Medical Department North Western Railway by MikeJenny

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									                                      Chapter-11

                             Medical Department
11.1   Introduction-
-       The Medical department of North Western Railway renders comprehensive health care
        including preventive, promotive and curative services to 56472 railway employees and
        22880 RELHS members of Retired Railway Employees Liberalized Health Scheme
        and a substantial number of dependents of the above two groups.
-       The Central Hospital, Jaipur was started by up gradation of existing divisional
        hospital, Jaipur in 2005. Gradual modernization of the central hospital is being done.
        After up gradation, there is phenomenal expansion in the facilities and services
        provided to the railway beneficiaries. High quality health care services are being
        provided by regular IRMS doctors, CMPs and 10 Honorary Visiting Specialists in the
        fields of Oncology, Neurology, Nephrology, Cardiology, Orthopedics, Radiology, ENT,
        Gastroenterology and Urology and also by calling specialists on case to case basis.
        Various major and special major surgeries are being performed in Central Hospital like
        MIPH, PCNL, Phaco-surgeries, Radical Neck Dissection, Onco surgeries like
        Commando operation, Ortho surgeries, ORIF, Plating TKR, THR, Arthroscopy and
        Laparoscopic surgeries like Lap. Cholecystectomy, Lap. Oophorectomy, Colonoscopies,
        Gastroscopies, Bronchoscopes etc. Many sophisticated equipments have been procured
        in Central Hospital, Jaipur.       Lot many patient's comfort items have been
        commissioned in Central Hospital like, central air cooling of wards, 3 ROs, 3 Aqua
        guard water purifiers fly catchers in the ward, colour TVs with cable connection in
        each ward, air-conditioning of labour room and blood samples collection for fasting
        patients at 7 AM, improvement of circulating area, music system for the patients etc.

-       The divisional hospital, Ajmer is one of the oldest hospital established in 1890. 20
        bedded dormitory has been commissioned for patients' attendants at Ajmer. Major
        orthopedic surgeries and other major surgeries are being performed in divisional
        hospital, Ajmer. The first of its kind Zonal Public Health Laboratory in NWR and
        9th in Indian Railway was commissioned in August, 2009 in divisional hospital,
        Ajmer.
                                         129
Many sophisticated equipments have been procured for Ajmer and sub divisional hospital
       UDZ.

-      In divisional hospital, Bikaner the physiotherapy and USG rooms have been
       constructed and ICU has been renovated.

-     In Jodhpur many special major surgeries are being performed.
-      Jaipur is doing well in the field of family welfare activities including multipurpose
       health check up camps, OTC etc.
-      In the year 2009-10, the performance of NWR was judged best amongst all newer
       zones.

-      In the year 2009-10 e-procurement of DGS&D drugs was done or the first time in
       Indian Railway

-      It is a matter of pride that the medical department of NWR has been the recipient of
       National Energy Conservation Awards from Ministry of Power, Government of India
       consequently for three years. In the year 2007-08 it was awarded to divisional
       hospital, Ajmer, in the year 2008-09 it was awarded to Central Hospital, Jaipur and
       in the year 2009-10 it was awarded to divisional hospital, Jodhpur.

-      The Annual Conference of Railway Forum of Indian Society of Anesthesiologists
       (RISACON 2009) was organized on 24th & 25th October, 2009 at Udaipur.
       DG/RHS has awarded Rs. 10,000/- for successful organization of conference.

-      Besides these, the primary health care is delivered by the different health units spread
       over all the four divisions in a systematic way.




                                             130
11.2. Railway Hospitals & Health Units

There is one Zonal Hospital in the Zone: - Central Hospital Jaipur.
Three (3) Divisional Hospitals at Ajmer, Bikaner & Jodhpur.
Four (4) Sub. Divisional Hospitals at Rewari, Bandikui, Abu Road & Rana Pratap
Nagar.


