jinnah postgraduate medical centre karachi
TRANSCRIPT
Jinnah Postgraduate Medical Centre Karachi
Mahmood Ahmed
RN.BSN
Introduction to Jinnah Postgraduate Medical Centre:
JPMC is a Federal Government Post Graduate Medical Centre. It had humble beginning in 1939
as a Royal Air Force Base Hospital, and now it is a tertiary care & teaching state of the art
hospital. The JPMC has the legacy of hard work, dedication and determination traceable to the
pre-partition times when a small 80 bed hospital was built in the outskirts of the city. In 1942 the
hospital was taken over by the Royal Air Force to provide health care facilities to the armed
forces in Karachi dining the Second World.
In January 1948 the Pakistan Central Hospital, as it was then called, invited the Father of the
Nation. Following that it was named as Jinnah Central Hospital with a pledged to the Father of
the Nation to provide health care to every citizen of the country irrespective of cast and creed.
Let me unequivocally say that Jinnah Central Hospital was the First institution in the entire
country named after the Father of the Nation. During following yeses several special care units
were evolved including Cardiovascular, Pediatrics, College of Nursing and School of
physiotherapy. However a significant milestone was laid when Indiana University established”
BASIC MEDICAL SCIENCES INSTITUTE” (BMSI) in late 50s EMSI Provided Postgraduate
University training in Basic Medical subjects where talented students of this institute were
awarded M. Phil degree by the Karachi University and scholarship for Ph.D at Indiana
University.
With the start of BMSI, Jinnah Central Hospital was upgraded to Jinnah Postgraduate Medical
Centre. In 1964 College of Physicians and Surgeons Pakistan (CPSP) was started with efforts of
late General WAK Burke. Professors of BMSJ at JPMC provided teaching and training of CPSP
fellows in all basic medical sciences subjects.
Presently have the hospital 1185 bed strength 28 clinical Departments and 17 non - clinical
departments teaching school for Nurses, Para medical Physiotherapy Occupational Therapy etc.
In 1972 with the start of Sindh Medical College (SMC) clinical training and teaching was
imparted to undergraduate medical students. Every tear about 300 SMC medical graduates are
trained and successful graduates are awarded House Job at JPMC.
Orientation 0 2
The infrastructure of JPMC has immensely changed from old barracks to new wards. The has
been very generously contributed by the philanthropists at Karachi The names of Patient Aid
Foundation, TABA Foundation, Medicine and Endocrine Foundation, Eye Care Society, Cancer
Foundation and Radiology Aid Foundation deserve mention on top of the list.
For the record let me inform entire country that JPMC has so far produced ______________
Postgraduate doctors and Nurses. It had contributed to medical research and published Annals of
JPMC a regular Journal based on the Hospital research. JPMC is a tertiary care hospital and
several years back the opening of a filter clinic was considered essential where initial screening
of the patients could be carried out. This year the building was inaugurated by Honourable
Minister of Health Mr. Muhammad Nasir Khan and soon after the filter Clinic was made
functional -where patients with minor medical problems are seen for all six days by consultants
of three medical units.
A challenging task of assessing the health damage by oil spill from the vessel Tasman spirit was
awarded by WHO and the Health Minister. JPMC that we will remain steadfastly devoted to the
principles of the Founder of the Nation, Quaid- e-Azam Muhammad Ali Jinnah in whose name
this Institution is dedicated.
JPMC having different units as Neurology Medical, Surgery Unit, Psychiatry Unit, Oncology,
Basic Medical Science, Nephrology, Urology, Gynecology & Obstetric, ENT, Ophthalmology,
Family Planning, Surgery, Nuclear medicine and so many other departments.
School of Nursing, School of Physiotherapy, BScN, School of Occupational Therapy and
College of Nursing are situated in the boundaries of JPMC.
This institute also provides different types of Degree and Post graduate Education, like, MRCP,
FCPS, MCPS, ,B.Sc Physiotherapy, Occupational Therapy ,Medical Technology, BScN, DWA,
DTA, Community and Psychiatry specialized diplomas, Pediatric technician, Lab- technician, X-
Ray Technician, O.T. Technician, Nurse Aid and General Nursing. The institute is affiliated with
different organization for different programs like PMDC, Royal College of Medicine and
Surgery England, Dow University of Health Sciences, University of Karachi, Liaquat University
of Medical and Health Sciences Jamshoro, Sindh, PNC, Faculty of Sindh and Sindh Nurses
Examination Board Karachi. Regarding health care it covers to areas of the county especially
interior Sindh, Balochistan, Hyderabad and Karachi.
Introduction of National Institute of Child Health Karachi:
NICH was a part of JPMC. But in 1991, this Institute was separated from JPMC. It is also a
Federal Govt. Institute for children and running as a General Hospital. It is the only one
independent Hospital for children in the country. It provides all facilities to children.
