GENERAL HOSPITAL

Philosophy of hospital
The ethos of this hospital is 'LIFE IS TOO PRECIOUS SAVE IT AT ALL
COSTS’. Service before self has been the motto of the pioneers of this in always
situation which has percolated down to next generation who have joined the line.
The philosophy of the hospital is that no patient should been turned away
because he is too poor to pay.

Pride Values
V - Value Diversity – other cultures, other perspectives
A - Anticipate what people need
L - Listen actively
U - Understand the power of teamwork
E - Excel in service…

We all envision a system in which those who give care take great pride in their
work, and those who receive care are confident in trusting the care they receive.
Providing a safe environment with the highest possible quality healthcare is at
the very core of our Patients First philosophy. It is deeply embedded in the fabric
of this hospital. here are some of the highlights of our emphasis on quality:

First, we work hard to recruit and retain a highly qualified and experienced staff.
We are extremely fortunate to have all professional nursing staff (only RN's or
LPN's) in all of our departments or services. Few other hospitals can make this
statement. All our physicians must be credentialed before they can practice in
the hospital and are regularly monitored via a rigorous peer review process.

Second, we maintain an active Quality Program, supported by a Medical director

and the equivalent of two full time staff persons. This program follows up on
patient feedback, and proactively searches for performance improvement and
risk reduction opportunities. For instance, they are currently working to minimize
handwritten orders errors by improving penmanship and eliminating
misinterpretations from potentially confusing abbreviations.

In addition, our quality program tracks our progress on national Patient Safety
Goals and evidence based medicine, comparing our results against other
hospitals across the country. Action steps are implemented to remedy situations
where gaps exist between our results and "Best Practice'. We are one of very few
hospitals having public goals that are published twice each year so the
community can clearly see our results.

Third, a major initiative ,General is continuity of care. As much as possible we

try to assign the same care team to each patient. This helps minimize errors that
can happen at the hand off as a series of different care providers treat the same
person. Additionally, we have recently made provisions to have a full-time
hospitalist physician available to care for inpatients. This will assure that the care
team has maximum opportunity to work together to provide excellent care. This
continuum of care is further supported by a follow up phone call from a nurse
shortly after discharge, and the option for continuing services through our
outpatient departments or Home Health Care.

Finally, it is committed to having well informed patients and families playing an

active role in treatment decisions. We know that family and patient involvement
speeds recovery. If you or a family member utilizes hospital services, please
know that all our staff welcomes questions and supports your desire to become
involved. Don’t be afraid to ask. No question is unimportant. No caregiver is too
busy to stop and talk with you. Some key areas you might want to ask about
are:

• Medications
• Expectations and care options
• Comfort items such as the temperature in the room, getting something
to eat or even changing to a different bed.
• The issue can be resolved.

Also, never lie silent in the face of pain. Always let your care team know if you
are in pain. Should you worry about falling, please ask for assistance if you have
to get out of bed. You and your family are a critical part of your care team.
Become involved, it will speed your recovery.

As with everything, the proof is in the pudding. The main goal of our active
quality program is your overall experience with our care delivery system. If you
are not satisfied, we have failed, no matter how good your clinical care. We
recognize every patient defines quality for themselves, and therefore, we must
give you the personalized service you expect. High patient satisfaction is vital to
our continuing ability to serve the community in the manner you demand. We
realize that quality is a never-ending journey that requires our daily focus and
dedication.

OBJECTIVES

Objectives of a hospital are

• Provide care of sick & injured.

• Prevention of diseases & promotion of health
• Diagnosis & treatment of diseases
• Rehabilitation & vocational training
• Medical education
• Research
 Staffing pattern’s of 200 bed hospital in India:-

LIST OF STAFF S. NO.

