Dr.
Ngun Kok Wah.
Consultant
Anaesthetist,
Subang
Jaya Medical Centre.
20
May 2000.
Ms.
Loke Choi Ching,
OT
Manager,
Subang
Jaya Medical Centre.
Dear
Ms. Loke,
Re: Overrunning
of Morning Elective Cases into the Afternoon
and Stocking of
Tegaderm IV Dressing
With
regard to the first item which I brought up in me letter of 13 April 2000, I
have further discussed the issue with Ms. Yim and the other anaesthetists to
further clarify the situation.
We
have agreed on the following,
1)
Whenever
a morning case is expected to extend into the afternoon, a proper afternoon
list shall be allocated for that morning case and the morning anaesthetist
shall continue to do the whole of that afternoon list.
2)
If
another anaesthetist is needed to cover the list vacated by the anaesthetist
caught with the long morning case, we have decided that the anaesthetist asked
to cover the afternoon list shall be, in order of preference,
a)
Anaesthetist
whose afternoon list was used for the morning case that has extended into the
afternoon,
b)
Anaesthetist
with some other scheduled list but with no cases booked into his list.
c)
Anaesthetist
covering emergencies that afternoon, if he has no other cases, and lastly,
d)
Anaesthetist
without any list (regular "free session").
3)
On
a similar note, if an anaesthetist is scheduled to do the morning session of a
whole day list, the same anaesthetist will also cover the afternoon session of
the whole day list, e.g. neurosurgical and vascular cases. Again, if another
anaesthetist is needed to cover the afternoon session of the anaesthetist
asked to do the whole day list, the order of preference will be as specified
in item 2), above.
Concerning
the Tegaderm IV dressing that we recently tried out, we have found it to be
most useful and would appreciate it if you could have it in stock as a regular
item in our Operating Theatres, both North and South.
Thank
you,
Dr.
Ngun Kok Wah.