Quarterly Health Bulletin 2ndQuarter 2013
Lady Ridgeway Hospital for Children
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
The Lady Ridgeway Hospital (LRH) is the largest public free of charge pediatric Hospital in the world. It serves as the National referral center for pediatric care for Sri Lanka . It also serves as local hospital for the population in and around Colombo city for minor ailments. The hospital has approximately over 900 beds and it treats children below 12 years of age from all over the country. It has all supportive services required to provide quality patient care. The total number of staff is over 2000 staff members. The medical staff consists of nearly 55 consultants and nearly 300 medical officers. They are organized as medical teams headed by permanent senior consultants who have international experience in that particular specialty. Nursing staff consists of nearly 700 nursing officers and are organized as teams in line the organization of Doctors.
Our Vision Tomake LRH the Best Health Care Centre for Children in the South Asia within this decade.
Our Mission Provision of consumer oriented comprehensive, best quality healthcare for children in Sri Lanka at all times through a motivated, efficient and trained team of health care staff to the maximum satisfaction of all health care seekers and to train undergraduates, post graduates and other health personnel in child care effectively.
Page 1
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Head of the Organization Hospital Director Dr. Rathnasiri A. Hewage MMBS MSc (Med.Admin) MD(Med. Admin),MACPE(USA),AMCMA(SL),DIPPCA
Telephone no 0112691521 rathnasiri@health.gov.lk General Information Telephones : 0112693711,0112693712 Fax No : 0112686859 Email : directorlrh@yahoo.com Website: www.ladyridgewayhospital.lk Services offered
Accident and animal bite casualty care for children Out patients medical and surgical care for children General medical carefor children General surgical care for children Heart (cardiology) care for children Eye (Opthalmolgy) care for children Ear, Nose,and Throat (ENT) care for children Skin(Dermatology) care for children Neurology care for children Kidney (Nephrology ) care for children Orthopaedic care for children Child Guidance /Psychiatric care for children Rheumatological care for children Cardiothoracic surgical care for children Plastic surgical care for children Cancer (Oncological) care for children Dental & Orthodontic care for children Child immunization services Occupational therapy service for children Physiotherapy service for children Language and speech therapy service for children Dialysis unit
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Out Patients Service Out Patient care The Out patientsDepartment (OPD ) and the Accident services department of this hospital is open for 24 hoursa day for365 days. Out patients clinics conducted by the relevant consultants of inpatient units and visiting consultants of the OPD maintain a continuous link with patients discharged from their units. There is also an emergency treatment unit, diarrhea unit and immunization clinic which operate in the OPD to improve the quality of care. * Here each patient getsmulti services according to the need. Performance ofoutPatients Department from Aprilto June 2013 No of Patients No of First Visits No of Subsequent Visits No of Emergency Patients (Ward Admissions) Emergency Treatment Unit OPD Visits (Accident Service) Diarrhoea treatment unit Observation unit No of patients treated for injuries in the dressing room Rheumatic clinic Lactation Management unit Nutrition clinic Non Communicable diseases Total No of Patients Encounters
No of Specimen taken Mantaux test
May
June
Total
32458 3180 7488 2671 3154 2166 867 593 92 169 186 122 53146
36340 3039 8181 3076 3220 2917 732 713 81 193 179 136 58807
39705 3760 8755 3752 3195 3631 928 652 83 184 147 129 64921
108503 9979 24424 9499 9569 8714 2527 1958 256 546 512 387 176874
April
May
June
Total
4278 52
5200 50
5629 45
15107 147
Ward Admissions April Emergency Treatment Unit Diarrhoea Treatment Unit Dengue Observation Unit
April
669 07 227
No of Patients May June 772 12 214
Total
989 09 291
2430 28 732
OPD Deaths April Death on admission After admission
01 0
No of Deaths May June 03 0
0 01
Total 04 01
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Out Patients Services
Lactation Management center Month
Referred from wards
April May June Total
referred from OPD
77 69 73 219
39 34 35 108
Direct
1st visits
06 06 09 21
2nd visits
122 109 117 348
47 84 67 198
Total
Cleft palate & Lip
169 193 184 546
25 18 10 53
Nutrition Clinic Month
1st visits
Sub visits
Over 5 years
Total
April May June Total
75 57 56 188
99 116 85 300
12 06 06 24
186 179 147 512
Nutritional Stages 1SD 21 13 21 55
2SD 46 55 40 141
3SD 103 102 77 282
Stunted Median 04 03 01 08
Wasted
02 02
Stunted & Wasted
11 06 03 20
01 03 4
Non Communicable Diseases Control unit Month
April May June Total
Diabetic Patients
Newly Diagnosed 09 12 09 30
Sub visits 45 68 62 175
Obesity Patients
Total 54 80 71 205
Newly Diagnosed 37 35 33 105
Sub visits 31 21 25 77
Total
Councelled adult Patient
Community Programme
02 02 01
01
05
01
Total 68 56 58 182
122 136 129 387
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Accident Service Department Accident service department at Lady Ridgeway Hospital provide emergency casualty care to children 24 hours aday,365 days year. The department provides immediate attention to critical and life threatening casualties as well as minor urgent-care casualties following accidents and animal bites. There is separate 24 hour dispensary for accident service patients.
Performance of Accident service from April to June 2013
No of Patients April 1188 539 369 61 80 08 104 66 41 19 29 0 31 0 02 0 517 3154
Fall Trauma Animal Bite Foreign body Road Traffic Accident(RTA) Emergency Treatment unit Cut injury Burns Prick Injury BSI Assault Deaths Crush injury Child abuse Electrocution Others Staff Total
May 1273 568 370 64 98 07 87 44 39 20 42 0 35 0 03 02 568 3220
June 1280 588 326 175 90 07 61 27 34 19 29 0 31 01 03 01 523 3195
Total 3741 1695 1065 400 268 22 252 137 114 58 100 0 97 01 08 03 1608 9569
No of Patients treated in the Accident service April,May & June 4000 3500 3000 2500 2000 1500 1000 500 0 Others
Child Abuse
Electrocution
A/S Deaths
Crush Injury
BSI
Assualt
Burns
Prick Injury
A/S ETU
Cut Injury
RTA
Foreign Body
Trauma
Animal Bite
H/O Fall
Nof Patients
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Immunization Immunization is the process whereby a person is made immune or resistant to an infectious diseases,typically by the administration of a vaccine. Vaccines stimulate the body’s own immune system to protect the person against subsequent infection or diseases. Immunization services Age below 12 years Referral letter from a medical officer or as referred by the medical officer at OPD
Immunization performed from April to June 2013 No of Patients
Type of Immunization (Vaccine) April Polio
1st dose 2nd dose 3rd dose 4th dose Booster 5th dose Total
