final dispensary project
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VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
“DISPENSARY PROJECT”
By
VARDAAN HOSPITAL & RESEARCH CENTREBlock Road, Kathitand, Ratu Ranchi - 835222 (Jharkhand)
PROPOSAL FOR 5 BEDDED DISPENSARY
SECTION - A
Page No. 1
Care Personified
VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
(The proposal)
INTRODUCTION
A dispensary in a remote area needs to be equipped with all the basic
facilities for patient care and besides this, instruments for basic emergency
care must be available because lack of emergency care in a place far away
from city limits may give rise to unnecessary complications. Therefore,
impetus must be on providing basic, standard emergency care besides
general care, so that patient could be handled in a satisfactory manner before
being referred to a higher centre.
PARTS OF A 5 BEDDED DISPENSARY
1. Outdoor Patient Department – To cater the patients with daily general
ailments.
2. Indoor Facility with 5 beds (as demanded by the provider).
To treat simple diseases needing continuous care eg, Malaria, Diarrhea, Typhoid patients etc.
To take care of emergencies like trauma, fall, road accidents (minor) & work related accidents etc,
3. Minor O.T. facility - To do simple debridement , stitching, A/s dressing etc,
4. Pathology Department - For simple investigation of Blood, Urine, Sputum
etc, to diagnose diseases like Malaria, Typhoid, Anaemia, Jaundice, Urinary
infection, Diabetes etc.
5. X-ray Facility -
For diagnosing simple ailments like Cough, Pain Abdomen.
For emergency conditions like fractures etc,
6. Drug dispensing counter –
To dispense medicines to outdoor & indoor patients.
7. Staff Station or restroom
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VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
8. Toilet / bathroom facilities for,
Patients
Doctors Staff,
9. Safe drinking water facilities for patients & Staff.
10. Laundry & Sweeping facility.
11. Stationary to maintain paper work,
12. Proper electricity arrangements
13. Regular electrical supply, Generator (7.5KVA) for emergency Operation & X-
ray, Invertors for uninterrupted light source in absence of electricity.
14. Ambulance - For emergency collection & referral of patients.
15. Staff ( for a 5 bedded dispensary),
Doctors - 1 or 2,
Male Nurse - 2 - skilled , 2 - semiskilled ,
Female Nurse - 2 Skilled, 2 - semiskilled.
X- ray technician - 1.
Pathology Technician - 1,
Sweeper - 1,
Washerman - 1,
OT Technician / Staff/ Assistant - 1,
Security guard - 1,
Bookkeeper - 1,
16. Godown + Sterilization Space ,
17. Other items ( Small ones . as per need on the spot),
The above list demonstrates the basic details of a dispensary for
Page No. 3
VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
general and emergency care . The same level of intrastructure will be needed
whether a dispensary is 2 bedded or 5 bedded .Only the quantity or size of
the required facilities will vary according to the size of the dispensary planned.
DETAILES OF EACH FACILITY WITH APPOXIMATE BUDGET
Now the details of each department with their approximate budget are
being described as follows-
1. OUTDOOR PATIENTS DEAPERTMENT
It will be divided in 2 parts :
(a) Patients' registration and Waiting area,
(b) Doctor's Chamber.
(a) PATIENTS' REAGISTRATION & WAITING AREA
Following Items Will be Needed For This -
S.N.
Item No. Approx Price Type of Expenditure
P. Unit Total Monthly One Time1 Table for bookkeeper 1 4000 4.000.00 One Time
2 Chair for bookkeeper 1 450 450.00 One Time
3 Stationary for bookkeeper 1 1000 1,000.00 Monthly
4 Chairs for waiting patients 6 500 3,000.00 One Time
5 Doormats / curtain /table cloths etc for waiting / registration area
1 1500 1,500.00 One Time
6 Dust bin (covered) 1 350 350.00 One Time
7 Miscellaneous items (as per need on the spot)
500.00 One Time
Total 10,800.00 1000.00 9,800.00
(b) DOCTORS CHAMBERS
Following items will be needed for this .
