Gynecology OPD

Every Monday to Saturday from 8:30 am -12.30 pm, OPD registration paper issued from 7.30 am-10.30 am at counter no.16.
OT diary and histopathology reports file has been brought.
Cytologist is present, and if not, is called.
OPD paper is checked if of respective unit or any other unit.
Old / new registration paper
If old check for stamp of date
OPD REGISTERATION PAPER- FIRST VISIT
Take detailed history in the outside hall
Room No. 6: pass urine
Room No. 5: Pap Smear ( for new patients)-except for unmarried and pregnant patient.
For old patients, trace pap smear.
Room No - 1: to collect blood investigation reports, height and weight if required.
The following items are available in the examination room.
Sterile instruments
Sterile gloves
Cetrimide solution
Cotton
Servant
Draw sheet
Light
Examination
General examination
Systemic examination
Per abdomen
Local examination of the genitals
Per vaginal examination
Provisional Diagnosis is made.
Symptomatic treatment is given.
Investigations are advised.
Next follow up date and day are given.
Prescription is given of drugs not available in hospital.
Investigation forms are given in the outside hall.
If admission required,
The patient and relatives are counseled for admission to ward 15/15A / PPS.
The relative are asked to make admission paper from 17-18 number
The relatives are given directions about where to go.
SUBSEQUENT VISIT
Patient for operative procedure
All investigation are checked.
Pap smear and endometrial aspirate report are checked.
Fitness for anesthesia are checked.
References are made for co-morbidity.
Appointment for admission is given based on the last menstrual period either premenstrually or postmenstrually.
The patient’s name and phone number are entered in the OT diary.
PATIENT FOR MEDICAL LINE OF MANAGEMENT
Reports of advised investigations are checked.
Pap smear report is checked.
Response to treatment is checked. Treatment is changed if there is no response.
PATIENT TO BE REFERRED TO RECEIVING ROOM FOR ADMISSION IN EMERGENCY UNIT (FIRST VISIT ONLY)
Patient is examined by an Assistant Professor or higher officer
Indication for such a transfer is confirmed
Inevitable abortion: os open, products felt, passage of excessive blood and/or blood clots
Ruptured ectopic pregnancy
Obstetric hemorrhage
Placenta previa
Abruptio placentae
Vesicular mole with bleeding
Labor
Obstetric emergency
Eclampsia
Uterine rupture