The Out Patient Department delivers first contact care to the care recipients. Services provided ranges from primary care, emergency care and first contact specialist care services..
What is Medical Nutrition?
Medical nutrition therapy (MNT) is a therapeutic approach to treating medical conditions and their associated symptoms via the use of a specifically tailored diet devised and monitored by a registered dietitian or professional nutritionist. The diet is based upon the patient's medical and psychosocial history, physical examination, functional examination and dietary history.
NHSL Medical Nutrition Unit History:
This is the newest addition to the Clinical care services provided by the NHSL. It was established on 16/10/2014.Currently this was conducted by MSc qualified four medical officers in Human Nutrition and the administrative supervision is carried out by the Deputy Director â€“ NHSL and the technical supervision is assign to Dr. Renuka Jayatissa , the Consultant Nutrition Specialist. This unit is established at the OPD Building complex.
Telephone extension - 2919
Working hours â€“ 8am â€“ 4pm Monday to Friday
8am â€“ 12 noon Saturday
Functions of the unit
Patient Specific Services
Detailed nutritional assessment
Detailed dietary history and analysis of diets
Setting nutritional goals.
Tailor made nutrition care plan- enteral or parenteral
Other nutrition related services
Nutrition related research
Organizing nutrition related educational programmes and skill developmental programmes.
Referrals from the OPD
Referrals from clinics
Referrals from Wards / ICU
Referrals from DMH/ CASTLE Street Hospital for Women/ Renal Unit â€“ Maligawatta.
Medical Officer- Health Information 1
Medical Officer- Health Information 2
The National Hospital of Sri Lanka (NHSL) is the largest teaching hospital in Sri Lanka and the final referral centre in the country consisting of 3500 patient beds with in-ward patient admissions of more than 250,000 per year. It is one of the busiest places in Colombo catering for over 5000 patients a day. The National Hospital features many finer specialties in Health care and most of these specialties are only available at NHSL. Almost all the medical, paramedical and other health administration related designations are present in the National Hospital. Cutting edge health technology is always present in the National Hospital but technology infrastructure, the technology that connects the care giver and the receiver needs to be upgraded.
The National Hospital Health Information management unit, manned by doctors with post graduate qualification in Health Informatics under the guidance of the Deputy Director General of National Hospital is working towards achieving this goal. There are many projects that would benefit the care recipients, care givers and the general public under this plan. This is aimed at short term, medium term and long term projects aimed at improving the infrastructure, knowledge and attitude of the hospital and its staff.
One objective of this strategy is to build on the information management capacity of the hospital. Already a Health Information Management Unit is established with required facilities to initiate and continue the plan. Further, either establishing or collaborating with already established Resource centre on Health Information will be done to provide the required resources for staff training on ICT. In-service Training on Health Information & ICT for the staff by Identification of training needs, Curriculum development and Training Activities will be done which will enhance the knowledge of the staff and change the attitude towards IT. We are further planning to Human Resources Development on ICT in the healthcare by this activity. A Hospital Data Repository will be established which will serve to centralize the hospital data.
Next objective of the strategy is to Improve Electronic Communication. A high speed wide area network (WAN) backbone will be designed and constructed covering all buildings of the hospital enabling expansion of the hospital network as required using Fibre Optics. This will be then connected with Local Area Networks, and necessary and supported devices within the hospital will be connected to this Local Area Network. Internet will be provided according to the need with central control considering the security of data and protecting the privacy of clients using the high speed WAN and LAN. Further, electronic communication will be promoted by issuing email addresses to all relevant stakeholders. One major activity under this objective will be to promote the National Hospital to serve as an information hub to the care recipients and stake holders by allowing multiple electronic means of accessing information. Already a hotline â€œ1959â€ is operational where anyone can request information regarding services of the hospital, poison information and health education. This will be augmented by a web portal which allows not only information seeking but active information delivery using SMS and email. Later this system will connect with a centralized service registration system allowing people to be registered with hospital services easily.
