Quarterly Health Bulletin 4th Quarter 2013
Lady Ridgeway Hospital for Children
QUARTERLY HEALTH BULLETIN
4th quarter
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.
Lady Ridgeway Hospital for Children
Page 1
QUARTERLY HEALTH BULLETIN
4th quarter
Head of the Organization Hospital Director Telephone no 0112691521 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 Laboratory Services
Lady Ridgeway Hospital for Children
Page 2
4th quarter
QUARTERLY HEALTH BULLETIN
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 Octoberto December 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
November
December
Total
30461 2147 6538 2782 3470 1655 545 772 87 185 157 110 48909
30944 2228 6811 2924 3282 1807 685 596 76 215 141 69 49778
32291 2229 6864 3058 3323 1915 571 654 99 168 181 142 51495
93696 6604 20213 8764 10075 5377 1801 2022 262 568 479 321 150182
October
November
December
Total
3130 48
3577 38
4052 39
10759 125
October
No of Patients November December
Ward Admissions Emergency Treatment Unit Diarrhoea Treatment Unit Dengue Observation Unit
October
610 12 147
649 06 202
649 06 202
Total 1908 24 551
OPD Deaths No of Deaths Death on admission After admission
October
November
December
Total
0 01
03 01
01 0
04 02
Lady Ridgeway Hospital for Children
Page 3
4th quarter
QUARTERLY HEALTH BULLETIN
Out Patients Services
Lactation Management center Month
Referred from wards
October November December Total
referred from OPD
50 70 64 184
56 53 35 144
Direct
1st visits
11 06 06 23
2nd visits
117 129 105 351
68 86 63 217
Total
Cleft palate & Lip
185 215 168 568
17 18 13 48
Nutrition Clinic Month
October November December Total
1st visits
Sub visits
Over 5 years
Total
42 48 59 149
95 90 106 291
20 03 16 39
157 141 181 479
Nutritional Stages 1SD 21 27 34 82
2SD 52 45 39 136
3SD 60 57 84 201
Stunted Median 02 05 05 12
01 0 0 01
Wasted
Stunted & Wasted
Referd to MOH
05 06 13 24
02 05 05 12
14 01 03 18
Non Communicable Diseases Control unit Month
October November December Total
Diabetic Patients
Newly Diagnosed 06 01 04 11
Sub visits 26 03 18 47
Obesity Patients
Total 32 04 22 58
Newly Diagnosed 45 49 74 168
Sub visits 33 16 46 95
Total
Councelled adult Patient
Community Programme
07 02 10 19
01 35 36
Total 78 65 120 263
Lady Ridgeway Hospital for Children
110 69 142 321
Page 4
4th quarter
QUARTERLY HEALTH BULLETIN
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 October to December 2013
No of Patients Fall Trauma Animal Bite Foreign body Road Traffic Accident(RTA) Emergency Treatment unit Cut injury Burns Prick Injury Bicycle spoke injury Assault Deaths Crush injury Child abuse Electrocution Others Staff Total
October
November
December
1397 670 354 195 105 05 66 54 42 15 45 0 38 01 04 0 479 3470
1248 642 331 184 98 01 62 50 45 23 40 01 31 01 02 03 520 3282
1265 650 411 188 97 02 82 59 52 22 20 0 36 01 01 0 437 3323
Total 3910 1962 1096 567 300 08 210 163 139 60 105 01 105 03 07 03 1436 10075
Lady Ridgeway Hospital for Children
Page 5
4th quarter
QUARTERLY HEALTH BULLETIN
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 October to December 2013 Type of Immunization (Vaccine) October D.P.T (Tripple)
4th
Polio
1st dose 2nd dose 3rd dose 4th dose Booster 5th dose Total Booster Total
DT
dose
Tetanus Toxoid Hepatitis (B)
6 months 9 months 1.5 years 3 years 5 years Total
Japanese Encephalitis Pentavalent
2 months 1st dose 4 months 2nd dose 6 months 3rd dose 4th dose Total
ARS (ERIG) ARV ARS (HRIG) Measles Rubella Mums(MMR) BCG ADT
Total
06
01
0
07
30 23 25 47 53 178 54 54
37 29 27 37 31 161 30 30
37 20 24 45 58 184 65 65
104 72 76 129 142 523 149 149
09
04
02
15
01 01
01 01 02
01 02 03
06 10 27 37 33 113
07 12 27 24 16 86
04 12 20 15 37 88
17 34 74 76 86 287
90
102
115
307
30 23 25 40 118 10 588 16 106 28 75
36 29 27 33 125 04 494 18 81 18 53
37 19 22 46 124 12 591 27 103 23 95
103 71 74 119 367 26 1673 61 290 69 223
2nd dose 3rd dose Total
Vitamin A
No of Patients November December
Lady Ridgeway Hospital for Children
Page 6
4th quarter
QUARTERLY HEALTH BULLETIN Clinics by specialty Month of October Wards
No of clinics
Medical
01 02 03 04 08 09
VP /OPD RP/OPD Total Medical Surgical
05 07 10 11
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 Diabetic Obesity Endocrinology Dr. Shyma De Silva Endocrinology Dr. Navoda Attapatu Total Endocrinology Visual & Rehabilitation Cardiothoracic -Dr. Munasinghe Cardiothoracic - Dr. Singappuli Cardiothracic - Dr. Y.K.M Lahic Total Cardiothoracic Total
12 12 19A 15 06
14B A B
04 09 09 08 09 08 25 25 97 07 06 05 07 18 43 12 13 25 25 25 25 04 25 25 09 03 09 16 25 21 05 05 04 09 05 25 03 04 07 05 13 13 04 30 24 04 05 03 13 05 02 25 27 04 05 04 05 14 537
No of 1st visits 194 325 249 158 237 261 413 523 2360 88 66 77 151 439 821 375 405 780 1659 916 385 02 1226 175 530 22 60 284 344 245 14 41 10 51 32 793 07 01 08 50 87 67 10 164 47 04 42 10 08 21 06 69 75 08 27 33 25 85 10877
