Internship at Benziger Hospital

INTERNSHIP AT BISHOP BENZIGER HOSPITAL, KOLLAM Page | 1
CHAPTER 1
INTRODUCTION
MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

1. INTRODUCTION TO INTERNSHIP
An internship is a professional learning experience that offers meaningful, practical work
related to a student's field of study or career interest. An internship gives a student the
opportunity for career exploration and development, and to learn new skills.
The internship is intended to access or to acquire the knowledge regarding the functional as well
as the managerial aspects of the firm. In the present business world, service industry has grown
significantly since last few decades. The internship report is a work study report and vital
training program. During this study student learn all the aspects of the practical business
scenario. The study is generally meant to develop student’s aptitude towards business
environment practically and theoretically. It is like a practical training given which will make me
prepared for a future job as a manager of an organization.
Each and every organization has its own importance in the economic wealth of the nation. Due to
globalization, the world has changed into a global village. In the fast changing business scenario,
it is imperative for every entrepreneur to have a vivid understanding of the functional application
of the new age business. As a part of academic curriculum each student has to undertake an
internship program to analyze the practical aspect of business management in the modern
business scenario and studying the various functions of the departments in the organizations and
its workings.
I did my internship at ‘Bishop Benziger Hospital’ which is situated at Chinnakkada in Kollam

District. The duration of the internship was one month. My internship started from 7th November
to 6th December 2018.

The healthcare Industry is an aggregation and integration of sectors within the economic system
that provides goods and services to treat patients with curative, preventive, rehabilitative and
palliative care. It includes the generation and commercialization of goods and services lending
themselves to maintaining and re-establishing health. The modern healthcare industry is divided
into many sectors and depends on interdisciplinary teams of trained professionals and
paraprofessionals to meet health need of individuals and populations.
To perpetuate the memory of his illustrious predecessor Bishop Aloysius Maria Benziger,
Bishop Jerome Fernandez, the first Indian Bishop of the catholic diocese of Kollam, had the idea
of erecting a befitting memorial. With the concurrence of the faithful of the diocese a decision
was made to build a hospital.
Bishop Benziger Hospital was thus established in a four-acre plot situated in the heart of Kollam
town. The hospital started functioning on 17th August 1948, the anniversary of the death of
Bishop Benziger. It was the first ever private hospital in Kollam town. The formal inauguration
took place on 8th December, 1948. The Hospital is owned and managed by the Latin Catholic
Diocese Of Quilon. Being a charitable society, this is not a profit oriented institution. Whatever
profit that is generated is always ploughed back into the institution for the benefit of the public.
Hence the institution’s growth is to the benefit of the public which it aspires to serve and love
with utmost sincerity.

1.1 OBJECTIVES OF INTERNSHIP
The main objective of internship program is to familiarize with the organizational functions,
duties and minor objectives. They are as follows:
 To understand about how an organizational system performs.

 To know about various operations done for the smooth functioning.
 To study managerial activities performed in an organization.
 To know how a manager behaves with their employees and parity of authority and
responsibility.
 To get practical exposure as future manager.
 To meet professional role models and potential mentors.
1.2 SCOPE OF INTERNSHIP
The internship is intended to attend first-hand experience of overall functioning of the

organization. It provides the opportunity to see the practical constraints faced by the managers
while putting theory into practice. It also helps to understand the functioning of various
departments. Thus the scope of the internship gives the complete blue print of Bishop Benziger
Hospital.
 The study will help the future managers to get a practical exposure.
 Develop personal and professional skills and also confidence in work.
 Development of communication skills.
 Help to gain experience in marketing and marketing techniques.
 Customer interactions are attained with this training.

1.3 LIMITATIONS OF THE INTERNSHIP
The internship program was conducted and finished within a period of one month.
 The main limitation is that sufficient time was not available to conduct the detailed study
and experience in all the operational areas of the organization.
 As the officials were engaged in their routine work, it was rather difficult to spare their
time for the detailed description.
 Lack of availability of secondary data from published journals and reports.
 Secrecy of the organization prevents them from giving some of the details regarding the
firm.

CHAPTER 2
INDUSTRIAL PROFILE

2. INDUSTRY PROFILE
2.1 HEALTH CARE INDUSTRY
The health care sector is the sector of the economy made up of companies that specialize
in products and services related to health and medical care. The healthcare sector includes
publicly-traded companies that power all dimensions of healthcare industry. Examples of these
companies include, but are not limited to, biotechnology companies, health insurance providers,
pharmaceutical companies, and companies that manage clinics and hospitals. Companies that
produce professional and home health products (for example, blood-pressure monitors,
Elastoplasts, Orthopedic devices, and surgical supplies) are also included in this sector. It
comprises oc providers of diagnostic, preventive, remedial, and therapeutic services such as
doctors, nurses, hospitals, and other private, public and voluntary organizations. It also includes
medical equipment and pharmaceutical manufacturers, health insurance firms. The modern
health care sector is divide into many sub-sectors, and depends on interdisciplinary terms of
trained professionals and paraprofessionals to meet health needs of individuals and populations.
The health care industry is one of the world's largest and fastest-growing industries. Consuming
over 10 percent of Gross Domestic Product (GDP) of most developed nations, health care can
form an enormous part of country's economy. The health care industry is divided into several
areas.
The sector comprises hospital and allied sectors that include:
 Medical care provides that includes physicians, specialists, clinics, nursing homes and
hospital.
 Diagnostic service centers and pathology laboratories
 Medical equipment manufacturers
 Contract research organizations and pharmaceutical manufacturers
Third-party support service providers
This third party involves activities of, or under the supervision of nurses midwives,
physiotherapists, scientific or diagnostic laboratories ,pathology clinics, residential health
facilities, or other allied health professions, eg: in the field of optometry, hydrotherapy, medical
massage, yoga therapy, music therapy, occupational therapy, speech therapy, chiropody,
homeopathy, chiropractics, acupuncture, etc.

