Belajar Mudah Membaca Hasil EKG Untuk Perawat (1)

Belajar Mudah Membaca Hasil EKG Untuk Perawat ( 1 )

Seandainya kita sebagai perawat/mahasiswa keperawatan, mungkin telah mampu dan mahir untuk menggunakan/mengoperasikan EKG/ECG (Electrocardiogam) pada pasien. Namun tidak semua perawat, mampu membaca dan menganalisa hasil rekaman EKG tersebut – termasuk saya tentunya !!!!.

Jelasnya kita sebagai perawat tidak berwenang untuk menegakkan diagnosa medis. Namun apabila kita dengan segera mengetahui hasil rekaman EKG, maka mungkin dapat segera memberikan pertolongan dan mengkolaborasikannya dengan dokter. Umumnya kasus MI (Myocard infark) dan gangguan jantung lainnya adalah mengancam jiwa dan memerlukan pertolongan segera; CPR (Cardio Pulmonary Resucitation). Sehingga kemampuan perawat dalam menganalisa hasil rekaman EKG SANGAT DIPERLUKAN dan BUKAN GAYA-GAYAAN.

Kebetulan saya dan 4 teman Indonesia lainnya, bersama dengan perawat dari negara lain (ada 20 orang total)- sedang mengikuti Training ACLS (Advanced Cardio Life Suport). Untuk membagi hasil belajar, dan agar saya tidak lupa juga maka mencoba mem-postingnya.

Terus terang selama ini saya hanya paham membandingkan hasil EKG pasien (biasanya di ruangan saya bekerja pada pasien gangguan jantung MI, ACS, Angina) dilakukan EKG harian. Atau saat pasien mengeluh chest pain, maka saat itu dilakukan EKG segera – dan kita bandingkan saja ada perubahan tampilan gelombang atau tidak.

Saya hanya mencoba membahas secara mudah dan tidak terlalu detail.




Hasil gambaran EKG terdiri dari 3 gelombang (tidak usah melihat di Lead mana baik L1-3, V1 – V6, AVR, AVL atau AVF) :
• Prinsipnya dalam kertas print hasil rekaman EKG ada kotak besar (5 x 5 ) yang terdiri dari 5 x 5 kotak kecil
• Sumbu kesamping (vertikal) : 1 kotak kecil = 1 mm, satu kotak besar = 5 mm, 10 kotak kecil = 1 mV, sedangkan keatas (horizontal) 1 kotak kecil = 0.04 detik, satu kotak besar = 0.2 detik.
• Gelombang yang perlu diperhatikan adalah gelombang P, QRS kompleks dan T, sedangkan gelombang U tidak terlalu penting
• Interval antar gelombang yang penting adalah P-R interval dan Q-T interval dan S-T interval.

INI PRINSIP yah !!! (Analisa pada Lead II panjang)

1. Gelombang P : P adalah kontraksi Atrium (Atrial Depolarisasi)

Maksudnya adalah kontraksi dari SA node (page maker-Sinus Atrial) menuju AV node (Atria-ventrikular).
Ukuran normal gelombang P adalah kesamping 1 – 3 kotak kecil dan keatas 1 – 3 kotak kecil juga.
Gelombang P selalu keatas dari garis isometric

2. Kompleks Gelombang QRS adalah kontraksi Ventrikel (Ventrikel Depolarisasi)
Gelombang QRS adalah kontraksi dari AV node menuju His (Ventrikel kiri dan kanan) yang berakhir di serat purkinje.

• Patokannya gelombang Q selalu kebawah dari garis isometric, ukuran kesamping dan keatas 1 kotak kecil. Kalau ukuran Q keatas >= 25% gelombang R. Hati-hati ini adalah gambaran Q patologis , pada Akut MI --- bahaya banget dan mengancam jiwa, butuh segera DC shock.
• Gelombang R selalu keatas garis isometric dan paling tinggi. Ukuran kesamping 1 – 2 kotak kecil dan keatas 1 – 3 kotak besar. Gelombang R menjadi patokan untuk mengukur rytme/irama jantung regular/irregular dan menghitung denyut jantung (HR = heart rate).

3. Gelombang T (relaksasi ventrikel) – Ventrikel Repolarisasi
Gelombang T adalah saat ventikel relaksasi – selalu normal ke atas garis isometric dan ukurannya 1 – 5 kotak kecil kesamping dan ke atas.

Untuk interval dan Analisa EKG lanjutan di posting berikutnya.

Test NCLEX sudah bisa di Philipina, Kapan Jakarta Menyusul ???

Test NCLEX sudah bisa di Philipina, Kapan Jakarta Menyusul ???

