message from the director

Transcription

i
ANNUAL REPORT
2014
SARAWAK GENERAL HOSPITAL
SARAWAK GENERAL HOSPITAL
KUCHING, SARAWAK
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TABLE OF CONTENTS
EDITORIAL BOARD................................................................................................... v
MESSAGE FROM THE DIRECTOR ..........................................................................vi
INTRODUCTION ....................................................................................................... vii
MEDICAL SERVICES DIRECTORATE
GENERAL MEDICINE ................................................................................ 1-5
ENDOCRINE .............................................................................................. 6-8
NEPHROLOGY ........................................................................................ 9-12
RESPIRATORY MEDICINE.................................................................... 13-16
INFECTIOUS DISEASE ......................................................................... 17-22
DERMATOLOGY .................................................................................... 23-27
REHABILITATION .................................................................................. 28-30
PSYCHIATRY AND MENTAL HEALTH .................................................. 31-36
CARDIAC CENTRE, SARAWAK GENERAL HOSPITAL
CARDIOLOGY ........................................................................................ 38-41
CARDIOTHORACIC SURGERY ............................................................ 42-44
SURGICAL SERVICES DIRECTORATE
GENERAL SURGERY ............................................................................ 46-48
PAEDIATRIC SURGERY........................................................................ 49-54
ORTHOPAEDIC ..................................................................................... 55-57
NEUROSURGERY ................................................................................. 58-60
OTORHINOLARYNGOLOGY ................................................................. 61-64
OPHTHALMOLOGY ............................................................................... 65-67
UROLOGY ............................................................................................. 68-69
PLASTIC AND RECONSTRUCTIVE SURGERY ................................... 70-75
EMERGENCY AND TRAUMA ................................................................ 76-78
ANAESTHESIOLOGY AND INTENSIVE CARE ..................................... 79-82
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WOMEN AND CHILDREN SERVICES DIRECTORATE
OBSTETRIC AND GYNAECOLOGY ...................................................... 84-86
PAEDIATRIC .......................................................................................... 87-91
DIAGNOSTIC AND CLINICAL SUPPORT SERVICES DIRECTORATE
PATHOLOGY ......................................................................................... 93-94
FORENSIC MEDICINE ........................................................................... 95-97
BLOOD TRANFUSION SERVICES ...................................................... 98-101
RADIOLOGY ...................................................................................... 102-104
NUCLEAR MEDICINE ....................................................................... 105-108
RADIOTHERAPY, ONCOLOGY AND PALLIATIVE CARE ................ 109-112
PHYSIOTHERAPY ............................................................................. 113-115
OCCUPATIONAL THERAPY.............................................................. 116-118
MEDICAL SOCIAL WORK.................................................................. 119-121
PATIENT EDUCATION AND HEALTH PROMOTION ........................ 122-125
DIETETIC AND FOOD SERVICE ....................................................... 126-128
MEDICAL RECORD ........................................................................... 129-133
CLINICAL RESEARCH CENTRE ....................................................... 134-138
MANAGEMENT DIRECTORATE
QUALITY AND PATIENT SAFETY ..................................................... 140-143
PUBLIC HEALTH................................................................................ 144-148
ASSISTANT MEDICAL OFFICER UNIT ............................................. 149-152
NURSING UNIT .................................................................................. 153-161
INFECTION CONTROL UNIT............................................................. 162-164
CENTRAL STERILE SERVICES UNIT ............................................... 165-168
PHARMACY UNIT .............................................................................. 169-173
ADMINISTRATION UNIT .................................................................... 174-197
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EDITORIAL BOARD
ADVISOR
DR. CHIN ZIN HING
COMMITTEE
ENCIK NORMAN AK PETER
ENCIK JAMES HILLARY ANDREW
ENCIK FRISCHE KULEH
CIK MARY BELARE
PUAN CATHERINE WILSON
ENCIK HAJI ISMAIL DAMIT
PUAN KAMSIAH ZAMHARI
SUB – COMMITTEE
DR. ALEX KIM REN JYE
ENCIK JOSEPH LUKONG
SMA. NICHOLAS SAMUEL
SMA. AZMAN BIN MUSELI
MATRON AIESHAH BINTI ZAINUDDIN
MATRON GLORIA GEMBONG
MATRON CECILIA LIM
MATRON YEO SIAU LING
MATRON JANE KO
MATRON DAYANG DIUN
PUAN MASITAH BINTI ANNUAR
PUAN HAJAH NAIMAH BINTI WAHAB
GRAPHIC DESIGNER
ENCIK CHAN YIAN HONG
ENCIK LEONARDONIE KEPAI
PUAN ROSNIZA BINTI AHMAD
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MESSAGE FROM THE DIRECTOR
Dr. Chin Zin Hing
Hospital Director
Sarawak General Hospital
Hello and Greetings 1 Malaysia
We are delighted to present to you Sarawak General Hospital (SGH) Annual Report
for the year 2014.
SGH is committed to providing comprehensive and deliver quality healthcare
services to the people of Sarawak. This is what motivates and inspires us, and it is
what distinguishes us as we pursue our mission of excellence in healthcare delivery,
education and research, with a clear focus on our patients.
.
We are transforming the care we provide today and preparing for the future, with an
unwavering commitment to our patients and community. This commitment colours all
we do. With change and challenge come opportunity, and Sarawak General Hospital
remain strongly positioned to succeed far into the future.
On behalf of all the Head of Departments, I would like to pay tribute to our staff who
work with us relentlessly to improve the care and experience for the patients and
population that we serve.
We are focused on the continuing transformational journey ahead of us and using
the considerable success of this last year as a positive platform on which to build
continued success.
Thank you.
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INTRODUCTION
Sarawak General Hospital (SGH) was established in 1910. SGH new building
was built on the present site in 1925 and is the largest hospital in Sarawak. In 2015,
SGH is equipped with 959 beds with a bed occupancy rate of 85.49% (2014) and a
total staff of about 4,789.
VISION
Sarawak General Hospital was among the medical institutions of excellence,
by providing medical care professional, efficient, high quality and meet customer
expectations.
MISSION
Sarawak General Hospital is committed to providing healthcare professionals
to all patients, with standard and high professional ethics. Providing curative medical
services, diagnostic and recovery of high quality, safe, efficient, effective and
customer-centric.
OBJECTIVE
To provide a conducive environment for patients, and enhance the healing
process through supervised nursing process.
To provide regular systematic supporting activities in order to promote a
caring attitude towards patients, relatives and customers.
QUALITY POLICY
Sarawak General Hospital is committed to providing ethical, safe and
professional clinical specialist and supporting services through quality patient care,
effective supporting, diagnostic and rehabilitation service to meet our client needs.
Sarawak General Hospital is also committed for continuous improvement of
quality management system corresponds to client needs in line with Ministry of
Health Malaysia Vision, Mission and Objectives.
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MEDICA L
SERV ICES
DIRECTORA TE
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DEPARTMENT
: GENERAL MEDICINE
HEAD OF DEPARTMENT
: DR. WONG SEE YIN
INTRODUCTION
Medical Department consists of 108 Doctors and 252 Nurses holding the
posts of general physicians, sub-specialists, Medical Officers (MO), House Officers
(HO), Matrons, Nursing Sisters, Staff Nurses, Jururawat Masyarakat (JM) and
Pembantu Perawatan Kesihatan (PPK). The department is divided into 2 functional
sections namely inpatient and outpatient. Inpatient section comprises 6 wards and 1
sub-ward, giving a total of 182 beds. Outpatient section comprises Medical
Outpatient
Department
(MOPD),
Neurology,
Respiratory,
Endocrinology,
Rheumatology, Nephrology and Infectious Disease Clinic, Medical Day care,
Respiratory Care Unit and Echocardiogram service.
Medical department provides a wide range of inpatient and outpatient services
in various disciplines namely General Medicine, Respiratory, Nephrology, Neurology,
Geriatrics, Infectious Disease, Rheumatology, Endocrinology, Haematology and
Echocardiography.
ACTIVITIES
i)
Continuous Personal Development (CPD) Program – for doctors and
allied health staff
a) Diabetes management course – 2
b) Stroke update
c) Thyrocare Workshop
d) Osteoporosis update
e) Parkinson’s disease update
f) Multiple sclerosis update
g) MRCP mock exam
h) Weekly grand rounds
i) Weekly HO Teaching
j) Bi-monthly Kuching forum
k) Bi-weekly industry supported talks
ii)
Annual Department Dinner
iii)
Annual Sarawak General Hospital (SGH) MGA Dinner
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ACHIEVEMENTS
OUTPATIENT WORKLOAD (ATTENDANCES)*
YEAR
CLINIC
2012
2013
2014
17645
18573
13033
General medical (new)
669
730
575
Diabetes
1248
1147
1494
Endocrine
1075
1127
1158
–
–
705
Haematology
935
907
965
Rheumatology
1320
1425
2482
SLE
1990
2217
2015
Geriatrics/Stroke
541
609
668
Anticoagulant (INR)
not captured
not captured
2531
Medical case notes
–
not captured
818
Respiratory
913
1276
1811
Asthma
298
560
899
–
–
6116
26634
28571
35270
General medical
Gastroenterology
HIV
Total
* does not include Neurology, Nephrology, ID, HIV clinics
ECHOCARDIOGRAM SERVICE
Number of patients
2013
2014
Out patient
1946
2570
In patient
2824
3275
4770
5845
Total
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INPATIENT WORKLOAD
Admissions
BOR (%)
ALOS (days)
Male Medical
2862
113.6
6.08
Female Medical &
Medical 4
3606
170.0
6.48
Medical 3
1421
No official beds in 2014
7.27
7889
191.7
6.53
TOTAL
Admissions
BOR (%)
ALOS (days)
Haematology
562
85.6
5.13
Infectious Diseases Ward
228
57.8
11.4
ISSUES AND CHALLENGES
i)
Infrastructure
a) Shortage of beds
b) Shortage of clinic rooms
c)
Suboptimal site for echocardiogram service
d) Shortage of negative pressure isolation rooms
e) Shortage of single isolation rooms
ii)
Workload
Steady increase in workload over the past 5 years, especially in the subspecialties – Respiratory, Nephrology, Neurology, Diabetes, Geriatrics,
Rheumatology and HIV.
iii)
Sub-specialties
Sub-specialty care is expected of Sarawak General Hospital. While it is
valuable and most needed, there is lack of infrastructure, equipment, and
trained personnel.
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iv)
Risk of transmission of Pulmonary Tuberculosis (PTB) and other respiratory
infections to staff and patients.
The risk is due to increasing number of PTB, respiratory infections and the
shortage of negative pressure and isolation rooms.
v)
Stranded patients in Emergency and Trauma Department (ETD)
The daily number ranges between 15 – 30 and the care provided in ETD
observation ward is sub-optimal.
vi)
Overcrowding of wards
Overcrowding is caused by large number of medical students, student nurses
and other allied health trainees, resulting in the following problems:
a) cross infection
b) lack of patient privacy
c)
overuse of PPE
d) environmental noise and heat
vii)
Budget
Lack of budget for the following:
a) Interferon and antiviral drugs for chronic hepatitis B and C infections
b) New oral anticoagulant drugs for non-valvular AF
c) Biologics group of drugs
d) Haematology-oncology drugs
e) Newer oral anti-diabetic drugs
f) Drugs for multiple sclerosis and motor neurone disease
g) Drugs for dementia and memory problem
h) Reagents to assay HIV, hepatitis B and C viral loads
i) New ECHO machine
j) Computers and printers needed for discharge summaries and other word
processing in the wards
viii)
Training of House Officers (HOs)
This is extremely challenging because of HOs with wide and highly variable
undergraduate medical education standards.
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CONCLUSION
In conclusion, the Medical department has coped reasonably well in facing many
challenges and sub-optimal resources. The department is committed to the provision
of quality value added services with patient as its primary focus. There is a high
emphasis on:

expansion of sub-specialty services

best practices and outcomes

greater learning opportunities

supervised work place training

regular audit

career development
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DEPARTMENT : ENDOCRINE
HEAD OF UNIT : DR. FLORENCE TAN
INTRODUCTION
Endocrinology Unit started its operation in 2005 and provides secondary and
tertiary services for patients with diabetes, metabolic and endocrine diseases.
SERVICES

Outpatient Diabetes Clinic, Endocrine Clinic, Combined Antenatal Diabetes
Clinic (in collaboration with Obstetric and Gynaecology), Diabetic Foot Clinic
(with Orthopaedic) and Osteoporosis Clinic (with Geriatric and Rheumatology).

Inpatient management of patients with diabetic and endocrine diseases.

Consultation for other departments, polyclinics, and district hospitals.

Training centre for endocrinology fellows in Ministry of Health Malaysia (MOH),
Medication Therapy Adherence Clinic (MTAC) Diabetes pharmacists, nurse
educators and allied healthcare professionals in Sarawak.

Research on Diabetes & Endocrinology related disease.
ACHIEVEMENTS
Clinic
Attendances
Diabetes Clinic
1494 patients
Antenatal Diabetes Clinic
488 patients
Endocrine Clinic
1158 patients
Courses
Date
Diabetes Camp for paramedics
12-13 Mar 2014
Type 1 Diabetes Camp
27 Mar 2014, 6 June 2014
19 Dec 2014
Type 2 Diabetes Camp
16 Aug 2014
Hospital DM Practical Course
19 April 2014, 29 Nov 2014
Borneo Osteoporosis Update
18 May 2014
ThyroCare Workshop
7 June 2014
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ACTIVITIES
Type 1 Diabetes Camp at Dewan Pesona on 19 December 2014
Diabetes Camp for Medical Staff at Dewan Pesona on 12-13 March 2014
Hospital Diabetes Management Course
Targeted to Medical Officers and House Officers on practical aspects of Diabetes
Management in Hospital setting. We have organised this twice yearly since 2008
7|P age
Non-availability of some hormonal tests in Sarawak General Hospital
Laboratory, Serum Aldosterone, renin, GH, IGF-1, Serum and urine osmolarity, 24
hours urine catecholamines / metanephrines are among the important endocrine
tests that need to be done in West Malaysia, resulting in long turnaround time and
delay in patient’ s diagnosis and management.
There is also lack of dedicated dietitian attached to our unit & diabetes clinic,
resulting in patients having to make extra visits / separate appointment. Space
constraint is another issue that limits the expansion of our services. Our diabetes
clinic has limited space to make it truly one-stop to allow multidisciplinary care. The
diabetic foot care clinic co-run with the orthopaedics is at a single crowded room,
limiting number of patients and activity at a single session.
CONCLUSION
The year 2014 has been a busy and fruitful year for Endocrinology Unit.
However, we will continue to improve our service and provide high quality care to our
patients through team work and dedication from the staff.
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DEPARTMENT : NEPHROLOGY
HEAD OF UNIT : DR CLARE TAN
INTRODUCTION
Nephrology Unit of Sarawak General Hospital consists of a Hemodialysis (HD)
Unit, Continuous Ambulatory Peritoneal Dialysis (CAPD) Unit and a satellite HD unit
at Pusat Jantung Hospital Umum Sarawak (PJHUS). Renal Replacement Therapy
(Dialysis and Transplant) Clinic and General Nephrology Clinic are run on regular
basis. Besides providing standard inpatient and outpatient Nephrology services, we
also play an important role in supporting referral services from other departments
such as Intensive Care Unit, Cardiac Unit, Medical, Surgical and Oncology Services.
OBJECTIVES

To
provide
comprehensive
general
nephrology,
dialysis
and
renal
transplantation services

To improve quality of life and survival of patients with kidney diseases and
kidney failure

To promote the prevention, detection and early treatment of kidney diseases
through close collaboration with primary healthcare providers and other
relevant organisations

To increase public awareness of kidney diseases, kidney failure and
cadaveric kidney transplantation

To train doctors and allied health professionals in the management of kidney
patients.
SERVICES PROVIDED

Inpatient services for the management of patients with kidney diseases and
kidney failure

Outpatient clinic services for general nephrology, HD, CAPD and kidney
transplant patients
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
Referral and consultation services for other disciplines, and other hospitals
and dialysis units in Sarawak

Perform procedures such as renal biopsy and dialysis catheter insertion

Haemodialysis, acute peritoneal dialysis, cycler Intermittent Peritoneal
Dialysis (IPD) treatment for acute and chronic kidney failure patients

Continuous Renal Replacement Therapy (CRRT) treatment for unstable
patients in ICU, CCU and CICU

Plasmapheresis treatment for selected patients

Perform pre transplant work up and follow up of kidney transplant patients

Participate in research of kidney diseases or kidney failure and its treatment
ACTIVITIES
1. World kidney day
2. Patient outing cum health education for dialysis, transplant and CAPD
patients
3. Annual State Dialysis Meeting
4. Research study - Study on Heart and Renal Protection-extended review
(SHARP)

Study on Catheter Associated Blood Stream Infection (CABSI)

Study on treatment of anaemia in Chronic Kidney Disease (CKD)
patients not on dialysis

Study on automated peritoneal dialysis cycler system in End-Stage
Renal Diseases (ESRD) patients
KPI
1. HD : % with delivered kt/V >1.2 -98% (Target >80%)
2. CAPD : Peritonitis rate :1 in 32.2 patient-month (Target >1 in 24 patientmonth)
3. Nephrology : % of DM CKD patients with BP <130/80 – 33.8% (Target >25%)
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STATISTICS
No.
PROCEDURES
1
No of centre HD patients
2
No of HD done :





TOTAL
42
Centre HD patients
Transit or temporary cases
Acute cases done in HDU
Acute cases done in ward
Acute cases done in ICU
- 6260
- 914
- 2893
- 387
- 361
10815
3
No of patients treated with CRRT
78
4
No of plasmapheresis done
56
5
No of CAPD patients
113
6
No of transplant patients on follow up
73
7
No of new transplant patients in 2014
3
8
No of renal biopsy done
78
9
Clinic attendances :




HD
CAPD
Transplant
Nephrology
-
1965
275
513
5335
8088
STAFFING
Nephrologist
Senior Medical Assistant U42
Heamodialysis
Unit
2
1
1
1
1
1
Medical Assistant U29
4
4
Posts
Nursing Sister U32
CAPD
Unit
1
Nephrology
Clinic
1
Total
4
1
1
1
2
Nursing Sister U32 (KUP)
3
1
2
6
Staff Nurse U29
11
9
1
21
Jururawat Masyarakat U26
Pembantu Perawatan
Kesihatan U11
1
5
1
1
1
7
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World Kidney Day 2014
Educational and Recreational program with patients
CONCLUSION
The Nephrology Unit would like to thank all staff for their commitment,
dedication and hard work. With good team work spirit, we will be able to face any
challenges and continue to provide quality services to our patients.
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DEPARTMENT : RESPIRATORY MEDICINE
HEAD OF UNIT : DR. TIE SIEW TECK
INTRODUCTION
Respiratory Medicine provides a wide range of respiratory services and it is
the only referral centre in Sarawak for respiratory diseases. It provides outpatient
consultation on appointment basis and also providing inpatient care. As for Inpatient,
we provide consultation to all clinical departments at Sarawak General Hospital
(SGH) and Pusat Jantung, Hospital Umum Sarawak (PJHUS). The department has
19 dedicated beds for respiratory medicine, 11 beds at Infectious Diseases ward and
8 beds at Medical Ward.
Respiratory Care Unit (RCU) provides care for respiratory and other related
illness, such as suspected lung cancer, pleural effusion, obstructive sleep apnea
(OSA), interstitial lung disease, asthma, Chronic obstructive pulmonary disease
(COPD) and others. It also provides ambulatory day care, such as day case of
bronchoscopy, pleural procedure, lung function test, vaccination and sleep study as
well as the procedure area for the inpatients
SERVICES
1. Pleural tapping, biopsy, pleural instillation of talc and other agents, chest
tube/pleural catheter insertion.
2. Diagnostic bronchoscopy such as Endobronchial Biopsy, Bronchoalveolar
Lavage, Transbronchial Lung Biopsy, Trans-Bronchial Needle Aspiration
(TBNA).
3. Medical Thoracoscopy.
4. Rigid Bronchoscopy.
5. Therapeutic bronchoscopy procedure such as balloon dilation, Argon Plasma
Coagulation (APC), electrocautery, foreign body removal, airway debulking
and airway stenting.
6. Whole lung lavage.
7. Involved in clinical trials, both investigators initiated trial and commercial trial.
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8. Non-invasive Ventilation (NIV) Unit provides care for diseases such as acute
exacerbation of COPD, OSA, Obesity Hypoventilation Syndrome (OHS) and
other type II respiratory failure
9. Visiting clinic to Hospital Miri, Hospital Bintulu , Hospital Sibu , Tuberculosis
Control Programme (TBCP) Kuching, TBCP Sibu, TBCP Bintulu and TBCP
Miri.
STAFFING
No.
1.
2
Category of staff
Respiratory Physician UD 54
General Physician (by rotation
and attachment )
Total
2
1
3
Medical Officer
2
4.
Nursing Matron
1
5.
Nursing Sister
1
6.
Staff Nurse
9
7.
Jururawat Masyarakat
1
8.
Pembantu Perawatan Kesihatan
1
Total
Remark
Post basic ICU @KSKB Kuching
17
ACTIVITIES
No.
ACTIVITIES
1
Continuous Medical Education
(CME) / CPC for doctors
/paramedic
Topic : Tuberculosis by
Dr. Wong Jyi Lin
2.
TB discussion with the district
TBCP in charge and Pusat
Rawatan 1, Kuching area,
chaired by Dr. Tie Siew Teck
DATE
VENUE
17.1.2014
Convention
Centre,
SGH
24.1.2014
Dewan
Mesyuarat
Utama,
SGH
ACHIEVEMENT
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3
Oral presentation on Result of the
Mantoux test among Healthcare
Workers (HCWs) @ Sunway Putra
Hotel in conjunction of TB
Conference and Lung Disease by
NS Saidah Suhaili
Sunway
Putra Hotel
Won 2nd prize
29.3.2014
Kuala
Lumpur
4.
Poster presentation on results of
Mantoux test among HCWs in
conjunction with Malaysian
Thoracic Society in Melaka
by SN Pamela Cyndee.
13.6.2014
5.
TB health screening for HCW by
doing tuberculin skin test for all the
new staff
Throughout the
year
6.
Attachment for staff nurse from
Med 3 , staff nurse from Med.4 in
respiratory clinic for learning on
management of TB notification /
counselling and treatment
7.
Unit level CNE by doctors and
nurses
- TB by NS Saidah Suhaili
- Result of Mantoux Test
Screening by NS Saidah
- Spirometry –by SN Claudia
- Patients Collapsed by Dr
Tie Siew Teck
- Difficult Asthma
Management by Dr Kho
- Drug resistant TB by Dr
Suvintheran
- Upper lobe Collapsed by Dr
Chandran
- Non Tb Mycobacterium by
Dr Chan
8
Lung Function test certification
course phase 1 and 2 - Sn
Claudia Giring & SN Nurul Nazira
Holiday Inn Won best
Hotel
poster
Melaka
presentation
Refer to TB
report
Latest updates
on managing
patient with
Respiratory
respiratory
Clinic
diseases.
July
2014 &
October
2014
UiTM
Serdang
Hospital
Pass the
training and
qualified as a
LFT technician.
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ACHIEVEMENTS
1. Training Centre for Respiratory Medicine Fellowship Program, Ministry of
Health, Malaysia.
2. Dr Tie Siew Teck, one of our respiratory physician is a Trainer for the
Respiratory Medicine Fellowship Program, Ministry of Health, Malaysia.
3. Best Poster award during Malaysian Thoracic Annual Scientific Conference
2014: Result of Mantoux Test Screening Among Health Care Workers in
SGH.
4. Publication: JL Wong, ST Tie et al. A case of recurrent respiratory
papillomatosis successfully removed with argon plasma coagulation with no
evidence of recurrence. Med J Malaysia 2014; 69: 195
CONCLUSION
Respiratory Medicine Unit will continue to strive for excellence in providing
quality and wide range of respiratory medicine services in Sarawak.
Despite
challenges in the emerging of new respiratory diseases, Respiratory Medicine Unit
personnel will continue to upgrade their knowledge and skill in line with current
development in respiratory medicine.
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DEPARTMENT
: INFECTIOUS DISEASE
HEAD OF UNIT : DR. CHUA HOCK HIN
INTRODUCTION
Infectious Disease Unit / Ward was officially opened for admission on 15 th
December 2009 for treating and nursing cases that need barrier nursing. Initially
these cases were managed in Medical Isolation Inpatients Block.
This unit was previously a house officers’ quarters, renovated into wards with
11 rooms which has Negative Pressure Machine, GE Monitoring, CCTV that are
linked to nurses counter, telephone in every room for staff to communicate with
patients and attached bathrooms and toilets.
Out of the 11 rooms, 3 rooms are for stable patients, 6 rooms are for ill
patients that need continuous monitoring and ventilation and 2 rooms are for doing
procedures (Bronchoscopy and Pleuroscopy) by Respiratory Team.
All patients and their relatives are oriented on ward setting, facilities, visiting
hours and informed to adhere to ward policies and isolation protocol.
STAFFING
No.
Category
Total
1
Infectious Disease Specialist
1
2
Respiratory Specialist
2
3
Medical Officer
4
House Officer
5
Nursing Matron U36
1
6
Nursing Sister U32
1
7
Staff Nurse U29
21
8
2
9
5
10
Pembantu Perawatan Kesihatan
7
2
(1 Infectious Disease)
(1 Respiratory)
2
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STATISTIC
Month
Admission
Transfer In
Transfer Out
Discharge
Planned
Discharge
Death
Total
Patients
Bed
Occupancy
Rate
Average
Length Of Stay
% of Death
from total
discharge
Ventilator
Cases
WORKLOAD - BASED ON 11 BEDS
Jan
10
6
2
15
100%
2
170
60.9
10.0
12%
2
Feb
12
7
5
10
100%
0
149
59.1
14.9
0%
4
Mar
12
9
4
14
100%
2
188
67.4
11.8
13%
2
April
13
15
5
23
100%
3
168
62.2
6.5
12%
1
May
13
6
1
16
100%
1
131
47.0
7.7
6%
1
Jun
13
4
5
7
100%
0
163
60.4
23.3
0%
1
July
11
9
5
15
100%
4
222
79.6
11.7
21%
1
Aug
7
5
2
9
100%
0
129
46.2
14.3
0%
1
Sept
11
1
4
9
92.8%
0
88
32.6
9.8
0%
2
Oct
13
10
3
14
100%
3
137
49.1
8.1
18%
2
Nov
14
7
1
14
100%
5
182
67.4
9.6
26%
4
Dec
14
6
3
15
100%
5
170
60.9
8.5
25%
8
Total
143
85
40
161
100%
25
1897
47.2
8.39
13.4%
29
18 | P a g e
PTB
TB SPINE
TB MENINGITIS
MILIARY TB
EXTRA PTB
Jan
9
0
0
0
0
0
0
Feb
8
0
0
0
0
0
0
Mac
8
0
0
0
0
0
0
April
8
0
0
0
0
0
0
Mei
8
0
0
0
1
1
0
Jun
4
0
0
1
0
1
0
July
13
1
0
0
0
0
1
Aug
11
0
1
0
0
0
0
Sept
6
0
0
0
0
0
0
Oct
16
0
1
0
0
0
0
Nov
12
0
0
0
0
0
0
Dis
14
0
1
1
0
0
0
TOTAL
117
1
3
2
1
2
1
TB
MDR
Month
DISSEMINATED
RESPIRATORY CASES
TRO Measle
0
0
0
0
0
Feb
3
0
0
0
1
0
2
0
Mac
3
0
0
0
1
0
1
0
April
6
0
0
0
4
0
7
0
Mei
3
0
0
0
4
1
3
0
Jun
4
0
0
1
1
1
4
0
Others
HINI
0
(-VE)
Corona Virus
0
MERS-COV
Influenza A
1
Zoster
HIV
Jan
Varicella
Month
INFECTIOUS DISEASE CASES
19 | P a g e
July
4
0
0
1
0
0
10
1
Aug
1
0
0
0
1
0
0
0
Sept
2
0
0
0
0
0
0
Oct
2
0
0
0
1
0
2
2
Nov
1
1
0
1
0
0
2
3
Dis
2
0
0
0
0
0
2
6
TOTAL
32
1
0
3
13
2
33
13
MONTH
PROCEDURE
FREQUENCY
1( PUI
Ebola)
REMARKS
Injection (IM)
18 Times
From Respi
Blood Taking
1
From Respi
IV Antibiotic
3
From ID Clinic
Nebulizer Pentamidine
1
From ID Clinic
IV Antibiotic
9
From ID Clinic
Injection (IM)
15
From Respi
Lumber Punture
2
From ID clinic
Injection (IM)
14
APRIL
Injection (IM)
2
MAY
Blood Taking
JUNE
NIL
JULY
Injection ( IV )
2
From ID Clinic
Injection (IM)
1
From ID Clinic
1
From ID Clinic
SEPTEMBER
1
From ID Clinic
OCTOBER
NIL
NOVEMBER
2
From ID Clinic
DISEMBER
2
From ID Clinic
JANUARY
FEBRUARY
MARCH
AUGUST
From ID and
Respi Clinic
From Respi
From ID Clinic
20 | P a g e
ACTIVITIES

I.
Preparation for Ebola
Training of proper usage of PPE for standby staff, especially staff from Infectious
Disease Ward and Intensive Care Unit were conducted every day and subsequently
every Thursday at ID Ward.
II.
PPE and PAPR demonstration done at JKNS on 12th November 2014.
III.
“Mesyuarat Teknikal Kesihatan Awam“ at Grand Continental Hotel On 11th
December 2014.
IV.
Ebola Virus Diseases (EVD) simulations done on 4th November 2014 organised by
Emergency and Trauma Department and Infectious Disease Ward to practice how to
handle any suspected and confirmed Ebola cases.
Simulation Session

Influenza Vaccination for “standby team” staff on 18 December 2014 in preparation
for outbreak of infectious diseases.

