vkn'kz izlo d{k fn'kk&funsz'k nrrhlx

vkn'kZ izlo d{k fn'kk&funsZ'k

NRrhlx<+

DRAFT 2016

DIRECTORATE HEALTH SERVICES & NATIONAL HEALTH MISSION

NEW RAIPUR, CHHATTISGARH

1 | P a g e I d e a l L a b o u r R o o m G u i d e l i n e , C h h a t t i s g a r h

vkn'kZ izlo d{k fn'kk&funsZ'k

vkn'kZ izlo d{k dk gksuk ekr`&f'k'kq LokLF; dh xq.koRrkiw.kZ lsok ds fy, vko';d

gSA

vkn'kZ izlo d{k ds fdz;kUo;u gsrq fuEufyf[kr fn'kk&funsZ'k gS%&

1) izlo d{k esa nh tkus okyh vfuok;Z lsok;sa

xHkZorh efgyk dsk izlo d{k esa izlo ds lfdz; pj.k (Active Phase) esa ys tkuk

pkfg, tSls%&fxzok (Cervical Dilation) dk QSyko 4 ;k 4 lseh- ls vf/kd gks

Partograph ds ek/;e ls fuxjkuh

f'k'kq dk tUe

izlo ds rhljs pj.k dk lfdz; izca/ku

uotkr f'k'kq ds ns[kHkky ds lkFk uotkr f'k'kq dk Resuscitation

Lruiku dh 'kq:vkrA

Episiotomy/Tear repair

tfVyrkvksa dh igpku ,oa izca/ku

;fn efgyk rS;kj gks rks PPIUCD dk Insertion

2) v/kkslajpuk (Infrastructure)

izlo d{k

izlo d{k ls tqM+k gqvk fdz;k'khy 'kkSpky; (Functional Toilet)

uotkr f'k'kq ns[kHkky bZdkbZ ds fy, LFkku (NBCC Corner)

uflZax LVs'ku ds fy, LFkku/Service Area

fQzt (Refrigerator) ds fy, LFkku

3) izlo d{k ds fy, midj.k ,oa lkexzh%& izR;sd izlo d{k esa fuEu midj.k ,oa

lkexzh vfuok;Z :i ls gksuk pkfg,A

izlo Vscy (Labour Table) xn~ns ds lkFk] pknj] rkfd;k(Case load ds vk/kkj ij

la[;k½ Macintosh, Foot Step, Foot Rest.

jDr ,oa Amniotic rjy inkFkZ ,d= djus ds fy, Kell`ys Pad & Bucket

lsdaM dkaVs okyk fnoky ?kM+h (Wall Clock)

FkekZehVj nhoky esa Vaxk gqvkA

Suction Apparatus

Adult Resuscitation midj.k

izR;sd izlo Vscy ds fy, delivery trolly IV drip stand


nks izlo Vscy ds chp insZA

tUe lg;ksxh ds fy, dqlhZ@LVwy

nhoky ls yxk gqvk ySEi

nLrkus (Gloves), Cotton ¼dkWVu½] xkWt (Gouge), lsusVjh iSM (Sanitary pad)

,izu] Thread, catgut, IV drip set, needle ¼lqbZ½, Cord clamp, nokbZ;kW (Injectable, oral

and parental, Leucoplast etc.)

izR;sd izlo gsrq Autoclaved delivery set

fQzt

fLQXekseSuksehVj (B.P.. Instrument), o;Ld ,oa uotkr FkekZehVj] otu e'khu

Pulse Oxymeter ¼iYl~ vkWDlhehVj½

LVjykbZtj

vkWDlhtu flysUMj

ikVksZxzkQ

nokbZ;kW ,oa bUtsD'ku j[kus ds fy, Plastic Jars gksus pkfg, ftlesa nokbZ;ksa ds

uke ,oa volku frfFk (Expiry date) fy[ks gksus pkfg,A

tSo fpfdRldh; vif'k"V izca?ku ds fy, Colour Coded Bins

Hub Cutter (Needle Cutter) ¼gc dVj½

iapj jfgr MCcs (Puncture proof container)

0.5% Dyksfju ?kksy ds fy, Plastic Bottle

Intranatal izksVksdkWy] Posters for display (AMTSL,PPH vkfn gsrq½

Oghy ps;j@ejht VªkWyh@LVªspj

fMyhojh Vªs] Episiotomy Vªs] MVA Vsª] PPIUCD Vªs] Baby Vªs] Medicine Vªs] Emergency

Drug Vªs]

gkFk /kksus dk {ks= ,oa HkrhZ ejht gsrq 'kkSpky;

