::: : Patient Information Center

Round the clock Emergency casuality care services are provided on all days in the casualty block after the out patient timings.

Patients are triaged in the casualty block and admitted to the respective department wards after stabilisation. 
 
Computerised OP ticket is issued at the entrance of the Out patient block and patient consultationis held from morning from  7.30 AM.

Outpatient timings are from 7.30AM to 12 noon daily.

Patients are seen seperately in male and female OPDs.
 
General Surgical , General Medicine, Orthopaedics, Obstetrics and Gynaecology consultation cubicles are available in the groundfloor.
 
Patients with Dermatology, ENT, Dental , Paediatrics, Psychiatery and ART problems are examined in the first floor.
 
Clinical lab services viz. Pathology, Microbiology, Biochemistry and Radiology services are available round the clock on all days.

Blood Bank facility is available in the hospital.

Medical Board for the district meet once a week through which certificates for differently abled persons are issued and patients referred for opinion to the medical board are examined and opinion given.

Pharmacy for both male and females, surgical dressing room are also situated in the groundfloor of the block.

Functioning nationalised bank and canteen available in the premises.

108 Ambulance Care service is available for bringing the patient to the emergency / Casualty ward.

Casualty is situated at the entrance of 300 bedded ward and the OP ticket is given at the entrance around the clock.
 
Post-mortem examinations are conducted in the post mortem hall in the natural light from 10 AM to 4 PM.

Hospital Ambulance is used for transporting patient to higher centres if needed.

Mortuary Van service is available for taking home the deceased at free of cost.
 

I. CLINICAL SERVICES:

This includes outpatient, in patient and emergency services.

TIME FRAME FOR THE SERVICES

All out patient specialty clinics – 30 minutes to 1 hour
Emergency / Accident / Casualty Services - immediate

i)Outpatient Services:

Government Sivagangai Medical College and Hospital has a separate OP block with 2 floors. Various speciality departments are situated on the ground and first floor of the OP Block. The entire department including OP card counter and consultation clinics are fully computerized. 

Process of Registration: 

The registration process is computerized. Each patient is issued an OP card with a unique Patient Identification Number (PIN) which can be used to avail services from any department/section of this hospital. OP Card issued once can be used for all subsequent visits for entire lifetime.  All the details of the patients attending OPD like clinical history, examination findings, diagnosis, treatment, investigations, referrals and opinions are recorded by the doctors during every visit and can be retrieved and reviewed whenever needed.

Registration Counters:

 Two Registration counters, one each for males and females separately are situated on the ground floor, at the main entrance to the OP block.

Registration Timings: 

Department of Medicine, Surgery, Obstetrics and Gynaecology and Paediatrics - 7.30 am to 12.00 pm on all days.

Department of Dermatology, Radiology, Psychiatry, TB & Chest diseases, ICTC, ENT, Ophthalmology, Orthopaedics, Physiotherapy, Dentistry, Yoga & lifestyle clinic- 8.00 am to 12.00 pm on all days

Enquiry Desk:

There is a special enquiry desk manned by a helpful staff near the OP registration counter to guide the patients and direct them to the concerned OPDs.
 
Seminar hall: OPD has a large seminar hall for conducting seminars & various awareness programmes


Location of various OPDs:

Ground Floor:

·        General Medicine
Male OP & Female OP
Non communicable diseases OP
Injection room (Male & Female)

·        General Surgery
Male OP & Female OP
Dressing room (Male & Female)

·        Orthopaedics
Male OP & Female OP
POP dressing and cutting room

·        Obstetrics & Gynaecology
Gynaecology OP
Cancer screening OP
Oncology OP
Urology OP
·        Physiotherapy
 
I Floor:

·        Tuberculosis and Respiratory Medicine
OP
Sputum examination
·        Skin & Venereal Diseases
Male OP & Female OP
STD Clinic
·        Psychiatry
Male OP & Female OP
·        Oto-rhino- laryngology
Male OP & Female OP
Audiometry
Speech Therapy
Endoscopy
·        Ophthalmology
Male OP & Female OP
Minor OT
Glaucoma room
Refraction room
Dark room
·        Paediatrics
Vaccination clinic
Child guidance clinic
Child welfare and Rehabilitation clinic
Day care centre
DEIC / Physiotherapy
·        Dentistry
Male OP & Female OP
·        ART Centre
ICTC centre
·        Yoga and Naturopathy lifestyle clinic.
Pharmacy

 
Ancillary Services:

Ground floor:
·        Ultrasonogram (Male & Female)
·        ECG
·        X ray room
·        ECHO
·        Treadmill test room
 

Pharmacy:

 The medications prescribed by the doctors are uploaded directly to the pharmacy’s computerized network. The drugs are distributed after verification of the patient’s PIN number in the respective floors through subpharmacies.
 
