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RIMS Heal cottage = Hell

Heal cottage is like hell - Tottering roofs, dirty, dank rooms & mangle of wires sum up RIMS comfort care

State-run Rajendra Institute of Medical Sciences (RIMS) has started a new crash course: dodge the peril. And a Jharkhand Armed Police jawan was the first to join class.

Forty-five-year-old J.P. Nayak had a close shave last week when a chunk of concrete fell off the roof of a RIMS cottage, where his septuagenarian mother is admitted for treatment of a broken bone. The policeman said his field skills and quick reflexes had saved the day for him.

There are 14-odd cottages at the government hospital that promises comfort care for patients who wish for treatment far away from the madding crowd of general wards. But though these AC and non-AC heal chambers are priced 10 times more than a normal bed at RIMS, they are as run-down as any relic from the past.

Leaking roofs, tottering ceilings and walls, peeling plaster, naked wires and stinking garbage are salient features of these cottages, which are meant for moneyed patients and even ailing VIPs.

Speaking to The Telegraph on Wednesday, Nayak said he had opted for a Rs 150-per-day cottage for his 70-year-old mother instead of admitting her to the general orthopaedic ward with stinking Rs 15-per-day beds because he wanted the best for her.

What he apparently didn't realise is that at RIMS, even the best is challenging.

"I was taking a shower one morning last week when I sensed a sprinkle of plaster beside me. In no moment, a part of the roof came crashing," he said. Nayak was lucky to have sensed danger and agile enough to avoid it. "But what if my elderly mother, who somehow manages to walk with a stick, was inside the bathroom at that point of time? Things would have turned worse for her," he said.

Nayak wasn't forthcoming in being clicked because he said he might face disciplinary action from his police bosses, but he was candid as far as the condition of their non-AC cottage was concerned.

"The entire cottage was piled with garbage and there wasn't any electric bulb. The fan too wasn't working. When we asked the nurses, they said they don't have any bulb and the cleaner would come tomorrow. How could we wait so long? I cleaned the room for my mother and fixed the bulb," he said, adding that when the hospital was charging for a cottage it should at least clean the room and toilet before allotting it to a patient.

RIMS employees admitted that the cottages were in real bad shape. "While the non-AC ones cost Rs 150 per day, the AC ones are charged at Rs 250 a day. But rooms are not maintained," said an employee.

The corridor too is in dire need of repair while electric cables lie open near the staircases. The cottages on the ground floor of the two-storey facility also have to battle foul smell, courtesy unclean drains right outside the boundary wall.

A nurse on duty conceded that the RIMS cottages needed urgent repair. "No maintenance work has taken place for at least three years. But it is up to the management to decide," she said.

Mahesh Chandra Choudhary, who is in charge of maintenance at RIMS, contended that the government hadn't given separate funds for building renovation or upkeep for three years. "We do get an amount of money for annual maintenance, but it is generally exhausted in payment of electricity and drinking water bills. Besides, there wasn't any provision for building work in the budget given to us by the government for the functioning of RIMS earlier. I don't remember the amount exactly, but a separate estimate for renovation of cottages has been made this time and the hospital's governing body has okayed it. But the file can be sent to the government only after we get the minutes of the meeting.

Of the more than dozen cottages, only three are currently booked. One of them hosts former minister and tainted Madhu Koda aide Kamlesh Singh.

Is RIMS more of a peril zone than a health hub? source-telegraphindia.com

RIMS store room on Fire

There was a chaotic situation on Sunday morning at the Rajendra Institute of Medical Sciences (RIMS), when a fire broke out in the store room of the hospital. The fire started as a result of short circuit in the store room provided to Annapurna Utility, which supplies cleaning devices and chemicals to the hospital. The store is on the ground floor next to the emergency ward.

"We saw smoke coming from the store room and found the room engulfed in flames. We immediately called the fire brigade and within half-an-hour the fire was extinguished," said security guard Awadh Pathak. Another guard, Amarnath Jha said, "Four fire brigades came. But there was shortage of firemen. So all of us took the water pipes and extinguished the fire."

In the fire, all the cleaning machines and chemicals were burnt to ash. Bablu Khan, security officer at RIMS said, "There has been a damage of around Rs 8 to 10 lakh. Luckily it was Sunday and early morning, so very few people were around."

When asked about the fire-fighting devices in the hospital, a guard said, "There is no system of prevention from fisaidre in the hospital. The fire extinguishers are just show pieces and cannot be used."

Khan said, "This should be a lesson for the hospital administration and also the government. The roads to the hospital are so narrow that it is difficult for the fire brigade van to reach there. Luckily, the fire was on the ground floor, if it was at higher-level, it would have been difficult to control the fire." Asked about the fire-fighting device, Khan said, "Fire extinguishers were installed in 2006, but they are all non-functional and have not been refilledWe will be refilling them soon

RIMS wakes up from slumber

The fire in the storeroom of the Rajendra Institute of Medical Sciences (RIMS) has proved to be an eye-opener for the hospital authorities who have finally decided to invite a tender for the maintenance of fire extinguishers there.

