INTERNSHIP REPORT AND RESEARCH

CONDUCTED ON ESI HOSPITAL, MANICKTALA

NAME- SUMAN DAS

ROLL NO.- 15403319003
SUBJECT- BBA in Hospital management
COLLEGE NAME- DINABANDHU ANDREWS INSTITUTE OF
TECHNOLOGY AND MANAGEMENT
 ACKNOWLEDGEMENT
I am really thankful to the director of the hospital, WB Govt. to give me this
opportunity to conduct my internship along with the research and work in the
respective hospital, at Manicktala. I am also grateful to MPO-cum-superintendent Dr.
Mayukh Roy, the deputy superintendent Dr. Amit Bhattacharya and the assistant
superintendent (Non-medical) of the hospital Mr. Debojyoti Dev for helping and
supporting me throughout training period.
I am also thankful to my departmental staff and workers for being co-operated
with me and helping in study and analysis throughout the whole internship.
I also want to give special thanks to our respected principle Dr. Sanjukta Nandy
Madam, of Dinabandhu Andrews Institute of Technology and Management and our
faculty Ms. Monatri Nag to give me this great opportunity to have the internship in
Manicktala ESI.
 ABOUT ME
I am Suman Das, a student of Dinabandhu Andrews Institute of Technology
and Management. I am pursuing BBA in Hospital Management.
I have done my two-month internship in ESI Hospital at Manicktala. I was in
admission department (Emergency) where, I have learned how to admit a patient
online, how to transfer a patient from one ward to another, how to discharge a
patient. As I was in night shift, I have seen so many patients came at night for
emergency cases. My departmental workers also supported me to work through out
the whole night. I want to thankful to them and specially to Debojyoti sir to give a
chance to have this internship.
 CONTENT

Introduction
Classifications of Hospitals
About the Hospital (ESI, Manicktala)
Introduction
 Admission Department
 Objectives
Workflow
Summary
Study and Analysis
Findings and Recommendations
Conclusion
Bibliography
 INTRODUCTION

A hospital is a healthcare institution, where patients are provided with different

healthcare facilities like medication, nursing, physician, and of other medical
equipment’s. This healthcare institutions are organised to give services through
24*7. They also provide different range of facilities like diagnostic, surgery, and other
curative services.
This healthcare institutes organize some kind of campaign about giving healthcare
facilities to poor peoples, awareness of diseases, and hygiene.
Majorly, according to funding, there are some types of hospitals, they are:
1. Profit & non-profit of hospitals.
2. Health insurance company’s providence.
3. Religious healthcare centres.
4. Trusts & charities.

Hospitals can be organised into four types:

1.District Hospital:
This are generally located in local areas. Having a Capacity of long term and large
provision surgery centres gynaecology, laboratories and pathologies.

2. Specialized Hospital:
It is large kind of Hospitals, Located near the main hospital Campus. They Contains
Specialized Centres Like

 Rehabilitation Centres.
 Trauma Centres.
 Children Hospitals.
 Psychiatric Centres.
 Cardiology and many more.
3. Teaching Hospitals:
This Hospitals are mainly Contains of

 Medical College.
 University or Nursing Schools.
And other health care facilities to patients and teaching the medical terms
and conditions to practitioners.

4.Clinics:
This generally provides outer patient care services.
 Classification of Hospitals

There are generally Three kinds of Hospitals:

1. According to Bed capacity:

(i) 51 to 10 Beds Districts of hospitals
(ii) 200 Beds Hospitals
(iii) 200 to 400 Beds Hospitals
(iv) 400 to 500 Beds Hospitals

2. According to Services:
(i) Generals Hospitals: - Districts Hospitals
(ii) Special Hospitals: - Medical college Hospitals, Mental Hospitals, Cancer
Hospitals.

3. According to Ownership
(i) Govt. Hospitals: - Public Health Hospitals
(ii) None Govt. Hospitals: - Privet Hospitals
(iii) Corporation Hospitals: - L Profitable, Li. None-Profitable, Partnership
Hospitals

Governmental:
This hospitals are also known as public hospitals which generally owned and funded
by Government. They Provide free of cost or minimum cost medical services to the
patients.
ESI HOSPITAL, WEST BENGAL GOVERNMENT

E.S.I Stands for Employee’s State Insurance hospital, which is under west Bengal
government, facilitation for rendering the medical services under ESI scheme. This
scheme actually provided on ESI acts, of 1948, as social security measure. This
scheme provides the medical benefit only to the insure person who is under ESI
medical scheme through the Directorate under the department of labour, Govt. of WB.

