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A Tinjauan Pelaksanaan Sistem Penomoran Rekam Medis Rawat Jalan di Puskesmas Tambarangan Kabupaten Tapin Nilna Hidayah; Faizah Wardhina; Purwanto Purwanto
Jurnal Kesehatan Indonesia Vol 12 No 1 (2021): November 2021
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33657/jurkessia.v12i1.566

Abstract

The numbering system in the medical record service is the procedure for writing given to the patients when they come for treatment as a part of their identity. This study aimed to describe the implementation of the outpatient medical record numbering system at the Tambarangan Public Health Center in Tapin Regency. This research used a descriptive method. The study results included the family numbering system consisting of five digits medical record number, i.e., the first two digits were based on the village area code while the last three digits were the medical record number. The advantages of the family numbering system were that it was faster in finding medical record files of the family members and the convenience to save medical record storage space and budget. Meanwhile, the shortcomings of the family numbering system were that it took a long time if the patient did not come for treatment for a long time and slowed down and hindered service if the patient did not carry an identity card for treatment and forgot his medical record number. The constraints in implementing the numbering system based on the man element were no medical record officer with the qualification of Diploma Medical Record and Health Information, and the officer never attended training/technical guidance/socialization regarding the medical record numbering system. The constraints based on the machine were the availability of only one computer that was only used for checking social health insurance. The constraints regarding the methods were no standard operating procedures found regarding the medical record numbering system, and the public health center management information system was no longer used because its implementation was constrained by non-existent technical personnel. The constraints regarding the materials were the patient's main index card that was not used, and the time to provide outpatient medical records was less than 10 minutes.
Sikap Ibu Terhadap Larangan Sunat Pada Anak Perempuan Di Kelurahan Sekumpul Kabupaten Banjar Faizah Wardhina; Brigitta Susanta
Jurnal Kesehatan Indonesia Vol 8 No 1 (2017): November
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (42.648 KB)

Abstract

Banjarese consider female circumcision is a habit that can not be left behind because one of the religious commands, especially Islam. PERMENKES No.6 year 2014 determined to revoke PERMENKES No.1636/MENKES/PER/XI/2010 which is set the procedure of female circumcision, with consideration of female circumcision is not currently a medical act because the implementation is not based on medical indication and has not proven useful for health. This research aims to determine the attitude of the mother against the prohibition of circumcision in girls in Kelurahan Sekumpul Kabupaten Banjar. This research used descriptive method with population of all mothers who have daughters aged 0 - 59 months in Kelurahan Sekumpul. Sampling method using accidental sampling technique, obtained sample 40 people. The variables studied were mothers attitudes toward the prohibition of circumcision on daughters, obtained data using questionnaires. The research showed that more mothers had positive attitudes toward the prohibition of circumcision on daughters 37 respondents (92,5%) while negative ones were only 3 (7,5%). Most respondents were positive about the prohibition of female circumcision (92,5%). It is expected that the mother should compensate for the attitude that accepts the ban with the uncircumcised behavior of her daughter
Perilaku Penggunaan Obat Tradisional pada Ibu Nifas di Desa Sungai Kitano Kecamatan Martapura Timur Kabupaten Banjar Faizah Wardhina; Fakhriyah Fakhriyah; Rusdiana Rusdiana
Jurnal Kesehatan Indonesia Vol 9 No 2 (2019): Maret
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (101.037 KB) | DOI: 10.33657/jurkessia.v9i2.169

Abstract

ABSTRACT Introduction: Traditional Medicine is a natural ingredient which is well known and believed by people as a mild treatment used in maintenance of health and in the prevention of illnes and well being. People in in Sungai Kitano still utilize that culture, include traditional medicine for postpartum maternal. Aims: This study aimed to know about desciption of behaviour in using traditional medicine among post partum maternal at Sungai Kitano Village. Method: The study aimed to determine the behavior of traditional medicine use for postpartum mothers in the Sungai Kitano Village By using descriptive type of research, the sample in this study were mothers who were postpartum and who had postpartum not more than 3 years and lived in the Sungai Kitano Village. Sample are 48 peoples, using total population. Result: Postpartum maternal who use traditional medicine during the puerperal period as much as (95.83%), types of traditional medicine that are widely used: herbal medicine 37 people (77.08%), a rajangan form of traditional medicine that is widely used: 28 people (58, 33%), the most widely used by drinking 31 people (64.58%), the most reason for using traditional medicine because of the customs / habits of their parents are 28 people (62.5%),who feels the benefit are 46 people (95.83%),and who has no side effects: 42 people (86.95%). Conclusion:Post Partum maternal in Sungai Kitano Village mostly use traditional medicine in rajangan form, which is drank because of the customs / habits of their parents and had felt its benefit. Suggested for maternal who is using traditional medicine for paying attention in how to use, especially in the process of making in order to keep its cleaning.
Management of Medical Record Unit to Preparing Accreditation at Primary Health Care Faizah Wardhina; Ermas Estiyana
Jurnal Peduli Masyarakat Vol 2 No 4 (2020): Jurnal Peduli Masyarakat, Desember 2020
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v2i4.309

