Jabatan Perubatan Am


Introduction

The Medical Department in 2023 has managed to maintain the quality of care both in the inpatient and outpatient setting by whilst preserving the transition to the endemic period for COVID 19. The outpatient clinic remains at the 1st floor of the specialist clinic block (Pintu K), operating from Mondays to Fridays, 8am – 5pm and encompasses the Medical Outpatient Clinic, Post Discharge Clinic, New Case Clinic, INR Clinic and Heart Failure Clinic. Medical inpatient services are delivered mainly in Med 3, Med 4, Med 5, Female Medical Ward and Male Medical Ward. COVID-19 admission flow and treatment took a big change in 2023 with the emphasis on admitting only those in the severe category or those that requires medical attention for non-COVID related issues. They would be treated in the isolation rooms of Female Medical Ward and the Infectious Diseases Ward with a clear algorithm set for managing surge of patients if the need arises. Medical patients as per previous years are still scattered throughout the hospital lodged in non-medical wards as well as the Emergency Department.

Besides the General Medicine team, the Medical Department is also comprised of various subspecialty units such as the respiratory unit, neurology unit, rheumatology unit, nephrology unit, endocrinology unit, gastroenterology and hepatology unit and geriatric medicine unit. All subspecialty units are located in Sarawak General Hospital except the geriatric medicine unit who resides in Sarawak Heart Centre. Geriatric clinic services are however rendered in Sarawak General Hospital itself. All units within the department shares the same facilities and manpower.


Department Objectives

a) To provide continuous efficient, holistic, evidence-based services for all patients while adhering to the standard operating procedures.

b) To strive to provide appropriate training where needed to healthcare workers of the department with the aim of improving medical and nursing care.


Services Provided

The main emphasis of service provided by the General Medical Team would be the delivery of quality comprehensive and holistic medical care from diagnosis to treatment of patients with various and often complex medical conditions. As the state tertiary hospital with many subspecialities, the General Medical Team plays the role of the anchor, to plan and coordinate an integrated care plan for those with complex health issues that require input from the respective subspecialities and to assist in continuity of care thereafter.

In 2023, the main bulk of the challenge was still in caring for the increasing number of stranded medical patients in the Emergency Department and those lodged in non-medical wards. However, 2023 marked the year whereby a physician was stationed in Hospital Bau to help expand services to decongest Sarawak General Hospital. The team was expected to deliver appropriate clinical management as well as to help follow up patients to further decongest the medical outpatient department. Regular CMEs were also held in Hospital Bau to enhance the knowledge of resident medical officers there to help cope with the management of more complex pathologies.

Besides that, regular updates pertaining to cluster hospital step down was still ongoing with further enhancement by the Emergency Department with regards to the ambulance booking services being done via an online method. Cluster hospital stepdown is still slow owing to the lack of interest from the patient or family members but nevertheless, the medical team will continue to persevere with this for the years to come. The most successful stepdown so far would be the transfer to the geriatric ward in Sarawak Heart Centre. With a group online to refer and discuss cases, the Geriatric Team would take over cases from the wards in Sarawak General Hospital for further care to decongest the bed situation.

Outpatient clinic services in 2023 ran at full capacity with the usual medical outpatient clinics on Tuesday and Thursday taking the bulk of the workload. Heart failure clinic continued to see new cases while deescalating stable ones to community clinic or medical outpatient clinic. Medical officers are still stationed to call defaulters to enquire regarding their condition and for continuity of medication supply. INR clinic was more seamless in 2023 due to point of care INR monitoring to cut down waiting time for missing investigation or from tracing results. Towards the end of the year, as per instructions from the ministry, administrative affairs of the clinic was gradually handed over to the newly recruited medical assistants while the existing nursing staff of the clinic would be transferred out to the ward or other various units throughout the hospital.


Unit Nefrologi


Introduction 

Nephrology is one of the major clinical subspecialty services in the Department of Medicine at Sarawak General Hospital. We have Haemodialysis (HD) and Continuous Ambulatory Peritoneal Dialysis (CAPD) units, and provide work up and follow up of patients with kidney transplant. We run regular Renal Replacement Therapy (Dialysis and Transplant) Clinic and General Nephrology clinic. Besides providing standard inpatient and outpatient Nephrology services, we also receive referrals and provide support to other departments in Sarawak General Hospital such as Intensive Care and Surgical Departments: and also other hospitals throughout the state of Sarawak. We are involved in the planning and development, and oversee the running of the Nephrology and Dialysis services in the state of Sarawak. We run regular visiting clinics in other hospitals. We provide training for nephrologists, conduct post basic renal courses for allied health staff, and participate actively in research related to Nephrology.


Objectives
  • To provide comprehensive general nephrology, dialysis and renal transplantation services.
  • To improve quality of live and survival of patients with kidney diseases and kidney failure.
  • To promote the prevention, detection and early treatment of kidney diseases through close collaboration with primary healthcare providers and other relevant organizations.
  • To Increase public awareness of kidney disease, kidney failure and cadaveric kidney transplantation.
  • To trained doctors and allied health professionals in the management of kidney patients.

Services provided 
  • Provides inpatient services for the management of patient with kidney disease and kidney failure
  • Provides outpatient clinic services for general nephrology, HD, CAPD and kidney transplant patient.
  • Provides referral and consultation services for other disciplines and other hospitals and dialysis in Sarawak.
  • Perform procedures such as renal biopsy and dialysis catheter insertion
  • Provides acute and chronic HD, and PD treatment for acute and chronic kidney failure patient.
  • Provides Continuous Renal Replacement Therapy (CRRT) treatment for unstable patients in ICU.
  • Provides plasmapheresis treatment for selected patients.
  • Perform pre transplant work up and follow up of kidney transplant patients.
  • Participate in research of kidney diseases or kidney failure and its treatment.


