VARDAAN HOSPITAL & RESEARCH CENTRE

Project Report

DISPENSARY PROJECT

Care Personified

By
VARDAAN HOSPITAL & RESEARCH CENTRE
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VARDAAN HOSPITAL & RESEARCH CENTRE

Project Report

Block Road, Kathitand, Ratu Ranchi - 835222 (Jharkhand)

PROPOSAL FOR 5 BEDDED DISPENSARY

SECTION - A (The proposal)
INTRODUCTION A dispensary in a remote area needs to be equipped with all the basic facilities for patient care and besides this, instruments for basic emergency care must be available because lack of emergency care in a place far away from city limits may give rise to unnecessary complications. Therefore, impetus must be on providing basic, standard emergency care besides general care, so that patient could be handled in a satisfactory manner before being referred to a higher centre. PARTS OF A 5 BEDDED DISPENSARY
1.

Outdoor Patient Department To cater the patients with daily general ailments.

2.

Indoor Facility with 5 beds (as demanded by the provider).

To treat simple diseases needing continuous care eg, Malaria, Diarrhea, Typhoid patients etc. To take care of emergencies like trauma, fall, road accidents (minor) & work related accidents etc,

3. 4.

Minor O.T. facility - To do simple debridement , stitching, A/s dressing etc, Pathology Department - For simple investigation of Blood, Urine, Sputum etc, to diagnose diseases like Malaria, Typhoid, Anaemia, Jaundice, Urinary infection, Diabetes etc.

5.

X-ray Facility

For diagnosing simple ailments like Cough, Pain Abdomen. For emergency conditions like fractures etc,
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6.

Drug dispensing counter To dispense medicines to outdoor & indoor patients.

7.
8.

Staff Station or restroom Toilet / bathroom facilities for,

Patients Doctors Staff,

9.

Safe drinking water facilities for patients & Staff.

10. Laundry & Sweeping facility. 11. Stationary to maintain paper work,

12. Proper electricity arrangements

13. Regular electrical supply, Generator (7.5KVA) for emergency Operation & X-

ray, Invertors for uninterrupted light source in absence of electricity.

14. Ambulance - For emergency collection & referral of patients. 15. Staff ( for a 5 bedded dispensary),

Doctors Male Nurse semiskilled , Female Nurse X- ray technician Pathology Technician Sweeper Washerman OT Technician / Staff/ Assistant Security guard Bookkeeper

- 1 or 2, - 2 - skilled , 2 - 2 Skilled, 2 - semiskilled. - 1. - 1, - 1, - 1, - 1, - 1, - 1, -

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16. Godown + Sterilization Space, 17. Other items ( Small ones . as per need on the spot),

The above list demonstrates the basic details of a dispensary for general and emergency care . The same level of intrastructure will be needed whether a dispensary is 2 bedded or 5 bedded .Only the quantity or size of the required facilities will vary according to the size of the dispensary planned. DETAILES OF EACH FACILITY WITH APPOXIMATE BUDGET Now the details of each department with their approximate budget are being described as follows1. OUTDOOR PATIENTS DEAPERTMENT It will be divided in 2 parts : (a) (b) Patients' registration and Waiting area, Doctor's Chamber.

(a) PATIENTS' REAGISTRATION & WAITING AREA

Following Items Will be Needed For This S. N. 1 2 3 4 5 Item Table for bookkeeper Chair for bookkeeper Stationary for bookkeeper Chairs for waiting patients Doormats / curtain /table cloths etc for waiting / registration area Dust bin (covered) Miscellaneous items (as per need on the spot) Total No. 1 1 1 6 1
Type of Expenditure Approx Price P. Unit Total Monthly One Time 4000 4.000.00 One Time

450 1000 500 1500

450.00 1,000.00 Monthly 3,000.00 1,500.00

One Time

One Time One Time

6 7

350

350.00 500.00 10,800.00 1000.00

One Time One Time 9,800.00

(b) DOCTORS CHAMBERS

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Following items will be needed for this . S. N. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Item Doctor's Chair Doctor's Table Patient's stool (revolving) Attendant's Chair Examination Table + Mattress Weighing machine Torch Stethoscope B.P machine Towel Table cloth Washing bowl + stand Thermometer Hammer Tape Exam table side screen Stationary pad, pen etc Dustbin Prescription No. 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Approx Price Per Unit 3000 5000 1200 400 7500 850 100 500 1800 250 300 1500 25 100 30 3500 1000 300 2000 Total 3,000.00 5,000.00 1,200.00 800.00 7,500.00 850.00 100.00 500.00 1,800.00 250.00 300.00 1,500.00 25.00 100.00 30.00 3,500.00 1,000.00 300.00 2,000.00 Monthly One Time One Time One Time 29,755.00 1000.00 28,755.00 Type of Expenditure Monthly One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time

Doormats / Curtains / bedssheet etc miscellaneous items (as per need on the spot) Total

2. INDOOR FACILITY WITH 5 BEDS:

S.N Item . No. Approx Price P. Unit Total
Type of Expenditure

Monthly

One Time

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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21.

