Annual Health Bulletin 2013

LADY RIDGEWAY HOSPITAL

FOR CHILDREN

ANNUAL HEALTH BULLETIN

2013

ANNUAL HEALTH BULLETIN 2013

L a d y R i d g e w a y H o s p i t a l f o r C h i l d r e n

Page 1

Message from the Director

The Lady Ridgeway Hospital being the premier children’s hospital in Sri Lanka providing free health care services to

needy children of the nation serves as the national referral center for pediatric care in the country.

It also serves as the local pediatric hospital for population in and around Colombo city for minor ailments. As this

hospital acts as a premier teaching children’s hospital under the Ministry of Health, it is responsible for

undergraduate and most of the postgraduate medical and surgical paediatric training provided by all units of the

hospital affiliated to the faculty of Medicine, University of Colombo and postgraduate institute of Medicine.

This Annual Health Bulletin testifies the quantity and quality of services rendered by LRH during the past year. It

carries lot of information to policy makers and health planners for future development of health service in the field

of child health in the country.

Reliable statistics provide true basis for future planning. Students who are interested of doing studies, research and

any publication can utilize annual statistics of Lady Ridgeway Hospital.

The staff of LRH handles huge loads of work, we have to look forward to reorganize and facilitate this service

provision to the public by going through this health information.

To provide quality and productive services we have to introduce more sub specialties of general paediatric practice

in order to achieve our goal of reaching the best health care center for children in South Asia by 2020.

Most of the statistics are not second to any other paediatric facility in the world. It is our duty to look forward the

yearly services for the satisfaction of the customer.

I take this opportunity to thank who took initiatives to make this publication a reality.

Dr. A.L.A LINTON PADMASIRI

(MBBS,DCH,MSc,MCMA)

Director

Lady Ridgeway Hospital for Children (Teaching)

Colombo 08



Page 2

The Lady Ridgeway Hospital (LRH) is the largest public free of charge pediatric Hospital in the world. It serves as the National referral

center for pediatric care for Sri Lanka . It also serves as local hospital for the population in and around Colombo city for minor ailments.

The hospital has approximately over 900 beds and it treats children below 12 years of age from all over the country. It has all supportive

services required to provide quality patient care.

The total number of staff is over 2000 staff members. The medical staff consists of nearly 55 consultants and nearly 300 medical officers.

They are organized as medical teams headed by permanent senior consultants who have international experience in that particular specialty.

Nursing staff consists of nearly 700 nursing officers and are organized as teams in line the organization of Doctors.

Our Vision

To make LRH the Best Health Care Centre for Children in the South Asia within this decade.

Our Mission

Provision of consumer oriented comprehensive, best quality healthcare for children in Sri Lanka at all times through a

motivated, efficient and trained team of health care staff to the maximum satisfaction of all health care seekers and to train

undergraduates, post graduates and other health personnel in child care effectively.



Page 3

History of the Lady Ridgeway Hospital

The Lady Havelock Hospital 1910

During the period 1890-1895 when Sir Arthur Havelock was Governor of Ceylon, one of this greatest achievements was

marking available many advances and new awareness in medical science to the island’s inhabitants. Until the 19th Century,

children were treated as miniature adults before pediatrics emerged as a specialty. So one chief medical institution for which

this Governor was officially responsible, although his wife proved the impetus, was a Children’s Hospital

17th January 1895 the Governor laid the foundation stone of what was to be called the Lady Havelock Hospital for

Women and Children. It took over a year to build , by which time sir Arthur Havelock had been succeeded as Governor by Sir

Joseph West Ridgeway, and so it was Lady Ridgeway who ceremonially opened the hospital on 12th October1896.

26th February 1910 Sir Henry Edward McCallum, the Governor of Ceylon Laid the foundation stone for Construction of a

separate block for children. The building was erected with public subscriptions an the former first , Lady Ridgeway had been

energetic in fund raising for this project.

27th September 1910 Ceremonial opening of the new section, the Lady Ridgeway block for the Children.1937 The qualified

pediatrician for the hospital Dr. L.O Abeyrathne was appointed as the Physician and the medical Officer in Charge of the

Hospital.

1950 -After independence in 1948 the Ministry of Health adopted plans to progressively reconstruct the LRH. The first wing

of the new hospital containing new ward was opened in 1950.



Page 4

Lady Lina Ridgeway The Lady Havelock Hospital ceremonially opened by Lady Lina Ridgeway



Page 5

Directions of the Hospital

Lady Ridgeway Hospital is situated near Borella town in Colombo District, Sri Lanka. There are two main entrances to the

hospital via Maradana road & Baseline road.

Entrance to the Accident Service, Orthopaedic clinic, Surgical clinic wards and administrative office is convenient through the

Maradana road entrance of the hospital.

Entrance to the Out Patient Department, Emergency Treatment unit, medical wards and most other clinics is convenient

through the Baseline Road entrance of the hospital.

Only authorized vehicles are allowed to enter the hospital expect for ambulances and vehicles caring critically ill children.

Visitors to the inward patients need to produce valid pass given on admission and are allowed only during visiting hours.

Address- Lady Ridgeway Hospital For Children

Dr. Denister De Silva Mawatha

Colombo 08, Sri Lanka



Page 6

Head of the Organization

Hospital Director

Dr. A.L.A LINTON PADMASIRI

Telephone no 0112691521

[email protected]

General Information

Telephones : 0112693711, 0112693712

Fax No : 0112686859

Email : [email protected]

Website: www.ladyridgewayhospital.lk

Services offered

Accident and animal bite casualty care for children

Out patients medical and surgical care for children

General medical care for children

General surgical care for children

Heart (cardiology) care for children

Eye (Opthalmolgy) care for children

Ear, Nose, and Throat (ENT) care for children

Skin(Dermatology) care for children

Neurology care for children

Kidney (Nephrology ) care for children

Orthopaedic care for children

Child Guidance /Psychiatric care for children

Rheumatological care for children

Cardiothoracic surgical care for children

Plastic surgical care for children

Cancer (Oncological) care for children

Dental & Orthodontic care for children

Child immunization services

Occupational therapy service for children

Physiotherapy service for children

Language and speech therapy service for children

Dialysis unit

Endocrine Unit

Laboratory services

mailto:[email protected]

mailto:[email protected]

