LRH Quarterly Health Bulletin 2013 Q4

Quarterly Health Bulletin

4th Quarter 2013

Lady Ridgeway Hospital for Children

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

QUARTERLY HEALTH BULLETIN 4th quarter

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

Tomake 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 2


Head of the Organization

Hospital Director

Telephone no 0112691521

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 carefor 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

Laboratory Services

mailto:[email protected]

http://www.ladyridgewayhospital.lk/


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Out Patients Service

Out Patient care

The Out patientsDepartment (OPD ) and the Accident services department of this hospital is open for 24 hoursa day

for365 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 getsmulti services according to the need.

Performance ofoutPatients Department from Octoberto December 2013

No of Patients

October November December Total No of First Visits 30461 30944 32291 93696 No of Subsequent Visits 2147 2228 2229 6604 No of Emergency Patients (Ward Admissions) 6538 6811 6864 20213 Emergency Treatment Unit 2782 2924 3058 8764 OPD Visits (Accident Service) 3470 3282 3323 10075 Diarrhoea treatment unit 1655 1807 1915 5377 Observation unit 545 685 571 1801 No of patients treated for injuries in the dressing room 772 596 654 2022 Rheumatic clinic 87 76 99 262 Lactation Management unit 185 215 168 568 Nutrition clinic 157 141 181 479 Non Communicable diseases 110 69 142 321 Total No of Patients Encounters 48909 49778 51495 150182

October November December Total

No of Specimen taken 3130 3577 4052 10759

Mantaux test 48 38 39 125

Ward Admissions No of Patients

October November December Total Emergency Treatment Unit 610 649 649 1908

Diarrhoea Treatment Unit 12 06 06 24

Dengue Observation Unit 147 202 202 551

OPD Deaths

No of Deaths October November December Total Death on admission 0 03 01 04

After admission 01 01 0 02


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Out Patients Services

Lactation Management center

Month Referred from wards

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

October 50 56 11 117 68 185 17

November 70 53 06 129 86 215 18

December 64 35 06 105 63 168 13

Total 184 144 23 351 217 568 48

Nutrition Clinic

Month 1st visits Sub visits Over 5 years

Total Nutritional Stages Stunted Wasted Stunted & Wasted

Referd to MOH

1SD 2SD 3SD Median October 42 95 20 157 21 52 60 02 01 14 05 02

November 48 90 03 141 27 45 57 05 0 01 06 05

December 59 106 16 181 34 39 84 05 0 03 13 05

Total 149 291 39 479 82 136 201 12 01 18 24 12

Non Communicable Diseases Control unit

Month Diabetic Patients Obesity Patients Total Councelled adult Patient

Community Programme

Newly Diagnosed

Sub visits

Total Newly Diagnosed

Sub visits

Total

October 06 26 32 45 33 78 110 07

November 01 03 04 49 16 65 69 02 01

December 04 18 22 74 46 120 142 10 35

Total 11 47 58 168 95 263 321 19 36


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Accident Service Department

Accident service department at Lady Ridgeway Hospital provide emergency casualty care to children 24 hours aday,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 from October to December 2013

No of Patients


Fall 1397 1248 1265 3910

Trauma 670 642 650 1962

Animal Bite 354 331 411 1096

Foreign body 195 184 188 567

Road Traffic Accident(RTA) 105 98 97 300

Emergency Treatment unit 05 01 02 08

Cut injury 66 62 82 210

Burns 54 50 59 163

Prick Injury 42 45 52 139

Bicycle spoke injury 15 23 22 60

Assault 45 40 20 105

Deaths 0 01 0 01

Crush injury 38 31 36 105

Child abuse 01 01 01 03

Electrocution 04 02 01 07

Others 0 03 0 03

Staff 479 520 437 1436

Total 3470 3282 3323 10075


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Immunization

Immunization is the process whereby a person is made immune or resistant to an 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.

Immunization services

Age below 12 years

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

Immunization performed from October to December 2013

Type of Immunization (Vaccine) No of Patients


D.P.T (Tripple)

