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Transcript of Annual Health Bulletin 2013
ANNUAL HEALTH BULLETIN 2013
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 1
Message from the Director
The Lady Ridgeway Hospital being the premier children’s hospital in Sri Lanka providing free health care services to
needy children of the nation serves as the national referral center for pediatric care in the country.
It also serves as the local pediatric hospital for population in and around Colombo city for minor ailments. As this
hospital acts as a premier teaching children’s hospital under the Ministry of Health, it is responsible for
undergraduate and most of the postgraduate medical and surgical paediatric training provided by all units of the
hospital affiliated to the faculty of Medicine, University of Colombo and postgraduate institute of Medicine.
This Annual Health Bulletin testifies the quantity and quality of services rendered by LRH during the past year. It
carries lot of information to policy makers and health planners for future development of health service in the field
of child health in the country.
Reliable statistics provide true basis for future planning. Students who are interested of doing studies, research and
any publication can utilize annual statistics of Lady Ridgeway Hospital.
The staff of LRH handles huge loads of work, we have to look forward to reorganize and facilitate this service
provision to the public by going through this health information.
To provide quality and productive services we have to introduce more sub specialties of general paediatric practice
in order to achieve our goal of reaching the best health care center for children in South Asia by 2020.
Most of the statistics are not second to any other paediatric facility in the world. It is our duty to look forward the
yearly services for the satisfaction of the customer.
I take this opportunity to thank who took initiatives to make this publication a reality.
Dr. A.L.A LINTON PADMASIRI
(MBBS,DCH,MSc,MCMA)
Director
Lady Ridgeway Hospital for Children (Teaching)
Colombo 08
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The Lady Ridgeway Hospital (LRH) is the largest public free of charge pediatric Hospital in the world. It serves as the National referral
center for pediatric care for Sri Lanka . It also serves as local hospital for the population in and around Colombo city for minor ailments.
The hospital has approximately over 900 beds and it treats children below 12 years of age from all over the country. It has all supportive
services required to provide quality patient care.
The total number of staff is over 2000 staff members. The medical staff consists of nearly 55 consultants and nearly 300 medical officers.
They are organized as medical teams headed by permanent senior consultants who have international experience in that particular specialty.
Nursing staff consists of nearly 700 nursing officers and are organized as teams in line the organization of Doctors.
Our Vision
To make LRH the Best Health Care Centre for Children in the South Asia within this decade.
Our Mission
Provision of consumer oriented comprehensive, best quality healthcare for children in Sri Lanka at all times through a
motivated, efficient and trained team of health care staff to the maximum satisfaction of all health care seekers and to train
undergraduates, post graduates and other health personnel in child care effectively.
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History of the Lady Ridgeway Hospital
The Lady Havelock Hospital 1910
During the period 1890-1895 when Sir Arthur Havelock was Governor of Ceylon, one of this greatest achievements was
marking available many advances and new awareness in medical science to the island’s inhabitants. Until the 19th Century,
children were treated as miniature adults before pediatrics emerged as a specialty. So one chief medical institution for which
this Governor was officially responsible, although his wife proved the impetus, was a Children’s Hospital
17th January 1895 the Governor laid the foundation stone of what was to be called the Lady Havelock Hospital for
Women and Children. It took over a year to build , by which time sir Arthur Havelock had been succeeded as Governor by Sir
Joseph West Ridgeway, and so it was Lady Ridgeway who ceremonially opened the hospital on 12th October1896.
26th February 1910 Sir Henry Edward McCallum, the Governor of Ceylon Laid the foundation stone for Construction of a
separate block for children. The building was erected with public subscriptions an the former first , Lady Ridgeway had been
energetic in fund raising for this project.
27th September 1910 Ceremonial opening of the new section, the Lady Ridgeway block for the Children.1937 The qualified
pediatrician for the hospital Dr. L.O Abeyrathne was appointed as the Physician and the medical Officer in Charge of the
Hospital.
1950 -After independence in 1948 the Ministry of Health adopted plans to progressively reconstruct the LRH. The first wing
of the new hospital containing new ward was opened in 1950.
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Lady Lina Ridgeway The Lady Havelock Hospital ceremonially opened by Lady Lina Ridgeway
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Directions of the Hospital
Lady Ridgeway Hospital is situated near Borella town in Colombo District, Sri Lanka. There are two main entrances to the
hospital via Maradana road & Baseline road.
Entrance to the Accident Service, Orthopaedic clinic, Surgical clinic wards and administrative office is convenient through the
Maradana road entrance of the hospital.
Entrance to the Out Patient Department, Emergency Treatment unit, medical wards and most other clinics is convenient
through the Baseline Road entrance of the hospital.
Only authorized vehicles are allowed to enter the hospital expect for ambulances and vehicles caring critically ill children.
Visitors to the inward patients need to produce valid pass given on admission and are allowed only during visiting hours.
Address- Lady Ridgeway Hospital For Children
Dr. Denister De Silva Mawatha
Colombo 08, Sri Lanka
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Head of the Organization
Hospital Director
Dr. A.L.A LINTON PADMASIRI
Telephone no 0112691521
General Information
Telephones : 0112693711, 0112693712
Fax No : 0112686859
Email : [email protected]
Website: www.ladyridgewayhospital.lk
Services offered
Accident and animal bite casualty care for children
Out patients medical and surgical care for children
General medical care for children
General surgical care for children
Heart (cardiology) care for children
Eye (Opthalmolgy) care for children
Ear, Nose, and Throat (ENT) care for children
Skin(Dermatology) care for children
Neurology care for children
Kidney (Nephrology ) care for children
Orthopaedic care for children
Child Guidance /Psychiatric care for children
Rheumatological care for children
Cardiothoracic surgical care for children
Plastic surgical care for children
Cancer (Oncological) care for children
Dental & Orthodontic care for children
Child immunization services
Occupational therapy service for children
Physiotherapy service for children
Language and speech therapy service for children
Dialysis unit
Endocrine Unit
Laboratory services
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Hospital staff
Category of Personnel Male Female
1 Medical Officers Administrative Grade (Senior and Deputy) 01 Specialists (curative care) 26 26
Grade Medical Officers 123 192
Medical Officers (Blood Bank) 01 06
Intern Medical Officers 15 22
PGIM Trainees 105
Post Intern MOO 10 20
2 Dental Surgeons
Consultant Dental Surgeons 01
