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Hospital
Hospital in the state.
Hospital Skills
What should you know about a hospital in the state?
Healthcare / Hospital Administrator Skills
Annotation or definition.
A–Z alphabetical listing of human health emergency symptoms and signs.
A–Z alphabetical listing of human health emergency diagnoses and treatment.
All human symptoms and signs.
All human diseases and medical conditions.
Airway Management
Criminal Offences
Critical Care
Discharge instructions for emergency department patients: what should we provide?
Doctor’s evaluation in medical emergency room.
Documents relevant to a hospital.
Duties of a medical doctor in a medical emergency room.
Duties of a nurse in a medical emergency room.
Duties of emergency medical responder.
Duties of a technician in a medical emergency room.
Emergency Medical Department in a hospital in the state.
Electronic medical records
Forcibly removing a patient from a hospital is a criminal offence.
Guideline for Reforming Hospitals at Regional and District Levels
Hospitals by state, islands, continents.
Hospitalist
Hospital setting./Patient History Questions
Internet Human Health Care Services
Instruction on discharge
Labor, delivery, and recovery rooms
Medical Emergency Room
Medico legal case
On-the-spot diagnosis and treatment
Operating Rooms of the Future
Physicians training programs
Questions the state director of health needs to answer.
Recommendations for replacement of executive staff of specific hospital in or outside the state for better services.
Teaching resources for staff. You can count www.qureshiuniversity.com your teaching resources.
Statistics of hospitals in the state
Staff relevant to a hospital in a state
Structure of hospital building in the state

Annotation or definition.
What is a hospital?
A hospital usually has a combination of emergency room services, critical care unit, operating room, ambulatory care, laboratory, and X-rays.

What department in the state supervises every hospital in the state?
Every hospital in the state is supervised by the state department of health.
The state department of health is responsible for the ongoing surveillance of acute and primary care facilities in the state to assure compliance with the Public Health Law. In some states, this is known as to assure compliance with Article 28 of the Public Health Law.

Forcibly removing a patient from a hospital is a criminal offence.
What should physicians and administrators in or outside the state know about patient care?
Forcibly removing a patient from a hospital is a criminal offence.
Depending on harms, criminal charges will proceed.

Here are further facts.

How do you find out about the health of others through the Internet?
I need to know about the well-being and health of Doctor Zakia in Medina.

I am concerned about Doctor Zakia’s well-being in Medina.
I would like to know about her well-being.

How is Doctor Zakia’s physical and mental health?
What types of help does she need for her physical health or mental health or any other issues?
What issues would she mention from year 1999 up to now that have harmed or troubled her?
Has the government approved and made available what she needs for survival?
Doctor Zakia: What issues are troubling you at this point?
How can Doctor Asif Qurehsi help her?

Doctor Zakia, if you need Doctor Asif Qureshi, call (773) 561-6102 in Chicago, Illinois, North America.
Email admin@qureshiuniversity.com
Further facts are at www.qureshiuniversity.com and www.qureshiuniversity.com/medina.html

Questions the state director of health needs to answer.
How many total hospitals are there in the state?
What are the mailing addresses of all hospitals in the state?
How many hospital staff training resources are there in the state?
Where is the location of such training resources for hospital staff in the state?

Staff relevant to a hospital in a state
What hospital staff is essential for a hospital in the state?
For whom are these training programs meant in the state or outside the state around the world?
Teaching resources for staff. You can count www.qureshiuniversity.com your teaching resources.
Medical superintendent of a hospital
Emergency room physician
Emergency medical room
Physicians training programs
    What are the types of physicians?
    1. Physician primary care

    2. Physician intensive care unit

    3. Physician medical emergency room

    4. Physician medical emergency responder

    5. Physician surgeon medical emergency

    6. Physician surgeon elective surgery

    7. Physician anesthetist medical emergency

    8. Physician guide to physician or physicians

    9. Physician hospitalist (Takes care of hospital ward patients)

    10. Physician forensic psychiatry

    11. Physician Forensic Pathology

    12. Physician guide to other physicians through Internet
Primary care physician
Physician hospitalist (Takes care of hospital ward patients)
Engineer for maintenance and repairs of building
Medical records technician
Anesthesiologist
Cardiologist
Dentist
Dermatologist
Emergency medicine specialist (first responder)
Emergency medicine specialist (medical emergency room)
Endocrinologist
Forensic pathologist
Forensic psychiatrist
Gastroenterologist
Geriatrician
Gynecologist
Hospitalist in hospital ward
Intensivist
Internet human healthcare specialist
Medical superintendent in the state
Nephrologist
Neurologist
Obstetrics & gynecology specialist
Oncologist
Ophthalmologist
Orthopedician
Palliative Care Services
Pediatric hospitalist
Physical medicine & rehabilitation specialist
Physician-surgeon
Primary care physician
Psychiatrist
Public health specialist
Pulmonologist
Resident Services case manager in the state.
Radiologist and nuclear medicine specialist.
Stress Counselor