4th dose 06 01 0 07

Polio 1st dose 2nd dose 3rd dose 4th dose Booster 5th dose Total

30 23 25 47 53 178

37 29 27 37 31 161

37 20 24 45 58 184

104 72 76 129 142 523

DT Booster Total

54 54

30 30

65 65

149 149

Tetanus Toxoid 09 04 02 15 Hepatitis (B) 2nd dose

3rd dose Total

01 01

01 01 02

01 02 03

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

06 10 27 37 33 113

07 12 27 24 16 86

04 12 20 15 37 88

17 34 74 76 86 287

Japanese Encephalitis 90 102 115 307 Pentavalent 2 months 1st dose

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

30 23 25 40 118

36 29 27 33 125

37 19 22 46 124

103 71 74 119 367

ARS (ERIG) 10 04 12 26

ARV 588 494 591 1673

ARS (HRIG) 16 18 27 61

Measles Rubella Mums(MMR) 106 81 103 290

BCG 28 18 23 69

ADT 75 53 95 223


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Clinics by specialty

Month of October

Wards No of clinics

No of 1st visits

No of Sub visits

Total visits Average per clinics

Medical 01 04 194 102 296 74.0

02 09 325 270 595 66.1

03 09 249 303 552 61.3

04 08 158 372 530 66.3

08 09 237 372 609 67.7

09 08 261 416 677 84.6

VP /OPD 25 413 545 958 38.3

RP/OPD 25 523 25 548 21.9

Total Medical 97 2360 2405 4765 49.1

Surgical 05 07 88 447 535 76.4

07 06 66 317 383 63.8

10 05 77 276 353 70.6

11 07 151 543 694 99.1

VS/OPD 18 439 522 961 53.4

Total Surgical 43 821 2105 2926 68.0

ENT- Dr Yasawardena 12 12 375 624 999 83.3

ENT- Dr. Kirihena 12 13 405 472 877 67.5

Total ENT 25 780 1096 1876 75.0

Skin 19A 25 1659 1061 2720 108.8

Cardiology 15 25 916 1439 2355 94.2

Rheumatology & Rehabilitation 06 25 385 597 982 39.3

Neonatal Care unit 04 02 02 04 1.0

Dental 25 1226 298 1524 61.0

Orthodontic 25 175 2196 2371 94.8

Orthopaedic 14B 09 530 508 1038 115.3

Multidisciplinary CLAP (MCC) 03 22 78 100 33.3

Child Guidance A 09 60 235 295 32.8

B 16 284 752 1036 64.8

Total Child Guidance 25 344 987 1331 53.2

Speech & Language 21 245 500 745 35.5

Child Development 05 14 12 26 5.2

Renal Ward 01 Renal Ward 03

05 04

41 10

59 79

100 89

20.0 22.3

Total Renal 09 51 138 189 21.0

Burns 05 32 71 103 20.6

Eye 25 793 770 1563 62.5

Asthma Ward 02 Asthma Ward 09

03 04

07 01

91 36

98 37

32.7 9.3

Total Asthma 07 08 127 135 19.3

Plastic Surgery 05 50 128 178 35.6

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

13 13 04

87 67 10

594 280 156

681 347 166

52.4 26.7 41.5

Total Neurology 30 164 1030 1194 39.8

Nephrology 24 47 410 457 19.0

Oncology 04 04 02 06 1.5

Headache 05 42 101 143 28.6

Intervention 03 10 15 25 8.3

Diabetic 13 08 34 42 3.2

Obesity 05 21 24 45 9.0

Endocrinology Dr. Shyma De Silva 02 06 121 127 63.7

Endocrinology Dr. Navoda Attapatu 25 69 181 250 10.0

Total Endocrinology 27 75 302 377 14.0

Visual & Rehabilitation 04 08 16 24 6.0

Cardiothoracic -Dr. Munasinghe 05 27 104 131 26.2

Cardiothoracic - Dr. Singappuli 04 33 45 78 19.5

Cardiothracic - Dr. Y.K.M Lahic 05 25 80 105 21.0

Total Cardiothoracic 14 85 229 314 22.4

Total 537 10877 16681 27558 51.3


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Clinics by specialty

Month of November

Wards No of clinics

No of 1st visits

No of Sub visits Total visits Average per clinics

Medical 01 04 62 187 249 62.3

02 08 228 237 465 58.1

03 08 143 342 485 60.6

04 09 183 326 509 56.6

08 07 173 200 373 53.3

09 08 249 371 620 77.5

VP /OPD 25 401 637 1038 41.5

RP/OPD 25 491 34 525 21.0

Total Medical 94 1930 2334 4264 45.4

Surgical 05 06 69 307 376 62.7

07 06 52 251 303 50.5

10 07 116 335 451 64.4

11 06 95 381 476 79.3

VS/OPD 16 344 443 787 49.2

Total Surgical 41 676 1717 2393 58.4


ENT- Dr. Kirihena 12 13 399 519 918 70.6

Total ENT 25 794 1212 2006 80.2

Skin 19A 25 1440 1152 2592 103.7

Cardiology 25 680 1391 2071 82.8



Dental 25 1080 285 1365 54.6

Orthodontic 25 194 1939 2133 85.3

Orthopaedic 14B 08 500 491 991 123.9


Child Guidance A 08 217 220 437 54.6

B 16 240 597 837 52.3


Speech & Language 21 220 450 670 31.9



03 04

12 12

44 70

56 82

18.7 20.5

Total Renal 07 24 114 138 39.2

Burns 04 35 67 102 25.5

Eye 25 823 856 1679 67.2

Asthma Wd 02 Asthma Wd 09

05 04

15 03

96 28

111 31

22.2 7.8

Total Asthma 09 18 124 142 15.8



14 13 04

63 54 14

446 222 288

509 276 302

36.4 21.2 75.5

Total Neurology 31 131 956 1087 35.1

Nephrology 25 32 332 364 14.6

Oncology 05 09 0 09 1.8

Headache 05 46 128 174 34.8


Diabetic 10 05 27 32 3.2

Obesity 05 13 19 32 6.4

Endocrinology- Dr Shyma De Silva 02 07 45 52 26.0

Endocrinology - Dr. Navoda Attapattu 25 38 126 164 6.6

Total Endocrinology 27 45 171 216 8.0






Total 528 9638 15723 25361 48.0


Page 9


Clinics by specialty-Month of December

Wards No of clinics

No of 1st visits

No of Sub visits

Total visits Average per clinics

Medical 01 04 101 172 273 68.3

02 08 256 274 530 66.3

03 08 269 343 612 76.5

04 09 173 371 544 60.4

08 08 183 303 486 60.8

09 09 260 455 715 79.4

VP /OPD 24 362 575 937 39.0

RP/OPD 24 476 25 501 20.9

Total Medical 94 2080 2518 4598 48.9

Surgical 05 05 83 317 400 80.0

07 06 64 322 386 64.3

10 07 120 594 714 102.0

11 06 110 496 606 101.0

VS/OPD 15 364 513 877 58.5

Total Surgical 39 741 2242 2983 76.5


ENT- Dr. Kirihena 12 12 423 513 936 78.0

Total ENT 24 867 1288 2155 89.8

Skin 19A 24 1812 1320 3132 130.5

Cardiology 24 431 1056 1487 62.0



Dental 24 1227 301 1528 63.7

Orthodontic 22 251 2052 2303 104.7

Orthopaedic 14B 07 502 480 982 140.3


Child Guidance A 05 71 130 201 40.2

B 16 255 691 946 59.1


