• wards
  • nicu
  • icu
  • ot
  • labour room
  • isolation

Wards

GRH is a 32 bedded institute, which provides multi-speciality services.

The different wards are

  1. General Ward (Medical Patients)
  2. Pediatric Ward (children)
  3. Maternity Ward (Gynac and Obstetric patients)
  4. Surgical Ward (Surgical, Orthopedic, ENT, Eye patients)
  5. Isolation ward (patients with communicable diseases/agitated patients)

Patients who are very sick, those who need close monitoring or those who are posted for surgery are admitted in the wards by the concerned Consultants and treatment is institued .

The Consultant checks the patient at 8am and 8pm. These are the rounds timing. The patients are monitored around the clock by the nurses. Nurses are experienced and can pick up subtle signs when they occur and report these to the Consultant via the Medical Officer. If the case needs the Consultants presence, he/she is summoned, else the line of management is discussed on phone.

During ward rounds it is suggested that patient by-standers leave the bed-side. The reason for this is because, at times wounds may have to be reviewed or examination has to be conducted. At times personal questions are asked to the patient. The privacy of the patient must be respected. It may also happen that by-standers may not be able to tolerate the sight/smell of blood/body fluids. After the rounds, the C0nsultant may discuss the patient's condition with the by-stander and give them an over all idea of the patient's condition. Kindly bear in mind that it is best to ask questions once the doctor has explained details from his side. It is wise not to pose questions in front of the patient because certain questions may demoralize the patient.

The Nurses and House Keeping Staff ensure that the wards are maintained in all aspects - patient care, logistics of shifting patients for procedures, cleanliness and orderliness, stock maintenance etc. The wards are the place where relationships between the public and GRH staff are strengthened.

Few guidelines as an In-patient.

  1. It is advisable to keep visitors at the minimum. The more the number of human traffic, the more will be the germs that are likely to infect your wound and the wounds of the rest of the in-patients, which in turn will increase the chances of your wound getting infected and prolong hospitalization.
  2. Diet must be consumed in the appropriate times so that house keeping of the ward/room can take place without any impediment.
  3. Maintain ward hygiene.
  4. Take a bath at least twice a day or as advised by your doctor. Wounds may be washed with soap and water. Soap has an anti-bacterial effect and helps reduce wound contamination. If you have been placed in a plaster cast, avoid getting it wet. Once wet, it will soften and be rendered useless.
  5. In the likely event that your by-standers want to discuss your condition with your doctor, they can visit his OPD.
  6. Ideally, you should bring all the necessary paperwork in one folder, to guarantee that important documents will not be lost. Don’t forget insurance cards, a list of all the medications you are currently taking, and a list of telephone numbers of family and friends.
  7. A small amount of money for newspapers, vending machines, and such. Bringing credit cards or large amounts of cash is not recommended, since theft can occur in hospitals. It is also a good idea to leave all jewelry at home; it is one less thing to worry about losing or being stolen.
  8. Make sure you have slippers to walk around in the hospital and one pair of regular shoes (in case you’re allowed to walk outside). Eyeglasses, if you require them. Writing paper and pen, for making notes or recording questions you want to ask your doctor. A prepaid phone card for calls from your room telephone. Toiletries- You can bring your toothbrush, toothpaste, lotion, deodorant, soap, shampoo, a comb or hair brush, and other toiletries from home, but avoid perfumes and any highly scented products. Lip balm is also a good addition to your toiletries kit.
  9. Something to occupy your time – Bring books or magazines to help pass the time. If you enjoy a craft that is fairly portable (like knitting or crochet) that doesn’t involve glue, paint, or lots of small pieces, bring those supplies along too. Photos or small personal items. Many people enjoy having a couple of small framed photos or mementos from home to personalize their hospital space
  10. In particular, cell phone use is forbidden in ICU since it may interfere with electronic patient monitoring equipment.
  11. Don’t forget that high-end electronic items can also be targets for theft – if you are allowed to bring them, make sure that a relative or friend takes them home or that they can be safely stored when you’re sleeping or not in your room.

Neonatal Intensive Care Unit

The first 28 days of life is called the Neonatal period. (Neo-New ; Natus-born Latin). The Neonate is a marvel of Allah's creation. Packaged in a small case, the neonate is strong enough to withstand the stress of nature, albiet to some degree.

The neonatal mechanisms and systems are different from the adult and thus a Pediatrician is needed to take care of the neonate.

Drug dosages, fluid requirements, nutritional demands,environmental conditions are but, a few of the criteria to be borne in mind while dealing with neonates.