Health Units:

    Division       Health Units         Lock up         FA Post
                                       Dispensary
Ajmer Division             09              02             02
Bikaner Division           08              01             00
Jaipur Division            04              00             00
Jodhpur                    08              00             00
Division
      Total                29              03             02


Division wise Bed Strength:

        Division                No. of Beds in       Sub Div.     No. of
                                Div. Hospital        Hospitals    Beds
Central Hospital, Jaipur             118                  -         -
Ajmer Division                       206         Abu Road          24
                                                 Rana Pratap       09
                                                 Nagar
Bikaner Division                     100                NIL        00
Jaipur Division                       00         Rewari            20
                                                 Bandikui           10
Jodhpur Division                     117                NIL        00
         Total                       541                           63




                                             131
                              HEAD QUARTER OFFICE
                                     OF THE
                             CHIEF MEDICAL DIRECTOR
                                     JAIPUR




    CENTRAL                  DIVISIONAL         DIVISIONAL   DIVISIONAL
    HOSPITAL                 RAILWAY            RAILWAY      RAILWAY
                             HOSPITAL           HOSPITAL     HOSPITAL
    JAIPUR
                             AJMER              BIKANER      JODHPUR




11.3. Man Power Resources:
                                          132
11.3.1 Staff Strength - Medical

        Sanctioned strength of Group A, B, C &D staff in Medical Department of NWR.
Sr.            Category           HQ Office   CH-JP     AII   BKN   JP   JU       Total
      Group A
1.    Medical officers                4         19       40    24   17   26       130
      Group B
1.    APHO                            1          0       0     00   00   0        01
2.    AHO                             1          0      01*     -   01    -       03*
3.    AHEO                            -          0       -      -    -    -       00
4.    A.PHY.O                         -          0       -      -    -    -       00
5.    ANO                             1         01      01     01   00   01       05
6.    Physiotherapists                0          0       0     00   00   0        00
      PS-I                           01         00      00     00   00   01       02
      Totalof Gp.B                   04         01      02     01   01   02       11
      Group C
1.    Pharmacists                    01         13       41    24   17   24       120
2.    Health Insp.                   01         01       23    18   17   16       76
3.    Radiographers                   -         02       05    01   03   01       12
4.    Lab. Staff                      -         05       14    02   03   03       27
5.    Ministerial Staff              10         05       18    09   07   11       60
6.    Nurse Staff                    --         33       84    39   13   44       213
7.    Midwives                        -         00       03    01   02    -       06
8.    Drivers                         -         03       08    05   02   08       26
9.    Dressers/OTA                    -         12       26    18   08   16       80
10.   Cooks                           -         04       08    03   01   05       21
11.   ECG technicians                 -         01       01    00   00    -       02
12.   Physiotherapists                -         01       01    01   00   01       04
13.   Dialysis technicians            -         00       0     00   00    -       00
14.   Dieticians                      -         00       0     00   00    -       00
15.   Food Chemists                   -         00       0     00   00    -       00
16.   Health visitor                  -         00       0     00   00   0        00
17.   Sr.SafaiWala                    -             0    00    00   00   -            00
18.   Sr.SafaiWala Male               -             0    00    00   00   -            00
19.   Sr.SafaiWala Female             -             0    00    00   00   -            00
20    Motor Driver                    -             0    00    00   00   -            00
21    Personal Inspector              -         01       00    00   00   -            01
22.   Sr.S.O. (A/c)                   -         01       00    00   00   -            01
23.   Refractionist                   -         01       00    00   00   -            01
24.   Occupational Therapist          -         01       00    00   00   -            01
25.   Dental Hygienist                -         01       00    00   00   -            01
      Total of Gp.C              12          85      232  121    73    129      652
         * 01 post of AHO temporarily transferred to WR/CCG (Operated at Bombay Div.).


                                              133
11.3.2. Family Welfare Department:-
Sr     “Group C” Category    HQ     AII-Div.    BKN- Div.    JP- Div.      JU- Div.         Total
1.     Sr.DEE                 00        0          00           00           00              00
2.     DEE                    01        01         00           01           00              03
3.     EE                     00        00         01           00           01              02
4.     Compilation Clerk      01        01         01           01           01              05
5.     SFWO                   00        00         00           01           00              01
6.     FWO                    00        01         01           00           01              03
       Total                  02        03         03           03           03              14

