Wenlock District Hospital, Mangalore

Transcription

Wenlock District Hospital, Mangalore
Wenlock District Hospital, Mangalore
Wenlock Hospital is a well known government District hospital located in the heart of
Mangalore city. It was established in the year 1848 and since then it has been providing medical
care to the poorer sections of the society of Dakshina Kannada, Udupi, Uttara Kannda, Shimoga,
Chikmagalur, Hassana and Coorg district of Karnataka state. In addidition the patients from the
neighboring districts of Kerala are also availing medical facilities from this hospital.
Wenlock District Hospital is a 705 bedded hospital. An additional 200 bedded
Peadiatric wing has been donated by Infosys foundation. This wing is named as Reaginal
Advanced Peadiatric Care Centre.
Administration:
The hospital is headed by the District Surgeon and Superintendent. The following officers
assist the District Surgeon with the following responsibilities.
1. Surgeon & Resident Medical Officer is in charge of Stores, Medical Record
Department and the Medical officers of the hospital. The RMO is responsible for the
regular functioning of the hospital. RMO is the treasurer of the Arogya Raksha Samithi
of the Hospital.
2. Nursing Superintendent Grade I is in charge of the Nursing staff and Group D
employees. She is responsible for the overall housekeeping of the hospital. She
supervises staff nurses, senior staff nurses and Nursing Superintendent Grade II.
3. Principal, School of Nursing is responsible for the admission, teaching, examination of
the nursing students and she is the coordinator and supervisor of the teaching faculty.
School of nursing is at present functioning in the 1st floor of the OPD block of the
hospital.
4. Principal, Junior Health Assistants Training Centre is responsible for the teaching
and conducting examinations of the Junior Health Assistant trainees with the
coordination of tutors of the training centre. She is responsible for the welfare of the
students as the training centre is a resident one. The training centre is located in the
hospital premises.
5. Principal, Senior Health Assistants Training Centre is responsible for the teaching
and conducting examinations of the Senior Health Assistant trainees with the
coordination of tutors of the training centre. She is responsible for the welfare of the
students as the training centre is a resident one. The training centre is located in the OPD
block of the hospital.
6. Assistant Administrative Officers: There are 2 Assistant Administrative Officers to
assist the District Surgeon in the administration of the hospital. Out of the two AAO posts
one is delegated with the drawing officer powers. They are responsible for the financial
affairs, Service related matters etc. The AAO’s are assisted by 3 Office Superintendents,
10 First Division Assistant and 17 Second Division Assistants. However out of the 17
Second Division Assistants 13 posts are vacant.
2 The sanctioned and working strength of various categories of posts are mentioned
below.
No. of Posts
SL.
NO.
DESIGNATION
1
2
SANCTIONED
WORKING.
VACANT
3
4
5
Group-A
1
District Surgeon & Superintendent.
1
1
0
2
Surgeon & Resident Medical Officer
1
0
1
3
4
Dental Surgeon
Specialist, Senior Specialist
1
1
0
26
12
14
5
Deputy Chief Medical Officers
4
4
0
6
Peadiatric Surgeon
1
0
1
7
6
Peadiatrician
1
1
0
Assistant Dental Surgeon
1
1
0
7
Ophthalmic Surgeon
1
1
0
8
Chief Pharmacist
Total
1
38
0
21
1
17
Group -B
1
Assistant Administrative Officer
2
1
1
2
Nursing Superintendent. Gr. I
1
1
0
3
Medical Officers Class II (Unani)
1
1
0
4
Medical Officers Class II (Naturopathy)
1
0
1
5
Psychologist
1
1
0
6
Superintendent H.V.. Training School.
1
0
1
7
Principal (Training Schools)
2
0
2
8
9
Nursing Superintendent Gr. II
Nursing Tutors (NRC)
13
4
11
4
2
0
10
Sister Tutors (ANM)
2
2
0
11
Assistant Superintendent (HVT)
2
2
0
12
Tutors (HVT)
2
0
2
13
Camp Co-ordinator
1
0
1
14
Graduate Pharmacist
Total
2
35
0
23
2
12
Group C
1
Office Superintendent
3
2
1
2
First. Division Assistant
9
5
4
3
Store Keeper
1
1
0
4
Second Division Assistant
17
5
12
REMARKS
6
3 5
Laundry Supervisor (SDC)
1
0
1
6
Typist Junior
3
0
3
7
Physiotherapist
2
2
0
8
Senior Opthalmic Asst.