http://www.ladyridgewayhospital.lk/



Page 7

Hospital staff

Category of Personnel Male Female

1 Medical Officers Administrative Grade (Senior and Deputy) 01 Specialists (curative care) 26 26

Grade Medical Officers 123 192

Medical Officers (Blood Bank) 01 06

Intern Medical Officers 15 22

PGIM Trainees 105

Post Intern MOO 10 20

2 Dental Surgeons

Consultant Dental Surgeons 01

Dental Surgeons 01 09

3 Registered Medical Officers 03

4 Nurses

Matrons 05

Ward Sisters 28

Nursing Officers 687

5. Deputy Director (Finance) 01

6 Administrative Officer 01

7. Medical Records Officers 03

8 Pharmacists 10 19

9 Special grade MLTT

Medical Laboratory Technologists

11

01

20

10 Radiographers 12 01

11 Physiotherapists 03 10

12 Speech Therapists 04

13 Occupational Therapists 03 05

14 Dental Technicians 03

15 Ophthalmic Technicians 01 01

16 Public Health Inspectors 02

17 ECG Recordists 01 03

18 EEG Recordists 04

19 Dispensers 02 10

20 Audiology Technicians 01

21 Orthopaedic Technicians 01

22 Boiler 01

23 Surgical Appliances Maker 04

24 Development Assistant 02 03

25 ICT Technician 02

26 House Warden 04

27 Perfutinist 06 01

28 Public Management Assistant 04 18

29 Physicist 01

30 Ward Clerk 01

31 Librarian 01

32 Lift Operator 12

33 Lab Orderly 04 06



Page 8

Category of Personnel Male Female

Health Drivers 10

Cooks 17

KKS 01 03

Limb Maker 01

Prosthetist & Orthotist 02

Telephone Operator 03 01

Shoe Maker 01

Plumber 01

Welder 01

Hospital Overseer 02 01

Saukya Karyaya Sahayake 456

Saukya Karyaya Sahayake(Subtitute) 119

Diet Stewardess 05

Seamstress 04

Distribution of Specialists

Specialty Number of Consultants

Male Female Cardiologists 02

Cardiothoracic Surgeons 03

Neurologists 01 01

Dermatologists 02

Rheumatologists 01

Psychiatrists 02

Pediatricians 03 06

Pediatric Surgeons 04 01

ENT Surgeons 02

Eye Surgeons 01

Orthopedic Surgeons 01

Plastic Surgeons

Anesthesiologists 03 03

Histo- Pathologists/ Chemical

Pathologists

02

Hematologists 01

Bacteriologists/Microbiologists 01

Radiologists 01 02

Pediatric Critical Care 01

Resident Pediatrician 04 01

Orthodontists 01

Endocrinologists 01

Nephrologists 01



Page 9

List of Consultants in LRH

Name Designation Ward/Unit

Prof. M. Senanayake consultant Pediatrician 01

Prof Shyma De Silva consultant Pediatrician 01

Prof Pujitha Wickrmasinghe consultant Pediatrician 01

Dr. Jithangi Wanigasinghe consultant Neurologist 01

Dr. Ruwangi Dissanayake consultant Pediatrician 01

Dr. Samanmalee Sumanasena consultant Pediatrician 01

Dr. U.S. S. Waidyanatha consultant Pediatrician 02

Dr. Devan Mendis consultant Pediatrician 03

Dr. M.B.A.L.P Wijesooriya consultant Pediatrician 04

Dr. R. C. Ediriweera consultant Pediatrician 08

Dr. .P.M.G. Punchihewa consultant Pediatrician 09

Dr. W.D.J De Silva consultant Pediatrician VP-OPD

Dr. Srilal De Silva consultant Pediatrician MICU

Dr. R.M.M.N.C Kithulwatta Paediatric Critical care MICU

Dr. Y. Ramya De Silva consultant Pediatrician SCBU

Prof. Ranjan Dias consultant Pediatric Surgeon 5

Dr.Malik Samrasinghe consultant Pediatric Surgeon 05

Dr. Chandima Suriyaarachchi consultant Pediatric Surgeon 07

Dr. B.A.D Jayawardena consultant Pediatric Surgeon 10

Dr. A.K .Lamahewage consultant Pediatric Surgeon 11

Dr. (Mrs) U.A.R Ranawake consultant Pediatric Surgeon VS-OPD

Dr. A.D.K.S.N. Yasawardena Consultant ENT Surgeon 12

Dr. K.D.R.A Kirihena Consultant ENT Surgeon 12

Dr. Romesh Gunasekara Consultant Plastic Surgeon 14

Dr. Kanchana Singappuli Consultant Cardiothoracic Surgeon 20

Dr. Y.K.M. Lahie Consultant Cardiothoracic Surgeon 20

Dr. M. Munasinghe Consultant Cardiothoracic Surgeon 20

Dr. Sunil Wijesinghe Consultant Orthopaedic Surgeon 14

Dr. (Mrs) Irugalbandara Consultant Eye Surgeon 22

Dr. (Mrs)S.H.M De Silva Consultant Rheumatologist 06

Dr.(Mrs) N.A.V.C.T De Silva Consultant Anaesthetist Operating Theatre(SICU)

Dr.(Mrs) L Samraweera Consultant Anaesthetist Operating Theatre(SICU

Dr. Ashoka Gunarathna Consultant Anaesthetist Operating Theatre(SICU

Dr.(Mrs) Anoma Perera Consultant Anaesthetist Cardiothoracic Unit

Dr. D. Jayawickrama Consultant Anaesthetist Cardiothoracic Unit

Dr.E.M.J. Premarathna Consultant Anaesthetist Cardiothoracic Unit

Dr. Jerad Fernando Consultant Radiologist Radiology Department

Dr. Kishani Pathirane Consultant Radiologist Radiology Department

Dr. R.A.N.K.K Samrasinghe Consultant Radiologist Radiology Department

Dr. (Mrs)C.S. Perera Consultant Histopathologist Laboratory

Dr. (Mrs) M.M. Jayathilake Consultant Hematologist Laboratory

Dr. (Mrs) Iresha Jasinghe Consultant Chemical Pathologist Laboratory

Dr.(Mrs) Kumudu Karunarathne Consultant Kumudu Karunarathne Laboratory

Dr. S.N. Perera Consultant Cardiologist 15

Dr.Duminda Samrasinghe Consultant Cardiologist 15

Prof. J.K.K sennavirathne Consultant Dermatologist 19A

Dr. Janaka Akarawita Consultant Dermatologist 19A

Dr.(Mrs) S. Wijethunga Consultant Psychiatrist Psychiatrist (clinic)

Prof. Hemamali Perera Consultant Psychiatrist 19B

Dr. A.S. Basnayake Consultant Orthodontist Orthodontic unit

Dr. (Mrs) P. Rathnayake Consultant Neurologist Neurology Clinic

Dr. P.S.M.A.B Padeniya Consultant Neurologist Neurology Clinic

Dr.(Mrs) W.D.V.N Gunasekara Consultant Nephrologist Nephrology Unit

Dr. (Mrs0 C.P Pethiyagoda Consultant Paediatrician RP

Dr. Harris Pathirage Consultant Paediatrician RP

Dr. U.S. Hettiarachchi Consultant Paediatrician RP

Dr. Anura Jayawardena Consultant Paediatrician RP

Dr. Merna Cabral Consultant Paediatrician RP

Dr (Mrs) Navoda Attapattu Consultant Endocrinologist Endocrinology Clinic



Page 10

1 Out Patients Service

1.1 Out Patient care

The Out patients Department (OPD ) and the Accident services department of this hospital is open for 24 hours a day

for 365 days. Out patients clinics conducted by the relevant consultants of inpatient units and visiting consultants of the

OPD maintain a continuous link with patients discharged from their units. There is also an emergency treatment unit,

diarrhea unit and immunization clinic which operate in the OPD to improve the quality of care.

* Here each patient gets multi services according to the need.

Table 1.1 Performance of out Patients Department 2013

No of Patients

No of First Visits 391879 No of Subsequent Visits 32078 No of Emergency Patients (Ward Admissions) 87271 Emergency Treatment Unit 34695 OPD Visits (Accident Service) 39906 Diarrhoea treatment unit 25340 Observation unit 8070 No of patients treated for injuries in the dressing room 7841 Rheumatic clinic 995 Lactation Management unit 2335 Nutrition clinic 2244 Non Communicable diseases 1493 Total No of Patients Encounters 634147

No of Specimen taken 47293

Mantaux test 561

Table 1.2

Ward Admissions No of Patients

Emergency Treatment Unit 7856

Diarrhoea Treatment Unit 144

Dengue Observation Unit 2434

Table 1.3

Table 1.4 OPD Deaths

No of Deaths Death on admission 24

After admission 08



Page 11

2 Out Patients Services- 2013

Lactation Management center

Referred from wards

referred from OPD Direct 1st visits 2nd visits Total Cleft palate & Lip

893 491 94 1478 857 2335 207

Table 2.1

Nutrition Clinic

1st visits Sub visits Over 5 years

Total Nutritional Stages Refered to MOH

Stunted

Wasted Stunted & Wasted

1SD 2SD 3SD Median 782 1336 126 2244 310 578 979 38 24 06 72 59

Table 2.3

Non Communicable Diseases Control unit

Diabetic Patients Obesity Patients Total Councelled adult Patient

Community Programme

Inservice Programms

Newly Diagnosed

Sub visits

Total Newly Diagnosed

Sub visits

Total

61 523 586 574 333 907 1493 41 38 01 Table 2.4



Page 12

3 Accident Service Department

Accident service department at Lady Ridgeway Hospital provide emergency casualty care to children 24 hours a day, 365 days year.

The department provides immediate attention to critical and life threatening casualties as well as minor urgent-care casualties

following accidents and animal bites. There is separate 24 hour dispensary for accident service patients.

