A.

Installation of CT Scan
 

B.

Installation of Dialysis Machine[2 sets]
 

C.

Nurses Training School
 

D.

Establishing a Cardiac Unit
 
 
With an ever increasing patient population and the myriad of ailments they are coming with, it has been felt necessary to have a C T Scan machine installed in the Sevashrama. Because quite often a C T Scan report of the patient is needed by doctor to initiate treatment, but it could not be had as the patient would have to travel over a 100 kms to have an access to this facility. Moreover, the price is too exorbitant for these poor inhabitants to go for it
 
There are other factors like geographic, demographic, economic etc.[ furnished below ] which would not warrant patient or his party to go for a C T Scan report
 
- This hospital is situated in the far Northern side of India where it is hilly, chilly and enveloped in all-round backwardness.  The entire State is mountainous with undulated planes and thus vulnerable to accidents
 
- The inhabitants are agriculture labourers and shepherds who have no access even for most basic health care.
 
- Due to the poverty the patients back-out and succumb to the diseases.
 
- A good number of tourists / pilgrims are old and easily fall sick due to cardiac, vascular and senile illnesses. Modern CT systems which, are incorporated with Cardiac and Vascular imaging packages almost instantly, facilitate diagnosis and effective treatment started, thereby saving many precious human lives and limbs.
 
 
SOMATOM Emotion Duo from Siemens [ vide their proposal no.IN-NR-JM-00254 dt.15-Oct-2004 ]. Siemens is preferred as Siemens Medical Solutions has been a leader in CT innovations for more than 30 years. They claim that the SOMATOM Emotion, so far having been installed at nearly 3000 nos. worldwide, demonstrates technology and innovation leadership, customer satisfaction and investment protection.
 
SOMATOM Emotion Duo Rs. 1,48,00,000-00
Emotion Duo Power Package Rs.     15,00,000-00
    1,63,00,000-00
     
Add 10% extra [ probable Price hike
and other Incidental charges ]  
   
T O T A L :    Rs. 1,79,00,000-00
 
This Institute has no financial backing of State / Central Governments nor from any Corporate body. It is donation from generous citizens, who though physically living at distant places, have always connected themselves to the principles and objectives of this Institute with their genuine love and a feeling of togetherness and have stood behind its long and arduous journey from a single hut to the current 150-bed multispeciality level, sharing every agony of ailing humanity and shaping every improvement in this Institute enabling us cast out their ailments.
 
We firmly believe that this time too you will join hands in affecting this one more milestone materialized to connect the nearly life-saving but highly-expensive technology to the poor masses paving the way for the benefits to pass on to their door steps
 

i)

The organization has been recognized by the Government as a non-sectarian and philanthropic institution since its inception. Therefore, we have been authorized to collect donations and provide benefit to our Indian donors under section 80G of Income Tax.
 

ii)

In recognition of Sevashrama being a Charitable Hospital, it is registered by the Government under Foreign Contribution Regulation Act [Regd. No.136690012] and so we are authorized to collect Foreign Contributions.
 

iii)

Sevashram’s accounts are regularly audited and it publishes and circulates its printed Annual Reports to keep everything transparent and open for public scrutiny. Such Annual Reports remain preserved right from 1904
 
We humbly beg your attention towards this center’s efforts not only in empathizing the needy and serving them, but in strengthening us to sustain these efforts to engineer a holistic treatment and at the same time to reach more and more needy
 
All donations may be sent by crossed instruments, drawn in favour of “Ramakrishna Mission Sevashrama, Kankhal” to:-
 
The Secretary,
Ramakrishna Mission Sevashrama,
Kankhal,
Haridwar 249408 (Uttaranchal)
Ph : [STD 01334] 244176, 246141, 244985; Fax : [STD 01334] 244984
Email : rkms@del5.vsnl.net.in or rkmhdr@sancharnet.in

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A big portion of India’s current generation, owing to changes in life style, food habits, stressful working culture in addition to a variety of other reasons is turning diabetic. Hypertension and hypo tension are also rampant. It is estimated that nearly 33 million people of India are diabetic. The irony is that 50% of them do not know that they are diabetic.
 
