lrh quarterly health bulletin - 2013 q3
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Lady Ridgeway Hospital - Quarterly Health Bulletin - 3rd quarter 2013TRANSCRIPT
Quarterly Health Bulletin
3rdQuarter 2013
Lady Ridgeway Hospital for Children
QUARTERLY HEALTH BULLETIN 3rd quarter 2013
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 1
The Lady Ridgeway Hospital (LRH) is the largest public free of charge pediatric Hospital in the world. It serves as the National
referral center for pediatric care for Sri Lanka . It also serves as local hospital for the population in and around Colombo city for
minor ailments. The hospital has approximately over 900 beds and it treats children below 12 years of age from all over the country. It
has all supportive services required to provide quality patient care.
The total number of staff is over 2000 staff members. The medical staff consists of nearly 55 consultants and nearly 300 medical
officers. They are organized as medical teams headed by permanent senior consultants who have international experience in that
particular specialty. Nursing staff consists of nearly 700 nursing officers and are organized as teams in line the organization of
Doctors.
Our Vision
Tomake LRH the Best Health Care Centre for Children inthe South Asia within this decade.
Our Mission
Provision of consumer oriented comprehensive, best quality healthcare for children in Sri Lanka at all times through a
motivated, efficient and trained team of health care staff to the maximum satisfaction of all health care seekers and to
train undergraduates, post graduates and other health personnel in child care effectively.
QUARTERLY HEALTH BULLETIN 3rd quarter 2013
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
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Head of the Organization
Hospital Director
Dr. Rathnasiri A. Hewage
MMBS MSc (Med.Admin)
MD(Med. Admin),MACPE(USA),AMCMA(SL),DIPPCA
Telephone no 0112691521
General Information
Telephones : 0112693711,0112693712
Fax No : 0112686859
Email :[email protected]
Website: www.ladyridgewayhospital.lk
Services offered
Accident and animal bite casualty care for children
Out patients medical and surgical care for children
General medical carefor children
General surgical care for children
Heart (cardiology) care for children
Eye (Opthalmolgy) care for children
Ear, Nose,and Throat (ENT) care for children
Skin(Dermatology) care for children
Neurology care for children
Kidney (Nephrology ) care for children
Orthopaedic care for children
Child Guidance /Psychiatric care for children
Rheumatological care for children
Cardiothoracic surgical care for children
Plastic surgical care for children
Cancer (Oncological) care for children
Dental & Orthodontic care for children
Child immunization services
Occupational therapy service for children
Physiotherapy service for children
Language and speech therapy service for children
Dialysis unit
QUARTERLY HEALTH BULLETIN 3rd quarter 2013
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
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Laboratory Services
Out Patients Service
Out Patient care
The Out patientsDepartment (OPD ) and the Accident services department of this hospital is open for 24 hoursa day
for365 days. Out patients clinics conducted by the relevant consultants of inpatient units and visiting consultants of
the OPD maintain a continuous link with patients discharged from their units. There is also an emergency treatment
unit, diarrhea unit and immunization clinic which operate in the OPD to improve the quality of care.
* Here each patient getsmulti services according to the need.
Performance ofoutPatients Department from Julyto September 2013
No of Patients
July August Sep Total No of First Visits 36276 28207 25857 90340 No of Subsequent Visits 3150 2243 1565 6958 No of Emergency Patients (Ward Admissions) 8113 6964 6243 21320 Emergency Treatment Unit 3575 2555 2288 8418 OPD Visits (Accident Service) 3262 3357 3251 9870 Diarrhoea treatment unit 3039 2029 1567 6635 Observation unit 761 503 411 1675 No of patients treated for injuries in the dressing room 614 653 786 2053 Rheumatic clinic 72 91 84 247 Lactation Management unit 207 195 193 595 Nutrition clinic 194 197 193 584 Non Communicable diseases 119 131 111 361 Total No of Patients Encounters 59382 47125 42549 149056
July Aug Sep Total
No of Specimen taken 4621 3355 2949 10925
Mantaux test 47 49 29 125
Ward Admissions No of Patients
July Aug Sep Total Emergency Treatment Unit 847 606 511 1964
Diarrhoea Treatment Unit 23 19 17 59
Dengue Observation Unit 258 174 117 549
OPD Deaths
No of Deaths July Aug Sep Total Death on admission 06 03 01 10
After admission 01 0 0 01
QUARTERLY HEALTH BULLETIN 3rd quarter 2013
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Out Patients Services
Lactation Management center
Month Referred from wards
referred from OPD Direct 1st visits 2nd visits Total Cleft palate & Lip
July 86 43 13 142 65 207 20
Aug 83 35 08 126 69 195 17
Sep 65 49 13 127 66 193 19
Total 234 127 34 395 200 595 56
Nutrition Clinic
Month 1st visits Sub visits Over 5 years
Total Nutritional Stages Referredto MOH
Stunted Wasted Stunted & Wasted
1SD 2SD 3SD Median July 59 117 18 194 36 52 85 06 06 0 12 06
Aug 79 109 09 197 34 69 83 02 02 0 05 04
Sep 55 125 13 193 38 52 86 04 04 0 03 10
Total 193 351 40 584 108 173 254 12 12 0 20 20
Non Communicable Diseases Control unit
Month Diabetic Patients Obesity Patients Total Councelled adult Patient
Community Programme
Newly Diagnosed
Sub visits
Total Newly Diagnosed
Sub visits
Total
July 04 57 61 34 24 58 119 01 01
Aug 0 32 32 58 41 99 131 03 0
Sep 03 37 40 42 29 71 111 07 0
Total 07 126 133 134 94 228 361 11 01
QUARTERLY HEALTH BULLETIN 3rd quarter 2013
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Accident Service Department
Accident service department at Lady Ridgeway Hospital provide emergency casualty care to children 24 hours aday,365 days
year. The department provides immediate attention to critical and life threatening casualties as well as minor urgent-care
casualties following accidents and animal bites. There is separate 24 hour dispensary for accident service patients.
Performance of Accident service from July to September 2013
No of Patients
July Aug Sep Total
Fall 1306 1382 1276 3964
Trauma 598 561 594 1753
Animal Bite 318 423 368 1109
Foreign body 198 201 189 588
Road Traffic Accident(RTA) 88 87 73 248
Emergency Treatment unit 08 07 0 15
Cut injury 72 65 71 208
Burns 44 48 50 142
Prick Injury 30 41 46 117
Bicycle Spoke Injury 16 19 12 47
Assault 38 23 39 100
Deaths 0 0 0 0
Crush injury 29 31 38 98
Child abuse 01 0 0 01
Electrocution 01 01 02 04
Others 02 01 03 06
Staff 513 467 490 1470
Total 3262 3357 3251 9870
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No of Patients treated in the Accident ServiceJuly,August & September
QUARTERLY HEALTH BULLETIN 3rd quarter 2013
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
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Immunization
Immunization is the process whereby a person is made immune orresistant to an infectious diseases,typically by the
administration of a vaccine. Vaccines stimulate the body’s own immune system to protect the person against subsequent infection
or diseases.
