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Appendix A
                                          KULLIYYAH OF MEDICINE
                                   DEPARTMENT : X (e.g. Clinical Department)

                                              TOTAL SUPPPORT STAFF: 7

                                                  2 Science Officer
                                                 1 Medical Assistant
                                                        1 MLT
                                                       2 Nurse
                                                   1 Lab Assistant

No         Name     Post                        Justification of Duties                                Remarks
                                                       (Key Duties)
1.   Aminah        Science     •   Preparation of files for clinic
                   Officer     •   Confirmation of patients for clinic
                               •   ………………………………………………………….
                               •   ………………………………………………………….

2.   Asmah         Science     •   Facilitate research activities
                   Officer     •   Preparation of lab work for research (name research field/
                                   lab) and responsibility on equipments (if any)
                               •   …………………………………………………………..
                               •   ………………………………………………………….
3.   Abu           Medical     •   Assist in Clinical Procedure
                   Assistant   •   …………………………………………………………
                               •   ………………………………………………………..
                               •   ………………………………………………………..
4.   Ahmad           MLT       •   Preparation for students practical (lab name)
                               •   …………………………………………………………
                               •   …………………………………………………………
                               •   ………………………………………………………...
     NOORHAIZUM     Nurse          Incharge in IIUM Women Health Centre
5.   I              U-29
     BINTI MAMAT                          •     To arrange patient appointment for consultation
                                          •    To register all patient personal details
                                          • To write in all patient history, investigation,
                                               prescription , and biling
                                          • To assist doctor during consultation and procedure
                                      -Physical examination
                                      -Scan
                                          •     To take vital sign –Weight, Blood Pressure
                                          •     To arrange appoinment with O &G clinic HTAA for
                                                invansive procedure
                                          •     To supply the doctor with all testing result
                                          •     To meet all patients who attend fetomaternal clinic,
                                                facilitating an opportunity for discussion when
                                                required.
•    To educating patients about all aspect of pregnancy
•    To coordinate patient sheduling for test , procedure
     and follow up appointment.
•    To assisting Doctor during prosedure
•    To remind patient about routine follow-up.
•    To educating patient and their partners about the
     medications being use and how to administer them.
•    To assist specialist during scan patients .
•    To prepare all instrument and equipment in clinic
     before consultation or prosedure.
•    To ensure the safety and cleanliness in
     fetomaternal clinic.
•    To receive payment and issue reciept to patient.
•    To comply with policies for the correct disposal of
     clinical and other waste , sharps, and soiled linen.
•    To maintain standards of cleanliness and hand
     hygiene.

    b) Incharge in Urogynae and Urodynamic

•   To register patient in record book
•   To key in data patient in Urodynamic Computer
•   To prepare Urodynamic System (UDS) before start
    the prosedure
•   To do Urodynamic test as perorder by Specialist
•   To do bladder Scan to patient as peroder by
    Specialist
•   To assist Specialis during procedure
•   To withdrawl blood for investigation
•   To trace investigation result
•   To prepare instrument or equipment for
    consultation
•   Responsible in cleanliness and sterility of instrument
•   Responsible in cleanliness in clinic.
•   Provide nursing care for patient
•   To perform and report on urodynamic investigations.
•   Received payment and issue reciept for patient


    c) Involve in labarotory workload.

•   Take the blood sample and arrange to despach.
•   To check patient level of hemoglobin level
•   To check patient of Urine Test
•   To make sure and fill-up particular patient in
    Labarotory Form
•   To call Laboratory people for despech the sample
•   To clean, wash , pack and autoclave instrument
    after used.
d) Involved in O & G Clinic in HTAA

              •    Assisting the IIUM Specialist during clinic session
              •    Assisting specialist during prosedure and scanning
              •    Trace the labarotory result as perorder by IIUM
                   Specialist

                    e) Involved in Operation Theatre in HTAA


              •    Assising the IIUM Specialist during operation



2. Maintainance

        a) To responsible in inventory diaposable item in IIUM
           Women Specialist Clinic and Urodynamic Clinic
        b) To have proper record of inventory disposable item
                stock balance
                expiry date
                label


3. Replace when staf on leave

        a ) Infertelity Clinic
               • To register patient in record book
               • To do routine antenatal visit test
                          Body weight
                          Urine Test
                          Blood pressure test
               • To assist Specialis during procedure
               • To withdrawl blood for investigation
               • To give injection for patient as prescription
               • To trace investigation result
               • To prepare instrument or equipment for
                   consultation
               • Responsible in cleanliness and sterility of instrument
               • Provide nursing care for patient




