Beranda Jurnal Online Politeknik Kesehatan Kemenkes Semarang (POLTEKKES E-Journal)
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Crossmatch to Transfusion Ratio (C/T Ratio) Komponen Darah WB dan PRC
Get PDFA crossmatch test between patient and donor’s blood must be carried out before blood transfusion. However, not all crossmatched blood will be transfused to the patient. This indicates inappropriate distribution of blood products, blood wastage, inaccessibility of blood for emergency patients, increased costs, and increased workload for staff. Crossmatch to Transfusion Ratio (C/T Ratio) is used as an indicator to determine the efficiency of blood use and can serve as a guide to anticipate excessive blood demand. This study aims to determine C/T Ratio score of blood components WB and PRC in the Brebes Regency Hospital 2021. This research is a descriptive study with a retrospective approach. Sampling was done using total sampling technique. Data was obtained from the blood requests recapitulation book in Brebes Regency Hospital’s Blood Bank 2021. The result showed there were 47 units WB crossmatched and 34 units (72%) transfused. There were 4589 units PRC crossmatched and 4369 units (95%) transfused. The C/T Ratio score of WB is 1.38. The C/T Ratio score of PRC is 1.05. The overall C/T Ratio score is 1.05.Uji silang serasi (crossmatch) antara darah pendonor dengan darah pasien harus dilakukan sebelum transfusi darah dilangsungkan. Namun, tidak semua darah yang di-crossmatch akan ditransfusikan kepada pasien. Hal ini menunjukkan adanya distribusi produk darah yang tidak tepat, pemborosan darah, tidak dapat diaksesnya darah untuk pasien darurat, peningkatan biaya, dan peningkatan beban kerja bagi petugas. Crossmatch to Transfusion Ratio (C/T Ratio) digunakan sebagai indikator untuk mengetahui efisiensi penggunaan darah dan dapat berfungsi sebagai panduan untuk mengantisipasi permintaan darah yang berlebihan. Penelitian ini bertujuan untuk mengetahui skor C/T Ratio komponen darah WB dan PRC di RSUD Kabupaten Brebes Tahun 2021. Penelitian ini merupakan jenis penelitian deskriptif dengan pendekatan retrospektif. Pengambilan sampel dilakukan menggunakan teknik total sampling. Data diperoleh dari buku rekapitulasi permintaan darah di Bank Darah RSUD Kabupaten Brebes Tahun 2021. Hasil penelitian menunjukkan komponen darah WB yang di-crossmatch berjumlah 47 kantong dan yang ditransfusikan berjumlah 34 kantong (72%). Komponen darah PRC yang di-crossmatch berjumlah 4589 kantong dan komponen PRC yang ditransfusikan berjumlah 4369 (95%). Skor C/T Ratio komponen darah WB adalah 1,38. Skor C/T Ratio komponen darah PRC adalah 1,05. Skor C/T Ratio total adalah 1,05
Pemeriksaan Angka Kuman Udara Ruang Di Salah Satu Puskesmas di Kabupaten BanyumasTahun 2022
Get PDFPuskesmas sebagai tempat umum memiliki potensi menularkan permasalahan kesehatan, salah satunya melalui pencemaran udara. Rata-rata angka kuman udara ruangan di Puskesmas Kembaran I masih belum memenuhi syarat. Penelitian ini bertujuan untuk mengetahui jumlah angka kuman udara ruangan di Puskesmas Kembaran I Kabupaten Banyumas Tahun 2022. Metode penelitian yang dilakukan merupakan penelitian observasional dilihat dari analisisnya termasuk deskriptif. Hasil pengukuran angka kuman udara dari lima ruangan telah memenuhi syarat, hasil pengukuran suhu dari lima ruangan hasil pengukuran tidak memenuhi syarat, hasil pengukuran kelembapan satu dari lima ruangan yang dilakukan pengukuran hasil pengukuran memenuhi syarat, hasil pengukuran pencahayaan yang dilakukan pada lima ruangan satu dari lima ruangan yang dilakukan pengukuran hasilnya memenuhi syarat, hasil pengukuran kadar debu dari lima ruangan yang diukur hasil pengukuran tidak memenuhi syarat, hasil penilaian kesehatan lingkungan ruangan yang dilakukan pada lima ruangan hasil penilian sudah memenuhi syarat dengan skore penilaian ≥ 75%, dalam sehari rata-rata terdapat 60 pengunjung puskesmas, ruangan puskesmas dibersihkan dua kali sehari, ruangan didesinfeksi dengan metode semprot dengan desinfektan. Dari penelitian tersebut dapat disumpulkan bahwa dari lima ruangan yang dilakukan pengukuran angka kuman telah memenuhi syarat. Pada setiap ruangan sebaiknya dilakukan pengawasan terhadap suhu dan kelembapan ruang serta mengganti daya lampu yang dapat disesuaikan dengan kebutuhan ruang
