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Published by KL Roy
describes the facilities to be made available at all military hospitals
describes the facilities to be made available at all military hospitals

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Published by: KL Roy on Jun 22, 2009
Copyright:Attribution Non-commercial


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Telephone : 23092121 Integrated HQ of MOD (Army)Dte Gen of Med ServicesAdjutant Generals BranchL Block, New Delhi 11B/75346/DGMS-3E/PC 15 Sep 2008HQ Southern Command (Med)HQ Eastern Command (Med)HQ Western Command (Med)HQ Central Command (Med)HQ Northern Command (Med)HQ South Western Command (Med)
1. Further to this Dte Gen letter No B/75346/DGMS-3E/PC dt 30 Apr 2008 and letter NoB/75346/DGMS-3E/PC dt 01 Aug 2008, a presentation on standardization of OPD servicesof Service hosp was held at this Dte Gen and the following guidelines for OPD and CentralMI Room run by fd med units have emerged which are as follows:-2.
Structural Standards.
(a) The structure of the OPD of service hospitals has been standardized videTable-3A of
Scales of Accn for Armed Forces Hospitals 2003
Scale of accn Defence Services 1983, Table 7 III for MI Room,
the scope of the structure isquite liberal and satisfactory. However, majority of service hospitals are stillaccommodated in old buildings and will have to dovetail the laid-down structurewithin available accn, probably with some addition/alterations.(b)
Features of 
Barrier-free Environment
Essential features of
that need to be incorporated in the OPD structure are as givenbelow:-(i) Separate car-parking with a min space of (3.5m x 3.5m) per car for wideopening of doors.(ii) Ramp at the entrance with a gradient of 1:20 with handrails at a heightof 900 mm above ground.(iii) OPD doors, if present at the entrance must have a min width of 900 mmwith door handles at 800-900 mm above ground and adequate maneuveringspace infront.(iv) Waiting area seats must be 450 mm high with arm rests at 700 mmabove ground.(v) One telephone cubicle of a size of (1.7 m x 1.7 m), with the telephoneat a height of 900 mm and an empty space of 600 mm below the telephone.
 2(vi) One toilet of (1.7m x 1.7 m) with grab rails at 800 mm height, WC at0.5m height and wash-basin at 0.7m height.(vii) One lift with a min area of (1.1 m x 1.4m), door width of 1m and floorindicators at eye level.(c)
Certain other generic standards : Structure
(i) Landscaping of the entire frontage to usher in the concept of
Holistichealing therapy
.(ii) A welcoming approach to the OPD building, clearly sign-posted.(iii) A comfortable ambience inside the OPD, with separate waiting spacesfor different categories of patients provided with newspaper/magazine stands,drinking water facilities and sanitary blocks.(iv) Recreational facilities in the form of soothing music and wall-mountedflat screen TV sets.(v)
Standards of accn
Though accn for the OPD has been standardizedvide Table -3A of
Scale of Accn for Hospitals-2003
min requirement ofaccn in hospital occupying old buildings needs to be laid down. Such astandardized template is shown below:-(aa) Reception and registration -Separate for servicepers/families/ESM.(ab) Waiting area, separately for Offrs/PBORs/families of PBORs.(ac) Consultation rooms, number of which will depend on availabilityof rooms and staff and average OPD load.(ad) Procedure room with at least two resuscitation beds.(ae) Diagnostic facility with structure for lab/radiologicalinvestigations.(af) Resuscitative facilities for providing life-saving resuscitativeservices.(ag) Dispensary.(ah) Patient/staff amenities incl separate sanitary blocks.(d)
Standards of staffing
Though service hospitals cannot substantiallyaugment its OPD staff, the capability of available staff can be significantly upgradedto act as a force multiplier to the value chain being developed in the OPD. Atemplate for essential staffing of this dept may be as given below:-
3(i) Medical Officers - 02 (Trained in Critical Care byAnesthesiologist).(ii) Member of MNS - 01 (To function primarily asOPD Co-ordinator.(iii) Nurs/Assts - 03 (Trained in ACLS/ATLS byAnesthesiologist).(iv) Amb/Asst, MT Dvr - 01 each (Trained in BLSSafaiwala protocols by MO I/C).(v) Ward Sahayika - 01(e)
Standardized sets of Eqpts
Generic standards for eqpts that will benecessary will be shown below:-(i) Routine therapeutic/diagnostic eqpts (ME Scale).(ii) Diagnostic equipments - Semi-auto analyser/100MA Mobile X-Ray machine.(iii) Resuscitative equipments - Procured from AAP fromDGAFMS office/ACSFP(iv) Life-support equipments - Procured fromAAP/ACSFP.(v) Trauma Care Van - Modifying one 2.5 TonAmb veh with help of local EMEWorkshop.(f)
Misc facilities -
These facilities will again depend upon the size and scope ofoperations of the OPD services. However, a min template is again being laid downas below :-(i) STD/PCO(ii) Coffee/Tea dispensers(iii) Drinking water(iv) Snack counter(v) Newspaper/ magazine racks(vi) Soft music(vii) Digital display system for waiting patients.(viii) Wall-mounted TV sets (preferably flat surface TVs)

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