Hospital Training Report

In Partial Fulfillment of the Requirement for the degree of

BACHELOR OF PHARMACY
by
AATIF ANSARI
(Roll no.2209080500004)
Under the Supervision of
Supervisor:
Mrs. Soumya Mishra
Assistant Professor
Noida Institute of Engineering and Technology
(Pharmacy Institute)
Greater Noida

FACULTY OF PHARMACY
Dr.A.P.J. ABDUL KALAM TECHNICAL UNIVERSITY
LUCKNOW

(Formerly Uttar Pradesh Technical University) LUCKNOW

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 CERTIFICATE

Certified that Mr./Ms. Aati Ansari(Roll no:2209080500004) student

of Bachelor of Pharmacy at Noida Institute of Engineering &
Technology (Pharmacy Institute), has successfully completed his
Hospital Training at Hope Hospital and it is presented in this report
for Dr. A.P.J Abdul Kalam Technical University, Lucknow.

Signature Signature
External Examiner
Supervisor:
Mrs. Soumya Mishra
Assistant Professor
NIET (Pharmacy Institute)
Greater Noida

Date:

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 ACKNOWLEDGEMENT
This is my proud privileges to be attached to Hope Hospital Greater Noida. It
is highly professionalized hospital with modern outlook. I have learned a lot
during my training duration of 45 days and contain has been fortunate in getting
and opportunity of working in this hospital.

I would like to thanks to Mr. Yashbir Sir, Hope Hospital, Greater Noida,
providing necessary training facilities and guidance during entire period of my
training.

I also thank Ms. Bibha Ma'am, Supervisor of In-Patient Pharmacy of Hope

Hospital, Greater Noida, Mr. Sudhanshu Arora, (Pharmacist) for their help
and encouragement and for providing the facilities at the Hospital.

I would like to thanks all trainees and staffs, who help me very much and
without whom support and guidance it was impossible for me to complete the
project successfully.

I would like to express my gratitude towards my parents & member of NOIDA

INSTITUTE OF ENGINEERING & TECHNOLOGY COLLEGE
(PHARAMCY) for their kind co-operation and encouragement which help me
in completion of this project.

AATIF ANSARI…..

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[Link] Topic Page No.

1. Objectives 5
2. About Hope Hospital 6

3. Facilities Provided By 7
Hope Hospital
4. Outpatients Department 8

5. General Wards 9
6. Emergency Department 10

7. Pharmacy Department 11

8. First Aid Treatment 12

9. Aim of First Aid 13

10. Cardiopulmonary 14
resuscitation

11. Injections 15

12. Dressing 16

13. Prescription 17

14. Dispensing procedure 18

15. Diagnostic report 19

16. Patient observation chart 20

17. Conclusion 21

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 OBJECTIVES

 Hospital training is an observational oriented procedure in which a person

is able to learn practically from their theoretically knowledge.

 Hospital training helps to study closely the ground level problems

regarding their job profile.

 Hospital training provides practical knowledge to the students.

 Hospital training promotes an environment in which student are induced

to adapt themselves quickly to changed circumstances.

 Hospital training puts the students in real life situations.

 Hospital training removes the hesitation of the students regarding their

working skills and personality development.

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 The Hope Hospital - Best Multi Specialty and
Orthopedic Hospital in Greater Noida

The Hope Hospital has been at the forefront of pioneering initiatives,

setting new standards for comprehensive healthcare in Greater
Noida, the heart of the region. At The Hope Hospital, our relentless
pursuit is to attain a 100% success rate across all our services,
spanning consultations, diagnostics, pharmacy, inpatient care,
including surgeries, and post-treatment support for our valued
patients. If you're seeking the best hospital near you, your search
concludes with The Hope Hospital.
In our ongoing dedication to accessible and affordable
healthcare, The Hope Hospital stands firm, recognizing the
challenges posed by pandemics and rising healthcare maintenance
costs. Our unwavering commitment to providing you with the
utmost excellence establishes us as the Best hospital in Greater
Noida.

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 FACILITIES PROVIDED BY HOPE
HOSPITAL

 24 hrs Emergency
 24 hrs Ambulance Services
 24 hrs Admission
 24 hrs Canteen

SECTIONS IN JEEVAN HOSPITAL

 OPD General Wards

 Emergency Wards
 Operation Theatre
 ICU Department
 Injection Room
 Pathology Laboratory
 Ultrasound Department
 X-Ray Department
 ECG Department
 Dressing Department
 Pharmacy

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 OUTPATIENT DEPARTMENT (OPD)

An outpatient department is the part of hospital designed for the

treatment of outpatients. This department provides diagnosis and care
for patients that do not need to stay overnight. It is an important part
of the overall running of the department. The outpatient department
will usually be on the ground floor of the hospital. Wheel chairs and
stretchers are available for non-ambulatory patients. Close at hand
will be X-rat facilities, laboratories, the medical record office and a
pharmacy. In the main waiting area there are a range of facilities for
the patients and their families including toilets, public telephones,
canteen, and water dispenser. Some of the hospitals have no separate
department for outpatients, so they may be treated in same department
as patients that stay overnight. In Hope Hospital, there is separate
outpatient department. Timing for OPD is 10:00 AM to 2:00 PM and
6:00 PM to 8:00 PM.

