LRH Quarterly Health Bulletin 2013 Q4
Post on 13-Mar-2016
231 Views
Preview:
DESCRIPTION
Transcript
Quarterly Health Bulletin
4th Quarter 2013
Lady Ridgeway Hospital for Children
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 1
QUARTERLY HEALTH BULLETIN 4th quarter
The Lady Ridgeway Hospital (LRH) is the largest public free of charge pediatric Hospital in the world. It serves as the National referral
center for pediatric care for Sri Lanka . It also serves as local hospital for the population in and around Colombo city for minor ailments.
The hospital has approximately over 900 beds and it treats children below 12 years of age from all over the country. It has all supportive
services required to provide quality patient care.
The total number of staff is over 2000 staff members. The medical staff consists of nearly 55 consultants and nearly 300 medical officers.
They are organized as medical teams headed by permanent senior consultants who have international experience in that particular specialty.
Nursing staff consists of nearly 700 nursing officers and are organized as teams in line the organization of Doctors.
Our Vision
Tomake LRH the Best Health Care Centre for Children in the South Asia within this decade.
Our Mission
Provision of consumer oriented comprehensive, best quality healthcare for children in Sri Lanka at all times through a
motivated, efficient and trained team of health care staff to the maximum satisfaction of all health care seekers and to train
undergraduates, post graduates and other health personnel in child care effectively.
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 2
QUARTERLY HEALTH BULLETIN 4th quarter
Head of the Organization
Hospital Director
Telephone no 0112691521
General Information
Telephones : 0112693711,0112693712
Fax No : 0112686859
Email : directorlrh@yahoo.com
Website: www.ladyridgewayhospital.lk
Services offered
Accident and animal bite casualty care for children
Out patients medical and surgical care for children
General medical carefor children
General surgical care for children
Heart (cardiology) care for children
Eye (Opthalmolgy) care for children
Ear, Nose,and Throat (ENT) care for children
Skin(Dermatology) care for children
Neurology care for children
Kidney (Nephrology ) care for children
Orthopaedic care for children
Child Guidance /Psychiatric care for children
Rheumatological care for children
Cardiothoracic surgical care for children
Plastic surgical care for children
Cancer (Oncological) care for children
Dental & Orthodontic care for children
Child immunization services
Occupational therapy service for children
Physiotherapy service for children
Language and speech therapy service for children
Dialysis unit
Laboratory Services
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 3
QUARTERLY HEALTH BULLETIN 4th quarter
Out Patients Service
Out Patient care
The Out patientsDepartment (OPD ) and the Accident services department of this hospital is open for 24 hoursa day
for365 days. Out patients clinics conducted by the relevant consultants of inpatient units and visiting consultants of the
OPD maintain a continuous link with patients discharged from their units. There is also an emergency treatment unit,
diarrhea unit and immunization clinic which operate in the OPD to improve the quality of care.
* Here each patient getsmulti services according to the need.
Performance ofoutPatients Department from Octoberto December 2013
No of Patients
October November December Total No of First Visits 30461 30944 32291 93696 No of Subsequent Visits 2147 2228 2229 6604 No of Emergency Patients (Ward Admissions) 6538 6811 6864 20213 Emergency Treatment Unit 2782 2924 3058 8764 OPD Visits (Accident Service) 3470 3282 3323 10075 Diarrhoea treatment unit 1655 1807 1915 5377 Observation unit 545 685 571 1801 No of patients treated for injuries in the dressing room 772 596 654 2022 Rheumatic clinic 87 76 99 262 Lactation Management unit 185 215 168 568 Nutrition clinic 157 141 181 479 Non Communicable diseases 110 69 142 321 Total No of Patients Encounters 48909 49778 51495 150182
October November December Total
No of Specimen taken 3130 3577 4052 10759
Mantaux test 48 38 39 125
Ward Admissions No of Patients
October November December Total Emergency Treatment Unit 610 649 649 1908
Diarrhoea Treatment Unit 12 06 06 24
Dengue Observation Unit 147 202 202 551
OPD Deaths
No of Deaths October November December Total Death on admission 0 03 01 04
After admission 01 01 0 02
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 4
QUARTERLY HEALTH BULLETIN 4th quarter
Out Patients Services
Lactation Management center
Month Referred from wards
referred from OPD Direct 1st visits 2nd visits Total Cleft palate & Lip
October 50 56 11 117 68 185 17
November 70 53 06 129 86 215 18
December 64 35 06 105 63 168 13
Total 184 144 23 351 217 568 48
Nutrition Clinic
Month 1st visits Sub visits Over 5 years
Total Nutritional Stages Stunted Wasted Stunted & Wasted
Referd to MOH
1SD 2SD 3SD Median October 42 95 20 157 21 52 60 02 01 14 05 02
November 48 90 03 141 27 45 57 05 0 01 06 05
December 59 106 16 181 34 39 84 05 0 03 13 05
Total 149 291 39 479 82 136 201 12 01 18 24 12
Non Communicable Diseases Control unit
Month Diabetic Patients Obesity Patients Total Councelled adult Patient
Community Programme
Newly Diagnosed
Sub visits
Total Newly Diagnosed
Sub visits
Total
October 06 26 32 45 33 78 110 07
November 01 03 04 49 16 65 69 02 01
December 04 18 22 74 46 120 142 10 35
Total 11 47 58 168 95 263 321 19 36
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 5
QUARTERLY HEALTH BULLETIN 4th quarter
Accident Service Department
Accident service department at Lady Ridgeway Hospital provide emergency casualty care to children 24 hours aday,365 days year.
The department provides immediate attention to critical and life threatening casualties as well as minor urgent-care casualties
following accidents and animal bites. There is separate 24 hour dispensary for accident service patients.
Performance of Accident service from October to December 2013
No of Patients
October November December Total
Fall 1397 1248 1265 3910
Trauma 670 642 650 1962
Animal Bite 354 331 411 1096
Foreign body 195 184 188 567
Road Traffic Accident(RTA) 105 98 97 300
Emergency Treatment unit 05 01 02 08
Cut injury 66 62 82 210
Burns 54 50 59 163
Prick Injury 42 45 52 139
Bicycle spoke injury 15 23 22 60
Assault 45 40 20 105
Deaths 0 01 0 01
Crush injury 38 31 36 105
Child abuse 01 01 01 03
Electrocution 04 02 01 07
Others 0 03 0 03
Staff 479 520 437 1436
Total 3470 3282 3323 10075
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 6
QUARTERLY HEALTH BULLETIN 4th quarter
Immunization
Immunization is the process whereby a person is made immune or resistant to an infectious diseases,typically by the administration of
a vaccine. Vaccines stimulate the body’s own immune system to protect the person against subsequent infection or diseases.
