Hsin10542 25 06 2014

Table
No. Facility
Sub item
no. Description of sub item Availability
(i) BASIC UNITS
1a General
1a.1 Standardized Architectural design(sft)
1a.2 Fire fighting system (Y/N)
1a.3 Bio medical waste management (Y/N)
1a.4 Bio safety measures as per standard norms(Y/N)
1a.5 Duty staff room(sft)
1a.6 Cattle trap (Y/N)
2a Wards
2a.1 Floor area per bed(sft)
2a.2 Dado height of wards(meters)
2a.3 potable water available(ltrs per day)
2a.4 Sanitary fitments-IP(SH)
2a.4(i) Water closets for male(Nos)
2a.4(ii) Water closets for female(Nos)
2a.4(iii) Ablution taps for male(Nos)
2a.4(iv) Ablution taps for female(Nos)
2a.4(v) Urinals (Nos)
2a.4(vi) Wash basin(Nos)
2a.4(vii) Baths (Nos)
2a.4(viii) Bed pan washing sinks (Nos)
2a.4(ix)
Cleaners sinks and sinks /slab for cleaning mackintosh
(Nos)
3a Operation Theatre
3a.1(i) OT1(sft)
3a.1(ii) OT2(sft)
3a.1(iii) OT3(sft)
3a.1(iv) OT4(sft)
3a.1(v) OT5(sft)
3a.1(vi) OT6(sft)
3a.1(vii) OT7(sft)
3a.2 Entire wall should be covered with tiles(Y/N)
3a.3(i)
Separate OTs Available for septic and infected cases
and also different specialties (Y/N)
3a.3(ii)
Separate OTs for septic and infected cases and also
different specialties in sft(sft)
3a.4(i) Pre operative waiting room with toilet facilities(Y/N)
3a.4(ii)
Pre operative waiting room with toilet facilities in
sft(sft)
3a.5(i)
Well equipped post operative ward (Recovery room)
with beds and resuscitation measures.(Y/N)
3a.5(ii)
with beds and resuscitation measures in sft(sft)
3a.5(iii)
with beds and resuscitation measures(No Of Beds)(Nos)
3a.6(i) Changing rooms for Doctors(male)(sft)
3a.6(ii) Changing rooms for Doctors(female)(sft)
3a.6(iii)
Changing rooms for Nurses with attached toilet and
locker(sft)
4Aa Diagnostic Center - Radiology (Basic)
4Aa.1 Patient waiting area(sft)
4Aa.2 Reporting room(sft)
4Aa.3 Storage room and Library(sft)
4Aa.4 Dark room with accessories(sft)
4Aa.5 Dry area for images and X-ray films (sft)
4Aa.6 Dark room safe light(sft)
4Aa.7 Automatic film processor unit(Y/N)
4Aa.8 Computer with reporting facilities and storage(Y/N)
4Aa.9 Emergency cum observations bed with monitor (Y/N)
4Aa.10
Planning and radioactive pharmaceutical material
preparation (Y/N)
4Aa.11 Treatment room with beds(sft)
4Aa.12 Nuclear Cardiac Stress Lab (Y/N)
4Aa.13 Sanitary block in X-ray Department(Y/N)
4Aa.14 Storage and decontamination(sft)
4Ba Diagnostic Center - Radiology (Advanced)
4Ba.15
Whole body C.T. conventional scanner with camera and
console should be outside(Y/N)
4Ba.16 Spiral CT scanner (Y/N)
4Ba.17
MRI upto 0.3 tesla permanent magnet with laser camera,
UPS,RF coils(5*7 mtrs=35) (Y/N)
5Aa Diagnostic Center - Clinical labaratory and Diagnostics - Small
5Aa.1 Emergency cum observation bed with monitor (Y/N)
5Aa.2
Computer for printing of the report and accounting
purpose(Y/N)
5Aa.3 Washing and toilets(Y/N)
5Ba Diagnostic Center - Clinical labaratory and Diagnostics . Medium
5Ba.4 Emergency cum observation bed with monitor (Y/N)
5Ba.5
purpose(Y/N)
5Ba.6 Washing and toilets(Y/N)
5Da Diagnostic Center - Clinical labaratory and Diagnostics - Super Speciality
5Da.10 Emergency cum observation bed with monitor (Y/N)
5Da.11
purpose(Y/N)
5Da.12 Washing and toilets(Y/N)
(ii) FUNCTIONAL UNITS
6a OPD
6a.1 Display with a board "MAY I HELP YOU"(Y/N)
6a.2 Waiting room for patients and relatives (sft)
6a.3 Male Registration (New) counter(Y/N)
6a.4 Male Registration (Old) counter(Y/N)
6a.5 Female Registration (New) counter(Y/N)
6a.6 Female Registration (Old) counter(Y/N)
6a.7 Freedom Fighters Registration window(Y/N)
6a.8 Govt. Servants Registration window(Y/N)
6a.9 Consultant rooms(sft)
6a.10 Dark room facilities retinoscopy [Ophthalmic OPD](sft)
6a.11 Male Dressing room(sft)
6a.12 Female Dressing room(sft)
6a.13 Male Injection room (sft)
6a.14 Female Injection room (sft)
6a.15 Pharmacy male window(sft)
6a.16 Pharmacy female window(sft)
6a.17 Plaster room(sft)
6a.18 Separate stand for staff/public vehicles(sft)
6a.19 Sanitary fitments(SH)
6a.19(i) Water closets for male(Nos)
6a.19(ii) Water closets for female (Nos)
6a.19(iii) Ablution taps (Nos)
6a.19(iv) Urinals (Nos)
6a.19(v) Wash basins (Nos)
6a.19(vi) Separate toilets for Patholoy Dept.(Nos)
6a.19(vii
) Separate toilet for Radiology Dept.(Nos)
6a.19(viii
) General toilets for male and female(Nos)
7a Physiotherapy
7a.1 Reception(sft)
7a.2 Office cum manager room(sft)
7a.3 Waiting room for Patients and Attendenace(sft)
7a.4 Examination cum-Assessing(Y/N)
7a.5 GYM with suspension therapy unit(Y/N)
7a.6 Electro-therapy unit(Y/N)
7a.7 Attached toilets(Y/N)
7a.8 Parking space(sft)