Foetoscope/Foetal MkIyj

LVsFksLdksi

SBA xq.koRrk izksVksdkWy dk izn'kZu

Shadow less lamp

ePNj Hkxkus dk lk/kuA


4) izlo d{k gsrq lkr Vªs%&

dz- Vªs dk uke midj.k@nok@lkexzh

1 fMfyojh Vªs

Scissor

Artery Forceps

Sponge holding Forceps

Speculum

Urinary Catheter

Bowl for antiseptic lotion

kidney tray

Gauge Piece

Cotton Swabs

Sanitary Pads

Gloves

2 bihfl;ksVkseh Vªs

Inj. Xylocaine 2%

10 ml Disposable syringe

with needle

Episiotomy scissor

Artery forceps

Allis forceps

Sponge holding forceps

Toothed forceps

Thumb forceps

Kidney tray

Needle holder

Needle ( Round Body &

Cutting )

Chromic Catgut no.0

Gauge pieces

Cotton swabs

Antiseptic lotions

Gloves


3 csch Vªs

Two pre-warmed towels/

Sheets for wrapping the

baby

Mucus extractor

Bag & mask

Sterlized thread/ cord

clamp

Needle ( 26 guage) &

syringe (1 ml)

Inj Vitamin K

Gloves

¼f'k'kq dks igys ls xeZ rkSfy;s esa

fy;k tkuk pkfg,A blds fy, /kkrq

dh Vªs dk mi;ksx u djsa½

4 nokbZ;ksa dk Vªs

Inj. Oxytocin

Inj.Gentamicin

Inj. Vit K

Inj. Betamethasone

Inj. Hydralazine

Cap. Ampicillin 500gm

Tab. Metronidazole

400mg

Tab. Paracetamol

Tab. Ibuprofen

Tab. B complex

Tab. Misoprostol

200micrograms

* usfojsfiu vkSj vU; ,pvkbZoh nokbZ;kW

dsoy ,dhd`r lykg vkSj tkWp dsUnz

¼vkbZlhVhlh½ vkSj ,aVh jsVªksfo;y Fksjsih

¼,vkjVh½ dsUnzksa ds fy, gh gSaA


5 vkikrdkyhu nok Vªs

**Inj. Oxytocin (should

be kept in regerigerator ) Inj. Magsulf 50%

Inj Calcium gluconate 10%

Inj. Dexamethasone

Inj. Ampicillin

Inj. Gentamicin

Inj. Metronidazole

Inj. Lignocaine 2%

Inj. Adrenaline

Inj. Hydrocortisone Succinate

Inj. Diazepam

Inj. Pheneramine Maleate

Inj. Corboprost

Inj. Pentazocin Chloride

Inj. Promethazine

Inj. Betamethasone

Inj. Hydralazine

IV fluids- Ringerlactate, Normal Saline

IV sets with 16 gauge needle at least 2

IV Cannula

Vials for blood collection

Syringes & needles

Tab. Nifedipine

Tab. Methyldopa

Suction Catheter

Mouth gag

¼** dsoy Lrj 2 vkSj lsok dsUnzksa ds

fy,½

6 eSU;qvy osD;we ,Lihjs'ku ¼,eoh,½@bysDV«hd

osD;we ,Lihjs'ku ¼bZo,½ Vªs

Speculum


Anterior vaginal wall retractor

Posterior vaginal wall reactor

Sponge holding forceps

MVA syringe & cannulas

MTP cannulas

Urinary catheter

Small bowl of antiseptic lotion

Sterlized gauge /pads

Cotton swabs

Disposable syringe & needle

Tab. Misoprostol

7 iskLV ikVZe baVªk ;wVsjkbu daMªklsfIVo fMokbl

¼ihihvkbZ;wlhMh½ Vªs ***

PPIUCD Insertion Forceps

Sim's Speculum

Ring forceps / Sponge holding forceps

Cu IUCD 380A/ Cu IUCD 375 in a sterile package

Cotton swabs

