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