DT
1st dose 4th dose Booster Total
Tetanus Toxoid Hepatitis (B)
Vitamin A
ARS (ERIG) ARV ARS (HRIG) Measles Rubella Mums(MMR) BCG ADT
June
Total
38 32 50 65 64 249
43 25 24 53 60 205
108 87 115 174 196 680
71 72
1 61 62
2 59 61
1 3 191 195
2
1
3
6
1 1 2
2 1 3
1
1st dose 2nd dose Total
1
6 months 9 months 1.5 years 3 years 5 years Total
20 26 34 44 40 164
12 6 32 25 26 101
11 22 34 21 46 134
43 54 100 90 112 399
156
155
134
445
26 30 40 57 153 9 601 20 102 15 92
39 32 46 67 184 08 564 20 94 18 61
41 25 24 51 180 07 535 20 95 23 85
106 87 110 175 478 24 1700 60 291 56 238
Japanese Encephalitis Pentavalent
27 30 41 56 72 226
May
2 months 1st dose 4 months 2nd dose 6 months 3rd dose 4th dose Total
1
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Clinics by specialty Month of April Wards Medical
VP /OPD RP/OPD Total Medical Surgical
VS/OPD Total Surgical ENT- Dr Yasawardena ENT- Dr. Kirihena Total ENT Skin Cardiology Rheumatology & Rehabilitation Neonatal Care unit Dental Orthodontic Orthopaedic Multidisciplinary CLAP (MCC) Child Guidance Total Child Guidance Speech & Language Child Development Renal Ward 01 Renal Ward 03 Total Renal Burns Eye Asthma Ward 02 Asthma Ward 09 Total Asthma Plastic Surgery Neurology - Dr. Piyara Rathnayake - Dr. Padeniya - Dr.Githangi Wanigasinghe Total Neurology Nephrology Oncology Headache Intervention Obesity Endocrinology Visual & Rehabilitation Total
No of clinics 01 02 03 04 08 09
05 07 10 11 12 12
A B
03 07 07 09 08 09 23 23 89 07 05 06 05 16 39 11 12 23 23 24 23 04 23 23 09 04 08 17 25 20 03 03 04 07 05 23 04 04 08 03 15 06 03 24 21 06 03 03 03 01 02 441
No of 1st visits 77 206 179 178 195 233 368 313 1749 61 66 97 68 324 616 348 334 682 1287 835 318 0 1052 92 412 24 58 213 271 180 05 11 11 22 31 610 13 05 18 26 72 38 18 128 46 10 42 18 10 25 04 8513
No of Sub visits
Total visits
Average per clinics
157 274 334 421 282 490 611 43 2612 371 301 311 254 423 1660 628 416 1044 876 1587 560 04 299 1732 472 40 178 629 807 278 11 50 74 124 49 822 114 26 140 67 458 149 169 776 366 06 74 37 30 51 05 14529
234 480 513 599 477 723 979 356 4361 432 367 408 322 747 2276 976 750 1726 2163 2422 878 04 1351 1824 884 64 236 842 1078 458 16 61 85 146 80 1432 127 31 158 93 530 187 187 904 412 16 116 55 40 76 09 23042
78.0 68.6 73.3 66.6 59.6 80.3 42.6 15.5 49.0 61.7 73.4 68.0 64.4 46.7 58.4 88.7 62.5 75.0 94.0 100.9 38.2 1.0 58.7 79.3 98.2 16.0 29.5 49.5 43.1 22.9 5.3 20.3 21.3 20.8 16.0 62.3 31.8 7.8 19.8 31.0 35.3 31.2 62.3 37.7 19.6 2.7 38.7 18.3 13.3 76.0 4.5 52.2
** Visual & Rehabilitation Clinic Started to function from April 2013
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Clinics by specialty Month of May Wards
No of Sub visits
Total visits
Average per clinics
Total Child Guidance Speech & Language Child Development Renal Ward 01 Renal Ward 03 Total Renal Burns
03 09 09 08 08 08 24 24 94 06 05 06 07 17 41 11 13 24 24 25 25 04 24 24 08 04 07 17 24 21 05 05 04 09 04
No of 1st visits 59 250 141 194 216 231 358 302 1751 64 55 88 122 294 623 322 373 695 1355 811 357 03 1032 151 498 22 162 228 390 167 09 51 10 61 22
143 327 382 410 353 437 599 42 2693 394 250 300 488 355 1787 526 433 959 680 1353 743 0 351 1767 410 84 178 629 807 386 18 79 83 162 43
202 577 523 604 569 668 957 344 4444 458 305 388 610 649 2410 848 806 1654 2035 2164 1100 03 1383 1918 908 106 340 857 1197 553 27 130 93 223 65
67.3 64.1 58.1 75.5 71.1 83.5 39.9 14.3 47.3 76.3 61.0 64.7 87.1 38.2 58.7 77.1 62.0 68.9 84.8 86.6 44.0 0.8 57.6 79.9 113.5 26.5 48.6 50.4 49.9 26.3 5.4 26.0 23.3 24.8 16.3
Eye Asthma Wd 02 Asthma Wd 09 Total Asthma Plastic Surgery Neurology - Dr. Piyara Rathnayake - Dr. Padeniya - Dr.Githangi Wanigasinghe Total Neurology Nephrology Oncology Headache Intervention
24 04 04 08 05 16 07 03 26 23 03 04 04
694 08 06 14 62 76 51 06 133 36 03 64 09
1018 94 24 118 124 474 141 120 735 380 04 121 40
1712 102 30 132 186 550 192 126 868 416 07 185 49
71.3 25.5 7.5 16.5 37.2 34.4 27.4 42.0 33.4 18.1 2.3 46.3 12.3
Obesity Endocrinology Visual & Rehabilitation Total
05 2 03 466
22 14 08 9006
29 95 02 14909
51 109 10 23915
10.2 54.5 3.3 51.3
Medical
VP /OPD RP/OPD Total Medical Surgical
VS/OPD Total Surgical ENT- Dr Yasawardena ENT- Dr. Kirihena Total ENT Skin Cardiology Rheumatology & Rehabilitation Neonatal Care unit Dental Orthodontic Orthopaedic Multidisciplinary CLAP (MCC) Child Guidance
No of clinics 01 02 03 04 08 09
05 07 10 11 12 12 19A 06
14B A B
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Clinics by specialty
Month of June Wards
Medical
VP /OPD RP/OPD Total Medical Surgical
VS/OPD Total Surgical ENT- Dr Yasawardena ENT- Dr. Kirihena Total ENT Skin Cardiology Rheumatology & Rehabilitation Neonatal Care unit Dental Orthodontic Orthopaedic Multidisciplinary CLAP (MCC) Child Guidance Total Child Guidance Speech & Language Child Development Renal Ward 01 Renal Ward 03 Total Renal Burns Eye Asthma Ward 02 Asthma Ward 09 Total Asthma Plastic Surgery Neurology - Dr. Piyara Rathnayake - Dr. Padeniya - Dr.Githangi Wanigasinghe Total Neurology Nephrology Oncology Headache Intervention Obesity Endocrinology Visual & Rehabilitation Diabetic Total
No of clinics 01 02 03 04 08 09
05 07 10 11 12 12 19A 06
14B A B
05 08 08 08 08 08 25 25 95 06 05 06 07 16 40 13 12 25 25 25 25 04 25 25 08 04 09 16 25 20 04 04 04 08 04 25 04 04 08 04 17 10 05 32 21 07 04 04 4 2 04 05 482
No of 1st visits 249 195 161 151 235 237 410 392 2030 73 40 99 101 291 604 393 338 731 1431 821 357 0 1049 117 480 12 93 206 299 178 08 42 09 51 17 649 06 03 9 47 102 49 13 164 38 04 60 20 20 17 08 09 9230
No of Sub visits
Total visits
218 325 351 353 332 449 581 44 2653 364 257 282 391 401 1695 647 425 1072 883 1568 743 05 311 1866 478 85 236 637 873 380 13 66 71 137 44 998 91 24 115 91 505 185 185 875 354 08 128 26 26 117 15 14 15573
467 520 512 504 567 686 991 436 4683 437 297 381 492 692 2299 1040 763 1803 2314 2389 1100 05 1360 1983 958 97 329 843 1172 558 21 108 80 188 61 1647 97 27 124 138 607 234 198 1039 392 12 188 46 46 134 23 23 24803
Average per clinics 93.4 65.0 64.0 63.0 70.9 85.8 39.6 17.4 49.3 72.8 59.4 63.5 70.3 43.3 57.4 80.0 63.6 72.1 92.6 95.6 44.0 1.3 54.4 79.3 119.8 24.3 36.6 52.7 46.9 27.9 5.3 27.0 20.0 23.5 15.3 65.9 24.3 6.8 15.5 34.5 35.7 23.4 39.6 32.5 18.7 1.7 47.0 11.5 11.5 67.0 5.8 4.6 51.5
Page 9
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Inpatients Services The In patients section of the Lady Ridgeway Hospital is at present composed of six general pediatric medical units, four pediatric surgical units, orthopedic unit ,plastic surgery unit, cardiology unit, accident ,emergency care unit, pediatric ENT,Rheumatology & Rehabilitation unit, Child Psychiatry unit, Eye Unit Isolation unit, Burns unit, Catheter lab, Cardiothoracic, Dialysis, Dermatology unit and Special neonatal care unit. In addition to these Radiology,Pathology,Hematology, Microbiology, and Histopathology departments headed by senior consultants provide quality, assistance to both inpatients and out patients. The hospital provides in ward services to over 25000 children quarterly.