Abstract

Puskesmas as the spearhead of public health services are required to always improve the quality of service delivery, both in the administration of primary health care management, clinical services, and primary health care program services. Accreditation is one of the efforts to ensure the quality improvement of primary health care services. Primary health care must compile medical records in accordance with the standards and criteria set by the first level health facility accreditation commission. It becomes a problem if the Puskesmas does not yet have human resources in the field of medical records, included the Karang Intan 2 primary health care. For this reason, primary health care need to increase the knowledge of its officers about managing medical record units and health information. The purpose of this community service activity is to increase the knowledge and skills of officers in managing the medical record unit at the Karang Intan 2 primary health care. This method of community service activities is carried out by provided learning about medical records to three medical record officers, then continued with guidance and consultation as well as monitored and evaluation to ensure a change for the better in the management of the medical record unit at the Karang Intan 2 primary health care. The result of this activity was an increased in the knowledge and skills of the medical record unit officers.
Faktor Penyebab Keterlambatan Waktu Pengembalian Berkas Rekam Medis Pasien Rawat Inap Faizah Wardhina; Nina Rahmadiliyani
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 3 No 3 (2022): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v3i3.3164

Abstract

The activity of returning medical record files for inpatients at Mawar Hospital has a standard return time of 1 x 24 hours after the patient returns. Medical records that experience delays in returning will have an impact on the delay in data processing, delays in submitting insurance claims, and delays in service to patients. The purpose of this research was to determine the factors causing the delay in returning inpatient medical record files at Mawar Hospital. The research method used is qualitative. The research subjects were the head nurse of the inpatient room and the head of the medical record, also called the main informant. In this study, the validity of the data was also carried out by triangulation to other informants, an inpatient nurse. The conclusions of this study are the factors that cause delays in returning the medical record files of inpatients at Mawar Hospital: man factor are doctors or nurses, the material factor is an incomplete filling of medical record files, the method factor is incomplete standard operating procedures, the money factor is no budget for granting rewards for doctors or nurses in carrying out their duties.
Sosialisasi Pengembalian Berkas Rekam Medis Rawat Inap di RSU Mawar Banjarbaru Faizah Wardhina; Nina Rahmadiliyani
Jurnal Pengabdian Masyarakat Indonesia Vol 2 No 3 (2022): JPMI - Juni 2022
Publisher : CV Infinite Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52436/1.jpmi.609

Abstract

Setiap rumah sakit wajib menyelenggarakan rekam medis. Salah satu faktor yang dapat mendukung penyelenggaraan rekam medis yang baik dan berkualitas yaitu dengan ketepatan waktu pengembalian rekam medis rawat inap dari ruang perawatan ke unit kerja rekam medis. Kegiatan pengembalian berkas rekam medis pasien rawat inap di RSU Mawar memiliki standar waktu pengembalian 1 x 24 jam setelah pasien pulang sesuai dengan peraturan yang berlaku. Rekam medis yang mengalami keterlambatan dalam pengembalian akan berdampak pada terhambatnya proses pengolahan data, lambat dalam pengajuan klaim asuransi serta terhambatnya pelayanan terhadap pasien. Tujuan dilaksanakannya kegiatan pengabdian ini adalah meningkatkan pengetahuan perawat tentang pengembalian berkas rekam medis rawat inap serta meningkatkan ketepatan waktu pengembalian berkas rekam medis rawat inap di RSU Mawar Banjarbaru. Kegiatan pengabdian kepada masyarakat ini dilaksanakan dengan beberapa tahapan, yaitu: pretest, pelaksanaan sosialisasi (pemberian materi dan diskusi tanya jawab), posttest. Rata-rata skor pengetahuan perawat saat pretest adalah 82, sedangkan rata-rata skor pengetahuan perawat saat posttest adalah 87. Disimpulkan bahwa terjadi peningkatan pengetahuan perawat setelah dilakukan sosialisasi tentang ketepatan waktu pengembalian berkas rekam medis pasien rawat inap.
Sosialisasi Pengisian Lembar Catatan Perkembangan Pasien Terintegrasi pada Perawat Nina Rahmadiliyani; Faizah Wardhina
Jurnal Pengabdian Masyarakat Bestari Vol. 1 No. 5 (2022): August 2022
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/jpmb.v1i5.1081

