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INTRODUCTION

As a part of our clinical posting we the M.Sc nursing students of RahmanInstitute of Nursing and
Paramedical Sciences visitedDr Bhubaneswar BorooahCancer Institute (BBCI) which is located at
GopinathNagar, AK Azad Road, Guwahati. Assam for two weeks that isfrom 24thApril 2019 till 4th May
2019.
On the first day i.e.,24th April,2019 we reached the hospital at 7:30 am and then we proceeded by orientation
of the hospital along with the nursing in- charge.After orientation she allocated us in different units as per our
INC syllabus requirements. And every day at the end of the duty the doctors were conducted classes for
oncology till 3pm.

DR. BHUBANESWAR BOROOAH CANCER INSTITUTE, GUWAHATI


Dr. Bhubaneswar Borooah Cancer Institute (BBCI) was set up by a voluntary organization called 'Dr. B.
Borooah Cancer Society Trust'. Dr. Bhubaneswar Borooah (4th September 1893 - 25th September 1956) was
a great physician, freedom fighter and philanthropist of Assam. In 1958 at a public meeting in Guwahati, a
decision was taken to set up a cancer hospital at Guwahati to commemorate the memory of Dr. Bhubaneswar
Borooah. Late DebendraNathSarma was the Founder President and Late Dr. Kanak Chandra Borooah,
illustrious brother of Dr. Bhubaneswar Borooah was the Founder Secretary. Late Bimala Prasad Chaliha,
Mahendra Mohan Choudhury, BishnuramMedhi, Dr. Ghanashyam Das, Dr. BirendraNathChoudhury and
many others worked relentlessly for the development of the Institute since its inception.
The Institute was formally inaugurated on 18th November 1973 and became operational from 1974. The
Institute was recognized as Regional Cancer Centre by the Ministry of Health & Family Welfare, Govt. of
India in the year 1980. On 6th of August, 1986 the Institute was handed over to the Government of Assam by
the B Borooah Cancer Society Trust retaining its autonomy. The First Tripartite Agreement for revitalization
of the Institute involving the North Eastern Council, Government of Assam and the Department of Atomic
Energy, Govt. of India became operational from November 1989. This tripartite arrangement for funding and
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management of the Institute continued till 2017. On the request of the then Chief Minister of Assam Shri.
TarunGogoi and the present Chief Minister of Assam Shri. SarbanandaSonowal, the Cabinet Committee on
Security under the Chairmanship of the Hon’ble Prime Minister of India Shri. NarendraModi on 7th of June
2017 approved taking over of Dr B Borooah Cancer Institute, Guwahati by Department of Atomic Energy,
Govt. of India as Grant-in-Aid Institute and as a unit of Tata Memorial Centre (Mumbai). The Institute was
formally taken over by Department of Atomic Energy, Govt. of India on 27th November 2017 as a unit of
Tata Memorial Centre, Mumbai.

MISSION
The mission of Cancer Research Foundation, India is to help in cancer prevention and cure by promoting
researchers on cancer.
VISION
To build a society without the fear of cancer.
PURPOSE
Cancer Research Foundation, India will strive to raise the standard of cancer research in the country.
INFRASTRUCTURE
The Institute is located at Gopinath Nagar, Guwahati, Assam in a plot of land covering an area of 14.2 acres
(43 bighas). About 12,000 new and 80,000 old cancer patients visit the Institute every year. It is a 230-
bedded Hospital at present. There are 100 bedded (general) and one 27 bedded executive guest houses for
patients & relatives inside the hospital premises. The Institute also has residential campus for the employees.
The Institute has started private OPD from 1st January 2017.

