Visit to Chittagong 250 bed General Hospital

Date: 20th September, 2022

Time: 09.00 AM – 1.00 PM

Location: Rangmahal Hill, Anderkilla Road, Chittagong

Assigned Teacher
Dr. Sara Farahnaj, Dr. Taifa Hazera

Photograph showing students of student of 33rd batch of IAHS with Dr. Sheikh
Fazle Rabbi (DD), Dr. Arunabo, Dr.Sara Farahnaj, Dr. Saeeda Raisa, Dr. Taifa
Hazera and Dr. Dilruba Nahar Mukul in front of Chittagong 250 bed General
Hospital.

Introduction
Department of Community Medicine organized a visit to Chittagong 250 bed General
Hospital located at Rangmahal Hill, Anderkilla Road, Chittagong.

According to the schedule we gathered at Community Medicine department at 9 A.M and

we were briefed by Dr. Sara Farahnaj ma’am about our activities in the visit. We started
our journey at around 9:30 AM accompanied by the assigned teacher Dr. Sara Farahnaj
ma’am and Dr. Taifa Hazera Ma’am. We reached Chittagong 250 bed General Hospital,
where we were graciously welcomed by Dr. Sheikh Fazle Rabbi, Superintendent of the
Organization. He briefed us about their institution, then we went for site visit. After visiting
the hospital, we returned to IAHS at about 1:00 pm. We submitted our report on day visit
to Dr. Taifa Hazera ma’am.

➢ Name of the organization: Chittagong 250 bed General Hospital

➢ Type of the organization: Government Organization
➢ Date of the establishment: 1901
➢ Location of the organization: Rangmahal Hill, Anderkilla Road, Chittagong.
➢ Name of resource person: Medical officer Dr.Arunabo

Brief History

General Hospital, Chittagong was originally established as a dispensary in 1840. The clinic
was developed into a General Hospital on the Rangmahal Hill in Andarkilla, Chittagong. This
hill is historically important as the site of the Arakani Fort, which was burnt and ravaged by
the action of the Mughal Navy in their endeavor to conquer Chittagong in AD 1666.The two-
storied hospital building, with a trigonal engaged tower containing spiral stairs in the center
of the north fa'ade, had an accommodation for 52 indoor patients, 40 males and 12 females.
This colonial building is now being conserved and remains a landmark of the city.
In 1987, the hospital was converted to 80 beds and later increased to 150 beds. In 2012, the
hospital was increased by 100 beds to 250 beds which was officially inaugurated by Prime
Minister Sheikh Hasina.

Purpose of visit
• To learn about the structure and organogram of the hospital
• To get idea about the facilities of the hospital
• To acquaint with the health problems and how they manage it.
• As a part of academic curriculum.
Organogram

Designation Designation

Superintendent (Deputy Director) Occupational Therapist

Sr. Consultant (ENT) Sr. Staff Nurse

Sr. Consultant (Ophthalmology) Staff Nurse

Sr. Consultant (Orthopedics) Medical Technologist (Dental)

Sr. Consultant (Pediatrics) Medical Technologist (Lab)

Sr. Consultant (Surgery) Medical Technologist (Radiology & Imaging)

Jr. Consultant (Anesthesia) Medical Technologist (Lab)

Jr. Consultant (ENT) Pharmacist

Jr. Consultant (Gyn & Obs) Cashier

Jr. Consultant (Medicine) Head Asstt. Cum Accountant

Jr. Consultant (Pathology) Store Keeper

Jr. Consultant (Radiology) Ward Master

RMO Asstt. Nurse

Anesthetist Medical Technologist (EPI)

Asstt. Registrar (Gyn & Obs) Cardiographer

Asstt. Registrar (Medicine) Driver

Asstt. Registrar (Surgery) Herbal Assistant (Gardener)

Dental Surgeon Office Asstt. /Computer Operator

Emergency Medical Officer Support Personal (Compounder)

Medical Officer Aya

Pathologist Cook/Mashalchi

Radiologist Office Sahayok

Unani Medical Officer Stretcher Bearer

Deputy Nursing Superintendent Cleaning Staff

Nursing Supervisor Ward Boy

Manpower

Class No of Posts
First Class 42
Second Class 142
Others 67
Total 251

Objectives of The Organization

The government republic of Bangladesh is working on the mission to complete their

objectives as of their health policy 2011 which briefs –

National Health Policy:

1. Health care for all is essential.
2. Promoting equality and ease of living.
3. Limiting the right to freedom of expression and freedom of expression to all vulnerable
people.

Existing resources available in the organization

• Outdoor patient department.
• Indoor patient department includes ICU, CCU, SDU, HDU, general ward, OT (eye,
gynae, General ortho, ENT), Kidney dialysis, dental units, pediatric unit, covid
isolation unit, surgery ward
• Emergency Department
• Laboratory Facilities
 • EPI Corner
• Flue Corner
• Covid vaccination corner

Special Service
• RTRL
• Walk In Cooler
• Isolation Ward
• Central Oxygen Line
• Central Washing Room
• Pharmacy
• Unani department
• Blood bank

Environment of the organization and facilities

• Environment is clean and hygienic.
• The doctors and staff are cooperative and friendly.
• The Doctor-nurse relationship and doctor-patient relationship are quite well.

