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ANNUAL WORK TARGET ( SASARAN KERJA TAHUNAN ) 2006 For MEDICAL OFFICER PAEDIATRIC DEPARTMENT HOSPITAL MIRI

A. ADMINISTRATION DUTIES (10%) No

List of Activities

Quantity

Quality

Time

1.

Responsibilities in daily activity of Department of Paediatric and Special Care Unit

Daily duties throughout the year

Based on guidelines proposed by Ministry of Health & Malaysian Paediatric Association

Office hours On call Duty

2.

Attending departmental meetings i . ‘Morning prayer’ meeting

Biweekly

Clarification and discussion of ongoing problems and issues

1hour every other week One hour

ii. Departmental Meeting

4 times per year

Clarification and discussion of intradepartment issues

1 hour

iii. Management meeting

4 times per year

Organisation of ongoing issues within department and QAP activities

1 hour

3.

Ensuring safe practice according to National Paediatric Protocol & CPG by KKM

Daily activity

Practicing according to standard guidelines

Jan to Dec 2006

4.

Updating “SKT” forms

At the beginning, mid year and end of the year

One hour

5.

Assisting in the maintenance of data collection, statistical analysis, compilation and annual report preparation

Statistical compilation at the end of the month

Based on list of work target as stated in desk file and annual plan of action for the whole department for existing year Verification of statistics at the end of the month Based on statistical data and resources available

ANNUAL WORK TARGET ( SASARAN KERJA TAHUNAN ) 2006 For MEDICAL OFFICER, PAEDIATRIC DEPARTMENT, HOSPITAL MIRI

End of the month Dec 2006

1

B. PROFESSIONAL DUTIES (75%) No 1.

List of Activities On-call duties of covering special care nursery and paediatric medical ward

Quantity According to duty roster

Quality Ensuring safe practice of Paediatrics and optimum clinical management of sick children

Time 24 hours

2.

Providing acute resuscitation for all newborns and children throughout the hospital- ICU, SCN, Labor room, OT, Paediatric unit and A&E

Once indicated

Try to achieve endpoint of resuscitation

Depends on clinical response and premorbid status of patients

3.

Attending to new admissions to both SCN and Paediatric medical ward by obtaining accurate history, detailed physical examination and appropriate investigations. Then provide appropriate management and counseling to patients and family.

According to duty roster

Ensure good recovery of the patient to be discharged safely

Daily activity

4.

Providing daily in- patients rounds twice a day with specialist

Depends on the number of inpatients

Ensuring all investigations ordered are done and traced, appropriate management and treatment are given. Family counseling is given on the rounds.

Daily activity

5.

Managing day cases, e.g.Oncology/ thalasaemia / other patients attending paediatric ward for chemotherapy, blood transfusion and CT cranial.

Depends on the number of patients

Ensuring safe giving of chemotherapy/ blood transfusion/ sedation and arrange appropriate followup management

Jan to Dec 2006

6.

Escorting patients to radiology department for investigations (as indicated) and to other hospitals, e.g. IJN, SGH and HKL.

Depends on the number of patients

Following departmental transport policy and ensure checklist is signed.

Jan to Dec 2006

ANNUAL WORK TARGET ( SASARAN KERJA TAHUNAN ) 2006 For MEDICAL OFFICER, PAEDIATRIC DEPARTMENT, HOSPITAL MIRI

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7.

Performing clinical procedures e.g. Bone marrow aspiration Trephite Central line placement Urinary catherisation for MCUG Lumbar puncture Arterial lines Inserting urinary catheter Chest tube insertion

Depends on number of patients and clinical indications

Following safe guidelines and protocol in order to minimize adverse incident and procedure-related complications

Jan to Dec 2006

8.

Running General Paediatric Clinic with specialist supervision

All day every Wednesday

Managing & Optimising care of referred cases and on- going care of children.

6 hours a week

9.

Running Oncology/ thalasaemia clinic with specialist supervision Running Neonatal clinic with specialist supervision

Optimising care of the relevant patients Development assessment for all SCN discharges and optimizing ongoing problems.

3 hours a month

10

1st Monday morning each month 2nd/3rd/4th Monday morning each month

11

Assisting visiting specialist running outpatient clinic

6 times a year

Optimising care of the relevant patients

3-6 hours each session

12.

Attending to referral cases from other disciplines

Depends on number of referrals and severity of medical problems encountered

Based on clinical practice guidelines and National Paediatric protocol

On-going daily activity

13

Involved in public educations for counseling parents informally in the wards or formally, e.g. radio talk, public forums, etc.

4-6 times a year

To ensure good communication with parents

2-3 hours per session

ANNUAL WORK TARGET ( SASARAN KERJA TAHUNAN ) 2006 For MEDICAL OFFICER, PAEDIATRIC DEPARTMENT, HOSPITAL MIRI

3 hours a week

3

C. TRAINING ACTIVITIES (10%) No 1.

List of Activities -Assisting in conducting Basic Life Support Courses for medical, paramedical and allied health staff

Quantity 3 times per year

Quality -Pre & post course assessment and evaluation -Practical skill assessment of all participants

Time Two days course

-Attending Basic Life Support Committee regular meetings 2.

Assisting in conducting Neonatal Resuscitation Programme

4 times per year

-Pre & post course assessment and evaluation - Practical skill assessment of all participants

Two days course

3.

Attending workshop, symposium, lectures and congress of Paediatrics

3 to 4 times per year

-Post course evaluation - Ability to conduct echotraining, ( if relevant) once returned

Two to three days course

4.

Assisting in supervising contract medical officers who came for one month attachment in Department of Paediatric

Rotation MOs on monthly basis

Achievement of basic resuscitation skill for newborns and children and understanding basic Paediatric knowledge at the end of the attachment

One month

5.

Assisting in training of new medical officers who posted to Paediatric unit

Pending on number of new MOs recruitment

Ability to conduct basic resuscitation and performing on call duties at the end of tag duties

One month of supervised training

ANNUAL WORK TARGET ( SASARAN KERJA TAHUNAN ) 2006 For MEDICAL OFFICER, PAEDIATRIC DEPARTMENT, HOSPITAL MIRI

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6.

Attending regular Continuous Medical Education (CME) for medical officers in Department of Paediatrics

Every Monday afternoon and alternate Thursday morning

-To get update of knowledge and latest information regarding paediatrics -

Two hours per session

7.

Attending Hospital CME Talk

On going activity as scheduled in CME & Training calendar

-To get updates of knowledge and latest information regarding patient’s cares -Pre & post-course evaluation survey for all participants

Jan to Dec 2006

Quantity

Quality

Time

3-monthly auditing

Aim for zero incidence Data compilation submitted to QAP secretariat

March, June, Sept, Dec 2006

Paediatric Mortality meeting Audit

Every 4 month

2 hours

Perinatal Mortality meeting audit

Every 3 months

Multidisciplinary discussion in order to minimize subsequent mortality ,,

Newborn hypothyroidism screening

1-2 times a year

Ensuring screening network is run smoothly and annual report

2 hours

Attending OSCC meeting

Depending on cases involved

Multidisciplinary discussion

Daily activity

D. QUALITY IMPROVEMENT ACTIVITIES (5%) No 1.

2.

3

List of Activities Assisting in maintaining Quality Assurance Program for Paediatric

i.

National Indicator Approach for Paediatric

ii.

Paediatric Incident Monitoring System

ANNUAL WORK TARGET ( SASARAN KERJA TAHUNAN ) 2006 For MEDICAL OFFICER, PAEDIATRIC DEPARTMENT, HOSPITAL MIRI

2 hours

5