1
1
0
9
Opthalmic Asst.
2
1
1
10
Dental Mechanic
1
0
1
11
1
0
1
12
Dental Hygienist
Radiographer (Senior Radiological
Technician)
1
0
1
13
Senior Pharmacist
8
2
6
14
7
7
0
15
Pharmacist
X-Ray Technician (Junior Radiological
Technician)
3
3
0
16
Senior Drivers
1
1
0
17
Drivers
8
4
4
18
Occupational Therapist
1
0
1
19
Senior Lab Technician
2
0
2
20
Junior Lab Technician
1
1
0
21
Electrician Gr I
1
1
0
22
Diesel Mechanic
1
0
1
23
Assistant Medical Record Officer
1
0
1
24
Medical Record Technician
2
0
2
25
Senior Staff Nurse
20
8
12
26
Staff Nurses
188
129
59
27
House Keeper
3
0
3
28
Physiotherapy Technician
1
0
1
29
Sr. Non Medical Supervisor (Leprosy)
1
1
0
30
Senior Female Health Asst.
7
7
0
31
Junior Female Health Asst.
12
12
0
32
Senior Health Asst.(Male)
1
1
0
33
Public Health Nurse
2
2
0
34
Engineer Gr II
1
0
1
35
Engineer Gr III
1
0
1
36
Technician
7
0
7
37
Psychiatric Social Worker
Total
1
Group D
1
323
286
682
1
197
90
331
0
126
196
351
TOTAL
4 The following departments are available for the treatment of the patients in Wenlock District
Hospital.
1. Medical
2. Surgical
3. Orthopeadics
4. Urology
5. Neurology
6. Neurosurgery
7. ENT
8. Skin & VD
9. Nephrology
10. Peadiatric
11. Ophthalmology
12. Cardiology
13. Psychiatry
14. Dental
15. Audiology
Diagnostic Facilities
1. X-Ray
2. ECG
3. ECHO
4. CT Scan
5. Ultrasound
6. FNAC/ Pathology/ Microbiology Laboratory
7. Malaria Laboratory
8. Color Doppler
9. Endoscopy
Other Services
1. ART, ICTC: ART and ICTC are working under the District Aids Prevention and Control
Unit. The District Aids Prevention and Control officer is the programme officer in the
District. There are 27 ICTC Centers working in various Government hospitals and
medical college hospitals in the district. Each ICTC is managed by one councilor and one
laboratory technician.
2. Pharmacy Department: Pharmacy department consist of main store, sub store and OPD
pharmacy. The main store which receives the bulk stock from the suppliers & GMS
consists of two wings viz. 1. Tablets and injections. 2. Consumables, Disposables and
Chemicals. Each wing is managed by the senior pharmacist assisted by the pharmacists.
The substore procures tablets and injections from the main store and distributes to the
wards and OP pharmacy is managed by the pharmacists.
3. Medical Record Department: Assistant Medical Records Officer is in charge of MRD.
Under him 2 Medical Record Technician posts are sanctioned. The department is
computerized by Kasturba Medical College. The OP/IP data is updated daily by the KMC
staff. However the AMRO and 2 MRT posts are vacant. In view of this 1 Medical Record
Technician has been appointed on contract basis with the approval of Arogya Raksha
Samithi of the hospital.
5 4. DOTS: The Dot Centre which is under the administrative control of the District
Tuberculosis Officer is headed by a Medical Officer and other field staff. The patients
suffering from Tuberculosis are administered TB drugs and follow up action is taken up
by the DOT centre.
National Health Programmes:
1. District Mobile Opthalmic Unit: Is headed by a senior specialist and assisted by the
camp co-ordinator of the rank of Deputy Health Education Officer. He is assisted by the 1
Senior Opthalmic Assistant and 1 Opthalmic Assistant. The DMOU organizes eye camps
in various places of the District periodically to detect the eye defects. The deserving
patients are brought to the hospital and surgeries are conducted including cataract
operations. The camp coordinator in addition to organizing the camp arranges health talks
to the rural population.
