INTRODUCTION ‘A hospital is a healthcare facility that provides specialized medical and nursing care as well as ‘medical supplies to patients. The most well-known form of the hospital is the general hospital, which usually carries an emergency department to handle urgent health issues such as fire and accident victims, as well as medical emergencies. According to the hospital definition, a hospital is usually the region's primary healthcare facility, with a large number of intensive-care beds and extra beds for patients who need long-term care. Trauma centres, children’s hospitals, rehabilitation hospitals, hospitals, and seniors! (geriatric) hospitals for coping with particular medical conditions such as psychiatric care are also examples of specialized hospitals and several other disease categories. When opposed to general hospitals, specialized hospitals can help save money on health care. Based on the source of revenue, hospitals are categorized as general, specialized, or government. A teaching hospital integrates patient care with medical students as well as nurse education, A clinic is a care facility that is smaller than that of a hospital. A hospital's departments (such as surgery and urgent care) and specialty units (such as cardiology) are diverse. Outpatient departments and chronic care canters are available at certain hospitals. Pathology, pharmacy, and radiology are examples of common support units Function of Hospi The following functions of hospital/hospital use: ~ © The hospital's financial activities must be planned, guided, and coordinated for patients in a hospital as well as the employees working there. Schoo! of Pharmacy, Desh Bhagat University, Mandi Gobindgarh Pagel © scnned vith OH Sener‘© Prepare a job and financial plan for services and initiatives, as well as funding projections. © To keep track of cash receipts and disbursements. © To manage personnel development plans, procedures, and standards; to provide guidance on policy, implementation, and administration of laws, rules, and regulations. © The quality, efficacy, and outcomes of health services for various groups and populations are shaped by the structure and dynamics of healthcare organizations; the policy repercussions for future health care reform initiatives and patients in the hospital. ‘© Hospital operation is another major benefit of hospitals. - medical hospital includes the treatment and management of patients by a team of doctors, Objectives OF. iz ‘© Hospital training is an observational oriented procedure in which a person is able to learn practically from their theoretically knowledge. ‘© Hospital training provides practical knowledge to the student. ‘© Hospital training helps to study closely the ground level problems regarding their job profile. ‘© Hospital training promote an environment in which students are induced to adapt themselves quickly to changed circumstances * To promote and grant recognition to research in the fields of Health and Hospital Management and to grant awards, scholarship and assistance in other suitable forms to meritorious individuals and institutions © To act as Advisory /Consultative Body, in the best interest of community and country, to Central and State Governments, Public Sector Undertakings, Health Care Delivery Organization, Public Health & Health System Development, Teaching and Training Organization and any other Health related allied organization, when need so arises or services are asked for. * To provide Health Care Advocacy for the benefit of health system management and to endeavour to become a national advisory body for union and state governments. TS OF HOSPITAL 1. Emergency Department (ED): Provides immediate care for acute illnesses or injuries. It is a part of hospital that provides 24 hrs emergency services care ‘An emergency is a medical treatment facility specializing in emergency medicine, the acute care of patients who present without prior appointment, either by their own means or by that of an ambulance. The emergency department is usually found in a hospital or other primary care center. Due to the unplanned nature of patient attendance, the department must provide initial treatment for a broad spectrum of illnesses and injuries, some of which may be life- threatening and require immediate attention, School of