“KESIAPAN PENATA ANESTESI DALAM MENERIMA PELIMPAHAN WEWENANG SECARA MANDAT DARI DOKTER ANESTESI” Mohammad Azi s Program Studi DIV Keperawatan Anestesiolog i Fakultas Kesehatan Institusi Teknologi Dan Kesehatan Bali Email: [email protected] ABSTRAK Peraturan Menteri Kesehatan sangat membatasi wewenang penata anestesi dibanding dengan Permenkes 779/Menkes/SK/VIII/2008 yang memberikan wewenang lebih luas bagi penata anestesi untuk melaksanakan tindakan anestesi dan reanimasi pada kondisi tidak ada dokt er spesialis anestesi. Namun dalam Permenkes 519/MENKES/PER/III/ 2011 memberikan peluang kepada setiap rumah sakit untuk mengatur pelimpa - han wewenang medis bagi rumah sakit yang tidak mempunyai tenaga dokter spesialis anestesiologi, Tujuan penelitian ini adalah untuk Menggambarkan Kesiapan Penata Anestesi Dalam Menerima Pelimpahan Wewenang Secara Mandat Dari Dokter Anestesi. Jenis penelitian yang digunakan adalah kualitatif, dengan pendekatan descriptive, Tempat penelitian di Rumah Sakit Bandar Lampung, w aktu penelitian dilakukan dibulan April tahun 2021, Besarnya sampel yang digunakan adalah 30 karyawan penata anestesi di Rumah Sakit Bandar Lampung, Metode sampling yang digunakan dalam penelitian ini adalah Total sampling. peneliti menggunakan teknik Tria ngulasi data, pengumpulan data menggunakan lembar kuesioner, dan analisis data menggunakan reduksi data dan penarikan kesimpulan. Hasil penelitian Kesiapan penata anestesi pada fase pre operatif ini sudah sesuai dengan tugas dan wewenang penata anestesi s ehingga tidak ada beban lebih atau ketidaksesuai dengan peraturan penatalaksaan anestesi. Fase intra operasi: kurangnya pengetahuan penata anestesi mengenai farmakologi (obat - obatan) serta dosis dari obat tersebut dan klasifikasi obat berdasarkan pasien da n kegawatdaruratan pasien menyebabkan pelimphahan wewenang menjadi tidak optimal karena kurang pengetahuan dari penata anestesi, namun dapat dicegah dengan kolaborasi dokter anestesi dan pada fase post operasi sesuai pembagian tugas penata anestesi dan dok ter anestesi dalam hal ini tidak ada perbedaan signifikan, Diharapkan kepada dokter anestesi untuk mengajak penata anestesi secara periodic mengupdate keilmuan farmakologi anestesi . Kata Kunci : Pelimpahan, Kesiapan, Mandat, Penata Anestesi

THE READINESS OF NURSE ANESTHETIST IN RECEIVING AUTHORITY DELEGATION MANDATORY FROM THE DOCTOR ANESTHETIST Mohammad Azis Faculty of Health Diploma IV Nursing Anesthesiology Program Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background : The Minister of Health Regulation severely limits the authority of the nurse anesthethist compared to Decree 779 / Menkes / SK / VIII / 2008 which gives wider authority for nurse anesthethist to carry out anesthesia and reanimaizing measures in when there is no doctor anesthethist. But in Decree 519 / MENKES / PER / III / 2011 provides an opportunity to the hosp ital to regulate medical authority to hospitals which do not have doctor anesthethist. Aim: To determine the readiness of nurse anesthethist in receiving authority delegation mandatory from doctor anethethist Method: This study employed qualitative design with descriptive approach. The setting of this study was in Bandar Lampung hospital. This study was conducted in April 2021. There were 30 respondents recruited as sample of this study which were selected through total sampling and triangulation technique. The data were collected by using questionnaire and analyzed through data reduction and conclusion. Finding: The finding showed that the readiness of nurse anesthethist in pre - operative phase is in accordance with the duties and authorities of nurse anesth ethist so that there is no nurden or incompatibility with the rules of anesthesia management. Intraoperative phase : the lack of nurse anesthethist’s knowledge of pharmacology (drugs) as well as the dosage of the drug and the classification of drugs based on the patient and the emergency of the patient cause the delegation of authority to be not optimal due to lack of knowledge of nurse anesthethist. But, this condition could be prevented by the collaboration of nurse anesthethist.and in the post operative phase according to the division of duties of the nurse anesthethist is there is no significant difference. Conclusion: Doctor anesthethist is expected to invite the nurse anethethist to update the science of anesthesia pharmacology periodically. Keywords : Delegation, Readiness, Mandate, Nurse Anesthethist