GAMBARAN PENGETAHUAN DAN PELAKSANAAN TRIAGE PETUGAS IGD BERDASARKAN SOP DI INSTALASI GAWAT DARURAT RSUD SAWAHLUNTO TAHUN 2025

Abstrak

Triage berperan penting dalam menentukan urutan pemberian perawatan pada pasien, kesalahan dalam menerapkan triage bisa menyebabkan penundaan perawatan, meningkatkan risiko kesehatan, bahkan membuat pasien kehilangan nyawa. Untuk memastikan triage dilakukan dengan benar, para petugas harus memahami dan mengerti dengan baik standar prosedur kerja (SOP). Hasil observasi dan wawancara terhadap 10 petugas di bagian darurat (IGD) selama satu hari kerja (pagi, sore, dan malam) menunjukkan bahwa 4 petugas menerapkan triage sesuai aturan, sedangkan 6 petugas lainnya masih mengalami kesalahan dalam mengatur pasien. Penelitian ini bertujuan untuk mengetahui seberapa baik petugas IGD memahami dan menerapkan triage sesuai dengan SOP di RSUD Sawahlunto tahun 2025. Penelitian ini menggunakan pendekatan deskriptif kuantitatif. Populasi penelitian mencakup seluruh petugas yang bekerja di bagian darurat RSUD Sawahlunto tahun 2025, yang dilaksanakan pada tanggal 7 hingga 17 Juli 2025, menggunakan metode total sampling. Alat pengumpulan data berupa kuesioner untuk mengetahui pemahaman petugas mengenai triage dan lembar observasi untuk mengamati pelaksanaan triage sesuai dengan SOP. Data dianalisis secara univariat untuk melihat frekuensi dan persentase. Hasil penelitian menunjukkan bahwa tingkat pengetahuan responden mengenai triage sebagian besar termasuk kategori baik, yaitu 16 responden (64%), dan kategori cukup sebanyak 9 responden (36%). Sedangkan pada aspek pelaksanaan triage sesuai SOP, ditemukan bahwa 17 responden (68%) melaksanakannya dengan benar, sedangkan 8 responden (32%) belum sesuai. Dari hasil penelitian dapat disimpulkan bahwa kebanyakan petugas IGD di RSUD Sawahlunto tahun 2025 memiliki pengetahuan yang baik tentang triage dan menerapkannya sesuai SOP, namun masih ada sebagian petugas yang belum konsisten. Oleh karena itu, diperlukan upaya peningkatan seperti pelatihan rutin, pengawasan terus menerus, dan evaluasi berkala agar pelaksanaan triage dapat berjalan optimal dan sesuai standar

Triage plays a crucial role in determining the order of patient care. Mistakes in triage implementation can delay treatment, increase health risks, and even lead to death. To ensure proper implementation of triage, staff must thoroughly understand and adhere to standard operating procedures (SOPs). Observations and interviews with 10 staff members in the emergency department (ER) during a single workday (morning, afternoon, and evening) revealed that four staff members implemented triage according to the rules, while six others still made mistakes in managing patients. This study aimed to determine the extent to which ER staff understand and implement triage in accordance with SOPs at Sawahlunto Regional Hospital in 2025. This study used a quantitative descriptive approach. The study population included all staff working in the emergency department of Sawahlunto Regional Hospital in 2025, conducted from July 7 to 17, 2025, using a total sampling method. Data collection tools included a questionnaire to determine staff understanding of triage and an observation sheet to observe the implementation of triage in accordance with SOPs. Data were analyzed univariately to determine frequencies and percentages. The results of the study showed that the level of knowledge of respondents regarding triage was mostly in the good category, namely 16 respondents (64%), and the sufficient category was 9 respondents (36%). Meanwhile, in the aspect of implementing triage according to the SOP, it was found that 17 respondents (68%) carried it out correctly, while 8 respondents (32%) did not comply. From the results of the study, it can be concluded that most emergency room officers at Sawahlunto Regional Hospital in 2025 had good knowledge of triage and implemented it according to the SOP, but there were still some officers who were not consistent. Therefore, improvement efforts are needed, such as routine training, continuous supervision, and periodic evaluation, so that the implementation of triage can run optimally and according to standards