Pharmacy, Desh Bhagat University, Mandi Gobindgarh Page2 © scnned vith OH SenerIn some countries, emergency departments have become important entry points for those without other means of access to medieal care 2. Operating Room (OR) Desh Bhagat OT department provides outstanding surgical facilities 24*7. It delivers high quality of surgical specialties and wide range of expertise. The OT department team comprises of trained nurses, OT technicians and assistants and sterile service staff. This support team works closely with the surgeons and anesthetists to assure the best possible service to the patients Historically, it referred to a non -sterile, tiered theater or amphitheater in which the students and the other spectators could watch surgeons perform surgery An operation theater is a facility in the hospital where surgical operations are carried out in the aseptic environment, It is a special room in a hospital where the surgeons carry out the medical operations. Historically, it referred to a non -sterile, tiered theater or amphitheater in which the students and the other spectators could watch surgeons perform surgery. 3, Radiology Department: Performs diagnostic imaging like X-rays, CT scans, and MRIs X-rays make up X-radiation, a form of high-energy electromagnetic radiation. Most X-rays have a wavelength ranging from 0.03 to 3 nanometers, corresponding to frequencies in the range 30 petahertz to 30 exahertz. (31016 Hz to 31019 Hz) and energies in the range 100 eV to 200 keV. X-ray wavelengths are shorter than those of UV rays and typically longer than those of gamma rays, Schoo! of Pharmacy, Desh Bhagat University, Mandi Gobindgarh Pages © scnned vith OH SenerIn many languages, X- radiation is referred to as Rontgen radiation, after the German scientist Wilhelm Rontgen, who discovered it on November 8, 1895. He named it X-radiation to signify an unknown type of radiation 4. Pharmacy: - Pharmacy is the science and technique of preparing, dispensing, and reviewing drugs and providing additional clinical services. It is a health profession that links health sciences with pharmaceutical sciences and aims to ensure the safe, effective, and affordable use of drugs. Dispensing of drugs is a process of giving a drug product to a patient in the hospital + Ensure that the prescription has the name and the signature of the prescriber and the stamp of the health centre. + Ensure that the prescription is dated and has the name of the patient + If the prescription has not been written in a known (local) health centre, the prescriber of the center should endorse it, 5. Pathology department : Conducts diagnostic tests on blood, urine, and other samples a) Complete Blood Count Test (Che): - The CBC test examines the cellular elements in the blood, including the red blood cells, various white blood cells, platelets. b) White Blood Cells (Whe): - Leukocyte count normal range: - 4300 -10800cm. White Blood Cells help in fighting against infections, so a high white blood cell count could be helpful for School of Pharmacy, Desh Bhagat University, Mandi Gobindgarh Paget © scnned vith OH Seneridentifying infections, It indicates leukemia, which can cause an increase in the number of white blood cells, White Blood Cells differential count normal range: - © Neutrophils - 40%-60% of the total © Lymphocytes -20%-40% © Monocytes - 2%- 8% © Eosinophils -1%-4% © Basophils -0.5%-1% ‘The test measures the numbers, shapes and sizes of the various types of white blood cells. The WBC differential count also shows if the numbers of different cells are in the proper proportion to each other. Irregularities in this test could signal an infection, inflammation, autoimmune disorders, anemia C) Red Blood Cells (Re): - It is also called as erythrocytes. Normal range: - 4.2-5.9 million em. We have millions of red blood cells in our bodies and this test measures the number of RBCs in a specific amount of blood. It helps us determine the total number of RBC’s and gives us an idea of their lifespan, but does not indicate where problem originate. So, if there are irregularities, other tests will be required. © Hematocrit (Het) Normal Range: - 45%- 52% © For men: - 45%- 52% © For women: - 37%- 48% D) Platelet Count Range: -150000-400000m! Platelets are small portions of the cells involved in the blood