BY DR. AMAN RIZAL
LOCUM GUIDELINES
A quick guide for healthcare professionals
One clinic, one locum guidelines
Author
Dr. Aman is a graduates from Mansoura-Manchester Programme, University of Mansoura, Egypt respectively.
He started his medical career as a houseman at Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan and later served as Medical Officer at the Department of Family Medicine.
He is actively involved in preparatory course, motivational course, Program Transformasi Minda (PTM) for medical students, houseman and medical officers at various institutes in Malaysia, especially in Selangor, Sabah and Sarawak.
At present, he is active in writing books, specifically in medical fields and also for public community in Malaysia.
LOCUM GUIDELINES
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Basic guidelines for Malaysian doctors
Paracetamol Dosage Guidelines
Standard Dosage for Children: Locum doctors should advise patients to adhere strictly to these dosage guidelines to avoid the risk of overdose and associated liver damage.
Consideration for Special Populations: When prescribing paracetamol to special populations such as elderly individuals, patients with liver impairment, or those with reduced body weight, it’s crucial to adjust the dosage accordingly.Â
Awareness of Combination Products: Locum doctors should be cautious when prescribing combination products containing paracetamol alongside other medications, such as cold and flu remedies or prescription pain relievers.Â
Basic guidelines for Malaysian doctors
Neonatal Jaundice (NNJ)
Assessment and Monitoring: Locum doctors should be skilled in assessing and monitoring newborns for signs of jaundice, which is characterized by yellowing of the skin and eyes.Â
Identification of Risk Factors: Understanding the risk factors associated with neonatal jaundice is crucial for locum doctors. These include prematurity, ABO or Rh incompatibility, exclusive breastfeeding, cephalohematoma or bruising, and certain maternal factors such as diabetes or use of certain medications during pregnancy.Â
Management and Treatment: Locum doctors should be familiar with the management and treatment options for neonatal jaundice.Â
Basic guidelines for Malaysian doctors
Nebulizer Regime
Medication Selection: Understanding the indications, dosages, and potential side effects of these medications is essential for effective nebulizer therapy.
Nebulizer Device and Technique: It’s important for locum doctors to ensure that the nebulizer device is appropriate for the patient’s age and condition and that it is functioning correctly.
Treatment Regimen and Monitoring: Developing a tailored nebulizer treatment regimen based on the patient’s clinical presentation, severity of symptoms, and response to therapy is essential.Â
