Maklumat Pesakit

The Ambulatory unit is a nursing service render to all our patients in the clinics. The unit consist of all the outpatient clinics, day care centers, specialize services where patient will come either with or without appointments.

The Clinics/Unit provides the general public a wide range of outpatient services under 8 main specialties, which is:

• Specialist consultation and referral services
• Follow up care for out patients and patients discharged from wards in UMMC
• Maintenance care for patients with chronic illnesses such as hypertension( high blood pressure, diabetes and asthma.)

Patients with appointment are advised to come according to the appointment date & time written on the appointment card (Blue card) as to avoid long waiting hours. Please bring along the appointment card. If you are payable patients please bring sufficient amount of money or any guarantee letter, pensioner card, social worker card or letter from school for school children. Please do not miss any of your follow up in any of the clinics especially Medical Clinic because this will cause shortage in your medication supply.

• Medical Clinic
  • Haematology
  • Endocrine (Thyroid)
  • Cardiac (Heart)
  • Endocrine - Diabetic
  • Chest (Asthma, Pulmonary Tuberculosis)
  • Rheumatoid Arthritis
  • Infectious Diseases
  • Blood Taking (except Thurs, Sat, Sun & PH)
  • Skin
  • Neurology Medical
  • Hypertension( High Blood Pressure)
  • Diabetic Nurses Team
• Psychiatric
  • Psychiatric
  • Daycare Psychiatric
  • Psychiatric Child & Adolescent Unit
  • Rehabilitation & Occupational workshop
• Surgery
  • General Surgery
  • Image Guided Interventional (Vascular & Radiology)
  • Urology
  • Cardio Thoracic Surgery
  • Breast
  • Benign Prostate Hyperthrophy (BPH)
  • Hepatobiliary (Liver)
  • Flowrate examination
  • Plastic
  • Ultrasound Bladder
  • Vascular
  • Prostate Cancer
  • Cleft Palate with Dental (Paediatric)
  • Neuropathic Bladder
  • Enterostomal Therapy Nursing Services (Stoma Care & Wound Care)

For minor surgery, Urodynamic examination, Extracoporal shock wave lithothripsy (ESWL - this procedures will be done only with the request by the Urology doctors at the Surgical Clinic
For Urodynamic and ESWL - this procedures will be done at 5th Floor in Menara Timur.
For minor surgery will be done in the minor operation theatre in Orthopedic Clinic.
Blood taking services only will be done on Thursday for cases which requested by doctor before follow up dates

• Orthopedic
  • General
  • Spine
  • Sports
  • Pain Control
  • Neuro Surgery
  • Paediatric
  • Adult Reconstructive Surgery (ARS)
  • Lower limb reconstructive surgery (LLRS)
• Gynecology
• Pediatric
• Otorinolaringology (ENT - Ear, Nose & throat)
  • Consultation
  • Referral/walk in
  • Follow Up
  • Audio
  • Speech Therapy
  • Minor Surgery
  • Nasopharyngeal Cancer (NPC)
  • Neurology/Otology (1st - 3rdweek of the month - Thursday evening)
  • Voice Clinic (2nd & 4th week of the month - on Thursday evening)
  • Allergy Clinic - Monday evening
  • Minor Surgery - Tuesday & Thursday evening
• Ophthalmology (Eye)
  • New/refferred cases
  • Follow Up
  • Specialty -Uveitis & Occulaplasty, Glaucoma, Vitreous Retina, Paediatric/Adult Starabismus
  • Laser/Visual Field
  • Minor procedure (irrigation of eye with chemical burn, syringing of lacriminal duct, excision of ptergeum, excision & curretage of cyst)
  • Investigations
  • Review before operation
• Primary Health Care
  • General Clinic - Adult & Children
  • Mantoux Test & Reading
  • Family Clinic
  • Diabetic Teaching
  • Physician
  • KIDDS: for immunization up to 18 months
  • DOTS: Supervision of patients taking Anti Tuberculosis Drugs
  • Home Nursing Services (within 10km from UMMC)
  • Staff Health Services
  • Occupational Hazard
  • Blood Taking
• Endoscopy Unit
  • Gastroscopy - adult and paediatric
  • Colonoscopy - adult and paediatric
  • Bronchoscopy
  • Endoscopy Retrograde Cholangiopancreatography/ERCP
  • Endosonongraphy/EUS

Patients who undergo any of the services above as outpatients need to bring their relatives or friends to accompany them back home, because a sedation will be given to them and this unable them to drive home.