 11.3.3 Group D Staff
Sr.         Group D Category     HQ   CH.       AII. Div. BKN-Div.      JP. Div.   JU. Div.    Total
No                                    JP
1      Asst. Cook                 -     00        01         01           01          00        03
2.     Tailors                    -     00        00         00           00          00        00
3.     Custodian                  -     00        00         03           00          00        03
4.     X-ray Asstt.               -     02        01         00           00          01        04
5.     Lab Attendants             -     02        02         02           00          00        06
6.     Packers                    -     02        00         00           01          00        03
7.     St. Bearer                 -     06        09         00           00          00        15
8.     Chowkidars                 -     00        00         00           00          00        00
9.     St. LAS                    -     00        00         00           00          00        00
10.    Cook Helper                -     01        00         00           00          00        01
11.    Hosp. Jamadar              -     00        00         00           00           0        00
12.    Hospital Safaiwala         -     20        34         08           11          44        117
13.    Hospital Safaiwali         -     00        21         00           00          00        21
14.    Hospital Attendants        -     27        59         72           23          57        238
15.    Record sorter              -     00        00         01           00          00        01
16.    Jamadar Peons              -     00        00         00           00          00        00
17.    Peons/D.Peon.              -     07        27         01           06          02        43
18.    Sanitary Khallasi          -     00        08         00           19          00        27
19.    Watchman                   -     00        04         00           00          01        05
20.    Laskar / Bhisty            -     00        04         00           00          00        04
21.    Ambu. Kh /Cleaner cum      -     00        00         00           00          01        01
      S.Wala /
22.   SSC Jamadar                 -     00       00          00           00          00        00
23.   Sanitary Safaiwalas         -     00       246        224           176         190       836
24.   Sanitary mistries           -     00       00          00           00          00        00
25.   Malis                       -     00       00          00           00          06        06
26.   FW Attendants               -     00       00          00           01          01        02
27.   Store kh.                   -     00       01          00           00          00        01
28.   Gatekeeper                  -     00       00          00           00          00        00
29.   Anti Malaria Mate           -     00       00          03           00          01        04
30    Anti Malaria Kh.            -     00       23          14           00          02        39
31.   Office Peon                04     00       03          00           00          00        03
32.   Hamal                       -     00       02          00           00          00        02
33.   Ayah                        -     12       30          00           00          00        42
                                          134
34.     Truck Khallasi               -     00         01           00         00          00        01
35.     Vaccinator                   -     00         01           00         00          00        01
36.     Banglow Peon                04     00         02           01         00          00        03
37.     Khallasi                     -     00         02           00         00          00        02
Total                               08     79         481         330         238         306      1442


11.4. Infrastructure

11.4.1 Hospitals & Health Units over NWR

 DIV./Units                          HOSPITAL (Beds)                          Health Units       Lock up
                     Central & Divisional           Sub Divisional                              Dispensary
                    Name of the        No. of  Name of the      No. of              -                -
                      hospital         Beds      hospital       Beds
HEAD QTR.         CENTRALHOSP.          118        00            00                 00              00
                   JAIPUR DIV.          00    2 (BKI & RE ) (10+20)=3               04              00
  JAIPUR                                                           0
  AJMER             DIVISIONAL          206   2(ABR&RPZ) 24+9= 33                09+02              02
                    HOSPITAL                                                  (F.A.post)
 BIKANER            DIVISIONAL          100        00            00                08               01
                    HOSPITAL
 JODHPUR            DIVISIONAL          117        00            00                 08              00
                    HOSPITAL
   TOTAL                                541        04            63               29                03
                                                                              (+2FApost)

11.4.2 Total no. of Hospital & Health Units.

                                   CH-JP        JP          AII         BKN         JU           Total

         Central Hospital            01         00          00          00          00            01

        Divisional Hospital          00         00          01          01          01            03

    Sub Divisional Hospital          00         02          02          00          00            04

           Health units              00           4         9           08           8            29

     Lock up Dispensaries            00           0         2           01           0            03

          First aid Posts            00           0         2           00           0            02

Total no. of Beds in Hospitals      118         30          239         100         117          604




11.5 Curative services:-
                                            135
        S. No.                Particulars                 2009-10        2008-09
        1.        No. of hospital beds per 1000            6.61            7.09
                  employees (Incl. casual labour)
        2.        No. of inpatient Treated                                23359
                  I. Males                                14223           13082
                  II. Females & Children                  10688           10277
                  TOTAL                                   24911           23359
        3.        Bed occupancy ratio                     68.94           63.43
        4.        No. of out door patient
                  I. Males                               784415          797390
                  II. Females & Children                 609687          632657
                  TOTAL                                  1394102        1430047
        5.        No. of Major operations performed       1515            1476
        6.        Diagnosis
                  I. Investigations                       568590         531699
                  II. No. of CT Scan / MRI’s               1604           1521


11.6 Oral Health Services:-

       S. No.                    Particulars             2009-10         2008-09
       1          Total no. of new patient treated.        23189          18825
       2          Total no. of old patient treated.        17524          16640
       3          Total no. of permanent filling.          4503            3500
       4          Total no. of root canals done.           1118            850
       5          Total no. of scaling done.               4533            3864
       6          Total no. of dental operations done.      849            427
       7          Total no. of tooth extractions done.     8166            7125

