Report on Hospital Training-II

A report of training undergone at

CHC HOSPITAL BHOJIPURA BAREILLY (U.P)

Submitted in Partial Fulfillment of B.Pharm 7th Semester
Subject-Hospital Training-II(BP-707P)
by
Arun Kumar
(RollNo.2109550500011)
Session 2024-25

Dr. A.P.J. ABDUL KALAM TECHNICAL UNIVERSITY, LUCKNOW

Under the supervision of

Prof. (Dr.) Prem Singh Prof. Preeti

KPC,Bareilly KPC, Bareilly

to the

Kritika Pharmacy College, Bareilly

(Affiliated To Dr.A.P.J ABDUL KALAM TECHNICAL UNIVERSITY, LUCKNOW)

DECEMBER, 2024
 ACKNOWLEDGEMENT

The training opportunity I had with CHC Hospital, Bhojipura was a great chance for
learning and professional development. Therefore I consider myself as a very lucky
individual as I was provided with an opportunity to be a part of it. I am also grateful for
having a chance of so wonderful people and professionals who is me though this training
period.

I am using this opportunity to express my deepest gratitude and special thanks to Kritika
Pharmacy College, Bareilly. Who is spite of being extra ordinarily busy with their duties
gave us an opportunity so that we could learn something so important.

I express my deepest thanks to Dr Asnesh kumar Sir, Medical l Superintendent and Dr

Satish kumar Chowdhary Sir, Medical officer of CHC Hospital, Bhojipura for taking
part in useful decision and giving necessary advices and guidance and arranged all facilities
to make life easier I choose this moment to acknowledge his contribution gratefully.

It is my radiant sentiment to place on record my best regards, deepest sense of gratitude to

Mr. Asnesh Gupta Sir, Chief Pharmacist of CHC Hospital, Bhojipura for their careful
and precious guidance which were extremely valuable for my study both theoretically and
practically.

I would like to thanks Dr. Prem Singh (Director) and Mrs. Preeti (Project guide) for the
continues guidance and for giving me the opportunity to complete my internship from CHC
Hospital, Bhojipura

I perceive as this opportunity as a big milestone in my career development I will strive to use
gained skills and knowledge in best possible way and I will continue to work on their
improvement.

Thanking you!

Arun Kumar
B.Pharm 4thYear
Roll No. :-2109550500011
 DECLARATION

I hereby declared this training report entitled “Hospital Training Report’’ for the award of
Bachelor of pharmacy from Dr. A.P.J Abdul Kalam Technical University, Lucknow. This
training report submitted by main practical fulfillment for the requirement of Bachelor
Degree in Hospital training from Kritika Pharmacy College with the collaboration of Dr.
A.P.J Abdul Kalam Technical University (AKTU) is the result of my original and
independent research work carried out under the supervision and guidance from Kritika
Pharmacy College.

Name: Arun Kumar

Roll No: 2109550500011
Duration of Training: 45 day

Signature of Student
 CERTIFICATE

This is to certify that Arun Kumar has carried out hospital training for the award of
Bachelor of pharmacy from Dr. A.P.J. Abdul Kalam Technical University, Lucknow
under CHC Hospital, Bhojipura. The hospital training report prepared by the student
himself and the contents of the training report do not form the basis for the award of any
degree to the candidate or to anybody else from this or any other university.

The Duration of this Hospital training is 45 days from 10 july-2024 to 12September-2024.

SUPERVISOR DIRECTOR

Mrs. Preeti Dr. Prem Singh

(Internal Examiner) (Professor)
Kritika Pharmacy College Kritika Pharmacy College

Place:Bareilly
Date:12-12-2024
TRAINING CERTIFICATE

Training certificate
 TABLE OF CONTENTS

S.NO Title Page No.

1. Objectives of Hospital Training 1

2. Introduction of Hospital 2

3. Wards Name Hospital 3

4. Dispensary 4

5. OPD 5

6. Emergency Ward 6

7. Vaccination Room 7

8. Dental Ward 8

9. Wound Dressing 9-10

10. Artificial respiration 11-12

11. Prescription 13-14

12. Type Of Injections 15-16

13. Problems Encounter During The Training 17

14. Summery 18

14. Work Profile 19

15. Conclusion 20
 OBJECTIVES OF HOSPITAL TRAINING

• Develop a strong foundation in pharmaceutical science and clinical pharmacy practices.