Final objective is to provide coordinated care to recipients using ICT solutions as the basis for coordination. This will be achieved by a sophisticated centralized repository of patient information. This system will consist of Laboratory Management Information System (LMIS), Radiology Management Information System (RMIS), Pharmacy Management Information System with Pharmacological Inventory and Electronic Medical Record (EMR).
The vision of the Health Information Management Unit of the National Hospital is to deliver the essence of excellence of health care to the care recipients of our hospital.
Health Information Management Unit Staff
Web Link to Poison Information Centre- www.toxbaselanka.info
The National Poisons Information Centre, Colombo, Sri Lanka was established on 1st of January 1988 with the assistance of the International development Research Centre, Canada. It is situated in National Hospital of Sri Lanka, Colombo under the Ministry of Healthcare and Nutrition. This centre is the first to be established in South-East Asia as a Poisons Information Centre with the effort of Prof. Ravindra Fernando who pioneered the establishment of the unit. The National Poisons Information Centre has completed twenty six years of service. The Centre now rendering its service nation-wide twenty four hours throughout the year.
The centre is now a full member of the World Federation of the Association of Clinical Toxicology and Poisons Control centres, and association affiliated to the World Health Organization. In addition NPIC have the exclusive privilege to access the world class UK toxbase and Thailand poison information network.
It serves the entire country by providingup-to-date medicalinformation on all kinds of poison, aspects of poisoningand on acute poisoning management in Sri Lanka. NPIC mainly provide clinical toxicology information related to hazard identification, clinical features of poisoning, diagnosis and management to the medical professionals. Within the period of last twenty six years the centre has provided in response to 17493 enquiries made to the centre by medical professionalsâ€™ information regarding clinical management of poison exposure patients.
Health awareness and prevention of poisoning is one of the main scopes of the center. The center has freely distributed, printed leaflets, posters and stickers on prevention of chemicals, drugs, pesticides, plant and snake bites poisoning, identification of poisons and prevention of household poisoning and first-aid management to the general public and healthcare institutions. Furthermore, Centre is conducting awareness programs to the general public on prevention of poisoning as contributing to the National Health Week.
For the first time in the history of NPIC, official logo with its own identity for the center was introduced. Four newsletters were also published with the approval of the Ministry of Health in year 2013 and 2014. Newsletter 1 and 2 published in English medium was circulated among the all health care institutions and medical professionals. The objective was to keep abreast the toxicology knowledge among the medical professionals by disseminating current cutting edge knowledge in toxicology spheres. Newsletter 3 and 4 named as â€œVisa Vimasumaâ€ and â€œVisa Vimansaâ€ published in Sinhala medium were widely applauded by the among general public, school children etc.
The center has published and distributed updated medical book on Management of Poisoning. In addition to this, Guidelines for Management of Paracetamol poisoning, Poisonous plants, Venomous snakes and Household poisoning, Banned chemical of Sri Lanka and Pesticide poisoning in Sri Lanka: Review of the eighties and outlook for nineties were also published and freely distributed to all state hospitals throughout the Island as reference materials for the medical professionals.
NPIC also conducting in-service training programs and lectures for health care personnel and other relevant sectors. The center has started for the first time to assist advance level students on their A/L projects to develop research methodology in the sphere of poisoning for their university entrance assignments by providing clinical data, leaflets, posters and handouts. Currently, critical care post graduate trainee doctors are experiencing week long comprehensive training in toxicology and poisoning management. Medical students are also doing their elective appointments for a one month period in the center.
Use of Agrochemicals and pesticides was identified as a major health problem in Sri Lanka. In view to prevent pesticides and chemical poisoning in the country, the center provides safety evaluation reports with the expert advisory panel on new agricultural chemicals and pesticides introducing to the market with the request from the Pesticide Registration Office in Sri Lanka.
Prevalence of chronic kidney disease of unknown origin possibly caused by agrochemicals and heavy metals are currently identified as a major health concern in the country. Therefore, NPIC launched a preliminary studies to find out the relationship of CKDu with heavy metals in the year 2014.
