neurosurgery Enny hh karawaciJUNI 2024.pdf

ipcnn

1. EnnyMulyatsih
1
Doctoral Candidate of Nursing Faculty, Universitas Airlangga
2
Chairman of Nursing Committee , National Brain Centre Hospital Indonesia
3
President of Indonesian Neuroscience Nurses Association

2. National Brain Centre Hospital
Kedaruratan Stroke_Enny_2024

3. Indonesian Neuroscience Nurses Association
(INeNA)

4. The First National Congress of INENA
Jakarta, February 2014
Participants of theFirstCongress were nurses
from various cities in Indonesia who work or as
lecturer inthe neurology and neurosurgery area

5. INeNAVision
To increase the competency of all
neuroscience nurses in Indonesia according to
international standard

6. North Sumatera
East Kalimantan
SouthEastSulawesi
South Sulawesi
NTB
Yogjakarta
Central Java
East Java
INENA Branches in Indonesia

7. Job training “management of stroke patient”inRoyal Perth
Hospital, 1994

8. The First Stroke Unit in Indonesia

9. The First Stroke Course for Nurses, Jakarta, 1999

10. Neurological Cases Management

11. Developing the Neurology Courses for Nurses
(INeNAhave Collaborated with NBC Hospital & the Curriculum have
accredited by Ministry of Health)
❖Basic Neurology Life Support (BNLS)
❖Comprehensive Stroke Nursing Management
❖Neurointervention for Nurses
❖Neurosurgical-Intra operative for Nuses
❖Code Stroke
❖Trainner of Training (TOT) for Neuroscience Nurses

12. KMK No. HK.01.07/Menkes/1948/2022
RS JejaringPengampuanPelayananStroke
Projection of the National Need for Stroke Nurses in 2024
BNLS: 5925Nurses
Comprehensive Stroke: 1394nurses
CathLab:601nurses
IntraOperative Neuro Surgical: 128

13. Basic Neurology Life Support
(BNLS)

14. ❖Neuro Assessment
❖Airway Manag
❖IV Thrombolysis
❖Dysphagia Screening
❖Monitor Vital Sign
and Neurological
Status
❖ICP manag
❖Fluid & Electrolite
imbalance
Topics
Need: 4920
Available: 1000
Needed: 3920 Nurses
Resources
130 times.
Required Training
Nusesfrom:
❖ER
❖Neurological
Ward
❖OutPatient
Dept
❖Cath Lab
❖Operating
Room
❖ICU
❖Stroke Unit
❖Rehab Unit
❖Primary Heath
Care
Target
Powers et al. (2019) AHA / ASA Guideline Guidelines for the Early Management of
Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the
Early Management of Acute Ischemic Stroke. AHA. Available at:
https://doi.org/10.1161/STR.0000000000000211.
Basic Neurology Life Support (BNLS)

15. Comprehensive Stroke Care Management Course
❖Early Mobilization
❖Early Stimulation
❖Swallowing Management
❖Bladder Trainning
❖Discharge Planning
❖Patieng& Family Education

16. 15
8
DistribusiRS Strata Paripurnayang
telah
MencukupiJumlahPerawatBersertifikat
AskepStroke KomprehensifTahun2024
Perawat Bersertifikat Askep Stroke
Komprehensif TELAH mencukupi
Perawat Bersertifikat Askep Stroke
Komprehensif BELUM mencukupi
Comprehensive Stroke Care Management Course

17. Comprehensive Stroke Care Management Course

18. Neuro Intervention Course for Nurses

19. Neuro Intervention Course for Nurses

20. Neuro Intervention for Nurses

21. Intra Operative of Neuro Surgical Course for Nurses

22. Intra Operative of Neuro Surgical Course for Nurses
Intra Operative of Neuro Surgical Course for Nurses

23. Intra Operative of Neuro Surgical Course for Nurses

24. Code Stroke Course

25. National Brain Centre Hospital
Nursing Staff: 526 nurses
BNLS:100%
Comprehensive stroke:50%
OR: 37 Nurses
Cert of Basic Intra Op: 30
Cert of Intra Op Neuro
Surg: 8
❖PACU: 8 nurses
Certified:7
❖Cath Lab:7 Nurses
Cert of Nevi: 6

26. Effect of a Structured Neuroscience Nursing
Education Program
Source: drIta Muharamsari, NBC, 2024

27. 60
86
58,5
74
61
54,5
71,5
55
48
36
35
40
34
33
32
3535
44
37
30,5
34
38
37
32
38
34
38
0
10
20
30
40
50
60
70
80
90
100
DTN (minutes)
DTNJanuary 2022 -April 2024
Source: drIta Muharamsari, NBC, 2024

28. Source: drIta Muharamsari, NBC, 2024

30. Source: drIta Muharamsari, NBC, 2024

31. SkorNIHSS

32. SkormRS

33. TingkatKepuasanPasien

34. The Level of Patient Satisfaction with Nurses' Caring
Behaviorat NBC (Mulyatsih et all, 2024)

35. CONCLUSSION
❖Nurses who work in the area of ​​neurology
and neurosurgery must be certified in
neuroscience nursing course according to
their area of ​​assignment
❖Hospitals that have nurses who have certified
neuroscience nursing course are able to
improve outcomes, reduce length of stay in
hospital, reduce mortality rates, and increase
patient satisfaction

36. Required Training for Nurses
NO. COURSE
NUMBER OF
NURSES
REQUIRED
COURSES
REQUIRED
NUMBER OF
PARTICIPANTS
1 BNLS 3920 130 times30 nurses
2 Comprehensive Stroke 578 47 times30 nurses
3 Neuro Intervensi 576 38 times 15 nurses
4 Intra Operative 132 9 times 20 nurses
5 Code Stroke 1565 157 times30 nurses
6 Neuro Critical Care 280 7 times 30 nurses
7 Peri operative of Neurosurgical 280 7 times 30 nurses
8 Neurorehabilitation for Nurses 280 7 times 30 nurses
9 TOT for Neuroscience Nurses 50 2 times 25 nurses
CONCLUSSION

37. ❖Neuro Critical Care Nursing
❖Perioperative of Neurosurgical Nursing
❖Neuro-Rehabilitation for Stroke Patient
❖Community-based nursing care for stroke patients
Educationfor Family and Care Giver: Home Care for Stroke Patient
The other curriculum will be developed
CONCLUSSION

38. Thank You
03/06/2024 38Craniotomy_Enny_WFCN_2022