Quarterly Health Bulletin 3rdQuarter 2013
Lady Ridgeway Hospital for Children
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
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 inthe 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.
Lady Ridgeway Hospital for Children
Page 1
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Head of the Organization Hospital Director Dr. Rathnasiri A. Hewage MMBS MSc (Med.Admin) MD(Med. Admin),MACPE(USA),AMCMA(SL),DIPPCA
Telephone no 0112691521 rathnasiri@health.gov.lk 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 Lady Ridgeway Hospital for Children
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QUARTERLY HEALTH BULLETIN
3rd quarter 2013
ď ś Laboratory Services
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 Julyto September 2013 No of Patients No of First Visits No of Subsequent Visits No of Emergency Patients (Ward Admissions) Emergency Treatment Unit OPD Visits (Accident Service) Diarrhoea treatment unit Observation unit No of patients treated for injuries in the dressing room Rheumatic clinic Lactation Management unit Nutrition clinic Non Communicable diseases Total No of Patients Encounters
No of Specimen taken Mantaux test
August
Sep
Total
36276 3150 8113 3575 3262 3039 761 614 72 207 194 119 59382
28207 2243 6964 2555 3357 2029 503 653 91 195 197 131 47125
25857 1565 6243 2288 3251 1567 411 786 84 193 193 111 42549
90340 6958 21320 8418 9870 6635 1675 2053 247 595 584 361 149056
July
Aug
Sep
Total
4621 47
3355 49
2949 29
10925 125
Ward Admissions Emergency Treatment Unit Diarrhoea Treatment Unit Dengue Observation Unit
July
July
No of Patients Aug Sep
847 23 258
606 19 174
Total
511 17 117
1964 59 549
OPD Deaths July Death on admission After admission
06 01
No of Deaths Aug Sep 03 0
01 0
Total 10 01
Lady Ridgeway Hospital for Children
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QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Out Patients Services Lactation Management center Month
Referred from wards
July Aug Sep Total
referred from OPD
86 83 65 234
43 35 49 127
Direct
1st visits
13 08 13 34
2nd visits
142 126 127 395
65 69 66 200
Total
Cleft palate & Lip
207 195 193 595
20 17 19 56
Nutrition Clinic Month
1st visits
Sub visits
Over 5 years
Total
July Aug Sep Total
59 79 55 193
117 109 125 351
18 09 13 40
194 197 193 584
Nutritional Stages 1SD 36 34 38 108
2SD 52 69 52 173
3SD 85 83 86 254
Referred
Stunted
Wasted
Stunted & Wasted
06 02 04 12
0 0 0 0
12 05 03 20
06 04 10 20
to MOH
Median 06 02 04 12
Non Communicable Diseases Control unit Month
July Aug Sep Total
Diabetic Patients
Newly Diagnosed 04 0 03 07
Sub visits 57 32 37 126
Obesity Patients
Total 61 32 40 133
Newly Diagnosed 34 58 42 134
Sub visits 24 41 29 94
Total
Councelled adult Patient
Community Programme
01 03 07 11
01 0 0 01
Total 58 99 71 228
Lady Ridgeway Hospital for Children
119 131 111 361
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QUARTERLY HEALTH BULLETIN
3rd quarter 2013
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 July to September 2013 No of Patients Fall Trauma Animal Bite Foreign body Road Traffic Accident(RTA) Emergency Treatment unit Cut injury Burns Prick Injury Bicycle Spoke Injury Assault Deaths Crush injury Child abuse Electrocution Others Staff Total
Aug 1382 561 423 201 87 07 65 48 41 19 23 0 31 0 01 01 467 3357
Sep 1276 594 368 189 73 0 71 50 46 12 39 0 38 0 02 03 490 3251
Total 3964 1753 1109 588 248 15 208 142 117 47 100 0 98 01 04 06 1470 9870
No of Patients treated in the Accident Service July,August & September
H/O Fall Trauma Animal… Foreign… RTA A/S ETU Cut Injury Burns Prick… BSI Assualt A/S… Crush… Child… Electro… Others
4500 4000 3500 3000 2500 2000 1500 1000 500 0
July 1306 598 318 198 88 08 72 44 30 16 38 0 29 01 01 02 513 3262
Lady Ridgeway Hospital for Children
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QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Immunization Immunization is the process whereby a person is made immune orresistant 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
Performance of ImmunizationfromJuly to September 2013 No of Patients
Type of Immunization (Vaccine) July Polio
1st dose 2nd dose 3rd dose 4th dose Booster 5th dose Total 3rd dose 4th dose Booster Total
DT
41 34 28 59 58 220
Aug
Vitamin A
1st dose 2nd dose Extra Hep B Total 6 months 9 months 1.5 years 3 years 5 years Total
Japanese Encephalitis Pentavalent
ARS (ERIG) ARV ARS (HRIG) Measles Rubella Mums(MMR) BCG ADT
2 months 1st dose 4 months 2nd dose 6 months 3rd dose 4th dose Total
29 20 29 39 68 185 0
Total
69 69
09
09
04 19 22 42 54 43 180
02 02 20 16 36 36 44 152
13 15 25 39 43 135
04 02 06 52 53 103 129 130 467
83
205
199
487
38 34 28 58 158 10 490 26 141 20 77
37 30 29 51 147 09 602 28 102 23 110
29 20 29 37 180 08 600 26 132 25 82
104 84 86 146 420 27 1692 80 375 68 269
Tetanus Toxoid Hepatitis (B)
Sep
107 85 87 150 202 631 01 01 211 213
62 62
37 31 30 52 76 226 01 01 80 82
04
Lady Ridgeway Hospital for Children
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QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Clinics by specialty Month of July Wards
No of clinics
Medical
01 02 03 04 08 09
VP /OPD RP/OPD Total Medical Surgical
VS/OPD Total Surgical ENT- DrYasawardena ENT- Dr. Kirihena Total ENT Skin Cardiology Rheumatology & Rehabilitation Neonatal Care unit Dental Orthodontic Orthopaedic Multidisciplinary CLAP (MCC) Child Guidance Total Child Guidance Speech & Language Child Development Renal Ward 01 Renal Ward 03 Total Renal Burns Eye Asthma Ward 02 Asthma Ward 09 Total Asthma Plastic Surgery Neurology - Dr. PiyaraRathnayake - Dr. Padeniya - Dr.GithangiWanigasinghe Total Neurology Nephrology Oncology Headache Intervention Obesity Endocrinology Diabetic Visual & Rehabilitation Total
05 07 10 11 12 12 19A 15 06
14B A B
04 08 08 09 09 09 26 26 99 07 06 07 05 18 43 13 13 26 26 26 25 05 26 26 08 04 09 18 27 22 04 04 05 09 05 26 03 04 07 04 18 10 04 32 24 03 04 03 04 01 04 03 496