The number of patients seeking treatment at this Sevashram has increased by leaps and bounds.  The number is increasing by a lakh every year. As a result, the medical expenditure is galloping too.  The following graphs give a pictorial scenario of this situation
 
If you can feel for these simple and utterly poor villagers and connect just a little, many wonderful things can happen. It is because a few like you that this single hut clinic has grown into a 150 bed hospital.
 
A good size of patient population comes with renal failure. These cases require dialysis but in this remotest place there is no Dialysis Unit. And these poor brethren, not having means and resources to go to cities for treatment, silently succumb and perish. Won’t you please feel for them, come forward and lend your hand by donating whatever amount you could to establish Dialysis Unit to serve and save these lives.
 
As per the requirement study done by the Nephrologist from the department of Nephrology of All India Institute Medical Sciences [ AIIMS ], it is concluded that the following items are necessary to start the unit:-
 

 I.

  Dialysis Machines 4 Nos.
  Suction Machine 1 No.
  R.O.System(200 ltrs/hr.) 1 No.
  ACT Machine 1 No.
  Digital Weighing Machine 1 No.
  ICU Beds 4 Nos.
  B.P.Instruments 2 Nos.
  Fridge 1 No.
  Chair 4 Nos
  Table 1 No.
  Syringe Needle Destroyer 1 No.
  Cardiac Monitors with NIBP 4 Nos.
  Dialysis Instruments sets 12 Nos.
   
II. Disposable Items
I V Sets
B T Sets
Normal Saline ( 1 ltr. Pack)
5% Dextrose
Syringe 5ml, 10ml, 20ml
Injection Heaprine
Gloves
Micropore Paper Tape
Bitadin Solution
Savlon
Spirit
 
III.Disposables Required for Dialysis
  Kidney with tubing
  Femoral Catheter
  Guide Wire
  Introducer Needle
  Double Lumen Juglar Catheter, Double Lumen Subclavian Catheter
  Dialysis Fluid (acetate & Bicarbonate)
  Formalize Solution
  Citric Acid
  Sodium Hypochloride
  Hydrozen Peroxide
  A V Fistula Needle 16G
  Transducer Protector
 

Cost

Quotations have been obtained from the following companies who have been supplying to highly reputed hospitals and institutions:-
 

Company

Qty

Unit price
[ in USD ]

Total [ in USD ]

Total [ in Rs. ]

B.Braun Dialog Plus Heamodialysis Machine from PROXIMA MEDICARE With single pump, single needle Dialysis, With Acetate and Bicarbonate Dialysis etc.
 

4 nos


 

16250.00


 

65000.00


 

29,25,000.00


 

FRESENIUS 4008 Heamodialysis Machine From S.M.HEALTH CARE PRODUCTS PVT LTD with 5 slide module and additional pump, battery back up and withquite a few other features.
 

4 nos


 

5,60,000.00



 

22,40,000.00



 

10,08,00,000.00



 

GAMBRO AK-95 S Heamodialysis Machine from TRITON MEDICALSERVICES PVT LTD., with single Needle & sequential dialysis, presettable parameters etc.
 

4 nos


 

12000.00


 

48000.00


 

21,60,000.00


 

GAMBRO AK-95 S Heamodialysis Machine from TRITON MEDICAL SERVICES PVT LTD., with single
Needle & sequential dialysis, presettable Parameters, adjustable Dialysate flow, Profiling of Na+, HCO3 and UF, Blood Volume Sensor, Integrate NIBP etc.

4 nos



 

15500.00



 

62000.00



 

27,90,000.00



 

 

Won’t you please participate…

This Institute has no financial backing of State / Central Governments nor from any Corporate body. It is donation from generous citizens, who though physically living at distant places, have always connected themselves to the principles and objectives of this Institute with their genuine love and a feeling of togetherness and have stood behind its long and arduous journey from a single hut to the current 150-bed multispeciality level, sharing every agony of ailing humanity and shaping every improvement in this Institute enabling us cast out their ailments.

