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4 utara

 

PENGENALAN
 
Wad 4 Utara adalah wad Ortopedik untuk pesakit dewasa perempuan ditubuhkan sejajar dengan penubuhan HUSM. Wad mula berfungsi pada tahun 1986 dan mempunyai 32 buah katil untuk kegunaan pesakit. Walau bagaimanapun Wad 4 Utara juga menerima pesakit lelaki yang dikategorikan sebagai  Acute Spinal Injury With Neurological Deficit. Menerima kemasukan kes dari Jabatan Kecemasan, Klinik Ortopedik, Klinik Rawatan Keluarga, Klinik Staf atau klinik-klinik lain, kes pindah masuk dari lain-lain wad atau unit dan juga rujukan kes dari hospital-hospital seluruh Malaysia termasuk juga Negara  Brunei Darul Salam.
 
 
OBJEKTIF WAD
 
  • Memberi rawatan yang holistik dan efisien ke atas pesakit mengikut keutamaan dan keperluan pesakit sepanjang tempoh hospitalisasi di wad.
  • Mempunyai kakitangan yang berpengetahuan dan berkemahiran dalam memberi perawatan ke atas pesakit melalui pembelajaran berterusan dalam perkhidmatan dari semasa ke semasa setiap tahun.

Spine And Spinal Cord Rehabilitation Units

SPINE & SPINAL CORD UNIT

 
Introduction
 
The unit was officially started in 2002, founded by Dr Abd Halim when he completed his training in the USA. Dr Imran joined the unit later after passing his MMed examination. The unit was further strengthened when Dr Eskandar joined the unit in 2008. Starting initially with simple lumbar discectomy and spinal fractures, the unit is now capable of managing complex spinal deformities, degenerative spine, infection, trauma and recently in 2009, endoscopic spinal decompression surgery was started by the unit. The unit is also active in research publication and so far their works had been published in local and international journal including Spine journal.
 
Unit Objectives
 
  • To provide the best available treatment for the patient with general orthopedic problems or spine problem specifically
  • To do research related to basic sciences and spine
  • To provide constructive environment for undergraduate and master students to learn general orthopedics and spine
 
 
Specific Objective for Master Students
 
  • To be able to identify and manage spine cases in daily orthopedic clinic
  • To be able to identify and acts appropriately to acute and serious spine conditions
  • To be able to perform basic spine procedure
Trainee Responsibilities
 
Ward:
  • Detail clerking of all elective admission
  • To enter all spine cases particular in special book registry
  • To know the patient thoroughly
  • To sort out all the ward works
  • To conveys all the information to registrar
 
 
Clinics:
  • To be at clinic by 8.30 am
  • To sort out any problems related to patients in clinic
  • To inform registrar and lecturers regarding the new cases
  • To perform any general simple procedure for treatment
  • To discuss with lecturers on the surgical planning
 
 
Operation theatre:
  • To prepare patient for surgery according to the checklist
  • To key in data in questionnaires related to the surgery
  • Liaises with anesthetist with regards to operative planning
  • OT list preparation, checked and approved by lecturer
  • Preoperative round
  • Arrangement on the appliances in OT to be made by 8.30am
  • Post operative round
 
 
 
Sunday Spine Teaching / Discussion
 
  • To be able to identify and manage spine cases in daily orthopedic clinic
  • To be able to identify and acts appropriately to acute and serious spine conditions
  • To be able to perform basic spine procedure
 
Posting Responsibilities Allocation
 
  • On every new posting, the trainees will be allocated with specific responsibilities
  • There will be specific person to be in charged on every wards, clinics, teaching sessions, conference and data collection
  • The allocated person will be totally responsible for any arrangement needed and solving problem related
 
End Posting Assessment
 
  • Every trainee is compulsory to submit a case report in formats for publication 2 weeks prior to end of posting
  • Every trainee also compulsory to submit specific assignments given and briefed earlier on day one posting
  • Trainees will need to pass their viva session to accomplish the posting
  • Failing any of mentioned will cause the trainee to fail spine posting
 
