Goel Institute of Pharmacy and

Sciences, Lucknow

Hospital Training Report Part-II

For partial fulfillment of B.Pharm 7th Semester

Dr. A. P. J. Abdul Kalam Technical University,

Lucknow
2023-24

Submitted by: Submitted To:

Name: Mr. Shobhit Srivastava
Ankit Kr Gond
Assistant Professor,
Roll No:
2003920500021 GIPS, Lucknow.
 CERTIFICATE

This is to certify that Ankit Kumar Gond (2003920500021) has submitted the report on
Hospital Training-II, successfully meeting the requirements for partial fulfillment of
B.Pharm 7th Semester, session 2023-24. The contents of the report do not constitute the
basis for the award of any other degree to the candidate or to any other individual, either
from this University or any other institution.

(Supervisor)
Mr. Shobhit Srivastava
Assistant Professor,
GIPS, Lucknow

EXTERNAL EXAMINER...........................................................
 DECLARATION

I hereby declare that the Hospital training was carried out by me in the certified
hospital “Dr. SHYAMA PRASAD MUKHERJEE (CIVIL HOSPITAL), LUCKNOW”
under the guidance of “Dr. A.S. KHAN”. Further, this work is not being
submitted in part or in full toobtain any other degree/ diploma.

Place: Lucknow Name: ANKIT KUMAR GOND

Date: B. Pharm 4TH Year
Roll no: 2003920500049
 ACKNOWLEDGEMENT
The training opportunity I had with Dr. SHYAMA PRASAD MUKHERJEE
(CIVIL HOSPITAL), LUCKNOW was a great chance for learning and
professional development. Therefore, I consider myself as a very lucky individual
as I was provided with an opportunity to be a part of it. I am also grateful for
having a chance to meet so many wonderful people and professionals who led
me though this training period.

I am using this opportunity to express my deepest gratitude and special thanks to

GOEL INSTITUTE OF PHARMACY & SCIENCES, LUCKNOW who in
spite of being extraordinarily busy with their duties gave us an opportunity so that
we could learn something so important.

It is my radiant sentiment to place on record my best regards, deepest sense of

gratitude to MR. RAJESH MISHRA (Chief Pharmacist) for their careful and
precious guidance which were extremely valuable for my study both theoretically
and practically.

I perceive as this opportunity as a big milestone in my career development. I will

strive to use gained skills and knowledge in the best possible way, and I will
continue to work on their improvement.
 Hospital Training-II
CONTENTS

S.No. CONTENTS Page No.

1 Hospital Training Certificate 3

2 Declaration 4

3 Acknowledgement 5

4 About Hospital 7-8

5 First Aid 9-10

6 Different Section 11

7 OPD 12-14

8 Emergency 16-19

9 Pharmacy 20

10 General Ward 21

11 Injection 22-23

12 Conclusion 24

13 Work Profile 25

14 Reference 26
 Hospital Training-II
OBJECTIVES OF HOSPITAL TRAINING

➢ To promote awareness of health care among all sections of the Indian people.

➢ To promote awareness among functionaries involved in Health and Hospital management.

➢ To promote the development of high-quality hospital services and community healthcare.
➢ To update the knowledge and skill of the Health and Hospital Administration and other personnel
involved in the management of health care organization through continuous education and research.
➢ To promote research in the field of Health and the Hospital Management in order to improve the
efficiency of Health Care Delivery System.
➢ To provide opportunities for training and research in all aspects of Hospital Services Health Care
Delivery System and Health Care Administration.
➢ To promote a forum for the exchange of ideas and information among health and hospital planners,
academicians, administrators, various stationary bodies and the general public for the improvement
of Hospital and Health Care Delivery Systems.
➢ To promote and grant recognition to research in the fields of Health and Hospital Management and
to grant awards, scholarship and assistance in other suitable forms to meritorious individuals and
institutions.
➢ To provide Health Care Advocacy for the benefits of health system management and to endeavor
tobecome a national advisory body for union and state government.
 Hospital Training-II

INTRODUCTION TO HOSPITAL

Hospitals are center of treatment. People from all corners of the society and all walks of
life converge here to cure themself of their disease. A hospital is a health care institution
providing patient treatment with specialized health science and auxiliary healthcare staff
and medical equipment.
Dr. SHYAMA PRASAD MUKHERJEE (CIVIL HOSPITAL), LUCKNOW is the oldest,
largest and the most reputed Govt. Hospital of UTTAR PRADESH.

