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ANNUAL REPORT 2018

SWAMI DAYANAND HOSPITAL

ANNUAL REPORT 2018


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 01122314136

4. Enquiry Cum Admission 22581036 / 267

5. Medical Superintendent Dr. 22582512 / 277

6. Addl.Medical Superintendent Dr. 22129212 / 278

8. CMO(Admn) Dr. K.R. Arya 22581036 / 265 8588887784

9. CMO I/C PCB Dr. K.R.Arya 22581036 / 265 8588887784

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. 22581036 / 264

14. HOD Medicine Dr. Zaneth Stephans 22581036 / 308 9871415861

15. HOD Surgery Dr. Rajesh Bansal 22581036 / 317 9818016469

16. HOD Gynecology Dr. Rashmi Saini 22581036 / 355 9868112594

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

18. HOD E.N.T. Dr. Gynesh Gupta 22581036 / 223 9811128529

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

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

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

22. HOD Dermatology Dr. Sandeep Mohanty 22581036 / 312 8130191237

23. HOD Radiology Dr. Prashant Jain 22581036 / 298 8588888760

ANNUAL REPORT 2018


24. CMO I/C Pharmacy Dr Sandeep Mohanty

25. MO I/C Medical Store Dr.V.K.Gupta

26. Mo I/C House keeping Dr. K R Arya 22581036 / 265 8588887784

27. C.M.O. I/C Causality Dr. R.K. Singhal 22581036 / 272 9811111388

28. CMO I/C Biomedical Waste

Management

Dr. Gynesh Gupta 22581036 / 223 9811128529

29.

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

31. Principal Nursing School Mrs. Ritu Singh 22581036/330 9818592346

31. Medical Record I/C Mrs. Aradhana Tyagi 22581036 / 206 9891212192

32. Nursing station causality

33. Sister In charge Causality

34. ECG Room Causality

35. Medicine Emergency

36. Pediatrics Emergency

ANNUAL REPORT 2018


INDEX Sr. No. TOPIC PAGE NO.

1 From the Desk of Medical Superintendent 7

2 From the Desk of Former Medical Superintendent 8

3 From the Desk of Addl. Medical Superintendent 9

4 Citizen’s Charter 10

5 General report 16

6 Medicine Department 24

7 Dermatology Department 33

8 Pediatric Department 38

9 General Surgery Department 50

10 Orthopedic Department 53

11 Obstetrics & Gynecology Department 58

12 Ophthalmology Department 70

13 Dental Department 75

14 E.N.T. Department 78

15 Pathology & Allied Department 84

16 Blood Bank & Transfusion Medicine department 91

17 Thallasemia Day Care Unit 93

18 Radio Diagnosis Department 95

19 Casualty / Emergency Services 98

20 Anesthesiology and Critical Care Department 100

21 Nursing Care 105

22 Nursing School 105

23 Hospital Catering Department 107

24 Spot and Cultural Club 108

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25 Library Department 110

26 Bio Medical Waste Management 112

27 Pharmacy Department 113

28 Scientific Committee Activities 113

29 Hospital Information System (HIS) 115

30 Sanitation & House keeping Department 116

31 Stores and Inventory 116

32 Laundary Department 117

33 Private Public partnership 117

34 Ancilliary Department 118

35 Senior Citizen 118

36 Right to Information 119

37 Administrative Wing 120

38 Accounts Department 120

39 Budget Provision 121

40 Medical Record Department 122

41 Annual Statistics 127

42 Disease wise Report 127

43 Notifiable Diseases 128

44 V.S.A.S. KARAWAL NAGAR 128

45 Staff attained Superannuation 128

46 List of Medical Superintendent 131

47 List of Addl. Medical Superintendent 132

48 Acknowledgement 133

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z

It gives me immense pleasure and honour to be Medical Superintendent of this esteemed

institution. I feel privileged to present annual report of Swami Dayanand Hospital and its satellite

unit Veer Savarkar Hospital.

Swami Dayanand Hospital is 370 bedded Secondary Care Hospital which caters to a large

population of East Delhi and its neighbouring areas of U.P. The guiding philosophy remains to

provide best possible professional service to needy patients and to strengthen knowledge base in

the relevant field through research.

My endeavour is to provide all basic amenities to patients along with quality healthcare

through development of quality infrastructure at no price to patients and to alleviate human

sufferings through healing hands.

Over the years, this hospital has grown by leaps and bounds. The services provided by

doctors and Paramedical staff towards the sick and needy are highly commendable.

We have adopted a new queue management system in Pharmacy whereby patients are

given tokens and they no longer have to stand in long lines for hours to collect medicines. Effluent

treatment plant has been made operational to treat harmful hospital waste and reuse its water

for horticulture and at the same time makes the environment safe.

We have accomplished the admission process of all three nursing schools of MCD

successfully. Students of our RajmataVijay Raje Scindia Nursing School performed the best in the

nursing examination of Delhi.

We are regularly conducting training for Doctors and Paramedical staff in many fields.

Some of our Doctors have presented papers in National Conference and have been awarded also.

Our library has internet facility and air conditioned environment and good ambience of library is

conducive to learning.

A lot of effort has been put by the staff in collecting all data and presenting it in an

attractive manner.

I take this opportunity to thank all my colleagues, staff and well-wishers. I hope that with

the guiding force of competent officers in the administration, suggestions from public

representatives and full-hearted support from the hospital staff, this hospital will reach new

heights.

My best wishes to all for the New Year.

Dr. Rajni Khedwal

Medical Superintendent

From the Desk of Medical Superintendent

ANNUAL REPORT 2018


z

From the desk of Additional Medical Superintendent

Since 30 years of my work experience in Swami Dayanand Hospital and 6 months as Additional

Medical Superintendent, with an immense pleasure it’s apt to state that the staffs of this hospital

have delivered their duties exceptionally in serving the patients and the society with highest

standards of health care; which remains and will remain as the primary focus of Swami

Dayanand Hospital.

With the team of experienced doctors, nurses, paramedical staff, technical team, DNB teachers

and Nursing school tutors along with the students under their guidance, we aim to provide the

best health care, be it in diagnostics, clinical protocols, nursing care or infrastructure to ensure

the quality health care we can give to anyone who seeks our assistance.

With rapid advancement in health care, it’s a challenge to keep with the pace. However, we will

strive for excellence with all the resources we have and we can get to assure best services to our

patients. It’s a new venture; we are all looking forward to.

I wish our dedicated staff the best for this upcoming challenge.

Dr. Ashikho Sazerou

Additional Medical Superintendent

From the Desk of Additional Medical

Superintendent

ANNUAL REPORT 2018


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, Delhi-110095.

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. Attendances are marked by Aadhar

link biometric machine and also have attendance register with the in-charges and HODs.The

movement registers are maintained at office of MS and HODs 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.

Our motto - service with A Smile

ANNUAL REPORT 2018


Casualty & Emergency Services:

All Casualty Services are available round the clock.

Duty Doctors are available round the clock

One senior Doctor is available for supervisory work

Senior doctors are available on-call for duty doctors

Basic emergency services are available for all specialties as listed in the OPD Services.

Emergency Operations are done in the OT located in emergency OT..

one Maternity OT on Ground Floor adjacent to Labor Room in MCH Block

Emergency Operation Theatre services are functional Round the clock

At present Emergency OT services are provided in the emergency block. 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 Obstetric & Gynae. Registration and 4

th floor for medicine & skin.

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)

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.

ANNUAL REPORT 2018


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:

Biochemistry

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

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

to 11AM.

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:

ANNUAL REPORT 2018


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 and a

separate window is for staff of EDMC.

QUEUE MANAGRMENT SYSTEM: For smooth functioning of pharmacy and patient comfort queue management system was established

recently. After taking a token patient comfortably waits while sitting on benches for their numbers.

Indoor Patient Services:

There are total of 8 Wards in old building 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.

A disaster ward is always ready.

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 and 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-2B Nursery provides necessary care to the medically compromised Newborns. Otherwise,

all mothers are encouraged to provide Kangaroo Care in Kangaroo corner. 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 20 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.

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

ANNUAL REPORT 2018


private vendor in the hospital premises 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.

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, Wards 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 Kiosk for patients and their attendants is available

Ramps and Lifts 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 to 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

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. Ashiko

Designation: Additional M.S.

P.I.O.

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Tele (O) 22129212 (

Meeting Hours 11 AM to 1 PM

o Dr.

Designation: Medical Superintendent

First Appellate Authority

Tele (O) 22582512 (M)

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 10,00,000 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 2018


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 ICU, Contingent Ward and

Thalassemia Day Care Centre with its satellite centre VSAS at Karawal Nagar (30 bedded)

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

GENERAL REPORT

ANNUAL REPORT 2018


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 clinic Friday 2 P.M. to 3:30 PM

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. Thalassaemia 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. Phase 1 of 100 bedded Emergency blocks under vision 20-20 is under process.

2. ETP/STP Plant for management of liquid waste is competed and it is functioning.

3. MCH Block has been renamed as Dr M Venugopal Block.

4. Kangaroo Mother Care ward in Dr M. Venugopal Block(MCH Block) has been started in

November 2017.

5. Waiting Hall for patient’s attendants near casualty has been renovated.

6. Tender for Medical Cases,Vacuum,Scavenging system (MGVS) at SDN Hospital is under

process. Demo has been completed and is in final stage.

7. We are under process for getting accreditation in deptt. Of orthopedics for start of DNB

programme.

8. E-Poster presentation in ISACON 2017 in Kolkatta presented by Dr. Meenakshi,DNB

Students one paper selected in the first best 10 papers.

9. Two advance life support ventilators have been purchased from mp lad fund.

10. Two I.C.U beds have have purchased from mp lad fund in hospital.

11. GNM admission process for all three MCDwas done by SDN hospital.

12. Advance life support ambulance was purchased from mp lad fund.

13. The liquid oxygen tank of old building was connected to MCH building, by which ten lakhs

rupees per anum are being saved.

14. NNF fallow program is started in SDN hospital.

15. Two new counters has been opened in 4th

floor.

16. Queue management system for OPD pharmacy has been started.

ANNUAL REPORT 2018


STATISTICS OF LAST FIVE YEARS

YEAR O.P.D. CASES ADMISSION CASUALTY

NEW OLD TOTAL

2014 312162 282415 594577 24318 95556

2015 392764 292346 685110 27125 104791

2016 392978 292854 685832 27298 112014

2017 417542 293932 711474 30898 111272

2018 451265 294010 745275 32828 131846

SPECIALITY- WISE SANCTION OF BEDS

Number

Name of Specialists

No. of sanctioned beds

1. General Medicine 70

2. General Surgery 48

3. Orthopedics 30

ANNUAL REPORT 2018


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

12. NICU 10

Total 370

THE STANDING PATTERN OF MEDICAL OFFICERS OF SDNH

S.No. Name of Post Sanctioned Post

1. Medical Superintendent 1

2. Addl. Medical

Superintendent

1

3 CMO (Admn) 1

4. General Physician 6

5. General Surgeon 3

6. Orthopedic Surgeon 2

7. Gynecologists 5

8. Anesthesiologist 7

9. Ophthalmologist 2

10. Pathologist 2

11. ENT surgeon 2

12. Radiologist 4

13. Pediatrics 5

14. Medical Microbiologist 1

ANNUAL REPORT 2018


15. Medical Biochemist 1

16. Skin Specialist 1

17. Dental Surgeon 1

18. G.D.M.O. 59

19. Senior Resident 62

20. Jr. Resident 70

21. Pharmacists 13

PATERN OF VEER SAVARKAR AROGYA SANSTHAN

KARAWAL NAGAR:DELHI

S.No. Name of the Post Sanctioned Post

1. Obs & Gynae specialist 3

2. Pediatrics specialist 2

3. Anasthesia specialist 1

4. Genral Medicine specialist 1

5. General Surgery specialist 1

6. Opthalmology specialist 1

7. Radiology specialist 1

8. Pathology specialist 1

9. ENT specialist 1

10. Ortho specialist 1

11. Dematologist specialist 1

12. TB & Res Medicine specialist 1

13. GDMO specialist 6

14. Dental Surgeon 1

15. Ayush doctors 2

16. Senior Residents 4

ANNUAL REPORT 2018


17. Med. Supt. 1

18. Hospital Administration 1

19. CMO (Admn) 1

20. ANS 2

21. Staff Nurse 32

22. Refractionist 1

23. MRO 1

24. AO 1

25. Lab Asst. 5

26. Lab Tech. 2

27. Pharmacist 5

28. Ayush Pharmacist 1

29. MSW 1

30. OT Asst. 2

31. ECG Tech. 4

32. Dental Hygienist 1

33. Plaster Asst. 2

34. MRC 1

35. UDC 1

36. Ambulance driver 3

37. LDC 2

38. Dresser 4

39. Cleaner 3

40. LHV 4

41. ANM 9

42. Warden 3

43. TBHV Chest Clinic

44. Chowkidar Chest/Mty Home

45. S.K. Chest/Mty. Home

46. PTSK Mty Home

47. DEO Outsource

48. Store Keeper 1

49. X-Ray Assistant 1

50. X-Tech 1

51. Account Officer 1

ANNUAL REPORT 2018


Medicine Department

Medicine department is one of the largest departments in the hospital. Besides providing general medical care and round the clock emergency care, it is also running specialized clinics in the field of basic Cardiology and Metabolic (Diabetes) clinic. The department is also doing special procedures like TMT/PFT and Doppler Echo Cardiography .

