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TUGAS KEWASPADAAN ISOLASI

Fadhila Anisa 2014201057


Muhamad Akbar 2014301072
Natasya Evi A. 2014301077
Riska Oktafiana 2014301086
Rizki Rafina D.A.W 2014301088
Timika Athaafiyah O. 2014301091
Veranita Meilya R. 2014301094
Vivi Aprilia W. 2014301095
Zulnisa W. 2014301097
Andrean 2014301098
Annisa Hartati 2014301099
Najwa Nabilla Salma 2014301075
Kewaspadaan isolasi adalah tindakan pencegahan atau pengendalian infeksi

yang disusun oleh Center for Desease Control(CDC) dan harus diterapkan di

rumah sakit dan pelayanan kesehatan lainnya. Kewaspadaan isolasi diterapkan

untuk menurunkan resiko trasmisi penyakit dari pasien ke pasien lain atau ke

pekerja medis.Kewaspadaan isolasi memiliki 2 pilar atau tingkatan, yaitu

Kewaspadaan Standar (Standard/Universal Precautions) dan Kewaspadaan

berdasarkan cara penularan (Transmission based Precautions) (Muchtar, 2014;

Akib, dkk, 2008; Rosa, 2015).


Kewaspadaan Standar (Standard/Universal Precautions)
 
Kewaspadaan standar adalah kewaspadaan dalam pencegahan dan
pengendalian infeksi rutin dan harus diterapkan terhadap semua
pasien di semua fasilitas kesehatan.Kewaspadaan Universal yaitu
tindakan pengendalian infeksi yang dilakukan oleh seluruh tenaga
kesehatan untuk mengurangi resiko penyebaran infeksi dan
didasarkan pada prinsip bahwa darah dan cairan tubuh dapat
berpotensi menularkan penyakit, baik berasal dari pasien maupun
petugas kesehatan (Nursalam, 2007).
Kewaspadaan berdasarkan Transmisi
( Transmissionbased precautions)
Kewaspadaan berdasarkan transmisi merupakan tambahan untuk

kewaspadaan standar, yaitu tindakan pencegahan atau pengendalian

infeksi yang dilakukan setelah jenis infeksinya sudah terdiagnosa atau

diketahui (Akib, dkk, 2008).Tujuannya untuk memutus mata rantai

penularan mikroba penyebab infeksi, jadi kewaspadaan ini diterapkan

pada pasien yang memang sudah terinfeksi kuman tertentu yang bisa

ditransmisikan lewat udara, droplet, kontak kulit atau lain-lain

(Muchtar, 2014).
Berdasarkan IPC tahun 2018 , jenis Kewaspadaan berdasarkan transmissi yaitu:
1) Kewaspadaan transmisi kontak
Transmisi kontak merupakan cara transmisi yang terpenting
dan tersering menimbulkanHealthcare Associated
Infections(HAIs). Kewaspadaan transmisi kontak ini ditujukan untuk
menurunkan resiko transmisi mikroba yang secara epidemiologi ditransmisikan
melalui kontak langsung atau tidak langsung.

2) Kewaspadaan transmisi droplet


Transmisi droplet langsung, dimana droplet mencapai mucus
membrane atau terinhalasi. Transmisi droplet ke kontak, yaitu
droplet mengkontaminasi permukaan tangan dan ditransmisikan ke
sisi lain misal: mukosa membrane. Transmisi jenis ini lebih sering
terjadi daripada transmisi droplet langsung, misal: commoncold, respiratory
syncitial virus (RSV)
3).Kewaspadaan transmisi melalui udara ( Airborne Precautions )
Kewaspadaan transmisi melalui udara diterapkan sebagai tambahan
kewaspadaan standar terhadap pasien yang diduga atau telah diketahui
terinfeksi mikroba yang secara epidemiologi penting dan ditransmisikan
melalui jalur udara

Alat Pelindung Diri (APD)


a. Definisi
Alat Pelindung Diri (APD) adalah suatu alat yang membantu seseorang
untuk melindungi atau mengisolasi tubunnya dari segala macam bahaya
yang dapat mengancam jiwa di tempat kerja .
(Permenaker, 2010).

b. Macam-macam Alat Pelindung Diri (APD)


1. Sarung Tangan
2. Alat Pelindung Wajah
3. Penutup Kepala
4. Gaun Pelindung (Cover Gown)
5. Sepatu pelindung (Pelindung Kaki)
C. Tujuan dan Manfaat Alat Pelindung Diri
Penggunaan APD bertujuan untuk melindungi tenaga kerja dan
merupakan salah satu upaya mencegah terjadinya KAK dan PAK oleh
bahaya potensial pada suatu perusahaan yang tidak dapat dihilangkan
atau dikendalikan .
Berdasarkan penjelasan tentang manfaat dan tujuan alat pelindung
diri dapat diambil kesimpulan bahwa APD memiliki manfaat dan tujuan
sebagai pelindung tubuh pekerja dari bahaya-bahaya yang berada di
tempat kerja.