Tinjauan Ketepatan Kode Cedera Multiple Pada Kasus External Cause di RSUP Dr. M. Djamil Padang
Get PDFThe accuracy of the code is very necessary so that the information generated from the diagnosis and medical treatment is accurate. However, researchers found in Dr. M. Djamil Padang there are still 29 incorrect codes (76.3%). This is because the determination of multiple injury codes is written separately and fracture diagnosis is not equipped with a fifth character code. The purpose of this study was to determine the accuracy of multiple injury codes in external cause cases at RSUP Dr. M. Djamil Padang. This research was conducted from May to June 2022. The type of research conducted was quantitative with a descriptive approach. The number of samples was 38 using the purposive sampling method, the data collection instrument used a checklist table with univariate analysis. The results of the research that has been carried out found that the frequency of diagnostic accuracy is 27 (71.1%) incorrect diagnoses, the frequency of conformity of primary and secondary diagnoses is 19 (50.0%) incorrect diagnoses, and the frequency of accuracy of diagnostic codes is 29 (76, 3%) code is not correct. So it can be concluded that there are still causes of inaccuracy in coding, which can be seen from the 3 components of the analysis carried out that affects the accuracy of the code. Therefore, researchers suggest that coders should pay attention to the rules and procedures for coding diagnoses based on ICD-10.
Hubungan Kelengkapan Informasi Medis Pada RM A-1, RM I-1 dan RM L-8 dengan Keakuratan Pengkodean Diagnosis Appendic Pada Rekam Medis Rawat Inap di RS. TK. III dr. Reksodiwiryo Padang Tahun 2021
Get PDFAppendix is included in the 20 most diseases in Kindergarten Hospital. III Dr. Reksowidiryo Padang where there are problems in terms of completeness of medical information on RM A-1, RM I-1 and RM L-8 with the level of accuracy of coding disease diagnosis is still low. This study aims to determine the relationship between completeness of medical information and the accuracy of coding appendic diagnoses based on ICD-10 in medical records at the Kindergarten Hospital. III Dr. Reksowidiryo Padang in 2021. The type of research is correlational, the research is carried out at the Kindergarten Hospital. III Dr. Reksowidiryo Padang, the initial survey was carried out in February with field research on 18 to 22 June 2021, the total population in January-December 2021 was 110 along with a sample of 110 appendic medical record files, the study was conducted by direct observation, data analysis used namely bivariate and univariate. With the results of the study, it was found that the completeness of complete medical information was 42 (38.2%), the completeness of incomplete medical information was 68 (61.8%), the accuracy of the accurate diagnosis code was 45 (40.9%), the accuracy of the code was There were 65 (59.1%) inaccurate diagnoses, with p-value = 0.003 (p0.05), which means that there is a relationship between the completeness of medical information and the accuracy of coding for appendic diagnoses. With the results of the study, it is known that the completeness of medical information and the accuracy of the disease diagnosis code is still not good, the researchers suggest that health workers can fill in each item of the medical record sheet completely and write down the diagnosis code accurately and clearly in order to increase efforts to complete the diagnosis and completeness of the diagnosis medical information
A Scoping Review: Faktor Penyebab Pending Klaim BPJS Kesehatan Rawat Inap di Rumah Sakit
