Detailed Project Report on Nursing Hospital 60 Beds with Nursing College

NURSING HOSPITAL 60 BEDS WITH NURSING COLLEGE

[EIRI/EDPR/4107] J.C.: 2252XL 

Health care is gaining increasing importance in recent years. The concept of health care is emerging from providing treatment to the disease to the improvement of overall health status and also maintenance of good health.

India, a signatory to the "Alma Alta" declaration of 1978, is committed to the goal of "HEALTH FOR ALL" by the year 2000 A.D. In order to achieve the targets and thereby improving the health status of people in the country, tremendous efforts are required to be made not only by government but also by people. It is in this perspective development of health care assumes significant importance. New Challenges and new opportunities for investing in health care i.e. in hospitals and nursing homes etc. have arisen.

The expectation was that with adequate investments in health infrastructure and appropriate mix of Public health strategies, the country would be well-placed to meet this laudable goal. However, even in the target year, we can at best claim partial success in meeting the goal of a healthy population.

• Life expectancy in the country is still at 62 years as against the target of 64 years.

• Infant mortality rate is still hovers at 71 per 1000 live births against the target of below 60 per 1000

• People dyeing as a result of communicable diseases are 470 per 100000.

• Doctors per 1000 population : 0.41

• Hospital Beds per 1000 population in the country : 0.7

In the very beginning, there were government owned hospitals where one had to pay no money for treatment. Then, a private ward facility was started in the hospitals. The patient had to pay rent for a private room while medicines and doctors were available free of cost. The private ward helped the patient to avoid the untidiness of a general ward and noise etc. The patients, who were in a position to afford the room rent, were admitted to private rooms. The poor's, however, got admission in rushed general wards.

Increasing negligence by the doctors of these hospitals and the overcrowding in them gave private hospitals to have a good business. No. of private hospitals began to come in light with all facilities for E.C.G.S, X-Rays, Laboratories, 24-hours emergency and admission facilities for ill persons, seriously injured in pregnant ladies. The medium class and high class families started preferring these private hospitals and nursing homes as one's life is considered to be much costly and expenses for treatment can be neglected.

A medical college in meant to impart education of medical field to students to qualify them as doctors in different specialized disciplines so as to treat patients suffering from various ailments doctors with their dedicated spirit serve the nation at large by providing medication and treatment for eradication of diseases which exchanger health and add  suffering to humanity. Normally a medical college is associated with a hospital.

Hospitals provide the facilities of O.P.D. and admission for seriously ill seriously injured, seriously burnt and pregnant ladies, causalities etc.

Presently, every city or town in india has no. of private hospitals furnished with latest medical facilities available and with more qualified surgeons, physicians and specialist doctors. Even sometimes, they are furnished with more modern machines than those available in the nearby Government Hospital. These hospitals can be seen well crowded as they provide very good service at a smile. As they are run by privates very good medical care is provided by them.

A private hospital is a place where one may get treatment from ordinary fever to a major surgery operation. As a matter of fact, no limitation has been made for the facilities available in a hospital. However, generally all  private hospitals are provided with latest facilities and ultra modern machines. In a hospital, surgeons, physicians, E.N.T., specialists, children specialist, Eye-surgeon, psychologists and sex-specialist are essential.

COST ESTIMATION

Plant Capacity            232.2777 Nos/Day  

Land & Building (4000 sq.mt.)  Rs. 5.81 Cr.    

Plant & Machinery               Rs. 3.36 Cr. 

Working Capital for 3 Months    Rs. 1.23 Cr 

Total Capital Investment        Rs. 11.02 Cr 

Rate of Return                  84%

Break Even Point                31%

CONTENTS

INTRODUCTION

WHAT LICENSE REQUIRED TO OPEN A NURSING HOME AND THEIR PROCEDURE

NECESSARY LICENSES REQUIRED OPENING A NURSING HOME IN INDIA

REGISTRATION OF NURSING HOME

PERMITS

LAND AND CONSTRUCTION

ELECTRICITY AND WATER

SEWAGE

BIOMEDICAL WASTE

FIRE AND HEALTH LICENSE

REGULATIONS RELATING TO EMPLOYMENT OF STAFF

SIGN BOARDS

INFORMATION THAT REQUIRES IS DISPLAYED AT THE NURSING HOME ARE;

