Infrastructure & Facilities

Sardar Vallavbhai Patel Post Graduate Institute of Paediatrics, Cuttack is an annex of SCBMCH which is a 416 bedded tertiary Paediatric care teaching Hospital with facilities for UG, PG (MD Paed.), MCh (Paediatric Surgery) facilities. It has got its own critical care, neonatal care and rehabilitation facilities in the Hospital. It is also the nodal centre for different paediatric and neonatal training programmes by the Govt.

• HISTORY OF MHI (CENRE OF EXCELLENCE) S C B MEDICAL COLLEGE CUTTACK.
  The history of psychiatry services in odisha particularly for voluntary admission in Odisha dates back to 15th August 1961. Late Dr. Partha Rao started the Orissa Red Cross Mental Hospital in the campus of S.C.B. Medical College, Cuttack under the Indian Red. Cross Society. During this period, Late Prof.(Dr) Gopal Chandra Mitra started a psychiatric wing in the Department of Medicine of S.C.B. Medical College, Cuttack .
  Govt. of Orissa, H & FW Dept on 1st April 1966 decided to take over the Sishu Bhavan and Orissa Red Cross Mental Hospital being renamed as Mental Health Institute, Cuttack by a Board formed under common proceedings approved by the Government. The undergraduate teaching program started functioning from 1966 at Mental Health Institute (MHI).
  In 1970, Dr. Bimbadhar Dash joined as Asst. Professor of Psychiatry-Cum-Additional Superintendent, MHI after taking over the charge from Dr. Partha Rao and subsequently in 1971 a new post of Asso. Professor was created and Dr. Bimbadhar Dash continued as Associate Professor cum HOD & Addl. Superintendent. However Govt. of Orissa, H & F.W. Dept. Started 2 seats in MD, Psychiatry after the preliminary inspection under Utkal University. Dr. Bimbadhar Das, Asso Prof. of Psychiatry¬ Cum-Addl. Superintendent was promoted the rank of Prof., HOD and Psychiatry in 1980.
  Prof. G.C. Kar took over the charge of MHI Department in 1996 and has been declared as the Prof. HOD Cum-Medical Superintendent (Ex-officio) by Govt., Health & Family Welfare-Dept. In 1999 the MD(Psychiatry) seat got the recognition of MCI and the Professor and H.O.D Psychiatry, S.C.B Medical College was allowed to work as Ex-officer Medical Superintendent of Mental Health Institute, Cuttack vide order no. ME- 1- Prof 72/ 92/ 44140/ 3.12.19.
  Mental Health Institute S.C.B Medical College, Cuttack was declared as Center of excellence (COE) in Mental Health on 2010. Subsequently in 2012 a revolutionary step was taken by H & FW Dept. Govt. of Odisha under National Mental Health Programme (NMHP) of Govt. of India, When the post of Medical Superintendent, Mental Health Institute S.C.B Medical College, Cuttack was declared as Director cum Medical Superintendent and was kept under Admistration control of Director, Medical education and training (DMET) vide order no MH-16/2012/34082/H dated 28.12.12.Prof (Dr) N M Rath was taken the charge of Director in 2012. Three new departments like Department of Clinical Psychology (CP), Department of Psychiatric Social Worker (PSW) and Psychiatric Nursing have been opened in addition to Department of Psychiatry at Mental Health Institute to cater both teaching & treatment.
  Prof (Dr) Sarada Prasanna Swain has taken over the charge of Director cum Medical superintendent in 20.01.2018. The process of autonomy was initiated by Prof Dr S P Swain and a decision was taken on meeting held under chairmanship of the then Commissioner cum Secretary Dr Pramod Kumar Meherda on a meeting held in 05.10.2018 to give Functional Autonomous Status MHI. Finally in 25.02.2019 ,Mental Health Institute (Center of Excellence) was given Adequate Function Autonomous status by Govt. of Odisha vide letter no 5076/25.02.2019 when three Department like Department of Clinical Psychology (CP), Department of Psychiatric Social Worker(PSW), Department of Psychiatric Nursing are brought under the administrative control of Director M.H.I, Cuttack. From 2018 MHI (COE) has 5 M.D (Psychiatry) Seats , 8 M Phil. seats in Clinical Psychology(CP), 6 M Phil seats in Psychiatry Social Work(PSW) and 20 seats in Post Basic in Psychiatry Nursing(PBDPN) with 150 beds for the Patients care.
• NEW INITIATIVES TAKEN BY MHI (COE) FROM 2018 :
  