Immunization services
Age below 12 years
Referral letter from a medical officer or as referred by the medical officer at OPD
Immunization performed from October to December 2013
Type of Immunization (Vaccine) No of Patients
October November December Total
D.P.T (Tripple)
4th dose 06 01 0 07
Polio 1st dose 2nd dose 3rd dose 4th dose Booster 5th dose Total
30 23 25 47 53 178
37 29 27 37 31 161
37 20 24 45 58 184
104 72 76 129 142 523
DT Booster Total
54 54
30 30
65 65
149 149
Tetanus Toxoid 09 04 02 15 Hepatitis (B) 2nd dose
3rd dose Total
01 01
01 01 02
01 02 03
Vitamin A 6 months 9 months 1.5 years 3 years 5 years Total
06 10 27 37 33 113
07 12 27 24 16 86
04 12 20 15 37 88
17 34 74 76 86 287
Japanese Encephalitis 90 102 115 307 Pentavalent 2 months 1st dose
4 months 2nd dose 6 months 3rd dose 4th dose Total
30 23 25 40 118
36 29 27 33 125
37 19 22 46 124
103 71 74 119 367
ARS (ERIG) 10 04 12 26
ARV 588 494 591 1673
ARS (HRIG) 16 18 27 61
Measles Rubella Mums(MMR) 106 81 103 290
BCG 28 18 23 69
ADT 75 53 95 223
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 7
QUARTERLY HEALTH BULLETIN 4th quarter
Clinics by specialty
Month of October
Wards No of clinics
No of 1st visits
No of Sub visits
Total visits Average per clinics
Medical 01 04 194 102 296 74.0
02 09 325 270 595 66.1
03 09 249 303 552 61.3
04 08 158 372 530 66.3
08 09 237 372 609 67.7
09 08 261 416 677 84.6
VP /OPD 25 413 545 958 38.3
RP/OPD 25 523 25 548 21.9
Total Medical 97 2360 2405 4765 49.1
Surgical 05 07 88 447 535 76.4
07 06 66 317 383 63.8
10 05 77 276 353 70.6
11 07 151 543 694 99.1
VS/OPD 18 439 522 961 53.4
Total Surgical 43 821 2105 2926 68.0
ENT- Dr Yasawardena 12 12 375 624 999 83.3
ENT- Dr. Kirihena 12 13 405 472 877 67.5
Total ENT 25 780 1096 1876 75.0
Skin 19A 25 1659 1061 2720 108.8
Cardiology 15 25 916 1439 2355 94.2
Rheumatology & Rehabilitation 06 25 385 597 982 39.3
Neonatal Care unit 04 02 02 04 1.0
Dental 25 1226 298 1524 61.0
Orthodontic 25 175 2196 2371 94.8
Orthopaedic 14B 09 530 508 1038 115.3
Multidisciplinary CLAP (MCC) 03 22 78 100 33.3
Child Guidance A 09 60 235 295 32.8
B 16 284 752 1036 64.8
Total Child Guidance 25 344 987 1331 53.2
Speech & Language 21 245 500 745 35.5
Child Development 05 14 12 26 5.2
Renal Ward 01 Renal Ward 03
05 04
41 10
59 79
100 89
20.0 22.3
Total Renal 09 51 138 189 21.0
Burns 05 32 71 103 20.6
Eye 25 793 770 1563 62.5
Asthma Ward 02 Asthma Ward 09
03 04
07 01
91 36
98 37
32.7 9.3
Total Asthma 07 08 127 135 19.3
Plastic Surgery 05 50 128 178 35.6
Neurology - Dr. Piyara Rathnayake - Dr. Padeniya - Dr.Githangi Wanigasinghe
13 13 04
87 67 10
594 280 156
681 347 166
52.4 26.7 41.5
Total Neurology 30 164 1030 1194 39.8
Nephrology 24 47 410 457 19.0
Oncology 04 04 02 06 1.5
Headache 05 42 101 143 28.6
Intervention 03 10 15 25 8.3
Diabetic 13 08 34 42 3.2
Obesity 05 21 24 45 9.0
Endocrinology Dr. Shyma De Silva 02 06 121 127 63.7
Endocrinology Dr. Navoda Attapatu 25 69 181 250 10.0
Total Endocrinology 27 75 302 377 14.0
Visual & Rehabilitation 04 08 16 24 6.0
Cardiothoracic -Dr. Munasinghe 05 27 104 131 26.2
Cardiothoracic - Dr. Singappuli 04 33 45 78 19.5
Cardiothracic - Dr. Y.K.M Lahic 05 25 80 105 21.0
Total Cardiothoracic 14 85 229 314 22.4
Total 537 10877 16681 27558 51.3
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 8
QUARTERLY HEALTH BULLETIN 4th quarter
Clinics by specialty
Month of November
Wards No of clinics
No of 1st visits
No of Sub visits Total visits Average per clinics
Medical 01 04 62 187 249 62.3
02 08 228 237 465 58.1
03 08 143 342 485 60.6
04 09 183 326 509 56.6
08 07 173 200 373 53.3
09 08 249 371 620 77.5
VP /OPD 25 401 637 1038 41.5
RP/OPD 25 491 34 525 21.0
Total Medical 94 1930 2334 4264 45.4
Surgical 05 06 69 307 376 62.7
07 06 52 251 303 50.5
10 07 116 335 451 64.4
11 06 95 381 476 79.3
VS/OPD 16 344 443 787 49.2
Total Surgical 41 676 1717 2393 58.4
ENT- Dr Yasawardena 12 12 395 693 1088 90.7
ENT- Dr. Kirihena 12 13 399 519 918 70.6
Total ENT 25 794 1212 2006 80.2
Skin 19A 25 1440 1152 2592 103.7
Cardiology 25 680 1391 2071 82.8
Rheumatology & Rehabilitation 06 25 325 703 1028 41.1
Neonatal Care unit 04 05 03 08 2.0
Dental 25 1080 285 1365 54.6
Orthodontic 25 194 1939 2133 85.3
Orthopaedic 14B 08 500 491 991 123.9
Multidisciplinary CLAP (MCC) 04 12 59 71 17.8
Child Guidance A 08 217 220 437 54.6
B 16 240 597 837 52.3
Total Child Guidance 24 457 817 1274 53.1
Speech & Language 21 220 450 670 31.9
Child Development 04 08 12 20 5.0
Renal Ward 01 Renal Ward 03
03 04
12 12
44 70
56 82
18.7 20.5
Total Renal 07 24 114 138 39.2
Burns 04 35 67 102 25.5
Eye 25 823 856 1679 67.2
Asthma Wd 02 Asthma Wd 09
05 04
15 03
96 28
111 31
22.2 7.8
Total Asthma 09 18 124 142 15.8
Plastic Surgery 04 42 97 139 34.8
Neurology - Dr. Piyara Rathnayake - Dr. Padeniya - Dr.Githangi Wanigasinghe
14 13 04
63 54 14
446 222 288
509 276 302
36.4 21.2 75.5
Total Neurology 31 131 956 1087 35.1
Nephrology 25 32 332 364 14.6
Oncology 05 09 0 09 1.8
Headache 05 46 128 174 34.8
Intervention 05 16 54 70 14.0
Diabetic 10 05 27 32 3.2
Obesity 05 13 19 32 6.4
Endocrinology- Dr Shyma De Silva 02 07 45 52 26.0
Endocrinology - Dr. Navoda Attapattu 25 38 126 164 6.6
Total Endocrinology 27 45 171 216 8.0
Visual & Rehabilitation 04 08 14 22 5.5
Cardiothoracic -Dr. Munasinghe 04 24 88 112 28.0
Cardiothoracic - Dr. Singappuli 04 21 47 68 17.0
Cardiothracic - Dr. Y.K.M Lahic 04 25 64 89 22.3
Total Cardiothoracic 12 70 199 269 22.4
Total 528 9638 15723 25361 48.0
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 9
QUARTERLY HEALTH BULLETIN 4th quarter
Clinics by specialty-Month of December
Wards No of clinics
No of 1st visits
No of Sub visits
Total visits Average per clinics
Medical 01 04 101 172 273 68.3
02 08 256 274 530 66.3
03 08 269 343 612 76.5
04 09 173 371 544 60.4
08 08 183 303 486 60.8
09 09 260 455 715 79.4
VP /OPD 24 362 575 937 39.0
RP/OPD 24 476 25 501 20.9
Total Medical 94 2080 2518 4598 48.9
Surgical 05 05 83 317 400 80.0
07 06 64 322 386 64.3
10 07 120 594 714 102.0
11 06 110 496 606 101.0
VS/OPD 15 364 513 877 58.5
Total Surgical 39 741 2242 2983 76.5
ENT- Dr Yasawardena 12 12 444 775 1219 101.6
ENT- Dr. Kirihena 12 12 423 513 936 78.0
Total ENT 24 867 1288 2155 89.8
Skin 19A 24 1812 1320 3132 130.5
Cardiology 24 431 1056 1487 62.0
Rheumatology & Rehabilitation 06 25 320 703 1023 40.9
Neonatal Care unit 02 04 01 05 2.5
Dental 24 1227 301 1528 63.7
Orthodontic 22 251 2052 2303 104.7
Orthopaedic 14B 07 502 480 982 140.3
Multidisciplinary CLAP (MCC) 04 17 65 82 20.5
Child Guidance A 05 71 130 201 40.2
B 16 255 691 946 59.1
Total Child Guidance 21 326 821 1147 54.6
Speech & Language 20 216 404 620 31.0
Child Development 04 12 17 29 7.3
Renal Ward 01 Renal Ward 03
04 03
30 06
60 69
90 75
22.5 25.0
Total Renal 07 36 129 165 23.6
Burns 05 27 101 128 25.6
Eye 24 751 1032 1783 74.3
Asthma Ward 02 Asthma Ward 09
03 04
04 03
51 37
55 40
18.3 10.0
Total Asthma 07 07 88 95 13.6
Plastic Surgery 04 51 69 120 30.0
Neurology - Dr. Piyara Rathnayake - Dr. Padeniya - Dr.Githangi Wanigasinghe
14 10 04
66 63 12
461 270 282
527 333 294
37.6 33.3 73.5
Total Neurology 28 141 1013 1154 41.2
Nephrology 23 37 432 469 20.4
Oncology 05 10 06 16 3.2
Headache 04 52 129 181 45.3
Intervention 04 12 32 44 11.0
Obesity 04 23 43 66 16.5
Endocrinology- Dr Shyma De Silva 01 10 55 65 65.0
Endocrinology- Dr. Navoda Attapattu 24 61 157 218 9.1
Total Endocrine 25 71 212 283 11.3
Visual & Rehabilitation 03 14 09 23 7.7
Diabetic 18 09 42 51 2.8
Cardiothoracic -Dr. Munasinghe 03 30 117 147 29.4
Cardiothoracic - Dr. Singappuli 03 17 33 50 16.7
Cardiothracic - Dr. Y.K.M Lahic 04 09 58 67 16.8
Total Cardiothoracic 12 56 208 264 22.0
Total 507 10103 16813 26916 53.1
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 10
QUARTERLY HEALTH BULLETIN 4th quarter
Inpatients Services
The In patients section of the Lady Ridgeway Hospital is at present composed of six general pediatric medical units, four pediatric
surgical units, orthopedic unit ,plastic surgery unit, cardiology unit, accident ,emergency care unit, pediatric ENT,Rheumatology &
Rehabilitation unit, Child Psychiatry unit, Eye Unit Isolation unit, Burns unit, Catheter lab, Cardiothoracic, Dialysis, Dermatology unit
and Special neonatal care unit.
