ANNUAL REPORT 2016 · It is located at Shahdara North Zone in Dilshad Garden. Adjacent landmarks: IHBAS, GTBH, UCMS. Nearest Metro Station: Mansarovar Park on Dilshad Garden – Rithala

ANNUAL REPORT 2016

SWAMI DAYANAND HOSPITAL Page 1

ANNUAL REPORT 2016


ANNUAL REPORT 2016


SR.NO DEPARTMENT NAME TELEPHONE NO (OFFICE/Extension)

TELEPHONE NO. (RESIDENCE/MOBILE)

1. E.P.B.X. 22581031

22581036

2. Help Line Services 22314029

3. Emergency 22588585

4. Enquiry Cum Admission 22581036 / 267

5. Medical Superintendent Dr.M.L.Jaipal 22582512 / 277 8826694667

6. Addl.Medical

Superintendent

Dr. M.P. Singh 22583809 / 278 9810456706

7. CMO(Admn) I Dr.Santosh Tomar 22581036 / 325 8588887957

8. CMO(Admn) II Dr. K.R. Arya 22581036 / 265 858887784

9. CMO I/C PCB Dr. K.R.Arya 22581036 / 265 858887784

10. Asst. Chief Accountant Sh. Yogesh Kumar

Sharma

22581036 / 276 9911103540

11. Administrative Officer Smt. Lata Singh 22581036/ 215 8130191227

12. HOD/Pathology Dr. Awaindra Kumar 22581036 / 204 8130191236

13. HOD Anesthesia Dr. Rajni Kherwal 22581036 / 264 8130191293

14. HOD Medicine Dr. Mukesh Kumar 22581036 / 308 9971443252

15. HOD Surgery Dr. Rajesh Bansal 22581036 / 292 9818016469

16. HOD Gynecology Dr. Sunita Fotedar 22581036 / 211 9818810837

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

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

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

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

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

22. HOD Dermatology Dr. Sandeep Mohanty 22581036 / 220 8130191237

ANNUAL REPORT 2016


23. HOD Radiology Dr. Prashant Jain 22581036 / 298 858888760

24. CMO I/C Pharmacy &

Library Conference Hall

Dr. D. Chakravarty 22581036/268 9811237178

25. MO I/C Medical Store Dr. Gladbin Tyagi 22581036 / 342 9891773939

26. Mo I/C House keeping Dr. Pramod Kumar 22581036/ 293 9873923696

27. C.M.O/C Causality Dr. R.K. Singhal 22581036 / 226 9811111388

28. CMO I/C Biomedical

Waste Management

Dr. Gynesh Gupta 22581036 / 231 9811128529

29. M.O.I/C General Store Dr.Santosh Tomar 22581036 / 325 8588887957

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

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

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

ANNUAL REPORT 2016


Sr.No. TOPIC PAGE NO.

1. From the Desk of Medical Superintendent 7

2. From the Desk of Addl. Medical Superintendent 9

3. Citizen’s Charter 10

4. General report 16

5 Medicine Department 21

6. Dermatology Department 26

7. Pediatric Department 30

8. General Surgery Department 37

9. Orthopedic Department 41

10. Obstetrics & Gynecology Department 44

11. Ophthalmology Department 54

12. Dental Department 58

13. E.N.T. Department 60

14. Pathology & Allied Department 64

15. Blood Bank & Transfusion Medicine department 69

16. Thallasemia Day Care Unit 73

17. Radio Diagnosis Department 75

18. Casualty / Emergency Services 78

19. Anesthesiology and Critical Care Department 79

20. Nursing Department 85

ANNUAL REPORT 2016


21. Hospital Catering Department 85

22. Spot and Cultural Club 86

23. Library Department 88

24. Bio Medical Waster Management 90

25. Pharmacy Department 91

26. Scientific Committee Activities 91

27. Hospital Information Sysytem (HIS) 93

28. Sanitation & House keeping Department 95

29. Stores and Inventory 95

30. Laundary Department 96

31. Private Public partnership 96

32. Ancilliary Department 97

33. Nursing School 97

34. Senior Citizen 99

35. Right to Information 99

36. Administrative Wing 100

37. Accounts Department 100

38. Budget Provision 101

39. Medical Record Department 102

40. Annual Statistics 104

41. Disease wise Report 106

42. Notifiable Diseases 107

43. V.S.A.S. KARAWAL NAGAR 108

44. Staff attained Superannuation 109

45. Acknowledgement 115

ANNUAL REPORT 2016


I feel proud of presenting the Annual Report of Swami Dayanand Hospital as a Medical Superintendent of Swami Dayanand Hospital and its satellite centre Veer Savarkar Arogya Sansthan. Veer Savarkar Arogya Sansthan has become the satellite centre of S.D.N.Hospital vide M.C.D resolution 127 Dated 26/11/2015 and office order of DHA (HQ)/EDMC No.893 Dated 11/12/2015.With the co-operation & co-ordination of all the staff members, hospital has shown progress at all fronts and is being modernized.

Swami Dayanand Hospital is one of the major hospital of East Delhi Municipal Corporation in the Trans Yamuna Area of Delhi providing its services not only to economically disadvantaged population of Trans-Yamuna but also to the patients of neighboring district of UP like Loni, Baghpat, Ghaziabad.

Newly constructed 120 Bedded Maternal and child health block, personalized care block, NICU and multipurpose block have become functional and providing their services to public/patient.

East Delhi Municipal Corporation has started its first Nursing School named Rajmata Vijayaraje Scindhia Nursing School (RVSNS) in Swami Dayanand Hospital in 2013.Third batch of new students has been admitted in the year 2015-16. First batch will be out in Feb.2017

Web portal of S.D.N. Hospital www.sdnhospital.edu.in has been launched by Sh. Mahesh Giri ji Member of Parliament East Delhi. The internal facility is being made available for teaching, training and reference purpose in library. Library has been upgraded with Audio Visual system. S.D.N. Hospital has been made designated center to issue Disability Certificate for physically disabled person.

Newly constructed Electric substation exclusively for SDNH has been inauguration by Shri Manoj Tiwari ji (Member of Parliament North East District) to meet the increased electric load due to expansion of hospital services.

First batch of DNB in five branches i.e. Medicine, Surgery, Gynecology, Pediatrics and Anesthesia. & NNF (Fellowship) in Pediatrics have been started in August 2016

Cashless facility is also made available under Digital Payment drive..

From the desk of Medical

Superintendent

http://www.sdnhospital.edu.in/

ANNUAL REPORT 2016


I appeal once again to the entire medical fraternity to be sensitive to the fact that documentation of what all you do, in the correct content and format is important. I am convinced that all our doctors, Nurses and paramedical have legal responsibility to provide timely medical service and document the care given. In the eyes of law, all undocumented effort towards patient care is as good as not done. Computerization is an easy tool for you to record all your efforts. We need to use computer in all spheres of data management.

I take this opportunity to thank to all the staffs, colleague and well wishers for their support. The sports and cultural club of Swami Dayanand Hospital has been doing remarkable social engineering exercise year after year they have been organizing annual sports and social events. They are active in ensuring the staffs, who retire from service, are given memorable send off my thanks are due to them.

The Team work of hospital staff, constructive criticism from health care seekers, encouragement and the support of the public representatives will help Swami Dayanand Hospital to flourish and render good care.

As MS of the hospital, I shall continue to the very best to maximize my contribution in “Life Care Management System.”

Sd/-

Dr. M.L. Jaipal

(Medical Superintendent)

ANNUAL REPORT 2016


Once again the staffs in SDN Hospital have delivered safe high quality patient care

despite increase demand on services and very tight resources. Hospital personnel are commanded for their front line care of sick patient compensating for the consequences of inadequate resources and infrastructure. Excellence in patient care continued to be the primary focus of SDN Hospital. It has 370 Beds and provided treatment for 27298 inpatients, 11791 day care patients and 685632 outdoor patients.

Another significant mile stone was the starting of DNB Course in our hospital with much credit goes to our dynamic MS Dr. M.L.Jaipal and Dr. S.S.Bisht DNB Coordinator.

Finally we would like to thank over hospital Doctors, Nurses, Technical and paramedical staff for their valuable and ongoing commitment for patient care. Sulabh International play a crucial role in cleanliness of the hospital. Our hospital awarded 8th position out of 36 hospitals in Delhi under Kayakalp programme implemented by the GNCTD. The Nursing School are doing excellent job in the teaching to the Nursing Students.

We know that the year ahead will bring more many challenges, but I am confident that SDN Hospital’s track record for exceptional performance and delivering the highest quality of care and clinical services will continue.

Sd/-

Dr. M.P.Singh

(Addl. Medical Supdt.)

From The Desk of

Addl. Medical Superintendent

ANNUAL REPORT 2016


CITIZENS’ CHARTER

This charter seeks to provide a framework, which enables users to know: -

The services available in this hospital

The quality of services they are entitled to

The means through which complaints regarding denial or poor quality of services will be redressed

Standards of Service:

This is a District Level hospital under EDMC

It provides medical care to all patients who come to the hospital

Standards are influenced by patients load and availability of resources

Yet we insist that all our users receive courteous and prompt attention.

Locations:

It is located at Shahdara North Zone in Dilshad Garden.

Adjacent landmarks: IHBAS, GTBH, UCMS.

Nearest Metro Station: Mansarovar Park on Dilshad Garden – Rithala route

Beds: 370

All Staff member, have been provided with identity cards. Attendances are marked by Biometrics and also have attendance register with the in-charges and HODs. A movement register is maintained at MS office for recording of visits outside the hospital on official capacity the supervisory staff, is expected to monitor the work of employees under them.

General Information

Enquiry cum Reception and Admission Registration Services:

o This counter is functioning round the clock o Location guide, has been put up in this hospital o Signboards, are fixed at strategic points for guidance o Telephone enquiries, can be made over telephone numbers:

22581031 & 22581036 Fax: 22583708

Casualty & Emergency Services:

Our motto - service with A Smile

ANNUAL REPORT 2016


All Casualty Services are available round the clock.

Duty Doctor is available round the clock

One senior Doctor is available for supervisory work

Senior doctors are available on-call from duty doctors

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

Emergency Operations are done in the OT located on Ground floor of Ward building.

Two Maternity OTs on Ground & First Floor adjacent to Labor Room in MCH Block

Emergency Operation Theatre services are functional Round the clock

At present Emergency OT and Routine OT services are provided in the same premises. In serious cases, treatment/management gets priority over paper work like registration and medico-legal requirements. The decision rests with the treating doctor.

OPD Services:

Registration counters are located in Main OPD block ground floor , 2nd Floor near Surgical OPD & 1st Floor for Gynae Registration.

Basic lifetime registration for all patients generating Unique Hospital Identification Number (UHID) is free. UHID need to be made once only.

OPD card has nominal charges of Rs. 5 per 30 days. UHID is used for creating electronic folder for lifetime sourcing of medical information.

Registration Time Consultation Time

General O.P.D. 8.30 A.M. to 12.00 P.M

(Monday to Friday.)

8.30 A.M. to 11.00 A.M (Saturday)

9.00 A.M. to 2 P.M. (To be present in the concerned department by 12.15 p.m)

Special Clinic 2.00 P.M to 3.00 P.M. 2.00 P.M to 3.30 P.M To be present in the concerned department by 3 P.M)

For all routine non-urgent cases, the treating doctor is allowed to schedule special tests and interventional procedures including surgeries. This is done in the interest of optimal care within the facilities of infrastructure and professional manpower available in the hospital.

ISM Services: (Not under direct control of MS SDNH)

Homeopathic

ANNUAL REPORT 2016


Ayurvedic In the OPD specialists (doctors with qualification and experience in the concerned subject) are available for consultation. Senior consultants are also available.

OPD services are available on all working days excluding Sundays and Gazette Holidays. On Saturdays, the hospital functions from 9 AM to 1 PM.

Medical Facilities Not Available:

Super-specialty services like Neurology and Neurosurgery, Cardiology and Cardio thoracic surgery, Poly-trauma Management, Pediatric Surgery, Psychiatry, Nephrology, Gastroenterology, and Interventional Radiology

Some specialties do not have indoor patients’ services:

Dental

Dermatology Laboratory Services:

Routine: Laboratory Services are provided in the following fields:

Bio-chemistry

Microbiology

Hematology

Cytology

Histopathology including FNAC

Clinical Pathology There is a Central Collection Center for receiving and collecting various specimens for testing. The timings for receiving specimens are 9:15 AM to 11:30 AM.

Emergency: Emergency Laboratory Services are available 24 hours for limited tests relating to clinical pathology and biochemistry.

Routine: These services include:

X-Rays

Ultrasound

CAT scan out-sourced services. Routine X-Rays, will be done from 9:00 AM to 1:00 PM. Registration is done from 9:00 AM to 11AM.

Ultrasound examination will be done from 9:00 AM to 1:00 PM (excluding holidays). Special Ultrasound examinations are conducted on scheduling between 2 PM to 3.30 PM

Drug Distribution:

Medicines prescribed by the doctors are available as per MCD’s Drugs Formulary at Pharmacy Counters free of cost. Medicines are usually given for three days for OPD Patients but in special clinics medicines are given on recommendations of Specialists for up to 15 days.

ANNUAL REPORT 2016


Separate windows are available for ladies and gents. Separate shared window for Senior Citizens, Physically Handicapped patients and for MCD Health Scheme cardholders is available

It is expected that an independent counter will be started exclusively for senior citizens shortly.

Indoor Patient Services:

There are total of 10 Wards providing free indoor patient care. The wards are of Nightingale type with open corridors and dormitory type set up. The hospital also has private rooms or independent rooms for patient care.

Emergency ward admits emergency cases for medical & surgical obstetric & Gynecological problems.

There is a SIX bedded ICU cum High Dependency Unit (HDU) for care of seriously ill patients.

MCH casualty exclusive to obstetric gynae is operational round the clock has 10 beds. MCH Labour room has 10 labour beds working round the clock with attached Emergency operation theater to carry out obstetric surgical interventions.

The hospital also has MCH wards of 20 beds each.

MCH-I Post Operative ward

MCH-II Gynae and high risk ANC

MCH-III & MCH-IV PNC

Level 1 Nursery provides necessary care to the medically compromised Newborns. Otherwise, all mothers are encouraged to provide Kangaroo Care. All indoor patients receive treatment under the guidance and supervision of unit in-charge during office hours i.e. 9:00 AM to 4:00 PM.

There are 42 beds in Personalized Care Block.

Outside office hours, treatment is given by doctor on duty; and specialists’ services are available on call. Medicine, Surgery, OBS & Gynae, HDU and Anesthesiology have round the clock duty doctor for handling Emergencies.

Diet, is provided to all patients in the General Wards. Diet charges are Rs. 10/- per day. Free food, is served to those below BPL on production of relevant document / recommendation of HOD or Unit in charge and permission from MS, Addl MS, CMO (Emergency) or CMO (Admin.)

Every patient is given one attendant pass. Visitors are, normally allowed only between 5:00 PM to 7:00 PM. Investigations like CAT scan, are charged as per approved rates (as displayed). The private vendor in the hospital prmises provides this service, as an Outsourced facility. For poor patients, Additional Medical Superintendent or M.S. can waive off the charges fully or partially, on the recommendation of HOD or by the Emergency Medical Officer In case of emergency, CMO (on duty) may waive off these charges.

ANNUAL REPORT 2016


A Staff Nurse is on duty round the clock in the ward. Admitted patients should contact the Staff Nurse for any medical assistance.

Other Facilities:

Other facilities available include:

Drinking Water Trolleys are available in the OPD and casualty. Ambulances are available for transporting patients referred to

tertiary care centers. This service is provided on recommendation of CMO. In case hospital ambulance is held up elsewhere, CATS ambulances are requisitioned by CMO.

Limited police assistance available in the emergency block Public Telephone Booth, is provided near Police room Stand-by Electricity Generators have been provided Chemist Shops are available outside the hospital but not

within the purview of the hospital authorities Limited canteen for patients and their attendants is available Ramps are available for access to higher floors Adequate toilet Facilities for use of patients Refrigerated mortuary to accommodate 4 bodies are available

for exclusive use of the hospital Complaints & Grievances:

There will be occasions when our services will not be up to your expectations. Please do not hesitate to register your complaints. It will only help us serve you better. Every grievance will be duly acknowledged. We aim to settle your complaints within 10 working days of its receipt. If we cannot, we will explain the reasons and the time we will take to resolve the grievance, dispute or the conflict.

Suggestions/Complaint boxes are also provided at various locations in the hospital. You can submit your complaints in the administrative block of the hospital

Name, designation and telephone number of the nodal officer concerned for receiving complaints is duly displayed:

o Dr. K.R. Arya Designation: A.P.I.O. Tele (O) 22583708 (M) 9810145046

o Dr. M.P.Singh Designation: Additional M.S. P.I.O. Tele (O) 22583708 (M) 9810456706

Meeting Hours 11 AM to 1 PM

o Dr. M.L. Jaipal Designation: Medical Superintendent First Appellate Authority Tele (O) 22582512 (M) 9868223198

ANNUAL REPORT 2016


Meeting Hours 11 AM to 1 PM

If they are not free to hear your grievance, they will depute senior Medical Officer to hear you.