• It is equipped and good pathology lab.

• Dr. SHYAMA PRASAD MUKHERJEE (CIVIL HOSPITAL), LUCKNOW General Medicine

and other department other facilities include 24 hoursambulance service and
emergency
 Hospital Training-II
DIFFERENT DEPARTMENT IN HOSPITAL

• Pathology Laboratory

• Dispensary

• Emergency Wards

• Injection Room

• Dressing Department

• OPD

• Ultrasound Department

• X-Ray Department

• ECG Department
 Hospital Training-II

PATHOLOGY

Pathology is a branch of science primarily concerned the cause, origin and nature of disease. It
involves the examination of tissues, organs, bodily fluids and autopsies I order to study and
diagnose disease.

Here are some common tests performed during the hospital training in hospital

1. Widal test
2. Pregnancy test
3. Glucose test
4. Blood group test
 Hospital Training-II

WIDAL TEST

Salmonella typhi and Salmonella paratyphi A, B and C cause enteric fever (typhoid and
paratyphoid) in human. Laboratory diagnosis of enteric fever includes Blood culture, Stool
Culture and Serological test. Widal test is a common agglutination test employed in the
serological diagnosis of enteric fever. This test helps to detect presence of salmonella antibodies
in a patient's serum.

Blood group test

A test kit can be used to test blood type. It involves pricking finger and placing a drop of blood on a card
that will react to a serum on the card that contains antibodies. Now we will be given the opportunity to
test blood type using this technique.
 Hospital Training-II

DISPENSARY
A dispensary can be defined as the main area where the dispensing of the drugs takes place. It is mainly
present for the OPD patients. The various drugs are being distributed to the patients here on the basis of
their prescription written by the doctors. The dispensary in the district hospital consists of various
pharmacists who are present to hand out the medicines to the patients. The distribution of the drugs in the
district hospital is for free.

The various drugs which are being distributed are:-

1. Paracetamol tablet and suspension.
2. Calcium tablets
3. B complex tablets
4. Aceclofenac tablets
5. Doxycyclin tablets

6. ORS
 Hospital Training-II
SECTIONS IN COMMUNITY HEALTH CENTER

❖ OPD
❖ General Wards
❖ Emergency Wards
❖ Operation Theatre
❖ ICU Department
❖ Injection Room
❖ Ultrasound Department
❖ X-Ray Department
❖ ECG Department
❖ Dressing Department
❖ Pharmacy
 Hospital Training-II
OUT PATIENT DEPARTMENT (OPD)
An outpatient department is the part of hospital designed for the treatment of outpatients. This
department provides diagnosis and care for patients that do not need to stay overnight. It is an
important part of the overall running of the department. The outpatient department will usually be
on the ground floor of the hospital. Wheel chairs and stretchers are available for non- ambulatory
patients. Close at hand will be X-rat facilities, laboratories, the medical record office and a
pharmacy. In the main waiting area there are a range of facilities for the patients and their families
including toilets, public telephones, canteen, and water dispenser. Some of the hospitals have no
separate department for outpatients, so they may be treated in same department as patients that stay
overnight. In Maa Sharda Hospital & Neuro Centre there is separate outpatient department. Timing
for OPD is 10:00 AM to 2:00 PM and 6:00 PM to 8:00 PM.
 Hospital Training-II
Services Provided by the OPD
OPDs provide all general services and facilities which are necessary for any hospital. OPDs act as
the first step for consulting the doctor and getting the tests done to proceed with treatment. These
services are classified as-

➢ Prevention and wellness

OPDs provide guidance to the patients for overall wellness and prevention of health issues.
Doctors guide patients to maintain a healthy weight, improve sleep, balance sugar levels etc.

