Santokba Durlabhji Memorial Hospital is a not-for-profit private hospital located in Jaipur, India. It was founded in 1971 and has since expanded to include 375 beds and various specialties. The hospital aims to provide affordable, high-quality healthcare to people in Rajasthan. It has numerous departments that cover a wide range of specialties and diseases. The hospital also has a nursing school and places emphasis on clinical research and education.

2. "In health care and education, don´t make a buck; make a
difference"
The Santokba Durlabhji Memorial Hospital Cum
Medical Research Institute
Bhawani Singh Marg, Jaipur-302015
Santokba Durlabhji Memorial hospital is a trust managed,
autonomous, fee for services, not for profit multidisciplinary, private
hospital which was conceptualized by the venerable family
patriarch, the Late Padamshri Khailshankar Durlabhji . He had the
passion and compassion to deliver affordable health care to the
people of Rajasthan which would be second to none in the country.
Located in the heart of pink city, it is a self contained campus with
staff residences, a bank, a post office, medical stores, dairy booth,
inpatient attendant complex (Dharmshala) and other living facilities.
November 29, 1971 is a red-letter day in the health care history of
Rajasthan. It was on this day that the first ever hospital in the
private sector of the state was inaugurated by the then Prime
Minister of India, Smt. Indira Gandhi.
It was a very modest beginning with a bed strength of only eighty
beds and six specialties. However, Shri Khailshankar Durlabhji, a
great visionary as he was, made ample provision for the all round
development, growth and expansion of the hospital in the years to
come. The bed strength has increased to 375 and many wards,
Operation theaters, ICUs, laboratories, utility services, specialties
and super specialties have been added.
Facilities and services
General:
1. Total No. of beds -310
2. Private rooms (air-cooled)-22
3. Deluxe rooms (air-conditioned)-4

3. 4. Semi-deluxe rooms (air-conditioned)-6
5. ICC/CCU (31 beds)-3
6. Special care neo-natal Unit No. of beds –161
7. Operation theatre suites (9 theatres)-3
8. Wards (Centrally air-cooled)-10
9. Emergency (24 hrs. service-5 observation beds with 1 minor
theatre)-1
10. Consultation Chambers-42
Cardiology
As a center for excellence in interventional Cardiology and Cardiac
Surgeries & with its latest technological advances, SDMH pledges to
provide world class care to its patients. Our team of Cardiac
Surgeons, Cardiologist & Medical Staff delivers best care with the
compassion at a reasonable cost.
SDMH is providing comprehensive cardiac care and cardiothoracic
surgery services since 1981. A dedicated state of the art
cardiothoracic theatre ensures international standards of patient
care. We are the pioneers in cardiothoracic surgery in Rajasthan
being the first to perform Open Heart Surgery, valve replacement
surgery, coronary artery bypass surgery,
Dermatology
The skin is the largest and most visible organ of the body. It reflects
the health of the body and acts as a barrier against injury and
bacteria. You should consult our dermatologist if you have any
significant problem with your skin. Our focus is on your general
medical dermatology needs, such as full skin examinations,
screening for skin cancer,

4. Dental department
The Dental department of SDMH is well equipped with modern and
latest dental equipment for the treatment for gums & loose teeth,
fractures of jaws, impacted teeth, root canal treatment , fillings,
replacement of missing teeth with crowns and bridges and implants
ENT
The department is equipped with state-of-the-art equipment and a
team of well trained and highly experienced ENT consultants &
surgeons to provide the highest standards of medical and patient
care with a focus on service excellence.
Special Procedures
 Fiber optic laryngoscopy
 Nasal endoscopy
Gastro department
Among the private hospitals in Rajasthan, we were the first to start
gastroenterology as a separate department in 1988.The
Gastroenterology Department offers treatment for patients suffering
from Gastro Intestinal, Liver and Pancreatic Biliary disorders.
Gynecology
We provide excellent healthcare services for expectant mothers in
need of special care during and post pregnancy. Our skilled and
experienced medical staff offers the highest standard of educative
and supportive services including all required clinical facilities for
maternity and reproductive healthcare, child birth and postnatal
care.

