DAILY REPORT

5/7/2024
DEPARTMENT: CSSD
CSSD stands for central sterile supply department.
Where the unsterile equipment’s are collected then steriled and the distributed to the concern area.
Three zones:
1. Unsterile area
2. Cleaning area
3. Sterile and storage area
Flow of CSSD
1. Collection
2. Washing
3. Cleaning
4. Packing
5. Sterilization
6. Storage
7. Distribution
Methods of sterilization: Moist heat sterilization, Dry heat sterilization and Gas sterilization.
Moist heat sterilization
Pre-Vacuum sterilization: Which are fitted with vacuum pump to ensure air removal from the
chamber before the steam is admitted
Pressure – 32LBS
Temperature – 134o c
Sterilization time – 4 minutes
Gravity sterilization: The process by which loads are sterilized by pumping steam into chamber.
Pressure – 20LBS
Temperature – 121o c
Sterilization time – 1hour
Dry heat sterilization: Which helps to kill micro-organisms using oxidation method. Hot Air Oven is
used to sterilize the materials.
Temperature – 160o c
Sterilization time – 1hour.
Gas sterilization: Gas sterilization is done by Ethylene Oxide (EtO). It is for heat sensitive materials
like plastic, delicate rubber. These items must be free from moist because ethylene oxide will react and
converts into poisonous gas.
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DEEPARTMENT: LAUNDRY
Laundry is a place where the dirty linen is collected washed and then distributed to the respective
wards from where the linen has been collected.
Purpose:
 There must be no spread of infection to patients through linen (Infection control).
 To provide adequate supply of clean linens (Patient comfort).
PROCESS:
1. Collection
2. Segregation
3. Washing
4. Drying
5. Ironing and folding
6. Storage and supply
CONDEMNATION
 Every Tuesday there is a condemnation process.
 When the linen is deemed unsuitable for reuse due to excessive wear and tear, staining, or
contamination with infectious or hazardous materials, they must be condemned and disposed of
appropriately.

8/7/2024
DEPARTMENT: FIRE OFFICE
Fire office at hospital is a major support service where incase of any fire events or emergency the team
prevent and control the fire.
Mini fire vehicle:
 To put off fire at initial stage
 350L of water and 30-35L of foam
Elements of fire- oxygen, heat, fuel take any of these three things away, and you will not have a fire or
the fire will be extinguished.
Classification of fire:
A-Ordinary fire (paper, wood)
B-Flammable liquids (paint, oil)
C-Flammable gas
D-Flammable metal
F-Kitchen fire

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Extinguisher types
1. ABC- Dry chemical
2. BC- Dry chemical
3. Wet chemical- Wet chemical

Pump types: Pump rooms:

Jockey pump Main pump room- 265000Lts

Hydrant pump (main pump) ISSCC pump room- 265000Lts

Diesel pump PG pump room- 88000Lts

Hose type:

 RRL (Reinforced Rubber Lined), colour- white

 Synthetic, colour- red
Fire brigade: Fire brigades can also attach different nozzles to the end of the hose to fight a variety of
fire situations.
Fire Alarm Pannel:
1. Conventional- shows the specific zone
2. Addressable- shows the exact location
Sensors/ Detectors:
 Smoke- detect only smoke
 Heat- detect only heat
 Multi- detect both smoke and heat

DEPARTMENT: SECURITY OFFICE

One of the primary responsibilities of Hospital Security Guard Services is to maintain order within the
facility. They patrol the premises, monitor surveillance systems, and enforce hospital policies and
protocols.
Intakes:
 The securities have been outsourced from 4 different agency.
 At security office they to take the head counts alone.
 They do work on shift basis- 3 shifts.
 The main purpose of security is crowd management.
 It is duty of a security to check for bands in patient as well as patient’s attender.
 Security placed at various places like- gate, entrance, staircase, lift etc.
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  Security help patients who come in wheel chair and stretchers.
 Another important role is to guide the patients.

9/7/2024
DEPARTMENT: OCCUPATIONAL THERAPY
 The Department of Physical Medicine and Rehabilitation in CMC, Vellore serves and treats
patients requiring such therapy.
 Rehabilitation involves training patients so that they can have a means of livelihood or opt for a
job when they get alright.
 OT known as Occupational Therapy, it’s a part of rehabilitation.
 Both children and adults with disabilities are rehabilitated here. Where referral from various
OPD like ortho, neuro, spine surgery come here for therapy.
 Both service as well as education is provided here.
 Disability:
 Temporary- Fracture of both hands and both legs, Fracture in one hand and one leg.
 Permanent- Paralyzed due to spinal cord damage, Serious traumatic brain injury.
 Patients with diseases such as schizophrenia, bipolar disorder, and anxiety disorders are treated
in the Department of Psychiatry's Occupational Therapy unit in order to improve work skills,
group abilities, and develop a balanced activity configuration.
 The Rehabilitation Unit treats patients with spinal cord injuries, brain injuries, and other
comparable physical diseases. The therapy aims to promote independence in self-care,
functional capacity, homemaking skills, and work abilities.