No of Sub visits
Total visits
Average per clinics
102 270 303 372 372 416 545 25 2405 447 317 276 543 522 2105 624 472 1096 1061 1439 597 02 298 2196 508 78 235 752 987 500 12 59 79 138 71 770 91 36 127 128 594 280 156 1030 410 02 101 15 34 24 121 181 302 16 104 45 80 229 16681
296 595 552 530 609 677 958 548 4765 535 383 353 694 961 2926 999 877 1876 2720 2355 982 04 1524 2371 1038 100 295 1036 1331 745 26 100 89 189 103 1563 98 37 135 178 681 347 166 1194 457 06 143 25 42 45 127 250 377 24 131 78 105 314 27558
74.0 66.1 61.3 66.3 67.7 84.6 38.3 21.9 49.1 76.4 63.8 70.6 99.1 53.4 68.0 83.3 67.5 75.0 108.8 94.2 39.3 1.0 61.0 94.8 115.3 33.3 32.8 64.8 53.2 35.5 5.2 20.0 22.3 21.0 20.6 62.5 32.7 9.3 19.3 35.6 52.4 26.7 41.5 39.8 19.0 1.5 28.6 8.3 3.2 9.0 63.7 10.0 14.0 6.0 26.2 19.5 21.0 22.4 51.3
Lady Ridgeway Hospital for Children
Page 7
4th quarter
QUARTERLY HEALTH BULLETIN Clinics by specialty Month of November Wards
No of clinics
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
04 08 08 09 07 08 25 25 94 06 06 07 06 16 41 12 13 25 25 25 25 04 25 25 08 04 08 16 24 21 04 03 04 07 04
No of 1st visits 62 228 143 183 173 249 401 491 1930 69 52 116 95 344 676 395 399 794 1440 680 325 05 1080 194 500 12 217 240 457 220 08 12 12 24 35
187 237 342 326 200 371 637 34 2334 307 251 335 381 443 1717 693 519 1212 1152 1391 703 03 285 1939 491 59 220 597 817 450 12 44 70 114 67
249 465 485 509 373 620 1038 525 4264 376 303 451 476 787 2393 1088 918 2006 2592 2071 1028 08 1365 2133 991 71 437 837 1274 670 20 56 82 138 102
62.3 58.1 60.6 56.6 53.3 77.5 41.5 21.0 45.4 62.7 50.5 64.4 79.3 49.2 58.4 90.7 70.6 80.2 103.7 82.8 41.1 2.0 54.6 85.3 123.9 17.8 54.6 52.3 53.1 31.9 5.0 18.7 20.5 39.2 25.5
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 Diabetic Obesity Endocrinology- Dr Shyma De Silva Endocrinology - Dr. Navoda Attapattu Total Endocrinology Visual & Rehabilitation Cardiothoracic -Dr. Munasinghe Cardiothoracic - Dr. Singappuli Cardiothracic - Dr. Y.K.M Lahic Total Cardiothoracic Total
25 05 04 09 04 14 13 04 31 25 05 05 05 10 05 02 25 27 04 04 04 04 12 528
823 15 03 18 42 63 54 14 131 32 09 46 16 05 13 07 38 45 08 24 21 25 70 9638
856 96 28 124 97 446 222 288 956 332 0 128 54 27 19 45 126 171 14 88 47 64 199 15723
1679 111 31 142 139 509 276 302 1087 364 09 174 70 32 32 52 164 216 22 112 68 89 269 25361
67.2 22.2 7.8 15.8 34.8 36.4 21.2 75.5 35.1 14.6 1.8 34.8 14.0 3.2 6.4 26.0 6.6 8.0 5.5 28.0 17.0 22.3 22.4 48.0
Medical
01 02 03 04 08 09
VP /OPD RP/OPD Total Medical Surgical
05 07 10 11
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
12 12 19A 06
14B A B
Lady Ridgeway Hospital for Children
Page 8
4th quarter
QUARTERLY HEALTH BULLETIN Clinics by specialty-Month of December Wards
No of clinics
Medical
01 02 03 04 08 09
VP /OPD RP/OPD Total Medical Surgical
05 07 10 11
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- Dr Shyma De Silva Endocrinology- Dr. Navoda Attapattu Total Endocrine Visual & Rehabilitation Diabetic Cardiothoracic -Dr. Munasinghe Cardiothoracic - Dr. Singappuli Cardiothracic - Dr. Y.K.M Lahic Total Cardiothoracic Total
12 12 19A 06
14B A B
04 08 08 09 08 09 24 24 94 05 06 07 06 15 39 12 12 24 24 24 25 02 24 22 07 04 05 16 21 20 04 04 03 07 05 24 03 04 07 04 14 10 04 28 23 05 04 04 04 01 24 25 03 18 03 03 04 12 507
No of 1st visits 101 256 269 173 183 260 362 476 2080 83 64 120 110 364 741 444 423 867 1812 431 320 04 1227 251 502 17 71 255 326 216 12 30 06 36 27 751 04 03 07 51 66 63 12 141 37 10 52 12 23 10 61 71 14 09 30 17 09 56 10103
No of Sub visits
Total visits
172 274 343 371 303 455 575 25 2518 317 322 594 496 513 2242 775 513 1288 1320 1056 703 01 301 2052 480 65 130 691 821 404 17 60 69 129 101 1032 51 37 88 69 461 270 282 1013 432 06 129 32 43 55 157 212 09 42 117 33 58 208 16813
273 530 612 544 486 715 937 501 4598 400 386 714 606 877 2983 1219 936 2155 3132 1487 1023 05 1528 2303 982 82 201 946 1147 620 29 90 75 165 128 1783 55 40 95 120 527 333 294 1154 469 16 181 44 66 65 218 283 23 51 147 50 67 264 26916
Lady Ridgeway Hospital for Children
Average per clinics 68.3 66.3 76.5 60.4 60.8 79.4 39.0 20.9 48.9 80.0 64.3 102.0 101.0 58.5 76.5 101.6 78.0 89.8 130.5 62.0 40.9 2.5 63.7 104.7 140.3 20.5 40.2 59.1 54.6 31.0 7.3 22.5 25.0 23.6 25.6 74.3 18.3 10.0 13.6 30.0 37.6 33.3 73.5 41.2 20.4 3.2 45.3 11.0 16.5 65.0 9.1 11.3 7.7 2.8 29.4 16.7 16.8 22.0 53.1
Page 9
4th quarter
QUARTERLY HEALTH BULLETIN
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 October to December 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 Turnover Rate
Total Patients Days
October
November
December
Total
22 08 911 6538 6558 211 212 625.1 3.0 68.6 40 07 19379
22 08 911 6811 6796 220 219 662.9 2.9 72.8 45 07 19888
