CLINICAL SERVICES

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
  21. Urology
  22. Radiation Oncology
  23. Occupational Therapy
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)


Critically ill patients with organ failure and requiring life support are admitted to the Intensive Care Unit. Our Intensive Care unit caters to a wide spectrum of critically ill patients requiring multidisciplinary care and life-support. We also receive referrals from other hospitals in Nagaland.

Some common conditions necessitating admission to the ICU include:

  • ■ Complications of alcoholic liver disease
  • ■ Chronic kidney failure
  • ■ Stroke (cerebrovascular accidents)
  • ■ Traumatic brain injury
  • ■ Heart attack ( Acute myocardial infarction)
  • ■ Bloodstream infection(sepsis)

Infrastructure:

The new Intensive Care Unit complex has been built with state of the art facilities following a generous grant from the NEC. The main ICU unit has 13 beds, 3 cabins ,1 comfort care room and a counselling room. The ICU has centralised air conditioning and patients as well as staff benefit from the natural daylight that brightens the ICU.
The comfort care room is a feature that was introduced to enable terminally ill patients to be surrounded by family for emotional support, while continuing to receive care from the ICU team.

Equipment:

We are well equipped with 5 mechanical ventilators to provide artificial ventilation for patients whose breathing is not normal.Multiple infusion pumps, volumetric pumps ensure that medications and IV fluids are given safely to patients. Multiparameter touchscreen monitors with centralised monitor provide accurate monitoring. A portable ultrasound machine allows for imaging of critically ill patients and aids diagnosis without the risks of patient transfer. A defibrillator is available for resuscitation. Hemodialysis can be performed in the ICU premises.

Staffing:

We have a team of dedicated, skilled nurses, doctors, physiotherapists, dieticians, dialysis technicians ,counsellors and hospital assistants to ensure that patients benefit from a multidisciplinary team involvement.
Each nurse caters to a maximum of only 3 patients to ensure continuous individual quality attention is given to the critically ill patients. If patients are on a mechanical ventilator the nurse to patient ratio is maintained at 1:1.

Visiting hours:

Since critically ill patients are vulnerable to infections and also require continuous nursing care, the family is requested to limit the number of visitors . They are allowed to visit the patient only during the designated visiting hours to ensure continuity of care and maximum benefit to the patient.

Morning: 8:30 AM to 10:00 AM

Evening: 5:00 PM to 6:00 PM

     

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. A. Purnungla Aier

Mrs. A. Purnungla Aier (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

Radiation Oncology Department

Dr. SHIRLEY T. LEIVON

Dr. SHIRLEY T. LEIVON

The Department of Radiation Oncology is a new addition / feather on the cap for CIHSR. The department plays a vital role in managing, treating and curing cancers with the help of Radiation therapy in cancer patients. The Department adheres to the international standard of quality with high precision equipment backed by an experienced team of specialized healthcare professionals.

With patient-centered approach, the department is committed to provide exceptional, cost-effective and compassionate care with the greatest possible patient safety. The team comprises of Radiation Oncologists, Medical Physicists, Radiation Therapists and Nurses with unique expertise and years of experience in specialized fields who work as a team to provide the best possible care for the patients.

Radiation therapy is the controlled use of ionizing radiation in cancer treatment. Nearly 80% of all cancer patients undergo Radiation Therapy as primary therapy or as adjuvant along with surgery/chemotherapy or for palliation of symptoms like pain. Our UNIQUE CLINAC system helps to deliver a number of treatment techniques, combined with leading edge features, it can aid clinicians to deliver quality treatment and help in accurately managing the day-to-day requirements in patient setup and positioning, while minimizing the risk to the surrounding healthy tissue.

SERVICES

  1. OPD services:We offer outpatient services from Monday to Friday from 8.00 am to 5.30 pm and Saturday from 8.00am to 12.00 noon. Our OPD is located in the RT block. Appointment has to be taken from the Front desk.
  2. In-patient services:In-patient services are offered for those patients who require chemotherapy and supportive care during radiation therapy. Patients can be admitted during Radiotherapy if coming from far off places.
  3. Radiotherapy services▸ CT simulation▸ Immobilization devices▸ External Beam Radiation Therapy:▸ Conventional radiotherapy▸ 3-Dimensional Conformal Radiotherapy (3D-CRT)▸ Intensity Modulated Radiation Therapy (IMRT)▸ VMAT

Quality assurance and dosimetry

In our institution we are concerned about the quality and consistency of treatment planning and delivery in all aspects of the radiotherapy process. We therefore routinely perform quality assurance procedures that reduces the uncertainties and errors in treatment planning and dosimetry to ensure consistency and accuracy over the planned course of treatment.

