Friday, November 26, 2010

Final Exam is coming


Hye all, apa khabar? Hope semuanya sihat lah ya.

Actually I have a lot of things to share with you guys about my previous activities last week. For example, I attended a conference called QS World MBA Tour 2010 at KLCC. There I got some information on how to enter a business school. It was interesting and I got a lot of information about further studying Masters in Business Administration (MBA).
Another activity was, I went to an online business skills seminar conducted by my favorite business idol, Dr Irfan Khairi the famous Malaysian Internet Millionaire. I was really excited when I got the opportunity to meet and learn from him, and for sure, to capture some exclusive pictures with him! =D.
Actually, I always wish that I can meet him one day, but I never expected it came too soon. That's what I learn, once opportunity comes, do grab it. Do what you are passion with, and you will feel great with yourself.

InsyaAllah after this final exam, I will share with you guys more about what I have experienced from those events in respective posts.

I would like to take this opportunity to thank those who have visited Nizam Malek Blog. Even though the sitemeter statistic does not show any big number in terms of traffic, but personally, I really appreciate those who are kind to visit and view the pages in this blog.

InsyaAllah I will try my best to deliver more information and interesting stuffs in the future.
Ok untuk post kali ni, just a short one, I like to inform that I'm going to face my final exam for semester 7 for my bachelor of pharmacy course in CUCMS. The exam schedule is as followings:
  1. Clinical Pharmacy on 29 November 2010 (done)
  2. Pharmacy Practice 3 on 1 December 2010 (done)
  3. Pharmacy Management on 3 December 2010 (done)
  4. Clinical Pharmacokinetics on 6 December 2010 (done)
  5. Quality Control on 8 December 2010 (done)
  6. OSCE on 9 December 2010
If you are reading this post, I feel grateful if you can pray doa for the success in the final examination of seventh semester for me and other batch mates. Oh, not to forget for all my juniors too. =)

The examination will run for 2 weeks. I hope I can allocate some times to update this blog during the exam weeks. Thus that's all for now, I still have to continue preparing for the final exam. Dah mula cemas ni.. =p

Wednesday, November 17, 2010

Pictures of Aidiladha 2010


My some pictures di pagi raya.. =D

Tuesday, November 16, 2010

Salam Aidiladha 2010!


Assalamualaikum warahmatulLahi wabarokatuh,

Bersempena dengan sambutan Aidiladha kali ini, Saya Nizam Malek ingin mengambil kesempatan mengucapkan Salam Hari Raya kepada seluruh muslimin dan muslimat, terutamanya kepada pengunjung laman web Nizam Malek Blog.
Marilah kita bersama-sama mengenang kembali sejarah agung pengorbanan
para anbiya demi agama Allah yang terpuji ini. Semoga dengan penghayatan
kisah pengorbanan tersebut menjadikan kita seorang muslim
yang lebih kuat lagi. =)

Anda beraya kat mana tahun ni?

Tahun ni saya tak balik ke Johor Bahru dan akan beraya di Putrajaya sahaja.
Walaupun hanya sendirian dan mungkin tiada makanan yang sedap-sedap,
tapi Alhamdulillah, saya tetap amat bersyukur kerna diberi nikmat kesihatan
untuk terus merasai nikmat hari raya kali ini. =)

InsyaAllah kalau tiada aral melintang, saya akan ke
Masjid Tuanku Zainal Abidin a.k.a Masjid Besi Putrajaya
untuk menunaikan Solat Sunat Aidiladha.
Jika anda balik beraya ke kampung halaman, saya doakan agar
perjalanan anda dan keluarga sentiasa dalam perlindungan keselamatan.
Bagi yang memandu, pandulah dengan berhati-hati dan berhemah di jalan raya.
Bagi yang naik bas, kapal terbang atau apa-apa kenderaan pun,
saya ucapkan selamat semuanya ya! =)

Akhir kata, Selamat Hari Raya Aidiladha,

Allahu Akhbar, Allahu Akhbar, Walillahi al-Hamd.

Nizam Malek, Putrajaya

Thursday, November 11, 2010

Primary Care Attachment story


Ok, this post, I would like to share with you guys about my experience for the latest just finished Primary Care attachment.

The grouping for this attachment is the same while we were having Primary Care attachment during 3rd year. So I was in the same group with Nami, Marr, Pui Yan and Kak Mimi 'the kaki sembang' =p. This group is just nice for me, no problem and we had fun working together.

For this time around, we were attached to a highly technology Klinik Kesihatan (KK) in Putrajaya Presint 9. It's so near to my house, and I can reach it by walking, but during the first day, I was the last person that arrived... =p.

Yes, about the highly technology, KK Putrajaya is using computerized system for almost all process in the pharmacy department. I still remember when we were attached in Klinik Kesihatan Bukit Changgang in Banting, we were struggling to understand the doctor's handwriting for the prescription screening. However, the difficulty was no longer exist by the use of computerized system in KK Putrajaya.

This Primary Care attachment was done for 3 days (tuesday-thursday). On the first day, we started with prescription screening and filling. The assistant pharmacists there were really helpful and we have learnt a lot on the best way to screen through the medication and also to fill the medication as fast as possible.

Interestingly about the computerized system is, the waiting time can be recorded. Basically, the patients should not be asked to wait for more than 30 minutes after the patients have scanned their registration card at the pharmacy department. Thus, the filling process must be accurate and prompt.

There are 4 main dispensing counters in KK Putrajaya and basically, the dispensers are all pharmacists, either PRP (Provisional Registered Pharmacist) or FRP (Full Registered Pharmacist). On the second day, we started to practice to do the dispensing.