8a Casualty
8a.1
Emergency ward with adequate number of beds and
toilets facilities(Y/N)
8a.2
Boards displayed regarding management of snake bite,
common poisoning, Anaphylactic reaction, Cardio
respiratory arrest etc.(Y/N)
8a.3 Retiring room for MO with attached toilet lockers(sft)
8a.4 Treatment room cum minor operation theatre(sft)
8a.5
Store room with sufficient stock of essential and life
saving drugs(sft)
9a ICU
9a.1 Existence of ICU with AC (Y/N)
10a Blood Bank
10a.1 Infrastructure availability(Y/N)
10a.2 Cold room for Refrigerators(sft)
11a CSSD
11a.1 CSSD in sft(sft)
12a Labour Room
12a.1 Separate labour room with automatic double door(sft)
12a.2 Attached toilet(Y/N)
12a.3 Well equipped premature baby unit (Y/N)
13a Diet and kitchen facility
13a.1 Washing vegetable and vegetable cutting platform(sft)
13a.2 Storing the food grains(sft)
13a.3 Washing the utensils(Y/N)
14a Linen and laundry
14a.1 Concept of central linen system implemented(Y/N)
15a Stores
15a.1
Suitability of location for all sectionS of hospital and
adequate space for medical stores(Y/N)
15a.2
Suitability of location for all sectionS of hospital and
adequate space for medical stores in sft(sft)
16a Medical records
16a.1
Medical record Room with enough no. of racks and
cupboards(sft)
18a Ambulatory service and telecom
18a.1 Garages(sft)
19a Environment sanitation and water supply
19a.1 Canteen(sft)
19a.2 Public Latrines / toilets(Y/N)
19a.3 Public Latrines / toilets in Nos(Nos)
20a Patient attendant facility
20a.1 Patient attendant facility in sft(sft)
21a Emergency first aid
21a.1 Emergency first aid in sft(sft)
22a Dental clinic
22a.1 Dental X-ray facilities(Y/N)
124 151
Table
No. Facility
Sub item
no. Description of sub item Number
(i) BASIC UNITS
1b General
1b.1 Refrigerator(N)
1b.2 Air Conditioners(N)
1b.3 Water Cooler(N)
1b.4 Generator(D)
1b.5(i) Computer With Biometric Device(D)
1b.5(ii) Scanner(D)
1b.5(iii) Barcode Reader(D)
1b.5(iv) Webcam(D)
1b.5vi) Printer(D)
1b.5(vi) 2Mbps internet connectivity(D)
1b.5(vii) Fax machine(D)
1b.6 Intercom (N)
2b Wards
2b.1 B.P Apparatus(N)
2b.2 Weighing Scale,Adult(N)
2b.3 Weighing Scale,Infant(N)
2b.4 Oxygen Cylinders(N)
2b.5 Nitrous Oxide Cylinders(N)
2b.6 Regulator & Flowmeters(N)
2b.7 Ambu-Bag(N)
2b.8 Hot Plate,Domestic(N)
2b.9 Emergency Lamp(N)
2b.10 Fire Extingushers(N)
2b.11-1 Laryngoscope(D)
2b.12 Otoscope(D)
2b.13 Resuscitation Equipment(D)
2b.14 Examination Table(N)
2b.15 Foot Steps(N)
2b.16 Bedside Screens(N)
2b.17 Revolving Stool(N)
2b.18 Saline Stands(N)
2b.19 Wheel Chairs(N)
2b.20 Emergency / Recovery Trolley(N)
2b.21 Stretcher On Trolley(N)
2b.22 Oxygen Cylinder Stands(N)
2b.23 Iron Cot (N)
2b.23.(i) Mattress (N)
2b.23(ii) Pillows(N)
2b.24 Side Rails(N)
2b.25 Baby Cot(N)
2b.26 Bedside Lockers(N)
2b.27 Mayos Trolley(N)
2b.28 Dressing Trolley(N)
2b.29 Surgical Instrument Cabinet(N)
2b.30 Medicine Cabinet(N)
2b.31 Instrument Trolley(N)
2b.32 Linen Trolley(N)
2b.33 Kick Bucket(N)
2b.34 Bucket(Galvanised)(N)
2b.35 Bed Pans & Urinals(N)
2b.36 Attendant Stool(N)
2b.37 Wash Basin Stands(N)
2b.38 Instrument/Medicine Tray With Cover(N)
2b.39(i) Bowls(N)
2b.39(ii) Kidney Tray(N)
2b.40 Chairs(Doctors,Nurses)(N)
2b.41 Swab Rack(OT)(N)
2b.42 Fracture Table(POP)(N)
2b.44 Benchs(N)
2b.45 Height Measuring Stand(N)
2b.46 Arm Board(Child & Adult)(N)
2b.47 Jar, Cheatle Forceps(N)
2b.48 Patella Hammer(N)
2b.49 Tongue Depressors(N)
2b.50 Oxygen Masks with Regulator(N)
2b.51 Torch Light(N)
2b.52 Suction Apparatus (N)
2b.53 Venesection Tray(N)
2b.54 Sterilizer(N)
2b.55 Stretcher Trolly And Stationeries(N)
2b.56 Forms(N)
2b.57 Fans And Tubes(N)
2b.58 Geysers(N)
3b OT
3b.1 Operating Table, Ordinary(N)
3b.2 Operating Table, Hydraulic(N)
3b.3 Autoclave, Hp, Horizontal(N)
3b.4 Autoclave,Hp,Vertical(N)
3b.5 Autoclave,Electrical With Burners,2-Bin(N)
3b.6-1 Shadowless Lamp,OT,Mobile(D)
3b.7 OT Lights,Ceiling(Shadowless)(N)
3b.8 Focussing Lights,OT (Mobile)(N)
3b.9 Suction Apparatus(High Vaccum MTP)(N)
3b.10 Suction Apparatus,Electrical(N)
3b.11 Foot Suction Apparatus(N)
3b.12 Vaccum Extractor(N)
3b.13 Steriliser Instrument(N)
3b.14 Electro-Surgery Machine(N)
3b.15-1 Cautery Set,Electric(Gynaec)(D)
3b.15-2 Cautery Set,Electric(Gynaec)(D)
3b.16 Automist(OT Fumigator)(N)
3b.17 Short-Wave Diathermy(D)
3b.18-1 Ventilator,Adult(D)
3b.18-2 Ventilator,Adult(D)
3b.19-1 Anaesthetic M/C(Boyles With Flotec)(D)
3b.19-2 Anaesthetic M/C(Boyles With Flotec)(D)
3b.20 Anaesthetic M/C(Boyles Without Flotec)(N)
3b.21-1 Pulse Oximeter(D)
3b.21-2 Pulse Oximeter(D)
3b.22-1 Cardiac Monitor(D)
3b.22-2 Cardiac Monitor(D)
3b.23-1 Defibrillator(D)