Performance of Accident service 2013

No of Patients

Fall 15903

Trauma 7361

Animal Bite 4351

Foreign body 2123

Road Traffic Accident(RTA) 1095

Emergency Treatment unit 66

Cut injury 861

Burns 589

Prick Injury 521

Bicycle Spoke Injury 228

Assault 447

Deaths 01

Crush injury 409

Child abuse 08

Electrocution 27

Others 15

Staff 5901

Total 39906

Table 3.1 OPD attendance of Accident service



Page 13

4 Immunization

Immunization is the process whereby a person is made immune or resistant to infectious diseases, typically by the administration of a

vaccine. Vaccines stimulate the body’s own immune system to protect the person against subsequent infection or diseases.

Child Immunization Schedule

Age Vaccine Remarks

0-4 weeks BCG

Before leaving the hospital, preferably within 24h of birth. (If a scar is not present 2nd dose could be offered after 6 months upto 5 years).

2 months Penta (D,T,P,HepB,Hib), OPV (1st dose)

On completion of 2, 4 & 6 months. (For a defalter or for an un-immunized child, minimum 6 - 8 weeks gap between doses is adequate).

4 months Penta (D,T,P,HepB,Hib), OPV (2nd dose)

6 months Penta (D,T,P,HepB,Hib), OPV (3rd dose)

9 months JE On completion of 9 months.

12 months MMR (1st dose) On completion of 12 months.

18 months DTP, OPV (4th dose) On completion of 18 months.

3 years MMR (2nd dose) On completion of 3 years.

5 years DT, OPV (5th dose) On completion of 5 years.

12 years aTD On completion of 12 years.

Table 4.1 Schedule for Immunization

LRH Immunization clinic days:

Monday Tueseday Wednesday Thursday Friday Saturday Place / Time

BCG Yes - - - - -

Room No. 7 8.00am - 12.00noon

Pentavalent / DPT / DT / OPV

- Yes Yes Yes - Yes

JE Yes - - - Yes -

MMR - Yes Yes - - -

ATD Yes Yes Yes Yes Yes Yes

Table 4.2 Time table of Immunization



Page 14

Immunization services

Age below 12 years

Referral letter from a medical officer or as referred by the medical officer at OPD

Table 4.3 Performance of Immunization 2013

Type of Immunization (Vaccine) No of Patients

Polio 1st dose

2nd dose 3rd dose 4th dose Booster 5th dose Total

472 374 418 556 769 2589

DT 1st dose 3rd dose 4th dose Booster Total

01 01 06 774 782

Tetanus Toxoid 51 Hepatitis (B) 1st dose

2nd dose 3rd dose Extra Hep B Total

02 07 04 3 16

Vitamin A 6 months 9 months 1.5 years 3 years 5 years Total

168 205 415 397 525 1710

Japanese Encephalitis 1750 Pentavalent 2 months 1st dose

4 months 2nd dose 6 months 3rd dose 4th dose Total

473 371 399 590 1833

ARS (ERIG) 99

ARV 6636

ARS (HRIG) 263

Measles Rubella Mums(MMR) 1234

BCG 242

ADT 917



Page 15

CLINIC CHART

Specialty Name of the consultant Ward no Clinic days/Time Place/Room no

Paediatric- Medical Prof.M.Senanayake Dr.Shamya de Silva Dr.Pujitha Wickramasinghe

Ward - 01 Thursday 2pm-4pm (Renal) Saturday 8am –12noon

26 26

Paediatric -Medical Dr.U.S.de.S.Waidyanatha Ward 02 Monday 2pm-4pm

Thursday 8am –12 noon

Friday 2pm-4pm (Asthma)

26

26

28

Paediatric -Medical Dr. Devan Mendis Ward 03 Monday 8am-12noon

Thursday 2pm-4pm

Wednesday 8am-12noon (Renal Clinic)

26

28

35

Paediatric- Medical Dr.M.B.A.L.P.Wijesuriya Ward 04 Tuesday 2pm-4pm

Friday 8am-12noon

28

26

Paediatric- Medical Dr.R.C.Ediriweera Ward 08 Tuesday 2pm-4pm

Wednesday 8am-12noon

26

26

Paediatric Medical Dr.P.M.G.Punchihewa Ward 09 Monday 2pm-4pm

Tuesday 8am-12noon

Friday 2pm-4pm

28

26

26

Paediatric Surgical Dr.Ranjan Dias

Dr.Malik Samarasinghe

Ward 05

Ward 05

Tuesday 8am-12noon

Wednesday 8am-12noon

28

28

Paediatric Surgical Dr.Chandima Suriyaarachchi Ward 07 Monday 8am-12noon

Saturday 8am-12noon

28

28

Paediatric Surgical Dr.B.A.D.Jayawardene Ward 10 Tuesday 8am-12noon

Friday 8am-12noon

28

28

Paediatric Surgical Dr.A.K.Lamahewage Ward 11 Thursday 8am-12noon

Saturday 8am-12noon

28

28

ENT Dr.A.D.K.S.N.Yasawardene

Dr.K.D.R.A.Kirihena

Ward 12 Monday, Wednesday, Saturday

8am-12noon

Tuesday ,Thursday, Friday 8am-

12noon

31

Plastic surgery Dr.Romesh Gunasekare Ward 14 Thursday 8am-12noon 35

Surgical OPD Dr.U.A.R.S.Ranawaka VS – OPD Monday to Thursday

8am-12noon

30

Cardio Thoracic

Dr.Lahee

Dr.M.Munasinghe

Dr.Kanchana Singappuli

WD – 20

Thursday 2pm-4pm

Tuesday 2pm-4pm

Acc.

Service.

Orthopaedic Dr.S.wijesingha Orthopaedic

Unit

Monday 7.30am-1.30pm

Tuesday 7.30am-12noon

(Club foot Clinic)

Wednesday 7.30a m1.30pm

Accident. Service

Opthalmology Dr.D.Irugalbandara Ophthalmology

Unit

Monday to Saturday 8am12noon

Friday 8am-4pm

23

Rheumatology Dr.Monika de Silva Ward – 06 Monday to Saturday 8am-12noon Wd-6



Page 16

Cardiology

Dr.Shehan Perera

Dr.Duminda Samarasinghe

Ward 15

Monday to Friday

8am-4pm

Saturday 8am-12noon

62

Dermatology Prof.J.K.K.Senavirathne

Dr. Janaka Akarawita

Ward 19A

(Skin Unit)

Monday, Wednesday, Friday Tuesday,

Thursday, Saturday 8am-12noon

33

Child Guidance Clinic Dr.S.Wijethunga Room No.22 Monday & Friday

8am- 12noon

Tuesday & Wednesday

8am-12noon

22

Psychiatric Prof.Hemamali Perera Psychiatric

(Clinic)

Tuesday -1.00pm-4.oopm

Saturday -7am-1pm

22

Orthodontic Dr.A.S.Basnayake Orthodontic

Unit

Monday to Saturday

8am-4pm

Wd 16

Neurology Dr.P.Rathnayake

Dr.Anurudda Padeniya

Neurology

Clinic

Monday 2pm-4pm

Wednesday 2pm-4pm

Room 32

Nephrology Dr.W.D.V.N.Gunasekare Nephrology Monday 8am-12noon

Thursday 2pm-4pm

Room 29

Haemophiliya Clinic Wednesday 8am-3pm

Saturday 8am-12noon

New Wing 2nd Floor

VP-OPD

Dr.Disna de Silva

OPD

Monday to Friday 7am-4pm

Saturday 7am-1pm

07

VS-OPD Dr.U.A.R.S.Ranawaka Monday to Thursday 8am-12noon 30

Obesity Clinic Dr.P.Wickramasinghe Wd 01 Thursday 8am-12noon 22

Endocrinology Clinic Dr.Shamya De Silva Wd 01 Monday 2pm-4pm

(3rd & 4th )

