ANNUAL REPORT 2015 -...

ANNUAL REPORT 2015

SWAMI DAYANAND HOSPITAL

ANNUAL REPORT 2015


&

RVS NURSING SCHOOL

DILSHAD GARDEN, DELHI -95

EAST DELHI MUNICIPAL CORPORATION

www.sdnhospital.edu.in

ANNUAL REPORT 2015


ANNUAL REPORT 2015


SR.NO DEPARTMENT NAME TELEPHONE NO (OFFICE/Extension)

TELEPHONE NO. (RESIDENCE/MOBILE)

1. E.P.B.X. 22581031

22581036

2. Help Line Services 22314029

3. Emergency 22588585

4. Enquiry 22581036 / 267

5. Medical Superintendent Dr.M.L.Jaipal 22582512 / 277 8826694667

6. Addl.Medical

Superintendent

Dr. M.P. Singh 22583809 / 278 9810456706

7. CMO(Admn) I Dr.Santosh Tomar 22581036 / 325 8588887957

8. CMO(Admn) II Dr. K.R. Arya 22581036 / 265 858887784

9. CMO I/C PCB Dr. K.R.Arya 22581036 / 265 858887784

10. Asst. Chief Accountant Sh. Yogesh Kumar

Sharma

22581036 / 276 9911103540

11. Administrative Officer Smt. Lata Singh 22581036/ 215 8130191227

12. HOD/Pathology Dr. Awaindra Kumar 22581036 / 204 8130191236

13. HOD Anesthesia Dr. Rajni Kherwal 22581036 / 264 8130191293

14. HOD Medicine Dr. Mukesh Kumar 22581036 / 308 9971443252

15. HOD Surgery Dr. Rajesh Bansal 22581036 / 292 9818016469

16. HOD Gynecology Dr. Sunita Fotedar 22581036 / 211 9818810837

17. HOD Pathology Dr. Awanindra Kumar 22581036 / 204 8506019595

18. HOD Ophthalmology Dr.Anoop Goswami 22581036 / 224 8130191238

19 HOD E.N.T. Dr. N.K. Tangri 22581036 / 223 9213296736

20. HOD Orthopedic Dr. P.K.Dutta 22581036 / 242 8588884934

21. HOD Pediatric Dr. Anand Aggarwal 22581036 / 268 9810902271

22. HOD Dental Dr. Monika Nerwal 22581036 / 227 9560445705

ANNUAL REPORT 2015


23. HOD Dermatology Dr. Sandeep Mohanty 22581036 / 220 8130191237

24. HOD Radiology Dr. Prashant Jain 22581036 / 298 858888760

25. CMO I/C Pharmacy &

Library Conference Hall

Dr. D. Chakravarty 22581036/268 9811237178

26. MO I/C Medical Store Dr. Gladbin Tyagi 22581036 / 342 9891773939

27. Mo I/C House keeping Dr. Pramod Kumar 22581036/ 293 9873923696

28. C.M.O/C Causality Dr. R.K. Singhal 22581036 / 226 9811111388

29. CMO I/C Biomedical

Waste Management

Dr. Gynesh Gupta 22581036 / 231 9811128529

30 M.O.I/C General Store Dr.Santosh Tomar 22581036 / 325 8588887957

31. M.O.I/C Laundary,Linen Dr. K . R. Arya 22581036 / 265 8588887784

32. Medical Record I/c Mrs. Aradhana Tyagi 22581036 / 206 9891212192

ANNUAL REPORT 2015


Sr.No. TOPIC PAGE NO.

1. From the Desk of Medical Superintendent 8

2. From the Desk of Addl. Medical Superintendent

10

3. Citizen’s Charter 11

4. General report 17

5 Medicine Department 22

6. Dermatology Department 28

7. Pediatric Department 32

8. General Surgery Department 26

9. Orthopedic Department 28

10. Obstetrics & Gynecology Department 42

11. Ophthalmology Department 45

12. Dental Department 40

13. E.N.T. Department 59

14. Pathology & Allied Department 44

15. Blood Bank & Transfusion Medicine department

69

16. Thallasemia Day Care Unit 72

17. Radio Diagnosis Department 74

18. Casualty / Emergency Services 77

ANNUAL REPORT 2015


19. Anesthesiology and Critical Care Department

79

20. Nursing Department 60

21. Hospital Catering Department 86

22. Spot and Cultural Club 86

23. Library Department 88

24. Bio Medical Waster Management 90

25. Pharmacy Department 91

26. Scientific Committee Activities 92

27. Hospital Information Sysytem (HIS) 94

28. Sanitation & House keeping Department 96

29. Stores and Inventory 96

30. Laundary Department 97

31. Private Public partnership 97

32. Ancilliary Department 98

33. Nursing School 99

34. Senior Citizen 100

35. Right to Information 101

36. Administrative Wing 101

37. Accounts Department 102

38. Budget Provision 102

39. Medical Record Department 103

40. Annual Statistics 106

ANNUAL REPORT 2015


41. Disease wise Report 108

42. Notifiable Diseases 109

43. Staff attained Superannuation 110

44. Acknowledgement 111

ANNUAL REPORT 2015


I feel proud of presenting the Annual Report of Swami Dayanand Hospital

as a Medical Superintendent.of Swami Daya Nand Hospital and its satellite centre

of Veer Savarkar Arogya Sansthan. Veer Savarkar Arogya Sansthan has become

the satellite centre of S.D.N.Hospital vide M.C.D resolution 127 Dated 26/11/2015

and office order of DHA (HQ)/EDMC No.893 Dated 11/12/2015.With the co-

operation & co-ordination of all the staff members, hospital has shown progress all

fronts and is being modernized.

Swami Dayanand Hospital is one of the major hospital of East Delhi

Municipal Corporation in the Trans Yamuna Area of Delhi providing its services

not only to economically disadvantaged population of trans Yamuna but also to the

patients of neighboring district of UP like Loni, Baghpat, Ghaziabad.

Newly constructed 120 Bedded Maternal and child health block,

personalized care block, NICU and multipurpose block have become functional and

providing their services to public/patient.

East Delhi Municipal Corporation has started its first Nursing School at

SDN Hospital named Raj Mata Vijaya Raje Scindhia Nursing School (RVSNS) in

Swami Dayanand Hospital in 2013.Third batch of new students has been admitted

in the year 2015-16.

Web portal of S.D.N.Hospital www.sdnhospital.edu.in has been launched by

Sh. Mahesh Giri ji Member of Parliament East Delhi.The internal facility is being

made available for teaching, training and reference purpose in library. Library has

been upgraded with Audio Visual system.S.D.N.Hospital has been made designated

center to issue Disability Certificate for physically disabled person.

Newly constructed Electric substation exclusively for SDNH has been

inauguration by Shri Manoj Tiwari ji (Member of Parliament North East District) to

meet the increased electric load due to expansion of hospital services.

I appeal once again to the entire medical fraternity to be sensitive to the fact

that documentation of what all you do, in the correct content and format is

important. I am convinced that all our doctors, Nurses and paramedical have legal

responsibility to provide timely medical service and document the care given. In the

eyes of law, all undocumented effort towards patient care is as good as not done.

From the desk of Medical

Superintendent

http://www.sdnhospital.edu.in/

ANNUAL REPORT 2015


Computerization is an easy tool for you to record all your efforts. We need to use

computer in all spheres of data management.

I take this opportunity to thank to all the staffs colleague and well wishers

for their support. The sports and cultural club of Swami Dayanand Hospital has

been doing remarkable social engineering exercise year after year they have been

organizing annual sports and social events. They are active in ensuring the staffs,

who retire from service, are given memorable send off my thanks are due to them.

The Team work of hospital staff, constructive criticism from health care

seekers, encouragement and the support of the public representatives will help

Swami Dayanand Hospital to flourish and render good care.

As MS of the hospital, I shall continue to the very best to maximize my

contribution in “Life Care Management System.”

Sd/-

Dr. M.L. Jaipal

(Medical Superintendent)

ANNUAL REPORT 2015


Swami Dayanand Hospital with its 370-bed strength is 1nd Major General

Hospital with EDMC and also the Oldest General Hospital in Trans Yamuna Area

of Delhi, providing health care services to the most poor sections of society.

Every year hospital celebrates birth anniversary of Swami Dayanand

Saraswati as its annual day remembering the noble teachings of Swami ji and

holding various culture and sports events involving the whole of staff and patients.

This year the annual day on 4th March. Let us re-confirm our faith in the values

propagated by Saint Swami Dayanand Saraswati – gender equality, simplicity, truth

and breaking down of dated practices and norms.

Last year was landmark years in hospital history Nursing School 2nd batch of

G.N.M. was started, this year 3rd Batch of GNM has been started, DNB course in

our Hospital is in progress.

I wish to thank all those who have rendered advice cooperation and support both

in letter and spirit over and the long awaited 120 bed maternal and child care block

which has been started and functional.

-

- Our regular CME is also a boon for the doctors & by continuous effort

frequency & qualities also improved.

- The Department of BMW is also doing a great job & has been acknowledged

by concerned authorized.

- Our hospital is recognized for issuing disability certificates.

- Garden is well maintained and developed near laundry.

- Swachh Bharat Abhiyan sanitation service improved in the hospital.

Once again Greetings to all

Sd/-

Dr. M.P.Singh

(Addl. Medical Supdt.)

From The Desk of

Addl. Medical Superintendent

ANNUAL REPORT 2015


CITIZENS’ CHARTER

This charter seeks to provide a framework, which enables users to know: -

The services available in this hospital

The quality of services they are entitled to

The means through which complaints regarding denial or poor

quality of services will be redressed

Standards of Service:

This is a District Level hospital under EDMC

It provides medical care to all patients who come to the hospital

Standards are influenced by patients load and availability of

resources

Yet we insist that all our users receive courteous and prompt

attention.

Locations:

It is located at Shahdara North Zone in Dilshad Garden.

Adjacent landmarks: IHBAS, GTBH, UCMS.

Nearest Metro Station: Mansarovar Park on Dilshad Garden – Rithala route

Beds: 370

All Staff member, have been provided with identity cards. Attendance is marked

by Biometrics and also have attendance register with the in-charges and HODs.

A movement register is maintained at MS office for recording of visits outside

the hospital on official capacity the supervisory staff, is expected to monitor the

work of employees under them.

General Information

Enquiry cum Reception and Admission Registration Services:

o This counter is functioning round the clock

o Location guide, has been put up in this hospital

o Signboards, are fixed at strategic points for guidance

o Telephone enquiries, can be made over telephone numbers:

22581031 & 22581036 Fax: 22583708

OUR MOTTO - SERVICE WITH A SMILE

ANNUAL REPORT 2015


Casualty & Emergency Services:

All Casualty Services are available round the clock.

Duty Doctor is available round the clock

One senior Doctor is available for supervisory work

Senior doctors are available on-call from duty doctors

Basic emergency services are available for all specialties

as listed in the OPD Services.

Emergency Operations are done in the

OT located on Ground floor of Ward building.

Two Maternity OTs on Ground & First Floor adjacent to

Labor Room in MCH Block

Emergency Operation Theatre services are functional Round

the clock

At present Emergency OT and Routine OT services are provided in the same

premises. In serious cases, treatment/management gets priority over paper work

like registration and medico-legal requirements. The decision rests with the

treating doctor.

OPD Services:

Registration counters are located in Main OPD block ground floor , 2nd Floor

near Surgical OPD & 1st Floor for Gynae Registration.

Basic lifetime registration for all patients generating Unique Hospital

Identification Number (UHID) is free. UHID need to be made once only.

OPD card has nominal charges of Rs. 5 per 30 days. UHID is used for creating

electronic folder for lifetime sourcing of medical information.

Registration Time Consultation Time

General O.P.D. 8.30 A.M. to 12.00 P.M

(Monday to Friday.)

8.30 A.M. to 11.00 A.M

(Saturday)

9.00 A.M. to 2 P.M. (To be

present in the concerned

department by 12.15 p.m)

Special Clinic 2.00 P.M to 3.00 P.M. 2.00 P.M to 3.30 P.M To be

present in the concerned

department by 3 P.M)

ANNUAL REPORT 2015


For all routine non-urgent cases, the treating doctor is allowed to schedule special

tests and interventional procedures including surgeries. This is done in the interest

of optimal care within the facilities of infrastructure and professional manpower

available in the hospital.

ISM Services: (Not under direct control of MS SDNH)

Homeopathic

Ayurvedic

In the OPD specialists (doctors with qualification and experience in the concerned

subject) are available for consultation. Senior consultants are also available.

OPD services are available on all working days excluding Sundays and Gazette

Holidays. On Saturdays, the hospital functions from 9 AM to 1 PM.

Medical Facilities Not Available:

Super-specialty services like Neurology and Neurosurgery, Cardiology and Cardio

thoracic surgery, Poly-trauma Management, Pediatric Surgery, Psychiatry,

Nephrology, Gastroenterology, and Interventional Radiology

Some specialties do not have indoor patients’ services:

Dental

Dermatology

Laboratory Services:

Routine: Laboratory Services are provided in the following fields:

Bio-chemistry

Microbiology

Hematology

Cytology

Histopathology including FNAC

Clinical Pathology

There is a Central Collection Center for receiving and collecting various specimens

for testing. The timings for receiving specimens are 9:15 AM to 11:30 AM.

Emergency: Emergency Laboratory Services are available 24 hours for limited tests

relating to clinical pathology and biochemistry.

Routine: These services include:

X-Rays

Ultrasound

CAT scan out-sourced services.

Routine X-Rays, will be done from 9:00 AM to 1:00 PM. Registration is done from

9:00 AM to 11AM.

ANNUAL REPORT 2015


Ultrasound examination will be done from 9:00 AM to 1:00 PM (excluding

holidays). Special Ultrasound examinations are conducted on scheduling between 2

PM to 3.30 PM

Drug Distribution:

Medicines prescribed by the doctors are available as per MCD’s Drugs Formulary at

Pharmacy Counters free of cost. Medicines are usually given for three days for OPD

Patients but in special clinics medicines are given on recommendations of

Specialists for up to 15 days.

Separate windows are available for ladies and gents. Separate shared window for

Senior Citizens, Physically Handicapped patients and for MCD Health Scheme

cardholders is available

It is expected that an independent counter will be started exclusively for senior

citizens shortly.

Indoor Patient Services:

There are total of 10 Wards providing free indoor patient care. The wards are of

Nightingale type with open corridors and dormitory type set up. The hospital also

has private rooms or independent rooms for patient care.

Emergency ward admits emergency cases for medical & surgical obstetric &

Gynecological problems.

There is a SIX bedded ICU cum High Dependency Unit (HDU) for care of seriously

ill patients.

MCH casualty exclusive to obstetric gynae is operational round the clock has 10

beds. MCH Labour room has 10 labour beds working round the clock with attached

Emergency operation theater to carry out obstetric surgical interventions.

The hospital also has MCH wards of 20 beds each.

MCH-I Post Operative ward

MCH-II Gynae and high risk ANC

MCH-III & MCH-IV PNC

Level 1 Nursery provides necessary care to the medically compromised Newborns.

Otherwise, all mothers are encouraged to provide Kangaroo Care. All indoor

patients receive treatment under the guidance and supervision of unit in-charge

during office hours i.e. 9:00 AM to 4:00 PM.

There are 42 beds in Personalized Care Block.

Outside office hours, treatment is given by doctor on duty; and specialists’ services

are available on call. Medicine, Surgery, OBS & Gynae, HDU and Anesthesiology

have round the clock duty doctor for handling Emergencies.

ANNUAL REPORT 2015


Diet, is provided to all patients in the General Wards. Diet charges are Rs. 10/- per

day. Free food, is served to those below BPL on production of relevant document /

recommendation of HOD or Unit in charge and permission from MS, Addl MS,

CMO (Emergency) or CMO (Admin.)

Every patient is given one attendant pass. Visitors are, normally allowed only

between 5:00 PM to 7:00 PM. Investigations like CAT scan, are charged as per

approved rates (as displayed). The private vendor in the hospital prmises provides

this service, as an Outsourced facility. For poor patients, Additional Medical

Superintendent or M.S. can waive off the charges fully or partially, on the

recommendation of HOD or by the Emergency Medical Officer In case of

emergency, CMO (on duty) may waive off these charges.

A Staff Nurse is on duty round the clock in the ward. Admitted patients should

contact the Staff Nurse for any medical assistance.

Other Facilities:

Other facilities available include:

Drinking Water

Trolleys are available in the OPD and casualty.

Ambulances are available for transporting patients

referred to tertiary care centers. This service is

provided on recommendation of CMO. In case

hospital ambulance is held up elsewhere, CATS

ambulances are requisitioned by CMO.

Limited police assistance available in the

emergency block

Public Telephone Booth, is provided near Police room

Stand-by Electricity Generators have been provided

Chemist Shops are available outside the hospital but

not within the purview of the hospital authorities

Limited canteen for patients and their attendants is

available

Ramps are available for access to higher floors

Adequate toilet Facilities for use of patients

Refrigerated mortuary to accommodate 4 bodies are

available for exclusive use of the hospital

Complaints & Grievances:

There will be occasions when our services will not be up to your expectations.

Please do not hesitate to register your complaints. It will only help us serve you

better. Every grievance will be duly acknowledged. We aim to settle your

complaints within 10 working days of its receipt. If we cannot, we will explain the

reasons and the time we will take to resolve the grievance, dispute or the conflict.

