• OPD
  • AMBULANCE
  • LABORATORY
  • X-RAY
  • PHYSIO
  • VACCINE
  • CASUALTY
  • DENTAL

Out Patient Department

The out patient Department of GRH is the "catchment" area of the hospital. The steps that one has to go through in the OPD are

  1. Visit the OPD area and take a waiting slip.
  2. Wait for the reception to call your slip number
  3. Either you can choose the doctor you would like to visit or you can briefly tell your complaints to the recpetion staff who will direct you to the OPD.
  4. The reception staff will issue a token number after registering you in the system
  5. You wait outside the OPD till your token number is called.
  6. The visit to the doctor is a private affair. Confidentiality is maintained and the verbal exchange/examination findings are strictly a secret.
  7. After history and examination, the doctor will either ask for investigations, refer to another doctor, prescribe medicine or advise admission.

GRH has OPDs run by Medical Officers and Consultants from different specialties. The Medical Officer mans the casualty and is the first doctor of contact for any emergency cases. He also runs a general OPD.

A few words of advice to all the patients

a) Please do not use your cell phones while consulting with the doctor.
b) Please do not enter the OPD rooms when another patient is in the room. Remember, other patients value their privacy too!
c) Please be prepared for a physical examination because the doctors cannot diagnose a condition clinically if the patient refuses/render examination incomplete.
d) Please do not wear sunglasses in the OPD when conversing with the doctor. It is bad manners.
e) Please bring your previous prescriptions so that the doctor will have a clear idea of your medica history, if the need arises.

From November 2010, all Specialists are available in the First shift, thus making it more convenient for all the patients who travel from long distances. (ferries operate between 9am-2pm). This move was made after a discussion with Director, MOIC, Nurses IC and PRO IC. Statistics have improved to a tune of an extra 35-40 patients per day.

ALso note that there are certain documents issued at GRH.The importance of the following are

a) Prescription: The relevant history, diagnosis, and medicaments and advise are written here. Kindly keep your prescription safe and bring them to Hospital when you visit as a patient. Very shortly a move is being made to issue printed prescriptions.

b) Medical report: This is a testimonial to stste the medical condition of the patient.

c) Mediform: This is a document issued by the doctor to the patient to obtain a ticket from island aviation on a priority basis.

d) Referral letter: A letter issued in duplicate to the patient and the treating hospital regarding the reason for referral along with the medical status of the patient.

While being referred to the higher centre a patient willbe issued
a) Medical report
b) Referral Letter
c) Madhana referral (if applicable)
d) Mediform ( if applicable)

The specialties available in GRH are

Physician Specialist of Internal Medicine. Handles Disease of Various bodily systems using medicines as a sheet anchor of therapy. Also runs the Non-Communicable Diseases NCD clinic.
Pediatrician Specialist of Children (age range of neonates to 16 years). They also handle new borns after delivery, admit patients in NICU.
Surgeon Specialist of Operative Treatment. Handles diseases of various bodily systems and uses medicines and Surgery as a sheet anchor of therapy. Rest assured that all operative interventions are rendered painless by anesthesia.
Orthopedician Specialst of Bone diseases.Handles all bone, joint and muscle related diseases. Fractures, joint pains, back ache are handled by this doctor. Uses medicine, surgery andphysiotherapy as a sheet anchor of treatment.
Gynecologist Specialist of Womanhood and Motherhood. Deals with the diseases of the female reproductive system. Uses medicine and surgery as a sheet anchor of treatment.
Anesthetist Specialist of rendering operations painless. Uses medicnes to make body parts or the whole body completely pain free. Also handles ICU patients on ventilators.
Ophthalmologist

Specialist of the eyes. Uses medicine and surgery as a sheet anchor of treatment.

ENT Specialistof Ear Nose and Throat. All complaints pertaining to these are handled by this doctor. Uses medicine and surgery as a sheet anchor of treatment.
Dentist Specialist of Teeth. All ailments of teeth and gums are dealt by this doctor.

Ambulance - Land, Sea and Air


Land Ambulance

GRH has three ambulances to its disposal.

1. An ICU ambulance for shifting critical patients.
2. An emergency ambulance for shifting non-critical accident patients.
3.A large ambulance that seats 10 persons with 1 patient on a stretcher meant for mass casualties.

In the likely event of requiring an ambulance to shift a patient kindly contact GRH.

Further details regarding ambulance can be obtained from Ambulance section of the protocols page.

Please note that the ambulance is available 24 hours a day. It will take a minimum of 20 minutes to reach the jetty of Fonadhoo, Thundi, Mandhoo and Kadhoo. It is advisable to call GRH in advance so that the ambulance can wait for the patient, rather than the patient wait for the ambulance.

