IRMM Flashcards by Abdul riyaz

The last edition was published in

2000 Third Edition

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IRMM four figure “code

last two figures give the number of the Paragraph and the remaining figure or figures the number of the Chapter.

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Paragraph 1207 is

Paragraph 7 of Chapter XII.

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MISSION STATEMENT

Total Patient Satisfaction
Through Humane Approach &
Shared Commitment of
Every Single Doctor & Paramedic
To Provide
Quality Health Care
Using Modern & Cost Effective
Techniques & Technologies.

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RELHS

1997

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the Geneva Declaration

London on October 12, 1949

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the duties and responsibilities of the various categories of staff

203 Chap.2 & Para.3
SL.No.39. CHIEF HEALTH INSPECTOR/HEALTH INSPECTOR

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Consultation fee of ……- per passenger

Rs.20/

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Maximum % beds for treatment of outsiders who are admitted as indoor patients in Railway hospitals

10%

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Examination of outsiders seeking admission in the Railway hospital

fee of Rs.40/- valid for 15 days should be charged

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Study leave

who has satisfactorily completed a period of probation and has rendered not less than 5 years of regular continuous service including the period of probation under the government.

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Period to serve the government after the expiry of the study leave

Three years

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who have full powers to grant study leave in respect of Non-Gazetted staff
when the study leave does not exceed twelve months at a time and is in India

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The maximum amount of study leave which may be granted to a Railway servant at any one time Ordinarily

24 months &
36 months in entire service

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The period for which study allowance may be granted shall not exceed

24 months in all.

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PUBLIC HEALTH SERVICES in IRMM

CHAPTER IX

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TYPES OF ACCIDENT RELIEF MEDICAL EQUIPMENTS

1.ARME Scale I
2.POMKA.
3.ARME Scale II
4.First aid boxes
5.Special first aid boxes
6.First aid boxes for gagmen

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Scale I

In medical vehicles, as part of accident relief trains.
Contents as per Annexure I

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POMKA Portable Medical Kit for Accidents

in all health units, polyclinics and sub divisional, divisional and zonal hospitals,
Content as per Annexure II

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Scale II-

in boxes, at specified stations.
Content as per Annexure III

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First aid boxes

in all stations dealing with passenger traffic,
Content as per Annexure IV

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Special first aid boxes

provided in all long distance superfast, Shatabdi and Rajdhani trains
Content as per Annexure V

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Accident Relief Medical Equipment Scale I in Medical vehicles

stationed at divisional headquarters and at other selected important stations preferably where there are hospitals or health units in charge of Railway medical officers.

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Portable Medical Kit for Accident (POMKA)

Health units & polyclinics :
01 SET
Sub- divisional hospitals:
02 SETS
The divisional/ zonal hospitals :
03 SETS

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Accident Relief Medical Equipment Scale II

located at selected stations where there is no accident relief train located at every 80 to 100 kms. apart consist of 3 sets of POMKA

Special First Aid Boxes

Provided in all the long distance, super fast, Shatabdi and Rajdhani Trains. contents as per the list at Annexure V Under the charge of the Train Supdts.

Contents of POMKA as per

annexure II

First aid boxes for gangmen

Content as per Annexure VI

complete stock taking of all equipment in the A.R.M.E should be done

EVERY YEAR

A.R.M.E Scale 'I' and auxiliary van must be inspected

MONTHLY

The ARME water tanks are drained and refilled with fresh water

once in a month

Scale II equipment will be inspected by the ADMO/DMO/SR.DMO and the stationmaster

once in a month

The C.M.S/M.S must inspect the A.R.M.E scale I once in

six months

The C.M.S/M.S must inspect the A.R.M.E

Scale I once in 6 month scale II once in a year

considered to be 'injured' only when customary vocation for more than

48 HOURS

The most suitable responsible Railway official on whom is to devolve the responsibility of summoning the nearest available medical aid according to the urgency of the case is the

STATION MASTER

CONTENTS OF ARME SCALE I

ITEMS 179

CONTENT OF POMKA

ITEMS 53 + 9 additional

CONTENTS OF ARME SCALE II

3 SETS OF POMKA AND ADDITIONAL 20 ITEMS

FIRST AID BOX Content

11 items Size: (22 x 18 x 10 ) cm weight :not exceed 2 kg.

Special First Aid Boxes Contents

49 items

First aid boxes for gangmen contents

8 items

Standard ARME Distribution and maintenance

ANNEXURE VII 7

National cleanliness Day

October 2nd

Contract labour (regulation and abolition) Act

1970

test for presence of hydrogen sulfide in man hole done by using

moistened lead acetate paper

The worker should not be allowed to remain in the sewer for more than .

1/2 an hour at a time

Infectious waste should be subjected to

incineration.

Needles, scalpel, blades and discarded glassware should be disinfected by

autoclaving.

To prevent infection while handling waste workers immunized against

Hepatitis B virus.

The residual free chlorine available one-hour after chlorination should be

0.5 mg/L

To know residual chlorine

Chloroscopes

To assess chlorine demand of water

Horrocks apparatus

Health Inspectors should also test the bleaching powder used once in ......... for chlorine content.

