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All Journal LINK Jurnal Imejing Diagnostik Jurnal Kesehatan Gigi Jurnal Rekam Medis dan Informasi Kesehatan Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Jurnal Radiografer Indonesia GENIUS JOURNAL (General Nursing Science Journal)

Edy Susanto

Jurusan Teknik Radiodiagnostik Dan Radioterapi Poltekkes Kemenkes Semarang

Author-ID : 666718

Computer Science & IT Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health

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TATALAKSANA RADIOTERAPI EKSTERNA PADA KANKER PAYUDARA DENGAN TEKNIK SIMULTANEOUS INTEGRATED BOOSTER (SIB) DI UNIT RADIOTERAPI INSTALASI RADIOLOGI RS KEN SARAS KABUPATEN SEMARANG Ardani Ardani; Edy Susanto; Nanang Sulaksono; Sri Mulyati
Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v6i1.5403

Background: Radiotherapy is a cancer treatment method using ionizing radiation. The SIB technique is a technique of providing additional radiation together with the administration of primary radiation. At Kensaras Hospital, booster treatment performed simultaneously with the administration of primary radiation or known as SIB is carried out using the IMRT technique or also known as the SIB IMRT technique. whereas according to Susworo, irradiation techniques on breast cancer are not recommended using the IMRT technique, but should use the FIF technique. The purpose of this study was to determine the governance of radiotherapy and the reasons for choosing the SIB technique.Methods: This type of research is qualitative with a case study approach. Data collection was carried out in December 2018 until May 2019 at Ken Saras Hospital. Result: The results showed that the SIB technique had several advantages, among others: better radiation conformity and able to minimize OAR doses. This is proven by obtaining doses which mostly meet ICRU standards. While for OAR doses it also meets quantec tolerance standards, except the right lung at a dose of 2000 cGy the volume exceeds 30%, which is equal to 34.55%. But the dosage according to the doctor's consideration is still said to be safe. Conclutions: The external radiotheraphy procedure including consulting a doctor, taking CT Simulator data, TPS, verification and treatment. Strengths of the SIB technique: Better irradiation conformity, suppressing OAR doses, reducing toxicity to the skin, only requiring one planning and allowing dose calculation in one planning

PROCEDURE OF RADIOTERAPHY WITH CLINICAL CARCINOMA TONGUE USING COBALT-60 UNIT IN ONCOLOGY RADIATION INSTALLATION HASAN SADIKIN HOSPITAL BANDUNG Azmi Nur Azizah; Edy Susanto; Yeti Kartikasari
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.3974

Background: Analysis of radiation exposure in patients with early, mid-irradiation, irradiation end and reason do 2 or 3 field radiotherapy irradiation in patients with carcinoma of the tongue in clinical radiation oncology installations dr Hasan Sadikin.Methods: The research is a qualitative research study approach. Data were collected by observation, documentation and in-depth interviews to specialist doctors sender and radiation oncology medical physicists, and Focus Group dicussion (FGD) with radiogrfer radiotherapy in November-December 2017. Data were analyzed using categorization and coding table OutdoorResults: The results showed that the procedure radiotherapy in patients with carcinoma of the tongue in the installation of radiation Oncology dr Hasan Sadikin came from consultation with a specialist onkolgi radiation, simulator, counting simulator results in TPS (Treatment Planning System), verification and irradiation using 2 (two) field Opposing left and right lateral or 3 (three) irradiation field, the opposing lateral and AP Supraclavikula a dose of 2 Gy per fraction as much as 33 times the irradiation with a total dose of 66 Gy.Conclusions: Analysis of the initial patient irradiation include planning radiotherapy, molding simulator, dose calculations, verification of irradiation and irradiation first, the patient carries balloon for fixation of the tongue, the patient's mid-irradiation control every 5x radiation, check the patient's general condition every day, and yet do replaning mask thermoplast on the masks that the narrowing so that patients feel claustrophobic if the mask is locked on the base plate so that it can be done irradiating the mask is not locked completely, the patient end of irradiation do the follow-up after a two week break from irradiating the last, then the patient is returned to the doctor sender then perform periodic controls to poly radiotherapy reason used 2 or 3 depending on the stage of the patient's radiation field and to prevent micrometastases to lymph nodes