General cleaning by staff are done every month to ensure ward cleanliness.

Involvement of staff in social activities :
-
Earth Hour at Padang Merdeka.
-
“Majlis Tilawah Al- Quran di convention center.
-
Women Purple Walk Purple at Le’Park Civic Centre.
-
Hand Hygiene Campaign at Convention Centre.
-
Blood Donation Campaign at Sarawak General Hospital lobby.
21 | P a g e

Lack of facilities and maintenance in the ward has led to difficulties in
managing patients. These include:
-
Deprivation of oxygen supply
-
Frequent Electrical Interference
-
No water tap outside ID ward building for cleaning and disinfecting
ambulance.
CONCLUSION
Infectious Disease Unit plays an important role to control the spread of
infectious diseases among patients and health care workers. Failure to function
properly will cause complications especially in the event of an outbreak of dangerous
infectious diseases.
22 | P a g e
DEPARTMENT
: DERMATOLOGY
HEAD OF DEPARTMENT
: DR. PUBALAN MUNIANDY
INTRODUCTION
The Department of Dermatology at Sarawak General Hospital was formed in
April 1993. The department is headed by a Senior Consultant Dermatologist, who is
both the clinical and administrative head of the Department. The Department of
Dermatology comes under the Medical Directorate in the Sarawak General Hospital.
The head of the medical directorate reports to the Hospital Director. Ever since the
formation of this Department in 1993, it has grown both physically, in manpower and
services provided as a tertiary centre.
OBJECTIVES

Comprehensive management of skin diseases from diagnosis, treatment and
prevention of complication, reduction of morbidity, mortality and loss of
productivity due to skin diseases.

To enhance knowledge of skin diseases to the public and medical
practitioners.

To provide training to medical and paramedical personnel in pursuit of further
knowledge in Dermatology
MAIN FUNCTIONS
The main function of the Department of Dermatology is to provide
comprehensive and complete care in the management of skin diseases, leprosy and
sexually transmitted infections.
SERVICES

Outpatient management of skin diseases.

Outpatient management of difficult Sexually transmitted infections (STIs) and
Leprosy.
23 | P a g e

Investigations for skin diseases, leprosy and STIs including skin biopsies,
patch and prick tests, slit skin smears, cultures for STIs and wood lamp
examination.

Outpatient
or
ambulatory
care
dermatosurgery
including
laser
and
electrosurgical therapy.

Complete documentation of clinic attendances and case holding for leprosy.

Registry for psoriasis and cutaneous drug eruptions.

Notification for sexual transmitted diseases, skin cancer and drug allergy.

Training for medical and paramedical personnel.

Dermatology clinic visit at Polyclinic Batu Kawa and Polyclinic Sentosa twice
per week.

Counselling for patients with psoriasis and drug therapy.

Courses in Dermatology, STIs and Leprosy.

Public Talk/Forum about skin disorders.
ACTIVITIES
Clinical Care and Treatment

Outpatient Services
We provide mainly outpatient dermatology services with clinics on Monday,
Tuesday, Wednesday and Thursday on an appointment basis. We also
provide outpatient clinic services at Miri and Sibu Hospitals once every month
on a scheduled basis.

Dermatosurgery
Dermatosurgical procedures are done on Monday and Friday between
9.00am and 1200 noon. Amongst the procedures are cryotherapy, incisional
and excisional biopsy, electrosurgery, laser surgery including Fractional CO2.
All procedures are performed in the minor Operation Theatre.
24 | P a g e

Phototherapy
Phototherapy services for psoriasis, eczema, vitiligo and cutaneous
lymphomas with narrowband UVB and PUVA. Phototherapy sessions are
carried out at Physiotherapy Dept. We also provide hand and foot narrowband
UVB which are located at the skin clinic.

Patch Testing
We provide facilities for patch and prick testing for allergies using a
standardised European series on Mondays, Wednesdays and Fridays. These
are conducted by nurses trained in these procedures and reviewed by the
doctors when the results are available.

Iontophoresis
Facility for Iontophoresis is available for management of patients with
Hyperhydrosis and conducted 3 times per week under the supervision of
trained personnel.
HEALTH EDUCATION AND COUNSELING
Health Education and counselling in all aspects of diagnosis, investigations
and treatment forms an important part in the management of skin diseases for a
successful outcome. Psoriasis counselling clinic is specifically done on Tuesday
afternoons. Many skin diseases are chronic in nature and needs long term
management both on the physical symptoms and the psychological implications of
the diseases, including prevention of side effects from the treatment.
ACTIVITIES
1. Case discussion
2. Journal club/review
3. Dermatology-Pathology discussion
4. Hospital CME activity
5. Courses organised by the department
25 | P a g e
ACHIEVEMENTS
TOTAL OUTPATIENT ATTENDANCES
Clinic
New Cases
Repeat Cases
Total
Skin Specialist Clinic, SGH
2724
12090
14814
Sibu Hospital
306
1633
1939
Miri Hospital
427
1175
1602
Batu Kawa Clinic
300
547
847
Mosque Road Clinic
353
114
467
Sentosa Clinic
476
598
1074
Psoriasis Registry
100
399
499
Psoriasis Clinic
13
400
413
Ward
19
204
223
Procedure
2615
0
2615
Phototherapy
1129
0
1129
Genito-Urinary Medicine
98
467
565
Leprosy
0
36
36
Paediatric Dermatology
10
72
82
1068
0
1068
9638
17735
27336
Laboratory Test
Total
LABORATORY PROCEDURES DONE IN CLINIC
Procedure / Year
2013
2014
Gram Stain
42
48
Fungal Skin Scraping
817
613
Vaginal Smear - Culture
12
6
Urethral Smear
5
286
Fungal Culture
431
6
Tzank's Smear
11
6
Slit Skin Smear-Leprosy
72
72
Wet/Direct Smear - Yeast
0
0
1390
1042
Total
26 | P a g e
CONCLUSION
The Dermatology Specialist Clinic has continued to provide services at a
tertiary level would continue to provide enhanced services to the people of East
Malaysia with the availability of new equipment. This clinic will be the referral centre
for phototherapy, laser therapy and consultation of difficult cases in Dermatology,
Leprosy and Sexually Transmitted Diseases. Further enhancement of the services
would be the development of Telemedicine that has provided an excellent method of
communication for referral of patients with skin diseases throughout the state of
Sarawak and Sabah. We will continue to provide excellent services and enhance
manpower development to ensure appropriate and best treatment is rendered to the
people of Sarawak.
27 | P a g e
DEPARTMENT
: REHABILITATION
HEAD OF DEPARTMENT
: DR. LEONG BE KIM
INTRODUCTION
Rehabilitation Medicine Department is part of the secondary and tertiary
clinical services that provides rehabilitation medical services to patients who have
physical disabilities. Development of services is well expanded since year 2012. The
services cater for both in and outpatient care consisting of Rehabilitation Medical
Ward, Rehabilitation Medicine Clinic and also Comprehensive Cardiac Rehabilitation
services in Heart Centre, Sarawak General Hospital, Kota Samarahan, Sarawak.
OBJECTIVES

To improve quality of life for patients who have physical disabilities.

To reduce the incidence of medical complications among patients who receive
rehabilitation medicine treatment.

To enhance patients’ function in order to facilitate the reintegration into
community with full potential.

To manage medical and psychosocial issues among patients.

To raise public awareness about diseases associated with disability issues.

To increase the number of medical and allied health professionals trained in
the management of patients with disabilities.
WORKLOAD
Total Inpatient Review Year 2014
800
600
523
366
401
627
529
417
408
460
618
711
532
490
400
200
0
28 | P a g e
Total Outpatient Attendance Year 2014
882
1000
456
500
293
429
239
118
0
SERVICES
The services provided by the department are Neurological, Amputee, Spinal,
Cardiac, Paediatric, and General Rehabilitation.
ACTIVITIES

Rehabilitation medicine management of hospitalised patients suffering from
neurological diseases, spinal cord injury, amputation, cardiac diseases and
others.

Consultation to other departments in the hospital for rehabilitation medicine
treatment.

Provide outpatient rehabilitation medicine services at Rehabilitation Medicine
Clinic.

Assist patients in the application of medical equipments such as wheelchairs,
prosthesis, 'suction machine', 'ripple mattress' and others.

Assist patients to be registered as "Persons with Disabilities" by Social
Welfare Department.

Conduct "Family Conference" to discuss the case with the patients’ family and
provide health-related education.

Visiting services to major hospitals in Sarawak which do not have
rehabilitation physician.

Consultation regarding rehabilitation treatment for NGOs which work closely
for people with disabilities.
29 | P a g e
Second Sarawak Biennial Rehabilitation Update Year 2014
Opening Ceremony by Hospital Director, Dr. Chin Zin Hing
Second Sarawak Rehabilitation Update Jointly Organised by Department of
Rehabilitation Medicine & Kuching Spinal Injuries Association.
CONCLUSION
Rehabilitation Medicine Department is committed to achieve its goals and
objectives with the support from all the staff manifested through their team work,
commitment, dedication and hard work. The department will continue to provide
creative, innovative and meaningful services in the future.
30 | P a g e
DEPARTMENT
: PSYCHIATRY AND MENTAL HEALTH
HEAD OF DEPARTMENT
: DR. ISMAIL BIN DRAHMAN
INTRODUCTION
Department of Psychiatry and Mental Health is one of the clinical services
provided by Sarawak General Hospital and is also the main referral for psychiatric
patients. Recently, on 2nd September 2014, a Community Mental Health Centre
(MENTARI) was set up in Petra Jaya Health Clinic to cater for the needs of the
community in that area.
Patients are given multidiscipline types of treatment such as medication,
psycho therapy, psycho education and also their social welfare. The department
always tries its utmost best to fulfil the requirements of the Mental Health Act 2001
especially focusing on the right of patients.
SERVICES

General Adult Psychiatry.

Child-Adolescent Psychiatry.

Geriatric Psychiatry.

Community Psychiatry service

Community Mental Health Centre.

Psychiatric Day Care and Rehabilitation centre.
OBJECTIVES

Promoting mental health, screening of mental illness and ensure early
treatment.

Reduce stigma and discrimination.

Provide continuing treatment in an accessible manner in the community.

Provide rehabilitation and psychosocial interventions such as counselling,
psycho therapies, patient and family education.
31 | P a g e
MANPOWER
Staff category
No.
No.
allocated
filled
JUSA B
0
1
0
UD53/UD54
0
2
0
UD48
1
1
0
UD43/UD44
9
5
4
UD41
0
0
0
-
0
0
0
Counsellor
S44
2
0
2
Counsellor
S41
0
0
0
Nursing Sister
U42
0
0
0
Nursing Sister
U32
1
2
-1
Staff Nurse
U29/32
30
19
11
Medical Assistant
U41/42
0
1
-1
Medical Assistant
U36
0
1
-1
Medical Assistant
U32
1
2
-1
Medical Assistant
U29/32
2
2
0
Community Nurse
U19/24
4
0
4
Senior Community Nurse
U24
0
2
-2
Male Attendant
U11
0
4
-4
Female Attendant
U11
0
3
-3
Senior Consultant Psychiatrist
Consultant Psychiatrist
Psychiatrist
Medical officer (Clinical)
Medical Officer
Clinical Psychologist
Vacant
ACTIVITIES/ COURSES
1. 4th Mental Health Conference in Kuching, Sarawak.
2. Stigma shout
3. Mental Health Awareness No. 1/2014
4. Mental Health Awareness No. 2/2014
5. Conducted 35 in house CME/CNE
32 | P a g e
STATISTICS
Psychiatric Clinic 2014
New cases
Repeated cases
Total
886
8362
9248
New cases of Child and Adolescent 2014
Male
Female
Total
133
111
244
New cases of General Adults 2014
Male
Female
Total
263
256
519
New cases of Geriatric Patients from 2012 -2014
Year
Male
Female
Total
2012
40
51
91
2013
39
71
110
2014
53
70
123
New cases of substance abuse from 2012 -2014
Year
2012
2013
2014
No. of cases
31
20
41
NUMBER OF PATIENTS IN 2014
4800
4700
4600
4500
4400
MALE
FEMALE
33 | P a g e
Total Attendances of Community Mental Health Centre
(CMHC) Petra Jaya HUS
for 2014 (SEP-DEC) Based on Sex And Age
70
64
60
50
40
Male
28
30
Female
20
10
7
0
9
12
7
0
0
< 10 years
10-19 years
20-59 years
> 60 years
MENTARI CENTRE, SGH
NO. OF TREATMENT JAN-DEC 2014
800
600
400
200
0
J
F
M
A
M
J
J
No. of Treatments 255 622 443 399 714 290 556
A
52
S
O
N
D
535 550 386 436
34 | P a g e
TOTAL PATIENTS ADMITTED TO ACUTE PSYCHIATRIC WARD
JANUARY-DISEMBER 2014
FEMALE
72
MALE
94
ACHIEVEMENTS
There is an increased number of out-patients which shows that the public are
more aware of the services and treatment provided through the intensive promotion
program.
National Indicator Approach (NIA) and Key Performance Indicator (KPI)
The Key Performance Indicator (KPI) of patients waiting time in the clinic
achieved the standard of 80% within 60 minutes and 100% within 90 minutes.
Note: NIA only shows the 1st 6 months result as it was changed to HPIA from
the following 6 months while KPI remains 1 year.
KPI 1
KPI 2
>80%
>90%
96.5%
95.16%
NIA/
KPI 4<25%
1.33%
NIA/
KPI 5<15%
6.99%
NIA/
KPI 6 <10%
0.22%
The ward client’s charter indicators were achieved 100% as all patients were
assisted to the bed within 10 minutes, attended by doctor within an hour and seen by
Psychiatric Specialist at least twice during the period of admission. The Psychiatric
clinic has been upgraded with additional rooms for Medical officers to screen
patients.
The department was awarded a 3-year accreditation status effective 14
August 2014 until 31 August 2017 by the Jawatankuasa Bersama Ijazah Lanjutan
Psikiatri (JBILP) which qualifies the department to train candidates of Master
Program in Psychiatry.
35 | P a g e
The department needs a proper room for Electro Convulsive Therapy
management.
In order to be a good learning centre, Sarawak General Hospital Information
Resource Centre should have enough essential journals and other references
pertaining to Psychiatry.
CONCLUSION
Priority need to be given to the department on procurement of assets in the
coming years for upgrading our Mental Health Program as Mental Health disease
ranked second after cardiovascular disease. The department needs upgrading of
infrastructure and facilities to provide quality standard of inpatient and outpatient
care to the community in a safe, efficient, effective and caring manner.
36 | P a g e
CA RDIA C CENTRE,
SA RA WA K GENERA L
HOSPITA L
37 | P a g e
DEPARTMENT
: CARDIOLOGY
HEAD OF DEPARTMENT
: DR. ONG TIONG KIAM
INTRODUCTION
Cardiology department of the new Sarawak General Hospital Heart Centre
(SGH Heart Centre) which is situated at Kota Samarahan started its operation on the
1st January 2011. It became a heart referral hospital in the state for better cardiac
treatment, which is equipped with highly skilled cardiac specialist, modern and latest
technology. The department also provides the most comprehensive cardiac imaging
facilities (echo, CT, MRI and angiography) as well as cardiac services ranging from
paediatric to adult, and utilising both conservative as well as invasive diagnostic and
interventional modalities.
SERVICES

Provides a comprehensive cardiovascular service using the latest state-ofthe-art diagnostic and therapeutic tools

Provides opportunities for partnership in the training of cardiovascular health
care providers

Participates in cardiovascular research in collaboration with other centres of
excellence

Outpatient Clinic

Cardiac Care Unit (CCU)

Cardiac Rehabilitation Ward

Non Invasive Cardiac Laboratory

Invasive Cardiac Catheterisation Laboratory
CLINICAL SERVICE
1. Clinical Service
i.
Outpatient / Referral Clinic
ii. Cardiac Care Unit (CCU) - Acute Coronary Syndrome, Acute/
Decompensated Heart Failure, Arrhythmias, Inotropic Support, Mechanical
Support – IABP, Temporary Pacing, Pericardiocentesis, Fluoroscopy.
38 | P a g e
iii. Cardiac Rehabilitation Ward (CRW) - Post AMI / ACS, Post heart failure
and Infective endocarditis
iv. Post Catherization / Procedures Ward - Post Cardiac Catherization and
Intervention, Post Percutaneous Vascular Intervention, Post Pacemaker
Implantation.
2.
Non Invasive Cardiac Lab - 12-Lead ECG, 24-Hr HOLTER and Event
Recorder, Exercise Stress Test, Pacemaker and ICD Follow Up,
Transthoracic Echocardiogram, Transoesophageal Echocardiogram, Stress
Echocardiogram, 24-Hr Ambulatory Blood Pressure and Tilt Table Testing.
3.
Invasive Cardiac Catherization Lab
i. Diagnostic - Right Heart Catheterization, Left Heart Catheterization,
Cardiac Biopsy, Intravascular Ultrasound (IVUS), Graft Study, Aortogram,
Pulmonary Angiogram, Carotid Angiogram, Renal Angiogram and
Peripheral Angiogram
ii. Intervention

Interventional - Coronary
- Percutaneous Coronary Intervention (PCI), Transradial, Transfemoral;
Intravascular Imaging – IVUS, OCT, Rotational Arthrectomy, Functional
testing – FFR and Vascular closure devices - Angioseal

Interventional - Cardiac
- Percutaneous Transeptal Balloon Mitral Commissurotomy (PTMC) and
Percutaneous closure of peri-infarct interventricular septal rupture

Interventional - Congenital Heart
- Percutaneous Atrial Septal Defect (ASD) Closure, Percutaneous
Patent Ductus Arteriosus (PDA) Closure, Percutaneous Pulmonary
Valvuloplasty and Coarctation of Aorta angioplasty

Interventional - Peripheral
- Carotid Artery Stenting, Renal Artery Stenting, Peripheral Artery
Angioplasty, Percutaneous Aneurysm Stent Graft, Percutaneous
Venous Angioplasty and IVC Filter

Interventional - Electrical
- Implantation of pacemakers - Single or Dual Chamber
- Biventricular Pacing (CRT)
- Implantation of ICD
4. Other Non-Invasive Cardiac Imaging


Cardiac Magnetic Resonance Imaging (MRI)
- First Cardiac MRI in Malaysia
Cardiac Computed Tomography (DSCT)
- First Public 64-slice CT in Asia Pacific
- Currently using the dual source Flash CT
39 | P a g e
ACHIEVEMENTS
Training

Advanced Cardiology Fellowship, Ministry of Health Malaysia Cardiac
Technicians, Ministry of Health Malaysia Masters in Medicine, Malaysia

Advanced Diploma in Cardiovascular Nursing, Ministry of Health Malaysia

Medical and Pharmacy Students, University Malaysia Sarawak (UNIMAS)
Workload
Total number of outpatients (NICL, ICL & Clinic)
No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
Activities
Outpatients
Average Daily Attendances
New case
Repeat case
Cardiac Patient
INR Patient
Number of Clinic Days
ECG
Holter analysis
Echocardiogram
Transoesophageal echo
Exercise Stress test
Dobutamine stress test
24 hours blood pressure analysis
Pacemaker check
AICD check
MRI
DSCT
Lung function test
Paediatric Outpatient
New Case
Repeat Case
Average Daily Attendances
Number of Clinic Days
Research Clinic Patient
Total
22083
138.88
1825
20295
14331
7752
159
1810
681
11519
127
583
88
176
337
87
583
841
214
2163
428
1735
25.44
85
1125
40 | P a g e
Total number of diagnostic procedures
No.
1.
Activities
Diagnostic Procedures
Total
2253
Total number of interventional procedures
No.
1.
Activities
Interventional Procedures 2014
Total
1120
CONCLUSION
The year 2014 marked the 12th anniversary of our cardiac service. It had been
another challenging year of providing outstanding service, doing landmark research
and chasing milestones. Our successful result would not be possible without team
effort, sacrifices and understanding of family members, support from NGOs such as
the Sarawak Heart Foundation, smart partnership with UNIMAS and Swinburne,
support from senior management of Ministry of Health, the Sarawak State Health
Department and Sarawak General Hospital.
41 | P a g e
DEPARTMENT
: CARDIOTHORACIC SURGERY
HEAD OF DEPARTMENT
: MR. (DR) JONG YUAN HSUN
INTRODUCTION
The cardiothoracic surgery service was set up in cardiac ward at Sarawak
General Hospital (SGH) on 25 September 2001. After 10 years, the services were
relocated to SGH Heart Centre, Kota Samarahan and commenced on 1st January
2011.
SERVICES

Outpatient Cardiothoracic Surgery Clinic (CTC)

Cardiothoracic Ward (CTW)

Cardiothoracic Intensive Care Unit (CICU)

Cardiothoracic Operation Theatre (COT)

Thoracic surgery

Close heart surgery

Open heart surgery - congenital, adult and paediatric

Cardiac high dependency

Cardiac intensive care unit
WORKLOAD
In the year 2014, a total of 2710 patients attended cardiothoracic clinic
compared to 2215 in year 2013. The total outpatient had increased through the year
since the relocation of the centre.
CLINIC ATTENDANCES
YEAR
2010
2011
2012
2013
2014
New
279
316
310
439
457
Total Attendances
1307
1773
1839
2215
2701
42 | P a g e
CARDIOTHORACIC WARD (CTW)
YEAR
2011
2012
2013
2014
Total number of admissions
(admission + transfer-in)
277
331
902
817
Total number of discharges
275
354
619
589
0
0
2
2
2011
2012
2013
2014
Cardiac Cases
134
192
100
254
Thoracic Cases
39
51
23
40
173
243
123
294
Total number of deaths
OPERATION THEATRE
YEAR
Total
CARDIOTHORACIC INTENSIVE CARE UNIT (CICU)
YEAR
2011
2012
2013
2014
Number of admission
21
15
11
21
Number of transfer-in
160
239
272
249
1
5
4
4
Total Number of patients for surgery
164
238
271
253
Number of patients for observation
18
15
14
15
Number of transfer-out
144
236
265
235
Number of discharges
31
18
20
30
Number of deaths
6(3.3%)
6(2.44%)
3(1%)
7 (2.5%)
Bed occupancy rate (BOR)
36.78%
33.22%
41.00%
43.27%
Number of re-transfer-in
ACTIVITIES
a) Visiting senior cardiothoracic surgeons from other Malaysian centres

Dato’ Dr Hj Hamzah Bin Kamarulzaman (Pulau Pinang) on
17.3.2014 and 21.7.2014, Dato’ Dr Jeswant Dillon
(National Heart Institute) on 22 – 24.1.2014 and 27-29.8.2014.
43 | P a g e
b) Visiting cardiothoracic surgeons from abroad

