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Hospital
Hospital in the state.
Hospital Skills

What should you know about a hospital in the state?

Healthcare / Hospital Administrator Skills

Annotation or definition.

A–Z alphabetical listing of human health emergency symptoms and signs.

A–Z alphabetical listing of human health emergency diagnoses and treatment.

All human symptoms and signs.

All human diseases and medical conditions.

Airway Management

Criminal Offences

Critical Care

Discharge instructions for emergency department patients: what should we provide?

Doctor’s evaluation in medical emergency room.

Documents relevant to a hospital.

Duties of a medical doctor in a medical emergency room. Duties of a nurse in a medical emergency room. Duties of emergency medical responder. Duties of a technician in a medical emergency room.

Emergency Medical Department in a hospital in the state.

Electronic medical records

Forcibly removing a patient from a hospital is a criminal offence.

Guideline for Reforming Hospitals at Regional and District Levels

Hospitals by state, islands, continents.

Hospitalist

Hospital setting./Patient History Questions

Internet Human Health Care Services

Instruction on discharge

Labor, delivery, and recovery rooms

Medical Emergency Room

Medico legal case

On-the-spot diagnosis and treatment

Operating Rooms of the Future

Physicians training programs

Questions the state director of health needs to answer.

Recommendations for replacement of executive staff of specific hospital in or outside the state for better services.

Teaching resources for staff. You can count www.qureshiuniversity.com your teaching resources.

Statistics of hospitals in the state

Staff relevant to a hospital in a state

Structure of hospital building in the state

Annotation or definition.

What is a hospital? A hospital usually has a combination of emergency room services, critical care unit, operating room, ambulatory care, laboratory, and X-rays. What department in the state supervises every hospital in the state? Every hospital in the state is supervised by the state department of health. The state department of health is responsible for the ongoing surveillance of acute and primary care facilities in the state to assure compliance with the Public Health Law. In some states, this is known as to assure compliance with Article 28 of the Public Health Law.

Forcibly removing a patient from a hospital is a criminal offence.

What should physicians and administrators in or outside the state know about patient care? Forcibly removing a patient from a hospital is a criminal offence. Depending on harms, criminal charges will proceed. Here are further facts.

How do you find out about the health of others through the Internet? I need to know about the well-being and health of Doctor Zakia in Medina. I am concerned about Doctor Zakia’s well-being in Medina. I would like to know about her well-being. How is Doctor Zakia’s physical and mental health? What types of help does she need for her physical health or mental health or any other issues? What issues would she mention from year 1999 up to now that have harmed or troubled her? Has the government approved and made available what she needs for survival? Doctor Zakia: What issues are troubling you at this point? How can Doctor Asif Qurehsi help her? Doctor Zakia, if you need Doctor Asif Qureshi, call (773) 561-6102 in Chicago, Illinois, North America. Email admin@qureshiuniversity.com Further facts are at www.qureshiuniversity.com and www.qureshiuniversity.com/medina.html

Questions the state director of health needs to answer.

How many total hospitals are there in the state? What are the mailing addresses of all hospitals in the state? How many hospital staff training resources are there in the state? Where is the location of such training resources for hospital staff in the state?

Staff relevant to a hospital in a state

What hospital staff is essential for a hospital in the state? For whom are these training programs meant in the state or outside the state around the world?

Teaching resources for staff. You can count www.qureshiuniversity.com your teaching resources.

Medical superintendent of a hospital

Emergency room physician

Emergency medical room

Physicians training programs What are the types of physicians? Physician primary care Physician intensive care unit Physician medical emergency room Physician medical emergency responder Physician surgeon medical emergency Physician surgeon elective surgery Physician anesthetist medical emergency Physician guide to physician or physicians Physician hospitalist (Takes care of hospital ward patients) Physician forensic psychiatry Physician Forensic Pathology Physician guide to other physicians through Internet

Primary care physician

Physician hospitalist (Takes care of hospital ward patients)