Staff Pattern :-

The department has 2 units: Unit II is headed by Dr Janet L Stephens Nee Thiek & Unit I is

headed by Dr. V. K Gupta

1. Dr Janet L Stephens Nee Thiek ,Specialist Gr I ,Senior Physician & Head of Department

2. Dr V.K Gupta ,CMO (SAG),Senior Physician

3. Dr .Sudhir Mittal,CMO (SAG)

4. Dr .P Suresh,CMO (SAG)

5. Dr D. Chakravarty,CMO ( NSFG),Senior Physician

6. Dr .Gladbin Tyagi, SMO

7. Dr. Sachin Gupta,GDMO

52. Sulabh Worker Outsource

53. Security Outsource

INTERNAL MEDICINE

ANNUAL REPORT 2018


8. Dr Bhagwat Prasad ,Contract CMO

The department also has the support of 11Senior Residents,3 Junior Residents ,9 DNB

Residents and 7 ECG Technicians.

Work pattern of the department

Out patients Department: The OPD attendance is the highest among all departments in the

hospital.The OPD facility is at the 4th floor of The OPD building. OPD timing is from 9 AM to 1

PM. It has its own registration facility in the same floor. The statistics of OPD attendance

in 2018 is as follows -

New patients: 107832

Old Patients : 99145

Total No Of Patients: 206977

Year New Old

Total

2014 65658 68528 134186

2015 86780 78432 165212

2016 98729 99328 198057

2017 106840 98310 205154

2018 107832 99145 206977

ANNUAL REPORT 2018


CARDIAC CLINIC:

The department runs Cardiac Clinic every Wednesday from 2 P.M. to 4 P.M. Here,patients with hypertension and patients having cardiac problems are investigated and treated. ECG, TMT & Doppler Echo Cardiography is available in the hospital. Detailed clinical and Bio-chemical evaluation is done of each patient. Patient requiring Coronary angiography or specialized investigations and management are referred to Tertiary Referral Center.

Data for the year 2018-

New Patients : 3698


Total no. of patients : 16689

METABOLIC CLINIC

Metabolic Clinic is held on every Thursday from 2 P.M.to 4 P.M. The patients are regularly investigated & managed thoroughly and advised about regular follow up. Diabetic patients are routinely evaluated for CAD, Diabetic Retinopathy, Diabetic Neuropathy, Diabetic Nephropathy or other complications due to Diabetes. From time to time patient education camps are organized in the Metabolic Clinic OPD regarding Diet,Exercise,foot & Eye Care. Obese patient are evaluate for other causes of obesity and thyroid disorders. We are also manage the patients having thyroid disorders in Metabolic Clinic. The Department regularly organizes Public lectures and Video shows for the Diabetic patients to increase the awareness about Diabetic Diet, proper care of foot and Exercise .

Data for the year 2018 -

0

50000

100000

150000

200000

250000

2014 2015 2016 2017 2018

new pts

old pts

total pts

ANNUAL REPORT 2018


New patients : 2685


Total no. of patients : 16397

Indoor patients Dept :

The department is having 60 beds in Wards 6, 7 & 8 ,where patient 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 ,facility for Medical Thrombolysis in acute Mycardial infarction (STEMI) is also available .After Stabilization ,th patients are transferred to higher centre for Coronary Angiography and further management .In ICU we also perform Medical Thrombolysis in acute Ischemic Stroke.

Total admissions in 2018 : 4028

Total no. of death : 263

Year

No.of indoor Patients

2014 2666

2015 3473

2016 3189

2017 3922

2018 4028

0

500

1000

1500

2000

2500

3000

3500

4000

4500

2014 2015 2016 2017 2018

No of indoor pts

No of indoor pts

ANNUAL REPORT 2018


Specialized Investigations:

Beside ECG, the department is regularly doing the TMT, PFT and Doppler Echo Cardiography. (Doppler Echo Cardiography was started w.e.f. OCT 2013).

ECG Service is available round the clock in the Casuality.

Data for the year 2018 –

ECG: 40054 (ECG is done from OPD,Wards,Casualty,ICU)

TMT: 09

PFT: 288

Echocardiography : 292

( TMT machine was out of order for almost 9 months,hence no. of TMT was less)

DOTS CENTER:

DOTS Center of the hospital is under the supervision of the department in coordination with District TB officer.The facility is in Room No 11, Ground Floor ,OPD Block.

Total slides examined in 2018 3076

Total slides positive for sputum AFB 262

Total negative slides 2814

Slide positivity rate

Sputum positivity rate

Total no of cases : 223

CAT I : 173 CAT II : 50

Disease Surveillance and Control of outbreaks :

Medicine department has every year successfully contributed in the 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 286 155 NIL

2. Chikungunya 03 NIL NIL

3. Meningococcaemia --- --- ---

4. Swine Flu H1N1 NIL NIL NIL

ANNUAL REPORT 2018


Malaria Clinic:

The malaria clinic runs under the supervision of Medicine department.the facility in the 4th floor of

OPD Block. Peripheral Thick and Thin smears is done in the clinic. Patients who are positive for

Malaria are also provided medicine free of cost.

Sl

No

Total slides

collected

Positive Cases Residence Death

PV PF Delhi Other

states

---

1. 5980 28 -- 01 27 ---

2. RDT(+VE) 115 32 --- --- ---

Preventive Health check up for class (v) Nala Beldars working in EDMC was done last year. Medical Examination for medical fitness before joining the appointed departments is also done routinely. Medical examination for pilgrims for Amarnath Yatra was also done last year.

Medical Education Programme and Seminars:-

The Department organized several seminars & lectures for the doctors of the department for updating their knowledge and skills. The department also arranged guest lectures in specialized field by specialists of other hospitals. Lectures were 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, CMEs and conferences at local and national levels.

DNB Programme:

DNB post graduate studies in Medicine was started w.e.f 2016. Every year 3 DNB candidates are allotted seats in the Department. Teaching is provided to these students as per DNB guidelines ,schedule and curriculum.The department also held Formative assessment test for 2nd year DNB students of other other institutes in the month of February 2018 as per direction of NBE. Formative assessment test Theory & practical exam was also taken in the department for final year students.

Compiled by Dr Janet L Stephens nee Thiek

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

department runs the OPD on every working day in SDN hospital as well as VSAS. Special clinics

run by the department are following:

DERMATOLOGY

ANNUAL REPORT 2018


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)

One GDMO (Dr.A.K. Lad)

Two Senior Resident

Two Junior Resident

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

2014 19384 27319 46703

2015 20225 28236 48461

2016 21415 29486 51301

2017 24513 30622 55135

2018 26065 34180 60245

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 to 405. Room no. 401,402 & 404 are consulting room. Room No. 403 is for

Phototherapy & room no. 405 is for minor procedure.

LAST FOUR YEAR STATISTICS OF LEPROSY CLINIC

YEAR PB MB TOTAL

2015 70 120 190

ANNUAL REPORT 2018


2016 54 106 160

2017 32 130 162

2018 40 140 180

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

2015 232 1341 1573

2016 256 1410 1666

2017 261 1502 1758

2018 330 1530 1860

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

Skin Biopsy

Cryotherapy

Dermaroller

PRP

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.

VSAS HOSPITAL:- We run skin OPD at VSAS thrice a week with average attendance of about

250 patients per OPD.

Compiled by: Dr. S Mohanty

ANNUAL REPORT 2018


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 Sandeep Duggal

3. CMO/GDMO :Dr.D.K.Jha, Dr. Jaswant Singh, Dr. S.P.Singh, Dr Ankita Tyagi, Dr

Ekta Prajapati, Dr Rekha Duniwal

(A) The department has following major work areas:

1. Out- Patient Facility: Outpatient facility is located on 3rd floor of OPD block. It has its

own registration and pharmacy counter which makes easy for patient to get their

children examined and collect medicine.

2. Inpatient Facility: Ward No 4 and 5 are two pediatric wards with combined bed

strength of 50 patients.

3. NICU: New born nursery is now functioning at second floor in MCH block. Its level II B

Nursery with strength of 20 including 10 beds step down unit.

4. All newborn babies delivered in SDNH are kept in post natal wards with their mothers.

They are screened for neonatal problems/diseases and subsequently managed in the

nursery if required

5. Labor 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.

PEADIATRIC

Deapr

ANNUAL REPORT 2018


6. ICU: Whenever sick children more than 1 year of age require intensive monitoring and

treatment, ICU facility, is utilized where they are managed under support and supervision

of senior Anesthetist. Subsequent step down care is ensured in pediatric ward to those

children discharged from ICU.

7. 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.

8. Thalassemia Day Care Center: - Thalassemia children are admitted for regular blood

transfusion and chelation therapy is provided to them. Total 26 Thalassemia children are

registered with Department for regular Blood transfusion. This service is being provided

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.

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

children under 5 years attending OPD is done and appropriate nutritional advice is given.

Severe acute malnutrition (SAM) cases are picked in OPD and treated as per the SAM

protocol. In the ward Separate beds are allocated for their management.

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

intervention clinic is held on every 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.

11. Pediatric Asthma Clinic: This year Pediatric Asthma Clinic,which is held every Thursday,

registered total of 644 patients. 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.

12. 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 counselled &

supported to breast feed their babies. Mothers of children under 5 years are also advised

about healthy feeding practices to reduce malnutrition. Healthy feeding practices are

ANNUAL REPORT 2018


further promoted by imparting health education through audio visual aids in the PNC &

OPD areas.

13. A.F.P. and Measles Surveillance: All case of suspected AFP and Measles, are admitted in

the pediatric ward and reported to the modal agency.

14. Active participation in Pulse polio immunization and Mission Indradhanush : Medical

and Para-medical staff actively participated in the campaign on all NID days as well as in

house-to-house immunization. A centre for immunization is regularly set up in SDNH on

NIDs. Mission Indradhanush is a health mission of government of India aimed to ensure

full immunization of children up to two years and pregnant women.

15. Well Baby Clinic & Immunization:- Well baby clinic is held every day in pediation OPD

where babies are immunized against vaccine preventable disease as per Delhi Govt.

schedule Preventive and promotional aspects in the newborn/infant care are stressed

upon.

16. New Born Vaccination:- All newborns delivered in the hospital are given BCG, 0 dose of

OPV and Hepatitis B 1st dose before discharge, from the Post Natal Wards as per the

recommendation of Delhi Govt. Immunization schedule.

17. NNF fellowship for doctors & nurses was started this year.2 doctors is nurses were

admitted to the training programme for duration of 1½ Yrs. + 1 yrs. Respectively.

VACCINE DOSES GIVEN IN 2017

ANNUAL REPORT 2018


Immunization 2014 2015 2016 2017 2018

B.C.G. 5739 5957 7800 8431 9667

Pentavalent 2099 2506 3573 3120 3145

D.P.T. 1080 616 857 830 757

OPV 8733 9593 12102 12370 13448

Measles 540 460 684 1256 255

M.M.R. 461 492 528 10 486

Hepatitis B 5965 6860 7797 8442 9779

Typhoid 695 607 372 52 709

IPV --- --- --- 2001 2254

Some of the MIS and IEC activities are:

1) Regular Perinatal mortality meeting and Death Review Meetings are conducted to

discuss ways to improve child care in the department.

2) Intensified Diarrhea control fortnight was celebrated from 28/5/18 to 9/6/18 with public

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

importance in preventing diarrheal deaths.

ANNUAL REPORT 2018


3) World Breastfeeding week was celebrated from 1st to 7th August 2017. Public health

lectures on benefits of breastfeeding were taken by pediatrics and Obstetrics &

Gynecology doctor’s in their OPD’s and wards.

