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Junior doctors at Rajendra Institute of Medical Sciences (RIMS) withdrew strike

Ranchi, Aug. 23: After fiery protests climaxed a six-day ceasework, junior doctors at Rajendra Institute of Medical Sciences (RIMS) withdrew their strike this evening following assurances of better security from the health department.

RIMS acting director A.K. Mahto said the issue was resolved after several rounds of talks at his office in the presence of SSP Praveen Kumar and additional health secretary Arun Kumar Sinha.

Spokesperson of Junior Doctors' Association Kundan Kumar said the talks began at 3.45pm and concluded at 6pm after they found efforts made by the additional health secretary reliable.

"He (Sinha) has convinced us that steps are being taken to draft a law to prevent attacks on the medical fraternity. The health department has forwarded the file to the law department through governor's adviser R.R. Prasad, who is in charge of 12 departments including health. So, we decided to call off the strike," he said.

Earlier in the day, striking doctors burnt the RIMS and police administrations in effigy in front of Gate No. 2. They also took out a procession from the director's office to push their demand.

The six-day strike was the result of a clash between doctors and JVM supporters on August 16. Trouble brewed when a junior doctor stopped JVM leader Amit Mahto from meeting a patient at the trauma centre, saying it wasn't proper to crowd the unit.

Mahto slapped the doctor, prompting other doctors to beat him and his supporters up. As the situation turned ugly, police intervened and rescued an injured Mahto.

Two FIRs were lodged — one by RIMS security guards accusing Mahto of manhandling junior doctors and the other by Mahto's supporters, alleging that their leader had been beaten up.

Police only acted on the second FIR and forwarded a security guard of RIMS to Birsa Munda Central Jail on August 17. This prompted junior doctors to go on strike, demanding adequate security.

Mahto, who contested the last Assembly polls on a JVM ticket, had given a tough fight to former deputy chief minister Sudesh Mahto in Silli.source:telegraphindia.com

MGM Jamshedpur under MCI scanner

Jamshedpur, Aug. 23: A three-member Medical Council of India (MCI) team will inspect Mahatma Gandhi Memorial Medical College and Hospital on August 26 and 27.

The statutory body will be inspecting the government medical college after a gap of six years. The last inspection was in 2004.

"We are ready for the inspection. Apart from infrastructure, the MCI team will take stock of faculty strength and doctors, number of patients and other facilities," said superintendent of MGM Medical College and Hospital S.S. Prasad.

Prasad, who took charge recently, did not rule out a disaffiliation threat. "The medical college and hospital faces derecognition as facilities are not up to the mark," he said.

In order to impress the MCI team, the hospital administration has initiated a cleaning operation. While the main building has got a fresh coat of paint, cleaning staff was engaged to salvage old and unused items from the wards and corridors. A cleaning drive was also initiated at the operation theatres and OPD.

During the last inspection too, the medical college faced a disaffiliation threat due to acute shortage of teaching staff. The statutory body, which grants affiliation to medical colleges, had set a deadline for filling up the posts.

The health department acted with alacrity and appointed about 100 doctors.

in the vacant posts. Following the MCI directive, the hospital also came up with an operation theatre (OT) for gynaecology patients.

In 2004, the MCI team had pointed out several irregularities in the functioning of the hospital and the college. It had directed the college authorities to take steps to plug the loopholes.

Former senior executive member of MCI Gajendra Thakur said the team would also visit Jamshedpur Blood Bank and Tata Main Hospital where students of the medical college undergo training.

Regarding the application for increasing seats of the medical college from 50 to 100, he said unless the guidelines of the statutory body are followed, the proposal would not be approved.source:telegraphindia.com

MCI team on inspection of Patliputra Medical College and Hospital (PMCH), Dhanbad

Dhanbad, Aug. 23: A three-member Medical Council of India (MCI) team today visited Patliputra Medical College and Hospital (PMCH) — the lone state-run medical college in the district — to carry out an inspection.

The team — comprising A. Saili of Government Medical College, Jagdalpur; G.R. Kathraj of Lady Hardinge Medical College, Delhi; and S. Sengupta of Institute of Postgraduate Medical Education and Research, Calcutta — arrived at the campus around 8.30am.