Engineer for maintenance and repairs of building

Medical records technician

Anesthesiologist Cardiologist Dentist Dermatologist Emergency medicine specialist (first responder) Emergency medicine specialist (medical emergency room) Endocrinologist Forensic pathologist Forensic psychiatrist Gastroenterologist Geriatrician Gynecologist Hospitalist in hospital ward Intensivist Internet human healthcare specialist Medical superintendent in the state Nephrologist Neurologist Obstetrics & gynecology specialist Oncologist Ophthalmologist Orthopedician Palliative Care Services Pediatric hospitalist Physical medicine & rehabilitation specialist Physician-surgeon Primary care physician Psychiatrist Public health specialist Pulmonologist Resident Services case manager in the state. Radiologist and nuclear medicine specialist. Stress Counselor Allied health workers guidelines What are examples of allied health workers? Here are further guidelines. There are many more. Here are further facts. http://www.qureshiuniversity.com/medicalemergencyroom.html

Structure of hospital buildings in the state

What should you at least know about the structure of hospital buildings in the state? What are the mailing addresses of hospitals in the state? How many floors are there in each building? What are the specifications of the building of the hospital?

Physician hospitalist (Takes care of hospital ward patients)

What should be directives for all physician hospitalists (takes care of hospital ward patients)? You must participate in enhancing services of physician primary care, physician medical emergency room, physician medical emergency responder, and physician Internet human healthcare at least. Yearly monitoring, review must go ahead for all physician hospitalists (takes care of hospital ward patients) relevant to these services elaborated: physician primary care, physician medical emergency room, physician medical emergency responder, and physician Internet human healthcare. Termination of physician hospitalists (takes care of hospital ward patients) who do not enhance physician primary care, physician medical emergency room, physician medical emergency responder, and physician Internet human healthcare Services. What should a physician know offering healthcare services in various human healthcare setting? You have to make a human being live happily more than 90 years of life. Here are further guidelines.

Statistics of hospitals in the state

What should you know about various hospitals in various states or locations? Is it necessary to have a big building to establish a hospital? What minimum requirements should be met to establish a hospital? How is a hospital established? What is a hospital? Who is program targeted at? Do all patients need to be diagnosed and treated at a hospital? In which locations can patient get admitted into a hospital? What types of patients are admitted, diagnosed, and treated at a hospital? How can admission to a hospital be prevented? What types of patients get admitted and are treated in ER, OT, ICU, and hospital wards and need OPD or Internet healthcare? What are essential rooms and locations in a hospital? Is there a difference between a clinic and a hospital OPD? Is there a difference between a clinic and a hospital? What is the difference between a clinic and a hospital? How are hospitals categorized? What is the profile of the hospital? Does the hospital have rooms and services listed? What are the types of hospitals? What is the most important requirement of a hospital? What is a teaching hospital? What are the different types of hospital equipment? What should be available to medical doctors working with a hospitalized patient? What is the profile of the patient? What brings patients to the hospital? What problems, complaints, symptoms, signs, and issues bring patients to the hospital? What are the duties of the director of a hospital or one in charge of a health care facility? What are the duties and responsibilities of the state director of health?

