including dedicated COVID Dialysis units are attached in Annexure-A). Example:- A CKD patients of North 24 Parganas, if found COVID positive and requiring admission, may be referred to GNRC or COM Sagar Dutta both of which have functional COVID Dialysis units COVID positive patients with CKD (Chronic Kidney Diseases) who are in home isolation may require Dialysis. These patients may receive Dialysis on day care basis in any dedicated COVID dialysis unit with pre infornfation to hospital. 3. Nephrologists have been nominated for each district who will act as mentors and provide Technical guidance to the District as and when necessary. The revised list with Contact no is shared in Annexure- B 4. IF COVID Dialysis has to be conducted in any PPP Dialysis unit, then necessary guidelines as per Memo No HF/SPSRC/19/2020/79 dated 13/05/2020 (Guidelines for smooth running of Dialysis Services in the state), has to be followed. Hospital authorities are requested to instruct district BMEs for regular check up of machine maintenance issues. MT’ Dialysis posted will take care of all other aspects including placing indent for logistic! consumable through concerned Hospitals. (Order for direct procurement by Hospitals already issued) 6, All others guidelines and order circulated earlier have to be followed strictly. This is issued in interest of public services. Je alee : VAM” Director of Medical Education Diféctor of Health Services Department of Health & Family Welfare Department of Health & Family Welfare Government of West Bengal Government of West Bengal at Memo No: HF/SPSRC/19/2020/ 235 I: (26) Date:22/04/2021 Copy forwarded for information to = 1 2, 10. rT 2. 13, uw 15, 16, Vv, 21P Secretary PPP and D&E, DoHW, GoWB. MD, NHM, Department of Health & Family Welfare, GoWB. Director SPSRC. MD, WBMSCL, Department of Health & Family Welfare, GoWB. Additional Secretary HS. ‘Commissioner GA Special Secretary ME Director, IPGME&R-SSKM/ STM Principal — All Medical College & Hospitals. MSVP- All Medical College & Hospitals Prof Dr DSen, HOD Dept of Nephrology SSKM Hospital - member State Level Dialysis Sub Committee Prof Dr. Rajendra Pandey Nephrology SSKM - member State Level Dialysis Sub Committee. Prof Dr Arpita Roychowdhury, Dept of Nephrology SSKM Hospital- Member State Level Dialysis Sub Committee, Dr. Hare Krishna Chanda, OSD & EO DD Admin DoH&FW, member State Level Sub Commitive for Dialysis & Radiology services. Prof Dr. Pinaki Mukherjee HoD Nephrology NRS MCH, member State Level Dialysis Sub Commitee. Associate Prof Dr. Kanai Lal Karmakar, Dept of Nephrology R G Kar MCH ~member State Level Dialysis Sub Committee, Dr Arunansgshu Bandhopadhya, HOD & Prof Dept of Nephrology Burdwan MCH/ Dr Dipankar Sitkar Associate Prof Dept_of Nephrology SSKM/ Dr Sanjay Dasgupta, Associate Prof Dept_of Nephrology NRS MCHY Dr Avisek Maity, Associate Prof Dept of Nephrology NRS MCH/ Dr Asit Mondal, Senior Resident Dept of Nephrology Bardhman MCH/Dr kanchan Saha,Assisstant Prof Dept of Nephrology North Bengal MCH/ Dr Avishek Chakraborty Senior Resident Dept of Nephrology Kolkata MCH/ Dr Kapilit Bhattachariya RMO Cum Clinical Tutor Dept of Nephrology Bankura MCH/ Dr Koushik Bhattachariya, Assistant Prof Dept of Nephrology SSKM Hospital/ Dr Atanu Pal ,Assistant Prof Dept of Nephrology SSKM Hospital/ Dr Tanima Das Bhattachariya Assitant Prof Dept of Nephrology NRS MCH/ Dr Rajib Mondal Senior resident NRS MCH Nephrology Dept/ Dr Swastik Purkait Senior Resident RGK MCH Nephrology Dept/ Dr Manas Goswami Senior Resident Dept of Nephrology, Bardhaman MCHY Dr Manik Katuruka, Asst Prof dept of nephrology, NRS MCH/ Dr Arkaprabha Chakraborty Senior 31 18. DDHS (Admin), Swasthya Bhawan with a kind request to circulate the Guidelines to all CE with Dialysis facilities in the state. 19. DDHS-PH 20, CMOH ~All Districts including health districts with a kind request to issue instructions to all COVID Hospitals with Dialysis units under his jurisdictions to follow the protocol. Admission cell may be directed accordingly. 21. Deputy CMOH I and District Nodal Officer PPP- All Districts including health districts. 22, Deputy CMOH II All Districts including health districts. 23, Superintendent ~ All concerned Hospitals with functional PPP based Dialysis units with a request to censure strict implementation of protocol. 24. All PPP partners with Dialysis unit under EOM/O&M model in state. 25. Senior Co-ordinator IT with a request for web posting of the advisory. 26. St. PA to Secretary in Charge Dept of Health & Family welfare GoWB. ov Vv byw (dZare Department of Health & Family Welfare Department of Health & Family Welfare Government of West Bengal Government of West Bengal Memo No: HF/SPSRC/19/2020/ 23% Annexure-A, List of Dedicated COVID dialysis unit in the State Datey04/2021 SLNo, | NAME OF THE NAME OF THE DEDICATED | NoofCOVID | CONTACT NUMBER of | » pisTRICT ‘TREATMENT FACILITY DialysisBeds | Hos "AYUSH Hospital, Spear 1 | Alipurduar ‘Tonstikanta 3 94331 19627/ 8436703273 Bankura ‘Onda Super Speciality Hospital 2 7908469068 Birbhum Glocal Hospital 2 9434220044/890647934 Bibhon aa anpyhar GC Fs [lepeeporsisrisais 5 | Coochbehar Dinhata SDH 2 Dakshin Dinajpur ‘Natya Utkarsha kendra 2 Darjeeling North Bengal MCH. 2 ‘98008043067/94134037449 [Hooghly [ESI Hospital, Bandei 3 [8777726080 ~| Jalpaiguri Biswa Bangla Krirangan 2 _ 9038867961 ‘argram hargram Night Shelter 2 "8250995321 Kalimpong. Triveni Hospital i 18942846931 Malda Malda MCH, Trauma Buiding 2 9434063563 ‘Murshidabad ‘Old Matri Sadan Hospital 2 9434177539 araiians [Nea Subhas saitrium, > oneTE | Kalyani. Nadia 13__| North 24 Parganas | GNRC Nursing Home 2 [9073080235 16__| North 24 Parganas | COM & Sagar Datta Hospital 2 [9239184738 Sanaka Medical College & . 