Dental Surgeons 01 09
3 Registered Medical Officers 03
4 Nurses
Matrons 05
Ward Sisters 28
Nursing Officers 687
5. Deputy Director (Finance) 01
6 Administrative Officer 01
7. Medical Records Officers 03
8 Pharmacists 10 19
9 Special grade MLTT
Medical Laboratory Technologists
11
01
20
10 Radiographers 12 01
11 Physiotherapists 03 10
12 Speech Therapists 04
13 Occupational Therapists 03 05
14 Dental Technicians 03
15 Ophthalmic Technicians 01 01
16 Public Health Inspectors 02
17 ECG Recordists 01 03
18 EEG Recordists 04
19 Dispensers 02 10
20 Audiology Technicians 01
21 Orthopaedic Technicians 01
22 Boiler 01
23 Surgical Appliances Maker 04
24 Development Assistant 02 03
25 ICT Technician 02
26 House Warden 04
27 Perfutinist 06 01
28 Public Management Assistant 04 18
29 Physicist 01
30 Ward Clerk 01
31 Librarian 01
32 Lift Operator 12
33 Lab Orderly 04 06
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Category of Personnel Male Female
Health Drivers 10
Cooks 17
KKS 01 03
Limb Maker 01
Prosthetist & Orthotist 02
Telephone Operator 03 01
Shoe Maker 01
Plumber 01
Welder 01
Hospital Overseer 02 01
Saukya Karyaya Sahayake 456
Saukya Karyaya Sahayake(Subtitute) 119
Diet Stewardess 05
Seamstress 04
Distribution of Specialists
Specialty Number of Consultants
Male Female Cardiologists 02
Cardiothoracic Surgeons 03
Neurologists 01 01
Dermatologists 02
Rheumatologists 01
Psychiatrists 02
Pediatricians 03 06
Pediatric Surgeons 04 01
ENT Surgeons 02
Eye Surgeons 01
Orthopedic Surgeons 01
Plastic Surgeons
Anesthesiologists 03 03
Histo- Pathologists/ Chemical
Pathologists
02
Hematologists 01
Bacteriologists/Microbiologists 01
Radiologists 01 02
Pediatric Critical Care 01
Resident Pediatrician 04 01
Orthodontists 01
Endocrinologists 01
Nephrologists 01
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List of Consultants in LRH
Name Designation Ward/Unit
Prof. M. Senanayake consultant Pediatrician 01
Prof Shyma De Silva consultant Pediatrician 01
Prof Pujitha Wickrmasinghe consultant Pediatrician 01
Dr. Jithangi Wanigasinghe consultant Neurologist 01
Dr. Ruwangi Dissanayake consultant Pediatrician 01
Dr. Samanmalee Sumanasena consultant Pediatrician 01
Dr. U.S. S. Waidyanatha consultant Pediatrician 02
Dr. Devan Mendis consultant Pediatrician 03
Dr. M.B.A.L.P Wijesooriya consultant Pediatrician 04
Dr. R. C. Ediriweera consultant Pediatrician 08
Dr. .P.M.G. Punchihewa consultant Pediatrician 09
Dr. W.D.J De Silva consultant Pediatrician VP-OPD
Dr. Srilal De Silva consultant Pediatrician MICU
Dr. R.M.M.N.C Kithulwatta Paediatric Critical care MICU
Dr. Y. Ramya De Silva consultant Pediatrician SCBU
Prof. Ranjan Dias consultant Pediatric Surgeon 5
Dr.Malik Samrasinghe consultant Pediatric Surgeon 05
Dr. Chandima Suriyaarachchi consultant Pediatric Surgeon 07
Dr. B.A.D Jayawardena consultant Pediatric Surgeon 10
Dr. A.K .Lamahewage consultant Pediatric Surgeon 11
Dr. (Mrs) U.A.R Ranawake consultant Pediatric Surgeon VS-OPD
Dr. A.D.K.S.N. Yasawardena Consultant ENT Surgeon 12
Dr. K.D.R.A Kirihena Consultant ENT Surgeon 12
Dr. Romesh Gunasekara Consultant Plastic Surgeon 14
Dr. Kanchana Singappuli Consultant Cardiothoracic Surgeon 20
Dr. Y.K.M. Lahie Consultant Cardiothoracic Surgeon 20
Dr. M. Munasinghe Consultant Cardiothoracic Surgeon 20
Dr. Sunil Wijesinghe Consultant Orthopaedic Surgeon 14
Dr. (Mrs) Irugalbandara Consultant Eye Surgeon 22
Dr. (Mrs)S.H.M De Silva Consultant Rheumatologist 06
Dr.(Mrs) N.A.V.C.T De Silva Consultant Anaesthetist Operating Theatre(SICU)
Dr.(Mrs) L Samraweera Consultant Anaesthetist Operating Theatre(SICU
Dr. Ashoka Gunarathna Consultant Anaesthetist Operating Theatre(SICU
Dr.(Mrs) Anoma Perera Consultant Anaesthetist Cardiothoracic Unit
Dr. D. Jayawickrama Consultant Anaesthetist Cardiothoracic Unit
Dr.E.M.J. Premarathna Consultant Anaesthetist Cardiothoracic Unit
Dr. Jerad Fernando Consultant Radiologist Radiology Department
Dr. Kishani Pathirane Consultant Radiologist Radiology Department
Dr. R.A.N.K.K Samrasinghe Consultant Radiologist Radiology Department
Dr. (Mrs)C.S. Perera Consultant Histopathologist Laboratory
Dr. (Mrs) M.M. Jayathilake Consultant Hematologist Laboratory
Dr. (Mrs) Iresha Jasinghe Consultant Chemical Pathologist Laboratory
Dr.(Mrs) Kumudu Karunarathne Consultant Kumudu Karunarathne Laboratory
Dr. S.N. Perera Consultant Cardiologist 15
Dr.Duminda Samrasinghe Consultant Cardiologist 15
Prof. J.K.K sennavirathne Consultant Dermatologist 19A
Dr. Janaka Akarawita Consultant Dermatologist 19A
Dr.(Mrs) S. Wijethunga Consultant Psychiatrist Psychiatrist (clinic)
Prof. Hemamali Perera Consultant Psychiatrist 19B
Dr. A.S. Basnayake Consultant Orthodontist Orthodontic unit
Dr. (Mrs) P. Rathnayake Consultant Neurologist Neurology Clinic
Dr. P.S.M.A.B Padeniya Consultant Neurologist Neurology Clinic
Dr.(Mrs) W.D.V.N Gunasekara Consultant Nephrologist Nephrology Unit
Dr. (Mrs0 C.P Pethiyagoda Consultant Paediatrician RP
Dr. Harris Pathirage Consultant Paediatrician RP
Dr. U.S. Hettiarachchi Consultant Paediatrician RP
Dr. Anura Jayawardena Consultant Paediatrician RP
Dr. Merna Cabral Consultant Paediatrician RP
Dr (Mrs) Navoda Attapattu Consultant Endocrinologist Endocrinology Clinic
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1 Out Patients Service
1.1 Out Patient care
The Out patients Department (OPD ) and the Accident services department of this hospital is open for 24 hours a day
for 365 days. Out patients clinics conducted by the relevant consultants of inpatient units and visiting consultants of the
OPD maintain a continuous link with patients discharged from their units. There is also an emergency treatment unit,
diarrhea unit and immunization clinic which operate in the OPD to improve the quality of care.
* Here each patient gets multi services according to the need.
Table 1.1 Performance of out Patients Department 2013
No of Patients
No of First Visits 391879 No of Subsequent Visits 32078 No of Emergency Patients (Ward Admissions) 87271 Emergency Treatment Unit 34695 OPD Visits (Accident Service) 39906 Diarrhoea treatment unit 25340 Observation unit 8070 No of patients treated for injuries in the dressing room 7841 Rheumatic clinic 995 Lactation Management unit 2335 Nutrition clinic 2244 Non Communicable diseases 1493 Total No of Patients Encounters 634147
No of Specimen taken 47293
Mantaux test 561
Table 1.2
Ward Admissions No of Patients
Emergency Treatment Unit 7856
Diarrhoea Treatment Unit 144
Dengue Observation Unit 2434
Table 1.3
Table 1.4 OPD Deaths
No of Deaths Death on admission 24
After admission 08
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2 Out Patients Services- 2013
Lactation Management center
Referred from wards
referred from OPD Direct 1st visits 2nd visits Total Cleft palate & Lip
893 491 94 1478 857 2335 207
Table 2.1
Nutrition Clinic
1st visits Sub visits Over 5 years
Total Nutritional Stages Refered to MOH
Stunted
Wasted Stunted & Wasted
1SD 2SD 3SD Median 782 1336 126 2244 310 578 979 38 24 06 72 59
Table 2.3
Non Communicable Diseases Control unit
Diabetic Patients Obesity Patients Total Councelled adult Patient
Community Programme
Inservice Programms
Newly Diagnosed
Sub visits
Total Newly Diagnosed
Sub visits
Total
61 523 586 574 333 907 1493 41 38 01 Table 2.4
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3 Accident Service Department
Accident service department at Lady Ridgeway Hospital provide emergency casualty care to children 24 hours a day, 365 days year.
The department provides immediate attention to critical and life threatening casualties as well as minor urgent-care casualties
following accidents and animal bites. There is separate 24 hour dispensary for accident service patients.