S.N.
Item No. Approx Price Type of Expenditure
Per Unit Total Monthly One Time
Page No. 4
VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
1 Doctor's Chair 1 3000 3,000.00 One Time
2 Doctor's Table 1 5000 5,000.00 One Time
3 Patient's stool (revolving) 1 1200 1,200.00 One Time
4 Attendant's Chair 2 400 800.00 One Time
5 Examination Table + Mattress
1 7500 7,500.00 One Time
6 Weighing machine 1 850 850.00 One Time
7 Torch 1 100 100.00 One Time
8 Stethoscope 1 500 500.00 One Time
9 B.P machine 1 1800 1,800.00 One Time
10 Towel 1 250 250.00 One Time
11 Table cloth 1 300 300.00 One Time
12 Washing bowl + stand 1 1500 1,500.00 One Time
13 Thermometer 1 25 25.00 One Time
14 Hammer 1 100 100.00 One Time
15 Tape 1 30 30.00 One Time
16 Exam table side screen 1 3500 3,500.00 One Time
17 Stationary - Prescription pad, pen etc
1 1000 1,000.00 Monthly
18 Dustbin 1 300 300.00 One Time
19 Doormats / Curtains / bedssheet etc
1 2000 2,000.00 One Time
20 miscellaneous items (as per need on the spot)
One Time
Total 29,755.00 1000.00 28,755.00
2. INDOOR FACILITY WITH 5 BEDS: S.N.
Item No. Approx Price Type of Expenditure
P. Unit Total Monthly One Time1 Patients Bed Simple 4 5000 20,000.00 One Time
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VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
