visit to a hospital

8/8/2019 Visit to a Hospital

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Submitted by: J. MOUNISHA

Class: XII A

Year: 2009 2010.

A visit to CARE Hospital, Vizag.


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Nothing has been so dreadful as to go to a hospital. I have always managed to keep myself

away from visiting it, for various reasons like the seeing sickness all around, the smell of

anasthesia, the sight of pain and helplessness and the variuous tubes and the needles that

go into the patients bodies.

But I had to change my view about hospitals when I visited the CARE hospital at Vizag. My

grandpa was staying with my uncle when he had a heart problem and he was admitted in

CARE hospital and eventually underwent a byepass surgery. I had to visit him along with my

parents. So I had the opportunity to visit CARE Hospital in Vizag.

The faade is a wide three storey building which is painted and gives a clean look to the

exterior. There are huge glass windows which give sufficient daylight and make it look

bright. My dislike for hospitals made me hesitent to enter. But I was unfairly opinionated.

Though we cannot do away with sickness or sick people, at a hospital, I learnt that proper

reception and attention to the people, be it visitors or patients would make the medicinal

experience a lot more less painful and endurable. As my dad was inquiring at the reception,

I was waiting with my mother in the seats provided. The reception had a tinge of lavender

colour. The nurses and ward assistants were also in white and lavender coloured uniforms

which gave a pleasant look. I heard an ambulance coming and a team of ward boys and

nurses rushed to bring the injured person to the casuality ward. Inpite of the rush and

hustle, the hospital staff were well mannered and handled the movement very smoothly

and efficiently.

My grandfather was un the third floor and we took the elevator which took us to the floor.

We then entered the room where he was lying in a clean and cosy room. There were beeps


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from a monitor and also he was injected with needles. I inquired about his health and how

he was feeling. I have known my grandfather to be most courageous and strong person, but

seeing him in his current situation made him look very vulnerable. But he said he was glad

he was in Vizag and was admitted in this hospital. He said that the doctors and nurses were

very good there and the facilities there were also state-of-the-art. He said I shoud visit the

hospital sometime and see the different facilities available there. My grandfather had

known on how I was aspiring to be a doctor. He introduced me to a lady who was a manager

there at the hospital. She had completed Hospital management in Hyderabad and had

moved in to Vizag.

I was told that with the service-oriented Healthcare delivery model, CARE is geared to

provide cost effective and user friendly medication. Despite the intense competition and

intense marketing tactics employed by multiple commercial corporate organizations, CARE

has carved a niche for itself by garnering the best reputation amongst the local masses.

Armed with the best of the facilities in areas of Education, Research, patient care and highly

qualified professionals, CARE endeavors to match global benchmarks and conquer

healthcare market in the second decade of its establishment.

CARE Visakhapatnam was established in tune with these hall marks of the CARE group. CARE

Visakhapatnam, a part of the CARE group chain of super-specialty hospitals, has been in the

forefront in delivering quality medicine since 1999. And since then, it has made a mark for

itself as a premier Institute. Originally started out as an exclusive hospital for treatment of

cardiac and cardio thoracic ailments, it has firmly rooted itself into the community and

gradually, over the decade, emerged as a multi-disciplinary super-specialty hospital.

This 140 bedded hospital is designed to render services in various specialties like Cardiology,

Cardio Thoracic Surgery, Neurology, Neurosurgery, Nephrology (Dialysis), Critical Care,


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Gynecology, orthopedics, Urology, Oncology, ENT, General Surgery, Physiotherapy and all

other specialties.

With a surplus of experienced and highly qualified surgical staff and envious state-of-the-art

technology, the hospital has set its eyes of achieving the common CARE goal i.e. achieving

the highest patient satisfaction by providing high quality care at affordable cost.

The CARE hospital at Visakhapatnam is headed by Dr. V. Krishna Murthy MD, Executive

Director.

There are a toltal of 140 beds, and are classified as under:

TOTAL BEDS - 140

GENERAL WARD 24

SHARING ROOM 32

SINGLE ROOM 20

A/C ROOM 10

ICCU 10

AMCU 5

ISOLATION 2

CTICU 10

SICU 10

NICU 5

POST CATH 5

CASUALTY 7

The Hospital is equipped with :

1. 22 dedicated Consultation chambers2. 34 ICCU beds with HP Monitors and Siemens Ventilators, 7 casualty beds, 6 NICU

beds, 5 AMCU, 2 Isolation beds.

