AMBULATORY (OUT-PATIENT)

The Ambulatory unit is a nursing service render to all our patients in the clinics. The unit consist of all the outpatient clinics, day care centers, specialize services where patient will come either with or without appointments.
The Clinics/Unit provides the general public a wide range of outpatient services under 8 main specialties, which is:

• Specialist consultation and referral services
• Follow up care for out patients and patients discharged from wards in UMMC
• Maintenance care for patients with chronic illnesses such as hypertension( high blood pressure, diabetes and asthma.)

Patients with appointment are advised to come according to the appointment date & time written on the appointment card (Blue card) as to avoid long waiting hours. Please bring along the appointment card. If you are payable patients please bring sufficient amount of money or any guarantee letter, pensioner card, social worker card or letter from school for school children. Please do not miss any of your follow up in any of the clinics especially Medical Clinic because this will cause shortage in your medication supply.

Medical Clinic

Haematology
Endocrine (Thyroid)
Cardiac (Heart)
Endocrine - Diabetic
Chest (Asthma, Pulmonary Tuberculosis)
Rheumatoid Arthritis
Infectious Diseases
Blood Taking (except Thurs, Sat, Sun & PH)
Skin
Neurology Medical
Hypertension( High Blood Pressure)
Diabetic Nurses Team

Psychiatric

Psychiatric
Daycare Psychiatric
Psychiatric Child & Adolescent Unit
Rehabilitation & Occupational workshop

Surgery

General Surgery
Image Guided Interventional (Vascular & Radiology)
Urology
Cardio Thoracic Surgery 
Breast
Benign Prostate Hyperthrophy (BPH)
Hepatobiliary (Liver)
Flowrate examination
Plastic
Ultrasound Bladder
Vascular
Prostate Cancer
Cleft Palate with Dental (Paediatric)
Neuropathic Bladder
Enterostomal Therapy Nursing Services (Stoma Care & Wound Care)

For minor surgery, Urodynamic examination, Extracoporal shock wave lithothripsy (ESWL - this procedures will be done only with the request by the Urology doctors at the Surgical Clinic
For Urodynamic and ESWL - this procedures will be done at 5th Floor in Menara Timur. 
For minor surgery will be done in the minor operation theatre in Orthopedic Clinic.
Blood taking services only will be done on Thursday for cases which requested by doctor before follow up dates

Orthopedic

General
Spine
Sports
Pain Control
Neuro Surgery
Paediatric
Adult Reconstructive Surgery (ARS)
Lower limb reconstructive surgery (LLRS)

Gynecology

Pediatric

Otorinolaringology (ENT – Ear, Nose & throat)

Consultation
Referral/walk in
Follow Up
Audio
Speech Therapy
Minor Surgery
Nasopharyngeal Cancer (NPC)
Neurology/Otology ( 1st– 3rdweek of the month – Thursday evening )
Voice Clinic (2nd& 4thweek of the month – on Thursday evening)
Allergy Clinic – Monday evening
Minor Surgery – Tuesday & Thursday evening

Ophthalmology (Eye)

New/refferred cases
Follow Up
Specialty -Uveitis & Occulaplasty, Glaucoma, Vitreous Retina, Paediatric/Adult Starabismus
Laser/Visual Field
Minor procedure (irrigation of eye with chemical burn, syringing of lacriminal duct, excision of ptergeum, excision & curretage of cyst)
Investigations
Review before operation

Primary Health Care

General Clinic – Adult & Children
Mantoux Test & Reading
Family Clinic
Diabetic Teaching
Physician
KIDDS: for immunization up to 18 months
DOTS: Supervision of patients taking Anti Tuberculosis Drugs
Home Nursing Services (within 10km from UMMC)
Staff Health Services
Occupational Hazard
Blood Taking

Endoscopy Unit

Gastroscopy – adult and paediatric
Colonoscopy – adult and paediatric
Bronchoscopy
Endoscopy Retrograde Cholangiopancreatography/ERCP
Endosonongraphy/EUS

Patients who undergo any of the services above as outpatients need to bring their relatives or friends to accompany them back home, because a sedation will be given to them and this unable them to drive home.