OF STAFF

MEDICAL OFFICER PCMS I

2

MEDICAL OFFICER PCMS II 4

• ANAESTHETIST 1

• PATHOLOGIST
1

• RADIOLOGIST
1

• BIOCHEMIST
1

• DENTAL SURGEON
1

• CASUALTY MEDICAL OFFICER

3

• HOUSE SURGEONS
1O

• MATRON
1

• NURSING SISTERS 10

• STAFF NURSES 32

• RADIOGRAPHER
1

• PHERMACISTS
5

• LAB.ASSTT.GRADE I
4

• LAB. ASSTT.GRADE II

• LAB .ATTENDANTS
2
 • DIETICIAN
1

• COOKS
4

• HEAD COOK
1

• STENOGRAPHER
1

• ACCOUNANT
1

• STOREKEEPERS
3

• CLERKS
2

• DENTAL MECHANIC
1

• CARPENTER/PAINTER
1

• CARETAKER/STEWARD
1

• CHOWKIDAR
3

• MALI
2

• OTHER CLASS IV POSTS INCLUDING SWEEPERS 81

• REGISTRAR
-

• HAWALDAR
-

• ASSISTANT MATRON
1

• CASHIER
1

• HEAD CLERK
2
 • OPERATION ROPM ASSISTANT
1

• ELECTRICION
1

• BARBAR
-

• PLUMBER
1

RECRUITMENT POLICY- it has been accepted that here is a need for the
sound recruitment policy,because faulty recruitment policy inflicts a
permanent weakness upon the administration .

The basic elements of the sound recruitment policy should include the
following-

• Discovery and cultivation of the employment market for post

marketing a job in the public private services.

• Use of attractive recruitment literature and publicity.

• Use of scientific test for determining abilities of the candidates.

• Tapping capable candidatesfrom within the services.

• Placement programme which assigns the right man to right job.

• A follow up probationary programme as an integral part of the

recruitment process.

PROCESS OF RECRUITMENT

Personnel Job analysis Employer

planning requisition

Job Recruitment Searching

vacancies planning appl scre hire selec
activation, selling
numbers, ican enin tiioo
message,media
types

Strategy
development Evaluation and
where when Applicants control
population
METHODS OF RECRUITMENT-

Direct methods- it includes employee contacts, manned exhibits and

waiting list are used .

In scouting representatives of the organization are sent to educational and

training institutions.

Manned exhibits include sending recruiters to seminars and conventions,

some organization prepare the waiting list of the candidate who have
indicated there interest in jobs ,through mails and telephone.

Indirect methods-

• advertisement in newspaper,journals and radio.

Third party methods-

• public employment exchange

• management consulting firms

• professionals societies

• temporary help societies

• trade unions

• labour contractors

reservations- reservations for the persons belonging to particular

castes and communities

Interview assessment form

Name: Date time:

job title: ref.no.
 Question Answers/referenc Applicants scores
s e answers
Criteria

Signature:
Name:

 TRAINING IN HOSPITALS-
Every teaching hospital institution has an attached hospital which
provides clinical material for teaching and training of the student in such
hospitals also provide facilities for research both for the teachers and the
students. The method of teaching the patient in a research cum teaching
hospital varies from available in a general hospital. Apart from the training
the patient is used for teaching and research. Here the patient is first
handled by the trainee who examines him thoroughly ,records his details
history and suggest the diagnosis and treatment.the case is then
presented by the trainee to the teacher . the treatment is prescribed by
the consultant only.

In this way the patient besides receiving the treatment also acts as the
material for teaching. He is used for research by the teachers and the
trainee.

The objectives of the training institutions are-

To develop pattern of teaching for diploma, undergraduates and post

graduates in all the branches of the hospital also as to demonstrate the
high standard of education.

To bring together as far as may be in one place educational facilities of

the highest order for the training of personnel in all important branches.

To attain self sufficiency by the students to meet the needs for specialist
and medical teachers in the country.
THE NEHRU HOSPITAL IN NEW DELHI –HAS A BED STRENGTH OF 798; .the
research is carried in various departments of the institution .members of
the faculty implemented research schemes funded by various agencies
including 30 by institutions over 160 by ICMR 15 by CISR,one by
department of science and technology ,govt of India ,6 by ministry of
health and family welfare.

In addition to the basic and applied research on the national priority areas
such as malnutrition ,leprosy, cancer malaria,rehablitaion therapies,
parasitic diseases including the prevention and treatment of diseases to
the lower classes of the societies.

The institution is equally involved in the research for the rural and
community health problems. the institute has recently recognized for
carrying out research on immediate health priorities areas of UT
Chandigarh with particular reference to environmental pollution related
diseases, their diagnosis prevention and treatment.

