MAYO HOSPITAL, LAHORE

BRIEF HISTORY AND INTRODUCTION

Mayo Hospital is the oldest and largest hospital of the country, serving the humanity since 1871. King Edward Medical University is the attached university which is Pakistan's second most prestigious and subcontinent's second oldest institution.

Mayo Hospital was completed in 1870 and it started patient care in 1871. It was named after the Earl of Mayo, the then Viceroy and the Governor General of India. Encompassing over 52.8 acres of land and the main building with boundary having 11 gates, the hospital is one of the largest hospitals in South East Asia and is a centre of excellence for public benefit. It had bed capacity of 300 beds on the Day of Independence (1947) but now is extended up to 2399 beds. The father of the nation, Quaid-e-Azam Muhammad Ali Jinnah also paid tribute to services rendered by this hospital on his visit to Mayo Hospital dated 19.03.1940.

Mayo Hospital is located in the heart of Lahore City and is surrounded by busy commercial and thickly populated residential areas with famous Anarkali Bazaar, Nila Gumbad, Urdu Bazaar and the Walled City of Old Lahore around it.

Earlier, after its construction in 1871, the Mayo Hospital was affiliated as a teaching hospital with the King Edward Medical College which came into being in 1860.

In year 2005, the King Edward Medical University (KEMU) came into existence to which Mayo Hospital is to be declared as attached hospital for teaching purposes. The hospital so attached, however, has been placed under the administrative control of Govt. of the Punjab, the same administrative setup which existed since 1871 up to 1999.DEVELOPMENTAL STAGES

1871: Construction of the Main Building of Mayo Hospital

1891: Construction of Albert Victor Hospital (AVH) Block (Private Block)

1948: Pediatrics Block (Old) 1952: Out Patient Department Block

1974: Pediatrics Wards

1982: Institute of Ophthalmology

1984: New Accidents & Emergency Block & Pediatric Surgery Block.

2001: Department of Physical Medicine and Rehabilitation.

Development is actively taking place and new buildings like “Surgical Tower” to meet the demands of the patients are being constructed.

HOSPITAL POLICY

It is based on:

The effective implementation of Government commitment i.e. “Health for All”

Scalar Principle of Management

Command on communication

Decentralization of Authority (Finance and Administration)

PERT

Inculcating sense of social security through the availability of 100% commodities for 100% patients on 100 % occasions.

ORGANIZATION

Medical Superintendent heads the Hospital Management.

STAFF

1. Medical

Senior Consultant Pathologist 1 Bio••Chemist 1

Medical Officer 1

Medical Technologist 1

2. Para Medical

Lab Technicians 2 Lab Assistants 4

Lab Attendants 7

Ward Attendants 2

Lab Cleaner 1

SPECIALIZED UNITS WORKING IN MAYO HOSPITAL

Mayo Hospital, Lahore is the oldest and biggest hospital of Pakistan. It consisted of 2000 Registered beds. There are 24 Specialized units working in Mayo Hospital, Lahore.

Cardiac Surgery Neurology unit

Dermatology unit

Neuro Surgery unit

urology Unit

Oncology Unit

Orthopaedic Unit

Psychiatry Unit

Paeds Medical Unit

Paeds. Surgical Unit

Paeds. Preventive Unit

Chest Disease Unity.

E.N.T. Unit.

Eye Unit.

Plastic Surgery Unit

Burn Unit

Physically Disability Unit.

Surgical Unit.

Medical Unit

Venerology Unit.

Dental Unit

Physiotherapy Unity

E.C.G. Unit.