In addition to these Radiology,Pathology,Hematology, Microbiology, and Histopathology departments headed by senior consultants
provide quality, assistance to both inpatients and out patients. The hospital provides in ward services to over 25000 children quarterly.
Special Units
In this Hospital there are three Intensive care units
Medicalintensive care unit MICU
Surgical intensive care unit SICU
Cardio thoracic intensive care unit CTICU
We also have one high dependency Unit HDU
Summary of the Inpatients Care Services from October to December 2013
October November December Total No of Ward 22 22 22 22
No of Special Units 08 08 08 08
No of In patients beds 911 911 911 911
Total no of patients Admitted 6538 6811 6864 20213
Total no of Patients Discharges (including deaths) 6558 6796 6993 20347
Daily Average Admission 211 220 221 220
Daily Average Discharges 212 219 226 221
Average Daily Sick 625.1 662.9 650.4 646
Average Length of stay 3.0 2.9 2.9 2.9
Bed Occupancy Rate% 68.6 72.8 71.4 70.9
Hospital Deaths 40 45 44 129
Turnover Rate 07 07 08 22
Total Patients Days 19379 19888 20161 59428
Hospital Deaths
October November December Total
Deaths within 24 hours of admission 05 07 01 13
Deaths within 48 hours of admission 02 01 02 05
Deaths after 48 hours of admission 33 37 41 111
Total hospital deaths 40 45 44 129
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 11
QUARTERLY HEALTH BULLETIN 4th quarter
Discharge Analysis
Paediatric -Medical Month of October
Ward Beds Admission Discharges Transfer In
Transfer out Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate
Ave. Length of Stay
01 85 604 592 58 67 01 1543 49.8 58.6 2.3
02 74 480 479 49 52 01 1413 45.6 61.6 2.7
03 73 514 515 46 46 01 1567 50.5 69.2 2.8
04 89 506 494 37 51 0 1377 44.4 49.9 2.5
08 77 468 471 55 51 0 1538 49.6 64.4 2.9
09 76 545 557 55 55 01 1502 48.5 63.8 2.5
Total 474 3117 3108 300 322 04 8940 288.4 60.8 2.6
Paediatric - Surgical Month of October
Ward Beds Admission Discharges Transfer In
Transfer out Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate
Ave. Length of Stay
05 39 282 327 73 30 01 1086 35.0 89.8 3.0
07 39 224 269 54 14 01 677 21.8 56.0 2.4
10 39 296 350 84 15 0 704 22.7 58.2 1.9
11 43 405 455 92 45 0 1164 37.5 87.3 2.3
Total 160 1207 1401 303 104 02 3631 117.1 73.2 2.4
Other Special Units- Month of October
Type of Specialty
Ward Beds Admissions Discharges
Transfer In
Transfer out
Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate
Ave. Length of Stay
Rheumatology & Rehabilitation
06 25 86 88 01 02 0 325 10.5 41.9 3.6
ENT 12 38 395 387 19 12 0 725 23.4 61.5 1.8 Cardiology 15 27 145 133 21 34 06 796 25.7 95.1 4.6 SICU 08 0 0 46 42 02 215 6.9 86.7 4.9 CTICU 06 0 0 27 25 02 174 5.6 93.5 6.4 HDU 12 0 0 56 48 07 252 8.1 67.7 4.6 Cardiothoracic 20 23 132 138 62 57 01 1334 43.0 187.1 6.8 Neonatal care unit
19 24 24 06 02 06 407 13.1 69.1 12.7
MICU 11 0 0 44 33 10 278 9.0 81.5 6.5
Accident Service 13A 20 844 629 0 217 0 778 25.1 125.5 0.9
Day care Surgery 13B 08 51 42 0 09 0 42 1.4 16.9 0.8 Plastic Surgery 14A 12 113 127 05 05 0 265 8.5 71.2 2.0 Orthopaedic 14B 10 56 52 01 01 0 193 6.2 62.3 3.6 Skin 19A 06 20 22 01 01 0 81 2.6 45.5 3.5 Psychiatry 19B 06 12 20 05 0 0 126 4.1 67.7 6.3 Burns 20 58 60 03 0 0 316 10.2 51.0 5.3 Isolation 21 08 05 18 18 01 0 105 3.4 42.3 5.5
Hemophilia 157 156 0 01 0 156 5.0 1.0 Eye 22 17 109 105 09 10 0 235 7.6 44.6 2.0 DU 01 07 08 11 10 0 05 0.2 16.1 0.3
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 12
QUARTERLY HEALTH BULLETIN 4th quarter
Discharge Analysis
Paediatric -Medical Month of November
Ward Beds Admission Discharges Transfer In
Transfer out Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate
Ave. Length of Stay
01 85 633 633 66 59 02 1857 61.9 72.8 2.7
02 74 551 528 50 68 0 1453 48.4 65.5 2.4
03 73 561 558 48 49 0 1492 49.7 68.1 2.5
04 89 552 557 53 51 02 1463 48.8 54.8 2.4
08 77 545 514 54 69 02 1784 59.5 77.2 3.0
09 76 609 592 62 58 02 1579 52.6 69.3 2.4
Total 474 3451 3382 333 354 08 9628 320.9 67.7 2.6
Paediatric - Surgical Month of November
Ward Beds Admissions Discharges Transfer In
Transfer out
Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate
Ave. Length of Stay
05 39 269 331 78 34 0 997 33.2 85.2 2.7
07 39 221 267 76 18 01 706 23.5 60.3 2.5
10 39 289 347 103 34 0 767 25.6 65.6 2.0
11 43 369 427 93 56 0 944 31.5 73.2 2.0
Total 160 1148 1372 350 142 01 3414 113.8 71.1 2.3
Other Special Units- Month of November
Type of Specility
Ward Beds Admissions Discharges Transfer In
Transfer out
Deaths Total Patients days
Average Daily Sick
Bed Occupancy Rate
Ave. Length of Stay
Rheumatology & Rehabilitation
06 25 64 69 10 03 0 335 11.2 44.7 4.7
ENT 12 38 453 462 17 18 0 942 31.4 82.6 2.0 Cardiology 15 27 150 136 25 37 02 732 24.4 90.4 4.2 SICU 08 0 0 60 57 03 184 6.1 76.7 3.1 CTICU 06 0 0 28 26 02 168 5.6 93.3 6.0 HDU 12 0 0 68 65 04 253 8.4 70.3 3.7
Cardiothoracic 20 23 129 130 78 66 0 1395 46.5 202.2 7.1 Neonatal care unit
19 23 22 04 03 02 410 13.7 71.9 15.2
MICU 11 0 0 62 37 23 273 9.1 82.7 4.6 Accident Service 13A 20 806 582 0 232 0 754 25.1 125.7 0.9 Day care Surgery 13B 08 62 54 0 08 0 54 1.8 22.5 0.9 Plastic Surgery 14A 12 97 90 07 05 0 246 8.2 68.3 2.6 Orthopaedic 14B 10 45 55 01 0 0 162 5.4 54.0 2.9 Skin 19A 06 24 24 01 01 0 81 2.7 45.0 3.2 Psychiatry 19B 06 12 16 06 02 0 88 2.9 48.9 4.9 Burns 20 59 62 01 01 0 304 10.1 50.7 4.8 Isolation 21 08 02 17 17 02 0 87 2.9 36.3 4.6 Hemophilia 198 189 0 09 0 189 6.3 1.0 Eye 22 17 81 78 03 07 0 182 6.1 35.7 2.1 DU 01 07 11 16 12 0 07 0.2 23.3 0.3
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 13
QUARTERLY HEALTH BULLETIN 4th quarter
Discharge Analysis
Paediatric -Medical Month of December
Ward Beds Admission Discharges Transfer In
Transfer out Deaths Total Patents days
Average Daily Sick
Bed Occupancy Rate%
Ave. Length of Stay
01 85 674 687 63 49 01 1882 60.7 71.4 2.6
02 74 574 580 58 63 01 1518 49.0 66.2 2.4
03 73 646 635 46 60 02 1867 60.2 82.5 2.7
04 89 555 545 42 57 01 1561 50.4 56.6 2.6
08 77 561 558 33 54 01 1703 54.9 71.3 2.8
09 76 631 625 39 59 0 1884 60.8 80.0 2.8
Total 474 3641 3630 281 342 06 10415 336.0 70.9 2.6
Paediatric - Surgical Month of December
Ward Beds Admission Discharges Transfer In
Transfer out Deaths Total Patients days
Average Daily Sick
Bed Occupancy Rate
Ave. Length of Stay
05 39 257 292 71 37 0 1036 33.4 85.7 3.1
07 39 196 251 62 11 0 613 19.8 50.7 2.3
10 39 249 333 97 41 01 647 20.9 53.5 1.7
11 43 393 431 89 33 0 947 30.5 71.0 2.0
Total 160 1095 1307 319 122 01 3243 104.6 3.4 2.3
Other Special Units- Month of December
Type of Specility
Ward Beds Admissions Discharges Transfer In
Transfer out
Deaths Total Patients days
Average Daily Sick
Bed Occupancy Rate%
Ave. Length of Stay
Rheumatology & Rehabilitation
06 25 77 81 03 04 0 454 14.6 58.6 5.3
ENT 12 38 470 484 23 13 0 899 29.0 76.3 1.8
Cardiology 15 27 118 107 23 36 01 642 20.7 76.7 4.5