Suggestions/Complaint boxes are also provided at various locations in the hospital.

You can submit your complaints in the administrative block of the hospital

ANNUAL REPORT 2015


Name, designation and telephone number of the nodal officer

concerned for receiving complaints is duly displayed:

o Dr. K.R. Arya

Designation: A.P.I.O.

Tele (O) 22583708 (M) 9810145046

o Dr. M.P.Singh

Designation: Additional M.S.

P.I.O.

Tele (O) 22583708 (M) 9810456706

Meeting Hours 11 AM to 1 PM

o Dr. M.L. Jaipal

Designation: Medical Superintendent

First Appellate Authority

Tele (O) 22582512 (M) 9868223198

Meeting Hours 11 AM to 1 PM

If they are not free to hear your grievance, they will depute senior Medical Officer

to hear you.

For General Enquiry: PABX: 22581036, 22581031

Responsibilities of the Users:

The success of this charter depends on the support we receive from our

Users please try to appreciate the various constraints under which the hospital is

functioning. On an average more than 6 lacs patients attend the OPD annually and

more than 66000 patients are attended annually in the casualty and emergency

wards.

Please do not inconvenience other patients.

Please help us in keeping the hospital and its surroundings neat

and clean.

Please obey biomedical waste handling norms

Please use the facilities of this hospital with care.

Beware of Touts.

The Hospital is a “No Smoking Zone” and smoking is a

Punishable Offence.

Please refrain from demanding undue favors from the staff and

officials as it encourages corruption.

Please provide useful feedback & constructive suggestions. These,

may be addressed to the Medical Superintendent of the Hospital.

We request everyone to observe

“No Smoking ” zone

Don’t spit here & there

Use Dustbin

Keep Hospital Clean

Give regards to Ladies and Senior Citizens.

ANNUAL REPORT 2015


Swami Dayanand Hospital was established in the year 1963 for providing

Medical Facilities to the residents of trans-Yamuna area and eastern outskirts of

Delhi. Earlier this hospital was known as Shahdara General Hospital. This hospital

is spread over 19 acre of land. The sanctioned bed strength is now 370 beds with

setting up HDU, Contingent Ward and Thalassemia Day Care Centre.

There are different specialties and Departments viz. General Medicine, General

Surgery, Dermatology, Pediatrics, Orthopedics, Dentistry, Ophthalmology, E.N.T.,

Obstetrics& Gynecology, Anesthesiology and Critical Care, Pathology & Radiology

Emergency Medicine (Casualty Department) Transfusion medicine (Blood Bank),

Thalassemia Day Care Centre and Medical Records in the hospital.

As per policy laid down by Municipal Corporation, the following charges

were adopted in this hospital w.e.f. 1-1-2005. O.P.D. Card charges Rs.5/-

for 30 Days, is chargeable on monthly, biennial or annual basis as

mentioned below:

OPD. Card Rs.5/- for 30 Days

OPD. Card Rs. 30 for 6 Month

OPD. Card Rs. 60 for 1 Year

Other charges are:

Diet Charges for indoor patients. Rs.10/- per day

Medical Certificate Rs.20/-

Medical Examination for Employment Rs. 32/ On approval of M.S, free diet, is provided to all the deserving poor patients

In additions to the routine OPD, Casualty and indoor services, the hospital also

runs a number of special clinics in different departments as mentioned below: -

S.NO. NAME OF CLINIC DAYS TIME OF

CLINIC*

1. Infertility clinic Monday 2 P.M. to 3:30 PM

2. Leprosy Clinic Wednesday 2 P.M. to 3:30 PM

3. Cardiac Clinic Wednesday 2 P.M. to 3:30 PM

4. P.N.C. Clinic Wednesday 2 P.M. to 3:30 PM

5. Diabetic Clinic Thursday 2 P.M. to 3:30 PM

6. Vitiligo Clinic Thursday 2 P.M. to 3:30 PM

7. Cancer Clinic & Breast Friday 2 P.M. to 3:30 PM

GENERAL REPORT

ANNUAL REPORT 2015


clinic

8. Adolescent Clinic Daily 9 AM to 3:30 PM

9. Immunization Clinic Daily 9 AM to 3:30 PM

10. Antenatal Clinic Daily 9 AM to 3:30 PM

11. Glaucoma Clinic Daily 9 AM to 3:30 PM

12. Thalassemia Day Care Daily Only to Registered

Patients as per protocol

for Thalassemia

13. Asthma clinic Thursday 2 PM to 3:30 PM

To be present in the clinic by the time mentioned

Patients will be seen until last patient is handled

NEW ACHIEVEMENTS

1. 3rd & 4th floor OPD has been started.

2. Nursing School at SDNH with 20 students has been started.

3. Personalized Care Block has been operational.

4. 120 Bedded Ward Block has been started.

5. The Multipurpose Block has been completed.

6. New Entry Gate near IHBAS Hospital has been made.

7. Selected in top ten hospitals in Peer Assessment under Kayakalp

Programme.

STATISTICS OF LAST FIVE YEARS

YEAR O.P.D. CASES ADMISSION CASUALTY

NEW OLD TOTAL

2011 276039 226806 502845 20194 88572

2012 298903 248302 547205 20955 89172

2013 308737 274802 583539 26397 92587

2014 312162 282415 594577 24318 95556

2015 392764 292346 685110 27125 104791

ANNUAL REPORT 2015


SPECIALITIES WISE SANCTION OF BEDS

Number Name of Specialists No. of sanctioned

beds

1. General Medicine 70

2. General Surgery 48

3. Orthopedics 30

4. Eye 11

5. ENT 11

6. Obst.Gynae 100

7. Paeds 40

8. I.C.U. 07

9. Thalassemia 03

10. Recovery 20

11 Causality 20

11. NICU 10

Total 370

ANNUAL REPORT 2015


THE STANDING PATTERN OF MEDICAL OFFICERS

S.No. Name of Post Sanctioned Post

1. Medical Superintendent 1

2. Addl. Medical Superintendent 1

3. General Physician 6

4. General Surgeon 3

5. Orthopedic Surgeon 2

6. Gynecologists 5

7. Anesthesiologist 7

8. Ophthalmologist 2

9. Pathologist 2

10. ENT surgeon 3

11. Radiologist 4

12. Pediatrics 5

13. Medical Microbiologist 1

14. Medical Biochemist 1

15. Skin Specialist 1

16. Dental Surgeon 1

17. G.D.M.O. 60

18. Senior Resident 54

19. Jr. Resident 53

ANNUAL REPORT 2015


NEW OLD TOTAL

OPD CASES ADMISSION CASUALTY

YEAR

2010 320237 219229 539466 19187 94542

2011 276039 226806 502845 20194 88572

2012 298903 248302 547205 20955 89172

2013 308737 274802 583636 53564 92587

2014 312162 282415 594577 24318 95556

2015 392764 292346 685110 27125 104791

1

10

100

1000

10000

100000

1000000

NO

OF

CA

SE

S

SWAMI DAYANAND HOSPITALSTATISTICS OF OPD CASES

OF LAST FIVE YEARS

YEAR

2010

2011

2012

2013

2014

2015

ANNUAL REPORT 2015


MEDICINE DEPARTMENT

Medicine department is one of the largest departments in the hospital.

Besides providing general medical care & round the clock emergency care, it is

running specialized clinics in the field of basic Cardiology and Metabolic (Diabetes)

clinic. The department is doing some special procedures, i.e. TMT/PFT and Doppler

Echo Cardiography.

Staff Pattern

The department has two units, having 3 specialists, 6 Medical Officers

(some of them post graduates), 7 Senior Residents, 7 Junior Residents and 5 ECG

Technicians.

1. Dr. Mukesh Kumar-

Specialist (SAG)

5. Dr. Sudhir Mittal- C.M.O. (NFSG)

2. Dr. Jennet L Stephens-

Specialist Grade-I

6. Dr D. Chakervorty -C.M.O.

3. Dr. Bhagwat Prasad -CMO 7. Dr. Sachin Gupta- GDMO

4. Dr. G.B. Tyagi – GDMO 8. Dr. Sunil Godiwal C.M.O. (NFSG)

Out Patients Department

The OPD attendance is the highest among all departments in the hospital:

New Patients 86780

Old Patients 78432

Total Patients 165212

Cardiac Clinics

The department is running cardiac Clinic on every Wednesday at 2 P.M. All type of

cardiac patients are investigated and treated. ECG, TMT & Doppler Echo

Cardiography is available in our hospital. Detail clinical and Bio-chemical evaluation

done of each patient. If patient need Coronary angiography then patient is referred to

G.B. Pant Hospital Delhi .We manage all type of the patients of Hyper tension,

Valvular Heart Disease and CAD.

New patients - 2178

Old Patients - 9804

Total Patients - 11982

INTERNAL MEDICINE

ANNUAL REPORT 2015


Metabolic Clinic

Metabolic Clinic is held on every Thursday at 2 P.M. The patients are regularly

investigated & managed thoroughly and advised about regular follow up. Diabetic

patients are evaluated for CAD, Diabetic Retinopathy, and Diabetic

Neuropathy/Diabetic Nephropathy. Time to time patient education Camps are

organized in metabolic clinic OPD ( Diet/Exercise/foot care & Eye Care. Obese

patients are evaluated for causes of obesity and thyroid disorder. We are also

managing the patient of thyroid disorder in metabolic clinic. Department has

organized Public lectures and Video shows for the Diabetic patients to increase the

awareness about Diabetic Diet, proper care of foot , and Exercise .

New Patients - 1372

Old Patients - 11714

Total Patients - 13086

Indoor patients

The department is having 46 beds where patients are admitted from OPD and

Emergency. It also provides specialized consultation to patients referred from other

departments including ICU and other Govt. Hospital like IHBAS. In Casualty and

ICU we are doing Medical Thrombolysis in acute Myocardial infarction (STEMI)

.After Stabilization we refer the cases to higher centres for Coronary Angiography

and further management. In ICU we are also doing Medical Thrambolysis in acute

Ischemic Stroke .Up this year we have done medical thrambolysis in acute ischemic

stroke many patients. .

Total admission - 3473

Total deaths - 159

Specialized Investigations

Beside ECG, the department is regularly doing the TMT, PFT and Doppler Echo

Cardiography. (Doppler Echo Cartography recently started w.e.f. OCT 2013.)

Data for the year 2015

Total ECG- 22284

OPD 11421

Casualty ECG 10863

TMT- 59

PFT- 259

Doppler Echo 160

ANNUAL REPORT 2015


ECG Service is available round the clock in the Causality/Wards.

DOTS Center

DOTS Center of the hospital is under the supervision of the department in

coordination with district TB officer.

Total Slides Examined 2256

Total positive slides for Sputum AFB 277

Total Negative Slide 1979

Slide Positivity rate 12.22%

Sputum positivity rate 13.69%

Total Cases Cat 1 Cat -2

194 152 42

Total case old/New old-1250 Cat I - 958

Cat II – 29

Disease Surveillance and control of Outbreaks

Medicine department in year 2015 successfully contributed in surveillance and

management of communicable diseases like acute gastroenteritis, cholera, typhoid

fever, malarial fever, dengue fever, meningococcemia, Swine Flu and chikungunya

etc.

No. Disease Suspected

cases

Confirmed

cases

Death

1. Dengue Fever 1534 461 04

2. Chikungunya 03 01 Nil

3. Meningococcemia - - -

MALARIA CLINIC

The malaria clinic is running under the supervision of Medicine department. The report of

malaria clinic is given below:-

S.NO Total slide collection Positive case Delhi & other state (Residence)

P.V P.F DELHI OTHER STATE

1 5341 135 6 08 133

ANNUAL REPORT 2015


Total Case patient in Hospital by indoor admission 141

ECG TMT PFT ENDOSCOPY

2011 13045 68 198 168

2012 13548 85 205 128

2013 20987 66 335 0

2014 35097 56 257 0

2015 22284 59 259 0

1

10

100

1000

10000

100000

NO

OF

CA

SE

S

SWAMI DAYANAND HOSPITALMEDICINE DEPARTMENT


2011

2012

2013

2014

2015

ANNUAL REPORT 2015


STATISTICS FOR LAST TWO YEAR

INDOOR

PATIENTS

OUTDOOR

PATIENTS

METABOLIC

CLINIC

CARDIAC

CLINIC

2014 2015 2014 2015 2014 2015 2014 2015

New

2666

3473

65658

86780

1217

1372

3958

2178

Old

68528

78432

10115

11714

9643

9804

Total

2666

3473

134186

165212

11332

13086

13601

11982

E.C.G.

35097

22284

T.M.T.

56

59

P.F.T.

257

259

Endoscopy --- ---

Echo 335 160

ANNUAL REPORT 2015


Medical Examination for Amarnath Yatra –Medical Examination of 518 persons was

done in month of June - July for Amarnath Yatra.

Preventive Health check up for class (iv) Nala Beldar working in EDMC is done twice a

year different Medical Examination for medical fitness before joining the appointed

department is done routinely.

Medical Education Programme and Seminars

The Department is regularly organizing seminars & lectures for the doctors for

updating their knowledge and skill. It also arranged guest lecturers in specialized field by

the specialist of other hospitals. Lectures were also arranged for the Paramedical staff on

communicable diseases and public lectures for the general public. Doctors of the

department also took part in various health camps and attended various training courses,

workshop, CME and conferences at local and National Level.

Compiled by: Dr. Mukesh Kumar

ANNUAL REPORT 2015


Department of Dermatology was started on regular basis w.e.f 1st July 2003.

The department runs the OPD on every working day. Special clinics run by the

department are following:

S. NO. Name of the Clinic Days Time

1 Leprosy Clinic Wednesday 2 PM to 4 PM

2. Vitilogo Clinic Thursday 2 PM to 4 PM

3. Minor Procedures Monday, Tuesday &

Friday

2 PM to 4 PM

4. Phototherapy Clinic Monday, Thursday 2PM to 4 PM

STAFF PATTERN: -

One Specialist (Dr. Sandip Mohanty)

Two SR

One JR

OUT PATIENT DEPARTMENT: -

There has been steady increase in the number of patients seen in Skin OPD

in last five year.

Year New Old Total

2011 16545 24867 41412

2012 17503 25574 43077

2013 18519 26858 45377

2014 19384 27319 46703

2015 20225 28236 48461

LEPROSY CLINIC: -

Leprosy clinic is being run on Wednesday. National Leprosy Elimination Program

is implemented through this clinic. There is a fall in number of Leprosy cases, which due to

achievement of leprosy elimination target with a prevalence rate of 1/10,000 patients in

Delhi. But we are still receiving leprosy patients from adjoining areas of UP and from Bihar,

Jharkhand.

It was being run in two rooms on 1st Floor in OPD block. But since 2013 this has

been shifted to IVth floor in room no. 401 & 405. Room no. 401,402 & 404 are consulting

room. Room No. 403 is for Phototherapy & room no. 405 is for minor procedure.

DERMATOLOGY

ANNUAL REPORT 2015


LAST FOUR YEAR STATISTICS OF LEPROSY CLINIC

YEAR PB MB TOTAL

2012 89 82 171

2013 103 98 201

2014 110 102 213

2015 70 120 190

VITILIGO CLINIC: -

Hundreds of patients suffering from Leucoderma or vitiligo have benefited from

this clinic, run every Thursday.

LAST FOUR YEAR STATISTICS OF VITILIGO CLINIC:-

YEAR NEW OLD TOTAL

2012 213 1158 1371

2013 219 1248 1467

2014 228 1337 1565

2015 232 1341 1573

LAST FOUR YEAR STATISTICS OF V.D CLINIC: -

YEAR NEW OLD TOTAL

2012 48 125 173

2013 58 137 195

2014 61 149 210

2015 68 155 223

ANNUAL REPORT 2015


Dermatology NEW OLD TOTAL

Series1 2010 13069 23343 36412

Series2 2011 15045 25659 40704

Series3 2012 17503 25574 43077

Series4 2013 18519 26858 45377

Series5 2014 19384 27319 46703

Series6 2015 20225 28236 48461

1

10

100

1000

10000

100000

NO

OF

CA

SE

S

SWAMI DAYANAND HOSPITALDERMATOLOGY DEPARTMENT OPD STATISTICS OF LAST FIVE YEARS

Series1

Series2

Series3

Series4

Series5

Series6

ANNUAL REPORT 2015


Procedures

1. Skin Biopsies are done on regular basis in minor O.T.

2. Various minor procedures are done on a regular basis on Monday, Tuesday

and Friday afternoon like: -

Electro Cautery/Radiofrequency

Chemical Cautery

Chemical Peeling

Intralesional injection

Expression/ Extirpation

PHOTOTHERAPY CLINIC:- Patient suffering from Vitiligo & Psoriasis are

given Phototherapy in this clinic with the help of Hand & foot Machine and Narrow

Band whole body chamber.

Compiled by: Dr. S Mohanty

ANNUAL REPORT 2015


STAFF PATTERN: -

1. Head of Deptt. : Dr. Anand Agarwal

2. Specialists: : Dr. Amita Tyagi,Dr.Anil Saini, Dr.Surender Singh Bisht,

Dr. A.P.Azad, Dr. Sheffali Roy, Dr. Ritesh Kamal ,

Dr Sandeep Duggal

3. CMO: Dr. Jaswant Singh, Dr. S. P. Singh, Dr Ankita Tyagi

The department has following major work areas:

1. Out- Patient Facility: Outpatient facility which was shifted to new

spacious facility on 3rd floor of OPD block helped to see patients in more patient-

friendly way. It has its own registration and pharmacy counter thereby enabling

mothers to quickly get their children examined and collect the drugs prescribed &

go home.