• Mental health Rehabilitation was started in 2018 by Director, MHI Prof Dr S P Swain and the MHI Team, by which chronic homeless mentally ill (male and female) patients after rescued from different places of the state are treated by the Institute and after recovery they are rehabilitated in different Registered NGOS of the State which are registered under SSEPD Dept. In 2018 a total of 9 patients (4 Male and 5 female), in 2019 a total of 131 patients (52 males and 81 Females)    and in 2020 a total of 66 patients (34 male patients and 32 female patients) were rehabilitated in different registered NGOS of the state, who are chronic homeless mentally ill. In addition 27 Male and 23 Female homeless mentally ill who were rescued and treated by MHI were reunited with their Families after their Recovery, (From 2018 to 2020). Dept of Psychiatry Social Work (PSW) has taken the responsibility of rehabilitation of mental health which is one of the exemplary work done by MHI (COE) in last two years.
• Odisha Digital Academy of Mental Health, Which is a innovative Telemedicine initiative was started in MHI on 28.11.2019 which is a collaborative Project of Health and FW Dept, Govt. of Odisha and NIMHANS, Bangalore. A total no of 23 State Level webinars was done by the ODAMH to train the Medical Officers and other Paramedical Staffs during COVID 19 Pandemic. A MOU was signed by Health and FW Dept, Govt. of Odisha and Director, NIMHANS, Bangalore in 2018 for the innovative Telemedicine Project. Dr Seema Parija and Dr Pallavi Sahoo, Asst Prof of Psychiatry are in charge of ODAMH to coordinate with NIMHANS to conduct training Programmes in virtual network.
• A Toll free Helpline is operational in MHI (COE) with no 18003457288 from 9am to 5pm for the Mental health service for the people in Mental Health crisis and any information about the Mental health service in different parts of the state.
• MHI (COE) and Cuttack Municipality Corporation in a combined Project started a new Psychosocial Counseling to people suffering from Covid 19 in Covid care home situated in Cuttack Municipality Coporation.MHI team and officials of CMC, Cuttack attented the wbnairs and issues of the patients of Covid Care home was resolved by CMC Commissioner Mrs Annanya Das and Team of MHI lead by Director MHI Prof Dr S P Swain.
• Mobile Mental Health VAN was running in the Cuttack Municipality Area to create awareness on Mental Health issues during Covid 19.
• District Mental Health Programme (DMHP) are managed by Faculties of MHI, in districts where Mental Health Professionals are absent.

Name Of The Department :

Department of Regional Spinal Injury Centre, S.C.B. Medical College Cuttack.

Introduction:

As per the provision of Peoples with Disabilities Act-95, Government has to set up specialized institution for the person with severe disabilities (more than 80% disabilities). Accordingly many institution/organization have been set-up by the Ministry of Social Justice & Empowerment, Govt. of India during last 15 years.
The Regional Spinal Injury Centre was set up by Ministry of Social Justice & Empowerment, Govt. of India during the year of 2001 with a principle that Govt. of India will provide all expenditure for five years including construction of Building, Equipments, Staff Salary, and after that the state Govt. will manage the Organization.
This is an autonomous Organization Regd. Under SRA-1860 & working under the Administrative & Financial control of Health & Family Welfare Department. This Organization was funded by Govt. of India from 2001 to 2006 and consequently the Govt. of Orissa is managing by providing Grant-in-Aid every year since April-2006

INFRASTRUCTURE : 
Regional Spinal Injury Centre, Cuttack is now functioning in a three storied building constructed over a land(1.5acre) allotted by Govt. of Orissa & funded by Govt. of India. Construction work has been done by C.P.W.D.

AIMS & OBJECTIVES :

1- To establish an institution for study and management of spinal injuries and orthopaedic disabilities.

