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 NABH Patient Safety & Quality of Care
 gknm hospital materinity

Admission :

Patients are advised to get admitted 2 days prior to the day of surgery. The date of admission and date of operation are scheduled by the Doctor in the outpatient service. On admission a Doctor from the cardiac surgical team will examine the patient. All patients will have a physical examination, routine checks, blood tests, ECG and Chest X-ray. Other tests like Echo or specialized blood investigations will be done on specific order from the Doctor.

A Counselor will discuss the hospital stay, facilities for the relatives and discharge plans after admission.

The Anaesthesiologist will examine and assess the fitness of the patient for anaesthesia the day before the surgery.

The hospital rules expect the patient to pay the package charges specified for the procedure at the time of admission except in a case of emergency.

Dental Clearance :

It is important for every patient to have a dental check well before (atleast 2 weeks) prior to surgery. This is critical because any rotten tooth (caries) is a source of infection which can cause very serious heart infection (endocarditis).This is of particular importance in patients who are going to have a valve replacement.

Check with your Dentist and get any bad tooth extracted before surgery.
Note : Presence of caries tooth on admission may cause postponement of the operation.


Smoking :

Smoking should be stopped well before surgery. Continuous smoking till surgery may cause serious complication and lung infections after surgery.

Anticoagulants / Antiplatelet Drugs :

If you are taking Warfarin or Acitrom it has to be discontinued 5 days before surgery. Also patients on Aspirin and / or Clopidogrel are advised to stop these one week before surgery to reduce bleeding problems. Aspirin may be continued in selective patients with unstable angina. Please check with your Doctor.

Blood Donation :

Each patient will be advised regarding the number of units of blood required for surgery. Volunteer donors, preferably friends or relatives of the patient with the same blood group can present themselves to the Blood Bank the day before surgery and donate the required amount. Fresh blood has to be donated on the day of surgery before 8.00 A.M

Diet Restrictions :

Hospital provides appropriate diet to all patients on admission. Patients can have their usual food till midnight on the day before surgery. After midnight patients are starved in preparation for surgery.


Day of Surgery :

Patients will be transferred from their bed to the pre-operative holding area in the theatre complex atleast 2 hours prior to the procedure. Here the Anesthesia team will sedate the patient and insert lines for monitoring and giving fluids. Once the theatre is ready the patient will be taken in, anesthetized and surgery will commence.

Relatives can wait in the room or in the waiting hall. The Surgeon/one of the team members will speak to the relatives once the operation is completed about the procedure and condition of the patient.

ICU :

The patient will be admitted in the Intensive Care Unit (ICU) where specially trained Nurses and respiratory Technicians will take care of the patient. Patients will be on a breathing machine called Ventilator till he/she recovers from Anesthesia. He or she will be disconnected from ventilator and the tube in the mouth (endotracheal) removed once the condition is stable and patient is fully awake. This will be decided by the intensivist in the ICU. The usual duration of ventilation is between 4 to 24 hours.

Visitors are usually not allowed inside the ICU. To reduce traffic and infection one relative sees the patient after surgery and after the removal of the endotracheal tube. Otherwise one visitor is permitted to see the patient morning and evening.

Physiotherapy :

Breathing exercises and mobilisation are started in the ICU. Post-op exercises are very important for fast recovery and to prevent lung complication. The Physiotherapist will visit each patient twice a day and advice regarding this.


Dietary Services :

A Dietician will visit each patient and tailor the dietary requirements and advise on the diet to be followed after surgery.

Discharge :

Patients are usually discharged 8-10 days after surgery. Please check the following with your doctor on discharge.

  • Medications
  • Exercise and activities
  • Resuming Work
  • Diet
  • Follow up date

Financial Aid :

The hospital is recognised by the office of Honourable Prime Minister for grants towards heart surgery from the relief funds. Poor patients availing general ward may benefit upto Rs.50,000/- in the Prime Minster's Relief Fund . Certificate for the same can be obtained from the office of Cardiothoracic Department on the recommendation from the Doctor. Other charitable Institutions also contribute to the benefit of poor patients. The contact information of these charity bodies can be obtained from the office of Manager-Public Relation. 50 % Railway concession for the patient and his/her attender is available after surgery.