DEPT OF

OTORHINOLARYNGOLOGY
RIPAS HOSPITAL

Bandar Seri Begawan

Brunei Darussalam
 PROFILE OF ORL CLINIC
 Non-existent before 1980
 Mr. weire – senior ORL surgeon
 One room in surgical clinic
 Dato Joseph Lim - 1982
 Move to new building specialist clinic –
April 1999
 NAME OF UNIT
 Firstname as ENT clinic
 September 1999 change to
otorhinolaryngology clinic
 May 2000 name as Dept of Head and Neck
Surgery incorporating ORL and OMF
surgery
 End of 2001 name as Dept of ORL
 MISSION
EXCELLENCE
THROUGH QUALITY
CARE
 OBJECTIVES
 To provide most updated care to the patients
suffering from ORL disease
 Complete patient care system, diagnosis,
investigation and management of ORL problems
including emergency services
 To prevent all the preventable and controllable
ORL disease
 To make this department into an academic centre
 FUNCTIONS
To provide clinical services and research
training for all medical staff and to
maximize the best standard of care
 CLINICAL SERVICES
 Full range of services for Head and Neck and
related problems
 Joint Cancer Clinics for all head and neck
problems
 Special clinics for speech and vestibular disorder
 Full range of audiology and vestibular test
 Speech therapy services
Fibroscopy
Unit

Monitor

Camera unit

Light source

Video recorder
and Printer
 CLINICAL SERVICES
 Full range of services for Head and Neck
and related problems
 Joint Cancer Clinics for all head and neck
problems
 Special clinics for speech and vestibular
disorder
 Full range of audiology and vestibular test
 Speech therapy services
Audiology booth
Speech therapy clinic
Audiology room
Child having
hearing tested
RESEARCH AND TRAINING
 Post graduate training program
 Training for nurses and paramedics
 Publications in journals
 ORGANISATIONAL CHART

HEAD OF DEPT.
SPECIALIST SURGEON

TEACHER
DOCTORS ORL NURSES AUDIOLOGISTS SPEECH THERAPIST FOR
IMPAIRED HEARING

DOMESTIC MEDICAL
RECEPTIONIST
ASSISTANT RECORD STAFF
 NUMBER OF MANPOWER
Status No of Staff
Male Female
Head of Dept & Clinical Specialist 1
Specialist Surgeon 2
Medical officer 4 2
Audiologist 1 1
Speech Therapist 4
Teacher for Impaired Hearing 1
Staff Nurse 1 4
Assistant Nurse 2
Medical Record Staff 1
Receptionist 1
Amah 3
Attendant 2
Total 10 19

Grand Total 29
 CLINIC SCHEDULE
MON TUE WED THUR SAT
Adult Clinic Children Clinic Adult Clinic Adult (am) Adult (am)
Thyroid Clinic Joint cancer Pre Op Vestibular
clinic assessment Clinic
(twice / month)

Adult clinic Children Clinic Adult Clinic Children clinic Adult (pm)
Pre op (pm)
assessment
 CLINIC TIMING
 MORNING SESSION
 8.30AM TO 12.15PM

 AFTERNOON SESSION
 1.30PM TO 4.30PM
 ACTIVITIES
 Abolition of walk-in clinics
 Change to appointment system
 Dept working as two firms
 Investigation slip
 Children clinic
 Dressing clinic
 Preadmission clinic
 Joint Cancer clinic
 Vestibular clinic
Investigation
slip
Vestibular clinic
Change of tracheostomy
Reception counter
Waiting area
Attachment of doctor
sterilization
Information board
Paediatric clinic
Nurses rotation audiology
Hearing assessment
 ACTIVITIES
 Emergency services
 Istanacall
 Operating session
 Audiology services
 Speech theraphy clinic
 Educational clinic for the hearing impaired
 Departmental meeting (weekly)
 ACTIVITIES
 Academic meeting (weekly)
 Training for nurses
 Training for medical officers
 Staff nurse (job assignment)
 Audit
 Monthly return
 CNE – every Tuesday (twice a month)
 Ordering CSSD items – once a week
 Ordering medical store – (twice a month)
 Ordering lab items – once a month
 Ordering request form/stationary
 Continued
 Despatch x-ray folder, CT scan MRI –
everyday
 Handling discharges from ward
 Ordering medication – once a week
 Updating clinic stock – once a month
 Checking emergency trolley – once a month
 Handling with suppliers
 continued
 Inventory
 Dressing clinic – everyday
 Preadmission clinic – every Wednesday
 Audiology – 3 month rotation
 Assist doctor
 Fibroscopy – if needed
 continued
 Visitingpatient post-operatively – every
Saturday ,Monday and Tuesday
 Washing and sterilizing instrument –
everyday
 To look after the junior nurse (AN/ student
nurses)
 Management of the clinic as overall
 ASSISTANT NURSE
 Monthly return – every month
 Fibroscopy
 Handling discharges from ward
 In charge of instrument
 Updating clinic stock
 Updating emergency trolley
 CONTINUED

 Washing and sterilizing instrument

 Assist doctor
 Helping senior nurse in work assignment
 FUTURE DEVELOPMENT
 Accreditation – in early 1999 the possibility
of a recognition to the dept. for
postgraduate training to FRCS(ed)
 Training course for local doctors
 Cochlear implant program
 Universal neonatal screening
 THANK YOU
FOR SPENDING YOUR TIME
KALAU ADA SUMUR DI LADANG
BOLEH HAMBA MENUMPANG MANDI
KALAU ADA UMUR YANG PANJANG
LAIN KALI KU BERCERAMAH LAGI

PISANG EMAS DIBAWA BELAYAR

MASAK SEBIJI DIATAS PETI
KALAU ADA SILAP DIAJAR
LAIN KALI KU MEMBAGI LAGI

“TERIMA KASIH”