Inspection of Civil Hospital, Kapurthala dated 13.2.2010
On 13.2.2010, I visited the Civil Hospital, Kapurthala. The Civil Surgeon of the hospital was accompanying me. My observations and recommendations are as under:-
††††††††††† It was 10 bed ward and having five patients admitted at the time of my visit. There was minor O.T. in the Emergency Ward and it was having medicine for 50 emergency cases. In E.M.Oís office, the X-Ray view box was out or order.
††††††††††† There was no proper parking in the hospital
††††††††††† The posts of B.T.O., Dental Surgeon, Pathologist and Medical Officer were vacant. Similarly this hospital requires three more nurses, one Physiotherapist and three class IV employees.
††††††††††† Doctor was present and was examining the patient with bullís lamp. The patients were standing outside the door in spite of the fact that there was sitting arrangement in the OPD.
††††††††††† At the time of my visit, the doctor has already examined 60 patients and the daily OPD is about 100 patients with this doctor. The number of doctors is less as per number of patients.
††††††††††† This Department is lacking of the facility of inter locking femur and Tivia instrument set without which proper treatment to the patient cannot be provided with.
††††††††††† Only one doctor was attending 100 patients daily and this Department needs Radio Frequency Machine, TCA and Laser.
††††††††††† No permanent posting of doctor is there. Two old dental chairs were there in the department. One Mobile X-Ray plant was also there but this Department is lacking modern dental chair fitted with modern equipment and permanent of a Dental Surgeon.
††††††††††† This department was having latest machine for minor surgery etc. and was having minor O.T. One old out of order machine was also lying in the Department. Reflector set with which the eye sight is tested manually was incomplete.
††††††††††† This Department was having no computerized eye testing system, yag laser and diabetic retinopathy.
Facility in burning cases
††††††††††† A separate two bed ward attached with bath room and latrines in Emergency Ward has been provided with.
X-Ray and Laboratory
††††††††††† This Department was not neat and clean. The bath rooms and toilets were dirty. There is no facility of colour doppaler machine. There is also no facility of mammography and digital X-Ray.
††††††††††† However, three X-Ray machines were there, out of which one X-Ray machine was mobile. This hospital was having facility of automatic film processor. The staff is not using radiation protection jackets. There is only one scan machine which is insufficient to meet the requirement of the patients coming to the hospital. In this Department, the staff is very less. There is no PNDT record keeper and no Dark Room Assistant.
††††††††††† One more scan is required to meet the need of the patients.
††††††††††† The automatic analyzer was not installed in the Laboratory in spite of the fact that the same has been lying in the hospital.
††††††††††† Staff and Technicians are less in the Laboratory. Incubator and fridge was lying in the Laboratory. One incubator was used in the blood bank to dry the slides. Tubes were lying in the blood bank but at the time of my visit, unpacked lunch box was kept in the incubator.
††††††††††† Blood Donation Coach facility is not in this bank. Bath room and toilets were not neat and clean. 12 units of blood were lying in the blood bank.
††††††††††† Deep Freezer has yet not been installed. Similarly blood separator unit has not been installed. The post of B.T.O. was lying vacant.
††††††††††† In 2009, 1400 pregnant ladies visited in this Department, out of which five were found having HIV positive symptoms and out of which four mothers have given birth to the children and they were healthy.
††††††††††† This hospital is having two ambulances which are in Order. Similarly one mortuary van was in order.
Tele Medicine Department
††††††††††† As per report submitted by the doctors, only 15/20 patients used to get benefit of this tele medicine. No advertisement is made to popularize this facility.
††††††††††† This hospital is having surgical male ward and female ward. It is 100 bed hospital with 49 admissions. Every floor is having no facility of drinking water. The patients are to go to the ground floor to fetch water.
††††††††††† At time of my visit, 18 patients were admitted, out of which two were prisoners. It is going very well. The behaviour of the doctors was very good and the patients were happy with the treatment given to them in this ward.
††††††††††† In this hospital, there is no incubator to keep the newly born child. Only one phototherapy machine is working.
††††††††††† There is no provision of lift in this hospital.
††††††††††† There are two operation theaters in the hospital; one is general and one is O.T. which is for other operations. In this O.T., head lights were not properly working. In the O.T.,no facility of multi-paramonitor was available.
††††††††††† It was neat and clean at the time of my visit. There are four chambers. All were in working order. This mortuary was being run with the help of Rotary Club, Kapurthala. No dead body was lying at the time of my visit.
††††††††††† Although a complaint box was fixed in front of the office of Civil Surgeon, the same was locked without any key and it was broken by me but nothing was found in the complaint box.
††††††††††† A large number of unused vehicles were lying in the hospital.
1)††† Proper staff be appointed in the hospital. The vacancies be filled up soon.
2)††† X-Ray view box in the EMOís office should be put in order.
3)†† Inter locking femur and Tivia instrument set be provided in Ortho Department.
4)†† Radio Frequency Machine, TCA and Laser be provided in the Department of skin.
5)† Modem Dental Chair with permanent Dental Surgeon be provided in Dental Department.
6)† Reflector set, computerized eye testing system, yag laser and diabetic retinopathy be provided in the Eye Department.
7)† Colour doppaler machine, mammography, digital X-Ray and scan machine be provided in X-Ray Department. The post of PNDT record keeper and Dark Room Assistant be provided in the hospital.
8)† X-Ray room be protected from rays and necessary arrangement be made to protect from radiation.
9)† Staff should be asked to wear Radiation Protected Jackets.
10) Automatic analyzer be put in operation in the lab.
11) The incubators be used for the purpose for which they have been provided in the hospital.
12)† Deep freezer installed in Blood Bank be put in operation.
13) BTO †be posted in the Blood Bank.
14) Tele medicine system should be used to its full capacity and advertisement should be made to popularise this system.
15) Drinking water facility be provided on each and every floor of the hospital.
16) The staff of de-addicition centre be appreciated.
17) Incubator be provided in the hospital to keep newly born children.
18) Lift also be provided in the hospital.
19)† Head lights of the Operation Theater be put in operation
20) Complaint box fixed in front of the office of Civil Surgeon be utilized to received the complaints and suggestions of the public in general.
21) Unused vehicles lying in the hospital be put in auction, if so decided, to generate the† revenue.
††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† (Avinash Rai Khanna)