SENARAI TUGAS KETUA JABATAN PEDIATRIK KARDIOLOGI

1. CLINICAL SERVICE: PEDIATRIC CARDIOLOGY SUBSPECIALITY

1.1 Coordinate The Provision Of In-Patient consultative Service at Paediatric

Intensive Care Unit (PICU), Paediatric Cardiology Ward (PCW) and other “outliers” .

1.1.1 Clinical management ward round: Clinical evaluation, further investigation,

monitor and reassess clinical progress, risk communication and counselling.

1.1.2 Paediatric cardiology teaching ward round: support bedside learning of junior
doctors, nurses under supervision, house- officer(s), pre-gazettement physicians.

1.1.3 On-call service after hours.

1.2 Diagnostic and Therapeutic Procedures

1.2.1 Invasive cardiac lab:

- PDA Occlusion , PDA stenting , ASD Occlusion , PTBV, Diagnostic Catheter ,
RVOT Stenting , TOE, and Balloon Angioplasty.
1.2.2 In-patient echocardiogram : critical ill patient in PICU and HWKKS.

1.2.3 Emergency BASS

1.2.4 Pericardiocentesis

1.3 Inpatient Referral Service

1.3.1 Intra-department , Inter-department ,inter- hospital

1.3.2 Establish telefax for district referral

1.4 Outpatient Cardiology Service

1.4.1 Coordinate and organise Paediatric Cardiology Clinic :

-Paediatric Cardiology Clinic in HQE II (Monday – 2.00pm-5pm) & Thursday -9am-
1pm) )
-Paediatric Cardiology Clinic in HWKKS (Monday ( 9am – 1pm) & Thuesday (am –
2pm))

1.4.2 Visiting District Hospital (Hospital Labuan , Hospital Keningau, Hospital

Sandakan , Hospital Lahad Datu and Hospital Tawau.
1.4.3 Medical report :
-Prepare medical reports as assigned by medical record unit.

1.5 Non-Invasive Cardiology Service

1.5.1 Coordinate the organisation and provision of NICL services (as follow) at
Paediatric Cardiology Clinic:
-Appointment , phone/ counter service
-CV technicians roster , including oncall roster for inpatient echocardiography
-Week schedule
-Room assignment for service
-Establish reference range to standardise reporting
-Design standard reporting format.

1.5.2 Training of CV techs and junior doctors

-Performance of NICL procedure
-Analysis, interpretation and reporting

1.5.3 Interprate, report the following NICL procedurs

-Echocardiography (Trans-thoracic-oesophageal, contrast)
-ECG (standard 12 lead)

1.6 Invasive / Interventional Paediatric Cardiology Service :

1.6.1 Perform invasive and interventional procedure (refer 1.2.1)
1.6.2 Pre- procedure planning :
-Referral letter- standard evaluation checklist , counselling , informed consent.
1.6.3 –Perform of diagnostic catheterisation,Valvular intervention , Intra-aortic
balloon pump insertion .
1.6.4- Ensure copies of procedure report for medical record purpose.
1.6.5- Post –Prosedure
-Clinical management plan, including further treatment ,follow up
-Prosedural findings and treatment : Patient education and counselling

1.7 Cardiac Imaging

1.7.1 Collaborate with Department of Radiology
1.7.2 Cardiac MRI

1.9 District Paediatric Cardiology Clinic

1.9.1 Provide e-referral service ;
-District Hospitals : Sandakan , Tawau, Lahad Datu, Keningau dan Labuan.
1.9.2 Scope of activities
-Clinical Service (ward round , clinic)
-Educational activities (CME-CPD), bedside teaching)
-Service Planning and development
2. PLANNING AND DEVELOPMENT :
2.1 Coordinate operational plan to establish invasive / interventional Paediatric
Cardiology, cardiothoracic Surgery and anaesthesia service:
-Human recourse development ( staff training ,transfer, deployment ,credentialing
and privileging) .
-Financial (budget planning)
-Equipment and instruments
-Consumables, disposables, drugs, reagents.

2.2 Administration management :

-Policies , Operating procedure and protocols.
2.3 Hospital information system (HIS) development : evaluation of openvendor
clinical information management system.

3. ADMINISTRATION AND MANAGEMENT

3.1 Implement MOH hospital policies at Paediatric Cardiology Unit (s), including : file
system , store management, Infection control, MSISO , accreditation, EKSA , quality
activities (e.g incident report, ADR)
3.2 Facilitate team communication and collaboration:
-Meeting department

4. RESEARCH AND REGISTIES ACTIVITIES

-Presentation at national meeting (National Heart Association Of Malaysia ,NHAM),
National Conference of Clinical Research (NCCR).

5. EDUCATIONAL SERVICES
-Activities CME (Paediatric Cardiology Department ) organised by unit Kualiti.
-Supervise training of physicians : MRCP candidates (Clinic-based, ward-based case
discussion, feedback.
-Trainer ,Paediatric cardiology fellowship.
-Trainer , critical care ultrasound - echocardiography