Special Units In this Hospital there are three Intensive care units Medicalintensive care unit MICU Surgical intensive care unit SICU Cardio thoracic intensive care unit CTICU We also have one high dependency Unit HDU Summary of the Inpatients Care Services from April to June 2013 No of Ward No of Special Units No of In patients beds Total no of patients Admitted Total no of Patients Discharges (including deaths) Daily Average Admission Daily Average Discharges Average Daily Sick Average Length of stay Bed Occupancy Rate% Hospital Deaths TurnoverRate
Total Patients Days
April
May
June
Total
22 07 910 7488 7425 250 248 693 2.8 76.13 36 08 20783
22 08 910 8181 8188 264 264 748 2.8 82.22 43 09 23195
22 08 910 8755 8710 292 290 825 2.8 90.61 42 10 24736
22 08 910 24424 24323 268 267 755 2.8 82.98 121 27 68714
Hospital Deaths Deaths within 24 hours of admission Deaths within 48 hours of admission Deaths after 48 hours of admission Total hospital deaths
April 05 04 27 36
May 01 01 41 43
June 03 03 36 42
Total 09 08 104 121
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Discharge Analysis Paediatric -Medical Month of April Ward
Beds
Admission
Discharges
Transfer In
Transfer out
Deaths
Total Patents days
85 74 73 89 77 76 474
794 731 714 776 731 785 4531
782 717 724 737 686 779 4425
83 61 67 68 65 80 424
78 60 71 88 83 85 465
02 0 0 01 01 05 9
2143 1870 2062 1956 2198 1994 12223
01 02 03 04 08 09 Total
Average Daily Sick
69.1 60.3 66.5 63.1 70.9 64.3 394.3
Bed Occupancy Rate
Ave. Length of Stay
81.3 81.5 91.1 70.9 92.1 84.6 83.2
2.5 2.4 2.6 2.4 2.9 2.3 2.5
Bed Occupancy Rate
Ave. Length of Stay
73.9 41.1 49.1 67.4 58.1
2.6 1.9 1.9 2.2 2.2
Bed Occupancy Rate
Ave. Length of Stay
Paediatric - Surgical Month of April Ward
Beds
Admission
Discharges
Transfer In
Transfer out
Deaths
Total Patents days
05 07 10 11 Total
39 39 39 43 160
235 213 229 372 1049
306 228 267 375 1176
73 53 80 83 289
35 32 38 37 142
0 01 0 0 01
893 497 594 899 2883
Average Daily Sick
28.8 16.0 19.2 29.0 93.0
Other Special Units- Month of April Type of Specialty
Ward
Beds
Rheumatology & Rehabilitation
06
25
ENT
12 15
Cardiology
Discharg es
Transfer In
Transfer out
Deaths
96
89
08
04
0
331
10.7
42.7
3.6
38 27 08 06 12 23 19
357 119 0 0 0 125 20
356 99 0 0 0 158 21
24 26 44 33 60 72 05
22 42 40 29 57 53 02
0 03 04 04 03 01 03
631 646 216 167 211 1089 312
20.4 20.8 7.0 5.4 6.8 35.1 10.1
53.6 77.2 87.1 89.8 56.7 152.7 53.0
1.7 4.5 4.9 5.1 3.5 5.1 12.0
21
11 20 08 12 10 06 06 20 08
0 825 41 73 39 07 10 43 05
0 628 37 86 46 06 17 61 37
40 01 0 05 08 05 12 18 43
31 211 04 02 0 02 01 0 08
08 0 0 0 0 0 0 0 0
324 748 07 163 102 41 58 274 196
10.5 24.1 0.2 5.3 3.3 1.3 1.9 8.8 6.3
95.0 120.6 2.8 43.8 32.9 22.0 31.2 44.2 79.0
8.3 0.9 0.2 1.9 2.2 5.1 3.2 4.5 4.4
22
17
87 61
85 62
0 02
02 02
0 0
85 76
2.7 2.5
14.4
1.0 1.2
SICU CTICU HDU Cardiothoracic
20
Neonatal care unit MICU Accident Service Day care Surgery Plastic Surgery Orthopaedic Skin Psychiatry
13A 13B 14A 14B 19A 19B
Burns Isolation Hemophilia Eye
Admissions
Total Patents days
Average Daily Sick
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Discharge Analysis Paediatric -Medical Month of May Ward
Beds
Admission
Discharges
Transfer In
Transfer out
Deaths
Total Patents days
85 74 73 89 77 76 474
767 801 825 837 773 883 4886
787 815 798 819 738 859 4816
89 75 76 66 64 74 444
59 74 90 87 104 88 502
04 05 02 03 02 01 17
2241 2058 2318 2097 2171 2095 12980
Transfer out
Deaths
Total Patents days
0 0 0 0 0
1160 763 771 951 3645
01 02 03 04 08 09 Total
Average Daily Sick
72.3 66.4 74.8 67.6 70.0 67.6 418.7
Bed Occupancy Rate
Ave. Length of Stay
85.0 89.7 102.4 76.0 91.0 88.9 88.3
2.6 2.3 2.6 2.3 2.6 2.2 2.4
Bed Occupancy Rate
Ave. Length of Stay
95.9 63.1 63.8 71.3 73.5
2.9 2.7 2.0 1.9 2.3
Paediatric - Surgical Month of May Ward
Beds
Admissions
Discharges
39 39 39 43 160
327 247 302 383 1259
362 266 333 453 1414
05 07 10 11 Total
Transfer In
93 44 89 85 311
40 19 44 48 151
Average Daily Sick
37.4 24.6 24.9 30.7 117.6
Other Special Units- Month of May Type of Specility
Ward
Rheumatology & Rehabilitation
06
25
ENT
12 15
Cardiology
Discharges
Transfer In
Transfer out
Deaths
Total Patients days
99
116
13
07
0
361
38 27 08 06 12 23 19
392 148 0 0 0 98 22
387 123 0 0 0 122 23
13 18 53 39 56 78 11
13 43 52 36 48 53 06
0 0 04 02 04 0 05
21
11 20 08 12 10 06 06 20 08
22
17
0 820 33 108 60 07 15 32 03 136 63
0 603 32 109 57 11 23 47 63 131 64 04
40 01 02 07 02 03 15 14 63 0 04 06
30 220 03 05 0 01 07 0 03 05 03 02
11 0 0 0 0 0 0 0 0 0 0
SICU CTICU HDU Cardiothoracic
20
Neonatal care unit MICU Accident Service Day care Surgery Plastic Surgery Orthopaedic Skin Psychiatry
13A 13B 14A 14B 19A 19B
Burns Isolation
Beds
Hemophilia Eye DU
Admissions
Average Daily Sick
Bed Occupancy Rate
Ave. Length of Stay
11.6
46.6
2.9
667 726 177 171 249 1481 416
21.5 23.4 5.7 5.5 8.0 47.8 13.4
56.6 86.7 71.4 91.9 66.9 207.7 70.6
1.7 4.4 3.2 4.5 4.8 8.5 12.2
332 754 07 210 166 37 115 186 292 131 92
10.7 24.3 0.2 6.8 5.4 1.2 3.7 6.0 9.4 4.2 3.0
97.4 121.6 2.8 56.5 53.5 19.9 61.8 30.0 117.7 0 17.5
8.1 0.9 0.2 1.8 2.9 3.1 3.8 4.0 4.4 1.0 1.4
*** Dialysis Unit started to function from May 2013
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Discharge Analysis Paediatric -Medical Month of June Ward
Beds
Admission
Discharges
Transfer In
Transfer out
Deaths
Total Patents days
01 02 03 04 08 09 Total
85 74 73 89 77 76 474
947 881 952 911 879 947 5517
916 867 934 883 860 925 5385
72 71 75 72 93 92 475
96 65 91 108 97 102 559
02 02 02 01 0 03 10
2488 2066 2646 2221 2581 2137 14139
Average Daily Sick
80.3 66.6 85.4 71.6 83.3 68.9 456.1
Bed Occupancy Rate
Ave. Length of Stay
94.4 90.1 116.9 80.5 108.1 90.7 96.2
2.5 2.2 2.6 2.2 2.7 2.1 2.4
Bed Occupancy Rate
Ave. Length of Stay
100.6 69.3 57.2 71.2 74.5
3.2 2.8 1.8 2.3 2.5
Paediatric - Surgical Month of June Ward
Beds
05 07 10 11 Total
Admission
Discharges
Transfer In
Transfer out
Deaths
280 258 277 350 1165
341 270 332 372 1315
90 51 97 61 299
36 25 45 40 146
01 0 0 0 01
39 39 39 43 160
Total Patients days
Average Daily Sick
1216 838 692 949 3695
39.2 27.0 22.3 30.6 119.2
Total Patients days
Average Daily Sick
Other Special Units- Month of June Type of Specility
Ward
Beds
Admissions
Discharges
Transfer In
Transfer out
Deaths
Rheumatology & Rehabilitation
06
25
87
88
13
11
0
362
11.7
46.7
3.7
ENT
12 15
38 27 08 06 12 23 19
402 148 0 0 0
418 137 0 0 0
18 27 63 44 40
14 36 62 44 37
0 01 03 02 08
776 825 157 173 204
25.0 26.6 5.1 5.6 6.6
65.9 98.6 63.3 93.0 54.8
1.8 4.7 2.4 3.8 4.5
103 24
109 27
76 10
60 04
0 03
1450 416
46.8 13.4
203.4 70.6
8.6 12.2
13A
11 20
0 828
0 618
45 0
30 201
14 0
322 732
10.4 23.6
94.4 118.1
7.3 0.9
13B
08
53
49
0
04
0
49
1.6
19.8
0.9
14A 14B 19A 19B 21
12 10 06 06 20 08
03 04 03 08 12 74 0 10 02
01 0 01 03 0 04 03 07 01
0 0 0 0 0 0 0 0 0
248 195 64 116 183 316 131 183 0
8.0 6.3 2.1 3.7 5.9 10.2 4.2 5.9
2.3 3.8 3.0 4.3 4.0 4.3
17
108 52 20 24 46 69 131 68 04
66.7 62.9 34.4 62.4 29.5 127.4
22
110 43 17 18 31 01 134 71 03
34.7
2.4
Cardiology SICU CTICU HDU Cardiothoracic
20
