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Prosedur Pemeriksaan CT Scan Abdomen Pada Kasus Kolesistitis di Instalasi Radiologi RSUD Prof. Dr. Margono Soekarjo Purwokerto Titien Sumarni; Bagus Abimanyu; Dartini Dartini
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 2: July 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i2.3161

Background: Have been done research on inspection procedures examination in the case of abdominal CT Scan cholecystitis at Radiology installationProf. Dr. Margono Soekarjo Purwokerto Hospital. This study aims to determine the inspection procedure examination in the case of abdominal CT Scan cholecystitis not using the biphase technique diagnosis and to find out information on examination in the case of abdominal CT Scan cholecystitis with monophase technique at Radiology installationProf. Dr. Margono Soekarjo Purwokerto Hospital.Methods:This type of research is aqualitaive research case study approach. The data collection methods with unstructured observation , depth interview with 3 radiographers, 1 radiologist, a sending doctor and a patient, and the documentation of the results of reading radiographs and photographs. The data obtained then reduced, classified, dried and then interpreted in the form then concluded kuotasi and suggestions.Results: The result showed that the procedure examination abdomen ct scan in case of colecystitis at radiology installation Prof. Dr. Margono Soekarjo Purwokerto Hospital before the hearing preparation charge informed consent of patients, perform laboratory checks urium creatinin, fasting from the night and drank appoxcimately 1000 ml of Water the morning before the examination. While the position of the patient supine feet first and the administration of contrast media intra vena with a volume of 80 ml plus 20 ml Na Cl and arrangements flow rate 2,0 ml/sec with a scan delay of 40 seconds. Reason not to do engenering biphase technique examination in the case of abdominal CT Scan cholecystitis because only monophase technique, arterial phase alone can establish the diagnosis of cholecystitis.Conclusion: Information on CT Scan diagnosis in Radiology Installation Prof. Dr. Margono Soekarjo Purwokerto Hospital was able to show in indication of cholecystitis but have not been able to show the mass and metastase to the surrounding organs lake the liver gallbladder and pancreas, intrahhepatic and extrahepatic tract.

prosedur pemeriksaan CT Cardiac dengan Kasus Coronary Artery By Pass Grafting (CABG) di Instalasi Radiologi MRCCC SILOAM Hospital Semanggi Atika Dian Utami; Yeti Kartikasari; Sigit Wijokongko
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 2: July 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i2.3194

Background : Coronary Artery By Pass Grafting (CABG) is one of the intervention treatments of Coronary Heart Disease (CHD), by creating a new channel through the coronary artery which is narrowed or blocked. The purpose of this research is to know the procedure of Cardiac CT examination with CABG case, acceptable Heart Rate range and how to lower Heart Rate range and how to lower Heart Rate at Radiologt Installation of MRCCC Siloam Hospital Semanggi.Methods : This type of research is qualitative with case study approach. The data were collected from April - June 2017 at Radiology Installation of MRCCC Siloam Hospital Semanggi by observation method, interview with 3 radiographers, 2 radiology specialists and 1 sending doctor and documentation. Data obtained from the study were analyzed by interactive model, with data reduction stage, data presentation and conclusion.Result : The results of this study stated that the procedure of Cardiac CT examination with CABG scan start from subclavia to the diaphragm to show the graft, the amount of contrast media used 20 cc more and the amount of saline used 10 cc more, Beta Blocker and Vasilidator not given because CT Scan with 256 slices work quickly so as to suppress the movement of the heart with optimal. Acceptable Heart Rate range is 65 - 80 bpm. How to lower high Heart Rate by giving patients education one day before the examination, which is does not consume drugs which can increase Heart Rate and do not perform heavy activities. Patients with unstable Heart Rate should be given Beta Blocker 2-3 days before the examinationConlusion : Based on the results of the study, the range of CT Cardiac examination with CABG cases differs from the usual cardiac CT range and using MSCT 256 radiology specialists slice does not need to consider the patient's heart rate

Pelaksanaan Informed Consent pada Pemeriksaan Intra Vena Pyelografi di Instalasi Radiologi Rumah Sakit Umum Sukoharjo Rini Indrati; Meita Shinta Fatikhatul Laila; Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 1: January 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i1.3185