We were given the chance to dispense the medications hands on to the real patients. For dispensing techniques, we were trained to 'treat' the patient by asking few questions related to their medication.

The dispensing session was more interactive and the main intention is to help the patient to effectively use the medication prescribed to them.

Nearly to the afternoon, we were given a briefing about the drug store in the pharmacy department by pharmacist in-charged, Pn Nadira. Almost all about the process to handle drug store were revealed during the briefing.

Basically, handling drug store job scope is slightly different and the toughest part might be to handle the financial/budgeting and the responsibility to make sure the safety and amount of the products in the drug store.

Here, the quality of leadership and management of a pharmacist is highly needed because everything must be in the right order and the staffs issue also need to be resolved wisely. I would think that a pharmacist that has good experience in handling drug store in KK or hospital can be a good candidate to manage a retail pharmacy.
Other than that, we were lucky to observe few live counseling sessions done by pharmacists with some patients. The counseling session was on the correct technique to use salbutamol inhaler for the asthmatic patient.

Counseling session is crucial to teach the patients about their medications so that the medication can be delivered to the target site correctly and the patient will get the maximum therapeutic effect of their medications.

For sure, the communication skills as a pharmacist must be great. Great here does not mean a pharmacist need to use bombastic words to impress the patients, however, it does mean to communicate effectively so that the patient can well understand the instruction given.

The best part after the counseling session is, the patient should feel encouraged to appreciate their medication and motivated to achieve their health target.

In stead of usual counseling session, KK Putrajaya is currently promoting a Smoking Cessation program. The new product that they use is Champix. Champix is a new medicinal product that can help someone to quit smoking.

The common products used for smoking cessation are Over The Counter (OTC) Nicotine replacement products such as skin patches, chewing gums and lozenges. However for Champix, it does not use Nicotine at all. The main active ingredient is Verenicline. It is for oral use and in the film coated tablet of dosage form.

Pharmacologically, Verenicline works by binding to neuronal nicotinic acetylcholine receptors, where it acts as a partial agonist - a compound that has both agonist activity, with lower intrinsic efficacy than nicotine, and antagonist activities in the presence of nicotine. Champix is given for 12 weeks and the dose is increased gradually.

Based on the Smoking Cessation program testimonial, Champix has helped many patients to reduce the frequency of smoking and there are patients who have successfully stop smoking. There are few common side effects of using Champix have been addressed such as nausea and vomiting.

So, if you are a smoker and intended to stop smoking, you may find Champix at retail pharmacies near you at cost around RM120. However, if you think it is expensive, let's have a try to join the Smoking Cessation program at KK Putrajaya. You can get it... FOR FREE! =)

Another honorable campaign held in Pharmacy department in KK Putrajaya is No Plastic Bag Campaign (I forgot the real name of the campaign, but the sounds and intention is similar.. =p). By this campaign, patient is not supplied with plastic bag at the end of the counseling session.

Usually, patient will be advised to bring their own bag to carry their medication. Sometimes I felt sympathy to patients who were dispensed with many medication but they did not bring any plastic bags. However, that's the truth that we need to reduce, stop the use of plastic bags to protect our earth as plastic is non biodegradable.

Thus as a reminder for me and others, if we are going to go to hospital or KK, kindly do not forget to bring along any bags to carry our medication k? =)

On the last day, we were assessed by our clinical pharmacy lecturer, Pn Umi by using mock pharmacy procedure regarding the prescription screening, filling, labeling and dispensing. First, we were given a prescription. We need to screen through the prescription for any medication errors or wrong related information.

Then we need to fill the medication and label it accordingly including the instruction to the patient. After done with the 3 phases, we need to dispense it to Pn Umi. I was the first student being assessed. I got a 51 years old female patient with the diagnosis of unstable angina. The medication prescribed were GTN, ticlopidine, trimetazidine, tramadol, simvastatin, mecobalamine and calcium carbonate.

Everything was fine at the beginning but a funny thing happened, I forgot to show the medication to the patient. I was only dispensing it by showing the label that I wrote. Now I realized that my patient went home without medication, but only the labels!! Hahahahahahaha..

Hmm.. There will be mistakes along the way of learning. It can be embarrassing, it can be painful, it can be burdening someone. But I will take it easy and come back with greater knowledge. Sometimes, it's better to do mistakes and then we learn rather than not doing any mistakes but assuming we are too clever for nothing.. right? =p

Well that's some of my experience for the 3 days Primary Care attachment in the 7th semester at KK Putrajaya. I believed that I have learnt something especially on the exposure about the 5s system of drug storing and high-tech computerized system of drug preparation and dispensing.

I have to point out that, what I learn in university is basically academically, which we try to add in almost all the related information on a case. However during the working life, everything will be more simplified and focused to the most righteous and main indication. Load of information is lesser but the responsibility is increasing as we will be dealing with real patients.

Thanks to all pharmacists and assistant pharmacists in KK Putrajaya for guiding us through out the days. You guys have been so kind and helpful. Till we meet again! =)

Wednesday, November 10, 2010

Happy Birthday Mama!


It's 10 November 2010, today is my beloved mum's birthday!

So I want to wish to mama, Happy birthday!

Thanks for being such a lovable mother to me and the rest.

I will always remember your advices.

Thank you and my apology for everything.

Be healthy, wealthy and happy always!

I pray that Allah's bless is always with you.

Take care!

I Love You!

From your son. =)

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