Radiology

FACILITIES AVAILABLE IN MAYO HOSPITAL

Central ICU with Central Oxygen (O2) & Suction System

Standard Coronary Care Unit (CCU) Facilities

Angiography, Angioplasty, Cardiac Bypass, Heart Valves Replacement

and all sorts of Cardiac Operations and procedures

Radio Isotope Cardiology / Thallium Scan / Echocardiography / ETT

Spiral CT, Color Doppler and Ultrasonography on latest machines

Renal Transplantation and Renal Haemodialysis

All Dermatological Procedures

Radiotherapy on latest machines

Latest Physiotherapy Equipment, Rehabilitation Center and Orthopaedic

Workshop

Neuro-Angiography, EMG, EEG and all kind of sophisticated Neuro-

surgical operations

Operations of Plastic Surgery and cosmetology

Operations of Fascio-maxillary, Jaw and Dental Surgery

All kinds of Orthopaedic Operations under competent consultants

All kind of Eye and ENT Operations

Surgical Operations of all kind for neonates, children, young and old

patients

Radio Isotope Thyroid, Liver, Bone, Brain and other organs scanning,

Hormonal Assays and Viral Markings are being done in Atomic.

DEPARTMENTS

Main Accident & Emergency Emergency Operation Theatre (COT/ NEOT)

Paeds. Medicine Emergency

Paeds. Emergency Operation Theatre

OUT-PATIENT DEPARTMENT

There are 42 out-patient departments comprising Medicine and Surgery and sub-specialties.

Average patients per day in OPD: ~2000

INPATIENT DEPARTMENT

Average surgeries performed per day: ~250

Total Beds: ~1600

Major Departments: 4 Internal Medicine and 4 General Surgical Departments.

Total patients seen per year are ~8,35,136: ~2,25,653 in the Emergency and ~6,09,483 in the Outpatient Department.

ACCIDENT & EMERGENCY BLOCK

Mayo hospital is 1799 bedded, tertiary care teaching hospital, where as 195 beds are available in the Accident and Emergency Department of Mayo hospital, Lahore.

It is the main emergency department, treats adults starting from 13 years. There are separate emergencies for children less than 13 years comprising Pediatric Medicine and Pediatric Surgery emergencies.

Total Beds available: ~169 Patients seen per day in all Emergency departments (Adult and

Pediatric): ~ 600 - 800

FACILITIES AVAILABLE IN EMERGENCY DEPARTMENT

24-hour in-house coverage by general surgeons and prompt

availability of care in varying specialties such as orthopedic

surgery, anesthesiology, emergency medicine, radiology, internal

medicine, oral and maxillofacial surgery.

Intensive care (ICU) & coronary care unit (CCU), fully equipped

with central monitoring, central oxygen supply system, ventilators,

defibrillators and sufficient stock of medicines.

A burn unit for 10 patients, managed by Plastic Surgeons

A well equipped clinical laboratory, performing 500 – 700 tests

daily.

Sufficient stock of blood of all groups.

Ambulance service for transport of patients within hospital.

IMPROVEMENT IN A&E DEPARTMENT

Accident & Emergency Department Mayo Hospital Lahore is the largest Emergency of the Pakistan. More then 800 to 1000 new patients get benefit from this emergency daily. Administrative staff of Accident & Emergency Department along with energetic and miraculous leader ship of. Medical Superintendent Dr. Fayyaz Ahmad Ranja, is working hard for provision of excellent services to the ailing humanity. Under the dynamic leadership of worthy M.S. a lot of improvements have been made. Main achievements are as under:-

Patient care Civil work

Care of equipment

Better communication system.

General cleanliness.

Orderliness.

Surveillance /interview of the patient

BLOOD BANK MAYO HOSPITAL, LAHORE

Dr. Muhammad Farrukh Sultan

B.Sc., MBBS(Pb.) RMP.

Blood Transfusion Officer

BRIEF HISTORY & INTRODUCTION

Hospitals are functioning almost in every part of the country thought they are not as adequate and equipped as may be available in the advanced countries. But in spite of all pecuniary handicaps and many other draw backs we can

safely assets and claim that in hospitals like Mayo Hospital, services and Jinnah etc. medical services are provided in a competitive manner and it is mainly due to the major contribution of the experts and staff and appropriate administrations running these functions. There is not very reach awareness among the successes that in hospital services including medical and surgical, there is another integral and essential part without which the main theme of the hospital can not be achieved is the segment of blood transfusion service.

