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DAY 5 OF OUR EXCITING JOURNEY :)

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Today our topic was on communicable diseases. We were welcomed by Mr Hasan Abidin the person in charge of CDC & NCDC. He briefed us on this topic, basically CDC have 2 PPKPK but when there is outbreak other units join to assist. He then introduced us to Mr.Ooi Teak Look, the person in charge of CDC (except TB and HIV). Mr Ooi explained to us about the notifiable cases within 24 hours, and notifiable cases with or without specimen. He also said that if the doctor fail to notify a case, they will be compound a maximum of RM1000 but only 1 doctor has been compound  RM10 so far.  He then told us the most prevalence disease in kota star is HFMD (hand foot and mouth disease) which hit a total of 800 cases in 2009 and 659 cases in 2008. 



At about 9.45am our group facilitator Dr.Kay came to review about our topics for the past days. She guided us on how to probe questions to get more info and emphasized on the importance of each and every topics.
After 20mins of meeting with Dr.Kay, we continued our session with Mr.Ooi. He further explained to us on outbreak investigations and notification chart. He also showed us the e-notification system for kota star district.

Mr Ooi concluded at about 11.40am by giving us a soft copy of the charts and statistics. We were supposed to collect the info regarding TB from Mr Nazri and Zaidi  but they were out for field work so our next session with them will be on sunday.
We were then briefed by a assisting nurse Sister Salma Roshida from the HIV division at 12.15pm. She showed us the notification form and the rapid test kit. The routine HIV screening test is compulsory for donated blood, inmates of drug rehabilitation and correctional institution, high risk prisoners and antenatal mothers attending government antenatal clinic. One of our group member ranjeetha volunteered to try the rapid test kit for HIV to experience how it is being performed.





Our day ended at 3pm after waiting for other CDC person in charge but the session were postponed on Sunday. 
`end`


Day 4- School Health Programme and Nutritional Talk

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Today unlike most other days, we received a call from Sister Salmah notifying us that the school health programme is on. We were not expecting it since she told us that we might not be able to follow the programme because the particular school was further away from our district. Fortunately there was a change in the venue. We were told to meet them at the Sekolah Rendah Islam Darul Aman for a vaccination programme which includes OPV (oral polio vaccine, DPT and MMR) for the standard one students. They had to conduct this programme for 5 classes, but however they managed to cover 2 of them by today, the remaining classes will be conducted tomorrow.


















The Unit Sekolah from the DHO Kota Setar was led by Mr. Azrul (MA in-charge) with a few other nurses and MA students doing their practical under Mr. Azrul's guidance. The day started with the whole team teaching the students using diagrams about the importance of clealiness. There were mainly 4 stations which are the recording station where they had to check the parents' approval of their child's vaccination and calculating the BMI of each student (if underweight or over-weight they will notify the student and parent for a dietary counselling), another station was using the Snellen's chart (for the eyesight), physical and general examination (from head-to-toe) and lastly after the students have completed all these stations they will proceed to the vaccination station. They are given 2 drops of OPV and both i.m. injections for DPT (on the left arm) and MMR (on the right arm).















During the whole session, there were certain new cases that were diagnosed such as bronchial asthma, head lyses and rashes (the students were given appropriate lotion for the head lyse and rash).







We then took leave once it was almost lunch, after completing a class of 35 students. We went back to DHO Kota Setar around 2.30pm where we had a talk on nutrition by the Pegawai Zat Makanan, Ms. Wahiddah Azmi. She gave us a brief overview about the Program Pemulihan Kanak-kanak Kekurangan Zat Makanan, dietary recommendations for those who are obese, diagnosed of having hypertension and any cardiovascular risk. She also enlightened us on the importance of breast-feeding and the essential nutrients required for pregnant mothers.




Well that was basically what we had done for the day. Everyday we had a new take-home message.! Till then toodles.!!

Day 3- Care for Children with Special Needs and Spastic Center

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Today we had an adventorous and very memorable journey. We went to KK Simpang Kuala, which is about 15 minutes drive from our KK Kota Setar. There we met Sister Muzleefah who was in-charge of bringing us to the special home @ Pusat Pemulihan Dalam Komuniti Putrajaya (PDK).
*PDK is under the umbrella of Jabatan Kebajikan Masyarakat (JKM). It is a project that complements, supplements and has partnership with JKM. Special children who are not able to cope with studies in regukar schools are enrolled in PDK to receive appropriate education.*




We were warmly received by the caretakers, Cikgu Wan and her helpers. This home fosters children who needs special attention like down syndrome, spastic, autistic, dyslexic, hyperactive, blind and mute children. There are about 30 children on an average who attends the sessions conducted here which comprises of all the 3 races. The age ranges from 2-20 years old. This sessions are conducted daily (except on public holidays) lasting from 8am till 2 pm.



This is the schedule for the home.
This is Dik Nah who is a Down's child. Though appeared very reserved at first she slowly opened up n started playing with the rest of us.
These are Muaz and Ashraf. Muaz is a spastic child where both his lower limbs are weak and thus he uses his hands to move around. Ashraf on the other hand is a slow learner and dyslexic.


This is Ah Boy who is mentally challenged and a hyperactive child. He is not able to communicate with us but he never failed to amaze us.!

We spent almost half a day there. We played games and sat together with them for colouring activity. Since most of the children are a big fan of football, they were overjoyed with the mini-FIFA that we played together.!
Finally it was lunch hour, we joined them for lunch and bit a very sad farewell. :(


Day 2- Family Health

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Arrived at KK Kota Setar at 8.15am. We were briefed by Matron and Sister Salmah regarding maternal and child health. She then showed us around the maternal and child clinic and also provided us with the records and registries that were used in this department.

After much explanation on the topic it was almost reaching the peak of hunger for all of us. Sister Salmah then granted us a lunch break till 2.30pm. We were lucky enough because the foodcourt was just beside the area.:)

We resumed at 2.30pm back to CME room and was welcomed warmly by Mr.Yong, Senior Assistant MO. He has been serving the government for alomst 35 years. A very friendly gentleman with lots of knowledge. He was sharing some of his personal experiences with us. He then continued the evening session with a talk on Child Health and Elderly Service. We were then briefed on the screening done for the adolescent, adult and geriatric.

After that, the session was continued by Sister Salmah again on the schedule for tomorrow where we were told to meet up at KK Simpang Kuala to observe the activities that are carried out for the home of children with special needs. It is a new place for all of us since none of us are familiar with the roads in Alor Setar..:(...Despite that,we are anxious to get there as soon as possible..!

After a tiring day, we were finally done for the day..YAHOOOOO!

We happily grabbed our car keys and headed back to SP...:p

Till then sayonara!!!!!

*vrshni and mami*

Our Very First Day (04/07/10)

Posted in By ~Meenu~ 0 comments





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

hey guyz..

Posted in By vrshni 2 comments

hello friends come in and see what we have in store for you. we will not only enrich our knowledge of the district health services and also foster better communication among us.see ya soon.!
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