Dr Taweesak Chotivatanpong (Thailand) on 20-21.10.2014
c) 4 Courses involving operation theatre staff from different units of the
department and other hospitals were successfully organised.
Workshops

Aortic Root surgery with Dr Jeswant Dillon

Aortic Root surgery with Dato’ Dr Hj Hamzah Kamarulzaman

Minimally Invasive Surgery (mitral valve surgery)

Mitral Valve workshop with Dr Taweesak Chotivatanpong
d) Other activities

Monthly departmental meeting

Weekly CME and CNE meetings (Friday)

Research meeting every Monday

Cardiothoracic and cardiology discussion - Tuesday to Thursday
Throughout the year there was only one cardiac anaesthesiologist who
worked along with trainees on attachment. On several occasions anaesthesiologists
from
private
hospitals
were
hired
as
there
was
no
available
relieving
anaesthesiologist from SGH.
CONCLUSION
The number of new cases referred to cardiothoracic clinic was only 4.39%
increase compared to 2013, whereas a 22.15% increase in the total attendances. It
has an official bedstead of 34 beds, 30 for adult and 4 for paediatric cardiology
patients. There was a decline by 9.42% ward admission compared to year 2013. A
total of 294 operations were done in year 2014, in which 86.39% were cardiac cases
and 13.61% were thoracic cases.
44 | P a g e
SURGICA L
SERV ICES
DIRECTORA TE
45 | P a g e
DEPARTMENT
: GENERAL SURGERY
HEAD OF DEPARTMENT
: MR. (DR) NIK AZIM BIN NIK ABDULLAH
INTRODUCTION
General Surgery is headed by Mr. (Dr) Nik Azim bin Nik Abdullah, Senior
Consultant Hepatobiliary & General Surgeon since 2010. Subspecialty services like
Paediatric Surgery, Urology, Neurosurgery and Plastic Surgery continued as
individual units. The Vascular Surgery established its own unit under the care of Mr
Luk Tien Loong (Consultant Vascular Surgeon) after his training in United Kingdom
but it is under General Surgical (GS) pool. The Colorectal Team from Malaysian
Colorectal Society continued rendering their services to SGH on a monthly basis.
The Breast & Endocrine Team from Putrajaya Hospital also provided their services
to SGH on a 2 monthly basis.
11111111111111111111111111111
ACTIVITIES
Table 1 : General Surgical Department Daily Activities
MON
TUES
WED
THURS
FRI
SAT
SUN
07.30 am Morning Round
08.00 am XRay Conference
08.00 am Hospital CPC
08.00 am Minor OT
08.00 am Major OT
08.00 am ERCP
08.15 am Grand Ward
Round
08.30 am Journal Club/MO
CME
11.00 am HO CME
11.00 am Mortality &
Morbidity
Review (MMR)
12.00 noon Video Show
02.00 pm Clinic
03.00 pm Meeting
05.00 pm PM Round
09.00 pm Night Round
46 | P a g e
COURSES ORGANISED BY SURGICAL DEPARTMENT IN YEAR 2014
Table 2: Courses @ Workshops organised by General Surgical Department in 2014
Date
20/2/2014 –
21/2/2014
12/3/2014 –
14/3/2014
25/4/2014
27/4/2014
28/4/2014 –
29/4/2014
20/6/2014 –
21/6/2014
18/8/2014 –
21/8/2014
22/8/2014
15/8/2014
20/9/2014 –
21/9/2014
22/9/2014
4-6 monthly
Yearly event in
October
Every School
Holidays
Courses @ Workshops
Stoma & Wound Care Seminar
Venue – PJHUS Auditorium
The Intercollegiate Basic Surgical Skills Course
RCSI (The Royal College of Surgeons in Ireland
Venue – Research Lab UNIMAS
Kick Off Meeting for Multi-Disciplinary Team Meeting for NET
(NeuroEndocrine Tumour)Management
Venue – Dewan Mesyuarat Utama
One Gastro Workshop 2014
Venue – Pullman’s Hotel
Breast Cancer Counseling Workshop
Venue – Dewan Pesona
Invited speaker: Ms Ranjit Kaur (President Breast Cancer Welfare Assoc.)
Open Hernia Workshop
Venue – Minor Operation Theatre
The Royal College of Surgeons of Edinburgh
MRSC Part B International (OCC)Exam
Open Thyroidectomy & Endothyroid Workshop
Venue – Main Operation Theatre
Invited speaker: Professor Rohaizak Bin Mohammad (UKM)
Trans Borneo Wound Care Congress 2014
Venue – Pullman’s Hotel
Invited Guest of Honor : Dato’ Dr Noor Hisham Bin Abdullah
Sarawak NST Update 2014
Venue – UNIMAS Convention Hall
Invited speaker: Prof Jonathan Asprer (Phillipines)
Procedure For Prolapsed Haeorrhoids – Hands On Rally 2014
Venue – Main Operation Theatre
Invited speaker: Professor Dato’ Ismail Bin Sagap (UKM)
Basic Suturing Skill Courses
Venue – Dewan Mesyuarat Utama / Surgical Clinic (SOPD)
Breast Cancer Awareness Month in October
Venues – Dewan Pesona, HUS Lobby, SOPD, Boulevard Shopping Mall,
Old Court House
Invited Guest of Honor : YB Puan Hajjah Sharifah Hasidah (Adun N7)
Ritual Circumcision Sessions
47 | P a g e
Figure: Breast Cancer Awareness 2014

To establish the Hepatobiliary subspecialty team as an individual unit if there
is adequate manpower and facilities (by virtue of the main bulk of inpatients
were Hepatobiliary patients)

To improve the scope and level of expertise offered in the field of Colorectal,
Upper GI and Breast & Endocrine Surgery especially in regards to
Laparoscopic @ Minimally Invasive Surgery. The department is looking
forward to establish more subspecialty units under one roof as SGH is a
tertiary centre for referral.

To encourage and train more medical officers in the field of General Surgery
especially those in the postgraduate (Masters) training programs, by giving
them chance to attend courses and workshops.
CONCLUSION
The new year presented itself with new challenges and major changes in the
Department of Surgery in its structure. Nevertheless, the department will continue to
provide an equitable and caring service of the highest quality with professionalism
towards the people of Sarawak.
48 | P a g e
DEPARTMENT
: PAEDIATRIC SURGERY
HEAD OF DEPARTMENT
: MS. (DR) ANNE RACHEL JOHN
INTRODUCTION
The Paediatric Surgical Unit was first set up in 1996 within the Department of
General Surgery. The Unit was then accorded independence as a separate
department in 2004 with its own complement of staff and beds. The unit provides
tertiary services for the whole state of Sarawak as there is only one resident
paediatric surgeon for the state. Currently, the Paediatric Surgical Ward 4A Sarawak
General Hospital is located at Level 4 of the In-patient Block. It has 28 beds with 4
beds dedicated to the High Dependency Unit.
The ward admits patients from newborns to 12 years of age from 4
disciplines, namely General Surgery, Plastic Surgery, Urology and Gynaecology.
Occasionally, patients aged 15 to 22 years old have been referred to ensure
seamless and continuity of care. However, the ward also helps out if there is a
shortage of beds in the other wards. The unit had 47 nursing staff, one consultant
paediatric surgeon and 7 medical officers. As Paediatric Surgery is not recognised
as a separate activity in the Ministry of Health, despite its existence for many
decades, there are no designated posts for the unit. The posts are parked under
Paediatrics or General Surgery.
SERVICES
Our main objective is to provide quality, holistic, caring and equitable Paediatric
Surgical services to the children of Sarawak.

Inpatient care.

High Dependency and Intensive pre and post-operative care for surgical
neonates, infants and children.

Day Care Services in the ward such as preparing children for imaging
procedures and setting IV lines.

Home Total Parenteral Nutrition (TPN).

Wound and Stoma Care.

Play therapy and mini library.
49 | P a g e

Training for medical personnel, nurses and patients’ parents education.

Networking with other hospitals of the state regarding patient care, referrals,
training and supply of specialised consumable items.

Partnership with parents in the continuity of care after patient is discharged.

Tele-consultation is available 24 hours a day.

Emergency and Elective surgery.

Specialist Clinic twice a week.
WORKLOAD
Discipline
Surgical
HDU
(2 Beds)
Neuro
HDU
(1 Bed)
Ortho
HDU
(1bed)
Surgical
(16 Beds)
Plastic
(4 Beds)
Gynae
(2 Beds)
Uro
(2 Beds)
Medical
Adm
T/I
T/O
Disch
Death
Abscond
DAMA
TPD
(Days)
BOR
(%)
ALOS
(Days)
Day
Care
58
100
137
22
1
0
2
1426
97.66
157
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
1
0.30
1
0
1149
148
124
1164
1
1
3
5803
66.24
54
370
117
0
0
190
0
0
0
562
77
3
10
3
0
0
3
0
0
0
7
2
2
0
35
0
0
35
0
0
0
106
29
3
3
14
7
11
16
0
0
0
21
5.80
1
0
General Ward
The inpatient workload has reached a steady state with bursts of activity
around the operating days, break weekends and holidays. Average length of stay
(ALOS) is way out due to 4 long staying children from outstation including an orphan
who has been in the ward for 3 years. Excluding these children, the ALOS was about
4.5 days.
High Dependency Unit (HDU)
Total Neonate days = 316 days
Total Ventilator days = 59 days
50 | P a g e
Ward Day Care Services
In the year 2014, there were 370 attendances for wound and stoma care,
preparations for imaging and other procedures.
Home Total Parenteral Nutrition (TPN)
A Child with bowel failure was finally discharged on home parenteral nutrition
after being in the ward for 4 years. A team of doctors, nurses and pharmacists
planned and did home visits to get this going. He comes in 1-2 times a week to
collect the TPN bags with accessories and for blood tests and review. So far, the
child is growing well and the mother is managing his CVL care and TPN setup very
well in collaboration with the team.
Neonates
Caring of neonates in general ward setting is challenging. Many of the
neonates transferred from other hospitals are ill and need surgical interventions.
There were 50 referrals of surgical neonates from the neonatal Intensive Care Unit
(NICU). Patients are ventilated in the ward when there is shortage of beds in NICU
or Paediatric Intensive Care Unit (PICU).
75 neonates were admitted directly to the ward this year, mainly through the
Emergency and Trauma Department while the rest were transferred in from other
hospitals. There was a total of 408 neonate days in the general ward and 316
neonate days in the HDU for the whole year.
Table below shows yearly statistic for High Dependency Unit and General Surgery
Unit in Year 2011 until 2014
Year
No. of new admission
/surgical neonates
Paediatric NICU Total
Surgical
No. of
neonatal
operations
2012
2013
62
53
115
59
69
65
134
73
2014
70
50
130
59
Comments
1 operation in NICU
“dragon year”
6 babies had 2 surgeries each
1 baby had 2 surgeries done
and one operation was done in
NICU as the baby was on
HFOV
51 | P a g e
There is a drop from the previous years as the Neonatal Intensive Care Unit
(NICU) and the Paediatric Intensive Care Unit (PICU) have been taking care of our
ventilated patients. This has helped the nursing care tremendously.
Networking
The travel to Miri and Sibu for elective operations and clinics were carried out
by the surgeons from Hospital Kuala Lumpur. Manpower is inadequate to support
trips to Bintulu and Kapit. 5 trips were carried out for emergency surgery on a total of
6 neonates. These operations were on babies who could not be transferred out as
they were either too ill or too premature and on ventilators. However, again this is a
big drop in the number from 2013 when we made 22 trips for emergency operations.
Operations
The unit has 2 elective operating lists per week. This is highly inadequate as
the waiting lists for ambulatory care surgery is reaching almost 3 years. Many times
the elective lists are utilised for emergency operations as well as the emergency
theatres are too busy.
Total number of operations
YEAR
2012
2013
2014
Elective
392
437
394
Emergency
251
219
230
Endoscopy
26
21
35
Total
669
677
659
52 | P a g e
Clinics
Clinics are run twice a week by the specialists and 4-5 medical officers.
No. of Cases in Paediatric Surgical Clinic Year 2014
Ethnic Group
< 10 years
10-19 year
Total
Male
Female
Male
Female
2
3
4
5
12
Malay
559
277
47
22
906
Chinese
245
76
31
10
362
Indian
6
0
0
0
6
Kadazan
0
2
0
0
2
Murut
0
0
0
0
0
Bajau
0
0
0
0
0
Melanau
12
8
0
0
20
Iban
193
55
15
3
266
Bidayuh
295
151
22
6
474
Other Sabahan Natives
1
1
0
0
2
Other Sarawak Natives
9
2
0
0
11
Others
8
2
2
0
12
Legal
1
0
0
0
1
Illegal
0
0
0
0
0
TOTAL
1329
574
117
41
2062
1
Foreigner
Of the 2062 patients, only 415 were new referrals.
Source of referral of new cases to the clinic
Source
Total
Emergency Dept
84
Health Clinic
208
Other hospitals
81
General Practitioner
2
Other Activities
40
53 | P a g e
ISSUE AND CHALLENGES
Quality Assessment Indicators – The main problems were the low rating
received in the client charter for quality of facilities such as mothers’ beds.
CONCLUSION
While 2013 was a really busy year for us, there was a comparative lull in
2014. Manpower and ward facilities will always be an issue but this has not stopped
the unit from the aim of providing holistic care of a high standard to the children of
Sarawak. We hope that 2015 will be a great year for the Unit despite the many
changes in the staff.
54 | P a g e
DEPARTMENT
: ORTHOPAEDIC
HEAD OF DEPARTMENT
: MR. (DR) FARIS KAMARUDDIN
INTRODUCTION
Orthopaedic is one of the busiest departments in Sarawak General Hospital
with a bed occupancy rate of more than 100%. The Department consists of 11
specialists, 18 medical officers and various supporting staff including 55 House
Officers, 9 Assistant Medical Officers and also nurses. There is a total of 112 beds
with 36 beds respectively in both Male and Female Orthopaedic wards, 12 beds in
Paediatric Orthopaedic Ward and 28 beds in Rajah Charles Brooke Memorial
Hospital.
SERVICES
Aside from general trauma services, the Orthopaedic Department also offers
the service of 3 Orthopaedic subspecialties, namely Arthroplasty, Spine and
Advanced Trauma Surgery. General Visiting Specialist Clinics are rendered on a
monthly basis to Lundu, Bau, Serian and Sri Aman hospitals. Arthroplasty and Spine
networking services are extended to Miri, Bintulu, Sibu and Sarikei hospitals. The
networking services include both Specialist Clinic and surgery.
55 | P a g e
WORKLOAD
2010
2011
2012
2013
2014
Ward admission
3563
4000
4259
3702
4195
Bed Occupancy rates (%)
72.2
76.6
90.0
96.0
101.0
Outpatient Clinic
19216
20769
22140
22149
23975
OT Cases
2863
3015
3092
3374
3435
Number of procedures performed
4147
4914
4528
5133
5929
ACTIVITIES
1. Serian Plaster-of-Paris (POP) Workshop
: 13 -14 March 2014
2. Sarikei POP Workshop
: 29 – 30 April 2014
3. Kapit POP Workshop
: 2 – 3 May 2014
4. Kuching Orthopaedic Trauma Update
: 23 – 25 May 2014
5. Outreach Programme to Sg Asap
: 2 – 5 September 2014
6. Belaga POP Workshop
: 6 September 2014
7. Farewell dinners for Mr Gunalan, Mr Kunalan, Dr Diong Meng Ling, Dr Ronald
Tang and MA Siman Entol
Orthopaedic Department Consultants, Specialists and Medical Officers
56 | P a g e
POP workshop at Belaga Hospital on 6 September 2014
With the increase in number of patients year after year, limited operating time
is one of the biggest issues leading to a delay in both emergency as well as elective
cases. Some patients with long bone fracture have a waiting time of up to 4 weeks
before the surgeries are carried out. The backlog in emergency and semi-emergency
operative cases have led to congestion in the wards and hence patients stranded in
the emergency department. Furthermore, the waiting list for elective cases inclusive
of Arthroplasty and Spine is currently taking almost a year.
CONCLUSION
Despite the shortcomings, Orthopaedic Department is dedicated to inspiring
students, residents, fellows and faculty to work towards discovery of knowledge,
attitudes, skills, and resources needed to deliver quality patient care that is
responsive to the general needs of the local community as well as meeting the
specialised needs of the country. ETSD
DSSDDS
57 | P a g e
DEPARTMENT
: NEUROSURGERY
HEAD OF DEPARTMENT
: MR. (DR) ALBERT WONG SII HIENG
INTRODUCTION
The first Neurosurgical Department ward came into existence on the 16
October 2009 in a temporary vacated maternity ward at the previous Accident and
Emergency Department. The unit was moved to the current ward (previous
cardiothoracic ward) on the 9 March 2011.
Of note Neurosurgery service first started on the 9 April 1988 by a Japanese
Neurosurgeon Professor Fuji.
Present Neurosurgeons in Sarawak General Hospital

Dr Albert Wong Sii Hieng

Dr Donald Liew Ngian San

Dr Lim Swee San

Dr Faizul Hizal B Ghazali

Dr Sim Sze Kiat (Unimas)

Dr Adrian Ng Wei Chi
A specialised Neurosurgical High Dependency Unit (HDU) will be ready by
this year with 18-bed strength. This will ease the care of ventilated patients who are
currently managed in the open ward.
SERVICES

Trauma-brain and spine

Tumour-brain and spine

Vascular-open surgery and endovascular with visiting Neuroradiologist from
Kuala Lumpur

Paediatric

Degenerative spine disease like cervical and lumbar disc prolapse
58 | P a g e
STATISTIC
Outpatient
1)
New cases
= 141
2)
Repeat cases
= 2804
3)
Total
= 2945
Inpatient
Admissions
=820
Discharges
=763
Bed Occupancy rate
=77.91%
Operation
Elective cases
= 205
Emergency cases
= 437
Total
= 642
ACTIVITIES
Neurosurgery update was held with very good participation on the 11 to 13
April 2014 with over 300 attendees at the Islamic Information Centre Auditorium
Publications from SGH activities

Wong SH, Chan SH. Meningioma-The Sarawak General Hospital Experience.
Medical Journal of Malaysia 2002;57(4)

Wong JS, Ng B, Wong SH. Treatment of intracranial aneurysms over a 30-month
period. J of Clinical Neuroscience 2004; 11(3):254-8

Suhara S, ASH Wong, JOL Wong. Post traumatic pericallosal artery aneurysm
presenting with SDH without SAH. B J Neurosurgery 2008;22(2):295-297

Chang LK, Liew NS, Soh HL, Tan SZ, Wong SH. Clinical Utility of 64-row
Multislice CT Angiography in the Detection of Cerebral Aneurysms in Acute
Subarachnoid Haemorrhage Malaysian Medical Journal June 2008;63(2):131-6
59 | P a g e

Vashu R, Wong SH. Repair by suturing of intra-operative repair of ruptured
aneurysms. J of Clinical Neuroscience 2009;16(7):960-2

SK Sim, SL Lim, LeeHK, Liew NS, Wong SH. Care of severe head injury patients
in Sarawak General Hospital; Intensive care versus ward care. MMJ
2011;66(2):140-3

SL Lim, ASH Wong. Review of an 11-year Experience in Retrosigmoid Approach
for Treatment of Acoustic Neuromas. MMJ 2013;68(3):253-8

CW Goh, YY Lu, BL Lau, JOL Wong, HK Lee, DNS Liew, ASH Wong. Brain and
Spine tumour in Sarawak, Malaysia. MJM 2014(Dec); 69(6):256.
Ongoing research

Ventriculo-Peritoneal (VP) shunt study; Normal shunt vs silver impregnated shunt
a randomized prospective investigation funded from the Clinical Research Centre
Ministry of health with a grant of about RM300,000 from 2011 under Dr .Lim
Swee San.

SyNAPSe: Investigating the efficacy and safety of progesterone use in patients
with severe TBI. This study has concluded and our Department has the most
recruit for the country.

Ongoing projects are Basal ganglia bleed study, External ventricular drain study
and head injury registry.

The new HDU will need more staffing and fund to buy assets.

To have a good system to retrieve images as most are not available during clinic
sessions

To develop interest in research in the department.
60 | P a g e
DEPARTMENT
: OTORHINOLARYNGOLOGY
HEAD OF DEPARTMENT
: MS. (DR) WONG CHUN YIING
INTRODUCTION
The Department of Otorhinolaryngology or commonly known as Ear, Nose &
Throat (ENT) Department is located at Room I on 1 st Floor of Specialist Clinic Block
in Sarawak General Hospital (SGH). The ENT Department is a state referral centre
for all cases of Ear, Nose & Throat problems. It includes specialised diagnostic,
curative and rehabilitative care.
SERVICES
1.
Diagnostic
2.
Curative
3.
Rehabilitative
Audiological assessment
Laboratory investigation
Radiological/imaging investigation
Polysomnography
Outpatient treatment
In patient Management & treatment
Surgical procedures
Speech Therapy
Audiological Therapy
Vertigo assistive therapy
Number of Staff in ENT Department
No
Post
Total
1
ENT Specialist UD54 /UD48/UD52
4
2
Medical Officer UD 41/UD44/UD48
7
3
Speech Therapist U48 /U44/ U41
4
4
Audiologist U44/U41
4
5
Assistant Medical Officer U42/U32/U29
4
61 | P a g e
ACHIEVEMENTS
Major Operation
No.
Year
Elective Operation
Emergency Operation
Total cases
1
2014
481
243
724
No.
Procedures done in ENT Clinic
Total
1
Minor Procedures
2335
NETWORKING
ENT services are extended to the following hospitals for the benefit of patients in
Sarawak:
No.
Hospital
Frequency of Visit
1
Lundu Hospital
Every 6 weeks
2
Sri Aman Hospital
Every 2 Months
3
Serian Hospital
Every 4 weeks
4
Bintulu Hospital
Every 4 weeks
62 | P a g e
OUTPATIENT STATISTIC FOR VISITING ENT SPECIALIST IN 2014
Ward Staffing
Nursing Nursing
Matron
U 36
Staff
Staff
Jururawat
Pembantu
Sister
Nurses
Nurses
Masyarakat
Perawatan
U32
U32
U29
U24(KUP)/U19
Kesihatan
(KUP)
1
1
3
(PPK)U12(KUP)/U3
8
4
4
Activities / workload of Otorhinolaryngology Ward 2014
WORKLOAD OTORHINOLARYNGOLOGY WARD 2014
34
103
2
4
ADMISSION
58 49
DISCHARGE
82
TRANSFER IN
TRANSFER OUT
910
DAMA
DEATH
VENTILATOR CARE
875
SLEEP STUDY
INCISION AND DRAINAGE
63 | P a g e
CONTINUOUS MEDICAL EDUCATION 2014
NO.
1
2
ACTIVITIES
ENT Update
Vertigo
Workshop
DATE
DURATION
28/8/2014-29/8/2014
2 days
29/11/2014
1 day
VENUE
Medical Faculty,
UNIMAS
Medical Faculty,
UNIMAS
There is insufficient number of beds to accommodate inpatients especially
during elective surgery days.
CONCLUSION
The year 2014 is a challenging year for the ENT department as there is an
increasing workload and lack of human resources. Nevertheless the commitment,
dedication and good team spirit from all staff in the department has continuously
contributed quality care to patients.
64 | P a g e
DEPARTMENT
: OPHTHALMOLOGY
HEAD OF DEPARTMENT
: DR. INTAN GUDOM
INTRODUCTION
Ophthalmology department consists of Ophthalmology Ward (14 bedded),
Ophthalmology
Day
Care
(in
a
small
cubicle
at
Ophthalmology Ward),
Ophthalmology Clinic located at 1st floor of Specialist Clinic, Ophthalmology
Operation Theatre (OT) located at the main Operation Theatre and Klinik Katarak
1Malaysia (KK1M) which provides mobile service.
THE OPHTHALMOLOGY WARD AND CLINIC
The Ophthalmology Ward (14 bedded) combines with ENT Ward (14 bedded)
and Haematology ward (12 bedded). One section of the ward is allocated for Day
Care surgery patients. The nurses cater for both in and day care patients. The
Ophthalmology clinic started operation in 1993. The clinic shared the same staffing
with the Ophthalmology Operation Theatre (OT) and Klinik Katarak 1Malaysia.
The department also provides sub specialty services such as the Paediatric
Ophthalmology Clinic, Cornea clinic, Medical Retina clinic and in-house Vitreo Retina
services.
There are two visiting specialists for the 2 mentioned services from
Hospital Kuala Lumpur on a two monthly basis and the later from Hospital Selayang.
The clinic schedule is from Monday to Friday. The surgery day schedule is from
Monday to Saturday. The clinic and surgery for Paediatric Ophthalmology is based
at Heart Centre, Sarawak General Hospital, Kota Samarahan.
STAFFING
U3/
U11
Ophthalmology Ward
Day Care Surgery
Ophthalmology Clinic
Ophthalmology
Operation Theatre
Klinik Katarak 1
Malaysia / Paediatric
Ophthalmology Clinic
3
3
U12/U12 U24
(KUP)
3
1
U19
U29/32 U32
(KUP)
4
14
2
5
(1U24)
11
3
U41
U36
Nil
4
4
65 | P a g e
1
OPHTHALMOLOGY WARD & DAYCARE WORKLOAD 2014
38
Admission
918
1,889
Discharge
931
96.68
34
23
688
0
Plan Discharge
Transfer In
Transfer Out
Absconded/DAMA
G/T Daycare
2,422
G/T Daycare Surgery
2,438
G/T Inpatient Surgery
BOR: 75.9%
WORKLOAD OPHTHALMOLOGY CLINIC & OT
35,000
33,257
30,000
25,000
20,000
15,000
10,000
4,801
3,277
5,000
380
33
1,100
0
Total Ophthal
Clinic
Attendance
Total Surgery
Major/Minor
Surgery
Total Peads
Total Peads
Ophthal Clinic Ophthal Surgery
Attendance
Total KK1M
Surgery
Total KK1M
Attendance
Total number of KK1M Screening and Surgery Done: 14 in 7 Hospitals
66 | P a g e
ACTIVITIES

Eye Health Screening: 16

Cataract Campaign with NGOs: 1

Number of Courses Organised: 2

International Eye Survey: 1,500 samples from 19 places (Performed in 2
months)

Courses attended by staff: All had achieved target of more than 7 days.
CHALLENGES AND ISSUES

Shortage of manpower due to increase in sub-speciality services.

