A PROJECT REPORT ON OVERVIEW OF INPATIENT

DEPARTMET AT NARAYANA MULTISPECIALITY

HOSPITAL, BARASAT

NARAYANA MULTISPECIALITY HOSPITAL

BARASAT

Report project submitted in partial fulfilment of the requirements for BBA

IN HOSPITAL MANAGEMENT

UNDER

NOPANY INSTITUTE OF MANAGEMENT STUDIES

BY

FULTUSI GORAI

ROLL NO: 15003321036

YEAR: 2021 – 2023

APPROVAL FORM
NAME: FULTUSI GORAI

ROLL: 15003321036

PROJECT TITLE: IPD Overview

PLACE OF TRAINING: Narayana Multi Speciality Hospital

COLLAGE NAME: Nopany Institute of Management Studies

DECLARATION
I, Fultusi Gorai, hereby declare that the presented
report of internship titled “OVERVIEW OF INPATIENT
DEPARTMENT” is uniquely prepared by me after the completion of three
months training at Narayana Hospital, Barasat for the requirement of the
degree of Bachelor in Hospital Management.

I also confirm that the report is only prepared for my academic

requirement, not for any other purpose. It might not be used with the interest
of the opposite party of the corporation.

I hereby declare that entire contents of my project work is based on true facts
& findings.

Fultusi Gorai

Student of BHM

(NOPANY INSTITUTE OF MANAGEMENT STUDIES)

 ACKNOWLEDGEMENT

I have completed my 3 months training in NH Narayana Multi Speciality

Hospital about Inpatient department.

I would like to express my special thanks of gratitude to Mr. Pradip Verma

(Assistant Manager HR), who hired me as a trainee and gave chance to learn
something more about Hospital management.

Secondly, I would also thankful to Mr. Fraz Shamim (Floor Assistant manager)
and Mrs. Piyali Maitra (Floor Assistant manager) who gave me the permission
to work freely in their respective departments for 3 months.

I want to say that I really enjoy this training and my heartily

apology if I am done anything wrong.

CONTENTS

• INTRODUCTION
• OBJECTIVE OF THE TRAINING
• METHODOLOGY
• OVERVIEW OF IPD
• OBSERVATION
• RECOMMENDATION
• BIBLIOGRAPHY
Dr. Devi Shetty founded Narayana Hrudalaya (NH) in the year 2000
with a 280- bed heart hospital in Bangalore. In 2013, Narayana
officially changed its identity to Narayana Health. It now operates
several hospitals and heart centres across India, making it the second
largest hospital network in India (based operational bed count). Since
2014, the group operates Health City Cayman Island in Grand
Caymen. Dr. Emmanuel Rupert was made the MD & Group CEO in the
place of Dr. Ashutosh Raghuvansha following the latter's resignation
in January 2019.

Narayana Health has extended its conmitment to healthcare to the people of

Eastern India by launching Narayana Multi speciality Hospital in the northern
suburbs of Kolkata, to benefit the people in and around one of the India's most
populated districts, Barasat. The hospital is equipped with 3 advanced
Operation theatres and 6 Dialysis machines capable of doing 500 dialysis cycles
per month. Speciality services include Neurology, Orthopaedics, Urology,
Nephrology, cardiology, E.N. T, General Medicine, General Surgery with 24hour
trauma and critical care services. The hospital in Barasat is NH's commitment
towards bringing high-class multispeciality healthcare services within the reach
of the Common man in West Bengal. pg. 7 N Dr:. Devi Prasad Shetty (Cardiac
Surgeon
Scope of Services:

Specialty Services

• Emergency & Critical Care

• Cardiology & Cardiac Surgery
• Neurology & Neuro surgery
• Orthopaedics & Joint Replacement
 • Gastro & GI Surgery
• Urology
• Internal Medicine
• ENT
• Oral & Maxillofacial Surgery
• Pulmonology / Respiratory Medicine
• Nephrology
Facilities:
• 200 Beds
• 80 Critical Care Beds (ICU)
• 3 Modular Operation Theatres
• Out Patient Department
• Cardiac Catheterisation
• Electrophysiology Laboratory
• Endoscopy Suite
• Pharmacy
Specialised Clinics:
• Stroke clinic
• EP & Arrhythmia Clinic

Diagnostic Services:-

• ECG
• Echocardiography
• TMT
• Holter Monitor
 • Tilt Table Test
• CT Scan
• NCVEEG| EMG
• Pulmonary Function Test (PFT)
• FNAC
• Bronchoscopy
• Plural Fluid Analysis
• XRay | USG|ERCP
.

