: TO THE SERVICES/ DEPARTMENT S 1.2 2 KUANTAN SPECIALIST HOSPITAL SDN BHD (77065-T) KUANTAN SPECIALIST HOSPITAL SDN BHD (77065-T) Minutes of Operation Theatre & CSS Services Meeting Minutes of Operation Theatre & CSS Services Meeting 18 january 2016 (monday) 4.00PM 23 JANUARY 2016 (Saturday) 9.00am. OT CSSS Present OT Recovery Area Present Madam Sh Azura Saiyed Abdul Karim SRN Mohd Afizul Afzan Sulong Madam Sh Azura Saiyed Abdul Karim SRN Masniayu Ramlai SSRN Shahida Shahlan SRN Fazrul Nizam SRN Mohd Afizul Afzan Sulong SRN Mazatul Afieda SRN Normazatul afieda ahmad zabik SRN Shuhadah Abdul Rahman SRN Tan Ei Cze SRN Uma Davi SRN Shuhadah Abdul Rahman SRN Christina Daniel SRN Suhana Mohd Zain SRN Uma Davi SRN Viknes Permal SRN Natasha Mat Nasir SRN Haslinda Hasan STTT Noryati Ghani SEN Masinor Mat Isa TTT Tuan Zakaria Tuan Putih STTT Noryati Ghani TTT Farah Syaheera Shaeddan TTT Tuan Zakaria Tuan Putih TTT Norazira Ayub TTT Norazira Ayob TTT Zaharah zulkaflee TTT Zaharah Zulkaflee SEN Masinor Mat Isa CA Rosslinda Mat Rameli CA Rosslinda Mat Rameli CA Rosmawati Bt Abu Bakar CA Rosmawati Bt Abu Bakar CA Nurhazlina Che Hamid CA Nurhazlina Che Hamid SRN Natasha Mat Nasir Mohd Khuzaimi Mohd Nordin Absent Absent SCT Bakri Abdul Rahim SSRN Shahida Shahlan SRN Masniayu Ramlai TTT Farah Syaheera Shaeddan SRN Fazrul Nizam SCT Bakri Abdul Rahim SRN Tan Ei Cze In-Attendance SRN Christina Daniel In-Attendance SRN Christina Daniel AGENDA/ MATTER DISSUSED ACTION REMARKS TAKEN BY NO AGENDA/ MATTER DISSUSED ACTION REMARKS TAKEN BY CHAIRMAN REMARKS For information 1.0 CHAIRMAN REMARKS For Welcome note by UM SASAK to all staff. Thanks for information Welcome note by UM SASAK to all staff. Thanks for coming to services meeting. coming to services meeting. CONFIRMED LAST MINUTES 2.0 28 AGENDA/MATTER DISCUSSED ACTION REMARKS Minutes of previous meeting was confirmed and taken as TAKEN BY read. 11/9/2016
: TO THE ORGANIZATION S 1.2 THE CHARTER BASED ON THE MISSION AND VISION AND CORE VALUES 3 TO CUSTOMERS To deliver quality healthcare services 29 11/9/2016
: TO THE ORGANIZATION S 1.2 4 THE CHARTER BASED ON VISION TO CUSTOMERS 30 11/9/2016
5 TO THE ORGANIZATION S 1.2 31 … people first, Perfomance Now 11/9/2016
: 6 TO THE CLIENT/ CUSTOMER S 1.2 Evidence: Articles/ Mail/ Reports 32 11/9/2016
: 6 TO THE CLIENT/ CUSTOMER S 1.2 Source: www.ijam-web.org Statistic for retained foreign from 2005 - 2012 Statistic for retained foreign body based on surgery type 33 Statistic for retained foreign body based on 11/9/2016 Statistic for retained foreign body impact involved body part
: 7 S 1.2 TO THE CLIENT/ CUSTOMER By using lahey swab with string for patient safety and quality initiatives to improve the patient care experience. Hospital aims to be the safest hospital in the country and the highest quality hospital To prepare the next generation by provides best practice by using the new innovation 34 11/9/2016
: 8 TO THE CLIENT/ CUSTOMER S 1.2 Retain foreign body • Infection • Septicemia • High cost for treatment gauze • Death PATIENT SAFETY 35 11/9/2016