 

We firmly believe that this time too you will join hands in affecting this one more milestone materialized to connect the nearly life-saving but highly-expensive technology to the poor masses paving the way for the benefits to pass on to their door steps.

 

Sevashrama’s Credibility

i) The organization has been recognized by the Government as a non-sectarian and philanthropic institution since its inception. Therefore, we have been authorized to collect donations and provide benefit to our Indian donors under section 80G of Income Tax.

 

ii) In recognition of Sevashrama being a Charitable Hospital, it is registered by the Government under Foreign Contribution Regulation Act [Regd. No.136690012] and so we are authorized to collect Foreign Contributions.

 

iii) Sevashram’s accounts are regularly audited and it publishes and circulates its printed Annual Reports to keep everything transparent and open for public scrutiny. Such Annual Reports remain preserved right from 1904.

 

Conclusion

We humbly beg your attention towards this center’s efforts not only in empathizing the needy and serving them, but in strengthening us to sustain these efforts to engineer a holistic treatment and at the same time to reach more and more needy.

 
All donations may be sent by crossed instruments, drawn in favour of “Ramakrishna Mission Sevashrama, Kankhal” to:-
 
The Secretary,
Ramakrishna Mission Sevashrama,
Kankhal,
Haridwar 249408 (Uttaranchal)
 
Ph : [STD 01334] 244176, 246141, 244985; Fax : [STD 01334] 244984
Email : rkms@del5.vsnl.net.in or rkmkankhal@gmail.com
 

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C).

PROJECT REPORT OF NURSES TRAINING SCHOOL AND TRAINEES HOSTEL

 

OF RAMAKRISHNA MISSION SEVASHRAMA, HARDWAR
 
 

TITLE: Opening of Nurses’ Training School [NTS]

 

The Need

A nurse is a nodal point in the physiological map of a hospital. She is a carrier of treatment process the way a perennial river carried and carries life-sustaining support to various hubs of civilization. This noble role she plays is emblematic of the phenomenal increase in the demand for more and more Nurses in India and abroad. According to the latest data, while the country (India) needs at least 45000 such female health workers, the availability are a little over 27000.

 

The above scenario as a backdrop would aptly illustrate the plight of RKMS, situated in a small town like Haridwar which is enveloped in allround backwardness, being continuously compelled to invest man-hours in mammoth proportion to get only a marginal number of trained nurses. And then it gets into an altogether other Herculean task to retain their services for a longer time.

 
 

This bone-crushing crisis has been simmering in the back-burner for decades flaring up menacingly whenever a slightest possibility of expansion is thought of. A passing glance at the current statistics of patient population would unwind the simple truth that it is just unrealisable to manage this mass hardship without expansion.
 

 

 

 

Solution

The only panacea which would enable this Institute extricate from this exigency is – having its own Nurses Training School. Ramakrishna Mission’s other hospital centres at Vrindavan, Varanasi, Thiruvananthapuram etc. have implemented this solution to put this crisis to nought permanently.

 
Advantages
The benefits by having an NTS in this area flow beyond the four walls of this hospital. Some of them are:
 
1. It makes fertile the possibilities for poor villages girls to earn.
 
2. Every passed out poor girl [ 30 per year ] will be a self-dependent and self-sustaining individual.
 
3. She can be a vital stabilizing factor for her family’s otherwise tottering economy.
 
4. A nurse in a family brings in awareness of health and hygiene, which could curtail a number of avoidable diseases.
 
The success of China’s health programme owed greatly to the availability of not so many doctors as trained Nurses.
 
Therefore, the Sevashrama proposes to construct Nurses’ Training School as well as a Hostel for the trainees and staff, with all required facilities.
 

