FORM
REGISTRATION
- Registered Nurse Registration Application Form
- Assistants Nurse Registration Application Form
- Midwife Registration Application Form (Part I)
- Application Form for Registration as Midwife (Part III)
- Public Health Nurse/Mental Health Nurse Registration Application Form
- Practicing Intention Application Form
- Application for Retention Of Name (RON)
- Application for Verification of Registration (VOR)
- Application for Verification of Transcript (VOT)
- Application for Letter of Good Standing (LOGS)/Statement of Good Standing (SOGS)
- Application for Nurse Registration Certification Statement / Duplicate Badge
- Surat Wakil Untuk Pegambil Dokumen Pendaftaran (LAMPIRAN B)
APC
- APC – 003 Registered Nurse – print in Green Paper
- APC – 004 Community Nurse – print in Pink Paper
- APC – 005 Assistant Nurse – print in White Paper
- Surat Wakil Majikan (LAMPIRAN A)
EXAM
- APPLICATION FOR EXAMINATION MALAYSIA NURSING BOARD (MNB) / MALAYSIA MIDWIVES BOARD (MMB)
1.1 Examination Application Form (BKJ-BOR-PEP-05-02 1/2026)
1.2 Check List of Application for Examination Malaysia Nursing Board (MNB) / Malaysia Midwives Board (MM) (BKJ-BOR-PEP-06-1 Pin.1/2026) - MALAYSIA NURSING BOARD (MNB) / MALAYSIA MIDWIVES BOARD (MMB) EXAMINATION
2.1 Examination Monitoring Visit Report and Checklist of the Malaysian Nursing Board (NMB)/Malaysian Midwives Board (MMB)(BKJ-BOR-PEP-06-5 Pin. 1/2026)
2.2 Chief Invigilator’s Report and Examination Checklist of the Malaysian Nursing Board (NMB)/Malaysian Midwives Board (MMB) (BKJ-BOR-PEP-07 Pin. 1/2026)
2.3 Declaration Letter of Examination Personnel of the Malaysian Nursing Board (NMB)/Malaysian Midwives Board (MMB) (BKJ-BOR-PEP-07-8 Pin. 1/2026)
2.4 Declaration Letter for the Destruction of Examination Question Booklets of the Malaysian Nursing Board (NMB)/Malaysian Midwives Board (MMB) (BKJ-BOR-PEP-07-9 Pin. 1/2026) - APPLICATION FOR CERTIFICATION STATEMENT OF NURSING TRAINING FOR RECOGNITION FROM CERTIFICATE TO DIPLOMA
3.1 Application for Certification Statement of Nursing Training / Recognition from Certificate to Diploma (BKJ-BOR-PEP-SIJIL Pin.1/2026)
3.2 Terms of Reference for Application for Certification Statement of Nursing Training / Recognition from Certificate to Diploma
3.3 Checklist for Application for Certification Statement of Nursing Training / Recognition from Certificate to Diploma (BKJ-BOR-PEP-SIJIL Pin.1/2026)
3.4 Letter of Appointment of Representative for the Purpose of Document Collection Pin.1/2026
- ELIGIBILITY TO SIT FOR THE MNB/MMB EXAMINATION
4.1 List of Students/Trainees Eligible to Sit for the Examination of the Malaysian Nursing Board (NMB)/Malaysian Midwives Board (MMB) (BKJ-BOR-PEP-12 Pin.1/2026)