Daycare Service

Daycares units provides service for patients who need daycare treatment such as chemotherapy or minor examination and discharge once the treatment/procedure completed. Daycare service consists of Gynecology on the 10th floor, Pediatric on the 11th floor of Menara Utama and Urodynamic on the 5th floor Menara Timor and Haematology daycare on the 6th floor Menara Timur.

Daycare Dialysis unit (8TE) provides haemodialysis, continuous ambulatory peritoneal Dialysis (CAPD), Automated Peritoneal Dialysis (APD) and continuous venovenous haemodialysis, (CVVHD) for critically ill patients. Follow up services include haemodialysis clinic, CAPD clinic, transplant clinic and vascular access clinic.

Clinical Oncology

Expert consultation sessions are provided by the oncologists (clinical & medical) to new and follow up patients.
The patients, who are on radiotherapy and chemotherapy are also being reviewed at the clinic at appointed date/ time.

• All new or follow up patients are attended to, only with appointments made at the clinic appointment counter.
• All new patients are required to present the following on the 1st visit:
  • Patients identification card / passport
  • Referral letter from internal / external specialist.
  • Histopathology reports
  • MRI, X Rays, and all types of scans e.g. CT, PET, Bone etc.
  • Blood result

Blood taking service is provided only to patients who attend this clinic.
Group/ individual patient education sessions are given by nurses.

The clinic opens: Monday to Friday (8 am to 5 pm)
Clinic charges: Free for government servants/ pensioners and their dependents only.
Enquiries: Tel. No.: 79492423 /2422

Diabetic Foot Care Center

Admission & Discharge Unit
Introduction
The main function of this unit is to provide space for patients who are going back and waiting for their family to fetch, collect their medication if any, receive health education accordingly and to settle their bills

Location
2nd Floor Main Tower of UMMC

Services

1. Receive discharge patients from wards
2. Payment of bills
3. Health education accordingly
4. Collect medications if any

Disease Information Center

• Referral center of diseases information for staffs, patients and families
• Center of distribution of diseases information to all the wards and clinics
• Center/place for visitors(staffs, patients & families) to read all materials available, e.g. phamplets, news papers cutting, booklets, posters or magazines
• Center of Internet usage for Diabetic and Asthma
• Center of enquiry from outsider

Ante Natal Clinic

Antenatal clinic is located on the ground floor of the Maternity Unit. The clinic provides services to all pregnant as well as post delivery mothers and immunization for the newborn babies at 6 weeks old.

Highlights of the clinic activities

All cases for new booking - routine urine and blood investigation will be done: Haemoglobin (Hb), Group Cross Match (GXM), Veneral Disease (VDRL), HIV and pelvic X-ray if indicated.

Besides urine and blood investigation, height will be taken once during the pregnancy and weight will be taken for each follow up (revisit), including Blood pressure.

Deposit need to be paid for payable patients - RM 500 for those mothers who are not payable, they are requested to bring their guarantee letter.

Critical Care and Operating Theatre Services consists of:-

1. Critical Ward
   • Intensive Care Unit (ICU)
   • Cardiothoracic Intensive Care Unit (CICU)
   • Coronary Care Unit and Acute Medical (CCU)
   • Special Care Nursery (SCN)
   • Paediatric Intensive Care & Bone Marrow
   • Labour Ward
2. Operation Theatre
   • Main Operating Theatre
   • Minor Operating Theatre
   • Day Care Surgery Centre
   • Obstetric Theatre
3. Anaesthesiology Unit
   • Reception Ward
   • Recovery Ward
   • Acute Pain Service
4. Sterile Supply Unit
   • Centre Sterile Supply Unit (CSSU)
   • Theatre Sterile Supply Unit (TSSU)

CRITICAL WARDS

OPERATING THEATRE SERVICES

ANAESTHESIOLOGY UNIT.

