Question 1

What is an anaesthesiologist? What is the jobscope?

Answer 1

An anaesthesiologist is a doctor specialized in giving anaesthesia for surgery. He or shemakes sure your vital signs – blood pressure, heart rate, temperature and oxygen levels – are stable throughout the surgery. He or she also manages your level of consciousness and sleep during the procedure. If you encounter a problem during surgery (blood loss, changes in blood pressure, heart arrhythmias, and many others), your anesthesiologist will work to correct the problem. Anaesthesiologists at HKL are experts on developing the best way to approach anesthesia for your specific operation.

Your anaesthesiologist also manages pain postoperatively and other pain which couldn’t be managed by your primary doctor. Anaesthesiologists also manage patients in ICU, screen and optimize patients who are going for surgery or any procedures requiring anaesthesia.

Question 2

What are the risks associated with anesthesia?

Answer 2

The Department of Anesthesiology, Intensive Care HKL has made great strides in advancing anesthesia safety for patients. Based on your specific needs, your anesthesiologist will develop a comprehensive anesthetic plan before, during, and after surgery. Before surgery, please speak with your anesthesiologist about any concerns you have about anesthesia and pain management.

Common side effects include headache, pain at the injection site, and nausea and vomiting. Many of these risks are mitigated through our anesthetic approaches, more specifically regional anesthesia.

Question 3

Can I eat before surgery?

Answer 3

You will be given specific instructions about eating and drinking by the nurse who contacts you the day before your surgery. If you are warded prior to surgery or procedure, you should refrain from eating at least six hours before your scheduled procedure to reduce side effects related to an aspiration. An aspiration is when stomach contents are expelled into the lungs and can cause significant damage. You can protect yourself from an aspiration by carefully following preoperative instructions regarding food and drink.

Question 4

What medications should I take on the day of surgery?

Answer 4

You should discuss your medications with your physician at your preoperative medical clearance appointment or with your surgeon before surgery. All patients scheduled for ambulatory surgery will be contacted by a daycare nurse on the afternoon or evening before surgery – you should ask about your medications then. If your medication questions are not answered by the day of surgery, you should bring your medications with you.

Question 5

Can my allergies interfere with anesthesia?

Answer 5

It is vital to inform your anesthesiologist of any allergies you may have. Your providers need to know what you are allergic to and how you react to those allergens. Bring your allergy card if you have one. If required, an allergy test would conducted for you before you are given a surgery date.

 

Question 1

What is the difference between CRC HKL and NCRC?

Answer 1

CRCHKL stands for Clinical Research Centre Hospital Kuala Lumpur which is a clinical research unit in Hospital Kuala Lumpur (HKL).

NCRC (previously known as National Clinical Research Centre), is currently known as Institute for Clinical Research (ICR), part of the National Institutes of Health (NIH) Malaysia located at Setia Alam.

Question 2

What does CRCHKL do?

Answer 2

CRCHKL assist HKL, Ministry of Health (MOH) Malaysia or any healthcare worker who is interested to conduct a clinical research in HKL by providing various research services, including:

• Site registration and approval for all researches to be conducted in Hospital Kuala Lumpur

• Research consultation such as National Medical Research Register (NMRR) registration, proposal/ protocol development, data management and statistical analysis, presentation and publication, NIH research grant application

• Protocol review with the Hospital Research and Review Committee (HRRC HKL)

• Research training such as Introduction to Research, Literature Search, Research Methodology, Critical Appraisal, Data Management, Basic Statistics using SPSS, Manuscript Writing, Good Clinical Practice (GCP)

*Most of the training courses provided are free and limited to HKL staff except for the Good Clinical Practice Workshop

Question 3

Does CRCHKL provide research funding grants?

Answer 3

CRCHKL does not provide research grant. However, we provide guidance for MOH staff to apply for a research grant from NIH. Please proceed to www.nih.gov.my for further details on NIH research grant.

Question 4

What is the process of conducting an Investigator Initiated Research (IIR) in HKL?

Answer 4

Prior to starting your research in HKL,

• Register your research in NMRR (www.nmrr.gov.my) and get Medical Research Ethics Committee (MREC) approval.

• Your research must also be approved by the study site Head of Department and Director of Hospital Kuala Lumpur.

CRCHKL strongly recommend all external investigators or non-HKL staff to have an internal HKL supervisor or co-investigator from the study site to facilitate you in the process of data collection.

For Systematic Review, Case Series, Case Report and Clinical Audit, investigator is encouraged to register it in NMRR and CRCHKL. MREC approval may be required in certain cases.

The following chart summarize the flow on how to register your research with CRC HKL.

Question 5

Do all investigators require Good Clinical Practice (GCP) certification?

Answer 5

All investigators involve in interventional research studies or industry sponsored research are compulsory to be GCP certified whereas observational studies may be optional, depends on the need of the investigator.

However, all investigators should conduct research in accordance to the Guideline of Good Clinical Practice. To download the Malaysian Guidelines for Good Clinical Practice 4th Edition, log on to www.nmrr.gov.my/usermanual/documents.

Question 1

How do I get treatment at the Department of Dermatology?

Answer 1

You should be consulted by a Medical Officer (doctor) at a Government or Private Clinic before being referred to Dermatology Clinic. Bring the referral letter to the registration counter and the appointment date will be provided on a case-by-case basis. Appointments can also be made by a phone call (03 2615 5555 ext: 1131/1130) from 2 to 4 pm (Monday-Thursday) and 3 to 4 pm (Friday), after you have received your referral letter for new or follow-up patient.

Question 2

Can I come without an appointment?

Answer 2

No. You should come on the given appointment date. However, if you have skin emergencies, you may come to the clinic without an appointment.

Question 3

What is classified as emergency cases in the Department of Dermatology?

Answer 3

Emergency cases are drug allergies, bacterial infections and any very severe skin condition. Patients will be screened by a Trained Nurse at the counter for the purpose of confirming the type of disease that requires early treatment.

Question 4 

What is Dermatology Clinic Operating Hours?

Answer 4

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

7.30 AM    -       1.00 PM

SKIN BIOPSY

GENERAL CLINIC

SKIN BIOPSY

GENERAL CLINIC

LASER SURGERY

ALLERGY CLINIC

LASER SURGERY

ALLERGY CLINIC

CRYOTHERAPY

 

SPECIAL CLINIC

ALOPECIA CLINIC

ALLERGY CLINIC

 

HANSEN’S CLINIC

 

GENITOURINARY MEDICINE CLINIC

PHOTOTHERAPY

1.00 - 2.00

BREAK (EXCEPT FRIDAY 12:15 PM – 2:45 PM)

2.00 PM    -       4.30 PM

GENERAL CLINIC

PSORIASIS COUNSELLING

MULTIDISCIPLINARY CLINIC

CRYOTHERAPY

GENERAL CLINIC

 

CRYOTHERAPHY

CPC DISCUSSION & JOURNAL CLUB

KENACORT INJECTION

 
 

KENACORT INJECTION

   
 

IONTOPHORESIS

 

GENITOURINARY MEDICINE CLINIC

PHOTOTHERAPY

Question 5

How can I change the appointment date?