4.2 List of Students/Trainees Eligible to Sit for the Examination of the Malaysian Nursing Board (NMB)/Malaysian Midwives Board (MMB) (BKJ-BOR-PEP-13 Pin.1/2026)
TPC
- Application Form for Quota (Public & Private Healthcare Facility)
- Application Form for Quota (Institution & College – combine)
- Proficiency Procedures
- Application for Renewal of TPC (Print In Pink Paper)
- MTO Nurse Registration Form (Malaysian Only)
- Application for Letter of Good Standing (LOGS)
- Application for Verification Registration (VOR)
- Application form for TPC (GLO-3) – new application
- Carta Alir Permohonan Pendaftaran Sijil Perakuan Pengamalan Sementara/Temporary Practising Certificate (TPC)
- Carta Alir Permohonan Sijil Perakuan Pengamalan Sementara/Temporary Practising Certificate (TPC) Bagi Permohonan Elektrif
- Carta Alir Mengurus Permohonan Pendaftaran ke dalam Lembaga Jururawat Malaysia bagi Jururawat Terlatih Warganegara Malaysia yang mendapat Latihan Kejururawtan di Luar Negara (NTO)
PENGURUSAN PENGGUNAAN FASILITI KKM BAGI IPT
- Senarai Semak : Dokumen Bagi Penyediaan baharu dan Pembaharuan Perlanjutan Draf Memorandum of Agreement (MoA)/Supplementary Agreement (SA) dengan Kerajaan Malaysia (Kementerian Kesihatan Malaysia) (BKJ-BOR-F 06 Pind. 04/2024)
- Senarai Semak : Permohonan Penggunaan Fasiliti/Tambahan Program/Tambahan Fasiliti Kementerian Kesihatan Malaysia Untuk Tujuan Latihamal (BKJ-BOR-F-07)
- Senarai Semak Keakuran dan Kepatuhan Penggunaan Fasiliti Kementerian Kesihatan Malaysia (KKM) Bagi Tujuan Latihamal Pelajar/Pelatih Pemberi Pendidikan Tinggi (BKJ-BOR-F-01 Pind.04/2024)
- Format Penerimaan Bayaran Bagi Penempatan Pelajar Pemberi Pendidikan Tinggi di Fasiliti Kementerian Kesihatan Malaysia (Lampiran 2B).
- Garis Panduan Penggunaan Fasiliti KKM bagi tujuan Latih Amal Pelajar/pelatih Pemberi Pendidikan Tinggi Edisi Kedua 2021.
CURRICULUM
- Increment In- Take Quota of Student Application Form (KKM-BKJ-BOR (K) 02 Pindaan 01/19)
- Approved Clinical Placements for Students (KKM-BKJ-BOR (K) 03 Pindaan 01/19)
- Evaluation Report For Full/Partial Accreditation Format (KKM-BKJ-BOR (K) 04 Pindaan 01/19)
- Private Facility (Hospital) Usage Approval for Nursing Students’ Clinical Posting Application Form (KKM-BKJ-BOR (K) 05 Pindaan 01/19)
- Reviewing Document of Nursing Program by Curriculum Unit (KKM-BKJ-BOR (K) 06 Pindaan 01/19)
- Performance Evaluation Assessment (Standard 1-8) (KKM-BKJ-BOR (K) 07 Pindaan 01/19)
- List of Trainee Name Complaints to LJM (KKM-BKJ-BOR (K) 08 Pindaan 01/19)
