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First Referral Units (FRUs)
It is a district or sub-divisional hospital or community health centre which has the facilities for obstetric surgery, blood transfusion, anaesthesia, specialist pediatric care, operation theatre and required equipment. This centre also has the facilities for MTP, tubectomy, vasectomy and pediatric care for high risk neonates and other severe problems of early childhood. It provides specialist services in addition to all the services available at a PHC.
Specialist Services available at FRU:
Surgical:
Caesarian section
Laparotomy and repair of ruptured uterus
Surgical treatment of severe sepsis
Evaluation of incomplete abortion
Mid-trimester abortion
Repair of cervical and vaginal tears
Amniotomy with/ without oxytocin
Tubectomy/vasectomy
Medical Management of:
severe hypertensive disorders of pregnancy, eclampsia
hemorrhagic shock
severe anaemia
septicemia
use of iv oxytocin during labour
Manual:
Manual removal of placenta
Forceps delivery
Vacuum extraction
Partography
Anaesthesia:
general, spinal
Blood Transfusion:
bleeding a donor and blood transfusion
performing mandatory tests
Newborn and Pediatric Care:
Resuscitation
Management of sick newborns and severe illnesses of young children
Rajasthan State hopeful of new session in 5 medical colleges from July 1
after the recommendation made by MCI of disapproving the proposed medical colleges to the Centre, the medical education department stepped up efforts and started preparation to make the proposed medical colleges operational as per the MCI norms.
The MCI had presented the report, which pointed out flaws in these colleges, at the executive committee meeting held in January 13. The new medical colleges, proposed by the state government, would have had a capacity to admit 100 MBBS students each.
In Dungarpur, the inspection team found that there was a 100% `deficiency in faculty as well as resident doctors. The colleges had also not appointed deans and medical superintendents. It was also found that they lacked facilities such as audiometry and speech therapy, central oxygen and central suction systems, and disaster trolleys and crash carts.
After the MCI’s report was out pointing out flaws in the proposed medical colleges, the medical education department swung into action and conducted interviews of faculty for the proposed medical colleges and developing other necessary facilities required in medical colleges as per the MCI norms.
The medical education department conducted interviews in April for recruiting faculties in non-clinical and clinical breaches. The department created posts of professors, associate professor, assistant professor and senior demonstrator.
Now, after completing all the recruitment processes, the medical education department is hopeful that they will get the nod of the Centre for starting five new medical colleges in the state from academic session 2017-18.
Commuted Leave (half amount of half pay leave)
Commuted Leave:
- Commuted Leave not exceeding half the amount of half pay leave due can be taken on medical certificate.
- Commuted Leave can be taken without medical certificate:
- a. upto a maximum of 180 days in the entire service if utilized for an approved course of study certified to be in public interest by the Direct
- upto a maximum of 60 days by a female staff if it is in continuation of maternity leave.
- c. upto a maximum of 60 days by a female staff with less than two living children if she adopts a child less than one year
1. Commuted Leave can be granted only when the leave sanctioning authority is satisfied that there is a reasonable prospect of staff returning to duty on its expiry. So it cannot be granted as leave preparatory to retirement.
- If commuted leave is taken, twice the number of days availed should be debited in the HPL account.
- Where the staff granted commuted leave quits service voluntarily without returning to duty, the commuted leave shall be treated as HPL and excess leave salary shall be recovered. If the retirement is by reason of ill-health incapacitating him for further service or in the event of death, no such recovery should be made.
- Commuted leave may be granted at the request of the staff even when PL/EL is available.