22

Child Development Clinic Thursday 8am-12noon WD 01

Cancer Clinic Dr.Damayanthi Pieris

Dr.Lakshman Obeysekare

Dr.Prasad Abeysinghe

Dr.T.Skandaraja

Friday 8am-12noon

Monday 2pm – 4pm

30

30

MDCC Wd 14 2nd – 4th Friday 8am-12noon 35

FUC Wd 14 1st & 3rd Friday 8am-12noon 35

Burns Clinic Burns Unit Tuesday 8am-12noon 35

PBU Clinic PBU Wednesday 2pm-4pm 26

Dental Clinic OPD Monday to Friday 8am-4pm

Saturday 8am-12noon

34

34

Endocrinology clinic Dr. Navoda Atapattu OPD Monday to Friday 8am - 12 noon 36



Page 17

Table 5 Clinics by specialty 2013

Wards No of clinics

No of 1st visits

No of Sub visits

Total visits Average per clinics

Medical 01 48 1428 2095 3523 73.4

02 95 2849 3387 6236 65.6

03 96 2252 4055 6307 65.7

04 98 2144 4312 6456 65.9

08 96 2743 3674 6417 66.8

09 97 2823 5097 7920 81.6

VP /OPD 291 4720 7201 11921 41.0

RP/OPD 290 4644 542 5186 17.9

Total Medical 1111 23603 30363 53966 48.6

Surgical 05 74 961 4706 5667 76.6

07 69 720 3752 4472 64.8

10 72 1147 3914 5061 70.3

11 73 1250 5131 6381 87.4

VS/OPD 203 4596 6286 10882 53.6

Total Surgical 491 8674 23789 32463 66.1

ENT- Dr Yasawardena 12 144 4664 7743 12407 86.2

ENT- Dr. Kirihena 12 147 4514 5477 9991 68.0

Total ENT 291 9178 13220 22398 77.0

Skin 291 17642 11412 29054 99.8

Cardiology 280 9266 16164 25430 90.8

Rheumatology & Rehabilitation 292 4333 8232 12565 43.0

Neonatal Care unit 47 30 46 76 1.6

Dental 291 13398 3808 17206 59.1

Orthodontic 290 2033 24278 26311 90.7

Orthopaedic 97 5659 5759 11418 117.7

Multidisciplinary CLAP (MCC) 46 236 846 1082 23.5

Child Guidance A 95 1296 2380 3676 38.7

B 194 2839 7751 10590 54.6

Total Child Guidance 289 4135 10131 14266 49.4

Speech & Language 244 2360 4735 7095 29.1

Child Development 50 92 162 254 5.1

Renal Ward 01 Renal Ward 03

48 49

422 125

761 909

1183 1034

24.6 21.1

Total Renal 97 547 1670 2217 22.9

Burns 51 306 667 973 19.1

Eye 291 8861 10492 19353 66.5

Asthma Ward 02 Asthma Ward 09

45 45

104 39

1076 333

1180 372

26.2 8.3

Total Asthma

Plastic Surgery 50 599 1274 1873 37.5

Neurology - Dr. Piyara Rathnayake - Dr. Padeniya - Dr.Githangi Wanigasinghe

166 125 48

876 709 155

5393 2936 2442

6269 3645 2597

37.8 29.2 54.1

Total Neurology 339 1740 10771 12511 36.9



Page 18

Wards No of clinics

No of 1st visits

No of Sub visits

Total visits

Average per clinics

Nephrology 276 500 4567 5067 18.4

Oncology 63 83 55 138 2.2

Headache 48 570 1295 1865 38.9

Intervention 44 220 420 640 14.5

Obesity 51 268 398 666 13.1

Endocrinology- Dr. Shyma De Silva Dr. Navoda Attapattu

20 123

166 303

1022 709

1188 1012

59.4 8.2

Total Endocrine 143 469 1731 2200 15.4

Visual & Rehabilitation 32 92 97 189 5.9

Diabetic 61 61 155 21.6 3.5

Cardiothoracic- Dr. Munasinghe Cardiothoracic - Dr Singapuli Cardiothracic - Dr. Y.K.M Lahic

18 15 16

94 89 78

403 160 281

497 249 359

27.6 16.6 22.4

Total Cardiothoracic 49 261 844 1105 22.6

Ketogenic Diet 12 52 313 365 30.4

Myopathy 12 17 68 85 7.1

Total 5819 115428 189171 304599 52.3

*** Visual & Rehabilitation clinic started to function from April 2013

***Cardiothoracic Clinic data available from September 2013

*** Ketogenic Diet clinic started to function from January 2013

*** Myopathy clinic started function from January 2013



Page 19

6 Inpatients Services

The In patients section of the Lady Ridgeway Hospital is at present composed of six general pediatric medical units, four pediatric

surgical units, orthopedic unit , plastic surgery unit, cardiology unit, accident ,emergency care unit, pediatric ENT,Rheumatology &

Rehabilitation unit, Child Psychiatry unit, Eye Unit Isolation unit, Burns unit, Catheter lab, Cardiothoracic, Dialysis, Dermatology unit

and Special neonatal care unit.

In addition to these Radiology, Pathology, Hematology, Microbiology, and Histopathology departments headed by senior consultants

provide quality, assistance to both inpatients and out patients. The hospital provides in ward services to over 25000 children quarterly.

Special Units

In this Hospital there are three Intensive care units

Medical intensive care unit MICU

Surgical intensive care unit SICU

Cardio thoracic intensive care unit CTICU

We also have one high dependency Unit HDU

Table 6.1 Summary of the Inpatients Care Services 2013

No of Ward 22

No of Special Units 08

No of In patients beds 910

Total no of patients Admitted 87271

Total no of Patients Discharges (including deaths) 87197

Daily Average Admission 239

Daily Average Discharges 239

Average Daily Sick 704

Average Length of stay 2.9

Bed Occupancy Rate% 77.4

Hospital Deaths 495

Turnover Rate 96

Total Patients Days 256943

During the year 2013 Average length of stay in the hospital 2.9 dates and Bed Occupancy Rate is 77.4% both figures are in

good range when compare to the other hospital in the region.

Table 6.2 Hospital Deaths

Deaths within 24 hours of admission 60

Deaths within 48 hours of admission 26

Deaths after 48 hours of admission 409

Total hospital deaths 495



Page 20

6.3 Trends of Admissions during 2003-2013



Page 21

Discharge Analysis

Table 6.4 Paediatric -Medical 2013

Ward Beds Admission Discharges Transfer In

Transfer out Deaths Total Patents days

Average Daily Sick

Bed Occupancy Rate

Ave. Length of Stay

01 84 8568 8535 763 771 26 23553 64.5 76.8 2.5

02 74 7649 7549 679 747 12 20317 55.7 75.2 2.4

03 67 8082 7904 680 841 15 23743 65.0 97.1 2.7

04 92 7906 7731 654 810 18 20820 57.0 62.0 2.4

08 76 7624 7461 701 853 15 23318 63.9 84.1 2.8

09 72 8345 8301 747 761 24 22379 61.3 85.2 2.5

Total 465 48150 47481 4224 4783 110 134130 367.5 79.0 2.6

Table 6.5 Paediatric - Surgical 2013

Ward Beds Admission Discharges Transfer In

Transfer out Deaths Total Patents days

Average Daily Sick

Bed Occupancy Rate

Ave. Length of Stay

05 39 3533 4048 931 437 04 13597 37.3 95.5 3.0

07 40 2628 3060 719 259 07 8101 22.2 55.5 2.4

10 39 3153 3834 1103 436 01 8764 24.1 61.6 2.1

11 43 4423 4836 974 542 02 11909 32.6 75.9 2.2

Total 161 13737 15778 3727 1674 14 42371 116.1 72.1 2.4

Table 6.6 Other Special Units-2013

Type of Specialty

Ward Beds Admissions Discharges Transfer In

Transfer out

Deaths Total Patents days

Average Daily Sick

Bed Occupancy Rate

Ave. Length of Stay

Rheumatology & Rehabilitation

06 24 1088 1124 101 62 0 4533 12.4 51.7 3.8

ENT 12 38 4936 4939 221 208 0 9077 24.9 65.4 1.8 Cardiology 15 26 1708 1506 290 457 25 9449 25.9 99.6 4.8 SICU 08 0 0 651 598 50 2153 5.9 73.7 3.3 CTICU 13 0 0 396 360 34 2057 5.6 43.4 5.2 HDU 11 0 0 663 620 45 2867 7.9 71.4 4.3 Cardiothoracic 20 22 1432 1605 863 676 02 16320 44.7 203.2 7.1 Neonatal care unit