Speech & Language 20 216 404 620 31.0



04 03

30 06

60 69

90 75

22.5 25.0

Total Renal 07 36 129 165 23.6

Burns 05 27 101 128 25.6

Eye 24 751 1032 1783 74.3

Asthma Ward 02 Asthma Ward 09

03 04

04 03

51 37

55 40

18.3 10.0

Total Asthma 07 07 88 95 13.6



14 10 04

66 63 12

461 270 282

527 333 294

37.6 33.3 73.5

Total Neurology 28 141 1013 1154 41.2

Nephrology 23 37 432 469 20.4

Oncology 05 10 06 16 3.2

Headache 04 52 129 181 45.3


Obesity 04 23 43 66 16.5

Endocrinology- Dr Shyma De Silva 01 10 55 65 65.0

Endocrinology- Dr. Navoda Attapattu 24 61 157 218 9.1

Total Endocrine 25 71 212 283 11.3


Diabetic 18 09 42 51 2.8





Total 507 10103 16813 26916 53.1


Page 10


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

Medicalintensive care unit MICU

Surgical intensive care unit SICU

Cardio thoracic intensive care unit CTICU

We also have one high dependency Unit HDU

Summary of the Inpatients Care Services from October to December 2013

October November December Total No of Ward 22 22 22 22

No of Special Units 08 08 08 08

No of In patients beds 911 911 911 911

Total no of patients Admitted 6538 6811 6864 20213

Total no of Patients Discharges (including deaths) 6558 6796 6993 20347

Daily Average Admission 211 220 221 220

Daily Average Discharges 212 219 226 221

Average Daily Sick 625.1 662.9 650.4 646

Average Length of stay 3.0 2.9 2.9 2.9

Bed Occupancy Rate% 68.6 72.8 71.4 70.9

Hospital Deaths 40 45 44 129

Turnover Rate 07 07 08 22

Total Patients Days 19379 19888 20161 59428

Hospital Deaths


Deaths within 24 hours of admission 05 07 01 13

Deaths within 48 hours of admission 02 01 02 05

Deaths after 48 hours of admission 33 37 41 111

Total hospital deaths 40 45 44 129


Page 11


Discharge Analysis

Paediatric -Medical Month of October

Ward Beds Admission Discharges Transfer In

Transfer out Deaths Total Patents days

Average Daily Sick

Bed Occupancy Rate

Ave. Length of Stay

01 85 604 592 58 67 01 1543 49.8 58.6 2.3

02 74 480 479 49 52 01 1413 45.6 61.6 2.7

03 73 514 515 46 46 01 1567 50.5 69.2 2.8

04 89 506 494 37 51 0 1377 44.4 49.9 2.5

08 77 468 471 55 51 0 1538 49.6 64.4 2.9

09 76 545 557 55 55 01 1502 48.5 63.8 2.5

Total 474 3117 3108 300 322 04 8940 288.4 60.8 2.6

Paediatric - Surgical Month of October



Average Daily Sick

Bed Occupancy Rate

Ave. Length of Stay

05 39 282 327 73 30 01 1086 35.0 89.8 3.0

07 39 224 269 54 14 01 677 21.8 56.0 2.4

10 39 296 350 84 15 0 704 22.7 58.2 1.9

11 43 405 455 92 45 0 1164 37.5 87.3 2.3

Total 160 1207 1401 303 104 02 3631 117.1 73.2 2.4

Other Special Units- Month of October

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 25 86 88 01 02 0 325 10.5 41.9 3.6

ENT 12 38 395 387 19 12 0 725 23.4 61.5 1.8 Cardiology 15 27 145 133 21 34 06 796 25.7 95.1 4.6 SICU 08 0 0 46 42 02 215 6.9 86.7 4.9 CTICU 06 0 0 27 25 02 174 5.6 93.5 6.4 HDU 12 0 0 56 48 07 252 8.1 67.7 4.6 Cardiothoracic 20 23 132 138 62 57 01 1334 43.0 187.1 6.8 Neonatal care unit

19 24 24 06 02 06 407 13.1 69.1 12.7

MICU 11 0 0 44 33 10 278 9.0 81.5 6.5

Accident Service 13A 20 844 629 0 217 0 778 25.1 125.5 0.9

Day care Surgery 13B 08 51 42 0 09 0 42 1.4 16.9 0.8 Plastic Surgery 14A 12 113 127 05 05 0 265 8.5 71.2 2.0 Orthopaedic 14B 10 56 52 01 01 0 193 6.2 62.3 3.6 Skin 19A 06 20 22 01 01 0 81 2.6 45.5 3.5 Psychiatry 19B 06 12 20 05 0 0 126 4.1 67.7 6.3 Burns 20 58 60 03 0 0 316 10.2 51.0 5.3 Isolation 21 08 05 18 18 01 0 105 3.4 42.3 5.5

Hemophilia 157 156 0 01 0 156 5.0 1.0 Eye 22 17 109 105 09 10 0 235 7.6 44.6 2.0 DU 01 07 08 11 10 0 05 0.2 16.1 0.3


Page 12


Discharge Analysis

Paediatric -Medical Month of November



Average Daily Sick

Bed Occupancy Rate

Ave. Length of Stay

01 85 633 633 66 59 02 1857 61.9 72.8 2.7

02 74 551 528 50 68 0 1453 48.4 65.5 2.4

03 73 561 558 48 49 0 1492 49.7 68.1 2.5

04 89 552 557 53 51 02 1463 48.8 54.8 2.4

08 77 545 514 54 69 02 1784 59.5 77.2 3.0

09 76 609 592 62 58 02 1579 52.6 69.3 2.4

Total 474 3451 3382 333 354 08 9628 320.9 67.7 2.6

Paediatric - Surgical Month of November

Ward Beds Admissions Discharges Transfer In

Transfer out

Deaths Total Patents days

Average Daily Sick

Bed Occupancy Rate

Ave. Length of Stay

05 39 269 331 78 34 0 997 33.2 85.2 2.7

07 39 221 267 76 18 01 706 23.5 60.3 2.5

10 39 289 347 103 34 0 767 25.6 65.6 2.0

11 43 369 427 93 56 0 944 31.5 73.2 2.0

Total 160 1148 1372 350 142 01 3414 113.8 71.1 2.3

Other Special Units- Month of November

Type of Specility


Transfer out

Deaths Total Patients days

Average Daily Sick

Bed Occupancy Rate

Ave. Length of Stay


06 25 64 69 10 03 0 335 11.2 44.7 4.7

ENT 12 38 453 462 17 18 0 942 31.4 82.6 2.0 Cardiology 15 27 150 136 25 37 02 732 24.4 90.4 4.2 SICU 08 0 0 60 57 03 184 6.1 76.7 3.1 CTICU 06 0 0 28 26 02 168 5.6 93.3 6.0 HDU 12 0 0 68 65 04 253 8.4 70.3 3.7

Cardiothoracic 20 23 129 130 78 66 0 1395 46.5 202.2 7.1 Neonatal care unit

19 23 22 04 03 02 410 13.7 71.9 15.2

MICU 11 0 0 62 37 23 273 9.1 82.7 4.6 Accident Service 13A 20 806 582 0 232 0 754 25.1 125.7 0.9 Day care Surgery 13B 08 62 54 0 08 0 54 1.8 22.5 0.9 Plastic Surgery 14A 12 97 90 07 05 0 246 8.2 68.3 2.6 Orthopaedic 14B 10 45 55 01 0 0 162 5.4 54.0 2.9 Skin 19A 06 24 24 01 01 0 81 2.7 45.0 3.2 Psychiatry 19B 06 12 16 06 02 0 88 2.9 48.9 4.9 Burns 20 59 62 01 01 0 304 10.1 50.7 4.8 Isolation 21 08 02 17 17 02 0 87 2.9 36.3 4.6 Hemophilia 198 189 0 09 0 189 6.3 1.0 Eye 22 17 81 78 03 07 0 182 6.1 35.7 2.1 DU 01 07 11 16 12 0 07 0.2 23.3 0.3


