<table width="614" border="0" cellspacing="0" cellpadding="0"><tbody><tr><td valign="top" width="19"><p><em> </em></p></td><td valign="top" width="396"><p><em>Hospital is a health service facility that must provide services according to applicable service standards. One of the front guards of a hospital is an Emergency Room (IGD) which will provide emergency assistance to every patient. Emergency is a condition that threatens life and disability, so it needs fast, precise, effective and quality action. This can be achieved if the hospital has a standard of service in the Emergency Room. This study aims to determine the implementation of HR standards and minimal services in hospital emergency departments. This research is a qualitative research with a sociological juridical approach. Sociological juridical is legal research that uses secondary data as initial data, which is then followed by primary data or field data. The juridical aspect in this research is the regulation of the minister of health regarding the standards of the Hospital Emergency Room and the sociological aspect is the implementation of the rules in the ministerial decree by the hospital. Sources of legal materials for this research include primary and secondary legal materials. Data collection techniques used are through interviews and literature. The results showed that the Standard Emergency Room is regulated in Law No. 44 of 2009 concerning the Hospital. In particular, the IGD standard has been regulated in the Republic of Indonesia's Minister of Health Kepmenkes No.856 / Menkes / SK / IX / 2009 regarding the standard of Hospital Emergency Room Installation. But in reality in the field, the hospital has not fully implemented these regulations, so the quality of service in the ER is less. Thus the patient's right to get quality services is neglected. According to the Hospital Law Article 29 Paragraph 1 point (a) that "Hospitals are obliged to provide safe, quality, anti-discrimination, and effective health services by prioritizing the interests of patients in accordance with Hospital service standards". The supporting factors for implementation are high human resource motivation and the inhibiting factors, namely the opportunity and cost of further study for nurses, do not yet exist.</em></p><p><strong><em>Keywords:</em></strong></p><p><em>Implementation; Human Resource Standards; Minimum Service Standars; Hospital.</em></p></td></tr></tbody></table>

Background: Maternal Mortality Rate (MMR) in Indonesia is still one of the highest in Southeast Asia (ASEAN). World Health Organization (WHO) as the international organization is targeting a decrease in the (MMR) as one of the targets in the achievement of the Millennium Development Goals (MDGs). However, based on the evaluation of part-time Development Plan 2010-2014, the target of reducing maternal mortality rate in Indonesia is still very difficult to achieve. One of the government's efforts to accelerate the decline of maternal mortality rate is a mother class program. Objective: This study aimed to analyze the achievement of the indicators of maternal health program in comparison with the class of pregnant women who do not attend pregnant women class. Methods: This research was a quantitative research with cross sectional design that compared the achievement of the nine indicators of the health of pregnant women in the two groups of pregnant women. The variable in this study was a comparison of weight gain, blood pressure, upper arm circumference (MUAC), high fundus, fetal heart rate (FHR), the consumption of iron tablets, hemoglobin levels, antenatal visits, and knowledge about healthy pregnancies. The number of samples in this study were 209 respondents which were divided into groups of 86 respondents in a class of pregnant women and 123 respondents in the non-class group of pregnant women. Chi square and t test was used to analyze the comparison of maternal health indicators achievement advance of two groups of respondents. Results and Discussion: The results showed that there were significant difference in knowledge about a healthy pregnancy, the consumption of iron tablet and number of antenatal visits. Pregnant women who attended classes had a better knowledge, more Fe tablet consumption and ANC visit. While indicators of weight gain, MUAC, TFU and DJJ of all respondents were within the normal range according to gestational age when the data retrieval. The other indicators such as hemoglobin level, systolic and diastolic blood pressure did not reveal any significant differences between the two groups of respondents. Keywords: Mother class program; maternal health indicators

Hypertension is a non-communicable disease that is the cause of premature death in the world. The diagnosis of hypertension is made when the systolic blood pressure is 140 mmHg and/or diastolic is 90 mmHg. Patients with hypertension are quite high, in the world there are 22% of the population, in Indonesia there are 63,309,620 people with hypertension. However, many people with hypertension are not obedient in its management. People prefer alternative medicine for reasons of affordable cost, not using chemicals, and the healing effect is quite significant. The purpose of this study was to identify the benefits of cupping, types of effective cupping and effective cupping points and the level of effectiveness of cupping therapy in reducing blood pressure in patients with hypertension. This study uses a descriptive-qualitative approach with a literature study method, literature search and selection using PICOST which is then analyzed by Compare and Synthesize. The results of the analysis stated that cupping was effective for reducing blood pressure in patients with hypertension, ranging from 12 -28.57 mmHg in SBP and in DBP decreased by 2.89-14.4 mmHg. The type of cupping that is effective is wet cupping at the top of the head and neck because this cupping goes through a detoxification mechanism at the point where there is a pathway that goes directly to the deepest part of the brain and is covered with blood vessels. Cupping is effective in lowering blood pressure in patients with hypertension, with the type and point of effective cupping being wet cupping at the top of the head and neck. Cupping needs to be made one of the compulsory subjects of the nursing science study program, so that in the future complementary therapy can be further enhanced in its promotion and application in cases of hypertension. It is also necessary to conduct further research regarding the effective duration of cupping to reduce blood pressure in hypertensive patients.