PHYSICAL SETUP

 OUT PATIENT DEPARTMENT:-

OBJECTIVE & SCOPE OF SERVICES

1 Provision of general medical services to outpatients on

scheduled/unscheduled basis:-

• Preventive & promotive services [immunization, screening,

antenatal clinics, well baby clinics]
• Curative[consultation, investigations ,therapeutic procedures,
speciality services]
• Follow-up of discharged patients, chronic illnesses, postnal clinic.
• Rehabilitation[physiotherapy, occupational therapy, prosthetics &
orthotics]

2 Family welfare services; counseling

3 Health educations

4 Medical, nursing paramedical education

LOCATION OF O OPD:-
• Near the main roads & close to main hospital entrance, but with
sufficient space to provide for parking etc.& to noise &dust
pollution.
 • The outpatient department should be located close to main
entrance& with independent approach, should be segregated from
the inpatient so that pt. visiting the outpatient department need
not passthrough the inpatient department.
• Separate from in patient &other department but connect with
them.
• OPD SHOULD BE CLOSE To:

-Medical records

-Laboratory

-Radiology

-Pharmacy

Patient Flow

Dispensed with

prescription

New patient Reception OPD Counter Respective OPDs

Laboratory X-Ray Ultrasound

Follow up patient Inpatient Department counter

IPD

OT

OPD Clinics in the hospital

There are following OPD’s in the hospital:

• General Medicine

• Pediatrics

• General surgery

• Orthopedic

• Obstetrics & Gynecology

 • Physiotherapy

• Neurosurgery

• Dietary

• Dental surgery

 EMERGENCY DEPARTMENT

The emergency department is a very critical& sensitive unit of any

hospital & is involved in the management of emergency cases. The
emergency service provides immediate, emergency diagnostic &
therapeutic care to the patients with-injuries by accidents ,sudden
attacks of illness or exacerbation of disease

OBJECTIVES & SCOPE OF SERVICES

• Provision of immediate relief to & management of the arriving at

the hospital with acute medical & surgical emergencies for
example—Acute myocardial infraction, Shock ,Status asthmatics
etc.
• Managing accidents victims providing first aid, treatment of minor
injuries & referred to appropriate specialized or hospital, in case
specialized care is necessary & can not be provided in the
hospital.
• Attending all medico-legal formalities, including documentation of
clinical conditions & other particular & initiation to & liaison with
the police.
• Attending the patients coming outside the routine outpatient
working hours & screening them for admission.
• Observation them for short period to determine whether they
need admission
• Providing out patient care.

 Consultation& the Examination Room Equipped with:-

• Doctors seating arrangement with office furniture

• Examination couch
• BP Instrument
• Stethoscope
• Clinical thermometer
• Torch

 PROCEDURE ROOM Equipped with facilities for minor

procedures like suturing ,Endotracheal intubation Dressing ,
Plaster , Catherterisation ,Ryles tube,Operation theatre
 light,Suction machine,Oxygen cylinders,Boiler,Drip stand,
Glucometer etc.

 TREATMENT ROOM Equipped

• -DC Shock machine

• 2 beds for treatment

• Cardiac table

• Instrument for vaccination

 TOILET

 TREATMENT ROOM

The department has one treatment room, which is

used in case the patient has to be kept under observation for
some time. The treatment room is used for vaccination
purpose as well as for chemotherapy &blood transfusion in
case of thalassemia patient .Vaccination are done daily except
on Sundays by the sister incharge in emargency treatment
room . She vaccinates around 20bcases on an average per
day. The patient who are receive blood opera transfusion&
chemotherapy are taken of sister incharge.

 FUNITURE SET-UP

Bed-5,cardiac table& defibrillator

 OPERATION THEATRE -Minor operations are performed in

the procedure room, which can be called minor operation
theater .In case of any major operation such as Head
injury the operations are performed in main operation
theatre of the hospital by the consultants.

FACILITIES PROVIDED IN THE EMERGENCY DEPARTMENT:-

• Medical-

All medical emergency cases such as Gstroenteritis, Pyrexia, Malaria

etc can be managed in emergency department

• Surgery-

Patients of head Injury, Infraction &Shock etc. can be handled at the

emergency department.

• Diagnostic
 The diagnostic services that can be done in emergency department
are-ECG, Blood sugar etc.

• OTHER SERVICES

• Vaccination
• Blood transfusion
• Injection

Critical Patient Flow

Critical Emergency consultant

Patient Department Examines

Payment & Vitals

Registration at OPD Checked

Investigations (ECG,blood suger etc)

Emergency care given to the patient

(IV Fluids, Suction, Endotracheal intubation)

Treatment Initialled

Discharged Admitted to hospita

 Inpatient Department(IDP)-
IPD that department of the hospital in which the
patients are generally kept for more than a day for close
monitoring.

