Healthcare Radius – December 2018

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INFRASTRUCTURE

2. Cancellation of
   operations is dues
   to non clearance
   from insurance
   companies or
   TPAs, sudden
   breakdown of bio
   medical equipment,
   insufficient
   infrastructural
   facilities.


3. Some of the
   reasons for delay
   in operations range
   from blocking
   of OT by doctors
   in anticipation
   of patients and
   doctor’s preference
   to complete
   procedures before
   his evening clinic.

3

In many hospitals, though first procedure

is booked for 8 am, till 10 am procedure

would not have been started. In such cases a

reasonable penalty either from the patient

or from the doctor depending upon the rea-

sons could be implemented to reduce such

deliberate mistakes. Once the procedure is

prolonged, the concerned in charge need to

inform the doctor who booked for next pro-

cedure so that he can inform his patient/at-

tendants and re-schedule his procedure. It is

the responsibility of the in charge nurse and

the doctors to check the availability of re-

quired instruments, consumables, implants

and prosthesis before taking up a procedure.

A dedicated bio medical engineer for each

specialisation could ensure maintaining of

bio medical equipment on routine basis to

bring down sudden break downs. From the

management side, grouping the related OTs

and ensuring availability of required equip-

ment and infrastructure can reduce the

down times of OT.

By Dr J

Sivakumaran is

COO with KMCH,

Coimbatore.

OPTIMUM RESOURCE

UTILISATION IN OT

We need to book cases only after patient

get admitted and ensuring fitness and only

after clearance from insurance/TPA and

attendants.

One must have the moving sizes and

brands sufficiently at the hospital, as a

policy. One needs to understand with

the supplier to replace the used sizes

within the shortest time so that the next

procedure is not delayed.

One needs to ensures that required

brands are available before booking the

cases.

One needs to get required consent and

other forms duly filled and signed well

in advance, even before booking for OT

procedure.

Have backup arrangements with the

supplier or with the nearby hospital to take

as loan, when needed.

Proper maintaining of equipment and

periodical check-up of the equipment

will avoid any sudden breakdown. Giving

proper AMC/CMC will reduce the delay.