Performance of Accident service 2013
No of Patients
Fall 15903
Trauma 7361
Animal Bite 4351
Foreign body 2123
Road Traffic Accident(RTA) 1095
Emergency Treatment unit 66
Cut injury 861
Burns 589
Prick Injury 521
Bicycle Spoke Injury 228
Assault 447
Deaths 01
Crush injury 409
Child abuse 08
Electrocution 27
Others 15
Staff 5901
Total 39906
Table 3.1 OPD attendance of Accident service
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4 Immunization
Immunization is the process whereby a person is made immune or resistant to infectious diseases, typically by the administration of a
vaccine. Vaccines stimulate the body’s own immune system to protect the person against subsequent infection or diseases.
Child Immunization Schedule
Age Vaccine Remarks
0-4 weeks BCG
Before leaving the hospital, preferably within 24h of birth. (If a scar is not present 2nd dose could be offered after 6 months upto 5 years).
2 months Penta (D,T,P,HepB,Hib), OPV (1st dose)
On completion of 2, 4 & 6 months. (For a defalter or for an un-immunized child, minimum 6 - 8 weeks gap between doses is adequate).
4 months Penta (D,T,P,HepB,Hib), OPV (2nd dose)
6 months Penta (D,T,P,HepB,Hib), OPV (3rd dose)
9 months JE On completion of 9 months.
12 months MMR (1st dose) On completion of 12 months.
18 months DTP, OPV (4th dose) On completion of 18 months.
3 years MMR (2nd dose) On completion of 3 years.
5 years DT, OPV (5th dose) On completion of 5 years.
12 years aTD On completion of 12 years.
Table 4.1 Schedule for Immunization
LRH Immunization clinic days:
Monday Tueseday Wednesday Thursday Friday Saturday Place / Time
BCG Yes - - - - -
Room No. 7 8.00am - 12.00noon
Pentavalent / DPT / DT / OPV
- Yes Yes Yes - Yes
JE Yes - - - Yes -
MMR - Yes Yes - - -
ATD Yes Yes Yes Yes Yes Yes
Table 4.2 Time table of Immunization
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Immunization services
Age below 12 years
Referral letter from a medical officer or as referred by the medical officer at OPD
Table 4.3 Performance of Immunization 2013
Type of Immunization (Vaccine) No of Patients
Polio 1st dose
2nd dose 3rd dose 4th dose Booster 5th dose Total
472 374 418 556 769 2589
DT 1st dose 3rd dose 4th dose Booster Total
01 01 06 774 782
Tetanus Toxoid 51 Hepatitis (B) 1st dose
2nd dose 3rd dose Extra Hep B Total
02 07 04 3 16
Vitamin A 6 months 9 months 1.5 years 3 years 5 years Total
168 205 415 397 525 1710
Japanese Encephalitis 1750 Pentavalent 2 months 1st dose
4 months 2nd dose 6 months 3rd dose 4th dose Total
473 371 399 590 1833
ARS (ERIG) 99
ARV 6636
ARS (HRIG) 263
Measles Rubella Mums(MMR) 1234
BCG 242
ADT 917
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CLINIC CHART
Specialty Name of the consultant Ward no Clinic days/Time Place/Room no
Paediatric- Medical Prof.M.Senanayake Dr.Shamya de Silva Dr.Pujitha Wickramasinghe
Ward - 01 Thursday 2pm-4pm (Renal) Saturday 8am –12noon
26 26
Paediatric -Medical Dr.U.S.de.S.Waidyanatha Ward 02 Monday 2pm-4pm
Thursday 8am –12 noon
Friday 2pm-4pm (Asthma)
26
26
28
Paediatric -Medical Dr. Devan Mendis Ward 03 Monday 8am-12noon
Thursday 2pm-4pm
Wednesday 8am-12noon (Renal Clinic)
26
28
35
Paediatric- Medical Dr.M.B.A.L.P.Wijesuriya Ward 04 Tuesday 2pm-4pm
Friday 8am-12noon
28
26
Paediatric- Medical Dr.R.C.Ediriweera Ward 08 Tuesday 2pm-4pm
Wednesday 8am-12noon
26
26
Paediatric Medical Dr.P.M.G.Punchihewa Ward 09 Monday 2pm-4pm
Tuesday 8am-12noon
Friday 2pm-4pm
28
26
26
Paediatric Surgical Dr.Ranjan Dias
Dr.Malik Samarasinghe
Ward 05
Ward 05
Tuesday 8am-12noon
Wednesday 8am-12noon
28
28
Paediatric Surgical Dr.Chandima Suriyaarachchi Ward 07 Monday 8am-12noon
Saturday 8am-12noon
28
28
Paediatric Surgical Dr.B.A.D.Jayawardene Ward 10 Tuesday 8am-12noon
Friday 8am-12noon
28
28
Paediatric Surgical Dr.A.K.Lamahewage Ward 11 Thursday 8am-12noon
Saturday 8am-12noon
28
28
ENT Dr.A.D.K.S.N.Yasawardene
Dr.K.D.R.A.Kirihena
Ward 12 Monday, Wednesday, Saturday
8am-12noon
Tuesday ,Thursday, Friday 8am-
12noon
31
Plastic surgery Dr.Romesh Gunasekare Ward 14 Thursday 8am-12noon 35
Surgical OPD Dr.U.A.R.S.Ranawaka VS – OPD Monday to Thursday
8am-12noon
30
Cardio Thoracic
Dr.Lahee
Dr.M.Munasinghe
Dr.Kanchana Singappuli
WD – 20
Thursday 2pm-4pm
Tuesday 2pm-4pm
Acc.
Service.
Orthopaedic Dr.S.wijesingha Orthopaedic
Unit
Monday 7.30am-1.30pm
Tuesday 7.30am-12noon
(Club foot Clinic)
Wednesday 7.30a m1.30pm
Accident. Service
Opthalmology Dr.D.Irugalbandara Ophthalmology
Unit
Monday to Saturday 8am12noon
Friday 8am-4pm
23
Rheumatology Dr.Monika de Silva Ward – 06 Monday to Saturday 8am-12noon Wd-6
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Cardiology
Dr.Shehan Perera
Dr.Duminda Samarasinghe
Ward 15
Monday to Friday
8am-4pm
Saturday 8am-12noon
62
Dermatology Prof.J.K.K.Senavirathne
Dr. Janaka Akarawita
Ward 19A
(Skin Unit)
Monday, Wednesday, Friday Tuesday,
Thursday, Saturday 8am-12noon
33
Child Guidance Clinic Dr.S.Wijethunga Room No.22 Monday & Friday
8am- 12noon
Tuesday & Wednesday
8am-12noon
22
Psychiatric Prof.Hemamali Perera Psychiatric
(Clinic)
Tuesday -1.00pm-4.oopm
Saturday -7am-1pm
22
Orthodontic Dr.A.S.Basnayake Orthodontic
Unit
Monday to Saturday
8am-4pm
Wd 16
Neurology Dr.P.Rathnayake
Dr.Anurudda Padeniya
Neurology
Clinic
Monday 2pm-4pm
Wednesday 2pm-4pm
Room 32
Nephrology Dr.W.D.V.N.Gunasekare Nephrology Monday 8am-12noon
Thursday 2pm-4pm
Room 29
Haemophiliya Clinic Wednesday 8am-3pm
Saturday 8am-12noon
New Wing 2nd Floor
VP-OPD
Dr.Disna de Silva
OPD
Monday to Friday 7am-4pm
Saturday 7am-1pm
07
VS-OPD Dr.U.A.R.S.Ranawaka Monday to Thursday 8am-12noon 30
Obesity Clinic Dr.P.Wickramasinghe Wd 01 Thursday 8am-12noon 22
Endocrinology Clinic Dr.Shamya De Silva Wd 01 Monday 2pm-4pm
(3rd & 4th )
22
Child Development Clinic Thursday 8am-12noon WD 01
Cancer Clinic Dr.Damayanthi Pieris
Dr.Lakshman Obeysekare
Dr.Prasad Abeysinghe
Dr.T.Skandaraja
Friday 8am-12noon
Monday 2pm – 4pm
30
30
MDCC Wd 14 2nd – 4th Friday 8am-12noon 35
FUC Wd 14 1st & 3rd Friday 8am-12noon 35
Burns Clinic Burns Unit Tuesday 8am-12noon 35
PBU Clinic PBU Wednesday 2pm-4pm 26
Dental Clinic OPD Monday to Friday 8am-4pm
Saturday 8am-12noon
34
34
Endocrinology clinic Dr. Navoda Atapattu OPD Monday to Friday 8am - 12 noon 36
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Table 5 Clinics by specialty 2013
Wards No of clinics
No of 1st visits
No of Sub visits
Total visits Average per clinics
Medical 01 48 1428 2095 3523 73.4
02 95 2849 3387 6236 65.6
03 96 2252 4055 6307 65.7
04 98 2144 4312 6456 65.9
08 96 2743 3674 6417 66.8
09 97 2823 5097 7920 81.6
VP /OPD 291 4720 7201 11921 41.0
RP/OPD 290 4644 542 5186 17.9
Total Medical 1111 23603 30363 53966 48.6
Surgical 05 74 961 4706 5667 76.6
