Gynaecology & Obstetrics Dept. OPD & Wards: PGDHM & HC, Sem:1 Roll No.2, DR - Vaishali Gondane

Gynaecology &
Obstetrics Dept.
OPD & Wards
PGDHM & HC, Sem:1

Roll No.2, Dr.Vaishali Gondane
Gynaec & Obst. Dept
 Objective :
To provide good, comprehensive care & treatment,
diagnosis, maternity, preventive & rehabilitative services,
& research pertaining to the female genital & reproductive
system
 Scope:
Reproductive system care
Antenatal Care (ANC),
Care during labour,
Post natal care (PNC)
Delivery Services
Neonatal Care
Activities of the OBGY dept.
OPD
Wards
Operation theatre
Academic examination
Social obstetrics
PG teaching
Endocrinology
Records
Post partum Programmes
Infertility Clinics
OPD block
OPD : two different OPDs at same location
Gynaec -- morning
ANC – afternoon
• Location : ground floor
• Site : easily accessible, spacious entry & exit
• Area & space : depends on the patients load,
- Ideally 12 to 18 % of depts. area
- Waiting area 6-8 sqft /patient
- flooring non slippery
• Ventilation & Illumination: Adequate air circulation &
preferably sufficient natural sunlight.

• Display boards.
• Wheelchair & Trolley bay.
• Safe drinking water facility.
• Ramps /lift facility.
Additional Specific requirements
Attached sufficient number of urinals / toilets.
2-3 urinals/toilets per 50 pts.
Urine examination room
Screening room : examination/sample collection
Weight & BP measurement area.
Family planning, marriage counseling room

Infertility Clinic
ICTC counsellour room.
Prevention of Violence against women(PVAW).cell
Additional Specific requirements…..contd
Every Consulting rooms should ensure aural &

visible (physical) privacy.
Gynae examination tables.
Injection room – Inj.T T, Imferone, Injectable
contraception
Contraception dispensing room
Laboratory sample collection room – ANC
Procedure room
Research/ data collection room
Equipments/logistics in OPD block
BP apparatus
Weighing machines
Feto Scopes,
Fetal NST machine
Portable USG
Refrigerator
Instruments- Speculums, retractors, Cervix holders,
spatulas, IUCD insertion instruments.
Disposable Sterile gloves
Wheelchair, trolleys
Flow pattern for patients
Reception & Inquiry
OPD Registration
Waiting area
Screening – pap smear, other test
Consulting & Examination room :-
- Admission office ( inpatient)
- Investigations
- Injection/ dressing room, dispensary
- referral
• Procedure room.
• Follow-up date
Movement of patients in OPD
Reception & Inquiry
OPD Registration
Waiting area Screening
Consulting & Examination room

- Admission - inpatient
- Investigations
Procedure room - Injection/ dressing room
- referral
Dispensary
Follow-up date
Staff organisation in OPD
 Medical staff : Senior members of medical staff
Junior clinicians,
same in OPD & inpatients.
 Nursing Staff : Headed by senior sister in-charge
 Medical social worker / Counsellour
 Paramedical workers : lab, registration, reception
 Servants, wardboys, Aayabai.
Wards in OBGY unit
Scope
 ANC
 Care during labour
 Post natal care
 Delivery services,
 Neonatal care
 Gynecology care
 Infertility workup
Nursing units in Gynae & Obs.
Site : - Easily accessible, quiet & less noisy area.
Location: - Ground floor / first floor
- Ramps & lifts
Beds allocated : 15-18 % of total hospital beds