3. 6 Pre-Cath and post Cath beds.4. 7 fully equipped Operation Theatres.5. Two OT exclusively for Cardiac Surgery one for Neuro Surgery, one for Orthopedic

and here for general surgery.

6. 25 surgical ICU beds with HP color Cardiac Multi Channel Monitors and SeimensVentilators.


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7. Neuro ICU beds with HP color Cardiac Multi Channel Monitors. All the cardiacmonitors are interconnected bed to bed with interchange facility.

8. General ward beds with central supply of Oxygen and Vaccum facility.9. Sharing non- AC beds.10.single AC rooms.11.Deluxe AC rooms.12.Air-conditioned Lecture hall to accommodate 54 persons along with slide projectors

and LCD projector for computerized multimedia presentations.

13.Two 250 KV electric generators. 2 X 40 KVA UPS system in parallel redundancy.14.Fully equipped in-house Bio-chemical lab.15.Radiology services with 300 MA (Wipro) and portable 30 MA X-ray (GE)16.Spiral CT Scan17.5 ECG page writers.18.Phillips Color Doppler ECHO, Ultra Sound 2000 series including TEE probe.19.Computerized TMT machine of Marquette makes.20.Holler Recorder (Space Lab)21.Peripheral Vascular Doppler, Carolid Doppler with pediatric and adult transducers.22.Pulse Oxymetres (Nelcor)23.Blood gas analyzer (AVL Compact 2)24.Electrolyte analyzer (AVL 9130)25.Cineless digital Cath lab of GE makes with DSA facility.26.Pulmonary Function Test (PFT)27.Video Endoscopy28.Central gas supply system for the CCUS and all the patients29.Heart lung machine30.Multiple parameter monitors with central network.31.EEG, EMG and ENG32.Surgical operating microscope33.Neuro endoscope34.syringe pumps and infusion pumps35.

Ventilators (Adult, Pediatric and neonatal)

36.Transport Ventilator


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37.Anesthesia Ventilators38.Video endoscope for upper GI, lower GI, ERCP39.Bronchoscopy40.C-Arm41.Pneumatic drill and tourniquet42.Ultrasound and Color Doppler43.ABG and Electrolytes analyzers.44.Biochemical auto analyzer45.Cell counter46.Diathermy apparatus47.Two 50 CFM oil, fire, air compressors48.Two 15 HP vacuum pumps49.CSSD with steam and ETO Sterilizers50.240 TR central air conditioning system51.Laparoscope Equipment52.Video conferencing facility.

Apart from the routine services, like patient consultation , ECG, ECHO, TMT, Blood

investigations and procedures like temporary pacing, pericardiocentesis, intra-aortic balloon

pumping and ventilatory care etc., we are also providing the state-of-art technology by

performing procedures like Coronory Angiogram, angioplasty-routine as well as Primary

Stenting, Balloon Valvuloplasty, permanent pacing and Peripheral Interventions.

The Cardiac Surgery procedures like CABG (Bypass Surgery) on beating heart and on CPB,

Valve replacements and valve reconstructions are done regularly at our hospital. Congenital

Heart Disease like ASD/ VSD and other complex anomalies are corrected. Major Thoracic

surgeries and vascular procedures are also done. Emergency CABG and Emergency Valve

Reconstruction facilities are also available.

A Nephrologist to deal with Kidney problems and dialysis is available.

Well trained physiotherapists are available at our Physiotherapy department.


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Specialized procedures in Laparoscopy surgery, Spine Surgery, Knee replacement are

performed with a high success rate.

The hospital is equipped with Multi-Slice spiral CT scan for scans such as CT Angio, etc.

Visiting hours for relatives of the patients admitted to CARE Vizag are from 9 AM to 2 PM

and from 3 PM to 6 PM for out patient consulting.

I then enquired about the admission of a patient. She explained in detail on the admission

procedure:

The first step to admitting a patient is calling up the office, you need to confirm a bed for

the patient. After telephonic confirmation of your bed, you may bring the patient along with

the doctors note for admitting into the hospital. You can also bring your letter of authority

from your company for insurance details. After fulfilling the formalities at the admission

counter, you will be given an Admission Number. Then, you will be guided to floor / room

allotted.