11.7 Man Days Lost :-

       S.No.                   Particulars               2009-10     2008-09
       1          Total no. of man days loss on RMC.      312764         337386
       2          Total no. of man days loss on IOD.       29431         26770
       3          Total no. of man days loss on PMC.       76329         75708
       4          Average days per certificate             40.39          72.41


11.8 Drug Analysis:

      129 Samples of drug were lifted and sent for analysis. In which only 01 sample was
      found of substandard quality.
                            CH- JP- (Total-25, Fit-25)
                            AII     - (Total- 29, Fit- 29,)
                            BKN - (Total-27, Fit-26) (01 Sub.Std.)
                            JP       - (Total-24, Fit -24)
                            JU      - (Total-24, Fit-24)
11.9 Financial Provisions:
                                             136
11.9.1 Budget:
                                                                 Fig. in thousands
       Budgetary          Particulars                                     Total
       Head                                                      2009-10       2008-09
       210                Medical Services-Control &             812371         316750
                          Superintendence at HQ & Divisions.
       220                Hospitals &dispensaries excl. cost       1130         1023
                          of medicines.
       230                Cost of medicines.                      111403       86282
       240                Reimbursement of Medical                77347        52394
                          expenses.
       250                Public Health.                             53          51
       260                Maintenance of Equipments                 600         821
       Total                                                                  1002904
       310                Health & Family Services:-              162103       96379
                          Sanitation in Railway Colony
       350                Other Welfare Services (Preventive       6858         4746
                          Health Measure & Pest Control,
                          Malaria, Filarial, etc. Services)
       400                Canteen & Other Staff Amenities           00           00
                          Grand Total                            1171865       558446

11.10 Public Health:

11.10.1 Family Welfare & other National Programme:
Medical organization provides family welfare services to railway population and the community.

      Services                            2009-10                2008-09
      Sterilizations                      116                    101
      IUD’s                               104                    90
      BCG                                 313                    142
      DPT                                 531                    567
      Measles                             427                    480
       Universal immunizations Programme for children and expectant mothers is an ongoing
activity.
       Likewise other National Programmes, e.g., RNTCP, National malaria Control
       Programme, National AIDS control Programme etc. are also implemented.

11.10.2 Immunization:

     S. No.    Division         BCG     DPT 3rd      OPV 3rd       Measles     TT(PW)
                                        Dose         Dose
     1         AJMER              61       83            83           97          77
     2         BIKANER            83      234           234           110         82
     3         JAIPUR            113      110           110           108         86
     4         JODHPUR            56      104           104           112         88
     TOTAL                      313       531           531           427         333

                                             137
11.10.3 Pulse Polio Immunization Programme:

                           Phase-I        Phase-II       Phase-III Phase-IV          Phase-V
      Sr      Div.     Rly.    Non-    Rly.  Non-       Rly. Non- Rly. Non-      Rly Non-
                               Rly.          Rly.            Rly.      Rly.      .     Rly.
      1.   AII          254     1084    766   2567      730 2913    -     -        -       -
      2.   BKN          280     2946    353   2844        -     -   -     -        -       -
      3.   JP            29     401     29     340       29   368  27   367       27     363
      4.   JU           822     7654    829   7935        -     -   -     -        -       -
        TOTAL          1385    12085   1977 13686       759 3281   27   367       27     363

                          Phase-VI      Phase-VII       Phase-VIII Phase-IX          Phase-X
      Sr      Div.     Rly.   Non-     Rly. Non-        Rly. Non- Rly. Non-      Rly Non-
                              Rly.          Rly.             Rly.      Rly.      .     Rly.
      3.     JP         254    1084    766   2567       730 2913    -     -        -       -
           TOTAL        254    1084    766   2567       730 2913

11.10.4 Division wise Family Welfare Activities:-

      Sr. no.        Division          Sterilization    IUD          CC Users    Oral Pills
                                                        Insertion
      1.             Ajmer                   33               32        193           78
      2.             Bikaner                 28               01       24000         371
      3.             Jaipur                  43               27       53100         367
      4.             Jodhpur                 12               44        567          263
           Total                            116              104       77860         1079

11.10.5 Sanitation:
            Medical dept. of North Western Railway is responsible for sanitation of major
   railway colonies. The way side station / colonies are under control of Commercial
   Deptt. / Engineering Deptt.

