Aster Prime, Hyderabad
Strategically located in Ameerpet and Kukatpally in Hyderabad, Aster Prime Hospitals is a full-fledged 250-bed multi-specialty facility that delivers international healthcare services and solutions. As a leading healthcare provider, the hospital provides patients with the latest technological innovations for diagnosis and treatment of the most acute clinical conditions. The Hospital has trained staff including nurses, full time doctors and support staff to provide round the clock personalized attention and care leading to faster recovery of patient.
PATIENT SUPPORT SERVICES
The blood bank of MIMS is a fully licensed centre for issue of Blood and blood components. The blood bank collects blood only from healthy voluntary donors. All blood groups are detected by advanced techniques which include cell grouping as well as serum grouping. Each unit of blood is screened by internationally approved methods for various communicable diseases. A donor unit is separated into 4 basic components : Packed red cells, Platelet concentrate, Fresh Frozen Plasma and Cryoprecipitate. Our blood bank is very well known in North Kerala for its stringent measures in maintaining quality and services.
Even with the tremendous strides being made in the medical and surgical fields, nosocomial infections continue to be a significant drain on human and economic resources producing human suffering and higher health-care costs. One aspect of preventing these nosocomial infections in health care facilities is the effective reprocessing and sterilization of medical devices. The provision of well controlled and validated sterilization processes will have far reaching effects.
- It will reduce preventive and presumptive antibiotic use
- Prevents Surgical Site Infection (SSI)
- Reduce the morbidity and mortality due to hospital acquired infections
- Limit the use of chemical disinfectants
- Improve the overall quality of patient care
- Reduce the higher health care cost
- Control the use of single use medical devices - a major ecological factor in the increased amount of chemical waste
Malabar Institute of Medical Sciences Ltd. has arranged CSSD according to the recommendations of HTM (Health Technical Memorandum) 2010, 2030 UK and Association of Sterile Supply Administrators, BS EN ISO 17665: 2006 ANSI/ AAMI ST 41:2008, ST 79: 2006 /A2: 2009, USA
Design of ASTER MIMS CSSD
The department is divided in to four zones as the work consists of four main processes:
- Zone I : Reception, inspection, and decontamination (removal of bio-burden)
- Zone II : Assembly and packing
- Zone III : Sterilizing
- Zone IV : Storage and distribution
Validation of sterilization
- Validation of sterilization in ASTER MIMS CSSD consists of seven sets of activities:
- Equipment installation and Planned Preventive Maintenance (PPM): Daily, Weekly, Half yearly and Yearly with revalidation.
- Daily B/D (Bowie and Dick) tests.
- Biological confirmation of sterility.
- Computerized Monitoring.
- Physical parameters documentation – Manual Monitoring.
- PCD (Process Challenge Device)
- Review of all process control IQ - Installation Qualification, OQ - Operational Qualification and
- PQ -Performance Qualification by Senior Manger, Technical.
The academic and other activities
ASTER MIMS as a part of its mission extends its service to society through:
Sterilization Technology Course
ASTER MIMSCSSD has prepared a comprehensive syllabus for Sterilization Technology Course to create a knowledgeable, capable and dedicated generation with solid scientific understanding and educational preparation.
ASTER MIMS Consultants for the Advancements of Medical Instrumentation
Specialize in design and builds central sterilization units
- Expertise in Sterilization Technology
- Gap Analysis and Recommendation
- Introduction of Processing Recommendations
- New Build or Refurbishment
- Cost Effective Solution
- Full Regulatory Compliance
What conditions can a dietitian assist you?
Our dietitians are available for consultations for general healthy eating advice. We also prescribe medical nutritional therapy to manage a range of conditions including:
- Weight loss or obesity
- Diabetes, pre-diabetes, gestational diabetes
- High cholesterol, heart conditions and high blood pressure
- Gastrointestinal disease (diverticular disease, celiac disease, ulcerative colitis, Crohn’s disease, irritable bowel syndrome)
- Surgery impacting gastrointestinal function
- Gastrointestinal symptoms such as chronic constipation, diarrhoea, vomiting and reflux
- Long term /short term tube feeding
- Cancer and related treatments
- Food allergy and intolerance
- Kidney and liver disease
- Pregnancy and breastfeeding
- Polycystic ovarian syndrome
- Childhood obesity
- Eating disorders
- Sport and fitness nutrition
- Providing internship training for Nutrition students from various colleges across the country.