Immunization services
Age below 12 years
Referral letter from a medical officer or as referred by the medical officer at OPD
Performance of ImmunizationfromJuly to September 2013
Type of Immunization (Vaccine) No of Patients
July Aug Sep Total Polio 1st dose
2nd dose 3rd dose 4th dose Booster 5th dose Total
41 34 28 59 58 220
37 31 30 52 76 226
29 20 29 39 68 185
107 85 87 150 202 631
DT 3rd dose 4th dose Booster Total
62 62
01 01 80 82
0
69 69
01 01 211 213
Tetanus Toxoid 09 09 Hepatitis (B) 1st dose
2nd dose Extra Hep B Total
04
04
02 02
04 02 06
Vitamin A 6 months 9 months 1.5 years 3 years 5 years Total
19 22 42 54 43 180
20 16 36 36 44 152
13 15 25 39 43 135
52 53 103 129 130 467
Japanese Encephalitis 83 205 199 487 Pentavalent 2 months 1st dose
4 months 2nd dose 6 months 3rd dose 4th dose Total
38 34 28 58 158
37 30 29 51 147
29 20 29 37 180
104 84 86 146 420
ARS (ERIG) 10 09 08 27
ARV 490 602 600 1692
ARS (HRIG) 26 28 26 80
Measles Rubella Mums(MMR) 141 102 132 375
BCG 20 23 25 68
ADT 77 110 82 269
QUARTERLY HEALTH BULLETIN 3rd quarter 2013
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Clinics by specialty
Month of July
Wards No of clinics
No of 1st visits
No of Sub visits
Total visits Average per clinics
Medical 01 04 64 205 269 67.3
02 08 285 240 525 65.6
03 08 213 312 525 65.6
04 09 223 307 530 58.9
08 09 261 320 581 64.6
09 09 250 376 626 69.6
VP /OPD 26 408 613 1021 39.3
RP/OPD 26 404 53 457 17.6
Total Medical 99 2108 2426 4534 45.8
Surgical 05 07 88 460 548 78.3
07 06 42 333 375 62.5
10 07 88 296 384 54.9
11 05 74 391 465 93.0
VS/OPD 18 348 462 810 45.0
Total Surgical 43 640 1942 2582 60.0
ENT- DrYasawardena 12 13 476 705 1181 90.8
ENT- Dr. Kirihena 12 13 366 425 791 60.8
Total ENT 26 842 1130 1972 75.8
Skin 19A 26 1389 862 2251 86.6
Cardiology 15 26 825 1550 2375 91.3
Rheumatology & Rehabilitation 06 25 414 684 1098 43.9
Neonatal Care unit 05 02 01 03 0.6
Dental 26 1066 300 1366 52.5
Orthodontic 26 176 1965 2141 82.3
Orthopaedic 14B 08 498 488 986 123.3
Multidisciplinary CLAP (MCC) 04 24 64 88 22.0
Child Guidance A 09 86 255 341 37.9
B 18 265 683 948 52.7
Total Child Guidance 27 351 938 1289 47.7
Speech & Language 22 220 385 605 27.5
Child Development 04 03 17 20 5.0
Renal Ward 01 Renal Ward 03
04 05
22 19
49 86
71 105
17.8 21.0
Total Renal 09 41 135 176 19.6
Burns 05 19 51 70 14.0
Eye 26 877 777 1654 63.6
Asthma Ward 02 Asthma Ward 09
03 04
04 06
69 36
73 42
24.3 10.5
Total Asthma 07 10 105 115 16.4
Plastic Surgery 04 44 85 129 32.3
Neurology - Dr. PiyaraRathnayake - Dr. Padeniya - Dr.GithangiWanigasinghe
18 10 04
80 79 13
536 206 195
616 285 208
34.2 28.5 52.0
Total Neurology 32 172 937 1109 34.7
Nephrology 24 38 369 407 17.0
Oncology 03 04 04 08 2.7
Headache 04 43 96 139 34.8
Intervention 03 15 35 50 16.7
Obesity 04 18 22 40 10.0
Endocrinology 01 15 65 80 80.0
Diabetic 04 12 16 28 7.0
Visual & Rehabilitation 03 08 05 13 4.3
Total 496 9874 15454 25328 51.1
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Clinics by specialty
Month of August
Wards No of clinics
No of 1st visits
No of Sub visits Total visits Average per clinics
Medical 01 05 114 221 335 67.0
02 09 260 315 575 63.9
03 09 195 325 520 57.8
04 07 171 379 550 78.6
08 07 246 276 522 74.6
09 07 278 378 656 93.7
VP /OPD 25 437 606 1043 41.7
RP/OPD 25 412 94 506 20.2
Total Medical 94 2113 2594 4707 50.1
Surgical 05 05 100 476 576 115.2
07 07 78 323 401 57.3
10 05 101 298 399 79.8
11 07 133 542 675 96.4
VS/OPD 16 400 454 854 53.4
Total Surgical 40 812 2093 2905 72.6
ENT- DrYasawardena 12 12 398 656 1054 87.8
ENT- Dr. Kirihena 12 13 442 532 974 74.9
Total ENT 25 840 1188 2028 81.1
Skin 19A 25 1836 999 2835 113.4
Cardiology 25 935 1613 2548 101.9
Rheumatology & Rehabilitation 06 25 444 664 1108 44.3
Neonatal Care unit 03 02 04 06 2.0
Dental 25 1421 332 1753 70.1
Orthodontic 25 223 2494 2717 108.7
Orthopaedic 14B 08 502 492 994 124.3
Multidisciplinary CLAP (MCC) 04 27 80 107 26.8
Child Guidance A 08 94 214 308 38.5
B 15 294 701 995 66.3
Total Child Guidance 23 388 915 1303 56.7
Speech & Language 20 215 443 658 32.9
Child Development 05 08 18 26 5.2
Renal Ward 01 Renal Ward 03
04 04
42 07
61 90
103 97
25.8 24.3
Total Renal 08 49 151 200 25.0
Burns 03 24 54 78 26.0
Eye 25 767 808 1575 63.0
Asthma Wd 02 Asthma Wd 09
04 03
07 05
106 27
113 32
28.3 10.7
Total Asthma 07 12 133 145 20.7
Plastic Surgery 05 75 160 235 47.0
Neurology - Dr. PiyaraRathnayake - Dr. Padeniya - Dr.GithangiWanigasinghe
13 07 05
80 47 09
547 180 270
627 227 279
48.2 32.4 55.8
Total Neurology 25 136 997 1133 45.3
Nephrology 24 38 406 444 18.5
Oncology 07 09 07 16 2.3
Headache 04 58 134 192 48.0
Intervention 03 09 39 48 16.0
Diabetic 04 08 0 08 2.0
Obesity 05 30 30 60 12.0
Endocrinology-Dr.Shyma De Silva 02 07 95 102 51.0
Endocrinology- Dr. NavodaAttapattu 25 73 90 163 6.5
Total Endocrine 27 80 185 265 9.8
Visual & Rehabilitation 05 18 19 37 7.4
Total 499 11079 17052 28131 56.4
QUARTERLY HEALTH BULLETIN 3rd quarter 2013
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Clinics by specialty-Month of September
Wards No of clinics
No of 1st visits
No of Sub visits
Total visits Average per clinics
Medical 01 04 189 174 363 90.8
02 07 222 240 462 66.0
03 08 247 365 612 76.5
04 08 177 310 487 60.9
08 08 219 224 443 55.4
09 08 234 352 586 73.3
VP /OPD 24 315 540 855 35.6
RP/OPD 24 447 46 493 20.5
Total Medical 91 2050 2251 4301 47.3
Surgical 05 06 74 383 457 76.2
07 07 73 398 471 67.3
10 06 97 292 389 64.8
11 05 93 386 479 95.8
VS/OPD 16 380 477 857 53.6
Total Surgical 40 717 1936 2653 66.3
ENT- DrYasawardena 12 13 430 699 1129 86.8
ENT- Dr. Kirihena 12 11 387 449 836 76.0
Total ENT 24 817 1148 1965 81.9
Skin 19A 24 1591 1027 2618 109.1
Cardiology 24 608 1086 1694 70.6
Rheumatology & Rehabilitation 06 24 402 689 1091 45.5
Neonatal Care unit 04 03 05 08 2.0
Dental 24 1206 300 1506 62.8
Orthodontic 25 183 2117 2300 92.0
Orthopaedic 14B 09 508 498 1006 111.8
Multidisciplinary CLAP (MCC) 04 21 75 96 24.0
Child Guidance A 08 79 199 278 34.8
B 17 297 643 940 55.3
Total Child Guidance 25 376 842 1218 48.7
Speech & Language 21 245 525 770 36.7
Child Development 03 07 10 17 5.7
Renal Ward 01 Renal Ward 03
03 04
26 02
55 92
81 94
27.0 23.5
Total Renal 07 28 147 175 25.0
Burns 04 29 58 87 21.8
Eye 24 774 653 1427 59.5
Asthma Ward 02 Asthma Ward 09
04 05
08 03
85 36
93 39
23.3 7.8
Total Asthma 09 11 121 132 14.7
Plastic Surgery 03 48 95 143 47.7
Neurology - Dr. PiyaraRathnayake - Dr. Padeniya - Dr.GithangiWanigasinghe
16 10 04
73 71 18
524 193 158
597 264 176
37.3 26.4 44.0
Total Neurology 30 162 875 1037 34.6
Nephrology 23 50 461 511 22.2
Oncology 06 04 05 09 1.5
Headache 04 61 119 180 45.0
Intervention 04 14 44 58 14.5
Obesity 03 24 31 55 18.3
Endocrinology-Dr. Shyma De Sila 02 08 83 91 45.5
Endocrinology- Dr. NavodaAttapattu 24 62 155 217 9.0
Total Endocrinology 26 90 238 308 11.8
Visual & Rehabilitation 04 16 12 28 7.0
Diabetic 07 10 22 32 4.6
Cardiothoracic -Dr. Munasinghe 04 13 94 107 26.8
Cardiothoracic - Dr. Singappuli 04 18 35 53 13.3
Cardiothracic - Dr. Y.K.M Lahic 03 19 79 98 32.7
Total Cardiothoracic 11 50 208 258 23.5
Total 507 10085 15598 25683 50.7
QUARTERLY HEALTH BULLETIN 3rd quarter 2013
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Inpatients Services
In patients section of the Lady Ridgeway Hospital is at present composed of six general pediatric medical units, four pediatric
surgical units, orthopedic unit ,plastic surgery unit, cardiology unit, accident ,emergency care unit,
pediatricENT,Rheumatology& Rehabilitation unit, Child Psychiatry unit, Eye Unit Isolation unit, Burns unit, Catheter lab,
Cardiothoracic, Dialysis, Dermatology unit and Special neonatal care unit.
