Fever Clinic Patient Workflow & SOP

The Fever Clinic operates as a dedicated isolated unit within KKBM, physically separated from the main clinic to protect both patients and staff. This page describes the Fever Clinic-specific patient flow and deviations from the general patient journey. For shared front-door mechanics (registration, vitals, QMS, general referral, and appointment rules), see the OPD Patient Journey↴.

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Staff & Locations

Staff Count	Role	Location	Responsibility
👤👤	Triage Staff	Triage Counter A	Primary screening & redirection to Fever Unit
👤👤	Health Assistant (PPK)	Registration Desk	Intake, vitals, queue assignment
👤👤	Fever Clinic MO	Doctor Room	Consultation, diagnosis & treatment planning
👤	MA & PPK	Room 8	Procedures & referrals
👤	MLT / JXR	Room 7 or 19	Diagnostic support when required
👤	PKD Contact	PKD Muar	Notifiable disease↴ coordination

For the full clinic staff directory, see KKBM Organisation Structure↴.

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Detailed Patient Journey

1

Triage (A) & Redirection

• Patient arrives at Triage Counter A.
• If fever or URTI symptoms are detected, transfer patient to the isolated Fever Unit.
• Provide a face mask immediately and instruct the patient to avoid the general waiting area.

2

Fever Unit Registration

Booked

• Registration staff key in basic details.
• If eligible, payment is processed and a checklist is issued along with a queue number.

3

Allocate to Doctor's Fever Room

Arrived

• Registration staff assign patient to Doctor's Room in CCMS.

4

Vital Signs & Anthropometry

• Vitals and anthropometric details recorded by Health Assistant (PPK) using the Assessment & Procedure Template↴.
• Ensure accurate measurement and complete all 5 vital signs parameters.
• Escalate to MO immediately if narrow pulse pressure, abnormal BP, tachycardia, or high-risk travel history is identified.

5

Waiting for Doctor Consultation

Waiting

• Patient sits in the designated isolated waiting area with checklist and queue number.

6

Doctor Consultation & Assessment

In Progress

• Once patient status shows "Waiting", the doctor calls the patient via Systmone call system.
• Use the JKN Johor Fever & Dengue Template in SystmOne.
• Clinical assessment, diagnosis formulation, and treatment planning initiated.

1. Further Testing

• Blood test & procedure: allocate to Room Procedure 8
• X-Ray: allocate to x-ray unit
• Sputum test: allocate to TB clinic for sputum collection & further TCA

2. ED Referral

• Generate & prepare referral letter (CCMS)
• Allocate patient to Room 8
• OPD ED Referral Protocol↴
• Accompany patient to Room 8 when necessary

3. Infectious Disease

• Register & notify patient details via e-notis↴
• Alert designated IK via call
• Start home quarantine protocol

7

Back from procedure or investigations

• Patient returns to consultation room with results.
• Finalise diagnosis using SNOMED-CT↴ coding.
• Complete treatment plan and update checklist.

8

Appointment Given — Conditional

• Appointment set in SystmOne, TCA card given.
• Fever Clinic appointments are given only when clinically indicated; most acute cases are walk-in.

9

Medication Prescription & Discharge

Finished

• Meds prescribed in SystmOne integrated with PHIS↴.
• No printed medication slip needed.
• Patient discharged from Fever Unit.

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Infection Control

The Fever Clinic follows the clinic-wide Patient Identification & Safety↴ Infection Control Standard↴, with enhanced protocols for febrile and respiratory patients:

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Conditional Pathways at a Glance

Scenario	Action	Responsible
Notifiable disease suspected	Register in e-notis↴, then alert PKD Inspektor Kesihatan & start quarantine	MO
Blood test / X-ray needed	Order via SystmOne; allocate to procedure room / lab / X-ray	MO
ED referral required	Generate referral letter in SystmOne; allocate to Room 8; follow OPD ED Protocol↴	MO + Room 8 staff
Follow-up required	Set appointment in SystmOne; issue TCA card per OPD Appointment Rules↴	Registration / MO