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. 6^th 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 – 5^th 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 – 5^th 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 – 5^th 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 – 5^th 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