clotting. Too many or too few platelets can affect the clotting in the different ways. E) Bilirubin: - Healthy range: -0.1-1.9 mg/dL. ‘This provides the information about the liver and the kidney functions, problems in the bile ducts and anemia F) Blood Urea Nitrogen (Bun) - Healthy range: - 10 -20 mg /dL. This is another measure of kidney and the liver functions. High values may indicate a problem with kidney function. A number of medications and a diet high in the protein can also raise the blood urea nitrogen levels G) Calcium: - Healthy range: -9.0 -10.5mg / dL. ‘Too much calcium in the bloodstream indicates the kidney problems, overly active thyroid or parathyroid glands, certain types of cancer, including lymphoma, problems with the pancreas or the deficiency of Vitamin -D. H) Chloride: - Healthy range: - 98-106 mEq/L. This mineral is measured as a part of an electrolyte. A high salt diet and certain medications are responsible for the elevations in the chloride Schoo! of Pharmacy, Desh Bhagat University, Mandi Gobindgarh Pages © scnned vith OH SenerExcess chloride may indicate an overly acidic content in the body. It also shows a red flag for dehydration, multiple myeloma, kidney disorders or adrenal gland dysfunction. 1) Creatinine: - Healthy Range: - For women: - 0.5 =I.1 mg/dL. For men: -0.6 - 12 mg/dL Store room Every medication has its own recommended storage condition- from room temperature, to refrigeration, to freezing, therefore it’s advisable to check with your pharmacist about any specific storage instructions The majority of medications may be stored at room temperature, in a cool dry place. Examples include your dresser drawer, a closet, a storage box, and a shelf. It’s best to avoid the bathroom medicine cabinet, since the heat and moisture from your shower, bath, and sink may damage your medicine, It’s also advisable to avoid the kitchen, since heat from the stove, sink, and any hot appliances can also damage your medicine. Always remember to store your medication out of sight and reach of children and pets, to prevent accidental ingestion. Schoo! of Pharmacy, Desh Bhagat University, Mandi Gobindgarh Pages © scnned vith OH SenerCASE STUDY-1 Patient Name (Uzma Father's Name iasir Ahmed Wani ‘Age / sex bar ‘Address (Girls hosteller Admit Number 22258 Ward [Emergene, Bed Number 3 Marital Status Married Doctor Incharge [Dr Baljit Singh Diagnosis: Fever Date of admission 5/10/3023 HISTORY: The patient suffering from fever. Hence the patient went to the hospital for his treatment PHYSICAL EXAMINATION Blood pressure ) Pulse rate MIN Body temperature lola F Surgical history not significant Past history of illness Medical history Surgical history DRUG PRESCRIPTION Not significant Not significant iv fluids Name of the drug RL 1 bottle Methomyl (100 ml) T bottle School of Pharmacy, Desh Bhagat University, Page? © scnned vith OH SenerMEDICATION NAME OF THE DRUG (WITH SALT) TIME TW Ciproffoxaein (100ml) BD Inj Rantadine BD Tnj_ Bascapan 20 mg/ml oD) Tab, Pantoprazole 40mg ‘OD Tab.Domperidone 100mg, Sos Ps sat discharged on: - 26/10/2023 School of Pharmacy, Desh Bhagat University, Pages. © scnned vith OH SenerCASE STUDY-2 Patient Name Nandani Father's Name Rajveer ‘Age / sex DaIF ‘Address jalalpur, Local ‘Admit Number [oasis Ward [Emergene) Bed Number 2 Marital Status Married Doctor Incharge [Dr Baljit Singh Diagnosis; Fever Chills, Body Ache, Date of admission b7 1072023 hospital for his treatment PHYSICAL EXAMINATION HISTORY: - The patient suffering from fever chills , body ache . Hence the patient went to the Blood pressure Pulse rate Body temperature Surgical history Past history of illness Medical history Surgical history DRUG PRESCRIPTION not significant not significant not significant WW fluids ‘Name of the drug [Quantity NS 2 bottles School of Pharmacy, Desh Bhagat University, Page © scnned vith OH SenerMEDICATION NAME OF THE DRUG (WITH SALT) TIME INI, Paracetamol BD Inj, Nurobine ‘OD Inj. Hepamerz BD Tab, Pan top OD Patient discharged on- 28/10/2023 School of Pharmacy, Desh Bhagat University, Pagel © scnned vith OH SenerCASE STUDY-3 Patient Name Sha Father's Name uy ‘Age / sex IF ‘Address Sant ‘Admit Number a2 Ward [Emergency Bed Number Marital Status [Ua Married Doctor Incharge [Dr Gulzar Singh Diagnosis; Fever Headache Date of admission 97 12023 