"The administration has finally decided that the advertisement for the tender will be sent to newspaper offices and published on Tuesday," said RIMS security officer Bablu Khan.

When the fire broke out at the RIMS on Sunday, it was found that the fire extinguishers in the hospital were not useful. "The extinguishers had been installed in 2006 and they should have been refilled every year as the gas inside evaporates but this did not happen. When people tried to use it, it was found that none of them was working," said Khan.

The tender will be just for the refilling of the old extinguishers and installation of new ones. New extinguishers will be installed as required after consulting with heads of all departments, said Khan. "The other fire-fighting systems like sprinklers and fire alarms will be installed only after the proposal is sent to the government which is not possible now as director Tulsi Mahto is out of station," he added.

At the RIMS, there is not a single system to control fire. The extinguishers do not have gas in them, there is no system of water hose on every floor to control fire and neither is there a fire alarm.

Also, there is only one ramp in the hospital and no emergency exits in many wards. "The only good thing about the hospital is there are many exit points. Earlier, when the hospital was made there was ample space for the fire brigade vehicle to move around and put out the fire but after the extension of its new building it is not possible for it to reach every corner of the hospital," said Khan.

In 2004, 2005 and 2006, there have been incidents of fire in the basement of the hospital. In 2008, fire broke out at the blood bank and in 2009 there was fire at the orthopaedics ward, but it seems the RIMS is yet to learn a lesson. source-timesofindia.indiatimes.com

Deteriorating healthcare services

Ranchi, Feb. 24: RIMS director Tulsi Mahto did not attend work today, skipping a scheduled meeting with health secretary K. Vidyasagar to thrash out solutions to improve the fast deteriorating healthcare services on offer at the government hospital.

Mahto's decision to apply for leave took the hospital staff by surprise. No one in his office could elaborate on the reasons, but some said he had an "emergency" and was expected to be back on Monday.

Over the week, The Telegraph published a series reports on RIMS crumbling infrastructure, which together with poor medical services, had turned the state's premier hospital into a nightmare destination for hundreds of patients who came there for treatment from remote corners of Jharkhand.

The health secretary had summoned Mahto last night and today was supposed to be a follow-up meeting which would now have to be held later.

"I understand doctors are under extreme pressure. But this can't be an excuse when it concerns healthcare. I assure you the government will do everything to set things in order at RIMS," Vidyasagar told The Telegraph.

At last night's meeting, the health secretary revealed, Mahto admitted several lapses on the part of the hospital, but pleaded that several issues were beyond their control.

Vidyasagar, sources said, pointed to every report published by The Telegraph. He was particularly upset at the way a five-day-old baby was denied a stretcher trolley and had to be carried to a critical care unit on the third floor by her father while her uncle held the tubes connected to an oxygen cylinder. Initially, the director tried to say that since the baby was serious, they did not want to waste time looking for a trolley. But the secretary did not buy his excuse, prompting Mahto to apologise.

Vidyasagar said manpower crunch was at the root of all problems at RIMS and the reasons for that was poor salaries. "I have directed Mahto to come up with a detailed analysis of the required workforce." source-telegraphindia.com

RIMS misuses AIDS society gift - hi-tech mobile blood collection and testing van to villages

 The fully air-conditioned van — equipped with blood collection and testing kits, including that for HIV, a battery-operated mini-fridge, three donor couches and a music system — stands parked on RIMS campus while the driver has been transformed as the odd-jobs man.

Rather, it will be better to say that RIMS officials, including director Tulsi Mahto, find it more convenient to make the driver run errands rather than fix up mobile blood collection and donation drives as well as HIV tests at remote villages.

Matters would have continued this way, but now JSACS has finally woken up to the fact that its twin gifts were either unused or abused.

The JSACS project director, Aradhana Patnaik, on Thursday shot off a strongly worded letter to Mahto.

"We came to know through numerous instances that the RIMS director has deputed the driver in other activities. So, as a first step, I have directed him to use the driver only for the mobile van and not in other activities," Patnaik said.

But she didn't say what they would do if the RIMS director pretended to be deaf.

"Let's see. We haven't thought of any showcause till now in this regard," she said.

At the RIMS campus, an official quipped: "The hospital campus is more like a parking bay for this van. Its wheels have hardly seen the streets. Initially, a few camps were held on the outskirts. Recently, we haven't seen the van in action."

Well, the driver has been seen in action. So much so, that fatigued from all the running around, he goes off to snooze inside the van once in a while.

What is the RIMS director's take on this (to put it kindly) mistake? "We will duly revert with our explanation accordingly to the AIDS control society," he said, deadpan. source-.telegraphindia.com

MCI focus on PG students on second day of RIMS scrutiny

The administration of the Rajendra Institute of Medical Sciences (RIMS) remained on its toes on the second day of the visit of the inspection team from the Medical Council of India (MCI), making efforts to project the best units and practices and concealing the apparently gloomy areas.