Poison centre has planned to establish a ground-breaking website on poison information in near future (Toxbase - Sri Lanka) for upgrade the quality of medical care related to acute and chronic poisoning, which will help to obtain clinical information with rapid access including advice on potentially hazardous doses and appropriate clinical management for the medical professionals.
Poison Centre Team
Among patients that admitted to the accident unit, management of patients with spinal cord injury is more complicated & their survival, reducing complication & rehabilitation are challenging. Few years ago survival of these patients was a difficult task. But now using the modern medicine ,they gain ability to live some years amid disabilities. There are special tasks to complete in this mission.
Main requirement is to have a specially trained rehabilitation team & a special treatment unit for their treatments . In developed countries, these kinds of units were started in 1930s.
Patients with spinal cord injury, when treating along with other injuries there is tendency to gain side effects. Therefore, necessity of a special treatment team arises.
Realizing these need, consultant Orthopaedic Surgeon Dr.Narendra Pinto, who wanted to follow the idea of Dr.Chandana Karunathilaka, established a separate ward for patient with spinal cord injuries on 06th April 2011. (Concurrently Asian Conference of Spinal Cord Injuries was held in Sri Lanka in 2011).
Mr.P.K.A.Kithsiri, who is a national trainer for nurses, was appointed by Ministry of Health to train Nurses for this special task. Thereafter, this ward, ward 53 developed as a special unit.
Members of the Unit,
Consultants & other doctors
Social service officer
Other specialties of the ward
Nurses, therapists & Minor staff have been given a special train.
Trained nurses visits to ETU when necessary.
well organized rehabilitation team.
Patients receive special food according to nutritionistsâ€™ advices.
Supplement of special instrument require for prevention of complications like bed sores.
(Special mattress, beds & rehabilitation instruments)
(Mini library, opportunities for sports like Carrom, facilities for handicrafts)
Throughout the year other than the day to day treatments.
Celebration of New Year, Wesak, Day of disable persons, Musical programme & Christmas.
Staffâ€™s dedication for these activities should be appreciated.
Family members of the patients receive a special training regarding patientâ€™s urinary control & other complication. And also they are given an opportunity to meet Consultants if necessary. They are provided with printed hand bills .
Patients, who left the hospital, were given a Hot line number for discuss their problems. 0112 685814 &
Already shown the necessity of this unit under following.
Patient can leave the hospital early.
It reduces government expenditure as side accident / effects are minimum.
Quality of the service is high. (with special training)
Researches & academic activities are feasible as availability of data regarding the patients.
Already the unit has given an opportunity to gain knowledge for trainees of various fields.
Social service officials
Post graduate doctors
In addition, trained officers have contributed to training programmes island wide
Eg: - Programmes held at, hospitals of Batticalo, Vavniya, Rathnapurra & Ragama.
Scarcity of adequate space for expansion & development of the unit is a Main problem. It is necessary to have a adequate space for handle Wheelchair.
As the first unit of these kinds, established in a teaching hospital in Sri Lanka, our vision is to upgrade this unit & train the staffs of the other teaching hospitals for this special task. A special note has to be made on the ultimate service given with lack of equipment . This unit should have the ultra modern equipment to face the future.
The National Hospital situated in Colombo in a 32 acre block of land is the largest teaching hospital in Sri Lanka and the final referral centre in the country consisting of 3000 beds. it is the training centre for under graduates and post graduate trainees of the Faculty of Medicine. The nursing training school, Colombo, PBS, and Schools of Radiography, Pharmacy, Cardiograph, physiotherapy and occupational therapy are also affiliated to the National Hospital.
Message from His Excellency Maithripala Sirisena
President Democratic Socialist Republic of Sri Lanka
The National Hospital of Sri Lanka is truly deserving of this message of felicitation and encouragement on this 150th Anniversary of service to the people of Sri Lanka.