+

SWARAJ HOSPITAL, BOLANGIR

NABH Standards
Takeover Pending

Rugudipada / Palace Road, Bolangir, Odisha - 767001 • DMO Clinical Handover & Takeover Register

Outgoing DMOOMC-28491

Dr. Debabrata Mishra, MBBS

Tel: +91 94371 88204

Incoming DMO (Takeover)OMC-31052

Dr. Priya Ranjan Sahu, MBBS, PGDEMS

Tel: +91 98610 44319

Handover Recorded20:15 IST

Casualty • ICU • General Wards Active

Live Shift Station:Critical Inpatients: 3•Watch Cases: 1•Pending Clinical Tasks: 4• 1 Police Memo Ack Due

Hospital Inpatient & Casualty Census (Swaraj Hospital)

Real-time ward distribution and shift turnover tracking

Total Beds
43/ 50
86% Occupied7 Vacant
ICU Beds
6/ 8
2 ICU Beds Open
Admissions
+11
During this duty shift
Discharges
7
Normal discharges
Referrals
2
VIMSAR Burla / DHH
Deaths / LAMA
0/ 1 LAMA
Nil Mortalities
Ward Census:HDU: 5•Female Ward: 14•Male Ward: 12•Cabins: 6

SBAR Clinical Inpatient Handover

3 Critical
4 Pending Tasks

Structured NABH format: Situation • Background • Assessment • Recommendation

ICU-02Ramesh Meher(56 / M)IP-2026/1420
CRITICAL
Primary Diagnosis: Severe COPD Exacerbation with Type II Respiratory Failure
Consultant: Dr. S. K. Mahapatra (Pulmonology/Med) • Adm: 2026-10-18
SSituation

Acute hypercapnic respiratory acidosis, worsening dyspnea since 17:00, put on NIV support.

BBackground

Known smoker (30 pack-years), chronic COPD Stage IV, Cor Pulmonale, hypertension on Amlodipine.

AAssessment & Vitals

Vitals: PR 104/min, BP 148/92 mmHg, SpO2 93% on BiPAP (IPAP 14 / EPAP 6, FiO2 40%), ABG pH 7.31, pCO2 58 mmHg, HCO3 28.

RRecommendation

Strict BiPAP compliance. Repeat ABG at 02:00 AM. If pCO2 > 65 or GCS drops, prepare for endotracheal intubation. Nebulize with Duolin + Budecort 4th hourly.

Shift Task:Repeat arterial blood gas (ABG) at 02:00 hrs; check serum potassium.
Pending Verification
HDU-01Santoshini Pradhan(34 / F)IP-2026/1429
CRITICAL
Primary Diagnosis: Elapid (Krait) Snakebite Envenomation with Early Neurotoxicity
Consultant: Dr. B. K. Rath (General Medicine) • Adm: 2026-10-19
SSituation

Bitten on right foot while sleeping at 18:00 in rural Bolangir; received 10 vials ASV in Casualty; early ptosis observed.

BBackground

No prior comorbidity. Bite marks noted on dorsum of foot. 20-minute whole blood clotting test (20WBCT) was prolonged.

AAssessment & Vitals

Vitals: PR 92/min, BP 120/76 mmHg, SpO2 97% on 4L O2 via nasal prongs, Single breath count 18, mild bilateral ptosis, no respiratory distress.

RRecommendation

Check Single Breath Count and neck muscle weakness every 30 mins. Keep Inj. Atropine + Neostigmine ready at bedside with Ambu bag. 10 more vials ASV if neuro-progression.

Shift Task:Hourly neurological chart (ptosis, swallow test, breath hold time).
Pending Verification
FW-08Pravati Sahu(42 / F)IP-2026/1415
WATCH
Primary Diagnosis: Acute Biliary Pancreatitis with Cholelithiasis
Consultant: Dr. A. K. Patel (General Surgery) • Adm: 2026-10-18
SSituation

Epigastric pain radiating to back, persistent nausea, Ryle’s tube aspirate bilious.

BBackground

History of recurrent biliary colic, Gallstones on USG, Serum Amylase 840 U/L, Lipase 1120 U/L.

AAssessment & Vitals

Vitals: PR 88/min, BP 114/74 mmHg, SpO2 98% room air, Abdomen soft but tender in epigastrium, Urine output 60 ml/hr on catheter.

RRecommendation

Maintain Nil By Mouth (NBM), IV Ringer Lactate @ 120 ml/hr, Inj. Tramadol 50mg IV PRN in 100ml NS for severe pain, check morning hemogram and CRP.

Shift Task:Serum Calcium and morning LFT repeat sample collection at 06:00.
Pending Verification
MW-05Jogeswar Bag(62 / M)IP-2026/1402
POST-OP
Primary Diagnosis: Post-op Day 2 Left Intertrochanteric Femur Fracture s/p PFN Fixation
Consultant: Dr. C. R. Tripathy (Orthopaedics) • Adm: 2026-10-17
SSituation

Post-operative recovery smooth, surgical site dressing intact, mild incisional pain.

BBackground

Known Type 2 Diabetes on Tab. Metformin + Glimepiride. Random Blood Sugar 164 mg/dL.

AAssessment & Vitals

Vitals: PR 78/min, BP 130/80 mmHg, SpO2 98%, distal neurovascular status intact in left lower limb, drain output 30 ml serosanguinous.

RRecommendation

Continue IV Antibiotics (Inj. Cefuroxime 1.5g BD), check RBS fasting at 06:00, assist bed mobilization in morning.

Shift Task:Review morning fasting blood glucose; routine dressing inspection.
Action Completed
ICU-05Subash Chandra Majhi(68 / M)IP-2026/1431
CRITICAL
Primary Diagnosis: Acute Anterior Wall STEMI - Thrombolyzed with Streptokinase at 16:30
Consultant: Dr. S. K. Mahapatra (Medicine / Cardiology) • Adm: 2026-10-19
SSituation

Transferred from Casualty post-thrombolysis; chest pain settled (0/10); ST elevations resolved by >50%.

BBackground

Hypertensive, Dyslipidemic, No history of bleeding diathesis.

AAssessment & Vitals

Vitals: PR 72/min regular, BP 124/82 mmHg, SpO2 98% on 2L O2, ECG rhythm normal sinus, no ventricular ectopics.

RRecommendation

Continuous cardiac telemetry monitoring. Watch for reperfusion arrhythmias or bleeding from puncture sites. Heparin infusion @ 1000 IU/hr running.

Shift Task:Check APTT ratio at 23:00; repeat 12-lead ECG if recurrent chest tightness.
Pending Verification
CAB-03Ananya Hota(27 / F)IP-2026/1398
STABLE
Primary Diagnosis: Primigravida at 34 Weeks POG with Mild Gestational Hypertension
Consultant: Dr. (Mrs.) R. Panigrahi (O&G) • Adm: 2026-10-18
SSituation

Admitted for BP stabilization and fetal monitoring. Symptomatically asymptomatic.

BBackground

No past hypertension, urine albumin nil on dipstick, fetal kicks adequate.

AAssessment & Vitals

Vitals: PR 80/min, BP 134/86 mmHg, SpO2 99%, FHS 144 bpm regular, no headache or blurring of vision.

RRecommendation

Four-hourly BP charting. Check for any epigastric pain or hyperreflexia. Continue Tab. Labetalol 100mg BD.

Shift Task:NST (Non-Stress Test) trace scheduled for 09:00 AM.
Action Completed