Allied health workers guidelines
What are examples of allied health workers?
Here are further guidelines.
There are many more.
Here are further facts.
http://www.qureshiuniversity.com/medicalemergencyroom.html

Structure of hospital buildings in the state
What should you at least know about the structure of hospital buildings in the state?
What are the mailing addresses of hospitals in the state?
How many floors are there in each building?
What are the specifications of the building of the hospital?

Physician hospitalist (Takes care of hospital ward patients)
What should be directives for all physician hospitalists (takes care of hospital ward patients)?
You must participate in enhancing services of physician primary care, physician medical emergency room, physician medical emergency responder, and physician Internet human healthcare at least.
Yearly monitoring, review must go ahead for all physician hospitalists (takes care of hospital ward patients) relevant to these services elaborated: physician primary care, physician medical emergency room, physician medical emergency responder, and physician Internet human healthcare.
Termination of physician hospitalists (takes care of hospital ward patients) who do not enhance physician primary care, physician medical emergency room, physician medical emergency responder, and physician Internet human healthcare Services.

What should a physician know offering healthcare services in various human healthcare setting?
You have to make a human being live happily more than 90 years of life.
Here are further guidelines.

Statistics of hospitals in the state
What should you know about various hospitals in various states or locations?
Is it necessary to have a big building to establish a hospital?
What minimum requirements should be met to establish a hospital?
How is a hospital established?
What is a hospital?
Who is program targeted at?
Do all patients need to be diagnosed and treated at a hospital?
In which locations can patient get admitted into a hospital?
What types of patients are admitted, diagnosed, and treated at a hospital?
How can admission to a hospital be prevented?
What types of patients get admitted and are treated in ER, OT, ICU, and hospital wards and need OPD or Internet healthcare?
What are essential rooms and locations in a hospital?
Is there a difference between a clinic and a hospital OPD?
Is there a difference between a clinic and a hospital?
What is the difference between a clinic and a hospital?
How are hospitals categorized?
What is the profile of the hospital?
Does the hospital have rooms and services listed?
What are the types of hospitals?
What is the most important requirement of a hospital?
What is a teaching hospital?
What are the different types of hospital equipment?
What should be available to medical doctors working with a hospitalized patient?
What is the profile of the patient?
What brings patients to the hospital?
What problems, complaints, symptoms, signs, and issues bring patients to the hospital?
What are the duties of the director of a hospital or one in charge of a health care facility?
What are the duties and responsibilities of the state director of health?
What should you know about various hospitals in various states or locations?
All hospitals are state hospitals.

Is it necessary to have a big building to establish a hospital?
No.

What minimum requirements should be met to establish a hospital?
Emergency room services (medical)
Critical care unit
Operating room
Internet human health care resources.

This can be established on the ground floor (road level) of a building.
In America, the ground floor (road level) is considered as the first floor.

Three rooms with 600 square feet each, with equipment and required staff, is enough to establish a hospital on an emergency basis.

How is a hospital established?
A hospital is established as per the need of the community.

What is a hospital?
What minimum requirements should be met to establish a hospital?

Emergency room services (medical)
Critical care unit
Operating room
Internet human health care resources.


Here are further guidelines.

Take a look at various medical equipment.
All such equipment is available for a medical doctor in a hospital.

Who is program targeted at?
Medical Doctor
Career Medical Officers (CMOs) and Multi-skilled Medical Officers (MMOs)
Senior Resident Medical Officers (SRMOs)
Hospitalists
Casual medical staff

Program aims and outcomes The aim is to provide structured training and professional development. The outcomes of these will be improved and maintained competency. Evidence of participation in a structured program like this will assist employers with credentialing and the determination of clinical privileges. In the longer term, the program may include mandatory requirements for completion and or assessment, enabling more robust credentialing.

Do all patients need to be diagnosed and treated at a hospital?
No, they don’t.

In which locations can patient get admitted into a hospital?
ER
ICU
Operation room
Ward

What types of patients are admitted, diagnosed, and treated at a hospital?
Out of more than 7000 medical conditions, only 100 medical conditions are admitted and treated at a hospital.

The location of patient admission within a hospital can be at the ER, ICU, Operation room, or Ward. An Opd/Internet consultation can be there.

