Plenary Session 2

Curriculum Vitae
Name : Ns. Siti Komariah, Skep.MARS
Date of Birth : 13 March 1962
Job Position : Head of Nursing Division Siloam Hospitals Lippo Village
Responsibilities : Manage all Nursing activities, resources, include human resources in
Nursing, and facilities to support quality services and patient safety
Background Education :




Nursing School, Persahabatan Hospital, Graduated 1981
Diploma in Nursing, St. Carolus Hospital, Graduated 1995
Bachelor in Nursing Science/ Ners, Indonesian University, Graduated 2002/2003
Magister in Hospital Administration, Graduated 2011
Experience :




17 years as Nursing Staff in Medical Surgical
14 years as Nursing Manager
Trainer for Nursing Management and Patient Safety in Nursing – PERSI Jakarta
Speaker for Nursing Service Management And Nursing Quality and Patient Safety
Certificate Courses:











Infection Control ( 1998 )
Nursing Management ( 1998 )
Nursing Quality Management (1999)
Customer Satisfaction in Health Care ( 2000 )
ISO 9001: 2000 Internal Quality Audit Training ( 2001 )
On The Job Training Nursing Management, Sir Charles Gaidner Hospital, Perth,
West Australia( 2003 )
Nursing Professional Practice Model ( 1998 & 2006 )
Clinical Governance training ( 2008 and 2009 )
Nursing Competency Assessor
( 2008 )
JCI Practicum – Singapore ( April 2009 )
Coaching for Breakthrough Succses ( 2011 )
50
Organization :
 PPNI, Kab. Tangerang, 2000 – 2005, Deputy of Chairman
 Persi Banten, Nursing Development Section, Coordinator, 2005 – 2008
 MAKERSI – Banten, Secretary, 2008 - NOW
Others:
•
Benchmark
o Pantai Hospital – Malaysia
o AJN Hospital – Malaysia
o Singapore General Hoapital
o Gleneagles Hospital – Singapore
o Bungmungrad Hospital – Bangkok
o Bangkok Hospital
o Queen Elizabeth Hospital – Hongkong
•
Guest lecturer for
o Stikes Binawan
51
Curriculum Vitae
Name : Ikuko Moriguchi
Date of Birth : 28 Maret 1947
Affiliation: University of Hyogo Reseach Institute of Nursing care for people and
community
Qualification: Resisted nurse, Public health nurse
Email Address : [email protected]
Educational Background:
 Shizuko Red Cross Nursing School 1969
 Chiba Perfectural Public Nursing School 1971
 BukKyo University 1984
 Institute of Public Health 1992
 Institute of Public Health 1996
International experience:
•
Nepal Tuberculosis Association (Chief Nurse) in 1973 - 1976
•
Indonesia Nursing Education Project of Japan International Cooperation Agency
(Expert of Nursing Education) in 1984 - 1985
•
WHO Headquarters Cluster NMH (Consultant) in 2000
50
Curriculum Vitae
Name : Ns. Siti Komariah, Skep.MARS
Date of Birth : 13 March 1962
Job Position : Head of Nursing Division Siloam Hospitals Lippo Village
Responsibilities : Manage all Nursing activities, resources, include human resources in
Nursing, and facilities to support quality services and patient safety
Background Education :




Nursing School, Persahabatan Hospital, Graduated 1981
Diploma in Nursing, St. Carolus Hospital, Graduated 1995
Bachelor in Nursing Science/ Ners, Indonesian University, Graduated 2002/2003
Magister in Hospital Administration, Graduated 2011
Experience :




17 years as Nursing Staff in Medical Surgical
14 years as Nursing Manager
Trainer for Nursing Management and Patient Safety in Nursing – PERSI Jakarta
Speaker for Nursing Service Management And Nursing Quality and Patient Safety
Certificate Courses:











Infection Control ( 1998 )
Nursing Management ( 1998 )
Nursing Quality Management (1999)
Customer Satisfaction in Health Care ( 2000 )
ISO 9001: 2000 Internal Quality Audit Training ( 2001 )
On The Job Training Nursing Management, Sir Charles Gaidner Hospital, Perth,
West Australia( 2003 )
Nursing Professional Practice Model ( 1998 & 2006 )
Clinical Governance training ( 2008 and 2009 )
Nursing Competency Assessor
( 2008 )
JCI Practicum – Singapore ( April 2009 )
Coaching for Breakthrough Succses ( 2011 )
Organization :
 PPNI, Kab. Tangerang, 2000 – 2005, Deputy of Chairman
 Persi Banten, Nursing Development Section, Coordinator, 2005 – 2008
 MAKERSI – Banten, Secretary, 2008 - NOW
Others:
•
Benchmark
o Pantai Hospital – Malaysia
o AJN Hospital – Malaysia
o Singapore General Hoapital
o Gleneagles Hospital – Singapore
o Bungmungrad Hospital – Bangkok
o Bangkok Hospital
o Queen Elizabeth Hospital – Hongkong
•
Guest lecturer for
o Stikes Binawan
Name : Nurseha
Educational Background
 Akper RS. Husada
 Bachelor of Nursing at University Of New England
(UNE)
 Akta V di Universitas Negeri Jakarta
Pengalaman Kerja
 Asisten Kepala Keperawatan di RS. Husada, 1995
 Manager Keperawatan di RS. Mitra Keluarga
Jatinegara,1995-1997
 Director of Nursing di RS. Premier Bintaro
Training and courses:
As a speaker / Moderator, & Participant

2011, Oct 4-5, Training Nursing Evidence Practice, Malaysia

2011, August 22-23, Translation Maternity Training From
Australia

2010,April19-24th Practicum JCI In Singapore.

2010,Translater Wound Management Training,June,4.

2010,Translater for Moving and Lefthing on Mach,19,20.