Spine Society
 
  • Our unit has been active in national and regional planning to improve in the related knowledge
  • Regional Spine circle meetings are held in every months. 4 main centres will combine for the meeting: USM, UIA, HTAA, HRRZ
  • The trainees are compulsory to join the meeting

4 selatan

 

PENGENALAN
 
Wad 4 Selatan adalah merupakan Wad Ortopedik Lelaki yang memberi perkhidmatan kepada semua  pesakit yang memerlukan rawatan dengan kapasiti 36 katil. Sejarah pembukaannya bermula pada tahun 1984 di mana pesakit Neurosurgeri dan Ortopedik digabungkan sekali di dalam satu wad. Pada tahun 1986 Wad Ortopedik telah diasingkan dari Neurosurgeri dan Wad 4 Selatan telah menjadi Wad Ortopedik Lelaki Dewasa hingga kini.
 
Pesakit- pesakit yang diterima masuk ke wad ini terdiri daripada:
 
i.      Kes Arthroplasty
ii.     Kes Hand Surgery
iii.    Kes kronik yang berkaitan tulang
iv.    Kes Onkologi (kes kanser tulang rujukan dari seluruh negeri di Malaysia)
v.     Kes Peri-Operatif
vi.    Kes Plastic Reconstructive Surgery
vii.   Kes Spinal
viii.  Kes Sport Injury
 
Kemasukan Kes Ke Wad 4 Selatan:
 
i.      Kes baru dari Unit Kecemasan dan Kemalangan.
ii.     Kes rujukan dari Klinik Rawatan Keluarga.
iii.    Kes pindah masuk dari lain-lain wad atau unit.
iv.    Kes rujukan dari Klinik Ortopedik.
v.     Kes rujukan dari lain-lain hospital.
 
 
OBJEKTIF WAD
 
Memberi layanan yang memuaskan dari segi rawatan, keselesaan dan komunikasi yang berkesan kepada pesakit dan jangkamasa hospitalisasi dapat dikurangkan.
 
 

Orthopaedic Oncology & Reconstructive Units

ORTHOPAEDIC ONCOLOGY & RECONSTRUCTIVE UNIT

Introduction
 
Orthopaedic Oncology Reconstructive Unit is a major division in orthopaedic department specialties in Universiti Sains Malaysia and became a national referral since 1995. Our unit is designed to train future orthopaedic surgeon dedicated to the study of the musculoskeletal tumour mainly involving upper limb, lower limb or pelvic region.The residents play an integral role in education by contributing and organizing weekly conferences, anatomy labs, and informal resident teaching sessions. Apart from that, to provide optimal patient care, we work closely with many other health specialists, including plastic reconstruction team, anaesthetists and anaesthetic physicians' assistants, theatre staff, nursing staff, and radiologists.
 
Objective
  • To develop interest in solving clinical and basic science problems in the field of musculoskeletal tumour surgery
  • To develop patterns of lifelong learning about the field of musculoskeletal tumouras well as an interest in making contributions to this field of knowledge.
  • To spread information and updates to undergraduates, postgraduate students, USM staff, other medical practitioners and the public by organizing and carrying out activities in the field, which consists of seminar, discussions, forums, courses and workshops
  • To produce orthopaedic surgeons who are technically competent in managing musculoskeletal tumour as well as the overall well-being of their patients.
  • To have our residents become leaders in the orthopaedic oncology field in the future.
 
Vision and Mission
  • To provide high quality training in the field of orthopaedic oncology with an internationally recognised high standard of competence and knowledge.
  • To perform useful and high quality research, related to the field of orthopaedic oncology, which may aid in advancing knowledge and outcomes in the field, both locally and internationally.
  • To provide expertise and high quality care for all patients, with conditions associated with musculoskeletal tumour with a comprehensive approach.
 
