PEME
PEMERINTAH RINTAH KABUKABUPPAATEN TEN MUSI RAMUSI RAWASWAS
DINAS KESEHATAN
DINAS KESEHATAN
UPT PUSKESMAS MANGUNHARJO UPT PUSKESMAS MANGUNHARJO
Jl. Raya Megang Sakti, Kel. O.Mangunharjo, Kec. Purwodadi, Kab. Musi Rawas, kode pos 3!!" Jl. Raya Megang Sakti, Kel. O.Mangunharjo, Kec. Purwodadi, Kab. Musi Rawas, kode pos 3!!"
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KEPUTUSAN KEPUTUSAN
KEPALA UPT PUSKESMAS MANGUNHARJO KEPALA UPT PUSKESMAS MANGUNHARJO NOMOR
NOMOR : : / / /KPTS/PKM.MH/I/2018/KPTS/PKM.MH/I/2018 T E N T A N G
T E N T A N G
PENETAPAN PRIORITAS INDIKATOR MUTU KLINIS DAN SASARAN PENETAPAN PRIORITAS INDIKATOR MUTU KLINIS DAN SASARAN
KESELAMATAN PASIEN DI UPT PUSKESMAS MANGUNHARJO KESELAMATAN PASIEN DI UPT PUSKESMAS MANGUNHARJO
DENGAN RAHMAT TUHAN YANG MAHA ESA, DENGAN RAHMAT TUHAN YANG MAHA ESA, KEPALA UPT PUSKESMAS MANGUNHARJO, KEPALA UPT PUSKESMAS MANGUNHARJO,
Menim Menim !n" !n" :: !!.. !!##$$! ! %!%!&&!!m m ''((!!))!! m meenniinn""**!!++**!!n n ((ee&&!!))!!nn!!nn P'*e
P'*em! m! +e-#!%+e-#!%!( !( +'n+'+'n+'+!n+!n m!
m!))!-!-!*!*!+ !+ !*!*!n !n (e(e&!&!)!)!n!n!nn *ee#!+!n )!n" &ei# e-m'+', *ee#!+!n )!n" &ei# e-m'+', (
(ee--&&' ' %%ii''''n n ++eenn++!!nn"" Pen
Pene+!e+!(!n (!n P-iP-i-i-i+! +! In%In%i*!i*!+- +-M
M''++' ' KK&&iinnii %%!!n n SS!!!!--!!nn K
Keeee&&!!mm!!++!!n n PP!!iieen n %%ii P'*em! M!n"'n#!-
P'*em! M!n"'n#!-
.. !!#$#$! ! ee##''''nn""!n !n %%eenn""!!nn
''++ii- - ! ! ++ee--ee''+ + %%ii!!++!! %i
%i+e+e+!+!(*(*!n !n P-P-ii-i-i+!+! InIn%i%i*!*!+ +--M
M'+'+' ' KK&&iinnii %%i i PP''**eemm!! M!n"'n#!- M!n"'n#!- Men"i Men"i n"!+ n"!+ :: 11.. UUnn%%!!nn""''nn%%!!nn" n" n + +!!##''nn 2003 +en+!n" *ee#!+!n 2003 +en+!n" *ee#!+!n 2. 2. UnUn%!%!n"n"'n'n%!%!n" n" n n 44 44 +!+!#'#'nn 2003 +en+!n" R'm!# S!*i+. 2003 +en+!n" R'm!# S!*i+. .