2.2 HEALTHCARE INDUSTRY IN INDIA

Healthcare in India features a universal healthcare system run by the constituent states and
territories of India. The Constitution changes every with "rising of the level of nutrition and the
standard of living of its people and the improvement of public health as among its primary
duties."
The National Health Policy was endorsed by the parliament of India in 1983 and updated in
2002.However, the government sector is understaffed and underfinanced; poor services at state-
run hospitals force many people to visit medical practitioners, Government hospitals, some of
which are among the best hospitals in India, provide treatment at taxpayer expense.
Most essential drugs are offered free of charge in these hospitals. Government hospitals provide
treatment either free or at minimal charges. For instance, a patient is waived treatment costs if he
is below poverty line. Another patient may seek foran air-conditioned room if he is willing to
pay extra for it. The charges for basic in-hospital treatment and investigations are much less
compared to the private sector. The cost for these subsidies comes from annual allocations from
the central and state governments.
Primary health care is provided by city and district hospitals and rural Primary Health Centers
(PHC). These hospitals provide treatment free of cost. Primary care is focused on Immunization,
prevention of malnutrition, pregnancy, childbirth, postnatal care and treatment of common
illness.
The Indian healthcare market is one of the prominent contribution to the country's Gross
Domestic Product (GDP) having attracted large number of players- domestic as well as
International during the past few years. According to a report, The Indian healthcare market is
currently estimated at US$103 billion and is expected to reach US$120 billion by 2015 and
US$150 billion by 2017.Highly qualified doctors and scientists, state of the art technology and
low costs have helped India become an attractive global destination for medical tourism, clinical
studies and Research and Development (R&D) programmes.
2.3 Historical Background of Indian Healthcare Industry

There are the evidences for the existence of healthcare even during the time of Ramayana and
Mahabharata, but it has changed substantially with the passage of time and has gone through
significant changes and upgraded a lot with the up gradation of Medical Science and technology.
Substantial increments in healthcare facilities and in the number of healthcare personnel is seem
to be happened during 1950's and 1980's, but the total number of certified medical professionals
seems to be fallen down in as we have 4 practitioner per 10,000 in 1980s which is reduced to 3
per 10,000 in 1981. The reason behind this decrement is the fast population growth in country.

There were around ten beds on 10,000 individuals in 1991. The growth in the number of primary
health centers is also seems to be happen during the decade. These centers are considered to be
the keystone for rural health care system.
There were around 22,400 primary health centers, 11200 hospitals and 27400 dispensaries were
established in India in the year 1991. These services were initiated as a part of tiered healthcare
system with a focus to provide maximum routine facilities to the vast 40 majority of people in
town and refer only critical cases to urban hospitals which are having more advanced facilities.
These centers would basically trust on skilled professionals to fulfill their maximum
requirements. The healthcare industry of India functions with the help of both public and private
sector. The services and facilities governed by the government of sate as well as of central comes
under public healthcare system. The system is helpful in a way as it provides varied number of
services and other facilities at free of cost or at concessional rates to the people of rural areas as
well as the to the people of lower income group in urban areas. Yet there is a long way to go as
till now the industry is going through a phase of development.
2.4 Segments of Healthcare Industry

The healthcare industry consists of eight segments. These are:
 Hospitals: Hospitals are of utmost important among them. Hospitals deliver complete medical
care facilities, begins with diagnoses to surgical treatments, or to continuous nursing facilities.
Several hospitals are there having specialization in treating and handling mentally sick patients
or in cancer patients or some are in treating children. These facilities are provided either on an
outpatient or inpatient basis. The combination of professionals required by hospitals varies
according to geographical locations, size or capital structure of the organizations or on the basis
of values, goals and management philosophies. As soon as organization strives towards
efficiencies, facilities start to move towards outpatient basis from inpatient basis.
 Nursing and residential Care: One more segment which work along with hospitals is the
facility of nursing and residential care. These services comprises “rehabilitation, inpatient
nursing and health-related personal care” to the people required it on constant basis, and not
having the need of hospital services. The other facilities of convalescing are related to assist
those, who required minimum support. In addition the facilities related to residential care offers
24 hours personal and social care to old age people, to children and to those who are unable to
care themselves.
 Offices of Physicians: Physicians and surgeons covers around 37 % of industry. They either
practice privately or in groups having specializations either in similar or different fields. Though
various practitioners are willing to work in groups so that they will be able to reduce the
overhead expenses and also get consultation with their colleagues. Nowadays Surgeons and

physicians showing interest in working on salary basis for big groups, for other medical clinics,
or for integrated health systems.
 Offices of Dentists: Dentist occupied around 20% of the industry. They provide “preventative,
cosmetic, or emergency care” to the patients required them. Some institutions having
specialization only in particular branch of Dentistry like Orthodontics or Periodontics.
 Offices of Health Practitioners: one important section of the system covers “Health
Practitioners”. The section comprises “the offices of optometrists, podiatrists, chiropractors,
occupational and physical therapists, psychologists, speech-language pathologists, audiologists,
dietitians, and other health practitioners”. The demand of these services is somewhere related to
the ability of payment of healthcare consumer either directly or through insurance. The segment
also covers the “offices of practitioners of alternate medicine, such as homeopaths,
hypnotherapists, acupuncturists and naturopaths”.
 Outpatient Care Center: Other diversified establishments in this group contain health
maintenance organization, medical centers, Kidney dialysis centers, substance abuse centers,
outpatient mental health and freestanding surgical and emergency centers.
 Other Ambulatory Health Care Services: This segment is relatively small in comparison to
other segments of the industry. It covers “ambulance and helicopter transport services, blood and
organ banks, and other ambulatory health care services, such as pacemaker monitoring services
and smoking cessation programs”.
 Medical and Diagnostic Laboratories: These laboratories helps the physicians by providing
diagnosing and analytical services to them or they provide these 42 facilities to patients also on
the prescription of Doctors. These organizations conduct blood tests, ultrasounds, tomography
scans, X-rays and other clinical investigations. These laboratories accounts for provide lesser
employment in the industry.

