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Maaf Uda, Selang Cuci Ginjal Ambo Tak Berpoligami

UDA Zainuddin, dengar dulu Hayati mau cerita. Urusan politik kadang kala masuk juga ke dalam dunia kami, dunia medis. Apalagi kami paramedis ini banyak berinteraksi dengan orang banyak, dan selalu apdet isu kekinian.

Jangan Uda pikir kami nda tau kalau ada juga sekelompok pekerja di rumah sakit (RS) berpose jari tangan ala pendukung capres sebelum tindakan operasi. Tapi itu kan biaso saja, nda usa pula Uda marah-marah liatnya. Siapapun boleh menyatakan keberpihakan, tenaga medis juga kan manusia

Tapi Da, kalau kemudian kerja dan layanan kami mulai diusik-usik, dan dijadikan bahan jualan politik, tentu kami juga boleh merasa tidak senang. Atau minimal memberikan tanggapan dengan ilmu kami.

Lapor polisi sebagai pasal pencemaran nama baik? Ndeh, Bukan urusan kami tu Da, itu bukan ranah kami. Ranah kami tu di Sumatra Barat, kampuang nan jauh di mato.

Kami cuma tau kalo kerjo kami ni cuman melayani si sakit, menyenangkan pasien dan keluarga pembesuknya, membuat mereka bahagia. Kalo awalnya pasien datang dengan muka meringis, cemberut kalo urang awak bilang mangurunyui. Nah, kami berusaha untuk menciptakan senyuman dan wajah bahagia saat mereka pulang.

Hayati kemaren membaca artikel di timeline soal capres yang berkomentar tentang alat cuci darah.

Kata berita itu da, kalau Capres Prabowo Subianto menyebut masalah keuangan di Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan membuat kualitas layanan di RS terabaikan. Akibatnya, konon ini membuat RS menggunakan satu selang cuci darah untuk beberapa pasien. Berkali-kali.

Hal itu dikatakannya dalam ceramah kebangsaan akhir tahun Prabowo Subianto, di Hambalang, Bogor, yang diunggah laman Facebook-nya, Minggu (30/12).

Onde Uda, terkejut Hayati, mau copot rasanya jantung Hayati ni Da, Untungnya Hayati suka makan pisang, jadi jantung Hayati baik-baik saja. Jadi Uda, ini kode kalau makan pisang itu menyehatkan, minimal nda bikin terkejut kalau dapat berita hoax.

Kalo Hayati baca berita itu, awalnya Pak Capres ini menekankan pada alat pengganti ginjal. Katanya biasanya alat ini dipakai satu orang satu kali, di RSCM di pakai 40 orang. Mungkin alat yang dimaksudnya itu Dialiser, Da. Tabung pengganti ginjal untuk cuci darah.

Pernefri (Perhimpunan Nefrologi Indonesia) 2016 lalu, mengeluarkan surat yang ditujukan pada BPJS bahwa penggunaan dialiser itu maksimal 7 kali reuse (penggunaan berkali-kali untuk satu pasien).

Jadi kalo yang dimaksud itu tabung, nda mungkin sampe 40 kali reuse atau mungkin yang dimaksud 40 orang menggunakan dialiser yang sama. Waullahua’lam.

Onde, seandainya benar tu yang di katakan Bapak Capres, kasian juga kita lihat tabung itu di pake 40 orang. Kasian pula kita liat RSCM yang dijadikan contoh.

Itu RS panutan se-Indonesia Raya tu, Da. Ibarat sebuah umat, maka RSCM ini penghulunya, imam besar seluruh RS di Indonesia. Angku lareh ni istilah di kampung kito.

RSCM tu, Da, RS yang paling komplit dan ketat akreditasinya. Bahkan untuk segmen unit hemodialisa (cuci darah), RSCM ini menjadi rujukan untuk studi banding se-Indonesia.

Uda Zainuddin, mau tau bagaimana kami memperlakukan pasien kami agar mereka terhindar dari penyakit-penyakit menular dan efek samping lainnya.

Karena kata Pak Capres, “Orang sakit ginjal harus hidup dari pencucian darah. Bisa dapat macam-macam penyakit jika selang dipakai banyak orang Hepatitis A, B, C, malaria, HIV. Bayangkan. Ini menurut saya negara kita ini gagal melayani rakyat.”

Betul tu, Da, apa yang dikatakan Pak Capres kita ini. Penggunaan alat kesehatan bergantian itu akan menularkan penyakit. Apalagi katanya alat dan selang dipake rame-rame.

Tapi Uda nda usa khawatir, tenang, hal itu tak akan terjadi, negara belum gagal melayani masyarakat. Selama ada kami sebagai jantung RS maka masyarakat akan dilayani dengan baik, demi negara tercinta ini.

Beginilah prosedur yang kami lakukan di Ruang Hemodialisa:

Pertama, saat pasien di diagnosa untuk menjalani cuci darah, maka ada prosedur screening sebagai persiapan awal. Kami akan melakukan pengecekan HBSAg (Hepatitis-B), HIV, anti HCV (Hepatitis C).