Also be advised that a maximum of 2 persons can travel along with the patient.


Sea Ambulance

This service is provided to hasten the transit of a patient from and to GRH. In the likely event of requiring a sea ambulance service, kindly contact GRH.

Note:

Costs of hiring the sea ambulance have to be borne by the patient/relatives.

Estimated time taken by speed boat/dhoni can be viewed in the statistics of individual island.

From September 2010, New Rules regarding Welfare for Speed Boat Services have been formulated. Two documents are available which will give you further understanding of how the services will be made available to you.

Kindly read these to understand the Welfare System.


To Download the File Below, Right click and

  1. Internet explore - Save Target As
  2. Mozilla Firefox OR Google Chrome - Save link As
    To View, directly click on the link. Ensure that Adobe reader is installed in your browser.

NOTE THAT THESE PDF FILES ARE IN DHIVEHI

CRITERIA TO ARRANGE SPEED BOAT(PDF,200KB) 

RATE LIST OF SPEED BOAT(PDF,200KB) 

Please go through the Madhana page to clarify any doubts about the services it provides.


Air Ambulance

GRH provides air ambulance services through Island Aviation.These services may be categorized of three types.

1. Transfer of ill patients on a priority basis: Some patients who are not so ill would like to travel by flight to seek health care at Male'. They would need to get a ticket on a priority basis. A Mediform is issued at GRH by the doctor, which will help the patient to get a ticket and also inform the pilot regarding the status of the patient.

2. Transfer of non-critical patients: Some patients who are very sick but non-critical would need to be referred from GRH to IGMH. They would need a medical escort since more often than not, IV fluids and injections need to be adminstered on the flight. Island aviation mandates a medical escort.

3. Transfer of critical patients: Those patients who are in critical condition especially those who are stretcher cases, ICU patients on ventilator would need a chartered flight since that is the only air craft supporting stretcher facilities. Medical escorts are mandatory.

Kindly be advised that prior to making the air journey all possible precautions are taken by the medical and nursing team to prevent eventualities. Mediform submission is not a guarantee to confirming a reservation since the seats are subject to availability. In the likely event of having a medical escort, costs have to borne by the patient party. Those covered by Madhana have a limit of MRF 30,000 anually towards travelling allowance. Excess incurred has to be borne by the patient party.


Laboratory Department

The laboratory at GRH is like the "chemistry lab" in a science movie. Body fluids of the patient are taken, analyzed and results given on paper in the form of numbers! It is very fascinating for the lay-person to see all that.

In reality, the steps for getting a laboratory test done are as follows.

  1. The doctor finds an abnormality and orders a test.
  2. The patient then pays the bill at the cashier.
  3. Appropriate body fluid is collected painlessly e.g. blood, urine, stool, sputum.
  4. The fluid is then processed by mixing it with testing solutions.
  5. Different equipment is used e.g. microscope, machinery, centrifuge, analyzers and the result is obtained.
  6. This result is then handed over to the patient.

The time taken depends on the investigation done. some tests are reported in an hour and others may take up to one week.

 

The laboratory services available in GRH are

Hematolgy

Complete Haemogram
Hemoglobin
Total WBC Count
WBC Differential count
ESR
Thrombocyte Count
Hematocrit (PCV)
MCV
MCH
MCHC
Absolute Eosinophil Count
Reticulocyte Count
RBC Count
Group & Rh Type
MP/MF
Blood Morphology
Direct Coombs Test
Indirect Coombs Test
Osmotic Fragility Test
Bleeding Time
Clotting Time
Prothrombin Time/INR

Urine R/E

Albumin
Sugar
Bile Salt
Bile Pigment
Urobilinogen
pH
Specific Gravity
Ketone
Bence Jones protein
Microscopic Exam
Gravindex Test

Stool R/E

Occult Blood Test
Reducing Substances
Cardiac Profile
CK
CKMB
LDH
Troponin-T
Troponin-I

Immunology

ASOT
CRP
RF/RA
HIV
RPR/VDRL
HBsAg
HCV
engue Fever Test
ELISA (HIV)
ELISA (HBsAg)
ELISA (HCV)
Widal Screening (Slide Method)
Widal Quantitative test (Tube)

Liver Profile

Bilirubin-Total
Bilirubin-Direct
ALT/GPT
AST/GOT
Alkaline Phosphatase
Protein-total
Albumin
Globulin
A/G Ratio
GGT
Ammonia