For General Enquiry: PABX: 22581036, 22581031

Responsibilities of the Users:

The success of this charter depends on the support we receive from our

Users please try to appreciate the various constraints under which the hospital is functioning. On an average more than 6 lacs patients attend the OPD annually and more than 10,00,000 patients are attended annually in the casualty and emergency wards.

Please do not inconvenience other patients.

Please help us in keeping the hospital and its surroundings neat and clean.

Please obey biomedical waste handling norms

Please use the facilities of this hospital with care.

Beware of Touts.

The Hospital is a “No Smoking Zone” and smoking is a Punishable Offence.

Please refrain from demanding undue favors from the staff and officials as it encourages corruption.

Please provide useful feedback & constructive suggestions. These, may be addressed to the Medical Superintendent of the Hospital.

We request everyone to observe

“No Smoking ” zone

Don’t spit here & there

Use Dustbin

Keep Hospital Clean

Give regards to Ladies and Senior Citizens.

ANNUAL REPORT 2016


Swami Dayanand Hospital was established in the year 1963 for providing Medical

Facilities to the residents of trans-Yamuna area and eastern outskirts of Delhi. Earlier this hospital was known as Shahdara General Hospital. This hospital is spread over 19 acre of land. The sanctioned bed strength is now 370 beds with setting up ICU, Contingent Ward and Thalassemia Day Care Centre with its satellite centre VSAS at Karawal Nagar (30 bedded)

There are different specialties and Departments viz. General Medicine, General Surgery, Dermatology, Pediatrics, Orthopedics, Dentistry, Ophthalmology, E.N.T., Obstetrics& Gynecology, Anesthesiology and Critical Care, Pathology & Radiology Emergency Medicine (Casualty Department) Transfusion medicine (Blood Bank), Thalassemia Day Care Centre and Medical Records in the hospital.

As per policy laid down by Municipal Corporation, the following charges were adopted in this hospital w.e.f. 1-1-2005. O.P.D. Card charges Rs.5/- for 30 Days, is chargeable on monthly, biennial or annual basis as mentioned below:

OPD. Card Rs.5/- for 30 Days OPD. Card Rs. 30 for 6 Month OPD. Card Rs. 60 for 1 Year

Other charges are:

Diet Charges for indoor patients. Rs.10/- per day Medical Certificate Rs.20/- Medical Examination for Employment Rs. 32/ On approval of M.S, free diet, is provided to all the deserving poor patients

In additions to the routine OPD, Casualty and indoor services, the hospital also runs a number of special clinics in different departments as mentioned below: -

S.NO. NAME OF CLINIC DAYS TIME OF CLINIC

1. Infertility clinic Monday 2 P.M. to 3:30 PM

2. Leprosy Clinic Wednesday 2 P.M. to 3:30 PM

3. Cardiac Clinic Wednesday 2 P.M. to 3:30 PM

4. P.N.C. Clinic Wednesday 2 P.M. to 3:30 PM

5. Diabetic Clinic Thursday 2 P.M. to 3:30 PM

6. Vitiligo Clinic Thursday 2 P.M. to 3:30 PM

7. Cancer Clinic & Breast clinic Friday 2 P.M. to 3:30 PM

8. Adolescent Clinic Daily 9 AM to 3:30 PM

9. Immunization Clinic Daily 9 AM to 3:30 PM

GENERAL REPORT

ANNUAL REPORT 2016


10. Antenatal Clinic Daily 9 AM to 3:30 PM

11. Glaucoma Clinic Daily 9 AM to 3:30 PM

12. Thalassemia Day Care Daily Only to Registered Patients as per protocol

for Thalassemia

13. Asthma clinic Thursday 2 PM to 3:30 PM

To be present in the clinic by the time mentioned

Patients will be seen until last patient is handled

NEW ACHIEVEMENTS

1. DNB Post Graduate course (19 seats in different departments like Medicine, Surgery, Obst & Gynae, Peads & Anesthesia have been started.

2. SDN Hospital is ranked 8th position out of 40 Hospitals in kayakalp programme. 3. Peadiatrics ventilators have been purchased and installed in NICU. 4. 13 warmer have been purchased for NICU for maintain the temperature of new

born baby. 5. Renovation of waiting hall near casualty is completed. 6. New EPBAX system for better communication has been installed in Hospital. 7. CCTV Cameras have been installed in Nursing School of SDN Hospital. 8. Construction of corridor between old block to PCB ward is done. 9. Pathology department with basis investigation started at VSAS 10. First batch of internship of GNM students has been started. 11. SDN Hospital has been accredited for 2-seats for fellowship in Neonatology (NNF).

ANNUAL REPORT 2016


SWAMI DAYANAND HOSPITAL

STATISTICS OF OPD CASES

OF LAST FIVE YEARS

1

10

100

1000

10000

100000

1000000

NO

OF

CA

SE

S

2011

2012

2013

2014

2015

2016

2011 276039 226806 502845 20194 88572

2012 298903 248302 547205 20955 89172

2013 308737 274802 583636 53564 92587

2014 312162 282415 594577 24318 95556

2015 392764 292346 685110 27125 104791

2016 392978 292854 685832 27298 112014

NEW OLD TOTAL ADMISSION CASUALTY

ANNUAL REPORT 2016


STATISTICS OF LAST FIVE YEARS

YEAR O.P.D. CASES ADMISSION CASUALTY

NEW OLD TOTAL

2012 298903 248302 547205 20955 89172

2013 308737 274802 583539 26397 92587

2014 312162 282415 594577 24318 95556

2015 392764 292346 685110 27125 104791

2016 392978 292854 685832

27298 112014

EACILITIES WISE SANCTION OF BEDS

Number

Name of Specialists

No. of sanctioned beds

1. General Medicine 70

2. General Surgery 48

3. Orthopedics 30

4. Eye 11

5. ENT 11

6. Obst.& Gynae 100

7. Paeds 40

8. I.C.U. 07

9. Thalassemia 03

10. Recovery 20

11 Causality 20

11. NICU 10

Total 370

ANNUAL REPORT 2016


THE STANDING PATTERN OF MEDICAL OFFICERS

S.No. Name of Post Sanctioned Post

1. Medical Superintendent 1

2. Addl. Medical Superintendent 1

3 CMO (Admn) 1

4. General Physician 6

5. General Surgeon 3

6. Orthopedic Surgeon 2

7. Gynecologists 5

8. Anesthesiologist 7

9. Ophthalmologist 2

10. Pathologist 2

11. ENT surgeon 3

12. Radiologist 4

13. Pediatrics 5

14. Medical Microbiologist 1

15. Medical Biochemist 1

16. Skin Specialist 1

17. Dental Surgeon 1

18. G.D.M.O. 60

19. Senior Resident 54

20. Jr. Resident 53

21. Pharmacists 13

VEER SAVARKAR AROGYA SANSTHAN: KARAWAL NAGAR:DELHI

1. Specialists 12

2. G.D.M.O 6

3. A.N.M. 9

4. Pharmacists 5

ANNUAL REPORT 2016


MEDICINE DEPARTMENT

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

Staff Pattern The department has two units, having 2 specialists, 7 Medical Officers (some of

them post graduates), 7 Senior Residents, 7 Junior Residents and 5 ECG Technicians.

1. Dr. Mukesh Kumar-Specialist (SAG) 5. Dr. Sudhir Mittal- C.M.O. (NFSG)

2. Dr. Jennet L Stephens-Specialist Grade-I 6. Dr. Bhagwat Prasad

3. Dr. V.K.Gupta -SAG 7. Dr D. Chakervorty -C.M.O.

4. Dr. G.B. Tyagi – GDMO 8 Dr. Sachin Gupta- GDMO

9. Dr. Sunil Godiwal C.M.O. (NFSG)

Out Patients Department

The OPD attendance is the highest among all departments in the hospital:

New Patients 98729

Old Patients 99328

Total Patients 198057

Cardiac Clinics

The department is running cardiac Clinic on every Wednesday at 2 P.M. All type of cardiac patients are investigated and treated. ECG, TMT & Doppler Echo Cardiography is available in our hospital. Detail clinical and Bio-chemical evaluation done of each patient. If patient need Coronary angiography then patient is referred to G.B. Pant Hospital Delhi .We manages all type of the patients of hyper tension, Valvular Heart Disease, CAD and Pericardial diseases.

New patients - 2470

Old Patients - 11401

Total Patients – 13871

Metabolic Clinic

INTERNAL MEDICINE

ANNUAL REPORT 2016


Metabolic Clinic is held on every Thursday at 2 P.M. The patients are regularly investigated & managed thoroughly and advised about regular follow up. Diabetic patients are evaluated for CAD, Diabetic Retinopathy, and Diabetic Neuropathy/Diabetic Nephropathy. Time to time patient education Camps are organized in metabolic clinic OPD ( Diet/Exercise/foot care & Eye Care. Obese patients are evaluated for causes of obesity and thyroid disorder. We are also managing the patient of thyroid disorder in metabolic clinic. Department has organized Public lectures and Video shows for the Diabetic patients to increase the awareness about Diabetic Diet, proper care of foot , and Exercise .

New Patients - 1650

Old Patients - 12402

Total Patients - 14052

Indoor patients

The department is having 70 beds where patients are admitted from OPD and Emergency. It also provides specialized consultation to patients referred from other departments including ICU and other Govt. Hospital like IHBAS. In Casualty and ICU we are doing Medical Thrombolytic in acute Myocardial infarction (STEMI) .After Stabilization we refer the cases to higher centers for Coronary Angiography and further management. In ICU we are also doing Medical Thrombolysis in acute Ischemic Stroke .Up this year we have done medical thrombolysis in acute ischemic stroke many patients. .

Total admission - 3473

Total deaths - 221

Specialized Investigations

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

Data for the year 2016

Total ECG- 30035 (All ECG are done in Casualty from OPD,Casualty and Ward)

TMT- 45

PFT- 154

Doppler Echo 235

ECG Service is available round the clock in the Causality/Wards.

ANNUAL REPORT 2016



MEDICINE DEPARTMENT


1

10

100

1000

10000

100000

NO

OF

CA

SE

S 2011

2012

2013

2014

2015

2016

2011 13045 68 198

2012 13548 85 205

2013 20987 66 335

2014 35097 56 257

2015 22284 59 259

2016 30035 45 154

ECG TMT PFT

ANNUAL REPORT 2016


DOTS Center

DOTS Center of the hospital is under the supervision of the department in coordination with district TB officer.

Total Slides Examined 2678

Total positive slides for Sputum AFB 307

Total Negative Slide 2371

Slide Positivity rate 14.40%

Sputum positivity rate 11.86%

Total Cases Cat 1 Cat -2 185 144 41

Disease Surveillance and control of Outbreaks

Medicine department in year 2016 successfully contributed in surveillance and

management of communicable diseases like acute gastroenteritis, cholera, typhoid fever, malarial fever, dengue fever, meningococcemia, Swine Flu and chikungunya etc.

No. Disease Suspected

cases

Confirmed

cases Death

1. Dengue Fever 500 93 01

2. Chikungunya 43 30 Nil

3. Meningococcemia - - -

MALARIA CLINIC The malaria clinic is running under the supervision of Medicine department. The report of malaria clinic is given below:-

S.NO Total slide collection

Positive case Delhi & other state (Residence)

Death

P.V P.F DELHI OTHER STATE

1 8819 54 --- 02 52

2. RDT POSITIVE 127 1

ANNUAL REPORT 2016


INDOOR

PATIENTS

OUTDOOR

PATIENTS

METABOLIC

CLINIC

CARDIAC

CLINIC

2015 2016 2015 2016 2015 2016 2015 2016

New

3473

3189

86780

98729

1372

1650

2178

2470

Old

---

---

78432

\

99328

11714

12402

9804

11401

Total

3473

3189

165212

198057

13086

14052

11982

13871

E.C.G.

22284

30035

T.M.T.

59

45

P.F.T.

259

154

STATISTICS FOR LAST TWO YEAR

Medical Examination for Amarnath Yatra –Medical Examination of 518 persons was done in month of June - July for Amarnath Yatra.

Preventive Health check up for class (iv) Nala Beldar working in EDMC is done twice a year different Medical Examination for medical fitness before joining the appointed department is done routinely Medical Education Programme and Seminars

The Department is regularly organizing seminars & lectures for the doctors for updating their knowledge and skill. It also arranged guest lecturers in specialized field by the specialist of other hospitals. Lectures were also arranged for the Paramedical staff on communicable diseases and public lectures for the general public. Doctors of the department also took part in various health camps and attended various training courses, workshop, CME and conferences at local and National Level.

Education to DNB Students:-

Since Oct. 2016 DNB has been started in our hospital. Three DNB candidates has joined department of medicine. We are providing the teaching to them as per schedule of DNB Board.

Compiled by: Dr. Mukesh Kumar

ANNUAL REPORT 2016


Department of Dermatology was started on regular basis w.e.f 1st July 2003. The department runs the OPD on every working day. Special clinics run by the department are following:

S. NO. Name of the Clinic Days Time

1 Leprosy Clinic Wednesday 2 PM to 4 PM

2. Vitilogo Clinic Thursday 2 PM to 4 PM

3. Minor Procedures Monday, Tuesday & Friday

2 PM to 4 PM

4. Phototherapy Clinic Monday, Thursday 2PM to 4 PM

STAFF PATTERN: - One Specialist (Dr. Sandip Mohanty)

One GDMO (Dr.A.K. Lad)

One Senior Resident

One Junior Resident

OUT PATIENT DEPARTMENT: -

There has been steady increase in the number of patients seen in Skin OPD in last five year.

Year New Old Total

2012 17503 25574 43077

2013 18519 26858 45377

2014 19384 27319 46703

2015 20225 28236 48461

2016 21415 29486 51301

LEPROSY CLINIC: -

Leprosy clinic is being run on Wednesday. National Leprosy Elimination Program is implemented through this clinic. There is a fall in number of Leprosy cases, which due to achievement of leprosy elimination target with a prevalence rate of 1/10,000 patients in Delhi. But we are still receiving leprosy patients from adjoining areas of UP and from Bihar, Jharkhand.

It was being run in two rooms on 1st Floor in OPD block. But since 2013 this has been shifted to IVth floor in room no. 401 & 405. Room no. 401,402 & 404 are consulting room. Room No. 403 is for Phototherapy & room no. 405 is for minor procedure.

DERMATOLOGY

ANNUAL REPORT 2016



DERMATOLOGY DEPARTMENT

OPD STATISTICS OF LAST FIVE YEARS

1

10

100

1000

10000

100000

NO

OF

CA

SE

S

2011

2012

2013

2014

2015

2016

2011 15045 25659 40704

2012 17503 25574 43077

2013 18519 26858 45377

2014 19384 27319 46703

2015 20225 28236 48461

2016 21415 29486 51301

NEW OLD TOTAL

ANNUAL REPORT 2016


LAST FOUR YEAR STATISTICS OF LEPROSY CLINIC

YEAR PB MB TOTAL

2013 103 98 201

2014 110 102 213

2015 70 120 190

2016 54 106 160

VITILIGO CLINIC: -

Hundreds of patients suffering from Leucoderma or vitiligo have benefited from this clinic, run every Thursday.

LAST FOUR YEAR STATISTICS OF VITILIGO CLINIC:-

YEAR NEW OLD TOTAL

2013 219 1248 1467

2014 228 1337 1565

2015 232 1341 1573

2016 256 1410 1666

LAST FOUR YEAR STATISTICS OF V.D CLINIC: -

YEAR NEW OLD TOTAL

2013 58 137 195

2014 61 149 210

2015 68 155 223

2016 54 140 194

ANNUAL REPORT 2016


Procedures

1. Skin Biopsies are done on regular basis in minor O.T. 2. Various minor procedures are done on a regular basis on Monday, Tuesday and

Friday afternoon like: - Electro Cautery/Radiofrequency Chemical Cautery Chemical Peeling Intralesional injection Expression/ Extirpation

PHOTOTHERAPY CLINIC:- Patient suffering from Vitiligo & Psoriasis are given Phototherapy in this clinic with the help of Hand & foot Machine and Narrow Band whole body chamber.

Compiled by: Dr. S Mohanty

ANNUAL REPORT 2016


STAFF PATTERN: -

1. Head of Deptt. : Dr. Anand Agarwal

2. Specialists: : Dr. Amita Tyagi ,Dr.Anil Saini, Dr.Surender Singh Bisht,

Dr. A.P.Azad, Dr Sandeep Duggal

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

(A) The department has following major work areas:

1. Out- Patient Facility: Outpatient facility is located on 3rd floor of OPD block. It has its own registration and pharmacy counter thereby enabling mothers to quickly get their children examined and collect the drugs prescribed & go home in reasonably quick time.

2. Inpatient Facility: Wd No 4 and 5 are two pediatric wards with combined bed strength of 50 patients.

3. NICU: New born nursery is now functioning at second floor in MCH block. It has bed

strength of 20 NICU beds including 10 beds step down unit. We are accorded as Level II B By NNF.