Neonatal ICU of GRH is well equipped with most of the equipment to take care of these tender "kuddakujjas". Trained nursing staff attend to them and report to the doctors at timed intervals.

Parents and patient by-standers are advised that prior to visiting the NICU a bath be taken and thorough handwash MUST be done before entering NICU and handling the Neonate.

Rest assured. Your Neonate is in good hands.


 

 

Intensive Care Unit

The Intensive Care Unit is different from the normal ward in many ways.

  1. Only trained nursing staff are posted there.
  2. Very serious patients are admitted there.
  3. Patients are closely monitored by the staff almost three to four times every hour.
  4. Patients are connected to monitors which record and display the vital signs continuously.
  5. Ventilators may be used at times to make the patient breath artificially.
  6. Cleanliness and asepsis is maintained to a high degree.
    A few equipment used in the GRH ICU are mentioned below

Ventilator
A ventilator as the name suggests, ventilates a patient who is unable to do so. It behaves as an artificial lung by pumping oxygen in and out of the patients lungs through a tube placed inside the patients throat. Very serious patients need ventilators. Usually a patient on a ventilator is also given medications to sleep (sedatives). This is done to prevent the patients from struggling and/or biting the tube.


Pulse Oximeter
This device records the amount of oxygen carried by the blood in the tissues. It indicates the function of the heart, lung and blood.


ECG
This machine records the electrical activities of the heart, which indicate to the doctor the state of the heart. This is a continuous monitoring which gives a clear picture to the changes occuring over a long period of time.

 


 

Operation Theatre

The Operation Theatre is the place where Surgical Procedures take place. The operation theatre team consists of

  1. Surgeon (Gynecologist/ Surgeon/Orthopedician/ENT/EYE)
  2. Anesthetist
  3. Nurses

Surgeries are of two kinds - Elective (planned) and Emergency (Urgent). It is always best that patients are taken up for elective procedures, but many times the circumstances are such that emergency operations have to be performed.

Before any operation, the operating surgeon and anesthetist discuss about the operation, indication, patients general condition, and complicatons if expected.

The operating surgeon discusses with the patient pre-operatively as to what operation is performed, what complications are likely,if blood would be needed etc. A consent is signed by the patient- this is a legal document stating that the patient is fully informed about the procedure and that he/she is willing to undergo the procedure without any force.

The anesthetist will evaluate the patient before getting operated and check if the patient is fit for surgery. Laboratory tests are done,clinical examination is conducted and patient is informed as to which anesthesia will be administered

The operation theatre nurses are trained professionals who assist the doctors in the operation theatre.

Cleaniness of the operation theatre, special cleaning (sterilization) of the instruments and theatre safety are followed to ensure that all patients are safely operated upon.

The variety of operations performed in GRH are

Obstetric and Gynecological

  1. Caesarean Section
  2. Hysterectomy
  3. Tubal Ligation

General Surgery

  1. Appendectomy
  2. Laparotomy for Trauma
  3. Ulcers, Cysts, Sinus, Swelling surgeries

Orthopedic

  1. Closed reduction

ENT

  1. Submucosal resection of septum
  2. Epistaxis control
  3. Rhinoplasy
  4. ASOM/CSOM surgeries

Remember to discuss with you surgeon and anesthetist prior to surgery.


 

Labour Room

Labor Room is a niche of GRH where new life comes into the world by the miracle of child birth. It is very close to the maternity ward and the Operation Theatre. It is strategically positioned so that in case the patient needs to be shifted to the operation theatre, it can be done with efficiency.

Prior to going into labor all patients are assessed for fitness for anesthesia. They are also prepared for labor just as the are prepared for surgery.

Patients are kept fasting to prevent complication of vomiting and vomit going into the wind pipe, in case surgery (Caesarean Section) is needed. Soap water enema is given so that the mother is relaxed and pressure ofthe baby's head will not cause her to soil the birth canal during labor. Intra venous fluids (glucose to the common man) is started to give mother enough energy for labor.

The labor room also has equipment like a baby warmer to keep the neonate cozy during the first hours before shifting out of the labor room.

It is common practice after the baby is born, to cut the umblical cord, clean the baby, weigh it, measure APGAR score, check for any defects and hand over to the mother within minutes to start breast feeding.

Many cute bundles of joy have been welcomed at labor room of GRH.


 

Isolation Ward

Isolation ward isused to contain patients who are having communicable diseases e.g. Swine Flu, patients who are agitated e.g psychiatric cases and those patients who might be highly infectious e.g. Open Tuberculosis.

Isolation ward is physically cut off from the other wards, accessible to the nursing staff at all times and kept very clean.