DEPARTMENT: DIETETICS
 The Department of Dietetics at Christian Medical College Vellore was established in the year
1950.
 The qualified dietitians of the department take care of the nutritional needs of both outpatients
as well as inpatients.
 The Department is led by senior dietitian and In-charge, Ms. Manimegalai, who supervises a
team of 10 qualified dietitians, including three registered dietitians.
 Operation time 8a.m to 9:30p.m
 Objectives:
1. To meet nutritional need of the patients.
2. To prepare and serve food to the patients.
3. To impart education and service.
 Functions: therapeutic diet plan, food preparation and service matching with the patients.

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HIERARCHY OF DIETARY DEPARTMENT

General
Superintendent

Chief dietitian
Quess Manager
HOD

Clerical staff Students Dietitians Interns

10/7/2024
DEPARTMENT: NEONATOLOGY
 The department treats newborn babies that are born early and small or that get sick shortly after
being born.
 Around 15,000 babies are born in CMC's Town Campus alone, each year.
 Some will need to be ventilated, others may need antibiotics. Most babies then grow up to be
fit and well.
 These babies have a multi-disciplinary assessment by a team of physicians, occupational
therapists, physiotherapists and developmental paediatricians.
 Assessment and counselling for high-risk mothers and their families in the Perinatal Clinic is
an important service.
 Pregnant women with medical and fetal complications from various other parts of India too
come to CMC for antenatal care and delivery.
 There are three different level of care units:
1. L1 with 15 bedded, where the infants are with less risk level
2. L2 with 61 bedded, where the infants are with moderate risk level
3. L3 with 15 bedded, where the infants are with high risk level
 Where both term babies and pre term babies are treated here.
 Equipment’s used at neonatology:
1. Heart or cardiorespiratory monitor.
2. Blood pressure monitor.
3. Pulse oximeter.
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 4. Endotracheal tube (ET).
5. Respirator or mechanical ventilator.
6. Nasal cannula.
7. Intravenous line (also called IV).
8. Bili lights
9. Incubator.
10. Radiant warmer

11/07/2024

DEPARTMENT: ELECTRICAL
 The Electrical Department maintains the continuous supply of power.
 The Electrical Department functions 24/7 and 3 shifts are maintained in Generator room and
for Hospital Emergencies.
 Power is received from TNEB at 33,000 volts and stepped down through 17 transformers
installed at different location inside the campus.
 Generators provide 100% backup, in case of power interruptions from TNEB.
 UPS are provided for critical sources or for the essentials. Which are maintained to take care of
the transition time during the change over from Electricity Board supply.
 SOLAR PANELS: Solar panels are installed on the available terrace, which contributes to a
small percentage of the power utilized. 200KV in main campus, 2000KV in Ranipet.
 Job request is sent from various departments to rectify the issues.

DEPARTMENT: BLOOD BANK

 Blood bank collects blood only from healthy voluntary donors.

 Blood bank is a centre where blood gathered as a result of blood donation is stored as preserved
for later use in blood transfusion.
 DONAR REGISTRATION: The donors are requested to fill the registration form. The person
must fulfil several criteria to be accepted as a blood donor. These criteria are set forth to ensure
the safety of the donor as well as the quality of donated blood.

Criteria

 Age above 18 to 65 years.

 Weight Maximum 45kg
 Haemoglobin level should be more than 12.5g/dl.

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  If previously donated, at least 4 months should be elapsed since the date of previous
donation.
 Free from any serious risk condition.

Types of donors

1. Volunteer donor
2. Replacement donor

HEMOGLOBIN DETERMINATION

The use of copper sulphate method is based on the fact that when drop of whole blood is allowed to
fall into the copper sulphate solution, this single drop of blood in the solution will determine the
rejection or acceptance of the blood donor. If the drop remains suspended, the donor is rejected, or
after the drop of blood enters the solution and continues to sink the donor is acceptable.

DONOR SCREENING AREA- BP checkup, Sugar level, medical history etc.