- Evaluation Instrument For Approved Accreditation (KKM-BKJ-BOR (K) 09 Pindaan 01/19)
- Document Improvement Feedback Report (KKM-BKJ-BOR (K) 10 Pindaan 01/19)
- Evaluation Form For Accreditation Full/Partial (KKM-BKJ-BOR (K) 11 (2018) Pindaan 01/19)
- Instrumental Evaluation For Accreditation (KKM-BKJ-BOR (K) 12 (2018) Pindaan 01/19)
- Performance Evaluation Assessment (Area 1-8) (KKM-BKJ-BOR (K) 13)
- Laporan Maklumbalas Penambahbaikan Dokumen (Area 1-7) (KKM-BKJ-BOR (K) 15)
- Panduan Pengendalian Program Kejururawatan Dan Bidan Pasca Perintah Kawalan Pergerakan (PKP) Pandemik Covid-29
- Format Laporan Penilaian Untuk Perakuan Akreditasi Penuh/Sementara (KKM-BKJ-BOR (K) 16)
- Borang Penilaian Ahli Panel Penilai (APP), LJM (KKM-BKJ-BOR-(K) 17)

QUALITY
- Prevention of Patient Fall
1.1 Reference Guide for Nurses in the Prevention of Patient fall
1.2 Fall Prevention Teaching Slides
1.3 Terms of References
1.4 Technical Specification
1.5 BKJ-BOR-PPK-Fall-1 Pind.2/2018 Form
1.6 BKJ-BOR-PPK-Fall-2 Pind.4/2020 Form
1.7 BKJ-BOR-PPK-Fall-3 Pind.2/2018 Form
1.8 BKJ-BOR-PPK-Fall-4 Pind.2/2018 Form
1.9 BKJ-BOR-PPK-Fall-5 Pind.2/2018 Form
1.10 (a) Teaching Slide Paediatric Fall Risk Assessment (PFRA)
1.10 (b) Borang Paediatric Fall Risk Assessment (PFRA)
1.10 (c) General Paediatrics Inpatient Screening Tool
1.11 BKJ-BOR-PPK-Fall-7 Pind.2/2018 Form
. - Phlebitis
2.1 Teaching Slide – Recognising Phlebitis
2.2 Technical Specification
2.3 Proses Pengurusan Borang Phlebitis
2.4 4 Hourly Observation Chart for Phlebitis (BKJ-BOR-PPK-QAP 1)
2.5 Cumulative Data Collection for Phlebitis by Ward Sister (BKJ-BOR-PPK-QAP 2)
2.6 Cumulative Data Collection for Phlebitis by Hospital Coordinator (BKJ-BOR-PPK-QAP 3)
2.7 Laporan Phlebitis (BKJ-BOR-PPK-QAP 4)
2.8 Rumusan Laporan Insiden Phlebitis (BKJ-BOR-PPK-QAP 5)
2.9 Senarai Semak Pemantauan Audit Phlebitis – Kegunaan Penyelaras (BKJ-BOR-PPK-QAP 6)
2.10 Senarai Semak Pemantauan Audit Phlebitis – Kegunaan Ketua Jururawat (BKJ-BOR-PPK-QAP 7)
. - Nursing Mentoring Program
3.1 Garispanduan Program Pementoran Kejururawatan
3.2 Terms of Reference
3.3 Fail Menti
3.4 Fail Pementoran Mentor/KJ/PJ Kawasan
3.5 Fail Pementoran KPJH/KPJD/KPJN
3.6 Biodata (KKM-BKJ-BOR-PPK-01 Pinda.1/2018)
3.7 Senarai Semak Program Orientasi
3.8 Rekod Perjumpaan & Laporan Anecdotal
3.9 Penilaian Prestasi
3.10 Pengkalan Data Mentor Menti
3.11 Borang KKM-BKJ-BOR-PPK-06 Pinda.1/2018
3.12 Borang KKM-BKJ-BOR-PPK-07 Pinda.1/2018
3.13 Borang KKM-BKJ-BOR-PPK-08 Pinda.1/2018
3.14 Borang KKM-BKJ-BOR-PPK-09 Pinda.1/2018
3.15 Flow Chart
3.16 Example of Data Collection
3.17 KKM-BKJ-KPI-12-6(a) Pinda.1/2018 Form
3.18 KKM-BKJ-KPI-12-6(b) Pinda.1/2018 Form