17 | Pashehim Bardhaman | Hosptial 2 9434984705 18 | Purba Bardhaman Bardhaman MCH a ‘8420836745 19 | Paschim Medinipur Salboni SSH 2 | __ 8250978370 20 | Purba Medinipur Panskura SSH 2 9609653724 24 | Nandigram HD. tom 2 98001 : ‘Hatuara SSH under Purulia my ns 22 | Purutia cE 2 {6239568677/9800347870 23 _[ tar Dinajpor Raigunj GMCH z 8013732282 Baltikuri ESI Hospital, - 24 | Howrah Bee 2 943418003 Covid Hospital, Diamond a 25 | Diamond harbour HD | peat 1 9732574750 617344125 26 | State Level MR Bangur Hospital ees eae 27__| State Level ID&BG Hospital z {9231 33788089 10282876 28 | State Level Kolkata Medical College 4 7003492640/9477645241 29 | State Level NRS MCH 3 98320225916 30 | State level RG kar MCH 2 6291594136 ‘Sambhu Nath Pandit, Covid 3 : Hospital . annex of State Level IPGMER.SSKM 6 9800014089 _ 4lpa ‘si List of Dialysis services in PPP model in West Bengal [No | Disiriet Hospital Name | Partner Name Contact Person | Mobile Number Name a Jadav Krishna aes BMRC Hospitals Ltd | Jana & Debjani | 9830589695/ “1 | Alipurduar Alipurduar DH Mishra 74395111440 : ] 8697740357/ Basithat Health Eskag Sanjeevani Pvt, | Amal Kumar 19581917077 / 2 | Distriet _| Basirhat DH. [saee ____ 8329982453 | Eskag Sanjeevani Pvt. | Amal Kumar | £336968171/) a ee | 9881917077 /| 3. Birbhum Bolpur SDH |_ 8329982453 | | Sudip Hazra& | 7908868418 / 4. Birbhum Suri DH BMRC Hospitals Ltd | Debjani Mishra_| 7439511440. 7 Bishnupur Health Sattyajit Roy & | 8597371794 / 5 District Bishnupur DH BMRC Hospitals Lid | Debjani mishra 7439511440 | Sangita Ghosh | BMRC Hospitals Ltd | & Debjani 9547708195 / 6 Coochivh Coochbehar GMCH | | mishra 7439511440 Dishari Meath Point PV | ai ou pay | 8170032046 / 7 | Dakshin L Balurghat DH Ltd, dah haste 900209517 | Dishari Health Point Pv, | Sanka Subhra | 8170036700 7 8 Dakshin Dingjpur_| Gangarampur SDH | Ld Sarkar 980084082 : Rafikul Alam & | 8158869340 / 9) Darjeeling Darjeeling DH | BMRC Hospitals Ltd Debjani Mishra 7439511440 | Santu Ghosh & | 7908092131 / 10 | Darjeeling _ Siliguri DH BMRC Hospitals Ltd | Debjani Mishra _7439511440 | : 78336069817 / | Diamond Harbour | Diamond Harbour | FAS8Sanieevani Pvt. | Amal Kumar | 9ggy9y7077 / | HD GMCH [ee 8329982453. | | | | . | ArambagSDH | BMRC Hospitals Ltd | & Debjani- =| 6294121747 / 12| Hooghly | Mishra |_7439511440 | | Eskag Sanjeevani Pvt. | Amal Kumar Reed | | a 9881917077 / | Hooghly Hooghly DH _ Se 998 | | ; 10273 | |EskagSajgvani Pt, | Amal Kumar eo 14 | Howrah | Howrah DH | | 8329982453, Soumen Jana® | 8617248717/ 15 | Howrah __| Ulberia SDH BMRC Hospitals Ltd | Debjani Mishra 7439511440 | Ratan Sutradhar | | | BMRC Hospitals Lid | & Debjani |= 7602881545 / 16 | Jalpaiguri | Jalpaiguri DH Mishra | 7439511440 | . Ratan Sutradhar | | Jalpaiguri SSH BMRC Hospitals Ltd | & Debjani- = |—-7602881545 / 17 | Jalpaiguri IE: Mishra 7439511440. | Eskag Sanjeevani Pvt. | Amal Kumar 8360898310 / 18 | Jalpaiyuri Mal SSH Ltd. Sarkar 9881917077 / 51 List_of Dialysis services in PPP model in West Bengal SI] District Hospital Name | Partner Name Contact Person | Mobile Number No Name 520982455 Eskag Sanjeevani Pv, | Amal Kumar 336246387088 19 | Jhargram Jhargram DH oe eee 8329982453 Health Point unit of Kolkata cNMCH Health care Research 20 centre Palash Biswas 8479860443 | Eskag Sanjeevani Pvt. | Amal Kumar ea ; Lid. | Sarkar ae LaTTt IDBG Hospital 18329982453 | Trealth Point unit oF Kolkata Health care Research 2 Kolkata MCH centre Sisir Saha 8981214234 | Mayor's Health | sterling Hospital Clinic = Chetla ering Hospi, (Sanjeebani Clinic Pvt | Under a 23 | Kolkata IPGMER,SSKM Anirban Basu__| 7003823692 | Health Point unit oF | Health care Research | Amit Kumar 24 | Malda Malda MCH. centre | Saha 9733300226 | Health Point unit of Tanbir Health care Research | Alam/Soumojit| 7076414248 |_25 | Murshidabad Murshidabad MCH | centre Ghosh |__9563808307 Health Point unit of 1 CoM & JNM Health care Research | Chanchal 26 | Nadia | Hospital centre Ghosh |__eno1rs9s24 Eskag Sanjeevani Pvt. | Amal Kumar wee Lid. | Sarkar ee Nadia DH 2 aren 8329982453 Kushal BMRC Hospitals Ltd | & Debjani 8617790003 / 28| Nandigram HD | Contai SDH Mishra _|za30si1440 Eskag Sanjeevani Pvt. | Amal Kumar ee | Ld Sarkar a 29 | North 24 Pgs Barasat DH | io 8329982433 | Health Point unit of CoM & Sagar Dutta | Health care Research 30 | North 24 Pes Hospital centre Abhijit Garai_|_ 8100545844 | >| Dr. BN. Bose ° Sumit Bose & | 9330113819 / 31 | North 24 Pgs sBarrackpore SDH_|BMRC Hospitals Ltd | pehiani Mishra_| 7439511440 Babai Mondal | BMRC Hospitals Ltd | & Debjani | 9609127512 / 32 | Paschim Burdwan_| Asansol DH __| mishra _ | as9sit4ao Tushar Banerjee BMRC Hospitals Ltd | & Debjani 8945091114 / 33 | Purba Burdwan _| Burdwan MCH oe Mishra 7439500000 List_of Dialysis services in PPP model in West Bengal St | District Hospital Name | Partner Name Contact Person | Mobile Number | Name — Eskag Sanjeevani Pvt. | Amal Kumar « ape | 7m ae 19881917077 / (34 Purba Burdwan | Katwa SDH L 8329982453 Eskag Sanjeevani Pvt, | Amal Kumar | 8697701608,088 35 | Purba Medinipur _| Tamluk DH bia. Sarkar 8329982453 | : Piyali Atha & 8250141322 / 36 | Purulia Purulia GMCH BMRC Hospitals Ltd | Debiani Mishra 7439511440, Mad lzaz & 3420882534 / 37| Rampurhat HD | Rampurhat GMCH_ | PMRC Hospitals Ltd | bebiani Mishra 7439511440 38 | South 24 Pgs | Baruipur SDH___| Sterling Hospital Anirban Basu 7003823692 39 | South 24 Pes Gardenreach SDH_| Sterling Hospital ‘Anirban Basu 7003823692 ‘Animesh Das & 40 | South 24 Pgs | MR Bangur SsH__| BMRC Hospitals Lid | Debian Mishra | 7439511440 Eskag Sanjeevani Pvt. | Amal Kumar | 86977041912/ Lid Sarkar BSL gHTOTT 41 | South 24 Pes Vidyasagar SGH 8329982453 42 | South 24 Pgs | Vidyasagar SGH | Sterling Hospital “Anirban Basu 7003823692 Dishari Health Point PV. | hacich puta | 9002124707 7 43.