D. Prinsip dalam Penggunaan APD


Prinsip penggunaan APD berdasarkan Panduan Pemakaian Alat
Pelindung Diri di Rumah Sakit PKU Muhammadiyah Yogyakarta Unit II
tahun 2015, yaitu:
1. Setiap pegawai RS PKU Muhammadiyah Yogyakarta Unit II harus
dapat menggunakan APD dengan baik dan benar.
2. Setiap tindakan atau kegiatan yang dapat menimbulkan potensi
bahaya di rumah sakit harus dilakukan dengan menggunakan APD.
3. Penggunaan APD disesuaikan dengan jenis tindakan dan kegiatan
disetiap instalasi RS PKU Muhammadiyah Yogyakarta Unit II.
4. Kejadian tidak diharapkan yang disebabkan oleh kelalaian dalam
menggunakan APD di rumah sakit, bukan merupakan tanggung
jawab rumah sakit.
E. Penggunaan APD
F. Penetapan Jenis APD 3. Pelayanan pasien dengan penyakit
 Penetapan Jenis APD ruang rawat inap
berdasarkan Panduan Pemakaian Alat paru menular berbahaya (TBC,
Pelindung Diri di Rumah Sakit PKU Pneumonia)
Muhammadiyah Yogyakarta Unit II tahun
2015, yaitu: 4. Pelayanan pasien dengan
1. Pelayanan pasien dengan luka, tindakan
menjahit, Bedah Minor, rawat luka kemungkinan sangat tinggi terpapar
pasien resiko rendah (pasien tanpa HIV, cairan tubuh baik pada pasien infeksius
Hepatitis B / C, dan penyakit menular
berbahaya lainnya yang ditularkan lewat maupun tidak.
cairan tubuh
2. Pelayanan pasien dengan luka, tindakan 5. Pelayanan pasien dengan penyakit
menjahit, bedah minor, rawat luka kulit menular
pasien resiko tinggi (pasien dengan HIV,
Hepatitis B/C, dan penyakit menular 6. Pelayanan pasien dengan risiko
berbahaya lainnya yang ditularkan lewat
cairan tubuh terpapar cairan tubuh minimal
G. Faktor-Faktor yang Mempengaruhi dalam Penggunaan APD
1. Pengetahuan
Pengetahuan merupakan domain yang sangat penting dalam pembentukan tindakan atau
perilaku seseorang. Penginderaan tersebut terjadi dengan panca indera manusia yaitu
pendengaran, penglihatan, perasa, penghidu dan peraba tetapi sebagian besar
pengetahuan manusia diperoleh dari proses penglihatan dan pendengaran.
2. Pengawasan
Pengawasan dilakukan bertujuan untuk meningkatkan kedisiplinan pekerja untuk
melakukan pekerjaan sesuai dengan SPO.Begitu pula pada penerapan penggunaan alat
pelindung diri harus diatas pengawasan yang tepat agar terlaksana sesuai dengan SPO yang
ada di rumah sakit .
3. Standar Prosedur Operasional ( SPO)
SPO adalah instruksi atau langkah-langkah yang dilakukan untuk menyelesaikan suatu
proses kerja rutin tertentu, yang berupa kebijakan yang telah ditetapkan. SPO bertujuan
untuk memberikan langkah-langkah yang benar agar mengurangi terjadinya kesalahan dan
pelayanan di bawah standar dalam melaksanakan berbagai kegiatan dari fungsi pelayanan
(Siburian, 2012).
4. Fasilitas APD di Rumah Sakit
Fasilitas APD yang tersedia di rumah sakit ini sangat berpengaruh, karena walaupun tingkat
pengetahuan tenaga keperawatan sudah baik, adanya pelatihan dan terdapat SPO apabila
fasilitas pendukung APD rumah sakit tidak terpenuhi/tidak sesuai standar maka
penggunaan APD oleh perawat tidak maksimal.
G. Faktor-Faktor yang Mempengaruhi dalam Penggunaan APD
1. Pengetahuan
Pengetahuan merupakan domain yang sangat penting dalam pembentukan tindakan atau
perilaku seseorang. Penginderaan tersebut terjadi dengan panca indera manusia yaitu
pendengaran, penglihatan, perasa, penghidu dan peraba tetapi sebagian besar
pengetahuan manusia diperoleh dari proses penglihatan dan pendengaran.
2. Pengawasan
Pengawasan dilakukan bertujuan untuk meningkatkan kedisiplinan pekerja untuk
melakukan pekerjaan sesuai dengan SPO.Begitu pula pada penerapan penggunaan alat
pelindung diri harus diatas pengawasan yang tepat agar terlaksana sesuai dengan SPO yang
ada di rumah sakit .
3. Standar Prosedur Operasional ( SPO)
SPO adalah instruksi atau langkah-langkah yang dilakukan untuk menyelesaikan suatu
proses kerja rutin tertentu, yang berupa kebijakan yang telah ditetapkan. SPO bertujuan
untuk memberikan langkah-langkah yang benar agar mengurangi terjadinya kesalahan dan
pelayanan di bawah standar dalam melaksanakan berbagai kegiatan dari fungsi pelayanan
(Siburian, 2012).
4. Fasilitas APD di Rumah Sakit
Fasilitas APD yang tersedia di rumah sakit ini sangat berpengaruh, karena walaupun tingkat
pengetahuan tenaga keperawatan sudah baik, adanya pelatihan dan terdapat SPO apabila
fasilitas pendukung APD rumah sakit tidak terpenuhi/tidak sesuai standar maka
penggunaan APD oleh perawat tidak maksimal.
Hand Hygiene / Mencuci Tangan

