PELAKSANAAN UNIVERSAL PRECAUTIONS OLEH PERAWAT DAN PEKERJA KESEHATAN (Studi Kasus di Rumah Sakit Islam Malang Unisma)

Universal precautions is important for prevention of nosocomial infections among patients and health care providers (especially hepatitis BIG and HIV/AIDS). The objective of this study was to determine implementation of universal precautions. This was a case study. Data were collected using interview and observations, at Rumah Sakit Islam Malang Unisma year 2005. There were ten nurses and assistant nurses working at hospital ward interviewed. Result of this study mdicated that in general the universal precautions had been implemented but not in accordance with the standard prosedure of universal precautions. Only 50% of the respondent practiced correctly hands washing and none hand gloves. All respondents did incorrect procedure for sterilizations of hand gloves and medical equipments. All needles were not decontaminated before disposal. Supporting facilities particularly the standard operating prosedure for umversal prosedure and pre service training were not available. It was concluded that the implementation of universal precautions were not match with the standard prosedure. So the potential risks of nosocomial infections cannot be reduced, in the other hand increase risks of hepatitis BIG and HIV/AIDS transmission among patient and health providers. The nurses and assistant nurses never got pre-service training for universal precautions by hospital management. Based on the results, it recomended to provide the standard prosedure of universal precautions and to train all health provider (nurses and assistant nurses) who deliver service in hospital ward to be able to implement universal precautions correctly. And it is necessary to conduct further study on implementation of universal precautions at health centers with inpatient ward and others hospital. Keywords: universal precautions, practices, hospita