The safety of Puskesmas staff and visitors is very important, especially during the Covid-19 pandemic. In line with this effort, the UI Action Team for the State from the Faculty of Nursing, University of Indonesia (FoN UI) conducted Community Service at the Panunggangan Barat Health Center, Tangerang, Banten. The service is led by a FoN UI lecturer, Dr. Hanny Handiyani, SKp., MKep, together with FoN UI Nursing Masters Program Students (Rita Setianingrum, Lia Dwi Jayanti, Tsania Ayu Zahrany, Tomy Suganda, Syarifatul Izza, and Maria FV Boro) and the Health Center’s K3 team to activate an Environmentally Friendly Community Health Center (Pusramling) ).
Permenkes No. 43, 2019 concerning Health Centers mandates that Puskesmas prioritize promotive and preventive efforts in their working areas. “Pusramling” answered the mandate as an effort to optimize the health center for safe. Activities include Socialization of Occupational Health and Safety (K3), Waste Handling, Simulation of Basic Life Support (BLS), and Delivery of Family Medicinal Plants (Toga).
The K3 socialization was the implementation of the Health and Safety Management System Manual for the Health Center and the K3 Pocket Book which had been prepared by the service staff with the Puskesmas team from September to November 2020. The socialization began with sharing knowledge by Mrs. Dewi Murni as the head of K3 Health Center. He explained about K3 at the Puskesmas. The activity was continued by sharing about K3 in general by FoN UI students (Rita Setianingrum). Participants were quite enthusiastic and very attentive, indicated by many questions about handling K3 and being safe during the Covid-19 pandemic. K3 socialization, especially in the application of standard precautions, can be said to be successful, as seen from the increase of 25.64% from the pre-test score (57, 21%) to 82.85% at the post-ttest.
Waste handling activities, both medical and non-medical waste, are carried out by guiding staff in providing education to patients/families who come to the Puskesmas. “Education is carried out so that the community is able to apply the principles of handling waste in the community,” said Tsania Ayu Zahrany who guided this activity. The ability of Novia Lestari (one of the Puskesmas officers) in providing education on waste management is immortalized in the form of educational videos. This educational video can be an extraordinary medium for Puskesmas staff to use as change agents in inviting people to be smart in handling waste.
The BLS simulation in pairs was carried out by all participants enthusiastically because BLS was very useful to use at any time and could be done anywhere when meeting a patient with cardiac arrest. The ability to practice/simulate BLS from the 34 Puskesmas staff has increased from 40-50% to 85-100% (passed). The head of the Puskesmas, Dr. Abu Khurairoh, stated “Next year’s BHD will be programmed to become mandatory training for all staff”. The BLS ability of the two participants, Dr. Maria and Ns. Bayu has been videoed because he is quite capable and can be a change agent” in maintaining the sustainability of the program.
This activity can continue because the service team and the Puskesmas have introduced the Health and Safety Management System (K3) Manual for the Puskesmas and the OHS Pocket Book which can be used as a reference for replicating similar activities in other Puskesmas. In addition, the service also handed over 18 family medicinal plants (Toga) which became icons of the Environmentally Friendly Health Center/Pusramling which were accepted by the Head of the Puskesmas: dr. Abu Khurairoh. The Puskesmas already has Toga but it is still small and needs to be developed. “It is better if the Puskesmas is able to take advantage of the existing Toga in the community and be able to provide education to the community about the importance of Toga, said Lia Dwi Jayanti to Nourma, PIC of Toga at the Puskesmas.
“A program like this really helps us at the Puskesmas to continue to update our knowledge and apply it while on duty,” said Dr Abu Khurairoh. The hope is that these things can be a provision to apply the new knowledge and skills gained to share them with others around them and become part of education to patients or their families who visit the Puskesmas Similar feedback was also delivered by the training participants in the feedback session at the end of the activity Monday, November 23, 2020 at 16.00 Wib.
Let’s support the Go Green Program for Environmentally Friendly Health Centers (Pusramling) for the Safety of Staff and Visitors