chc_basna_visit_26092014.pdf

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COMMUNITY HEALTH CENTRE

BASNA

VISIT REPORT

VISITED ON : 26/09/2014

VISITED BY : Dr.K.Gajbhiye (Medical Officer)

Dr.Nikhil Goswami (Hospital Consultant)


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HEALTH SYSTEM INFRASTRUCTURE

S.N. TYPE OF FACILITY NUMBERS

1 COMMUNITY HEALTH CENTRE 01

2 PRIMARY HEALTH CENTRES 05

3 SUB HEALTH CENTRES 40

COMMUNITY HEALTH CENTRE: SERVICES OFFERED

CHC Basna is 30 bedded facility. It is well connected with roads & easily approachable from bus

stand. It is located within residential area. The health centre provides basic primary health care

services & diagnostic facilities of routine Lab tests & X-ray, family planning services TT &

NSVT , services of normal delivery. The health centre also offers its services under various

national programmes like RNTCP, AIDS Control, NLEP, NBCP, JSY, JSSK etc. The basic

performance indicators are listed below:

S.N PARAMETERS 2013-142014-15

(UP TO AUG.)

1 OPD20907 8706

2 IPD1549 920

3 NORMAL DELIVERY423 174

4 C-SECTION0 0

5 TOTAL LIVE BIRTH419 172

6 TOTAL STILL BIRTH0 0

7 TOTAL JSY CASES423 174

8 TOTAL LOW BIRTH WEIGHT BABY87 32

9 X-RAY387 162

10 USG0 0

11 CTT996 184

12 NSVT4 0

13 MATERNAL DEATH6 0

14 INFANTS (UP TO 1 YEAR) DEATH4 0

15 RSBY CASES146 86

16 TOTAL REFERRALS1210 542


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HUMAN RESOURCES

MEDICAL STAFF

S.N. POST SANCTIONED IN POSITION VACANT1 Block Medical Officer 01 01 00

2 Medical Specialist 01 00 01

3 Surgeon 01 00 01

4 Gynaecologist 01 00 01

5 Paediatrician 01 00 01

6 Anaesthetist 01 00 01

7 Medical Officer 02 02 00

Total 08 03 05

PARAMEDICAL STAFF

S.N. POST SANCTIONED IN POSITION VACANT

1 Nursing Sister 01 00 01

2 Staff Nurse 10 04 06

3 B.E.E.O. 01 00 01

4 Accountant/AG2 01 00 01

5 AG3/Data Operator 02 01 01

6 Lab Technician 02 04 -02

7 MPW Female 01 01 00

8 MPW Male 01 01 00

9 Supervisor (F) 01 02 -0110 Supervisor (M) 01 01 00

11 NMS 01 00 01

12 NMA 00 01 -01

13 Pharmacist G2 02 02 00

14 Radiographer 01 01 00

15 Dresser1 01 01 00

16 Dresser2 01 02 -01

16 Driver 02 01 01

17 Ward Boy 02 02 00

18 Class 4 02 03 -01

19 Washerman 01 01 00

20 O T Attendant 01 02 -01

21 Chowkidar 01 01 00

22 Aaya 01 01 00

23 Sweeper 01 01 00

Total 38 33 12


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CONTRACTUAL STAFF

S.N. POST IN POSITION PROVIDER

1 Dentist 01 NRHM

2 RMA 01 NRHM

3 BPM 01 NRHM4 BADA 01 NRHM

5 BDA 01 NRHM

6 ICTC Couns. 01 CGSACS

7 ICTC Lab Tech. 01 CGSACS

8 Aaya 01 JDS

9 Chowkidar 01 JDS

10 Sweeper 03 JDS

DEPARTMENTWISE OBSERVATIONS

APPROACH & ACCESSIBILITY

The health centre is well connected with all weather road & is near to bus stand.

No signage in front.

Boundary wall is there.

No designated parking space.

02 separate building one for OPD & another for IPD.

SUGGESTIONS:

Signagerequired in front.

Concretization of floor required.(either from JDS or from RSBY CMHDF)

Ramp can be constructed (with support from PWD).


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WAITING AREA

Very congested area.

No adequate space for sitting of patients .

No facility of drinking water (water cooler supposed to be provided by RSBY fund).

