Question: When, and in which stage, is equipment planning done?
– Naresh Shrivastava, Gurgaon
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Tarun Katiyar
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Answer: Equipment planning is done early in the design development stage. This planning involves HODs, admin team and other medical staff. A series of meetings with staff members is involved in finalising the list, the number and type of equipment required.
Question: List the depreciable and non depreciable hospital equipment?
– Reena Sahay, Bihar
Answer: The list is as follows:
Depreciable equipment: Surgical apparatuses and lab therapeutic equipment and suction machines. Physiotherapy equipment, refrigerators, general use surgical computers, electronic exchanges, typewriter, intercoms, office equipment, pharmacy equipment.
Non depreciable equipment: Recurring in use five years lamps, waste bins, linen, sheets, blankets, catheters, surgical instruments, tableware, chinaware, kitchen utensils. These equipment are purchased through other than construction contracts. They are low cost equipment.
Question: What is your opinion on fire management of a hospital?
– Dr Kapoor, Lucknow
Answer: The design and construction of every building structure should incorporate the following features of prevention of fire and fire loss:
- Considering the type and density of occupancy, lobbies, staircases, aisles etc should be sufficiently wide to ensure easy movement of traffic at all times.
- The design of the building structure should be so planned that it allows pressurised exclusion of smoke in case of fire or any smoke leak.
- Ideally a heavy duty elevator, especially for the use of fire fighting personnel and in case of emergency only should be incorporated.
- Adequate emergency rescue aids and suitable refuge area should be incorporated in the design.
- Safe and easy means of access should be provided in every place of work/occupancy.
- The floor should be so designed that they are free from obstructions, slip-resistant and even. Openings in floors should be securely fenced or covered.
- Staircases, ramps etc should be provided with substantial handrails and other suitable support means wherever necessary to prevent slipping.
- Easy access for the servicing and maintenance of plant, machinery and buildings should also be incorporated in the design.
Question: What is nurse-patient ratio?
– Shanti, Agra
Answer: It denotes the number of patients assigned to each nurse. It is based on the acuity or needs of the patient for nursing care. In critical care units, the ratio must be 1:1 or 1:2 or 1:3. In general care units, the nurse to patient ratio is higher, for e.g. 1:5 or 1:8 depending on the type of unit and the needs of the patient.
Question: What is the job description of a Nursing Superintendent?
– Dr Parmar, Delhi
Answer: Job description of a Nursing Superintendent is as follows:
- Overall in-charge of nursing services in the hospital
- Answerable to the Medical Superintendent or Chief of Centres of the hospital
- Implementing hospital policies amongst various nursing units
- Formulating hospital policy, particularly concerning nursing services
- Recommending personnel and material requirement for nursing service departments
- Assisting Chief of Hospital in recruiting nursing staff
- Carrying out regular rounds of the hospital
- Ensuring safe and efficient care rendered to patients in various wards etc
- Preparing budgets for nursing services
- Member of various condemnation boards for linen and other stores
- Responsible for counselling and guidance of subordinate staff
- Attending hospital/intra hospital meetings and conferences
- Investigating all complaints regarding nursing care and personnel, and take corrective action
- Initiating and encouraging research in nursing services
- Evaluating confidential reports of her subordinate staff and recommending for promotion
- Maintaining cordial relations with patients and medical social workers
- Periodically interact with clinical heads to discuss problems in patient care
- Educating nursing staff of all categories by conducting awareness programme on universal precautions
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