All blood bank services are free of cost for the inpatients and entitled ones.

A & E LAB MAYO HOSPITAL LAHORE

TEST DESCRIPTION All kinds of tests being performed including LFTs, RFTs, routine blood andurine examinations, blood sugar, cerium electrolytes, currently we are performing the blood gases because of non-availability of the solutions and reagents.

CORPORATE SOCIL RESPONSIBILITY

Free services in the Institute of Ophthalmology (all the three Eye Units

made free), even including the provision of Intra Ocular Lens (IOLs).

Eree diabetic clinic with the provision of oral anti-diabetic agents &

insulin injection like HUMULIN.

The provision of 100% free medical coverage for both indoor and outdoor

patients of Tuberculosis (TB) has been ensured.

Installation and commissioning of Angiography Machine in Cardiology

Department including renovation of cardiac surgery Operation Theatre

has been carried out. Angiographies are being performed on new

machine.

Pediatric operation theatres have been declared free for surgery with the

provision of all medicines and surgical disposables including Shunts and

all types of sutures Provision of 100% free surgical coverage to patients

in ENT operation theatre Provision of shelter and overnight stay facilities

for attendants of patients (initiation of service facilities for the above

purpose in Quaid-e-Azam Musafer Khana)

Provision of 100% free operation facilities to all patients in main general

surgery operation theatres of Mayo Hospital.

100% free medicine coverage extended to Pediatric Medical Ward

including even providing anti cancerous chemotherapy.

PC-1 approved, foundation stone laid down by Honorable Chief Minister

for the construction of Multi-storey surgical tower. This will include state

of the art operation theaters and wards including Helipad for trauma

patients.

Establishment of state of the art Central ICU

First time ever in the history of Pakistan in any hospital, cardiac surgery

has been declared free

323 patients underwent cardiac surgeries like CABG and Valve

replacement.

All the four surgical units along with chest surgery (whole surgical floor)

have been declared free of cost for all. Provision of 100 % free medicines

to Pediatric Surgery Ward.

Provision of 100% free medical treatment in both the Dermatological

Units. Provision of 100% free medical treatment in the Oncology

Department.

Provision of 100% free medical treatment in the four medical units

(medical floor).For this purpose a fully functional pharmacy has been

established at medical floor.

To declare following units free: Orthopedics & Urology

To declare rest of the Hospital free for all patients

PATIENTS WELFARE ASSOCIATION

Patients Welfare Association came into being in 1963 and Register on 11th January, 1964. patients Welfare Society, Mayo Hospital, Lahore is providing social, psychological and financial Assistance to poor needy patients.

WORKING OF PATIENTS WELFARE ASSOCIATION.

Patients Welfare Association is providing free medical assistance to the

disabled persons.

Patients Welfare Association Mayo Hospital, Lahore is providing free

optical to the poor and deserving patients.

Patients Welfare Association provides free of cost ambulance services to

the poor and destitute deceases families.

Patients Welfare Association, Mayo Hospital, Lahore is providing

vocational training facilities for Women of the surrounding area of May

Hospital, Lahore. Almost 15 to 18 Females getting vocational Training

from this Center every month.

Patients Welfare Association, Mayo Hospital, Lahore is providing Day

Care Center facility to working families of the hospital.

Patients Welfare Association, Mayo Hospital, Lahore is running a guide

service to the patient coming for treatment from far flung areas of the

country. For this purpose a guide is deputed by Patients Welfare Society

to assist Patients. 30 to 40 patients are taking guidance daily.

Patients Welfare Association, of this hospital is providing wheel chair with

in hospital premises.

Facility of photocopy of the documents of the patients and staff of the

hospital.

Patients Welfare Society is also bearing the expenses of stationary for

Utilization of Zakat Fund.