3b.23-2 Defibrillator(D)
3b.24-1 Phototherapy Unit(D)
3b.24-2 Phototherapy Unit(D)
3b.25-1 Neonatal Resuscitation Unit(D)
3b.25-2 Neonatal Resuscitation Unit(D)
3b.26 Emergency OT
3b.26(i) Emergency light or generator facilities(D)
3b.26(ii) Boyles Apparatus Hydraulic OT table(D)
3b.26(iii) Air Conditioner(N)
3b.26(iv)
Portable mobile X-ray machines in OT along with dark
room(D)
3b.27 Fire fighting equipments(D)
4Ab Diagnostic Center - Radiology (Basic)
4Ab.1 Magnetic field leakage 5 Gauze line (D)
4Ab.2 Emergency trolly with drugs, suction pump (N)
4Ab.3 Gamma camera with speck (400sft)(D)
4Ab.4 Film drying cabinet X-ray illuminator(N)
4Ab.5 Dosimeter(N)
4Ab.6 Necessary contrast media (N)
4Ab.7 Oxygen cylinder(N)
4Ab.8 Suction apparatus(N)
4Ab.9 Lead apron (N)
4Ab.10 Lead gloves (N)
4Ab.11 Goggles(N)
4Ab.12 Badges(N)
4Ab.13 Ultra sound scan general purpose(D)
4Ab.14 Ultra Sound scan for OB&GY purpose(D)
4Ab.15 Diagnostic Medical X-ray Unit(D)
4Ab.16 Mobile X-ray(D)
4Ab.17 Diagnostic Medical X-ray unit with Odeleca facility(D)
4Ab.18 ECG unit(D)
4Bb Diagnostic Center - Radiology (Advanced)
4Bb.22 Whole body C.T. conventional scanner (D)
4Bb.23 Spiral CT scanner (D)
4Bb.24 MRI (D)
5Ab Diagnostic Centre - Clinical labaratory and Diagnostics - Small
5Ab.1 Microscope(D)
5Ab.2 Centrifuge(D)
5Ab.3 Refrigerators(D)
5Ab.4 Thermostatically controlled water bath(D)
5Ab.5 Rotating machine for VDRL tests(D)
5Ab.6 Differential counter(D)
5Ab.7 Photometer or colorimeter(D)
5Ab.8 Autoclave (D)
5Ab.9 Hot air oven(N)
5Ab.10 Weight Balance(N)
5Ab.11 De-ionizer or distilled water(D)
5Ab.12 Pippettes(N)
5Ab.13 Capillary tubes(N)
5Ab.14 Measuring Cylinders(N)
5Ab.15 Graduated with stopper(N)
5Ab.16 Pipettes blood 0.05ml(N)
5Ab.17 Pipettes Sahli 0.02ml(N)
5Ab.18 Microscope,Binocular With Lamp(D)
5Ab.19 Photo-Electric Colometer(D)
5Ab.20 Spectrophotometer(D)
5Ab.21 Micro Pippete(D)
5Ab.22 Water Bath(N)
5Ab.23 Hot Air Oven,2 Levels(D)
5Ab.24 Incubator, Laboratory(D)
5Ab.25 Centrifuge(Electrical)(D)
5Ab.26 Centrifuge(Haematocrit)(D)
5Ab.27 Hot Plate,Laboratory(N)
5Ab.28 Rotor/Shaker(Laboratoy)(N)
5Ab.29 Counting Chamber(Haemocytometer)(D)
5Ab.30 PH Meter(D)
5Ab.31 Glucometer(In Opd)(D)
5Ab.32 Haemoglobin Meter(D)
5Ab.33 Oven,Wax-Embedding(D)
5Ab.34 Timer Stop Watch & Alarm Clock(N)
5Bb Diagnostic Centre - Clinical laboratory and Diagnostics - Medium
5Bb.35 Histopathology (D)
5Bb.36 Cytopathology(D)
5Bb.37 Microtome(D)
5Bb.38 Tissue Processor(D)
5Bb.39 Blood-Gas Analyser(D)
5Bb.40 Tissue floating bath(D)
5Db Diagnostic Centre - Clinical laboratory and Diagnostics - Super Speciality
5Dd.44
5 (a) (b) & (c) in addition the labatory is restricting its
activity to one or two concerned specialities laboratory
medicine (D)
6b OPD
6b.1
Boards indicating the specialists, timings,
qualification(N)
6b.2
Board indicating Hospital fees for various services
provided(N)
6b.3 Writing table(N)
6b.4 Examination table with foot steps(N)
6b.5 Stools and wash basins(N)
6b.6 BP Apparatus(N)
6b.7 Torch(N)
6b.8 Measuring machine and weighing machine(N)
6b.9 X-ray view box(N)
6b.10 CNS examination tray (Medical OPD)(N)
6b.11 Tuning fork (Medical OPD)(N)
6b.12 ECG machine (Medical OPD)(D)
6b.13 PR Examination tray with proctoscope and gloves(N)
6b.14 Kidney trays(N)
6b.15 Tongue depressor(N)
6b.16 PS &PV examination tray (Gyneac. OPD)(N)
6b.17 IUD tray (Gyneac. OPD)(N)
6b.18 Kidney trays (Gyneac. OPD)(N)
6b.19 Weighing machine (Gyneac. OPD)(N)
6b.20 Pap smear tray (Gyneac. OPD)(N)
6b.21
Examination table with lithotomy facility (Gyneac.
OPD)(N)
6b.22 Table lamp (Gyneac. OPD)(N)
6b.23 weighing machine (Paediatric OPD)(N)
6b.24 Measure tape (Paediatric OPD)(N)
6b.25 Height and weight scale (Paediatric OPD)(N)
6b.26 Refraction set Opthalomoscope(D)
6b.27 Retinoscopy(D)
6b.28 Near and distant vision charts(N)
6b.29 Headlight mirror (Ear, Nose & Throat OPD)(N)
6b.30 Indirect laryngoscopes (Ear, Nose & Throat OPD)(N)
6b.31 Tougne depressor (Ear, Nose & Throat OPD)(N)
6b.32 Nasal and ear speculum (Ear, Nose & Throat OPD)(N)
6b.33 Electrical sterilizer (Ear, Nose & Throat OPD)(N)
6b.34 Tuning fork (Ear, Nose & Throat OPD)(N)
6b.35 Audiometry (Ear, Nose & Throat OPD)(D)
6b.36 Diagnostic ENT set (Ear, Nose & Throat OPD)(N)
6b.37 Wax syringe etc., (Ear, Nose & Throat OPD)(N)
6b.38 Examination table (Orthopaedic OPD)(N)
6b.39 Foot steps (Orthopaedic OPD)(N)
6b.40 X-ray view box (Orthopaedic OPD)(N)
6b.41 Patella Hammer etc., (Orthopaedic OPD)(N)
6b.42 Dressing table(N)
6b.43 Sink(N)
6b.44 Plastic apron(N)
6b.45 Face mask(N)
6b.46 Gloves(N)
6b.47 Antiseptic lotions(N)
6b.48 Foot operated dustbins(N)
