DESH BHAGAT UNIVERSITY

School of pharmacy
Session 2019-2023
HOSPITAL REPORT FILE

NAME: Mehul Bali SUBMITTED TO

ROLL NO: 19390451031 Ms.KANCHAN SHARMA
 ACKNOWLEDGEMENT
First and foremost, I would like to convey my deep sense of gratitude and paying respectful regards
and my heartiest thank to our honorable principal Mrs. Dr. Puja Gulati, department who guided me
in doing this wide project. They provided me with invaluable advice. Their motivation and help
contributed tremendously to the successful completion of the project. I consider it a great privilege
& honor to have the opportunity to undergo the hospital training work in Desh Bhagat Hospital.
I am thankful to all teaching and non teaching staff members of DESH BHAGAT SCHOOL OF
PHARMACY.
I convey my heartiest thanks to Dr. Baljit Singh, the senior doctor of the hospital and all the
hospital members for their most valuable suggestions, constant encouragement, and affectionate
guidance during the period of this training and I am highly indebted to them for their guidance and
constant supervision as well as for providing necessary information& also for their support.
I would like to express my special gratitude to my parents and members of DESH BHAGAT
SCHOOL of Pharmacy for helping me discover my potential.
 VISION
• The vision of the Hospital training is to study the organization of
various departments, the working and development of the
organization, the present status of the hospital & future prospects of
the organization.
• To promote civic sense and shoulder the responsibilities with full
potential by being an ultimate healthcare Professional and a Responsible Pharmacist.
• To be an integrated centre of excellence in capacity building for
health care professionals.
MISSION
✓ To impart quality in the field of medical treatment to the public.
✓ To provide new generation with the quality education changing needs of
healthcare in 21st century.
✓ To provide optimum medical facility.
✓ To provide special medical care of highest standards through the modern therapy and modern
investigations.
✓ To promote the system of medicine with all its originality.
✓ To make the people aware about the practical utility of medicines and
healthcare and to make this place an ‘Epitome of Health Care'.
 OBJECTIVE OF STUDY
 To study the hospital structure.
 To know about its service and activities in the hospital.
 To know the different functions of all the wards.
 To know the responsibilities of hospital staff and how to execute responsibility.
 CONTENTS

➢ ABOUT THE HOSPITAL

➢ HOSPITAL RECEPTION
➢ EMERGENCY WARD
➢ OPD: OUT PATIENT DEPARTMENT
➢ OPERATION THEATRE
➢ DISPENSING OF DRUGS (PHARMACY)
➢ X-RAY
➢ FIRST AID
➢ PATHOLOGY
➢ CASE STUDY
➢ STORE ROOM
 ABOUT THE HOSPITAL

A hospital is a health-care facility that provides specialized medical and nursing care as well as
medical supplies to patients. The most well-known form of the hospital is the general hospital,
which usually carries an emergency department to handle urgent health issues such as fire and
accident victims, as well as medical emergencies
According to WHO, Hospital is an integral part of the social medical organization the functions of
which is to provide the complete health care for the population both curative and preventive and
who reach out to the family and its home environment.
The hospital is also a centre for training of health workers and for bio- social research. A hospital is
an institution for the health care providing the patient treatment by specialized staff and equipment
and often but not always providing for the longer-term patient.
Hospital is a residential establishment which provides short term and long-term medical care
consisting of observational, diagnostic, therapeutic and rehabilitative services for person suffering
or suspected to be suffering from a disease or injury and for parturient.
A hospital is a health-care facility that provides specialized medical and nursing care as well as
medical supplies to patients. The most well-known form of the hospital is the general hospital,
which usually carries an emergency department to handle urgent health issues such as fire and
accident victims, as well as medical emergencies. A holistic approach to serve the ailing humanity
is among the foremost objectives of the Institution.
In this direction, Desh Bhagat Hospital has been established which is a unique multi-disciplinary
hospital providing health care services through integrated approach. Different facilities like aseptic
operation theatre, special pathology lab., 24 hours emergency & ambulance facility, full equipped,
aseptic operation theatre, X-ray unit and many more are available. It is a center of all the types of
facilities especially for the poor people. This training made me realize the importance of hospitals
for the people and how it affects even the day to day lives of them. Not only the patients but also
the people working in the hospital are truly dependent on it. This training report comprises of the
whole summary of my training in the hospital and what I learned from that.
 HOSPITAL RECEPTION

Reception: A medical office receptionist is responsible for basic clerical tasks such as answering
phones, greeting patients and visitors, and scheduling appointments in a professional and timely
manner. In smaller offices, medical receptionists may be responsible for both administrative and
clinical duties.
 EMERGENCY WARD
An Emergency Ward is also known as an accident and emergency ward (A&E ward), emergency
room (ER). An emergency is a medical treatment specializing in emergency medicine, the acute care
of the patients who present without prior appointment, either by their own means or by that of an
ambulance. The Emergency Medicine Pharmacist (EMP) role at HCA Healthcare performs a variety
of duties essential to both direct patient care and administration. To prevent delays in patient care,
emergency medicine pharmacists must evaluate the appropriateness of medication therapy quickly
and accurately.

