1 GOVERNMENT ORDERS COMPILED BY KGMOA Acrobat Version Prepared by Dr. Shashikumar ORDER INTO 2004 ARE ONLY INCLUDED IT WILL BE UPDATED SOON. Hand Book of KGMOA 2004 1 HOSPITAL EMPLOYEES - CATEGORIES AND DUTIES 7-1-1997 G.O.M.S. 7/75/Health dated 7-1-1975 Health (E) Department Health Services department-Hospital employees-classification of different categories-Duties and responsibilities assigned-Modification orders issued. Read- 1.G. O.MS.814/62/HLD dated 14-11-1962 2. G. O. MS. 164/64/HLD dated 9-3-1964 3. G. O. M.S. 764/66/HLD dated 14-10-1966 4. G. O. Rt. 2454/68/Health dated 6-8-1968 5. G. O. Rt.2956/68/Health dated 5-11-1968 In the G. O. read as 1st and 2nd above, the Hospital Last Grade employees were classified into four grades and their duties and responsibilities were defined. Later, as per the Govt. order, 3rd cited, the four grades of employees were designated as attendants Grade I, Grade II, nursing ‘Assistants’ and Attender. With a view to specifying their duties and functions, the Government are pleased to issue the following orders in supersession of G. O. Ms. 84162/ HLD dated 14-11-1962. (i) Hospital Attendant Grade II. This group will consist of Cleaners, Sweepers, Thotti, Scavenger and Sweeper-cum- Thotti, who were formerly designated as Scavengers and Hospital Attendants Grade IV in the Health Services, Department. (ii) Hospital Attendants Grade I. This group includes, Lascars, Mess Attendant, Gate Keeper, Receiving room Attendant, Watchman, Night Watchman, Watcher, Gardener, Woman Servant, Stretcher Bearer, Ambulance Cleaner, Servant, Board Cleaner. Van Cleaner, Disinfectionist Boy, Dressing boy, Ayah, Mess servant. Domestic Servant, Trolly bearer, Fireman, Cook Matty/Coo, Waterman, Watcher-cum-Cleaner, who were formerly designated as hospital Attendant grade III in the Health Services Department. (iii) Nursing Assistants. This group consists of all the employees formerly designated as Hospital Attendant Grade II. (iv) Attenders. This group includes other Attenders, X-ray Attenders, power Laundry Attender, Theater Attenders, Pump House Attender, Mechanic Attender, Record Attender, Library Attender, etc. ie. all attenders designed as Hospital Attendant Grade II. DUTIES I. Hospital Attendant Grade II (i) Cleaning of the floor of the Wards, Veranda, Latrines. (ii) Removal of bedpans and urinals after use and cleaning them. Giving bedpans and urinals to patients. (iii) Helping the Nursing Assistant or Nurse in giving the Enema, Bowel wash etc. (iv) Washing of soiled lines. (v) Disposal of human waster-excreta, urine, sputum. (vi) Sweeping the floor and swabbing when required. (vii) Conveying the sweepings and disposal by Burial, burning, incineration etc. (viii) Destroying linens etc. used by patients with infectious diseases like small pox, cholera etc. (ix) Removal of dead body from the ward to the mortuary etc. (x) Cleaning the drains. (xi) Help in the cleaning of walls, windows etc. when directed. Hand Book of KGMOA 2004 2 (xii) Clean the beds when soiled by motion or urine. (xiii) Help in destroying condemned articles. II Hospital Attendants Grade I (i) To carry patient patients from the O.P. Department to Ward or from one ward to another. (ii) To carry specimens of blood, urine, faeces etc. from wards to Laboratory. (iii) To carry messages and letter from the ward to other sections and outside when needed. (iv) To carry unserviceable articles to the Stores and replacement from stores to the wards. (v) To clean vessels in the wards including plates, cups etc. (vi) To give hot water to patients in the morning. (vii) To help in bed making, removal of used lines. (viii) To clean the wheeled vehicles, lamps. (ix) Bring food from the kitchen to the wards and distribute to patients. (x) Bringing firewood to the wards when required. (xi) To do duties of Nursing Assistant when posted in that place. (xii) To help in carrying medicines to stock. (xiii) To work as office Peon when required. (xiv) To do the duties of Attenders and Nursing Assistant if required in exigencies of service. (xv) Removal of cobwebs from the walls, windows and roof of the hospital. III Nursing Assistants. (i) Cleaning of beds, bed side lockers, wash basins, cupboards (walls, windows and doors etc.) (ii) Cleaning of wheeled equipments. (iii) Helping Sisters in bed making. (iv) Giving sponge bath under the Supervision of the Nurse when required and also to help patients for taking bath. (v) Giving cleaning enema. (vi) Giving bowel wash, retention enema, passing of flatus tube under supervision. (vii) Assisting in dressing, catheterisation, lumbar puncture and other procedure. (viii) Carrying patients to other departments and to other institutions in case of emergencies. (ix) Preparing patients for operation under supervision. (x) Carrying medicines, stationery and equipment