4) DNB Course was started in pediatric department. w.e.f. July 2016. 3 Primary and 3

Secondary DNB seats are allotted to Pediatric department of SDNH by NBE. For this

course. 9 DNB students submitted their research work to be NBE this yr. presently 18

students are pursuing their DNB degree course in the department Regular academic

activities are conducted as mandated in N.B.E. curriculum.

5) NICU of Pediatric deptt. was accorded the level II B accreditation by the National

Neotalogy Forum and has been recognized for 2 fellowship for Doctors and 4 fellowship

for Nurses.

Medical Education topics discussed for Doctors: -

The Department carries on academic activities on regular basis especially for benefit of resident

doctors .With the Start of DNB Programme teaching activity for DNB Students is done on a

regular basis from September 2016. Topics related to the neonatology & general pediatrics,

infection and nutrition were discussed.

Public Lectures:

Public lectures were organized in Pediatrics Dept. regularly on

Pulse polio

Immunization

Waterborne diseases.

Nutrition

Oral Rehydration Solution

Hygiene & Prevention of diseases

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.

ANNUAL REPORT 2018


STATISTICS OF PEADIATRICS DEPARTMENT

YEAR INDOOR OUTDOOR NEW OLD TOTAL

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

2016 9853

43268

44345

87613

2017 11510

42891

47237 90128

2018 12424

45183 48073 93256

Compiled by: Dr. Anand Aggarwal

SURGERY

INTRODUTION

The Department of General Surgery meant to give services to East Delhi population, now patients from

Western U.P. & Haryana also get benefited from this department, while providing list of elective

surgeries this department stand with GTB Hospital shoulder to shoulder to provide emergency surgical

ANNUAL REPORT 2018


services to population benefited from SDNH. After EDMC establishment SDNH surgery department also

try to get taller in cluster of other government & corporate hospital. In the era of Artificial Intelligent &

Globalization surgery department provided latest Laproscopic Surgeries, Oncosurgical procedure,

emergency surgery & Trauma case etc. Now our department is equiped with facilities to provide

laproscopic hernia repair, minimal invasive procedure for hemorrhoid etc.

SET UP OF SURGERY DEPARTMENT

OPD sevices in 2nd floor OPD block with Minor OT.

Emergency services in casualty block 24x7 with Emergency OT and Dressing room.

Inpatient services in ground floor Male & Female Ward.

Elective OT in MCH block first floor.

Conference room, skill lab and departmental library on second floor OPD block.

HUMAN RESOURCES OF DEPARTMENT

Permanent post graduate doctors -6

Contract Specialist -1

Senior resident-4

House surgeon -2

DNB student -6

FACILITIES

Rectal clinic :-9 to 1 pm Monday and Thursday

Breast clinic :-9 to 1 pm Wednesday to Friday

Family welfare program : -NSV facilitation and awareness companion

DNB teaching program started in 2016

INTER DEPARTMENTAL SUPPORT

Surgery dept. also gives positive support to department of Gynecology & obstetrics for all Gynecological

cancer cases as well as any urological injuries (both bladder injury & ureteric injury).

HIGHLIGHTS OF YEAR

Department of surgery has received accreditation for DNB course for four years under which two

DNB students where admitted in year 2016 followed by two more in 2017 and two students in

2018.

Departmental library established in SOPD second floor OPD Block.

Skill lab was established in library second floor OPD block for hands on training in laprascopic

surgery.

Department infrastructure improved as per guidelines of KAYAKALP program.

ANNUAL REPORT 2018


Number of laparoscopic surgeries increased.

MoU gained from various super specialty Department of various renewed institution like RML

PGIMER, Rajiv Gandhi Super Speciality Hospital & Chacha Nehru Bal Chikitsalya Hospital for the

benefit of DNB students.

New emergency OT established, in Casualty Block. Main OT shifted to MCH Block.

Medical Education at Departmental level

The Departmental carries on academic activities on regular basis especially for benefit of resident

doctors. With the Start of DNB Programme regular weekly teaching activity for DNB Students has started

on a regular basis form September 2016 and classes arranged at Hindu Rao Hospital (HRH).

CONTACT DETAILS OF SURGERY DEPARTMENT

S.NO Name of Doctor Designation Phone(Hosp.)/Ext

1. Dr. R.K Bansal SAG 22581036/317

2. P.K Padhy SAG 22581036/293

3. M.P Singh SAG 22581036/293

4. Dr. C.L Verma NFSG 22581036/293

5. Dr. Pramod Kumar NFSG 22581036/293

6. Dr. Manoj Kumar CMO 22581036/293

7. Dr. Neeraj Sharma Specialist Surgeon 22581036/292

8. Dr. Nivedita Bodh MO 22581036/292

ANNUAL REPORT 2018


INDOOR ADMISSION (YEAR-2016-2017)

2017

2018

Indoor

Admission 1976 1981

TOTAL

1976

1981

OUTDOOR (YEAR 2016-2017)

2017 2018

NEW 18236 22256

OLD 21307 25997

TOTAL 39543 48253

OPERATIONS (YEAR-2016-2017)

2016 2017

MAJOR 1791 1587

MINOR 3862 3915

EMERGENCY 1643 1651

TOTAL 7296 7153

Compiled by: Dr. Rajesh Kumar Bansal

STAFF LAYOUT: The department of Orthopedics is one of the busiest in the hospital. At present

there are four senior medical officers in the department. Amongst them, three 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 four plaster assistants against five

sanctioned post and one orthopedics technician. One serior resident is sent to VSAS,Karawal

Nagar to manage the orthopedic OPD there.

INFRASTRUCTURE: We had a well equipped operation theater complex where almost all

varieties of orthopedic surgeries were conducted. The department possesses an operating

arthroscopic set complete with monitor, shaving system, etc. a pneumatically powered drill and

ORTHOPEDICS

ANNUAL REPORT 2018


saw system, two image intensifiers and other orthopedic instruments. With this infrastructure,

all kinds of modern orthopedic surgeries were being conducted here.

But unfortunately the roof of OT caved in rendering the OT complex unusable. The Ortho OT had

to be shifted to a make shift arrangement in Gynae OT which has been a great set back to the

wonderful work that the department was doing.

In spite of this 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, knees, shoulder and 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. Cervical Spine Decompression and

fixation has also been conducted.

WORK STATISTICS: In the year 2018, we have performed more than 402 major and 805 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 943 intra-articular

Hydrocortisone injections, applied more than 12346 plasters and removed about 12220 plasters

in 2018. In addition to the routine cases all emergency cases are handled too. Round the clock

emergency services are being provided. About 4208 plasters have been applied in the casualty

department in the past year. Many emergency cases which had been to 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 300-350 patients being catered to daily.

Even on Wednesdays, on which surgeries 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 1320 CTEV plasters have been applied. Free camps for bone mineral density

assessment of patients are also done at times.

ACADEMIC: On the academic front, the department is in the process of initiation of Post

Graduate Teaching programme to train aspiring orthopedic surgeons and the application for the

same has been duly submitted. Regular update of knowledge for the faculty and residents

through CME's and conferences are also encouraged. Our library also has a rich collection

orthopedic books and journals to keep us academically updated.

ANCILLARY DEPARTMENTS: Physiotherapy, which is an integral part of this department, has also been

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 2018 the physiotherapy has catered to more than 36369 patients in

ANNUAL REPORT 2018


indoor and outdoor basis. At present there are two regular physiotherapists and one on contract basis.

Increase of physiotherapist posts is of utmost importance at present.

STATISTICS FOR LAST TWO YEARS

INDOOR

PATIENTS

OUTDOOR

PATIENTS

OPERATION

PHYSIO

THEROPY

PLASTER

New

2017 2018 2017 2018 2017 2018 2017 2018 2017 2018

686

934

20110

22235

Old

23016

25141

Major

362

402

Minor

725

805

Emergency

2209

757

Total

686

934

43126

47376

3296

1964

36369

38802

11767

12346

Compiled by Dr. P.K .Dutta

Departmental policy – Optimal care around birth which means that every mother and new born

receives full package of evidence based interventions that have shown to reduce maternal and new born

deaths supported by current guidelines, with priority to maternal and child survival.

MCH block comprising of 120 beds (110 beds of Obst. & Gynae and 10 beds of nursery have become fully

operational from September 2014.

Layout of the MCH block wing

OBSTETRICS & GYNECOLOGY

ANNUAL REPORT 2018


MCH casualty of 10 beds runs 24x7, it is equipped with facilities of observation, treatment and

day care procedures also has a equipped resuscitation 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. In future to improve quality of care in

labor room according to GOI (MHFW) normal beds to be replaced with Labor Delivery Recovery

beds (LDR).

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 with average bed occupancy which ranges

from (100-140).

New block also has a provision of a second operative theatre which was meant for routine

Gynecological surgeries and for Family Welfare dept. Presently it is being used by all the other

surgical departmental for their routine surgeries.

Staff position

Regular consultants:-3

Contractual consultants:-4

SAG Medical officer:-2

NSFG:-1

8 against SR’s :-15

DNB Student/JR’s:-12

Family planning I/c post vacant since 2014

ANM regular:-2 post

LHV:-1

Vacancy :- 1 Senior MO, 1 Anesthetist, 1 Driver, 1 ANM,7 SR’s

Services and activities of the Obst. & Gynae deptt.

OPD- Complete ANC check up daily of all pregnant patients.ANC care distributed trimester wise

with last trimester pregnancy mostly supervised by consultants.

Gynecological examination and treatment of GYNE patients.

Thalassemia screnning in 1st trimester of all primi gravidas

HIV counseling & testing of all pregnant women.

HIV counseling & testing of high risk clients.

High risks identification & specialized care by Senior consultant.

Correction of antenatal anemia by giving I/v iron total dose as day care.

Fetal surveillance by CTG recording and USG. Following care around birth practice in labour room

for better maternal & fetal outcome.

Ante partum RH immunization and tetanus toxoid.

Fully functional family planning unit. Its functions include distribution of OCPs and other

contraceptives along with female sterilization both mini lap / laparoscopic sterilization,interval

IUCDs and PPIUCDs. Contraceptives Chayya and Antara launched in year 2017 is available in the

family welfare dept Room no 101& is being regularly used by the client

JSY counseling of all antenatal patients and disbursements of JSY funds is being done.

ANNUAL REPORT 2018


Anemia eradication programme under taken by the deptt. Of OBGYNE

ANC Hb% estimation done during first visit of all ANC patients and once in second and third trimester.

Severe and moderate anemia are given interventional treatment according to the period of gestation. I/V

iron sucrose in ANC and I/v Carboxy maltose for postnatal and Gyne patients is given both on OPD &

indoor basis. It has proven useful in correcting the iron deficiency anemia and reduced the number of

blood transfusions and anemia related complications.

Special clinics

Monday- Infertility 2:00pm to 4:pm

Wednesday- postpartum care & counseling 2:00pm to 4:pm

Thursday- cancer screening 2:00pm to 4:pm (PAP Smear+colposcopy)

Table no 1

Month wise Departmental census of all Obstetric indoor patients year 18

Months Admission Deliveries Vaginal

Deliveries

LSCS <2.5kg >2.5kg Male Female Blood

transfusion

Abortion Preinatal

death

Jan 1086 873 678 195 165 705 452 401 139 41 23

Feb 928 699 516 183 119 525 361 326 79 44 14

March 991 794 596 198 139 655 401 387 152 66 12

April 831 581 435 146 117 457 319 259 106 64 11

May 989 703 532 171 157 611 364 340 105 58 8

June 980 688 551 137 103 580 355 318 170 46 20

July 1179 864 706 158 151 713 435 414 152 45 15

Aug 1356 1025 829 196 125 900 522 497 135 42 6

Sep 1146 983 810 173 245 738 499 476 157 32 14

Oct 951 915 742 173 204 711 476 429 142 47 10

Nov 1053 899 726 173 84 815 435 454 132 46 19

Dec 1046 946 766 180 172 765 480 457 130 32 20

total 12536 9970 7887 2083 1781 8175 5099 4758 1599 563 172

Table no 2

MONTH WISE DATA OF OBSTETRICS AND GYNAECOLOGY OPD-2018

Months Total

ANC

Total Gynae

patients

Hemoglobin

Testing of ANC

ABORH testing

of ANC

I/v iron

sucrose

I/V iron carboxy

maltose

JSY

Beneficiary

Maternal

Death

Jan 4705 2684 1157 1201 201 39 55 1

Feb 4421 2295 1273 1238 52 48 23 1

March 5013 2536 1638 1664 158 53 8 Nil

ANNUAL REPORT 2018


April 5347 2506 1288 1278 152 176 Nil 1

May 6406 3012 1672 1713 --- 202 25 3

June 6066 2283 2382 2382 --- 215 8 2

July 6694 2612 1711 1680 --- 139 Nil 2

Aug 5597 2196 873 847 --- 184 Nil 2

Sep 4762 2064 895 922 --- 137 17 3

Oct 4633 1799 424 457 --- 168 16 1

Nov 3695 1750 508 493 --- 157 Nil 1

Dec 3722 2234 438 401 --- 110 Nil 1

Total 61061 27971 14259 14276 563 1604 152 17

Table No 3

Data of Gynae Surgeries year 2018.