How can admission to a hospital be prevented?
Admissions to a hospital can be prevented through quality Internet healthcare and primary healthcare.

What types of patients get admitted and are treated in ER, OT, ICU, and hospital wards and need OPD or Internet healthcare?
ICU: 18 medical conditions
ER: 30 medical conditions
OT: 22 medical conditions
Ward: 30 medical conditions
OPD or Internet healthcare: 6000 medical conditions.
Total: 7000 human medical conditions.

What are essential rooms and locations in a hospital?
ER
ICU
Operation room
Ward
Medical records
Laboratory
Building maintenance services
50 rooms with different functions are required for a teaching hospital.

Is there a difference between a clinic and a hospital OPD?
No, there is not.

Is there a difference between a clinic and a hospital?
Yes, there is.

What is the difference between a clinic and a hospital?
www.qureshiuniversity.com/hospital.html

How are hospitals categorized?
Number of beds.
Types of services.

What is the profile of the hospital?
Does the hospital have rooms and services listed?

What are the types of hospitals?

Specialized hospital
General hospital
Teaching hospital
Clinics (usually affiliated with one of the hospitals)

A hospital provides healthcare that cannot be completed via Internet healthcare or in a clinic or doctor’s office.

A hospital has more high-tech equipment and staff than physicians’ offices.

What is the most important requirement of a hospital?
Quality of medical doctors.
High-tech equipment.

What is a teaching hospital?
What are the different types of hospital equipment?

What should be available to medical doctors working with a hospitalized patient?

What is the profile of the patient?
What brings patients to the hospital?
What problems, complaints, symptoms, signs, and issues bring patients to the hospital?
Health care guidelines for hospital faculty and postgraduates.
Hospital Ward
Ambulatory care settings
What are the duties of the director of a hospital or one in charge of a health care facility?
What are the duties and responsibilities of the state director of health?
Patient History Questions
What types of illnesses are treated at the State Hospital?
What kinds of treatment are provided at the hospital?
What is the difference between the services provided by the regional human service centers and those provided by the State Hospital?
Do most patients admitted to the State Hospital stay for a long period of time?
What is the leadership structure of the hospital?
How are consumers included or involved in planning or decision-making?
Health care and hospital administration.
    Guidance for Hospital Administration, Hospital Faculty
    Hospital Emergency Management
    Hospital Admissions
    Hospital Blood Transfusion Services
    Hospital Quality and Safety
    Hospital Medical Records
    Hospital Human Resources
    Hospital Departments
    Hospital History and Physical
    Hospital Medical malpractice
    Hospital Follow Up Visits
    Hospital Supplies/Purchasing Department
    Hospital Materials Management
    Hospital Controlled Substance
    Hospital Laundry Services
    Hospital Kitchen Services
    Hospital Laboratories
    Hospital Pharmacy
    Hospital Critical Care Unit
    Hospital Labor rooms
    Hospital Operating Rooms
    Hospital Operative Reports
    Hospital Staffing Effectiveness
    Hospital Phone Calls, Emails
    Hospital Absence Policy
    Hospital Libraries
    Hospital Electricity system
    Hospital Emergency light system
    Hospital Water supply (plumbing) system/boiler
    Hospital Fire fighting system
    Hospital Elevator system
    Hospital Escalator system
    Hospital Gas service system
    Hospital Monitoring system
    Hospital Janitorial system
    Hospital Transportation and Parking
    Hospital Laundry System
    Hospital Vending machine System
    Hospital Sewage system
    Hospital Telephone system
    Hospital Cooling/heating system
    Hospital Wifi system/Dish
    Hospital Stairs
    Hospital Lounge
    Hospital Work places
    Hospital Autoclaves
    Hospital Video Surveillance
    Hospital Incinerator
    Hospital Online Resources
Hospitals
Nonemergency medical services (Primary care physician training program)
Emergency Medical Services
Training programs for various physicians and their subordinates.
State department of health administrative services.
State department of public health.
Allied health workers guidelines
Pharmacist
Internet guidelines for patient.
Medical Supplies and Equipment
Mental Health

Emergency Medical Department in a hospital in the state.
Guidelines for Emergency Department
What are other names for Emergency medical Department in a hospital in the state?
Emergency medical room (also called medical emergency room)
Emergency room
Emergency department
Emergency
Emergency health department
Emergency medicine
Comprehensive emergency medical services - physician on duty

What does the signage of an emergency medical department in a hospital in the state look like?
Take a look at this.


What should a guide or director of the emergency medical department in a hospital in the state know?
  1. A–Z alphabetical listing of human health emergency symptoms and signs.