Answer 5

Application to change the appointment date can be made by phone call on Monday to Thursday (2 PM-4PM) and Friday (3PM-4PM).

Question 1

What is an emergency case?

Answer 1

It is defined as a life threatening condition and require urgent medical attention. Some of the examples are breathing difficulty , severe chest pain ,severe abdominal pain, seizure attack, poisonings and overdose of medications and trauma related injuries for instance: road traffic accidents, assaults and etc.

Question 2 

How long does it take to get initial treatment at the Emergency Department?

Answer 2 

It depends on the patient’s condition after initial assessment by Emergency Department’s staff .

The client charter policy are:

♦ Critical cases: Immediately

♦ Semi Critical cases: 30 minutes

♦ Non Critical: 90 minutes

*the duration for patient’s stay in Emergency Department varies according to the complexity of the patient’s illness and condition.

Question 3 

What are the steps to be taken by a patient who is keen to obtain a medical report after being treated in the Emergency Department?

Answer 3 

Every medical report application need to be done at the Medical Record Department which is located at Wisma Kayu Building, HKL.

Question 1

Is the management of the human remains done by the hospital?

Answer 1

The Hospital mortuary in the Department of Forensic Medicine is responsible only for receipt and transfer of remains to legitimate claimants. However, the Department’s management counter staff can assist with issues regarding body transport and funerary services.

Question 2

How to request for an autopsy report or forensic clinical report?

Answer 2 

a) Applicants can present themselves at the Forensic Records counter at the Department of Forensic Medicine and submit the following documents: -

1. Latest Authorization / Authorization / Representative Letter (original) signed by the Applicant or heir in order (husband / wife / mother / father) with the signature of A witness.

2. Copy of Death Register / Burial Permit or Death Certificate.

3. Copy of Applicant's identity document such as Identity Card / Passport / Birth Certificate.

4. Copy of Marriage Certificate / Marriage Registration Document of the applicant (proof of family ties).

5. Letter of Declaration of Oath (original) from a Commissioner of Oaths (if applicable).

6. Latest Authorization Letter (original) from the Embassy of the country of origin of the deceased (foreign nationals).

7. Medical Report Application Form (Issued by Record Unit of Department of Forensic Medicine)

8. Payment Receipt for Autopsy Report (Issued by HKL Revenue Unit after making payment)

b) Application for a report requiring a separate proforma (Insurance, SOCSO, EPF and others) if not included then a report will be prepared according to the proforma set by the Hospital / Ministry of Health Malaysia.

References:

i. Pekeliling Ketua Pengarah Kesihatan Bil. 16/2010

Garispanduan Penyediaan Laporan Perubatan Di Hospital-Hospital Dan Institusi Perubatan

Question 3

Is there any payment for obtaining a forensic or clinical forensic report?

Answer 3

FEES / CHARGES CHARGED

♦ Autopsy/Postmortem Report by Medical Officer:

i. Malaysian - RM40.00
ii. Non-Malaysian - RM120.00

♦ Detailed Autopsy/Postmortem Report by Specialist Medical Officer:

i. Malaysian - RM1000.00
ii. Non-Malaysian - RM2000.00

References:

i. Perintah Fee (Perubatan) 1982 dan Perintah Fee (Perubatan) Pindaan 2003  Bagi Warganegara Asing.

ii. Surat Pekeliling Bahagian Kewangan Bil. 1 Tahun 2014

  Garispanduan Pelaksanaan Perintah FI (Perubatan)(Kos Perkhidmatan) 2014 bertarikh 29 Disember 2014.

iii. Surat Pekeliling Bahagian Kewangan Bil. 8 Tahun 2015

 Garispanduan Pelaksanaan Perintah FI (Perubatan)(Kos Perkhidmatan) 2014 bertarikh 6 November 2015.

Question 1

Can I come directly to the specialist clinic?

Answer 1

All patients must obtain a referral letter from the nearest health clinic and subsequently obtain an appointment date at the clinic counter.

Question 2 

How much is the payment imposed for this expertise service?

Answer 2

All Malaysian citizens will be charged RM5.00 fee for specialist clinic consultation. Fee exemption is possible in accordance with the Fee Actwhich involves primary & secondary students, senior citizens and also for those who bring guarantee letters (gl) of public or related employees. Fees may differ for citizens referred from private institutions and for non-citizens.

Question 3

What preparation is necessary when receiving treatment for the first time?

Answer 3

You will be given an appointment for taking a blood test before an appointment with a doctor. Please bring the referral letter, information date and time of appointment, guarantee letter if available and example of medicine taken if receiving treatment at other departments or centers.

Question 4

Is the family member allowed to stay with patients in the ward?

Answer 4

Yes, only one (1) caretaker is allowed to care for patients in the ward, especially for patients who are dependant or very ill. Caretaker must be the same gender as the patient.  

Question 1

What type of cases are referred to the Genetic Clinic?

Answer 1 

Most cases are referred for an accurate genetic diagnosis and counseling. Example of cases seen in the clinic include children with global developmental delay, babies born with a physical defect such as cleft palate, limb anomalies and congenital heart disease. Other cases include clients who are keen to find out their cancer risk, or their risk of inheriting a faulty gene; and there are others who want to find out more about a specific genetic disorder of concern.

Question 2 

Is there an age limit for a genetic referral?

Answer 2 

Patients of all ages can be referred to the clinic, ranging from pregnant mothers who are keen to know more about the abnormalities detected in their conception to geriatric patients with a suspected genetic disorder.

Question 3 

What is the cost involved for genetic testing?

Answer 3 

Genetic tests done locally are most of the time free for Malaysians. Doctors will discuss with you prior to ordering any genetic test that involves payment from your side. For foreigners, the cost involved for consultation and genetic tests are available at the clinic counter during registration.

1. DIALYSIS UNIT

Dialysis services for daily treatment patients at Hospital Kuala Lumpur are located at level 3, specialist complex building and daily treatment (SCACC).

Dialysis services are divided into 2 types of treatment:-

1.1 Peritoneal Dialysis (PD)

1.2 Hemodialysis (HD)

1.1 PERITONEAL DIALISIS (PD)

Question 1

What is dialysis?