Objective: The objective of ESI to provided certain healthcare services to insured

person like medication services, Maternity and Injury and on other health issues.

Facilities available under ESI scheme:

(i) Indoor Treatment for patients in all Specialties.

(ii) ICCU with 6 bed, Having the facilities for implantation of permanent pacemaker.
(iii) Having the specialized treatment and facilities of Neurology, Oncology, Cardiology
and Haemodialysis setup and facilities from privet intuitions.
(iv) Collection and supply of blood through ESI blood bank at Manicktala.
(v) Ante-natal and post-natal care to woman beneficiaries.
(vi) Neo-natal care units with 4 beds at Kamarhati ESI Hospital.
(vii) Outpatient treatments dispensaries.
(viii) Specialists services at the OPD in all the 13 state’s ESI hospitals.
(ix) Ambulance services.
(x) Awareness of AIDS and control through the VCCTCs.
(xi) Free supply of hearing AIDS and spectacles for both IP and family.
(xii) Pain management treatment at ESI pain management Institute (Sealdah).
There are few branches of ESI Hospitals in WB, provides both indoor
and outdoor Cares, they are in

1.Asansol
2.Baltikuri
3.Bandel
4.Serampur
5.Belur
6.Budge Budge
7.Durgapur
8.Guahati
9.Kalyani
10.Kamarhati
11.Manicktala
12.Sealdah
13.Uluberia
 About the Hospital (ESI, Manicktala)

ESI, Manicktala

It is a Medical superintendent hospital which is the head referral among 13 ESI

branches under WB Govt. It is multi-speciality, 6 floored building, established on
01/03/1979, in the present Superintendent as Dr. Mayukh Roy, Deputy Superintendent
Dr. Amit Bhattacharya and Assistant Superintendent Mr. Debojyoti Dev.
This hospital consists 500 sanctioned beds with 422 (Male 231, and Female 191)
medical workers and provide 24*7 ambulance services.

The location of wards in the hospitals:

1. Blood bank at the 1st floor.

2.ICCU and Operation Theatre in the 3rd Floor.
3.Maternity, New-Female Ward and Dialysis unit are in the 4th floor.
4.Orthopedic, Female and Male Surgical Wards are in 5th floor.
5.New Male Medicine Ward are in 6th floor.

There are some health care services which is provided by Manicktala

ESI hospital, they are –

1. Medicine
2. Surgeries
3. Physiotherapy
4. Anaesthesia
5. Orthopaedic
6. Eyes
7. ENT
8. G&O
9. Dental
10. Pathology
11. Radiology
12. Emergency Services
13. USG
14. ICCU
15. Dermatology
16. Dialysis
17. Neurology and Neurosurgery
18. Nephrology
19. ICTC
20. Paediatrics
21. Psychiatry
22. Blood Bank
23. Family welfare and immunization
 INTRODUCTION (ADMISSION DEPERNMENT)

This department generally handle and lists the patients whoever will going to
be admit in the hospital. It needs to follow some general rules and procedures to do
the admission of any patients in the hospitals, which helps to analyse and study the
process during in the working time throughout the internship.

Place of Internship: - The project study was conducted at the ESI

(Employees state insurance) Hospital, Manicktala, WB

Duration of internship: - The training was for two months, from 1st
December 2020 to 31st January 2021.
 OBJECTIVES

The two months internship is about a combine duty for practitioners in different
departments, whether the person is male or female. This internship generally consists
the duty as a Floor coordinator, in Emergency, at Online Admission and others.

There are some objectives of my internship in the hospital, are as

follows:

1.To study the pattern and the workflow of the administrative ward in ESI
hospital.

2.To Co-operate with patients and co-ordinate with departmental staffs like in
Floor co-ordination, Emergency, Online Admission, Nurses demands patients quarries
and problems, and with other working stuffs in wards.

3.To know different services and facilities provided by the hospitals to insured
parson.

4.To know how to solve a problem, facing by the patients or the staffs in the
departments or in the provided services.

5.To know the workflow in the admission process and collecting beds number
for patients admissions.
 WORKFLOW
Analysed a studied workflow in online admission
department (emergency):

This is the department where a patient can get the service about get online
admission in the hospitals. Through this department the patients can be transferred
from one ward to another, changing beds and get discharged.

