EVALUASI PENERAPAN TRIASE ATS (AUSTRALIAN TRIAGE SCALE) MODIFIKASI TERHADAP PASIEN TRAUMA DI IGD RSUD TIDAR MAGELANG
DOI:
https://doi.org/10.36973/jkih.v13i1.753Abstract
Emergency conditions can occur anywhere, anytime, and can be experienced by anyone. The Aim: This study aims to evaluate the implementation of ATS triage in the ER in patients with trauma. Method: This study used a descriptive quantitative design with a cross-sectional approach. The population was 36 nurses. The sampling technique used was purposive sampling with a sample size of 36 nurses. Data collection was carried out by observation. Data analysis used descriptive analysis with the help of computerization. Results: As many as 63.9% respondents were aged 25-35 years, male, had a Diploma 3 education, had a work period of ≥ 6 years and all had attended training such as BT and CLS. The implementation of ATS Triage on service waiting time, vital signs, and ATS examinations in patients with trauma showed that each triage category was in accordance with the SOP. In the implementation of vital signs due to several conditions, blood pressure and pulse examinations, especially in fussy children aged <12 years who were sometimes missed and only respiration, respiratory rate, temperature, VAS pain response, and GCS were checked. Conclusion: The application of ATS to trauma patients based on service waiting time, vital signs, and the application of ATS examination showed appropriate results and all were carried out according to SOP.
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(NHAMCS), T. N. H. A. M. C. S. (2024). Emergency Department. Deutsche Medizinische Wochenschrift, 146(10), 629–630. https://doi.org/10.1055/a-1219-5742
Anggreni, Y. D., Kirana, W., & Priyatnanto, H. (2024). Peningkatan Pengetahuan Perawat Tentang Keselamatan Pasien. Mahesa: Malahayati Health Student Journal, 4(5), 1756–1763.
Atmojo, J. T., Putri, A. P., Widiyanto, A., Handayani, R. T., & Darmayanti, A. T. (2020). Australasian Triage Scale (Ats): Literature Review. Journal of Borneo Holistic Health, 3(1). https://doi.org/10.35334/borticalth.v3i1.1305
Cahyani, M. A., Safitri, P. B. E., Rahayu, S., & Prasetyo, R. (2025). Golden Minutes : A Comprehensive Literature Review On Triage Accuracy And Response Time In Emergency Installations. Jurnal Eduhealth, 16(01), 609–618. https://doi.org/10.54209/eduhealth.v16i01
Chaeruddin, M. B. S., & Istikharoh, U. (2020). Gambaran Epidemiologi Kasus Trauma Kraniofasial Di Rsud Provinsi Ntb Pada September 2018 – September 2019. Jurnal Kedokteran, 9(1), 37–42. https://doi.org/10.29303/jk.v9i1.4297
Connell, C. J., Craig, S., Crock, C., Kuhn, L., Morphet, J., & Unwin, M. (2024). Vital signs monitoring in Australasian emergency departments: Development of a consensus statement from ACEM and CENA. Australasian Emergency Care, 27(3), 207–217. https://doi.org/10.1016/j.auec.2024.04.001
Dumovich, J., & Singh, P. (2022). Physiology Trauma.pdf (First Edit). StatPearls Publishing LLC.
Harti, & Pujiastuti, D. (2023). Pelaksanaan Australian Triage Scale ( ATS ) Pada Staff Medis Dan Paramedis IGD RS Swasta Di Banjarnegara. Jurnal Stikes Bethesda, 351–360.
Huzaifah, Z., Mira, & Pratiwi, N. H. (2022). Hubungan Triase Pasien Dengan Tingkat Kecemasan Keluarga Di Instalasi Gawat Darurat. Journal of Nursing Invention, 3(1), 61–66.
Indonesia, P. P. (2009). Undang-Undang Republik Indonesia Nomor 44 Tahun 2009 Tentang Rumah Sakit (p. 65). Pemerintah Pusat Indonesia.
Johnson, T. J., Goyal, M. K., Lorch, S. A., Chamberlain, J. M., Bajaj, L., Alessandrini, E. A., Simmons, T., Casper, T. C., Olsen, C. S., Grundmeier, R. W., & Alpern, E. R. (2023). Racial Differences in Pediatric Emergency Department Wait Times. Pediatr Emerg Care, 38(2), 1–14. https://doi.org/10.1097/PEC.0000000000002483.Racial
Kasenda, M., Syaiful Saehu, M., & Tri Wurjatmiko, A. (2020). Faktor-Faktor Yang Berhubungan Dengan Pelaksanaan. Jurnal Ilmiah Kesehatan, 1(1), 8–16. https://stikesks-kendari.e-journal.id/jikk
Kemenkes RI. (2010). Klasifikasi Rumah Sakit. 116.
Kemenkes RI. (2016). Peraturan Menteri Kesehatan Nomor 19 Tahun 2016 tentang Sistem Penangulangan Gawat Darurat Terpadu. Berita Negara Republik Indonesia Tahun 2016, 19(5), 1–17.
