PROBLEM AREAS IN THEINPATIENT DEPARTMENT:

Planned Discharge: -
1. Availability of RMOs to write the pink sheet-
 RMOs are looking after more than 1 unit. One RMO is responsible for 7 th
floor GW & 7th floor HDU as well 8th floor.
 If a cardiac surgery patient is being told to be discharged the very next day
when the ECHO is not done the summary gets delayed as the adult ECHOs
are done after 2PM till evening. The reports get ready next day (no time
limit can be after 2 PM).
2. Some of the CATH reports are delayed due to consultant’s unavailability.
3. Last minute correction in the discharge summary by consultants or referrals
takes too much time to change the summary.
4. Sometimes Printing Department makes mistakes in summary like medication
time error or wrong ID. Changing the summary takes time.
5. Summary are not written properly in the pink sheet. Discharge printing as to
clarify many things with the nursing staffs & RMOs.

• Unplanned Discharge: -All above points remain unchanged in case of

unplanned discharges.

• Clinical Problems: -
1. Patient relatives have many clinical queries (RMOs are not available to speak
to them).
2. Intimation of Discharge- Consultants does not inform the discharge at proper
time in wards.
3. We come know from relatives that one particular patient is being asked to
discharge.

• Nursing: -
1. When a bulk of discharge comes at the same time the nursing staffs are unable
to make the entire patients ready at the same time due to less nursing staffs.
2. Collection of reports by nursing staff is a big problem. At the last moment they
ask for X-ray plates or other diagnostic reports which they don’t collect at the
proper time. In last hour we have to arrange a HK girl and collect the reports.
 3. Discharge files are not kept ready all the times.
4. Sometimes discharge summary is not signed by the nursing staff and the
patient relatives as nursing students release the discharges and they didn’t
know about the procedures.
5. If a coordinator is not available for any reason they don’t send the file for
printing or charge sheet for billing quickly.
6. Medicine returns by nursing staffs are not done properly. Many times
medicines are left unreturned in the cupboard.
7. Explaining discharge summary by junior staffs takes a long time as they are
unable to explain properly.

• Arranging wheels: -Wheel chairs along with HK girls are a time taking factor
for every patient.

• Billing problems: -
1. Patient relatives come to the ward with many billing related problems. Final
bill settlement takes a long time.

• Housekeeping problems: -
1. Behavior of some of the housekeeping staffs is very bad.
2. There are always less number of housekeeping staffs which make it difficult
for the patients to go for certain tests and discharges.