Q. What is satellite pharmacy service? Give its location and advantage.

Satellite pharmacy services are the sub- pharmacies which receive their supplies from main pharmacy. In hospital, where the main sections of pharmacy such as storing, manufacturing, dispensing are separated from each other it is advisable to develop satellite pharmacies at the nursing station.

Location:  Satellite pharmacies are located on each floor or alternate floor of the hospital. This concept is being adopted in very big hospitals which have multistoried  building in a single premises.

Advantages:

1. Availability of pharmacist to the patient and nursing for counselling.
2. Pharmacist at nursing station take patient drug history and monitor patient for drug reaction
3. Drug distributed efficiently.
4. Drug distribution time can be reduced.
5. No error in  drug distribution.

Q.Discuss/ write note on Health delivery system in India.
Ans. Health subject is mention in Concurrent list of constitution of India. Hence in the central government there is “Union ministry of Health and Family Welfare” and in state there is “Ministry of Health” which formulates and plans the overall health schemes. The following chart explains the organization of health delivery system:Oraganisation at Central Government Level
                       Cabinet Rank Minister
                                    |

   Union Ministry of Health & Family Welfare

Minister of State                              Minister of State

Of Health                                             of family Welfare

       |                                                                       |

Secretary                                                      Secretary

      |                                                                        |

Joint secretary                                       Commissioner

       |                                                                       |

Deputy Secretary                             Deputy Commissioners

        |                                                                      |

Director General                                  Joint Secretary

       |                                                                       |

Of Health Services(DGHS)                Deputy secretary

       |                                                                       |

Additional DGHS                               Regional Directors

                |

Dy Director of                                    Dy Director of                                    Dy Director of

Health services:                                                Health Services:                                                Health Services:

Medical care & Hospitals               Public Health                                      General Administration

1.Health Admn for                           1.Public Health & Cholera             1.Central Administration: Civil Services

  (a) International Health               2. Health Education                         2. Supplies

  (b) Medical Care in Hospital       3. National Malaria                          3. Transport

  Eradication Programme              

2. Medical & Professional             4. National Institute of                   4.Workshops

   Education                                         Communicable Diseases

 Organisation of Health at State Government Level:

                                                                Health Minister

                                                                Ministry of Health

                                                                                |

                                                            Deputy Minister

                                                                                |

                                                                Health Secretariat

                                                                Health secretary Incharge

                                                                                |

                                                                Deputy Secretary

                                                                                |

                                                                Director of Health Services

                                                                              |

      Deputy Director Health Services

                                                                                |

ADHS            ADHS      ADHS           ADHS          ADHS                ADHS        ADHS          ADHS

Medical         Nursing      MCH          Family        Nutrition           School          PHC            Health

Education                                             Welfare                                   Health                         Education

At district level Chief Medical Officer is responsible for all government hospitals in district. The following chart explains organization at various levels:

       City                                         Towns                            District                     District

Admn by Corporation      Admn by Municipality         Medical Officer          Health Officer

        |                                                      |                               |                                         |

  Mayor                                      Chairperson           Asst.  District MO Primary Health Center               

      |                                                        |                                |                          (Incharge MO)

Health Officer                        Health Officer                Medical Officer            Medical Officer

Primary health center cater to health needs of the rural areas.

Students must Watch

Q. Give importance of Nursing services and Medical Record Services in hospital.
Ans. Importance of Nursing services:
1.nursing service comprises the largest vital component of total health organisation. nurses are primary providers of patient care.
2. Nursing services constitutes more than half number of total employees in the hospital. It serves as the focal point of coordination required amongst different departments.
3. Nursing service encompass health promotion care and prevention of diseases, rehabilitation, teaching, counseling and support.
4. Nurses respect individuality, dignity and rights of every person, regardless of race, colour and socio-economic status.
     Thus nursing is a work of both the heart and soul and nursing services are the "backbone" of hospitals.
Importance of Medical record Services:
1.Medical record helps doctors as well as patients to get informed of the problems and plan & procedures adopted in course of conducting treatment.
2.Medical record acts as a means of providing necessary data in connection with the health of people, impact of specific disease at specific places to health sectors.
3.On the basis of good management of medical record, one can easily obtain the ways of rendering service, diagnosis pattern, way of treatment in the hospital.
4.Medical record plays a pivotal role in organisation which are specially involved in research work as well as imparting health education to the people.
5.The government can utilise medical records in the direction of making short as well as long term health strategies.
     Thus, systematic medical record plays a vital role in delivering proper health services to the people.

.Q. Write purpose, principles and contents of medical record.
Ans- 1) Purpose-
 To serve as a basis for planning & for continuity of patients care.
 It assists in protecting legal interest of the patient hospital & physician.
 It helps for communication among the physician & any professional contributing to the
patients care.
 It acts as a evidence for the patients illness & treatment during each hospital stay.
 It provides data for use in research and education.
 It serves as a basis for review study of the patient & evaluation of health care given to the
patient.
2) Principle-
 It must be accurately prepared.
 It must be properly stored & readily available.
 It must be easily accessible.
3) Contents- It must contain all important clinical information which should give immediate
knowledge to another physician who takes care of patient at any time in emergency complete
medical record is one which contain personal family history,history of patients present illness
The physical examination,clinical laboratory data,X-ray and other examinations,medical and
surgical treatment,pathological findings of patient progress notes,final diagnosis,condition on
discharge,regular follow up of the patient.If the death of patient has occur the medical record
also contains autopsy findings.