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 Daily duties Based on guidelines Office hours

Department of Paediatric and throughout the proposed by Ministry On call Duty
Special Care Unit year of Health &
Malaysian Paediatric
Association
2. Attending departmental meetings
i . ‘Morning prayer’ Biweekly Clarification and 1hour every other week
meeting discussion of ongoing
problems and issues
One hour

ii. Departmental Meeting 4 times per year Clarification and 1 hour

discussion of intra-
department issues

iii. Management meeting 4 times per year Organisation of on- 1 hour

going issues within
department and QAP
activities

3. Ensuring safe practice according to Daily activity Practicing according Jan to Dec 2006
National Paediatric Protocol & to standard guidelines
CPG by KKM

4. Updating “SKT” forms At the beginning, Based on list of work One hour
mid year and end target as stated in
of the year desk file and annual
plan of action for the
whole department for
existing year
5. Assisting in the maintenance of Statistical Verification of End of the month
data collection, statistical analysis, compilation at the statistics at the end of
compilation and annual report end of the month the month
preparation Based on statistical Dec 2006
data and resources
available

ANNUAL WORK TARGET ( SASARAN KERJA TAHUNAN ) 2006 1

For MEDICAL OFFICER, PAEDIATRIC DEPARTMENT, HOSPITAL MIRI
 B. PROFESSIONAL DUTIES (75%)

No List of Activities Quantity Quality Time

1. On-call duties of covering special According to duty Ensuring safe 24 hours
care nursery and paediatric medical roster practice of
ward Paediatrics and
optimum clinical
management of
sick children

2. Providing acute resuscitation for all Once indicated Try to achieve end- Depends on
newborns and children throughout point of clinical response
the hospital- ICU, SCN, Labor resuscitation and premorbid
room, OT, Paediatric unit and A&E status of patients

3. Attending to new admissions to According to duty Ensure good Daily activity

both SCN and Paediatric medical roster recovery of the
ward by obtaining accurate history, patient to be
detailed physical examination and discharged safely
appropriate investigations. Then
provide appropriate management
and counseling to patients and
family.

4. Providing daily in- patients rounds Depends on the Ensuring all Daily activity
twice a day with specialist number of in- investigations
patients ordered are done
and traced,
appropriate
management and
treatment are
given. Family
counseling is given
on the rounds.

5. Managing day cases, e.g.Oncology/ Depends on the Ensuring safe Jan to Dec 2006
thalasaemia / other patients number of patients giving of
attending paediatric ward for chemotherapy/
chemotherapy, blood transfusion blood transfusion/
and CT cranial. sedation and
arrange
appropriate follow-
up management

6. Escorting patients to radiology Depends on the Following Jan to Dec 2006

department for investigations (as number of patients departmental
indicated) and to other hospitals, transport policy
e.g. IJN, SGH and HKL. and ensure
checklist is signed.

ANNUAL WORK TARGET ( SASARAN KERJA TAHUNAN ) 2006 2

For MEDICAL OFFICER, PAEDIATRIC DEPARTMENT, HOSPITAL MIRI
7. Performing clinical procedures Depends on Following safe Jan to Dec 2006
e.g. Bone marrow aspiration number of patients guidelines and
Trephite and clinical protocol in order to
Central line placement indications minimize adverse
Urinary catherisation for incident and
MCUG procedure-related
Lumbar puncture complications
Arterial lines
Inserting urinary catheter
Chest tube insertion

8. Running General Paediatric Clinic All day every Managing & 6 hours a week
with specialist supervision Wednesday Optimising care of
referred cases and
on- going care of
children.

9. Running Oncology/ thalasaemia 1st Monday Optimising care of 3 hours a month

clinic with specialist supervision morning each the relevant
month patients
10 Running Neonatal clinic with 2nd/3rd/4th Monday Development 3 hours a week
specialist supervision morning each assessment for all
month SCN discharges
and optimizing on-
going problems.

11 Assisting visiting specialist 6 times a year Optimising care of 3-6 hours each
running outpatient clinic the relevant session
patients

12. Attending to referral cases from Depends on Based on clinical On-going daily
other disciplines number of referrals practice guidelines activity
and severity of and National
medical problems Paediatric protocol
encountered

13 Involved in public educations for 4-6 times a year To ensure good 2-3 hours per
counseling parents informally in communication session
the wards or formally, e.g. radio with parents
talk, public forums, etc.

ANNUAL WORK TARGET ( SASARAN KERJA TAHUNAN ) 2006 3

For MEDICAL OFFICER, PAEDIATRIC DEPARTMENT, HOSPITAL MIRI
 C. TRAINING ACTIVITIES (10%)

No List of Activities Quantity Quality Time

1. -Assisting in conducting Basic Life 3 times per year -Pre & post course Two days course
Support Courses for medical, assessment and
paramedical and allied health staff evaluation
-Practical skill
-Attending Basic Life Support assessment of all
Committee regular meetings participants

2. Assisting in conducting Neonatal 4 times per year -Pre & post course Two days course
Resuscitation Programme assessment and
evaluation
- Practical skill
assessment of all
participants

3. Attending workshop, symposium, 3 to 4 times per -Post course Two to three

lectures and congress of Paediatrics year evaluation days course
- Ability to
conduct echo-
training, ( if
relevant) once
returned

4. Assisting in supervising contract Rotation MOs on Achievement of One month

medical officers who came for one monthly basis basic resuscitation
month attachment in Department of skill for newborns
Paediatric and children and
understanding
basic Paediatric
knowledge at the
end of the
attachment

5. Assisting in training of new Pending on Ability to conduct One month of

medical officers who posted to number of new basic resuscitation supervised training
Paediatric unit MOs recruitment and performing on
call duties at the
end of tag duties

ANNUAL WORK TARGET ( SASARAN KERJA TAHUNAN ) 2006 4

For MEDICAL OFFICER, PAEDIATRIC DEPARTMENT, HOSPITAL MIRI
6. Attending regular Continuous Every Monday -To get update of Two hours per
Medical Education (CME) for afternoon and knowledge and session
medical officers in Department of alternate Thursday latest information
Paediatrics morning regarding
paediatrics
-

7. Attending Hospital CME Talk On going activity -To get updates of Jan to Dec 2006
as scheduled in knowledge and
CME & Training latest information
calendar regarding patient’s
cares
-Pre & post-course
evaluation survey
for all participants

D. QUALITY IMPROVEMENT ACTIVITIES (5%)

No List of Activities Quantity Quality Time

1. Assisting in maintaining Quality
Assurance Program for Paediatric

i. National Indicator 3-monthly auditing Aim for zero March, June, Sept,
Approach for incidence Dec 2006
Paediatric Data compilation
submitted to QAP
ii. Paediatric Incident secretariat
Monitoring System

2. Paediatric Mortality meeting Every 4 month Multidisciplinary 2 hours

Audit discussion in order
to minimize
subsequent
mortality
Perinatal Mortality meeting audit Every 3 months ,, 2 hours

Newborn hypothyroidism 1-2 times a year Ensuring screening 2 hours

screening network is run
smoothly and
annual report

3 Attending OSCC meeting Depending on Multidisciplinary Daily activity

cases involved discussion

ANNUAL WORK TARGET ( SASARAN KERJA TAHUNAN ) 2006 5

For MEDICAL OFFICER, PAEDIATRIC DEPARTMENT, HOSPITAL MIRI