A REPORT ON

SUMMER POSTING
AT
JAG PRAVESH CHANDRA
HOSPITAL

Submitted to : Submitted by :

Ms. Somibala Thokchom Ms. Aksa Sarah Saji

( tutor) Ms. Sana Usmani
Ms. Sunita Dixit
Ms. Vanita Sharma
 INDEX

CONTENT
S.No.
PAGE NO.

1. Acknowledgement

2. Introduction

General Objectives
3.

Section 1- Institutional Profile

4.

Section II - Advance competency gained in nursing

5. practice in the area of specialization maternity nursing.

Section III - Skills developed in Management and

6. Supervision in clinical area.
 ACKNOWLEDGEMENT

I take this opportunity to express my heartfelt thanks and deep regards to Prof. (Dr.) Manju
Chhugani (Principal, Rufaida College of Nursing) and Ms.Somibala (Tutor, Rufaida College of
Nursing) for their kind approval for my posting in Jag Pravesh Chandra Hospital, New Delhi.

I am highly grateful to Ms. Chandrawati ( Deputy Nursing Superintendent) and Ms. Rani
Bharti (Assistant Nursing Superintendant) of Jag Pravesh Chandra Hospital for their
cooperation all through the Posting in the hospital.

I am extremely thankful to, Ms. Rani Bharti for helping us to conduct our research and validating
our tools.

I express my sincere thanks to all Nursing staff, Doctors, ANMs, paramedical and other clerical
staff for helping me to complete my experience in Jag Pravesh Chandra Hospital, New Delhi.

Above all, I express my deep sense of gratitude to the Almighty God for his abiding grace and
magnanimity in completion of the summer field posting.
INTRODUCTION:

Maternal health is the health of women during pregnancy, childbirth, and the

postpartum period. India continues to contribute about a quarter of all global maternal deaths. On
the other hand; one million children born in India are dying every year even before they become
28 days old. A child born in India is 14 times more likely to die during the first 28 days than one
born in the US or UK. Despite health improvements over the last thirty years, lives continue to
be lost to early childhood diseases, inadequate new born care, inappropriate breastfeeding and
childbirth-related causes. More than two million children die every year from preventable
infections. According to the World Health Organisation (WHO) globally, 30% of children under
five are estimated to be stunted and 18% have low weight-for-height, and 43 million children are
overweight.

Optimal breastfeeding could save the lives of 1.5 million children under five every year.
Promoting something such as simple as breastfeeding can reduce infant mortality by 11.6%. But
though India has among the worst infant and child mortality figures in the world, 75% of the
nation’s children are not breastfed from birth or not breastfed appropriately and over 50% are not
exclusively breastfed. Maintaining health care standards requires interdisciplinary collaboration
among doctors, midwives, auxiliary nurses and other paramedical staff.

As a part of our summer field experience posting, we the students of Rufaida college of Nursing
namely Ms. Aksa Sarah Saji, Ms. Sana Usmani, Ms. Sunita Dixit and Ms. Vanita Sharma were
permitted to do posting at Jag Pravesh Chandra Hospital in Shastri Park, New Delhi. We
were posted there for one month for our training in Obstetrics and Gynecology Department that
is from 11-06-2018 – 06-07-2018.
OBJECTIVES OF SUMMER FIELD POSTING ;

The objectives of the posting given by our institution and as per our syllabus were:

 To update knowledge and skills in advance procedure in the field of Obstetrics and
Gynecological Nursing.

 To gain competence in administration of Obstetrics and Gynecological Nursing

Department.

 To identify the areas of Research in the field of Obstetrics and Gynecological Nursing
and carry out one problem solving approach.
HOSPITAL
PROFILE
Jag Pravesh Chandra Hospital is a 200 bedded multi-speciality secondary level Hospital situated
in North East District GNCT of Delhi. The main objective of hospital is to provide free basic
health care to the people living in North East District. Hospital is providing OPD, Round the
clock Indoor and Casualty services including routine diagnostic services in general specialties. It
is intended that all service seekers receive courteous & prompt attention. The hospital OPD
services were started in October 2003 Indoor and casualty services were commenced later on in
2007 and 2009 respectively.