3-4 months

From each bigger/ important station and from major railway colonies Health Inspectors should collect water samples for bacteriological examination at least ........

once a month

From each smaller station and colony Health Inspectors should collect water samples for bacteriological examination at least....

every 2 months

Health Inspectors should also send water samples for chemical examination once in

six months

sample bottles sterilized by

autoclave

Chemical used in bottles before autoclaving to neutralize the free chlorine.

sodium thiosulphate

The bacteriological examination is done to know the coliform count in

100 ml of water by the presumptive coliform test.

the quality of the sample is suspicious if the coliform count

4 to 10,

it is unsatisfactory quality if the coliform count is

above 10

Regarding number of unsatisfactory WATER SAMPLE reports and corrective action taken thereon on the prescribed proforma. CMD send a report to the Railway Board every

3 months

@Fair and festivals one Safaiwala for every

1000 pilgrims

@ fair and festivals one Safaiwala for

a block of 20 toilet seats. 1:20 toilet block

@ fair and festivals one Safaiwala for every

1000 pilgrims 50 urinals 20 latrine block

@ fair & festivals one bathroom is required for every

500 passengers (1:500)

latrines are ideal for mela areas.

dug well latrines bore hole latrines, deep trench latrines.

School Health week

in the last week of August every year

The Railway Medical Officer will issue the necessary health certificates for food handling staff in the prescribed proforma of

Annexure 11

Spraying of ...............houses around the house where an MP positive case has been found with residual insecticides

residual insecticides

DDT Malathion or Synthetic Pyrethroids.

space spray insecticides

pyrethrum extract or malathion.

IRTBA

Indian Railway Tuberculosis Association

The transfer of funds originally assigned for expenditure on a specific object, to supplement the funds sanctioned for another object is called

Re-appropriation

Bleaching powder must contain at least ..... of chlorine.

25 %

National Tuberculosis Institute,

Bangalore

maximum total period of treatment at a mental hospital should not exceed

one and a half years in the lifetime of a patient.

FAG

Field Action Group'

Vasectomy of spouse

01-day special casual leave to a women railway employee

Vasectomy of Employee

6 working days special casual leave

Tubectomy of Spouse

Railway employee will be granted 7 days special casual leave

Tubectomy of Employee

14 days special casual leave in case of her tubectomy,

For out-door treatment for self post-tubectomy complications

not more than 14 days special casual leave on medical certification

For out-door treatment for post-vasectomy complications,

not more than 7 days special casual leave on medical certification

Women railway employees who undergo Salpingectomy/Tubectomy operation after MTP, will be entitled to

6 weeks Maternity Leave.

Women Railway employee who undergoes IUD insertion or re-insertion is eligible for

1 day special casual leave on the day of insertion.

Railway employees going for recanalisation, are entitled to special casual leave up to

21 days or actual period of hospitalization whichever is less.

A female Railway employee may be granted maternity leave

135 days from the date of its commencement

Maternity leave may be combined with leave of any other kind maximum

Unto 1 year

The total period of maternity leave on account of miscarriage/ abortion/ MTP should be restricted to..... in the entire career of a female railway servant

45 days

Maternity leave granted in case of miscarriage including abortion and Medical Termination of Pregnancy under the MTP Act 1971,

not exceed 6 weeks.

For expectant and nursing mothers One tablet of Iron containing

60 mg of elemental iron

For expectant and nursing mothers One tablet of Folic acid containing

0.5mg folic acid

For prophylactic management of borderline cases of anemia in children,

one tablet containing 20mg of elemental iron and 0.1 mg of folic acid is given daily .

All vaccines remain good at temperatures

+2° to +8° C

vaccines should not be frozen

DPT, DT. TT & BCG

Pulse Polio Immunisation (PPI) beginning

1995

Workmen's Compensation Act, ,

1923

Sick certificate)

Annexure XI to chapter V

Sick & Fit Certificate) as given in

Annexure XI to Chapter V.

Occupational diseases, a list of which has been given in

Schedule III of the Workmen's Compensation Act

Factories Act.

1948

a Railway servant as defined in

clause 34 of section 2 of the Railways Act, 1989

memo for Medical Examination of injured workmen

Annexure I

accident injury certificate

Annexure II

Medical obstruction certificate

Annexure IV

Medical review certificate

Annexure V

Injury resulting in immediate death:

ANNEXURE VI

Injury resulting in subsequent death:

ANNEXURE VII

ACCIDENT REPORT

ANNEXURE III

NUMBER OF VOLUMES IN IRMM

2 CHAPTER 6 +9 =15

Authority preparing the Budget Staff Welfare & Amenities UNDER Demand No.11

Zonal Railways to Ministry of Railways for consolidation.

the various departments have to advise their requirements in the prescribed form to the General Manager (Budget) through the Financial Adviser and Chief Accounts Officer in the month of

November each year

SUB HEAD J350

Other welfare services, Preventive health measures and pest control

SUB HEAD J 310

sanitation in Railway colonies.

Minor Heads J200

Medical Services

MINOR HEAD J 300

Health and Welfare services

Number of food sample QC

Stall less than 10 One

No.of.food sample QC Stall 10-20

No.of.food sample QC Stall More than 20