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Nursing Division Ministry of Health Malaysia
NURSING DIVISION MINISTRY OF HEALTH MALAYSIA First Edition Mei 2017 SAFE OPERATING PROSEDURE FOR ADMINISTRATION OF INTRAVENOUS ( BOLUS ) EDICATION SAFE OPERATING PROSEDURE FOR ADMINISTRATION OF INTRAVENOUS ( BOLUS ) EDICATION ACKNOWLEDGEMENT Nursing Division Ministry of Health Malaysia gratefully acknowledges the expert contributions made by the following members, without whom the development of this consensus document would not be possible. ADVISOR Puan Hajah Rosena binti Abdul Ghani Director of Nursing Division, MOH EDITIORS Dr. Nor’Aishah Binti Abu Bakar Head of Patient Safety Unit Senior Public Health Physician & Senior Principle Assistant Director Medical Care Quality Section Medical Development Division, Ministry of Health Malaysia Puan Monica Chee Soon Nyuk Senior Assistant Director of Nursing, Nursing Division, MOH Puan Ng Siew Luan Nursing Matron, Nursing Division, MOH TECHNICAL WORKING GROUP Puan Darmawan binti Ramli Nursing Tutor, Unit Curriculum, Nursing Division, MOH Puan Suzana binti Jaafar Assistant Director, Nursing Division. MOH Puan Norlaila binti Mohd Husin Assistant Director, Nursing Division. MOH Puan Zanita binti Ahmad Clinical Nursing Matron, Family Health Development Division, MOH Puan Razmiyah binti Awang Nursing Matron, Nursing Division, MOH Puan See Booi Cheng Nursing Matron, Family Health Development Division, MOH Puan Noor Wati binti Esa Nursing Matron, Kuala Lumpur General Hospital Puan Mariati binti Alias Nursing Matron, Putrajaya Hospital Puan Noorsiah binti Harun Nursing Matron, Kajang Hospital Puan Zalimah -
SPA Referral Guidelines
SUTTER PHYSICIANS ALLIANCE (SPA) 2800 L Street, 7th Floor Sacramento, CA 95816 SPA Specialty Referral Guideline Pittsburg Knee Rules for Ordering Radiology Ottawa Ankle Rules for Ordering Radiology Developed May 10, 2005 Revised April 23, 2007 Reviewed July 27, 2009 I. Indications for Ordering X-ray of the Knee.......................................Page 2 II. Indications for Ordering X-ray of the Ankle .....................................Page 2 III. Indications for Ordering X-ray of the Foot ........................................Page 2 IV. Exclusion Criterion for Ankle and Foot.............................................Page 2 SPA Specialty Referral Guideline – Pittsburg Knee / Ottawa Ankle Referral Indications Revised 4/23/07 Page 2 of 2 I. Indications for Ordering X-ray of the Knee Pittsburg Knee Rules/Indications for Ordering Plain Films of the Knee A) If the patient experienced a fall or blunt trauma, and is unable to walk four (4) weight- bearing steps, an X-ray is indicated. B) If the patient experienced a fall or blunt trauma, and is under 12 or over 50 years of age, an X-ray is indicated. If the above criteria are not present, no need for X-ray. II. Indications for Ordering X-ray of the Ankle Ottawa Ankle Rules Pain in the malleolar zone and ANY of the following: A) Bony tenderness at posterior edge of distal 6cm of the lateral malleolus. B) Bony tenderness at posterior edge of distal 6cm of the medial malleolus. C) Inability to weight-bear immediately. III. Indications for Ordering X-ray of the Foot Pain in the mid-foot zone and ANY of the following: A) Bony tenderness at the base of the 5th metatarsal. -
Risk Factors Associated with Necrotising Enterocolitis in Very Low Birth Weight Infants in Malaysian Neonatal Intensive Care Units
O riginal A rticle Singapore Med J 2012; 53(12) : 826 Risk factors associated with necrotising enterocolitis in very low birth weight infants in Malaysian neonatal intensive care units Nem-Yun Boo1, MRCP, FRCPCH, Irene Guat Sim Cheah2, MRCP, FRCPCH; Malaysian National Neonatal Registry Introduction This study aimed to identify the risk factors associated with necrotising enterocolitis (NEC) in very low birth weight (VLBW; weight < 1,501 g) infants in Malaysian neonatal intensive care units (NICUs). Methods This was a retrospective study based on data collected in a standardised format for all VLBW infants born in 2007 (n = 3,601) and admitted to 31 NICUs in Malaysian public hospitals. A diagnosis of NEC was made based on clinical, radiological and/or histopathological evidence of stage II or III, according to Bell’s criteria. Logistic regression analysis was performed to determine the significant risk factors associated with NEC. ResuLts 222 (6.2%) infants developed NEC (stage II, n = 197; stage III, n = 25). 