CLINICAL SERVICES

Details

Out Patient Services (OPD)


The Out Patient Department (OPD) of CIHSR is an amalgamation of quality services where non-urgent ambulatory medical care is provided during the day for patients in and around Nagaland. These services are provided, department wise by a team of experienced Doctors, Registered Nurses, Hospital assistants, office assistants and all processes are over looked by a floor manager. Patients are treated with the highest standards of quality medical care at an affordable cost.

The OPD includes the following services:

  1. Medicine
  2. Surgery
  3. Pediatrics
  4. Obstetrics and Gynaecology
  5. Dermatology / Cosmetology
  6. ENT
  7. Family Medicine
  8. Gastroenterology
  9. Paediatric Surgery
  10. Ophthalmology
  11. Community Health
  12. Laboratory Sciences
  13. Orthopaedics
  14. Pre Anesthesias Clinic
  15. Developmental Paediatrics
  16. Dental
  17. Physiotherapy
  18. Counseling
  19. Dietetics
  20. Palliative Care
Registration process:
Patients are requested to visit the help desk counter at the OPD block in CIHSR, where the staff will guide you through the registration process. There are 2 types of consultations available:
  1. General consultations
  2. Priority consultations (Fast track services)
Working hours:
  • Monday to Friday: 8 am to 4:30 pm (Consultations start at 9:00am)
  • Saturday: 8 am to 12:30 pm

In Patient (IP) Services.


The In Patient Services of CIHSR provides facilities to patients whose medical condition requires continual expert medical and surgical attention necessitating admission in the hospital. Our team of dedicated resident doctors, nurses and support staff work tirelessly to provide round-the-clock quality health care.

In patient wards and facilities:

  1. Intensive Care Unit (ICU)
  2. Medical ward (Including a High Dependency Unit)
  3. Medical specialty ward
  4. Surgical ward (Including a High Dependency Unit)
  5. Paediatric ward
  6. Obstetrics and Gynaecology ward (Including Labour room)
  7. Day care in-patient services
  8. Private ward
Registration process:
Patients are requested to visit the help desk counter at the OPD block in CIHSR, where the staff will guide you through the registration process. There are 2 types of consultations available:
  1. General consultations
  2. Priority consultations (Fast track services)
Working hours:
  • Monday to Friday: 8 am to 4:30 pm (Consultations start at 9:00am)
  • Saturday: 8 am to 12:30 pm

Private Ward

CIHSR offers a comfortable In-patient stay for patients who want to opt for private room services. We offer our private patients a personalized service with additional amenities at a reasonable price. There are AC and Non AC rooms available with a wide array of facilities as mentioned below

The facilities available are:

  • ● A professional and experienced team of Doctors and Nurses available round-the-clock
  • ● Variable height beds
  • ● Attached clean bathrooms
  • ● Digital television
  • ● Ample parking space for patients visitors
  • ● An attached Cafeteria in the ground floor dedicated to the private ward
  • ● Cupboard
  • ● Attendants bed
  • ● Visitors lounge
  • ● House keeping services
  • ● Bed side Calling bell for emergencies

Intensive Care Unit (ICU)


The Intensive Care Unit (ICU) is a unit of CIHSR where seriously ill patients who require close observation and monitoring are cared for by specially trained staff. The ICU staff includes doctors, nurses, physiotherapists, Nurse educators, Hospital assistants, a Dietitian and a Chaplain. The ICU is equipped with specialized machines such as a centralized computer monitoring system (to monitor the heart, blood pressure, respiratory rate, etc), Ventilators (breathing machines to assist some patients with breathing until they are able to breathe on their own) Defibrillators and a Hemodialysis unit.

Services provided are:

  1. Coronary care (serious heart conditions like Heart attack and heart failure)
  2. Neurological care (strokes, aneurysms, brain tumors, stroke, and post surgical patients who have undergone various neurological surgeries )
  3. Surgical Care: (critically ill patients on surgical services)
  4. Medical care: (critically ill patients on medical services)

Neonatal / Paediatric Intensive Care Unit


Neonatal Intensive care unit (NICU)

Newborn babies who need intensive medical attention are often admitted into a special area of CIHSR called the Neonatal Intensive Care Unit (NICU). The NICU combines advanced technology and trained health care professionals to provide specialized care for these babies. The NICU also has an intermediate or continuing care area for babies who are not as sick but do need specialized nursing care. Common conditions cared for include prematurity and associated complications, congenital disorders or complications resulting from the birthing process. Level 3 Neonatal ICU care is provided in our institution.

Services:

  1. Ventilator care
  2. Bubble CPAP
  3. Care of babies who are extremely low birth weight
  4. Phototherapy
  5. Routine care of preterm babies
  6. Care of Post-operative babies for all newborns who undergo any major surgeries
Paediatric Intensive Care Unit

The PICU is the section of CIHSR that provides sick children with the highest level of medical care. Equipped with advanced technology, our team of pediatricians and trained pediatric nurses, improves survival, speeds recovery, minimizes disability and relieves pain and suffering in a caring and respectful manner. Kids in the PICU might include those with severe breathing problems from asthma, serious infections, certain heart conditions, some complications of diabetes, or those involved in a serious automobile accident or near-drowning. Some kids may have been stable enough to initially be cared for in the paediatric ward, but may be transferred to the PICU if they become more acutely ill. Following major surgery, many children are cared for in the PICU for several days until they recover.