The Hospital started in the Year 2003 and began with Out Patient Services. Gradually
Emergency services and inpatient services were initiated along with ancillary services such as
radiology and laboratory. Emergency services were begun as 12 hour services to begin with.
Presently the hospital has round the clock emergency services. Round the clock laboratory
services and blood storage services and round the clock maternity care services

LOCATION :

Location Shastri Park, Delhi 110053

Bus Routes 201, 205,215,226
Police Station New Usman pur, Shastri Park
Nearest Metro station Seelampur, Shastri Park
SERVICES PROVIDED BY THE HOPITAL
ALL THE SERVICES PROVIDED TO THE PATIENTS ARE FREE.

Speciality Day Room Number Doctor In Charge

Medicine Daily 14,15,18 Dr Desh Raj
Paediatrics Daily 133,137,138,139,140 Dr Lalan Kumar
Bharti
Gynaecology Tuesday,Wednesday,Saturda 141,144,145 Dr Neeta Sagar
y
Eye Weekdays except on OT 101,120 Dr Roop Lal
Days
ENT Weekdays except on OT 102,103 Dr Urvashi Razdan
Days
Dental Daily 116,117 Dr Neeraj
Aggarawal
Surgery Weekdays except on 110,111 Dr AK Singh
Mondays
Orthopeadics Weekdays except on 07,08 Dr Sanjay Yaday
Tuesdays
Skin Daily 106,107 Dr Bharti Sachdeva
Homeopathic Daily AYUSH BLOCK
Ayurvedic Daily AYUSH BLOCK

SPECIAL CLINIC SERVICES :

Clinic Day Timing Room number

Antenatal Clinic Monday, Thursday 9.00 am to 2.00 pm 141,144,145
Leprosy Clinic Saturday 9.00 am to 1.00 pm 108
Psoriasis and Vitiligo Wednesday 9.00 am to 1.00 pm 108
Clinic
Diabetic Clinic Monday, Wednesday 2.30 pm to 4.00 pm 18
Senior Citizen Clinic Sunday 10.00 am to 12.00 07,14,15
noon
Immunization Clinic Daily 9.00 am to 2.00 pm 134
Physiotherapy & Daily 9.00 am to 4.00 pm 05
Occupational Therapy
Audiometry Daily 9.00 am to 2.00 pm 114
Dressing Daily 9.00 am to 2.00 pm 107
Refraction Daily 9.00 am to 1.00 pm 115
Ambulance Services Round the Clock Round the Clock Casualty
CATS
Animal Bite Clinic Daily 9.00 am to 1.00 pm 133
Asthma Clinic Thursday 9.00 am to 1.00 pm 132
Chest Clinic Daily 9.00 am to 1.00 pm DOTS Block
Cancer Screening Daily 9.00 am to 1.00 pm 110,111
OST Clinic Daily 9.00 am to 4.00 pm OST Centre
ICTC Daily 9.00 am to 4.00 pm ICTC Centre, OPD
Block

SUPPORTIVE SERVICES :

Services Charges In-Charge

Laboratory Free Dr Shikha Gupta
X-Ray Free Dr Bindo Kalita
Ultrasound Free Dr Bindo Kalita
ECG Free Dr Manish Gupta
ICU Free Dr Praveen Mendhe
Anesthesia Free Dr RS Sickund
Pharmacy Free Dr Manish Gupta

FLOOR WISE SERVICES :

