HOSPITAL PROFILE

RAPTI LIFE CARE HOSPITAL, TULSIPUR, DANG

Introduction
Rapti Life Care Hospital is a private hospital located at Tulsipur-5, Dang. It was established
in 2063 BS and later on shifted to rent building at Tulsipur-5 in Baishakh, 2072. It is 55
bedded hospital. It started nursing program in 2069 BS affiliated to CTEVT which is situated
at Motipur 2 km away from current building.Hospital receives patient from Tulsipur
municipality, nearby VDCs and surrounding districts like Salyan, Rukum and Rolpa.

Objectives
1. To act as a referral center
2. To provide quality health services to low economic and underprivileged community
3. To develop as people friendly hospital
4. To provide good quality education

Goals
1. To increase the capacity of hospital
2. To enhance the services for quality care

Organogram of Rapti Life Care Hospital

Human Resource Management

Posts
Medical Officers
Specialist
HA
Staff Nurses
Lab Technologist
Radiology Assistant
Pharmacist
Pharmacy Assistant
Non-technical staff
Helpers
Driver

Number
2
4 (part time)
4
4
2
2
1
3
6
6
1

Services and Equipment

Out-patient services (OPD) are available from 7am to 7pm. OPD charges are as follows:
7 am -9 am
9 am-1 pm
1 pm-5 pm
5 pm-7 pm

Rs 475/Rs 350/Rs 400

Rs 50
Rs 300
Rs 475

There is a waiting area on ground floor beside the OPD. There are total 3 OPD rooms, all 3 of
them are general OPD, 2 of the doctors (MO) are working full time, other 2 doctors are
MDGP and gynecologist working part time, and other 2, and dermatologist and ENT surgeon
have monthly visits. Free OPD service is provided by HA every Friday from 3pm to 5pm.
Cases of TB, normal and cesarean delivery and other complicated cases are referred to Rapti
Zonal Hospital, Ghorahi and Nepalgunj.
Diagnostic Services
1. Ultrasound: There is one room for USG in separate building that is used for both
emergency and the routine purpose.
2. X-Ray: It provides both the emergency (24 hours) and routine diagnostic services.
3. Laboratory Services: Samples are collected and the tests are also done in the same room.
The room is spacious and is well equipped. The following investigations are carried out:
a. Hematology: PCV, TC, DC, ESR, platelets, malaria parasite smear, RBC
morphology, BT, CT
b. Biochemistry: Blood sugar F/R, BUN, creatinine, albumin/total protein, bilirubin,
amylase, sodium, potassium, calcium, AST, ALT, ASP
c. Urine: Urine albumin, urine R/E,M/E, urine analysis (glucose, bile), urine
pregnancy test, urine 24 hr. protein, urine AFB

d. Microbiology: Gram stain, Blood, urine, pus culture and sensitivity, leprosy
smear, fungal stain
e. Sputum: sputum for AFB, sputum for gram stain
f. Stool: microscopy, ova and parasites, stool for occult blood
g. Serology: RA, ASO, CRP, blood grouping, cross matching, transfusion, HIV 1&2
antibody, HbsAg, anti-HCV,VDRL/RPR, TPHA, malarial Ag, M. tuberculosis,
H.pylori, Hepatitis B,C, WIDAL test, Typhoid IgG/IgM, UPT & Manteaux test.
In-Patient Services
In patient department is located in 1st and 2nd floor with 55 beds in total. They are not divided
into specific wards, and the beds occupied by patients are very few.

Operation Theatre
Minor surgeries are done in this hospital but major surgeries has not been started yet.
Although they are planning to start soon. The OT room is small and simple with no OT light,
anesthesia machine and AC.
Other Services
a. Pharmacy: Pharmacy is located in 1 st floor on the hospital building. It stores most of
the frequently used drugs for daily dispensing purposes and gets supplied from the
central store. However drugs are dispensed with or without prescription.
b. Ambulance: There is 1 ambulance for 24hrs service.
c. Health camps: Rapti Life Care hospital organizes different health camps 2-3 times a
year in rural hilly districts.

Logistic Management
An efficient management of logistic is crucial for effective and efficient delivery of health
services as well as to ensure quality health services. Emphasis is given on efficient and
effective management of essential medicine distribution, vaccines, contraceptives, medical
equipment, forms, registers, and other supplies at all levels of health facilities.
Resources of this hospital are:

Charges from Inpatient department

Charges from outpatient department
Emergency service
Ambulance service
Pharmacy
Laboratory service
Nursing college

Source
Patient fee
From medicine(PH)
From nursing college
Miscellaneous Income
Ambulance

2070/71
3135360
2720075
13821730
16888
1359600

2069/70
1341168
3061696
7049850
1321810

Source
Income
Expense
Administration expense
Operating expense

2070/71
21053653
3289123
13039476
1398576

2069/70
12774524
3403906
5456310
1075132

Share capital:
Authorized capital = 3, 00, 00,000
(3, 00, 000 X 100)
Issued capital = 3, 00, 00,000
(300000 X 100)
Paid-up capital = 1, 85, 94,000
(185940 X 100)
Store management process:
1.
2.
3.
4.
5.

Purchase order form is filled by store keeper.

It is approved by administrative officer.
Goods/ items are ordered from respective parties.
Each department sends a demand form filled with list of necessary items.
Store ledger is updated according to demand form.

Top morbidities of Rapti Life Care Hospital

Morbidity
Abdomen pain
Fever
Fall injury
RTA

Frequency
178
120
70
62

Vomiting
Diarrhea
SOB
APD
Cut Injury
AGE

60
50
44
36
24
21
(Source: Records from Emergency Department, RZH, Dang)

Plans of Rapti Life Care Hospital

To run the hospital in their own building in Motipur

To provide immunization as per EPI schedule and safe motherhood program, approved by
the government
To start HA program

Problems faced by the hospital

Lack of sufficient human resources

Electricity supply
Lack of staff quarters
Lack of timely ambulance service
Low budget

Format used:
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A4 paper (not letter)

Small font size: 12
Title size; 14
Font: Times New Roman
Margins: 1 Inch
Table: Auto fit to window