Betadine Solution (*** dsoy LokLF; dsUnzksa ds fy, tgkW

izf'kf{kr ihihvkbZ;wlhMh iznkrk gks½


5) Service Area ¼dk;Z {ks=½

izR;sd izlo d{k esa Recording/Reporting ,oa isij dk;Z gsrq fu/kkZfjr {ks= gksuk

vfuok;Z gS ,oa ;g ejht {ks= ls ,dne vyx ugha gksuk pkfg, blls M~;qVh esa

dk;Zjr deZpkjh@LVkQ dksbZ Hkh vkikrdkyhu fLFkfr esa ;k izlo d{k esa xHkZorh

efgyk dks ;fn fdlh Hkh t:jr ij rqjar izfrfdz;k dj ldsxhA

bl {ks= dks nokbZ;ksa] midj.k] Consumables vkfn j[kus gsrq mi;ksx esa ugha

ykuk pkfg,A nokbZ] midj.k] Consumables dks replacement stock ds :i esa

izlo d{k ds ckgj j[kuk pkfg,A

jDr L=ko ls cpko ,oa mipkj ds fy, Oxytocin nok igyh izkFkfedrk gSA

;g Low resource setting tSls miLokLF; dsUnzksa esa Oxytocin dk mi;ksx ugha

fd;k tk ldrk D;ksafd bls Refrigerator ¼fQzt½ esa j[kk tkrk gSA;fn

Oxytocin injection miyC/k ugha gS rks Oral Mesoprostol (600 Mcg) dh

xksyh dk mi;ksx dj ldrs gSA

izlo d{k ds lQy fdz;kUo;u gsrq ,d izlo Vscy ds fy, 10x10 sq.ft. dh

txg ,oa 2 izlo Vscy ds fy, 20x20 sq.ft. dh txg gksuk pkfg,A

izR;sd izlo Vscy esa Sleek vertical trolley gks ftlesa 7 Vªs j[kus ds fy, txg

gks ¼mijksDrkuqlkj½

6) Newborn Care Corner ¼uotkr f'k'kq lqj{kk bZdkbZ½

izR;sd izlo d{k esa uotkr f'k'kq lqj{kk bZdkbZ (NBCC) vfuok;Z :i ls gksuk

pkfg,A

izR;sd izlo d{k ,oa izlqfr vkijs'ku fFk;sVj esa NBCC dkuZj gks ftlesa ,d

jsfM;sUV okeZj] ,d Functional ambu bag ,oa mfpr Size dk Mask gksuk

pkfg,A

7) tUe ds le; vfuok;Z lsok ¼lqj{kk½

uotkr dk Resuscitation xehZ gsrq izko/kku Lruiku dh tYn ls tYn 'kq:vkr uotkr dk otu ysuk tUetkr fodykaxr ds fy, uotkr dk fujh{k.k

uksV%& lHkh uotkr dks Radiant warmer esa j[kuk vfuok;Z ugha gSA

ekrk ,oa f'k'kq esa fuEufyf[kr y{k.k fn[kus ij Radiant Warmer esa f'k'kq dks

vkikrdkyhu uotkr ns[kHkky ds fy, j[kuk pkfg, ,oa vko';drkuqlkj

Resuscitation nsuk pkfg,A

fedksfu;e Stained Liquor ,oa le; ls iwoZ izlo gksus ij uotkr ds ugha jksus

ij] iSjksa esa viaxrk] gkFk iSj detksj] vaxks ds fu"dzh; fn[kus ij ,oa

fpfdRld ds lykg vuqlkj


8) uotkr lqj{kk bZdkbZ ds fy, vko';d midj.k ,oa lkexzh

csch Vªs

fifM;kVªhd LVsFksLdksi ¼uotkr LVsFksLdksi csgrj fodYi gS½

csch Ldsy

jsfM;sUV okeZj

Pediatric ambu bag & mask-Neonatal, Size (0 and1)

Oxygen hood ¼Neonatal)

Laryngoscope and Endotracheal

Intubation tube

nks tksM+s isfUly cSVjh ¼lsy½

Mucous extractor suction tube ds lkFk ,oa iSjksa ls vkWijsV djus okyh

suction e'khu NG tube (uslksxSLVªhd V~;wc½

Blankets ¼dEcy½

nks lkQ ,oa lw[kk Vkosy

Feeding tubes

jDr ,df=r djus ds fy, 2 [kkyh Vials

Alcohol hand rub

HLD/Sterile gloves

Disposable lhfjt] Hub Cutter.