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

where they are screened for neonatal problems/diseases and subsequently managed in the nursery if required

5. Labor room: round the clock neonatal resuscitation services are provided in labor room

to all high-risk deliveries. Sick newborns are stabilized till the time they can be shifted to the mother side in postnatal ward or transferred to nursery for ongoing treatment.

6. ICU: Whenever sick children more than 1 year of age require intensive monitoring and treatment, ICU facility, is utilized.Where they are managed under support and supervision of senior Anesthetist Subsequent step down care is ensured in pediatric ward to those children discharged from ICU.

7. Emergency care is given to patients reporting to the hospital in Casualty. Sick children are kept for observation and appropriately treated and managed by E.M.O. (Pediatrics) under supervision of a specialist.

8. Thalassemia Day Care Center: - Thalassemia children are regularly admitted for regular blood transfusion & all facilities are provided to them. Total 24 Thalassemia children are registered with SDNH for regular Blood transfusion. This service is being provided under the roof of Blood Bank premises with active support and supervision of Transfusion Medicine Officer. Active and continuous support from National Thalassemia Welfare Society and GTBH (for cardiac evaluation) is also quite beneficial in better care of these children.

Nutritional Rehabilitation & Counseling (NRC) Centre: - Anthropometry of all children attending OPD is done and appropriate nutritional advice is given. Severe acute malnutrition (SAM) cases are picked in OPD or and treated as per the SAM protocol. In the ward Separate beds are allocated for their management.

PEADIATRIC

Deapr

ANNUAL REPORT 2016


High risk follow-up clinic & early intervention clinic:- High risk follow-up clinic & early intervention clinic is held on Friday in which children with developmental delay or at high risk for developmental delay like birth asphyxia, prematurity & hyperbilirubinemia are followed up. Early intervention including developmental stimulation helps these children to reach their full potential.

Well Baby Clinic:

Well baby clinic is held every day where babies are immunized. Preventive and promotional aspects in the newborn/infant care are stressed upon.

Immunization: Special care is given to preventive aspect of all vaccine preventable diseases by offering

vaccination in Pediatric OPD as per Immunization program of Delhi Govt. All newborns delivered in the hospital are given BCG, 0 dose of OPV and Hepatitis B 1st dose

before discharge , from the Post Natal Wards as per the recommendation of Delhi Govt. Immunization schedule.

VACCINE DOSES GIVEN IN 2016

Immunization 2012 2013 2014 2015 2016

B.C.G. 4416 5435 5739 5957 7800

Pentavalent 0 1799 2099 2506 3573

D.P.T. 4303 2242 1080 616 857

OPV 8708 9039 8733 9593 12102

Measles 838 632 540 460 684

M.M.R. 814 660 461 492 528

Hepatitis B 7799 6786 5965 6860 7797

Typhoid 718 635 695 607 372

ANNUAL REPORT 2016


SWAMI DAYANAD HOSPITAL

PAEDIATRICS DEPARTMENT

STATISTICS IMMUNISATION FOR LAST FIVE YEARS

1

10

100

1000

10000

100000

NO

OF

CA

SE

S

2011

2012

2013

2014

2015

2016

2011 4668 4992 897 903 8571 9248

2012 4416 4303 838 814 7799 8708

2013 5435 2242 632 660 6786 9039

2014 5739 1080 540 461 5965 80733

2015 5957 616 460 492 6860 9593

2016 7800 857 684 528 7797 12102

BCG DPT MEASLES M.M.R H.B POLIO

ANNUAL REPORT 2016


Pediatric Asthma Clinic:

This year Pediatric Asthma Clinic registered around 506 new patients and 555 old patients with total 1061 patients attending follow- up clinic on every Thursday. Regular patient and family education is also provided. The hospital could provide most of the inhalers, spacer devices and baby masks. This has greatly improved the compliance and prevented repeated relapses.

Infant & Young Child Feeding (IYCF) Centre: - IYCF centre to promote breast feeding is functioning in the hospital. Mother in the OPD & Post Natal Ward are counselled & supported to breast feeding their babies. Mothers of children under 5 years are also advised about healthy feeding practices to reduce malnutrition. Healthy feeding practices are further promoted by imparting health education through audio visual aids in the PNC & OPD areas.

A.F.P. and Measles Surveillance:

All case of suspected AFP and Measles, were admitted in the pediatric ward and reported. As per the protocol, stool samples were sent to N.I.C.D of all AFP cases

Active participation in pulse polio immunization: Medical and Para-medical staff actively participated in the campaign on all NID days as well as in house-to-house immunization. A center for immunization is regularly set up in SDNH on NIDs.

Some of the MIS and IEC activities are:

1. Regular Peri-natal mortality meeting and Death Review Meetings are conducted to discuss ways to improve child care in the deptt.

2. Intensified Diarrehea control fortnight was celebrated from11th July to 22nd July

2016 with public lectures on ORS and its benefits. General public was educated about ORS benefits and its importance in preventing diarrheal deaths. This was followed up with ORS day on 29 July.

3. World Breastfeeding week was celebrated from 1st to 8th August 2016. Public

health lectures on benefits of breastfeeding were taken by pediatrics and Obstetrics & Gynecology doctor’s in their OPD’s and wards.

Highlights of the year: 1. DNB Course was started in pediatric department. w.e.f. July 2016. 3

Primary and 3 Secondary DNB seats were allotted to Pediatric department of SDNH by NBE Students for this course. Three Primary DNB Students have joined. 5 Senior Pediatrician have been recognized as DNB Faculty.

2. NICU of Pediatric deptt. was accorded the level II B accreditation by the National Neotalogy Forum and has been recognized for 2 fellowship for Doctors and 4 fellowship for Nurses.

ANNUAL REPORT 2016


Medical Education topics discussed for Doctors: -

The Department carries on academic activities on regular basis especially for benefit of resident doctors .With the Start of DNB Programme teaching activity for DNB Students has started on a regular basis from September 2016.

Topics related to the neonatology & general pediatrics, infection and nutrition were discussed.

Public Lectures:

Public lectures were organized in Pediatrics Dept. regularly-

Pulse polio Immunization Waterborne diseases. Nutrition Oral Rehydration Solution Hygiene & Prevention of diseases

Talks in simple language are given by the doctors of the department to patients waiting in the OPD area. These are two way interactive talks, where patients are encouraged to ask questions which are very educative for the patients.

CME: Conferences, Seminars, Organized in 2016

S.NO. Topics Workshop Dated

1. CPAP & Non Invasive Ventilation 20th-21th June, 23th-24th June 2016

2. IYCF & Breastfeeding workshop 27th -30th June 2016

3. NSSK training in association with Delhi Govt. 26th -27th Nov. 2016

4. State Level of Nursing Quiz of NNF 5 August 2016

5. North Zone Nursing Quiz of NNF 18th Oct 2016

6. Post Graduate students Quiz of NNF 18th Oct 2016

7. Webinar on Asthma from AIIMS 6 Dec 2016

Academic Achievements:

The doctors of the department attended many lectures, seminars and conferences at local and national level.

Doctors of the department are participating as Chairperson or faculty in various conferences, workshops and training program of national and state level.

ANNUAL REPORT 2016



PAEDIATRICS DEPARTMENT

OPD CASE OF LAST FIVE YEARS

1

10

100

1000

10000

100000

1000000

NO

OF

CA

SE

S 2011

2012

2013

2014

2015

2016

2011 8065 65490 40825 106315

2012 7723 44828 42757 87585

2013 8508 45146 43805 88951

2014 8577 46254 44578 90832

2015 9635 42410 43526 85936

2016 9853 43268 44345 87613

NEW OLD TOTAL

INDOOR OUTDOOR PEADIATRIC

ANNUAL REPORT 2016


STATISTICS OF PEADIATRICS DEPARTMENT

YEAR INDOOR OUTDOOR

NEW OLD TOTAL

2009

2273

47186

27124

74310

2010

6855

41515

39871

81386

2011 7823

43585

43873

87458

2012 7723

44828

42757

87585

2013 8508

45146

43805

88951

2014 8577

46254

44578

90832

2015 9635

42410

43526

85936

2016 9853

43268

44345

87613

Compiled by: Dr. Anand Agarwal

ANNUAL REPORT 2016


Composition and basic outline of functioning.

At present Department of Surgery is having Strength of consist of 4 Permanent postgraduate doctors, 2 Contract Specialist, 6 senior resident & 4 house surgeon. We are managing all surgical cases coming to SDNH in SOPD, Emergency (24x7) with indoor bed 54+.

LAPAROSCOPIC SURGERY:-Apart from record number of General surgery Cases, we are doing most type of Laparoscopic Surgery for:-

1. Gall Bladder Disease

2. Groin Hernia as well as Umbilical hernia

3. Appendicectomy (both routine & Emergency )

4. Diagnostic Laparoscopy & follow-up Biopsy.

Urology:- The Dept of Surgery is running Urology Clinic on Friday. We are doing lots of End urological procedure such as Cystoscopy & Urethroscopy. Following are the therapeutic procedures done in 2014 & 2016.

1. TURP for BPH

2. TURBT for bladder Tumour.

3. Endoscopic Cystolithotomy

4 D-J stenting of ureter for various indications.

5. Optical internal urethrotomy

Cancer Surgery: - Dept. of Surgery contributes to surgical (operative) part of cancer treatment. Other than Tru-cut Biopsy & part/incision Biopsy for diagnostic purpose, following Therapeatic Surgery procedures were done in 2016.

i)Ca Breast – Infiltrating ductal Carcinoma

Ii) Skin Basal Cell Carcinomas

iii) Buccal Ca - Biopsy

IV) Rectum- Adenocarcinoma

v) Large gut- Adenocarcinoma 1 VI) Prostate – A denocarcinoma (biopsy)

vii) Soft Tissue Sarcoma

For completion of treatment of cancer patient we refer them to Delhi state cancer institute (DSCI) for Radiotherapy & Chemotherapy with all details of records.

General Surgery

ANNUAL REPORT 2016


FAMILY WELFARE: Surgery dept. contributes to Family welfare programme in form of:

i) NSV –Non scalpel Vasectomy

ii) Participating in awareness camp of population control.

INTER DEPARTMENT

Support of other Dept:- Surgery dept. also gives positive support to Gynecology &

obstetrics. Dept for all Gynecological cancer cases as well as any urological injuries (both bladder

injury & ureteric injury)

Highlights of year: DNB Course was started in Department of Surgery in year 2016, Two seats

have been allotted for the period of four year by NBE. Two primary DNB students have joined the

department in 2016.

Departmental library established in SOPD 2nd floor OPD Block.

Skill lab established in library 2nd floor OPD block for hand’s on training in laparoscopic surgery

Department infrastructure improved as per guidelines of KAYAKALP program.

Number of laparoscopic surgeries increased.

One day laparoscopic hernia repair workshop was organized in the Department of Surgery on

huge success basis for the benefit of working surgeons and patients.

MoU gained from various super specialty Departments of various renewed institution like

CNBCH Delhi etc.for the benefit of DNB students.

Medical Education at Departmental level The Department carries on academic activities on

regular basis especially for benefit of resident doctors .With the Start of DNB Programme regular

biweekly teaching activity for DNB Students has started on a regular basis from September 2016

and classes arranged at HRH Delhi Hospital.

Academic Achievements: The doctors of the department attended many lectures, seminars and

conferences at local and national level.

ANNUAL REPORT 2016



SURGERY DEPARTMENT STATISTICS OF INDOOR

OUTDOOR & OPERATIONAL FOR LAST FIVE YEARS

1

10

100

1000

10000

100000

NO

OF

CA

SE

S 2011

2012

2013

2014

2015

2016

2011 828 805 16232 16058 4028 3628

2012 815 901 17426 16980 5238 5274

2013 798 915 18013 17467 5625 5354

2014 714 968 18712 18267 5819 5979

2015 769 545 18910 18665 3596 3659

2016 1815 38628 7296

UNIT-1 UNIT-II UNIT-1 UNIT-11 UNIT-1 UNIT-11

INDOOR OPD OPERATIONS

ANNUAL REPORT 2016


INDOOR ADMISSION (YEAR-2015)

2015

UNIT – I 769

UNIT – II 545

TOTAL 1314

INDOOR ADMISSION (YEAR-2016)

2016

Indoor Admission

1815

TOTAL

1815

OUTDOOR (YEAR-2015)

UNIT – I

2015

UNIT – II

2015

NEW 8278 NEW 8978

OLD 10632 OLD 9687

TOTAL 18910 TOTAL 18665

OUTDOOR (2016)

2016

NEW 17725

OLD 20903

TOTAL 38628

OPERATIONS (YEAR -2015)

UNIT I 2015 UNIT II 2015

MAJOR 692 MAJOR 523

MINOR 2203 MINOR 2308

EMERGENCY 701 EMERGENCY 828

TOTAL 3596 TOTAL 3659

Total Operations of 7255

ANNUAL REPORT 2016


Unit I & Unit II

OPERATIONS (YEAR-2016)

2016

MAJOR 1791

MINOR 3862

EMERGENCY 1643

TOTAL 7296

Compiled by: Dr. Rajesh Kumar Bansal

STAFF LAYOUT:

The department of Orthopedics is one of the busiest in the hospital. At present there are four senior medical officers in the department. Amongst them, three have post graduate degree in Orthopedics. There is one specialist on contract basis, six senior residents and one junior resident in the department. At present there are five sanctioned posts of plaster assistant and one post of orthopedic technician. However, there is only one Ortho technician working against these posts.

INFRASTRUCTURE:

We have a well equipped operation theater complex where almost all varieties of orthopedic surgeries are conducted. The department possesses an operating arthroscopic set complete with monitor, shaving system, etc. with pneumatically powered drill and saw system, two image intensifiers and other orthopedic instruments. With this infrastructure, all kinds of modern orthopedic surgeries are being conducted here. In the past one year, the orthopedic department has rendered invaluable services to the multitude of attending patients. In addition to the routine and common orthopedic operations we have done all kinds of surgeries including arthroscopic surgeries for knee and shoulder, total joint replacement of hips and knees, spinal surgeries for prolapsed intervertebral disc, fixation and fusion of the spine and other surgeries as well. Reconstructive surgeries for bone tumors are also being conducted here.

WORK STATISTICS:

In the year 2016, we have performed more than 327 major and 635 minor surgeries which include cases done in the minor OT and OPD and closed reduction of fracture in the orthopedic OPD. In addition to this we have administered about 865 intra-auricular Hydrocortisone injections, applied more than 11565 plasters and removed about 7660 plasters in 2016. In addition to the routine cases all emergency cases are handled too. Round the clock emergency services are being provided. About 3500 plasters have been applied in the casualty department in the past year. Many emergency cases which had

ORTHOPEDICS

ANNUAL REPORT 2016


to be referred to other hospitals earlier due to lack of emergency facilities are being handled now. Many emergency procedures which include closed reduction, open reduction and internal fixation of fractures, drainage of bone and joint abscesses, etc. have been done in the past year. The orthopedic OPD is one of the heaviest amongst all with approximately 138 patients being catered to daily. Even on Wednesdays, on which surgeries are performed, OPD is being run. Minor cases are performed on OPD basis in the minor OT in the OPD. Also many closed reduction under anesthesia are performed in OPD itself. Regular CTEV clinic run on every Friday in the OPD, whereby about 750 CTEV plasters have been applied. Free camps for bone mineral density assessment of patients are also done frequently.

ACADEMIC:

On the academic front, the department is in the process of initiation of DNB programme to train

aspiring orthopedic surgeons and the application for the same has been duly submitted. Regular update of

knowledge for the faculty and residents through CME's and conferences are also encouraged.


ORTHOPEADIC DEPARTMENT OPD

STASTICS OF LAST FIVE YEARS

1

10

100

1000

10000

100000

NO

OF

CA

SE

S 2011

2012

2013

2014

2015

2016

2011 379 34562 4565 28565 6123

2012 402 32988 4177 30928 7158

2013 476 37062 4704 32587 7658

2014 466 39617 3826 38000 12000

2015 424 41500 2786 38000 10000

2016 440 41663 3063 40542 11565

INDOOR OPD OPERATIONS PHYSIOTHERAPY PLASTER

ANNUAL REPORT 2016


ANCILLARY DEPARTMENTS:

Physiotherapy, which is an integral part of this department, has also been doing a commendable

job. Excellent services are being provided to the needy and they are being rehabilitated to resume their

occupation at earliest. Physiotherapy services are being provided to indoor and outdoor patients from all

departments including orthopedics, medicine, pediatrics, gynecology and obstetrics and ICU as well. In

the year 2016 the physiotherapy has catered to more than 40542 patients in indoor and outdoor basis. At

present there are two regular physiotherapists and one on contract basis. One Physiotherapist on

contract basis visits here twice a week. Increase of physiotherapist posts is of utmost importance at

present.