07 69 720 3752 4472 64.8
10 72 1147 3914 5061 70.3
11 73 1250 5131 6381 87.4
VS/OPD 203 4596 6286 10882 53.6
Total Surgical 491 8674 23789 32463 66.1
ENT- Dr Yasawardena 12 144 4664 7743 12407 86.2
ENT- Dr. Kirihena 12 147 4514 5477 9991 68.0
Total ENT 291 9178 13220 22398 77.0
Skin 291 17642 11412 29054 99.8
Cardiology 280 9266 16164 25430 90.8
Rheumatology & Rehabilitation 292 4333 8232 12565 43.0
Neonatal Care unit 47 30 46 76 1.6
Dental 291 13398 3808 17206 59.1
Orthodontic 290 2033 24278 26311 90.7
Orthopaedic 97 5659 5759 11418 117.7
Multidisciplinary CLAP (MCC) 46 236 846 1082 23.5
Child Guidance A 95 1296 2380 3676 38.7
B 194 2839 7751 10590 54.6
Total Child Guidance 289 4135 10131 14266 49.4
Speech & Language 244 2360 4735 7095 29.1
Child Development 50 92 162 254 5.1
Renal Ward 01 Renal Ward 03
48 49
422 125
761 909
1183 1034
24.6 21.1
Total Renal 97 547 1670 2217 22.9
Burns 51 306 667 973 19.1
Eye 291 8861 10492 19353 66.5
Asthma Ward 02 Asthma Ward 09
45 45
104 39
1076 333
1180 372
26.2 8.3
Total Asthma
Plastic Surgery 50 599 1274 1873 37.5
Neurology - Dr. Piyara Rathnayake - Dr. Padeniya - Dr.Githangi Wanigasinghe
166 125 48
876 709 155
5393 2936 2442
6269 3645 2597
37.8 29.2 54.1
Total Neurology 339 1740 10771 12511 36.9
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Wards No of clinics
No of 1st visits
No of Sub visits
Total visits
Average per clinics
Nephrology 276 500 4567 5067 18.4
Oncology 63 83 55 138 2.2
Headache 48 570 1295 1865 38.9
Intervention 44 220 420 640 14.5
Obesity 51 268 398 666 13.1
Endocrinology- Dr. Shyma De Silva Dr. Navoda Attapattu
20 123
166 303
1022 709
1188 1012
59.4 8.2
Total Endocrine 143 469 1731 2200 15.4
Visual & Rehabilitation 32 92 97 189 5.9
Diabetic 61 61 155 21.6 3.5
Cardiothoracic- Dr. Munasinghe Cardiothoracic - Dr Singapuli Cardiothracic - Dr. Y.K.M Lahic
18 15 16
94 89 78
403 160 281
497 249 359
27.6 16.6 22.4
Total Cardiothoracic 49 261 844 1105 22.6
Ketogenic Diet 12 52 313 365 30.4
Myopathy 12 17 68 85 7.1
Total 5819 115428 189171 304599 52.3
*** Visual & Rehabilitation clinic started to function from April 2013
***Cardiothoracic Clinic data available from September 2013
*** Ketogenic Diet clinic started to function from January 2013
*** Myopathy clinic started function from January 2013
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6 Inpatients Services
The In patients section of the Lady Ridgeway Hospital is at present composed of six general pediatric medical units, four pediatric
surgical units, orthopedic unit , plastic surgery unit, cardiology unit, accident ,emergency care unit, pediatric ENT,Rheumatology &
Rehabilitation unit, Child Psychiatry unit, Eye Unit Isolation unit, Burns unit, Catheter lab, Cardiothoracic, Dialysis, Dermatology unit
and Special neonatal care unit.
In addition to these Radiology, Pathology, Hematology, Microbiology, and Histopathology departments headed by senior consultants
provide quality, assistance to both inpatients and out patients. The hospital provides in ward services to over 25000 children quarterly.
Special Units
In this Hospital there are three Intensive care units
Medical intensive care unit MICU
Surgical intensive care unit SICU
Cardio thoracic intensive care unit CTICU
We also have one high dependency Unit HDU
Table 6.1 Summary of the Inpatients Care Services 2013
No of Ward 22
No of Special Units 08
No of In patients beds 910
Total no of patients Admitted 87271
Total no of Patients Discharges (including deaths) 87197
Daily Average Admission 239
Daily Average Discharges 239
Average Daily Sick 704
Average Length of stay 2.9
Bed Occupancy Rate% 77.4
Hospital Deaths 495
Turnover Rate 96
Total Patients Days 256943
During the year 2013 Average length of stay in the hospital 2.9 dates and Bed Occupancy Rate is 77.4% both figures are in
good range when compare to the other hospital in the region.
Table 6.2 Hospital Deaths
Deaths within 24 hours of admission 60
Deaths within 48 hours of admission 26
Deaths after 48 hours of admission 409
Total hospital deaths 495
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6.3 Trends of Admissions during 2003-2013
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Discharge Analysis
Table 6.4 Paediatric -Medical 2013
Ward Beds Admission Discharges Transfer In
Transfer out Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate
Ave. Length of Stay
01 84 8568 8535 763 771 26 23553 64.5 76.8 2.5
02 74 7649 7549 679 747 12 20317 55.7 75.2 2.4
03 67 8082 7904 680 841 15 23743 65.0 97.1 2.7
04 92 7906 7731 654 810 18 20820 57.0 62.0 2.4
08 76 7624 7461 701 853 15 23318 63.9 84.1 2.8
09 72 8345 8301 747 761 24 22379 61.3 85.2 2.5
Total 465 48150 47481 4224 4783 110 134130 367.5 79.0 2.6
Table 6.5 Paediatric - Surgical 2013
Ward Beds Admission Discharges Transfer In
Transfer out Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate
Ave. Length of Stay
05 39 3533 4048 931 437 04 13597 37.3 95.5 3.0
07 40 2628 3060 719 259 07 8101 22.2 55.5 2.4
10 39 3153 3834 1103 436 01 8764 24.1 61.6 2.1
11 43 4423 4836 974 542 02 11909 32.6 75.9 2.2
Total 161 13737 15778 3727 1674 14 42371 116.1 72.1 2.4
Table 6.6 Other Special Units-2013
Type of Specialty
Ward Beds Admissions Discharges Transfer In
Transfer out
Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate
Ave. Length of Stay
Rheumatology & Rehabilitation
06 24 1088 1124 101 62 0 4533 12.4 51.7 3.8
ENT 12 38 4936 4939 221 208 0 9077 24.9 65.4 1.8 Cardiology 15 26 1708 1506 290 457 25 9449 25.9 99.6 4.8 SICU 08 0 0 651 598 50 2153 5.9 73.7 3.3 CTICU 13 0 0 396 360 34 2057 5.6 43.4 5.2 HDU 11 0 0 663 620 45 2867 7.9 71.4 4.3 Cardiothoracic 20 22 1432 1605 863 676 02 16320 44.7 203.2 7.1 Neonatal care unit
19 280 263 73 35 53 4691 12.9 67.6 13.4
MICU 11 0 0 534 374 161 3693 10.1 92.0 6.9
Accident Service 13A 25 10289 7680 03 2602 0 9449 25.9 103.6 0.9
Day care Surgery 13B 08 583 515 2 70 0 377 1.0 12.9 0.6 Plastic Surgery 14A 12 1263 1295 75 42 0 2943 8.1 67.2 2.2 Orthopaedic 14B 10 585 626 43 05 0 2181 6.0 59.8 3.5 Skin 19A 06 167 199 46 12 0 792 2.2 36.2 3.8 Psychiatry 19B 06 152 219 92 25 0 1039 2.8 47.4 4.3 Burns 20 542 668 129 02 01 3282 9.0 45.0 4.9 Isolation 21 07 40 494 512 54 0 2265 6.2 88.6 4.1
Hemophilia 01 1415 1387 0 28 0 1387 3.8 380.0 1.0 Eye 22 16 861 868 70 61 0 1849 5.1 31.7 2.0 DU 01 43 55 60 48 0 38 0.1 13.8 0.4
*** Dialysis Unit started to function from May 2013
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Other Departments and Units
1 Radiology Department
The unit consist of three Radiologists and seven Medical officers and thirteen Radiographers. They provide Services for
the out patients, clinic patients referred from other organizations.