5. Neurology
The department of neurology is functioning since 1991 and is fully
equipped to deal with:
 All types of paralysis and haemorrhage cases
 Serious neuropathies
 All types of coma cases
 Infections of brain
 Epilepsy
Backed by experienced and dynamic neurosurgeons and world-class
equipments, we ensure you the best care and quick recovery since
1988.
Facilities and Services
 24 hours emergency services
 Dedicated 10 bedded Neuro ICU equipped with multichannel
monitors, ventilators, centralized oxygen and suction.
 A high tech state of the art Operation theatre
Nephrology Department
The Nephrology Department at SDMH is well-equipped and well-
versed to treat the critically ill patients.
Facilities and Services
 Well-equipped Hemodialysis unit managed by skilled, experienced
and senior technicians and nursing staff and Highly qualified
nephrologist.
Backed by experienced and dynamic neurosurgeons and world-class
equipments, we ensure you the best care and quick recovery since
1988.
Facilities and Services
 24 hours emergency services
 Dedicated 10 bedded Neuro ICU equipped with multichannel
monitors, ventilators, centralized oxygen and suction.

6.  A high tech state of the art Operation theatre
Orthopedics
The SDMH Department of Orthopaedics was started in 1971 and is a
state-of-the-art specialised healthcare facility designed to provide
the highest levels of professional expertise and patient care. With
our intention of "early mobilisation, minimal discomfort", we
provide a comprehensive range of treatment for patients
undergoing orthopaedic surgery.
Pediatrics
A unique set up functioning since 1973 for the needs of all babies,
children and teenagers, always geared to deliver top quality medical
services with great care and compassion.
We provide complete, compassionate, state-of-the-art healthcare
services for children from birth to sixteen years of age (and older in
some cases) who have special health care needs that are different
from adults. .
Pediatric surgery deals with comprehensive surgical care of
children, from newborns to 18 year olds. Children differ from adults
in their structure, physical requirements, the kinds of illnesses they
suffer from, and in the way they need to be treated, especially
surgically. At SDMH, we recognise this special need of children and
their anxious parents.
Urology
The department of Urology at SDMH is dedicated to providing state-
of-the-art medical and surgical care in all aspects of adult and
Paediatric urology.

7. The department of Urology provides screening, staging and the most
up-to-date treatment of all uro-genital tumors including kidney,
ureter, bladder and prostate.
SDMH School of Nursing
Santokba Durlabhji Memorial Hospital School of Nursing started in
April 1976.
Philosophy of the Nursing school
The primary aim of the Nursing School is to translate the lofty ideals
and philosophy of Santokba Durlabhji Trust into reality.
The Trust believes that nursing is distinctive among professions in
its angle of vision, in its intimacy, scope and privileged position in
relation to patients since nurses are witnesses to life’s most
profound events, specially when people are at their most vulnerable.
Nurses stand in between patients and medicine as buffers,
translators mediators and facilitators.
Keeping all above in mind, maximum care is taken during the
training period for all round development of the individual so that
our nurses become life-long learners valuing current scientific
knowledge and technology and its application in a humanistic
manner
Library
The Santokbha Durlabhji Memorial Hospital Library was
established in 1972. The Library is mainly a reference library in the
Medical field. It is open for consultation to the entire Medical,
Paramedical and all staff members of SDMH. It is situated at III Floor

8. in SDMH building. The library has a rich collection of books,
journals, novels (fiction), magazine etc. The library is open on all
weekdays from 9.00 am to 5.30 pm.
Various clinical departments
 Cardiology
 Cardiac surgery
 Dentistry
 Dermatology
 Endocrinology
 ENT
 Surgical gastroenterology
 Gastroenterology
 General surgery
 Internal medicine
 Neurology
 Obstetrics & gynecology
 Gynecology&gyanecosurgery
 Orthopedics
 Pediatric&neonatology
 Pediatric surgery
 Psychiatry
 Plastic surgery
 Neurosurgery
 Nephrology
 Cardiac anaesthesia
 Rehabitation centre
 Pretty mom
 MRI