2010,Gues Lecture UI program S1 (Infection Control
Lecture) May,20.
• 2009, Moderator, IC Seminar,Up date of Endoscopy
,CSSD and H1N1
• 2009,PERSI Seminar And Workshop Patient Safety In
Nursing Augt, as Speaker.
• 2009, Excecutive Session Corporete Social
responsibility
• 2009,Sept,17-18th Ramsay Health Confrence
Melbourne Australia
• 2009,Oct,12-16th Pelatihan Penilaian Kinerja Berbasis
Kompetensi
Ｔｈｅ Development of Community Health
Nursing by University of Hyogo in
Collaboration with Hasanuddin University
and Health Agency of South Sulawesi
Dr. Ikuko Moriguchi RN RPHN DPH
International Community Health Nursing
Research Institute of Nursing Care for People and the
Community University of Hyogo, Japan
My International Cooperation about Community
Health Nursinｇ in South Sulawesi
１ JICA nursing education project (1984-1985)
Pendidikan Perawat berbasis komunitas di Sekolah Guru
Perawat di Ujung Pandang (kerjasama Teknik JICA)
２ Survey of Community Midwife (1992-1997)
Survei dan Dukungan Kegiatan Bidan desa
３ JICA Training Project of community health
nursing leaders in Indonesia (2001-2007)
＊Agreement on the Academic Exchange between
University of Hyogo & Hasanuddin University (2007)
４ Ｓelf development project of CHN in Sulawesi Selatan
(2008-2010）
Background and objectives of international
cooperation related to community health nursing
in Indonesia



In Indonesia, decentraization began in 2001 and
expectations for primary health care (PHC)
activities that are oriented toward community
needs and the role of community health nursing
has become more important .
However nursing staff with advance education
are concentrated in hospitals and cities are few
nurses that play a leadership role in community
health nursing .
The gorl was set to train leaders based on the
PHC philosophy and community health nursing
leader train and activties of community health
nursing staff after return to Indonesia.
Training Project
“Nursing in Primary Health Care”
 JICA
Partnership program
 For three years from 2001 to 2003
 Participants ;
five educaters and five community health
nursing administrators in South Sulawesi
( three teachers from UNHAS )
Purpose of the training
１ pravious and current issues of PHC and
nursing in the world
２ process of development health policy ,health
system and community health nursing role on
PHC in Japan
３ the present situation of nursing , healｔｈ,
medicine and social welfare and nursing
education in Japan
４ through the course, the participants identify
the problems by sharing the their situation and
experience on PHC
５ They make an action plan to improve the
identified problems and implement it after
returning in Indonesia
Method
Training institution : College of Nursing Art and Science,
Hyogo ( University of Hyogo)
Duration : one months on Aughst or September
Participants : 4 peoples in each year
two educaters and two community health
nursing managers in Province and Prefecture
Training institution ： College of Nursing
Health Center in Hyogo, Japan Nursing Association Kobe
training center, WHO Kobe center
Training methods : lecture
Field study
Making action plan by PCM methods
Lecture at College
Field study “Awaji prefecture Hospital”
Lecture of PCM , practice and presentation of Action plan
Closing ceremony
Follow up after half a year in Indonesia
Previous arrengement for Workshop of Community Health Nurse
in South Sulawesi
Field observation at Model HC
Development of the first project in T.prefecture
T. Prefectuere
1st year (2001)
Advice to
Prefecture
S.Ｐｒｏｖｉｎｃｉａｌ health office
Collaborative
Team
T.Prefectural
Health office
H.University
Teaching
（ Alumni JICA ）
Training for HC
with prefecture
Nursing student
HC
Model HC
village
continuity of action after practice
(2002)
2
nd year
HC
Cooperation
to project
Field practice
in 6 weeks
PHC training by Alumni JICA in T.Prefcture
Spread to all health center (13 centers)
in Model prefecture （T prefecture）
HC
HC
HC
HC
The wider impact of the project to
4 model prefectures in S.Ｐｒｏｖｉｎｃｅ
1st year
Cooperation
(2001)
T.Prefectuer
Advice
S. Ｐｒｏｖｉｎｃｉａｌ HO
T.Prefectural HO
Collaborative
Team
（ alumni JICA ）
Training
Pilot HC
HC
village
H.University
Teaching
Nursing student
Field practice
continuity of action after practice
2
nd year
(2002)
PHC training by alumni JICA in T.Prefecture
Spread to all HC in Model prefecture
Seminar participant
(paid) (free)
354 + 50 = 404
Workshop participant
110 (16／26 pref.)
４th year
(2004)
HC
HC
(2003)
3rd year
P.Ｐrefecture
Ｐ. health school
Nursing
student
P.Prefectural
Health office
HC
(2004)
CHN Seminar and Workshop
in S. Ｐｒｏｖｉｎｃｅ（February,2004)
M.Ｐrefecture
Pilot health center
J.Ｐrefecture
Development of PHC activities to all prefectureｓ in Ｓ.Ｐｒｏｖｉｎｃｅ
Seminor/Workshop of Community Health Nursing in South Sulawesi
(Feb 2004 UNHAS)
Relation with Health Policy MOH
Training Project of
Community Health Nurse Coordinators
in Indonesia


Training of community health nursing supervisors
will be conducted by leveraging the experience of
Japanese public health nurses in health centers
to systematically train CHN coordinators for the
purpose of enhancing CHN in Indonesia after
decentralization.
Moreover, monitoring and follow-up will be
provided to ex-paticipants ,so that they can
implement training of CHN coordinators and
follow up on the training for the coordinators.
Gorls of the Project

Ex-participants conduct the training for prefecture/city
CHN coordinators
 The prefectural/city CHN coordinators perform their roles
as the coordinators
・Assignment of CHN coordinators in health centers and
training for them
・Holding regular meeting with coordinators and monitoring
・Establishment of CHN model health center in prefectures