No of 1st visits 64 285 213 223 261 250 408 404 2108 88 42 88 74 348 640 476 366 842 1389 825 414 02 1066 176 498 24 86 265 351 220 03 22 19 41 19 877 04 06 10 44 80 79 13 172 38 04 43 15 18 15 12 08 9874
No of Sub visits
Total visits
Average per clinics
205 240 312 307 320 376 613 53 2426 460 333 296 391 462 1942 705 425 1130 862 1550 684 01 300 1965 488 64 255 683 938 385 17 49 86 135 51 777 69 36 105 85 536 206 195 937 369 04 96 35 22 65 16 05 15454
269 525 525 530 581 626 1021 457 4534 548 375 384 465 810 2582 1181 791 1972 2251 2375 1098 03 1366 2141 986 88 341 948 1289 605 20 71 105 176 70 1654 73 42 115 129 616 285 208 1109 407 08 139 50 40 80 28 13 25328
67.3 65.6 65.6 58.9 64.6 69.6 39.3 17.6 45.8 78.3 62.5 54.9 93.0 45.0 60.0 90.8 60.8 75.8 86.6 91.3 43.9 0.6 52.5 82.3 123.3 22.0 37.9 52.7 47.7 27.5 5.0 17.8 21.0 19.6 14.0 63.6 24.3 10.5 16.4 32.3 34.2 28.5 52.0 34.7 17.0 2.7 34.8 16.7 10.0 80.0 7.0 4.3 51.1
Lady Ridgeway Hospital for Children
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QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Clinics by specialty Month of August Wards
No of clinics
No of Sub visits
Total visits
Average per clinics
Total Child Guidance Speech & Language Child Development Renal Ward 01 Renal Ward 03 Total Renal Burns
05 09 09 07 07 07 25 25 94 05 07 05 07 16 40 12 13 25 25 25 25 03 25 25 08 04 08 15 23 20 05 04 04 08 03
No of 1st visits 114 260 195 171 246 278 437 412 2113 100 78 101 133 400 812 398 442 840 1836 935 444 02 1421 223 502 27 94 294 388 215 08 42 07 49 24
221 315 325 379 276 378 606 94 2594 476 323 298 542 454 2093 656 532 1188 999 1613 664 04 332 2494 492 80 214 701 915 443 18 61 90 151 54
335 575 520 550 522 656 1043 506 4707 576 401 399 675 854 2905 1054 974 2028 2835 2548 1108 06 1753 2717 994 107 308 995 1303 658 26 103 97 200 78
67.0 63.9 57.8 78.6 74.6 93.7 41.7 20.2 50.1 115.2 57.3 79.8 96.4 53.4 72.6 87.8 74.9 81.1 113.4 101.9 44.3 2.0 70.1 108.7 124.3 26.8 38.5 66.3 56.7 32.9 5.2 25.8 24.3 25.0 26.0
Eye Asthma Wd 02 Asthma Wd 09 Total Asthma Plastic Surgery Neurology - Dr. PiyaraRathnayake - Dr. Padeniya - Dr.GithangiWanigasinghe Total Neurology Nephrology Oncology Headache Intervention Diabetic Obesity Endocrinology-Dr.Shyma De Silva Endocrinology- Dr. NavodaAttapattu Total Endocrine Visual & Rehabilitation Total
25 04 03 07 05 13 07 05 25 24 07 04 03 04 05 02 25 27 05 499
767 07 05 12 75 80 47 09 136 38 09 58 09 08 30 07 73 80 18 11079
808 106 27 133 160 547 180 270 997 406 07 134 39 0 30 95 90 185 19 17052
1575 113 32 145 235 627 227 279 1133 444 16 192 48 08 60 102 163 265 37 28131
63.0 28.3 10.7 20.7 47.0 48.2 32.4 55.8 45.3 18.5 2.3 48.0 16.0 2.0 12.0 51.0 6.5 9.8 7.4 56.4
Medical
01 02 03 04 08 09
VP /OPD RP/OPD Total Medical Surgical
VS/OPD Total Surgical ENT- DrYasawardena ENT- Dr. Kirihena Total ENT Skin Cardiology Rheumatology & Rehabilitation Neonatal Care unit Dental Orthodontic Orthopaedic Multidisciplinary CLAP (MCC) Child Guidance
05 07 10 11 12 12 19A 06
14B A B
Lady Ridgeway Hospital for Children
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QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Clinics by specialty-Month of September Wards
No of clinics
Medical
01 02 03 04 08 09
VP /OPD RP/OPD Total Medical Surgical
VS/OPD Total Surgical ENT- DrYasawardena ENT- Dr. Kirihena Total ENT Skin Cardiology Rheumatology & Rehabilitation Neonatal Care unit Dental Orthodontic Orthopaedic Multidisciplinary CLAP (MCC) Child Guidance Total Child Guidance Speech & Language Child Development Renal Ward 01 Renal Ward 03 Total Renal Burns Eye Asthma Ward 02 Asthma Ward 09 Total Asthma Plastic Surgery Neurology - Dr. PiyaraRathnayake - Dr. Padeniya - Dr.GithangiWanigasinghe Total Neurology Nephrology Oncology Headache Intervention Obesity Endocrinology-Dr. Shyma De Sila Endocrinology- Dr. NavodaAttapattu Total Endocrinology Visual & Rehabilitation Diabetic Cardiothoracic -Dr. Munasinghe Cardiothoracic - Dr. Singappuli Cardiothracic - Dr. Y.K.M Lahic Total Cardiothoracic Total
05 07 10 11 12 12 19A 06
14B A B
04 07 08 08 08 08 24 24 91 06 07 06 05 16 40 13 11 24 24 24 24 04 24 25 09 04 08 17 25 21 03 03 04 07 04 24 04 05 09 03 16 10 04 30 23 06 04 04 03 02 24 26 04 07 04 04 03 11 507
No of 1st visits 189 222 247 177 219 234 315 447 2050 74 73 97 93 380 717 430 387 817 1591 608 402 03 1206 183 508 21 79 297 376 245 07 26 02 28 29 774 08 03 11 48 73 71 18 162 50 04 61 14 24 08 62 90 16 10 13 18 19 50 10085
No of Sub visits
Total visits
174 240 365 310 224 352 540 46 2251 383 398 292 386 477 1936 699 449 1148 1027 1086 689 05 300 2117 498 75 199 643 842 525 10 55 92 147 58 653 85 36 121 95 524 193 158 875 461 05 119 44 31 83 155 238 12 22 94 35 79 208 15598
363 462 612 487 443 586 855 493 4301 457 471 389 479 857 2653 1129 836 1965 2618 1694 1091 08 1506 2300 1006 96 278 940 1218 770 17 81 94 175 87 1427 93 39 132 143 597 264 176 1037 511 09 180 58 55 91 217 308 28 32 107 53 98 258 25683
Lady Ridgeway Hospital for Children
Average per clinics 90.8 66.0 76.5 60.9 55.4 73.3 35.6 20.5 47.3 76.2 67.3 64.8 95.8 53.6 66.3 86.8 76.0 81.9 109.1 70.6 45.5 2.0 62.8 92.0 111.8 24.0 34.8 55.3 48.7 36.7 5.7 27.0 23.5 25.0 21.8 59.5 23.3 7.8 14.7 47.7 37.3 26.4 44.0 34.6 22.2 1.5 45.0 14.5 18.3 45.5 9.0 11.8 7.0 4.6 26.8 13.3 32.7 23.5 50.7
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QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Inpatients Services 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, pediatricENT,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 Medicalintensivecare 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 July to September 2013 No of Ward No of Special Units No of In patients beds Total no of patients Admitted Total no of Patients Discharges (including deaths) Daily Average Admission Daily Average Discharges Average Daily Sick Average Length of stay Bed Occupancy Rate% Hospital Deaths TurnoverRate
Total Patients Days
July
Aug
Sep
Total