11.11 HIV/AIDS Prevention & Control Programme:

      Sr. no.        Division                Tests done             Pool Size

      1.             CH-Jaipur                          2884                    09
      2.             AJMER                              814                     28
      3.             BIKANER                            7644                    07
      4.             JAIPUR                              00                     00
      5.             JODHPUR                            351                     19
      Total                                            11693                    63




11.11.1 Age wise distribution of HIV/AIDS live cases:
                                               138
       Sr. No.      Age Group        Total No.
                                     CH-JP     AII        BKN       JP        JU    Total
       1.         0-15                  00      01         00        00       00     01
       2.         16-25                 00      01         00        00       01     02
       3.         26-35                 00      02         00        00       04     06
       4.         36-45                 01      10         03        00       07     21
       5.         Above 45              08      14         04        00       07     33
       Total                            09      28         07        00       19     63
11.11.2 Sex wise distribution of HIV cases:

                             Male            Female                      Children
                                                                Male                  Female
       CH-JP               06             03                     00                      00
       AII                 19             08                     00                      01
       BKN                 07             00                     00                      00
       JP                  00             00                     00                      00
       JU                  10             08                     00                      01
       Total               42             19                     00                      02
11.11.3 No. of deaths due to AIDS since inception:                       AII         - 33
                                                                         BKN         - Nil
                                                                         CH-JP - 15
                                                                         JU          - 08
                                                                       -------------------
                                                                       TOTAL = 56
11.11.4 No. of HIV/AIDS patients on HAART:- Total-18,
            (CH-JP- 06, AII- 06, BKN- NIL , JU- 06)

11.11.5 Availability of blood banks:- Only One at AII

11.11.6 Facilities available in all divisions (HIV testing):-
            1. CH-JP.-YES
            2. AII- YES.
            3. BKN-YES.
            4. JU- YES.

11.12 Drinking water quality:-

11.12.1 Division wise water sample tested for Bacteriological Quality:-

       Sr.       DIVISION           W.S. Collected    No. of found fit      % of fitness
       No.
       1.        CH-JP                    24                 24                   100%
       2.        AJMER                   1585               1383                 87.26%
       3.        BIKANER                 785                725                  92.35%
       4.        JAIPUR                  933                933                   100%
       5.        JODHPUR                 323                304                  94.12%
       6.            Total               3650               3369                 92.30%



                                                139
11.12.2 Division wise water sample tested for Residual Chlorine Test:-

           S. No.       DIVISION         W.S. Collected    No. of found fit     % of fitness
              1.        AJMER                22632              19984             88.30%
              2.        BIKANER               7833               7385             94.28%
              3.        CH-JAIPUR              675                639             94.66%
              4.        JAIPUR               15461              14139             91.44%
              5.        JODHPUR               5046               4042             99.92%
              6.        Total                51647              46189             89.43%



11.12.3 Reports on Packaged Drinking Water:-

           S. No.                              PFA-Act                     Quality Control
                        DIVISION      Sample      Satisfactory     Sample         Satisfactory
                                      collected                    collected
           1.           AJMER              07          07                31              31
           2.           BIKANER            20          20                54              54
           3.           JAIPUR             12          12                72              67
           4.           JODHPUR            04          04                29              29
                          TOTAL            43          43               186             181

11.13 Food quality & PFA:-

11.13.1 Food samples collected under PFA& Quality Control:

       Sr.      DIV.                         PFA                                Quality Control
       No
                             Collected     Satisfactory    % Fit    Collected     Satisfactory    % Fit
       1        AII              163            147        90.18        279            274        98.21
       2        BKN              63              61        96.82        195            190        97.43
       3        JP               75              74        98.66        223            209        93.72
       4        JU               66              66         100         144            144         100
       5        Total            367            348        94.82        841            817        97.14

11.14 Surveillance of Communicable Diseases:

11.14.1 Reports on Malaria Cases:-

       S. No.           Particulars                                09-10             08-09
       1.               No. of fever cases.                        70789             67895
       2.               No. of blood smears.                        8821             8877
       3.               No. of report +ve for malaria.               69               111
       4.               No. of PF Cases.                             09               18
       5.               No. of cases given radical treatment.        69               111
       6.               No. of Deaths Due to Malaria.                00               00