  • ▸ Machine-specific QA
  • ▸ Patient-specific QA 

Cancer survivorship

Cancer survivorship starts from the time of cancer diagnosis and extends beyond surviving cancer. It includes not just the individual but also the caregivers involved as well as friends and family. The services include

▸ Diet and Nutrition

▸ Physical Rehabilitation

▸ Psychological Rehabilitation and Counselling

▸ Lifestyle Medicine

▸ Group Discussion Sessions

▸ Sharing Sessions

Hospital Infection Control Committee [HICC]

Mrs. Bendangtemsula

Hospital infection control department in CIHSR helps to promote patient safety by reducing the risk of acquiring and transmitting infections in the healthcare setting and to be a leader in infection prevention & control.

Objectives:

  1. Active education, training and supervision of members of the health care team on aspects related to infection control
  2. Performing active surveillance of hospital acquired infections
  3. Formulating and facilitating compliance to Infection Control Protocols
  4. Providing advice on decontamination of equipment

 

Committee members

  •  Director
  •  Medical Superintendent
  •  Nursing Superintendent
  •  Chairman of HIC
  •  Microbiologist
  •  Anaesthetist
  •  Intensivist
  •  Nursing In charge - Intensive care
  •  Operating Theatre In-charge
  •  Hospital Infection Control Nurse
  •  Clinical Pharmacist
  •  Maintenance Engineer
  •  Housekeeping Manager
  •  Representative from the Quality department

 

Surveillance done by HICC Department:

  •  Biomedical waste management regularly and gives monthly report to the authority and to every department that generates biomedical waste in hospital
  •  Hand hygiene surveillance and present the reports every month to the concern departments
  •  Nosocomial infection surveillance on Central Associated blood stream infection (CLABSI), Catheter Associated Blood Stream Infection (CAUTI), Surgical Site Infection (SSI)
  •  Housekeeping staff – method and frequency of cleaning
  •  Storage of sterile packs, ensuring packs are within the expiry date
  •  Preventing needle stick injuries and the protocol for NSI / mucosal exposure
  •  Disinfectants used for linens in laundry
  •  Water surveillance report is received from the laboratory and is reported to the concern authority /presented

Occupational Therapy


Ms. Shuyiini Piku
(Occupation Theraphy)

Occupational Therapy aims at achieving health,well being and participation in life through engagement in occupations. If a patient is recovering from an accident or injury, his/her valued occupations may be disrupted. Occupational Therapy emphasizes on skill training rather than the deficit.
• Occupational Therapy focuses on daily occupations which include:
ADL(Activities of Daily living)-Eating,Dressing,Grooming;providing aides and modifications to improve patients self-participation following stroke,Arthritis,fractures etc.
IADLs(Instrumental Activities of daily living)-Shopping, Child care;suggests simpler techniques and modifications to perform each task efficiently with minimal assistance from caregivers.
Work-Ergonomic modifications to patients workplace following injury/accidents,to make patient functionally independent as possible or providing other options through vocational rehabilitation
Leisure-Provide techniques and activities and skills to maintain balance between work,sleep and leisure to prevent burnouts for active participation in workplace and for older adults to improve quality of life.
Play-A toddlers occupations involve play to develop important skills to achieve developmental milestones.
Education-For children with ADHD,GDD,Autism who finds it difficult to attend well in classes various techniques like Sensory Integration therapy are used to calm children down and improve attention. Life Skills training for children with Intellectual Disabilty.
Social Participation-For patients following Spinal cord injury or patients with mental illness like schizophrenia etc., community participation maybe limited because of society’s take on person with disability.Hence various group sessions with caregivers and patients are taken to improve intrapersonal skill, self esteem ,assertiveness for community reintegration.

Services:
  • Orthopedic Rehabilitation-Low back pain
  • Osteoartritis
  • Rheumatoid arthritis
  • Fibromyalgia
  • Pre and post prosthetic training
  • Neuro-Stroke,Spinal Cord Injury
  • Head Injury
  • Motor Neuron Disease
  • Parkinsons Disease
  • Cerebellar ataxia
  • Muscular Dystrophy
  • Paediatrics-Juvenile Idiopathic Arthritis
  • Autism
  • ADHD
  • Global Developmental Delay
  • Cerebral Palsy(spastic,dystonic,hypotonic,mixed).Intellectual disability
  • Seizure disorder
  • Hand rehabilitation-Improving hand functions using concepts of neuroplasticity for stroke patients and providing assistive devices.
  • Psychiatry-Schizophrenia
  • Depresion
  • Alcohol Dependent syndrome
  • Substance abuse
  • Anxiety disorder
  • Adjustment disorder.
  • Geriatric-Falls
  • Dementia
  • Alzheimers
  • Special services:

    Community Rehabilitation:Home visits with community health department to reduce architectural barriers and make community environment accessible to persons with disability and
    Caregiver support groups:For relatives of patients with mental illness spinal cord injury,head injury etc.