: 1 TO THE S 1.3 … INITIATIVE THROUGH CREATIVE STAKEHOLDERS AND INNOVATIVE STRATEGIC … ALIGN TO THE KPJ BOARD OF DIRECTOR 36 11/9/2016
: S 1.3 THIS PROJECT ALIGN TO THE GOVERMENT 2 POLICY IN ETP AGENDA 37 11/9/2016
2 CREATIVE AND INNOVATIVE FINAL SOLUTIONS Problem Solution / Improvement Action 4. Explain how final solution was determined 5. Describe the expected benefits by implementing the solution(s) / improvement action(s) 6. Describe the unique of the solution 38
ISHIKAWA DIAGRAM 1 S 2.4 TONSIL SWAB EQUIPMENT Missing LIMITED SPACE IN ENVIRONMENT OPERATING ROOM TONSIL TONSIL SWAB SWAB TOO DISLODGE No proper equipment BIG Too many person Nor Suitable For arangement INSIDE CAVITY inside OT room Laparoscopic Case not enough equipment USING TONSIL Too many equipment for SWAB FOR laparoscopic procedure No budget to LAPROSCOPY buy new Equipment LAPAROSCOPIC SURGERY TAKES A LONG TIME practice old CACLCULATION method NOT ERROR FOLLOWING SOP DELAY SCHEDULE CASE unsystematic MISCOUNT DURING NEW STAFF INCREASE work COUNTING CASE AFTER Limited View In less work OFFICE HOUR Laparoscopic experience Procedure Staff Need To Stay back Stress Communication error DIFFICULTY IN LACK OF SKILLS No Focus MANIPULATION Busy Multiple task 39 Limited space HUMAN METHOD INSUFFICIENT 11/9/2016 STAFF
S 2.4 Human factor CAUSE SOURCE OBSERVATION WHO RESULT • Staff duty roster • Work overload • Organization chart • Limited staff in each 1. Insufficient – staff flow operation room staff 80% agreed Overlapping work due to less of Staff 40 11/9/2016
S 2.4 Human factor CAUSE SOURCE OBSERVATION WHO RESULT x • Training record • Recruitment is done every • Competency year and all staff have been 2. New Staff sent to the competency record training 41 11/9/2016
S 2.4 Human factor CAUSE SOURCE OBSERVATION WHO RESULT x • • Surgery record book Based on the surgery record 3.Increase case book they are no relationship after office hour within patient in charge to the hospital after office hour BAR GRAPH : TIME PATIENT IN CHARGE MAC 2016 CHECK SHEET PATIENT INCHARGE MOUNTH OF MAC 2016 MONTH : MAC 2016 TOTAL TIME WEEK 1 WEEK WEEK WEEK PATIENT INCHARGE 2 3 4 0700 - 1229 am 2 1 4 3 10 1230 - 1859 am 5 4 3 3 15 SURGERY 1900 – 2359 pm 1 4 6 3 14 RECORD 2400 – 0659 am 3 3 2 1 9 BOOK 42 TOTAL 11 12 15 10 48 11/9/2016
S 2.4 Method factor CAUSE SOURCE OBSERVATION WHO RESULT • Swab count • Based on work progress of 4.Miscount scrub nurse and circulating sheet (NCP) during counting nurse • Interruption during counting SWAB COUNT SHEET 43 11/9/2016
S 2.4 Method factor CAUSE SOURCE OBSERVATION WHO RESULT x • • Laparoscopic From doctor survey 80% agreed procedure difficult to manipulate the 5. Difficulty in • Chart Survey instrument for laparoscopy manipulation surgery that only view through monitor/video 80% AGREED SURVEY CHART 44 11/9/2016
S 2.4 Method factor CAUSE SOURCE OBSERVATION WHO RESULT • • CP & WI Inadequate training to 6. Not following • Observation produce skilled personnel SOP • Staff do not work according SOP CORE PROCESS OPERATION THEATRE 45 11/9/2016
