It has initiated to provide healthcare services, promotive, preventive and curative services to the general population. Recently it has extended its services by taking over Lalitpur General Practice Clinic (renown as Dr. D.B. Shrestha’s Clinic), which has continuously providing the health care services since 2068 B.S. Not only this, Patan Heart Clinic has expanded its health care facility by collaborating with Nepal Diabetic and Orthopedic Upachar Center and Meri Swasthya Sewa Kendra so that the patient with women health issues, Endocrinology disorder and orthopedic issues can be addressed.
1. Capability
Patan Heart Clinic has got lots of super specialized doctors, a well maintained infrastructure, computerized laboratory, up-to-date diagnostic medical machines like ECG machine, X-ray, Ultrasound Machine, Echo Machine, Doppler Machine, well trained nursing staffs and other staffs. All the information about the Patan Heart Clinic is mentioned below in detail. At present Dr. Krishna Kumar Shrestha, Cardiologist from Patan Hospital and Midat Hospital is working as Medical Director along with Dr. Priti Bajracharya, Obstetrics and Gynecologist from Alka Hospital is taking care of women health issues and management. And in this camp also, Dr. Shrestha and Dr. Bajracharya is taking all the needful responsibility.
2. Location
Nowadays Patan Heart Clinic is rendering its services from two branches. One is located in Tangal, Lallitpur-12 (Near Min Nath Temple), and another from Lagankhel, Lalitpur-6 (East of Lagankhel Bus Park). It is easily accessible as it can be reached easily with a single bus from any part of Lalitpur Sub-metropolitan city. If someone is unable to reach the clinic then one can contact the clinic number and staff will personally help to get to the clinic.
3. Rationales
It has a long history of providing health care to the people of Lalitpur and outside the Kathmandu valley since 2068 BS, having a good reputation of its quality services and community friendly approach since its establishment. Currently it has increased its capacity to 5 day-care beds along with Promotive, preventive, curative and other diagnostics services with 25 staff. Patan Heart Clinic has a basic set up of infrastructure, equipment, instruments, and social capital that can be utilized to operate a well-run clinic.
4. Objectives
o To provide preventive and curative health care to the general population
o To ensure the sustainability of the program initiated by Patan Heart Clinic
o To incorporate health promotion, and health care demands created by urbanization
o To collaborate with potential partner organizations in order to ensure the access to comprehensive ways of health care delivery system
5. Existing Facilities And services Rendered
5.1. Services Rendered
I. OPD services:
A. Internal Medicine
B. Cardiology
C. Gynecology
D. Pediatrics
E. Psychiatry
F. Dermatology
G. Surgery
H. Orthopedics
I. Dermatology
J. Rheumatology
K. Respiratory
L. Plastic surgery
M. Radiology
II. Computerized Laboratory
III. X-Ray
IV. Ultrasonography
V. ECG
VI. Echocardiography
VII. 24 hours Holter
VIII. 24 hours ABP
IX. Treadmill Test (TMT)
X. Pharmacy
XI. Physiotherapy
XII. Day care 5-bedded
5.2. Existing Infrastructure and Facilities
5.2.1. Land and Buildings
Existing physical infrastructure
• Medical records and cash room 1
• OPD room 7
• Procedure room 1
• X-ray room 1
• Waiting lobby
• Day care Room 5 beds
• Admin office room 1
• Laundry room 1
• CSSD rooms 1
• Staff toilets 1
• Patient toilets 2
• Laboratory room 1
• Pharmacy room 1
• Medical store room 2
• Training Room 1
• Kitchen 1
• Dining hall 1
5.2.2. Clinical Department
OPD Service
There are 7 OPD room with 10 working tables. The doctors run the OPD in daily basis from Sunday to Saturday (7:00 AM to 7:00 PM). The OPD is equipped with adequate clinical apparatus including digital sphygmomanometers, stethoscopes, thermometers, otoscopes, examination tables, examination lights etc. Available Doctors and Specialty
SN Name of Doctors Specialty
1. Dr. Krishna Kumar Shrestha Cardiologist/ General Physician
2. Dr. Priti Bajracharya Obstetrician and Gynecologist
3. Dr. Nishant Acharya General Physician
4. Dr. Sudha Suwal Radiologist
5. Dr. Sucharita Tuladhar Pediatrician
6. Dr. Sulochana Joshi Psychiatrist
7. Dr. Sashwat Katuwal ENT
8. Dr. Dipesh Shakya ENT
9. Dr. Niran Maharjan General Surgery
10. Dr. Rojan Tamrakar Orthopaedician
11. Dr. Sailendra Maharjan Orthopaedician
12. Dr. Sandip Yadav Orthopaedician
13. Dr. Gayatri Thapa Physiotherapist
14. Dr. Ashim Shakya Radiologist
15. Dr. Bibek Khadka Radiologist
16. Dr. Sunil Shakya Dermatologist
