HOSPITAL TRAINING REPORT-1

A sub submitted for the partial fulfillment off the requirement off the subject(BP509P)

SESSION 2021-2022

(Report on Hospital Visit ) For the Award of

Bachelor of pharmacy

Submitted BY-

ROHIT CHAUHAN
(Roll no. 1901360500078)

Under the supervision of

Ms.Avi Dubey

SD College of pharmacy & vocational studies

Muzaffarnagar,U.P -251001

Dr. A.P.J. Abdul Kalam Technical University Uttar pradesh

Lacknow-226021
 Certificate

Certified that ROHIT CHAUHAN has carry out their work work presented In project on
HOSPITAL TRAINING for the award of Bachelor of pharmacy from Abdul Kalam
technology University, Lucknow under maybe supervision . The project embodies result of
original work and studies as are carried out by the student himself and the content of the
project do not from the bases for the award of any the degree in the the candidate or to be
anybody elas from this or any other University/Institution.

Ms.Avi Dubey mam

Assistant professor

S.D College of pharmacy and vocational studies

Muzaffarnagar
 DECLARATION

I hereby declare that submission is my oven work and that, to the best of my knowledge and
belief,It contain no material previously published or written another person nor material
which to a s substantial extent has been accepted for the award of any other degree or
diploma of the university or other institute of higher learning except where due to
acknowledgement has been made in the text.

ROHIT CHAUHAN

Roll No.[1901360500078]
 ACKNOWLEDGEMENT

First and foremost I would like to say how deeply indebted I am to my supervisor Ms. Avi
Dubey , Assistant Professor, S.D College of pharmacy and vocational studies
Muzaffarnagar for her guidance, I would never be able to require that kindnees as shown
towards me. It give me great pleasure to be extend my respect and gratitude for her constant
encouragement, and support through out the work. Her preaching will go long away to mold
my life and career

It give me immense pleasure and happiness to express my sincere gratitude to Professor

Dr.Arvind Kumar, S..D College pharmacy and vocational studies Muzaffarnagar for her
kind co-oporation during the completion of this work

I am also very thankful to my librarian and all other faculty members to co-rporate me
and a time related to study material.

I feel short of work to express my feeling to my classmates they are pearl of my life and help
me wheneve I need .

Words feel short to acknowledgement gratitude to my family member whose llimitless

constant, co-operation compassion and encouragement enable me complete every task. No
phrase has the appropriate two word to express my feeling for their mounmental patience
except to say that he has been ki figure behind all the achievement.

Finally I bow in front of AlMIGHTY and present the work in final shape

ROHIT CHAUHAN
 INTRODUCTION

Hospital A hospital is a health care institution providing patient treatment with specialized staff and
equipment. The best-known type of hospital is the general hospital, which has an emergency
department. A district hospital typically is the major health care facility in its region, with large
numbers of beds for intensive care and long-term care. Specialized hospitals include trauma centers,
rehabilitation hospitals, children's hospitals, seniors' (geriatric) hospitals. A teaching hospital
combines assistance to people with teaching to medical students and nurses.

The Red Cross is a worldwide symbol of medical personnel and infrastructures. Hospitals have a
range of departments (e.g., surgery, and urgent care) and specialist units such as cardiology. Some
hospitals have outpatient departments and some have chronic treatment units. Common support units
include a pharmacy, pathology, and radiology. Today, hospitals are largely staffed by professional
physicians, surgeons, and nurses.

Hospital training

The hospital training is a type of training which provides the knowledge about patient care,
compounding, dispensing and case management to the pharmacist. Training is critical to the success
of any safe patient handling program, especially training on proper patient handling equipment use
and ongoing education about the benefits of safe patient handling
 VISION
THE VISION OF THE HOSPITAL TRAINING IS THE STUDY OF THE ORGANISATION OF
VARIOUS DEPARTMENT THE WORKING AND DEVELOPMENT OF THE ORGANISATION
THE PRESENT STATUS OF THE HOSPITAL AND FUCTURE PROSPECTS OF THE
ORGANISATION TO PROMOTE CIVIC SENSE AND SOLDIER THE RESPONSIBILITIES
WITH FULLFILL POTENTIAL BY BEING A ULTIMATE HEALTH CARE PROFEESIONAL
AND A RESPONSIBLE PHARMACIST.

