Telephone: 09-745 8000  Fax: 09-747 2877

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Customer Feedback: perdana@perdana.kpjhealth.com.my

Services & Procedures

ACCIDENT AND EMERGENCY SERVICES

 






Accident And Emergency Services is located at the ground floor. It is situated at the left wing of the building and can be accessed from the main entrance. From within the hospital, the Services is accessible through the main lobby or through Diagnostic Imaging Service.

A&E provides 24 hours comprehensive outpatient services. It is manned by Medical Officers and a team of experienced nurses and aides. Priority of treatment is given to patients in a critical condition.

The Medical Officers handle routine treatment, follow up care and basic medical screening here. KPJ PERDANA has been appointed as a GP Referral Clinic by many of our corporate clients. Referral for specialist care is easily available if necessary.

DIAGNOSTIC IMAGING SERVICES





This Services is located at the ground floor. The Services has a crucial and vital role in the work-up of patients by providing radiological input to complement and in some instances to confirm the clinical diagnosis and in other occasions to add further information with regards to the illness of patients which may be so subtle to be elicited by the clinicians. In other instances, radiological examination is utilized to assess the status of patient, following the treatment.

Services that can be provided by DIS includes:

1-  Plain radiography/ plain X-ray
2-  X-ray mammography
3-   Ultrasonography; including Doppler study
4-  Fluoroscopy
5-  Contrast radiography e.g. intravenous urography(IVU)
6-  64 Slice (CT scab)
7-  Mobile radiography
8-  C-arm; operating theatre radiographic facility
9-  MRI

Plain Radiography



Examples include chest radiography (CXR), skull radiograph (SXR) and radiographs of the extremities/ limbs. In most instances, this is the first radiographic examination that would be requested by the clinician. The information that can be obtained may confirm the clinical diagnosis, provide insight into the extent of the disease, help the clinician in instituting the proper mode of treatment and dictate the subsequent imaging modality or any combination of the other imaging modalities available.

Ultrasonography (US)



This imaging modality utilizes the high frequency sound waves (not X-radiation) usually in the range of 3 MHz to 15 MHz. Thus these sound waves are not audible to human being as this frequency range is beyond our audible range. The ultrasound is generated from a special gadget which is a vital component of an ultrasound unit. This gadget is known as an ultrasound (US) transducer or probe. The probe contains a special component which vibrates and produces ultrasound when it is subjected to an electrical voltage. This material is known as a piezoelectric element. When the ultrasound is produced by the transducer, it will penetrate into the tissues and some of the ultrasound waves will be reflected towards the probe when these sound waves reaches an interface such as muscle and blood vessels.

The reflected sounds return to the probe and these sound waves are converted into electrical signals and then transmitted into the computer system of the US unit. The electrical signals are then converted into shades of grey ranging from black to white, depending on the intensity of the electrical signals. Arrangements of these tiny dots of various shades of grey will form what is known as an ultrasonographic image. The intensity of the electrical signals is proportional to the intensity/ amount of the reflected sound waves i.e. echoes. This is why, US examination is also known as echography e.g. echocardiography i.e. ultrasonographic examination of the heart.

Ultrasonography is a versatile imaging tool; however it is very operator dependent unlike the other imaging modalities. Thus the expertise and experience of the operator is very important to utilize this examination for maximum benefit. US can be utilized as diagnostic tool, guiding for intervention such as biopsy and drainage or both. It is a relatively very safe imaging modality as no X-radiation is involved. In some disease entity, such as looking for the presence of gallstones or renal stones, US is now the first imaging and the imaging procedure of choice compared to plain radiography.

Mammography(Conventional X-ray Mammography)



Mammography is an imaging procedure for the breast. Breast in medical terms is known as mammary gland.An X-ray mammographic unit is a system which is specifically design for the sole examination of the breasts. There are specific differences in the components of the X-ray mammographic unit which allows the optimum parameters and comfort for the patient undergoing this examination.

One of the objectives of doing this examination is for screening the breast for possible abnormalities and more importantly in detecting early breast cancers which might not be felt by the patient or the attending doctor. The other objective is to try to provide further information with regards to specific complaints by the patient or abnormalities noted by the examining doctor. The information obtained will provide further clues as to the nature of the abnormality i.e. whether the lesion is likely to be cancerous, less likely or unlikely. X-ray mammography is also utilize as a follow up examination for known case of breast cancer who had undergone treatment so as to allow the attending doctor to know whether the patient has respond to treatment and also to assess the disease progression.