NEW YORK – The Philippines is now an accredited international testing site for the National Council Licensure Examination (NCLEX), the Philippine Consulate General in New York announced here. Passing the NCLEX is required by the United States National Council of States Board of Nursing (NCSBN) of foreign nursing graduates who want to practice in the US.

In a report to the Department of Foreign Affairs in Manila, Consul General Cecilia Rebong said the Philippine Nurses Association of America (PNAA) actively lobbied before the NCSBN to make the Philippines one of the testing sites.

The lobby group was reportedly composed of representatives from cities with a high concentration of Filipino nurses like New York, New Jersey, Florida, Michigan and California.

NCSBN is a non-profit umbrella organization composed of nursing boards in 50 US states and in five other US territories -American Samoa, Guam, Northern Marianas, Puerto Rico and the Virgin Islands.
Rebong said the NCSBN initially refused to accredit the Philippines because of “concerns over peace and order” and the “need to maintain the integrity of the exams."

NCSBN also indefinitely put on hold the country’s application as an NCLEX test site because of the leaks provided some examinees in the June 2006 nursing board exam.

The Department of Labor and Employment last month said that almost 10,000 of the 17,000 passers will have to re-take tests three and four of the licensure exams in June or December.
Rebong said PNAA had lobbied for the accreditation of the Philippines for five years before it was finally approved last February.

The month before that, NCSBN had announced the opening of testing sites in Taiwan, Japan, Australia, India, Mexico, Canada and Germany.
Rebong said the NCSBN okayed the inclusion of the country among the testing sites after seeing the Philippine government’s “deep commitment to ensuring a secure test center in Manila" and its responsiveness to NCSBN concerns.

Details of the NCLEX examinations in the Philippines are yet to be announced.
Filipinos form the bulk of NCLEX examinees with an annual count of over 35 percent (or 9,000) taking the exams in the 1990s. Before the country’s accreditation, examinees have had to fly to the nearest testing site in Saipan, Guam and spend $200 for the exam fee and $600 for fare, board and lodging.

Depression affects most Indonesians, says study

Depression affects most Indonesians, says study

The Jakarta Post, Jakarta

The majority of the country's population has suffered depression of some form in the last year, says the Indonesian Doctors Association (IDI). IDI chairman Fachmi Idris said Wednesday that the latest survey put out by the country's psychiatrist association showed that 94 percent of the country was suffering from some form of depression.

"This ranges from mild to severe cases of depression," Fachmi told a press conference after a meeting with President Susilo Bambang Yudhoyono at the Bina Graha Presidential Office. Fachmi said that among the symptoms of depression were a tendency to violate rules and norms, apathy, withdrawal and a refusal to work.

He said the research was based on the assumption of health as defined by the law on health, which regards health as encompassing physical, mental and social factors.He also cited the World Health Organization's definition of health as a "state of complete physical, mental and social well-being, and not merely and absence of disease or infirmity."

Since the economic crisis in 1997, Indonesia has seen an increase in depression rates.The WHO's regional office reports that suicide is on the rise in Indonesia. From 1997 to 1998 there were 34 suicides in Jakarta alone.The suicide rate was 1.6 per 100,000 people in 1997 and 1.8 per 100,000 in 1998, while prior to 1996 the number had been decreasing.

Fachmi said that the high incidence of depression was aggravated by a lack of access to health care for most of the population. He said that people suffering from depression needed constant monitoring by a doctor or psychiatrist and that ideally there would be one doctor for every 250 people, although the whole health care system in the country also needed revamping.
"We need a better system in which the role and function of doctors is revitalized," Fachmi said. He said that Yudhoyono supported the proposal to improve the health care system.

Health Minister Siti Fadilah Supari said that the government was devising a new health care system that would enlist more that 70 percent of the country's population to take part in a new health insurance scheme. She said that low-quality infrastructure was not the main problem of Indonesia's health care system.

"What matters is not the infrastructure but the patient's mental state and culture. State-run Cipto Mangunkusumo General Hospital, for example, lacks state-of-the-art equipment but patients line up to get its services," Siti told reporters.

70% Perawat di Inggris stress akibat pekerjaannya

Baca juga 50,9% di Indonesia perawat stress juga akibat pekerjaannya

KEY FINDINGS
In UK :
70% of nurses suffer side-effects of work stress 44% said stress was negatively affecting their sex life 24% were drinking more alcohol than usual 13% were smoking more than usual or have started smoking 30% were taking more sick days than usual

Stress 'harms nurses' sex lives' in UK

Almost half of nurses feel their sex lives are damaged by the emotional stress of their job, a poll suggests. Nursing Times magazine surveyed almost 2,000 nurses, and found 70% said they suffered from physical or mental health problems linked to work-related stress.

