Residents' Manual

244 Pages·2005·0.67 MB·English

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AIIMS
RESIDENTS'
MANUAL
All India Institute of Medical Sciences
(A.I.I.M.S.)
Residents’ Manual
ii
iii
All India Institute of Medical Sciences
(A.I.I.M.S.)
Residents’ Manual
Compiled & Edited by
Dr. R.K. Sarma
Medical Superintendent
Professor & Head
Department of Hospital Administration
Dr. Aarti Vij
Assistant Professor
Hospital Administration,
Organ Retrieval Banking Organisation (ORBO)
Academic Affairs
Concerned Officials
Dr. P. Venugopal – Director
Dr. Kusum Verma – Dean (Acad.)
Dr. T.P. Singh – Dean (Exam.)
Dr. Nikhil Tandon – Sub-Dean (Acad.)
Dr. K.K. Deepak – Professor-in-charge (Exam.)
Shri V.P. Gupta – Registrar
© All India Institute of Medical Sciences, 2003
First edition 2003
Second edition July 2005
Typset and Printed by :
Saurabh Printers Pvt. Ltd. B-280, Okhla Industrial Area, Phase-I, New Delhi-20
CONTRIBUTORS
B.V. Adkoli S. Kailash Rekha Sharma
Educationist System Analyst Chief
KL Wig Centre for Computer Facility Department of Dietetics
Medical Education and AIIMS
Technology I.B. Singh
Arti Kapil Assistant Professor
Krishna Anand Additional Professor Department of Hospital
Assistant Professor Department of Administration
Department of Microbiology
Community Medicine P.K. Sinha
Harsh Kumar Senior Medical Officer
Rama Bhasin Additional Professor Employees Health
Chief Medical Officer Dr. RP Centre for Scheme (EHS)
Blood Bank Ophthalmic Sciences
C.N. Centre R.K. Sharma
R. Lakshmi
Additional Professor
Associate Professor
Kabita Chatterjee Department of Forensic
Centralised Lab
Chief Medical Officer Medicine & Toxicology
C.N. Centre
Blood Bank
AIIMS Manjari Tripathi
A Malhotra
Assistant Professor
Professor & Head
Aditya Gupta Department of Neurology
Department of Nuclear
Assistant Professor
Medicine
Department of Neuro
Surgery Aarti Vij
Sidhartha Satpathy Assistant Professor
Associate Professor Hospital Administration,
Shailesh Gaikwad
Department of Hospital Organ Retrieval Banking
Associate Professor
Administration Organisation
Department of Radiology
(I.R.C.H.) (ORBO)
H.P. Jhingan
Chitra Sarkar
Associate professor Professor Rakesh Yadav
Department of Psychiatry Department of Pathology Assistant Professor
& De-addiction Department of Cardiology
R.K. Sarma
N.R. Jaganathan Medical Superintendent,
Professor & Head Professor & Head Dr. Reena Kumar
Department of NMR & Department of Hospital Senior Resident
MRI Administration Hospital Administration
vi
Resident Manual Committee
Dr. CS Pandav
Addl Prof, Deptt of CCM
Dr. Rajiv Kumar
Addl Prof, Deptt of IRCH
Dr. Peush Sahni
Addl Prof, Deptt of GI Surgery
Dr. MV Padma
Assoc Prof, Deptt of Neurology
Dr. SS Kothari
Addl Prof, Deptt of Cardiology
Dr. Harsh Kumar
Addl Prof, Deptt of Ophthalmology
Dr. HP Jhingan
Assoc Prof, Deptt of Psychiatry
Dr. K Anand
Asstt Prof, Deptt of CRHS Project
Dr. Sidhartha Satpathy
Assoc Prof, Deptt of Hosp Admn
Dr. Aarti Vij
Asstt Prof, Deptt of Hosp Admn
vii
FOREWORD
Resident doctors are the direct interface of a teaching hospital with the patients
and their inputs can critically determine the outcome of care.
Working in a large tertiary care institute places several demands upon
them in the efficient discharge of their responsibilities. Often it is seen that
the best of their efforts in the application of medical skills and technology
can be marred by lack of co-ordination amongst different departments involved
in patient care. This can be offset to a large extent if all the procedures and
rules are first put in place and then followed.
An essential pre-requisite to ensure co-ordination is the awareness of
such procedures by all the Resident doctors involved in the team effort of
present day multi-disciplinary health care. This type of “systems” orientation
and approach in clinical management shall lend credible benefits to both the
doctors in enhancing their effectiveness, as also the patients who are the
direct beneficiaries by improving their level of satisfaction.
Prof P Venugopal
Dean
A.I.I.M.S.
Use from Letterhead
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ix
PREFACE
All India Institute of Medical Sciences (A.I.I.M.S.) comprising of main hospital
and the specialty centers is dedicated to state-of-the-art patient care, research
and medical education in the country. The hospital services are the most
visible component of the Institute services to the nation, because of the
definitive cure, care and relief of pain and suffering of the patients.
The faculty and the team of Resident Doctors are the strength of the
hospital services. The Residents’ Manual of the Institute offers broad
guidelines for reference by the Doctors & staff who are new to the AIIMS
community and it has been compiled with the contribution from faculty
members of various department.
Ever science the publication of last edition of Residents’ Manual two
decades back, our institute has grown in many dimensions with the addition
of several services and departments.
There had been a long felt need to update this manual by providing a
comprehensive source of information to the Residents’ Doctors which shall
help in their smooth initiation to the institutes’ procedures in the early days of
their residency.
Besides it also shall serve a useful referral source for different departments
faculty, Resident Doctors, Nurses and other staff members both directly
and indirectly related with patient care, in a multi-disciplinary setting. The
compilation of this manual would not have been possible without the valuable
contributions from the faculty of various departments who helped in giving it
a conclusive shape. Given the enormous range of services available in AIIMS,
it was not an easy task to assimilate all that is relevant to users in a single
source of information. We may have overlooked some facts, which we hope
the users will bring to our notice, and shall be incorporated in future edition.
The guidance provided by Resident Manual Committee under the
Chairmanship of Dr. CS Pandav is gratefully acknowledged. The Residents’
Manual has been prepared under the supervision of the Dean, AIIMS. The
intention in this work is modest; we hope it will help Doctors & Staff during
their induction and later in serving years.
Dr. R.K.Sarma
Dr. Aarti Vij