Activities:
 
1.      Yearly Meetings and Workshops
  • International Pelvic Sarcoma Workshop
  • National Orthopaedic Oncology Review Course
  • Orthopaedic Oncology Introduction Course 
 
2.      Cyclic Lectures
 
Weekly:
  • Case presentations
  • Radiology and oncology conference
  • Preoperative orthopaedic oncology discussion
  • Grand ward round
 
Montly:
  • Pathology conference
  • Journal Club presentation
 
Quarterly:
  • Morbidity & Mortality
 
Periodic:
  • Question review
 
 

3.      Clinical Services:
We have an established plastic reconstruction team that involves in free tissue transfer, vascularised fibular graft and major free flap procedures for tumour reconstruction. Our oncologists are experienced with latest development of chemotherapy and radiation therapy, intraoperative brachytherapy in selected sarcoma cases.
 
  • Elective and emergency service for all musculoskeletal tumours
  • Orthopaedic oncology Outpatient Clinic
  • A wide range of outpatient procedures
 
Elective OT : twice a week with more than 200 major and 300 minor orthopaedic
                       oncology case per year
 
Clinic           : twice a week
 
Some of musculoskeletal tumour operation performed in our centre:
  • Soft tissue sarcoma resection
  • Bone tumour resection and reconstruction
o   Endoprosthesis
o   Allograft
o   Allograft prosthesis composites
o   Vascularised autograft/flap
  • Metastasis surgical reconstruction
  • Pelvic tumour resection and reconstruction
  • Chemoport insertion
  • Biopsy, excision of lump and bump
  • Other simple orthopaedic procedures
 
4.      Orthopaedic Oncology Fellowship Programme
 
Surgery :
Fellows are encouraged to participate actively in department activities. You can scrub and assist all surgeries with the permission of surgeon. We will arrange a session with the OT sister for you to familiarise with local discipline and procedures
 
Research:
Fellows are encouraged to do short research in orthopaedic oncology for the short stay. You can publish the result our Malaysia Orthopaedic Journal or your local journal. We will arrange for a detail review for fellow who will stay longer with us. Log book must be completed upon completion fellow training. Tis is compulsory for certification for your training programme.

2 selatan

PENGENALAN
 
Wad 2 Selatan adalah Wad Pembedahan kanak-kanak. Terdiri daripada multi disiplin iaitu Peadiatrik Surgeri, Otopedik, Neuro Surgeri, Urologi, Otorinolaringologi, Oftalmologi, oral &maxilofacialPlastic & Reconstructive,  Dental dan Ginekologi. Pesakit  yang dirawat adalah kes rujukan dari semua klinik pakar, Jabatan Kecemasan, serta dari lain-lain klinik dan hospital samada dari dalam atau luar Kelantan. Lingkungan umur  yang diterima masuk ke wad ini adalah berumur 1 bulan hingga 12 tahun.
 
OBJEKTIF WAD
 
Wad 2 Selatan mempunyai objektif yang spesifik untuk memberi perawatan yang lebih efektif kepada semua pesakit iaitu:
  • Memberi perawatan yang berkualiti, efektif dan efisyen.
  • Memahami serta memenuhi keperluan dan harapan setiap pelanggan.
  • Menanam nilai dan budaya kerja yang positif.
  • Mengutamakan keunggulan nilai-nilai murni dan jati diri dalam menjalankan tugas.
  • Mewujudkan persekitaran kerja yang kondusif dan selamat.
  • Menjalinkan  hubungan yang harmoni di antara staf, pesakit  dan ibubapa / penjaga.
MISI
 
Mengutamakan Kesejahteraan dan kepuasan pelanggan dengan mengamalkan nilai-nilai kualiti dalam perkhidmatan.
 
VISI
 
Meningkatkan tahap perkhidmatan perawatan yang optima kepada setiap pesakit melalui perawatan yang holistik berlandaskan proses kejururawatan dalam usaha untuk melahirkan masyarakat yang sihat dan sejahtera.
 
