1. Observation on Free Hospital

2. To eliminate needless blindness
Aravind Eye Care System
VISION
To eliminate needless blindness
MISSION
To eliminate needless blindness by providing high quality, affordable, compassionate eye care to all

3. Medical Record Department
Free Hospital
Medical Record Department
Counselling
Ward
Refraction
Outpatient
Operation Theatre

4. Scope of Services & Function
Surgery for Cataract
Refractive Error
General Eye Problem
Special surgery for Glaucoma, Retina & Cornea
Time: 7.00AM to 5.00PM
We provide the EYE care service to all people

5. Infrastructure
Total land area is sq.ft ; Building area sq.ft
Pharmacy
Optical
Operation Theatre
Canteen

6. Process flow of Free Hospital
In our Free section we follow the Route card system for guiding the patient
1.New Registration
When the patient enter into the hospital we provide the ID card for availing treatment.
Registration and investigation record all kept in EMR
2.Vision Test
This is measure the actual vision of the patient (Snellen Chart)

7. 3.Primilnary Investigation
Based on the vision test Doctors collect the Health History of the patient and slit lamp verification; they suggest for DUCT, Refraction.
Those who are above 40 years they also suggest for Duct.
4.Refraction
If patient have refractive error problem, the Dr. suggest to refraction test.
In this section they were using the different type of instrument for correct the refractive error.

8. Refraction Instruments.
Auto Refraction - its help to find the actual power of eyes
Trial Set – Lens Box ( Concave & Convex Lens)
Cylinder lens – one side movement
Medox rod lens – Squint Measure
Occutor – Blocking lens
Pin Hole & Multiple Hole Lens
Steno pix lid – Cylinder & Axis Measure
IPD – Inter Pupillary distance
Retino Scope

9. 5.DUCT RAF - Royal Air Force
Its help to find out eyes accommodation & eyes muscular balance
Prism bar – It helps to find the weakness of the eye.
Snellen Chart
Near Vision Chart
5.DUCT
It is an investigation of find the water blocks in the eye; mostly the test suggest for those who above 40 years & Cataract persons

10. Medicine for DUCT Aurolig - Pain killer Aurocol – Antibiotic
Auto rub – Hand wash
if the patient have free in puctum they allow for surgery.
If the patient have not free in puctum they refer to orbit clinic in pay section.
In orbit section they conduct the some investigation like lacrimal duct & Dr. Diagnosing based on the advise the allow minor surgery DCT & DCR
If patient not affordable they charge only Rs.500/- for Blood test.After surgery they allowed for Cataract surgery.

11. 6.IOP & BP 7.Dialatation 8.Final Examination
Intra Ocular Pressure to find the pressure of the eye Normal 12.2 to 20.6
Blood pressure 120 mg – 150 mg
7.Dialatation
Dilatation is a process of expansion of pupils in eye; we used the auromide drop for this process.
8.Final Examination
After dilatation the patient move to final examination for Dr. Diagnosis.
In this examination patient know the result of the eye problem

12. Dr. suggest for Counselling, Optical, Pharmacy or special Clinic
9.Lab
If the patient suggest for 10 counter, the dept of counselling refer to the Lab for Blood test for surgery purpose.
10 & 11.Counselling
In this department tells about the surgery details like cost, admission procedure & formalities.
If the patient have affordable condition they refer to pay section.

13. 20.Review Enquiry 12.Payment 13.Glaucoma 14.Pharmacy
15.Counselling – Patient Care
16.Optical
20.Review Enquiry
Old patient & Surgery Review patient all are approach for registering.

14. WARD Ward department daily function is Pre OP & Post OP procedure
Pre OP Procedure
On the same day surgery patient were admitted into hospital; ward sister verify the MR No, IP Admin slip & Consent Form
From the night & morning the attender give the drops; the ward sister also ensure this before surgery.

15. Post OP Vision Test & Dr.Exam IP
Pre OP procedure for IP
Immediate post OP for IP
Post OP Vision for IP

16. Counselling
After the all investigation the patient direct into Counselling department for getting the surgery details.
Rs.850/- Cot in the ward
Rs.600/- Mat in the ward
Rs.810/- DC/DA
Counselling the department prepare the list day care and day admit patient for surgery

17. Admission IP Counselling Post OP Counselling DC
Post OP Counselling IP & DA
Operational Information for IP
IP moving into OA

18. Manpower Department Senior Junior Total Counselling 6 4 10 Refraction
Doctors
CMO MO PG
 Total
New 1 4 5 10
Review - 3 6
Department
Senior
Junior
Total
Counselling 6 4 10
Refraction 8 16
Out patient 5 9
Ward 7 13
MRD
Admin 1 2 3

19. Equipment Particulars New Review Total Direct Ophthalmic scope 4
Slit Lamp 9 5 14
NCT 2 1 3
Trail set 8
Snellen Chart 7 11
Auto Refraction
A-Scan

20. Performance of the week
Date OP
Review
Total
Surgery operated
483
266
749
200
368
327
695
155
380
289
669
170
333
270
603
135
230
243
473 91
137
174
311
12 Advised
upto 12.30

21. Quality ensuring
For quality ensuring the each department conduct the weekly meeting; and the discuss about the weekly performance.
Department
Day
Time
Councelling
Friday
4.00 PM
Ward
3.00 PM
MRD
Saturday
Refraction
Tuesday
4.oo PM
OT - Complications meeting
Tu/Saturday
Out Patient

22. Thank you

23. My recommends
Preparation of OT in time Day Care room (209) more crowd because DA,IP & DC all patient dialatate in same room.
My recommendation: when the day care/day admit people before reach the theatre; they are all meet the counseling's department, in this time we post one OP sister in counseling department for dilating and verification process. It reduce the crowd in the room.
If more patient in ward counseling the sister shift the room into Optometric room; that they used the ramp way, at the same time post op vision test in occur in the 3 floor; its create the some confusion.
My recommendation: use the review section stairs