• Acquire hand on experience in drug dispensing, compounding and dosage calculations.
• Enhance communication skills for effective interaction with patients and other healthcare
professionals.
• Learn to provide medication counseling and education to patients regarding proper drug
use.
• Gain proficiency in medication management and optimization.
• Emphasize the important of continuous learning and professional development.
• Understand and implement quality assurance measure in pharmacy service.
• Learn about medication safety, error prevention, and adverse event reporting.
• Acquire knowledge and skills related to infection control in pharmacy practice.
• Understand the role of pharmacist in preventing the spread of infectious diseases.
• Participate in medication therapy management service
• Stay updated on new drug, treatment guidelines, and emerging trends in pharmacy.
• Provide culturally sensitive and patients centered care.
• Promote engagement in research activities related to pharmacy and health care.
• Develop on understanding of pharmacy administration and management principle.
• Develop the ability to make evidence based decisions in collaboration with the health care
term
• Collaborate with healthcare provider to optimize medication regimens for patients.
• Reinforce adherence to ethical standard and legal regulation in pharmacy practice.
• Familiarize with pharmacy information system and electronic health record.
 INTRODUCTION OF HOSPITAL
(CHC BHOJIPURA)

Community Health Centre Bhojipura is a government healthcare at the Bhojipura of the

Bareilly. It is focus on the treatment of the patient especially focused and blessed for the poor
and needy people. People come to the hospital and get treated well. All the staff and the doctors
are very friendly and very helpful. The hospital is always kept clean and sanitized to eradicate
the spread of disease, bacteria, pathogen and dust.

The hospital has several department such as eye care department, dental department, (OPD),
Emergency department, pathology, X-ray etc. these all department work well and are open for
most of the days of the week.

The emergency department is the most crowded department of the hospital. It is crowded all
the day and sometimes even in the night.

Figure no:1 CHC Bhojipura

 WARDS IN HOSPITAL (CHC BHOJIPURA)

Wards in hospital are specialized units that cater to specific type of patients and medicalconditions.

Each ward is staffed with healthcare professionals trained to address the specific needs of the
patients within that unit.

➢ Dispensary
➢ OPD
➢ Emergency ward
➢ Dental ward
➢ General ward
➢ Rabies vaccination
➢ X-ray room
➢ Pathology
➢ Operation
 DISPENSARY

• A dispensary is defined as the main area where the dispensing of drug takes place. It is
mainly present for OPD patient

• The various drugs are being distributed here on bases of the prescription written by
doctors.

• There are two Pharmacist always in the dispensary and there are two windows each for
a man and women.

• The distribution of the drugs in district hospital is for free of cost.

Figure no: 2 Dispensing

The various drugs that are being distributed are:-

1. Paracetamol tablet and syrup 6. Diclofanic tablet
2. Iron tablet 7. Omperazole capsule
3. Calcium tablet 8. Cough syrup
4. Vitamin B complex tablets 9. Eye drop
5. Ranitidine tablets an injection 10. Lignocaine tube
 OUT PATIENT DEPARTMENT(OPD)

• OPD is the place where the doctors examine and interact with the hospital to know about
their health issues and then prescribe the medicines to treat that health condition.
• The patients are not required to stay overnight in the OPD, it is for the general tests and
checkup of patients on some minor or non-severe condition.
• Patients are given prescription by the doctor on the basis of their condition.
• Patients register at the reception before their consultation.
• In CHC BHOJIPURA two doctors are always ready to prescribe the medicines.
• The doctors are of MBBS and MD level.
• They are available from 10 to 4 every day.

Figure no:3 OPD Room

 EMERGENCY WARD

• The emergency ward is the place dedicated for immediate medical attention to patients
with severe injuries or life-threatening conditions.
• It operates round the clock to handle emergencies at any time of day or night.
• It comprises doctor nurses and support staff trained in emergency medicine.
• It is always connected to or has access to pharmacy for swift procurement of emergency
medication to ensure timely administration of necessary drugs.
• The doctors in the emergency ward are very punctual to is work and treat patient in a
very good manner.
• There are always two nurses available for the service.

