PROJECT ON EMERGENCY DEPARTMENT

IN A SAMBHU NATH PANDIT HOSPITAL

PRESENTED BY

SWARUPA ROY

ROLL NO: 15403315034

REG. NO: 151541310034

BACHELOR IN HOSPITAL MANAGEMENT

3RD YEAR (6TH SEM) YEAR: 2018

DINABANDHU ANDREWS INSTITUTE OF TECHNOLOGY AND

MANAGEMENT, BAISHAVGHATA, PATULI, KOLKATA- 700094

LOCATION AND CONTACT

SAMBHUNATH PANDIT HOSPITAL

ADDRESS: 11, Elgin Road, Bhawanipur, Kolkata, West Bengal 700020

Phone no: 033 2302 2820

DECLARATION

I have done my major project at “SAMBHUNATH PANDIT HOSPITAL”,

from 15.01.2018 to 31.03.2018. The title of the project is “A PROJECT

REPORT ON EMERGENCY DEPARTMENT”.

I am SWARUPA ROY. I was trainee of the SNP HOSPITAL. My

department was the EMERGENCY DEPARTMENT. This experience will

help me in my future and it will be afforded in the filed of service

I hereby declare that all the information are collected & represented

are true. I have done this project under the guidance of MR. TAPAN

KUMAR MAITY. The project based on “emergency department”. I

wants to thanks to her for guide me properly.

Date:

Signature of student :

ACKNOWLEDGEMENT

I would like to thank all the staffs of Sambhunath Pandit Hospital

who gave me the opportunity to complete my three months final

year project. While doing the project it was fortunate enough to get

support and co-ordination from each & every member of the

member of hospital. I would like to special thanks to-

1. Mr. Tapan Kumar Maity, Assitant superintendent

I would like to thanks DAITM to arrange the training. I would also

like to express my special gratitude to –

1. Dr. Prof.Sanjukta Nandy, Principal, DINABANDHU ANDREWS

INSTITUTE OF TECHNOLOGY AND MANAGEMENT

2. Mr. Surajit Das, HOD of Hospital Management

3. Mr. Abhijeet Sinha, Assistance Professor of Hospital

Management

4. Ms. Moumita Roy Akuli, Assistance Professor of Hospital

Management

5. Ms. Paramita Ghosh, Assistance Professor of Hospital

Management

CONTENT

EXECUTIVE SUMMARY

OVERVIEW OF HOSPITAL

REVIWE OF LITRETURE

DATA COLLECTION AND INTERPRETETION

METHOLOGY

PROBLEMS

SUGGESITION

CONCLUSION

REFERENCES

BIBLIOGRAPHY

ANNEXURE

EXECUTIVE SUMMARY

The report is one of the bases of my training in Sambhunath Pandit

Hospital, Kolkata. In this report I focused on the emergency

department of the hospital for one month in the year 2018. The

duration of this training is from 3 months. The venue is Sambhunath

Pandit Hospital. At first I have discussed about the basic knowledge

about the emergency department and scope of during the project.

Then I have discussed about the hospital profile, revive of literature,

staffing pattern of the department. Then I have written down the

problems and solutions. Then wrote the conclusion the project. At

last discussed about my reference which will help to complete my

project.

ABOUT THE HOSPITAL

Sambhunath Pandit Hospital is a recognized name in patient care. They

are one of the well-known Hospitals in Lala Lajpat Rai Sarani. Backed

with a vision to offer the best in patient care and equipped with

technologically advanced healthcare facilities, they are one of the

upcoming names in the healthcare industry. Located in, this hospital is

easily accessible by various means of transport. A team of well-trained

medical staff, non-medical staff and experienced clinical technicians

work round-the-clock to offer various services. Their professional

services make them a sought after Hospitals in Kolkata. A team of

doctors on board, including specialists are equipped with the

knowledge and expertise for handling various types of medical cases.

VISION: To be patient-centred, acute care facility in support of

primary care indicatives.

Mission: To provide competent culturally sensitive quality care to our

patients with dignity and compassion regardness to ethnicity

nationality, religion or ability to pay in safe environment.

