chc bagbahra visit 23092014
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COMMUNITY HEALTH CENTRE
BAGBAHRAVISIT REPORT
VISITED ON : 23/09/2014
VISITED BY : Dr.K.Gajbhiye (Medical Officer)
Dr.Nikhil Goswami (Hospital Consultant)
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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
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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
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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.
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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
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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.
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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
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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.
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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.
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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.
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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).
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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.
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