INDUSTRIAL ATTACHMENT AT SUNYANI REGIONAL HOSPITAL Essay

I express my sincere gratitude to the Almighty God for his protection and guidance by dint of the holdfast period.I will humbly acknowledge the man agement and supply of Sunyani Regional infirmary Records De sort outment, especi all in ally to Mr. Peter Amponsah Manu, Madam Elizerbeth kyeraah as the Supervisors at checkup Records segment and Mr. Sanyo, the senior manager of Live Records for their guidance, assistment and as well as the knowledge impacted which has been a great help.Finally, I would like to convey my p arnt and family for your support both in prayers and financially byout this concomitant period, for your encouragement and all who helped in diverse ways to make this appurtenance successful. I say God richly bless you.DEDICATIONI dedicate this report to Jesus Christ for his divine inspiration and motivation.Secondly, I dedicate this report to my m otherwise Madam Grace Akosua Krah and loved wizs who finished their cordial relationship made this attachment and report a success.CHAPTER atomic add 53INTRODUCTIONIndustrial attachment is one of the requirements quested in enact to obtain the higher(prenominal) National Diploma (HND) Certificate as instituted by the National Accreditation Board.It is a well structured skill training create by mental act functioning part of the approved academic standard intended for schoolchilds to involve themselves, take on practical, managerial and or hand-on experience that pertains the area of course of studies. It also feasts the student chance to solve real world problems. For the original two historic period in school, students have to spend their second semester vacation going through the industrial attachment. Students are undeniable to cumulatively spend a tokenish of 24 weeks on the practical industrial training in edict to qualify as HND graduates.OBJECTIVE OF THE INDUSTRIAL ATTACHMENTAs part of the education reform computer programme, the polytechnics are upgraded to a tertia ry level to go away training and the accepted skills to meet the nations professional, scientific and technological postulate.However, industrial attachment programme has been attached to the academic curriculum where Higher National Diploma (HND) students are allowed to undergo industrial training to change us to be more enlightened with what is happening in our act day environment to build upon what has been learnt in school.Hence HND students of the Polytechnics are required to serve an attachment with various organizations and write a report to the institution.This attachment in one way or the other creates job opportunities if the musician puts up their best behavior and efforts during their stay in the organization which they could be recommended for a company afterward their three year courses.It is for this reason that I undertook an industrial attachment at Sunyani Regional Hospital, for two months (from 27th whitethorn 2013 to 26th July 2013) at the Medical Records Department.BRIEF HISTORY OF SUNYANI REGIONAL infirmarySunyani Regional infirmary is an ultra- modern infirmary which was established in whitethorn 2003 and it is located on the Barracks-Techiman road. The hospital was initially opened in 1928 only if its bed capacity was around 150. From 1969 to 1972, the then Busia government realized the need for a larger and structurally better hospital the Region and started the reflection of the Doctors bungalows, Nursing training college and Nurses quarters to secure the human resource requirement. Dr. Asare utter after the exist of Busia government in 1972 the project laid of f. In 1983 and 1990 Nanasunyanihene and Dr. C.J Oppong sent several memos and petitions to the succeeding minister of wellness on the need for a new Regional Hospital. Regional capitals like Cape Coast, Ho and Sunyani were announced by the N.D. C government in 1993 to be built to standard and their aim was achieved in 2003 except was named after Prof. John Evans Atta Mills. The hospital is situated on a leveled ground and share boundaries with Penkwase in eastside and Nkwabeng North in the north. It covers about 450 hectres of land. VISION STATEMENT OF R.H.STo provide a model secondary health care facility for best clinical practice in the country and beyond and also provide the highest attribute health care consistent with the service standard. We hope to maintain the equipment, nation and other facilities in the hospital to gain the accolade as one of the cleanest, neatest and customer-friendly hospital in Africa. Said by Dr. Mohammed Bin Ibrahim the Regional director of gold coast Health Service. MISSION STATEMENT OF R.H.SThe main thrust of the health care delivery over years has been to improve the overall health status and reduce inequalities in health outcome of the people.surgical incisionS / SECTIONS/ building blockADMISTRATION.The administration is headed by the administrator who is the next in command after the medical refe r. He administers or checks theincoming and outgoings of all scat(a) and non work staffs of the hospital, new and old suppliers, etc. His ascent on needed pass on item or letter permits a transaction between the hospital(procurement unit, bet office and suppliers) or activity to take place at the hospital musical score DEPARTMENTThe account unit is responsible for the payments business transactions approved by the doctor and the administrator and the proper accounting of all moneys received or sent out of the hospitals account. The calculation of the total bills of drugs and non drugs to diligents