Additional paramedics are required to assist the surgeon to reduce the pile up
of cataract cases and open up daily operation session.

Repair of equipment by Hospital support service is always delayed, inefficient
and cause interrupted service to the patient.

Overcrowded in clinic due to lack of space.

Budget constraint for the running of the activities in the department.
CONCLUSION
The year 2014 was a challenging period for all the staff because of new
activities being implemented in the department. With full cooperation and teamwork
from every staff, we were able to move forward and make it a success. However for
provision of better services, the Ophthalmology Department needs more allocations
of budget and human resources.
67 | P a g e
DEPARTMENT
: UROLOGY
HEAD OF DEPARTMENT
: MR. (DR) TEH GUAN CHOU
INTRODUCTION
Urology Department is a subspecialty under the directorate of Surgery that
provides services and treatment for patients suffering from Genito Urinary problems.
Since initiated in 1998, the Department of Urology serves as a referral centre for the
management of all issues related to Urology. It also provides services at the Heart
Centre, Sarawak General Hospital, Kota Samarahan.
SERVICES





Outpatient Department – Urology Clinic
Inpatient Department – Urology Ward
Day care Surgery
Main Operation
Referral Centre for other institutions.
ACHIEVEMENT
The Urology Department has successfully conducted 'Sarawak Urology
Update for Paramedic' on August 16, 2014 at the Heart Centre, Sarawak General
Hospital, Kota Samarahan. The response has been very encouraging with a total of
141 entries received. In addition, to ensure continuity of continuous education, the
department also sent personnel to participate in Continuous Medical Education
(CME), courses, training and seminars based on the eligibility and availability of
resources.
WORKLOAD
SERVICES
VENUE
UROLOGY CLINIC
NEW
REPEAT
MAIN OPERATION
DAYCARE SURGERY
ELECTIVE EMERGENCY
ELECTIVE EMERGENCY
PJHUS
243
776
0
0
37
1
HUS
970
6358
455
279
1003
84
TOTAL
1213
7134
455
279
1040
85
68 | P a g e
STATISTIC OF UROLOGY WARD
TOTAL
ADMISSION
672
DISCHARGE
781
TRANSFER IN
223
TRANSFER OUT
98
DISCHARGED AGAINST MEDICAL ADVICE (DAMA)
2
DEATH
3
TOTAL PATIENT DAYS
BED OCCUPANCY RATE
AVERAGE LENGTH OF STAY (DAYS)
NO
1
2
3
4
5
6
7
PROCEDURES
ESWL
UDS
UROFLOWMETRY
BLADDERSCAN
APG
REM OF NEPHROSTOMY UNDER I.I.
OTHERS
TOTAL
3273
115.57%
4
TOTAL CASE
563
40
1885
896
18
7
28
3437
The most critical issue at this moment is the absence of a specific ward for
Urology patients. Currently, the department occupies the old Surgical Extension
ward which are not conducive and not user friendly to our patients. In addition, the
lack of staff also affects the smooth running of the services.
CONCLUSION
In summary, the Urology Department has been trying to provide the best
service despite the heavy workload and limited resources. However, we will continue
to provide excellence services in order to ensure better quality treatment for our
patients.
69 | P a g e
DEPARTMENT
: PLASTIC AND RECONSTRUCTIVE SURGERY
HEAD OF DEPARTMENT : MR. (DR) JOHN RANJIT NESARAJ
INTRODUCTION
The Plastic and Reconstructive Surgery services were first started in the late
1980’s by a visiting surgeon from Hospital Kuala Lumpur and was followed by a
number of full time surgeons.
The Unit was then accorded independence as a
separate department in the late 2000’s, initially headed by Mr. Kueh Nai Siong.
The department provides tertiary services for the whole state of Sarawak as
there is only one resident Plastic & Reconstructive surgeon for the state and also
has the only Burn Ward in the state. The department currently is being headed by
Mr. John Ranjit who has been the full time Plastic & Reconstructive surgeon in
Sarawak General Hospital and covering all government hospitals in Sarawak since
late 2012.
There are 2 visiting surgeons, who each run 1 operating day and 1 clinic
session monthly. Currently, the department shares the outpatient clinics with the
Department of Orthopaedics and shares the general wards with the other surgical
departments.
The department utilizes 4 beds in each ward; Male Surgical Ward (MSW),
Female Surgical Ward (FSW) and Paediatric Surgery Ward (PSW), for elective
admission and also has the 10 bedded Burn Ward. The unit has 28 nursing and
allied staff and one consultant Plastic & Reconstructive surgeon with 1 Senior
Medical Officer- in charge of the Wound Care unit and 6 medical officers.
FUNCTIONS
Our main objective is to provide quality, holistic, caring and equitable Plastic &
Reconstructive services to the people of Sarawak. We also aim to train and educate
healthcare professionals in the functions and protocols of Plastic, Reconstructive and
Burns.
70 | P a g e
SERVICES
Inpatient care

High Dependency and Intensive perioperative care.

Pre and post operative care for surgical patients

Day Care Services in the ward

Day Care surgery Services

Patient & Parents Education in Burns Prevention

Training for medical and nursing personnel

Networking with other hospitals of the state regarding patient care, referrals,
training and supply of specialised consumable items.

Burn Ward review of patient with burn injury to provide the continuity of care
after patient is discharged. Telephone consultation is also provided 24 hours a
day

Emergency and Elective surgery

Specialist Clinics twice a week
PLASTIC & RECONSTRUCTIVE SURGERY WORKLOAD
Ward
Admissions
MSW
FSW
PSW
106
101
116
Burn Ward
CRITERIA
2013
2014
Admission
162
177
Discharge
154
176
Transfer in
102
83
Transfer out
70
84
Total number of Plastic patients (Paediatric)
10
4
Total number of Plastic patients (Adult)
67
68
Total number of Burns patients (Paediatric)
89
83
Total number of Burns patients (Adult)
75
166
Children with B.S.A 1%-20%
77
78
Adult with B.S.A
56
69
1%-20%
71 | P a g e
Children with B.S.A > 20%
4
3
Adult with B.S.A > 20%
22
22
1,751
2,077
Ventilated in the ward
4
31
Number of death (in Burn Ward)
7
0
Number of death (in ICU, HUS)
6
10
Number of death (in Paed ICU, HUS)
2
0
Abscond
0
0
86.2 %
81.5 %
CRITERIA
2013
2014
Flame Burn
57
41
Hot Liquid
54
95
Chemical Burn
12
3
Electrical Burn
7
11
Out Patient
Bed Occupancy Rate (BOR)
CAUSES OF BURNS
General Ward – MSW, FSW, PSW
The inpatient workload is increasing slowly over the last few years with more
patients being referred from the districts for complex emergency and elective
surgery. A fair number of patients are managed in combination with other
departments and are also admitted under various other departments such as
Orthopaedics, General Surgery, ENT and Oral Surgery.
Burn Unit
Total Paediatric Burns = 83
Total Adult Burns = 166
There has been a sharp increase in the number of patients treated with burns.
A significant number of them have been either inhalational and/or major burns
requiring ventilation. This has burdened the nursing care greatly but has been
assisted by the increased number of nurses available during the time of disaster.
72 | P a g e
Burn Ward Outpatient Services
Total in 2014 was 2077 attendances for burn dressing services, showing a sharp
increase by almost 25% from 2013.
NETWORKING
Sibu

Plastic & Reconstructive Surgery services covered by a visiting team from
West Malaysia.

SGH provides bimonthly initially and subsequently monthly visits for creation
of AV Fistula for the purposes of haemodialysis.
Miri

Plastic & Reconstructive Surgery services covered by a visiting surgeon from
West Malaysia.

SGH provides bimonthly visits for creation of AV Fistula for the purposes of
haemodialysis.
Bintulu

Monthly visits for Plastic & Reconstructive Surgery services as well as AV
Fistula creation.
Kapit

1 visit in September for Plastic & Reconstructive Surgery services as well as
AV Fistula creation.

A CME/CNE was held as well for Kapit Hospital and nearby Klinik Kesihatan
staff on Burn & Wound Care Management.
All major burns in the state are referred to SGH as well as all cases requiring
reconstruction.
73 | P a g e
OPERATIONS
The unit has 2 elective operating lists per week. Many times the elective lists
are utilised for emergency operations as well as the emergency theatres are too
busy. We also did combine cases-elective and emergency with other departments.
YEAR
STATUS
MINOR OT
MAIN OT
YEARLY
TOTAL
2014
ELECTIVE
139
340
479
EMERGENCY
7
227
234
ELECTIVE
122
331
453
EMERGENCY
8
226
234
ELECTIVE
102
249
351
EMERGENCY
10
93
103
2013
2012
CLINICS
Clinics are run twice a week by the specialist and 4-5 medical officers in 2
rooms. We do face a shortage of rooms but we try to keep the waiting times in
check.
Total Clinic days: 97
New Patients: 296
Total Patients seen: 2435
ACTIVITIES
There were many courses organised by the department either individually or
in collaboration with the Wound care Unit.
The 1st Plastic surgery Update was conducted in the LHDN Training centre over 3
days with a half day hands on suturing session. The number of attendees for the
Update was about 260 medical staff from all over the country.
An international wound care conference, Trans-Borneo Wound Conference,
officiated by Dr. Noor Hisham was organised by collaboration between the Wound
Care unit and Malaysian Society of Wound Care Professionals.
74 | P a g e
In November, there was a coal mine related disaster involving 33 victims.
This incident was quickly and efficiently handled by the staff of the hospital. 80
percent of the victims completed their treatment and were discharged well from the
hospital.
CONCLUSION
The year 2014 was a challenging year for the department with the routine
activities as well as the networking, the courses and also the Selantik disaster. We
hope that 2015 will be a great year for the department with more achievements. The
addition of a dedicated clinic and ward for Plastic & Reconstructive Surgery will allow
more effective care and focused treatment protocols.
75 | P a g e
DEPARTMENT
: EMERGENCY AND TRAUMA
HEAD OF DEPARTMENT
: DR. CHAN HIANG CHUAN
INTRODUCTION
Emergency Department, located at Level 1 of the Clinical Block at the eastern
side of Sarawak General Hospital was established as an integral part of the hospital
in 1970 and managed mainly by Medical Assistant. The activities that takes place
are; resuscitation, examination, treatment, observation, referral and admission.
Major evolution of the emergency department took place in 1993 where 9 staff
nurses were permanently posted to the department. In 1994, a general specialist
was posted to head the department and in 2003, the first Emergency Physician in
the State was posted to head the department. Subsequently, the department had
become a centre for referral and training for all other hospitals in Sarawak. Thus, the
department requires sufficient funding and human capital in order to provide quality
services to meet the expectation of customers.
WORKLOAD
2012
2013
2014
Attendances
107,300
102,867
98,838
Minor Procedures
10,598
10,639
9.871
One Stop Crisis Centre
308
339
385
Pre-Hospital Care
7207
8341
7542
-
-
8159
Medical Emergency Call Centre
(MECC)
76 | P a g e
ACTIVITIES
Date
Course
Attendance
Participant
28
AMO/Nurses
48
Post Basic A &E
Crash Course
05.03.14
in Adult
cardiac arrest
18 – 19.03.14
Basic Life
Support (BLS)
01 - 02.04.14
Basic ECG
32
AMO/Nurses
21 – 22.04.14
BLS
60
AMO/Nurses
35
AMO/Nurses
48
Post Basic A &E
18-19.06.14
24-25.06.14
Basic Trauma
Management
Basic Trauma
Management
25 – 26.08.14
BLS
65
AMO/Nurses
13 – 14.10.14
BLS
45
Post Basic A &E
50
AMO/Nurses
45
Post Basic A &E
Simulation of
04.11.14
Ebola
Management
10 – 11.12.14
07.12.14
Basic Trauma
Management
Airport
Disaster Drill
TOTAL
Venue
Convention
Centre, HUS
KSKB, Kuching
Convention
Centre, HUS
Convention
Centre, PJHUS
Convention
Centre, HUS
KSKB, Kuching
Convention
Centre, HUS
KSKB, Kuching
Convention
Centre, HUS
KSKB, Kuching
Kuching
50
AMO/Nurses
International
Airport
506
77 | P a g e
Two major incidents happened in 2014. There was a fire outbreak at the
partially completed Sarawak General Hospital Clinical Research Centre (CRC) block
and a coal mine explosion in Selantik, Pantu, Sri Aman which was the most
challenging task for the department.
Currently, there are only two call centres in Sarawak which are located in
Kuching and Miri Hospital for handling all incoming calls.
Infrastructure of the department was improved by installing electronic door
access system in yellow & red zones to strengthen security surveillances in order to
create a safe environment for the staff and patients.
CONCLUSION
The year 2014 was very challenging for the Emergency and Trauma
Department (ETD) as there was an increase of workload due to stranded patients as
a result of limited hospital beds. In addition, the department had to manage
suspected cases of Middle East Respiratory Syndrome Corona Virus (MERS-CoV)
and Ebola. Thus, the Call Centre was opened on a 24 hour basis. Infrastructure,
communication equipment and computerised system had been upgraded and further
improved while coordination in disaster management with other hospitals and
agencies still need to be strengthened.
78 | P a g e
DEPARTMENT
: ANAESTHESIOLOGY AND INTENSIVE CARE
HEAD OF DEPARTMENT : DR. NORZALINA BINTI ESA
INTRODUCTION
The Department of Anaesthesiology and Intensive Care has been established
since Dr Pillai first anaesthetized a patient in Sarawak in 1939. The service has since
expanding beyond anaesthesia to include cardiothoracic anaesthesiology and
perfusion services, anaesthesia and intensive care, resuscitation, acute and chronic
pain management, anaesthesia clinics, training and research.
WORKLOAD
79 | P a g e
No. of Anaesthetics administered according to techniques
2012
2013
2014
General Anaesthesia
8899
9752
9556
Spinal Anaesthesia
4378
4795
4586
Epidural Anaesthesia
20
11
26
Combined Spinal Epidural Anaesthesia (CSE)
197
183
302
Combined General & Regional Anaesthesia (CGRA)
110
71
187
Plexus Blockade
65
9
70
Others
79
72
93
TOTAL
13748
14893
14820
2012
2013
2014
Day care surgery
57
57
146
Day of surgery admissions
0
0
34
No. of Anaesthetics for Day Surgery
Paediatric Anaesthesia Services
General Anaesthesia (GA)
1405
Combined general and regional anaesthesia (CGRA)
136
Combined general and plexus blockade including blocks
176
MAC/ Sedation
39
TIVA/TCI
144
Spinal anaesthesia
3
TOTAL
1903
Post Anaesthetic Care Unit (PACU), Pain AND Anaesthetic Clinic Service
2012
2013
2014
Number of patients assessed in Anaesthetic Clinics
699
1260
2996
No. of patients in Post-Anaesthetic Care Unit
177
116
182
-
-
296
Total number patients seen in Pain Clinic
80 | P a g e
No. of cases under Acute Pain Service according to techniques
2012
2013
2014
Patient controlled Analgesia (IV)
1093
1319
1332
Epidural Analgesia
621
736
727
Intrathecal Opioid
11
31
231
Nerve / PlexusBlock / Infusion
0
0
3
S/C morphine
14
4
13
Morphine Infusion
-
266
295
Oral strong opioids (e.g morphine / oxycodone)*
-
-
672
77
237
-
1816
2593
3273
2012
2013
2014
32
71
238
Others
Total
Obstetric Analgesia Service
Epidural analgesia for labour
Intensive Care Service
2012
2013
2014
No. of admissions
896
1060
1223
Patient days
4201
4468
4352
125.85%
101.04%
107.6%
Bed occupancy rate
ACTIVITIES

Advance Diploma in Intensive Care Nursing has been conducted as replacement
of Post Basic training for Intensive Care Nursing.

Basic Life Support was conducted twice, while the Advanced Life Support was
conducted thrice and Acute Pain Service Courses were conducted 4 times in
2014.
81 | P a g e

With the help of Special Interest Group in Obstetric Anaesthesia, the Borneo
Obstetric Anaesthesia Symposium was held on 17-18 May 2014 comprising
participants from Sabah and Sarawak.

National Anaesthesia Day was celebrated on 16/10/2014 and an exhibition was
held in Sarawak General Hospital (SGH).
The number of doctors and paramedics should be increased to meet the
demands of complexity of cases nowadays. The number of subspecialties in surgical
field and new surgeons has been increased exponentially but not for anaesthetic
specialists, operating room nurses, attendants and assistant medical officers; hence
the constant struggle of coping with demand for extra operating time from the
surgeons and backlog of emergency surgeries still exist.
Inadequacy of intensive care services and staff to cater for expansion of
services contributes to the increasing number of patients ventilated in general wards
which invariably reduced the care for the critically ill patients.
The need of providing anaesthesia services for minor procedures and
radiological procedures outside operating room has also increased. This is faced
with poor infrastructure and facilities as in Magnetic Resonance Imaging (MRI) suite
where proper monitoring of patients is difficult. Since service is much needed, it must
be continued until facilities and equipment are progressively upgraded to ideal
standard.
CONCLUSION
It has been a fruitful year with increased workload and services provided. For
better and safer patient care services, upgrading of current facilities with more
operating rooms and more trained personnel are needed in view of the higher
demand for intensive care services and more operating hours to reduce the waiting
time for emergency surgeries.
82 | P a g e
WOMEN A ND
CHILDREN SERV ICES
DIRECTORA TE
83 | P a g e
DEPARTMENT
: OBSTETRIC AND GYNAECOLOGY
HEAD OF DEPARTMENT
: DR. HARRIS NJOO SUHARJONO
INTRODUCTION
The O&G department is one of the busiest departments in terms of hospital
admissions. It functions as the specialist hospital for Kuching, Samarahan, Serian,
Sri Aman and Betong divisions. It is also the referral tertiary centre for Sarawak.
There are a total of 5 wards with a total bed capacity of 169 (10 unofficial beds).
SERVICES
The department provides a wide spectrum of in and outpatient clinical
services and it includes subspecialty services such as maternal-fetal, gynaeoncology and reproductive medicine. Inpatient services include providing minimally
invasive and robotics assisted gynaecological surgeries. Outpatient services
includes one stop colposcopy clinic, diagnostic hysteroscopy clinic, antenatal
diabetic clinic, pre-pregnancy care clinic, family planning clinic, combine antenatal
clinic, obstetric day care clinic and Early Pregnancy Assessment Unit (EPAU).
In 2014, the department had made a conscious effort to be more ‘Mother
Friendly’ and as part of this had started regular ‘antenatal classes’. The department
had also started the ‘Sarawak Obstetrics Retrieval Service’.
STATISTIC: Workload for overall O&G unit
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Parameters
Admission
Discharge
Total delivery
Lower Segment Caesarean Section (LSCS)
Elective LCSC
Emergency LSCS
Total births (includes multiple pregnancies)
Abortion cases & abnormal pregnancy in Gynae ward.
Total patient in EPAU and Day Clinic
Workload in EPAU and Day Clinic
Admission to Gynae ward
Discharge from Gynae ward
Major operation in Gynae ward
Minor operation in Gynae ward
Workload
14,446
14,401
11,868
2,959
768
2,191
11,970
745
8,082
32,421
2,997
3,030
660
781
84 | P a g e
ACTIVITIES

Sarawak Advance Life Support in Obstetrics (SALSO) courses and O&G
Update for doctors, nursing staff and midwifery students.

Cancer Cervix Awareness course at Convention Centre, SGH.

20 hours Breast Feeding Hospital Initiative (BFHI) course for hospital and
clinic staff at Convention Centre, SGH.

Basic, Advance & Gynae Ultrasound Courses

Clinical Audit, Continuous Medical Education (CME) and Continuous Nursing
Education (CNE)

Social activities: Nurses Night Dinner, Farewell gathering for outgoing staff

Family planning counselling done by nurses, doctors and staff from the Family
Planning Association.

Talk on breast feeding by the Lactation Nurse.

Pre Pregnancy Care (PPC) report to be submitted to JKNS every 3 monthly.

Health education on treatment and care for postnatal mothers.

Health education for antenatal mothers especially high risk cases such as
Gestational Diabetes Mellitus, Pregnancy Induced Hypertension, Placenta
Previa and Premature Labour.

Other courses; Basic suturing and Cardiotocography (CTG) workshop.
85 | P a g e
The limitation of space, resources and manpower remains to be our main
challenges. The Bed Occupancy Rate (BOR) ranges between 100-110%. The scope
of services and workload had shown a gradual increase over the years and we
continuously look for innovative solutions to overcome these challenges.
CONCLUSION
The department has successfully provided customer friendly quality care in
2014 despite the challenges. This is shown in our clinical statistics and Ministry of
Health Malaysia (MOH) performance related indicators.
86 | P a g e
DEPARTMENT
: PAEDIATRIC
HEAD OF DEPARTMENT
: DR. CHAN LEE GAIK
INTRODUCTION
The Paediatric Department, Sarawak General Hospital comprises 6 children
wards namely, Paediatric Oncology (Paed 2A), General Paediatrics (Paed Medical
2B & 3A), Paediatric Intensive Care Unit (PICU), Level 1 Care Nursery and Neonatal
Unit. All wards except the Neonatal Unit, Level 1 Care Nursery and PICU have 28
beds with a small individual play room and bedside couches for the guardians.
Neonatal Unit consists of 40 Special Care beds, 24 bedded Neonatal Intensive Care
Unit (NICU) including 4 Isolation beds. There are 10 PICU beds and 6 beds for Level
1 Care Nursery.
The Department of Paediatrics has expanded from 89 beds to 164 beds over
the past 2 decades. The Department of Paediatrics initially started as 2 General
Paediatric Wards with total of 54 beds and a Neonatal Unit of 35 beds in the main
tower block. In 2002, the General Paediatric wards were moved to New Inpatient
block. Neonatal unit was temporarily decanted to old A&E when main tower block
underwent refurbishment from April 2003 till end of 2010.The new Neonatal Unit has
been fully operating since October 2010. The dedicated Paediatric Intensive Care
Unit was established in 2012 when the Cardiac Unit vacated to PJHUS.
OBJECTIVE
To provide quality care incorporating aspects of promotive, preventive,
diagnostic, curative and rehabilitative care which is child and family friendly to all
children up to 12 years of age.
SERVICES PROVIDED
Paediatric Outpatient Services
Paediatric Specialist Clinic is located on ground floor of Specialist Clinic Block.
Clinic schedule is shown in the table below:-
87 | P a g e
Table 1: Paediatric Clinic Schedule
DAYS
TYPE OF CLINIC
TIME
Monday
Neurology/ Rehabilitation
1400-1700
Tuesday
Metabolic/ Endocrine( 2nd and 3rd week)
0900-1300
HIV clinic
Wednesday
Thursday
Friday
Oncology & Thalassaemia
0800-1300
General Paediatrics
1400-1500
CBR (Petra Jaya clinic)
0900-1300
Thalassaemia (Day care)
1400-1700
Premature Baby clinic
1400-1700
General Paediatrics
1400-1700
Paediatric Inpatient Services

Paediatric Medical 2A provides mainly Paediatric oncology services

Paediatric Medical 2B caters for general paediatric patients

Paediatric Medical 3A caters for mainly infectious diseases that needed
isolation and general Paediatrics including medico-legal cases e.g. non
accidental injury.

Neonatal Unit provides intensive care services to newborns delivered in the
hospital as well as babies delivered outside the hospital.

Paediatric Intensive Care Unit caters for critically ill children.