22 08 911 8113 8114 262 262 775 3.0 85.02 44 09 24011
22 08 911 6964 7118 225 230 723 3.1 79.38 42 08 22417
22 08 911 6243 6192 208 206 635 3.1 69.71 33 07 19051
22 08 911 21320 21424 232 233 712 3.1 78.13 119 23 65479
Hospital Deaths Deaths within 24 hours of admission Deaths within 48 hours of admission Deaths after 48 hours of admission Total hospital deaths
July 05 01 38 44
Aug 06 03 33 42
Sep 05 03 25 33
Total 16 07 96 119
Lady Ridgeway Hospital for Children
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QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Discharge Analysis Paediatric-Medical Month of July Ward
Beds
Admission
Discharges
Transfer In
Transfer out
Deaths
Total Patents days
85 74 73 89 77 76 474
831 813 819 796 806 817 4882
843 776 793 776 795 835 4818
76 53 47 62 47 66 351
82 87 81 73 79 65 467
03 02 01 01 02 03 12
2345 2053 2198 2001 2437 2296 13330
01 02 03 04 08 09 Total
Average Daily Sick
75.6 66.2 70.9 64.5 78.6 74.1 430.0
Bed Occupancy Rate%
Ave. Length of Stay
89.0 89.5 97.1 72.5 102.1 97.5 90.7
2.5 2.4 2.5 2.4 2.8 2.5 2.5
Bed Occupancy Rate
Ave. Length of Stay
94.3 54.9 61.1 80.0 72.8
3.1 2.4 2.0 2.5 2.5
Paediatric - Surgical Month of July Ward
Beds
Admission
Discharges
Transfer In
Transfer out
Deaths
Total Patents days
05 07 10 11 Total
39 39 39 43 160
288 219 260 371 1138
339 259 335 364 1297
78 54 105 82 319
34 22 36 59 151
0 0 0 0 0
1140 664 739 1066 3609
Average Daily Sick
36.8 21.4 23.8 34.4 116.4
Other Special Units- Month of July Type of Specialty
Ward
Beds
Admissions
Discharges
Transfer In
Transfer out
Deaths
Total Patents days
Rheumatology & Rehabilitation
06
25
105
101
08
02
0
371
12.0
47.9
3.6
ENT
12 15
38 27 08 06 12 23 19
383 157 0 0 0 86 31
386 129 0 0 0 111 30
16 28 62 41 58 68 07
16 52 53 37 48 44 0
0 02 03 02 05 0 07
717 867 163 168 225 1502 413
23.1 28.0 5.3 5.4 7.3 48.5 13.3
60.9 103.6 65.7 90.3 60.5 210.7 70.1
1.8 4.7 2.9 4.3 4.2 9.7 11.2
11 20 08 12 10 06 06 20 08
0 852 45 95 59 10 07 39 03
0 628 45 93 54 15 18 41 99
51 0 39 03 04 06 06 12 108
39 218 0 02 01 0 0 0 08
13 0 06 0 0 0 0 0 0
325 774 39 226 208 85 36 193 420
10.5 25.0 1.3 7.3 6.7 2.7 12 6.2 13.5
95.3 124.8 15.7 60.8 67.1 45.7 19.4 31.1 169.4
6.3 0.9 0.9 2.4 3.8 5.7 2.0 4.7 3.9
17 01
119 97 05
118 88 05
0 04 0
01 09 0
0 0 0
118 217 05
3.8 7.0 0.2
41.2 16.1
1.0 2.2 1.0
Cardiology SICU CTICU HDU
20
Cardiothoracic Neonatal care unit MICU Accident Service Day care Surgery Plastic Surgery Orthopaedic Skin Psychiatry
13A 13B 14A 14B 19A 19B
Burns Isolation
21
Hemophilia Eye Dialysis Unit
22
Lady Ridgeway Hospital for Children
Average Daily Sick
Bed Occupancy Rate%
Ave. Length of Stay
Page 11
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Discharge Analysis Paediatric -Medical Month of August Ward
Beds
Admission
Discharges
Transfer In
Transfer out
Deaths
Total Patents days
85 74 73 89 77 76 474
667 534 613 56.3 578 617 3572
687 561 632 58.2 580 612 3654
41 44 53 44 40 54 276
54 49 55 43 65 66 332
0 0 02 03 02 03 10
1812 1649 1911 1622 1729 1979 10702
Transfer out
Deaths
Total Patents days
01 02 03 04 08 09 Total
Average Daily Sick
58.5 53.2 61.6 52.3 55.8 63.8 345.2
Bed Occupancy Rate
Ave. Length of Stay
68.8 71.9 84.4 58.8 72.4 84.0 72.8
2.4 2.7 2.8 2.6 2.7 2.9 2.9
Bed Occupancy Rate
Ave. Length of Stay
3.3 2.5 2.3 2.4 2.9
Paediatric - Surgical Month of August 72.8Wa rd
Beds
Admissions
Discharges
Transfer In
Average Daily Sick
05 07 10 11 Total
39 39 39 43
367 213 230 367
388 263 317 412
82 61 107 86
36 15 28 46
01 02 0 0
1390 696 787 1114
44.8 22.5 25.4 35.9
115.0 57.6 65.1 83.6
160
1177
1380
336
125
03
3987
128.6
80.4
Other Special Units- Month of August Type of Specility
Ward
Rheumatology & Rehabilitation
06
25
ENT
12 15
Cardiology
Discharges
Transfer In
Transfer out
Deaths
Total Patients days
83
95
06
04
0
423
38 27 08 06 12 23 19
397 157 0 0 0 133 27
397 147 0 0 0 149 24
08 17 48 30 63 87 04
13 28 45 27 63 76 01
0 02 04 03 02 0 04
686 997 182 182 276 1680 447
21
11 20 08 12 10 06 06 20 08
22 01
17 07
0 919 46 105 41 11 23 70 01 117 78 07
0 663 41 110 53 16 22 76 61 116 92 0
41 0 0 06 05 05 05 03 55 0 04 0
28 242 05 02 01 0 03 0 06 01 01 0
13 0 0 0 0 0 0 01 0 0 0 0
302 889 36 268 235 69 95 368 237 116 233 07
SICU CTICU HDU
20
Cardiothoracic Neonatal care unit MICU Accident Service Day care Surgery Plastic Surgery Orthopaedic Skin Psychiatry
13A 13B 14A 14B 19A 19B
Burns Isolation
Beds
Hemophilia Eye DU
Admissions
Lady Ridgeway Hospital for Children
Average Daily Sick
Bed Occupancy Rate%
Ave. Length of Stay
54.6
4.3
22.1 32.2 5.9 5.9 8.9 54.2 14.4
58.2 119.1 73.4 97.8 74.2 235.6 75.9
1.8 5.6 3.7 6.1 4.2 7.5 15.4
9.7 28.7 1.2 8.6 7.6 2.2 3.1 11.9 7.6 3.7 7.5 0.2
88.6 143.4 14.5 72.0 75.8 37.1 51.1 59.4 95.6
7.4 1.0 0.8 2.4 4.4 4.3 3.8 4.8 3.5 1.0 2.5 1.0
13.6
44.2 22.6
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QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Discharge Analysis Paediatric -Medical Month of September Ward
Beds
Admission
Discharges
Transfer In
Transfer out
Deaths
Total Patents days
01 02 03 04 08 09 Total
85 74 73 89 77 76 474
584 433 504 467 439 500 2927
573 417 467 459 439 493 2848
55 44 37 46 65 57 304
57 58 60 37 56 52 320
01 0 01 0 03 01 06
1476 1189 1486 1259 1383 1560 8353
Average Daily Sick
49.2 39.6 49.5 42.0 46.1 52.0 278.4
Bed Occupancy Rate %
Ave. Length of Stay
57.9 53.6 67.9 47.2 59.9 68.4 58.7
2.3 2.5 2.8 2.5 2.8 2.9 2.6
Bed Occupancy Rate %
Ave. Length of Stay
98.4 60.6 75.1 76.7 77.7
2.9 2.7 2.4 2.1 2.5
Paediatric - Surgical Month of September Ward
Beds
05 07 10 11 Total
Admission
Discharges
Transfer In
Transfer out
Deaths
294 229 276 374 1173
361 245 328 427 1361
62 51 83 89 285
30 21 32 45 128
0 01 0 01 02
39 39 39 43 160
Total Patients days
Average Daily Sick
1151 709 879 990 3729
38.4 23.6 29.3 33.0 124.3
Other Special Units- Month of September 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
92
88
11
07
0
384
12.8
51.2
4.0
ENT
12 15
38 27 08 06 12 23 19
408 170 0 0 0
416 140 0 0 0
22 28 46 43 54
