RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA

4th “T” Block, Jayanagar, Bangalore – 560 041

ANNEXURE

B.Sc. PURFUSION TECHNOLOGY FACULTY

NAME OF THE COLLEGE:______

ADDRESS:______,

______,

______,

______,

______.

PRINCIPAL NAME:

Ph. No.

MOBILE No.

Courses Inspected For

Faculty/Subject

/ Continuation of Affiliation / Increase in Intake of Seats / Course / Additional Course

Paramedical Course

BSc. (Perfusion
Technology)

Post Graduate

M.Sc. (Perfusion
Technology)
Courses being run by the College
Name/s of Course/s
/ RGUHS Sanction / GOK Sanction /
Apex body Sanction
Intake / Intake / Intake

Paramedical Course

BSc. (Perfusion
Technology)
M.Sc. (Perfusion
Technology)

To enclose relevant documents


Whether other Educational Institutions are also being run by the Trust / Institution in the same building / campus? Provide details

To enclose relevant documents

Status of the College

1 / Govt. / Yes / No
2 / Private Aided / Yes / No
3 / Private Un-aided / Yes / No
4 / Private / Yes / No
5 / SC / Yes / No
6 / ST / Yes / No
7 / Linguistic Minority / Yes / No
8 / Religious Minority / Yes / No


FINANCIAL STATUS OF THE INSTITUTION

(Audited financial Statement of Institution should be furnished in the following format)

Receipts & Expenditure for the year 2006 – 2007

Receipts

/

Expenditure

/

Remarks

Sl. No. / Particulars / Amount / Sl. No / Particulars / Amount
CAPITAL EXPENDITURE
1 /

Grants

a.  Government
b.  Others / 1 / Building
2 / Tuition Fee / 2 / Equipments
3 / Others
REVENUE EXPENDITURE
3 / Library Fee / 1 / Salary
2 / MAINTAINANCE EXPENDITURE
4 / Sports Fee / i / College
ii / Hospital
5 / Union Fee / iii / Others
3 / University Fee
6 / Others / 4 / Apex Bodies Fee
5 / Government Fee
6 / Deposit held by the College
7 / Others
8 / Misc. Expenditure

Total

/
Total

To enclose relevant documents

2

NSS :
Whether college has NSS Unit [Yes/No]?
If no give reasons
NSS Programmes Officer Name
Programmes conducted
(mention details)
Whether village adopted, if so since how many years. Mention name of the adopted village
Whether students participating in a University level cultural activities
Detail payment of NSS fees
Sports :
Do your college has Physical Director [Yes/No]?
Do you have College Ground
How many of your students participating in Sports in University level, Inter-University level, State and National levels
Detail payment of Sports fees
PART – I (GENERAL INFORMATION)
Name of the Principal
Qualification
Experience
Status of the College:
(Independent / Wing of another College)
For Institution Seeking Continuation of affiliation
Date of Last Inspection
UG - (Mention the Course)
PG - (Mention the Course)

Governing Council body members

(Whether it is under the management of a regularly constituted governing body, if so, furnish the list of personnel of the governing bodies)

Maintainance of: -

/ Yes / No /

a. Individual Service Registers:

b. Staff Attendance Registers:

c. Acquaintance Registers:

d. Staff Pay Registers:

e. Fee Paid Registers:

f. Admissions Registers:

Pay Scales:

Staff / UGC/GOK /Apex Body /
Management
/
PF Benefit
Teaching Staff
Non – Teaching Staff

To enclose relevant documents

Percentage of BSc.Perfusion Technology Results in the last three years :

ACADEMIC YEAR / 2004-2005 / 2005-2006 / 2006-2007
1st Year
2nd Year
3rd Year

Admission status for BSc.Perfusion Technology in the last three years :

ACADEMIC YEAR

/ 2005-2006 / 2006-2007 / 2007-2008

Sanctioned

No. of Admissions

No. of Excess Admissions
Unfilled Seats


In the last five years whether affiliation of this institution has been discontinued and admissions stopped? If so why? Give reasons
Report of the Action Taken on the Conditions laid down in the previous year's Affiliation Notification: -

To enclose relevant documents

Part II

INFRASTRUCTURE

Required / Available / Not Available / Observation of inspection Committee / Specific recom-
mendations of the Committee /
College building
a. Area – 1 acre
Hospital : Minimum 100 bedded capacity
Own/attachment- (How many institutions are attached to this hospital (details to be furnished)
Common room for male and female Students separately
Principal /Coordinators chamber with attached Toilet (300sq.ft)
Library hall
A.V. aids room
Hall with cubicles for staff
Number of Lecture Hall for BSc.Perfusion Technology. One class room with capacity to accommodate - 25 students -50x25sq. ft
Students Hostel for Men
Students Hostel for Women
Play ground
Vehicle for Transportation
Office room
Principal’s room
Staff room for Men – How many
Staff room for Women – How many
Common room for Men
Common room for Women
Physical Instructor


CENTRAL LIBRARY

Journals / No. of Journals / Available / Not Available / Observation of inspection Committee /

Anatomy

William Davis (P) understanding Human Anatomy and Physiology Mc Graw hill Co.
Williams(Peter L) Gay’s Anatomy Ed.38 Clinical livingstone – 1995
Chaurasia. A text book of Human Anatomy.
Tortora Human anatomy
ESTER . M. Grishcimer, Physiology & Anatomy with Practical Considerations, J.P. Lippin Cott. Philadelphia
Ross & Wilson - Anatomy & Physiology in health and illness.
In Derbir singh text book of human histology.
Physiology
Guyton(Arthur) text book of Physiolgy. Ed. 8 Prism publishers, Bangalore- 1991,
Chatterjee(CC) Human Physiology Ed-10, Vol-1, Medical allied agency 1988
Chowdhary(Sujith K) Concise Medical Physiology Ed 1, New Central Book, Calcutta – 1993.
Ganong (William F) Review of Medical Physiology. Ed. 18 Appliton and lanfe 1997
Sembulingam Text book of Physiology
Microbiology
Ananthanarayan & Panikar – Medical Microbiology.
Robert Cruckshank – Medical Microbiology the practice of Medical Microbiology.
Pharmacology
Essentials of Medical Pharmacology K D Tripati 5th Edition
Pharmacology & (19th Edition) R. S Satoskar