Background: The implementation of informed consent at Radiology department of Sukoharjo Hospital was conducted by administrative officer and radiographer. The officer explained the preparation of pyelographic intra-venous examination to the patient then the patient was asked to fill out and sign the informed consent form. According to the Indonesian Medical Council and Regulation of the Minister of Health of Indonesia, the delivery of informed consent is carried out by doctors. The doctor explains all the information contained in the contents of informed consent before taking any medical action. The purpose of this research is to know the implementation of informed consent done in the radiology department and patient understanding of the contents of the informed consent form.Methods: The type of this research is descriptive qualitative research with the observational approach. Data were collected in March-June 2017 by observational of informed consent and interviews of 30 patients who will conduct intra vena pyelographic examination. Data analyzed by descriptively.Results: The results showed that the provision of informed consent to intravenous pyelographic examination patient at Sukoharjo Hospital was performed by administration officer and radiographer before conducting the examination. The patient's understanding of the contents of informed consent has not been in accordance with the content of the informed consent form because the information submitted by the radiologist only concerning the preparation of intravenous examination of pyelography does not include examination procedures, objectives, risks, complications, diagnoses, prognoses, alternative other measures and risks, and costs.Conclusions: In radiology department of Sukoharjo hospital at Intravenapyelography patient informed consent delivered by administrative officers and radiographer. Patients understanding the content of informed consent

Analisis Informasi Anatomi pada Pemeriksaan CT Scan Ankle Joint Menggunakan Protokol CT Abdomen Dan Protokol CT Ankle Joint di Instalasi Radiologi Rumah Sakit Gading Pluit Jakarta Gunawan Khairul Anam; Bagus Abimanyu; Edy Susanto
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 2: July 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i2.3154

Backgroud: In Radiology Installation of Gading Pluit Jakarta Hospital, CT Scan of the ankle joint uses abdomen CT protocol because it produces image quality that is considered to be able to diagnose and provide adequate information, although in Gading Pluit Jakarta Hospital there is a choice of CT protocol with Ultra High Resolution (UHR). The purpose of this study was to determine the difference of anatomical information on ankle joint CT scan between abdomen CT protocol and ankle joint CT protocol at Gading Pluit Jakarta Hospital and which protocol is better between UHR ankle protocol and abdomen protocol.Methods: This type of this research was an experimental study. The study was conducted by performing two times of scanning with different protocols such as abdomen protocol and ankle joint protocol on ankle joint CT scan examination. The image was assessed by seven radiology physicians by viewing the information of the image. Data were analyzed statistically with Wilcoxon test.Results: The results of this study showed that there was significant difference between abdomen protocol and UHR ankle joint protocol, with Wilcoxon p.value = 0,00 (p 0,05) and on ankle joint CT Scan examination, UHR ankle joint protocol was better than abdomen protocol so that the UHR ankle protocol was well applied in daily examination on CT scan of ankle joint.Conclusion: There was difference between the abdomen CT protocol and ankle joint CT protocol (UHR) in Radiology Installation of Gading Pluit Jakarta Hospital. The ankle CT protocol (UHR) was better than the abdomen CT protocol on ankle joint CT scan examination in Radiology Installation of Gading Pluit Jakarta Hospital.

Pengukuran Laju Paparan Radiasi pada Perisai Radiasi Ruang Panoramik di Instalasi Radiologi Rumah Sakit Islam Klaten Raih Sutejo; Siti Daryati
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 2: July 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i2.3177

Background: Research about the measurement of radiation exposure rate on panoramic radiation shield in Radiology Installation of Klaten Islamic Hospital has been conducted. The background of this research is in the panoramic room there is a veil that has a gap on the bottom as high as 20 cm. The purpose of this research is to know the rate of radiation exposure on radiation panoramic shield in Radiology Installation of Klaten Islamic Hospital and the application of radiation protection system to the room.Methods: This research type is quantitative with survey approach that is writer do observation, documentation and measurement of exposure rate of radiation at controlled and uncontrolled area by doing measurement at two state that is before exposure (background radiation) and after exposure. The data obtained are then analyzed descriptively to declare a safe examination room or not for workers and the general public by comparing the measurement results with UNSCEAR and NCRP report No. 147.Result: The value of the background exposure rate in the panoramic chamber of the Klaten Hospital Radiology Installation exceeds the value of the background dose rate based on the location of the height of an area according to UNSCEAR. The background exposure value in the panoramic space ranges from 0.14 to 0.175 μGy/hour. The actual radiation exposure measurements at point A is 0.00021 mGy/hour, point B is 0.000175 mGy/h, point C is 0 mGy/hour, point D is 0 mGy/hour, point E is 0.000105 mGy/hour, point G is 0,000735 mGy/hour. These six results have not exceeded the NCRP report no. 147 is for controlled areas 0.0025 mGy / hr and uncontrolled area 0.0005 mGy / hr.

