BPKMCH | ANNUAL REPORT - 2018
URGENT CARE UNIT
Introduction
Oncology emergency is an integral and important service for cancer management. Emergency nursing service
covers 24 hours and 7 days a week. Referred emergency cases are also seen in emergency basis. Unlike
the other wards, Urgent Care unit (previously known as Observat on/Emergency Unit) is a dedicated acute
short-stay facility. Pat ents are considered outpat ents for billing purpose. Emergency service of BPKMCH has
been providing since its establishment. Service was started for needy pat ents from 2005 AD with 5 beds.
The service was upgraded to 7 beds in 2007 and 10 beds in 2011. In Sept.1st 2018, Urgent Care Unit was
shifed to new building on first floor with 22 beds. Blood Transfusion Unit was also merged. Monitors for close
monitoring of the pat ents are also available. The object ves of the unit are:
Early ident ficat on and immediate intervent on of oncological emergencies.
Provide symptom management to cancer pat ent.
Provide quality service to cancer pat ents.
Services
Oncological emergencies include acute life-threatening oncologic complicat ons which may result due to
malignancies and/or its treatment. Complicat ons may occur at any t me during the diagnosis and treatment
process. So this unit provides:
24-hour services.
Short term observat on of pat ents.
Immediate management of pat ent having side effects of cancer treatments.
Blood transfusion, hydrat on and TPN administrat on.
Managing the referred cases from local, nat onal and internat onal level accordingly.
Consultat on with treat ng doctors for pat ent’s problems.
Consultant doctors visit the unit as per necessary and manage the cases.
Common presenting Problems:
Pain
Dyspnea
Nausea, vomit ng, diarrhea
Anaemia, Neutropenia
IV Canulizat on, Medicat on
Urinary Obstruct on / Catheterizat on
Dehydrat on, Shock
Headache
Fever
Ascit c Tapping
Wound management
Age group: From Birth to Death
Table 1 : Month Wise Distribut on of Pat ent
SN.
Months
Male
Female
Total
Expired
1
January
1559
1467
3026
9
2
February
1380
1380
2760
8
3
March
1786
1684
3470
11
4
April
1470
1700
3170
7
5
May
1310
1593
2903
14
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BPKMCH | ANNUAL REPORT - 2018
6
June
1254
1350
2604
7
7
July
1330
1408
2738
6
8
August
1155
1503
2658
11
9
September
1103
1654
2757
7
10
October
1056
1332
2388
15
11
November
870
1338
1208
5
12
December
1066
1510
2576
7
Total
15339
17919
33258
107
Table 2 : Age-wise Distribut on of Pat ent
SN.
Months
0-9
10-19
20-29
30-39
40-49
50-59
60-69
Above 70
Total
1
January
126
393
332
226
523
513
573
340
3026
2
February
158
154
262
205
571
622
442
346
2760
3
March
105
236
304
350
705
683
719
368
3470
4
April
247
194
211
296
720
669
500
333
3170
5
May
241
149
228
257
451
686
596
295
2903
6
June
97
145
160
350
339
588
503
422
2604
7
July
52
120
161
353
430
494
723
405
2738
8
August
96
65
130
382
486
597
558
344
2658
9
September
99
111
150
362
474
697
541
323
2757
10
October
62
52
172
359
449
469
556
269
2388
11
November
74
91
151
201
438
519
425
309
2208
12
December
65
89
200
250
486
600
186
300
2576
Total
1372
1749
2361
3491
5872
6937
6522
3954
33258
Table 3 : Symptom Wise Distribut on of Pat ent
Cath-
Hydrat on/
IV. Medi-
IV Canu-
Neutro-
Wound
SN
Months
Pain
Dyspnoea
BT
eter
Others
TPN
cine
la
penia
Care
Care
1
274
162
349
1411
240
258
280
75
25
576
January
2
206
73
53
1284
23
217
305
37
8
1957
February
3
201
145
153
1880
143
207
283
18
13
1341
March
4
214
128
123
1399
16
130
315
29
20
564
April
5
294
145
224
1236
52
165
332
38
24
644
May
6
227
126
164
1146
83
112
308
15
18
533
June
7
202
94
190
1302
6
134
392
20
42
659
July
8
252
87
213
1085
31
105
400
16
53
748
August
9
260
74
145
1125
19
118
566
11
22
630
September
10
186
106
154
1055
5
104
442
26
17
290
October
11
279
195
155
781
48
125
367
16
19
732
November
12
278
185
164
1011
112
157
382
10
22
780
December
Total
2673
2320
2197
14515
656
1732
4372
275
283
9454
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BPKMCH | ANNUAL REPORT - 2018
Table 4 : Disease Wise Distribut on of Pat ent
Ca.
Hae-
Ca.
Ca. oe-
Ca. Col-
Ca.
Ca.
Ca.
Ca.
SN
Months
Stom-
mato-
GB/
ENT
Uro.
sopha-
Neuro
orect-
Others
Total
Lung
breast
Cx.
Ovary
ach
logical
HOP
gus
am
1
January
452
85
139
312
538
127
126
173
58
-
132
560
224
3026
2
February
337
118
226
95
256
193
118
88
386
225
180
12
526
2760
3
March
531
75
299
342
512
190
194
229
164
57
130
134
613
3470
4
April
595
382
234
203
450
116
99
117
114
52
83
89
417
3170
5
May
695
205
218
157
445
265
135
243
103
28
71
111
227
2903
6
June
429
175
133
258
395
185
147
168
97
33
52
153
360
2604
7
July
496
202
113
175
466
211
182
230
133
25
27
87
391
2738
8
August
300
148
190
270
422
155
189
157
142
58
40
94
483
2658
9
September
367
97
127
318
452
219
298
186
125
32
31
46
459
2757
10
October
377
152
159
311
415
164
202
141
61
21
7
71
307
2388
11
November
204
123
192
195
163
213
227
170
92
18
10
88
390
2208
12
December
337
159
230
377
147
197
178
154
117
32
23
109
436
2576
Total
5120
1821
2160
2963
4661
2138
1995
1956
1592
581
786
1114
5371
33258
Academic Activities
Conduct CNE program to upgrade knowledge, skill, and at tude of nursing staffs.
Arrange classes for nursing students of Masters and Bachelor level, posted from different universit es.
Human Resources
Medical Officer: 1
Nursing Officer: 1
Senior Staff Nurse: 1
Staff Nurse: 9
Atendants: 5
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