Jabatan Perubatan

Pengenalan.

Jabatan Perubatan Hospital Sultanah Nur Zahirah Kuala Terengganu adalah Jabatan terbesar di hospital ini. Jabatan ini mempunyai 440 orang kakitangan dari pelbagai kategori.

Pegawai perubatan pakar

JUSA C =6,

UD 54 = 6, UD 52 =1, UD 48= 2

Pegawai perubatan

UD 44-48 = 34

Pegawai perubatan siswazah

UD 41= 44 orang

Penyelia jururawat

U42= 1 ,U36= 5,

Ketua jururawat

U32= 16, U32 KUP=51

Jururawat terlatih

U29= 176

Jururawat masyarakat

16

Penolong pegawai perubatan

U36= 1, U32=7, U29=9

PPK

Perempuan =31

Lelaki = 29

Pembantu tadbir

5 orang

JUMLAH

440 ORANG

 

 

 

VISI Jabatan Perubatan HSNZ adalah sebagai:

Jabatan perubatan yang progresif, cemerlang dan mesra pelanggan

 

Sementara MISI Jabatan pula adalah:

Memberi perkhidmatan berkualiti melalui

-Budaya kerja berpasukan, profesionalisma, berpengetahuan, penuh keperihatinan dan penyayang

                -Untuk kepuasan pelanggan dalam suasana kerja yang harmoni

 

 

Objektif

Objektif Kualiti Jabatan Perubatan adalah seperti berikut:

       1) Semua pesakit yang kurang stabil yang dimasukkan ke wad akan diperiksa oleh pegawai perubatan selewat lewatnya 15 minit

       2)Semua pesakit stabil yang dimasukkan ke wad akan diperiksa oleh pegawai perubatan dalam masa 60 minit

       3)90% pesakit di wad akan mendapat rawatan/konsultasi pakar dalam tempoh 24 jam kemasukan

       4)Sekurang-kurangnya 90% pesakit luar dirawat dalam masa 90 minit

       5)Kajian kepuasan pelanggan di wad perubatan dan pakar mencapai 60% kepuasan (satisfaction)

       6)Sekurang-kurangnya 25% pesakit Diabetes mellitus di klinik Diabetes bersepadu HSNZ mencapai target HbA1c <7%

 

Perkhidmatan yang disediakan

1-      Perkhidmatan Pesakit dalam (Inpatient)

2-      Perkhidmatan Pesakit luar (outpatient)

3-      Perkhidmatan Sub kepakaran (Sub Specialty)

Perkhidmatan Pesakit dalam (inpatient)

WAD

lokasi

Wad perubatan am wanita kelas ke 3

8C

Wad perubatan am perempuan kelas ke 3

8E

Wad perubatan am lelaki kelas ke 3

7C

Wad perubatan am lelaki kelas ke 3

5E

Wad perubatan am lelaki kelas ke 3 (kardiologi)

7E

Wad perubatan am lelaki kelas ke 2

8A

Wad perubatan am perempuan kelas ke 2

5F

Acute stroke ward ASW

8D

CCU

Tingkat 3

CRW

7F

Wad isolasi

Berdekatan kolej jururawat

       Bilangan katil rasmi – 256 katil

       Bilangan katil tidak rasmi – 37 katil

       Bed Occupancy Rate 80-85%

       Average Length Of Stay 3 hari

Perkhidmatan Pesakit Luar (outpatient) –seperti dibawah

Perkhidmatan Sub Kepakaran (Sub specialty)

Subkepakaran

Pakar

Neurologi

1 orang pakar neurologi and 1 orang dalam proses pewartaan

Kardiologi

1 orang pakar kardiologi

1 orang dalam proses pewartaan

1 orang sedang menjalani latihan

Respiratori

2 orang

Gastroenterologi

1 orang

Rheumatologi

1 orang

1 orang sedang menjalani latihan

Penyakit berjangkit

1 orang

Perkhidmatan dan jadual perkhidmatan dan klinik.