STATISTICS FOR LAST TWO YEARS

INDOOR

PATIENTS

OUTDOOR

PATIENTS

OPERATION

PHYSIO

THEROPY

PLASTER

New

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016

424

440

19225

19310

Old

22275

22320

Major

298

327

Minor

578

635

Emergency

1910

2101

Total

424

440

41500

41630

2786

3063

38000

40542

10000

11565

Compiled by Dr. P.K .Dutta

ANNUAL REPORT 2016


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

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

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

MCH block comprising of 110 beds of Obgyne and 10 beds of nursery has become operational from

September 2014.

Layout of the MCH block wing

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

day care procedures also has a equipped resustation room for emergency. Planned to convert it

to high dependency unit

Labour room functions 24x7 with 10 beds for 1st stage of labour and delivery room with 3 labour

table and attached neonatal care corner fully equipped, planned to convert it to is bedded LDR in

view of 110% occupancy

Labour room is also attached with emergency operation theatre carrying out various operative

interventions round the clock with 4 beds in recovery.

New MCH block has four wards of 20 beds each meant for high risk ANC, post operative ward and

2 post natal ward all 4 wards are fully functional.

New block has a also provision of a second operative theatre which shall look after routine

gynecological surgeries, laproscopic surgeries and all operative family planning procedures. this is

expected to be operational within 1 months (temporary nursery was being operated form here,

That has been shifted.

Staff position

Regular consultants:-3

Adhoc consultants:-4

SAG Medical officer:-2

NSFG:-1

SR’s :-16

JR’s:-8

Family planning I/c post vacant since 2014

ANM regular:-2 post ,

LHV:-1

Vacancy :-1senior MO, 1 MO, 1 anesthetist,1 driver, 1 ANM

OBSTETRICS & GYNECOLOGY

ANNUAL REPORT 2016



STATISTICS OF GYNAE DEPARTMENT FOR LAST FIVE YEARS

1

10

100

1000

10000

100000

NO

OF

CA

SE

S 2011

2012

2013

2014

2015

2016

2011 48274 482 39 358 39000 1068

2012 50191 491 369 33000 1098 41

2013 51607 444 838 25000 1480 8

2014 53071 412 756 30000 1800 4

2015 74538 329 1278 32000 2000 6

2016 54620 309 1857 20000 2447 7

ANC CLINIC LAPSTER I.U.C.D NIRODH ORAL PILLS VASECTOMY

ANNUAL REPORT 2016


Services and activities of the Obgyne deptt.

OPD complete ANC check up daily of all pregnant patients.

Gynecological examination and treatment of GYNE patients.

Thalaseemia screnning in 1st trimester of all primi gravidas

HIV counseling & testing of all pregnant women.

HIV counseling & testing of high risk client

High risks identification & specialised care

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

Fetal surveillance by CTG recording and USG

Ante partum RH immunization and tetnus toxide

Fully functional family planning unit including femal Sterilization both mini lap / laproscopic

ligation, PPIUCD

Special clinics

Monday- Infertility 2:00pm to 4:pm

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

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

Family planning activities

Counseling of JSY patients in daily OPD

Counseling of postpartum IUCD in daily OPD

Counseling of various contraceptive methods in daily OPD

Medical termination of pregnancy with IUCD done in minor O.T on 2 day/ week

MTP with laparoscopic ligation done in gynae OT on 3 day/week

Postpartum tubectomy done on all work days

Incentive money of JSY beneficiary procurement dispersion auditing

Distribution of Incentive money of sterilization

Plain CUT insertions/ removal in OPD basis and follow up

Indoor counseling in various contraceptive techniques

ANNUAL REPORT 2016


PPCT centre

Staff position: - Nodal I/c Dr Kalpana Kumar, 2 counselor from NACO, 2 lab technician from NACO

Caters to all antenatal patient for counseling and testing of OPD and outside referrals.

All +ve cases are followed up till delivery and appropriate ART therapy started children are also followed

up for 1 year and tested as scheduled

All positive clients are ensured to slant ART from GTB Hospital accompanied personality by counselor. A

separate ICTC room is urgent need of hour for high risk group clients with one lab technician and one

counselor, who have been withdrawn in 2013 to be reinstate.

Anemia eradication programme under taken by the deptt. Of OBGYNE

ANC Hb% estimation done first visit of all ANC patient and severe and moderate anemia are given

interventional treatment according to the period of gestation introduction of I/v iron sucrose in ANC and

I/v Carboxy maltose for postnatal and Gynecological anemia has proven useful in correcting the iron

deficiency anemia

Table no 1

Month wise Departmental census of all Obstetric indoor patients year 16

Months Deliveries Vaginal

Deliveries

LSCS Booked Unbooked <2.5kg >2.5kg Male Female Blood

transfusion

Abortion Still

birth

Perinatal

death

Jan 647 472 175 612 141 114 639 333 430 77 48 7 9

Feb 554 403 151 554 140 115 580 295 247 77 45 10 15

March 619 428 191 527 92 80 473 305 309 119 54 5 10

April 500 370 130 414 86 73 427 373 127 87 56 6 8

May 489 396 103 319 99 74 415 282 202 101 47 5 10

June 571 408 163 483 88 82 489 307 264 97 42 6 9

July 720 526 184 417 113 88 623 390 326 116 63 9 12

Aug 861 645 216 640 105 178 683 444 428 102 42 15 13

Sep 832 663 159 460 370 166 666 455 377 30 25 10 14

Oct 758 609 149 433 325 183 575 399 359 76 25 18 18

Nov 800 648 162 670 130 142 658 396 404 23 31 16 20

Dec 763 630 138 625 177 116 512 345 357 97 31 14 21

total 8119 6198 1921 6154 1866 1411 6740 4324 3830 1002 509 121 159

ANNUAL REPORT 2016


Table no 2

Month wise census of activities done for ANC reported in Gynae and FAMILY Welfare OPD procedures year 16

Months Total

ANC

Female

sterilization

vasectomy MTP IUCD Mate

rnal

Deat

h

HIV

+ve

JSY

Benef

iciary

I/v ferri ABOR

H

testing

of

ANC

Hemoglobin

Testing of ANC

Minor

Gynecologic

al Surgeries

Major

Gynecologic

al

Surgeries

Jan 4590 35 0 28 202 1 0 31 500 1364 1364 14 12

Feb 4121 27 1 17 205 0 1 15 117 1326 1324 6 14

March 1467 31 1 21 150 1 0 28 223 1530 1542 24 14

April 4880 24 1 21 112 0 3 0 235 1488 1475 92 11

May 5246 23 1 27 165 0 1 0 151 1586 1589 9 17

June 5390 29 0 11 148 0 0 0 160 1424 1329 16 10

July 5814 29 0 17 171 2 1 0 305 1335 1390 15 12

Aug 5404 21 0 11 136 1 4 39 371 1333 1333 17 10

Sep 5501 16 0 10 126 1 0 22 408 1193 1184 11 10

Oct 4264 17 0 11 105 2 0 23 190 726 775 46 8

Nov 4701 31 0 20 162 0 2 17 210 1125 1146 16 8

Dec 3242 26 3 16 175 1 0 27 263 962 994 41 6

Total 54620 309 7 210 1857 9 12 202 3133 15392 15445 307 132

ANNUAL REPORT 2016



STATISTICS OF GYNAE DEPARTMENT

FOR LAST FIVE YEARS

1

10

100

1000

10000

NO

OF

CA

SE

S 2011

2012

2013

2014

2015

2016

2011 4864 3832 957 298 398

2012 5483 4973 1118 298 401

2013 6308 4727 1581 275 237

2014 6846 5049 1797 372 236

2015 7734 5602 1907 334 224

2016 8400 6479 1938 509 210

Deliveries Normal Deliveries L.S.C.S Abortion M.T.P

ANNUAL REPORT 2016


Table no 3

Major gynecology surgeries done in the department

Surgical intervention done Year wise no of surgical procedures

2016 2015 2014

Emergency LSCS 1938 1907 1750

Laparoscopic tubal ligation 159 370 480

Vaginal hysterectomy 49 70 82

Abdominal hysterectomy 21 36 35

Nondecant Vaginal hysterectomy 8 27 40

Laparotomy 30 94 75

Post partum tubal ligation 151 329 60

Cesearean hysterectomy 8 6 4

Sarocolpopexy for vault prolapsed 6 6 8

Fothergill operation 13 10 6

Resuturing of the abdominal wound 80 58 60

Table no. 4

PPTCT

Pre- test

counseling

General

client

Pregnant

women

In Labour

room

Emergency

testing

DBS Antibodies test

of babies

Confirmatory

test after 18

months of babies

Total

5642 10125 900 14 12 8 16701

Testing 5631 10111 900 14 12 8 16676

Post- test

counseling

5625 10108 900 8 12 8 16661

HIV +ve detected 57 11 0 0 0 0 68

Refer to ART 51 10 0 0 0 0 61

HIV +ve delivery N.A 10 0 N.A N.A N.A 10

TLE given to HIV

+ve lady

N.A 10 0 N.A N.A N.A 10

NVP given to baby N.A 10 0 14 N.A N.A 24

CPT given to baby N.A 10 0 14 12 CPT is stopped

baby detected

confirm HIV -ve

36

ANNUAL REPORT 2016


The ICTC team celebrated World AIDS Day on 1st Dec 16 at library hall SDNH

Programme :- Nukkad natak Naya Savera by ICTC team with nursing student

PPTCT recent NACO guidelines by by Dr. Shilpi (

One Gynae)

Present NACO guidelines for lab evaluation by Dr. Awaninder

Recent NACO guidelines for PEP by Dr. Hemlata DNB(Medicine)

Compilation of programme was done by Dr. Kalpana Kumar (PPCT I/C)

Thalaseemia Project report for Jan-16 to Dec-16

Thalaseemia screening was introduced 4-5 year back when it was being done mainly by nestroft reagent but since it

was not cost effective and its shelf life was also less, gradually it is being replaced by CBC method. Hence

autoanalyzers were purchased and lab technicians were trained in this method. Following are the centers under

EDMC where the screening was being done by nestroft method, because of the unavailability of the reagent these

centers are diverting their patients to nearby major hospitals and centers where autoanalyzer is available and the

screening done by CBC method.

i. Maternity centre Yamuna vihar

ii. Maternity centre chandiwala

iii. Maternity centre khichripur

iv. Maternity centre geeta colony

v. Maternity centre karawal nagar

vi. Maternity centre welcome seelam pur

vii. Maternity centre seemapuri

This was under renovation for the whole year of 2016 hence no cases were available from seema puri

Maternity home patpar ganj total ANC cases screened 576

0-12 weeks:- 156

CBC+ve:-03

CBC-ve:-153

12-20 weeks:-139

CBC+ve:-10

CBC-ve:-129

ANNUAL REPORT 2016


SDN Hospital

Total number of patients screened:- 272

0-12 weeks:- 68

CBC+ve:-14

CBC-ve:-54

12-20 weeks:-204

CBC+ve:-11

CBC-ve:-193

In-house activities

Auditing is the back bone of our department, which helps us to formulate policies & protocols regarding

patients care. Each neonatal and maternal death are critical evaluated analysed and learning from each

case deduced.

CME on various current topics were done during the current year.

Achievements for the year 2016

1. Improving inpatient and outpatient with service provider communication.

2. Adhere to current practice guidelines, and improvement initiatives, including those

related to infection control, accreditation, an regulatory requirements.

3. Advocate for evidence based safety and consistency in practice.

4. Work collaboratively with departmental leadership to identify opportunities for quality,

safety or operational improvement through standardization, guideline development, or

work process improvement.

5. Support the nursing staff as appropriate in review and interpretation of fetal heart tracing

and labour progress. The role is intended as an educational support to help the nurses

improve appropriate use of the nomenclature, interpretation skill and clarity in reporting

patient status to attending physicians. Maintain a collegial relationship with staff relative

to offering support for clinical decision making.

I/c in the deptt. Of OBGYN

ANNUAL REPORT 2016


S.No. Nodal In-charges Programmes & Schemes

1. Dr Rashmi Saini (senior Consultant)

Link officer Dr Shikha

I/c MCH block

Infection control committee and Antibiotic policy

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

2. Dr. Kalpana kumar (senior Consultant)

Link officer Dr Sarita

Data assistant :- Mr Nitin Srivastava

HMIS (OBGYNE)

Maternal mortality

Coordinator DNB Students

ICTC

Duty roster of consultants

Training of quality assurance of Family planning activity

3. Dr Shamoli Kundu (SAG) I/c Family planning

Link officer Dr Richa (GDMO grade 2)

Implementation of guidelines for

quality assurance of

Abortions

Lap sterilization

JSY

PMSMA

PPICCD 4. Dr Ashiko (SAG)

With supervision of Dr Rashmi Saini (senior

Consultant)

I/c OPD GYNE

Inventory of equipments and AMC

5. Dr Rekha Daral (CMO) JSSK,

PCPNDT

Senior resident duty roster 6. Dr Pooja (Junior Consultant) Quality assurance in labour

room

BMW (OBGYNE) 7. Dr Suman (Junior Consultant) with supervision

Dr Ashiko (SAG)

Training of examination of sexual assault victim brought to hospital as MLC to all SR’s GYNE

Compiled by HOD GYNE

Dr Sunita Foteda

ANNUAL REPORT 2016


ANNUAL REPORT 2016

DEPARTMENT OF OPHTHALMOLOGY, SWAMI DAYANAND HOSPITAL

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

deptt is equipped with most of anterior segment and posterior segment diagnostic equipments. The

department has facilities for anterior segment and squint surgeries. The department is manned by

two specialists, three medical officers, one senior resident and one refractionist.

The department : Catered to 33260 patients ( 15160 new patients : 18100 old patients)

: Performed approximately 610 major and 500 minor surgeries

: Refractions approx14827 (Male: 5764, Female: 7055) were also performed

including 2008 children.

Operation Theater and Surgeries :The department has a fully equipped Operation Theatre with

two phacoemulsification machines. The various surgeries performed in 2016 were Cataract

surgeries including phacoemulsification with foldable intraocular lenses , Glaucoma surgeries,

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

conjunctival autograft, Scleral/corneal repair with traumatic cataract extraction, Dermoid / lipoma

excision, minor procedures as chalazion excision, syringing & probing, wart and foreign body

removal.

Ophthalmic Diagnostic lab:

The Eye OPD setup has a well equipped ophthalmic diagnostic lab with Slit-lamps, YAG laser

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

Automated Perimeter, keratometer (Manual), Indirect ophthalmoscopes, B-scan ultrasound. A

photo slit-lamp and wireless indirect ophthalmoscope have been added this year to facilitate

disposal/recording of outdoor patients requiring anterior segment/retinal examination.

Besides diagnostic procedures curative procedures as posterior capsulotomy and laser peripheral

iridotomy are performed in the lab.

Glaucoma management/ work up: The doctors of the department also perform regular follow up

of glaucoma patients and various investigations like gonioscopy, tonometry and field charting are

done.

Conferences:- The doctors of the department regularly attended local/national conferences to

update knowledge and skills.

-Posters titled ‘contact-lens-related mixed bacterial nonulcerative keratitis in a

healthy adult-a case report and conjunctival tuberculosis with discharging sinus!-an unusual

presentation’ were presented by Dr Anup K Goswami at the Annual conf of AIOS, Feb 2016,

Kolkata after being selected for the same.

OPHTHALMOLOGY

ANNUAL REPORT 2016


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

- -Glaucoma –World Glaucoma week :Mar 2016

- Uveitis and systemic infections : April 2016

- Eye Donation : Sept 2016

-Diabetic Retinopathy – current concepts : Sept 2016

- Refactory glaucoma : Nov 2016

-Wetlab on Ahmed Glaucoma Shunt : Nov 2016

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

participated in various national programs as

-National eye donation awareness program

-Motiabind mukti abhiyan

-Glaucoma awareness week program

-National disaster management program including mock drill

Participation in Health camps: The doctors of the department regularly participate in various

health camps organized outside the hospital.

Eye Donation Fortnight (25th to 8th Sept 2016) was conducted to increase awareness and

motivate people for eye donation. Various motivational activities carried were

-CME conducted emphasizing role of non-ophthalmic physicians/hospital staff in eye donation

-Banners and posters were displayed in the hospital

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

ANNUAL REPORT 2016



OPHTHALMOLOGY DEPARTMENT


1

10

100

1000

10000

100000

NO

OF

CA

SE

S 2011

2012

2013

2014

2015

2016

2011 669 27598 959 13657

2012 558 29596 1070 13938

2013 603 30379 1129 14145

2014 600 31316 1102 15262

2015 574 33500 835 13241

2016 610 33260 1110 14827

INDOOR OPD OPERATIONS REFRECTIONS

ANNUAL REPORT 2016


STATISTICS FOR LAST TWO YEARS

INDOOR

PATIENTS

OUTDOOR

PATIENTS

OPERATIONS

REFRACTIONS

2015 2016 2015 2016 2015 2016 2015 2016

New 574 610 16264 15160

Old 17236 18100

Refractions 13241 14827

Major 455 610

Minor 380 500

TOTAL 574 610 33500 33260 835 1110 13241 14827

Compiled by: Dr. Anup Goswami

ANNUAL REPORT 2016


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

and managed with the help of two contractual house surgeon one dental hygienist (contractual), one staff nurse and one ward boy.