Out-Patient Services

At a glance out-patient service:

• Department of Diabetes • Department of Skin, Sexual
• Thyroid and hormone and Allergic diseases
disorders • Department of Medicine
• Gynecology and Obstetrics • Department of Neuro-
• Department of Medicine
Ophthalmology and Surgery • Flue Corner
• Department of Cardiology • Digital X-ray and ECG
• Department of Kidney • Echocardiography
Diseases • 4D ultrasonogram
• General and Orthopedic • Vaccine corner
Surgery • Vitamin A Capsule
• EPI Corner Distribution Corner
• Department of surgery • Department of Physical
• Department of Medicine
Physiotherapy • RTRL
• Model Pharmacy
Out-Patient services Opening Hour

SAT –FRI 8.00 AM — 2.30 PM

A brief session by Dr. Sheikh Fazle Rabbi (deputy Director) Superintendent of

Chittagong 250 bed General Hospital in its conference room.

In-Patient Services
Indoor department with 250 beds and 24 hours ambulance service with experienced
doctors, nurses, matrons, operation facilities in advanced operation theater. There are
expert gynecologists, experienced surgeons, anesthesia doctors, experienced nurses
and advanced equipment for the operation

At a glance in-patient service:

• Deluxe cabins • Pediatric ward

• Emergency Department • Neonatal ward
(open 24 hours) • Heart disease ward
• CCU, HDU, ICU • Gynecological Ward
• Advanced Operation theater • Kidney ward
(three units) • Eye ward
• Endocrine Ward
 • Skin and Sexual Diseases • Neuro-Surgery Ward
Ward • Dental ward
• Medicine Ward • Physiotherapy ward
• Neuro-Medicine Ward • Dressing Department
• Orthopedic Ward • ENT Department
• Surgery Ward

Photographs showing students of RFST "A” at Pathology of 250 bed Chittagong

Hospital

Deals 1000 to 1200 outdoor and indoor patients on average per day.

Laboratory Department

Chittagong 250 bed General Hospital is moving forward with modern equipment along
with its ancillary departments with the promise of world class services. Providing
accurate and precise diagnosis and quality medical care at affordable cost to the vast
population of Chittagong. The hospital has high ended and modern diagnostic
department which includes Biochemistry, Immunology, Pathology, Microbiology,
Endocrinology, Digital X-Ray, Advanced E.C.G., 4D Color USG & Echo department.
The departments have been manned by skilled and experienced doctors, biochemists,
medical technologists and technicians for a long time.
Available Services
• Blood R\E
• Blood TC
• Blood DC
• Blood ESR
• Blood Hb%
• Blood MP
• Blood BT CT
• Platelet count
• Circulating eiosinophil count
• Urine R/E
• Stool R/E
• Semen analysis
• Blood sugar
• Blood Urea, Serum Creatinine, Serum Bilirubin
• Serum Uric acid, SGPT, SGOT
• S.Lipid Profile, S.Cholesterol, S.HDL,S.LDL
• Urine Pregnancy Test
• HBsAg,VDRL,A.S.O Titre
• Blood Grouping and Rh Factor
• Widal Test
• PBF
• TPHA
• Gene Expert Test for TB and Covid
• RTPCR
• Rapid Antigen Test
• Modern Microbiology Equipment's
• Auto Cell Counter Machine.

Regional Tuberculosis Reference Lab (RTRL)

There are 5 RTRL in Chittagong. General hospital has one of them. The Government
of Bangladesh exclusively designed these labs for diagnosis, treatment of TB and to
conduct research on TB. National TB Control Program (NTCP) is also conduct by
RTRL
➢ Laboratory tests
• Sputum Test
• Drug Resistance TB Test
• Gene Expert Test
➢ Diagnosis of TB according to laboratory analysis
➢ Treatment of TB according to severity
 ➢ Distribution of Anti-TB drug at minimum cost
➢ Follow up of the patient
➢ Research on various types of TB, prevention and control of TB

Regional Tuberculosis Reference Lab

➢ Drugs supplied:
• 4 FDC (Adult)
• 2 FDC (Adult)
• 3 FDC (Adult)
• 3 FDC (Child)
• 2 FDC (Child)
• Injection Streptomycin
• Ethambutol (100 mg)
• Isoniazid (100 mg, 300 mg)

Bed Distribution
➢ ICU Bed= 18
➢ Bed in Isolation Ward= 60(for covid and dengue)
➢ Bed in Pediatric ward = 50
➢ Bed in Male Ward=40.
➢ Bed in Female Ward=50
➢ Bed in CCU=12
 ➢ Bed in HDU=10
➢ Bed in SDU=10
➢ Total Bed=250

COLD ROOM (Walk In Cooler)

• There are 2 sections
• One for covid vaccine, one for EPI vaccine
• There 4 Ultra Low Temperature Fridge which maintain temperature within -
60 to -80 degree Celsius
• There is temperature monitoring device which is connected with a computer-
controlled alarm to notify any abnormalities in temperature maintenance.