Unit

Perkhidmatan

Hari / masa

Tempat

Perubatan Am

Klinik Pakar Perubatan

Klinik pesakit baru perubatan

Early Review clinic

Diabetic Clinic

Combined Diabetic clinic

Combined Obstetric clinic

Combined Pre-op clinic

Investigative procedures:

ECG

ECHO

Exercise Stress Test

Transesophageal ECHO

Dopamin stress test

Ahad dan Selasa   08:00 – 13:00

Rabu

14:00-17:00

Isnin minggu kedua dan ke empat

08:-13:00

Rabu

08:00-13:00

Isnin minggu kedua dan keempat 

14:00-16:30

Khamis

08:-13:00

Khamis

08:00- 13:00

Setiap hari bekerja

Ahad sehingga Rabu, 14:00-17:00

Khamis

08:00-13:00

MOPD, Pusat Rawatan Harian , HSNZ

Unit Kardiologi

Klinik Kardiologi

Klinik kardiologi new case

Klinik angiogram

Klinik ‘pacemaker’

Invasive Cardiology Lab, antaranya:

-Angiogram

-PCI

-pacemaker implantation

-ICD implantation

-Right heart catheterisation

Ahad dan Selasa  08:00-13:00

Ahad 14:00-17:00

Selasa 14:00 -17:00

Khamis, 3 bulan sekali

08:00-13:00

Isnin dan Rabu

MOPD, Pusat Rawatan Harian (ACC), HSNZ

ICL laboratory, Rawatan Harian Perubatan, ACC

Unit Neurologi

Klinik Neurologi

Klinik ‘new case’ neurologi

Neurophysiology lab, antaranya:

EEG,NCS,EMG

 Ahad dan Selasa

08:00-13:00

 Rabu

14:00-17:00

Isnin dan Selasa

08:00-17:00

Rabu

08:00-13:00

Klinik Neurologi,

Bangunan Utama, HSNZ

Unit Gastroenterologi

Klinik Gastroenterologi

Endoscopic procedures, antaranya:

OGDS, Colonoscopy, EUS dan ERCP

 Isnin 08:00- 13:00

Ahad dan Selasa

08:00-17:00

MOPD, Pusat Rawatan Harian (ACC), HSNZ

Rawatan Harian Perubatan, ACC

Unit Rheumatologi

Klinik Rheumatologi

Combined SLE clinic with Nephrology

Selasa dan Rabu

08.00 – 13:00

Isnin pertama setiap bulan

09:00 – 13:00   

MOPD, Pusat Rawatan Harian (ACC), HSNZ

Unit Infectious Diseases(ID)

Klinik ID

Klinik Kaunseling oleh Staf Paramedik (postbasik)

Isnin dan Rabu

08:00-13:00

    

Setiap hari

14:00-17:00

Klinik ID di Unit Pesakit Luar HSNZ

Unit Respiratori

Klinik Respiratori:

-TB Contact

-Sleep clinic

-Klinik TB

-Lung function test

-Pulmonary Rehabilitation

-Klinik General Respiratory

-Aktiviti pengurusan pesakit TB termasuk Pendaftaran, Kaunseling dan discaj

-Bronchoscopic procedures

Antaranya:

Pleural tapping, bronchoscpy, pleuroscopy,

US guided aspiration

Chest tube

Ahad

08:00-13:00

Ahad (bulan genap)

08:00-13:00

Isnin pagi

08:00-13:00

Selasa

14:00-17:00

Rabu

14:00-17:00

Khamis

08:00-13:00

Setiap hari

Selasa dan Rabu

08:00-13:00

Klinik Respiratori, HSNZ

Rawatan Harian Perubatan, ACC

Klinik Hematologi

(lawatan klinikal oleh pakar Hematologi dari Hospital Tuanku Ampuan Afzan Kuantan dan dari Hospital Raja Perempuan Zainab II, Kelantan)

Klinik Hematologi

Ahad dan Isnin minggu ketiga setiap bulan

MOPD, Pusat Rawatan Harian (ACC), HSNZ

Klinik Endokrinologi

(Lawatan klinikal oleh Pakar Perunding  Endokrinologi dari Hospital Putrajaya)

Klinik Endokrinologi

Rabu dan Khamis 2 bulan sekali

MOPD, Pusat Rawatan Harian (ACC), HSNZ

Standard Operating Procedures

Adalah seperti yang tertera di dalam Polisi dan Prosedur Perkhidmatan Jabatan Perubatan HSNZ yang dikemaskini setiap 3 tahun.

Penerbitan

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3. Ab Rahman A K, Abdullah F H. Cefoperazone/cefoperazone-sulbactam. Kucer’s The Use of

Antibiotics. 6th edition: Hodder Arnold Publication, United Kingdom; 2010:311-318.