2 Patient bed emergency 1 8500 8500.00 One Time
3 I.V. Stand 5 1200 6,000.00 One Time
4 Bed mattress 5 2000 10,000.00 One Time
5 oxygen cylinder set 2 8500 17,000.00 One Time
6 B.P. Machine 2 1800 3600.00 One Time
7 Stethoscope 2 500 1000.00 One Time
8 Bed side locker 5 2300 11,500.00 One Time
9 Stretcher (folding) 1 2000 2000.00 One Time
10 Stretcher (with wheels) 1 7000 7000.00 One Time
11 Dressing trolley 1 6700 6700.00 One Time
12 Attendants stools (revolving)
2 1200 2,400.00 One Time
13 Bedside Screen 3 3500 10,500.00 One Time
14 Urine pot 5 300 1500.00 One Time
15 Stool Pot 1 400 400.00 One Time
16 Splint ( Bohler - brown) 1 3000 3000.00 One Time
17 Dust bin 5 350 1,750.00 One Time
18 (For nurses) Table 1 3000 3000 One Time
19 (For Nurses) Chairs 2 400 800.00 One Time
20 Almirah for instruments & linen
1 6250 6,250.00 One Time
21. Linen - Bedsheets 10 250 2,500.00 One Time
- Pillow covers 10 100 1,000.00 One Time
- Rubber sheets 10mt 150 1,500.00 One Time
- Pillows 5 200 1000.00 One Time
22. Doormats/ Curtains etc 1Set 3000 3000.00 One Time
23. Miscellaneous items (as per need arises on the spot)
Total 1,31,900.00 0.00 1,31,900.00
3. MINOR OPRATION THEATRE FACILITY:
S. Item No. Approx Price Type of Expenditure
Page No. 6
VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
N. P. Unit Total Monthly One Time1 OT LIGHT (4 DOME)
(ABCO/MED)1 18000 18,000.00 One Time
2 OT TABLE + MATRESS (NONHYDRAULIC BASIC)
1 25000 25,000.00 One Time
3 STEPS 1 1500 1,500.00 One Time
4 IV STAND 1 1200 1,200.00 One Time
5 OXYGEN CYLINDAR SET
1 8500 8,500.00 One Time
6 SUCTION MACHINE MANUAL
1 6000 6,000.00 One Time
7 SUCTION MACHINE AUTOMETIC
1 10800 10,800.00 One Time
8 MCINTOSH / PLASTIC APRONS
12 150 1800.00 One Time
9 OT TROLLEY 1 8000 8000.00 One Time
10 INSTRUMENTS FOR BASIC PROCEDURES & A/S DRESSING
** FULL RANGE OF BASIC INSTRUMENTS (Details given in Page no. 8)
17,330.00 One Time
11 INSTRUMENT DRUMS 9"
3 1000 3000.00 One Time
12 INST. DRUMS 11" 3 1200 3600.00 One Time
13 AUTOCLAVE SINGLE DRUM GAS
1 5500 5500.00 One Time
13 A
AUTOCLAVE SINGLE DRUM ELECTRIC
1 8500 8500.00 One Time
14 STERILISER (FOGGER ) (5LIT.)
1 7000 7000.00 One Time
15 OT TOWELS & GOWNS (1 DZEN EACH)
1 Set 12000 12000.00 One Time
16 MASKS & CAPS DISPOSABILPROCED
1 Box 300 300.00 Monthly
17 SLIPPERS 6
Pairs
100 600.00 One Time
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VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
18 GLOVES 2
Box
1000 2000.00 Monthly
19 MISCELLANEOUS (AS PER NEED)
Total 1,43,330.00 2,300.00 1,41,030.00
** INSTRUMENTS FOR BASIC PROCEDIRES & A/S DRESSING
S.No.
Item Approx Price Type of Expenditure
P. Unit Total Monthly One Time1 ARTERY FORCEFS One Time
Small 6 150 900.00 One Time
Medium 6 200 1200.00 One Time
Large 6 300 1800.00 One Time
2 ALLIS FORCEPS One Time
Small 6 150 900.00 One Time
Medium 6 200 1200.00 One Time
Large 6 300 1800.00 One Time
3 STRAIGHT SCISSORS One Time
Small 2 150 300.00 One Time
Medium 2 200 400.00 One Time
Large 2 300 600.00 One Time
4 CURVES SCISSORS One Time
Small 2 150 300.00 One Time
Medium 2 200 400.00 One Time
Large 2 300 600.00 One Time
5 KIDNEY TRAY One Time
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VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
Small 2 100 200.00 One Time
Medium 2 100 200.00 One Time
Large 2 200 400.00 One Time
6 RECTANGULAR TRAY
One Time
Small 2 180 360.00 One Time
Medium 2 240 480.00 One Time
Large 2 380 760.00 One Time
7 SINUS FORCEPS 1 250 250.00 One Time
8 PLAIN HOLDING FORCEPS
One Time
Med 2 75 150.00 One Time
Large 2 150 300.00 One Time
9 TOOTH HOLDING FORCEPES
One Time
Med 2 75 150.00 One Time
Large 2 150 300.00 One Time
10 STITCH CUTTING SCISSORS
1 110 110.00 One Time
11 SPONGE HOLDERS 2 190 370.00 One Time
12 SIM'S SPECULUM (BRASS)
Small 1 500 500.00 One Time
Large 1 700 700.00 One Time
13 PROCTOSCOPE (BRASS)
One Time
Small 1 500 500.00 One Time
Large 1 700 700.00 One Time
14 NEEDLE HOLDER
Medium 1 200 200.00 One Time
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VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
Large 1 300 300.00 One Time
15 MISCELLANEOUS ( AS
PER REQURIMENT)
TOTAL 17,330.00 0.00 17,330.00
4. PATHOLOGY DEAPARTMENT :
S.N.