Protection of the Safety of Dental Health Workers Against Radiation Exposure Dental X-Ray Edy Susanto; Endang Larasati; Hardi Warsono; Tri Yuniningsih
Jurnal Kesehatan Gigi Vol 8, No 2 (2021): Desember 2021
Publisher : Jurusan Keperawatan Gigi, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkg.v8i2.8100

ABSTRACTThe use of X-rays is an integral part of clinical dentistry because it can help doctors when diagnosing a clinical symptom experienced by a patient through radiological images (x-rays). Radiation used in radiology is not only useful for helping to establish a diagnosis, it can also pose a danger to radiation workers and the general public who are around the radiation source. The method used is literature review, namely by examining data sources in the form of articles in research journal databases both from within and outside the country through e-journal searches, government regulations, and internet article sources that can be accounted for. The results showed that diagnostic radiology services are an integral part of medical services that need special attention because apart from being useful in establishing a diagnosis, it is also very dangerous for patients, staff and the surrounding environment if it is not carried out properly. In an effort to achieve quality and safe radiology services, excellent management and technical management are needed that are supported by good facilities/infrastructure, human resources and equipment.Dental hygienists should have knowledge of the application of safe radiation practices to all patients requiring radiographic examination. The findings of this study indicate that participants practice safer radiographic techniques with years of experience along with higher levels of education.

PELATIHAN KADER DALAM UPAYA MENINGKATKAN PENGETAHUAN TENTANG JAMINAN KESEHATAN NASIONAL Edy Susanto; Sugiyanto Sugiyanto; Irmawati Irmawati; Sri Lestari
Jurnal LINK Vol 14, No 1 (2018): MEI 2018
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Being a participant in the National Health Insurance (JKN) is one way to maintain good health for the citizens of Indonesia. JKN has been run by the Social Security Agency (BPJS) Health since January 1, 2014. BPJS planned that in 2014 the people of Indonesia who participated in the program of the National Social Security System (Navigation) and is targeted to reach 70% in 2019 to reach 100%.One of the benefits of national health insurance program is to improve the health and welfare of the community. However, not many people are aware of the importance of following the National Health Insurance program through participation BPJS. In addition, people are still confused in a groove in the service of the National Health Insurance.From the above issues, the Department of Medical Records and Health Information in cooperation with BPJS Semarang implement community service activities in the form of providing guidance, assistance, consultation on the National Health Insurance program. With this JKN coaching hoped that the people are able to understand the importance of participation JKN and improved health and welfare of the people especially in the region Wijaya Kusuma Posyandu RW: XXII, Village Meteseh, District Tembalang, Semarang.

Kesesuaian Lama Hari Rawat Pasien BPJS Berdasarkan Clinical Pathway Kasus Ca Mammae Di Rumah Sakit Umum Pusat Dr. Kariadi Semarang Edy Susanto; Lina Umboro; Marsum Marsum; Siti Rofi'ah
Jurnal Rekam Medis dan Informasi Kesehatan Vol 1, No 1 (2018): Maret 2018
Publisher : Poltekkes Kemenkes Semarang