Services Charges
Stores, CSSD,AC Plant, MRD, Kitchen, Gas Store Basement
Emergency Ward, Casualty, Disaster Ward, Laboratory, Ground Floor
Radiology, Blood Storage, Pharmacy, Chest Clinic, OST Centre,
OPD Registration, AYUUSH Block,
Children Ward 1st Floor
ICU, OT Complex 2nd Floor
Eye, ENT, Orthopaedics, Gynae Ward 3rd Floor
Medicine, Surgery Ward 4th Floor
Administrative Block, Conference Room, Library 5th Floor
MEDICINE DISTRIBUTION:
All of the medicines prescribed by the doctors are usually available at the Pharmacy Counters,
free of cost. Medicines are usually given for three days for OPD patients. Senior Citizens,
Physically handicapped, freedom fighters and beneficiaries of Delhi Government Employees
Health Scheme are given priority.

INDOOR SERVICES :

Round the clock indoor services are available in general specialties. Specialty-wise break-up of
sanctioned beds is as below:

S.No Speciality Bed Type Sanctioned

Beds
1 Surgery Pt. Admission Beds 29
2 Surgery ICU Beds 4
3 Medicine Pt. Admission Beds 31
4 Medicine ICU Beds 6
5 Ophthalmology Pt. Admission Beds 12
6 ENT Pt. Admission Beds 10
7 Paediatrics Pt. Admission Beds 18
8 Paediatrics Casualty 4
9 Gynaecology & Obstetrics Pt. Admission Beds 11
10 Gynaecology & Obstetrics Post Operative Ward 6
11 Gynaecology & Obstetrics Post Natal Ward 18
12 Labour Room Pt. Admission Beds 6
13 Labour Room Procedure Beds 3
14 Nursery Pt. Admission Bedss 16
15 Accident and Emergency Care Pt. Admission Beds 12
(Casualty)
16 Accident and Emergency Care Observation Beds 6
(Casualty)
17 Orthopaedics Pt. Admission Beds 18
Total 210
EMERGENCY SERVICES :

Round the Clock emergency services are available to observe, manage and monitor the sick
patients. Specialist doctors are available on call whenever required, resident doctors are available
round the clock.

Operation Facilities :
Surgical operation facilities are available for all major specialties free of cost on designated days:

Speciality Major OT Days Minor OT days

Surgery Monday, Wednesday Daily
Ophthalmology Wednesday, Friday
ENT Thursday Tuesday
Gynaecology Friday
Orthopaedics Tuesday
Dental Thursday
Emergency Daily Daily
Skin Daily
Obstetrics Daily

OUTSOURCED SERVICES:

SN Name of Service Name & Address of the Agency Contract Type

1 Sanitation Services M/s Green House Keeping , D- Area wise

2 Security Services
3 Nursing Orderly
Services
4 Computerized
Registration Services
5 Kitchen Services
1/102, Street No 3, Ashok Nagar
( Near MIG Flats ) Delhi-93
M/s Gorkha Security , M-8 , Manpower 49+1
Vardhman City -2 Plaza , Asaf
Ali Road , New Delhi- 110002
M/s Security Solutions and Manpower 70
Manpower Services 1283, Sector
29 NOIDA 201301
M/s GTI Infotel A-51,Sector- Counter wise 14
8,Noida,UP-201301
M/s Prime Services , E-30 Moti Per Diet
Nagar , Delhi -110015
6 Laundry Services
7 Hiring of Office
Vehicle
M/s Kewal Krishan Laundry & Per item
Dry Cleaners B-335,336
Raghubir Nagar New Delhi
110027
M/s Bharat Travels , B-206 , Per Vehicle per month
Hari Nagar , New Delhi -64

SPECIAL FACILITIES FOR SENIOR CITIZENS :

Preference is given to senior citizens at all service counters. Special clinic for senior citizen
patients is run on Sundays.

VISITOR’S DO’S AND DON’TS:

Visitor Do's
 Follow the directions of the senior person in charge of each area and/or department if
there is an emergency such as fire.
 Patients are requested to wear hospital dress during hospitalization.
 Security personnel might check your belongings at any point of time; please cooperate.
 Do be considerate of others present in the hospital.