  2. A–Z alphabetical listing of human health emergency diagnoses and treatment.

  3. All human symptoms and signs.

  4. All human diseases and medical conditions.

  5. Documents relevant to a hospital

  6. Emergency medical department in a hospital in the state ideal dimensions and construction.

  7. Emergency Medical Services

  8. Emergency medical room (also called Medical emergency room)

  9. Emergency Diagnosis Code

  10. Emergency Diagnosis and Treatment

  11. Staff relevant to emergency medical department in a hospital in the state.

  12. Emergency medical room supplies.

  13. Medical emergencies relevant to medical emergency room.
If others worldwide do not know, they can procure these resources from Doctor Asif Qureshi, founder of Qureshi University.

Who all among the staff of an emergency medical department in a hospital in the state?
You guide, Doctor Asif Qureshi, guides from a distance, for example www.qureshiuniversity.com/hospital.html
Responsibilities of the director of an emergency medical department in a hospital in the state.
Physicians medical emergency room
EMS director
Research director, assistant chair
Physicians medical emergency room
Physician assistants
Nurses medical emergency room
Patient care assistants
Unit coordinators
Patient service representatives
Patient registrars
Others

Medical emergencies relevant to medical emergency room.

Why has medical emergencies relevant to a medical emergency room been mentioned?
Some medical emergencies have to be diagnosed and treated on the spot.
Some medical emergencies have to be treated in a critical care unit after diagnosis and treatment on the spot or a medical emergency room or at home.

Emergency medical department in a hospital in the state ideal dimensions and construction.

What should be the ideal dimensions and construction of an emergency medical department in a hospital in the state?
Dimensions should be to accommodate at least 12 medical emergency room beds.
This also depends on the location, adjacent population and projected patient visits the medical emergency room has to serve.

What do every hospital in the state and outside the state need?
Physician guidelines.
Medical students guidelines.

Where are guidelines for physicians?
All these guidelines are possible nowadays through the Internet, for example http://www.qureshiuniversity.com/physician.html

Hospital building is constituted once depending on the needs of community.
Guidelines for physicians have to be established separately.
Here are further guidelines.
Here are further guidelines.

Documents relevant to a hospital.
Hospital forms in the state.
Medical emergency room form.
Hospital patient admission record file.
Discharge from a hospital document.
Primary care physician consultation form.
Medical records.
Prescription from a physician document.
Other forms relevant to patient.

Medical emergency room patient form.
When does a patient need a medical emergency room patient form?
If a patient walks in medical emergency room for medical consultation, he or she needs a one-page medical emergency room patient form.

If a patient is referred to medical emergency room before admission to the hospital, a patient medical emergency room form is required.

How does a patient medical emergency room form look?
One-page document, to be filled in by the patient or legal guardian or medical emergency room desk clerk.

What is the name of the patient?

________________________________

What is the date of birth of the patient?

________________________________

What is the mailing address of the patient?

________________________________

How long have you stayed at this location?

________________________________

What are the reasons for consultation?


________________________________

To be filled in by the physician medical emergency room:
>
What seems to be the issue?

________________________________

A physician will ask more questions relevant to chief or main complaint and then answer these questions.

What is the diagnosis for this patient?

________________________________

What is the treatment plan for this patient?


________________________________

What best describes the treatment plan for this patient?
At-home treatment.
Admission to the hospital in ward treatment.
Admission to the hospital or intensive care unit.
In case of any surgical recommendations, get second and third consultation immediately from supervisors before any surgical recommendations.

If patient needs admission to the hospital, a hospital patient admission form is required.

This contains all the facts relevant to the patient and treating physician.

Hospital patient admission record file.

How does a hospital patient admission record file look?

________________________________

A hospital patient admission record file is many pages file compared to the one-page medical emergency room form.

Components of a hospital medical record

What are the components of a hospital medical record in the state?

________________________________

Components of a hospital medical record that has been printed or is on a computer system.
Physician’s components of medical records.

Components of a hospital medical record that has been printed or is on a computer system.

These are the files that a patient is assigned upon admission to hospital.
If the patient is admitted via emergency room, he/she first usually gets medical emergency card that is a one-page card. Sometimes, direct admission to hospital is required. After a physician decides on admission to hospital, the patient gets a hospital medical record. In some hospitals in the state, this is called an MRD file with an MRD number.

Physician’s components of a hospital medical record.

A physician must have various headings and questions in his or her database that are required from time to time to be included in patient medical records.

Take a look at this.
http://www.qureshiuniversity.com/medicalrecord.html
Physician’s Components of Medical Records.
These are questions every physician must have.