17. Dr. Nilam Shah Plastic Surgeon
18. Dr. Sita Ram Shrestha Family Physician
19. Dr. Abhilasha Shah Rheumatologist
20. Dr. Jasmine Tuladhar Endocrinologist
21. Dr. Sudha Khakurel Endocrinologist
22. Dr. Ajit Shrestha Pulmonologist
23. Dr. Ritu Bajracharya General Practitioner and Emergency Medicine
24. Dr. Bharat Amatya Pathologist
25. Bandana Nyachhyon Dietician/ Nutritionist
Clinical Investigations
Clinical Laboratory
A functioning laboratory provides the investigation facility ranging from routine microscopic examination to varied blood examinations that include hematology, serology, biochemistry, immunology etc. The laboratory is equipped with microscope, automatic biochemical analyzer, hot air oven, refrigerator, centrifuging machine, and other apparatus required to conduct the examinations. Every day, there are 30-35 patients receiving the laboratory services. All the materials used in laboratory are disposable. All laboratory services including bacteriology and other specialized biochemical analysis will be made available 24 hours through the new infrastructure. Radiology
A functioning 100 MA X-ray provides basic plane X-ray to the necessary service users during OPD hours. ECG
There are two functioning ECG machines. ECG is done in need basis round the clock. Ultrasound
Cardiologist is available as per needs to run echo. ECHO
Cardiologist is available as per needs to run echo. Pharmacy
Patan heart pharmacy dispenses different categories of OPD medicines. It also provides injectable items and non-medicinal supplies to OPD, Daycare and other units as per requirements. All the medicines are prescribed under generic names. Patan Heart Clinic pharmacy prohibits using plastic bags to carry medicines and medical supplies. All the medicines are kept in alphabetical orders in different wooden racks and they are checked for expiry in every three months, and are dispensed using FEFO method. All medicines are recorded in daily basis and kept in computerized data base system. All medicines are counted in every six months for financial auditing purpose. Day Care Services
There is one Day care Room with three beds. In an average, there are 50-60 day care patients in a month. The service is available twelve hours throughout the year. The room is equipped with ECG, oxygen, suction apparatus, pulse oxymeter, laryngoscope, nebulizer, sphygmomanometer, stethoscope etc. The room has sufficient supplies of emergency medicines like injectable drugs including narcotics, and intravenous fluids. The room is equipped with sterile surgical supplies, and disposable items. Routine Procedure
Routine surgical procedure and treatments are available in OPD hours however some emergency minor procedures are also done as per needs. All the supplies in the procedure room are sterile and/or disposables. Surgical Services
The surgical services available in Patan Heart Clinic are limited to the minor and elective ones that can be performed under local, regional, spinal anesthesia and sedation. Nursing and MCH Services Unit
Antenatal/Postnatal Clinics
Child Growth Monitoring and Immunization
Family Planning
Medical Abortion. Health Education
Regular health educations in different cross-cutting issues in maternal and child health have been provided throughout the clinic days. CSSD/Infection Prevention
CSSD room is equipped with autoclaves, packaging table, storage cupboards, running water, thermal indicator tapes, and necessary instruments etc. Patan Heart Clinic has its own infection prevention protocol and is overseen by the nursing officer.
5.3. Administration Department
Account and Finance
Patan Heart Clinic adopts double entry book keeping system using both manual and electronic database system. Financial auditing is done twice a year and the reports are disseminated to all the related stakeholders, district authorities, and funding partners. The admin and finance department is equipped with two computers, printers and the accounting software. All the computers are protected with licensed and updated antivirus and connected to internet and networking. General Repair and Maintenance
General repair and maintenance is done on on-demand basis by hiring the local technicians. Medical Records
Patan Heart Clinic securely keeps all medical records of the service users. The medical record section is equipped with computers and a printer. Waste Management
Power System
Patan Heart Clinic has a functioning power generator of 3 KVA and a backup inverter of 2 KVA. The power generator is serviced in standard time intervals by a private company. Power back up system will be upgraded through high power Solar Electrification System.