Visitor Don'ts
 Smoking is prohibited, so please do not smoke.
 Outside eatables, sweets are not allowed in the hospital premises.
 Do not bring incense to burn in the patient's room as it may cause a fire or affect the
patient's health.
 Please do not bring flowers, handy cameras, and visitors below 12 years to the hospital.
 ADVANCED
COMPETENCIES GAINED
IN NURSING PRACTICE
IN THE AREA OF
SPECIALIZATION
 LABOUR ROOM

There is one labour room in Jag Parvesh Chander. It is situated at the first floor of OPD
building.

Here, the labour room is divided into two sections one the main labour room area which
comprise of the ANC room, delivery area and the PNC room and the other consist of three rooms
areas one post-op ward which admits the patients after caesarean section and other
gynaecological procedures for at least 24 hours after which the gynaecological patients is shifted
to Ward II in labour room itself and the patient with caesarean section are shifted to PNC Ward
III floor. There is one other room where ANC mothers for observations and pre-op women are
admitted.

In the main labour room women for minor procedures and mothers in the active phase of
labour are admitted in the ANC area, then shifted to delivery area with the full dilatation or when
the minor procedures is to be performed and kept the in the PNC area for 3-4 hours for
immediate observation after which postnatal mothers are shifted to PNC ward III floor and
women undergone minor procedures are shifted either to pre-op area of labour room itself or to
the III floor or got discharged from their only.

S. ACTIVITIES COMPETENCIES ACHIEVED

No.

1. Planned the total learning  Developed initiative and gained confidence

programme according to the
objectives and proposal.
in planning one’s own learning programme.
 Selected the hospital for getting experience
according to the objectives.
 Collected the permission letters for gaining
experiences.
 Made plan for one month.

2. Visited and worked in different Gained knowledge about:

areas of Jag Parvesh Chander
 Physical setup & different facilities.
Hospital and got oriented with
 Administration.
the physical set up of Jag
 Parvesh Chander Hospital.  Important works.

3. Labour Room  Studied different protocols and policies in

Labour room.
 Gained proficiency in intra-partum
monitoring of mother and foetus.
 Developed skill in setting up of a Labour
room.
 Developed competency in immediate
assessment and management of new born & newborn
resuscitation.
 Developed skill in the active management
of third stage of labour and management of PPH.
 Able to give health education to postnatal mothers
about postnatal care especially self-Perineal care,
exclusive breast feeding and new born care.
 Developed competency in immediate
assessment, care and daily observation of newborn
(Respiration, temperature, weight, feeding schedule,
eyes, mouth, number character of stool, umbilical cord).
 Developed skills in assisting minor
diagnostic & curative procedures like Dilatation and
Curettage, Dilatation and Evacuation, Pap's Smear etc.
4. Wards (Antenatal, Pre-op and  Gained in depth knowledge and skill in
Post-op ward) management of in antenatal, intra-natal and post-natal
period.
 Gained knowledge about management of
high risk pregnancy.
 Observed different antenatal investigations.
 Given health education to antenatal mothers according

5 Emergency Services
6. Worked in family welfare
to their need for education after assessing their
knowledge. Gained skill in assessment of the pregnant
mothers.
 Observed different antenatal investigations.
 Gained skill in HB testing, Urine testing, T.T injection.
 Observed various activities and type of care provided
by the staff and nursing personnel.
 Participated and gained ability to conduct such sessions
independently.
 Gained skills in identifying emergency
needs and providing emergency services.
 Observed different MLC cases and gained
knowledge about the procedures and protocols for MLC
cases.
 Observed procedures related to family welfare
services.
SKILLS DEVELOPED IN
CLINICAL AREA TO
IMPROVE NURSING
CARE PRACTICE AND
MANAGEMENT OF CARE

COMPETENCIES GAINED IN NURSING PRACTICE

Abilities developed in management and supervision in the clinical area

S.N ACTIVITIES ABILITIES DEVELOPED

O

1. Planned the total learning  Developed abilities to plan

experienceand shown to medical my own learning programme according
officer, and sister in charge. to the objectives.
 Gained proficiency in
making effective rotation plan according
to the time availability.
 Gained experience in taking
help from experts and supervisors to
make the posting more fruitful.