Neonatal care unit MICU Accident Service Day care Surgery Plastic Surgery Orthopaedic Skin Psychiatry Burns Isolation Hemophilia Eye DU
Bed Occupancy Rate
Ave. Length of Stay
Page 13
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Other Departmentsand Units 1 Radiology Department The unit consist of three Radiologists and seven Medical officers and thirteen Radiographers. Theyprovide Services for the out patients, clinic patients referredfrom other organizations. No of Radiological examinations performed from April to June 2013 Specility No of Special exams No of CT exams No of Routine exams No of total X-Ray exams No of US exams No of Nuclear Imaging exams Total exams No of Patients No of Films used 2 Electrocardiogram -ECG
April
May
June
Total
62 223 5465 5750 1010 189 6949 6949 5400
74 253 6248 6575 843 166 7584 7584 4625
72 235 5837 6144 1043 108 7295 7295 4000
208 711 17550 18469 2896 463 21828 21828 14025
There are six Cardiographers in this unit. They provide services for OPD ,clinics and indoor Patients. This unit also provide 24 hours services for indoor patients. No of ECG examinations performed from April to June 2013 Month April May June Total
In Patients 379 412 459 1250
Out Patients 80 133 101 314
Total 459 545 560 1564
3 Electroencephalogram -EEG This unit provides services under administration of consultant Neurologist. There are four recordists. EEG examinations performed from April to June 2013 Month April May June Total
In patients 95 137 129 361
Out Patients 81 130 162 373
Total 176 267 291 734
4 Psychiatric Unit Month April May June Total
In patients 14 23 18 55
Out Patients 124 115 125 364
Total 138 138 143 419
5 Physiotherapy Department
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Pediatricphysiotherapy is very different to treating adults. Helping children remain motivated and keeping a positive attitude towards their physiotherapy is essential to their progress. We ensure sessions are fun interesting and something to look forward to and enjoy. Physiotherapy is a clinical health science and profession that aims to rehabilitation and improve people with movement disorders by using evidence based,natural such as exercise, motivation adapted equipment and education. Our Institution has well organized physiotherapy department. The Physiotherapy Department was established in 1960 at LRH. Now it’s well equipped with all the necessary items. About 30000 registered patients are coming continuously to get treatment from this department for the diseases of Rheumatology, Neurology; Respiratory & Orthopaedic.There are many sections such as Gymnasium, Electrotherapy unit,Hydrotherapy unitand out door therapeutic play area etc.This physiotherapy department is conducted by Dr. Jaliya Uduwella (Chief Physiotherapist. The department of Physiotherapyprovides services to the patients with in the institute as well as for the reference patients. The department of physiotherapy functions from 8.00am to 4.00pm every day except for Saturday. But Saturday also function from 8.00am to 12.00noon.
Performance of the Physiotherapy from April to May 2013
OPD 1st visits OPD Sub visits Wards 1st visits Wards sub visits Total 1st visits Total sub visits Total visits Total treatments units
April 245 556 235 1631 480 2187 2667 11393
No of Patients May June 225 190 767 844 240 205 1618 1323 465 395 2385 2167 2860 2562 12358 10355
Total 660 2167 680 4572 1340 6739 8089 34106
Page 15
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Occupational Therapy services The purpose of occupational therapy is to help the child achieve or maintain their maximum level of independence and to develop practical life skills so that the child can participate to his/her full potential in the home environment. Occupational therapy can help children overcome physical or other difficulties in order that they can function and participate in their everyday environment. The department of occupational therapy provides services to the patients with in the institute as well as for the reference patients. The department of occupational therapy functions from 8.00am to 4.00pm every day except for Saturday. But Saturday also function from 8.00am to 12.00noon. Performance of the occupational therapy from April to May 2013
1st visits Sub visits Total visits Total treated units
No of Patients May June 191 192 1029 1175 1220 1367 6100 6835
April 150 1225 1405 7025
Total 533 3429 3992 19960
Orthodontic Unit No of plate issued No of cleft lip & palate patients No of fix appliance patients No of feeding plates fitted
April 100 12 99 01
May 122 21 234 01
June 146 05 226 0
Total 368 38 559 02
Department of ENT & Audiology Audiology Test (Total) Pure Tone Audiograms (PTA) Free-Field Tests Tympanograms Brain-Stem Evoke Response(BSER) Hearing aids issue
Procedeous
April
May
June
Total
777 157 317 255 48 0 295
732 158 175 0 64 10 269
651 127 189 282 53 0 239
2160 442 681 537 165 10 803
Page 16
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Nephrology Unit Procedure
Numbers
LRH Ward Referrals Renal Biopsy Clean Intermittent Catheterization training Bladder Wash Blood Gas Subcutaneous Erythropoietin
April 268 04 08 02 12 03
May 278 08 14 02 18 02
June 288 04 08 03 21 03
Total 834 16 30 07 51 08
Prosthetist & Orthortist Department (P&O) Ministry of Health,Government of Sri Lanka & Handicap International (HI) are working together to address the physical rehabilitation needs of children with disabilities.Handicap established a Prosthetic & Orthotic (P&O) clinic in 2008 within the Lady Ridgeway Hospital for Colombo. The Prosthetic &Orthotic clinic provides prosthetic & orthotic devices, mobility aids ,adaptive devices,advice/training to children with disability/family members, referral and follow-up services. Since the opening of the clinic in July 2009 up until June 2013, approximately 4100 children with disabilities have been provided prosthetic &Orthotic services. Performance of the Prosthetist & Orthortist from April to May 2013 Number of Registration199 Number of new follow ups 433 Device
New
Repairs
L.E Prosthesis U.E. Prosthesis Lower Limb Orthosis Spinal Orthosis U.E. Orthosis Other Assistive Device Other assistive device Mobillity device & Adaptive device Mobillity device Adaptive device Total
01
0
337 29 04
97 04 01
115
01
22 20 528
0 0 103
Page 17
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Operations & Procedures Accident Service Month
Extranfusion
Bone Marrow
01 01
10 11 06 27
April May June Total
Liver Biopsy 02 03 03 08
Renal Biopsy
Others
03 05 02 10
03 03
Bortex 05 11 06 22
Tenotomy 03 10 10 23
Total 23 43 28 94
Ophthalmology Unit Procedure Cyclo Refraction Refraction P.M.T (Post Medriatic Test) Convergence R.O.P Screening Laser treatment
April 530 204 104
May 663 227 135
99 36
133 44
June 687 254 135 40 117 41
Total 1880 685 374 40 349 121