2.5 MARKET SIZE

The healthcare market can increase three fold to Rs. 8.6 trillion (US$133.44 billion) by 2022.
India is experiencing 22-25 percent growth in medical tourism.
There is a significant scope for enhancing healthcare services considering that healthcare
spending as a percentage of Gross Domestic Product (GDP) is rising. The government's
expenditure on the health sector has grown to 1.4 percent in FY18E from 1.2 percent in FY14.
2.6 INDUSTRY STRUCTURE

National level - The organization at the national level consists of the Union Ministry of Health
and family welfare.
State level - The organization at State level is under the State Department of Health and Family
Welfare in each state headed by Minister canx with a Secretariat under the charge of
Secretary/Commissioner (Health and Family Welfare) belonging to the cader of Indian
Administrative Service(IAS).
Regional level - Each regional /zone set-up covers three to five districts and sets and acts under
authority delegated by the State Directorate of Health Services.
District level - The district level structure of health services is a middle level management
organization and it is a link between the State as well as regional structure on one side and the
peripheral level structures such as PHC as sub-center on the other side.
Subdivision/Taluk level - At the Taluk level, healthcare services are rendered through the office
of Assistant District Health and Family Welfare Officer (ADHO)
Community level - One Community Health Centre has been established for every 80,000 to
1,20000 population and this centre provides the basic specialty services in general medicine
,pediatrics, surgery, obstetrics and gynecology.

CHAPTER 3
COMPANY PROFILE

3. COMPANY PROFILE
Bishop Benziger Hospital was thus established in a four-acre plot situated in the heart of Kollam
town. The hospital started functioning on 17th August 1948, the anniversary of the death of
Bishop Benziger. It was the first ever private hospital in Kollam town. The formal inauguration
took place on 8th December; 1948. The Hospital is owned and managed by the Latin Catholic
Diocese of Quilon. Being a charitable society, this is not a profit oriented institution. Whatever
profit that is generated is always ploughed back into the institution for the benefit of the public.
Hence the institution’s growth is to the benefit of the public which it aspires to serve and love
with utmost sincerity.
Bishop Benziger hospital is the very first private hospital with inpatient facilities in Quilon.
Today it has grown to become a 600 bedded multi & super specialty hospital having all the
major departments, modern equipments, excellent facilities, eminent doctors and efficient
paramedical staff. Emergency Case, Our expert emergency practitioners treat the full spectrum of
patients using skills ranging from those of a general practitioner to specialists.
3.1 Panel of Authorities:

PATRON
Paul Antony Mullassery
(Bishop of Quilon)
On 18 April 2018, Most Rev Paul Antony Mullassery was appointed as the Bishop of Quilon
and thereby became the president of the charitable society and the manager of Bishop Benziger
hospital and its daughter institutions.
DIRECTOR
Fr. Anil Jose
(Director of Bishop Benziger Hospital)
Fr. Anil Jose took over as the DIRECTOR of Bishop Benziger Hospital on 21st may 2018.
Fr. John Paul Charles

(Associate Director)
Fr. Manoj Antony F

(Associate Director)
Sr. Collin Mary

(Administrator)
Sr. Ancy Mary

(Nursing Superintendent)

Mr. Remyl Yesudas

(Associate Hospital Administrator)
Mr. Gibson George

(HR Manager)
Mr. C.S Sebastian

(Public Relations Officer)
3.2 DEPARTMENTS
Cardiology
Our cardiovascular department is well equipped with contemporary facilities for detecting and
testing various cardiac disorders. A dedicated team of 2 cardiologists and well trained nursing
staff are at the service. At CVD all diagnostic procedures are performed in addition to the
excellent clinical work up. Cardiovascular consultations focuses on cardiovascular risks, Health
Screening and promotion, compilation of the various cardiovascular disorders, emergency
implementation measures, client education and rehabilitation.
Diabetes and heart

Our Diabetes and Heart department is well developed and kept good care and service for the past
long years. Over time, high blood glucose from diabetes can damage your blood vessels and the
nerves that control your heart and blood vessels. The longer you have diabetes, the higher the
chances that you will develop heart disease. In adults with diabetes, the most common causes of
death are heart disease and stroke.
Neurology
The department at presenthas a well equipped Neurology ICU, computerized
EEG, EMG and Nerve conduction study facilities.
Gastroenterology
The division of Gastrointestinal Surgery, the first of its kind in the district,
is a unique department functioning.
Nephrology
Within a short span of time this department has developed in to one of the best nephrology center in the
Kollam.

Urology
All most modern facilities for managing various urological conditions, impotence
management and laproscopicuro surgery for adults are available through this dept.
Our Services and Institutions:

Benziger Hospital
Hospital
School of nursing
Nursing Institutions
Community Radio Benziger

Radio Benziger
Ozanam Eye Centre

Ozanam Eye Centre
3.3 BISHOP BENZIGER COLLEGE OF NURSING

Bishop Benziger College of Nursing is a self-financing professional college run by the Christian
Latin Catholic Diocese of Quilon. This college which started in the year 2004 is affiliated to the
University of Kerala vide Order No.ACB/03/1833/2010 dated 20.04.2010 and approved by the
Kerala Nurses and Midwives Council, Red Cross Road, Thiruvananthapuram as per vide Order
No. G.2870/03/NC dated 26.08.2010 and order no:G.8984/10/NC/11 dated 26.08.2010 and the
INC Order No. F No. 18-16-5561-INC dated 17.11.2010.It obtained affiliation from Kerala
University of Health Sciences. Bishop Benziger College of Nursing conducts a Bachelor degree
course in Nursing of four year duration with an annual intake of 50 students. The course aims at
preparing professional nurse graduates who are competent to render qualitative care to patients in
all settings.