Analisis Penolakan dan Pengulangan Citra Radiografi pada Modalitas Computed Radiography AGFA CR 35-X di Instalasi Radiologi RSUD DR. R. Goeteng Taroenadibrata Purbalingga Ikko Justian Fajarrissetyo; Panji Wibowo Nurcahyo; Asri Indah Aryani
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 2: July 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i2.3159

Background: Reject film analysis program is a systematical process to count repeated images and determine the cause of the repeat, so it could be minimalized or banished even. This research aims to find out the reject percentage, cause of each reject percentage and the efforts to reduce it.Method: This research was a quantitative model with descriptive approach. The research has been done in February, April and May of 2016. Data were obtained from observation, documentation and interview with three radiographers. Data was analyzed by Paretto’s diagram to identify the influence of each cause.Results: In February, April and May by orders the percentage of the radiographic images reject and repeat are 4,86%, 4,65%, 6,95%. The factors of digital images reject and repeat were patient’s position (1,65%, 1,05%, 0,84%), uncorrect exposure value (1,30%, 0,98%, 1,87%), miscellaneous reasons (0,35%, 0,38%, 0,28%), too narrow collimation (0,26%, 0,68%, 0,47%), unsharpness (0,17%, 0,0%, 0,0%), digiscan fault (0,09%, 0,30%, 0,84%) and x-ray equipment’s fault (0,09%, 0,38%, 0,65%). Meanwhile in radiographic film factor, unwanted film (0,61%, 0,30%, 0,67%), printer’s fault (0,35%, 0,08%, 0,95%), patient’s position (0,0%, 0,23%, 0,0%), miscellaneous reasons (0,0%, 0,23%, 0,19%), too narrow collimation (0,0%, 0,0%, 0,90%) and unsharpness (0,0%, 0,08%, 0,0%).Conclusion: The efforts to reduce radiographic images reject and repeat were applying effective communications with patients and their family and taking notes whenever a failure occurs

UJI KESESUAIAN BERKAS SINAR-X DENGAN BERKAS KOLIMATOR PADA PESAWAT SINAR-X DI INSTALASI RADIOLOGI RSUD RADEN MATTAHER JAMBI Enggel Fransiska; Nehru Nehru; Muhammad Ficky Afrianto
Komunikasi Fisika Indonesia Vol 15, No 1 (2018)
Publisher : Universitas Riau

The collimator test is one of the X-ray Quality Control (QC) program, one of the central point beam testing and the area of the collimator beam using the RMI unit. The purpose of the collimator test is to find out the suitability of the broad field of collimator with the area of X-ray beam in tolerance of ≤ 2% Focus Film Distance (FFD) and the correspondence of the X-ray center point in tolerance Ɵ = 3˚ as determined by the Minister of Health Decree No . 1250 / SK / XII / 2009. The study was conducted using variations of FFD at 100 Cm, 90 Cm, 80 Cm, on three X-ray radiation radiology radiation RSUD Raden Matther Jambi. In this study using digital radiograph unit (DR) or computed radiographaphy, no longer using conventional radiographs such as previous studies. Irregularities or wide discrepancies in the area of the X-ray beam are evaluated by evaluating the firm boundary of the line formed by the X-axis and Y-axis, then determining the midpoint between the line boundary and the radiation boundary of the scatter. The deviation results concluded that there was no deviation at the central point of X-ray beam for all X-ray aircraft tested by all aircraft still within the tolerance threshold Ɵ = 3˚. But for the value of the collimator area all the X-ray macine tested has deviations exceeding the predefined 2% FFD threshold where the radiologie france plane occurs deviation on the Y axis with FFD 90 Cm and 80 Cm, hyundai medicaly X- ray on X axis with FFD 100 Cm and 80 Cm, Y axis with FFD 80 Cm, and on villa sistei medicali SpA plane on X axis with FFD 80 Cm, Y axis at FFD 80 Cm.

