scholarly journals Konsep Rukhs}ah bagi Tenaga Medis dengan Alat Pelindung Diri saat Menangani Pasien COVID-19

2020 ◽  
Vol 22 (2) ◽  
pp. 262-282
Author(s):  
Camelia Rizka Maulida Amel

Many scholars have discussed the principle of freedom on Islamic law, Particularly the topic related to qawa'id fiqhiyyah and one of which is the principle of al-mashaqqah tajlibu al-taysir (Difficulty calls for facilitation). This research is a qualitative study in which the method used is a descriptive and qualitative one to analyze or describe facts or problems that arise in the medical team with personal protective equipment (APD) relating to MUI fatwa number 17 of 2020 through direct or indirect approach and its relevance to the concept of rukhsah in the rules of al-mashaqqah tajlib al-taysir (Difficulty calls for facilitation). This article concludes that a rukhsah relating to the principle of al-mashaqqah tajlib al-taysir which give rise to the difficulty relating to the massive spread of Covid-19 is not because of negligence but the use of APD while it is not possible to perform wudu' or use dust (tayammum), so the medical team falls under the category of faqid al-tahurain. Thus, the medical personnel who wears APD are permissible to perform prayer without performing wudhu' or tayammum.

2020 ◽  
pp. 30-33
Author(s):  
E. V. Panina ◽  
M. V. Pugachev ◽  
A. G. Shchesiu

The article shows that in the daily activities of nursing staff of functional diagnostics departments (offices), it is necessary to strictly observe the requirements and rules for the prevention of infections associated with medical care, especially during the COVID-19 pandemic. The types of personal protective equipment (PPE) of medical personnel (MP), as well as current effective methods of disinfection, rules for collecting medical waste in a complex epidemiological situation are presented.


2020 ◽  
Vol 163 (2) ◽  
pp. 280-283 ◽  
Author(s):  
Jack B. Anon ◽  
Carter Denne ◽  
Darcy Rees

Objectives The primary objective of this study was to compare the protection afforded by a standard face shield design with a new enhanced design in a controlled setting. Methods This study was exempted from review by institutional review board waiver. A flexible fiberoptic endoscopy was placed through stellate openings in the standard face shield and the enhanced face shield. A series of simulated coughs were created with bursts of fluorescein dye through an atomizer tip placed within the test participant’s mouth. Ultraviolet lighting illuminated the test area, and areas of dye splatter were noted. Results Fluorescein dye is easily aerosolized along the lateral inferior aspect of a standard shield with significant contamination of the surrounds. The enhanced face shield maintained a barrier to the aerosolized dye. Discussion Face shields, rather than face masks, should be considered a preferred alternative for the public and for health care professionals alike, as they address many of the personal protective equipment concerns especially during the COVID-19 pandemic. Otolaryngologists are at high risk from aerosol-generating procedures, such as flexible fiberoptic endoscopy, even when wearing personal protective equipment. Here we describe a uniquely designed face shield to be worn by the patient as another layer of protection for the environment and for medical personnel. Implications for Practice During the course of a flexible fiberoptic endoscopy, medical personnel are safely isolated from potential infectious particles with a newly designed face shield.


Author(s):  
Herley Windo Setiawan ◽  
Ika Nur Pratiwi ◽  
Lailatun Nimah ◽  
Zulfayandi Pawanis ◽  
Arief Bakhtiar ◽  
...  

COVID-19 pandemic raises various challenges faced by health workers in hospitals. This study explored strategies for overcoming challenges in caring for COVID-19 patients at hospitals in Indonesia based on healthcare workers’ experience. In-depth interviews were employed with 28 healthcare workers (physicians and nurses) who were purposively sampled. Data were collected via phone and analysed using the Colaizzi method. Five following challenges were found: difficulties in working with personal protective equipment (PPE), offline training for handling Covid and using PPE not being implemented evenly for all health workers, physical and psychological fatigue, difficulties in carrying out health education and assessment towards patients and families, and limited resources to cope with the COVID-19 pandemic. Meanwhile, some barriers require support from the government, public and hospital managers. The information gained from research on the strategies for caring for COVID-19 patients can contribute to better preparedness for hospitals and health workers facing the COVID-19 pandemic.