4. Teaching

              •    To identify and provide a teacing faciulities required
                   by academician
              •    To prepare instrument or equipment for clinical
                   block examination
              •    To assist Specialist during clinical block examination
              •    To assist / chapron invigilator in final profesional
                   MBBS examination / supplementary MBBS clinical
examantaion
                                                  •     To Involve in Log Book assesment marks of student
                                                        yaer 3 and year 5 every clinical end block




                                    5. Administration

                                                  •     To facilitate the activirty organised by department
                                                                 Workshop
                                                                 Seminar
                                                                 Meeting

 6.    Munah             Nurse          •   Preparation for student ……
                                        •   …………………………………………………………
                                        •   …………………………………………………………
                                        •   ………………………………………………………..

 7.    Ali                 Lab          •   General lab work (specify name of the lab)
                        assistant       •   …………………………………………………………
                                        •   ………………………………………………………..
                                        •   ………………………………………………………..

Note: Please attach any relevant document to support your justification. Sample is enclosed.

                                                                                                                        Appendix B
                                                   KULLIYYAH OF MEDICINE
                                            DEPARTMENT : X (e.g. Clinical Department)

                                              WEEKLY SCHEDULE OF ASSIGNED TASK


      Day       Name                                       Duties                                             Remarks
Aminah   e.g.
                         •   Preparation of files for clinic
                         •   Confirmation of patients for clinic
                         •   ……………………………………………………..
                         •   ……………………………………………………..

         Asmah           •   ………………………………………………………
                         •   ………………………………………………………
                         •   ……………………………………………………….
                         •   ………………………………………………………

          Abu            •   ………………………………………………………
                         •   ………………………………………………………
                         •   ……………………………………………………….
                         •   ………………………………………………………
Monday
         Ahmad           •   ………………………………………………………
                         •   ………………………………………………………
                         •   ……………………………………………………….
                         •   ………………………………………………………

         Asmara          •   ………………………………………………………
                         •   ………………………………………………………
                         •   ……………………………………………………….
                         •   ………………………………………………………

         Munah           •   ………………………………………………………
                         •   ………………………………………………………
                         •   ……………………………………………………….
                         •   ………………………………………………………

           Ali           •   ………………………………………………………
                         •   ………………………………………………………
                         •   ……………………………………………………….
                         •   ………………………………………………………




  Day    Name                                      Duties          Remarks
Aminah   e.g.
                          •   Preparation of files for clinic
                          •   Confirmation of patients for clinic
                          •   …………………………………………………..
                          •   …………………………………………………..

          Asmah           •   ……………………………………………………..
                          •   ……………………………………………………..

           Abu            •   ……………………………………………………..
                          •   ……………………………………………………..

          Ahmad           •   ……………………………………………………..
                          •   ……………………………………………………..
Tuesday
          Asmara          •   ……………………………………………………..
                          •   ……………………………………………………..

          Munah           •   ……………………………………………………..
                          •   ……………………………………………………..

            Ali           •   ……………………………………………………..
                          •   ……………………………………………………..


   Day    Name                                       Duties         Remarks
Aminah   e.g.
                            •   Preparation of files for clinic
                            •   Confirmation of patients for clinic
                            •   ……………………………………………………
                            •   ……………………………………………………

            Asmah           •   …………………………………………………
                            •   ………………………………………………..

             Abu            •   …………………………………………………
                            •   ………………………………………………..

            Ahmad           •   …………………………………………………
                            •   ………………………………………………..
Wednesday
            Asmara          •   …………………………………………………
                            •   ………………………………………………..

            Munah           •   …………………………………………………
                            •   ………………………………………………..

              Ali           •   …………………………………………………
                            •   ………………………………………………..


  Day       Name                                       Duties         Remarks
Aminah   e.g.
                           •   Preparation of files for clinic
                           •   Confirmation of patients for clinic
                           •   …………………………………………………..
                           •   …………………………………………………..

            Asmah          •   ……………………………………………………..
                           •   ……………………………………………………..

            Abu            •   ……………………………………………………..
                           •   ……………………………………………………..
Thursday
           Ahmad           •   ……………………………………………………..
                           •   ……………………………………………………..