Equipment factor S 2.4 SOURCE OBSERVATION WHO RESULT CAUSE - Observation Set of Tonsil swab measure 10cm x 4 cm 7. Tonsil swab too surgical equipment in big operating theaters 70% of survey result agreed – Tonsil - Tonsil swab swab too big and not suitable for specification laparoscopic procedure - Survey SURVEY CHART 10 CM x 4 CM 46 11/9/2016
Equipment factor S 2.4 SOURCE OBSERVATION WHO RESULT CAUSE x The cause is outside the control - Purchasing 8. No budget to cause record buy new 1. Purchase all New equipment equipment - CSSS ( Central decide by Management 2. The equipment still can be in use Sterile Supply and Management policy to avoid Services ) waste by purchase new items 47 11/9/2016
Equipment factor S 2.4 CAUSE SOURCE OBSERVATION WHO RESULT Survey from surgeon From the survey, the result 9. Tonsil Swab shown 78.3 % surgeon Dislodge Inside agreed that the tonsil swab cavity during surgery will dislodge inside cavity during laparoscopic surgery. SURVEY FROM 48 SURGEON 11/9/2016
Environment factor S 2.4 x CAUSE SOURCE OBSERVATION WHO RESULT • Observation 10. Limited space in KSH have been certified 5S operating room – and Lean management • Audit report structure of building certification by Malaysia operating room is Productivity Corporation small (MPC) SMALL OPERATING ROOM 49 11/9/2016
ISHIKAWA DIAGRAM 2 S 2.4 TONSIL EQUIPMENT SWAB LIMITED SPACE IN ENVIRONMENT Missing OPERATING ROOM TONSIL TOSIL SWAB SWAB TOO DISLODGE Nom proper equipment BIG Too many person Nor Suitable For arrangement INSIDE CAVITY inside OT room Laparoscopic Case not enough equipment USING TONSIL Too many equipment for SWAB FOR laparoscopic procedure No budget to LAPROSCOPY buy new Equipment LAPAROSCOPIC SURGERY TAKES A LONG TIME practice old CACLCULUSION method NOT ERROR FOLLOWING SOP DELAY SCHEDULE CASE unsystematic MISCOUNT DURING NEW STAFF INCREASE work COUNTING Limited View In CASE AFTER Laparoscopic less work OFFICE HOUR Procedure experience Staff Need To Stayback DIFFICULTY IN Stress Communication error MANIPULATION LACK OF SKILLS No Focus Busy Multiple task 50 Limited space METHOD INSUFFICIENT 11/9/2016 HUMAN STAFF
VERIFICATION OF THE PROPOSED SETTLEMENT S 2.4 HUMAN FACT CTOR CAUSES SOLUTION PRO CONTRA WHO RESULT 1. High cost to hired new staf Insufficient 1. Work force 2. Involved 1. Recruit new staff staff increase Managemant decision to recruit new staff 1. High cost 2. Need more 2. Recruit Contract 1. Work force training to staff increase produce skill workers 51 11/9/2016
VERIFICATION OF THE PROPOSED SETTLEMENT S 2.4 METHOD FACTOR CAUSES SOLUTION PRO CONTRA WHO RESULT MISCOUNT 1. Improve counting 1. Reinforce counting 1. Repeating job DURING system system 2. MultI tasking COUNTING 1. Can be erased easily 2. White board 2. Counting board 1. Visible counting marker not available 3. Costly 52 11/9/2016