Months Minor Gynecological Surgeries Major Gynecological Surgeries

Jan 17 10

Feb 26 3

March 45 9

April 24 13

May 23 15

June 18 21

July 23 19

Aug 11 9

Sep 13 7

Oct 3 16

Nov 35 17

Dec 39 16

Total 277 155

Family planning activities

Counseling of JSY patients in daily OPD

Counseling of postpartum IUCD in daily OPD+ insertion of internal, PA PPUCD’s

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 working days

Incentive money of JSY beneficiary procurement dispersion auditing done on monthly basis.

Distribution of Incentive money of sterilization given after following the procedural guidelines.

ANNUAL REPORT 2018


Plain CUT insertions/ removal in OPD basis and follow up is done daily

Indoor counseling in various contraceptive techniques by ANM & LHV since 1 yrs with dispersal

to the eligible couple.

Introduction of new contraceptives Antara and Chaya

Table No 4

Month wise Data of procedure performed in Family Welfare Department 2018

Month Vasectomy MTP

with

CuT

MTP

Lap.sterlization

PP

sterlization

Interval

IUCD

PP

IUCD

PAIUCD Total

Abortions

Inj.DMPA

Jan 1 18 6 15 20 85 18 41 16

Feb 1 16 5 7 11 87 16 44 13

Mar 0 30 2 15 17 98 30 66 26

April 0 18 8 11 14 70 18 64 23

May 0 27 2 34 23 130 27 58 30

June 0 15 5 14 23 71 15 46 24

July 0 13 5 10 26 115 13 45 28

August 0 12 4 20 22 139 12 42 29

September 0 7 2 10 29 112 7 32 14

October 1 11 5 13 11 75 11 47 28

November 1 8 3 6 15 53 8 46 24

December 0 6 3 0 29 48 10 32 24

Total 4 181 50 155 250 1083 185 573 279

Thalassemia Project report for Jan-18 to Dec-18

Thalassemia 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, hence

now they 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

ANNUAL REPORT 2018


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

viii. Patparganj seemapuri

Data of SDN Hospital

Total number of patients screened:- 144

0-12 weeks:- 79 patients were screened, of which 22 cases were CBC +ve

& 57 cases were CBC - ve

12-20 weeks:-65 patients were screened, of which 12 cases were CBC +ve

& 53 cases were CBC-ve

Total CBC +ve cases:- 34 from both the groups

Out of these – 6 were of thalassemia trait.

Rest all were HPLC –ve

Compiled by

Dr. Shamoli Kundu I/C Family Planning

Department of OBGYN/ SDNH (EDMC)

In view of various GOI initiatives regarding maternal health and family planning they have various

programmes under RCH (Reproductive & child health) for every hospital in NCT. Since these programmes

are under National Urban Health mission every programme has to be monitored for quantity & quality by

the DFW. To carry out the above National programmes, Department of OBGYNE has revised the Nodel In-

charges and link officers w.e.f 26.12.18

Name & Designation Programmes & Schemes

Dr Rashmi saini (HOD/senior Consultant,SAG) Link officer Dr Shikha

Infection control committee and Antibiotic policy.

Training and CME’s – SOP’s of labour room and infection control

Overall I/C of all departmental activities.

Dr. Sunita Fotedar (Senior Specialist, Grade 2) OPD In charge

Dr. Kalpana kumar (Senior Specialist, Grade 2)

Nodal I/C Maternal mortality

Academic Coordinator DNB Students

Nodal I/C HCTC(Training of all health personnel’s according to latest guidelines- Management of HIV+ve antenatal, natal and post natal mothers, follow up of babies delivered to HIV+ve mothers and PEP)

Nodal I/C Laqshya Program

I/C Duty roaster of junior specialist

ANNUAL REPORT 2018


Training of quality assurance of Family planning activity

Dr Shamoli Kundu (SAG)

I/C Family planning Implementation of guidelines for quality assurance of Abortions ,Lap sterilization & Family Planing methods.

JSY(Janani Suraksha Yojna/

Nodal I/c –Thalassemia prog.

Nodal I/C PMSMA (Pradhan mantri Surakshit Matritava Abhiyan)

Nodal I/C PPIUCD (Post Partum Intra Uterine Contraceptive Device)

Dr Rekha Daral (CMO NFSG) Nodal I/C CAB(Care around Birth) Trainer

Nodal I/C JSSK (Janani Shishu Suraksha Karyamkram)

Nodal I/C PCPNDT (Pre-conception Pre-natal Diagnostic Techniques)

Asstt. Nodal I/C JSY (Janani Suraksha Yojna)

Laqshya Programme (Labour room)

I/C MCH Block (Ensuring availability of essential support service such as 24*7 runningwater, Electrcity,Housekeeping,linen, security, laboratory services, dietary services etc. CCTV Camera, Phones,PWD, Electrical, Drainage,Sanitation, Cleanliness,Beds maintenance etc.

I/C Senior resident, DNB students & Junior resident duty roster

Dr. Richa (SMO) Nodal I/c HMIS (OBGYN)

Link officer Implementation of guidelines for quality assurance of Abortions, Lap sterilization,JSY,PMSMA & PPIUCD(Including training of all health personnel according to guidelines)

Link officer CAB/Laqshya.

I/C Maintenance, AMC Demand of Equipments and Instruments (GYNAE Deptt.)

Dr Pooja (Junior Specialist) Nodal I/c Quality assurance in labour room

Nodal I/c BMW (OBGYNE)

Assistant Nodal I/c infection control committee and Antibiotic Policy OBGYN (Training of all health personnel’s regarding hand washing, aseptic techniques, disinfection, Sterilization, how to wear personal protective equipment &spill management)

Link officer CAB/Laqshya.

Dr Suman (Junior Specialist) Nodal I/c Examination of sexual assault victim brought to hospital as MLC and training of all SRs, DNB students & Jrs

I/C Drugs & Consumables-(Availability/Expiry/Demand)

Link officer JSSK (OBS & GYNE)

Link officer officer CAB/Laqshya

Dr Sarita Dheeraj (Junior Specialist) Nodal I/C MCH block (Ensuring availability of essential support services such as 24*7 running

ANNUAL REPORT 2018


water Electricity, Housekeeping, linen, security, laboratory services, dietary services etc. CCTV Camera,Phones,PWD, Electrical, Drainage, sanitation ,Cleanliness, Beds maintenance etc)

Link officer HCTC (Training of all health personnel’s according to latest guidelines-Management of HIV+ve antenatal, natal and post natal mothers, follow up of babies delivers to HIV+ve mothers and PEP)

Link officer CAB/Laqshya/ Maternal Mortality

Dr Shikha (Junior Specialist) I/c Deptt. Academic activities including department Training of USG/Infertility/CAB)

I/C Audit (Caesarean sections, Perinatal morbidity (NICU)admission/ Mortality)

Link officer CAB/LaQshya.

HCTC ( HIV Counseling and Testing Centre)

Caters to all antenatal patients for counseling and testing from gynae OPD, other high risk

general clients from other OPDs and outside referrals.

All HIV+ve cases are followed up till delivery and appropriate ART therapy given to all HIV +ve clients. All

children born to HIV +ve mothers are followed up for 18 months and tested as scheduled.

Table no. 5

HCTC-Data of year 2018

General client

Pregnant women

DBS(DNA-PCR) of HIV

exposed infant

In Labour room Emergency testing

Pre test counseling

6097 9537 13 Anti bodies-Test of HIV exposed

babies

Testing 6063 9480 13 11

Post- test counseling

6053 9464 13 11

HIV +ve detected

84 13 0 0

Refer to ART 81 13 0 0

HIV +ve delivery

NA 16 NA NA

TLE given to HIV +ve lady

NA 16 NA NA

NVP given to baby

NA 15+1IUD 13 NA

CPT given to + 15 -- --

ANNUAL REPORT 2018


baby

CPT has been given to HIV exposed babies after 6 weeks to 18 months (till confirm negative) NVP syp. Is

given to 15 HIV exposed babies as (1) IUD.

Census of sexual assault victims for the year 2017

Total no of sexual assault victims reported to hospital: - 53

Total no of sexual assault victims examined:-09

Compiled by

Dr. Suman Raje

ACHIEVMENT

Regular efforts being taken for improving inpatient & outpatient care.

New recommendation & current guidelines introduced on regular basis.

Implementation of GOI program initiated by MOHFW under maternal health like CAB (Care

around Birth), LaQshya (Labour Room Quality improvement initiative guidelines) ,JSSK(Janani

Shishu Suraksha Karyakram) , JSY(Janani Suraksha Yojna) & National Anemia Eradiation program.

Regular CAB training including PPH& Eclampsia drill is being conducted for all staff posted in

labour room for skill up gradation.

Auditing is the back bone of our department which helps us to formulated policies & protocols

regarding patient care each neonatal & maternal death are critically evaluated analyzedin our

monthly perinatal meeting with pediatrics department for each case which helps to improve in

quality of care.

ACTIVTIES

Sensitization meetings of sulabh karamcharis, Lab technicians, ward boys & security

personnel’s were conducted to motivate for sterilization operation.

CME Conducted to stress on the importance of sterilization & limiting family in family

planning deptt for students of Raj Kumari Vijay Raje Scindia School of Nursing.

On world AIDS day Ist December 2018 a Nukkad Natak was performed by Nursing

students for HIV- awareness of general population. It was very informative & nicely

presented. Students gave the massage to public that HIV is a preventable & manageable

disease it is detected in early stages.

Future Activity Plan

We plan to improve to quality care under ‘LAQSHYA Labour room quality improvement initiative’ scheme

under GOI. Under this scheme we are expected to accelerate up gradation of conventional labour room

as per norms given in ‘Guidelines for standardization of labour rooms at delivery points’ and establish

HDUs as per norms given in the ‘Guidelines for Obstetric HDUs and ICUs’

ANNUAL REPORT 2018


Submitted by HOD GYNE

Dr Rashmi Saini

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

deptt is equipped with 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 two refractionist.

The department: Catered to approx 36947 patients (16994 new patients: 19953 old patients)

: Performed approximately 670 major and 400 minor surgeries

: Refractions approx 21395 (Male: 8965, Female: 10024, Children: 2406) were

also performed

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

Theatre with one phacoemulsification machine. The various surgeries performed in 2016 were

Cataract surgeries including phacoemulsification with foldable intraocular lenses , Glaucoma

surgeries, Combined (cataract + glaucoma) surgeries, Squint surgery, Pterygium surgery including

conjunctival autograft, 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 adequately equipped ophthalmic diagnostic lab with Slit-lamps, YAG

laser unit, Autorefractokeratometer, A-scan biometer, Lensometer, Non-Contact Tonometer,

keratometer (Manual), Indirect ophthalmoscopes. A photo slit-lamp and wireless indirect

ophthalmoscope have been added to facilitate disposal/recording of outdoor patients requiring

anterior segment/retinal examination.

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.

OPHTHALMOLOGY

ANNUAL REPORT 2018


- Ocular involvement in Rosai- Dorfman disease- A case report’- Paper presented in

Annual Conf of AIOS, Feb 2018 Coimbatore by Dr.Anup K Goswami

- E-poster in DOS winter conference Nov 17th

-18th

2018.

a) “Cholesterol Granuloma misdiagnosed as glaucoma “by Dr.Nidhi & Dr. Tishu

Saxena.

b) “Cutaneous benign fibrous histiocytoma of eyebrows” by Dr. Tishu Saxena & Dr.