Some 44% said their sex life was suffering as a result and a quarter said they had started drinking more. Nursing Times blamed the pressure of financial deficits and the threat of job cuts in the NHS. The poll also found one in 10 nurses were smoking more, and almost a third reported taking off more days sick than usual. More than one in five of those surveyed had taken 30 or more days off during the last year.

Dr Peter Carter, general secretary of the Royal College ofNursing said: "Nurses are under pressure, under valued and under paid. "Stress is a serious issue for nurses who run the daily gamut of violence and abuse from patients and relatives, as well as coping with the day-to-day pressures of having to do ever more with fewer resources because of deficit-led cost cutting.

"When you add to that worries about job security and a pay cut, it comes as no surprise that stress levels are affecting nurses' personal lives and relationships."

Physical attacks

A RCN poll last year found more than a quarter of nurses surveyed had been physically attacked at work, while nearly half had been bullied or harassed by a manager.

Dr Carter said: "We need to tackle these issues if we are to keep nurses in the profession, while at the same time attracting new recruits so they can continue to deliver high quality patient care." Steve Barnett, director of NHS Employers, said the impact of stress on NHS employees was "vastly under-estimated".

He said work-related stress was responsible for 30% of sickness absence in the NHS - and cost the service £300-400million a year. However, he said NHS Employers had launched a campaign to combat stress, which seemed to be having an effect.

Other findings

A second survey of almost 400 nurses found 90% predicted there would be an increase in sexually transmitted infections over the next five years. The majority (84%) said that services had improved in the previous decade but a similar number (74%) said they were now being stretched by recent cuts.

Over 80% said sexual health was not given a high enough priority by healthcare providers and 85% said sexual health services were not given sufficient funds.

source : BBC

Contoh Membuat Resume Kerja RN

Contoh Membuat Resume Kerja Perawat Dalam Bahasa Inggris

Untuk membantu rekan profesi untuk aplikasi kerja sebagai RN secara online berikut adalah contoh resume kerja sebagai perawat dalam bahasa Inggris :

Elisa Wong, RN, BSN
Phone: (626) 379-6686 sampleemail@yahoo.com
16898 Queens Boulevard, Alhambra, CA 91754

Work Experience

Registered Nurse, Neuro-Surgical Department (including NICU), Jinghua Municipal Central
Hospital, Jinghua City, Zhe-Jiang Province, China (June 1993 – May 2005)
Job responsibilities:
• Senior Charge Nurse (main responsibility)
 Leading other RNs to Perform Total Nursing Care (mainly in NICU)
• Infection Control Supervisor and Controller (Neuro-surgical Department)
 Routine check on disinfected items and equipments
 Enforcing the infection control procedures
 Finding the causes and sources of spreading infection in order to control it and prevent from happening again.
• Clinical Instructor
 Giving clinical practice instruction to the student nurses from local colleges
• Administrative work
 Supervision and evaluation of other staff nurse’s nursing skills

Education


1997 - 2001 Nursing College Diploma,
Zhe-Jiang University, Jinghua City (Zhe-Jiang Province, China)

1990 - 1993 Nursing School Diploma,
Jinghua Health School, Jinghua City (Zhe-Jiang Province, China)

Certificates And Licenses

• California Registered Nurse License, California Board of Registered Nursing, 2005
• Basic Life Support for Healthcare Provider (CPR), El Monte, 2005
• Registered Nurse, China, 1993

Seminars and Trainings

• Intra-Hospital Infection Control, Jinghua Municipal Central Hospital, China
• Scientific Research and Design on Nursing Jinghua Municipal Central Hospital, China
• Advanced ICU nursing, Jinghua Municipal Central Hospital, China
• Low Body Temperature’s Treatment and Nursing, Jinghua Municipal Central Hospital, China

References

Available Upon Request

MoH Kuwait losing 50 nurses every month due to low salaries

MOH Losing 50 Nurses Due to Low Salaries

Kuwait city, June 11

Assistant Undersecretary for Medical Support Services Department at the Ministry of Health Dr Yusuf Al Nisf said the Ministry of Health is losing 50 nurses per month due to low salaries and allowances.

In a press conference held Monday, Al Nisf said the proposed allowances and pay scale submitted by the Kuwait Nursing Association was forwarded to the Cabinet for approval. He added the Ministry aims to discourage the nurses from seeking other opportunities with the proposed increment amounting 100 to 400 KD which will granted to both Kuwaiti and non-Kuwaity nurses.