Larson mendefinisikan mencuci tangan adalah menggosok dengan


sabun secara bersamaan seluruh kulit permukaan tangan dengan
kuat dan ringkas yang kemudian dibilas dengan air yang
mengalir.Tujuan melakukan mencuci tanganadalah untuk membuang
kotoran dan organisme yang menempel dari tangan dan untuk
mengurangi jumlah mikroba yang ada saat itu serta mencegah
perpindahan organisme multi resisten dari lingkungan rumah sakit ke
pasien dan dari pasien ke petugas kesehatan begitu juga sebaliknya .
Pengetahuan
• Definis Pengetahuan
Menurut Potter & Perry pada tahun 2005, pengetahuan merupakanhasil dari penginderaan yang berupa fakta-
fakta dan informasi yang mampu menarik atau mempengaruhi individu tersebut.Penginderaan manusia
biasanya terjadi melalui proses panca indera, diantaarnya yaitu indera penglihatan, pendengaran, penciuman,
rasa dan raba. Biasanya pengetahuan manusia akan diperoleh melalui mata dan telinga (Notoatmodjo, 2007).
• Tingkat Pengetahuan
1. Tahu (know)
2. Memahami (comprehention)
3. Aplikasi (application)
4. Analisis(analysis)
5. Sintesis (synthesis)
6. Evaluasi (evaluation)
• Faktor-faktor yang mempengaruhi Pengetahuan
1. Umur
Berikut kategori umur menurut Depkes RI :
• Masa remaja akhir ( 17-25 tahun)
• Masa dewasa awal (26-35 tahun)
• Masa dewas akhir (36-45 tahun)
2. Pendidikan
3. Paparan media massa
4. Sosial Ekonomi
5. Hubungan sosial
6. Pengalaman
B. Kerangka Konsep
Keterangan:
1. Baik
2. Cukup
3. Kurang

Faktor yang mempengaruhi


Tingkat pengetahuan :
1. Umur
2. Pendidikan
3. Paparan media massa
4. Sosial ekonomi
5. Hubungan sosial
6. Pengalaman

Tingkat pengetahuan perawat


tentang penggunaan alat pelindung
diri (sarung tangan, alat pelindung
wajah, penutup kepala, gaun
pelindung, pelindung kaki)
Kriteria Responden

A. Perawat yang bekerja di bangsal rawat inap rumah sakit PKU


b. Perawat yang berstatus pegawai tetap dan kontrak di
Muhammadiyah Gamping Rumah Sakit

PKU Muhammadiyah Gamping Sleman.