QUALITY POLICY:

1. We at SAMBHUNATH PANDIT HOSPITAL are committed to

provide quality health care to our beneficiaries. we shall achieve

this by:

2. Identifying and meeting their needs and expectation. complying

with the benchmark of national and global level of practices

through continual development, improvement and training.

3. Remaining committed to ensure that a transparent quality system,

as per the requirement of accreditation authority and appropriate

to the purpose of the organization is understood and implemented

at all levels.

Department of sambhunath pandit hospital

1. A.R.V clinic

2. Dermatology

3. Eye department

4. Pain clinic

5. E.N.T department

6. Orthopaedics

7. Physical medicine

8. Surgery

9. Paediatric

10. Medicine department

11. Gynaecology And obstetrics

12. Dentistry

13. Breast clinic

14. Nephrology

15. Urology

16. Neurology

17. Bio-chemistry

18. Pathology

19. Radiology

20. Nursing training school

21. Fare price medicine shop

CASUALITY BLOCK

GROUND FLOOR

• Emergency Department

• RSBY & Rogy Sahayata Kendra

• Pathology

• ICTY

• Physical Medicine

• X-RAY Indoor

• Dark Room

• Emergency O.T

• Seminar Room

• House Staff/Interns Doctor’s Room

1st FLOOR

• Gynae-i

• Gynae-ii

2nd FLOOR

• Female Medicine Ward

• Female Surgical Ward

• Male Surgical Ward

• Male Surgical Ward (Orthopaedic)

ADMINISTRATIVE BLOCK

GROUND FLOOR

• Superintendent Office

• Assistant Superintendent Office

• Receiving and Dispatch

• Telephone Operator

• Head Clerk

• Cash Counter

• OPD Medicine Department

• OPD Orthopaedic Department

• OPD Skin Department

• OPD Eye Department

• OPD Gynae Department

1st FLOOR

• Account Officer

• Library

• Assistant Clark

JD BUILDING

• JD- i

• JD- ii

• JD- iii

Introduction Specialized Department

Emergency Department

DEFINITION: The department of a hospital responsible for the

provision of medical and surgical care to patients arriving at the

hospital in need of immediate care. Emergency department

personnel may also respond to cretin situation within the hospital

such cardiac are

A Emergency’s service Department is hospital departments which

mainly consist of emergency department. It mainly consists of 3 to 4

doctors & nurses per day serving patient’s 24 hours.

FUNCTION OF EMMERGENCY DEPARTMENT

To provide immediate lifesaving medical care.

To provide emotional support to patient and his relatives.

To take care of a medico legal aspects of the care so liaison with

police administrations etc.

Communication with media the people especially in case of disasters

and sensitive cases like VIP’s and dignitaries.

Education training and research to provide transport service both

intramural and extramural.

Education training and research to provide transport service both

intramural and extramural.

WORK FLOW OF EMERGENCY DEPT

Physical facility:

The physical facility can be divided into following areas:

• Patient area:

1. Reception

2. Trolley bay

3. Waiting area

4. Space for security staff, police, ambulance driver,

attendant

5. Coffee and snack bar

6. PCO, fax, computer, printer, photocopiers, etc

7. Pharmacy

• Clinical area:

1. Trauma room for emergency procedures, emergency surgery,

and resuscitation procedure with centralized gases and suction

system, plaster room, OT.

2. Examination room and treatment room

3. Staff work area

4. Nursing station

5. Emergency ward with adequate number of beds.

6. Toilets for patients

7. Janitors closet

8. Duty room for residents, house officer, interns.

9. Lockers for stuffs

10. Seminar room and meeting room

11. Room for anaesthetist

• Administrative Area

1. Accommodation causality medical officer, duty officers and

anaesthetist.

2. Office for sister-in-charge of causality or emergency

department

3. Office of assistant/ deputy medical superintendent or I/C of

emergency department

4. Administrative office.

Accommodation of APRO/PRO of the emergency

• Circulation:

It will include ramps corridors, conveyer belts, lifts for easy and

smooth flow of staff, patients, visitors and supplies in the

department.