OPD
(OUT PATIENT DEPARTMENT)
An outpatient department or outpatient clinic is the part of a hospital designed for the treatment of
outpatients, people with health problems who visit the hospital for diagnosis or treatment, but do
not at this time require a bed or to be admitted for overnight care. Modern outpatient departments
offer a wide range of treatment services, diagnostic tests and minor surgical procedures. Out patient
Department treatment refers to those cases when the treatment and diagnosis of the ailment is done
on advice of a medical practitioner or doctor, by simply visiting their clinic or any other
consultation room.

MEDICINE OPD
General Medicine is the practice of managing, preventing, treating and diagnosing all adult health
conditions. The specialty promotes an overall sense of well-being, good health and healthy living
conditions. General Medicine doctors at Gleneagles Global Hospitals are often the first point of
contact, and help individuals with the initial diagnosis of a condition. Acting as a facilitating
agency to direct patients to specialist.

SURGERY OPD
Consultation chambers where patients are provided medical, surgical or allied (physiotherapy,
dietetics) consultation and expert opinion. Examination rooms where patients can be examined for
any disease condition. An incision is made to access the surgical site. Blood vessels may be
clamped or cauterized to prevent bleeding, and retractors may be used to expose the site or keep the
incision open. The approach to the surgical site may involve several layers of incision and
dissection, as in abdominal surgery, where the incision must traverse skin, subcutaneous tissue,
three layers of muscle and then the peritoneum.
In certain cases, bone may be cut to further access the interior of the body; for example, cutting the
skull for brain surgery or cutting the sternum for thoracic (chest) surgery to open up the rib cage.
Whilst in surgery aseptic technique is used to prevent infection or further spreading of the disease.
The surgeons' and assistants' hands, wrists and forearms are washed thoroughly for at least 4
minutes to prevent germs getting into the operative field, then sterile gloves are placed onto their
hands. An antiseptic solution is applied to the area of the person's body that will be operated on.
Sterile drapes are placed around the operative site. Surgical masks are worn by the surgical team to
avoid germs on droplets of liquid from their mouths and noses from contaminating.
 OPERATION THEATRE
An operation theater is a facility in the hospital where surgical operations are carried out in the
aseptic environment. It is a special room in a hospital where the surgeons carry out the medical
operations. Historically, it referred to a non -sterile, tiered theater or amphitheater in which the
students and the other spectators could watch surgeons perform surgery.
Desh Bhagat OT department provides outstanding surgical facilities 24*7. It delivers high quality of
surgical specialties and wide range of expertise. The OT department team comprises of trained
nurses, OT technicians and assistants and sterile service staff. This support team works closely with
the surgeons and anesthetists to assure the best possible service to the patients.
 MINOR OT
Minor surgical procedures are defined as a set of procedures in which short surgical techniques are
applied on superficial tissues, usually with local anesthesia, and minimal complications, that
usually do not require postoperative resuscitation and need minimal equipment, many of which are
used on a daily basis, and can be easily and safely performed in a short amount of time during
clinic visit.
Minor Operation Theatre of Desh Bhagat Hospital is equipped with all the important equipments
like Operation Table, Lights, Boilers, Disposals and all the necessary Surgical Instruments and all
the Emergency Injections and the I/V Fluids. Along with this, specialization in the fine Suturing
and all Sterilized Surgical Dressings of all varieties, round the clock makes us definitely better
than the other existing setups.
 MAJOR OT
Major surgery is any invasive operative procedure in which a more extensive resection is
performed, e.g. a body cavity is entered, organs are removed, or normal anatomy is altered. In
general, if a mesenchymal barrier is opened (pleural cavity, peritoneum, meninges), the surgery is
considered major. For surgical procedures that do not clearly fall in the above categories, the
chance for significant inadvertent microbial contamination is to be a primary consideration. A
procedure previously classified as minor will be changed to major if microbial contamination
proves to be a significant problem.
The facilities must be designed and managed to insure a level of sanitation appropriate for aseptic
surgery. The operating room should contain only the equipment and supplies required to support
the procedure being performed. A separate area, apart from the surgery room, must be provided for
preparing the patient for surgery although the final surgical preparation, not to include clipping of
hair, may be conducted in the surgery. An area equipped with surgical scrub sinks should be apart
from the operating room. A surgical-support area should be provided for storing instruments and
sterile supplies.
 DISPENSING OF DRUGS
(PHARMACY)
Pharmacy is the science and technique of preparing, dispensing, and reviewing drugs and
providing additional clinical services. It is a health profession that links health sciences with
pharmaceutical sciences and aims to ensure the safe, effective, and affordable use of drugs.
Dispensing of drugs is a process of giving a drug product to a patient in the hospital.
✓ Ensure that the prescription has the name and the signature of the prescriber and the stamp of the
health centre.
✓ Ensure that the prescription is dated and has the name of the patient.
✓ If the prescription has not been written in a known (local) health centre, the prescriber of the centre
should endorse it.
✓ Avoid dispensing without a prescription or from an unauthorized prescriber.
✓ Check the name of the prescribed drug against that of the container.
✓ Check the expiration date on the container.
Calculate the total cost of the drug to be dispensed ion the basis of the prescription where
applicable. Inform the patient about the cost of the drug. Issue a receipt for all payments.
Calculate the total cost of the drug to be dispensed ion the basis of the prescription where
applicable. Inform the patient about the cost of the drug. Issue a receipt for all payments.

