HOSPITAL TRAINING REPORT

REPORT SUBMITTED TO

SCHOOL OF PHARMACY

DESH BHAGAT UNIVERSITY

MANDI GOBINDGARH

IN FULFILLMENTOF THE REQUIREMENTS

FOR THE DEGREE OF

BACHELOR OF PHARMACY

BY

NAME: - DEEPAK RAJ KUSHWAHA

ROLL NO.: - 213904511104

REGISTRATIONO.: - 21FOARBPHA106

UNDER THE SUPERVISION OF

Dr. BALJEET SINGH

DESH BHAGAT HOSPITAL MANDI GOBINDGARH.

 CANDIDATE’S DECLARATION

I hereby certify that the work is being presented in the report, in fulfillment for the requirements for
the award of the degree of Bachelor of Pharmacy and submitted in school of Pharmacy, Desh
Bhagat University, Mandi Gobindgarh is an authentic record of my own work carried out during a
period from August 2024 to November 2024 under the supervision of Dr. Baljeet Singh, at Desh
Bhagat Hospital, Mandi Gobindgarh.

Candidate signature

Signature of Examinar Signature of principal

……………………… ……………………
ACKNOWLEDGEMENT

I would like to extend my heartfelt gratitude to the Department of pharmacy, Desh Bhagat
University, for providing me with a comprehensive and enriching training experience in
Gynecology and Obstetrics.

I am deeply grateful to our esteemed Head of Department, Dr. (HOD), for Puja Gulati her invaluable
guidance, support, and expertise throughout my training period. Her unwavering enthusiasm and
dedication to teaching have been a constant source of inspiration for me.

The training program was meticulously designed to equip me with the necessary skills and
knowledge to excel in the field of Gynecology and Obstetrics. The department's faculty members
were exceptionally knowledgeable, approachable, and willing to share their expertise.

Throughout my training, I had the opportunity to engage with patients, conduct clinical
examinations, and develop my critical thinking and problem-solving skills. The department's
emphasis on evidence-based practice and patient-centered care has instilled in me a deep
commitment to delivering high-quality patient care.

I am confident that the knowledge, skills, and values I have acquired during my training at Desh
Bhagat University will serve as a strong foundation for my future career as a healthcare professional.

Once again, I would like to express my sincere gratitude to the Department of Medical Sciences,
Desh Bhagat University, and Dr. Puja Gulati (HOD) for providing me with this invaluable training
experience.
VISION
Empower healthcare professionals with knowledge, skills, and attitudes to deliver exceptional
patient care.

- Foster a culture of continuous learning, innovation, and improvement.

- Develop compassionate and competent healthcare providers who prioritize patient-centered

care.

- Enhance patient outcomes, safety, and satisfaction through evidence based practice.
- Establish our hospital as a leader in healthcare education and traini
MISSION

✓ To impart quality in the field of medical treatment to the public. ✓ To provide new generation
with the quality education changing needs of healthcare in 21st century.

✓ To provide optimum medical facility.

✓ To provide special medical care of highest standards through the modern therapy and modern
investigations

. ✓ To promote the system of medicine with all its originality.

✓ To make the people aware about the practical utility of medicines and healthcare and to make
this place an ‘Epitome of Health Care'.
OBJECTIVES OF THE INTERNSHIP
1. Observing, comparing, analyzing and commenting on pathologies, clinical and paraclinical
approaches. the management of different

2. Integrate fully the family medicine service (go to the extended clinic, the ward, the emergency
room), participate in the activities of the other services

3. Observation of procedures

4. Rotations in family medicine, internal medicine, pediatrics, obstetrics and gynecology. surgery,
especially pediatric and adult emergencies.
CONTENTS

➢ ABOUT THE HOSPITAL

➢ HOSPITAL RECEPTION

➢ EMERGENCY WARD

➢ OPD: OUT PATIENT DEPARTMENT

➢ OPERATION THEATRE

➢ DISPENSING OF DRUGS (PHARMACY)

➢ X-RAY

➢ FIRST AID

➢ PATHOLOGY

➢ CASE STUDY

➢ STORE ROOM
ABOUT THE HOSPITAL
Desh Bhagat Hospital is a multi-specialty hospital located within the campus of Desh
Bhagat University in Punjab, India. The hospital offers a range of medical services,
including emergency care, diagnostic testing, and treatment for various health
conditions ¹. With a focus on providing high-quality patient care, the hospital is
equipped with modern facilities and staffed by experienced healthcare professionals.
As part of Desh Bhagat University, the hospital also plays a key role in the education
and training of medical students, offering them hands-on experience in a real-world
healthcare setting.
HOSPITAL RECEPTION

A hospital reception serves as the first point of contact for patients, visitors, and staff. It's a bustling
hub where information is exchanged, appointments are scheduled, and initial inquiries are
addressed.