2. Discussed with medical officer  Gained knowledge about

and sister in charge about the staffing pattern, administration, policies
Maternity home administration & of the maternity home.
functioning of the maternity
Home. Gathered factual
information of Maternity Home.

3. Worked with sister in charge  Gained skill in taking

and staff nurses administrative rounds. Took rounds
with sister in charge. Gained
knowledge about organisational set up
and nursing organisation chart.
Observed many problem solving
activities done by sister in charge.
 Gained knowledge about
division of responsibilities

Read policies and protocols.

4. Worked with ward in-charges Gained knowledge and skill in:

 Preparing duty roster for

staff nurses.
  Planning patient assignment
and nursing activities in the ward.
 Management of ward
supplies and equipments.
 Maintenance of records and
reports.
 Gained experience in
preparing census.
 Saw the management of
ward supplies and equipments and ward
as a whole.
5. Worked with the Senior Staff Gained skill in following administrative
Nurse of a ward functions

Management of patient care

 Admission discharge and transfer of the
patient
 Assessment of nursing needs and
assignment of patient care.
 Ensuring safety and care of patients
supervised the diet distribution and
discussed with ward in charge regarding
the diet.
 Supervision and provision of health
education
 Meeting the needs of the patient and
providing direct care to the patient
 Making rounds and coordinating patient
care with other health team members

Management of personnel

 Supervision of staff nurse work

 Maintaining discipline and
interrelationship among staff
 Evaluation of staff and personal
counselling when required
 Maintaining ward standard protocols,
manuals
 Analysis of common pattern, team work
among the staff is done

Maintenance of safe environment

 Maintaining optimum environment for

 patient
 Supervised the ward cleanliness and to
maintain an aesthetic environment
 Learned about the waste management
and supervised the personnel

Maintenance of supplies and equipments

I learned about :
 Indenting articles and maintaining
records
 Checking of inventory
 Checking and maintaining emergency
drugs in the ward
 Check the stock of sterile and unsterile
item
 Careful storage of the items

Recording and reporting:

Gained knowledge about the:

 Various records maintained in the ward
and labour room.
 Writing daily census.

6. Health education given to the Improved communication skill and

patients and their relatives after problem solving ability.
assessing their learning need.

 Improved ability in supervision of

7. Worked in OPD in maternity nursing personnel.
section.  Learned about the physical set up of
Labour Room,
 Learned about the management of OPD
 patients and staff.

8 Visited Maternity O.P.D & Family  Learned about the management and
Welfare Unit and Learned various supervision of staff and patients in
procedure OPD& Family Welfare Unit
 Learned how to motivate the mothers
for Copper ‘T’ insertion& Lap ligation
procedure.
 Gained knowledge regarding Incentive
Policy.

9 Prepared a report on experience.  Gained skill in reporting to N.S.

 Gained experience on how to work in
co-operation with the concerned
authorities.

Learning new things at Jag Pravesh Hospital was indeed a great experience. Gained knowledge
in communication skills, management skills etc.
 JAG PRAVESH CHANDRA HOSPITAL

‘In a mission to provide free services to all the patients and to reach out to all the
communities.”
 “With the health team members of the institution….”

“A snap with the woman of perfection, Ms. Rani Bharti ( Assistant Nursing
Superitendant)…”
“Another lovely snap with the head of the nursing force..., Ms. Chandrawati (Deputy
Nursing Assistant)…”

“Got an opportunity to find out the problem area in the hospital, identified it and gave
education…”
Obstetrics and gynecology department settings…….