Kalo berindikasi positif atau punya penyakit yang dimaksud, maka pasien tersebut ditempatkan di ruangan khusus. Ini untuk menghindari kontak atau kontaminasi fisik.

Berikutnya, ini yang penting da, buat Pak Capres 02 dan pendukung-pendukung fanatiknya–dengar-dengar pendukungnya banyak urang awak, Da–untuk peralatan hemodialisa, kami punya prosedur ‘satu pasien satu selang’.

Biar agak kerenan, kami menyebutnya blood line, dan satu pasien satu dialiser. Semua perangkatnya kami pastikan bersih, dalam keadaan steril dan masih terbungkus rapi dalam kemasannya yang tertutup.

Penting itu bagi kami untuk menghindari kontaminasi. Kami memasang blood line dengan teknik bersih yang menyentuh lantai atau apapun tidak. Dan tentu saja sebelum melakukan semua tindakan itu kami sudah melakukan buat bersih, ‘6 langkah cuci tangan’.

Kami juga menggunakan glove atau sarung tangan, masker, dan celemek. Semua ini kami lakukan untuk memberi kenyamanan dan keamanan kepada pasien- pasien saat terapi hemodialisa berjalan.

Tindakan selanjutnya ada pada saat priming. Itu untuk menghangatkan, melembabkan, dan juga membuang cairan pengawet pada dialiser. Dialiser  ini dimasukan cairan penjamin steril, Nacl 500-1000 cc dan bekasnya dibuang.

Prosedur berikutnya adalah melakukan penyuntikan. Semua perangkat medis kami buka di depan pasien, untuk memastikan bahwa kami tak pernah memakai bekas pasien lain.

Untuk membukanya kami menggunakan glove, lalu saat melakukan tindakan penyuntikan kami menggantinya dengan glove yang steril. Untuk urusan kebersihan dan bebas kuman ini, kami tak pernah berkompromi karena sedikit kekeliruan bisa berakibat fatal pada pasien.

Saat proses cuci darah selesai,selanjutnya semua alat medis yang sudah dipakai untuk satu pasien itu kami buang ke tempat sampah khusus yang berlabel, ‘Sampah Medis’.

Jarum bekasnya kami masukkan dalam wadah khusus jarum bekas, selang-selang masuk dalam plastik bewarna kuning beserta kassa bekas pasien. Dialiser juga yang masih bisa di gunakan kembali maka dibersihkan dengan mesin reuse.

Prosedur terakhir adalah merapikan dan membersihkan tempat tidur pasien. Kami membuka semua seprei, sarung bantal bekas pasien, lalu dibawa ke laundry RS. Tak lupa juga mesin untuk cuci darah kami bersihkan untuk memastikan nda ada sisa-sisa darah pasien sebelumnya.

RSCM kan sudah menyampaikan klarifikasi tentang penggunaan alat cuci darah ini sesaat setelah isu merebak ke sosial media. Dan bukannya lebay, tapi berita ini menggores hati kami yang bekerja dari hati, menyisakan bekas luka yang sudah membentuk keloid yang mengganggu penampilan dunia hemodialisis.

Bagaimana sebuah kata itu bisa meruntuhkan integritas dan merendahkan layanan kesehatan di Indonesia. Hayati sedih, Uda, kalo melihat orang lebih memercayai berobat ke luar daripada di negara sendiri.

Kata kawan-kawan Hayati yang tinggal di Dubai kualitas RS di Indonesia jauh lebih bagus dari pada di sana. Di sana Da, unsur bisnisnya terlalu besar, dan tentu saja menurunkan kualitas layanan.

Di Indonesia, kami kan melayani dengan hati, dengan senyum yang tak habis-habis meskipun nda ada pitiah (uang), kiriman randang dari kampuang belum datang.

Lain kali, kalau ada kekurangan di layanan kesehatan, kritiklah kami dengan data atau bukti video agar kami melakukan perubahan semakin maju. jangan cuma mengambil simpulan berdasar kata-kata, “saya dengar”.

Kan nda lucu kalo Uda bertanya, “Ambo dengar Hayati lebih cinta ke Uda Aziz atau Uda Prabowo daripada ke Uda?”

Hoax itu Uda Zainuddin. Bukankah sudah kuterangkan bahwa aku tidak meminta balasan? Yang aku minta hanya satu, jangan dikecewakan hati orang yang berlindung kepadamu.

Arlena Arifin

Arlena Arifin

Perawat Hemodialisa RS Advent Bandung

334 comments

  • Mungkin maksudnya mesin cuci baju mbak.
    Kan wajar dipakai sampai 40 kali.
    Eh..

    Btw, tulisannya bagus mbak.
    Jangan lelah untuk terus berjuang mencerahkan masyarakat ya.
    Salam kenal dan salam hormat 😊😊

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Arlena Arifin

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