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| Type | Commercial Circular |
|---|---|
| Topic | reservation |
Healthcare Services - lnstructions reg from the date of rate contract) and period of rate contract with provision of extension should be stated
E]RA-g{fiR GOVERNMENT OF INDIA
t-ddTrdrq MrNrsrRY oF RATLWAYS
H qi5 RATLWAY BoARD
No.2024ll & Trans. Cell / Healthcare Services /P
New Delhi, Date: 27 .08.2024
The General Manager
PCMDS, PCPOs
All PHODs
All lndian Railways
DG, CTIS
DG, RDSO
Subject: Healthcare Services - lnstructions reg.
With the objectives of enhancing patient satisfaction and accessibility of lR Health
Services, the following has been decided:
OPD (Out-Patient Department)
i. Registration: OPD Registration would start from 30 minutes before OPD timing.
QR Code based instant OPD Registration is available. All OPD Clinics to have QR
Code displayed outside. Those requiring assistance in registration to utilize OPD
registration counter which will function during OPD Hours. Facility of online OPD
registration through HMIS app is also available.
ii. General OPD in all Railway Hospitals: 0830 hours to 1500 hours on Monday to
Friday and 0830 hours to 1300 hours on Saturday. Casualty / Emergency Ward of
every Railway Hospitals will provide required service to any beneficiary requiring
medical assistance 24 x7.
iii. 100% attention: No patient physically present in OPD for the day, shall be left
unattended.
iv. HMIS based Tele-consultation Tele-consultations reduce avoidable footfalls at
Railway Hospitals / Health Units for routine follow-up, showing reports and other
consultations. Tele-consultation services are mandatory.
a. Teleconsultation Hours: 1500 hours to 1600 hours Monday to Friday and
1300 hours to 1400 hours on Saturday.
b. AII Medical Officers have been provided with a Laptop and CUG connection.
Hardware for HMIS has also been provided at all OPD Clinics.
c. Guidelines governing tele-consultations as issued by Health Directorate,
Railway Board to be adhered to.
v. Scalability: Hospital in-charges shall allocate time slots for all railwav doctors
irrespective of qrade to attend OPD, provide tele-consultation or meet rush hour
scalability.
vi. Specialist OPD: Timing of each specialist clinic and tele consultation days for
each specialist to be well-displayed in RH and through link in HMIS App.
vii. Modification / adjustment of OPD timings: OPD timings may be adjusted as per
local needs and Evening / Specialist OPD may be started wherever required, with
the approval of the DRM / AGM on the recommendation of CMS / MD.
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Medicines (Pharmacy / Formulary)
i. Pharmacy Timings - OPD Pharmacy Counter timings for dispensing medicines will
be: 0830 hours to 1600 hours on Monday to Friday and 0830 hours to 1400 hours
on Saturday or till the medicine has been dispensed to the last person who has been
prescribed medicines.
ii. Availability of Local Purchase (LP) Medicines: LP Medicines shall be provided to
patients preferably within B hours to 24 hours of the prescription having been
generated, unless otherwise prescribed by the Railway Doctor. ln urgent cases the
emergency ward would receive the local purchase medicine supply and dispense to
the patients.
iii.
shall be dispensed to the patient
with chronic diseases requiring regular treatment. Prescription Medicines for 6
months duration may be dispensed on specific request through consultation
incl uding tele-consultation.
iv. Authorised Local Chemist (ALC): Every RH / HU shall have a list of ALCs for
local purchase medicines. Cash imprest purchases shall be as per instructions and
procedure framed by Zonal Railways. Guidelines on LP of medicines vide Railway
Board (Health Directorate) letter No. 2017lHl4l1llocal Purchase (E-3236402)dated
31.07.2023 shall be adhered to.
Vide Para 3 (viii) re-engagement of retired Pharmacists and / or hiring through
GeM has been permitted vide RBE 59/2024 of 28.06.2024.2ona1Railway shall ensure
that same is effectively utilized
24X7 Medical Emergency Assistance at every Railway Hospital shall be displayed
in HMIS App.
Data Entry Operators for HMIS may be hired on need basis, as per extant
Delegation of Powers (ref. MSOP 2018 PartA item 37.E)by CMS/ M
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