10 -15 beds -- 50-60% expected occupancy
20 - 50 beds -- 65 -75 %
> 50 beds -- >75% .
Nursing units in Gynae & Obs….contd
Ward pattern :
- Rig’s pattern/cubicle – nursing mothers
Ceiling Height:
-Floor to ceiling not < than 3 mts
-Vertical ht between flooring & suspended
fan <than 2.6 mts
Corridor width:
- 2.4 mts - trolleys, stretcher movements
Doors:
1.2mts wide
Windows :
- 20% of floor area if on single wall
- or 15% if on opposite wall & at same height
Nursing units in Gynae & Obs….contd
 Flooring:
Non Slippery
 Dado:
upto 3ft from flooring
 Noise reduction :
use of acoustical structure
 Bedside lockers & inbuilt cupboards
 Comfortable chair.
1 for each bed
Ward Accommodation (various units/wards)
Primary
Bed accommodation : - ANC
- PNC,
- Nursery, Incubator room, ICU
- Gynaec wards
Nursing Station
Treatment rooms: -Receiving room (RR)
- Labour room
- Delivery room
- Post-partum security room
Ward Accomodation….contd
Auxillary
Doctor’s office room
Doctor’s rest room
Nurses room.
Clinical side room.
Clean utility
Stores
Sanitary
House keeper
Dirty utility ,
BMW collection area
Toilet block
Ward Accommodation….contd
Ancillary
 Ward Pantry/Kitchen
 Day room
 Conference room
 Stretcher trolley
 Waiting area
 CCTV camera & mike system.
Receiving room & Labour room
RR - Located near labour room.
- Works round the clock
- casualty, OPD, any other wards, referral.
- decides further course of action.
- 2-3 gynac examination tables/beds,
- Gynaec instruments
- Fetal NST machine.
- Portable sonography
- good stock of gloves, emergency drugs,
equipped emergency tray, injectables / infusions,
drugs
Labour room
Labour room – 2 labour rooms
area 100-200 sq.ft /bed
fetal monitor/ table, bed
Delivery room : 1 Delivery room,
- area 120-250 sqft/ bed
– a baby crib/bed
- Discipline & equipments of an operation theatre
- all required anesthetic machines,
- resuscitation equipments, Sterilisation equipments
Nursery block
 Nursery for full term babies:
8 -10 bassinets per nursery
2 ft distance between
Temp – 280c
Humidity – 50 %
 Observation Nursery: - 1per 10- 12 registrations
-10% of all live births
- Space – 30-40 sqft/bassinet
- 3 bassinets per unit
- Isolation nursery – infection
 Pre-mature nursery: 6 – 8% of all live births
Min 5 bassinets /unit
Postpartum, ANC, Gynaec ward.
Space provision in wards:
 Every cot 7 sqmts. (cot size 7ft x 3 ft =21 fts)
 Single bed area 15 sqmts.( 45-50 sqft)
 Distance between wall & bed < 0 .65 mts
 Distance between 2 bed: 1.2 mts or
2.25mts between centres
 Ancillary area : 15-20 sqmts.
 Corridors : 2.5 mts wide
 Postpartum wards: every bed with baby crib &
comfortable chair . Initiation & facilitation successful
“Rooming’’ of the baby
 Dinning area not < 12 sqmts.
 Kitchen + Pantry: not < 25 sqmts
Nursing Station
Nursing station: Easily visible, open to corridor,
Have a counter (desk & barrier)
Attached with sister room & wc.
Table –preparation of medicines, inj.trays, samples
Cupboards/storage –drugs, instruments, dressings
Closet-narcotic & dangerous drugs.
Refrigerator-Antibiotics, sensitive injectables
Sanitary facilities
WCs : 1 per 6-8 pts. Type- Indian , Western
Bathrooms: 1 per 10 pts.
Washbasin: 1 per 8 pts.(1 in each cubicle Rig’s ward)
at height 91.5 cms from floor
Additional provision/accountability
Visiting hours: Liberal for family excitement-husband,
sibling, mother-in –law, relatives etc.
CCTV cameras.
Mike system
Medico-legal cases
Co-ordination for adoption
Women harassment.
Female Child abuse.
References.
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Gynaecology &

PGDHM & HC, Sem:1

preferably sufficient natural sunlight.

Screening room : examination/sample collection

Weight & BP measurement area.

Family planning, marriage counseling room

Every Consulting rooms should ensure aural &

Waiting area Screening

Consulting & Examination room

Beds allocated : 15-18 % of total hospital beds

 Bedside lockers & inbuilt cupboards

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