HUBUNGAN KETEPATAN PENILAIAN TRIASE DENGAN TINGKAT KEBERHASIALAN PENANGANAN PASIEN CIDERA KEPALA DI IGD RSU HKBP BALIGE KABUPATEN TOBA SAMOSIR

One indicator success of emergency medical response is the speed of providing sufficient help to emergency patients either on a regular daily basis or during a disaster and the successful handling of head injuries to save lives or prevent disability since the incident, on the way to hospital help.Triage is a special process of sorting out patients based on the severity of injury or illness to determine the type of emergency care. Triage is based on ABCDE, the severity of the injury, the number of patients coming, the available health facilities and the likelihood of life of the patient. Triage nurses use ABC nursing such as airway, breathing and circulation, as well as skin color, humidity, temperature, pulse, respiration, level of awareness and visual inspection for deep wounds, gross deformities and bruises to prioritize care provided to patients in the emergency room. Principles of initial handling include primary and secondary surveys. In primary management prioritized on ABCDE (Airway, with cervical spine control, Breathing and circulation with bleeding control, disability and exposure) followed by resuscitation. Triage is a way of selecting patients based on therapeutic needs and available resources. Triage assessment is the process of assessing a patient based on the severity of a head injury or determining the type of emergency treatment. Design of the research used correlation research method with  samples 17 people. Sampling of this research using probability sampling with Proportionate stratified random sampling, research conducted in January 2017. The result of the research found triage of nurse to head injured patient seen that majority of nurses succeeded in doing triage assessment as much as 14 people (82.36%). The correlation of the accuracy of the evaluation of the nurses Triage with the success rate of the patient's handling of Head Injury at IGD HKBP Balige Hospital with the result of Pearson Product Moment test with r = 0.327 which means there is a significant correlation between the accuracy of the nurse Triage assessment with the success rate of the patient's head injury at IGD of HKBP Balige. Therefore it is expected to the Hospital in order to maintain the results of fast response time and precisely, and further improve its services, especially in the emergency department.Key words : Triage assessment, handling, patient,  head  injurie

FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU MASYARAKAT TERHADAP KEPATUHAN PENGGUNAAN APD (ALAT PELINDUNG DIRI) PADA MASA PANDEMI COVID-19 DI DESA SUKA MAJU

December 2019 saw the discovery of a new virus in Wuhan, China, namely Corona Virus Diseases (COVID-19). This is the latest epidemic to hit the world. Covid-19 belongs to the same coronavirus family as the cause of SARS and MERS, but the death rate for SARS and MERS is higher than Covid-19 and Covid-19 has a wider and faster spread. The way to protect yourself from exposure to Covid-19 is to reduce risks such as washing your hands in running water; looking for information related to COVID-19 from valid sources, knowing what to do if you are sick. PSBB is regulated by the Regulation of the Minister of Health (RI No. 9 of 2020 concerning Guidelines for Large-Scale Social Restrictions in the context of accelerating the handling of Corona Virus Disease 2019 (Covid-19) to prevent the possible spread of the virus. Good behavior can be an effort to prevent the transmission of Covid-19 Health behavior is influenced by many factors, including knowledge, perceptions, emotions, motivation, and the environment. The purpose of this study is determine the factors that influence community behavior towards the use of personal protective equipment during the Covid-19 period in Suka Maju Village, Kec. Singingi Downstream, Kab. Kuantan Singingi, Prov. Riau. This study is an analytic observation, using a cross sectional, with a sample of 100 respondents using inclusion criteria, using a closed questionnaire. Based on this study, it was found that respondents who were obedient to the use of PPE were influenced by their good response to predisposing factors 74 respondents (93.7%). In enabling factor, respondents were obedient 22 respondents (95.7%). On the reinforcing factor, respondents who obeyed 28 respondents (93.3%)

PENINGKATAN MEKANISME KOPING PADA PASIEN KANKER PAYUDARA DI RUMAH SAKIT GRANDMED LUBUK PAKAM

The success of the coping mechanism in patients with breast cancer depends not only on early detection but also an understanding of the mechanisms that cause it. Psychological impact experienced by each patient, especially breast cancer which underwent different treatment depending on the level of severity (stage). The differences before and after being given education can affect the coping mechanism of the individual itself. One of the conditions that can cause anxiety is the process of implementing chemotherapy treatment. The purpose of this study was to determine the increase in coping mechanisms in breast cancer patients at Grandmed Lubuk Pakam Hospital. Counselling was carried out to see an increase in coping mechanisms, namely by directly informing breast cancer patients about coping mechanisms with education, distributing leaflets and analyzing data before and after education. Data analysis was performed using the Paired Sample T-Test with a confidence level of 95% and a value of α = 0.05. The results obtained from this study have shown a change in the coping mechanism of the patient before and after being given education on the application of the coping mechanism with a p-value = 0.001 (α> 0.05). In conclusion, there is an increase in coping mechanisms in breast cancer patients who are carried out according to standards, for health institutions there is a need for supervision and counselling to the public about the importance of maintaining health, especially for breast cancer patients at Grandmed Lubuk Pakam Hospital