Monday : I reported duty on 30 June 2014 in Hospital Marudi. A big thank you to Bibi who made my transition into Hospital Marudi a very smooth one. I met Rosidi the MLT in charge of the lab. I was briefed with the pathological services in the district hospital. I went through the EQAS reports of the biochemistry and haematology sections. I was briefed on the external QC for blood banking section. Everything seemed to be in order. There were some weaknesses on some components which I would look through. At 3.30 pm, Rosidi arranged a meeting with every MLTs. Everyone was dedicated with their works. Some asked questions which only showed that they are enthusiastic about their careers.
Tuesday: After going through the QC procedures, I managed to find the problems faced by the haematology staff. I rectified it and I looked forward towards the next EQAS report. I stayed with the biochemistry section MLT to get more insight of her works. I initiated a research project which we would be looking at the rate of hemolysis in Hospital Marudi and searched for oppurtunities for quality improvement.
Wednesday : I initiated method validation experiments for biochemistry tests. Linearity, Recovery and Imprecision. Need to look for patients' serum which had high and low levels of medically importance. Two research projects were initiated with Blood banking and Bacteriology MLTs
Thursday: Bengkel "Method Validation and QC interpretation" structure and committee members finalised. Rosidi, Mahdi and I would be the speakers. A research project on Thalassemia was initiated with Rosidi while another Malaria retrospective study with Nancy. Method validation experiments with total and direct bilirubin on going. Imprecision for all biochemistry analytes ongoing.
Friday : I sent down samples for HepB and HepC screening as well as well as T4 and TSH to Hospital Miri and had discussions with Mat Akon and Dr. Adzly.
Week 2
Monday : Started writing abstract for the hemolysis project. Checking on the method validation experiments. Checking the QC on the analysers. Observing the streaking on the agar. Checking on the AFB tests. Talked to Dr. Tung. He requested D-Dimer test and Hep A test. We promptly asked for quotations and proceeded with the purchase of kits.
Tuesday : Finished with the retrospective study of laboratory diagnosis and prevalence of ocular infections in Hospital Marudi, a district hospital in Sarawak.
Wednesday : Met Mr Lim the AA of Hospital Marudi. Met Cikgu John Liew, a donor and asked for possibility of creating awareness among Form Six students and teachers in SMK Marudi to donate blood. Numbers of donors are declining now. Took self pictures for name tag. Ordered biochemistry reagents from MUSB. I would like to try out the third party reagents to reduce the monetary burden as many of the reagents are branded ones.
Thursday : I talked to staff nurses in paediatrics ward regarding the purchase of tubes for paediatrics use. We agreed to buy the EDTA tube for paediatrics (which cost us RM895 per item) for this year. Doing the statistics for the linearity of Total bilirubin, Direct bilirubin, urea and alkaline phosphatase tests.Confirming with the SMK Marudi that I would be giving talk "Donate Blood Saves 3 Lives" next Wednesday. Attending CME in the afternoon.
Every morning, I went to the wharf to watch the fishermen coming in to sell their catch. It's a new experience to me to see the fish jumping around. Talked about freshness!
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| Left: Fishermen unloading their catch Right: Biawang selling for RM8 per kg |
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