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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
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.
Two Registration counters, one each for males and females separately are situated on the ground floor, at the main entrance to the OP block.
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
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:
· General Medicine
Male OP & Female OP
Non communicable diseases OP
Injection room (Male & Female)
· General Surgery
Male OP & Female OP
Dressing room (Male & Female)
Male OP & Female OP
POP dressing and cutting room
· Obstetrics & Gynaecology
Cancer screening OP
· Tuberculosis and Respiratory Medicine
· Skin & Venereal Diseases
Male OP & Female OP
Male OP & Female OP
· Oto-rhino- laryngology
Male OP & Female OP
Male OP & Female OP
Child guidance clinic
Child welfare and Rehabilitation clinic
Day care centre
DEIC / Physiotherapy
Male OP & Female OP
· ART Centre
· Yoga and Naturopathy lifestyle clinic.
· Ultrasonogram (Male & Female)
· X ray room
· Treadmill test room
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:
OP, Inpatient admission and Diet sheet counter
Emergency X rays
Minor casualty operation theatre
Emergency operation theatre
Female Medicine Ward I (FM I)
Calamity ward /Dengue ward (during outbreaks as necessary)
Anaesthesia assessment room
Nursing Superintendent Office
Office for hosiptal workers(Padmavathi)
Intensive Renal Care Unit
Intensive Medical Care Unit
Intensive Coronary Care Unit
Intensive Surgical Care Unit
Special ward for medical students
Pediatric Intensive Care Unit
Central Sterile Supply Department
Biomedical waste collection room
Purified drinking water
Central liquid oxygen plant
· CMCHIS ward
· General Medicine ward (Male)- MM I & MM III
· Orthopaedics ward (male & female)
· Psychiatry ward(male & female)
· ECT Room
· Paediatrics ward I & II
. Oncology ward
· Fever ward (Female) (Seasonal as necessary)
· HOD Room- Department of Medicine
Demonstration hall- Department of Medicine
· 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
. Endoscopy ( Medicine & Surgery)
· 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.
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
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
Free Birth registration booth
Well baby clinic
Family Planning OP
Obstetric Intensive care Unit
Neonatal Intensive Care Unit
ROP Screening room
Post Natal ward
Family Planning Ward
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.
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.
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.
GSMCH has a separate block for central laboratory and a Blood bank near the Administrative office. The laboratory services include
Separate rooms for collection of Blood, Urine and other samples are situated in the ground floor.
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.
· 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
· Routine haemogram
· Peripheral smear study
· Blood grouping
· Coagulation Profile
3. Cytopathology: FNAC, Pap Smear
· Culture & sensitivity
· Widal test
· 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
· CT Scan
· USG (ground floor of OP block)
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.