Efektifitas Penggunaan ATS (Australasian Triage Scale) Modifikasi Terhadap Response Time Perawat Di Instalasi Gawat Darurat

Sofiyanti Normalinda Banoet, Harmayetty Harmayetty, Laily Hidayati

= http://dx.doi.org/10.20473/cmsnj.v8i1.12618
Abstract views = 11023 times | downloads = 13491 times


Introduction: Triage is the process of sorting patients according to their severity. However, the phenomena that occur in the emergency room of some hospitals are different, triage is not carried out according to the standards. This is due to many factors, one of which is the triage model used. The purpose of this study was to look at the relationship between the use of Standard Operations Procedure for admitting new patients using ATS triage which was modified with the speed of response of nurses in the Emergency Installation. Method: This study used a correlative analytical design with a case study approach. The total population is 31 people and a sample of 28 people was obtained through inclusion and exclusion criteria. The independent variable in this study was the use of ATS (Australasian Triage Scale) and the dependent variable in this study is the nurse's Response Time. Data obtained by means of sample observation and analyzed using the Spearman correlation test rho. Results: There was no association between the use of ATS (Australasian Triage Scale) modification and the response time of nurses in the morning shift (p = 0.720), day shift (p = 0.866) and night shift (p = 0.173).Discussion: From the results of the study there was no relationship between the use of ATS (Australasian Triage Scale) and the response time of nurses in the morning, afternoon and night shift. The use of ATS modification and the response time of nurses that are appropriate and fast are found in morning service. This is caused by several factors both from the nurses themselves and from the hospital. Most nurses do not get training in Triage and this affects nurses' skills in sorting patients.


ATS (Australasian Triage Scale), Response Time, Emergency Nurse

Full Text:



Ardiyani, V. M., W., M. T. A. and K., R. E. (2015) ‘Analisis Peran Perawat Triage terhadap Waiting Time dan Length Of Stay pada Ruangan Triage di Instansi Gawat Darurat Rumah Sakit dr Saiful Anwar Malang’, Jurnal Care, 3(1), pp. 39–50. Available at: https://jurnal.unitri.ac.id/index.php/care/article/viewFile/302/303.

Bergman, C.L., 2012. Emergency Nurses’ Perceived Barriers to Demonstrating Caring When Managing Adult Patients’ Pain. Journal of Emergency Nursing, 38(3), pp.218–225.

Christ, M. et al. (2010) ‘Modern Triage in the Emergency Department’, Deutsches Aerzteblatt Online, 107(50). doi: 10.3238/arztebl.2010.0892.

Curtin University, 2011. Triage In The Emergency Department TheWestern Australian Centre for Evidence Informed Healthcare Practice Latest version provided by the Western Australian Centre for Evidence Informed Healthcare, Western Australia.

Dadashzadeh, A., Farahnaz A., Azad R., Morteza G., 2013. Factors Affecting Triage Decision-Making From The Viewpoitns of Emergency Department Staff in Tabriz Hospitals, Iran J Crit Care Nurs; 6(40: 269-276

Departement of Health and Aging ed., 2009. www.health.gov.au, Australian Goverment.

Direktorat Bina Pelayanan Keperawatan dan Teknis Medik, 2011. Standar PelayananKeperawatan Gawat Darurat Di Rumah Sakit,

Emergency Nurses Association, 2008. Competencies for Nurse Practitioners in Emergency Care. Emergency Nurses Association, pp.1–18.

Gerdtz, M. F. et al. (2009) ‘Factors influencing consistency of triage using the Australasian Triage Scale: Implications for guideline development’, EMA - Emergency Medicine Australasia, 21(4), pp. 277–285. doi: 10.1111/j.1742-6723.2009.01197.x.

Government, A. and Ageing, department of health and (no date) triage workbook. P3-5240.

Firdaus, M. N. (2017) ‘Penerapan ATS terhadap Waiting Time Klien’, Prosinding Seminar Nasional, pp. 34–37. Available at: http://ejurnalp2m.stikesmajapahitmojokerto.ac.id/index.php/publikasi_stikes_majapahit/article/download/219/192. (Accessed July 20, 2018)

Fujino Y. Tanaka M, Yonemitsu Y, Kawamoto R. 2014. The relationship between characteristics of nursing performance and years of eperience in nurses with high emotional intelligence. Int J Nurs Pract. 2014 Apr 8. Doi: 10.1111/ijn.12311.

Habib, H. et al. (2016) (PDF) Triase Modern Rumah Sakit dan Aplikasinya di Indonesia. Available at: https://www.researchgate.net/publication/311715654_Triase_Modern_Rumah_Sakit_dan_Aplikasinya_di_Indonesia (Accessed: 16 October 2018).