The doctors were in a non-cooperative mood following the unprecedented move of MCI to verify each and every original document related to their appointment. It was the turn of the PG students on Tuesday to produce their original documents.

Following media reports related to adverse comments of the inspection team, the RIMS administration restricted the entry of the media on Tuesday, particularly from accompanying the team members, when they were on a visit to the wards and inspected the equipment installed in different speciality units.

The three-member team comprising head of the department of anaesthesia, Banaras Hindu University, V Rastogi; professor in microbiology at the National Medical College, Kolkata, Manas Sarkar; and professor, department of physiology, R G Kar Medical College, Kolkata, inspected the paediatric ICU and directed the administration to upgrade the equipment fitted in the ward. The team also expressed dissatisfaction over the maintenance and operation of some of the medical equipment, particularly in the wake of absence of expert para medical staff trained to handle them.

The team also visited RIMS extension centres at Oremanjhi and Doranda asking the hospital administration to provide hostel facility for doctors and medical staff. Asking the director of the institute, Tulsi Mahto, to ensure that doctors remain present in these centres and cater to the patients on a regular basis, the inspection team returned to RIMS where document and physical verification of PG students continued. source-timesofindia.indiatimes.com

MCI team visits RIMS

RANCHI: Doctors at the Rajendra Institute of Medical Sciences (RIMS) were on their toes, holding files and waited to be grilled on Monday by a team of inspectors from the Medical Council of India (MCI). The team was on a trip to the institute campus to check if the increase in the number of undergraduate seats from 90 to 150 had been done in accordance with the council rules.

The team, comprising head of the department of anaesthesia, Banaras Hindu University, V Rastogi, professor in microbiology at the National Medical College Kolkata, Manas Sarkar, and professor, department of physiology, RG Kar Medical College Kolkata checked the infrastructure facilities at the hospital and expressed satisfaction.

Though they refused to officially share the observations saying that a report is to be submitted with the MCI headquarters following which a decision would be taken by the council, the team members gave some guidelines for improving the work culture.

RIMS sources said the team was highly impressed with the neuro-surgery operation theatre but was equally disturbed to see the overburdened medicine and neuro-surgery wards.

The team visited OPD and took an overview of the cleanliness drive. The team gave suggestions on improving the facilities for maintenance.

The teaching faculty who appeared for physical verification with photocopies of their documents had a bolt from the blue when MCI inspectors expressed their intent to verify original documents. Doctors, who earlier retired at 62 and are now serving on an ad-hoc basis, were taken aback when the team asked them to come up with original documents. While some of the senior doctors rushed to their home to come up with original documents, a handful senior doctors refused to produce them. One senior doctor on condition of anonymity said in the past 35 years he has never been asked to produce original documents. "I don't know if the MCI team is legally authorized to verify the documents which have already been verified at different levels during appointment," he said.

The team will also verify the number of post-graduate students and check their credentials. Former president of RIMS Junior Doctors' Association, Babu Mani Baski, said they were informed about the production of documents.

"We have prepared our documents and are waiting for our turn to come," he said. source-timesofindia.indiatimes.com

Regularization of nurses

RANCHI: The governing council of Rajendra Institute of Medical Sciences (RIMS) on Monday discussed over 22-point agenda and came up with recommendations to be approved by the state government.

The body passed a resolution to regularize the nurses presently working on contract against the available vacancies in the hospital. It also reiterated its stand on giving pay scale as admissible to the Central Government Health Service (CGHS) workers. The recommendation has been sent by the governing body for the second time in succession awaiting final nod of the government, sources said.

Chaired by health minister Hemlal Murmu, the meeting was attended by All India Institute of Medical Sciences director R C Deka, health secretary K Vidyasagar, RIMS director Tulsi Mahto, superintendent Manoj Kumar Rai and other members of the governing body.

During the council meet, Mahto said altogether 41 'action taken' reports and 22 additional agenda were on table for discussion.

"The matters having financial implications have been referred to the government for calculation of the financial burden in case of implementation and regularization of nurses as well as CGHS scale come under the same category," he said.

The matter of giving non-practicing allowance to RIMS doctors was also discussed but concluded without taking any concrete decision. The health department has sought a detail list of the clinical doctors at RIMS, who could be compensated for not practicing in private.

Major stress was laid upon approval of the act that is expected to govern RIMS.

"We have requested the health department to move a proposal in the assembly and seek nod of the House for the regulations under which RIMS would function," Mahto said.

Discussing yet another issue, the governing council decided to carry out essential formalities for making the dental college functional, building and other infrastructure for which is already complete.

Appointment process for doctors against 125 posts was considered in the meet whereas the members rejected the proposal for adopting fixed tenure for tutors in the hospital. source-timesofindia.indiatimes.com

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