Efektivitas Biaya Program Berbasis Keperawatan: Pemasangan Akses Vena Sentral Melalui Perifer Yang Dipandu Ultrasonografi

https://doi.org/10.22146/jkkk.34310

Anastasia Sari Kusumawati(1*), Sukihananto Sukihananto(2)

(1) RSUD Kota Yogyakarta
(2) Departemen Keperawatan Komunitas, Fakultas Ilmu Keperawatan, Universitas Indonesia
(*) Corresponding Author

Abstract


Background: Vein access is frequent procedures in hospital care. Repeated attempts to cannulate small veins can cause considerable distress for patients and took considerable amount of staff's time. Peripherally inserted central catheter recommended replacing a long term peripheral catheter. The responsibility for the insertion of peripheral catheters has shifted from specially trained nurses to skilled nurses. A peripherally inserted central venous catheter is recommended to replace long term peripherally catheters.
Objective: This literature study goals to give a view in cost effectiveness venous access practices using ultrasound-guided practices and traditional cannulate practices nurse-based.
Method: The method used in this paper is literature review related topics.
Result: There are several studies that demonstrate the cost effectiveness of venous access practices using nursing-based ultrasound guidelines.
Conclusion: Result shows by implementation of nursing based on ultrasound-guided peripheral venous access gave more effective approach than traditional practices.

 

ABSTRAK

Latar belakang: Akses vena sering dilakukan dalam perawatan di rumah sakit. Upaya berulang untuk memasang kateter vena kecil dapat menyebabkan tekanan mental yang besar bagi pasien dan membutuhkan waktu staf cukup banyak. Tanggung jawab pemasangan kateter perifer telah bergeser dari perawat sangat terampil ke perawat terampil. Pemasangan akses vena sentral melalui perifer direkomendasikan untuk mengganti kateter perifer jangka panjang. 
Tujuan: Tinjauan studi literatur ini diharapkan dapat memberi gambaran tentang efektivitas biaya praktik akses vena dengan menggunakan panduan ultrasonografi berbasis keperawatan. 
Metode: Metode yang digunakan dalam penulisan ini adalah literature review terkait topik.
Hasil: Terdapat beberapa penelitian yang membuktikan efektivitas biaya praktik akses vena dengan menggunakan panduan ultrasonografi berbasis keperawatan.
Kesimpulan: Hasil menunjukkan bahwa penerapan akses vena perifer dengan panduan ultrasonografi berbasis keperawatan, mampu menjadi pendekatan yang lebih efektif dibandingkan praktik tradisional.


Keywords


efektivitas biaya; program berbasis keperawatan; peran perawat; Peripherally Inserted Central Catheter (PICC); ultrasound-guide

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References

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DOI: https://doi.org/10.22146/jkkk.34310

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