SICU 08 0 0 55 52 06 182 5.9 73.4 3.1
CTICU 06 0 0 25 23 02 181 5.8 97.3 7.2
HDU 12 0 0 57 56 04 229 7.4 61.6 3.8
Cardiothoracic 20 23 116 164 70 49 0 1125 36.3 157.8 5.3
Neonatal care unit
19 25 21 02 03 08 321 10.4 54.5 10.0
MICU 11 0 0 47 33 17 313 10.1 91.8 6.3
Accident Service
13A 20 838 606 0 228 0 768 24.8 123.9 0.9
Day care Surgery
13B 08 54 52 0 02 0 49 1.6 19.8 0.9
Plastic Surgery 14A 12 95 108 08 03 0 228 7.4 61.3 2.1
Orthopaedic 14B 10 46 48 02 0 0 142 4.6 45.8 3.0
Skin 19A 06 21 23 04 01 0 91 2.9 48.9 3.8
Psychiatry 19B 06 09 14 05 0 0 94 3.0 50.5 6.7
Burns 20 63 62 0 0 0 322 10.4 51.9 5.2
Isolation 21 08 03 41 42 04 0 169 5.5 68.1 3.8
Hemophilia 125 123 0 02 0 123 4.0 1.0
Eye 22 17 58 65 09 05 0 161 5.2 30.6 2.3
DU 01 10 12 12 10 0 10 0.3 32.3 0.5
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 14
QUARTERLY HEALTH BULLETIN 4th quarter
Other Departmentsand Units
1 Radiology Department
The unit consist of three Radiologists and seven Medical officers and thirteen Radiographers. Theyprovide Services for the
out patients, clinic patients referredfrom other organizations.
No of Radiological examinations performed from October to December 2013
Specility October November December Total
No of Special exams 62 66 56 184
No of CT exams 272 305 244 821
No of Routine exams 5481 5441 4998 15920
No of total X-Ray exams 5815 5812 5298 16925
No of US exams 1201 1075 987 3263
No of Nuclear Imaging exams 169 161 169 499
Total exams 7185 7048 6454 20687
No of Patients 7185 7048 6454 20687
No of Films used 5650 4100 3875 13625
2 Electrocardiogram -ECG
There are six Cardiographers in this unit. They provide services for OPD ,clinics and indoor Patients. This unit also provide 24
hours services for indoor patients.
No of ECG examinations performed from October to December 2013
Month In Patients Out Patients Total
October 356 163 519
November 414 124 538
December 380 101 481
Total 1150 388 1538
3 Electroencephalogram -EEG
This unit provides services under administration of consultant Neurologist. There are four recordists.
EEG examinations performed from October to November 2013
Month In patients Out Patients Total
October 139 151 290
November 123 145 268
December 125 144 269
Total 387 440 827
4 Psychiatric Unit
Month In patients Out Patients Total
October 24 153 177
November 23 113 136
December 17 97 114
Total 64 363 427
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 15
QUARTERLY HEALTH BULLETIN 4th quarter
5 Physiotherapy Department
Pediatricphysiotherapy is very different to treating adults. Helping children remain motivated and keeping a positive attitude
towards their physiotherapy is essential to their progress. We ensure sessions are fun interesting and something to look forward
to and enjoy.
Physiotherapy is a clinical health science and profession that aims to rehabilitation and improve people with movement
disorders by using evidence based,natural such as exercise, motivation adapted equipment and education. Our Institution has
well organized physiotherapy department.
The Physiotherapy Department was established in 1960 at LRH. Now it’s well equipped with all the necessary items. About
30000 registered patients are coming continuously to get treatment from this department for the diseases of Rheumatology,
Neurology; Respiratory & Orthopaedic.There are many sections such as Gymnasium, Electrotherapy unit,Hydrotherapy
unitand out door therapeutic play area etc.This physiotherapy department is conducted by Dr. Jaliya Uduwella (Chief
Physiotherapist.
The department of Physiotherapyprovides services to the patients with in the institute as well as for the reference patients. The
department of physiotherapy functions from 8.00am to 4.00pm every day except for Saturday. But Saturday also function from
8.00am to 12.00noon.
Performance of the Physiotherapy from October to November 2013
No of Patients
October November December Total
OPD 1st visits 195 220 202 617
OPD Sub visits 760 483 644 1887
Wards 1st visits 230 240 260 730
Wards sub visits 2156 2066 1813 6035
Total 1st visits 425 460 462 1347
Total sub visits 2916 2749 2457 8122
Total visits 3441 3209 2919 9569
Total treatments units 15118 13129 12012 40259
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 16
QUARTERLY HEALTH BULLETIN 4th quarter
Occupational Therapy services
The purpose of occupational therapy is to help the child achieve or maintain their maximum level of independence and to
develop practical life skills so that the child can participate to his/her full potential in the home environment. Occupational
therapy can help children overcome physical or other difficulties in order that they can function and participate in their
everyday environment.
The department of occupational therapy provides services to the patients with in the institute as well as for the reference
patients. The department of occupational therapy functions from 8.00am to 4.00pm every day except for Saturday. But
Saturday also function from 8.00am to 12.00noon.
Performance of the occupational therapy from October to November 2013
No of Patients
October November December Total
1st visits 184 172 210 566
Sub visits 1072 1062 1054 3188
Total visits 1256 1234 1264 3754
Total treated units 6280 6170 6320 18770
Orthodontic Unit
October November December Total
No of plate issued 143 150 124 417
No of cleft lip & palate patients 18 16 16 50
No of fix appliance patients 318 279 232 829
No of feeding plates fitted 0 0 0 0
Department of ENT & Audiology
October November December
Total
Audiology Test (Total) 715 637 704 2056
Pure Tone Audiograms (PTA) 137 124 179 440
Free-Field Tests 206 182 166 554
Tympanograms 337 300 331 968
Oto- Acoustic Emission tests (OAE) 0 0 01 01
Brain-Stem Evoke Response(BSER) 35 31 27 93
Hearing aids issue 02 02
Procedeous 311 341 334 986
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 17
QUARTERLY HEALTH BULLETIN 4th quarter
Nephrology Unit
Procedure Numbers October November December Total
LRH Ward Referrals 335 344 348 1027
Renal Biopsy 04 04 03 11
Clean Intermittent Catheterization training 16 12 15 43
Bladder Wash 03 04 03 10
Blood Gas 17 10 09 36
Subcutaneous Erythropoietin 02 03 02 07
Prosthetist & Orthortist Department (P&O)
Ministry of Health,Government of Sri Lanka & Handicap International (HI) are working together to address the physical
rehabilitation needs of children with disabilities.Handicap established a Prosthetic & Orthotic (P&O) clinic in 2008 within the
Lady Ridgeway Hospital for Colombo. The Prosthetic &Orthotic clinic provides prosthetic & orthotic devices, mobility aids
,adaptive devices,advice/training to children with disability/family members, referral and follow-up services. Since the opening
of the clinic in July 2009 up until June 2013, approximately 4100 children with disabilities have been provided prosthetic
&Orthotic services.