Project Profile-Prerequisites

 
I) Clinical Requirements

Hospital: As per the requirements stated by the Indian Nursing Council, Parent / Affiliated hospital should have 200 beds to start a School of Nursing with the following distribution:

 
Distribution of beds in different areas will have to be as under:
  i) Medical 40
  ii) Surgical 40
  iii) Obst. & Gyne 40
  iv) Paediatrics 20
  v) Ortho 20
  vi) Eye/ENT 20
  vii) ICU/ICCU 10
  viii) Burns and Plastic 10
 
Note: The present bed strength of the Sevashrama Hospital is 169. The proposed four-storeyed New Block[plan is enclosed] will have 49 beds, making the total strength to 218 beds.
 

i)Ground Floor : Ophthalmology Ward – It will have 14 beds in Male Eye Ward and 7 beds in Female Eye Ward, totaling 21 beds, with Ophthalmologic O T, Refraction rooms, Doctor and Nurses rooms etc.

 

ii)First Floor : General and Orthopedic Wards – Besides an Operation Theatre for Orthopedic cases, it will have separate Male and Female Wards of 14 beds each totaling 28 beds with Doctor room and Nurses lounge etc.

 
iii)Second and Third Floors : Nurses’ Training Centre for 100 students.
 

II) Land

A vacant land of 40,000 sq ft. is there just behind Mother and Child Unit ideally wide to construct hostel and other necessary units.

 

III) The building profile

The physical facilities are listed below:


 

a)
 

Class Rooms: There will be four class rooms, with built in Black/Green/White Board with desk/dias. There will be a big table and chair for the teacher and racks/cupboards for keeping teaching aids, besides proper sitting arrangement for the students.

 

b)

Laboratories: There will be four laboratories as under:

i) Nursing Practice Laboratory: There will be demonstrating beds at the ratio of 1 bed: 6 practicing students. Besides, there will be built-in cupboards and racks; Washbasins with running water supply; table, chairs, electric fittings. Further, there will be inventory articles, at least 10-12 sets of all items.

 

ii)Community Practice Laboratory: It will have all articles required for practicing nursing procedures in a community set-up.

 

iii)Nutrition Laboratory: It will have facilities for imparting basic knowledge about food and to practice the cooking for the healthy as well as for the sick. For this it will have work-tables, cooking stoves, gas connection, wash-basins with running water supply, cutlery, trays, plates, dietetic scales, cooking utensils and refrigerator etc.

 
iv)Computer Laboratory: It may be shared with other departments.
 

 

c)
 

Auditorium: It will be spacious enough to accommodate at least double the sanctioned/actual strength of students for hosting functions like workshops, examination etc.

 

 

d)
 

Library: To start with, a minimum of 500 books, 3 sets each of Nursing journals and magazines, 2 kinds of newspapers and other kinds of current health related literature will be made available to the students.

 
e) Office requirements:
(i) Separate Principal’s and Vice Principal’s offices (ii) rooms for faculty members, with attached toilets etc.
 
f) Common Rooms: for teaching faculty, students and office staff.
 
g) Record and Stores Rooms: for storing records and equipments and Audio- Visual aids.
 
h) Garage
 
i)
 

For Hostel: Recreation room, Visitors’ room, Kitchen and Dinning Hall, Pantry, Washing & Ironing Room, Sick Room, Room for Night Duty Nurses, Guest Room, Warden’s Room and Canteen.

 

IV)

Induction of the required Staff

Initially the annual intake of students will be 20 trainees and for that the following Teaching staff will be inducted:

 

Staff

                               Qualification

a) 1 Principal M.Sc or B.Sc. Nursing (Basic)/Post Basic, with 6 or 8 years respectively of
    teaching experience.
b) 1 Vice Principal M.Sc or B.Sc. Nursing (Basic)/Post Basic, with 4 or 6 years respectively of
teaching experience.
     
c) 1 Senior Tutor M.Sc or B.Sc. Nursing with 2 or 4 years of teaching experience.
     
d) 5 Tutors M.Sc or B.Sc. Nursing (Basic)/Post Basic or Diplomain Nursing Education and
    Administration or its equivalent after graduation.

