NEW PROPOSALS
The initial steps for various quality improvement services in GHP have been accomplished as far possible at local level. But the hurculean task ahead bestows on Govt’s initiation and support. In order to achieve the coveted ISO accreditation, the hospital need stressed for improvements especially in 3 primary fields –
(a) Manpower, (b) Infrastructure and (c) Equipments.
(a) MANPOWER
1. MAN POWER – DOCTORS (IPHS Norm 8.1)
Indian Public Health Standards (IPHS) For 101 to 200 bedded Hospitals
|
S. No |
Staff |
Norms (101-200 Bedded) |
In position |
Required |
|
|
R |
C |
|
|||
|
1 |
DDHS/Jt DHS |
1 |
1 |
|
|
|
2 |
Hospital Superintendent |
1 |
1 |
|
|
|
3 |
Medical Specialist |
3 |
2 |
|
1 |
|
4 |
Surgery Specialists |
3 |
1 |
|
2 |
|
5 |
O&G specialist |
6 |
1 |
|
5 |
|
6 |
Psychiatrist |
1 |
0 |
|
1 |
|
7 |
Dermatologist / Venereologist |
1 |
0 |
|
1 |
|
8 |
Paediatrician |
3 |
0 |
|
3 |
|
9 |
Anesthetist (Regular / trained) |
6 |
1 |
|
5 |
|
10 |
ENT Surgeon |
2 |
1 |
|
1 |
|
11 |
Opthalmologist |
2 |
2 |
|
|
|
12 |
Orthopedician |
2 |
2 |
|
|
|
13 |
Radiologist |
1 |
0 |
|
1 |
|
14 |
Microbiologist |
1 |
0 |
|
1 |
|
15 |
Casualty Doctors / General Duty Doctors |
20 |
18 |
|
2 |
|
16 |
Dental Surgeon |
1 |
3 |
|
|
|
17 |
Forensic Expert |
1 |
0 |
|
1 |
|
18 |
Public Health Manager1 |
1 |
0 |
|
1 |
|
1\9 |
AYUSH Physician2 |
4 |
1 |
|
1 |
|
20 |
Pathologists |
2 |
2 |
|
3 |
|
|
Total |
62 |
36 |
|
29 |
Note:
1 May be a Public Health Specialist or management specialist trained in public health
2 Provided there is no AYUSH hospital / dispensary in the district headquarter
2 MAN POWER – PARA MEDICAL (IPHS Norm 8.2)
|
S. No |
Staff |
Norms(101-200 bedded) |
In position |
Required |
|
|
R |
C |
|
|||
|
1 |
Staff Nurse* |
75-100 |
15 |
|
60 |
|
2 |
Hospital worker (OP/ward +OT+ blood bank) |
30 |
12M+10 F |
|
8 |
|
3 |
Sanitary Worker |
20 |
10 |
|
10 |
|
4 |
Ophthalmic Assistant / Refractionist |
2 |
1 |
|
1 |
|
5 |
Social Worker / Counsellor |
2 |
0 |
|
2 |
|
6 |
Cytotechnician |
1 |
0 |
|
1 |
|
7 |
ECG Technician |
1 |
1 |
|
|
|
8 |
ECHO Technician |
1 |
0 |
|
1 |
|
9 |
Audiometrician |
1 |
0 |
|
1 |
|
10 |
Laboratory Technician ( Lab + Blood Bank) |
12 |
2 |
|
10 |
|
11 |
Laboratory Attendant (Hospital Worker) |
4 |
1 |
|
3 |
|
12 |
Dietician |
1 |
0 |
|
1 |
|
13 |
PFT Technician |
1 |
0 |
|
1 |
|
14 |
Maternity assistant (ANM) |
6 |
6 |
|
|
|
15 |
Radiographer |
3 |
2 |
|
1 |
|
16 |
Dark Room Assistant |
2 |
1 |
|
1 |
|
17 |
Pharmacist1 |
8 |
4 |
|
4 |
|
18 |
Matron |
1 |
0 |
|
1 |
|
19 |
Assistant Matron |
2 |
1 |
|
1 |
|
20 |
Physiotherapist |
2 |
0 |
|
2 |
|
21 |
Statistical Assistant |
1 |
0 |
|
1 |
|
22 |
Medical Records Officer / Technician |
2 |
0 |
|
2 |
|
23 |
Electrician |
1 |
0 |
|
1 |
|
24 |
Plumber |
1 |
0 |
|
1 |
|
Total |
180 |
66 |
|
114 |
|
Note
* 1 Staff Nurse for every eight beds with 25% reserve.
