ANNUAL WORK TARGET ( SASARAN KERJA TAHUNAN ) 2006 For MEDICAL OFFICER

PAEDIATRIC DEPARTMENT HOSPITAL MIRI

A. ADMINISTRATION DUTIES (10%)

No List of Activities Quantity Quality Time

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

Daily duties throughout the year

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

Office hoursOn call Duty

2. Attending departmental meetingsi . ‘Morning prayer’ meeting

ii. Departmental Meeting

iii. Management meeting

Biweekly

4 times per year

4 times per year

Clarification and discussion of ongoing problems and issues

Clarification and discussion of intra-department issues

Organisation of on- going issues within department and QAP activities

1hour every other week

One hour

1 hour

1 hour

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

Daily activity Practicing according to standard guidelines

Jan to Dec 2006

4. Updating “SKT” forms At the beginning, mid year and end of the year

Based on list of work target as stated in desk file and annual plan of action for the whole department for existing year

One hour

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

Statistical compilation at the end of the month

Verification of statistics at the end of the monthBased on statistical data and resources available

End of the month

Dec 2006

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

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B. PROFESSIONAL DUTIES (75%)

No List of Activities Quantity Quality Time1. On-call duties of covering special

care nursery and paediatric medical ward

According to duty roster

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

24 hours

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

Once indicated Try to achieve end-point of resuscitation

Depends on clinical response and premorbid status of patients

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

According to duty roster

Ensure good recovery of the patient to be discharged safely

Daily activity

4. Providing daily in- patients rounds twice a day with specialist

Depends on the number of in-patients

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

Daily activity

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

Depends on the number of patients

Ensuring safe giving of chemotherapy/ blood transfusion/ sedation and arrange appropriate follow- up management

Jan to Dec 2006

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

Depends on the number of patients

Following departmental transport policy and ensure checklist is signed.

Jan to Dec 2006

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

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7. Performing clinical procedures

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

Depends on number of patients and clinical indications

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

Jan to Dec 2006

8. Running General Paediatric Clinic with specialist supervision

All day every Wednesday

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

6 hours a week

9. Running Oncology/ thalasaemia clinic with specialist supervision

1st Monday morning each month

Optimising care of the relevant patients

3 hours a month

10 Running Neonatal clinic with specialist supervision

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

Development assessment for all SCN discharges and optimizing on- going problems.

3 hours a week

11 Assisting visiting specialist running outpatient clinic

6 times a year Optimising care of the relevant patients

3-6 hours each session

12. Attending to referral cases from other disciplines

Depends on number of referrals and severity of medical problems encountered

Based on clinical practice guidelines and National Paediatric protocol

On-going daily activity

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

4-6 times a year To ensure good communication with parents

2-3 hours per session

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

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C. TRAINING ACTIVITIES (10%)

No List of Activities Quantity Quality Time1. -Assisting in conducting Basic Life

Support Courses for medical, paramedical and allied health staff

-Attending Basic Life Support Committee regular meetings

3 times per year -Pre & post course assessment and evaluation-Practical skill assessment of all participants

Two days course

2. Assisting in conducting Neonatal Resuscitation Programme

4 times per year -Pre & post course assessment and evaluation- Practical skill assessment of all participants

Two days course

3. Attending workshop, symposium, lectures and congress of Paediatrics

3 to 4 times per year

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

Two to three days course

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

Rotation MOs on monthly basis

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

One month

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

Pending on number of new MOs recruitment

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

One month of supervised training

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

Every Monday afternoon and alternate Thursday morning

-To get update of knowledge and latest information regarding

Two hours per session

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

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paediatrics-

7. Attending Hospital CME Talk On going activity as scheduled in CME & Training calendar

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

Jan to Dec 2006

D. QUALITY IMPROVEMENT ACTIVITIES (5%)

No List of Activities Quantity Quality Time1. Assisting in maintaining Quality

Assurance Program for Paediatric

i. National Indicator Approach for Paediatric

ii. Paediatric Incident Monitoring System

3-monthly auditing Aim for zero incidenceData compilation submitted to QAP secretariat

March, June, Sept, Dec 2006

2. Paediatric Mortality meeting Audit

Perinatal Mortality meeting audit

Newborn hypothyroidism screening

Every 4 month

Every 3 months

1-2 times a year

Multidisciplinary discussion in order to minimize subsequent mortality,,

Ensuring screening network is run smoothly and annual report

2 hours

2 hours

2 hours

3 Attending OSCC meeting Depending on cases involved

Multidisciplinary discussion

Daily activity

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

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