2. Inpatient Facility: comprises of

a) Wd No 4 and 5 are two pediatric wards with combined bed strength of 50

patients.

b) New born nursery is now functioning at second floor in MCH block. It has

bed strength of 20 NICU beds including 10 beds step down unit.

c) All newborn babies delivered in SDNH are kept in post natal wards with

their mothers where they are screened for neonatal problems/diseases and

subsequently managed in the nursery if required.

d) Labour room: round the clock neonatal resuscitation services are provided

in labor room to all high-risk deliveries. Sick newborns are stabilized till the time

they can be shifted to the mother side in postnatal ward or transferred to nursery

for ongoing treatment.

e) High- dependency care unit: whenever sick children more than 1 year of

age require intensive monitoring and treatment, HDU facility, is utilized.

Pediatricians contribute to care through ongoing consultations, observations and

interaction with the team attending to the patient. Subsequent step down care is

ensured in pediatric ward to those children discharged from HDU to Ward

f) Emergency care is given to patients reporting to the hospital in Casualty.

Sick children are kept for observation and appropriately treated and managed by

E.M.O. (Pediatrics) under supervision of a specialist. Besides one Medical

Officer/senior resident is regularly sent as Casualty Medical Officer (CMO) also.

g) Thalassemia Day Care Center: - Thalassemia children are regularly

admitted for regular blood transfusion & all facilities are provided to them. Total

24 Thalassemia children are registered with SDNH for regular Blood transfusion.

This service is being provided under the roof of Blood Bank premises with active

support and supervision of Transfusion Medicine Officer. Active and continuous

support from National Thalassemia Welfare Society and GTBH (for cardiac

evaluation) is also quite beneficial in better care of these children.

Total Patients admitted under pediatrics department in 2015 were 8508.

PEADIATRIC

Deapr

ANNUAL REPORT 2015


Nutritional Rehabilitation & Counseling (NRC) Centre: - Anthropometry of all

children attending OPD is done and appropriate nutritional advice is given. Severe acute

malnutrition (SAM) cases are picked up in OPD or and treated as per the SAM protocol.

In the ward Separate beds are allocated for this.

High risk follow-up clinic & early intervention clinic:- High risk follow-up clinic &

early intervention clinic is held on Tuesday, Wednesday , Thursday and Friday in which

children with developmental delay or at high risk for developmental delay like birth

asphyxia, prematurity & hyperbilirubinemia are followed up. Early intervention including

developmental stimulation helps these children to reach their full potential.

Well Baby Clinic:

Well baby clinic is held every day where babies are immunized. Preventive and

promotional aspects in the newborn care are stressed upon.

Immunization: Special care is given to preventive aspect of all vaccine preventable diseases by

offering vaccination in Pediatric OPD as per Immunization program of Delhi Govt.

All newborns delivered in the hospital are given BCG, 0 dose of OPV and Hepatitis B

1st dose before discharge as per the recommendation.

IMMUNIZATION

Immunization 2011 2012 2013 2014 2015

B.C.G. 4668 4416 5435 5739 5957

Pentavalent 0 0 1799 2099 2506

D.P.T. 4992 4303 2242 1080 616

OPV 9248 8708 9039 8733 9593

Measles 897 838 632 540 460

M.M.R. 903 814 660 461 492

Hepatitis B 8571 7799 6786 5965 6860

Typhoid 653 718 635 695 607

Pediatric Asthma Clinic:

This year Pediatric Asthma Clinic registered around 316 new patients and 275

old patients with total 591 patients attending follow- up clinic on every Thursday. Regular

patient and family education is also provided. The hospital could provide most of the

inhalers, spacer devices and baby masks. This has greatly improved the compliance and

prevented repeated relapses.

ANNUAL REPORT 2015


Infant & Young Child Feeding (IYCF) Centre: - IYCF centre to promote breast

feeding is functioning in the hospital. Mother in the OPD & Post Natal Ward are

counseled & supported to breast feeding their babies. Mothers of children under 5 years

are also advised regarding healthy feeding practices to reduce malnutrition. Healthy

feeding practices are further promoted by imparting health education through audio visual

aids in the PNC & OPD areas.

A.F.P. and Measles Surveillance:

All case of suspected AFP and Measles, were admitted in the pediatric ward and

reported. As per the protocol, stool samples were sent to N.I.C.D of all AFP cases

Active participation in pulse polio immunization: Medical and Para-medical staff

actively participated in the campaign on all NID days as well as in house-to-house

immunization. A center for immunization is regularly set up in SDNH on NIDs.

Some of the MIS and IEC activities are:

1. Regular Peri-natal mortality meeting and Death Review Meetings are

conducted to discuss ways to improve child care in the deptt.

2. ORS week was celebrated in May 2015 with public lecture s on ORS and

its benefits. General public was educated about ORS benefits and its

importance in preventing diarrheal deaths. This was followed up with ORS

day on 29 July.

3. World Breastfeeding week was celebrated from 1st to 8th August 2015.

Public health lectures on benefits of breastfeeding were taken by pediatrics

and Obstetrics & Gynecology doctor’s in their OPD’s and wards. Rally

nukkad natak was organized. Various activities like quiz for resident

doctors and poster competition was held.

S.No CMEs/Conferences/Seminar/Workshops Date of CME

Organized In association

1 National level PEDICON 2015 pre conference Workshop on Non invasive Ventilation where 55 doctors from all over India participated. Faculty included : Prof Rakesh Lodha, AIIMS, Dr Charles C Roehr, University of London, Dr Namit Jerath, Apollo Delhi, Dr S S Bisht & Dr Ranajit Chatterjee, SDN Hospital , Dr Piyush Chandel, Jaypee Hospital, Noida, Lt Col Dr Subash Shaw, Kolkata

21st Jan 2015

Indian Academy of Pediatrics, India

2 Workshop on Non invasive & High Flow Ventilation for doctors & nurses of NRHM Haryana, Jaipur, Nagpur, Delhi & Afghanistan. Here 60 doctors and nurses got trained.

Faculty: Prof Amit Gupta , Dr Anil Kopuri, Mrs Kate from Oxford University, London, Dr Ajay Gambhir, Dr Sunil Mehndiratta and Dr S S Bisht

28th & 29th May 2015

National Neonatology Forum, India

Oxford University Hospital,

ANNUAL REPORT 2015


from NNF India London

NRHM, Haryana

3 World breastfeeding Quiz for nurses during WBF week

6th August 2015

NRHM, Delhi

4 NNF State level Postgraduate students Quiz 2015 wherein MD/DNB student teams from all medical colleges and major DNB institutions participated.

19th Aug 2015


5 NNF State level Nurses Quiz 2015 wherein nurses teams from 11 medical colleges and major hospitals participated.

20th Aug 2015


6 CME on Dengue & Pediatric Hematology wherein around 75 doctors from Delhi & NCR participated. Faculty included: Prof Sunil Gomber, UCMS & GTBH, Dr Amita Mahajan & Dr Manas Kalra, Indraprastha Apollo Delhi

19th Sept 2015

Indian Academy of Pediatrics, , Delhi & East Delhi City

7 IAP Presidential Action Plan 2015: Pediatrics Dermatology CME wherein 60 pediatricians from Delhi & NCR attended and interacted with faculty HODs, Skin & VD from Stanley Medical College & Chingelput Medical College, Tamil Nadu

28th Nov 2015


8 IAP Presidential Action Plan 2015: Pediatrics Gastroenterology CME wherein 35 pediatricians from Delhi & NCR attended and interacted with faculty Dr Neelam Mohan & Dr Deepak Goyal , Medanta Medicity, Gurgaon and Dr Vidyut Bhatia, Apollo Delhi

6th Dec 2015


ANNUAL REPORT 2015


Medical Education topics discussed for Doctors: -

The Department carries on academic activities on regular basis especially for

benefit of resident doctors. Some of topics that were discussed included:-

Topics related to the neonatology & general pediatrics, infection and

nutrition were discussed.

Public Lectures:

Public lectures were organized in Pediatrics Dept. regarding:-

Pulse polio

Immunization

Waterborne diseases.

Nutrition

Oral Rehydration Solution

Hygiene & Prevention of diseases

NEW OLD TOTAL

INDOOR OUTDOOR PEADIATRIC

2010 6855 41515 39871 81386

2011 8065 65490 40825 106315

2012 7723 44828 42757 87585

2013 8508 45146 43805 88951

2014 8577 46254 44578 90832

2015 9635 42410 43526 85936

1

10

100

1000

10000

100000

1000000

NO

OF

CA

SE

SWAMI DAYANAND HOSPITALPAEDIATRICS DEPARTMENT


2010

2011

2012

2013

2014

2015

ANNUAL REPORT 2015


Talks in simple language are given by the doctors of the department to patients

waiting in the OPD area. These are two way interactive talks, where patients are

encouraged to ask questions which are very educative for the patients.

Academic Achievements:

The doctors of the department attended many lectures, seminars and

conferences at local and national level.

Doctors of the department are participating as Chairperson or faculty in

various conferences, workshops and training program of national and state

level.

STATISTICS OF PEADIATRICS DEPARTMENT

YEAR INDOOR OUTDOOR

NEW OLD TOTAL

2008 2575 50815 32788 83603

2009 2273 47186 27124 74310

2010 6855) 41515 39871 81386

2011 7823

43585 43873 87458

2012 7723

44828

42757

87585

2013 8508

45146 43805 88951

2014 8577

46254 44578 90832

2015 9635

42410 43526 85936

ANNUAL REPORT 2015


Compiled by: Dr. Anand Agarwal

BCG DPT MEASLES M.M.R H.B POLIO

2011 4668 4992 897 903 8571 9248

2012 4416 4303 838 814 7799 8708

2013 5435 2242 632 660 6786 9039

2014 5739 1080 540 461 5965 80733

2015 5957 616 460 492 6860 9593

1

10

100

1000

10000

100000

NO

OF

CA

SE

SSWAMI DAYANAND HOSPITAL PAEDIATRICS DEPARTMENT

STATISTICS IMMUNISATION FOR LAST FIVE YEARS

2011

2012

2013

2014

2015

ANNUAL REPORT 2015


Composition and basic outline of functioning.

At present Department of Surgery is having Strength of consist of 4 Permanent

postgraduate doctors & 2 Contract Specialist. We are managing all surgical cases coming

to SDNH in SOPD Emergency (24x7) with indoor bed 54+.

LAPAROSCOPIC SURGERY:-Apart from record number of General surgery Cases,

we are doing most type of Laparoscopic Surgery for:-

1. Gall Bladder Disease

2. Groin Hernia as well as Umbilical hernia

3. Appendicectomy (both routine & Emergency )

4. Diagnostic Laparoscopy & follow-up Biopsy.

Urology:- The Dept of Surgery is running Urology Clinic on Friday. We are doing lots of

End urological procedure such as Cystoscopy & Urethroscopy. Following are the

therapeutic procedures done in 2014.

1. TURP for BPH

2. TURBT for bladder Tumour.

3. Endoscopic Cystolithotomy

4 D-J stenting of ureter for various indications.

5. Optical internal urethrotomy

Cancer Surgery: - Dept. of Surgery contributes to surgical (operative) part of cancer

treatment. Other than Tru-cut Biopsy & part/incisional Biopsy for diagnostic purpose,

following Therapeatic Surgery procedures were done in 2015.

i)Ca Breast – Infiltrating ductal Carcinoma

Ii) Skin Basal Cell Carcinomas

iii) Buccal Ca - Biopsy

IV) Rectum- Adenocarcinoma

v) Large gut- Adenocarcinoma 1

VI) Prostate – A denocarcinoma (biopsy)

vii) Soft Tissue Sarcoma

For completion of treatment of cancer patient we refer them to Delhi state cancer institute

(DSCI) for Radiotherapy & Chemotherapy with all details of records.

General Surgery

ANNUAL REPORT 2015


FAMILY WELFARE: Surgery dept. contributes to Family welfare programme in form

of:

i) NSV –Non scalpel Vasectomy

ii) Participating in awareness camp of population control.

INTER DEPARTMENT

Support of other Dept:- Surgery dept. also gives positive support to Gynecology &

obstetrics. Dept for all Gynecological cancer cases as well as any urological injuries (both

bladder injury & ureteric injury)

INDOOR ADMISSION

2014 2015

UNIT – I 714 769

UNIT – II 968 545

TOTAL 1713 1314

OUTDOOR

UNIT – I

2014 2015

NEW 8158 8278

OLD 10554 10632

TOTAL 18712 18910

OUTDOOR

UNIT – II 2014 2015

NEW 8929 8978

OLD 9338 9687

TOTAL 18267 18665

Total patients of

Unit I & Unit II

36979

35575

OPERATIONS

UNIT I 2014 2015

MAJOR 825 692

MINOR 3808 2203

EMERGENCY 1186 701

TOTAL 5819 3596

OPERATIONS

UNIT II 2014 2015

MAJOR 775 523

MINOR 3908 2308

EMERGENCY 1292 828

TOTAL 5975 3659

ANNUAL REPORT 2015


Total Operations of

Unit I & Unit II

11794 7255

Compiled by: Dr. Rajesh Kumar Bansal

UNIT-1 UNIT-II UNIT-1 UNIT-11 UNIT-1 UNIT-11

INDOOR OPD OPERATIONS

2011 828 805 16232 16058 4028 3628

2012 815 901 17426 16980 5238 5274

2013 798 915 18013 17467 5625 5354

2014 714 968 18712 18267 5819 5979

2015 769 545 18910 18665 3596 3659

1

10

100

1000

10000

100000

NO

OF

CA

SE

SWAMI DAYANAND HOSPITALSURGERY DEPARTMENT STATISTICS OF INDOOR,

OUTDOOR & OPERATIONAL FOR LAST FIVE YEARS

2011

2012

2013

2014

2015

ANNUAL REPORT 2015


Department of orthopedics is one of the busiest in the hospital. At present there are three senior medical officers in the department. Amongst them, two have post graduate degree in Orthopedics. There is one specialist on contract basis, six senior residents and one junior resident in the department. At present there are five sanctioned posts of plaster assistant and one post of orthopedic technician. But there is only one OrthopZedic technician working against these posts.

We have a well equipped operation theater complex where almost all varieties of orthopedic surgeries are conducted. The department possesses an operating arthroscopic set complete with monitor, shaving system, etc. with pneumatically powered drill and saw system, an image intensifier and other orthopedic instruments.

With this infrastructure, all kinds of modern orthopedic surgeries are being conducted here. In the past one year, the orthopedic department has rendered invaluable services to the multitude of attending patients. In addition to the routine and common orthopedic operations we have done all kinds of surgeries including arthroscopic surgeries for knee and shoulder, total joint replacement of hips and knees, spinal surgeries for prolapsed intervertebral disc, fixation and fusion of the spine and other surgeries as well. Reconstructive surgeries for bone tumors are also being conducted here.

In the year 2015 we have performed more than 298 major and 578 minor surgeries which include cases done in the minor OT and OPD and closed reduction of fracture in the orthopedic OPD. In addition to this we have administered about 700 intra-articular Hydrocortisone injections, applied more than 10000 plasters and remove about 9500 plasters in 2015.

In addition to the routine cases all emergency cases are handled too. Round the clock emergency services are being provided. About 3500 plaster have been applied in the casualty department in the past year. Many emergency cases which had to be referred to other hospitals earlier due to lack of emergency facilities are being handled now. Many emergency procedures which include closed reduction, open reduction and internal fixation of fractures, drainage of bone and joint abscesses, etc. have been done in the past year.

The orthopedic OPD is one of the heaviest amongst all with approximately 300 patients being catered to daily. Even on Wednesdays, on which operations are performed, OPD is being run. Minor cases are performed on OPD basis in the minor OT in the OPD. Also many closed reduction under anesthesia are performed in OPD itself. Regular CTEV clinic run on every Friday in the OPD, whereby about 500 CTEV plaster have been applied.

Physiotherapy, which is an integral part of this department, has being doing a commendable job. Excellent services are being provided to the needy and they are being rehabilitated to resume their occupation at earliest. Physiotherapy services are being provided to indoor and outdoor patients from all departments including orthopedics, medicine, pediatrics, gynecology and obstetrics and ICU as well. In the year 2015 the physiotherapy has been catered to more than 38000 patients in indoor and outdoor basis.

At present there are two regular physiotherapists and one on contract basis only. One Physiotherapist on contract basis visits here twice a week and with the increase number of

ORTHOPEDICS

ANNUAL REPORT 2015


patients it is become difficult to manage the physiotherapy department. Increase of physiotherapist posts is of utmost importance at present.