2021 ◽  
Vol 1 (2) ◽  
pp. 173-179
Author(s):  
Shinta Novelia ◽  
Rosmawati Lubis ◽  
Reni Murniati ◽  
Bunga Tiara Carolin

Background: In the era of the COVID-19 pandemic, the use of personal protective equipment (PPE) is very important to reduce the risk of transmitting infectious diseases to medical personnel because it can prevent contact with pathogens. This shows that midwives as first-line managers of pregnancy, childbirth and postpartum cases must be vigilant by wearing complete Personal Protection Equipment (PPE) so that there is no transmission of the virus from the patient to the midwife. Objective: To determine the analysis of midwives' practices in using PPE when assisting labor during the COVID-19 pandemic at the Banten Regional General Hospital 2020-2021. Methodology: A quantitative analytic study using a cross sectional approach. The sample in this study was 102 respondents with purposive sampling technique. Data were analyzed using SPSS with Chi Square, which previously tested the validity and reliability. Results: The use of PPE in midwives in Banten Hospital obtained an average value of 84.3. Based on age, the average value was 53.9. Based on the length of service, the average score was 96.1. Based on education, the average score is 55.9. The results of the chi-square test showed that all independent variables had no relationship with the use of PPE including knowledge (p = 0.323), attitude (p = 0.665), availability of PPE (p = 0.740), and supervision (p = 0.603). Conclusions and Suggestions: The use of PPE in midwives has no relationship with knowledge, attitudes, availability of PPE and supervision. There is a need for socialization about the importance of using PPE to midwives in order to maintain the quality of expected care services. There is a need for an K3 unit in Banten Hospital which is one of the authorities. There needs to be special attention from the Hospital Management regarding the supervision of the use of PPE in midwives.


2021 ◽  
Vol 8 ◽  
Author(s):  
Michael Lichtenauer ◽  
Erika Prinz ◽  
Christina Granitz ◽  
Bernhard Wernly ◽  
Kristen Kopp ◽  
...  

Since its first appearance in December 2019, the novel Coronavirus SARS-CoV-2 (Severe acute respiratory syndrome coronavirus 2) has spread throughout the world at rapid pace causing the coronavirus disease 2019 (Covid-19). Originating in the Chinese province Hubei, more than 91.8 million people globally have now been infected with the coronavirus and more than 1.966.000 patients have died thus far from Covid-19 (as of January 13th 2021). The virus spreads primarily by droplet infection as well as via aerosols during close physical contact. Particularly in medical examinations with close physical contact between examiner and patient, like echocardiography, the risk of contracting the virus is increased. Therefore, the use of personal protective equipment is recommended for the protection of patients and medical personnel alike. In this article, the current recommendations of international professional associations on the use of personal protective equipment and their local implementation are presented.


2002 ◽  
Vol 9 (3) ◽  
pp. 171-176 ◽  
Author(s):  
RSD Yeung ◽  
JTS Chan ◽  
LLY Lee ◽  
YL Chan

Medical personnel are at risk when handling victims of Hazmat incidents. Special clothing and respiratory equipment are required to protect them from absorbing these toxic materials through inhalation or through dermal contact. Personal Protective Equipment (PPE) refer to both clothing and equipment used to shield or isolate individuals from chemical, physical and biological hazards that may be encountered at a hazardous materials incident.1,2 No single type of PPE can protect all hazards and incorrect use can cause harm to the wearer. In general, the greater the protection, the greater the associated risks.2 Therefore, the level of PPE selected should be the one that can provide adequate level of protection.


2021 ◽  
Vol 7 (2) ◽  
pp. 67-74
Author(s):  
Eka Putri Hartuti ◽  
Dyah Suryani ◽  
Vebby Amellia Edwin ◽  
Maretalinia Maretalinia ◽  
Suyitno Suyitno

Background: As one of the vulnerable groups to be infected by COVID-19, healthcare workers are required to obey the hospital rules and protocols. However, it may remain challenging for them, especially related to the provision of using personal protective equipment.Objective: This study examined the obedience of medical personnel to personal protective equipment in preventing the transmission of COVID-19 at PKU Muhammadiyah Hospital Yogyakarta, Indonesia.Methods: This cross-sectional study examined 259 medical personnel (medical doctors, nurses, and midwives) in the hospital. Descriptive statistics, Chi-Square test, and multiple logistic regression were used for data analysis.Results: The majority of respondents were nurses (80.3%) and female (63.3%). Those who had a poor attitude would be three times more likely to have poor obedience to using personal protective equipment (Adj. OR: 2.81, 95% CI: 1.52 - 5.19). Sex, age, length of work, level of knowledge, level of motivation, and facility support were not correlated with obedience to using personal protective equipment.Conclusion: The finding reported that many medical personnel were not obedient to using personal protective equipment because their response to disease prevention was poor. The results can be used for further intervention and education or training programs for medical personnel.


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