Receptionists, often the face of the hospital, play a crucial role in creating a welcoming and efficient
environment. They handle administrative tasks like patient registration, appointment scheduling,
and billing. Additionally, they provide essential information, guide visitors to the appropriate
departments, and assist in emergency situations.

A well-organized reception area contributes to a positive patient experience, reducing wait times
and minimizing confusion. By maintaining a professional and compassionate demeanor,
receptionists can help alleviate stress and anxiety, fostering a positive atmosphere within the
hospital.
EMERGENCY WARD

The Emergency Department (ED) is a critical care unit that provides immediate medical attention
to patients who require urgent care. The ED is a fast-paced, dynamic environment that operates
24 hours a day, 7 days a week.

Objectives

The primary objectives of the Emergency Department are:

1. Provide immediate medical attention: To provide prompt and effective medical care to
patients who present with acute illnesses or injuries.

2. Stabilize and triage patients: To stabilize patients who are critically ill or injured and
triage them for further treatment.

3. Diagnose and treat emergency conditions: To diagnose and treat emergency medical
conditions, such as heart attacks, strokes, and trauma.

Services Provided:

The Emergency Department provides a range of services, including:

1. Emergency medical care: Treatment for acute illnesses and injuries, such as chest pain,
difficulty breathing, and severe trauma.
2. Urgent care: Treatment for non-life-threatening conditions, such as minor injuries, colds,
and flu.

3. Diagnostic testing: Access to diagnostic tests, such as X-rays, CT scans, and laboratory
tests.

4. Pharmacy services: Access to pharmacy services, including medication administration and

counseling.

OPD: OUT PATIENT DEPARTMENT :

OPD and its Relation with Pharmacy

OPD (Outpatient Department) is a crucial part of a hospital where patients receive diagnosis,
consultation, and treatment without requiring overnight hospitalization.
It serves as the primary point of contact between patients and healthcare providers. The Role of
Pharmacy in OPD:

Pharmacy plays a significant role in the smooth functioning of an OPD.

Prescription Dispense: Pharmacists dispense medications prescribed by OPD doctors, ensuring
accuracy and patient safety.

Over-the-Counter (OTC) Medications: They provide advice and dispense OTC medications for
minor ailments.

Drug Information:

Medication Counseling: Pharmacists educate patients about their medications, including dosage,
side effects, and interactions.

Provider Consultation: They provide drug information and advice to OPD physicians, helping
them make informed prescribing decisions.

Clinical Pharmacy Services:

Medication Therapy Management (MTM): Pharmacists review patients' medication regimens,

identify and resolve drug-related problems, and optimize therapy.

Disease State Management: They provide specialized care for patients with chronic conditions,
such as diabetes, hypertension, and asthma.
Vaccine Administration:

Pharmacists administer vaccines to OPD patients as per immunization schedules and guidelines.

By working closely with OPD physicians and other healthcare providers, pharmacists contribute
to improving patient outcomes, reducing medication errors, and enhancing overall healthcare
delivery.

OPERATION THEATRE

Operation Theaters and Pharmacy: A Vital Partnership

Operation theaters are specialized rooms within hospitals where surgical procedures are performed.
These sterile environments require a high level of precision and meticulous attention to detail.

Pharmacy's Role in Operation Theaters:

Pre-Operative Medication Preparation:

Anesthesia: Pharmacists prepare and dispense anesthetic drugs, ensuring accurate dosages and
minimizing risks.

Pre-Operative Medications: They prepare and dispense medications to sedate patients or control
anxiety.

Intra-Operative Medication Supply:

Immediate Access: Pharmacists ensure a continuous supply of medications required during

surgery, including anesthetics, analgesics, and other drugs.

Sterile Compounding: They prepare sterile solutions and intravenous medications for
administration during surgery.
Post-Operative Medication Management:

Pain Management: Pharmacists help manage post-operative pain by preparing and dispensing
appropriate medications.

Antibiotic Therapy: They ensure timely administration of antibiotics to prevent infections.

Aseptic Techniques:

Strict Adherence: Pharmacists follow strict aseptic techniques to maintain sterility and prevent
contamination of medications and surgical equipment.

By working closely with surgeons, anesthesiologists, and other healthcare professionals,

pharmacists play a crucial role in ensuring the safety and success of surgical procedures.

DISPENSING OF DRUGS

Drug dispensing is a crucial process in pharmacy, involving the accurate preparation and delivery
of medications to patients. It begins with receiving a prescription, which is carefully reviewed by
a pharmacist to ensure clarity and accuracy. The pharmacist then selects the appropriate
medications, considering factors like dosage, strength, and quantity.