Ex-participants take the initiative in forming a network of
prefectural CHN coordinators and perform their roles as
supervisor.
 Trained CHN coordinators of health centers are able to
make plan of action
Methods
Project period: Apr 2005～Mar 2008 (three years)
Participants: four educators and four community
health nursing managers in South Sulawesi
( two teachers from UNHAS)
Strategy:
①Training of CHN supervisor(MOT) in Japan (one
month)
②Making Plan of Action and implement the of
training CHN coordinators (TOT) in Indonesia
③Monitoring and follow up survey after half a year
Courtesy visit to the presedent of University of Hyogo ( Aug 2005)
23
Lecture of PCM , practice and presentation of Action plan
CHN Coodinator training of Kabupaten/Kota for 5days
Trained CHN coordinators in Feb 2006
Follow up Seminor and workshop after one year Feb 2007
Tgl 16 Feb
Sedang beristirahat dengan Bapak Ka Dinkes Propinsi,
Bapak Dekan Fakultas Kedokteran
Follow up Seminor and workshop for 3 days in Feb. 2007
Related Organs of
Training Project of CHN Coordinator
JICA
Hyogo Prefecture
University of Hyogo
Research institute of Nursing
Care for people and Community
Indonesia
MOH
Depertment of Nursing
（Collaborative research）
Hasanuddin University
Divisin of Nursing,Faculty of Medicine
South Sulawesi
Health Office
South Sulawesi
24Kabupaten Health office
Health Center
6 model
Kabupate
Proses Pelatihan Koordinator Perkesmas di Sulawesi Selatan
University of
Hyogo
UNHAS
Dinkes SULSEL
Pengkajian lapangan mengenai aktifitas koordinator Perkesmas
tingkat Kabupaten/kota
Japan
Dinkes Kabupaten/kota, Puskesmas
Alumni JICA
Indonesia
Pelatihan pembina koordinator Perkesmas (Jepang)
POA
Komite
Pelatihan Koordinator Perkesmas
penyelenggaraan
tingkat Kabupaten/kota
SK
Pemantauan dan tidak lanjut
Pelatihan pembina koordinator Perkesmas (Jepang)
POA
Komite
penyelenggaraan
Dibagi dalam 5 tim
pembina perkesmas
Puskesmas Model
Pelatihan koordinator
Perkesmas tingkat
Puskesmas
Seminar/Lokakarya Perkesmas
tingkat propinsi
Pemantauan dan tindak lanjut
Implementasi
実践
National Community Health Nursing Seminar & Workshop
(４～６ Ｄｅｃｅｍｂｅｒ ２００７ ）
Collaboration of ex-participant (Almini JICA) & JICA Junior expert
Agreement on the Academic Exchange between
University of Hyogo and Hasanuddin University
（4 April 2007）
Start CHN Self Development Project in Sul Sel
after JICA Project
（２００８－２０１０）
Pelaksanaan Perkesmas

Pelatihan koordinator perkesmas
Pelatihan
2006
Koordinator perkesmas Tk
Kab/Kota
POA : Pelatihan Koordinator
2007
perkesmas Tkt. di
Puskesmas
Pelatihan Asuhan
2008
Keperawatan Komunitas &
Keluarga
Perkesmas Mandiri 2008-2010
 Pada
kegiatan ini tidak mendapatkan
support dana baik JICA maupun University
of Hyogo.
 Strategi agar perkesmas
berkesnambungan:
Masing2 Institusi : Dinkes propinsi,
Keperawatan FK-Unhas, Poltekkes
mensupport dana untuk kelanjutan
kegiatan perkesmas.
 Tahun 2008 : Pelatihan Asuhan Keperawatan
(Agustus)