2. Urban Family Welfare Centre: There are 4 Urban Family Welfare Centre functioning
under the administrative control of Wenlock District Hospital. Viz. 1. Urban Family
Welfare Centre, Wenlock Hospital. 2. Urban Family Welfare Centre, Attavara, 3. Urban
Family Welfare Centre, Jeppu, 4. Urban Family Welfare Centre, Kuluru. Each of the
Urban Family Welfare Centers is headed by a medical officer. One Senior Health
Assistant and 3 Junior Health Assistants and 1 Second Division Assistant post are created
to each of these Urban Family Welfare Centers. These Urban Family Welfare Centers
carryout the national programmes such as immunization, maternal care, sterilization etc.
3. Right To Information Act: The following officers are appointed as the information
officers and the appellate authority to provide information under the RTI Act.
Sl.
No.
1
2
3
Information officer
Public Information Officer
Assistant Public Information
Officers
Appellate Authority
Designation
Telephone Number
Fax/ Email
Assistant Administrative Officer
Office Superintendents 1,2 & 3
0824-2425137
0824-2413205
0824-2445664
[email protected]
District Surgeon and Superintendent
0824-2421351
4. Arogya Raksha Samithi: Arogya Raksha Samithi of Wenlock and Lady Goschen
Hospitals is constituted under the societies act. Arogya Raksha Samithi is headed by the
District Minister and consists of 20 other official members. 6 non official members
including 1 lady member and 1 member from the SC/ST community has to be appointed
by the government. The Deputy Commissioner of the District is the Chairman of the
Executive committee of the Arogya Raksha Samithi. It consists of the following
members.
1.
Deputy Commissioner.
Chairman
2.
Chief Executive Officer, Z.P.
Vice Chairman
3.
District Health and Family Welfare Officer
Member
4.
Commissioner, City Corporation
Member
5.
Executive Engineer, Mescom
Member
6.
Executive Engineer, P.W.D.
Member
7.
Assistant Drug Controller, Bendoorwell,
Member
8.
President I.M.A., D.K.Branch
Member
9.
District Surgeon and Superintendent
Member Secretary
6 10.
Resident Medical Officer, Wenlock Hospital
Member
11.
Superintendent Govt. Ladygoshen Hospital,
Mangalore
Dean, KMC, Mangalore
Special invitee
12.
Special invitee
The Arogya Raksha Samithi receives donations from the general public, collects
the prescribed fees from the patients for investigation and treatment. And also fees are
collected from Kasturba Medical College, Mangalore and other Nursing and Para
Medical Institutions availing clinical facilities in Wenlock and Lady Goschen Hospitals
at the following rates.
Sl.No.
Course
1
2
3
4
5
6
7
8
MBBS
BDS
Post Graduate Degree
Post Graduate Diploma
Physiotherapy Degree
Nursing Courses-MSc Nursing
BSc Nursing
General Nursing & Midwifery
Diploma
Technician Courses-X-ray, Lab. OT,
ECG, EEG, Refractionist etc.
9
Clinical Fee per
student per year
32,500.00
36,000.00
1,10,000.00
1,30,000.00
6,000.00
10,000.00
6,000.00
3,000.00
3,000.00
5. Sampoorna Suraksha Programme: This is a programme implemented by Sri
Kshetra Dharmasthala Rural Development project ®, Dharmasthala for the complete
protection against hospitalization expenses for the poor people by the poor people.
This programme is aimed at protection of the families against unforeseen expenses
like hospitalization, maternity, death and other hazards. Sampoorna Suraksha has
been designed in such a way that the members on admission for treatment get
“cashless treatment” in hospitals. Wenlock hospital has implemented this
programme from July 2009.
Facilities:
1. In a single member family, he can get cashless treatment to the maximum of
Rs.5,000/-. Cover under this programme for more members in the family
increases by Rs.5,000/- per member. The coverage is on floater basis in multiples
of Rs.5,000/- per person.
2. Yearly contribution is collected along with the weekly savings of the members of
the self help group so that it does not strain the finance of the family.
3. Cashless treatment facility in well equipped hospital with modern amenities
recognized by SKDRDP.
4. In case of necessity any one member of the family can avail the benefit for any
one ailment to the extent of maximum limit available to the family.
7 5. Zero rejection policy: In a unique methodology SKDRDP ensures that no person
admitted to hospital will be denied of settlement if he makes claim under the
scheme.
6. Rastriya Swasthya Bheema Yojane: This programme is implemented jointly by the
Central and State government. In our state labour department has been appointed as
the nodal agency. Wenlock District Hospital has implemented this programme from
the year 2010-11.