What should you know about various hospitals in various states or locations? All hospitals are state hospitals. Is it necessary to have a big building to establish a hospital? No. What minimum requirements should be met to establish a hospital? Emergency room services (medical) Critical care unit Operating room Internet human health care resources. This can be established on the ground floor (road level) of a building. In America, the ground floor (road level) is considered as the first floor. Three rooms with 600 square feet each, with equipment and required staff, is enough to establish a hospital on an emergency basis. How is a hospital established? A hospital is established as per the need of the community. What is a hospital? What minimum requirements should be met to establish a hospital? Emergency room services (medical) Critical care unit Operating room Internet human health care resources. Here are further guidelines. Take a look at various medical equipment. All such equipment is available for a medical doctor in a hospital. Who is program targeted at? Medical Doctor Career Medical Officers (CMOs) and Multi-skilled Medical Officers (MMOs) Senior Resident Medical Officers (SRMOs) Hospitalists Casual medical staff Program aims and outcomes The aim is to provide structured training and professional development. The outcomes of these will be improved and maintained competency. Evidence of participation in a structured program like this will assist employers with credentialing and the determination of clinical privileges. In the longer term, the program may include mandatory requirements for completion and or assessment, enabling more robust credentialing. Do all patients need to be diagnosed and treated at a hospital? No, they don’t. In which locations can patient get admitted into a hospital? ER ICU Operation room Ward What types of patients are admitted, diagnosed, and treated at a hospital? Out of more than 7000 medical conditions, only 100 medical conditions are admitted and treated at a hospital. The location of patient admission within a hospital can be at the ER, ICU, Operation room, or Ward. An Opd/Internet consultation can be there. How can admission to a hospital be prevented? Admissions to a hospital can be prevented through quality Internet healthcare and primary healthcare. What types of patients get admitted and are treated in ER, OT, ICU, and hospital wards and need OPD or Internet healthcare? ICU: 18 medical conditions ER: 30 medical conditions OT: 22 medical conditions Ward: 30 medical conditions OPD or Internet healthcare: 6000 medical conditions. Total: 7000 human medical conditions. What are essential rooms and locations in a hospital? ER ICU Operation room Ward Medical records Laboratory Building maintenance services 50 rooms with different functions are required for a teaching hospital. Is there a difference between a clinic and a hospital OPD? No, there is not. Is there a difference between a clinic and a hospital? Yes, there is. What is the difference between a clinic and a hospital? www.qureshiuniversity.com/hospital.html How are hospitals categorized? Number of beds. Types of services. What is the profile of the hospital? Does the hospital have rooms and services listed? What are the types of hospitals? Specialized hospital General hospital Teaching hospital Clinics (usually affiliated with one of the hospitals) A hospital provides healthcare that cannot be completed via Internet healthcare or in a clinic or doctor’s office. A hospital has more high-tech equipment and staff than physicians’ offices. What is the most important requirement of a hospital? Quality of medical doctors. High-tech equipment. What is a teaching hospital? What are the different types of hospital equipment? What should be available to medical doctors working with a hospitalized patient? What is the profile of the patient? What brings patients to the hospital? What problems, complaints, symptoms, signs, and issues bring patients to the hospital?

Health care guidelines for hospital faculty and postgraduates.

Hospital Ward

Ambulatory care settings

What are the duties of the director of a hospital or one in charge of a health care facility?

What are the duties and responsibilities of the state director of health?

Patient History Questions

What types of illnesses are treated at the State Hospital? What kinds of treatment are provided at the hospital? What is the difference between the services provided by the regional human service centers and those provided by the State Hospital? Do most patients admitted to the State Hospital stay for a long period of time? What is the leadership structure of the hospital? How are consumers included or involved in planning or decision-making? Health care and hospital administration. Guidance for Hospital Administration, Hospital Faculty Hospital Emergency Management Hospital Admissions Hospital Blood Transfusion Services Hospital Quality and Safety Hospital Medical Records Hospital Human Resources Hospital Departments Hospital History and Physical Hospital Medical malpractice Hospital Follow Up Visits Hospital Supplies/Purchasing Department Hospital Materials Management Hospital Controlled Substance Hospital Laundry Services Hospital Kitchen Services Hospital Laboratories Hospital Pharmacy Hospital Critical Care Unit Hospital Labor rooms Hospital Operating Rooms Hospital Operative Reports Hospital Staffing Effectiveness Hospital Phone Calls, Emails Hospital Absence Policy Hospital Libraries Hospital Electricity system Hospital Emergency light system Hospital Water supply (plumbing) system/boiler Hospital Fire fighting system Hospital Elevator system Hospital Escalator system Hospital Gas service system Hospital Monitoring system Hospital Janitorial system Hospital Transportation and Parking Hospital Laundry System Hospital Vending machine System Hospital Sewage system Hospital Telephone system Hospital Cooling/heating system Hospital Wifi system/Dish Hospital Stairs Hospital Lounge Hospital Work places Hospital Autoclaves Hospital Video Surveillance Hospital Incinerator Hospital Online Resources

Hospitals

Nonemergency medical services (Primary care physician training program)

Emergency Medical Services

Training programs for various physicians and their subordinates.