There are few processes the have to follow during online

admission, they are:

For patients -

1. The patients party should have to be insured under the ESI scheme.
2. The patients party should have to bring the ESI card which is provided by
the ESI hospitals cause it contains the whole information about the patients and
his/her families.
3. The patients party have to renew the ESI scheme timely to continue the
provided services by the ESI hospitals.
4. There should have to be at least one familiar person’s presence, during the
online admission procedure.
5. They should have to provide the correct information about the patients
which is also included in the mentioned ESI card of the patients or any of patients
family members.
6. After completing online admission, any of one person party (should have to
be any familiar parson) have to sign in the provided required paper by the online
admission departmental stuff.
For online admission working staff –

1. Firstly the staff has to check the details, either the patient included under
the ESI scheme or not.
2. Then, if the patient is not insured under the ESI scheme, the staff should
have to inform to the doctor, who had permitted the patient to get admitted in the
hospital and also have to inform the patient party.
3. If the patient is under the ESI scheme then staff should have to firstly check
the ward in where the doctor recommended the patient to be admitted.
4. The staff have to check whether there is any empty beds in that
recommended ward or not.
5. If there are no empty beds then he/she have to inform the patient party to
wait.
6. If there is having any empty beds, the staff has to start the online admission
process by selecting the recommended ward.
7. He/she have to collect the ESI card firstly, to check the IP number of the
patient, either the IP number included under the ESI scheme or not.
8. He/she have to collect all the proper informations about the patient, which
have to get matched in the included ESI card.
9. Then, have to select the bed number under the ward and have to register
the patient’s name.
10. Then have to check weather the patient under the medicine or surgery, to
change the specific doctor for the patient (its applicable for general wards like Male
surgical ward, Female surgical ward, and some other wards).
11. Then, have to get a hard copy of that online admission procedure and get
sign by the patient party.
There are other few works like:

1.Patient discharge.
2.Checking on the empty beds, if it is registered as vacant or not.
3.Collect the beds numbers in the selected wards by checking on them
manually.
4.Recently, the stuff has to list down the name and mentioned informations
about the patients, who were getting there COVID-19 tests through the
hospital.
 SUMMARY
Knowledge gathered throughout the visit during the whole
internship:

1. Selfcare.
2. Behaving with other peoples.
3. Helping others in need.
4. Working according with the needed procedure.
5. Finishing works in time.
6. Give good advice to other and learn new things.

About the work:

1. How to admit the patient.

2. About the wards in the hospital.
3. About the workflow in the emergency and in online admission department.
 STUDY AND ANALYSIS
About the patient profile:

1. Patient name.
2. Patient age.
3. Either the patient married or not.
4. Patient’s family member’s name.
5. Patients address.
6. Patients family member’s contacts.

About the work:

1. Name of the wards.

2. Beds number for included specific wards.
3. Specific doctors for specific treatment and wards.
4. Process of admissions and discharging a patient.
5. The proper workflow in online admission department (Emergency).
 FINDINGS AND RECOMMENDATIONS

There are few finding up to my knowledge during the

working methodology of online admissions department:

Finding:

1. Sometime patients are transferred in the hospitals, who is not got

discharged in online from previous hospitals.
2. Sometimes patients having different personal information (like address,
phone number) from the included information in ESI card.
3. Sometimes server goes off, for that staffs had to prepare an offline
admission procedure.
4. Miscommunications with ward’s healthcare workers.

Recommendations:

1. Firstly the patient should have to be checked either he/she is discharged

from the previous hospitals or not.
2. The patient party should have to get asked the proper personal information
and should have to get matched by the included information in ESI card.
3. The server should have to get maintenances properly.
4. Communicate with ward’s healthcare workers through out the online
admission process.
 CONCLUSION

This two-month internship helped me to learn so many things. That is, how to
properly behave with others, how to co-operate with others and many more
behavioural things.
Throughout this internship I have also studied and analysed the workflow of the
organization. Also flow co-ordination and many more.
It was a great time in the hospital, through-out this internship, with inter-departmental
staff as they have helped me a lot to study and analyse the workflow of my
department.
I have learned how to deal with critical conditions in tough times. I have also learned
how to deal with different patient parties.
For getting this much of experience and collecting informations of the department
and the hospital, I am so thankful to all, whoever helped me throughout this
internship.
 BIBLIOGRAPHY
I have all the information during my internship in the hospitals, by interacting with
patients and patients parties and by surveying and questioning other medical staffs
and workers and by the work time.
Some of the information that I gathered from the websites or links here are they :

1. www.google.com
2. www.wikipedia.com
3. www.esic.nic.in
4. esiwb.gov.in/main