!ub Pokok Bahasan 3: Penerimaan Penim'anan $an $is#ribusi "ba#Penerimaan Penim'anan $an $is#ribusi "ba#
+,
+, PenPenererimaimaan "baan "ba# di Pusk# di Puskesmesmasas,, 1
1,, $$eesskkrrii''ssi,i, Pene
Pene!ima!imaan an adaadalah lah suatu ke"iatan suatu ke"iatan daladalam m menemene!ima !ima obatobatobaobatan tan 4an"4an" dise!ahkan da!i unit 0en"elola 4an" lebih tin""i ke0ada unit 0en"elola di dise!ahkan da!i unit 0en"elola 4an" lebih tin""i ke0ada unit 0en"elola di ba;ahn4a& Pene!imaan obat ha!us dilaksanakan oleh 0etu"as 0en"elola ba;ahn4a& Pene!imaan obat ha!us dilaksanakan oleh 0etu"as 0en"elola obat atau 0etu"as lain 4an" dibe!i kuasa oleh
obat atau 0etu"as lain 4an" dibe!i kuasa oleh Ke0ala Puskesmas&Ke0ala Puskesmas& 2
2,, TTuujjuuaann,, Pen
Pene!ie!imaamaan n obobat at bebe!tu!tujuajuan n a"aa"a! ! obobat at 4an4an" " didite!te!ima ima sessesuai uai denden"an"an kebutuhan be!dasa!kan 0e!mintaan 4an" diajukan oleh Puskesmas&
kebutuhan be!dasa!kan 0e!mintaan 4an" diajukan oleh Puskesmas& 3
3,, KKeeggiiaa##aann,,
Setia0 0en4e!ahan obat oleh Instalasi %a!masi Kabu0aten,Kota ke0ada Setia0 0en4e!ahan obat oleh Instalasi %a!masi Kabu0aten,Kota ke0ada Pu
Puskeskesmasmas s didilaklaksansanakaakan n setsetelaelah h menmenda0da0at at 0e0e!se!setujtujuauan n da!da!i i Ke0Ke0alalaa Din
Dinas as KeseKesehatahatan n KabuKabu0ate0aten,Kon,Kota ta atau atau 0eja0ejabat bat 4an" 4an" dibedibe!i !i ;e;;e;enanenan"" un
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Modul Manajemen Obat dan Bahan Medis Habis Pakai Modul Manajemen Obat dan Bahan Medis Habis Pakai PUSA
PUSAT PELATIHAN SDMKBPPSDMT PELATIHAN SDMKBPPSDMK Beke!jasama K Beke!jasama den"an UNIT den"an UNIT ESELON # KEMENKES $IESELON # KEMENKES $I
B,
B, PenPenim'anim'anan dan $ian dan $is#ribs#ribusi "bausi "ba# di Pusk# di Puskesmaesmas,s, 1,
1, PePeninim'am'anan nan "ba"ba# di # di PusPuskeskesmasmas,, a
a,, $$eesskkrri'i'ssii Pen4
Pen4im0aim0anan nan adaladalah ah suatu suatu ke"ike"iatan atan 0en"0en"amanamanan an te!hate!hada0 da0 obaobatt ob
obatatan an 4a4an" n" diditete!i!ima ma a"a"a! a! amaman an 8t8tididak ak hihilalan"n"93 93 tete!h!hinindada! ! dada!i!i ke!usakan :isik mau0un kimia dan
ke!usakan :isik mau0un kimia dan mutun4a teta0 te!jamin&mutun4a teta0 te!jamin& b
b,, TTuujjuuaann,, Pen4
Pen4im0aim0anan nan be!tube!tujuajuan n a"a! obat a"a! obat 4an" te!sedi4an" te!sedia a di di UniUnit t 0ela0ela4ana4anann kesehatan te!jamin mutu dan
kesehatan te!jamin mutu dan keamanann4keamanann4a&a& *
*,, KKeeggiiaa##aann,, 1
1 PePersrsaraara#an rua#an ruang 'enng 'enim'im'anaanan oba#,n oba#, a
a99 LLuuaas mis minniimmaal + l + - m - m)) dan atau disesuaikan den"an jumlah dan atau disesuaikan den"an jumlah obat 4an" disim0an&