19 280 263 73 35 53 4691 12.9 67.6 13.4

MICU 11 0 0 534 374 161 3693 10.1 92.0 6.9

Accident Service 13A 25 10289 7680 03 2602 0 9449 25.9 103.6 0.9

Day care Surgery 13B 08 583 515 2 70 0 377 1.0 12.9 0.6 Plastic Surgery 14A 12 1263 1295 75 42 0 2943 8.1 67.2 2.2 Orthopaedic 14B 10 585 626 43 05 0 2181 6.0 59.8 3.5 Skin 19A 06 167 199 46 12 0 792 2.2 36.2 3.8 Psychiatry 19B 06 152 219 92 25 0 1039 2.8 47.4 4.3 Burns 20 542 668 129 02 01 3282 9.0 45.0 4.9 Isolation 21 07 40 494 512 54 0 2265 6.2 88.6 4.1

Hemophilia 01 1415 1387 0 28 0 1387 3.8 380.0 1.0 Eye 22 16 861 868 70 61 0 1849 5.1 31.7 2.0 DU 01 43 55 60 48 0 38 0.1 13.8 0.4

*** Dialysis Unit started to function from May 2013



Page 22

Other Departments and Units

1 Radiology Department

The unit consist of three Radiologists and seven Medical officers and thirteen Radiographers. They provide Services for

the out patients, clinic patients referred from other organizations.

Table 7.1 No of Radiological examinations performed 2013

Specility

No of Special exams 748

No of CT exams 3044

No of Routine exams 67087

No of total X-Ray exams 70879

No of US exams 12609

No of Nuclear Imaging exams 1962

Total exams 85450

No of Patients 85450

No of Films used 64680

Electrocardiogram -ECG

There are six Cardiographers in this unit. They provide services for OPD ,clinics and indoor Patients. This unit also provide 24

hours services for indoor patients.

Table 7.3 No of ECG examinations performed 2013

In Patients Out Patients Total

4866 1347 6213

Electroencephalogram -EEG

This unit provides services under administration of consultant Neurologist. There are four recordists.

Table 7.3 EEG examinations performed 2013

In patients Out Patients Total

1504 1511 3015

Table 7.4 Psychiatric Unit

In patients Out Patients Total

223 1496 1719



Page 23

Physiotherapy Department

Pediatric physiotherapy is very different to treating adults. Helping children remain motivated and keeping a positive attitude

towards their physiotherapy is essential to their progress. We ensure sessions are fun interesting and something to look forward

to and enjoy.

Physiotherapy is a clinical health science and profession that aims to rehabilitation and improve people with movement

disorders by using evidence based, natural such as exercise, motivation adapted equipment and education. Our Institution has

well organized physiotherapy department.

The Physiotherapy Department was established in 1960 at LRH. Now it’s well equipped with all the necessary items. About

30000 registered patients are coming continuously to get treatment from this department for the diseases of Rheumatology,

Neurology; Respiratory & Orthopaedic.There are many sections such as Gymnasium, Electrotherapy unit, Hydrotherapy unit

and out door therapeutic play area etc. This physiotherapy department is conducted by Dr. Jaliya Uduwella (Chief

Physiotherapist.

The department of Physiotherapy provides services to the patients with in the institute as well as for the reference patients.

The department of physiotherapy functions from 8.00am to 4.00pm every day except for Saturday. But Saturday also function

from 8.00am to 12.00noon.

Table 7.5 Performance of the Physiotherapy 2013

No of Patients

OPD 1st visits 2601

OPD Sub visits 8930

Wards 1st visits 2860

Wards sub visits 23454

Total 1st visits 5461

Total sub visits 32384

Total visits 37845

Total treatments units 158532



Page 24

Occupational Therapy services

The purpose of occupational therapy is to help the child achieve or maintain their maximum level of independence and to

develop practical life skills so that the child can participate to his/her full potential in the home environment. Occupational

therapy can help children overcome physical or other difficulties in order that they can function and participate in their

everyday environment.

The department of occupational therapy provides services to the patients with in the institute as well as for the reference

patients. The department of occupational therapy functions from 8.00am to 4.00pm every day except for Saturday. But

Saturday also function from 8.00am to 12.00noon.

Table 7.6 Performance of the occupational therapy 2013

No of Patients

1st visits 2374

Sub visits 13092

Total visits 15466

Total treated units 77480

Table 7.7 Orthodontic Unit

No of plate issued 1638

No of cleft lip & palate patients 176

No of fix appliance patients 3000

No of feeding plates fitted 07

Table 7.8 Nephrology Unit

Procedure Numbers

LRH Ward Referrals 3541

Renal Biopsy 56

Clean Intermittent Catheterization training 138

Bladder Wash 42

Blood Gas 185

Subcutaneous Erythropoietin 33



Page 25

Table 7.9 Department of ENT & Audiology

Audiology Test (Total) 8452

Pure Tone Audiograms (PTA) 1871

Free-Field Tests 2404

Tympanograms 3444

Oto-Acoustic Emission tests (OAE) 21

Brain-Stem Evoke Response(BSER) 522

Hearing aids issue 14

Procedeous 3465



Page 26

8 Prosthetist & Orthortist Department (P&O)

Ministry of Health, Government of Sri Lanka & Handicap International (HI) are working together to address the physical rehabilitation

needs of children with disabilities. Handicap established a Prosthetic & Orthotic (P&O) clinic in 2008 within the Lady Ridgeway Hospital

for Colombo. The Prosthetic & Orthotic clinic provides prosthetic & orthotic devices, mobility aids , adaptive devices, advice/training to

children with disability/family members, referral and follow-up services. Since the opening of the clinic in July 2009 up until June 2013,

approximately 4100 children with disabilities have been provided prosthetic & Orthotic services.

Table 8.1 Performance of the Prosthetist & Orthortist 2013

Device New Repairs

LE

Pro

sth

esi

s P&O Devices

Ankle Disarticulation 0 01

Below Knee 01 01

Knee Disarticulation 01 0

Above Knee 02 01

Orthoprosthesis 01 0

S/Total L.E Prosth 05 03

Lo

wer

Lim

b O

rth

ose

s

Ankle Foot Orthosis 190 83

Ankle Foot Orthosis Night/Alluminium) 71 10

CTEV Correction (DBNS) 99 02

CTEV Correction (SFAB) 553 110

Knee Ankle Foot Orthosis (Plastic Moulded) 28 07

Knee Ankle Foot Orthosis (without Joint) 277 100

Knee Orthosis (incl Mermaid splint) 132 19

Hip Orthosis 27 05

Pavlik haeness /Von Rosen Splint 128 11

Any other (custom made) pl.mention the item 04 01

S/total LE. Ortho 1509 348

Sp

inal

Ort

ho

ses

TLSO Conventional 04 0

Boston Brace(Moulded) 24 08

Cervical Collar Soft (Custom made) 45 0

Any other (custom made) Pl.mention the item

03 0

S/Total Spinal Ortho 76 08

U.E

Ort

ho

ses

Wrist Hand Orthosis (Custom made) 28 01

Elbow Wrist Hand Orthosis (custom made) 01 0

Total U.E Ortho 29 01

Other Assistive Devices

Ort

er

Ass

isti

ve

devi

ces

FO and shoe modification(PF) 556 0

L.S. Brace 07 04

Cervical Collar 01 0

Pelvic Binder 01 0

Any other Prefabricated items Pl. Mention 01 0

Sub Total other assistive devices 576 04



Page 27

Mobility and Adaptive device

New Repairs

Mo

bil

ity

Devi

ces

Elbow crutch 34 0

Axillary Crutch 12 0

walker 01 0

walking Stick 01 0

Posterior Walker 31 0

Wheelchair 36 04

Sub total mobility & Walking aids 115 04

Ad

ap

tive

devi

ce

Special seating 05 0

standing frame 68 0

Toilet chair/wheelchair with commade 18 0

Wheelchair modifications /special seats Sub total adaptive devices 109 0

Total WA,MA and AD 224 04 Total Delivery of year 2414 727



Page 28

9 Operations & Procedures

Table 9.1 Accident Service

Procedure Exchange Blood Extranfusion 01 Bone Marrow 121 Liver Biopsy 20 Renal Biopsy 49 Others 20 Bortex 38 Tenotomy 85 Stapler Remover 05 Total 339

