Download - Department of Paediatrics HOW-HTAR Seminar
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PAEDIATRIC DEPARTMENTHospital Tengku Ampuan Rahimah, Klang
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INTRODUCTION Patients from neonatal age group to 12 years Neonatal wards – below age of 1 month Paediatric wards/Isolation/PHDU- from age of
1 month to 12 years
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WARD FUNCTION NO OF BEDS6A SCN 206B GENERAL
PEADIATRIC WARD
36
6C SCN 426D NICU 32PHDU PICU 67D ISOLATION
WARD10
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6C
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7D
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WORKLOAD BOR of all wards exceeded 80%. Wad 6B-General Paediatric Ward BOR 94.8-
120%. Now 200% BOR Wad 6C (SCN) - 110.76% 6D(NICU) - 91.5%.
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CLINIC MONDAYS TO FRIDAYS
About 2,810 patients were seen in 2008.
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OTHER ACTIVITIES
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CHALLENGES Crowded wards. Increasing bed occupancy rates Shortage of staffs Lack of subspecialists
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FUTURE NEW MATERNITY AND CHILD COMPLEX
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HOUSEMANSHIP IN PAEDIATRICS 4 months Tagging period- observe and supervised for
procedures and clerking of patients.
5pm to 10.30pm on weekdays 8am to 5.30pm on weekends and PH
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Working hours – 7a.m to 5p.m. Morning and afternoon rounds
Calls. 8 houseman on call Night rounds Rotation through all wards except PICU Labour room cover Newborn screening
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CME Houseman teaching once a week Journal club meetings Grand ward round weekly Monthly mortality meeting Perinatal meeting
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PROCEDURAL SKILLS Blood sampling Peripheral venous sampling Exchange transfusion Catherisation
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MANAGEMENT SKILLS 6C/6D
Gestational age assessment Fluid requirement Feeding - amount, method Recognize an ill infant
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COMMON ADMISSIONS TO 6C/6D
Presumed sepsis Neonatal jaundice Hypoglycemia Infants of diabetic mothers Newborn with respiratory distress Preterm infants
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MANAGEMENT SKILLS WARD 7D Hydration status Shock Oral rehydration Common admissions
AGE Dengue fever and DHF
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MANAGEMENT SKILLS IN 6B Common admissions
Respiratory infections Asthma Febrile fits Acute glomerulonephritis/nephrotic syndrome Poisons
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ASSESSMENT
Throughout the posting Attitude Knowledge Skills
Viva NRP Log books
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ISSUES WITH HOUSEMAN Strict and satisfactory hand washing is a
moral obligation Sharps disposal Punctuality Proper usage of equipment Be contactable Follow guidelines in each ward
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Summaries within 48 hours Knowledge of patients in wards Acquiring knowledge Clinical practise guidelines Entries in patient notes improper and
incomplete Soft skills
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FINALLY Ensure time is utilised effectively Clear doubts as they arise Take pride in your work Work as a team Acquire basic skills and knowledge Houseman are the eyes, ears and our hands
when we are not there Learning has just begun
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