STUDI KASUS ASSESSMENT PRA ANESTESI PADA PASIEN AMBULATORY ANESTESI DI RSU KERTHA USADA Ni Putu Sapta Oktaviani Tirta Dewi Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Assessment pra anestesi adalah suatu prosedur yang dilakukan untuk menilai kelayakan dan persiapan kondisi medis pasien sebelum tindakan anestesi. Ambulatory anestesi merupakan pelayanan medis yang tidak memerlukan rawat inap pasca anestesi. Tujuan: Mengetahui assessment pra anestesi pada pasien ambulatory anestesi di RSU Kertha Usada. Metode: Penelitian ini menggunakan deskriptif kualitatif melalui pendekatan studi kasus dengan rancangan multiple case study. Alat pengumpulan data berupa panduan wawancara dengan jumlah partisipan 5 orang. Analisa data menggunakan case analysis dan cross-case analysis. Hasil: Kelima partisipan menggambarkan assessment pra anestesi pasien ambulatory anestesi di RSU Kertha Usada yaitu anamnesis meliputi pengkajian identitas, indikasi pembedahan, dan data fokus anestesi. Pemeriksaan fisik meliputi breathing, blood, brain, bladder, bowel, dan bone. Analisa pemeriksaan diagnostik meliputi laboratorium dan radiologi, penilaian status fisik ASA, pertimbangan anestesi, dan pertimbangan khusus yang mencakup jarak dan akses rumah ke rumah sakit, serta penanggung jawab pasien, tetapi anamnesis obstructive sleep apnea dan pertimbangan khusus tidak dilakukan pengkajian secara detail. Kesimpulan: Assessment pra anestesi pada pasien ambulatory anestesi yang dilakukan oleh kelima partisipan meliputi anamnesis, pemeriksaan fisik, analisa pemeriksaan diagnostik, penilaian status fisik ASA, dan pertimbangan anestesi, sedangkan tidak dilakukan pengkajian secara detail tentang obstructive sleep apnea dan pertimbangan khusus. Kata kunci: Assessment Pra Anestesi, Ambulatory Anestesi

CASE STUDY OF PRE-ANESTHESIA ASSESSMENT IN AMBULATORY ANESTHESIA PATIENTS AT KERTHA USADA HOSPITAL Ni Putu Sapta Oktaviani Tirta Dewi Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Pre-anesthesia assessment is a procedure to assess the feasibility and preparation of a patient's medical condition before anesthesia. Ambulatory anesthesia is a medical service that does not require hospitalization after anesthesia. Purpose: To identify case study of pre-anesthesia assessment in ambulatory anesthesia patients at Kertha Usada hospital Method: This study employed descriptive qualitative with a case study approach with multiple case study design. The data were collected by using interview guide. There were 5 participants included in this study. The data were analyzed by using case analysis and cross-case analysis. Result: The finding showed that 5 participants described the pre-anesthesia assessment of ambulatory anesthesia patients at Kertha Usada Hospital, namely anamnesis including identity assessment, surgical indications, and anesthetic focus data. Physical examination includes breathing, blood, brain, bladder, bowel, and bone. Diagnostic examination analysis included laboratory and radiology, ASA physical status assessment, anesthetic considerations, and special considerations including distance and access to the hospital from the hospital, as well as the responsibility of the patient, but the history of obstructive sleep apnea and special considerations were not assessed in detail. Conclusion: The pre-anesthesia assessment of the outpatient anesthesia included participant anamnesis, physical examination, diagnostic examination, assessment of ASA physical status, and assessment of anesthesia, whereas a detailed study of obstructive sleep apnea and special considerations is not carried out Keywords: Assessment pre-anesthesia, Ambulatory anesthesia