Emergency Services


CIHSR’s Emergency Department, or Casualty, provides 24/7 services for patients of all ages and is responsible for the immediate treatment of any medical, surgical or obstetric emergency; initiating life-saving procedures in all types of emergency situations and providing emergency care for chronic conditions. Due to the unplanned nature of patient attendance, The team of emergency doctors and trained nurses provide prompt treatment for a broad spectrum of illnesses and injuries, some of which may be life-threatening and require immediate attention.

Services:

  1. 24 hours walk in emergency room
  2. Emergency doctor present round-the-clock
  3. 6 emergency beds
  4. Experienced nursing staff
  5. Attached Minor operation theatre
  6. Portable X-ray, ECG and ultrasound machine

Labour Room


The CIHSR labour room is attached to the Obstetrics and Gynaecology (OBG) ward and functions round the clock.The OBG team of doctors and nurses, aim to ensure that both the mother and the baby are safe at the end of the delivery. This is achieved by keen observation; monitoring of the fetal condition, assessment of risk factors and early detection of problems. Minor interventions such as amniotomy and episiotomy are performed if necessary. A pediatrician takes care of all sick infants after birth in a special newborn care facility available inside the labour room to stabilize the sick newborns. Very sick babies are immediately shifted to the hospitals Neonatal Intensive Care Unit (NICU) after the baby is stabilized in the labour room.
Throughout labour period and delivery, the mothers physical and emotional well-being are regularly assessed by the team of trained nursing staff. This implies measuring of temperature, pulse and blood pressure, checking fluid intake and urine output and assessing pain. This monitoring is maintained until the conclusion of the birthing process.
The labour room is designed to provide the mother with adequate privacy during the birthing process. The mothers choice of companions will also be respected and the presence of unnecessary persons in the labour room will be avoided.

Teams and Services:

Labour-room

Labour Room

  1. 3 Full time Obstetricians
  2. Nursing care available 24 hours
  3. Electronic Fetal Monitoring (EFM)
  4. 3 Delivery rooms to encourage natural childbirth with a full range of essential equipment
  5. 1 private room

Delivery programs::

  1. Normal delivery
  2. Instrumental Delivery
  3. Cesarean section Delivery

Audiology & Speech Therapy


Audiology and Speech Therapy

 
  • ● Provides Audiological services such as assessment, diagnosis and rehabilitation of infants, children, adults and older individuals with hearing disorder.
  • ● Assessment, diagnosis and rehabilitation of individuals with various speech, language and communication disorders such as stammering misarticulation, voice disorders, dysartheria, aphasia, hearing loss, delay in speech and language etc and treatment evaluation of various speech and language disorders.
  • ● Evaluation and treatment of various speech and language disorder:
    • ● Fluency (stammering)
    • ● Voice disorder
    • ● Misarticulation (pronunciation problems)
    • ● Neurogenic speech disorder (dysarthria, cerebral palsy etc.)
    • ● Neurogenic language disorder (aphasia etc.)
  • ● Speech and language therapy for children with hearing loss
  • ● Speech and language therapy for children with various disorders like:
    • ● Autism
    • ● Intellectual disability
    • ● ADHD
    • ● Syndromes (Downs Syndrome etc.)
  • ● Analog and digital hearing aids available:
    • ● Behind the ear model
    • ● Completely in the canal
    • ● Receiver in the canal
    • ● In the ear
    • ● Pocket level model
  • ● Audiometery, tympanometry, oto acoustic emission (OAE), BERA, hearing aid trail, ear mould impression.
  • ● Universal newborn hearing screening program – where all the babies born at CIHSR undergo hearing screening. This program aims at early identification and intervention of hearing loss.
  • ● Speech and language therapy services for several speech language and communication disorders.
  • ● BERA facility to test hearing in infants, children and the difficult to test population

*BERA – Brain stem evoked response audiometry.