22 08 911 6864 6993 221 226 650.4 2.9 71.4 44 08 20161
22 08 911 20213 20347 220 221 646 2.9 70.9 129 22 59428
Hospital Deaths Deaths within 24 hours of admission Deaths within 48 hours of admission Deaths after 48 hours of admission Total hospital deaths
October
November
December
05 02 33 40
07 01 37 45
01 02 41 44
Total 13 05 111 129
Lady Ridgeway Hospital for Children
Page 10
4th quarter
QUARTERLY HEALTH BULLETIN
Discharge Analysis Paediatric -Medical Month of October Ward
Beds
Admission
Discharges
Transfer In
Transfer out
Deaths
Total Patents days
85 74 73 89 77 76 474
604 480 514 506 468 545 3117
592 479 515 494 471 557 3108
58 49 46 37 55 55 300
67 52 46 51 51 55 322
01 01 01 0 0 01 04
1543 1413 1567 1377 1538 1502 8940
01 02 03 04 08 09 Total
Average Daily Sick
49.8 45.6 50.5 44.4 49.6 48.5 288.4
Bed Occupancy Rate
Ave. Length of Stay
58.6 61.6 69.2 49.9 64.4 63.8 60.8
2.3 2.7 2.8 2.5 2.9 2.5 2.6
Bed Occupancy Rate
Ave. Length of Stay
89.8 56.0 58.2 87.3 73.2
3.0 2.4 1.9 2.3 2.4
Paediatric - Surgical Month of October Ward
Beds
Admission
Discharges
Transfer In
Transfer out
Deaths
Total Patents days
Average Daily Sick
05 07 10 11 Total
39 39 39 43 160
282 224 296 405 1207
327 269 350 455 1401
73 54 84 92 303
30 14 15 45 104
01 01 0 0 02
1086 677 704 1164 3631
35.0 21.8 22.7 37.5 117.1
Total Patents days
Average Daily Sick
Other Special Units- Month of October Type of Specialty
Ward
Beds
Rheumatology & Rehabilitation
06
25
ENT
12 15
Cardiology 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
21
Discharg es
Transfer In
Transfer out
Deaths
86
88
01
02
0
325
10.5
41.9
3.6
38 27 08 06 12 23 19
395 145 0 0 0 132 24
387 133 0 0 0 138 24
19 21 46 27 56 62 06
12 34 42 25 48 57 02
0 06 02 02 07 01 06
725 796 215 174 252 1334 407
23.4 25.7 6.9 5.6 8.1 43.0 13.1
61.5 95.1 86.7 93.5 67.7 187.1 69.1
1.8 4.6 4.9 6.4 4.6 6.8 12.7
11 20 08 12 10 06 06 20 08
0 844 51 113 56 20 12 58 05
0 629 42 127 52 22 20 60 18
44 0 0 05 01 01 05 03 18
33 217 09 05 01 01 0 0 01
10 0 0 0 0 0 0 0 0
278 778 42 265 193 81 126 316 105
9.0 25.1 1.4 8.5 6.2 2.6 4.1 10.2 3.4
81.5 125.5 16.9 71.2 62.3 45.5 67.7 51.0 42.3
6.5 0.9 0.8 2.0 3.6 3.5 6.3 5.3 5.5
17 01
157 109 07
156 105 08
0 09 11
01 10 10
0 0 0
156 235 05
5.0 7.6 0.2
44.6 16.1
1.0 2.0 0.3
Hemophilia Eye DU
22
Admissions
Lady Ridgeway Hospital for Children
Bed Occupancy Rate
Ave. Length of Stay
Page 11
4th quarter
QUARTERLY HEALTH BULLETIN
Discharge Analysis Paediatric -Medical Month of November Ward
Beds
Admission
Discharges
Transfer In
Transfer out
Deaths
Total Patents days
85 74 73 89 77 76 474
633 551 561 552 545 609 3451
633 528 558 557 514 592 3382
66 50 48 53 54 62 333
59 68 49 51 69 58 354
02 0 0 02 02 02 08
1857 1453 1492 1463 1784 1579 9628
Transfer out
Deaths
Total Patents days
0 01 0 0 01
997 706 767 944 3414
01 02 03 04 08 09 Total
Average Daily Sick
61.9 48.4 49.7 48.8 59.5 52.6 320.9
Bed Occupancy Rate
Ave. Length of Stay
72.8 65.5 68.1 54.8 77.2 69.3 67.7
2.7 2.4 2.5 2.4 3.0 2.4 2.6
Bed Occupancy Rate
Ave. Length of Stay
85.2 60.3 65.6 73.2 71.1
2.7 2.5 2.0 2.0 2.3
Paediatric - Surgical Month of November Ward
Beds
Admissions
Discharges
39 39 39 43 160
269 221 289 369 1148
331 267 347 427 1372
05 07 10 11 Total
Transfer In
78 76 103 93 350
34 18 34 56 142
Average Daily Sick
33.2 23.5 25.6 31.5 113.8
Other Special Units- Month of November Type of Specility
Ward
Rheumatology & Rehabilitation
06
25
ENT
12 15
Cardiology 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
21
Beds
Discharges
Transfer In
Transfer out
Deaths
Total Patients days
64
69
10
03
0
335
38 27 08 06 12 23 19
453 150 0 0 0 129 23
462 136 0 0 0 130 22
17 25 60 28 68 78 04
18 37 57 26 65 66 03
0 02 03 02 04 0 02
11 20 08 12 10 06 06 20 08
0 806 62 97 45 24 12 59 02 198 81 07
0 582 54 90 55 24 16 62 17 189 78 11
62 0 0 07 01 01 06 01 17 0 03 16
37 232 08 05 0 01 02 01 02 09 07 12
23 0 0 0 0 0 0 0 0 0 0 0
Hemophilia Eye DU
22
17 01
Admissions
Bed Occupancy Rate
Ave. Length of Stay
11.2
44.7
4.7
942 732 184 168 253 1395 410
31.4 24.4 6.1 5.6 8.4 46.5 13.7
82.6 90.4 76.7 93.3 70.3 202.2 71.9
2.0 4.2 3.1 6.0 3.7 7.1 15.2
273 754 54 246 162 81 88 304 87 189 182 07
9.1 25.1 1.8 8.2 5.4 2.7 2.9 10.1 2.9 6.3 6.1 0.2
82.7 125.7 22.5 68.3 54.0 45.0 48.9 50.7 36.3
4.6 0.9 0.9 2.6 2.9 3.2 4.9 4.8 4.6 1.0 2.1 0.3
Lady Ridgeway Hospital for Children
Average Daily Sick
35.7 23.3
Page 12
4th quarter
QUARTERLY HEALTH BULLETIN
Discharge Analysis Paediatric -Medical Month of December 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
674 574 646 555 561 631 3641
687 580 635 545 558 625 3630
63 58 46 42 33 39 281
49 63 60 57 54 59 342
01 01 02 01 01 0 06
1882 1518 1867 1561 1703 1884 10415
Average Daily Sick
60.7 49.0 60.2 50.4 54.9 60.8 336.0
Bed Occupancy Rate%
Ave. Length of Stay
71.4 66.2 82.5 56.6 71.3 80.0 70.9
2.6 2.4 2.7 2.6 2.8 2.8 2.6
Bed Occupancy Rate