STATISTICS FOR LAST TWO YEARS

INDOOR

PATIENTS

OUTDOOR

PATIENTS

OPERATIO

N

PHYSIO

THEROPY

PLASTER

New

2014 2015 2014 2015 2014 2015 2014 2015 2014 2015

466

424

18243

19225

Old

21374

22275

Major

350

298

Minor

750

578

Emerg

ency

2726

1910

Total

466

424

39617

41500

4704

2786

38000

38000

12000

10000

ANNUAL REPORT 2015


Compiled by Dr. P.K .Dutta

INDOOR OPDOPERATIO

NSPHYSIOTH

ERAPYPLASTER

2010 328 32750 3752 28379 5872

2011 379 34562 4565 28565 6123

2012 402 32988 4177 30928 7158

2013 476 37062 4704 32587 7658

2014 466 39617 3826 38000 12000

2015 424 41500 2786 38000 10000

1

10

100

1000

10000

100000

NO

OF

CA

SE

S

SWAMI DAYANAND HOSPITALORTHOPEADIC DEPARTMENT OPD

STASTICS OF LAST FIVE YEARS

2010

2011

2012

2013

2014

2015

ANNUAL REPORT 2015


Departmental policy – To ensure reliable application of proven interventions supported by current guidelines, with priority to maternal and child survival.

MCH block comprising of 100 beds of obgyne and 10 beds of nursery has become operational from September 2014. Increase in the indoor bed strength has provided relief to the maternity and gyne patients availing the medical service.

Layout of the MCH block wing

MCH casuality of 10 beds runs 24x7, it is equipped with facilities of observation, treatment and day care procedures also has a equipped resustation room for emergency.

Labour room functions 24x7 with 10 beds for 1st stage of labour and delivery room with 3 labour table and attached neonatal care corner fully equipped.

Labour room is also attached with emergency operation theatre carrying out various operative interventions round the clock with 4 beds in recovery.

New MCH block has four wards of 20 beds each meant for high risk ANC, post operative ward and 2 post natal wards all 4 wards are fully functional.

New block has a also provision of a second operative theatre which shall look after routine gynecological surgeries, laparoscopic surgeries and all operative family planning procedures. This is expected to be operational within 1 month (temporary nursery was being operated form here, that has been shifted.

Staff position

Regular consultants:-2 Adhoc consultants:-4 SAG Medical officer:-2 NSFG:-1 SR’s :-16 JR’s:-10 Family planning Medical officer I/c-:-1, 2 post vacant one CMO and one MO ANM regular:-2 post , LHV:-1 Vacancy :-1senior MO, 1 MO, 1 anesthetist,1 driver, 1 ANM

Services and activities of the Obgyne deptt.

OPD complete ANC check up daily of all pregnant patients. Gynecological examination and treatment of GYNE patients. Thalaseemia screening in 1st trimester of all prime gravitas HIV counseling & testing of all pregnant women. HIV counseling & testing of high risk client High risks identification & specialized care Correction of antenatal anemia by given I/v iron total dose as day care Fetal surveillance by CTG recording and USG Ante partum RH immunization and tetanus oxide

OBSTETRICS & GYNECOLOGY

ANNUAL REPORT 2015


Fully functional family planning unit including female Sterilization both mini lap / laparoscopic ligation, PPIUCD

Special clinics

Monday- Infertility 2:00pm to 4:pm Wednesday- postpartum care & counseling 2:00pm to 4:pm Anita Thursday- cancer screening 2:00pm to 4:pm (PAP Smear+colposcope)

Family planning activities

Counseling of JSY patients in daily OPD Counseling of postpartum IUCD in daily OPD Counseling of various contraceptive methods in daily OPD Medical termination of pregnancy with IUCD done in minor O.T on 2 day/ week MTP with laparoscopic ligation done in gynae OT on 3 day/week Postpartum tubectomy done on all work days Incentive money of JSY beneficiary procurement dispersion auditing Distribution of Incentive money of sterilization Plain CUT insertions/ removal in OPD basis and follow up Indoor counseling in various contraceptive techniques

PPCT centre

Staff position: - Nodal I/c Dr Kalpana Kumar, 2 counselor from NACO, 2 lab technician from NACO

Caters to all antenatal patients for counseling and testing of OPD and outside referrals.

All +ve cases are followed up till delivery and appropriate ART therapy started children are also followed up for 1 year and tested as scheduled

Anemia eradication programme under taken by the deptt. Of OBGYNE

All the ANC who are mild to moderate anemia during the antenatal check up receive I/v iron sucrose as total calculated dose. This is done daily on OPD basis so that patient who comes for antenatal check up also receives the injection as day care procedure by this intervention we are able to overcome the micro cystic type of iron deficiency anemia which was largely due to non compliance of oral therapy.

ANNUAL REPORT 2015


Table no 1

Month wise Departmental census of all Obstetric indoor patients year 15

Mont

hs

Deliveri

es

Vaginal

Deliveri

es

LSC

S

Booke

d

Uncooke

d

<2.5k

g

>2.5k

g

Mal

e

Femal

e

Blood

transfusi

on

Abortio

n

Still

birt

h

Perinat

al death

Jan 705 529 175 515 190 226 479 395 310 100 15 13 15

Feb 530 450 132 449 131 115 462 322 259 77 53 1 9

Marc

h

501 375 129 396 105 116 385 252 235 80 35 14 16

April 444 330 116 329 115 98 346 242 201 93 23 16 16

May 569 421 161 445 124 123 446 307 162 135 17 9 10

June 593 427 161 203 190 139 454 294 299 126 29 13 17

July 670 481 192 460 210 153 517 351 311 105 22 11 14

Aug 815 642 172 713 102 165 637 419 383 76 30 13 19

ANCCLINIC

LAPSTER I.U.C.D NIRODHORALPILLS

VASECTOMY

2011 48274 482 39 358 39000 1068

2012 50191 491 369 33000 1098 41

2013 51607 444 838 25000 1480 8

2014 53071 412 756 30000 1800 4

2015 74538 329 1278 32000 2000 6

1

10

100

1000

10000

100000

NO

OF

CA

SE

S

SWAMI DAYANAD HOSPITALSTATISTICS OF GYNAE DEPARTMENT

FOR LAST FIVE YEARS

2011

2012

2013

2014

2015

ANNUAL REPORT 2015


Sep 869 680 188 615 254 183 686 457 423 94 20 11 11

Oct 833 637 197 565 268 208 628 429 423 88 53 4 19

Nov 658 198 164 462 196 150 508 367 286 49 22 5 9

Dec 547 432 120 399 143 105 442 289 258 60 15 6 8

total 7734 5602 1907 5551 2028 1781 5990 412

4

3550 1083 334 116 163

Table no 2

Month wise census of activities done for ANC reported in Gynae and FAMILY Welfare OPD procedures year 15

Month

s

Tota

l

AN

C

Female

sterilizatio

n

vasectom

y

MT

P

IUCD Mate

rnal

Deat

h

HI

V

+v

e

JSY

Benef

iciary

I/v ferri ABOR

H

testing

of

ANC

Hemoglobi

n

Testing of

ANC

Minor

Gynecologic

al Surgeries

Major

Gynecologic

al

Surgeries

Jan 33 0 18 103 1 1 21 321 1506 1578 21 30

Feb 44 2 34 80 1 0 10 117 1047 1147 27 18

March 34 0 22 46 1 0 10 129 905 1018 22 16

April 24 0 15 73 1 2 8 100 1207 1323 29 20

May 17 0 13 74 1 3 19 453 1360 1462 18 17

June 28 0 16 103 1 1 7 215 1636 1536 20 26

July 21 0 19 86 1 0 14 249 1809 1809 28 25

Aug 17 2 22 101 0 0 14 182 1423 1448 18 14

Sep 29 0 13 171 3 1 23 177 1480 1480 27 22

Oct 26 1 21 182 4 2 26 260 1060 1047 24 10

Nov 28 0 10 137 0 1 0 337 976 970 16 13

Dec 28 0 21 122 0 3 36 444 1179 1171 17 14

Total 329 05 224 1278 14 14 188 2984 15588 15953 267 225

Table no 3

Major gynecology surgeries done in the department

Surgical intervention done Year wise no of surgical procedures

2015 2014 2013

Emergency LSCS 1907 1750 1635

Laparoscopic tubal ligation 370 480 451

Vaginal hysterectomy 70 82 72

Abdominal hysterectomy 36 35 42

Nondecant Vaginal hysterectomy 27 40 22

ANNUAL REPORT 2015


Tuboorarian masses laparotomy 52 30 20

Laparotomy for ectopic 42 45 23

Post partum tubal ligation 329 60 41

Cesarean hysterectomy 6 4 2

Sarocolpopexy for vault prolapsed 6 8 4

Fothergill operation 10 6 8

Resuturing of the abdominal wound 58 60 54

Table No.4

Statistics of out patients department

ANC department GYNE department

2014 2015 2014 2015

New 20128 22674 5815 7123

Old 3284 51864 12922 14599

Total 53071 74538 18537 21722

Table no. 5

PPTCT

Pre- test

counseling

General

client

Pregnant

women

In Labour

room

Emergency

testing

DBS Antibodies

test of

babies

Confirmatory

test after 18

months of

babies

Total

4714 9813 748 10 14 5 15304

Testing 4689 9756 748 10 14 5 15222

Post- test

counseling

4671 9740 748 10 14 5 15188

HIV +ve

detected

81 12 2 1 1 0 96

Refer to ART 81 12 2 1 1 0 96

HIV +ve

delivery

NA 8 2 NA NA NA 10

TLE given to

HIV +ve lady

NA 8 ART

GTB

2 NA NA NA 10

NVP given to NA 8 2 NA NA NA 10

ANNUAL REPORT 2015


baby

MTP NA 1 NA NA NA NA 1

1 MTP was done on request on patient decision of MTP was taken by patient voluntarily

3 HIV +ve pregnant ladies are expected to delivery

1 HIV exposed baby is detected HIV +ve in DBS and antibodies test and refer to ART GTB hospital he is on ART

Follow up of HIV exposed infant :- all the HIV exposed babies have been given NVP and CPT

Thalaseemia Project report for Jan-15 to Dec-15

Thalaseemia screening was introduced 4-5 year back when it was being done mainly by nestroft reagent but since it was not cost effective and its shelf life was also less, gradually it is being replaced by CBC method. Hence auto analyzers were purchased and lab technicians were trained in this method. Following are the centers under EDMC where the screening was being done by nestroft method, because of the unavailability of the reagent these centers are diverting their patients to nearby major hospitals and centers where autoanalyzer is available and the screening done by CBC method.

i. Maternity centre Yamuna vihar ii. Maternity centre chandiwala

iii. Maternity centre khichripur iv. Maternity centre geeta colony v. Maternity centre karawal nagar

vi. Maternity centre welcome seelam pur vii. Maternity centre seemapuri

Total cases done in seema puri maternity center 108

Maternity home patpar ganj total ANC cases screened 1406

0-12 weeks:- 486

CBC+ve:-28

CBC-ve:-458

12-20 weeks:- 920

CBC+ve:-21

CBC-ve:-899

Total CBC +ve patients:-49

SDN Hospital

Total number of patients screened:- 655

0-12 weeks:- 179

ANNUAL REPORT 2015


CBC+ve:-45

CBC-ve:-134

12-20 weeks:- 476

CBC+ve:-58

CBC-ve:-418

Total CBC +ve patients:-103

Out of all CBC +ve patients all off these were HPLC WNL out them 27 were of thalaseemia trait where HPLC was deranged when their family studies were done where HPLC was found WNL

(Patients of +ve thalaseemia trait where:-27)

One case was known thalaseemic case getting treatment from AIIMS

In-house activities

Auditing is the back bone of our department, which helps us to formulate policies & protocols regarding patients care. Each neonatal and maternal death are critical evaluated analyzed and learning from each case deduced.

CME on various current topics done during the current year.

Achievements for the year 2015

1. 100% high risk obstetric management in collaboration with ICU team with minimal referrals.

2. Significant decrease in neonatal deaths by collaboration with the peads deptt. 3. Increase in post partum IUCD numbers 4. Increase in JSY beneficiaries. 5. Management of preterm labor between 30 wks to 34 wks with nursery support. 6. Starting dedicated separate OT for family planning and elective surgeries. 7. Appropriate management of referrals from all the attached maternity home and private

hospitals

I/c in the deptt. Of OBGYN

Dr Kalpana Kumar I/c: - Maternal Motility Infection Control MCH Block/ labour room/ causality PPIUCD

DNB program Dr Shamoli Kundu I/c :- Thalaseemia control program EDMC Family planning OPD services SR’s Duty Roaster Dr Ashiko SazeroI/c:- Bio medical waste management JR’s Duty Roaster

ANNUAL REPORT 2015


Member internal committee sexual harassment PPTCT

Dr Rekha Daral I/c:- JSSK/JSY, Member medical reimbursement, (Civic Centre) Dr Richa Sharma I/c :- Medical officer I/c family welfare deptt.

Complied by Dr Sunita Fotedar

DeliveriesNormal

DeliveriesL.S.C.S Abortion M.T.P

2011 4864 3832 957 298 398

2012 5483 4973 1118 298 401

2013 6308 4727 1581 275 237

2014 6846 5049 1797 372 236

2015 7734 5602 1907 334 224

1

10

100

1000

10000

NO

OF

CA

SE

S

SWAMI DAYANAND HOSPITALSTATISTICS OF GYNEA DEPARTMENT

FOR LAST FIVE YEARS

2011

2012

2013

2014

2015

ANNUAL REPORT 2015


DEPARTMENT OF OPHTHALMOLOGY, SWAMI DAYANAND HOSPITAL

The department of ophthalmology is a well equipped section of Swami Dayanand

Hospital. The deptt is equipped with most of anterior segment and posterior segment

diagnostic equipments. The department has facilities for anterior segment and squint

surgeries. The department is manned by two specialists, three medical officers, one senior

resident and one refractionist.

The department: Catered to approx 29000 patients (13000 new patients: 16000 old

patients)

: Performed approximately 650 major and 200 minor surgeries

: About 12789 (Male: 6419, Female: 6370) refractions were also

performed.

Operation Theater and Surgeries: The department has a fully equipped Operation

Theatre with two phacoemulsification machines. The various surgeries performed in 2013

were Cataract surgeries including phacoemulsification with foldable intraocular lenses ,

Glaucoma surgeries, Combined (cataract + glaucoma) surgeries, Squint surgery,

Pterygium surgery including conjunctival auto graft, Scleral/corneal repair with traumatic

cataract extraction, Dermoid / lipoma excision, minor procedures as chalazion excision,

syringing & probing, wart and foreign body removal.

Ophthalmic Diagnostic lab:

The Eye OPD setup has a well equipped ophthalmic diagnostic lab with YAG laser unit,

Autorefractokeratometer, A-scan biometer, Lens meter, Non-Contact Tonometer,

Automated Perimeter, keratometer (Manual), Indirect ophthalmoscope, B-scan

ultrasound.

Besides diagnostic procedures curative procedures as posterior capsulotomy and laser

peripheral iridotomy are performed in the lab.

Glaucoma management/ work up: The doctors of the department also perform regular

follow up of glaucoma patients and various investigations like gonioscopy, tonometry and

field charting are done.

Conferences:- The doctors of the department regularly attended local/national

conferences to update knowledge and skills.

.

CME programs: The deptt conducted following CME’s in the hospital/deptt

CME attended

OPHTHALMOLOGY

ANNUAL REPORT 2015


1 Annual conf of Delhi Ophthalmological Society attended by all doctors. (April

2015,New Delhi)

2 Annual conf of All India Ophthalmological Society all doctors by all deptt. (Feb.

2015 New Delhi.)

3 Midterm Delhi Ophthalmological Society CME attended by all doctors.

CME organized

1. Joint CME by Eye/ENT deptt. Conducted in Feb 2015.

2. CME on Glaucoma conducted in March 2015.

3. CME Refractive surgery conducted in August 2015.

4. CME on Eye donation conducted in September 2015.

5. CME on intraocular lances conducted in October 2015 on

occasion of world sight day.

Participation in National Health programs: The doctors of the department have

actively participated in various national programs as

-National eye donation awareness program

-Motiabind mukti abhiyan

-Glaucoma awareness week program

-National disaster management program including mock drill

Participation in Health camps: The doctors of the department regularly participate in

various health camps organized outside the hospital.

Eye Donation Fortnight (25th to 8th Sept 2015) was conducted to increase awareness

and motivate people for eye donation. Various motivational activities carried were

-CME conducted emphasizing role of non-ophthalmic physicians/hospital staff in eye

donation

-Nukkad Natak performed in ground floor OPD area to create awareness about eye

donation in general public

-Banners and posters were displayed in the hospital

-Eye donation forms/pamphlets distributed through registration counters and in Eye OPD

Achievement

*Advanced Non contact Torn meter and Autorefracto to keratometer added in OPD

*A scan with parhymeter commissioned in OPD.

ANNUAL REPORT 2015


STATISTICS FOR LAST TWO YEARS

INDOOR

PATIENTS

OUTDOOR

PATIENTS

OPERATIONS

REFRACTIONS

2014 2015 2014 2015 2014 2015 2014 2015

New 600 574 15146 16264

Old 16170 17236

Refractions 15262 13241

Major 622 455

Minor 480 380

TOTAL 600 574 31316 33500 1102 835 15262 13241

Compiled by: Dr. Anup Goswami

INDOOR OPD OPERATIONSREFRECTION

S

2011 669 27598 959 13657

2012 558 29596 1070 13938

2013 603 30379 1129 14145

2014 600 31316 1102 15262

2015 574 33500 835 13241

1

10

100

1000

10000

100000

NO

OF

CA

SE

SWAMI DAYANAND HOSPITALOPHTHALMOLOGY DEPARTMENTSTATISTICS OF LAST FIVE YEARS

2011

2012

2013

2014

2015

ANNUAL REPORT 2015


ANNUAL REPORT 2015


The Dental Department of Swami Dayanand Hospital is headed by Dr Monica

Narwal and managed with the help of two contractual house surgeon one dental hygienist

(on contractual basis), one staff nurse and one ward boy.