17 46 42 40 50
0 02 02 03 04
714 1001 158 174 265
23.8 33.4 5.3 5.8 8.8
62.6 123.6 65.8 96.7 73.6
1.6 5.3 3.6 4.0 4.9
136 19
153 15
73 03
57 03
0 03
1368 450
45.6 15.0
198.3 78.9
6.5 21.4
11 20 08 12 10 06 06 20 08
0 819 58 135 50 10 13 57 01 96 75 04
0 624 51 126 51 09 19 59 28 95 74 04
47 0 0 09 04 03 09 01 26 0 09 13
37 201 07 05 0 02 01 0 03 03 08 13
11 0 0 0 0 0 0 0 0 0 0 0
296 748 51 314 221 57 116 294 103 93 158 04
9.9 24.9 1.7 10.5 7.4 1.9 3.9 9.8 3.4 3.1 5.3 0.1
89.7 124.7 21.3 87.2 73.7 31.7 64.4 49.0 42.9
6.2 0.9 0.9 2.4 4.3 5.2 5.8 5.0 3.3 1.0 1.9 0.2
Cardiology SICU CTICU HDU
20
Cardiothoracic Neonatal care unit MICU Accident Service Day care Surgery Plastic Surgery Orthopaedic Skin Psychiatry
13A 13B 14A 14B 19A 19B
Burns Isolation
21
Hemophilia Eye DU
22
17 01
Lady Ridgeway Hospital for Children
31.0 13.3
Page 13
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Other Departmentsand Units 1 Radiology Department The unit consist of threeRadiologists andseven Medical officers and thirteen Radiographers. Theyprovide Servicesfor the out patients, clinic patients referredfrom other organizations. No of Radiological examinations performed from July to September 2013 Specility No of Special exams No of CT exams No of Routine exams No of total X-Ray exams No of US exams No of Nuclear Imaging exams Total exams No of Patients No of Films used 2 Electrocardiogram -ECG
July
August
Sep
Total
61 284 5571 5916 1247 168 7331 7331 5300
60 289 5660 6009 1057 141 7209 7207 5400
48 168 4602 4918 933 141 5992 5992 5175
169 741 15833 16843 3237 450 20532 20530 15875
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 July to September 2013 Month July Aug Sep Total
In Patients 401 440 454 1295
Out Patients 116 130 142 388
Total 517 570 596 1683
3 Electroencephalogram -EEG This unit provides services under administration of consultant Neurologist. There are four recordists. EEG examinations performed from July to September 2013 Month July Aug Sep Total
In patients 146 140 119 405
Out Patients 147 108 123 378
Total 293 248 242 783
4 Psychiatric Unit Month July Aug Sep Total
In patients 22 26 18 66
Out Patients 140 135 125 400
Total 162 161 143 466
Lady Ridgeway Hospital for Children
Page 14
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
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 outdoor therapeutic play area etc.This physiotherapy department is conducted by Dr. JaliyaUduwella (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 July to September 2013
OPD 1st visits OPD Sub visits Wards 1st visits Wards sub visits Total 1st visits Total sub visits Total visits Total treatments units
July 218 777 262 1879 480 2656 3136 15225
No of Patients Aug Sep 220 215 764 721 275 245 2281 2064 495 460 3045 2785 3540 3245 12901 13358
Total 653 2262 782 6224 1435 8486 9921 41484
Lady Ridgeway Hospital for Children
Page 15
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
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 July to September 2013
1st visits Sub visits Total visits Total treated units
No of Patients Aug Sep 301 183 1045 1092 1346 1275 6730 6375
July 184 1030 1214 6070
Total 668 3167 3835 19175
Orthodontic Unit No of plate issued No of cleft lip & palate patients No of fix appliance patients No of feeding plates fitted
July 141 17 279 02
Aug 129 19 276 01
Sep 144 18 285 02
Total 414 54 840 05
Department of ENT & Audiology Audiology Test (Total) Pure Tone Audiograms (PTA) Free-Field Tests
July
Aug
Sep
Total
685 273 235
695 156 186
688 165 172
2068 594 593
Lady Ridgeway Hospital for Children
Page 16
QUARTERLY HEALTH BULLETIN Tympanograms Brain-Stem Evoke Response(BSER) Hearing aids issue
Procedeous
273 49 0 284
326 27 02 337
323 28 0 277
3rd quarter 2013
922 104 02 898
Nephrology Unit Procedure
Numbers
LRH Ward Referrals Renal Biopsy Clean Intermittent Catheterization training Bladder Wash Blood Gas Subcutaneous Erythropoietin
July 290 5 18 12 12 03
Aug 310 07 11 02 19 03
Sep 332 05 08 02 13 02
Total 932 17 37 16 44 08
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 theProsthetist&Orthortist from July to September 2013 Number of Registration253 Number of new follow ups554 Device
New
Repairs
L.E Prosthesis U.E. Prosthesis Lower Limb Orthosis Spinal Orthosis U.E. Orthosis Other Assistive Device Other assistive device Mobillity device & Adaptive device
01 0 427 12 07
01 0 88 0 0
165
1
Lady Ridgeway Hospital for Children
Page 17
QUARTERLY HEALTH BULLETIN Mobillity device Adaptive device Total
36 26 674
3rd quarter 2013
0 0 90
Operations & Procedures Accident Service Month
Bone Marrow
July Aug Sep Total
09 08 11 28
Liver Biopsy
Renal Biopsy
Others
07 05 06 18
02 03 02 07
01 03 03 07
Bortex
Tenotomy
02 02 04
Stepler Removal
07 05 15 22
05
Total 28 26 37 91
Ophthalmology Unit Procedure Cyclo Refraction Refraction P.M.T (Post Medriatic Test) Convergence R.O.P Screening Laser treatment
July 658 198 116 63 215 94
Aug 609 205 133 32 275 77
Sep 687 163 128 13 241 41
Total 1954 566 377 108 731 212
Statistics of Cardiac Catheterizations done procedure ASD device closure PDA device closure PDA coilling Cardiac catheterization Septostomy Pericardial aspiration Pulmonary Valvuloplasty Aortic Valvuloplasty COA dilatation TOE PPM Insertion TPM insertion Aortic angiogram A/P collateral device closure C/Cath+Baloon dilatation
July 25 04 05 44 02 01 05 0 04 06 01 0 03 0 01
No of Patients Aug Sep 44 24 06 05 09 06 31 40 03 01 01 04 01 03 01 01 01 03 04 07 02 01 01 01 03 01 01 0 0 0
Total 93 15 20 115 06 06 09 02 08 17 04 02 07 01 01
Lady Ridgeway Hospital for Children
Page 18
QUARTERLY HEALTH BULLETIN MAPCA Coiling Radiology Procedure Baloon dilatation of L.P.A Stenosis Fistular Closure ASD device closure + BPV Total
02 0 0
02 01 0
01 04 02 01
01 08 03 01
0 108
0 111
01 106
01 322
3rd quarter 2013
Operation by nature Specialty- Month of July Specialty
Major
Intermediate
Minor
Total
05 07 10 11 OPD Total
15 08 10 14 07 54
41 26 36 47 21 171
14 02 5 0 02 23
70 36 51 61 30 248