➢ Diagnosis

OPD is the first place where the patient and doctor meet and discuss the patient’s health condition.
After discussing the issue, the doctor suggests the necessary tests for the patient. The lab tests and
MRI scans are conducted in the OPD.

➢ Treatment
Treatment and minor surgeries can be done in the OPD. Modern OPD has all the necessary
equipment to treat a patient. Surgeries such as cuts, wounds etc, can be easily handled in the modern
OPD.

Features of OPD

• It acts as the first point where the patient and the healthcare system interact with eachother.
• It is the most important step in health promotion and vital in the prevention of diseases.
• The screening is done to find the illness and see whether the patient needs admission to the hospital.
• All patients can easily access the medical practitioners and get the treatment done.
• It facilitates vaccination, common illness, or minor surgeries

Types of Outpatient Department:

There are different types of OPD like ENT (ear, nose, and throat), pediatric, skin, and eyes. These
types are based on the function and facility they offer. Several other OPDs are also there,

*
 Hospital Training-II

a) Primary Care Clinic:

Primary care clinics are facilities where patients consult the physicians. These physicians conduct
tests and direct the patient to specialists when the need arises.
b) Community clinic:
The community health clinic is for the people who cannot access healthcare. These allow people with
low incomes, no health insurance, workers.
c) Urgent Care Center:
The urgent care center is a clinic that serves the purpose of an emergency ward. It is for those
treatments which require urgent attention but are not life threatening.
d) Specialized Outpatient Clinic:
It is for the patients suffering from a specific illness under the specialization like cardiology,
nephrology, wound care, pain management, chemotherapy treatment, and radiation treatment at
specific center.
 Hospital Training-II

EMERGENCY DEPARTMENT

The emergency department (ED) plays an important role in providing patients with prompt and
effective clinical care. It is the healthcare entry point responsible for receiving, sorting, urgency
and complexity. Conditions of patients requiring an emergency care vary from major trauma and
stroke to intoxication and mental disorders. Therefore, emergency department is considered to be
an extremely complex system.

Improper facility design can lead to numerous problems. In the ED in particular, crowding is a
prominent problem. Crowding is associated with increased patient mortality, poor quality of care,
extended waiting times, increased rates of patients left without being seen, and extended length to
stay.
 Hospital Training-II
Medical Emergencies:

Bleeding:

Cuts and wounds cause bleeding, but severe injury can also cause internal bleeding. Not all
incidents of bleeding need emergency medical treatment, often they can be treated by first aid at
home.

If there is a large amount of blood loss, the injured person may begin to feel unwell, appear pale,
feel dizzy and, in some cases, lose consciousness. If this happens, urgent medical attention
required.

(a) Breathing Difficulties:

There can be a number of reasons why someone may have difficulties in breathing. e.g.,
asthma attacks, allergic reaction (anaphylaxis), and coughs or colds.
Breathlessness can occur during exercise or physical activity, but if the breathlessness comeson
suddenly or unexpectedly, then this can be a warning sign.
If someone is having breathing difficulties, they may experience some or all of the
following symptoms: Pain when taking deep breaths or feeling like their chest is tight.
 Hospital Training-II
• Breathing shallower or faster than normal.
• Noisy breathing including a wheeze gasps or whistles.
If someone is experiencing breathing difficulties, they may feel panicked, which can affect their
breathing. It’s important to try and keep the situation calm if possible.
(b) Someone Collapses:
If someone has collapsed, they are likely to need medical attention. This is because their levels of
consciousness or breathing could be affected.
(c) Fit and/or epileptic seizure
Fits and seizures can occur in people who have a diagnosis of epilepsy, but can also occur in people
who don’t have such a diagnosis.
A fit or seizure can involve the involuntary and uncontrollable jerking, twitching or shaking of part or
all of the body.
(d) Severe pain
Everyone can experience pain in different ways, depending on their pain threshold. We all experience
aches and pains from time to time.
Pain can occur suddenly or increase over a period of time. Pain can be caused due to illness or
injury. Severe pain tends to be more intense and, in some cases, will stop people from being able
to carry out normal daily activities.
Pain relief can be used to help relive the amount of pain that someone is in, but must be taken following
medical advice.
(e) Heart Attack
It is a serious life-threatening medical emergency where the supply of blood to the heart is suddenly
blocked. Heart attacks are more common in adults, but can occur in children and teenagers. If
someone is having a heart attack, they may experience some of the following symptoms:
• Chest pain, both arms can be affected as well the neck, jaw, back and stomach.
• Shortness of breath and sweating
• Coughing or wheezing Feeling dizzy or lightheaded
 Hospital Training-II
(g) Stroke
A stroke is a serious life-threatening medical condition which occurs due to the blood supply to part of
the brain being cut off.

This can happen because of a blood clot or a bleed on the brain. There are two main causes of
stroke: a blocked artery (ischemic stroke) or leaking or bursting of a blood vessel (hemorrhagic
stroke). Some people may have only a temporary disruption of blood flow to the brain, known as
a transient ischemic attack (TIA), that doesn't cause lasting symptoms.

Ischemic Stroke:
This is the most common type of stroke. It happens when the brain's blood vessels become
narrowed or blocked, causing severely reduced blood flow (ischemia). Blocked or narrowed blood
vessels are caused by fatty deposits that build up in blood vessels or by blood clots or other debris
that travel through your bloodstream and lodge in the blood vessels in your brain.

Symptoms:
Trouble in speaking Paralysis or numbness
of the face, arm or leg.
Hospital Training-II

PHARMACY

Drug distribution room is a department within a hospital that prepares, compounds, stocks,
dispenses inpatient medication. Drug distribution usually stock a larger ranger of medications,
including more specialized and investigational medications than would be feasible in the
community setting. It can also dispense over the counter and prescription medications to
outpatients. It may provide a huge quantity of medications per day which is allocated to the wards
and to intensive care units according to the patient’s medication schedule. Larger hospital may use
automated transport systems to aid in the efficient distributions of medications. In drug distribution
room many varieties of drugs are present which are helpful in the treatment of poor people.
Hospital Training-II

GENERAL WARD
➢ A general ward is a large room where people who need medical treatment stay in general wards.
➢ General wards have a cubicle room having six to eight patient bed and toilet in thewings of the
ward.
➢ These ward are fully-equipped nursing station, Attendant couch, Qualified dietitian for diet advice
and diet service.
➢ In general ward, those patients are only stay who is not suffered from any chronic disease.
Hospital Training-II

INJECTIONS
➢ An injection is the act of putting a liquid, especially a drug into a person’s body using a needle
and a syringe.
➢ Injection is a technique for delivering drugs by parenteral administration, that is,
administration via a route other than through the digestive tract.
➢ Parenteral injection includes subcutaneous, intramuscular, intravenous, intra peritoneal, intra
cardiac, intra articular and intra cavernous injection.
➢ Injection is generally administered as a bolus, but can possibly be used for continuous drug
administration as well