X-RAY
 X- RAYS
X-rays make up X-radiation, a form of high-energy electromagnetic radiation. Most
X-rays have a wavelength ranging from 0.03 to 3 nanometers, corresponding to
frequencies in the range 30 petahertz to 30 exahertz (3×1016 Hz to 3×1019 Hz) and
energies in the range 100 eV to 200 keV. X-ray wavelengths are shorter than those
of UV rays and typically longer than those of gamma rays. In many languages, X-
radiation is referred to as Rontgen radiation, after the German scientist Wilhelm
Rontgen, who discovered it on November 8, 1895. He named it X-radiation to
signify an unknown type of radiation.
 FIRST AID

First Aid is an assistance given to any person suffering a sudden illness or injury, with the care
provided to preserve life, prevent the condition from worsening, and promote the recovery. The
three key points of First Aid are:-
(1) Preserve life: - The overriding aim of all the medical care, including the first aid is to save the
lives and minimize the threat of death.
(2) Prevent further harm: - It prevents the condition from worsening or danger of further injury,
this covers both external factors, such as moving a patient away from any cause of harm and
applying first aid techniques to prevent, worsening of the condition such as applying pressure to
stop a bleed becoming dangerous.
(3) Promote recovery: - First Aid also involves to start the recovery process from the illness or
the injury, and in some cases might involve completing treatment, such as in the case of applying a
plaster to a small wound.

CONDITIONS THAT OFTEN REQUIRE FIRST AID :-

✓ Anaphylaxis: - It is a life -threatening condition in which the airway can become constricted and
the patient may go into shock. The reaction can because by a systemic allergic reaction to allergens
such as an insect bites, or peanuts. Anaphylaxis is initially treated with the injection of epinephrine.

✓ Burns: - It results in the damage to tissues and the loss of body fluids through the burn site.

✓ Cardiac Arrest: - It will lead to death. There is often no time to wait for the emergency services to
arrive as 92 percent of the people suffering from a sudden cardiac arrest die before reaching
hospital according to the American Heart Association.

✓ Choking: - Blockage of the airway which can quickly result in the death due to the lack of oxygen
if the patients trachea is not cleared.

✓ Hyperthermia: - It occurs when a person’s core body temperature falls below 33.7 C. The first aid
for a mildly hypothermic patient includes re- warming, which can be achieved by wrapping the
affected person in a blanket and providing warm drinks, such as soup and high energy food, such as
chocolate.
✓ Seizures: - It is a malfunction in the electrical activity in the brain. Three types of the seizure
include grand mal (which usually features convulsions as a well as temporary respiratory
abnormalities, change in the skin complexion).and petit mal (usually features twitching, rapid
blinking and temporary respiratory abnormalities).

✓ Stroke: - It is a temporary loss of the blood supply to the brain.