05 10 BU 14 Total
0 0 0 16 16
01 01 02 11 15
0 0 0 03 03
01 01 02 30 34
05 07 10 11 OPD Total
14 09 16 21 0 60
07 09 09 08 01 34
0 0 01 0 0 01
21 18 26 29 01 95
05 11 14B Total Head Neck & Spine 05 07 10 11 OPD Total Thoracic 05 07 10 11 Total Rectal 05
0 0 09 09
0 04 14 18
01 04 06 11
01 08 29 38
0 0 0 0 0 0
02 03 03 03 02 13
0 0 0 0 0 0
02 03 03 03 02 13
01 0 02 01 04
0 0 0 0 0
0 01 0 0 01
01 01 02 01 05
01
02
09
12
Genito urinary
Ward No
Plastic Ward No
Abdominal Ward No
Orthopaedic
Lady Ridgeway Hospital for Children
Page 19
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
07 10 11 Total
02 01 04 08
01 05 04 12
05 09 06 29
08 15 14 49
05 07 10 11 12 OPD Total
0 01 03 11 28 0 43
29 03 19 25 01 04 81
0 0 01 0 21 0 22
29 04 23 36 50 04 146
Major
Intermediate
Minor
Total
12 Total
12 12
10 10
11 11
33 33
05 07 10 11 Total
0 0 02 0 02
01 0 02 02 05
81 96 84 103 364
82 96 88 105 371
05 07 10 11 12 14 14B OPD Total
0 0 0 0 0 0 0 0 0
08 06 04 16 04 14 01 03 56
69 80 77 85 06 07 10 15 349
77 86 81 101 10 21 11 18 405
22
05
09
44
58
Total Total no of Operations
05 213
09 424
44 858
58 1495
Endoscopy
Specialty
ENT Traumatic
Miscellaneous
EYE
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES July
Open heart Major
Close heart Major
62
21
Routine Emergencies Total
62
Minor Operations done at
Surgical Clinic
Other Major
Other Minor
Minor Procedure
02
21
02
Umbilical Cauterization
Others
Suture Removal
Total
10
20
28
58
Lady Ridgeway Hospital for Children
Thoracic
Minor Surgical Procedure
Anesthetic procedure
02 02 04
04 07 11
19 19
Total
91 28 119
Page 20
QUARTERLY HEALTH BULLETIN Skin Clinic
OPD -July
Skin Erxission
Electric Cortrization
Scraping
3rd quarter 2013
Skin biopsy
Skin Grafting
Skin Crayo
Others
Tissue Reduction
Total
03
25
180
06
01
215
Operation by nature specialty - Month of August
Genito urinary Ward No
Plastic Ward No
Abdominal Ward No
Major
Intermediate
Minor
Total
05 07 10 11 OPD Total
17 07 09 08 03 44
62 27 35 66 17 207
27 02 07 04 01 41
106 36 51 78 21 292
05 11 BU 14A 14B Total
0 0 06 19 0 25
01 01 03 08 01 14
0 0 0 01 0 01
01 01 09 28 01 40
05 07 10 11 OPD Total
20 03 10 09 0 42
09 21 05 09 03 47
02 0 0 0 0 02
31 24 15 18 03 91
05 07 10 14B 11 Total
0 01 0 14 0 15
0 0 01 15 01 17
01 03 02 18 02 26
01 04 03 47 03 58
05 07 10 11 OPD Total
01 0 0 01 0 02
07 01 04 03 01 16
01 0 0 0 0 01
09 01 04 04 01 19
05 11 Total
01 02 03
0 0 0
0 0 0
01 02 03
Orthopaedic
Head Neck & Spine
Thoracic
Rectal
Lady Ridgeway Hospital for Children
Page 21
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
05 07 10 11 Total
0 0 01 03 04
03 02 04 03 12
02 05 09 10 26
05 07 14 16 42
05 07 10 11 12 OPD Total
01 01 02 09 37 01 51
19 03 14 32 04 05 77
01 0 0 01 33 0 35
21 04 16 42 74 06 163
12 Total
Major 08 08
Intermediate 18 18
Minor 18 18
Total 44 44
05 07 10 11 Total
98 73 116 108 395
0 0 0 0 0
0 0 0 0 0
98 73 116 108 395
05 07 10 11 12 14A OPD BU 14B Total
0 0 0 0 0 0 0 0 0 0
07 06 09 10 09 0 11 03 0 55
73 67 38 77 08 05 13 0 03 284
80 73 47 87 17 05 24 03 03 339
15 15 604
05 05 468
29 29 463
49 49 1535
Endoscopy
ENT Traumatic
Miscellaneous
EYE 22 Total Total no of Operations
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES Open heart Major
Aug Routine Emergencies Total
65 01 66
Minor Operations done at OPDAugust
Surgical Clinic Skin Clinic
Close heart Major
Other Major
Other Minor
Minor Procedure
Thoracic
18
Minor Surgical Procedure
Anesthetic procedure
03
18
03
Suture Removal
20 20
Total
86 48 134
27 27
Umbilical Cauterization
Others
Total
49
12
61
Skin Erxission
Electric Cortrization
Scraping
Skin biopsy
Skin Grafting
Skin Crayo
Others
Tissue Reduction
Total
01
09
31
240
07
03
291
Lady Ridgeway Hospital for Children
Page 22
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Operation by nature Speciality - Month of September Specialty Genito urinary Ward No
Plastic Ward No
Abdominal Ward No
Major
Intermediate
Minor
Total
05 07 10 11 OPD BU Total
18 06 16 05 06 0 51
47 22 47 69 25 01 211
19 03 05 03 05 0 35
84 31 68 77 36 01 297
05 07 10 BU 14A 12 Total
0 0 0 0 17 0 17
01 01 01 08 14 01 26
0 01 01 0 03 0 05
01 02 02 08 34 01 48
05 07 10 11 OPD Total
12 05 11 14 0 42
07 10 10 08 01 28
0 01 0 0 0 01
19 16 21 22 01 79
05 07 10 14B Total
0 0 0 06 06
01 0 02 14 17
0 01 01 16 18
01 01 03 36 41
05 07 10 11 OPD Total
01 01 0 01 0 03
05 03 04 10 01 23
0 0 0 0 0 0
06 04 04 11 01 26
0 0 04 04
0 0 0 0
02 01 0 03
02 01 04 07
05 07 10 11 OPD Total
0 0 0 05 0 05
0 03 03 05 0 11
05 03 11 08 01 28
05 6 14 18 01 44
05 07 10 11 12 OPD Total 12 Total
0 01 01 08 21 0 31 14 14
29 02 14 28 12 02 87 04 04
0 0 0 0 19 0 19 20 20
29 03 15 36 52 02 137 38 38
Orthopaedic
Head Neck & Spine
Thoracic 05 07 11 Total Rectal
Endoscopy
ENT
Lady Ridgeway Hospital for Children
Page 23
QUARTERLY HEALTH BULLETIN
Specialty Traumatic
3rd quarter 2013
Major
Intermediate
Minor
Total
05 07 10 11 Total
0 0 0 0 0
01 0 01 02 04
84 69 63 105 321
85 69 64 107 325
05 07 10 11 12 14 14B OPD Total
0 0 0 0 0 0 0 0 0
04 08 05 14 07 01 04 08 51
60 82 74 88 03 12 03 13 335
64 90 79 102 10 13 07 21 386
02 02 175
06 06 476
26 26 811
34 34 1462
Miscellaneous
EYE 22 Total Total no of Operations
CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES September
Open heart Major
Routine Emergencies Total
Close heart Major
60
Surgical Clinic Skin Clinic
Other Minor
Minor Procedure
23
60
Minor Operations done at OPDSeptember
Other Major
01 01
23
0
Minor Surgical Procedure
03
02 13 15
03
Anesthetic procedure
20 20
Total
88 34 122
Umbilical Cauterization
Others
30
06
36
Skin Erxission
Electric Cortrization
Scraping
Skin biopsy
Skin Grafting
Skin Crayo
Others
Tissue Reduction
Total
08
20
206
10
01
246
1
Suture Removal
0
Thoracic
Total
Lady Ridgeway Hospital for Children
Page 24
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Hospital Laboratory Services The Laboratory services of this hospital consist offourSections Bio-Chemistry,Hematology,Histopathology andMicrobiology. Staff Consist ofConsultant 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) IreshaJasinghe Microbiology
