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Admisison Outpatient

1. Outpatient Reception
Yanmed (2006:34) stated that out-patient reception is called as TPP RJ (points Admission
Outpatient). Its main function is to review received patient to get treatment in clinic
addressed by each of these patients. Patient reception procedure can be adapted to the
System adopted by each hospital.seen from operating arrival, patients can be distinguished
into 2 types, those are :
1) New patients
The new patien is the first patient coming to the hospital to review the purpose to
get health services. Every new patient will be accepted in patient admission and
will be interviewed by officers in order to get information regarding social identity
data patient summary form which must be filled in clinic history.
2) Old patients
Old patient is a patient who has got treatment in hospital before. Therefore patient
will visit the old admission department or patient reception admission which has
been determined.
3) Understanding of output
Huffiman (1994) stated that outpatient services afe provided to patient who did not
receive inpatient care at health care facilitation. Activity is include in admission of
the patient admission procedure. Azrul Azwar (1996 : 75) stated that outpatient is
the medical care provided to the patient which is not in the form of hospitalization
(Hospitalization). Deoree of the Minister of Health No 560 / Menkes / SK / IV /
2003 on the tariff of outpatient hospital that is patient care for observation
diagnosis, treatment, rehabilitation, medical and other health care service without
spending the night in hospital. Outpatient is a patient receiving health care service
at a hospital without being hospitalized, institutionalized, and / or admitted as a
inpatient. This means that outpatient is patients who receive health care in a hospital
without being in hospital, and or registered as an inpatient (Abdelhak, 2001)
Outpatient services (ambulatory services) are a form of medical care. Put
simply referred to outpatient care is medical care provided to the patient is not in
the form of hospitalization. In the definition of outpatient services include not only
organized by health care facilities that have been commonly known as a hospital or
clinic, but also held in the patients home (home care) as well as in home care
(nursing homes) (Anwar,1996)
Sabarguna (2008 : 83) suggest the first form of outpatient care is organized
by the clinic in conection with the Hospital (hospital-based-care ambulatory). At
this time various types of outpatients care of many organized by the Hospital Clinic,
generally can be divided into four types. Emergency services (emergency services)
which are to deal with patients who need help immediately and suddenly.
Ambulatory care plenary (comprehensive hospital outpatient services)
namely that provided comprehensive health services according to the needs of the
patient. Referral services (referral services) are only serving patients reffered by
other health facilities. Usually for diagnosis or therapy, further treatment is still
handled by health facilities that refer, the surgical services (ambulatory surgery
services) which are one surgical services are discharged on the same day. It may be
added in the category of outpatient care in first in which the form is not only held
in the hospital, but also organized by other clinics outside the hospital note that
other clinics stretcher should have an organizational relationship with the hospital,
in a sense an extension the Hospital conserned (satellite clinic)
Backround

The development of complementary therapies of late has become the focus of many countries.
Complementary or alternative medicine is an important part of health care in the United States and
other countries (Snyder & Lindquis, 2002). Estimates in the United States 627 million people are
alternative therapy users and 386 million people who visit conventional practices (Smith et al.,
2004). Other data suggest an increase in the number of users of complementary therapies in the
United States from 33% in 1991 to 42% in 1997 (Eisenberg, 1998 in Snyder & Lindquis, 2002).
Clients who use therapy komplemeter have several reasons. One reason is the holistic philosophy
of complementary therapies, namely the existence of inner harmony and the promotion of health
in complementary therapies. Another reason is because clients want to be involved for decision
making in the treatment and improvement of quality of life than ever before. A total of 82% of
clients reported a reaction to the side effects of conventional treatment received that led to the
choice of complementary therapies (Snyder & Lindquis, 2002). Existing complementary therapies
become one of the community treatment options. In many places, many health care clients ask
about complementary or alternative therapies to health care workers such as doctors or nurses.
Communities invite nurse dialogue for the use of alternative therapies (Smith et al., 2004). This
happens because the client wants to get the service in accordance with his choice, so that if the
desire is met will impact the client satisfaction. This can be an opportunity for nurses to play a role
in providing complementary therapies. The role that nurses can provide in complementary or
alternative therapies can be tailored to the role of the existing nurse, within their limits. Basically,
the development of the nurses who are concerned with this already exists. For example, the
American HolisticNursing Association (AHNA), Nurse Healer Professional Associates (NHPA)
(Hitchcock et al., 1999). There is also the National Center forComplementary / Alternative
Medicine (NCCAM) established in 1998 (Snyder & Lindquis, 2002). The increasing community
needs and the development of research on complementary therapeutics into nurse opportunities to
participate according to the needs of the community. The nurse may act as a consultant to the client
in choosing the appropriate alternatives or assisting in providing immediate therapy. However, this
needs to be further developed through research (evidence-based practice) in order to be utilized as
a better nursing therapy..