Kom & Keluarga.
 Biaya Keperawatan FK-Unhas
Tahun 2009 : Monitoring & Evaluasi
(Februari)
Perteman Perkesmas Tk Kab/kota &
Puskesmas  Biaya Dinkes Prop Sulsel
Tahun 2009 : Pelatihan Disaster Keperawatan
(Agustus)
 Biaya Keperawatan FK-Unhas
Tahun 2010 : Monitoring & Evaluasi
(Februari)
Perteman Perkesmas Tk Kab/kota &
Puskesmas Biaya Dinkes Prop Sulsel
Tahun 2011 : Inteanational CHN Seminor
(September) Evaluation Workshop (JICA forrow-up team)
CHN Coordinator Training (Aug 2008)
Monitoring and Follow-up for each Kabpaten and Region
RG3:Toraja,Luwu,Luwu
utara,Palopo,Luwu Timur
RG2:Sidrap,Soppeng,Bone,
Wajo,Enrekang
RG4:Maros,Pangkep,
Pinrang
RG1:Takalar,Gowa,
Makassar,Barru,
Pare-pare
RG5:Jeneponto,Bantaeng,
Bulukumba,Sinjai,Selayar
Collabolation Reserch
・ Monitoring and Evaluation of CHN Independence Project after JICA CHN
Leader’s Training Project in Indonesia , Joint Conference of Japan
Association for International Health and Tropical medicine Nov, 2011 Tokyo
・ Promotion of South Sulawesi Community Health Nursing Independence
Project by CHN leaders after JICA Project in Indonesia, The 25tｈconference
of Japan Association for International Health Sep,2010 Kyusyu
・ The survey for the function of CHN Coordinators in the disaster through the
experience in South Surawesi, The1st research conference World Society
of Disaster Nursing ,Jan 2010 Kobe
・ A study of Training Project for CHN Coordinators in Indonesia –Monitoring
and Evaluation System of CHN in South Sulawasi, The1st International
Nursing Research Conference of World Academy of Nursing Science,Sep
2009
・ Development of PHC activities in Indonesia after the "Nursing in PHC"
training in Japan for Indonesian community health nusing leaders, ICN
conference May,2007 ,Yokohama
Ikuko Moriguchi R.N R.PHN, DPH Research Institute of Nursing for People and Community, University of Hyogo
Werna Nontoji , Ariyanti Saleh
Nursing program study, Medical faculty, Hasanuddin University
Annie Rahayu
Health Department of South Sulawesi Province
A. Background
Disaster happened as gradually and gave damaging effect to the society. Indonesia had earthquake and tsunami in Aceh five years ago, and
still happened natural disaster in areas including South Sulawesi. In 2006 to 2007, South Sulawesi such as Maros, Wajo and Sinjai district had big
flood, also Luwu district had landslide, which were handled by emergency team.
Beside emergency team, either community health nurses (CHN) in the Health Center(HC) can be involved to give nursing care service. Because
CHN are the biggest manpower in HC about 3003 (42,34%), who spread in 355 HC. This time, we have trained in the field of public health care
and also have coordinator in province, district/city and HC level.
Furthermore, we improve role and activity of CHN in natural disaster to coordinate public health care in district/city related with management and
disaster care; before disaster, occurrence of disaster, and after disaster.
We planned collaborative workshop of management and disaster nursing (before, occurrence, and after disaster) which will do it, because of
cooperation between Nursing program study, Medical faculty of Hasanuddin University, Health Department of South Sulawesi province,
Crisis center of South Sulawesi province with University of Hyogo Japan.
B. Objective
g. Role and activity of CHN coordinator in
1. General objective
To increase knowledge of CHN about district/city and HC level in disaster (before,
management and disaster nursing (before, occurrence, after disaster)
occurrence, and after disaster) for
C. Participant
coordinators in district/city and HC level.
1. Coordinator of CHN in district/city level
2. Special objective
23
a. Policy health department of Republic
2.
Coordinator
of
CHN
in
HC
level
Indonesia to relief of natural disaster in
23
Indonesia
b. Strategy to relief natural disaster by crisis
D. Strategy of Workshop
center of South Sulawesi.
Lecture, Roll play, and group discussion
c. Strategy to relief natural disaster in Japan
d. Policy to relief natural disaster in health
E. Time and place
education program
Time :
e. Basic life support training and medical first
12- 14 August 2009
responder
Place:
f. Experience of study to relief natural disaster
Bapelkes Makassar
in Japan
Schedule of workshop of disaster nursing for CHN Coordinator In South Sulawesi
Date/ time
12 August
08.30 – 09.30
10.00 – 11.10
11.00 – 12.30
13.30 – 14.30
14.30 – 17.00
19.00 – 21.00
13 August
08.00 – 09.00
10.00 – 11.00
11.00 – 12.00
13.00 – 16.15
14 August
08.00-10.00
10.15 – 12.00
13.00 – 15.30
15.30 – 16.00
Activities
Opening ceremony
Lecture
1.Policy to relief natural disaster in health education program
2.Strategic to relief natural disaster in Japan
Study experience to relief natural disaster in Japan
1.Policy of health department RI to relief natural disaster in Indonesia
2. Basic Life Support Training and Medical First Responder
Practice of Basic Life Supporta
1.Mental health nursing in disaster
2. Strategic to relief natural disaster , region crisis center Makassar
3. Presentation of survey of disaster nursing in South Sulawesi
Group Discussion I : Role & Function of Coordinator in district/city management
to relief natural disaster ( before, occurrence, after disaster)
Group Discussion II : Role & Function of Coordinator in model HC,
Practice of disaster nursing
Presentation group work I and II
Discussion
Conclusion outcome of group discussion
Closing
Intenational CHN Seminor
(13 Sep 2011 UNHAS)

Purpose : Conclusion of The CHN self Development
Project in Sul Sel
 Participant : CHN Coordinertors and students 477
 Program :
・ Report of JICA CHN coordinators Project (Moriguchi)
・ Report of The CHN self Development Project (Project
leaders Ibu Werna ,Ibu Yanti ,Ibu Annie)
・ Presentation of CHN Activities by CHN coordinators
・ Lecture “ Standard of CHN by MOH” (Director of Nursing)
・ Lecture “Monitoring and Evaluation” (Dr Hyoi)
Evaluation Workshop （14.15
Sep 2011）
Recommendation to nursing education
institution in Indonesia