Injection Vit.K 1mg

9) izlo d{k ds fy, lkekU; vko';drk,W

izlo d{k dh lrg (Floor) esa fcuk design okyh] fQlyu fujks/kh lQsn Tile

yxkukA

lrg ls 6 fQV rd fnoky esa VkbYl yxs gksuk pkfg, 'ks"k fnoky ,oa Nr esa

lQsn isaV yxkuk pkfg,A

foUMks ,oa Ventiltors, Froasted Glass ds lkFk gksuk pkfg,A

f[kM+fd;ksa esa eD[kh] ePNj ,oa dhM+ks dks jksdus ds fy, tkyh gksuk pkfg,A

izlo d{k ,oa izlo d{k ls tqM+s gq, 'kkSpky; esa 24 ?kaVs ikuh dh lqfo/kk gksuk

pkfg,A

;fn ikuh dh vkiwfrZ lhfer gS rks vksojgsM VSad gksuk pkfg, ,oa ikuh iai ds

ek/;e ls vksojgSM VSad esa ys tkus dh O;oLFkk dh tkuh pkfg,

okf'kax {ks= esa Elbow Operated Tap yxk gksuk pkfg,A

izR;sd izlo d{k esa ,d fQzt gksuk pkfg, ftlesa injection oxytocin j[kk tk

ldsA

izlo d{k dk {ks=@vkdkj o foLRkkj dh la[;k izlo Vscy dh la[;k dsUnz esa

izlo gsrq HkrhZ efgykvksa dh la[;k ds vk/kkj ij gksuk pkfg,A

izlo d{k esa izdk'k gsrq Emergency Light/Inverter/Ganerater/Power

Backup gksuk pkfg,A


10) vfuok;Z nokbZ;ksa

lkIrkfgd ,oa ekfld LVWkd gsrq eSVjfuVh foax esa vyx ls Store gksuk pkfg,A

r`rh; Lrj (Level-3) ds izlo d{k esa Centrally air conditioned ds lkFk air

handling unit gksuk pkfg,A

;fn air condition miyC/k ugha gks rks Cross Ventilation ds lkFk exhaust

vko';d gSA

;fn izlo d{k esa Air condition gS rks ;g /;ku j[kk tk, fd NBCC esa lh/ks

uotkr f'k'kq ds mij BaMh gok ugha tkuk pkfg,A

11) izlo d{k esa ladze.k jksdFkke

vLirky ds deZpkfj;ksa ,oa izlwrk ds fj'rsnkjksa ds fy;s izlo d{k esa tkus gsrq

vyx ls pIiy dh o;oLFkk gksuh pkfg,A

izlo gsrq tkus okyh ejht dks Sterile gown nsuk@igukuk pkfg,A

izlo d{k dh lrg dks ¼Hkkjr ljdkj }kjk tkjh izksVksdkWy ds vuqlkj gksuk

pkfg,A

izlo djokus ds fy, mi;ksx fd;s tkus okys nkLrkus] midj.kksa] Linen vkfn

dk Sterilization vPNs ls gksuk@djuk pkfg,A

disinfection and sterilization ds fy, ekud izfdz;k viuk;h tkuh pkfg,A

mi;ksx djus ds i'pkr~ lkexzh dks Floor ;k vU; txg ij ugha Qasduk

pkfg,A

lkexzh dks Cyhfpax ikmMj ds ?kksy esa Mqckuk pkfg, ,oa lQkbZ ,oa

Autoclaving ds fy, Hkstuk pkfg,A

Decontamination dh izfdz;k i'pkr~ mi;ksx esa dh xbZ lkexzh dks

Sterlization ds fy, Hkstuk pkfg,A

lkcqu ds ikuh ls lrg dks lkQ djuh pkfg, ,oa lrg dks lw[kk j[kuk pkfg,A

izlo Vscy ds mijh lrg dks fQukWy@Cyhphax ?kksy ls lkQ djuk pkfg,A

vkyekjh] Shadow less lamp, lockers, trolley vkfn ds lrgksa dks low level

okys Disinfectant ls lkQ djuk pkfg,A

bysDVªkWfud eWkfuVj dks 70% ,Ydksgy ls lkQ djuk pkfg,A

Floor esa ;fn [kwu ds NhaVs] 'kjhj ds rjy inkFkZ fxjus ij Cyhphax ?kksy mlds

mij Mkys ,oa 10 feuV rd NksM+ nsA fQj iksaNk yxkuk pkfg,A

Placenta ¼IyslsaVk½ dks ihys jax ds MCcs esa Mkyuk pkfg,A

mi;ksx fd;s x;s linen dks Cyhphax ?kksy esa Disinfect djus ds i'pkr~ lQkbZ

,oa Autoclaving ds fy, HkstukA

izlo d{k ds lrg dks izR;sd 3 ?kaVs esa Disinfectant ?kksy ls iksaNk djuk

pkfg,A

izR;sd izlo i'pkr~ yscj@izlo Vscy dh lQkbZ djuk pkfg,A

12) vkn'kZ izlo d{k gsrq ekuo lalk/ku dk izf'k{k.k (Training)

,,u,e@LVkQ ulZ dks Ldhy cFkZ vVsaMsaV@uotkr f'k'kq lqj{kk

dk;Zdze@IMNCI esa izf'k{khr gksuk pkfg,A

xzkeh.k fpfdRlk lgk;d dks Ldhy cFkZ vVsaMsaV@BEmONC esa izf'k{khr gksuk

pkfg,A


fpfdRlk vf/kdkfj;ksa dks BEmONC/CEmONC esa izf'k{khr gksuk pkfg,A

LVkQ ulZ@fpfdRlk vf/kdkfj;ksa dks lqj{khsr xHkZikr lsokvksa@MTP esa izf'k{khr

gksuk pkfg,A

13½ tUe lg;ksxh dk;Zdze (Birth Companion programme)