Number of patients in OPD

PROCEDURES:

S.NO Procedures done Total

1 Restorations 4,636

2 Root canal treatment 6,132

3 Oral prophylaxis 1,362

4 Extraction of teeth 692

5 Extraction of teeth with surgical

drainage of pus

402

6 Extraction of impacted teeth 62

7 Surgical extraction 41

8 Apicoectomy 9

9 Closed reduction 4

10 Periodontal wiring and splinting 26

11 Miscellanous 636

12 IOPA-Xrays 978

Total procedures done= 14,980

2014 2015

New Patients 8,262 5,355

Old Patients 12,719 20,357

TOTAL 20,981 25,712

DENTAL

Departme

nt

ANNUAL REPORT 2015


Compiled by: Dr. Monica Narwal

2011 2012 2013 2014 2015

OUTDOOR 11969 18857 19582 20981 25712

EXTRACTIONS 1141 1368 1469 1093 692

FILLING 1356 1569 1656 3426 4636

ROOT CANAL 465 560 536 3935 6132

1

10

100

1000

10000

100000

NO

OF

CA

SE

SSWAMI DAYAYAND HOSPITAL

DENTAL DEPARTMENTSTATISTICS OF LAST FIVE YEARS

OUTDOOR

EXTRACTIONS

FILLING

ROOT CANAL

ANNUAL REPORT 2015


E.N.T. is located in the New OPD Building 1st floor in 3 rooms 104,105,106. Department

is being managed by Following doctors at present.

Two Sr. ENT Surgeon.

One SR

One JR

ENT department is providing outdoor, indoor & emergency services to the nearby

population as well as floating population from adjoining areas like

Ghaziabad,Loni,shamli,bagpat etc . OPD cases Data is stored in computers.

I. O.P.D SERVICES :-

Daily OPD load is around 150-200 patients in daily.

I. Examination + diagnostic facilities support by Biochemistry

& pathology Lab of the hospital.

II. Minor OPD Processor like

Lobuloplasty

Cyst & L.N. removal

Biopsy from ENT region.

2. . INDOOR SERVICES:-

No of Indoor bed allotted -7.

3 for female patients

4 for male patients

However in view of many more patients being operated other Departments beds

are being utilized on operation day.

3. EMERGENCY SERVICES :-

Are being provided by SR & Senior ENT Surgeon ,who are on call duties daily to

attend calls from Casualty.

4. EAR SURGERIES :-

Variety of Ear operations are being performed under local as well as general

anesthesia:-

Mastoidectomy

Tympanoplasty

Ossiculoplasty.

Myringoplasty

Stapedotomy + prosthesis insertion

5. NASAL SURGERIES:-

Surgery for facial trauma & Aesthetic surgery for nose is being done.

Septoplasty.

Seprrhinoplasty

EAR NOSE THROAT

DEPARTMENT

ANNUAL REPORT 2015


# Nasal Bone & facial bone # correction.

Endoscope Nasal Surgeries

Fungal sinusitis, Sino Nasal Polyposis.

Endoscopic Endo nasal DCR.

6 . SURGERY OF THROAT:-

Surgeries of upper aero digestive e tract & limited phow surgery is being

performed.

Tonsillectomy & Adeno Tonsillectomy

Voice disorder surgeries like:-

a) Vocal Nodule

b) Vocal Polyp

c) Laryngeal cyst removal

Biopsy from Larynx & Laryngopharynx

Removal of F.B. from upper Aero digestive tract.

VI. HEAD & NECK SURGERIES.

Removal of Cysts + Sinuses of neck.

Hemi Thyroidectomy., near total thyroidectomy

Submand Salivary gland excision.

Surgery of cleft -palate

F.B removal like coins, meat bone removal from obophegus.

6. HEAD & NECK SURGERY :-

Removal of neck Cysts.nck masses

Surgery for thyroglosal. Cyst+thyroglosal fistula, hydatid cyst neck

Branchial sinus

Removal of Salivary calculus.

Removal of submmdibular salivary gland, & parotid gland

Thyroidectomies.

7. SPECIAL ACHIEVEMENT :-

Diode Laser was acquired 3 yrs back which has been used for following

surgeries.

Laser tonsillectomy - 10 Cases

Laryngal Cyst - 1 Case

Palatal growth excision - 1 Case

8. ACADEMIC ACTIVITES :-

1) ENT clinically meeting conducted by AOI are attended every month.

2) AOI Annual meeting held in Delhi every year is attended.

3) Cancer surgery updated symposia & CMEs held in Delhi are attended as

& when they are held.

4) Various CME conducted in Swami Dayanand Hospital are also attended.

5) ENT conference held every year is also attended for updating of

knowledge.

ANNUAL REPORT 2015


.

LAST TWO YEAR STATISTICS OF OPD AND OPERATIONS CASES

INDOOR OUTDOOR

2014 2015 2014 2015

12438 12628

20856 20962

254 262 33394 33590

OPERATIONS

2014 2015

Major 249 186

Minor 124 98

Emergency -- --

TOTAL 373 284

OPD PROCEDURES

1 Foreign body (nose) removal 60

2 Foreign Body (ear) removal 82

3 Syringe of ear for wax & fungus 507

4 Tongue tie release 90

ANNUAL REPORT 2015


Compiled by: Dr. N.K. Tangri

INDOOR OPD

FORIGEN BODY(NOSE )

REMOVAL

FORIGEN BODY

(EAR)REMOVA

L

SYRING TONGUEOPERAT

IONS

2010 298 28829 715 905 1310 918 2458

2011 353 30069 862 969 1455 998 2596

2012 369 32150 525 652 552 1200 2655

2013 297 32356 425 782 519 1102 2733

2014 254 33394 104 89 224 97 373

2015 262 33590 60 82 507 90 284

1

10

100

1000

10000

100000

NO

OF

CA

SE

S

SWAMI DAYANAND HOSPITALE.N.T. DEPARTMENT


2010

2011

2012

2013

2014

2015

ANNUAL REPORT 2015


INTRODUCTION: -

The Department of Pathology provides diagnostic facilities essentially to confirm/

establish the diagnosis for appropriate management of patients admitted in various wards

including Emergency, Obstetrics and Gynae/ LR, HDU as well as the outdoor patients. It

also facilitates the necessary laboratory screening of patients attending ANC, Diabetic

clinic, Cardiac clinic, Skin clinic, Thalassemia unit & Adolescent clinic.

The Pathology Department of Swami Dayanand Hospital has nine sections,

namely Histopathology, cytopathology, hematology& HPLC Lab, clinical

pathology, biochemistry, and microbiology section,Emergency Lab/OPD

Lab,ANC Lab.

The department is not only providing diagnostic and prognostic information via

the patient reports but also is involved in preventive and health promotion actions

for the society. These actions include, screening for Thalassemia carriers thereby

preventing accumulation of Thalassemia majors in the society. Screening of

cervical pap smears helps in diagnosis of early cancers thereby preventing the

advanced cervical cancers.

Considering the need for uniformity and standardization in the Cytology

reporting the cytopathology section of Swami Dayanand hospital is reporting

FNA of breast lesions according to the guidelines laid down in the NHS UK

Breast Cancer Screening Programme. The pathology department is issuing various

reports only after thorough internal quality control.

The department is actively involved in the Prevention of Hospital Acquired

Infection.

The department is actively participating & rendering its services for the early

cancer detection Program, PAP smear screening, HIV screening & Thalassemia Trait

screening under DSACS project & Thallassemia control project of all ANC cases

attending the hospital.

Since the HIS is fully operational now at SDN Hospital, the laboratory test

requisitions are received, acknowledged on-line and the test reports are also entered on

line which can be retrieved by the concerned physician.

EQUIPMENTS: -

The Pathology Department laboratory are equipped with the latest technology,

microprocessor based fully automatic/ semiautomatic machines and gazettes for efficient

processing, accuracy, quality control & precision of results. These equipments include

computerized machines such as.

Histopathology Grossing table

Hematology Analyzers (Three parts Differential Count (4 NOS))

Automatic (biochemistry) Batch Analyzer

Up gradable Electrolytes analyzer (Esch, German)

Semi automatic Biochemistry Analyzer (Transasia)

Elisa Reader with Automatic plate washer – 2 NOS (Tecan Austria)

Micro typing centrifuge machine (DIAMED)

BIOCHEMISTRY, MICROBIOLOGY & PATHOLOGY

ANNUAL REPORT 2015


Coagulation Analyzer (Stago, France)

Automatic urine Analyzer (Baeyer')

Laminar flow

Bacteriology incubators

Laboratory centrifuge & Overs

Autoclave machines

Binocular & trinocular Microscopes

Laboratory Airpurifer machine, etc

Deep freezer (-30)

ILR & Laboratory refrigerator with digital temp display and thermograph

recorder

Tissue blocks cabinets & slide cabinets, etc.

12-Multichannel, variable volume & fixed volume imported fine

micropipettes.

Automatic Tissue Processor (Leica Japan)

Five part differential count Hematology Analyzer (SYSMEX)

Fully automatic biochemistry analyzer (TRANSASIA)

Antigen Retrieval System (Microwave Based)

Ultra Deep Freezer (-80˚C)

Platelet Inculator & Agitator Machine

Electronic balances

Bio- mixers for blood collection

Dielectric sealers

Plasma thawing & separation machine.

Refrigerated Centrifuge

Biosafety Cabinet

HPLC Machine

Kit Storage Refrigerator

Plasma expressive with sensor

Bench top tube seater.

All these equipments are serviced regularly under AMC contract &

calibrated as per protocol:

Aphnsis machine

-Automatic Slides stainer

- Embedding Station

- Microtome (Leica)

- Trihead Microscope

- 3 Slides cabinet

- One Block cabinet

- Scale for blood bag

-Electronic weighing cum balance scale for Blood Bank

ANNUAL REPORT 2015


AUGMENTATION OF EXISTING SERVICES

During the financial year 2013-14 the department of pathology has taken a great leap

forward to strengthen and augment the existing services for better efficiency, accuracy &

quality control of tests conducted in the various sections of the Laboratory. This was

possible with the acquisition and installation of equipments in the department during the

period-

1. Histopathology Lab: -

Microtome (Lieca).

Ongoing Technician Training/CME’s

The department conducts in house training program for the reorientation of the

laboratory technician’s w.r.t the recent development, standardization of various

laboratory tests and techniques aimed at further improvement of the quality and

standards of laboratory practices.

Interactive programs are held on monthly basis at various workstations

wherein the technical staffs have a free discussion on a given topic testing

technique followed by practical demonstration & evaluation of the

participants. The staffs are strictly instructed to adhere to the universal

precautions for personal protection.

MW Meetings are held every month to reinforce the technical staff to

follow the instructions w.r.t. proper segregation & disposal of biological

wastes in accordance with the guidelines.

All the officers in the department actively participate in the interactive

CME’s conducted periodically by the scientific committee of SDN

Hospital.

The Doctors participated in the scientific seminar at variour Hospital Safe

Blood Transfusion practices & appropriate use of Blood/Components held

on .

The under mentioned Lab Technicians attended the Training Programme

on Laboratory Testing for Dengue/Chickengunia held on June 8& 10 at

NICD:-

The Lab technicians attended the training programme in Blood Banking

held at RML hospital conducted by DSACS.

Quality Control: -

The quality controls of various laboratory tests, techniques, reagents & equipment,

have been maintained on daily basis under the supervision of the respective in

charges/specialists.

All the expensive equipments are under AMC & serviced on quarterly basis and

on demand whenever required. Calibration of these machines is done periodically.

Internal and External Controls are put in place for maintaining Quality Assurance

of the tests by participating in EQAS (CMC vellore ) .

The kits and reagents are observed for deterioration & contamination.

The tests for specificity, sensitivity, avidity & titer are being put on every new

batch/lot of reagents and kits.

ANNUAL REPORT 2015


The Testing Report from a reputed laboratory is mandatory; to be received

before the department approves the kits/reagents/disposable laboratory items.The

results of Lab investigations especially Histopathology Cytology & all abnormal

reports are done by the SR & MO & Dept.

1. DR. Awanindra Kumar (Mo)

2. Dr. Shelly Sehgal, (Specialist Pathology)

3. Dr.Suruchi Shukla (Microbiologist)

4. Dr.Shilpa (Biochemist)

5. Dr.Depti (Specialist Pathology)

Dr. Awanindra Kumar managed day-to-day administrative activities

of Department of Pathology & Transfusion Medicine.

The technical staffs are directed to strictly follow the SOP’s at their

assigned workstation to ensure standard processing techniques. These

SOP’s are reviewed and modified by the respective in charges by

incorporating the manufacturer instruction on the kits being used and the

cut off values specified on the available kits for precise interpretation.

Miscellaneous

The officials and the technical staff participated in the NPEP and various state health

programs during the year 2015. In addition the laboratory staff managed the ‘Health

Camps’ organized by the EDMC on various occasions.

The department of Pathology is actively participating in Thalassemia Screening of

ANC patients, HIV screening of ANC cases under the DSACS project PPTCT &

early Cancer Detection Programme.

There are 21 patients registered in the Thallassemia Day Care Unit. It has

been functioning from the Department premises and over 543 units of

supervised blood (packed red cell concentrate) transfusion were given to

the children registered at this unit. These children have been screened for transfusion ‘transmissible’ infectious markers particularly HBs Ag, HCV, HIV &

also Hemogram.

STATEMENT OF HISTO-PATHOLOGY DEPTT. SDN HOSPITAL (YEAR 2015)

MONTHS NO. OF

BLOCKS In

2015

TOTAL

SPECIMEN(2015)

JANUARY 345 158

FEBRUARY 253 128

MARCH 340 150

APRIL 336 152

MAY 312 147

JUNE 386 137

JULY 433 167

AUGUST 242 126

SEPTEMBER 133 56

OCTOBER 120 52

NOVEMBER 461 186

DECEMBER 288 107

TOTAL 3649 1566

ANNUAL REPORT 2015


LAST TWO YEAR STATISTICS OF LABORATORY INVESTIGATIONS

TEST 2014 2015

Hematology 162254 3, 21,165

Clinical Path 7232 6220

Histo-Pathology 4181 3649

Cytology +PAP+B.F. 899 3644

Microbiology 22309 20901

HPLC Lab 153/396(CBC for

thallasemia)

641

Bio-Chemistry 175736 210428

F.N.A.C. 3026 3644

A.N.C. Lab 21998 47940

Emergency Lab 42217 81829

Blood bank 42323 44336

OPD LAB

1. Hematology 132813 181969

2. Routine Test (urine&

Stool)

56833 43901

Total 5,10,532 966987

ANNUAL REPORT 2015


Compiled by Dr. Awanindra Kumar

HEAMATOLOGY

CLINICAL

PATH.

HISTO.PATH.

CYTOLO

GY+PAP

MICROLOGY

BIO.CHEM.

F.N.A.C.

A.N.C. LAB

O.P.D.

LAB

EMER.

LAB

BLOOD

BANK

2011 68987 9158 7828 1012 15039 1E+05 2869 35286 20583 74358 51838

2012 1E+05 8183 8901 1129 18738 1E+05 2555 37120 26835 75427 54040

2013 1E+05 13449 4548 992 25105 1E+05 2639 51379 38176 79630 54280

2014 2E+05 7232 4181 899 22309 2E+05 3026 21998 56833 42217 42323

2015 3E+05 6220 3649 3644 20901 2E+05 3644 47940 43901 81829 44336

1

10

100

1000

10000

100000

1000000

NO

OF

CA

SE

S

SWAMI DAYANAND HOSPITALPATHOLOGY DEPARTMENT

INVESTIGATION OF LAST FIVE YAERS

2011

2012

2013

2014

2015

ANNUAL REPORT 2015


INTRODUCTION: -

The Blood Bank of this Hospital is recognized by the State Blood Transfusions

Council headed by Chief Secretary, Govt. of NCT, Delhi & is licensed by the Drug

Controller Authority vide No. 1334/90. It is mandatory for the blood bank to comply with

all the provision of the Drugs and Cosmetic Act 1999 of the Govt. of India. Now the

blood bank is interacting with all other 28 Recognized Blood Bank in the NCT of Delhi to

standardize various aspect of blood banking, share information & meet the requirement of

blood /specific blood component of its patients.

The blood bank provides round the clock transaction service of safe adequate

supply of blood to meet the life saving requirement of patients admitted to the hospital in

emergency I.C.U., Labor room & various wards. It is also responsible for various blood

banking activities including:-

Screening and recruitment of healthy blood donors

Collection, storage of blood

Pre-transfusion screening of transfusion transmissible infections (TTI) eg. HIV,

HBsAg, HCV, Syphilis, Malaria

Detection of any abnormal antibodies in the donated blood, DCT,ICT,

Compatibility testing & issue of blood units/ specific recipient blood Component

FFP/PC.

Internal and External quality control of various blood banking procedures & lab

tests

Despite the constraint of shortage of staff, the blood bank organizers periodical

voluntary Blood Donation camps independently & in collaboration with RBTC’s and

Indian Red Cross Society.

