Gambaran Kewenangan Penata Anestesi Pada Pelayanan Intra - Anestesi Sesuai Peraturan Menteri Kesehatan RI Nomor 18 Tahun 2016 Di Provinsi NTB Muhamad Natsir Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang : Peraturan Menteri Kesehatan Republik Indonesia Nomor 18 Tahun 2016 menyebutkan bahwa penata anestesi berwenang melakukan asuhan kepenataan anestesi pada pra - anestesi, intra - anestesi dan pasca - anestesi. Setiap kewenangan didalamnya diatur oleh isi atau m ateri, wilayah dan waktu. Sumber kewenangan penata anestesi pada intra - anestesi meliputi kewenangan atribusi, wewenang mandat dan wewenang berdasarkan penugasan pemerintah. Pelampauan kewenangan terhadap Permenkes Nomor 18 Tahun 2016 akan mengakibatkan ada nya tanggung jawab hukum, baik secara hukum pidana, hukum perdata, maupun hukum administrasi. Tujuan : Penelitian ini bertujuan untuk mengetahui gambaran kewenangan penata anestesi pada pelayanan intra - anestesi sesuai dengan Permenkes RI No.18 Tahun 2016 di Provinsi NTB. Metode : Desain penelitian ini adalah deskriptif kuantitatif dengan pendekatan cross - sectional . Teknik sample menggunakan non probabilty sampling dengan total sampling 94 orang penata anestesi. Data dianalisa dengan statistik deskriptif. Hasil : Pelaksanaan k ewenangan atribusi pada pelayanan intra - anestesi sesuai Permenkes RI No.18 Tahun 2016 didapatkan sebanyak 91 (99%). Pelaksanaan pelimpahan wewenang mandat dari d okter spesialis anestesiologi sebanyak 65 (70%). Pelaksanaan pelimpahan wewenang berdasarkan penugasan pemerintah sebesar 41 (44%). Kesimpulan : Kewenangan atribusi penata anestesi dan pelimpahan wewenang mandat dari dokter spesialis anestesi kepada Penat a Anestesi, serta p elimpahan wewenang berdasarkan penugasan pemerintah kepada penata anestesi pada pelayanan intra - anestesi di Provinsi NTB masih kurang sesuai dengan uraian materi pada Permenkes RI No.18 Tahun 2016. Kata Kunci : Permenkes RI No.1 8 Tahun 2016, Penata Anestesi, Kewenangan Intra - A nestesi, Provinsi NTB

THE AUTHORITY OF ANESTHESIA TECHNOLOGIST S IN INTRA - ANESTHESIA SERVICE ACCORDING TO REGULATION OF HEALTH MINISTER OF INDONESIA REPUBLIC NUMBER 18 OF 2016 IN NTB PROVINCE Muhamad Natsir Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background . The R egulation of Health Minister of Indonesia Republic Number 18 of 2016 states that anesthesia technologist s are authorized to administer anesthesia care for pre - anesthesia, intra - anesthesia , and post - anesthesia. Each authority in it is governed by the content or material, region , and time. The sources of authority of the anesthesia tech nologist in intra - anesthesia include attribution authority, mandate authority , and authority based on government assignments. Exceeding the authority of the Minister of Health Regulation Number 18 of 2016 will result in legal liability, both in criminal la w, civil law, and administrative law. The purpose of this study was t o identify the authority of anesthesia technologist s in intra - anesthesia service according to the Regulation of Health Minister of Indonesia Republic Number 18 of 2016 in NTB Province . M ethod. This study employed descriptive quantitative with a cross - sectional approach , t he sampling technique used non - probability sampling with a total sampling of 94 anesthesia technologist s . Data were analyzed with descriptive statistics. Results. Findings indicated that t he implementation of attribution authority for intra - anesthesia services according to the Health Minister of Indonesia Republic Number 18 of 2016 was 91 (99%) respondents . The delegation of mandate authority from anesthesiologist s was 65 (70%) respondents . The implementation of the delegation of authority based on government assignments was 41 (44%) respondents . Conclusion. The attribution authority of the anesthesia technologist and the mandated authority delegation from anesthesio logist s to anesthesia technologist s and the authority delegation based on government assignment to the anesthesiologist s in intra - anesthesia services in the NTB Province are still not following the material descri bed in the Health Minister of RI No.18 of 2 016. Keywords: Permenkes RI No.18/2016, Anesthesia Technologist , Intra - Anesthesia Authority, NTB Province.