Answer 1

Dialysis is a treatment that takes over the tasks done by the kidneys. A person may require dialysis when getting kidney failure at the end of stage renal another. This treatment is likely for a lifetime unless the patient gets a kidney transplant from a life organ donor or a deceased (cadaveric)

Question 2

Peritoneal dialysis

Answer 2

Peritoneal dialysis process is done through the peritoneum of the patient's hyabdominal. It can be done in a hospital or at home and is the most suitable way of treatment for children. This process requires a plastic tube (Tenchoff catheter) inserted into the stomach (abdomen) through surgery. The end of the tube will come out of the patient's stomach and it is called outlet (exit site).

Question 3

How much is the dialysis Peritoneal method? 

Answer 3

There are 2 methods of PD

• Continous Ambulatory Peritoneal Dialysis (CAPD)

• Automated Peritoneal Dialysis (APD)

Question 4

How is CAPD and APD done?

Answer 4

CAPD done during the day whether at home or in the workplace. The treatment is done 4 times a day. Takes 20-30 minutes while the APD is done using the machine automatically for 10 hours at night

Question 5

What is the cost of dialysis Peritoneal treatment? 

Answer 5

• APD-JPA

- RM 1000 (machine deposit)

- RM 4000 (monthly)

• CAPD-PRIVATE

- RM2600 (monthly)

• Tender Hospital (CAPD)

Patient pay RM100/-Fee Act

1.2 HEMODIALISIS (HD)

Question 1

What is it meant for hemodialysis treatment?

Answer 1

Hemodialysis is a method of treatment where patient's blood is cleared by using filters (artificial kidney) and HD machines. Each patient who underwent HD treatment should have vascular access such as Arterio Venous Fistula (AVF) or Catheter for a blood-on/exit channel during the treatment.

Question 2

Which patients need hemodialysis services?

Answer 2

All patients who have been diagnosed with Chronic Kidney Autoimmue (CKD) Level 5 (Stage 5) will require hemodialysis treatment services to replace the function of kidney, such as removal of kumuh, excess water and balancing pH And electrolit in the body system.

Question 3

How long is the treatment session for every time that patients undergo dialysis treatment and what about the operation hours of hemodialysis services to patients?

Answer 3

The treatment session for hemodialysis patients is 4 hours, 3 times a week, either Monday, Wednesday, Friday or Tuesday, Thursday, Saturday.

2. WAD NEFROLOGI

Question 1:

What services are provided in the ward of Nephrology? 

Answer 1

We provide services

- Care before & after for entry procedure Intrajagular catheter/Subclavian/femoral

- Care before & after Renal procedure Biopsi

- Care before & after an entry procedure Tenchoff Catheter and dialysis Peritoneal treatment

- Care before & after a kidney transplant

Question 2:

Where is the location of the ward of nephrology?

Answer 2

It is located in the Institute Urology & Nephrology Building, Level 2

-ward of nephrology 2A-female Ward

-Ward of Nephrology 2B-male ward

Question 3:

What facilities are provided in the ward of Nephrology?

Answer 3

1. We provide one-class room and two-class room.

2. We are leading to the concept of a friendly Hospital. The facilities provided are:

- men's Surau & Women at level 2

- clothes, prayer mats, prayer Kit & Al-Quran in Ward

3. Haemodialysis and CAPD treatment facilities in the ward.

4. Doctors who have trained expertise and nurses in the field of nephrology.

5. Comfortable waiting area on Level 2

3. UNIT AKUT HEMODIALISIS

Question 1

Where is the location of the acute hemodialysis unit? 

Answer 1

The acute hemodialysis unit is located at level 2 of the Department of Urology and Nephrology, behind Ward Nefro 2A.

Question 2

What is the operation time of this Unit?

Answer 2

An acute dialysis Unit operates 24 hours including public holidays and public holidays.

Question 3

Can outpatient suffer from kidney failure and require opportunity dialysis treatment directly to obtain hemodialysis treatment at acute Unit?

Answer 3

No, the acute hemodialysis unit only provides hemodialysis treatment for patients who still require monitoring from doctors, outpatient that is not referred by a Nephrologist should obtain a letter of reference and obtain An appointment at the clinic of nephrology before it can be seen by a Nephrologist.

4. PERKHIDMATAN UNIT INTERVENSI NEPHROLOGI

Question 1

When is the operating time of Nephrology intervention Unit?

Answer 1

Operating hours from 8am-5pm

Question 2

Where is the location of the Nephrology intervention Unit? 

Answer 2

- Inpatient intervention unit is between the wards of Nephro 2A and 2B,

- daycare intervention Unit in the daily specialist clinics Building 7, Room 10

Question 3

If there is a complication of bleeding in the catheters of the catheter, should the patient go?

Answer 3

If the bleeding is mild, please come to the clinic of nephrology at the clinic building the daily treatment at level 3 for further treatment on weekdays hours of the day of Office only, if the bleeding is serious (major) please keep immediately to Emergency Department of Hospital Kuala Lumpur at any time

5. NEPHROLOGY

Question 1

Where is the clinic location?

Answer 1

The clinic of Nephrology is located at level 3 of the Specialist Clinic Ambulatory Care Centre (SCACC).

Question 2

What is a chronic kidney disease?

Answer 2

Chronic kidney disease or CKD is the loss of a permanent kidney function or a leak in excess protein in urine. CKD is usually caused by diseases that can damage kidneys such as diabetes and high blood.

Question 3

What are the effects of chronic kidney disease?

Answer 3

When the kidneys suffer damage, the material and excessive water cannot be eliminated/removed from the body.

Question 4

Who is high-risk for chronic kidney disease?

Answer 4

The main cause of chronic kidney disease is:

• Diabetes

• High blood pressure

• Inflammation of renal (glomerulonephritis)

• Family members with kidney disease

• Gallstones

• Obesity

5.2 JADUAL KLINIK NEFROLOGI

CKD TALK –HARI ISNIN MINGGU PERTAMA DAN KETIGA SETIAP BULAN @ BILIK SEMINAR HDU

HARI

SESI PAGI

MASA

SESI PETANG

MASA

ISNIN

KLINIK CKD

KLINIK DIABETIC

 8.00-1.00

 8.00-1.00

KLINIK CKD

 2.00-5.00

SELASA

KLINIK GLOMERULONEPHRITIS

KLINIK M.O

 8.00-1.00

KLINIK MO

 2.00-5.00

RABU

KLINIK PRE-DIALYSIS

( MINGGU PERTAMA SETIAP BULAN – TIADA KLINIK )

 8.00-1.00

 

TRANSPLAN (ADULT)

KLINIK M.O

 2.00-5.00

 2.00-5.00

KHAMIS

KLINIK CKD

KLINIK GLOMERULONEPHRITIS

( MINGGU PERTAMA DAN KETIGA SAHAJA )