The team split into three groups and toured the departments of anatomy, physiology, pathology, pharmocology and medicine, besides visiting classrooms and hostels to take stock of infrastructure facilities. The visiting doctors, accompanied by principal of the college Arun Kumar Chaudhary, also held talks with the heads of the departments.

"A team from MCI has come on a pre-scheduled inspection. The inspection will end tomorrow," Chaudhary said.

According to sources, the team expressed concern over the pathetic state of the hostels and the poor sanitation system at the hospital.

Alarmed, the Dhanbad chapter of Indian Medical Association (IMA) urged the MCI team not to derecognise the college on these grounds as it would affect the career of more than 300 students pursuing MBBS courses in various disciplines at the institute.

"Instead of derecognising the college, MCI should mount pressure on the state administration to appoint new teachers and promote existing ones to cope with the manpower crunch," said IMA, Dhanbad chapter, president A.K. Singh.

PMCH, established way back in 1971 at Patna and later shifted to Dhanbad in 1977, has all clinical departments, including surgery, but is facing an acute scarcity of teachers.

In fact, many of its departments, including psychiatry, have been shut down in the absence of adequate number of faculty members. The radiology department is doing without a specialised teacher.source:telegraphindia.com

Legal armour for Jharkhand doctors

Ranchi, Aug. 22: After the state health department agreed to four out of six demands of striking nurses, it has now proposed a law preventing violence against doctors to placate junior doctors on strike.

Health secretary D.K.Tiwari today told The Telegraph that he had forwarded a file to the law department through the governor's adviser R.R. Prasad to press for an ordinance similar to the Maharashtra Medicare Service Persons and Medicare Service Institutions (prevention of violence and damage or loss to property) Ordinance, 2009.

This development occurred after striking nurses returned on duty after getting four demands fulfilled, including a pay hike according to Sixth Pay Commission recommendations, as well as creation of nursing posts, promotions and payment of allowances in accordance to Centre-run hospitals. Unmet demands included regularised services for contractual nurses and the establishment of a nursing directorate, but the state held out hope for both, said state unit president of Trained Nurses Association of India, Kishori Rani.

Tiwary said that the state would have an ordinance to protect medicare service persons from attack on hospital premises after the law department clears the file. The Maharashtra ordinance includes registered medical practitioners and nurses, medical and nursing students, paramedical workers and doctors under the umbrella of 'medicare service persons'.

The ordinance also directs imprisonment up to three years and fine up to Rs 50,000 in case of violence against doctors on hospital premises and directs the offender to pay twice the amount of damage as compensation. source:telegraphindia.com

Nurses strike ends at MGM

Jamshedpur, Aug. 22: Medical services returned to normal at MGM Medical College and Hospital as the striking nurses called off their strike and resumed work today.

Around 80 nurses of the government hospital had gone on a strike under the banner of Trained Nurses Association of India on August 18, demanding better salary.

"We called off the strike this morning as our demands were met," said Sandhya Nag, a senior nurse of the hospital.

Jubilant, nurses smeared colours on each other and distributed sweets on the hospital premises.

Hospital superintendent S.S. Prasad admitted the hospital administration faced a lot of problems due to the strike. "The doctors attended only emergency cases and around 50 surgeries were postponed.But from today things will be normal. The nurses have joined emergency, surgeries and caesareans are being conducted in the operation theatres," he said.

Hospital sources revealed that things had taken an ugly turn last evening as a section of paramedical staff and trainee nurses refused to work in the emergency ward. They resumed work only after intervention of Prasad.

Hospital authorities said the out patients department (OPD), which entertains at least 200 patients daily, will also come back to normality.

Sources revealed gynaecology, orthopaedic, ENT and other OTs were opened today.source:telegraphindia.com

Strike cripples healthcare in Jharkhand

Jamshedpur, Aug. 20: Wracked by labour pain, Saira Parveen (23) of Azadnagar was brought in and out of MGM Medical College and Hospital on stretcher this morning, but doctors pleaded helplessness in operating on her in the absence of experienced nurses.

Her contract labourer husband had no option but to take her to an expensive private nursing home for a C-section, thanks to the striking nurses.

The strike entered its third day today throwing the healthcare services out of gear. In the absence of trained nurses, the onus has fallen paramedics and trainee nurses.

Patients are somehow being managed by the 100-odd paramedics and trainee nurses.