Figure No:4 Emergancy Ward

 VACCINATION ROOM

• Vaccination room is the dedicated place for the administration injection and vaccine.
• The vaccination room is kept clean, sterilized and trained staff is always there for the
patient.
• It is staffed by trained health care professionals such as nurse medical assistants.
• The staffs fallow hand hygiene practices and wears appropriate proactive gear.
• Staffs follow proper injected techniques pain and discomfort.
• There are a number of injection kept in the injection room such as Rabies, Ranitidine
Paracetamol etc.
• Some more injection are there but kept in the refrigerator.

Figure no:5 Vaccination Room

 DENTAL WARD

• A dental ward is a place in a hospital where dentists and dental care professionals work to
help people with their teeth.
• Comprehensive range of dental service, including cleaning, filling, and extractions.
• It focus on patient comfort with a welcoming and calming environment.
• It like a special area just for taking care of teeth and gums.
• Here, dentists check teeth for problems, clean them and fix issues like cavities or
toothaches.
• The dental ward is a friendly place where the goal is keep everyone smiles healthy and
happy.

Figure no:6 Dental ward

 WOUND DRESSING
A dressing is a sterile pad or compress applied to a wound to promote healing and prevent
further harm. A dressing is designed to be in direct contact with the wound as distinguished
from a bandage, which is most often used to hold a dressing in place .Some organization
classify them as the same thing. dressings are frequently used in first aid and nursing .

Figure no: 7 Dressing Room

Core Purposes of a Dressing :-

A dressing can have a number of purposes, depending on the, severity and position of the
wound although all purposes are focused towards promoting recovery and preventing further
harm from the wound. Key purposes of a dressing are:
• Stem bleeding to help to seal the wound to expedite the clotting process.

• Absorb exudates to soak up blood, and other fluid exuded from the wound, containing it
them in one place;
• Ease pain to have an actual pain – relieving effect, whereas some other may have a placebo
effect:
• Describe the wound to remove slough and foreign objects from the wound;

• Protection from infection damage; to defend the wound against germs and mechanical

• Promote healing to contribute to recovery via granulation and epithelialization and reduce
psychological stress to obscure a healing wound from the view of other.

Types of dressing:-

Various types of dressings can be used to accomplish different objectives including:

• Controlling the moisture content, so that the wound stays moist or dry. An example of a
moisture –retaining dressing, which is a ‘’hydro fiber’’ that is indicated, for example, for
partial- thickness burns.
• Protecting the wound from infection;
• Removing slough; and maintain the optimum pH and temperature to encourage healing.

Usage of dressing:-

Applying a dressing is first aid skill, although many people undertake the practice with no
training
• Especially on minor wounds’ modern dressings will almost all come in a prepackaged
sterile wrapping, date coded to ensure sterility, This is because it will come in to direct
contact with the wound, band sterile is required to fulfill the ‘protection from infection, aim
of a dressing.
• Applying and changing dressing is one common task in nursing.
• An ideal wound dressing is one that is sterile breathable and conducive for a moist healing
environment .this will then reduce the risk of infection ,help the wound heal more quickly
and reduce scarring.
• Historically and still the case in many less developed areas and in an emergency, dressing
are often improved as needed.
 ARTIFICIAL RESPIRATION

Artificial respiration is the act of stimulating respiration, a metabolic process referring to the
overall exchange of gasses in the body.

Cardiopulmonary Resuscitation:-

Cardiopulmonary resuscitation, commonly known as CPR, is on emergency procedure perform

in on effort to manually preserved intact brain function until further measure are taken to
restore spontaneous blood circulation and breathing in a person who is in cardiac arrest. It is
indicated in those who are unresponsive with no breathing or abnormal breathing.

CRP alone is unlikely to the heart. Its main purpose is to restore partial flow of oxygenated
blood to the brain and heart. The objective is to delay tissues death and to extend the brief
window of opportunity for a successful resuscitation without permanent brain damage.
Administration of electric shock to the subject’s heart , termed defibrillation, is usually needed
in order to restore a viable or “perfusing’’ heart rhythm. Defibrillation is effective only for
certain heart rhythms, namely ventricular fibrillation or pulse ventricular tachycardia, rather
than asystole or pulse electrical activity. CPR may succeed in inducing a heart rhythm that
may be shockable. In general, CPR is continued until the patient has a return of spontaneous
circulation (ROSC) or is declared dead, or until there is no rescuer physically able to continue
(CPR can be found exhausting).