6b.49 Emegency drug tray(N)
6b.50 Oxygen cylinder(N)
6b.51 Suction machine (electric and foot operate)(D)
6b.52 Cot(N)
6b.53 Mattresses(N)
6b.54 Venesection tray(N)
6b.55 Anaesthetic apparatus (D)
6b.56 Shadowless lamp(D)
6b.57
Operation table suction operators (Electric and foot
operated)(D)
6b.58 Fumigation Apparatus(D)
6b.59 Dressing drums(N)
6b.60 Minor surgery instruments(N)
6b.61 Plaster material & Plaster cutting saw(N)
6b.62 Short wave diathermy for Myalagia(N)
6b.63 Infrared facility for Myalagia(N)
6b.64 Lumbar/cervical traction(N)
6b.65 Shoulder mobilization wheel(N)
6b.66 Wax bath(N)
6b.67 Muscle Stimulator (N)
6b.68 Water coolers(N)
6b.69 Telephone(N)
6b.70 Wheel chairs(N)
6b.71 Stretchers(N)
7b Physiotherapy
7b.1 Electro therapy(Muscle stimulators)(D)
7b.2 S.W.D.U.S Therapy(D)
7b.3 I.F.T/TENS(N)
7b.4 Traction unit(N)
7b.5 Wax therapy(N)
7b.6 CRYO Therapy(N)
7b.7 GYM Instruments(N)
8b Casualty
8b.1
Board displaying doctors on call, Specialist and other
staff on duty(N)
8b.2
Glow sign board indicating .Emergency services
Department.(N)
8b.3 Ward well equipped with Fowler.s beds(N)
8b.4 Oxygen cylinder with accessories(N)
8b.5 Suction apparatus electric/foot operated(D)
8b.6 Emergency tray, Ryles.tubes/ stomach tube(N)
8b.7 Flatus tube(N)
8b.9 Tracheotomy set(N)
8b.10 L P tray(N)
8b.11 Suturing tray(N)
8b.12 Ambu bag(N)
8b.13 Laryngoscope(D)
8b.14 Tourniquet(N)
8b.15 Splints-Thomus splint(N)
8b.16 Bohler's splint(N)
8b.17 Crommer wire splints Emergency light / Generator(N)
8b.18 BP Apparatus(N)
8b.19 Torch(N)
8b.20 Thermometer(N)
8b.21 Weighing machine(N)
8b.22 Hammer(N)
8b.24 Stationary and forms(N)
8b.25
Availability of ARV services 24 hoursBoard displaying
accordingly .(N)
8b.26 Cooler, fan, and drinking water(N)
8b.27
Treatment room cum minor operation theatre with all
necessary instruments, equipments, trolleys, tables and
trays(N)
8b.28 Sufficient no. of wheel chairs and stretcher trolleys(N)
9b ICU
9b.1 Extension of ICU with AC(D)
9b.2 Bedside monitor(D)
9b.3 Control monitor(D)
9b.4 Defibrillators(D)
9b.5 Ventilators(D)
9b.6 Fowler beds(N)
9b.7 Availability of central oxygen, suction machine(N)
9b.8 Generator(D)
10b Blood Bank
10b.1 Refrigerator(D)
10b.2 Adequate stock of blood bags & transfusion sets(N)
11b CSSD
11b.1 HP Horizontal Sterilizers (H P H S)(D)
11b.2 Wall clock(N)
11b.3 Fiber optic scopes(N)
11b.4 Rubber catheter(N)
12b Labour Room
12b.1
Labour tables in clean labour room with plastic curtain
partition.(N)
12b.2 Wall clock(N)
12b.3 Baby weighing machine(N)
12b.4 Facility for headlow position(N)
12b.5 Baby resuscitation kit(N)
12b.6 Mucus aspirator(N)
12b.7 Suction apparatus (N)
12b.8 Emergency light(N)
12b.9 Generator (D)
12b.10 Exhaust fan(N)
12b.11 Coolers(N)
12b.12 Episiotomy tray(N)
12b.14 Shadowless lamp(D)
12b.15 Forceps low(N)
12b.16 Foetel monitor(N)
12b.17 Vaccum extractor(N)
12b.18 BP apparatus(N)
12b.19 Instruments sterilizer(N)
12b.20 Plastic aprons(N)
12b.21 Slippers(N)
12b.22 Cap(N)
12b.23 Mask(N)
12b.24 Apron(N)
12b.25 Foam mattress on table(N)
12b.26 Kit of all life saving drugs(N)
12b.27 Deep freeze or wooden box with lock and key(D)
12b.28 Aluminium/plastic badges(N)
12b.29 Incubators(D)
13b Diet and kitchen facility
13b.1 Diet charts for adult, paediatric and special diet(N)
13b.2 Mixer(N)
13b.3 Grinder(N)
13b.4 Chapatti puffer(N)
13b.5 Hot case(N)
13b.6 Tea urns(N)
13b.7 Bulk cooker(N)
13b.9 Atta needing machines(N)
13b.10
Stain less steel with copper based utensils for
cooking(N)
13b.11 Lactometer measuring unit(N)
13b.12 Weighing machine(N)
13b.13 Weights(N)
14b Linen and laundry
14b.1 Aprons(N)
14b.2 Paramedical uniforms(N)
14b.3 Class IV uniforms(N)
15b Stores
15b.1 Vital drugs(D)
15b.2 Essential and desirable drugs(D)
15b.3 Fire fighting(N)
15b.4 Refrigerators(N)
15b.5 Exhaust fans(N)
16b Medical records
16b.1 Medical records Equipment Available(N)
18b Ambulatory service and telecom
18b.1 Ambulances(D)
18b.2 Public phone facility in Casualty and OPD(N)
19b Environment, sanitation and water supply
19b.1 Dust bins(N)
19b.2
Anti smoking, Spitting boards & other Health Education
Boards depicted at prominent places in Hospital campus
(N)
19b.3
Arrangements of sufficient illumination arrangements in
Hospital premises by street light etc.(N)
20b Patient attendant facilities
20b.1 Patient attendant facilities Equipment Available(N)
21b Emergency first aid
21b.1 Intercostal drainage tube(N)
21b.2 Thomas Traction(N)
21b.3 Bladder catheter(N)
21b.4 Stomach wash tube(N)
22b Dental clinic
22b.1 Dental clinic Equipment Available(N)
Make
Date of
purchase Serial no.