64-Slice (CT Scan)



This examination utilizes X-rays basically similar to plain radiography. However, the X-rays that exit from the patient's body do not 'interact' with the radiographic film as in plain (conventional) radiography. In CT scan, the X-rays that exit from the patient will 'interact' with special detectors which convert the X-rays into electrical signals and subsequently being channeled to the computer system. The computer system will then 'processed' the signals and finally will reconstruct an image of the body part that is being examined. Thus the images that we seen in a CT scan examination are computer constructed images. There are many benefit and advantages of CT scan compared to the plain (conventional) radiography which include, allowing image manipulation, reconstruction, 'clearer' image of body parts and more importantly allows visualization of body parts that are no visible in the plain radiograph.

The newer CT scanner allows further benefical capabilities which provide informations that immensly surpass the capability of plain radiography. At KPJ Perdana, the CT scanner is of the helical type which means it has a volume data acquisition i.e. scanning is being performed while patient is gradually moved into or out of the gantry. The advantage of helical CT is it allows faster scanning and a better multi planar image reconstruction compared to the conventional computrd tomography. Patient who's undergoing a CT examination may be required to ingest radiographic contrast medium prior to the examination. In addition, patient may also be given intravenous contrast medium. This is to further enhance and characterize the abnormality. Sometime contrast medium may need to be given through other routes such as per rectal, insertion of tampoon pervaginal and also into the thecal space for spinal and intracranial lesion. However intrathecal contrast injection has significantly decrease with the availability of magnetic resonance imaging (MRI). CT can also be utilized as a guiding modality for certain interventional procedures such as biopsy or therapeutic procedure such as insertion of drainage tubes.

Fluoroscopy (X-ray Conventional Fluoroscopy)



This imaging technique allows real time visualization, by means of image intensfier and TV moniter the target organ that is being examined. This imaging technique usually utilizes the usage of special radiographic contrast medium to delineate the structure of interest. The examination is usually carried out with the radiologist and an assistant inside the examination with the patient. Therefore the radiologist and other persons (excluding the patient) within the room need to put on proctective lead gown and other radiation protective harness during a fluoroscopic examination.

By performing this examination, the radiologist could evaluate and detect presence of abnormality and document this abnormality by taking appropriate radiographs. The introduction of radiographic contrast medium can be performed through various routes depending on the organ or structure of interest. Some of the routes include per oral (through the mouth), per rectal (through the anal opening), per urethral (through the urethra i.e. urinary passageway) and other openings which might occur as a result of the disease process, trauma or being surgically created. Examples of fluoroscopic examination includes barium swallow, barium meal, barium meal follow through, barium emema, loopogram, micturating cysto urethrogram, nephrostomogram, sinogram and fistulogram. The contrast medium used is usaually a positive contrast medium such as barium suspension, gastrografin or other iodine contining water solible contrast medium. Fluoroscopy is also utilized in performing other image guided procedures diagnostic, therapeutic or both. This include endoscopic retrograde cholangio-pancreaticography (ERCP), pacemaker insertion, nephrostomy, hystrosalphingography (HSG), or tissue biopsy such as pulmonary (lung) masses.

CPortable/Mobile Radiography (Portable X-ray)

This radiographic facility is provided specifically for the ill patient who is too ill to come to the DID for plain radiographic examination. The radiograph obtained is usually not as 'good' as those that is being performed in the DID. There are various reasons for the compromise of the radiographic quality. This includes lower output of the mobile radiographic unit i.e. kV and mA, poor patient compliance and also shorter focus film distance. However the main purpose of mobile radiography is to demonstrate gross abnormality in the critically patient. Thus appropriate radiograph may be performed in DID when the patient's condition improved. Therefore as far as possible radiography of patient is best performed in DID where better radiographic unit is available.

Mobile C-arm Fluoroscopy

This floroscopic unit is usually utilized in the operating theatre (OT), to assist the surgeon who's performing certain procedures such as operative cholangiogram, insertion of certain surgical or orthopedic gadgets into the patient or in guiding the surgeon to identify certain bony landmark during surgery such as spinal surgery. The radiographs is the being processed for hard copy documentation when the need arises.

Magnetic Resonance Image (MRI)



An MRI scan uses a large magnet, radio waves and a computer to create a detailed cross-sectional image of the patient’s internal organs and structures.

An MRI scan differs from CT scans and x-rays because it does not use ionizing radiation, which can be potentially harmful to a patient. The development of the MRI scan represents a huge milestone for the medical world, as doctors, scientists and researchers are now able to examine the insides of the human body accurately using non-invasive tool.