1 One may from AYUSH
3. MANPOWER- ADMINISTRATIVE STAFF (IPHS Norm 8.3)
|
S. No |
Staff |
Norms (101-200 bedded) |
In position |
Required |
|
|
R |
C |
|
|||
|
1 |
Manager (Administration) |
1 |
0 |
|
1 |
|
2 |
Junior Administrative Officer |
1 |
0 |
|
|
|
3 |
Office Superintendent |
2 |
0 |
|
1 |
|
4 |
Assistant |
5 |
0 |
|
|
|
5 |
Junior Assistant / Typist |
3 |
0 |
|
|
|
6 |
Accountant |
2 |
0 |
|
2 |
|
7 |
Record Clerk |
3 |
0 |
|
1 |
|
8 |
Office Assistant |
2 |
2 |
|
|
|
9 |
Computer Operator |
2 |
0 |
|
2 |
|
10 |
Driver |
3 |
5 |
|
|
|
11 |
Peon |
2 |
3 |
|
|
|
12 |
Security Staff* |
2 |
0 |
|
2 |
|
Total |
28 |
10 |
|
9 |
|
Note :
Drivers post will be in the ratio of 1 Driver per 1 vehicle. Driver will not be required if outsourced
* The number would vary as per requirement and to be outsourced.
4. MAN POWER – OPERATION THEATRE (IPHS Norm 8.4)
|
Sl. No |
Staff |
Norms (101-200 bedded) |
In position |
Required |
||||
|
Emergency / FW OT * |
OPTH/ENT |
A&E |
Elective |
R |
C |
|||
|
1 |
Staff Nurse |
5 |
2 |
1 |
3 |
|
|
|
|
2 |
OT Assistant |
4 |
2 |
2 |
2 |
|
|
|
|
3 |
Sweeper |
2 |
1 |
1 |
1 |
|
|
|
|
Total |
11 |
5 |
4 |
6 |
|
|
|
|
(B) INFRASTRUCTURE
|
Mandatory Infrastructure development as per identified gaps in context of ISO certification |
||||
|
|
|
|
|
|
|
CIVIL WORKS |
|
|
||
|
|
|
|
||
|
(1) |
Renovation & Re-modification of the Kitchen |
Rs |
7,11,000 |
|
|
(2) |
Renovation of Central Dispensary |
Rs |
2,97,000 |
|
|
(3) |
Renovation & Re-modification of OT with replacement of tiles in walling and replacement of mosaic flooring with vitrified tiles |
Rs |
51,37,000
|
|
|
(4) |
Rearrangement and remodelling of Pathology Lab |
Rs |
5,47,000 |
|
|
|
Sub-Total |
Rs |
66,92,000 |
|
|
|
Add: labour cess (1%) + quality control (1%) + WC Esstt (1.5%) + Contingencies (3%) |
Rs |
4,34,980 |
|
|
|
Total(A) |
Rs |
71,26,980
|
|
|
ELECTRICAL WORKS |
|
|
||
|
|
|
|
||
|
(5) |
(I) |
Re-Wriring Of 3 Block Indoor Wards Of GHP |
Rs |
11,70,370 |
|
|
(II) |
Separate panel Board |
Rs |
6,54,488 |
|
|
|
Rs |
18,24,858 |
|
|
|
Total(B), Say |
Rs |
28,25,000 |
|
|
|
|
|
|
|
|
|
Grand Total (A+B) |
|
99,51,980 |
|
|
|
|
|
|
|
|
Infrastructure development (basic) |
||||
|
|
|
|
|
|
|
CIVIL WORKS |
|
|
||
|
|
|
|
||
|
1 |
C/o residential staff quarters, RCC structured, Type-I (12 Nos), Type-II (18 Nos), Type-III (12 Nos), Type-IV (10 Nos) |
Rs |
5,72,20,400 |
|
|
2 |
C/o Imaging Unit, RCC Type |
Rs |
1,16,30,000 |
|
|
3 |
C/o Post Mortem Unit, RCC Type |
Rs |
45,27,000 |
|
|
4 |
C/o Medicine Store Unit, RCC Type |
Rs |
84,57,000 |
|
|
5 |
C/o Casualty Unit, RCC Type |
Rs |
80,58,000 |
|
|
6 |
C/o 1st Floor on existing ICU, Maternity & Child Health complex |
Rs |
1,90,45,000 |
|
|
7 |
C/o ANM Hostel building (120 students) |
Rs |
3,92,65,000 |
|
|
8 |
C/o Compound wall in between staff quarters, hospital campus and around T-II & T-III |
Rs |
79,41,200 |
|
|
9 |
Levelling and flooring of open area in hospital campus |
Rs |
6,58,08,000 |
|
|
10 |
Drainage and sewer system |
Rs |
1,38,70,000 |
|
|
11 |
C/o Internal road |
Rs |
1,35,24,300 |
|
|
|
Sub-Total |
Rs |
24,93,45,900 |
|
|
|
