Jinnah Postgraduate Medical Centre Karachi

Mahmood Ahmed

RN.BSN

Introduction to Jinnah Postgraduate Medical Centre:

JPMC is a Federal Government Post Graduate Medical Centre. It had humble beginning in 1939

as a Royal Air Force Base Hospital, and now it is a tertiary care & teaching state of the art

hospital. The JPMC has the legacy of hard work, dedication and determination traceable to the

pre-partition times when a small 80 bed hospital was built in the outskirts of the city. In 1942 the

hospital was taken over by the Royal Air Force to provide health care facilities to the armed

forces in Karachi dining the Second World.

In January 1948 the Pakistan Central Hospital, as it was then called, invited the Father of the

Nation. Following that it was named as Jinnah Central Hospital with a pledged to the Father of

the Nation to provide health care to every citizen of the country irrespective of cast and creed.

Let me unequivocally say that Jinnah Central Hospital was the First institution in the entire

country named after the Father of the Nation. During following yeses several special care units

were evolved including Cardiovascular, Pediatrics, College of Nursing and School of

physiotherapy. However a significant milestone was laid when Indiana University established”

BASIC MEDICAL SCIENCES INSTITUTE” (BMSI) in late 50s EMSI Provided Postgraduate

University training in Basic Medical subjects where talented students of this institute were

awarded M. Phil degree by the Karachi University and scholarship for Ph.D at Indiana

University.

With the start of BMSI, Jinnah Central Hospital was upgraded to Jinnah Postgraduate Medical

Centre. In 1964 College of Physicians and Surgeons Pakistan (CPSP) was started with efforts of

late General WAK Burke. Professors of BMSJ at JPMC provided teaching and training of CPSP

fellows in all basic medical sciences subjects.

Presently have the hospital 1185 bed strength 28 clinical Departments and 17 non - clinical

departments teaching school for Nurses, Para medical Physiotherapy Occupational Therapy etc.

In 1972 with the start of Sindh Medical College (SMC) clinical training and teaching was

imparted to undergraduate medical students. Every tear about 300 SMC medical graduates are

trained and successful graduates are awarded House Job at JPMC.

Orientation 0 2

The infrastructure of JPMC has immensely changed from old barracks to new wards. The has

been very generously contributed by the philanthropists at Karachi The names of Patient Aid

Foundation, TABA Foundation, Medicine and Endocrine Foundation, Eye Care Society, Cancer

Foundation and Radiology Aid Foundation deserve mention on top of the list.

For the record let me inform entire country that JPMC has so far produced ______________

Postgraduate doctors and Nurses. It had contributed to medical research and published Annals of

JPMC a regular Journal based on the Hospital research. JPMC is a tertiary care hospital and

several years back the opening of a filter clinic was considered essential where initial screening

of the patients could be carried out. This year the building was inaugurated by Honourable

Minister of Health Mr. Muhammad Nasir Khan and soon after the filter Clinic was made

functional -where patients with minor medical problems are seen for all six days by consultants

of three medical units.

A challenging task of assessing the health damage by oil spill from the vessel Tasman spirit was

awarded by WHO and the Health Minister. JPMC that we will remain steadfastly devoted to the

principles of the Founder of the Nation, Quaid- e-Azam Muhammad Ali Jinnah in whose name

this Institution is dedicated.

JPMC having different units as Neurology Medical, Surgery Unit, Psychiatry Unit, Oncology,

Basic Medical Science, Nephrology, Urology, Gynecology & Obstetric, ENT, Ophthalmology,

Family Planning, Surgery, Nuclear medicine and so many other departments.

School of Nursing, School of Physiotherapy, BScN, School of Occupational Therapy and

College of Nursing are situated in the boundaries of JPMC.

This institute also provides different types of Degree and Post graduate Education, like, MRCP,

FCPS, MCPS, ,B.Sc Physiotherapy, Occupational Therapy ,Medical Technology, BScN, DWA,

DTA, Community and Psychiatry specialized diplomas, Pediatric technician, Lab- technician, X-

Ray Technician, O.T. Technician, Nurse Aid and General Nursing. The institute is affiliated with

different organization for different programs like PMDC, Royal College of Medicine and

Surgery England, Dow University of Health Sciences, University of Karachi, Liaquat University

of Medical and Health Sciences Jamshoro, Sindh, PNC, Faculty of Sindh and Sindh Nurses

Examination Board Karachi. Regarding health care it covers to areas of the county especially

interior Sindh, Balochistan, Hyderabad and Karachi.

Introduction of National Institute of Child Health Karachi:

NICH was a part of JPMC. But in 1991, this Institute was separated from JPMC. It is also a

Federal Govt. Institute for children and running as a General Hospital. It is the only one

independent Hospital for children in the country. It provides all facilities to children.

NICH having different units as Oncology Unit, Medical Science, Surgery, Nephrology, Bum

Unit, Neonatology and so many other departments.