Item No. Approx Price Type of Expenditure
P. Unit Total Monthly One Time1. COLORIMETER
(BEACON)1 7000 7000.00 One Time
2. CENTRIFUGE MACHINE (REMI)
1 4000 4000.00 One Time
3. MICROSCOPE BINOCULAR (MICRON)
1 18000 18,000.00 One Time
4. HB METER (TOP) 1 900 900.00 One Time
5. MICROPIPETTE VARIABLE (HBL)
1 2000 2000.00 One Time
6. GLUCOMETER (JOHNS. & JOHNS.)
1 1250 1250.00 One Time
7. TESTTUBES & TEST TUBE HOLDER
1 Set 1500 1500.00 One Time
8. ESR STAND (BOROSIL) 1 500 500.00 One Time
9. ESR TUBE 1 Set 300 300.00 One Time
10. INCUBATOR (ACNE) 14" * 14"
1 5500 5500.00 One Time
11. DIAGNOSTIC STRIPS & KITS FOR DIFFERENT DISEASES (Details Given below) ***
9,350.00 Monthly
12. MISCELLANEONS (AS PER REQURIMENT)
1000.00
TOTAL 51,300.00 9,350.00 41,950.00
Page No. 10
VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
* * * STRIPS & KITS & CHEIMCALS FOR DIFFERENT DISEASES:
S.
N.
Item No. Approx Price Type of Expenditure
P. Unit Total Monthly One Time
1. MALARIA KIT 1 Box 1500 1500.00 Monthly
2. PREGANCY KIT 1 Box 500 500.00 Monthly
3. HEPATITIS KIT 1 Box 1000 1000.00 Monthly
4. HIV KIT 1 Box 2000 2000.00 Monthly
5. URINE DIPSTIC 1 Box 500 500.00 Monthly
6. CHEMICALS FOR
TYPHOID TEST
1 Box 300 300.00 Monthly
7. CHEMICAL FOR BL.
UREA / & CREATININE
1 Box 500 500.00 Monthly
8. CHEMICAL FOR S.
LRILINITINE ( JAUNDICE)
1 Box 300 300.00 Monthly
9. CHEMICAL FOR
BLOOB GROUP &
TYPING
1 Box 500 500.00 Monthly
10. GLUCOMETER STRIPS 1 Box 1250 1250.00 Monthly
11. MISCELLANEOUS
CHEMICAL & STRIPS
1000.00
TOTAL 9,350.00 9,350.00
5. X- RAY FACILITY - This needs the following
X-ray room
Dark room
Page No. 11
VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
X-ray machine accessories
S.
N.
Item No. Approx Price Type of Expenditure
P. Unit Total Monthly One Time
1. X-RAY MACHINE
(100MA) (As per Choice)
1 One Time
GE 2.5 lakh One Time
MEDITRONICES 1.5 lakh One Time
SIEMENS 2.5 lakh One Time
ALLENGER 1.6 lakh One Time
ADONIS 1.5 lakh One Time
2. PATIENTS TROLLEY
FOR X- RAY(BUCKY
TABLE) (For Adonis
and Meditronics)
1 35,000 .00 One Time
PATIENTS TROLLEY
FOR X- RAY(BUCKY
TABLE) (For Others)
1 65,000.00
3. INSTRUMENTS OF DARK ROOM
X-Ray Plates One Time
8” x 10” 1 Box 1500.00 1500.00 One Time
10” x 12” 1 Box 2000.00 2000.00 One Time
12” x 15 1 Box 2500.00 2500.00 One Time
Fixer 1 Box 500.00 500.00 One Time
Developer 1 Box 500.00 500.00 One Time
Patients Gown 2 2 Pair 2000.00 4000.00 One Time
Lead Appon For
Technician
1 3500.00 3500.00 One Time
Blue Base Screen With
Cassette
One Time
8” x 10” 1 Box 2200.00 2200.00 One Time
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VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
10” x 12” 1 Box 3200.00 3200.00 One Time
15” x 18” 1 Box 4500.00 4500.00 One Time
CHEST STAND 1 1500.00 1500.00 One Time
BLOCKER 1 500.00 500.00 One Time
SAFE LIGHT 1 400.00 400.00 One Time
RADIO OPAQUE
LETTERS /DIGITS
1 Set
Each
300.00 300.00 One Time
CLIPS 4 200.00 800.00 One Time
HANGER One Time
12"* 15" 1 450.00 450.00 One Time
10" * 12" 1 500.00 500.00 One Time
MISCELLANEONS (AS
PER REQURIMENT)
500.00
TOTAL 29,350.00 29,350.00
6. DRUG DISPENSING COUNTER
This will need -
1 CHAIR
1 TABLE
4 ALMIRAHS TO KEEP MEDICINES
PHARMACY ITEMS
SURGICAL ITEM
Chair 1 400.00/- 400.00
Table 1 3000.00/- 3,000.00
Almirahs 4 6200.00/- Each 24,800.00
Pharmacy Items Full Range of Basic Medicines
50,000.00 (Initially)
Surgical Items Full Range of Surgical Items
50,000.00 (Initially)
Total 1,09,600.00
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VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
7. STAFF STATION OR REST ROOM
BED+MATTRESS 3000.00
2 CHAIRS 800.00
CURTAIN + BEDSHEET + PILLOW ETC 1000.00
Total 4,800.00
8. TOILET / BATHROOM FACILITIES FOR
Doctors - equipped with basic accessories as soap freshener, mug,
bucket, etc,
500.00
Patients - mug bucket etc 500.00
Total 1,000.00
9. SAFE DRINKING WATER FACILITIES WILL HAVE
S.N.