The following are just some of the examples where an MRI scan is used:

• Abnormalities of the brain and spinal cord.
• Tumours, cysts, and other abnormalities in various parts of the body.
• Injuries or abnormalities of the joints, such as back pain.
• Diseases of the liver and other abdominal organs.
• Causes of pelvic pain in women (e.g. fibroids, endometriosis).
• Suspected uterine abnormalities in women undergoing evaluation for infertility.

There is little to no preparation required for patients before an MRI scan. On arrival at the hospital, you may be asked to change into hospital gown. As magnets are used, it is critical that no metal objects are in the scanner. Hence, patients will asked to remove any metal jewellery or accessories that may interfere with machine.

Sometimes patients will be injected with intravenous (IV) contrast liquid to improve the appearance of a certain body tissue. Once you have entered the scanning room, you will be helped onto the scanner to lie down. Staffs will try to ensure that you are as comfortable as possible by providing blankets or cushions. You will also be offered earplugs or headphones to block out the loud noises of the scanner. The latter is very popular with children as they can listen to music to calm any anxiety.

Once in the MRI scanner, the technologist will speak to you via the intercom to ensure you are comfortable. They will not start the scan unless you are ready.

During the scan, it is imperative you try your beat to stay still. Any movement will disrupt the images created, much like a camera trying to take a picture of a moving object. You will hear some loud noises coming from the scanner, which is perfectly normal.


PATIENT & MEDICAL RECORD


All patients' case notes are stored centrally at this Services. It is located at the ground floor, next to the Pharmacy Services. The Services is responsible to maintain & ensure that strict standard of confidentiality are adhered to at all time and place.

At the same time the Service will ensure that accessibility to patient case notes and information are strictly monitored.

PHARMACY SERVICES




Mission

To ensure that all of our customers receive:

1-  Safe, efficacious and high quality pharmaceutical products
2-  Professional advices on the usages of the pharmaceutical products

Objective

Our objective are:

1-  To provide efficient and courteous services to our customers
2-  To provide drug information and professional advices to our customers
3-  To supply and dispense correct medications as prescribed by doctors
4-  To ensure that our customers receive medications within a reasonable period of time>
5-  To purchase and maintain adequate stocks of pharmaceutical products

Working Hours

We provide 24-hour Pharmacy Services for outpatients and inpatients.

Location

Pharmacy Services is located at Ground Floor (Lobby Area)

Services Available

1-  Inpatient Services
2-  Outpatient Services
3-  Community Services
4-  Pharmaceutical Store Services
5-  Drug Information Services

Contacts

Tel: 09-7458000
ext: 1028/1025 or 09-7458125
Fax: 09-7472877

ICU/CCU/CICU/PICU





ICU/CCU/CICU/PICU is located at the third floor, the same floor with the Delivery Suite, Operation Theatre & CSSD Unit.

ICU/CCU/CICU/PICU covers wide range of cases such as below:

1-  Major surgery
2-  Serious injury
3-  Respiratory failure
4-  Coma
5-  Severe shock
6-  Severe poisoning / over dose etc.
7-  Ventilation
8-  Coronary care
9-  Cardiac intensive care
10-   Paediatric intensive care

It is manned on 24 hours basis with one to one ratio of staff to patient with ventilator.

Number of beds in the Units are:

  • ICU – 4 BEDS

  • CCU – 4 BEDS

  • CICU – 1 BED

  • PICU – 1 BED

DIETARY SERVICES


Dietary Services aims to satisfy customer with cost effective service provided. It also provides a higher level of food quality in all aspect such as food palatability, attractiveness, appropriate temperature, food hygiene and varieties of the food served.

Related to its objective, the Services aims to improve patients' health and restore patients to their normal state of well-being.

Dietary Services Cover

Catering Services:
- Supply food for inpatients.
- Choices of menu (accordingly to the diseases and patient's condition)

Cafeteria ( was opened on August 2006 ):
- Cater our visitors and staff

Location

Dietary Services (kitchen) and Cafeteria are located at Ground Floor (level1) of Perdana Specialist Hospital

Meal Services

Patient's meal is prepared under the DIETICIAN recommendation with the advice from CONSULTANT (doctor).

A Menu will be given to patient everyday to enable our patient to make their own choice. However, patient on the THERAPUETIC DIET will have to adhere strictly to the diet prescribed. (Ala Carte meals are also available) please call DIET AIDE (ext 1049) for further details.

Standard meals are served as follow:
- Breakfast : 8.00 am - 8.30 am

- Lunch : 12.00 nn - 12.30 nn

- Afternoon Tea : 3.00 pm - 3.30 pm

- Dinner : 6.00 pm - 6.30 pm

PHYSIOTHERAPY SERVICES




Physiotherapy Services is located at the second floor. It provides a wide range of electrotherapy and exercise-therapy for rehabilitation.