Kemenkes RI. (2024). Pedoman Teknis Sistem Penanggulangan Gawat Darurat Terpadu (SPGDT). In Sustainability (Switzerland) (Vol. 11, Issue 1). http://scioteca.caf.com/bitstream/handle/123456789/1091/RED2017-Eng-8ene.pdf?sequence=12&isAllowed=y%0Ahttp://dx.doi.org/10.1016/j.regsciurbeco.2008.06.005%0Ahttps://www.researchgate.net/publication/305320484_SISTEM_PEMBETUNGAN_TERPUSAT_STRATEGI_MELESTARI
Keputusan Direktur RSUD, T. (2023). Keputusan Direktur Rumah Sakit Umum Daerah Tidar Kota Magelang Nomor 24/SK/RSUD/II/2023 Tentang Panduan Triase Pasien (p. 14). Rumah Sakit Umum Daerah Tidar Kota Magelang.
Mulya, M., Sahrudi, Said, M. I., & Chotimah, C. (2025). Gambaran Pengetahuan Dan Penerapan Triage Oleh Perawat Di Instalasi Gawat Darurat Metro Hospitals Cikupa. Mahesa: Malahayati Health Student Journal, 5(2), 464–476.
Peijia, Z., Xin, L., & Jie, L. (2022). Effect of Patient Safety Training Program of Nurses in Operating Room. Journal of Korean Academy of Nursing, 52(4), 378–390. https://doi.org/10.4040/jkan.22017
Permenkes, R. (2018). Peraturan Menteri Kesehatan REPUBLIK Indonesia Nomor 47 Tahun 2018. 3(2), 91–102.
Putri, M. P. E., Rasyid, T. A., & Lita. (2022). Gambaran Pelaksanaan Triase Di Instalasi Gawat Darurat (IGD) RSUD Raja Musa Sungai Guntung Kabupaten Indragiri Hilir. Hang Tuah Nursing Journal, 2(2), 194–204.
Rahmadianti, Y., Mareta, S., & Khairul, Y. (2024). Faktor-Faktor Penyebab Kecemasan Pada Pasien Anak di Instalasi Radiologi Rumah Sakit Siti Rahmah Padang. Jik Jurnal Ilmu Kesehatan, 8(1), 141. https://doi.org/10.33757/jik.v8i1.1075
Riset Kesehatan Dasar (Riskesdas). (2018). Laporan Riskesdas 2018 Nasional.pdf. In Lembaga Penerbit Balitbangkes (p. hal 156). https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan Riskesdas 2018 Nasional.pdf
RISKESDAS, T. (2018). Laporan Nasional RISKESDAS 2018. In PLoS ONE (Vol. 17, Issue 8 August). Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan (LPB). https://doi.org/10.1371/journal.pone.0271375
Romero, D. A., Permatasari, N. I., Putri, C. B., Djatmiko, & Rachman, H. (2023). Literature Review : The Effectiveness Of Australian Triage Scale To Treatment In The Emergency Department. Jurnal Medika Malahayati, 7(2), 708–715.
Rumampuk, J., & Katuuk, M. E. (2019). Hubungan Ketepatan Triase Dengan Response Time Perawat Di Instalasi Gawat Darurat Rumah Sakit Tipe C. Jurnal Keperawatan, 7(1). https://doi.org/10.35790/jkp.v7i1.25206
Suparjo, Himawan, F., & Cuciati. (2021). Pengetahuan Perawat Tentang Australasian Triage Scale (ATS) dengan Pelaksanaan ATS di IGD RSU Kota Tegal. JIK: Jurnal Ilmu Kesehatan, 5(2), 289. https://doi.org/10.33757/jik.v5i2.451
Susanti, D. (2023). Efektivitas Pembelajaran Triase Berbasis Simulasi terhadap Kompetensi Triase Mahasiswa Keperawatan pada Prodi D-III Keperawatan Aceh Tenggara Poltekkes Kemenkes Aceh. MAHESA : Malahayati Health Student Journal, 3(3), 872–881. https://doi.org/10.33024/mahesa.v3i3.9653
Thalib, A., Latuperisa, Y., & Latue, O. (2021). Efektifitas Penggunaan Australian Triage Scale (ATS) Modifikasi Terhadap Respon Time Perawat Di Instalasi Gawat Darurat (IGD) Rumah Sakit Hative Passo Tahun 2021. 4(1), 59–62.
Walangara, H. U. K., Widuri, & Devianto, A. (2022). Pengaruh Karakteristik Individu Terhadap Kinerja Perawat di Rumah Sakit: Studi Literatur. Jurnal Keperawatan, 14(2), 71–78.
WHO. (2024). Injuries and Violence. 5.
Widyanti, A., Adi, G. S., & Susilaningsih, E. Z. (2021). Gambaran Ketepatan Perawat Dalam Pelaksanaan Triase Di IGD RS UNS Surakarta. 39, 1–11.
Wijayanto, T., & Budianto, A. (2023). Knowledge And Accuracy In Carriying Out Initial Trauma Assessments For Implementing Nurses In The Emergency Departmenf OF The Pringsewu District Hospital. Scientific Journal of Nursing and Health, 1(2), 72–80.