The Blood Bank Stock of Blood Units is updated online on the official website of

MCD on daily basis.

STRENGTHENING & UPGRADATION OF B.T.S (2014-15 )

During the year 2014-15, the department of Transfusion Medicine has further

strengthened the existing facilities and services by reviewing SOP’s in accordance with

the DGHS guidelines, Drug Act 1999. The hospital blood bank has started the process of

blood units to prepare various components from the middle of 2015. In its Endeavour to

realize the aforesaid goal, the BTS has geared up the administrative efforts to expedite the

availability of infrastructure, necessary equipments & personnel required for the setup.

In addition to the Deep Freezer (-80˚C), a deep freezer of-30 C installation is

under process especially for Dengue season.

The blood bank has been purchased Apheresis unit for component preparation.

The department has already acquired & commissioned a Platelet Incubator and

Agitator Machine for storage of Platelet Units at 20-22˚C.an another unit is under

the process of purchase

BLOOD BANK & TRANSFUSION MEDICINE

ANNUAL REPORT 2015


The blood bank lab is already equipped with a Coagulation Analyzer Machine

(Stago-4 Model, France) an another unit is under process of purchase

TRAINING / UPDATING THE TECHNICAL PERSONNEL: -

The blood bank has conducted fortnightly interactive meetings cum practical training

to standardize the various aspects of blood banking techniques with particular stress on

recent advancement / recommendations of NBTC. The aim of these ongoing activities is

to attain good laboratory practices (GLP) & good manufacturing practices (GMP) as

envisaged in the N.B.T.C. Guidelines and to impart knowledge of recent advancement to

the technical staff in the field of transfusion medicine. These interactive meet also help

these staff members to get their queries answered, discuss the problem areas & the

remedies available to streamline the B.T.S

In pursuance of the above stated objectives the blood bank personnel participated

in a training Programme at Department of Transfusion Medicine, RML Hospital under

the auspices of the DSACS. It was an intensive training programme conduced by experts

from AIIMS, PGI, and Apollo Hospital & USA. The focus of the Programme was to

ensure supply of safe blood & follow standardized lab techniques in all the blood bank.

This was, followed by participant in terms of knowledge, proficiency and accuracy.On

the occasion of Silver Jubilee year of Blood bank, on 22/12/15 a CME was organized

having speaker from other blood Bank also ex HOD, paramedical staff and M.S. were

felicitated.

DETAILS OF VOLUNTARY BLODD DONOR CAMPS:-

In year 2015 four voluntary Blood donation camp have been organized:-

ACHIEVEMENT OF TARGETS: -

During the calendar year of 2015 the hospital Blood Bank achieved its target of

collection of 2195 units of blood from replacement and voluntary blood donors. In

addition, 547 units of blood were received from RBTC & IRCS & 16 units transferred to

other Hospital. The BTS issued over units of blood to the patients in need. No major

reaction attributed to blood transfusion, is reported by the clinicians this year.

In addition, the hospital blood bank issue the specific component required to

correct the specific deficiency and appropriate management of the indigent by making

component itself and issued 300 RDP and 35 units S.D.P.(Jumbo Pack).along with FFP &

RCC.

MISCELLANEOUS

The Thallassemia Day care unit has been functioning from the Department

premises for the management of, diagnosed patient .All the registered patients numbering

21 are given blood transfusion under close supervision.

The blood bank issued 701 units of Red cell concentrate / Semi packed RBCs

required for maintaining the patient Hb more than / equal to 10 mg%. These children were

also screened for various markers of, transfusion transmitted diseases periodically at

stipulated time, as per the guidelines of National Thallasemia Welfare Society. The

ANNUAL REPORT 2015


screening test done in the department includes Haemogram., HIV ,HBsAg & HCV

(Serum ferretin test is done at Thalassemia Society or HRH ) at present .

FUTURE UPGADATION PLANS FOR THE 2014-15

It is proposed to upgrade the BTS in terms of safety of blood recipients by issuing

safe blood with highest degree of compatibility. To ensure transfusion of safe blood &

minimize any associated risks, the blood bank plans to purchase the under mentioned

machines in the year 2015-16. Also it is proposed to participate in Extermal avality

control programme in view of renewal of Registraton for the year 2017-2021 for whole

Blood to grant permission for component and Aphexesis.

1.Deep Freezeer

2. Platelet inculcator cum agitator

Compiled by Dr.Awanindra Kumar

ANNUAL REPORT 2015


The SDN Hospital is running a Thallassemia Day care unit since August 2004.

This is professionally managed in collaboration with the NATIONAL THALLASEMIA

WELFARE SOCIETY .The day care unit already has 24 patients registered who are

suffering from Thallassemia major, and managed as per the international protocol

.Thallassemia is a type of severe anemia which cannot be treated by any medication &

survival depends on repeated blood transfusions with proper chelating therapy . The

hospital Blood Bank meets all the requirements of all the patients admitted in this unit.

The T.D.C unit functions under the guidance of specialists and qualified staff including: -

1. Consultant Pediatrician Dr. Anand Aggarwal

2. Pediatrician I/C Dr. Jaswant

3. Sr. Residents (Pediatric Department & Pathology Department)

4. B.B.O, Dr. Awanindra Kumar

5. S/N Mrs. Meenakshi Puri

6. Lab. Technician (BB)

FACILITY PROVIDED: -

The Thalassemia children are provided regular and supervised blood

transfusion for maintaining the hemoglobin level more then 10 gm %.

The Thalassemia Day Care Unit also has facility for providing regular and

proper iron chelating therapy (I/V and subcutaneous with infusion pump

with Inj. Desferoxamine).

Providing oral chelating agent (cap. Kelfer) for every patients.

Providing routine check-up every 3 months duration.

Every patient, is immunized with Inj. Hepatitis-B before getting, their

treatment & as per the schedule

Providing all facility related to safe and screened Blood transfusions.

Providing leucocytes mono filters which are used to transfuse only

leucocytes depleted blood, which minimized the transfusion, related

reactions. These filters are very expensive, & every patient cannot afford

to purchase from the market.

Family screening, & counseling

THALLASEMIA DAY CARE

ANNUAL REPORT 2015


Providing the testing facility such as: -

Hemogram

LFT, KFT

S. Calcium, S. Protein

Blood sugar

HIV, HCV, HBSAG

Echocardiography

Chest X-ray

We have liaison with Hindu Rao Hospital for providing Electrophoresis facility

for patients and their family members’ .The HPLC machine has been installed & test for

Thalassemia is being done & reported in SDNH Pathology lab.

ACTIVITIES UNDERTAKEN: -

We, are linked to National Thallassemia welfare society to provide appropriate

counseling to the patients & information regarding latest developments and

facilities available globally in treatment, follow-up and rehabilitation of the

patients.

Conducting blood donor camps and motivate the people for Blood donation

for Thallassemia patients

Helps in the voluntary Blood donations campaign

Ensures arrangement of Blood units before arrival of Patients as per prior

appointment

ANNUAL STATISTICS FOR THE YEAR OF 2015

1. Total number of blood transfusions- 701

2. Total chelating therapy by I/V route NIL

3. Total number of Lab Test done Total CBC- 701

KFT – 180 times

LFT – 180 times

HIV HCV – HBSAG – 48 times

Calcium - 48 times

B. Sugar - 48 times

Total protein - 10 times

Compiled by Dr. Awanindra Kumar

ANNUAL REPORT 2015


A Sr. specialist and one Jr. Resident are managing the department of radiology.

Sonography is done routinely and includes abdominal scanning (whole abdomen,upper

abdomen and lower abdomen) obstetrics scanning(including biophysical scoring)

gynecology USG (including TVS),neuro-sonography , thyroid, breast and scrotal scans.

Eighteen (18) X-Ray assistants are giving round the clock X-Ray Facility for OPD in

patients, emergency services and for medico- legal cases.

In spite of acute shortage of Technical staff, the following work was carried out

during, the year of report.

RADIODIAGNOSIS

X-ray 2014 2015

Chest 21576 22152

Abdomen/KUB 1351 800

Bone & Joints 14078 12130

E.N.T. 153 138

Spine 4204 1113

TOTAL 41362 38333

ULTRASOUND & C.T. SCAN

Ultrasound 2014 2015

Obstetrics &

Gynecology

1628 322

KUB/Lower/Upper

Abdomen.

1733 1535

Whole abd. 2440 3550

Others 428 638

G. Total 11347 6045

C.T. SCAN 967 897

The New C.T. Scan Machine is installed on franchise basis through M/S

Focus C.T Center services in March 2009. 20% of all cases are done free of cost on

recommendation of Clinician in charge of the patient and endorsement from M.S/SDNH

Vacancy position of Radiology Staff

SR.

No.

Name of Post Plan Non

Plan

Filled

Up

Vacant

1 Technical Asstt 1 -- Nil 1

2 X-Ray Technician 7 3 Nil 10

3 X-Ray Asstt. 10 3 9 4

Radio Diagnosis & Imaging

ANNUAL REPORT 2015


Xray chestAbdomen/KU

BBone &Joints

ENT Spine

2012 7928 618 6439 319 739

2013 22045 3430 5662 653 2817

2014 21576 1351 14078 153 4204

2015 2215 800 12130 138 1113

1

10

100

1000

10000

100000

NO

OF

CA

SE

S

SWAMI DAYANAND HOSPITALRADILOGY DEPARTMENT

STATISCTICS FOR LAST FIVE YAERS

2012

2013

2014

2015

ANNUAL REPORT 2015


Compiled by: Dr. Prashant Jain

Obestertrics& gynecology

Kub/lower/upper

abdomenWhole Abd. Others C.T.Scan

2011 3001 7000 8500 1101 1350

2012 2786 5028 7315 948 1338

2013 2434 1209 2802 193 1519

2014 1628 1733 2440 428 967

2015 322 1535 3550 638

1

10

100

1000

10000

NO

OF

CA

SE

S

SWAMI DAYANAND HOSPITALRADIO DIAGNOSIS & IMAGING DEPARTMENT


2011

2012

2013

2014

2015

ANNUAL REPORT 2015


Accident & Emergency Department

The SDN Hospital is situated at the Delhi Uttar Pardesh Border. The emergency block is 18 bedded centrally air conditioned block catering to old types of serious cases that inclued medico & non medico legal cases not only from East Delhi but also from Uattar Pradesh & Haryana. During this year i,e 2015, 110683 patients were recorded.

Staff Pattern. Managed by 6 Senior Resident Doctors & 6 Junior Resident Doctors doing round the clock duties. There are 10 Staff nurses doing 24 * 7duties, and also the ancillary Staff like dressers plasters assistant, ward boys & sweepers doing their duties.

Services. Managing all types of M.L.C & Non M.L.C cases to the best possible manner. There is a dog bite clinic in the casualty providing A.R.V & A.R.S injection to the infected patients.

Organization of kanwar Camps. Two kanwar camps in seemapuri & M.S .Park were successfully run by the staff of the casualty for two weeks. Their work was lauded by the organization.

Dengue epidemic During the year there was a huge break out of dengue fever which was successfully managed by the emergency department. The bed strength was increased from 18 to 35 & most of the time 2 patients were present on single bed, during this time Extra staff was posted and a help desk was created which include announcing system. Laboratory facilities were also made available and casualty was inspected by the Hon’ble Commissioner, Mayor, Health Committee Chairman & leaders of the houses. They all express their satisfaction with the condition of the epidemic.

Three separate chambers were made each for medicine pediatrics, surgery & orthopedics. In order to further strengthen the services 3 new rooms were made available to all the above specialties so that doctors were available in the casualty.

Upgradation of resusstation rooms Fully functional deffibreletter, plusoximeter & all other resustation equipments is made available for the serious patients. Provision of wall mounted B.P instruments, suction & oxygen points were made near all the beds. There is plaster and dressing room doing good services to the patients.

CASUALTY / EMERGENCY

ANNUAL REPORT 2015


Imparting training to student of the nursing school of this hospital. Good quality wheel chair & stratuchers were made available in the casualty. Upgradation of doctor’s duty room is done to make them comfortable in attending to serious patients.

On Going work. The upgradation work of the waiting area is in process and will complete soon, and sixteen new beds and trollies are in the process of procurement. During this year all the departments performed very well and has given best care to the patients and we are committed for the best care to the patients in future as well, Complied by CMO I/C Dr. R. K. Singal

ANNUAL REPORT 2015


ICU CENSUS 2014-15

Overview

The chief minister of Delhi inaugurated the HDU of Swami Dayanand Hospital on

October 1rd 2005..It started functioning from 2nd October 2005.Since then it has been an immense

support to the critically ill patients of the hospital. The popularity as well as the workload

gradually increased over these eight years. The patients admission increased by 107% from the

initial year. The ICU is catering patients referred from other government and corporate hospitals

from all over Delhi. Critically ill patients from the Trans Yamuna area and distant hospitals in

neighboring states are also referred to the ICU. The ICU is catering critically ill patients from

medicine, surgery, obstetrics and gynecology, pediatrics and others. Swami Dayanand hospital is

performing a lot of major laparoscopy/oncosurgery. The ICU also performs academic activities

regularly in the form of case presentations, seminars etc both intrahospital and intradepartmental.

The ICU has also represented the hospital all over India in different national conferences either as

chair or as faculty.

ICU DATA 2015

Number of patients 552

Death 146

Recovered/transferred 406

The cases treated in ICU: septicemia, CAP, COPD ,acute pancreatitis, ecclampsia, ischemic

stroke, haemorrhagic stroke,, post operative cases of perforation peritonitis ,meningitis ,poisoning

patients , HELLP, post perforation peritonitis, pediatric patients suffering from acute severe

asthma, bronchopneumonia, myocarditis, sepsis and severe sepsis, DKA, Hypertensive

emergencies,acute coronary syndrome, restrictive lung disease, ARDS and patients of electrolyte

imbalance and metabolic disorders.

CHRONOLOGY

YEAR NO OF PATIENTS % INCREASE IN PATIENTS

2006 262

2007 307 20%

2008 369 41%

2009 351 33%

2010 445 69%

2011 508 97%

2012 519 101%

Anesthesia & Critical Care

ANNUAL REPORT 2015


Existing Staffing Pattern

HOD ANAESTHESIA

DR RAJNI KHERWAL

SAG

DR RAKESH SINGHAL

CMO(NFSG) DR RANAJIT CHATTERJEE

SENIOR RESIDENTS 5

JUNIOR RESIDENTS:

3

SISTER INCHARGE

2

NURSING STAFF

8

1. TECHNICIAN

6

The senior residents, nurses and technicians are on duty 24×7 365 days. Dr Rakesh Singhal and

Dr Ranajit Chatterjee are on call duties on alternate days .The ICU team is also gives effective

support in resuscitating emergency patients in the hospital

Major ICU equipments

equipments number

VENTILATORS 5

VENTILATOR- TRANSPORT 2

MULTIPARAMETER MONITOR: 7

PULSE OXYMETER 4

COOXYMETER 1

2013 545 107%

2014 589 125%

2015 119

ANNUAL REPORT 2015


DEFIBRILLATOR MONOPHASIC 1

NICCO MONITOR

1

MINIMALLY INVASIVE CO MONITOR

1

USG MACHINE

1

BRONCHOSCOPE

1

ABG MACHINE

2

SYRINGE PUMP

16

BIPAP

2

AED

1

MACOY LARYNGISCOPE

1

MEDICAL TROLLEY

2

THROMBOELASTOGRAM

1

CRRT MACHINE

1

SLEDD machine

1

INBUILT CAMERA (MONITORING

SYSTEM):

2

ANNUAL REPORT 2015


It has been found by internal audit the mean utilization of instruments is over 90%.

Specific ICU Programme

1. The ICU along with the department of medicine has started ‘stroke program ‘in Swami

Dayanand Hospital. Patients of acute ischemic stroke who come within 4.5 hours of attack can be

thrombolysed . Till date 8 patients has been thrombolysed and six of them are doing well. We

hope to continue the program with the active support of administration.

2. The ICU has the unique facility of CRRT (Continuous renal replacement therapy) and SLEDD

(sustained low efficacy daily hemodiafiltration).The critically ill patients suffering from acute

kidney injury (AKI) are salvaged by this unique technique.

3. Regular thrombolytic of patients of ACS.

CONCLUSION

MONTHS G.A.

EPIDUR

AL L.A S.A.C.

SA+GA Brachial

JAN 136 6 385 188 5 12

FEB 103 4 258 168 6 4

MAR 118 14 398 189 8 5

APR 133 8 428 189 5 4

MAY 145 22 436 182 16 11

JUN 113 5 467 178 6 7

JUL 103 0 485 149 2 2

AUG 108 3 418 198 10 6

SEP 108 4 498 182 10 4

OCT 75 6 398 167 6 8

NOV 98 6 342 168 2 1

DEC 82 3 398 169 1 1

TOTAL 1322 81 4911 2127 77 65

ANNUAL REPORT 2015


The ICU of Swami Dayanand Hospital is doing an exemplary work. Young and dynamic doctors,

nurses and technical staff are giving tireless service to the community. A dedicated and committed

team is always on its toes to help any patient in a dire state in an effort to help him/her to the

extent possible. We sincerely hope that this effort will prevail and as always the results of ICU

will make the hospital and the department proud in times to come

MAJOR MINOREMERGENC

YTOTAL P.A.C.

