MANAGEMENT OF EMERGENCY NURSING CARE WITH SERVICE EXCELLENCE IN MR. D WITH SECOND-DEGREE BURNS AT THE EMERGENCY DEPARTMENT OF H. ADAM MALIK CENTRAL GENERAL HOSPITAL MEDAN NORTH SUMATRA PROVINCE IN 2025
Abstract
ABSTRACT
Burns are a type of severe burn that not only affects the skin, but can also damage deeper tissue and cause systemic disorders in a person's body. The goal is to maintain the safety of the victim, protect those who help, prevent infection, relieve pain and anxiety in a person, and maintain the victim's condition until medical personnel arrive to provide further treatment. The method used in my research is a descriptive method, which systematically describes the nursing process carried out starting from assessing the patient's condition, determining the diagnosis, formulating interventions, implementing actions, and evaluating the results of the implementation, as evidenced by documentation and using the Orem theory approach related to the problem of burns. According to WHO data in 2023, burns are a health problem that has recorded more than 265,000 people worldwide who have died. According to the Ministry of Health of the Republic of Indonesia (2020), the prevalence of burns in Indonesia in 2020 was recorded at 0.7%, a decrease of 1.5% compared to 2008 which reached 2.2%. According to Riskesdas, the number of burn patients in North Sumatra reached 1.0% of the total 5,401 people. Meanwhile, in Medan City, there were 89 people suffering from burns. Based on information obtained from the Medical Record book of the H. Adam Malik Medan General Hospital (RSUP), in 2021 there were 21 more patients, namely in 2022, becoming 43 people. continuing in 2023, increasing to 60 people. However, in 2024, there was a slight decrease, namely 52 patients were recorded, and burn data at the H. Adam Malik Medan Hospital on April 26-29, 2025 in the Surgical ICU Room there were 2 people. The selection of burn cases is the focus of discussion based on the contribution of nurses in holistic burn treatment, both in terms of physical, psychological, and educational, in order to accelerate the healing process related to SGDs No. 3 and 17. So, it makes me interested in taking the title of the final report with the title "Emergency Nursing Care Management with Grade II Burns on Mr. D. in the IGD Room of H. Adam Malik General Hospital, Medan, North Sumatra Province in 2025".
References
References
Angelika. (2023). Potential of marine land for healing burns. Surabaya, 72 pages.
Ardiansyah, J., & Simarmata, M. (2022). Literature Review on the Application of Ambon Banana Latex to Wounds. 5(2), 1–11.
Arga, N.A., Studi, P., Faculty, K., University, K., Kuala, S., Nursing, B., Darurat, G., Nursing, F., & Syiah, U. (n.d.). Characteristics and Incidence of Burns in the Community. 9(2), 44–51.
Asrizal et al. (2022). Textbook of Wound Care Management, Theory, and Application (September 2022 (ed.); Rulie Guna). CV. Budi Utama. https://www.google.co.id/books/edition/Buku_Ajar_Manajemen_Perawatan_Luka_Teori/sUZOEQAAQBAJ?hl=id&gbpv=1&dq=buku pengkajian luka bakar&pg=PP5&printsec=frontcover
Bayu, S. (2023). Educating the Community on the Importance of First Aid (P3K): Systematic Literature Review (Slr). 4, 5722–5729.
Erika. (2024). Nursing Management (M. Suardi (ed.); Taufik Akb). CV. Azka Pustaka.
Hady, A. J., Mustafa, M., Ekowatiningsih, D., Fauziah Saparuddin, A., & Makassar Health Polytechnic, B. (2024). Description of Nurses' Knowledge in Handling Fluid Resuscitation in Burns in the Emergency Room. Makassar Health Polytechnic, 15(1), 2087–2122.