ijaijkxr :i esa ekrk çlo ds {k.kksa esa vius ifjtuksa ds lkfUu/; esa gksrh FkhA

bl çdkj viuksa dk lkFk gksuk çlo dh vR;f/kd ihM+k ,oa ruko dks de djrk gSA

,sls le; esa viuksa ds }kjk nh xbZ lkaRouk] lgt&Hkko leFkZu ,oa lkFk cgqr vge

gksrk gSA

xHkZorh efgykvksa dks çlo ds nkSjku fujarj vk'oklu] vkjke] çksRlkgu vkSj

lEeku dh vko';drk gksrh gSA ;g lHkh çlo ds nkSjku fdlh vius ds lkFk gksus ls

lgtrk ls gksrk gSA vr% çlo ds nkSjku efgyk ifjtu dk mifLFkr jguk ,d

egRoiw.kZ igy gSA blh /kkj.kk ds lkFk tUe lg;ksxh dk;ZØe çkjaHk fd;k tk jgk gSA

mn~ns';%&

çlodky esa xHkZorh ekrk ds ifjokj ds Hkkxhnkjh dk volj nsukA

çloiwoZ] çlo] çloksÙkj vof/k ds nkSjku csgrj ekufld LokLF; cuk;s j[kukA

1) tUe lg;ksxh%& ;g dk;Zdze rfeyukMw ,oa fons'kksa esa lQy jgk gSA bl dk;Zdze ls fuEu ykHk

gksaxs%&

çlo dh le;kof/k esa deh

çlo ihM+k esa deh HkkoukRed ruko esa deh

çlo ls nokbZ;k¡ ,oa çfØ;k dh vko';drkvksa esa deh

xaHkhj çlo ds çek.k esa deh

çlo i'pkr~ dh leL;kvksa esa deh

ifjtu lqfo/kk lacaf/kr vk'oLr

2) tUe lg;ksxh dk;ZØe lHkh 'kkldh; vLirky ftles esfMdy d‚yst] ftyk vLirky]

lkeqnkf;d LokLF; dsaæ] çkFkfed LokLF; dsaæ rFkk miLokLF; dsUæksa esa ykxw fd;k tk jgk gSA

bl dk;ZØe ds varxZr%&

çR;sd xHkZorh efgyk dks çlo ds nkSjku çlwfr d{k esa vius ,d efgyk ifjtu

dks lkFk j[kus dh vuqefr gksxhA

lkekU; Js.kh ds çlo esa gh ;g lqfo/kk miyC/k gksxhA fltsfj;u lsD'ku ,oa

bDykfE'k;k tSlh fLFkfr;ksa esa ;g vuqefr ugha gksxhA

tUe lg;ksxh gsrq ik=rk%&

xHkZorh efgyk ds }kjk p;fur ijhtu efgyk dks vuqefr gksxhA fo'ks"kr% ek¡]