Statistics of Cardiac Catheterizations done procedure ASD device closure PDA device closure PDA coilling Cardiac catheterization Septostomy Pericardial aspiration Pulmonary valvuloplasty Aortic Valvuloplasty COA dilatation TOE PPM Insertion TPM insertion Coronary angiogram Aortic angiogram RVOT Perforation C/Cath+Baloon dilatation MAPCA Coiling Radiology Procedure AP window device closure Total
April 25 04 04 26 03 0 02 0 01 0 0 01 02 01 01 01 0 02 0 73
No of Patients May June 27 32 06 02 11 07 31 38 04 03 01 01 01 01 0 01 0 04 07 05 0 01 0 03 0 01 01 02 01 0 02 03 0 01 02 01 0 01 94
107
Total 84 12 22 95 10 02 04 01 05 12 01 04 03 04 02 06 01 05 01 274
Page 18
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Operation by nature Specialty- Month of April Specialty
Major
Intermediate
Minor
Total
05 07 10 11 OPD Total
10 2 5 4 4 25
44 15 34 54 19 166
18 01 6 4 2 31
72 18 45 62 25 222
05 11 BU 14 OPD Total
0 0 01 12 0 13
3 1 05 21 01 31
0 0 02 05 0 07
03 01 08 38 01 51
05 07 10 11
06 07 09 13 35
05 12 03 06 26
01 0 01 02 04
12 19 13 21 65
0 0 0 0 12 12
0 0 01 02 11 14
1 03 01 03 06 14
01 03 02 05 29 40
0 0 0 0 0
01 03 03 02 09
0 0 0 0 0
01 03 03 02 09
01 01 01 03
01 0 01 02
01 01 03 04
03 01 05 09
0 01 01 02 04
02 0 0 02 04
01 06 11 04 22
03 07 12 08 30
0 0 08 02 31 0 41
18 01 17 23 01 03 63
0 0 0 0 20 0 20
18 1 25 25 52 03 124
Genito urinary
Ward No
Plastic Ward No
Abdominal Ward No
Total
Orthopaedic 05 07 10 11 14B Total Head Neck & Spine 05 07 10 11 Total Thoracic 05 07 11 Total Rectal 05 07 10 11 Total Endoscopy 05 07 10 11 12 OPD Total
Page 19
QUARTERLY HEALTH BULLETIN Specialty
2nd quarter 2013
Major
Intermediate
Minor
Total
12 Total
06 06
10 10
20 20
36 36
05 07 10 11 Total
0 0 0 0 0
01 01 0 02 04
94 88 87 91 360
95 89 87 93 364
05 07 10 11 12 14 14B OPD Total
0 0 01 0 0 0 0 0 01
07 02 02 04 05 01 0 06 27
66 81 62 103 05 07 11 08 343
73 83 65 107 10 08 11 14 371
22
07
29
36
Total
147
854
1357
ENT Traumatic
Miscellaneous
EYE 356
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES April
Open heart Major
Close heart Major
56 02 58
16 01 17
Minor Operations done at OPD
Routine Emergencies Total
Other Major
Other Minor
02 02
Others
Minor Procedure
0
Suture Removal
Thoracic
Minor Surgical Procedure
Anesthetic procedure
02
05 17 22
24 24
0
02
Total
79 46 125
Surgical Clinic
Umbilical Cauterization
Total
01
20
03
24
Skin Clinic
Skin Erxission
Electric Cortrization
Scraping
Skin biopsy
Skin Grafting
Skin Crayo
Others
Tissue Reduction
Total
01
02
19
193
12
04
231
Page 20
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Operation by nature specialty - Month of May
Genito urinary Ward No
Plastic Ward No
Abdominal Ward No
Major
Intermediate
Minor
Total
05 07 10 11 OPD Total
13 05 11 18 02 49
26 23 43 64 13 169
11 02 07 04 02 26
50 30 61 86 17 244
05 07 11 BU 14 Total
0 0 0 0 12 12
01 01 02 03 18 25
0 0 01 01 04 06
01 01 03 04 34 43
05 07 10 11 OPD Total
14 02 15 07 0 38
09 09 0 08 02 28
01 0 0 0 0 01
24 11 15 15 02 67
05 07 10 14B Total
0 0 0 09 09
0 0 01 15 16
02 01 0 06 09
02 01 01 30 34
05 07 10 11 12
01 0 0 0 0 01
05 01 02 03 01 12
0 0 0 0 0 0
06 01 02 03 1 13
11 Total
01 01
01 01
0 0
02 02
05 07 10 11 Total
02 01 01 01 05
0 01 04 06 11
08 05 06 05 24
10 07 11 12 40
05 07 10 11 12 OPD Total
01 01 01 0 35 0 38
18 06 15 29 3 01 72
0 0 0 0 33 0 33
19 07 16 29 71 01 143
Orthopaedic
Head Neck & Spine
Total Thoracic
Rectal
Endoscopy
Page 21
QUARTERLY HEALTH BULLETIN ENT
2nd quarter 2013
12 Total
Major 06 06
Intermediate 12 12
Minor 21 21
Total 39 39
10 Total
0 0
01 01
0 01
01 01
05 07 10 11 Total
0 0 0 0 0
0 0 0 0 0
104 72 87 100 363
104 72 87 100 363
05 07 10 11 12 14 OPD 14B Total
0 01 0 01 01 0 0 0 03
06 02 04 06 02 02 07 0 29
105 90 50 93 05 04 05 13 365
111 93 54 100 08 06 12 13 397
22
06
04
37
47
Total
168
380
885
1433
Vascular Traumatic
Miscellaneous
EYE
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES Open heart Major
May
Minor Operations done at OPD
Routine Emergencies Total
Surgical Clinic Skin Clinic
47 47
Umbilical Cauterization
Close heart Major
Other Major
29 01 30
01
Others
Suture Removal
Other Minor
Minor Procedure
Thoracic
06
01
06
Minor Surgical Procedure
06 2 19
Anesthetic procedure
32 32
Total
89 46 135
Total
01
35
05
41
Skin Erxission
Electric Cortrization
Scraping
Skin biopsy
Skin Grafting
Skin Crayo
Others
Tissue Reduction
Total
01
01
06
21
200
06
02
237
Page 22
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Operation by nature Speciality - Month of June Specialty Genito urinary Ward No
Plastic Ward No
Abdominal Ward No
Major
Intermediate
Minor
Total
05 07 10 11 OPD Total
22 0 09 7 03 41
37 03 41 60 23 164
11 01 6 1 2 21
70 04 56 68 28 226
05 07 11 BU 14 Total
0 0 0 0 17 17
02 01 01 01 14 19
01 01 01 05 01 07
03 02 02 06 32 43
05 07 10 11 Total
11 01 10 17 39
12 08 07 04 31
0 0 0 06 0
23 09 17 21 70
05 14B 11 Total
0 07 01 08
01 16 02 19
0 19 02 21
01 42 05 48
05 07 10 11 OPD 12 Total
0 0 0 01 0 01 02
02 01 02 01 01 03 10
0 0 0 0 0 0 0
02 01 02 02 01 04 12
01 01
0 0
0 0
01 01
05 07 10 11 Total
04 0 0 03 07
01 0 05 04 10
01 01 9 04 15
06 01 14 11 32
05 10 11 12 OPD Total
0 10 04 29 0 43
21 23 29 8 08 89
0 0 0 29 16 45
21 33 33 66 24 177
12 Total
07 07
05 05
22 22
34 34
Orthopaedic
Head Neck & Spine
Thoracic 05 Total Rectal
Endoscopy
ENT
Page 23
QUARTERLY HEALTH BULLETIN Specialty Traumatic
2nd quarter 2013
Major
Intermediate
Minor
Total
05 07 10 11 Total
0 0 0 0 0
02 01 01 0 04
79 78 93 76 326
81 79 94 76 330
05 07 10 11 12 14 14B OPD Total
0 0 0 0 0 0 0 0 0
05 0 05 10 01 04 0 03 0
59 89 55 86 04 10 03 20 28
64 89 60 96 05 14 03 23 326
22
05
05
30
40
Total
170
384
813
1367
Miscellaneous
EYE
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES Open heart Major
June
Minor Operations done at OPD
Routine Emergencies Total
Surgical Clinic Skin Clinic
Close heart Major
54
17
54
17
Other Major
Other Minor
Suture Removal
Minor Procedure
Thoracic
Minor Surgical Procedure
Anesthetic procedure
03 02 05
03 16 19
01 27 28
Total
78 45 123
Umbilical Cauterization
Others
Total
23
10
33
Skin Erxission
Electric Cortrization
Scraping
Skin biopsy
Skin Grafting
Skin Crayo
Others
Tissue Reduction
Total
02
09
13
187
12
02
225
Page 24
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Hospital Laboratory Services The Laboratory services of this hospital consist offour Sections Bio-Chemistry,Hematology,Histopathology andMicrobiology. Staff Consist of Consultant Hematologist, Consultant Microbiologist Five grade Medical Officers ,31 Medical Laboratory Technologists. Services are provided by main laboratory from 8.00am to 4.00pm and 4.00pm to 8.00am. Night lab for Inpatients.Out Patients and the Clinic patients are served by the OPD Lab.OPD lab performed routine hematological investigations such as WBC/Dc, Hb, UFR, ESR and FBC. Consultant’s Name
Biochemistry Section Dr.(Mrs) Iresha Jasinghe Microbiology
Dr.(Mrs) Kumudu Karunarathna
OPD
Dr. (Mrs)Shiromi Perera
Hematology
Dr.(Mrs) Mala Jayathilake
Histopathology
Dr.(Mrs) Shiromi Perera
Night Lab
Dr.(Mrs) Iresha Jasinghe
Total Laboratory investigations performed from April to June 2013 Section Biochemistry Microbiology OPD Hematology Histopathology Night Lab Total
April
May
June
Total
28989 7543 21755 26479 675 10967 96408
30226 8030 29214 27775 950 14401 110596