1. Under this scheme all BPL families are brought under the health insurance
plan. In Karnataka 41,578 rural BPL families identified in the year 2002 by
the survey conducted by rural development and Panchayathraj department are
covered under this scheme.
2. Under this scheme the head of the family, wife and three dependents
(including children) are entitled to avail free medical facility up to a maximum
of Rs.30,000/- per year.
3. Under this scheme cashless treatments are provided for all diseases including
maternity.
4. Whenever a member of the BPL family covered under this programme visits
the hospital for treatment, he or she is entitled for the travelling allowance of
Rs.100/- each time subject to a maximum of Rs.1,000/- per year per family.
7. Yashaswini Sahakari Raita Arogya Rakshana Yojane: This scheme has been
implemented in Wenlock District Hospital during the year 2011-12. The scheme is
aimed at protecting the health of the rural cooperative members.
1. This is not a insurance plan. This scheme is applicable only for the surgeries. The
medical treatment not requiring surgery does not include in this programme.
Eligibility criteria
1. The main applicant should be a member of any eligible cooperative society on the
first day of June of the registration year.
2. The main applicant is entitled to enroll all eligible members of the undivided
family.
3. Under the scheme everybody within the age group of 0 -75 are eligible to be a
member. But a person above the age of 75 is not entitled to be a member of the
Yashaswini programme.
4. Under this programme the main applicant and his family members should pay the
annual contribution prescribed by the trust at the time registration.
5. The registration is limited to a specific period every year.
6. If 5 or more members are enrolled in a family, they are entitled for 15% rebate in
the contribution.
7. The members who have paid the specified contribution are entitled to undergo any
surgery during that particular year without payment.
8. Duration of the scheme is one year, starting from 1st of June and ending on 31st
May. After the expiry of this period the facility can be availed after renewal of the
membership.
9. Under this scheme normal delivery, neonatal care, accident due to agricultural
equipment, drowning, dog bite, snake bite, bull stab injury, electrical accidents
are covered in addition to 1600 identified surgeries.
8 10. Cancer treatment such as chemotherapy, radiotherapy, joint replacement, burns,
road accident, dental surgery, skin grafting, stunts, implants etc. are not covered
under this scheme.
11. The Yashaswini trust will not be responsible for the treatments not covered under
this scheme and the hospitals authorized by the trust.
12. The beneficiaries shall produce the original identity card and the initial
contribution cash receipt in the recognized hospitals to get the treatment.
13. The medical officers will examine the patients if found necessary and if such
surgery included in the scheme, requisition for surgery will be forwarded to the
implementing agency. And the implementing agency shall examine the requisition
and if eligible under the rules of the scheme shall permit for the surgery.
14. If the information in the identity card does not tally with computerized data or if
wrong information were submitted and if complete documents are not provided
the request of such beneficiary will be rejected.
15. It is mandatory to get the pre authorization to get the benefit of the scale from the
implementing agency.
16. The trust is not responsible for the treatments availed in the hospitals which are
not recognized by the trust.
17. The beneficiaries while visiting the hospital for treatment should provide all the
information noted in the registration application. Incomplete application are liable
to be rejected.
18. The identity card are not transferable. If any beneficiary secures the card by
giving wrong information and in violation of Yashaswini group or misuses the
card such cards are liable to be cancelled and such persons are liable to the
punished.
8. Bala Sanjeevini Yojane: This is a centrally sponsored scheme under the child
development programme. Under this scheme the anganvady children of age group of
0-6 years belonging to BPL category and suffering from illness and malnutrition
requiring Tertiary Care treatment are entitled for free treatment in the selected 5
hospitals of the state up to a maximum of Rs.35,000/- and Rs.50,000/- for the
treatment of the neonatal baby. The following hospitals are authorized to treat the
children under this scheme. In special circumstances the child of any district can be
treated any of the following hospitals.
1. Indira Gandhi child health institute, Bangalore covering the districts of
Bangalore (Urban), Bangalore (Rural), Mysore, Mandya, Kodagu, Kolara,
Chamaraja Nagara, Hassan, Chikmagalur, Tumakuru, Chikkaballapura &
Ramanagar.
2. Bapuji child health institute, Davanagere covering Shimoga, Davanagere,
Haveri, Koppala & Chitradurga District.
3. Dr. Prabhakar Kore Free hospital, Belgaum covering Darvad, Belgaum,
Bellary, Bagalakote, Bijapura & Gadag District.