Ave. Length of Stay
85.7 50.7 53.5 71.0 3.4
3.1 2.3 1.7 2.0 2.3
Paediatric - Surgical Month of December Ward
Beds
05 07 10 11 Total
Admission
Discharges
Transfer In
Transfer out
Deaths
257 196 249 393 1095
292 251 333 431 1307
71 62 97 89 319
37 11 41 33 122
0 0 01 0 01
39 39 39 43 160
Total Patients days
Average Daily Sick
1036 613 647 947 3243
33.4 19.8 20.9 30.5 104.6
Total Patients days
Average Daily Sick
Other Special Units- Month of December Type of Specility
Ward
Beds
Admissions
Discharges
Transfer In
Transfer out
Deaths
Rheumatology & Rehabilitation
06
25
77
81
03
04
0
454
14.6
58.6
5.3
ENT
12 15
38 27 08 06 12 23 19
470 118 0 0 0
484 107 0 0 0
23 23 55 25 57
13 36 52 23 56
0 01 06 02 04
899 642 182 181 229
29.0 20.7 5.9 5.8 7.4
76.3 76.7 73.4 97.3 61.6
1.8 4.5 3.1 7.2 3.8
116 25
164 21
70 02
49 03
0 08
1125 321
36.3 10.4
157.8 54.5
5.3 10.0
13A
11 20
0 838
0 606
47 0
33 228
17 0
313 768
10.1 24.8
91.8 123.9
6.3 0.9
13B
08
54
52
0
02
0
49
1.6
19.8
0.9
14A 14B 19A 19B
12 10 06 06 20 08
95 46 21 09 63 03 125 58 10
108 48 23 14 62 41 123 65 12
08 02 04 05 0 42 0 09 12
03 0 01 0 0 04 02 05 10
0 0 0 0 0 0 0 0 0
228 142 91 94 322 169 123 161 10
7.4 4.6 2.9 3.0 10.4 5.5 4.0 5.2 0.3
61.3 45.8 48.9 50.5 51.9 68.1
2.1 3.0 3.8 6.7 5.2 3.8 1.0 2.3 0.5
Cardiology SICU CTICU HDU Cardiothoracic
20
Neonatal care unit MICU Accident Service Day care Surgery Plastic Surgery Orthopaedic Skin Psychiatry Burns Isolation
21
Hemophilia Eye DU
22
17 01
Lady Ridgeway Hospital for Children
Bed Occupancy Rate%
30.6 32.3
Ave. Length of Stay
Page 13
4th quarter
QUARTERLY HEALTH BULLETIN
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 October to December 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
October
November
December
Total
62 272 5481 5815 1201 169 7185 7185 5650
66 305 5441 5812 1075 161 7048 7048 4100
56 244 4998 5298 987 169 6454 6454 3875
184 821 15920 16925 3263 499 20687 20687 13625
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 October to December 2013 Month October November December Total
In Patients 356 414 380 1150
Out Patients 163 124 101 388
Total 519 538 481 1538
3 Electroencephalogram -EEG This unit provides services under administration of consultant Neurologist. There are four recordists. EEG examinations performed from October to November 2013 Month October November December Total
In patients 139 123 125 387
Out Patients 151 145 144 440
Total 290 268 269 827
4 Psychiatric Unit Month October November December Total
In patients 24 23 17 64
Out Patients 153 113 97 363
Total 177 136 114 427
Lady Ridgeway Hospital for Children
Page 14
4th quarter
QUARTERLY HEALTH BULLETIN
5 Physiotherapy Department 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 October to November 2013 No of Patients OPD 1st visits OPD Sub visits Wards 1st visits Wards sub visits Total 1st visits Total sub visits Total visits Total treatments units
October
November
December
195 760 230 2156 425 2916 3441 15118
220 483 240 2066 460 2749 3209 13129
202 644 260 1813 462 2457 2919 12012
Total 617 1887 730 6035 1347 8122 9569 40259
Lady Ridgeway Hospital for Children
Page 15
4th quarter
QUARTERLY HEALTH BULLETIN
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 October to November 2013 No of Patients 1st visits Sub visits Total visits Total treated units
October
November
December
184 1072 1256 6280
172 1062 1234 6170
210 1054 1264 6320
Total 566 3188 3754 18770
Orthodontic Unit No of plate issued No of cleft lip & palate patients No of fix appliance patients No of feeding plates fitted
October
November
December
143 18 318 0
150 16 279 0
124 16 232 0
Total 417 50 829 0
Department of ENT & Audiology October
November
Decem ber
Total
Audiology Test (Total) Pure Tone Audiograms (PTA) Free-Field Tests Tympanograms Oto- Acoustic Emission tests (OAE) Brain-Stem Evoke Response(BSER) Hearing aids issue
715 137 206 337 0 35
637 124 182 300 0 31
Procedeous
311
341
704 179 166 331 01 27 02 334
2056 440 554 968 01 93 02 986
Lady Ridgeway Hospital for Children
Page 16
4th quarter
QUARTERLY HEALTH BULLETIN
Nephrology Unit Procedure
Numbers October
November
December
335 04 16 03 17 02
344 04 12 04 10 03
348 03 15 03 09 02
LRH Ward Referrals Renal Biopsy Clean Intermittent Catheterization training Bladder Wash Blood Gas Subcutaneous Erythropoietin
Total 1027 11 43 10 36 07
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 October to December 2013 Number of Registration144 Number of new follow ups 526 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 nof Dilivery & Repairs
3
01
372 30 9
90 02 0
170
01
41 71 696
02 0 96
Lady Ridgeway Hospital for Children
Page 17
4th quarter
QUARTERLY HEALTH BULLETIN
Operations & Procedures Accident Service Month
Bone Marrow
October November December Total
Liver Biopsy
15 07 04 26
Renal Biopsy 04 04 01 09
01 01