Allotment of bed/room at CARE Hospital is based upon diagnosis/preference/eligibility and

availability of room/bed on the day of admission. The Inpatient reception PRE will assist you

in the admission process.

Unless you are admitted through the Emergency Department, your scheduled hospital stay

will begin at the In-patient reception area located in the ground floor. Each patient will

receive an admission folder that includes patient information leaflets. Please take time to

read this important information.

To control the crowd and noise, we issue only one pass for an attendant, which is to be

surrendered at the admission counter at the time of discharge.The Emergency/Casualty

rooms function 24/7.

At the time of admission, advance payment, basing on the kind of treatment, should be

made in cash or with credit cards at the inpatient cash counter. We do not accept cheques.


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Patient food charges are included in bed and service charges. Extra diet will be charged

separately.

Charges for lab services, professional visits, surgeries/procedures, medical equipment, etc.

will vary as per the category of bed chosen.

Patients are requested to retain all receipts of deposit/advances made. Original receipt will

have to be produced for collecting refunds. Refunds above Rs.10000/- will be refunded by

Cheque. At the time of discharge, please handover the checkout slip to the hospital security.

The admission and billing departments function round-the-clock.

The Department of Medicine in care hospital Vizag is classified as under with the following

specialized treatments

Anesthesiology Cardiology Critical Care Dermatology

Emergency Medicine Endocrinology Gastro-Enterology Internal Medicine

Life Style Clinic Nephrology Neurology Nuclear Medicinee

Physiotherapy Psychiatry Pulmonology RESPIRATORY MEDICINE

Medical Oncology

The classification of Department of Surgery is as under:

Cardio Thoracic Surgery Cosmetic Surgery ENT Hand Surgery

General Surgery Gastrointestinal Surgery Gynecology Laparoscopic Surgery

Neuro-Surgery Ophthalmology Orthopedics Plastic Surgery

Surgical Oncology Urology Vascular Surgery
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There are about 100 doctors who render their expertise and services to various

departments, they are

Anesthesiology

Dr. Asha Joseph Dr. J. John David Dr. K. Sri.Rama Rao Dr. N. Giri Babu

Dr. P. Ravi Chandra Has Dr. P. Ravi Kumar Dr. P.N.V.M.K. Shyam Dr. S.Anuradha

Dr. T. Kiran Babu Dr. V. Fani Kumar Dr.M.Disha Dr.T.Lakshmi Rani

Dr.T.Mohan S.Maharaj

Bio-Chemistry

Dr. Nirupama Devi

Cardio Thoracic Surgery

Dr. M. Kishan Dr. S.B.R. Narasimham Dr.K.Padhy MS. Mch.Dr.P.V.Satyanarayana

MS.Mch

Cardiology

Dr S Abbayi Dr.C.V.Rao MD.DM Dr.G Surya Prakash Dr.G.S.R.Murthy MD.DM

Dr.G.V.Reddy Dr.K.Damodara Rao MD.DM Dr.M.Bhaskara Rao MD.DM Dr.P.Ramana Rao

Dr.P.V.V.N.M.Kumar MD.DM Dr.Y.Suman Vyas

Chest Physician

Dr. T.Anantha Lakshmi Dr.A.Prem Kumar Dr.G.Ravindra Babu Dr.Sunil Kumar

Dermatology

Dr. Bharani Dr. Dolla Srinivasa RaoDr.Narayana Rao (Visiting

Consultant)Dr.Ragu Rama Rao

Endocrinology

Dr.Dilip Kumar Dr.G.R.Sridhar Dr.K.A.V.Subramanyam


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ENT

Dr. P. Sai Balaram Krishna Dr.M.V.Appa Rao Dr.Rakesh Godavarthi

Gastro-Enterology

Dr. G.Satyanarayana Dr.A.V.Siva Prasad Dr.P.Murali Krishna Dr.Pedda Veera Raju

General Surgery

Dr.G.Santha Rao Dr.James JachariahDr.M.Vijaya Poornima

MurariDr.T.Narayana Rao

Dr.Vasanthi

Gynecology

Dr.S.Anuradha

Internal Medicine

Dr.K.Anitha Dr.M.V.R.J.Somayajulu Dr.Mamamchen Cherian Dr.V.Krishna Murthy

Medical Oncology

Dr.Ravi Mohan Dr.Ravisankar(Oncologist) Dr.V.Murali Krishna

Nephrology

Dr.B.S.Nehru Dr.K.Kalyan ChakravarthyDr.Ravi Shankar (Visiting

Consultant)Dr.V.Srinivas

Neurology

Dr.Butchi Raju Dr.G.Kishore Babu MD.DM. Dr.K.Venkateswarulu Dr.Madhusudan Babu

Dr.V.Satyanarayana

Neuro-Surgery


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Dr. R. Suryanarayana Raju Dr. V.A. Rama Raju Dr.K.Sathish Dr.P.V.Ramana DNB. FMNS

