chc bagbahra visit 23092014

8/21/2019 Chc Bagbahra Visit 23092014

1/12

COMMUNITY HEALTH CENTRE

BAGBAHRAVISIT REPORT

VISITED ON : 23/09/2014

VISITED BY : Dr.K.Gajbhiye (Medical Officer)

Dr.Nikhil Goswami (Hospital Consultant)


2/12

HEALTH SYSTEM INFRASTRUCTURE

S.N. TYPE OF FACILITY NUMBERS

1 COMMUNITY HEALTH CENTRE 01

2 PRIMARY HEALTH CENTRES 07

3 SUB HEALTH CENTRES 46

COMMUNITY HEALTH CENTRE: SERVICES OFFERED

CHC Bagbahra is 30 bedded facility. It is well connected with roads & easily approachable from

bus stand. It is located within residential area. The health centre provides basic primary health

care services & diagnostic facilities of routine Lab tests & X-ray, family planning services TT &

NSVT , services of normal delivery. The health centre also offers its services under various

national programmes like RNTCP, AIDS Control, NLEP, NBCP, JSY, JSSK etc. The basic

performance indicators are listed below:

S.N PARAMETERS 2013-142014-15

(UP TO AUG.)

1 OPD 42351 16955

2 IPD 4691 2012

3 NORMAL DELIVERY 743 291

4 C-SECTION 0 0

5 TOTAL LIVE BIRTH 733 285

6 TOTAL STILL BIRTH 11 06

7 TOTAL JSY CASES 743 291

8 TOTAL LOW BIRTH WEIGHT BABY 99 74

9 X-RAY 20 65

10 USG 0 0

11 CTT 1306 189

12 NSVT 12 00

13 MATERNAL DEATH 00 00

14 INFANTS (UP TO 1 YEAR) DEATH 42 16

15 RSBY CASES 417 77

16 TOTAL REFERRALS 316 198


3/12

HUMAN RESOURCES

MEDICAL STAFF

S.N. POST SANCTIONED IN POSITION VACANT

1 Block Medical Officer 01 01 002 Medical Specialist 01 00 01

3 Surgeon 01 00 01

4 Gynaecologist 01 00 01

5 Paediatrician 01 00 01

6 Anaesthetist 01 00 01

7 Orthopaedician 01 00 01

8 Medical Officer 02 04 -02

Total 09 05 06

PARAMEDICAL STAFF

S.N. POST SANCTIONED IN POSITION VACANT

1 Nursing Sister 01 00 01

2 Staff Nurse 10 03 07

3 B.E.E.O. 01 00 01

4 Accountant/AG2 01 00 01

6 AG3/Data Operator 02 01 00

7 Lab Technician 02 02 00

10 MPW Female 01 01 00

11 MPW Male 01 01 00

12 Supervisor (F) 02 02 0013 Supervisor (M) 01 01 00

14 NMS 01 00 01

15 NMA 00 04 -04

16 Pharmacist G2 02 01 01

17 Radiographer 01 01 00

18 Dresser1 01 01 00

19 Dresser2 01 00 01

20 Driver 02 01 01

21 Ward Boy 02 02 00

22 Ward Aaya 01 01 00

23 Class 4 02 02 0024 Washerman 01 01 00

25 O T Attendant 01 01 00

26 Chowkidar 01 01 00

27 Sweeper 01 01 00

Total 39 29 14


4/12

CONTRACTUAL STAFF

S.N. POST IN POSITION PROVIDER

1 BPM 01 NRHM

2 BADA 01 NRHM3 BDA 01 NRHM

4 DEO 01 NRHM

5 ICTC Couns. 01 CGSACS

6 Driver 01 JDS

7 Operator for Registration 01 JDS

8 Safaikarmi 02 JDS

DEPARTMENTWISE OBSERVATIONS

APPROACH & ACCESSIBILITY

The health centre is well connected with all weather road & is near to bus stand.

Signage in front with front gate.

Boundary wall is there.

Concrete floor is there.

Proper shade for ambulance at place.

No designated parking space.

ENTRANCE

The entrance is having adequate space .

Entrance is not user friendly. No provision of Ramp.

SUGGESTIONS:

Ramp can be constructed (with support from PWD).

WAITING AREA

Lack of benches/chairs in waiting area. Provision for drinking water required in waiting area.

SUGGESTIONS:

Chairs/Benches can be purchased from JDS or from from RSBY CMHDF.


