DEVELOPMENT OF STANDARD OPERATING PROCEDURES FOR SPANNING PATIENTS WITH FRACTURES IN THE EMERGENCY ED OF BALIMED HOSPITAL, DENPASAR
DOI:
https://doi.org/10.36720/nhjk.v15i1.891Keywords:
fractures, Optimizing The Preparation Of Splinting Sops, SplintingAbstract
Background:
Emergency services provided to fracture patients include splinting, which is a nursing action to relax or rest (immobilize) the injured body part using a splint with the aim of reducing pain and preventing excessive bone displacement. Splinting is a technique used to immobilize or stabilize a broken limb. Immobilization can reduce pain, swelling, muscle spasms , epistaxis, and the risk of fat embolism
Purpose:
The aim of this study is to analyze the development of standard operating procedures for splinting in patients with fractures in the emergency room of Balimed Hospital, Denpasar.
Methods:
The method used was a case report with the ADDIE approach, which is an abbreviation of the stages, namely Analysis, Design, Development, Implementation, and Evaluation. Its use is for various forms of product development such as models, strategies, methods, or media.
Results:
The same thing as HIPPII, (2019) which informs that the steps and principles of writing an SOP are by implementing a policy review that underlies a procedure or work process, considering the procedure, when the SOP was created, searching for literature and other related information that supports the procedure, seeking input from staff and officers, writing down the equipment or facilities needed, determining who is authorized to carry out the procedure, writing down indications or contraindications and underlining risks, warnings, and other things that are needed.
Conclusion:
The effectiveness of the SOP that has been developed on patients and evaluating patient comfort and controlling pain due to fractures experienced.
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References
Faidah, N. (2022). The Effect of Splinting on Pain Levels in Fracture Patients at the Emergency Department of Dr. Loekmono Hadi Kudus Regional Hospital. Journal of Nursing Profession , 9 (1), 1–9.
Fransiska, N., Anggraeni, A., Ade, I., & Liscyaningsih, N. (2024). Femur Radiographic Examination Technique with Modified Central Ray Angle in the Radiology Installation of PKU Muhammadiyah Hospital Yogyakarta. Indonesian Republic Health Journal , 1 (9), 180–185.
Muzaki, A. (2023). Administering Lemon Aromatherapy to Reduce Acute Pain in Fracture Patients in the Emergency Department. Nursing Science Journal (NSJ) , 4 , 212–219.
Nurnaningsih, N., Romantika, IW, & Indriastuti, D. (2021). The Relationship Between Nurses' Knowledge and Attitudes and the Management of Fracture Patient Splinting at Hospital X, Southeast Sulawesi. Journal of Holistic Nursing and Health Science , 4 (1), 8–15.
Pobi, T. (2024). Implementation of Splinting on Pain Intensity of Lower Extremity Fracture Patients at Pelamonia Level II Hospital. Mitrasehat Journal , 14 , 520–525.
Rachman, T., Rahmadian, R., & Rusjdi, SR (2023). Management Patterns of Femur Fractures at Dr. M. Djamil General Hospital, Padang, 2020. Indonesian Journal of Health Sciences .
Rafiqi, SI (2025). The Effect of Splinting on Reducing Pain Levels in Fracture Patients: A Case Study. Journal of Professional Nursing Research , 7 (April), 929–934.
Riamah. (2024). First Aid for Broken Bones (Fractures) with Splinting at Sma Negeri 3 Siak Hulu. Salingka Abdimas Journal , 4 (1), 67–72.
Ritonga, SH (2023). Health Education on Fracture Management Using Splinting at Sma N 4 Padangsidimpuan. Aufa Community Service Journal (Jpma) , 5 (3), 131–134.
Sumpono, K. (2025). The Effect of Splinting on Pain Scale in Fracture Patients in the Emergency Room of Diponegoro Dua Satu Hospital, Klaten. Medic Nutricia , 18 (3). Https://Doi.Org/10.5455/Mnj.V1i2.644
Zefrianto, D. (2024). Application of Benson Relaxation to the Pain Scale of Post-Fracture Surgery Patients in the Special Surgery Room of General Ahmad Yani General Hospital, Metro City in 2023. Jurnal Cendikia Muda , 4 .
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