Others
Uss quided
01
02
01
02
Bortex
Tenotomy 03 12 07 22
Total 22 26 13
Ophthalmology Unit Procedure Cyclo Refraction Refraction P.M.T (Post Medriatic Test) Convergence R.O.P Screening Laser treatment
October
November
December
614 200 114 13 278 61
712 185 110 34 171 27
641 196 140 33 158 21
Total 1967 581 364 80 607 109
Statistics of Cardiac Catheterizations done No of Patients
procedure ASD device closure PDA device closure PDA coilling Cardiac catheterization Septostomy Pericardial aspiration Pulmonary valvuloplasty Aortic Valvuloplasty COA dilatation Flouros Copy TOE PPM Insertion Coronary angiogram Aortic angiogram RVOT Perforation C/Cath+BPV Aortic angiogram + Bronchoscopy Ballon dialatation of SVC Radiology Procedure ASD closure + LPA dilatation RA fistula closure Attempted PDA device closure Attempted ASD closure Colateral Coil Closure Total
01
Total 80 15 16 96 07 03 11 02 08 03 08 04 02 10 03 01 01 01 07 01 01 01 01 01
75
314
October
November
December
24 04 06 44 0 01 02 02 02 01 04 01 01 06 01
32 06 07 31 03 01 06
32 05 03 21 04 01 03
04 02 02
02
01 01 02
01 01 02 01 03 01
02 03 03 0
02
01 01 01 104
135
Lady Ridgeway Hospital for Children
Page 18
4th quarter
QUARTERLY HEALTH BULLETIN Operation by nature Specialty- Month of October Specialty
Major
Intermediate
Minor
Total
05 07 10 11 OPD Total
14 04 12 12 03 45
49 20 70 60 21 220
06 01 04 03 03 17
69 25 86 75 27 282
05 14B BU 14 Total
0 0 0 19 19
01 02 07 11 21
0 0 0 0 0
01 02 07 30 40
05 07 10 11 OPD
08 10 06 19 01 44
04 24 04 09 01 42
01 01 0 0 0 02
13 35 10 28 02 88
0 0 0 0 11 11
01 01 01 01 28 32
02 01 01 04 19 27
03 02 02 05 58 70
0 0 0 0 0 0
07 02 01 06 01 17
0 0 0 0 0 0
07 02 01 06 01 17
02 01 04 07 01 0 01 02 0 04
0 0 0 0 05 05 03 04 0 17
01 0 01 02 03 0 13 05 01 22
03 01 05 09 09 05 17 11 01 43
03 03 02 01 32 0 41
14 03 19 36 08 08 88
0 0 01 0 19 0 20
17 06 22 37 59 08 149
Genito urinary
Ward No
Plastic Ward No
Abdominal Ward No
Total
Orthopaedic 05 07 10 14 14B Total Head Neck & Spine 05 07 10 11 OPD Total Thoracic 05 10 11 Total Rectal 05 07 10 11 OPD Total Endoscopy 05 07 10 11 12 OPD Total
Lady Ridgeway Hospital for Children
Page 19
4th quarter
QUARTERLY HEALTH BULLETIN Specialty
ENT 12 11 Total
18 01 19
13 0 13
16 0 16
47 01 48
05 07 10 11 Total
0 0 0 0 0
0 0 0 02 02
75 92 85 81 333
75 92 85 83 335
05 07 10 11 12 14 14B OPD BU Total
01 0 0 0 0 0 0 0 0 01
08 07 08 16 06 02 01 02 01 51
71 78 71 94 05 11 06 14 01 351
80 85 79 110 11 13 07 16 02 403
Traumatic
Miscellaneous
EYE 22 Total
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES Open heart Major
Close heart Major
Routine Emergencies Total
58
17
Minor Operations done at OPD
October
58
Other Major
Other Minor
Minor Procedure
Thoracic
Minor Surgical Procedure
03 01 04
06 20 26
01
17
01 01
01
Others
Suture Removal
Anesthetic procedure
Total
85 22 107
Surgical Clinic
Umbilical Cauterization
Total
01
32
06
39
Skin Clinic
Skin Erxission
Electric Cortrization
Scraping
Skin biopsy
Skin Grafting
Skin Crayo
Others
Tissue Reduction
Total
01
04
05
25
241
07
01
284
Lady Ridgeway Hospital for Children
Page 20
4th quarter
QUARTERLY HEALTH BULLETIN
Operation by nature specialty - Month of November
Genito urinary Ward No
Plastic Ward No Abdominal Ward No
Major
Intermediate
Minor
Total
05 07 10 11 OPD Total
13 09 10 12 03 47
31 29 45 70 23 198
16 03 05 04 03 31
60 41 60 86 29 276
05 14 Total
01 14 15
07 04 11
0 0 0
08 18 26
05 07 10 11 OPD Total
09 09 12 14 01 45
08 10 09 04 03 34
0 0 0 0 0 0
17 19 21 18 04 79
05 07 10 11 14B Total
0 0 0 0 09 09
0 0 0 0 13 13
01 01 01 02 05 10
01 01 01 02 27 32
05 07 10 11 07 10 11 Total
0 0 0 0 0 01 01 01 03
09 02 03 05 20 0 0 02 02
0 0 0 0 0 0 0 0 0
09 02 03 05 20 01 01 03 05
05 07 10 11 Total
01 01 0 01 03
0 0 0 02 02
03 02 10 02 17
04 03 10 05 22
05 07 10 11 12 OPD Total
02 02 0 02 29 01 36
15 04 20 22 01 09 71
07 0 0 01 31 0 39
24 06 20 25 61 10 146
12 Total
18 18
11 11
20 20
49 49
Orthopaedic
Head Neck & Spine
Total Thoracic
Rectal
Endoscopy
ENT
Lady Ridgeway Hospital for Children
Page 21
4th quarter
QUARTERLY HEALTH BULLETIN Traumatic 05 07 10 11 Total
Major 0 0 0 0 0
Intermediate 01 0 02 01 04
Minor 78 81 82 82 323
Total 79 81 84 83 327
05 07 10 11 12 14 OPD 14B BU Total
0 0 0 02 01 0 0 0 0 03
07 05 04 12 05 04 07 0 01 45
59 72 68 82 10 08 15 11 0 325
66 77 72 96 16 12 22 11 01 373
22
10
04
29
43
Total
189
415
794
1398
Miscellaneous
EYE
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES Open heart Major
November
Minor Operations done at OPD
Routine Emergencies Total
62 62
Surgical Clinic Skin Clinic
Close heart Major
Other Major
Other Minor
Minor Procedure
15
Thoracic
04
15
04
Suture Removal
Minor Surgical Procedure
07 13 20
Anesthetic procedure
22 22
Total
88 35 123
Umbilical Cauterization
Others
Total
32
28
60
Skin Erxission
Electric Cortrization
Scraping
Skin biopsy