General Ward- Wards of the patients who are not critically ill but
need continues care or observation & have to be in bed. These
include wards for medical, Surgical, ENT & eye disciplines.
 Wards For Specialties-Wards for patient who are suffering &
needs hospitalization in a particular Specialties like
orthopedic,paediatric, obstetric & gynecology.

Intensive care unit – Wards for acute coronary , post operative &
critically ill patient.

DISTRIBUTION OF BEDS

DEPARTMENT NO.OF BED

• MEDICAL 4O
• SURGICAL WARD 40
• ORTHOPAEDIC 3O
• ISOLATION 5
• EY E & ENT 10
• MATERNITY 30
• NEUROLOGY 20
• PEADIATRIC 1O
• RECOVERY 5
• EMERGENCY 10

Patient flow Reception OPD

IPD IPD

Counter counter

Dispen
sed with prescription

Emergency

 General ward facilities:-

• Nursing station
• Treatment room
• Ward pantry
• Ward store
• Sluice room
• Day space
• Sanitary
  Ward ventilation:-

• Mechanical ventilation is costly & lacks flexibility

• Natural ventilation is cheap

 Ward lighting

The lighting of patients room & other areas in the ward has to
satisfy the needs of the pts. well as requirements of the nsg.
staff.The total lighting effect should be such as to contribute to
the general décor& be free of glare to the recumbent pt. Lighting
installing in a ward call for:-

• General lighting
• Reading lighting
• Examination lighting
• Night lighting

 A TYPICAL GENERAL MEDICAL WARD

It has the following:-

• Doctors duty room

• Nursing station
• Two halls separated by a wall for the bed of the patients
• Examination room
• Store
• Kitchen
• Toilets in the corridor
• Seating arrangements for attendants in corridor.

 VARIOUSE OTHER ARTICLES PRESENT IN A TYPICAL GENERAL

WARD:-

• Medicine trolley
• Oxygen cylinder
• IV Drip stands
• Fowler’s bed[28]
• Side table
• Stool for attendants
• Cardiac table
• Thermometer
• BP Instrument
• AP Bottle with stand ,for humidification purpose
 • Suction apparatus
• Wheel chairs
• Fire extinguishers

 A TYPICAL PRIVATE ROOM IN THE PRIVATE WARD:-

It has the following—

• 2 Rooms, one for pt & other for attendant

• Room are separated by curtain
• It is Centrally air cooled
• Attached toilets
• 2 beds
• Chair,table&support stand
• Cardic table

 INTENSIVE CARE UNITS

The superspeciality hospital has intensive care unit, which

provide services to the pts suffering from acute conditions such
as myocardial infraction,strock, angina etc.These units are
divided into the following specialities:-

• ICCU
• ICU
• NICU
• CCU
• MICU
• SCNU

 PHYSICAL FACILYTIES & LAYOUT- The ICU& ICCU has:-

-Doctors duty room equipped with beds& other necessary

furniture

-Hall with curtains separating the floler beds

-Shoe removing room

-Toilet

-Waiting space for attendants in the corridor

-Telephone

-There are beds, cardiac tables& side table for pt.

-The doors are in two parts,&1 part is smaller wich remains
close& is opened only when the streastcher has to be passed.

 BED CAPACITY-

ICCU& ICU CAN ACCOMMODATE 8 &10 BED RESPECTIVELY

TYPE OF BED IS –FOWLER

EQUIPMENT-

-ICCU EQUIPMENT

• Bed side monitors

• Central monitor 8 channel
• ECG Machine
• Glucometer
• Humidifier
• Pulse oxymeter
• Ophalmoscope
• Defibrillatir
• Ventilator
• Sphygmomanometer
• Stethoscope
• Clinical thermometer
• Torch

ICU EQUIPMETS :-

-Bed side monitors

-ECG Machine

-Humidifier

-Infusion pump

-Pulse oxymeter

-Nebulizer

-Ventilatior

-Opthalmoscope

-Pressure monitoring line with monitors

-Sphygmomanometer
 -Stethoscope

-Clinical thermometer

-Torch

 STAFF

-Consultant Doctor

-Resident Doctor

-Sister incharge

-Nursing Staff

-Technicians

-Ward boys

-Sanitary attendants

• EMERGENCY TROLLEY
• DRESSING TROLLEY

TWO BUCKETS FOR STERILISATION WHICH HAVE CIDEX.