THE TRAINING ORGANIZATION

Hospital training environment

Facilities in C.H.C MAKHIYAALI MUZAFFARNAGAR

Ventilation facilities-Improved air quality and ventilation reduced the infections.

Hand Washing facilities-The doctors and nurses wash the hand after patient contact with soap and
purified water in the sink.

Single-Bed Rooms facilities- The hospital contain single bed room facilities in which the patient is
admitted who is infected for lower the spreading of infection.

Nursing facilities- The Hospital's nursing staff helps in improve patient confidence and privacy.

Separate rooms for discussion -The Hospital maintain the noise by discussion in separate room
which is far away from patients’ room.

External building cues facilities-hospitals have parking facilities for park the vehicles for reduce
the rash on road; and green garden which improve the patient mood.

Light facilities- Hospital has; Bright light-both natural and artificial-which improve health
outcomes such as depression, agitation, sleep, cireadian rest-activity rhythms.

Art facilities-Nature pictures and other emotionally appropriate art elicit positive reactions having
positive feelings and associations with respect to nature paintings and prints.
 MEDICAL STAFF

Profession Doctor Name

Chief Medical Superintendent AJAY KUMAR
Chif Pharmacist MS ASIF
Pharmacist NASEEM AHMAD
Opd physician Dr. KHALID
Medical officer Dr.JUBAR
Gernal physician Dr IDRISH ANSARI
Dentist PIYUSH
Ayurvedic Dr KHALID
Lab technician ARUN KUMAR

OTHER STAFF OF HOSPITAL

Nursing Staff
This department is the largest and important part of hospital as it functions for all the 24 hours.
Nurses have to give personnel attention to the patients. They are trained for prenatal care. Strength of
nursing staff in Hospital is ten.

Pharmacist

This department fills prescription. It is responsible for proper drug delivery. Strength of pharmacist in
Hospital is TWO.

CONTENT

1. Out Patient Department [OPD] FACILITY

Ambulatory care is medical care provided on an outpatient basis, including diagnosis, observation,
consultation, treatment, intervention, and rehabilitation services. This care can include advanced
medical technology and procedures.

A polyclinic is a clinic that provides both general and specialist examinations and treatments to
outpatients and is usually independent of a hospital. A health center is one of a clinics staffed by a
group of general practitioners and nurses providing healthcare services to people in a certain area.

Typical services covered are family practice and dental care.

A walk-in clinic accept patients on a walk-in basis and with no appointment required. A day hospital
is an outpatient hospital facility where patients attend for assessment, treatment or rehabilitation
during the day and then return home or spend the night at a different facility.

A dispensary is an office in a school, hospital, industrial plant, or other organization that dispenses
medications, medical supplies, and in some cases even medical and dental treatment. In a traditional
dispensary set- up, a pharmacist dispenses medication as per prescription or order form.

2. PHARMACY FACILITIES
Unit based facilities may be located within the Clean Utility or dedicated Medication Rooms in
Inpatient Units. Facilities will include secured drug storage, refrigerated drug storage, space for
medication trolleys and computer access for pharmacy personnel.

3. EMERGENCY DEPARTMENT

An emergency department (ED), also known as an accident and emergency

department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a
medical treatment facility specializing in emergency medicine, the acute care of patients who present
without prior appointment; either by their own means or by that of an ambulance. The emergency
department is usually found in a hospital or other primary care center.
Due to the unplanned nature of patient attendance, the department must provide initial treatment for a
broad spectrum of illnesses and injuries, some of which may be life-threatening and require immediate
attention. In some countries, emergency departments have become important entry points for those
without other means of access to medical care.

The emergency departments of most hospitals operate 24 hours a day, although staffing levels may be
varied in an attempt to reflect patient volume.