S.S. Prasad, superintendent of MGM Medical College and Hospital, said: "I am trying my best to provide necessary services to the patients in the wards as well as in the OPD. I was expecting the strike to be called off today, but unfortunately the talks between the nurses and the health department authorities did not yield positive results."

He admitted that patients were the worst sufferers, but pleaded helplessness.

"Nothing is in our hands. All we can do is request the striking nurses to return to work," he added.

Meanwhile, a delegation of striking nurses which went to the capital to review the situation, said the strike was a complete success at RIMS, Ranchi. source:telegraphindia.com

Strike called by Junior Doctors and nurses of Jharkhand hospitals turned into an “indefinite” one

Ranchi/Jamshedpur, Aug. 19, 2010: Day Two of the strike called by junior doctors and nurses of state-run hospitals turned into an "indefinite" one, with protesters holding fast to their demands at the expense of the public health system.

Jharkhand unit president of Trained Nurses Association of India Kishori Rani said that they would launch an indefinite strike from tomorrow in a bid to fulfill their six-point charter of demands, which included a pay revision based on Sixth Pay Commission recommendations and regularised services of contractual nurses, among others.

Junior doctors, meanwhile, said that they would also be on indefinite strike from tomorrow till their demand to enact a medical protection law on the pattern of the one adopted by Maharashtra was met. "Our demand is necessary to prevent violence against healthcare personnel and damage to property of healthcare institutions," said Junior Doctors' Association spokesperson Kudan Kumar.

Meanwhile, the strike paralysed state-run hospitals at both the capital and steel city, with patients from the weaker sections and their attendants bearing the brunt.

Irate attendants, led by one Vishwanath Singh, under the aegis of the newly constituted Social Action for Patients' Rights, shouted slogans outside RIMS emergency unit such as "marizon ki lashon par raajneeti bandh karo" (stop politicking over patients' corpses) and "garib patient ki majboori ka fayda uthana bandh karo" (stop taking advantage of poor patients). They also allegedly tried to manhandle nurses, but failed after intervention of RIMS director A.K. Mahto and superintendent Manoj Kumar Rai. While nurses alleged that those trying to manhandle them were goons hired by one Bablu Khan, eyewitnesses said crowd ire escalated spontaneously in sympathy with the suffering patients.

"I brought my wife here six days ago after she touched a live 11KV wire. When I ask nurses to help her, they scold me," Bhola Takur (60) of Saharjam village in Chatra said. Even patients sent by jail administration were ignored. Three constables were struggling to get two Birsa Munda Central Jail prisoners admitted in the hospital.

The deadlock has caused the number of patients to dwindle drastically. "At least 75 patients left the hospital," said a RIMS medical staff.

Mahto said efforts were on to ease the situation. "We requested adviser to governor R.R. Prasad to arrive at a solution," he said, but admitted to the present impasse.

In a mirror image of sorts, the 80-odd striking nurses at the Mahatma Gandhi Memorial Medical College and Hospital paralysed medical services at the state-run hospital for the second consecutive day today.

Not only did operation theatres remain non-functional, agitating nurses forced clerical staff at the out patients department in the morning to stop work in support of their strike, forcing registration of new patients till hospital superintendent S.S. Prasad intervened. Doctors also did not attend to routine surgical cases. "In the absence of nurses, doctors only attended to emergency cases," said R.Y. Chowdhury, anaesthetist and the former hospital superintendent.

Prasad said that while paramedics, trainee nurses and junior doctors were attending to patients, most paramedics and trainee nurses could not administer injections.

One of the striking nurses, Sandhya Nag, said talks were on between the health secretary and a delegation of striking nurses at Ranchi. "We will continue the strike if our demands are not met," she said source:telegraphindia.com

Junior Doctors and Nurses cripple RIMS ,Ranchi

Medical services across the state remained paralysed as several hundred nursing staff went on a three-day strike from Wednesday, voicing their grievances over poor salary structure.

While over 450 nurses skipped duty at Rajendra Institute of Medical Sciences (RIMS) in Ranchi, 80 others abandoned patients at MGM Medical College and Hospital in Jamshedpur. To make matters worse, 300-odd junior doctors at RIMS also ceased work over slack security on hospital premises.