after quality health care delivery to enable the hospital take on their money from the government(national health amends policy final cause Centre PHARMACY.The pharmacy is where drugs are been distributed to all affected role with and without national health insurance card establish on the drugs being prescribed by either the doctor or the health assistance in the hospital . LIVE RECORDS.This is where patients folders are stored , retrieved, filed and analyze in the hospital for easy identification of patient folder , affection and total turn out of patients at the hospital deep down a period of time. OUT- PATIENT DEPARTMENT.This is also the place where all patient with and without the insurance cards check their blood pressure in advance they see the doctor or the health assistance of the hospital.PROCUREMENT/STORESLastly, this is where the procurement officers/store shop steward invites quotation, evaluate and appraise suppliers with the help of the doctor, administrator . Purchases of items are also through with(p) by this part and later issues are made to the various departments within the hospital based on their requisitions in their read books according to their needs to the stores department. Itis also responsible for the control and management of all stock.MAJOR ACTIVITIESThe hospital provides the undermentioned services to staff and the ir families as well as other organizations and the organizations the general public a. Outpatient.b. Inpatient.c. Laboratory.d. Dispensary.e. Maternity and delivery.f. Medicare.g. General surgery.h. A N C/P N C.i. Ultrasound Scan.j. Family planning.k. Public health services.l. Ophthalmic care.m. E N T.n. Ambulance.o. Child welfare clinic.p. Ophthalmic Care.CHAPTER TWONATURE OF have DONE AT MEDICAL RECORDS DEPARTMENT / OUT PATIENT DEPARTMENT (O.P.D) During my industrial attachment at Sunyani Regional Hospital, I was stick on to Medical Records Department which constitutes the Out - affected role Department (O.P.D), Filing room and Live Records. At those Departments, the descriptions of nature of work done are categorized under the following a. entryway patient data in temporal cards.b. Entering schooling in folders.c. Detecting barcodes of folders and O. P. D verse.d. Detecting active and inactive verify patient.e. Retrieving of patients folders.f. Registration of new patients .g. Registration of closed-door companies.h. Arranging and sorting of folders on the shelves.i. Tallying of Out-Patient Department attendance.j. Entering daily ward states in Microsoft excel.k. Entering the periodical statistical diagnosis in Microsoft excel. l. Filling of claim forms.DETAILED ACCOUNT OF THE TRAINING/WORK PERFORMED BY THE STUDENT. immersion PATIENT DATA IN TEMPORAL CARDS T.C This are cards issued to patients as their first blab in hospital to take medical intervention, with their names, ages, date of birth, come through address, insurance numbers etc and also they are giving Identification cards with numbers to have access to their temporal cards. ENTERING PATIENT INFORMATION bookletS Patients whos Temporal Cards are full with history, are assigned by Doctors to retrieve folders from the Out- Patient Department (O.P.D) before treatment which was my duty. DETECTING BARCODES OF FOLDERS AND O.P.D total Internet application software likes e-Archive and Hams are used at the Out-Patient Department (O.P.D) in detecting the barcodes of folders when patient issue their Identification Cards with O. P. D numbers. When patient displace their cards, I use their insurance numbers or sur names to search for their O. P. D numbers for them to reach their folders before medication. DETECTING ACTIVE AND INACTIVE INSURED PATIENT All patients ascertain are to issue their National Health Insurance I.D cards for hindrance of either active or inactive by using prophesier cyberspace application software at the O. P. D before they touch the Doctors.RETRIEVING OF PATIENT FOLDERS This involves picking of folders of patient from the folder shelves using their barcodes and Out Patient Department (O.P.D) numbers on their hospital cards. After picking the folder, you bring out the name of patient and the O.P.D number in the Admissions and Discharges register before you give the folder to the patient and later proceed to make entries into the computer at the fil ing room. REGISTRATION OF NEW PATIENTS Patients who has just come to the hospital for the first time are registeredby the use of HAMS. Their details like their names, gender, age and Home address are put down in the new incident bear witnesss book. Also, through interviews, relevant information like date of birth, marriage status, religion, contact number, Postal address, including others are enter in the folder and given an O. P. D number folder number. A hospital card bearing the patient name, O.P.D number, date of registration is made, added to the new folder and handed over to patient only when he or she comes to the hospital.A SAMPLE OF PATIENT OF FOLDERREGISTRATION OF PRIVATE COMPANIES.Currently, Sunyani Regional Hospital has approved services to close Insurance companies such as Premier Health Care, MEDI- X Health System, Nationwide Mutual Health Care, Newmont Gold Ghana Limited, and among other private insurance company. Registration of patients with private insurance c ard is done by recording the name of the patients, date of birth, insurance number ,age, gender, name of scheme , claim number, Hospital Record number of patient are recorded in private insurance form or claim form book before a company patients can received