Dr.(Mrs) KumuduKarunarathna
OPD
Dr. (Mrs)ShiromiPerera
Hematology
Dr.(Mrs) Mala Jayathilake
Histopathology
Dr.(Mrs) ShiromiPerera
Night Lab
Dr.(Mrs) IreshaJasinghe
Total Laboratory investigations performed from April to June 2013 Section Biochemistry Microbiology OPD Hematology Histopathology Night Lab Total
July
Aug
Sep
Total
29473 8619 24230 26377 876 13750 103325
35197 8369 20029 25007 867 12689 102158
33923 7821 15608 23663 1050 11603 93668
98593 24809 59867 75047 2793 38042 299151
OPD Section Blood Test Blood -WBC/DC Blood Hemoglobin Blood Packed cell volume Blood platelets Blood ESR Blood picture Blood bleeding time Blood Clotting time Blood Malarial parasites Urine full report Urine ketone bodies Urine bile Urine sugar Urobilinogen Red Cell Indices Stool reducing substances Stool full report Reticulocytes Count Total
July
Aug
Sep
4228 4228 4252 4252 591 471 33 33 0 1423 07 12 172 07 4228 92 173 28 24320
3072 3072 4005 4005 517 423 25 25
2588 2588 2597 2597 520 388 23 23 01 1281 02 06 127 06 2588 91 170 12 15608
1376 08 10 152 10 3072 85 161 11 20029
Lady Ridgeway Hospital for Children
Total 9888 9888 10854 10854 1628 1282 81 81 01 4080 17 28 451 23 9888 268 504 51 59867
Page 25
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Biochemistry Section Blood Test Blood test Serum Electrolytes 1. Sodium 2. Potassium 3. Chloride Serum total bilirubin Serum direct bilirubin Serum SGOT (AST) Serum SGPT (ALT) Serum total Protein Serum Albumin Serum total cholesterol Serum Alkaline Phosphatase Serum amylase Serum calcium Serum phosphates Serum Osmolality Serum Creatinine Serum urea Serum sugar+ CSF sugar Serum magnesium Serum uric acid CRP Urine test Urine calcium Urine phosphate Urine Creatinine Urine ketone bodies Creatinine Clearance Urine bile Urine PH Urine Cystine Urine Sodium Urine Potassium Urine chloride Urine Protein Urine osmolality UrineNitrosonapthol Calcium /creatine ratio Urine Mucopolysaccharides Urine Haemocystine Urine reducing substances Protein / creatinine ratio Urine Fecl3 for phenylketonuria Urine uric acid Urine deposits Urobilinogen Urine glucose strip test Urine DNPH Miscellaneous sweat test Water deprevation Stool test Reducing substance Occult blood Total
Total
July
Aug
Sep
2900 2900 2900 440 680 2600 2618 540 1960 540 560 96 1210 340 35 2800 2900 860 310 130 1640
2610 2610 2610 431 370 3168 3382 910 3003 561 1049 151 1781 600 30 3372 2999 1395 337 206 2725
3610 3610 3610 420 360 3100 3240 860 1060 480 420 120 1600 596 34 3200 3200 1332 330 205 1760
9120 9120 9120 1291 1410 8868 9240 2310 6023 1581 2029 367 4591 1536 99 9372 9099 3587 977 541 6125
118 48 364 12 14 03 04 26 26 26 94 22 10
120 35 255 16 14 20 10 10 28 28 28 62 28 15
19 01 20 38 06 24 05 02 05 05
21 02 16 12 02 15 10 03 10 05
238 93 735 43 38 49 25 22 89 89 89 156 75 40 23 60 05 54 104 14 44 15 07 30 15
10 116 15 24 15 12 08 35 35 35 25 15 23 20 02 18 54 06 05 05 02 15 05 01 05 08 29473
01 06 04 35197
05 06 33923
16 18 98593
Lady Ridgeway Hospital for Children
Page 26
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Bacteriology section Blood Test
July
Aug
Sep
Total
Blood culture ABST CSF Culture and gram stain Full report ABST Antigen test Pus, direct smear and culture ABST Throat swab/Nasal swab culture ABST Body Fluids / Aspirates D/S & Culture ABST Respiratory culture ABST MRSA culture ABST Urine culture ABST Urine full report Urine Reducing Substances Stool culture ABST Stool full report Stool reducing substances AFB Direct Smear Infection control sample culture Dengue Antibody Dengue -Positive API Test Total
905 65 104 83
775 50 83 83
532 85 70 70
2212 200 257 236
83 259 248 10 09 12 216 332 301 42 1281 269 1152 14 88 18 288 49 10 2082 05 94 79 600 8619
83 322 307 25 13 06 219 211 286 348 35 1158 219 1167 13 82 04 291 53 26 2225 06 79 62 200 8369
70 280 239 16 09 07 231 286 298 305 38 1040 231 1103 14 69 09 293 54 09 2196 07 60 52 200 7821
236 861 794 51 31 25 450 713 916 954 115 3479 719 3422 41 239 31 872 156 45 6503 18 233 193 1000 24809
July
Aug
Sep
Total
4652 4600 4612 4625 744 10 165 573 05 186 13 07 06 4650 563 08 05 14 10 01
4410 4388 4412 4400 612 08 75 712 04 175 24 04 08 4340 520 07 04 13 11 01 01 06 15 06 710 08 127 04
4200 4112 4114 4114 618 06 39 658 10 160 18 06 08 4200 540 08 05 09 12 06
13262 13100 13138 13139 1974 24 279 1943 19 521 55 17 22 13190 1623 23 14 36 33 08 01 13 37 21 2160 17 351 15 02 10 75047
Haematology section Blood Test Hemoglobin White Blood cell/ Differential count Platelets count Packed cell volume ESR Malarial parasites Blood bleeding time Blood picture Inhibitor Screening Reticulocyte count Bone marrow Sickle test Iron stain Red cell indices APTT Factor IX correction Factor IX Assay Factor VIII Assay Factor VIII correction Factor VIII inhibitor levels L.E cells /L.E cells antibody test G6PD Rheumatoid factor Clot solubility Prothrombine test Urine Spectroscopy Thrombin time Urine Haemosidern Heinz Bodies Ham’s test Total
02 12 06 750 04 144 05 01 04 26377
02 25007
05 10 09 700 05 80 06 01 04 23663
Lady Ridgeway Hospital for Children
Page 27
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Histopathology section Blood Test
July
Aug
Sep
Total
48 13 20 02 54 31 708 876
24 17 28
51 27 20
51 747 867
51 901 1050
123 57 68 02 54 133 2356 2793
Blood Test
July
Aug
Sep
Hemoglobin APTT Platelets CSF Full Report CSF Sugar Blood Urea Full Blood Count Blood Sugar WBC/DC Serum Bilirubin - Direct Serum Bilirubin - Total Urine full Report Ketone bodies Stool Full Report Stool Reducing Substances Bleeding time Clotting time Hematocrits values Prothrombin time Urine bile Aspiration Fluids Serum electrolytes ClSerum electrolytes Na+K+ Urine electrolytes ClUrine electrolytes Na+K+ Serum Cholesterol Serum Albumin Serum Calcium Serum Creatinine SGOT (AST) SGOT(ALT) Total
13 524 26 29 29 621 3001 235 20 224 241 724 12 18 16 36 36 3001 431 08 02 07 1415 07 16 217 501 494 591 619 636 13750