Unit Neurologi


Introduction

The Neurology Department of Sarawak General Hospital was set up in 2011 to provide comprehensive neurological service to the citizens of Sarawak. Neurology diseases are estimated to contribute 25% of total medical ward admission in any general hospital. Most states in Malaysian had established neurology service. However, Neurology service in Sarawak occurs via sporadic visiting neurologist from Hospital Kuala Lumpur. Neurological conditions like stroke contribute to major morbidity and mortality. Recent advancement in the understanding of neurological disorder and introduction of thrombolysis treatment in acute stroke and acute neurological conditions and also rehabilitation for patient with neurological disorder had led to better outcome for patients. It is vital to develop the neurology services with  trained personal involving multidisciplinary treatment teams with state of the art equipment in order to provide quality management for patient. The geographical location of Sarawak necessitates the development of its own neurology service with the necessary facilities and to manage neurologic condition including acute stroke. It is logistically almost impossible to refer every acute stroke or sick patient to peninsular Malaysian for further management. By setting up the Neurology Unit in Sarawak, we can improve the health care system in the state. In long term, it is also a more economically away of providing a continuous and comprehensive service to the people of Sarawak and cutting the expanses to import service from other states or to send patient to other state to receive treatment. More, ever we could also provide training to the local clinical and hence encourage more researches and opportunities in future.


Objectives

The objective of setting up a full Neurology Unit in Sarawak General Hospital:

  1. To provide full range of high level and sophisticated neurodiagnostik test in helping the neurologist for an accurate diagnosis, treatment and management of all neurological disorder.
  2. To advance the field of neurology in the State of Sarawak.
  3. To provide a high level of care for patient with neurology in Sarawak.
  4. To make the Sarawak General Hospital the referral centre for neurological diseases in the East Malaysian State of Sarawak and Sabah.

Services

The department offers :

Neurology Ward in patient service

  • Located at Medical 3 (Combine with 3 discipline).
  • 4 bed for acute stroke and 8 bed for general neurology.

Outpatient clinic (Level 2 Room R).

Acute Thrombolysis service.

Neurophysiology services (Level 2 Neurofisiology Lab,Day Care Centre).

Neurologist visiting at Hospital Bintulu and Hospital Miri every 3 months.


Unit Penyakit Berjangkit


Introduction  

Infectious Disease Ward commenced in 2009. It has 11 single negative pressure isolation rooms facility, to prevent the spread of infectious contaminants and maintain sterile or restricted spaces and are also referred to as Protective Environments (positive pressure rooms) and Airborne Infection Isolation Rooms (AIIR) (negative pressure rooms). 


Objectives
  1. Early identify patients who can quickly deteriorate, particularly patients with multiple commodities, and better manage complications related to off-label treatments.
  2. The infectious disease specialist is directly involved in the diagnosis and treatment of the most severe or rare infections.
  3. To provide inpatient services, including management of travel and tropical disease, HIV/AIDS, viral hepatitis, tuberculosis, community acquired and health-care associates infections, including infection in patients with impaired immunity. This is involved early diagnosis assessments, nursing care and harm reduction.
  4. To prevent airborne contaminants from drifting to other areas and contaminating patients, staff and sterile equipment. Also to provide a comprehensive management of infectious disease.
  5. To increase awareness and knowledge regarding infectious disease.
  6. Involves in collaboration Solidarity PLUS drugs trial that is designed to provide robust result on whether a drug can save lives in those hospitalized with severe or critical Covid-19 by using an ethical and regulatory approval and study drugs and then patient recruitment.


Unit Perubatan Endokrinologi


Introduction 

Endocrinology unit, under the Department of Medicine, Sarawak General Hospital provides secondary and tertiary services for patients with diabetes, metabolic and endocrine diseases.


Scope Of Services
  • Outpatient Clinics
  1. General Diabetes Clinic
  2. Type 1 & Young Diabetes Clinic
  3. Endocrine Clinic.
  • Combined Clinics
  1. Antenatal Diabetes Clinic (with O&G).
  2. Diabetes Foot Ulcer Clinic (with Orthopedic).
  3. Diabetes Foot Care Clinic (with Wound care team).
  4. Combined Hemato-Onco Endocrinology Clinic with Pediatric Oncology (Initiated in July 2017 in collaboration with Pediatric Oncology unit for survivals of childhood cancer as well as thalassemia patients with endocrine / metabolic dysfunction).
  5. Multidisciplinary Obesity Clinic (with Bariatric surgery).
  • Visiting Clinic 3-4 monthly
  1. Miri Hospital
  2. Sibu Hospital
  3. Bintulu Hospital
  • In patient management of patients with diabetic and endocrine diseases.
  • Consultation for other departments, polyclinics, and district hospitals.
  • Training center for endocrinology fellows in MOH, MTAC Diabetes pharmacists, nurse educators and allied health care professionals in Sarawak.
  • Research in field of diabetes, endocrine and metabolic disease.


Unit Hematologi


Introduction 

The Haematology Unit consists of a Haematology Ward and Medical Daycare. Haematology Ward is located at the 5th floor, clinical block since December 2010 with 11 official beds. Medical Daycare Unit has been relocated to a new building and started operation since July 2021. Operational hour is from Monday to Friday from 8 am to 5 pm and closed on weekend and public holiday.


Department Objectives

To provide continuous efficient and caring services for all patients with the theme “Quality patient care with personal touch”, ensuring all patients receive quality and friendly services with a personal touch.


Services Provided
  1. To provide diagnosis, treatment, counseling and supportive care to all haemato-oncology patients. To complement patient’s treatment from the ward by continuation of treatment, diagnosis and counseling for stable patients at daycare.
  2. To bring international innovative treatment to Sarawak haematology patients.


Unit Respiratori


Introduction 

Respiratory Medicine Unit Of Sarawak General Hospital provides a wide range of respiratory services for our clients in Sarawak and being the only referral centre in Sarawak for respiratory disease. We also provide outpatient consultation on appointment basis, in-patient care at Sarawak General Hospital and visiting service to all major hospitals throughout Sarawak.