Hamdana et al. (2023). Textbook of Emergency Nursing for the Integumentary System of Burns (Nasmedia Team (ed.); July 2023). PT. NasMediaIndonesia.https://www.google.co.id/books/edition/Buku_Ajar_Asuhan_Keperawatan_Kegawat_Dar/jS_TEAAAQBAJ?hl=id&gbpv=1&dq=bukupengkajianlukabakar&pg=PR4&printsec=frontcover
Haryono, W., & Noer Hidayat, T. S. (2020). Review of Acute Burn Management Due to Flame with Suspected Inhalation Trauma in Geriatrics: Case Report. Mirror of the World of Medicine, 48(3), 161. https://doi.org/10.55175/cdk.v48i3.1334
Hidayat, L. O., Shabir, A. M., & Ahmad, N. (2022). Work Design, Interprofessional Collaboration, and Workload with Patient Safety Implementation. Journal of Professional Nursing (KEPO), 3(2), 138–147. https://doi.org/10.36590/kepo.v3i2.452
Kristina et al. (2023). Evidence-Based Nursing: Nursing Practice Based on Scientific Evidence (Putu Intan Darsyaswati (ed.); Member of the IK). PT. Sonpedia Publishing Indonesia.
Martini, M. (2024b). Textbook of Emergency Nursing (Dismasqi Sultan Sabiq Jidan (ed.); November 2). Masterpiece by Citra Utama. https://www.google.co.id/books/edition/Buku_Ajar_Keperawatan_Gawat_Darurat/xTcyEQAAQBAJ?hl=id&gbpv=1&dq=buku pengkajian luka bakar&pg=PP4&printsec=frontcover
Nur, A., & Nurhayati. (2022). The Relationship Between Family Knowledge and First Aid for Grade II Burns in Sei Sikambing B Village. Journal of Nursing, 2021.
Pasaribu, V. A., & Alpiah, D. N. (2023). The Effect of Breathing Exercises on Reducing Pain in Burn Patients: A Literature Review. Binawan Student Journal, 5(2), 36–43.
Putu Arya Wijayantha et al. (2023). Textbook of Emergency Nursing (Putu Intan Daryaswanti (ed.); June 2024). PT. Sonpedia Publishing Indonesia.
Rachma Dini, T. M., & Widada, W. (2023). Nursing Care for Patients with Second-Degree Burns with a Nursing Diagnosis of Acute Pain. Health & Medical Sciences, 1(3), 1–6. https://doi.org/10.47134/phms.v1i3.49
Ramadhina, A., Nasution, N. I., & Habibah, N. (2025). First Aid Efforts for Accident Injuries. 3.
Riskesdas. (2022). Ministry of Health of the Republic of Indonesia.
Saputra, D. (2023b). Comprehensive Review of Burns and Their Management. Scientific Journal of Andalas University, Padang, 207–218. http://journal.scientic.id/index.php/sciena/issue/view/12
Susilawati. (2024). Textbook of Medical-Surgical Nursing III (Mahakarya). Member of IKAPI.
Syaiful, S., Majid, S., Abrar, E. A., & Haeril Amir. (2023). The Effect of Epithelial Zinc Cream on the Healing of Third-Degree Burns: A Case Study. Permas Scientific Journal: Kendal Health College Scientific Journal, 13, 83–90.
Working Group Team. (2017a). Indonesian Nursing Diagnosis Standards. PPNI.
Working Group Team. (2017b). Indonesian Nursing Intervention Standards. PPNI.
Velani, Nuru, H. (2022). Modern Dressing Intervention for Diabetes Patients with Ulcers Using the Orem Nursing Theory Approach in the Raflesia Ward, Kepahiang District Hospital.
WHO. (2024). https://www.who.int/news-room/fact-sheets/detail/injuries-and-violence.
World Health Organization (WHO). (2023). Noncommunicable diseases.
Zusandy, A. K., Arwi Amiruddin, Andi Sastri Z, Lisa Yuniati, & Andi Miranti. (2024). Overview and Characteristics of Burn Patients. Fakumi Medical Journal: Student Journalwa Kedokteran, 4(5), 412–422. https://doi.org/10.33096/fmj.v4i5.455
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Copyright (c) 2025 Noferia Gulo, Herna Rinayani Manurung, Lisbet Gurning, Fitri Maya Sinaga, Sanni Sihombing, Jane Evania Damanik, Dameria Sianipar
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