Medical Superintendent of a Hospital
Answer the justified questions.
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We will consider, as an example, Swedish Hospital, 5140 N. California Ave., Chicago, Illinois 60625. Internet address: https://www.swedishcovenant.org/ Who is the hospital administrator at this point? What is the profile of the person? How long has this person been the hospital administrator? What did you understand from the complaint? Has the hospital administrator read and understood all questions and answers displayed here? Are you ready to answer the justified questions? If the hospital has been identified with any specific university, where are the guidelines available on or after April 27, 2021, for existing specific physicians and aspiring specific physicians as well as other healthcare executives in the way Doctor Asif Qureshi has displayed such guidelines at https://www.qureshiuniversity.com/physicians.html and https://qureshiuniversity.com/hospitaladministrator.html for at least 19 specific types of physicians and the hospital administrator? How did the hospital administrator reach out to communities in their area of service to ensure their wellbeing? Where is the latest annual report of this hospital? What are some executive jobs linked to healthcare administration? Director general of health of various states Global director of health (for example, Doctor Asif Qureshi) Director of health of a state Hospital administrator Legislative committee on health care supervisor. On April 26, 2021 Debbie Stabenow (MI; https://www.stabenow.senate.gov/) and Steve Daines (MT; https://www.daines.senate.gov/) were supervising the Subcommittee on Health Care. Specific physicians relevant to the hospital Chief medical officer Block medical officer Medical officer of health Allied health workers Nurses Hospital maintenance workers Hospital supplies manager or hospital store manager Hospital security officers and guards |
Be prepared to handle any health situation in the area of service.
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Is the hospital prepared to handle any health situation in the area of service? What improvements are required? From time to time, these questions will be asked. What is the area of service of this hospital? Was this hospital prepared to handle the mentioned health situation in the area of service? Who previously had these responsibilities? Who has these responsibilities at this point? |
Complaints
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What can a complaint look like? Www.nazianazirqazi.org Your entity, along with other entities, has violated my fidelity and conjugal rights and become involved in repeated criminal conspiracies that are tantamount to Class 1 felonies and similar harms. Based on your understanding, what judicial, military, and administrative punishments must proceed on or after April 27, 2021? |
Community alerts
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In what situations must a hospital administrator circulate a community alert? 1. If a situation mentioned at www.nazianazirqazi.org or a similar situation arises, circulate a community alert of repeated criminal conspiracies and community disasters that can happen via the media. 2. If 60% of hospital beds are occupied and 90% of patients or more have a specific infection, circulate a community alert via the media. 3. If any issue or incident can lead to a community disaster, circulate a community alert via the media. |
Display through the internet from your hospital.
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Have you displayed, on or after April 23, 2021, the guidelines from Doctor Asif Qureshi https://www.qureshiuniversity.com/physicians.html for your hospital or linked them to your hospital website for existing and aspiring specific physicians and other executive healthcare professionals?
Did you forward remuneration to Doctor Asif Qureshi for https://www.qureshiuniversity.com/physicians.html and https://www.qureshiuniversity.com/departments.html? |
Statistical bulletin of patients every 24 hours from medical records of the hospital.