. KeKe('('+'+'!!n n MeMen+n+e-e-i i KeKeee#!+#!+!N!N N.1456/Men*e/SK/7/200 N.1456/Men*e/SK/7/200 Ten+!n"
Ten+!n" +!n%!- +!n%!- (e&!)!n!n(e&!)!n!n min
minim!im!& & i%i%!n" !n" *e*ee#!+e#!+!n !n DiDi K!'(!+en/*+!. K!'(!+en/*+!. MEMUTUSKAN MEMUTUSKAN Mene+ Mene+ !(*!n !(*!n :: KKEEPPUUTTUUSSAAN N KKEEPPAALLA A UUPPT T P
PUUSSKKEESMSMAS AS MMANANGGUUNNHHAARRJJOO TENTANG
TENTANG PENETAPAN PENETAPAN PRIORITASPRIORITAS IINNDDIIKKAATTOOR R MMUUTTU U KKLLIINNIIS S DDANAN SASARAN
SASARAN KESELKESELAMATAAMATAN N PASIENPASIEN D
DI I UUPPT T PPUUSSKKEESSMMAASS MANGUNHARJO
Ke!+ Ke!+ ' '
:: PP--ii--ii++!! i inn%%ii**!!++- m- m''++' *' *&&iinnii % %!!nn
!!!!--!n !n **eeee&&!!mm!+!+!n !n ((!!iieenn e
e(e(e-+-+i i +e+e-+-+e-e-! ! %!%!&!&!m m &!&!m(m(i-i-!n!n '-!+ *e('+'!n ini
'-!+ *e('+'!n ini K
Kee%%''!!:: SS''--!!+ + KKee((''++''!!n n iinni i mm''&&!!ii e
e-&-&!*!*' ' ee!!* * %i%i+e+e+!+!(*(*!n !n %!%!nn !(!i&! +e-%!(!+ *e*e&i-'!n %!&!m !(!i&! +e-%!(!+ *e*e&i-'!n %!&!m *e
*e(('+'+''!n !n inini, i, !*!*!n !n %%i!i!%!%!*!*!nn (e-!i*!n/(e-'!#!n (e-!i*!n/(e-'!#!n e!"!im!n! me+in)!. e!"!im!n! me+in)!. Di Di+e+e+!+!(*(*!n !n %i %i :: O O MM!n!n"'"'n#n#!-!- P!%! T!n""!& P!%! T!n""!& : : 20182018
KEPALA UPT PUSKESMAS
KEPALA UPT PUSKESMAS MANGUNHARJOMANGUNHARJO
YULI ZULAIKHA YULI ZULAIKHA
LAMPIRAN:KEPUTUSAN KEPALA UPT LAMPIRAN:KEPUTUSAN KEPALA UPT
PUSKESMAS MANGUNHARO PUSKESMAS MANGUNHARO NOMOR
NOMOR : : / / /KPTS/PKM.MH/1/2018/KPTS/PKM.MH/1/2018 TENTANG:
TENTANG: PENETAPAN PENETAPAN PRIORITAS PRIORITAS INDIKATORINDIKATOR M MUUTTU U KKLLIINNIIS S DADAN N SSAASSAARRAANN K KEESSEELLAAMMAATTAAN N PPAASSIIEEN N DDI I UUPPT T PUSKESMAS MANGUNHARJO PUSKESMAS MANGUNHARJO
PEMILIHAN DAN PENETAPAN INDIKATOR MUTU LAYANAN KLINIS PEMILIHAN DAN PENETAPAN INDIKATOR MUTU LAYANAN KLINIS
DAN SASARAN KESELAMATAN PASIEN DI UPT PUSKESMAS DAN SASARAN KESELAMATAN PASIEN DI UPT PUSKESMAS
MANGUNHARJO MANGUNHARJO N N Jeni Jeni Pe&!)!n!n Pe&!)!n!n
IInn%%ii**!!++-- TT!!--""ee++ K
K--ii++ee--ii!! IInn%%ii**!!++ --1 1 PPee&&!!))!!nn!!nn Ke"!$!+ Ke"!$!+ %!-'-!+!n %!-'-!+!n
IInn((''++ 11. P. Peemmee--i i ((ee&&!!))!!nn!!nn *e"!$!+%!-'!+!n )!n" *e"!$!+%!-'!+!n )!n" e-e-+i9i*!+ e-e-+i9i*!+ ATLS/;TLS/A<LS/PPGD/ ATLS/;TLS/A<LS/PPGD/ GELS= )!n" m!i# e-&!*' GELS= )!n" m!i# e-&!*'
100 > 100 >
2.
2. Ke+eKe+e-e%i-e%i!!n +im!!n +im
Pen!n""'&!n"!n en?!n! Pen!n""'&!n"!n en?!n!
1 Tim 1 Tim P
P--ee .. JJ!!m m ''**! ! ((ee&&!!))!!nn!!nn "!$!+ %!-'-!+ "!$!+ %!-'-!+ 24 J!m 24 J!m 4. 4. @!*+@!*+' +!n""!( (e&!)!' +!n""!( (e&!)!n!nn!n %*+e- %i G!$!+ D!-'-!+ %*+e- %i G!$!+ D!-'-!+ 5 5 meni+meni+ +e-&!)!ni +e-&!)!ni e+e&!# e+e&!# (!ien %!+!n" (!ien %!+!n" O O''++((''++ 55.. KKee++ee((!!++!!n n ((ee&&!!**!!nn!!!!nn +-i!e +-i!e . B 30 > . B 30 > O O''++??mmee .. KKee((''!!!!n n ((!!iieenn . . B B 660 0 >> 2 2 PPee&&!!))!!nn!!nn R!$!+ J!&!n R!$!+ J!&!n
IInn((''++ 11.. KKee++ee--ee%%ii!!!!n n %%**++ee- - ee''!!ii +!n%!- (e-men*e N +!n%!- (e-men*e N 65/2014 65/2014 100 > 100 > P
P--ee 22.. JJ!!m m ''**! ! ((ee&&!!))!!nn!!nn %en"!n *e+en+'!n %en"!n *e+en+'!n 08.00 /% 08.00 /% 1.00 1.00 Se+i!( Se+i!( #!-i#!-i *e-! *e-! *e?'!&i *e?'!&i J'mC!+ : J'mC!+ :
08.00 08.00 11.00 11.00 .