In addition to these Radiology,Pathology,Hematology, Microbiology, and Histopathology departments headed by senior
consultants provide quality, assistance to both inpatients and out patients. The hospital provides in ward services to over 25000
children quarterly.
Special Units
In this Hospital there are three Intensive care units
Medicalintensivecare unit MICU
Surgical intensive care unit SICU
Cardio thoracic intensive care unit CTICU
We also have one high dependency Unit HDU
Summary of the Inpatients Care Services from July to September 2013
July Aug Sep Total No of Ward 22 22 22 22
No of Special Units 08 08 08 08
No of In patients beds 911 911 911 911
Total no of patients Admitted 8113 6964 6243 21320
Total no of Patients Discharges (including deaths) 8114 7118 6192 21424
Daily Average Admission 262 225 208 232
Daily Average Discharges 262 230 206 233
Average Daily Sick 775 723 635 712
Average Length of stay 3.0 3.1 3.1 3.1
Bed Occupancy Rate% 85.02 79.38 69.71 78.13
Hospital Deaths 44 42 33 119
TurnoverRate 09 08 07 23
Total Patients Days 24011 22417 19051 65479
Hospital Deaths
July Aug Sep Total
Deaths within 24 hours of admission 05 06 05 16
Deaths within 48 hours of admission 01 03 03 07
Deaths after 48 hours of admission 38 33 25 96
Total hospital deaths 44 42 33 119
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Discharge Analysis
Paediatric-Medical Month of July
Ward Beds Admission Discharges Transfer In
Transfer out Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate%
Ave. Length of Stay
01 85 831 843 76 82 03 2345 75.6 89.0 2.5
02 74 813 776 53 87 02 2053 66.2 89.5 2.4
03 73 819 793 47 81 01 2198 70.9 97.1 2.5
04 89 796 776 62 73 01 2001 64.5 72.5 2.4
08 77 806 795 47 79 02 2437 78.6 102.1 2.8
09 76 817 835 66 65 03 2296 74.1 97.5 2.5
Total 474 4882 4818 351 467 12 13330 430.0 90.7 2.5
Paediatric - Surgical Month of July
Ward Beds Admission Discharges Transfer In
Transfer out Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate
Ave. Length of Stay
05 39 288 339 78 34 0 1140 36.8 94.3 3.1
07 39 219 259 54 22 0 664 21.4 54.9 2.4
10 39 260 335 105 36 0 739 23.8 61.1 2.0
11 43 371 364 82 59 0 1066 34.4 80.0 2.5
Total 160 1138 1297 319 151 0 3609 116.4 72.8 2.5
Other Special Units- Month of July
Type of Specialty
Ward Beds Admissions Discharges Transfer In
Transfer out
Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate%
Ave. Length of Stay
Rheumatology & Rehabilitation
06 25 105 101 08 02 0 371 12.0 47.9 3.6
ENT 12 38 383 386 16 16 0 717 23.1 60.9 1.8 Cardiology 15 27 157 129 28 52 02 867 28.0 103.6 4.7 SICU 08 0 0 62 53 03 163 5.3 65.7 2.9 CTICU 06 0 0 41 37 02 168 5.4 90.3 4.3 HDU 12 0 0 58 48 05 225 7.3 60.5 4.2 Cardiothoracic 20 23 86 111 68 44 0 1502 48.5 210.7 9.7 Neonatal care unit
19 31 30 07 0 07 413 13.3 70.1 11.2
MICU 11 0 0 51 39 13 325 10.5 95.3 6.3
Accident Service 13A 20 852 628 0 218 0 774 25.0 124.8 0.9
Day care Surgery 13B 08 45 45 39 0 06 39 1.3 15.7 0.9 Plastic Surgery 14A 12 95 93 03 02 0 226 7.3 60.8 2.4 Orthopaedic 14B 10 59 54 04 01 0 208 6.7 67.1 3.8 Skin 19A 06 10 15 06 0 0 85 2.7 45.7 5.7 Psychiatry 19B 06 07 18 06 0 0 36 12 19.4 2.0 Burns 20 39 41 12 0 0 193 6.2 31.1 4.7 Isolation 21 08 03 99 108 08 0 420 13.5 169.4 3.9
Hemophilia 119 118 0 01 0 118 3.8 1.0 Eye 22 17 97 88 04 09 0 217 7.0 41.2 2.2 Dialysis Unit 01 05 05 0 0 0 05 0.2 16.1 1.0
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Discharge Analysis
Paediatric -Medical Month of August
Ward Beds Admission Discharges Transfer In
Transfer out Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate
Ave. Length of Stay
01 85 667 687 41 54 0 1812 58.5 68.8 2.4
02 74 534 561 44 49 0 1649 53.2 71.9 2.7
03 73 613 632 53 55 02 1911 61.6 84.4 2.8
04 89 56.3 58.2 44 43 03 1622 52.3 58.8 2.6
08 77 578 580 40 65 02 1729 55.8 72.4 2.7
09 76 617 612 54 66 03 1979 63.8 84.0 2.9
Total 474 3572 3654 276 332 10 10702 345.2 72.8 2.9
Paediatric - Surgical Month of August
72.8Ward
Beds Admissions Discharges Transfer In
Transfer out
Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate
Ave. Length of Stay
05 39 367 388 82 36 01 1390 44.8 115.0 3.3
07 39 213 263 61 15 02 696 22.5 57.6 2.5
10 39 230 317 107 28 0 787 25.4 65.1 2.3
11 43 367 412 86 46 0 1114 35.9 83.6 2.4
Total 160 1177 1380 336 125 03 3987 128.6 80.4 2.9
Other Special Units- Month of August
Type of Specility
Ward Beds Admissions Discharges Transfer In
Transfer out
Deaths Total Patients days
Average Daily Sick
Bed Occupancy Rate%
Ave. Length of Stay
Rheumatology & Rehabilitation
06 25 83 95 06 04 0 423 13.6 54.6 4.3
ENT 12 38 397 397 08 13 0 686 22.1 58.2 1.8 Cardiology 15 27 157 147 17 28 02 997 32.2 119.1 5.6 SICU 08 0 0 48 45 04 182 5.9 73.4 3.7 CTICU 06 0 0 30 27 03 182 5.9 97.8 6.1 HDU 12 0 0 63 63 02 276 8.9 74.2 4.2
Cardiothoracic 20 23 133 149 87 76 0 1680 54.2 235.6 7.5 Neonatal care unit
19 27 24 04 01 04 447 14.4 75.9 15.4
MICU 11 0 0 41 28 13 302 9.7 88.6 7.4 Accident Service 13A 20 919 663 0 242 0 889 28.7 143.4 1.0 Day care Surgery 13B 08 46 41 0 05 0 36 1.2 14.5 0.8 Plastic Surgery 14A 12 105 110 06 02 0 268 8.6 72.0 2.4 Orthopaedic 14B 10 41 53 05 01 0 235 7.6 75.8 4.4 Skin 19A 06 11 16 05 0 0 69 2.2 37.1 4.3 Psychiatry 19B 06 23 22 05 03 0 95 3.1 51.1 3.8 Burns 20 70 76 03 0 01 368 11.9 59.4 4.8 Isolation 21 08 01 61 55 06 0 237 7.6 95.6 3.5 Hemophilia 117 116 0 01 0 116 3.7 1.0 Eye 22 17 78 92 04 01 0 233 7.5 44.2 2.5 DU 01 07 07 0 0 0 0 07 0.2 22.6 1.0
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Discharge Analysis
Paediatric -Medical Month of September
Ward Beds Admission Discharges Transfer In
Transfer out Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate %
Ave. Length of Stay
01 85 584 573 55 57 01 1476 49.2 57.9 2.3
02 74 433 417 44 58 0 1189 39.6 53.6 2.5
03 73 504 467 37 60 01 1486 49.5 67.9 2.8
04 89 467 459 46 37 0 1259 42.0 47.2 2.5
08 77 439 439 65 56 03 1383 46.1 59.9 2.8
09 76 500 493 57 52 01 1560 52.0 68.4 2.9
Total 474 2927 2848 304 320 06 8353 278.4 58.7 2.6
Paediatric - Surgical Month of September
Ward Beds Admission Discharges Transfer In
Transfer out Deaths Total Patients days
Average Daily Sick
Bed Occupancy Rate %
Ave. Length of Stay
05 39 294 361 62 30 0 1151 38.4 98.4 2.9
07 39 229 245 51 21 01 709 23.6 60.6 2.7
10 39 276 328 83 32 0 879 29.3 75.1 2.4
11 43 374 427 89 45 01 990 33.0 76.7 2.1
Total 160 1173 1361 285 128 02 3729 124.3 77.7 2.5
Other Special Units- Month of September
Type of Specility
Ward Beds Admissions Discharges Transfer In
Transfer out
Deaths Total Patients days
Average Daily Sick
Bed Occupancy Rate %
Ave. Length of Stay
Rheumatology & Rehabilitation
06 25 92
88 11 07 0 384 12.8 51.2 4.0
ENT 12 38 408 416 22 17 0 714 23.8 62.6 1.6
Cardiology 15 27 170 140 28 46 02 1001 33.4 123.6 5.3
SICU 08 0 0 46 42 02 158 5.3 65.8 3.6
CTICU 06 0 0 43 40 03 174 5.8 96.7 4.0
HDU 12 0 0 54 50 04 265 8.8 73.6 4.9
Cardiothoracic 20 23 136 153 73 57 0 1368 45.6 198.3 6.5
Neonatal care unit
19 19 15 03 03 03 450 15.0 78.9 21.4
MICU 11 0 0 47 37 11 296 9.9 89.7 6.2
Accident Service 13A 20 819 624 0 201 0 748 24.9 124.7 0.9
Day care Surgery 13B 08 58 51 0 07 0 51 1.7 21.3 0.9
Plastic Surgery 14A 12 135 126 09 05 0 314 10.5 87.2 2.4
Orthopaedic 14B 10 50 51 04 0 0 221 7.4 73.7 4.3
Skin 19A 06 10 09 03 02 0 57 1.9 31.7 5.2
Psychiatry 19B 06 13 19 09 01 0 116 3.9 64.4 5.8
Burns 20 57 59 01 0 0 294 9.8 49.0 5.0
Isolation 21 08 01 28 26 03 0 103 3.4 42.9 3.3
Hemophilia 96 95 0 03 0 93 3.1 1.0
Eye 22 17 75 74 09 08 0 158 5.3 31.0 1.9
DU 01 04 04 13 13 0 04 0.1 13.3 0.2
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Other Departmentsand Units
1 Radiology Department
The unit consist of threeRadiologists andseven Medical officers and thirteen Radiographers. Theyprovide Servicesfor
the out patients, clinic patients referredfrom other organizations.