Emergency OT

Emergency medicine, also known as accident and emergency

medicine, is the medical specialty concerned with caring for

undifferentiated, unscheduled patients with illnesses or injuries

requiring immediate medical attention. In their role as first-line

providers, emergency physicians are responsible for initiating

resuscitation and stabilization, starting investigations and

interventions to diagnose and treat illnesses in the acute phase,

coordinating care with specialists, and determining disposition

regarding patients' need for hospital admission, observation, or

discharge. Emergency physicians generally practice in hospital

emergency departments, pre-hospital settings via emergency

medical services, and intensive care units, but may also work in

primary care settings such as urgent care clinics.

Problems of emergency department

I. Long waits for lab work and imaging results

II. Slowdown in care when a trauma arrives

III. Tedious moment of heavy bulky equipment from room to room

IV. Inadequate nursing/ physician coverage for all patients

V. Slow speed of cleaning and prepping rooms for the next

patients

VI. Limited ability to track patient as they move within hospital

VII. Limited access to and long wait for speciality service

VIII. Only one computer in emergency room. So the patients party

wait for long time in a critical patients situations

STAFING PATTERN OF EMMERGENCY DEPARTMENT

• Senior consultant

• Junior consultant

• EMO

• Receptionist

• Sister in charge

• Staff nurse

• Nurse attendant

• Safaikarmachari

GOVERTMENT SCHEME

There are some of the Govt. Schemes which was launched for better

treatment of the patient in best and cheapest way.

Some of the Govt. Schemes are:-

Rastriya Swasthya Bima Yojona:

RSBY, literally "National Health Insurance Programme is a government

run health insurance programme for the Indian poor. The scheme

aims to provide health insurance coverage to the unrecognised sector

workers belonging to the BPL category and their family members shall

be beneficiaries under this scheme. It provides for cashless insurance

for hospitalisation in public as well as private hospitals. The scheme

started enrolling on April 1, 2008 and has been implemented in 25

states of India. A total of 36 million families have been enrolled as of

February 2014. Initially, RSBY was a project under the Ministry of

Labour and Employment. Now it has been transferred to Ministry of

Health and Family Welfare from April 1, 2015.

SWASTHYA SATHI YOJONA:

A group health insurance schemed named Swasthya Sathi was

announced by the Govt. Of West Bengal

Vide decision in cabinet no-2625, dated- 17th February 2016, and

notification of finance department vide no- 1104-F (P) dated- 25th

February 2016.

A state level implementation committee was formed under the

chairmanship of the chief secretary to the Gov. of W.B to oversee the

implementation of “Swasthya Sathi” vide notification no-

HF/O/Swasthya sathi /097/2016/4032 dated 2nd March,2016.

.

REVIEW OF LITRETURE

1. Abstract: The purpose of this paper was to review and analyse

all the literature concerning ED patient throughput. The secondary

goal was to determine if certain factors would significantly alter

patients’ ED throughput.

An analysis of the literature was difficult because of varying study

methodologies and less than ideal quality. EDs with combinations of

low inpatient census, in-room registration, point of care testing and

an urgent care area demonstrated increased patient throughput.

2. Abstract: Older adults use emergency departments (EDs) more

than any other age group and are more prone to subsequent adverse

events. This article reviews the literature on ED use by older adults

within the context of evaluating their need for emergency care and

the extent to which access to primary and supportive care services

affect use. While a substantial research literature describes general

patterns of ED use, there is much less research on ED use as a

function of other health service use. Gaps in the research literature

result in a limited understanding of the full scope of the issue and

opportunities for practice and policy intervention.

3. Abstract: The Emergency Department (ED) of a hospital is a

facility that is universally believed to be responsible for the provision

of urgent care. Putting in place the necessary equipment and human

resources to maintain optimal functionality of the ED comes at a

cost. Thus, stakeholders show great concerns when the ED is used by

individuals more frequently than it ought to or used for non-urgent

complaints that can easily be handled at the level of primary care.