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 GENERAL WARDS
 A general ward is a large room where people who need medical
treatment stay in general wards.
 General wards have a cubicle room having six to eight patient
bed and toilet in the wings of the ward.
 These wards are fully-equipped nursing station, Attendant couch,
Qualified dietitian for diet advice and diet service.
 In general ward, those patients are only stay who is not suffered
from any chronic disease.

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 EMERGENCY DEPARTMENT
 An Emergency Department (ED), also known as an Accident and
Emergency department (A&E), Emergency Room (ER) and
Casualty Department (CD).
 It is a medical treatment facility specializing in emergency
medicine.
 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 lifethreatening and require
immediate attention.
 In some countries, emergency departments have become
important entry points for those without other means of access to
medical care.
 The emergency departments of most hospitals operate 24 hours a
day, although staffing levels may varied in an attempt to reflect
patient volume.

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 PHARMACY DEPARTMENT
 Hospital pharmacy can usually be found with in the premises of
the hospital.
 Hospital pharmacy usually stock a large range of medications
including more specialized and investigational medications
(medicines that are being studied but have not yet been
approved), then would be feasible in the community setting.
 Hospital pharmacies typically provide medications for the
hospitalized patients only and are not retail establishments.
 They typically do not provide prescription service to the public.
 Some hospitals do have retail pharmacies with in them, which
sell over the counter as well as prescription medications to the
public, but these are not the actual hospital pharmacy.

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 FIRST AID TREATMENT
 First aid is the assistance given to any person suffering a sudden
illness or injury, with care provided to preserve life, prevent the
condition from worsening, and/or promote recovery.
 It includes initial intervention in a serious condition prior to
professional medical help being available, such as performing
CPR while awaiting an ambulance, as well as the complete
treatment of minor conditions, such as applying a plaster to a cut.
 First aid is generally performed by the layperson, with many
people trained in providing basic levels of first aid, and others
willing to do so from acquired knowledge.

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AIMS OF FIRST AID
The key aims of first aid can be summarized in three key points,
which known as “3 P’s”-
1. Preserve Life – The overriding aim of all medical care which
includes first aid is to save lives and minimize the threat of
death.
2. Prevent further harm – Also sometimes called prevent the
condition from worsening or danger of further injury, this covers
both external factors such as moving a patient away from any
cause of harm and applying first aid techniques to prevent
worsening of the condition, such as applying pressure to stop a
bleed becoming dangerous.
3. Promote recovery – First aid also involves trying to start the
recovery process from the illness or injury and in some cases
might involve completing a treatment, such as in the case of
applying a plaster to a small wound.

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CARDIOPULMONARY RESUSCITATION
 Cardiopulmonary Resuscitation (CPR) is a first aid technique to
help people who suffer a “Cardiac Arrest” (their heart stops
beating).
 It involves chest compressions and rescue breaths to keep the
casualty alive until a defibrillator arrives
 A defibrillator is an electrical device which can be used to help
restart someone’s heart.
 CPR on its own is unlikely to restart someone’s heart; however
it will increase the chance of a defibrillator being successful.

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 INJECTIONS
 An injection is the act of putting a liquid, especially a drug into
a person’s body using a needle and a syringe.
 Injection is a technique for delivering drugs by parenteral
administration, that is, administration via a route other than
through the digestive tract.
 Parenteral injection includes subcutaneous, intramuscular,
intravenous, intraperitoneal, intracardiac, intraarticular and
intracavernous injection.
 Injection is generally administered as a bolus, but can possibly
be used for continuous drug administration as well.

Various Methods of Injections:

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 DRESSING
 A dressing is a sterile pad or compress applied to a wound to
promote healing and protect the wound from further harm.
 A dressing is designed to be in direct contact with the wound as
distinguished from a bandage, which is most often used to hold
a dressing in place. Many modern dressings are self –adhesive
 Dressings serve a variety of purposes depending on the type,
severity and position of the wound.
 Dressings are also important to help:
 Stop bleeding and start clotting so the wound can heal
 Absorb any excess blood, plasma or other fluids
 Wound debridement
 Begin the healing process

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 PRESCRIPTION
A prescription contains handwritten instructions for the
dispensing and administering of medications. It can be more than
an order for drugs as it can also include instructions for a
therapist, the patient, nurse, caretaker, pharmacist or a lab
technician for orders for lab tests, X-rays, and other assessments.