3.19 KKM-BKJ-KPI-12-7 Pinda.1/2018 Form
3.20 KKM-BKJ-KPI-12-8 Pinda.1/2018 Form
3.21 KKM-BKJ-KPI-12-9 Pinda.1/2018 Form
3.22 Technical Specification
3.23 Teaching Slide Program Pementoran
3.24 KKM/BKJ/KPI-12-6(c) Pind. 1/2018 Form
3.25 KKM-BKJ-BOR-PPK-10 (1/2019)
. - National Nursing Audit (NNA)
4.1 Element 5.1 Administration of Oral Medication – Version 8 Pind.1/2026 (NNA E5 AF 5.1 Pind.1/2026)
4.2 Element 5.2 Administration of Intravenous Infusion – Version 8 Pind.1/2026 (NNA E5 AF 5.2 Pind.1/2026)
4.3 Element 5.3 Aseptic Wound Dressing – Version 8 Pind.1/2026 (NNA E5 AF 5.3 Pind.1/2026)
4.4 Element 5.4 Blood/Blood Component Transfusion – Version 8 Pind.1/2026 (NNA E5 AF 5.4 Pind.1/2026)
4.5 Element 5.6 Paint 5th Vital Sign – Version 8 Pind.1/2026 (NNA E5 AF 5.6 Pind.1/2026)
. - National Nursing Audit (NNA)
5.1 Element 5.1 Administration of Oral Medication (BKJ-BOR-PPK-09A-1/2026)
5.2 Element 5.2 Administration of Intravenous (I.V) Infusion (BKJ-BOR-PPK-09B-1/2026)
5.3 Element 5.3 Aseptic Wound Dressing (BKJ-BOR-PPK-09C-12026)
5.4 Element 5.4 Blood/Blood Component Transfusion (BKJ-BOR-PPK-09D-12026)
5.5 Element 5.6 Paint 5th Vital Sign (BKJ-BOR-PPK-09E-12026)
. - National Operation Room Nursing Audit (NORNA)
6.1 Element 5.5 Receiving Patient At The Reception Area – Version 8 Pind.1/2026 (NORNA E5 AF 5.5 Pind.1/2026)
6.2 Element 5.7 Scrubbing, Gowning And Gloving – Version 8 Pind.1/2026 (NORNA E5 AF 5.7 Pind.1/2026)
6.3 Element 5.8 Sponges, Sharps And Instrument Count – Version 8 Pind.1/2026 (NORNA E5 AF 5.8 Pind.1/2026)
6.4 Element 5.9 Care of Patient at The Recovery Bay – Version 8 Pind.1/2026 (NORNA E5 AF 5.9 Pind.1/2026)
. - National Operating Room Nursing Audit (NORNA) Report Form
7.1 Element 5.5 Receiving Patient at Reception Area (BKJ-BOR-PPK-09F-Pind.1/2026)
7.2 Element 5.7 Scrubbing Gowning and Gloving (BKJ-BOR-PPK-09G-Pind.1/2026)
7.3 Element 5.8 Sponges, Sharps and Instruments Count (BKJ-BOR-PPK-09H-Pind.1/2026)
7.4 Element 5.9 Care of Patient at the Recovery Bay (BKJ-BOR-PPK-09I-Pind.1/2026)
. - Non-compliance Report and Improovement Strategies For Nursing Audit
8.1 BKJ-BOR-PPK-09K-Pind.1/2026
. - Non-compliance Report For National Nursing Audit (NNA) and National Operating
8.1 BKJ-BOR-PPK-09J-Pind.12026
. - KPI Pementoran Kesihatan Awam
10.1 Teknikal Spesifikasi 2018 (Kesihatan Awam)
10.2 Pengurusan Sistem Rangkaian Sejuk
10.3 Pemberian Pendidikan Kesihatan/Nasihat Kesihatan
10.4 Pemberian Ubat Melalui Suntikan
10.5 Mencuci Luka Aseptik
10.6 Pemeriksaan Klinikal Payudara
10.7 5 Moments Hand Hygiene Observational Audit Tool
. - Penempatan Jururawat Mengikut Bidang Pengkhususan (Hospital/PKD)
