ANALISIS PENGELOLAAN OBAT HIGH ALERT DI INSTALASI FARMASI RUMAH SAKIT UNS

Manajemen pengelolaan obat merupakan aspek penting dalam pelayanan rumah sakit dan mencakup berbagai tahapan seperti pemilihan, perencanaan, pengadaan, penerimaan, penyimpanan, pendistribusian, penarikan dan pemusnahan, yang juga mencakup pencatatan dan pelaporan. Obat High Alert merupakan obat yang dalam penggunaanya perlu di waspadai karena dapat menyebabkan kejadian fatal apabila dalam pemberian terjadi kesalahan. Tujuan penelitian adalah untuk mengetahui sistem pengelolaan obat High Alert di Instalasi Farmasi Rumah Sakit UNS yang meliputi: Perencanaan, pengadaan, penerimaan, penyimpanan, pendistribusian, penarikan dan pemusnahan, serta pencatatan dan pelaporan. Metode yang digunakan dalam penelitian ini adalah deskriptif kualitatif dengan pengumpulan data dilakukan melalui wawancara dan observasi. Sampel yang digunakan berupa seluruh obat High Alert serta 7 Informan yang terdiri dari 3 Apoteker dan 4 TTK. Penelitian ini dilakukan di bulan April – Mei tahun 2025. Hasil penelitian menunjukkan bahwa perencanaan obat High Alert di Instalasi Farmasi Rumah Sakit UNS menggunakan metode konsumsi. Pengadaan dilakukan melalui pemesanan ke distributor sesuai kebutuhan. Penerimaan obat mencakup pengecekan jumlah, nama, dosis, bentuk sediaan, nomor batch, tanggal kedaluwarsa, dan kondisi fisik oleh TTK. Penyimpanan obat High Alert dilakukan dengan rak terpisah dan label khusus, meskipun metode Tall Man Lettering pada obat LASA belum diterapkan. Distribusi dilakukan secara desentralisasi. Penarikan dan pemusnahan obat kedaluwarsa dilakukan melalui pihak ketiga karena ketiadaan fasilitas insinerator. Seluruh proses didukung dengan pencatatan melalui kartu stok, dan pelaporan rutin obat-obatan khusus seperti narkotika. Medication management is an important aspect of hospital services and includes various stages such as selection, planning, procurement, receipt, storage, distribution, withdrawal, and disposal, which also encompasses recording and reporting. High Alert drugs are medications that need to be used with caution because they can cause fatal incidents if there is an error in their administration. The purpose of the research is to understand the management system of High Alert drugs at the Pharmacy Installation of UNS Hospital, which includes: planning, procurement, receipt, storage, distribution, withdrawal and destruction, as well as recording and reporting. The method used in this research is qualitative descriptive with data collection conducted through interviews and observations. The sample used consisted of all High Alert medications and 7 informants, including 3 pharmacists and 4 pharmacy technicians. This research was conducted in April – May 2025. The research results show that the planning of High Alert medications at the Pharmacy Installation of UNS Hospital uses the consumption method. Procurement is carried out through ordering from distributors as needed. The receipt of medication includes checking the quantity, name, dosage, form, batch number, expiration date, and physical condition by the TTK. The storage of High Alert medications is done on separate shelves with special labels, although the Tall Man Lettering method for LASA medications has not yet been implemented. Distribution is carried out in a decentralized manner. The recall and destruction of expired drugs are carried out through a third party due to the absence of incinerator facilities. The entire process is supported by recording through stock cards and regular reporting of special medications such as narcotics.