Daycare Service

Daycares units provides service for patients who need daycare treatment such as chemotherapy or minor examination and discharge once the treatment/procedure completed. Daycare service consists of Gynecology on the 10th floor, Pediatric on the 11th floor of Menara Utama and Urodynamic on the 5th floor Menara Timor and Haematology daycare on the 6th floor Menara Timor 
Daycare Dialysis unit (8TE) provides haemodialysis, continuous ambulatory peritoneal Dialysis (CAPD), Automated Peritoneal Dialysis (APD) and continuous venovenous haemodialysis, (CVVHD) for critically ill patients. Follow up services include haemodialysis clinic, CAPD clinic, transplant clinic and vascular access clinic.

Clinical Oncology

Expert consultation sessions are provided by the oncologists (clinical & medical) to new and follow up patients.
The patients, who are on radiotherapy and chemotherapy are also being reviewed at the clinic at appointed date/ time.

• All new or follow up patients are attended to, only with appointments made at the clinic appointment counter.
• All new patients are required to present the following on the 1st visit:
  • Patient’s identification card / passport
  • Referral letter from internal / external specialist.
  • Histopathology reports
  • MRI, X Rays, and all types of scans e.g. CT, PET, Bone etc.
  • Blood result

Blood taking service is provided only to patients who attend this clinic.
Group/ individual patient education sessions are given by nurses.

The clinic opens:  Monday to Friday (8 am to 5 pm)
Clinic charges: Free for government servants/ pensioners and their dependents only.
Enquiries: Tel. No.: 79492423 /2422

Diabetic Foot Care Center

Admission & Discharge Unit 
Introduction
The main function of this unit is to provide space for patients who are going back and waiting for their family to fetch, collect their medication if any, receive health education accordingly and to settle their bills

Location
2nd Floor Main Tower of UMMC

Services

1. Receive discharge patients from wards
2. Payment of bills
3. Health education accordingly
4. Collect medications if any

Disease Information Center

Referral center of diseases information for staffs, patients and families
Center of distribution of diseases information to all the wards and clinics
Center/place for visitors(staffs, patients & families) to read all materials available, e.g. phamplets, news papers cutting, booklets, posters or magazines
Center of Internet usage for Diabetic and Asthma
Center of enquiry from outsider

Ante Natal Clinic

Antenatal clinic is located on the ground floor of the Maternity Unit. The clinic provides services to all pregnant as well as post delivery mothers and immunization for the newborn babies at 6 weeks old.

Highlights of the clinic activities

Services	Day	Time
Screening	Monday - Friday	8.00 – 4.45
New Booking	Tuesday & Thursday	8.00 – 1.00
Ante-natal Checkup	Monday - Wednesday	8.00 – 1.00
Post-natal Checkup (Mother & baby)	Wednesday & Friday	2.00 – 4.00
Ultrasound	Monday - Friday	8.00 – 5.00
Revisit	Friday	2.00 – 4.00
Combined Clinic	Friday	9.00 – 1.00
Oral Glucose Tolerant Test (OGTT)	Monday - Friday	8.00 – 10.00
Immunization	Wednesday & Friday	2.00 – 4.00
Cardiotocograph (CTG)	Monday - Friday	8.00 – 5.00
Pharmacy	Monday - Friday	8.00 – 5.00

All cases for new booking – routine urine and blood investigation will be done: Haemoglobin (Hb), Group Cross Match (GXM), Veneral Disease (VDRL), HIV and pelvic X-ray if indicated.
Besides urine and blood investigation, height will be taken once during the pregnancy and weight will be taken for each follow up (revisit), including Blood pressure. 
Deposit need to be paid for payable patients – RM 500 for those mothers who are not payable, they are requested to bring their guarantee letter.