Pelayanan yang cepat dan tepat sangat dibutuhkan didalam pelayananIGD. Kepuasan pasien menurut model kebutuhan adalah suatu keadaan dimana kebutuhan,keinginan dan harapan pasien dapat dipenuhi melalui produk atau jasa yang dikonsumsi.Secara umum penelitian ini bertujuan untuk mengetahui adakah hubunganresponse time pelayanan dengan tingkat kepuasan pasien di Instalasi Gawat Darurat (IGD)RSUD Batang. Kemudian secara khusus mempunyai tiga tujuan yaitu untukmengidentifikasi response time pelayanan, mengidentifikasi tingkat kepuasan pasien danmenganalisa hubungan response time pelayanan dengan tingkat kepuasan pasien diInstalasi Gawat Darurat (IGD) RSUD Batang.Penelitian inimenggunakan desain penelitian observasional korelasional. Metode penelitian yangdigunakan adalah metode survei dengan pendekatan cross sectional. Populasi padapenelitian ini adalah rata – rata kunjungan pasien Instalasi Gawat Darurat (IGD) RSUDBatang dalam 6 bulan terakhir sejak bulan April sampai dengan September 2019. Jumlahsampel penelitian sebanyak 93 responden.  Berdasarkan hasil analisadengan menggunakan uji statistik Chi Square dengan program SPSS versi 24 didapatkannilai signifikansi (Asymp. Sig) = 0,027 < α = 0,05 maka H0 ditolak dan H1 diterima, yangberarti ada hubungan antara response time pelayanan dengan tingkat kepuasan pasien diIGD RSUD Batang  Response time pelayanan di IGD RSUD Batang dengankategori baik sebanyak 90 responden (96,8%), sedangkan pada kategori kurang baiksebanyak 3 responden (3,2%). Tingkat kepuasan pasien di IGD RSUD Batangmenunjukkan sebanyak 28 responden (30,1%) kurang puas, 39 responden (41,9%) puasdan sebanyak 26 responden (28,0%) sangat puas.

Hospitals in Indonesia are part of the health care system. The health services are started from Emergency Installation, which provided emergency service. An emergency is a life-threatening and disabling condition requiring fast, precise, effective and quality action. It can be achieved if the hospital has a service standard in the Emergency Installation. Emergency Installation Standards are set out in the Ministry of Health's Decree on Hospital Emergency Installation Standards. The research problems of this study were how the implementation of Emergency Installation standard and what factors affect the implementation. This study aimed to investigate the implementation of Hospital Emergency Installation Standards.This study is a qualitative study with the juridical sociological approach. The juridical aspect of this study is the regulation of health minister about Hospital Emergency Installation Standards, while the sociological aspect is the implementation of the regulation by the hospital. The legal material sources of the study include primary and secondary law materials. The data were collected through interviews and literature review. The results show that Emergency Installation Standards are regulated in Law number 44 of 2009 on Hospital. Specifically, Emergency Installation Standards have been regulated in the Minister of Health Indonesian Republic Number 856/Menkes/ SK/IX /2009 about Hospital Emergency Installation. On hospital Emergency Installation Standards. However, the reality in the field, the hospital has not implemented the regulation well, resulted in the poor quality of emergency services. Thus the patient's right to get service quality becomes neglected.The supporting factors of the implementation of Emergency Installation Standards were the high motivation of human resources, while the obstacles factors were less strategic of the hospital location, the constraints of medical equipment financing, and the lack of attention from hospital owners. PENDAHULUANRumah Sakit di Indonesia merupakan bagian dari sistem pelayanan kesehatan. Pelayanan tersebut dimulai dari Instalasi Gawat Darurat sebagai pelayanan kegawatdaruratan. Kegawatdaruratan adalah kondisi yang mengancam nyawa dan kecacatan, sehingga perlu tindakan yang cepat, tepat, efektif dan bermutu. Hal tersebut dapat dicapai jika rumah sakit mempunyai standar pelayanan di Instalasi Gawat Darurat.