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
1. Ab Rahman A K, Abdullah F H. Cephalexin. Kucer’s The Use of Antibiotics. 6th edition:
Hodder Arnold Publication, United Kingdom; 2010:268-274.
2. Ab Rahman A K, Abdullah F H. Cefuroxime. Kucer’s The Use of Antibiotics. 6th edition: Hodder Arnold Publication, United Kingdom; 2010:286-294.
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