Hasil analisis awal data klaim INA CBG’s bulan September 2015 RSUP Dr. Kariadi Semarang, ditemukan bahwa lama hari rawat pasien BPJS dengan kasus Ca Mammae, terdapat 37 dari 54 kasus ca mammae LOSnya tidak sesuai dengan standar LOS pada clinical pathway.Teknik pengambilan sampel yaitu dengan teknik total sampling yang diambil secara keseluruhan kasus ca mammae pada pasien BPJS bulan Oktober-Desember tahun 2015. Pengumpulan data dalam penelitian ini menggunakan metode observasi dan dicatat menggunakan checklist.LOS pasien BPJS sesuai berdasarkan clinical pathway sebanyak 44 kasus (29,33%) dan tidak sesuai sebanyak 106 kasus (70,67%). LOS pasien paling banyak adalah 11 hari dan sebagian besar kasus ca mammae terjadi pada umur 46 tahun dengan jenis kelamin perempuan karena pada umur tersebut ca mammae mulai bekembang pesat. Kasus ca mammae paling banyak memiliki diagnosis sekunder anemia dengan tindakan medis mastektomi yang merupakan penatalaksanaan dari diagnosis utama yaitu ca mammae dan sebagian besar berada pada tingkat keparahan I yaitu pada kasus yang tidak memiliki komplikasi atau memiliki komplikasi dengan perkenaan pada kelenjar getah bening (lymph nodes).

Tinjauan Pelaksanaan Pemusnahan Rekam Medis Di Puskesmas Pandanaran Semarang Edy Susanto; Widodo Widodo; Elise Garmelia; Dewi Indah Sholekhah
Jurnal Rekam Medis dan Informasi Kesehatan Vol 1, No 1 (2018): Maret 2018
Publisher : Poltekkes Kemenkes Semarang

Permenkes 269 Tahun 2008 tentang Rekam Medis menyatakan bahwa rekam medis pada sarana pelayanan kesehatan non rumah sakit, wajib disimpan sekurang-kurangnya untuk jangka waktu 2 (dua) tahun terhitung dari tanggal terakhir pasien berobat. Berdasarkan studi pendahuluan di Puskesmas Pandanaran Semarang, sejak didirikannya Puskesmas Pandanaran tahun 1990 pelaksanaan pemusnahan baru sekali dilakukan pada tahun 2005. Tujuan dari penelitian ini yaitu untuk mengetahui faktor-faktor pendukung pelaksanaan pemusnahan rekam medis.Jenis penelitian ini adalah penelitian deskriptif kualitatif.Metode pengumpulan data dilakukan dengan metode observasi/pengamatan, wawancara dan studi dokumentasi.Data di analisis menggunakan analisa deskriptif dan disajikan dalam bentuk narasi. Hasil penelitian diperoleh bahwa pemusnahan rekam medis tahun 2005 dilakukan dengan membakar 5000 rekam medis oleh petugas Puskesmas Pandanaran, SOP Pemusnahan Rekam Medis diberlakukan sejak 30 April 2016 dan faktor-faktor pendukung pelaksanaan pemusnahan yang meliputi Man (SDM), Methode (Metode), Materials (Bahan), Machine (Alat), Money (Finansial), Market (Partisipasi). Alangkah lebih baik jika pemusnahan rekam medis dilakukan secara periodik sesuai dengan SOP Pemusnahan Rekam Medis.

ANALISIS KUANTITATIF KELENGKAPAN PENGISIAN FORMULIR PERSETUJUAN TINDAKAN KEDOKTERAN KASUS BEDAH Marsum Marsum; Elise Garmelia; Edy Susanto; Rizky Febri Nugroho
Jurnal Rekam Medis dan Informasi Kesehatan Vol 1, No 2 (2018): OKTOBER 2018
Publisher : Poltekkes Kemenkes Semarang

