Beds · observation & day-care
IPD-lite · 6 beds at DHA Phase 5 · short stays (< 24 h), observation and recovery
Keeping beds can move this branch from a PHC "clinic" licence to Category IIC (up to 15 beds), which has heavier MSDS requirements. Bed charges above provincial thresholds can also attract sales tax (e.g. SRB above Rs 25,000/day, KPRA above Rs 10,000/day). [Verify with your regulatory profile.] Open compliance →
Bed 1 · Zainab Bibi
Critical lab K⁺ 6.4 · notified 10:52| Medication | 11:30 | 12:00 | 13:00 | 13:30 | 14:00 | 16:00 |
|---|---|---|---|---|---|---|
| Calcium gluconate 10% 10 mL IV Stat · over 10 min | ✓ 11:28 | |||||
| Insulin regular 10 U + D25 50 mL IV Stat | ✓ 11:40 | |||||
| Salbutamol nebulisation 10 mg Stat | ✓ 11:55 | |||||
| RBS check Hourly × 4 | ✓ 142 | ✓ 118 | Due | |||
| Normal saline 0.9% 1 L IV over 8 h | ✓ started | Check | ||||
| Losartan 50 mg PO Held — hyperkalaemia | Held | |||||
| Repeat serum K⁺ Lab order | 16:00 |
Each dose is time-stamped by the nurse; held doses need a reason. Drugs are issued from the ward store and deducted automatically.
| Charge | Rs |
|---|---|
| Observation bed (per day, pro-rata) | 6,000 |
| Nursing procedures (IV, nebulisation, ECG × 2) | 3,400 |
| Drugs & consumables (ward store) | 1,860 |
| Repeat electrolytes | 1,200 |
| Running total · bill after discharge | 12,460 |