Serum Electrolytes

Sodium
Potassium
Chloride
Magnesium
CO2

Lipid profile

Cholesterol- total
Triglycerides
dHDL
LDLC
VLDLC

DIABETOLOGY

Glucose-R
Glucose-F
Glucose-PP
Post Glucose Blood Sugar
GTT
HbA1C

Renal profile

Blood Urea
BUN
Creatinine
Uric Acid
Phosphorus
Calcium
Creatinine clearance test
Microbiology
Sputum AFB
Skin Scraping (KOH)
Mantoux Test
Culture&Sensitivity

Miscellaneous

Glucose-6PD
Semen Analysis
Nasal Smear for Eosinphil
LE Cells
24 HR Urinary Protein
24 HR Urinary for urea
24 HR Urinary for Uric Acid
Amylase

GRH Laboratory even provides Out-Reach Laboratory services to those islands of South Central Province which do not have a Lab. facility.

For the convenience of the patients, Laboratory has been functioning on Saturdays between 8am to 4 pm.


X-ray Department

The x-ray is the most commonly performed diagnostic examination. It is a painless medical test that helps doctors diagnose and treat medical conditions. Radiography involves exposing a part of the body to a small dose of ionizing radiation to produce pictures of the inside of the body. X-rays are the oldest and most frequently used form of medical imaging.

How should I prepare for the procedure?

A chest x-ray requires no special preparation. You may be asked to remove some or all of your clothes and to wear a gown during the exam. You may also be asked to remove jewelry, eyeglasses and any metal objects or clothing that might interfere with the x-ray images. Women should always inform their physician or x-ray technician if there is any possibility that they are pregnant. Many imaging tests are not performed during pregnancy because radiation can be harmful to the foetus.

What are the benefits vs. risks?

Benefits: No radiation remains in a patient's body after an x-ray examination. X-rays usually have no side effects. X-ray equipment is relatively inexpensive and widely available in physician offices, ambulatory care centers, nursing homes and other locations, making it convenient for both patients and physicians. Because x-ray imaging is fast and easy, it is particularly useful in emergency diagnosis and treatment.

Risks: There is always a slight chance of cancer from radiation. However, the benefit of an accurate diagnosis far outweighs the risk. The chest x-ray is one of the lowest radiation exposures medical examinations performed today. The effective radiation dose from this procedure is about 0.1 mSv, which is about the same as the average person receives from background radiation in 10 days. Women should always inform their physician or x-ray technologist if there is any possibility that they are pregnant.

A Word About Minimizing Radiation Exposure

Special care is taken during x-ray examinations to use the lowest radiation dose possible while producing the best images for evaluation. National and international radiology protection councils continually review and update the technique standards used by radiology professionals. State-of-the-art x-ray systems have tightly controlled x-ray beams with significant filtration and dose control methods to minimize stray or scatter radiation. This ensures those parts of a patient's body not being imaged receive minimal radiation exposure.

The X-ray staff at GRH are Latha Jasmine and Mr. Stephen.


Physiotherapy

The physiotherapy department of GRH is well equipped to handle all types of cases that need physiotherapy. The staff are experienced and dedicated and the equipment avaialble is the latest.

A list of services available in GRH, along with a brief description is given in this table.

Interferential Therapy This is used to treat joint and muscle pains,edema and also helps in burning fat tissue. It is effective for back pain and sciatica.
TENS Trans cutaneous Electrical Nerve Stimulation This therapy is used to treat neuralgia, peripheral nerve lesions, chronic post operative pain, muscular pain, arthralgia and tendinopathy
IRR Infra Red Radiation This is ideal for relaxing muscles and joints. It gives general comfort and relaxation. It is best done before and after sports activities and is best combined with massage
SWD Short Wave Diathermy

It is used to treat Arthralgia (joint pains), muscle pain, tendinitis, Bursitis, Neuralgia. Is is also beneficial in cervical and lumbar spondylosis.

Traction Treatment Used to treat cervical and lumbar spondylosis.
Ultra Sound This therapy is used to treat inflammatory and rheumatic diseases of the musculo skeletal system. It is veryhelpful in the treatment of contusions, contractures, neuralgia and neuritis.
Quadriceps bench It is used to strengthen the bones and joints of the front and back of the thigh. It is best used after ligament reconstruction, post arthritis, sports injuries and general fitness.
Shoulder pulley/wheel This device is used to strengthen the shoulder joint. It is also helpful in improving the range of motion for cases of arthritis, post operative cases etc.
Static cycle Used for cardiac and general fitness to strengthen the leg muscles.
Therapeutic Exercises

Exercises relieve the pain of the neck, shoulder, back, hip, knee and foot. They help in strengthening the muscles. Abdominal muscle exercises are best done before and after preganancy. Breathing exercises are also done for respiratory muscles.