Performance of the Prosthetist & Orthortist from October to December 2013
Number of Registration144
Number of new follow ups 526
Device New Repairs L.E Prosthesis 3 01
U.E. Prosthesis
Lower Limb Orthosis 372 90
Spinal Orthosis 30 02
U.E. Orthosis 9 0
Other Assistive Device
Other assistive device 170 01
Mobillity device & Adaptive device
Mobillity device 41 02
Adaptive device 71 0
Total nof Dilivery & Repairs 696 96
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 18
QUARTERLY HEALTH BULLETIN 4th quarter
Operations & Procedures
Accident Service
Month Bone Marrow Liver Biopsy
Renal Biopsy
Others Uss quided Bortex Tenotomy Total
October 15 04 03 22
November 07 04 01 02 12 26
December 04 01 01 07 13
Total 26 01 09 01 02 22
Ophthalmology Unit
Procedure October November December Total
Cyclo Refraction 614 712 641 1967
Refraction 200 185 196 581
P.M.T (Post Medriatic Test) 114 110 140 364
Convergence 13 34 33 80
R.O.P Screening 278 171 158 607
Laser treatment 61 27 21 109
Statistics of Cardiac Catheterizations done
procedure No of Patients
October November December Total
ASD device closure 24 32 32 80 PDA device closure 04 06 05 15 PDA coilling 06 07 03 16 Cardiac catheterization 44 31 21 96 Septostomy 0 03 04 07 Pericardial aspiration 01 01 01 03 Pulmonary valvuloplasty 02 06 03 11 Aortic Valvuloplasty 02 02 COA dilatation 02 04 02 08 Flouros Copy 01 02 03 TOE 04 02 02 08 PPM Insertion 01 03 04 Coronary angiogram 01 01 02 Aortic angiogram 06 01 03 10 RVOT Perforation 01 02 0 03 C/Cath+BPV 01 01 Aortic angiogram + Bronchoscopy 01 01 Ballon dialatation of SVC 01 01 Radiology Procedure 02 03 02 07 ASD closure + LPA dilatation 01 01 RA fistula closure 01 01
Attempted PDA device closure 01 01 Attempted ASD closure 01 01 Colateral Coil Closure 01 01
Total 104 135 75 314
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 19
QUARTERLY HEALTH BULLETIN 4th quarter
Operation by nature Specialty- Month of October
Specialty Major Intermediate Minor Total Genito urinary
Ward No 05 14 49 06 69
07 04 20 01 25
10 12 70 04 86
11 12 60 03 75
OPD 03 21 03 27
Total 45 220 17 282
Plastic
Ward No 05 0 01 0 01
14B 0 02 0 02
BU 0 07 0 07
14 19 11 0 30
Total 19 21 0 40
Abdominal
Ward No 05 08 04 01 13
07 10 24 01 35
10 06 04 0 10
11 19 09 0 28
OPD 01 01 0 02
Total 44 42 02 88
Orthopaedic
05 0 01 02 03
07 0 01 01 02
10 0 01 01 02
14 0 01 04 05
14B 11 28 19 58
Total 11 32 27 70
Head Neck & Spine
05 0 07 0 07
07 0 02 0 02
10 0 01 0 01
11 0 06 0 06
OPD 0 01 0 01
Total 0 17 0 17
Thoracic
05 02 0 01 03
10 01 0 0 01
11 04 0 01 05
Total 07 0 02 09
Rectal 05 01 05 03 09
07 0 05 0 05
10 01 03 13 17
11 02 04 05 11
OPD 0 0 01 01
Total 04 17 22 43
Endoscopy
05 03 14 0 17
07 03 03 0 06
10 02 19 01 22
11 01 36 0 37
12 32 08 19 59
OPD 0 08 0 08
Total 41 88 20 149
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 20
QUARTERLY HEALTH BULLETIN 4th quarter
Specialty
ENT
12 18 13 16 47
11 01 0 0 01
Total 19 13 16 48
Traumatic
05 0 0 75 75
07 0 0 92 92
10 0 0 85 85
11 0 02 81 83
Total 0 02 333 335
Miscellaneous
05 01 08 71 80
07 0 07 78 85
10 0 08 71 79
11 0 16 94 110
12 0 06 05 11
14 0 02 11 13
14B 0 01 06 07
OPD 0 02 14 16
BU 0 01 01 02
Total 01 51 351 403
EYE
22
Total
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES
October Open heart Major Close heart Major
Other Major
Other Minor
Minor Procedure
Thoracic Minor Surgical Procedure
Anesthetic procedure
Total
Routine 58 17 01 03 06 85 Emergencies 01 01 20 22 Total 58 17 01 01 04 26 107
Min
or
Op
era
tio
ns
do
ne a
t
OP
D
Surgical Clinic
Umbilical Cauterization
Others Suture Removal
Total
01 32 06 39 Skin Clinic
Skin Erxission Electric Cortrization
Scraping Skin biopsy
Skin Grafting
Skin Crayo
Others Tissue Reduction
Total
01 04 05 25 241 07 01 284
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 21
QUARTERLY HEALTH BULLETIN 4th quarter
Operation by nature specialty - Month of November
Major Intermediate Minor Total
Genito urinary
Ward No 05 13 31 16 60
07 09 29 03 41
10 10 45 05 60
11 12 70 04 86
OPD 03 23 03 29
Total 47 198 31 276
Plastic
Ward No 05 01 07 0 08
14 14 04 0 18
Total 15 11 0 26
Abdominal
Ward No 05 09 08 0 17
07 09 10 0 19
10 12 09 0 21
11 14 04 0 18
OPD 01 03 0 04
Total 45 34 0 79
Orthopaedic
05 0 0 01 01
07 0 0 01 01
10 0 0 01 01
11 0 0 02 02
14B 09 13 05 27
Total 09 13 10 32
Head Neck & Spine
05 0 09 0 09
07 0 02 0 02
10 0 03 0 03
11 0 05 0 05
Total 0 20 0 20
Thoracic 07 01 0 0 01
10 01 0 0 01
11 01 02 0 03
Total 03 02 0 05
Rectal
05 01 0 03 04
07 01 0 02 03
10 0 0 10 10
11 01 02 02 05
Total 03 02 17 22
Endoscopy
05 02 15 07 24
07 02 04 0 06
10 0 20 0 20
11 02 22 01 25
12 29 01 31 61
OPD 01 09 0 10
Total 36 71 39 146
ENT
12 18 11 20 49
Total 18 11 20 49
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 22
QUARTERLY HEALTH BULLETIN 4th quarter
Traumatic Major Intermediate Minor Total
05 0 01 78 79
07 0 0 81 81
10 0 02 82 84
11 0 01 82 83
Total 0 04 323 327
Miscellaneous
05 0 07 59 66
07 0 05 72 77
10 0 04 68 72
11 02 12 82 96
12 01 05 10 16
14 0 04 08 12
OPD 0 07 15 22
14B 0 0 11 11
BU 0 01 0 01
Total 03 45 325 373
EYE
22 10 04 29 43
Total 189 415 794 1398
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES
November Open heart Major Close heart Major
Other Major Other Minor
Minor Procedure
Thoracic Minor Surgical Procedure
Anesthetic procedure
Total
Routine 62 15 04 07 88 Emergencies 13 22 35 Total 62 15 04 20 22 123
Min
or
Op
era
tio
ns
do
ne a
t O
PD
Surgical Clinic
Umbilical Cauterization
Others Suture Removal
Total
32 28 60
Skin Clinic
Skin Erxission
Electric Cortrization
Scraping Skin biopsy
Skin Grafting
Skin Crayo
Others Tissue Reduction
Total
01 03 06 20 190 13 04 237
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 23
QUARTERLY HEALTH BULLETIN 4th quarter
Operation by nature Speciality - Month of December
Specialty Major Intermediate Minor Total
Genito urinary
Ward No 05 11 41 08 60
07 05 28 0 33
10 08 51 08 67
11 07 65 0 72
OPD 02 25 06 33
Total 33 210 22 265
Plastic
Ward No 05 0 01 01 02
10 0 01 0 01
12 0 01 0 01
BU 01 06 0 07
14 14 08 0 22
Total 15 17 01 33
Abdominal
Ward No 05 14 09 03 26
07 09 07 0 16
10 12 11 0 23
11 25 10 0 35
OPD 0 05 0 05
Total 60 42 03 105
Orthopaedic
05 0 0 01 01
07 0 0 01 1
10 0 0 02 02
14 0 0 01 01
14B 09 11 07 27
11 0 01 02 03
Total 09 12 14 35
Head Neck & Spine
05 0 04 0 04
07 0 02 0 02
10 0 04 0 04
11 0 04 0 04
OPD 0 02 0 02
Total 0 16 0 16
Thoracic
05 01 0 0 01
Total 01 0 0 01
Rectal
05 02 03 03 08
07 0 03 01 04
10 0 01 05 06
11 0 0 01 01
Total 02 07 10 19
Endoscopy
05 0 21 0 21
07 0 02 0 02
10 0 12 0 12
11 01 37 0 38
12 24 0 29 53
OPD 0 03 0 03
Total 25 75 29 129
ENT
12 20 07 39 66
Total 20 07 39 66
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 24
QUARTERLY HEALTH BULLETIN 4th quarter
Specialty Major Intermediate Minor Total
Traumatic
05 0 0 75 75
07 0 01 77 78
10 0 0 103 103
11 0 02 87 89
Total 0 03 342 345
Miscellaneous
05 0 10 40 50
07 0 02 54 56
10 0 07 56 63
11 0 12 100 112
12 0 11 11 22
14 0 07 09 16
14B 0 0 13 13
OPD 0 05 12 17
Total 0 54 295 349
EYE
22 05 06 26 37
Total 170 449 781 1400
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES
December Open heart Major Close heart Major
Other Major
Other Minor
Minor Procedure Thoracic Minor Surgical Procedure
Anesthetic procedure
Total
Routine 54 08 04 04 70 Emergencies 33 13 46 Total 54 08 04 37 13 116
Min
or
Op
era
tio
ns
do
ne a
t O
PD
Surgical Clinic
Umbilical Cauterization
Others Suture Removal
Total
31 05 36
Skin Clinic
Skin Erxission
Electric Cortrization
Scraping Skin biopsy
Skin Grafting
Skin Crayo
Others Tissue Reduction
Total
04 02 01 25 202 10 06 250
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 25
QUARTERLY HEALTH BULLETIN 4th quarter
Hospital Laboratory Services
The Laboratory services of this hospital consist offour Sections Bio-Chemistry,Hematology,Histopathology andMicrobiology.