State department of health administrative services.

State department of public health.

Allied health workers guidelines

Pharmacist

Internet guidelines for patient.

Medical Supplies and Equipment

Mental Health

Emergency Medical Department in a hospital in the state.
Guidelines for Emergency Department

What are other names for Emergency medical Department in a hospital in the state? Emergency medical room (also called medical emergency room) Emergency room Emergency department Emergency Emergency health department Emergency medicine Comprehensive emergency medical services - physician on duty What does the signage of an emergency medical department in a hospital in the state look like? Take a look at this. What should a guide or director of the emergency medical department in a hospital in the state know? A–Z alphabetical listing of human health emergency symptoms and signs. A–Z alphabetical listing of human health emergency diagnoses and treatment. All human symptoms and signs. All human diseases and medical conditions. Documents relevant to a hospital Emergency medical department in a hospital in the state ideal dimensions and construction. Emergency Medical Services Emergency medical room (also called Medical emergency room) Emergency Diagnosis Code Emergency Diagnosis and Treatment Staff relevant to emergency medical department in a hospital in the state. Emergency medical room supplies. Medical emergencies relevant to medical emergency room. If others worldwide do not know, they can procure these resources from Doctor Asif Qureshi, founder of Qureshi University. Who all among the staff of an emergency medical department in a hospital in the state? You guide, Doctor Asif Qureshi, guides from a distance, for example www.qureshiuniversity.com/hospital.html Responsibilities of the director of an emergency medical department in a hospital in the state. Physicians medical emergency room EMS director Research director, assistant chair Physicians medical emergency room Physician assistants Nurses medical emergency room Patient care assistants Unit coordinators Patient service representatives Patient registrars Others Medical emergencies relevant to medical emergency room. Why has medical emergencies relevant to a medical emergency room been mentioned? Some medical emergencies have to be diagnosed and treated on the spot. Some medical emergencies have to be treated in a critical care unit after diagnosis and treatment on the spot or a medical emergency room or at home. Emergency medical department in a hospital in the state ideal dimensions and construction. What should be the ideal dimensions and construction of an emergency medical department in a hospital in the state? Dimensions should be to accommodate at least 12 medical emergency room beds. This also depends on the location, adjacent population and projected patient visits the medical emergency room has to serve. What do every hospital in the state and outside the state need? Physician guidelines. Medical students guidelines. Where are guidelines for physicians? All these guidelines are possible nowadays through the Internet, for example http://www.qureshiuniversity.com/physician.html Hospital building is constituted once depending on the needs of community. Guidelines for physicians have to be established separately.

Here are further guidelines.

Here are further guidelines.

Documents relevant to a hospital.

Hospital forms in the state.

Medical emergency room form.

Hospital patient admission record file.

Discharge from a hospital document.

Primary care physician consultation form.

Medical records.

Prescription from a physician document.

Other forms relevant to patient.

Medical emergency room patient form.