 8.00-1.00

KLINIK CKD

 2.00-5.00

JUMAAT

KLINIK M.O

 8.00-12.15

KLINIK M.O

 2.45-5.00

6.  JADUAL KLINIK RENAL TRANSPLANT PRE & POST

HARI

SESI PAGI

MASA

SESI PETANG

MASA

ISIIN

PENGAMBILAN DARAH HLA CROSSMATCHING

KLINIK PRE-TRANSPLANT (LIVING)

8.00 AM – 1.00 PM

KLINIK POST TRANSPLANT

2.00PM – 5.00PM

SELASA

DISCUSSION PESAKIT POST TRANSPLANT BERSAMA PAKAR NEFROLOGI

DISCUSSION PESAKIT PRE-LIVING BERSAMA PAKAR NEFROLOGI

7.30AM – 9.30AM

10.30AM –12.30PM

REVIEW RESULT DARAH PESAKIT POST TRANSPLANT

2.00PM-5.00PM

RABU

KLINIK PRE-TRANSPLANT (LIVING)

8.00 AM – 1.00 PM

KLINIK POST TRANSPLANT

2.00PM – 5.00PM

KHAMIS

KLINIK PRE-TRANSPLANT (DECEASED DONOR)

PRE UNC DISCUSSION

8.00 AM-1.00PM

10.00AM – 1.00 PM

KLINIK POST TRANSPLANT

2.00PM-5.00PM

JUMAAT

PERSEDIAAN FILE UNTUK MINGGU HADAPAN

8.00 PM – 12.15 PM

URO NEFRO CONFERENCE

REVIEW RESULT PESAKIT POST TRANSPLANT

2.00 PM – 4.00PM

4.00PM – 5.00PM

 

1. Neurophysiology Unit

Question 1

What are neurodiagnostic services that available in neurophysiology unit?

Answer 2

1

Electroencephalography (EEG)

Highly sensitive monitoring equipment records the activity through electrodes that are placed at measured intervals on a patient’s scalp. The test is not painful. The test itself usually takes about 90 minutes

2

Video Telemetry Recording (VTR)

Video Telemetry Recording is a special type of EEG (brainwave) investigation. The brainwaves are recorded usually for several days along with a video using a camera as in patient. Therefore, this is a much longer recording than a standard EEG.

3

Polysomnography (PSG)

The Polysomnography [PSG] is a recording during sleep that uses EEG and other physiologic monitors to evaluate sleep and sleep disorders as in patient.

4

Evoked Potentials (EP)

Evoked Potentials [EP] are recordings of electrical activity from the brain, spinal nerves, or sensory receptors in response to specific external stimulation.

6

Nerve Conduction Studies (NCS)

Nerve Conduction Studies [NCS] evaluate electrical potentials from peripheral nerves.

7

Electromyography (EMG)

Electromyography (EMG) is an electrodiagnostic testing that use EMG needles to study nerve and muscle function.

Question 2

How to get neurodiagnostic report?

Patients form neurology clinic- neurodiagnostic report will be available for discussion during neurology clinic appointment.

Answer 2 

Patients from other departments in HKL or outside HKL- all neurodiagnostic report will be send out to referring departments within 2 weeks after the test being done.

2. In-patient care ward N5B

Question 1

Which categories of in-patient that will require a constant helper while in the ward?

Answer 1

a. Conditions:

- Semi-conscious patients.

- Patients with one sided body weakness.

- An alert patient with poor balance while walking and standing

b. Locations of patients allowed to have a constant helper

- 1st ,3rd ,4th cubicle and 1st class wards.

c. Reasons for having a constant helper

- To reduce risk of fall

- To assist in care which involves mobilization to improve activity of daily living (ADL).

Question 2

Criteria of admission to first class ward in N5B:

Answer 2

Pensioner and government servants who are eligible for first class ward

Patients who had placed deposit at Unit Hasil during admission process

Patients who are considered safe and stable for transfer to first class ward by neurologist/medical officer in-charge.

Patients who has a constant helper.

Question 3

What is the work process of discharges in N5B?

Answer 3

 

3. Neurology Clinic

Question 1 

Do I need to get an appointment or I could come straight (walk-in) to see neurologist in neurology clinic?

Answer 1

Patient/caQ TY Grer need to bring along a valid referral letter to neurology clinic counter for an appointment allocation.

Question  2

What is the workflow for an appointment allocation?

Answer 2

All referral letters will be screened by neurologist on-call of the day for an appointment allocation.

Appointment date will be informed via phone call within 7 working days.

Question 3

When is the best time to call neurology clinic counter for changing appointment date?

Answer 3

3 PM onwards on busy clinic days. Kindly refer to clinic roster for further details.

Question 1

How to attain an appointment date from the clinic?

Answer 1

1. Time staggered hours for all new and existing patients:

♦ 30 am (Doctor’s consultation + Ophthalmic procedure)

♦ 30 am (Doctor’s consultation + Ophthalmic procedure)

♦ 30 am (Doctor’s Consultation)

♦ 30 pm (Doctor’s Consultation)

2. Patients need to come with a referral letter for them to be registered as walk-in cases (emergency cases)

3. Appointments made via telephone call (extention 1447) only for:

♦ Existing patients who wish to get a new appointment date

♦ Ward patients which were referred to the oncall ophthalmology doctors by their primary team.

♦ PLEASE BE PATIENT WHEN TRYING TO CALL THE CLINIC AS THERE IS ONLY A SINGLE LINE THAT CATERS TO ALL INCOMING CALLS FROM OUTSIDE

Question 2

How is the registration process in the ophthalmology clinic, HKL?

Answer 2

Below are the steps taken when you come for an appointment to our clinic:

1. Firstly, it is a must to bring your appointment card/referral letter with the appointment date written clearly

2. The appointment card/referral letter must be given to the registration counter. A small paper slip will be given to proceed with a visual acuity test in room 3.

3. After completing the visual acuity test, you need to register at the counter again and then proceed with doctor/optometrist consultation.

4. Waiting areas according to appropriate care:

a. Area D or E for doctors consultation

b. Area F for optometrist examination

c. In front of Room 1 for emergency/walk-in cases

5. Subsequent appointment will be given by a staff in the doctor’s room OR to be attained from the appointment counter (Counter 46)

6. Patients who are prescribed medications will have to wait at area C while the pharmacist prepares the medications.

Question 3

How much are the charges for registration and procedures?