9.  Nuclear imaginary
 CT scan
 Homeopathic
 Ayurvedic
Non-clinical department of hospital
 Human resource
 Laundry
 House-keeping
 Security
 Food&beverages
 Front office
 Information technology
 Store
 Medical record department
 Pharmacy
 Nursing
 Quality insurance
 PRO
 Telephone exchange
 Nani chaav
Super speciality
 Cardiology and cardiac surgery
 Renal science
 Neuro science
 Gastro intestinal disease
Multi speciality
 Orthopedics and joint replacement

10.  Diabetes and endocrinology
 Dermatology
 Internal medicine
 Pulmonary medicine
 Ophthalmology
 Dietetics
 General surgery
 Physiotherapy and preventive health check
 Dental,cosmetic and plastic surgery
 ENT
 Gynecology and obstetrics
 Pediatrics and neonatology
Dietetics department
About the department
The dietary deprtment at SDMH formulates the most appropriate
nutritional therapy for every patient (both OPD and IPD).Individual
requirement are considered through initial metabolic ,biochemical
and anthropometric data obtained by nutritional assessment of the
patient.
Another objective of the dietary department is out –patient
counseling with a viewof educating the patients about the nature of
a disease,its hazards,detection and prevention.Advice on individual
instruction on diet and specific therapy if required is given. The
patient is made aware of the fact that diet plays an important role in
the prognosis of a disease and is urged to strictly follow the
guidelines of diet therapy.
Nutritional services for the patients

11.  Nutritional assessment and individual diet planning of critically ill
patients in each of the critical care units(MICU,ICCU&SICU)
enteral and parenteral nutrition.
 Planning therapeutic diets for patients according to their
individual disease condition.
 Supervision of preparation,packaging and distribution of all the
therapeutic diets to patients.
 Obtaining suggestions regarding the food that is supplied,from
the patient and modifying tha same according to their likes within
dietary parameters.
 Nutritional assessment and dietary counseling for all the patients.
 The inpatient services offered by dietary department are so
profound that the patients and their relative need not worry
about food that is served during the hospital stay as each and
every nedd of theirs is taken care of by dietary
department.Dietary depertmant have round the clock food &
beverage service for all patients.
Nutritional services for outpatients
 Initial nutritional assessment and dietary counseling for all
outpatients from all the departments.
 Obesity and nutrition:offering specific nutritional advice to all
overweight & obese patients attending the obesity clinic at
SDMH.
 Segregation of all the patients attending the obesity clinic as per
BMI,educating & advising the patients regarding appropriate and
relevant dietary modification to omprove their overall health
status and also facilitate weight reduction.
 Specialized individual pre-op and post-op dietary advice foe all
bariatic surgery patients.

12. Objective of dietary department
 To understand hospital administration and organization set up
of dietetics department.
 To understand about the functioning of the dietary
department.
 To get familiar with planning and preparation of therapeutic
diets for various disorders like gastro-intestinal
disorders,diabetes,renal problems ,liver
disorders,fevers,cardiac diseases etc.
 To gain knowledge and practice experience in nutritional
management of cancer.
 To achieve competency in th planning of pre and post
operative and pediatric diets.
 To observe and learn about nutritional support for critically ill
patients.
 To learn to counsel patients about therapeutic diets.
 To gain and update current knowledge about quality food
production.
Duties and responsibilities
Chief dietician:-
 Planning .organisation and management of the dietary
department.
 Establishment of department policies in consultant the
medical superintendent.
 Checking quantity and quality of raw materials from time to
time.
 Developing the specific menus and other nourishment
considering season availability ,patients`preference and other
nutritional requirement.