FSSAI LICENSE FOR OPERATING A KITCHEN

PERMIT TO STORE LPG CYLINDER

PHARMACY REGISTRATION FOR MEDICAL SHOP

TRADEMARK REGISTRATION

VEHICLE REGISTRATION FOR AMBULANCES

ARMS LICENSES UNDER ARMS ACT 1959

WASTE DISPOSAL

PLANNING THE NURSING HOME INFRASTRUCTURE

ONE MUST TAKE CARE OF THESE THINGS;

THE OTHER IMPORTANT LICENSE REQUIRED IS:

B.I.S SPECIFICATION

BRIEF DESCRIPTION OF SOME COMMON NURSING/HOSPITAL EQUIPMENTS

1. DRESSING DRUM

2. SURGICAL TRAY

3. CATHETHER TRAY

4. SYRINGE CASE

5. ANIMA POT

6. BOWEL

7. BED POT (LATRINE)

8. URINAL POT

9. KIDNEY TRAY

10. SPIT-ON

11. ELECTRICAL STERILIZER

MODERN MEDICAL INSTRUMENTS

BUILDING CONSTRUCTION & FURNISHING OF THE NURSING HOME

THE OTHER DEPARTMENT IN A HOSPITAL ARE AS FOLLOWS:

1. CARDIOLOGY

2. E.N.T.

3. MATERNITY

4. EYE SECTION

5. CHILDREN WARD

6. LABORATORY

7. X-RAY ROOM & ECG CLINIC

8. PHYSICIAN

GENERAL HEALTH AMENITIES

DRUG SITUATIONS

MODERN MEDICAL EQUIPMENT

COMPUTER TOPOGRAPHY

ULTRASOUND

CONSUMABLE STORES

UTILITIES & OVERHEADS

1. POWER/LIGHT CONSUMPTION:-

2. WATER:-

3. FUELS:-

HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS

MACHINERY & EQUIPMENT SUPPLIERS

X-RAY ACCESSORIES

AIR CONDITIONING & REFRIGERATION UNITS

IMPORTED PLANT & MACHINERY SUPPLIERS

LIST OF CONSULTANT FOR SETTING UP NURSING HOME IN INDIA

HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS

LIST OF NURSING HOME IN HOOGHLY DISTRICT

PROPOSED MINIMUM STANDARDS FOR PRIVATE HOSPITALS/NURSING HOMES

UPTO 60 BEDDED UNIT PROVIDING MEDICAL / SURGICAL / MATERNITY SERVICES

INTRODUCTION

FUNCTIONAL PROGRAMME FOR A NURSING HOME

HUMAN POWER REQUIREMENTS

QUALIFICATIONS

AVAILABILITY OF PERSONNEL:

MINIMUM REQUIREMENT OF PERSONNEL:

NURSING STAFF:

NURSING AIDS:

PARAMEDICAL STAFF:

ENGINEERING STAFF

ADMINISTRATIVE AND ANCILLARY STAFF

INSTRUMENTS AND EQUIPMENT

ENTRANCE ZONE

RECEPTION AND REGISTRATION WITH CASHIER

WAITING AREA

AMBULATORY ZONE

B. TREATMENT/DRESSING ROOM AND INJECTION ROOM

C. EXAMINATION AND CONSULTATION ROOMS (OPDS) AND CASUALTY

PATHOLOGY

RADIOLOGY (OPTIONAL)

INTERMEDIATE ZONE

A .WARDS

B. NURSING STATION

C. TREATMENT ROOM

D.. TROLLEY BAY

E. WARD STORE

OPERATION THEATRE

INSTRUMENTS FOR GENERAL SURGERY & (MATERNITY) OBSTETRICS/GYNAECOLOGY

OPERATION THEATRE

EQUIPMENT FOR SURGERY AND OBSTETRICS/GYN

DELIVERY SUITE: EQUIPMENT & INSTRUMENTS (FOR MATERNITY HOMES ONLY)

A. EXAMINATION AND PREPARATION

LABOUR ROOM

B. DELIVERY ROOMS

EPISIOTOMY SET 

EQUIPMENT FOR SERVICE ZONE

LAUNDRY

GENERATOR

MINIMAL FUNCTIONAL AND SPACE REQUIREMENTS

ENTRANCE ZONE

AMBULATORY ZONE

7. NURSING STATION FOR OPD BLOCK WITH CLEAN AND DIRTY UTILITY 17.5 SQ.MT.

DIAGNOSTIC ZONE (OPTIONAL)