11.14.2 Communicable Diseases:

                                                   140
A Statement showing the no. of attacks & deaths due to various diseases are as follows:-
        S.No.     Disease                        2009-10                   2008-09
                                         Attacks     Death          Attacks      Death
        1.        Cholera                    00            00           00           0
        2.        Plague                     00            00           00           0
        3.        Malaria                   151            00           161          1
        4.        T.B.                      425            17           479         10
        5.        Enteric fever             1117           00          1165         01
        6.        Diphtheria                 00            00            0           0
        7.        Influenza                  00            00            0           0
        8.        Measles                    00            00            0           0
        9.        Mumps                      00            00            0           0
        10.       Chicken pox                05            00            0           0
        11.       Whooping cough             00            00            0           0
                  TOTAL                     1698           17          1805         12



11.15. Health Education:-

11.15.1 Health Education:-

        S. No.                   Particulars                    2009-10       2008-09
        1.         Lectures                                       188           142
        2.         Group talk                                     251           195
        3.         Film demonstration                             106           120
        4.         Exhibition                                     97             60
        5.         Baby Shows                                     01             21
        6.         Multipurpose Health drives                     164            97
        7.         Quiz contests                                  03             06
        8.         Orientation training Programme                 31             19
        9.         Other Programme                                132            04

11.16. Training

11.16.1 Gazetted staff :

        Sr.   Subject of Training                  Participants/DIV.          Name of institutions
        no.
        1.    MIP                                  Dr. Savika Gupta /AII      RSC-BRC
        2.    IT Course                            Dr. Ranjana Bansal /AII    RSC-BRC
        3.    Blood Bank                           Dr. Rakesh Malhotra /AII   JLN-Ajmer
        4.    MIP                                  Dr. Ranjan Bansal /AII     RSC-BRC
        5.    SPL Coarse safety Disaster           Dr.B.L.Swarnkar /AII       IRITM/LKO
              Management
        6.    Hospital Management Programme        Dr. Sushil Kr. Sr.DMO/     RSC/ BRC
                                                   HSR/BKN
        7.    Special Course on safety &           Dr. M.L.Choudhary          IRITM/LKO
              Disaster Management                  Sr.DMO/BKN
        8.    Hospital Management Programme        Dr. Rajkumar,              RSC-BRC
                                             141
             (JAG & Above)                        Sr. DMO/CH/JP
             ( 30.03.09 to 23.04.09 )
       9.    Modular OTs in Rly Hospitals         Dr. R.M. Batwara,        New Delhi
             (15.04.09)                           MD/CH/JP
       10.   Performance Measurement              Dr. R.M. Batwara,        India Habitat Centre,
             (24.04.09 to 25.04.09 )              MD/CH/JP                 New Delhi
       11.   RAPICON – 2009                       Dr. Sanjay Kumar Saha,   Zonal Hospital,
             ( 16.05.09 to 17.05.09 )             Sr. DMO/CH/JP            Maligaon
       12.   Awareness programme Hospital         Dr. Reena Bhargava,      Hotel Clarks Amer,
             Accreditation (01.08.09)             Sr. DMO/CH/JP            Jaipur
       13.   25th South Zone ISA Conference       Dr. Harish Verma,        Hotel Marriott
             2009 (11.09.09 to 13.09.09)          ADMO/CH/JP               Convention Centre,
                                                                           Hyderabad
       14.   15th Annual RFIFA Conference         Dr. Harish Verma,        Udaipur
             2009 (24.10.09 to 25.10.09)          ADMO/CH/JP
       15.   ARSICON-2009 (14-15 Nov,09)          Dr. K.B. Chholak,      Garden Reach, S.E.
                                                  Sr. DMO/JP             Rly
       16.   ASICON-2009 (25-30 Dec,09)           Dr. K.B. Chholak,      Coimbatore, Tamil
                                                  Sr. DMO/JP             Nadu
       17.   47th Annual Conference of IAP        Dr. Sanjay Kumar Saha, Hyderabad
             (7-10 Jan,10)                        Sr. DMO/CH/JP
       18.   68th Annual Conference of All        Dr. Ruchi Jain,        Kolkata
             India Ophthalmologist Society &      Sr. DMO/CH/JP
             15th Afro Asian Congress of
             Ophthalmology (21-24 Jan,10)
       19.   63rd National Conference of the      Dr. R.M. Batwara,        Karnavati Vlub,
             Indian Radiologist & Imaging         MD/CH/JP                 Gandhi Nagar,
             Association (23-26 Jan,10)                                    Ahemdabad
       20.   Senior Professional Course (SAG)     Dr. Sujata Verma –       RSC-BRC
                                                  CMS/JP
             ( 08.06.09 to 12.06.09 )
       21.   Senior Professional Course (SAG)     Dr. V.K. Gupta,          RSC-BRC
                                                  Sr. DMO(Adm)/JP
             ( 30.11.09 to 04.12.09 )
       22.   Hospital Management Programme        Dr. V.K. Gupta,          RSC-BRC
                                                  Sr. DMO(Adm)/JP
             ( 06.07.09 to 30.07.09 )

11.16.2 Training in RCH Programme:-       NIL

             AII-Nil, BKN-NIL, CH-NIL, JP-Nil,JU-Nil.