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Discharge Analysis

Paediatric -Medical Month of December



Average Daily Sick

Bed Occupancy Rate%

Ave. Length of Stay

01 85 674 687 63 49 01 1882 60.7 71.4 2.6

02 74 574 580 58 63 01 1518 49.0 66.2 2.4

03 73 646 635 46 60 02 1867 60.2 82.5 2.7

04 89 555 545 42 57 01 1561 50.4 56.6 2.6

08 77 561 558 33 54 01 1703 54.9 71.3 2.8

09 76 631 625 39 59 0 1884 60.8 80.0 2.8

Total 474 3641 3630 281 342 06 10415 336.0 70.9 2.6

Paediatric - Surgical Month of December


Transfer out Deaths Total Patients days

Average Daily Sick

Bed Occupancy Rate

Ave. Length of Stay

05 39 257 292 71 37 0 1036 33.4 85.7 3.1

07 39 196 251 62 11 0 613 19.8 50.7 2.3

10 39 249 333 97 41 01 647 20.9 53.5 1.7

11 43 393 431 89 33 0 947 30.5 71.0 2.0

Total 160 1095 1307 319 122 01 3243 104.6 3.4 2.3

Other Special Units- Month of December

Type of Specility


Transfer out

Deaths Total Patients days

Average Daily Sick

Bed Occupancy Rate%

Ave. Length of Stay


06 25 77 81 03 04 0 454 14.6 58.6 5.3

ENT 12 38 470 484 23 13 0 899 29.0 76.3 1.8

Cardiology 15 27 118 107 23 36 01 642 20.7 76.7 4.5

SICU 08 0 0 55 52 06 182 5.9 73.4 3.1

CTICU 06 0 0 25 23 02 181 5.8 97.3 7.2

HDU 12 0 0 57 56 04 229 7.4 61.6 3.8

Cardiothoracic 20 23 116 164 70 49 0 1125 36.3 157.8 5.3

Neonatal care unit

19 25 21 02 03 08 321 10.4 54.5 10.0

MICU 11 0 0 47 33 17 313 10.1 91.8 6.3

Accident Service

13A 20 838 606 0 228 0 768 24.8 123.9 0.9

Day care Surgery

13B 08 54 52 0 02 0 49 1.6 19.8 0.9

Plastic Surgery 14A 12 95 108 08 03 0 228 7.4 61.3 2.1

Orthopaedic 14B 10 46 48 02 0 0 142 4.6 45.8 3.0

Skin 19A 06 21 23 04 01 0 91 2.9 48.9 3.8

Psychiatry 19B 06 09 14 05 0 0 94 3.0 50.5 6.7

Burns 20 63 62 0 0 0 322 10.4 51.9 5.2

Isolation 21 08 03 41 42 04 0 169 5.5 68.1 3.8

Hemophilia 125 123 0 02 0 123 4.0 1.0

Eye 22 17 58 65 09 05 0 161 5.2 30.6 2.3

DU 01 10 12 12 10 0 10 0.3 32.3 0.5


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Other Departmentsand Units

1 Radiology Department

The unit consist of three Radiologists and seven Medical officers and thirteen Radiographers. Theyprovide Services for the

out patients, clinic patients referredfrom other organizations.

No of Radiological examinations performed from October to December 2013

Specility October November December Total

No of Special exams 62 66 56 184

No of CT exams 272 305 244 821

No of Routine exams 5481 5441 4998 15920

No of total X-Ray exams 5815 5812 5298 16925

No of US exams 1201 1075 987 3263

No of Nuclear Imaging exams 169 161 169 499

Total exams 7185 7048 6454 20687

No of Patients 7185 7048 6454 20687

No of Films used 5650 4100 3875 13625

2 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.

No of ECG examinations performed from October to December 2013

Month In Patients Out Patients Total

October 356 163 519

November 414 124 538

December 380 101 481

Total 1150 388 1538

3 Electroencephalogram -EEG

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

EEG examinations performed from October to November 2013

Month In patients Out Patients Total

October 139 151 290

November 123 145 268

December 125 144 269

Total 387 440 827

4 Psychiatric Unit

Month In patients Out Patients Total

October 24 153 177

November 23 113 136

December 17 97 114

Total 64 363 427


Page 15


5 Physiotherapy Department

Pediatricphysiotherapy 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

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

Physiotherapist.

The department of Physiotherapyprovides 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.

Performance of the Physiotherapy from October to November 2013

No of Patients


OPD 1st visits 195 220 202 617

OPD Sub visits 760 483 644 1887

Wards 1st visits 230 240 260 730

Wards sub visits 2156 2066 1813 6035

Total 1st visits 425 460 462 1347

Total sub visits 2916 2749 2457 8122

Total visits 3441 3209 2919 9569

Total treatments units 15118 13129 12012 40259

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Page 16


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.

Performance of the occupational therapy from October to November 2013

No of Patients


1st visits 184 172 210 566

Sub visits 1072 1062 1054 3188

Total visits 1256 1234 1264 3754

Total treated units 6280 6170 6320 18770

Orthodontic Unit


No of plate issued 143 150 124 417

No of cleft lip & palate patients 18 16 16 50

No of fix appliance patients 318 279 232 829

No of feeding plates fitted 0 0 0 0

Department of ENT & Audiology

October November December

Total

Audiology Test (Total) 715 637 704 2056

Pure Tone Audiograms (PTA) 137 124 179 440

Free-Field Tests 206 182 166 554

Tympanograms 337 300 331 968

Oto- Acoustic Emission tests (OAE) 0 0 01 01

Brain-Stem Evoke Response(BSER) 35 31 27 93

Hearing aids issue 02 02

Procedeous 311 341 334 986


Page 17


Nephrology Unit

Procedure Numbers October November December Total

LRH Ward Referrals 335 344 348 1027

Renal Biopsy 04 04 03 11

Clean Intermittent Catheterization training 16 12 15 43

Bladder Wash 03 04 03 10

Blood Gas 17 10 09 36

Subcutaneous Erythropoietin 02 03 02 07

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.

Performance of the Prosthetist & Orthortist from October to December 2013

Number of Registration144

Number of new follow ups 526

Device New Repairs L.E Prosthesis 3 01

U.E. Prosthesis

Lower Limb Orthosis 372 90

Spinal Orthosis 30 02

U.E. Orthosis 9 0

Other Assistive Device

Other assistive device 170 01

Mobillity device & Adaptive device

Mobillity device 41 02

Adaptive device 71 0

Total nof Dilivery & Repairs 696 96


Page 18


Operations & Procedures

Accident Service

Month Bone Marrow Liver Biopsy

Renal Biopsy

Others Uss quided Bortex Tenotomy Total

October 15 04 03 22

November 07 04 01 02 12 26

December 04 01 01 07 13

Total 26 01 09 01 02 22

Ophthalmology Unit

Procedure October November December Total

Cyclo Refraction 614 712 641 1967

Refraction 200 185 196 581

P.M.T (Post Medriatic Test) 114 110 140 364

Convergence 13 34 33 80

R.O.P Screening 278 171 158 607

Laser treatment 61 27 21 109

Statistics of Cardiac Catheterizations done

procedure No of Patients


ASD device closure 24 32 32 80 PDA device closure 04 06 05 15 PDA coilling 06 07 03 16 Cardiac catheterization 44 31 21 96 Septostomy 0 03 04 07 Pericardial aspiration 01 01 01 03 Pulmonary valvuloplasty 02 06 03 11 Aortic Valvuloplasty 02 02 COA dilatation 02 04 02 08 Flouros Copy 01 02 03 TOE 04 02 02 08 PPM Insertion 01 03 04 Coronary angiogram 01 01 02 Aortic angiogram 06 01 03 10 RVOT Perforation 01 02 0 03 C/Cath+BPV 01 01 Aortic angiogram + Bronchoscopy 01 01 Ballon dialatation of SVC 01 01 Radiology Procedure 02 03 02 07 ASD closure + LPA dilatation 01 01 RA fistula closure 01 01