4. M.R. Medical College, Gulbarga covering Bidar, Gulbarga & Rayachur
Districts.
5. Kastuba Medical College, Mangalore (Wenlock & Lady Goschen Hospitals)
covering Uttara Kannada, Dakshina Kannad & Udupi districts.
The anganavadi children between the age group of 0-6 can avail treatment for the
following illnesses.
1. Severe pneumonia
2. Encephalitis-Meningitis.
9 3. Complicated malaria.
4. Anemia.
5. Diabetes.
6. Renal problems- Urinary Bladder/ Kidney problems.
7. Tertiary Care treatment of Neonatal baby.
8. Liver problems.
9. Neurological disorders.
10. Secondary malnutrition.
11. Complicated Diarrhea.
12. Surgery of neonatal baby.
13. Treatment of snake bite.
14. Poisoning.
Identification of the children coming for treatment under this scheme is the
responsibility of anganavadi worker/ supervisor/CDPO and medical officer of
PHC/PHU.
The child so identified should be admitted to the hospital by the anganavadi worker/
supervisor along with the referral card.
The anganavadi worker/ supervisor/CDPO and medical officer of PHC/PHU should
sign in the referral card. The referral card should be accompanied by the BPL card
and the photo of the child.
Treatment cost:
1. Rs.35,000/- for the child requiring Tertiary care treatment and for the neonatal
baby Rs.50,000/- (subject to actuals) excluding TA/DA of the mother/ father/
guardian.
2. The mother/ father/ guardian (only one person) is entitled for 2nd class train fare/
bus fare and daily allowance at the rate of Rs.100/- per day till the patient is
hospitalized.
3. The cost of the following items which are not available in the hospital and
necessary for the treatment can be borne under this scheme. 1. Drugs. 2.
Consumables such as syringe, glucose, oxygen, ventilator etc. 3. Investigation
done outside if the facility is not available in the hospital.
The following departments will cooperate in the implementation of this
programme:
1. Women and children welfare department.
2. Health and family welfare department.
3. Medical hospitals and medical education institutions.
9. Handicap Certificates to the disabled persons: The specialists of the Eye/
medical/surgical/ Orthopedics/ ENT & Psychiatry departments of this hospital have
been entrusted with the responsibility of examining and issue of medical certificates
on all Mondays and Tuesdays to the mentally/ physically disabled persons.
10. Citizen Help Desk: The KHSDRP and the NRHM have been envisaged to launch
various innovative schemes for the poor vulnerable groups and underserved areas of
the state. The project aims at increasing utilization of qualitative and measureable
public health services. As a part of this Citizen help desks are constituted in all the
district hospitals of the state.
Objectives.
10 1. To improve services at the Government hospitals by education of staff and public
about facilities and services available: monitoring the quality of health care. Ex:
time taken by doctor to attend a patient, availability of free drugs etc.: timely
feedback to the concerned authorities regarding staff and drug shortages etc.
2. To enhance transparency and accounting in the delivery of services through the
help desks which will give regular feedback and other support.
3. To empower the public with information from help desk and provide guidance
through posters, leaflets and boards etc.
4. Enhance the efficiency of the service provision by staff by a strategy of
counseling, confidence building and motivation.
5. Establish a link between service providers and users through regular feedback
mechanism.
6. Conduct of regular interaction camps in the areas inhabited by poor to build
confidence amongst the poor to access services at Public hospitals.
Working Schedule 24/7: On all days of the year.
The service provide:
1. The required information & guidens to the patients regarding the facilities
available in the hospital and the charges levied etc.
2. The citizen help desk staff help in attending the operate console of the PRI.
3. Attend the handicapped certificate issue camp on every Monday and Tuesday
organized in the hospital.
4. Collect feedback on the quality of services from patients (in-patients and out
patients) and identify bottlenecks in effective delivery of services.
5. Register grievances with regard to health service through help line, e-mail, letter
in drop box.
6. Redress grievances by referring them to the concerned officials and follow up.
7. Acts as channel of communication to the “Arogya Raksha Samithi”
11. Role of KMC in Wenlock: Kasturba Medical college is providing clinical services to
the patients of this hospital. In addition they provide following services.
1. Laboratory services
2. Appointed 50 staff nurses to work in this hospital.
3. Cleaning and Security Services.
4. Equipment maintenance.