STERILE SUPPLY UNIT

HIGHLIGHTS OF UNIT ACTIVITIES

Intensive Care Unit (ICU)
The Intensive Care Unit (ICU) which is situated on the third floor of Menara Utama accommodates critically ill patients, high dependency patients, who need respiratory support and continuous haedmodynamic monitoring. ICU admits patients from the Trauma & Emergency Unit, the Operation Theatre (post operative cases) or referred cases from the various wards in UMMC and renal transplant cases (recipient).

Cardiothoracic Intensive Care Unit (CICU)
Cardiothoracic Intensive Care Unit (CICU) admits patients who have undergone open heart and lung surgeries. Such operations are: Coronary Artery By-Pass Graft, Valves Replacement, Closure of ASD and VSD, Total Correction of Tetralogy Of Fallots, Blalock Shunt and Ligation of PDA. Lung cases such as Lobectomy, Pneumonectomy and drainage of abscess are also admitted here post operatively. Other cases like Thymectomy and Aneurysyms are also admitted here for intensive care. It is a 9 bedded ward, however only 6 beds are functioning due to inavailabity of manpower, especially nursing.

Ward 4U (Cardiology and Coronary Unit)
Ward 4U is a Cardiac Ward which consists of the Coronary Care Unit (CCU), High Dependency Unit and the General Cardiology Ward. Majority of patients admitted to this ward are those with myocardial infarction, unstable angina, cardiac arrhythmia, heart failure, patients requiring cardiac interventions such as the insertion of a permanent pacemaker, angiogram and angioplasty.

Special Care Nursery (SCN)
Special Care Nursery is a place for the care of the premature, high risk and low birth-weight infant and the sick newborn who require intensive care or high dependency care. It aims to reduce the mortality and morbidity in the preterm infants by early and prompt interventions.

Ward Paediatric One
Ward Paediatric One consists of two specialized units, the Paediatric Intensive Care Unit and the Bone Marrow Transplant Unit. It is also a tertiary referral centre for the critically ill children.

Labour Ward
Labour ward consists of 10 delivery beds and 6 “induction of labour” beds. Cases conducted here are Spontaneous Vertex Delivery, Assisted Breech Delivery and Low Forceps Delivery. Postnatal care is also carried out such as Post partum haemorrhage, monitoring of patient with cardiac diseases and Pregnancy Induced Hypertension. Besides that Premature Labour and Induction of Labour are being cared at the labour ward too.

Operation Theatre (OT)
Operation Theatre (OT) consists of 12 operating rooms of various disciplines. There are 8 elective lists running concurrently from Mondays to Fridays commencing from 8.30 am to 5 pm. 3 operating rooms are allotted for emergency operations 24 hours a day.
To meet to the immediate need for post operative intensive care a 2 - bedded area, Post Anaesthetic Surgical Care Area (PASCA), was set up in the Recovery Ward on 3.8.1998.
With advances in operating technology, the main operating theatre will work towards minimal invasive surgeries and with the yearly increase in number of surgeries, 6 more operating rooms have been added to the existing Operating Suite.

Obstetric Theatre (OBST OT)
Obstetric theatre consists of two rooms. There are elective lists and emergency running from Mondays to Friday from 9.30 am to 4.30 am.

Minor Operation Theatre (MOT)
Minor Operation Theatre consisting of two operating rooms and caters for elective minor surgery for orthopedic, general surgery, urology and plastic .Operating hours is from 8 am to 5 pm.

Day Care Surgery
Day Care Surgery provides day surgery operating with two theatres. It caters for general surgery, orthopaedic, ophthalmology, ENT, plastic, paediatric and urology cases as elective surgery. Operations are done from 8 am to 2 pm daily Mondays to Fridays. Operational hours start at 7 am till 5 pm.

Obstetric Theatre (OBST OT)
Obstetric theatre consists of two rooms. There are elective and emergency operations running from Mondays to Friday from 9.00 am to 4.30 pm.

Anaesthesiology Unit
Basically the setting up of the unit consists of 2 areas Reception and Recovery. This unit will cater for all types of Elective and Emergency operations. All Elective cases done during office hours and Emergency cases are carried out for 24 hours. This unit provides high quality nursing care to patient pre and post operatively.