Collaboration with health agency by project for
human resource development through respect
each other specialty
 Making
model case first and extend to others
 Strengthen of empowerment through the project
 Collaboration with foreign countries and study
each other as collaboration research
 Refresh-Training for graduated nurses based
on problem solving (ex PCM method)
Patient Safety for Nurse Student
In Hospital
By : Nurseha B.N
RAMSAY HEALTH CARE INDONESIA
RAMSAY/PT AFFINITY HEALTH
INDONESIA
3 Hospitals:
RS Premier Jatinegara, Bintaro and Surabaya
RHCI = 648 beds
Annual Inpatient: 41,000
Annual Outpatient: 531,000
Staff : 1900
Accreditation: KARS (16 level) ISO
HICMR,
ACHS CI & JCI (RSPB)
Ramsay Health Care
• 118 hospitals in Australia, Indonesia, UK & France
• Employees more than 30,000 people
• Admits over 1 million patients per annum
4
INTRODUCTION
Safety is the most fundamental principles in
the delivery of health services and nursing, and
also as the most critical aspects of quality
management.
Safety as pattern of behavior , both individual
and organization to minimize hazards and
harm to patient that result from the processes
of care.
OBJECTIVE
• Nurses Role in safety
• International patient Safety goals.
• Patient Handling
• Nursing Health Program
Health
Program
Patient
Handling
Patient
Safety
Environment
6. Goal
Staff
Institution
Program
Safety
Beyond Quality
asb0707
NURSES ROLES
• Protection ,Promotion optimization of health
and abilities
• Prevention of illness and injury.
• Alleviation of suffering through diagnosis and
treatment of human response.
• Advocacy in the care of individual, family,
communities and population .
INTERNATIONAL PATIENT
6.SAFETY GOAL
1. Identify Patient Correctly
2. Improve Effective Communication
3. Improve the Safety of High-Alert-Medication
4. Ensure Correct-site, Correct- Procedure,
Correct-Patient Safety
5. Reduce the risk of health care – associated infection
6. Reduce the risk of patient harm from Falls
Identify Patient Correctly
• Use at least two patient identifiers when providing
care, treatment and services
• Not use of patient’s room number or location.
• Patient is Indentified when providing care, treatment
• Before administrating Medication, blood or blood
products and other specimens for clinical test.
Identify Patient Correctly
Improve Effective Communication
• For verbal or telephone orders for telephone reporting
of critical test result
• The individual receiving the information writes down
the complete order
• The individual receiving the information read back the
complete order
• The individual who gave the order or test result
confirms the information that was read back
SBAR
Is an effective tool
for all types of
communication
handoffs
What is SBAR?
• The SBAR model is a simple method to help
standardize communication
• SBAR allows all parties to have common
expectations:
– What is going to be communicated
– How the communication is structured
– Required elements
• Focuses on the problem, not the people
SBAR
• Situation
• Background
• Assessment
• Recommendation
SITUATION
• State: your name and unit
• I am calling about::
Ward Name)
(Patient Name &
• The problem: The reason I am calling ….
BACKGROUND
• State the admission diagnosis and date
of admission
• State the pertinent medical history
• A Brief Synopsis of the treatment to date
Assessment
• Pertinent objective & subjective information
– Most recent vitals
– Mental status
– Respiratory rate and quality
– B/P, pulse rate & quality
– Pain
– Neuro changes
– Skin color
– Rhythm changes
RECOMMENDATION
• State what you would like to see done:
– Transfer the patient?
– Change treatment?
– Come to see the patient at this time?
– Talk to the family and patient about….?
– Ask for a consulting physician to see the
patient?
High-Alert Medication
• Deliver policies and or procedures that
address, the location, labeling and storage of
concentrated electrolytes
• Concentrated electrolytes are not present in
patient care units unless clinically necessary
and action are taken to prevent inadvertent
administration on those areas where permitted
by policy ( OT, AE, ICU)
Ensure Correct-site, Correct-Procedure,
Correct-Patient Surgery
The principal component of the universal
Protocol are :
1. The pre operative verification process
2. Marking the surgical site
3. A time out immediately before starting the
procedure
Checking the patient
• The Scrub, anaesthetic
nurse .checks consent,
operation (site) pre op
checklist, arm bands,
allergies, premed
given etc
• Ensure the bed is
clean and dust free
before entering the
Theatre
• Red hat for allergy
MARKING The Surgical Site
Mark the precise site where the surgery will be
performed. Use a clearly understood mark &
involve the patient in doing this.
Reference: Joint Commission International Center for Patient Safety 2009 International Patient Safety
Goals.
Reduced the Risk of health care –
associated infections
•
•
•
•
Hand Washing
Routine implementation standard precautions
Additional precautions / isolation nursing
Needle Stick Injury
Reduced the Risk of health care –
associated infections
STANDARD PRECAUTIONS
•
Care with sharps
Use of protective barriers
- gloves
- gowns/plastic
- glasses
Care with Rubbish and Linen
Segregation of at risk patients
Care of all Equipment
•
Care of the Environment
•
•
•
•
HICMR Pty Ltd
Infection Control Consultants
Reduced the Risk of health care –
associated infections
Transmission