Medical Uses:-

CPR is indicated for any person unresponsive with no breathing or only in occasionalagonal
gasps, as it is most likely that are in cardiac arrest. If a person still has a pulse but is not
breathing artificial respiration may be more appropriate, but due to the difficulty people have in
accurately assessing the presence or Absence of a pulse, CPR guidelines recommend that lay
persons should not be instructed to check the pulse, While giving healthcare professional the
option to cheek a pulse.
Effectiveness:-

CPR serves as the foundation of successful cardio pulmonary resuscitation , preserving the
body for defibrillation and advanced life support. Even in the case of a “non-shockable’’ rhythm,
such pulse less electrical activity(PEA) where defibrillation is not indicated effective CPR is no
less important.

Complications:-

• While CPR is a last resort intervention, without which a person without a pulse will all but
certainly die, the physical nature of how CPR is performed does lead to complications that
may need to be rectified. Common complications due to CPR are rib fractures, sterna
fractures, bleeding in the anterior mediastinum heart contusion,(15) Hemopericardium
upper airway complications, damage to the abdominal viscuslacearation of the liver and
spleen, fat emboli, pulmonary complication pneumothoarax, hemothoarx, lungs contusions.
• The most common injuries sustained from CPR are rib fractures with literature suggesting
an incidence between 13% and 97% and sterna fractures, with an incidence.
 PRESCRIPTION

A prescription, sometimes called doctor order, is a health-care program implemented by a

physician or other qualified health care practitioner in the form of instructions that govern the
plan of care for an individual patient, the term often refers to a health care provider written
authorization for a patient to purchase a prescription drug from a pharmacist.

Format and Definition:-

Prescriptions may be entered into an electronic medical record system and transmitted
electronically to a pharmacy, alternatively, a prescription may handwritten on preprinted
prescription from that are assembled into pads, or printed onto similar forms using a computer
printer.

R is a symbol meaning “prescription’’. It is sometimes transliterated as” R{x}’’ or just “Rx’’.

this symbol originated in medieval manuscripts as an abbreviation of the late Latin verb recipe,
the imperative from of recipe,” to take’’ literally, the Latin word recipe means simply
“take…..’’ and medieval prescriptions invariably began with the command to “take’’ certain
material and compound them in specified ways. Prescriptions are essential to our lives and
wellbeing. Without established prescription, there would be many medication errors from the
dispensing in pharmacies to the administration at home and in healthcare facilities.

Contents:-

Many brand name drugs have cheaper generic drugs substitutes that are therapeutically and
biochemically equivalent. Prescriptions will also contain instruction on whether the prescriber
will allow the pharmacist substitute a generic version of the drug. The instruction
communicated in a number of ways. Prescriptions often have a “label” box. When checked, the
pharmacist is instruction of label the mediation. When not checked, the patient only receives
instruction for taking the medication and no information about the prescriptions It self.
Figure no: 12 Actual Prescription
 TYPES OF INJECTIONS

Parental route:-
Parental route include injection
1. Intra muscular
2. Intra venous
3. Intra cardiac
4. Intra arterial
5. Intra{bone marrow}
6. Intra articular
7. Intra dermal
8. Subcutaneous route

Advantages:-
1. Parental route is rapid
2. It is useful for uncooperative patients
3. It is useful for unconscious patients
4. First pass effect is avoided
5. Bioavailability is 100%
6. Inactivation by GIT enzymes is avoided

Disadvantages:-
1. Skill is required
2. It is painful
3. This method is expensive
4. It is less safe
 PROBLEMES ENCOUNTER DURING THE TRAINING

There are different problems which I had faced during my training period:-
1. It was tough to handle children, as they were not cooperative throughout the treatment.