VERIFICATION OF THE PROPOSED SETTLEMENT S 2.4 METHOD FACTOR CAUSES SOLUTION PRO KONTRA WHO RESULT 1. Hav 1. ave to Set up 1. Work Flow more NOT committe te members 1. Analysis SOP and systematic FOLOWING 2. Tak 2. ake l long time to simplify work process 2. Not required more SOP produce n new w work staff flow 1. Systematic work 2. dissemination 1. Limitation of 2. Quality control of activities or task by senior nurse work process senior nurse 2. Work overload more efficient 53 11/9/2016
VERIFICATION OF THE PROPOSED SETTLEMENT S 2.4 EQUIPMENT FACTOR CAUSES SOLUTION PRO CONTRA WHO RESULT 1. Easily absorb fluid TONSIL 1. Produce new 2. Easily maneuver SWAB TOO 1. Costly equipment to replace 3. Suitable size for BIG tonsil swab laparoscopic procedure 2. Instruction to 1. Facilitate the scrub supplier to supply personal task 1. costly adjustable tonsil swab during surgery 54 11/9/2016
VERIFICATION OF THE PROPOSED SETTLEMENT S 2.4 EQUIPMENT FACTOR CAUSES SOLUTION PRO KONTRA WHO RESURT 1. Long string can TONSIL be tied with SWAB laparoscopic 1. Costly 1. DISLODGE 1. Produce new handle 2. 2. Tak ake t time to tie the IN CAVITY equipment to replace 2. Swab be can string DURING tonsil swab pulled if SURGERY dislodge from laparoscopic handle 55 11/9/2016
LETTER OF APPROVAL S 2.4 56 11/9/2016
S 2.4 CAUSES CA USES : : NO NOT T FOL FOLLOWING WING SOP SOP WHAT WHO WHEN WHERE WHY HOW i) reviewing existing GROUP Sep – Oct OPERATING FACILITIES work processes SIMPLIFY WORK MEMBER 2015 ROOM TO THE PROCESSES STAFF i) forming new way of work process ii) Briefing to staff 57 11/9/2016
S 2.4 i) reviewing existing work processes 58 11/9/2016
S 2.4 ii) forming new way of work process Improved care Improved Improved ( measured against administration and coordination of patient / client care clinical indicators) planning Improvement in Improved Improved systems and communication coordination of procedures between staff services Minimized complaints by Risk minimizations Client satisfaction clients , increased 59 11/9/2016
S 2.4 iii) Briefing new work process to staff Briefing Session Q & A SESSION 60 11/9/2016
CA CAUSES USES : : MI MISCOUN SCOUNT T DURING DURING COUNT COUNTING ING S 2.4 WHAT WHO WHEN WHERE WHY HOW i. Designed GROUP Jan. – Till OPERATING FOR Information board SWAB COUNT MEMBER present ROOM VISIBLE ii. Write every BOARD COUNT instrument, gauze, sharps on the board iii. As evidence for counting and as a baseline before, during and after the procedure iv. Briefing to staff 61 11/9/2016
i) Designed Information board S 2.4 ii) Write every instrument, gauze, sharps on the board iii)As evidence for counting and as a baseline before, during and after the procedure iv)Briefing to staff SWAB COUNT BOARD DISSCUSSION SESSION Q & A SESSION 62 11/9/2016
S 2.4 CA CAUSE USES : 1. S : 1. TON ONSIL SIL SWA SWAB T TOO OO B BIG IG 2. T 2. TONSI ONSIL L SWAB D SWAB DIS ISLODGE INS ODGE INSIDE IDE CA CAVITY VITY WHAT WHO WHEN WHERE WHY HOW GROUP JAN – FEB OPERATIN New i)Brainstorming to PRODUCE MEMBER 2016 G ROOM TOOLS get new product NEW TOOLS to invention TO REPLACE prevent ii)Specification of TONSIL SWAB retain product Invention foreign iii)Identify material body and cost incurred iv)Development of new product 63 11/9/2016