Sterile Supply Unit
Sterile Supply Unit consists of Central Sterile Supply Unit which supplies sterile sets and packs to all services of the hospital and Theatre Sterile Supply Unit supplies sterile sets and packs for operation theatre used only.

Introduction
This service was started in 1997 and the unit consists of:

1. Medical ward
2. Surgical ward
3. Pediatric ward
4. Obstetric and Gynaecology ward
5. Psychiatric ward
6. Orthopedic ward
7. Ofthalmology ward
8. Otorhinolaryngology (ENT) ward

Each of the unit is headed by Senior Nursing Officer and assisted by Nursing Officers who are responsible to oversees the nursing management and activities

All patients are admitted to the wards through the Admission Counter on the 2nd floor Menara Utama, Trauma & Emergency Centre and Antenatal Clinic. Generally patients are admitted by rotation to the general wards and direct admission is allowed only with prior arrangement with the specialist concerned.

There are 2 type of admission services:

1. Emergency admission whereby the patients are admitted after seen by a doctor and need
   Immediate treatment.
2. Elective admission is by the date given to patient. Generally patient admitted for surgery or
   special investigation and treatment.

FUNCTIONS
The mission of In-Patient Services is to achieve the goals of providing the best possible care for the total needs of the patients, training of staff, research and education. In-patients services unit situated in Menara Utama and Menara Timur

In-Patients Service Unit at Menara Utama

In-Patients Service Unit at Menara Timor

HIGHLIGHTS OF UNIT ACTIVITIES

SURGICAL UNITS

1. Ward 5U (Neuroscience and Neuro Surgical Ward)
   The neuro surgical and medical services is equipped with intensive care and high dependency facilities to care for the critically ill neurological patients.
2. Ward 6U )Urology, Neurosurgery, general Surgery, Cardiothoracic, Plastic& Burn)
   This 56 bedded multi disciplinary unit caters for specialized surgical cases pre-operative and post-operative care.
3. Ward 7U (General Surgery, Vascular)
   Consists of 56 beds which provides general pre and post-operative care for surgical patients, and also patients for special endoscopic and radiological procedures.
4. Ward 7TD (ENT, Maxilo-Facial, Dental)
   The ward consists of 28 beds caters for all cases with ear, nose and throat problem pre and post-operative care. Patient for oncology treatment such as chemotherapy are provided in this ward.
5. Ward 7TE (Ofthalmology)
   This 28 bedded ward provides care for patients with eye problem pre and post-operatively
6. Ward 8U (Hand & Microsurgery, Spinal rehabilitation, General Orthopedic)
7. Ward 9U (Surgical Orthopedics)
   This 56 bedded ward admits patients with general orthopedic cases pre and post-operative care. Patients are taught how to self-care, rehabilitated and mobilized with orthopedic appliances before discharge
8. Ward 10U (Gynaecology)
   This ward provides services to general gynaecology and gynae oncology patients. It also provides day care gynae oncology services.

MEDICAL UNITS

1. Psychiatric Ward 3TE (Male & Female)
   This ward is divided into 2 areas with 20 beds on each side to nurse male and female patients who requires psychiatric care. Electro Convulsive Therapy are conducted three times a week or as required by patients. Regular psycho education program conducted in the ward to help patient to cope with illness and comply with medication. Main door of the ward is locked all time for patients safety with one security guard or ward staff standby at the entrance.
2. Ward 6TD (Haematology, Adult Bone Marrow Transplant)
   It has a ward and a day care unit for patients with hematological and haemato-oncology diseases. The first adult allogenic bone marrow transplantation in Malaysia was carried out in November 1993.
   The first autologous peripheral blood stem cell transplantation in July 1997. The first non myeloablative peripheral blood stem transplantation in year 2001. Up till now, a total of 97 bone marrow transplantations and peripheral blood stem cell transplantations have been done with comparable results as reputable overseas transplant centres.
3. Ward 6TE (Oncology)
   This ward (20 beds) provides care for oncology patients such as radioiodine therapy, chemotherapy treatment and also palliative care
4. Ward 8TD (Nephrology, Endocrine, Rheumatology)
   The ward provides services for endocrine, nephrology and rheumatology patients. Post operative renal transplant patients are also nursed in this ward until discharge. This ward also well equipped to cater ventilated patients requiring haemodialysis.
5. Medical Ward 2 (Infectious Diseases, cardiac)
   This ward is specially designated to care for dengue patients and also for other infectious diseases patients. Besides that this ward also caters for cardiac diseases patients.
6. Ward 12U
   There are 3 single, 3 double room (6 beds), 2, 4 bedded (8 beds) rooms with negative pressure for infectious disease, such as tuberculosis. Sleep Apnoea test is conducted in the ward as an investigation for Obstructive Sleep Apnoea.
7. Ward 13U
   All high dependent nursing areas are equipped with close circuit TV monitoring so that patients can be observed from the nurse counter. A rehabilitation unit is attached to the geriatric ward and provides wide range of physiotherapy and occupational therapy. The ward and toiled facilities are designed to assist the frail elderly patients in their daily living activities.

