plenary session 2.pdf
TRANSCRIPT
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 )
51
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
50
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
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
S.Ｐｒｏｖｉｎｃｉａｌ health office
H.University
HC village
Advice to Prefecture
Training for HC with prefecture
Field practice in 6 weeks
Teaching
Cooperation to project
Nursing student
T.Prefectural Health office
Model HC
HC HC
HC
Spread to all health center (13 centers) in Model prefecture （T prefecture）
continuity of action after practice
2nd ye
ar
(2001) 1st year
（ Alumni JICA ）
Development of the first project in T.prefecture
Collaborative Team
T. Prefectuere
HC HC
PHC training by Alumni JICA in T.Prefcture (2002)
S. Ｐｒｏｖｉｎｃｉａｌ HO
HC village
H.University Advice
Training
Field practice
Teaching
Cooperation
Nursing student
T.Prefectural HO
Pilot HC
HC HC HC
Spread to all HC in Model prefecture
continuity of action after practice 2n
d ye
ar
Ｐ. health school
CHN Seminar and Workshop in S. Ｐｒｏｖｉｎｃｅ（February,2004)
(2003)
(2001)
Seminar participant (paid) (free) 354 + 50 = 404 Workshop participant 110 (16／26 pref.)
J.Ｐrefecture
Nursing student
M.Ｐrefecture
1st year
(2004)
４th year
The wider impact of the project to 4 model prefectures in S.Ｐｒｏｖｉｎｃｅ
3rd year
Pilot health center
(2004)
P.Prefectural Health office
P.Ｐrefecture
T.Prefectuer
Development of PHC activities to all prefectureｓ in Ｓ.Ｐｒｏｖｉｎｃｅ
PHC training by alumni JICA in T.Prefecture
(2002)
（ alumni JICA ）
Collaborative Team
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
23 Courtesy visit to the presedent of University of Hyogo ( Aug 2005)
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 Indonesia
University of Hyogo Research institute of Nursing
Care for people and Community MOH
Depertment of Nursing
Hasanuddin University Divisin of Nursing,Faculty of Medicine
JICA
South Sulawesi Health Office
South Sulawesi 24Kabupaten Health office
Hyogo Prefecture
（Collaborative research）
6 model Kabupate
Health Center
University of Hyogo
Pengkajian lapangan mengenai aktifitas koordinator Perkesmas tingkat Kabupaten/kota
Pelatihan pembina koordinator Perkesmas (Jepang)
Pelatihan Koordinator Perkesmas tingkat Kabupaten/kota
Pemantauan dan tidak lanjut
Komite penyelenggaraan
Proses Pelatihan Koordinator Perkesmas di Sulawesi Selatan
UNHAS
Dibagi dalam 5 tim pembina perkesmas
Indonesia Japan
POA
Dinkes SULSEL
Puskesmas Model
Dinkes Kabupaten/kota, Puskesmas
Alumni JICA
Pelatihan pembina koordinator Perkesmas (Jepang)
Seminar/Lokakarya Perkesmas tingkat propinsi
Komite penyelenggaraan
POA
Pemantauan dan tindak lanjut
SK
実践 Implementasi
Pelatihan koordinator Perkesmas tingkat
Puskesmas
Collaboration of ex-participant (Almini JICA) & JICA Junior expert
National Community Health Nursing Seminar & Workshop (４～６ Ｄｅｃｅｍｂｅｒ ２００７ ）
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)
RG4:Maros,Pangkep,Pinrang
RG5:Jeneponto,Bantaeng,Bulukumba,Sinjai,Selayar
RG2:Sidrap,Soppeng,Bone, Wajo,Enrekang
RG3:Toraja,Luwu,Luwu utara,Palopo,Luwu Timur
RG1:Takalar,Gowa, Makassar,Barru,
Pare-pare
Monitoring and Follow-up for each Kabpaten and Region
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
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.
A. Background
1. General objective To increase knowledge of CHN about
management and disaster nursing (before, occurrence, and after disaster) for coordinators in district/city and HC level.
2. Special objective a. Policy health department of Republic
Indonesia to relief of natural disaster in Indonesia
b. Strategy to relief natural disaster by crisis center of South Sulawesi.