Components of hospital medical record of a person.

Identification sheet
History and physical examination records
Consent forms
Physician’s treatment plan for the resident or patient
Physician’s progress records
Physician’s order sheets
Laboratory reports
Consultation reports
Discharge summary

Hospital discharge document.

Hospital discharge document and prescription from a physician: Is there a difference?
Yes.

What is the difference between a hospital discharge document and prescription from a physician?

Take a look at this.
Discharge from a hospital document.
http://www.qureshiuniversity.com/erInstructionondischarge.html

Take a look at this.
Prescription from a physician document.
http://www.qureshiuniversity.com/prescription.html

Recommendations for replacement of executive staff of specific hospital in or outside the state for better services.
Where must replacement of executive staff of hospital in or outside the state go ahead for better services around the world?
Address: Weiss Memorial Hospital 4646 N Marine Dr, Chicago, IL 60640, North America, December 27, 2015 recommendations.
Swedish Covenant Hospital 5145 N California Ave Chicago, IL 60625, North America, December 27, 2015 recommendations.
King Fahed Hospital Medina al Munawara, Asia, December 27, 2015 recommendations.
Skims Soura Srinagar, Kashmir, Asia December 27, 2015 recommendations.
SMHS Srinagar, Kashmir, Asia December 27, 2015 recommendations.

Who must ensure immediately within days the replacement of executive staff of specific a hospital in or outside the state for better services?
State department of health of location of the hospital.
State department of human services of location of the hospital.
State department of law of specific location of hospital.
World military.
Other relevant departments in the state and outside the state.

Hospitals by state, islands, continents.
Hospitals in the state and outside the state.
What are examples of various hospitals in various states, islands, and continents around the world?
Take a look at this.
North American states
Asian states
Africa states
Australian states
Latin American states
Islands relevant to these issues.


What are examples of various states in various continents around the world?