AbstrakBerdasarkan studi pendahuluan bahwa dari sepuluh formulir persertujuan tindakan kedokteran yang diambil secara acak seluruhnya atau sebesar 100% tidak terisi lengkap. Pada empat review yang dilakukan untuk menelaah formulir yaitu review identifikasi, laporan isi informasi, autentikasi, pencatatan tidak ada yang semuanya terisi lengkap. Tujuan dari penelitian ini yaitu melakukan analisis kuantitatif kelengkapan pengisian formulir persetujuan tindakan kedokteran di RSUD Ambarawa.Jenis penelitian yang digunakan adalah deskriptif. Sampel penelitian ini adalah formulir persetujuan tindakan kedokteran kasus bedah di RSUD Ambarawa pada triwulan 1 tahun 2018. Besar sampel dihitung menggunakan rumus Solvin dan didapat 96 sampel. Metode pengumpulan data yaitu observasi dan studi dokumentasi. Hasil Penelitian menunjukan bahwa review identifikasi pasien terisi dengan lengkap sebesar 99%. Review lsi informasi (laporan penting) terisi dengan lengkap sebesar 5%. Review autentikasi terisi dengan lengkap sebesar 46%. Review pencatatan tidak ditemukan kesalahan. Pengisian formulir persetujuan tindakan kedokteran kasus bedah di RSUD Ambarawa sebesar 4 % Abstract[English Title : Quantitative Analysis Completeness Form Informed Consent Case Surgery In RSUD Ambarawa] Based on a preliminary study that out of ten forms of intentional medical action taken completely randomly or at 100% incomplete. In the four reviews conducted to review the form of identification reviews, information content report, authentication, recording none of which are completely filled. The purpose of this research is to conduct a quantitative analysis of completeness informed consent form at RSUD Ambarawa. The type of research used is descriptive. The sample of this research is the informed consent form of medical case at Ambarawa General Hospital in first quarter of 2018. The sample size is calculated using Solvin formula and obtained 96 samples. Methods of data collection are observation and documentation study. The results showed that the patient identification review was completely filled by 99%. Review information filled (important reports) with complete 5%, Authentication review complete with 46% complete. recording review there is no mistake. Completed the form of approval of the medical action of the surgical case at RSUD Ambarawa at 4%

Penyebab Pengembalian Berkas Klaim Badan Penyelenggara Jaminan Sosial (BPJS) Pasien Rawat Inap Ditinjau Dari Syarat-Syarat Pengajuan Klaim Di RSUD R.A Kartini Jepara Irmawati Irmawati; Anton Kristijono; Edy Susanto; Yela Belia
Jurnal Rekam Medis dan Informasi Kesehatan Vol 1, No 1 (2018): Maret 2018
Publisher : Poltekkes Kemenkes Semarang

Pelayanan kesehatan di Indonesia tidak lepas dari program pemerintah yaitu Jaminan Kesehatan Nasional (JKN) dan BPJS Kesehatan sebagai pelaksana programnya. Metode pembayaran yang digunakan menggunakan sistem prospektif INA-CBGs yaitu menggunakan klaim yang akan mendapat penggantian biaya dari BPJS. Proses pengajuan klaim dari Rumah Sakit kepada BPJS Kesehatan memiliki tahap verifikasi administrasi kepesertaan, administrasi pelayanan, dan verfikasi pelayanan kesehatan. Berkas klaim yang ditemukan tidak lengkap dalam proses verifikasi menyebabkan pengembalian berkas oleh BPJS Kesehatan, di RSUD R.A Kartini Jepara masih ditemukan masalah tersebut. Tujuan dari penelitian ini adalah untuk mengetahui gambaran penyebab pengembalian berkas klaim BPJS pasien rawat inap ditinjau dari syarat-syarat pengajuan klaim.Penelitian ini menggunakan metode penelitian survey deskriptif dengan pendekatan cross sectional. Sampel menggunakan berkas klaim rawat inap yang dikembalikan BPJS Kesehatan bulan Maret-April 2017 sebanyak 49 berkas. Instrumen penelitian menggunakan checklist dan wawancara. Analisis data menggunakan analisis univariate.Hasil penelitian diperoleh gambaran kelengkapan administrasi kepesertaan yang tidak sesuai sebanyak 35 berkas (71%), kesesuaian administrasi kepesertaan 37 berkas (76%), dan kesesuaian administrasi pelayanan 10 berkas (20%). Kelengkapan dan kesesuaian administrasi kepesertaan menunjukkan kurangnya berkas penunjang. Administrasi pelayanan menunjukkan diagnosa dan dokter penanggung jawab yang tidak sesuai. Sedangkan pada alur pengajuan klaim belum mempunyai Standar Operasional Prosedur(SOP)