When does a patient need a medical emergency room patient form? If a patient walks in medical emergency room for medical consultation, he or she needs a one-page medical emergency room patient form. If a patient is referred to medical emergency room before admission to the hospital, a patient medical emergency room form is required. How does a patient medical emergency room form look? One-page document, to be filled in by the patient or legal guardian or medical emergency room desk clerk. What is the name of the patient? ________________________________ What is the date of birth of the patient? ________________________________ What is the mailing address of the patient? ________________________________ How long have you stayed at this location? ________________________________ What are the reasons for consultation? ________________________________ To be filled in by the physician medical emergency room: > What seems to be the issue? ________________________________ A physician will ask more questions relevant to chief or main complaint and then answer these questions. What is the diagnosis for this patient? ________________________________ What is the treatment plan for this patient? ________________________________ What best describes the treatment plan for this patient? At-home treatment. Admission to the hospital in ward treatment. Admission to the hospital or intensive care unit. In case of any surgical recommendations, get second and third consultation immediately from supervisors before any surgical recommendations. If patient needs admission to the hospital, a hospital patient admission form is required. This contains all the facts relevant to the patient and treating physician. Hospital patient admission record file. How does a hospital patient admission record file look? ________________________________ A hospital patient admission record file is many pages file compared to the one-page medical emergency room form. Components of a hospital medical record What are the components of a hospital medical record in the state? ________________________________ Components of a hospital medical record that has been printed or is on a computer system. Physician’s components of medical records. Components of a hospital medical record that has been printed or is on a computer system. These are the files that a patient is assigned upon admission to hospital. If the patient is admitted via emergency room, he/she first usually gets medical emergency card that is a one-page card. Sometimes, direct admission to hospital is required. After a physician decides on admission to hospital, the patient gets a hospital medical record. In some hospitals in the state, this is called an MRD file with an MRD number. Physician’s components of a hospital medical record. A physician must have various headings and questions in his or her database that are required from time to time to be included in patient medical records. Take a look at this. http://www.qureshiuniversity.com/medicalrecord.html Physician’s Components of Medical Records. These are questions every physician must have. Components of hospital medical record of a person. Identification sheet History and physical examination records Consent forms Physician’s treatment plan for the resident or patient Physician’s progress records Physician’s order sheets Laboratory reports Consultation reports Discharge summary Hospital discharge document. Hospital discharge document and prescription from a physician: Is there a difference? Yes. What is the difference between a hospital discharge document and prescription from a physician? Take a look at this. Discharge from a hospital document. http://www.qureshiuniversity.com/erInstructionondischarge.html Take a look at this. Prescription from a physician document. http://www.qureshiuniversity.com/prescription.html

Recommendations for replacement of executive staff of specific hospital in or outside the state for better services.

Where must replacement of executive staff of hospital in or outside the state go ahead for better services around the world? Address: Weiss Memorial Hospital 4646 N Marine Dr, Chicago, IL 60640, North America, December 27, 2015 recommendations. Swedish Covenant Hospital 5145 N California Ave Chicago, IL 60625, North America, December 27, 2015 recommendations. King Fahed Hospital Medina al Munawara, Asia, December 27, 2015 recommendations. Skims Soura Srinagar, Kashmir, Asia December 27, 2015 recommendations. SMHS Srinagar, Kashmir, Asia December 27, 2015 recommendations. Who must ensure immediately within days the replacement of executive staff of specific a hospital in or outside the state for better services? State department of health of location of the hospital. State department of human services of location of the hospital. State department of law of specific location of hospital. World military. Other relevant departments in the state and outside the state.

Hospitals by state, islands, continents.
Hospitals in the state and outside the state.

