scholarly journals An out-patient anaesthetic service: standards and organization

Author(s):  
E. James Treloar
SOEPRA ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 254
Author(s):  
Christina Nur Widayati ◽  
Endang Wahyati Yustina ◽  
Hadi Sulistyanto

Patient Safety was the right of a patient who was receiving health care. A nurse was one of the health professionals in a hospital having a very important role in realizing Patient Safety. In realizing Patient Safety Panti Rahayu Yakkum Hospital of Purwodadi had involved the role of the nurses. In carrying out their role the nurses could support the protection of the patient’s rights. The nurses performed health care by conducting six Patient Safety goals that were based on professional standards, service standards and codes of conduct so that the Patient Safety would be realized.This research applied a socio-legal approach to having analytical-descriptive specifications. The data used were primary and secondary those were gathered by field and literature studies. The field study was conducted by having interviews to, among others, the Director of Panti Rahayu Yakkum Hospital of Purwodadi, Head of Room and Chairman of Patient Safety Committee, nurses and patients. The data were then qualitatively analyzed.The arrangement of nurses’ role in implementing Patient Safety and the patient’s rights protection was based on the Constitution of the Republic of Indonesia of 1945, Health Act, Hospital Act, Labor Act, and Nursing Act. These bases made the hospital obliged to implement Patient Safety. The regulations leading the hospital to provide Patient Safety were Health Minister’s Regulation Nr. 11 of 2017 on Patient Safety, Statute of Panti Rahayu Yakkum Hospital of Purwodadi (Hospital ByLaws), Internal Nursing Staff ByLaws. In implementing Patient Safety Panti Rahayu Yakkum Hospital of Purwodadi had established a committee of Patient Safety team consisting of the nurses that would implement six targets of Patient Safety. Actually, the Patient Safety implementation had been accomplished but it had not been optimally done because of several factors, namely juridical, social and technical factors. The supporting factors in influencing the implementation were, among others, the establishment of the Patient Safety team that had been well socialized whereas the inhibiting factors were limitedness of time and funds to train the nurses besides the operational procedure standard (OPS) that was still less understood. Lack of learning motivation among the nurses also appeared as an inhibiting factor in understanding Patient Safety implementation.


2020 ◽  
Author(s):  
Kristin Natal Riang Gea

AbstrakManajemen asuhan keperawatan merupakan suatu proses keperawatan yang menggunakan konsep manajemen secara umum didalamnya seperti perencanaan, pengorganisasian, pengarahan dan pengendalian atau evaluasi. Peningkatan mutu pelayanan adalah derajat memberikan pelayanan secara efisien dan efektif sesuai dengan standar profesi, standar pelayanan yang dilaksanakan secara menyeluruh sesuai dengan kebutuhan pasien, memanfaatkan teknologi tepat guna dan hasil penelitian dalam pengembangan pelayanan kesehatan/ keperawatan sehingga tercapai derajat kesehatan yang optimal. Kualitas pelayanan keperawatan di rumah sakit tidak akan berjalan dengan baik apabila proses keperawatan yang dilaksanakan tidak terstruktur dengan baikKata Kunci : Manajemen Keperawatan, Kualitas Pelayanan,.standar proses keperawatanAbstract Nursing care management is a nursing process that uses general management concepts in it such as planning, organizing, directing and controlling or evaluation. Improving the quality of service is the degree of providing services in an efficient and effective in accordance with professional standards, service standards are implemented thoroughly in accordance with the needs of patients, utilizing appropriate technology and research results in the development of health services / nursing to achieve optimal health. The quality of nursing care in the hospital will not run properly if the nursing process does not properly implemented.Keywords: Management of Care of Nursing, Quality of Service, standard nursing process,


2020 ◽  
Vol 12 (1) ◽  
pp. 68-73
Author(s):  
Rahmawati Rahmawati ◽  
Syarif Syafruddin ◽  
Nontji Wena

The component of antenatal care received by pregnant women is classified as incomplete because the implementation of standard pregnancy services is still using conventional methods. There are obstacles faced by midwives, such as the limited time in a recording, which has an impact on the declining quality of antenatal care standards. This research aims to compare the effectiveness of the use of KIA books and MONSCA applications in midwives in the application of the standard Antenatal service 14 T. This research was conducted in Puskesmas Tanete and Puskesmas Bontobangun Bulukumba District. The method used in the study is experimental quasi (pre-test post-test nonequivalent control design). Using a sample of midwives in this study, as many as 36 people were divided into two groups (18 intervention groups and 18 control groups). The sampling technique in this study used purposive sampling. Data were analyzed using the Mann-Whitney Test. The results showed that there was a difference in the effectiveness of using KIA books with MONSCA applications, MOSCA's applications were easier to use, faster, safer, and more accurate than KIA books. It can be concluded that the MONSCA application is more effective than KIA books. Key words: Effectiveness, Android-based Smart Continuity of Care application, KIA book, Antenatal service 14 T