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What do you understand by “statistical bulletin of patients every 24 hours”? How must you compile and display the statistical bulletin of patients every 24 hours through the internet? How has the internet changed the duties and responsibilities of a hospital administrator? Executive guidelines can be circulated through the internet the way Doctor Asif Qureshi has circulated them at https://www.qureshiuniversity.com/physicians.html and https:// www.qureshiuniversity.com/hospitaladministrator.html. The hospital administration can be managed through the internet. Emergency physicians, critical care physicians, and similar hospital staff can remain at the location in hospital. The medical superintendent of a hospital can manage through the internet. The program director of medical superintendents, like Doctor Asif Qureshi, can guide through the internet. If a face-to-face in-person meeting is required, that is possible. You will first have to forward your profile before scheduling a face-to-face in-person meeting. Medical representatives and others from community: What areas of a hospital can they enter and not enter? The documents must be easily available. Hospitals by states Hospital management: What do you have to do? Make sure your executives have these guidelines authored by Doctor Asif Qureshi, which have taken 21 years to research in Chicago, Illinois, as of March 30, 2021. The physical location of hospital or healthcare clinic building can differ. Remind everyone of the executive guidelines at https://www.qureshiuniversity.com/physicians.html Make sure you do not forget to forward remuneration to Doctor Asif Qureshi. On March 30, 2021, Doctor Asif Qureshi was located at 5042 N. Winthrop Ave. #237, Chicago, Illinois 60640. Telephone number 7735616102. Email admin@qureshiuniversity.com How have hospitals been enlisted by states? North American states Asian states African states Australian states Latin states Islands Here are further guidelines. |
Hospital faculty and staff
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What must every hospital communicate and display publicly? Who is the medical superintendent of this hospital or equivalent at this point? Do you consider the medical superintendent of a hospital to be equivalent to a hospital administrator? Who is the hospital administrator of this hospital at this point? How soon can the person answer the mentioned questions? |
Remuneration
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Where must you forward executive remuneration for Doctor Asif Qureshi, who has authored these resources over a period of 21 years in Chicago, Illinois? Doctor Asif Qureshi 5042 N. Winthrop Ave. #237 Chicago, Illinois 60640 |
Best hospitals list worldwide: How and Why Do We Rank and Rate Hospitals?
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The Best Hospitals rankings depends on the medical condition for which you are seeking hospital quality guidelines and advice compared with others. Those who have these guidelines from Doctor Asif Qureshi https://www.qureshiuniversity.com/physicians.html will be considered the best in the future. These guidelines have been authored by Doctor Asif Qureshi, and you need to display these guidelines through the hospital website. You must know that the building was constructed by a specific engineer. You can be recognized as a best hospital after displaying these guidelines from Doctor Asif Qureshi https://www.qureshiuniversity.com/physicians.html |
Health Care/Hospital Administrator Skills & Competencies
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In addition to hard skills and on-the-job experience, certain personal qualities or soft skills are important for healthcare administration positions. Communication: Leadership is a big part of being an administrator. For health care administrators, that requires being able to communicate with doctors and others providing direct care to patients and serve as a link between that hands-on care and the business and financial realities of running a facility or a department. Highly organized: Administrators in hospitals or other health care facilities need to keep track of finances, records, changes in insurance or health care regulations, and much more. Staying on top of all these issues requires someone to be detail-oriented with strong organizational skills. Problem-solving: As in any management positions, things do not always go smoothly, and it often is up to an administrator to find a solution when that is the case. Critical/analytical thinking: It’s important that health care administrators be able to analyze everything from facility finances to processes for billing, record-keeping, and more. |
Medical supplies
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What medical supplies are required in every state? Medicines/drugs Cotton medical supplies Bandages IV fluids Medical equipment Diagnostic medical equipment Office supplies other than medical supplies Rapid diagnostic test kits Ventilators Personal protective equipment (PPE) Oxygen generation and related supplies Oxygen-related equipment Critical care resources: Www.qureshiuniversity.com/criticalcareworld.html Operation room: Www.qureshiuniversity.com/or.html Medical emergency room resources: https://qureshiuniversity.com/hospital.html#Emergency Medical Department in a hospital in the state. Ambulances |
| What should you know about a hospital in the state? |
Annotation or definition.
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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.
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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. |
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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.
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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
Structure of hospital buildings in the state
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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)
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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
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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? | |||||||||||||||||||||||||||||||||||||||||||||||||
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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. | |||||||||||||||||||||||||||||||||||||||||||||||||
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| 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 | |||||||||||||||||||||||||||||||||||||||||||||||||
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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.
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| 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
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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?
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. |
Medical Equipment
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.
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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.
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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.
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What are examples of various hospitals in various states, islands, and continents around the world? Take a look at this.
What are examples of various states in various continents around the world? North American States
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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
Arrange a computer Internet connection.
How many total computers are connected to the World Wide Web?
What is the difference between Level 1, Level 2, and Level 3 hospitals?
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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 |