Admission & Discharge procedure

Patients may come to hospital direct or through references, first the patients should register their name at OPD registration counter and then they will be directed to consult the concerned physician at respective OPDs

OPD Slips:The OPD slip will be generated at the OPD Registration counter with unique OPD No which will help the patients to get services and also for admission. Refer Annexure – 11 OPD –Doctors may advise for admission to the respective ward Casualty Emergency patients are treated and/or admitted if required. Labour room Gynecological or Obstetric patients are treated and advised for admission. SBMPMCH & RC doctors directly admit patients from their private clinics also.

Patient Category:
a. Paying: Patients may be admitted by paying cash at the time of admission as an advance.
b. Health insurance scheme empanelled beneficiary.
c. Private case/ Referral cases
d. Staff category only for SBMPMCH & RC
e. Student category only for SBMPMCH & RC
f. Unit cases directly came to the hospital

Admission Procedure: Patients are admitted to the concerned ward on the advice of the treating doctor. The ward is designated by the treating doctor as need basis. The categories mentioned as per the doctor’s advice include medico legal category if it is suspicious.

Discharge Procedure:The discharge will be decided by the treating doctor, when patients are discharged from the respective wards the discharge card is prepared in the ward and handed over to the patient. In paying cases discharge card is handed over to the party of the patient at ward, after hospital dues are settled. At the time of discharge of the medico legal cases police intimation is a must

Discharge card: The discharge card will be handed over to the patient or patient attender after a discharging the patient by the treating doctor which will contain all the information in regards to status of the patients, for the following cases the discharge card will not be issued i.e. AMA and MLC cases.

AMA Protocol: An adult patient who is conscious and has decisional capacity has a right to refuse any medical treatment. The treating physician shall advise the patient of the risks involved in discontinuing treatment or leaving before being discharged, and encourage the patient to continue in his or her prescribed course of medical treatment. If the patient insists on leaving against medical advice, the physician shall document the patient physician consultation where the patient was advised against medical advice and discontinuing treatment, shall secure the patient’s signature as acknowledgement of the patient’s AMA means against medical advice discharge, the protocol is patients or his attendants may request for discharge of the patients without improvement, for this SBMPMCH & RC, protocol is behind the admission sheet AMA format is preprinted all details as per the format has to be fill and get name, date, time and the attendant or patients signature and also his contact no will be taken on the format

MLC Protocol MLC means Medico Legal Case; the MLC will be done for both OPD & IPD cases when the consultant/ Physician/ Treating Doctor are request for MLC for RTA cases, also if the patient is suspicious for consumption of unknown or by knowingly consumed medication, poison and bites…etc. such cases will be registered under MLC, the red colored seal will be put on the OPD/IPD sheet as a Medico Legal Case. These cases will be intimated to the police station for statutory action.

Post Mortem Procedure
The post mortem is done only for the MLC cases which are admitted in SBMPMCH & RC to know the cause of death also the Nil MLC cases will be done if the patients attender want know the cause of death, also the request from the police for outside the hospital cases are done as per the norms. The post mortem will be done by the Forensic Medicine & Toxicology department staff as per the guidelines and statutory norms.

Feedback form: The hospital is receiving feedback information from patients as well as attendants through specific format these formats will be reviewed by administrator and rectify the short comings in the hospital also also the online feedback KIOSKA have been installed at third , first and ground floor through whichthe feedback will be monitored by administrators immediately and possible measures can be initiated at the earliest to satisfy the patients and same will be discus at redressal committee as and when conducted.