Number of patients in OPD

PROCEDURES:

S.NO Procedures done Total

1 Restorations 4,062

2 Root canal treatment 8954

3 Oral prophylaxis 910

4 Extraction of teeth 385

5 Extraction of teeth with surgical drainage of pus 342

6 Extraction of impacted teeth 61

7 Surgical extraction 74

8 Apicoectomy 10

9 Closed reduction 4

10 Periodontal wiring and splinting 31

11 Miscellaneous 622

12 IOPA-X-rays 1036

Total procedures done= 16,487

Compiled by: Dr. Monica Narwal

2015 2016

New Patients 5,355 6972

Old Patients 20,357 19449

Total 25,712 26421

DENTAL

Departmen

t

ANNUAL REPORT 2016


SWAMI DAYANAD HOSPITAL

DENTAL DEPARTMENT


1

10

100

1000

10000

100000

NO

OF

CA

SE

S 2011

2012

2013

2014

2015

2016

2011 11969 1141 1356 465

2012 18857 1368 1569 560

2013 19582 1469 1656 536

2014 20981 1093 3426 3935

2015 25712 692 4636 6132

2016 26421 385 4062 8954

OUTDOOR EXTRACTIONS FILLING ROOT CANAL

ANNUAL REPORT 2016


E.N.T. is located in the New OPD Building 1st floor in 3 rooms 104,105,106. Department is being managed by Following doctors at present.

Two Sr. ENT Surgeon.

One SR

One JR

ENT department is providing outdoor, indoor & emergency services to the nearby population as well as floating population from adjoining areas like Ghaziabad,Loni,shamli,bagpat etc . OPD cases Data is stored in computers.

I. O.P.D SERVICES :-

Daily OPD load is around 150-200 patients.

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

II. Minor OPD Procedures like Lobuloplasty Cyst & L.N. removal Biopsy from ENT region.

2. . INDOOR SERVICES:- No of Indoor bed allotted -7.

3 for female patients 4 for male patients

However in view of many more patients being operated other Departments beds are being utilized on operation day.

9. EMERGENCY SERVICES :- Are being provided by SR & Senior ENT Surgeon ,who are on call duties daily to attend calls from Casualty.

10. EAR SURGERIES :- Variety of Ear operations are being performed under local as well as general anesthesia:-

Mastoidectomy

Tympanoplasty

Ossiculoplasty.

Myringoplasty

Stapedotomy + prosthesis insertion

11. NASAL SURGERIES:- Surgery for facial trauma & Aesthetic surgery for nose is being done.

Septoplasty.

Seprrhinoplasty

# Nasal Bone & facial bone # correction.

Endoscope Nasal Surgeries

EAR, NOSE & THROAT

DEPARTMENT

ANNUAL REPORT 2016


Fungal sinusitis, Sino Nasal Polyposis.

Endoscopic Endo nasal DCR. 6 . SURGERY OF THROAT:- Surgeries of upper aero digestive e tract & limited phono surgery is being performed.

Tonsillectomy & Adeno Tonsillectomy

Voice disorder surgeries like:- a) Vocal Nodule b) Vocal Polyp c) Laryngeal cyst removal

Biopsy from Larynx & Laryngopharynx Removal of F.B. from upper Aero digestive tract. VI. HEAD & NECK SURGERIES.

Removal of Cysts + Sinuses of neck.

Hemi Thyroidectomy., near total thyroidectomy

Submand Salivary gland excision.

Surgery of cleft -palate

F.B removal like coins, meat bone removal from obophegus. 12. HEAD & NECK SURGERY :-

Removal of neck Cysts.nck masses

Surgery for thyroglosal. Cyst+thyroglosal fistula, hydatid cyst neck

Branchial sinus

Removal of Salivary calculus.

Removal of submmdibular salivary gland, & parotid gland

Thyroidectomies.

13. SPECIAL ACHIEVEMENT :- Diode Laser was acquired 4 yrs back which has been used for following surgeries.

Laser tonsillectomy - 10 Cases

Laryngeal Cyst - 1 Case

Palatal growth excision - 1 Case

Micro Derider for FESS Surgeries was acquired during the year and is being used.

14. ACADEMIC ACTIVITES :- 1) ENT clinically meeting conducted by AOI are attended every month. 2) AOI Annual meeting held in Delhi every year is attended. 3) Cancer surgery updated symposia & CMEs held in Delhi are attended as & when

they are held. 4) Various CME conducted in Swami Dayanand Hospital are also attended. 5) ENT conference held every year is also attended for updating of knowledge.

.

ANNUAL REPORT 2016



ENT DEPARTMENT


1

10

100

1000

10000

100000

NO

OF

CA

SE

S

2011

2012

2013

2014

2015

2016

2011 353 30069 862 969 1455 998 2596

2012 369 32150 525 652 552 1200 2655

2013 297 32356 425 782 519 1102 2733

2014 254 33394 104 89 224 97 373

2015 262 33590 60 82 507 90 284

2016 258 24948 62 80 510 86 311

INDOOR OPD

FORIGEN BODY

(NOSE )

REMOVAL

FORIGEN BODY

(EAR)

REMOVAL

SYRING TONGUE OPERATIONS

ANNUAL REPORT 2016


LAST TWO YEAR STATISTICS OF OPD AND OPERATIONS CASES

INDOOR OUTDOOR

2015 2016 2015 2016

12628 12842

20962 22106

262 258 33590 34948

OPERATIONS

2015 2016

Major 186 204

Minor 98 107

Emergency -- --

TOTAL 284 311

OPD PROCEDURES

1 Foreign body (nose) removal 62

2 Foreign Body (ear) removal 80

3 Syringe of ear for wax & fungus 510

4 Tongue tie release 86

Compiled by: Dr. Gyanesh Gupta

ANNUAL REPORT 2016


INTRODUCTION: -

The Department of Pathology provides diagnostic facilities essentially to confirm/ establish the diagnosis for appropriate management of patients admitted in various wards including Emergency, Obstetrics and Gynae/ LR, HDU as well as the outdoor patients. It also facilitates the necessary laboratory screening of patients attending ANC, Diabetic clinic, Cardiac clinic, Skin clinic, Thalassemia unit & Adolescent clinic.

The Pathology Department of Swami Dayanand Hospital has nine sections, namely Histopathology, cytopathology, hematology& HPLC Lab, clinical pathology, biochemistry, and microbiology section,Emergency Lab/OPD Lab,ANC Lab.

The department is not only providing diagnostic and prognostic information via the patient reports but also is involved in preventive and health promotion actions for the society. These actions include, screening for Thalassemia carriers thereby preventing accumulation of Thalassemia majors in the society. Screening of cervical pap smears helps in diagnosis of early cancers thereby preventing the advanced cervical cancers.

Considering the need for uniformity and standardization in the Cytology reporting the cytopathology section of Swami Dayanand hospital is reporting FNA of breast lesions according to the guidelines laid down in the NHS UK Breast Cancer Screening Programme. The pathology department is issuing various reports only after thorough internal quality control.

The department is actively involved in the Prevention of Hospital Acquired Infection. The department is actively participating & rendering its services for the early cancer

detection Program, PAP smear screening, HIV screening & Thalassemia Trait screening under DSACS project & Thallassemia control project of all ANC cases attending the hospital.

Since the HIS is fully operational now at SDN Hospital, the laboratory test requisitions are received, acknowledged on-line and the test reports are also entered on line which can be retrieved by the concerned physician.

EQUIPMENTS: -

The Pathology Department laboratory are equipped with the latest technology, microprocessor based fully automatic/ semiautomatic machines and gazettes for efficient processing, accuracy, quality control & precision of results. These equipments include computerized machines such as.

Histopathology Grossing table Hematology Analyzers (Three parts Differential Count (4 NOS)) Automatic (biochemistry) Batch Analyzer Up gradable Electrolytes analyzer (Esch, German) Semi automatic Biochemistry Analyzer (Transasia) Elisa Reader with Automatic plate washer – 2 NOS (Tecan Austria) Micro typing centrifuge machine (DIAMED) Coagulation Analyzer Laminar flow Bacteriology incubators Laboratory centrifuge & Ovens Autoclave machines

BIOCHEMISTRY, MICROBIOLOGY & PATHOLOGY

ANNUAL REPORT 2016


Binocular & trinocular Microscopes Laboratory Airpurifer machine, etc

Deep freezer (-30) ILR & Laboratory refrigerator with digital temp display and thermograph

recorder Tissue blocks cabinets & slide cabinets, etc. 12-Multichannel, variable volume & fixed volume imported fine micropipettes. Automatic Tissue Processor (Leica Japan) Five part differential count Hematology Analyzer (SYSMEX) Fully automatic biochemistry analyzer (TRANSASIA) Antigen Retrieval System (Microwave Based) Ultra Deep Freezer (-80˚C) Platelet Incubator & Agitator Machine Electronic balances Bio- mixers for blood collection Dielectric sealers Plasma thawing & separation machine. Refrigerated Centrifuge Biosafety Cabinet HPLC Machine Kit Storage Refrigerator Plasma expressive with sensor Bench top tube seater.

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

Apheresis machine

-Automatic Slides strainer

- Embedding Station

- Microtome (Leica)

- Trihead Microscope

- 3 Slides cabinet

- One Block cabinet

-Electronic weighing cum balance scale for Blood Bank

AUGMENTATION OF EXISTING SERVICES

During the financial year 2015-16 the department of pathology has taken a great leap forward to strengthen and augment the existing services for better efficiency, accuracy & quality control of tests conducted in the various sections of the Laboratory. This was possible with the acquisition and installation of equipments in the department during the period-

ANNUAL REPORT 2016


1. Histopathology Lab: -

Microtome (Lieca). Ninety five (95) Histopatholgy samples were received from Jag Pravesh Hospital during

2016 (Fallopian tube/vas deferens). Special stains like AFB (Acid Fast Bacilli) were performed on Thirty (30) histopathology

cases.

2. Microbiology lab :- We are receiving histopathology specimens from Jag Pravesh Hospital.doing the year 2016.

During the dengue time period, sample were accepted throughout the day for IgM Dengue

with NS-I and Chikungunia.IgM Dengue was performed on 312 Cases NS-I on 22 and Chikungunia test on 71 cases.

Ongoing Technician Training/CME’s

The department conducts in house training program for the reorientation of the laboratory technician’s w.r.t the recent development, standardization of various laboratory tests and techniques aimed at further improvement of the quality and standards of laboratory practices.

Interactive programs are held on monthly basis at various workstations wherein the technical staffs have a free discussion on a given topic testing technique followed by practical demonstration & evaluation of the participants. The staffs are strictly instructed to adhere to the universal precautions for personal protection.

BMW Meetings and Inspections held every month.

Department has also been inspected under Kayakalp Peer Programme dated on 13th, 15 December 2016.

All the officers in the department actively participate in the interactive CME’s conducted periodically by the scientific committee of SDN Hospital.

The Doctors participated in the scientific seminar at various hospital Safe Blood Transfusion practices & appropriate use of Blood/Components held on .

Doctors and Lab Technicians attended the Training Programme on Laboratory Testing for Dengue/Chickengunia held on June 8& 10 at NICD:-

The Lab technicians attended the training programme in Blood Banking held at RML hospital conducted by DSACS.

Quality Control: -

The quality controls of various laboratory tests, techniques, reagents & equipment, have been maintained on daily basis under the supervision of the respective in charges/specialists.

All the expensive equipments are under AMC & serviced on quarterly basis and on demand whenever required. Calibration of these machines is done periodically.

Internal controls are put in place for maintaining Quality Assurance of the tests .

The kits and reagents are observed for deterioration & contamination.

The tests for specificity, sensitivity, avidity & titer are being put on every new batch/lot of reagents and kits.

ANNUAL REPORT 2016


The Testing Report from a reputed laboratory is mandatory; to be received before the department approves the kits/reagents/disposable laboratory items.The results of Lab investigations especially Histopathology Cytology & all abnormal reports are done by the Specialist & MO & Dept.

1. Dr. Navin Neeraj (HOD) 2. Dr. Awanindra Kumar (MO) 3. Dr. Deepti (Specialist Pathology) 4. Dr. Shelly Sehgal (Specialist Patholgy)

Dr. Navin Neeraj & Dr. Awanindra Kumar manage day-to-day administrative

activities of Department of Pathology & Transfusion Medicine.

The technical staffs are directed to strictly follow the SOP’s at their assigned workstation to ensure standard processing techniques. These SOP’s are reviewed and modified by the respective in charges by incorporating the manufacturer instruction on the kits being used and the cut off values specified on the available kits for precise interpretation.

Miscellaneous

The officials and the technical staff participated in the NPEP and various state health programs during the year 2016. In addition the laboratory staff manage the ‘Health Camps’ organized by the EDMC on various occasions.

The department of Pathology is actively participating in Thalassemia Screening of ANC patients, HIV screening of ANC cases under the DSACS project PPTCT & early Cancer Detection Programme.

There are 24 patients registered in the Thallassemia Day Care Unit. It has been functioning from the Department premises and over 729 units of supervised blood (packed red cell concentrate) transfusion were given to the children registered at this unit. These children have been screened for transfusion ‘transmissible’ infectious markers particularly HBs Ag, HCV, HIV & also Hemogram.

STATEMENT OF HISTO-PATHOLOGY DEPTT. SDN HOSPITAL AND JP HOSPITAL (YEAR 2016)

MONTHS NO. OF BLOCKS In 2016 SDNH

TOTAL SPECIMEN(2016)

SDNH

JPH

Total Specimens

JPH

No. of Blocks

JANUARY 1255 125 -- --

FEBRUARY 277 124 11 11

MARCH 371 154 -- --

APRIL 289 118 -- --

MAY 435 189 28 28

JUNE 346 157 -- --

JULY 378 173 -- --

AUGUST 332 166 -- --

SEPTEMBER 147 49 -- --

OCTOBER 153 71 56 56

NOVEMBER 290 136 -- --

DECEMBER 382 175 -- --

TOTAL 3655 1637 95 95

ANNUAL REPORT 2016


LAST TWO YEAR STATISTICS OF LABORATORY INVESTIGATIONS

TEST 2015 2016

Hematology 3, 21,165 189231

Clinical Path 6220 13952

Histo-Pathology 3649 3655

Cytology +PAP+B.F. 3644 3381

Microbiology 20901 29648

HPLC Lab 641 136+212=348

Bio-Chemistry 210428 206264

F.N.A.C. 3644 2631

A.N.C. Lab 47940 31010

Emergency Lab 81829 69834

Blood bank 44336 46116

OPD LAB

1. Hematology 181969 143042

2. Routine Test (urine& Stool)

43901 49496

Total 966987 788608

Compiled by Dr. Awanindra Kumar

ANNUAL REPORT 2016


INTRODUCTION: -

The Blood Bank of this Hospital is recognized by the State Blood Transfusions Council headed by Chief Secretary, Govt. of NCT, Delhi & is licensed by the Drug Controller Authority vide No. 1334/90. It is mandatory for the blood bank to comply with all the provision of the Drugs and Cosmetic Act 1999 of the Govt. of India. Now the blood bank is interacting with all other 28 Recognized Blood Bank in the NCT of Delhi to standardize various aspect of blood banking, share information & meet the requirement of blood /specific blood component of its patients.

The blood bank provides round the clock transaction service of safe adequate supply of blood to meet the life saving requirement of patients admitted to the hospital in emergency I.C.U., Labor room & various wards. It is also responsible for various blood banking activities including:-

Screening and recruitment of healthy blood donors Collection, storage of blood Pre-transfusion screening of transfusion transmissible infections (TTI) e.g. HIV, HBsAg,

HCV, Syphilis, Malaria Detection of any abnormal antibodies in the donated blood, DCT,ICT, Compatibility testing & issue of blood units/ specific recipient blood Component FFP/PC. Internal and External quality control of various blood banking procedures & lab tests

Despite the constraint of shortage of staff, the blood bank organizers periodical voluntary

Blood Donation camps independently & in collaboration with RBTC’s and Indian Red Cross Society.

The Blood Bank Stock of Blood Units is updated online on the official website of MCD on daily basis.

STRENGTHENING & UPGRADATION OF B.T.S (2015-16)

During the year 2015-16, the department of Transfusion Medicine has further strengthened the existing facilities and services by reviewing SOP’s in accordance with the DGHS guidelines, Drug Act 1999. The hospital blood bank has started the process of blood units to prepare various components from the middle of 2016. In its Endeavour to realize the aforesaid goal, the BTS has geared up the administrative efforts to expedite the availability of infrastructure, necessary equipments & personnel required for the setup.

Deep Freezer (-80˚C), installation is under process especially for Dengue season.

The blood bank has purchased Apheresis unit for component preparation.