Government nurses have long been demanding salary revision as per recommendations of the Sixth Pay Commission, facilities enjoyed by nursing staff at Centre-run hospitals and a nursing directorate in the state.

At RIMS, the impact of the strike was almost instantly felt in the outdoor ward, where more than 1,000 patients turn up for treatment on a normal day. While the OPD wore a deserted look, some 10 patients were turned away from the emergency ward. At least five major surgeries and 15 minor ones were also postponed. Though 100 senior doctors were on duty, absence of assistants rendered them helpless. Some doctors had to double up as paramedical staff.

Hospital superintendent Manoj Kumar Rai admitted the crisis. "We have asked all doctors to remain on duty and have also called in as many as 75 paid non-academic doctors (students who are preparing for admission to PG course after MBBS degree)," he said.

At MGM, the emergency ward was worst affected. Hospital sources said that not a single surgery was conducted at the gynaecology OT, which sees at least 5-6 C-sections everyday.

Superintendent S.S. Prasad, however, downplayed the impact and said: "It is only a matter of a day or two. We are taking necessary measures so that patients are not inconvenienced."

But those who bore the brunt had a different story to tell. Some relatives of patients at MGM said they were being forced to do what nurses do like administering medicines or fetching water.

At the gynaecology ward of RIMS, there was clash between an attendant and junior doctors after one Reena Devi (25), a resident of Ratu, died within eight hours of delivering a baby. The attendant, Amit Kumar, was beaten up when he tried to manhandle the lady doctor under whom Reena was admitted.
 

ON STRIKE

• 450 nurses at Rajendra Institute of Medical Sciences (RIMS), Ranchi

• 80 nurses at MGM Medical College and Hospital, Jamshedpur

• 300 junior doctors at RIMS

SERVICES HIT

• No patient treated at RIMS outdoor unit

• 20 surgeries cancelled at RIMS

• Gynaecology, ENT and other OTs at MGM closed

• Indoor wards affected at both RIMS and MGM

Patient woes

"My mother, suffering from serious kidney ailments, was admitted to MGM on Tuesday. I was not aware of the strike. Now, I have had to take leave from work to nurse my mother," said Madhusudan Mahto, an employee of a small-scale unit in Adityapur

A 65-year-old accident victim, Aizozan Biwi, who was to undergo a surgery in the left leg in the morning, was informed that she would have to wait till next week. "I am in terrible pain. My left knee seems to be broken, but I have no choice but to wait," Aizozan, who has come from Phulpahari village in Ghatshila

Mathura Ram, a resident of Japla, Palamau, was a tad lucky. He was admitted to RIMS with pain in the ribs. Initially denied treatment, he was referred to senior doctors following intervention by superintendent Rai

AUTHORITYSPEAK

While RIMS in Ranchi has already made arrangements for additional doctors to tide over the crisis, MGM Medical College and Hospital is hoping things will improve within a couple of days. "So, we are concentrating only on emergency cases for the time being," said a senior doctor. source:telegraphindia.com

Central team visits Patliputra Medical College and Hospital (PMCH), Dhanbad to conduct a feasibility study for launching proposed postgraduate courses.

Dhanbad, Aug. 18: A three-member team from the Union health ministry visited Patliputra Medical College and Hospital (PMCH) today to conduct a feasibility study for launching proposed postgraduate courses.

The team, comprising doctors B.S. Randhawa, B.C. Kavi and Nayan Singh, took stock of the staff strength and other infrastructure facilities besides holding talks with senior officials, including principal Arun Kumar Chaudhary and the heads of the departments.

More than six months ago, PMCH had approached the Centre to start postgraduate courses in all its 21 departments. The principal was pleased with today's inspection. "We hope that the Centre will give us permission to start the courses," he added.

President of the Dhanbad chapter of Indian Medical Association (IMA) A.K. Singh said introduction of postgraduate course would lend a boost to academic activities on the campus.

He also had a word of caution. "A Medical Council of India team is scheduled to visit PMCH on August 23-24. If the team de-recognises the college on the grounds of staff shortage, there will be no point in launching the course," Singh said.

He added that the state had turned a deaf ear to IMA's repeated requests to appoint more teachers.

"The psychiatry department had to be closed due to lack of faculty members while the radiology department is running without a specialist. Several other departments are on the verge of closure," Singh said.