AKTIVITI WAD
 
 
BIL
AKTIVITI
CATATAN
1.  
Perjumpaan Bulanan antara Ketua Jururawat dan semua staf
  • Membincang masalah / perkara berbangkit serta  mendapatkan maklumbalas berkenaan dengan pengurusan  dan perawatan.
  • Membuat penambahbaikan jika perlu bagi meningkatkan kualiti perkhidmatan yang diberikan.
  • Menyampaikan informasi terkini tentang perawatan, perkhidmatan dan polisi.
  • Bertukar idea tentang perawatan dan perkhidmatan pesakit.
2.
Rondaan wad dan bed side teaching
  • Jururawat akan membentangkan kes kepada Ketua Jururawat
  • Ketua Jururawat akan menyemak laporan dan diagnosis kejururawatan.
  • Penambahbaikan dibuat jika ada mengikut keadaan pesakit.
  • Setiap jururawat dikehendaki memilih satu tajuk untuk perkongsian ilmu dengan rakan sejawat yang lain.
3.
Patient  Safety Goals
 
  • Patient safety goalstelah diperkenalkan untuk meningkatkan lagi keselamatan pesakit semasa menerima rawatan di wad.
  • Pemantauan yang dibuat adalah hand hygine, blood tranfusion, Patient identification, patient fall dan medication error.
4.
Amalan 5S
  • Melibatkan diri dalam Pelaksanaan Amalan Persekitaran Berkualiti (QE/5S) sebagai persediaan untuk audit dalaman dan audit oleh Perbadanan Produktiviti Malaysia.
  • Amalan 5S dijadikan  sebagai budaya kerja berterusan dan ia dapat memupuk kerjasama dan setiakawan di antara staf. Amalan 5S dapat meningkatkan kualiti, produktiviti dan profesionalisme dikalangan staf.
  • Mengadakan amalan gotong royong kebersihan wad sebulan sekali atau bila perlu.
  • Untuk mengekalkan persekitaran wad yang bersih, ceria  dan selesa kepada setiap pelanggan.
  • Telah diaudit pada 25.10.2016
5.
Kaji Selidik Tahap Kepuasan Pelanggan
  • Setiap bulan sebanyak 10 Borang Kaji Selidik Tahap Kepuasan Pelanggan diedarkan untuk diisi oleh ibu bapa / penjaga  pesakit yang menerima rawatan melebihi 3 hari.
  • Bertujuan untuk mengetahui maklumbalas tentang tahap perkhidmatan yang telah diberikan sepanjang hospitalisasi.
  • Ianya akan dijadikan sebagai panduan untuk  penambahbaikan berterusan.
6.
Sekolah Dalam Hospital (SDH)
  • Pesakit berumur 4 tahun dan ke atas akan dirujuk kepada Sekolah Dalam Hospital (SDH) untuk aktiviti pembelajaran. 
  • Ini dapat mengisi masa pesakit yang ketinggalan dalam  pelajaran sepanjang berada di wad
  • Seramai 125 orang pesakit telah dirujuk ke SDH sepanjang tahun 2016.
9.
Aktiviti sosial bersama pesakit
1.    Perpustakaan Bergerak
·         Diadakan setiap hari Ahad oleh staf Pustaka Hamdan Tahir (PHT)
·         Pesakit dan peneman diberi peluang  meminjam pelbagai buku untuk dibaca bagi menghilangkan kebosanan sepanjang berada di wad.
2.    Toys On Trolley
·         Diadakan setiap hari Selasa.
·         Pesakit diberi pinjam alat permainan dan perlu dikembalikan pada jam 1600.
3.    Riang Ria Rabu
·         Diadakan setiap Rabu di Pusat Sumber Tingkat 7 bermula jam 1430 bagi membantu mengurangkan kebosanan pesakitdengan bercerita, melukis dan mewarna.
 
  

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