2. Most of the patients were illiterate, so they were unable to understand the how to use
medicine and used to forgot their doses.
3. If medicines were finished in the stock, immediate supply of the drug in the dispensary
was not there.
4. In emergency, patients were must to wear mask, but sometimes they did not used to
wear that, so difficulty in the treatment was there.
5. Patients used to think that the staffs are giving wrong medicines and wrong treatment.
6. Extended shifts and irregular hours lead to fatigue and burnout.
7. Sometimes managing a large number of patients and tasks can be overwhelming.
8. Sometimes miscommunication may lead to medical errors and compromise patient
care.
9. Sometimes there was shortage of essential resoureses, including equipment and
personnel.
10. I faced challenges in decision- making and autonomy.
11. Most of the patients were illiterate, so they were unable to understand the how to use
medicine and used to forgot their doses.
12. If medicines were finished in the stock, immediate supply of the drug in the dispensary
was not there.
13. In emergency, patients were must to wear mask, but sometimes they did not used to
wear that, so difficulty in the treatment was there.
14. Patients used to think that the staffs are giving wrong medicines and wrong treatment.
15. Extended shifts and irregular hours lead to fatigue and burnout.
16. Sometimes managing a large number of patients and tasks can be overwhelming.
17. Sometimes miscommunication may lead to medical errors and compromise patient
care.
18. Sometimes there was shortage of essential resoureses, including equipment and
personnel.
19. I faced challenges in decision- making and autonomy.
 SUMMERY

After 45 days of hospital training, I come to learn about how to dispense medicines to the
patient, how to inject injections to them, how to handle trauma and emergency cases. I also
learnt about dealing with hospital conditions like diseases of the patients, wards, staff
members, different departments, etc. Almost 150 of prescriptions were received by the
dispensary and we have to treat them with full hospitality services.

I have gained knowledge of floor auditing during my training at CHC Hospital, Bhojipura
Bareilly. Every patient's file has been reviewed to ensure that all the documents are
appropriately organised in accordance with NABH criteria. Whether they took the exam or
not, whether they passed their various classes or not, I also learned the "nursing educational"
portion. I conducted a time motion study in the dialysis unit to determine the average patient
stay time, the time it took the technician to prime the machine and the nurses to dress the
patient.

I also had the opportunity to work in other hospital departments, where I gained valuable
knowledge. I first learned to assess the patient before prescribing the appropriate medication
in accordance with his disease.

I can apply my knowledge in the medical field because I received my hospital training from
CHC Hospital . For instance, if I'm stationed in a rural area and there isn't a doctor available
when the patient needs help, I'll be able to manage the situation by providing the patient with
the necessary care right away.

Another thing I discovered during my training was the entirety of the hospital's process,
from the patient's admission to their treatment.
 WORK PROFILE

During my hospital training, I in gaped in various responsibilities and task the contributed to
my professional development in the health care sector. My work primary involved shadowing
experienced health care professionals, including doctors, nurses and other medical staff, to gain
hands on experience and practical insights in to the daily operation of a hospital.

I actively participated in patient care activities, such as taking vital signs, assisting with basic
medical procedures, and providing support to patients and their families. This hand –on
experience helped me develop a strong understanding of medical practices and enhanced my
clinical skills.

Over all, my hospital training provided me with a well- rounded experience, combining
practical skill theoretical knowledge, and a compassionate approach to patient care, all of
which are essential elements for a successful career in the healthcare field. I worked in two
shifts during my training period. One in day and the other in the night .

I worked in Emergency (OPD) and dispensing departments one by one to gather knowledge
and skills of all them. I learned social skills along with the working skills to interact nicely with
the patients and their guardians. In my working area, I used to be too friendly with the staff and
the patients making it easier for me to my training in a very excitement way.

Duty Time:- 10:00 PM to 3:00 PM

 CONCLUSION

In conclusion my hospital training was a comprehensive and enriching experience that

significantly contributed to my growth in the healthcare filed. Throughout the training period
I actively engaged in a variety of tasks, from assisting in medical procedure to observing and
learning from experienced healthcare professionals.

The hands- on nature of the training allowed me to develop practical skills and a deeper
understanding of clinical practices. I gained valuable insights into different department of the
hospital. Broadening my knowledge and appreciation for the diverse aspects of healthcare

One of the most important aspects of my training was the emphasis on effective
communication and collaboration with a multidisciplinary team. Working alongside doctor,
nurse and other healthcare professionals highlighted the significance of teamwork in providing
optimal patient care.

Overall, my hospital training was a pivotal step in my professional journey. It equipped me

with practical skills, theoretical knowledge, and a compassionate approach to healthcare. I am
grateful for the opportunities, challenges, and mentorship that have shaped me into a more
competent and empathetic healthcare professional.