Respiratory Clinic is located at Room R, level 2, Specialist Clinic of Sarawak General Hospital. We provide care for respiratory and related illness such as Suspected Lung Cancer, Pleural Effusion, Interstitial Lung Disease, Asthma, Chronic Obstructive Lung Disease ( COPD ) and others.

Respiratory Day  Care Unit ( RCU )services started on 23rd January 2015 whereby we provide ambulatory outpatient care such as bronchoscopy, pleural procedure such as pleural tapping / biopsies, chest tube insertion, bedside scan, talc pleurodesis, lung function testing, respiratory review , consultations, vaccination, infusing IVIG and sleep study.  RCU also serves as the procedure area for in- patients, Lung Function Test, Diagnostic Sleep Study and CPAP / BIPAP Titration.  Besides procedure day, RCU also provide OSA/CPAP trial clinic on scheduled dates.


Objectives
  1. To provide comprehensive diagnostic and therapeutic services in line with the updated skills according to national and international standard.
  2. To ensure staff are trained and competent to carry out diagnostic procedures.
  3. To deliver professional, safe and sincere care to patients.
  4. To ensure the Quality and safety of the Equipment used in accordance with the Quality Assurance.

Services Provided

For in-patient care, we provide consultation to all clinical departments at HUS and Sarawak Heart Centre. We have  dedicated beds for respiratory medicine at Infectious Disease Ward and Medical 3. 

Our Thoracic Endoscopy Unit performs the following procedures :

  1. Pleural procedures such as ultrasound guided pleural tapping, biopsy, pleural instillation of talc and other agents, insertion of temporary pleural catheter and permanent indwelling pleural catheter.
  2. Ultrasound guided trucut biospy of chest wall, lung and medistinal mass.
  3. Diagnostic bronchoscopy such as endotracheal biopsy, Bronchoalveolar Lavarge, Transbronchial Lung Biopsy, Trans-Bronchiol Needle Aspiration (TBNA ), Linear Endobronchial Ultrasound and radial Endobronchial ultrasound, Electromagnetic Nevigational Bronchoscopy (ENB) as well as Virtual Bronchosocpy Navigation (EBN).
  4. Medical Thoracoscopy, both flexrigid and rigid medical thoracosocpy.
  5. Rigid Bronchoscopy for foreign body removal, tumor debulking,Argon Plasma Coagulation, Cryobiopsy and Cryotherapy, balloon dilatation of airway stenosis and airway silicones and metallic stenting.
  6. Whole Lung Lavage in collaboration with anesthesiology department.

We also provide Non Invasive Ventilation ( NIV ) service for Acute Exacerbation of COPD, OSA, and other type 2 respiratory failure. Our Polysomnography unit provides level 1  2 & 3 sleep study and CPAP/BiPAP titration. This unit also runs a technician / specialist  led CPAP clinic provides advice and touble shooting for patients on CPAP or NIV at home.

We provide visiting clinic to Hospital Miri, Hospital Bintulu, Hospital Sibu, TBCP Miri, TBCP Bintulu, TBCP Sibu and TBCP Kuching.

We also organise scheduled  Multidisciplinary Discussion (MDD) meeting for lung cancer and interstitial lung disease as well as Tuberculosis. These discussion involve all relevent parties in the care of the patient like pathologist, radiologist, oncologist, public health and district health officers.

We are also actively involved in clinical trials, both investigators initiated trial and industry sponsored clinical trials.


Jabatan Dermatologi


Introduction 

The Department of Dermatology at Sarawak General Hospital was formed in April 1993. It comes under the medical directorate in the Sarawak General Hospital.


Objectives
  1. Comprehensive management of skin diseases from diagnosis, treatment and prevention of complication from skin diseases and in the reduction of morbidity, mortality and loss of productivity due to skin diseases.
  2. To enhance knowledge of skin diseases to the public and medical practitioners.
  3. To provide training to medical and paramedical personnel in pursuit of further knowledge in Dermatology.

Services Provided Based On The Objectives 
Department objectivesServices provided
Comprehensive management of skin diseases from diagnosis, treatment and       prevention of complication from skin diseases and in the reduction of morbidity, mortality and loss of productivity due to skin diseases.

Outpatient management of skin diseases.

Outpatient management of sexually  transmitted infections (STIs) and leprosy.

Investigations for skin diseases, leprosy and STIs including skin biopsies, patch and prick tests, slit skin smears, cultures for STIs and wood lamp examination.

Outpatient or ambulatory care dermatosurgery including laser and electrosurgical therapy.

Registry for psoriasis

Notification for sexual STIs, skin cancer and drug allergy.

Dermatology Consultation service is provided to the whole state of Sarawak.

To enhance knowledge of skin diseases to the public and medical practitioners.

Training for medical and paramedical personnel.

Counselling for patients with psoriasis and drug therapy.

Courses in Dermatology, STIs and Leprosy.

Public Talk/Forum about skin disorder

To provide training to medical and paramedical personnel in pursuit of further knowledge in Dermatology.

Training center for dermatology trainees of Advance Master of Dermatology

Dermatology training for medical students (UNIMAS), family medicines master students and internal medicine MRCP & MRCPCH candidates’ dermatology attachment

Training site for paramedics who wish to pursue post basic nursing program in dermatology

Center for dermatology research


Jabatan Psikiatri dan Kesihatan Mental 


Introduction

The Department of Psychiatry and Mental Health of Sarawak General Hospital has long been recognized as a tertiary referral centre in this state in mental health care, drawing upon a rich legacy of clinical expertise, training hub, and compassionate service. Over the course of the past year, our department has continued to uphold these standards of excellence while adapting to the dynamic landscape of mental health care delivery.