It ensures fast and safe return to your activities after injury. Team up with our physiotherapist for a professional assessment of your physical problems to regain your optimum fitness level.

What is Physiotherapy?

Physical Therapy is a Healthcare profession concern with the assessment, maintenance and restoration of the physical function and performance of the body. source : www.kuncicinta.com

Departmental Facilities

Treat inpatient and outpatient

1- Receive referral from in house doctors, GP, government hospitals and walk in patients.
2- Also provides other services e.g Occupational Therapy, Speech Therapy and Orthotic / Prosthetic if needed.
3- Sell rehabilitation aids including consultation.
4- Gymnasium
5- Electrotherapy Room
6- Paediatric Room
7- Counter and waiting area

How a Physiotherapist Can Help You?

1- Identify problem areas and treat them accordingly.
2- Identify the causes and predisposing factors.
3- Provides rehabilitation following occupational or sporting injuries.
4- Provides rehabilitation and exercise before and after surgery.
5- Provides advice on exercise programs.
6- Provides or advice on special equipment.

LABORATORY SERVICES





Laboratory Services is located at the second floor. The services provided are handled by experienced team of Medical Laboratory Technologists. They are under close supervision of Lablink Sdn Bhd a subsidiary of KPJ Healthcare Berhad.

All machines in the laboratory are linked to Laboratory Information System (LIS). The following are professional services offered by our laboratory.

1- Bacteriology
2- Biochemistry
3- Full medical investigations 24 hours a day.
4- Fluids and Excretions
5- Haematology
6- Immunology / Serology

OPERATING THEATRE





Operating Theatre situated on the third floor is managed by a team of committed and trained staff of mixed disciplines. It consist of two theatres which cater operations undergoing General Anaesthesia (GA), Local Anaesthesia (LA) , Spinal Anaesthesia or sedations for minor cases . providing the full range of surgical services.

SPECIAL DIAGNOSTIC CENTRE





Special Diagnostic Centre is located at the second floor. This Centre is fully equipped with the latest techniques using highly sophisticated equipment and various diagnostic investigations include Stress Test, ECG, EEG, ECHO and audiogram (silent cabin).

- We offer wide range of wellness packages at the most competitive price.
- College or Varsity Medical Check Up
- Executive Screening Package by Physician / Cardiologist
- Pre Employment Screening
- Prostate Screening by Urologist
- Pilgrimage Medical Check Up
- Senior Citizen Package ( for 55 years and above )
- Stress Test
- Well Women Screening
- Well Man Screening

HAEMODIALYSIS CENTRE





The aim of the centre is to provide dialysis for patients with :

- Acute renal failure admitted to the ward or ICU.End stage kidney failure - requiring life-long treatment on dialysis while awaiting a kidney transplant.

- In case of acute poisoning and where haemodialysis or haemorperfusion is indicated, then this too can be done. In such cases charcoal haemoperfuser may be used.

- The centre also hopes to provide plasmapheresis facilities for well defined indications.

All patients dialysed are tested for Hepatitis B, C and HIV. Patients with HBsAg+ve are isolated and dialysed saperately. The centre does not dialyse patient with HIV.

FEMALE WARD & NURSERY


Female Ward & Nursery is located at the fourth floor. Currently it consist of 27 beds which is 1 bed for VIP Room, 4 beds for Deluxe Room, 6 beds for Single Standard Room, 8 beds for Two Bedded Room and 8 beds for Four Bedded Room.

- Single Deluxe Room
- Single Standard Room
- Two Bedded Room
- Four Bedded Room

AZALEA WARD (PREMIER WARD)





Azalea ward is located at the fifth floor. Currently it consist of 22 beds which consist of 12 Single Deluxe rooms, 5 Single Standard rooms, 1 Single Standard type A room, 2 Isolation rooms, 2 beds for two bedded room with more spacious space.

• Deluxe Room ( Single)
• Single Standard Room
• Double Bedded Room
• Single Standard Type A Room

RAFLESIA WARD





Raffesia Ward is located at the fifth floor. Currently it consist of 32 beds which is 1 bed for VIP Room, 3 beds for Deluxe Room, 7 beds for Single Standard Room, 18 beds for Two Bedded Room and 3 beds for Three Bedded Room.