| Uttar Dinajpur | Raigung GMCH__| Ltd. eee eee 7477785511 | bearer (pao Director of Medical Education Director of Health Services Department of Health & Family Welfare Department of Health & Family Welfare Government of West Bengal Government of West Bengal 7 ‘Memo No: HF/SPSRC/19/2020/ 23 Annexure-B List of Nephrologist tagged with districts - Date:21/04/2021 NAME OF | __ NAME OF THE DEDICATED. seme \ephralogist | SLNO. | THE Et or ETON VACHE Tagged with the Contact no DISTRICT District/unit Dr: Koushik Bhattachari 1 | Alipurduar AYUSH Hospital, Topshikantha | assistant Prof Dept of Nephrology SSKM Hospital _ 9831123712 Dr Kapiliit Bhattachariya 2 | Bankura Onda Super Speciality Hospital | RMO Cum Clinical Tutor Dept of Nephrology He Bankura MCHI 9874190553 1 Dr Asit Mondal, Senior Resident Dept of 3. | Birbhum Glocal Hospital Netlog wc | MCH 9831374320 Birbhum Dr Adbyapada Pani, RMO 4 | (Rampurhat Rampurhat GMCH cum Clinical Tutor, Dept of “HD) Nephrology Bardhaman ae McH. | o90ssa0a71 . Dr Koushik Bhattachariya, || inhi Dinhata SDH Raed | Nephrology SSKM Hospital 9931123712 Dakshin Dr Swastik Purkait Senior © | Dinajpur Nata UBarshakendra, Resident Dept of | Nephrology RGK MCIt oasaaaa2s7 7 | Darjeeling North Bengal MCH me | __| North Bengal MCH 130127681 | Dr Rajib Mondal Senior 8 | Hooghly ESI Hospital, Bandel Pianeta a Nephrology Dept 7003263299 Dr Manik Katuruka, Asst 9 | Jalpaiguri Biswa Bangla Krirangan aaa ___| vrs mci 9592916770 Dr Manas Goswami Senior 10 | Jhargram Resident Dept pf Nephrology, Bardhman eae Jhargram Night Shelter MCH | asa97078 Pr Dr kanchan Saha, Assisstant Prof Dept of Nephrology ___| Kalimpong Triveni Hospital North Bengal MCH ‘aso127681 - NAME OF NAME OF THE DEDICATED SLNO. |THE sl _DISTRICT TRRAUNU EARLE og | Dr Atanu Pal Assistant Prof 12 | Malda Malda MCH, Trauma Buiding | Dept of Nephrology SSKM Hospital sosa6sa344 i DrSwastik Purkait Senior | 13 | Murshidabad Old Matri Sadan Hospital | Recent ROK MCH | é : Nephrology Dept | ssasasa2s7 Netaji Subhas sanitorium, Kalyani | Dr Rajib Mondal Senior 14 | Nadia Nadia resident NRS MCH | Nephrology Dept 7003263299 North 24 Dr Arkaprabha Chakraborty 1 |r | GNRC Nursing Home Senior resident Dept of | | Nephrology NRS MCHI 9051066356 DrKanai Lal 16 eee COM & Sagar Datta Hospital | Karmakar Associate Dept ee a of Nephrology RGKMCH | 9831046300 ae Dr Manas Goswami Senior tT Aes bear renee Sanaka Medical College & Hospital | Resident Dept pf Bardhaman Nephrology, Bardhman MCcH 933397978 : Dr Arunangshu 1g | Purba Bardhaman MCH Bandhopadhyay, Prof & Bardhaman HOD Dept of Nephrology __| Burdwan mci 9433279192 Paschim Dr Arkaprabha Chakraborty 19 Medinipur Salbani Se Senior resident Dept of tf __| Nephrology NRS MCH 9051066356 Purba Dr Dipankar Sirkar 20 | Medinipur Panskura SSH “Associate Prof Dept of ‘i Nephrology SSKM 9433407355 Nandigeat Chandipur Multi Special Dr Dipankar Sirkar a ee Pelosi | Associate Prof Dept of ae reiicee Nephrology SSKM _|_s133e0735s Dr Tanima Das 22 | Purulia Hatuara SSH under Purulia GMCH | Bhattachariya Assitant Prof | Dept of Nephrology NRS { | McH 9830352705. | | Dr Manik Katuruka, Asst 23° | Uttar Dinajpur Raigunj GMCH Prof dept of nephrology, | i an NRSMCH 9592916770, Dr Sanjay Dasgupta, 24 Howrah Associate Prof Dept of / | Baltikuri ESI Hospital, Howrah _| Nephrology NRS MCH 9030082267 | Diamon Dr Sanjay Dasgupta, 25 bern Covid Hospital, Diamond harbour | Associate ProfDept of mci Nephrology NRSMCH | 9830082267 at NAME OF THE DISTRICT _ SL.NO. NAME OF THE DEDICATED ‘TREATMENT FACILITY Expert Nephrologist Tagged with the District/unit Contact no 26 | State Level MR Bangur Hospital Nephrology SSKM Hospital | Prof Dr Arpita Roychowdhury, Dept of 9433254601 27 | State Level ID&BG Hospital 28 29 State Level State Level Kolkata Medical College NRS MCH Nephrology NI Nephrology Kolkata MCH. Dr,Avisek Maity, Senior Resident Dept of CH Dr Avishek Chakraborty Senior Resident Dept of 9231978078 9133792622 Prof Dr Pinaki Mukhopadhyay, HOD Dept of Nephrology NRSMCH | 9038080051 30 State level RG kar MCH Dr,Kanai Lal | Karmakar,Associate Dept of Nephrology RGKMCH | 9831016300 31 State Level Sambhu Nath Pandit, Covid Hospital, annex of IPGMER,SSKM | Hospital Dr Atanu Pal Assistant Prof Dept of Nephrology SSKM s0ex6s3344 N.B ~ Following Experts from State Level will act as State Level mentor- Prof Debabrata Sen, HOD Nephrology SSKM/ Prof Dr Arpita Roychowdhury, Dept of Nephrology SSKM Hospital/Prof Dr Pinaki Mukhopadhyay , HOD Dept of Nephrology NRS MCH/ Dr, Kanai Lal Karmakar, Associate Dept. of Nephrology RGK MCH. brewer Director of Medical Education Department of Health & Family Welfare Government of West Bengal 10[ Pag A va Un trector of Health Services Department of Health & Family Welfare Government of West Bengal GOVERNMENT OF WEST BENGAL DEPARTMENT OF HEALTH & FAMILY WELFARE, GN-29, SECTOR-V, SALT LAKE, KOLKATA-700 091 Memo No: HFW-14015(17)/12/2020-SPSRC SEC-Dept. of H&FW/PPP/ | 305— pate 07/2020 NOTIFICATION ‘Sub:- Equipment and Logistic management for COVID/ Pre COVID Dialysis unit of State Department of Health & Family Welfare has established chain of Dialysis units dedicated for COVID positive/ suspected COVID cases throughout the state, Till date 39 such units either in Government! Requisitioned private hospitals are functional and more new units are coming up. In government setups equipments, HR and logistics are provided by department. There are certain requisitioned private hospitals also where department has provided similar support. Technical support and certain logistics are being supplied by department through WBMSCL, as per sd by local units. Most of remaining CAT items are being arranged by Hospital authorities/ District at indent their level, Now we may request MSVPs and CMOHs as well as Nodal officers of all such COVID positive/’suspect Covid Dialysis units to follow the guidelines provided:- 1. For government run units the central supply of certain proprietary logistics and equipment by WBMSCL may continue while CAT items to be procured by hospitals as per norms. Hospital / District authorities may also procure the proprietary Non-CAT items from available funds following financial norms. 