Various Method of Injection

1. Intramuscular injection
It is deliver a substance deep into a muscle where they are quickly absorbed by
blood vessels. The injection is often given at a 90 degree angle. Common injections
sites include the deltoid, vastus lateralis and ventrogluteal muscles. Most
inactivated vaccines like influenza are given by I.M. injection. Medical
professionals are trained to give I.M. injections but patients can also be trained to
self-administer medications like epinephrine.
2. Subcutaneous injection
In it, the medication is delivered to the tissues between the skin and the muscle. The
injection is often given at a 45 degree angle. Absorption of the medicine is slower
than that of intramuscular injections. Since the needle does not need to reach the
muscles so often a bigger gauge and short needle is used. Usual site of
administration is fat tissue behind the arm. Insulin injection is a common type of
subcutaneous injection medicine. Certain vaccines including MMR (Measles,
Mumps and Rubella), Varicella (Chickenpox), Zoster (Shingles) are given
subcutaneously.
3. Intravenous injection
It involves needle insertion directly into the vein and the substance is directly
delivered into the blood stream. The injection is often given at a 25 degree angle.
In medicine and drug use, this route is the fastest way to get the desired effect since
the medication moves immediately into blood circulation and to the rest of the body.
4. Intradermal injection
In this, medication is delivered directly into the dermis, the layer just below the
epidermis of the skin. The injection is often given at a 5 to 15 degree angle with the
needle placed almost flat against the patient’s skin. Absorption takes the longest as
compared to other parenteral routes.
Hospital Training-II

5. Intra-arterial route
This method is used for chemotherapy in cases of malignant tumors and inangiography.
6. Intra cardiac route
Injection can be applied to the left ventricle in case of cardiac arrest.
7. Intra thecal route
Intrathecal route involves the subarachnoid space. Injection may be applied for the lumbar
puncture, for spinal anesthesia and for diagnostic purposes. This technique requires special
precautions.
8. Intra-articular route
Intra-articular route involves injection into the joint cavity. Corticosteroids may be injected by this
route in acute arthritis.
 Hospital Training-II

CONCLUSION
➢ During training procedures I have got lot of knowledge about following-
➢ Stated project a training regarding each and every first aid procedures. It includes checking the
symptoms and treating at small scale in first aids and later transferring for surgical procedures.
➢ I got known regarding artificial respiration process and wound dressing.
➢ Sites of injection which includes knowledge of syringes, routes of injections. Routes of injections such
as I.V., I.M., I.D., Subcutaneous etc.
➢ In Prescription reading, its parts and the abbreviations used are studied by me in this project it’s truly a
scandalous matter for pharmacists study.
➢ Later the dispensing procedure is stated therefore which was practiced by me all around the training at
regular intervals.
➢ I also learn about patient observation chart and how to fill it, use it.
➢ In Simple diagnostic reports that are easy to study in case of pathological reports but a bit of difficulty
arises in reading radiological reports.

➢ Therefore I have got a marvelous experience by this training.

 Hospital Training-II

WORK PROFILE

During 45 days of hospital training-1. I came to learn about how to dispense medicines to the patient,
how to inject injection to them, how to manage emergency cases. I also learn about dealing with hospital
conditions like diseases of patient, wards, staff members, different departments etc.

The staff and doctor are all host and good natured towards the patient and listen to their problems. Each
and every department has its own way of working. There is no carelessness towards the patients their
drugs and injection and they are treated on time.

WORKING HOURS=8 AM To 2PM.

 Hospital Training-II

REFERENCE
1--Reinarz, Jonathan. "Corpus Curricula: Medical Education and the Voluntary Hospital
Movement". Retrieved 17 December 2012.

2-- Mehta R.M “Pharmaceutics-1” IVTH edition Vallabh Prakashan page no 274

3--Michael Marks Davis; Andrew Robert Warner (1918). Dispensaries, Their Management and
Development: A Book for Administrators, Public Health Workers, and All Interested in Better
Medical Service for the People.

4—.278Roderick E. McGrew, Encyclopedia of Medical History (Macmillan 1985), p. 139

5--https://en.m.wikipedia.org/wiki/Hospital#cite_ref-1

6--http://www.911dispatch.com/info/emd/index.html

7--https://en.m.wikipedia.org/wiki/Hospital#cite_ref-1

8--https://en.m. wikipedia.org/wiki/Hospital#cite_ref-1

9--https://en.m.wikipedia.org/wiki/Hospital

10--https://en.m.wikipedia.org/wiki/Hospital

11--https://www.collinsdictionary.com/dictionary/english/doctors-surger