Date of
expiry of
AMC
coverage
In-house or
Tie-up
Tie-up
facility
name
360 388
Table
No. Facility
Sub item
no. Description of sub item Numbers
(i) BASIC UNITS
1c General
1c.1 Manager(N)
1c.2 Accountant(N)
1c.3 Receptionist(N)
1c.4 Supervisor(N)
1c.5 Security personnel(N)
1c.6 Maintenance staff(N)
1c.7 RAMCO1(R)
1c.8 RAMCO2(R)
1c.9 RAMCO3(R)
1c.10 AMMCO(D)
2c Wards
2c.1-1 Duty medical officer (D)
2c.2-1 Nursing staff in general wards(D)
2c.3-1 Nursing staff in Female wards(D)
2c.4-1 Nursing staff POW(D)
2c.5 Helpers(N)
2c.6
One Female Nursing Orderly or one Male Nursing
Orderly .(N)
2c.7 Sweepers (N)
3c Operation Theatre
3c.1 Duty Medical Officer (D)
3c.2 OT staff nurse (D)
3c.3 Female Nursing Orderly for operation theatre(N)
3c.4 Male Nursing Orderly for operation theatre(N)
4Ac Diagnostic Center - Radiology (Basic)
4Ac.1 Radiologist / Gynaecologist(D)
4Ac.2 Round the clock X-Ray Technicians(N)
4Bc Diagnostic Center - Radiology (Advanced)
4Bc.3 Radiologist / Gynaecologist(D)
4Bc.4 Round the clock X-Ray Technicians(N)
5Ac Diagnostic Center - Clinical laboratory and Diagnostics - Small
5Ac.1 Technical persons to perform the tests (D)
5Bc Diagnostic Center - Clinical laboratory and Diagnostics - Medium
5Bc.1 In addition to 5Ac.1, Allopathic doctor (D)
5Dc Diagnostic Center - Clinical laboratory and Diagnostics - Super Speciality
5Dc.1
In addition to 5Ac.1, MD
Pathology/Biochemistry/Micro Biology(D)
6c OPD
6c.1 Receptionist(N)
6c.2 Male Nursing Orderly for Medical OPD.(N)
6c.3 Male Nursing Orderly for Surgical OPD.(N)
6c.4
Female Nursing Orderly for Obstetrics and Gynaecology
OPD.(N)
6c.5 Male nursing orderly(N)
6c.6 Female nursing orderly(N)
6c.7 Staff nurse(D)
6c.8 R.M.O(D)
6c.9 Class III employee(N)
6c.10 Para medicals(N)
7c Physiotherapy
7c.1 Physiotherapists(D)
7c.2 Assistants to Physiotherapists(N)
7c.3 Occupational Therapist(D)
7c.4 Speech Therapist as a part time(D)
7c.5 Orthotic and Prosthetic Engineers(D)
7c.6 Medical social worker(N)
7c.7 Neuro surgeon and Neuro physician(D)
7c.8 Orthopaedic surgeon and plastic surgeon(D)
7c.9 General Physicians(D)
7c.10 Attendants(N)
7c.11 Sweepers(N)
7c.12 Receptionist and Administrative incharge(N)
8c Casualty
8c.1
Separate Medical Officer (CMO) available round the
clock(D)
8c.2
Continuous availability of D.M.O (Indoor MO) during
night hours(D)
8c.3 Trained staff posted in Emergency department.(N)
8c.4
Night super nurse on duty should be available in
emergency ward after night rounds.(N)
9c ICU
9c.1 Medical Officer(D)
9c.2-1 Nursing staff(D)
10c Blood Bank
10c.1 Round the clock availability of trained staff(N)
11c CSSD
11c.1 Trained staff nurse (D)
11c.2 Anaesthetist/Pathologist(D)
12c Labour Room
12c.1 Duty medical officers(D)
12c.2 Qualified nurses(D)
12c.3 Female Nursing Orderly for labour room(N)
12c.4 Sweeper for labour room(N)
13c Diet and kitchen facility
13c.1 Diet and kitchen facility (N)
14c Linen and laundry
14c.1 Linen Keeper(N)
15c Stores
15c.1 Store keeper(N)
16c Medical records
16c.1 Staff for medical records(N)
18c Ambulatory service and telecom
18c.1 PBX and Telephone operator(N)
19c Environment, sanitation and water supply
19c.1 Environment, sanitation and water supply(N)
20c Patient attendant facilities
20c.1 Patient attendant facilities(N)
21c Emergency first aid
21c.1 Emergency first aid(N)
22c Dental clinic
22c.1 Dental clinic(N)
Basic
Qualificatio
n
(University
)
Diploma
(University
)
PG
(University
)
Super
speciality
(University
) Name
Registratio
n No. (if
applicable) Experience
In-house or
On-call
Contact
No.
130 157
Table
No. Facility
Sub item
no. Description of sub item Availability
(i) BASIC UNITS
1d General
1d.1
Properly ventilated and all departments should be easily
approachable by a stretcher and wheel chair(Y/N)
1d.2 Dust proof and moisture proof(Y/N)
1d.3
OP and diagnostic services should be located separately
inpatient services(Y/N)
1d.4 Filtered and soft water supply to Pathology lab(Y/N)
1d.5 No drains in OT (Y/N)
1d.6
Plumbing fixtures should be non-absorptive and acid -
resistant(Y/N)
1d.7 Annual maintenance contract(Y/N)
2d Wards
2d.1
Duty medical officer should see the patient with in half
a hour(Y/N)
2d.2
Patient accessible for treatment from either side of
bed(Y/N)
2d.3 Satisfactory cleanliness of wards(Y/N)
2d.4 Satisfactory condition of the sanitary blocks(Y/N)
2d.5
If floor beds in the wards present,analyze the
reason(Y/N)
2d.6
Serious patients on fowler.s bed with all essential
equipments and drugs near nursing station.(Y/N)
2d.7 Display of name at head end of patients(Y/N)
2d.8 Use of Hospital uniforms by all patients.(Y/N)
2d.9
Scrutinize for inpatient case sheets and ascertain
adequacy of notes,prescription,provisional and final
diagnosis,operation and anaesthesia
notes,documentation of investigations,Information to
relatives about seriousness of the patient. Evidence of
cases seen by specialist doctors. Patients and relatives
satsfaction.(Y/N)
2d.10
Satisfaction of patients about type of diet, quality, if
provide by the facility(Y/N)
3d Operation Theatre
3d.1
Concept of clean,neutral and sterile zone followed by
providing various self closing double doors or air
curtain (Y/N)
3d.2
Up-to-date maintenance of OT records like OT registers,
emergency OT monthly abstract etc. Maintenance of
operation postponement register.(Y/N)
3d.3
Proper steps taken for disposal of OT waste as per
Biomedical Waste Management Rules (operated
specimens etc.)(Y/N)
3d.4
Arrangement of transport of patient from OT to
ward(Y/N)
3d.5
Swabs from OT are sent for culture and action taken on
unfavourable report(Y/N)
3d.6 Drainage-free OT (Y/N)
3d.7
Housekeeping and biosafety measures adopted in
OT(Y/N)
4Ad Diagnostic Center - Radiology (Basic)
4Ad.1
