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MANUAL 1
The vision of the hospital is to provide quality health services in all the specialties in a
harmonious atmosphere to every section of society especially the under privileged through this
250 bedded multi specialty hospital, whereby quality to be ensured by close monitoring,
constant feedback from the people and regular CMEs for the staff, well equipped library &
yoga work outs.
The patients have rights at par with any other medical institution, to get best possible treatment
in the hospital and to get information regarding his ailment. He has a right for privacy /
confidentiality about his disease to be maintained.
The hospital is responsible for providing quality medical services to people in its catchment
area and ensuring that basic amenities listed below are available :
Bhagwan Mahavir Hospital was inaugurated on 25th September, 2003 with OPD services in
basic branches i.e. Medicine, Surgery & O&G and other major specialties like ENT, Skin,
Ortho, Eye, Dental, Paediatrics were added over a period of time.
Round the clock casualty services including emergency operative facility, laboratory, x-ray
investigations, Maternity (Labour room) and New Born Care (Nursery) services and operative
delivery services are available.
All kinds of major surgeries e.g. lap cholecystectomy, renal surgery, spine surgeries,
arthroscopic surgeries, knee and hip replacements, all trauma surgeries, Eye & ENT surgeries,
gynaecological surgery e.g. hysterectomies are conducted in the hospital. Blood Storage Unit
is operational round the clock.
Homeopathic and Ayurvedic OPDs are functioning since December, 2007 and Unani OPD has
been started in this hospital in the year 2010.
Indoor services with facility of 60 beds were started on 5th September, 2005 which was
extended to 130 beds in 2007-08, 170 beds in 2009-10. Presently, total bed strength of the
hospital is 250. Private ward having 20 beds has also been started w.e.f. 9th December, 2011.
Bed strength in casualty has been extended to 30 in December, 2011. 10 bedded I.C.U. and
Post operative Ward with 20 beds is functional.
AVAILABLE SERVICES
Bhagwan Mahavir Hospital is 250 bedded multispeciality secondary level hospital providing
quality preventive, promotive and curative & palliative health services to the adjoining and
distant areas of Delhi and NCT. The hospital besides providing outdoor consultation and
dispensing, has indoor facility for 250 patients. It is 24 hours casualty services including
emergency operative facility, laboratory and x-ray investigations. The maternity (Labour room)
and new born care (Nursery) services and operative delivery services are also available round
the clock. For critically ill patients, the hospital has a well equipped and well managed I.C.U..
Post surgery patients are managed in 20 bedded Post Operative Ward.
All kinds of major surgeries e.g. lap cholecystectomy, renal surgery, spine surgeries,
arthroscopic surgeries, knee and hip replacements, all trauma surgeries, Eye & ENT surgeries,
gynaecological surgery e.g. hysterectomies are conducted in this hospital. Blood Storage Unit
is operational round the clock.
Medical
Superintendent
Deputy Nursing
Admn. Officer
Superintendent
Administration
Nursing Sisters
Branch
Purchase
Account Branch
Branch
MANUAL 2
POWER AND DUTIES OF OFFICERS AND EMPLOYEES
MANUAL -3
[Section 4(1) (b) (iii)]
Procedure of Patients
For OPD and Specialty Clinic
Patient
Registration Counter for making OPD card (5-10 min)
Pharmacy for collecting Central registration counter for prescribed medicine (01
hrs) getting admission papers (5-10 min)
1. In case of any difficulty faced by the patients, the same is solved by the Incharge OPD,
Grievance Officer, DMS, AMS
2. Medical Superintendent Is the Final Authority in case the problem is not solved at above
mentioned level.
Patient
C.M.O for M.L.C Cases, M.L.C Sheet & Record maintained (5-10 min)
1. In case of any difficulty faced by the patients, the same is solved by the CMO, CCMO,
Grievance Officer, DMS, AMS)
2. Medical Superintendent Is the Final Authority in case the problem is not solved at above
mentioned level.
MANUAL - 4
[Section 4(1) (b) (iv)]
Norms set for discharge of functions
5. Clinical Meeting: All interesting and rare cases are being discussed among the
specialists/faculty members including resident doctors. CME, Seminar, Training Session as
organized in a regular interval.
MANUAL NO – 5
Rules, Regulations, Manuals & Records for discharging functions:-
Section 4(1) (b) (v)
List of regulations, manual and records.
S.No. Name of act, rules, Brief gist of the contents. Ref. No. if Price in case of
regulations, etc. any priced
publication.
1. A Hand Book on Medical Rules for Medical Exam & Re- ---- ----
Examination exam
5. PNTD Act
Service Matters
S.No. Name of act, rules, Brief gist of the contents. Ref. No. if any Price in case of
regulations, etc. priced publication.