COLD ROOM (Walk In Cooler)

Central Washing Room

• Consist of washing machine, dryer and ironing machine
• The washing plant has the capacity to wash 100Kg contaminated clothes in 1 hour

Generator Room
• Capacity to produce 500L oxygen per day from environment and supplied to central
oxygen tank
Vacuum Insulated Oxygen Tank
• It has capacity to store and transport oxygen in -183 degree C temperature and
pressure within 1 to 15 bar
• This tank is connected with the central oxygen line.

Vacuum Insulated Oxygen Tank

 Central Washing Room
Activities During Covid pandemic
It is the first covid dedicated hospital of Chittagong. During covid pandemic full 250
beds of the hospital was used to treat covid patient.
Services provided during the pandemic
• Providing covid isolation ward
• Providing ICU facilities for covid patient
• Treatment of covid by TRIAGE method
• Management of covid patient by giving oxygen therapy, steroid,
anticoagulant, antibiotics and antiulcerine
• Using Holy Cresent and Railway hospital for covid patient
• Training of doctors, nurses, other stuffs about the management of covid
patient
• Covid test
• Covid vaccination
• Counselling and health education
• Statistical research on covid
• Create oxygen tank for storage and central oxygen line for transport of oxygen
in the hospital
EPI and Covid vaccination corner:
• Open- sat to Thursday 2pm- 5.30 pm (covid vaccination)
• Sat to Thursday 8 am -1pm (EPI vaccination)
• Administration of epi vaccine to children.
• MR vaccine- Mon, Thurs
• BCG Vaccine - sat, wed
• Contain ILR with fridge tag 2 temperature monitoring device

▪ Covid vaccination:
▪ At present a campaign of covid vaccination to school going children is
running
▪ In addition, covid vaccination of adult is also running
▪ Available Vaccines: Sinopharm, Astrazeneca, Moderna,pfizer biontech

Covid 19 vaccination program in 250 bed Chittagong General Hospital

Future Plan
• Necessary initiatives have been taken to convert the hospital into a full-fledged
medical college soon .
• Considering the importance of this, a proposal has been sent to the relevant
ministry for the approval of the construction of a new 10-storied building and
then a 20-storied building.
• This hospital will be increased from 250 beds to 500 beds.
• At the same time, the ministry has been informed about the recruitment of
necessary manpower, increase in other facilities.
• CCU and dialysis department will be opened in the future.
Achievements of the organization

Chittagong General Hospital was the only place of hope for the patients affected by
Covid-19 in Chittagong after the arrival of Corona virus in the country. Although there
is a shortage of necessary equipment for the treatment of corona patients in the first
stage, it is currently fully operational. The General Hospital in Chittagong conducted
the first research in the country on the presence of antibodies in the body of corona
infected patients. The cross-sectional study of the concerned doctors on antibodies in
the body of corona patients with great skill is commendable. Chittagong will go further
in future in antibody research. It has been prominently published in various reputed
medical journals at home and abroad.

Skill and Attitude of the organization

Members of the organization are highly skilled in their field and show proper
dedication towards maintaining the health of the patients.

Financial Support
• Fully government funded

Limitation of the organization

• Last June, the maternity services at the General Hospital were revamped. Day
and night normal and cesarean delivery services for maternity patients are
introduced. But even though this rule has been introduced, there are complaints
of not getting service in practice.
• Referral system – complicated case referred to Chittagong medical College and
BITID. At that time the patients fell into suffering.
• Poor sanitation system.
• Poor ventilation system.
• Lack of social distance in covid related services.
• Inadequate drugs supply.
• Inadequate staffs according to patient demand.

Conclusion
The hospital, established in 1901, was largely neglected. 120 to 140 patients were
admitted in this 250-bed hospital. Patients were deprived of services due to shortage of
manpower and medical equipment. It was declared the only 'Dedicated Corona
Hospital' in Chittagong after the outbreak of Covid infection in March 2020. After two
and a half years, the hospital is now a self-contained healthcare center in Chittagong.
Various healthcare and service facilities are being added gradually. After the outbreak
of Corona, central oxygen plant was set up by private initiative, about 30 high flow
nasal cannula were provided, 18 ICU,12 CCU and 10 HDU beds were installed,
advanced washing plant was installed at a cost of about 2 crores, 500 liters of air per
minute was installed. 'Generator Oxygen Plant' completed oxygen production, free
cancer test, breast test and AIDS test for pregnant mothers, dope test started in
pathology department and dialysis department will be started in future, 10-storey
multipurpose building will be constructed. It is alleged that despite the development of
infrastructure, the confidence of the patients is not being created. The relevant
authorities should take immediate action in these matters. It will increase the trust of
common people on government hospitals.