13.  Publication and research.
 Attend the complaints and queries of regarding food.
 Provide dietary counseling to the patients.
 Ensure that the patients get their according to the medication
requirement.
 Aattend diet clinics and OPD patients.
Dietician
 Maintenance of records ,time schedules or meal
supervision,health records of employees.
 Issue instruction on food handling and cooking and
sanitation to employees.
 Superwise cleanliness of the department.
 Ensure that patients are visited every day and advised from
time to time.
 Receive diet forms and conduct ward rounds.
 Make necessary changes in the diet cards according to the
procedure planned and condition of the patients.
 Enquire and solve any complaints regarding the food served.
 Prepare and plan therapeutic diets for the indoor patients,
 Train cooks in the pricessing of the diet orders.
Types of diets
There are some diets which could be given to patients with similar
condtion of requirement.
Types of diet served in the hospital.
 Clear fluid diet
 Full liquid diet

14.  Soft diet
 Normal diet
 Diabetic diet
 Renal diet
Points to remember /considered while filling nutritional
assessment forms:-
 It has to be done within 12 hrs of admission in the hospital.
 Particulars of the patient have to be noted.
 The diagnosis given by the doctor is noted.
 Calculate BMI using the height and weight.
 Specify the diet prescription given by the doctor.
 Tick on the evaluation criteria.
 Note down the relevant biochemical parameters like blood
sugar,sodium(Na),potassium(K).BUN(blood urea nitrogen),uric
acid,calcium(Ca),cretinine,chloride(Cl)etc
 According to the diagnosis and doctor`s instruction ,plan the diet
to be given and note down in the nutritional therapy form A(oral
intake) or (enteral feed)as per the requirement.
 Form B should have detailed info about the calories and protein
as well as the feeding route.
Food testing
All the food is tasted by thedietician before serving to the
patients exceot tea and snacks.the consistency
,texture,aroma,amount of species of the food is judged and
mistakes are rectified to avoid any inconvenience to the patient.
Types of diet given according to the consistency:
 Liquid (clear or full liquid)
 Soft diet

15.  Soft full diet
 Normal diet
Types of diet according to clinical condition:
 Non-diabetic cardiac diet
 Diabetic cardiac diet
 Diabetic diet
 Cardiac diet
 Renal diet
 Normal balanced diet
 High protein diet
 Progressive diet
1).Cardiac diet:These diets are low in fat.cholesterol & salt.They
have less than 20% of calories from fat.No salt sachet is given
(unless required to correct hyponatremia)in this diet.
2).Renal diet:These were made for the patients with acute or
chronic kidney disease.The diet was also converted into renal diet
when there was found to be drug induced kidney problem like
hyperkalemia,uremia and high values of reatinine in blood.protein is
restricted to decrese the protein load on the kidney.Sodium may be
restricted to improve blood pressure control and to avoid fluid
accumulation.Pottassium is restricted if it is not excreted effectively
and level in the blood are high.The vegetables are leached before
cooking.
3).Diabetic diet:This diet excludes sugar,fruit juices&rice from the
diet.sugarless desserts are served to these patients.

16. 4).Normal balanced diets:These include frequent meals and a
balanced meal in view of the general macro nutrient requirements
of the patients.
5).High protin diet:They include more milk products and also
protein supplements with beverages.
6).Progressive diet:It includes various type of diet in progression
starting from clear liquids towards semi-solid and then normal
diet.These diet were given to patients according to the diagnose or
the condition of the patient i.e.patients under post operative
care(CABG,PTCA,PP1 etc)patients with GI
problem(diarrhea,vomiting,intestinal bleeding etc)and others who
have low tolerance for normal consistency diet due to any clinical
condition.
Main areas of dietetic intervention are:
 Food service
 Nutrition research service
 Dietetic internship
 Dietary supplements
 Counseling and provision of knowledge
Interdepartmental Coordination
Interaction between FNB manager and dietician
 To update the head of the organization /MD on a regular basis
about the functioning of the department.
 To update the HOD about the patient`s
feedback/complaints,action taken.

17.  To updateHOD on lectures given ,camps attendede and any other
activity undertaken on behalf of the organization.
Interaction between dietician and consultant
 To coordinate with the clinical heads to semi-protocols for
patient care.
 Daily patient care,diet modificationto be introduced as per
medical reports.
On the time of admission
Afterwards dietician does the nutritional screening in order to know
about nutritional assessment.
Interaction between dieticians and nurses
 Dieticians receives a daily diet requisition sheets prepared by the
nurses on the night duty in the morning and afternoon.
 Any change in the diet of the patients ,and new admissions are
communicated to the dietician directly through diet requisition
slip.
 Dieticians cross checks the received information from time to
time with the nurse and by checking the patient`s file both during
rounds and the phone constantly.
 Dieticians update the changes with respect to new
admission/transfer/discharges/change in the diet.
Interaction between dietician and FNB department
To coordinate food service operations,ranging from documentation
,handling over the summary ,supervising major meal services,food
tasting and informing changes in time.