30031 9080 27928 29080 860 14145 111124
89246 24653 78897 83334 2485 39513 318128
OPD Section Blood Test Blood -WBC/DC Blood Hemoglobin Blood Packed cell volume Blood platelets Blood ESR Blood picture Blood bleeding time Blood Clotting time Blood Malarial parasites Urine full report Urine ketone bodies Urine bile Urine sugar Urobilinogen Red Cell Indices Stool reducing substances Stool full report Total
April 3668 3668 3723 3723 580 542 29 29 02 1601 10 15 230 10 3668 75 182 21755
May 5070 5153 5153 5153 630 553 40 40 0 1753 08 23 251 23 5070 83 211 29214
June 4910 4910 4951 4951 611 526 29 29 0 1528 20 32 208 32 4910 90 191 27928
Total 13648 13731 13827 13827 1821 1621 98 98 02 4882 38 70 689 65 13648 248 584 78897
Page 25
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Biochemistry Section Blood Test Blood test Serum Electrolytes 1. Sodium 2. Potassium 3. Chloride Serum total bilirubin Serum direct bilirubin Serum SGOT (AST) Serum SGPT (ALT) Serum total Protein Serum Albumin Serum total cholesterol Serum Alkaline Phosphatase Serum amylase Serum calcium Serum phosphates Serum Osmolality Serum Creatinine Serum urea Serum sugar+ CSF sugar Serum magnesium Serum uric acid Plasma Amonia CRP Urine test Urine calcium Urine phosphate Urine Creatinine Urine ketone bodies Creatinine Clearance Urine bile Urine PH Urine Cystine Urine Sodium Urine Potassium Urine chloride Urine Protein Urine osmolality Urine Nitrosonapthol Calcium /creatine ratio Urine Mucopolysaccharides Urine Haemocystine Urine reducing substances Protein / creatinine ratio Urine Fecl3 for phenylketonuria Urine uric acid Urine deposits Urobilinogen PO4 /creatinine ratio Uric acid creatinine ratio Urine magnesium creatinine ratio Urine magnesium Urine glucose strip test Urine DNPH Urine porphyrin Urine specific gravity Miscellaneous sweat test Water deprevation stone analysis Stool test Reducing substance Occult blood Total
April
May
June
3024 3024 3024 674 572 2163 2296 569 1981 453 597 85 1131 421 16 2628 2728 804 243 85 33 1464
3280 3280 3280 1126 633 2147 2216 550 1865 578 611 138 1104 404 40 2664 2871 808 272
3028 3028 3028 777 644 2549 2694 538 1954 536 548 97 1164 345 30 2733 2859 868 285 138
1600
1540
88 86 189 12 02 09 14 09 34 34 34 228 22 07 33 02 12 13 49 03 35 03
75 85 207 23
15 15 250 12 10 07 15 05 30 30 30 13 35 0 30 25 03 10 56 05 03 05 05 16
11 15 10
75 32 07 53 11 02 14 55 10 20
04 03
02 10 10
12 10 04 02 04
05 10 06 01 04
02 04 28989
02 04 30226
05 05
Total 9332 9332 9332 2577 1849 6859 7206 1657 5800 1567 1756 320 3399 1170 86 8025 8458 2480 800 223 33 4604 178 186 646 47 12 27 44 24 64 64 64 316 89 14 116 38 17 37 160 18 58 08 07 30 13 17 25 15 03 08
01 12
01 12
30031
04 08 89246
Page 26
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Bacteriology section Blood Test Blood culture ABST CSF Culture and gram stain Full report ABST Antigen test Pus, direct smear and culture ABST Throat swab/Nasal swab culture ABST Body Fluids / Aspirates D/S & Culture Respiratory culture ABST MRSA culture ABST Urine culture ABST Urine full report Urine Reducing Substances Stool culture ABST Stool full report Stool reducing substances AFB Direct Smear Infection control sample culture Dengue Antibody Dengue -Positive Total
April 1007 32 117 102 02 117 263 203 14 06 08 245 252 272 11 1300 288 1096 08 92 03 121 16 04 1859 16 89 53 7543
May 913 152 103 102
June 978 129 127 127
102 252 304 21 05 09 304 316 317 41 1209 219 1156 11 132 10 133 37 03 2103 09 67 27 8030
127 292 219 24 08 11 339 355 317 48 1237 251 1183 12 135 10 146 39 04 2220 12 110 69 9149
Total 2898 313 347 331 02 346 807 726 59 19 28 888 923 906 100 3746 758 3435 31 359 23 400 92 11 6182 37 266 149 24033
Haematology section Blood Test Hemoglobin White Blood cell/ Differential count Platelets count Packed cell volume ESR Malarial parasites Blood bleeding time Blood picture Inhibitor Screening Reticulocyte count Bone marrow Sickle test Iron stain Red cell indices APTT Factor IX correction Factor X correction Factor IX Assay Factor VIII Assay Factor VII correction Factor VIII correction Factor VIII inhibitor levels G6PD Rheumatoid factor Clot solubility Prothrombine test Urine Spectroscopy Thrombin time Urine Haemosidern Ham’s test Osmotic Fragility test Total
April 4700 4518 4600 4612 775 12 182 578 03 200 16 06 4700 512 05
May 4865 4900 4920 4920 772 06 175 612 04 216 20 08 11 4960 580
04 11
04 11
05 02 03 12 02 840 02 164 11 04
08 02 01 14 03 720 02 28 04 08 01 27775
26479
June 5200 5100 5212 5212 700 08 168 618 06 218 22 10 04 5216 578 01 05 18 01 09 01 10 04 720 03 26 05 04 01 29080
Total 14765 14518 14732 14744 2247 26 525 1808 13 634 58 24 15 14876 1670 05 01 13 40 01 22 04 05 36 09 2280 07 218 20 16 02 83334
Page 27
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Histopathology section Blood Test Fine Needle aspiration cytology Direct Smears/ cytology Buccal smears Post Mortem Post Mortem slide preparation Special staining Surgical Biopsy slide preparation Total
April
May
June
Total
20 27 24 01 10 43 550 675
35 19 12 02 48 60 774 950
74 06 28 01 22 60 669 860
129 52 64 04 80 163 1993 2485
April 16 519 25 24 24 602
May 17 531 30 31 31 631 3121 245 23 231 243 751 18 21 23 38 38 3121 431 08 03 03 1415 07 21 203 540 549 601 731 745 14401
June 13 524 26 29 29 621 3001 235 20 224 241 724 12 18 16 36 36 3001 431 08 02 07 1415 07 16 224 554 561 612 742 760 14145
Total 46 1574 81 84 84 1854 6122 717 64 672 726 2218 44 68 63 108 108 9098 1282 23 07 19 4172 23 59 636 1625 1650 1812 2221 2253 39513
Night Lab Blood Test Hemoglobin APTT Platelets CSF Full Report CSF Sugar Blood Urea Full Blood Count Blood Sugar WBC/DC Serum Bilirubin - Direct Serum Bilirubin - Total Urine full Report Ketone bodies Stool Full Report Stool Reducing Substances Bleeding time Clotting time Hematocrits values Prothrombin time Urine bile Aspiration Fluids Serum electrolytes ClSerum electrolytes Na+K+ Urine electrolytes ClUrine electrolytes Na+K+ Serum Cholesterol Serum Albumin Serum Calcium Serum Creatinine SGOT (AST) SGOT(ALT) Total
237 21 217 242 743 14 29 24 34 34 2976 420 07 02 09 1342 09 22 209 531 540 599 748 748 10967
Page 28
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Bolod Bank- Month of April Analysis of other test No of Screening
April ANC Rh. Neg. Donor Blood gr & CM DAT
No of Positives
860
24
86
03
Analysis of RCC (450ML units) Component requests & issues RCC
April R Medical Wards Surgical wards Cardiothoracic Stock (Gov.Hos) Other Total
FFP
C/M
PLt
Cryo
I
R
I
R
I
R
CSP
I
R
Plasma
I
R
599 441 308
599 424 308
291 73 131
120 51 170
113 51 111
93 14 238
45 14 147
35
19
256
181
47
33
1348
1331
495
341
275
345
206
291
200
47
33
I
Buffy R
I
RCC and component discards RCC
April Screening positive Out dated Insufficient Other Total
FFP
PLt
Cryo
CSP
Plasma
Buffy
10 02 02
10 10
01 01
10
Blood Bank- Month of May Analysis of other test No of Screening
May ANC Rh. Neg. Donor Blood gr & CM DAT
No of Positives
1100 120
15 06
Analysis of RCC (450ML units) Component requests & issues RCC
May R