Pathology

Robbins – Text book of Pathology

Biochemistry

A V S S Ramarao Text book of Biochemistry
Varley Clinical Chemistry

Community Medicine

J E Park Preventive and social Medicine
Perfusion Technology & Cardiac Surgery
Glenn P. Gravlee, Mark KurusZ Richard F Davis, Joe R Utley - Cardiopulmonary
Bypass.
Daniel J gold stein MD, Mhomet c oz – Cardiac assist devices.
David Nicholoas G, Duke E cameron – Critical heart dieseas diseases in infants & children
Jonas, Richard A- Cardiopulmonary bypass in neonates, infants and young children (1994)
Kay, Philip H ed – Techniques in extra corporeal circulation (1992)
Lewis – Mechanical circulatory support clinical blood gases – application & noninvasible alternatives (1995)
Martin – All you really need to know to interpret Arterial blood gas (1992)
Matthews – Cardiopulmonary anatomy and Physiology (1996)
Meerbaum, S ed – Myocardial perfusion, reperfusion coronary venous retroperfusion (1990)
Mora, Christina T – Cardiopulmonary by pass: Principle and technique of extra corporeal circulation (1995)
Reed, Charles C – Safety and technique in perfusion (1998)
Rygg I H – Studies in extra corporeal circulation: The design and development of the heart lung machine
1st edition (1995)Salerno, Thomas Antonio – Warm Heart Surgery
Taylor, Kenneth M – Cardiopulmonary bypass: principle and management (1986)
Tinker, John H ed – Cardiopulmonary bypass: Current Concepts and controversises ( A society of cardiovascular Anaesesiologists Monograph) (1989)
I & II (1982-1983) – Utley, Joe Red – Pathophysiology and technique of cardiopulmonary bypass
Wallwork – Heart and hearlung transplantation (1989)
Daniel j Goldstein, MD, Mohmet OZ, MD – Cardiac assist devices
David Nichols G, Duke E Camaron – Critical heart Diseases in infants and children.

Library

/
No. of Books
/ No. of Indian Journals / No. of International Journals
Central Library
Departmental Library
Do the College have got the membership of Helinet (Digital Library) /
YES / NO
2006-07
/
2007-2008
Fees
a. Helinet Institutional annual fee : give details / /
b. Helinet Student annual fees for total number of students for all the years : / /

Library Staff Structure

Position/Level/Title / Qualifications
Reqd / Qual Existing / No. of Positions / No. of Positions Existing / Experience / Experience
Having / Salary Scale / Salary Paying
Librarian / MLISc or Equiv / 1 / 8000/- +
Librarian Assistant / BLISc or Equiv / 2
Librarian Attenders / A Pass in higher Secondary/Pre-university Examination / 2


Hospitals:

(Details to be verified)

Name of the Hospital

/ Own / Attached / No. of Beds Available / Bed Occupancy / Daily average No. of out Patients

To enclose relevant documents


PART III

TEACHERS AND STUDENTS RATIO:

Prescribed Ratio of the Apex Body if any: /

Existing ratio in the college:

Faculty / Qualifications / Minimum required staff / Available staff / Shortage /

Principal/HOD

/ Ms.Mch. / 1
Cardiac Anaesthesiologist / M.D. Cardiac experience of one year. / 1
Asst Professor / MBBS, DM / 1
Lectuere / MBBS, MD
Perfusionist / Bsc. / Diploma in Perfusion Technology, 3 years \ Bsc.\ Msc. in Perfusion Technology / 2
Qualified instructors for Kannada subject on full time or part time basis. / 1
Qualified instructors for English subject on full time or part time basis. / 1
Qualified instructors for Sociology subject on full time or part time basis. / 1


Lab requirements

/ Available / Not Available / Observation of inspection Committee /
OHP & Slide Projector. Multimedia / Computer and its accessories / LCD Projector are optional.
Lab facilities for Basic Medical Sciences as per the criteria mentioned in Basic Medical Sciences requirements.
Lab equipments for Basic Medical Sciences as per the criteria mentioned in Basic Medical Sciences requirements.

Functioning Equipment:

Equipment / Equipment:
Student
(Ratio) / Requirement for 25
student /
Remarks
/
Observation of inspection Committee
Heart Lung Machine
(H L M) (Accessories: Heater
cooler, Compressor, Monitor, safety systems
Air-02 mixer / 1:3 /

8 Units

/

Mandatory

/
I A B P (Intra Aortic Ballon Pump) / 1:10 / 3 / Mandatory
A C T machine (Activated coagulationtimer) / 1:5 / 5 / Mandatory
A B G machine (Blood gas Electrolyte Hct analyzer / 1:10 / 2 / Mandatory
Long term assist Devices (LVAD/ECMO) / 1 / Desirable


Expenditure

/ Observation of inspection Committee /
Capital budget - 1 Crore 10 Lakhs.
Recurring budget - 3 lakhs
What is the contribution of the Institution to the Civil Society in terms of social accountability:
(This can be answered by the inspectors in discussion with the authorities of the Institution).
Observation of LIC Team:
Signatures of Chairman
Signature of Members : / 1.
2.
3.
4.
5.
6.
Date of Submission of Report to the University :

To enclose relevant documents

2