Answer 3

Below are the charges in our clinic:

1. Government Hospital or Government clinic referrals

a. First time registrations are FOC (free of charge)

b. Subsequent registrations cost RM5.00

c. 00 – RM100.00 will be charge depending on the type of procedure done

d. Patients who are exempted from registration charges are:

• Handicap Card Holder (OKU card)

• Government pensioner

• Government staffs

• JKN (jabatan Kebajikan Masyarakat) Card holder and Baitulmal Receiver

• Eligible Blood donor

• School Students

• Citizen registered under JAKAO (Jabatan Kemajuan Orang Asli)

• OKT (Orang Kene Tahan)

2. Private Hospital or Clinic Referrals

a. First registration cost RM 30.00

b. Subsequent registration charges cost RM5.00 ( the same charges applied to Handicap Card holder, JKM and baitulmal receiver, school students, Eligible blood donor, Citizen registered under JAKAO (Jabatan Kemajuan Orang Asli, OKT (orang Kene Tahan)

c. 00 – RM1800.00 will be charged depending on the type of procedure done.

d. Payment exemption for government pensioners and staffs.

3. Foreigners

a. For valid passport holder, RM120.00 will be charged

b. For UNHCR card holder, RM60.00 will be charged

c. Depending on the ophthalmology procedure, charges is applied according to “Perintah FI” (Perubatan-Kos Perkhidmatan 2014)

Question 1

Can this clinic accepts Walk-In patients for dental check-up? 

Answer 1

No. We only accept patient with a referral letter. Patient with no medical illness will have to go to government periphery clinic nearby for dental check-up.

Question 2 

Can I get filling & scaling done in Oral & Maxillofacial Department, HKL?

Answer 2

Both treatment are given to patients referred to us with chronic medical illness such as heart disease, hypertension, diabetes and cancer. Patient who is healthy can get dental treatment in Government Periphery Dental Clinic near their house.

Question 3

Can I do tooth implant and what is the cost?

Answer 3

Yes but with a referral letter. Cost of implant ranges from RM3000 to RM4000

depending on the type of implant used. However, not all cases referred for implant is

suitable to proceed with the treatment. Oral Surgeon will examine and run several investigation before treatment starts.

Question 4

Can I bring my child for dental treatment?

Answer 4

Oral & Maxillofacial Surgery Clinic accepts referral for a child patient that requires our services with referral letter from government/private paediatric dental/medical specialist.

Question 5

Where should I go with referral letter address to Oral Pathology & Oral Medicine Clinic?

Answer 5

Patient has to go to Oral & Maxillofacial Surgery Satellite Clinic situated in main block for services as below:

1) Forensic Odontology

2) Oral Pathology & Oral Medicine

3) Special Needs Dentistry

Question 1

How do patients make an appointment for treatment or examination?

Answer 1

Kuala Lumpur Hospital Orthopaedic and Traumatology Clinic is a referral clinic.

Patients are required to bring a referral letter from any government hospital or private / Health Clinic to the registration counter for appointment registration.

The clinic provides treatment services for new referral cases as needed as well and providing repeat treatment services to patients who have been given an appointment date.

Question 2

Where is the location of Kuala Lumpur Hospital Orthopaedic & Traumatology Clinic?

Answer 2

The clinic operates in two different places. The main clinic is located at Jalan Dr Latiff, Wisma Kayu building and satellite clinic is at the Specialist Complex & Ambulatory Care Centre at Jalan Pahang.

The Registration Counter is open daily from Monday to Friday, from 7.30 am to 5.00 pm. Please call 03-26155555 extension 5537 or 6023 for any inquiries

Question 3

What documents are required to obtain treatment or admission which can be used for fee exemption?

Answer 3

Please bring social welfare cards, pension cards, school letters, guarantee letter (GL)

Question 4

When is the best time to call the Orthopedic Clinic counter for the appointment date change process?

Answer 4

It is advised that all incoming calls related to the above are held after the busy hours of the clinic. It is recommended that the best time on the clinic day is 3.00 pm.

CORELAB

Question 1

Do I have to fast before my lab test?

Answer 1

Yes, for Fasting Blood Sugar and Fasting Serum Lipid Profile testing.

Question 2 

What happens to my sample once I have provided blood?

Answer 2 

You sample will be dispatched to the main laboratory (Department of Pathology) of HKL for analysis in Core Laboratory.

Question 3 

When will my clinician get the results?

Answer 3 

The laboratory turn-around time is one hour for urgent request, 2-3 hours for routine request and one working day for urine biochemistry test. Lithium is analysed on every Monday, Wednesday dan Friday only.

Question 4 

How may I see the results?

Answer 4 

You may ask for the result from your clinician.

Question 5 

Where can I find the list of test and service hours?

Answer 6 

Refer to HKL Pathology Service Book or website.

Question 6 

How the procedure to send sample for Mixing Study from Non-HKL hospital/clinics?

Answer 6 

Mixing Test is performed on appointment and based on consultation with the Pathologist at 03-26155555 ext 5239 and the test is only offered during office hours.

CHEMICAL PATHOLOGY

Question 1

Can 24 hours of regular urine collection container be used for urine collection for 24 hours urine catecholamine test?

Answer 1

Cannot because 24 hours urine catecholamine test requires a special collection container containing preservatives.

Question 2 

When will my Thyroid Function Test (TFT) results be obtained after blood is taken on the day of the appointment at the clinic?

Answer 2

Sample taken at the clinic will be sent to the main laboratory, HKL Pathology Department for analysis at the Chemical Pathology Laboratory. For Thyroid Function Test (TFT), the laboratory turn-around time (LTAT) is 3 working days.

Question 3 

Do I need to fast before taking blood for HbA1c test?

Answer 3 

For HbA1c test, patient does not need to fast before taking blood.

Question 4 

When is the best time to take blood for Progesterone test?

Answer 4 

For Progesterone test, blood should be taken on the 21st day of menstruation.

Question 5 

Why was my test application rejected?

Answer 5 

It is possible that the sample was sent using wrong tube, the sample was leaking or sample had hemolysis.

MICROBIOLOGY

Question 1

What is the role of the Microbiology Laboratory?

Answer 1

The main role of the microbiological laboratory is to conduct diagnostic tests to detect microorganisms from clinical specimens. Microorganisms consist of bacteria, viruses, fungi and parasites.

Question 2 

How long is the time period for bacterial culture?

Answer 2 

Bacterial culture takes 18 hours to 48 hours. There are also some types of bacteria that take more than 48 hours such as Mycobacterium tuberculosis.

Question 3

What containers are used for bacterial culture?

Answer 3 

Basically, sterile containers that do not easily leak and break are used for bacterial cultivation. For more information, please refer to the list of laboratory tests

Question 4

What are the testing methods used to detect the virus?

Answer 4

At the Kuala Lumpur Hospital (HKL), various methods are used to detect the virus from clinical samples. Test methods conducted is to detect viral DNA, antigens or antibodies. To find out more, please refer to the list of laboratory tests.

Question 5

How long does it take to detect a virus?

Answer 5

The time taken is about 3-7 working days. It depends on the type of test offered. Please refer to the list of laboratory tests.

CLINICAL TOXICOLOGY

Question 1

Do I have to fast before my lab test?