lkl] cgu tks çlwrk jgh gksA

fdlh Hkh çdkj laØked jksx ls xzflr ugha gks rFkk lkQ&lqFkjs diM+s igus gksA

çlo dh çfØ;k nkSjku xHkZorh efgyk ds lkFk jgus rS;kj gksA

,slh efgyk tks Lo;a dHkh çlwrk jgh gksA


tUe lg;ksxh dh Hkwfedk%&

HkkoukRed leFkZu ¼fujarj vk'oklu½ çnku djsaA

vkjkenk;d Li'kZ] elkt] i;kZIr rjy inkFkksaZ dk lsouA

xHkZorh ekrk dh bPNkvksa dks nwljksa ds lEeq[k Li"V djukA

çlo çxfr ds ckjs esa ijhtuks dks voxr djkukA

MîwVh ulZ ds lykg ,oa funsZ'kksa dk ikyu djuk

tUe lg;ksxh bu phtksa ls cpsa%&

fdlh nokbZ ;k midj.k dks gkFk yxkukA

ulZ ,oa M‚DVj ds dk;Z esa ck/kk mRiUu djukA

xHkZorh efgyk dk eukscy fxjkuk ,oa mls ijs'kku djuk

vU; xHkZorh efgykvksa ds Vscy dh vksj u tkuk rFkk vU; tUe lg;ksxh ls

ckrsa u djukA

bu fLFkfr;ksa esa tUe lg;ksxh dks çlo d{k ls ckgj Hkstk tk;sxkA

çlo laxh dk;ZØe ds fØ;kUo;u gsrq vLirky çeq[k gsrq fn'kk&funsZ'k&

çlo Vscy ds lehi cSBus gsrq LVwy@dqlhZ dh O;oLFkkA

,d ls vf/kd çlwrh Vscy d{k esa gks rks insZ@ikVhZ'ku cukdj çR;sd Vscy dks

vyx djukA

tUe lg;ksxh dk;ZØe dk çpkj&çlkj gsrq çlqrh d{k ds ckgj tkudkjh dk

cksMZ@iksLVj yxk;k tk;sA

leLr LokLF; laLFkk,a tgk¡ çlo djk;k tkrk gS] bl dk;ZØe ds fØ;kUo;u

dh ftEesnkjh lHkh eq[; fpfdRlk ,oa LokLF; vf/kdkjh@flfoy

ltZu@fodkl[k.M fpfdRlk vf/kdkjh@ vkj- ,e- ,- dh gksxhA

tUe lg;ksxh gsrq fu/kkZfjr jftLVj gksxk tks yscj LVkQ }kjk la/kkfjr j[kk

tk;sxkA ftles tUe lg;ksxh dk uke] eksckby ua] irk] xHkZorh ls fj'rk]

xHkZorh efgyk ,oa çlo laxh ds gLrk{kj gksxkA

çlqrh d{k dh ulZ }kjk ços'k ds le; tUe lg;ksxh dks mldh Hkwfedk]

nkf;Ro] D;k djs& D;k uk djs bls le>k;k tk;sxk rFkk vko';d dSi& ekLd

,oa pIiy miyC/k djkbZ tk,xh rFkk vkbZ& dkMZ@ VSx tkjh djsxh ftlls

tUe lg;ksxh dh igpku vklkuh ls gksA

çf'kf{kr uksMy M‚DVj ,oa ulZ vius laLFkk ds M‚DVj& ulZ& vk;k dk tUe

lg;ksxh dk;ZØe gsrq mUeq[khdj.k djsaxsA

çlo d{k dh ulZ dk nkf;Ro gksxk fd çR;sd çlo dk lgh fjd‚MZ j[ks rFkk

f'k¶V cnyrs le; fjd‚MZ tk¡p ysA cPps dh vnyk& cnyh] LVkQ dk

nqoZ~;ogkj] cPps dk ykirk gksuk vkfn f'kdk;rksa ls cpsaA

çlqrh okMZ esa dk;Zjr M‚DVj vkSj uflaZx deZpkjh tUe lg;ksxh dks vko';d

tkudkjh çnk; djsaxsA


14½ ekuo lalk/ku ds dRo;Z (Duty Chart)

dzekad ekuo lalk/ku Lrj&1

(SHC/Non 24x7 PHC)

1 ,,u,e@ vkj,e,

¼xzkeh.k fpfdRlk

lgk;d½

[krjs dh ladsr dh igpkj o fjQjy

xHkZorh gksus dh tkWp

izlodkyhu ns[kHkky

,lch, }kjk lkekU; izlo ¼ikVksZxzkQ]

,,eVh,l,y vkfn½

jsQj djus ds igys vkikrdkyhu izlo esa

izkjafHkd fpfdRlk ¼,sDysEifl;k] ihih,p dk

izca/ku½

izlo i'pkr 24 ls 48 ?kaVs rd vLirky esa

izlqrk dk ns[kHkky

tkWp%& Hb, Urin albumin sugar, RD test

tUe ds rqjar ckn f'k'kq ns[kHkky

f'k'kq dks iksNuk] xeZ j[kuk] Ropk ls

laidZA

Lruiku dh 'kq:vkrA

iquthZou ds lkFk vko';d uotkr ns[kHkky

'kwU; fnol Vhdkdkj.k

Sepsis ,oa le; iwoZ tUe vkfn tVhyrkvksa dh

igpku vkSj lanHkZu ds iwoZ izkjafHkd izca/kuA

chekj uotkr dk rqjar lanZHkuA

fjQjy lsok;sa

izlo i'pkr~ ifjokj fu;kstu ds laca/k esa lykgA


(24x7 PHC/Non FRU CHC)

1 LVkQ ulZ [krjs dh ladsr dh igpkj o fjQjy

xHkZorh gksus dh tkWp

izlo iwoZ ns[kHkky

izlodkyhu ns[kHkky

,lch, }kjk lkekU; izlo ¼ikVksZxzkQ]

