Out patient departments services and management

Opd

1. OUT PATIENT DEPARTMENT

2. INTRODUCTION Outpatient service in the past was provided by institution called “dispensary” run by government, local bodies and other organization, but lacked supportive diagnostic services. But current century outpatient services become an integral part of hospitals.

3. Definition OPD defined as a part of the hospital with allotted physical facilities and medical and other staff, with regularly scheduled hours to provide care for patients who are not registered as inpatients.

4. categories Emergency outpatient Referred outpatient General outpatient

5. Importance First point of contact with the hospital Reduction in morbidity and mortality. Acts as a filter for inpatient admissions. It is stepping stone for health promotion and disease prevention. It is the “shop window” of the hospital . It is an inseparable link.

6. functions Caring for sick Center for imparting education to professional staff as well as to patients. Accept reservation for scheduling future admissions. Arrange for safe keeping of patients valuables. Health education.

7. location It should be located close to vital services such as registration and medical records, admitting, emergency and social service. easily accessible It should be on ground level .

8. Work flow Reception and enquiry Registration, medical records waiting CONSULTATION Admission office Hospital inpatient X-ray lab Other investigations dispensary Injection dressing

9. Organization It is made up of four major organizational components. Medical staff Nursing staff Ancillary staff Clerical staff The management structure of OPD vary considerably- In large hospitals In small hospitals.

10. Essential features Separate car parking with a minimum space of (3.5mx3.5m)per car Ramp at the entrance with a gradient of 1:20 with a handrails at a height of 900mm above ground. Opd doors – 900mm with door handles at 800-900mm above ground and adequate space in front. Waiting area seats must be 450mm high with arm rests at 700mm above ground

11. One lift with a min area of (1.1 m x 1.4m), door width of 1m and floor indicators at eye level

12. FACILITIES AND SPACE REQUIREMENTS Wheel chair and stretcher storage alcove Reception and information desk Registration counter Lobby and waiting lounge Public toilet facilities Public telephone Water coolers Space/offices for supplies, equipments etc

13. Multi purpose room for conferences, meeting health education programs etc. Employees facilities including lockable drawers and cabinets for personal belongings. Coffee shop/snack bar in vicinity. Gift shop Meditation room STD/ISD facilities etc.

14. CLINICAL FACILITIES General purpose examination room- minimum floor area 7.43sq.mt. Special purpose examination rooms. Treatment room for minor procedures. Observation room for isolation. Nurses station. Containers for collection, storage and disposal of solid material. Wheel chair storage space.

15. Plan of OPD

16. conclusion To conclude well managed outpatient department reduces the load of in patient service in the hospital. It reaches out to the community through curative, preventive and promotive activities and helps in rehabilitation of patients.

17. Thank you