B.P. Koirala Institute of Health Sciences - The Technical Hospital

The Technical Hospital

On July 16, 1993, HMG handed over 150 bedded Eastern Regional Hospital to BPKIHS. The Institute raised the strength of beds to 210 with added facilities like CCU, ICU and observation beds. With the new hospital complex the bed strength is further raised to 646. Meticulous planning has gone into developing the infrastructure facilities, organized in a fashion that patient flow is unidirectional and the facilities are available with maximum ease and at a short distance.

From a conceptual view, a large screening or General Out Patient Department (GOPD) has been provided which forms the initial entry point. It contains all the facilities needed as the first point of contact-general medical officers attend to the patients and take care of diagnosis and treatment, dressing and plaster service, help from health educators and social workers and readily available pharmacy. The conceptual frame work of screening or GOPD is the first of its type in this region. The cases requiring further attention are along sent to various sections of OPD, where consultants of different levels are available. Special clinics (Pain clinic, diabetics, cardiac) and pay clinics function in the afternoon. OPD services are provided from 8:00AM to 1:00PM and 2:00Pm to 5:00PM. Services of more than 1000 patients and emergency services to 150 persons are provided on an average daily. Out reach clinics are being organized in the various centers of the teaching districts.

The OPD Block is interconnected at convenient places with next block strategically so placed that the needs of indoor and outdoor patients can be effectively met. One wing of this block on ground floor accommodates department of radiology and provides imaging services containing state-of-the-art x-ray machines, Ultrasound, fluoroscopic devices, CT scan etc. and in near future MRI. Sufficient waiting spaces are provided in each division. The other wing has a most modern blood blank and transfusion centre, hospital laboratory services for biochemistry, microbiology, pathology, haematology, immunology, cytogenetics and a series of other laboratories for special investigations like Cardiognosis and neurodiagnosis. Polysomnography and life style labs along with section for electronic maintenance workshop is also provided in the same general area.

Specialized diagnostic services such as Endoscopy and sigmoidoscopy, and automatic blood gas and electrolyte analyser systems, haemodialysis, tread mill test, colour doppler echocardiography, non-invasive cardiac and nervous system investigative techniques e.g. EPS, fundus fluorescent angiography, ultrasonography, and audiometry, are all available.

On the first floor of this block are provided ICU/ICCU & VVIP critical care area, facilities for day care surgery in the left wing, and a suit of self-sufficient operation theatres for various surgeries (8 OTs very rooms, emergency laboratory, C-arm and mobile x-ray facilities, sterilization section); and a complete suite of changing rooms for doctors, nurse, technicians, students, in the right wing of the block.

Next to the OT block are the three-story interconnected two-wing blocks of indoor ward (12 wards) so constructed that nursing station has a clear view of the wards in that block. Provision has been made for intermediate critical care (central medical gas pipeline and vital sign monitoring system) in some wards on each floor and also facilities for examination and treatment in each nursing station. Each ward has about 34 beds. A set of 42 private rooms - deluxe, single, double bed, have also been provided in a separate three-story wing, and arrangement for critical care management available in two rooms in each floor.

Presently, the hospital is providing services of a general hospital which include:

• Anaesthesia,
• Anatomy (Cytogenetics),
• Biochemistry,
• Dentistry,
• Dermatology and STD,
• Emergency,
• Forensic Medicine,
• Gynaecology & Obstetrics,
• Hematology,
• Medicine,
• Microbiology,
• Pharmacology (drug monitoring),
• Ophthalmology,
• Otorhinolyaringology,
• Orthopaedics,
• Paediatrics,
• Pathology,
• Physiology (EEG, PFT),
• Psychiatry,
• Radio Diagnosis,
• Surgery,
• Tuberculosis and
• Infections and Tropical Diseases.

A compact self-sufficient Emergency section has been provided in a strategic position of the hospital complex. Due care and sufficient space with state-of-the-art equipment has been provided in the triage, examination and resuscitation. Provision for dressing, plaster, x-ray and emergency lab facilities are available. A separate set of 2-Emergency OTs with recovery fitted with ventilators and vital sign monitoring system, adequate space for doctors/nurses on duty, a 10-bed ward for critical care with bed-head panels and telemetric vital sign monitoring and ventilating system has also been provided. Sufficient space for relatives of patients and public address system and provision for disaster area has also been included. The offices of the clinical faculty are placed on the first floor so that they are readily available for emergency needs. All hospital buildings are interconnected, and in turn connected with College building.

A separate hospital under the College of Dental Surgery is functioning with 25 dental chairs. The hospital is managing OPD (Oral Diagnosis, Oral Surgery, Periodonitcs, Endodontics, Pedodontics, Prosthodontics, and Orthodontics), and Emergency services. The Dental Hospital has 10 beds for inpatients. A new college block has been planned and the work has started, funded by Government of India.

Recently Cath lab from PHILIPS (ALLURA FC)has been set up for Coronary catheterization and Angiography. It has been supported by Geneva University in logistics and trainings.