Level 1 Care Nursery functions as step down care for Neonatal Unit.
Day Care Services
A common Day Care centre for all Paediatric Medical patients started on 6
February 2006. The centre is located at Paediatric Oncology (Paed 2A Ward).
88 | P a g e
WORKLOAD
Figure 1: Admissions, discharges, deaths from year 2011-2014
12000
10673
10000
10677
8948
10673
2012
8000
2013
10677
10822
6000
10810
6415
2014
4000
129
2000
142
135
0
ADMISSIONS DISCHARGES
DEATHS
DAY CARE
Figure2: Paediatric Specialist Clinic workload 2010-2014
12000
10000
No of patients
8000
new cases
6000
no of follow ups
total no.of outpatients
4000
2000
0
2010
2011
2012
2013
2014
Year
89 | P a g e
ACTIVITIES
TRAINING
Year 2014 had been a very busy year for the department of Paediatrics in
terms of Paediatric teaching. Paediatric Clinical Block programme was conducted
almost all year round for the final year medical students from University Malaysia
Sarawak (UNIMAS). In addition, the department is also involved in the open system
of post-graduate training in Paediatrics, Family Medicine and Accident & Trauma
Medicine organised by the Ministry of Health in collaboration with other local
universities. Most of the clinical specialists in the department have been very
honoured to be appointed as programme supervisors and co-ordinators with the
local universities.
The department has been very active in organising Continuous Medical
Education (CME) activities at hospital and state level. The courses are Paediatric
Respiratory Care Update, Neonatal Resuscitation (19 times), Advanced Paediatric
Life Support, Paediatric Life Support and Master Preparatory Course. First mock
membership of the Royal College of Paediatric and Child Health (MRCPCH) clinical
examination was conducted to help trainees to familiarise with the examination
setting.
Understaffing has been identified as one of the major challenges in patient
management, particularly in NICU. Currently, nurse to patient ratio is ranging from
1:2 to 1:4 which means that the recommended norm of 1:1 cannot be achieved. This
is a known contributing factor to several medical errors/mishaps that happened in the
unit recently and in the past. These are potentially avoidable and are worrying in
view of medico legal implication. Our greatest concern is that these factors had or
may result in unnecessary harm, worst still can cause loss of life to patients. This is
strongly against our professional policies and practices. The understaffing situation is
further aggravated by the fact that the newborn babies are unlike adult. They are
fully dependent on the nursing staff as they are unable to communicate or complain.
Furthermore the patients are not accompanied by parents or guardians. Similarly,
from the staff welfare point of view, staff shortage has led to overworked staff, low
90 | P a g e
staff morale and many near misses, medication errors, medical mistakes and
increased nosocomial infections. Therefore appropriate number of staffing is crucial
for quality nursing care of patients for better outcome.
Overcrowding in the wards is another issue that can only be addressed with
additional new ward space to accommodate the escalating workload and expansion
of services.
CONCLUSION
Despite the financial and manpower constraints and limited resources, the
Department still manage to provide better services and standard of care, judging by
the low mortality rate for children below 5 years of age. The dedication and
commitments of the staff in the Paediatric Department has made all these possible.
Further improvement of mortality rates to reach that of developed countries could
only be achieved with sufficient manpower and financial resources.
91 | P a g e
DIA GNOSTIC A ND
CLINICA L SUPPORT
SERV ICES
DIRECTORA TE
92 | P a g e
DEPARTMENT
: PATHOLOGY
HEAD OF DEPARTMENT
: DR. JACQUELINE WONG OY LENG
INTRODUCTION
The Pathology Department started to operate on 9th September 1982 and
were managed by 193 personnel consisting of 14 Pathologists, 8 Medical Officers,
19 Scientific Officers, 130 Medical Laboratory Technologists and 19 Support Groups.
It is a reference laboratory for the state of Sarawak and a training facility for students
from Institutions of Higher Learning.
Pathology Department offers consultative and diagnostic services for
Biochemistry, Microbiology, Histopathology, Cytology and Haematology to the
specialists in the Sarawak General Hospital and all government hospitals in the
state.
WORKLOAD
4,000,000
3,500,000
3,000,000
2,500,000
2,000,000
1,500,000
1,000,000
500,000
0
3757481
3,341,730
2,635,218
2,763,259
718,162
650,201
2011
2012
workload
780,665
2013
no.of sample
886679
2014
ACTIVITIES
Pathology Day 2014 was officiated by Sarawak General Hospital Director Dr. Chin
Zin Hing on 5 November 2014.
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Pathology Night at Penview Hotel Kuching on 8 March 2014
Badminton Tournament for Pathology Department at Dewan Stakan Kuching in May 2014
Sarawak needs more local Pathologists to strengthen pathology services.
Currently there are 5 Sarawakians out of 14 Pathologists in the state, 12
Pathologists are stationed in Kuching, one in Miri and one in Sibu.
With the increasing number of workload and new services introduced on
Liquid Based Cytology (LBC); Pathology Department is still short of staff and
insufficient basic facilities, such as bench work and air condition. The department
itself is limited in space to accommodate staff, students, laboratory equipment and
room for processing specimens, which is done in a room stored with hazardous and
inflammable item. Other necessities, like parking lots are also limited.
CONCLUSION
Although it was a happening and hectic year, many events were held
including the upgrading of Pathology Department facilities, medical and non-medical
equipment to support Pathology services. Nonetheless, Pathology Department
managed to organise Pathology Night to strengthen relationship and unity of the
staff.
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DEPARTMENT : FORENSIC MEDICINE
HEAD OF UNIT : DR. NORLIZA BINTI IBRAHIM
INTRODUCTION
Forensic Medicine Department of Sarawak General Hospital at the beginning
of its establishment in 1969 was known as the morgue under the Department of
Pathology. In 1975, the morgue was moved out of the building in front of the
Emergency and Trauma Department to a separate building which was constructed
adjacent to the Radiotherapy Unit.
Forensic Medicine Department of Sarawak General Hospital was separated
from Department of Pathology on 11 April 2014. The purpose and goals of the
establishment of the Forensic Medicine Department of Sarawak General Hospital is
in line with the establishment of the National Institute of Forensic Medicine (IPFN),
which is to improve the quality of forensic medical services in the state of Sarawak.
ACTIVITIES
BITE MARK PHOTOGRAPHY WORKSHOP, 22 – 23 MAY 2014
95 | P a g e
ACHIEVEMENTS
Dead bodies management of Forensic Medicine Department,
Sarawak General Hospital in 2014
1800
1574
1600
1400
1200
1000
800
600
435
400
200
7
27
Total of referal cases to
specialist from other
hospital.
Total of dead bodies
lodging from private
hospital
0
Total In- patient cases
(Ward)
Total of out-patient
cases, DIC/BID
(ETD/Police)
Total of autopsy (monthly) done in Forensic Medicine Department,
Sarawak General Hospital in 2014
20
17
19
18
15
15
18
17
17
14
13
12
11
10
10
5
0
Jan
Feb
Mac
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
Total number of autopsy done in Forensic Medicine Department,
Sarawak General Hospital in 2014.
200
178
150
100
50
3
0
Total number of medicolegal autopsy
Total number of clinical autopsy
Number of sexual violence cases handled in 2014
90
80
70
60
50
40
30
20
10
0
83
12
1
Total number of raped cases
Total number of sodomised cases
Total number of Molested cases
96 | P a g e
Number of sexual violence cases handled in 2014
83
90
80
70
60
50
40
30
20
10
0
12
1
Total number of raped cases
Total number of sodomised cases
Total number of Molested cases

Lack of Assistant Medical Officers (AMO).

Lack of infrastructures and equipment. The histopathology laboratory facilities were
not well equipped with microscopes and grossing sets thus forcing us to rely on the
Pathology Department for specimen grossing and reading Histopathological
examination (HPE) slides.

Budget constraint affects all the management plans and development process of the
department. Any official duty such as attending court case or conducting autopsy at
district hospital by specialist may also be compromised or delayed.
CONCLUSION
Although recently established as a new department in the hospital, Forensic
Medicine Department has the capability to go further and strive for more excellence in the
future despite of all the problems and challenges faced since its existence. It is hoped that
this department will continue to progress and advance in the future in order to upgrade the
image of Forensic Medicine both state and at national level.
97 | P a g e
DEPARTMENT : BLOOD TRANSFUSION SERVICES
HEAD OF UNIT : DR. MOHAMMAD MASRIN BIN MD ZAHRIN
INTRODUCTION
Blood Transfusion Services Unit is located at two separate blocks, main
Pathology block which housed the Transfusion Laboratory and Immunohematology
Lab. The other remaining lab like Procurement, Production, Transfusion Microbiology
Laboratory and Quality Units are located at second floor of the old Medical
Assistant’s hostel block. It operates and functions as State and Hospital blood bank
under the Pathology Department, headed by a transfusion medicine specialist.
The staff comprises medical specialists, medical officers, assistant medical
officers, scientific officers, medical laboratory technologists, nurses, administrative
personnel, public relation officers, attendants and drivers.
SERVICES
Functions of Blood Centre
A.
Departmental Functions:
1. Blood supply services to government and private hospitals in the zone of
Kuching. The services comprise :
a. Blood procurement
b. Blood screening
c. Blood processing
d. Donor care activity
2. Diagnostic services in blood transfusion.
3. Consultative services in the various aspects of blood usage to the
specialists in the government and private hospitals in the state.
4. Provide training in blood transfusion for laboratory and clinical personnel.
B.
State Functions:
1. Plan and develop blood transfusion services in Sarawak.
2. Assist the National Blood Centre in formulating policies, guidelines, setting
of standards for blood transfusion services.
3. Maintain a National Registry of Rare Blood Groups.
98 | P a g e
4. State Referral Centre for 3 screening centre; Sibu Hospital, Miri Hospital
and Bintulu Hospital.
5. Training and research relating to Transfusion Medicine.
6. Coordinate budgets for the blood transfusion services.
7. Audit and monitor the use of blood and blood products, and conduct
economic and epidemiological evaluation from time to time.
ACHIEVEMENT
Workload and External Quality Assessment of Transfusion Medicine Unit
Total Blood Collection for 2014
Person
(a)
18000
16000
14000
12000
10000
8000
6000
4000
2000
0
Donor
New
Regular
2978
16588
b)
Chart (a) & (b): Total Blood Collection and Total Usage of Blood Components
for 2014
99 | P a g e
(c)
Performance (score)
National External Quality Assessment of Blood Bank
(NEQABB) 2014.
100
80
60
40
20
0
NEQABB
1
2
3
Cycle
International External Quality Assessment Program (RCPA)
2014
(d)
Perfomance (Score)
100
Individual Assessment Program
80
60
General Transfusion Program
40
20
0
1
2
3
4
5
6
Cycle
Chart (c) & (d): Performance of National and International External Quality
Assessment Program 2014
Conference Organised by Blood Transfusion Services Unit
From 14 to 15 August 2014, SGH Blood Transfusion Services Unit together
with National Blood Centre, Kuala Lumpur had organised a conference and
launching of the new Transfusion Practice Guidelines for Clinical and Laboratory
Personnel (4th edition). The launching was officiated by Dato’ Dr Hj Azman bin Abu
Bakar, Director of Medical Development, Division in the Ministry of Health. This
conference was a huge success with a total of 81 participants from 21 hospitals in
Sarawak and 17 transfusion specialists from 13 states in Malaysia and National
Blood Centre. It was supported by 2 of the formal Directors from National Blood
Centre; Dato’ Dr Rashidah Hassan and Dato’ Dr Yasmin Ayob.
100 | P a g e
The main objective of the conference was to give exposure to the participants
regarding the new and updated version of the transfusion guidelines. The latest
transfusion work flows were well presented by the speakers. All the invited speakers
were renowned transfusion specialists from various states in Malaysia. Participants
enjoyed the interactive discussions with the speakers throughout the conference and
were encouraged to give echo training to their respective hospitals.
Conference Organised by Blood Transfusion Services Unit National Blood Centre on
14-15 August 2014
Besides conference, we also organised national events in:
Event
Date
2nd National Transfusion Meeting
13 August 2014
Internal Audit by National Blood Centre
12 August 2014
Public Forum
20 June 2014
CONCLUSION
It was a happening and hectic year as many big events were held including
the upgrading of facilities, transportation, medical and non-medical equipment to
support National Plasma Fractionation Program.
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DEPARTMENT
: RADIOLOGY
HEAD OF DEPARTMENT
: DR. TAN SUZET
INTRODUCTION
This Diagnostic Imaging (Radiology) Main Department was transformed into a
new department (Kuching Refurbishment Plan) by September, 2009. This milestone
marked the conversion of dark room radiography to computed radiography and one
of the earliest department to practice quality computed radiography. We also run the
Pusat Jantung Hospital Umum Sarawak (PJHUS) Radiology Department which
supports Cardiology cardiac imaging, general radiography and limited Radiology
cases for Computerized Tomography (CT) and Magnetic Resonance Imaging (MRI).
SERVICES
Sarawak General Hospital: General radiography (3), MSCT 64 (1); FFDM +
stereotactic biopsy (1), Ultrasound (3), C-arm Fluoroscopy (1), Single plane
Angiography (1), MRI 1.5 Tesla (1), Bone Densitometry (1).
Pusat Jantung Hospital Umum Sarawak: General radiography (1), Dual
source CT(1), MRI 1.5 Tesla (1), ICL (1).
THE DEPARTMENT PROVIDES SERVICES IN 4 LOCATIONS:
i.
Main Department
a. Opening Hours: 8.00 am - 5.00 pm (Monday – Friday)
b. From 5.00 pm -9.00 pm, extended hours for in-patients general
radiography
ii.
24 hours 3 shifts Emergency & Trauma General Radiography
iii.
Dental Clinic: Dental Ortho-Pantomography CBCT
iv.
Pusat Jantung Hospital Umum Sarawak (PJHUS), Radiology Department
102 | P a g e
STATISTICS
Increasing overall trend especially in general radiography, CT, MRI, Angio,
Fluoro, Dexa and Mammography (MMG). The cases are more complex as SGH is
a tertiary level referral hospital.
SGH
PARTICULAR
PJ HUS
2011
2012
2013
2014
2011
2012
2013
2014
General
97501
106628
109330
107776
4364
6233
7900
8947
Ultrasound
22750
20098
19915
21832
0
0
6
0
CTSCAN
12257
13296
12065
14035
395
1366
1908
2349
MRI
2277
2475
2218
2601
196
735
912
897
MMG
1868
1461
1547
1623
0
0
0
0
1483
1566
1314
1236
0
0
0
0
Fluoro
1040
1180
1291
1475
0
0
0
0
Dental
881
1245
1175
1381
0
0
0
0
Angio
533
725
948
970
2381
2887
2926
3296
DEXA
279
361
530
744
0
0
0
0
IVU
138
98
75
11
0
0
0
0
141007
149133
150408
153684
4955
8334
10726
15489
Operation
Theatre
TOTAL
ACTIVITIES

Radiation Protection Course - 7 September, Islamic Centre, Kuching.
(hospital; state level)

CT Update for Sarawak

Radiology selected hospital staff survey (with Prof. Ng UMMC Biomedical
Imaging), August

Badminton Annual Department Affair 6 April at Stapok Badminton Hall

Zumba Fitness 1 August (3x per week after 5pm, seminar room, staff
instructor)

Weekly Thursday Radiographer CME Audits – as problem solving for
department practice

Introducing Staff Fitness (obesity) via installing in house treadmill, fitness talks
etc.
103 | P a g e
ACHIEVEMENTS

Dr Phyllis Ho (trainee) won 2nd Prize Poster at TB National Conference, KL.

Dr Sidney Ong (trainee) won 2nd Runner Up at Annual College of Radiology,
Penang.

Posters presentation at COR from our trainees with good participation
annually.

Lack of IT infrastructure support for department work process, i.e.; Radiology
Information System (RIS) is a major setback for department efficiency. We are
dependent on a 20 years old computer single interface system using outdated
DOS technology to do tracing and tracking of our special cases on CT & MRI.

Lack of PACs for image storage and retrieval function is another major
setback for the department for services and research purposes.

Lack of local Radiologists hamper our attempts to improve our services as the
West Malaysian radiologists prefer to go back after 1 year placement.

In adequate waiting area for the patients hamper patient comfort and increase
perception of waiting time.
CONCLUSION
Radiology Department is a robust, proactive department with most of the
radiologists being relatively junior and heavily dependent on teamwork from UNIMAS
including the Interventional Radiology services. Despite the lack of IT infrastructure,
we continue to produce and train the locals for state radiologist as it is recognised as
a potential training centre.
104 | P a g e
DEPARTMENT
: NUCLEAR MEDICINE
HEAD OF DEPARTMENT : DR. LAW CHIONG SOON
INTRODUCTION
Nuclear medicine is a specialised medical field that uses radio-pharmaceutical
to diagnose or treat diseases. It was first established under the auspices of the
Department of Radiotherapy and Oncology and later known as Nuclear Medicine
Department.
The department operates in three places, namely Sarawak General Hospital,
Sarawak General Hospital Heart Centre and Nuclear Medicine Treatment Centre &
Ward. It has two gamma cameras for scanning purposes, the Dual Head SPECT ECam Gamma Camera and Philips Forte Dual Head Nuclear Camera. Besides
radioiodine-131 treatment for thyroid diseases, the service expands to radioimmunotherapy (RIT) for treating non-Hodgkin's lymphoma (NHL) and also Selective
Internal Radiation Therapy (SIRT) for liver tumours.
FUNCTIONS

To provide professional and quality medical services to patients or clients
through teamwork and appropriate technology.

To equip all staffs of the department with knowledge and skills in order to
provide efficient, accurate and safe services.

To increase specialties and technical skills in the field of nuclear medicine
among staffs, through cooperation with foreign agencies such as International
Atomic Energy Agency (IAEA).

To improve and update facilities so as to enhance quality of services and
medical care.

To train doctors, paramedics, graduates and trainees in the fields related to
Nuclear Medicine.

To encourage research and audit team to maintain and improve service
quality.
105 | P a g e
ACTIVITIES
Trainings
Kursus Pemantapan
Perkhidmatan
Perubatan Nuklear
(17.1.14)
National Workshop
on Imaging in
Oncology (20 –
22.01.2014)
SPECT-CT Training
(26 – 27.02.2014)
Advanced Training
for Philips – Forte
Gamma Camera
(2.4.14 – 4.4.14)
Seminar on Nuclear
Medicine and
Radiation Protection
(17.5.14)
IRPA Regional
Congress, The 4th
Asian and Oceanic
Congress in
Radiation Protection
(12.05.14-16.05.14)
37th Scientific
Meeting on Medical
Imaging (24.05.2014)
Thyrocare Workshop
(07.06.2014)
Siemens Application
Training (19.06.2014)
Iodine I-131
Rituximab Workshop
(26.06.2014)
Head & Neck
Oncology Course
(29.06.2014)
Hybrid PET / CT
(30.06.2014 –
07.07.2014)
Organiser
Nuclear
Medicine
Dept. SGH
IAEA
Nuclear
Medicine
Dept. HKL
Nuclear
Medicine
Dept. SGH
Trainings
IAEA / RCA Regional Training
Course in Improving Nuclear
Cardiology Services (07 –
11.07.2014)
Seminar in Nuclear Medicine
(27 – 29.08.2014)
Nuclear Medicine
Dept. HSA
Radiation Protection In Daily
Practice Course (07.09.2014)
Radiology Dept.
SGH
10Th Allied Health Scientific
Conference Malaysia 2014
(09.09.2014 – 10.09.2014)
Organiser
IAEA Sri Lanka
KKM
USM Penang
Training on Dose Managements
of patients in Nuclear Medicine
(26.09.14-28.09.14)
SKS, KKM
IAEA
Borneo Nuclear Medicine
Course 2014 (09 – 10.10.2014)
Nuclear Medicine
Dept. SGH
Nuclear
Medicine
Dept. Hospital
Penang
Endocrine
Dept. HUS
Nuclear
Medicine
Dept. SGH
Update Physicist 2014
Radiology Radiotherapy and
Nuclear Medicine (9.10.1411.10.14)
SIR – Microspheres Workshop
(01 – 02.12.2014)
Seminar and Workshop Blood
Cell labelling with Suitable
Radio Isotopes (12 –
13.12.2014)
Training On Sirtex Spheres
(17.12.2014 – 18.12.2014)
IKN
Nuclear
Medicine
Dept. SGH
RTU HUS
Tokyo Japan
Hands on Training and
Workshop on SPECT QA testing
(19.12.14-21.12.14)
Attachments in Nuclear
Medicine Departments of other
hospitals
Nuclear Medicine
Dept. SGH
JPN IKN
Nuclear Medicine
Dept. SGH
Medical Physics
Sdn. Bhd.
106 | P a g e
ACHIEVEMENTS
SCANNING SERVICES
Bone - WBBS
- 3 Phase
Renal - DTPA
- DMSA
- MAG3
Cystography - direct
- indirect
Cardiac perfusion
(Myoview®, Sestamibi®)
MUGA - RBC tag
(Angiocis®)
Meckel's (Tc99m)
GOR (Sulfur colloid)*
Liver/spleen (Sulfur colloid)
Neuroblastoma (MIBG)
Gallium tumour
HIDA (Bridatec®)
Thyroid (Tc99m)
Thyroid (DMSA V)
WBC tag (Scintimun®)
Lung Shunting (MAA)*
Lung Perfusion (MAA)*
Bremsstrahlung (Yttrium-90)*
I-131 Rituximab Diagnostic*
I-131 Rituximab Treatment*
I-131 WBS
Parathyroid (Sestamibi®)
Sm-153*
RBC tag - GI bleed
(Angiocis®)
RBC tag - Liver (Angiocis®)
Thyroid uptake
Sentinel Node (Nanocoll®)
Dacryoscintigraphy
TREATMENTS
Yttrium-90 SIR Sphere
(SIRTEX)*
- follow-up
Sm-153*
I-131 Rituximab Diagnostic*
I-131 30mCi (Thyroid Ca)
I-131 Rituximab Treatment*
*New services established in 2014
I-131 - new case
I-131 Ablation (ward)
Scan Statistics from Year 2012 - Year 2014
2500
Number of scans
2000
1500
2012
2013
1000
2014
500
0
Bone Scans
Renal Scans
Special Scans
I-131 WBS
Total yearly
scans
107 | P a g e
Treatment Statistics for Year 2012-Year 2014
600
454
500
Number of Treatments
400
302
300
200
111
100
2012
21
6
1
6
7
0
2013
2014

Limited working space for development and difficulty to comply with Good
Clinical Practice.

Insufficient facilities for radiation protection purposes such as absence of
decay tank for iodine ward.

Poor condition of iodine ward due to aging building.

Insufficient number of nuclear pharmacist and medical officer.
CONCLUSION
Total number of imaging in 2014 were slightly increased compared to
previous years. Facilities were inadequate in SGH Heart Centre and the frequent
breakdown of the Philip gamma camera limited the scan cases. Despite that, the
services of the department expand to provide pioneering health care services to
meet patients’ needs.
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DEPARTMENT : RADIOTHERAPY, ONCOLOGY AND PALLIATIVE CARE
HEAD OF DEPARTMENT : DR. YU KONG LEONG
INTRODUCTION
The Radiotherapy and the Oncology Department is the only government
centre for referral and treatment of cancers in Sarawak as well as from hospital of
the neighboring countries in Borneo. The department comprises of Male Ward (38
beds), Female Ward (32 beds), Palliative Care (9 beds), Ambulatory Ward (30 beds),
clinic and Day Care Chemotherapy. The department has a full radiotherapy services
which includes external beam therapy (Linear Accelerator machine), intra- cavitary
remote after-loading brachytherapy machine (Microselectron), CT simulator,
conventional simulator and state of the art planning system for 2D, 3D and IMRT
treatment planning.
OBJECTIVES

To provide radical and palliative treatment to all cancer patients

To provide appropriate individual nursing care and palliative care services

To provide psycho-socio support to cancer patients in the form of support
groups

To provide pain control services for the terminally ill cancer patients
FUNCTIONS

Provides the best and advance radiotherapy planning and treatment with the
aims of achieving cure and pain relief

Provides nursing and palliative care and chemotherapy treatment

Provides training needs for nursing students

Provides counselling services for patients and families
SERVICES

Radiotherapy Treatment

Chemotherapy And Hormonal Therapy

Patient Care And Counselling

Oncology Nursing

Palliative Care
109 | P a g e
STAFFING
Radiotherapy and Oncology Department consist of staff holding the posts of
Radiation Oncologist, Medical Oncologist, Medical Officers, Medical Physicist,
Pharmacist, Medical Imaging Officer, Therapeutic Radiographer, Matrons, Nursing
Sisters, Staff Nurses, Jururawat Masyarakat (JM), and Pembantu Perawatan
Kesihatan (PPK).
STATISTIC
RADIOGRAPHER’S WORKLOAD
No.
Case
Total
1
New cases
1356
2
Daily Workload (Patient receiving external beam therapy)
25162
3
Brachytherapy (new Case)
(a) 2D Brachytherapy
(b) 3D Brachytherapy
158
10
Workload (Brachytherapy session)
(a) 2D Brachytherapy
(b) 3D Brachytherapy
467
29
5
Conventional Simulation
913
6
CT Simulation
443
7
Accessory Used
Beam Direction Shell (BDS)
Vac-Lok Immobilisation
246
30
8
Blood Irradiation (Pack)
7738
9
Treatment Technique
(a) Intensity Modulated Radiotherapy (IMRT)
(b) 3D Conformal Radiotherapy
(c) 2D
51
463
913
10
Verification For New 3DCRT And IMRT
(For First Day Treatment)
443
11
Electronic Portal Imaging (EPI)
325
4
110 | P a g e
CLINIC AND DAY CARE WORKLOAD
Activities
Male
Female
Total
New Cases
787
938
1725
Follow Up Cases
5859
8927
14786
New cases Chemotherapy
266
596
862
Follow Up Chemotherapy
2156
4099
6255
PHYSICIST WORKLOAD
No.
Case
Total
1
2D Brachytherapy Planning
158
2
2D External Beam Planning
913
3
3D Brachytherapy Planning
29
4
3DCRT Planning
463
5
IMRT Planning
51
6
Brachy Screening
146
7
TDF and Decay Calculation
209
8
Lantis Approval
2133
9
MU Calculation
1255
10
MLC Digitizing
9
11
Linac Output Chech
163
12
Treatment COF Verification
385
13
IMRT QC
45
14
Absolute Dose Calibration
8
15
Source Position
44
16
Source Strength
3
17
Film Badge Change
12
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RADIOTHERAPY WARD WORKLOAD
Wards
FRTU
MRTU
PCW
AMBU
TOTAL
Total admission
984
1271
167
201
2623
Total discharges
973
1278
202
229
2682
Death
87
79
13
0
179
BOR (Bed occupancy rate) %
79.40
79.21
72.08
62.79
74.15
Total patient days
9274
10986
2368
6876
29504
Average length of stay %
9.53
8.6
11.72
30.03
11
Chemotherapy
574
691
113
45
1423
Concurrent chemotherapy
153
57
48
360
618
Palliative care
596
687
71
0
1354
Pain control
127
572
62
161
922
Day care cases
132
283
2224
0
2639
High dose radiation
brachytherapy
168
0
0
0
168
ACTIVITIES AND ACHIEVEMENTS
1. Department Annual Dinner - 11.01.2014 at Kuching Park, Hotel
2. Hari Raya Aidil Fitri And Gawai Dayak Celebration - 15.08.2014 at RTU Clinic
3. Family day on 1 - 2.11.2014 at Palm Beach Hotel and Resort, Sematan
4. CNE Sessions were conducted every Wednesday at 2.15pm at own unit.
5. Bedside teaching, incidental teaching and case presentation.
6. Teaching and guiding students on attachment.
7. Two staff Nurses went for post basic Oncology Nursing in Johor and at
present we have 17 trained Oncology Nurses.
8. Six newly graduated Staff Nurses underwent Mentor-mentee Program.
9. Activities with NGOs – social outing for inpatients to places within Kuching.
CONCLUSION
Year 2014 has been quite an eventful year with various activities going on.
The department successfully secured a new replacement machine for radiotherapy
(Linear Accelerator) with the latest state of the art technology for advance
radiotherapy technique.
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DEPARTMENT : PHYSIOTHERAPY
HEAD OF UNIT : HAJI ISMAIL BIN DAMIT
INTRODUCTION
Physiotherapy Department started with the inpatient services in the late 60’s
and outpatient in 1975. Currently there are 16 established programmes listed as
below:
1) Musculoskeletal
9) Amputation Rehabilitation
2) Stroke Rehabilitation
10) Vestibular Programme
3) Hand Therapy
11) Sport Injury Programme
4) Women’s & Men’s Health
12) Lymph Oedema
5) Pulmonary Programme
13) Spinal Pain Programme
6) Obesity Programme
14) Spinal Cord Injury Rehabilitation
7) TBI Rehabilitation
15) UVL Therapy
8) Cardiac Rehabilitation
16) Geriatric Rehabilitation
ACHIEVEMENT
Discipline
General Medicine
Paediatric
Dermatology
Respiratory Medicine
General Surgery
Orthopaedic
Otolaryngology
Ophthalmology
Gynaecology
Obstetric
Radiotherapy & Oncology
Neurology
Neurosurgery
Nephrology
Urology
Cardiology
Cardiothoracic Surgery
Plastic & Reconstructive
Surgery
Anaesthesiology
Others
Total
Total Treatment
IPD
OPD
Total
40716
8262 48978
9171
81
9252
36
1748
1784
0
2381
2381
8616
69
8685
13594 73766 87360
297
1836
2133
4
0
4
484
1898
2382
127
51
178
585
611
1196
7218 11257 18475
11056
750 11806
0
631
631
0
268
268
6872
1070
7942
10745
333 11078
2472
0
Total Patient
IPD
OPD
Total
8133
1520
9653
2142
35
2177
0
1080
1080
0
509
509
2122
27
2149
3406 17055
20461
61
519
580
2
0
2
87
445
532
57
10
67
153
169
322
1689
2361
4050
2634
136
2770
0
134
134
0
57
57
1652
633
2285
2069
157
2226
2472
672
0
672
10381
0 10381
67
103
170
122441 105115 227556
2354
19
27252
0
20
24867
2354
39
52119
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ACTIVITIES
Continuous Professional Development
State Level Meeting: Physiotherapy Profession Technical Meeting on
29.08.2014 and Course: An Update in Physiotherapy Geriatric Management on 2728.08.2014
Physiotherapy Clinical Attachment
No
Attachment
Facilitator
Date
1
Stroke
Rehabilitation
En Gabriel Ong Hock Hee
11-26 April 2014
2
Spinal Pain
Management
En Ahmad Jamizi Alli
5-16 May 2014
3
Women’s & Men’s
Health
Pn Khairiah Sabang
5-16 May 2014
4
Cardiac
Rehabilitation
Pn Karen Tang Siew Lang
No
1
Overseas Attachment
Geriatric
Rehabilitation
Attachment
Janet Bong May Ing
11-22 August 2014
Date
17-28.11.2014
Hospital Khoo Teck
Phuat Alexandra
Health, Singapore
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STUDENT CLINICAL ATTACHMENT
No
1
2
Colleges
Total Student
41 (58%)
14 (20%)
MASTERSKILL
MAHSA
3
KSKB
11 (15%)
4
UITM
5 (7%)
TOTAL
71
WORLD PHYSIOTHERAPY DAY 19 September 2014
ISSUE AND CHALLENGES

To intensify the development of the Physiotherapy research activities

To acquire advance ICT technology for Sistem Maklumat Rawatan Pesakit
(SMRP) Heidi Structure Query Language (SQL) system.