4. Ab Rahman A K, Abdullah F H. Visceral leishmaniasis (kala azar) and malaria coinfection in an

immigrant in the state of Terengganu, Malaysia: A case report. J Micro Immun Inf 2011:44; 72-76

5. Lua PL, Abdul Rahman AK, Sulaiman FN et al. Conventional versus Holistic Healthcare ervices

for HIV Population: Impact on Health-Related Quality of Life. Int J Behav Med 2012;19(suppl 1):S125-6

6. Lua PL, Abdul Rahman AK, Sulaiman FN et al. SMS-Delivered Health Information for HIV –

Infected People: Acceptability and Outcomes on Patient Care in Malaysia. Int J Behav Med

2012;19(suppl 1):245-6.

7. Ab Rahman AK, Sulaiman FN. Plasmodium vivax Malaria Presenting as Acute Respiratory

Distress Syndrome: A Case Report. Trop Doct 2013;43(2):83-5

8. Lua PL, Mustafa N, Abdullah R and Ab Rahman AK. The Experiences and Chalenges In Caring For HIV/AIDS Patients: A Qualitative Exploration Among Muslim Family Caregivers In Terengganu, Malaysia. ASEAN J Psych 2014;15(2):120-130

9. Obesogenic: The Obesity Epidemic : Berita MMA Vol 45, No. 2 : 26-27 (February 2015)

 

10.Sleep Related Breathing Disorder : Berita MMA (August 2014)

 

11.World Sleep Day : Berita MMA (February 2014) Vol. 44 No. 2 : 20-21

 

12.Polysomnographies, Obesity & Obstructive Sleep Apnoea in Terengganu. Terengganu Health Department. Technical Report : 2014;11-15

 

13.Non-Invasive ventilation in Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Abstract publication & presentation Malaysian Thoracic Society Congress June 2014

14.Risk Factors associated with Exacerbation of CPPD among Malaysian Population Aged 40 Years and Above : Abstract Publication Malaysian Thoracic Society Congress June 2014

15.Co-Morbidities In COPD Patients Admitted With Acute Exacerbation Requiring Hospitalisation In Malaysian Population: Abstract Pubublication Malaysian Thoracic Society Congress June 2014

 

16.Kanser Paru-Paru: (Lung Cancer) myHealth Portal Ministry of Health Malaysia Mei 2012

17.Underuse Of Inhaled Corticosteroid In Adults With Asthma In Hospital SultanahNurZahirah, Kuala Terengganu: PP 14; 76: MTS 2011

18.Symbicort Maintenance and Reliever Therapy : Experience in Real Life in Malaysia. Clinical Trials.gov. 30 November 2010

 

19.Radang Paru-Paru (Pneumonia) – myHealth Portal Ministry of Health Malaysia MOH 2010

20.A Diagnostic Accuracy of CURB-65 Pneumonia Severity Score for Predicting In Hospital Mortality Community Acquired Pneumonia in Hospital Sultanah Nur Zahirah – MTS 2010 – Awarded one of 5 Best Posters

21.Malignant Peripheral Nerve Sheath Tumor – A Case Report – Asia Pacific Society of Respirology; PO 007, 2009-480

22.Symbicort Maintenance and Reliever Therapy: Experience in Real-life setting: SMARTER STUDY Respirology 2009; 14 (supp 3 – PO 010): A262

23.Asthma Control – Level of Control and Management Between The Asthma Control Test (ACT) and Global Initiatives for Athma (GINA) Guidelines. Asia Pacific Society of Repirology; PO 062; 2009-371

24.Our first Pleurovideoscopy  in a General Hospital Med J Malaysia Vol 64 No 1 : 75-6 March 2009

25.Tibi dan HIV – Mingguan Malaysia – 25 Januari 2009 (Doktor Menulis)

26.PengenalanTuberkulosis – BahagianPertama - Mingguan Malaysia 3 Ogos 2008 (Doktor Menulis)

27.Tuberculosis Ekstrapulmonari  – BahagianKedua - Mingguan Malaysia 10 Ogos 2008 (DoktorMenulis)

28.Non-Invasive Ventilatory Devices -  A General Hospital’s ExperienceMed J Malaysia Vol 64 No 1 : March 2009

29.The Prevalence of TB among HIV Infected Drug Users in a Rehabilitation Centre. Respirology 2008 13, Suppl 5.