obat 4an" disim0an& b
b99 $$uuaann""aann ke!in" dan tidak lembab&ke!in" dan tidak lembab& 19
19 MemMemililiki iki 5en5entiltilasi asi 4an4an" 1u" 1uku0ku0&& d9
d9 MemiMemiliki 1aliki 1aha4a 4ha4a 4an" 1ukan" 1uku03 namu03 namun jenun jendela hadela ha!us mem!us mem0un40un4aiai 0elindun" untuk men"hinda!kan adan4a 1aha4a lan"sun" dan 0elindun" untuk men"hinda!kan adan4a 1aha4a lan"sun" dan be!te!alis&
be!te!alis& e9
e9 LaLantntai ai didibubuat at dada!i !i sesememen,n,tete"e"el,l,keke!a!amimik,k,0a0a0a0an n 8b8bahahan an lalainin99 4an" tidak memun"kinkan be!tum0ukn4a debu dan koto!an lain& 4an" tidak memun"kinkan be!tum0ukn4a debu dan koto!an lain& Ha!us dibe!i alas 0a0an
Ha!us dibe!i alas 0a0an 80alet9&80alet9& :9
:9 DiDindindin" din" dibubuat liat li1i1in dan dn dan di1ai1at ;a!t ;a!na 1ena 1e!ah!ah&& "9
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Modul Manajemen Obat dan Bahan Medis Habis Pakai Modul Manajemen Obat dan Bahan Medis Habis Pakai PUSA
PUSAT PELATIHAN SDMKBPPSDMT PELATIHAN SDMKBPPSDMK Beke!jasama K Beke!jasama den"an UNIT den"an UNIT ESELON # KEMENKES $IESELON # KEMENKES $I
Uda
Uda!a !a lemblembab ab da0ada0at t memmem0en"0en"a!uha!uhi i obatobatobaobatan tan sehisehin""an""a mem0
mem0e!1ee!1e0at 0at ke!uke!usakasakan& n& UntuUntuk k men"men"hindhinda!i a!i uda!uda!a a lemblembabab te!sebut maka 0e!lu dilakukan u0a4au0a4a be!ikut '
te!sebut maka 0e!lu dilakukan u0a4au0a4a be!ikut '
Gentilasi ha!us baik3 jendela dibuka&Gentilasi ha!us baik3 jendela dibuka&
Sim0an obat ditem0at 4an" ke!in"&Sim0an obat ditem0at 4an" ke!in"&
adadah ah haha!u!us s seselalalu lu tete!t!tututu0 u0 !a!a0a0at3 t3 jajan"n"an an didibibia!a!kakann te!buka&
te!buka&
Bila memun"kBila memun"kinkainkan n 0asa0asan" n" ki0aki0as s an"ian"in n atau A<& atau A<& Ka!eKa!enana makin 0anas uda!a di dalam !uan"an maka uda!a semakin makin 0anas uda!a di dalam !uan"an maka uda!a semakin lembab&
lembab&
Bia!kan Bia!kan 0en"e!in" 0en"e!in" 88silica gel)silica gel) teta0 dalam ;adah tablet teta0 dalam ;adah tablet dandan ka0sul&
ka0sul&
Kalau ada ata0 4an" bo1o! ha!us se"e!a di0e!baiki&Kalau ada ata0 4an" bo1o! ha!us se"e!a di0e!baiki&
b
b !i!inanar r %a%a#a#ahahariri,, Keb
Kebanan4ak4akan an 1ai1ai!an!an3 3 lala!ut!utan an dan dan ininjekjeksi si 1e01e0at at !us!usak ak ka!ka!enaena 0en"a!uh sina! mataha!i& Seba"ai 1ontoh3 Injeksi Klo!0!oma>in 0en"a!uh sina! mataha!i& Seba"ai 1ontoh3 Injeksi Klo!0!oma>in 4an
4an" " te!te!kenkena a sinsina! a! matmatahaaha!i !i akaakan n bebe!ub!ubah ah ;a;a!na !na menmenjadjadii kunin" te!an" sebelum tan""al kadalu;a!sa& <a!a men1e"ah kunin" te!an" sebelum tan""al kadalu;a!sa& <a!a men1e"ah ke!usakan ka!ena sina! mataha!i anta!a lain'