4. Abstract: The aim of the literature review was to identify new

and emerging out of hospital emergency care roles and to describe

their activity and impact to fully understand the patient safety,

clinical practice, professional role and financial implications of these

new roles.

DATA COLLECTION AND INTERPRE TETION

Treatment of Emergency Ward

Treatment of Emergency Ward

patient satisfied patient dissatisfied

Number of patients

Satisfied dissatisfied

200 145 55

Proper medical support in Emergency

Total patients Very satisfied Avg. satisfied Less satisfied

200 110 55 40

medical support in emergency department

very satisfied avg. satisfied less satisfied

Behaviour of staff at Emergency Ward

Number of patients

Excellent Good Poor

200 145 30 25

Sales

Excellent good poor

Overall

Total patient excellent good bad

400 225 95 80

0

20

40

60

80

100

120

140

160

excellent good bad

Chart Title

Proper medical support in emergency department behaviour of staff at emergency ward

METHODOLOGY

Methodology is the systematic, theoretical analysis of the methods

applied to a field of study. It companies the theoretical analysis of

study. It companies the theoretical analysis of the body of methods

and principles associated with a branch of knowledge .Typically, it

encompasses concepts such as paradigm, theoretical model, phases

and quantitative or qualitative techniques.

A methodology does not set out to provide solutions-it is therefore

not the same as a method. Instead a methodology offers the

theoretical underpinning for understanding which method, set of

methods or best practice can be applied to specific case for example

to calculate a specific result

PROBLEMS

Manpower and staffing pattern is not appropriate.

The space of patient service department is very small in size.

The washroom is a huge problem for everyone.There is lack of

washroom in the hospital.

The number of bed in the patient service department is not

enough.

SUGGESITION

1. Proper time management should be there to reduce time

management

2. Manpower should be increased.

3. Proper maintenance of house keeping service.

4. Communication should be improved to give proper information

to the patients parties.

5. Escort service should be improved in case of emergency

patients.

6. Hospital emergency admission rule should be equal for every

patient parties. There should be no disparity at all.

CONCLUSION Recognizing the need for providing quality and affordable care

for this hospital is focused on delivering loading edge

healthcare facilities. This hospital delivers a caring environment

and provide health advocacy for the community.

Their philosophy is not to cure the patient but also in the

process offer that the best in care compassion. The

communicate honestly opiate ethically and assume

responsibility for their action.

REFERENCES

1. Leslie S. Zun (MD, MBA)

2. A. Andrea Gruneir (Women's College Hospital, Toronto,

Ontario, Canada,)

b. Mara J. Silver ( McMaster University, Hamilton, Ontario,

Canada)

c. Paula A. Rochon (Women's College Hospital, Toronto,

Ontario, Canada, )

3. Chijioke K. Nwankwo (Practicum Student Office of the Associate

Vice-President Research - Health, University of Saskatchewan / Vice-

President Research and Innovation, Saskatoon Health Region July 24,

2014 )

4. Simon JR Cooper ( PhD, MEd, BA, RGN ((Associate Professor)),

Julie Grants, PhD ((Research Fellow))

5. Toloo, Sam, FitzGerald, Gerry, Aitken, Peter, Ting, Joseph,

Tippet, Vivienne, & Chu, Kevin (2011) Emergency health services :

demand and service delivery models. Monograph 1: literature review

and activity trends. Queensland University of Technology, Brisbane,

QLD.

BIBLIOGRAPHY

www.google.com

www.wikipidia.com

www.cancercenterecalcutta.org

www.snphospital.com

ANNEXURE 1. Level of satisfaction related with the treatment in Emergency

Ward :-

a. Very satisfied

b. Avg. satisfied

c. Less satisfied

2. Level of satisfaction related with the cleanliness of

Emergency Word :-

a. Very satisfied

b. Avg. satisfied

c. Less satisfied

3. Patient getting current admission:-

a. yes

b. no

4. Proper medical support of emergency stuff :-

a. very satisfied

b. Avg. satisfied

c. Less satisfied

5. Behaviour of emergency Stuff:-

a. good

b. bad