 Operation Theatre(OT)-
OT suit of a hospital is a very complex
workshop & most important facility of the surgical
department. The hospital has the following OT –

o 2 Emergency OT tables

o Orthopedic -3Tables

 1 OT table for general operations

 2 OT tables for orthopaedic operation

o 2 OT tables

 1 OT tables for general operation

 1OT table for gynaecology operations

 o 2 OT tables

 On alternative days Cardiac, Eye &

ENT

Physical facilities- The OT has-

• Show- removing room

• Changing room with attached toilets

• Sister incharge & nursing room

• Gynecology OT room

• Scrubbing & wash up room

• Minor OT room

• Sterilization room

• Post operative room

• The entire OT is AC.

 Diagnostic Department
The diagnosis department in the hospital-

1. X- Ray department

2. Sonography

3. Endoscopy

4. 2-D colour Dopper

5. ECG

6. EEG

7. Laboratory Department

The space required for these facilities are given beiow-

 Reception cum Registration with waiting areas & toilets

 Radiography & Fluorocscopy room

  Film Developing & processing Room

 Film Drying

 Contrast Studies & preparation room

 Stores

 X – Ray Record room

 Radiologiest’s Room

 Room for techinician, nurses

 Toilets ( Male/ Female)

Patient Flow-

Patient investigation cash counter

reception counter

Diagnostic
department

SUPPORTIVE SURVICES

The supportive services in the hospital are:

-Blood bank

-Central sterile Supply Department (CSSD)

-Medical record Department

-Laundry

-Housekeeping

-Electronics Data Processing Department

-Communication System

-Public relation
 -Materials Department

-Maintenance Department

AUXILIARY SERVICES:-

Registration& indoor case records-

Registration is a must for a hospital to enroll no patient with

proper entry in OPD cards & keep track of the revisit of the
patients. Medical records help in regulating admission of
patients. It helps in codifying the record according to internal
disease index. It also collects statistics of hospital stay of
patients, i c, admission, discharge, average stay ,etc for future
planning & management.

Stores

The central store receives, stores & issues bulk items

which can, with advantage, be stored centrally. Stores are of
different types—Pharmacy store, chemical stores, Linen store,
Surgical stores, glassware stores, Stock-policy should be devised
in such a way that visit & essential items are always available. It
should be managed by a competent stores officer.

Transport

Transport requiremenets for the carriage of supplies&

patients are:-

A] trolleys

B] Stretchers

C] Wheel chairs

It is preferable to have a central transport gang to shift

the patients. Supplies should also be distributed to all wards by
the central areas.

Mortuary

Each hospital should have a cold storage area or mortuary,

where dead bodies are kept before they are claimed by the
relations. Sometimes post-mortems need to be done for medico-
legal reasons. Unclaimed bodies should he disposed – off
according to rules.

Dietary services
 The dietics department plays an important role in providing
the hospital’s menu to the specific needs of the patients as the
quality of diet contributes a great deal in the treatment of the
patients. This department is to ensure the selection of the food to
meet the requirements of the patients. The department should be
adequately & correctly fed with daily information regarding the
number of patients & types of patients so that food can be
prepared accordingly . This department must be managed by
well-qualified& trained dietician

Engineering& maintenance services

The hospital building ,furniture& other equipments are

essential for the efficient functioning of the hospital especially in
a large hospital. Therefore, there is need to have a separate
department of engineering & maintenance service to provide
immediate services and keep the hospital effective & efficient.

Hospital security:-

Hospitals are not immune from the threat of society’s criminal

element. Thus ,establishment of hospital security force is
essential to ensure the safety of patients & the staff. In a
teaching-cum-research hospital & other large hospitals,
appointment of the security staff has become a matter of great
importance. The security officer must be appointed on the basis
of his experience either in defense services or police services.
Under him, there can be other staff depending upon the size of
the hospital. Hospital security department must have active
liaison with the local police in the area so that they can
supplement each other’s effort.

 MATERIAL MANAGEMENT-
Men money and material are the keys to the development .they assume
considerable importance in corporate functioning as well as in national
economy.

ESSENTIALS PRINCIPLES-

• Right item

• Right quantity

• Right price
• Right source

• Right delivery

• Right methods

• Right people

PURPOSES OF MATERIAL MANAGEMENT-

To develop a system of supplies whereby there will be right quantity of

stock of items properly stored ,easily retrievable and distributed close
to the points of usage ,wherever required ata given time.

The reduction in the inventory costs both carrying cost and ordering
cost.

