STUDI PELAKSANAAN STANDAR OPERASIONAL PROSEDUR (SOP ) ANESTESI DAN REANIMASI DI RUANG IBS RSUD KABUPATEN BUTON SULAWESI TENGGARA MUHAMMAD SIDDIK , Ni Luh Adi Satriani, S.Kp.,M.Kep,S.Mat ², Ns.Ni Wayan Kesari Dharmapatni, S.Kep.,MNS ³ Institut Teknologi dan Kesehatan (ITEKES) Bali, Indonesia Email: [email protected] ABSTRAK Latar Belakang: Pasal 13 ayat 3 Undang - Undang Rumah Sakit menegaskan bahwa setiap tenaga kesehatan di Rumah Sakit harus bekerja sesuai standar profesi, standar pelayanan Rumah Sakit, etika profesi, menghormati hak pasien dan mengutamakan keselamatan pasien. Ketaatan pada standar pelayanan dapat mengu rangi insiden adverse event . Penata anestesi harus bekerja sesuai dengan standar profesi dan standar operasional prosedur yang berlaku. Tujuan Penelitian: Untuk mengetahui pelaksanaan standar o perasional prosedur oleh penata anestesi saat pre, intra dan pasca anestesi dan mengetahui faktor - faktor yang mempengaruhi pelaksanaan SOP. Metode Penelitian: Rancangan penelitian deskriptif kualitatif dengan pendekatan fenomenologi. Lokasi penelitian di instalasi bedah sentral RSUD Kabupaten Buton . Subje k peneliti an adalah penata anestes i yang bekerja di IBS sebanyak 3 orang. Pengumpulan data dilakukan dengan wawancara mendalam (indeep interview) kemudian dilakukan metode observasional. Hasil Penelitian: P ada periode pre anestesi penata anestesi melaksanakan tuga s sesuai SOP yang ditetapkan yakni mempersiapkan mental dan fisik pasien secara optimal, merencanakan dan memilih tekhnik serta obat anestesi sesuai kebutuhan. Pada periode intra anestesi sebagian besar penata anestesi telah melakukan pelayanan sesuai SOP yakni selalu berada dalam kamar operasi selama pembedahan berlangsung dan melakukan pemantauan intra anestesi. Namun pada periode pasca anestesi pelayanan anestesi yang diberika n belum sesuai SOP yaitu penata anestesi tidak melakukan pengukuran tekanan dar ah dan tidak melakukan penilaian aldrete score dan bromage score. Pelaksanaan SOP pelayanan anestesi dipengaruhi beberapa faktor diantaranya: (1) faktor pendidikan (2) faktor manajemen (3) motivasi, dan (4) faktor fasilitas. Kesimpulan: Pelaksanaan pelaya nan anestesi oleh penata anestesi pada pre dan intra anestesi cukup baik, namun pada pasca anestesi perlu ditingkatkan dengan memperhatikan faktor pendidikan, dukungan manajemen, memberikan motivasi serta meningkatkan sarana dan fasilitas pendukung. Kata kunci: penata anestesi, pelaksanaan SOP

THE IMPLEMENTATION OF STANDARD OPERATIONAL PROCEDURES (SOP) ON REANIMATION ANESTHESIA IN CENTRAL SURGICAL INSTALLATION BUTON REGENCY HOSPITAL, SOUTHEAST SULAWESI MUHAMMAD SIDDIK Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology a nd Health Bali Email: [email protected] ABSTRACT Background. Article 13, paragraph 3 of the Hospital Law emphasizes that every health worker in a hospital must work according to professional standards, hospital service standards, professional ethics, respect patient rights, and prioritize patient safety. Adherence t o service standards can reduce the incidence of adverse events. Anesthetists must work under applicable professional standards and standard operating procedures. The purpose of this study was to determine the implementation of standard operating procedures by the anesthesiologist during pre - , intra - , and post - anesthesia and to determine the factors that influence the implementation of the SOP. Method. This study employed a qualitative descriptive research design with a phenomenological approach. The researc h location was in the central surgical installation of the Buton Regency Hospital. The research respondents were 3 anesthesiologists who worked at IBS. In - depth interviews carried out data collection then carried out the observational method. Results. Find ings indicated that in the pre - anesthesia period, the anesthesiologists performed tasks according to the established SOP; the tasks were preparing the patient's mental and physical optimally, planning and selecting anesthetic techniques and drugs as needed . During the intra - anesthesia period, most anesthesiologists performed the service according to the SOP, which was always in the operating room during the operation and conducting intra - anesthesia monitoring. However, in the post - anesthesia period, the ane sthesia services provided were not following the SOP; the anesthesiologist did not measure blood pressure and did not assess the Aldrete and bromage scores. The implementation of SOP for anesthesia services was influenced by several factors, including (1) education factor, (2) management factor, (3) motivation, and (4) facility factor. Conclusion. The implementation of anesthesia services by the anesthesiologist at pre - and intra - anesthesia is quite good; however, after anesthesia needs to be improved by pay ing attention to education factors, management support, providing motivation, and improving supporting facilities. Keywords: Anesthesiologist, SOP Implementation.