Table 7.1 No of Radiological examinations performed 2013
Specility
No of Special exams 748
No of CT exams 3044
No of Routine exams 67087
No of total X-Ray exams 70879
No of US exams 12609
No of Nuclear Imaging exams 1962
Total exams 85450
No of Patients 85450
No of Films used 64680
Electrocardiogram -ECG
There are six Cardiographers in this unit. They provide services for OPD ,clinics and indoor Patients. This unit also provide 24
hours services for indoor patients.
Table 7.3 No of ECG examinations performed 2013
In Patients Out Patients Total
4866 1347 6213
Electroencephalogram -EEG
This unit provides services under administration of consultant Neurologist. There are four recordists.
Table 7.3 EEG examinations performed 2013
In patients Out Patients Total
1504 1511 3015
Table 7.4 Psychiatric Unit
In patients Out Patients Total
223 1496 1719
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Physiotherapy Department
Pediatric physiotherapy is very different to treating adults. Helping children remain motivated and keeping a positive attitude
towards their physiotherapy is essential to their progress. We ensure sessions are fun interesting and something to look forward
to and enjoy.
Physiotherapy is a clinical health science and profession that aims to rehabilitation and improve people with movement
disorders by using evidence based, natural such as exercise, motivation adapted equipment and education. Our Institution has
well organized physiotherapy department.
The Physiotherapy Department was established in 1960 at LRH. Now it’s well equipped with all the necessary items. About
30000 registered patients are coming continuously to get treatment from this department for the diseases of Rheumatology,
Neurology; Respiratory & Orthopaedic.There are many sections such as Gymnasium, Electrotherapy unit, Hydrotherapy unit
and out door therapeutic play area etc. This physiotherapy department is conducted by Dr. Jaliya Uduwella (Chief
Physiotherapist.
The department of Physiotherapy provides services to the patients with in the institute as well as for the reference patients.
The department of physiotherapy functions from 8.00am to 4.00pm every day except for Saturday. But Saturday also function
from 8.00am to 12.00noon.
Table 7.5 Performance of the Physiotherapy 2013
No of Patients
OPD 1st visits 2601
OPD Sub visits 8930
Wards 1st visits 2860
Wards sub visits 23454
Total 1st visits 5461
Total sub visits 32384
Total visits 37845
Total treatments units 158532
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Occupational Therapy services
The purpose of occupational therapy is to help the child achieve or maintain their maximum level of independence and to
develop practical life skills so that the child can participate to his/her full potential in the home environment. Occupational
therapy can help children overcome physical or other difficulties in order that they can function and participate in their
everyday environment.
The department of occupational therapy provides services to the patients with in the institute as well as for the reference
patients. The department of occupational therapy functions from 8.00am to 4.00pm every day except for Saturday. But
Saturday also function from 8.00am to 12.00noon.
Table 7.6 Performance of the occupational therapy 2013
No of Patients
1st visits 2374
Sub visits 13092
Total visits 15466
Total treated units 77480
Table 7.7 Orthodontic Unit
No of plate issued 1638
No of cleft lip & palate patients 176
No of fix appliance patients 3000
No of feeding plates fitted 07
Table 7.8 Nephrology Unit
Procedure Numbers
LRH Ward Referrals 3541
Renal Biopsy 56
Clean Intermittent Catheterization training 138
Bladder Wash 42
Blood Gas 185
Subcutaneous Erythropoietin 33
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Table 7.9 Department of ENT & Audiology
Audiology Test (Total) 8452
Pure Tone Audiograms (PTA) 1871
Free-Field Tests 2404
Tympanograms 3444
Oto-Acoustic Emission tests (OAE) 21
Brain-Stem Evoke Response(BSER) 522
Hearing aids issue 14
Procedeous 3465
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8 Prosthetist & Orthortist Department (P&O)
Ministry of Health, Government of Sri Lanka & Handicap International (HI) are working together to address the physical rehabilitation
needs of children with disabilities. Handicap established a Prosthetic & Orthotic (P&O) clinic in 2008 within the Lady Ridgeway Hospital
for Colombo. The Prosthetic & Orthotic clinic provides prosthetic & orthotic devices, mobility aids , adaptive devices, advice/training to
children with disability/family members, referral and follow-up services. Since the opening of the clinic in July 2009 up until June 2013,
approximately 4100 children with disabilities have been provided prosthetic & Orthotic services.