HISTORY: - The patient suffering from fever, headache, . Hence the patient went to the hospital for his treatment PHYSICAL EXAMINATION Blood pressure ) Pulse rate % Body temperature 6 2F Surgical history not significant Past history of illness Medical history not significant Surgical history not significant DRUG PRESCRIPTION WW fluids Name of the drug RL T BOTTLE, Metrogyl (100 mi) TBOTILE NS 2 BOTTLES Schoo! of Pharmacy, Desh Bhagat University, Mandi Gobindgarh Pagel! © scnned vith OH SenerMEDICATION NAME OF THE DRUG (WITH SALT) TIME Tv Ciproffoxaein (100ml) BD Inj Rantadin BD Inj. Bascapan 20 mg/ml OD Tab, Pantoprazole 40mg OD Inj. emset OD Tab ondansetron BD. Patient discharged on-01/11/2023 School of Pharmacy, Desh Bhagat University, Pagel2 © scnned vith OH SenerPatient Name un Kumar Father's Name Prafull Singh ‘Age / sex 7M ‘Address nloh fatehgarh ‘Admit Number (eae Ward IEmergeney Bed Number Marital Status (Married Doetor Incharge [Dr Baljit Singh Diagnosis: [Body Ache, Fever Date of admission TOD HISTORY: The patient suffering from fever, Hence the patient went to the hospital for his treatment PHYSICAL EXAMINATION Blood pressure 120760) Pulse rate SIMIN Body temperature o02F Surgical history Past history of illness Medical history Surgical history DRUG PRESCRIPTION lv fluids Name of the dru NS RL Metrogyl Schoo! of Pharmacy, Desh Bhagat University, Mandi Gobindgarh not significant, not significant not significant Pagel © scnned vith OH SenerMEDICATION NAME OF THE DRUG (WITH SALT) TIME Tv Ciproffoxaein (100ml) BD Inj Rantadin BD Tab. Crocin BD Tab, Pan top ‘OD Tab. Amoxyeillin BD. Patient discharged on-03/11/2023 School of Pharmacy, Desh Bhagat University, Pagel © scnned vith OH SenerPatient Name Father's Name IRam Krishna ‘Age / sex OTF ‘Address [Mandi Gabindgarh ‘Admit Number 2379 Ward [Fmerweney Bed Number Marital Status Married Doetor Incharge [Dr Baljit Singh Diagnosis: ‘onstipation Date of admission T2023 his treatment HISTORY: - The patient suffering from constipation, Hence the patient went to the hospital for PHYSICAL EXAMINATION Blood pressure [0780 Pulse rate i109 Body temperature oor Surgical history not significant Past history of illness Medical history not significant Surgical history not significant DRUG PRESCRIPTION WW fluids Name of the drug UANTITY, NS bottles DNS [Ponte Schoo! of Pharmacy, Desh Bhagat University, Mandi Gobindgarh Pagel © scnned vith OH SenerMEDICATION NAME OF THE DRUG (WITH SALT) TIME Taj. Neurobion OD Inj Rantadin BD. Inj. Bascapan 20 mg/ ml BD. Tab, Dulcolax OD Tn. Methyinaltrexone OD Tnj. Hepamerz OD Patient discharged on:-05/11/2023 School of Pharmacy, Desh Bhagat University, Pagel © scnned vith OH SenerPatient Name Father's Name Age /sex Address ‘Admit Number Ward Bed Number Marital Status Doctor Incharge Diagnosis, Date of admission HISTORY: The patient suffering from anxiety CASE STUDY-6 Davinder Turmeet 3 1F Salaniamloh 2377 imergency (Ua Married [Dr Baljit Singh Anxiety pe 71172023 Hence the patient went to the hospital for his treatment PHYSICAL EXAMINATION Blood pressure [20780 Pulse rate rimin Body temperature 8 Surgical history Past history of illness Medical history Surgical history DRUG PRESCRIPTION not significant not significant not significant VW fluids Name of the drug Quant NS 2 Boule Metrogyl [Bottle Schoo! of Pharmacy, Desh Bhagat University, Mandi Gobindgarh Pagel © scnned vith OH SenerMEDICATION NAME OF THE DRUG (WITH SALT) TIME Tnj-emset ) Tnj.Rantadin. BD. Inj. HEPAMERZ, OD) INI. NEUROBION OD Patient discharged on- 07/11/2023 i Pagel School of Pharmacy, Desh Bhagat University, © scnned vith OH SenerCASE STUDY-7 Patient Name Babu Father's Name IRandeep ‘Age / sex AT ‘Address lol ‘Admit Number 2373 Ward [Fmergeney Bed Number Marital Status Married Doetor Incharge [Dr Baljit Singh Diagnosis: Diaarhoea, Date of admission wT HISTORY: - The patient suffering from diaarhoea . Hence the patient went to the hospital for his treatment PHYSICAL EXAMINATION Blood pressure iars0 Pulse rate UMN Body temperature OF Surgical history not significant Past history of illness Medical history not significant Surgical history not significant DRUG PRESCRIPTION lv fluids Name of the dru; RL Tote Metrogyl Tote NS Zbotiles School of Pharmacy, Desh Bhagat University, Mandi Gobindgarh Pagel © scnned vith OH SenerMEDICATION