SECTIONS OF PRESCRIPTION:
 Superscription - the heading with the date and the patient’s
name, address, age, etc.
 Symbol Rx - the Rx stands for "recipe" which in Latin means
"to take."
 Inscription - the information about the medication. It has the
name of the ingredients and the amount needed. It includes the
main ingredient, anything that helps in the action of the drug,
something to modify the effects of the main drug, and the
"vehicle" which makes the medicine more pleasant to take
 Subscription - The subscription section tells the pharmacist
how to dispense the drug. This will have instructions on
compounding the drug and the amount needed.
 Signature - The signature has the directions that are to be
printed on the medicine. The word "sig" means "write on
label."

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 DISPENSING PROCEDURE
Drug dispensing is often portrayed as merely being the process of
giving a drug product to a patient.
Dispensing Procedure
 Ensure that the prescription has the name and 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 centre should endorse it.
 Avoid dispensing without a prescription or from an unauthorized
prescriber.
 Check the name of the prescribed drug against that of the
container.
 Check the expiration date on the container.
 Calculate the total cost of the drug to be dispensed on the basis of
the prescription where applicable.
Dispensing prescription on part- payment
When a patient does not have enough money to pay for all the drugs
as prescribed, the dispenser is faced with a difficult situation .
The dispenser follows these things at that time –
1. Like doctor prescribed medicines for 7 days so, you can dispense
only 3-5 days medicines according to money.
2. If you know the medical treatment is gone long, then write the left
amount on prescription so you can take the left money on next time
dispensing.

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 DIAGNOSTIC REPORT

 A diagnostic report is the set of information that is typically

provided by a diagnostic service when investigations are
complete.
 The information includes a mix of atomic results, text reports,
images and codes.
 The Diagnostic Report resource is suitable for the following
kinds of reports –
 Laboratory – Clinical Chemistry, Hematology, Microbiology,
etc.
 Pathology/ Histopathology related disciplines
 Imaging Investigations – X-Ray, CT scan, MRI, etc.
 Other Diagnostics – Cardiology, Gastroenterology, etc.

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 PATIENT OBSERVATION CHART
An observation and response chart is a document that allows the recording of
patient observations and specifies the action to be taken in response to
deterioration from the normal. The purpose of these charts is to support accurate
and timely recognition of clinical deterioration and prompt action when
deterioration is observed. The way in which observation charts are designed and
used can contribute to both the poor recording of observations and failure to
interpret them correctly. Ensuring that patients who deteriorate receive
appropriate and timely care is a key safety and quality challenge.
The objective of an observation chart is to present the most important vital signs
for detecting deterioration in most patients in a user-friendly manner.
A).Single parameter tool (track and trigger) - Vital signs are
compared with a simple set of criteria with predefined thresholds, with
a response algorithm being activated when any criterion is met”. The
main vital signs are graphed so that trends can be easily ‘tracked’.
There are also color coded zones to indicate when patient observations
are likely to represent deterioration, where a response is ‘triggered’.
Incorporating call criteria in observation charts is an effective way in
which to highlight possible deterioration and assist clinicians with
making decisions as to when to ‘trigger’ a response, whether that be
for a clinical review or rapid response call

B).Aggregate scoring system - Core observations attract a weighted

Score. “Weighted scores are assigned to physiological values and
compared with predefined trigger thresholds. The main vital signs are
collected and points are allocated. The points for each observation are
added to give a score that helps identify patients with subtle signs of
deterioration. A supporting Action Plan triggers certain actions when
certain scores are reached

C).Combination system - Single or multiple parameter systems used

in combination with aggregate weighted scoring systems.

D).Non track and trigger - Other observations charts may include the
collection of vital signs with no scoring or no criteria for a response.

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 CONCLUSION
During training procedures I have got lot of knowledge about
flowing-
 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.
 Sites of injection which includes knowledge of syringes, routes of
injections. Routes of injections such as I.V., I.M., I.D.,
Subcutaneous etc.
 In Prescription reading, its parts and the abbreviations used are
studied by me in this project it’s truly a scandalous matter for
pharmacists study.
 Later the dispensing procedure is stated therefore which was
practiced by me all around the training at regular intervals.
 I also learn about patient observation chart and how to fill it, use
it.
 In Simple diagnostic reports that are easy to study in case of
pathological reports but a bit of difficulty arises in reading
radiological reports.
 Therefore I have got a marvelous experience by this training.

AATIF ANSARI….
(2209080500016)

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