C/M
FFP
PLt
I
R
I
R
Cryo
I
R
I
CSP R
Plasma
I
R
Medical Wards Surgical wards Cardiothoracic
649 463 412
646 443 384
308 58 108
153 64 287
124 59 72
144 23 301
76 13 85
28 06 279
16 02 57
06
06
17
15
Stock (Gov.Hos) Other Total
1524
1473
474
504
255
468
174
313
75
23
21
I
Buffy R
I
0
Page 29
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
RCC and component discards RCC
May Screening positive Out dated Insufficient Other Total
FFP
PLt
1
Cryo
CSP
Plasma
01 01
17 17
Buffy
16 23 23
01
28 44
Bolod Bank - Month of June Analysis of other test No of Screening
June ANC Rh. Neg. Donor Blood gr & CM DAT
No of Positives
972 85
30 01
Analysis of RCC (450ML units) Component requests & issues RCC
June R Medical Wards Surgical wards Cardiothoracic Stock (Gov.Hos) Other Total
C/M
FFP
PLt
Cryo
I
R
I
R
I
R
I
CSP R
Plasma
I
R
639 401 403
639 387 400
311 51 112 421
92 50 324
81 50 107
100 07 293
71 07 115 215
91 22 272
77 22 62
02
02
62
18
1443
1426
895
466
238
400
408
385
161
20
17
I
Buffy R
I
15
RCC and component discards June Screening positive Out dated Insufficient Other Total
RCC
FFP
02 02
PLt
Cryo
CSP
Plasma
Buffy
06 06 06
06
19 19
Page 30
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
MONHLY RETURN OF NOTIFICATION- LADY RIDGEWAY HOSPITAL Month of April
Diseases
Ward No
No of Patients
01
02
Dysentry Enteric Fever AEFI AFP Encephalitis Hepatities A DHF + DF Mumps Chicken pox Measles Meningitis Tuberculosis Total
01
01
03
04
08
09
01
01 01
01 01
01 01
28 01 07 03
04 02 01 48
41
21
Total 04 02 03 02 01 01 161 02 05 49 05 01 236
01 01 01
01 13
40
MICU
53
12
11
01
05
09
19
16
04
23 02 04
22
06
29
08 01
09 01
MICU
01
01
21
17
Month of May
Diseases No of Patients Dysentry Enteric Fever AFP Typhus Fever DHF + DF Mumps Chicken pox Food Poisoning Measles Whooping Cough Meningitis H1N1 Tetanus Total
Ward No 01 03 01 20 01 07
02 03
03 03
04 02 01
33
02 02 04
01
01
11 01
23
07
15 01
02
01 36
33
39
21
23
21
Total 13 02 04 02 123 01 05 01 107 02 05 01 01 267
05 01 03 42
05 01 37
50
05
46
Month of June Diseases No of Patients Dysentry Enteric Fever AEFI AFP DHF + DF Mumps Hand Foot Mouth Diseases Measles Whooping Cough Meningitis Total
Ward No 01 01
01 60
02 04
42
03 04 01 01 20
04 01 01
08 02
09 03
MICU
21
01
Total 15 03 02 03 196 01
01 01 36
07
19
09
10
02 71
02 67
35
02 51
19
22
16
01 03
08
02
50
105
27
06
51
06 330
Page 31
QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Hospital Finance Vote 1.Personal Emoluments 111-1-8-1-1001 111-1-8-1-1002 111-1-8-1-1003 2.Travelling Expences 111-1-8-1-1101 3.Supplies 111-1-8-1-1201 111-1-8-1-1202 111-1-8-1-1203 111-1-3-0-1204 111-1-8-1-1205-(1) 111-1-8-1-1205-(11) 4.Maintennance Expenditure 111--8-1-1301 111--8-1-1302 111--8-1-1303 5.Contructual Service 111-8-1-1402 111-8-1-1403 111-8-1-1404 111-8-1-1405 6.Other Recurrent Expenditure 111-1-8-1-1506 111-1-8-1-1508 7.PGIM/Intern 111-2-11-1-1001 111-2-11-1-1002 111-2-11-1-1003 111-2-11-1-1405 8.Blood Bank 111-1-8-9-1001 111-1-8-9-1002 111-18-9-1003
Expenditure type Recurrent Expenditure
Amount Rs. April
May
June
Total
Salaries & Wages other allowances & H.P Other allowances
39,776,990.05 22,884,258.33 28,654,911.23
39,855,378.39 24,320,248.80 29,567,824.58
39,850,131.18 22,557,403.52 29,788,920.82
119,482499.62 69,761,910.65 88,011,656.63
Travelling Expences
17,525.00
5,047.50
22,572.50
Stationary & Office Request Fuel & Lubricants Diets & Uniforms Medical Supplies Garbage Other Supplies
87,752.00 2,431.00 835,105.00 435,135.00
315,732.00 245,874.40 1,084,686.51 11,689,033.65
90,605.00
38,450.60 2,170.00 2,770,559.80 10,098,422.34 1,269,688.00 412,941.80
324,234.00
441,934.60 250,475.40 4,690,351.31 22,222,590.99 1,269,688.80 827,780.80
Vehicles Repair Plant Machinary & Equipment Build & Structure
83,048.80 14,665.00 14,314.50
26,747.00 294,54,.04 9,640.00
125,190.54 186,948,41 127,551.00
234,986.34 496,167.45 151,505.50
Postal Charges & telecommunication Electricity water & gas Rates & Taxes Other contractual service
1,672,186.51
2,58,364.16
1,726,635.72
5,457,186.39
8,693,828.31
8,553,955.05
8,229,204.05
25,476,987.41
80,605.00
3,296,677.73
3,018,442.26
6,395,724.99
Property loan Other
1,266,699.14 131,959.50
1,299,533.45 29,517.00
1,269,373.61 136,466.46
3,835,606.20 297,942.96
Salaries & Wages Overtime Allowance & H.P Overtime Allowance Training
701,148.00 2,476,232.37
6,739,136.78 2,422,199.46 14,000.00
707,213.00 1,925,615.40
8,147,497.78 6,824,047.23 14,000.00
Salaries & Wages Overtime Allowance & HP Overtime Allowance
325,935.00
456,190.00
293,440.00
1,075,565.00
309,965.25
287,075.00
275,105.00
872,145.25
Building & Structure Medical Equipment Repair Lab Equipment Underground water tank Repair Air Conditions Supply & Instolation
3,458,211.38 1,894,846.88 513,435.00 728,708.40 2,140,783.34
9,081,768.37 1,304,063.29
1,015,259.66 24,920.00 1,898,400.00
13,555,239.41 3,223,830.12 2,411,835.00 728,708.40 2,140,783.34
Capital Expenditure Rehabilitation & Improvements
111--2-13-1--2001(11) 111-02-13-1-2002(2) 111-2-13-13-2103(11)4 111-02-13-28 - 2104(1) 111-02-13-5-2103(1) Acquisition of fixed assets 111-2-13-1-2102 111-2-13-76-2103 (11) 111-2-13--08-2103(11) 111-2-13-11-2103 111-2-13-13 2103-11(1) 111-2-13-8-2103(11) Total
43830.00 66,300.00
Furniture & office Equipment Telephone Repairs Medical Air Supply Medical Equipment Medical Equipment Medical Air Supply
43,830.00 66,300.00
2,997,450.00
117,291,284.99
1,065,456.00 148,531,485.64
247,500.00 61,800.00 127,462,464.94
2,997,450.00 247,500.00 1,127,256.00 393,285,235.57
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Department of Pharmaceuticals The Institution has well organized pharmaceuticals department, which is the most expensive and important component of the hospital It provides services to the patient’s within the institute as well as for the special campaigns and for any situation of disasters. The department performs routine functions from 8am to 4pm everyday,except for Saturdays. Where it functions from 8am to 12noon.It also functionsfor 24 hour throughout emergencies.The Chief Pharmacist is involved in administrative functions and there are 26 Pharmacists and 12 Dispensers. Theinstitutionobtain drugs from Medical Suppliers Department of Ministry of Health. Local Purchase drug list for the month of April 2013 Name of the drug Baby Haler Bifilac Sachets Inj. Flucloxacillin Micanazole +Hydrocortizone Moxifloxacin eye drops Microenema Non Allergic Plaster Pneumococal Vaccine Premarine cream Soft Clothe Liner Tape Sy. Solmux Sy. Zincovit Sy. Gaviscon Sy. Ociprenaline Tab. Co Enzyme Q-10 Tab. Ursodeoxycholic acid Transparent film dressing Tetracort oinment Transparent film dressing Volumatic Spacer White soft parafin 2% Lingnocane gelly J.E. Vaccine inactivated Cap. Biotin Sy. Theophyllin Total
Strength 500mg 15g 10ml 5ml 14g 60ml 200ml
150mg 1626 15g 1624
Quantity 9 6 237 3 3 32 18 5 1 3 6 2 1 1 45 6 75 10 136 1 20kg 3 1 3 1
Unit price 2875.00 39.33 260.00 470.00 434.00 60.00 170.00 2936.96 1381.00 970.00 315.00 290.00 295.00 140.00 44.00 50.00 205.00 200.00 80.00 900.00 12530.00 140.00 2184.20 33.00 95.00
