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ABSTRAK Nama : Egidius Ulukyanan Program Studi : Ilmu Kesehatan Masyarakat Judul : Manajemen Pengelolaan Obat Dalam Keadaan Bencana di Rumah Sakit Darurat RSUD dr.H.Ishak Umarella Provinsi Maluku Tahun 2019 Pembimbing : Dr. Dra.Dumilah Ayunigtyas, MARS Pelayanan Kefarmasian merupakan kegiatan yang bertujuan untuk mengidentifikasi, mencegah, dan menyelesaikan masalah terkait obat. Pada dasarnya pengelolaan obat di instalasi farmasi rumah sakit meliputi perencanaan, pengadaan, penerimaan, penyimpanan, pendistribusian, penghapusan dan pengendalian dimana keempat tahap ini saling terkait dan saling mempengaruhi sehingga harus terkoordinasi dengan optimal. Penelitian ini bertujuan untuk mengetahui manajemen pengelolaan obat yang dilakukan rumah sakit umum daerah dr.H.Ishk Umarella Maluku dalam keadaan bencana alam terjadi. Dengan desain penelitian kualitatif yang dilakukan dengan cara wawancara mendalam terhadap informan yang bertanggungjawab terhadap farmasi RSUD dr.H.Ishak Umarella Maluku. Hasil penelitian ini yaitu perencanaan yang dilakukan rumah sakit dalam penyediaan obat yaitu dengan menyusun sesuai formula nasional dan formula rumah sakit dengan metode konsumsi yang dilakukan oleh tim perencana yang ditetapkan oleh rumah sakit, proses pengadaan dilakukan menggunakan e-catalog, proses penerimaan obat dilakukan oleh tim penerima obat yang berkompeten dibidang farmasi, seluruh obat disimpan dalam ruangan/tenda yang menyesuaikan dengan kondisi untuk menjaga mutu dan kualitas obat dengan sistem penyusunan sesuai dengan jenis sediaan obat. Proses pendistribusian obat dilakukan dengan resep perorangan, baik pasien rawat jalan maupun pasien rawat inap. Obat yang telah melewati batas kadaluarsa akan dilakukan pemusnahan dan obat yang disimpan dikendalikan dengan stok opname untuk menghindari kekosongan obat. Kendala yang dihadapi pada saat bencana yaitu ketersediaan sarana untuk penyimpanan obat. Disarankan kepada RSUD dr.H.Ishak Umarella agar dapat melakukan manajemen pengelolaan obat sesuai dengan standar yang telah ditetapkan nasional meskipun tidak maksimal dikarenakan dalam keadaan bencana. Kata kunci: Manajemen obat, IFRS, Farmasi
ABSTRACT Name : Egidius Ulukyanan Study Program : Public Health Title : Management of Drug Management in a Disaster in the Emergency Hospital of Dr.H.Ishak Umarella Regional Hospital, Maluku Province in 2019 Counsellor : Dr. Dra.Dumilah Ayuningtyas, MARS Pharmaceutical Services is an activity that aims to identify, prevent and solve drug related problems. Basically the management of drugs in a hospital pharmacy installation includes planning, procurement, acceptance, storage, distribution, deletion and control where these four stages are interrelated and influence each other so that it must be coordinated optimally. This study aims to determine the management of drug management conducted by the regional general hospital Dr.H.Ishak Umarella Maluku in the event of a natural disaster. With a qualitative research design carried out by means of in-depth interviews with respondents who are responsible for the pharmacy Dr.H.Ishak Umarella Maluku General Hospital. The results of this study are the planning carried out by the hospital in the supply of drugs, namely by compiling in accordance with national formula and hospital formula with the consumption method carried out by the planning team prepared by the hospital, the procurement process is carried out using e-catalogs, the process of receiving drugs is carried out by the receiving team competent medicine in the pharmaceutical field, all drugs are stored in a room / tent that adjusts to the conditions to maintain the quality and quality of the drug with a drafting system according to the type of drug. The process of drug distribution is done by individual prescriptions, both outpatients and inpatients. Drugs that have passed the expiration date will be destroyed and the stored drug is controlled with the stock ofname of the drug to avoid the vacancy of the drug. The obstacle faced at the time of the disaster is the availability of facilities for drug storage. It is recommended to the RSUD Dr.H.Ishak Umarella to be able to manage the management of drugs in accordance with national standards, although not optimal because in a state of disaster. Keywords: Drug management, IFRS, Pharmacy
Communication and collaboration among different health professions is a hallmark of health quality and patient welfare determinants. The nurse's perception of the quality of communication between nurse and physician affects the quality of service to the patient. The purpose of this study to determine the factors that influence the nurse's perception of the quality of nurse communication with doctors at Santa Elisabeth Hospital Batam in 2017. The study was cross-sectional with quantitative and qualitative approach, using questionnaires to 98 permanent nurses at Santa Elisabeth Hospital Batam, and interviewed 5 informants as supporting data on qualitative research. The nurse's perception of communication quality between nurse and doctor at Santa Elisabeth Hospital Batam 2017 shows 61.2% is good. Factors of opportunity, information, support, resources do not affect the perception of nurses, there are still other factors that influence the perception of nurses and have not been discussed in this study Keywords: Nurse, Perception, Questionnaire, Nurse-doctor communication.