Get PDFPending claims for Indonesian Universal Health Coverage (BPJS Kesehatan) is a classic issue in the field of health budgeting in the National Health Security (JKN) era. Some studies have examined factors causing pending claims, however, the issue has not been figured out yet because every hospital has different problems. This study was conducted to identify the problems possibly causing pending claims faced by hospitals. The objectives of the study were to find out the factors causing inpatient pending claims for BPJS Health Insurance at the hospital. The article search method begins by identifying research articles on two databases, Google Scholar and Academia.edu with predetermined keywords. Articles are selected by PRISMA and based on established inclusion and exclusion criteria. The search results obtained 191 articles identified from two database searches, including 151 articles from Google Scholar and 40 articles from Academia.edu, finally, only 9 articles were obtained that matched the criteria. Pending claims for inpatient BPJS Health Insurance at the hospital under study were caused by several problems including inaccuracy in coding, incomplete administrative files, not attaching the results of supporting examinations as a support for the diagnosis, enforcement of diagnoses that did not meet the criteria, different perceptions of standard enforcement of diagnoses between specialist and BPJS, different points of view regarding the diagnosis code between hospital coding officers and BPJS verifiers, the discrepancy between main diagnoses and specialist, incomplete medical resumes, there is no SOP for managing BPJS Health insurance claims, knowledge of claim executors, facilities and infrastructure in the claims section, wrong input on the claim application. Managerial support is tremendously required to solve the issues related to pending claims for BPJS Kesehatan
The Effectiveness of YOPI (Yoga and Lavender Aromatherapy) in Reducing Menstrual Pain (Dysmenorrhea) in Young Women in Mekarbhuana Village, Badung
No full textBackground: Menstrual pain (dysmenorrhea) is pain/cramps in the abdomen that occurs on the first and second day of menstruation, has a distinctive characteristic, which appears regularly and periodically. adolescents who experience dysmenorrhea, have an impact on tension, fatigue, and emotional conflict within themselves. Dysmenorrhea can be treated with pharmacological and non-pharmacological therapy. Providing yoga and aromatherapy which are included in non-pharmacological therapy, not only provide good physical benefits for young women but also affect their psychological condition
Methods: The research design was pre-experimental with a one group pretest-posttest design, with a total sample of 36 young women.
Results: The pain scale before being given the yoga intervention and lavender aromatherapy was given an average of 3.9 in the moderate pain category. After the intervention was given, there was a decrease in the pain scale to 1.4 in the mild pain category. The Wilcoxon test was used for bivariate analysis of pain before and after intervention because the data were not normally distributed. The results of the bivariate test conducted obtained a p value of 0.000.
Conclusion: Yoga and Lavender Aromatherapy are effective for reducing menstrual pain (dysmenorrhea) in young women in Mekarbhuana Villag
PROSEDUR PEMERIKSAAN MRI KNEE JOINT DENGAN KASUS CEDERA ANTERIOR CRUCIATE LIGAMENT (ACL) DI INSTALASI RADIOLOGI RS MARDI RAHAYU KUDUS
Get PDFBackground: MRI examination of knee joints with Anterior Cruciate Ligament (ACL) injuries at the Radiology Installation of Mardi Rahayu Kudus Hospital using spin echo sequences, including PD_TSE, PD_TSE_fatsat, T1_SE, T2_TSE, and T2_TSE_fatsat, with the addition of STIR, and using DOT engine technology. This study aims to determine the procedures for examining knee joint MRI with cases of ACL injury, as well as the role of the DOT machine in the examination.Methods: This type of research is a qualitative research with a case study approach. The research subject was an MRI examination of the knee joint with ACL injury cases. Data collection is done by using the method of observation, study, and documentation. Data analysis includes data transcription, data reduction, data presentation, as well as discussing and drawing conclusions.Results: The results showed that the STIR sequence was used as a fat comparison. The resulting ACL image is an isointense image. The use of DOT engine technology helps to standardize inspections. The advantages are ease of making cuts, time efficiency, and uniformity of inspection techniques, and not finding operational weaknesses.Conclusions: The conclusion of this study is MRI of the knee joint using spin echo and STIR sequences, with DOT engine method. STIR could be used in certain indications.