What are examples of various hospitals in various states, islands, and continents around the world? Take a look at this. North American states Asian states Africa states Australian states Latin American states Islands relevant to these issues. What are examples of various states in various continents around the world? North American States Alabama (AL) Alaska (AK) Arizona (AZ) Arkansas (AR) Alberta (AB) British Columbia (BC) California (CA) Colorado (CO) Connecticut (CT) Delaware (DE) Florida (FL) Georgia (GA) Hawaii (HI) Idaho (ID) Illinois (IL) Indiana (IN) Iowa (IA) Kansas (KS) Kentucky (KY) Louisiana (LA) Maine (ME) Maryland (MD) Massachusetts (MA) Michigan (MI) Minnesota (MN) Mississippi (MS) Missouri (MO) Montana (MT) Manitoba (MB) Mexico (MX) Nebraska (NE) Nevada (NV) New Hampshire (NH) New Jersey (NJ) New Mexico (NM) New York (NY) North Carolina (NC) North Dakota (ND) New Brunswick (NB) Newfoundland and Labrador (NL) Northwest Territories (NT) Nova Scotia (NS) Nunavut (NU) Ohio (OH) Oklahoma (OK) Oregon (OR) Ontario (ON) Pennsylvania (PA) Prince Edward Island (PE) Quebec (QC) Rhode Island (RI) South Carolina (SC) South Dakota (SD) Saskatchewan (SK) Tennessee (TN) Texas (TX) Utah (UT) Vermont (VT) Virginia (VA) Washington (WA) West Virginia (WV) Wisconsin (WI) Wyoming (WY) Yukon (YT) Asian States Albania Andorra Armenia Austria Azerbaijan Arkhangelsk Oblast Anhui Province Afghanistan Assam Arunachal Pradesh Andhra Pradesh Andaman and Nicober Islands Balochistan Bahrain Bangladesh Belarus Belgium Bhutan Bihar Brunei Bosnia and Herzegovina Bulgaria Chechnya Croatia Cyprus Czech Republic Cambodia Chukotka Autonomous Okrug Chhattisgarh Daman and Diu Dadra and Nagar Haveli Dagestan Denmark England Estonia East Timor Finland Fujian Province France Gujarat Goa Georgia Germany Gibraltar Greece Gansu Province Guangdong Province Guangxi Province Guizhou Heilongjiang Hong Kong Hubei Hainan Province Henan Province Hunan Province Himachal Pradesh Hungary Inner Mongolia Indonesia Iran Iraq Iceland Ireland Italy Japan Jeddah Jiangxi Province Jordan Jiangsu Jiangxi Jilin Jharkhand Kashmir Karnataka Kerala Kazakhstan Korea - North Korea - South Kyrgyzstan Kuwait Kaliningrad Oblast Lakshadweep Latvia Liechtenstein Lithuania Luxembourg Laos Lebanon Liaoning Province Liaoning Manipur Mizoram Maharashtra Madhya Pradesh Meghalaya Malaysia Maldives Magadan Oblast Mongolia Myanmar Macedonia Malta Medina Mecca Moldova Monaco Montenegro NCT of Delhi Nagaland Netherlands Northern Ireland Norway Ningxia Nepal Oman Orissa Puducherry Punjab Peshawar Philippines Poland Portugal Palestine Qinghai Province Qinghai Qatar Rajasthan Romania Sikkim Syria Sindh Singapore Sri Lanka Scotland Serbia Slovakia Slovenia Spain Sweden Switzerland Shaanxi Province Shandong Shanxi Sichuan Taiwan Tajikistan Thailand Tibet Tripura Tamil Nadu Turkey Turkmenistan Ukraine Uzbekistan Uttarakhand United Arab Emirates Uttar Pradesh Vietnam Vatican City Wales West Bengal Xinjiang Yunnan Yamalia Yemen Yamalo-Nenets Autonomous Okrug Zhejiang Africa Algeria Angola Burundi Benin Burkina Faso Botswana Cape Verde Côte d'Ivoire Comoros Cameroon Central African Republic Chad Canary Islands Ceuta Democratic Republic of the Congo Djibouti Egypt Eritrea Ethiopia Equatorial Guinea Gabon Gambia Ghana Guinea Guinea-Bissau Kenya Liberia Libya Lesotho Madagascar Malawi Mauritius Mayotte Mozambique Mali Mauritania Madeira Melilla Morocco Niger Nigeria Namibia Réunion Rwanda Republic of the Congo São Tomé and Príncipe Saint Helena Senegal Sierra Leone Seychelles Somalia South Africa Swaziland South Sudan Sudan Tanzania Togo Tunisia Uganda Western Sahara Zambia Zimbabwe Australia Northern Territory South Australia Queensland New South Wales Victoria (Australia) Western Australian Tasmania New Zealand Latin Acre (Asif Province) Alagoas Amapá Amazonas Bahia Buenos Aires Province Ceará Chubut Province Córdoba Province Goiás Bolivia Chile Colombia Ecuador Falkland Islands French Guiana Guyana Paraguay Peru Río Negro Santa Cruz Santa Fe Province Salta Province South Georgia Suriname Uruguay Venezuela