11.16.3 Laparoscopic Sterilization Programme:-

      Total Medical officer trained= 03

      (CH-JP- 03 , AII - NIL, BKN-NIL, JP- Nil , JU- Nil,)

11.16.4 Paramedical Training Programme:-

       Sr. no.   Division                                         Total
                                            142
         1.           CH-JP                                            15
         2.           Ajmer                                            00
         3.           Bikaner                                          05
         4.           Jaipur                                           00
         5.           Jodhpur                                          02
                             Total                                     22

1.17 Non Railway Earning:

        TOTAL=4,76,432/-
        (CH-JP= 2,85,191/-, AII- 161732 /- , BKN- NIL /-, JP-2175/-, JU- 27334/-)

11.18 Medical Equipment procured under M&P Programme:-

   Sr.        Name of equipment             Consignee   Sanction    P.O. Cost   Date of
   No.                                                  Cost. Rs.               Purchase
                                                                                Order
   1.         Computerized Exercise         CMS/AII     2000000     1445912     60.08.5095.1.7
              ECG System interfaced                                             2341
              to automated treadmill.                                           Dated03.7.09
   2.         Biphasic Cardiac              CMS/AII     161000      186628      60.09.5042.1.7
              defibrillator with printer.                                       2321 Dated
                                                                                2.7.09
   3.         Multi paramonitor BPL         CMS/AII     562000      220948      60.09.5041.1.7
                                                                                2330 Dated
                                                                                7.7.09
   4.         Phaco Emulsification          CMS/LGH     220300      1783600     23.7.2009
              machine.
   5.         Operating Microscope for      CMS/LGH     1946000     2144257     09.02.2010
              opthalmology
   6.         Semi-auto Analyzer            MD/CH/JP    2,00,000    2,15,280    23.03.09
   7.         Arthroscope with Shaver       MD/CH/JP    5,30,000    5,30,400    17.12.09
              System
   8.         Road Mobile Van               MD/CH/JP    6,47,476  6,55,214      30.01.09
   9.         Harmonic Scalpel with         MD/CH/JP    27,55,000 28,32,955     24.07.09
              Accessories
   10         Holter Monitor Unit           MD/CH/JP    6,67,680    5,72,000    24.09.09
   11         Digital EEG Machine           MD/CH/JP    2,50,000    2,60,000    06.11.09
              with 21 channel with e-
              mail compatibility
   12         NCV Study with EMG            MD/CH/JP    3,50,000    2,46,889    11.01.10
              Machine
   13         ICU Ventillator – 02 Nos.     MD/CH/JP    16,50,000 18,38,200     28.08.09
   14         Anesthesia Work Station       MD/CH/JP    15,40,000 18,61,517     01.10.09
   15         Air Driven Universal          MD/CH/JP    10,00,000 10,31,758     12.08.09
              Power     Tool     System
              (Pneumatic Drill)
   16         Cardiac Defibrillator         MS-RE/JP    1,29,428    1,29,428    10.09.09
              Monitor
   17         Multi Parameter Monitor       MS-RE/JP    1,78,500    1,02,000
                                                  143
   18        High Frequency X-Ray        MS-RE/JP        4,62,800        4,55,000      18.12.09
             Machine
   19        Multi Parameter Monitor     MS-BKI/JP       1,78,500        1,02,000
   20        High Frequency X-Ray        MS-BKI/JP       4,73,200        4,55,000      18.12.09
             Machine
   21        Cardiac Defibrillator       MS-BKI/JP       1,29,428        1,29,428      10.09.09
             Monitor
   22        Fetal Monitor               CMS/JU           110000            ---           30.09.09

   23        TURP Set                    CMS/JU           380000            ---           17.12.09



11.19 St. John’s Ambulance Association:

    S. No.                        Details                     2009-10                  2008-09
      1.        No. of classes in first Aid /Nursing            183                      58
      2.        No. of candidates required instruction         4796                     3378
      3.        No. of appeared for Examination                4754                     3348
      4.        No. of certificates ,Vouchers, etc.            4738                     3293
      5.        No. of certificates revalidated                  32                      20