Use of dosimeter and Are they regularly sent to BARC
for checking and steps taken on reports(Y/N)
4Ad.2
X-ray films and hypo solutions are preserved/disposed
as per rules(Y/N)
4Ad.3
Compliance to the provisions of PCPNDT Act, in case
a Ultra Sound Scanner is available Pl.Verify(Y/N)
4Bd Diagnostic Center - Radiology (Advanced)
4Bd.4
Use of dosimeter and Are they regularly sent to BARC
for checking and steps taken on reports(Y/N)
4Bd.5
X-ray films and hypo solutions are preserved/disposed
as per rules(Y/N)
4Bd.6
Compliance to the provisions of PCPNDT Act, in case
a Ultra Sound Scanner is available Pl.Verify(Y/N)
5Ad Diagnostic Center - Clinical labaratory and Diagnostics - Small
5Ad.1
Laboratary shall maintain the records of all patients for
minimum period of one month or maximum period of 3
months(Y/N)
5Ad.2
Full time allopathic doctor must manned and supervise
and he is not allowed to run in separate similar
establishment elsewhere(Y/N)
5Bd Diagnostic Center - Clinical labaratory and Diagnostics - Medium
5Bd.3
Laboratory shall maintain the records of all patients for
months. Speciality work like histopathology, cytology
for 1 year blocks for 3 months and slides for 6
months(Y/N)
5Bd.4
Full time allopathic doctor must manned and supervise
and he is not allowed to run in separate similar
establishment elsewhere(Y/N)
5Dd Diagnostic Center - Clinical labaratory and Diagnostics - Super Speciality
5Dd.7
Laboratory shall maintain the records of all patients for
months. Speciality work like histopathology, cytology
for 1 year blocks for 3 months and slides for 6
months(Y/N)
5Dd.8
Should be manned by Medical person with PG
qualification in Pathology/ Microbiology/
Biochemistry(Y/N)
6d OPD
6d.1 Pleasing environment (not congested)(Y/N)
6d.2 Registration and counselling(Y/N)
6d.3 Display of services offered and rates(Y/N)
6d.4 Privacy of the patients especially for women(Y/N)
6d.5 Antenatel and post-natal & gynaec. services(Y/N)
6d.6 MTP services(Y/N)
6d.7 Family Planning services(Y/N)
6d.8 Referrals(Y/N)
6d.9 Post operative services(Y/N)
6d.10 Cancer screening(Y/N)
6d.11
Eye checkup, Prescription of glasses, Minor OT
procedures(Y/N)
6d.12 Daily accounting of drugs kept(Y/N)
6d.13 Surprise check by inspector(Y/N)
6d.14 Drugs are dispensed in paper packets(Y/N)
6d.15 Morbidity statistics kept upto date(Y/N)
6d.16 Maintenance of records registers of minor OT etc.(Y/N)
6d.17 Water samples are tested for portability (Y/N)
6d.18
Separate well maintained arrangements of toilets for
male and female patients and their attendents (Y/N)
6d.19 Telephone for R.M.O and public(Y/N)
6d.20 Film show arrangements made for OPD patients(Y/N)
6d.21
Action taken if any for valid suggestion made in
suggestion book (Y/N)
6d.22 Clinical notes(Y/N)
6d.23 Diagnosis(Y/N)
6d.24 Investigations(Y/N)
6d.25 Legible hand writing(Y/N)
6d.26 Proper prescription of drugs with dose schedule(Y/N)
6d.27
Views of the patients regarding treatment and their
satisfaction(Y/N)
7d Physiotherapy
7d.1 Physiotheraphy Available(Y/N)
8d Casualty
8d.1
Knowledge of M Os in classification of dog bite wounds
and their management (Y/N)
8d.2
Proper documentation of treatment card and
records/registers(Y/N)
8d.3
Uninterrupted stock of ARV. Check the stock
book(Y/N)
8d.4
Call book is in prescribed format and calls are attended
promptly. verify (Y/N)
8d.5
Availability of disaster Management Plan and disaster
drill conducted regularly.(Verify the record and
stock)(Y/N)
8d.6
Availability of separate telephone for casualty dept. as
well as for public(Y/N)
8d.7
Availability of transport facilities (Ambulance) round
the clock(Y/N)
9d ICU
9d.1
Equipment in working condition & history book
maintained(Y/N)
9d.2
Space availability,cleanliness,generator facilities
etc(Y/N)
9d.3 Record keeping of patients treated so far(Y/N)
10d Blood Bank
10d.1 Checking of cross matching(Y/N)
10d.2 Proper maintenance of cold room and refrigerator(Y/N)
10d.3
Incidence of deaths due to non availability of blood any
time in year.(Y/N)
10d.4
Issue of donor cards, certificates of appreciation (verify
the record).(Y/N)
10d.5 Proper documentation and examination of donor(Y/N)
10d.6
Exhibition of posters and health education materials in
the blood bank(Y/N)
10d.7
Disposal of HIV positive blood bags & Bio safety
measures undertaken(Y/N)
10d.8
Transfusion of feed back, and record maintenance of
untoward incidences(Y/N)
10d.9
Maintenance of inventory of various sera, reagent and
consumables, verify.(Y/N)
10d.10 Round the clock availability of services(Y/N)
10d.11
Australia antigen VDRL,Malaria parasite and HIV tests
are carried out on every blood bottle of donor (Verify
the record)(Y/N)
11d CSSD
11d.1
All autoclave tape should be preserved and pasted on
register datewise which is to be signed by staff nurse
and checked by Anaesthetist (Y/N)
11d.2
Detailed chart showing how to operate HPHS
displayed(Y/N)
12d Labour Room
12d.1 Regular washing and fortnightly fumigation(Y/N)
12d.2
Proper writing of delivery notes including the foot prints
of baby, thumb impression of mother with attestation of
nurse conducting delivery(Y/N)
12d.3
Maintenance of call book in prescribed format &
attendance of calls in time(Y/N)
12d.4
Interview of 5 mothers delivered recently about their
experience regarding facilities, behavior of staff and
sanitation(Y/N)
12d.5
Arrangement to resuscitate newborn and to keep baby
warm(Y/N)
12d.6
Proper maintenance of record, registers of
newborns(Y/N)
12d.7
Precautionary measures adopted to prevent sepsis like
barrier nursing, change of cloths by staff(Y/N)
12d.8
Written instructions about operation of incubator
displayed(Y/N)
12d.9 Observance of proper housekeeping(Y/N)
12d.10
Arrangement for prevention of Hypothermia.