No of Radiological examinations performed from July to September 2013
Specility July August Sep Total
No of Special exams 61 60 48 169
No of CT exams 284 289 168 741
No of Routine exams 5571 5660 4602 15833
No of total X-Ray exams 5916 6009 4918 16843
No of US exams 1247 1057 933 3237
No of Nuclear Imaging exams 168 141 141 450
Total exams 7331 7209 5992 20532
No of Patients 7331 7207 5992 20530
No of Films used 5300 5400 5175 15875
2 Electrocardiogram -ECG
There are six Cardiographers in this unit. They provide services for OPD ,clinics and indoor Patients. This unit also
provide 24 hours services for indoor patients.
No of ECG examinations performed from July to September 2013
Month In Patients Out Patients Total
July 401 116 517
Aug 440 130 570
Sep 454 142 596
Total 1295 388 1683
3 Electroencephalogram -EEG
This unit provides services under administration of consultant Neurologist. There are four recordists.
EEG examinations performed from July to September 2013
Month In patients Out Patients Total
July 146 147 293
Aug 140 108 248
Sep 119 123 242
Total 405 378 783
4 Psychiatric Unit
Month In patients Out Patients Total
July 22 140 162
Aug 26 135 161
Sep 18 125 143
Total 66 400 466
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5 Physiotherapy Department
Pediatricphysiotherapy is very different to treating adults. Helping children remain motivated and keeping a positive
attitude towards their physiotherapy is essential to their progress. We ensure sessions are fun interesting and something to
look forward to and enjoy.
Physiotherapy is a clinical health science and profession that aims to rehabilitation and improve people with movement
disorders by using evidence based,natural such as exercise, motivation adapted equipment and education. Our Institution
has well organized physiotherapy department.
The Physiotherapy Department was established in 1960 at LRH. Now it’s well equipped with all the necessary items.
About 30000 registered patients are coming continuously to get treatment from this department for the diseases of
Rheumatology, Neurology; Respiratory &Orthopaedic.There are many sections such as Gymnasium, Electrotherapy
unit,Hydrotherapy unitand outdoor therapeutic play area etc.This physiotherapy department is conducted by Dr.
JaliyaUduwella (Chief Physiotherapist.
The department of Physiotherapyprovides services to the patients with in the institute as well as for the reference
patients. The department of physiotherapy functions from 8.00am to 4.00pm every day except for Saturday. But Saturday
also function from 8.00am to 12.00noon.
Performance of the Physiotherapy from July to September 2013
No of Patients
July Aug Sep Total
OPD 1st visits 218 220 215 653
OPD Sub visits 777 764 721 2262
Wards 1st visits 262 275 245 782
Wards sub visits 1879 2281 2064 6224
Total 1st visits 480 495 460 1435
Total sub visits 2656 3045 2785 8486
Total visits 3136 3540 3245 9921
Total treatments units 15225 12901 13358 41484
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Occupational Therapy services
The purpose of occupational therapy is to help the child achieve or maintain their maximum level of independence and to
develop practical life skills so that the child can participate to his/her full potential in the home environment.
Occupational therapy can help children overcome physical or other difficulties in order that they can function and
participate in their everyday environment.
The department of occupational therapy provides services to the patients with in the institute as well as for the reference
patients. The department of occupational therapy functions from 8.00am to 4.00pm every day except for Saturday. But
Saturday also function from 8.00am to 12.00noon.
Performance of the occupational therapy from July to September 2013
No of Patients
July Aug Sep Total
1st visits 184 301 183 668
Sub visits 1030 1045 1092 3167
Total visits 1214 1346 1275 3835
Total treated units 6070 6730 6375 19175
Orthodontic Unit
July Aug Sep Total
No of plate issued 141 129 144 414
No of cleft lip & palate patients 17 19 18 54
No of fix appliance patients 279 276 285 840
No of feeding plates fitted 02 01 02 05
Department of ENT & Audiology
July Aug Sep Total Audiology Test (Total) 685 695 688 2068
Pure Tone Audiograms (PTA) 273 156 165 594
Free-Field Tests 235 186 172 593
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Tympanograms 273 326 323 922
Brain-Stem Evoke Response(BSER) 49 27 28 104
Hearing aids issue 0 02 0 02
Procedeous 284 337 277 898
Nephrology Unit
Procedure Numbers July Aug Sep Total
LRH Ward Referrals 290 310 332 932
Renal Biopsy 5 07 05 17
Clean Intermittent Catheterization training 18 11 08 37
Bladder Wash 12 02 02 16
Blood Gas 12 19 13 44
Subcutaneous Erythropoietin 03 03 02 08
Prosthetist&Orthortist Department (P&O)
Ministry of Health,Government of Sri Lanka & Handicap International (HI) are working together to address the physical
rehabilitation needs of children with disabilities.Handicap established a Prosthetic& Orthotic (P&O) clinic in 2008 within
the Lady Ridgeway Hospital for Colombo. The Prosthetic &Orthotic clinic provides prosthetic & orthotic devices,
mobility aids ,adaptive devices,advice/training to children with disability/family members, referral and follow-up services.
Since the opening of the clinic in July 2009 up until June 2013, approximately 4100 children with disabilities have been
provided prosthetic &Orthotic services.