S 2.4 i) Brainstorming to get idea for new product invention Brainstorming Process among group members 64 11/9/2016
S 2.4 ii) Specification of product Innovation LAHEY SWAB AFTER TIE WITH SILK TIE Size : 1cm Material : cotton LAHEY SWAB MODIFIED WITH LAPAROSCOPIC HANDLE 65 LAHEY SWAB PER PIECE
S 2.4 iii) Identify material and cost incurred ITEMS PURCHASE COSTS PER UNIT EQUIPMENT PRICE 1 LAHE LAHEY SWAB AB (10 (10 pcs) pcs) RM 1.00 2 SIL SILK TI TIE RM 9.00 TOTAL RM 10.00 NET PRICE PER ITEM RM 10.00 ITEMS SELL COSTS PER UNIT EQU QUIPMENT LAH LAHEY EY SWAB (10 (10 pc pcs) s) 1 RM 16.00 SILK TIE SI 2 RM 24.00 TOTAL RM 40.00 SELL PRICE – NETT PRICE = PROFIT 66 11/9/2016 RM 40.00 – RM 10.00 = RM 30.00 PER PATIENT
S 2.4 PR PROCESS OCESS INNO INNOVATION TION PROJECTS PR OJECTS ACCELERATED WORK can simplify the process of PROCESS working with time savings with inventive new methods Cost saving Patient safety 67 11/9/2016
S 2.4 AR ARTE TERY FOR ORCEP LAHE LAHEY SWAB AB LAP LAPAROSCOPY SILK TIE SIL TIE 68 GRAS GRASPING FOR ORCEP LAP LAPAROSCOPY TIP TIP 11/9/2016 WITH TH RA RACH CHET WITH TH TOO OOTH TH
S 2.4 4 3 2 1 5 7 6 SILK TIE 69 11/9/2016
S 2.4 70 11/9/2016
S 2.4 71 11/9/2016
S 2.4 PROCES PR OCESS S INNO INNOVATION TION Lahey swab with handle PR PROJ OJEC ECTS TS can gently push the peritoneum, to get more can simplify the process of view for cystic duct, working with time savings common bile – duct and with inventive new methods. hepatic artery – prevent from injured Small size of Lahey swab 72
1 TO THE DEPARTMENT/ SERVICES S 2.5 Successful innovations is The innovations in seen as the result of a health care, We gained cost – process of mutual reduced harm and benefit adaptation among risk in surgical estimations for surgeons, nurses, procedures the innovations procedures, and internal groups. 73
TO THE ORGANIZATION S 2.5 Built up good KPJ 2 PAHANG image to the public 74
TO THE ORGANIZATION S 2.5 4 New work process 3 Eliminate waste and eliminates non value cost effective added activities and minimal employment Revenue estimation – issue average RM 50,000 per year 75
TO CLIENT/ CUSTOMER S 2.5 Importance Of The 5 Project For Patient - Short Surgical Process 76 … people first, Perfomance Now
TO CLIENT/ CUSTOMER S 2.5 6 No Retain Foreign Body FOR PATIENT SAFETY GOVERNING POLICY NO: Hw/CG/001 - 00 77 11/9/2016
TO ENVIRONMENT 7 S 2.5 A studies have shown that improving hygienic practice can lead to significant decreases in environmental contamination of high- risk objects cleaned increased from 48% to 85% 78
8 TO STAKEHOLDERS S 2.5 KPJ Healthcare Berhad (“KPJ” or “the Group”) continued on its growth trajectory in 2015, , recordi rding a 7 7.9 .9% year-on on-ye year ar growth wth in reve venue to R RM2.85 .85 billi lion and a net t profit it of RM145.1 .1 million ion. KPJ was also able to o once again in deliv iver r value to its shareh reholde lders. s. For the year ar in revi view, w, the Group paid out four r inter terim im divide dends ds to a t total of 7.85 sen per r RM0.50 .50 ordinary inary shar are. . This amounted ted to a t total shar areholder lder payout of RM81.4 .41 milli lion, , a 63% increa rease se compar pared to t the RM49.84 .84 million ion paid out in 2014. 79