9.2 Statistics of Cardiac Catheterizations done

procedure No of Patients

ASD device closure 314 PDA device closure 58 PDA coilling 85 Cardiac catheterization 399 Septostomy 31 Pericardial aspiration 14 Pulmonary valvuloplasty 31 Aortic Valvuloplasty 05 COA dilatation 26 RA Fistula Closure 02 Flouros copy 04 TOE 46 PPM Insertion 15 TPM insertion 06 Coronary angiogram 07 Aortic angiogram 24 RVOT Perforation 07 C/Cath+Baloon dilatation 08 MAPCA Coiling 02 Radiology Procedure 26 AP window device closure Attempted PDA Device Closure 02 AP window device closure 02 Coronary Fistular closure 01 Baloon dilatation of SVC obs 01 Baloon dilatation of L.P.A Stenosis 03 Attempted ASD closure 01 Attempted PDA device closure 02

C/Cath + BPV 01

ASD closure + LPA dilatation 01

Aortic Angiogram + Bronchoscopy 01

ASD device closure + BPV 01

A/P collateral device closure 01

Total 1128



Page 29

Table 9.3 Ophthalmology Unit

Procedure

Cyclo Refraction 7124

Refraction 2442

P.M.T (Post Medriatic Test) 1480

Convergence 228

R.O.P Screening 2109

Laser treatment 545

Colour Vision 14

Visual Acuity 74

Table 9.4 Operation by nature Specialty - 2013

Specialty Major Intermediate Minor Total Genito urinary

Ward No 05 171 482 152 805

07 60 255 23 338

10 104 500 73 677

11 119 732 30 881

OPD 43 253 50 346

BU 01 01

Total 497 2223 328 3048

Plastic

Ward No 05 1 20 02 23

07 05 04 09

10 01 01

11 10 02 12

BU 10 54 15 79

12 02 0 02

14 202 126 18 346

14B 04 04

OPD 01 01 02

Total 213 224 43 478

Abdominal

Ward No 05 141 98 11 250

07 79 142 04 225

10 120 78 06 204

11 188 87 03 278

OPD 02 16 0 18

Total 530 421 24 975

Orthopaedic

05 03 11 14

07 01 03 16 20

10 01 08 17 26

11 01 11 20 32

14 01 06 07

14B 118 173 149 440

Total 121 199 219 539

Head Neck & Spine

05 05 48 01 54

07 03 24 27

10 34 34

11 04 44 48

12 01 07 08

14 03 03

14B 01 01

OPD 01 09 10

Total 14 169 02 185



Page 30

Specialty Major Intermediate Minor Total

Thoracic

05 13 01 07 21

07 02 02 04

10 06 0 06

11 16 04 04 24

OPD 01 01

Total 38 05 13 56

Rectal

05 13 22 46 81

07 06 17 39 62

10 09 33 106 148

11 22 34 56 112

OPD 02 01 05 08

Total 52 107 252 411

Endoscopy

05 11 246 08 265

07 10 43 0 53

10 31 198 03 232

11 47 332 02 381

12 352 44 332 728

OPD 02 55 16 73

Total 453 918 361 1732

Specialty

ENT

12 147 112 258 517

11 01 01

Total 148 112 258 518

Traumatic

05 09 1022 1031

07 06 1003 1009

10 02 08 1056 1066

11 01 16 1080 1097

Total 03 39 4161

4203

Miscellaneous

05 04 80 782 866

07 02 50 868 920

10 02 70 745 817

11 03 112 1027 1142

12 02 67 81 150

14 41 121 162

14B 06 92 98

OPD 66 144 210

BU 06 01 07

Total 13 498 3861 4372

EYE

22 71 55 388 517

Total 71 55 388 517

Vascular

05 01 01

Total 01 01

Total 2154 4969 9910 17033



Page 31

Table 9.5 CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES 2013

Open heart Major Close heart Major

Other Major

Other Minor

Minor Procedure

Thoracic Minor Surgical Procedure

Anesthetic procedure

Total

Routine 661 221 06 01 34 48 01 972 Emergencies 05 06 01 03 05 187 257 464 Total 666 227 07 04 39 235 258 1436

Table 9.6 Minor Operations

Min

or

Op

era

tio

ns

do

ne a

t

OP

D

Surgical Clinic

Umbilical Cauterization

Others Suture Removal

Total

24 331 134 489 Skin Clinic

Skin Erxission Electric Cortrization

Scraping Skin biopsy

Skin Grafting

Skin Crayo

Others Tissue Reduction

Total

15 78 290 2418 124 36 2971



Page 32

Hospital Laboratory Services

The Laboratory services of this hospital consist of four Sections Bio-Chemistry, Hematology, Histopathology and

Microbiology. Staff Consist of Consultant Hematologist, Consultant Microbiologist Five grade Medical Officers ,31 Medical

Laboratory Technologists.

Services are provided by main laboratory from 8.00am to 4.00pm and 4.00pm to 8.00am. Night lab for Inpatients. Out

Patients and the Clinic patients are served by the OPD Lab. OPD lab performed routine hematological investigations such as

WBC/Dc, Hb , UFR, ESR and FBC.

