WORK REPORT -LB NAGAR BRANCH

1. Reached the branch at 9:20 am.Started the day from Billing Department.
2. Collected the data of IP admission report cash and insurance patients .Proceed to ER Dept.

ER dept ;

1. Met DMO incharge check the record of Night IP admissions in ER – 4.

2. IP Admission record maintained.
3. Duty Attendance register.
4. Drug register maintained
5. ER OP Register was maintained

Remark ; Nursing team was found to active and Teams members – 12 each shift 3 members and General shift –
3 , ER beds Found be -7.

First floor- Sister Incharge - chamanthi

SHARING ROOMS- BEDS – 8

, CT SCAN,

 Nursing staff – shift – 3 members ,Total staff - 9

 Patient Rounds done by evaluating each case sheet.
 Registers identified are –1. Admission register ,2.Attendance register 3.Drug stock register 4. Drug
Indenting register.5.Fumigation register 6.MRD discharge Book

MEDICAL ICU – LOCATION 3 FLOOR , DMO – Dr.Ashwini , Sister incharge -DEEPIKA

Registers :1. Admission register 2.Attendance register 3.Drug stock register 4. Drug Indenting register.5. CSSD
Register 6. Equip ment register ,7.Fumigation register ,8. Blood transfusion register ,9.Drug charts and protocols are
placed in nursing station.

Equipments identified are – Patient Monitors – 9,Ventillators -4, Bipap-4, Syringe Pumps – 6, suction Pumps -
8,oxygen cylinder .

Checklist for Folys catheter, Ventillator ,central line are used in case sheets.

Stamps need to be maintained for Anaesthesia teams members.

Remarks : Need to Improve the registers for Quality indicators.

2 floor -OT – Incharge Rajender

Findings :

1.2 major OT and 1 minor OT

2 .HEPA FILTERS are placed in single ot and is not functional.’

3. Temperature and Pressureguages are not available in OT
4. Dirty lenin pass is not available
5. Culture swabs are taken monthly twice and record need to be maintained .
6. Surgery wise record is maintained.
7. CSSD Register is maintained,Need to be Evaluated.
8. Biological indicator register need to be valuated IN next visit can be audited.
9. Bowdick,Stick,Tape indicators are used in CSSD.
10. OT staff Duty Roaster need to be maintained .
11. Case sheets Sign and stamp of Surgeon notes is found to be missing in some case sheets.
 Equipments avaliabe are – 2-C-ARMS, 3- Anesthesiawork stations, Defibrallator-1, Navigation system-1,
Cautery -4, Drills – Stryker and Bioteck,

Requirements – 2 sets of Saw drills are required, Ot Experienced staff required -2

Pharmacy Dept :

1. Licences form20,21 is available

2. Narcotics licence is avalible
3. Narcotic register is not in use as they are verified by DI.
4. Expiry stock is removed every month and replaced as informed by pharmacist but no record of Expiry register
was found.

HR dept _

Staff details collected from the HR.

Consultants found to be – 9 ( Includes anesthesia-3)

Nurse staff – 44 certified.

Pharmacist – 3

Ot technicians – 2 ,Anesthesia technicians -3

Scrub nurse -3 cssd -2, CT ,Xray technicians and 2d echo-5

Front office – 6

Billing -4 ,1 cash ,3 insurance

Till 6 pm Total New admissions found to be – 9

Total discharges found to be – 6 (3 cash, 3 insurance )

MRD :

 Case sheets are scanned up on the receiving the record.

 MLC cases are not stored properly.

Recommendations :

1. Bed strength need to be improved by atleast -15 as there is good number of walkins.
2. Training classed need to be conducted every week
3. Quality indicators need to maintained.
4. Monthly Mortality meetings and infection control meetings needs to be conducted.
5. HR documentation filings need to be improved.
6. Case sheet documentation preferably stamps and signs on case sheets , pre op consents ,surgeon notes , pre
op checklist,anesthesia monitoring charts, post op score need to be improved .

*END OF THE REPORT* R.Vishnukumar

GM-Quality and accreditations