Skin Grafting
Skin Crayo
Others
Tissue Reduction
Total
01
03
06
20
190
13
04
237
Lady Ridgeway Hospital for Children
Page 22
4th quarter
QUARTERLY HEALTH BULLETIN Operation by nature Speciality - Month of December Specialty Genito urinary Ward No
Plastic Ward No
Abdominal Ward No
Major
Intermediate
Minor
Total
05 07 10 11 OPD Total
11 05 08 07 02 33
41 28 51 65 25 210
08 0 08 0 06 22
60 33 67 72 33 265
05 10 12 BU 14 Total
0 0 0 01 14 15
01 01 01 06 08 17
01 0 0 0 0 01
02 01 01 07 22 33
05 07 10 11 OPD Total
14 09 12 25 0 60
09 07 11 10 05 42
03 0 0 0 0 03
26 16 23 35 05 105
05 07 10 14 14B 11 Total
0 0 0 0 09 0 09
0 0 0 0 11 01 12
01 01 02 01 07 02 14
01 1 02 01 27 03 35
05 07 10 11 OPD Total
0 0 0 0 0 0
04 02 04 04 02 16
0 0 0 0 0 0
04 02 04 04 02 16
01 01
0 0
0 0
01 01
05 07 10 11 Total
02 0 0 0 02
03 03 01 0 07
03 01 05 01 10
08 04 06 01 19
05 07 10 11 12 OPD Total
0 0 0 01 24 0 25
21 02 12 37 0 03 75
0 0 0 0 29 0 29
21 02 12 38 53 03 129
12 Total
20 20
07 07
39 39
66 66
Orthopaedic
Head Neck & Spine
Thoracic 05 Total Rectal
Endoscopy
ENT
Lady Ridgeway Hospital for Children
Page 23
4th quarter
QUARTERLY HEALTH BULLETIN Specialty Traumatic
Major
Intermediate
Minor
Total
05 07 10 11 Total
0 0 0 0 0
0 01 0 02 03
75 77 103 87 342
75 78 103 89 345
05 07 10 11 12 14 14B OPD Total
0 0 0 0 0 0 0 0 0
10 02 07 12 11 07 0 05 54
40 54 56 100 11 09 13 12 295
50 56 63 112 22 16 13 17 349
22
05
06
26
37
170
449
781
1400
Miscellaneous
EYE Total
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES December
Open heart Major
Minor Operations done at OPD
Routine Emergencies Total
54 54
Surgical Clinic Skin Clinic
Close heart Major
Other Major
Other Minor
Minor Procedure
08 08
Thoracic
Minor Surgical Procedure
04
04 33 37
04
Umbilical Cauterization
Others
Suture Removal
31
05
36
Skin Erxission
Electric Cortrization
Scraping
Skin biopsy
Skin Grafting
04
02
01
25
Anesthetic procedure
Total
70 46 116
13 13
Total
Lady Ridgeway Hospital for Children
Skin Crayo
202
Others
Tissue Reduction
10
06
Total
250
Page 24
4th quarter
QUARTERLY HEALTH BULLETIN 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
October
November
December
Total
32700 7861
31627 7814
31849 8656
96176 24331
17397
19663
21849
58909
25204
26335
26473
78012
Biochemistry Microbiology OPD Hematology Histopathology Night Lab Total
865
845
813
2523
10798
14264
14113
39175
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 Reticulocytes count Total
October
November
December
2892 2892 3010 3010 531 390 25 25
3315 3315 3405 3405 553 403 28 28
1301 02 10 131 10 2892 88 173 15 17397
1403 08 17 142 17 3315 96 191 22 19663
3691 3691 3789 3789 615 509 21 21 01 1492 12 21 151 21 3691 105 209 20 21849
Total 9898 9898 10204 10204 1699 1302 74 74 01 4196 22 48 424 48 9898 289 573 57 58909
Lady Ridgeway Hospital for Children
Page 25
4th quarter
QUARTERLY HEALTH BULLETIN Biochemistry Section 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 24hrs protein 24hrs phosphate 24hrs Uric Acid 24hrs Electrolytes CK MB CK G.G.T Miscellaneous Water deprevation stone analysis Stool test Reducing substance Occult blood Total
October
November
December
2100 2100 2100 416 350 3006 3100 890 2800 320 1025 140 1600 580 32 3260 3700 1200 288 184 22 2725 30 16 240 15 13 06 08 05 28 28 28 04 32 12 56 20 02 18 42 01 16 06 03 30 12
2774 2774 2774 792 587 2508 2622 629 2173 660 676 109 1320 404 60 2573 3982 1359 264 108
2820 2820 2820 805 636 2610 2610 602 2008 592 712 112 1410 450 58 2615 3752 1450 252 95
1374 86 80 177 14 08 07 10 03 08 08 08 69 54 03 60 11 02 07 68 01 06 02
1405 98 82 200 11 12 10 06 10 10 10 10 72 60 10 62 15
24 05 03 08 04 01
05 66 04 08 04 02 28 06 03 09 03 03
116 120 125
120 136 130
01 01
02
03 02
02 03
03 03
11 12 96176
04 05 22 30 12 05
01 06 06 32700
Total 7694 7694 7694 2013 1573 8124 8332 2121 6981 1572 2413 361 4330 1434 150 8448 11434 4009 804 387 22 5504 214 178 617 40 33 23 24 18 46 46 46 145 146 25 178 46 04 30 176 06 30 12 05 82 23 08 17 11 09 22 30 12 05 236 256 255
31627
31849
Lady Ridgeway Hospital for Children
Page 26
4th quarter
QUARTERLY HEALTH BULLETIN 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 API Dengue Antibody Dengue -Positive Total
October
November
December
611 82 78 78
504 194 84 84
78 319 269 17 10 10 204 352 317 37 1231 218 1182 11 77 10 301 57 17 2183 21
84 299 311 20 06 08 178 49 328 49 1250 175 1193 13 79 04 150 39 07 2105 39 400 162
800 327 90 90 01 90 300 270 11 07 08 212 244 254 28 1299 193 1196 14 72 08 161 41 06 2286 59 400 189 115 8656
91 58 7861
7814
Total 1915 603 252 252 01 252 918 850 48 23 26 594 645 899 114 3780 586 3671 38 228 22 612 137 30 6574 119 800 442 173 24331
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 VII 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 Total
Total 14220 13332 13638 13660 1890 22 62 2038 28 510 61 17 30 14218 1660 29