Answer 1 

Fasting is not required for test analyzed in Clinical Toxicology Laboratory. However, other test may need to fast. Talk to your clinician.

Question 2 

Why is my doctor ordering Therapeutic Drug Monitoring (TDM) test?

Answer 2 

TDM is use to aid the management of drug therapy for the cure, alleviation or prevention of disease. The dosage adjusted according to the characteristic of individual being treated and the response obtained. In other words, TDM is used to assess the desired outcome to prevent toxicity.

Question 3

What happens to my sample once I have provided blood?

Answer 3 

You sample will be dispatched to the main laboratory (Department of Pathology) of HKL for analysis in Clinical Toxicology Laboratory.

Question 4 

When will my clinician get the results?

Answer 4 

The laboratory turn-around time is six hours for therapeutic drug monitoring, two working days for specific protein and five working days for tumour markers. Everolimus anda Sirolimus is analysed on every Tuesday dan Friday, while, Mycophenolic Acid is analysed on every Friday only.

Question 5

How may I see the results?

Answer 5

You may ask for the result from your clinician.

Question 6

Where can I find the list of test and service hours?

Answer 6

Refer to HKL Pathology Service Book or website.

Question 7

May I request for tumour markers for screening from my provider?

 Answer 7

No. Screening for tumour markers are not recommended. The test is not sensitive and specific for early stage of cancer.

Question 8

Can I eat medicine before appointment?

Answer 8 

One should strictly adhere to the instruction given especially for therapeutic drug monitoring. Otherwise it could affect the interpretation of the result. Talk to your clinician.

HEAMATOLOGY

Question 1

What is the most common haematology test performed on a patient and why?

Answer 1 

Most common haematology test which can be done for patient is Full Blood Count (FBC). This is a basic test that measures the numbers of different cells in a person’s blood such as red cells, white cells and platelets. This blood test helps to:

a. Assess the haemoglobin level in the red blood cells of a patient who is

b. Determine white blood cells count for patient with infection or suspected to have leukaemia/lymphoma.

c. Measure platelets level when someone has bleeding manifestation including dengue infection with rashes.

Question 2

What test/s will be carried out to detect the possibility of being a carrier when one of my relative is known to have thalassaemia?

Answer 2 

A basic screening tool using Full Blood Count (FBC) is done for screening of thalasaemia status. Based on this result, any abnormalities will be further subjected for Haemoglobin Analysis (Hb Analysis). Confirmation test by DNA analysis will be performed if needed.

Question 3

Where should I go for thalassaemia screening test? 

Answer 3

Thalassaemia screening testing can be done at any government Health Clinic and at certain private centre which offer the service.

Question 4

Can I undergo thalassaemia screening at Health Clinic even though none of my family member is carrier for thalassaemia?

Answer 4

Yes, you can. Anyone can go to Health Clinic and request for basic screening test (FBC) as not all carriers are symptomatic for this condition. Pre-marital couple is  recommended to undergo this screening apart from those with family history of thalasaemia.

National Thalassaemia Screening Programme for form 4 students conducted by KKM was initiated in 2016 as a measure to prevent new birth of affected babies in future. This young adolescent will be given health education about thalassaemia and  explaination on the purpose of the screening programme. Students with written consent from their parents/guardian will undergo the blood screening test and will be given thalassaemia screening card. With this information regarding their thalassaemia status, they can make wise decision on selecting their life partner. By this programme, it is expected that marriage of couples with thalassaemia carriers will be reduced.

Question 5

What test/s will be carried out if I am suspected of having blood cancer (leukaemia) ?

Answer 5

The attending physician will discuss with the patient / parents and conduct laboratory tests as follows:

a. Full Blood Picture (FBP)

For details of red blood cells, white blood cells and platelets count from blood samples. Microscopic examination of the blood smear will be and and stains will be able to detect presence of any abnormal white blood cells or blasts.

b. Bone Marrow Aspiration & Trephine Biopsy

• If FBP results show leukaemia or suspected leukaemia, bone marrow sampling and biopsy will be performed to confirm the disease and type of Leukemia. This procedure is safe and can be done as an outpatient. It is performed by introducing a designated needle into pelvic bone to obtain marrow samples and bone fragments.

The haematologist will review the bone marrow aspiration smear and confirm the presence of leukemia cells. Bone marrow samples are also sent for other tests such as:

a. Immunophenotyping test to determine the type and subtype of Leukemia.

b. Cytogenetic analysis is performed to detect any abnormal chromosomes in leukemia cells.

c. Molecular analysis to detect the type of mutation if present.

By doing these tests, it will assist the attending doctor in planning and providing appropriate treatment to the patient.

DRUG & RESEARCH LAB

Clinical Cases

Question 1

What type of specimens are accepted for urine toxicology tests?

Answer 1

Urine specimen. The laboratory accepts blood specimens as well for the Methadone test.

Question 2

What is the minimum volume required for a urine drug toxicology test?

Answer 2

20ml

Question 3

What form should  be used to request a urine drug toxicology test?

Answer 3

PERPAT 301 Pathology form. Please ensure the form is completely filled, especially the patient's clinical history and diagnosis.

Question 4

What type of container is suitable for testing?

Answer 4

Any urine container which does not contain preservatives.

Question 5

Can I request a urine drug toxicology test after office hours?

Answer 5

Yes. Urine drug toxicology can be requested after office hours by sending the specimen to the Pathology Main Counter (24 hours/day).

Question 6

When will the urine drug toxicology result ready for release?

Answer 6

14 days after specimen receipt by the lab.

Medical Check Up

Question 1

What type of form should be used for Drug Medical Examination (Medical Checkup) tests?

Answer 1

3 copies of UPD form.

Question 2

What is the minimum volume required for a Drug Medical Examination (Medical Checkup) test?       

Answer 2

30ml as outlined in the Ministry of Health Guidelines: Guidelines for Testing Drugs of Abuse in Urine.

Question 3

 Can I request a Drug Medical Examination (Medical Checkup) test after office hours?

Answer 3

No. The Drug & Research Laboratory Counter accepts requests every Monday until Friday from 8.00 am to 5.00 pm

Question 4

What type of test will be tested on a Drug Medical Examination specimen (Medical Checkup)?

Answer 4

 Urine specimens will be tested for Opiates, Cannabinoids & Amphetamine Type Stimulants test.

Question 5

When will the Drug Medical Examination (Medical Check up) result be ready for release?

Answer 5

10 days after specimen receipt by the lab.

Medicolegal Cases

Question 1

What type of form should be used to request drug of abuse tests for Medicolegal cases?

Answer 1

3 copies of UPD form

Question 2

Where can I obtain this form?

Answer 2

Drug & Research Laboratory Counter

Question 3

What is the minimum volume required for a drug of abuse tests in Medicolegal cases?