11.19.1 Division wise position of St. John’s Ambulance Brigade:

   Sr. no.      Division               Ambulance Div.       Nursing Div.          Cadets/
                                                                                  Personnel
   1.           Ajmer                         65                    20                    85
   2.           Bikaner                       02                    00                    02
   3.           Jaipur                        01                    00                    01
   4.           Jodhpur                       04                    01                    176
                  Total                       72                    21                    264

11.20. Accident Relief:

   Sr. No.       Name of Division           ARME Scale-I                    ARME Scale-II
   1.            Ajmer                               04                             08
   2.            Bikaner                             04                             11
   3.            Jaipur                       03 (02BG, 01MG)                       02
   4.            Jodhpur                             03                             14
                    Total                            14                             33

11.20.1 Accident Report:

   Sr.   Div.      Date                         Brief Particulars                         K*      G*   S*   O*
   No.
   1.    AII       23.04.09   2 BLCBL wagons of goods train No. KSG-MDPT                  -       -    -    -
                              derailed at Chitrasani station yard on 23.04.2009
   2.    AII       10.05.09   Tractor trolley No. RJ 09 RA 0911 dashed with               -       1    -    -
                              passenger train No. 0981 at UMLC No. 13 C bet. GSD-
                              PMO stations on 10.05.2009

                                                144
   3.    AII     01.06.09   One AWTE No. 35121 ER derailed between GIIMC-AIIO       -       -        -        -
                            Station
   4.    AII     14.06.09   Tempo No. RJ 09 GA 719 dashed with passenger train      1       -        -        -
                            No. 309 at UMLC No. 39 C bet. BSJ-FAN stations on
                            14.06.2009
   5.    AII     08.07.09   Tractor trolley No. GJ 24-5654 dashed with passenger    -       -        1        -
                            train No. 432 at UMLC No. 166 C between BHWA-JO
                            stations on 08.07.2009 at 13.45 Hrs
   6.    AII     11.02.10   Derailment of UP goods train No. DOZ-VZP in DET yard    -       -        1        -
   7.    BKN     09.4.09    T.No.344 Passenger HSR-Jind Passenger
                            between SSA-Badagudha
                                                                                    02          --       --       --
   8.    BKN     13.4.09    337 UP BTI -LGH Passenger ,Tractor Trolly, accident
                                                                                        0   01           0        0

   9.    BKN     15.4.09    1 BR. Passenger accident site at Km.238/2-3,between
                            Dokwa & Hadyal                                              0       0        0        0
                                                                                                                  -
   10    BKN     15.7.09    T. No.493 Passenger RE-SDLP,with Pick up (Road
                            vechical )                                              03          0        0        0
                            No.HR-61/7503, between Loharu-Parvezpur.
   11    BKN     31.10.09   T.No.9782 Amritsar – Jaipur Exp.
                            Tavera (Road vechical ) at maned gate No.5. BNW             0   01       02           0
                            Yard.
   12.   BKN     24.10.09   T.No. 2HSR,APH – SDLP Passenger
                            between HMH Twon – Seramka with Santro car.                 0   01       01           0
   13    BKN     19.01.10   T.No. SDLP – HSR Passenger with Jeep at unmned
                            gate No. C-35 between                                   07      01       02           0
                            SDLP - Suratpura

   14    BKN     22.01.10   T.No. 4887 Kalka Exp. Arjansar –Mahajan Stn. Km.-
                            202/5                                                   03          0        0        0
   15    BKN     01.01.10   Km.23/0-1,between Nal – Gajner Stn.                     01          0        0        0
   16    BKN     27.01.10   T. No. 4702, between KLYT - Gajner Stn.                 01          0        0        0
   17    BKN     28.01.10   Accident took place of Nokha /                          01          0        0        0
                            Jodhpur Div.
   18    JP      14.11.09              Mandor Exp. Accident near Bassi               7       5       15       30
   19    JU      02.04.09   Jeep No. RJ-19 UA-0846 collided with Train No.4887 at   10      01       00       00
                            U/M L/Xing Gate No C-137 at km 573/4-5 between
                            Sathin Road & Pipar Road stations

   20.   JU      29.11.09   Truck No RJ-19 G-0921 collided with Train No 4059 at    00      07       19       00
                            Unmanned level crossing gate No. C/128 at Km 563/4
                            between Sathin Road & Umed stations

(Note: K*- Killed, G*- Grievous, S*- Simple, & O*- other




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