Keselamatan dan Kesehatan Kerja Pada Penyimpanan Rekam Medis di Instalasi Rekam Medis Edy Susanto; Rr Sri Endang Pujiastuti; Rosita Dwi Cahyaningsih
Jurnal Rekam Medis dan Informasi Kesehatan Vol 2, No 1 (2019): MARET 2019
Publisher : Poltekkes Kemenkes Semarang

Penyimpanan rekam medis merupakan kegiatan untuk melindungi rekam medis dari kerusakan fisik dan isi dari rekam medis. Proses penyimpanan rekam medis mempunyai resiko yang dapat mengancam keselamatan dan kesehatan kerja petugas rekam medis. Salah satu upaya dalam keselamatan dan kesehatan kerja dengan memberikan perlindungan bagi petugas penyimpanan rekam medis dengan cara menggunakan alat pelindung diri. Berdasarkan studi pendahuluan di RSUD K.R.M.T Wongsonegoro Semarang penggunaan alat pelindung diri yang belum terlaksana dengan baik dan ruang penyimpanan yang berdebu serta resiko terjadi gesekan/tergores kertas atau map rekam medis yang tajam. Tujuan penelitian ini adalah untuk mengetahui keselamatan dan kesehatan kerja pada penyimpanan rekam medis. Jenis penelitian adalah penelitian deskriptif kualitatif yaitu penelitian dengan mendeskripsikan obyek dengan metode pengumpulan data menggunakan wawancara dan observasi. Penelitian ini menggunakan analisis data deskriptif yaitu mendeskripsikan dan menggambarkan hasil penelitian dalam bentuk narasi. Hasil penelitian menjelaskan bahwa keselamatan dan kesehatan kerja sudah berjalan namun belum secara maksimal. Hal ini dikarenakan belum terdapat SPO yang khusus mengatur keselamatan dan kesehatan kerja di rekam medis. Alat pelindung diri yang digunakan oleh petugas penyimpanan rekam medis meliputi alat pelindung pernapasan/ masker dan alat pelindung tangan/ sarung tangan. Pengetahuan petugas penyimpanan rekam medis bahwa alat pelindung diri merupakan hal yang penting digunakan sebagai perlindungan pada saat melakukan pekerjaan. Selain itu, sikap dan perilaku petugas penyimpanan rekam medis dalam penggunaan masker mencapai 91% dan sudah cukup baik, namun pada penggunaan sarung tangan hanya mencapai 41% sehngga perlu peningkatan.AbstractStorage of medical records is an activity to protect the medical records from physical damage and the content of the medical records. The process of storing the medical records has risks that can threaten the occupational safety and health of medical records staff. One of the efforts in occupational safety and health is by providing protection for the medical records staff by using personal protective equipment. Based on the preliminary study in RSUD K.R.M.T Wongsonegoro Semarang, the use of personal protective equipment that has not been done well and dusty storage space and the risk of friction/ scraped paper or sharp medical record map. The purpose of this study is to determine the occupational safety and health on the medical records storage. The type of the research is descriptive qualitative research which is a research by describing an object with the data collection method using interview and observation. This study uses descriptive data analysis that describes the results of the research in the form of narrative.The result of the study explains that the occupational safety and health had been done but not maximally. This is because there is no SPO that specifically regulate the occupational safety and health in medical records. Personal protective equipment used by medical records staff includes respiratory protective equipment/ masks and gloves. The knowledge of medical record storing staff is that personal protective equipment is an important thing to be used as protection during the work. In addition, attitudes and behavior of medical record storing officers in the use of masks reached 91% and it is good enough. However, the use of gloves, it only reaches 41%, therefore, it needs improvement.