Indicating that only eight (8%) of the total nursing staff are Kuwaitis, he disclosed the Ministry formed a committee tasked to encourage national manpower into the sector. The committee will also study the proposed increment considering that last salary increase given to nurses was based on Civil Service Commission (CSS) decision number 6/2000 while the pharmaceutical and medical services employees received increments under decision number 7/2003.

The committee has forwarded a suggestion on the appointment of national manpower to various leadership posts in the nursing sector, increase their allowances and improve their work conditions.

Meanwhile KMA (Kuwait Medical Association) will do everything possible to ensure that doctors are paid sufficiently and they get promotions on time, say Vice Chairman of KMA Dr Ahmed Al Fadhli.

Speaking to Arab times, called that current pay scale and promotions offered in medical sectors 'unjust'. And indicated that academic qualifications and experience are not being considered a criteria payment in the current set-up

Arab times, 12 June 2007
By Salman Al Ghadouri

wah ... tanda-tanda gaji mau naik nihh,,, jangan resign dulu deh tanggung...
mungkin benar gosip si bedul kemarin,, Amien

Robert Priharjo : Profil Perawat Indonesia di Luar Negeri (UK)

Robert Priharjo : Profil Perawat Indonesia di Luar Negeri

Saya mengenal Robert Priharjo saat di masa kuliah sekitar tahun 1995 (Program B) di PSIK Universitas Indonesia yang saat ini dikenal sebagai Fakultas Ilmu Keperawatan UI. Setelah sekian lama tidak bertemu, akhirnya kembali kontak dengan beliau via online. Robert Priharjo menurut saya adalah orang yang aktif dan dapat dijadikan contoh untuk Perawat kita. Lihat saja buku-bukunya yang banyak diterbitkan oleh EGC, seperti Pengkajian Fisik Keperawatan (Physical Assestment in Nursing), Perawatan Nyeri dan Pemenuhan Kebutuhan Aktifitas dan Istirahat Pasien (Pain Management and Nursing Care to meet Activity and Rest Needs); Teknik Dasar Pemberian Obat bagi Perawat (Basic Techniques of Drug Administration for Nurses); Pengantar Etika Keperawatan (Introduction to Nursing Ethics) and Praktik Keperawatan Profesional (Professional Nursing Practice).

Saat ini beliau berkarir di bidang keperawatan di Inggris dan telah membantu banyak perawat terutama dari Philipina, India dan Eropa Timur melalui ‘Overseas Nurses Programme’-nya. Yang diakreditasi oleh Nursing and Midwivery Council di Inggris dan juga perawat dari Inggris sendiri.

Keputusan berkarir di luar negeri tentu saja diambil dengan sebuah harapan untuk mengembangkan ilmu, profesi keperawatan dan pengembangan pribadi. Awalnya hanya untuk melanjutkan studi Master Keperawatan (S2 Keperawatan) di Manchester yang kemudian melanjutkan S3 Keperawatan di Cambridge, namun akhirnya beliau memilih berkarir di Inggris.

Artinya ada 2 pembelajaran apabila kita menjadi perawat, pertama adalah bahwa perawat adalah sebuah profesi yang menyediakan berbagai peluang karir dimanapun kita berada. Dan yang kedua pentingnya untuk tetap mengembangkan diri atau ’long live education’ selagi kita masih bekerja sebagai perawat.

Ini penting sekali untuk teman-teman profesi, paling tidak dapat mengkaji dengan melihat apa yang dapat dicapai oleh orang lain. Dan untuk sukses, terkadang memang kita mesti menjalani jalan yang berbeda dari main stream. Kalau kita melihat sebuah distribusi normal kadang saya menilai perawat Indonesia yang sedang bermukim, belajar dan berkarir di luar negeri adalah gambaran nilai ekstrem (0.05) dari profil 350.000 perawat Indonesia lainnya. Angka ini tentu jauh lebih rendah bila dibanding dengan profil perawat dari negara tetangga misalnya Philipina. Mengapa demikian?

Ini juga menjadi sebuah tantangan kedepan utamanya di Kuwait. Saya pernah bercanda dengan seorang teman disini, Kalau 20 tahun lagi hanya menjadi staf nurses (SN) senang, puas atau sedih ?. Teman saya hanya senyum-senyum. Kan coba lah meningkatkan level, naik menjadi leader, head nurses, atau metron kalau perlu – minimalnya kan bermimpi siapa tahu kesampaian. Namun, saya yakin jabatan ini tidak datang dengan sendirinya. Kalau para perawat dari Indonesia ingin menjadi leader keperawatan tidak saja di negara sendiri tapi juga ditingkat global. Saya yakin sudah saatnya berbagai peluang yang ada dicari dan dicoba. Kalau kita mimpi saja tidak berani lahh gimana mau kesampaian.