Performance of theProsthetist&Orthortist from July to September 2013
Number of Registration253
Number of new follow ups554
Device New Repairs L.E Prosthesis 01 01
U.E. Prosthesis 0 0
Lower Limb Orthosis 427 88
Spinal Orthosis 12 0
U.E. Orthosis 07 0
Other Assistive Device
Other assistive device 165 1
Mobillity device & Adaptive device
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Mobillity device 36 0
Adaptive device 26 0
Total 674 90
Operations & Procedures
Accident Service
Month Bone Marrow Liver Biopsy
Renal Biopsy Others Bortex Tenotomy Stepler Removal
Total
July 09 01 07 02 02 07 28
Aug 08 03 05 03 02 05 26
Sep 11 03 06 02 15 37
Total 28 07 18 07 04 22 05 91
Ophthalmology Unit
Procedure July Aug Sep Total
Cyclo Refraction 658 609 687 1954
Refraction 198 205 163 566
P.M.T (Post Medriatic Test) 116 133 128 377
Convergence 63 32 13 108
R.O.P Screening 215 275 241 731
Laser treatment 94 77 41 212
Statistics of Cardiac Catheterizations done
procedure No of Patients
July Aug Sep Total ASD device closure 25 44 24 93 PDA device closure 04 06 05 15 PDA coilling 05 09 06 20 Cardiac catheterization 44 31 40 115 Septostomy 02 03 01 06 Pericardial aspiration 01 01 04 06 Pulmonary Valvuloplasty 05 01 03 09 Aortic Valvuloplasty 0 01 01 02 COA dilatation 04 01 03 08 TOE 06 04 07 17 PPM Insertion 01 02 01 04 TPM insertion 0 01 01 02 Aortic angiogram 03 03 01 07 A/P collateral device closure 0 01 0 01 C/Cath+Baloon dilatation 01 0 0 01
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MAPCA Coiling 01 01 Radiology Procedure 02 02 04 08 Baloon dilatation of L.P.A Stenosis 0 01 02 03 Fistular Closure 0 0 01 01 ASD device closure + BPV 0 0 01 01
Total 108 111 106 322
Operation by nature Specialty- Month of July
Specialty Major Intermediate Minor Total Genito urinary
Ward No 05 15 41 14 70
07 08 26 02 36
10 10 36 5 51
11 14 47 0 61
OPD 07 21 02 30
Total 54 171 23 248
Plastic
Ward No 05 0 01 0 01
10 0 01 0 01
BU 0 02 0 02
14 16 11 03 30
Total 16 15 03 34
Abdominal Ward No 05 14 07 0 21
07 09 09 0 18
10 16 09 01 26
11 21 08 0 29
OPD 0 01 0 01
Total 60 34 01 95
Orthopaedic
05 0 0 01 01
11 0 04 04 08
14B 09 14 06 29
Total 09 18 11 38
Head Neck & Spine
05 0 02 0 02
07 0 03 0 03
10 0 03 0 03
11 0 03 0 03
OPD 0 02 0 02
Total 0 13 0 13
Thoracic
05 01 0 0 01
07 0 0 01 01
10 02 0 0 02
11 01 0 0 01
Total 04 0 01 05
Rectal
05 01 02 09 12
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07 02 01 05 08
10 01 05 09 15
11 04 04 06 14
Total 08 12 29 49
Endoscopy
05 0 29 0 29
07 01 03 0 04
10 03 19 01 23
11 11 25 0 36
12 28 01 21 50
OPD 0 04 0 04
Total 43 81 22 146
Specialty Major Intermediate Minor Total
ENT
12 12 10 11 33
Total 12 10 11 33
Traumatic
05 0 01 81 82
07 0 0 96 96
10 02 02 84 88
11 0 02 103 105
Total 02 05 364 371
Miscellaneous
05 0 08 69 77
07 0 06 80 86
10 0 04 77 81
11 0 16 85 101
12 0 04 06 10
14 0 14 07 21
14B 0 01 10 11
OPD 0 03 15 18
Total 0 56 349 405
EYE
22 05 09 44 58
Total 05 09 44 58
Total no of Operations 213 424 858 1495
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES
July Open heart Major Close heart Major
Other Major
Other Minor
Minor Procedure
Thoracic Minor Surgical Procedure
Anesthetic procedure
Total
Routine 62 21 02 02 04 91 Emergencies 02 07 19 28 Total 62 21 02 04 11 19 119
Minor Operations done at
Surgical Clinic
Umbilical Cauterization
Others Suture Removal
Total
10 20 28 58
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OPD -July Skin Clinic
Skin Erxission Electric Cortrization
Scraping Skin biopsy
Skin Grafting
Skin Crayo
Others Tissue Reduction
Total
03 25 180 06 01 215
Operation by nature specialty - Month of August
Major Intermediate Minor Total
Genito urinary
Ward No 05 17 62 27 106
07 07 27 02 36
10 09 35 07 51
11 08 66 04 78
OPD 03 17 01 21
Total 44 207 41 292
Plastic
Ward No 05 0 01 0 01
11 0 01 0 01
BU 06 03 0 09
14A 19 08 01 28
14B 0 01 0 01
Total 25 14 01 40
Abdominal
Ward No 05 20 09 02 31
07 03 21 0 24
10 10 05 0 15
11 09 09 0 18
OPD 0 03 0 03
Total 42 47 02 91
Orthopaedic
05 0 0 01 01
07 01 0 03 04
10 0 01 02 03
14B 14 15 18 47
11 0 01 02 03
Total 15 17 26 58
Head Neck & Spine
05 01 07 01 09
07 0 01 0 01
10 0 04 0 04
11 01 03 0 04
OPD 0 01 0 01
Total 02 16 01 19
Thoracic 05 01 0 0 01
11 02 0 0 02
Total 03 0 0 03
Rectal
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05 0 03 02 05
07 0 02 05 07
10 01 04 09 14
11 03 03 10 16
Total 04 12 26 42
Endoscopy
05 01 19 01 21
07 01 03 0 04
10 02 14 0 16
11 09 32 01 42
12 37 04 33 74
OPD 01 05 0 06
Total 51 77 35 163
ENT Major Intermediate Minor Total
12 08 18 18 44
Total 08 18 18 44
Traumatic
05 98 0 0 98
07 73 0 0 73
10 116 0 0 116
11 108 0 0 108
Total 395 0 0 395
Miscellaneous
05 0 07 73 80
07 0 06 67 73
10 0 09 38 47
11 0 10 77 87
12 0 09 08 17
14A 0 0 05 05
OPD 0 11 13 24
BU 0 03 0 03
14B 0 0 03 03
Total 0 55 284 339
EYE
22 15 05 29 49
Total 15 05 29 49
Total no of Operations 604 468 463 1535
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES
Aug Open heart Major Close heart Major
Other Major Other Minor
Minor Procedure
Thoracic Minor Surgical Procedure
Anesthetic procedure
Total
Routine 65 18 03 86 Emergencies 01 20 27 48 Total 66 18 03 20 27 134
Minor Operations done at OPD-August
Surgical Clinic
Umbilical Cauterization
Others Suture Removal
Total
49 12 61
Skin Clinic
Skin Erxission
Electric Cortrization
Scraping Skin biopsy
Skin Grafting
Skin Crayo
Others Tissue Reduction
Total
01 09 31 240 07 03 291
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Operation by nature Speciality - Month of September
Specialty Major Intermediate Minor Total
Genito urinary
Ward No 05 18 47 19 84
07 06 22 03 31
10 16 47 05 68
11 05 69 03 77
OPD 06 25 05 36
BU 0 01 0 01
Total 51 211 35 297
Plastic
Ward No 05 0 01 0 01
07 0 01 01 02
10 0 01 01 02
BU 0 08 0 08
14A 17 14 03 34
12 0 01 0 01
Total 17 26 05 48
Abdominal
Ward No 05 12 07 0 19
07 05 10 01 16
10 11 10 0 21
11 14 08 0 22
OPD 0 01 0 01
Total 42 28 01 79
Orthopaedic
05 0 01 0 01
07 0 0 01 01
10 0 02 01 03
14B 06 14 16 36
Total 06 17 18 41
Head Neck & Spine
05 01 05 0 06
07 01 03 0 04
10 0 04 0 04
11 01 10 0 11
OPD 0 01 0 01
Total 03 23 0 26
Thoracic
05 0 0 02 02
07 0 0 01 01
11 04 0 0 04
Total 04 0 03 07
Rectal
05 0 0 05 05
07 0 03 03 6
10 0 03 11 14
11 05 05 08 18
OPD 0 0 01 01
Total 05 11 28 44
Endoscopy
05 0 29 0 29
07 01 02 0 03
10 01 14 0 15
11 08 28 0 36
12 21 12 19 52
OPD 0 02 0 02
Total 31 87 19 137
ENT 12 14 04 20 38
Total 14 04 20 38
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Specialty Major Intermediate Minor Total
Traumatic
05 0 01 84 85
07 0 0 69 69
10 0 01 63 64
11 0 02 105 107
Total 0 04 321 325
Miscellaneous
05 0 04 60 64
07 0 08 82 90
10 0 05 74 79
11 0 14 88 102
12 0 07 03 10
14 0 01 12 13
14B 0 04 03 07
OPD 0 08 13 21
Total 0 51 335 386
EYE
22 02 06 26 34
Total 02 06 26 34
Total no of Operations 175 476 811 1462
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES
September Open heart Major Close heart Major
Other Major
Other Minor
Minor Procedure Thoracic Minor Surgical Procedure
Anesthetic procedure
Total
Routine 60 23 03 02 88 Emergencies 01 13 20 34 Total 60 23 01 0 0 03 15 20 122
Minor Operations done at OPD-September
Surgical Clinic
Umbilical Cauterization
Others Suture Removal
Total
30 06 36
Skin Clinic
Skin Erxission
Electric Cortrization
Scraping Skin biopsy
Skin Grafting
Skin Crayo
Others Tissue Reduction
Total
1 08 20 206 10 01 246
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Hospital Laboratory Services
The Laboratory services of this hospital consist offourSections Bio-Chemistry,Hematology,Histopathology
andMicrobiology. Staff Consist ofConsultant Hematologist, Consultant Microbiologist Five grade Medical Officers ,31
Medical Laboratory Technologists.