North American States

  1. Alabama (AL)

  2. Alaska (AK)

  3. Arizona (AZ)

  4. Arkansas (AR)

  5. Alberta (AB)

  6. British Columbia (BC)

  7. California (CA)

  8. Colorado (CO)

  9. Connecticut (CT)

  10. Delaware (DE)

  11. Florida (FL)

  12. Georgia (GA)

  13. Hawaii (HI)

  14. Idaho (ID)

  15. Illinois (IL)

  16. Indiana (IN)

  17. Iowa (IA)

  18. Kansas (KS)

  19. Kentucky (KY)

  20. Louisiana (LA)

  21. Maine (ME)

  22. Maryland (MD)

  23. Massachusetts (MA)

  24. Michigan (MI)

  25. Minnesota (MN)

  26. Mississippi (MS)

  27. Missouri (MO)

  28. Montana (MT)

  29. Manitoba (MB)

  30. Mexico (MX)

  31. Nebraska (NE)

  32. Nevada (NV)

  33. New Hampshire (NH)

  34. New Jersey (NJ)

  35. New Mexico (NM)

  36. New York (NY)

  37. North Carolina (NC)

  38. North Dakota (ND)

  39. New Brunswick (NB)

  40. Newfoundland and Labrador (NL)

  41. Northwest Territories (NT)

  42. Nova Scotia (NS)

  43. Nunavut (NU)

  44. Ohio (OH)

  45. Oklahoma (OK)

  46. Oregon (OR)

  47. Ontario (ON)

  48. Pennsylvania (PA)

  49. Prince Edward Island (PE)

  50. Quebec (QC)

  51. Rhode Island (RI)

  52. South Carolina (SC)

  53. South Dakota (SD)

  54. Saskatchewan (SK)

  55. Tennessee (TN)

  56. Texas (TX)

  57. Utah (UT)

  58. Vermont (VT)

  59. Virginia (VA)

  60. Washington (WA)

  61. West Virginia (WV)

  62. Wisconsin (WI)

  63. Wyoming (WY)

  64. Yukon (YT)
    Asian States

  65. Albania

  66. Andorra

  67. Armenia

  68. Austria

  69. Azerbaijan

  70. Arkhangelsk Oblast

  71. Anhui Province

  72. Afghanistan

  73. Assam

  74. Arunachal Pradesh

  75. Andhra Pradesh

  76. Andaman and Nicober Islands

  77. Balochistan

  78. Bahrain

  79. Bangladesh

  80. Belarus

  81. Belgium

  82. Bhutan

  83. Bihar

  84. Brunei

  85. Bosnia and Herzegovina

  86. Bulgaria

  87. Chechnya

  88. Croatia

  89. Cyprus

  90. Czech Republic

  91. Cambodia

  92. Chukotka Autonomous Okrug

  93. Chhattisgarh

  94. Daman and Diu

  95. Dadra and Nagar Haveli

  96. Dagestan

  97. Denmark

  98. England

  99. Estonia

  100. East Timor

  101. Finland

  102. Fujian Province

  103. France

  104. Gujarat

  105. Goa

  106. Georgia

  107. Germany

  108. Gibraltar

  109. Greece

  110. Gansu Province

  111. Guangdong Province

  112. Guangxi Province

  113. Guizhou

  114. Heilongjiang

  115. Hong Kong

  116. Hubei

  117. Hainan Province

  118. Henan Province

  119. Hunan Province

  120. Himachal Pradesh

  121. Hungary

  122. Inner Mongolia

  123. Indonesia

  124. Iran

  125. Iraq

  126. Iceland

  127. Ireland

  128. Italy

  129. Japan

  130. Jeddah

  131. Jiangxi Province

  132. Jordan

  133. Jiangsu

  134. Jiangxi

  135. Jilin

  136. Jharkhand

  137. Kashmir

  138. Karnataka

  139. Kerala

  140. Kazakhstan

  141. Korea - North

  142. Korea - South

  143. Kyrgyzstan

  144. Kuwait

  145. Kaliningrad Oblast

  146. Lakshadweep

  147. Latvia

  148. Liechtenstein

  149. Lithuania

  150. Luxembourg

  151. Laos

  152. Lebanon

  153. Liaoning Province

  154. Liaoning

  155. Manipur

  156. Mizoram

  157. Maharashtra

  158. Madhya Pradesh

  159. Meghalaya

  160. Malaysia

  161. Maldives

  162. Magadan Oblast

  163. Mongolia

  164. Myanmar

  165. Macedonia

  166. Malta

  167. Medina

  168. Mecca

  169. Moldova

  170. Monaco

  171. Montenegro

  172. NCT of Delhi

  173. Nagaland

  174. Netherlands

  175. Northern Ireland

  176. Norway

  177. Ningxia

  178. Nepal

  179. Oman

  180. Orissa

  181. Puducherry

  182. Punjab

  183. Peshawar

  184. Philippines

  185. Poland

  186. Portugal

  187. Palestine

  188. Qinghai Province

  189. Qinghai

  190. Qatar

  191. Rajasthan

  192. Romania

  193. Sikkim

  194. Syria

  195. Sindh

  196. Singapore

  197. Sri Lanka

  198. Scotland

  199. Serbia

  200. Slovakia

  201. Slovenia

  202. Spain

  203. Sweden

  204. Switzerland

  205. Shaanxi Province

  206. Shandong

  207. Shanxi

  208. Sichuan

  209. Taiwan

  210. Tajikistan

  211. Thailand

  212. Tibet

  213. Tripura

  214. Tamil Nadu

  215. Turkey

  216. Turkmenistan

  217. Ukraine

  218. Uzbekistan

  219. Uttarakhand

  220. United Arab Emirates

  221. Uttar Pradesh

  222. Vietnam

  223. Vatican City

  224. Wales

  225. West Bengal

  226. Xinjiang

  227. Yunnan

  228. Yamalia