2011 2700 9358 4025 17690 13058

2012 2771 10732 4258 17294 13858

2013 4638 13928 5387 23953 17938

2014 5419 13630 5204 24253 9642

2015 5300 10700 4875 20875 9250

1

10

100

1000

10000

100000

NO

OF

CA

SE

S

SWAMI DAYANAND HOSPITALANESTHESIA DEPARTMENT

STATISTICS OF OPERATIONS OF LAST FIVE YEARS

2011

2012

2013

2014

2015

ANNUAL REPORT 2015


Total numbers of operations & PAC in the year

2014 & 2015

2014 2015

Major 5419 5300

Minor 13630 10700

Emergency 5204 4875

TOTAL 24253 20875

P.A.C. 9642 9250

Compiled by: Dr.Rajni Kherwal

ANNUAL REPORT 2015


Nursing forms, the back bone any good medical care. Compassionate proactive

care is instrumental in overall quality of the medical services rendered. SDN nursing

fraternity provides excellent nursing care in all the key areas like HDU, Operation

Theater and Labor room.

1. The hospital Nursing Staff under supervisory control of ANS’ are grouped into six

sections for effective Patient Care in Emergency, L.R. OT, Wards and HDU and

Old Children Ward and New born baby.

2. There is ongoing training program for computerization and use of HIS.

3. Awareness and skill up gradation training also conducted this year for handling of

New Born, Low birth weight. Physical check up training for CA Breast

Awareness & Dengue.

Staff pattern of nursing department is as below:

POST SANCTIONED VACANT

Matron 1 1

Asstt. Matron 1 1

A.N.S 11 4

D.N.S 1 1

Nursing Sister 59 39

Staff Nurse 187 24

Compiled by ANS ANITA

NURSING CARE

ANNUAL REPORT 2015


This hospital provides general diet as well as special diet to the indoor patients as

recommended by the Medical Officer. An ultra modern kitchen equipped with L.P.G.

stoves, fridge and steel utensils is situated in the heart of the hospital. Modern steel

trolleys are provided for the distribution of hygienically prepared food to the patients.

Nutritional needs of the patients are assessed and special meals are provided to

diabetics, renal cases and to nutritionally compromised patients.

A nominal charge of rupees ten levied per day. However, on recommendation of

Unit in charge or HOD the same is waived off.

The staff position of kitchen is as under:


Steward 1 --

Dietician 1 --

Head Cook 2 2

Cook 8 --

Bearer 10 1

Masalchi 4 --

Compiled by: M.P. Singh

About us:-

We are sports & cultural club of SDN Hospital.

Our club is a registered society and this club now becomes a platform for all sorts of

social, welfare & educational activities in the hospital.

Foundation of sports & cultural club was layed in 1989. We started with a vision

of “Humanity in Humans”. As a hospital staff we all encounter with the situations, where

we have to serve debilitated, under privileged & even neglected chunk of society. This

attitude of serving humanity by real human being in purest form is deeply admired &

appreciated by our club.

We help our members to interact & develop inter personal relations by organizing

various Co- curricular activities. This helps in building harmony among the employees &

a conductive & joyous atmosphere at work place.

ACTIVITES: Annual Day Celebration: - This is a major celebration being organized by our SDNH

Sports & Culture Club. We celebrate this day every year on the occasion of birth

anniversary of Swami Dayanand Saraswatiji. (Padma Bhushan 2016)

Annual Sports: - Sports activities are being organized by our club every year in the

month of Jan-Feb. These activities keep our members in sound state of health & also

provide the platforms to show case their talent in respective fields. These sports foster

great harmony among the employees.

Hospital Catering

Sport & culture club

ANNUAL REPORT 2015


Various cultural activities with public health messages on different social & medical

issues are being timely & regularly addressed by the club e.g. HIV awareness, Eye

donation, save the girl child,Beti Bachao,Beti Padhao etc.

To encourage the workmanship among the employees we reward best workers award

from every department each year. This creates a healthy competitive atmosphere among

the employees & improves the service quality

SELECTING BEST WARD: - This gives the immense satisfaction to the in charges

of the wards as their tireless efforts throughout the year, is being acknowledged.

Major Activities throughout the Year by the club are: -

1. Organizing farewell to all the employees of SDN Hospital .This is, attended by all

categories of workers regularly. Sports and Cultural Club presents Prateek Chiñnh

and Appreciation letter (Prashashti Petra) to all the employees on their

superannuation.

2. Felicitating major achievements of its workers

3. Condolence meetings on demise of workers or their family members

4. Dramatization of Health messages.

5. Birthday Celebrations of freedom fighters and great national leaders.

6. National Festivals like Independence Day and Republic day celebrations.

7. Common get together of all employees on special occasions

8. Active participation in govt. programmes like “Swachh Bharat Abhiyan”.

9. Organizing debates, essay competition etc. on “Hindi Divas”.

10. Awareness programme for general public.

Compiled By Dr. GladbinTyagi

ANNUAL REPORT 2015


The Hospital has conducted many workshop, meeting and seminar for their

employee in the year 2015 in the Conference cum Lecture Hall, which is situated

in Library of Hospital. Hospital appoint new staff for the Library, also renovate

library. Library provides service and manages time to time for the workshops,

guest lectures and other functions in the honor of the hospital.

Guest Lecture:-

1. I.A.P.Delhi

2. Hepatitis Diseases

3. New Born care.

4. Basic of Ebola Fever

5. Management of Diabetics mellitus in India perspective with evidence

6. PEP for HIV

7. A fordable housing for doctors

8. Functioning of personalized care block.

Public Health lecture:-

1. Eye Donation awareness

2. Malaria awareness

3. Dengue awareness

Workshop:-

1. Non- invasive ventilation

2. NPSP

3. Neonatal resuscitation

New Facility in Library:-

1. A/c Internet online library with 6 computers and

internet LAN facility, inaugurated by Hon’ble

M.P.Sh. Manoj Tiwari ji and Hon’ble M.P. Sh.

Mahesh Giri Ji.

2. A/c guest for small meeting with new sofa and table.

3. One computer in the conference and Lecture Hall.

4. Overhead projector with new screen installed.

5. New Proposal for DNB residents and doctors has

been under process and work amended.

CME for 2015 to 2016

S.NO CME MONTH NUMBER OF CME

1 March 2

2 April 6

3 May 5

4 June 4

LIBRARY Science

ANNUAL REPORT 2015


5 July 4

6 August 5

7 September 4

8 October 5

9 November 2

10 December 3

11 January (2016) 4

HEALTH LECTURE:-

1. Homeostatic in surgery

2. Sentisitisation programme for bio medical waste management.

3. Kayakalp Programme.

4. Novemin or Biogass(Mode of action &

LECTURE:-

1. Lecture for G.T.B nursing student

2. Dengue & Malaria.

3. Breast feeding week(Quiz)

4. Anti Mullerian Harmone

Complied by Dr.Chakrawarti

ANNUAL REPORT 2015


Under implementation scenario of BIOMEDICAL WASTE MANAGEMENT

ACT (Handling Rules ‘1998), BMW management, the work, is done at 32 nursing

stations of the SDN hospital.

The Segregation of different types of waste and its on-site prescribed

Treatment is carried at the source of generation.

Following categories of waste, is being generated and treated.

Category Quantity Mode of

treatment Month Day

1 Human Anatomical Waste 1290 kg. 43 kg. Out Sourced to

M/S SMS

Grace water

Pvt. Ltd.

2

Soiled Waste (items

contaminated with

Blood, body fluids

including, Cotton,

Dressings, plasters etc.

3690 kg 123kg Out Sourced to

M/S SMS

Grace water

Pvt. Ltd.

3 Microbiological &

Biotechnological

40 kg 1.5 kg Out Sourced to

M/S SMS

Grace water

Pvt. Ltd.

4

Waste Sharps-needles,

scalpels, blades,

Glass etc.

281kg

281.83 kg

9.39 kg Out Sourced to

M/S SMS

Grace water

Pvt. Ltd.

5

Solid Waste-generated from

disposable

Items other than

sharp…plastic

Syringes,

Tubing I/V sets, Catchers

etc.

1043 kg 34.78 kg. Out Sourced to

M/S SMS

Grace water

Pvt. Ltd.

BIO MEDICAL WASTE MANAGEMENT

ANNUAL REPORT 2015


Various Training programs,, were conducted, corner meetings held & training

imparted to Medical officers, nursing staff, paramedical & technical staff, as on –going

continued training.

- Solar water heater will be functional soon.

- CFC bulbs are being used in place of ordinary bulbs.

- The installation of rain water harvesting system.

- The installation of ETP Plant is in progress. The meeting of various Ex. Engineers

has been held and now it is under process.

- Very soon we will be setting up of the process of Electronic waste also. It has

become mandatory now under the direction of DPCC.

- As per policy we have stopped the increase

- We have out sourced disposal of bio medical waste to CBWTE.

-

Compiled by: Dr. Gyanesh Gupta

Hospital pharmacy is managed by 9 Pharmacist. Our 2 pharmacists are engaged in

the procurement & distributions of Medicines, Medical Item and Surgical Items as

Medical and Surgical storekeepers. We have separate pharmacy counters for paediatric

and Gynecology Deptt which are situated in the visibility of respective OPD’s. We have a

separate pharmacy counter for Senior Citizens. We do have a separate Pharmacy counter

for Pensioners, Hospital staff & Handicapped Persons and two counters separately for

female patients as well.

We are conducting in house practical training for students of pharmacy, which

is mandatory for their degree.

At present all the work in pharmacy stores and OPDs is performed on line on

Computerized, .HIS module.

Compiled by Dr. D.Chakarvarty

Pharmacy

ANNUAL REPORT 2015


The Scientific Committee of Swami Dayanand Hospital is pioneering the

academic atmosphere of Hospital. It is regularly conducting seminars & workshop for

Medical as well as paramedical personnel under its Banner. Under this forum we have

discussions on various topics which help the Doctors, not only of our Hospital but from

various dispensaries of East Delhi, ultimately helping lot of poor patients of East Delhi.

Here is the brief descriptions of various activities conducted by Scientific

Committee in the year 2015:-

Workshops:-

1.Non invasive ventilation .

2.NPSP.

3.Neonatal Resuscitation

Seminars & CME:-

1. Haemostatic’s in surgery

2. Knotless suture in Gynecological practice.

3. PCOD pathophysiology

4. Use of parenteral Iron.

5. CME on vector Borne Disease Malaria / Dengue.

6. Sanitization Programme for Biomedical waste Management.

7. Refractive surgeries.

8. CME on Improvement of health care system.

9. Eye Donation $ IOL, past ,present $ future.

10. Stress Management by guest speaker from brahmakumari’s

11. CME on PRE Eclampsia.

12. Guidelines on exam of sexual Assault victim.

13. Revisitin Newer Guidelines for Diabetic Management

Scientific Committee Activities

ANNUAL REPORT 2015


Quiz:-

1. Breast Feeding.

2. NNF :- Quiz for Doctors

:- Quiz for sisters (Nurses)

With blessings and good wishes for all other Departments, particularly sincere co-

operation & Sincere advise for our M.S.Dr.M.L.Jaipal, Scientific Committee is hopeful to

achieve many MILESTONE in future.

Compiled By Dr. D Chakravarty

MO I/c Scientific Committee.

ANNUAL REPORT 2015


Information Systems (HIS) are “designed to improve the quality and

management of clinical care and hospital health care management in the areas of HIS System installed in S.D.N. Hospital by WIPRO info Tech Ltd in the year 2005-06. Director I.T. has been very supportive and helping as coordinator to the inputs, processor and monitoring of output.

Hospital clinical process analysis and activity-based costing.” Improved patient care, cost control and security are possible benefits of implementing such systems. However, the implementation of hospital management information systems must be accompanied by significant planning on the part of management to maximize results.

There are many benefits of hospital management information systems. Properly implemented HIS can improve quality of patient care by increasing the timeliness and accuracy of records and administrative information. HIS provides simplified access to patient records and other administrative information for those who need it. It also sets a standard for patient care, making it more consistent across the board. In many cases, patients can also use the system to better educate themselves about their diseases and conditions as well as treatments and outcomes.

Department of Information Technology at SDN Hospital is managed by following staffs:

S. NO. NAME DESIGNATION QUALIFICATION CONTACT NO.

1 DR. SANTOSH TOMAR

CMO (I.T.) MBBS, MD(CHA) 22584485

EXTN. 325

2 MR. YOGRAJ AGGARWAL

DEALING ASSISTANT (I.T.)

B.COM (P) 22581036

EXTN. 282

3 MR. NARENDER SINGH

PROGRAMMER ASSISTANT “A”

B.TECH 22581036

EXTN. 262

4 MISS . POOJA PROGRAMMER ASSISTANT “A”

B.TECH 22581036

EXTN. 262

Hospital Information System (HIS)

ANNUAL REPORT 2015


ANNUAL COMPLAINT STATUS OF IT DEPARTMENT

Compiled by Mr Narende & Miss Pooja

267

362

213

167

285

229

306

396

286264

176

59

242227

0

50

100

150

200

250

300

350

400

450

TOTAL COMPLAINT IN A YEAR 2015

ANNUAL REPORT 2015


Assistant Sanitary Inspector manages sanitation services. This hospital provides

necessary material for up keeping and cleanliness in indoor and outdoors department, in

spite of shortage of staff: -

Total Staff Position is as under: -


A.S.I 2 --

Sanitary Guide - --

Safai Karamchari 73 6

A team of three sanitation workers are equipped with modern pressure jet equipment

and they clean the service areas of public use as per schedule. The pressure jet system is

proving to be an excellent cleaning device.

On experimental basis a small team of SULABH workers are engaged to further

facilitate the sanitation drive. This effort has visible impact at Emergency, Main OPD

and at PNC ANC wards

Compiled by Smt. Lata Singh

There are five stores in this hospital:

1. Medical Store Mr. Grish Soni

2. Surgical Store Mr. Subhash Tyagi

3. General Store Mr. Vipin Kumar

4. Linen Store Mr. Vipin kumar

5. Stationery Store Mr. Vipin Kumar

6. I.T. STORE Mr. Yograj Aggarwal

These stores are controlled and supervised by the Addl. Medical Superintendent,

and assisted by two pharmacists, one U.D.C., one L.D.C. and one statistical clerk.

Material management has been computerized as per HIS Module. All the work of stores

has been computerized. All the stores always ensure stock of essential items. The

pharmacy has three OPD out lets in the Main block, Pediatrics block and OBG block.

Compiled by Dr.M.P. Singh

Stores

Sanitation & House keeping

ANNUAL REPORT 2015


Hospital is having well equipped mechanical laundry. This department provides

washed and clean linen to all indoor and outdoor patients of the hospital. The unit collects

linen from the wards. Labor room and OT as per schedule, sorts them into serviceable

non serviceable linen, wash dry calendar and deliver to the respective sections. Hospital

has engaged some private agency which is providing desired services under the

supervision CMO Admin.

Compiled by Dr. K.Arya

Personalized Care block:-

Personalized care block was Started functioning w.e.f Jan-2014. At present 13 Rooms has been made functional with the help of existing hospital staff. In it all Rooms are single bedded with attached toilet. All room have A.C facilities, each Room is equipped with a patient bed, attendant bed, Small almirah, over head table, Small Size fridge and dustbin, bucket, mug etc. There is geyser facilities in each room. All there facilities are being provided at a reasonable Rate i.e Rs. 800/per day. More than 900 patients have availed the facilities of private ward till now. And total more than Rs 40 lakhs has been collected from PCB during this year.

Compiled by Dr. K. Arya CMO Admin-II

This Hospital has engaged some private Partnership agencies to maintain/ look after

the following work in this hospital to facilitate the services for the patients of this

hospital.

C. T. Scan Center: - C. T. Scan machine in Swami dayanand hospital was installed

on franchise basis as public private partnership. Accordingly, C. T. Scans are done on

payment of certain amount as per agreement with the operating agency. There is

provision of free C. T. Scan for poor patients or M.L.C/emergency cases from SDNH

or other corporation hospitals with the approval of MS/SDNH & also casualty

Medical Officer beyond hospital timing not exceeding 20% of the total scans done.

The CT Scan is run and maintained by M/S Focus C. T. Center. The rate of the

different C T Scan are approved by competent authority of the M. C. D.

Laundry Services

Private Public Partnership

ANNUAL REPORT 2015


FOCUS IMAGING & RESEARCH CENTRE PVT. LTD.

DETAIL OF C.T. SCAN CASES FROM JAUNARY 2015 TO

DECEMBER 2015

TOTAL NO: OF PATIENT TOTAL FREE CASES

897 175

Security Services: - The hospital has deployed Private Security M/S MIC 2

facility and services . 8 Security supervisors & 100 Security guards are managing the

services round the clock. All Security staff deployed at various places of the hospital wear

uniform, name plate (Identity card) and found to be alert. None of the vital posts, are left

unmanned. During the on National functions the security staffs are always in ceremonial

dresses and ensure proper conduct of flag hoisting.

Sanitation Services: - 127 Sulabh workers are providing the sanitation services in

Swami Dayanand Hospital from Sulabh International Social Service Organization. .

This hospital has some coordination department, which helps in maintaining several

services of this hospital.

1. Electrical Department: - This department runs by the electric department

of EDMC Shahdara North Zone Division. Mr. Kabir Puran Chand J.E.

electric to look after all the power supply including the generator sets and

running & maintenance of the air conditioning plants in the hospital

premises.

