Procedure Room Staff & Scope

Staff Involved & Roles

The Procedure Room is staffed by rotating clinical personnel assigned by the clinic duty roster:

Staff Count	Role	Location	Responsibilities
👤👤👤👤	Medical Assistant (MA)	Room 8	Leads all clinical procedures, emergency stabilization, diagnostics, and documentation in Room 8. Escorts ED referrals.
👤👤	Health Assistant (PPK)	Room 8	Supports MA through sterilization, equipment readiness, infection control, inventory, and room management.
👤	Referring Doctor (MO/FMS)	Referring Unit	Coordinates patient allocation to Room 8, provides clinical instructions, and assumes responsibility for escalation decisions.

For the full clinic staff directory with master overview table, see KKBM Organisation Structure↴.

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Medical Assistant (MA) — Clinical Scope

Clinical Procedures

Blood Taking & IV Access

• Appointment blood taking & acute blood sampling
• Thermal labeling, safe specimen handling, and blood culture collection (assisted by PPK)
• IV cannulation and drip monitoring

Injections & Nebulization

• IM / SC / IV injections and vaccination administration
• Nebulization, MDI, and spacer education
• Oral / nasal / tracheostomy suctioning

Wound Care

• Wound dressing and suture-to-open (STO)
• Abscess I&D, foreign body removal (ear / nose / superficial)
• Wound debridement and complex dressing changes
• Suture / staple removal

Genito-Urinary

• Urinary catheterization (male & female)
• Urine FEME, pregnancy test, and urethral catheter care

Respiratory & Cardiac

• 12-lead ECG recording and interpretation
• Peak flow measurement and spirometry
• Oxygen therapy initiation

Diagnostics & POCT

• Vision testing (visual acuity)
• Ear irrigation, eye irrigation
• Rapid POCT — RBS, Hb, Uric Acid, HbA1c, pregnancy, dengue, etc.
• Throat / nasal / wound swabs and sputum induction for TB

Emergency & Acute Care

Stabilization & Resuscitation

• CPR / BLS first responder & code blue activation
• AED operation and defibrillation
• OPA / NPA insertion and bag-valve-mask ventilation
• IV hydration and emergency medication administration

Crisis Coordination

• Emergency cart and defibrillator readiness checks
• Ambulance coordination and patient escort to HPSF Muar
• ED referral preparation and verbal handover

Minor Procedures (Acute)

• Acute suturing and wound closure
• Splinting for suspected minor fractures
• Eye / ear foreign body irrigation and removal

Documentation & Referral

Clinical Documentation

• Complete procedure notes in SystmOne for every encounter
• Auto-allocate patient to Emergency Rota for transfer tracking
• Document ED referral in procedure template for workload monitoring

Referral Preparation

• Ensure referral letter printed and prepared
• Notify receiving team via phone for high-risk cases
• Coordinate with referring MO on clinical instructions before transfer

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Health Assistant (PPK) — Support Scope

Sterilization & Infection Control

Instrument Processing

• Autoclave operation and daily spore testing (Bowie-Dick)
• Washer-disinfector cycle for reusable instruments
• Chemical disinfection of heat-sensitive items
• Cleaning and packing of instrument sets (dressing, suture, catheter)

Waste & Environmental Control

• Clinical waste segregation, sharp bin management, and disposal
• Biohazard spill management and environmental disinfection
• Room cleaning and turnover between procedures

Equipment & Inventory

Daily Readiness

• Daily equipment checklist — defibrillator, suction, O2, laryngoscope
• Restock emergency cart and procedure trolleys
• Oxygen cylinder level checks and cylinder replacement
• Autoclave and equipment log maintenance

Stock & Stores

• Inventory count, expiry date monitoring, and stock rotation
• Order consumables — gloves, gauze, sutures, catheters, IV sets
• Maintain procedure register and log books

Patient & Room Flow

Pre-Procedure

• Patient identification verification and consent witnessing
• Patient positioning and chaperoning during sensitive procedures
• Linen management — gowns, drapes, towels

Logistics

• Specimen transport to laboratory
• Pharmacy and blood bank errands
• Prepare suture / dressing / catheter packs on demand

Emergency Support

Code Response

• Fetch emergency equipment and crash cart during codes
• Call for additional help and alert receiving team
• Prepare sterile packs and assist MA during acute procedures

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