ANALISIS PENYELENGGARAAN SISTEM PEMELIHARAAN PERALATAN RADIOLOGI DI RSUP DR. M. DJAMIL Shelvy Haria Roza
Jurnal Kesehatan Medika Saintika Vol 7, No 2 (2016): Desember 2016
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/78222016201785-941

ABSTRAK Pelayanan Kesehatan yang berkesinambungan perlu didukung dengan peralatan yang selalu dalam kondisi siap pakai serta dapat difungsikan dengan baik. Hal ini menuntut manajemen rumah sakit untuk dapat mengelola dan memelihara peralatan medis seefektif dan seefisien mungkin. Penelitian ini bertujuan untuk mengetahui penyelenggaraan sistem pemeliharaan peralatan radiologi di RSUP Dr. M. Djamil Padang. Penelitian ini bersifat analisis deskriptif dengan metode kualitatif. Instrumen yang digunakan yaitu dengan cara melakukan wawancara mendalan (indepth interview), observasi, dan telaah dokumen. Hasil penelitian ini, menunjukkan bahwa dalam pelaksanaannya, sistem pemeliharaan tidak dapat dijalankan semestinya, disebabkan oleh terbatasnya tenaga teknisi, kurangnya pelatihan, biaya pemeliharaan masih kurang, SOP pemeliharaan kurang sesuai dengan prosedur. Perencanaan, pengorganisasian, pengawasan yang kurang terlaksana dengan baik sehingga sistem pemeliharaan pencegahan dan pemeliharaan korektif tidak dapat berjalan dengan baik. Salah satu upaya meningkatkan sistem pemeliharaan agar berjalan dengan optimal yaitu perlu melakukan pelatihan, meningkatkan alokasi dana pemeliharaan, perlu melengkapi fasilitas pemeliharaan korektif kerja yang memadai, melaksanakan pemeliharaan preventif secara rutin, dukungan manajemen dalam program pemeliharaan preventif dan perlu melengkapi dokumen pemeliharaan.Kata Kunci : Sistem Pemeliharaan, Radiologi, Rumah Sakit ABSTRACT Sustainable Health Services need to be supported with equipment that is always in a condition ready for use and able to function properly. This requires that the hospital management to be able to manage and maintain medical equipment effectively and efficiently. This study aims to determine the implementation of radiology equipment maintenance system in RSUP Dr. M. Djamil Padang. This research is with qualitative methods. The instrument used is by conducting indepth interviews, observation, and document review. The results of this study show that in the implementation, system maintenance can not be executed properly, due to the lack of qualified personnel, insufficient training, maintenance cost is less, less maintenance SOPs in accordance with the procedure. Planning, organizasing, and maintenance that preventative maintenance system and corrective maintenance can not walk at all, while that can be carried out only based maintenance system malfunction. One effort to improve the maintenance system that is optimized to run with the need to conduct training, improve the allocation of funds for maintenance, corrective maintenance facilities will need to complete an adequate job, perform routine preventive maintenance, management support in the program need to complete preventive maintenance and maintenance documents.Key words : Maintenance Systems, Radiology Equipment, Hospital

KEAMANAN PERALATAN RADIASI PENGION DIKAITKAN DENGAN PERLINDUNGAN HUKUM BAGI TENAGA KESEHATAN DI BIDANG RADIOLOGI DIAGNOSTIK Puji Supriyono; Wila . Candrawila S; Agus H. Rahim; Tri Wahyu Murni
SOEPRA Vol 3, No 1 (2017)
Publisher : Universitas Katolik Soegijapranata Semarang