Hartati, S. (2016) Response Time Perawat Di Ruang Instalasi Gawat Darurat Response Time Nurse ’ In Emergency General Installation.

Ismail, Akhmad, 2017 Analisis Faktor Yang Mempengaruhi Length of Stay Pasien di Instalasi Gawat Darurat Menggunakan Pendekatan Time Frame Guide Emergency Model Of Care’.

Kementrian Kesehatan RI, 2008. Keputusan Menteri Kesehatan No. 129 tentang Standar Pelayanan Minimal Rumah Sakit.

Kementrian Kesehatan RI, 2009. Keputusan Menteri Kesehatan RI No.856/Menkes/SK/IX/2009.

Limantara, R., Herjunianto and Roosalina, A. (2013) ‘Faktor-faktor yang Mempengaruhi Tingginya Angka Kematian di IGD Rumah Sakit’, Jurnal Kedokteran Brawijaya, 28(2), pp. 200–205. doi: 10.21776/ub.jkb.2015.028.02.15.

Lisa A. Wolf. Et al., 2017. Triaging The Emergency Department, Not The Patient: United States Emergency Nurses’ Experience of The Triage Process., Journal Of Emergency Nursing

Maatilu, V., Mulyadi & Malara, R.T., 2014. Faktor-Faktor Yang Berhubungan Dengan Response Time Perawat Pada Penanganan Pasien Gawat Darurat Di IGD RSUP Pof. DR . R. D. Kandou Manado.

Mannapur, B. S. and Ashok, N. C. (2012) ‘Factors influencing utilization of intranatal care services in rural field practice area of J. S. S Medical College, Mysore’, Indian Journal of Public Health Research and Development, 3(4), pp. 14–17.

Martin, A. et al. (2014) ‘An Examination of ESI Triage Scoring Accuracy in Relationship to ED Nursing Attitudes and Experience’, Journal of Emergency Nursing. Emergency Nurses Association, 40(5), pp. 461–468. doi: 10.1016/j.jen.2013.09.009.

Murphy, A. et al., 2016. Development of key performance indicators for prehospital emergency care. , (June 2012), pp.286–292.

National Treatment Agency for Substance Misuse (2012) Models of care. doi: 10.1007/978-3-319-16068-9.

Nehme, Z., Andrew, E., Smith K., 2016. Factors Influencing the Timeliness of Emergency Medical Service Response to Time Critical Emergencies., 3127(August), pp.0-9

Nur Ainiyah, Ahsan, M.F., 2014. The Factors Associated with The Triage Implementation in Emergency Department.

Nursalam, 2015. Metodologi Penelitian Ilmu Keperawatan 4th ed. P. P. Lestari, ed., Jakarta: Salemba Medika.

Peraturan Menteri Kesehatan Republik Indonesia Nomor 40 Tahun 2017 tentang pengembangan jenjang karier profesional perawat klinis

Rankin, J. A., Then, K. L. and Atack, L. (2013) ‘Can Emergency Nurses Triage Skills Be Improved by Online Learning? Results of an Experiment’, Journal of Emergency Nursing. Emergency Nurses Association, 39(1), pp. 20–26. doi: 10.1016/j.jen.2011.07.004.

Saleh, A. (2017) ‘Cross-sectional study of emergency department presentation triage categories at Goondiwindi Hospital and their effect on the treatment of acute emergencies’, Australian Journal of Rural Health, 25(4), pp. 235–240. doi: 10.1111/ajr.12337.

University of Wisconsin Hospital and Clinics Emergency Department, 2016. Standards of Emergency Nursing Practice.

Wahyu, R. & Naser, A.M., 2015. The factors associated with the Response Time of nurses in handling emergency patients in IGD RSUP Prof. Dr. R. D. Kandou Manado. ejournal Keperawatan, 3(c).

Wolf, L.A. et al., 2016. Triaging The Emergency Department, Not The Patient :

United States Emergency Nurses‟ Expreince Of The Triage Process. , pp.1–9.


  • There are currently no refbacks.

Copyright (c) 2019 Critical, Medical and Surgical Nursing Journal

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This Journal is Indexed by:



This journal is Publish by the Faculty of Nursing Universitas Airlangga and in Collaboration with Indonesian Emergency and Disaster Nurses Association (IEDNA) East Java and Indonesian Critical Care Nurses Association (ICCNA) East Java



Creative Commons License

CMSNJ by Unair is licensed under a Creative Commons Attribution 4.0 International License.


View My Stats