10 498 21 20 218 594 2561 218 24 196 210 621 10 19 17 24 24 2561 420 08 07 10 1460 07 19 211 495 481 568 607 610 12689
08 484 18 24 206 541 2224 206 19 184 195 540 08 17 14 19 19 2224 405 09 03 06 1395 09 17 197 461 454 521 594 582 11603
Fine Needle aspiration cytology Direct Smears/ cytology Buccal smears Post Mortem Post Mortem slide preparation Special staining Surgical Biopsy slide preparation Total
Night Lab Total 31 1506 65 75 453 1756 7786 659 63 604 646 1885 30 54 47 79 79 7786 1256 25 12 23 4210 23 52 625 1457 1429 1680 1820 282 38042
Lady Ridgeway Hospital for Children
Page 28
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Bolod Bank- Month of July Analysis of RCC (450ML units) Component requests & issues For Patients in state Hosp. words
RCC
FFP
PLt
Cryo
CSP
R
C/M
I
R
I
R
I
R
I
R
I
Paediatric
1618
1582
1030
404
275
518
567
654
341
26
22
Total
1618
1582
1030
404
275
518
567
654
341
26
22
Plasma
Buffy
R
R
I
I
Bolod Bank- Month of August Analysis of RCC (450ML units) Component requests & issues For Patients in state Hosp. words
RCC
FFP
PC I
Cryo
R
I
R
CSP
R
C/M
I
R
Paediatric
1616
1252
881
179
47
144
42
128
I 05
R 05
Total
1316
1252
881
179
47
144
128
39
05
05
I
Plasma
Buffy
R
R
I
I
Bolod Bank- Month of September Analysis of RCC (450ML units) Component requests & issues For Patients in state Hosp. words Paediatric
RCC
FFP
Cryo
CSP/Plasma
Buffy
R
R
R
C/M
I
R
I
R
I
R
I
1299
1152
510
557
228
350
178
243
89
33
13
15
10
243
89
33
13
15
10
Other Total
PC
387 1299
1152
897
I
I
308 557
228
350
486
No of special RCC requests with indications Indication/RC Type Noof LR/BCR requests
Thal/Hb’ paty 292
Ch. renal Dis
Malig
Th. reaction
other
Total Request
292 02 02 No of WRC requests 18 04 08 30 L.R= Leuko Reduced , BCR= Buffy Coat Removed, LF= Leuko Filtered, WRC= Washed Red Cells No of L.F requests
Lady Ridgeway Hospital for Children
Total issues 26 147
Page 29
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
MONHLY RETURN OF NOTIFICATION- LADY RIDGEWAY HOSPITAL Month of July
Diseases
Ward No
No of Patients
01
Dysentry Enteric Fever AEFI AFP Hepatitis A DHF + DF Chicken pox Measles Meningitis Whooping Cough Typhus Fever Total
04
02
01
01 01
33
63
08
09 02 01
46
03
04
08
09
07 02 01
01
04
07
MICU
21
Total 23 02 04 04 02 336 01 172 03 04 01 552
01 01
01 60
67
58
13
07
08
01 01 48
01 07 01 105
22 01
03 01 86
77
76
74
80
08
106
Month of August
Diseases
Ward No
No of Patients
01
02
03
04
08
09
Dysentry Enteric Fever AFP AEFI Encephalitis Hepatitis A Typhus Fever DHF + DF Mumps Chicken pox Tuberculosis Measles Whooping Cough Meningitis Total
05
02 02
09
02 02
02
03
01 01
02
01
02
MICU
01
21
OPD
01 01
03 01 21
39
32
33
42 01
01 01
01 01
02 01 50
01 32
02
01
02 04
05 49
01 44
01 53
17
03 01 02 50
20
04
53
01
Total
23 04 02 07 01 03 01 187 02 03 04 58 02 09 306
Monthof September Diseases
Ward No
No of Patients Dysentry AEFI AFP Chicken pox Hepatitis A DHF + DF Encephalitis Tuberculosis Measles Whooping Cough Meningitis Total
01 01 01
02 04 02
03 03
04
08 02
09
MICU
21
01 01
01
01 04
20 01 01 24
11 02 01 03 01 02 26
01 15
02 22
26
27
28
18
01
01
01 02 01
02
32
22
Lady Ridgeway Hospital for Children
01 05
24
28
Total 09 04 04 04 01 143 02 02 09 03 05 186
Page 30
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Hospital Finance Vote
Expenditure type Recurrent Expenditure
1.Personal Emoluments 111-1-8-1-1001 111-1-8-1-1002 111-1-8-1-1003 2.Travelling Expences 111-1-8-1-1101 3.Supplies 111-1-8-1-1201 111-1-8-1-1202 111-1-8-1-1203 111-1-3-0-1204 111-1-8-1-1205-(1) 111-1-8-1-1205-(11) 4.Maintennance Expenditure 111--8-1-1301 111--8-1-1302 111--8-1-1303 5.Contructual Service 111-8-1-1402 111-8-1-1403 111-8-1-1404 111-8-1-1405 6.Other Recurrent Expenditure 111-1-8-1-1506 111-1-8-1-1508 7.PGIM/Intern 111-2-11-1-1001 111-2-11-1-1002 111-2-11-1-1003 111-2-11-1-2401(04) 8.Blood Bank 111-1-8-9-1001 111-1-8-9-1002 111-18-9-1003
AmountRs. July
Aug
Sep
Total
Salaries & Wages other allowances & H.P Other allowances
39,618,983.41 23,175,812..43 33,742,806.91
39,879,693.61 23,214,718.49 31,445,020.60
42,094,224.61 24,309,267.56 33,906,420.12
121,592,901.63 70,699,798.48 99,094,247.63
Travelling Expences
21347.00
19,550.00
40,897.00
Stationary & Office Request Fuel & Lubricants Diets & Uniforms Medical Supplies Garbage Other Supplies
338,779.60 169,506.40 2,542,724.90 6,663,292.67 528,640.00 512,865.50
76,159.00 2,780.00 1,316,763.83 14,108,865.00 14,821.00
514,443.20 1,292,236.03 7,510,154.28 8,147,307.27 472,640.00 2,250,621.30
929,381.80 1,464,522.43 11,369,643.01 28,919,464.94 1,001,280.00 2,778,307.80
Vehicles Repair Plant Machinary& Equipment Build & Structure
115,706.13 262,126.11 168,705.00
41,145.79 105,574.13 85,313.13
222,767.59 374,528.81 455,029.00
379,619.51 742,229.05 709,047.13
Postal Charges & telecommunication Electricity water & gas Rates & Taxes Other contractual service
2,039,266.44 125,006.00
1,792,282.59 (4625.00)
2,995,036.77
4,688,788.47
1,920,183.84 56,306,098.83 895,878.00 8557,970.52
5,751,732.87 56,426,479.83 895,878.00 16,241,795.76
Property loan Other
1,295,853.54 88,284.50
1,332,033.84 23,268.50
1,361,612.27 20,500.00
3,989,499.65 132,053.00
Salaries & Wages Overtime Allowance & H.P Overtime Allowance Training
3,849,327.87 2,800,918.00
3,889,632.19 2,907,513.40
3,889,632.19 2,907,513.40 11,000.00
11,628,592.25 8,615,944.80 11,000.00
Salaries & Wages Overtime Allowance & HP Overtime Allowance
399,243.54 107,072.58 405,952.49
339,889.51 181,048.76 365,941.70
338,345.00 1,53,849.23 367,301.03
1,077,478.05 441,970.57 1,139,195.22
111--2-13-1--2001(11) 111-02-13-1-2002(2) 111-2-13-76-21--2103 111-2-13-1-2002(1) 111-2-13-1-2002(11) 111-02-13-28 - 2104(1) 111-02-13-5-2103(1) 111-02-13-1-2002-2 111-02-2-13-04-2103(11) Acquisition of fixed assets 111-2-13-1-2102
Building & Structure Medical Equipment Repair Telephone Repairs Maintenance &Repair Maintenance &Repair Underground water tank Repair Air Conditions Supply &Instolation Medical Equipment Lift Repair
3,964,182.97
1,369,832.09
