Sunday, July 27, 2008

KUALA MUDA, 27.7.08, (DAY 1) : STARTING EARLIER THAN IT IS THOUGHT AND FINISHED EARLIER THAN IT IS THOUGHT

KMDHO team here to greet you all with the morale of "it is good being earlier to work place"......

Thirteen of us reached around 7.45am rather than 8.30am as scheduled. We gathered at the lobby, a place which was so familiar to us (as we were here once this building was still functioning as SP General Hospital) by 8 am.

Gearing up with our coats and apparatus.

Doesn't this building looks familiar to you?



Boards directing the location of the Units.

Sharp at 8am while we were sitting at the waiting area in front of the X-ray department, suddenly a man around early thirties approached us with a sweet cheerful smile. He is Mr. Berhanudin (Berhan) a Health Promotion Officer a.k.a. Penolong Pegawai Promosi Kesihatan PP(PK) of Kuala Muda DHO (KMDHO). He invited us humbly to a meeting room and asked if we have taken our breakfast. He will be the coordinator for us throughout this 2 weeks DHO posting.
Mr. Berhan PP(PK)
Everyone was so eager to start the day.
Then sharp at 9 am, the respected lady incharged of the DHO, Dr. Umai Kalsom, Medical Officer of Health (MOH) or in local designation, (PKD) of KM DHO gave us a talk on the background, objectives, vision & mission, organisation chart, unit services, and highlights of the District Health Office. She was very enthusiastic in explaining to us. Every bits of her efforts was not wasted as she gave us concise information on what is the exact role of preventive and promotive medicine carrried out by DHO.
Dr. Umai Kalsom, Medical Officer of Health PKD of KM DHO
We will only highlight what is the organisation in DHO and the unit services available in this blog apart from the many more informative lectures because this will be the core knowledge for us in this DHO posting (of course we will highlight their job responsibilities in detail when we reached r
espetive department).
KMDHO consists of 4 core services:
DHO is lead by 2 persons in charged namely Medical Officer of Health a.k.a. Pegawai Kesihatan Daerah PKD (U52) and 2nd MOH PKD (U48). Under both of them is a Family Medicine Specialist (FMS) a.k.a. PPK (U48). FMS is the only special features available in Malaysia.
Under PKD and FMS, there are 4 main units:
1. Family Health Development Unit (Curative Unit)
A) Primary Health Care (Handle by PP U29, PKB R3, Attenden U1)
B) Maternal & Child Health ( JK U29, JD/PJ U17, Bidan U11, Attendan U1)
C) Lab (JTMP U29, PTMP U11)
D) Pharmacy (PF U29)
E) Nutrition (will update this fact soon)
This unit is lead by Medical Officer PP U41, Matron PJ U36, Sister KJ U32, Pharmacist PF U41, Senior Assistnat Pharmacist PFK U32.
2. Environmental Health (Preventive Unit)
A) Infectious Disease Control
B) Infectious Disease Control (Vector Borne)
C) General Health
D) Food & Quality
E) BAKAS
F) Occupational Safety & Environmental Health
G) Water Quality Control
This Unit is lead by Chief Assistant Environmental Health Officer a.k.a. Ketua Penolong Pegawai Kesihatan Persekitaran, KPPKP U36 and Senior Assistant Environmental Health Officer PPKPK U32. Each of the subdivisions (From A to G) consist of PPKP U29, PKAK U14, PKA U11, PKB R3, and PRA U1.
3. Health Promotion (Promotive Unit)
This unit is lead by Health Promotion Officer PP(PK) U41. The team consists of several Health
Promotion Unit JAV N17
4. Administration
A) Services
B) Finance
C) Admin
This unit is lead by Assistant Executive Officer PTK N32. Each subdivisions consist of PT (N17).
After Dr. Umai Kalsom's lecture, we had a short break and we were briefed on Primary Health Care in KMDHO by Dr. Othman Hj. Siru who is the 2nd Medical Officer of Health PKD U48. He is a very experienced doctor in which he shared with us his experience in his Preventive and Promotive Health care.
Dr. Othman Hj. Siru who is the 2nd Medical Officer of Health
After his lecture we went back at 12.30pm as our evening lectures are posponed to tommorow.
That's why i put the title as 'STARTING EARLIER THAN IT IS THOUGHT AND FINISHED EARLIER THAN IT IS THOUGHT'.
The morale of "it is good being earlier to work place" took place when Mr. Berhan suddenly approached us sharp at 8am. Imagine if he has to wait us for another 30 minutes (perhaps > 30 minutes with 'MALAYSIAN TIMING') and I am sure he will have bad impression on us. Anyhow, there is no harm in going to work earlier but being late will bring death (in the context of our job responsiblity).
Guys and girls, what i wanted to keen on is "second does matter!"
That's all for today folks. We continue our journey to KMDHO tomorrow. Have a good day!

KUBANG PASU(DAY 1): We hit the ground running.

Our morning has resulted with this bit.....
Antenatal clinic

The Kubang Pasu District Health Clinic in Jitra runs its antenatal clinic from Sunday to Wednesday every week from 9.00am to 12.15pm and from 2.45pm to 4.30pm. The team runs the antenatal clinic in four examination rooms.

The objective of this clinic is to inform the expectant mother of their present health, to identify problems, provide treatment and advice about their health.

Antenatal Clinic Staff
1. Family Health Specialist.(PPK)
2. Health Medical Officer.(PP&K)
3. Health Nurse.(JK)
4. Community Nurse.(JN)
5. Trained Midwife.(BT)
6. Nursing Assistant.(PJ)
7. Lab Technician.(JTMP)
8. Assistant Lab Technician.(PTMP)
9. Health Attendant.(AK)

General Procedure in Antenatal Clinic
1. Perform Lab Test.
2. Perform Physical and Abdominal Examination.
3. If there is a Problem, Refer to Medical Officer.
4. Counseling and Treatment.
5. Give Appointment Date.
6. Record.
7. End.

Antenatal Clinic Examination Procedure Sequence
1. Check the antenatal card.

2. Count the gestational period.

3. Interview expectant mother regarding her past and present health as well as her
nutrition and diet.

4. Preparation for examination.

5. Examine the patient from head to toe:

6. Abdominal Inspection:

7. Abdominal Palpation:

8. Inform and discuss findings with the mother.