The department has already acquired & commissioned a Platelet Incubator and Agitator Machine for storage of Platelet Units at 20-22˚C.an another unit is under the process of purchase

The blood bank lab is already equipped with a Coagulation Analyzer Machine (Stago-4 Model, France) and another unit is under process of purchase

TRAINING / UPDATING THE TECHNICAL PERSONNEL: -

The blood bank has conducted fortnightly interactive meetings cum practical training to

standardize the various aspects of blood banking techniques with particular stress on recent

BLOOD BANK & TRANSFUSION MEDICINE

ANNUAL REPORT 2016


advancement / recommendations of NBTC. The aim of these ongoing activities is to attain good laboratory practices (GLP) & good manufacturing practices (GMP) as envisaged in the N.B.T.C. Guidelines and to impart knowledge of recent advancement to the technical staff in the field of transfusion medicine. These interactive meet also help these staff members to get their queries answered, discuss the problem areas & the remedies available to streamline the B.T.S

In pursuance of the above stated objectives the blood bank personnel participated in a training Programme at Department of Transfusion Medicine, RML Hospital under the auspices of the DSACS. It was an intensive training programme conducted by experts from AIIMS, PGI, and Apollo Hospital & USA. The focus of the Programme was to ensure supply of safe blood & follow standardized lab techniques in all the blood bank. This was, followed by participant in terms of knowledge, proficiency and accuracy.

On the occasion of AIDS Day. A CME was organized by obstetrics and Gynecology Department along with Blood Bank. and Dr. Awanindra Kumar took a seminar on AIDS.

DETAILS OF VOLUNTARY BLODD DONOR CAMPS:-

In year 2016 Three voluntary Blood donation camp have been organized:-

ACHIEVEMENT OF TARGETS: -

During the calendar year of 2016 the hospital Blood Bank achieved its target of collection of 2631 units of blood from replacement and voluntary blood donors. In addition, 358 units of blood were received from RBTC & IRCS & 31 units transferred to other Hospital. The BTS issued over units of blood to the patients in need. No major reaction attributed to blood transfusion, is reported by the clinicians this year.

In addition, the hospital blood bank issue the specific component required to correct the specific deficiency and appropriate management of the indigent by making component itself and issued 115 RDP and 02 units S.D.P.(Jumbo Pack).along with FFP & RCC.Deep freezer and platelet incubator cum agitator were psrocured.

MISCELLANEOUS

The Thallassemia Day care unit has been functioning from the Department premises for the management of, diagnosed patient .All the registered patients numbering 24 are given blood transfusion under close supervision.

The blood bank issued 729 units of Red cell concentrate / Semi packed RBCs required for

maintaining the patient Hb more than / equal to 10 mg%. These children were also screened for various markers of, transfusion transmitted diseases periodically at stipulated time, as per the guidelines of National Thallasemia Welfare Society. The screening test done in the department includes Haemogram., HIV ,HBsAg & HCV (Serum ferretin test is done at Thalassemia Society or HRH ) at present .

ANNUAL REPORT 2016


FUTURE UPGADATION PLANS FOR THE 2016-17 It is proposed to upgrade the BTS in terms of safety of blood recipients by issuing safe

blood with highest degree of compatibility. To ensure transfusion of safe blood & minimize any associated risks, the blood bank plans to purchase the under mentioned machines in the year 2016-17. Also it is proposed to participate in External quality control programme in view of renewal of Registration for the year 2017-2021 for whole Human Blood and to grant permission for component and Apheresis.

1. Deep Freezer - 80°

Compiled by Dr.Awanindra Kumar

ANNUAL REPORT 2016



PATHOLOGY DEPARTMENT

INVESTIGATION OF LAST FIVE YEARS

1

10

100

1000

10000

100000

1000000

NO

OF

CA

SE

S 2011

2012

2013

2014

2015

2016

2011 68987 9158 7828 1012 15039 101269 2869 35286 20583 74358 51838

2012 102195 8183 8901 1129 18738 112676 2555 37120 26835 75427 54040

2013 118984 13449 4548 992 25105 110518 2639 51379 38176 79630 54280

2014 162254 7232 4181 899 22309 175736 3026 21998 56833 42217 42323

2015 321165 6220 3649 3644 20901 210428 3644 47940 43901 81829 44336

2016 189231 13952 3655 3381 29648 206264 2631 31010 49496 69834 46116

HEAMAT

OLOGY

CLINICAL

PATH.

HISTO.PA

TH.

CYTOLO

GY+PAP

MICROLO

GY

BIO.CHE

M.F.N.A.C.

A.N.C.

LAB

O.P.D.

LAB

EMER.

LAB

BLOOD

BANK

ANNUAL REPORT 2016


The SDN Hospital is running a Thallassemia Day care unit since August 2004. This is

professionally managed in collaboration with the NATIONAL THALLASEMIA WELFARE SOCIETY .The day care unit already has 24 patients registered who are suffering from Thallassemia major, and managed as per the international protocol .Thallassemia is a type of severe anemia which cannot be treated by any medication & survival depends on repeated blood transfusions with proper chelating therapy . The hospital Blood Bank meets all the requirements of all the patients admitted in this unit. The T.D.C unit functions under the guidance of specialists and qualified staff including: - 1. Consultant Pediatrician Dr. Anand Aggarwal 2. Pediatrician I/C Dr. Jaswant 3. Sr. Residents (Pediatric Department & Pathology Department) 4. B.B.O, Dr. Awanindra Kumar 5. S/N Mrs. Meenakshi Puri 6. Lab. Technician (BB) FACILITY PROVIDED: -

The Thalassemia children are provided regular and supervised blood transfusion for maintaining the hemoglobin level more then 10 gm %.

The Thalassemia Day Care Unit also has facility for providing regular and proper iron chelating therapy (I/V and subcutaneous with infusion pump with Inj. Desferoxamine).

Providing oral chelating agent (cap. Kelfer) for every patients. Providing routine check-up every 3 months duration. Every patient, is immunized with Inj. Hepatitis-B before getting, their treatment &

as per the schedule Providing all facility related to safe and screened Blood transfusions. Providing leucocytes mono filters which are used to transfuse only leucocytes

depleted blood, which minimized the transfusion, related reactions. These filters are very expensive, & every patient cannot afford to purchase from the market.

Family screening, & counseling Providing the testing facility such as: -

Hemogram LFT, KFT S. Calcium, S. Protein Blood sugar HIV, HCV, HBSAG Echocardiography Chest X-ray

We have liaison with Hindu Rao Hospital for providing Electrophoresis facility for patients and their family members’ .The HPLC machine has been installed & test for Thalassemia is being done & reported in SDNH Pathology lab.

THALLASEMIA DAY CARE

ANNUAL REPORT 2016


ACTIVITIES UNDERTAKEN: -

We, are linked to National Thallassemia welfare society to provide appropriate counseling to the patients & information regarding latest developments and facilities available globally in treatment, follow-up and rehabilitation of the patients.

Conducting blood donor camps and motivate the people for Blood donation for Thallassemia patients

Helps in the voluntary Blood donations campaign Ensures arrangement of Blood units before arrival of Patients as per prior appointment

ANNUAL STATISTICS FOR THE YEAR OF 2016 Total number of blood transfusions- 729

1. Total chelating therapy by I/V route NIL 2. Total number of Lab Test done Total CBC- 729

KFT – 288 times

LFT – 288 times

HIV - 48 times

HCV - 48 times

HBSAG – 48 times

CBC - 480 times

Blood Group – 480

SE - 288

Thyroid - 06

Compiled by Dr. Awanindra Kumar

ANNUAL REPORT 2016


A Sr. specialist and one Jr. Resident are managing the department of radiology. Sonography is done routinely and includes abdominal scanning (whole abdomen,upper abdomen and lower abdomen) obstetrics scanning(including biophysical scoring) gynecology USG (including TVS),neuro-sonography , thyroid, breast and scrotal scans. Eighteen (18) X-Ray assistants are giving round the clock X-Ray Facility for OPD in patients, emergency services and for medico- legal cases.

In spite of acute shortage of Technical staff, the following work was carried out during, the year of report.

RADIODIAGNOSIS

X-ray 2015 2016

Chest 22152 20103

Abdomen/KUB 800 538

Bone & Joints 12130 230

E.N.T. 138 96

Spine 1113 795

TOTAL 38333 38802

ULTRASOUND & C.T. SCAN

Ultrasound 2015 2016

Obstetric & Gynecology 322 367

KUB/Lower/UpperAbdomen.

1535 2563

Whole abd. 3550 5090

Others 638 1694

G. Total 6045 9714

C.T. SCAN 897 718

The New C.T. Scan Machine is installed on franchise basis through M/S Focus C.T

Center services in March 2009. 20% of all cases are done free of cost on recommendation of Clinician in charge of the patient and endorsement from M.S/SDNH

Vacancy position of Radiology Staff

SR. No.

Name of Post Plan Non Plan

Filled Up

Vacant

1 Technical Asstt 1 -- Nil 01(Non plan)

2 X-Ray Technician 7 3 7 03 (plan)

3 X-Ray Asstt. 10 3 10 03 (plan)

Compiled by: Dr.Prashant Jain

Radio Diagnosis & Imaging

ANNUAL REPORT 2016



RADIOLOGY DEPARTMENT

STATISCTICS FOR LAST FIVE YEARS

1

10

100

1000

10000

100000

NO

OF

CA

SE

S

2012

2013

2014

2015

2016

2012 7928 618 6439 319 739

2013 22045 3430 5662 653 2817

2014 21576 1351 14078 153 4204

2015 22152 800 12130 138 1113

2016 20103 538 230 96 795

Xray chest Abdomen/KUB Bone & Joints ENT Spine

ANNUAL REPORT 2016



RADIO DIAGNOSIS & IMAGING DEPARTMENT


1

10

100

1000

10000

NO

OF

CA

SE

S 2011

2012

2013

2014

2015

2016

2011 3001 7000 8500 1101 1350

2012 2786 5028 7315 948 1338

2013 2434 1209 2802 193 1519

2014 1628 1733 2440 428 967

2015 322 1535 3550 638 897

2016 367 2563 5090 1694

Obestertrics &

gynecology

Kub/lower /upper

abdomenWhole Abd. Others C.T.Scan

ANNUAL REPORT 2016


Accident & Emergency Department

The SDN Hospital is situated at the Delhi Uttar Pradesh Border. The emergency block is 18 bedded centrally air conditioned block catering to all types of emergency cases not only from east Delhi but also from nearby state including UP & Haryana. A total no. of 116014 patients attended the casualty in 2016.

Staff Pattern. Managed by 6 Senior Resident Doctors & 6 Junior Resident Doctors doing round the clock duties. There are 10 Staff nurses doing 24 * 7duties, and also the ancillary Staff like dressers plasters assistant, ward boys & sweepers doing their duties. One senior doctor is present 24 x 7 to look after the needs of the hospital.

Services. Managing all types of M.L.C & Non M.L.C cases to the best possible manner. There is a dog bite clinic in the casualty providing A.R.V & A.R.S injection to the infected patients.

Organization of kanwar Camps. Two Kanwar camps in Seemapuri & M.S .Park were successfully run by the staff of the casualty for two weeks. Their work was lauded by the organizations running the camps.

Malaria/Chikungunia/Dengue epidemic This year witnessed a Hugh break out of Dengue /Malaria & Chikungunia The number of patients increased up to 2500 per day. The epidemic was successfully managed by the emergency department effectively. The bed strength 18 to 35 and was increased from 18 to 35 most of the time there were two patients on a single bed. A special lab & fever clinic was setup in the casualty itself to help the patients. A public announcing system special help desk was created the extra load of patients was effectively dealt with minimum complaints. The emergency was very frequently inspected by the Hun’ble Commissioner, Mayor and the Chairman standing committee. They all expressed their satisfaction on the handling of the epidemic.

Separate chambers for medicine pediatrics, surgery & orthopedics. In order to further strengthen the services 3 new rooms were made available to all the above specialties so that doctors were available in the casualty.

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

CASUALTY CUM EMERGENCY WARD

ANNUAL REPORT 2016


Provision of wall mounted B.P instruments, suction & oxygen points were made near all the beds. There is plaster and dressing room doing good services to the patients. Imparting training to student of the Nursing School of this hospital. Good quality wheel chair & stretchers were made available in the casualty. Up gradation of doctor’s duty room is done to make them comfortable in attending to serious patients.

Ongoing work. The order of sixteen cum trolleys has been placed. A demand for the hearse van has been placed. During this year the department of emergency performed very well gave best care to the patients and we are committed to give our best in future also. Complied by CMO I/C Dr. R. K. Singhal

ICU CENSUS 2015-16

Overview

The chief minister of Delhi inaugurated the HDU of Swami Dayanand Hospital on October 1rd 2005..It started functioning from 2nd October 2005.Since then it has been an immense support to the critically ill patients of the hospital. The popularity as well as the workload gradually increased over these eight years. The patients admission increased by 107% from the initial year. The ICU is catering patients referred from other government and corporate hospitals from all over Delhi. Critically ill patients from the Trans Yamuna area and distant hospitals in neighboring states are also referred to the ICU. The ICU is catering critically ill patients from medicine, surgery, obstetrics and gynecology, pediatrics and others. Swami Dayanand hospital is performing a lot of major laparoscopy/oncosurgery. The ICU also performs academic activities regularly in the form of case presentations, seminars etc both intrahospital and intradepartmental. The ICU has also represented the hospital all over India in different national conferences either as chair or as faculty.

ICU DATA 2016

Number of patients 656

Death 176

Recovered/transferred 480

The cases treated in ICU: septicemia, CAP, COPD ,acute pancreatitis, ecclampsia, ischemic stroke, haemorrhagic stroke,, post operative cases of perforation peritonitis ,meningitis ,poisoning patients , HELLP, post perforation peritonitis, pediatric patients suffering from acute severe asthma, bronchopneumonia, myocarditis, sepsis and severe sepsis, DKA, Hypertensive emergencies,acute coronary syndrome, restrictive lung disease, ARDS and patients of electrolyte imbalance and metabolic disorders.

Anesthesia & Critical Care

ANNUAL REPORT 2016


CHRONOLOGY

Existing Staffing Pattern

HOD ANAESTHESIA DR RAJNI KHERWAL

SAG DR RAKESH SINGHAL

CMO(NFSG) DR RANAJIT CHATTERJEE

SENIOR RESIDENS 5

JUNIOR RESIDENTS: 3

SISTER INCHARGE 2

NURSING STAFF 8

1. TECHNICIAN 6

The senior residents, nurses and technicians are on duty 24×7 365 days. Dr Rakesh Singhal and Dr Ranajit Chatterjee are on call duties on alternate days .The ICU team is also gives effective support in resuscitating emergency patients in the hospital

Major ICU equipments

Equipments Number

VENTILATORS 5

VENTILATOR- TRANSPORT 2

MULTIPARAMETER MONITOR: 7

PULSE OXYMETER 4

COOXYMETER 1

DEFIBRILLATOR MONOPHASIC 1

NICCO MONITOR 1

MINIMALLY INVASIVE CO MONITOR 1

USG MACHINE 1

YEAR NO OF PATIENTS % INCREASE IN PATIENTS

2007 307 20%

2008 369 41%

2009 351 33%

2010 445 69%

2011 508 97%

2012 519 101%

2013 545 107%

2014 589 125%

2015 619 130%

2016 656 142%

ANNUAL REPORT 2016


BRONCHOSCOPE 1

ABG MACHINE 2

SYRINGE PUMP 16

BIPAP 2

AED 1

MACOY LARYNGISCOPE 1

MEDICAL TROLLEY 2

THROMBOELASTOGRAM 1

CRRT MACHINE 1

SLEDD machine 1

INBUILT CAMERA (MONITORING SYSTEM): 2

It has been found by internal audit the mean utilization of instruments is over 90%.

Specific ICU Programme:

1. The ICU along with the department of medicine has started ‘stroke program ‘in Swami Dayanand Hospital. Patients of acute ischemic stroke who come within 4.5 hours of attack can be thrombolysed . Till date 8 patients has been thrombolysed and six of them are doing well. We hope to continue the program with the active support of administration.

2. The ICU has the unique facility of CRRT (Continuous renal replacement therapy) and SLEDD (sustained low efficacy daily hemodiafiltration).The critically ill patients suffering from acute kidney injury (AKI) are salvaged by this unique technique.

3. Regular thrombolytic of patients of ACS.

ANNUAL REPORT 2016



ANESTHESIA DEPARTMENT

STATISTICS OF OPERATIONS OF LAST FIVE YEARS

1

10

100

1000

10000

100000

NO

OF

CA

SE

S 2011

2012

2013

2014

2015

2016

2011 2700 9358 4025 17690 13058

2012 2771 10732 4258 17294 13858

2013 4638 13928 5387 23953 17938

2014 5419 13630 5204 24253 9642

2015 5300 10700 4875 20875 9250

2016 5869 11791 5352 24012 10175

MAJOR MINOR EMERGENCY TOTAL P.A.C.

ANNUAL REPORT 2016


CONCLUSION

The ICU of Swami Dayanand Hospital is doing an exemplary work. Young and dynamic doctors, nurses and technical staff are giving tireless service to the community. A dedicated and committed team is always on its toes to help any patient in a dire state in an effort to help him/her to the extent possible. We sincerely hope that this effort will prevail and as always the results of ICU will make the hospital and the department proud in times to come

MONTHS G.A. EPIDURAL L.A S.A.C.