           Asmara          •   ……………………………………………………..
                           •   ……………………………………………………..

           Munah           •   ……………………………………………………..
                           •   ……………………………………………………..

             Ali           •   ……………………………………………………..
                           •   ……………………………………………………..

   Day     Name                                       Duties         Remarks
Aminah                                 e.g.
                  •   Preparation of files for clinic
                  •   Confirmation of patients for clinic
                  •   …………………………………………………..
                  •   …………………………………………………..

         Asmah    •   ……………………………………………………..
                  •   ……………………………………………………..

         Abu      •   ……………………………………………………..
                  •   ……………………………………………………..

         Ahmad    •   ……………………………………………………..
                  •   ……………………………………………………..
Friday


         Asmara   •   ……………………………………………………..
                  •   ……………………………………………………..

         Munah    •   ……………………………………………………..
                  •   ……………………………………………………..

         Ali      •   ……………………………………………………..
                  •   ……………………………………………………..

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1

  • 1. Appendix A KULLIYYAH OF MEDICINE DEPARTMENT : X (e.g. Clinical Department) TOTAL SUPPPORT STAFF: 7 2 Science Officer 1 Medical Assistant 1 MLT 2 Nurse 1 Lab Assistant No Name Post Justification of Duties Remarks (Key Duties) 1. Aminah Science • Preparation of files for clinic Officer • Confirmation of patients for clinic • …………………………………………………………. • …………………………………………………………. 2. Asmah Science • Facilitate research activities Officer • Preparation of lab work for research (name research field/ lab) and responsibility on equipments (if any) • ………………………………………………………….. • …………………………………………………………. 3. Abu Medical • Assist in Clinical Procedure Assistant • ………………………………………………………… • ……………………………………………………….. • ……………………………………………………….. 4. Ahmad MLT • Preparation for students practical (lab name) • ………………………………………………………… • ………………………………………………………… • ………………………………………………………... NOORHAIZUM Nurse Incharge in IIUM Women Health Centre 5. I U-29 BINTI MAMAT • To arrange patient appointment for consultation • To register all patient personal details • To write in all patient history, investigation, prescription , and biling • To assist doctor during consultation and procedure -Physical examination -Scan • To take vital sign –Weight, Blood Pressure • To arrange appoinment with O &G clinic HTAA for invansive procedure • To supply the doctor with all testing result • To meet all patients who attend fetomaternal clinic, facilitating an opportunity for discussion when required.
  • 2. To educating patients about all aspect of pregnancy • To coordinate patient sheduling for test , procedure and follow up appointment. • To assisting Doctor during prosedure • To remind patient about routine follow-up. • To educating patient and their partners about the medications being use and how to administer them. • To assist specialist during scan patients . • To prepare all instrument and equipment in clinic before consultation or prosedure. • To ensure the safety and cleanliness in fetomaternal clinic. • To receive payment and issue reciept to patient. • To comply with policies for the correct disposal of clinical and other waste , sharps, and soiled linen. • To maintain standards of cleanliness and hand hygiene. b) Incharge in Urogynae and Urodynamic • To register patient in record book • To key in data patient in Urodynamic Computer • To prepare Urodynamic System (UDS) before start the prosedure • To do Urodynamic test as perorder by Specialist • To do bladder Scan to patient as peroder by Specialist • To assist Specialis during procedure • To withdrawl blood for investigation • To trace investigation result • To prepare instrument or equipment for consultation • Responsible in cleanliness and sterility of instrument • Responsible in cleanliness in clinic. • Provide nursing care for patient • To perform and report on urodynamic investigations. • Received payment and issue reciept for patient c) Involve in labarotory workload. • Take the blood sample and arrange to despach. • To check patient level of hemoglobin level • To check patient of Urine Test • To make sure and fill-up particular patient in Labarotory Form • To call Laboratory people for despech the sample • To clean, wash , pack and autoclave instrument after used.