- Nutritional screening for all the inpatients as a part of initial assessment within 24 hours of admission.
- Reassessment of the patient at regular intervals.
- Counseling to patients/ family on nutritional therapy.
- Education to patients/ family about diet and nutrition.
- Diet planning / distribution at relevant timings.
- Medical nutrition therapy for all inpatient.
- Formulation of dietary advice for individual patients.
- Monitoring and design of suitable feeding regimens for patients requiring nutritional support, i.e. enteral feeding
- Professional staff education.
- Inpatient and outpatient diet consultations.
- Ward rounds to have a closer contact with patients on therapeutic diet.
- Awareness programmes on nutrition among pregnant ladies, lactating mothers, rural school teachers and school
- children are done by dietitians to educate them on proper and healthy dietary practices.
Obesity Clinic was inaugurated on 14th October 2009. Obesity has a multitude of health hazards like diabetes, cardiovascular diseases, renal diseases, gout etc. Through proper dietary modification, physical activity and life style modification, obesity can be treated well. A large number of people from Kerala especially the younger generation from Malabar region are benefited greatly with the help of Obesity Clinic.
You may self refer or be referred by your doctor or another health professional. Inpatients are able to meet dietitians during their routine visit or can request a referral through their nurse.
We aim at moulding nurses who are capable of performing individual nursing assessment, create diagnoses and make independent nursing interventions.
Nurses in ASTER MIMS play a vibrant and pivotal role in the care and management of patients and family. We are proud of the high quality nursing care provided at ASTER MIMS. Being the largest group of healthcare professionals at ASTER MIMS, our nurses’ involvement is critical in representing the values and fulfilling the vision and mission of our organization. Our passionate staff of trained and dedicated nurses exhibit professionalism, team work and respect in a dynamic patient care setting, providing round-the-clock service through comprehensive nursing care for individuals of all ages, families, groups and communities required.
Our dedicated service is centered on the patient and & ‘client delight’ is our foremost priority. Emphasis of our department is on caring rather than on curing as the latter is not always possible. We believe that nursing encompasses collaborative care, complementing and co-operating with other departments for the benefit of the patient. The organization encourages a certain degree of autonomy among its nurses, expecting every nurse employed here to participate actively in patient care by planning and implementing appropriate nursing measures as and when needed.
Nursing at ASTER MIMS
Our nurses are equipped to meet emergency, save lives and are trained in American Heart Association approved BLS & ACLS courses.
Patient Care Delivery System
Patient assignment System (Case Method): A professional nurse employed at ASTER MIMS assumes full responsibility of providing complete care for a specified number of patients. She is accountable for the care of the patients in all respects during her period of care.
Practicing Infection Control activities
- Infection control activities are followed in our hospital by the following :
- Monitoring housekeeping activities
- Monitoring disinfection & sterilization practices
- Ensure availability & use of Personal Protective Equipment (PPE)
- Surveillance of Hospital Acquired Infections (HAI)
- Biomedical waste management
- Isolation Protocol
- Pre & Post exposure prophylaxis
- Practice of Standard & Universal Precautions
- Preparing & monitoring Arteriogram
- Updating policies & procedures.
- Providing infection control guidelines for engineering work
- Regular Audits of infection control practices
Promotion of Patient Safety
- ACLS / BLS trained staff to meet all patient related emergencies.
- Computer Provided Order Entry (CPOE) to prevent medication transcriptional errors.
- Round the clock nursing supervision for all departments.
- Audits to detect errors.
- Continuing nursing education & practical training workshops.
- Patient Education.