Services are provided by main laboratory from 8.00am to 4.00pm and 4.00pm to 8.00am. Night lab for Inpatients.Out
Patients and the Clinic patients are served by the OPD Lab.OPD lab performed routine hematological investigations
such as WBC/Dc,Hb, UFR, ESR and FBC.
Consultant’s Name
Biochemistry Section Dr.(Mrs) IreshaJasinghe
Microbiology Dr.(Mrs) KumuduKarunarathna
OPD Dr. (Mrs)ShiromiPerera
Hematology Dr.(Mrs) Mala Jayathilake
Histopathology Dr.(Mrs) ShiromiPerera
Night Lab Dr.(Mrs) IreshaJasinghe
Total Laboratory investigations performed from April to June 2013
Section July Aug Sep Total Biochemistry 29473 35197 33923 98593
Microbiology 8619 8369 7821 24809
OPD 24230 20029 15608 59867
Hematology 26377 25007 23663 75047
Histopathology 876 867 1050 2793
Night Lab 13750 12689 11603 38042
Total 103325 102158 93668 299151
OPD Section
Blood Test July Aug Sep Total
Blood -WBC/DC 4228 3072 2588 9888
Blood Hemoglobin 4228 3072 2588 9888
Blood Packed cell volume 4252 4005 2597 10854
Blood platelets 4252 4005 2597 10854
Blood ESR 591 517 520 1628
Blood picture 471 423 388 1282
Blood bleeding time 33 25 23 81
Blood Clotting time 33 25 23 81
Blood Malarial parasites 0 01 01
Urine full report 1423 1376 1281 4080
Urine ketone bodies 07 08 02 17
Urine bile 12 10 06 28
Urine sugar 172 152 127 451
Urobilinogen 07 10 06 23
Red Cell Indices 4228 3072 2588 9888
Stool reducing substances 92 85 91 268
Stool full report 173 161 170 504
Reticulocytes Count 28 11 12 51
Total 24320 20029 15608 59867
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Biochemistry Section
Blood Test July Aug Sep Total
Blood test
Serum Electrolytes 1. Sodium 2. Potassium 3. Chloride
2900 2900 2900
2610 2610 2610
3610 3610 3610
9120 9120 9120
Serum total bilirubin 440 431 420 1291
Serum direct bilirubin 680 370 360 1410
Serum SGOT (AST) 2600 3168 3100 8868
Serum SGPT (ALT) 2618 3382 3240 9240
Serum total Protein 540 910 860 2310
Serum Albumin 1960 3003 1060 6023
Serum total cholesterol 540 561 480 1581
Serum Alkaline Phosphatase 560 1049 420 2029
Serum amylase 96 151 120 367
Serum calcium 1210 1781 1600 4591
Serum phosphates 340 600 596 1536
Serum Osmolality 35 30 34 99
Serum Creatinine 2800 3372 3200 9372
Serum urea 2900 2999 3200 9099
Serum sugar+ CSF sugar 860 1395 1332 3587
Serum magnesium 310 337 330 977
Serum uric acid 130 206 205 541
CRP 1640 2725 1760 6125
Urine test
Urine calcium 118 120 238
Urine phosphate 10 48 35 93
Urine Creatinine 116 364 255 735
Urine ketone bodies 15 12 16 43
Creatinine Clearance 24 14 38
Urine bile 15 14 20 49
Urine PH 12 03 10 25
Urine Cystine 08 04 10 22
Urine Sodium 35 26 28 89
Urine Potassium 35 26 28 89
Urine chloride 35 26 28 89
Urine Protein 94 62 156
Urine osmolality 25 22 28 75
UrineNitrosonapthol 15 10 15 40
Calcium /creatine ratio 23 23
Urine Mucopolysaccharides 20 19 21 60
Urine Haemocystine 02 01 02 05
Urine reducing substances 18 20 16 54
Protein / creatinine ratio 54 38 12 104
Urine Fecl3 for phenylketonuria 06 06 02 14
Urine uric acid 05 24 15 44
Urine deposits 05 05 10 15
Urobilinogen 02 02 03 07
Urine glucose strip test 15 05 10 30
Urine DNPH 05 05 05 15
Miscellaneous
sweat test
Water deprevation 01 01
Stool test
Reducing substance 05 06 05 16
Occult blood 08 04 06 18
Total 29473 35197 33923 98593
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Bacteriology section
Blood Test July Aug Sep Total
Blood culture ABST
905 65
775 50
532 85
2212 200
CSF Culture and gram stain Full report ABST Antigen test
104 83
83
83 83
83
70 70
70
257 236
236
Pus, direct smear and culture ABST
259 248
322 307
280 239
861 794
Throat swab/Nasal swab culture ABST
10 09
25 13
16 09
51 31
Body Fluids / Aspirates D/S & Culture ABST
12 06 219
07 231
25 450
Respiratory culture ABST
216 332
211 286
286 298
713 916
MRSA culture ABST
301 42
348 35
305 38
954 115
Urine culture ABST Urine full report Urine Reducing Substances
1281 269 1152 14
1158 219 1167 13
1040 231 1103 14
3479 719 3422 41
Stool culture ABST Stool full report Stool reducing substances
88 18 288 49
82 04 291 53
69 09 293 54
239 31 872 156
AFB 10 26 09 45
Direct Smear 2082 2225 2196 6503
Infection control sample culture 05 06 07 18
Dengue Antibody 94 79 60 233
Dengue -Positive 79 62 52 193
API Test 600 200 200 1000
Total 8619 8369 7821 24809
Haematology section
Blood Test July Aug Sep Total
Hemoglobin 4652 4410 4200 13262
White Blood cell/ Differential count 4600 4388 4112 13100
Platelets count 4612 4412 4114 13138
Packed cell volume 4625 4400 4114 13139
ESR 744 612 618 1974
Malarial parasites 10 08 06 24
Blood bleeding time 165 75 39 279
Blood picture 573 712 658 1943
Inhibitor Screening 05 04 10 19
Reticulocyte count 186 175 160 521
Bone marrow 13 24 18 55
Sickle test 07 04 06 17
Iron stain 06 08 08 22
Red cell indices 4650 4340 4200 13190
APTT 563 520 540 1623
Factor IX correction 08 07 08 23
Factor IX Assay 05 04 05 14
Factor VIII Assay 14 13 09 36
Factor VIII correction 10 11 12 33
Factor VIII inhibitor levels 01 01 06 08
L.E cells /L.E cells antibody test 01 01
G6PD 02 06 05 13
Rheumatoid factor 12 15 10 37
Clot solubility 06 06 09 21
Prothrombine test 750 710 700 2160
Urine Spectroscopy 04 08 05 17
Thrombin time 144 127 80 351
Urine Haemosidern 05 04 06 15
Heinz Bodies 01 01 02
Ham’s test 04 02 04 10
Total 26377 25007 23663 75047
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Histopathology section
Blood Test July Aug Sep Total
Fine Needle aspiration cytology 48 24 51 123 Direct Smears/ cytology 13 17 27 57 Buccal smears 20 28 20 68 Post Mortem 02 02 Post Mortem slide preparation 54 54 Special staining 31 51 51 133 Surgical Biopsy slide preparation 708 747 901 2356 Total 876 867 1050 2793
Night Lab
Blood Test July Aug Sep Total
Hemoglobin 13 10 08 31
APTT 524 498 484 1506
Platelets 26 21 18 65
CSF Full Report 29 20 24 75
CSF Sugar 29 218 206 453
Blood Urea 621 594 541 1756
Full Blood Count 3001 2561 2224 7786
Blood Sugar 235 218 206 659
WBC/DC 20 24 19 63
Serum Bilirubin - Direct 224 196 184 604
Serum Bilirubin - Total 241 210 195 646
Urine full Report 724 621 540 1885
Ketone bodies 12 10 08 30
Stool Full Report 18 19 17 54
Stool Reducing Substances 16 17 14 47
Bleeding time 36 24 19 79
Clotting time 36 24 19 79
Hematocrits values 3001 2561 2224 7786
Prothrombin time 431 420 405 1256
Urine bile 08 08 09 25
Aspiration Fluids 02 07 03 12
Serum electrolytes Cl- 07 10 06 23
Serum electrolytes Na+K+ 1415 1460 1395 4210
Urine electrolytes Cl- 07 07 09 23
Urine electrolytes Na+K+ 16 19 17 52
Serum Cholesterol 217 211 197 625
Serum Albumin 501 495 461 1457
Serum Calcium 494 481 454 1429
Serum Creatinine 591 568 521 1680
SGOT (AST) 619 607 594 1820
SGOT(ALT) 636 610 582 282
Total 13750 12689 11603 38042
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Bolod Bank- Month of July
