Hospital
Internship Day-1 (01-05-2024)
Today I have started my hospital internship at Trauma Medical Centre, Cumilla. The manager is a very friendly person. He provided us many valuable life lesson before starting the work. We visited the admission center, cash counter, information center.
The admission fee in this hospital is 500 taka. The admission center is less busy, because every patient don’t need to admit as inpatient. The front desk officer Arif sir was very helpful. He provided all the information about admission center and then cash counter, hotline, 2nd and 3rd floor. Although I knew the about ICU, but I was not familiar with CCU, NICU, PICU. He provides us information related to these.
The
cash counter is a very busy place. So, two persons are employed here. They take
the money from the patient’s relative for different test and provide money
recite. In case of inpatient, patient can get service without paying money
immediately by making a due against the patient’s ID. For these tasks, they use
medical management which is very effective. It can easily calculate the
discount, cash received, due etc.
Information
and customer center provide information about the doctors, their schedule,
radiology and imaging system, fee etc. People can take information through
mobile phone also.
With
the help of hospital service manager H.M. Taizur Rob Miah Sir, we met with the
medical director of this hospital. He was an old person. He asked us our name
and hometown, then tell us to meet him if we need anything.
With
the help of Arif sir, we came to know that this hospital has mammography which
is not available in any other hospital in Cumilla. Moreover, the specialist
doctors are also not available. So, the reports have to send Dhaka to get
observation. We say other radiology and imaging system from outside. I will
tell you about them in future.
Finally,
we visited all floors of building no.2 which is a 14 stroyed building. I
notable thing is, the fire management system seems very good here and the lift
system is well enough to provide facility to the patients, specially who get
their word in the higher level floor.
As
it is one of the renowned hospitals in Cumilla city, the number of patients is
huge. It will be better to increase the number of seats in the waiting of the
ground floor. Because, during rush hour, some patients or their relatives
didn’t able to seat.
Hospital
Internship Day-2 (02/05/2024)
Customer
dealing is very important part of any hospital. Today we spend time with the
hospital employees in information & customer care center and cash counter,
see how they deal people. We noticed cash counter has to face a huge workload.
In the morning shift, from 10 am to 1 pm, we noticed two or three persons
working continuously.
They
have to face handwriting prescription problem. I notice two prescriptions where
the doctors writing was worse. So, they had to straggle to understand which
pathological, radiology and imaging test they suggest.
Some
doctors asking for a discount for their patients, some people pressurize to
reduce their fee, some people behave rude. They have to deal with all of these
as well as take quick action. A number of tests are available in this hospital.
Employees must know which tests the doctor suggest. Using digital software help
them a lot. Typing speed should be a mandatory skill for them. Everyday at 3 pm
and 7 pm, they have to report the authority about their collection and send
money with proper documentation.
Information
and customer care face workload mostly in the morning. Patients call them for
serial of appointment or knowing doctor related information. Some people may
behave rude. They seek early appointment to the doctors. In-charge of this,
Pinki mam, is very kind and supportive. She provide us two prospectus where we
get all the doctors list and radiology & imaging test list. This is very
helpful for us.
Our
university is now closed because of clash between vice chancellor and teacher’s
association. But because of internship, we don’t feel us victim. All of my
batchmates are now in Cumilla city and they are doing internship in different hospitals
which are near to each other. After completing our tasks, we visited Gomati Hospital
where another group of our batchmates are doing internship. My friend Shohan,
who is doing internship in CD Path Hospital, also join with us. Together, we
spent a good time. My friend Dipu, treat us with sweet from a bakery on the
ground floor of their hospital. I noticed that, the cabins of this hospital and
it’s environment is very clean and decorated.
Our
senior brother Mostafa vai works here as a hospital pharmacist. But
unfortunately, he was absent today. So, we couldn’t meet him.
Hospital
Internship Day-3 (05/05/2024)
Sample collection is an important part of pathological test. For diagnosis disease, blood, urine, tissue etc. need to be collected. Today we spent the hole day in sample collection point of the hospital and noticed so many things. It is in the 1st floor of building no 2.
Sample collection is a challenging
job. The baby and old patients fear of syringe and needle. Most of the case,
the babies cry and unwilling to help with sample collector. Sometimes, it is
difficult to find out the vein. Some patients even complain about the amount of
blood collected. Moreover, the sample collection point has to work with the
pathology lab (7th floor). But we wonder seeing that Prya Datta mam
easily handle all of these situations.
She explained different types of tube for sample collection, their properties, working procedure etc. She took some sample from patients. Interesting part is, she asked us to collect sample. At first, we fear of this. But with her and two other mam’s supervision, we successfully collected some samples and documented them properly.
Many
hospitals use traditional tube for sample collection. Working with these is
little bit difficult for both the patients and sample collector. But this hospital
uses modern vacuum tube. It is very convenient. This is for the first time I
came to know about vacuum tube technology. Moreover, heparin or other
anticlotting agents are already presented there. So, we don’t need to add them.
I am grateful to those who apply their intelligence for making such type of new
technologies and make the patients and technologists life easier. According to
me, anyone with two days training can be a skilled sample collector. Because,
the basic of sample collection is not that much hard.
Today,
for the first time, we got the opportunity to work with patients directly. I
believe that hospital is the place from where we can gain experience, we can
know about the misery of life, we get the opportunity to talk with people and
relief their pain.
Hospital
Internship Day-4 (06/05/2024)
It
is a great day for us as hospital intern. Today we visited MRI and CT scan
room. I was astonished seeing these two giant machines. Previously, I never
ever visited such big machine. The hospital service manager Taizur Sir informed
chief technician Jobayar sir about us. He welcomed us and talked with us,
shared a lot of experiences. At first, I thought he is just like a common staff.
