BPKMCH | ANNUAL REPORT - 2018
DAY CARE UNIT
Introduction
With the mot ve of providing chemotherapy service, Day care center was established in 1996 A.D. (2052/O6/25 B.S.).
At the beginning, services like blood transfusion, pain management, informat on educat on and communicat on
services along with several community visits (School and industries) were provided with chemotherapy service.
It is one of the main service centre for cancer pat ents from all over the world, Mainly focused on chemotherapy
and symptom management.
Day care center being one of the major units of oncology department, runs services with 35 beds (33 general and 2
procedure beds) in well facilitated air condit on room. It provides 12 hours services from Sunday to Thursday (7am
to 7 pm), Friday (7am to 5pm) and Saturday and public holidays (7am to 2pm) Services are provided to the pat ents
treated by different departments like Medicine, Radiat on, Pediatrics and Surgery. It mainly focuses on the holist c
approach for the care of pat ents receiving chemotherapy by providing safe, cooperat ve and sound environment.
We provide services like pat ents and family counseling, symptom management and peripherally inserted central
catheter (PICC) and Port care like dressing and flushing. Day care centre has been making its effort on helping
pat ent and their family financially through cost-effect ve, affordable and accessible treatment with support of
hospital. In average 40 to 50 pat ents are receiving the services on daily basis. The object ves of this unit are to
provide prompt treatment in day basis to the pat ents who do not need hospital stay and prompt management of
side effects of therapy and provision of support ve care to the needy pat ents.
Services
Assessment of pat ents about their condit on, blood report including other reports.
Counseling to the pat ents and their family members regarding the informat on about chemotherapy treatment,
its side effects and importance about maintaining personal hygiene, nutrit on and psychological assurance.
Pat ent preparat on along with their families including informat on about the treatment durat on, cost and
informed consent.
Preparat on of chemotherapeut c drugs and its infusion through different routes.
Disposal of used supplies and unused drugs.
Extravasat ons management.
Spill management.
Symptomat c management. (Before, during and afer administrat on of cytotoxic drugs)
Peripherally inserted central catheter (PICC) and port care like dressing and flushing.
Documentat on and record-keeping of number of cases receiving chemotherapy and other cases.
Table 1: Services Provided by Day Care Unit in the Year 2018
Radiaton On-
Surgical On-
Others / Sup-
Follow-up Chemo-
Medical Oncology
Paediatric Oncology
New Chemotherapy
Months
cology
cology
portve Care
therapy
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
January
255
472
727
180
124
304
71
129
200
9
1
10
3
5
8
50
91
141
465
635
1100
February
233
463
696
169
105
274
66
146
212
10
3
13
2
4
6
50
85
135
428
632
1060
March
267
516
783
171
111
282
65
145
210
8
2
10
4
6
10
57
124
181
454
650
1104
Apirl
250
535
785
180
106
286
69
154
223
7
2
9
0
4
4
64
102
166
442
695
1137
May
234
501
735
210
108
318
86
196
282
2
7
9
1
3
4
54
125
179
478
687
1165
June
217
453
670
153
75
228
100
206
306
8
11
19
0
0
0
61
110
171
417
635
1052
July
279
483
762
172
87
259
102
207
309
12
9
21
1
1
2
69
123
192
496
663
1159
August
245
507
752
144
75
219
91
213
304
13
7
20
1
3
4
53
135
188
440
667
1107
September
219
487
706
175
89
264
88
203
291
12
5
17
5
3
8
63
107
170
431
677
1108
October
225
454
679
155
109
264
83
189
272
2
6
8
4
6
10
43
106
149
422
652
1074
November
201
454
655
132
85
217
57
194
251
2
1
3
1
2
3
41
77
118
351
657
1008
December
211
436
647
118
60
178
60
169
229
7
6
13
0
7
7
49
87
136
347
584
931
Total
2836
5761
8597
1959
1134
3093
938
2151
3089
92
60
152
22
44
66
654
1272
1926
5171
7834
13005
67