Attempted PDA device closure 01 01 Attempted ASD closure 01 01 Colateral Coil Closure 01 01

Total 104 135 75 314


Page 19


Operation by nature Specialty- Month of October

Specialty Major Intermediate Minor Total Genito urinary

Ward No 05 14 49 06 69

07 04 20 01 25

10 12 70 04 86

11 12 60 03 75

OPD 03 21 03 27

Total 45 220 17 282

Plastic

Ward No 05 0 01 0 01

14B 0 02 0 02

BU 0 07 0 07

14 19 11 0 30

Total 19 21 0 40

Abdominal

Ward No 05 08 04 01 13

07 10 24 01 35

10 06 04 0 10

11 19 09 0 28

OPD 01 01 0 02

Total 44 42 02 88

Orthopaedic

05 0 01 02 03

07 0 01 01 02

10 0 01 01 02

14 0 01 04 05

14B 11 28 19 58

Total 11 32 27 70

Head Neck & Spine

05 0 07 0 07

07 0 02 0 02

10 0 01 0 01

11 0 06 0 06

OPD 0 01 0 01

Total 0 17 0 17

Thoracic

05 02 0 01 03

10 01 0 0 01

11 04 0 01 05

Total 07 0 02 09

Rectal 05 01 05 03 09

07 0 05 0 05

10 01 03 13 17

11 02 04 05 11

OPD 0 0 01 01

Total 04 17 22 43

Endoscopy

05 03 14 0 17

07 03 03 0 06

10 02 19 01 22

11 01 36 0 37

12 32 08 19 59

OPD 0 08 0 08

Total 41 88 20 149


Page 20


Specialty

ENT

12 18 13 16 47

11 01 0 0 01

Total 19 13 16 48

Traumatic

05 0 0 75 75

07 0 0 92 92

10 0 0 85 85

11 0 02 81 83

Total 0 02 333 335

Miscellaneous

05 01 08 71 80

07 0 07 78 85

10 0 08 71 79

11 0 16 94 110

12 0 06 05 11

14 0 02 11 13

14B 0 01 06 07

OPD 0 02 14 16

BU 0 01 01 02

Total 01 51 351 403

EYE

22

Total

CATAGORIES OF CARADIC & THORACIC SURGICAL PROCEDURES

October Open heart Major Close heart Major

Other Major

Other Minor

Minor Procedure

Thoracic Minor Surgical Procedure

Anesthetic procedure

Total

Routine 58 17 01 03 06 85 Emergencies 01 01 20 22 Total 58 17 01 01 04 26 107

Min

or

Op

era

tio

ns

do

ne a

t

OP

D

Surgical Clinic

Umbilical Cauterization

Others Suture Removal

Total

01 32 06 39 Skin Clinic

Skin Erxission Electric Cortrization

Scraping Skin biopsy

Skin Grafting

Skin Crayo

Others Tissue Reduction

Total

01 04 05 25 241 07 01 284


Page 21


Operation by nature specialty - Month of November

Major Intermediate Minor Total

Genito urinary

Ward No 05 13 31 16 60

07 09 29 03 41

10 10 45 05 60

11 12 70 04 86

OPD 03 23 03 29

Total 47 198 31 276

Plastic

Ward No 05 01 07 0 08

14 14 04 0 18

Total 15 11 0 26

Abdominal

Ward No 05 09 08 0 17

07 09 10 0 19

10 12 09 0 21

11 14 04 0 18

OPD 01 03 0 04

Total 45 34 0 79

Orthopaedic

05 0 0 01 01

07 0 0 01 01

10 0 0 01 01

11 0 0 02 02

14B 09 13 05 27

Total 09 13 10 32

Head Neck & Spine

05 0 09 0 09

07 0 02 0 02

10 0 03 0 03

11 0 05 0 05

Total 0 20 0 20

Thoracic 07 01 0 0 01

10 01 0 0 01

11 01 02 0 03

Total 03 02 0 05

Rectal

05 01 0 03 04

07 01 0 02 03

10 0 0 10 10

11 01 02 02 05

Total 03 02 17 22

Endoscopy

05 02 15 07 24

07 02 04 0 06

10 0 20 0 20

11 02 22 01 25

12 29 01 31 61

OPD 01 09 0 10

Total 36 71 39 146

ENT

12 18 11 20 49

Total 18 11 20 49


Page 22


Traumatic Major Intermediate Minor Total

05 0 01 78 79

07 0 0 81 81

10 0 02 82 84

11 0 01 82 83

Total 0 04 323 327

Miscellaneous

05 0 07 59 66

07 0 05 72 77

10 0 04 68 72

11 02 12 82 96

12 01 05 10 16

14 0 04 08 12

OPD 0 07 15 22

14B 0 0 11 11

BU 0 01 0 01

Total 03 45 325 373

EYE

22 10 04 29 43

Total 189 415 794 1398


November Open heart Major Close heart Major

Other Major Other Minor

Minor Procedure

Thoracic Minor Surgical Procedure


Total

Routine 62 15 04 07 88 Emergencies 13 22 35 Total 62 15 04 20 22 123

Min

or

Op

era

tio

ns

do

ne a

t O

PD

Surgical Clinic



Total

32 28 60

Skin Clinic

Skin Erxission

Electric Cortrization


Skin Grafting

Skin Crayo


Total

01 03 06 20 190 13 04 237


Page 23


Operation by nature Speciality - Month of December

Specialty Major Intermediate Minor Total

Genito urinary

Ward No 05 11 41 08 60

07 05 28 0 33

10 08 51 08 67

11 07 65 0 72

OPD 02 25 06 33

Total 33 210 22 265

Plastic

Ward No 05 0 01 01 02

10 0 01 0 01

12 0 01 0 01

BU 01 06 0 07

14 14 08 0 22

Total 15 17 01 33

Abdominal

Ward No 05 14 09 03 26

07 09 07 0 16

10 12 11 0 23

11 25 10 0 35

OPD 0 05 0 05

Total 60 42 03 105

Orthopaedic

05 0 0 01 01

07 0 0 01 1

10 0 0 02 02

14 0 0 01 01

14B 09 11 07 27

11 0 01 02 03

Total 09 12 14 35

Head Neck & Spine

05 0 04 0 04

07 0 02 0 02

10 0 04 0 04

11 0 04 0 04

OPD 0 02 0 02

Total 0 16 0 16

Thoracic

05 01 0 0 01

Total 01 0 0 01

Rectal

05 02 03 03 08

07 0 03 01 04

10 0 01 05 06

11 0 0 01 01

Total 02 07 10 19

Endoscopy

05 0 21 0 21

07 0 02 0 02

10 0 12 0 12

11 01 37 0 38

12 24 0 29 53

OPD 0 03 0 03

Total 25 75 29 129

ENT

12 20 07 39 66

Total 20 07 39 66


Page 24


Specialty Major Intermediate Minor Total

Traumatic

05 0 0 75 75

07 0 01 77 78

10 0 0 103 103

11 0 02 87 89

Total 0 03 342 345

Miscellaneous

05 0 10 40 50

07 0 02 54 56

10 0 07 56 63

11 0 12 100 112

12 0 11 11 22

14 0 07 09 16

14B 0 0 13 13

OPD 0 05 12 17

Total 0 54 295 349

EYE

22 05 06 26 37

Total 170 449 781 1400


December Open heart Major Close heart Major

Other Major

Other Minor

Minor Procedure Thoracic Minor Surgical Procedure


Total

Routine 54 08 04 04 70 Emergencies 33 13 46 Total 54 08 04 37 13 116

Min

or

Op

era

tio

ns

do

ne a

t O

PD

Surgical Clinic



Total

31 05 36

Skin Clinic

Skin Erxission

Electric Cortrization


Skin Grafting

Skin Crayo


Total

04 02 01 25 202 10 06 250


Page 25


Hospital Laboratory Services

The Laboratory services of this hospital consist offour Sections Bio-Chemistry,Hematology,Histopathology andMicrobiology.