from the respective place for use in the ward or Department. (xi) Carrying messages to other Departments, offices and personnel. (xii) Giving all possible help to patients in case of necessity when other category of staff are not present such as giving urinals, bed pan, sputum cups etc. (xiii) Helping in preparation of drugs and bundles for sterilisation. (xiv) Preparing hand lotion kept in the ward. (xv) Carrying blood and other specimens to the clinical laboratory and medicine from dispensary. (xvi) Collecting articles from kitchen for use in the wards or department. (xvii) Seeing to the general cleaniness of the ward. (xviii) Carrying unserviceable articles in the ward or department to the stores section for repair and replacement. (xix) Collecting and storing of patients linen with proper label when hospital linen is supllied to them. (xx) The night duty people will clean all the basins etc. in use before they leave the ward every morning. (xxi) In case when Hospital Attendant Grade I is on leave they will look after their duties also. (xxii) They will do the other duties assigned to them according to necessity. (xxiii) To feed patients who are not able to eat by themselves. (xxiv) Preparation of patients by shaving etc. for operations. (xxv) To clean the walls, window frames, dining rooms or the place where food is served. IV Hospital Attender. (i) When an Attender is posted to any place where there is no Nursing Assistant he/she Hand Book of KGMOA 2004 3 will carry out all routine work that are done by the Nursing Assistant in the wards under the guidance and supervision of the Ward Sister. (ii) When he/she is posted to a ward, he/she may be required to do the duties of Nursing Assistant and Hospital Attendant Grade I who is on leave. (iii) When posted to special department including Theatre. (a) He/she will carry out all the instruction given to them by the Medical officer, Sister-in charge, Compounder or Technician whoever is responsible to supervise the service rendered in that Department in relation to the routine management of the Department. (b) He/She will be responsible for the neatness and cleanliness of that place. (c) He/She will be responsible for any breakage or loss if and when any hospital property is entrusted to his/her care. The following general instructions will be binding on all categories of subordinate staff in the Department. i. They will work on night duty and day duty as required. ii. They should come in clean uniforms to attend roll call at the appropriate hour. As soon as they come to the ward or department they should report for duty to the superior officer. iii. They should not absent themselves from duty without previous permission. iv. The casual leave application should be submitted to the officer concerned at least 24 Hours previously before the leave is required. They should ascertain whether the leave is sanctioned before availing it. v. They should not leave the place of duty without getting permission from the superior officer. vi. They will not enter the ward or loiter about the hospital when not on duty. If they have to be in the hospital, they will wear the uniforms. The will not disturb the ward. vii. In case of sickness, the matter should be reported to the officer in charge who will direct them for treatment. Not with standing anything contained in the aforesaid paragraphs, the Heads of all institutionsare empowered to ask any class of employees to do the work of any other class of employees in exigencies of service. This G.O. will not affect other categories of employees in the Health Services Department who are doing specialised jobs like carpenters, Tailors and Barbers, who will be treated as a separate category and will have to attend to their specialised work. * * * * * * DUTIES OF OTHER HOSPITAL STAFF PHC PHARMACIST 1. The pharmacist is responsible for the receipt and issues of all materials including drugs, vaccines in the Primary Health Centre. He/She will also have to maintain proper records for receipts and issue of materials. The pharmacist is expected to ensure adequate supplies of materials and will help the medical officer in charge through the preparation of indents in time so that minimum required quantity of all materials including vaccines can be ensured in the store. It is expected that at least three months requirements must be always maintained in the primary health centre. Among these the pharmacist has to make sure that the supplies in the store and kept in good condition and the drugs ,vaccines etc are stored according to the requirements for storage of such materials as directed by the medical officer in charge or authority. 2. Be in charge of the cold chain system and receipt and distribution of vaccines in time to various immunisations clinics and maintain necessary registers.