Saturday, 22 May 2010

Regarding the complaint in Borneo Post "Waited 12 hours to receive treatment in Emergency Department, Sarawak General Hospital?"?

There was a complaint in Borneo Post dated 21 May 2010, saying that a patient has waited for 12 hours in Emergency Department, Sarawak General Hospital, in order to received treatment and to be admitted into the ward. However, as a staff in the same department, I would like to give an overview of how the department is functioning.


The overview below reflects the normal system for majority of the patients, however, variety may occur depending on the severity of the disease, the number of staff, and the availability of the beds in different wards.


Emergency & Trauma Department (E&T) or Accident and Emergency Department(A&E) in Sarawak General Hospital (SGH) is in fact the first department to see and screen all the patients before they are either discharged, being observed for hours, or to be admitted into different wards.


It is divided into 3 zones, GREEN, YELLOW AND RED, according to the severity of the patients' condition. GREEN, as the name implies meaning all the non-urgent cases, YELLOW as intermediate and RED is urgent, needing immediate attention. For all the patients arriving at E&T, they are screened by the Triage Center, which will further decide which zone they will go to. The staff in Triage Center are Assistant Medical Assistant(AMA), who are medically trained to identify urgent and non urgent condition. Once they are seen at the Triage Center, patients will be directed to the respective zones.


Normal waiting time for patient in GREEN zone ranges from 15 mins, to 2 hours. In YELLOW and RED zone, waiting time is virtually less than 5 minutes as there will nurses/doctors attending them right after they are pushed into the YELLOW/RED zone. Patient in GREEN zone are mostly discharged back home with medications, with or without an appointment to come back to see the doctors. As for patients in YELLOW/RED zone, most of them will need some specialist input from different discipline, to name a few surgical, medical, paediatric etc. The first doctors who attend the patient are basically House Officer(HO) in E&T. Once patients are seen by HO, the more senior doctors, Medical Officer(MO) will again verify, and agree with the HO decision before further management can be made.


Once the decision has been made that the particular patient needs attention from certain discipline, such as Neurosurgical, the HO will call the doctors from Neurosurgical to come and review the patient, and this is always the time when patients are kept in E&T to be observed and awaiting review. Please be reminded that current SGH is still short of staff, most of the time the doctors on-call are busy in the ward, taking care of unstable patients, at the same time, they need to review new cases coming from E&T.


Apart from that, beds in SGH is always lacking, meaning that when a patient is decided for admission, he/she may not be able to enter the ward if beds are not available.


Thus patient may feel irritated that they are kept in E&T for too long, but in reality many process are going on in order to help and optimize the treatment given to the patients.


In conclusion, this is an overview to the public that how the E&T is functioning. Nevertheless, scenario may differ in reality due to different in severity, number of staff, availability of beds and numerous factors that may contribute to the waiting time to the patients.

13 comments:

Anonymous said...

Our Company Ikatan Innovasi Sdn Bhd who has an outstanding contract with ABF Petronas to construct the Plant's New Cooling Tower did not give our salary since May 2010. This has greatly affects our family as staff whose working only to be paid by monthly salary. Our bosses Mr. Tan Tat Chuan and Mr. Charles Penafort cannot give any information on when our salary will be given nor if they will no longer give us the same. The company has no more funds to complete the project because they already put the money in their own pockets. We have expats engineers whom they hired from other countries but until now their salary is not yet given also. Petronas has paid them more than their actual accomplishment and now even the small amount of our salary cannot be given. We want this issue to be published so that our heartless employer can be forced to do something to give our salary so that we can feed our hungry families nowadays. Thank you very much.

Anonymous said...

You did a good job in researching vimax and writing your content. vimax pills This is good information that will help others. penis enlargement pills
Great job~ [url=http://pills.buypenisenlargement.com]vimax[/url] [url=http://pills.buypenisenlargement.com]vimax pills[/url] [url=http://pills.buypenisenlargement.com]penis enlargement pills[/url]

Anonymous said...

HELP! I’m currently being held prisoner by the Russian mafia xyzrxyz [url=http://www.buypenisenlargement.com]penis enlargement[/url] xyzrxyz and being forced to post spam comments on blogs and forum! If you don’t approve this they will kill me. xyzrxyz [url=http://www.buypenisenlargement.com]penis enlargement[/url] xyzrxyz They’re coming back now. xyzrxyz [url=http:/pills.buypenisenlargement.com]vimax[/url] xyzrxyz Please send help!

Anonymous said...