9 TO STAKEHOLDERS S 2.5 • Improve patient satisfaction with real-time rounding and feedback • Ensuring that patient care is safely delivered and that no harm occurs to patients. • To improve the quality of health and social care. 80 11/9/2016
10 TO TEAM MEMBERS S 2.5 • To improve teamwork and communication attitudes, knowledge, and skills among staff members. • Encourage and strengthen effective teamwork and communication within your practice and with your patients. • Apply their knowledge, skills, and experience to care for the various and changing needs of patients. • To improve health care systems to enable nurses to not be at the “sharp end” so that they can provide the right care and ensure that patients will benefit from safe, quality care will be discussed in this chapter. • Effective teamwork and communication are associated with better patient outcomes, higher patient satisfaction, and lower malpractice claims. 81 11/9/2016
S 2.6 1 Lahey swab with string tie and tie • together with laparoscopic handle had commercial value 2 Friendly to use , easy to handle by • doctor or nurse 3 Low maintenance due to don’t have • complex auxiliary equipment 4 Long life time • 5 Lahey swab can be used in all hospital • in any laparoscopic procedure 6 SAFETY: AS AN indicator to prevent • missing LAHEY 82
BENCMARK LOCATION FINDING S 2.6 Tonsil gauze Ben Benchmark fi find ndin ing Sh Shown wn th that kpj pah pahang Is the the fi first ho hospit ital Small gauze Using g strin ing lahe ahey swab ab for or La Laparos oscopic ic sur urgery ry Small gauze Ribbon gauze 83
S 2.6 84
LAPAROSCOPIC SURGERY TIME NO ID AGE START END TIME DIFFERENT AFTER IMPLEMENTATION ( JAN – JUN 2016) (MINUTE) 1 247240 24 0130PM 0205PM 60 2 242749 36 1245 PM 0205PM 65 3 245711 43 1040AM 1120AM 80 4 192910 40 0420PM 0505PM 85 5 153011 40 0135PM 0235PM 90 6 246826 14 0340PM 0435PM 95 TOTAL TIME DIFFERENCE 475 MINUTE LINE GRAPH TIME DEFERRENCE FOR LAPAROSCOPIC SURGERY 85
GOAL SETTING 157.5 COMPARISON minute (BEFORE VS AFTER) 79 minute 86
3 RESULT AND IMPACT OF THE PROJECT 7. Explain how the project has contributed to the organisation and has helped to impact its strategic or operational performance. 8. Explain how the results of the project have created spin-off for other opportunities and/or display continual improvement. 9. Identify the opportunity or prospect of the project to be commercialized and/or recognised. 10. The impacts and value creation of the project to the environment and stakeholders 87
DEPARTMENT/ S 3.7 1 PROCEDURE AFTER OFFICE HOUR SAVING SERVICES TOTAL OF CASES 2015 MONTH TOTAL 176 JULY AUG 178 SAVING SEPT 173 OCT 156 NOV 145 3.03% DEC 161 TOTAL : 989 CASES TOTAL OF CASES 2016 MONTH 167 JAN FEB 133 MAC 191 APRIL 163 MEI 139 88 JUN 166 11/9/2016 TOTAL : 959 CASES
