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Standard Operating Procedure (SOP) at SS Hospital and Research Centre

This SOP outlines standardized procedures to ensure safe, ethical, efficient, and high quality care for cancer patients. It provides guidelines for clinical, administrative, and operational workflows across all departments in the hospital.

This SOP applies to:

Oncology OPD & IPD

Day care chemotherapy unit

Radiation oncology department (in Collaboration)

Surgical oncology department

ICU

Diagnostics: Pathology, Radiology, Nuclear Medicine

Pharmacy (General & Oncology)

Billing, TPA & Insurance desk

Nursing services

Infection control

Support services (Housekeeping, Biomedical, Maintenance)

Cancer Treatments & Services Available at SS Hospital

Cancer Specialties Covered

Breast, Prostate, Lung, Cervical, Colon, Bone, Blood, Liver, Ovarian, Pancreatic, etc.

Treatment options:

  • Surgery, Chemotherapy, Radiation Therapy, Immunotherapy,Targeted Therapy, Palliative & Pain Management, Diagnostic Services (PET Scan, MRI, Biopsy, Pathology, Genetic Testing), Integrative Care (Nutrition, Physiotherapy, Counseling, etc.)

SOPs

(Step-by-Step Treatment Process)

01

Patient Arrival

Registration desk enters patient details

02

Basic Details Taken

Name, Age, Mobile No., Address

03

Patient ID Generated

ID generated (for new patients) or existing ID retrieved.

04

Quick Registration

No long queues - fast and smooth registration process, it is completed within 2 - 3 minutes

05

Consultation Fee Paid

OPD consultation fee Rs. 300 collected (Cash/Card/UPI).

06

Receipt Issued

Receipt printed and handed to patient.

07

Directed to OPD

Patient directed to Oncology OPD.

08

Waiting for Doctor

Patient waits in OPD area for Dr. Jitendra Kumar Singh and others doctors panel.

09

Doctor consultation:

Chief complaints noted, Medical history reviewed, Clinical examination performed, Previous reports checked

10

Doctor advises required investigations:

Blood tests (CBC, LFT, RFT, Tumor markers, etc), Biopsy / FNAC, o Radiology (USG / CT / MRI / PET-CT)

11

Investigations Done

Investigations performed and reports reviewed.

12

Treatment plan explained:

Chemotherapy, Surgery, Radiation, Targeted therapy, Immunotherapy, Approximate cost estimation, Approximate cost estimation

13

Next Visit Scheduled

Next appointment date given.

14

Admission Decision

Admission decided by the consultant

15

Room/Bed Allotment

If required Room/bed allotted

Treatment at SS Hospital

Treatment at SS Hospital starts immediately based on diagnosis:

  • Chemotherapy
  • Surgery planning
  • Radiation therapy (In Collaboration with)
  • Targeted therapy
  • Immunotherapy

Cost estimation, consent, and counselling are completed before treatment initiation.

OPD Registration Process

  • Patient arrives at SS Hospital reception.
  • No long queues — fast and smooth registration process, registration is completed within 2–3 minutes.
  • Only basic details are needed:
    • Name
    • Age / Gender
    • Mobile Number
    • Address
  • New ID is generated instantly; old ID can be retrieved easily.
  • OPD card is handed to patient with token number.

Comprehensive Cancer Care & SOPs – SS Hospital

Oncology Patient Workflow

After OPD consultation with Dr. Jitendra Kumar Singh, the patient is advised required tests.

Patient proceeds to the diagnostic counters:

  • Laboratory (CBC, LFT, RFT, Tumor Markers, etc.)
  • Radiology (USG / X-Ray / CT / MRI / PET-CT as needed)
  • Biopsy / FNAC (if indicated)

All tests are completed on the same day whenever possible.
Biopsy sample is collected, labeled, and sent for histopathology.

Reports (blood tests, radiology) are usually available same day
Biopsy report is reviewed as soon as it returns.

As soon as all reports including biopsy are ready, the doctor finalizes the treatment plan.

After all investigations including biopsy are completed and cancer is confirmed, SS Hospital starts cancer treatment on the same day.

Oncology OPD Process (SOP)

  • Initial consultation → history + physical exam
  • Diagnostic plan → labs, biopsy, imaging
  • Multidisciplinary Tumor Board Discussion (if required)
  • Treatment plan explained to patient and family
  • Consent forms signed (surgery/CT/RT)
  • Schedule treatment

Surgical Oncology SOP

  • Pre-operative evaluation
  • Anaesthesia clearance
  • Consent + risk explanation
  • OT preparation & sterilization
  • Post-op ICU/ward care
  • Pain management protocol

Radiology SOP

  • X-Ray, Ultrasound, CT, MRI and PET-CT scheduling

Pharmacy SOP

  • Storage of high-alert drugs
  • Temperature logs
  • High-alert drug handling
  • Chemotherapy drug compounding (as per NABH norms)