Staff Consist of Consultant Hematologist, Consultant Microbiologist Five grade Medical Officers ,31 Medical Laboratory
Technologists.
Services are provided by main laboratory from 8.00am to 4.00pm and 4.00pm to 8.00am. Night lab for Inpatients.Out Patients
and the Clinic patients are served by the OPD Lab.OPD lab performed routine hematological investigations such as
WBC/Dc, Hb, UFR, ESR and FBC.
Consultant’s Name
Biochemistry Section Dr.(Mrs) Iresha Jasinghe
Microbiology Dr.(Mrs) Kumudu Karunarathna
OPD Dr. (Mrs)Shiromi Perera
Hematology Dr.(Mrs) Mala Jayathilake
Histopathology Dr.(Mrs) Shiromi Perera
Night Lab Dr.(Mrs) Iresha Jasinghe
Total Laboratory investigations performed from April to June 2013
Section October November December Total Biochemistry 32700 31627 31849 96176
Microbiology 7861 7814 8656 24331
OPD 17397 19663 21849 58909
Hematology 25204 26335 26473 78012
Histopathology 865 845 813 2523
Night Lab 10798 14264 14113 39175
Total
OPD Section
Blood Test October November December Total
Blood -WBC/DC 2892 3315 3691 9898
Blood Hemoglobin 2892 3315 3691 9898
Blood Packed cell volume 3010 3405 3789 10204
Blood platelets 3010 3405 3789 10204
Blood ESR 531 553 615 1699
Blood picture 390 403 509 1302
Blood bleeding time 25 28 21 74
Blood Clotting time 25 28 21 74
Blood Malarial parasites 01 01
Urine full report 1301 1403 1492 4196
Urine ketone bodies 02 08 12 22
Urine bile 10 17 21 48
Urine sugar 131 142 151 424
Urobilinogen 10 17 21 48
Red Cell Indices 2892 3315 3691 9898
Stool reducing substances 88 96 105 289
Stool full report 173 191 209 573
Reticulocytes count 15 22 20 57
Total 17397 19663 21849 58909
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 26
QUARTERLY HEALTH BULLETIN 4th quarter
Biochemistry Section
Blood Test October November December Total
Serum Electrolytes 1. Sodium 2. Potassium 3. Chloride
2100 2100 2100
2774 2774 2774
2820 2820 2820
7694 7694 7694
Serum total bilirubin 416 792 805 2013
Serum direct bilirubin 350 587 636 1573
Serum SGOT (AST) 3006 2508 2610 8124
Serum SGPT (ALT) 3100 2622 2610 8332
Serum total Protein 890 629 602 2121
Serum Albumin 2800 2173 2008 6981
Serum total cholesterol 320 660 592 1572
Serum Alkaline Phosphatase 1025 676 712 2413
Serum amylase 140 109 112 361
Serum calcium 1600 1320 1410 4330
Serum phosphates 580 404 450 1434
Serum Osmolality 32 60 58 150
Serum Creatinine 3260 2573 2615 8448
Serum urea 3700 3982 3752 11434
Serum sugar+ CSF sugar 1200 1359 1450 4009
Serum magnesium 288 264 252 804
Serum uric acid 184 108 95 387
Plasma Amonia 22 22
CRP 2725 1374 1405 5504
Urine Test -Urine calcium 30 86 98 214
Urine phosphate 16 80 82 178
Urine Creatinine 240 177 200 617
Urine ketone bodies 15 14 11 40
Creatinine Clearance 13 08 12 33
Urine bile 06 07 10 23
Urine PH 08 10 06 24
Urine Cystine 05 03 10 18
Urine Sodium 28 08 10 46
Urine Potassium 28 08 10 46
Urine chloride 28 08 10 46
Urine Protein 04 69 72 145
Urine osmolality 32 54 60 146
Urine Nitrosonapthol 12 03 10 25
Calcium /creatine ratio 56 60 62 178
Urine Mucopolysaccharides 20 11 15 46
Urine Haemocystine 02 02 04
Urine reducing substances 18 07 05 30
Protein / creatinine ratio 42 68 66 176
Urine Fecl3 for phenylketonuria 01 01 04 06
Urine uric acid 16 06 08 30
Urine deposits 06 02 04 12
Urobilinogen 03 02 05
PO4 /creatinine ratio 30 24 28 82
Uric acid creatinine ratio 12 05 06 23
Urine magnesium creatinine ratio 03 03 08
Urine magnesium 08 09 17
Urine glucose strip test 04 04 03 11
Urine DNPH 05 01 03 09
24hrs protein 22 22
24hrs phosphate 30 30
24hrs Uric Acid 12 12
24hrs Electrolytes 05 05
CK MB 116 120 236
CK 120 136 256
G.G.T 125 130 255
Miscellaneous
Water deprevation 01 02 03
stone analysis 01 01 02
Stool test
Reducing substance 06 02 03 11
Occult blood 06 03 03 12
Total 32700 31627 31849 96176
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 27
QUARTERLY HEALTH BULLETIN 4th quarter
Bacteriology section
Blood Test October November December Total
Blood culture ABST
611 82
504 194
800 327
1915 603
CSF Culture and gram stain Full report ABST Antigen test
78 78
78
84 84
84
90 90 01 90
252 252 01 252
Pus, direct smear and culture ABST
319 269
299 311
300 270
918 850
Throat swab/Nasal swab culture ABST
17 10
20 06
11 07
48 23
Body Fluids / Aspirates D/S & Culture 10 08 08 26
Respiratory culture ABST
204 352
178 49
212 244
594 645
MRSA culture ABST
317 37
328 49
254 28
899 114
Urine culture ABST Urine full report Urine Reducing Substances
1231 218 1182 11
1250 175 1193 13
1299 193 1196 14
3780 586 3671 38
Stool culture ABST Stool full report Stool reducing substances
77 10 301 57
79 04 150 39
72 08 161 41
228 22 612 137
AFB 17 07 06 30
Direct Smear 2183 2105 2286 6574
Infection control sample culture 21 39 59 119
API 400 400 800
Dengue Antibody 91 162 189 442
Dengue -Positive 58 115 173
Total 7861 7814 8656 24331
Haematology section
Blood Test October November December Total
Hemoglobin 4600 4800 4820 14220
White Blood cell/ Differential count 4300 4512 4520 13332
Platelets count 4400 4618 4620 13638
Packed cell volume 4400 4620 4640 13660
ESR 640 618 632 1890
Malarial parasites 08 08 06 22
Blood bleeding time 12 24 26 62
Blood picture 700 668 670 2038
Inhibitor Screening 11 08 09 28
Reticulocyte count 168 172 170 510
Bone marrow 19 20 22 61
Sickle test 07 06 04 17
Iron stain 08 12 10 30
Red cell indices 4600 4818 4800 14218
APTT 510 538 612 1660
Factor IX correction 09 10 10 29
Factor X correction
Factor IX Assay 06 10 10 26