• Colonoscopy .
• Uroflowmetry
• Colour Doppler
• Biopsy & Histopatholog

24/7 Services
• Emergency | Ambulance
• Dialysis | Radiology | Laboratory

Unique Facilities

• Home care Services

• Home Sample Collection
• Sleep Study

Other Services

• General Orthopacdics
• Arthroscopy
• Sports Medicine
 • Dental
• Psychiatry
• Rheumatology
• Dermatology
• Plastic Surgery
• Interventional Radiology
• Anaesthesiology
• Clinical Nutrition & Dietetics
• Audio metry
• Speech Therapy

Serial Number Department

Head Of The
Department
1. Internal Medicine Dr. Amit Dey
and Critical Care

Services
2. General Surgery Dr. Jai Choudhary
3. Cardiologist Dr. Auriom Kar Dr.
Sunandan Sikdar, Dr.
Arunansu Dhole Dr.
 R.N Karmakar
4. Gastroenterology Dr. Manik Lal Thakur
Medical
5. Neurology Dr. Ananya Das
6. Consultant Critical Dr. Prasun Banerjee
Care
7. Nephrology Dr. Swastik Purkait
8. Urology Patro Dr. Chandra
Sekhar
9. Joint Replacement Dr. Indranil Biswas
Orthopaedics and
 INTRODUCTION
Indoor Patients Department (IPD) refers to the areas of the
hospital where patients are accommodated after being
admitted, based on doctor's specialist's assessment, from the
Out-Patient Department, Emergency Services and
Ambulatory Care. Basically people go to the hospital for two
purpose; either seek outdoor consultation in OPD or for the
admission in the hospital. In patient department is basically
for those who need treatment under healthcare professionals.
Patients are admitted in IPD for long or short time depending
on the severity of their disease.
In patient department consists of a ward with nursing station,
beds, and all others facility & and services necessary for good
patients care.
It is one of the important aspects of hospital as every ratio and
calculation for hospital planning & designing process is based
upon the no. of bed it consists.
 OBJECTVE OF THE TRAINING

• MY FIRST OBJECTIVE : I did build my aptitude, positive attitude

towards people and I studied rules & regulation in hospital.

• My SECOND OBJECTIVE : I learn how to handle patients parties.

• My THIRD OBJECTIVE : I learn how to make doctors list.
• MY FOURTH OBJECTIVE: I learn how to scan TPA &
SWASTHASATHI patient’s files.
• MY FIFTH OBJECTIVE : I learn the importance of time .
• My SIXTH OBJECTIVE: I learn ‘Freedom of speech is punishable
for me.’
• MY SEVENTH OBJECTIVE : I did learn some managerial skills from
my seniors.
• My EIGHTH OBJECTIVE: This training help me to grow my
confidence level.
• My NINTH OBJECTIVE: Our HR tought me the value of regular in any
field.
•
 METHODOLOGY
TRAINING DURATION: 2nd August – 2nd november

TRAINING PLACE : NARAYANA MULTISPECIALITY HOSPITAL,

BARASAT

TRAINING HOURS: MONDAY-SATURDAY (9AM- 5PM)

PRIMARY DATA : FROM HOSPITAL OBSERVATION

SECONDARY DATA: FROM INTERNET

TOOL OR MATERIAL USED : MS WORD

PROJECT DONE WITH THE HELP OF : LAPTOP

TYPES OF WARD INCLUIDS IPD DEPARTMENT

GENERAL WARD:
General ward is a common unit where patients who are admitted
share the same room. The ward is equipped with health monitoring
systems with one-to-one care assistance for patients as required.
Facilities are catered as per patient's diagnosis, age, comfort and
other essential factors.