ke!usakan ka!ena sina! mataha!i anta!a lain'
*endelajendela dibe!i "o!den&*endelajendela dibe!i "o!den&
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Modul Manajemen Obat dan Bahan Medis Habis Pakai Modul Manajemen Obat dan Bahan Medis Habis Pakai PUSA
PUSAT PELATIHAN SDMKBPPSDMT PELATIHAN SDMKBPPSDMK Beke!jasama K Beke!jasama den"an UNIT den"an UNIT ESELON # KEMENKES $IESELON # KEMENKES $I
Ban"unan ha!us memiliki 5entilasi,si!kulasi uda!a 4an"Ban"unan ha!us memiliki 5entilasi,si!kulasi uda!a 4an" memadai&
memadai&
Hinda!i ata0 "edun" da!i bahan metal&Hinda!i ata0 "edun" da!i bahan metal&
*ika memun"kinkan di0asan"*ika memun"kinkan di0asan" Exhaust FanExhaust Fan atau A<& atau A<& d
d KeKerurusasakakan n 8is8isikik,,
Untuk men"hinda!i ke!usakan :isik da0at dilakukan anta!a lain' Untuk men"hinda!i ke!usakan :isik da0at dilakukan anta!a lain'
Penum0ukan dus obat ha!us sesuai den"an 0etunjuk 0adaPenum0ukan dus obat ha!us sesuai den"an 0etunjuk 0ada ka
ka!to!ton3 n3 jijika ka titidadak k tete!t!tululis is 0a0ada da kaka!t!ton on mamaka ka mamaksksimimalal ketin""ian tum0ukan dela0an dus3 ka!ena obat 4an" ada di ketin""ian tum0ukan dela0an dus3 ka!ena obat 4an" ada di dalam dus ba"ian ten"ah ke
dalam dus ba"ian ten"ah ke ba;ah da0at 0e1ah dan !usak3ba;ah da0at 0e1ah dan !usak3 selain itu akan
selain itu akan men4ulitkan 0en"ambmen4ulitkan 0en"ambilan obat&ilan obat&
Hinda!i kontak den"an benda benda 4an" tajamHinda!i kontak den"an benda benda 4an" tajam e
e KoKon#n#amamininasasi,i,
adah obat ha!us selalu te!tutu0 !a0at& A0abila ;adah te!buka3 adah obat ha!us selalu te!tutu0 !a0at& A0abila ;adah te!buka3 maka obat mudah te!1ema! oleh bakte!i atau jamu!&
maka obat mudah te!1ema! oleh bakte!i atau jamu!& 99 PPeennggoo##oorraann,,
$ua
$uan"an 4an" n"an 4an" kotokoto! ! da0ada0at t men"men"undaundan" n" tikutikus s dan se!an""dan se!an""aa lain 4an" kemudian me!usak obat& Etiket da0at menjadi koto! lain 4an" kemudian me!usak obat& Etiket da0at menjadi koto! dan sulit te!ba1a& Oleh ka!ena itu
dan sulit te!ba1a& Oleh ka!ena itu be!sihkan !uan"an setia0 ha!i&be!sihkan !uan"an setia0 ha!i& Lantai disa0u dan di0el3 dindin" dan !ak dibe!sihkan&
Lantai disa0u dan di0el3 dindin" dan !ak dibe!sihkan& 3
3 TTa#a a#a ara ara PenPenususunaunan "ban "ba#,#, a
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Modul Manajemen Obat dan Bahan Medis Habis Pakai Modul Manajemen Obat dan Bahan Medis Habis Pakai PUSA
PUSAT PELATIHAN SDMKBPPSDMT PELATIHAN SDMKBPPSDMK Beke!jasama K Beke!jasama den"an UNIT den"an UNIT ESELON # KEMENKES $IESELON # KEMENKES $I