Bishop Benziger Hospital, the parent institution is the first private hospital in Kollam,
established in the year 1948. It is registered as a charitable society and is run by the Latin
Catholic Diocese of Quilon (a Backward Christian Community). It is a 600 – bedded super
speciality hospital located in the heart of the city. Students serve in the parent hospital and in all
areas to widen their capabilities and develop their skills.
Bishop Benziger College of nursing runs two community health centers at Mundakkal and
Pallithottam of Kollam. The Bishop Benziger Community Health Centre caters to felt the needs
of 12526 fisher folks living in the coastal belt of Kollam during 2010. It provides promotive,
preventive and restorative health services. Referrals are sent to the parent hospital.
A community radio (FM) was began its broadcasting. It is aimed at meeting the health education
needs of the community. It will utilize the creativity of the students of the college and the School
of Nursing to provide health education through lectures songs, drama, plays etc.
Bishop Benziger college of Nursing has been certified as a Minority Educational Institution by
institutions through the Order No.216 of 2006 dated 5th December, 2007 under National
Commission for Minority Institutions, Government of India. The College is established primarily
to cater to the educational needs of the Latin Catholic Backward Community of the Diocese of
Quilon.
3.4 COMMUNITY RADIO BENZIGER

Radio Benziger is a community radio engaged in the effort to empower people especially those
belonging to the marginalized segments in the city of Kollam in order to continuously develop
the quality of their life in all its aspects.
It strives to achieve this by providing a platform where the members of the community come
together to interact and share information, skills and knowledge regarding issues that concern
them and through a participatory process of decision-making, pave the way for continuous
development. In this process of community building, Radio Benziger constantly attempts to
focus on the local culture and ethos.
The story behind
‘Benziger hospital society’ which is a ‘not-for-profit’ organization has been undertaking several
innovative initiatives like community health centres, self help groups and other social activities
in order to express in concrete terms the social responsibility of such an organization. But as
social contexts undergo changes, there is also a need to find ever new expressions of social
commitment. The present day realities especially in the field of health care which are driven by
market forces call for new and different avenues of involvement for charitable institutions of this
nature. Radio Benziger is the result of a sustained and honest search for meaning and relevance
in the present day contexts. Community Radio Benziger which is designed to become a people’s

communication platform for their development is a most appropriate and relevant symbol of
Benziger hospital’s social commitment, as an instrument to bring a hospital to the community.
National Awards
Radio Benziger received National award from the Ministry of Information and Broadcasting at
the second radio sammelan in New Delhi on 19-2-2012. It was awarded second place in the
category: community engagement. The award was presented by Shri. Jagathrakshakan, joint
minister for information and broadcasting.
Radio Benziger received award from KRDWG (Knowledge Resource Development and Welfare
Group), a Delhi based NGO in the category, Best health care leadership award 2012 for its
contribution to inclusive healthcare. The award was presented by Dr. Padmashri. K.K. Agarwal.
In the e-india health summit 2012 held at Hyderabad international convention centre on the 15th.
to 16th. November 2012, Radio Benziger won the award for “Best use of technology in
telehealth”. The event was hosted by the government of Andhra Pradesh and organized by
AICTE, NCERT, UNESCO, ELets India etc. Shri. Ponnala Lakshmaiah, Hon’ble Minister for
information technology and communication gave away the awards.
In the third national Radio Sammelan held at Vigyan Bhavan, New Delhi from 9 to 11, February,
2013, Radio Benziger won two awards: 1. Thematic category. 2. Innovative/Crteative/content
category. The award was received from Shri. Manish Tewari, Minister for information and
broadcasting
In the Manthan festival held in December, 2013, Radio Benziger received ‘special mention’.
One world foundation awarded Radio Benziger with the ‘First All time top contributer’ in Ek
Dunya Anek Aawaaz.

3.5 Facilities
Bishop benziger hospital remains committed to the cause of good health for all and strongly
believe that the right way to revolutionize health care is by constantly innovating in terms of
updating its facilities which will ultimately benefit the valuable patients for a better
diagnosis.The state-of-the-art diagnostic and therapeutic facilities in Bishop benziger hospital
corroborates the foresaid commitments. Any sophisticated facilities and technology becomes
fruitful only when it is operated with expertise hands. In that regard we are proud to have a
combination.
 Echo Test
Echo test is being conducted in the diagnostic centre located in the first floor of the main block.
This is an Ultrasound assisted evaluation of Cardiac Structure and mobility without invasion.
Through successful completion of this procedure, the cardiac activities will be diagnosed.
 U.S.G Upper Abdomen & Obstetric- Ultrasonic Imaging systems
This is used in Deva matha Ct scans. Ultrasound is the source diagnostic has made possible in
the detection of cysts (tumours or cancer). Its main attraction as an imaging modality lies in its
non invasive character and ability to distinguish interfaces between soft tissues
 Endoscopy
Endoscopy – This Diagnostic Procedure is conducted in the Gastro Enterology department

located in the ground floor of the new block. It is the direct visual examination of the internal
body parts by means of an endoscope passed along the interior of hollow organs or cavities
 ECG – (Electro Cardiography)
ECG deals the electrical activity of human heart. Vitals picks by using electrodes. Normal
frequency ranges
 Tread Mill Test/Stress Test
Tread Mill Test/Stress Test – is being conducted in the diagnostic centre located in the first floor
of the main block. This test gives more information about the Heart functions through
determining the strain of body muscles.
 Defibrillators
This equipment is available in all the ICU’s. Casuality & OT. It is utilized as a life saving
equipment for handling acute cardiac arrest .Ventricular fibrillation is the major serious cardiac
emergency resulting from a synchronous of the heart muscles. Applying shock (high energy) to