Patients Bed Simple Patient bed emergency I.V. Stand Bed mattress oxygen cylinder set B.P. Machine Stethoscope Bed side locker Stretcher (folding) Stretcher (with wheels) Dressing trolley Attendants (revolving) Bedside Screen Urine pot Stool Pot Splint ( Bohler - brown) Dust bin (For nurses) Table (For Nurses) Chairs Almirah for instruments & linen Linen - Bedsheets - Pillow covers - Rubber sheets Pillows stools

4 1 5 5 2 2 2 5 1 1 1 2 3 5 1 1 5 1 2 1 10 10 10mt 5 1Set

5000 8500 1200 2000 8500 1800 500 2300 2000 7000 6700 1200 3500 300 400 3000 350 3000 400 6250 250 100 150 200 3000

20,000.00 8500.00 6,000.00 10,000.00 17,000.00 3600.00 1000.00 11,500.00 2000.00 7000.00 6700.00 2,400.00 10,500.00 1500.00 400.00 3000.00 1,750.00 3000 800.00 6,250.00 2,500.00 1,000.00 1,500.00 1000.00 3000.00

One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time

22. 23.

Doormats/ Curtains etc Miscellaneous items (as per need arises on the spot) Total

1,31,900.00

0.00

1,31,900.00

3.

MINOR OPRATION THEATRE FACILITY:

No.
1

S.N Item .
1 OT LIGHT (4 DOME) (ABCO/MED)

Approx Price P. Unit Total

18000 18,000.00

Type of Expenditure
Monthly

One Time One Time

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OT TABLE + MATRESS (NONHYDRAULIC BASIC) STEPS IV STAND OXYGEN CYLINDAR SET SUCTION MACHINE MANUAL SUCTION MACHINE AUTOMETIC MCINTOSH / PLASTIC APRONS OT TROLLEY INSTRUMENTS FOR BASIC PROCEDURES & A/S DRESSING ** FULL RANGE OF BASIC INSTRUMENTS (Details given in Page no. 8)

25000

25,000.00

One Time

3 4 5 6 7 8 9 10

1 1 1 1 1 12 1

1500 1200 8500 6000 10800 150 8000

1,500.00 1,200.00 8,500.00 6,000.00 10,800.00 1800.00 8000.00 17,330.00

One Time One Time One Time One Time One Time One Time One Time One Time

11 12 13 13 A 14 15

INSTRUMENT DRUMS 9" INST. DRUMS 11" AUTOCLAVE DRUM GAS SINGLE

3 3 1 1 1 1 Set

1000 1200 5500 8500 7000 12000

3000.00 3600.00 5500.00 8500.00 7000.00 12000.00

One Time One Time One Time

One Time

AUTOCLAVE SINGLE DRUM ELECTRIC STERILISER (FOGGER ) (5LIT.) OT TOWELS & GOWNS (1 DZEN EACH) MASKS & CAPS DISPOSABILPROCED SLIPPERS

One Time One Time

16 17

1 Box 6 Pairs

300 100

300.00 Monthly 600.00

One Time

18

GLOVES

1000

2000.00 Monthly
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Box 19 MISCELLANEOUS (AS PER NEED) Total 1,43,330.00 2,300.00 1,41,030.00