NICH having different units as Oncology Unit, Medical Science, Surgery, Nephrology, Bum
Unit, Neonatology and so many other departments.
This institute also provides different types of training like General Nursing, Pediatric technician,
Lab- technician, X-Ray technician, O.T. Technician, and Nurse Aid.
Introduction of National Institute of Cardiovascular Diseases Karachi:
NICVD was a part of JPMC. But in 1985, this Institute was separated from JPMC. It is also a
Federal Govt. Institute for heart patients and running as a Heart Care General Hospital. It is the
only one independent Federal Hospital for Heart Care in the country. It provides all facilities to
children and adults. Regarding health care, it covers interior Sindh, Balochistan, Hyderabad and
Karachi.
NICVD having different units as Cardiac Medicine and Cardiac Surgery, Pediatric Cardiology,
Angiography’s Unit and so many other departments.
This institute also provides different types of training like Catheterization Lab- technician, Echo-
technician, Cardiac Nursing and ECG technicians.
Incentives and Benefits for the Employees;
Leaves:
Annual Leaves 30 —48 Days
Medical Leaves 15-110 Days
Casual Leaves 20-25 Days
Weakly Day off One Day
Grades:
Principal College of Nursing 19 Grade
Chief Nursing Superintendent 18 Grade,
Instructor 17 Grade
Principal School of Nursing 18 Grade
Head Nurse 17 Grade.
Charge Nurse 16 Grade.
Deputation post graduation on:
Dip card One Year
ECG Training One Year
Specialization in any subject Six months to One Year
B.Sc in Nursing Two Years
Promotion:
Extra Educations, DWA and DTA
Seniority in Services from the Date of Appointment
Pay Mover when basic pay exceeds after Maturates of pay Scale
Funds:
Benevolent funds
Benevolent Grants
Group Insurance
Loans:
House Rent Loan
Motor Bicycle Loan
House Building Loan
The Loan on the Marriage of Children
Other benefits:
Pension and Gratuity
Medical Unfitness by Organization
On retirement after 25 years completion of service
At the Age of 60 years
Incident reporting:
All complains to the Office of CNS and during off hours, complains to the Shift Supervisors and
then forwarded to CNS, if necessary, the complaints should be forwarded to Director.
Communication:
Communication takes place through meetings, circulars, notes, letters, and memorandums,
written calls, announcement and telephones.
Record keeping:
Registers are arranged for different purposes to maintain the records e.g. day & night report
book, ledger book, lab book, over book, round book, inventory book, discharge book and these
Registers (books) are saved in record room after completion.
Budget:
Budget planned by the higher authority of hospital which is received from Federal Govt.
College of Nursing JPMC Karachi;
It is the first College of Nursing in Pakistan which was established in 1954. Initially it provided training to basic
Nursing Teachers with co-operation of United States of America Then other specialties like Psychiatric Health
Nursing, Community Health Nursing, and Midwifery Training and now the College of Nursing is offering the B.Sc
Nursing Program since 2004 affiliated with Liaquat University of Medical and Health Sciences, Jamshoro, Sindh.
The College of Nursing has its own boundary wall with four stories building The ground and first floor are
reserved for academic purposes and consist of offices, class- rooms and mess services and the
upper two floors are reserved for hostel Building profile includes:
1 Principal office 11 Record room
2 Faculty office 12 Warden room
3 Faculty Lounge 13 Auditorium
4 Class Room 14 Guest room
5 Library 15 Waiting room
6 Computer Room 16 Kitchen
7 Computer Lab 17 Dining Hall
8 Skill Lab 18 TV Lounge
9 Laboratory 19 Residential students rooms
10 Administration office 20 Open area for assembly
Hierarchy of College of Nursling JPMC
Principal
Administrative staff
Faculties
o Master Faculty
o BScN. Faculties
o PGs. Faculties
o Disciplines
Faculties
o Guest Lecturers
Office Superintendent
o UDCs
o LDCs
o Dispatcher
o Drivers
o Store Keeper
Mess Warden
• Mess Staff
College of Nursing offers various disciplines:
1. B.Sc. Nursing
2. Diploma in Ward Administration
3. Diploma in Teaching Administration
4. Diploma in Community Health Nursing
5. Diploma in Psychiatric Health Nursing
6. Diploma in Midwifery
Teaching Learning Methodology
1. Multimedia
2. Computer
3. OHP
4. Projector
5. TV and VCP
6. White and Black board
Orientation of JPMC S History of Department of Psychiatry:
1. In 1938. Medical corps hospital in Karachi
2. In 1947, Pakistan came into being Pakistan central government hospital
3. In 1948, Rename as Jinnah Central Hospital
4. In 1 964 Became a teaching hospital as Jinnah Post Graduate Medical Centre
5. This is now a leading tertiary care hospital with 1185 in patient Facility
6. In 1962 ,Establishment of Department of Psychiatry as a Neuropsychiatry ward and
Professor K.Zaki Hasan being the first head of department followed by Professor Maroon
Ahmed Ex-Associate Professor Psychology
Current status:
The department is recognized for teaching and training by University of Karachi and by CPSP
and pioneered in transferring knowledge and teaching of psychiatry to all the corner of country
Some of its trained personnel are working abroad as well It has produced 53 MCPS, 11 FCPS
and MD
Present Staff :
1 Prof. Musarrat Hussain Head of the Department
2 Dr. M. Iqbal Afridi Associate Professor
3 Dr. Syed Zafar Haider Assistant Professor
4 Dr. Najmuddin Registrar
5 Ms. Salma Lari Social Welfare
6 Ms. Naheed Jamal Head Nurse
7 Mr. M.Asghar Javed Stenographer
8 Mr. M.Nadeem Male Nurse
9 Mr. MA Jatt Nurse Aid
10 Mr. Ayaz Haider Ward Master
11 Mr. Abdul Aleem Nursing Attendant
12 Mr. Atta Mohammed Nursing Attendant
13 Mr. Abdul Malik Naib Qasid
Indoor patient care:
Annual 600 cases are hospitalized every year, with provision of free consultation.