Item No. Approx Price Type of Expenditure
P. Unit Total Monthly One Time1. AQUA GARD 1 8000 8000.00 One Time
WATER FILTERS 1 1000 1000.00 One Time
Total 9,000.00 9,000.00
10. SWEEPING FACILITIES :-
S.N.
Item No. Approx Price Type of Expenditure
P. Unit Total Monthly One Time1. BROOMS 2 100 200.00 Monthly
2. SWEEPING BRUSHES 2 400 800.00 One Time
Page No. 14
VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
3. MUGS 2 100 200.00 One Time
4. BUCKETS 2 500 1000.00 One Time
5. PHENYL 1000.00 Monthly
6. HAND WASH 1000.00 Monthly
Total 4,200.00 2000.00 2,200.00
11. LAUNDARY :-
1 WASHERMAN ( LOCAL, ON CALL)
MONTHLY EXPENDITURE :- 3000/- APPROX.
12. STATONARY TO MAINTAIN PAPER WORK (MONTHLY EXPENDITURE)
S.
N.
Item No. Approx Price Type of Expenditure
P. Unit Total Monthly One Time
1. REGISTERS 6 100 600.00/- Monthly
2. PENS 15 10 150.00/- Monthly
3. PRESCRIPTION
PADS
1000 1000.00 Monthly
4. WHITENER 1 30.00 Monthly
5. FILES 10 300.00 Monthly
6. STAMP PADS &
STAMPS ETC
5 250.00 One Time
Total 2,330.00 2,080.00 250.00
13. ELECTRICITY ARRANGEMENTS
a. (1400 VA INVERTOR WITH BATTERIES) Rs. 35,000.00
b. 7.5 KVA Air Cooled Generator (Kirlosker) Rs. 85,000.00
Page No. 15
VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
Total Rs. 1,20,000.00
14.AMBULENCE- OPTIONAL, AS IT IS ALREADY AVAILABLE AS
INFORMED.
15.STAFF
S.N.
Item Approx Price Type of Expenditure
P. Unit Total Monthly One Time
1. DOCTORS 2 Part Time 35,000.00/- Monthly
2. MALE NURSE 2 Skilled 14,000.00/- Monthly
3. MALE NURSE 2 Semi killed 10,000.00/- Monthly
4. FEMALE NURSE 2 Skilled 14,000.00/- Monthly
5. FEMALE NURSE 2 Semiskilled 10,000.00/- Monthly
6. X-RAY TECHNICIAN 1 8,000.00/- Monthly
7. PATHOLOGIST 1 10,000.00/- Monthly
8. SWEEPER 1 5,000.00/- Monthly
9. OT ASSISTANT 1 7,000.00/- Monthly
10. SECURITY GUARD 1 5,000.00/- Monthly
11. BOOKKEEPER 1 5,000.00/- Monthly
Total 1,23,000.00 1,23,000.00
16.GODOWN + STERILISATION SPACE - OPTIONAL
17.OTHER ITEMS (SMALL ITEMS AS PER NEEDS THE SPOT) - Will need an
emergency fund of 15000/- approx. monthly.