1 Additional Tutor for Interns with a Teacher student ration being 1: 10.

 
External Lecturers:

The external lecturers may comprise of Nursing experts, Medical Faculty, General Educationists including teaching experts in English, Computer Education, Physical Education/Yoga, Psychologists, Sociologists, Hospital Dieticians, Nursing Serving personnel like Nursing Superintendents, Ward-In-charge or Ward sisters, Health Economists/Statisticians etc. working in or outside the institution.

 
Additional Staff for School of Nursing:

a)

1 Stenographer/Personal Assistant.

b) 1 Cashier/Accountant.
c) 1 Junior Clerk/typist.
d) 1 Librarian .
e) 1 Laboratory Attendant.
f) 2 Watchmen.
g) 1 Driver.
h) 3 Peons.
i) 2 Sweeper.

For Hostel: Warden (Female), Cook, Kitchen & Dining Room helper, 3 Sweepers, Gardener and Security Guards.

 

The Nurses Training Centre will be housed in the four-storeyed New Block, as mentioned above, but for the Trainees’ Hostel, a separate building has to be raised.

 

V) Total cost of Construction, Staff Salary, Equipment and Furn & Fixture:

 

A) Non-recurring expenses:

   

Amount [Rs.]

i) Cost of the land 40,000 sq ft @ Rs. 3000/sq ft 12,00,00,000
ii) New Block (with Nurses’ Training Centre)25200 sq ft 1,76,40,000
iii) Add cost of Lift for the new block 5,00,000
iv) Construction cost of Hostel with rooms for Warden (Female), Cook, Kitchen& Dining Room helper, 3 Sweepers, Gardener and Security Guards 1,25,00,000
 
     
  Adding approximately the following costs:  

i)

Cost of purchasing Equipments for the Laboratories Cost on furnishing the School, Hostel, Laboratories and Library etc.
Cost for purchasing 500 books and magazines for the Library @ Rs.50/- per book (average).

25,00,000


 

 

Overall Project Cost

15,31,40,000

 
  

B) Recurring expenses:

Staff Salary

Staff

Monthly

Yearly salary

a)

1 Principal

Rs.20,000/- 2,40,000
b) 1 Vice Principal Rs.15,000/- 1,80,000
c) 1 Senior Tutor Rs.12,000/- 1,44,000
d) 5 Tutors Rs.10,000/- 6,00,000
1 Additional Tutor for Interns with a Teacher student ration being 1: 10.

Additional Staff for School of Nursing:
a) 1 Steno/P.A 5,000/- 60,000
b) 1 Cashier/Accountant 7,000/- 84,000
c) 1 Junior Clerk/typist 2,500/- 30,000
d) 1 Librarian 5,000/- 60,000
e) 1 Laboratory Attendant 5,000/- 60,000
f) 2 Watchmen 1,200/- 28,800
g) 1 Driver 4,000/- 48,000
h) 3 Peons 1,800/- 64,800
i) 3 Sweepers 1,500/- 54,000
j) 2 Warden (Female), 5,000/- 1,20,000
k) 2 Cook 3,500/- 84,000
l) 3 Kitchen & Dining Room helpers 1,200/- 43,200
m) 3 Sweepers 1,500/- 54,000
n) 1 Gardener 2,000/- 24,000
o) 2 Security Guards 1,200/- 28,800

 

Total  :      74,55,600

 

VI) Summary of Project Cost at a glance

            One time expenses Rs. 15,31,40,000
             Recurring expenses Rs.       74,55,600 [ per annum ]
 
 

CONCLUSION

Good initiatives often end up creating new challenges. But when these are tamed, these good works yield lasting benefits to humanity. It needs two things – a) resources b) implementing mechanism. This Institute has the ability and experience to back up this ability for implementation. It is seeking your support and cooperation to provide financial resource for this project which would open a new vista of possibilities for poor village girls to earn and live in dignity.

 
 
 
 

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