Nidhi

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

- -Blephrosis is Feb’2018

- Review of chlrophenical of treatment –March 2018

-Dry Eyes lison –April 2018

- Review of Myopia treatment-May 2018

- Medical management of Glaucoma-June 2018

- Live Surgical video Computer -September 2018

-Dry Eye - December 2018

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

participated in various national programs as

-National eye donation awareness program

-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 2017) was conducted to increase awareness and

motivate people for eye donation. Various motivational activities carried were

- CME conducted emphasizing role of general populace in eye donation

-Banners and posters were displayed in the hospital

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

STATISTICS FOR LAST TWO YEARS

INDOOR

PATIENTS

OUTDOOR

PATIENTS

OPERATIONS

REFRACTIONS

ANNUAL REPORT 2018


2017 2018 2017 2018 2017 2018 2017 2018

New 594 670 16036 16994

Old 18920 19953

Refractions 20473 21395

Major 594 670

Minor 410 400

TOTAL 594 670 34956 36947 1004 1070 20473 21395

Compiled by: Dr. Anup Goswami

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

and managed with the help of two contractual house surgeons, one ad-hoc Senior Resident, one

staff nurse, one dental hygienist (contractual) and one ward boy.

Number of patients in OPD

PROCEDURES ONE:

S.NO Procedures done Total

1 Restorations Done 4055

2 Root canal treatment 25,560

3 Oral prophylaxis 1900

4 Extraction of teeth 410

5 Extraction of teeth with surgical drainage of pus 100

6 Extraction of impacted teeth 130

7 Apicoectomy 9

8 Closed reduction 2

9 Periodontal wiring and spinning 369

10 Miscellaneous/ Laser 300

11 I.O.P.A X-rays 1943

Total procedures done= 34,778

2017 2018

New Patients 16,454 11,092

Old Patients 24,742 36,026

Total 41,196

47,118

DENTAL

Departmen

t

ANNUAL REPORT 2018


Compiled by: Dr. Monica Narwal

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.

Three Sr. ENT Surgeon and one part time Contract specialist

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 and in

registers.

I. O.P.D SERVICES :-

Daily OPD load is around 150-200 patients.

I. Examination + diagnostic facilities support by Biochemistry & pathology Lab of the hospital.

II. Minor OPD Procedures like

Lobuloplasty

Cyst & L.N. removal

Biopsy from ENT region.

Tongue Tie Release

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 Senior ENT Surgeon & GDMO ,who are on call duties daily to

attend calls from Casualty and wards

EAR, NOSE & THROAT

DEPARTMENT

ANNUAL REPORT 2018


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.

Septorhinoplasty

Nasal Bone & facial bone fracture correction.

Endoscope Nasal Surgeries

Fungal sinusitis, Sino Nasal Polyposis Removal.

Endoscopic Endo nasal DCR.

6. SURGERY OF THROAT:-

Surgeries of upper aero digestive tract & limited phono surgery are 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.

Ranula Excision.

Tongue growths excision biopsy.

7. 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.

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

Surgery of cleft -palate

8.SPECIAL ACHIEVEMENT :-

ANNUAL REPORT 2018


Diode Laser was acquired 5 yrs back which has been used for following surgeries.

Laser tonsillectomy - 14 Cases

Laryngeal Cyst - 1 Case

Palatal growth excision - 1 Case

Micro Debrider for FESS Surgeries was acquired during the year and is being

used.

1. 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.

LAST TWO YEAR STATISTICS OF OPD AND OPERATIONS CASES

INDOOR OUTDOOR

2017 2018 2017 2018

13024 13815

22278 23308

248 252 35302 37123

OPERATIONS

2017 2018

Major 239 248

Minor 158 160

Emergency 25 22

TOTAL 422 430

OPD PROCEDURES

1 Foreign body (nose) removal 56

2 Foreign Body (ear) removal 85

3 Syringe of ear for wax & fungus 544

4 Tongue tie release 67

Compiled by: Dr. Gyanesh Gupta

ANNUAL REPORT 2018


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 & Thalassemia control project of all ANC cases attending the hospital.

Since the HIS is fully operational 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

Coagulation Analyzer

BIOCHEMISTRY, MICROBIOLOGY & PATHOLOGY

ANNUAL REPORT 2018


Laminar flow

Bacteriology incubators

Laboratory centrifuge & Ovens

Autoclave machines

Binocular & Trihead Microscope

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 Incubator & 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.

Apheresis machine

Embedding Station

Microtome (Leica)

Electronic weighing cum balance scale for Blood Bank

All these equipments are serviced regularly under AMC contract & calibrated as per

protocol:

AUGMENTATION OF EXISTING SERVICES

During the financial year 2017-18 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: -

ANNUAL REPORT 2018


We are receiving autopsy specimen HPE From East Dist. Of Delhi since September

2018.

2. Microbiology lab :- During the dengue time period, sample were accepted throughout the day

for IgM Dengue with NS-I and Chikungunia.IgM Dengue was performed on 285 and NS-I on 19

cases. 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.

BMW Meetings and Inspections held every month.

Department has also been inspected under Kayakalp Peer Programme .

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 various hospital (Safe Blood

Transfusion practices & appropriate use of Blood/Components) .

Doctors and Lab Technicians attended the Training Programme on Laboratory Testing for

Dengue/chikungunia conducted by 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 controls are put in place for maintaining Quality Assurance of the tests .

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.

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 Hematology reports

are done by the Specialist & MO in the Deptt.:-

1. Dr. Awanindra Kumar (HOD)

2. Dr. Deepti (Specialist Pathology)

3. Dr. Shelly Sehgal (Specialist Pathology)

4. Dr. Shruti Grover(SR Pathology)

5. Dr. Megha Gupta(SR Pathology)

ANNUAL REPORT 2018


6. Dr. Mohit Kumar(MO Pathology)

7. Dr. Mukta SR Microbiology

Dr. Awanindra Kumar manage day-to-day administrative activities of Department of Pathology

& Transfusion Medicine with the help of Dr. Mohit Kumar

●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 2018. In addition the laboratory staff manage the ‘Blood 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 24 patients registered in the Thalassemia Day Care Unit. Over 754 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.

TABLE OF HISTO-PATHOLOGY DEPTT. SDN HOSPITAL

MONTHS GROSS MICROSCOPIC D/C AFB TOTAL

JANUARY 142 244 4 2 250

FEBRUARY 154 223 7 3 233

MARCH 194 279 4 1 284

APRIL 159 273 12 6 294

MAY 162 302 6 4 312

JUNE 142 250 6 3 259

JULY 214 402 8 2 412

AUGUST 154 287 12 7 306

SEPTEMBER 178 235 8 2 245

OCTOBER 171 255 8 4 267

NOVEMBER 169 267 2 2 271

DECEMBER 207 289 5 4 298

TOTAL 2046 1880 82 40 3431

ANNUAL REPORT 2018


TABLE OF AUTOPSY DEPTT. SDN HOSPITAL FOR EAST DELHI DIST.

MONTHS GROSS MICROSCOPIC D/C AFB TOTAL

JANUARY

NIL

FEBRUARY

MARCH

APRIL

MAY

JUNE

JULY

AUGUST

SEPTEMBER 03 63 02 ---

OCTOBER 10 96 -- 01

NOVEMBER 04 41 04 ---

DECEMBER 03 59 02 02

TOTAL 20 259 08 03 270

LAST TWO YEAR STATISTICS OF LABORATORY INVESTIGATIONS

TEST 2016 2017 2018

Hematology 189231 36,5895 250457

Clinical Path 13952 10,295 9352

Histo-Pathology 3655 3257 3701

Cytology +PAP+B.F. 3381 4100 1359

Microbiology 29648 43,980 62344

HPLC Lab 136+212=348 52 11

Bio-Chemistry 206264 193862 239331

F.N.A.C. 2631 3181 3715

A.N.C. Lab 31010 30642 28533

Emergency Lab 69834 41936 31439

Blood bank 46116 57304 76869

OPD LAB

1. Hematology 143042 126957 50452

2. Routine Test (urine&

Stool)

49496 47863 18096

Total 788608 929324 775669

Compiled by Dr. Awanindra Kumar

ANNUAL REPORT 2018


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 and storage of blood

Pre-transfusion screening of transfusion transmissible infections (TTI) e.g. 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 organizes 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 (2017-18)

During the year 2016-17, 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. 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.

Deep Freezer (-30˚C) is installed.

Machine for storage of Platelet Units at 20-22˚C. is installed

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

Transassia make.

One semi automatic ELISA Processor has been installed of TECON make.

One new Lamirar flow installed.

Micro typing Gel card system of Tulip make has also been installed.

BLOOD BANK & TRANSFUSION MEDICINE

ANNUAL REPORT 2018


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 conducted 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 test for participant

in terms of knowledge, proficiency and accuracy.

DETAILS OF VOLUNTARY BLODD DONOR CAMPS:-

In year 2017 four voluntary Blood donation camp have been organized:-

ACHIEVEMENT OF TARGETS: -

During the calendar year of 2018 the hospital Blood Bank achieved its target of collection

of 3247 units of blood from replacement and voluntary blood donors. In addition, 450 units of

blood were received from RBTC & IRCS & 153 units transferred to other Hospital. The BTS

issued over 3820 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 deficiency by making component itself

and issued Nil RDP and 10 units S.D.P.(Jumbo Pack).along with FFP & RCC.

MISCELLANEOUS

The Thalassemia Day care unit has been functioning for the management of diagnosed

patient .All the registered patients numbering 24 are given blood transfusion under close

supervision.

The blood bank issued 813 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 Thalassemia Welfare Society. The screening test done in the department

includes Haemogram., HIV ,HBsAg & HCV (Serum ferritin test is done at Thalassemia Society

of HRH ) at present .

ANNUAL REPORT 2018


FUTURE UPGADATION PLANS FOR THE 2018-19

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 2018-19 for whole Human Blood & Blood component and to grant permission for

component and Apheresis.

Deep Freezer – (30°C-40°C)

Compiled by Dr.Awanindra Kumar

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 26 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. HOD,Pathology Department 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 (cap. Deferiprone & Tab Desafirox).

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

Providing the testing facility such as: -

THALLASEMIA DAY CARE

ANNUAL REPORT 2018


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 2018

Total number of blood transfusions- 831

1. Total chelating therapy by I/V route NIL

2. Total number of Lab Test done Total CBC- 509

KFT – 484 times

LFT – 484 times

HIV - 52 times

HCV – 52 times

HBSAG – 52 times

CBC - 509 times

Blood Group – 509 times

SE - 484 times

Thyroid - nil

Chikungunia nil

Blood Sugar – 484

ECG- 40

Chest-Xray- 40

Compiled by Pediatrician Dr. Jaswant

ANNUAL REPORT 2018


One Sr. specialist,one S.R. and two 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.USG is done on walk in basis. No dates are given.

RADIODIAGNOSIS

X-ray 2017 2018

Chest 21145 25866

Abdomen/KUB 853 2176

Bone & Joints 15793 25026

E.N.T./Skull 78 307

Spine 1206 2527

TOTAL 39075 55902

ULTRASOUND

Ultrasound 2017 2018

Obstetric & Gynecology 979 1355

KUB/Lower/UpperAbdomen. 3007 4351

Whole abd. 6725 7278

Others 1303 481

G. Total 12014 13465

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 Sanctioned

Post

Filled

Up

Vacant 2018

1 Technical Asstt 02 NIL 02

2 X-Ray Technician 10 5 05

3 X-Ray Asstt. 13 10 03

4. X-Ray Attandent 01 10 NIL

Compiled by: Dr. Prashant Jain

Radio Diagnosis & Imaging

ANNUAL REPORT 2018


The Emergency block is 23 bedded centrally air conditioned block catering to all types of emergency cases not only from east Delhi but also from nearby state including UP & Haryana. A total no. of 129810 patients attended the casualty in 2018.

Staff Pattern. Managed by 5 Medical officers, 5 Senior Resident Doctors & 5 Junior Resident Doctors doing round the clock duties. There are 10 Staff nurses doing 24 * 7duties, and also ancillary Staff like dressers plasters assistant, ward boys & sweepers doing their duties. One senior doctor is present 24 x 7 to look after the Casualty and whole hospital. She/he is designated as CCMO or Supervisory CMO. It enhances the patient Care at large.

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. Many point of care tests like Troponin -T (for heart), RDT for malarial tests are available. Thrombolytic for Heart attack and Brain strokes are available round the clock, quite a few numbers of patients have been successfully saved with these life saving injections. Post-Exposure prophylaxis for HIV & HBV is available. The Casualty has been inspected by Hon’ble Commissioner. ADC (H), Mayor, Standing Committee Chairman, Health committee Chairman various other officials of EDMC. Everybody appreciated the efforts of the department.

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 organizations running the camps.