Hospital Statistics by State
Last Updated: December 21, 2015

State	Number Hospitals	Staffed Beds	Total Discharges	Patient Days
AK - Alaska	12	1,209	43,886	217,767
AL - Alabama	92	16,166	558,006	2,730,493
AR - Arkansas	49	7,698	306,888	1,350,951
AS - American Samoa	1	0	0	0
AZ - Arizona	76	13,657	621,112	2,617,211
CA - California	349	75,723	3,047,052	13,982,504
CO - Colorado	53	8,128	368,596	1,639,591
CT - Connecticut	34	9,244	376,127	1,810,001
DE - Delaware	8	1,948	95,113	441,072
FL - Florida	215	54,576	2,405,054	11,343,140
GA - Georgia	115	21,886	874,350	4,310,081
GU - Guam	2	201	9,421	38,176
HI - Hawaii	14	2,391	90,772	516,931
IA - Iowa	41	6,511	260,207	1,160,059
ID - Idaho	18	2,422	107,073	432,242
IL - Illinois	141	30,896	1,276,344	5,748,423
IN - Indiana	98	16,125	643,667	3,018,620
KS - Kansas	59	6,614	256,171	1,133,263
KY - Kentucky	75	13,742	526,538	2,576,363
LA - Louisiana	112	15,713	515,291	2,484,365
MA - Massachusetts	80	15,387	725,521	3,481,466
MD - Maryland	52/DC 8	11,433/DC 2,712	631,167/DC 107,162	2,983,430/DC 598,977
ME - Maine	21	2,975	115,187	532,502
MI - Michigan	107	23,707	1,065,928	4,823,237
MN - Minnesota	56	10,563	462,549	2,054,967
MO - Missouri	89	17,282	678,458	3,116,974
MP - Northern Mariana Islands	1	74	3,867	19,017
MS - Mississippi	70	10,762	329,458	1,569,355
MT - Montana	16	2,371	72,788	321,818
NC - North Carolina	108	22,521	962,782	4,531,796
ND - North Dakota	10	2,013	73,224	329,299
NE - Nebraska	30	4,545	172,772	782,714
NH - New Hampshire	14	2,206	95,418	449,414
NJ - New Jersey	73	20,773	930,587	4,490,337
NM - New Mexico	37	4,227	171,265	753,380
NV - Nevada	27	5,179	251,285	1,227,367
NY - New York	198	57,504	2,126,755	11,669,656
OH - Ohio	148	28,531	1,244,593	5,568,232
OK - Oklahoma	102	11,011	402,795	1,892,694
OR - Oregon	37	6,158	301,111	1,296,904
PA - Pennsylvania	180	37,384	1,509,161	7,057,788
PR - Puerto Rico	54	8,431	386,081	2,254,769
RI - Rhode Island	12	2,553	107,701	508,618
SC - South Carolina	65	11,892	462,756	2,292,783
SD - South Dakota	26	2,782	90,381	392,964
TN - Tennessee	115	20,351	777,051	3,705,188
TX - Texas	382	58,759	2,430,077	11,709,220
UT - Utah	36	4,698	201,293	801,557
VA - Virginia	94	19,088	693,930	3,409,767
VI - Virgin Islands	2	219	7,015	43,870
VT - Vermont	7	821	35,790	171,032
WA - Washington	63	10,213	540,800	2,307,103
WI - Wisconsin	76	11,575	494,520	2,165,973
WV - West Virginia	36	6,286	220,392	1,070,828
WY - Wyoming	13	1,183	34,401	124,391
T O T A L	4,009	763,019	31,297,689	148,060,640

Guideline for Reforming Hospitals at Regional and District Levels
Arrange a computer Internet connection.
How many total computers are connected to the World Wide Web?
What is the difference between Level 1, Level 2, and Level 3 hospitals?