Patient Welfare Association is also providing services in search of

attendance of Unknown Patient.

FUTURE PLAN

Patients Welfare Association, Mayo Hospital, Lahore will construct a

“Welfare Home” for the un-known and un-attended patients of Mayo

Hospital, Lahore.

Patients Welfare Association, Mayo Hospital, Lahore intends to purchase

its own Ambulance for needy patients.

Patients Welfare Association, Mayo Hospital, Lahore will shortly start a

compute training programme for the employee of the Hospital.

Patients Welfare Association of this hospital will also start a public call

office for the patient to provide them telephonic facility within the

Hospital premises.

Ultrasound facility for outdoor patients.

BRIEF OF HEALTH WELFARE COMMITTEE MAYO HOSPITAL, LAHORE.

Medical Social Officers are performing their duties for zakat fund utilization. They keep and maintain record of Zakat.

About 350 to 400 patients per month getting free medicines from General

Zakat Fund and almost 60 patients getting free medicines from Urology

Fund of the Heath Welfare Committee of Mayo Hospital, Lahore.

HOSPITAL GOAL AND THE CONTINUITY OF ITS ACHIEVEMENTS

Sustainability of 100% Free of Cost coverage in Hospital will be ensured through Macro and Micro Financial Management Un-interrupted availability of resources and its rational utilization will be sought as hot pursuit. The essence would be to see through that this exceptional policy becomes natural to the hospital even in the future though a system of working.

ACHIEVEMENTS AND ACCOMPLISHMENT

ACHIEVEMENTS

Starting from 24th May, 2003, following departments provide 100 % free[4] treatment (as long as the patient remains admitted in the hospital):

Accident & Emergency Department Pediatric Medicine and Surgery Emergency, Inpatient Department

and Intensive Care Unit (ICU)

Department of Ophthalmology and Eye Operation Theatre

General Surgical Operation Theatres and Inpatient Departments

Diabetic Clinic

Otorhinolaryngology Operation Theatre

Tuberculosis & Chest Diseases and Chest Surgical Departments

Cardiac Surgery Operation Theatre, Inpatient and Coronary Care Unit (CCU)

Dermatology Outpatient Department

Radiotherapy & Oncology Department

Internal Medicine Departments

ACCOMPLISHMENT

Completion of canopy near Accident & Emergency Department, (ELLAHI MEHEMAN KHANA) where the patient's attendants are sitting.

Deputed three ward attendant /Khidmat-Gar to facilitate the patient attendants and serving them with cold water round the clock.

Deputed three Ward cleaner for sanitation in canopy & the vicinity round the clock.

Reconstruction of passage from A&E to canopy to facilitate patient attendants & doctors.

Construction of shed at reception.

Opening of X-Ray door from surgical side, to facilitate seriously/dangerously injured patients for X-Rays.

Successful implementation of 100% provision of free medicine & surgical items to all patients visiting in Accident & Emergency Department.

Procurement of two new operation tables in NEOT.

All air conditioners in Accident & Emergency, COT & NEOT made functioning.

Web site of Mayo Hospital has been made functional on Internet for latest information.

C.C.TV has been installed in Accident & Emergency department made functional to detect the mismanagement of the Medicine.

First of all by the Grace of Almighty Allah, and after going through the day & night work hard by DR. FAYYAZ AHMED RANJHA, to provide the Image intensifier facilities to the Emergency patients, which is available for doing Orthopedic Operations to avoid blood

loss of severely injured patients. We are heartily grateful to the Worthy Medical Superintendent, Mayo Hospital, Lahore for this grate achievement.

Extension of NEOT & installation of two new operation tables to facilitate surgeon in Accident & Emergency/NEOT by increasing operation tables from 2 to 4.

M.O.T. near New Casualty Emergency Operation Theater with well equipped new instrument & two new operation tables which are functioning round the clock.

Two new X-Ray's machines have been launched and working for rendering services to the Emergency patients.