Table 8.1 Performance of the Prosthetist & Orthortist 2013
Device New Repairs
LE
Pro
sth
esi
s P&O Devices
Ankle Disarticulation 0 01
Below Knee 01 01
Knee Disarticulation 01 0
Above Knee 02 01
Orthoprosthesis 01 0
S/Total L.E Prosth 05 03
Lo
wer
Lim
b O
rth
ose
s
Ankle Foot Orthosis 190 83
Ankle Foot Orthosis Night/Alluminium) 71 10
CTEV Correction (DBNS) 99 02
CTEV Correction (SFAB) 553 110
Knee Ankle Foot Orthosis (Plastic Moulded) 28 07
Knee Ankle Foot Orthosis (without Joint) 277 100
Knee Orthosis (incl Mermaid splint) 132 19
Hip Orthosis 27 05
Pavlik haeness /Von Rosen Splint 128 11
Any other (custom made) pl.mention the item 04 01
S/total LE. Ortho 1509 348
Sp
inal
Ort
ho
ses
TLSO Conventional 04 0
Boston Brace(Moulded) 24 08
Cervical Collar Soft (Custom made) 45 0
Any other (custom made) Pl.mention the item
03 0
S/Total Spinal Ortho 76 08
U.E
Ort
ho
ses
Wrist Hand Orthosis (Custom made) 28 01
Elbow Wrist Hand Orthosis (custom made) 01 0
Total U.E Ortho 29 01
Other Assistive Devices
Ort
er
Ass
isti
ve
devi
ces
FO and shoe modification(PF) 556 0
L.S. Brace 07 04
Cervical Collar 01 0
Pelvic Binder 01 0
Any other Prefabricated items Pl. Mention 01 0
Sub Total other assistive devices 576 04
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Mobility and Adaptive device
New Repairs
Mo
bil
ity
Devi
ces
Elbow crutch 34 0
Axillary Crutch 12 0
walker 01 0
walking Stick 01 0
Posterior Walker 31 0
Wheelchair 36 04
Sub total mobility & Walking aids 115 04
Ad
ap
tive
devi
ce
Special seating 05 0
standing frame 68 0
Toilet chair/wheelchair with commade 18 0
Wheelchair modifications /special seats Sub total adaptive devices 109 0
Total WA,MA and AD 224 04 Total Delivery of year 2414 727
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9 Operations & Procedures
Table 9.1 Accident Service
Procedure Exchange Blood Extranfusion 01 Bone Marrow 121 Liver Biopsy 20 Renal Biopsy 49 Others 20 Bortex 38 Tenotomy 85 Stapler Remover 05 Total 339
9.2 Statistics of Cardiac Catheterizations done
procedure No of Patients
ASD device closure 314 PDA device closure 58 PDA coilling 85 Cardiac catheterization 399 Septostomy 31 Pericardial aspiration 14 Pulmonary valvuloplasty 31 Aortic Valvuloplasty 05 COA dilatation 26 RA Fistula Closure 02 Flouros copy 04 TOE 46 PPM Insertion 15 TPM insertion 06 Coronary angiogram 07 Aortic angiogram 24 RVOT Perforation 07 C/Cath+Baloon dilatation 08 MAPCA Coiling 02 Radiology Procedure 26 AP window device closure Attempted PDA Device Closure 02 AP window device closure 02 Coronary Fistular closure 01 Baloon dilatation of SVC obs 01 Baloon dilatation of L.P.A Stenosis 03 Attempted ASD closure 01 Attempted PDA device closure 02
C/Cath + BPV 01
ASD closure + LPA dilatation 01
Aortic Angiogram + Bronchoscopy 01
ASD device closure + BPV 01
A/P collateral device closure 01
Total 1128
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Table 9.3 Ophthalmology Unit
Procedure
Cyclo Refraction 7124
Refraction 2442
P.M.T (Post Medriatic Test) 1480
Convergence 228
R.O.P Screening 2109
Laser treatment 545
Colour Vision 14
Visual Acuity 74
Table 9.4 Operation by nature Specialty - 2013
Specialty Major Intermediate Minor Total Genito urinary
Ward No 05 171 482 152 805
07 60 255 23 338
10 104 500 73 677
11 119 732 30 881
OPD 43 253 50 346
BU 01 01
Total 497 2223 328 3048
Plastic
Ward No 05 1 20 02 23
07 05 04 09
10 01 01
11 10 02 12
BU 10 54 15 79
12 02 0 02
14 202 126 18 346
14B 04 04
OPD 01 01 02
Total 213 224 43 478
Abdominal
Ward No 05 141 98 11 250
07 79 142 04 225
10 120 78 06 204
11 188 87 03 278
OPD 02 16 0 18
Total 530 421 24 975
Orthopaedic
05 03 11 14
07 01 03 16 20
10 01 08 17 26
11 01 11 20 32
14 01 06 07
14B 118 173 149 440
Total 121 199 219 539
Head Neck & Spine
05 05 48 01 54
07 03 24 27
10 34 34
11 04 44 48
12 01 07 08
14 03 03
14B 01 01
OPD 01 09 10
Total 14 169 02 185
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Specialty Major Intermediate Minor Total
Thoracic
05 13 01 07 21
07 02 02 04
10 06 0 06
11 16 04 04 24
OPD 01 01
Total 38 05 13 56
Rectal
05 13 22 46 81
07 06 17 39 62
10 09 33 106 148
11 22 34 56 112
OPD 02 01 05 08
Total 52 107 252 411
Endoscopy
05 11 246 08 265
07 10 43 0 53
10 31 198 03 232
11 47 332 02 381
12 352 44 332 728
OPD 02 55 16 73
Total 453 918 361 1732
Specialty
ENT
12 147 112 258 517
11 01 01
Total 148 112 258 518
Traumatic
05 09 1022 1031
07 06 1003 1009
10 02 08 1056 1066
11 01 16 1080 1097
Total 03 39 4161
4203
Miscellaneous
05 04 80 782 866
07 02 50 868 920
10 02 70 745 817
11 03 112 1027 1142
12 02 67 81 150
14 41 121 162
14B 06 92 98
OPD 66 144 210
BU 06 01 07
Total 13 498 3861 4372
EYE
22 71 55 388 517
Total 71 55 388 517
Vascular
05 01 01
Total 01 01
Total 2154 4969 9910 17033
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Table 9.5 CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES 2013
Open heart Major Close heart Major
Other Major
Other Minor
Minor Procedure
Thoracic Minor Surgical Procedure
Anesthetic procedure
Total
Routine 661 221 06 01 34 48 01 972 Emergencies 05 06 01 03 05 187 257 464 Total 666 227 07 04 39 235 258 1436
Table 9.6 Minor Operations
Min
or
Op
era
tio
ns
do
ne a
t
OP
D
Surgical Clinic
Umbilical Cauterization
Others Suture Removal
Total
24 331 134 489 Skin Clinic
Skin Erxission Electric Cortrization
Scraping Skin biopsy
Skin Grafting
Skin Crayo
Others Tissue Reduction
Total
15 78 290 2418 124 36 2971
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Hospital Laboratory Services
The Laboratory services of this hospital consist of four Sections Bio-Chemistry, Hematology, Histopathology and
Microbiology. Staff Consist of Consultant Hematologist, Consultant Microbiologist Five grade Medical Officers ,31 Medical
Laboratory Technologists.
Services are provided by main laboratory from 8.00am to 4.00pm and 4.00pm to 8.00am. Night lab for Inpatients. Out
Patients and the Clinic patients are served by the OPD Lab. OPD lab performed routine hematological investigations such as
WBC/Dc, Hb , UFR, ESR and FBC.
Consultant’s Name
Biochemistry Section Dr.(Mrs) Iresha Jasinghe
Microbiology Dr.(Mrs) Kumudu Karunarathna
OPD Dr. (Mrs)Shiromi Perera
Hematology Dr.(Mrs) Mala Jayathilake
Histopathology Dr.(Mrs) Shiromi Perera
Night Lab Dr.(Mrs) Iresha Jasinghe
Table 10.1 Total Laboratory investigations performed 2013
Section No of Tests Biochemistry 364349
Microbiology 96881
OPD 253331
Hematology 312323
Histopathology 10190
Night Lab 163645
Total 1200719
Table 10.2 OPD Section
Blood Test
Blood -WBC/DC 42651
Blood Hemoglobin 42775
Blood Packed cell volume 44195
Blood platelets 44195
Blood ESR 6702
Blood picture 5910
Blood bleeding time 340
Blood Clotting time 340
Blood Malarial parasites 06
Urine full report 17500
Urine ketone bodies 106
Urine bile 188
Urine sugar 2213
Urobilinogen 164
Red Cell Indices 42692
Stool reducing substances 1038
Stool full report 2152
Reticulocytes Count 118
Total 253331
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Table 10.3 Biochemistry Section
Blood Test
Blood test
Serum Electrolytes 1. Sodium 2. Potassium 3. Chloride
32584 32584 32584
Serum total bilirubin 7832
Serum direct bilirubin 6648
Serum SGOT (AST) 30520
Serum SGPT (ALT) 31781
Serum total Protein 8015
Serum Albumin 24798
Serum total cholesterol 6223
