REQUIREMENTS FOR SETTING UP A GENERAL PRACTICE      

1.   Instruments:

For examination:

Stethoscope

Fetoscope

Otoscope

Thermometer

Weighing Machine

Torch

Tongue depressor – large & small

Hamme, Pin & file

Mercury B.P. apparatus

For injections :

Electric sterilizer

Syringe tray

Disposable syringes:

20cc x 2

10cc x 2

5cc  x 20

2cc  x 20

Insulin syringe X 1

Disposable Needles:

21 No x 12

23 No x 12

24 No x 12

26 No x 2

20 No x 6

Kidney tray – 1 large & small

I.V. stand or hook

I.V. Bottles:

Glucosesaline x 2

5% dextrose

Isolyte P X 1

Ringer’s lactate x 1

I.V. sets

Scalp vein set No.21, 22, 20, 24 sticking plaster strips.

Nursing instruments:

Hot Water bag

Ice bag

Bed pan

Urine Pot

Enema set

Rubber catheters or disposable plastic

Catheters No. 3,6,8 & 10

Ryle’s tube No.16 & 18 + No.22

Benedict’s reagent & test tube holder or Urostrips

Dressing Tray

Cotton Gauze pieces

Savlon, Dettol

Mercurochrome

Neosporin powder

Soframycin ointment

Bandages

Sticking plaster

Belladonna plaster

Surgical:

Plain & Toothed forceps

Suture cutting scissors

Ordinary scissors

Needle holder

Curved cutting needles – small & medium straight needles

10No. & 40 No. thread

2 small artery forceps

Knife and blade.

Local xylocaine.

Additional options:

Infrared light

Fetal Doppler

Cervical traction set

Emergency set with Ambu bag & mask

Home delivery set

ENT examination set.

Glucometer to test blood sugar.

Furniture :

Table with one compartment with lock

Paper weight, table calendar, & all stationary.

Doctor’s chair.

1 or 2 chairs for patient & relative.

Examination table 7’x2’, covered with MeIntosh, Cupboard, small stool or climbing. Curtains or partition around the examination table.

Cupboard for medicines

Stool for compounder

Waiting room:

Benches for waiting patients

Daily paper & magazine

Drinking water

Receptionist’s table & chair

Second room:

2 cots with mattress, Maclntosh and bedsheets.

I.V. stands

Wall decoration:

Degree & Registration certificates

Calendar

Clock

Photograph or deity

Posters – usually of children.

Patient education posters

Interesting articles on medical topics from magazine or newspapers

Your photographs receiving some awards or participating in service camps.

A scale for measuring height.

Stationery:

Rubber stamp, bearing name, degree, registration number and address.

Prescription pad: small (8x10 cms) & Large (12x15 cms)

Letter head

Envelops

Referral letters (may be printed)

Requisition forms from laboratories and radiologists in the area

Drugs:

The General practice in cities demands very few drugs to be stored and dispensed. Most of the medicines are prescribed. Except the emergency injections all drugs can be purchased by the patient from the neighboring pharmacy. But in rural areas, dispensing is still practiced. As there is No drug store nearby. So the drugs to be kept by the doctor will be decided by the doctor himself.

Emergency injections: ;

Decadron, Efcorlin, Dopram, Adrenalin, Aminohylliln, 25% glucose, sodabicarb.

Antibiotics injections:

Terramycin, penicillin, pencom, streptomycin, Gentamycin, ampicillin, chloromyctin, cefantral

Antispasmodics injections:

Anaspas, anafortan, cyclpam, perinorm, siquil, Rantac

Analgesic, anti-inflammatory injections:

Novalgin, voveron, neomol (Paracetamol) largactil, Phenergan, Calmpose (anxol), Gardenal, Paraldehyde, Fortwin, Norphin, Pethidine.

Other injections:

Bcomplex, Neurobion, polybion,

Macalvit, calcium sndoz,

Imferon/Jectofer

Botropase, Dicynene

Methergin, pitocin.

I.V. fluids: DNS and RL 4 bottles each water for injection.

Inj T.T.  

Inj.  Xylocaine

Tablets:

Aspirin, APC, paracetamol Brufen, avafortan, voveron.

Analgin

Stemetil, siquil, perinorm,

Antacid, rantac, oxez

Decadron, wysolone

Fersolate, Bcomplex, calcium lactate.

Avil, cetzin

Calmpose

Adelphane. E, Nifedipine

Nivaquin.

Ampicillin, Septran.

Drops:

Soframycin eye drops, chloro ear drops

For Babies:

Syr. Largactil/Phenergan.

Liquids:

Cough syrup

Kaolin mixture

Anti-emetic mixture

Antacid

Helmacid (Pip citrate)

Mist. Carminative

Liq. Paraffin.

Home visit Bag:

Injections:

Inj.  Atropine 2 amps

Inj.  Spasmindon x 3 amps (or 10 ml vial)

Inj.  Anafortaan 2cc x 3 amps

Inj.  Avil 2cc x 2 amps ( or 10ml vial)

Inj.  Phenergan 2 cc x 2 amps

Inj.  Largactil 2 cc x 2 amps

Inj.  Calmpose 2 cc x 2 amps (anxol 10cc vial)

Inj.  Fortwin 2 cc x 2 amps (or Norphin)

Inj.  Gardenal 1 cc x 3 amps

Inj.  Voveron 3 cc x 5 amps

Inj.  Paracetamol 30ml vial

Inj.  Vitcofol 10cc vial

Inj.  Neurobion 3cc x 2 amps

Inj.  Polybion 2 cc x 2 amps

Inj.  Lasix 2cc x 2 amps

Inj.  Aminophyllin 10cc x 1 amps

Inj.  25% Glucose x amps

Inj.  Calcium sandoz 10cc x 3 amps

Inj.  Reglan 2cc x 2 amps (10cc vial)

Inj.  Stemetil 1 cc x 2 amps (10cc vial)

Inj.  Rantac 2cc x 2 amps

Inj.  Decadron 2 cc x vials

Inj.  Efcorlin 2 cc x 3 vials

Inj.  Gentamycin 2 cc x 3 vials.

Inj.  Penidura LA  12x 2 vials

Inj. Terramycin 30cc x vial

Inj. Chloromycetin 20cc vial

Inj. Dilantin 1 amp

Inj. Gardenal 1 amp

Inj.  Gesicaine 30cc 1vial

Inj.  Siquil 10cc vial

Inj.  Sylte 5 cc amp.

Inj.  Bplex 10ml vial

Inj.  Mephentin 10ml vial.

Inj.  T.T. 5cc vial

Water for injection 5cc 3 amps

Sodabicarb 10ml 2 amps

Tablets:

Disprin, isordil (sublingual), Crocin, Brufen or Voveron, Calmpose or Restyl, antacid, Depin (sublingual), Lanoxin, orolyte sachet. Nitroglycerine pathch.

Instruments (in home visit bag)

Stethoscope

Torch

Tongue depressor

Spirtit bottle & cotton swabs.

Dial type BP apparatus

Artery forceps x 2

Syringes – 10ml x 2

                  5ml x 2

                  2ml x 3

Needles :

No. 20x 5 (for withdrawal)

No. 22 x 10

No. 24 x 10

No. 26 x 2

Empty box to put used needles

Ampule cutting files x 4

Prescription pad & pen.

Blood sugar strips (2)