NAME OF THE DRUG (WITH SALT) TIME Tnj. Hepamerz ) Inj. Neurobion| ) Tab. Loperamide BD Taj. Ondansetron BD. Patient discharged on- 09/11/2023 School of Pharmacy, Desh Bhagat University, Page20 © scnned vith OH SenerCASE STUDY-8 Patient Name [Bhadur Singh Father's Name [Cal Singh Age /sex TIN Address Fatehgarh Sahib ‘Admit Number 2380 Ward [Emergency Bed Number 5 Marital Status Married Doctor Incharge De ASHISTE Diagnosis Fever, Vomit fate of admission frimiva033 HISTORY: The patient suffering from fever vomiting. Hence the patient went to the hospital for his treatment PHYSICAL EXAMINATION Blood pressure 110 770 mm hg [0760 Pulse rate 70/min MIN Body temperature 10°F 82 Surgical history not significant Past history of illness Medical history not significant Surgical history not significant DRUG PRESCRIPTION iv fluids Name of the drug jantty NS Boitles Metrogyl I Bortes Schoo! of Pharmacy, Desh Bhagat University, Mandi Gobindgarh Page?! © scnned vith OH SenerMEDICATION NAME OF THE DRUG (WITH SALT) TIME Tv Ciprofloxacin BD. Inj Rantadin BD. Inj. Bascapan OD “Tab, Pantoprazole OD Tnj Emset OD Patient discharged on- 12/11/2023 School of Pharmacy, Desh Bhagat University, Page?2 © scnned vith OH SenerCASE STUDY-9 Patient Name Poonam Kumari Father's Name Prafull Singh ‘Age / sex iF Address [Mandi gobindgarh ‘Admit Number 2367 Ward [Emergency Bed Number Marital Status (Un Married Doetor Incharge [Dr Ashish Diagnosis IMultple Fever Date of Admission 571172025 HISTORY The patient suffering from multiple fever. Hence the patient went to the hospital for his treatment PHYSICAL EXAMINATION Blood pressure om) Pulse rate ir Body temperature iF Surgical history not significant Past history of illness Medical history not significant Surgical history not significant DRUG PRESCRIPTION VW fluids Name of the drug juentty NS i BOTTLE RE [BOTTLE Schoo! of Pharmacy, Desh Bhagat University, Mandi Gobindgarh Page23 © scnned vith OH SenerMEDICATION NAME OF THE DRUG (WITH SALT) TIME TNJ, METRONIDAZOLE (100MG) oD TN], EMSET ‘OD TNJ, PENTOPRAZOLE, OD TNJ. BUSCOPEN OD) TEB LOPEROMIDE. BD. Patient discharged on- 14/11/2023 School of Pharmacy, Desh Bhagat University, Pages © scnned vith OH SenerCASE STUDY-10 Patient Name sachin Father's Name Prakash Jeet ‘Age / sex IM Address [Khanna ‘Admit Number 2372 Ward [Emergency Bed Number Marital Status in Married Doetor Incharge [Dr Ashish/Dr Gulzar Singh Diagnosis Hiypertoneity Date of admission [saiaoas HISTORY: The patient suffering from hypertonicity . Hence the patient went to the hospital for his treatment PHYSICAL EXAMINATION Blood pressure [20770 Pulse rate 77 Body temperature SF Surgical history not significant Past history of illness Medical history not significant Surgical history not significant DRUG PRESCRIPTION VW fluids Name of the drug jantty DNS ll BOTTLE Schoo! of Pharmacy, Desh Bhagat University, Mandi Gobindgarh Page2s © scnned vith OH SenerMEDICATION NAME OF THE DRUG (WITH SALT) TIME TNJ, DIZAPAM oD Patient discharged on- 17/11/2023 School of Pharmacy, Desh Bhagat Univers Page 26 © scnned vith OH SenerConclusion During training procedures, I have got a lot of knowledge about following: © Stated project a training regarding each and every first aid procedures it includes checking the symptoms and treating at small scale in first aids and later transferring for surgical procedures, * I got known regarding artificial respiration process and wound dressing in prescription reading its parts and the abbreviations used are studied by me. ‘© There are many other factors cause the enhance of my knowledge and have ereated a lifelong interest to learning through an exposure to new educational experience ‘+ In simple Diagnostic reports doors are easy to study in case of pathological reports but a bit of difficulty arises in reading radiological reports sites of injection which includes knowledge of inges routes of injections route of injection such as IV, IM, 1.D and subcutaneous etc Summary I came to learn about how to dispense medicines to the patient, how to inject injection to them, how to handle emergency cases. | also learn about dealing with hospital condition like disease of the patients. Therefore, I have got a marvelous experience by this training. Schoo! of Pharmacy, Desh Bhagat University, Mandi Gobindgarh Page 26 © scnned vith OH Sener