69 (31.3%) infants died (stage II, n = 58; stage III, n = 11). The significant risk factors associated with NEC were: maternal age (adjusted odds ratio [OR] 1.024, 95% confidence interval [CI] 1.003–1.046; p = 0.027), intrapartum antibiotics (OR 0.639, 95% CI 0.421–0.971; p = 0.036), birth weight (OR 0.999, 95% CI 0.998–0.999; p < 0.001), surfactant therapy (OR 1.590, 95% CI 1.170– 2.161; p = 0.003), congenital pneumonia (OR 2.00, 95% CI 1.405–2.848; p < 0.001) and indomethacin therapy for the closure of patent ductus arteriosus (PDA) (OR 1.821, 95% CI 1.349–2.431; p = 0.001). -
Reshaping the Landscape of Pain Management in Malaysia
Second Announcement RESHAPING THE LANDSCAPE OF PAIN MANAGEMENT IN MALAYSIA Venue : Dewan Seri Melati, Presint 3 Kompleks Perbadanan Putrajaya Date : 5–6 September 2018, Wednesday & Thursday Highlights of the conference: • Pain as the 5th Vital Sign – Does it Improve the Quality of Patient Management? • Inspiring the Team: A Multidisciplinary Approach to Pain Management • Implementing the Pain Free Services in Primary Care 16 CPD points Registration fees: will be • Pre-conference: RM 50 awarded • Conference fees: Early bird rate (until 15 July 2018): RM 200 Regular rate (after 15 July 2018): RM 250 IMPORTANT DATES Early registration deadline: Call for abstract: 15 July 2018 Abstracts for the poster presentation Abstract submission deadline: (250 words maximum; excluding 30 July 2018 author names and affiliations) should be forwarded to Registration deadline: [email protected]. For any inquiries, please 20 August 2018 contact Ms Sara Nadarajah via email at [email protected] or by calling REGISTER ONLINE +603-7623 8000/8068. http://bit.ly/MYPainFree2018 Organized by Secretariat services by -431 Medical Care Quality Section Ministry of Health Medical Development Division MY-PFI Conference Agenda Day 1 (5 September 2018) Pre-conference Time Session Speaker 08:00–09:00 Registration and Breakfast Pre-conference workshop 09:00–12:30 Group 1 Dr Ungku Kamariah Ungku Ahmad Understanding the Pain Ladder and Chairman of National Pain Free Programme Committee; Morphine Protocol for the Management of Consultant Anaesthesiologist and Pain -
Curriculum Vitae BIODATA Name Zaiton Kamarruddin P.C.M IC 630624-08-5388 Age 58
Curriculum Vitae BIODATA Name Zaiton Kamarruddin P.C.M IC 630624-08-5388 Age 58 Nationalilty Malaysian State Health Deputy Director (Pharmacy) Current State Health Department Position Perak Darul Ridzuan c/o Hospital Bahagia Ulu Kinta 31250 Tanjung Rambutan Address Perak Darul Ridzuan. Email [email protected] Contact Off : 605-5337318 ACADEMIC ACHIEVEMENTS PhD Program ( Health Sciences)( 2001-2005) 2001-2005 CURTIN University of Technology, Perth, WA M.Pharm (Clinical Pharmacy) – University of Science Malaysia (USM). 1994 Penang (1994) 1987 B. Pharm (Hons)- University of Science Malaysia (USM). Penang (1987) WORK ACHIEVEMENTS / AWARD 2013 Excellent Service Award, Public Service MOH 2012, by JKN Selangor 2012 Excellent Service Certificate, December 2012, Hospital Kajang. 2001 Excellent Service Award, Public Service 2012, by JKN Perak Awarded by the Competency Unit, Ministry of Health, Malaysia for Excellent Efficiency. (PTK 4) 2020 Anugerah Darjah Kebesaran, Bintang Dan Pingat Negeri Perak Tahun 2020 - `PADUKA CURA SI MANJA KINI ` (P.C.M) Page 1 of 12 WORK EXPERIENCES Head of Unit (LEAN), 2019 -2020 Centre for Organizational Excellence Development Institute for Health Management, Ministry of Health Malaysia (MOH) Core Business: Research, Training and Consultancy related to LEAN Healthcare / Management 2014-2018 Head of Division, Healthcare Quality Research Division,Institute for Health Systems Research (IHSR),Ministry of Health Malaysia. Project Leader in Lean Healthcare Initiatives of MOH under Government Transformation Program (GTP) -
EM Cases Digest Vol. 1 MSK & Trauma