c. Strategy to relief natural disaster in Japan d. Policy to relief natural disaster in health
education program e. Basic life support training and medical first
responder f. Experience of study to relief natural disaster
in Japan
B. Objective g. Role and activity of CHN coordinator in district/city and HC level in disaster (before, occurrence, after disaster)
C. Participant 1. Coordinator of CHN in district/city level 23 2. Coordinator of CHN in HC level 23
D. Strategy of Workshop Lecture, Roll play, and group discussion
E. Time and place Time : 12- 14 August 2009 Place: Bapelkes Makassar
Date/ time Activities
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
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
13 August 08.00 – 09.00 10.00 – 11.00 11.00 – 12.00 13.00 – 16.15
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
14 August 08.00-10.00 10.15 – 12.00 13.00 – 15.30 15.30 – 16.00
Presentation group work I and II Discussion Conclusion outcome of group discussion Closing
Schedule of workshop of disaster nursing for CHN Coordinator In South Sulawesi
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
4
• 118 hospitals in Australia, Indonesia, UK & France
• Employees more than 30,000 people
• Admits over 1 million patients per annum
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
asb0707
Patient Safety
Health
Program
6. Goal
Staff Institution
Program Environment
Patient Handling
Beyond Quality Safety
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:: (Patient Name & Ward 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
• 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
Checking the patient
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
HICMR Pty Ltd Infection Control Consultants
• 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
STANDARD PRECAUTIONS
Reduced the Risk of health care – associated infections
Airborne Droplet Contact Common vehicle Vector borne
Transmission
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
Report as soon as Supervisor Incharge
Se General Practice In A&E
Yes No
Report to Infection Control Nursing
PATIENT STAFF
Processed with ICN/ Supervisor In-charge
Source Knowing
Needle Stick & Exposed Blood
Continue
Do counseling to staff 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
Ask consent from source to be tested for:
HIV Hep B Hep C
Do counseling to source Obtain blood sample. Use correct forms
PATIENT STAFF STAFF
Do counseling to staff 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
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
Transferring Patient from Chair to Bed Post Hip replacement:
PATIENT HANDLING
Transferring Patient from bed to trolley: (Pat slide & slide sheet x 2)
PATIENT HANDLING
• 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
Category 3
Category 4
Chest X-Ray
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
Disampaikan pada Seminar International “ Bridging the Gap Between Nursing Education and Health Care Services “
Makassar 11 November 2011
Oleh : Ns. Siti Komariah, SKep.MARS
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
Pendidikan Keperawatan menekankan tentang keprofesian
Kep. Sebuah profesi
Bagian integral dari pelayanan kesehatan
Bentuk pelayanan profesional
LOKAKARYA NASIONAL, 1983
• Tuntutan kebutuhan masyarakat • Kemajuan IPTEK • Globalisasi • Pengembangan profesi
Peran Pendidikan
Tinggi Keperawatan
Pengembangan YanKep
profesional dan teknologi
keperawatan
Pembinaan Kehidupan keprofesian
Lulusan dengan kemampuan Profesional
Sarana mencapai Profesionalisme Keperawatan &
percepatan proses
perubahan atau transisi
Penting Penataan Sistem Tata Kelola Dan Proses Pembelajaran Mahasiswa di RS
Dalam mendukung Keberhasilan Pengembangan Pelayanan Keperawatan
2 SEKILAS TENTANG PENDIDIKAN PROFESI
KEPERAWATAN
World Class Healthcare Experience
• Jenis pendidikan mencakup pendidikan umum, kejuruan, akademik, profesi, vokasi, keagamaan, dan khusus
Pasal 15
• Pendidikan tinggi mencakup jenjang pendidikan diploma, sarjana, magister, spesialis, dan doktor yang diselenggarakan oleh pendidikan tinggi
Pasal 19
• 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
Pasal 20
Tahap Akademik
• Teori dan konsep • Bersifat deskriptif
Tahap Profesi
• Aplikasi teori dan konsep
• Proses pembelajaran klinik
SKep Ners
Perguruan Tinggi
CERDAS
KOMPETITIF
• Kebutuhan kemasyarakatan (societal needs) • Kebutuhan dunia kerja (industrial needs) • Kebutuhan profesional (professional needs) • Kebutuhan generasi masa depan (scientific vision)
Kompetensi Sesuai Kebutuhan Stakeholder
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
REACH
GODLY COMPASSION
World Class Healthcare Experience
Pilihan terpercaya untuk mendapatkan pelayanan
kesehatan bertaraf Internasional,
pendidikan kesehatan dan penelitian.
1. Love
2. Caring
3. Integrity
4. Honesty
5. Empathy
6. Compassion
7. Professionalism
World Class Healthcare Experience
SILOAM HOSPITAL LIPPO CIKARANG SILOAM HOSPITAL KEBON JERUK
SILOAM HOSPITAL SURABAYA SILOAM HOSPITAL LIPPO VILLAGE
SILOAM HOSPITAL MRCCC
SILOAM HOSPITAL JAMBI
SHLV Org.Chart
Unit Head ICU/ICCU/HC
Unit HeadNew Ward
Unit HeadGenesaret
Division Head Nursing
Department Head In Patient Services
Unit HeadOut Patient Department
Unit HeadOperating Theatre/
CSSD
Unit HeadBetsaida
Unit HeadLDS/ Maternity/ Nursery
Case Manager
Unit HeadCatheterization
Laboratory/Day Surgery
Unit HeadHaemodialysis
Acute Pain Nurse Coord.