Airborne

Droplet

Contact

Common vehicle

Vector borne
Source
Contact Transmission

Indirect-contact transmission
involves contact of a susceptible host
with a contaminated object
High Risk of Needle Stick Injury
TOO FULL
CLEANER INJURY
Procedure Needle Stick
& Exposed Blood
Needle Stick &
Exposed Blood
Report as soon as Supervisor
Incharge
Se General
Practice In A&E
Report to Infection Control Nursing
Processed with ICN/ Supervisor In-charge
Source
Knowing
Yes
PATIENT
No
STAFF
Continue
PATIENT
Ask consent from
source to be tested
for:
HIV
Hep B
Hep C
Do counseling to
source
Obtain blood sample.
Use correct forms
STAFF
STAFF
Do counseling to staff
Do counseling to staff
Obtain blood sample to
determine the baseline data on
exposure & immunity to Hep
B, Hep C, HIV.
Obtain blood sample to
determine the baseline data on
exposure & immunity to Hep
B, Hep C, HIV.
Use correct forms
Do follow up and keep in contact
with hospital management
Start post-exposure prophylaxis
as soon as possible (stat).
Retest in 3 and 6 months after
exposure
Use correct forms
Do follow up and keep in contact
with hospital management
Retest in 3 and 6 months after
exposure
Reduce the risk of patient harm from Falls
• Fall reduction program
• Staff receive education and training for the fall
reduction program
• The hospital educate the patient and their family
as needed, on the fall reduction program
• The hospital evaluates the fall reduction program
to determine the effectiveness of the program
PATIENT HANDLING
• Rolling Patient to reposition from back to
side with Slide Sheet
PATIENT HANDLING
Transferring Patient from Chair to
Bed Post Hip replacement:
PATIENT HANDLING
Transferring Patient from bed to
trolley: (Pat slide & slide sheet x 2)
• To Achieve patient Safety,
Safe and healthy staff is needed
Staff / Student Health Program
Staff Health Programmers
• Pre- Employment/ Pre Attachment
• Category Staff
• Immunization Program
• Annually
STAFF CATEGORY
• Category1: Doctor, Nurses, Lab,
Radiographer, Physiotherapies
• Category2: Food and Beverage
• Category3: Other Manager, administration.
Pharmacy, Marketing ,Driver.
• Category4: Cleaning, Security.
CATEGORY STAF HEALTH PROGRAM
Test
Category
1
Category
2
Categor
y
3
Category
4
Chest XRay
Yes
Yes
Yes
Yes
Hepatitis B
Antigen
Yes
No
No
No
Influenza
Yes
No
No
No
Salmonella
No
Yes
No
No
Papsmear
Yes
Yes
Yes
Yes
Hepatitis A
No
No
No
Yes
Mode of education
Theory
Practical to enhance
theory
Practical/ training
to develop skill
Transmission of
infection
Blood spelt
Hands washing
Isolation Precaution
Sharps handling
Patient Handling
CONCLUSION
Collaboration between nursing school and
Hospital is very importent to ensure skill
and knowledge of new graduates can fulfill
need of Hospital.
NURSING MANAGEMENT TEAM
Thankyou
Question
• Apa yg perlu di siapkan di pendidikan utk bisa
praktek di RS Internasional
• Bagaimana untuk membuka praktek klinik
• Startegi evaluasi untuk assesment mahasiswa
ners
• Bagaimana biaya praktek mahasiswa di rumah
sakit internasional
Oleh : Ns. Siti Komariah, SKep.MARS
Disampaikan pada Seminar International “ Bridging the Gap Between Nursing
Education and Health Care Services “
Makassar 11 November 2011
AGENDA
1. Pendahuluan
2. Sekilas tentang Pendidikan Profesi
Keperawatan
3. Upaya SHLV Dalam Menyediakan Lahan
Praktik Klinik Keperawatan
4. Kesimpulan
World Class Healthcare Experience
1
PENDAHULUAN
World Class Healthcare Experience
Bagian
integral dari
pelayanan
kesehatan
LOKAKARYA
NASIONAL, 1983
Bentuk
pelayanan
profesional
Kep.
Sebuah
profesi
Pendidikan Keperawatan
menekankan tentang keprofesian
•
•
•
•
Tuntutan kebutuhan masyarakat
Kemajuan IPTEK
Globalisasi
Pengembangan profesi
Penting Penataan Sistem
Tata Kelola Dan Proses
Pembelajaran Mahasiswa
di RS
Dalam mendukung
Keberhasilan
Pengembangan
Pelayanan
Keperawatan
Sarana mencapai
Profesionalisme
Keperawatan &
percepatan
proses
perubahan atau
transisi
Pengembangan
YanKep
profesional dan
teknologi
keperawatan
Peran
Pendidikan
Tinggi
Keperawatan
Lulusan dengan
kemampuan
Profesional
Pembinaan
Kehidupan
keprofesian
2
SEKILAS TENTANG
PENDIDIKAN PROFESI
KEPERAWATAN
World Class Healthcare Experience
Pasal 15
• Jenis pendidikan mencakup pendidikan
umum, kejuruan, akademik, profesi, vokasi,
keagamaan, dan khusus
Pasal 19
• Pendidikan tinggi mencakup jenjang
pendidikan diploma, sarjana, magister,
spesialis, dan doktor yang diselenggarakan
oleh pendidikan tinggi
Pasal 20
• Perguruan tinggi berbentuk akademi, politeknik, sekolah
tinggi, institut, atau universitas
• PT wajib menyelenggarakan pendidikan, penelitian, dan
pengabdian kepada masyarakat
• PT mengelenggarakan program akademik, profesi, dan/
atau vokasi
Ners
SKep
Tahap
Akademik
• Teori dan konsep
• Bersifat deskriptif
Tahap Profesi
• Aplikasi teori
dan konsep
• Proses
pembelajaran
klinik
CERDAS