Availability of Phototherapy unit, Oxygen hoods(Y/N)
13d Diet and kitchen facility
13d.1
Physical verification of dietary articles done any
time(Y/N)
13d.2 Cleanliness of kitchen(Y/N)
13d.3 Preventing rat nuisance(Y/N)
13d.4 Regular medical check up of food handlers(Y/N)
13d.5
Sending of samples of dietary articles for P A F studies
and action taken on results(Y/N)
13d.6
Action taken on substandard supply of dietary
articles(Y/N)
13d.7 Washing the utensils(Y/N)
14d Linen and laundry
14d.1 Buffer stock of linen to face disaster Emergencies(Y/N)
14d.2 Hospital linen stamped by Dhobi ink(Y/N)
14d.3 Regular disposal of condemned linen materials(Y/N)
14d.4
Services of tailor utilized adequately for making new
OT wears eye shade and mending the torn cloths
etc(Y/N)
14d.5
A practice of dirty/spoiled linen are
decontaminated/washed and given to Dhobi, is
followed(Y/N)
14d.6
Whether Linen is kept separately and washed
separately(Y/N)
15d Stores
15d.1
Staff knowledge in materials management, system of
FIFO, bin card, lead time(Y/N)
15d.2
Upkeep of expiry date register and its regular inspection
by RMO(Y/N)
15d.3
Proper arrangements of the drugs as per ABC/V.E.D
category and storage or running stocks as per
guidelines(Y/N)
15d.4
Sending of samples of chemical laboratory to check it as
per specification and standard and action taken
thereon(Y/N)
15d.5
Maintenance of separate register for the batches
declared unfit for use(Y/N)
16d Medical records
16d.1
Regular reporting of births & deaths to appropriate
authority(Y/N)
16d.2 Regular WHO (ICD 10) classification of diseases(Y/N)
16d.3
Quaterly submission of Morbidity, mortality
reports(Y/N)
16d.4 Monthly Death audit meetings and minutes(Y/N)
16d.5
Organization of Hospital infection committee
meetings.(Y/N)
16d.6
Organization of clinical meetings and recording of
minutes. Involment of IMA or profesional association
etc.(Y/N)
18d Ambulatory service and telecom
18d.1
Telephone directory and telephone numbers of District
Collector, Police Superintendent, Fire Brigade, Water
supply, Electricity board and other private nursing
homes in case of emergency referral(Y/N)
19d Environment, sanitation and water supply
19d.1
Condition of General Sanitation of Hospital premises
and placements of Dust bins at various places etc.(Y/N)
19d.2
Efforts made to prevent nuisance of stray animals like
pigs, donkeys, cows,(Y/N)
19d.3
Arrangements of regular lifting of garbage with the help
of Municipality/Corporation(Y/N)
19d.4
Arrangements made for safe disposal of Biomedical
wastes generated in the hospital as per Biometric waste
Managements and Handling rules 2000.(Y/N)
19d.5 Cleanliness inside and outside canteen (Y/N)
19d.6
Source of water supply is adequate, if not, then efforts
made to augment it by Borewell or dugwell etc.(Y/N)
19d.7
Cleaning and condition of overhead tank/sump well
verify reports of OT test done by sanitary
inspectors(Y/N)
19d.8
Sanitation, cleaning and general condition of Overhead
tanks/sump(Y/N)
20d Patient attendant facilities
20d.1
Availability of patient attendant facilities If
available(Y/N)
20d.2
Adequate rooms available with kitchen, platform,
condition of sanitary blocks and electrical tubes/ bulbs,
fans are provided in all rooms and halls(Y/N)
21d Emergency first aid
21d.1 Thorough cleaning / dressing of wounds(Y/N)
21d.2 Ligations of bleeding vessels(Y/N)
21d.3
Establishing an intravenous line in case of patients in
shock(Y/N)
21d.4 Controlling of convulsions(Y/N)
21d.5 Controlling of acute attacks of breathlessness(Y/N)
22d Dental clinic
22d.1 Dental clinic Availability(Y/N)
Remarks
138 165
Sub Item
No. Description of sub item
Availabi
lity
MS1a.1 Intensive Coronary care units(sft)
MS1a.2 Acute medical care units(sft)
MS1a.3
OT facililty, full-fledged clinical laboratory, well
equipped operation theatres of high aseptic
conditions(sft)
MS1a.4 Blood bank facilities(Y/N)
MS1a.5 ICCU(sft)
MS1a.6 Nursing station(sft)
MS1a.7 CT - ICU(Y/N)
Sub Item
Number
s Make
MS1b.1 CT Scan(D)
MS1b.2 MRI(D)
MS1b.3 Angiography facilities(D)
MS1b.4 Stress test(D)
MS1b.5 Echo-cardiography(D)
MS1b.6 Cardiac monitor(D)
MS1b.7 ACT machine(D)
MS1b.8 Heart lung machines(D)
MS1b.9 Intra aortic balloon pumps(D)
MS1b.10 Catheterization equipment(D)
MS1b.11 Infusion pumps(D)
MS1b.12 Angioplasty equipment(D)
MS1b.13 Blood gas and Electrolyte analyzers(D)
MS1b.14 Defibrillator (D)
MS1b.15 Temporary pacing(D)
MS1b.16 Critical equipment(D)
MS1b.17 Multipara Monitors(D)
MS1b.18 Pulse Oxymeter(D)
MS1b.19 ECG(D)
MS1b.20 Ventilators(D)
MS1b.21 IABP(D)
MS1b.22 2D ECHO(D)
MS1b.23 Syringe Pumps(D)
Sub Item
Number
s
Basic
Qualific
ation/Un
iversity
MS1c.1 Round the clock in-house cardiologist/ on call*(D)
MS1c.2 Round the clock Anaesthetist specialist/ on call*(D)
Sub Item
No. Basic level and Speciality Care Service
Availabi
lity
(Y/N) Remarks
MS1d.1
Symptomatic management, investigae, manage and
follow up(Y/N)
MS1d.2
Symptomatic management, complicated, follow
up(Y/N)
MS1d.3
Basic services plus stabilise & refer mediastinal injuries,
tracheostomy, thoracocentensis, Mediastinal injuries,
and tumours, Heart & lung surgery(Y/N)
Date of
purchase Serial no.
Date of
expiry of
AMC
coverage
In-house or
Tie-up
Tie-up
facility
name
Diploma
(University
)
PG
(University
)
Super
speciality
(University
) Name
Registratio
n No.(if
In-house or
On-call
Contact
No.
1 8
10 33 35 37 39 42
Sub Item
Availabi
lity
MS2a.1 OT facililty(sft)
MS2a.2 ICUs(sft)
MS2a.3 Dialysis Unit (sft)
MS2a.4 Renal Lab(Y/N)
MS2a.5 Clinical Lab support(Y/N)
MS2a.6 Radiology and Imaging support(Y/N)
MS2a.7 RO Plant(Y/N)
MS2a.8 Wash area(sft)
MS2a.9 Storage facility(sft)
MS2a.10 AMC(sft)
Sub Item
Number
s Make
MS2b.1 OT equipment(D)
MS2b.2 Dialysis machines(D)
MS2b.3 CRRT(D)
MS2b.4 C-ARM (D)
MS2b.5 Endoscopic equipment(D)
MS2b.6 ESWL facility(D)
Sub Item
Number
s
Basic
Qualific
ation/Un
iversity
MS2c.1 Round the clock Nephrologist/ on call*(D)
MS2c.2 Round the clock Anaesthetist specialist/ on call*(D)
Sub Item
Availabi
lity
(Y/N) Remarks
MS2d.1 Symptomatic, diagnosis, manage(Y/N)
MS2d.2
Symptomatic, investigate,management, Dialysis and
advanced management(Y/N)
MS2d.3
Basic level services plus urethral dilation, management
of ruptured, bladder & urethra, Urolithiasis and
prostatectomy, GU malignancies(Y/N)
Date of
purchase Serial no.
Date of
expiry of
AMC
coverage
In-house or
Tie-up
Tie-up
facility
name
Diploma
(University
)
PG
(University
)
Super
speciality
(University
) Name
Registratio
n No.(if
In-house or
On-call
Contact
No.
1 11
13 19 21 23 25 28
Sub Item
Availabi
lity
AB5a.1 OPD with registers(sft)
AB5a.2 Plaster room (sft)
AB5a.3 OT facililty(sft)
AB5a.4 Post operative ward and ICU(sft)
AB5a.5 Physiotherapy(sft)
AB5a.6 Occupational therapy facilities(Y/N)
AB5a.7 Clinical lab support(Y/N)
AB5a.8 Radiology and Imaging facility.(Y/N)
Sub Item
Number
s Make
AB5b.1
Basic Intrumentation sets for fractures as per the
surgical procedures to be performed(N)
AB5b.2 Large and small fragment external fixators (N)
AB5b.3 Portable X-Ray machine(D)
AB5b.4 C-arm image intensifier(D)
AB5b.5 Arthroscope(D)
AB5b.6 Ortho surgery equipment(D)
AB5b.7 CT Scan (D)
AB5b.8 MRI(D)
Sub Item
Number
s
Basic
Qualific
ation/Un
iversity
AB5c.1 Orthopaedic Surgeon (D)
AB5c.2 Anaesthetists (D)
Sub Item
Availabi
lity
(Y/N) Remarks
AB5d.1
Open reduction of fractures, spinal fractures, Joint
reconstruction(Y/N)
AB5d.2(a) (a) Spinal fractures, Joint reconstruction(Y/N)
AB5d.2(b)
(b) Basic level care plus securing airway, circulatory
support, stabilisation of fractures, investigate and
manage, follow up(Y/N)
AB5d.2(c) (c) Severe head injuries and injuries of spinal cord(Y/N)
Date of
purchase Serial no.