THE MAGAZINE SERIES FOR ENHANCED EM LEARNING Vol. 1: MSK & Trauma Copyright © 2015 by Medicine Cases Emergency Medicine Cases by Medicine Cases is copyrighted as “All Rights Reserved”. This eBook is Creative Commons Attribution-NonCommercial- NoDerivatives 3.0 Unsupported License. Upon written request, however, we may be able to share our content with you for free in exchange for analytic data. For permission requests, write to the publisher, addressed “Attention: Permissions Coordinator,” at the address below. Medicine Cases 216 Balmoral Ave Toronto, ON, M4V 1J9 www.emergencymedicinecases.com This book has been authored with care to reflect generally accepted practices. As medicine is a rapidly changing field, new diagnostic and treatment modalities are likely to arise. It is the responsibility of the treating physician, relying on his/her experience and the knowledge of the patient, to determine the best management plan for each patient. The author(s) and publisher of this book are not responsible for errors or omissions or for any consequences from the application of the information in this book and disclaim any liability in connection with the use of this information. This book makes no guarantee with respect to the completeness or accuracy of the contents within. OUR THANKS TO... EDITORS IN CHIEF Anton Helman Taryn Lloyd PRODUCTION EDITOR Michelle Yee PRODUCTION MANAGER Garron Helman CHAPTER EDITORS Niran Argintaru Michael Misch PODCAST SUMMARY EDITORS Lucas Chartier Keerat Grewal Claire Heslop Michael Kilian PODCAST GUEST EXPERTS Andrew Arcand Natalie Mamen Brian Steinhart Mike Brzozowski Hossein Mehdian Arun Sayal Ivy Cheng Sanjay Mehta Laura Tate Walter Himmel Jonathan Pirie Rahim Valani Dave MacKinnon Jennifer Riley University of Toronto, Faculty of Medicine EM Cases is a venture of the Schwartz/ Reisman Emergency Medicine Institute. -
Comparison of Ottawa Ankle Rules and Bernese Ankle Rules in Acute Ankle and Midfoot Injuries
ORIGINAL ARTICLE Comparison of Ottawa Ankle Rules and Bernese Ankle Rules in Acute Ankle and Midfoot Injuries Ayak ve ayak bileği yaralanmalarında Ottawa ayak bileği kuralları ve Bernese ayak bileği kurallarının karşılaştırılması Türkiye Acil Tıp Dergisi - Turk J Emerg Med 2010;10(3):101-105 Ozkan KOSE,1 Servan GOKHAN,2 Ayhan OZHASENEKLER,2 Mustafa CELIKTAS,3 Seyhmus YIGIT,3 Serkan GURCAN4 1Antalya Training and Research Hospital, SUMMARY Department of Orthopedics and Traumatology, Antalya Objective: The purpose of this study was to compare the sensitivity and specificity of Ottawa Ankle Rules (OAR) 2Diyarbakır Training and Research and Bernese Ankle Rules (BAR) in acute ankle and midfoot injuries in the emergency department. Hospital, Department of Emergency Medicine, Diyarbakır Methods: 100 consecutive patients presented to our emergency department with acute ankle and/or midfoot 3Diyarbakır State Hospital, injuries following a blunt trauma were included. Patients were physically examined and evaluated regarding the Department of Orthopedics and BAR and OAR respectively by the same emergency medicine physician. All patients were referred for standard radi- Traumatology, Diyarbakır ography of the ankle or foot or both according to the presence of pain or tenderness in one or both of these zones. 4Diyarbakır Training and Research Hospital, Radiography results were interpreted by a consultant orthopedic surgeon who had not examined the patients. Department of Orthopedics and Sensitivity, specificity, positive and negative predictive values of each test were calculated. Traumatology, Diyarbakır Results: Radiographic examinations showed 19 fractures out of 100 investigated patients. Sensitivity and specificity of OAR were 100% and 77% respectively. Sensitivity and specificity of BAR were 94% and 95% respectively. -
Ankle-Injuries-Guideline
