The Department of Pediatrics located in the JIPMER Women & Children Hospital (JWCH) has a total bed strength of 227 which includes the general wards, private wards, emergency and the neonatal and pediatric intensive care units.
The A& E located on the ground floor is a 24 bedded unit which provides round the clock emergency services. Sick patients who come to the OPD in the morning, those who arrive after OPD hours and on holidays are seen here. The A&E consists of a Triage room, Zero delay ward, the A&E ward and the High Dependency Unit (HDU) level I for patients who require close monitoring and yet are not sick enough to be transferred to the intensive care unit.
Two emergency teams do duty on shift basis including one DM Senior Resident. Each team comprises of one senior resident, two to three junior residents, interns, nursing staff and an on-call consultant. The emergency is fully equipped to handle all kinds of emergencies. There are facilities for oxygen therapy, radiant warmers for newborn temperature maintenance, multiparameter monitors, pediatric ventilators and facilities for conducting minor procedures. The residents are well versed in handling all pediatric emergency situations, as they deal with a wide range of conditions everyday like shock, respiratory distress, diabetic ketoacidosis, congestive cardiac failure, poisonings etc. Investigations like blood investigations, bedside X rays, ECG, ultrasonography etc are available 24 hours.
On the first and the third floors of the Women and Children Hospital there are pediatric wards. Duty residents and nursing staff are posted 24 hours in these wards. There are separate procedure rooms for conducting procedures like i.v. cannulation, lumbar puncture etc. Multiparameter monitors are available bedside. A side lab is attached for basic investigations. Facilities for bedside ECG and X-ray are available round the clock.
PEDIATRIC ENDOSCOPY ROOM
The GI endoscopy room is located adjacent to the ward. Endoscopy services are available for in-patients but is predominantly conducted as day care procedure under sedation to ensure patient comfort and early return to daily activities. Diagnostic endoscopies are done for biopsies and corrosive ingestions. Therapeutic procedures like variceal ligation, sclerotherapy, stricture dilatation, foreign body removal, polypectomy and percutaneous endoscopic gastrostomy are performed.
PEDIATRIC INTENSIVE CARE UNIT
The Pediatric Intensive Care Unit (PICU) is located in the first floor of WCH with an adjacent progressive care ward. PICU is a 19 bedded level-III facility with state of the art full-fledged multimodal monitoring including ECHO, EEG and ICP monitoring, mechanical ventilation (invasive and non-invasive), renal supportive therapy (CRRT, PD, HD) and bronchoscopy (flexible and rigid) facilities. In addition PICU has 2 isolation beds to cater for critically ill children who require complete isolation and an additional 2 bedded private ward . Patients discharged from PICU are followed up every Friday 10 a.m to 1.oo p.m in first floor of JWCH outpatient wing as a special clinic of the department.
DAILY OPD SERVICES
The Pediatric OPD located on the ground floor of the Women and Children Hospital functions six days a week from 8:30 AM to 1:00 PM.
CHILD GUIDANCE OPD
Parallel to the general OPD runs the Child guidance OPD, six days a week. Patients attending the OPD are seen by the resident and given appointment for detailed assessment in the Child Guidance Forum.
SIDE LAB FACILITY
The OPD has a side lab for rapid reporting of basic investigations like hemogram, urine routine etc.
The OPD has a procedure room for taking blood samples for investigations .
PEDIATRC OPD SCHEDULE
|Monday||I||Prof. (Dr) S. Mahadevan Dr. Sriram Krishnamurthy|
|Tuesday||II||Prof. Niranjan Biswal, Dr. Barath J Dr C Venkatesh|
|Wednesday||III||Dr Narayanan P Dr Reena Gulati Dr Dilli Kumar C G|
|Thursday||I||Prof (Dr). S. Mahadevan Dr. Sriram Krishnamurthy|
|Friday||II||Prof. Niranjan Biswal, Dr. Barath J Dr C Venkatesh|
|Saturday||III||Dr Narayanan P Dr Reena Gulati Dr Dilli Kumar C G|
|Monday to Saturday||Child Guidance OPD||Prof. (Dr) S. Mahadevan|
|Endocrinology||Monday||2:00 pm -4:00pm||165,Ground floor, JWCH -Pediatric OPD||Dr. B. Adhisivam(in coordination with consultants of Dept of Endocrinology)|
|Genetic Counselling( by prior appointment only)||Monday||2:00pm - 4.00pm||1st floor, JWCH -Pediatric OPD||Dr. Reena Gulati|
|Gastroenterology||Tuesday||2:00 pm -4:00pm||165, Ground floor, JWCH -Pediatric OPD||Dr. J. Barath|
|Genetics||Wednesday||2:00pm - 4.00pm||1st floor, JWCH - Pediatric OPD||Dr. Reena Gulati|
|Child Guidance Forum( by prior appointment only)||Wednesday||2:00 pm -4:00pm||1 st Floor, JWCH -Pediatric OPD||Prof. (Dr) S. Mahadevan Dr Preethi K, Faculty Dept of Psychiatry)|