"Had the state administration not raised the retirement age of doctors from 60 to 62, many other departments would be doing without their heads," Singh said. He also demanded promotion for the teachers. source:telegraphindia.com

Doctors team to meet Home Minister in Delhi

रांची। हड़ताली मेडिकल छात्र-छात्राओं की समस्याओं के समाधान को सोमवार को चिकित्सकों का एक दल दिल्ली जाएगा। दिल्ली जाने वाले चिकित्सकों में डा. निशित एक्का, डा. एसएस बिरुआ और पूर्व विधायक नियल तिर्की शामिल है। यह जानकारी डा. निशित एक्का ने दी है। डा. एक्का ने कहा कि दिल्ली में वे लोग केंद्रीय गृह मंत्री, आदिवासी सांसद, स्वास्थ्य मंत्री और भारतीय चिकित्सा परिषद से मुलाकात कर झारखंड के रिम्स, एमजीएम और पीएमसीएच मेडिकल के छात्र-छात्राओं के रद्द किये गये नामांकन पर विचार का अनुरोध करेंगे। source:in.jagran.yahoo.com

Para Teachers Strike

29 से हड़ताल पर जा सकते हैं पारा शिक्षक

Aug 08, 2010: रांची। प्रदेश के पारा शिक्षक 29 अगस्त से अनिश्चितकालीन हड़ताल पर जा सकते हैं। इसके पहले 28 अगस्त को पारा शिक्षक राजभवन का घेराव करेंगे। उसी दिन वे हड़ताल की औपचारिक घोषणा करेंगे। पारा शिक्षकों के एक गुट झारखंड प्रदेश पारा शिक्षक संघ की रविवार को जिला स्कूल, रांची में आयोजित बैठक में इस बाबत निर्णय लिया गया। संघ के प्रदेश अध्यक्ष संजय दूबे व महासचिव विक्रांत ज्योति ने कहा कि उनकी ग्यारह सूत्री मांगों पर कोई कार्रवाई नहीं की जा रही है। सामुदायिक शिक्षक सेवा शर्त नियमावली में संशोधन हेतु गठित कमेटी में भी पारा शिक्षकों के प्रतिनिधि को शामिल नहीं किया गया। बैठक में 11 अगस्त को प्रखंड स्तर पर धरना कार्यक्रम आयोजित करने का भी निर्णय लिया गया। पारा शिक्षक सोमवार को राज्यपाल के सलाहकार विल्फ्रेड लकड़ा, शिक्षा सचिव मृदुला सिन्हा व प्राथमिक शिक्षा निदेशक डीके सक्सेना को ज्ञापन भी सौंपेंगे। source: in.jagran.yahoo.com

Strike of First Year Medical Student of RIMS RANCHI

कुछ नहीं कर सकता रिम्स प्रबंधन

Aut 07, 2010:रांची। रिम्स परिसर में आदिवासी मेडिकल छात्र-छात्राओं की हड़ताल शनिवार को 12वें दिन भी जारी रही। रिम्स प्रबंधन का कहना है कि वह इस मामले में कुछ नहीं कर सकता। मामला एमसीआई का है। अब केंद्र सरकार व राज्य सरकार के आदेश के बाद ही विश्वविद्यालय आदेश दे सकता है। उधर, हड़ताली छात्र-छात्राओं ने कहा कि हाल में उनके प्रतिनिधियों ने राज्यपाल से मुलाकात की थी। राज्यपाल ने आश्वासन दिया है कि इस मामले में वे केंद्र सरकार व एमसीआई से बात करेंगे। source:in.jagran.yahoo.com

Community kitchen in RIMS

Ranchi, June 28, 2010: Three community kitchens were inaugurated today at RIMS for the use of family members of poor patients admitted at the hospital.

This is the first time such kitchens have been commissioned in Eastern India, where people can get LPG on payment of Rs 2 for every 15 minutes of its use. Users will not have to bring their own oven, as it is being provided free of cost with LPG.

Each kitchen is equipped with six ovens and thus a total of 18 families can use the kitchens at a given time to prepare food. The kitchens are under the supervision of an Indian Oil Corporation Limited (IOCL) personnel.

Deputy commissioner K.K. Soan said such kitchens will soon be opened at Sadar Hospital and Doranda Hospital.