COLLECTION OF BLOOD

 BP cuff should be tied pressure should be 40-60mmHg.

 Once the Central vein is selected, pressure device should be released before the skin site is
prepared.
 Blood bags must contain sufficient quantity of anticoagulant according to quantity of blood to
be collected.
 Blood collected in to CPD anticoagulant containing bags. (Citrate, Phosphate, Dextrose).

Shelf life of CPD bags - 35 days.

 RBC
 Plasma (FFP)
 Platelet

TESTING OF BLOOD

The blood units screened for Infectious diseases tests (HIV, Malaria, Hepatitis B, etc). The blood
samples are sent for lab.

STORAGE, TRANSPORTATION AND ISSUE OF BLOOD

After successful testing of blood sample and cross matching, blood is issued to the patient.

Issue of blood to be documented by blood bank staff.

12/07/2024
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DEPARTMENT: BME (BIO MEDICAL ENGINEERING)
 Bio Medical Engineering department is a part of support service department.
 Bioengineering has engineering at its core, and includes the disciplines of physics,
mechanics, electronics, and computational methods applied to physiology and medicine.
 The department has developed devices and technologies for medical diagnosis, therapy, and
rehabilitation.
 The bioengineering department works closely with several other departments in CMC.
 There are totally 7 maintenances department including Bio Medical Department.
 The medical equipment’s are being bought for repair and maintenance work to Bio Medical
Department, where electrical based equipment’s are sent to electrical engineering
department.
 Two types of segregating the equipment’s: general and monitoring, surgical and life
support.
 Once the equipment’s are repaired and sent to the concern departments.

EQUIPMENT LIFECYCLE
Plan

Technology selection

Procurement & logistics

Installation & commissioning

Training & skill development

Service training

Breakdown maintenance

Preventive corrective

Condemnation
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DEPARTMENT: PHARMACY

 A hospital pharmacy is a department within a hospital that produces, compounds, stockpiles,

and distributes inpatient medication.
 Pharmacy department is a specialized unit which is dealing with medicines and ensuring that
the safe medication provided to the patient.
 In CMC, there are around 54 pharmacy’s which included peripheral units like Schell, Chad,
ranipet, chittoor and bagayam campus.
 The pharmacy has got its own way of policies and various pharmacy are located at various
areas ( we’ve been to pharmacy unit and main pharmacy)

HIERARCHY

Head of the department

Functional unit heads

Dispersive manufacturing

Purchase Stores Quality control Education

Flow if pharmacy purchase
1. Pharmacy purchase committee
2. Annual rate contract committee
3. Purchase order
4. Goods received note
5. Request indent
6. Issue
7. Received
8. Dispense
9. Patient
10. Return
11. Manufacture

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15/07/2024

PERIPHERAL: RUHSA

 RUHSA (Rural Unit for Health and Social Affairs) is a community health initiative of the
Christian Medical College (CMC) in Vellore, India.
 RUHSA was established to address the health and social needs of rural populations.
 A unit of Christian Medical College and Hospital aims to improve the health, economic status
and educational level of the population of the backward K V Kuppam Block.
 Integrated health and development also a holistic approach.
 The primary concern of the Christian Medical College, Vellore is to develop through
education and training, compassionate, professionally excellent, ethically sound
individuals who will go out as servant-leaders of health teams and healing communities.
 Their service may be in promotive, preventive, curative, rehabilitative or palliative aspects
of healthcare, in education or in research.

 RUHSA continues to play a crucial role in improving health and social outcomes for rural
populations, demonstrating the importance of an integrated approach to healthcare and
community development.

HISTORY
1930- road side clinic of north west vellore
1994- kavanur for rural health
1946- land has been bought and started leprosy centre
1997- RUHSA started

Overview of RUHSA

Mission and Objectives:

 Primary Healthcare: Provide comprehensive primary healthcare services to rural communities.

 Community Development: Promote overall community development through health education
and social interventions.
 Research and Training: Conduct research and offer training programs in community health and
rural development.

Services and Programs

Healthcare Services:

 Primary Care Clinics: Offer outpatient services, maternal and child health care, immunizations,
and management of chronic diseases.
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  Mobile Health Units: Provide healthcare services to remote areas through mobile clinics.
 Specialty Clinics: Periodic specialty clinics for conditions such as diabetes, hypertension, and
mental health.

Community Health Initiatives:

 Health Education: Conduct health education programs focusing on preventive health measures,
sanitation, and nutrition.
 School Health Programs: Provide health check-ups and health education in schools.
 Village Health Worker Program: Train local village health workers to provide basic health
services and health education in their communities.