A total of 3 counters, 2 Counters in Ground Floor and 1 in first floor, are available to distribute drugs to the patients
 
 
ii)In Patient Services(IPD):

Patients who need further evaluation, in patient assessment, treatment and investigations are admitted as inpatients. They must get an admission slip at the admission counter situated near the casualty OP. There are 2 IP blocks, one with 200 beds and the other with 300 beds. There are general wards, special wards for patients operated under CMCHIS and intensive care units to serve the patients· There is a special ward for medical students.

All the in patients are provided with healthy, hygienic nutritious food throughout their admission period prepared in the local kitchen and distributed.
 
Location of Wards:

Ground Floor:

OP, Inpatient admission and Diet sheet counter
Police outpost
Casualty OP
Triage Ward
Trauma ward
Emergency pharmacy
Emergency X rays
Minor casualty operation theatre
Emergency operation theatre
Septic OT
CT Scan
MRI
Geriatric ward
Gynecology ward
AN Ward
Female Medicine Ward I (FM I)
Calamity ward /Dengue ward (during outbreaks as necessary)
Anaesthesia assessment room
Nursing Superintendent Office
ARMO office
Office for hosiptal workers(Padmavathi)
Intensive Renal Care Unit
Intensive Medical Care Unit
Intensive Coronary Care Unit
Intensive Surgical Care Unit
Emergency Laboratory
Special ward for medical students
Pediatric Intensive Care Unit
Dialysis unit
Central Sterile Supply Department
Laundry
Kitchen
Biomedical waste collection room
Work shop
Purified drinking water
Manifold room
Central liquid oxygen plant


I floor:

·        CMCHIS ward
         CMCHIS Office
·        General Medicine ward (Male)- MM I & MM III
·        Orthopaedics ward (male & female)
·        Psychiatry ward(male & female)
·        ECT Room
·        Paediatrics ward I & II
.        Oncology ward
Dermatology ward
·        Fever ward (Female) (Seasonal as necessary)
·        HOD Room- Department of Medicine
Demonstration hall- Department of Medicine
Medical Store


 
 II Floor:

·        General Surgery ward (Male & Female)- MS I, MS II, FS I, FS II
·        Post operative ward
·        Burns ward
·        General Medicine ward (male)- MM II & MM IV
·        Fever ward (Male) (Seasonal as necessary)
·        Surgical store
.        Swine flu ward
         Urology ward
.        Endoscopy ( Medicine & Surgery)

 
III Floor:

·        Surgical theatre complex for surgical specialities (MOT)
·        Gynaecology theatre
·        Ophthalmology ward
.        Ophthalmology OT
.        ENT / Ortho OT
·        Oto-rhino-laryngology ward
·        Gynaecology Ward
·        Tuberculosis and Chest ward(Male & female)
·        Surgery seminar hall
.        Gynecology ward
Female Medical ward FM II
 
Intensive Care Units:

GSMCH has facilities for critically ill adult, paediatric and neonatal patients. Following intensive care units are situated in the ground floor of 300 bedded IP block well equipped with ventilators and other resuscitative equipments.
·        IMCU
·        ICCU
·        SICU
·        PICU

 
 
OperationTheatres:

There are seven major operation theatres with state of the art facilities to provide excellent surgical care.
·        Surgery -2
·        Orthopaedics 1
·        ENT 1
·        Ophthalmology  1
·        Obstetrics & Gynaecology 1
·        Emergency 1
·        Minor
·        Septic
 
Emergency theatre is situated on the ground floor while the other five major theatres are situated on the third floor.
 
Various surgeries are being done in our hospital.
 
Certain medical conditions and surgeries as selected are covered under the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS).

There is a separate ward for such patients availing the facilities. They are requested to provide a copy of the ration card and the smart card. In its absence a copy of the ration card or an Income certificate issued by the local village administrative officer will help the staff to procure a smart card at the earliest. One liaison officers and three assistants man the station to help the patients. Satisfactory form is obtained from the patient on discharge. To facilitate the process citizens are requested to carry the smart card whenever they visit the hospital to avail the facilities and make the processing faster.

                                   Comprehensive Emergency Obstetric & Newborn Care (CEMONC)Centre
 
The CEMONC Centre was inaugurated in ……..2017  in a separate building with about 200 beds and OP clinics to provide an integrated OP & emergency care to both pregnant mothers and their newborn
 
Ground floor:
 OG Casualty
OP
Waiting hall
Free Birth registration booth
Antenatal OP
USG Room
Well baby clinic
Counselling room
Family Planning OP
Labour ward
Obstetric Intensive care Unit
 
I Floor:
Neonatal Intensive Care Unit
ROP Screening room
Post Natal ward
 
II Floor:
LSCS Ward
CEMONC OT
 
III Floor:
LSCS Ward
Family Planning Ward
Auditorium
Demonstration Hall
Office

iii)Emergency Services:

 Emergency services are available round the clock on all days.
 