October
November
December
4600 4300 4400 4400 640 08 12 700 11 168 19 07 08 4600 510 09
4800 4512 4618 4620 618 08 24 668 08 172 20 06 12 4818 538 10
4820 4520 4620 4640 632 06 26 670 09 170 22 04 10 4800 612 10
06 09
10
10
15
17
26 09 32
11 05 04 12
12 02 04 14
14 04 05 14
37 11 13 40
680 07 70 06 02 25204
746 10 60 08 03 26335
752 08 65 10 03 26473
2178 25 195 24 07 78012
Lady Ridgeway Hospital for Children
Page 27
4th quarter
QUARTERLY HEALTH BULLETIN
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
October
November
December
Total
45 31 08 28 753 865
35 25 04 01 30 37 714 845
55 31 12 01 24 52 639 813
135 87 24 02 54 117 2106 2523
October
November
December
05
09
11
15 18 198 531 2110 198 12 170 184 475 07 16 11 14 14 2110 371 05 01 04 1221 04 11 181 420 442 505 554 540 10798
23 34 34 654 3156 237 24 218 231 715 13 34 18 28 28 3156 420 09 03 08 1276 08 18 219 520 505 601 754 773 14264
26 29 29 663 3018 243 29 224 245 724 15 29 14 31 31 3018 434 11 05 11 1289 09 20 222 519 499 613 759 781 14113
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
Total 25 64 81 261 1848 8284 678 65 612 660 1914 35 79 43 73 73 8284 1225 25 09 23 3786 21 49 622 1459 1443 1719 2067 2094 39175
Lady Ridgeway Hospital for Children
Page 28
4th quarter
QUARTERLY HEALTH BULLETIN Bolod Bank- Month of October Analysis of RCC (450ML units) Component requests & issues For Patients in state Hosp. words Paediatric other Total
RCC
FFP
PLt
Cryo
CSP/plasma
Buffy Coat
R
R
R
C/M
I
R
I
R
I
R
I
1252
1325
568
511
358
513
202
353
101
23
19
02
01
1325
545 1113
513
322 524
353
101
23
19
02
01
1252
511
358
I
I
No of special RCC requests with indications-Month of October Indication/RC Type
Thal/Hb’ Ch. renal Dis Malig Th. reaction other Total Request paty Noof LR/BCR requests 88 88 No of L.F requests 03 03 No of WRC requests 73 05 78 L.R= Leuko Reduced , BCR= Buffy Coat Removed, LF= Leuko Filtered, WRC= Washed Red Cells
Total issues 43 153
Bolod Bank- Month of November Analysis of RCC (450ML units) Component requests & issues For Patients in state Hosp. words
RCC
FFP
PC
Cryo
CSP/Plasma
Buffy Coat
R
R
R
C/M
I
R
I
R
I
R
I
Paediatric
1490
1412
510
487
246
490
292
443
150
12
I 12
Other Total
1490
1412
402 912
487
246
490
209 501
443
150
12
12
I
No of special RCC requests with indications -Month of November Indication/RC Type
Thal/Hb’ Ch. renal Dis Malig Th. reaction other Total Request paty Noof LR/BCR requests 97 07 104 No of L.F requests 18 18 No of WRC requests 24 24 L.R= Leuko Reduced , BCR= Buffy Coat Removed, LF= Leuko Filtered, WRC= Washed Red Cells
Lady Ridgeway Hospital for Children
Total issues 31 147
Page 29
4th quarter
QUARTERLY HEALTH BULLETIN Bolod Bank- Month of December Analysis of RCC (450ML units) Component requests & issues For Patients in state Hosp. words Paediatric
RCC
FFP
Cryo
CSP/Plasma
Buffy
R
R
R
C/M
I
R
I
R
I
R
I
1398
1486
486
489
268
523
236
459
226
25
21
459
226
25
21
Other Total
PC
554 1398
1486
1040
I
I
285 489
268
523
521
No of special RCC requests with indications Month of December Indication/RC Type
Thal/Hb’ Ch. renal Dis Malig Th. reaction other Total Request paty Noof LR/BCR requests 201 201 No of L.F requests 03 03 No of WRC requests 04 04 L.R= Leuko Reduced , BCR= Buffy Coat Removed, LF= Leuko Filtered, WRC= Washed Red Cells
Lady Ridgeway Hospital for Children
Total issues 115 36
Page 30
4th quarter
QUARTERLY HEALTH BULLETIN MONHLY RETURN OF NOTIFICATION- LADY RIDGEWAY HOSPITAL Month of October
Diseases
Ward No
No of Patients
01
Dysentry Enteric Fever AEFI AFP Typhus Hepatities A DHF + DF Mumps Chicken pox Measles Meningitis Whooping Cough Tuberculosis Total
05
02
03 01 02
01
36
14
01
03
04
08
09
08
10
02
05
01 01
01
01
01 01
01 62
24
32
03
01 01
01
01
01 03
41
03 01 230
02
03
MICU
Total 30 09 04 02 01 174
02
48
01 16
15
76
29
05
Month of November
Diseases No of Patients Dysentry Enteric Fever AFP AEFI Hepatitis A DHF + DF Chicken pox Measles Herpes Zoster Meningitis Total
Ward No 01 04 01 01 54
02 04
54
03 07 01
04 02
08 01
09 01
MICU
01 01
01
54
05 01
02 60
01
01
33
86
02 44
OPD
05
07
01
01
10
01
45
01
01 02 10 01
02 03 65
21 01
89
46
02 59
07
14
02
01
01
01
Total 20 02 02 07 01 332 03 12 01 09 389
Month of November Diseases No of Patients Dysentry Enteric Fever JE TB AEFI AFP DHF + DF Influenza A Chicken pox Mumps Typhus Fever Measles Whooping Cough Meningitis Food Poisonning Total
Ward No 01 03
02 02 01
03 05 04
04 01
08 01
09 03 01
MICU
21
01 02 71
01 77
01 62
01 01 97
55 01
02 94
07 07 01
03 01 80
02 01 84
01 01 01 03
01 01
78
104
01
29
08
37
02 58
100
Lady Ridgeway Hospital for Children
Total 15 06 01 02 01 05 463 01 07 01 02 35 01 07 02 549
Page 31
4th quarter
QUARTERLY HEALTH BULLETIN
Hospital Finance Vote
Expenditure type Recurrent Expenditure
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
Amount Rs.