Perawat yang bekeja di bangsal rawat inap yang di maksud
adalah perawat pelasana. Menurut Gaffar dalam Praptianingsih Menurut Hasibuan (2002) karyawan tetap merupakan
(2006) karyawan
peran sebagai pelaksana bertidak sebagai Comforter and yang telah memiliki kontrak ataupun perjanjian kerja dengan
protector perusahaan/instansi dalam jangka waktu yang tidak
(melindungi pasien dan mengupayakan terlaksananya hak dan ditetapkan (permanent). Karyawan tetap biasanya cenderung
kewajiban pasien dalam pelayanan kesehatan), commmunicator memiliki hak yang jauh lebih besar dibandingkan dengan
(tampak ketika perawat bertindak sebagai penghubung antara karyawan tidak tetap. Selain itu, karyawan tetap juga
cenderung jauh lebih aman (dalam hal kepastian lapangan
pasien dengan anggota tim kesehatan) serta rehabilitator
pekerjaan) dibandingkan dengan karyawan tidak tetap.
(perawat membantu pasien untuk beradaptasi dengan
perubahan tubuhnya).
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Template will your Time, Money and Reputation. Get a modern PowerPoint Presentation that is beautifully designed. Easy
to change colors, photos and Text.

Your Text Here

Content Here Content Here Content Here Content Here

You can simply impress You can simply impress You can simply impress You can simply impress
your audience and add a your audience and add a your audience and add a your audience and add a
unique zing and appeal unique zing and appeal unique zing and appeal unique zing and appeal
to your Presentations. to your Presentations. to your Presentations. to your Presentations.
Easy to change colors, Easy to change colors, Easy to change colors, Easy to change colors,
photos and Text. photos and Text. photos and Text. photos and Text.
Infographic Style

Contents Contents Contents


Get a modern PowerPoint Get a modern PowerPoint Get a modern PowerPoint
Presentation that is beautifully Presentation that is beautifully Presentation that is beautifully
designed. designed. designed.

06 05 04 03 02 01

Contents Contents Contents


Get a modern PowerPoint Get a modern PowerPoint Get a modern PowerPoint
Presentation that is beautifully Presentation that is beautifully Presentation that is beautifully
designed. designed. designed.
Infographic Style

Your Text Here Your Text Here Your Text Here Your Text Here

Simple PowerPoint Simple PowerPoint Simple PowerPoint Simple PowerPoint


Presentation Presentation Presentation Presentation

You can simply impress your You can simply impress your You can simply impress your You can imply impress your
audience and add a unique audience and add a unique audience and add a unique audience and add a unique
zing and appeal to your zing and appeal to your zing and appeal to your zing and appeal to your
Presentations. Presentations. Presentations. Presentations.

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Kriteria Responden

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You can simply impress your audience and add a unique zing You can simply impress your audience and add a unique zing
and appeal to your Presentations. I hope and I believe that and appeal to your Presentations. I hope and I believe that
this Template will your Time, Money and Reputation. You can this Template will your Time, Money and Reputation. You can
simply impress your audience and add a unique zing and simply impress your audience and add a unique zing and
appeal to your Presentations. You can simply impress your appeal to your Presentations. You can simply impress your
audience and add a unique zing and appeal to your audience and add a unique zing and appeal to your
Presentations. I hope and I believe that this Template will your Presentations. I hope and I believe that this Template will your
Time, Money and Reputation. You can simply impress your Time, Money and Reputation. You can simply impress your
audience and add a unique zing and appeal to your audience and add a unique zing and appeal to your
Presentations. You can simply impress your audience and add Presentations. You can simply impress your audience and add
a unique zing and appeal to your Presentations. a unique zing and appeal to your Presentations.

You can simply impress your audience and add a unique zing You can simply impress your audience and add a unique zing
and appeal to your Presentations. and appeal to your Presentations.
THANK YOU
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Fully Editable Shapes
Fully Editable Shapes
Fully Editable Icon Sets: A

You can Resize without


losing quality
You can Change Fill
Color &
Line Color

FREE
PPT TEMPLATES
www.allppt.com
Fully Editable Icon Sets: B

You can Resize without


losing quality
You can Change Fill
Color &
Line Color

FREE
PPT TEMPLATES
www.allppt.com
Fully Editable Icon Sets: C

You can Resize without


losing quality
You can Change Fill
Color &
Line Color

FREE
PPT TEMPLATES
www.allppt.com

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