PATHOLOGY

It is a branch of medical science primarily concerning the examination of an organ, tissue and the
bodily fluids in order to make a diagnosis of the disease.
Hospital Pathology concerns the laboratory analysis of the blood, urine and the tissue sample to
examine and diagnose disease. Typically laboratories will process samples and provide result
concerning blood counts, blood clotting ability or urine electrolytes.
In Pathology Lab, Blood Test Report:-Blood tests allow a doctor to see a detailed analysis of any
of the disease markers, the nutrients and the waste products in your blood as well as how various
organs (eg: - kidneys, and liver) are functioning. During a physical examination, draw the blood for
the chemistry and the complete blood count (CBC) tests as well as the lipid profile which measures
the cholesterol and the related elements.
✓ COMPLETE BLOOD COUNT TEST (CBC):-
The CBC test examines the cellular elements in the blood, including the red blood cells, various
white blood cells, platelets.

✓ WHITE BLOOD CELLS (WBC ):-

Leukocyte count normal range: - 4300 -10800cm. White Blood Cells help in fighting against
infections, so a high white blood cell count could be helpful for identifying infections. It indicates
leukaemia, which can cause an increase in the number of white blood cells. On the other hand, few
white blood cells could be caused by certain medications or health disorders.
White Blood Cells differential count normal range:-

➢ Neutrophils - 40%-60% of the total

➢ Lymphocytes - 20%-40%
➢ Monocytes - 2%- 8%
➢ Eosinophils - 1%-4%
➢ Basophils - 0.5%-1%
The test measures the numbers, shapes and sizes of the various types of white blood cells .The
WBC differential count also shows if the numbers of different cells are in the proper proportion to
each other. Irregularities in this test could signal an infection, inflammation, autoimmune disorders,
anemia.

✓ RED BLOOD CELLS (RBC ) :-

It is also called as erythrocytes. Normal range: - 4.2-5.9 million cm. We have millions of red blood
cells in our bodies and this test measures the number of RBC’s in a specific amount of blood. It
helps us determine the total number of RBC 's and gives us an idea of their lifespan, but does not
indicate where problem originate. So if there are irregularities, other tests will be required.

➢ Haematocrit (Hct ) Normal Range :- 45%- 52%

➢ For men:- 45%- 52%
➢ For women :- 37%- 48%
Useful for diagnosing anemia, this test determines how much of the total blood volume in the
body consists of RBC Hemoglobin (Hgb) Normal Range: -
➢ For men :- 13-18 g/dL
➢ For women :- 12-16 g/dL
Red Blood Cells contain hemoglobin, which makes blood bright red. Hemoglobin delivers oxygen
from the lungs to the entire body, then it returns to the lungs with carbon dioxide, which we exhale.
Healthy hemoglobin levels vary by the gender. Low levels of hemoglobin may indicate anemia.
✓ PLATELET COUNT RANGE:-
150000-400000ml Platelets are small portions of the cells involved in the blood clotting. Too many
or too few platelets can affect the clotting in the different ways.

✓ BILLIRUBIN :-
Healthy range:-0.1-1.9 mg/dL.
This provides the information about the liver and the kidney functions, problems in the bile ducts
and anemia.

✓ BLOOD UREA NITROGEN ( BUN ):-

Healthy range: - 10 -20 mg /dL.
 This is the another measure of kidney and the liver functions. High values may indicate a problem
with kidney function. A number of medications and a diet high in the protein can also raise the
blood urea nitrogen levels.
✓ CALCIUM :-
Healthy range:-9.0 -10.5mg / dL
Too much calcium in the bloodstream indicates the kidney problems, overly active thyroid or
parathyroid glands, certain types of cancer, including lymphoma, problems with the pancreas or the
deficiency of Vitamin -D.
✓ CHLORIDE :-
Healthy range: - 98-106 mEq/L.
This mineral is measured as a part of an electrolyte. A high salt diet and certain medications are
responsible for the elevations in the chloride. Excess chloride may indicate an overly acidic content
in the body .It also shows a red flag for dehydration, multiple myeloma, kidney disorders or adrenal
gland dysfunction.
✓ CREATININE :-
Healthy Range:- For women: - 0.5 -1.1 mg/dL
For men: - 0.6 - 1.2 mg /dL

STORE ROOM
Every medication has its own recommended storage condition- from room temperature, to
refrigeration, to freezing, therefore it’s advisable to check with your pharmacist about any specific
storage instructions.
The majority of medications may be stored at room temperature, in a cool dry place. Examples
include your dresser drawer, a closet, a storage box, and a shelf. It’s best to avoid the bathroom
medicine cabinet, since the heat and moisture from your shower, bath, and sink may damage your
medicine. It’s also advisable to avoid the kitchen, since heat from the stove, sink, and any hot
appliances can also damage your medicine. Always remember to store your medication out of
sight and reach of children and pets, to prevent accidental ingestion.