Unit HeadSiloam/Samaria
Wound Care / Diabetic Nurse Coordinator
Committee
Clinical Educator Coordinator
Hospital Coordinator
Unit HeadSarfat/NICU
Chief Executive Officer Siloam Hospitals Lippo Karawaci
Unit HeadAccident Emergency
Unit HeadMedical Check Up
Learning & Development
Unit HeadDecapolis/Stroke Unit
Unit HeadNew Ward
NURSING ORG. CHART
TUJUAN PELAYANAN KEPERAWATAN
PELA
YAN
AN
MU
TU
SDM
KEU
AN
GA
N
PER
TUM
BU
HA
N
8 PRINSIP
VISI MISI SHLV MISI DAN FALSAFAH PELAYANAN KEPERAWATAN
ETC OPD RADIOLOGY
LABORATORY MEDICAL REHABILITATION
PHARMACY
ICU/ICCU/NICU/HCU CATH LAB OPERATING THEATRE
DIALYSIS LDS MEDICAL RECORD 24hrs
• Akreditasi Nasional 5 bidang pelayanan
1998 ( Juli )
• Akreditasi Nasional 12 Bidang Pelayanan
2001 ( November )
• Akreditasi Nasional 16 Bidang Pelayanan
2004 ( Oktober )
• Akreditasi Nasional 16 Bidang Pelayanan + Patient Safety
2008 ( Januari )
• Akreditasi Nasional 16 Bidang Pelayanan + Patient Safety
2011 ( Februari )
World Class Healthcare Experience
Pencapaian Akreditasi Nasional
World Class Healthcare Experience
• Sertifikasi Internasional dari JCIA
2007 ( September )
• Re – sertifikasi JCIA 2010
( September )
World Class Healthcare Experience
Pencapaian Lain - lain
• Sertifikasi ISO 9001 : 2000 2001
( November)
• Penghargaan “Yasa Ayodhya Adinugraha“ dari Presiden RI
2002 ( September )
• PERSI menjadikan SHLV sebagai RS percontohan untuk program
patient safety
2005
• Penghargaan Paramakarya Dharma Artha Husada
2006 ( November )
World Class Healthcare Experience
• Juara I Lomba Rumah Sakit Umum Bersih tingkat Kabupaten Tangerang
2007 ( November)
• Piagam Penghargaan kepada Rumah Sakit Berprestasi dalam Pelayanan
Kesehatan (Kep. Menkes RI no: 1623/MENKES/SK/XI/2010
2010 ( September )
• ISO 9001 : 2008
2010
( Desember)
• Juara I Kompetisi Rumah Sakit Sayang Ibu & Bayi Tingkat
Kabupaten Tangerang
2011 (Juni)
RUANGAN JUMLAH TEMPAT TIDUR
Kapasitas Total 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 Process Output • Mahasiswa • CNE/ CI • Mentor/ Preseptor • Kurikulum • Petunjuk Pelaksanaan • Jadwal praktek • Sarana & prasarana lahan praktik • Karakteristik CNE/ Mentor/ Preseptor • dll
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
Fasilitas: 1. Ruang Model praktik 2. SDM: CNE/ CI, Mentor 3. Alat 4. Manajemen
1. Kurikulum 2. Dosen
Pembimbing
SHLV NERS PROFESIONAL
CHIEF EXECUTIVE OFFICER SHLV
PENANGGUNG JAWAB PRAKTIK KLINIK KEPERAWATAN DI RS
( NURSING DIVISION )
CLINICAL INSTRUCTOR FIK
CNE - RS
Ho Dept TRAINING & EDUCATION DEKAN FIK
PRESEPTOR/ MENTOR MAHASISWA KEPERAWATAN
• 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
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 CI Pendidikan 30%
METODE EVALUASI
1. Disiplin terhadap kehadiran dan mengikuti aturan 2. Stabilitas emosi 3. Tanggung jawab 4. Ketelitian dan kerapihan dalam bekerja 5. Inisiatif 6. Kejujuran 7. Kerjasama ( komunikasi, menghargai pendapat ) 8. Sikap profesional
1. Pengkajian 2. Diskusi kelompok ( pre dan post conference )
a. Penguasaan materi b. Kemampuan mengemukakan pendapat c. Kemampuan berargumentasi tentang kasus
3. 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
4. Konsultasi individu a. Penguasaan materi b. Kemampuan mengemukakan pendapat c. Kemampuan berargumentasi tentang kasus
5. Laporan akhir
1. Pengkajian a. Persiapan pasien b. Persiapan alat
2. Perencanaan – Menentukan masalah, tujuan, dan tindakan keperawatan
3. Pelaksanaan – Salam terapeutik, melakukan kontrak kerja, melaksanakan tindakan
keperawatan sesuai SOP 4. Evaluasi
– Mengamati respon pasien, rencana tindak lanjut, kontrak yagn akan datang, dan terminasi
5. 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.