Social and Economic Development:

 Women’s Empowerment Programs: Promote women's health and economic independence

through self-help groups and vocational training.
 Livelihood Programs: Offer skill development and vocational training to improve employment
opportunities for rural youth.
 Agricultural Programs: Support sustainable agriculture practices and provide training for
farmers.

Research and Training:

 Research: Conduct research on rural health issues to inform policy and practice.
 Training Programs: Offer training for healthcare professionals, community health workers, and
students in community health and rural development.

Impact and Achievements

 Improved Health Outcomes

 Empowerment and Capacity Building
 Model for Rural Healthcare

16/07/2024
PERIPHERAL: SCHELL
 SCHELL (Scheer Memorial Charitable Hospital Eye and ENT Hospital) is another notable
initiative of the Christian Medical College (CMC) in Vellore, India.
 It focuses on providing specialized care in the fields of ophthalmology and otolaryngology

(ENT).
 Apart from the Department of Ophthalmology, it also houses the Low Cost Effective Care Unit
(LCECU) of the Department of Family Medicine.
 The LCECU was started on December 1982, in response to the needs of the poor in Vellore
town.

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  This campus initially housed the Mary Taber Schell Memorial Hospital, started in the year
1902 by Dr. Ida Scudder as a 40-bedded hospital. It was named in memory of the wife of a
New York-based benefactor who provided the initial amount to set up the hospital.
 LCECU- mini cost, poor urban population
HISTORY
1902- SCHELL
1906 to 1960’S- road side clinics
1956- rural health centre
1981- CHAD
1976- RUHSA
Features:
1. Secondary care facility
2. Appropriate infrastructure
3. Family medicine approach
4. Limited gadgetry
5. Staffing patter
6. Subsidies
7. Access to specialist
Concerning areas- service, training and research.
Went for field work – 11.00 to 12.15p.m

PERIPHERAL: CHAD
 The Community Health and Development (CHAD) program at the Christian Medical College
(CMC) in Vellore, India, is dedicated to improving the health and well-being of rural and
underserved communities.
 CHAD focuses on an integrated approach to healthcare, combining medical services with
community development initiatives.
 Comprehensive health and development programme under the Community Health Department
of CMC, Vellore covers approximately 200,000 in the rural, urban and tribal community areas
of Vellore Districts. This programme covers the Kaniyambadi block, urban slums of Vellore
and the Jawadhi Hills area.
 The programme is carried out through the joint efforts of medical and nursing staff, social
workers and volunteers. Health activities are done in close collaboration with the existing
government services. The 135 bed CHAD hospital serves not only as a base hospital for the
peripheral programme but also as a secondary health center.

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  CHAD continues to play a crucial role in improving the health and well-being of rural and
underserved populations, demonstrating the importance of an integrated approach to healthcare
and community development.
Overview of CHAD
Mission and Objectives:
1) Holistic Healthcare: Provide comprehensive healthcare services that address physical, mental,
and social health.
2) Community Empowerment: Empower communities through education, capacity building, and
participation in health programs.
3) Sustainable Development: Promote sustainable community development through various health
and social initiatives.
Services and Programs
Healthcare Services:
1) Primary Health Care: Offers a range of primary health services, including general outpatient
care, maternal and child health, immunizations, and management of chronic diseases.
2) Mobile Health Services: Delivers healthcare services to remote and rural areas through mobile
clinics.
3) Specialty Services: Provides specialized care in areas such as pediatrics, geriatrics, mental
health, and infectious diseases.
Community Health Initiatives:
1) Village Health Workers (VHWs): Trains and supports local village health workers to provide
basic health services, health education, and first aid in their communities.
2) Health Education: Conducts health education programs focusing on preventive health
measures, hygiene, nutrition, and family planning.
3) School Health Programs: Implements health education and screening programs in schools to
promote health and well-being among children.
4) Social and Economic Development:
5) Women’s Empowerment: Promotes women’s health and empowerment through self-help
groups, vocational training, and microfinance initiatives.
6) Youth Programs: Engages youth in health education, leadership training, and skill development
activities.
Research and Training:
Community-Based Research: Conducts research on community health issues to inform policies and
practices that improve health outcomes.
Training Programs: Offers training for healthcare professionals, community health workers, and
students in community health and development.
Impact
o Improved Health Indicators
o Empowerment and Capacity Building
o Model for Community Health
o Government and NGOs
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o Academic Institutions & International Organizations

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