** INSTRUMENTS FOR BASIC PROCEDIRES & A/S DRESSING

S.N Item o.
1

Approx Price P. Unit

6 6 6 150 200 300

Type of Expenditure

Total
900.00 1200.00 1800.00

Monthly

ARTERY FORCEFS
Small Medium Large

One Time One Time One Time One Time One Time One Time

ALLIS FORCEPS
Small Medium Large 6 6 6 150 200 300 900.00 1200.00 1800.00

One Time One Time One Time One Time

STRAIGHT SCISSORS
Small Medium Large 2 2 2 150 200 300 300.00 400.00 600.00

One Time One Time One Time One Time

CURVES SCISSORS
Small Medium Large 2 2 2 150 200 300 300.00 400.00 600.00

One Time One Time One Time One Time

KIDNEY TRAY
Small Medium Large 2 2 2 100 100 200 200.00 200.00 400.00

One Time One Time One Time One Time

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RECTANGULAR

VARDAAN HOSPITAL & RESEARCH CENTRE

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TRAY
Small Medium Large 7 8 2 2 2 180 240 380 250 360.00 480.00 760.00 250.00

One Time One Time One Time One Time One Time

SINUS FORCEPS
PLAIN HOLDING FORCEPS Med Large

2 2

75 150

150.00 300.00

One Time One Time One Time

TOOTH HOLDING FORCEPES Med Large 2 2 1 2 75 150 110 190 150.00 300.00 110.00 370.00

One Time One Time One Time One Time

10 11 12

STITCH CUTTING SCISSORS SPONGE HOLDERS SIM'S SPECULUM (BRASS) Small Large

1 1

500 700

500.00 700.00

One Time One Time One Time

13

PROCTOSCOPE (BRASS) Small Large 1 1 500 700 500.00 700.00

One Time One Time

14

NEEDLE HOLDER Medium Large 1 1 200 300 200.00 300.00

One Time One Time

15

MISCELLANEOUS ( AS PER REQURIMENT) TOTAL 17,330.00 0.00 17,330.00

4.

PATHOLOGY DEAPARTMENT :
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S. Item N.
1. 2. 3. 4. 5. 6. 7. 8. 9. COLORIMETER (BEACON) CENTRIFUGE (REMI) MACHINE

No.
1 1 1 1 1 1 1 Set 1 1 Set 1

Approx Price P. Unit

7000 4000 18000 900 2000 1250 1500 500 300 5500

Type of Expenditure

Total
7000.00 4000.00 18,000.00 900.00 2000.00 1250.00 1500.00 500.00 300.00 5500.00

Monthly

One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time

MICROSCOPE BINOCULAR (MICRON) HB METER (TOP)

MICROPIPETTE VARIABLE (HBL) GLUCOMETER (JOHNS. & JOHNS.) TESTTUBES & TEST TUBE HOLDER ESR STAND (BOROSIL) ESR TUBE

10. INCUBATOR (ACNE) 14" * 14" 11. DIAGNOSTIC STRIPS & KITS FOR DIFFERENT DISEASES (Details Given below) *** 12. MISCELLANEONS (AS PER REQURIMENT) TOTAL

9,350.00 Monthly

1000.00 51,300.00 9,350.00 41,950.00

* * * STRIPS & KITS & CHEIMCALS FOR DIFFERENT DISEASES:

S. N.
1. 2. 3. 4. 5. 6. MALARIA KIT PREGANCY KIT HEPATITIS KIT HIV KIT URINE DIPSTIC CHEMICALS 1 Box 1 Box 1 Box 1 Box 1 Box FOR 1 Box

Item

No.

Approx Price P. Unit

1500 500 1000 2000 500 300

Type of Expenditure

Total
1500.00 500.00 1000.00 2000.00 500.00 300.00

Monthly Monthly Monthly Monthly Monthly Monthly Monthly

One Time

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TYPHOID TEST 7. 8. 9. CHEMICAL

CHEMICAL

FOR
FOR

BL. 1 Box
S.

500 300 500

500.00 300.00 500.00

Monthly Monthly Monthly

UREA / & CREATININE 1 Box

LRILINITINE ( JAUNDICE)

CHEMICAL BLOOB TYPING GROUP

FOR 1 Box & 1 Box

10. GLUCOMETER STRIPS 11. MISCELLANEOUS CHEMICAL & STRIPS TOTAL

1250

1250.00 1000.00

Monthly

9,350.00 9,350.00

5.

X- RAY FACILITY X-ray room Dark room

This needs the following

X-ray machine accessories

Item
X-RAY MACHINE 1 2.5 lakh 1.5 lakh 2.5 lakh 1.6 lakh 1.5 lakh 35,000 .00

S. N.
1.

No.

Approx Price P. Unit Total

Type of Expenditure

Monthly

One Time One Time One Time One Time One Time One Time One Time One Time

2.