Medical Services


Biothesiometry

Biothesiometry

Echocardiography

Echocardiography

Electrocardiography

Endoscopy Suite

Hemodialysis Suite

Pulmonary Function Test

Threadmill Test

Medical Oncology

Radiology

Diagnostic and interventional radiology plays a central role in patient care in any modern hospital. Christian institute of health sciences and research provides a quality service in the field of radiography. Radiology deals in a vast array of human anatomy, physiology, radiology is diagnostic as well as therapeutic , diagnostic radiography in today’s modern medicine have becomes a necessity in any primary health sector as it deals with the primary diagnosis of any ailments. Radiology covers diagnostic means namely CT scan, ultrasound, fluoroscopy and plain radiography. departments like urology are covered mainly by lithotripsy which is a therapeutic procedure for breaking calculus (kidney stones) and also by a diagnostic procedure called IVU which helps in the study of the collecting system. departments of the reproductive medicine, obstetrics and gynaecology mainly uses the means of fluoroscope which gives a real time imaging. The Christian institute of health sciences and research offers a two year diploma course in radio diagnosis technology course know as the diploma in radio diagnostic technology (DRT) which was started in 2011 under the paramedical sciences programme. The course is approved by the Christian medical association of India (CMAI ). The first 3 batch have graduated, the basic qualification to undergo the training is 10 +2 (science) or equivalent qualification. CIHSR offers the students not only the knowledge within the course but also stresses on imparting and exposing the students to the many aids used in the emergency and critical medicines so that the students are not only been taught but are also made to practice the basic life sciences

SERVICES OFFERED BY THE DEPARTMENT:
  • All routine X-rays
  • Special procedure like
    • ● Fistulogram
    • ● Hysterosalpinogram (HSG)
    • ● Micturating Urethrogram (MCU)
    • ● Barium studies of the gastrointestinal system
    • ● Intravenous pyelogram (IVU)
    • ● Ward radiography
    • ● Theatre radiography: eg ERCP
    • ● Orthopantogram (OPG)
    • ● Llithotripsy (ESWL)
    • ● CT scan
      1. All routine CT scan
      2. Angiography
      3. CT guided Biopsy
      4. CT with 3D constructions
UNIQUE SERVICE OFFERED AT CIHSR:
  • ● Lithotripsy / ESWL(extra corporeal shock wave lithotripsy), this is a non invasive treatment of kidney stones using an acoustic pulse, the procedure is an attempt to break up the stone with minimal collateral damage using an externally applied force focussed, high intensity acoustic pulse. A fluoroscopic x rays imaging system or an ultrasound imaging system is used to locate the stone, ESWl is the least invasive of the common place modalities for definitive stone treatment, but provides a lower stone free rate than other more invasive treatment methods such as PCNC, URS etc.
  • ● Orthopantogram (OPG ), it a machine which take panoramic view of the 32 teach in a single exposure or single film.
TIMINGS (To view full table in smaller screen, please rotate your device in landscape mode)
SERVICE WEEK DAYS SATURDAY SUNDAY
In Patient 8:00 am – 10 am 2:00 pm- 4:30 pm 8:00 am -1:00 pm Any Emergencies
Out Patient 8:30 am- 4:30 pm 8:00 am -1:00 pm Any Emergencies
IVU / IVP 8:00 am - 10:00 am (Tuesday- Friday only) 3 cases/day No IVU / IVP No IVU / IVP
HSG 2:00 pm - 4:00 pm No HSG No HSG
All Other Procedures 8:00 am – 10:00 am 2:00 pm - 4:00 pm No Procedure No Procedure

Note* - The above timing are made to reduce patient waiting time for both in patient and OpD patient as the Rush / peak hour for radiology is from 1O:OOAM TO 2:30 PM

Nursing services


Mrs. Bendangmenla Pongen
(Nursing Superintendent)

Nursing service thrive towards the promotion of quality care to the clients entrusted under their care thereby enhancing health on a continual basis , and tries to focus on holistic care. Presently, nursing service has altogether 132 staff nurses, out of which there are 20 BSc Nurses, 95 GNM and 17 ANM Nurses.
Nursing service have specialized Diploma Nurses namely -Oncology Nurse, Neonatal Nurse, Diabetic Educators, Emergency and Trauma Nurse, Nurse Anesthetist, Palliative and HICC Nurse. All these nursing service strive to improve the quality of care in their respective specialized departments.

Services offered by the Nursing department
  • ● Education Department with diabetic educators.
  • ● Psychiatric nurse counselors.
  • ● BLS and ALS Trainers
  • ● Trainers for patient care assistant (PCA)
  • ● Hospital infection control nurse
  • ● Palliative care nurses
  • ● Community health nurse
  • ● Nursing service also take initiative in giving training and workshop to update nurses to pace up with the current trend.
  • ● Immunization
Nursing services unique to CIHSR:
  • ● Nurse educators caters to specific disease like CAPD/HTN/Diabetic, Renal replacement therapy, HIV, TB and kidney disease.
  • ● Psychotherapy by Psychiatric nurses
  • ● CLHTC (Community lay leaders health training certificates programme) under CMC Vellore . This program is especially for training missionaries, church leaders and school teachers on basic primary health care.
  • ● Training and teaching primary health care worker like ASHA, Anganwadi by community health Nurse.
  • ● Intensive in-service education
  • ● Nursing Audit
  • ● Dual responsibilities
  • ● CAPD
  • ● Orientation program for new Nursing Recruits
  • ● Sponsorship for nurses to go for higher studies
  • ● Develop second line managers in Nursing.
  • ● Training for special need children.
Timings and days of week of special clinic by nursing department:
  • ● Immunization clinic every Wednesday
  • ● Nurse Run Diabetic clinic every Friday
  • ● Palliative team every Tuesday and Thursday