the heart causes all muscle fibers to contract simultaneously to normal sinus rhythm. The
instrument for administering that shock is called defibrillator.
 Anesthesia Machine
Any Surgical methods of treatment are successfully performed mainly because the patient does
not feel pain by appropriate administering of anesthesia which facilitates surgeons with favorable
working conditions. Anesthesia machine uses to deliver variable gas mixture, including
anesthetic and life supporting (sustaining) gases to the patient’s respiratory system. Around eight
machines are there in the operation theatre with ventilator attached ones too.
 Ventilators
“Artificial respiration” It is a mechanical device providing artificial respiration by supplying

enough oxygen and eliminate right amount of carbon dioxide by maintaining the desired arterial
partial pressure of carbon dioxide and desired arterial oxygen tension. Non-invasive ventilation –
positive pressure is applied to the airways using a tight fitting face or nasal mask so that tracheal
intubations are avoided. Techniques includes mask cpap, pressure support ventilation, positive
pressure ventilation or bipap. Adequate ventilators are installed in the ot’s and icu’s that includes
Engstrom Carestation, Baby Log, SLE, Savina, etc.
 EEG
This modality is used in the neurology dept which detect abnormalities by recording from scalp
electrodes on 16 channels lasting for around 30 minutes.EEG Helps in Diagnosing Epilepsy and
other diffused brain diseases.
 Sigmoidoscopy
This Diagnostic Procedure is conducted in the Gastro Enterology department located in the
ground floor of the new block. It is the visualization of anus, rectum, and sigmoid colon. The
sigmoidoscope is a long and narrow tubular instrument which can be passed into the sigmoid
colon through the anus.
 Colonoscopy
This Diagnostic Procedure is conducted in the Gastro Enterology department located in the
ground floor of the new block. This investigation permits direct viewing of the large intestine
(colon) by means of a long flexible, fibroptic instrument called colonoscope.
 Pulse Oximeters
This equipment is available in all the ICU’s ,casuality and OT .It is used for the measurement of
saturation value of oxygen in blood.

 Patient Monitoring Systems
The objective of patient monitoring is to have a quantitative assessment of the important

physiological variables of the patients during critical periods of their biological functions like
heart rate, saturation value of oxygen in blood and NIBP (Non invasive Blood Pressue).In our
Labour ROOM foetal monitoring systems like foetal Doppler and foetal phonocardiogram are
used. It helps to pick up the heart rate from the maternal abdomen by a sensitive microphone
 EMG
EMG is used to measure the contraction and relaxation of voluntary muscle fibers. Its a proven
modality in diagnosing disease condition such as varicose vein etc.
 Podiatric Scan system
It is being conducted in the diagnostic centre located in the first floor of the main block. It
Determines the neuropathic and diabetic foot scan analysis. Different steps are carried out by
this system for exact diabetic determination like
Neuropathic analysis- by using Ultrasound source.
Foot Scan analysis- by Sensation test.
Doppler study- Colour cooling .
 Arthoscope
This Modality permits orthopaedic surgery in a relatively non-invasive way. An arthroscope can
be used for diagnostic procedures as well as a wide range of surgical repairs such as
debridement or cleaning of a joint to remove bits of torn cartilage, ligament reconstruction and
synovectomy (removal of the joint lining). Arthoscopy is used for joints of the knee, shoulder,
elbow, wrist, ankle and hip. The Arthroscope installed in our ortho Ot is the most modern and the
best of its kind.
 Lithotriptor
The state of art Lithotripter for the non-operative treatment of all kind of kidney and upper
ureteric stones.
 C ARM
A Mobile imaging device uses Xrays and produces a live image feed that is displayed in the TV
screen. We are having a state-of-art- C-Arm that is frequently used in our OTs during surgeries.

3.6 Departments & Panel of Doctors
 Dept. of Emergency Medicine/ Causality & Trauma Ca
The Emergency Dept. is the main service high light of our hospital consists of 3 main
areas.
1. Emergency Trauma care
2. Minor OT.
3. Dept. of Emergency Medicine.
Dr. Thejo Rao
(MBMS, DEM, Consultant Emergency Physician Fellowship in Intensive Care

Management)
 Dept .of Anesthesiology
When established in the year 1948, bishop Benziger hospital was the very first private
hospital in Quilon with inpatient facilities. After 65 years, today it is the one of the biggest
hospitals in Kollam having all the major departments, modern equipments, excellent facilities,
eminent doctors and efficient paramedical staff.
The hospital is committed to its original inspiration while attempting to tune to the contemporary
needs and situations. The belief that healing is for the whole person, who also has a spiritual
dimension is uncompromisingly maintained and underlines the approach and treatment.
Dr. Kalesh Divakar
(MD, Consultant Anesthesiologist Fellowship in Pediatric Anesthesia)
Dr. Sandeep S
(MD, Consultant Anesthesiologist)

 Dept .of Cardiology
Our cardiovascular department is well equipped with contemporary facilities for

detecting and testing various cardiac disorders. A dedicated team of 2 cardiologists and well
trained nursing staff are at the service. At CVD all diagnostic procedures are performed in
addition to the excellent clinical work up. Cardiovascular consultations focuses on
cardiovascular risks, Health Screening and promotion, compilation of the various cardiovascular
disorders, emergency implementation measures, client education and rehabilitation.
Dr. Sujay Renga
(MD, DM, Consultant Interventional Cardiologist)
 Dept .of Dentistry Orthodontics oral and maxillo facial surgery
Dr. Resteena Kafeel
(B D S, Dental Surgeon)
 Dept .of Dermatology
All kinds of Dermatological disorders management.
Dr. Mary Crystal Vianey
(M.D, Consultant Skin Specialist)
Dr. Venukumar
(DVD, Consultant Skin Specialist)
 Dept .of E.N.T
Dr. M. Marceles
(D.L.O, Consultant ENT Specialist & CMO for Medico Legal Cases)
Dr. Mathew C. Luke
(M.S, Consultant ENT Surgeon)
Dr. Nitin Luke Mathew
Dr. S. T. Murthy