,,eVh,l,y vkfn½

jsQj djus ds igys vkikrdkyhu izlo es

izkjafHkd fpfdRlk ¼,sDysEifl;k] ihih,p dk

izca/ku½


izlo i'pkr 24 ls 48 ?kaVs rd vLirky esa

izlwrk dh ns[kHkky

tkWp%& Hb, Urin albumin sugar,Blood

Grouping, Sickling,Blood Sugar, VDRL, HIV

test, RD test

tUe ds rqjar ckn f'k'kq ns[kHkky

f'k'kq dks iksNuk] xeZ j[kuk] Ropk ls

laidZA

Lruiku dh 'kq:vkrA

iquthZou ds lkFk vko';d uotkr ns[kHkky

'kqU; fnol Vhdkdkj.k

Sepsis ,oa le; iwoZ tUe vkfn tfVyrkvksa dh

igpku vkSj lanHkZu ds iwoZ izkjafHkd izca/kuA

chekj uotkr dk rqjar lanZHkuA

fjQjy lsok;sa

izlo i'pkr~ ifjokj fu;kstu ds laca/k esa lykgA

2 esfMdy vkWfQlj Assisted Normal Delivery

tfVyrk dk izca/ku ¼jDr p<+kus ;k ltZjh lfgr

Lrj 3 dh fjQjy tfVyrk ds vykok½

Episiotomy ,oa mlesa Vkads yxkuk

vikrdky esa izlwfr dh tfVyrkvksa esa izkjafHkd

mipkj dj izFke lanHkZu bZdkbZ@mPp fpfdRlk

laLFkku esa Hkstuk

vkikrdkfyu fLFkfr esa tkWp%& Hb, Urin

albumin sugar, Blood Grouping,

Sickling,Blood Sugar, VDRL, HIV test, RD

test

lqjf{kr xHkZikr lsokA

RTI/STI izdj.kksa dk izca/ku

izlo ds i'pkr~ 48 ?kaVs rd vLirky esa BgjukA

uotkr dks bUQsD'ku ls cpkukA

izh&VeZ izlo ;k le; ls igys ikuh dh FkSyh

QwVus ij ,UVhck;ksafVd nsuk] Corticosteroid

nsuk A

Hyper bilirubinemia okys cPps dks QksVksFkSjsih

uotkr Sepsis dk izca/ku

chekj uotkr vkSj Low Birh weight Baby dk

izca/ku ,oa mPp laLFkku esa lanHkZuA



(FRU CHC/CH/DH/MC)

1 L=hjksx

fo'ks"kK@CEmONC

izf'kf{kr fpfdRlk

vf/kdkjh

mijksDr drZO;ksa ds lkFk fuEufyf[kr drZO;ksa dk fuoZgu

djsaxs%&

PIH/Eclampsia,Sepsis,PPH,Retained

Placenta, xaHkhj jDr vYirk] vo:) izlo dk

izca/kuA

fltsfj;u o vU; lftZdy fpfdRlkA

Blood Transfusion

PPTCT lsokA

ftyk fpfdRlky; esa fyad ART/ART

HIV efgyk ladzfer efgyk dk izloA


15½ izlo d{k esa D;k djsa ,oa D;k u djsa

D;k djsa D;k u djs

LVkQ ulZ dh M~;wVh Shift cnyus ds

le; midj.kksa ds fdz;k'khyrk dh tkWp

efgyk dh xksiuh;rk vkSj xfjek cuk,

j[kukA

izR;sd izlo ds fy, Sterlized midj.k

dk mi;ksx

izR;sd izlo Vscy ij ykbV dh lqfo/kk

nks izlo Vsscy ds chp xksiuh;rk cuk;s

j[kus gsrq IykfLVd ds insZsZ yxkus

pkfg,A

izlo d{k drought eqDr gksuk pkfg,A

tUe ds ,d ?kaVs ds Hkhrj f'k'kq dks

Lruiku djkukA

izlo ds fy, vko';d nokbZ;kW dk

20% cQj LVkWd ges'kk miyC/k j[kukA

izlo d{k dk rkieku 25&28 0C

lsfYl;l cuk;s j[kuk pkfg,A

igkM+h ,oa BaMh {ks=ksa esa BaM ds le;