October
November
December
Total
Salaries & Wages other allowances & H.P Other allowances Travelling Expences Stationary & Office Request Fuel & Lubricants Diets & Uniforms Medical Supplies Garbage Other Supplies Vehicles Repair Plant Machinary & Equipment Build & Structure Postal Charges & telecommunication Electricity water & gas Rates & Taxes Other contractual service Property loan Other Salaries & Wages Overtime Allowance & H.P Overtime Allowance Training Salaries & Wages Overtime Allowance & HP Overtime Allowance
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
Building & Structure Medical Equipment Repair Lab Equipment Underground water tank Repair Air Conditions Supply & Instolation Furniture & office Equipment Telephone Repairs Medical Air Supply Medical Equipment Medical Equipment Medical Air Supply
Lady Ridgeway Hospital for Children
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QUARTERLY HEALTH BULLETIN
4th quarter
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 October 2013 Name of the drug Baby haler Aerochamber Tab Medion Tetacycline Hydro Ointment Coban Plaster Inj. Linsolid Inj. Pantaprosole Inj. Vit B Complex Cap Vit E Kleen Enema Tab. Oxybutanin Micanazole & Hydro Cream Microenema Soft clothe liner tape Teras Natural Non Allergic Plaster Soft clothe liner tape Sy Orciprenaline Sy. Solmux Tab Methyl Prednisolone Tab Neurobion Tab. Ursodeoxycholic acid Transparent film dressing Transparent film dressing White soft parafin
Strength 16mg 600mg 100mg 5mg
60ml
1626
Quantity 05 01 20 10 10 3 3 3 3 5 10 2 12 2 3 24 33 1 5 17 6 29 265 99 20kg
Unit price 2875.00 2148.00 45.00 200.00 265.00 7854.00 200.00 35.00 4.90 210.00 18.40 529.00 60.00 890.00 393.00 185.00 1215.00 140.00 315.00 7.50 9.99 50.00 80.00 205.00 13435.70
Cost Rs. 14,375.00 2,148.00 900.00 2,000.00 2,650.00 23,562.00 600.00 105.00 14.70 1,050.00 184.00 1,058.00 720.00 1,780.00 1,179.00 4,440.00 40,095.00 140.00 1,890.00 127.50 59.94 1,450.00 21,200.00 20,295.00 13435.70 155,458.84
By Special Tender Approval Formulated items- Out of stock at MSD Name of the drug Inj. Goseraline Acetate
Strength 3.6mg
Quantity 10
Unit price 19900.00
Cost Rs. 199,000.00 199,000.00
Lady Ridgeway Hospital for Children
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4th quarter
QUARTERLY HEALTH BULLETIN
Lacal Purchase drug list for the month of November 2013 Name of the drug Baby haler 0.5% Acetic acid Empty bottels inj. Gosereline acetate Slicone gel Tab. Amiloride with thiazide Tab Metolazone Syp. Sodium valproate Inj.Imipenum Kleen Enema Tab. Oxybutanin Micanazole & Hydro Cream Tab. Desmopressin Syp. Mucaine Colloid dressing Inj. Imipenum Calcium resonium Inj. Hepatitis A & B vaccine Tears Natural Inj. Infanrix hexa Non Allergic plaster Soft clothe liner tape Non allergic plaster Tab. Desmopressin Sy. Solmux Syp. Multivitamin with Zinc Inj. Imipenum Tab Albendazole Tab Ursodexycholic acid Transparent film dressing Transparent film dressing White soft parafin Total
Strength
3.6mg
5mg
60ml
1624 1626
Quantity 2 4000ml 8 1 1 33 64 1 3 36 5 2 9 5 2 9 2 2 1 1 21 7 1 6 1 1 2 9 9 125 100 20kg
Unit price 2875.00 0.30 34.00 22885.00 4255.00 7.50 29.35 520.00 2550.00 210.00 9.20 529.00 166.00 200.00 1935.00 2724.90 319.00 2600.00 393.00 3385.00 95.00 1215.00 360.00 114.00 315.00 300.00 2415.00 6.90 50.00 80.00 205.00 13435.70
Cost Rs. 5,750.00 1,200.00 272.00 22,885.00 4255.00 247.50 1,878.40 520.00 7,650.00 7,560.00 46.00 1,058.00 1,494.00 1,000.00 3,870.00 24,524.10 638.00 5,200.00 393.00 3,385.00 1,995.00 8,505.00 360.00 684.00 315.00 300.00 4,830.00 62.10 450.00 10,000.00 20,500.00 16475.70 158,302.80
Unit price 37.73
Cost Rs. 2,263.80 2,263.80
By Special Tender Board Approval Name of the drug Cap. Biotin Total
Strength 500mg
Quantity 60
Grand Total Rs. 160,566.60
Lady Ridgeway Hospital for Children
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QUARTERLY HEALTH BULLETIN
4th quarter
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
Lady Ridgeway Hospital for Children
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QUARTERLY HEALTH BULLETIN
4th quarter
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.
Lady Ridgeway Hospital for Children
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