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Kesiapan Perawat dalam Penanganan Kasus Trauma Multiple pada Skenario Simulasi Disaster Drill Tondok, Santalia Banne; Yaroserai, Mais; Yunitasari, Veronika; Pasole, Fetty Yublika; Hoda, Ferdinandus Suban; Mahoklory, Serly Sani
Barongko: Jurnal Ilmu Kesehatan Vol. 3 No. 3 (2025): Barongko : Jurnal Ilmu Kesehatan (Juli)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v3i3.738

Abstract

Background: Natural disasters and mass accidents demand the preparedness of healthcare workers, particularly nurses, in handling multiple trauma. Disaster drill simulations are an effective training approach to measure and improve this preparedness. Objective: To assess the level of preparedness of nurses in handling multiple trauma through disaster drill simulation scenarios in a teaching hospital. Methods: This study used a quantitative descriptive design with a cross-sectional approach. A sample of 40 nurses participating in the disaster drill was drawn using purposive sampling. The research instruments consisted of a standardized questionnaire and an observation sheet based on a clinical skills checklist. Results: The results showed that 72.5% of nurses were categorized as "ready" in handling multiple trauma cases, with the highest scores in triage and airway management. However, 27.5% still showed unpreparedness in rapid decision-making and team coordination. Conclusion: The majority of nurses are well prepared for mass trauma scenarios, but regular training and simulation evaluation are still needed, particularly in communication and resource management during disasters.
A Analisis Efektivitas Program Early Warning Score (EWS) oleh Perawat dalam Mendeteksi Deteriorasi Klinis Pasien Mahoklory, Serly Sani; Saranga , Jenita Laurensia; Nurlaelah, Nurlaelah; Muammar , Yudi; Mudrika, Mudrika; Rahmat, Rezqiqah Aulia
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.2465

Abstract

Deteksi dini terhadap penurunan kondisi klinis pasien (clinical deterioration) merupakan hal krusial dalam mencegah kejadian henti jantung mendadak, perburukan kondisi, dan kematian di rumah sakit. Sistem Early Warning Score (EWS) merupakan alat bantu sistematis yang digunakan perawat untuk mengidentifikasi tanda-tanda vital abnormal sebagai indikator awal dari deteriorasi klinis. Penelitian ini bertujuan untuk menilai efektivitas implementasi program EWS oleh perawat dalam mendeteksi dini deteriorasi klinis pasien di ruang rawat inap. Desain penelitian yang digunakan adalah kuantitatif dengan pendekatan deskriptif analitik dan studi cross-sectional, melibatkan 78 pasien dan 35 perawat di ruang rawat inap RSUD X yang dipilih secara purposive. Data dikumpulkan melalui observasi dokumentasi EWS dan kuesioner efektivitas yang dikembangkan berdasarkan indikator penilaian klinis, kemudian dianalisis menggunakan uji chi-square dan regresi logistik. Hasil penelitian menunjukkan adanya hubungan signifikan antara implementasi EWS dan deteksi dini deteriorasi klinis (p = 0,008). Tingkat kepatuhan perawat dalam pengisian EWS sebesar 85,7% berbanding lurus dengan peningkatan rujukan cepat ke tim respon cepat (RRT). EWS menunjukkan sensitivitas sebesar 91% dan spesifisitas sebesar 83% dalam mendeteksi pasien yang mengalami perburukan. Kesimpulannya, program EWS terbukti efektif sebagai sistem pendukung keputusan klinis dalam mendeteksi dini deteriorasi pasien, dengan kontribusi signifikan dari kepatuhan dan kompetensi perawat dalam penerapannya. Rekomendasi dari penelitian ini meliputi pelatihan rutin serta integrasi EWS ke dalam sistem digital rumah sakit.
Healthy Family Indicator in Barombong Village Tamalate District Makassar City Aripa, Lusyana; Hoda, Ferdinandus Suban; Mahoklory, Serly Sani; Lewar, Emanuel Suban Bala; Suharto, Suharto; Umar, Risa Bernadip; Sahalessy, Yona Camelia; Nursinah, Andi
International Journal of Health Sciences Vol. 1 No. 3 (2023): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v1i3.100