5/12

REGISTRATION COUNTER& MITANIN HELP DESK

Separate closedregistration counter & mitanin help desk located close to entrance in front

of OPD.

Manual entry being done.

User fees displayed.

Preprinted OPD slips is used .

SUGGESTIONS:

02 OPD counters (separate for male & female) required to avoid inconvenience to

patients.

CONSULTATION ROOM


6/12

There are02 consultation rooms(one for Gynae patients & one for others).

Examination table with screen & steps at place.

Doctors duty chart displayed there.

Essential equipments & instruments were available in room.

Suffocated feeling, provision of exhaust fans required. Cushion required in all examination tables.

INJECTION ROOM

Screen with curtains required.

Infection control practices were found dissatisfactory.

SUGGESTIONS:

Screen with curtain required for privacy.

Puncture proof container for needle disposal required.

Emergency drug tray with list needed.

Disinfection with 1% Sodium Chloride solution required.

Uses of PPEs need to be encouraged.

Cushion required in examination table.


7/12

DRESSING ROOM

There is separate room for dressing.

All essential drugs available.

SUGGESTIONS:

Mosquitonet required in window.

Broken chair required to be repaired or condemned.

DRUG DISPENSING COUNTER


8/12

Single window drug dispensing counter with qualified pharmacist present.

Proper timing displayed.

Near expiry drug list displayed.

PATHOLOGY LAB

It provides facility of basic routine tests.

Sufficient space but room looks untidy. No demarcated area for sample collection, testing & reporting.

Seepage from sidewall.

Infection control practices not being followed.

No separate room for ICTC counsellor, sits here only.

SUGGESTIONS:

Seepage to be constructed with support of PWD.

Puncture proof container for needle disposal required.

Disinfection with 1% Sodium Chloride solution required. Uses of PPEs need to be encouraged.


9/12

X-RAY

X-ray machine in working condition.

Lead apron available. TLD batches available.

No caution signage is there.

User charges required to be displayed.

SUGGESTIONS:

Caution signages to be displayed.

IN PATIENT WARD

Beds were properly arranged.

Mosquito net required. Toilets attached to ward found uncleaned.

SUGGESTIONS:

Mosquito net in all windows required ( with support from PWD )

Regular cleaning of toilets (attached with wards)required.


10/12

LABOUR ROOM

Direct entry from corridor(not recommended).

Services of normal deliveries available.

Single labour table at place.

24 hour running tap water available.

No provision of attached toilet.

Adequate power backup present.

NBCC is prone to infections( attached with ward behind).

Radiant warmer not available (must required).

No display of essential drug list.

SUGGESTIONS:

For Radiant warmer coordination with district required.

Essential drug list need to be displayed.

New entrance can be provided near by present NBCC & NBCC can be shifted to another

corner.


11/12

OPERATION THEATRE

OT is there with proper zoning.

Slipper stand outside .

Weekly fumigation being done.

Running tap water facility available. Use of Signallac tape was suggested(during sterilization to ensure proper sterilization).

Adequate power back up present.

Essential equipments found at place.

Exhaust outlets to be closed.

SUGGESTIONS;

Signallac tape can be purchased locally.

Exhaust outlets can be closed with support of PWD.

At present OT is attached with Casualty(Minor OT). Separate entry for OT can be givenfrom outside (with support from PWD).


12/12

BIOMEDICAL WASTE MANAGEMENT & INFECTION CONTROL PRACTICES

Deep pit & sharp pit available..

Color coded bins not found at all designated places. Disinfection with 1% sodium chloride solution is not being practiced.

PPEs used by staff is not satisfactory.

SUGGESTIONS:

Color coded bins for all patient care areas can be purchsed from JDS.

Disinfection with 1% sodium chloride solution need to be ensured.

PPEs used by staff is to be encouraged.

Reshuffling of different rooms can be done in OPD area which will be convenient for both

hospital staff & patients. It can be done as given below:

Existing Proposed

Common Consultation room Injection cum dressing room

Drug distribution counter Consultation room 1

Store beside Pharmacy Consultation room 2

Gynae OPD Drug Distribution counter

Eye testing room Gynae OPD

Injection room Eye testing room

Dressing room ICTC room

CONCLUSION

Seepage problems in OPD area must repaired (with support from PWD).

Reshuffling of different rooms can be done in OPD area.

Civil works required in Labour room & OT to ensure infection free zone.

Training of class 3 & class 4 employee for Biomedical waste management & infection

control practices required.

===000===

chc bagbahra visit 23092014

Documents