11.1 Kebidanan Bahagian 1 : BKJ-BOR-PPK-45(1)
11.2 Jururawat Kesihatan Awam : BKJ-BOR-PPK-45(2)
11.3 Perawatan Rapi : BKJ-BOR-PPK-45(3)
11.4 Peri-Operatif : BKJ-BOR_PPK-45(4)
11.5 Diabetic Nurse Educator : BKJ-BOR-PPK-45(5)
11.6 Kawalan Infeksi : BKJ-BOR-PPK-45(6)
. - Penempatan Jururawat Mengikut Bidang Pengkhususan (Jabatan Kesihatan Negeri)
12.1 Kebidanan Bahagian 1 : BKJ-BOR-PPK-47(1)
12.2 Jururawat Kesihatan Awam : BKJ-BOR-PPK-47(2)
12.3 Perawatan Rapi : BKJ-BOR-PPK-47(3)
12.4 Peri-Operatif : BKJ-BOR_PPK-47(4)
12.5 Diabetic Nurse Educator : BKJ-BOR-PPK-47(5)
12.6 Kawalan Infeksi : BKJ-BOR-PPK-47(6)
. - Pressure Ulcer
13.1 NIA Forms
– Clock Turn Schedule
– Skin Assessment: BKJ -BOR PPK -13
– Positioning Chart: BKJ-BOR-PPK-16
– Daily Record of Pressure Ulcer Incidences: BKJ -BOR-PPK 17
– Monthly Data Collection Of Pressure Ulcer Incidences: BKJ-BOR-PPK-18
– Total Pressure Ulcer Rate (Dept. Coordinator): BKJ -BOR-PPK 19
– Annual Quarter Report (State Health Department ): BKJ-NNIA-1(Pind)
. - Episiotomi
14.1 Technical Specification for Episiotomi
14.2 Technical Specification for Perineal Tear
14.3 Proses Kerja Pengutipan Data Episiotomi di Peringkat Hospital/ABC KKM/ATM
14.4 Proses Kerja Pengutipan Data Episiotomi di Peringkat JKN/ATM
14.5 Penerangan Kutipan Data Episiotomi
14.6 Episiotomi and Perineal Tear Statistics (BKJ-BOR-PPK-(EPI) – 40)
. - Garis Panduan Audit Kejururawatan Di Fasiliti Kesihatan Primer
15.1 Pengendalian Ibu Berisiko Tinggi – Anemia
15.2 Pengendalian Ibu Berisiko Tinggi – PIH
15.3 Pengendalian Ibu Berisiko Tinggi – GDM
15.4 Jagaan Ibu – Pemeriksaan Fizikal dan Palpasi Abdomen
15.5 Jagaan Perawatan Postnatal Di rumah (Ibu)
15.6 Jagaan Perawatan Postnatal Di rumah (Bayi)
15.7 Pemberian Imunisasi Melalui Suntikan
15.8 Pengurusan Rangkaian Sejuk
15.9 Penilaian Pertumbuhan dan Perkembangan Dalam Kalangan Bayi dan Kanak-Kanak
15.10 Pengurusan Bayi dan Kanak-kanak Berumur 6 Bulan Hingga 6 Tahun Yang Mengalami Masalah Kekurangan Zat Makanan Dan Tidak Menerima Bantuan (Bakul Makanan)
15.11 Kepimpinan Dan Pentadbiran Kejururawatan Di Peringkat Penjagaan Kesihatan Primer
15.12 Pengurusan Sumber Manusia Kejururawatan Di Peringkat Penjagaan Kesihatan Primier
CREDENTIALING & PRIVILEGING (C&P)
- PELAPORAN KOMPETENSI JURURAWAT MENGIKUT PETUNJUK PRESTASI UTAMA
Peratus Jururawat yang bertugas dipenempatan klinikal >6 bulan diperakui lulus dalam Jawatankuasa Privileging Hospital dan diiktiraf Sijil Privileging. Sasaran ditetapkan > 80%.
a) BKJ-BOR-CP-01 untuk kegunaan hospital
b) BKJ-BOR-CP-02 untuk kegunaan Jabatan Kesihatan Negeri
BULETIN BKj




