Analysis of RCC (450ML units) Component requests & issues
For Patients in state Hosp. words
RCC FFP PLt Cryo CSP Plasma Buffy
R C/M I R I R I R I R I R I R I
Paediatric 1618 1582 1030 404 275 518 567 654 341 26 22
Total 1618 1582 1030 404 275 518 567 654 341 26 22
Bolod Bank- Month of August
Analysis of RCC (450ML units) Component requests & issues
For Patients in state Hosp. words
RCC FFP PC Cryo CSP Plasma Buffy
R C/M I R I R I R I R I R I R I
Paediatric 1616 1252 881 179 47 144 42 128 05 05
Total 1316 1252 881 179 47 144 128 39 05 05
Bolod Bank- Month of September
Analysis of RCC (450ML units) Component requests & issues
For Patients in state Hosp. words
RCC FFP PC Cryo CSP/Plasma Buffy
R C/M I R I R I R I R I R I
Paediatric 1299 1152 510 557 228 350 178 243 89 33 13 15 10
Other 387 308
Total 1299 1152 897 557 228 350 486 243 89 33 13 15 10
No of special RCC requests with indications
Indication/RC Type Thal/Hb’ paty
Ch. renal Dis Malig Th. reaction other Total Request Total issues
Noof LR/BCR requests 292 292 No of L.F requests 02 02 26
No of WRC requests 18 04 08 30 147
L.R= Leuko Reduced , BCR= Buffy Coat Removed, LF= Leuko Filtered, WRC= Washed Red Cells
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MONHLY RETURN OF NOTIFICATION- LADY RIDGEWAY HOSPITAL
Month of July
Diseases Ward No No of Patients 01 02 03 04 08 09 MICU 21 Total
Dysentry 04 07 01 04 07 23
Enteric Fever 02 02
AEFI 01 01 01 01 04
AFP 01 01 01 01 04
Hepatitis A 01 01 02
DHF + DF 33 63 60 67 58 48 07 336
Chicken pox 01 01
Measles 08 09 13 07 08 22 105 172
Meningitis 02 01 03
Whooping Cough 01 03 04
Typhus Fever 01 01
Total 46 77 86 76 74 80 08 106 552
Month of August
Diseases Ward No No of Patients 01 02 03 04 08 09 MICU 21 OPD Total
Dysentry 05 02 09 02 02 03 23
Enteric Fever 02 02 04
AFP 01 01 02
AEFI 01 02 01 02 01 07
Encephalitis 01 01
Hepatitis A 03 03
Typhus Fever 01 01
DHF + DF 21 39 32 33 42 17 03 187
Mumps 01 01 02
Chicken pox 01 02 03
Tuberculosis 01 01 02 04
Measles 01 02 01 04 50 58
Whooping Cough 02 02
Meningitis 01 01 05 01 01 09
Total 32 50 49 44 53 20 04 53 01 306
Monthof September
Diseases Ward No No of Patients 01 02 03 04 08 09 MICU 21 Total
Dysentry 04 03 02 09
AEFI 01 02 01 04
AFP 01 01 01 01 04
Chicken pox 04 04
Hepatitis A 01 01
DHF + DF 20 11 15 26 28 18 01 24 143
Encephalitis 02 02
Tuberculosis 01 01 02
Measles 01 03 01 02 02 09
Whooping Cough 01 01 01 03
Meningitis 02 02 01 05 Total 24 26 22 27 32 22 05 28 186
QUARTERLY HEALTH BULLETIN 3rd quarter 2013
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Hospital Finance
Vote Expenditure type AmountRs.
Recurrent Expenditure
1.Personal Emoluments July Aug Sep Total
111-1-8-1-1001 Salaries & Wages 39,618,983.41 39,879,693.61 42,094,224.61 121,592,901.63
111-1-8-1-1002 other allowances & H.P 23,175,812..43 23,214,718.49 24,309,267.56 70,699,798.48
111-1-8-1-1003 Other allowances 33,742,806.91 31,445,020.60 33,906,420.12 99,094,247.63
2.Travelling Expences
111-1-8-1-1101 Travelling Expences 21347.00 19,550.00 40,897.00
3.Supplies
111-1-8-1-1201 Stationary & Office Request 338,779.60 76,159.00 514,443.20 929,381.80
111-1-8-1-1202 Fuel & Lubricants 169,506.40 2,780.00 1,292,236.03 1,464,522.43
111-1-8-1-1203 Diets & Uniforms 2,542,724.90 1,316,763.83 7,510,154.28 11,369,643.01
111-1-3-0-1204 Medical Supplies 6,663,292.67 14,108,865.00 8,147,307.27 28,919,464.94
111-1-8-1-1205-(1) Garbage 528,640.00 472,640.00 1,001,280.00
111-1-8-1-1205-(11) Other Supplies 512,865.50 14,821.00 2,250,621.30 2,778,307.80
4.Maintennance Expenditure
111--8-1-1301 Vehicles Repair 115,706.13 41,145.79 222,767.59 379,619.51
111--8-1-1302 Plant Machinary& Equipment 262,126.11 105,574.13 374,528.81 742,229.05
111--8-1-1303 Build & Structure 168,705.00 85,313.13 455,029.00 709,047.13
5.Contructual Service
111-8-1-1402 Postal Charges & telecommunication 2,039,266.44 1,792,282.59 1,920,183.84 5,751,732.87
111-8-1-1403 Electricity water & gas 125,006.00 (4625.00) 56,306,098.83 56,426,479.83
111-8-1-1404 Rates & Taxes 895,878.00 895,878.00
111-8-1-1405 Other contractual service 2,995,036.77 4,688,788.47 8557,970.52 16,241,795.76
6.Other Recurrent Expenditure
111-1-8-1-1506 Property loan 1,295,853.54 1,332,033.84 1,361,612.27 3,989,499.65
111-1-8-1-1508 Other 88,284.50 23,268.50 20,500.00 132,053.00
7.PGIM/Intern
111-2-11-1-1001 Salaries & Wages
111-2-11-1-1002 Overtime Allowance & H.P 3,849,327.87 3,889,632.19 3,889,632.19 11,628,592.25
111-2-11-1-1003 Overtime Allowance 2,800,918.00 2,907,513.40 2,907,513.40 8,615,944.80
111-2-11-1-2401(04) Training 11,000.00 11,000.00
8.Blood Bank
111-1-8-9-1001 Salaries & Wages 399,243.54 339,889.51 338,345.00 1,077,478.05
111-1-8-9-1002 Overtime Allowance & HP 107,072.58 181,048.76 1,53,849.23 441,970.57
111-18-9-1003 Overtime Allowance 405,952.49 365,941.70 367,301.03 1,139,195.22
Rehabilitation & Improvements
111--2-13-1--2001(11) Building & Structure 3,964,182.97 1,369,832.09 7,370,920.05 12,704,935.11
111-02-13-1-2002(2) Medical Equipment Repair
111-2-13-76-21--2103 Telephone Repairs 709,290.84 709,290.84
111-2-13-1-2002(1) Maintenance &Repair 2,130,166.30 521,863.60 2,652,029.73
111-2-13-1-2002(11) Maintenance &Repair 2,543,277.24 2,543.277.24
111-02-13-28 - 2104(1) Underground water tank Repair 184949.00
111-02-13-5-2103(1) Air Conditions Supply &Instolation
111-02-13-1-2002-2 Medical Equipment 300,000.00 300,000.00
111-02-2-13-04-2103(11) Lift Repair 859488.00 458,045.28 1,317,533.28
Acquisition of fixed assets
111-2-13-1-2102 Furniture & office Equipment 443,750.48 856,565.60 1,300,316.08
111-2-13-13-2103(11) Lab Equipment 1,288,000.00 1,288,000.00
111-2-13--08-2103(11) Medical Air Supply
111-2-13-13 -2103 Medical Equipment 21504.00 21,504.00
111-2-13-13 2103-11(1) Medical Equipment 469,400.00 1,211,000.00 1,680,400.00
111-2-13-8-2103(11) Medical Air Supply
111--2-13-77-2102-01 Medical Books 16,900.00 111,145.00 128,045.00
Total 125,931,440.76 131,581,114,.65 213,390,685.69 470,903,241.10
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Department of Pharmaceuticals
The Institution has well organized pharmaceuticals department, which is the most expensive and important component of
the hospital. It provides services to the patient’s within the institute as well as for the special campaigns and for any
situation of disasters.
The department performs routine functions from 8am to 4pm everyday,except for Saturdays. Where it functions from
8am to 12noon.It also functionsfor 24 hour throughout emergencies.The Chief Pharmacist is involved in administrative
functions and there are 26 Pharmacists and 12 Dispensers.
Theinstitutionobtain drugs from Medical Suppliers Department of Ministry of Health.
Local Purchase drug list for the month of July 2013
Name of the drug Strength Quantity Unit price Cost Rs.