  • 3. d) Involved in O & G Clinic in HTAA • Assisting the IIUM Specialist during clinic session • Assisting specialist during prosedure and scanning • Trace the labarotory result as perorder by IIUM Specialist e) Involved in Operation Theatre in HTAA • Assising the IIUM Specialist during operation 2. Maintainance a) To responsible in inventory diaposable item in IIUM Women Specialist Clinic and Urodynamic Clinic b) To have proper record of inventory disposable item stock balance expiry date label 3. Replace when staf on leave a ) Infertelity Clinic • To register patient in record book • To do routine antenatal visit test Body weight Urine Test Blood pressure test • To assist Specialis during procedure • To withdrawl blood for investigation • To give injection for patient as prescription • To trace investigation result • To prepare instrument or equipment for consultation • Responsible in cleanliness and sterility of instrument • Provide nursing care for patient 4. Teaching • To identify and provide a teacing faciulities required by academician • To prepare instrument or equipment for clinical block examination • To assist Specialist during clinical block examination • To assist / chapron invigilator in final profesional MBBS examination / supplementary MBBS clinical
  • 4. examantaion • To Involve in Log Book assesment marks of student yaer 3 and year 5 every clinical end block 5. Administration • To facilitate the activirty organised by department Workshop Seminar Meeting 6. Munah Nurse • Preparation for student …… • ………………………………………………………… • ………………………………………………………… • ……………………………………………………….. 7. Ali Lab • General lab work (specify name of the lab) assistant • ………………………………………………………… • ……………………………………………………….. • ……………………………………………………….. Note: Please attach any relevant document to support your justification. Sample is enclosed. Appendix B KULLIYYAH OF MEDICINE DEPARTMENT : X (e.g. Clinical Department) WEEKLY SCHEDULE OF ASSIGNED TASK Day Name Duties Remarks
  • 5. Aminah e.g. • Preparation of files for clinic • Confirmation of patients for clinic • …………………………………………………….. • …………………………………………………….. Asmah • ……………………………………………………… • ……………………………………………………… • ………………………………………………………. • ……………………………………………………… Abu • ……………………………………………………… • ……………………………………………………… • ………………………………………………………. • ……………………………………………………… Monday Ahmad • ……………………………………………………… • ……………………………………………………… • ………………………………………………………. • ……………………………………………………… Asmara • ……………………………………………………… • ……………………………………………………… • ………………………………………………………. • ……………………………………………………… Munah • ……………………………………………………… • ……………………………………………………… • ………………………………………………………. • ……………………………………………………… Ali • ……………………………………………………… • ……………………………………………………… • ………………………………………………………. • ……………………………………………………… Day Name Duties Remarks
  • 6. Aminah e.g. • Preparation of files for clinic • Confirmation of patients for clinic • ………………………………………………….. • ………………………………………………….. Asmah • …………………………………………………….. • …………………………………………………….. Abu • …………………………………………………….. • …………………………………………………….. Ahmad • …………………………………………………….. • …………………………………………………….. Tuesday Asmara • …………………………………………………….. • …………………………………………………….. Munah • …………………………………………………….. • …………………………………………………….. Ali • …………………………………………………….. • …………………………………………………….. Day Name Duties Remarks
  • 7. Aminah e.g. • Preparation of files for clinic • Confirmation of patients for clinic • …………………………………………………… • …………………………………………………… Asmah • ………………………………………………… • ……………………………………………….. Abu • ………………………………………………… • ……………………………………………….. Ahmad • ………………………………………………… • ……………………………………………….. Wednesday Asmara • ………………………………………………… • ……………………………………………….. Munah • ………………………………………………… • ……………………………………………….. Ali • ………………………………………………… • ……………………………………………….. Day Name Duties Remarks
  • 8. Aminah e.g. • Preparation of files for clinic • Confirmation of patients for clinic • ………………………………………………….. • ………………………………………………….. Asmah • …………………………………………………….. • …………………………………………………….. Abu • …………………………………………………….. • …………………………………………………….. Thursday Ahmad • …………………………………………………….. • …………………………………………………….. Asmara • …………………………………………………….. • …………………………………………………….. Munah • …………………………………………………….. • …………………………………………………….. Ali • …………………………………………………….. • …………………………………………………….. Day Name Duties Remarks
  • 9. Aminah e.g. • Preparation of files for clinic • Confirmation of patients for clinic • ………………………………………………….. • ………………………………………………….. Asmah • …………………………………………………….. • …………………………………………………….. Abu • …………………………………………………….. • …………………………………………………….. Ahmad • …………………………………………………….. • …………………………………………………….. Friday Asmara • …………………………………………………….. • …………………………………………………….. Munah • …………………………………………………….. • …………………………………………………….. Ali • …………………………………………………….. • ……………………………………………………..