To ensure that the resources available are used most effectively and
the stores are purchased at the most economical price consistent with
quality.

To bring about the coordination among the various sections in the

organization.

To ensure that the production does not suffer.

To ensure that the sale of finished goods is not effected.

To avoid the wide fluctuations in production.

PRINCIPLES OF INVENTORY MANAGEMENT-

1. Determination of order of quantity.

2. Determination of reorder point of record level.

DRUG MANAGEMENT-

The purpose of drug management is to use drug wisely and avoid

drugs and therefore to enough for patients needs.

EDUCATING STAFF IN THE USE OF DRUGS.

• Put one or more copies of simple book on

pharmacology in the library
 • Make notes on the common drugs

• Make notes on the common drugs.

• Set out the doses of common drugs.

• Hold staff meetings to discuss staff wastge

• Inform all staff about the cost of various drugs

EDUCATING PATIENTS ABOUT DRUGS-very often patients take drugs in a

wrong way .they either reduce the dose to make the treatment last longer
or increase it hoping for a quicker cure.

EXPLAINING PATIENT THE USE OF DRUGS-

Each drug has a specific action .adrug used in one condition is not used in
other condition.

The size of the drug is very important if it is too little it acts to weakto cure
the condition,if it is too large it may poison the patient.

CONTROLLING LIFE SAVING DRUGS-

Make a list of life saving drugs

Place them together in one shelf

Check the shelf frequently

PREPACKING DRUGS FOR OUT PATIENT DEPARTMENT-

This means that full course of treatment with a certain table is put in
small envelops or folded papers before the out patient sessions.

MANAGING EQUIPMENT-

It include- ordering ,storing ,controlling, maintaining and standardization.

Ordering- it is to analyse the requirement based on past experience and

future requirements.this has to done carefully otherwise it can result in
unnecessary purchases.

Storing – equipment must be stored carefully otherwise there is degree if

pilferage or breakage. inventory of store must be maintained an d proper
accounts must be maintained.

Issuing – each ward and unit must be responsible for the equipment
issued to them. They should keep li aison with the store to replenish the
consumed articles or repairs of some other articles.
Controlling and maintaining equipment- this is the most important aspects
of equipment management as it has been observed that most of the non
expendable equipment remains out of order for along time.

Codification not Standardization- in any undertaking having a large

number of items ,codification

Is essential.it hardly needs any emphasis that codification of items is

prerequistee for introduction of mechanization in stock control and
purchase.

 RECORD MANAGEMENT-
Record management is a programme that involves the
functions of creating, administering, retaining, submitting
& destroying records.

o Medical record

Medical record is a clear, concise & accurate history

of the patient’s life & illness, written from health &
medical point of view . thus the medical record
comprises three general section-

I. A general section covering administrative &

personal data. The socio economic record of
the patient include-the name of the patient ,
fathers or husband name, Age , sex , religion,
income, patient’s Address & adders of the
nearest relative . other admission information
include are-date of admission , in patient
number, the name of the nursing unit & bed
number. This sheet is prepared in the central
Admitting office.

II. A nurse section where the observations of the

trained nurses & detail of treatment
administrated. The part of the medical record
consists of graphic charts relating to
Temperature, Respiration, BP& other
observations maintained, intake output charts
& medicine administrated.

III. A medical section containing statements on the

studies , observations , conclusions & activities
 of a them ending doctors or of the intern or
resident worker under him. Medical section of
record consist:

o History Sheet

o Physical examination sheet

o Provisional diagnosis

o All the investigation reports

o Physician order sheet

o Treatment, medical or surgical

o Anesthesia record

o Operation record

o Obstetric record

o Consultancy record

o Progress report

o Final diagnosis

o Discharge summary

o In death- cause of death

o Autopsy report

OTHERS ARE

Vital signs

Operation theater records

Emergency records

Turnbed patient record etc

 BIBLIOGRAPHY:-
• Faisal Khan Dr. Mohd , khan dr. Humera,
“Management of superspeciality hospitals” Ed.-1st
2005. Pp-76
• Barrett jean, ‘Ward Management& teaching’’
Ed.-1st p-147.

• Basavanthappa B.T. ‘ Nursing

administration’Ed-1st, ,2005,pp-155

• Goel S. E. ‘ Hospital administration &

management’Ed – 2nd .2007 pp- 1-70

• www.yahoo.com

• www.pubmet .com

• www.google.com