Answer 3

30ml as outlined in the Ministry of Health Guidelines: Guidelines for Testing Drugs of Abuse in Urine.

Question 4

Can I request a Drug Medicolegal test after office hours?

Answer 4

No. The Drug & Research Laboratory Counter accepts requests from Monday to Friday from 8.00 am to 5.00 pm.

Question 5

When will a drug of abuse tests for Medicolegal cases results be ready for collection?

Answer 5

Results will be released within 10 day for Morphine & Cannabinoid tests.

Results for other drug testing will be released within 60 days of specimen receipt. Please  refer to the list of drug of abuse tests offered in Hospital Kuala Lumpur website.

Results for ‘Urgent Medicolegal Amphetamine Type Stimulants test requested with a justified urgent letter will be released 14 days after sample receipt. 

CYTOLOGY

Question 1

What is a pap smear?

Answer 1

A type of test to detect the abnormal cells in the cervix.

Question 2

Why do you need to do a pap smear?

Answer 2

Detects cell changes at an early stage before it turn into cancer cell.

Question 3

Who needs to do pap smear?

Answer 3

All women who have had sexual intercourse whether married or unmarried.

Women in the age range of 30-65 years.

Question 4

When is the right time to do pap smear?

Answer 4

Ideally in the middle of the menstrual cycle (10-15 days after the first day of menstruation).Not during menstruation.

Question 5

Is pap smear painful?

Answer 5

The procedure may be less comfortable but you should not be sick.

Question 6

Frequency of pap smear?

Answer 6

Only once for the first 2 years

If the result is normal, repeat pap smear every 3 years.

Question 7

Where are pap smear services offered?

Answer 7

In government or private hospitals or clinics.

Question 8

Do I need to fast before the Fine Needle Aspiration Cytology (FNAC) procedure is performed?

Answer 8

Patients do not need to fast before performing the procedure.

Question 9

How to take sputum specimen?

Answer 8

Patient should remove sputum by “deep cough”

Question 10

Where can I find the list of test and services hours?

Answer 10

Refer to HKL Service Book or website.

Question 11

How may I know the results?

Answer 11

You may ask for the result from your clinicians.

HISTOPATHOLOGY

Question 1

What kind of specimens are received in Histopathology lab?

Answer 1

Specimens received for histopathology examination are tissue samples. These can be of various sizes, be it small biopsies or large tissue resection. Examples include skin biopsy for pigmented lesion, mastectomy for breast cancer, colectomy for colon cancer, appendicectomy for appendicitis, tonsillectomy for tonsillitis and so on. Body fluid, blood and swab are not suitable for histopathology examination.

Question 2

Where should specimens for Histopathology examination be sent to?

Answer 2

Specimens need to be sent to counter no. 5 in the common receiving area (CRA), Pathology Department, HKL.

Question 3

How should the specimens for Histopathology examination be sent?

Answer 3

The specimens MUST be sent immersed in 10% Neutral Buffered Formalin (NBF), unless contraindicated. This is to fix the tissue to prevent damage or autolysis. Further fixation will be continued in the lab as needed.

Question 4 

What are the contraindications to the usage of 10% NBF?

Answer 4

Certain specialized tests such as Enzyme histochemistry, muscle biopsies and Immunofluorescence studies. Please contact the lab personnel for further information regarding specimen handling for these tests.

Question 5 

How are HPE reports accessed?

Answer 5

Wards and clinics in HKL can trace/access HPE reports via Laboratory Informative System (LIS). For others, please collect the hard copy reports dispatched and/or check their emails for the soft copy reports.

Question 6 

How long is the turnaround time (TAT) duration for HPE reports?

Answer 6

TAT for small biopsies is 1 week, whereas for big specimens is 1 month.

Question 7 

What happens to the specimens after Histopathology examination?

The specimens will be discarded 1 month after the final report has been validated.

Answer 7

Are patients allowed to retrieve their specimens?

Yes, patients are allowed to retrieve their specimens after the HPE reports are released. Please contact the Histopathology office regarding the relevant procedure.

Question 8 

What is the procedure to request HPE photos for presentation, discussion etc?

Answer 8

For research or presentation, please contact the reporting pathologist. You are also required to fill in a form ‘PERMOHONAN MENDAPATKAN GAMBAR HISTOPATOLOGI (HKL/JP/HI-BP-03)’ from the histopathology office. TAT is 2/52 from the date of request received.

Question 1

How does one get a consultation and treatment from plastic and reconstructive clinic?

Answer 1

Client must get referral letter from Klinik Kesihatan or GP or emergency department before client can get appointment date in Plastic Clinic

Question 2

What are the documents required to waive payment ( only apply to Malaysian Citizen) during consultation, treatment or admission?

Answer 2

Social welfare card, Pension card, School letter and Guarantee Letter.

Question 3

Where is the location of Plastic and Reconstructive And Surgery Clinic?

Answer 3

Outpatient Plastic and Reconstructive Surgery Clinic located is situated on the 6th floor at the Specialist Clinic and Ambulatory Care Centre (SCACC), adjacent to Dermatology Outpatient Clinic.

Question 4

Where is the location of general plastic ward and burn ward?

Answer 4

i) Plastic & Reconstructive Surgery Ward (N5A)

Located at 2nd floor of Institut Kajisaraf Tunku Abdul Rahman (IKTAR) building, Hospital Kuala Lumpur

ii) Burn Unit (Ward NW3)

The Burn Unit ward is located at the 2nd Floor of the north wing of the main block, Hospital Kuala Lumpur

 

Question 1

How to get radiological examination at the Radiology Department HKL?

Answer 1

All radiological examinations at HKL must be referred  either from the ward or clinic in HKL, Health Care Clinics (Klinik Kesihatan, KKM) or private centers following hospital policy.

Question 2 

Does Radiology Department provide FPP (Full Payment Patient) services?

Answer 2

Currently HKL Radiology Department DOES NOT provide FPP services.

Question 3

Do patients have to pay for  radiological examination at HKL?

Answer 3 

Payment must be made through the Revenue Unit or requesting clinic according to the rate determined by the HKL Revenue Unit (for private or paying patients as stated in policy or guideline) before undergoing radiological examination.

Question 4 

What preparations are needed before undergoing a radiological examination?

Answer 4

Different radiological examinations require different preparations according to the type of examination whether general radiography, CT Scan, MRI, angiography, mammography, Bone Densitometry, Orthopantomography etc. All patient preparations will be clearly explained when the appointment is given or before performing the examination.

Question 5

Can an outpatient radiological examination report be obtained immediately after the examination?

Answer 5 

Only general radiographic and ultrasound examination reports will be given to  the patient upon completion of the examination. For special radiological examinations such as CT scan, MRI, mammography, Bone Densitometry etc. the radiological  report will be ready within 14 days and the films and reports shall be given to the requesting team.