 Dept .of Gastroenterology
 Dept .of General Medicine
Dept. of General medicine is the foremost department and is well developed with State-
of-the- art 8 bedded Medical ICU with Computerized central Monitoring Station, Ultra Modern
Ventilators with Arterial Blood Gas Analyzers, Complete Medical Check-up and Executive
health Check-up on all days, Diabetic Clinic, vascular doppler, Podiatric Scan etc.
 Dept .of General Surgery
All kids of General Surgical Procedures. Stae-of -the-art Operation Theatre Suites
Dr. G. Mohan
(M.S, Consultant Surgeon)
 Dept. of Neonatology
Well equipped to take care of the infants and premature babies. 24 hour Consultant level
neonatology care and well trained nursing staff. Excellent facilities for Neonatal Surgery & Post
Operative Care, Warmer & Phototherapy Units, Ventilators etc.
 Dept .of Laparoscopic Surgery
All kids of Laparoscopic Surgical Procedures.
 Dept .of Nephrology
 Dept .of Neurology
Dr. Prakash M
(MD, DM, Consultant Neurologist)
Dr. S Jayakumaran
(MS, M.Ch, Consultant Spine & Neuro Surgeon)
 Dept .of Oncolgy
Dr. Raghavaraj. R
(MBBS, DMRT, Consultant Oncologist)

 Dept .of Paediatrics
Dr. Alex Oommen Vaidyan
(D.C.H. M.D, Consultant Paediatrician)
Dr. Mercy Joseph
(MBBS, Assistant to Paediatrician)
Dr. Thomas William
(D.C.H, Consultant Paediatrician)
Dr.Vinod George Philip
(DCH, Consultant Paediatrician)
 Dept .of Physiotherapy

 Dept .of Plastic Surgery
 Dept .of Psychiatric Medicine
 Dept .of Spine & Neuro Surgery
 Dept .of Urology

CHAPTER 4
NATURE OF WORK

4. NATURE OF WORK DONE

LOG BOOK DETAILS:
DAY WORK DONE

7-11-18 Study about the Hospital Environment & Departments
8-11-18 Ambulance Records and Security Check
9-11-18 Causality Department Daily Records
10-11-18 Worked as an associate of P.R.O
12-11-18 Took daily records of O.P & I.P
13-11-18 Millennium Block Patients Daily Reports
14-11-18 Millennium Block Reception Details
15-11-18 Worked as an associate of P.R.O
16-11-18 Pharmacy Reviews & Suggestions
17-11-18 Communication with the Nursing Stations about Work
19-11-18 Mother Theresa Block Patients Daily Report
20-11-18 Good Samaritan Ward Patients Daily Report
21-11-18 Little Flower Ward Patients Daily Report
22-11-18 Took Reviews & Suggestions from the Reception Desk
23-11-18 Took Reviews & Suggestions from the Canteen
24-11-18 Took Reviews & Suggestions from the Millennium Block
26-11-18 Took Reviews & Suggestions from the Old Block
27-11-18 Took Reviews & Suggestions from the Causality
28-11-18 Took Reviews & Suggestions from the Security & Electrical Area
29-11-18 Recorded Patients Satisfaction Level
30-11-18 Talk with the Nurses & Staffs about the Facilities
1-12-18 Took Facility Check from the Operation Theater
3-12-18 Took Facility Check from the ICU & Insurance Desk
4-12-18 Staffs Complaints and Requirements Recorded
5-12-18 Birth & Death Rate Assumed
6-12-18 Final Day Overall Review about the Hospital

4.1 INTERNSHIP DETAILS:

I started my Internship at Bishop Benziger Hospital on 07th of November 2018, where I was
assisted and appointed under the HR Manager Mr. Gibson George and P.R.O Mr. Sebastian Sir
(Retired Sub Inspector of Kerala Police). I went through an Interview before the Internship has
started, where the Associate Hospital Administrator Mr. Remyl Yesudas checked my Aptitude
and Educational Skills. Then after presenting a work which was given to me, I was appointed as
a temporary staff to do my Internship at the Hospital from 07th of November to 06th of
December. The Work was actually interesting and felt good as I have experienced and worked
among the staffs of certain department. Got to know more about the Hospital and its activities,
the services offered and the goodwill of the firm. The staffs and workers were really supportive
and always welcomed with a positive smile. They really helped me out on my works and
collection of data’s.
4.2 DUTIES & RESPONSIBILITIES:

At Bishop Benziger Hospital, I had certain duties and works which was assisted by my HR
Manager and P.R.O. I started my Internship on 07bth November 2018 as shown above in the Log
Book.
On 07th November 2018, I was being familiarized with the Hospital environment and some of the
departments. I was directed under the supervision of Mr. Sebastian Sir (P.R.O), Met some of the
staffs and I was able to watch and understand the working conditions and services offered by the
hospital.
On 08th November 2018, I had some daily tasks and duties which I should complete everyday
and one of those tasks were keeping Ambulance records, timings and details. The number of
ambulances that comes to the hospital per day and the vehicles details have been noted down
each working day.
According to the records, from 07th of November to 6th of December there is a total of 232
ambulances that came to the hospital.
On 17th of November 16 ambulances came to the hospital which was the highest in number of
that month.
An average of 8 ambulances comes to the hospital in a month.

