Orientation To Hospitals
Orientation To Hospitals
Orientation To Hospitals
Administration
Pt.
Pt. CARE
CARE
TEACHING
TEACHING RESEARCH
RESEARCH
FUNCTIONS
FUNCTIONS
HEALTH
HEALTH SYST
SYST EMPLOYMENT
EMPLOYMENT
SUPPORT
SUPPORT
SOCIETAL
SOCIETAL
FUNCTIONS OF HOSPITALS
(c)Nursing services
(f)Waste disposal
(g)Dietary service
(h)Laundry linen services
(j)Pharmacy department
(m)Blood bank
(n)Autopsy functions
(o)Safety functions
BASIC FUNCTIONS:
FUNCTIONS:
patients will be kept on drugs and planned diet in ward till recovery.
Regular rounds by doctors,nurse,paramedics,dieticians and physiotherapists to check
the condition and advice further plan.
Ward will contain all emergency drugs ,oxygen,trays,monitors,to deal in emergency
situations.
A team of specialists,duty doctors,paramedics,physiotherapists,and technicians are
always available in shifts.
Concerned dept will be called for referral cases.
Training medicos,paramedics,and nurses will be done in wards in cases of teaching
hospitals.
SUPPORTIVE SERVICES IN HOSPITAL:
Selects workers
Registration Reception
Main waiting
Area
Admission OPD
Ward Investigatio
X-Ray Lab
n
BEST ATTRIBUTES OF A HOSPITAL
Efficiency and cost effectiveness
Flexibility and expandability
Therapeutic environment
Cleanliness and sanitation
Controlled circulation
Aesthetics
Security and safety
Sustainability
Relevant codes and standards
Reception & Enquiry desk
It serves the reception ,information, and
communication needs of patients and visitors.
It should be easily accessible as they enter the
lobby.
It’s position should govern the horizontal and
vertical routes linking the lobby with the main hospital
and other areas.
Enquiry desk
It should posses all information regarding
hospital services, transportation timing .
A good map of the places in the city for
patient guidance.
It can be a see through cubicle with glass
paneled wall. above a height of 1.10 meter
with a swinging door .
In small hospital an open counter serves
the purpose.
Hierarchical structure of reception
Reception Manager
Receptionist
porter
Activities of a Receptionist
Should be a good communicator.
Pleasant personality.
A high level of personal grooming.
Intelligent and smart.
Positive attitudes
Calm and composed
Physically fit
Can handle pressure situation smartly
Quick decision making ability
Remembering patients by names and
faces
NURSING SERVICES
➲ Main aim is to help the patients in restoring good
health by providing services as per patients need
which are-
a- Basic human needs
b- Social needs
c- Need for conservation of patients energy
d- Need for maintenance &restoration of body
structure &function
Operation Theatre
OPERATION THEATRE
FUNCTIONS & PRINCIPLES
• CONDUCTING SURGICAL OPERATIONS
• MAJOR
• MINOR
• TRIVIAL
• TOTAL ASEPSIS
• SCHEDULING OT PROGRAMMING
• PLANNING
• THEATRE PRACTICES
• STAFFING PATTERNS
• TRAINING & TEACHING
• ADMINISTRATION
• UTILIZATION OF OTS-SPACE & TIME
• OT RESOURCES- MATERIAL & MAN POWER
• DOCUMENTATION
BASIC FUNCTIONS
• RECEPTION
• PATIENT IDENTIFICATION
• PRE-OPERATIVE SUPERVISION
• DEPILATION
• TRANSFER - OT / INDUCTION
• ADMINISTRATION OF ANAESTHESIA
• INTUBATION
• POSITIONING
• PREPARATION OF OPERATING AREA & SURROUNDING SKIN
BASIC FUNCTIONS
• DRAPING
• SURGERY
• SEWING & DRESSING
• DRAPES REMOVAL & BAGGING
• EXTUBATION
• TRANSFER - POST-OP / STEP-DOWN
Patient Flow in O.T.
Wards-------→Reception-------→Preop
waiting-----→Anaesthesia-------→O.T.------
→Post op.area-------→ICU/ Wards
CORE COMPONENTS OF AN ICU
constant monitoring
Importance
One of the highest revenue generator
Key stake holder in the healthcare delivery system
Importance of planning
STAFFING
Functional Programming
After thrust areas analysis, one needs to identify functional areas under
following categories
Core Areas (Directly Related to Thrust area)
General (Where no special design effort required) – OPD/IPD
Specialized (Where some specialized design effort required) –
ICU/HDU/Casualty
Highly Specialized (Here specific design efforts are required) – OT/Daycare
etc
Support Areas
General – Circulation spaces, waiting areas, administrative areas
Specialized – Engineering requirements, Rehabilitation
Highly Specialized – Diagnostic departments (Imaging/Laboratory)
LABORATORY SERVICES
AIMS & OBJECTIVES
1. Quick, Reliable & Accurate reports
2. Early Diagnosis
3. Shortening Patient’s stay
4. Rapid Turnover
5. Future References
6. Urgent Tests
7. Revenue Generation
8. Research & Academics
TYPES OF LABS
1. Based on specific areas of disease spectrum:
HEMATOLOGY GENETICS
BIOCHEMISTRY ENDOCRINOLOGY
MICROBIOLOGY IMMUNOLOGY
HISTOPATHOLOGY RADIOISOTOPE
CYTOLOGY FORENSIC
Diagnostic
Services Patient Food
services
Physical
therapist Nursing
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Coordinated food service
Patient
Physician
Patient’s
Catering diet
department
Nurse
Dietitian
department
Perishable foods from Non-Perishable foods from
Outside sources Outside & hospital sourceses
Preproduction/preparation room
Dietician
Catering
Officer
Pantry boys,
2 Assistant 2 Assistant
service boys
cooks cooks
Dish- washing ,etc
The basic duties of maintenance engineers can be
categorized as below
Maintaining water supply
Maintaining electrical supply
Maintaining continuous supply of medical gases like
oxygen, nitrous oxide, compressed air, and vacuum
Maintaining air conditioning and ventilation
infrastructure
Civil works
Maintaining Tele communication networking
Maintaining fire detection & protection systems
Services to be performed consists of two main
elements as follows
Daily cleaning
Periodic cleaning
Trash and garbage removal including proper hospital waste
disposal
Discharge cleaning
Exterminating bugs and pests
Preventing spread of infection
Creating healing environment
Gardening
Interior decoration
LOCATION
Housekeeping serves all areas and departments of the
hospital. It is centrally located and close to the vertical
transport system to facilitate easy movement of
housekeeping materials and equipment.
ORGANIZATION CHART
ADMINISTRATOR
HOUSEKEEPING
MANAGER
HOUSEKEEPER
SANITORY
GARDENAR
WORKER
HOUSEKEEING PRACTICES IN KEY
AREAS
Out Patient Department and Clinical area
Operation Theater
Ward
Laboratory
Office area
Sanitary area
Outside area
Basic Cleaning Procedures
Dusting
Sweeping
Mopping
Scrubbing
Waxing
Washing
Transport department
Location – Preferably basement / ground level.
Staff
Transport supervisor
Driver of the General Ambulance
Driver of the Cardiac ambulance.
Driver of the Biomedical waste van.
Driver of the catering service van.
Driver of blood bank ambulance.
Maintenance and Cleaning staffs.
Types of Internal Transport Systems used in a
Hospital
Elevators.
Dumbwaiters.