Kelayakan Lead Apron sebagai Pelindung Paparan Radiasi Hambur
Get PDFBackground: Lead apron constitutes one of the radiation protection devices available in the Radiology Department which is normally used in diagnostic and intervention radiology examinations to reduce the scattered radiation originating from the patient. The purpose of this study is to determine the physical condition, care, and maintenance of the lead apron. Methods: This research was quantitative research with survey methods at the Radiology Department of Al Islam Hospital Bandung and Al Islam Polytechnic Laboratory, Bandung. Results: The results suggested that the lead apron test at the Radiology Department of Al Islam Hospital Bandung contained 1 apron that had a leak with the covering area of 6458.67 mm2 and had to be rejected. The lead apron test at Al Islam Polytechnic Laboratory in Bandung contained 1 apron that had a leak with the covering area of 8750 mm2 and it had to be rejected. Conclusions: The lead apron at the Radiology Department of Al Islam Hospital Bandung and Al Islam Polytechnic Laboratory had one leak apron with the covering area of more than 670 mm 2 and had to be rejected. It is necessary to pay attention to the placement of the lead apron so that the lead apron is in good condition and can be used according to its function.
Factors Affecting The Event Low Birth Weight (LBW)
Get PDFInfants with LBW are one of the risk factors that have a large enough contribution to perinatal death. LBW babies can experience mental and physical disorders at a later age of development. Many conditions cause babies to be born with low birth weight. The main cause is premature birth, other factors are born to mothers who have health problems during pregnancy (preeclampsia, anemia, malnutrition), birth defects in babies, born to mothers with underweight, mother's age less than 17 years or more from 35 years, multiparous and twin pregnancies. Routine check-ups during pregnancy and meeting the nutritional needs of the mother are the best actions to prevent babies from being born with LBW (Setiaputri, 2021). Data from the Magelang District Health Office for 2021, there were 737 cases of LBW from 16,263 births. The Pakis Health Center is one of the areas that has high LBW cases, namely 44 out of 670 births and experienced an increase in 2022 as many as 52 (7.53%) LBW cases out of 690 birth.
The purpose of this study was to determine the factors that influence the incidence of LBW in the Working Area of the Pakis Health Center.
The method used is quantitative with a retrospective approach. The sampling technique used purposive sampling with the slovin formula obtained 253 respondents. The analysis used is univariate using frequency distribution and bivariate using Spearman Rank.
The results showed that there was a relationship between maternal age (0.001), parity (0.015), gestational age (0.000), ANC visits (0.003), nutritional status (0.000), anemia (0.000) and preeclampsia (0.000) with the incidence of LBW.
Health workers are expected to improve early detection through ANC, one of which is by conducting screening so that treatment can be given earlie
Effect of Baby Massage and Baby Gymnastics on Motoric Development of Infants Age 2-11 Months in the Darul Imarah Health Center Work Area Aceh Besar District
No full textBackground : About 5 to 10% of children are thought to have developmental delays. Data on the incidence of general developmental delays are not known with certainty, but it is estimated that around 1-3% of children under the age of 5 experience general developmental delays. Based on data obtained from Aceh's health profile, in 2021 the number of live births will be 10 . 350 babies. Seeing the high number of live births in infants, it is very important to provide stimulus during the golden age so that developmental delays do not occur
Method : This type of research is Quasy Experiment with two group pre-test and post-test design. The sample in this study were babies aged 2-11 months, a total of 34 people, of which 17 babies were given massage and baby gymnastic interventions while 17 babies were included in the control group.
Results: The results of the study indicated that there were differences in the motor development of infants aged 2-11 months before and after massage and baby gymnastics with a p-value (0.00