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

Total Laboratory investigations performed from April to June 2013

Section October November December Total Biochemistry 32700 31627 31849 96176

Microbiology 7861 7814 8656 24331

OPD 17397 19663 21849 58909

Hematology 25204 26335 26473 78012

Histopathology 865 845 813 2523

Night Lab 10798 14264 14113 39175

Total

OPD Section

Blood Test October November December Total

Blood -WBC/DC 2892 3315 3691 9898

Blood Hemoglobin 2892 3315 3691 9898

Blood Packed cell volume 3010 3405 3789 10204

Blood platelets 3010 3405 3789 10204

Blood ESR 531 553 615 1699

Blood picture 390 403 509 1302

Blood bleeding time 25 28 21 74

Blood Clotting time 25 28 21 74

Blood Malarial parasites 01 01

Urine full report 1301 1403 1492 4196

Urine ketone bodies 02 08 12 22

Urine bile 10 17 21 48

Urine sugar 131 142 151 424

Urobilinogen 10 17 21 48

Red Cell Indices 2892 3315 3691 9898

Stool reducing substances 88 96 105 289

Stool full report 173 191 209 573

Reticulocytes count 15 22 20 57

Total 17397 19663 21849 58909


Page 26


Biochemistry Section


Serum Electrolytes 1. Sodium 2. Potassium 3. Chloride

2100 2100 2100

2774 2774 2774

2820 2820 2820

7694 7694 7694

Serum total bilirubin 416 792 805 2013

Serum direct bilirubin 350 587 636 1573

Serum SGOT (AST) 3006 2508 2610 8124

Serum SGPT (ALT) 3100 2622 2610 8332

Serum total Protein 890 629 602 2121

Serum Albumin 2800 2173 2008 6981

Serum total cholesterol 320 660 592 1572

Serum Alkaline Phosphatase 1025 676 712 2413

Serum amylase 140 109 112 361

Serum calcium 1600 1320 1410 4330

Serum phosphates 580 404 450 1434

Serum Osmolality 32 60 58 150

Serum Creatinine 3260 2573 2615 8448

Serum urea 3700 3982 3752 11434

Serum sugar+ CSF sugar 1200 1359 1450 4009

Serum magnesium 288 264 252 804

Serum uric acid 184 108 95 387

Plasma Amonia 22 22

CRP 2725 1374 1405 5504

Urine Test -Urine calcium 30 86 98 214

Urine phosphate 16 80 82 178

Urine Creatinine 240 177 200 617

Urine ketone bodies 15 14 11 40

Creatinine Clearance 13 08 12 33


Urine PH 08 10 06 24

Urine Cystine 05 03 10 18

Urine Sodium 28 08 10 46

Urine Potassium 28 08 10 46

Urine chloride 28 08 10 46

Urine Protein 04 69 72 145

Urine osmolality 32 54 60 146

Urine Nitrosonapthol 12 03 10 25

Calcium /creatine ratio 56 60 62 178

Urine Mucopolysaccharides 20 11 15 46

Urine Haemocystine 02 02 04

Urine reducing substances 18 07 05 30

Protein / creatinine ratio 42 68 66 176

Urine Fecl3 for phenylketonuria 01 01 04 06

Urine uric acid 16 06 08 30

Urine deposits 06 02 04 12

Urobilinogen 03 02 05

PO4 /creatinine ratio 30 24 28 82

Uric acid creatinine ratio 12 05 06 23

Urine magnesium creatinine ratio 03 03 08

Urine magnesium 08 09 17

Urine glucose strip test 04 04 03 11

Urine DNPH 05 01 03 09

24hrs protein 22 22

24hrs phosphate 30 30

24hrs Uric Acid 12 12

24hrs Electrolytes 05 05

CK MB 116 120 236

CK 120 136 256

G.G.T 125 130 255

Miscellaneous

Water deprevation 01 02 03

stone analysis 01 01 02

Stool test

Reducing substance 06 02 03 11

Occult blood 06 03 03 12

Total 32700 31627 31849 96176


Page 27


Bacteriology section


Blood culture ABST

611 82

504 194

800 327

1915 603

CSF Culture and gram stain Full report ABST Antigen test

78 78

78

84 84

84

90 90 01 90

252 252 01 252

Pus, direct smear and culture ABST

319 269

299 311

300 270

918 850

Throat swab/Nasal swab culture ABST

17 10

20 06

11 07

48 23

Body Fluids / Aspirates D/S & Culture 10 08 08 26

Respiratory culture ABST

204 352

178 49

212 244

594 645

MRSA culture ABST

317 37

328 49

254 28

899 114

Urine culture ABST Urine full report Urine Reducing Substances

1231 218 1182 11

1250 175 1193 13

1299 193 1196 14

3780 586 3671 38

Stool culture ABST Stool full report Stool reducing substances

77 10 301 57

79 04 150 39

72 08 161 41

228 22 612 137

AFB 17 07 06 30

Direct Smear 2183 2105 2286 6574

Infection control sample culture 21 39 59 119

API 400 400 800

Dengue Antibody 91 162 189 442

Dengue -Positive 58 115 173

Total 7861 7814 8656 24331

Haematology section


Hemoglobin 4600 4800 4820 14220

White Blood cell/ Differential count 4300 4512 4520 13332

Platelets count 4400 4618 4620 13638

Packed cell volume 4400 4620 4640 13660

ESR 640 618 632 1890

Malarial parasites 08 08 06 22

Blood bleeding time 12 24 26 62

Blood picture 700 668 670 2038

Inhibitor Screening 11 08 09 28

Reticulocyte count 168 172 170 510

Bone marrow 19 20 22 61

Sickle test 07 06 04 17

Iron stain 08 12 10 30