On 09th of November 2018, I used to take daily records of the causality department from 07th to
6th December. The number of patients reached the causality each day. As casualty was a busy
area of service emergency cases and patients were treated with good service and care. There
were 5 nurses and 2 duty doctors every time and sufficient staffs were always available there.
According to the records, from 07th of November to 6th of December there is a total of 2696
patients that came to the casualty department.
On 26th of November 133 patients came to the casualty which was the highest in number of that
month.
An average of 86 patients came to the casualty department in a month.
On 10th and 15th of November 2018, I worked with the P.R.O for two days, I was being taught
about the rules, policies and working conditions of the hospital. As part of the job I witnessed
some issues that has been noted by the P.R.O, it was actually interesting because he used to keep
walking around each departments and mainly the casualty department for some know how, and it
was the responsibility of the P.R.O to note down and solve the issues and complaints that arise
within the premises. Learned about the supervision techniques and methods used by Mr.
Sebastian Sir the P.R.O of Bishop Benziger Hospital.
On 12th of November 2018, I had a daily task of recording the OP & IP patients total in numbers.
Number of Patients came each day on OP and IP in the hospital from 07th of Nov to 06th of Dec
2018.
According to the records, from 07th of November to 6th of December the total number of patients
that came on OP was 15,541.
The total number of patients that came on IP was 1425.
On 19th of November 897 patients came to the OP and on 12th of November 77 patients came on
IP which was the highest in number of that month.
An average of 501 patients came in OP and an average of 45 patients came on IP to the hospital
in a month.

On 13th of November 2018, I had a daily task of recording the patient’s details in the Millennium
block from 07th to 6th December 2018. I used to take details of each floor (1 to 8) where details of
no. of patients admitted and shifted on each day, no. of patients discharged on each day and no.
of patients were present on each day. Such details and totals were recorded and maintained in the
daily patients day and night books.
The total number of patients presented in rooms of 1st floor for treatment was 311 in a month.
An average of 10 patients will be present in the rooms.
The total number of patients admitted was 50 in a month.
The total number of patients discharged was 47 in a month.
The total number of patients presented in rooms of 2st floor for treatment was 188 in a month.
The total number of patients presented in rooms of 3rd floor for treatment was 213 in a month.
The total number of patients presented in rooms of 5th floor for treatment was 306 in a month.

On 14th of November 2018, I studied and took details about the reception desk of the Millennium
Block. It is the main area from which all the details and files about the patients are being printed
and recorded, details regarding the admissions, discharge, patients personal information, past
data’s, bill payment etc; therefore it is one of the busy areas of the hospital.
There are 3 female staffs in the reception desk and 2 nurses near the OP.
On 16th of November 2018, I inspected the main Pharmacy Department, where I was able to
understand the working conditions and the staffs approach to their work and the patients. There
will be always a busy rush in the pharmacy, therefore it was a toughest task for me to enquire
about it, I managed to do so.
There are almost 15 staffs in the Pharmacy. Out of it 3 staffs does the works of cashier and
billing section. The rest staffs work inside the medicinal area and the store area where they have
to collect all the medicines that are required by the patients.

Staffs are very gentle calm and polite to the patients and the people, they have enough of staffs
with better skills so that there is no delay in the pharmacy. This helps the people in saving their
valuable time too.
On 17th November 2018, As taking daily records of the patients in each block, it was my duty to
have a communication to the nurses about their work and conditions in the block. As we say
serving and doing service is a divine activity, therefore the staffs and nurses does the job with
complete interests and faith. As part of my internship program, I used to talk with some senior
nurses and staffs about the work, and they are happy to say that they are doing the work in a
beautiful way. They have shifts so that they feel less tired and free from the work.
There are 2 nurses in each nursing station in every block and there are in numbers the nursing
students who are also practicing and learning under these experienced staffs.
On 19th 20th & 21st of November 2018, I had daily tasks of recording the patients details of
patients in the Mother Theresa Block and The Good Samaritan Block and the Little Flower
Block from 07th to 6th December 2018. I used to take details of the patients of the Samaritan and
the Little Flower Block, where details of no. of patients admitted and shifted on each day, no. of
patients discharged on each day and no. of patients were present on each day. Such details and
totals were recorded and maintained in the daily patients day and night books.
The total number of patients presented in rooms of Good Samaritan floor for treatment was 298
in a month.
The total number of patients presented in rooms of Little Flower floor for treatment was 336 in a
month.

On 22nd 23rd 24th 26th 27th 28th & 30th & 4th of November & December 2018, I Took Reviews &
Suggestions from the Reception Desk, from the Canteen, from the Millennium Block, from the
Old Block, from the Casualty, from the Security & Electrical Area, Communication with the
Staffs about their services & Staffs complaints and suggestions recorded. On a scale of 1 to 10
they were all satisfied with an 8, by the work they do and the facilities provided by the firm are
highly satisfied. And we can say there are also few errors and complaints which should be
maintained and taken care off. The Reception Desk has only a few suggestions as they require
some extra racks or shelves for keeping the records and files of patients.
The canteen area had some suggestions that were to keep a few staffs more to the serving area,
so they could speed up their work and can serve the people with less time and a permanent staff
must be kept for the billing section.
The millennium block, there is not much suggestions from this department but still they have
asked to appoint a staff for those patients who are admitted as insurance. As the work load of the
nurses are a little high, appointing a staff for handling the insurance papers could be a relief to
them.
The old block, as now there are some maintenance and works going on they doesn’t have any
suggestions to say, they are okay and fine with the current situations and facilities.
The casualty department had some suggestions to make; the main problem was that they need to
close the walking area from the casualty to the OP section for the public, as people walk through
the casualty to go to the OP. The way was opened for the staffs, doctors and patients to go
through. Then they are in requirement of new stretchers and wheel chairs and new drawers for
keeping the equipments.
The security and electrical area, they has some issues with the parking area as they have less
parking space when there are many cars to be parked, within the hospital they have a few area
and by morning itself it will all be filled, arranging some space for parking could solve this issue,
the lifts of the millennium block and the Mother Teresa block will not function properly
sometimes, proper maintenance must be provided periodically.
On 29th of November 2018, I recorded the satisfaction level of the patients from the hospital.
Most of the patients were highly satisfied with the service offered and the facilities provided by
the hospital. The satisfaction level of the recorded patients is shown in the graph below.

