10 Blood Bank License valid Yes / NO(enclose copy) Blood component facility available Yes / NO(enclose copy) Number of blood units stored on the inspection day Average units consumed daily (entire hospital) 11. Specialized services provided by the department: Adequate / not adequate Specialized Intensive care services provided by the Dept: Adequate / not adequate 12. 13. Specialized equipment available in the department: Adequate / Inadequate 14. Space (OPD, IPD, Offices, Teaching areas) Adequate / Inadequate 15 Library Central Departmental Number of Books Number of Journals Latest journals available upto 16. Casualty Number of Beds_______ Available equipment ____ Adequate / Inadequate 17. Common Facilities Central supply of Oxygen / Suction: Available / Not available Central Sterilization Department Adequate / Not adequate Laundry: Manual/Mechanical/Outsourced: Kitchen Gas / Fire Incinerator: Functional / Non functional Capacity: Outsourced Bio-waste disposal Outsourced / any other method Generator facility Available / Not available Medical Record Section: Computerized / Non computerized ICD10 classification Used / Not used 18. Total number of OPD, IPD and Deaths in the Institution and department concerned during the last one year: In the entire hospital In the department of ENT OPD OPD IPD (Total Number of IPD (Total Number of Patients admitted) Patients admitted) Deaths Deaths 19. Number of Births in the Hospital during the last one year: Note : 1) The data be verified by checking the death/birth registration forms sent by the college/hospital to the Registrar, Deaths & Births (Photocopy of all such forms be provided.)
10 Blood Bank License valid Yes / NO(enclose copy) Blood component facility available Yes / NO(enclose copy) Number of blood units stored on the inspection day Average units consumed daily (entire hospital) 11. Specialized services provided by the department: Adequate / not adequate 12. Specialized Intensive care services provided by the Dept: Adequate / not adequate 13. Specialized equipment available in the department: Adequate / Inadequate 14. Space (OPD, IPD, Offices, Teaching areas) Adequate / Inadequate 15 Library Central Departmental Number of Books Number of Journals Latest journals available upto 16. Casualty Number of Beds_______ Available equipment ____ Adequate / Inadequate 17. Common Facilities Central supply of Oxygen / Suction: Available / Not available Central Sterilization Department Adequate / Not adequate Laundry: Manual/Mechanical/Outsourced: Kitchen Gas / Fire Incinerator: Functional / Non functional Capacity: Outsourced Bio-waste disposal Outsourced / any other method Generator facility Available / Not available Medical Record Section: Computerized / Non computerized ICD10 classification Used / Not used 18. Total number of OPD, IPD and Deaths in the Institution and department concerned during the last one year: In the entire hospital In the department of ENT OPD OPD IPD (Total Number of Patients admitted) IPD (Total Number of Patients admitted) Deaths Deaths 19. Number of Births in the Hospital during the last one year: Note : 1) The data be verified by checking the death/birth registration forms sent by the college/hospital to the Registrar, Deaths & Births (Photocopy of all such forms be provided.)
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