The Multidisciplinary Sub-specialty in Psychiatry represents a catalyst of innovation and collaboration within our department, bringing together experts from various disciplines to address the complex needs of individuals grappling with mental health challenges. At Mentari Psychiatry, we recognize the vital role that employment plays in promoting recovery, fostering independence, and enhancing overall well-being for individuals living with mental illness. Through collaboration with community partners, employers, and advocacy organizations, we have strive to create inclusive workplaces, eliminate stigma, and promote equal opportunities for individuals with mental health conditions.

Looking ahead, we remain steadfast in our resolve to achieve MSQH accreditation in year 2024 and to continually improve the quality and safety of the services we provide to our patients


Objective

Promote mental health, screen for mental illness and ensure early treatment. Provide continuing treatment in an accessible manner in the community. Provide rehabilitation and psycho-social interventions such as counselling, psycho therapies, patient and family education. Reduce stigma and discrimination.


Services Provided
  • General Adult Psychiatry
  • Neuropsychiatry
  • Child and Adolescent Psychiatry
  • Geriatric Psychiatry
  • Visiting Child & Adolescent Psychiatry: Sibu, Bintulu, Miri & Sri Aman
  • Consultation-Liaison Psychiatry
  • Clinical Psychology
  • Community Mental Health Centre (Mentari) located at Klinik Kesihatan Petra Jaya Community Psychiatry Service (Home-based treatment)
  • Outpatient Clinic and inpatient ward care
  • Electroconvulsive Therapy.
  • Training centre for Master’s program students, Elective Medical students, Medical students from UNIMAS, Medical Students Doing Elective Advanced Diploma in Mental Health paramedic students from Institut Latihan KKM (ILKKM) as well as students from private or public Universities doing Psychiatry/ Psychology.

 

Jabatan Radioterapi, Onkologi dan Palliative Care


Introduction

Department of Radiotherapy, Oncology and Palliative Care, Sarawak General Hospital is the only government centre that provides referral and treatment services for cancer in Sarawak. Currently the department comprises of Male Ward, Female Ward, Palliative Care Ward, Ambulatory Ward, Clinic, Chemo Day Care and Radiotherapy Unit. All units come together as one to uphold the vision of the department which is “To Ensure Client as a Life Partner in our pursuit Excellence” and mission of the department which is to “To Provide the Best Oncology Care Benchmarked against International Standard and to Engage in Research and Development” in par with the department’s motto which is “Excellence Always”.


Department Objectives
  1. To provide treatment for cancer that includes Radiotherapy, Chemotherapy, Brachytherapy and Hormonal Therapy.
  2. To provide Palliative Care services for advanced stage cancer patients and their families.
  3. To provide Hospice Home Care Programme for terminally ill patients and their families.
  4. To provide psycho-social support to cancer patients and their families in the form of support group.

Services Provided

Services provided by Department of Radiotherapy, Oncology and Palliative Care are:

  • Radiotherapy Treatment.
  • Chemotherapy Treatment.
  • Brachytherapy Treatment.
  • Hormonal Therapy Treatment.
  • Follow up Consultation Service at Clinic area for cancer patients.
  • Oncologist Consultation for cancer patients.
  • Patient Care services for patients in Female Ward, Male Ward, Palliative Care Ward and Ambulatory ward.
  • Psycho-social support for cancer patients and their families in the form of support group and counselling.
  • Provide training needs for nursing students, medical students and radiographer students.


Jabatan Pembedahan Am


Mission
  1. To provide an equitable and caring service of the highest quality with professionalism and utmost respect to human dignity which is accessible to all people of Sarawak.
  2. To develop the various subspecialties of surgery to a standard comparable to international institutions.
  3. To provide an excellent training ground for paramedics, undergraduates and postgraduates in the various fields of surgery.
  4. To provide health education to staffs and publics.


Jabatan Pembedahan Pediatrik


Introduction

The location of Paediatric Surgical Ward 4A Sarawak General Hospital is at Level 4, East Wing of the In-Patient Block and it has 28 beds. The admission of patients of this ward is range from new-borns to 12 years old.

The Unit is Sub divided into 2 units:

4 beds for Paediatric Surgical High Dependency Unit which located in front cubicle.

24 beds for General Paediatric Surgical, divided into :

  • 16 beds for General Surgery
  • 4 beds for Plastic Surgery
  • 2 beds for Urology Surgery
  • 2 beds, each bed for Burn and Gynaecology

With the practice of Bed Management Policy, the unit is also helping by taking selective cases from Paediatric Medical patients and adult surgical patients.


Objective
  1. To provide quality, caring, holistic and equitable Paediatric Surgical services to all the children of Sarawak.
  2. To provide training for health care professional and allied health personnel.
  3. To provide health education to parents and public.

Services Provided
  1. Inpatient care
  2. High Dependency and Intensive care
  3. Pre and post-operative care for surgical neonates, infants and children.
  4. Day care services included Day Care OT.
  5. Play therapy
  6. Training for medical and nursing personnel
  7. Networking with other hospitals regarding patient care, referrals and supply of specialized consumable items.
  8. Partnership with parents in the continuity of care after patient is discharged.


Jabatan Pembedahan Neuro


Introduction

Neurosurgery services started since 1996 and have been performing many complex surgeries. Male patients were placed in Male Surgical Ward while female patients in Female Surgical Ward. This has resulted in the increase of workload due to referral from the peripheral hospitals in the state of Sarawak thus causing congestion in General Surgery Ward.


Services
  • Provide diagnostic and treatment services in cerebral and spinal surgery throughout Sarawak.
  • Provide secondary and tertiary inpatient care.
  • Provide training for doctors, nurses and allied health staff.
  • Provide quality assurance, clinical and health care systems research.


Jabatan Pembedahan Plastik, Rekonstruktif dan Unit Burn 


Introduction
 
Department of Plastic, Reconstructive Surgery and Burn Unit of Hospital Umum Sarawak serves as a statewide referral hub for plastic surgery and burn cases. It is a specialized center of excellence dedicated to the restoration, reconstruction, and enhancement of the human body, with a particular focus on complex injuries, congenital anomalies, and burn care.