a Medical Services. ARRANGING AND SORTING OF FOLDERS Sorting of folders implies arranging folders in order by using their barcode numbers and O. P. D numbers on the shelves in the filing room after the patients has been treated. TALLYING OF OUT- PATIENT DEPARTMENT ATTENDANCE This service was done at the Live Records to assist the hospital know the number of patients attendance. The Tally Sheet is categorized into male and female and ages, thus 0-4years, 4-10years, 10-18years, 18-30years, 60years and to a higher place including the total on sheet before entries are made Microsoft Excel. ENTERING DAILY WARD STATES IN MICROSOFT EXCEL The Daily Ward evoke like number of Admissions, Discharges, Bed occupancy in wards such as Accid ent and Emergency (A and E),Male/ womanish medical, Male/Female surgical, Male/Female ward etc were entered in Microsoft Excel spreadsheet at Bio-statistics/Live records. ENTERING THE periodic STATISTICAL DIAGNOSIS IN MICROSOFT EXCEL After the summary of Diagnoses recorded at each ward or clinic in the monthly morbidity book, the data is entered in Microsoft excel spreadsheet, the sheet is grouped intogender, age and in diseases like Eye cataracts, Reflective eye, U T I, Malaria, Anemia in pregnancy, polio, scrotal diseases, cardio respiratory diseases etc, after the is data cross examined it is link to Ghana Statistical web.CHAPTER THREEA. NEW KNOWLEDGE/SKILLS ACQUIRED, AND CHALLENGES ENCOUNTEREDNEW KNOWLEDGE/SKILLS ACQUIRED AT MEDICAL RECORDS DEPARTMENT. My presence at the Medical Record Department, I acquired so many skills and new knowledge of which are helpful in my studies. Among these are(a) I develop a easily human relationship with staffs and patients. (b) The programme made my typing speed to increase when entering data. (c) It enhances my technology when working with Microsoft excel spreadsheet especially dealing with calculations. (d) I had ability to work extra time and withstand any pressure with presence or absence of staffs. (e) I acquire knowledge and experience in working distinct internet application soft wares. (f) More skills were gain in filling of different claim forms and how to register prisoners before medication.CHALLENGES ENCOUNTERED AT MEDICAL RECORDS DEPARTMENT.Sometimes, three or four staff from various sections whitethorn come to the Health record room at a go all requesting for their folders. Since I was non perfect with the location of almost all the folders in the room, I had to attempt in other to serve them. I had to adjust to sitting and working at the same place for eight hours which was quite difficult and trying because I had to follow strictly to the procedure at work by reporting very early and closing in the evening. My shirts get disgustful anytime I work in the filing room. The folders are always dust-covered so when retrieving and filing them on the shelves makes my shirts become dusty.I had to wake up at dawn in other to join the companys bus if I miss the bus then I have to use my own money as transportation. Feeding was a plentifulblow on me, because the staffs were fed whilst the attachment trainees were not.B. CONTRIBUTION OF STUDENT TO organisationDuring my industrial training Sunyani Regional Hospital, I participated in almost each activity that was undertaken at the medical record department which included upshot barcodes numbers on newly patient folders.Filing of folders into their respective aim on shelves at the filing room. Filling of claim forms at the O. P. D.Entering of daily ward states in Microsoft excel.Books, folders and other necessities needed at out-patient department to record data were pulled on wheel from the stores.C. GENERAL COMMENTS, OBSERVATION AND sealGENERAL COMMENTS.Upon all the challenges I adopted new skills in working overtime with both senior and junior staffs. I had ability to work without anybodies supervision at the field of work. More experience and technology was reach in any section or department I was posted to.OBSERVATIONS.I observed the following during my period of attachment that The management of the hospital for instance the Medical Record Department is keeping good records.Computers procurable at their disposal, those not meet the so called standard computerized hospital. The compound of the Hospital is enticing especially the lawns, building structure and location of the Nursing preparedness College. Quality food is given to the patients on sick bed with good health care delivery. Marketing of shoes, perfumes, ladies tops etc is done by somewhat staffs, and feeding is inadequate to meet all staffs. Mixing of patients folders. After treatment all folders are kept in the filing room but patients may be after their folders for treatment but can not find them.IMPRESSION.I was so impressed of how the supervisors welcome me and trained me to be equipped on the field of work. Also, I wonder how the staffs socialized themselves with me patients may think I am a permanent staff.CHAPTER FOUR resultSchool authorities should create more avenues for attachment trainees because it aid students to be well equipped in the field of work. It also serves as a field where students put into practice of the theoretical aspect leant from school. It should be encourage as far as Higher National Diploma is concerned.RECOMMENDATION.I recommend that staffs who market at the hospital should be prohibited. Attachment trainees should be motivated.I also recommend that proper measures should be taking in keeping patients folders. Lastly, food should be equally distributed to all staffs at the Hospital.