To promote an excellent Physiotherapy centre for clinical training and
education.
CONCLUSION
In conclusion, the year 2014 has been a fruitful year as all activities and
programmes planned for the department were held successfully.
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DEPARTMENT
: OCCUPATIONAL THERAPY
HEAD OF UNIT : JALINA BINTI ISMAIL
INTRODUCTION
Occupational Therapy Unit started its services in mid-1980 for the physical
disabled clients only. Initially it was located at the old block where the Dietetic and
Serving unit are now operating. Occupational Therapy unit later moved to specialist
clinic in 1990’s. Thus, in order to provide better services, Occupational Therapist
initiated to improve their services by increasing the post of professional and
supporting grade.
SERVICES

In general, various standardised assessment and treatment tools are used to
develop, recover or maintain the daily living and work skills of physical, mental
or cognitive disorder to achieve optimum level of independence living skills.

Basically, the services are covering both inpatient and outpatient for physical
and psychiatric cases. As in psychiatric, the cases are normally referred for
Autism (Child Psychiatry) and Schizophrenia (Adult Psychiatry).
WORKLOAD
TOTAL NUMBER OF INPATIENTS
Number of Patients
1200
1000
800
600
400
200
0
JAN
FEB
MAC
APR
MAY
JUN
JULY
AUG
SEP
OKT
NOV
DIS
N/C
230
178
200
229
181
173
206
224
170
178
215
194
F/U
748
699
648
630
576
442
684
634
481
367
662
552
TOTAL
978
877
848
859
757
615
890
858
651
545
877
746
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Number of Patients
TOTAL NUMBER OF OUTPATIENTS
700
600
500
400
300
200
100
0
JAN
FEB
MAC
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DIS
N/C
56
52
65
74
52
62
68
65
57
49
55
103
F/U
381
433
434
520
446
418
349
458
551
449
519
516
TOTAL
437
485
499
594
498
480
417
523
608
498
574
619
TOTAL NUMBER OF TREATMENT IN 2014
DIS, 10187
JAN, 9244
FEB, 9204
NOV, 9077
OKT, 6412
MAC, 8419
SEP, 8263
APRIL, 9341
AUG, 8280
MAY, 8032
JULY, 10130 JUNE, 7667
ACTIVITIES
NO.
ACTIVITIES
DATE
PLACE
1.
‘Bayley Assessment
Course’
3-4 March
2014
Rajawali Hall,
Former JKNS
Building
2.
‘Up-Date In
Splinting’
20-21 Sept
2014
Auditorium PJHUS,
Samarahan
TARGET
GROUP
Sarawak
Occupational
Therapist (60
Participants)
Sarawak
Occupational
Therapist (60
Participants)
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2-3 Nov
2014
Auditorium PJHUS,
Samarahan
Sarawak
Occupational
Therapist (60
Participants)
4.
Montreal Cognitive
Assessment
(MOCA)
8 Oct 2014
Occupational
Therapy Unit, SGH
Occupational
Therapist
Kuching Zone
5.
Continuous Medical
Education (CME)
Program
3rd Week
Every Month
(Wednesday)
Occupational
Therapy Unit, SGH
Occupational
Therapist
Kuching Zone
6.
Friday CME
Occupational
Therapy In Cardiac
Rehab
21 Nov 2014
(Friday)
Convention Hall,
SGH
SGH Staff
7.
General Cleaning
Campaign
Mar and Nov
2014
Occupational
Therapy Unit, SGH
Unit Staff
8.
Meeting And
Briefing On Log
Book For Sarawak
Zone
5-15 Nov
2014
Kuching/ Sibu/
Bintulu/Miri Zone
3.
‘Up-Date In Activity
Analysis’
Sarawak
Occupational
Therapists

Replacing the existing machines or small treatment accessories that are
beyond repair was impossible due to budget constraint.

Both settings in SGH and PJHUS are facing problems of limited space due to
increasing number of staff and patients.

Increase in workload & expansion of services means increase in consumable
items for treating the patients. The yearly budget allocated for rehabilitation is
not sufficient thus, limiting the abilities to provide and maintain the services of
the unit.
CONCLUSION
In order to provide better services, the existing facilities need to be upgraded
and human capital development needs to be enhanced.
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DEPARTMENT : MEDICAL SOCIAL WORK
HEAD OF UNIT : NAOMI ANNE MASILAMANY
INTRODUCTION
The Medical Social Work Department was established on the 1 st of January
1960 vide Director of Medical Service Circular 1/1960. It was formerly known as the
Almoner Department and managed by expatriates. Only one Medical Social Worker
provided the Medical Social Work services for the whole hospital until 1996. Today
there are 9 Medical Social Workers in Sarawak General Hospital and 2 at the
Sarawak General Hospital Heart Centre.
SERVICES

Assist in enabling clients to return to the community once treatment
completed.

Emotional support to aid in treatment and enhance recovery.

Practical assistance to enable clients to achieve optimal functioning.

Home visits to observe and assess clients and family needs.

Encourage and assist the community in organizing community projects.
STATISTICS
A total number of 7,087 cases were attended to in 2014 at Sarawak General
Hospital and the SGH Heart Centre. Patients seen were from all disciplines within
the hospital setting. A total of 55 percent of the cases handled were from the
departments of Obstetrics, Radiotherapy / Oncology, Cardiothoracic, Orthopaedics
and Ophthalmology.
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ACTIVITIES
NO.
DATE
1. 10.04.14
2.
ACTIVITY
Celebrating World
Social Work Day
2014
Themed Social &
Economic Crisis –
Social Work
Solutions
11.04.14, State level
27.11.14 Medical Social
Work Management Meeting
1/2014 & 2/2014
PURPOSE
An event to acknowledge the profession and
provide recognition. It was officiated by the
State Medical Director and attended by 80
participants consisting of all Medical Social
Worker in Sarawak, nurses, multidisciplinary
team members and social work students from
UNIMAS.
Provides an opportunity for all Medical Social
Workers state wide to meet, discuss issues
and put forward their ideas towards
establishing a comprehensive, effective and
efficient service.
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3.
4.
5.
Visit to Children’s
Home Jabatan
Kebajikan
Masyarakat
28.11.14 Coloplast & Power
morning
Port Workshop
28.11.14 Dialog with
afternoon Baitulmal
12.04.15
6
29.11.14
7.
Monthly
Visit to Old Folks
Home - Home Of
Peace
Continuous
Professional
Development
The visit encompassed activities with the
children and a briefing by the home director to
better understand the service provided.
To have a better understanding on the use of
the items and their benefits to patients.
To enhance networking and have a better
understanding of the services provided which
will be of benefit to our clients.
An opportunity to network with an NGO facility
in the community. Contributions in kind were
given to the home as part of the visit.
Talks and discussion to gain knowledge and
share experience to enhance skills.
The constant challenges faced are manpower issues and resources. There is
an increasing demand for the service and although we have grown to 9 personnel at
Sarawak General Hospital since 1960, the number of Medical Social Workers is still
insufficient, especially when compared to the existing number of medical disciplines
and subspecialties. Acquiring non-medical equipment including office stationeries is
also an issue as the hospital is constantly grappling with financial constraint. The
office environment too is not ideal due to the roof frequently leaking and airconditioning units not functioning well.
CONCLUSION
In spite of the increasing workload and the challenges faced, the Medical
Social Work department functions very much as a team. Colleagues within the
department support each other and work as a team with other departments within
the hospital in providing the required services to the patients. This enables us all to
work through the challenges to ensure patients receive the necessary services.
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DEPARTMENT : PATIENT EDUCATION AND HEALTH PROMOTION
HEAD OF UNIT : JOSEPH LUKONG
INTRODUCTION
The World Health Organisation defines health education as comprising
consciously constructed opportunities for learning involving some form of
communication designed to improve health literacy including improving knowledge
and developing life skills which are conducive to individual and community health.
Hence, Health Promotion is the process of enabling people to increase control and to
improve their health. To reach a state of complete physical, mental and social wellbeing, individuals or group must be able to identify and to realise aspirations, to
satisfy needs, and to change or cope with the environment. Therefore, health
promotion is not just the responsibility of the health sector, but goes beyond healthy
life-styles to well being. (Ottawa Charter, WHO)
OBJECTIVE
To empower patients, family members and public to manage their own illness
by imparting health knowledge, specific skills and attitude, thus moving towards a
better quality of life.
MAIN FUNCTIONS AND ACTIVITIES

Provides individual patient education for Diabetes, Hypertension, Asthma and
Smokers.

Provides group education for patients with diabetes, hypertension, asthma
and renal failure.

Provides quit smoking clinic program.

Healthy lifestyle promotion through various health campaigns and health
screenings.

Organises courses and training which are related to patient education and
communication.

Provides diabetic education attachment for student and hospital staff
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ACHIEVEMENT
NUMBER OF PATIENT EDUCATION CLASSES
Name of Education Class
Total of Education Classes
Diabetes Class
40
Asthma Class
14
Hypertension Class
32
Obesity (Diabetes)
2
Quit Smoking Patient
2
NUMBER OF PATIENTS ATTENDED INDIVIDUAL EDUCATION
Name of Individual Education
Total of Patients
Diabetes Education
1,510
Asthma Education
52
Hypertension Education
305
Obesity (Diabetes Patient)
50
NUMBER OF PATIENTS ATTENDED THE QUIT SMOKING CLINIC PROGRAM
Numbers of Referral
Patients
115 patients
Number of attendances
58 patients
Successful Quit
Smoking
43 patients (74 %)
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NUMBER OF PATIENTS ATTENDED THE BEDSIDE TEACHING
Programme
Total of Patients
General Medicine, General Surgery, Obstetrics &
Gynaecology, Paediatric, Radiotherapy, Oncology &
Palliative care, Dietetic, Pharmacy and Physiotherapy.
7,680
NUMBER OF HEALTH PROMOTION ACTIVITIES
Activity
Scope / Topic
Healthy Life Styles Talk
13 topics - Healthy Lifestyles, Quit Smoking, Diabetes,
Cancer
Health Exhibition
12 topics
Health Screening
10 times
Posters and Pamphlets
2,450 pieces (250 posters/2200 pamphlets given out)
Courses
10 times (Insulin), 3 times Diabetes Camp and 1 times
Diabetes for Para Medic and 1 Quit Smoking for Staff.
Health Promotion Project
Info-cast Kenyalang Project and Diabetes Camp with
Sanofi-Aventis, Novo-Nordisk.
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PHOTO OF ACTIVITIES
Above:
Patient Education & Health Promotion Unit staff and Hospital Deputy Director
(Medical) Dr. Mohd. Asri B. Riffin leading the SGH staff for health screening during the
Health Campaign at Hospital Lobby.
ISSUES
Information Communication Technology (ICT) based health information
projects should be improved to allow patients to embrace global information on
health education. Therefore, knowledge know-how, facilities availability and
information sources at hospital should be user friendly for patients and family
members.
CONCLUSION
Patient education services should be expanded and incorporated into hospital
and state level programs in order to meet the demand of the health activities.
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DEPARTMENT : DIETETIC AND FOOD SERVICE
HEAD OF UNIT : CYRIL SIBON
INTRODUCTION
Department of Dietetic and Food Service started occupying the new
department building in October 2004. In June 2005 Centralise Plating System was
fully implemented for the entire ward in Sarawak General Hospital.
SERVICES
Food Services

Provide meals to inpatients, mothers accompanying child, doctors on call and
day-care.

Provide meals for operation theatre staff

Assist and monitor training for student majoring in catering.
Dietetic Services

Provide medical nutrition therapy to inpatient, outpatient and multidisciplinary
team.

Involve in patient education programme organised by Health Education Unit.

Provide nutritional talk to hospital staff and public.

Assist and monitor training for student majoring in dietetic.
WORKLOAD
Total Food Served Per Year 2014
FULL DIET
THERAPEUTIC DIET
1st class
1135
1725
3rd class
124040
111728
Children
34876
0
Mother Accompanying Child
44171
0
Doctor on Call
39170
0
Doctor OT
30623
0
Paramedic OT
30623
0
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Total Patient Seen Per Year 2014
IN PATIENT
OUT PATIENT
New Case
3445
732
Follow Up
1122
327
Total
4567
1059
ACHIEVEMENT
Food Service KPI 2014
VALID
CUMULATIVE
PERCENT
PERCENT
16.5
16.5
16.5
289
83.5
83.5
100.0
346
100.0
100.0
FREQUENCY
PERCENT
57
Not satisfied
Valid Satisfied
Total
Food Service key performance indicator achieved when the total of satisfied with
food served is above 80%.
Dietetic KPI 2014
Timely Response by Dietician to In-Patient Referrals
100.0
98.7
99.0
99.0
99.5
100.0
99.5
98.9
98.4
98.3
97.8
98.0
97.4
97.0
96.1
95.8
96.0
95.8
97.9
97.6
98.5
99.0
99.0
95.6
94.7
94.0
92.9
92.0
90.0
90.0
88.0
86.0
84.0
Jan
Feb
Mar
Apr
May
KPI 1: Urgent Cases, in 24 hours, Standard >90%
Jun
Jul
Aug
Sep
Oct
Nov
Dec
KPI 2: Non Urgent Cases, in 48 hours, Standard >95%
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ACTIVITIES

Continuous Dietetic Education (CDE) Sarawak 2014: New Trends in
Nutrition Care Process, 26-27 June 2014
The CDE has been organised for all the dieticians and catering officers
of Sarawak at Dewan Pesona, Sarawak General Hospital. A total of 26
participants from Sarawak attended this CDE which consists of 17 dieticians
and 9 catering officers.

Get Fit Challenge 2014, January - June 2014
Get Fit Challenge was successfully organised in collaboration with
Physiotherapy Department, Endocrine Department and Counselling Unit. The
program started with 28 selected participants (age below 40, BMI of 25kg/m2
and above), and ended with 18 participants. These 18 participants managed
to loss a total of 106 kg in 6 months, bringing their average BMI from 37
kg/m2 (obesity class II) to 30 kg/m2 (obesity class I).

Therapeutic Diet Course 2014, 20-22 May 2014
The Therapeutic Diet Course was organised for our cook from all
hospitals in Sarawak. The objective was to provide better understanding and
knowledge in preparing therapeutic diet for patients.
CONCLUSION
The department is commited to providing best nutrition care and better quality
of food served to patients.
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DEPARTMENT : MEDICAL RECORD
HEAD OF UNIT : NURMADZIAH BT ABDUL KHAN
INTRODUCTION
The Medical Record Department or synonymously referred to as Health
Information Management System (HIMS) is a dedicated custodian of patient medical
records and health information. In Sarawak General Hospital, the management of
patient medical records has long being in existence except that before September
1986 it was managed by paramedics who were assisted by Hospital Attendants.
Year 2014 marked the 28th year of service for the first batch of Assistant Medical
Records Officers who were the pioneers specially assigned to this scope of duties.
In 2011 a sub-section was set up at Sarawak General Hospital Heart Centre
(PJHUS) to manage the medical records in that facility. This sub-section is
administratively under the main Medical Records Department in Sarawak General
Hospital. This Unit also saw a change of leadership in 2014 with Pn. Nurmadziah Bt
Abdul Khan; Medical Records Officer (MRO) from the State Health Department
taking over from Medical Records Officer (MRO) Pn Diana Sofia Sta who was the
Head of Unit since 2006.
SERVICES
The Medical Records Department is responsible for monitoring, maintaining
and the safekeeping of patient medical records. It is also the center for managing
Patient Care statistics which covers the duties of data entry, collection, compilation,
archiving, dissemination and analysis. Related to its role as record keeper, it also
deals with the processing of medical report applications.
In November 2012, Casemix System was implemented in this hospital with
the Medical Records Department holding the key-role as clinical data managers.
Since March 2013, ten daily paid clerks were employed to assist in the data entry
task as the present workforce is obviously insufficient to cater for the heavy work
load. The whole year this Department was busy overcoming the backlog which
seemed to be unending and very similar to fighting a losing battle. However, a lot of
129 | P a g e
effort and strategies were drawn up to overcome loop holes, obstacles and
challenges. The Casemix Unit, Ministry Of Health trained staff of this hospital and
monitored progress of implementation on scheduled basis.
HUMAN RESOURCE MANAGEMENT
The Medical Record Unit still faces the problem of understaffing compared to
the standard norm with its counterparts of similar entity in other states.
Request for additional and new posts has never been omitted from its annual
agenda. Year 2013 was a fruitful year for this Unit with the allocation of 3 new clerks
(N17) and 2 Assistant Medical Records Officers (N27) each posted to HUS and
PHJUS.
To ensure all staff are competent, training and courses related to Medical
Records management are planned for them annually.
Courses and training are
normally organised by the Ministry Of Health or State Health Department. In house
briefing and training are also carried out annually.
ACTIVITIES
In 2014, the unit was allocated some funds under 30000 series for the
purchase of additional computers under the Casemix Program.
WORKLOAD
Annual workload for this unit is ever increasing as most of its roles are closely
related to patient care activities which are on the rise and becoming more complex.
With a workforce of far from the standard or ideal norm, staff has to work overtime to
overcome the workload.
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DEPARTMENT
: CLINICAL RESEARCH CENTRE
HEAD OF UNIT : DR. ALAN FONG YEAN YIP
INTRODUCTION
The Clinical Research Centre at Sarawak General Hospital (CRC SGH)
was the third CRC established by the Ministry of Health (MOH) as part of the CRC
network after the ones in Kuala Lumpur Hospital and Penang General Hospital. It
was established with the aim to foster closer clinical research and cooperation at
MOH hospitals in Malaysia by providing assistance in research proposals and
writing, research funding and grant applications. The CRC-SGH organises training
workshops in biostatistics and research methodology and good clinical practice and
assists in presentations at local and international scientific meetings. Following the
increase in international multicentre clinical trials, especially in the fields of
cardiovascular disease and oncology over the last five years, CRC-SGH improved its
facilities and support services to strengthen the tradition of medical and
epidemiological research in Sarawak.
HUMAN RESOURCE
Post
Name
Grade / Remarks
Head of Department Dr Alan Fong Yean Yip
JUSA C
Deputy Head
Dr Chew Lee Ping
JUSA C
Admin Manager
Sim Kian Tong
U42
Dr Wong Kung Yee
UD 48
Dr Diana Foo Hui Ping
UD44
Dr Tiong Xun Ting
UD44
Dr Kuan Pei Xuan
UD44
Dr Chin Wee Loon
UD43
Dr Yeo Leh Siang
UD44
Yanti Nasyuhana Sani
U48
Tiong Lee Len
U48
Melissa Lim Siaw Han
U44
King Teck Long
U41
Shirley Tan Siang Ning
U41
Medical Officer
Pharmacist
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IT Officer
Nursing Staff
Research Officer
Research Officer
(PSH) Grade Q41
Post by CRC
National
Eileen Yap Pin Pin
F41
Sister Rosnah Bt Morhidin
U32
Sister Puspa bt Hotton
U32 (KUP)
Salbiah bt Sindot
U41
Irene ak Gitek
U29
Hasni Adha binti Ibrahim
U29
Ruziah Binti Mat Sa’at
U29
Rita S Binti Muhamad Rizal
U29
Selma ak Jalin
U29
Paggie Wan
U29
Rural Saul
Nur Sara Shahira binti Abdullah
(Q41)
Fazalena bt Johari
U29
Jerry ak Gerunsin
Q41
Joanne Teo Li Mian
Q41
Lau Siau Ting
Q41
Life Care project
Q41
Research Officer
(Q41) Post by IMR
Abdull Rahmat bin Hj Abdullah Chik.
Pembantu Tadbir
Pembantu
Perawatan
Kesihatan (PPK)
Zuriah binti Sarkawi
N17
Rose ak Taim
U3
Jamaludin Bin Sukor
U3
Nurfaziela Binti Onet
New CRC Building project
Report from Hospital CRC Kuching
Refurbishment North/South Extension to Clinical Service Block and Clinical
Research Centre commenced on 15 January 2011 and original date of Practical
Completion on 14 April 2013. However, the date was later revised several times and
latest date given is 31st March 2014.
ACQUISITION OF SOME ASSETS
Clinical Research Centre Sarawak General Hospital was given an amount of
RM1,142,900.00 under project 94000 Developing Fund in 2014. This amount was
for the procurement of several highly precision instrument for the Bioanalytical
135 | P a g e
Laboratory at Heart Centre, Kota Samarahan. These instrument will be housed in the
new CRC building when completed.
The assets acquired from Development Expenditure Fund:
No
Item
Quantity
Amounts
1
Flow Cytometer - BD Biosciences
1 unit
289,500.00
2
DNA Extraction System - Qiacube Qiagen
1 unit
95,000.00
3
Microbalance 0.0001mg - Sartorius
1 unit
61,000.00
4
Vacuum Concentrator
1 unit
59,000.00
5
IT Server system (Full list of items in Appendix A)
1 system
44,029.00
6
Ultrapure water purification system
1 unit
38,000.00
7
Autoclave unit
1 unit
39,000.00
8
Defibrillator with pacing mode - Phillips
1 unit
39,680.00
9
Thermoguard temperature security system
1 unit
34,000.00
1 inno
39,900.00
10
Minus 80 degree celcius portable freezer capacity
25 litre
11
Minus 20 degree freezer - Thermo Scientific
1 unit
27,880.00
12
2-4 degree refrigerator - Techlab
1 unit
14,950.00
13
Electroporesis set
1 unit
14,000.00
14
Eppendorf pipette set
3 unit
10,000.00
15
Portable PA system
1 set
6,370.00
16
Ultrasonic Bath
1 unit
4,900.00
17
Escort Mini Temperature logger
2 units
4,970.00
18
SMT1500I; APC Smart-UPS 1500VA LCD
1 unit
2,680.00
19
PH Meter
1 unit
2,000.00
20
Right Power UPS 800VA Power Star Neo 800
10 units
1,850.00
21
Canon LIDE 110 Scanner
2 units
696.00
22
Bed for eary phase study -ICU Bed
4 unit
49,920.00
23
Manual Patient Bed
26 unit
113,100.00
24
Minus 20 degree fridge - Thermo Scientific
1 unit
27,880.00
25
Refrigerate Centrifuge
1 unit
44,950.00
26
Temperature logger system
1 unit
29,950.00
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TRAININGS
No.
1
Good Clinical Practice Certification
Workshop
2
Basic
Research
Methodology
&
Biostatistics
3
Intermediate
and
Advanced
Biostatistics
4
Date
Number of
Participants
5 – 7 March 2014
63
9 – 11 June 2014
34
11 – 13 June 2014
29
Courses/Workshops
20 – 21 August,
Questionnaire Validation workshop
2014
5
Introduction
to
Biostatistics
27 – 28 August,
and
Sample Size
6
2014
3 – 4 September
Intermediate Statistics workshop
2014
TOTAL
30
32
31
219
MRG and other Extramural grants received
P42/251/150100/00500 Total = RM323, 020.00
IIR PROJECTS with MRG grants issued to Sarawak General Hospital, Kuching
No.
NMRR Number
Principal Investigator
Amount (RM)
1
NMRR-12-27-10898
Dr Alan Fong Yean Yip
25,500.00
2
NMRR -13-30-14799
Dr Khiew Ning Zan
22,000.00
3
NMRR-13-603-16540
Tiong Lee Len
184,800.00
4
NMRR 12-82-10952
Dr Lawrence Anchah
50,835.00
5
NMRR-13-1404-18968
Dr Ooi Mong How
10,000.00
6
NMRR-14-481-20030
Andrew Gerald Tan Hua
23,000.00
Kiong
7
NMRR-14-416-20881
Jaime Chan Yoke May
2,500.00
8
NMRR-14-660-19774
Dr Chan Weng Ken
4,385.00
TOTAL
323,020.00
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SPECIAL EVENTS

6th Sarawak State Health Department Research Day
This event was successfully hosted by Clinical Research Centre Miri Hospital
on 12 to 13 August, 2014. A total of 128 abstracts were received from various
categories of which 77 were accepted for display or presentation.

