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All Journal JURNAL KESEHATAN INDRA HUSADA DedikasiMU: Journal of Community Service Sci-Tech Journal Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Jurnal Anoa Keperawatan Mandala Waluya
Al Afik
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Religion Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Case Report Penurunan Tingkat Nyeri Pada Pasien Fraktur Femur Dengan Balut Bidai Di IGD RSUD Tidar Kota Magelang Rizkiana Kurniasari; Al Afik; Cipto Wahyuning Utama
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 2 No. 2 (2024): Juni : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v2i2.412

Abstract

Fracture is one of the causes of disability caused by trauma due to an accident. Fractures can be caused by direct trauma, for example a collision or blow that results in a broken bone. Splinting is an action carried out as first aid for musculoskeletal injuries so that the injured body part can rest, avoid shifting of the injured bone and reduce the level of pain. By using a splint, the skeletal muscles that are experiencing spasm will slowly relax, thereby reducing the level of pain and holding parts of the body from shifting and reducing pain. To determine the application of splint therapy to reduce the pain level of femur fracture patients in IGD at RSUD Tidar Magelang. The research method used a case report with the nursing intervention of providing splints on the pain level of fracture patients. Conducted 3 observations every 30 minutes on the patient Mr. M, 27 years old, who was involved in a traffic accident. From the results of the research, a nursing intervention was carried out, namely by providing a splint dressing for 3 observations every 30 minutes. The result was that there was a decrease in the level of pain before and after the splint dressing. Based on research conducted with Mr. Therefore, the reduction in pain levels in femur fracture patients with splint dressing in the emergency room at Tidar Hospital Magelang can be concluded that splint therapy has an effect on the pain level of fracture patients by reducing the level of the pain scale.
PENDAMPINGAN PERSIAPAN PEMBENTUKAN SEKOLAH AMAN BENCANA DI TK AISYIYAH KHADIJAH BANGUNJIWO TIMUR KASIHAN BANTUL Al Afik; Azizah Khoiriyati; Novita Kurnia Sari; Arif Wahyu Setyo Budi; Riski Oktafia
DedikasiMU : Journal of Community Service Vol. 7 No. 2 (2025): DedikasiMU Juni
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/dedikasimu.v7i2.9883

Abstract

Indonesia memiliki lebih dari 250.000 sekolah yang berada di daerah rawan bencana atau sekitar 75% dari total jumlah sekolah, sehingga diperlukan upaya pengurangan risiko bencana guna meminimalkan risiko dan dampak bencana. Kesiapan sekolah sebagai fasilitas dan tempat yang aman menghadapi ancaman bencana harus terus diupayakan. Tujuan kegiatan ini adalah untuk membentuk sekolah aman bencana di tingkat PAUD dan TK. Metode kegiatan pendampingan melalui beberapa tahapan sesuai dengan tahapan standar program sekolah aman atau di Indonesia disebut "Satuan Pendidikan Aman Bencana" (SPAB). Lokasi kegiatan di TK Aisyiyah Khadijah Bangunjiwo Timur, yang melibatkan pihak internal sekolah, yaitu kepala sekolah, guru, karyawan, pengurus (pimpinan cabang Muhammadiyah dan Aisyiyah Bangunjiwo Timur), serta pihak eksternal seperti guru TK lain di DIY dan LLHPB Aisyiyah DIY. Hasil kegiatan terdiri dari 4 tahapan pendampingan, yaitu: persiapan (FGD & self-assessment), Implementasi 10 langkah SPAB (Penyusunan SPO & Table top Exercise, Latihan lapangan pencegahan gempa bumi sesuai dengan Hazards dalam assessment), workshop SPAB dan Evaluasi.
Evaluasi Penerapan Bundle Prevention VAP pada Pasien yang terpasang Ventilasi Mekanik Di Ruang ICU Novita Tri Rahayu; Al Afik; Mariyadi, Mariyadi
Jurnal Anoa Keperawatan Mandala Waluya Vol. 4 No. 2 (2025): Jurnal Anoa Keperawatan Mandala Waluya
Publisher : Program Studi Ilmu Keperawatan dan Profesi Ners. Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/jakmw.v4i2.1061