 
Our department offers a comprehensive range of services, including advanced reconstructive procedures such as microsurgery, cleft and craniofacial surgery, as well as aesthetic surgeries that enhance physical appearance and boost self-confidence. The Burn Unit offers comprehensive care for patients with acute and chronic burn injuries, including emergency resuscitation, surgical wound management, skin grafting, and long-term rehabilitation.


Objective
  1. To provide diagnostic, curative, rehabilitative and holistic services that are appropriate, effective, adequate and comfortable to patients requiring institutional care.
  2. To ensure that burns / plastic patients receive appropriate and safe care.
  3. To ensure that staff will have an in-depth knowledge and skills integrated with experience to provide quality nursing care for all burns / plastic patients.
  4. To ensure that the public are aware of the prevention of burn injury and early recognition of skin cancer.

Scope Of Service


Outpatient / Day Care Services 

  1. General Plastic Surgery Clinic 
  2. Wound and Dressing Clinic 
  3. Scar and Keloid Clinic (Kenocort Injection)
  4. AVF Clinic 
  5. Minor Surgery case eg Skin lesion, lipoma, skin malignancy, AVF surgery 
  6. Combined clinic – Cleft Combined Clinic 

Inpatient Services 

  1. Cleft and craniofacial surgery – cleft lip and palate, alveolar bone grafting, rhinoplasty
  2. Skin and soft tissue surgery for cancer-related cases 
  3. Burn – Acute burn surgery and secondary burn reconstruction 
  4. Breast Reconstruction – post-mastectomy in breast cancer patient, breast reduction
  5. Flap surgery and microsurgery 
  6. Trauma case eg, facial laceration wound, facial trauma, wound coverage/closure in post-traumatic
    wound 
  7. Head and neck surgery 
  8. Post weight loss surgery eg abdominoplasty, liposuction, brachioplasty 
  9. Fat grafting for contour deformities, post mastectomy 
  10. Liposuction for gynaecomastia or contour irregularities 
  11. Pressure Ulcer Surgery 

Visiting schedule (monthly)

  1. Hospital Sri Aman
  2. Hospital Sibu
  3. Hospital Miri 
  4. Hospital Bintulu

*To refer to the nearest Visiting Hospital for the monthly plastic schedule 

Location

Burn Ward, Level 3, Main Block Sarawak General Hospital

Plastic Surgery Clinic, Bangunan Rajawali (Monday – Friday, 8am – 5pm) 


Jabatan Ortopedik


Introduction

Orthopaedic Department is one of the core departments in Sarawak General Hospital (SGH) managing range of musculoskeletal pathologies from trauma, degenerative, infection etc. Our team of dedicated orthopaedic surgeons and staff is committed to providing comprehensive care, utilizing cutting-edge techniques and advanced technology to ensure the highest quality treatment for our patients. With a focus on compassion, innovation, and excellence, we strive to restore function, alleviate pain, and enhance the overall quality of life.

Orthopaedic Department, SGH is the primary referral centre in Sarawak Southern Cluster from Simunjan to Lundu and serves as a tertiary referral centre for subspeciality services for the whole state.

There are 112 total beds with 36 beds in each male and female orthopaedic ward, 12 beds in the paediatric ward and 28 beds in Rajah Charles Brook Memorial Hospital.


Objectives

The Orthopaedic Department SGH is dedicated to inspiring students, residents, fellows and faculty to work towards the discovery of the knowledge, attitudes, skills, and resources needed to deliver quality patient care that is responsive to the general needs of the local community as well as meeting the specialised needs of the country.


Services

General orthopaedics and traumatology are the mainstay of services rendered by the department. As the state referral hospital there are 7 main orthopaedic subspecialities available in SGH which includes Arthroplasty, Spine and Advanced Trauma Surgery, Sports Surgery, Hand and Microsurgery, Foot and Ankle, and Paediatric Surgery.

We provide monthly general visiting Specialist Clinic to Hospital Lundu, Hospital Bau and Hospital Serian.

We are also offering Subspecialty networking services to Hospital Miri, Sibu, Bintulu and Sarikei. The Arthroplasty surgery and sports surgery service is also extended to Queen Hospital, Kota Kinabalu. The networking services include specialist clinics and surgery.


Jabatan Kecemasan dan Trauma


Introduction

Emergency and Trauma Department, Sarawak General Hospital is located at Level 1 of the Clinical Block at the eastern side of Sarawak General Hospital where the department moved to this new block in the year 2000. Established as an integral part of the hospital in 1970, the function then was similar to an outpatient unit. Since its establishment in 1970 till 1993, the emergency department was managed mainly by Assistant Medical Officer. The activities that takes place are; resuscitation, examination, treatment, observation, referral and admission. Majority of the Medical Officers are working part time at the emergency department or outpatient department.

In 1994, a general specialist was posted to head the department and in 2003, the first Emergency Physician in the State Dr Chan Hiang Chuan was posted to as head the department until today .As an important discipline which is the center for referral and training, the department requires sufficient funding and human capital in order to provide quality Emergency Medicine and Trauma Services (EMTS) to meet the expectation of customers. The major problem today is the increasing number of attendances and stranded patients in the department. Furthermore, with the strike of Covid 19 in Februray 2020 until today, new strategies had to be implemented in order to provide effective and efficient emergency and trauma services.


Department Objectives
  1. To provide a prompt, accurate and definitive emergency medicine and trauma care services.
  2. To provide an integrated and comprehensive care which is seamless and continuous from the pre hospital care setting through to the hospital service.
  3. To provide ‘”total quality management”” in all the critical management inters phases from pre hospital care to the triage service and sorting out the various dedicated management zone namely; critical (red) zone, semi critical (yellow) zone and non crtical (green) zone.
  4. To provide an efficient and effective resuscitation and stabilization together with an accurate diagnostic service and critical life saving interventions.
  5. The management of the critical patient shall be conducted by an efficient team of skillful personnel which include specialists, medical officers, assistant medical officers, staff nurses and other healthcare personnel.
  6. To provide effective and efficient services in handing of infectious diseases like Covid- 19.