2. For requisitioned private hospitals where the dialysis is running with departmental HR and logistic the same may continue till the above are taken back when Covid situation subsides. However there will be no payment in this case for dialysis service. The bills may be scrutinized to rule out any claim towards Dialysis services in these hospitals. 3. All units will send timely indent to WBMSCL with a copy to PPP CELL well with advance with proper UC. In this regards a brief SOP is attached in Annexure-A. Same may be followed. List of functional COVID Dialysis/ suspect COVID units are attached in Annexure B for reference. This will bbe updated from time to time, 4. All other guidelines and advisory issued from time to time regarding Dialysis services has to be followed strictly. Strict vigilance regarding Infection Control Protocol and BMW management to be maintained. This is issued in interest of public services. Secretary PPP and D&E DoHFW, GoWB ape 28. ‘Memo No: HFW-14015(17)/12/2020-SPSRC SEC-Dept. of H&FW/PPP/ [3 0S~ Date™"/07/2020 Copy forwarded for information to 1. 18, 19. 21 22, 23, 24, 25, MD, NHM, Department of Health & Family Welfare, GoWB. Director SPSRC. MD, WBMSCL, Department of Health & Family Welfare, GoWB. Additional Secretary HS. Commissioner GA Special Secretary ME Director, IPGME&R- SSKM Principal - concerned Medical College & Hospitals. MSVP- concerned All Medical College & Hospitals. Prof Dr. Rajendra Pandey HoD ,Nephrology SSKM - member State Level Technical Committee FPDC & State Level Dialysis Sub Committee. Prof Dr Arpita Roychowdhury, Dept of Nephrology SSKM Hospital member State Level Dialysis Sub Committee. Prof Dr DSen, Dept of Nephrology SSKM Hospital member State Level Dialysis Sub Committee. . Prof Dr. Pinaki Mukherjee HoD Nephrology NRS MCH, member State Level Dialysis Sub Committee . Associate Prof Dr. Kans al Karmakar, Dept of Nephrology R G Kar MCH member State Level Dialysis Sub Committee, . Dr, Hare Krishna Chanda, OSD & EO DD Admin DoH&FW, member State Level Sub Committee for Dialysis & Radiology services. Dr Arunansgshu Bandhopadhya, Associate Prof Dept of Nephrology Burdwan MCH/ Dr Dipankar Sirkar Associate Prof Dept of Nephrology SSKM/ Dr Sanjay Dasgupta, Associate Prof Dept of Nephrology NRS MCH/ Dr Avisek Maity, Associate Prof Dept of Nephrology NRS MCHY/ Dr Asit Mondal, Associate Prof Dept. of Nephrology Burdwan MCHY/ Dr kanchan Saha, Associate Prof Dept of Nephrology North Bengal MCH/ Dr Avishek Chakraborty Associate Prof Dept of Nephrology Kolkata MCH/ Dr Kapiljt Bhattachariya Associate Prof Dept of Nephrology Bankura MCH/ Dr Koushik Bhattachariya, Assistant Prof Dept of Nephrology SSKM Hospital/ Dr Atanu Pal Assistant Prof Dept of Nephrology SSKM Hospital/ Dr Tanima Das Bhattachariva Assitant Prof Dept of Nephrology NRS MCH/ Dr Rajib Mondal Senior resident NRS MCH Nephrology Dept/ Dr Swastik Purkait Senior Resident RGK MCH Nephrology Dept. DDHS (Admin), Swasthya Bhawan with a kind request to circulate the Guidelines to all CE with Dialysis facilities in the state. DDHS-PH CMOH ~All Districts including health districts with a kind request to issue instructions to all Level-2 and Level-4 Hospitals with Dialysis units under his jurisdictions to follow the protocol. Deputy CMOH I and District Nodal Officer PPP- All Districts including health districts Deputy CMOH I - All Districts including health districts. Superintendent/ Nodal officers — All COVID/ Pre COVID Hospitals with functional Dialysis units with a request to ensure strict implementation of protocol. AIL PPP partners with Dialysis unit under EOM/O&M model in state, Senior Co-ordinator IT with a request for web posting of the notification. Sr. PA to Secretary in Charge Dept of Health & Family welfare GoWB. Secretai ‘and D&E DoHFW, GoWB 2[Page Memo No: HFW-14015(17)/12/2020-SPSRC SEC-Dept. of H&FW/PPP/ Date: /07/2020 Annexure A - SOP for Equipment and Logistics management in COVID / Pre COVID Dialysis units Government/ Requisitioned Pvt hospitals a. For any issues related to equipments (HD machines SLED/ routine machines and portable RO plant / fixed RO plant) breakdown/ maintenance in the dedicated Dialysis units, the MT Dialysis should immediately contact the OEM (Original equipment manufacturer) and send a mail to pppdialysisl@gmail.com and procurementewbmsc.gov.in. b, Regular up keeping of machines and RO plant is responsibility of the posted MT Dialysis even if there are no cases. Any issues or problem detected should be brought into notice of the Nodal officer of the unit as well as concerned OEM and BME of the district. BME will be responsible for co-coordinating matter with OEM along with MT Dialysis and also WBMSCL experts. ©. For all those COVID Dialysis run by private partners as per Government orders ( Kolkata MCH/ MR Bangur DH) , they will be solely responsible for all HR/ Logistics and will raise bills for service as per approved rates. d. Indent along with UC to be compiled and forwarded by Hospital in-charge through nodal person of particular district / MSVP to the dept with a copy to WBMCL / PPP cell. Allotment will be for 1 month period based on UC and stock availability at HQ. Also based on the above status procurement planning, will