C
 Conclusion
During training procedures I have got a lot of knowledge about following :
❖ Stated project a training regarding each and every first aid procedures it includes checking the
symptoms and treating at small scale in first aids and later transferring for surgical procedures.
❖ I got known regarding artificial respiration process and wound dressing in prescription reading its
parts and the abbreviations used are studied by me.
❖ In this project it's truly a scandalous method for pharmacist study letter the dispensing procedure is
stated there for which was practiced by me all around the training at regular intervals.
❖ In simple Diagnostic reports doors are easy to study in case of pathological reports but a bit of
difficulty arises in reading radiological reports sites of injection which includes knowledge of
syringes routes of injections route of injection such as IV, IM, I.D and subcutaneous etc.
Therefore I have got a marvelous experience by this training.
 CASE STUDY

PATIENT 1.

Date:- 8-11-22
Patient Name Ranjit singh
Father's Name Madanlal
Age / sex Male
Address Saunti
Admit Number 189
Ward Emergency ward
Bed Number 08
Martial Status Married
Doctor Incharge Gulzar
Diagnosis Viral Fever
History
The patient was suffering from fewer from 9 days hence the patient went to the hospital for
his treatment
In the past he was suffering from cold .The physical asked the patient to get LFT test
done in the laboratory which come out to be normal
PHYSICAL EXAMINATION
Blood pressure 110 /70 mmhg Not normal
Pulse rate 70/min Not normal
Body temperature 110°F Not normal

Surgical history not significant

Past history of illness
Medical history not significant
Surgical history not significant
Drug PRESCRIPTION
i/v fluids
Name of the drug
RL 1 bottle
Metrogyl ( 100 ml ) 2 bottle
Medication
Name of the drug ( with salt ) Time
I/v Ciprofloxacin ( 100ml ) BD
Inj.Rantadin BD
Inj .Bascapan 20 mg/ ml BD
Tab .Pantaperizole 40mg OD
Tab.Domperidone 100mg BD
Then the patient was discharged on 10 Nov 2022

Patient 02
Date 10-11-2022

Patient Name Noordeen

Father's Name Ajit singh
Age / sex Male
Address Amloh
Admit Number 300
Ward Emergency
Bed Number 5
Martial Status Married
Doctor Incharge Gulzar
Diagnosis Dengue
History
The patient was suffering from dengue from 3 days hence the patient went to the hospital for his
treatment
In the past he was suffering from dengue .The physical asked the patient to get CBC in the
laboratory which come out to be normal
PHYSICAL EXAMINATION
Blood pressure 140 / 80mmhg Not normal
Pulse rate 94/min Not normal
Body temperature 98.4°F Normal

Surgical history not significant

Past history of illness
Medical history not significant
Surgical history not significant

Drug PRESCRIPTION
Name of the drug
NS 1 bottle
Hepamerze IV

i/v fluids
Medication
Name of the drug ( with salt ) Time
I/v DEXA ( 100ml ) BD
NEUROBION FORTE TAB BD
PENTOSEC TAB BD
Tab .Pantaperizole 40mg OD
Tab.Domperidone 100mg BD
Then the patient was discharged on 12 Nov 2022
Patient 03
Date-12-11-2022
Patient Name Manjit kaur
Father's Name Daljit singh
Age / sex 60/F
Address Jalalpur
Admit Number 435
Ward Emergency
Bed Number 9
Martial Status married
Doctor Incharge Gurpreet singh
Diagnosis Fever,vomiting,loss of appitte

History
The patient was suffering from pneumonia from 6 days hence the patient went to the hospital for his
treatment
In the past he was suffering from fever ,vomiting ,loss of appitte .The physical asked the patient to
get CBC ,SGOT done in the laboratory which come out to be normal
PHYSICAL EXAMINATION
Blood pressure 130 / 80mmhg Not normal
Pulse rate 94/min Normal
Body temperature 120°F Not normal

Surgical history not significant

Past history of illness
Medical history not significant
Surgical history not significant
Drug PRESCRIPTION
i/v fluids
Name of the drug
DNS 2 bottle
RL+Hepamerze ( 500 ml ) 1 bottle
Medication
Name of the drug ( with salt ) Time
I/v PCM BD
EMSET IV BD
BD
Tab .Dicloface+nimusluide 40mg OD
Tab.Domperidone 100mg BD
Then the patient was discharged on 14 Nov 2022