Services Provided
  1. The EMTS provides pre-hospital services that includes;
  • Ambulance service: first responder, emergency response and inter-facility.
  • Medical Emergency Coordinating Center (MECC) and 999 Emergency Call Management systems.
  • Major incident and disaster management
  • Handing of infectious diseases like Covid 19.
  • Mass gathering and major event medical coverage.

     2. The EMTS also provide hospital based services that includes:

  • Triage services.
  • Emergency clinical care.
  • Observational medicine.
  • Infectious diseases like Covid-19.

     3. The EMTS also offer sub-specialty emergency medicine and trauma services.

     4. Other ancillary services offered: Medical emergency and code blue team, Point of care testing.


Jabatan Oftalmologi


Introduction

The Ophthalmology Department of Sarawak General Hospital is situated at Room G, 1st Floor of the Specialist Clinic. It serves as the center of referral for the state of Sarawak. This department consists of:

  1. The Eye Clinic
    Set up in Oct,1993. is an out-patient department. Attendance is by appointment & referral only. Daily average attendance between 120-180 patients. All referral cases (new cases) is seen by M.O at Active Clinic.
  2. Eye Ward
    The Eye Ward , combines with the ENT Ward moved to the Level 5 of the New block on the 16th August,2001. The 28 beds capacity consisting of 14 beds each for the Eye & ENT Units. A section of the eye ward is allocated for Day Care patient.

Department Objectives

To restore or to improve sight of persons with cataract at the divisional and sub district level where eye specialist treatment is not available.


Services Provided
 

General Ophthalmic Services

  1. Outpatient Services (General Ophthalmic Services / Optometry and Low Vision Services / Cataract Services / ROP screening Services).

     2. Inpatient Services (General Ophthalmic Services / ROP screening).

Research, Public Health and Prevention of Blindness

  1. Research and Training (CME for staff, undergraduates and postgraduates/ Research and Publication).
  2. Monthly District Visits.
  3. Population Screening (Diabetic Retinopathy Screening/ Glaucoma Screening/ School Health Team Vision Screening).
  4. Primary Eye Care Course.
  5. Cataract Campaign.
  6. KK-KKM (Klinik Katarak bergerak).


Subspecialty Ophthalmic Services

  1. Glaucoma Services.
  2. Vitreo-Retina Services (visiting specialist Jan-Jun 2020).
  3. Oculoplastic Services (visiting specialist).
  4. Cornea and Refractive Surgery Services (visiting specialist).
  5. Pediatric and Strabismus Services (visiting specialist).
  6. Medical Retina Services (visiting specialist).


Jabatan Otorinolaringologi (ENT)

Introduction

Department of Otorhinolaryngology and Head & Surgery (ORL- H&S) is based at Pintu I (1st Floor) of Blok Klinik Pakar, Hospital Umum Sarawak, which also includes Audiology and Speech Therapy Services. ORL inpatient ward is co-shared with Haematology and Ophthalmology services.


Department Objectives

The main objective of our department is to provide diagnostic, curative and rehabilitation services in areas related to ear, nose, throat and head & neck pathologies.


Services Provided

These are divided into Diagnostic, Curative, Rehabilitation, Subspecialty services:

Diagnostic

  • Diagnostic hearing assessment
  • Office based ORL endoscopic procedures.
  • ORL biopsies for histopathological examination
  • Fine needle aspiration for cytology
  • Swallowing evaluation
  • Diagnostic speech assessment
  • Polysomnography
  • Newborn hearing screening

Curative

  • Outpatient treatment
  • Inpatient treatment
  • Surgical procedures

Rehabilitative

  • Speech rehabilitation
  • Audiological rehabilitation
  • Hearing aids and cochlear implant rehabilitation
  • Vertigo assistive therapy
  • Swallowing rehabilitation
  • Adult Obstructive Sleep Apnoea (OSA) / Continuous Positive Airway Pressure (CPAP) clinic

Subspecialty

  • Head & Neck surgery and reconstruction
  • Neuro-Otology
  • Paediatric ORL
  • Visiting UNIMAS Neurotologist/Rhinologist/Skullbase Surgeon


Jabatan Anestesiologi dan Rawatan Rapi


Introduction

The Department of Anaesthesiology and Intensive Care consists of ICU, Anaesthesia service (OT and remote areas), Anaesthetic Clinic, Acute and Chronic Pain service.


Department Objectives
  • To provide peri-operative anaesthetic care, pain management and intensive care efficiently in a safe and professional manner.
  • To uphold the value of teamwork by working closely with other clinical services to achieve the best possible outcome in patient care.
  • To provide continuous education, professional development, and formal training for medical and allied health professionals.
  • To collaborate and conduct research in the fields of anaesthesiology, intensive care, and pain management.
Services provided
  • Anaesthesia Service in Operating Theatre (19 Operating Rooms)
  • Anaesthesia Service outside of Operating Theatre (MRI, ERCP, Bronchoscopy, ECT, Interventional Radiology, Brachytherapy, Monitored Sedation in wards)
  • Intensive Care Service & Peripheral Ventilation team (18 beds ICU1, 2 PACU beds, 10 beds ICU2)
  • Pain Service (Acute and Chronic)
  • Anaesthetic Clinic & Pain Clinic
  • Anaesthesia service in Bau and Serian Hospital (Clusters) daily visiting team covering various disciplines.
  • Fracture Liaison Service covering perioperative analgesia and anaesthesia component.
  • Thrombectomy service for stroke.

 

Jabatan Pediatrik


Introduction

Paediatric Department is one of the major departments in Sarawak General Hospital providing inpatient and outpatient services. To cater for paediatric inpatient care, there are three 28 bed paediatric wards located at the new inpatient block and a 10 bed PICU at the tower block for paediatric patients. Neonates are admitted to the neonatal unit at the tower block comprising a 40 bed SCN and 24 bed NICU. There is also a 6 bed Level 1 nursery as an extension of the SCN. Outpatient services are provided for via general and subspecialist clinic sessions at Kozi Square for new and follow up patients. A dedicated Paediatric Day care at the Day Care Centre provides day care services.