2. Works Department: - This department by the divisional works

department of EDMC Shahdra North Zone. One J. E. works is posted in

this hospital to look after all the civil works including sewerage system in

the hospital premises.

One Jr. Engineer works and one Jr. Engineer Electric has been provided for proper

maintenance and up-keep of the hospital building as well as electric supply. Engineering

department is managing the maintenance work.

Compiled by Dr. M.P. Singh

Ancillary Departments

ANNUAL REPORT 2015


Rajmata Vijayaraje Scindia Nursing School is only Nursing School of EDMC.

R.V.S.Nursing School, Swami Dayanand Hospital, has been functional since 1st August

2013, to provide Diploma in G.N.M. 3½ Years Course with a batch strength of 20

students per year in affiliation with the Indian Nursing Council and Delhi Nursing

Council. There is a common entrance test for admitting students as per merit. At present

we have 19 Students 1st year and 20 students in 2nd year, 19 students 3rd year for GNM

program.

PHILOSOPHY OF THE SCHOOL OF NURSING:

We believe that basic course of modern nursing is a dynamic, education process in

meeting the complete health goals & therapeutic needs of the individuals , family ,

community and the nation.

OBJECTIVE OF EDUCATIONAL PROGRAMME :

To help the students to acquire knowledge understanding and the correct attitude

necessary for carrying out nursing activities both in the hospital and in the community.

To help the students in acquiring the skills essential in providing care according to the

needs of individual patient and developing the skills to enhance interpersonal relationship

communication & counseling.

ACHIEVEMENTS IN THE YEAR 2013-14 & 2014-15 & 2015-16

Five faculties appointed including Principal.

Separate budget allocation for Nursing School.

Nursing Art Laboratory, Anatomy lab, Community lab and Midwifery lab furnished with

new equipments including furniture.

. Power point projectors installed in two classrooms.

Separate room for library procured.

Furnished rooms for hostel students.

Books and furniture for library procured.

Mannequin /dummy provided in all labs.

Separate Photocopier procured for Nursing School.

Assistant Librarian appointed for Nursing School.

Ten Computers installed in Computer lab.

Procurement of Bus and Multipurpose vehicle is in process.s

Cultural Programs celebrated in RVS Nursing School.

DNC inspected RVS Nursing School for A.Y. 2015-16.

Furniture enhanced in RVNS.

NURSING SCHOOL

ANNUAL REPORT 2015


Linen & stationary for RVSNS.

Admission process for all school of nursing (All three corporations) taken up & complied

successfully by RVSNS for 2015-16.

TARGET FOR THE YEAR 2015-16

Staff for Hostel (Warden-4, Driver-2)

Staff for Office (Stenographer-1, Cleaner-01 and Machine Operator-01)

Procurement of Linen & Stationary

TEACHING FACULTY OF RVS NURSING SCHOOL, SDNH

Principal Mrs. Ritu Singh

Tutors Mrs.Akhila. S. Ms. Shanti Kathet

Mr.Mukesh K.Suman Mr. Arun Kumar. Goyal

Compiled by:-

Mrs. Ritu Singh

Principal of RVS Nursing School

There is a separate OPD counter for registration of Senior citizens in OPD and

Special attention, is given to all the Senior Citizen in Doctors consulting room as well as

in all the investigation procedure including the Pharmacy depts. of this hospital. There

is regular interaction between the retired MCD employees association and the SDN

administration for monitoring and improving the facilities for senior citizen. At present

due to logistic reason the suggestion have dedicated segregated multi specialty OPD

services for senior citizens are not feasible.


Senior Citizens

ANNUAL REPORT 2015


Right to information Act-2005 introduced and first application was received in

year -2014. Following officers are designated and handling R.T.I.:

Dr. M.L. Jaipal 1st Appellate Authority

Dr. M.P. Singh P.I.O.

Dr. K. Arya A.P.I.O.

Sh. Manu Gautam Dealing Assistant

Total No. of R.T.I. application received in year 2015

Total No of R.T.I. received in year 2015 123

No. of R.T.I. received directly 81

No. of R.T.I. received through transfer 35

No. of Appeal to 1st Appellate Authority 05

No. of R.T.I. appeal received through CIC 02

We have supplied information to all RTI’s on stipulated time.


Public Information Officer

The Administration Deptt is, working under the supervision of Administrative

officer. This office takes up all the administrative and service matters of all hospital

employees viz, salary bills, electricity, water, telephone bill, stores maintenance. They

also look and pursue various issues related to court.

This department has done exemplary work in providing all retirement benefits and

dues together on the last day of employee’s service for last many years.

S.No. Post Sanctioned Vacant

1 Administrative Officer 1 -

2 Sr. Stenographer 1 -

3 Head Clerk 3 -

4 Jr. Accountant 1 --

5 U.D.C. 6 4

6 L.D.C. 5 --

7 Mohrer/Dafteri 1 --

8 Peon 6 2

Administrative Wing

Right to Information

ANNUAL REPORT 2015


Compiled by Mrs. Lata Singh

(Administrative Officer

ACA: Mr. Yogesh Kumar Sharma

The Department has 1 Junior Accountant, one UDC and one MRC for passing bills

and payment through ECS system(Both Visual pay & on line) They also monitor hospital

budget and Reconcile of bank accounts and ensure timely payment to the employees. The

department is responsible to monitor cash flows and utilization of budget in both Non

Plan and Plan.

Compiled by Mr. Yogesh Kumar Sharma

NON PLAN

1 VI-B (P) I ( A )

( B )

( C )

( D )

47 -1001

47 -1002

47 - 1003

47 - 1004

Salary

Salary

Salary

Salary

2500.00 lacs

1800.00 lacs

800.00 lacs

800.00 lacs

2 VI-B (P) II (ii)

(iii)

(IV)

47 -1193

47 -1156

47 -1119

Telephone

Postage

Miscellaneous

8.00 Lacs

0.20 Lacs

120.00 Lacs

3 VI-B (P) III 47 - 1089 Equipment 250.00 Lacs

4 VI-B (P) IV 47 1098 Medicine 2000.00 Lacs

5 VI-B (P) V 47 - 1040 Diet 100.00 Lacs

6 VI-B (P) VI 47 1187 Stores 120.00 Lacs

7 VI-F( 47 - 1092 Medical relief to

MCD Pensioner

50.00 Lacs

8 VI- A-IV-9 47 - 1217 Repair of

maintenance of

hospital.

110.00 Lacs

9 XVI-J-VII-I 41-13.63 Repair of

Thalesemia

control project

5.00 Lacs

10 VI-B (P) X 47 - 1100 Security services 160.00 Lacs

11 47-104 BMW 60.00 lacs

PLAN HEAD

1. XLIV-B -C III Revenue 300 Lacs

Accounts

BUDGET PROVISION

ANNUAL REPORT 2015


2. X L-IX (i) Capital 500 Lacs

Compiled by Mr. Yogesh Kumar Sharma (ACA)

A Medical Record Department of Swami Dayanand Hospital is working under the

Supervision of CMO (Administration I). The Medical Record Department is the most

important department of the hospital for documentation of medical records, facilitating

OPD registration, Admission & Discharges, safe custody Medico-Legal Records, ensure

Birth and Death registrations, prepare document related to MIS and Annual reports.

Disease identification and coding of disease as per ICD 10 is also done.

The work of Medical Record department has increased many folds during last

few years. Some of the details about mandatory operations are as below:

The following registration counter is provided for easy & smooth functioning

and facility to the OPD patients.

1. Two UHID & Billing Registration counter for Female Patients at Ground Floor.

2. Two UHID & Billing Registration Counter for Male Patients at IInd Floor Near

Surgical OPD.

3. One UHID & Billing Registration counter for Senior Citizen/Retired Employees at

Ground Floor.

4. One Pediatrics Registration counter at 2nd floor Near Surgical OPD

5. Separate Obst. & Gynae Registration counters at First Floor Near Family Planning

Department

6. Two Old Registration counter for date at first floor ( for female patients ) and 2nd

Floor (for male patients)

Besides the above counters, the registration of patients in different clinic in

every day are also been made by the Medical Record Department such as Diabetic clinic,

Cardiac, Infertility, A.N.C. Vitiligo, Leprosy, V.D. Glaucoma and Cancer Clinic.

This department completes all types of statistic of indoor and outdoor patients

daily/weekly/monthly/ Quarterly /yearly statistical report and analysis. Due to vast

reporting system for all communicable disease and information for health activity, linking

with Zonal offices and collecting data/report regarding Dengue fever, Cholera,

Meningococcemia Gastroenteritis, Daily ward census report from different

ward/OPD/Casualty and laboratory for onward transmission to higher authorities.

Medical Record Department

ANNUAL REPORT 2015


The Admission cum enquiry counter is running in three shift & open 24*7 for

patients which is fully computerized and touch being hospital with wards, casualty, Labor

room & ICU. All the work like admission, discharge , patient transfer one ward to other

ward has also been computerized. . Medical legal cases are also deal with this

department. All relevant record such as M.L.C. Register, M.L.C. case sheet, MLC X-ray.

Patient’s case sheet etc is provided to doctors/officer who attended the court. Medical

Record Clerk is also attending the court. The Medical Record department is also

maintaining the 10 years record of OPD and 5 years record of indoor patients for the

Court purpose and interest of patients.

Birth & Death Registration has become on line w.e.f. August -2003. One DEO

uploads the data on MCD web site as per documents collected from Labor room & issue

the first free copy of birth certificate who is born in this hospital. Sister in charge LR and

staff on duty has the mandatory responsibility of maintaining daily register of all

deliveries conducted with complete details relevant for Birth registration. Addl. MS

/SDNH is Sub. Registrar of Birth & Death.

The Medical Record Deptt. is also providing the Medical facility for Jobs,

Education, Amarnath Yatra & Disability Certificate issued for Disable Person:-

Type of Medical Certificate

No’s Of Medical Certificate

Issued in year 2015

a). The Persons for job 893

b) The Students for Education 31

c). The Amar Nath Yatra 518

d) The Disability certificate to physically

challenged person.

28

ANNUAL REPORT 2015


Staff Position of Medical Record Department is as under:-

24 Data Entry Operators have been engaged on contact basis in Swami Dayanand

Hospital for HIS work through ICSIL

Compiled by Mrs. Ardhana Tyagi

S. No. Name of The Post Sanctioned

Post

Vacant Post

1. M.R.O. 1 1

2. M.R.T. 2 Two Data entry operators are

working on contract basis

against vacant post

3. Statistical Clerk 16 Two Statistical Clerk are

working on contract basis

10 Data Entry Operators are

working Against vacant post of

St. Clerk

4. Medical Record Clerk 2 Nil

5. M.R.A. 2 One MRA is working on

Contract basis.

One post is vacant.

ANNUAL REPORT 2015


Annual Statistics of Swami Dayanand Hospital Year 2015

S.No. Outdoor Patients

Treated

New Old Total

1. Male 121839 126510 248349

2. Female 166134 165836 331970

3. Casualty 104,791 nil 104791

Total 392764 292346 685110

Indoor Patients

Admission

27125

1. Male 9135

2. Female 17990

3. New Born 7678

Indoor Patients

Discharge

25396

1. Cured 14070

2. Improved 11146

3. Referred or transfer to

other Hospital

180

Died 305

Days of cure to patients

discharge

101580

Average length stay

even month

4.5

ANNUAL REPORT 2015


No. of Birth in the

Hospital

7808

1. Live Birth 7678

2. Still Birth 130

Total death including

new born

305

1. Infant Death 74

2. Within 28 days

(Neonatal)

67

3. More than 28 days but

less than one year

7

No. of Maternal Death 14

1. Total Male delivered 4067

2. Total Female delivered 3611

Annual Statistics of Swami Dayanand Hospital Year 2015

No. of Sanctioned beds 250 (HDU, Thalassemia & Contingency ward added in Nov,

2005)

No. of Patients treated during the

month

a) Indoor Outdoor

New 27125 392764

Old 108488 292346

Total 135613 685110

b) No. of deliveries conducted 7808

1. Live Birth 7678

2. Still Birth 130

c) No. of cases of abortions (if any) 426

1. Anti Rabies Treatment given --

a) No. of Patients Treated 34045

ANNUAL REPORT 2015


Compiled by Mrs Babita

No. of patients treated (diseases wise Statistics)

S.No DISEASE INDOOR OUTDOOR TOTAL DEATH

1 Cholera -- -- - --

2 Small Pox -- -- -- --

3 Plague -- -- -- --

4 Poliomyelitis -- -- -- --

5 Infectious Hepatitis` 35 1896 1931 --

6 Influenza -- -- -- --

7 Tuberculosis 83 2575 2658 06

8 Gastro-enteritis 84 3483 3567 --

9 Virus Encephalitis 26 183 209 -

10 Dysentery 23 690 713 --

11 Whooping Cough -- -- -- --

12 Diarrhea 149 1224 1373 --

13 Mumps -- -- -- --

14 Chicken Pox -- -- -- --

15 Measles -- -- -- --

16 Enteric Fever 97 1856 1953 --

17 Acute Respiratory 158 3595 3753 20

18 Pneumonia 131 2843 2974 07

19 Viral fever 502 5321 5823 --

20 Cerebrospinal Fever -- -- -- --

21 Relapsing Fever -- -- -- --

22 Puerperal Fever -- -- -- --

23 Diphtheria -- -- -- --

24 Erysipelas -- -- -- --

25 Snakebite -- -- -- --

26 P.U.O 399 3329 3728 --

27 U.R.C. 70 901 971 --

28 Dengue Fever 461 461 04

29 Hemorrhagic Fever -- -- -- --

30 Guniee Worm -- -- -- --

31 Meningococal - -- - --

32 Rabies -- -- -- --

33 Syphilis -- -- -- --

34 Gonoccoceal -- -- -- --

35 Tetanus -- -- -- --

36 Scabies -- 3275 3275 --

37 Kalazar -- -- -- --

38 Japanese Encephalitis -- -- -- --

ANNUAL REPORT 2015


YEARLY REPORT OF NOTIFIABLE DISEASE

SL.No. Diseases Indoor

Patients

Outdoor

Patients

Deaths

1. Acute Diarrhea Diseases 149 1224 --

2. Diphtheria -- -- --

3. Acute Poliomyelitis -- -- --

4. Tetanus other than Neonatal - -- --

5. Neonatal Tetanus -- -- --

6. Dengue Fever 461 --- 4

7. Measles -- --- --

8. Acute Respiratory Infection 158 3395 20

9. Pneumonia 131 2843 07

10. Enteric Fever 97 1856 --

11. Viral Hepatitis 42 1896 --

12. Japanese Encephalitis -- -- --

13 Meningococcal meningitis - --- --

14 Rabies -- --- ---

15 Syphilis -- --- --

16 Gonococcus Infection -- -- --

17 Pulmonary Tuberculosis 83 2575 6

18 Kala Aza -- -- --

19 All other Disease with abnormal

signs treated in institution excluding

above Mentioned diseases

-- -- --

20 HIV-AIDS - 96

ANNUAL REPORT 2015


Following Staff attained Superannuation in the Year 2015

Sr.

No.

Name of Official Designation Date of Retirement

1. DR. H.B. Singh SP/Grade 1st 31.01.2015

2 DR. Bhagwat Parshad CMO/NPSG 31.07.2015

3 DR.B.K. Dutta SAG 31.10.2015

4 Smt.. Sashi Parbha Vats Head Cleark 31.07.2015

5. SH. Vijender Singh Pharmasist 31.07.2015

6. Smt. Sunita Sharma N/Sister 30.09.2015

7. Smt.Alice Kutty John N/Sister 31.05.2015

8. Smt.Mercy Kutty John N/Sister 28.02.2015

9. Smt.Manjula Kushwaha N/Sister 31.10.2015

10. Sh.Bhawani Shankar Head Clerk 31.07.2015

11. Smt.Natho Devi Kitchen Staff 31.01.2015

12. Sh. Mahender Singh Dresser 28.02.2015

13 Sh. Gur Prem STR. BR. 28.02.2015

14. Sh.Chunni Lal STR. BR. 30.04.2015

15. Sh.Joginder Singh Sec. Guard 30.04.2015

16 Smt. Sumitra Safai karmchari 30.04.2015

17 Smt.Satyawati Ward Aaya 30.06.2015

18 Sh.Sahab Singh STR. BR. 30.06.2015

19 Sh.Mahender Singh STR. BR. 30.06.2015

20 Smt.Rajwati Ward Aaya 31.08.2015

21 Sh.Sansaar Singh Safai Karmachari 30.09.2015

22 Smt.Luxmi Devi Safai Karmachari 31.10.2015

23 Smt.Ramwati jain M.R.A. 30.11.2015

24 Smt.Phoolwati Ward Aaya 31.12.2015

ANNUAL REPORT 2015


25 Sh.Rakesh Kumar IST Ward Boy 31.12.2015

ACKNOWLEDGEMENT

Due care has been taken to ensure that all details are

correct. Errors if any are regretted.

I acknowledge that the Annual Report has been compiled

and made possible, only because of the contributions from like

Dr. Monica Narwal, Dr. Santosh Tomar, Mrs. Aradhna Tyagi,

Mrs. Babita, & Mr. Yograj Aggarwal have made this report

possible.

Dr. M.L. Jaipal

(Medical Superintendent)

ANNUAL REPORT 2015


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ANNUAL REPORT 2015


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