PEDIATRIC UNIT

1. Ward Paediatric 2 (Paed Medical, Eye, Dental, ENT, Ortho, Gynae)
   This 20 bedded ward provides care for patients below 3 years old with medical and surgical problems such as , eye, dental, ENT, Ortho, Gynae problem.
2. Ward Paediatric 3 (General Surgery, Plastic, Neurosurgery, Cardiothoracic)
   This 19 bedded ward provides care to neonates and the babies with cardiac and respiratory illnesses. Preoperative and post operative cases of eye, ear, nose, throat and dental are cared in this ward too. High dependency care provided for those post Intensive care children of the same age group who are suction, oxygen and ventilator dependent. Health education and care education are carried with mother to prepare them for home ventilation care.
3. Ward Paediatric 4 (Gastrology, Respiratory, Infectious diseases)
   This 20 bedded ward provides care for children with gastro-hepato, and chronic respiratory problems. All children with infectious and diarrhoe diseases are cared in isolation rooms in this ward.
4. Ward Paediatric 5 (General Medical, Orthopedic, Endocrine, SCAN cases)
   This ward provides care to the older group of children and aldolescent. Besides caring for the SCAN children the ward also provides care for general medical, orthopedic and endocrine cases.Ward Paediatric 6 (Oncology, Ophthalmology, Dental, ENT, Paediatric
5. Daycare
   This ward provides services pediatric oncology services, pediatric ophthalmology, otorhinolaryngology and dental. The day care services provides care for thalassemia children and procedures such as blood investigations, transfusion, bone marrow examination, chemotherapy, care of indwelling central venous catheter and tissue typing procedures (HLA typing and DR typing) are also carried out.

OBSTETRIC WARDS
Obstetric ward consists of 2 antenatal wards and 2 postnatal wards. We practice ‘Baby friendly concept’ and ‘rooming on’ of babies. All babies are immunized before discharge.
Antenatal ward (M2) is temporary closed for renovation purposes.

GENERAL WARD REGULATIONS:

1. All patients are to wear hospital garments and a name tag during their stay.
2. They are to bring the following:-
   1. Their own toiletries such as tooth brush, tooth paste, comb, powder, soap, towel, slippers etc.
   2. Medications that they are currently taking.
   3. Guarantee letter (if any) or other relevant documents (e.g. Pension card or social welfare card)
3. Permission from the nurse is required whenever patient wants to leave the ward.
4. Patients are advised not to bring in valuable items such as jewellery and excess cash.
5. Handphones are allowed to be used at own risk and responsibility. Electrical charging of handphones are not encouraged. (? To allow or not to clear with management)
6. No smoking is allowed.
7. Taking photograph is not permitted, except with permission from the Hospital Authority.
8. A relative/career is allowed to accompany the patient who is ill/disabled or with special needs with permission or discretion of the ward manager.
9. Parents or a lodger is encouraged in the Paediatric Wards.
10. No visitors are allowed during doctors ward round.
11. Written permission is required to bring in home cooked food. Only halal food is allowed.

*Notes:-
Specific regulation in certain wards (e.g. Psychiatry and Paediatric) are to be followed.