Our Very First Day (04/07/10)

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7.10am -  we left sg petani

8.00am - arrived at district health office of kota star

8.20am - we reported to the person in charge at the hospital and gathered in  CME (continuous medical  education room)
9.15am - briefing by Dr.Mohd Hisham (district health officer), replacing Dr. Abu Malik. 
·        In the briefing, Dr.Hisham give as an introduction to the posting
·        He reviewed on the learning objectives
-         scope of family health and its importance
-         immunization schedule
-         communicable diseases (cdc) such as TB, HIV and sars
-         non communicable diseases (ncdc) such as diabetes and Hypertension.
-         Disease balance and notification of crucial cases such as dengue within 24 hours if suspected.
-         vector borne diseases, which has special unit for dengue in Malaysia.
·        We will be attached to 2 officers in charge in each unit.


9.45am -  Break
10.45 – introduction to health infrastructure by Dr.Hisham
   
NUMBER OF HEALTH FACILITIES

14 state health department (jabatan kesihatan negeri) in each state.
In Kedah we have 9 gov hospitals, 11 district health office.
In Kota Star we have 1 government hospital, 1 district health office, 9 health clinic, 1 maternal and child health clinic, and 38 clinic desa.

HEALTH PERSONNEL AND THEIR RESPONSIBILITIES
District Medical Officer of Health

ž     Head of District Public Health Service
ž     Manages health problems of the district community and takes action to increase their health level
ž     Plan, oversee and coordinate all aspects of public health activities
ž     Give technical and administrative orders as well as oversee jobs and activities of officers and staff in the DHO
ž     Coordinate with government and private departments in health promoting activities

Medical Officer of Health
•         Plays a role as Family Medicine Specialist.
•         Responsible for all the clinical work.
•         A person who will receive and manage all complicated cases before referring it to hospital
•          
Penyelia Jururawat

ž     Also known as the Matron and is responsible to District Health Officer
ž     To plan strategies which enhance the nursing practice in the development of Family Medicine and Primary Health Care
ž     Management of nursing activity
ž     Planning and coordinating nursing training at the district level
ž     To enhance the quality of programs held in the district
ž     Documentation
ž     Others (Monitor midwife and traditional medicine practice)

Ketua Jururawat Kesihatan

ž     Also known as the Sister and is responsible to the matron
ž     Monitor APC (Annual Practice Certificate)
ž     Make sure all the nurses obey the code of professional conduct and ethics
ž     Make sure that the guidelines of Standard Operating Procedure (SOP) and Protocol is prepared.
ž     Management of nursing activities
ž     Nursing training and quality assurance
ž     Documentation

Jururawat Kesihatan

ž     Also known as staff nurse and is responsible to the sister
ž     Antenatal care
ž     Alternative Birth Care
ž     Postnatal care
ž     Child care home visit
ž     School health programme
ž     Family planning
ž     Health education
ž     Expanded scope
ž     Ordering of medicines and vaccines supply
ž     Monitoring of staff below them
ž     Nursing training and quality assurance
ž     Documentation

Jururawat Masyarakat

ž     Also known as community nurse.
ž     They are mostly in charge of Maternal and Child Health care (MCH).
ž     They are trained for health set up and work under staff nurses.
ž     JM functions in managing nursing activities;
            1) Antenatal care
            2) Midwife at home
            3) Postnatal care (Mother and child)

1.00pm - end