SA+GA Brachial

JAN 141 7 391 190 3 8

FEB 101 6 261 170 5 6

MAR 108 16 399 190 6 7

APR 136 11 438 180 9 3

MAY 155 10 402 185 17 14

JUN 118 8 490 190 18 9

JUL 116 2 318 160 1 4

AUG 110 1 278 145 13 4

SEP 111 3 399 146 16 5

OCT 60 2 399 148 18 6

NOV 84 2 365 155 4 0

DEC 86 3 402 145 5 6

TOTAL 1326 71 4542 2127 115

72

ANNUAL REPORT 2016


Total numbers of operations & PAC in the year

2015 & 2016

2015 2016

Major 5300 5869

Minor 10700 11791

Emergency 4875 5352

TOTAL 20875 24012

P.A.C. 9250 10175

Compiled by: Dr.Rajni Kherwal

ANNUAL REPORT 2016


Nursing forms, the back bone any good medical care. Compassionate proactive care is

instrumental in overall quality of the medical services rendered. SDN nursing fraternity provides excellent nursing care in all the key areas like HDU, Operation Theater and Labor room.

1. The hospital Nursing Staff under supervisory control of ANS’ are grouped into six

sections for effective Patient Care in Emergency, L.R. OT, Wards and HDU and Old Children Ward and New born baby.

2. There is ongoing training program for computerization and use of HIS. 3. Awareness and skill up gradation training also conducted this year for handling of New

Born, Low birth weight. Physical check up training for CA Breast Awareness & Dengue. Staff pattern of nursing department is as below:

POST SANCTIONED VACANT

Matron 1 1

Asstt. Matron 1 1

A.N.S 11 1

D.N.S 1 1

Nursing Sister 59 43

Staff Nurse 187 22

Compiled by ANS Anita

This hospital provides general diet as well as special diet to the indoor patients as

recommended by the Medical Officer. An ultra modern kitchen equipped with L.P.G. stoves, fridge and steel utensils is situated in the heart of the hospital. Modern steel trolleys are provided for the distribution of hygienically prepared food to the patients.

Nutritional needs of the patients are assessed and special meals are provided to diabetics, renal cases and to nutritionally compromised patients.

A nominal charge of rupees ten levied per day. However, on recommendation of Unit in charge or HOD the same is waived off.

The staff position of kitchen is as under:

POST SANCTIONED VACANT

Steward 1 --

Dietician 1 --

Head Cook 2 2

Cook 8 --

Bearer 10 5

Masalchi 4 2

Compiled by: M.P. Singh

NURSING CARE

Hospital Catering

ANNUAL REPORT 2016


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

Vision of club

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

Activities

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

1. Annual day celebrations

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

2. Swami Dayanand Saraswati birthday

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

3. Annual Sports

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

Sport & culture club

ANNUAL REPORT 2016


4. Dr.T D Dogra session on medico aspects of medical practice. We organized the session on medico legal aspects in practicing medicine.

5. Spiritual health

Various session on meditation and spiritual health taken by various spiritual leaders in our hospital like Bramhkumaris.

6. Yoga day celebration

We organized Yoga session by renowned Yoga Guru and most hospital staff participated in it.

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

Other activities

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

B. Felicitating major achievement of its workers.

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

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

What's New

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

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

Compiled By Dr. GladbinTyagi

ANNUAL REPORT 2016


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

employee in the year 2016 in the Conference cum Lecture Hall, which is situated in Library of Hospital. Hospital appointed new staff for the Library & also renovated library. Library provides service and manages time to time for the workshops, guest lectures and other functions in the honor of the hospital. This year our hospital got DNB accredidation & 17 students join here in different depts. Like Medicine, Pediatrics, gynae, Surgery, Anesthesia.

Guest Lecture:- 1. Glaucoma Awareness 2. Sensitization for medical care & ward management 3. E-Modules 4. Hospital Institutional Ethical Committee (HIFC)

Public Health lecture:-

i.BMW/Ward ii. Population Stabilization fortnight

iii. Malaria recent Guidelines iv. Management of Dengue Fever v. Prevention of vector Borne Disease

vi. Sanitization meeting on world population day vii. Dengue, Malaria,Chikungunia awareness

viii. Eye Donation awareness

Workshop:- 1. Medical Care Training 2. Word Management Training 3. Non Invasive & high flow ventilation 4. IVCF Moss 5. NSSK Training

New Facility in Library:-

DNB Students Reading Room.

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

2. New Monthly Journal for reference for Med/Sur/Gynae/Pediatrics/ Anaesthesia.

3. DVD for standard references

LIBRARY Science

ANNUAL REPORT 2016


CME for 2016 to 2017

.NO CME MONTH NUMBER OF CME

1. Feb 12

1 March 9

2 April 8

3 May 4

4 June 8

5 July 4

6 August 2

7 September 5

8 October 7

9 November 11

10 December 12

11 January (2017) 3

HEALTH LECTURE:-

1. IUCD week celebration

2. Sterilization for S/N.

3. Diabetic Awareness.

4. Introduction of chiral molecules

5. Anemia Management by newer parenteral drugs

6. Diabetic Retinopathy

7. Blood components storage and indication of Transfusion

8. World’s AIDS Day

LECTURE:-

1. Anti Microbial agents 2. Management of Hyper Glycemia in ICU and wards. 3. Evidence based Hemostats 4. Insulin summit 5. Sepsis Symposia 6. Malaria recent guidelines 7. Management of Dengue, malaria and chikungunia fever.

Complied by Dr.Chakravarty

ANNUAL REPORT 2016


Under implementation scenario of BIOMEDICAL WASTE MANAGEMENT

The work, is done at approximately Rules,2016, 50 nursing stations of the SDN hospital.

The Segregation of different types of waste and its on-site prescribed Treatment is carried at the source of generation.

Following categories of waste, is being generated and treated.

Category Quantity Mode of treatment Month Day

1 Human Anatomical Waste 1350 kg. 45 kg. Out Sourced to M/S SMS Grace water Pvt. Ltd.

2

Soiled Waste (items contaminated with

Blood, body fluids including, Cotton,

Dressings, plasters etc.

(including Human Anatomical waste)

4374.5 kg 145kg Out Sourced to M/S SMS Grace water Pvt. Ltd.

3 Microbiological & Biotechnological

63.0 kg 2.5 kg Out Sourced to M/S SMS Grace water Pvt. Ltd.

4

Waste Sharps-needles, scalpels, blades,

Glass etc.

695kg

23 kg Out Sourced to M/S SMS Grace water Pvt. Ltd.

5

Solid Waste-generated from disposable

Items other than sharp…plastic

Syringes,

Tubing I/V sets, Catchers etc.

2525kg 84 kg. Out Sourced to M/S SMS Grace water Pvt. Ltd.

Various Training programs,, were conducted, corner meetings held & training imparted to Medical officers, nursing staff, paramedical & technical staff, as on –going continued training.

- Solar water heater will be functional soon. - CFC bulbs are being used in place of ordinary bulbs.

BIO MEDICAL WASTE MANAGEMENT 2016

ANNUAL REPORT 2016


- The installation of rain water harvesting system.

- The installation of ETP Plant is in progress. The meeting of various Ex. Engineers has been held and now it is under process.

- Very soon we will be setting up of the process of Electronic waste also. It has become mandatory now under the direction of DPCC.

- As per policy we have stopped the increase

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

- Compiled by: Dr. Gyanesh Gupta

Swami Dayanand Hospital is a very old and big hospital of EAST DELHI MUNICIPAL CORPORATION in East Delhi. This Hospital is situated very near to UP Border. The population density of East Delhi is very high as compared to other part of the city. Patients come in large nos. from East Delhi and nearby areas of UP Border as well. The average of patients registration is approx.2500 to 3500 patients/day. In OPD Pharmacy 3 counters are running for general public, 1 Separate Counter for Hospital staff /retired MCD employees/handicapped patients/freedom fighter/Counselors/M.L.A and 1 Counter is running for Sr. Citizen at ground floor in OPD Deptt. GYANE PHARMACY and PAEDS PHARMACY is Situated at 1st & 3rd floor respectively for the convenience of the patients of respective OPD’s.

The OPD Pharmacy is managed by 9 Pharmacist.2 Pharmacist are posted in Stores (1 in Medical store and 1 in Surgical) for procurement and distribution of Medicine /Surgical items. 7 Pharmacists are posted at counters for distribution of medicines to the patients. In Hospital Pharmacy at Store/Counters all posted Pharmacists work through computerized ‘HIS’ module.

Hospital Pharmacy is also conducting ‘in house’ Practical training for Pharmacy students which is essential part of their degree/Diploma in Pharmacy.

Compiled by Dr. D.Chakarvarty

The Scientific Committee of Swami Dayanand Hospital is pioneering the academic

atmosphere of Hospital. It is regularly conducting seminars & workshop for Medical as well as paramedical personnel under its Banner. Under this forum we have discussions on various topics which help the Doctors, not only of our Hospital but from various dispensaries of East Delhi Capital, ultimately helping lot of poor patients of East Delhi.some workshops were attended by participants from entire India.

Here are the brief descriptions of various activities conducted by Scientific Committee in the year 2016:-

Workshops:-

1. Medical care training.

2. Ward management Training

3. Advance Hemodynamic Monitoring

Pharmacy

Scientific Committee Activities

ANNUAL REPORT 2016


4. Noninvasive & High flow ventilation (3 Day program me)

Seminars & CME:-

1. TMP in changing meeting for NID 2016

2. Hyper androgenic treatment with OCP’s)

3. Evidence based Hemostats

4. E-Governance modules

5. Glaucoma Awareness

6. IUCD week celebration.

7. Sterilization of S/N

8. Anti Microbial agents.(Rational use of Antibiotics)

9. Management of hyperglycemia in ICU & Wards.

10. Orientation training of PPIUCD

11. Insulin Summit

12. Sepsis Symposium

13. Diabetic retinopathy

14. CT Scan & MRI as Diagnostic modality in acute ischemic stroke

15. Vector Borne disease.

16. Introduction in chiral molecules. 17. Anemia management by newer parenteral drugs

QUIZ:

NNF Quiz For doctors &

For Nurses

With blessings and good wishes for all other Departments, particularly sincere co-operation & sincere advise for our M.S.Dr.M.L.Jaipal, Scientific Committee is hopeful to achieving many MILESTONE in future.

Compiled By Dr. D Chakravarty

MO I/c Scientific Committee.

ANNUAL REPORT 2016


Information Systems (HIS) are “designed to improve the quality and management of

clinical care and hospital health care management in the areas of HIS System installed in S.D.N. Hospital by WIPRO info Tech Ltd in the year 2005-06. Director I.T. has been very supportive and helping as coordinator to the inputs, processor and monitoring of output.

Hospital clinical process analysis and activity-based costing.” Improved patient care, cost

control and security are possible benefits of implementing such systems. However, the implementation of hospital management information systems must be accompanied by significant planning on the part of management to maximize results.

There are many benefits of hospital management information systems. Properly

implemented HIS can improve quality of patient care by increasing the timeliness and accuracy of records and administrative information. HIS provides simplified access to patient records and other administrative information for those who need it. It also sets a standard for patient care, making it more consistent across the board. In many cases, patients can also use the system to better educate themselves about their diseases and conditions as well as treatments and outcomes.

Department of Information Technology at SDN Hospital is managed by following staffs:

S. NO. NAME DESIGNATION QUALIFICATION CONTACT NO.

1 DR. SANTOSH TOMAR

CMO (I.T.) MBBS, MD(CHA) 22584485

EXTN. 325

2 MR. YOGRAJ AGGARWAL

DEALING ASSISTANT (I.T.)

B.COM (P) 22581036

EXTN. 282

3 MR. NARENDER SINGH

PROGRAMMER ASSISTANT “A”

B.TECH 22581036

EXTN. 262

4 Ms . POOJA PROGRAMMER ASSISTANT “A”

B.TECH 22581036

EXTN. 262

Compiled by Mr Narender & Ms.Pooja

Hospital Information System (HIS)

ANNUAL REPORT 2016


ANNUAL REPORT 2016


Assistant Sanitary Inspector manages sanitation services. This hospital provides necessary

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

Total Staff Position is as under: -

POST SANCTIONED Working VACANT A.S.I 2+1(Plan) 01 1 Sanitary Guide Nil 01 against ASI --- Safai Karamchari 73 42 + Sulabh Workers 6

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

machine for cleaning the service areas of public use as per schedule. The pressure jet system is proving to be an excellent cleaning device.

Team of SULABH workers is also engaged against vacant post of group D to further facilitate the sanitation drive. This effort has visible impact at Emergency and Main OPD. Newly developed buildings like 120 bedded MCH Block, PCB, Nursing School & Multipurpose block are also being maintained by sulabh workers under Plan Head. 127 Sulabh workers are providing the sanitation services in Swami Dayanand Hospital from Sulabh International Social Service Organization.

Compiled by Smt. Lata Singh

There are five stores in this hospital:

1. Medical Store Mr. Grish Soni 2. Surgical Store Mr. Subhash Tyagi 3. General Store Mr. Vipin Kumar 4. Linen Store Mr. Vipin kumar 5. Stationery Store Mr. Vipin Kumar 6. I.T. STORE Mr. Yograj Aggarwal

These stores are controlled and supervised by the Addl. Medical Superintendent, and assisted by two pharmacists, one U.D.C., one L.D.C. and one statistical clerk. Material management has been computerized as per HIS Module. All the work of stores has been computerized. All the stores always ensure stock of essential items. The pharmacy has three OPD out lets in the Main block, Pediatrics block and OBG block.

Compiled by Dr.M.P. Singh

Sanitation & House keeping

Stores

ANNUAL REPORT 2016


Hospital is having well equipped mechanical laundry. This department provides washed and clean linen to all indoor and outdoor patients of the hospital. The unit collects linen from the wards. Labor room and OT as per schedule, sorts them into serviceable non serviceable linen, wash dry calendar and deliver to the respective sections. Hospital has engaged some private agency which is providing desired services under the supervision CMO Admin-II

Compiled by Dr. K.Arya

Personalized Care block:-

Personalized care block was Started functioning w.e.f Jan-2014. At present 16 Rooms has been made functional with the help of existing hospital staff. In it all Rooms are single bedded with attached toilet. All room have A.C facilities, each Room is equipped with a patient bed, attendant bed, Small almirah, over head table, Small Size fridge and dustbin, bucket, mug etc. There are geyser facilities in each room. All these facilities are being provided at a reasonable Rate i.e Rs. 800/per day. Total 701 patients have availed the facility of PCB During this year and 31, 24936 has been collected during the year 2016.

The workers are PCB are so dedicated that the PCB ward was awarded first ward prize last two congratulate years.

Compiled by Dr. K. Arya CMO Admin-II

This Hospital has engaged some private Partnership agencies to maintain/ look after the

following work in this hospital to facilitate the services for the patients of this hospital. C. T. Scan Center: - C. T. Scan machine in Swami dayanand hospital was installed on franchise basis as public private partnership. Accordingly, C. T. Scans are done on payment of certain amount as per agreement with the operating agency. There is provision of free C. T. Scan for poor patients or M.L.C/emergency cases from SDNH or other corporation hospitals with the approval of MS/SDNH & also casualty Medical Officer beyond hospital timing not exceeding 20% of the total scans done. The CT scan is run and maintained by M/S Focus C. T. Center. The rate of the different C T Scan is approved by competent authority of the M. C. D.

FOCUS IMAGING & RESEARCH CENTRE PVT. LTD.

DETAIL OF C.T. SCAN CASES FROM JAUNARY 2016 TO

DECEMBER 2016

TOTAL NO: OF PATIENT TOTAL FREE CASES

718 161

Laundry Services

Private Public Partnership

ANNUAL REPORT 2016


Security Services: - The hospital has deployed Private Security M/S MIC 2 facility and services . 8 Security supervisors & 100 Security guards are managing the services round the clock. All Security staff deployed at various places of the hospital wear uniform, name plate (Identity card) and found to be alert. None of the vital posts, are left unmanned. During the National functions, the security staffs are always in ceremonial dresses and ensure proper conduct of flag hoisting.

This hospital has some coordination department, which helps in maintaining several services of

this hospital. 1. Electrical Department: - This department runs by the electric department of

EDMC Shahdara North Zone Division. One J.E. electric to look after all the power supply including the generator sets and running & maintenance of the air conditioning plants in the hospital premises.

2. Works Department: - This department by the divisional works department of EDMC Shahdara North Zone. One J. E.works is posted in this hospital to look after all the civil works including sewerage system in the hospital premises.

One Jr. Engineer works and one Jr. Engineer Electric has been provided for proper maintenance and up-keep of the hospital building as well as electric supply. Engineering department is managing the maintenance work.

Compiled by Dr. M.P. Singh

Rajmata Vijayaraje Scindia Nursing School is only Nursing School of EDMC.

R.V.S.Nursing School, Swami Dayanand Hospital, has been functional since 1st August 2013, to provide Diploma in G.N.M. 3½ Years Course with batch strength of 20 students per year in affiliation with the Indian Nursing Council and Delhi Nursing Council. There is a common entrance test for admitting students as per merit. At present we have 78 students (1st, 2nd and 3rd year interns) our first batch will pass out month of February 2017.