This institute also provides different types of training like General Nursing, Pediatric technician,

Lab- technician, X-Ray technician, O.T. Technician, and Nurse Aid.

Introduction of National Institute of Cardiovascular Diseases Karachi:

NICVD was a part of JPMC. But in 1985, this Institute was separated from JPMC. It is also a

Federal Govt. Institute for heart patients and running as a Heart Care General Hospital. It is the

only one independent Federal Hospital for Heart Care in the country. It provides all facilities to

children and adults. Regarding health care, it covers interior Sindh, Balochistan, Hyderabad and

Karachi.

NICVD having different units as Cardiac Medicine and Cardiac Surgery, Pediatric Cardiology,

Angiography’s Unit and so many other departments.

This institute also provides different types of training like Catheterization Lab- technician, Echo-

technician, Cardiac Nursing and ECG technicians.

Incentives and Benefits for the Employees;

Leaves:

Annual Leaves 30 —48 Days

Medical Leaves 15-110 Days

Casual Leaves 20-25 Days

Weakly Day off One Day

Grades:

Principal College of Nursing 19 Grade

Chief Nursing Superintendent 18 Grade,

Instructor 17 Grade

Principal School of Nursing 18 Grade

Head Nurse 17 Grade.

Charge Nurse 16 Grade.

Deputation post graduation on:

Dip card One Year

ECG Training One Year

Specialization in any subject Six months to One Year

B.Sc in Nursing Two Years

Promotion:

Extra Educations, DWA and DTA

Seniority in Services from the Date of Appointment

Pay Mover when basic pay exceeds after Maturates of pay Scale

Funds:

Benevolent funds

Benevolent Grants

Group Insurance

Loans:

House Rent Loan

Motor Bicycle Loan

House Building Loan

The Loan on the Marriage of Children

Other benefits:

Pension and Gratuity

Medical Unfitness by Organization

On retirement after 25 years completion of service

At the Age of 60 years

Incident reporting:

All complains to the Office of CNS and during off hours, complains to the Shift Supervisors and

then forwarded to CNS, if necessary, the complaints should be forwarded to Director.

Communication:

Communication takes place through meetings, circulars, notes, letters, and memorandums,

written calls, announcement and telephones.

Record keeping:

Registers are arranged for different purposes to maintain the records e.g. day & night report

book, ledger book, lab book, over book, round book, inventory book, discharge book and these

Registers (books) are saved in record room after completion.

Budget:

Budget planned by the higher authority of hospital which is received from Federal Govt.

College of Nursing JPMC Karachi;

It is the first College of Nursing in Pakistan which was established in 1954. Initially it provided training to basic

Nursing Teachers with co-operation of United States of America Then other specialties like Psychiatric Health

Nursing, Community Health Nursing, and Midwifery Training and now the College of Nursing is offering the B.Sc

Nursing Program since 2004 affiliated with Liaquat University of Medical and Health Sciences, Jamshoro, Sindh.

The College of Nursing has its own boundary wall with four stories building The ground and first floor are

reserved for academic purposes and consist of offices, class- rooms and mess services and the

upper two floors are reserved for hostel Building profile includes:

1 Principal office 11 Record room

2 Faculty office 12 Warden room

3 Faculty Lounge 13 Auditorium

4 Class Room 14 Guest room

5 Library 15 Waiting room

6 Computer Room 16 Kitchen

7 Computer Lab 17 Dining Hall

8 Skill Lab 18 TV Lounge

9 Laboratory 19 Residential students rooms

10 Administration office 20 Open area for assembly

Hierarchy of College of Nursling JPMC

Principal

Administrative staff

Faculties

o Master Faculty

o BScN. Faculties

o PGs. Faculties

o Disciplines

Faculties

o Guest Lecturers

Office Superintendent

o UDCs

o LDCs

o Dispatcher

o Drivers

o Store Keeper

Mess Warden

• Mess Staff

College of Nursing offers various disciplines:

1. B.Sc. Nursing

2. Diploma in Ward Administration

3. Diploma in Teaching Administration

4. Diploma in Community Health Nursing

5. Diploma in Psychiatric Health Nursing

6. Diploma in Midwifery

Teaching Learning Methodology

1. Multimedia

2. Computer

3. OHP

4. Projector

5. TV and VCP

6. White and Black board

Orientation of JPMC S History of Department of Psychiatry:

1. In 1938. Medical corps hospital in Karachi

2. In 1947, Pakistan came into being Pakistan central government hospital

3. In 1948, Rename as Jinnah Central Hospital

4. In 1 964 Became a teaching hospital as Jinnah Post Graduate Medical Centre

5. This is now a leading tertiary care hospital with 1185 in patient Facility

6. In 1962 ,Establishment of Department of Psychiatry as a Neuropsychiatry ward and

Professor K.Zaki Hasan being the first head of department followed by Professor Maroon