8th National Conference for Clinical Research 2014
For the first time NCCR was held outside West Malaysia. Kuching CRC was
given the host the annual event at Hotel Four Points by Sheraton from 30
September to 2 October, 2014. A record of 533 delegates attended the
conference which brought over 30 speakers local and oversea to come to
Sarawak.

Research Camp at Borneo Highlands Resort
A Research Camp was organised by National Clinical Research Centre, in
collaboration with State Health Department targeting young researchers from
the state of Sarawak. It was held on 28 – 30 November 2014 at Borneo
Highland resort. 19 participants attended.
The three-day camp themed “Spread the Flame of Research” was aimed to
cultivate and motivate talents among them. Other objectives include increase
the research capacity in MOH as well as the number of meaningful research
projects. Also it aims to train the next generation of researchers.
One of the concerns is the human resources. Only the Clerk N17 is CRC post
by CRC National. The rest are borrowed from different unit of the hospital. All the Q
posts (Research Officer) are on daily paid basis and requiring approval from KKM
every 3 months.
CONCLUSION
We hope the new CRC building can be completed soon so that we can move
over into a permanent place and start our early phases of clinical trials which is long
overdue.
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MA NA GEMENT
DIRECTORA TE
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DEPARTMENT : QUALITY AND PATIENT SAFETY
HEAD OF UNIT : DR. NOR ZAMARI BINTI ISMAIL
INTRODUCTION
Quality Unit has been operating since 10 November 2003 with the strength of
only one nursing sister. In 2012, Quality Unit has been expanded and upgraded to
Quality Unit & Patient Safety in consistent with Ministry of Health (MOH) policy.
Currently the unit is led by the Deputy Director of Clinical I, two medical officers, a
nursing sister, a trained staff nurse and Pembantu Perawatan Kesihatan (PPK). The
unit has several main functions which include compiling and submitting monthly Key
Performance Indicator (KPI) / Hospital Performance Indicator for Accountability
(HPIA) data to State Health Department, performing KPI/HPIA audit, managing
Patient Safety Goals and Incident Reporting, and monitoring
Continuous
Professional Development (CPD) activities. The unit also assists in planning,
coordinating and monitoring Quality Assurance activities in various departments.
PERFORMANCE STATISTIC
KPI SIQ
Chart 1: SIQ for 6 monthly KPI from
July to December 2014
Others
13% (3)
Surgical
30% (7)
Medical
57% (13)
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HPIA Shortfall in Quality (SIQ)
Chart 2 : SIQ for 6 monthly HPIA from
July to December 2014
Internal Business
Process
13% (1)
Customer Focus
25% (2)
Employee
Satisfaction
25% (2)
Learning & Growth
25% (2)
Financial & Office
Management
12% (1)
0%
Environmental
Support
INCIDENT REPORTING FOR 2014
(CASES ARE TRIAGED BASED ON COLOR CODING)
Chart 3: Incident Report Cases for 2014
Others
17% (34)
Red
9% (17)
Yellow
34% (66)
Green
40% (78)
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CPD PERFORMANCE FOR 2014 (STANDARD: ≥ 75%)
Chart 3 : CPD Performance for 2014
5.4% (103)
7.9% (308)
11.1% (431)
78.3% (3039)
> 7 days
< 7 days
Absent
Unregistered
ACTIVITIES
HPIA Audit at Lundu Hospital May 2014
RCA Workshop & PSG Audit 24-25
November 2014
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QA PROJECTS 2014
Department /
Discipline
No.
Topic
1
Orthopaedic
Reducing the incidence of pin site infection
post skeletal traction application
2
Pharmacy
To reduce patients waiting time at Counter 3 in
OPD
3
CSSU
To reduce congestion at decontaminate space
and sterilization supply theatre
4
Main OT
High incidence of incomplete consent for
operation and blood transfusion
Staff Clinic
To reduce weight minimal 5% among selected
staff member with pre-obesity problems
through intensive program
5
Kumpulan Inovatif dan Kreatif (KIK) Competition
KIK Heart Group won the Innovation & Creativity Award for 2014 at state level and
participated at national level.
LEAN HEALTHCARE PROJECTS
Currently there are two projects, each from Medical Department and Emergency
Department which will be carried out in 2015.
Quality Unit are facing some difficulties especially concerning KPI / HPIA as
the indicator coordinators still do not fully understand the technical specifications
because these indicators are just recently introduced by KKM in July 2014. In order
to address this issue, Quality Unit will carry out more internal audit to ensure the data
collected is valid and the method of data collection is correct.
CONCLUSION
Patient safety is the cornerstone of high-quality health care. Therefore, the
need to work together as a team to ensure quality patient care is our top priority.
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DEPARTMENT : PUBLIC HEALTH
HEAD OF UNIT : CHAN TAK KIANG
INTRODUCTION
The Public Health Unit (PHU) in Sarawak General Hospital is under the
jurisdiction of the Hospital Director. The approval for the post of Senior Assistant
Environmental Health Officer (SAEHO) grade U32 in the year 2001 was
considered as the first step in establishing the PHU. He is directly responsible to
the Hospital Director in regards to administration, emoluments, yearly work plan
and annual performance report. In terms of technical aspects he is indirectly
subject to the Divisional Health Officer of Kuching Division and the Director of
Sarawak State Health Department.
He is responsible in planning, coordinating, performing surveillance and
implementing public health activities within the hospital compounds and other
premises under its jurisdiction.
Initially, the SAEHO is assisted by an Assistant Environmental Health Officer
(AEHO) grade U29 in the same year. Eventually, in the years from 2010 to 2011,
another two Assistant Environmental Health Officers (AEHO) grade U29 was
recruited to restructure the organization and cater for the increasing workload of
this unit in the hospital. In line with the increasing public awareness and the
commitment of civil service towards health related issues, an Environmental Health
Officer (EHO) grade U41 was delegated to lead and improvise the unit, by way of
higher level planning and optimization of productivity. Currently this unit comprise
of five officers (one EHO, one SAEHO, and three AEHO).
Among the regulated matters of enforcement carried out by this unit include
Infectious Disease Control, Vector Control, Food Safety and Quality, Occupational
Safety and Health, Enforcement (Food Act 1983, Prevention and Control of
Infectious Disease Act 1988, Tobacco Control Regulation 2004, Disease and
Destruction of Bearing Insect Act 1975, Occupational Health and Safety Act 1994),
Tobacco Control, besides other health related promotional activities.
144 | P a g e
ACTIVITIES
Fire Drill & Emergency Evacuation Training (26 November 2014)
-
To provide an orderly emergency response plan for all hospital occupants
(staffs, patients, & visitors)
-
To ensure all exit routes and emergency staircases are not obstructed and
can be used in an orderly manner during emergencies.
-
To ensure fast, organised and smooth evacuation during emergencies.
-
To test the working conditions and effectiveness of all fire and emergency
equipments for all buildings.
ACHIEVEMENTS
Infectious Disease Control Activity
Infectious Diseases Treated At Sarawak General Hospital
(Jan - Dec 2014)
65
70
No of Cases
60
62
50
50
40
30
30
22
20
10
14
12
0
2
1
0
0 0
2 2 0 0
7
0 0 0 0
0
7
0
2
0
Type of Diseases
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VECTOR CONTROL ACTIVITY
Year
Activity Control
2013
i.
Aedes survey in 3
construction sites (36
surveys)
Aedes mosquitoe control in
1. CRC construction
health facility
site
2. Day care facility
3. 3. Acute
psychiatric facility
ii. Dengue fever cases
surveillance in ward
100% reported
2014
Aedes survey in 1
construction site (10
surveys)
1. CRC construction site
100% reported
FOOD SAFETY AND QUALITY ACTIVITY
Year
Activity Control
2013
2014
15 inspections
19 inspections
ii. Food sampling
22 food samplings
49 food samplings
iii. Food complaint
4 complaints
None
i.
Food premises inspection
OCCUPATIONAL SAFETY AND HEALTH ACTIVITY
Year
Activity Control
Surveillance and control
activity for occupational
disease and injury cases
among healthcare workers
in hospital
Safety and Health
Committee Meeting (4
Meetings)
2013
2014
Notification (100%)
Notification (100%)
3 meetings (75%)
3 meetings (75%)
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Safety and Health
(Briefing/ Training)
13
5
Safety and Health Audit
13
21
698/972 (71.81%)
341/1017 (33.52%)
Hepatitis B screening
program among
healthcare workers
1247/3039 (41.03%)
2450/3039 (81%)
Tuberculosis screening
program among
healthcare workers
273 positive and 2
confirmed over 1000
tested
89 positive and none is
confirmed over 996 tested
Health screening program
ENFORCEMENT ACTIVITY
Year
Activity Control
2013
100 “No Smoking”
signage
ii. 370 compounds
iii. Quit Smoking Clinic
(82.35%)
i.
i.
Tobacco control
2014
i. 100 “No Smoking” signage
ii. 159 compounds
iii. Quit Smoking Clinic
(76.36%)
ii. Disease and Destruction
of Bearing Insect Act 1975
No compound
No compound
iii. Prevention and Control
Infectious Disease Act
1988
No compound
3 compounds
iv. Occupational Health and
Safety Act 1994
In-compliance
In-compliance
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
Lack of manpower
The unit is currently facing a huge barrier in performing its regulatory duties,
particularly in relation to vector control activities. With minimal staffing, the
shared workload however is burdensome in regards to the number of
hospitals to be covered, mainly Sarawak General Hospital and Heart Centre,
Sarawak General Hospital. Hence, one AEHO and two PHAs are required to
carry out the duties in order to ensure the health facilities in the hospitals are
free from Aedes mosquitoes.

Enforcement
The Public Health Unit has been facing a conflict of interest with some of the
hospital staff in terms of tobacco prohibition. Some of the staff were found to
be in transgression of the law which prohibits smoking within the vicinity of
hospitals. As is well known, hospitals are gazetted as a non-smoking area.
Hence, a sanction for strict disciplinary action should be implemented to
eliminate cases of staff smoking within hospital compounds.
CONCLUSION
The Public Health Unit plays an important role in the establishment of
Sarawak General Hospital to ensure comfortable, safe and conducive
environment for healthcare workers, patients, and visitors. However, better
enforcement strategy and high level support from the management are needed to
ensure optimum regulatory compliance relating to public health in Sarawak.
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ASSISTANT MEDICAL
OFFICER UNIT
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DEPARTMENT : ASSISTANT MEDICAL OFFICER
HEAD OF UNIT : NICHOLAS SAMUEL
INTRODUCTION
Assistant Medical Officer Unit is one of the service components under the
Hospital Administration. This unit plays a role in resource management, clinical
supervision and ensuring excellent, efficient and effective services rendered to
patients.
SERVICES

Ensuring services provided by the Assistant Medical Officers are conducted in
a professional, efficient and quality manner at all times.

Managing human resources with competent and optimize the number of
AMOs in a unit or department in accordance with the need of the service.

Planning and implementing training programs for Assistant Medical Officers
and effective Continuous Medical Education (CME).
Human Resource

Assistant Medical Officer recruitment

New post requirement (ABM)

Settlement / Resettlement of Assistant Medical Officers

Distribution of Assistant Medical Officers

Code of Conduct of Assistant Medical Officer
Administration

Regular supervisory meetings with the Assistant Medical Officers and
Hospital Management

Financial and Human Capital Allocation

Procurement and Assets
150 | P a g e
Clinical Supervision

Standard Operating Procedure (SOP issued by Board of Medical
Assistants by discipline) and CPG, Ministry of Health Malaysia

Clinical Documentation and Clinical Audit

Infection Control / Infection

Patient Safety
Compliance with Acts and Regulations

Compliance with Acts (Act 180-Medical Assistant Registration Act
(Registration) Act 1977)

Regulations set out is observed when performing daily work activities

Compliance with the Code of Ethics for Assistant Medical Officers

Compliance with Assistant Medical Officer approved Standard
Operating Procedure (SOP) of their respective areas of work
Training

Orientation for new staff

Training plan for staff

Coordinate training attended by staff

Providing training report

Provide training on Log Book and MyCPD application (on-line)
ACTIVITIES
NO.
ACTIVITIES
TARGET
ACHIEVEMENT
1.
Assistant Medical Officer Management Meeting
3
2
2.
Assistant Medical Officer Supervisor Meeting
12
10
3.
Continuous Medical Education and Training
23
16
151 | P a g e
ACHIEVEMENT OF 7 DAYS COURSE POLICY
No attend
< 7 days
No. of not
attending
any course
No.
Grade / Group
No. of staff
No. attend
> 7 days
1.
Professional and
Management (P & P)
13
13
0
0
2.
Support 1
(Grade17-40)
175
164
9
2
TOTAL
188
177
9
2
With the expansion of various fields of medicine toward specialization and
sub-specialization, the demand for the services of Assistant Medical Assistant is
increasing by days. Placement of Assistant Medical Officer becomes a great
challenge to the division in view of supply unable to meet demand especially in areas
of specialties. Limited available posts, manpower shortage and unfavourable
outcome of ABM application each year, truly contribute to this issue. Takers of PostBasic Course among Assistant Medical Officers are also relatively low which needs
to be reviewed and analyzed.
CONCLUSION
Despite the shortage of human resources in various specialized disciplines,
the Assistant Medical Officer Unit is trying their very best to accommodate its
personnel where the services of the Assistant Medical Officers are needed so as not
to compromise patients care services. Nevertheless the unit is striving hard to
acquire additional manpower and posts to accommodate the rising demand for the
services of the Assistant Medical Officers. It is our hope to see that the supply will be
able to meet the demand in the near future.
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NURSING UNIT
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DEPARTMENT : NURSING ADMINISTRATION
HEAD OF UNIT : MATRON SA-REAH BINTI WAHET
INTRODUCTION
The Nursing Unit forms a large portion of the workforce in Sarawak General
Hospital (SGH) providing efficient, effective and holistic nursing care to all patients
through interdisciplinary collaboration, continuing nursing education (CNE), research
studies, effective supervision of trainees and new staff, patients and the public
effective communication amongst staff, patient and public and ensuring safe practice
by all nurses.
The Nursing Head with grade U42 handles the major administrative functions of
the Nursing Services. There are 6 Nursing Directorates taking charge for different
activities in SGH namely Medical, Surgical, Women & Child Health, Anaesthesiology,
Emergency & Trauma and SGH Cardiac Centre.
SERVICES
MEDICAL AND CLINICAL SUPPORT SERVICES
1
Male and Female Medical Wards
2
VVIP/VIP, Medical 3 and 4 Wards
3
Medical Isolation Ward
4
Rehabilitation Ward
5
Respiratory Unit
6
Dermatology Unit
7
Haemodialysis Unit and CAPD
8
HIV/AIDS Counselling Unit
9
Infection Control Unit
10
Clinical Research Centre
11
Neurology Unit and Rheumatology unit
12
Haematology Ward and Medical Day Care Unit
154 | P a g e
13
Health Education Unit
14
Psychiatric Ward
15
Psychiatric Clinic and Day Care
16
Palliative and Ambulatory Wards
17
Male and Female Oncology Wards
18
Specialist Clinics
19
Central Sterile Supply Unit
WOMEN AND CHILD HEALTH
1
Labour Ward
2
Maternity Units I,2 and 3
3
Gynae Ward
4
Obstetric Day Care
5
SCN / Neonatal Intensive Care Unit
6
Level 1 Nursery
7
Paediatric Intensive Care Unit
8
Paediatric Medical
9
Paediatric Oncology and Day Care
10
Paediatric Isolation
SURGICAL
1
Male and Female Surgical Wards
2
Burn Unit
3
Male and Female Orthopaedic Wards
4
Neurosurgical Wards
5
Urology Ward
6
Orthopaedic RCBM Ward
7
Eye and ENT Wards
8
Eye Clinic
9
Paediatric High Dependency Unit
155 | P a g e
10
Paediatric Surgical Ward
11
Paediatric Orthopaedic Ward
12
Breast Care Unit
ANAESTHESIOLOGY AND QUALITY UNIT
1
Intensive Care Unit
2
Main Operation Theatre
3
Day Care Operation Theatre and Endoscopy Unit
4
Quality Unit
5
Trauma Operation Theatre
6
Maternity Operation Theatre
EMERGENCY AND TRAUMA
1
Emergency and Trauma Department (ETD)
SGH CARDIAC CENTRE
1
CRW Ward
2
Cardiothoracic Ward
3
CICU Ward
4
Paediatric Cardiology
5
Day Care and Specialists’ clinics
6
CRC
7
Cardiac Operation Theatre Unit
8
ICL
9
CCU Ward
10
Geriatric Ward
11
Haemodialysis unit
12
CSSU
156 | P a g e
WORKLOAD AND STATISTICS
TOTAL NUMBER OF NURSING STAFF
No
Post & Grade
Total Post
Post
Filled
Vacant
1
J U44
1
0
1
2
J U42
7
6
1
3
J U41
8
6
2
4
J U36
18
18
0
5
J U32
69
90
-21
6
J U29/32
1590
1325
265
7
JM U26
6
4
2
8
JM U24
19
18
1
9
JM U19/24
369
342
27
10
PJ U14
5
1
4
11
PJ U11/14
1
0
1
12
BIDAN U14
2
0
2
2095
1810
285
TOTAL
TOTAL NUMBER OF HOSPITAL ATTENDANT
No
Post & Grade
Total Post
Post
Filled
Vacant
1
PPK U14
7
1
6
2
PPK U12
33
26
7
3
PPK U3/12 (U11)
362
361
1
402
388
14
TOTAL
TOTAL NUMBER OF STUDENTS FROM KKM / IPTA / IPTS ATTACHED TO SGH
No
Name of KKM / IPTA / IPTS
Number of students
1
KSKB Kuching – Post Basic
149
2
KSKB Kuching
632
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3
KJM
141
4
PSL
49
5
UiTM
193
6
UNIMAS
182
7
ISYSTEMS
76
8
SEGI
58
9
ICATS
101
10
OUM
90
TOTAL
1671
TOTAL NUMBER OF NURSES ATTENDED CONTINUOUS NURSING
EDUCATION (CNE)
No
Month
Number of nurses
1
January
298
2
February
749
3
March
878
4
April
607
5
May
664
6
June
194
7
July
497
8
August
231
9
September
467
10
October
365
11
November
166
12
December
34
Total
5150
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STUDENT CLINICAL ATTACHMENT
No
IPTA / Hospital / IPTS
Total
Category
1
Timberland Medical Centre
3
Post Basic & SN
2
Kolej University Tunku Abdul Rahman
2
A Level Programme
3
Hospital Sibu
2
Staff Nurse
4
UiTM
1
Post Basic
5
Hospital Sri Aman
2
Staff Nurse
6
KSKB Johor
1
Tutor Perioperative
7
Taylor’s College
0
A Level Programme
8
Kolej Tuanku Ja’far
2
A Level programme
9
Sunway College
5
A Level programme
10
Concord College
1
A Level Programme
11
Dunman High School
1
A Level Programme
12
Borneo Medical Centre
1
Staff nurse
13
Normah Medical Specialist centre
3
A Level Programme
14
Hospital Bintulu
2
Staff Nurse
15
Methodist College Kuala Lumpur
1
A Level Programme
TOTAL
30
UPGRADING QUALITY ACTIVITIES PROGRAMME (QAP)
Various wards under the leadership of the ward matrons have embarked on QAP
Projects and are still ongoing.
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QUALITY AND INOVATIVE GROUP / KUMPULAN INOVASI DAN KREATIF (KIK)
A team from SGH named “KIK Heart” has won the first place in the KIK competition
organised by JKNS in 2014 and represented JKNS to present the project titled
“Memperkukuhkan Perkhidmatan Penjagaan Pesakit Geriatrik agar lebih sistematik di
Hospital Umum Sarawak” in Pahang.
RESEARCH
Nursing Division has actively involved in research and NS Lydia Lee has presented
her research in Miri with a title “Prevalence Associated Factors of Low Back Pain
among Nurses Working at Medical and Surgical Department of SGH”.
NATIONAL INDICATOR APPROACH
The Nursing Unit is studying the incidence of thrombophlebitis in patients receiving
intravenous therapy. Results: 0.1% - 0.4%, average 0.24% (standard not more than
0.5%)
INCIDENT REPORTING
Staffs are very active in monitoring all incidences as listed per format.

Clinical Skills Assessment
Nursing procedures are monitored and assessed by ward matrons and
nursing sisters at 2 monthly intervals using specific checklists.

Planned Discharge
The planned discharged of admitted patients is monitored monthly and
achieved 80 % - 85% while the standard set is not less than 75%.

Medication Safety Committee
The committee consists of area Matrons, Nursing Sisters and Pharmacists
who actively involved in collecting data and monitoring all incidences.

Internship Programme and Mentor – Mentee Programme Committee
This programme started in 2003. The committee consists of all Matrons and a
few nursing sisters. The internship program is a structured programme
designed to prepare newly graduated nurses to adapt themselves to their
roles as trained nurses.
160 | P a g e

Training of Hospital Attendants / Pembantu Perawatan Kesihatan (PPK)
Training of PPK for Tahap 1 for SGH and PPK from Serian Hospital and
Dental Office in Kota Samarahan was conducted by Nursing Unit in SGH.
CNE for the PPK is done fortnightly on Tuesday from 2:30 to 3:30 pm.
Shortage of staff is still a major problem. The day to day running of the
nursing services with the expansion of the clinical subspecialties namely
Rehabilitation, Urology, Respiratory, Neurology, Level 1 Nursery, Nuclear Medicine, ,
Neurosurgical ICU/HDU wards, Psychiatric ward
and Mobile Cataract Service
requires more nursing staff to carry out the additional activities in SGH. The vacant
posts are not fully filled.
Shortage of bed is another daily problem for accommodating medical,
surgical and orthopaedic patients admitted to SGH. To overcome this problem SGH
has to practice borderless bed management by admitting patients to other disciplines
to reduce congestions in the Emergency and Trauma Department.
CONCLUSION
Shortage of staff can be overcome if all the vacant posts are filled up.
Borderless bed management is impractical as male patients can be admitted to
female ward and vice versa and adult patients to paediatric ward.
This gives rise to confusion and embarrassment to patients who may feel
uncomfortable staying in inappropriate wards. Besides, it is inconvenient for health
care workers to manage unfamiliar cases in the wards. Problems in billing and
queries on the diagnosis of patients admitted to different disciplines also arise.
Medical record unit staff faces difficulties in identifying the relevant diagnosis in the
computer system. On top of that there is delay in contacting the doctors to manage
their patients in other wards.
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DEPARTMENT : INFECTION CONTROL
HEAD OF UNIT : MATRON MARY WILLIAM AGO
INTRODUCTION
Infection Control Unit, Sarawak General Hospital (SGH) was first set up on 28
July 1990. It was situated at the Paediatric ward of the old main tower block. A
registered staff nurse was appointed to run the infection control activities.
Presently, a total number of 5 infection control nurses (ICNs) have completed
post basic infection control training whereby 3 of them are stationed in SGH Heart
Centre and 2 in SGH itself. The ICNs are doing full time infection control activities.
They are also a member of the Hospital`s Infection Control Team. The ratio of ICNs
as recommended by the Ministry of Health Malaysia is 1:110. All ICNs took turn to
be on call on weekly basis. At present the unit is located at 1st floor old JKNS
building since 15 July 2013. The staffs of the unit comprise of 1 Nursing Matron, 1
Nursing Sister and 6 infections control nurses.
Function
The main function of the Infection Control unit is to support well-established
programme to prevent the transmission of Healthcare Associated Infections. It
integrates the safety and wellbeing of Healthcare providers/ workers, visitors as
well as patients and their families.
Main Objectives

To create a conducive and safe environment for patient care, staff, visitors,
others in the Hospital and society as a whole.

To promote action that is designed to limit the spread or to prevent the
occurrence of healthcare- associated infection / Hospital Acquired Infection at
acceptable cost.
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SERVICES

Monthly audit of hand hygiene for healthcare workers in all wards.

Briefing on infection control to new healthcare workers reporting for duty.

Organising training on infection control for healthcare workers.

Giving hepatitis B vaccination.

Doing National Point Prevalence Survey twice a year, in March and
September.

Surveillance on blood stream infection twice a year, whole month of March
and September.

Conduct training for infection control link nurses and link practitioner.

Distributing Personal Protective equipment to all wards.

Performing air sampling microbiology test for operation rooms at main
Operation Theatre (OT), Total Parenteral Nutrition (TPN) room of Pharmacy
department, single room for patient isolation at Paediatric Oncology ward and
new Forensic building.

Infection control environmental audit for all wards and units in SGH.

Hospital level Hand hygiene campaign.
ACHIEVEMENT
HAND HYGIENE COMPLIANCE
INFECTION CONTROL TRAINING
FOR STAFF (2014)
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ACTIVITIES
Infection control members of PKIAAK
Sabah, infection control HUS and
APSIC members involved with
organising 4th Borneo infection control
congress at Pullman Hotel Kuching
15 -16 May 2014.
Infection control dancers in conjunction
with 4th Borneo Infection Control
Congress 15 -16 May 2014 at Pullman
Hotel

During the suspected Ebola cases, the unit has mobilised the team to
supervise terminal cleaning procedure of ambulance used for transportation of
cases in Emergency & Trauma Department.