• General Ward means a room categorised as a general

ward by a Hospital. In case if the hospital does not have
any room categorization, a General Ward shall mean a
room in Hospital shared by three (3) or more people but
excluding any Semi-Private Room or above.
• A Hospital room for the Insured Person’s use during the
Confinement that is a room with more than two (2) patient beds
(not including any companion bed) and one (1)adjoining
bathroom.

• A room with more than double occupancy during the

Confinement with a bath or shower room for sharing. The room
shall not include kitchen, dining or sitting rooms.
 • The general ward: care and environment. People are transferred from the
intensive care unit to a general ward when medical staff decide that they
no longer need such close observation and one-to-one care. For many
people, this move is an important step in their progress from being
critically ill to recovering.

•
.

HDU ( HIGH DEPENDENCY UNIT)

HDUs will be specifically equipped and staffed to provide the
intermediate level of care that such patients often require if their
condition deteriorates during their stay in the ward or after discharge
from the ICU as a stepdown approach, before being shifting to the
ward.

• The HDU provides invasive monitoring and support for patients

with or at risk of developing acute (or acute-on-chronic)
singleorgan failure, particularly where the predicted risk of clinical
deterioration is high or unknown.

• HDU is equipped with bubble CPAP, High Flow Nasal Cannula

oxygen to provide non invasive ventilation along with advanced
cardio respiratory monitoring. Provisions for Central line insertion
to provide Total parenteral nutrition and other IV infusions are
also available.

• The High Dependency Unit (HDU) provides a service of care for

very ill or injured patients. Patients on HDU need constant
medical support and may require extra monitoring, help with
their breathing or they have a severe infection, and need to be
cared for using specialist equipment or resources.

• The tube, which is known as an endotracheal tube, is connected

to a machine that blows air and extra oxygen in and out of the
lungs. The machine can 'breathe' completely for a patient or it
can be set to assist a patient's own breathing. A patient can be
gradually weaned off a ventilator when their condition improves.
 • When people felt they had a high standard of nursing care and
treatment in HDU, they regarded their transfer as a positive move
in the right direction. Some people, however, felt they'd been
transferred much too early. Others had mixed feelings about
moving to HDU because they'd felt so 'safe' and secure in
intensive care. One woman said ICU was like a 'security blanket'
because a nurse was by each patient's side almost all of the time.
Some felt anxious as they were improving and found it difficult to
cope with other sick patients in close proximity.

CCU ( CRITICAL CARE UNIT)

Critical care units (CCUs) are specialist hospital wards

that treat patients who are seriously ill and need constant monitoring.
These patients might, for example, have problems with one or more
vital organ or be unable to breathe without support.

• 'Critical care' is now used as the term that encompasses

'intensive care', 'intensive therapy' and 'high dependency' units.
 Critical care is needed if a patient needs specialised monitoring,
treatment and attention, for example, after routine complex
surgery, a life-threatening illness or an injury.

• critical care unit (CCU), is a special department of a hospital or

health care facility that provides intensive care medicine.

• Critical care is medical care for people who have lifethreatening

injuries and illnesses.

• A team of specially-trained health care providers gives you

24hour care. This includes using machines to constantly monitor
your vital signs.

• An ICU may also be called a critical care unit (CCU) or intensive

therapy unit (ITU). Intensive care unit purpose. An ICU handles
severe, potentially life-threatening cases. People who are in a
serious accident, undergo major surgery, or have a sudden
decline in health may get treatment from an ICU.
 • The different types of medical
equipments
used in an ICU are-
Monitor, ventilator, IV Catheter, Urine Catheter, Pleur-evac,
Nasogastric tube (NG tube), ECG electrodes, Nasogastric suction,
Pulse Oximeter, Crash Cart, Anesthesia Machine, EKG Machine,
and more.

ICU ( INTENSIVE CARE UNIT )

Intensive care units (ICUs) are specialist hospital wards that provide
treatment and monitoring for people who are very ill. They're staffed
with specially trained healthcare professionals and contain
sophisticated monitoring equipment.

4 UNITS OF ICU
• Medical intensive care unit.
• Surgical intensive care unit.
• Pediatric intensive care unit.
• Neonatal intensive care unit.

