A REPORT ON HOSPITAL TRAINING -I

A PROJECT SUBMITTED IN PARTIAL FULFILLMENT OF

THE REQUIREMENT

FOR THE DEGREE

OF

BACHELOR OF PHARMACY

(B.PHARM 5th - SEMESTER)

BY

ANJALI GUPTA

(ROLL NO-2009510500009)
UNDER THE SUPERVISION OF ASSISTANT PROFESSOR

Miss. SADHANA CHAURASIYA

FACULTY OF PHARMACY

INDU PRAKASH PHARMACY COLLEGE, HALDHARPUR, MAU

Dr.A.P.J ABDUL KALAM TECHNICAL UNIVERSITY , LUCKNOW

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Indu Prakash Pharmacy College Hospital Training - I Project Report
 INDU PRAKASH PHARMACY COLLEGE, HALDHARPUR, MAU

CERTIFICATE

It Is to certified that ANJALI GUPTA (ROLL NO-2009510500009) Has

carried out the report on “Hospital Training ”under the supervision of
Miss.SADHANA CHAURASIYA, ASSISTANT PROFESSOR OF INDU
PRAKASH PHARMACY COLLEGE, HALDHARPUR MAU. The report
embodies result of original work and studies are carried out by the student
himself and the content of report do not form the basis for the award ofany
other degree to the candidate or to any body else from this any other
university
/instittution.

Miss. SADHANA CHAURASIYA

ASSISTANT

PROFESSOR INDU PRAKASH

PHARMACY COLLEGE

HALDHARPUR,MAU
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Indu Prakash Pharmacy College Hospital Training - I Project Report
 INDU PRAKASH PHARMACY COLLEGE, HALDHARPUR, MAU

It is to certify ANJALI GUPTA (ROLL NO- 2009510500009) has

prepared and submitted a “HOSPITAL TRAINING” report under the
supervision of Miss. SADHANA CHAURASIYA, ASSISTANT
PROFESSOR OF INDU PRAKASH PHARMACY COLLEGE,
HALDHARPUR, MAU.

ANJALI GUPTA

(ROLL NO- 2009510500009)

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Indu Prakash Pharmacy College Hospital Training - I Project Report
 ACKNOWLEDGEMENT
The intership apportunity I had with “HOSPITALTRAINING” was a
great chance for learning and professional development in PRIMARY
HEALTH CARE (PHC) BHARHUPURA, MAU under head chief pharmacist
Dr. AMARNATH RAI

Therefore I consider myself as a very lucky individual as I was provided with an

apportunity to be a part of it ,I am also grateful for having a chance to meet so
many wounderful people and profeddionals who led me though this intership
period .

I am greatly obliged to our ASSISTANT PROFESSOR, Miss. SADHANA

CHAURASIYA, INDU PRAKASH PHARMACY COLLEGE,
HALDHARPUR, MAU, for the guidence and lind help for the completion of
this project work .

Iexpressed my deepest thanks for taking part in useful decision &giving

necessary advices and guidence and arranged all facilities to make life easier,I
choose this moment to acknowledge his contribution gratefully.
I perceive as this apportunity as a big milestone in my carrier development,I
will strive to use gained skills and knowledge in the best possible way and I will
continue to work on their improvement ,in order to attain desired career
objectives ,hope to continue co-operation with all of you in the future.

ANJALI GUPTA

Sincerely,

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Indu Prakash Pharmacy College Hospital Training - I Project Report
 CONTENTS
1. About Hospital - 6
2. .Firstaid 7
2.1. Introduction
2.2. Purpose of first aid
2.3. Procedure
3. Artificial respiration 8-9
3.1. Definition
3.2.Common cause
3.3.Sign & symptoms
3.4. First aid management
3.5.Procedure
4. Wound 10-11
4.1.Definition
4.2.Classification
4.3.Common
cause
4.4.Objectives
4.5.Precaution 12-13
5. Route of injection
5.1. Intra venous (IV)
5.3.Sub cutaneous (SC)
5.4.Intra muscular (IM)
6. Patient observation chart 14-15
7. Prescription slip 16
8. Summary 17
9. Reference 18
10. Training Certificate 19

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Indu Prakash Pharmacy College Hospital Training - I Project Report
 1. About Hospital

Hospital Name- P.H.C BHARHUPURA, MAU

NAME OF HEAD – DR. AMARNATH RAI

Number of Beds- 04
Number of Doctors- 01
Number of Nurse- 03
Number of Pharmacist – 01
Daily OPD Patient – 40-80
Regular OPD- 06