Creating policies and methods to combat the increasing number of patients
with Clostridium Difficile (C.Diff) infection in the ward.
CONCLUSION
Infection Control programme is one of the essential activities in the hospital. It
exists to ensure a safe and clean environment for the patients, visitors and hospital
staff. The year 2014 was challenging but provides a fruitful learning experience for all
ICNs.
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DEPARTMENT : CENTRAL STERILE SERVICES
HEAD OF UNIT : MATRON YEO SIAU LING
INTRODUCTION
Central Sterile Services Unit (CSSU) is a unit that processes and sterilizes
Medical & Surgical instruments. It was formally situated on the 1 st Floor East Wing
of the Main Block then moved to Level 2 of the Clinical Block in 2001. This unit
operates daily from 7am to 9pm including weekends and Public Holidays. The staffs
are on flexi-office hours to meet demand from OT, wards and clinics.
SERVICES
Services are rendered to 86 user departments which includes 3 Health Care
Centres.
STAFFING
Category
Staffing
2013
Transfer In
Transfer Out
Staffing
2014
Nursing Matron
1
1
Nursing Sister
1
1
Nursing Sister KUP
4
1- OT
15
2 -1newly
appoint
1 Med.3
Staff Nurse
U24 KUP
U19
2-1 Neonatal
unit
1 Pahang
2
14
PPK U14
1
PPK U12
4
PPK U12 KUP
9
PPK U3
21
Sterilizer Operator
9
TOTAL
5
81
15
2
1-KK Ngunggun
1 –KK Batu
Kawa
14
1 retired
0
4
2- 1 retired
1 KK Petra Jaya
1-ICU
1- PJHUS
6
7
22
1-PJHUS
9
7
80
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WORKLOAD
SERVICE WORKLOAD
No.
Type
Quantity
1.
Counter service (client)
23,849
2.
Counter service (Total items)
3.
Decontamination cycles
4.
Overall packing
5.
Loaner sets packing
6.
Sterilization cycles
15,044
7.
Sterilization on packed items
22,045
8.
Items lend to user department
240
1,945,727
17,642
1,808,267
551
YEARLY PACKING WORKLOAD
2000000
1800000
1600000
1400000
Soft Dressing
1200000
Instrument Set
1000000
Linen
Supplementary
800000
Total
600000
400000
200000
0
2010
2011
2012
2013
2014
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ACTIVITIES
Product user training on 11/2/2014
The ‘Wonder Girls’ of CSSU during the
Annual Dinner on 18/10/2014 @ Kuching
Park Hotel.
Portering service extended to OT started
10/3/2014
Participation from staff during the 1
million unit Purple Walk on 5/4/2014 @
LePark
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Current situation in the unit due to shortage of working chairs.

Shortage of working chairs
Request was made on 24/2/2014 and 5/9/2014 and discussed during the
Safety Committee meeting and still awaiting for approval.

Storage of raw materials
There is no proper storage room allocated for highly inflammable raw
materials. Currently, the bulky raw material carton boxes are placed at the
common pathway thus putting the staff at risk in case of fire.

Breakdown of washer disinfectors and Heat Sealer
There are 4 washer disinfectors but only 2 are fully operational for washing
and drying, 1 can only use for drying and the other 1 is completely
unserviceable. This causes delay in cleaning thus interferes with the service.
Out of 3 Heat Sealer machines in the unit, only 2 are functioning well.
Workload has increased tremendously and therefore replacement is essential.
CONCLUSION
CSSU plays an important role in the hospital infection control programme and
strives to be the centre of excellence in providing sterilization services for quality
patient care.
Staffs are given opportunities to undergo continuous training in order to
enhance their knowledge and skills pertaining to disinfection and sterilizing services.
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PHARMACY UNIT
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DEPARTMENT : PHARMACY
HEAD OF UNIT : MARTINA HU SIENG MING
INTRODUCTION
The Pharmacy department is manned by 216 staff holding the posts of
pharmacist, pharmacist assistant, administrative assistant and general worker. It is
subdivided into 5 functional sections consisting of Procurement & Supply, Inpatient
Pharmacy, Outpatient Pharmacy, Pharmacotherapy Section, Management &
Training, Sterile Preparation and Pharmacy at Pusat Jantung, Hospital Umum
Sarawak (PJHUS).
Pharmacy Department opens 24 hours daily since 2010 with an appropriate
number of staff to work under shift duty/schedule. Besides that, our department also
provides services such as Medication Therapy Adherence Clinic (MTAC) Services,
Methadone Dispensing and also a few value-added services (SPUB, UMP1M and
FEST).
EACH SECTION / UNIT IS LOCATED AT DIFFERENT LOCATIONS
SECTION/UNIT
LOCATION
Ambulatory/OPD Pharmacy
Ground floor, Specialist Block
Inpatient Pharmacy
Basement, Main Tower Block
Sterile Complex Section
Satellite I Pharmacy
Level 6, Main Tower Block
Satellite II Pharmacy
Ground Floor, Inpatient Block
Satellite III Pharmacy
Level 8, Main Tower Block
RTU Pharmacy
Ground Floor, RTU Block
Drug Information Service
Procurement and Supply
Pharmacy, PJHUS
PJHUS, Kota Samarahan
Pharmacotherapy Section
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ACHIEVEMENTS
OUTPATIENT PHARMACY
Year
Item
2012
2013
2014
Total number of prescriptions
323,447
332,964
344,494
Total number of items
867,207
901,530
936,700
2.68
2.71
2.72
Average number of items per prescription
Table 1 shows the number of items dispensed and number of prescriptions received
by Outpatient Pharmacy.
PATIENT EDUCATION PROGRAM
Year
Number of individual
counselling
2012
-
Number of
patients in group
counselling
-
Total number of
patients
counselled
3,596
2013
4,851
60
4,911
2014
4,949
64
4,982
Table 2 shows the number of patients counselled at Outpatient Pharmacy.
INPATIENT PHARMACY
Year
Item
2012
2013
2014
Total number of prescriptions
271,241
500,271
744,999
Total number of items
593,079
855,822
1,414,972
Average number of items per prescription
2.19
1.71
1.90
Table 3 shows the number of items dispensed and number of prescriptions received
by Inpatient Pharmacy. (Inpatient Pharmacy includes Main IPD, Satellite I, II, III and
RTU Pharmacy)
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PROCUREMENT AND SUPPLY
Drug
Non-Drug
Allocation
Expenditure
Allocation
Expenditure
RM 96,259,925.00
RM 94,854,155.40
13,506,325.00
13,078,023.92
Table 4 shows the total allocation and expenditure for drug and non-drug in 2014
THERAPEUTIC DRUG MONITORING (TDM)
Number of TDM Assay 2013 - 2014
Chart 1 shows the number of TDM assays prepared in 2013-2014
ACTIVITIES / PROGRAMS

Hari Farmasi Bersama Pelanggan
The Hari Farmasi Bersama Pelanggan was organised on 26 August 2014 with
an aim to create awareness among staff and public on the safe use of
medicine.
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
Pharmacy Continuous Professional Development (CPD) Program
Pharmacy Department had organised 10 CPD Programs / Workshops in year
2014 for all pharmacy staff in government hospitals and clinics in KuchingSamarahan zone. These sessions / workshops were to provide updates and
information for pharmacy staff.
i) Value-Added Service is one of the Key Performance Indicators for Minister of
Health. The target for 2015 will be 16,000 follow-up prescriptions through
Value-Added Service.
ii) Human resource constraint
Expansion of service is a challenge due to limited post for pharmacist as the
post had been allocated for trainees (Provisionally Registered Pharmacist)
CONCLUSION
Pharmacy Department is committed to continuously improve and expand its
services in line with the current healthcare development
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ADMINISTRATION
UNIT
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DEPARTMENT
: FINANCE
HEAD OF SECTION
: ELISA HELDA AK DOLLEN
INTRODUCTION
Finance section consists of Account Unit, Procurement and Development Unit
and Revenue Collection Unit.
MAIN FUNCTIONS

Manage allocations and expenditures

Ensure all payment are made within 14 days

Manage all procurements as per Treasury Instruction

Ensure all revenues are collected

Ensure all payments, procurement
and revenue collection comply with
current and existing Acts , regulations and guidelines

Assist and give advice to all staff on matters pertaining to finance.
STATISTIC ON PROGRAMMES AND ACTIVITIES
ACCOUNT UNIT
ANNUAL ALLOCATIONS
Total Amount (RM)
Type of Allocations
2012
2013
2014
352,001,888
430,223,797
541,454,656
Asset
1,081,288
67,783,531
11,557,721
Total
353,083,176
498,007,328
542,610,377
Operating
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ANNUAL EXPENDITURES
Total Amount (RM)
Type of Activities
2012
2013
2014
402,872,615
455,260,850
510,336,015
Asset
1,080,829
66,441,749
10,552,353
Total
403,953,444
521,702,599
520,888,368
Operating
Total amount allocated versus total expenditures from 2012 to 2014
600000000
500000000
400000000
300000000
Amount Allocated
200000000
Expenditures
100000000
0
2012
2013
2014
Procurement and Development Unit
Pie Chart: Number of Procurement (Quotation) for 2014
135
155
Bekalan/Perkhidmatan
Supply / Service
Farmasi
Pharmacy
3
Kerja
Work
185
Sebutharga
"B"
Quotation “B”
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REVENUE COLLECTION UNIT
Chart below shows report of revenue collections and report of Account
Receivable for Sarawak General Hospital for four (4) years from 2011 to 2014.
Revenue Collections
9,000,000.00
RM7,954,897.95
8,000,000.00
RM7,165,051.41
7,000,000.00
RM6,496,219.81
RM6,364,897.64
6,000,000.00
5,000,000.00
Revenue Collections
4,000,000.00
3,000,000.00
2,000,000.00
1,000,000.00
0.00
2011
2012
2013
2014
The department recorded its highest ever revenue collection of RM 7,954,897.95 in
year 2012.
Account Receivable
RM (million)
2,000,000.00
1,500,000.00
1,000,000.00
500,000.00
0.00
Warga
Malaysia
Malaysian
Warga
Asing
Foreigners
Total
Total
2011
2012
2013
2014
392,549.50
696,654.50
953,038.50
871,647.90
400,376
523,979
794,208
1,018,680.40
792,925.40
1,220,633.50
1,747,246.50
1,890,328.30
The department recorded its highest Account Receivable of RM 1,890,328.30 million
in year 2014.
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
Shortage of staff

Insufficient IT hardware (computers / printers)

Outdated billing system

Inadequate office tools

Equipment that are no longer compatible with the growing volume of work
CONCLUSION
Despite the increasing in programs, activities and shortage of staff, the overall
performance was remarkably good for the year 2014. The Finance Section will
continue to review and actively engage in continuous improvement activities in
particular on issues related to standard operating procedures in order to enhance
and upgrade the standard of service delivery.
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DEPARTMENT
: HUMAN RESOURCE
HEAD OF SECTION
: MASITAH BINTI ANNUAR
INTRODUCTION
Human Resource section is one of the sections under Sarawak General
Hospital Administration and Management, responsible in managing matters
pertaining to service and development of staff. This section is divided into three
units namely Service Unit, Training and Disciplinary Unit, HRMIS and Personnel
Unit.
STAFFING
No.
Position
No. Of Staff
1.
Administrative and Diplomatic Officer Grade M48
1
2.
Assistant Administrative Officer Grade 36
1
3.
1
4.
1
5.
Senior Administrative Assistant N26
2
6.
Senior Administrative Assistant N22
8
7.
Administrative Assistant N17
23
8.
Office Assistant
2
Total
39
SERVICES
With a total staff of 26, this unit is responsible for managing matters related to
services:

Processing documents for confirmation of appointment

Processing documents for confirmation of service

Processing documents for extension of probationary period
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
Processing documents for option on placement in the pensionable scheme or
EPF scheme

Processing documents for promotion, acting exercise and covering duty of staff

Updating records of staff leave

Processing documents for resignation and retirement of staff

Processing documents for the Annual Practicing Certificate (APC)

Managing Annual Performance Evaluation Report for the purpose of annual pay
increment and APC
DISCIPLINARY, HRMIS & PERSONNEL UNIT
The function of this unit is divided into three areas:

matters related to conduct and disciplinary of SGH staff

activities related to Human Resource Management Information System (HRMIS):

-
updating staff data through HRMIS
-
promoting and assisting in the usage of HRMIS among staff
staffing activities:
-
updating and maintaining staff records
-
managing the application for staffing
TRAINING UNIT
This unit is responsible for managing matters related to training and competency of
SGH staff:

Organising various courses and workshops

Processing applications for courses organised by other agencies

Processing applications for in-service examination and for “Program Transformasi
Minda”.

Processing application for both short and long term “in service training” at post
basic level and post graduate level.
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ACTIVITIES

Orientation for new staff.

Bengkel Budaya Kerja Cemerlang on 5 – 7 December 2014 at Permai Rainforest
Resort.

Kursus Peningkatan Jati Diri on 28 – 30 March 2014
at Kem Bina Negara
Sampadi, Lundu
ISO and 5S Workshop
Group Activity
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DEPARTMENT
: GENERAL ADMINISTRATION AND ASSET UNIT
HEAD OF SECTION
: FRISCHE KULEH ENGAN
INTRODUCTION
The General Administration and Asset Unit consist of three main units namely
Administration Unit, Asset and Store Unit and Registry Unit.
ADMINISTRATION UNIT
Functions
1. Supervising the ordering and acquisition of Diesel for Hospital boiler, plant room
usage.
2. Process application of approval for certain category Officers to obtain
reimbursement for Hand Phone claim.
3. Printing of Certificate for Hospital the staff those have attend the course
conducted by Hospital.
4. Monitoring the application for the usage of Hospital facilities such Convention
Hall, Meeting Hall and Hospital Lobby for exhibition
5. Process application for government loan for the staff such as Housing; computer
and vehicle.
6. Process supplying of Uniform cloth to Hospital Uniform Staff.
7. Process and entering into contract for Hospital Shop Lot and Premise renting.
ASSET AND STORE UNIT
The Asset and Store Unit is headed by a Diplomatic & Administration Officer Grade
M44, assisted by an executive officer Grade N32 together with 5 administration
assistants Grade N17, 3 daily paid administrative assistants and 2 general
assistants.
The objective of Asset and Store Unit in Sarawak General Hospital
(SGH) is to ensure that the management of movable assets and stock is in
accordance with the procedures and guidelines.
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ACTIVITIES
Board of Survey Workshop on 5 & 6 August 2014 at Dewan Pesona Sarawak
General Hospital
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Board of Survey Checking Session on 22nd April 2014 and 1st December 2014
REGISTRY UNIT
Registry unit is one of the units under General Administration of Sarawak General
Hospital (SGH) and covers Sarawak Heart Centre in Kota Samarahan. The unit is
under the responsibility of an Executive Officer Grade N27, three (3) Administrative
Assistants Grade N17 and five (5) Operation Assistants Grade N4 and N11
respectively. Currently, there are 4,796 personal files managed by the unit. The
services include:

Dealing with incoming and outgoing correspondence

Delivering of mails

Filing of documents
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DEPARTMENT
: INFORMATION TECHNOLOGY
HEAD OF UNIT
: YUSOF BIN BUJANG
INTRODUCTION
Information Technology Section is manned by three (3) Officers F44, two (2)
Officers F41, two (2) Senior Assistant Information System Officers F32, two (2)
Assistant Information System Officers F29, and three (3) technicians FT17.
OBJECTIVES

To assist SGH management in the short and long term strategic planning in
the usage of IT in order to achieve the management’s vision and mission.

To provide IT services towards computerisation of all departments to improve
the effectiveness, quality and productivity of the administration.
SERVICES

Provides
IT
technical
support
and
consultation
regarding
computer
specifications.

Ensuring network connections and all internal systems are functioning
properly.

Preventive and corrective maintenance of all system applications, software
and computer hardware.

Operates and ensures audio visual systems are functioning well when in used
during any activity.

Provides lending services of ICT equipments to all departments when needed.

Assist in internal system computerization development and networking.

Assist and monitor information technology related projects organised in the
hospital by State Health Department and other collaborating agencies.
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DEPARTMENT : COUNSELLING PSYCHOLOGY
HEAD OF UNIT : MOHD SYAFIQ DENSEN ABDULLAH
INTRODUCTION
Psychology Counselling Unit is one of the allied health support services in
Sarawak General Hospital (SGH). The function of the unit is to help staff in improving
their emotional health status through psychosocial intervention. The unit also
provides continuous and consistent help for individuals to identify his or her
potentials towards changes relating to behaviour, feelings and thinking. Besides
providing services to patients referred by doctors from wards and clinics, services
are also extended to all staff and departments in SGH.
SERVICES

Clinical Counselling
(Children Counselling, Teenager Counselling, Individual Counselling, Family
Counselling, Group Counselling, HIV/AIDS Counselling, Crisis Interventions
Marriage Counselling, Motivations and Psychology / Psychometric Test)

Interventions Counselling
(AKRAB Course, Mentoring Course, Identity Course and Happy Family
Course)

Crisis Counselling
(Financial
Management
Course,
Stress
Management
Course,
Anger
Management Course, Motivation and Self-Esteem Courses)

Career Development
(Basic Skills, Career and Psychology and Psychometric Test)
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ACTIVITIES
Workshop on excellent working culture for the staff of Sarawak General Hospital
2014 on 5 - 7 December 2014 at Permai Rainforest Resort, Santubong
Postoperative No. 1/2014 course on 17 - 18 March 2014 at Heart Center, Sarawak
General Hospital
Mentoring courses in the public service no. 1/2014 on 10 - 11 March 2014 at the
Main Meeting Hall, Sarawak General Hospital
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DEPARTMENT : SECURITY
HEAD OF UNIT : MUHD HASBULAH BIN WAHAB
INTRODUCTION
Security Unit in Sarawak General Hospital (SGH) was established in the year
2008 with only one Senior Assistant Security KP22 and two security guards KP11.
Subsequently, the post of Assistant Security Officer KP32 and Security Assistant
KP17 were created. In 2010, there were additional four Security Assistants were
recruited whereby two were placed in SGH and two in Heart Centre, Sarawak
General Hospital. The post of Security Officer KP41 was created and filled in 2013.
Initially, the unit only monitored the private security service that was appointed by the
hospital management but the services have been expanded over the years.
OBJECTIVES

To ensure the entire area of SGH is safe and secure at all times

Ensure smooth traffic flow and proper parking of vehicles in the hospital
compound

Ensure staff, patients and visitors comply with the rules and regulations of the
hospital
SERVICES

Advice on protective security management

Advice on security equipment needed

Monitor the safety and security of the hospital surrounding

Protect hospital assets including staff and public from any threat and violation

Monitor the quality of private security company services.

Enforce traffic control and clamping regulations in SGH compound

Manage SGH staff vehicle sticker passes, all parking lots and access card for
entering controlled areas

Manage patients’ attendance pass, visitors’ pass and special visit pass.

Conduct internal investigations related to security matters.

Document and report to Hospital Directors
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ACHIEVEMENTS
SECURITY MONITORING AND PATROLS
Month
Working Day
January
21
Weekends and Public
Holidays
4
February
14
4
March
20
2
April
23
3
May
18
3
June
22
8
July
22
5
August
26
6
September
52
8
October
22
5
November
21
3
December
20
4
Total
281
55
SUMMONS ISSUED
Month
Summon
Issued
Summon
Fully Paid
Summon
Half Paid
Summon
Released
Amount
(RM)
January
55
24
13
18
1,450.00
February
50
20
23
7
1,575.00
March
57
26
15
16
1,735.00
April
103
43
25
35
2,715.00
May
85
48
5
32
2,420.00
June
50
31
9
10
1,735.00
July
54
30
13
11
1,825.00
August
46
23
10
13
1,395.00
September
40
18
7
15
1,010.00
October
50
16
23
11
1,277.00
November
48
17
22
9
1,210.00
December
44
7
27
10
960.00
Total
682
303
192
187
19,307.00
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ACTIVITIES
Security guard post
Clamping activity
Managing parking space in SGH
Assisting Public Health Unit in smoking
prevention operation

Shortage of Security Officer which leads to backload of tasks

Frequent absence from work and inconsistent attendance of security guards
causes the guard post unattended

Lack of training and knowledge of security personnel in relation to security
matters

Insufficient security equipment causes inconvenience and hinders the security
guards to perform their job efficiently.
CONCLUSION
Safety and security issues are not only the responsibility of Security Unit but also
the responsibility of all staff of SGH. All parties need to work cohesively towards
continuous improvement in safety and security. Despite the constraints encountered,
security unit tries their best to deliver quality service and undertake the
responsibilities entrusted by the hospital management.
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DEPARTMENT : CORPORATE COMMUNICATION
HEAD OF UNIT : MARY BELARE
INTRODUCTION
The Corporate Communication Unit has been in existence since 2007 and
was originally called the Public Relation Unit. In May 2013, the ministry had changed
the name of the unit to Corporate Communication Unit.
It was initially manned by only one Public Relation Officer. In 2010, an officer
from Information Department was on secondment at the unit and subsequently
followed by another one in 2013 which strengthen the unit to 3 staff comprising one
(1) S41, one (1) S32 and one (1) S27.
MAIN FUNCTIONS

Involves in event management organised by the hospital to ensure proper
protocol and ceremonial procedures are observed during formal functions
especially involving VIPs.

Coordinates and make arrangement for visits by various NGOs, government
agencies, VIPs and students.

Handles charitable donations from public and other organisations for the
hospital.

In its media relations, UKK is responsible for the invitation and arrangement of
media coverage for hospital functions.

Act as Secretariat for public complaints received through SISPAAA
(MOH’s web site), emails, letters, telephone calls, media and complaint
counter.
191 | P a g e
TOTAL COMPLAINTS RECEIVED
NO.
COMPLAINTS
TOTAL
1
Clinical
75
2
Non Clinical
40
Total
115
ACTIVITIES
NO.
ACTIVITIES
TOTAL
1
VIP visits
15
2
Corporate Social Responsibility Programs (SCR) by NGOs &
53
government agencies
3
Charity by NGOs & religious bodies
12
4
Formal and informal events organised by UKK
35
TOTAL
115
192 | P a g e
PHOTO GALLERY 2014
193 | P a g e
DEPARTMENT : TELECOMMUNICATION AND CUSTOMER SERVICE
HEAD OF UNIT: RUBIAH BINTI SULAIMAN
INTRODUCTION
Telecommunication and Customer Service Unit is one of the units under the
Management Department. The unit has 28 Customer Service Officers, 19 in SGH
and 9 in PJHUS. The officer in-charge in SGH is Madam Rubiah Binti Sulaiman and
in PJHUS is Madam Susanna A/P Raja Manikum.
The unit consists of 5 major counters:

Telecommunication Rooms (Operator’s Room) – SGH & PJHUS

Management Counter - SGH

Customer Service Counter – SGH & PJHUS
ROLES AND SERVICES

Handles enquiries and provides relevant information to the general public,
customers, visitors, and staff within the organization.

Provides information regarding location of departments, offices and services
provided.

Answers, screen, taking messages and forwards calls

Collects, sorts, distributes and prepares mail and messages.

Receives and records complaints from customers and public.

Forwards email or fax doctors and medical staff on call Duty Roster to
relevant hospitals

Assists visitors to the respective destinations and patients to appointment
counters for scheduling of appointments.

Getting information from relevant sources

Documenting information

Filing and maintaining records
194 | P a g e
DEPARTMENT : INFORMATION RESOURCE CENTRE
HEAD OF UNIT : JAMES HILLARY ANDREW
INTRODUCTION
Information Resource Centre (Library) is one of the 87 Information Resource
Centre under the Ministry of Health Malaysia. It is manned by 4 staff consisting of 1
Librarian, 1 Library Assistant, 1 Administrative Assistant and 1 Pembantu Perawatan
Kesihatan (PPK).
The main function of the unit is to provide information on medical and health
fields especially on medicine, healthcare, clinical research and clinical support in the
form of materials and other relevant resources. As Sarawak General Hospital (SGH)
is part of a teaching and learning centre, the unit plays a major role in providing
continuous education to all medical personnel.
OBJECTIVES

To acquire information especially on Medical and Health subject in par with
the international standard.

To provide quality information resources.

To document, organize and manage all collections based on a standard
system for easy access and retrieval.

To support organization’s objective.
SERVICES

Circulation of library reading materials.

Reference service.

Information online searching.

Internet service.

Printing and photocopy service.

Inter library loan.

Current awareness service.

Newspaper cutting.
195 | P a g e
ACTIVITIES

Promotion on Virtual Library, Ministry of Health, Malaysia

Book Share Program collaboration with Librarian Association of Malaysia and
Pustaka Negeri Sarawak

Library visit from Polytechnic Kota Kinabalu, Sabah

Participate in Exhibition on the 57th National Day celebration

Decorating library especially during festive season

Collecting information and articles on national occasion and celebration
ACHIEVEMENTS

Implemented the Book Share Program Drop Box where staff and public can
donate books, magazines and journals

Book donation from the staff

Updating version of all Government publications for references, especially for
government examinations
LIBRARY ENVIRONMENT
Book Shelves
Book shelving
Service Counter
Library Users
196 | P a g e
DEPARTMENT
: HUMAN DEVELOPMENT (ISLAMIC AFFAIR)
HEAD OF UNIT : USTAZAH HASLINDA BINTI SHAHRIR
INTRODUCTION
Ministry of Health Malaysia is far ahead in implementing spiritual program by
instilling moral values among its manpower such as ensuring the proper use of lawful
(halal) medicine, providing better healthcare as well as impartial and friendly service
towards the public, providing better uniform to enable the staff to cover their bodies
(auraat) completely, providing better worship facilities and amenities and at the same
time forming a welfare association. In addition to its role on implementation of
compulsory religious obligations, the unit is also integrating health treatment
physically, mentally, emotionally and spiritually.
Initially, an Assistant Islamic Affairs Officer (cadre) from Jabatan Kemajuan
Islam Malaysia (JAKIM), Prime Minister’s Department was posted to Hospital
Bahagia, Ulu Kinta, Perak. From 2008, nine religious cadres were deployed to major
hospitals and since 2014, more than fifty cadres has been attached to prime
hospitals under the supervision of Ministry of Health and Service Scheme of Islamic
Affairs.
Among the main objectives of Islamic Affairs Service at hospitals is to instil
and inculcate spiritual values among medical officers and staff as well as patients
and their next of kin, especially the Muslims. The Ministry of Health has been
successful in implementing social responsibilities in accordance to government
aspiration throughout 2014.
SERVICES
Services provided by Human Development Unit (Islamic Affairs), Management
Division, Sarawak General Hospital:

Al Quran classes

Management of Religious obligations

Religious guidance for new converts

Spiritual advice

Spiritual and motivational course with the cooperation of JAKIM

Home visits
197 | P a g e

message from the director

Transcription

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