Objectives

The objective of the department is to provide quality care incorporating aspects of promotive, preventive, diagnostic, curative and rehabilitative care which is child and family friendly to all children up to 12 years of age.

These objectives are to be met by the following functions

  1. To provide health and medical services to children from birth to 12 years except those with chronic disorder which include inpatient medical services, specialist outpatient medical services, ambulatory care, community and outreach medical services as well as immunization for missed opportunities.
  2. Training of doctors, nurses and allied health personnel in general paediatrics and subspecialities.
  3. Advocacy role for issues related to child and adolescent health
  4. Involvement in quality. improvement activities and clinical research.

Services

The inpatient services cater for ill newborns and children requiring inpatient care while outpatient services cater for referral as well as follow up cases. Services available cater for general as well as subspecialist care namely paediatric developmental, endocrine, gastroenterology & hepatology, metabolic, neurology, nephrology, oncology, premature, respiratory & rheumatology. The subspecialist clinic services are provided by resident subspecialists with the exception of gastroenterology & hepatology and metabolic services where the clinic services are provided by general paediatricians with scheduled visits by visiting subspecialists. Treatment and procedures that can be provided within the day are provided at the Paediatric daycare.

Besides the above services, other services provided by the department include :

  1. Supervisory visits General Paediatric visits to cluster hospitals – Bau & Lundu Subspecialist Developmental, Endocrine, Neurology, Nephrology, Oncology and Respiratory visits to Hospital Sibu, Miri & Bintulu.
  2. PREST (Paediatric Respiratory Support Team) Home visits and assessment of patients on home oxygen or respiratory support.
  3. Developmental clinics at KKPJ Run by SGH Developmental Paediatrician on a twice weekly basis
  4. Paediatric Cardiology Service Since 2011, paediatric cardiology services have been relocated to PJHUS. However, the cardiologists continue to provide emergency services whenever required besides twice weekly echocardiogram services.
  5. Medical Screening This include Universal Hearing Screening service for newborns, ROP screening for high risk babies and hypothyroid screening.
  6. School In Hospital In conjunction with MOE, the school in hospital programme for school going children was resumed from August 2022.


Jabatan Obstetrik dan Ginekologi


Introduction

The Department of Obstetrics and Gynaecology of Sarawak General Hospital plays a pivotal role in providing outstanding obstetric and gynaecology services for patients. Over the years this department had become a major tertiary referral center in Sarawak for a myriad of obstetrics and gynaecological diseases, including the neighboring district hospitals, as well as private medical centres.

The department provides inpatient and outpatient care services for Obstetrics and Gynaecology, Early Pregnancy Unit Assessment (EPAU), day care and O&G Specialist Clinic which receives referral patients and follow-up treatment. The O&G Specialist Clinic Services includes Family Planning Clinic, Pre-pregnancy Clinic, Combined Clinic and sub specialties namely Maternal-Fetal Medicine (MFM) Clinic, Gynaeoncology Clinic, Infertility Clinic and Urogynaecology Clinic.

Through the MRCOG programme, the department has been actively training specialists, supplying highly qualified professionals in the field to assist women across the nation and ensuring safer motherhood throughout Malaysia. Besides that, the department also provides continuous medical education for doctors and nurses, to ensure up to date provision of services for patients based on latest medical evidence. In addition to being the core organiser of the yearly postgraduate MRCOG courses and having faculty members invited as speakers at national and international scientific conferences and congresses, the department’s academic contribution is demonstrated by the publication of numerous original research papers.


Objectives
  1. To play a pivotal role in providing maternal and perinatal health care in Sarawak.
  2. To provide secondary and tertiary level care in Obstetrics & Gynaecology.
  3. To be a model for other hospitals in the state in implementing Baby – Friendly Hospital, Mother -& Father-Friendly Hospital as well as Pain-Free Hospital status.
  4. Providing a training ground to nuture paramedics, medical students, house-officers and medical officers specializing in Obstetrics & Gynaecology, Emergency Medicine and Family Medicine.
  5. Providing a suitable environment for clinical research and quality assurance studies.

Services Provided

1. Low and high risk obstetric management

Outpatient services are provided via the Antenatal Specialist Clinic, Combined Antenatal-Medical Clinic, Antenatal Staff Clinic, Antenatal Diabetic Clinic, Obstetric Day Care & Maternal-Fetal Medicine Clinic (MFM), Early Pregnancy Assessment Unit (EPAU) and Prepregnancy clinics. There are also Visiting MFM Specialist Clinics and Urogynaecology Clinics to Sibu, Miri and Bintulu. Procedures for high risk pregnancies such as fetoscopic laser ablation, bipolar cord coagulation and radiofrequency ablation are available.

In-patient services are provided through 3 maternity wards (120 beds) and a 15-bedded Labour Ward.

2. Gynaecological services

Outpatient gynaecological services are provided in the General Gynaecology Clinic, Gyne Oncology Clinic, Reproductive Medicine Clinic, and Urogynecology Clinic. Daycare Centre Operating Theatre is used for outpatient hysteroscopy and colposcopy/LLETZ procedures.

In-patient services are delivered at level 5 of the patient tower block which houses 28 beds. This ward is designated for all gynaecological issues pertaining to the reproductive system, including complications that arise during the first trimester.

3. Perinatal services

The department works closely with the Paediatric Department, Paediatric Surgery, Neurosurgery and Paediatric Cardiology to provide timely antenatal diagnosis and optimize resuscitation of the newborn and care for ill babies. Multidisciplinary team meetings are organized and parents are referred to paediatric surgery for further discussions to assist their understanding of possible postnatal course for the newborn. Regular perinatal mortality & morbidity discussions and audits are held, where remedial measures are recommended and carried out.