|Pediatric Nephrology||Thursday||2:00 pm -4:00pm||1 st Floor, JWCH -Pediatric OPD||Dr. Sriram Krishnamurthy|
|Cardiology||Thursday||2:00 pm -4:00pm||1 st Floor, JWCH -Pediatric OPD||Dr. Narayanan P.|
|Tuberculosis||Thursday||2:00 pm -4:00pm||165, Ground floor, JWCH -Pediatric OPD||Prof. Niranjan BiswalDr J Barath|
|Child Guidance Clinic||Thursday||2:00 pm -4:00pm||1 st Floor, JWCH -Pediatric OPD||Prof. (Dr)S. Mahadevan Dr Venktaesh C|
|Neurology||Friday||2:00 pm -4:00pm||165, Ground floor, JWCH -Pediatric OPD||Prof. S. Mahadevan|
|Pediatric Information, Education and Counseling(HIV clinic)||Friday||2:00 pm -4:00pm||Room No. 75, JIPMER Main Building(old), OPD||Dr. Sriram Krishnamurthy|
|PICU Follow-up Clinic Pediatric Neurology Clinic||Friday Friday||10.00 a.m -1..00 p.m 2.00 p.m - 4.30 p.m||First Floor - JWCH Special Clinic OPDs||Prof. (Dr) S. Mahadevan Dr Ramesh Kumar R|
INFORMATION ABOUT SPECIAL CLINICS
The Pediatric endocrinology clinic is held every Monday afternoon in coordination with Department of Endocrinology with a view to streamlining the management of children with endocrine problems especially diabetes mellitus and hypothyroidism.
Patients with genetic disorders, new and those on follow up are seen here. Patients referred from other departments for genetic consultation are also seen. Old and new patients are enrolled in Down syndrome registry and followed up.
GENETIC COUNSELLING CLINIC
Patients seen in the genetics clinic are called by appointment for genetic counseling.
The Pediatric Gastroenterology clinic deals with the follow up of a wide range of pediatric hepatobiliary, pancreatic and luminal conditions. Endoscopy services are available as day care procedures.
NICU graduates, as well as babies with an uneventful perinatal period, are followed up in the well baby /under five clinic. Immunization as per the Universal Immunization Program is followed. Growth monitoring, treatment of medical problems and parental counseling is done on a case to case basis.
CHILD GUIDANCE FORUM
The Child Guidance Forum is held by the Dept of Pediatrics together with the Dept of Psychiatry. Cases of child psychiatry who attend the Child Guidance OPD are seen here by prior appointment. A detailed analysis of each case is done with the formulation of treatment and follow up plan.
The Pediatric Nephrology clinic manages a large number of children with renal diseases such as nephrotic syndrome, acute glomerulonephritis, tubulopathies, renal malformations, recurrent urinary tract infections, vesicoureteral reflux and chronic renal failure.
Cases of congenital and acquired heart diseases are followed up here. Patients requiring surgical management are referred to CTVS.
The TB clinic caters to a large number of cases of pediatric TB- pulmonary and extrapulmonary. Apart from the continuation of anti-tuberculous medication, assessing response to therapy and side-effects of the drugs, screening of family members is also done.
CHILD GUIDANCE CLINIC
Cases seen in the Child Guidance OPD are followed up by the Child Guidance Clinic. Children with ADHD, autism, mental retardation etc are seen.
The neurology clinic attends to a large number of children with neurological disorders on long-term follow-up. Cases of seizure disorder, global developmental delay/mental retardation, cerebral palsy, postencephalitic or post TB meningitis sequelae etc are seen. Facility for EEG and anti-epileptic drug levels are available with the Dept of Neurology and the Dept of Pharmacology respectively.
PEDIATRIC INFORMATION, EDUCATION AND COUNSELING CLINIC ( HIV)
The Department of Pediatrics runs a PIEC (Pediatric Information, Education and Counseling) clinic which is part of the Link ART Centre at JIPMER. The HIV positive children are registered for antiretroviral therapy (ART) at the Link ART center in JIPMER. In addition, the HIV- exposed infants are registered and under follow up. They are managed as per NACO guidelines. Facilities for HIV DNA PCR, HIV ELISA and CD4 count testing are available in the Department of Microbiology.
HIGH RISK CLINIC
The high-risk clinic running three days a week is for the follow up of babies who are at high risk for the adverse neurodevelopmental outcome. The services are offered to both inborn babies discharged from our Neonatal Intensive Care Unit and also to outborn babies who are identified as high risk in the well baby clinic. The visit to the high-risk clinic is by prior appointment which is given at the time of discharge or at the visit to the well baby clinic. Assessment of growth, neurological examination, hearing assessment and development assessment are done. Neuroimaging, referral for ophthalmology/ ENT assessment, occupational therapy and speech therapy are done as required.