DEPARTMENT / S 3.7 OPERATION THEATRE UTILIZATION 2 OPEATION THEATRE UTILIZATION SERVICES TOTAL OF CASES INCREASE MONTH 2015 JULY 51 BY 1.4 % AUG 47 SEPT 61 OCT 44 RM NOV 35 48K DEC 42 TOTAL : 280 CASES TOTAL OF CASES 2016 MONTH JAN 49 FEB 55 MAC 48 APRIL 44 MAY 53 89 JUN 35 TOTAL : 284CASES
S 3.7 3 DEPARTMENT/ TIME SAVING SERVICES AFTER BEFORE AVERAGE LAPAROSCOPIC SURGERY AVERAGE LAPAROSCOPIC SURGERY 79 157.5 minute minute 90
S 3.7 4 ORGANIZATION GENERATE INCOME FOR HOSPITAL MATERIA IAL L AN AND COST INCURRED RRED PRICE CE SELL TO TO PATIENT ENTS S ITEMS PURCHASE COSTS PER UNIT ITEMS PURCHASE COSTS PER UNIT EQUIPMENT PRICE EQU QUIPM PMENT PRICE 1 LAHE LAHEY SWAB AB (10 (10 pcs) pcs) RM 1.00 1 LAHE LAHEY SWAB AB (10 (10 pcs) pcs) RM 16.00 2 SILK TI SIL TIE RM 24.00 2 SIL SILK TI TIE RM 9.00 TOTAL RM 10.00 TOTAL RM 40.00 SELL PRICE – NETT PRICE = PROFIT RM 40.00 – RM 10.00 = RM 30.00 per patient 5 cases/ day average = 5 x RM30 = RM 150.00 NETT PROFIT PER DAY RM 150.00 x 30 days = RM 4,500 per month RM 4,500 x 12 months/year = RM 54,000 91
S 3.7 5 CLIENT SHORT SURGICAL PROCESS CONTRIBUTIO CONTRIB TION N TO O THE THE P PATIE TIENT NT Major surgery OPERATION THEATRE UTILIZATION 1 st 1 hour RM 390 BEFORE AFTER Subsequent ½ hour RM100 PER CASE PER CASE 2 ½ HOUR x RM 690 1 ½ HOUR x RM 490 COST SAVING TO PATIENT FROM SHORTENED TIME OF SURGERY 92
S 3.7 6 CLIENT PATIENT SAFETY Zero case retain swab/foreign body ZER ERO O CAS ASE E RET ETAIN AIN SWA WAB/ / FO FOREIGN EIGN Using lahey swab with BOD ODY handle and secured by silk tie can prevent lahey swab dislodge from handle 93
TEAM S 3.7 7 CAPABILITY DEVELOPMENT MEMBER Impact of ICC to group members Improvement of team members in creativity, Teamwork and time 94 management in completing the Project
1 S 3.8 Bleeding does occur following extractions. To protect the blood clot, maintain firm pressure by biting on the gauze that has been placed over surgical area Features • A piece of lahey swab park in the molar extracted teeth • Use as pressure to stop bleeding Significance • Molar tooth after tooth pulled will feel uncomfortable when using a large cotton. Lahey swab is the best size for molar tooth. Patient will feel more 95 comfortable.
S 3.8 2 LAHEY SWAB FLOWER FLOWER BROOCH FLOWER BROOCH 96 SUTURE AND TIE WITH A PIN
S 3.9 APPLICATION FOR MyIPO MY IPO KUANTAN A21-GF, 1st & 2nd, Block A, Kuantan Perdana Commercial Centre, Jalan Tun Ismail 1, 97 25000 Kuantan, Pahang Darul Makmur
S 3.9 1 INSAN BAKTI SDN. BHD. A company with a team of professional personnel with 18 years of experience in the healthcare industry in Malaysia with exclusive partnerships with various leading brands providing essential equipment to our customers in the areas of Intensive Care, Anesthesia, Surgery, Emergency, Neonatal, Obygyn, Cardiology, Gastroenterology and Homecare. 98
S 3.9 2 COMMENTS En.Muhammad Badri Hussin Chief Executive Officer This lahey string is one of important equipment in surgery whereby this product will shorten duration of surgery and for patient safety and save cost. 99
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