be done for further stock by WBMSCL. Further indent to be done by local units when 70% stock consumed. Please note that UC should reflect stock position of all items at DRS if any as well as Local Dialysis units. Please send mail for indent at pppdialysis@gmail,com and procurementawbmsc.gov.in , at least 5 days in advance and make a communication before sending vehicles to collect Logistics. e. Supply will be send only to CMOH, DRS and MSVP and counter acknowledgement at supply point to be done. MSCL may be requested to keep all stock updates of procurement and supply of proprietary items. District will sub-allot logistics to designated Dialysis units and also keep position of stock at DRS, specially where under same district multiple such Dialysis units are functional, f. The MT Dialysis Posted there has to maintain Stock and Submit fortnightly Stock Position to Hospital In- charge with copy to District, WBMSCL and PPP CELL. This will be accompanied by case report. 8. District will maintain records of HR posted and Logistics supplied to Government requisitioned private hospitals running COVID Dialysis units. No claim for services in these units will be entertained h. For reference contacts of OEM as follows:- 1. NIPRO INDIA Pvt Ltd:- MR Vikash Joshi ~ 9836472226, 2 FRESENIUS :- Mr Suman Sarkar- 8697739660, 3 Watertech ( portable RO plant ) :- Mr Swadhin Bose:~ 8584858457, 4 Arivation Health care Pvt Ltd (portable RO Plant ) - Mr Arup Dhole 9836667979, 5 Dialysis Consumables EMSURG:- Mr Kunal Mukherjee 7890074817. i, For any query related to the matter please contact Mr Debasish Dey, MT Dialysis with PPP CELL ( 7908142945 ) or mail at pppdialysisl@gmaikcom . The contact person for MSCL will be Mr Abir Sasmal, BME, WBMSCL. (9733871695) Secretar} D&E, DoHEW, GoWB 31P ag ‘Memo No: HFW-14015(17)/12/2020-SPSRC SEC-Dept. of H&FW/PPP/ Date: /07/2020 Annexure —B LIST of dedicated COVID Dialysis facilities in the state 1 Aliparduar AYUSH Hospital, Topshikantha 3 9433119627/ 8436703273 z Alipurduar Falakata SSH 2 8167834660 3 Bankura Onda Super Speciality Hospital 2 7908469068 4 Birbhum Glocal Hospital 2 19434720944 /8906479234 5 | Birbhum Rampurhat | RMYF Royal Nursing Home & : £8900704964/7602092246 HD) Diagnostic Centre 8420672513 6 Coochbehar Bhoehbehar Missce Herein 2 9432879769 7 | Dakshin Dinajpur Pravas Atreyi Eye Hospital 2 9635459768 8 Darjeeling Dr. Chang's Super Specialty Hospital 4 7865870700 re ee 9733360521 9 Darjeeling Desun Hospital 2 18017932568/8695140905 10 Hooghly Shramajibi Hospital 1 9735033187 an Hooghly ESI Hospital, Bandet 1 8777726080 2 Howrah Sanjiban Hospital, Uluberia 3 9163324529 13 Howrah Satyabala 1D, Hospital 2 9475680822 14 Howrah TLS Hospital, Howrah 2 9650695456 15 Howrah ‘West bank Old buiding 1 9433024608 16 Jalpaiguri Biswa Bangla Krirangan 2 9038867961 17 Ihargram Jhargram Night Shelter 2 8250995321 18 Kalimpong Triveni Hospital 1 2942846931 19 Malda Glocal Hospital 2 9302161345 20 Marshidabad (ld Matri Sadan Hospital 2 9434177539 a Nadia Glocal Hospital, Krighnagar 2 9775612469 22 Nadia SNR Carnival Hospital 2 9874349405 & 9932304269 23 | North24 Parganas GNRC Nursing Home 2 9073980235 4[Page Nehru Memorial Techno Global 24 | North 24 Parganas Hospital a 7044307876 25 | North 24 Parganas COM & Sagar Datta Hospital 2 92391 Pashchim ' 26 | fashehim | sanaka Medical College & Hospital | 4 9434984705 27 | Paschim Medinipur Salboni SSH 2 {8250978370 28 | Purba Bardhaman Camri Hospital a 9832195900 29 | _Purba Medinipur Baromaa Hospital Pvt. Ltd. 2 8670169976 30 NandigramHD | Chandipur Multi Speciality Hospital 2 9800145807 9830322157 31 Purutia Rotary Club Hospital 2 aonibeeees South 24 Parganas 32. | (Diamond Harbour Saharahat Nursing Home 2 9434037116 HD) 33 Uttar Dinajpur Mikki Megha Hospital 2 8617466015 s 8617344125 34 State Level ‘MR Bangur Hospital 22 BeaseTe 35 State Level ID&BG Hospital 2 '9231537880/8910282876 36 State Level ‘MRI Hospital 1 9748648711 37 State Level ele : KPC Medical College 2 9836344301 38 State Level Kolkata Medical College 12 7003492640/9477645241 39 Bishnupur Medicare General Hospital (NH) 2 19874162899/9434216662 S|Page Ahi ‘TOSPSRC, DoHFW GOVERNMENT OF WEST BENGAL, DEPARTMENT OF HEALTH & FAMILY WELFARE, GN-29, SECTOR-V, SALT LAKE, KOLKATA-700 091 ‘Memo No: HF/SPSRC/19/2020/ & Y Date: 29/05/2020 Notice Guidelines for smooth running of Dialysis Services in the state Advisory for smooth and uninterrupted running of Dialysis units has been published by the Department of Health & Family welfare, GoWB, vide Memo HF/SPSRC/19/2020/79 dated 23/05/2020 for both Government and Private run Dialysis units. The same is also uploaded in the departmental website www.wbhealth.gov.in. This is in continuation with the Advisory issued for Need for Normalization of Privately-run Health services issued vide No. H&FW/ 150/20 dated May1, 2020. A copy is attached for reference. All private hospitals and healthcare facilities having Dialysis services are directed to please follow the guidelines related to Dialysis of patients. Also a compliance report has to be sent to the District CE Authority every week until further orders and as per format attached. A copy to be send to DDHS ADMIN at pppdialysis@gmail.com Failure to adhere to the above shall be viewed adversely and shall make the health facilities liable for penal action under the West Bengal Clinical Establishment Act. see ares © bp) Dept of H&FW, GoWB. ‘Memo No: HF/SPSRC/19/2020/ 8 & | 1(6) Date: 29/05/2020 Copy forwarded for information to = ctor of Health services, DoHW, GoWB. Director of Medical education, DoHW, GoWB. Secretary PPP and D&E, DoHW, GoWB. Additional Secretary HS CMOH and district CE Authority-All Districts including health districts with a kind request to circulate the Notice with the Advisory vide Memo HF/SPSRC/19/2020/79 dated 23/05/2020 to all CE facilities with Dialysis services under their jurisdiction and appoint a Nodal officer for monitoring of compliance to the ‘guidelines issued. 