Date of
expiry of
AMC
coverage
In-house or
Tie-up
Tie-up
facility
name
Diploma
(University
)
PG
(University
)
Super
speciality
(University
) Name
Registratio
n No.(if
In-house or
On-call
Contact
No.
1 9
11 19 21 23 25 29
Sub Item
Availabi
lity
SB5a.1 OPD with registers (sft)
SB5a.2 Plaster room (sft)
SB5a.3 OT facililty(sft)
SB5a.4 Post operative ward and ICU(sft)
SB5a.5 Physiotherapy(sft)
SB5a.6 Occupational therapy facilities (sft)
SB5a.7 Clinical lab support (Y/N)
SB5a.8 Radiology and Imaging facility.(sft)
Sub Item
Number
s Make
SB5b.1
Basic Intrumentation sets for fractures as per the
surgical procedures to be performed(N)
SB5b.2 Large and small fragment external fixators (N)
SB5b.3 Portable X-Ray machine(D)
SB5b.4 C-arm image intensifier(D)
SB5b.5 Arthroscope(D)
SB5b.6 Ortho surgery equipment(D)
SB5b.7 CT Scan (D)
SB5b.8 MRI(D)
Sub Item
Number
s
Basic
Qualific
ation/Un
iversity
SB5c.1 Round the clock Orthopaedic Surgeon/ on call*(D)
SB5c.2 Round the clock Anaesthetist specialist/ on call*(D)
Sub Item
Availabi
lity
(Y/N) Remarks
SB5d.1
Open reduction of fractures, spinal fractures, Joint
reconstruction(Y/N)
SB5d.2(a) (a) Spinal fractures, Joint reconstruction(Y/N)
SB5d.2(b)
(b) Basic level care plus securing airway, circulatory
support, stabilisation of fractures, investigate and
manage, follow up(Y/N)
SB5d.2(c) (c) Severe head injuries and injuries of spinal cord(Y/N)
Date of
purchase Serial no.
Date of
expiry of
AMC
coverage
In-house or
Tie-up
Tie-up
facility
name
Diploma
(University
)
PG
(University
)
Super
speciality
(University
) Name
Registratio
n No.(if
In-house or
On-call
Contact
No.
1 9
11 19 21 23 25 29
Sub Item
Availabi
lity
SS2a.1 Intensive Coronary care units(sft)
SS2a.2 Acute medical care units(sft)
SS2a.3
OT facililty, full-fledged clinical laboratory, well
equipped operation theatres of high aseptic
conditions(sft)
SS2a.4 Blood bank facilities(Y/N)
SS2a.5 ICCU(sft)
SS2a.6 Nursing station(sft)
SS2a.7 CT - ICU(Y/N)
Sub Item
Number
s Make
SS2b.1 CT Scan(D)
SS2b.2 MRI(D)
SS2b.3 Angiography facilities(D)
SS2b.4 Stress test(D)
SS2b.5 Echo-cardiography(D)
SS2b.6 Cardiac monitor(D)
SS2b.7 ACT machine(D)
SS2b.8 Heart lung machines(D)
SS2b.9 Intra aortic balloon pumps(D)
SS2b.10 Catheterization equipment(D)
SS2b.11 Infusion pumps(D)
SS2b.12 Angioplasty equipment(D)
SS2b.13 Blood gas and Electrolyte analyzers(D)
SS2b.14 Defibrillator (D)
SS2b.15 Temporary pacing(D)
SS2b.16 Critical equipment(D)
SS2b.17 Multipara Monitors(D)
SS2b.18 Pulse Oxymeter(D)
SS2b.19 ECG(D)
SS2b.20 Ventilators(D)
SS2b.21 IABP(D)
SS2b.22 2D ECHO(D)
SS2b.23 Syringe Pumps(D)
Sub Item
Number
s
Basic
Qualific
ation/Un
iversity
SS2c.1 Cardio Thoraic Surgeon(D)
SS2c.2 Round the clock Anaesthetist specialist/ on call*(D)
Sub Item
Availabi
lity
(Y/N) Remarks
SS2d.1
Symptomatic management, investigae, manage and
follow up(Y/N)
SS2d.2
Symptomatic management, complicated, follow
up(Y/N)
SS2d.3
Basic services plus stabilise & refer mediastinal injuries,
tracheostomy, thoracocentensis, Mediastinal injuries,
and tumours, Heart & lung surgery(Y/N)
Date of
purchase Serial no.
Date of
expiry of
AMC
coverage
In-house or
Tie-up
Tie-up
facility
name
Diploma
(University
)
PG
(University
)
Super
speciality
(University
) Name
Registratio
n No.(if
In-house or
On-call
Contact
No.
1 8
10 33 35 37 39 42
Sub Item
Availabi
lity
SS4a.1 OT facililty(sft)
SS4a.2 ICUs(sft)
SS4a.3 Dialysis Unit (sft)
SS4a.4 Renal Lab(Y/N)
SS4a.5 Clinical Lab support(Y/N)
SS4a.6 Radiology and Imaging support(Y/N)
SS4a.7 RO Plant(Y/N)
SS4a.8 Wash area(sft)
SS4a.9 Storage facility(sft)
SS4a.10 AMC(sft)
Sub Item
Number
s Make
SS4b.1 OT equipment(D)
SS4b.2 Dialysis machines(D)
SS4b.3 CRRT(D)
SS4b.4 C-ARM (D)
SS4b.5 Endoscopic equipment(D)
SS4b.6 ESWL facility(D)
Sub Item
Number
s
Basic
Qualific
ation/Un
iversity
SS4c.1 Round the clock Urologist/ on call*(D)
SS4c.2 Round the clock Anaesthetist specialist/ on call*(D)
Sub Item
Availabi
lity
(Y/N) Remarks
SS4.1.d Symptomatic, diagnosis, manage(Y/N)
SS4.2.d
Symptomatic, investigate,management, Dialysis and
advanced management(Y/N)
SS4.3.d
Basic level services plus urethral dilation, management
of ruptured, bladder & urethra, Urolithiasis and
prostatectomy, GU malignancies(Y/N)
Date of
purchase Serial no.
Date of
expiry of
AMC
coverage
In-house or
Tie-up
Tie-up
facility
name
Diploma
(University
)
PG
(University
)
Super
speciality
(University
) Name
Registratio
n No.(if
In-house or
On-call
Contact
No.
1 11
13 19 21 23 25 28

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