4. AMBULANCE FACILITY

Emergency department provides acute care in all areas of Medicine, Surgery, Paediatrics,
Orthopaedics, obstetrics & Gynaecology & Neurosurgery. The emergency department at
AMRITDHARA, my Hospital comprises of dedicated 4 Beds for priority cases (that are life
threatening) and is well equipped with the latest Cardiac monitors, Ventilators, Infusion pumps and
Crash Cart with defibrillator. Emergency department has a team of physicians & surgeons available
round the clock to provide integrated emergent care to patients with various emergencies, supported
by an infrastructure of testing laboratory, CT Scanner, X-Ray facilities, pharmacy store, modular
operation theatres & ICU beds.

The emergency nursing team is well trained in caring of emergency patients both young & old.
We are equipped to handle any type of trauma cases and emrgency cases. We also have minor &
emergency surgical procedure capabilities like Suturing, Plaster Application ,SPC etc which are done
in well equipped & sterilised Minor-OT.

Emergency ambulance services are well geared to transport patients to the hospital at a quick pace for
which AMRITDHARA, my Hospital also incorporates dedicated ambulance with ventilator support,
defibrillator & infusion pump & trained medical personnel bringing the services to your doorstep.

HOSPITAL PHARMACY
A hospital pharmacy is a department within a hospital that prepares, compounds, stocks and dispenses
inpatient MEDICATION . Hospital pharmacies usually stock a larger range of medications, including
more specialized and investigational medications (medicines that are being studied, but have not yet
been approved), than would be feasible in the community setting. Hospital pharmacies may also
dispense and prescription medications to OUTPATIENT …

FUNCTION OF HOSPITAL PHARMACY

1. Ensure than all drugs are stored, dispensed correctly

2. check the accuracy of the dose prepared
3. keep proper records and preparation of bills
4. coordinate the over all pharmaceutical needs of the “patient care”
5. ensure that the established policies and procedures laid down are
followed.
6. maintain professional competence
7. communicate with all pharmacy staff regarding new developments
8. co ordinate the activities of the area
9. To maintain liaison between nurses
10. Reviewing of drug administration in each patient
11. provide instruction and assistance to junior Pharmacist
12. co ordinate over all pharmaceutical services on the running unit
level
13. Identification of drugs bought into hospital by the patient
 14. Obtaining all medication history and communicating all
information t
the attending Physician
15. assist in the selection of drug products and their identities

OBJECTIVE OF HOSPITAL PHARMACY

1. To professionalize the functioning of the pharmaceutical services in hospitals.

2. to ensure availability of the required medication at an affordable cost at the required time.

3. To plan, organize and implement the policies of the pharmacy.

4. To perform functions of management of material, purchase, storage of essential items.

5. To maintain strict inventory of all items received and issued.

6. To counsel the patient, medical staff, nurses and others involved in patient care on the
use of drugs, possible side effects, toxicity, adverse effects, drug interactions etc.

7. To serve as a source of information on drug utilization

FUNCTION OF HOSPITAL
PHARMACIST
1. To provide and evaluate pharmaceutical services
2. To draw a plan for hospital pharmacy administration
3. To establish liaison between administrative authorities and
medical Doctors.
4. To estimate the requirements for the department and enforce the
policies and procedures for the recruitment of adequate and
competent staff
5. To develop and maintain an effective system of clinical and
administrative records and reports
ROLES AND RESPONSIBILITIES OF
HOSPITAL PHARMACIST INDOOR
PHARMACIST
a) Central dispensing area:

1. To ensure that all drugs are stored and dispensed correctly.

2. To check the accuracy of the dosages prepared.

3. Maintain proper records

4. Preparation of bills

5. Co-ordinate over all pharmaceutical needs of the patient

6. Framed policies and procedures are followed

b) Patient care areas

1. Maintain liaison with nurses

2. Reviewing of drug administration

3. Provide instruction and assistance to the junior pharmacist

OUTDOOR PHARMACIST
RESPONSIBILITIES
a) Central dispensing area:

1. To ensure that all drugs are stored and dispensed correctly.

2. To check the accuracy of the dosages prepared.

3. Maintain proper records

4. Preparation of bills

5. Keeps the pharmacy neat and tidy manner

c) General responsibilites:

1. Ensure that all drugs are handled properly

2. Participate in cardio-pulmonary emergencies

3. Provide education and training for pharmacists

4. Co-ordinate overall pharmaceutical need of the outdoor services

FIRST AIDS
AIMS OF FIRST AIDS
First aid is the first assistance or treatment given to a casualty or a sick person for any injury or
sudden illness before the arrival of an ambulance, the arrival of a qualified paramedical or medical
person or before arriving at a facility that can provide professional medical care. As a consequence
of disaster or civil strife people suffer injuries which requires urgent care and transportation to the
nearest healthcare facility.
PRESERVE LIFE

THE OVERRIDING AIM OF ALL MEDICAL CARE,INCLUDING FIRST AID ,IS TO SAVE
LIVES AND MINIMIZE THE THREAT OF DEATH.

PREVENT FURTHER HARM

Prevention of further harm includes addressing both external factors, such as moving a patient away
from any cause of harm, and applying first aid techniques to prevent worsening of the condition, such
as applying pressure to stop a bleed becoming dangerous.

PROMOTE RECOVERY
First aid also involves trying to start the recovery process from the illness or injury, and in some cases
might involve completing a treatment, such as in the case of applying a plaster to a small wound.
It is important to note that first aid is not medical treatment and cannot be compared with what a
trained medical professional provides. First aid involves making common sense decisions in the best
interest of an injured person.

KEY SKILLS

Certain skills are considered essential to the provision of first aid and are taught ubiquitously.
Particularly the "ABC"s of first aid, which focus on critical life-saving intervention, must be rendered
before treatment of less serious injuries. ABC stands for Airway, Breathing, and Circulation. The[17]

same mnemonic is used by emergency health professionals. Attention must first be brought to
the airway to ensure it is clear

SPECIFIC DISCIPLINES
There are severel type of first aims which require specific additional training these are usually
undertaken to fullfil the demand of the work of activity under taken

Precription
 A prescription, often abbreviated ℞ or Rx, is a formal communication from a physician or other
registered health-care professional to a pharmacist, authorizing them to dispense a specific prescription drug
for a specific patient. Historically, it was a physician's instruction to an apothecary listing the materials
to be compounded into a treatment—the symbol ℞ (a capital letter R, crossed to indicate
abbreviation) comes from the first word of a medieval prescription, Latin: Recipere (Take thou), that
gave the list of the materials to be compounded.
DRESSING

A dressing is a sterile pad or compress applied to a wound to promote healing and protect the wound
[1]

from further harm. A dressing is designed to be in direct contact with the wound, as distinguished
from a bandage, which is most often used to hold a dressing in place. Many modern dressings are self-
adhesive.

PARENTAL ROUTES
The parenteral route is any route that is not enteral (par- + enteral).

Parenteral administration can be performed by injection, that is, using a needle (usually a hypodermic
needle) and a syringe,or by the insertion of an indwelling catheter.

Locations of application of parenteral administration include: The term injection

encompasses intravenous (IV), intramuscular (IM), subcutaneous (SC) and intradermal (ID) administration

Parenteral administration generally acts more rapidly than topical or enteral administration, with onset
of action often occurring in 15–30 seconds for IV, 10–20 minutes for IM and 15–30 minutes for SC.

Some medications, such as certain antipsychotics, can be administered as long-acting intramuscular

injections. Ongoing IV infusions can be used to deliver continuous medication or fluids.
 conclusion

The project Hospital traini;ng is the working in a hospital the process takes care of all the
requirements 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 and provides
details including various tests, diet advice and medicines prescribed to patient and doctor. It also
provides injection details and billing facility on the basis of patient status whereas it is indoor or
outdoor patient.

The system also provide the facility of backup as per the requirement patient who are non local
language speakers or come from migrant population or ethnic minority groups often are not able to
communicate effectively with their clinicians to receive complete information about there care at the
same time clinical staff is often not able to understand the patient needs or to elicit other relevant
information from the patient.

Professional interpreter services are made available whenever necessary to ensure good
communication between non local language speakers and clinical staff. The task force brings together
practitioners , managers, scientists and communities representatives with specific expertise and
competence in policy relevant knowledge in the field.

Thank you