(100MA) (As per Choice) GE MEDITRONICES SIEMENS ALLENGER ADONIS PATIENTS TROLLEY 1 FOR X- RAY(BUCKY TABLE) (For Adonis 1 and Meditronics) PATIENTS TROLLEY

65,000.00
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FOR X- RAY(BUCKY TABLE) (For Others)

3. INSTRUMENTS OF DARK ROOM

X-Ray Plates 8 x 10 10 x 12 12 x 15 Fixer Developer Patients Gown 2 Lead Appon For Technician Blue Base Screen With Cassette 8 x 10 10 x 12 15 x 18 CHEST STAND BLOCKER SAFE LIGHT RADIO OPAQUE LETTERS /DIGITS CLIPS HANGER 12"* 15" 10" * 12" MISCELLANEONS (AS PER REQURIMENT) TOTAL 6. DRUG DISPENSING COUNTER This will need 1 CHAIR 1 TABLE
4 ALMIRAHS TO KEEP MEDICINES

1 Box 1 Box 1 Box 1 Box 1 Box 2 Pair 1

1500.00 2000.00 2500.00 500.00 500.00 2000.00 3500.00

1500.00 2000.00 2500.00 500.00 500.00 4000.00 3500.00

One Time One Time One Time One Time One Time One Time One Time One Time One Time

1 Box 1 Box 1 Box 1 1 1 1 Set Each 4 1 1

2200.00 3200.00 4500.00 1500.00 500.00 400.00 300.00 200.00 450.00 500.00

2200.00 3200.00 4500.00 1500.00 500.00 400.00 300.00 800.00 450.00 500.00 500.00 29,350.00 29,350.00

One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time

PHARMACY ITEMS
SURGICAL ITEM

Chair

400.00/-

400.00
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Table Almirahs Pharmacy Items Surgical Items Total

1 4

3000.00/6200.00/- Each Full Range Medicines of

3,000.00 24,800.00 Basic 50,000.00 (Initially)

Full Range of Surgical 50,000.00 (Initially) Items 1,09,600.00

7. STAFF STATION OR REST ROOM BED+MATTRESS 2 CHAIRS CURTAIN + BEDSHEET + PILLOW ETC Total 3000.00 800.00 1000.00 4,800.00

8. TOILET / BATHROOM FACILITIES FOR Doctors - equipped with basic accessories as soap freshener, mug, bucket, etc, Patients - mug bucket etc Total 500.00 1,000.00 500.00

9.

SAFE DRINKING WATER FACILITIES WILL HAVE

S. Item N.
1. AQUA GARD WATER FILTERS Total

No.

Approx Price P. Unit Total

8000 1000 8000.00 1000.00 9,000.00

Type of Expenditure

Monthly

1
1

One Time One Time One Time 9,000.00

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10.

SWEEPING FACILITIES :-

S. Item N.
1. 2. 3. 4. 5. 6. BROOMS SWEEPING BRUSHES MUGS BUCKETS PHENYL HAND WASH Total

No.

Approx Price P. Unit Total

100 400 100 500

Type of Expenditure

Monthly

One Time One Time One Time One Time

2 2 2 2

200.00 Monthly 800.00 200.00 1000.00 1000.00 Monthly 1000.00 Monthly 4,200.00

2000.00

2,200.00

11.

LAUNDARY :1 WASHERMAN ( LOCAL, ON CALL) MONTHLY EXPENDITURE :3000/- APPROX.

12. STATONARY TO MAINTAIN PAPER WORK (MONTHLY EXPENDITURE)

S. N.
1. 2. 3. 4. 5. 6.

Item
REGISTERS PENS PRESCRIPTION PADS WHITENER FILES STAMP PADS

No.
P. Unit

Approx Price Total

100 10

Type of Expenditure

6 15 1000 1 10 & 5

Monthly 600.00/- Monthly

150.00/- Monthly 1000.00 Monthly 30.00 Monthly 300.00 Monthly 250.00

One Time

One Time

STAMPS ETC Total

2,330.00 2,080.00 250.00

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a. (1400 VA INVERTOR WITH BATTERIES) b. 7.5 KVA Air Cooled Generator (Kirlosker)

Rs. Rs.