Serum Alkaline Phosphatase 7872
Serum amylase 1250
Serum calcium 15732
Serum phosphates 5280
Serum Osmolality 481
Serum Creatinine 33933
Serum urea 37404
Serum sugar+ CSF sugar 12580
Serum magnesium 3319
Serum uric acid 1409
Plasma Amonia 157
CRP 19975
Plasma /CSF Lactase 110
Urine test
Urine calcium 913
Urine phosphate 664
Urine Creatinine 2591
Urine ketone bodies 208
Creatinine Clearance 105
Urine bile 129
Urine PH 147
Urine Cystine 83
Urine Sodium 388
Urine Potassium 388
Urine chloride 388
Urine Protein 1265
Urine osmolality 471
Urine Nitrosonapthol 103
Calcium /creatine ratio 442
Urine Mucopolysaccharides 183
Urine Haemocystine 26
Urine reducing substances 177
Protein / creatinine ratio 638
Urine Fecl3 for phenylketonuria 54
Urine uric acid 246
Urine deposits 42
Urobilinogen 31
PO4 /creatinine ratio 128
Uric acid creatinine ratio 53
Urine magnesium creatinine ratio 11
Urine magnesium 104
Urine glucose strip test 127
Urine DNPH 43
Urine porphyrin 09
Urine specific gravity 27
24hrs protein 22
24hrs phosphate 30
24hrs uric acid 12
24hrs electrolytes 05
CKMB 236
CK 256
G.G.T 255
Urine Myoglobin 01
Amino acid Chromatography 132
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Miscellaneous
sweat test 08
Water deprevation 08
stone analysis 14
Stool test
Reducing substance 44
Occult blood 69
Total 364349
Table 10.4 Bacteriology section
Blood Test
Blood culture ABST
9634 1277
CSF Culture and gram stain Full report ABST Antigen test
1236 1194 07
1205
Pus, direct smear and culture ABST
3350 2949
Throat swab/Nasal swab culture ABST
220 95
Body Fluids / Aspirates D/S & Culture ABST
114 450
Respiratory culture ABST
2876 3266
MRSA culture ABST
3780 397
Urine culture ABST Urine full report Urine Reducing Substances
15072 2835 13731 135
Stool culture ABST Stool full report Stool reducing substances
1235 99
2237 483
AFB 119
Direct Smear 24969
Infection control sample culture 277
API 2420
Dengue Antibody 1219
Dengue -Positive 703
Total 96881
Table 10.5 Haematology section
Blood Test
Hemoglobin 55699
White Blood cell/ Differential count 53968
Platelets count 54723
Packed cell volume 54473
ESR 8085
Malarial parasites 112
Blood bleeding time 1408
Blood picture 7814
Inhibitor Screening 76
Reticulocyte count 2310
Bone marrow 211
Sickle test 84
Iron stain 90
Red cell indices 55649
APTT 6605
Factor IX correction 72
Factor X correction 02
Factoe XI corrections 07
Factor IX Assay 60
Factor VII Assay 09
Factor VIII Assay 154
Factor VII correction 15
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Factor VIII correction 101
Factor VIII inhibitor levels 34
G6PD 38
Rheumatoid factor 147
Clot solubility 35
Prothrombine test 8950
Urine Spectroscopy 64
Thrombin time 1186
Urine Haemosidern 73
Ham’s test 45
Osmotic Fragility test 09
Von Willibrand Riaf Activity 13
Heinz Bodies 02
Total 312323
Table 10.6Histopathology section
Blood Test
Fine Needle aspiration cytology 511 Direct Smears/ cytology 267 Buccal smears 208 Post Mortem 08 Post Mortem slide preparation 188 Special staining 621 Surgical Biopsy slide preparation 8387 Total 10190 Table 10.7 Night Lab
Blood Test
Hemoglobin 144
APTT 6214
Platelets 303
CSF Full Report 327
CSF Sugar 887
Blood Urea 7437
Full Blood Count 34611
Blood Sugar 2814
WBC/DC 255
Serum Bilirubin - Direct 2590
Serum Bilirubin - Total 2798
Urine full Report 8263
Ketone bodies 160
Stool Full Report 297
Stool Reducing Substances 231
Bleeding time 357
Clotting time 357
Hematocrits values 34671
Prothrombin time 5046
Urine bile 100
Aspiration Fluids 37
Serum electrolytes Cl- 106
Serum electrolytes Na+K+ 16501
Urine electrolytes Cl- 96
Urine electrolytes Na+K+ 221
Serum Cholesterol 2508
Serum Albumin 6179
Serum Calcium 6228
Serum Creatinine 7035
SGOT (AST) 8356
SGOT(ALT) 85616
Total 163645
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Blood Bank
Analysis of RCC (450ML units) Component requests & issues 2013
For Patients in state Hosp. words
RCC FFP PC Cryo CSP Plasma
R C/M I R I R I R I R I R I
Pediatric 17240 16799 10607 5589 3427 4978 4367 4048 1788 456 373 17 11
Other 1888 1124
Total 17240 16799 12495 5589 3427 4978 5491 4048 1788 456 373 17 11
ANNUAL REPORT OF NOTIFICATION- LADY RIDGEWAY HOSPITAL 2013
Diseases
Mo
nth
s
AF
P
DF/DHF A B
Dyse
ntr
y
Hep
ati
tis
A
Men
ing
itis
Typ
ho
id
En
cep
hali
tis
Mu
mp
s
Ch
ick
en
po
x
HF
MD
Wh
oo
pin
g
co
ug
h l
ike
illn
ess
M
easl
es
Tu
berc
ulo
sis
AE
FI
H1N
1
Herp
es
Zo
ster
Typ
hu
s
Feve
r
H.
Infl
uen
za
Fo
od
po
iso
nin
g
Teta
nu
s
Herp
es
Sim
ple
x
JE
Jan 1 219 01 13 01 04 03 01 06 01 02 06 01 02
Feb 165 02 06 03 04 03 01 03 06 16 07 01 01
March 168 01 06 01 02 02 06 02 05 01 48 02 04 02 02 16
April 02 161 04 01 05 02 01 02 05 01 49 01 03 22
May 04 123 01 13 01 05 02 01 05 02 107 01 02 01 01
June 03 196 01 15 06 02 01 01 105 02
July 04 336 01 21 02 03 02 01 01 04 174 04 01
Aug 02 187 03 23 03 09 04 01 02 03 02 58 04 07 01
Sep 04 119 01 09 01 05 01 02 04 03 33 02 04 03
Oct 04 201 01 30 02 03 01 01 08 02 13 01 10 03
Nov 02 332 02 20 01 09 02 03 12 07 01
Dec 05 463 05 15 07 06 01 07 01 35 02 01 02 01 02 01
Total 31 2670 19 175 16 62 29 13 14 54 02 17 656 13 51 02 01 11 03 44 01 01 01
A- No of Notified cases
B- No of Deaths
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Summary of Hospital Statistics 1992-2001
1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002
Inpatients Services
Total Patients Admitted 44817 44348 49739 48650 56012 54954 55131 55520 62148 66716 77552
Total Discharges (including deaths)
44379 44140 44456 45087 56072 54789 52900 55601 62072 66637 72567
Daily Average Admissions 123 122 136 133 153 151 146 152 170 183 212
Daily Average Discharges 122 121 122 124 154 150 145 152 170 183 199
Average Length of stay 4.1 3.9 4.2 3.6 3.4 3.5 3.5 3.4 3.1 3.2 3.2
Total no of Beds 635 635 635 667 667 667 667 711 733 752 768
Total Patient days 180827 173625 186346 163147 189873 191215 186610 188269 193237 212661 228599
Hospital deaths 822 701 782 696 713 683 652 576 607 620 575
OPD
Total no of OPD Patients 498626 597771 636105 673017 680298 685195 662954 647964 768951 816710 916638
Total no of Clinic Visits 108791 107015 117473 121286 123728 125449 121995 131378 144815 170934 203789
Summary of Hospital Statistics 2003-2013
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Inpatients Services
Total Patients Admitted 64944 73554 63399 62201 66831 69647 83127 85986 84694 87239 87271
Total Discharges (including deaths)
64819 73468 68001 61561 66065 69805 83078 86104 84665 87279 87197
Daily Average Admissions 178 202 174 170 183 191 228 236 232 238 239
Daily Average Discharges 178 201 186 169 181 191 228 236 232 238 239
Average Length of stay 2.8 3.0 3.0 1.7 3.3 3.3 3.1 2.9 3.0 3.0 2.9
Total no of Beds 780 785 806 806 873 873 873 864 901 910 913
Total Patient days 207261 217603 206824 206349 220374 230162 259074 253242 257453 262041 256943
Hospital deaths 487 516 475 530 540 617 613 613 591 531 495
OPD
Total no of OPD Patients 870475 894309 813100 870964 835821 779177 961139 835030 787360 645307 634147
Total no of Clinic Visits 225758 235449 259509 268003 295738 291817 285080 276222 288981 296518 304149
ANNUAL HEALTH BULLETIN 2013
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Hospital Finance -2013
Vote Expenditure type Amount Rs.