1. Swamy’ s Manual Service Rules
MANUAL -6
A Statement of the Categories of documents held by it for under its control
[Section 4(1)(b)(vi)]
S.No Nature of Record Details of Unit/section where Retention
information available period where
available available
1 Hospital Statistic Available M.R.D M.R.D
Hospital Records
2 Establishment Matters Available Establishment Branch
Health Programme
Public Grievances
Right to information
3 Building Matters Available Concerned Nodal
Transport Officers
Bio-Medical Waste Management
Record of House keeping, Kitchen
& Dietary, Security , Parking &
Canteen etc
4. Store & Distribution of Hospital Available Store
items including medicines,
equipments etc
MANUAL 7
The particulars of any arrangement that exits for consultation with or representation by the members of
the public in relation to the formulation of its policy or implementation
[Section 4(1)(b)(vii)]
MANUAL 8
[Section 4(1) (b) (viii)]
B oards, councils, committees and other bodies consisting of two or more persons constituted as its part or for the purpose of its advice, and as to
whether meeting of those boards, councils, committees and other bodies are open to the public, or the minutes of such meetings are accessible for
public
S.N Name and Address of the Main function of the body Cons Date of Date Up Wheth Whether Frequency of
body titutio Constitution to er minutes meeting
n of which meeti assessible to
the Valid ng public
body open
to
public
1 2 3 4 5 6 7 8 9
1. Purchase Committee / Procurement of stores for the hospital Yes 03.04.2013 Onward No Yes as and As and when
Demand Estimation Repair and Maintenance of equipment when required
Committee, Committee for sought
Repair and maintenance
2. Hospital Supplies To check the quality and quantity of Yes 03.04.2013 Onward No Yes as and As and when
Verification Committee hospital supplies when required
sought
3. Disaster Preparedness To train the hospital staff for Yes 03.04.2013 Onward No Yes as and Once in two
Committee managing casualties in event of when months, as
disaster sought and when
required
4. Bio Medical Waste Management of BMW as per rules Yes 03.04.2013 Onward No Yes as and Monthly
Monitoring committee when
sought
5. Infection Control Surveillance of hospital of infection & Yes 03.04.2013 Onward No Yes as and Once in a
committee antibiotic resistance are likely to be when month, as and
found & ensure good infection control sought when
required
6. House Allotment To allot the accommodation available Yes 03.04.2013 Onward No Yes as and As and when
committee in hospital campus when required
sought
7. PWD Works Inspection To monitor the works done by PWD Yes 03.04.2013 Onward No Yes as and As and when
Committee authorities when required
sought
8. SDF & Empty Vial To check and reconcile the distribution Yes 03.04.2013 Onward No Yes as and Weekly, as
Verification Committee of drugs and injections to patients when and when
sought required
9. Sexual Harassment To mitigate and investigate the Yes 03.04.2013 Onward No Yes as and Once in two
Prevention Committee matters relating to sexual harassment when months, as
sought and when
required
10. Condemnation Committee To Write off and dispose the Yes 03.04.2013 Onward No Yes as and Once in a
unserviceable equipments and when month, as and
instruments and other items sought when
required
11. Committee for monitoring For maintaining punctuality in hospital Yes 03.04.2013 Onward No Yes as and As and when
of Punctuality when required
sought
12. Committee for monitoring To monitor the housekeeping services, Yes 03.04.2013 Onward No Yes as and As and when
of housekeeping services cleanliness and sanitaiton in the when required
hospital sought
13. Committee for preparation To prepare the tender documents for Yes 03.04.2013 Onward No Yes as and As and when
of tender documents hospital when required
sought
14 Committee of Hospital To monitor the computerization of Yes 03.04.2013 Onward No Yes as and Once in 03
Information Management hospital services/work when months, as
system/ sought and when
Computerization required
15 Environment Management Safeguarding the environment, Yes 03.04.2013 Onward No Yes as and Once in 03
Group Implementing steps to prevent air, when months, as
water, noise pollution sought and when
required
16 OT Committee To ensure the smooth functioning of Yes 03.04.2013 Onward No Yes as and Once in 03
OT services when months, as
For coordination of various specialties sought and when
required
17 Hospital Transfusion To monitor the practices of Blood Yes 03.04.2013 Onward No Yes as and Once in 03
Committee transfusion and prevent/investigate when months, as
adverse reactions sought and when
required
18 Central Coordination Coordination, monitoring facilitation Yes 03.04.2013 Onward No Yes as and Once a
Committee of various committees/Nodal officers: when month, as and
preparation and monitoring of annual sought when
action plans required
MANUAL – 9
[SECTION 4(1) (B) (IX)]
MANUAL -10
A Statement of monthly remuneration of various Categories of staffs
[Section 4(1) (b) (x)]
MANUAL 11
[Section 1(1)(b)(xi)]
The budget allocated to the Ministry, plans, expenditures, disbursements made etc.
MANUAL -12+13
Subsidies
[Section 4(1) (b) (xii)]
- Medical Superintendent has no powers to grant any subsidy.
MANUAL - 14
Information on Electronic Media.
[Section 4(1) (b) (xiv)]
1. Citizen Charter of the Hospital is available on the Website of Govt. of Delhi.
www.health.delhigovt.nic.in
MANUAL - 15
Facilities available to citizens for obtaining information
[Section 4(1) (b) (xv)]
Citizen Charter.
Notice boards including the services available and room numbers.
Signages.
Enquiry Counter.
Right to Information.
Page board [electronic].
Website of Govt. of NCT of Delhi
MANUAL - 16
PARTICULARS OF PIOs
Demarcation of Area /
S
Designation Address Telephone Email Address Activities, if more than
No.
one PIO is there
Government of National
Capital Territory of Delhi,
011- msbmh-dhs-
1 CMO (NFSG) Bhagwan Mahavir
27034536 delhi@nic.in
Hospital , H4/5 Pitampura,
Delhi -110034
Demarcation of Area /
S Email Activities, if more than
Designation Address Telephone
No. Address one appellate authority is
there
Government of National
Capital Territory of Delhi,
Medical 011- msbmh-dhs-
1 Bhagwan Mahavir
Superintendent 27034535 delhi@nic.in
Hospital , H4/5 Pitampura,
Delhi -110034
MANUAL – 17
[SECTION 4(1) (B) (IX)]
NIL