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A DBT Centre for Molecular Biology and Cancer Research was started in February 2010. The Institute has
Population and Hospital Based Cancer Registry under National Cancer Registry Programme of Indian
Council of Medical Research. It is involved in many research projects at present.
The Institute conducts MD in Radiotherapy, M.Ch in Surgical Oncology, DM in Medical Oncology, 2 Years
Post Graduate Fellowship Programme in Head & Neck Oncology, Gynecologic Oncology, Surgical
Oncology, Medical Oncology and Onco-Pathology in collaboration with Tata Memorial Hospital, Mumbai,
Ph.D., M.Sc. in Radiological Physics and many other paramedical courses are conducted by BBCI which are
affiliated to SrimantaSankardeva University of Health Sciences, Assam and Gauhati University.
For clinical, academic and research collaboration, Dr. B. Borooah Cancer Institute has signed memorandum
of understanding with the Dutch School of Gynecologic Oncology and Pelvic Surgery, Netherlands,
Manitoba University, Canada, Amrita Institute of Medical Sciences, Kochi, Indo-American Cancer Institute,
Hyderabad, Institute of Advance Study in Science & Technology, Assam Down Town University. The
Institute has more than 200 research publications in national and international journals. The Institute has
residential accommodation for employees and hostel for post graduate students. It also has a digital library.
The Department of Radiotherapy has 4 linear accelerators with IMRT, IGRT, VMAT, 6FFF, SRS/SRT, 1
conventional and 1 CT Simulator, 1 HDR Brachytherapy and 3 Computerized Treatment Planning Systems.
The Department of Radio-diagnosis has one 64 slice CT Scan, 1.5 Tesla MRI, mammography, Digital X-ray,
C-Arm X-ray, Computerized Radiography System, PACS, 2 high-end ultrasound and 1 RFA. The
Department of Nuclear Medicine and Molecular Imaging has 1 dual head Spect Gamma Camera machine
and 3-bedded high-dose radio-isotope therapy ward. The Institute has well equipped Pathology laboratory
with facilities for frozen section, immunohistochemistry, immune diagnostic system and blood bank with
component separation. The Surgical Oncology Department is well equipped with 5 modern operation
theatres with laser surgery, operative micro surgery, CUSA and other facilities. There is a 26 bedded day care
chemotherapy ward in addition to indoor beds. The Institute is soon going to acquire a PET-CT facility.
The Institute has a Palliative Medicine and Preventive Oncology department. Various recreational
programmes like sight-seeing, musical & cultural programs, meditation and yoga are regularly conducted by
BBCI. Home Care service for terminally ill cancers in the city of Guwahati was introduced in the year 2017.
All the OPD patients are provided free lunch under ANNAKUT scheme. There are provision for free
treatment to poor cancer patients under various schemes of Govt. of Assam and Govt. of India.
The Institute in collaboration with St. Jude’s India is going to start a home for pediatric cancer patients from
November 2018. M.Sc. in Cancer Biology and one year Diploma in Oncology Nursing will be started from
the Academic Session 2018. A new pharmacy with highly subsidized medicine will be started soon.

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FACILITIES AVAILABLE
 Radiation Oncology & Medical Physics
 Surgical Oncology
 Gynecologic Oncology
 Medical Oncology
 Pathology& Bio-chemistry
 Anaesthesiology
 Radio-diagonosis& Nuclear Medicine
 Head & Neck Oncology
 Preventive Oncology
 Telemedicine
 Laser Surgery Facility
 ICU
 Blood Bank
 Aphaeresis (Online Cell Separator )
 CSSD
 Biomedical Waste Disposal Unit (Hydroclave System)
 Molecular Biology Laboratory with Flow Cytometry, PCR, Agarose Gel Electrophoresis etc.
 Microbiology Laboratory

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 District Cancer Control Programme (6 districts)
 Video Colposcopy Service
 Social Support
 Speech Therapy
 Hospital Pharmacy
 Bank
 Canteen
 Toy Bank
 Community Prayer Hall
 Conference Hall
 Hospital Library
 Physical Fitness Center
 Play Ground
 Park
 VIP suite to patients
 Stapler Technique Training Centre
 Mortuary Cabinet
 Ambulance Service
 Seminar Hall
 Free Treatment Facility (subject to hospital rules & regulation) for BPL card holder only.

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PHOTOS OF FACILITIES

ACADEMIC ACTIVITIES
 Participation of doctors and other medical staff in various national and international conferences
 Publications in national and international journals
 Workshops and Seminars in Oncology organized at BBCI
 Guest Lectures, orations organized at BBCI
 Weekly Joint Tumour Clinic
 Daily Tumour Board
 Monthly Mortality Meeting
 Weekly Grand Round
 Weekly Tele-consultation

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EMPLOYEES WELFARE
 » Free medical checkup through hospital physician
 » Employees Library
 » Games & Sports
 » Employees' Sick room
 » Training of hospital staff in other institution
 » Staff quarters

PATIENT WELFARE
 Psychological counseling
 Social support
 Monthly musical program
 Weekly sight-seeingprogramme at Shrimanta, Kalashetra
 Weekly sight-seeingprogramme at planetarium
 AntarangaAlap
 Prayer melting
 Meditation yoga programme
 Toy bank
 Indoor games
 Magic show

