Case Study on Nurse Care for Covid-19 Patients with MDRO (Multiple Drug Resistent Organism) in Isolation Intensive Care Unit, Bali Mandara Hospital
DOI:
https://doi.org/10.53713/nhs.v2i3.137Keywords:
nurse care, covid-19, multiple drug resistant organismsAbstract
Covid-19 pandemic has made major changes in human civilization. Nurse care becomes more complex for Covid-19 patients who also confirmed with MDRO. MDROs are bacteria resistant to three or more antimicrobials from different classes. This study aims is to know nurse care of patients with Covid-19 and MDRO.The design of this study is qualitative method (case study). The subjects were two patients with Covid-19 and MDRO in Isolation Intensive Care Unit. Data collection techniques were physical and supporting examination, medical record review. Data from the analysis were written descriptively. Priority nursing diagnoses was impaired gas exchange related to ventilation-perfusion imbalance characterized by dyspnea, decreased consciousness. The patient is attached to a VC SIMV mode ventilator. After being treated in Isolation intensive care unit for approximately 14 days, the patient was able to breathe spontaneously with an O2 nasal cannula. The conclusion is nurse care for COVID-19 patients with MDRO is carried out based on isolation precautions (droplet and contact transmission). Nurses are expected to provide professional nurse care to Covid-19 patients with MDRO so the quality of care remains up to standard even during pandemic.
References
Agatha, C., Liana, P., & Susilawati. (2018). Perbedaan Angka Kejadian Multidrug Resistant Organisms Tahun 2015 dan 2016 pada Pasien GICU RSUP Dr. Mohammad Hoesin Palembang. Majalah Kedokteran Sriwijaya, 3(Juli), 105–114.
Christina, P., Indracahyani, A., & Yatnikasaria, A. (2019). Analisis Ketidaksinambungan Dokumentasi Perencanaan Asuhan Keperawatan : Metode Ishikawa. Jurnal Ilmiah Kesehatan, 12(2). https://doi.org/10.48144/jiks.v12i2.166
DPP PPNI. (2020). Panduan Asuhan Keperawatan di Masa Pandemi Covid-19.
Elyas, Y. (2022). Aspek Caring Perawat Dalam Perawatan Pasien Ards Covid-19 Terpasang Extracorporeal Membrane Oxigenation (Ecmo): Studi Kasus Dengan Pendekatan Teori Keperawatan Care, Core And Cure Lydia Hall. Jurnal Keperawatan Silampari, 5, 850.
Ertiana, D., & Pratami, A. N. (2021). Jurnal Kesehatan Prima 2011, 15(1), 46–56.
Ginting, G. K. A. (2019). Pelaksanaan Pengkajian Keperawatan Di Ruang ICU.
Manurung, A. A., Asmaningrum, N., & Kurniawan, D. E. (2021). The Psychosocial Responses among Clinical Nurses for Caring Patients of COVID-19: A Literature Review. Nusing and Health Sciences Journal, 1(2), 164–172. https://nhs-journal.com/index.php/nhs/article/view/40/30
Muthia, A. (2016). Pengkajian keperawatan di ruangan icu. In E-Journal Osf.Id (pp. 1–11).
PPNI. (2019a). SDKI. DPP PPNI.
PPNI. (2019b). SIKI. DPP PPNI.
PPNI. (2019c). SLKI. DPP PPNI.
Rohmawati, N., Ardiana, A., & Rosyidi Muhammad Nur, K. (2021). Overview of Nurses Perception about Caring Based on Technology in the ICU and ER of Jember Region Hospital. Nursing and Health Sciences Journal (NHSJ), 1(3), 193–197. https://doi.org/10.53713/nhs.v1i3.58
Subhan, A., Manalu, W., Rahminiwati, M., & Darusman, H. S. (2021). The Study of Quality Evaluation of A Hand Rub (Hand Sanitizer) With Who-Based-Standard Formulation and Percent Reduction of Bacteria (Percentage Kill Bacteria) In Methicillin-Resistant Staphylococcus Aureus (MRSA). Indonesian Journal of Pharmacy. https://doi.org/10.22146/ijp.1252
Sumaryati, M. (2018). Studi Kasus Asuhan Keperawatan Gerontik Pada Keluarga Ny”M” Dengan Hipertensi Dikelurahan Barombong Kecamatan Tamalate Kota Makassar. Jurnal Ilmiah Kesehatan Sandi Husada, 6(2), 6–10. https://doi.org/10.35816/jiskh.v6i2.54
Syarofi, Z. N. (2019). Antibiotic Therapy Assessment of Patients diagnosed with Sepsis in Intermediate Care Ward of Internal Medicine Department of Dr. Soetomo General Hospital according to Gyssens Criteria. Perpustakaan Universitas Airlangga, 1–8.