But after talking with him a little, I could realize that this man is a gem for
this hospital.
He
told us how he came to this position. Paramedical is considered low level job
here in our Bangladesh. But, with the suggestion of one of his senior sisters
from his locality who was a medical student, he admitted into paramedical. At
first, he was depressed. Then getting the real scenario from an MRI and CT scan
technician of Square Hospital, he devoted himself into this profession. Now he
is earning around 1 lack taka per month with only 6 hours duty per day.
MRI
and CT scan are two most expensive diagnostic tests. The price of MRI machine
is 20 crore and CT scan machine is 12 crore taka. The CT scan machine which can
take picture within 14 second using 128 slice is one of the best in Cumilla
city. The MRI machine contain 27 ton magnate.
I
noticed the room decoration and lighting was different than others. They always
maintain very low temperature so that these machines doesn’t face overheating
issue. The monitors, computer system, printers, software everything seems
costly. Even they have to hire experienced BUET engineer to fix any technical
issue.
Patients
with stroke, heomorhogic, road accident, spine cancer, brain disorder etc. come
to this department. Although MRI considered as a safe process, CT scan has some
side effects. Challenging things the technicians who work in CT scan room have
to face are reproductive problem and blood destroy problems.
Hospital
Internship Day-5 (07/05/2024)
Last
couple of days, we visited different areas of Cumilla Trauma Center hospital.
But today for the first time we meet with a doctor. At the beginning of this
day, Taizur sir asked us our previous day’s experience. We expressed our
gratitude. Then he directed us towards the emergency room doctor.
The
doctor’s name was Nazmul Haque Siam. Our age gap is not much. He was may be
five years senior than us. So, he could understand us very well. He explained
us how he response when any patients come to emergency room. As this is a
specialized artopedic hospital, most of the patients come here with road accident
or other accidents. He provides them …… treatment. He notices whether the
patients are in shock, pain, contaminated injury etc.
The
doctor talk with us in a simple manner as like we are his younger siblings. We
enjoyed it much. He was being honest with us. He said that they suggest
antibiotic a lot to the patients with accident. He accepts the failure of
controlling antibiotic use. But again, explained the overall environment is
also not friendly to control this.
I
was amazed when he recited different uses of different antibiotics and their
importance. This made me curious to learn more about antibiotic. Believe it or
not, this is for the first time I fell attraction towards pharmacology and human
physiology-anatomy study. I think if the pharmacy students visit hospital
seriously like us in his first or second year, he will be much more curious in
his study.
One
thing I did noticed. That is the promotional activity of pharmaceutical company
by sending sample medicines and promotional materials. A lot of MPOs were
there. They were promoting their company. This is not bad, but sometimes they
use bad practices which is not good sign in Bangladeshi healthcare sector.
Usually,
I submit the summary of our daily activities and experiences. But today, I had
to go with my friend Dipu to visit another doctor in Gomati Hospital. So, I
asked my groupmates to submit our summary. My friend Dipu talked with a doctor
and convienced him to take an interview.
Hospital
Internship Day-7, 8 (08/05/2024 and 09/05/2024)
Last
two days we visited doctors chamber. Dr. Hassanat sir is one of the famous
doctors here. A huge number of patients with asma, respiratory problem, allergy
etc. come to this doctor. We observed some of his prescriptions and noticed
some patterns.
He
suggest influenza vaccine "InfluVax" to those who have not vaccinated
yet. He also suggests different types of medicine in inhaler form so that the
patients can get rid of their sufferings.
Till
now, this hospital use traditional handwritten prescription which has many
notable drawbacks. The main cause beyond this is maybe the senior doctors'
unwillingness. We suggest, if possible, start applying electronic prescription
with the juniors and young doctors. Then gradually it can be applied in the
whole hospital. Surely, it will be a huge milestone for this hospital
At
the peak hours, the number of patients in Hassanat sir's chamber increased in a
number. It will be better, if possible, refer some patients to another doctors.
Hospital
Internship Day-11 (15/05/2024)
Today,
we completed an excellent session in the HR department and learned a lot. The
session was conducted by Taizur sir, who has supervised us from the very
beginning of our hospital internship. With his extensive career in this field,
he has gained a wealth of experience. He shared some of it with us. The best
part is most of the time he provided real life examples.
Before
this session, I did not know the differences between the HR and Admin
departments. I thought they were the same. However, I now understand the
distinct roles and importance of these two departments. The HR department is
responsible for hiring employees, training them properly, providing appropriate
salaries, evaluating performance, ensuring accountability, promoting employees
as a reward, increasing their salaries periodically, handle issues related to
employee relations, and even firing them when necessary. Therefore, the people
working in HR must be highly experienced. On the other hand, admin department focuses
on the operational and logistical aspects of the organization.
Our
educational journey is almost over, and soon we will start our jobs in various
organizations. Consequently, we must submit our CVs to our preferred companies.
As Taizur sir has this experience, we asked him many questions about this
process. Fortunately, he received a CV during this session and explained the
candidate’s mistakes.
Leadership
and management skills are essential for running an organization. I noticed that
Taizur sir has extraordinary insights into leadership and management. We also
discussed office politics, a prevalent issue that can hinder an employee's
career. He advised us on steps to protect ourselves from such dangers.
We
also learned about the organizational structure, an essential aspect of any
organization. Taizur sir explained the organizational hierarchy of this
hospital, including the roles of the chairman, managing director, medical
director, CEO, HR, and admin. We found it very interesting.
Finally, he explained how to maintain a work-life balance, which is essential for leading a happy life. Overall, as a hospital intern, I have learned a lot, and I believe my teammates have too.
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