Obstetrics and Gynecology

Dr. S.Anuradha(Visiting Consultant) Dr.B.Padmaja Dr.S.Vara Lakshmi

Orthopedics

Dr. Vasantha Kumar Dr.Laxman Rao Dr.P.Satish Kumar Dr.T.V.Ramana Murthy

Pathology

Dr. N. Mahadeva Sastry Dr. P.K. Chakrabati

Pediatrics

Dr.Atchum Naidu

Plastic Surgery

Dr.P.R.K. Prasad

Psychiatry

Dr.G.S.P.Raju

Radiology

Dr. D. Sailaja Dr. K. Rama Seshu Dr. M. Saleem Pasha Dr.Mani Babu (VMC)

Dr.Suman (VMC)

Urology

Dr.Ch.Subba Rao Dr.I.K.Raju Dr.Ramesh Raju

Educational Programs


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CARE Foundation has its own set of educational programs aimed at improving the quality of

medical education. Our Educational Programs are affiliated to the following universities:

INDIRA GANDHI NATIONAL OPEN UNIVERSITY NETAJI SUBHAS OPEN UNIVERSITY (NSOU) DIRECTOR OF MEDICAL EDUCATION

The universities are centres of quality educational standards. CAREs collaboration with

these universities is to bring out the best in each medical student. Each of the courses

offered is given in detail.

Post Graduate Diploma Programme in Community Cardiology (PGDPCC).

Physician Assistant.

MSc in Hospital Administration for Nursing Graduates.

Post-Graduate Diploma Course in Cardiovascular Nursing.

CARE hospitals being a member of The Andhra Pradesh Rural Health Initiative,

Collaboratedly works to improve health status, prevent and manage non-communicable

disease, prevent premature death, and enhance access to health services for the people of

rural Andhra Pradesh. We aim to achieve this through the design, implementation and

evaluation of affordable and sustainable interventions that can be incorporated in the

existing primary health care infrastructure of rural areas.

Hospital Waste Management is a project started with the sole objective of stopping

recycling and reuse of clinical waste such as syringes and other disposables. To ensure that

this was also followed at the hospital, and I also wanted to know about Bio-medical waste

management. The recycling of clinical waste results in spread of typhoid, Hepatitis B, C,HIV

and epidemics. Hospitals produce waste, which is increasing over the years in its amount

and type. The hospital waste, in addition to the risk for patients and personnel who handle

them also poses a threat to public health and environment. The main functions of the Bio-


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Medical Waste Management (BMWM) system (one of the modules of a Hospital

Management Information System) is to ensure proper handling, segregation, mutilation,

disinfection, storage, transportation and final disposal of Bio-Medical waste. This paper

presents the design of the BMWM within the overall scheme of a Hospital Management

Information System.

The BMWM system generates alerts under exceptional conditions such as violation of

segregation guidelines, waste not treated with in a defined period, violation of trolley route

for waste collection, etc. It ensures the segregation and transportation of waste bags at the

point of generation according to bag colour and trolley mapping so that mixing of bags can

be avoided. A digital weighing machine with direct interface to the system takes the weight

of the waste bags. It also provides various crosscheck mechanisms for reducing theft/

pilferage occurrences, at the time of storage of the waste in the Department area. In

addition to this, many health care providers and diagnostic centres throw contagious waste

on the roadside or in municipality containers. On seeing the facility I got a fair

understanding of how the medical waste was catagorized and disposed accordingly.

On seeing the entire facility, where I was lucky because there is only limited access, I was

rest assured and I started appreciating the work of doctors and other hospital personnel

who can make a difference to peoples lives. My want to aspire medical profession

increased more and I have high regard for this noble profession. I am hoping to visit the

specialized treatment centres with high tech equipments. Thus my visit was inspiring and

enlightening one.

visit to a hospital

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