Abstract

Rumah sakit adalah suatu institusi pelayanan kesehatan yang kompleks, padat pakar, dan padat modal. Kompleksitas ini muncul karna pelayanan rumah sakit menyangkut berbagai fungsi pelayanan, pendididikan penelitian, serta mencakup berbagai tingkatan maupun jenis disiplin, agar rumah sakit mampu melaksanaakan fungsi yang professional baik di bidang teknis medis maupun administrasi kesehatan. Catatan perkembangan pasien terintegrasi merupakan catatan pendokumentasian yang dilakukan oleh tenaga kesehatan untuk melakukan koordinasi atau kolaborasi antar tenaga kesehatan dalam melakukan pendokumentasian pelayanan kesehatan pada pasien. Pelaksanaan program pengabdian ini dilakukan melalui sosialisasi dengan memberikan materi berupa pengisian lembar Catatan perkembangan pasien terintegrasi. Evaluasi pelaksanaan program dilakukan dengan terlebih dahulu memberikan pertanyaan kepada responden sebelum pelaksanaan sosialisasi (pretest) dan kembali memberikan pertanyaan lagi setelah pelaksanaan sosialisasi (posttest). Berdasarkan hasil dari kegiatan pengabdian kepada masyarakat dapat disimpulkan bahwa kegiatan sosialisasi ini dapat meningkatkan pengetahuan perawat mengenai ke catatan perkembangan pasien terintegrasi.
Evaluasi Penanganan Dokumen Rekam Medis Terkait Penyebaran Infeksi Covid-19 Naila Zulfa Nadya; Faizah Wardhina; Riko Ijami
Jurnal Kesehatan Indonesia Vol 13 No 2 (2023): Maret 2023
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33657/jurkessia.v13i2.787

Abstract

Medical recorders can be directly or indirectly infected with the coronavirus, and even the risk will be greater. Medical recorders who handle parts of patient files can be at risk of infection because they are in direct contact with patient files that may have been exposed to the coronavirus, so medical records need to be handled properly. This study aims to evaluate the handling of medical record documents related to the spread of covid-19 infection at the Tk.III Dr. R. Soeharsono Banjarmasin Hospital. This research uses a qualitative approach to descriptive methods, with 4 primary informants (2 nurses for COVID-19 patients and 2 medical record officers) and 2 triangulation informants (the head nurses for COVID-19 patients and the head of the medical record installation). The research instrument used was an observation and interview guide. The results showed that the procedures for maintaining medical records during the treatment period at Tk.III Dr. R. Soeharsono Banjarmasin Hospital have not made regulations in written form including Standard Operating Procedure. The nurse learned that the medical records of Covid-19 patients should be placed in the nurse station and should not be taken to the treatment room to avoid virus contamination. The filling of medical record documents for Covid-19 patients is no different from ordinary patients. Procedures for maintaining medical records of Covid-19 patients who go home or die at Tk.III.Dr.R. Soeharsono Banjarmasin hospital has made rules in the form of Standard Operating Procedure but some procedures cannot be carried out.
Management of Medical Record Unit to Preparing Accreditation at Primary Health Care Faizah Wardhina; Ermas Estiyana
Jurnal Peduli Masyarakat Vol 2 No 4 (2020): Jurnal Peduli Masyarakat, Desember 2020
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v2i4.309

Abstract

Puskesmas as the spearhead of public health services are required to always improve the quality of service delivery, both in the administration of primary health care management, clinical services, and primary health care program services. Accreditation is one of the efforts to ensure the quality improvement of primary health care services. Primary health care must compile medical records in accordance with the standards and criteria set by the first level health facility accreditation commission. It becomes a problem if the Puskesmas does not yet have human resources in the field of medical records, included the Karang Intan 2 primary health care. For this reason, primary health care need to increase the knowledge of its officers about managing medical record units and health information. The purpose of this community service activity is to increase the knowledge and skills of officers in managing the medical record unit at the Karang Intan 2 primary health care. This method of community service activities is carried out by provided learning about medical records to three medical record officers, then continued with guidance and consultation as well as monitored and evaluation to ensure a change for the better in the management of the medical record unit at the Karang Intan 2 primary health care. The result of this activity was an increased in the knowledge and skills of the medical record unit officers.
A Tinjauan Pelaksanaan Sistem Penomoran Rekam Medis Rawat Jalan di Puskesmas Tambarangan Kabupaten Tapin Nilna Hidayah; Faizah Wardhina; Purwanto Purwanto
Jurnal Kesehatan Indonesia Vol 12 No 1 (2021): November 2021
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The numbering system in the medical record service is the procedure for writing given to the patients when they come for treatment as a part of their identity. This study aimed to describe the implementation of the outpatient medical record numbering system at the Tambarangan Public Health Center in Tapin Regency. This research used a descriptive method. The study results included the family numbering system consisting of five digits medical record number, i.e., the first two digits were based on the village area code while the last three digits were the medical record number. The advantages of the family numbering system were that it was faster in finding medical record files of the family members and the convenience to save medical record storage space and budget. Meanwhile, the shortcomings of the family numbering system were that it took a long time if the patient did not come for treatment for a long time and slowed down and hindered service if the patient did not carry an identity card for treatment and forgot his medical record number. The constraints in implementing the numbering system based on the man element were no medical record officer with the qualification of Diploma Medical Record and Health Information, and the officer never attended training/technical guidance/socialization regarding the medical record numbering system. The constraints based on the machine were the availability of only one computer that was only used for checking social health insurance. The constraints regarding the methods were no standard operating procedures found regarding the medical record numbering system, and the public health center management information system was no longer used because its implementation was constrained by non-existent technical personnel. The constraints regarding the materials were the patient's main index card that was not used, and the time to provide outpatient medical records was less than 10 minutes.