TEACHING & TRAINING PROGRAMME


 Teaching and training Programme for para-medical staff from RIPAN, Aizawl
 Radiotherapy Technicians' Training Course
 Teaching and training Programme for Post-graduate students from Gauhati Medical College,
Guwahati
 Teaching and training Programme for DNB students from Down Town Hospital and NF Railway
Hospital
 Teaching and training programme for MSc students in Medical Physics from Bharathiar University,
Coimbatore
 Training programme for Nursing Staff of Regional Nursing College, Guwahati; School of Nursing,
Down Town Hospital; Satribari Christian Hospital and Red Cross Hospital
 Certificate course in Cytology and Histopathology for Laboratory Technician.
 Certificate course for Radiographers.
 Certificate course in Oncology Nursing
 Certificate course for Doctors in general surgical Oncology.
 Certificate course for Doctors in medical oncology.
 Certificate course for Doctors in Head and Neck Oncology.
 Certificate course for Doctors in Pathology
 Certificate course for Doctors in Radio- diagnosis and Imaging.
 Certificate course for Doctors in Gyane Oncology.

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 Certificate course for Doctors in Radiation Oncology.
 Certificate course for Doctors in Nuclear Medicine
 Certificate course for Doctors in Palliative Medicine.
 Two years P.G. diploma programme in Radiotherapy technology.
 Two years diploma training programme for Anesthesia Technician.
 One year diploma course in Medical Laboratory Technology (DMLT).
 One Certificate Course in CSSD and OT Technology
 Two Years post-graduate Certificate course in Radiography
 Two years Diploma Programme in Radiotherapy Technology

PREVENTION AND EARLY DETECTION


 School Health Education Programme
 Screening and early detection camp in rural and urban areas
 Publication of patient information brochure
 Awareness programme through print media, AIR and Door Darshan
 Essay, slogan writing, drawing competition, debating competition, popular public oration, etc.
 Awareness campaign with the help of NGOs
 Tobacco Cessation Clinic
DUTY ROSTER FOR ICU STAFF NURSE FOR THE MONTH OF MAY

NAME OF THE STAFF


A. Chandra P Sonowal D. Khiroda
B. Dichamliu E. Debala
C. Hironmi

DATE MORNING EVENING NIGHT OFF


1-5-2019 CD A E D
2-5-2019 BE C DE A
3-5-2019 BA E D C
4-5-2019 E B CD A
5-5-2019 B E C D
6-5-2019 D E B C
7-5-2019 DE C B A
8-5-2019 C D E B
9-5-2019 CD B E
10-5-2019 B C D E
11-5-2019 BC E D
12-5-2019 E B C D
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13-5-2019 BE D C
14-5-2019 D E B C
15-5-2019 DF C B
16-5-2019 C D E B
17-5-2019 CD B E
18-5-2019 B C D E
19-5-2019 BC E D
20-5-2019 E D C B
21-5-2019 BE D C
22-5-2019 D E B C
23-5-2019 DE C B
24-5-2019 C D E B
25-5-2019 CD B E
26-5-2019 B C D E
27-5-2019 BC E D
28-5-2019 E B C D
29-5-2019 BE D C
30-5-2019 D E B C
31-5-2019 DE C B

LEAVE POLICY
Types of staff Leave available
Contract staffs  Casual leave – 8 days/ year
 Special leave – 17 days/ year
 Monthly 4 days
Ad-Hoc staffs  Casual leave – 12 days/year
 Special leave – 17 days/ year
 Monthly 4 days
 After 1 year of joining 30 days leave with
pay( not at once)
Permanent staffs  Casual leave – 12 days/year
 Special leave – 17 days/ year
 Monthly 4 days
 After 1 year of joining 30 days leave with
pay( not at once)
 Sick leave – 10 days

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NEW LEARNING
RADIATION ONCOLOGY
 IMRT
 IGRT
 SRS/SRT
 CT SIMULATOR
 VMAT
 6FFF
DAY CARE
 RECEIVING OPD PATIENT FOR CHEMOTHERAPY
 PREPARATION OF CHEMOTHERAPY DRUGS
SCHEME
 ANNAKUT SCHEME
 ATAL AMRIT ABHIYAN SCHEME
SUGGESTION/RECOMMENDATION
 Many areas have not been covered due to less of posting hours
 Improvement of infection control.

CONCLUSION
We the M.Sc Nursing student of Rahman Institute of Nursing and Paramedical Sciences had gone for 2
weeksoutposting in BBCI, Guwahati. There we had good practical and theoretical exposure. We had learnt
various things regarding the care of cancer patients, palliation, screening, chemotherapy, radiotherapy,
brachytherapy.

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