SCREENING OF PATIENTS

SCREENING OF PATIENTS

                                                             FOREWORD

Thank God all the praise we pray Allah Almighty, His mercy and so the preparation inayahNya Free Skrinning these patients can be resolved.Law Decree No. 44 Year 2009 on Hospital Article 29 states that the hospital is obliged to fulfill the rights of patients and promote patient satisfaction. Therefore disusunlah Free Screening Patients which aims to identify which patients need hospitalization and which need outpatient so as to provide appropriate services throughout the hospital.Free Skrinning patients are procedures to identify disease or disorder patients in order to get information about the conditions and needs of patients in the standard ........................... HOSPITAL standard that has been set by the management of the hospital, where the procedure is to be adhered to by all of the installation / environmental services unit hOSPITAL ........................... . this guide aims to improve the quality of care, improve patient safety and to protect patients from life-threatening risk.
 The guide was compiled jointly by the field of Medical Services with some of the installations concerned and representatives of the Working Group APK (Access to Care and Continuity of Services) which is part of the accreditation committee HOSPITAL ................. ...........Final words I hope this can be useful for all health care personnel to provide safe and quality care to the patient's satisfaction. Criticism and constructive suggestions so we expect to repairs that would add to the perfection of preparation of guidelines for the future.

WORD MESSAGE FROM THE DIRECTOR

HOSPITAL ........................... was a hospital-type ... .., which will always maintain and improve service quality. We therefore warmly welcome the publication of "Guidelines for Screening Patients" in 2016 which has been prepared by the Division of Medical Services HOSPITAL ........................... ,
 "Free Screening Patient" was organized by Law - Law applicable and have been applied to the service process in HOSPITAL ............................ this manual process improvements continue to be done, so hopefully it will be able to meet the need for a uniform patient care throughout the hospital and in accordance with the latest developments of science. This guide be a guide for all components of the service in which a doctor HOSPITAL ........................... specialist physicians, general practitioners, nurses and all employees in the neighborhood HOSPITAL ............................Hopefully this can be useful and well used, so aim to achieve security and high quality in running the service as a harmonious and balanced in HOSPITAL .................... ....... will increasingly materialize

PART I
  DEFINITION   

  Screening is an examination of a group of people to separate healthy people from people who have pathological conditions undiagnosed or have a high risk (Dictionary Dorland ed. 25: 974). According Rochjati P (2008), screening is a self-introduction proactively in pregnant women to find out problems resiko.Sehingga screening factor can be regarded as an attempt to identify a disease or disorder patients in order to get information about the conditions and needs of patients first contact. Remarks screening results are used to make the decision to accept inpatients or outpatients and refer to other health services to suit the needs of patients with a mission and hospital resources.Screening is carried out through triage criteria, visual evaluation or observation, physical examination or physical examination, psychological, clinical laboratory or diagnostic imaging before. Screening is done when the patient arrives at the hospital, when a patient in the emergency transport or referral source.

CHAPTER II
SCOPE

Screening is done on the area:
     1. Receptionist / Registration
     2. Polyclinic
     3. INSTALLATION OF EMERGENCY
Screening is done through:
     1. Criteria for triage
     2. Evaluation of visual or observation
     3. The physical examination or the results of a physical examination, psychological
     4. Laboratory examination or diagnostic supporting earlier

CHAPTER III
    GOVERNANCE   

A. TriageTriage is the selection of the appropriate level of emergent patients so that patients get the help selected in accordance with the level of kegawat daruratannya. Triage in HOSPITAL ........................... using a color system, the patient is determined whether the emergency department is not an emergency, an emergency or non-emergency or is not life threatening emergency no. Patients who have been in the selection color labeled on the list, according to the degree of gravity we.This provision of labeling color according to the level of gravity we, as follows: 

1. Patients emergency labeled red
    a. respiratory failure
    b. torako-abdominal injury
    c. maksilo-head injury or severe facial
    d. shock or severe bleeding
    e. severe burns

2. Patient distress was not an emergency or non-emergency emergency is labeled in yellow
    a. abdominal injury without shock,
    b. chest injury without interruption respiration,
    c. Major fractures without shock
    d. injury to the head or neck vertebrae without interruption
        awareness
    e. minor burns

3. Patient non-emergency and emergency not given green
    a. soft tissue injury,
    b. fractures and dislocations of the extremities,
    c. maksilo-facial injuries without interruption airway
    d. psychological emergency

4. Patients who have been declared dead labeled black 

Initial Assessment (Preliminary Assessment)Patients admitted through the emergency department (ER) and polyclinics require assessment and management quick and precise. Time plays a very important, therefore, needs a simple, fast and precise. This initial process is known as initial assessment (initial assessment).For in triage officer EMERGENCY INSTALLATIONS assessment using criteria WVNU awareness:      W: Alert       V: Response to Verbal       N: Response to Pain       U: Unrespon / no responseThis initial assessment point is1. Primary Survey which is handling ABCDE and resuscitation. Here look for life-threatening 

    circumstances and, if found to be in resuscitation. Handling ABCDE question is:      A: Airway with cervical control       B: Breathing and ventilation       C: Circulation with hemorrhage control       D: Disability, neurological status and value of GCS       E: Exposure open shirt patients but prevent hypothermia       The next step should be considered the use of urinary catheters (catheter folly), gastric  

        catheters (NGT), the installation of heart monitor and a blood test or X-ray.2. Secondary survey    Conducted a thorough examination from head to toe, from front to back.     a. Anamnesis with the patient, family or pre-hospital personnel that include:           A: Allergies          M: Medication / drugs           P: Past illness / disease before accompanying           L: Last meal / last ate at what not to eat anything           E: Event / matters concerned with cause injury    b. Physical examination, including inspection, auscultation, palpation and percussion.   

       Check   carefully to see if there are changes in the shape, tumors, injuries and illness  

       (BTLS). Backs examination conducted by the log roll (tilting the patient while  

       maintaining a collinear body). Check vital signs. 

B. Evaluation of Visual or Observations
     • Patients who are visual observations in distress and require immediate assistance directly  

        to the ER
     • Patients who do not require a visual observation of urgent assistance will be directed to 

        the clinic
     • If the RS does not have any particular specialist care, the patient is advised to ascribed

C. Physical Examination
     Head-to-toe physical examination involves inspection, auscultation, palpation and   

     percussion, as well as psychological examination
D. Laboratory or imaging examination (investigation)
     Previous patients who are already carrying the results of laboratory or radiology 

     examinations will remain in check when necessary, and if it requires further treatment will 

     be in accordance Consult a physician specialist disease. consultation can be done through  

     INSTALLATION EMERGENCY or point to practice in the clinic