The COVID-19 pandemic has significantly impacted many aspects of life, including death care. International and national protocols have been implemented for the management of the dead. This study aims to determine the characteristics of decedents managed according to COVID-19 protocols in Indonesia and the quality of their death certificates. This study uses a descriptive, cross-sectional design. Secondary data of deaths with COVID-19 were taken from hospital death registries, medical records, and death certificates. Data were collected from nine referral hospitals and one funeral home in 6 cities in Indonesia. The majority of the decedents were male, Muslim, with a median age of 57. Most were treated in non-intensive isolation wards, and almost half had known comorbidities. Many were still awaiting the result of their confirmative PCR at the time of death. Almost all were managed compliant with the standard protocol, and most were buried in COVID-only cemeteries. There were still deficiencies in the completeness and accuracy of the death certificates. "COVID-19" was mentioned as a cause of death in only about half of the cases, with a wide variety of terms and spelling. Management of the dead protocols for bodies with COVID-19 can generally be implemented in Indonesia. The quality of the death certificates should, however, be continuously improved. Keywords COVID-19 death • Management of dead bodies • Death certification • Multiple causes of death
Triage bertujuan untuk memberikan prioritas perawatan kepada pasien sesuai tingkat keurgensiannya. Perawat IGD dalam melakukan triage harus berdasarkan suatu standar prosedur. Untuk dapat melakukan prosedur triage yang tepat, perawat harus memiliki kompetensi yang dibutuhkan dalam triage yang terdiri dari pengetahuan, skill/ketrampilan dan sikap. Selain kompetensi, ada beberapa faktor lain yangberperan, yaitu faktor intrinsik perawat. Tujuan penelitian ini adalah menganalisa faktor apa saja yang berhubungan dengan ketepatan perawat dalam melakukan prosedur triage di instalasi gawat darurat. Rancangan penelitian ini menggunakan analitik korelasional dengan pendekatan cross sectional. Populasi pada penelitian ini adalahkeseluruhan perawat yang bekerja aktif di Instalasi Gawat DaruratRSUD di Kabupaten Malang dan Kota Blitardan jumlah sampel 32 responden dengan menggunakan teknik total populasi.Instrumen yang digunakan adalah lembar observasi dan kuesioner. Data penelitian dianalisis menggunakan analisis multivariat Partial Least Squares (PLS). Hasil analisis multivariat menunjukkan terdapat hubungan tingkat pengetahuan (p-value 0.000), tingkat keterampilan (p-value 0.000), sikap (p-value 0.000), faktor intrinsik (p-value 0.000) terhadap ketepatan perawat dalam melakukan prosedur triage. Berdasarkan hasil tersebut, perlunya peran pihak manajemen rumah sakit dapat meningkatkan kompetensi perawat dalam melakukan triage, terutama dengan mengikutsertakan dalam pelatihan kegawatdaruratan lanjut dan pelatihan triage.
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