2- To undertake basic, applied and statistical research in various specialties of traumatic surgery

3- To generate technical and scientific man power in various specialties of traumatic surgery

4- To organize and conduct technical updation and different course for traumatic surgery for different categories of clinical and paramedical services.

5- To train members of the medical profession in management of traumatic surgery.

6- To provide modern and advance clinical service to traumatic orthopedically handicapped patients, in collaboration with various Medical Institution of State and the C.B. Medical College Hospital in particular.

7- To institute a faculty and service provision for above purpose.

8- To design preventive services to minimise the risk of spinal injuries and disabilities due to Orthopedic factors.

9- To institute and maintain an update library related to various specialties of traumatic surgery and orthopedically  handicapped.

10- To work in collaboration with medical institutions, service Oganisation, university, funding agencies and institutions in the pursuit any of the above objects

11- To do all such things and perform all such act as may be necessary are appropriate or incidental for achievement of any or all of the above objects.

12- To find out ways and means of generating resources for maintenance sustenance and development of the institution.

The Services available at R.S.I.C., Cuttack is as follows :

OUTDOOR SERVICES
1- Medical consultation for spinal injury and Spine related disorders, Orthopedic Disorders & Neurological disorders.

2- Physiotherapy services with sophisticated Electro Medical Equipments.

3- Occupational  therapy services for Neurology/Orthopaedic/Paediatric Cases(Cerebral Palsy

& Mental Retardation Cases).

4- Modern Orthotic workshop for  Manufacturing Aids & Appliances.

5- Continued Rehabilitation Education(CRE) for NGO/Medical/Para Medical Personnel.

6- Awareness programme for General Public.

7- Sharing of information in the field of disability

INDOOR SERVICES
1- Management of spinal injury patient along with neurological deficit.

2- Regular Physiotherapy services to Indoor patients.

3- Regular Occupational therapy services  to indoor patients.

4- Aids & Appliances, Rehabilitative Aids  for Indoor patients.

5- Nursing Services to indoor cases with  special care & Dressing of  Bed  Sores.

6- Counseling to spinal injury patients and their  attendants for vocational rehabilitation and guidance.

7- Community based rehabilitation(CBR) Programme for discharged patients at door step.

8- Follow-up programme for discharge spinal injury patients at RSIC twice a year(DISHAYEN programe).

9- RSBY & BKKY Scheme has been implemented in RSIC.

LIST OF THE MEMBERS OF THE GOVERNING BODY, R.S.I.C.,CUTTACK

1	The Secretary, Health & F.W. Dept., Govt. of Orissa,	Chairman
2	The Director, Medical Education & Training, Orissa	Vice-Chairman
3	The Secretary, Finance Department, Govt. of Orissa or His/Her nominee.	Member
4	The Secretary, Department of Women & Child Welfare, Govt. of Orissa or His/Her nominee.	Member
5	Ministry of Health & F.W., Govt. of India, His/Her nominee	Member
6	The Principal, S.C.B. Medical College, Cuttack	Member
7	The Superintendent, S.C.B. Medical College & Hospital, Cuttack	Member
8	HOD Orthopaedics, S.C.B. Medical College & Hospital, Cuttack	Member
9	HOD Neurosurgery, S.C.B. Medical College & Hospital, Cuttack	Member
10	HOD Neurology, S.C.B. Medical College & Hospital, Cuttack	Member
11	The Director, Regional Spinal Injury Centre, Cuttack	Convenor
12	The Director, SVNIRTAR, Olatpur, Bairoi, Cuttack	Member
13	The Addl. Medical Director, Indian Spinal Injury Centre, New Delhi	Member
14	The Deputy Secretary, Dept. of Health & Family Welfare Govt. of Orissa,	Member
15	Representative from Govt. of India, Ministry of Social Justice & Empowerment, New Delhi	Member
16	HOD Plastic Surgery, S.C.B. Medical College & Hospital, Cuttack	Member
17	HOD Urology, S.C.B. Medical College & Hospital, Cuttack	Member
18	The Public Representative, Local M.P. & M.L.A.	Member
19	The Administrative Officer, RSIC, Cuttack	Member
20	P & O Engineer, RSIC, Cuttack	Member