7,370,920.05
12,704,935.11
2,130,166.30
709,290.84 521,863.60 2,543,277.24
709,290.84 2,652,029.73 2,543.277.24
300,000.00 859488.00
458,045.28
300,000.00 1,317,533.28
443,750.48
856,565.60
1,300,316.08
111-2-13-13-2103(11) 111-2-13--08-2103(11) 111-2-13-13 -2103 111-2-13-13 2103-11(1) 111-2-13-8-2103(11) 111--2-13-77-2102-01 Total
Lab Equipment Medical Air Supply Medical Equipment Medical Equipment Medical Air Supply Medical Books
1,288,000.00
1,288,000.00
469,400.00
21504.00 1,211,000.00
21,504.00 1,680,400.00
16,900.00 131,581,114,.65
111,145.00 213,390,685.69
128,045.00 470,903,241.10
Rehabilitation & Improvements
184949.00
Furniture & office Equipment
125,931,440.76
Lady Ridgeway Hospital for Children
Page 31
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
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 July 2013 Name of the drug Sy. Iron 3 Hydroxide Baby haler Intrasite- Jel Betamethasone & Neo Nasal Dro Kleen Enema Oxymethasoline Nasal Drops Perasitic Acid Powder Micropore Plaster Micropore Plaster Micanazole& Hydro Cream Refresh tears InfanrixHexa Soft clothe liner tape Sy. Solmux Sy. Zincovit Kleen Enema Tab Naproxen Tab Amiloride Hydrochloride Inj. Linasolid Micanazole& Hydro cream Tab Ursodeoxycholic acid Transparent film dressing Transparent film dressing White soft parafin Tetracort Ointment
Strength
1” 2”
60ml 200ml 250mg 600mg 150mg 1626 1624 25kg
Quantity 1 2 1 1 20 1 1 13 9 1 3 2 10 4 6 6 20 2 11 1 13 25 245 1
Unit price 303.00 2875.00 1495.00 167.90 202.50 155.00 5700.00 185.00 330.00 470.00 386.00 3385.00 890.00 315.00 290.00 195.00 13.33 7.50 7854.00 529.00 50.00 205.00 80.00 16130.00 523.71
Cost Rs. 303.00 5750.00 1495.00 167.90 4050.00 155.00 5700.00 2405.00 2970.00 470.00 1158.00 6700.00 8900.00 1260.00 1740.00 1170.00 266.60 15.00 86394.00 529.00 650.00 5125.00 19600.00 16130.00 523.71 175697.21
By Special Tender Approval Name of the drug Inj. Alprostadil Tab Voriconazole Bactorub solution Inj. SynacthanDepct Hib Vaccine Tegaderm Dressing Tegaderm Dressings Perasafe Powder
Strength 500mcg 200mg 500ml 1mg/1ml 1624 1626
Quantity 3 5 60 5 1 200 200 34B
Unit price 36000.00 3100.00 1050.00 3500.00 1380.00 80.00 205 5544.00
Cost Rs. 108000.00 15500.00 63000.00 17500.00 1380.00 16000 41000.00 188496 450876.00
Grand Total 626573.21
Lady Ridgeway Hospital for Children
Page 32
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Lacal Purchase drug list for the month of August 2013 Name of the drug Fucidine Tulle Baby haler Microenema Tab. Ursodexycholic acid Transparent film dressing Primarine cream 0.5% Acitic acid solution Empty Bottels Metranidazolejel Micanazole Hydro cream Refresh teras Refresh teras Soft clothe liner tape Sy.Solmux Sy. Zincovit Microenema CaciumRisonium Tab Neurobion Inj. Linasolid Tab. Levatiracetam Inj. Kabiven Transparent film dressing Tab. Levatiracetam White soft paraffin Sy. Gaviscon Micropore plaster Inj. Netilmycin
Strength
60ml 200ml
600mg 500mg 1626 500mg 20kg
Quantity 22 5 4 4 255 1 1000ml 2 1 1 3 2 4 5 2 9 08 5 2 12 3 15 11 2
1�
26 4
Unit price 193.00 2875.00 195.00 50.00 80.00 1381.00 0.30 34.00 197.25 529.00 393.00 386.00 1215.00 315.00 290.00 202.15 315.00 9.99 7854.00 54.40 6842.50 205.00 31.70 12530.00 320.00 185.00 840.00
Cost Rs. 4246.00 14375.00 780.00 200.00 20400.00 1381.00 300.00 68.00 197.25 529.00 1179.00 772.00 4860.00 1575.00 580.00 1846.35 2520.00 49.95 15708.00 657.12 20527.50 3075.00 348.70 12530.00 640.00 4810.00 3360.00 117,514.87
Unit price 4950.00 3100.00 37.73 11000.00 1492.00 5544.00
Cost Rs. 39600.00 15500.00 1886.50 66000.00 1492.00 65528 191,006.50
By Special Tender Board Approval Name of the drug Perasafe Powder Tab Voriconazole Tab. Biotin Inj. Voriconazole Hib Vaccine Perasafe Powder Total
Strength 200mg 500mg
Quantity 8 5 50 6 1 12
Grand Total 308,521.37
Lady Ridgeway Hospital for Children
Page 33
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
Lacal Purchase drug list for the month of September 2013 Name of the drug Baby haler Empty Bottles Hibiscrub Lotion Inj. InfanrixHexa Inj. Kabiven Inj. Linasolid Inj. Netilmycin Intrsite Gel Iodosorb powder Kleen Enema Metranidazole Micanazole& Hydro Cream Microenema Moxifloxacin eye drops Refresh tears Silicon Gel Soft Clothe liner tape Sy. B Complex & Zinc Sy. Tteophyllin Sy. Solmux Sy. Zincovit Tab Levatiracetam Tab Methyl Prednisolone Tab. Methyl Prednisolone Tab. Neurobion Tab. Olenzapine sublingual Tab. Methyl Prednisolone Tab. Methyl Prednisolone Tab. Ursodeoxycholioc acid Transparent film dressing Transparent film dressing White soft parafin Total
Strength
600mg
60ml 200ml 500mg
Quantity
Unit price
Cost Rs.
3 2 1000ml 3 1 9 2 3 1 11 1 2 19 2 2 1 2 1 1 3 1 2 6 111 8 4 64 18 6 200 20kg 20kg
2875.00 34.00 2.12 3385.00 6842.50 7454.00 840.00 1495.00 1082.80 202.50 197.25 529.00 60.00 368.00 393.00 4635.00 1215.00 210.00 95.00 315.00 290.00 54.76 12.24 37.13 9.99 12.20 11.16 17.32 50.00 80.00 13435.70 14435.70
8625.00 68.00 2120.00 10155.00 6842.50 70686.00 1680.00 4485.00 1082.80 2227.50 197.25 1058.00 1140.00 736.00 786.00 4635.00 2430.00 210.00 95.00 945.00 290.00 109.52 73.44 4121.43 79.92 48.80 714.24 311.76 300.00 16000.00 13435.70 13435.70 174343.86
By Special Tender Board Approval Name of the drug Formulated items Perasafe Powder Tab. Voriconazole Inj. Salbutamol Total Non Formulated items Inj. Kabiven Bactorub Solution Inj. Colomycin
Strength
Quantity
Unit price
Cost Rs.
810g 200mg
20 25 19
5936.00 3100.00 2500.00
118720.00 77500.00 47500.00 243720.00
3 60 2
6842.50 1050.00 7000.00
20527.50 63000.00 14000.00 97527.50
Grand Total 515,591.36
Lady Ridgeway Hospital for Children
Page 34
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
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 Lady Ridgeway Hospital for Children
Page 35
QUARTERLY HEALTH BULLETIN
3rd quarter 2013
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.
Lady Ridgeway Hospital for Children
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