Perguruan
Tinggi
KOMPETITIF
Kompetensi Sesuai Kebutuhan
Stakeholder
•
•
•
•
Kebutuhan kemasyarakatan (societal needs)
Kebutuhan dunia kerja (industrial needs)
Kebutuhan profesional (professional needs)
Kebutuhan generasi masa depan (scientific vision)
Care Provider
Community Leader
Educator
Manager
Researcher
1. Mampu berkomunikasi secara efektif
2. Mampu menerapkan aspek etik dan legal dalam praktik
keperawatan
3. Mampu melaksanakan asuhan keperawatan profesional
di klinik dan komunitas
4. Mampu mengaplikasikan kepemimpinan dan
manajemen keperawatan
5. Mampu menjalin hubungan interpersonal
6. Mampu melakukan penelitian
7. Mampu mengembangkan profesionalisme secara terus
menerus atau belajar sepanjang hayat
• Aspek penting untuk mencapai kompetensi lulusan Ners
• Sasaran utama pembelajaran: mengekspresikan strategi
pembelajaran yang optimal untuk mendorong prakarsa
dan memudahkan belajar untuk menjembatani antara
teori dan praktik
Perencanaan
Pembelajaran
Klinik
Pelaksanaan
Pembelajaran
Klinik
Evaluasi
Pembelajaran
Klinik
DIBUTUHKAN LAHAN PRAKTIK DENGAN
SARANA DAN PRASARANA YANG
KONDUSIF DAN SARAT DENGAN MODEL
PERAN ( ROLE MODEL )
3
UPAYA SHLV DALAM
MENYEDIAKAN LAHAN
PRAKTIK MAHASISWA
KEPERAWATAN
World Class Healthcare Experience
•
•
•
•
•
Grand Opening 30 Nov 1996
Luas Bangunan 26,000 m2
Bangunan 11 Lantai
Perusahan Tbk : 26 March 1997
RS. Pendidikan klasifikasi “B” tahun 2009
World Class Healthcare Experience
INTERNATIONAL QUALITY
SCALE
Pilihan terpercaya untuk
mendapatkan pelayanan
REACH
kesehatan bertaraf
GODLY COMPASSION
Internasional,
pendidikan kesehatan dan
penelitian.
World Class Healthcare Experience
1. Love
2. Caring
3. Integrity
4. Honesty
5. Empathy
6. Compassion
7. Professionalism
SILOAM HOSPITAL LIPPO CIKARANG
SILOAM HOSPITAL LIPPO VILLAGE
SILOAM HOSPITAL KEBON JERUK
SILOAM HOSPITAL SURABAYA
World Class Healthcare Experience
SILOAM HOSPITAL MRCCC
SILOAM HOSPITAL JAMBI
SHLV
Org.Chart
Chief Executive Officer
NURSING ORG.
CHART
Siloam Hospitals Lippo Karawaci
Division Head
Nursing
Committee
Case Manager
Acute Pain Nurse Coord.
Hospital Coordinator
Wound Care / Diabetic
Nurse Coordinator
Unit Head
Haemodialysis
Clinical Educator
Coordinator
Unit Head
Catheterization
Laboratory/Day Surgery
Department Head
In Patient Services
Unit Head
ICU/ICCU/HC
Unit Head
Operating Theatre/
CSSD
Unit Head
LDS/ Maternity/ Nursery
Unit Head
Sarfat/NICU
Unit Head
Out Patient Department
Unit Head
Siloam/Samaria
Unit Head
Genesaret
Unit Head
Accident Emergency
Unit Head
Decapolis/Stroke Unit
Unit Head
New Ward
Unit Head
Medical Check Up
Unit Head
Betsaida
Unit Head
New Ward
Learning &
Development
VISI MISI SHLV
MISI DAN FALSAFAH PELAYANAN KEPERAWATAN
8 PRINSIP
PERTUMBUHAN
KEUANGAN
SDM
MUTU
PELAYANAN
TUJUAN
PELAYANAN KEPERAWATAN
ETC
OPD
RADIOLOGY
LABORATORY
MEDICAL
REHABILITATION
PHARMACY
ICU/ICCU/NICU/HCU
CATH LAB
OPERATING THEATRE
DIALYSIS
LDS
MEDICAL RECORD 24hrs
Pencapaian Akreditasi Nasional
1998
( Juli )
• Akreditasi Nasional 5 bidang
pelayanan
2001
( November )
• Akreditasi Nasional 12 Bidang
Pelayanan
2004
( Oktober )
• Akreditasi Nasional 16 Bidang
Pelayanan
2008
( Januari )
• Akreditasi Nasional 16 Bidang
Pelayanan + Patient Safety
2011
( Februari )
• Akreditasi Nasional 16 Bidang
Pelayanan + Patient Safety
World Class Healthcare Experience
2007
( September )
• Sertifikasi Internasional dari JCIA
2010
( September )
• Re – sertifikasi JCIA
World Class Healthcare
Experience
Pencapaian Lain - lain
2001
( November)
• Sertifikasi ISO 9001 : 2000
2002
( September )
• Penghargaan “Yasa Ayodhya
Adinugraha“ dari Presiden RI
2005
• PERSI menjadikan SHLV sebagai
RS percontohan untuk program
patient safety
2006
( November )
• Penghargaan Paramakarya
Dharma Artha Husada
World Class Healthcare Experience
2007
( November)
• Juara I Lomba Rumah Sakit Umum
Bersih tingkat Kabupaten Tangerang
2010
( September )
• Piagam Penghargaan kepada Rumah
Sakit Berprestasi dalam Pelayanan
Kesehatan (Kep. Menkes RI no:
1623/MENKES/SK/XI/2010
2010
( Desember)
• ISO 9001 : 2008
2011
(Juni)
• Juara I Kompetisi Rumah Sakit
Sayang Ibu & Bayi Tingkat
Kabupaten Tangerang
World Class Healthcare Experience
RUANGAN
Kapasitas Total
JUMLAH TEMPAT
TIDUR
250
Maternity/ Nifas
Kamar Bersalin
Pediatrik/ Anak
NICU
Nursery
ICU
ICCU
HCU
Medical Surgical
Neuroscience ward +
Stroke Unit
Sumber Data : Medical Record – SHLV, Oktober, 2011
No.
KATEGORI TENAGA
JUMLAH
I
DOKTER
211
II
PERAWAT & BIDAN
386
1
S1 Kep.
7.8%
2
Skep/ Ners
7.2%
3
D3 Kep
73%
4
D3 Kebid.
8.1%
5
SPK/SPR
1.7%
III
Tenaga Kesehatan Lain
130
IV
Health Care Assistant ( HCA )
59
Sumber Data : HRD – SHLV, 31 Oktober, 2011
Sistem Tata Kelola Mahasiswa Keperawatan
di SHLV
Input
• Mahasiswa
• CNE/ CI
• Mentor/ Preseptor
• Kurikulum
• Petunjuk
Pelaksanaan
• Jadwal praktek
• Sarana &
prasarana lahan
praktik
• Karakteristik CNE/
Mentor/ Preseptor