Helpful post, bookmarked your website for hopes to read more information!


vozbuzhdayuwie tabletki viagra

Anonymous said...

смотреть видео элитная русская проститутка, http://chifobendo.szm.com/ продажные шлюхи, http://chifobendo.szm.com/map.html фото брянских проституток, http://chifobendo.szm.com/prostitutki-novosibirsk-vyezd.html проститутки новосибирск выезд, http://chifobendo.szm.com/prostitutki-lesbiyanki-foto-vyezd.html проститутки лесбиянки фото выезд, http://chifobendo.szm.com/samye-krasivye-shluhi-v-moskve.html самые красивые шлюхи в москве, http://disbactmbabil.szm.com/ индивидуалки снять на ночь, http://disbactmbabil.szm.com/map.html самые дешовые шлюхи в москве, http://disbactmbabil.szm.com/page-2.html индивидуалки в г москва, http://disbactmbabil.szm.com/putany-moskvy-i-shalavy.html путаны москвы и шалавы, http://disbactmbabil.szm.com/page-4.html путаны краснодара агенства эскорт услуг, http://giesembstepbio.szm.com/ снять дешёвую шлюху в питере, http://giesembstepbio.szm.com/map.html объявления интим досуг в иркутск, http://giesembstepbio.szm.com/page-2.html проститутки поиск по параметрам, http://giesembstepbio.szm.com/page-3.html путаны негритянки и мулатки москвы, http://giesembstepbio.szm.com/page-4.html

Anonymous said...

discount stereo install kits http://legalmusicworld.in/soul/soul-bossa-nova red hot chili peppers sheet music free [url=http://legalmusicworld.in/folk/american-folk-music-of-the-1800s]american folk music of the 1800s[/url]
common jazz fingering http://legalmusicworld.in/tango/hohner-tango let it be beatles tribute band [url=http://legalmusicworld.in/vocal/free-vocal-effects-software]clip art beatles[/url]
the bill debbie leesbian kiss http://legalmusicworld.in/vocal/asheville-2008-summer-vocal-camp clarinet music sheets [url=http://legalmusicworld.in/mp3/how-do-mp3s-read-music]how do mp3s read music[/url]
wood carved doors used for table http://legalmusicworld.in/rock/sedona-weddings-cathedral-rock dairy queen calories in hot dog [url=http://legalmusicworld.in/blues/judge-boushays-blues]ringtones music prince[/url]
orange blossom special guitar instrumental http://legalmusicworld.in/disco/oil-drum-bass rock and role era clothing styles [url=http://legalmusicworld.in/stereo/kenwood-stereo-codes-for-unversal-remote]kenwood stereo codes for unversal remote[/url]
ill be there for you lyrics by bon jovi http://legalmusicworld.in/tango/a2-tango the story of the queen of sheba [url=http://legalmusicworld.in/reggae/johhny-p-reggae]britney spears cartoon sex[/url]

Anonymous said...

free travel classified of usa http://cruises.gaww.in/fort/lauderdale/day/cruises travel trailer manuals free [url=http://airline.gaww.in/airline/fares/from/georgia/to/michigan]airline fares from georgia to michigan[/url]
gaba travel vancouver bc http://cruise.gaww.in/princess/cruise/line/pins pro atlas travel guide [url=http://gaww.in]adventure india tour travel[/url]
travel power cord http://cruises.gaww.in/cheap/bahama/cruises/from/charleston/south/carolina jobs in travel in boston [url=http://lufthansa.gaww.in/emmirate/airways]emmirate airways[/url]
bucks county travel http://vacation-packages.gaww.in/vacation/travel/packages lightest travel crib [url=http://tour.gaww.in/oakville/house/tour]pigeon forge 2008 travel planner[/url]
travel companion personal assistant job http://hotel.gaww.in/ramada/plaza/hotel/in/scranton/pa travel to slovenia [url=http://tours.gaww.in/rammstein/tours/dates]rammstein tours dates[/url]
gate1 travel http://tour.gaww.in/entre/nous/2007/tour/of/homes europe mountain travel [url=http://airport.gaww.in/oban/airport]photo travel coffee mugs[/url]

Anonymous said...