Consultant’s Name

Biochemistry Section Dr.(Mrs) Iresha Jasinghe

Microbiology Dr.(Mrs) Kumudu Karunarathna

OPD Dr. (Mrs)Shiromi Perera

Hematology Dr.(Mrs) Mala Jayathilake

Histopathology Dr.(Mrs) Shiromi Perera

Night Lab Dr.(Mrs) Iresha Jasinghe

Table 10.1 Total Laboratory investigations performed 2013

Section No of Tests Biochemistry 364349

Microbiology 96881

OPD 253331

Hematology 312323

Histopathology 10190

Night Lab 163645

Total 1200719

Table 10.2 OPD Section

Blood Test

Blood -WBC/DC 42651

Blood Hemoglobin 42775

Blood Packed cell volume 44195

Blood platelets 44195

Blood ESR 6702

Blood picture 5910

Blood bleeding time 340

Blood Clotting time 340

Blood Malarial parasites 06

Urine full report 17500

Urine ketone bodies 106

Urine bile 188

Urine sugar 2213

Urobilinogen 164

Red Cell Indices 42692

Stool reducing substances 1038

Stool full report 2152

Reticulocytes Count 118

Total 253331



Page 33

Table 10.3 Biochemistry Section

Blood Test

Blood test

Serum Electrolytes 1. Sodium 2. Potassium 3. Chloride

32584 32584 32584

Serum total bilirubin 7832

Serum direct bilirubin 6648

Serum SGOT (AST) 30520

Serum SGPT (ALT) 31781

Serum total Protein 8015

Serum Albumin 24798

Serum total cholesterol 6223

Serum Alkaline Phosphatase 7872

Serum amylase 1250

Serum calcium 15732

Serum phosphates 5280

Serum Osmolality 481

Serum Creatinine 33933

Serum urea 37404

Serum sugar+ CSF sugar 12580

Serum magnesium 3319

Serum uric acid 1409

Plasma Amonia 157

CRP 19975

Plasma /CSF Lactase 110

Urine test

Urine calcium 913

Urine phosphate 664

Urine Creatinine 2591

Urine ketone bodies 208

Creatinine Clearance 105

Urine bile 129

Urine PH 147

Urine Cystine 83

Urine Sodium 388

Urine Potassium 388

Urine chloride 388

Urine Protein 1265

Urine osmolality 471

Urine Nitrosonapthol 103

Calcium /creatine ratio 442

Urine Mucopolysaccharides 183

Urine Haemocystine 26

Urine reducing substances 177

Protein / creatinine ratio 638

Urine Fecl3 for phenylketonuria 54

Urine uric acid 246

Urine deposits 42

Urobilinogen 31

PO4 /creatinine ratio 128

Uric acid creatinine ratio 53

Urine magnesium creatinine ratio 11

Urine magnesium 104

Urine glucose strip test 127

Urine DNPH 43

Urine porphyrin 09

Urine specific gravity 27

24hrs protein 22

24hrs phosphate 30

24hrs uric acid 12

24hrs electrolytes 05

CKMB 236

CK 256

G.G.T 255

Urine Myoglobin 01

Amino acid Chromatography 132



Page 34

Miscellaneous

sweat test 08

Water deprevation 08

stone analysis 14

Stool test

Reducing substance 44

Occult blood 69

Total 364349

Table 10.4 Bacteriology section

Blood Test

Blood culture ABST

9634 1277

CSF Culture and gram stain Full report ABST Antigen test

1236 1194 07

1205

Pus, direct smear and culture ABST

3350 2949

Throat swab/Nasal swab culture ABST

220 95

Body Fluids / Aspirates D/S & Culture ABST

114 450

Respiratory culture ABST

2876 3266

MRSA culture ABST

3780 397

Urine culture ABST Urine full report Urine Reducing Substances

15072 2835 13731 135

Stool culture ABST Stool full report Stool reducing substances

1235 99

2237 483

AFB 119

Direct Smear 24969

Infection control sample culture 277

API 2420

Dengue Antibody 1219

Dengue -Positive 703

Total 96881

Table 10.5 Haematology section

Blood Test

Hemoglobin 55699

White Blood cell/ Differential count 53968

Platelets count 54723

Packed cell volume 54473

ESR 8085

Malarial parasites 112

Blood bleeding time 1408

Blood picture 7814

Inhibitor Screening 76

Reticulocyte count 2310

Bone marrow 211

Sickle test 84

Iron stain 90

Red cell indices 55649

APTT 6605

Factor IX correction 72

Factor X correction 02

Factoe XI corrections 07

Factor IX Assay 60

Factor VII Assay 09

Factor VIII Assay 154

Factor VII correction 15



Page 35

Factor VIII correction 101

Factor VIII inhibitor levels 34

G6PD 38

Rheumatoid factor 147

Clot solubility 35

Prothrombine test 8950

Urine Spectroscopy 64

Thrombin time 1186

Urine Haemosidern 73

Ham’s test 45

Osmotic Fragility test 09

Von Willibrand Riaf Activity 13

Heinz Bodies 02

Total 312323

Table 10.6Histopathology section

Blood Test

Fine Needle aspiration cytology 511 Direct Smears/ cytology 267 Buccal smears 208 Post Mortem 08 Post Mortem slide preparation 188 Special staining 621 Surgical Biopsy slide preparation 8387 Total 10190 Table 10.7 Night Lab

Blood Test

Hemoglobin 144

APTT 6214

Platelets 303

CSF Full Report 327

CSF Sugar 887

Blood Urea 7437

Full Blood Count 34611

Blood Sugar 2814

WBC/DC 255

Serum Bilirubin - Direct 2590

Serum Bilirubin - Total 2798

Urine full Report 8263

Ketone bodies 160

Stool Full Report 297

Stool Reducing Substances 231

Bleeding time 357

Clotting time 357

Hematocrits values 34671

Prothrombin time 5046

Urine bile 100

Aspiration Fluids 37

Serum electrolytes Cl- 106

Serum electrolytes Na+K+ 16501

Urine electrolytes Cl- 96

Urine electrolytes Na+K+ 221

Serum Cholesterol 2508

Serum Albumin 6179

Serum Calcium 6228

Serum Creatinine 7035

SGOT (AST) 8356

SGOT(ALT) 85616

Total 163645



Page 36

Blood Bank

Analysis of RCC (450ML units) Component requests & issues 2013

For Patients in state Hosp. words

RCC FFP PC Cryo CSP Plasma

R C/M I R I R I R I R I R I

Pediatric 17240 16799 10607 5589 3427 4978 4367 4048 1788 456 373 17 11

Other 1888 1124

Total 17240 16799 12495 5589 3427 4978 5491 4048 1788 456 373 17 11

ANNUAL REPORT OF NOTIFICATION- LADY RIDGEWAY HOSPITAL 2013

Diseases

Mo

nth

s

AF

P

DF/DHF A B

Dyse

ntr

y

Hep

ati

tis

A

Men

ing

itis

Typ

ho

id

En

cep

hali

tis

Mu

mp

s

Ch

ick

en

po

x

HF

MD

Wh

oo

pin

g

co

ug

h l

ike

illn

ess

M

easl

es

Tu

berc

ulo

sis

AE

FI

H1N

1

Herp

es

Zo

ster

Typ

hu

s

Feve

r

H.

Infl

uen

za

Fo

od

po

iso

nin

g

Teta

nu

s

Herp

es

Sim

ple

x

JE

Jan 1 219 01 13 01 04 03 01 06 01 02 06 01 02

Feb 165 02 06 03 04 03 01 03 06 16 07 01 01

March 168 01 06 01 02 02 06 02 05 01 48 02 04 02 02 16

April 02 161 04 01 05 02 01 02 05 01 49 01 03 22

May 04 123 01 13 01 05 02 01 05 02 107 01 02 01 01

June 03 196 01 15 06 02 01 01 105 02

July 04 336 01 21 02 03 02 01 01 04 174 04 01

Aug 02 187 03 23 03 09 04 01 02 03 02 58 04 07 01

Sep 04 119 01 09 01 05 01 02 04 03 33 02 04 03

Oct 04 201 01 30 02 03 01 01 08 02 13 01 10 03

Nov 02 332 02 20 01 09 02 03 12 07 01

Dec 05 463 05 15 07 06 01 07 01 35 02 01 02 01 02 01

Total 31 2670 19 175 16 62 29 13 14 54 02 17 656 13 51 02 01 11 03 44 01 01 01

A- No of Notified cases

B- No of Deaths



Page 37

Summary of Hospital Statistics 1992-2001

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002

Inpatients Services

Total Patients Admitted 44817 44348 49739 48650 56012 54954 55131 55520 62148 66716 77552

Total Discharges (including deaths)

44379 44140 44456 45087 56072 54789 52900 55601 62072 66637 72567

Daily Average Admissions 123 122 136 133 153 151 146 152 170 183 212

Daily Average Discharges 122 121 122 124 154 150 145 152 170 183 199

Average Length of stay 4.1 3.9 4.2 3.6 3.4 3.5 3.5 3.4 3.1 3.2 3.2

Total no of Beds 635 635 635 667 667 667 667 711 733 752 768

Total Patient days 180827 173625 186346 163147 189873 191215 186610 188269 193237 212661 228599

Hospital deaths 822 701 782 696 713 683 652 576 607 620 575

OPD

Total no of OPD Patients 498626 597771 636105 673017 680298 685195 662954 647964 768951 816710 916638

Total no of Clinic Visits 108791 107015 117473 121286 123728 125449 121995 131378 144815 170934 203789

Summary of Hospital Statistics 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Inpatients Services

Total Patients Admitted 64944 73554 63399 62201 66831 69647 83127 85986 84694 87239 87271

Total Discharges (including deaths)

64819 73468 68001 61561 66065 69805 83078 86104 84665 87279 87197

Daily Average Admissions 178 202 174 170 183 191 228 236 232 238 239

Daily Average Discharges 178 201 186 169 181 191 228 236 232 238 239

Average Length of stay 2.8 3.0 3.0 1.7 3.3 3.3 3.1 2.9 3.0 3.0 2.9

Total no of Beds 780 785 806 806 873 873 873 864 901 910 913

Total Patient days 207261 217603 206824 206349 220374 230162 259074 253242 257453 262041 256943

Hospital deaths 487 516 475 530 540 617 613 613 591 531 495

OPD

Total no of OPD Patients 870475 894309 813100 870964 835821 779177 961139 835030 787360 645307 634147

Total no of Clinic Visits 225758 235449 259509 268003 295738 291817 285080 276222 288981 296518 304149



Page 38

Hospital Finance -2013

Vote Expenditure type Amount Rs.