Abstract

The government created the Healthy Family Indicators (IKS) program to assess or measure the level of progress of healthy families in each region. The Healthy Family Index (IKS) is a calculation of the twelve healthy family indicators for each family whose size ranges from 0 to 1. Families classified as healthy families are families with IKS > 0.8. IKS achievements are still relatively low for several regions in Indonesia, the results of IKS calculations from the 9 initial target provinces namely North Sumatra, South Sumatra, Lampung, DKI Jakarta, West Java, Central Java, East Java, Banten and South Sulawesi as of June 8 2017 obtained families who have IKS above 0.8 of 0.163 out of 570,326 families (Pusdatin, 2018). This study aims to describe the family indicators and index of healthy families in Barombong Village. The type of research used is quantitative descriptive research. Based on the results of the study showed that the healthy family index of 95 families consisted of 32 (33.7%) healthy families, 27 (28.4%) pre-healthy families and 36 (37.9%) unhealthy families. Meanwhile, 62 families (69.7%) participated in the Family Planning program, 6 families (75%) gave birth to mothers, 5 families (83.3%) babies received complete basic immunization, babies received exclusive breastfeeding there were 5 families (55.6%), Toddlers who received growth monitoring there were 10 families (62.5%), there were no pulmonary TB sufferers in 95 families (100%), Patients with hypertension who received regular treatment there were 3 families (50%) ), no mental disorders were found in 95 families (100%), 68 families (71.6%) smoked family members, 75 families (78.9%) had become JKN members, 95 families (100%) these already have clean water facilities, and 95 families (100%) already use healthy latrines. It is recommended that the local puskesmas make policies and efforts to increase family planning participation so that couples of reproductive age (PUS) realize that participating in family planning is to limit birth rates in the long term, make regulations and make appeals not to smoke, especially for areas that are close to members' activities. family.
Implementasi of Triage on the Role Attitude of Emergency Instalation Nurses Rahmawati, Agustini Liviana Dwi; Rosida, Rosida; Saputra, M. Khalid Fredy; Zaenal, Zaenal; Pella, Yosin Herloheti; Mahoklory, Serly Sani; Ervan, Ervan
International Journal of Health Sciences Vol. 1 No. 3 (2023): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v1i3.103

Abstract

Triage is a process to determine which patients should receive treatment first based on the severity of the injury or illness. In triage, patients are grouped into 6 categories, blue label, red label, yellow label, green label, white label, and black label. The highest priority is patients with emergency conditions accompanied by disturbances in the airway, breathing, circulation, which are labeled in blue. The second priority is patients with emergency conditions, which are labeled in red. The third priority is given to patients with minimal emergency conditions, which are labeled in yellow. The next priority is cases without emergencies, but if they are not treated immediately they will have a negative impact on the patient, which is labeled in green. The next priority is the white label given to patients whose conditions are not serious, not emergency, and do not require immediate treatment. Last priority is given to patients who died or had serious irreversible injuries who were labeled in black. The purpose of this study was to determine the relationship between the roles and attitudes of emergency room nurses and the implementation of triage based on priority. The research method used is descriptive correlational with cross sectional design. The results showed that the majority of the role of nurses was good with the implementation of triage as many as 25 people (65.8%), the majority of positive attitudes with the implementation of triage as many as 23 people (60.5%) and the majority carried out triage according to SOP as many as 30 people (78.9%) . The results of the study with the chi-square test p-value <0.05. In conclusion, there is a relationship between the role and attitude of the emergency room nurse and the implementation of triage based on priority.
The Effect of Basic Life Support Training on Nurses' Ability to Perform Cardiopulmonary Resuscitation in the Emergency Department Mahoklory, Serly Sani; Fitriani.K, Fitriani.K; Ibrahim, Sultan Akbar
International Journal of Health Sciences Vol. 3 No. 3 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i3.832

Abstract

Background: Cardiopulmonary resuscitation (CPR) is a crucial step in treating cardiac arrest. Emergency nurses' ability to perform CPR is greatly influenced by the knowledge and skills gained from Basic Life Support (BLS) training. Objective: This study aims to analyze the effect of BHD training on nurses' ability to perform CPR in the Emergency Department (IGD). Method: Quantitative research with pre-experimental design one group pretest-posttest Design. A sample of 30 emergency room nurses was selected using total sampling. The instruments consisted of a knowledge questionnaire, a skills observation sheet, and a CPR implementation guide according to American Heart Association standards. Association (AHA) 2020. Data analysis using paired t- test with α=0.05. Results: The study showed a significant increase in nurses' abilities after receiving BHD training. The average knowledge score increased from 65.3 to 87.6, while the average skill score increased from 60.1 to 89.2 (p=0.000). Conclusion: BHD training has a significant effect on improving nurses' ability to perform CPR in the ER.