6. Senior Co-ordinator IT with a request for web posting of the advisory. dear, Hae, 0\ pol Admin Dept of H&FW, GoWB. 1[Page ‘Memo No: HF/SPSRC/19/2020/ & 44 Date: 29/05/2020 FORMAT for reporting and undertaking of private Health care facilities regarding Dialysis services ( For reporting week .. a ce wees ) Name of the Private Hospital / Health care faci Total no of Dialysis Beds :- Total no of Isolation beds available for Dialysis:~ Total no of Dialysis patient under treatment := Total no of Dialysis Sessions conducted in reporting week:~ Total no of Acute Kidney Dialysis sessions conducted in reporting week:- ‘Total no of Intradialytic complications if any during the reporting week:- Distribution of causes of Intradialytic complications ( Hypotension, Bleeding Diathesis, Respiratory distress or any other complications == Any other remarks:- We duly certify that afl the protocols and Advisories as approved by the MoHFW and Department of Health and Family Welfare, Govt of West Bengal regarding smooth running of Dialysis services in the state are being strictly implemented in the Dialysis unit under strict vigilance of Nephrologists attached to the unit. Signed by Countersigned by (Name of Nephrologist) : (Name of Medical Superintendent ) 2 a Ge", Arsene DDHS Admin Dept of H&FW, GoWB. 2[Page GOVERNMENT OF WEST BENGAL cw DEPARTMENT OF HEALTH & FAMILY WELFARE e GN-29, SECTOR-V, SALT LAKE, KOLKATA-700 091 ‘Memo No: HE/SPSRC/19/2020/ 7 9 Date:23/05/2020 Advisory Guidelines for smooth running of Dialysis Services in the state Department of Health & Family Welfare has a established chain of Dialysis services both run departmentally as well as in Public Private Partnership model covering every comers of the state. Also as part of COVID-19 management, several new Dialysis units have also been set up in the Level-2 and Level-4 COVID Hospitals to deal with COVID positive as well as suspect COVID dialysis cases. MT Dialysis has been deployed and logistics provided. Orientation Training of Technologist also done by State level experts. 2. There are reports that Dialysis services are being disrupted due to closure of units on ground of Dialysis, patients being tested positive for SARS-Cov-2 and staffs going in quarantine for which a uniform guidelines is mandated, There are also request from districts unit to provide Nephrologists guidance and support. 3. To maintain uninterrupted dialysis services, the guidelines attached in Annexure-A is to be followed. 4, Accordingly support will be provided by nominated Nephrologists for each district who will act as mentors and provide Technical guidance to the District as and when necessary. The list with Contact no is shared in Annexure-B. 5. However for PPP units, the Nephrologists attached to these units as per agreement will monitor their units. A compliance report has to be send to the Hospital authorities with copy to the Department every 7 days, duly certified by attending Nephrologist. Hospital level Dialysis monitoring team will conduct overall monitoring and departmental experts will provide hand holding support for all Dialysis units including the COVID Hospitals. 6. The list of Dialysis units for routine Dialysis as well functional Level-2 and level-4 Dialysis unit dedicated for Suspect COVID and COVID positive cases are also attached in Annexure-B. Accordingly COVID cases / SARI & Suspect COVID cases may be referred to nearest centre for treatment and Dialysis irrespective of administrative districts. 7. For all medical staff engaged in Dialysis units including PPP units, provision of PPE, administration of HCQs prophylaxis as per ICMR's guidelines has to be followed. This is issued in interest of public services. favor sales” (pering ve Director of Medical Education Director of Health Services Department of Health & Family Welfare Department of Health & Family Welfare Government of West Bengal Government of West Bengal 1[Page e Memo No: HF/SPSRC/19/2020/ 79 / (2-4) Date:23/05/2020 Copy forwarded for information to - 12. 13. 4 15, 16. 1. 18. 19. 20. 21 2, 2B. 24, Secretary PPP and D&E, DoHW, GoWB. MD, NHM, Department of Health & Family Welfare, GoWB. Director SPSRC. MD, WBMSCL, Department of Health & Family Welfare, GoWB. Additional Secretary HS. Commissioner GA Special Secretary ME Director, IPGME&R- SSKM Principal ~ All Medical College & Hospitals. MSVP- All Medical College & Hospitals. Prof Dr. Rajendra Pandey HoD Nephrology SSKM - member State Level Technical Committee FPDC & State Level Dialysis Sub Committee. Dr. Hare Krishna Chanda, OSD & EO DD Admin DoH&FW, member State Level Sub Committee for Dialysis & Radiology services. Prof Dr. Pinaki Mukherjee HoD Nephrology NRS MCH, member State Level Dialysis Sub Committe. Associate Prof Dr. Kanai Lal Karmakar, Dept of Nephrology R G Kar MCH -member State Level Dialysis Sub Committee. Prof Dr Arpita Roychowdhury, Dept of Nephrology SSKM Hospital / Prof Dr D.Sen, Dept of Nephrology SSKM Hospital/ Dr Arunansgshu Bandhopadhya, Associate Prof Dept of Nephrology Burdwan MCH/ Dr Dipankar Sirkar ,Associate Prof Dept of Nephrology SSKM/Dr Sanjay Dasgupta, Associate Prof Dept of Nephrology NRS MCH/ Dr Avisek Maity, Associate Prof Dept of Nephrology NRS MCH/ Dr Asit Mondal, Associate Prof Dept of Nephrology Burdwan MCH/ Dr Kanchan Saha, Associate Prof Dept of Nephrology North Bengal MCH/ Dr Avishek Chakraborty Associate Prof Dept of Nephrology Kolkata MCH/ Dr Kapiljit Bhattachariya Associate Prof Dept of Nephrology Bankura MCH/ Dr Koushik Bhattachariya, Assistant