GENERAL ENQUIRY

Question 1

Where is the Respiratory Medicine Institute located?

Answer 1

IPR is located at Jalan Pahang near Bulatan Pahang, Caltex Petrol Station and KPJ Tawakal Specialist Hospital.

Question 2

What services are available at IPR?

Answer 2

IPR is a specialist center for Respiratory Medicine. Here are the services offered:

1. Respiratory Specialist Clinic

2. Tuberculosis Clinic

3. Smoking Cessation Clinic

4. Toroscopic Endoscopy Service

Question 3

How much is the treatment charge imposed by the Institut Perubatan Respiratori?

Answer 3

IPR is one of the agencies under the Ministry of Health Malaysia (MOH) and the charges for any type of treatment are the same as other government hospitals.

However, each treatment received by the patient is different according to the patient's needs on the recommendation of the treating officer.

Question 4

How to apply for financial assistance?

Answer 4

To get financial assistance, it depends on the socio-economic level of the patient / family. Further information on specific assistance can be obtained from the Medical Social Work Unit at the hospital treating the patient.

If the patient / heir is a civil servant, free treatment is provided and no charge will be charged to:

i. Family of Officers (Husband / Wife);

ii. Children under the age of 18;

iii. or if still in school, under 21 years of age; and

iv.Legal parents.

* (Refer to Perintah Am Bab F)

However, updating information on HRMIS should be done by civil servants to ensure that the names of patients and family members of officers are on the list of dependents.

SERVICE AT RESPIRATORY SPECIALIST CLINIC

Question 5

What patients need to know to get treatment at KPR?

Answer 5 

Patients can come for treatment at IPR by bringing a referral letter from a Government Hospital / Clinic or from a Private Clinic. Patients need to submit the reference letter at the Treatment & Screening Room Counter (BRS). The staff at the counter will submit a form that needs to be filled in and will be attached with the reference letter brought for examination by the Specialist. If the patient's condition is categorized as unstable, the patient will continue to be referred to see a Specialist on the same day. Instead, patients who are categorized as stable, will be asked to return and will be contacted to be informed of the appointment date to be attended.

** Determination of the patient's condition is decided by the Medical Officer working in the Treatment & Screening Room

Question 6 

What do patients need to know about the appointment system?

Answer 6

The appointments given are according to the date and time. Patients are required to adhere to the appointment date and time that has been set.

Question 7 

What has IPR done to help patients to prevent patients from missing the appointment date and time?

Answer 7

The IPR will make a phone call to the heirs and the patient informs the appointment date

It is the responsibility of the heirs and patients to ensure that the telephone number provided is active (contactable).

Question 8 

What will the IPR do if the patient misses the appointment date?

Answer 8

i. The nurse or Health Care Assistant on duty will make a review first.

ii. A new appointment date and time will be given to the patient if necessary.

Question 9 

What to do if the patient's condition suddenly worsens after registration?

Answer 9

Beneficiaries need to immediately inform the patient's condition to the staff working at the counter so that assistance can be given to the patient.

MEDICAL RECORDS

Question 10

How to apply for a Medical Report?

Answer 10

Medical report can be applied through the Medical Records Unit by filling in the MOH / LP1 / 2008 form which can be found at the Medical Records Unit.

Question 11 

Who is eligible to apply for a Medical Report?

Answer 11

1. Application from the patient himself

2. Application from a parent / legal guardian (for patients aged 18 and under)

3. Application from heirs for husband / wife / children / siblings & parents

4. Application through agent / representative (insurance, lawyer etc.)

Question 12 

What are the conditions for applying for a Medical Report?

Answer 12

Patients have been treated at the Institute of Respiratory Medicine for any service: Outpatient / Inpatient Services or Daily Treatment.

Question 13 

What documents need to be brought along when making an application?

Answer 13

i. Copy of patient Identity Card

ii. Copy of applicant's Identity Card

iii. Copy of Marriage Certificate for husband / wife application

iv. Authorization Letter if the application is from a third party

v. Copy of Death Certificate / Burial Permit if the patient dies

vi. Appointment Card

vii. Letter of Consent from the relevant Embassy for cases of foreign nationals who died / could not be traced or their heirs could not be contacted.

viii. Related forms (EPF, SOCSO, insurance, etc.)

Question 14 

How much does it cost to prepare a Medical Report for Citizens?

Answer 14

i. Regular Report by Medical Officer - RM40.00

ii. Expert Brief Report / Expert Opinion - RM80.00

iii. Expert Detailed Report - RM200.00 - RM1,000.00

iv. Copy of original LP for the same purpose - 50% of the original charge rate

Question 15

Which party is eligible for payment exemption?

Answer 15 

i. Police

ii. Government Department for administrative purposes

iii. Legal Aid Bureau

iv. Form BAT F117 for the military enclosed with a letter of confirmation from the Commanding Officer

Question 16

How long does the Medical Report preparation period take?

Answer 16

Within 28 working days from the date of receipt of the completed application form.

Question 17 

Can a copy of the Patient Medical Record be given to the patient?

Answer 17

No.

“Patient Medical Record (RPP) is the Property of the Hospital while the information in the RPP is the property of the patient. RPP is categorized as a CONFIDENTIAL document according to medical ethics”

Circular of the Director General of Cases. No. 17/2010: "Guidelines for the Management and Management of Patient Medical Records for Hospitals and Medical Institutions"

Question 1

TYPES OF ORGAN AND TISSUE THAT CAN BE DONATED

Answer 1

• Heart

• Lungs

• Kidneys

• Liver

• Cornea

• Heart Valves

• Skin

• Bone

Question 2

RELIGIOUS VIEWS

Answer 2

Islam requires organ donation after death. Other religions in Malaysia such as Buddhism, Christianity, Hinduism & Sikhism also allow organ donation after death.

Question 3 

WILL ORGAN DONATION AND TISSUE DEFECT THE FUNERAL?

Answer 3 

The process of donating organs and tissues will not affect the appearance and shape of the body of the corpse. Funerals may be conducted as usual

Question 4 

WILL DURING INVESTIGATION (POST MORTEM), ORGAN AND TISSUE WILL BE TAKEN WITHOUT KNOWLEDGE OF THE HEIRS?

Answer 4

The process of extracting organs and tissues for transplant purposes can only be done after obtaining written permission from the heirs and must be carried out sterilely different from the post-mortem process

Question 5 

WILL ALL ORGANS FROM THE PLEDGE BE TAKEN AFTER DEATH?

Answer 5 

Not necessarily. Organ donation will be done based on the following criteria:

i) Only organs and tissues donated by the family

ii) Organs and tissues still function and can be used after death

iii) There are suitable recipients waiting

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