Abstract

Pasien yang dirawat di ruang Intensive Care Unit (ICU) umumnya memerlukan ventilator mekanik sebagai alat bantu pernapasan. Namun, penggunaan ventilator dalam jangka panjang berisiko menimbulkan Ventilator-Associated Pneumonia (VAP), salah satu bentuk infeksi nosokomial yang serius. Pencegahan VAP menjadi prioritas dalam pelayanan keperawatan kritis, salah satunya melalui penerapan bundle VAP, yaitu seperangkat intervensi berbasis bukti yang bertujuan menurunkan insidensi VAP. Penelitian ini bertujuan untuk menganalisis penerapan bundle VAP terhadap kejadian VAP pada pasien yang menggunakan ventilator mekanik di ICU. Metode penelitian menggunakan pendekatan case study dengan jumlah subjek sebanyak tiga pasien yang memenuhi kriteria inklusi. Data diperoleh melalui observasi langsung terhadap penerapan bundle VAP selama 3x 24 jam dan penilaian skor Clinical Pulmonary Infection Score (CPIS) pada hari ke tiga. Hasil penelitian menunjukkan bahwa implementasi bundle VAP belum sepenuhnya terlaksana sesuai standar, terutama pada komponen oral hygiene yang idealnya dilakukan setiap 4–6 jam dan penyikatan gigi setiap 12 jam. Hambatan utama yang diidentifikasi adalah tingginya beban kerja perawat. Dari hasil pengamatan, hanya satu responden yang menunjukkan skor CPIS ≥6 dan terdiagnosis VAP, sementara dua lainnya tidak. Simpulan dari penelitian ini menunjukkan bahwa pelaksanaan bundle VAP di ruang ICU belum optimal, yang berpotensi meningkatkan risiko kejadian VAP. Oleh karena itu, diperlukan peningkatan kepatuhan terhadap protokol bundle VAP, terutama dalam aspek kebersihan oral, guna menurunkan risiko kejadian VAP
Penerapan Klinikal Pathway Rosier pada Pasien Stroke Akut Alde Afinturi Ajye; Al Afik; Cipto Wahyuning Utama
Sci-tech Journal Vol. 4 No. 2 (2025): Sci-Tech Journal
Publisher : MES Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56709/stj.v4i2.768

Abstract

Acute stroke is a condition in which a patient experiences a disorder in the blood vessels of the brain that disrupts the flow of blood to the brain, and the disorder can be in the form of blockage or rupture of blood vessels. Stroke can occur due to several diseases, such as hypertension and unhealthy lifestyles. The tool to establish a stroke diagnosis is ROSIER, or Recognition of Stroke in the Emergency Room, which provides several elements, including clinical symptoms, namely loss of consciousness, seizure activity, asymmetrical face, weakness in the hands, weakness in the legs, experiencing speech disorders, and decreased vision. Method: This study is a case study of patients with acute stroke who came to the ER, patients were assessed using the ROSIER clinical pathway after triage with 7 ROSIER elements when the total score is >0 then the possibility of having a stroke is high but if ≤0 then the possibility of having a stroke is slight. Results: The patient's total score is +2, which means that the patient has had a stroke and is supported by supporting examinations, namely a CT scan of the head, which shows intracerebral hemorrhage. Conclusion: Enforcement using a stroke diagnosis has proven to be effective and fast, so that it can be applied in the ER
EVALUASI PENERAPAN TRIASE ATS (AUSTRALIAN TRIAGE SCALE) MODIFIKASI TERHADAP PASIEN TRAUMADI IGD RSUD TIDAR MAGELANG Desi Rahmawati; Al Afik; Cipto Wahyuning Utama
JURNAL KESEHATAN INDRA HUSADA Vol 13 No 1 (2025): Juni 2025
Publisher : SEKOLAH TINGGI ILMU KESEHATAN INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36973/jkih.v13i1.753

Abstract

Emergency conditions can occur anywhere, anytime, and can be experienced by anyone. The Aim: This study aims to evaluate the implementation of ATS triage in the ER in patients with trauma. Method: This study used a descriptive quantitative design with a cross-sectional approach. The population was 36 nurses. The sampling technique used was purposive sampling with a sample size of 36 nurses. Data collection was carried out by observation. Data analysis used descriptive analysis with the help of computerization. Results: As many as 63.9% respondents were aged 25-35 years, male, had a Diploma 3 education, had a work period of ≥ 6 years and all had attended training such as BT and CLS. The implementation of ATS Triage on service waiting time, vital signs, and ATS examinations in patients with trauma showed that each triage category was in accordance with the SOP. In the implementation of vital signs due to several conditions, blood pressure and pulse examinations, especially in fussy children aged <12 years who were sometimes missed and only respiration, respiratory rate, temperature, VAS pain response, and GCS were checked. Conclusion: The application of ATS to trauma patients based on service waiting time, vital signs, and the application of ATS examination showed appropriate results and all were carried out according to SOP.
Co-Authors Alde Afinturi Ajye Arif Wahyu Setyo Budi azizah khoiriyati Chatarina Umbul Wahyuni Cipto Wahyuning Utama Desi Rahmawati Novita Kurnia Sari Novita Tri Rahayu Riski Oktafia Rizkiana Kurniasari