Laboratory, investigations, medicine, ECT,Practically 24 beds are available.
Needs:
Increasing bed strength keeping in mind the growth of population and increase in psychiatric
patients, separate section for indoor Child psychiatric services, geriatric Cases, drug dependences
cases, and separation of psychotic and non-psychotic (depressed, neurotic, psychosomatic
patients with provision of the specific needs Therapeutic programme. Arrangement for crises
intervention, seclusion and intensive care for critically ill patients. Admission procedure need
improvement especially obtaining CR.No along with prier instruction to attendant Safe storage
of medicine in cupboard and Refrigerator with proper labels with record, besides neat and clean
patient’s bed, bedside cupboard with locks furniture—4 Chairs and one round table on both male
and female side of ward preferably have daily news paper!/Magazine Ensuring safety such as
Fire extinguisher and basic needs safe drinking wafer, meal sanitation especially bath rooms.
Availability of recreational facilities e.g. TV. History taking should be according to the
international standards and format, cover all areas with proper headings, MSE, Physical
examination, relevant laboratory tests and psychometric testing, treatment plan and formulation
Standard operation procedure for laboratory tests and Neuro-diagnostics Diagnoses should be
written clearly with lCD 10 Code. Treatment on file should be according to the standard format
i.e. name of drugs in capital letters with Generic name. Separate ECT room with all facilities
including Anesthetist Regular evening round with documentation. There should be no disparity
between case file and treatment book. Psycho-education regarding illness, treatment, follow-up,
with advice on diet, occupation Documentation should be accurate and easily readable Patients
file should be secure to maintain confidentiality Application of Psycho-diagnostics/ Rating scales
Proper Psychotherapy by clinical psychologist Psychosocial counseling, Occupational therapy At
the time of discharge Job description and specification with emphases on team work.
Outdoor:
Currently there are regular Twice a week OPD (Tuesday & Friday) and five special clinics
average one OPD attendance of patients is 400 and about 400000 per year.
Extension of OPD with Basic record keeping
Teaching and training / research and development:
Improvement in the ward library with latest books and current journals (BJP, ASP, AP) Access
to Computer and internet facility, Photostat machine Structure program of patients care, log book
maintenance, training, presentation, preparation for exam with 3 months evaluation! test. Besides
there dissertation on allocated topic, presentation of papers in national and selected international
conferences with at least 2 publications in PMDC recognized journals
Structure of ward:
Ward map, at the entrance with emergency exits and wash mom and other facilities Notice board
with weekly time table and daily activities Emergency psychiatry 24 Hrs Round the clock
Improvement in war lawn with game/sport facilities Brochure depicting available facilities as
Liaison Psychiatry With Medical, Surgical& allied disciplines of JPMC and Forensic Psychiatry
Provision of diagnosis and treatment Facilities to the referrals for Govt. and civil servant -
Teaching and Training to
1. Under Graduates of Sindh Medical College
2. Post Graduate College of Nursing
3. School of Nursing, JPMC
4. B.Sc. Occupational Therapy and B.Sc. Physiotherapy
5. MA. Social Work (University of Karachi)
6. MA. Psychology (University of Karachi)
7. School Of Nursing Islamic Mission Hospital
8. St. John Homeopathic Medical College
9. FCPS H (Medicine) on rotation
Provision of services:
1. Library
2. Psycho diagnostics
3. Lecture Hall
4. Internet Facility
5. Psychotherapies
6. Pharmacotherapy (Free of Cost)
7. ECT(Free of cost)
References:
1. Alfred. S. (1998). Leadership and Management (1st Edition) Lahore. Feroz Sons.
2. Eleanor and Sullivan (1998). J. Effective Management In Nursing. (3rd Edition). London.
Bailliere Tindall. London.