Health is a human right as referred to in the 1945 Constitution that everyone has the right to

obtain health services. Health efforts are held to realize the highest degree of health for
individuals or society. And because of that, integrated and comprehensive health efforts are
carried out in the form of Individual Health Efforts and Public Health Efforts as practiced by
nurses in conducting independent practices.

The existence of an independent nurse practice provides an opportunity for the community to
get affordable and appropriate health care options. However, on the other hand the
establishment of a nurse's independent practice needs to be reviewed regarding the urgency,
competence and underlying regulations. This is an important matter to be criticized because
the implementation of independent practices is often found by nurses to carry out invasive
actions such as parenteral drug administration, hechtingluka even to minor surgery. Even
though these actions are not the authority of the nurse. This can happen because many nurses
do not yet understand the limitations and practical authority of nurses independently, so that
the actions taken are not in accordance with the provisions of the policy.

Birth of Law No. 38 of 2014 concerning Nursing should be able to provide clarity and control
the practice of independent nurses in the community. This law is a challenge for nurses to
prove that nurses are healthcare professionals who are able to provide nursing services in a
responsible, accountable, quality, safe and affordable manner by nurses who have high ethics
and morals, certificates, registration and licenses.

With such demands, the nurse profession must be able to answer it by providing professional
services. So nurses who carry out independent practices should understand their rights and
limitations of authority, and will be better off if they have certain scientific certificates, such
as wound care, stoma care, etc.

Terms and conditions for opening a nurse's independent practice as contained in the Nursing
Law are:
(1) nurses who carry out nursing practice must have permission
(2) permission is given in the form of SIPP (Nurse Practice License)
(3) to obtain SIPP, nurses must attach recommendations from professional nursing
organizations in this case the Indonesian National Nurses Association (PPNI)
(4) SIPP is still valid if STR is still valid and nurses practice in the place as stated in the SIPP
(5) SIPP is only valid for one place of practice and is given to Nurses at most for two places
(6) Nurses who carry out independent practices must install a signboard for Nursing Practice.
Whereas the SIPP provisions do not apply if revoked based on the provisions of the Law,
expiration and or at the request of the nurse; or nurse died.

IndonesiaFrom the problems that arise and the criticism of policies that underlie nurses'
independent practices, a number of things can be proposed, namely nurses and PPNI strive to
encourage DPR members to immediately make technical instructions for implementing Law
No. 38 of 2014 concerning Nursing so that this Law can be immediately implemented
properly and become a strong legal umbrella for the implementation of independent nursing
practices. Where things of a technical nature can be explained in more detail and can be made
a guide to the implementation of independent practice of nurses. It is intended that the duties
and authority of nurses who open independent practices can be clearly described, so as not to
cause cases of violation of law when the nurse runs the practice.
Various recommendations that can be done to support nurses' independent practice efforts
greatly require the involvement of PPNI as a nursing professional organization. The unity and
care of nurses to support the PPNI is urgently needed so that the roles and functions of the
PPNI can run well for the realization of professional health services through the practice of
independent nurses.