LIST OF THE MEMBERS OF EXECUTIVE BODY, R.S.I.C., CUTTACK

1	The Director, Medical Education & Training, Orissa	Chairman
2	The Deputy Secretary to Govt. of Orissa, Health & F.W. Dept.	Member
4	The Principal, S.C.B. Medical College, Cuttack	Member
5	The Director, SVNIRTAR, At-Olatpur, P.O.-Bairoi, Cuttack	Member
6	The Director, Regional Spinal Injury Centre, Cuttack	Convenor

Department of Pulmonary Medicine SCB Medical College is up-graded to Centre of Excellence in the field of Respiratory Diseases by Government of Odisha with a vision to strengthen high quality of treatments, academics and researches.
The Board of Governors of National Medical Council of India pleased to sanction 2 seats for starting DM (Pulmonary Medicine) Course from the session
2020-21 which will be first State Medical College in the Eastern zone of India. This Course will be imparted in super speciality department of Pulmonary Medicine under Centre of Excellence. In future paramedical courses like Respiratory therapist and Lung function Technician will be started. High end instruments in the field of Respiratory Medicine, interventional pulmonology, sleep medicine and negative pressure isolation ICU under Centre of Excellence will be available very soon.
National and International multicentric trials and studies are conducted in this Department. Future vision is to start Thoracic Surgery and Lung Transplantation Unit under Centre of Excellence. The Post Graduate Course in Tuberculosis and Respiratory diseases is imparted since 1975.
Steps taken to create Nodal Centre in the field of Post Covid Management and Research for the State of Odisha.

The department of cardiology in SCB medical college was started in the year 1968. The first Intensive care unit of the state was established in this department in 1973. The first pacemaker implantation was done in the same year. The first cardiac cath lab was set up in 1974. The department started the first super speciality course of the state (DM -Cardiology) with 2 seats in 1984. Modern state of the art cath lab was installed in 1998. The number of DM seats was increased to 6 in the year 2010. The department was shifted from old medicine building to the present new Institute of cardiovascular science building in the same year. Currently 8 DM students are inducted every year for the super specialisation course.
The department performs on an average 1500 angiograms , 900 angioplasties, 1200 stents and 220 pacemaker implantations per year besides lots of other interventions like PTMC , EPS , RFA etc. This department caters to approximately 70,000 numbers of outdoor patients and 7500 indoor patients annually. Approximately 50,000 ECG; 12,000 ECHO and 350 TMT are performed annually.

Bone Marrow Transplant Unit (BMT Unit):

In 26^th February 2014, one full fledged BMT unit was created with all inbuilt facilities like Hepafilter, Stem cell aphaeresis, stem cell storage system (Controlled Rate Freezer, Liquid Nitrogen System, Stem Cell Aphaeresis, Stem Cell Agitator etc. In fact this was the first such facilities by any state Govt. in the entire country. This BMT center provides BMT to patients free of cost by the support from Govt. of Odisha, a rare distinction in the country. This center has conducted 82 cases of Autologous BMT by this time and capped few national records; transplanting the elder patients  of 74 year of age in the entire country.

 

PRESENT STATUS OF BMT UNIT IN SCB MEDICAL COLLEGE

1. DEVELOPMENT SO FAR:

BMT Unit has been made functional since 23.04.2014 and so far 25 Cancer patients  (M. Myeloma) have been successfully transplanted. All State of art facilities are now available and SCB Caps the pride of being the 1st Sate Govt. Hospital to provide BMT facilities. At present 2 BMT Beds are available  and 2 patients can be transplanted in 1 to 2 months . It appears that 1000 patients are illegible for transplant in our Odisha State and Govt. has started working to expand the BMT Unit from 2 beds to 20 Beds. Clinical Hematology Dept. is planning to have  transplant 10 cases in a month to address this huge back-log of transplant illegible patients in Odisha.