Separate chambers for medicine, pediatrics, surgery & orthopedics EMOs. 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.

Up-gradation of resuscitation room and completion of the waiting area with false ceiling. Fully functional defibrillator, pulse-oxymeter & all other resus room equipments is made available for the serious patients. Provision of wall mounted B.P. instruments, suction & oxygen points were made near all the beds.

Accident & Emergency Department

ANNUAL REPORT 2018


Provision of Multiparameter in CMO room, EMO(Med.) & EMO(Paeds) Room. 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. Imparting training to student of the Nursing School of this hospital. Good quality wheel chair & stretchers were made available in the casualty. Up gradation of doctor’s duty room is done to make them comfortable in attending to serious patients.

Ongoing work. Demand for two patient transport ambulances for procurement is in process. Staff Pattern

Casualty In charge Dr. Rakesh Singhal

Disaster management CMO Dr. R. Chattarjee Maintenance of Duty room Doctors

Dr. Sachin

Sister I/C Casualty Mrs. Kiran Arora Mrs. Rajana Gupta

Medical officer Senior Residents

5 5

Junior Residents 5 Sister (Nursing) 10

In last 3 years it has been our endevour to enhance the services by providing in house consultant from medical, Peads, Surgery & Ortho. So as to make it a casualty cum emergency ward.

Complied by CMO I/C Dr. R. K. Singhal

ANNUAL REPORT 2018


Anaesthesiology and Critical Care

The department of anaesthesiology is providing efficient, exemplary health care

services towards the patients and the public of the NCR. The department has dedicated and

competent medical and nursing and technical staff to manage routine and emergency OT and ICU

services through four operation theaters with seven OT tables and advanced ICU. The department

has every possible advanced medication, devices and equipments in the ICU and the operation

theatre for diagnostic, monitoring and therapeutic utilization for all types of invasive and non-

invasive procedures.

PAC clinic-The department runs a pre anaesthetic checkup clinic for the assessment of

outdoor and indoor surgical patients.

Minor OT - Day care surgeries are routinely conducted in minor OT.

Main Operation theatres - surgeries and procedures are performed for the patients of all

the departments including advanced laparoscopic, endoscopy, orthopedic (spine surgeries,

joint replacement eg Knee, Hip shoulder replacement surgery), ENT, ophthalmology, and

pediatric surgeries under supervision of Dr. Daya Shankar,Dr. Rajan Khanna,Dr.

Dharminder Singh, Dr. B.K Lall, Dr. Kailash, Dr. Sonal and Dr. Savita alongwith

residents and DNBs

Gynae OT -A separate operation theatre is running for the gynecologic and obstetric

surgeries routine and complicated like PIH, Eclampsia, APH and PPH)

Emergency surgical services - emergency orthopedic, obstetric and surgical cases (laparotomies

for the cases of intestinal obstruction/perforations/ hemoperitonium) are done round the clock in

emergency OT. The resident doctors and supportive staff are performing commendable duties for

the efficient patient management with the supervision of the consultant on call.

CSSD and sterilization procedures services - It takes care of sterilization of

equipments/instruments and linens and helps in the infection control. Dr Rajan khanna is

directly supervising the CSSD services.

Oxygen manifold and liquid oxygen plant -provides uninterrupted oxygen supply to the

patients in different wards.

The equipment maintenance being supervised by Dr BK Lal and Dr Kailash

Duty and teaching roster is managed by Dr Sonal and Dr Savita.

Future planning –

o The Department is planning to start four more operation theaters near MCH

BLOCK.

o Pain Clinic - Dr Savita has performed a specialized pain management training

course at AIIMS

ANNUAL REPORT 2018


The ICU services - The Department boasts of running a state of the art intensive care unit

as an immense support to the critically ill patients of Delhi and NCR including the referred

patients from other government and various hospitals.

The ICU of Swami Dayanand Hospital is doing an exemplary work. The residents, nursing

staff and technical staff are performing duty 24×7, 365 days. Dr Daya Shankar, Dr

Singhal and Dr Ranajit Chatterjee are also attending the emergency ICU calls.

The ICU is efficiently managing the critical patients from the departments of medicine,

surgery, obstetrics and gynaecology, paediatrics and others to treat the patients of the

major laparoscopy/onco-surgery , trauma , poisoning, , CAP, COPD ,acute pancreatitis,

eclampsia, ischemic stroke, haemorrhagic stroke,, post operative cases of perforation

peritonitis ,meningitis ,poisoning patients , HELLP, post perforation peritonitis, paediatrics

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.

The ICU team is also providing effective support in resuscitating emergency patients in the

casualty and different wards of the hospital.

Specialised ICU Programme:

The ICU along with the department of medicine is continuing ‘stroke program ‘for the

thrombolysis of the patients of acute ischemic stroke .

The ICU has the advanced facility of CRRT (Continuous renal replacement therapy) and

SLEDD (sustained low efficacy daily hemodiafiltration) to manage critically ill patients

suffering from acute kidney injury (AKI ).

Therapeutic thrombolysis in patients of acute Myocardial infarction and cerebral

thrombotic stroke.

Point of care usg, advanced hemodynamic, coagulation disorder monitoring and ABC,

cardiac/renal /others vital biomarkers monitoring.

The Department Consultants

Dr. Daya Shankar HOD Anaesthesiology and Critical Care

Dr. Rajan Khanna Senior consultant

Dr. Rakesh Singhal Senior consultant

Dr. Dharminder Singh Senior consultant

Dr. B.K Lall Senior consultant

Dr. Kailash Senior consultant

Dr. Ranjit Chatterjee Senior consultant

Dr. Savita Meena Junior consultant

Dr. Sonal Sharma Junior consultant

ANNUAL REPORT 2018


Academic achievements

The department of anaesthesiology SDNH has excellent academic record with regular

active participation in academic classes, case presentations, seminars and mortality and

morbidity discussions at the department and the hospital level.

The doctors are attending the CMEs and conferences of ISA, ISCCM, DMA at the state

and national level.

Dr Rajni Khedwal and Dr. Ranajit Chatterjee represented as faculty and chaired in various

conferences and Dr. Ranajit Chatterjee received the academic excellence award in ISA

Delhi 2018.

Dr Dharmender Singh is designated DNB Teacher and DNB examiner.

DR Vidushi, DNB student received Ist prize in KOPS award in critical care, ISACON

2018 held at AGRA for the paper presented “Comparison of early vs late hemodiafiltration

in patients of ARF with sepsis” Dr Daya Shankar and Dr R Chatterjee also attended the

conference.

The Department has successfully hosted ISA Delhi clinical meet and organized

mechanical ventilation workshop for North Zone ISA annual conference in April 2018

which was attended and appreciated by larger number of the delegates

DR Dipti Agarwal presented a case study on NIV/HELMET Ventilation at MAMC

DELHI IN OCT 2018.

The Department successful conducted the FAT assessment for the external DNB students

in Feb 2018.

The department also successfully organized a monthly ISA meet and the presentation by

the departmental speakers was extremely appreciated.

The department successfully organized CMEs on CPR management.

The department also organized CMEs on hospital infection control and safe anaesthesia

care.

The department has got DNB accreditation for the DNB Course and now the department

has six DNB Students and two more will be joining in next session.

Dr Rajni Khedwal, Dr Daya Shankar and Dr Dharminder are supervising the thesis work

of the DNB students, as designated Guide and Co Guide

The thesis of Dr Meenakshi, DNB was accepted by NBE.

The thesis of DR Vidushi and DR ISHA has been submitted to NBE

The thesis protocol of DR Aparajita has been submitted to NBE

ANNUAL REPORT 2018


ICU CENSUS 2018

ICU DATA 2018

Number of patients 652

Recovered/transferred 433

Death 219

OT CENSUS 2018

OPERATIONS & PAC

Major operations 5903

Minor operations 12301

Emergency operations 5489

TOTAL 23693

P.A.C. 12500

Compiled by: Dr. Dayashankar

ANNUAL REPORT 2018


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

D.N.S 1 1

A.N.S. 11 1

Nursing Sister 59 50

Staff Nurse 187 39

Compiled by Matron & Mrs.Anita

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. three years Course with 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 60 students (1st, 2

nd & 3

rd

year) our first batch passed out month of January 2018 and last batch passed out month of January

2018.

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 individual, family, community and the nation.

NURSING CARE

Nursing School

ANNUAL REPORT 2018


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.

ABOUT NURSING SCHOOL:

Nursing School has separate budget allocation on yearly basis.

Nursing Art Laboratory, Anatomy lab, Community lab, Midwifery lab, Nutrition lab and A.V.aids

lab furnished with new equipments.

Power point projectors with modern facilities in classrooms.

Separate space for library with latest additions of books.

Furnished rooms for all students.

Installation of CCTV cameras to strengthen security of premises.

Mannequin /dummy provided in all labs.

R.V.S. Nursing School has two Elevators for nursing students.

Modern computerized lab for students.

Cultural Programs celebrated in RVS Nursing School.

Achievements of RVS Nursing School 2017-18

Best result of RVS Nursing School among all nursing schools of MCD in the academic year 2018

Conducted several NEP for our students on modern Nursing technique to facilitate patient care.

Student have participated in various extra curriculum activities which help them in strengthen inter

personal relationship and sense of corporation among students.

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

successfully by RVSNS for 2017-18.

Medical and spiritual visits for students of RVS Nursing School.

Active participation of nursing students for community building in forum of skits and role play on

topics like “SWACHH BHARAT ABHIYAN” and “BETI BACHAO BETI PADHAO”.

Academic activities with doctors and other staff to sensitive patients and attendants against

diseases like Dengue, Chikungunia and Malaria etc. Importance of breast feeding for new born and

mothers prevention of HIV & others STD’S etc

Self defence training programme was conducted in the year 2018 successfully.

Students achieved 100% pass result in final DNC examination and got first position among all

Govt. Nursing Schools of Delhi

ANNUAL REPORT 2018


TARGET FOR THE YEAR 2017-18

Requirement of faculty against vacant sanctioned posts.

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

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

Procurement of Linen & Stationary

Tendering of Mess.

Procurement of skill arts lab articles.

TEACHING FACULTY OF RVS NURSING SCHOOL, SDNH

Principal: Mrs. Ritu Singh

Tutors: Mrs.Akhila S. Mrs. Shanti Kathet

Mr.Mukesh Kumar Suman Mr. Arun Kumar Goyal

Compiled by:-

Mrs. Ritu Singh

Principal of RVS Nursing School

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:

POST SANCTIONED VACANT

Steward 1 --

Dietician 1 --

Head Cook 2 2

Cook 8 --

Bearer 10 5

Masalchi 4 2

Compiled by: Dr.Ashikho Sazerou

Hospital Catering

ANNUAL REPORT 2018


Sports and Cultural Club is a registered society, established in 1989.

Vision of club

Intelligence and capability are not enough. There must also be the Joy of doing something beautiful. Being in service to God and humanity means going well beyond the boundaries of " It's not my job",to the humble demonstration of courtesy and compassion to each patient. Our target is to inculcate feeling of compassionate care, accountability, respect for all and excellence as a culture.

Activities

Our club now becomes a platform for all sorts of social, welfare and educational activities in the hospital. As a hospital staff we all encounter with the situations, where we have to serve debilitated, under privileged and even neglected chunk of society. This attitude of serving humanity by real human being is deeply admired and appreciated by our club. We help our members to interact and develop inter personal relations by organizing various activities. This help in building harmony among employees and a conducive atmosphere at work place.

• Annual day celebrations ( SANGAM )

This is major celebration being organised by our SDNH Sports and Cultural Club. We celebrate this day every year near the birth anniversary of Swami Dayanand Saraswati ( Padam Bhushan 2016). Last year commissioner EDMC attended the function and appreciated the club and it's activities. Prize distribution, cultural programmes were organised.

• Swami Dayanand Saraswati Birthday

Every year birthday of Swami Dayanand Saraswati is celebrated as per Hindi Calendar. This year all employees of the hospital gathered in front of the statue of Swami Dayanand Saraswati and took pledge to follow the path shown by him. A speech delivered by some eminent personality about life teachings of Swami Dayanand Saraswati. At the end of programme sweets were distributed among staff, patients and general public.

• Annual Sports

Sports activities are being organized by our club every year in the month of January -February. These activities keep our members in sound state of health and, also provide the platform to show their talent in respective fields. These sports foster great harmony among the employees. Various cultural activities with public health message on different social and medical issues are being timely and regularly addressed by the club e.g HIV awareness, Eye donation, save a girl child, beti bachao beti padhao, swacch Bharat abhiyan, dengue and chickenguniya awareness by nukkad natak etc. Best employee award in various categories is also distributed.