FINAL BUDGET :
S.N.
Particulars Budget
Total Monthly One Time
Page No. 16
VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
1. Outdoor Patient Department 10,800.00 1000.00 9,800.00
Doctor’s Chamber 29,755.00 1000.00 28,755.00
2. Indoor Facilities with 5 Beds 1,31,900.00 1,31,900.00
3 Minor OT Facilities 1,43,330.00 2,300.00 1,41,030.00
4 Pathology Department 51,300.00 9,350.00 41,950.00
5 X-Ray Machine (Adonis) 1,50,000.00 1,50,000.00
X-Ray Table for Adonis 35,000.00 35,000.00
Dark Room Facilities 29,350.00 29,350.00
6 Drug Dispensing Counter 1,09,600.00 1,09,600.00
7 Staff Station or Rest Room 4,800.00 4,800.00
8 Toilet / Bathroom Facilities 1,000.00 1,000.00
9 Safe Drinking water facilities 9,000.00 9,000.00
10 Sweeping facilities 4,200.00 2000.00 2,200.00
11 Laundry facilities 3000.00 3000.00
12 Stationary to maintain paper
work
2,330.00 2,080.00 250.00
13 Electricity Arrangement 1,20,000.00 1,20,000.00
14 Ambulance facilities Available
15 Staff 1,23,000.00 1,23,000.00
16 Others Items (Miscellaneous) 15,000.00 15,000.00
Total 9,73,365.00 1,59,730.00 8,13,635.00
Consultancy and dispensary management fees will be (10% of) total fixed
budget + (15% of) total monthly running budget.
"SECTION - B"
(OUR BRIEF HISTORY)
1. INTRODUCTION:
Page No. 17
VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
Vardaan Hospital & Research Centre is a 15 bedded hospital situated
at Ratu block , in outskirts of Ranchi. We are basically a periphery based
hospital concentrating mainly at providing health care to people at village &
block level. This hospital is being run by Dr. Namita Singh (MBBS,DGO),a
young gynecologist dedicated solely to treatment of patients at the hospital
and Dr. K. P. Singh (MBBS,MS), a surgeon, who helps her in all aspects of
the management as her husband & colleague.
2. OUR EXPERIENCE IN RUNNING PERIPHERY BASED HOSPITALS:
Our own hospital at Ratu block , Ranchi is running successful for last
two & a half years.
We have run a small dispensary named " Life Line Hospital" at Patratu,
Ramgarh, successfully for four years.
Dr K. P. Singh was personally attached to "Jindal Steel & Power Ltd "
in Patratu area for 2 years and helped the management to develop the
dispensary setup & organize health camps in remote areas around the
steel plant.
We are attached directly with govt. owned schemes for poor people &
providing free treatment to them through schemes like " RASHTRIYA
SWASTHYA BIMA YOJANA (RSBY)"& Jharkraft owned " ICICI
Lombard weavers health policy."
3. OUR FUTURE PROJECTS :
In June, 2012 (less then 15 days from now), we are starting a small
dispensary at Chaibasa in Collaboration with "ICICI Lombard
Page No. 18
VARDAAN HOSPITAL & RESEARCH CENTRE
Project Report
sericulture health policy " to provide health care to sericulture workers
& organize health camps funded by Jharkhand govt.
There are plans of setting small dispensaries of the same type in
Lohardaga & Simdega districts also within next 3 - 4 Months.
Note-
We are open to discuss the proposal and its parts in detail and
available to help in evolving the plans for a basic but standard dispensary
facility as per your requirement.
Regards,
Dr. Namita Singh & Dr. K. P. Singh,
Vardaan Hospital & Research Center,
Block Road, Ratu, Ranchi-835222 (Jharkhand).
Page No. 19
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