Quality Assurance in Nursing
- Nursing Audits & surveillance
- Continuing Nursing Education
- Provision for higher studies
- Programs to enhance personality development
- On-going performance appraisal
- Feedback Analysis
- Incident reports - reporting of all untoward incidents
- Preventive and corrective actions for NCRs
- Unique Emergency management system
Code Blue and Rapid Response Team (RRT).
A declaration of or a state of medical emergency and call for medical personnel and equipment to attempt to resuscitate a patient especially when in cardiac arrest or respiratory distress or failure.
A Rapid Response Team (RRT):
It is a multidisciplinary team comprising critical-care-trained personnel, available at all times. RRTs evaluate patients who develop signs or symptoms of clinical deterioration outside of the critical care unit setting, possibly anticipating and thus preventing in-hospital cardiopulmonary arrests.
Nurses in ASTER MIMS are empowered and given authority to initiate active management for sick patients in order to prevent patient complications by relocating patients to a critical care unit.
Aster MIMS has been keeping pace with the latest developments in the technology, utilizing the technological advancements for better patient service and for cost reduction. A new system of recording and retrieval for discharge summary dictation by doctors has been installed, whereby multiple doctors can dictate the summaries simultaneously. This has reduced the time consumed in releasing the patients from our hospital and also saved the precious time of the doctors, which can be utilized in caring for other patients. Aster MIMS believes that there is no upper limit for quality, charity and affection. The quality assurance’s 24- hour telephone number is displayed in all prominent places of the hospital and in rooms and wards for the patients to contact us personally to give their appreciation, suggestions, complaints or concerns. MIMS had won the first NABH accreditation among Multispeciality hospitals in India in 2006 and the first NABL accreditation among hospital laboratories in Northern Kerala in 2012 with untiring efforts by the department of Quality. Aster MIMS has secured the first place among hospitals making substantial and sustained efforts in pollution control in the years 2001, 2007, 2008, 2009, 2010, 2011, 2012, 2013,2014 and 2015 from State Pollution Control Board, Kerala. The hospital looks forward to get accredited by Joint Commission International (JCI).
Scope of the Department
- To act as the nodal office to receive verbal and written complaints from patients and relatives. To take corrective and preventive actions on the complaints.
- To receive, collate, analyze and report on Customer Feedback: The report to include satisfaction levels using an internally devised scoring system, both absolute and relative. The report will be presented to the Heads of Departments of the hospital.
- To receive and analyze all incidents which are reported. These reports will be studied in depth, root cause analyzed and reports made to Director-QAD as well as to the concerned HOD. The collated results after segregation into 4 types will be presented to the Hospital Safety Committee and also to the Heads Of Department meeting.
- To receive reports from the various other committees and to ensure compliance to established protocols: The Hospital Infection Control Committee, Drug Committee, Safety Committee, Medical Records Committee, Blood Transfusion Committee, and the Committee for critical care areas.
- To receive monthly statistics reports from the DHIM and work out and report the utilization co-efficient.
- To conduct process and outcome audit in clinical areas,
a. Mortality Audits
b. Infection rates
c. Medication errors
d. Prevention of patient falls
e. Audit on patient identity
f. Audit of diagnostic service like lab, radiology, nuclear medicine etc.
g. Surveillance audits h. Biomedical waste management
- To conduct along with the DHIM, Mortality Audits and report the outcome to doctors meeting.
- To conduct process and outcome audit in the non-clinical service areas.
a. Time delay studies
b. HAZMAT/E- waste management
c. Customer satisfaction surveys
To audit cost outcomes and make appropriate reports to management.
a. Hospital wise comparison
b. Year wise comparison
- To improve clinical Governance by establishing evidence-based clinical practice.
- Review the existing clinical protocols and devise improvement strategies with consultants.
- To ensure ethical management in place.
- To ensure compliance to all statutory and regulatory norms.
- To conduct ad-hoc and surprise audits to ensure compliance to all applicable norms.
- To discuss and suggest areas of strength and concern to the top management as well as to suggest avenues for continuous improvement.