30.Mask wearing practices among health care workers in the high risk areas of the hospital. Technical Report 2006.1-6.  Department of Health, Terengganu

31.White coat usage among doctors in the hospital. Technical Report 2006. 7-15. Department of Health, Terengganu.

32.Intravenous followed by oral levofloxacin in treatment of community acquired lower respiratory tract infection in adults. A multicentre study . Respirology 11 (Suppl 5): A 25 

33.Tuberculosis – Our Dilemma. Malaysian Journal of Medicine and Health Sciences Vol. 2 (2) June 2006

34.Side-effects of auto-CPAP – Malaysian Thoracic Society Congress 2005

35.Validity and reliability of the SF-36. The Malaysian Context. Med. J Malaysia. 2005 Jun;60(2):163-79

36.Smoking cessation requires determination : Utusan Malaysia 31 May 1999

37.Addition of salmeterol to inhaled corticosteroids in patients with poorly controlled asthma. Respirology. 1999 Mar;4(1):77-81

38.Tuberculosis and Horner’s Syndrome. Int. J Tuberc Lung Dis. 1998 Dec; 2(12):1049

39.Asma – Jurnal Media Massa 1998

40.Painful oral ulcers with hydroxyurea therapy. Singapore Med. J. 1997 Jul;38(7):283-4

41.Sweet-like syndrome in a patient with acute myeloid leukaemia. Singapore Med. J. 1996 Jun;37(3):320-2

42.Pregnancy in a patient receiving busulphan for chronic myeloid leukaemia. Singapore Med. J. 1994 Feb;35(1):102-3

43.The study of clinical characteristics of gout patients on follow-ups in Rheumatology Clinic, Hospital Seremban.

A Mohd, S C Gun, E D Gupta, B D’Souza

APLAR Journal of Rheumatology 2006;9(suppl.1):A89P163

Poster presentation at APLAR 2006, Kuala Lumpur, 1 – 5th August 2006

44.The prevalence of symptomatic knee osteoarthritis in the medical wards, Hospital Seremban

A Mohd, S C Gun, E D Gupta, B D’Souza

APLAR Journal of Rheumatology 2006;9(suppl.1):219

Poster presentation at APLAR 2006, Kuala Lumpur, 1 – 5th August 2006

45.Clinical profile of Scleroderma cases in Seremban Hospital: a case series

B D’Souza, S C Gun, E D Gupta, A Mohd

APLAR Journal of Rheumatology 2006;9(suppl.1)A229:P515

Poster presentation at APLAR 2006, Kuala Lumpur, 1 – 5th August 2006

46.Retrospective analysis of outcome in a cohort of patients with lupus nephritis in Seremban

B D Souza, SC Gun, A Mohd, E D Gupta

APLAR Journal of Rheumatology 2006;9(suppl.1)A271:P624

Poster presentation at APLAR 2006, Kuala Lumpur, 1 – 5th August 2006

47.A multicentre,randomized, double-blind placebo-controlled trail of Golimumab, a fully humanized anti-TNF 9a monoclonal antibody), administered subcutaneously, in methotrexate naive subjects with active Rheumatoid Arthritis.

As sub investigator

Study ongoing

Started July 2006, study period 64 weeks, follow up for 3 years

48.A randomized open label study in the Asia Pacific region comparing the safety and efficacy with usual DMARD therapy in subjects with active Rheumatoid arthritis – completed. Awaiting result

49.Clinical characteristics of gout : a hospital case series

A Mohd, E Das Gupta, YL Loh, C Ghandhi, B D’Souza, SC Gun

Malaysian Family Physician. 2011;6(2&3):72-73

50.Cross cultural adaptation of SLEQOL (SLE quality of life questionnaires) translation from English into Malay language – ongoing.

51.Demographic features of Scleroderma patients followed up in the Rheumatology Clinic HSNZ- APLAR 2012

52.Oesophageal Fistula: A case report (GUT 2014)

53.The Over The Scope Clip (OTSC) System Application in the Endoscopic management of Duodenal Ulcer: A case report (GUT 2014)

53.Towards Early Detection of Unstable Patient in Medical Ward : Technical Report Terengganu State Health Department 2014

54.Modified Early Warning System (MEW) scoring system

55.Endoscopic Repair of an Anastomotic Leak Using Over the Scope Clip (OTSC): a Case Report (ADPW 2014)

56.Reduced MOPD waiting time- Lean Project 2014

57.Reducing medical ward congestion- Agile Lean Project 2015

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