Prof Dept of Nephrology SSKM Hospital/ Dr Atanu Pal ,Assistant Prof Dept of Nephrology SSKM Hospital/ Dr Tanima Das Bhattachariya Assitant Prof Dept of Nephrology NRS MCH/ Dr Rajib Mondal Senior resident NRS MCH Nephrology Dept/ Dr ‘Swastik Purkait Senior Resident RGK MCH Nephrology Dept. DDHS (Admin), Swasthya Bhawan with a kind request to circulate the Guidelines to facilites in the state. DDHS-PH CMOH ~All Districts including health districts with a kind request to issue instructions to all Level-2 and Level-4 Hospitals with Dialysis units under his jurisdictions to follow the protocol. Deputy CMOH I and District Nodal Officer PPP- All Districts including health districts Deputy CMOH I - All Districts including health districts. Superintendent ~ All concemed Hospitals with functional PPP based Dialysis units with a request to ensure strict implementation of protocol All PPP partners with Dialysis unit under EOM/O&M model in state, ‘Senior Co-ordinator IT with a request for web posting of the advisory. Sr. PA to Secretary in Change Dept of Health & Family welfare GoWB. CE with Dialysis fuera le Director of Medical Education Director of Health Services Department of Health & Family Welfare Department of Health & Family Welfare Government of West Bengal Government of West Bengal 21Page Memo No: HF/SPSRC/19/2020/ 79 Date:24/05/2020 UL Annexure A ~ Guidelines for Dialysis Service in COVID situation Guidelines to resume Dialysis services after temporary closure:- Following sudden closure of any Dialysis unit on ground of any patient being tested COVID -19 positive; services may be resumed after proper sanitization over a period of 12 hrs as per Infection prevention and Control protocol. Testing of medical staff who conducted Dialysis of the Positive COVID case detected later, may be done as per Advisory for managing Health care workers working in COVID and Non-Covid areas of hospital The case has to be categorized as High Risk exposure ( HCW without face mask/face-shield/goggles having face to face contact with the case within I meter for more than 15 minutes or having exposure to body fluids) or Low risk exposure ( Contacts not meeting above criteria) For High Risk exposure Staff to be quarantined for 14 days and tested as per ICMR testing protocol and managed as per standard guidelines. Low risk exposure will continue to do the work and self monitor their health for development of symptoms. This is applicable to Dialysis Technologist attending the patients. However High risk exposure is to be avoided at all cost. Until test results received of Technologist with High Risk Exposure, those who are Low risk exposure/ contacts and non contacts will resume / continue Dialysis services after proper sanitization of the unit. Regarding testing, of other Dialysis patients attached to the same unit, the patients receiving Dialysis in adjoining beds within a distance of 3 ft in all directions in that particular shift (Last contact / Last shift when the positive case received Dialysis) may be tested for COVID-19. Routine testing off all patients in that shift is not recommended. Patient wise Bed allocation matrix in each shift to be maintained and record saved. For all the Dialysis cases tested for COVID-19, as contacts of known case as above, the dialysis may be conducted in any nearby unit with Isolation Dialysis facilities as per Annexure-B. For those without any nearby dedicated isolation unit, Dialysis of COVID suspect/ SARI cases may be done in last shift in empty unit with full PPE suit and unit disinfected as per protocol before resumption, Guidelines to be followed day to day strictly in all dialysis units:- Proper fever screening, for all dialysis cases to be ensured. All patients to enter unit after hand sanitization. A sign board should be posted prominently in Bengali, English and local language asking patient to report any fever, coughing or breathing problem in the dialysis unit and waiting area. Patient should mandatorily wear mask (triple layer surgical mask throughout Dialysis duration) and do proper hand washing before entering unit. Any meals inside unit are to be strictly avoided. 3|Page 5: 10. n 12. 13. 4. 15. . Designated screening area with adequate space for social distancing to be maintained with display of IEC material (Posters etc.) for COVID-19. Dialysis Technologist, staffs and caregivers should work with personal protective equipments as per standard guidelines. It is recommended that even for routine Dialysis they should wear Triple layer surgical mask, Face shields, Double gloves, Gown/Macintosh, head cover. A Dedicated Isolation area with proper partitioning should be used for conducting COVID suspect Dialysis or COVID Positive cases. The patients belonging to this category are to be dialyzed in nearest designated unit ( Annexure-B) For those without any adjoining dedicated isolation unit, Dialysis of COVID suspect cases may be done in a separate shift preferably the last shift and unit disinfected as per protocol before resumption. For cases referred from any other Government and private hospitals to the designated Level-2 COVID hospital for Dialysis, asymptomatic COVID suspect cases are to be dialyzed as day care procedure. SARI/ symptomatic COVID suspect may be admitted as per diagnostic criterias. Staffs conducting Dialysis for Suspect COVID/COVID positive cases should use complete PPE suit and should not look after any other patient during the same shift. It should preferably be conducted in last shift. Staffs should also be trained in proper use of PPE. A separate area for donning and doffing needs to be demarcated. Stethoscope Diaphragms and tubing’s should be cleaned with alcohol based disinfectant including hand rubs in between