• Intensive care is appropriate for patients requiring or likely to

require advanced respiratory support, patients requiring support
of two or more organ systems, and patients with chronic
impairment of one or more organ systems who also require
support for an acute reversible failure of another organ.

• ICU patients are in critical condition. They may have breathing or

heart problems, serious head or other traumatic injuries, and
uncontrolled infections. Many patients move from the
emergency room into the ICU for extended critical care. The staff
at the ICU includes a larger team for each patient.

• Intensive care is appropriate for patients requiring or likely to

require advanced respiratory support, patients requiring support
of two or more organ systems, and patients with chronic
impairment of one or more organ systems who also require
support for an acute reversible failure of another organ.

• This is especially important in critical care, as mean nurse

staffing levels do not vary much; ICU nurse staffing ranges from
approximately one to two patients per nurse (2, 3), dependent
on acuity, country, and healthcare system design.
 • The total area of ICU should be 2.5 to three
times the total space of ICU beds which
includes supply and service corridor/
passageway of 2.4 metre width. At least one
patient cubicle as
isolation with anteroom facility having negative pressure is
recommended within the ICU.

OBSERVATION

 NPS is measured by asking "the ultimate question" that allows organizes

to track promoters and detractors, producing a clear measure of an
organization's performance through its customers' eyes.
 To calculate NPS, start with the ultimate question, "How likely are you to
recommend us to a friend or colleague?" and score the answers on zero
to-ten scale. Net Promoter Score is simply the percentage of customers
who are promoters (those who scored 9 or 10) minus the percentage who
are detractors (those who scored 0 to 6). This scale is familiar and easy for
customers to understand.

 So, grow our hospital NPS, promote hospital, developed economically and
mostly people recommended our hospital is a main purpose of my
project.
 RECOMMENDATION

1. Timing of doctor should be properly scheduled to prevent long waiting time

of patient.

2. Providing advance knowledge of healthcare and cost.

3. Providing cleaner and more modern facilities

4. More clarity about patient condition and what is on-going procedure.

5. Collect Patient feedback.

6. Take required actions based of patient feedback.

7. Every day follow up with the patient.

8. Make processes simple for patient and patient relative.

9. Develop of housekeeping staff.

10. All the technician should come every day and check all the
machinery equipment.
 CONCLUSION

This study suggests that patients were satisfied to a

larger extent with
 IPD services. Majority of the patients were satisfied
with the attitude of doctors, nurses and paramedical staff and it was
appreciated. It helps health care provider for their self-boost and or
improvement. It also helps organization for market stake and
accreditation. Patient attending each hospital are responsible for
spreading the good image of the hospital and therefore satisfaction of
patient attending the hospital is equally important for hospital
management. Studies about IPD services have elicited problem like
nursing care, cleanliness of ward or room, cleanliness of washroom,
behaviour of staff, quality and quantity of food and discharge process
and admission etc. Patient evaluation of care is important to provide
opportunity for improvement such as strategic framing of health plans,
which sometimes exceed patient expectations and benchmarking. The
advantages surveys rely heavily on using standardized,
psychometrically tested data collection approaches. Therefore, a
standardized tool needs to be further developed and refined in order
to reflect positively on the main goals of patient satisfaction survey.
patient satisfaction and impact of collecting patient information to
build up strategic quality improvement plans and initiatives has shed
light on the magnitude of the subject.
 REFERENCE

a
https://cag.gov.in/uploads/download_audit_report/2019/Chapter_4_In_pa
tient_Services_of_Report_No_2_of_2019_Hospital_Management_in_Uttar_Pra
desh_Government_of_Uttar_Pradesh.pdf

b. https://www.nhs.uk/conditions/intensivecare/#:~:text=Intensive%20care%20
units%20(ICUs)%20are,and%20cont ain%20sophisticated%20monitoring
%20equipment.

c. https://www.medifee.com/hospitals/generalward/#:~:text=General%20ward%
20is%20a%20common,comfort%20an d%20other%20essential%20factors.

d
https://en.wikipedia.org/wiki/Highdependency_unit#:~:text=A%20high%2Ddepende
ncy%20unit%20is,those %20with%20single%2Dorgan%20failure.
 THANK
YOU