TPA & Billing SOP

  • Pre-authorization submission
  • Cost estimation shared with patient
  • Corporate/insurance documentation
  • Manage insurance approvals
  • Pre-auth, final bill, discharge documentation
  • Final bill generation & clearance

Safety & Compliance SOP

  • Fire safety
  • Biomedical waste audits
  • Patient rights & grievance redressal

Infection Control SOP

  • Hand hygiene
  • PPE usage
  • Biomedical waste segregation (red/yellow/blue/white)
  • OT & ICU sterilization
  • Other protocols

Discharge Process SOP

  • Consultant completes discharge order
  • Nursing prepares discharge summary
  • Pharmacy issues medications
  • Follow-up schedule communicated

SOP for Dental Department at SS Hospital

SS Hospital also provides comprehensive Dental Care Services.

A qualified Dental Surgeon is available for consultation and procedures.

Services include:

  • Dental examination & diagnosis
  • Tooth extraction
  • Scaling & polishing
  • Root canal treatment (RCT)
  • Dental fillings
  • Oral cancer screening

Dental OPD is integrated with main registration; charges as per hospital tariff.

Departments & Oncology Specialties

Our hospital’s full cancer care ecosystem.

  • Medical Oncology
  • Surgical Oncology
  • Radiation Oncology
  • Hemato-Oncology
  • Pediatric Oncology
  • Palliative & Pain Care
  • Preventive Oncology
  • Diagnostic & Imaging Services
  • Pathology & Molecular Testing

Roles and Responsibilities at SS Hospital

Medical Oncologist

  • Evaluate and diagnose cancer patients
  • Prepare treatment plans (CT/RT/Surgery)
  • Review labs, imaging, tumor markers
  • Supervise chemotherapy administration

Surgical Oncologist

  • Perform cancer surgeries
  • Pre-op and post-op evaluation

Radiation Oncologist (In Collaboration with)

  • RT planning, simulation, dose calculation
  • Daily treatment supervision

Nursing Team

  • Patient triage
  • CT drug preparation & administration
  • Vitals monitoring
  • Emergency management

Pharmacist

  • High-alert drug handling
  • Chemotherapy drug compounding (as per NABH norms)

Chemotherapy Day-Care SOP at SS Hospital

Pre-Chemotherapy

  • Verify patient identity
  • Check oncologist's CT order
  • Review CBC, LFT, RFT, electrolytes
  • Pre-medication protocol
  • IV line / Port access

Drug Preparation

  • Done in a chemotherapy drug mixing hood
  • PPE: gown, gloves, mask, eye protection
  • Double-verification by nurse + pharmacist

Chemotherapy Administration

  • Start infusion as per protocol
  • Monitor vitals every 15 mins for first 1 hour
  • Document any adverse reaction

Post-Chemotherapy

  • Flush line
  • Educate patient regarding side effects
  • Issue discharge summary

Radiation Therapy SOP (In Collaboration with)

  • Patient assessment and consent
  • CT simulation
  • Treatment planning (TPS)
  • Verification & QA
  • Daily RT sessions (fractions)
  • Weekly review by radiation oncologist

Diagnostic Services SOP at SS Hospital

Pathology

  • Biopsy specimen collection & labeling
  • Histopathology reporting within TAT

Documentation & Record Keeping

  • Maintain file-based records
  • Consent forms scanned
  • Daily nursing notes
  • Medication administration records
  • RT/CT treatment logs

Telemedicine / Online Consultation Services at SS Hospital

SS Hospital provides telemedicine service for cancer patients.

Patients can share reports through:

  • WhatsApp
  • Email

Doctor reviews reports and provides:

  • Online consultation
  • Treatment advice
  • Prescription (sent digitally)

Telemedicine fee collected via online payment. If required, patient is advised to visit hospital for further evaluation.

Government Schemes availability at SS Hospital

Empanelment for Government Health Schemes for Cancer Patients. Eligible patients can avail cashless cancer treatment under these schemes. Our Hospital Empanelment with Government Health Scheme include:

  • Ayushman Bharat – PMJAY
  • Chief Minister Relief Fund (CMRF)
  • CGHS (Central Government Health Scheme)
  • ECHS
  • ESIC

Ayushman Bharat Facilities

Affordable and Cashless Cancer Treatment under Ayushman Bharat – PM-JAY

Our hospital is empanelled under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (PM-JAY), enabling eligible patients to receive quality cancer treatment completely cashless.

Chief Minister Relief Fund (CMRF)

Affordable and Cashless Cancer Treatment under Chief Minister Relief Fund

Our hospital is empanelled under the Chief Minister’s Relief Fund, enabling eligible patients to receive quality cancer treatment completely cashless.

Parking Facility

Ample parking space is available within the hospital premises for:

  • Two-wheelers
  • Four-wheelers
  • Patient transport vehicles
  • Ambulances

Parking is free and well-organized.