Recurrent Expenditure
1.Personal Emoluments
111-1-8-1-1001 Salaries & Wages 483,522,279.02
111-1-8-1-1002 other allowances & H.P 271,604,521.31
111-1-8-1-1003 Other allowances 40,3652,220.28
2.Travelling Expences
111-1-8-1-1101 Travelling Expences 103,072.00
3.Supplies
111-1-8-1-1201 Stationary & Office Request 2,305,720.17
111-1-8-1-1202 Fuel & Lubricants 3,120,191.8
111-1-8-1-1203 Diets & Uniforms 36,533,335.70
111-1-3-0-1204 Medical Supplies 102,990,390.52
111-1-8-1-1205-(1) Garbage 4,987,322.00
111-1-8-1-1205-(11) Other Supplies 5,458,167.98
4.Maintennance Expenditure
111--8-1-1301 Vehicles Repair 1,971,363.74
111--8-1-1302 Plant Machinary & Equipment 1,743,060.82
111--8-1-1303 Build & Structure 1,836,969.13
5.Contructual Service
111-8-1-1402 Postal Charges & telecommunication 2,865,562.05
111-8-1-1403 Electricity water & gas 119,891,311.70
111-8-1-1404 Rates & Taxes 895,878.00
111-8-1-1405 Other contractual service 38,424,521.71
6.Other Recurrent Expenditure
111-1-8-1-1506 Property loan 15,834,058.89
111-1-8-1-1508 Other 659,304.96
111-1-2-0-2103 Custom duty 15,553.00
7.PGIM/Intern
111-2-11-1-1001 Salaries & Wages
111-2-11-1-1002 Overtime Allowance & H.P 48,342,058.93
111-2-11-1-1003 Overtime Allowance 28,259,946.45
111-2-11-1-1405 Training 114,000.00
8.Blood Bank
111-1-8-9-1001 Salaries & Wages 4,282,726.80
111-1-8-9-1002 Overtime Allowance & HP 1,846,967.52
111-18-9-1003 Overtime Allowance 4,267,072.12
Rehabilitation & Improvements
111--2-13-1--2001(11) Building & Structure 33,945,988.47
111-02-13-1-2002(2) Medical Equipment Repair 983,720.00
111-2-13-1-2002(1) Maintance & Repair (Electrical installation) 9,694,519.48
111-02-13-1-2003 Vehicle Repairs 977,040.00
111-02-13-8-2103(11) Medical air Supply 1,624,100.00
111-2-13-07-2103(11) Electricity repair 968,240.00
111-02-13-28 - 2104(1) Underground water tank Repair 913,657.81
111-2-13-01-2002(11) A/C Repair 2,543,277.24
111-2-13-04-2103(1) Lift Repair 1,317,533.28
111-2-13-01-2002-11(06) Lab Equipment repair 793,385.60
Acquisition of fixed assets
111-2-13-1-2102 Furniture & office Equipment 4,620,336.35
111-2-13-76-2103 (11) Telephone Repairs 775,590.84
111-2-13--08-2103(11) Medical Air Supply
111-2-13-11-2103 Medical Equipment 10,137,325.00
111-2-13-13 2103-11(1) Medical Equipment 5,429,671.49
111-02-13-5-2103(1) Air Conditions Supply & Instolation 2,714,382.38
111-2-13-13-2103(11)4 Lab Equipment 3,699,835.00
111-2-13-13-2103(03) Hospital Equipment 28,672.00
Total 1,667,083,931,.12
ANNUAL HEALTH BULLETIN 2013
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Department of Pharmaceuticals
The Institution has well organized pharmaceuticals department, which is the most expensive and important component of the
hospital
It provides services to the patient’s within the institute as well as for the special campaigns and for any situation of disasters.
The department performs routine functions from 8am to 4pm every day, except for Saturdays. Where it functions from 8am to
12noon.It also functions for 24 hour throughout emergencies. The Chief Pharmacist is involved in administrative functions
and there are 26 Pharmacists and 12 Dispensers.
The institution obtain drugs from Medical Suppliers Department of Ministry of Health.
Local Purchase
Ward No Total Rs
01 869975.77
02 256932.96
03 251316.66
04 244.05
05 13707.00
07 12480.00
08 42268.92
09 114800.31
10 179327.50
11 85646.21
14 4985.00
15 121808.70
19 11680.00
Eye Unit 26730.00
MICU 629403.61
SICU 117722.84
Operating Theatre 308460.00
CTICU 33876.55
HDU 110674.62
SCBU 37546.71
OCC 10900.00
Burns Unit 18715.60
Skin clinic 169393.50
IDD 614571.80
Drug Stores 858344.00
DU 4210.00
12 9972.80
CHOGUM 1000.00
Total 4937350.11
ANNUAL HEALTH BULLETIN 2013
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
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Medical Records Unit
Main Functions of this unit
Collection of information- Receiving BHTT & other documents
Processing /sorting of information -Coding (according to International Classification of Diseases (ICD 10)
Storing of Information -Secure of Medical Records retrieving for continuity of patient care, judicial purposes.
Retrieval of Information - Research, Judicial & administration purposes as requested by patients and relatives .etc.
Distribution of information -Collecting data and preparing statistical returns which will be sent to the Director Medical
statistics unit and other relevant institutions.
Value of the MEDICAL RECORD
A good complete medical record is of value
To the Patient
As the medical record contains a complete report of a patient’s illness and results of treatment, it is of great value to the patient
for
Future care for the same or other illness, facilitating continuity and excellence of care and cost savings derived from not
having to repeat diagnostic tests unnecessarily
Informing them (by giving access) of their care ,treatment and as a legal documents to support claims for injury,
To the Hospital, Clinic or other Health Facility
The medical record may be used by the health facility to evaluate the standard of care rendered by staff and the end results of
treatment. If adequate records are not kept, the facility cannot justify the results of treatment. The medical record is also of
value to the facility for medico-legal purposes. Statistics derived from medical records can be used for evaluating and planning
present and future hospital services.
To the Doctor and other Health Professionals
The medical record is of value to all health professionals caring for a patient. The patient may have been treated by them
previously or by other health professionals. The medical records enable pertinent clinical, social or other relevant, information
to be readily available for continuing patient care. In addition the medical record is of value for review of diseases, treatment
and responses to treatment.(research, quality assurance, education and professional development of staff)
To Researchers, Statisticians and Educators
To scientific research the medical record has the potential to be an important tool. At its best, the information within a medical
record supplies a practical and reliable source of material for the advancement of medical science. This information is
Education also valuable in the collection of statistics on health care and the incidence of diseases, and for education of health
professionals
ANNUAL HEALTH BULLETIN 2013
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Education Programme for Lady Ridgeway Hospital Child Patients
The government has decided to allocate diploma holder who join the ‘teachers’ service from the National Colleges of
Education : for Sinhala medium and Tamil medium, to visit the Lady Ridgeway Hospital .These Diploma holders will keep the
student patients engaged in educational activities.
Children between the age group of 5-12 years from all parts of the country visit the Lady Ridgeway Hospital for medical
treatment and some of them who warded in the hospital for several months for treatment purposes neglect their education by
not being able to attend the school for a considerable period.
The programme will enable child patients to continue their education while receiving treatment without any interruption. This
will also prevent school drop outs due to illnesses.
ANNUAL HEALTH BULLETIN 2013
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Patients Costing Programme
The Ministry of Health is planning to present a statement of fees to patients that have undergone inpatient care when they are discharged from hospital. The statement would include fees for period of inpatient care and the cost of drugs given to the patients.
Issuing statements of fees was commenced at Lady Ridgeway Children's Hospital on 1st April 2013. It has been decided to introduce the scheme first to the cardiology unit of the hospital and implement it to all other sections later.
.