Question: When and in which stage is equipment planning done?
– Naresh Shrivastava, Gurgaon
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Tarun Katiyar
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Answer: Equipment planning is done early in the design development stage. This planning involves HODs, admin team and other medical staff. A series of meetings with staff members involved in finalising the list, the number and type of equipment are required.
Question: List depreciable and non depreciable hospital equipment?
– Reena Sahay, Bihar
Answer: Depreciable equipment are: Surgical apparatuses, lab therapeutic equipment and suction machines. It also includes physiotherapy equipment, refrigerator, general use surgical computers, electronic exchanges, typewriters, intercoms, office equipment, pharmacy equipment. Non depreciable equipment are: recurring in use five years lamps, waste bins, linen, sheets, blankets, catheters, surgical instruments, tableware, chinaware and kitchen utensils. These equipment are purchased through other than construction contracts. These are low cost equipment.
Question: What is your opinion on fire management in a hospital?
– Dr Kapoor, Lucknow
Answer: The design and construction of every building structure should incorporate features for prevention of fire and fire loss:
- Considering the type and density of occupancy, lobbies, staircases, aisles etc. should be sufficiently wide to ensure easy movement of traffic at all times
- The design of the building structure should be planned to allow pressurised exclusion of smoke in case of fire or smoke leak.
- Ideally a heavy duty elevator, especially for use of fire fighting personnel and used in case of emergency only should be incorporated.
- Adequate emergency rescue aids and suitable refuge area should be incorporated in the design.
- Safe and easy means of access should be provided to and in every place of work/ occupancy.
- The floor should be designed in a way that they are free from obstructions, slip-resistant and even. Openings in floors should be securely fenced or covered.
- Staircases, ramps etc. should be provided with substantial handrails and other suitable support means to prevent slipping
- Easy access for servicing and maintenance of plant, machinery and buildings should also be incorporated in a design
Question: Can you explain different types of wastes in the hospital?
– Ankur, Bangalore
Answer: Wastes should be classified at the point where they are generated. According to the nature of the wastes and their source, they are classified as follows:
- Group I: those wastes that can be assimilated into urban refuse
- Group II: non-specific hospital wastes
- Group III: specific hospital wastes or hazardous wastes
- Group IV: cytostatic wastes (surplus antineoplastic drugs that are not fit for therapeutic use, as well as single-use materials that have been in contact with them, e.g., needles, syringes, catheters, gloves and IV set-ups).
Question: What is the job description of Nursing Superintendent?
– Dr Parmar, Delhi
Answer:
- She will be responsible and overall in-charge of nursing services in the hospital
- She will report to the Medical Superintendent or Chief of Centres
- She will be responsible for implementing hospital policies in various nursing units
- She will formulate hospital policy, particularly those concerning nursing services
- She will recommend personnel and material required for various nursing service departments
- She will assist Chief of Hospital in recruiting nursing staff.
- She will carry out regular rounds of the hospital
- She will ensure safe and efficient care rendered to patients in various wards etc
- She will prepare budgets for nursing services
- She will be a member of various boards for linen and other stores
- She will be responsible for counselling and guidance of sub-ordinate staff.
- She will attend hospital/ intra hospital meetings and conferences.
- She will investigate all complaints regarding nursing care and personnel, and take corrective action.
- She will initiate and encourage research in nursing services.
- She will evaluate confidential reports of her sub-ordinate staff and recommend them for promotion
- She will maintain cordial relations between patients and medical social workers
- She will periodically interact with clinical heads to discuss problems in patient care.
- She will educate nursing staff of all categories by conducting awareness programmes on universal precautions