Kristiningsih, Fransisca
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Use of Hydrocolloids in The Treatment of Phlebitis scores 2 and 3 in Siloam Hospitals Lippo Village Inpatient Room Kristiningsih, Fransisca
Nursing Genius Journal Vol. 1 No. 3 (2024): Nursing Genius Journal Vol. 1 No. 3 July 2024
Publisher : PT. Nursing Genius Care

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Abstract

The most frequently used invasive clinical procedure in hospitals is the insertion of a peripheral intravenous catheter for intravenous fluid administration access, where this procedure is susceptible to the risk of phlebitis complications. The incidence of Phlebitis is one of the indicators of the quality of nursing services that support patient safety at Siloam Hospitals Lippo Village. Research with the intervention of hydrocolloids in treating phlebitis wounds is the initiation of a wound care nurse, which aims to overcome the vascular response as measured by the respondents’ PIVA score and pain scale. This research is pre-experimental design with the one group pre and post-test design. The research was conducted at Siloam Hospitals Lippo Village. The sample in this study was 39 respondents who met the inclusion criteria: (1) respondents with Phlebitis (PIVAS score 2 or 3), (2) age ≥3 years, 3) willing to be a respondent and sign informed consent. Data processing was carried out by univariate and bivariate analysis (paired t-test on PIVAS scores and Wilcoxon signed rank test on the pain scale). PIVAS is a standardized phlebitis scale that is valid, reliable and clinically feasible. This study used PIVAS tools (Pheriperally Inserted Vascular Access Score tools) that modified Visual Infusion Phlebitis with a Kappa value of 0.826 with a significance value of 0.000 and a pain scale using the Numeric Rating Pain Scale (1-10). The results showed that the before and after the hydrocolloid intervention was significant in decreasing the PIVAS score (p-value 0.000) and pain scale (p-value 0.000). The PIVAS score had a correlation value of 0.934 (pre and post-test) with an average decrease of 1.974, while the pain scale decreased on the post-test measurement of 39 respondents. The results also showed that there was no difference in treatment before and after hydrocolloid intervention against the respondents’ age (p-value 0.725), respondents’ history of comorbidities (p-value 0.777) and phlebitis wound location (p-value 0.133). Hydrocolloid dressing has been shown to lower the PIVAS score and pain scale of respondents with phlebitis wounds, so it is recommended as a modern dressing option that applies to all age levels, comorbidities, and wherever the patient’s phlebitis wound is located
Adopsi Sistem Teknologi CLMA (Close Loop Medication Administration) oleh Perawat untuk Menurunkan Insiden Medication Error (salah dosis, salah waktu, dan kelalaian pemberian) Sihite, Desy Gytasari; Siregar, Yudith Romian; Zai, Erika; Kristiningsih, Fransisca; Romana, Fransisca; Saimima, Ramona Anthoinette; Mardhianna, Mardhianna; Sanny, Desy Ari
MAHESA : Malahayati Health Student Journal Vol 4, No 10 (2024): Volume 4 Nomor 10 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i10.15277

Abstract

ABSTRACT CLMA (Closed Loop Medication Administration) is a functional system that supports cross-checking between patients, drugs and prescription correctness using digital technology. The organization introduced Closed-Loop Medication Administration (CLMA) as a recommended program because it was seen as a potential technology to prevent medication errors. This study aims to identify nurses' perspectives on the CLMA system and the impact of implementing CLMA on the incidence of medication errors in the Siloam and Samaria inpatient units. This research design is a quantitative research, direct observational study using total sampling with a total of 28 nurses in the Samaria and Siloam units who adopt and interact directly with patients in administering drugs using the CLMA system and 22 nurses in the Carmel unit who use conventional methods. The results of this study identified nurses' views on the CLMA system, the majority stated that the CLMA system was easy to implement (60.7%), supported work productivity (67.9%), CLMA features supported patient safety (71.4%) by increasing identification patients and had an impact on reducing the incidence of medication errors from 0.44% to 0% within 3 consecutive months after implementing the CLMA system. Medication administration via the CLMA system is more time efficient than the conventional system (p-value 0.000). Conclusion The study illustrates that the implementation of the CLMA system has a significant impact on nurses' professional practice by functioning as a systematic safety net in medication administration and assisting nurses in preventing medication errors (especially dosage errors, timing errors and errors of omission). Keywords: CLMA (close-loop medication admistrasion), Medication Eror Adoption,  Sistem Technology.  ABSTRAK CLMA (Closed Loop Medication Administration) adalah sistem fungsional yang mendukung pemeriksaan silang antara pasien, obat, dan kebenaran resep menggunakan teknologi digital. Organisasi ini memperkenalkan Closed-Loop Medication Administration (CLMA) sebagai program yang direkomendasikan karena dipandang sebagai teknologi potensial untuk mencegah kesalahan pengobatan. Penelitian ini bertujuan untuk mengidentifikasi perspektif Perawat terhadap sistem CLMA dan dampak penerapan CLMA terhadap kejadian kesalahan pengobatan di unit rawat inap Siloam dan Samaria. Desain Penelitian ini merupakan penelitian kuantitatif, studi observasional langsung menggunakan total sampling dengan jumlah 28 perawat di unit Samaria dan Siloam yang mengadopsi dan berinteraksi langsung dengan pasien dalam pemberian obat dengan sistem CLMA dan 22 perawat di unit Carmel yang menggunakan metode konvensional. Hasil penelitian ini mengidentifikasi cara pandang perawat terhadap sistem CLMA, sebagian besar menyatakan bahwa sistem CLMA mudah diterapkan (60,7%), mendukung produktivitas kerja (67,9%), fitur CLMA mendukung keselamatan pasien (71,4%) oleh meningkatkan identifikasi pasien dan berdampak pada penurunan angka kejadian kesalahan pengobatan dari 0,44% menjadi 0% dalam kurun waktu 3 bulan berturut-turut setelah penerapan sistem CLMA. Pemberian obat melalui sistem CLMA lebih efisien waktu dibandingkan sistem konvensional (p-value 0,000). Kesimpulan Penelitian tersebut menggambarkan bahwa penerapan sistem CLMA mempunyai dampak yang signifikan terhadap praktik profesional perawat dengan berfungsi sebagai jaring pengaman sistematis dalam pemberian obat dan membantu perawat dalam mencegah kesalahan pengobatan (terutama kesalahan dosis, kesalahan waktu dan kesalahan kelalaian). Kata Kunci: CLMA (close-loop medication admistrasion), Medication Eror Adoption,  Sistem Technology.