• dll
Process
Output
Proses
Pembelajaran:
• Mentorship/
Preseptorship
• tanya jawab,
diskusi dan
pembahasan kasus,
demonstrasi
tindakan
• Feedback
• Evaluasi
• Lulusan yang
Menguasai hard
skill dan soft skill
• Lulusan yang
memiliki
kemandirian dan
profesional
INSTITUSI
PENDIDIKAN
1. Kurikulum
2. Dosen
Pembimbing
SHLV
Fasilitas:
1. Ruang Model praktik
2. SDM: CNE/ CI, Mentor
3. Alat
4. Manajemen
NERS
PROFESIONAL
CHIEF EXECUTIVE OFFICER SHLV
Ho Dept TRAINING
& EDUCATION
PENANGGUNG JAWAB PRAKTIK
KLINIK KEPERAWATAN DI RS
( NURSING DIVISION )
CLINICAL
INSTRUCTOR FIK
DEKAN FIK
CNE - RS
MAHASISWA
KEPERAWATAN
PRESEPTOR/ MENTOR
•
SDM
– CNE / CI dari SHLV dg
kualifikasi minimal
S1Kep/Ners
– CI dari Institusi Pend.
– Mentor/ preseptor lahan
praktik dengan kualifikasi
minimal S1Kep
– Mahasiswa siap
menerapkan
pengetahuan, skill dan
soft skill
1. Selalu mengikuti perkembangan pengetahuan dan
ketrampilan klikik terbaru
2. Menguasai ketrampilan dasar mengajar
3. Mampu mempertahankan hubungan harmonis dengan
mahasiswa
4. Dinamis, antusias, humor, ramah, kooperatif, sabar,
mau serta mampu mengakui kesalahan dan
keterbatasan yang dimiliki.
5. Menyukai praktik keperawatan klinis dan mengajar
dalam lingkungan klinis sesuai keahliannya.
1. Mengkoordinir pelaksanaan program orientasi mahasiswa yang
baru di RS
2. Memberikan orientasi terkait dengan kebijakan dan prosedur di RS
3. Berperan sebagai praktisi klinis, pembimbing, dan mentor
4. Melaksanakan supervisi terhadap mahasiswa selama berada di RS
5. Memberikan masukan, membantu, serta mendorong mahasiswa
untuk pencapaian target pembelajaran
6. Berkoordinasi dengan institusi pendidikan
7. Memberikan pendelegasian saat preseptor tidak dapat
mendampingi mahasiswa
8. Memberikan evaluasi terutama pada aspek sikap dan ketrampilan.
•
Manajemen
– Program orientasi bagi
mahasiswa yang baru
pertama praktik di SHLV ( JCI
– SQE 7, GLD 5.4, PCI 11 )
• Pengenalan Visi Misi RS dan
struktur organisasi
• Misi, Falsafah Yankep dan 5
pilar strategik yankep
• Tata tertib mahasiswa di RS
• Metode asuhan keperawatan
• Penjelasan kewenangan klinik
mahasiswa
• Infection Control
• Program Patient Safety  6
sasaran utama keselamatan
pasien
• Metode bimbingan
• Feedback dan evaluasi
•
•
•
•
•
•
Ada panduan praktik klinik
Jumlah, daftar nama, area praktik
ditetapkan oleh FIK dan disetujui oleh
RS
Menugaskan CNE/CI untuk supervisor
bimbingan
Koordinasi teknik pelaksanaan antara
CNE dengan CI dari pendidikan
Proses pelaksanaan praktik
– Demonstrasi dari Mentor/ CI
– Pendampingan dan pengawasan
mahasiswa
– Diskusi, bedside teaching
– Pembahasan kasus
Sarana:
– Alat keperawatana dasar dengan
rasio sesuai standar
– Tersedia SOP, SAK
• Ruang Medikal Bedah
kls I, II, dan III
• Ruang Neuroscience
• Stroke Unit
• Ruang Anak
• HCU
• UGD
• Rawat Jalan
METODE EVALUASI
Aspek yang dinilai
Penilai
%
Sikap, kehadiran,
penampilan dalam
praktik
CNE/ CI – SHLV
bersama Mentor
20%
Pengetahuan
CI dari pendidikan
20%
Ketrampilan
CI dari Pendidikan atau
ruangan
20%
Medication log (2 buah ) CI Pendidikan
20%
Seminar kelompok
30%
CI Pendidikan
1.
2.
3.
4.
5.
6.
7.
8.
Disiplin terhadap kehadiran dan mengikuti aturan
Stabilitas emosi
Tanggung jawab
Ketelitian dan kerapihan dalam bekerja
Inisiatif
Kejujuran
Kerjasama ( komunikasi, menghargai pendapat )
Sikap profesional
1.
2.
3.
4.
5.
Pengkajian
Diskusi kelompok ( pre dan post conference )
a.
Penguasaan materi
b.
Kemampuan mengemukakan pendapat
c.
Kemampuan berargumentasi tentang kasus
Bedside teaching
a.
Komunikasi terapeutik dgn pasien
b.
Menentukan prioritas masalah
c.
Menentukan rencana sesuai prioritas
d.
Melaksanakan tindakan sesuai kebutuhan pasien
e.
Menentukan tindak lanjut dan kontrak yang aan datang
Konsultasi individu
a.
Penguasaan materi
b.
Kemampuan mengemukakan pendapat
c.
Kemampuan berargumentasi tentang kasus
Laporan akhir
1.
2.
3.
4.
5.
Pengkajian
a.
Persiapan pasien
b.
Persiapan alat
Perencanaan
–
Menentukan masalah, tujuan, dan tindakan keperawatan
Pelaksanaan
–
Salam terapeutik, melakukan kontrak kerja, melaksanakan tindakan
keperawatan sesuai SOP
Evaluasi
–
Mengamati respon pasien, rencana tindak lanjut, kontrak yagn akan
datang, dan terminasi
Dokumentasi
a.
Implemantasi
b.
Respon pasien
c.
Keberhasilan tindakan
5
KESIMPULAN
World Class Healthcare Experience
• Lingkungan praktik klinik keperawatan di
RS merupakan aspek penting yang perlu
dikelola dalam rangka mendukung proses
pembelajaran klinik mahasiswa
keperawatan pada tahap profesi
• Merupakan lingkungan multiguna yang
dinamis sebagai tempat pencapaian
berbagai kompetensi praktik klinis
• Praktik klinik merupakan “ the heart of the
total curriculum plan “
• Perlu dikembangkan sistem tata kelola
praktik klinik mahasiswa keperawatan di
RS yang lebih baik, dengan demikian
mendukung peningkatan mutu pelayanan
keperawatan di masa mendatang.