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CAG report - massive waste of Blood in RIMS Blood Bank

One unit of blood can save three lives, but at Ranchi's Rajendra Institute of Medical Sciences (RIMS), 699 precious units were allowed to go waste between 2006 and 2009, the Comptroller and Auditor General's (CAG) report tabled in the Assembly on Monday said.

The public funds monitor dedicated 25 pages to RIMS in its voluminous report, which tore into the hospital's claims of being the state's premier health institution.

The report said the four ambulances in RIMS were used more for carrying doctors and other staff than patients. Of the 1,663 trips made by the ambulances between 2005 and 2010, 509 were for official purposes, 841 times for carrying doctors, and only 313 times for ferrying patients.

RIMS was set up in 2002 by upgrading Rajendra Medical College and Hospital (RMCH) to a centre of excellence in medical research and education. It was further upgraded as a super-speciality hospital with an outlay of Rs 120 crore in 2004 under the Pradhan Mantri Swasthya Suraksha Yojana (PMSSY).

However, the CAG report said it had failed to achieve any of the objectives for which it was set up.

"Major targets like setting up a dental college and super-speciality departments and upgrading existing departments were not achieved," the report said, adding that service delivery to patients was also not satisfactory.

"Though creation of a dental college was envisaged in the RIMS Act, it was not established even after incurring an expenditure of Rs 6.80 crore," the report said.

The CAG report pointed out despite the fact that Rs 30.97 crore had been spent on building and equipment, upgrade of existing departments remained a distant dream while the OPD was still not fully equipped to handle the rush of patients.

The public funds monitor also found serious irregularities in utilisation, installation and functioning of equipment worth Rs 9.54 crore bought between 2005-10.

For example, one cardiac defibrillator, three sets of ventilators, two OT tables and two OT lights bought for the oncology department for Rs 35.64 lakh between 2006 and 2009 had been lying idle till June 2010 as the operation theatre was not functional.

The cath lab installed at a cost of Rs 3.30 crore in October 2008 remained idle till March 2010 in the absence of specialist cardiac surgeons.

The CAG also found that the drug testing mechanism was inadequate. "During 2006-07, 20,000 vials of Ceftriaxone injection, valued at Rs 5.22 lakh and declared sub standard by the drug inspector, were administered to the patients," it said.

The shortage of doctors/teaching faculty varied between 44 to 89 per cent among different cadres.

The report pointed out that RIMS received grants from the Jharkhand State Disease Assistance Fund for specialised treatment of BPL patients suffering from critical diseases. "It was found that grants of Rs 50.95 lakh for 105 patients were received by RIMS during 2003-09. However, only Rs 16.95 lakh was utilised and the rest was refunded," CAG said. source-telegraphindia.com

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