PHILOSOPHY OF THE SCHOOL OF NURSING:

We believe that basic course of modern nursing is a dynamic, education process in meeting the complete health goals & therapeutic needs of the individual, family, community and the nation.

OBJECTIVE OF EDUCATIONAL PROGRAMME:

To help the students to acquire knowledge understanding and the correct attitude necessary for carrying out nursing activities both in the hospital and in the community.

To help the students in acquiring the skills essential in providing care according to the needs of individual patient and developing the skills to enhance interpersonal relationship communication & counseling.

ABOUT NURSING SCHOOL:

Nursing School has separate budget allocation on yearly basis.

Ancillary Departments

NURSING SCHOOL

ANNUAL REPORT 2016


Nursing Art Laboratory, Anatomy lab, Community lab and Midwifery lab furnished with new equipments.

Power point projectors with modern facilities in classrooms.

Separate space for library with latest additions of books.

Furnished rooms for all students.

Installation of CCTV cameras to strengthen security of premises.

Mannequin /dummy provided in all labs.

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

Modern computerized lab for students.

Cultural Programs celebrated in RVS Nursing School.

DNC inspected RVS Nursing School for A.Y. 2015-16.

Achievements of RVS Nursing School 2015-16

Best result of RVS Nursing School among all nursing schools of MCD

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

Student have participated in various extra curriculum activities which help them in strengthen inter personal relationship and sense of corporation among students.

Admission process for all school of nursing (All three corporations) taken up & completed successfully by RVSNS for 2015-16.

Medical and spiritual visits for students of RVS Nursing School.

Active participation of nursing students for community building in forum of skits and role play on topics like “SWACHH BHARAT ABHIYAN” and “BETI BACHAO BETI PADHAO”.

Academic activities with doctors and other staff to sensitive patients and attendants against diseases like Dengue, Chikungunia and Malaria etc. Importance of breast feeding for new born and mothers prevention of HIV & others STD’S etc.

TARGET FOR THE YEAR 2016-17

Requirement of faculty against vacant sanctioned posts.

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

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

Procurement of Linen & Stationary

Tendering of Mess.

TEACHING FACULTY OF RVS NURSING SCHOOL, SDNH

Principal Mrs. Ritu Singh

Tutors Mrs.Akhila. S. Mrs. Shanti Kathet

Mr.Mukesh Kumar.Suman Mr. Arun Kumar. Goyal

Compiled by:- Mrs. Ritu Singh

Principal of RVS Nursing School

ANNUAL REPORT 2016


There is a separate OPD counter for registration of Senior citizens in OPD and Special attention, is given to all the Senior Citizen in Doctors consulting room as well as in all the investigation procedure including the Pharmacy depts. of this hospital. There is regular interaction between the retired MCD employees association and the SDN administration for monitoring and improving the facilities for senior citizen. At present due to logistic reason the suggestion have dedicated segregated multi specialty OPD services for senior citizens are not feasible.

Compiled by Dr. M.P. Singh

Right to information Act-2005 introduced and first application was received in year -2014. Following officers are designated and handling R.T.I.: Dr. M.L. Jaipal 1st Appellate Authority

Dr. M.P. Singh P.I.O. Dr. K. Arya A.P.I.O.

Sh. Manu Gautam Dealing Assistant

Total No. of R.T.I. application received in year 2016

Total No of R.T.I. received in year 2015 114

No. of R.T.I. received directly 82

No. of R.T.I. received through transfer 32

No. of Appeal to 1st Appellate Authority 05

No. of R.T.I. appeal received through CIC 02

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

Compiled by Dr. M.P. Singh Public Information Officer

Senior Citizens

Right to Information

ANNUAL REPORT 2016


The Administration Deptt is, working under the supervision of Administrative officer. This

office takes up all the administrative and service matters of all hospital employees via, salary bills, electricity, water, telephone bill, stores maintenance. They also look and pursue various issues related to court.

This department has done exemplary work in providing all retirement benefits and dues together on the last day of employee’s service for last many years.

S.No. Post Sanctioned Vacant

1 Administrative Officer 1 -

2 Sr. Stenographer 1 1

3 Head Clerk 3 1

4 Jr. Accountant 1 --

5 U.D.C. 6 4

6 L.D.C. 5+4(Plan) 5

7 Mohrer/Dafteri 1 --

8 Peon 6+3(Plan) 5

Compiled by Mrs. Lata Singh

(Administrative Officer

ACA: Mr. Yogesh Kumar Sharma The Department has 1 Junior Accountant, one UDC and one Head clerk for passing bills and

payment through ECS system(Both Visual pay & on line) They also monitor hospital budget and Reconcile of bank accounts and ensure timely payment to the employees. The department is responsible to monitor cash flows and utilization of budget in both Non Plan and Plan.

Compiled by Mr. Yogesh Kumar Sharma

Administrative Wing

Accounts

ANNUAL REPORT 2016


NON PLAN

1 VI-B (P) I ( A ) ( B ) ( C ) ( D )

47 -1001

47 -1002

47 - 1003

47 - 1004

Salary Salary Salary Salary

3575.00 lacs 2574.00 lacs 1144.00 lacs 1144.00 lacs

2 VI-B (P) II (ii) (iii) (IV)

47 -1193

47 -1156

47 -1119

Telephone Postage Miscellaneous

8.00 Lacs 0.20 Lacs 130.00 Lacs

3 VI-B (P) III 47 - 1089 Equipment 300.00 Lacs

4 VI-B (P) IV 47 1098 Medicine 2300.00 Lacs

5 VI-B (P) V 47 - 1040 Diet 120.00 Lacs

6 VI-B (P) VI 47 1187 Stores 130.00 Lacs

7 VI-F( 47 - 1092 Medical relief to MCD Pensioner

90.00 Lacs

8 VI- A-IV-9 47 - 1217 Repair of maintenance of hospital.

120.00 Lacs

9 XVI-J-VII-I 41-13.63 Repair of Thalasemia control project

5.00 Lacs

10 VI-B (P) X 47 - 1100 Security services 200.00 Lacs

11 47-104 BMW 75.00 lacs

PLAN HEAD

1. X L-IX (i) Revenue 310.00 Lacs 2. Capital 600.00 Lacs 3. Salary 200.00 Lacs

Compiled by Mr. Yogesh Kumar Sharma (ACA)

BUDGET PROVISION

ANNUAL REPORT 2016


A Medical Record Department of Swami Dayanand Hospital is working under the Supervision of CMO (Administration I). The Medical Record Department is the most important department of the hospital for documentation of medical records, facilitating OPD registration, Admission & Discharges, safe custody Medico-Legal Records, ensure Birth and Death registrations, prepare document related to MIS and Annual reports. Disease identification and coding of disease as per ICD 10 is also done.

The work of Medical Record department has increased many folds during last few years. Some of the details about mandatory operations are as below:

The following registration counter is provided for easy & smooth functioning and facility to the OPD patients.

1. Two UHID & Billing Registration counter for Female Patients at Ground Floor.

2. Two UHID & Billing Registration Counter for Male Patients at IInd Floor Near Surgical OPD.

3. One UHID & Billing Registration counter for Senior Citizen/Retired Employees at Ground Floor.

4. One Pediatrics Registration counter at 2nd floor Near Surgical OPD

5. Separate Obst. & Gynae Registration counters at First Floor Near Family Planning Department

6. Two Old Registration counter for date at first floor ( for female patients ) and 2nd Floor (for male patients)

Besides the above counters, the registration of patients in different clinic in every day are also been made by the Medical Record Department such as Diabetic clinic, Cardiac, Infertility, A.N.C. Vitiligo, Leprosy, V.D. Glaucoma and Cancer Clinic.

This department completes all types of statistic of indoor and outdoor patients daily/weekly/monthly/ Quarterly /yearly statistical report and analysis. Due to vast reporting system for all communicable disease and information for health activity, linking with Zonal offices and collecting data/report regarding Dengue fever, Cholera, Meningococcemia Gastroenteritis, Daily ward census report from different ward/OPD/Casualty and laboratory for onward transmission to higher authorities.

The Admission cum enquiry counter is running in three shift & open 24*7 for patients which is fully computerized and touch being hospital with wards, casualty, Labor room & ICU. All the work like admission, discharge , patient transfer one ward to other ward has also been computerized. . Medical legal cases are also deal with this department. All relevant record such as M.L.C. Register, M.L.C. case sheet, MLC X-ray. Patient’s case sheet etc is provided to doctors/officer who attended the court. Medical Record Clerk is also attending the court. The Medical Record department is also maintaining the 10 years record of OPD and 5 years record of indoor patients for the Court purpose and interest of patients.

Birth & Death Registration has become on line w.e.f. August -2003. One DEO uploads the data on MCD web site as per documents collected from Labor room & issue the first free copy of

Medical Record Department

ANNUAL REPORT 2016


birth certificate who is born in this hospital. Sister in charge LR and staff on duty has the mandatory responsibility of maintaining daily register of all deliveries conducted with complete details relevant for Birth registration. Addl. MS /SDNH is Sub. Registrar of Birth & Death

.E-Payment (Cashless Payment:

A big step has been taken by the Hospital, the cash less facility scheme has been started in the OPD Registration counters from dec-2016 .We are taking payment through Debit & Credit Cards. It is a good step in the direction of digital payment.

The Medical Record Deptt. is also providing the Medical facility for Jobs, Education, Amarnath Yatra & Disability Certificate issued for Disable Person:

Type of Medical Certificate No’s Of Medical Certificate Issued in year 2016

a). The Persons for job 318

b) The Students for Education 33

c). The Amar Nath Yatra 465

d) The Disability certificate to physically challenged person.

22

Staff Position of Medical Record Department is as under:-

S. No. Name of The Post Sanctioned Post

Vacant Post

1. M.R.O. 1 1

2. M.R.T. 2 Two Data entry operators are working on contract basis against vacant post

3. Statistical Clerk 16 Two Statistical Clerk are working on contract basis 10 Data Entry Operators are working Against vacant post of St. Clerk

4. Medical Record Clerk 2 Nil

5. M.A. 2 One MRA is working on Contract basis. One post is vacant.

24 Data Entry Operators have been engaged on contact basis in Swami Dayanand Hospital for HIS work through ICSIL by CED, EDMC,HQ

Complied by Mrs. Aradhana Tyagi

ANNUAL REPORT 2016


Annual Statistics of Swami Dayanand Hospital Year 2016

S.No. Outdoor Patients Treated

New Old Total

1. Male 117308 129404 246712

2. Female 163656 163450 327106

3. Casualty 112014 nil 112014

Total 392978 292854 685832

Indoor Patients Admission

27298

1. Male 10299

2. Female 16999

3. New Born 7998

Indoor Patients Discharge

25347

1. Cured 14235

2. Improved 10940

3. Referred or transfer to other Hospital

172

Died 363

Days of cure to patients discharge

101376

Average length stay even month

4.5

No. of Birth in the Hospital

8119

1. Live Birth 7998

2. Still Birth 121

Total death including new born

363

1. Infant Death 78

2. Within 28 days (Neonatal)

64

ANNUAL REPORT 2016


3. More than 28 days but less than one year

14

No. of Maternal Death

09

1. Total Male delivered 4238

2. Total Female delivered

3760

Annual Statistics of Swami Dayanand Hospital Year 2016

No. of Sanctioned beds 370 (ICU, Thalassemia & Contingency ward added in Nov, 2005)

a) Indoor: 27298

Outdoor Patient

Department

New 392978

Old 292854

Total 685832

Casualty:- 112014

b) No. of deliveries conducted 8119

1. Live Birth 7998

2. Still Birth 121

c) No. of cases of abortions (if

any) 509

1. Anti Rabies Treatment

given --

a) No. of Patients Treated 6821

Compiled by Mrs Babita

ANNUAL REPORT 2016


No. of patients treated (Diseases wise Statistics)

S.No DISEASE INDOOR OUTDOOR TOTAL DEATH

1 Cholera -- -- - --

2 Small Pox -- -- -- --

3 Plague -- -- -- --

4 Poliomyelitis -- -- -- --

5 Infectious Hepatitis` 77 408 485 --

6 Influenza -- -- -- --

7 Tuberculosis 54 138 192 07

8 Gastro-enteritis 122 1737 1859 --

9 Virus Encephalitis -- -- -- -

10 Dysentery 23 249 272 --

11 Whooping Cough -- -- -- --

12 Diarrhea 397 2801 3470 --

13 Mumps -- -- -- --

14 Chicken Pox -- -- -- --

15 Measles -- -- -- --

16 Enteric Fever 67 05 72 --

17 Acute Respiratory 164 126 290 40

18 Pneumonia 317 3261 3578 07

19 Viral fever 1212 3296 4508 --

20 Cerebrospinal Fever -- -- -- --

21 Relapsing Fever -- -- -- --

22 Puerperal Fever -- -- -- --

23 Diphtheria -- -- -- --

24 Erysipelas -- -- -- --

25 Snakebite -- -- -- --

26 P.U.O 435 3552 3987 --

27 U.R.C. 42 851 893 --

28 Dengue Fever 93 -- 93 01

29 Hemorrhagic Fever -- -- -- --

30 Guniee Worm -- -- -- --

31 Meningococal - -- - --

32 Rabies -- -- -- --

33 Syphilis -- -- -- --

34 Gonoccoceal -- -- -- --

35 Tetanus -- -- -- --

36 Scabies -- 8354 8354 --

37 Kalazar -- -- -- --

38 Japanese Encephalitis -- -- -- --

ANNUAL REPORT 2016


YEARLY REPORT OF NOTIFIABLE DISEASE

SL.No. Diseases Indoor Patients

Outdoor Patients

Deaths

1. Acute Diarrhea Diseases 397 2801 --

2. Diphtheria -- -- --

3. Acute Poliomyelitis -- -- --

4. Tetanus other than Neonatal - -- --

5. Neonatal Tetanus -- -- --

6. Dengue Fever 93 --- 1

7. Measles -- --- --

8. Acute Respiratory Infection 164 126 40

9. Pneumonia 317 3261 7

10. Enteric Fever 67 05 --

11. Viral Hepatitis 77 408 --

12. Japanese Encephalitis -- -- --

13 Meningococcal meningitis - --- --

14 Rabies -- --- ---

15 Syphilis -- --- --

16 Gonococcus Infection -- -- --

17 Pulmonary Tuberculosis 54 138 7

18 Kalazar -- -- --

19 All other Disease with abnormal signs treated in institution excluding above Mentioned diseases

-- -- --

20 HIV-AIDS - 69

ANNUAL REPORT 2016


VEER SAVARKAR AROGYA SANSTHAN

STATISTICS OF JANUARY 2016 TO DECEMBER 2016

1. Total OPD Patients = 2,35,740

S.No. Department No.of patient

1. Medicine OPD 75,100

2. Gynae OPD 47,540

3. Skin OPD 25,540

4. Chest OPD 34,470

5. Ortho OPD 35,540

6. ENT OPD 10,000

7. Ophthalmology OPD 7,550

1. Total No. Of Deliveries = 526

2. Total Children Immunized = 6,730

3. Total TB Patients ( A.T.T given) = 3,804

Compiled by: CMO Admn VSAS

ANNUAL REPORT 2016


Following Staff attained Superannuation in the Year 2016

Sr.

No.

Name of Official Designation Date of Retirement

1. Smt.Neela Rehman N.S 29.02.2016

2 Smt.Maya III S.K. 31.03.2016

3 Mr. Jangbahadur W.B 31.03.2016

4 Smt.Aleamma Abr-I N.S 31.06.2016

5. Smt.Gracy Issac N.S 30.06.2016

6 Smt.Leelawati S.K. 31.07.2016

7. Smt.Krishna Devi W.A. 31.08.2016

8. Mr.Om Prakash OT Sup 31.8.2016

9. Smt.Anita Narang Lab Tech Asstt. 31.08.2016

10. Mr.Gulchand S.K 30.09.2016

11 Mr.Baraham Singh W.B. 30.09.2016

12. Mr.Rakesh kumar Saxena Lab Tech. 30.09.2016

13. Smt.Munni Devi S.K. 31.10.2016

14 Smt. Lakshmi Amma P. Head Clerk 31.11.2016

15. Mr.Bhawar Singh W.B. 31.12.2016

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ACKNOWLEDGEMENT

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

Error, if any, is regretted.

I acknowledge that the Annual Report has been compiled and

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

departments/ sections. Special contributions of Dr. Monica Narwal,

Dr. Santosh Kumar Tomar, Mrs. Aradhna Tyagi, Mrs. Babita, & Mr.

Yograj Aggarwal have also made this report possible.

Dr. M.L. Jaipal (Medical Superintendent)

ANNUAL REPORT 2016


Documents

ANNUAL REPORT 2016 · It is located at Shahdara North Zone in Dilshad Garden. Adjacent landmarks: IHBAS, GTBH, UCMS. Nearest Metro Station: Mansarovar Park on Dilshad Garden – Rithala