18. Interaction between dietician and marketing department
 Participating in health awareness camps.
 Healthy living habits.
 Delivering lectures in the institutions and organization to
promote awareness
 To publish articles in leading publications as part of public
awareness.
 To deliver educational talks on T.V. and radio.
Department of dietetics
Hierarchy
Medical superintendent
Kitchen dietician contractor
Dietician interns
Supervisor
Kitchen staff
(head cook,astt.cooks,kitchen cooking staff,cleaning staff,stores
staff,trolley boys)

19. Manikchand hospitality services staff included:
1)Unit manager -1
2)Assistant manager-2
3)Supervisor -2
4)Order taker-1
5)Cashier-1
6)Head chef-1
7)Assistant chef-1
8)Kitchen helper-8
9)Patient chef-2
10)Steward-10
11)Assistant steward -11
For 24 hours food availability & convenience of the
patients.attendent`s doctor & other staff members of the SDMH.the
kitchen staff has got 3 shift time.
Shift Time
1 06:00a.m-04:00p.m
2 12:00a.m-10:00pm
3 10:00p.m-08:00a.m
The kitchen is divided into various areas suited to specific purposes:
1)pre-preparation area:

20. Where pre-preparation of food is done like keading,peeling of
potatoes,making puree,making various pastes like those for dosas
and idli.it has a dough kneading machine,a wet grinder.
2)cooking area
It occupies a major space in the kitchen .it is divided into two
areas.one is the patients` cooking area and the other for the staff and
other guests cooking area .the area is covered with exhaust hood.it
has the burners ,a vegetable wash basin ,electrically operated
tandoor and side racks.the staff for cooking these meals are
different.the oil used for cooking was the soya bean(brand:fortune)
3)washing area:
Three area are there for washing:
 Washing for vegetables (when they are beingbrought outside the
main kitchen area)
 “potwash”for washing cooking utensils.
 Crockery,cutlery and service flasks.
Cold storage:
A walk in cooler is used to store milk products & groceries.desserts
prepared and packed in the kitchen are also stored here.
Feed area:
A small area is allotted for preparing RT feeds.the area is inadequately
sterilized in view of the care in preparation of feeds for the critical
patients.one specific person is allotted for the preparation and sewing

21. of feed.the area contains a bulletin board to hang instructions given by
the dietician.the supplements used are:
 Resource diabetic
 Resource renal
 Resource hepatic
 Resource high protein
 Resource dialysis
 Nova source peptide
Call station
A cabin for taking orders is present where any special requests of the
patient or any recent changes in the diet are informed to the kitchen
staff by the dietician & in the case of unavailibilty of the dietician by
the nursing staff of the particular patient,orders other than for the
patient are also handled here.
Learning outcome
Our experiences of 1 month in plant training was good.the
management,the staff and especially our chief dietician were very
co-operative and helpful.practical knowledge was gained by first
experience under the guidance of our chief dietician.
These were:
 Conducting ward rounds checkthe condition and dietary habits
of the patients.
 Supervising food production.
 Sensory evaluation of the cooked food.

22.  Conducting ward rounds to observe delivery and food
distribution.
 Preparation of RTF(ryle`s tube feed)
 Counseling of both indoor and outdoor patients suffering from
various disease.
 Significance of enteral and parentral nutrition in recovery of
the patient.
 We came to know about the various supplements.which could
be used for hastening recovery.
Conclusion
Training at esteemed santokba durlabh ji memorial hospital cum
medical research institute has proved to be quiet fruitful.it has
allowed an opportunity to get an exposure of practical
implementation to theretical fundamentals.
Because of the support of our head dieticians and other staff we
gained a new experience.This training is a memorable accumulation
of knowledge for me.It provided me the knowledge in the field of
nutrition&other applied aspects.
At last I conclude that this training is much fruitful and will help a lot
in my future too.
Shefali Singh