Red cell indices 4600 4818 4800 14218

APTT 510 538 612 1660

Factor IX correction 09 10 10 29

Factor X correction

Factor IX Assay 06 10 10 26

Factor VII Assay 09 09

Factor VIII Assay 15 17 32

Factor VII correction

Factor VIII correction 11 12 14 37

Factor VIII inhibitor levels 05 02 04 11

G6PD 04 04 05 13

Rheumatoid factor 12 14 14 40

Clot solubility

Prothrombine test 680 746 752 2178

Urine Spectroscopy 07 10 08 25

Thrombin time 70 60 65 195

Urine Haemosidern 06 08 10 24

Ham’s test 02 03 03 07

Total 25204 26335 26473 78012


Page 28


Histopathology section


Fine Needle aspiration cytology 45 35 55 135 Direct Smears/ cytology 31 25 31 87 Buccal smears 08 04 12 24 Post Mortem 01 01 02 Post Mortem slide preparation 30 24 54 Special staining 28 37 52 117 Surgical Biopsy slide preparation 753 714 639 2106 Total 865 845 813 2523

Night Lab


Hemoglobin 05 09 11 25

APTT

Platelets 15 23 26 64

CSF Full Report 18 34 29 81

CSF Sugar 198 34 29 261

Blood Urea 531 654 663 1848

Full Blood Count 2110 3156 3018 8284

Blood Sugar 198 237 243 678

WBC/DC 12 24 29 65

Serum Bilirubin - Direct 170 218 224 612

Serum Bilirubin - Total 184 231 245 660

Urine full Report 475 715 724 1914

Ketone bodies 07 13 15 35

Stool Full Report 16 34 29 79

Stool Reducing Substances 11 18 14 43

Bleeding time 14 28 31 73

Clotting time 14 28 31 73

Hematocrits values 2110 3156 3018 8284

Prothrombin time 371 420 434 1225


Aspiration Fluids 01 03 05 09

Serum electrolytes Cl- 04 08 11 23

Serum electrolytes Na+K+ 1221 1276 1289 3786

Urine electrolytes Cl- 04 08 09 21

Urine electrolytes Na+K+ 11 18 20 49

Serum Cholesterol 181 219 222 622

Serum Albumin 420 520 519 1459

Serum Calcium 442 505 499 1443

Serum Creatinine 505 601 613 1719

SGOT (AST) 554 754 759 2067

SGOT(ALT) 540 773 781 2094

Total 10798 14264 14113 39175


Page 29


Bolod Bank- Month of October

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

For Patients in state Hosp. words

RCC FFP PLt Cryo CSP/plasma Buffy Coat

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

Paediatric 1252 1325 568 511 358 513 202 353 101 23 19 02 01

other 545 322

Total 1252 1325 1113 511 358 513 524 353 101 23 19 02 01

No of special RCC requests with indications-Month of October

Indication/RC Type Thal/Hb’ paty

Ch. renal Dis Malig Th. reaction other Total Request Total issues

Noof LR/BCR requests 88 88 43 No of L.F requests 03 03

No of WRC requests 73 05 78 153

L.R= Leuko Reduced , BCR= Buffy Coat Removed, LF= Leuko Filtered, WRC= Washed Red Cells

Bolod Bank- Month of November



RCC FFP PC Cryo CSP/Plasma Buffy Coat


Paediatric 1490 1412 510 487 246 490 292 443 150 12 12

Other 402 209

Total 1490 1412 912 487 246 490 501 443 150 12 12

No of special RCC requests with indications -Month of November



Noof LR/BCR requests 97 07 104 31 No of L.F requests 18 18

No of WRC requests 24 24 147



Page 30


Bolod Bank- Month of December



RCC FFP PC Cryo CSP/Plasma Buffy


Paediatric 1398 1486 486 489 268 523 236 459 226 25 21

Other 554 285

Total 1398 1486 1040 489 268 523 521 459 226 25 21

No of special RCC requests with indications Month of December



Noof LR/BCR requests 201 201 115 No of L.F requests 03 03

No of WRC requests 04 04 36



Page 31


MONHLY RETURN OF NOTIFICATION- LADY RIDGEWAY HOSPITAL

Month of October

Diseases Ward No No of Patients 01 02 03 04 08 09 MICU Total

Dysentry 05 08 10 02 05 30

Enteric Fever

AEFI 03 01 02 01 01 01 09

AFP 01 01 01 01 04

Typhus 02 02

Hepatities A 01 01

DHF + DF 36 14 03 62 24 32 03 174

Mumps

Chicken pox 01 01

Measles 01 01 01 03

Meningitis

Whooping Cough 01 02 03

Tuberculosis 01 01

Total 48 15 16 76 29 41 05 230

Month of November

Diseases Ward No No of Patients 01 02 03 04 08 09 MICU 21 OPD 05 07 10 Total

Dysentry 04 04 07 02 01 01 01 20

Enteric Fever 01 01 02

AFP 01 01 02

AEFI 01 01 01 01 01 01 01 07

Hepatitis A 01 01

DHF + DF 54 54 33 86 45 54 05 01 332

Chicken pox 01 02 03

Measles 02 10 12

Herpes Zoster 01 01

Meningitis 03 02 02 02 09

Total 65 60 44 89 46 59 07 14 02 01 01 01 389

Month of November

Diseases Ward No No of Patients 01 02 03 04 08 09 MICU 21 Total

Dysentry 03 02 05 01 01 03 15

Enteric Fever 01 04 01 06

JE 01 01

TB 02 02

AEFI 01 01

AFP 01 01 01 02 05

DHF + DF 71 77 62 97 55 94 07 463

Influenza A 01 01

Chicken pox 07 07

Mumps 01 01

Typhus Fever 01 01 02

Measles 03 01 01 01 29 35

Whooping Cough 01 01

Meningitis 02 03 02 07

Food Poisonning 01 01 02 Total 80 84 78 104 58 100 08 37 549


Page 32


Hospital Finance

Vote Expenditure type Amount Rs.