Room Heater dk mi;ksxA

bUtsD'ku Oxytocin ¼vkDlhVkslhu½ dks

fQzt esa j[kuk ¼fQztj esa ugha½

ladze.k jksdFkke izksVksdkWy dh izsfDVl

RH –ve ekrkvksa esa cord CyM dks ,d=

djukA

vkyekjh ,oa /kkrq ls cuh oLrqvksa dks

izlo d{k esa ugha j[kuk pkfg,A

izlo d{k esa jkS'kuh ,oa rkieku ds fy,

dks;yk ugha tykuk pkfg,A

fpfdRld] ulZ] ,oa tUe lg;ksxh dks

xkmu] pIiy] ekLd] dSi igus fcuk

izlo d{k esa ugha tkus nsuk pkfg,

nks izlo Vscy ds chp diM+s dk inkZ

ugha yxkuk pkfg, mles /kwy terh gSA

izlo d{k esa vuko';d O;fDr;ksa dks

izos'k ugha nsuk pkfg,A

izlo dh fdz;k dks c<+kus ds fy;s isV esa

ncko ugha Mkyuk pkfg,A

izlo ihM+k c<+kus ds fy, fcuk fpfdRld

dh lykg ds Oxytocin bUtsD'ku dks

IM ;k IV drip esa ugha yxkuk pkfg,A

ckj&ckj P/V Examination ugha djuk

pkfg,A

nkbZ] ferkfuu] fj'rsnkj ls izlo ugha

djkuk pkfg,A

;fn uotkr ugha jks jgk gS rks mls ihB

esa] ryqos esa ugha ekjuk pkfg,A

uotkr dks fcuk diM+s ds ugha j[kuk

pkfg,A

;fn uotkr jsfM;sUV okeZj es gks rks mls

vdsyk ugha NksM+uk pkfg,A

16½ izlo d{k ds lQy lapkyu ds fy, 10 eq[; dne%&

7 rjg ds Vªs dks arrange dj mi;ksx gsrq j[kukA

izlo d{k esa vko';d midj.kksa dh fdz;k'khy voLFkk esa miyC/krk tSls&izlo

Vscy] B.P. Apparatus, LVsFksLdksi] fQVksLdksi@Mkiyj] ikVksZxzkQ] Foot step,

tUe lg;ksxh ds fy, dqlhZ]

izlo d{k dks okrkoj.k ds vuqdwy j[kuk%& lkQ&lqFkjk] rkieku] insZ] f[kM+dh]

'kh'ks yxs gq,] xksiuh;rk ,oa 'kkSpky; 24 ?kaVs ikuh lqfo/kk ds lkFkA

;fn LokLF; dsUnz esa fo'ks"kK ,oa izf'kf{kr ekuo lalk/ku inLFk gS rks mUgsa mPp

tksf[ke okys ejhtksa ds ckjs esa igys ls crk dj j[ksA


uotkr f'k'kq ns[kHkky bZdkbZ%&

izlo ds vk/ks ?kaVs iwoZ jsfM;sUV okeZj dks pkyw gkyr esa j[kuk pkfg,A

jsfM;sUV okeZj ds uhps fdz;k'khy resuscitation cSx vkSj ekLd igys ls

tkWp dj j[kukA

Suction e'khu%&

uotkr ds fy, Dee lees dks Vªs esa j[kukA

ekrk ds fy, %& Foot operated/electrical suction e'khu ds lkFk

Disposable lD'ku Catheter ds lkFk fdz;k'khy j[kukA

vkWfDltu flysUMj &

vkWfDltu flysUMj Hkjk gksuk pkfg, A

can ,oa pkyw djus ds fy, Key gksus pkfg,A

izR;sd ckj vkWfDltu nsus ds fy, u;s V~;wc dk mi;ksx djuk pkfg,A

vkWfDltu nsus ds iwoZ V~;wc dks ikuh esa Mqck dj vkWfDltu gS vFkok ugha

;g tkWp dj ysuk pkfg,A

gkFk /kksus okys {ks= es lkcqu ,oa 24 ?kaVs ikuh dh O;oLFkk gksuh pkfg, ,oa uy

dks dksguh ds }kjk lapkyu ;qDr cukuk pkfg,A

ladze.k jksd Fkke dh izfdz;k &

Mªe esa nLrkus] midj.k] fyuu ,oa xkWtihl j[kuk pkfg,A

izlo d{k ds fy;s vyx ls vkWVksDyso dh O;oLFkk gksuh pkfg,A

izlo esa mi;ksx es vkus okys midj.kksa dks diM+s es yisV dj mfpr

la[;k es j[kuh pkfg,A ¼izfr izlo gsrq ,d lsV½

0-5 izfr'kr Dyksfju ?kksy izfr fnu cukuk pkfg,A ftlesa Soiled Item

dks Mwckus ds i'pkr~ vxyh izfdz;k ds fy, Hkstuk pkfg,A

izlo d{k es dk;Z djus ds nkSjku O;fDrxr lqj{kk midj.k iguuk

pkfg,A

vif'k"V izca/ku (Waste Disposal) &

vif'k"V izca/ku gsrq miyC/k dyj dksMsM fMCcksa dks Hkj tkus ij rRdky

,oa izfrfnu [kkyh djuk pkfg,A

rjy vif'k"V dk izca/ku (Liquid Waste Disposal) vko';drkuqlkj djuk

pkfg, &

fjdkMZ dk la/kkj.k &

ikVksZxzkQ] izloiath] fjQj bu@fjQj vkÅV jftLVj miyC/k gksuk

pkfg, o izfr izlo gsrq iw.kZ :i ls Hkjk gksuk pkfg,A


17½ vknZ'k izlo d{k dk izn"kZu


18½ vkn'Zk izlo d{k esa SBA Protocol dk izn"kZu

vkn'kz izlo d{k fn'kk&funsz'k nrrhlx

Documents