Cost Rs. 25,875.00 235.98 61,620.00 1,410.00 1,302.00 1,920.00 3,060.00 14,684.80 1,381.00 2,910.00 1,890.00 580.00 295.00 140.00 1,980.00 300.00 15,375.00 2000.00 10,880.00 900.00 12,530.00 420.00 2,184.20 99.00 95.00 164,066.98
By Special Tender Approval Name of the drug Inj.Pamidronate Inj. Hydralazine Tab Carnitine Alkane Eye Drops Parasafe Total
Strength
Quantity 2 13 21 15 30
Unit price 10500.00 1840.00 113.85 371.00 5544.00
Cost Rs. 21,000.00 23,920.00 2,390.85 5,565.00 166,320.00 219,195.85
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Lacal Purchase drug list for the month of May 2013 Name of the drug Aerochamber Baby haler Bifilac Sachets Candid Mouth Paint Cap. Diszinc Cholestyramine powder Coban Plaster Cream Bactroban Fucidin Tulle Inj. Infanrix Hexa Inj. Kabiven Inj. Vit B Complex Itrasite Gel KLeen Enema Micanazole + Hydrocortizone Microenema Micropore Plaster Micropore Plaster Moxifloxacin eye drops Soft clothe Liner Tape Sy. Orofer Sy. Gaviscon Sy. Solmux Sy. Zincovit Tab. Naproxen Tab. Neurobion Tab. Oxybutanin Tab. Ursodeoxycholic acid Tetracort Oinment Transparent film dressing Transparent film dressing Vericella Vaccine White soft parafin Total
Strength
15g 10ml
60ml 200ml 250mg 5mg 150mg 15g 1626 1624
Quantity 1 5 6 2 5 2 10 1 2 2 9 2 1 10 1 36 21 7 1 2 2 1 4 3 30 12 10 27 10 100 185 1
20kg
Unit price 3766.00 2875.00 39.33 152.00 9.20 147.00 185.00 295.00 173.00 3384.00 6842.50 35.00 1495.00 195.00 470.00 60.00 170.00 87.00 434.00 970.00 304.75 295.00 315.00 290.00 8.10 9.99 18.40 50.00 200.00 205.00 80.00 3150.00 12530.00
Cost Rs. 3,766.00 14,375.00 235.98 304.00 46.00 294.00 1,850.00 295.00 346.00 6,768.00 61,582.50 70.00 1,495.00 1,950.00 470.00 2160.00 3,570.00 609.00 434.00 1,940.00 609.00 295.00 1,260.00 870.00 243.00 119.88 184.00 1,350.00 2000.00 20,500.00 14,800.00 3,150.00 12,530.00 160,471.86
Unit price 37.73 113.85 45.00 5544.00 3223.00
Cost Rs. 20,374.20 3,301.65 225.00 83,160.00 3223.00 270,755.71
By Special Tender Board Approval Name of the drug Tab.Biotin Tab. Carnitine Tab. Fludrocortisone Parasafe Inj. Vericella Vaccine Total
Strength 500mcg
Quantity 540 29 5 15 1
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Lacal Purchase drug list for the month of June 2013 Name of the drug Baby haler Inj. H.C.G Inj. Pneumococal vaccine Kleen Enema Microenema Micropore Plaster Micropore Plaster Micropore Plaster Moxifloxacin eye drops Refresh tears Salbutamol inhaler Soft clothe liner tape Sy. Solmux Sy.Zincovit Tab Levetiracetam Tab. Naproxen Tab Naproxen Tab. Oxybutanin Tab. Methyl Prednisolone Tab. Ursodeoxycholic acid Transparent film dressing Transparent film dressing White soft parafin Total
Strength
10ml 1” 1” 2” 100microgram 60ml 200ml 250mg 250mg 5mg 150mg 1626 1624 20kg
Quantity
Unit price
Cost Rs.
5 1 1 10 33 10 3 3 1 1 1 2 2 2 1 5 5 15 13 8 100 167
2875.00 1127.00 2936.96 202.50 60.00 170.00 185.00 330.00 368.00 386.00 285.00 970.00 315.00 290.00 54.76 8.10 13.33 18.40 10.35 50.00 205.00 80.00 12530.00
14,375.00 1,127.00 2936.96 2,025.00 1,980.00 1700.00 555.00 990.00 368.00 386.00 285.00 1,940.00 630.00 580.00 54.76 40.50 66.65 276.00 134.55 400.00 20,500.00 13,360.00 12,530.00 77,240.42
By Special Tender Board Approval Name of the drug Alcaine eye drops Inj. H.C.G Bactorub solution Total
Strength 500ml
Quantity 10 1 60
Unit price 371.00 1136.00 950.00
Cost Rs. 3,710.00 1,136.00 57,000.00 61,846.00
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Medical Records Unit
Main Functions of this unit Collection of information- ReceivingBHTT & other documents Processing /sorting of information -Coding (according to International Classification of Diseases (ICD 10) Storing of Information-Secure of Medical Records retrieving for continuity of patient care,judicial purposes. Retrieval of Information - Research, Judicial & administration purposes as requested by patients and relatives .etc. Distribution of information -Collecting data and preparing statistical returns which will be sent to the DirectorMedical statistics unit and other relevant institutions. Value of the MEDICAL RECORD A good complete medical record is of value To the Patient As the medical record contains a complete report of a patient’s illness and results of treatment, it is of great value to the patient for Future care for the same or other illness, facilitating continuity and excellence of care and cost savings derived from not having to repeat diagnostic testsunnecessarily Informing them (by giving access) of their care ,treatment and as a legal documents to support claims for injury, To the Hospital, Clinic or other Health Facility The medical record may be used by the health facility to evaluate the standard of care rendered by staff and the end results of treatment. If adequate records are not kept, the facility cannot justify the results of treatment. The medical record is also of value to the facility for medico-legal purposes. Statistics derived from medical records can be used for evaluating and planning present and future hospital services. Tothe Doctor and other Health Professionals The medical recordis of value to all health professionals caring for a patient. The patient may have been treated by them previously or by other health professionals. The medical records enable pertinent clinical, social or other relevant, information to be readily available for continuing patient care. In addition the medical record is of value for review of diseases, treatment and responses to treatment.(research, quality assurance, education and professional development of staff) To Researchers, Statisticians and Educators To scientific research the medical record has the potential to be an important tool. At its best, the information within a medical record supplies a practical and reliable source of material for the advancement of medical science. This information is Education also valuable in the collection of statistics on health care and the incidence of diseases, and for education of health professionals
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QUARTERLY HEALTH BULLETIN
2nd quarter 2013
Education Programme for Lady Ridgeway Hospital Child Patients The government has decided to allocate diploma holder who join the ‘teachers’ service from the NationalColleges of Education : for Sinhala medium and Tamil medium, to visit the Lady Ridgeway Hospital .These Diploma holders will keep the student patients engaged in educational activities. Children between the age group of 5-12 years from all parts of the country visit the Lady Ridgeway Hospital for medical treatment and some of them who warded in the hospital for several months for treatment purposes neglect their education by not being able to attend the school for a considerable period. The programme will enable child patients to continue their education while receiving treatment without any interruption. This will also prevent school drop outs due to illnesses.
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