Aspek keselamatan dalam pemakaian tenaga nuklir di Indonesia dilindungi oleh Undang-undang Republik Indonesia Nomor 10 tahun 1997 tentang Ketenaganukliran, yang pelaksanaannya diatur oleh Peraturan Pemerintah Republik Indonesia Nomor 33 tahun 2007 tentang Keselamatan Radiasi Pengion dan Keamanan Sumber Radioaktif, Peraturan Pemerintah Republik Indonesia Nomor 29 tahun 2008 tentang Perizinan Pemanfaatan Sumber Radiasi Pengion dan Bahan Nuklir, dan Peraturan Menteri Kesehatan Republik Indonesia nomor 363/MENKES/PER/IV/1998 tentang Pengujian dan Kalibrasi Alat Kesehatan pada Sarana Pelayanan Kesehatan, serta Peraturan Menteri Kesehatan Republik Indonesia Nomor 780/MENKES/PER/VIII/2008 tentang Penyelenggaraan Pelayanan Radiologi.Salah satu fungsi hukum adalah untuk melindungi para pihak yang terkait dalam hubungan hukum, agar ketentuan-ketentuan yang dibuat benar-benar dapat melindungi para pihak, sehingga terbentuk keadilan hukum.Keadilan hukum tentunya selalu bersisi dua, adil bagi seseorang akan tidak adil bagi orang lain, sehingga perlu diambil ukuran lain yang bagi para pihak terdapat keadilan yang seimbang. Seringkali pihak-pihak yang terkait akan mengmabil ukuran adil yang tentunya menguntungkan bagi didinya, sehingga terdapat banyak pendapat bagi artinya adil, yang paling memadai adalah apa yang dikemukakan oleh John Rawls, bahwa apa keadilan sebagai kepantasan: Justice as fainess.Peneilitian hukum ini menggunakan Metode Penelitian Deskriptif dengan pendekatan Metode Penelitian Yuridis Normatif, sehingga jenis penelitian yang digunakan adalah Studi Kepustakaan. Data yang dikumpulkan adalah data kualitatif dalam bentuk bahan pustaka, yakni bahan hukum primer, sekunder dan tertier. Sehubungan dengan data yang digunakan data kualitatif, maka akan dilakukan analisis kualitatif terhadap ketiga bahan hukum yang dikumpulkan, dan akan dirumuskan jawaban sementara berbentuk hipotesis kerja.Pemanfaatan tenaga nuklir wajib dilaksanakan dengan memperhatikan aspek keselamatan dan keamanan untuk melindungi pekerja, anggota masyarakat, dan lingkungan hidup, sehingga pengaturan yang lebih jelas, efektif, dan konsisten. Pengaturan mengenai Keselamatan Radiasi Pengion ditetapkan dengan Peraturan Pemerintah Nomor 33 Tahun 2007 tentang Keselamatan Radiasi Pengion dan Keamanan Sumber Radioaktif (untuk selanjunya akan disebut dengan PP Keselamatan Radiasi). Apabila ketentuan-ketentuan hukum dilaksanakan dengan sebaik-baiknya maka Jaminan perlindungan keselamatan bagi pekerja kesehatan dibidang radiodiagnostik akan tercapai.

PERANCANGAN KEY PERFORMANCE INDICATOR (KPI) INSTALASI RADIOLOGI MENGGUNAKAN METODE BALANCED SCORECARD DI RS BAPTIS BATU Verliana Floyani Uly
CHMK HEALTH JOURNAL Vol 2 No 3 (2018): CHMK HEALTH JOURNAL
Publisher : Citra Bangsa University - Literacy and Publishing Center (CBU-LPC)

Background : Radiology Installation in Baptis Batu Hospital is one of five revenue centers. As the center of production costs, unit performance measurement is necessary in Radiology Installation so that the vision and strategy of the hospital can be translated well, measurable and appropriate. One way of measuring the performance of Radiology Installation is with Key Performance Indicator (KPI). Balanced Scorecard is a management system capable of helping organizations to sharpen their vision and strategy, translating into action. Balanced Scorecard method becomes an option in overcoming the problem of unit indicator in Baptis Hospital because this method is very effective to determine hospital performance accurately and comprehensively. The purpose of this research is to develop Key Performance Indicator using Balance Scorecard. Method: The research method used is descriptive qualitative approach based on primary data through observation and interview and secondary data in the form of monthly report and annual report. Result: The result of this research is Key Performance Indicator (KPI) of Radiology Installation at Baptis Batu Hospital. Keywords : Balanced scorecard (BSC), Key Performance Indicator (KPI)

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