1. Procurement of Equipments / Facilities: The following equipments/ Facilities are available.

 

1. Stem Cell Apheresis Equipment
2. Controlled Rate Freezer for Stem Cell Storage

• Liquid Nitrogen System for all storage

1. Hepa filter system in BMT rooms
2. Laminar Hood/ Deep Freezer
3. Upgraded Flow Cytometer

• Stem Cell Agitator with Incubator
• Other Equipments (Water bath, Tube sealer, Deep Freezer… etc)

 

2. Manpower already trained in BMT :
3. Dr. R.K.Jena, Prof. and Head, Clinical Hematology received training in BMT for 12 weeks

at University of Minnesotta, USA being selected by ‘VTP’  scheme of American Society of

Hematology and Permitted by Govt. of Odisha.

1. Two Lab. Technicians and four Staff Nurses received Training for 3 months in the BMT

Unit of Tata Medical Center, Kolkata being permitted by Govt. of Odisha.

4. Proposal for expansion
5. Infrastructure:

At least 20 BMT rooms with all related infrastructure and facilities should be created on the priority basis to address to huge no. of the patients waiting for BMT. Health Department is also actively considering  to construct one dedicated BMT Building to fulfil this gap.

 

1. Manpower Development:

Sl. No.	Name of the Post	Place where required	No. of Post Already sanctioned	Requirement	Gap	Funds	Reasoning
1.	Senior Resident	BMT Unit	1	2	1	As per Existing Rules	The services of Senior Resident are required round the clock in the BMT Unit exclusively (As they have to put on sterilized dresses during the duty hour and have to be vigilant round the clock.
2.	Assistant Professor	BMT Unit	1	2	1	As per Existing Rules	The services of Assistant Professor are required round the clock in the BMT Unit exclusively (As they have to put on sterilized dresses during the duty hour and have to be vigilant round the clock. They have to also supervise the management of Indoor in the emergency hour
3.	Professor	BMT Unit	Nil	1	1	As per Existing Rules	Govt. of Odisha is considering to have a full fledged BMT Unit which needs one post of professor. He can also the incharge of the 2nd Hematology Unit with 20 extra beds.
4.	Lab Technician	BMT Lab	1	2	1	As per Existing Rules	Services of 2 lab technicians are essential to handle many equipments in BMT Unit.
5.	BMT Cordinator	BMT Unit	Nil	1	1	As per Existing Rules	Essential for BMT unit as per the norms.
6.	Senior Scientiest       Junior Scientist     Lab Technician	BMT Chimerism Laboratory	Nil           Nil   Nil	1           1   2	1           1   2	Class I  as per the rule       Class II as per the rule   As per the rule	Essential  for accessing the success of Allogenic BMT. They can also utilized for the genetic diagnosis of hematological diseases like thalassemia , Hemophilia, Sickle Cell Disease , etc.

 

 

Day Care Centre:

In the year 2017, 17^th April of World Hemophillia Day this department also got one Day Care Centre with 20 beds which provided Chemotherapy, blood transfusion, other drugs on daily basis. This functions from 9 AM to 6 PM for 6 days in a week (Monday to Saturday).

 

Support of Govt. of Odisha:

• of Odisha is champion in the country in supporting the holistic care of hematological patients.
• Factor concentrates (VIII, IX) for Hemophillia, Hydroxyurea, Folic acid, Iron chelation for SCD / Thalassaemia included in essential drug list of state for the first time in the country.
• All cancer drugs are free to all patients.
• All investigations are free.
• In addition, OSTF provides medicines / disposals of Rs. 2 laks worth. BSKY scheme is another financial support programme.
• BMT – Free, being fully supported by Odisha Govt.

 

1. Future:

• Odisha needs BMT centre at least six in different region as thousand patients of Thalassaemia, SCD and various blood cancer patients need this procedure.
• Molecular tests like parental diagnosis and other essential investigations to be made available.
• Clinical Hematology department to be created in few other centers considering Geographical area.
• Hematological diseases to be taken care by hematologists specially hematological cancer patients like Leukemias, Lymphomas, Myelomas etc: This point should be made our among the doctors and patients.
• Various control programmes supported by state Govt. should be initiated to control its prevalence.