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Indu Prakash Pharmacy College Hospital Training - I Project Report
 2. FIRST AID
2.1. INTRODUCTION
 First Aid is an immediate and temporary care given to a victim of an
accident or sudden illness before the services of a physician is obtained. In
our daily life we may see that people have been suffered and died due to
the cause of various accident and health related problems.
 First aid is the initial treatment or help given to sick particularly
injured Individual before professional medical care becomes available
with the materials at hand. Such intervention aims in reducing
theSituations that threaten the victim until a professional arrives or the
sick individual is brought to health facility.
2.2. PURPOSE OF FIRST AID
 To save life
 To prevent further injury
 To preserve vitality and resistance to infection

2.3. PROCEDURE
 Do not get excited. First, check for danger and then check for
responsiveness. Determine whether the victim is conscious. If the victim is
conscious, ask him what happened and what is wrong now. If the victim is
unconscious, proceed to check the airway, breathing and circulation.
Commence resuscitation as appropriate.
 Do not move injured victim unless it is necessary. If necessary to move a
casualty, seek assistance if possible and handle gently.
 Keeps the victim lying down with his head level with his feet while being
examined.
 Keep the victim warm and comfortable. Remove enough clothing to get a
clear. To get a clear idea to get a clear idea to the extent of the injury.

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Indu Prakash Pharmacy College Hospital Training - I Project Report
  Avoid allowing the victim to see his own injury. Assure him that his
condition is understood and that he will receive good care.
 Do not touch open wounds or burns with fingers or other objects except
when sterile compresses or bandages are not available and it is absolutely
necessary to stop bleeding.
 Seek medical attention immediately.

Wound Cleaning

Dressing and Bandage

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Indu Prakash Pharmacy College Hospital Training - I Project Report
 3. ARTIFICIAL RESPIRATION

3.1. DEFINITION
Artificial respiration is one in which normal breathing stops or in which
breathing is so reduced that oxygen in take is insufficient to support life.
And procedure for using air to flow in to and out of persons. Lungs when
natural breathing is inadequate or stops.
3.2. COMMON CAUSE
 Inhalation of a small amount of food, smoke, irritation, foreign
objects, carbon monoxide, etc.
 Compression of the neck
 Respiratory disease
 Combustible gases
3.3. SIGN & SYMPTOMS
 Loss of consciousness
 Difficulty in breathing
 May be no visible breathing
3.4. FIRST AID MANAGEMANT
 It is ensure that patient air way is clear
 Place the patient flat on his back with the head turned to one side
 Remove any thing which is preventing the taking in of air
 Take very deep breath and hold it.
 Fit your mouth tightly over the patients open mouth and forcibly in to
the lungs
 While carrying out respiration, check the patient’s pulse every 2 or
3 minutes to ensure the heart has not stopped.

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Indu Prakash Pharmacy College Hospital Training - I Project Report
  Continue the breathing procedure at the rate 12 to 18 breaths per minute
until the chest is seen to rise and the patient is breathing for himself or until
is certain his is dead.
 If a patient is child, our mouth should cover both his nose and mouth.
Very gentle breathing should be used and the younger the child, the
gentler this should continues at a rate of 25 breaths per minute.
3.5. PROCEDURE
 Establish unresponsiveness and alert for emergency medical service
and Position the causality.
 Establish an open airway.
 Look, Listening, and feel for breathing (3-5 seconds).
 Ventilate twice (1 to 2 seconds) per breath.
 If no pulse (5-10 seconds)
 Locate Compression site
 Position your hands
 Began compressions
 Ventilate twice
 Recheck pulse after 4cycls of ventilation, then every few minutes.

Artificial Respiration

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Indu Prakash Pharmacy College Hospital Training - I Project Report
 4. WOUND

4.1. DEFINITION
Wound is breaking in continuity to tissue of body, either internal or External.
4.2. CLASSIFICATION
 Open: An open Wound is a break in the skin or mucous membrane
 Closed: A closed wound involves injury to underlying tissue with out
a break in the skin or mucous membrane.

4.3.COMMON CAUSE
 Motor accidents
 Fall
 mishandling of sharp objects, tools and machineries
4.4. OBJECTIVE
 To control the wound stop bleeding
 To treat and prevent shock
 To protect the wound from contamination and infection
 To prevent complication
 Obtain medical attention
4.5. PRECAUTION
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Indu Prakash Pharmacy College Hospital Training - I Project Report
  Hand washing before and after wound care (when possible)
 By avoiding contaminate
 By using lean materials as much as possible E.g. cotton gauze, towels etc...
 Wash in and around the victim’s wound to remove bacteria and other
foreign Matters
 Wash the wound thoroughly by flushing with clean water, preferable
running tap water
 Apply a dry sterile bandage or clean dressing and secure it firmly in place
 If there is infection refer the victim to the health center.
5. ROUTE OF INJECTION