patients. Disinfection and disposal of bio medical waste to be done strictly following existing protocol. After each shift all exposed surface like cot rail, fluid stands, machine surface should be wet mopped with 1% hypochlorite solution or alcohol based solutions. All Universal precautions to be followed. In this regards SOP for Dialysis already circulated may be followed as reference. Regular Health checkup of staffs to be done by Hospital Authority. A grievance redressal mechanism has to be implemented and all patients guided accordingly. Regular sanitization of the entire unit to be done. Hospital level Dialysis monitoring team will conduct overall monitoring and departmental experts will provide hand holding support for all Dialysis units including the COVID Hospitals as and when necessary. For PPP units, the Nephrologists attached to these units as per agreement will monitor their units. A compliance report has to be send to the Hospital authorities with copy to the Department every 7 days, duly certified by attending Nephrologist. 4|Page III. Specific Guidelines for Private Dialysis units :- (Over and above the guidelines in I & II) @ 1. dedicated facilities or zone for Dialysis of COVID suspect cases/ Asymptomatic cases awaiting testing is not available with private hospital, patients may be referred to nearest unit where such services available. The designated Government facilities are attached in Annexure-B for reference. 2. A Nodal Officer (Infection Control Officer) shall be identified by the hospital, responsible for implementation of Infection prevention and Control (IPC) activities who will also address all matter related to Healthcare Associated Infections (HAIs). 3. Nephrologists attached to the private organization will be responsible for strict protocol implementation and proper orientation training of all the staffs associated with dialysis activities in PPP units from time to time. 4. A compliance report has to send to the District CE Authority with copy to the Department every 7 days, duly certified by attending Nephrologists and counter signed by Medical Superintendent. 5. Safety and protection of Medical Technologist and associated staff in dialysis units of private hospitals need to be given the highest priority. This includes PPE, administration of HCQS as prophylaxis as per ICMRs Guidelines. (Following Guidelines are attached for the guidance of all concerned) Revised Guidelines for Dialysis of COVID-19 patients. Guidelines for Rational use of PPE. Guidelines for Infection Prevention and Control in Healthcare Facilities. ICMR's Advisory on the Use of HCQS as prophylaxis. Advisory for managing Health care workers working in COVID and Non-Covid areas of hospital. paoegse *Private Hospitals which are not acquired , but providing Dialysis to Routine /COVID positive / Suspect COVID/ SARI cases to follow the protocol in Annexure-A . DDHS ADMIN may kindly circulate same to all private hospitals concerned. hw alse? (tein Director of Medical Education Director of Health Sefvices Department of Health & Family Welfare Department of Health & Family Welfare Government of West Bengal Government of West Bengal 5|Page use No: HF/SPSRC/19/2020/79 /2.(29) Date:25/05/2020 Annexure-B - Comprehensive List of Dialysis unit district wise with designated Nephrologists as Mentor. su | eta | Nene Existing ‘COVID COVID, Referral centers SU pert Lace Treatment | Treatment | with Isolation | pp rotogists designated to | Contact No rs centers with | centers with | Dialysis the district as mentor. No Departmental | Henn" | Dialysis facilities ( ) sDialsis | servicesin | Level & District district Level-4) sa | PrenanesssH | perouhk aucaria, | 2 1 | Alipurduar | Alipurduar DH | Hospital Deel “ ce | __ Assistant Prof Dept of a | Topsikanta ssecting evel) phology SSKM Resp |= ie ca ‘Sanaka Medical. Goleee® | Dr Kapitjt Bhatacharya |B 2.| pana | Bankura McH | Onda ssi cspial. | TAcsouateProtDep of |S | ge (| Nephrology Bankura MCH z tevel 4) es Techno Global, nares Dr Kanai Lal 3 | pasha | pasitar HD Gene | KamalarAssocite rot | § | Kadamgachi N sa 3 24 Pans (Level - 2 4) & | TAMRY | Hospital Purba Burdwan ( k : Dr Asit Mondal, Associate Suri DH Glocal | Level-2y RMYF , g 4°] Birbhum | Bolpur SDH Hospital | Royal Nursing | PPO? Dept of Nephrology 2 Home & 5 Diaunost 2 | Centre (Level-2) & Sanaka Medical Medicare. College & a s | Bishmopar | pis General hospital, DrKaplit Bhatachaiya |G an ishmupur DH | ener = Associate ProfDept of |S eee amet, (| Nephrology Bankura Meu | = | level 4) 8 Coochbehar ‘Dr Chang's SSH_ s «| Coocttenar | Cooehbetar | ~ Mission ates | PeXowiBhetncherie, | 5 boom MCH | Hospital pt Darjeeling (level | yey Oe al | = Lid 4) lephrology lospital 3 S|Pace Balurghat DH | — Pravas Mikki Megha : 8 g Dakin ; z Dr Swastik Purait Senior fee ‘IGangarampur | Atreyi Eye Hospital UD ( ‘ 3 Dinajpur ws ae are Resident RGK MCH. 3 DrChang’s s Darjeeling | Desun ssi, Dr kanchan Saha, Associate g 8 | Darjeeling | DH/NBMCH | Hospital | Matigara Prof Dept of Nephrology § ‘Siliguri DH | siligu ‘North Bengal MCH. S Dr kanchan Saha, Associate 9 | Kalimpong Prof Dept of Nephrology 3 ‘North Bengal MCH g a é Saharahat MR Bangur SSH | Dr Sanjay Dasgupta, 5 Diamond | Diamond a a 10 ‘Nursing 1824 Pens (| Associate Prof Dept of actos HD: | Hap MSH | oe Bors Tevel-4) ‘Nephrology NRS MCH s & Sramajibi 2 Hooghly 5 Hospital, Prof DrD Sen,Dept of 11| Hooghly | DEVArambag | ESI Bandet ee = maar | | Kotkata MCH-( Howrah Level-2&4y Dr Sanjay Dasgupta, 5 12| Howrah | DH/Uluberia IDBG-(level-4)/ | Associate Prof Dept of § SDH MR bangur DH | Nephrology NRS MCH 3 Uluberia | level? & 4) 2 & Dr Chang's SSH Dr Koushik cs : 5; BBiswa banga

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