35,000.00 85,000.00

Total

Rs. 1,20,000.00

14. AMBULENCE- OPTIONAL, AS IT IS ALREADY AVAILABLE AS INFORMED. 15. STAFF

S. Item N.
1. 2. 3. 4. 5. 6. 7. 8. 9. DOCTORS MALE NURSE MALE NURSE FEMALE NURSE FEMALE NURSE X-RAY TECHNICIAN PATHOLOGIST SWEEPER OT ASSISTANT

Approx Price P. Unit

2 Part Time 2 Skilled 2 Semi killed 2 Skilled 2 Semiskilled 1 1 1 1 1 1

Type of Expenditure

Total

Monthly

One Time

35,000.00/- Monthly 14,000.00/- Monthly 10,000.00/- Monthly 14,000.00/- Monthly 10,000.00/- Monthly 8,000.00/- Monthly 10,000.00/- Monthly 5,000.00/- Monthly 7,000.00/- Monthly 5,000.00/- Monthly 5,000.00/- Monthly 1,23,000.00 1,23,000.00 OPTIONAL

10. SECURITY GUARD 11. BOOKKEEPER Total

16. GODOWN + STERILISATION SPACE

17. OTHER ITEMS (SMALL ITEMS AS PER NEEDS THE SPOT) - Will need an

emergency fund of 15000/- approx. monthly.

FINAL BUDGET :

S. Particulars N.
1. Outdoor Patient Department Doctors Chamber

Budget Total
10,800.00 29,755.00

Monthly
1000.00 1000.00

One Time
9,800.00 28,755.00
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2. 3 4 5

Indoor Facilities with 5 Beds Minor OT Facilities Pathology Department X-Ray Machine (Adonis) X-Ray Table for Adonis Dark Room Facilities Drug Dispensing Counter Staff Station or Rest Room Toilet / Bathroom Facilities Safe Drinking water facilities Sweeping facilities Laundry facilities Stationary to maintain paper work Electricity Arrangement Ambulance facilities Staff Others Items (Miscellaneous) Total

1,31,900.00 1,43,330.00 51,300.00 1,50,000.00 35,000.00 29,350.00 1,09,600.00 4,800.00 1,000.00 9,000.00 4,200.00 3000.00 2,330.00 1,20,000.00 Available 1,23,000.00 15,000.00 9,73,365.00 1,000.00
2,300.00

1,31,900.00 1,41,030.00 41,950.00 1,50,000.00 35,000.00 29,350.00 1,09,600.00 4,800.00 9,350.00

6 7 8 9 10 11 12 13 14 15 16

9,000.00 2000.00
3000.00 2,080.00 2,200.00 250.00 1,20,000.00

1,23,000.00
15,000.00 1,59,730.00 8,13,635.00

Consultancy and dispensary management fees will be budget + (15% of) total monthly running budget.

(10% of) total fixed

"SECTION - B" (OUR BRIEF HISTORY)

1.

INTRODUCTION: Vardaan Hospital & Research Centre is a 15 bedded hospital situated at Ratu block , in outskirts of Ranchi. We are basically a periphery based hospital concentrating mainly at providing health care to people at village & block level. This hospital is being run by Dr. Namita Singh (MBBS,DGO),a young gynecologist dedicated solely to treatment of patients at the hospital
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and Dr. K. P. Singh (MBBS,MS), a surgeon, who helps her in all aspects of the management as her husband & colleague.
2.

OUR EXPERIENCE IN RUNNING PERIPHERY BASED HOSPITALS: Our own hospital at Ratu block , Ranchi is running successful for last two & a half years.

We have run a small dispensary named " Life Line Hospital" at Patratu, Ramgarh, successfully for four years.

Dr K. P. Singh was personally attached to "Jindal Steel & Power Ltd " in Patratu area for 2 years and helped the management to develop the dispensary setup & organize health camps in remote areas around the steel plant.

We are attached directly with govt. owned schemes for poor people & providing free treatment to them through schemes like " RASHTRIYA SWASTHYA BIMA YOJANA (RSBY)"& Jharkraft owned " ICICI Lombard weavers health policy."

3.

OUR FUTURE PROJECTS :

In June, 2012 (less then 15 days from now), we are starting a small dispensary at Chaibasa in Collaboration with "ICICI Lombard sericulture health policy " to provide health care to sericulture workers & organize health camps funded by Jharkhand govt.

There are plans of setting small dispensaries of the same type in Lohardaga & Simdega districts also within next 3 - 4 Months.

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We are open to discuss the proposal and its parts in detail and available to help in evolving the plans for a basic but standard dispensary facility as per your requirement. Regards, Dr. Namita Singh & Dr. K. P. Singh, Vardaan Hospital & Research Center, Block Road, Ratu, Ranchi-835222 (Jharkhand).

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