Sy. Iron 3 Hydroxide 1 303.00 303.00
Baby haler 2 2875.00 5750.00
Intrasite- Jel 1 1495.00 1495.00
Betamethasone & Neo Nasal Dro 1 167.90 167.90
Kleen Enema 20 202.50 4050.00
Oxymethasoline Nasal Drops 1 155.00 155.00
Perasitic Acid Powder 1 5700.00 5700.00
Micropore Plaster 1” 13 185.00 2405.00
Micropore Plaster 2” 9 330.00 2970.00
Micanazole& Hydro Cream 1 470.00 470.00
Refresh tears 3 386.00 1158.00
InfanrixHexa 2 3385.00 6700.00
Soft clothe liner tape 10 890.00 8900.00
Sy. Solmux 60ml 4 315.00 1260.00
Sy. Zincovit 200ml 6 290.00 1740.00
Kleen Enema 6 195.00 1170.00
Tab Naproxen 250mg 20 13.33 266.60
Tab Amiloride Hydrochloride 2 7.50 15.00
Inj. Linasolid 600mg 11 7854.00 86394.00
Micanazole& Hydro cream 1 529.00 529.00
Tab Ursodeoxycholic acid 150mg 13 50.00 650.00
Transparent film dressing 1626 25 205.00 5125.00
Transparent film dressing 1624 245 80.00 19600.00
White soft parafin 25kg 16130.00 16130.00
Tetracort Ointment 1 523.71 523.71
175697.21
By Special Tender Approval
Name of the drug Strength Quantity Unit price Cost Rs.
Inj. Alprostadil 500mcg 3 36000.00 108000.00
Tab Voriconazole 200mg 5 3100.00 15500.00
Bactorub solution 500ml 60 1050.00 63000.00
Inj. SynacthanDepct 1mg/1ml 5 3500.00 17500.00
Hib Vaccine 1 1380.00 1380.00
Tegaderm Dressing 1624 200 80.00 16000
Tegaderm Dressings 1626 200 205 41000.00
Perasafe Powder 34B 5544.00 188496
450876.00
Grand Total 626573.21
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Lacal Purchase drug list for the month of August 2013
Name of the drug Strength Quantity Unit price Cost Rs.
Fucidine Tulle 22 193.00 4246.00
Baby haler 5 2875.00 14375.00
Microenema 4 195.00 780.00
Tab. Ursodexycholic acid 4 50.00 200.00
Transparent film dressing 255 80.00 20400.00
Primarine cream 1 1381.00 1381.00
0.5% Acitic acid solution 1000ml 0.30 300.00
Empty Bottels 2 34.00 68.00
Metranidazolejel 1 197.25 197.25
Micanazole Hydro cream 1 529.00 529.00
Refresh teras 3 393.00 1179.00
Refresh teras 2 386.00 772.00
Soft clothe liner tape 4 1215.00 4860.00
Sy.Solmux 60ml 5 315.00 1575.00
Sy. Zincovit 200ml 2 290.00 580.00
Microenema 9 202.15 1846.35
CaciumRisonium 08 315.00 2520.00
Tab Neurobion 5 9.99 49.95
Inj. Linasolid 600mg 2 7854.00 15708.00
Tab. Levatiracetam 500mg 12 54.40 657.12
Inj. Kabiven 3 6842.50 20527.50
Transparent film dressing 1626 15 205.00 3075.00
Tab. Levatiracetam 500mg 11 31.70 348.70
White soft paraffin 20kg 12530.00 12530.00
Sy. Gaviscon 2 320.00 640.00
Micropore plaster 1” 26 185.00 4810.00
Inj. Netilmycin 4 840.00 3360.00
117,514.87
By Special Tender Board Approval
Name of the drug Strength Quantity Unit price Cost Rs.
Perasafe Powder 8 4950.00 39600.00
Tab Voriconazole 200mg 5 3100.00 15500.00
Tab. Biotin 500mg 50 37.73 1886.50
Inj. Voriconazole 6 11000.00 66000.00
Hib Vaccine 1 1492.00 1492.00
Perasafe Powder 12 5544.00 65528
Total 191,006.50
Grand Total 308,521.37
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Lacal Purchase drug list for the month of September 2013
Name of the drug Strength Quantity Unit price Cost Rs.
Baby haler 3 2875.00 8625.00
Empty Bottles 2 34.00 68.00
Hibiscrub Lotion 1000ml 2.12 2120.00
Inj. InfanrixHexa 3 3385.00 10155.00
Inj. Kabiven 1 6842.50 6842.50
Inj. Linasolid 600mg 9 7454.00 70686.00
Inj. Netilmycin 2 840.00 1680.00
Intrsite Gel 3 1495.00 4485.00
Iodosorb powder 1 1082.80 1082.80
Kleen Enema 11 202.50 2227.50
Metranidazole 1 197.25 197.25
Micanazole& Hydro Cream 2 529.00 1058.00
Microenema 19 60.00 1140.00
Moxifloxacin eye drops 2 368.00 736.00
Refresh tears 2 393.00 786.00
Silicon Gel 1 4635.00 4635.00
Soft Clothe liner tape 2 1215.00 2430.00
Sy. B Complex & Zinc 1 210.00 210.00
Sy. Tteophyllin 1 95.00 95.00
Sy. Solmux 60ml 3 315.00 945.00
Sy. Zincovit 200ml 1 290.00 290.00
Tab Levatiracetam 500mg 2 54.76 109.52
Tab Methyl Prednisolone 6 12.24 73.44
Tab. Methyl Prednisolone 111 37.13 4121.43
Tab. Neurobion 8 9.99 79.92
Tab. Olenzapine sublingual 4 12.20 48.80
Tab. Methyl Prednisolone 64 11.16 714.24
Tab. Methyl Prednisolone 18 17.32 311.76
Tab. Ursodeoxycholioc acid 6 50.00 300.00
Transparent film dressing 200 80.00 16000.00
Transparent film dressing 20kg 13435.70 13435.70
White soft parafin 20kg 14435.70 13435.70
Total 174343.86
By Special Tender Board Approval
Name of the drug Strength Quantity Unit price Cost Rs.
Formulated items
Perasafe Powder 810g 20 5936.00 118720.00
Tab. Voriconazole 200mg 25 3100.00 77500.00
Inj. Salbutamol 19 2500.00 47500.00
Total 243720.00
Non Formulated items
Inj. Kabiven 3 6842.50 20527.50
Bactorub Solution 60 1050.00 63000.00
Inj. Colomycin 2 7000.00 14000.00
97527.50
Grand Total 515,591.36
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Medical Records Unit
Main Functions of this unit
Collection of information- ReceivingBHTT & other documents
Processing /sorting of information -Coding (according to International Classification of Diseases (ICD 10)
Storing of Information-Secure of Medical Records retrieving for continuity of patient care,judicial purposes.
Retrieval of Information - Research, Judicial & administration purposes as requested by patients and relatives .etc.
Distribution of information -Collecting data and preparing statistical returns which will be sent to the DirectorMedical
statistics unit and other relevant institutions.
Value of the MEDICAL RECORD
A good complete medical record is of value
To the Patient
As the medical record contains a complete report of a patient’s illness and results of treatment, it is of great value to the
patient for
Future care for the same or other illness, facilitating continuity and excellence of care and cost savings derived from not
having to repeat diagnostic testsunnecessarily
Informing them (by giving access) of their care ,treatment and as a legal documents to support claims for injury,
To the Hospital, Clinic or other Health Facility
The medical record may be used by the health facility to evaluate the standard of care rendered by staff and the end
results of treatment. If adequate records are not kept, the facility cannot justify the results of treatment. The medical
record is also of value to the facility for medico-legal purposes. Statistics derived from medical records can be used for
evaluating and planning present and future hospital services.
Tothe Doctor and other Health Professionals
The medical recordis of value to all health professionals caring for a patient. The patient may have been treated by them
previously or by other health professionals. The medical records enable pertinent clinical, social or other relevant,
information to be readily available for continuing patient care. In addition the medical record is of value for review of
diseases, treatment and responses to treatment.(research, quality assurance, education and professional development of
staff)
To Researchers, Statisticians and Educators
To scientific research the medical record has the potential to be an important tool. At its best, the information within a
medical record supplies a practical and reliable source of material for the advancement of medical science. This
information is Education also valuable in the collection of statistics on health care and the incidence of diseases, and for
education of health professionals
QUARTERLY HEALTH BULLETIN 3rd quarter 2013
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Education Programme for Lady Ridgeway Hospital Child Patients
The government has decided to allocate diploma holder who join the ‘teachers’ service from the NationalColleges of
Education : for Sinhala medium and Tamil medium, to visit the Lady Ridgeway Hospital .These Diploma holders will
keep the student patients engaged in educational activities.
Children between the age group of 5-12 years from all parts of the country visit the Lady Ridgeway Hospital for medical
treatment and some of them who warded in the hospital for several months for treatment purposes neglect their
education by not being able to attend the school for a considerable period.
The programme will enable child patients to continue their education while receiving treatment without any interruption.
This will also prevent school drop outs due to illnesses.