Tesi Comfo Trac Duo This is an electrical belt massager used to relieve back pain and also to cause general relaxation.
Parallel bars This equipment is used to help patients walk after surgeries.

The physiotherapist is a trained and qualified person who knows what is the best therapy for you. Listen to their advice and you will feel the way your body responds to this beneficial field of physiotherapy.

The physiotherapist of GRH is Baby Aruna and is assisted by Ruggiya Hussain.


Vaccination

Vaccination is administered by the PHU section of GRH. Kindly contact them for vaccinations.

The national schedule is given below. It is recommended that all children be vaccinated as per the schedule.

EARLIEST ELIGIBLE AGE
VACCINE
At Birth BCG, Hep B 1, OPV 0
6 Weeks OPV 1, Hep B 2, DPT 1
10 Weeks OPV 2, Hep B 3, DPT 2
14 Weeks OPV 3, DPT 3
9 Months Measles, Vit A 1
18 Months MMR, Vit A 2

BCG - Bacille Calmette Guerin
Hep B - Hepatitis B
OPV - Oral Polio Vaccine
DPT - Diphtheria, Pertussis, Tetanus
MMR - Measles, Mumps, Rubella

Vaccination Schedule for Tetanus Toxoid Vaccine for females of child bearing age (15-45 yrs)

Category Dose Timing
Childhood vaccinations not completed
1
Any time
2
1 month after 1st dose
3
6 months after 2nd dose
4
1 year after 3rd dose
5
1 year after 4th dose
Childhood vaccination completed
3
Any time
4
1 month after 3rd dose
5
6 months after 4th dose
Pregnant women who have not completedvaccination
1
At first visit during pregnancy
2
1 month after 1st dose

Remember - Prevention is better than cure!


Casualty and Treatment Room

Casualty of GRH is the first area of contact of any emergecy patient who is brought to GRH. The Medical Officer mans the casualty round the clock.

In the likely event of an emergency patient being brought to the casualty the duty doctor first assesses the patient and checks for

  1. Airway
  2. Breathing
  3. Circulation
  4. Dysfunction of any system
  5. Exposes the patient to check for injuries
  6. Fluid resuscitation

is started along with Correction of above dysfunctions. Specialists are summoned immediately.

A window to the efficiency of GRH is the incident of 26th July 2009, when 33 patients were brought after a major motor vehicle accident. All GRH staff worked hand in hand and settled the crisis by treating all the patients, referring relevant cases and discharging the rest within 9 hours of the occurence of the accident.

Various equipment and inventory are available in the casualty of GRH to conduct life saving procedures. In case the patient is very sick, they are directly transferred to ICU where resuscitation takes place rapidly.

The casualty of the New Building is more spacious and organized to cater to emergency patients.


Dental Department

The human tooth is a fascinating structure. An adult has 32 teeth,which means that when an individual goes to a dentist, he is bringing 32 patients for the dentist to see!

The portion of the tooth above the gum is called the crown and below the gum is called the root.

The ENAMEL is the outer whitish,calcified portion of the tooth. It is the hardest substance in the human body.

The PULP is the centre "living" portion of the tooth, that has blood vessels and nerves in its canal. They enter the tooth from an opening in the root.

The DENTINE is the layer that lies in between the enamel and the root. It forms the substance of the tooth.

The CEMENTUM attaches the tooth to the bone.


Dental problems occur due to poor dental hygiene. It is a common misconception that "sweets" and chocolates" damage the teeth. In fact, all foods, when chewed are converted into sugars and then acids, by the bacteria in the mouth. These acids will then damage the enamel to cause a pit or CAVITY. The treatment of cavities is a FILLING. The secret to prevention of cavities is to brush the teeth after every meal.

Damage beyond a certain level necessitates a ROOT CANAL TREATMENT. In an RCT, the enamel and dentin are drilled and the pulp is completely removed. The canal is then filled and the tooth is given a crown or "cap". Thus the tooth is "saved".

EXTRACTION may need to be performed for badly damaged teeth. Tooth loss due to extraction or any other reason will reduce the efficiency of speech and chewing food

GUM DISEASES may cause tooth pain, bad breath or gum swelling.


GRH provides the following services

  1. Dental X-ray
  2. Fillings
  3. Root Canal treatments
  4. Extractions
  5. Aesthetic dentistry

Dental procedures are painless. All procedures are done after anesthesia is administered.

Advise from Dr.Leena Smita, Dentist of GRH:
Brush your teeth after every meal and keep smiling!