Next, the pharmacist prepares the medication, which may involve counting pills, measuring
liquids, or compounding specific formulations. The medication is then placed in a suitable
container and labeled with essential information, including the patient's name, prescription
number, medication name, strength, dosage, and administration instructions.

Before dispensing, the pharmacist conducts a final check to verify the accuracy of the medication
and label.

They may also provide patient counseling, explaining the medication's purpose, dosage, side
effects, and potential interactions with other drugs. The pharmacist then hands the medication to
the patient or caregiver, ensuring they understand how to use it correctly.
Throughout the dispensing process, pharmacists prioritize patient safety and adhere to strict
quality control measures. They maintain accurate records of dispensed medications and may also
provide additional services, such as medication therapy management or adherence counseling.

X-RAY

X-rays are a form of electromagnetic radiation used in hospitals for diagnostic imaging. They
penetrate the body to varying degrees, creating images of internal structures like bones and organs.
This allows doctors to diagnose fractures, infections, and diseases. Common applications include
chest X-rays to detect lung conditions, dental X-rays for tooth health, and mammograms for breast
cancer screening. X-rays are quick, non-invasive, and crucial for guiding treatment decisions. With
advances in technology, digital X-rays provide clearer images and reduce radiation exposure,
enhancing patient safety and diagnostic accuracy

FIRST AID

First aid is the immediate care given to a person who has been injured or suddenly taken ill. It
involves basic medical care to stabilize a casualty's condition until definitive medical care can be
provided. Pharmacists, with their knowledge of medications and medical conditions, play a crucial
role in first aid.

Pharmacists can provide essential information on how to use over-the-counter medications for
common injuries like cuts, burns, and sprains. They can also advise on the appropriate dosage and
duration of treatment. Additionally, pharmacists can help identify potential drug interactions and
side effects, ensuring safe and effective use of medications during first aid situations.

By educating the public on first aid principles and providing access to essential medications,
pharmacists contribute to improving public health and safety. They empower individuals to
respond effectively to emergencies, potentially saving lives and minimizing the impact of injuries
and illnesses.
Uses of First Aid

First aid is a crucial skill that can be applied in various situations to save lives and prevent further
injury. Here are some of its key uses:

Immediate Care for Injuries and Illnesses

Treating Minor Injuries: Addressing cuts, scrapes, burns, and sprains with appropriate cleaning,
dressing, and medication.

Managing Severe Bleeding: Controlling bleeding by applying direct pressure and using pressure
bandages.

Responding to Choking: Performing the Heimlich maneuver to dislodge objects from the airway.

Addressing Heatstroke and Heat Exhaustion: Providing immediate cooling measures and
rehydration.

Managing Hypothermia: Warming the body gradually and preventing further heat loss.

Stabilizing Victims Until Professional Help Arrives

Maintaining Airway, Breathing, and Circulation (ABCs): Ensuring that the victim can breathe and
their heart is functioning.

Preventing Shock: Elevating the legs and keeping the victim warm.

Monitoring Vital Signs: Checking pulse, respiration, and level of consciousness.

Promoting Recovery

Providing Pain Relief: Using over-the-counter medications or pain management techniques.

Preventing Infection: Cleaning wounds and applying antiseptic to reduce the risk of infection.

Promoting Healing: Using appropriate dressings and wound care techniques.

By understanding and applying basic first aid principles, individuals can respond effectively to
emergencies and significantly improve the outcomes of accidents and illnesses.
PATHOLOGY

Pathology is a crucial medical specialty in hospitals focused on diagnosing diseases by examining

tissues, organs, bodily fluids, and autopsies. Pathologists analyze samples to understand the nature,
cause, and progression of diseases, guiding treatment decisions.

Importance:

• Accurate Diagnosis: Provides definitive diagnoses that are critical for effective treatment
plans.

• Disease Monitoring: Helps in monitoring the progression and response to treatment of

various conditions.

• Early Detection: Early detection of diseases through pathology tests can significantly
improve patient outcomes and survival rates.

• Monitoring Treatment: Pathology labs help monitor the effectiveness of treatments by

analyzing changes in disease markers and patient samples.

• Research and Development: Pathology labs contribute to medical research by providing

data and samples for studies aimed at understanding diseases and developing new
treatments.
STORE ROOM
Hospital Store Rooms: A Vital Backstage
Hospital store rooms are essential components of a healthcare facility, providing a centralized
location for the storage and distribution of medical supplies, equipment, and pharmaceuticals.
These rooms are meticulously organized to ensure efficient operations and patient safety.