"Use of community kitchens will save time, money and energy ," he said.

"In current financial year oil companies of the country have proposed to set up 100 community kitchens in the Jharkhand as part of their corporate social responsibility. The RIMS kitchens are three of them," B.B. Choudhary, General Manager of IOCL said.

People will, however, first have to learn how to operate the cooking units.source:telegraphindia.com

MBBS Intern stipend increased

Ranchi, June 13: Stipend boost for MBBS degree holders and a go-ahead to a proposed state rights panel appointments were among the important decisions taken at the maiden meeting of the governor's advisory council today.

The advisers have decided to increase the post-MBBS compulsory internship stipend from Rs 5,000 to Rs 7,000 per month.

"The hike for MBBS interns at three state medical colleges will be given with effect from April 1, 2010," cabinet secretary Aditya Swaroop said in a briefing after the advisory council meeting chaired by Governor M.O.H. Farook at Raj Bhavan this morning.

Every year, around 190 MBBS degree holders register for internship at Rajendra Institute of Medical Sciences (RIMS), Ranchi, Mahatma Gandhi Memorial Medical College and Hospital, Jamshedpur, and Patliputra Medical College and Hospital (PMCH), Dhanbad.

Talking to The Telegraph, Tulsi Mahto, a senior faculty member at RIMS, called it a welcome step. "It is good that internship stipend has been increased. During the compulsory rotational internship programme, MBBS passouts do a tough job. The training is a prerequisite for a qualified doctor," he said.

In the other important decision, the advisory council today gave its nod to rules for appointment of officials to the proposed state human rights body on the lines of National Human Rights Commission under the Protection of Human Rights Act, 1993.

For the post of chairman of the state-level commission, rules suggest that a retired chief justice of a high court must be considered.

Besides the chairman, the commission will have three other members. One a working/retired judge of a high court, the second a working/retired judge of a district court and the third a person of profound and practical knowledge in the field of human rights.

A state-level committee under the chairmanship of the chief minister would be entitled to recommend appointment of otherwise qualified chairman and members of the proposed commission.

Other members of the selection panel include the Assembly Speaker, the leader of the Opposition and the home minister. The appointment of chairman and members will be for five years or till he/she attains the age of 70 (whichever is earlier).

Swaroop said the proposed state human rights commission was an effort towards good governance, as the panel would act as an independent judiciary. Matters of custodial death and police torture among others would be its prime focus.

A proposal on posts from the rural development department also received the advisory council's approval. The proposal suggests creation of 11 posts, including that of a BDO, for Haidernagar that was carved out of Hussainabad block in Palamau district in 2008. source:telegraphindia.com

RIMS performs operation on heart patient for Rs 1.5 lakh

Ranchi, May 26, 2010: Rajendra Institute of Medical Sciences (RIMS) has added another feather in its cap — a successful drug-eluting stent surgery at a fraction of the cost elsewhere.

The doctors performed the surgery on an employee of the revenue department, Aiunul Haq (54), posted at Namkum circle of the state capital, on Monday. The operation that would have made Haq, a heart patient, poorer by Rs 4 lakh if he had approached some other hospital outside the state cost him just Rs 1.5 lakh at RIMS.

"We had kept the patient under observation and released him today," said RIMS director A.K. Mahto, giving the credit of the achievement to cardiologist Hemant Narayan Ray, who joined the institute recently.

Mahto further claimed that RIMS was the first government hospital in eastern India to have successfully conducted a drug-eluting stent surgery. Agreeing, Ray explained: "A drug eluting stent is a coronary stent placed into the narrowed, diseased coronary arteries that slowly releases a drug to block cell proliferation. This prevents fibrosis, which, together with clots, can block the stented artery, a process called restenosis. The stent is placed within the coronary artery during an angioplasty procedure."

A hale and hearty Haq was all smiles. "My family members and boss had objected to my decision of approaching RIMS for the surgery. They thought that the institute was not well equipped. My boss had even offered me Rs 1 lakh extra for going for treatment outside the state. But I did not listen to them and now, I know I did the right thing," he said.

The state-run RIMS has achieved many a milestone in the field of cardiac treatment. A cathlab became operational in the hospital on April 21 while it also carries out pacemaker surgeries. source:telegraphindia.com

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