FAQ Medical I

Management

Medical I

Medical II

Medical III

Medical Directorate

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Question 1

How do I receive treatment in the Psychiatry and Mental Health Department HKL?

Answer 1

Begin by getting an assessment and a referral letter from any qualified doctor (including nearby government health clinics or private general practitioners). Following that, please proceed (with the referral letter) to the Psychiatry and Mental Health Department HKL outpatient clinic located on the 4^th floor of the Specialist Complex and Ambulatory Care Centre (SCACC) building during office hours.

Question 2

What about emergencies?

Answer 2

For emergency cases only – which threatens danger to themselves or others, please proceed to the Psychiatry and Mental Health Department HKL outpatient clinic located on the 4^th floor of the Specialist Complex and Ambulatory Care Centre (SCACC) building during office hours, or to the Emergency Department HKL outside office hours.

Question 3

Must I be admitted to the ward to receive treatment?

Answer 3

Not all cases require admission to the ward. An assessment by a doctor from the Psychiatry and Mental Health Department, guided by the Mental Health Act 2001 and Mental Health Regulations 2010, will determine whether you will require inpatient care or merely outpatient clinic care using medications and/or psychotherapy (talking therapy).

Question 4

What must I bring in preparation for admission to the psychiatry ward?

Answer 4

a) Basic personal needs and toiletries for daily use are allowed.

b) Medications* for any of your other medical issues.

c) Other items such as clothes* or money* can only be used on your way to the hospital or upon discharge from the ward.

d) Food and drinks are available in the ward and outside food is not encouraged.

*Please pass your items to the staff on duty during the early stages of your admission to the ward.

Question 5

What objects are not allowed to be brought into the psychiatry ward by patients and their visitors?

Answer 5

Objects that cannot be brought into the ward include:

a) Cigarettes, matches and lighters.

b) Drugs and alcohol.

c) Weapons and any object that can be fashioned into a weapon or might be dangerous such as knives, scissors, sticks, ropes et cetera.

d) Jewellery or items with high monetary value.

Visitors will be asked to register to receive a visitor’s pass. Visitors might be searched for prohibited objects.

Question 6

Can I take pictures or record videos while I am in the psychiatry clinic or ward?

Answer 6

No. Any form of picture taking or video recording is not allowed in the psychiatry clinic or ward. This is to protect the privacy and comfort of patients, allowing the treatment process to run smoothly.

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/caregiver need to bring along a valid referral letter to the 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 a 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 4

Is the appointment time the time that I will be seeing the doctor?

Answer 4

No. The appointment time is the registration time according to “Sistem Blok Masa”

NEUROPHYSIOLOGY UNIT

Question 1

What are neurodiagnostic services available in the neurophysiology unit?

Answer 1

1	Electroencephalography (EEG)	EEG is a non-invasive and painless procedure 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. Patients are usually awake during the test, but sometimes, sleep-deprived or induced sleep EEGs may be performed to capture specific brain activity patterns. The results of an EEG can provide valuable information for diagnosing and managing a wide range of neurological conditions, helping doctors make informed decisions about treatment and care.
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 an inpatient. Therefore, this is a much longer recording than a standard EEG. It allows healthcare providers to capture detailed information about a patient's seizures and behavior, leading to more accurate diagnoses and more effective treatment plans. Additionally, it can be used to assess the impact of epilepsy on a patient's daily life and overall quality of life.
3	Polysomnography (PSG)	Polysomnography (PSG) is a comprehensive sleep study that monitors and records various physiological parameters while an individual sleeps. This test is performed to diagnose and evaluate sleep disorders, such as sleep apnea, narcolepsy, insomnia, and restless legs syndrome, among others. The PSG test provides a detailed and comprehensive evaluation of a person's sleep patterns and associated physiological changes. It helps doctors diagnose sleep disorders accurately and design appropriate treatment plans.
4	Evoked Potentials (EP)	Evoked Potentials (EP) tests are a group of diagnostic studies that assess the electrical activity in the central nervous system, specifically the brain and spinal cord. These tests are used to evaluate the functioning of sensory pathways, such as those responsible for vision, hearing, and somatosensation (sensation from the body's skin, muscles, and joints). EP tests are valuable tools for diagnosing and monitoring conditions that affect the nervous system, including multiple sclerosis (MS), optic neuritis, and various neuropathies.
6	Nerve Conduction Studies (NCS)	Nerve Conduction Studies [NCS] evaluate electrical potentials from peripheral nerves. Nerve Conduction Studies (NCS) tests are diagnostic procedures used to assess the function and health of peripheral nerves in the body. These tests measure the speed and strength of electrical signals as they travel along specific nerves, helping healthcare providers diagnose and evaluate a wide range of nerve-related conditions, such as neuropathy, nerve compression, and nerve injuries. NCS results are interpreted by a doctor. These tests are an important tool in the evaluation of nerve disorders and can help doctors develop appropriate management plans for their patients.
7	Electromyography (EMG)	Electromyography (EMG) is an electrodiagnostic test that uses EMG needles to study nerve and muscle function. It is commonly used to diagnose and monitor conditions related to the neuromuscular system, such as muscle disorders, nerve disorders, and conditions that affect the transmission of signals between nerves and muscles.
8	Transcranial Doppler (TCD)	A Transcranial Doppler (TCD) test is a medical diagnostic procedure that uses ultrasound technology to measure blood flow velocity in the major arteries and blood vessels within the brain. It is a non-invasive and painless test that provides valuable information about blood circulation in the brain, helping doctors diagnose and monitor various neurological and vascular conditions.

Question 2

How to get a neurodiagnostic report?

Answer 2

Patients from the neurology clinic - Neurodiagnostic report will be available for discussion during a neurology clinic appointment.

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

IN-PATIENT CARE WARD N5A AND &NBSP;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
Patients with mental retardation problems such as autism, down syndrome, hyperactivity and others.
Patients with emotional disorders such as depression.
Deaf and mute patients.

b) Locations of patients allowed to have a constant helper

1^st ,3^rd ,4^th cubicle, isolation room and 1^st class wards.

c) The number of caregivers - one person should preferably be of the same gender to avoid the discomfort of other patients.

d) 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).
Facilitate communication with patients.
Make it easier for doctors or nurses to get information, especially for patients with mental problems, deaf and mute.

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 N5A and N5B?

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