2. RADIOLOGY -

CRITICAL ZONE

OPERATING SUITE

BASIC DESIGN STANDARDS

MINIMUM SPACE REQUIREMENTS

PROTECTIVE ZONE

CLEAN ZONE

ASEPTIC ZONE

4. THEATRE PACK PREPARATION AREA WITH STERILE STORAGE 10.5 SQ.M

A. EXAMINATION AND PREPARATION ROOM WITH CHANGING AND TOILET FACILITIES 14 SQ.M

J. DOCTORS' AND NURSES' CHANGE ROOM WITH TOILET 10.5 SQ.M

INTERMEDIATE ZONE

INPATIENTS NURSING UNITS

NOTE:

SERVICE ZONE

8. ADMINISTRATOR AND NURSING-IN-CHARGE OFFICE 10.5 SQ.M

BUILDING ENGINEERING ENVIRONMENTAL STANDARDS

LOCATION

CEILINGS

FLOOR HEIGHT

FLOORS AND WALLS

DOORS:

WINDOWS

CORRIDOR

WATER SUPPLY, PLUMBING AND OTHER PIPING SYSTEMS

FOR MORE THAN 20 BEDS

FOR LESS THAN 40 BEDS

OXYGEN CYLINDERS

ELECTRICAL STANDARDS

PANEL BOARDS

ACCESS ROUTES TO VARIOUS FACILITIES OF THE NURSING HOME:

COMMUNICATION SYSTEM

FIRE-FIGHTING SYSTEM

VENTILATION REQUIREMENTS FOR AREAS AFFECTING PATIENT CARE IN NURSING HOMES

REQUIREMENTS FOR SANITARY FITMENTS IN NURSING HOMES FOR PATIENTS

INPATIENT WARDS AND NURSING UNITS

OUTPATIENT BLOCK

THE RADIOLOGY DEPARTMENT MUST HAVE FOLLOWING SPECIAL TOILET FACILITIES IN CASE IT CARRIES OUT PROCEDURES LIKE IVP.

15 WASTE DISPOSAL:

PLANT LOCATION FACTORS

PRIMARY FACTORS

1. RAW-MATERIAL SUPPLY:

2. MARKETS:

3. POWER AND FUEL SUPPLY:

4. WATER SUPPLY:

5. CLIMATE:

6. TRANSPORTATION:

7. WASTE DISPOSAL:

8. LABOR:

9. REGULATORY LAWS:

10. TAXES:

11. SITE CHARACTERISTICS:

12. COMMUNITY FACTORS:

13. VULNERABILITY TO WARTIME ATTACK:

14. FLOOD AND FIRE CONTROL:

EXPLANATION OF TERMS USED IN THE PROJECT REPORT

1. DEPRECIATION:

2. FIXED ASSETS:

3. WORKING CAPITAL:

4. BREAK-EVEN POINT:

5. OTHER FIXED EXPENSES:

6. MARGIN MONEY:

7. TERM LOANS:

8. TOTAL LOAD:

9. LAND AREA/MAN POWER RATIO:

LOCATION

SOMRA, HOOGLY, WB, INDIA

IMPLEMENTATION SCHEDULE

PROJECT IMPLEMENTATION WILL TAKE A PERIOD OF 18 MONTHS.

LIST OF PLANT & MACHINERY

A. BASIC EQUIPMENT'S

APPENDIX – A:

01. PLANT ECONOMICS

02. LAND & BUILDING

03. PLANT AND MACHINERY

04. OTHER FIXED ASSESTS

05. FIXED CAPITAL

06. RAW MATERIAL

07. SALARY AND WAGES

08. UTILITIES AND OVERHEADS

09. TOTAL WORKING CAPITAL

10. TOTAL CAPITAL INVESTMENT

11. COST OF PRODUCTION

12. TURN OVER/ANNUM

13. BREAK EVEN POINT

14. RESOURCES FOR FINANCE

15. INSTALMENT PAYABLE IN 5 YEARS

16. DEPRECIATION CHART FOR 5 YEARS

17. PROFIT ANALYSIS FOR 5 YEARS

18. PROJECTED BALANCE SHEET FOR (5 YEARS)