New Bio-chemistry analyzer was also installed in A&E Lab and functioning .

Shifting of blood Bank from 1st floor to Ground floor .

Centralized oxygen supply in COD, Medical & Surgical ward on ground floor .

Installation of curtain & accessories in female ward (COD) .

Centralized Oxygen and other gases supply in COT & NEOT .

Installation of new kits in Accident & Emergency& lifts .

Renovation of DMS /AMS Office.

Recruitment/selection of new energetic and dedicated staff for A&E

Department .

Training program for doctors/nurses & paramedics about quality

Health Care, Interpersonal communication & evidence based

medicine learning programme.

Incentive, Reward and compensation program for Emergency staff.

ANALYSIS & CONCLUSION

FOLLOWING FACTORS ARE IMPORTANT:

Commitment and desire of hospital administration to provide 100% free medical treatment to 100% patients at 100% occasions.

Delay is harmful for the implementation of plans.

Proper analysis of available resources, planning, documentation, implementation, management, monitoring, control and evaluation through feedback is essential.

The above said achievements have been made without incurring any additional expenses or demanding any further funds from the Government. It is all through better financial management, control and communication with all concerned.

ETHICAL BEHAVIOUR: They don’t give any proper lecture and they don’t develop any proper strategy to promote ethical behaviour in their organization but they give some trainings regarding ethical behaviour.

CORPORATE SOCIAL RESPONSIBILITY: Yes they show corporate social responsibility by treating people without charges. STRESS: Causes; There are following causes of stress in Mayo hospital;

a) Employees don’t have economic security b) Employees don’t have health security

Due to job security stress doctors held a protest on 07-07-07. Facilities; They provide them flexible time schedules. They provide job sharing.

THREATS: Sometimes doctors and other employees go for strike because they have following threats; a) Economic threats b) Health threats c) Job threats

TEAM-WORKING: Teamworking is promoted in this hospital because without team-working ,work cannot be done.It is important in daily operations and pther treatments.

PROBLEMS IN TEAM WORKING: There are some problems which they have to face in team-working because people have different ideas,thinking and different personality traits and doctors can suggest juniors but cannot suggest seniors and colleagues.

TRAINING OF TEAM-WORKING: They don’t give any training regarding team-working.

HEALTHY RELATION OR LEGG PULLING: In Mayo hospital there is leg-pulling.

ATTITUDES OF EMPLOYEES TOWARDS HOSPITAL: In Mayo hospital doctors and nurses want to leave because of economic stress.

MAYO HOSPITAL DIVERSE IN TERMS OF; a) Discouraging male-domination; There is no issue of male domination,both of them are equally treated and they work on same level but sometimes women are more prominent. b) Flexible time schedules; Yes,there is flexible time schedule,Doctors work for 24 hours weekly.There are shifting times as following; 1) 6:00am-6:00pm 2) 6:00pm-12:00pm 3)12:00pm-6:00am c) Physical necessities for physically disable people;

There are no physical necessities for physically disable people even parking facility is not available.

d) Off days for religious activities;

Yes, employees have off days in Mayo hospital for religious activities.

e) Parental care hours;

Parental care hours are only given to post graduate and house doctors.

NO.OF DOCTORS,NURSES AND WARD BOYS:There is following number of dotors,nurses and ward boys in Mayo hospital;

Doctors:

Nurses:

Ward boys:

FACILITIES PROVIDED TO MAYO HOSPITAL:As it is a government hospital so,government provide it many facilities.There are free health facilities .Patients entry fee is only 10 rupees and there are no extra charges even for operations and medicines.

BENEFITS OF MAYO HOSPITAL PRIVIDED TO EMPLOYEES FOR MOTIVATION:

It provides no facilities to motivate employees.

CULTURE VARIATION:There is culture variation in Mayo hospital and it creates many problems.

CHILD CARE FACILITY OR PERSONAL SUPPORT:Yes,child care facility is provided to doctors,nurses and other employees in Mayo hospital.

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