Factor VII Assay 09 09
Factor VIII Assay 15 17 32
Factor VII correction
Factor VIII correction 11 12 14 37
Factor VIII inhibitor levels 05 02 04 11
G6PD 04 04 05 13
Rheumatoid factor 12 14 14 40
Clot solubility
Prothrombine test 680 746 752 2178
Urine Spectroscopy 07 10 08 25
Thrombin time 70 60 65 195
Urine Haemosidern 06 08 10 24
Ham’s test 02 03 03 07
Total 25204 26335 26473 78012
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 28
QUARTERLY HEALTH BULLETIN 4th quarter
Histopathology section
Blood Test October November December Total
Fine Needle aspiration cytology 45 35 55 135 Direct Smears/ cytology 31 25 31 87 Buccal smears 08 04 12 24 Post Mortem 01 01 02 Post Mortem slide preparation 30 24 54 Special staining 28 37 52 117 Surgical Biopsy slide preparation 753 714 639 2106 Total 865 845 813 2523
Night Lab
Blood Test October November December Total
Hemoglobin 05 09 11 25
APTT
Platelets 15 23 26 64
CSF Full Report 18 34 29 81
CSF Sugar 198 34 29 261
Blood Urea 531 654 663 1848
Full Blood Count 2110 3156 3018 8284
Blood Sugar 198 237 243 678
WBC/DC 12 24 29 65
Serum Bilirubin - Direct 170 218 224 612
Serum Bilirubin - Total 184 231 245 660
Urine full Report 475 715 724 1914
Ketone bodies 07 13 15 35
Stool Full Report 16 34 29 79
Stool Reducing Substances 11 18 14 43
Bleeding time 14 28 31 73
Clotting time 14 28 31 73
Hematocrits values 2110 3156 3018 8284
Prothrombin time 371 420 434 1225
Urine bile 05 09 11 25
Aspiration Fluids 01 03 05 09
Serum electrolytes Cl- 04 08 11 23
Serum electrolytes Na+K+ 1221 1276 1289 3786
Urine electrolytes Cl- 04 08 09 21
Urine electrolytes Na+K+ 11 18 20 49
Serum Cholesterol 181 219 222 622
Serum Albumin 420 520 519 1459
Serum Calcium 442 505 499 1443
Serum Creatinine 505 601 613 1719
SGOT (AST) 554 754 759 2067
SGOT(ALT) 540 773 781 2094
Total 10798 14264 14113 39175
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 29
QUARTERLY HEALTH BULLETIN 4th quarter
Bolod Bank- Month of October
Analysis of RCC (450ML units) Component requests & issues
For Patients in state Hosp. words
RCC FFP PLt Cryo CSP/plasma Buffy Coat
R C/M I R I R I R I R I R I
Paediatric 1252 1325 568 511 358 513 202 353 101 23 19 02 01
other 545 322
Total 1252 1325 1113 511 358 513 524 353 101 23 19 02 01
No of special RCC requests with indications-Month of October
Indication/RC Type Thal/Hb’ paty
Ch. renal Dis Malig Th. reaction other Total Request Total issues
Noof LR/BCR requests 88 88 43 No of L.F requests 03 03
No of WRC requests 73 05 78 153
L.R= Leuko Reduced , BCR= Buffy Coat Removed, LF= Leuko Filtered, WRC= Washed Red Cells
Bolod Bank- Month of November
Analysis of RCC (450ML units) Component requests & issues
For Patients in state Hosp. words
RCC FFP PC Cryo CSP/Plasma Buffy Coat
R C/M I R I R I R I R I R I
Paediatric 1490 1412 510 487 246 490 292 443 150 12 12
Other 402 209
Total 1490 1412 912 487 246 490 501 443 150 12 12
No of special RCC requests with indications -Month of November
Indication/RC Type Thal/Hb’ paty
Ch. renal Dis Malig Th. reaction other Total Request Total issues
Noof LR/BCR requests 97 07 104 31 No of L.F requests 18 18
No of WRC requests 24 24 147
L.R= Leuko Reduced , BCR= Buffy Coat Removed, LF= Leuko Filtered, WRC= Washed Red Cells
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 30
QUARTERLY HEALTH BULLETIN 4th quarter
Bolod Bank- Month of December
Analysis of RCC (450ML units) Component requests & issues
For Patients in state Hosp. words
RCC FFP PC Cryo CSP/Plasma Buffy
R C/M I R I R I R I R I R I
Paediatric 1398 1486 486 489 268 523 236 459 226 25 21
Other 554 285
Total 1398 1486 1040 489 268 523 521 459 226 25 21
No of special RCC requests with indications Month of December
Indication/RC Type Thal/Hb’ paty
Ch. renal Dis Malig Th. reaction other Total Request Total issues
Noof LR/BCR requests 201 201 115 No of L.F requests 03 03
No of WRC requests 04 04 36
L.R= Leuko Reduced , BCR= Buffy Coat Removed, LF= Leuko Filtered, WRC= Washed Red Cells
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 31
QUARTERLY HEALTH BULLETIN 4th quarter
MONHLY RETURN OF NOTIFICATION- LADY RIDGEWAY HOSPITAL
Month of October
Diseases Ward No No of Patients 01 02 03 04 08 09 MICU Total
Dysentry 05 08 10 02 05 30
Enteric Fever
AEFI 03 01 02 01 01 01 09
AFP 01 01 01 01 04
Typhus 02 02
Hepatities A 01 01
DHF + DF 36 14 03 62 24 32 03 174
Mumps
Chicken pox 01 01
Measles 01 01 01 03
Meningitis
Whooping Cough 01 02 03
Tuberculosis 01 01
Total 48 15 16 76 29 41 05 230
Month of November
Diseases Ward No No of Patients 01 02 03 04 08 09 MICU 21 OPD 05 07 10 Total
Dysentry 04 04 07 02 01 01 01 20
Enteric Fever 01 01 02
AFP 01 01 02
AEFI 01 01 01 01 01 01 01 07
Hepatitis A 01 01
DHF + DF 54 54 33 86 45 54 05 01 332
Chicken pox 01 02 03
Measles 02 10 12
Herpes Zoster 01 01
Meningitis 03 02 02 02 09
Total 65 60 44 89 46 59 07 14 02 01 01 01 389
Month of November
Diseases Ward No No of Patients 01 02 03 04 08 09 MICU 21 Total
Dysentry 03 02 05 01 01 03 15
Enteric Fever 01 04 01 06
JE 01 01
TB 02 02
AEFI 01 01
AFP 01 01 01 02 05
DHF + DF 71 77 62 97 55 94 07 463
Influenza A 01 01
Chicken pox 07 07
Mumps 01 01
Typhus Fever 01 01 02
Measles 03 01 01 01 29 35
Whooping Cough 01 01
Meningitis 02 03 02 07
Food Poisonning 01 01 02 Total 80 84 78 104 58 100 08 37 549
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 32
QUARTERLY HEALTH BULLETIN 4th quarter
Hospital Finance
Vote Expenditure type Amount Rs.
