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Introduction: Nursing care is necessary for every client seeking any type of healthcare such as health promotion, diagnosis, treatment and recovery. Despite these facts, nurses are given less importance and their works are even unrecognized. Objective: The objective of this study was to explore nursing care provided to inpatients of medical ward at B. P. Koirala Institute of Health Sciences, Dharan, Nepal. Methodology: Hospital based cross-sectional study was carried out in medical ward of B. P. Koirala Institute of Health Sciences, Dharan from Feb 2017 to Oct 2018. Data were retrieved from inpatient admission record book of medical ward of previous 15 months from the initiation of this research work. Admission record book was reviewed and checked for completeness of the record. A total of 290 patients having complete records were enrolled. Collected data were entered in Microsoft excel and analysed by SPSS software. Results: More than half patients (52.8%) were male and 44.8% belonged to Janajati ethnicity. The major age group was 15-25 years (17.9%) with mean and standard deviation of 49.4±20.6. About 28.6 % of the patients were admitted due to cardiovascular related problems and poisoning (13.1%). Most of the patients (67%) were admitted from emergency. Median duration of stay was 4 days. Every 8 out of 10 patients were recovered and discharged. General nursing care provided were maintenance of personal hygiene (91.03%), cannula site care (49.7%), providing psychological support (41%), ambulation (8.3%), back care (7.6%), catheter care(6.9%), passive exercise (2.4%), chest physiotherapy(3.7%), sponge bath(9.3%). Specific care provided were  propped-up positioning (36.2%), 2 hourly position change (23.4%), random blood sugar monitoring (12.4%), SpO2monitoring (8.9%), watch for oxygen toxicity (9.3%), weight monitoring (3.1%) and pre CAG (coronary angiography) care(2.1%). Conclusion: Maintenance of personal hygiene, cannula site care, psychological support, two hourly positioning and oral care were the common practices performed.BIBECHANA  16 (2019) 204-212

Background: The practice of blood ordering before surgery is usually excessive. Hazards of over ordering include burden to blood banking, outdating of blood, unnecessary wastage of hospital resources, mental and physical stress to patient party. A study on blood ordering practice provides important feedback for improvement of blood ordering service system and developing Maximum Surgical Blood Ordering Schedule (MSBOS). Objectives: To find out the ratio between cross-matched and transfused blood units (C:T ratio) in routine operation theatres (OT) of BP Koirala Institute of Health Sciences (BPKIHS) and the time lag between blood demand and arrival in the OTs. Methods: Data of 94 patients undergoing elective surgery with potential need for blood transfusion over the period of one month were collected and analyzed prospectively. The variables noted include age, gender, body weight, blood group, hemoglobin level, diagnosis, type of surgery, maximum allowable blood loss, actual blood loss; number of blood units cross-matched and actually transfused. Results: Altogether, 161 blood units were cross matched and only 24 of them were transfused making the C:T ratio of 6.7:1. Fourteen out of 24 units were transfused only in gynecological & obstetrical patients. The mean time interval between the demand and the arrival of blood units was 10 ± 7.6 minutes. Conclusion: The overall C:T ratio in the routine OT of BPKIHS is comparatively high. Further study with larger sample size is needed for recommending MSBOS.DOI: http://dx.doi.org/10.3126/hren.v10i2.6583 Health Renaissance 2012; Vol 10 (No.2); 137-138