Recurrent Expenditure

1.Personal Emoluments

111-1-8-1-1001 Salaries & Wages 483,522,279.02

111-1-8-1-1002 other allowances & H.P 271,604,521.31

111-1-8-1-1003 Other allowances 40,3652,220.28

2.Travelling Expences

111-1-8-1-1101 Travelling Expences 103,072.00

3.Supplies

111-1-8-1-1201 Stationary & Office Request 2,305,720.17

111-1-8-1-1202 Fuel & Lubricants 3,120,191.8

111-1-8-1-1203 Diets & Uniforms 36,533,335.70

111-1-3-0-1204 Medical Supplies 102,990,390.52

111-1-8-1-1205-(1) Garbage 4,987,322.00

111-1-8-1-1205-(11) Other Supplies 5,458,167.98

4.Maintennance Expenditure

111--8-1-1301 Vehicles Repair 1,971,363.74

111--8-1-1302 Plant Machinary & Equipment 1,743,060.82

111--8-1-1303 Build & Structure 1,836,969.13

5.Contructual Service

111-8-1-1402 Postal Charges & telecommunication 2,865,562.05

111-8-1-1403 Electricity water & gas 119,891,311.70

111-8-1-1404 Rates & Taxes 895,878.00

111-8-1-1405 Other contractual service 38,424,521.71

6.Other Recurrent Expenditure

111-1-8-1-1506 Property loan 15,834,058.89

111-1-8-1-1508 Other 659,304.96

111-1-2-0-2103 Custom duty 15,553.00

7.PGIM/Intern

111-2-11-1-1001 Salaries & Wages

111-2-11-1-1002 Overtime Allowance & H.P 48,342,058.93

111-2-11-1-1003 Overtime Allowance 28,259,946.45

111-2-11-1-1405 Training 114,000.00

8.Blood Bank

111-1-8-9-1001 Salaries & Wages 4,282,726.80

111-1-8-9-1002 Overtime Allowance & HP 1,846,967.52

111-18-9-1003 Overtime Allowance 4,267,072.12

Rehabilitation & Improvements

111--2-13-1--2001(11) Building & Structure 33,945,988.47

111-02-13-1-2002(2) Medical Equipment Repair 983,720.00

111-2-13-1-2002(1) Maintance & Repair (Electrical installation) 9,694,519.48

111-02-13-1-2003 Vehicle Repairs 977,040.00

111-02-13-8-2103(11) Medical air Supply 1,624,100.00

111-2-13-07-2103(11) Electricity repair 968,240.00

111-02-13-28 - 2104(1) Underground water tank Repair 913,657.81

111-2-13-01-2002(11) A/C Repair 2,543,277.24

111-2-13-04-2103(1) Lift Repair 1,317,533.28

111-2-13-01-2002-11(06) Lab Equipment repair 793,385.60

Acquisition of fixed assets

111-2-13-1-2102 Furniture & office Equipment 4,620,336.35

111-2-13-76-2103 (11) Telephone Repairs 775,590.84

111-2-13--08-2103(11) Medical Air Supply

111-2-13-11-2103 Medical Equipment 10,137,325.00

111-2-13-13 2103-11(1) Medical Equipment 5,429,671.49

111-02-13-5-2103(1) Air Conditions Supply & Instolation 2,714,382.38

111-2-13-13-2103(11)4 Lab Equipment 3,699,835.00

111-2-13-13-2103(03) Hospital Equipment 28,672.00

Total 1,667,083,931,.12



Page 39

Department of Pharmaceuticals

The Institution has well organized pharmaceuticals department, which is the most expensive and important component of the

hospital

It provides services to the patient’s within the institute as well as for the special campaigns and for any situation of disasters.

The department performs routine functions from 8am to 4pm every day, except for Saturdays. Where it functions from 8am to

12noon.It also functions for 24 hour throughout emergencies. The Chief Pharmacist is involved in administrative functions

and there are 26 Pharmacists and 12 Dispensers.

The institution obtain drugs from Medical Suppliers Department of Ministry of Health.

Local Purchase

Ward No Total Rs

01 869975.77

02 256932.96

03 251316.66

04 244.05

05 13707.00

07 12480.00

08 42268.92

09 114800.31

10 179327.50

11 85646.21

14 4985.00

15 121808.70

19 11680.00

Eye Unit 26730.00

MICU 629403.61

SICU 117722.84

Operating Theatre 308460.00

CTICU 33876.55

HDU 110674.62

SCBU 37546.71

OCC 10900.00

Burns Unit 18715.60

Skin clinic 169393.50

IDD 614571.80

Drug Stores 858344.00

DU 4210.00

12 9972.80

CHOGUM 1000.00

Total 4937350.11



Page 40

Medical Records Unit

Main Functions of this unit

Collection of information- Receiving BHTT & other documents

Processing /sorting of information -Coding (according to International Classification of Diseases (ICD 10)

Storing of Information -Secure of Medical Records retrieving for continuity of patient care, judicial purposes.

Retrieval of Information - Research, Judicial & administration purposes as requested by patients and relatives .etc.

Distribution of information -Collecting data and preparing statistical returns which will be sent to the Director Medical

statistics unit and other relevant institutions.

Value of the MEDICAL RECORD

A good complete medical record is of value

To the Patient

As the medical record contains a complete report of a patient’s illness and results of treatment, it is of great value to the patient

for

Future care for the same or other illness, facilitating continuity and excellence of care and cost savings derived from not

having to repeat diagnostic tests unnecessarily

Informing them (by giving access) of their care ,treatment and as a legal documents to support claims for injury,

To the Hospital, Clinic or other Health Facility

The medical record may be used by the health facility to evaluate the standard of care rendered by staff and the end results of

treatment. If adequate records are not kept, the facility cannot justify the results of treatment. The medical record is also of

value to the facility for medico-legal purposes. Statistics derived from medical records can be used for evaluating and planning

present and future hospital services.

To the Doctor and other Health Professionals

The medical record is of value to all health professionals caring for a patient. The patient may have been treated by them

previously or by other health professionals. The medical records enable pertinent clinical, social or other relevant, information

to be readily available for continuing patient care. In addition the medical record is of value for review of diseases, treatment

and responses to treatment.(research, quality assurance, education and professional development of staff)

To Researchers, Statisticians and Educators

To scientific research the medical record has the potential to be an important tool. At its best, the information within a medical

record supplies a practical and reliable source of material for the advancement of medical science. This information is

Education also valuable in the collection of statistics on health care and the incidence of diseases, and for education of health

professionals



Page 41

Education Programme for Lady Ridgeway Hospital Child Patients

The government has decided to allocate diploma holder who join the ‘teachers’ service from the National Colleges of

Education : for Sinhala medium and Tamil medium, to visit the Lady Ridgeway Hospital .These Diploma holders will keep the

student patients engaged in educational activities.

Children between the age group of 5-12 years from all parts of the country visit the Lady Ridgeway Hospital for medical

treatment and some of them who warded in the hospital for several months for treatment purposes neglect their education by

not being able to attend the school for a considerable period.

The programme will enable child patients to continue their education while receiving treatment without any interruption. This

will also prevent school drop outs due to illnesses.



Page 42

Patients Costing Programme

The Ministry of Health is planning to present a statement of fees to patients that have undergone inpatient care when they are discharged from hospital. The statement would include fees for period of inpatient care and the cost of drugs given to the patients.

Issuing statements of fees was commenced at Lady Ridgeway Children's Hospital on 1st April 2013. It has been decided to introduce the scheme first to the cardiology unit of the hospital and implement it to all other sections later.

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Documents

Annual Health Bulletin 2013