:9
:9 BeBen#un#ukk drageedragee ;#able# salu# ;#able# salu# disim0an dalam ;adah te!tutu0 disim0an dalam ;adah te!tutu0 !a0at dan 0en"ambilann4a men""unakan sendok&
!a0at dan 0en"ambilann4a men""unakan sendok& "9
"9 Un#uk oba# dengan ak#u kadaluarsa ang sudah deka#Un#uk oba# dengan ak#u kadaluarsa ang sudah deka# su0
su0a4a a4a dibdibe!i e!i tantanda da khukhusussus3 3 mismisalaln4a n4a denden"an "an menmenululiskiskanan ;aktu kadalua!sa 0ada dus lua! den"an men"unakan s0idol& ;aktu kadalua!sa 0ada dus lua! den"an men"unakan s0idol& h9
h9 PenPenim'aim'anan nan oba# oba# dengdengan an kondkondisi isi khuskhususus3 se0e!ti lema!i3 se0e!ti lema!i te!tu
te!tutu0 !a0at3 tu0 !a0at3 lemalema!i !i 0end0endin"iin"in3 n3 kotak keda0 kotak keda0 udauda!a !a dan dan lailainn seba"ain4a&
seba"ain4a& i
i aairairan din dile#le#akakkan kan di rdi rak ak bagbagian ian babaah,ah, j
j Kondisi 'enim'anan bebKondisi 'enim'anan bebera'a oba#,era'a oba#,
Be!i tanda,kode 0ada ;adah obat&Be!i tanda,kode 0ada ;adah obat&
Be!i tanda semua ;adah obat den"an jelas&Be!i tanda semua ;adah obat den"an jelas&
A0abila ditemukan obat A0abila ditemukan obat den"an ;adah tan0a den"an ;adah tan0a etiket3 jan"anetiket3 jan"an di"unakan&
di"unakan&
A0abila A0abila obat obat disim0an disim0an di di dalam dalam dus dus besa! besa! maka maka 0ada 0ada dusdus ha!us te!1antum '
ha!us te!1antum '
*umlah isi dus3 misaln4a ' )? kalen" C .?? tablet&*umlah isi dus3 misaln4a ' )? kalen" C .?? tablet&
Kode lokasi&Kode lokasi&
Tan""al dite!ima&Tan""al dite!ima&
Tan""al kadalu;a!sa&Tan""al kadalu;a!sa&
Nama 0!oduk,obat&Nama 0!oduk,obat&
Be!i tanda khusus untuk obat 4an" akan habis masa 0akain4a Be!i tanda khusus untuk obat 4an" akan habis masa 0akain4a 0ada tahun te!sebut& *an"an men4im0an 5aksin lebih da!i satu 0ada tahun te!sebut& *an"an men4im0an 5aksin lebih da!i satu bulan di unit
bulan di unit 0ela4ana0ela4anan kesehatan 8Puskesmas9&n kesehatan 8Puskesmas9& 4
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Modul Manajemen Obat dan Bahan Medis Habis Pakai Modul Manajemen Obat dan Bahan Medis Habis Pakai PUSA
PUSAT PELATIHAN SDMKBPPSDMT PELATIHAN SDMKBPPSDMK Beke!jasama K Beke!jasama den"an UNIT den"an UNIT ESELON # KEMENKES $IESELON # KEMENKES $I
<ai!an emulsi memisah dan tidak <ai!an emulsi memisah dan tidak te!1am0u! kembali&te!1am0u! kembali& d
d !!aallee' ' ::
Konsistensi ;a!na dan bau be!ubah 8tKonsistensi ;a!na dan bau be!ubah 8ten"ik9&en"ik9&
Pot,Pot,tubetube !usak atau bo1o!& !usak atau bo1o!& e
e nnjjeekkssi :i :
Kebo1o!anKebo1o!an
TTe!dae!da0at 0at 0a!t0a!tikel ikel untuuntuk k sedisediaan aan injinjeksi eksi 4an" 4an" sehaseha!usn4!usn4aa