Ahmed Ex-Associate Professor Psychology

Current status:

The department is recognized for teaching and training by University of Karachi and by CPSP

and pioneered in transferring knowledge and teaching of psychiatry to all the corner of country

Some of its trained personnel are working abroad as well It has produced 53 MCPS, 11 FCPS

and MD

Present Staff :

1 Prof. Musarrat Hussain Head of the Department

2 Dr. M. Iqbal Afridi Associate Professor

3 Dr. Syed Zafar Haider Assistant Professor

4 Dr. Najmuddin Registrar

5 Ms. Salma Lari Social Welfare

6 Ms. Naheed Jamal Head Nurse

7 Mr. M.Asghar Javed Stenographer

8 Mr. M.Nadeem Male Nurse

9 Mr. MA Jatt Nurse Aid

10 Mr. Ayaz Haider Ward Master

11 Mr. Abdul Aleem Nursing Attendant

12 Mr. Atta Mohammed Nursing Attendant

13 Mr. Abdul Malik Naib Qasid

Indoor patient care:

Annual 600 cases are hospitalized every year, with provision of free consultation.

Laboratory, investigations, medicine, ECT,Practically 24 beds are available.

Needs:

Increasing bed strength keeping in mind the growth of population and increase in psychiatric

patients, separate section for indoor Child psychiatric services, geriatric Cases, drug dependences

cases, and separation of psychotic and non-psychotic (depressed, neurotic, psychosomatic

patients with provision of the specific needs Therapeutic programme. Arrangement for crises

intervention, seclusion and intensive care for critically ill patients. Admission procedure need

improvement especially obtaining CR.No along with prier instruction to attendant Safe storage

of medicine in cupboard and Refrigerator with proper labels with record, besides neat and clean

patient’s bed, bedside cupboard with locks furniture—4 Chairs and one round table on both male

and female side of ward preferably have daily news paper!/Magazine Ensuring safety such as

Fire extinguisher and basic needs safe drinking wafer, meal sanitation especially bath rooms.

Availability of recreational facilities e.g. TV. History taking should be according to the

international standards and format, cover all areas with proper headings, MSE, Physical

examination, relevant laboratory tests and psychometric testing, treatment plan and formulation

Standard operation procedure for laboratory tests and Neuro-diagnostics Diagnoses should be

written clearly with lCD 10 Code. Treatment on file should be according to the standard format

i.e. name of drugs in capital letters with Generic name. Separate ECT room with all facilities

including Anesthetist Regular evening round with documentation. There should be no disparity

between case file and treatment book. Psycho-education regarding illness, treatment, follow-up,

with advice on diet, occupation Documentation should be accurate and easily readable Patients

file should be secure to maintain confidentiality Application of Psycho-diagnostics/ Rating scales

Proper Psychotherapy by clinical psychologist Psychosocial counseling, Occupational therapy At

the time of discharge Job description and specification with emphases on team work.

Outdoor:

Currently there are regular Twice a week OPD (Tuesday & Friday) and five special clinics

average one OPD attendance of patients is 400 and about 400000 per year.

Extension of OPD with Basic record keeping

Teaching and training / research and development:

Improvement in the ward library with latest books and current journals (BJP, ASP, AP) Access

to Computer and internet facility, Photostat machine Structure program of patients care, log book

maintenance, training, presentation, preparation for exam with 3 months evaluation! test. Besides

there dissertation on allocated topic, presentation of papers in national and selected international

conferences with at least 2 publications in PMDC recognized journals

Structure of ward:

Ward map, at the entrance with emergency exits and wash mom and other facilities Notice board

with weekly time table and daily activities Emergency psychiatry 24 Hrs Round the clock

Improvement in war lawn with game/sport facilities Brochure depicting available facilities as

Liaison Psychiatry With Medical, Surgical& allied disciplines of JPMC and Forensic Psychiatry

Provision of diagnosis and treatment Facilities to the referrals for Govt. and civil servant -

Teaching and Training to

1. Under Graduates of Sindh Medical College

2. Post Graduate College of Nursing

3. School of Nursing, JPMC

4. B.Sc. Occupational Therapy and B.Sc. Physiotherapy

5. MA. Social Work (University of Karachi)

6. MA. Psychology (University of Karachi)

7. School Of Nursing Islamic Mission Hospital

8. St. John Homeopathic Medical College

9. FCPS H (Medicine) on rotation

Provision of services:

1. Library

2. Psycho diagnostics

3. Lecture Hall

4. Internet Facility

5. Psychotherapies

6. Pharmacotherapy (Free of Cost)

7. ECT(Free of cost)

References:

1. Alfred. S. (1998). Leadership and Management (1st Edition) Lahore. Feroz Sons.

2. Eleanor and Sullivan (1998). J. Effective Management In Nursing. (3rd Edition). London.

Bailliere Tindall. London.