Studi Kasus Upaya Pencegahan dan Pengendalian Infeksi COVID-19 di Unit Kerja Rekam Medis RSUD Kota Madiun

ZAUJAH KIFAYATI, Marko Ferdian Salim, S.K.M.,M.P.H

2022 | Tugas Akhir | D4 MANAJEMEN INFORMASI KESEHATAN

Latar Belakang : Covid-19 menjadi masalah yang dihadapi saat ini. Rumah sakit sebagai garda terdepan pelayanan kesehatan harus siaga sehingga tenaga kesehatan menjadi kelompok risiko tinggi terinfeksi Covid-19. Rumah sakit wajib menyelenggarakan rekam medis serta pencegahan dan pengendalian infeksi. Pencegahan dan Pengendalian Infeksi Covid-19 di RSUD Kota Madiun meliputi pemeliharaan rekam medis dan tindakan pencegahan pengendalian infeksi. Pemeliharaan rekam medis belum sesuai Surat Edaran PORMIKI dan SOP. Selain itu, belum terdapat panduan yang digunakan sebagai pedoman pelaksanaan pencegahan dan pengendalian infeksi. Tujuan : Menganalisis pelaksanaan dan merancang buku panduan Pencegahan dan Pengendalian Infeksi Covid-19 di Unit Kerja Rekam Medis. Metode : Metode penelitian kualitatif dengan studi kasus. Penelitian dilakukan di RSUD Kota Madiun pada Mei tahun 2022. Subjek penelitian meliputi informan utama yaitu petugas pendaftaran, pengolah data, dan filing serta triangulasi yaitu kepala unit kerja rekam medis. Objek penelitian yaitu Upaya Pencegahan dan Pengendalian Infeksi Covid-19. Pengumpulan data menggunakan teknik wawancara, observasi, dan studi dokumentasi. Hasil : Pemeliharaan rekam medis di masa Covid-19 dilakukan pemisahan berkas covid-19 dan non covid-19, tidak ditempatkan di tempat khusus sedangkan tindakan pencegahan pengendalian infeksi sudah dilakukan tetapi belum maksimal dikarenakan sebagian besar petugas filing belum menerapkan. Buku panduan dibuat sebagai pedoman melaksanakan pencegahan pengendalian infeksi Covid-19. Kesimpulan : Pencegahan dan Pengendalian Infeksi Covid-19 di Unit Kerja Rekam Medis sudah dilakukan oleh petugas rekam medis meskipun belum 100%. Upaya Pencegahan dan Pengendalian Infeksi Covid-19 harus diterapkan oleh seluruh petugas sehingga mencegah terjadinya infeksi di Unit Kerja Rekam Medis.

Background: Covid-19 is a problem we are currently facing. Hospitals as the front line of health services must be alert so that health workers become a high-risk group for Covid-19 infection. Hospitals are required to maintain medical records as well as infection prevention and control. Prevention and Control of Covid-19 Infections at RSUD Kota Madiun include maintenance of medical records and infection control precautions. Maintenance of medical records is not done by the PORMIKI Circular and SOPs. In addition, there are no guidelines that are used as guidelines for the implementation of infection prevention and control. Destination: Analyzing the implementation and designing a guidebook for the Prevention and Control of Covid-19 Infections in the Medical Record Work Unit. Method: Qualitative research methods with case studies. The research was conducted at RSUD Kota Madiun in May 2022. The research subjects included the main informants, namely registration officers, data processors, and filing and triangulation, namely the head of the medical record work unit. The object of research is the Prevention and Control of Covid-19 Infections. Collecting data using interviews, observation, and documentation studies. Results: Maintenance of medical records during the Covid-19 period was carried out by separating Covid-19 and non-covid-19 files, not being placed in a special place, while infection control prevention measures had been carried out but were not maximized because most of the filing officers had not implemented them. The manual was created as a guideline for preventing the control of Covid-19 infection. Conclusion: The prevention and control of Covid-19 infection in the Medical Record Work Unit has been carried out by the medical record officer, although it is not yet 100%. Efforts to prevent and control Covid-19 infection must be implemented by all officers to prevent infection in the Medical Record Work Unit.

Kata Kunci : Covid-19, Pencegahan dan Pengendalian Infeksi, Rekam Medis