Casualty department of GSMCH is located in the ground floor of 300 bedded block at the main entrance. There is a separate computerized OP counter for emergency cases. Casualty has 10 beds and is well equipped with emergency drugs and life saving equipments. A well equipped operation theatre is also attached to the casualty section. Casualty medical officer, on duty assistants, resident doctors and nurses are available round the clock on all the days.

There is a Trauma ward nearby to accommodate all the injured patients.

A 24 hours pharmacy is also available in the vicinity. An x ray room is available which functions round the clock.

Ambulance Services: 

The hospital has round the clock emergency ambulance services apart from 108 introduced by government. Ambulances are well equipped and the staff on the ambulance are trained in providing basic life support and shifting of the patient.
 
A NICU ambulance is available in the hospital for transport of sick neonates.
 
An ambulance is available for transport of Post natal mothers & their newborn to their home free of cost.

An ambulance is available with the Ophthalmology department under the National Blindness Control Programme for conducting camps in remote rural areas and implements the national programme.
 
There are two mortuary vans to provide transport of dead bodies from the hospital.

Transport Facilities:

The outpatient block, the 200 and 300 bedded in patient block and the central laboratory are interconnected to each other so as to provide easy access for the patients. There are seven lifts at different sites which make shifting of patients easy. Ramps are available at various strategic points in times of emergency

 
II.DIAGNOSTIC & BLOOD BANK SERVICES:

GSMCH has well developed and advanced diagnostic (laboratory and imaging) services. These sections work round the clock, seven days a week, providing routine and emergency services.

i)Laboratory services:

GSMCH has a separate block for central laboratory and a Blood bank near the Administrative office. The laboratory services include
·        Biochemistry
·        Pathology
·        Microbiology
Separate rooms for collection of Blood, Urine and other samples are situated in the ground floor.
 
Timings:

Routine OPD 8.00 am to 12.00 pm
Indoor 8.00 am to 4.00 pm
Emergency 4.00 to 9.00 am
 
Procedure for OPD Patients: 

 The list of investigations required for the patient is sent by the consultant directly to the concerned section through computerized software. Patients are directed to the corresponding section for sample collection. After collection of samples, each patient is given a specific number for reference. On provision of the reference number, investigation reports will be furnished and uploaded on the computer also.
 
Procedure for Indoor Patients: 

Patient’s relative / attendant  or Grade IV employee in the ward picks up the collected samples from the respective ward and goes to  the lab where he/ she gets indoor laboratory number.
 
Investigations: 

Biochemistry:

·        Blood glucose
·        Blood urea
·        Serum creatinine
·        Liver Function tests
·        Serum Electrolytes
·        Urine for albumin, sugar, acetone and deposits
·        Lipid profile
·        Serum uric acid
·        Serum amylase
·        Thyroid function test
 
Pathology:

1.      Hematology
·        Routine haemogram
·        Peripheral smear study
·        Blood grouping
·        Coagulation Profile
2.      Histopathology
3.      Cytopathology: FNAC, Pap Smear
4.      Biopsy
 
 Microbiology:
 
·        Microscopy
·        Culture & sensitivity
·        Widal test
·        HBsAg
·        Dengue serology
·        Stool for ova / cyst 
·        HIV Routine serology
·         Sputum for AFB
 
ii) Imaging Services (Radiodiagnosis): 

 Radiology department is located on the ground floor of the 300 bedded block. The following investigations are done here:

·       X Ray Pay counter
.       Conventional X ray
.       Digital X-Ray
·       Barium study
·       IVP
·       CT Scan
·       USG (ground floor of OP block)
.       MRI
 
 Procedure:

The patient is directed to the concerned section where he/ she is allotted an identity/ department number, which must be provided by the patient for receiving the report. In case of immobility of the patient there is provision of taking the ECG machines to patient’s bedside (in the wards) itself using portable machines.
 
iii)Blood Bank Services: 

SGMCH has FDA licensed blood bank with the facility for separation of blood components. It is situated in the ground floor of the central laboratory. It has facilities for voluntary blood donation. The blood bank keeps buffer stock of blood units of different groups to supply the patients whenever required. Regular camps are conducted in nearby colleges and prominent places to augment the stocks.
 
OTHER SERVICES YET TO BE INAUGURATED:

District Early Intervention Centre (DEIC):
 
An exclusive block is ready for inauguration to facilitate early screening of pediatric population for various congenital, developmental , nutritional and other acquired disorders and provide them special care, supportive treatment & rehabilitation. An integrated approach by a team of doctors & technicians  from various specialities like Pediatrics, Ophthalmology, ENT, Psychiatry, Dentistry & Orthopaedics will be available to implement this early intervention programme.
 
Accident & Emergency Block under Tamilnadu Accident & Emergency Care Initiative(TAEI):
 
An exclusive block with about ………beds is ready for inauguration to deliver prompt & critical care to the victims of trauma and other emergency conditions. A team of doctors from  various specialities will be available round the clock to treat the patients.
 

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