Add: labour cess (1%) + quality control (1%) + WC Esstt (1.5%) + Contingencies (3%) |
Rs |
1,62,07,483 |
|
|
|
Total (C) |
Rs |
26,55,53,383 |
|
(C) EQUIPMENTS
|
Sl No |
Name of the Equipment |
Quantity Required |
Approx Rate |
Total |
||
|
|
|
|
|
|
|
|
|
PATHOLOGICAL LABORATORY
|
||||||
|
1 |
Rotary Microtone with accessories |
1 |
Nos |
6,00,000 |
6,00,000 |
|
|
2 |
Fully automated chemical analyzer |
1 |
No |
4,00,000 |
4,00,000 |
|
|
3 |
Haemoanalyzer for differential study |
1 |
No |
6,00,000 |
6,00,000 |
|
|
4 |
Microscope – Binocular (Olympus) |
2 |
Nos |
30,000 |
60,000 |
|
|
|
|
|
|
|
|
|
|
INVASIVE ADVANCE DIAGNOSTIC EQUIPMENTS
|
||||||
|
1 |
Upper Gastro-intestinal tract full set videoscope (Olympus) |
1 |
No |
17,00,000 |
17,00,000 |
|
|
2 |
Colonoscope (Olympus) |
1 |
No |
10,00,000 |
10,00,000 |
|
|
3 |
Bronchoscope (Fibre Optic) |
1 |
No |
4,00,000 |
4,00,000 |
|
|
4 |
Oesophagoscope (Fibre Optic) |
1 |
No |
4,00,000 |
4,00,000 |
|
|
|
|
|
|
|
|
|
|
NON-INVASIVE ADVANCE DIAGNOSTIC EQUIPMENTS
|
||||||
|
1 |
C-Arm (II TV) |
1 |
No |
1,00,00,000 |
1,00,00,000 |
|
|
2 |
CT Scan |
1 |
No |
1,10,00,000 |
1,10,00,000 |
|
|
3 |
MRI |
1 |
No |
2,30,00,000 |
2,30,00,000 |
|
|
|
|
|
|
|
|
|
|
EQUIPMENT FOR OPERATION THEATRE |
||||||
|
1 |
Hydrogen Peroxide Low Temperature Plasma Sterilizer 30 Ltr (Johnson & Johnson) |
1 |
No |
2,50,00,000 |
2,50,00,000 |
|
|
2 |
OT Table (Remote Control) |
1 |
No |
8,00,000 |
8,00,000 |
|
|
3 |
Anaesthetic Ventilator |
2 |
Nos |
3,00,000 |
6,00,000 |
|
|
4 |
Diathermy Machine - Mono & Bipolar (L&T) |
2 |
Nos |
1,50,000 |
3,00,000 |
|
|
5 |
Harmonic Scalpel |
1 |
No |
18,00,000 |
18,00,000 |
|
|
6 |
Multi focal Shadow-less Ceiling light (Philips) |
1 |
No |
2,50,000 |
2,50,000 |
|
|
7 |
Mobile Single Operating Light (Philips) |
2 |
Nos |
1,50,000 |
3,00,000 |
|
|
8 |
CO2 Monitor (5-Parameter) |
2 |
Nos |
2,00,000 |
4,00,000 |
|
|
9 |
Cardiac Monitor (4-3 Parameter) for ICU |
2 |
Nos |
1,50,000 |
3,00,000 |
|
|
10 |
Pulse Oxymeter |
6 |
Nos |
50,000 |
3,00,000 |
|
|
|
|
|
|
|
|
|
|
DEAD BODY DEEP FREEZER
|
||||||
|
1 |
Walk in Cooler (Deep freeze) full set |
1 |
No |
15,00,000 |
15,00,000 |
|
|
|
|
|
|
|
|
|
|
SOME IMPORTANT INSTRUMENTS
|
||||||
|
1 |
DHS (Dynamic Hip Screw) |
1 |
No |
20,000 |
20,000 |
|
|
2 |
Interlocking Nail |
2 |
Set |
15,000 |
30,000 |
|
|
3 |
Arthtroplasty Hip |
1 |
No |
15,000 |
15,000 |
|
|
4 |
Pneumo-Tournique |
1 |
No |
30,000 |
30,000 |
|
|
5 |
Electrical Drilling |
1 |
No |
10,000 |
10,000 |
|
|
6 |
Plaster cutter (for fibre glass) |
1 |
No |
10,000 |
10,000 |
|
|
|
|
|
|
|
|
|
|
LAPAROSCOPIC INSTRUMENTS |
||||||
|
1 |
Laparoscopy instruments for Cholecystectomy – Full set (Karlz Storz) |
1 |
Set |
15,00,000 |
15,00,000 |
|
|
|
|
|
|
|
|
|
|
EYE SECTION |
|
|
|
|
||
|
1 |
Phaco Emulsification Machine |
1 |
set |
11,000,00 |
11,00,000 |
|
|
|
|
|
|
|
|
|
|
ENT SECTION |
|
|
|
|
||
|
1 |
Operating Microscope for ENT (Carl Zeiss) |
1 |
No |
5,00,000 |
5,00,000 |
|
|
|
|
|
|
Total |
8,39,25,000 |
|
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BEFORE SELF
GHP 1912-2015
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