PELAKSANAAN PENGISIAN DAN KELENGKAPAN FORMULIR INFORMED CONSENT TINDAKAN OPERASI Edy Susanto; Irmawati Irmawati; Widodo Widodo; Yolanda Dinarka Dea
Jurnal Rekam Medis dan Informasi Kesehatan Vol 1, No 2 (2018): OKTOBER 2018
Publisher : Poltekkes Kemenkes Semarang

Abstrak Karya tulis ilmiah ini dilatarbelakangi oleh pentingnya pelaksanaan pengisian formulir informed consent yang baik dan benar. Serta pentingnya kelengkapan pengisian formulir informed consent, salah satunya untuk tindakan operasi. Penelitian ini bertujuan untuk menggambarkan pelaksanaan pengisian dan kelengkapan formulir informed consent tindakan operasi di RSUD K.R.M.T Wongsonegoro Semarang.Jenis penelitian adalah deskriptif, studi kasus. Menggunakan metode pendekatan cross sectional. Menggunakan instrumen penelitian berupa pedoman observasi, pedoman wawancara dan checklist kelengkapan pengisian. Jenis data yang terkumpul adalah data primer dan sekunder. Data diolah dalam bentuk transkrip dan tabel. Kemudian data dianalisis dan disajikan dalam bentuk grafik koding dan tabel. Hasil penelitian menunjukkan bahwa pelaksanaan pengisian formulir informed consent tindakan operasi di RSUD K.R.M.T Wongsonegoro Semarang sudah sesuai dengan Permenkes 290 tahun 2008, karena pelaksanaan pengisian formulir informed consent dimulai dari pasien diberikan informasi terkait tindakan operasi yang akan dilakukan, pengisian formulir informed consent, sampai dengan proses penandatanganan formulir informed consent. Serta untuk kelengkapan pengisian formulir informed consent tindakan operasi di RSUD K.R.M.T Wongsonegoro Semarang juga sudah lengkap, karena semua kolom pengisian sudah terisi secara lengkap. Abstract [English Title : Implementation of Filling and Completeness of Informed Consent Form of The Act Surgery in RSUD K.R.M.T Wongsonegoro Semarang] A piece of writing scientific were created because the importance of filling informed consent forms that is good and right. And the importance of completeness informed consent forms, such as to the act of surgery. This research aims to describe the implementation of filling and completeness of informed consent forms the act of surgery in RSUD K.R.M.T Wongsonegoro Semarang.The type of research is descriptive, case study. Using cross sectional approach. Using research instruments of observation guidelines, interview guidelines and completeness checklist. The types of data collected are primary and secondary data. Data is processed in the form of transcript and table. Then the data is analyzed and presented in the form of coding chart and table.The result of the research shows that the implementation of filling of informed consent form of operation in RSUD KRMT Wongsonegoro Semarang was in accordance with Permenkes 290 year 2008, because the implementation of filling the form started from the patient given information related to the act of surgery to be performed, the filling of the informed consent form, signing informed consent form. As well as for completeness of the form of informed consent form operation in hospitals RSUD K.R.M.T Wongsonegoro Semarang is also complete, because all of columns are fully filled.

Co-Authors Adhani Windari Anton Kristijono Ardani Ardani Arifina Nuridzati Azmi Nur Azizah Dewi Indah Sholekhah Elise Garmelia Emi Murniati Endang Larasati Hardi Warsono Hidayatul Maula Irmawati Irmawati Irmawati, Irmawati Irwan Katili Jannah, Marichatul Jessica Juan Pramudita Lily Kresnowati Lina Umboro Lina Umboro Setyowati Luthfi Rusyadi Marsum Marsum Nanang Sulaksono Novelin Safitri Maulida Rasyid Rasyid Rizky Febri Nugroho Rosita Dwi Cahyaningsih Rr Sri Endang Pujiastuti Siti Masrochah Siti Rofi'ah Sri Lestari Sri Mulyati Subinarto . Sugiyanto Sugiyanto Sugiyanto Teni Ikhsan Nurfalah Tri Yuniningsih Widodo Widodo Widodo Widodo Yela Belia Yeti Kartikasari Yolanda Dinarka Dea

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