Emergency and Essential Surgical Procedures Hospital Level Level 1 Small hospital / health centre Level 2 District/provincial hospital Level 3 Referral hospital Procedures Personnel Drugs Equipment: capital outlay Equipment: disposable Level 1 Small hospital / health centre Rural hospital or health centre with a small number of beds and a sparsely equipped operating room (O.R) for minor procedures Provides emergency measures in the treatment of 90–95% of trauma and obstetrics cases (excluding caesarean section) Referral of other patients (for example, obstructed labour, bowel obstruction) for further management at a higher level Procedures Normal delivery Uterine evacuation Circumcision? Hydrocele reduction, incision and drainage Wound suturing Control of haemorrhage with pressure dressings Debridement and dressing of wounds Temporary reduction of fractures Cleaning or stabilization of open and closed fractures Chest drainage (possibly) Drugs Ketamine 50 mg/ml injection, 10 ml Lidocaine 1% or 2% [Diazepam 5 mg/ml injection, 2 ml]injection Pethidine 50 mg/ml injection, 2 ml] [Epinephrine (adrenaline)] 1 mg [Atropine 0.6 mg/ml] Level 2 District/provincial hospital District or provincial hospital with100– 300 beds and adequately equipped major and minor operating theatres Short term treatment of 95–99% of the major life threatening conditions Procedures Caesarean section Laparotomy (usually not for bowel obstruction) Amputation Hernia repair Tubal ligation Closed fracture treatment and application of plaster of Paris Eye operations, including cataract extraction Removal of foreign bodies: e.g. in the airway Emergency ventilation and airway management for referred patients such as those with chest and head injuries Drugs Thiopental 500 mg/1g powder Suxamethonium bromide 500 mg powder Atropine 0.5 mg injection Epinephrine (adrenaline) 1 mg injection Diazepam 10 mg injection Halothane 250 ml inhalation [Ether 500 ml inhalation] Lidocaine 5% heavy spinal solution2 ml Bupivacaine 0.5% heavy or plain, 4 ml] Pethidine 50 mg injection [Hydralazine 20 mg injection] Frusemide 20 mg injection Dextrose 50% 20 ml injection Aminophylline 250 mg injection Ephedrine 30/50 mg ampoules Level 3 Referral hospital A referral hospital of 300–1000 or more beds with basic intensive care facilities. Treatment aims are the same as for Level 2, with the addition of: Ventilation in O.R and ICU Prolonged endotracheal intubation Thoracic trauma care Haemodynamic and inotropic treatment Basic ICU patient management and monitoring for up to 1 week : all types of cases, but with limited or no provision for: - Multi-organ system failure - Haemodialysis - Complex neurological and cardiac surgery - Prolonged respiratory failure - Metabolic care or monitoring Procedures Facial and intracranial surgery • Bowel surgery • Paediatric and neonatal surgery • Thoracic surgery • Major eye surgery • Major gynaecological surgery, e.g. vesico-vaginal repair Drugs Vecuronium 10 mg powder Pancuronium 4 mg injection] Neostigmine 2.5 mg injection Trichloroethylene 500 ml inhalation] Calcium chloride 10% 10 m injection Potassium chloride 20% 10 ml injection for infusion Equipment: capital outlay Same as Level 2 with the following additions (one of each per O.R or per ICU bed, except where stated): Pulse oximeter, spare probes, adult and paediatric* ECG (electrocardiogram) monitor* Anaesthesia ventilator, electric power source with manual override Infusion pumps (2 per bed) • Pressure bag for IVI Electric sucker Defibrillator (one per O.R / ICU) [Automatic B.P. machine*] Capnograph*] [Oxygen analyzer*] Thermometer [temperature probe*] Electric warming blanket Electric overhead heater Infant incubator Laryngeal mask airways sizes 2, 3, 4 (3 sets per O.R) intubating bougies, adult and child (1 set per O.R) It is preferable to buy combined modalities all in one unit Equipment: disposable Same as Level 2 with the following additions: ECG dots Ventilator circuits Yankauer suckers Giving sets for IVI pumps Disposables for suction machines Disposables for capnography, oxygen analyzer, in accordance with manufacturers’ specifications: - Sampling lines - Water traps - Connectors - Filters– Fuel cells

Last Updated: March 13, 2017