RADIOGRAPHY OF THE ANKLE AND FOOT (OTTAWA ANKLE RULES) Clinical Practice Guideline | January 2007 This guideline has been adapted from the Ottawa Ankle Rules developed by Dr. Ian Stiell et al. Dr. Stiell received financial support from the Institute of Clinical and Evaluative Studies in Ontario. OBJECTIVE The Ottawa Ankle Rules will assist Alberta clinicians assess if radiography of the foot and ankle is required for adult patients presenting with blunt ankle trauma at health care facilities. TARGET POPULATION Adults, 18 years of age and older EXCLUSIONS Under 18 years of age, intoxicated, multiple painful injuries, pregnant, head injury, diminished sensation due to neurological deficit RECOMMENDATIONS An ankle x-ray series is required only if there is pain in the malleolar zone and any one of the following: o Bone tenderness along the distal 6 cm of the posterior edge of the fibula or tip of the lateral malleolus o Bone tenderness along the distal 6 cm of the posterior edge of the tibia or tip of the medial malleolus o Inability to bear weight for four steps immediately and in the emergency department A foot x-ray series is required only if there is pain in the midfoot zone and any one of the following: o Bone tenderness at the base of the 5th metatarsal o Bone tenderness at the navicular bone o Inability to bear weight for four steps both immediately and in the emergency department OTTAWA ANKLE RULES POSTER PDF http://www.ohri.ca/emerg/cdr/docs/cdr_ankle_poster.pdf (link available as of March 2014) These recommendations are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. -
Acute Ankle Trauma in Adults
For Information Only This document has been archived, much of the original content remains relevant; however, practice in this area develops continually, therefore the content of this document must be used for information only and is only valid as per the original approval date. Head Office: Level 9, 51 Druitt Street, Sydney NSW 2000, Australia Ph: +61 2 9268 9777 Email: [email protected] New Zealand Office: Floor 6, 142 Lambton Quay, Wellington 6011, New Zealand Ph: +64 4 472 6470 Email: [email protected] Web: www.ranzcr.com ABN 37 000 029 863 2015 Educational Modules for Appropriate Imaging Referrals ACUTE ANKLE TRAUMA IN ADULTS This document is part of a set of ten education modules which are aimed at improving the appropriateness of referrals for medical imaging by educating health professionals about the place of imaging in patient care. PUBLICATION INFORMATION: ©Royal Australian and New Zealand College of Radiologists 2015 More information is available on The Royal Australian and New Zealand College of Radiologists website: URL: http://www.ranzcr.edu.au/quality-a-safety/program/key-projects/education-modules-for- appropriate-imaging-referrals For educational purposes only. The preferred citation for this document is: Goergen S, Troupis J, Yalcin N, Baquie P and Shuttleworth G. Acute Ankle Trauma in Adults. Education Modules for Appropriate Imaging Referrals. Royal Australian and New Zealand College of Radiologists, 2015. ACKNOWLEDGEMENTS: The Educational Modules for Appropriate Imaging Referrals project is fully funded by the -
Understanding the Role of the Ottawa Ankle Rules in Physicians’ Radiography
Understanding the Role of the Ottawa Ankle Rules in Physicians’ Radiography Decisions: A Social Judgment Analysis Approach Ania Syrowatka Thesis submitted to the Faculty of Graduate and Postdoctoral Studies in partial fulfillment of the requirements for the M.Sc. Degree in Epidemiology Department of Epidemiology and Community Medicine Faculty of Medicine University of Ottawa © Ania Syrowatka, Ottawa, Canada, 2012 ABSTRACT Clinical decision rules improve health care fidelity, benefit patients, physicians and healthcare systems, without reducing patient safety or satisfaction, while promoting cost-effective practice standards. It is critical to appropriately and consistently apply clinical decision rules to realize these benefits. The objective of this thesis was to understand how physicians use the Ottawa Ankle Rules to guide radiography decision- making. The study employed a clinical judgment survey targeting members of the Canadian Association of Emergency Physicians. Statistical analyses were informed by the Brunswik Lens Model and Social Judgment Analysis. Physicians’ overall agreement with the ankle rule was high, but can be improved. Physicians placed greatest value on rule-based cues, while considering non-rule-based cues as moderately important. There is room to improve physician agreement with the ankle rule and use of rule-based cues through knowledge translation interventions. Further development of this Lens Modeling technique could lend itself to a valuable cognitive behavioral intervention. ii ACKNOWLEDGMENTS I would like to express my sincere gratitude to my primary supervisor, Dr. Jamie Brehaut, for his mentorship, support and scientific guidance throughout this thesis project. I would like to thank my co-supervisor, Dr. Tim Ramsay, for sharing his statistical expertise to guide analyses of this thesis. -