Recurrent Expenditure

1.Personal Emoluments October November December Total

111-1-8-1-1001 Salaries & Wages

111-1-8-1-1002 other allowances & H.P

111-1-8-1-1003 Other allowances

2.Travelling Expences

111-1-8-1-1101 Travelling Expences

3.Supplies

111-1-8-1-1201 Stationary & Office Request

111-1-8-1-1202 Fuel & Lubricants

111-1-8-1-1203 Diets & Uniforms

111-1-3-0-1204 Medical Supplies

111-1-8-1-1205-(1) Garbage

111-1-8-1-1205-(11) Other Supplies

4.Maintennance Expenditure

111--8-1-1301 Vehicles Repair

111--8-1-1302 Plant Machinary & Equipment

111--8-1-1303 Build & Structure

5.Contructual Service

111-8-1-1402 Postal Charges & telecommunication

111-8-1-1403 Electricity water & gas

111-8-1-1404 Rates & Taxes

111-8-1-1405 Other contractual service

6.Other Recurrent Expenditure

111-1-8-1-1506 Property loan

111-1-8-1-1508 Other

7.PGIM/Intern


111-2-11-1-1002 Overtime Allowance & H.P

111-2-11-1-1003 Overtime Allowance

111-2-11-1-1405 Training

8.Blood Bank


111-1-8-9-1002 Overtime Allowance & HP

111-18-9-1003 Overtime Allowance

Rehabilitation & Improvements

111--2-13-1--2001(11) Building & Structure

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

111-2-13-13-2103(11)4 Lab Equipment

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

111-02-13-5-2103(1) Air Conditions Supply & Instolation

Acquisition of fixed assets

111-2-13-1-2102 Furniture & office Equipment

111-2-13-76-2103 (11) Telephone Repairs

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

111-2-13-11-2103 Medical Equipment

111-2-13-13 2103-11(1) Medical Equipment

111-2-13-8-2103(11) Medical Air Supply

Total


Page 33


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 everyday,except for Saturdays. Where it functions from 8am to

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

there are 26 Pharmacists and 12 Dispensers.

Theinstitutionobtain drugs from Medical Suppliers Department of Ministry of Health.

Local Purchase drug list for the month of October 2013

Name of the drug Strength Quantity Unit price Cost Rs.

Baby haler 05 2875.00 14,375.00

Aerochamber 01 2148.00 2,148.00

Tab Medion 16mg 20 45.00 900.00

Tetacycline Hydro Ointment 10 200.00 2,000.00

Coban Plaster 10 265.00 2,650.00

Inj. Linsolid 600mg 3 7854.00 23,562.00

Inj. Pantaprosole 3 200.00 600.00

Inj. Vit B Complex 3 35.00 105.00

Cap Vit E 100mg 3 4.90 14.70

Kleen Enema 5 210.00 1,050.00

Tab. Oxybutanin 5mg 10 18.40 184.00

Micanazole & Hydro Cream 2 529.00 1,058.00

Microenema 12 60.00 720.00

Soft clothe liner tape 2 890.00 1,780.00

Teras Natural 3 393.00 1,179.00

Non Allergic Plaster 24 185.00 4,440.00


Sy Orciprenaline 1 140.00 140.00

Sy. Solmux 60ml 5 315.00 1,890.00

Tab Methyl Prednisolone 17 7.50 127.50

Tab Neurobion 6 9.99 59.94

Tab. Ursodeoxycholic acid 29 50.00 1,450.00

Transparent film dressing 265 80.00 21,200.00

Transparent film dressing 1626 99 205.00 20,295.00

White soft parafin 20kg 13435.70 13435.70

155,458.84

By Special Tender Approval

Formulated items- Out of stock at MSD


Inj. Goseraline Acetate 3.6mg 10 19900.00 199,000.00

199,000.00


Page 34


Lacal Purchase drug list for the month of November 2013


Baby haler 2 2875.00 5,750.00

0.5% Acetic acid 4000ml 0.30 1,200.00

Empty bottels 8 34.00 272.00

inj. Gosereline acetate 3.6mg 1 22885.00 22,885.00

Slicone gel 1 4255.00 4255.00

Tab. Amiloride with thiazide 33 7.50 247.50

Tab Metolazone 64 29.35 1,878.40

Syp. Sodium valproate 1 520.00 520.00

Inj.Imipenum 3 2550.00 7,650.00

Kleen Enema 36 210.00 7,560.00

Tab. Oxybutanin 5mg 5 9.20 46.00

Micanazole & Hydro Cream 2 529.00 1,058.00

Tab. Desmopressin 9 166.00 1,494.00

Syp. Mucaine 5 200.00 1,000.00

Colloid dressing 2 1935.00 3,870.00

Inj. Imipenum 9 2724.90 24,524.10

Calcium resonium 2 319.00 638.00

Inj. Hepatitis A & B vaccine 2 2600.00 5,200.00

Tears Natural 1 393.00 393.00

Inj. Infanrix hexa 1 3385.00 3,385.00

Non Allergic plaster 21 95.00 1,995.00


Non allergic plaster 1 360.00 360.00

Tab. Desmopressin 6 114.00 684.00

Sy. Solmux 60ml 1 315.00 315.00

Syp. Multivitamin with Zinc 1 300.00 300.00

Inj. Imipenum 2 2415.00 4,830.00

Tab Albendazole 9 6.90 62.10

Tab Ursodexycholic acid 9 50.00 450.00



White soft parafin 20kg 13435.70 16475.70

Total 158,302.80

By Special Tender Board Approval


Cap. Biotin 500mg 60 37.73 2,263.80

Total 2,263.80

Grand Total Rs. 160,566.60


Page 35


Medical Records Unit

Main Functions of this unit

Collection of information- ReceivingBHTT & 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 DirectorMedical

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 testsunnecessarily

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.

Tothe Doctor and other Health Professionals

The medical recordis 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 36


Education Programme for Lady Ridgeway Hospital Child Patients

The government has decided to allocate diploma holder who join the ‘teachers’ service from the NationalColleges 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.

http://lrh-hospital.health.gov.lk/img/im_sch3.jpg

Documents

LRH Quarterly Health Bulletin 2013 Q4