REGISTRATION COUNTER& MITANIN HELP DESK

Separate(open)area forregistration counter & mitanin help desk located close to entrance

in front of OPD.

Manual entry being done.

User fees displayed. Preprinted OPD slips is used .

SUGGESTIONS:

Registration counter can be closed with Aluminium section partition.

CONSULTATION ROOM


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There is single consultation room.

No examination table at place.

Doctors duty chart displayed there.

Essential equipments & instruments were available in room.

INJECTION ROOM

Open area being used.

Screen with curtains required.

Infection control practices were found dissatisfactory.

SUGGESTIONS:

Screen with curtain required for privacy.

Puncture proof container for needle disposal required.

Emergency drug tray with list needed.

Disinfection with 1% Sodium Chloride solution required.

Uses of PPEs need to be encouraged.

DRESSING ROOM


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There is separate room for dressing.

Adequate space is there.

All essential drugs found at place.

SUGGESTIONS:

Emergency drug tray with list required.

DRUG DISPENSING COUNTER

Single window drug dispensing counter with qualified pharmacist present.

Proper timing not displayed.

Near expiry drug list not displayed.

PATHOLOGY LAB


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It provides facility of basic routine tests.

Insufficient space, untidy room.

No demarcated area for sample collection, testing & reporting.

Seepage from roof &sidewall. Infection control practices not being followed.

SUGGESTIONS:

Seepage to be constructed with support of PWD.

Puncture proof container for needle disposal required.

Disinfection with 1% Sodium Chloride solution required.

Uses of PPEs need to be encouraged.

X-RAY

X-ray machine in working condition.

Lead apron available.

No caution signage is there.

User charges required to be displayed outside.

SUGGESTIONS:

Caution signages to be displayed.

IN PATIENT WARD

No patient was there.

Beds were properly arranged.


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Mosquito net required.

Toilets attached to ward found uncleaned.

There was no IV stand, stool & bedside locker .

Water supply from Nagar Panchayat , motor pump not working since long.

SUGGESTIONS: Mosquito net in all windows required ( with support from PWD )

Regular cleaning of toilets with phenyl required.

For supply of IV stand,bedside lockers & stools coordination with district store required.

LABOUR ROOM

Services of normal deliveries available.

02 labour tables with screen at place.

24 hour running tap water available.

Provision of attached toilet is there.

Adequate power backup present.

NBCC at one corner.

Improper illumination.

Radiant warmer not available (must required). Suction machine unavailable (must required).

No display of essential drug list/

Seepage from sidewall(prone to infections).

Shadowless lamp not working, not reported yet.

SUGGESTIONS:

For Radiant warmer & Suction machine coordination with district required.

Essential drug list need to be displayed.


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Staff training & oroentation required.

Seepage can be constructed with support of PWD.

Curtains in windows required.

OPERATION THEATRE

OT is there with proper zoning.

Slipper stand not found at place.

Fumigation done on previous OT days.

Running tap water facility available.

Use of Signallac tape was suggested(during sterilization to ensure proper sterilization).

Adequate power back up present.

Essential equipments found at place.

OT culture not dent since last year.

Insufficient cooling. One more AC required.

Examination table is being used despite availability of OT table.

SUGGESTIONS;

Signallac tape can be purchased locally.

OT table must be used.

Infection control practices need to be encouraged.


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BIOMEDICAL WASTE MANAGEMENT & INFECTION CONTROL PRACTICES

Color coded bins not found at all designated places.

Disinfection with 1% sodium chloride solution is not being practiced.

PPEs used by staff is not satisfactory.

SUGGESTIONS:

Color coded bins for all patient care areas can be purchsed from JDS.

Disinfection with 1% sodium chloride solution need to be ensured.

PPEs used by staff is to be encouraged.

Regular cleaning & mopping of premises with disinfectant must required.

Reshuffling of different rooms can be done in OPD area which will be convenient for both

hospital staff & patients. It can be done as given below:

Existing ProposedDressing room Injection room

Room for RBSK team Dressing room

Common room for Leprosy & Eye

Common room for ICTC tech & counsellor

CONCLUSION

Seepage problems in OPD area & Labour room must repaired (with support from PWD).

Reshuffling of different rooms can be done in OPD area.

Whitewash of OPD building required. Fall ceiling to be given at some places in OPD area.

Training of class 3 & class 4 employee for Biomedical waste management & infection

control practices required.

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