2013 ◽  
Author(s):  
Dr Felicity Plaat ◽  
◽  
Dr David Bogod ◽  
Dr Valerie Bythell ◽  
Dr Mary Mushambi ◽  
...  
Keyword(s):  

1955 ◽  
Vol 31 (1) ◽  
pp. 45-59 ◽  
Author(s):  
G. S. Allen ◽  
I. K. Barber ◽  
Ian Mahood

An area of 738 acres about 20 miles north and west of Port Alberni on Vancouver Island was seeded by helicopter to Douglas fir (1/2 pound per acre) and western hemlock (1/5 pound per acre) in November 1951. One week earlier this area and a surrounding buffer strip, totalling 1760 acres, had been baited by helicopter using wheat treated with thallous sulphate and "1080".Baiting was successful and the roden:trap ratio dropped from 1:4.6 to 1:94.3 as a result. By April the ratio had climbed again to 1:18.7. By the first week of June 1952, a total of about 1400 Douglas fir and 840 hemlock had germinated per acre. By November 1952, this had dropped to 1000 Douglas fir and 198 hemlock per acre. A final extensive survey in June 1954, showed a total of 730 Douglas fir and 57 hemlock of the 1952 crop per acre with a milacre stocking of 42.0 percent for Douglas fir and 43.9 percent for Douglas fir and hemlock. The 4-milacre stocking due to the 1952 Douglas fir seedlings was 78.3 percent. Practically all of the seedlings that germinated in 1952 are attributed to the seeding operation because of the relatively uniform distribution of seedlings and the lack of seedlings on the control area.The seeding operation in itself restocked 628 acres to B.C. Forest Service minimum standards (31 percent by 1-milacres). It restocked 708 acres to U.S. "medium" or "good" standards. With natural trees included, only 28 acres are below B.C. Forest Service standards, and 6 acres below U.S. "medium" stocking. Total stocking, including natural trees, is 59.3 percent by 1-milacres and 88.6 percent by 4-milacres.The baiting and seeding operation can be considered highly successful. The surviving Douglas firs are healthy and vigorous and show little deer or grouse damage to date. Distribution of the seedlings is good and most gaps that occurred are believed due to uneven local distribution of seed. Considering that this experiment was carried out on a rather steep south exposure and that the first summer following seeding was unusually hot and dry, the satisfactory results suggest that direct seeding following rodent control has a definite place in West Coast forestry practice. It may well take the place of more expensive and troublesome planting on many areas that are slow to restock.


2013 ◽  
Vol 28 (1) ◽  
pp. 50-68 ◽  
Author(s):  
Lucy Healey ◽  
Cathy Humphreys ◽  
Keran Howe

Women with disabilities experience violence at greater rates than other women, yet their access to domestic violence services is more limited. This limitation is mirrored in domestic violence sector standards, which often fail to include the specific issues for women with disabilities. This article has a dual focus: to outline a set of internationally transferrable standards for inclusive practice with women with disabilities affected by domestic violence; and report on the results of a documentary analysis of domestic violence service standards, codes of practice, and practice guidelines. It draws on the Building the Evidence (BtE) research and advocacy project in Victoria, Australia in which a matrix tool was developed to identify minimum standards to support the inclusion of women with disabilities in existing domestic violence sector standards. This tool is designed to interrogate domestic violence sector standards for their attention to women with disabilities.


2015 ◽  
Vol 20 (1) ◽  
Author(s):  
Talitha Crowley ◽  
Ethelwynn L. Stellenberg

Background: With the introduction of nurse-initiated and -managed antiretroviral therapy (NIMART), new challenges have emerged with regard to the prescribing and dispensing of ART by nurses. One of the key challenges is ensuring adequate pharmaceutical services at PHC clinics.Objective: The objective of the study was to evaluate the adequacy of pharmaceutical services for the provision of ART in PHC clinics.Method: A quantitative descriptive study was undertaken in 20 (43%) randomly selected, eligible clinics in the uMgungundlovu district of KwaZulu-Natal, South Africa.Results: Clinics used allocated medicine rooms for storing medication, as there were no pharmacies. Problems identified were: insufficient storage space (50%; n = 10); inadequates ecurity (40%; n = 8); poor air conditioning (20%; n = 4), and functional stock-outs of essential drugs (80%; n = 16). Professional nurses performed the tasks of managing drug supply and prescribing and dispensing medication as there were no pharmacists or pharmacist's assistants in these clinics.Conclusion: Human resource constraints necessitate professional nurses to manage drug supplies and to prescribe and dispense medication in resource-constrained PHC clinics. Clear guidelines tailored for PHC are needed to assist nurses in maintaining pharmaceutical service standards when ART services are decentralised.


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