the black crowes feeling alright mp3 http://kzq.in/goldfrapp/goldfrapp/mix pop her cherry cock cum bald [url=http://kzq.in/john-williams/john/alfred/williams]john alfred williams[/url]
britney spears pics http://kzq.in/metallica/metallica/st/anger/lyrics isuzu mobile billboard trucks [url=http://kzq.in/madonna/what/was/madonna/doing/in/1995]silverstein the doors[/url]
on site audio recording gear http://kzq.in/leona-lewis/leona/lewis/like/a/moment doors with buzzer alarm [url=http://kzq.in/leona-lewis/bleeding/love/by/leona/lewis]bleeding love by leona lewis[/url]
stamps elvis presley http://kzq.in/linkin-park/linkin/park/song/names what is the best way to kiss a girl [url=http://kzq.in/green-day/let/it/go/by/green/day]liberty large cent coronet braided hair penny[/url]
bret rock of love with heather http://kzq.in/james-blunt/lyrics/james/blunt when your body gets the blues [url=http://kzq.in/janet-jackson/myspace/janet/jackson]myspace janet jackson[/url]
dj tiesto vs kosheen hide u htm http://kzq.in/metallica downloading free music from itunes [url=http://kzq.in/mark-ronson/mark/ronson/pictures]pop thatzit[/url]

Anonymous said...

Найти лучшее: аваст скачать обновление

Anonymous said...

Найти лучшее: ручная работа на дому скачать

Anonymous said...

sample of travel authorization http://blazing-star.azuw.info/liatris-blazing-star liatris blazing star [url=http://asparagus.azuw.info/asparagus-grill-recipe]asparagus grill recipe[/url]
http://chrysanthemum.azuw.info/chrysanthemum-buy chrysanthemum buy into the night santana mp3 download free [url=http://butterfly-bush.azuw.info/butterfly-bush-in-container]butterfly bush in container[/url]
[url=http://buddleia.azuw.info/buddleia-davidii-seeds]buddleia davidii seeds[/url] movie girl gets raped on pinball machine http://anigozanthus.azuw.info/anigozanthus-mini-red-green anigozanthus mini red green
ubu travel jacket http://blazing-star.azuw.info/blazing-star-of-freemasons blazing star of freemasons [url=http://acacia.azuw.info/acacia-and-alaska]acacia and alaska[/url]
http://chamelaucium.azuw.info/chamelaucium-uncinatum-nursery chamelaucium uncinatum nursery university international dance [url=http://bupleurum.azuw.info/bupleurum-uk]bupleurum uk[/url]

Anonymous said...

Fastened, they remonstrate on to be taught that filing lawsuits is not the partiality to squeeze through misleading piracy. A substitute alternatively, it's to wagon something person than piracy. Like cool-headed of use. It's indubitably a the prepared tools easier to contemn iTunes than to search the Internet with imperil of malware and then crappy je sais quoi, but if people are expected to out loads and hitch owing ages, it's not bourgeoning to work. They not from governor to toe would make of a low-lying on weigh in substitute for you can turn up people beget software and Network sites that vocal follow it ridiculously b to corsair, and up the quality. If that happens, then there compel be no stopping piracy. But they're too on the qui vive and nervous of losing. Risks recompense upwards the dimensions of to be bewitched!

cash

Anonymous said...

Cheap and trendy deisgner clothing from ronkaclothing.com where we sell: BraBuddy, Bracelets, Mignon, Lover, Dessy Group, Muubaa Leather, Blush Prom, under.ligne by doo.ri, Twenty8Twelve, Hanii Y, The Dessy Group, Despi, http://www.eicop.org/c-90-watches.aspx, Holiday Dresses, Necklace, Hype, One of a Kind, Amanda Uprichard, Imitation, Kettle Black, BH Haute, Wedge Boots, Charles David, Greylin, Parker, LD Tuttle, Cali by Cal, Sir Alistair Rai, Camille In Style, DL1961, Genetic Denim, True Religion, Nuj Novakhett, Fleet Jewelry, Lotion, Gemma Redux, Burning Torch, Urban Behavior, HANGING BEACH, Porter Grey, Georgie, Twelfth St. by Cynthia Vincent, Eberjey, Hollywood Hook Up, Books and Games, Torn by Ronny Kobo for The Mountain, Rebel Yell, La Femme Prom, Badgley Mischka, Something Else, Voom by Joy Han, Suspenders, Watches, Beyond Vintage, Bolero, Doori Fashions, Kain Label, Hair Accessories, Computer Bag - all available from our online designer clothing store at 50% off sale! Check out http://arts.harvard.edu - harvard university arts and fashion.
We admire work of Harvard University Arts and Fashion - best school of arts where great designers learn
how to create great looking designer clothing!

Relevant Posts:

Mobile Ad