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
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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