International Medical Travel and the Politics of Therapeutic Place-Making in Malaysia
INTERNATIONAL MEDICAL TRAVEL AND THE POLITICS OF THERAPEUTIC PLACE-MAKING IN MALAYSIA Meghann Elizabeth Ormond A Thesis Submitted for the Degree of PhD at the University of St. Andrews 2011 Full metadata for this item is available in Research@StAndrews:FullText at: https://research-repository.st-andrews.ac.uk/ Please use this identifier to cite or link to this item: http://hdl.handle.net/10023/1681 This item is protected by original copyright This item is licensed under a Creative Commons License International medical travel and the politics of therapeutic place-making in Malaysia International medical travel and the politics of therapeutic place-making in Malaysia A thesis submitted to the University of St Andrews for the Degree of Doctor of Philosophy Meghann Elizabeth Ormond Department of Geography and Sustainable Development School of Geography and Geosciences University of St Andrews St Andrews, Fife, United Kingdom 31 January 2011 i International medical travel and the politics of therapeutic place-making in Malaysia Declaration I, Meghann Elizabeth Ormond, hereby certify that this thesis, which is approximately 76,902 words in length, has been written by me, that it is the record of work carried out by me and that it has not been submitted in any previous application for a higher degree. I was admitted as a research student in September 2006 and as a candidate for the degree of PhD in Geography in May 2007; the higher study for which this is a record was carried out in the University of St Andrews between 2006 and 2010. Date_________ __ Signature of candidate ______________________________________________ I hereby certify that the candidate has fulfilled the conditions of the Resolution and Regulations appropriate for the degree of PhD in Geography in the University of St Andrews and that the candidate is qualified to submit this thesis in application for that degree. -
Balestier Heritage Trail Booklet
BALESTIER HERITAGE TRAIL A COMPANION GUIDE DISCOVER OUR SHARED HERITAGE OTHER HERITAGE TRAILS IN THIS SERIES ANG MO KIO ORCHARD BEDOK QUEENSTOWN BUKIT TIMAH SINGAPORE RIVER WALK JALAN BESAR TAMPINES JUBILEE WALK TIONG BAHRU JURONG TOA PAYOH KAMPONG GLAM WORLD WAR II LITTLE INDIA YISHUN-SEMBAWANG 1 CONTENTS Introduction 2 Healthcare and Hospitals 45 Tan Tock Seng Hospital Early History 3 Middleton Hospital (now Development and agriculture Communicable Disease Centre) Joseph Balestier, the first Former nurses’ quarters (now American Consul to Singapore Lee Kong Chian School of Medicine) Dover Park Hospice After Balestier 9 Ren Ci Community Hospital Balestier Road in the late 1800s Former School Dental Clinic Country bungalows Handicaps Welfare Association Homes at Ah Hood Road Kwong Wai Shiu Hospital Tai Gin Road and the Sun Yat The National Kidney Foundation Sen Nanyang Memorial Hall Eurasian enclave and Kampong Houses of Faith 56 Chia Heng Goh Chor Tua Pek Kong Temple Shophouses and terrace houses Thong Teck Sian Tong Lian Sin Sia Former industries Chan Chor Min Tong and other former zhaitang Living in Balestier 24 Leng Ern Jee Temple SIT’s first housing estate at Fu Hup Thong Fook Tak Kong Lorong Limau Maha Sasanaramsi Burmese Whampoe Estate, Rayman Buddhist Temple Estate and St Michael’s Estate Masjid Hajjah Rahimabi The HDB era Kebun Limau Other developments in the Church of St Alphonsus 1970s and 1980s (Novena Church) Schools Seventh-Day Adventist Church Law enforcement Salvation Army Balestier Corps Faith Assembly of God Clubs and