Recurrent Expenditure
1.Personal Emoluments October November December Total
111-1-8-1-1001 Salaries & Wages
111-1-8-1-1002 other allowances & H.P
111-1-8-1-1003 Other allowances
2.Travelling Expences
111-1-8-1-1101 Travelling Expences
3.Supplies
111-1-8-1-1201 Stationary & Office Request
111-1-8-1-1202 Fuel & Lubricants
111-1-8-1-1203 Diets & Uniforms
111-1-3-0-1204 Medical Supplies
111-1-8-1-1205-(1) Garbage
111-1-8-1-1205-(11) Other Supplies
4.Maintennance Expenditure
111--8-1-1301 Vehicles Repair
111--8-1-1302 Plant Machinary & Equipment
111--8-1-1303 Build & Structure
5.Contructual Service
111-8-1-1402 Postal Charges & telecommunication
111-8-1-1403 Electricity water & gas
111-8-1-1404 Rates & Taxes
111-8-1-1405 Other contractual service
6.Other Recurrent Expenditure
111-1-8-1-1506 Property loan
111-1-8-1-1508 Other
7.PGIM/Intern
111-2-11-1-1001 Salaries & Wages
111-2-11-1-1002 Overtime Allowance & H.P
111-2-11-1-1003 Overtime Allowance
111-2-11-1-1405 Training
8.Blood Bank
111-1-8-9-1001 Salaries & Wages
111-1-8-9-1002 Overtime Allowance & HP
111-18-9-1003 Overtime Allowance
Rehabilitation & Improvements
111--2-13-1--2001(11) Building & Structure
111-02-13-1-2002(2) Medical Equipment Repair
111-2-13-13-2103(11)4 Lab Equipment
111-02-13-28 - 2104(1) Underground water tank Repair
111-02-13-5-2103(1) Air Conditions Supply & Instolation
Acquisition of fixed assets
111-2-13-1-2102 Furniture & office Equipment
111-2-13-76-2103 (11) Telephone Repairs
111-2-13--08-2103(11) Medical Air Supply
111-2-13-11-2103 Medical Equipment
111-2-13-13 2103-11(1) Medical Equipment
111-2-13-8-2103(11) Medical Air Supply
Total
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 33
QUARTERLY HEALTH BULLETIN 4th quarter
Department of Pharmaceuticals
The Institution has well organized pharmaceuticals department, which is the most expensive and important component of the
hospital
It provides services to the patient’s within the institute as well as for the special campaigns and for any situation of disasters.
The department performs routine functions from 8am to 4pm everyday,except for Saturdays. Where it functions from 8am to
12noon.It also functionsfor 24 hour throughout emergencies.The Chief Pharmacist is involved in administrative functions and
there are 26 Pharmacists and 12 Dispensers.
Theinstitutionobtain drugs from Medical Suppliers Department of Ministry of Health.
Local Purchase drug list for the month of October 2013
Name of the drug Strength Quantity Unit price Cost Rs.
Baby haler 05 2875.00 14,375.00
Aerochamber 01 2148.00 2,148.00
Tab Medion 16mg 20 45.00 900.00
Tetacycline Hydro Ointment 10 200.00 2,000.00
Coban Plaster 10 265.00 2,650.00
Inj. Linsolid 600mg 3 7854.00 23,562.00
Inj. Pantaprosole 3 200.00 600.00
Inj. Vit B Complex 3 35.00 105.00
Cap Vit E 100mg 3 4.90 14.70
Kleen Enema 5 210.00 1,050.00
Tab. Oxybutanin 5mg 10 18.40 184.00
Micanazole & Hydro Cream 2 529.00 1,058.00
Microenema 12 60.00 720.00
Soft clothe liner tape 2 890.00 1,780.00
Teras Natural 3 393.00 1,179.00
Non Allergic Plaster 24 185.00 4,440.00
Soft clothe liner tape 33 1215.00 40,095.00
Sy Orciprenaline 1 140.00 140.00
Sy. Solmux 60ml 5 315.00 1,890.00
Tab Methyl Prednisolone 17 7.50 127.50
Tab Neurobion 6 9.99 59.94
Tab. Ursodeoxycholic acid 29 50.00 1,450.00
Transparent film dressing 265 80.00 21,200.00
Transparent film dressing 1626 99 205.00 20,295.00
White soft parafin 20kg 13435.70 13435.70
155,458.84
By Special Tender Approval
Formulated items- Out of stock at MSD
Name of the drug Strength Quantity Unit price Cost Rs.
Inj. Goseraline Acetate 3.6mg 10 19900.00 199,000.00
199,000.00
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 34
QUARTERLY HEALTH BULLETIN 4th quarter
Lacal Purchase drug list for the month of November 2013
Name of the drug Strength Quantity Unit price Cost Rs.
Baby haler 2 2875.00 5,750.00
0.5% Acetic acid 4000ml 0.30 1,200.00
Empty bottels 8 34.00 272.00
inj. Gosereline acetate 3.6mg 1 22885.00 22,885.00
Slicone gel 1 4255.00 4255.00
Tab. Amiloride with thiazide 33 7.50 247.50
Tab Metolazone 64 29.35 1,878.40
Syp. Sodium valproate 1 520.00 520.00
Inj.Imipenum 3 2550.00 7,650.00
Kleen Enema 36 210.00 7,560.00
Tab. Oxybutanin 5mg 5 9.20 46.00
Micanazole & Hydro Cream 2 529.00 1,058.00
Tab. Desmopressin 9 166.00 1,494.00
Syp. Mucaine 5 200.00 1,000.00
Colloid dressing 2 1935.00 3,870.00
Inj. Imipenum 9 2724.90 24,524.10
Calcium resonium 2 319.00 638.00
Inj. Hepatitis A & B vaccine 2 2600.00 5,200.00
Tears Natural 1 393.00 393.00
Inj. Infanrix hexa 1 3385.00 3,385.00
Non Allergic plaster 21 95.00 1,995.00
Soft clothe liner tape 7 1215.00 8,505.00
Non allergic plaster 1 360.00 360.00
Tab. Desmopressin 6 114.00 684.00
Sy. Solmux 60ml 1 315.00 315.00
Syp. Multivitamin with Zinc 1 300.00 300.00
Inj. Imipenum 2 2415.00 4,830.00
Tab Albendazole 9 6.90 62.10
Tab Ursodexycholic acid 9 50.00 450.00
Transparent film dressing 1624 125 80.00 10,000.00
Transparent film dressing 1626 100 205.00 20,500.00
White soft parafin 20kg 13435.70 16475.70
Total 158,302.80
By Special Tender Board Approval
Name of the drug Strength Quantity Unit price Cost Rs.
Cap. Biotin 500mg 60 37.73 2,263.80
Total 2,263.80
Grand Total Rs. 160,566.60
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 35
QUARTERLY HEALTH BULLETIN 4th quarter
Medical Records Unit
Main Functions of this unit
Collection of information- ReceivingBHTT & other documents
Processing /sorting of information -Coding (according to International Classification of Diseases (ICD 10)
Storing of Information-Secure of Medical Records retrieving for continuity of patient care,judicial purposes.
Retrieval of Information - Research, Judicial & administration purposes as requested by patients and relatives .etc.
Distribution of information -Collecting data and preparing statistical returns which will be sent to the DirectorMedical
statistics unit and other relevant institutions.
Value of the MEDICAL RECORD
A good complete medical record is of value
To the Patient
As the medical record contains a complete report of a patient’s illness and results of treatment, it is of great value to the patient
for
Future care for the same or other illness, facilitating continuity and excellence of care and cost savings derived from not
having to repeat diagnostic testsunnecessarily
Informing them (by giving access) of their care ,treatment and as a legal documents to support claims for injury,
To the Hospital, Clinic or other Health Facility
The medical record may be used by the health facility to evaluate the standard of care rendered by staff and the end results of
treatment. If adequate records are not kept, the facility cannot justify the results of treatment. The medical record is also of
value to the facility for medico-legal purposes. Statistics derived from medical records can be used for evaluating and planning
present and future hospital services.
Tothe Doctor and other Health Professionals
The medical recordis of value to all health professionals caring for a patient. The patient may have been treated by them
previously or by other health professionals. The medical records enable pertinent clinical, social or other relevant, information
to be readily available for continuing patient care. In addition the medical record is of value for review of diseases, treatment
and responses to treatment.(research, quality assurance, education and professional development of staff)
To Researchers, Statisticians and Educators
To scientific research the medical record has the potential to be an important tool. At its best, the information within a medical
record supplies a practical and reliable source of material for the advancement of medical science. This information is
Education also valuable in the collection of statistics on health care and the incidence of diseases, and for education of health
professionals
L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n
Page 36
QUARTERLY HEALTH BULLETIN 4th quarter
Education Programme for Lady Ridgeway Hospital Child Patients
The government has decided to allocate diploma holder who join the ‘teachers’ service from the NationalColleges of
Education : for Sinhala medium and Tamil medium, to visit the Lady Ridgeway Hospital .These Diploma holders will keep the
student patients engaged in educational activities.
Children between the age group of 5-12 years from all parts of the country visit the Lady Ridgeway Hospital for medical
treatment and some of them who warded in the hospital for several months for treatment purposes neglect their education by
not being able to attend the school for a considerable period.
The programme will enable child patients to continue their education while receiving treatment without any interruption. This
will also prevent school drop outs due to illnesses.
top related