4.Surgery

Elective Gynaecology surgeries are scheduled every Tuesdays & Thursdays in the Main Operating theatre. Pre-operative meetings are conducted every Monday afternoon, at least a week prior to the surgery to discuss the planned cases. Preoperative rounds are performed by the surgeon a day earlier. The Maternity OT, which is located adjacent to the labour ward allows obstetric surgery to be performed until 9pm on weekdays. Regular visiting clinics to Bau, Serian, Lundu and Simunjan Hospitals has recommenced and selected gynaecological procedures are performed there. Starting from May 2023, the department has expanded the use of operation theater to Pusat Jantung Hospital Umum Sarawak (PJHUS) to reduce the workload of main OT.

5. Baby-Friendly Hospital Initiative (BFHI)

As of the year 2020 over 95% of the nurses in Maternity Units have attended the 20-Hour BFHI course and breastfeeding support groups are readily available. Breastfeeding Week was celebrated in the first week of August, albeit complying to the new normal, as we continue to raise awareness.

6. Training

Obstetric Emergency Drills are an essential component of training, identifying areas for improvement and self-reflection and are carried out regularly. The department also leads the Sarawak Advanced Life Support in Obstetrics (SALSO) programme catered for both midwives and doctors, who require credentialing every 3 years. Academic training is provided to midwives via Continuous Nursing Education (CNEs) and doctors via Department Continuous Medical Education (CMEs). Audits conducted at regular intervals within the department also allow the trainees appreciate the importance of risk management. Fellowship training is also provided for most of the subspecialities within O&G. The department is also involved in the training of postgraduate O&G, family medicine and emergency department candidates and medical students from University Malaysia Sarawak.

7. Family Planning

Medical officers and specialists from the department are also actively involved in the activities organized by the Family Planning Association (FPA), by voluntarily attending their clinic and providing services such as contraception counseling, cervical screening, managing gynaecological conditions and general health screening. We also participate in giving talks organized by the association to the public.

Klik di sini untuk mengetahui maklumat dan aktiviti terkini Jabatan Obstetetrik dan Ginekologi.

 


Unit Pusat Penyelidikan Klinikal (CRC)


Introduction

The Clinical Research Centre at Sarawak General Hospital (CRC SGH) was the third CRC established by the Ministry of Health (MOH) as part of the 37 hospital CRCs under Institute of Clinical Research (ICR). It was established with the aim to foster closer clinical research and cooperation at MOH hospitals in Malaysia by providing assistance in research proposals and writing, research funding and grant applications. Conventionally, the CRC SGH organises training workshops in biostatistics and research methodology, for good clinical practice certification and assists in presentations at local and international scientific meetings. Following the increase in international multicentre clinical trials, especially in the fields of cardiovascular disease and oncology over the last five years, CRC SGH improved its facilities and support services to cater for early phase clinical trials, in line with the vision of the ICR to become the leading clinical trial institution in Asia. From November 2016 onwards, CRC SGH has a dedicated purpose built one stop clinical trial facility consisting of 3 floors at the new CRC building to cover clinical, pharmacy, laboratory, administrative and archiving services for clinical research. CRC SGH has 35 permanent and part-time staff from medical officers to nurses and pharmacists; and 27 contract research officers. CRC SGH laboratory is MS ISO/IEC 17025: 2017 and MS ISO 15189: 2014 accredited; and CRC SGH has received full registration status for National Pharmaceutical Regulatory Agency’s (NPRA) Phase I Unit accreditation programme.


Department Objective

In line with the ICR vision to become a leading clinical research institution in Asia.


Services provided
  1. Support and facilitate research activities in the hospital through the provision of
  • Database of clinicians interested in research – by interest areas, track record on Industry Sponsored Research (ISR) and/or Investigator Initiated Research (IIR) and/or publications;
  • Technical support such as statistical analysis;
  • Administrative support such as providing research assistants and study coordinators;
  • Facility support such as Information Technology (IT), statistical software, work station and others;
  1. Assist in the registration of research protocol to NMRR (National Medical Research Register) and application of grants for research;
  2. Participate in clinical trials and other research initiated or coordinated by ICR;
  3. Promote research through capacity building in the following ways: conduct of training courses and implementation of research clinics;
  4. Conduct regular in-house Continuous Professional Development (CPD);

  5.  Implement mentoring programme for clinicians and other medical professionals interested in research 


Unit Rekod Perubatan

 
Services

Medical records management refers to a system of procedures and protocols responsible for governing patient information throughout the entirety of the data lifecycle.  From the moment a patient record is created, it must be appropriately stored, secured, and maintained.  After it has been retained for the necessary amount of time (its retention period), the record must be properly destroyed. There is a complex set of rules and regulations regarding medical records management, and for good reason. When health records are mismanaged, patients are put at risk. In fact good quality medical records are an essential component of safe and effective healthcare. Good medical records, whether electronic or handwritten are essential for the continuity of care of your patients. For health professionals, good medical records are vital for defending a complaint or clinical negligence claim; they provide a window on the clinical judgment being exercised at the time. The presence of a complete, up-to-date and accurate medical record can make all the difference to the outcome.

In today’s rapidly changing healthcare field, medical records management can be demanding. However, there are steps that organizations can take to protect patient privacy and maintain compliance. Successful medical records management programs engage the entire organization.  In order to efficiently monitor patient records from creation through destruction, organizations need a comprehensive taxonomy and indexing system that covers every type of record handled. This assures orderly filing and tracking of records while making searching more efficient and time saving.  In this hospital and in most public hospitals in Malaysia the Modified Terminal Digit Filing system (MTDFS) is used to file patient medical records. Indexing on the records are done by the Medical Records clerks based on patients Identity number namely the Malaysian I.C, Passport, Birth certificates and other relevant and valid identity document. Where these documents are not available the admission registration number is used (R/N).