ACKNOWLEDGEMENT

I wish to express my sincere gratitude to Dr. Mohan Reddy, Medical Director,

administration, Sagar Hospitals, Jayanagar, Bangalore for giving me the opportunity to do
my
Junior Internship at his highly esteemed Organization.
I am grateful to Dr. Madhu Malathi and Dr. Jithendra Kumar for their valuable
guidance, advice, suggestion and encouragement rendered to me at every stage.
I am also extremely thankful to Mr. Sundar (Dialysis Department), Mr. Pradeep
(Pharmacy), Mr. Raja (Biomedical Engineering), Mr. Imdad Ali (Ambulance Department)
for giving me information and valuable guidance during the period of internship1. Without
their encouragement and guidance this project would not have materialized.
The guidance and support received from all the members who contributed to this study was
vital for the completion of this study. I am grateful to all of them for their constant support
and guidance either directly or indirectly towards completion of my study.
Rijo Stephen Cletus
PESIT - HOSMAC PGDHHM - JUNIOR INTERNSHIP
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Table of Contents
INTRODUCTION TO THE HOSPITAL
.....................................................................................6
SAGAR GROUP .............................................................................................................................. 7
ABOUT SAGAR HOSPITALS, JAYANAGAR.................................................................................... 8
LOCATION....................................................................................................................................... 8

VISION AND
MISSION.............................................................................................................9
FACILITIES.................................................................................................................................... 10
DIAGNOSTICS & TREATMENT SERVICES.................................................................................. 10
CENTRES OF EXCELLENCE ....................................................................................................... 12

QUALITY
POLICY..................................................................................................................13
ACCREDITATIONS........................................................................................................................ 13
CARE FOR INTERNATIONAL PATIENTS...................................................................................... 14

STUDY OF DIALYSIS
DEPARTMENT...................................................................................15
DIALYSIS....................................................................................................................................... 16
PRINCIPLE OF DIALYSIS ............................................................................................................. 16
TYPES OF DIALYSIS .................................................................................................................... 17
THE PHYSICAL STRUCTURE OF THE DIALYSIS DEPARTMENT............................................... 19
DIALYSIS MACHINES ................................................................................................................... 19
ORGANIZATIONAL STRUCTURE................................................................................................. 20
SHIFTS.......................................................................................................................................... 21
DISTRIBUTION OF RESOURCES ................................................................................................ 21
ACTIVITIES UNDERTAKEN TO SUPERVISE................................................................................ 21
EXTERNAL CLEANING OF THE MACHINES AFTER EVERY DIALYSIS...................................... 21
REVERSE OSMOSIS (RO) PLANT ............................................................................................... 22
PREPARING THE MACHINE FOR DIALYSIS................................................................................ 24
STARTING AND CLOSING OF DIALYSIS ..................................................................................... 24
STARTING OF DIALYSIS............................................................................................................... 25
CLOSING OF DIALYSIS ................................................................................................................ 26
FIGURE ARTERIO-VENOUS FISTULA ...................................................................................... 27

FIGURE REPRESENTATION OF THE FLOW OF DIALYSATE AND BLOOD ............................. 28

FIGURE: VENOUS BLOOD AIR TRAP.......................................................................................... 29
MEDICAL EMERGENCY DURING DIALYSIS................................................................................ 30

STUDY OF PHARMACY
DEPARTMENT...............................................................................34
INTRODUCTION TO PHARMACY DEPARTMENT........................................................................ 35
NEED FOR THE DEPARTMENT ................................................................................................... 36
FUNCTIONS.................................................................................................................................. 36
PHYSICAL STRUCTURE .............................................................................................................. 38
THE ORGANIZATIONAL STRUCTURE OF THE DEPARTMENT .................................................. 39
THE HUMAN RESOURCE MANAGEMENT .................................................................................. 39
ACADEMIC QUALIFICATIONS AND DESIGNATIONS .................................................................. 40
JOB RESPONSIBILITIES .............................................................................................................. 40
REGULATORY COMPLIANCE ...................................................................................................... 41
FORMULARY ................................................................................................................................ 41
STORAGE ..................................................................................................................................... 41
SALES........................................................................................................................................... 42

PESIT - HOSMAC PGDHHM - JUNIOR INTERNSHIP

4
OUTPATIENT PRESCRIPTIONS................................................................................................... 43
INPATIENT PRESCRIPTIONS....................................................................................................... 43
SALES RETURNS ......................................................................................................................... 44
EXPIRY DRUGS RETURN ............................................................................................................ 44
STOCK CHECKING....................................................................................................................... 45
BREAKAGE ................................................................................................................................... 45

STUDY OF BIOMEDICAL ENGINEERING

DEPARTMENT...................................................46
BIOMEDICAL ENGINEERING DEPARTMENT .............................................................................. 47
TECHNICIANS............................................................................................................................... 48
WORKING HOURS........................................................................................................................ 48
PHYSICAL STRUCTURE .............................................................................................................. 48
TECHNOLOGY.............................................................................................................................. 48
PROCUREMENT........................................................................................................................... 48
PREVENTIVE MAINTENANCE...................................................................................................... 49
BREAKDOWN MAINTENANCE..................................................................................................... 49

STUDY OF AMBULANCE SERVICES DEPARTMENT

.........................................................50
AMBULANCE SERVICES DEPARTMENT..................................................................................... 51
HOW THE SERVICE REQUEST PROCESSED ............................................................................ 52
WHEN IS A SERVICE REQUEST DECLINED ............................................................................... 52
PRESENT DEMAND FOR THE AMBULANCE SERVICE .............................................................. 53
THE VEHICLES AND THEIR TYPES............................................................................................. 53
MAINTENANCE OF THE VEHICLES............................................................................................. 54
THE HUMAN RESOOURCE.......................................................................................................... 55
AMBULANCE DRIVERS................................................................................................................ 55
SOME IMPORTANT GUIDELINES ................................................................................................ 55
DRIVERS SHIFTS ......................................................................................................................... 56

RECOMMENDATIONS...........................................................................................................
57
INDEX.....................................................................................................................................5
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