• VIP Room
• VIP Visitors Room
• Deluxe Room
• Single Standard Room
• Double Bedded Room
• Three Bedded Room
• Paediatric Room
• Children Play Room

JASMINE WARD & NURSERY





Jasmine Ward & Nursery is located at the fourth floor. Currently it consist of 28 beds which is 1 bed for VIP Room, 3 beds for Deluxe Room, 6 beds for Single Standard Room, 14 beds for Two Bedded Room and 4 beds for Four Bedded Room.

• VIP
• Single Deluxe Room
• Single Standard Room
• Two Bedded Room
• Four Bedded Room

ALAMANDA WARD





Alamanda is a paediatric ward which is located at the fourth floor. Currently it consists of 31 beds which is 1 bed for VIP room, 4 beds for deluxe room, 7 beds for single standard room, 8 beds for two bedded room and 8 beds for four bedded room.

• 1 VIP
• 1 Executive room
• 2 Single Deluxe room
• 7 Single Standard room
• 6 Two bedded room (12 beds)
• 2 Four bedded room (8 beds)

CARDIOLOGY & CATHETERISATION LABORATORY





What Is An Angiogram?

An angiogram is a type of X-ray. It uses a special camera to look at the arteries that feed your heart with blood. An angiogram is a good way to find clogged or narrowed places in these arteries. Arteries can become blocked over time by a build up of fats and cholesterol called plaques. Narrowed arteries allow less blood and oxygen to reach the heart. When blood can't flow through your arteries, you may have chest pain know as angina. If the blood flow to the heart is totally blocked, a heart attack occurs.

What Happens In The Test?

- You will be asked to go to the heart catheterization laboratory
- You will lie on a firm table near a camera and other equipment
- The doctor will numb an area on your arm or groin, then insert a thin plastic tube called a catheter into an artery
- A special fluid will be injected to make the arteries of your heart show up clearly on the X-ray
- Several X-rays will be taken as the fluid goes in. You may be asked to hold your breath or cough
- You will be able to see the catheter, the movement of your heart and the outline of your arteries on the monitor, if you wish

How Will It Feel?

Many patients do not feel pain during the test. Others may feel:

- Pressure at the site where the doctor moves the catheter
- Chest pain or pressure
- Shortness of breath
- A tingling, warm feeling when the fluid is injected
- The urge to pass urine as the fluid moves through the kidneys.

These are to be expected, but be sure to tell the doctor if you feel any severe discomfort during the test.

What Is Coronary Angioplasty or PTCA?

Angioplasty opens blocked arteries that supply blood to your heart. It is used when arteries become narrowed by a build up of fats and cholesterol called plaque. Then your heart does not get the blood it needs. That can cause chest pain and lead to a heart attack. In angioplasty, a tiny balloon is inflated in the blocked artery. This pushes the plaque against the artery walls and reopens the artery.

How Is Angioplasty Done?

Doctor inserts a thin plastic tube or catheter into an artery in your leg or arm. The catheter is guided into the coronary arteries that feed the heart.

The doctor watches on a special X-ray camera and guides the catheter to the narrow spot. Next, a smaller catheter with a tiny balloon tip goes through the first catheter.

The balloon tip is inflated when it reaches the narrow part of the artery. The balloon pushes against the plaque to open the artery.

Then the balloon is deflated and the catheters are taken out.

How Will It Feel?

Angioplasty causes little pain. You will be awake while it happens which usually takes about 45 minutes. You will be given medicine to help you relax

The doctor will numb the area where the catheter will be placed. You may feel some pressure as the catheter is moved around. After it is over, the doctor and nurses will watch you closely for several hours. You may stay in the hospital to rest for two or three days. The spot where the catheter was inserted may be a little sore.

How Long Does The Test Last?

That depends on the number of X-ray photos taken and what the doctor needs to look for on the angiogram. Normally the whole process takes between 1 to 3 hours.

What Happens After The Test?

The nurses or doctor will give you special instructions to follow. If you have chest pain or discomfort, or a tingly feeling at the catheter site, be sure to let the doctor know. Your doctor will tell you the results of the angiogram and talk with you about possible treatment if needed.

DELIVERY SUITE





Delivery Suite is located on the third floor next to the Operation theatre and NICU. There are 4 suites, 3 Single, 1 Deluxe and a Waiting lounge. These suites are all well equipped with the latest monitoring and resuscitation equipments including wall entonox with option for epidural anesthesia, baby facilities with comprehensive nursery care.

The facility is backed by a supporting team of dedicated and specialized medical and nursing team trained in obstetric and midwifery procedures. As and when requested, a dedicated nursing team will be available to provide home visit for postnatal mother and baby through our specially designed "after-sales" care.

- Single Room 3
- Deluxe Room 1
- Baby Resuscitation Room