• Independence day Celebration: Independence day was celebrated with unprecedented programme in the history of Swami Dayanand Hospital. We have organized play on life of our soldiers which was heart touching. We also made presentation as a symbol of respect for our soldiers. Various dance performances were there which captured the eyes and heart of audience in the auditorium.

• Dr Bhimrao Ambedkar Jayanti was celebrated by paying homage to great leader and many dignitaries were invited to focus on various aspects of life of this great personality.

Sports & Cultural Club

ANNUAL REPORT 2018


• Swach Bharat Abhiyan : Mass pledge was taken by all hospital staff on maintaining cleanliness of our surroundings. A pledge of Integrity on International Unity Day was also taken by all hospital staff.

• Guru Gobind Singh Jayanti : One milestone programme was organized on occasion of birth anniversary of Shri Guru Gobind Singh Ji. Langar was also served to our hospital staff.

• Plantation Drive : In order to maintain sustainable environment a small initiative was taken from our club. We planted many saplings of various varieties of trees in our courtyard of hospital.

• World Population Day

We have successfully organized quiz programme on occasion of world population day. Various skits and plays were also organized with collaboration of department of obs and gynae. This helped general public to understand the need of the hour.

• Spiritual health

Session on meditation and spiritual health taken by spiritual leaders in our hospital like Bramhkumaris.

• Yoga day celebration

We organized Yoga session by renowned Yoga Guru and most hospital staff participated in it. Some of our hospital staff participated actively and became trainer also.

• Hindi Diwas Celebration

Hindi diwas celebrated every year in our hospital. We organise various events on this occasion like essay writing, quiz, debate etc.

Other activities

A. Organizing farewell to all the employees of SDN Hospital. This is attended by all categories of workers regularly. Sports and Cultural Club presents Prateek Chinnh and Appreciation Letter (Prashasti Patra) to all the employees on there superannuation.

B. Felicitating major achievement of its workers.

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

D. Birthday Celebrations of freedom fighters and great National leaders like Swami Vivekananda.

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

F. Common get together of all employees on special occasions.

What's New

With involvement of nursing students we have done Various activities which help us to increase the momentum of patients and attendant awareness.

'DAYANAND PREMIER LEAGUE '(DPL) Cricket was included in Sports category and it was a big hit. This year the activities already started and we will try to make it memorable and with every year learning we try to involve more and more people in club activities so that they cherish the feel of being family with other staff members.

DR GLADBIN TYAGI SECRETARY

SPORTS AND CULTURAL CLUB

ANNUAL REPORT 2018


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

employee in the year 2017 in the Conference cum Lecture Hall, which is situated in

Library of Hospital. Hospital appointed new staff for the Library & also renovated library.

Library provides service and manages time to time for the workshops, guest lectures and

other functions in the honor of the hospital. This year our hospital got DNB accreditation

& 17 students join here in different depts. Like Medicine, Pediatrics, gynae, Surgery,

Anesthesia.

Guest Lecture:-

1. Glaucoma Awareness

2. Sensitization for medical care & ward management

3. E-Modules

4. Hospital Institutional Ethical Committee (HIFC)

5. Statistical Analysis

6. Pre & Para clinical teaching for DNB students by guest teacher

7. Indian Society of Anesthesiology Delhi Branch – Monthly Meet

8. AFP Surveillance

Public Health lecture:-

i. BMW/Ward

ii. Malaria recent Guidelines & management protocols

iii. Management of Dengue Fever

iv. Prevention of vector Borne Disease

v. Sanitization meeting on world population day

vi. Dengue, Malaria & Chikungunia awareness

vii. Eye Donation awareness

viii. Swine Flu

ix. Malaria in children

Workshop:-

1. CRRT

2. Laparoscopic workshop for gynecologist

3. Trainees of Doctors & Nurses in facility based newborn Care

4. Non Invasive & high flow ventilation

5. ACLS Training

6. New Facility in Library:-

1. DNB students reading room.

2. E Books available for online Access for consultants & DNB Students

3. New Monthly Journal for reference for Med/Sur/Gynae/Pediatrics/Anesthesia.

4. DVD for standard references

LIBRARY Science

ANNUAL REPORT 2018


CME for 2018 to 2019

.NO CME MONTH NUMBER OF CME

1. Feb 02

1 March 08

2 April 02

3 May 05

4 June 03

5 July 05

6 August 05

7 September 04

8 October 08

9 November 03

10 December 01

11 January (2019) 07

GUEST LECTURE:-

1. Gall Bladder Cancer

2. Webinar on Asthma

3. ABG Analysis

4. Glucose Challenge test in pregnancy

5. ACLS Guidelines

6. NSTEMI Management in secondary care setup

7. Bone marrow transplantation

CME:-

1. CA stomach – An emerging threat

2. Approach to short statures

3. RNTCP guidelines

4. Failure to thrive

5. Drugs for breast Cancer

6. Rickets

7. Perinatal Mortality

Compiled by Dr.Chakravarty

ANNUAL REPORT 2018


Under implementation scenario of BIOMEDICAL WASTE MANAGEMENT Rules, 2018, the work, is

done at approximately 50 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(Average) Mode of

treatment Month Day

1

Human Anatomical Waste

Soiled Waste (items

contaminated with

Blood, body fluids including,

Cotton,

Dressings, plasters etc.

(including Human Anatomical

waste,Expired Medicines)

Microbiological,

Biotechnological &Lab Waste

4000 kg 133 kg. Out Sourced to

M/S SMS Grace

water Pvt. Ltd.

2

Waste Sharps-needles,

scalpels, blades,

230 kg

7.7 kg Out Sourced to

M/S SMS Grace

water Pvt. Ltd.

3 Glass ware, Metallic Implants 690 kg 22 kg

4

Solid Waste-generated from

disposable

Items other than

sharp…plastic

Syringes,

Tubing I/V sets, Catheters etc.

3000 kg 100 kg. Out Sourced to

M/S SMS Grace

water Pvt. Ltd.

BIO MEDICAL WASTE MANAGEMENT - 2017

ANNUAL REPORT 2018


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.

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

Compiled by: Dr. Gyanesh Gupta

Swami Dayanand Hospital is a very old and big hospital of EAST DELHI MUNICIPAL

CORPORATION in East Delhi. This Hospital is situated very near to UP Border. The population

density of East Delhi is very high as compared to other part of the city. Patients come in large nos.

from East Delhi and nearby areas of UP Border as well. The average of patients registration is

approx.2500 to 3500 patients/day. In OPD Pharmacy 3 counters are running for general public, 1

Separate Counter for Hospital staff /retired MCD employees/handicapped patients/freedom

fighter/Counselors/M.L.A and 1 Counter is running for Sr. Citizen at ground floor in OPD Deptt.

GYANE PHARMACY and PAEDS PHARMACY is Situated at 1st & 3

rd floor respectively for

the convenience of the patients of respective OPD’s.

The OPD Pharmacy is managed by 9 Pharmacist.2 Pharmacist are posted in Stores (1 in

Medical store and 1 in Surgical) for procurement and distribution of Medicine /Surgical items. 7

Pharmacists are posted at counters for distribution of medicines to the patients. In Hospital

Pharmacy at Store/Counters all posted Pharmacists work through computerized ‘HIS’ module.

Hospital Pharmacy is also conducting ‘in house’ Practical training for Pharmacy students

which is essential part of their degree/Diploma in Pharmacy.

Compiled by Dr. Sanddep Mohanty

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

Capital, ultimately helping lot of poor patients of East Delhi. Some workshops were attended by

participants from entire India.

Here are the brief descriptions of various activities conducted by Scientific Committee in

the year 2016:-

Workshops:-

1. CRRT

Pharmacy

Scientific Committee Activities

ANNUAL REPORT 2018


2. Laparoscopic workshop for gynecologist in Malignancy

3. Training of doctors & Nurses in facility based Newborn Care

4. Noninvasive & High flow ventilation (3 Day programme)

5. Quality Control Workshop

Seminars & CME:-

1. Carcinoma Stomach- An Emerging Threat

2. Approach to short stature

3. RNTCP Guidelines

4. I.V.fluids- Crystalloids Vs Colloids & uses of balanced salt solution in ICU

5. Failure to thrive

6. Drugs for breast Cancer

7. CODD management GINA guidelines

8. Rickets

9. Prenatal Mortality

10. Clinical trials for physician

11. ABG Analysis

12. Acute coronary syndrome

13. GERD & Heart burn in Pregnancy

14. C.D.E Topic – Dental Taboos

15. Blood Transfusion Seminar

16. Recent biomarker in Dx of Acute Pancreatitis

QUIZ:

NNF Quiz For doctors

&

(NORTH) For Nurses

(Indian Zonal

Quiz 2017)

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 achieving many

MILESTONE in future.

Compiled By Dr. D Chakravarty

MO I/c Scientific Committee.

ANNUAL REPORT 2018


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 Ms . POOJA PROGRAMMER ASSISTANT “A”

B.TECH 22581036

EXTN. 262

5 Mrs Anubha Rani D.E.O Graduate 22581036

Ext 282

Compiled by

Hospital Information System (HIS)

ANNUAL REPORT 2018


Assistant Sanitary Inspector manages sanitation services. This hospital provides necessary

material for up keeping and cleanliness in indoor and outdoor department.

Total Staff Position is as under: -

POST SANCTIONED Working VACANT

A.S.I 2+1(Plan) 01 1

Sanitary Guide Nil 01 against ASI ---

Safai Karamchari 73 42 + Sulabh Workers 6

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

machine for cleaning the service areas of public use as per schedule. The pressure jet system is

proving to be an excellent cleaning device.

Team of SULABH workers is also engaged against vacant post of group D to further facilitate

the sanitation drive. This effort has visible impact at Emergency and Main OPD. Newly

developed buildings like 120 bedded MCH Block, PCB, Nursing School & Multipurpose block

are also being maintained by sulabh workers under Plan Head. 127 Sulabh workers are providing

the sanitation services in Swami Dayanand Hospital from Sulabh International Social Service

Organization.

Compiled by

Dr.Jaswant

There are five stores in this hospital:

1. Medical Store Mr. Subhash Tyagi

2. Surgical Store Mr. Suraj pal

3. General Store Mr. Mukul Saxena

4. Linen Store Mr. N.P.Yadav

5. Stationery Store Mr. N.P.Yadav

6. I.T. STORE Mr. Yograj Aggarwal

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

assisted by two pharmacists, one UDC and two 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.


Laundry Services

Sanitation & House keeping

Stores

ANNUAL REPORT 2018


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 17 Rooms has

been made functional with the help of existing hospital staff. 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 are

geyser facilities in each room. All these facilities are being provided at a reasonable Rate i.e Rs.

800/per day. Total 772 patients have availed the facility of PCB During this year and 33, 04702

Rupees has been collected during the year 2018 from the PCB.

Compiled by Dr. K. Arya

CMO Admin

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 wears uniform, name plate (Identity

card) and found to be alert. None of the vital posts are left unmanned. During the National

functions, the security staffs are always in ceremonial dresses and ensure proper conduct of flag

hoisting.

Private Public Partnership

ANNUAL REPORT 2018


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. One 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 Shahdara 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.


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.


Right to information Act-2005 introduced and first application was received in year -2014.

Following officers are designated and handling R.T.I.:

Sr no. Name of Officer/Officials Designation

1 Dr. Mukesh kumar 1st Appellate Authority

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

Ancillary Departments

Senior Citizens

Right to Information

ANNUAL REPORT 2018


Total No. of R.T.I. application received in year 2017

Total No of R.T.I. received in year 2015 78

No. of R.T.I. received directly 40

No. of R.T.I. received through transfer 30

No. of Appeal to 1st Appellate Authority 16

No. of R.T.I. appeal received through CIC 01

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

Compiled by Dr. Ashiko

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 via, salary bills,

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

4 Sh. Mukul Sexena Dealing Assistant

Administrative Wing

ANNUAL REPORT 2018


electricity, water, telephone bill, stores . They also look and pursue various issues related to court

and attend the court. Look after the allotment of SDN staff quarters.

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 2 1

3 Head Clerk 3 1

4 Jr. Accountant 1 --

5 U.D.C. 7 3

6 L.D.C. 9 5

7 Mohrer/Dafteri 1 1

8 Peon 9 6

Compiled by Mrs. Lata Singh

(Administrative Officer

ACA: Mr. Yogesh Kumar Sharma

The Department has 1 Junior Accountant, one Head Clerk ,one UDC and one LDC for passing

bills and payment 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 Non Plan.