  229. Yemen

  230. Yamalo-Nenets Autonomous Okrug

  231. Zhejiang
    Africa

  232. Algeria

  233. Angola

  234. Burundi

  235. Benin

  236. Burkina Faso

  237. Botswana

  238. Cape Verde

  239. Côte d'Ivoire

  240. Comoros

  241. Cameroon

  242. Central African Republic

  243. Chad

  244. Canary Islands

  245. Ceuta

  246. Democratic Republic of the Congo

  247. Djibouti

  248. Egypt

  249. Eritrea

  250. Ethiopia

  251. Equatorial Guinea

  252. Gabon

  253. Gambia

  254. Ghana

  255. Guinea

  256. Guinea-Bissau

  257. Kenya

  258. Liberia

  259. Libya

  260. Lesotho

  261. Madagascar

  262. Malawi

  263. Mauritius

  264. Mayotte

  265. Mozambique

  266. Mali

  267. Mauritania

  268. Madeira

  269. Melilla

  270. Morocco

  271. Niger

  272. Nigeria

  273. Namibia

  274. Réunion

  275. Rwanda

  276. Republic of the Congo

  277. São Tomé and Príncipe

  278. Saint Helena

  279. Senegal

  280. Sierra Leone

  281. Seychelles

  282. Somalia

  283. South Africa

  284. Swaziland

  285. South Sudan

  286. Sudan

  287. Tanzania

  288. Togo

  289. Tunisia

  290. Uganda

  291. Western Sahara

  292. Zambia

  293. Zimbabwe
    Australia

  294. Northern Territory

  295. South Australia

  296. Queensland

  297. New South Wales

  298. Victoria (Australia)

  299. Western Australian

  300. Tasmania

  301. New Zealand
    Latin

  302. Acre (Asif Province)

  303. Alagoas

  304. Amapá

  305. Amazonas

  306. Bahia

  307. Buenos Aires Province

  308. Ceará

  309. Chubut Province

  310. Córdoba Province

  311. Goiás

  312. Bolivia

  313. Chile

  314. Colombia

  315. Ecuador

  316. Falkland Islands

  317. French Guiana

  318. Guyana

  319. Paraguay

  320. Peru

  321. Río Negro

  322. Santa Cruz

  323. Santa Fe Province

  324. Salta Province

  325. South Georgia

  326. Suriname

  327. Uruguay

  328. Venezuela

Hospital Statistics by State
Last Updated: December 21, 2015
State Number
Hospitals
Staffed
Beds
Total
Discharges
Patient
Days
AK - Alaska 12 1,209 43,886 217,767
AL - Alabama 92 16,166 558,006 2,730,493
AR - Arkansas 49 7,698 306,888 1,350,951
AS - American Samoa 1 0 0 0
AZ - Arizona 76 13,657 621,112 2,617,211
CA - California 349 75,723 3,047,052 13,982,504
CO - Colorado 53 8,128 368,596 1,639,591
CT - Connecticut 34 9,244 376,127 1,810,001
DE - Delaware 8 1,948 95,113 441,072
FL - Florida 215 54,576 2,405,054 11,343,140
GA - Georgia 115 21,886 874,350 4,310,081
GU - Guam 2 201 9,421 38,176
HI - Hawaii 14 2,391 90,772 516,931
IA - Iowa 41 6,511 260,207 1,160,059
ID - Idaho 18 2,422 107,073 432,242
IL - Illinois 141 30,896 1,276,344 5,748,423
IN - Indiana 98 16,125 643,667 3,018,620
KS - Kansas 59 6,614 256,171 1,133,263
KY - Kentucky 75 13,742 526,538 2,576,363
LA - Louisiana 112 15,713 515,291 2,484,365
MA - Massachusetts 80 15,387 725,521 3,481,466
MD - Maryland 52/DC 8 11,433/DC 2,712 631,167/DC 107,162 2,983,430/DC 598,977
ME - Maine 21 2,975 115,187 532,502
MI - Michigan 107 23,707 1,065,928 4,823,237
MN - Minnesota 56 10,563 462,549 2,054,967
MO - Missouri 89 17,282 678,458 3,116,974
MP - Northern Mariana Islands 1 74 3,867 19,017
MS - Mississippi 70 10,762 329,458 1,569,355
MT - Montana 16 2,371 72,788 321,818
NC - North Carolina 108 22,521 962,782 4,531,796
ND - North Dakota 10 2,013 73,224 329,299
NE - Nebraska 30 4,545 172,772 782,714
NH - New Hampshire 14 2,206 95,418 449,414
NJ - New Jersey 73 20,773 930,587 4,490,337
NM - New Mexico 37 4,227 171,265 753,380
NV - Nevada 27 5,179 251,285 1,227,367
NY - New York 198 57,504 2,126,755 11,669,656
OH - Ohio 148 28,531 1,244,593 5,568,232
OK - Oklahoma 102 11,011 402,795 1,892,694
OR - Oregon 37 6,158 301,111 1,296,904
PA - Pennsylvania 180 37,384 1,509,161 7,057,788
PR - Puerto Rico 54 8,431 386,081 2,254,769
RI - Rhode Island 12 2,553 107,701 508,618
SC - South Carolina 65 11,892 462,756 2,292,783
SD - South Dakota 26 2,782 90,381 392,964
TN - Tennessee 115 20,351 777,051 3,705,188
TX - Texas 382 58,759 2,430,077 11,709,220
UT - Utah 36 4,698 201,293 801,557
VA - Virginia 94 19,088 693,930 3,409,767
VI - Virgin Islands 2 219 7,015 43,870
VT - Vermont 7 821 35,790 171,032
WA - Washington 63 10,213 540,800 2,307,103
WI - Wisconsin 76 11,575 494,520 2,165,973
WV - West Virginia 36 6,286 220,392 1,070,828
WY - Wyoming 13 1,183 34,401 124,391
T O T A L 4,009 763,019 31,297,689 148,060,640