Satisfaction Level of Patients
Highly Satisfied
Satisfied
Neutral
Less Satisfied
People were highly satisfied and comfortable with the staffs and the hospital; the doctors are
brilliant and the service offered is the best.
On 1st & 3rd of December 2018, I took facility check from the Operation Theater, the ICU and
the Insurance desk; they all had proper equipments, machineries and facilities for their works.
There were no shortage in any equipments or errors, everything was functioning properly and the
utensils and tools they used will be changed time after time. Thus there are no chance of errors
the hospital have been providing all the necessaries.
On 5th of December 2018, I went to the Birth and Death Center for analyzing the birth and death
rate of the hospital; they are in numbers the birth rate than the death rate. 60% of birth rate has
been recorded and 7% of death rate has been recorded from the desk.
On 6th of December 2018, it will the final day as I recorded and completed all my daily tasks and
got signed by my higher officials. My review and suggestions were recorded and kept for project
analysis and I was well satisfied with the firm and the staffs and the officials as it was a good and
pleasant environment to work with. All my log book information’s and details have been clearly
stated above. These were my Duties and Responsibilities.

CHAPTER 5
LEARNING SUMMARIZATION

5. LEARNING SUMMARIZATION
From my one month internship program from 07th of November to 06th of December 2018, I
have learned a lot about the functioning and working conditions of the hospital. As far as I’m
concerned Bishop Benziger Hospital is one of the best hospitals with the best and brilliant
doctors you can get in town.
 Helps to get more knowledge about the working conditions of the hospital.
 Maintenance of the quality of different services provided by the hospital is understood.
 Dealings with patients and people with due care and respect is a great quality offered by
Bishop Benziger.
 All the departments of the hospital are functioning properly without interruptions.
 The services and treatment offered by the doctors and nurses are in a highly satisfied
manner.
 In the enquiry department the executive tries to interact directly with the customers and
identifies their requirements and provides them with the required needs.
 The hospital provides an engaging environment for the staffs and workers to work with
their highest potential.
 The main aim of this firm or hospital is to provide high quality service and treatment with
less fees and to gain more customers satisfaction.

6. CONCLUSION:
In order to conclude over the internship program, it was an outmost better experience that would
be given to a student. I made my maximum available sources to utilize every mere help and
chance. It gives me an idea of actual functions and activities of every employee’s in different
departments and the skills and knowledge that should be gained and used while dealing with
such workers and maintaining such positions.
Also the punctuality and discipline of the company astonished me a lot. It gave me a lot of
experience and information that would be useful in my studies. The exposure I got doing this
internship increased my confidence level and created an interest in me to such works in the
future.
Bishop Benziger Hospital, gave me all the basic lessons and the authorities and higher officials
helped me a lot in developing my skills and knowledge in a service sector. Hospital has given me
a lot of experiences other than work; it helped me to know more about the people and listen to
them and think from their perspective. Patients feel safe and comfortable with the staffs and
services offered from the hospital. It was a greater experience to work among these beautiful
people.

7. BIBLIOGRAPHY
 References from the Hospital Records
 References from the Broachers and Books
 Details from the Staffs and Officials
 Hospital Website: www.bishopbenzigerhospital.com
 www.wikepedia.org

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INTERNSHIP AT BISHOP BENZIGER HOSPITAL, KOLLAM Page | 1

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

I did my internship at ‘Bishop Benziger Hospital’ which is situated at Chinnakkada in Kollam

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

1.1 OBJECTIVES OF INTERNSHIP

 To understand about how an organizational system performs.

1.2 SCOPE OF INTERNSHIP

The internship is intended to attend first-hand experience of overall functioning of the

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

1.3 LIMITATIONS OF THE INTERNSHIP

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

The sector comprises hospital and allied sectors that include:

Third-party support service providers

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

2.2 HEALTHCARE INDUSTRY IN INDIA

2.3 Historical Background of Indian Healthcare Industry

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

2.4 Segments of Healthcare Industry

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

2.5 MARKET SIZE

2.6 INDUSTRY STRUCTURE

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

3.1 Panel of Authorities:

Fr. John Paul Charles

Fr. Manoj Antony F

Sr. Collin Mary

Sr. Ancy Mary

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

Mr. Remyl Yesudas

Mr. Gibson George

Mr. C.S Sebastian

Diabetes and heart

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

Our Services and Institutions:

Community Radio Benziger

Ozanam Eye Centre

3.3 BISHOP BENZIGER COLLEGE OF NURSING

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

3.4 COMMUNITY RADIO BENZIGER

The story behind

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

 U.S.G Upper Abdomen & Obstetric- Ultrasonic Imaging systems

Endoscopy – This Diagnostic Procedure is conducted in the Gastro Enterology department

 ECG – (Electro Cardiography)

 Tread Mill Test/Stress Test

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

“Artificial respiration” It is a mechanical device providing artificial respiration by supplying

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

 Patient Monitoring Systems

The objective of patient monitoring is to have a quantitative assessment of the important

 Podiatric Scan system

Neuropathic analysis- by using Ultrasound source.

Foot Scan analysis- by Sensation test.

Doppler study- Colour cooling .

MSN INSTITUTE OF MANAGEMENT AND TECHNOLOGY, CHAVARA

3.6 Departments & Panel of Doctors

 Dept. of Emergency Medicine/ Causality & Trauma Ca

1. Emergency Trauma care

3. Dept. of Emergency Medicine.