Compiled by Mr. Yogesh Kumar Sharma

NON PLAN

Accounts

BUDGET PROVISION

ANNUAL REPORT 2018


1 VI-B (P) I ( A )

( B )

( C )

( D )

47 -1001

47 -1002

47 - 1003

47 - 1004

Salary

Salary

Salary

Salary

4000.00 lacs

2500.00 lacs

900.00 lacs

1000.00 lacs

2 VI-B (P) II (ii)

(iii)

(IV)

47 -1193

47 -1156

47 -1119

Telephone

Postage

Miscellaneous

8.00 Lacs

0.20 Lacs

150.00 Lacs

3 VI-B (P) III 47 - 1089 Equipment 275.00 Lacs

4 VI-B (P) IV 47 1098 Medicine 3000.00 Lacs

5 VI-B (P) V 47 - 1040 Diet 90.00 Lacs

6 VI-B (P) VI 47 1187 Stores 150.00 Lacs

7 VI-F( 47 - 1092 Medical relief to

MCD Pensioner

70.00 Lacs

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

maintenance of

hospital.

90.00 Lacs

9 XVI-J-VII-I 41-3.63 Repair of

Thalasemia

control project

5.00 Lacs

10 VI-B (P) X 47 - 1100 Security services 300.00 Lacs

11 47-104 BMW 75.00 lacs

12 47-1261 Sanitary

Services

300.00 Lacs

13 47/1100 Security Services 300.00 Lacs

PLAN HEAD

1. X L-IX (i) Revenue 200.00 Lacs

2. Capital 538.00 Lacs

3. Salary 200.00 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

Medical Record Department

ANNUAL REPORT 2018


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 , Cancer Clinic and chest 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,malaria,chickungunia, Cholera,

Meningococcemia Gastroenteritis, Daily ward census report from different ward/OPD/Casualty

and laboratory for onward transmission to higher authorities.

The Admission cum enquiry counter is running in three shift & open 24*7 for

patients which is fully computerized and attached with hospital, wards, casualty, Labour 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 05 years record of OPD and 10 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 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

ANNUAL REPORT 2018


.E-Payment (Cashless Payment:

A big step has been taken by the Hospital, the cash less facility scheme has been started in

the OPD Registration counters from dec-2016 .We are taking payment through Debit & Credit

Cards. It is a good step in the direction of digital payment.

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 2018

a). The Persons for job 730

b) The Students for Education 34

c). The Amar Nath Yatra 296

d) The Disability certificate to physically challenged

person.

13

e) Nallah Beldar 994

Staff Position of Medical Record Department is as under:-

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

14 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.

24 Data Entry Operators have been engaged on contact basis in Swami Dayanand Hospital for HIS work

through ICSIL by CED, EDMC,HQ

Complied by Mrs. Aradhana Tyagi

Annual Statistics of Swami Dayanand Hospital Year 2018

ANNUAL REPORT 2018


S.No. Outdoor Patients

Treated

New Old Total

1. Male 122581 128992 251573

2. Female 196838 165018 361856

3. Casualty 131846 Nil 131846

Total 451265 294010 745275

Indoor Patients

Admission

32828

1. Male 10963

2. Female 21822

3. New Born 9857

Indoor Patients

Discharge

31177

1. Cured 17640

2. Improved 12930

3. Referred or transfer to

other Hospital

533

Died 501

Days of cure to

patients discharge

124696

Average length stay

even month

4.5

No. of Birth in the

Hospital

9970

1. Live Birth 9857

2. Still Birth 184

Total death including

new born

501

1. Infant Death 143

2. Within 28 days

(Neonatal)

124

3. More than 28 days but

less than one year

19

No. of Maternal

Death

17

1. Total Male delivered 5099

2. Total Female

delivered

4758

Annual Statistics of Swami Dayanand Hospital Year 2018

ANNUAL REPORT 2018


No. of Sanctioned beds 370 (ICU, Thalassemia & Contingency ward added in

Nov, 2005)

a) Indoor: 32828

Outdoor Patient Department

New 451265

Old 294010

Total 745275

Casualty:- 131846

b) No. of deliveries conducted 9970

1. Live Birth 9857

2. Still Birth 184

c) No. of cases of abortions (if

any)

442

1. Anti Rabies Treatment given --

a) No. of Patients Treated 5880

Compiled by Mrs Babita

No. of New patients treated (Diseases wise Statistics)

S.No DISEASE INDOOR OUTDOOR TOTAL DEATH

1 Cholera -- 25 25 --

2 Small Pox -- -- -- --

3 Plague -- -- -- --

4 Poliomyelitis -- -- -- --

5 Infectious Hepatitis` 117 160 277 --

6 Influenza -- -- -- --

7 Tuberculosis 168 130 298 04

8 Gastro-enteritis 150 3567 3717 --

9 Virus Encephalitis 01 -- -- --

10 Dysentery 52 1502 1554 --

11 Whooping Cough -- -- -- --

12 Diarrhea 422 8067 8489 --

13 Mumps -- -- -- --

14 Chicken Pox -- -- -- --

15 Measles 49 11 60 --

16 Enteric Fever 174 284 458 --

17 Acute Respiratory 477 11436 11913 40

18 Pneumonia 365 6150 6515 10

19 Viral fever 914 10995 11909 --

20 Cerebrospinal Fever -- -- -- --

21 Relapsing Fever -- -- -- --

22 Puerperal Fever -- -- -- --

23 Diphtheria -- -- -- --

ANNUAL REPORT 2018


24 Erysipelas -- -- -- --

25 Snakebite -- -- -- --

26 P.U.O 241 3300 3541 --

27 U.R.C. -- -- -- --

28 Dengue Fever 155 -- 155 --

29 Hemorrhagic Fever -- -- -- --

30 Guniee Worm -- -- -- --

31 Meningococal - -- - --

32 Rabies -- -- -- --

33 Syphilis -- -- -- --

34 Gonoccoceal -- -- -- --

35 Tetanus -- -- -- --

36 Scabies -- 9052 9052 --

37 Kalazar -- -- -- --

38 Japanese Encephalitis -- -- -- --

YEARLY REPORT OF NOTIFIABLE DISEASE

SL.No. Diseases Indoor

Patients

Outdoor

Patients

Deaths

1. Acute Diarrhea Diseases 422 8067 --

2. Diphtheria -- -- --

3. Acute Poliomyelitis -- -- --

4. Tetanus other than Neonatal - -- --

5. Neonatal Tetanus -- -- --

6. Dengue Fever 155 --- --

7. Measles 49 11 --

8. Acute Respiratory Infection 477 11436 40

9. Pneumonia 365 6150 10

10. Enteric Fever 174 284 --

11. Viral Hepatitis --- --- --

12. Japanese Encephalitis -- -- --

13 Meningococcal meningitis - --- --

14 Rabies -- --- ---

15 Syphilis -- --- --

16 Gonococcus Infection -- -- --

17 Pulmonary Tuberculosis 92 130 4

18 Kalazar -- -- --

19 All other Disease with abnormal

signs treated in institution excluding

above Mentioned diseases

-- -- --

20 HIV-AIDS - 85 --

ANNUAL REPORT 2018


VEER SAVARKAR AROGYA SANSTHAN

STATISTICS OF JANUARY 2018 TO DECEMBER 2018

1. Total OPD Patients = 3,52977

S.No. Department No.of patient

1. Medicine OPD 111720

2. Gynae OPD 40106

3. Skin OPD 42648

4. Chest OPD 26557

5. Ortho OPD 28864

6. ENT OPD 18642

7. Ophthalmology OPD 1400

8. Immunization 7440

9. Dental OPD 28800

10. Pediatrics OPD 46800

1. Total No. Of Deliveries = 471

2. Total Children Immunized = 14432

3. Total TB Patients ( ATT) = 2478

ANNUAL REPORT 2018


Compiled by: CMO Admn VSAS

Following Staff attained Superannuation in the Year 2018

Sr.

No.

Name of Official Designation Date of

Retirement

1. Sh Ram Kumar Stretcher Bearer 31.01.2018

2 Sh Girish Babu Pharmasist 31.01.2018

3 Mr.Mustkima Ward Aya 28.02.2018

4 Smt. Kamlesh R Prakash ANS 30.04.2018

5. Smt. Shakuntla S.K 30.04.2018

6 Smt. Kaushalya Ward Aya 31.05.2018

7. Mr. Rajbir Singh Khatri Pharmasist 31.05.2018

8. Mr. Raj Kumar Chauhan Refractionist 30.09.2018

9. Mr. Dhan Prakash Auto Clave Assistant 30.09.2018

10. Mr. Satnam Singh Peon 31.10.2018

11. Smt. Rajni S.K 31.08.2018

12. Smt. Devki Devi Ward Aya 30.11.2018

ANNUAL REPORT 2018


13. Santosh S.K 31.12.2018

14. Subhadra Devi Kitchen Bearer 31.12.2018

S.No. Name of Medical Superintendent Period

From To

1 Dr. M.P. Singh 1963 (2 Months )

2 Dr. S.M. Singh 1963 1968

3 Dr. S.K. Gupta 1969

4 Dr. S.N. Sharma 1970 1971

5 Dr. S.K. Gupta 1972 1974

6 Dr. J.S. Karanwal 1975

7 Dr. J.D.A. Rana 01.11.1975 1976

8 Dr.B.B. Khurana 1976

9 Dr. B Prasad Nov. 1976 31.05.1985

10 Dr. S. Patnaik June 1 1985 05.04.1994

11 Dr. B.D. Raje 06.04.1994 16.02.1995

SWAMI DAYANAND HOSPITAL DILSHAD GARDEN DELHI-95

MEDICAL SUPERINTENDENT

ANNUAL REPORT 2018


12 Dr. P.P. Singh 17.02.1995 31.05.1996

13 Dr. B.D. Raje 23.03.1996 31.05.1996

14 Dr. P.P.Singh 01.06.1996 31.05.1996

15 Dr. P.P. Singh 13.08.2001 06.11.2008

16 Dr. M. Venugopal 01.07.1997 12.08.2001

17 Dr. M. Venugopal 07.11.2008 30.04.2012

18 Dr. M. Venugopal 01.05.2012 04.06.2012

19 Dr. R.N. Bansal 05.06.2012 31.08.2013

20 Dr. Ramakant Gupta 31.08.2013 31.03.2014

21 Dr. M.L. Jaipal 01.04.2014 28.01.2018

22 23

Dr. Mukesh Kumar Dr.Rajni Khadwal

29.01.2018

S.No. Name of Additional Medical

Superintendent

Period

From To

1 Dr. K.N. Tewari 01.04.1979 09.10.1982

2 Dr. A.K. Hajra 21.06.1985 17.01.1988

3 Dr. P.R. Dhokeria 18.01.1988 31.07.1989

SWAMI DAYANAND HOPITAL

DILSHAD GARDEN DELHI -95

ADDL. MEDICAL SUPERINTENDENT

SWAMI DAYANAND HOSPITAL DILSHAD GARDEN DELHI-95

ADDL. MEDICAL SUPERINTENDENT

ANNUAL REPORT 2018


4 Dr. M.L.Bharti 01.08.1989 07.02.1991

5 Dr. A.K. Hajra 06.02.1991 27.10.1993

6 Dr. A.K. Hajra 28.10.1993 20.05.1996

7 Dr. N.P.Singh 21.05.1996 19.07.2007

8 Dr. N.K. Handa 20.09.2007 31.08.2009

9 Dr. Kamal Kumar 04.09.2009 19.06.2011

10

Dr. S. Kumar 20.06.2011 30.04.2012

11 Dr. S. Kumar 01.05.2012 10.06.2014

12 Dr. M.L. Bharti 11.06.2014 31.10.2014

13

14

Dr. M.P.Singh

Dr Ashiko

07.11.2017

ACKNOWLEDGEMENT

Due care has been taken to ensure that all details are correct.

Error, if any, is regretted.

I acknowledge that the Annual Report has been compiled and

made possible, only because of the contributions of all Head of

departments/ sections. Special contributions of Dr. K.R.Arya

ANNUAL REPORT 2018


Dr. Monica Narwal, Mrs. Aradhna Tyagi, Mrs. Babita, Mr.

Yograj Aggarwal , Ms. -----& Mrs. -----have also made this report

possible.

Dr. Rajni Khadwal

(Medical Superintendent)

ANNUAL REPORT 2018


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