Guideline for Reforming Hospitals at Regional and District Levels
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What is the difference between Level 1, Level 2, and Level 3 hospitals?
Emergency and Essential Surgical Procedures
Hospital

Level
Level 1 Small hospital / health centre
Level 2 District/provincial hospital
Level 3 Referral hospital

Procedures
Personnel
Drugs
Equipment: capital outlay
Equipment: disposable

Level 1 Small hospital / health centre

Rural hospital or health centre with a small number of beds and a sparsely equipped operating room (O.R) for minor procedures Provides emergency measures in the treatment of 90–95% of trauma and obstetrics cases (excluding caesarean section) Referral of other patients (for example, obstructed labour, bowel obstruction) for further management at a higher level

Procedures

Normal delivery
Uterine evacuation
Circumcision?
Hydrocele reduction, incision and drainage
Wound suturing
Control of haemorrhage with pressure dressings
Debridement and dressing of wounds
Temporary reduction of fractures
Cleaning or stabilization of open and closed fractures
Chest drainage (possibly)

Drugs

Ketamine 50 mg/ml injection, 10 ml
Lidocaine 1% or 2%
[Diazepam 5 mg/ml injection, 2 ml]injection
Pethidine 50 mg/ml injection, 2 ml]
[Epinephrine (adrenaline)] 1 mg
[Atropine 0.6 mg/ml]

Level 2 District/provincial hospital

District or provincial hospital with100– 300 beds and adequately equipped major and minor operating theatres Short term treatment of 95–99% of the major life threatening conditions

Procedures

Caesarean section
Laparotomy (usually not for bowel obstruction)
Amputation
Hernia repair
Tubal ligation
Closed fracture treatment and application of plaster of Paris
Eye operations, including cataract extraction
Removal of foreign bodies: e.g. in the airway
Emergency ventilation and airway management for referred patients such as those with chest and head injuries

Drugs

Thiopental 500 mg/1g powder
Suxamethonium bromide 500 mg powder
Atropine 0.5 mg injection Epinephrine (adrenaline) 1 mg injection
Diazepam 10 mg injection Halothane 250 ml inhalation
[Ether 500 ml inhalation]
Lidocaine 5% heavy spinal solution2 ml
Bupivacaine 0.5% heavy or plain, 4 ml]
Pethidine 50 mg injection
[Hydralazine 20 mg injection]
Frusemide 20 mg injection
Dextrose 50% 20 ml injection
Aminophylline 250 mg injection
Ephedrine 30/50 mg ampoules

Level 3 Referral hospital

A referral hospital of 300–1000 or more beds with basic intensive care facilities.
Treatment aims are the same as for Level 2, with the addition of:
Ventilation in O.R and ICU
Prolonged endotracheal intubation
Thoracic trauma care
Haemodynamic and inotropic treatment
Basic ICU patient management and monitoring for up to 1 week : all types of cases, but with limited or no provision for: -
Multi-organ system failure - Haemodialysis - Complex neurological and cardiac surgery -
Prolonged respiratory failure - Metabolic care or monitoring

Procedures

Facial and intracranial surgery •
Bowel surgery •
Paediatric and neonatal surgery •
Thoracic surgery •
Major eye surgery •
Major gynaecological surgery, e.g. vesico-vaginal repair

Drugs

Vecuronium 10 mg powder
Pancuronium 4 mg injection]
Neostigmine 2.5 mg injection
Trichloroethylene 500 ml inhalation]
Calcium chloride 10% 10 m injection
Potassium chloride 20% 10 ml injection for infusion

Equipment: capital outlay

Same as Level 2 with the following additions (one of each per O.R or per ICU bed, except where stated):

Pulse oximeter, spare probes, adult and paediatric*
ECG (electrocardiogram) monitor*
Anaesthesia ventilator, electric power source with manual override
Infusion pumps (2 per bed) • Pressure bag for IVI
Electric sucker
Defibrillator (one per O.R / ICU)
[Automatic B.P. machine*]
Capnograph*]
[Oxygen analyzer*]
Thermometer [temperature probe*]
Electric warming blanket
Electric overhead heater
Infant incubator
Laryngeal mask airways sizes 2, 3, 4 (3 sets per O.R)
intubating bougies, adult and child (1 set per O.R)
It is preferable to buy combined modalities all in one unit

Equipment: disposable

Same as Level 2 with the following additions:

ECG dots
Ventilator circuits
Yankauer suckers
Giving sets for IVI pumps
Disposables for suction machines
Disposables for capnography, oxygen analyzer, in accordance with manufacturers’ specifications: - Sampling lines - Water traps - Connectors - Filters– Fuel cells
Last Updated: October 11, 2016