Types of Store Rooms in Hospitals Central Supply Store:

Stores a wide range of medical supplies, including dressings, syringes, catheters, and surgical
instruments.
Maintains inventory levels to ensure adequate stock for all departments.
Often uses a computerized inventory system to track usage and reorder supplies.

Pharmacy Store:
Stores medications, both prescription and over-the-counter.
Maintains strict temperature control for specific medications.
Ensures proper storage and handling of controlled substances.
May include a compounding area for preparing specialized medications.

Equipment Store:
Stores large medical equipment, such as wheelchairs, walkers, and hospital beds. Maintains a
regular maintenance schedule for equipment to ensure proper functioning.

May also store smaller equipment like blood pressure monitors and thermometers.

Linen Store:

Stores clean linens, including bed sheets, pillowcases, and towels. Maintains a hygienic
environment to prevent the spread of infection.

Ensures adequate supply of clean linens for patient rooms and procedures.

Key Considerations for Store Room Management

Organization: Proper organization and labeling of items are crucial for efficient retrieval.

Inventory Control: Implementing a robust inventory management system helps track stock levels
and prevent shortages.

Temperature Control: Maintaining appropriate temperature and humidity levels is essential for
preserving the quality of medications and medical supplies.

Security: Controlled access and security measures are necessary to protect valuable equipment
and medications.

Hygiene and Sanitation: Regular cleaning and disinfection of store rooms are essential to prevent
the spread of infections.

Emergency Preparedness: Having a plan in place to access essential supplies during emergencies
is crucial.

By effectively managing store rooms, hospitals can ensure the smooth functioning of their
operations and the delivery of quality patient care.

CASE STUDY

PATIENT 1

PATIENT NAME GURPAL SINGH

FATHER’S NAME SUCHA SINGH

AGE/SEX 27YRS/M
 ADDRESS AMLOH

CR NO. 105

WARD NO. 7

BED NO. 09

MARTIAL UNMARRIED
STATUS

DOCTOR BALJEET SINGH

INCHARGE

DIAGNOSIS CONSTIPATION

PRESENT HISTORY OF ILLNESS

➢ The patient was suffering from stomach ache and constipation from 2 days, hence the patient
went to the hospital for his treatment.
➢ In the past he was suffering from stomach ache and constipation. The physician asked the
patient to get CBC and urine test done in the laboratory which came out to be normal.
 BLOOD PRESSURE 120/63 MM/HG NOT NORMAL

PULSE RATE 75/MIN NORMAL

BODY TEMP. 98°F NORMAL

SURGICAL HISTORY NOT SIGNIFICANT

PAST HISTORY OF ILLNESS NOT SIGNIFICANT

MEDICAL HISTORY NOT SIGNIFICANT

SURGICAL HISTORY NOT SIGNIFICANT

DRUG PRESCRIBED.

I/V FLUIDS

NAME OF DRUG

NS 1BOTTLES

Patient 2

PATIENTS NAME KULDEEP SINGH

FATHER NAME MUKUND SINGH

AGE/SEX 45Y/M

ADDRESS SAMRALA

CR NO. 105

BED NO. 11
MARTIAL STATUS MARRIED

DOCTOR INCHARGE BALJEET SINGH

DIAGNOSIS LOOSE MOTION AND

ABDOMINAL PAIN

BLOOD PRESSURE 140/70MMHG NOT NORMAL

PULSE RATE 75/MIN NOT NORMAL

BODY TEMPERATURE 98⁰F NORMAL

SURGICAL HISTORY NOT SIGNIFICANT

PAST HISTORY OF ILLNESS

MEDICAL HISTORY NOT SIGNIFICANT

SURGICAL HISTORY NOT SIGNIFICANT

CONCLUSION

To do the practical training at a hospital is nothing but utilizing and implementing whatever
knowledge gained during course. Every student trainee should do systemic training during
practical training period. This proforma will beneficial to all institutes of pharmacy for uniformity
in project and training before sanctioning the apprentice practical training

I learned a lot, Observed, Noted, Identified, Discussed... I am sure that this information will be
useful to me throughout my professional career

While allowing me better apprehend and manage diseases, and thus serve my country. I shall also
transmit them to my successors.

I thank once again all those who have contributed to this success
Summary

This training report summarizes my experience and learning outcomes from the hospital training
program at Desh Bhagat Hospital, Punjab. The program, which spanned provided me with
handson training and exposure to various aspects of hospital operations, including patient care,
emergency services, and diagnostic testing. Under the guidance of experienced healthcare
professionals, I gained valuable insights and skills in [specific areas of training]. This training
experience has enhanced my knowledge, confidence, and competence in providing quality patient
care, and I am confident that it will benefit my future career as a healthcare professional.
Thank you