5.1.INTRAVENOUS (IV)
Drugs may be given into a peripheral vein over 1 to 2 minutes or longer by
infusion.
 ADVANTAGE
 Rapid - A quick response is possible.
 Plasma concentration can be precisely controlled using IV
infusion administration.
 The bioavailability is generally considered to 100% after
IV administration.
 Poorly soluble drugs may be given in a larger volume over an
extended time period.
 DISADVANTAGE
 Suitable vein - It may be difficult to find a suitable vein.
 There may be some tissue damage at the site of injection. Maybe toxic
- Because of the rapid response, toxicity can be a problem with rapid drug
administrations.
5.2 INTERADERMAL
Injection is made in the upper layer of skin to the dermis.
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Indu Prakash Pharmacy College Hospital Training - I Project Report
 The amount of drug given is small and absorption is slow
 ADVANTAGE
 Absorption is slow(this is an advantage in testing for allergies)
 DISADVANTAGE;
 Amount of drug administered must be small.
5.3 SUBCUTANEOUS (SC)
 This involves administration of the drug by injection just under the
skin. Commonly used for insulin injection.

 ADVANTAGE
 Can be given by patient, e.g. in the case of insulin.
 Absorption can be fast from aqueous solution but slower with
depot formulations.
 Absorption is usually complete. Improved by massage or heat.

 DISADVANTAGE;
 It Can be painful.
 Finding suitable sites for repeat injection can be a problem.
 Maximum of 2 ml injection thus often small doses limit use.
5.4. INTRAMUSCULAR (IM)
 The drug in injected in one of large skeletal muscle (deltoid,
triceps, gluteus maximus, rectus femurs)
 ADVANTAGE:
 Larger volume than SC can be given by IM.
 They may be easier to administer than IV injections.
 DISADVANTAGE:
 Trained personnel required for injections.
 The site of injection will influence the absorption , generally the
deltoid muscle provides faster and more complete absorption.
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Indu Prakash Pharmacy College Hospital Training - I Project Report
  Absorption can be rapid from aqueous solution.

6. PATIENT OBSERVATION CHART

Monitoring and documenting physiological observations is a key component of

recognition and response systems. An observation and response chart is a
document that allows the recording of patient observations, and specifies the
actions to be taken in response to deterioration from the norm. The purpose of
these charts is to support accurate and timely recognition of clinical
deterioration, and prompt action when deterioration is observed. The way in
which observation charts are designed and used can contribute to both the poor
recording of observations and failure to interpret them correctly.

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Indu Prakash Pharmacy College Hospital Training - I Project Report
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Indu Prakash Pharmacy College Hospital Training - I Project Report
 7. PRESCRIPTION SLIP

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Indu Prakash Pharmacy College Hospital Training - I Project Report
 8. SUMMARY

The project Hospital Training is working in a hospital . The process takes care
of all the requirement of an average hospital and is capable to provide easy and
effective storage of information related to patients that come up to the Hospital
.

It generates test reports: provide prescription details including various tests, diet
advice, and medicines prescribed to patient by doctor. It also provides injection
detail and billing facility on the basis of patient’s status weather He/She is and
indoor or outdoor patient.

The system also provides the facility of backup as per the requirement. Patients
who are non local language speaker or come from migrant populations are
ethnic minority groups often are not able to communicate effectively with their
clinicians receive complete information about their care. At the same time,
clinical staff is often not able to understand the patients’ needs are to elicit
other relevant information from the patients.

Professional interpreter services should be made available whenever necessary

to ensure good communication between non –local language speakers and
clinical staffs.

The take force brings together practitioners, managers scientists and

community representatives with specific expertise and competence in policy-
relevant the field.

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Indu Prakash Pharmacy College Hospital Training - I Project Report
 9. REFERENCE

1. First aid manual: 9th edition. Dorling Kindersley. 2009.ISBN 978 1 4053
3537 9.
2. "Duct tape for the win! Using household items for first aid needs.".
CPR Seattle.
3. Pearn, John (1994). "The earliest days of first aid".The British
Medical Journal 309: 1718–
1720.doi:10.1136/bmj.309.6970.1718. PMC 2542683.PMID 7820000.
4. Eastman, A Brent (1992). "Blood in Our Streets: The Status and
Evolution of Trauma Care Systems". JAMA Surgery 127 (6):
677– 681.doi:10.1001/archsurg.1992.01420060043008.
5. Efstathis, Vlas (November 1999). "A history of first aid and its role
in armed forces" (PDF). ADF Health.
6. "First Aid: From Witchdoctors & Religious Knights to
Modern Doctors". Retrieved March 23, 2011.
7. New Scientist, Vol. 193 No. 2586 (13–19 Jan 2007), p. 50
8. Price, John (2014). Everyday Heroism: Victorian Constructions of the
Heroic Civilian. Bloomsbury: London. p. 203. ISBN 978-1-4411066-5-
0.
9. "Event first aid and ambulance support". British Red Cross.
10. Fletcher NC. The St John Ambulance Association: its history and
its past in the ambulance movement. London: St John Ambulance
Association, 1929:12–3.

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 10. TRANING CERTIFICATE

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Indu Prakash Pharmacy College Hospital Training - I Project Report