Hospital Services : Outpatient Department (OPD)

OPD Services : The Outpatient Department (OPD) at AIIMS, Jodhpur is completely paperless from the day of its inception. The OPD occupies a very important value in any Institute or hospital and is considered to be a window to the hospital care. OPD in a Medical Institute has broadly 3 roles- Patient care, medical education and research.
Patient Care : The patients in OPD need compassionate care, clear communication and convenience. We, at AIIMS Jodhpur have endeavor to provide this along with concern for the patients. Inpatient care, sanatorium for chronic illnesses and hospitalization are now showing decreasing trends globally and are restricted to those with serious illness or requiring major operative procedures. Even the surgeries are being performed during OPD or day care in well patients; admissions are reserved for patient requiring detail workup, observation or complex surgeries. The coordinated OPD services also minimize patient time for hospitalization as the Pre-operative check-ups are also provided on an OPD basis. At AIIMS Jodhpur, OPD services were launched on 27 th July 2013 with basic clinical departments and diagnostic facility in the ground floor of the OPD Complex. This was expanded to first floor in 2014 and diagnostic facility shifted to IPD block in 2015. Since the launch, total new patients seen in OPD being 3,59,005. The patient once registered can visit any number of OPDs. For the year 2015-16, we had 148339 new patients registered in the AIIMS OPD which is 71 % more than during 2014-15.
Education: The OPD is the most appropriate place for education- both for patients and for healthcare professionals. For patients, OPD provides a place to consult multiple doctors, health educators and counselors. The resident doctors are a link between medical experts and patients and help in clarifying many issues the patient may have. Our faculty always makes an effort to identify those requiring more attention and those requiring urgent evaluation. The OPD is also a perfect place for learning communication skills for students. Under the guidance of faculty members and resident doctors, students are learning history taking and examination with most time-efficient interviewing questions and skills. In fact, OPD provides the perfect place for vicarious learning, i.e., learning by observing- for patients, students, resident and faculty.
Research: Availability of Computerised Patient Management System (CPMS) has opened a new facet for conducting research in OPD setting. The data available being restricted to patients visiting hospital may only reflect the tip of the iceberg but gives lead to Community Medicine Department and other researchers to explore these disorders in depth in the region. Hitherto untapped potentials of CPMS are being explored- epidemiological, behavioral, attitudinal, complex and rare disorders workup. Institute is also exploring possibility of using the cases for enhancing students’ learning and using case records as teaching tools.
Diagnostic Services: The department of Biochemistry in this period has had several installations, which has enhanced capabilities and added to new technology. Two Nova Biomedical ABG and Av5800 Fully Automated Biochemistry analyser were installed enhancing the pre-existing capabilities. In addition gel documentation system, HPLC, Flow Cytometer, PCR and RT-PCR have been installed which adds to technology in the delivery of sophisticated tests and research facility. The department performed and reported on 1,50,419 tests during the period, which had a spread over a wide menu of tests. A total of 14,805 electrolyte analysis were carried out and 14,604 hormonal assays were carried out. The department of Microbiology performed the following investigations during the period. 1) Bacteriology Lab: Culture & Smear microscopy – 3913 2) Blood cultures using fully Automated Blood cultures system (BACTEC-FX and BacT/ALERT-3D) – 739 3) Serological tests (Bacterial and Viral) – 12213 4) Stool examination & PBS for Parasites – 642 5) Fungal smear & culture – 199 6) AFB smear and mycobacterial culture – 1300 7) Mantoux tests – 288 8) Microscopy under DOTS – 868 9) HIV screening under ICTC – 1077 10) STI screening under STI clinic – 85 The department of Pathology which already had a state of the art automated walk away histopathology Lab added to its capability by new installations. A modular grossing stations was installed which has the capability of image capture, Video photography and a Dictaphone. A fully automated haematology analyser and fully automated coagulation platform was installed enhancing the haematology arm of Pathology. One pentahead microscopy and six faculty microscopes have also been installed. The following tests were performed during the period: 1) CBC – 19109 2) ESR (Automated) – 4283 3) PBF – 1524 4) Urine – 10476 5) Referral Histopathology – 185 6) Histopathology – 3578 7) IHC – 1116 8) PAP – 979 9) FNAC – 1332 10) MP – 71 11) BM – 26 12) Retic – 293 Total – 42972 The radiology services at AIIMS, Jodhpur are totally paperless from the very beginning. The department has become fully equipped to handle the diagnostic and interventional services of outpatients and referred patients. Details of the investigations and procedures done during the year ending 31st March 2016 are as follows: 1) Vascular interventions – 82 2) Non vascular interventions – 532 3) CT scans – 704 4) Ultrasounds – 6824 5) Dopplers – 659 6) Mammographies – 52 7) Plain x-rays – 25674 8) Contrast investigations – 192