. @@!*!*++' +' +'n'n""""' -' -!$!$!+ !+ !&!&!n!n 0 m0 meenini++ 4.
4. Ke+eKe+e-e%i-e%i!!n !!n Pe&!)Pe&!)!n!n!n!n <T HI= <T HI= Te-e%i! Te-e%i! %en"!n %en"!n +en!"! +en!"! +e-&!+i# +e-&!+i# O
O''++((''++ 55.. PPee--eeee((!!n n !!+ + ee''!!ii 9-m'&!-i'm
9-m'&!-i'm
100 > 100 > .
. Pen?!Pen?!+!+!n %!n Pe&!(+!+!n %!n Pe&!(-!n-!n T; %i P'*em! T; %i P'*em! B 0> B 0> O O''++??mmee 66.. KKee((''!!!!n n ((!!iieenn B B 880 0 >>
Pe&!)!n!n "i"iPe&!)!n!n "i"i %!n m'&'+ %!n m'&'+
IInn((''++ 11.. PPeemmee--i i ((ee&&!!))!!nn!!n n mmee%%ii !%!&!#
!%!&!#
%*+e-80> 80> 2.
2. AAii+e+en )n )!n!n" +" +e-e-ee%i%i!! !%!&!# (e-!$!+ "i"i !%!&!# (e-!$!+ "i"i
100> 100> P
P--ee .. KKee++ee((!!++!!n n %%ii!!""nn! ! 110000>> 4
4.. KKe+e+e(e(!!+!+!n -en -en?n?!n!n!! (e-!$!+!n (e-!$!+!n 100> 100> 5. 5. @!@!*+*+' +!' +!n"n""!"!( (e( (e&!&!)!)!n!n!nn %*+e- 5 5 meni+meni+ +e-&!)!ni +e-&!)!ni e+e&!# e+e&!# (!ien %!+!n" (!ien %!+!n" .
. KeKe+e+e(!(!+!+!n n !%!%$!$!& & %!%!nn i+em (en"in('+!n i+em (en"in('+!n (e&!(-!n (e&!(-!n 100> 100> 6.
6. KeKe+e+e(!(!+!+!n n +i+in%n%!*!*!n!n
(e-!$!+!n e'!i %en"!n (e-!$!+!n e'!i %en"!n SOP
SOP
100> 100>
8.
8. TiTi%!%!* * +e+e--!%!%i i (e(e-%-%!-!-!#!#!n!n (!?! (en?!'+!n (!?! (en?!'+!n F 2> F 2> 3. 3. PePen"n""'"'n!n!!n !n APAPD D !!!+!+ e-+'"! e-+'"! 100> 100> 10.
10. Ke+e(Ke+e(!+!n !+!n (en"e(en"e&&!!n&&!!n !#!n #!i (!*!i !#!n #!i (!*!i in9e*i' in9e*i' 100> 100> 11.
11. Ti%!* +Ti%!* +e-!%e-!%i (!ien !&i (!ien !&e-"ie-"i / #?* (!?! / #?* (!?! (en)'n+i*!n (en)'n+i*!n 0> 0> 1 122. S. S!!&&!!# # ((eenn??!!''++!!nn 00>> 1.
1. PemePeme-i!n -i!n Ree( Ree( )!n")!n" !%e'!+
!%e'!+
100> 100> 14.
14. Ke+Ke+e(!e(!+!n $!*++!n $!*+''
(en)e%i!!n !#!n #!i (en)e%i!!n !#!n #!i (!*!i (!*!i 100> 100> O O''++((''++ 1155. . KKee((''!!!!n n ((!!iieenn 8800>> 4 4 PP&&!!))!!nn!!nn R!$!+ In!( R!$!+ In!(
IInn((''++ 11.. PPeemmee--i i ((ee&&!!))!!nn!!n n %%ii R!$!+ In!( R!$!+ In!( Se'!i Se'!i (e-#i+'n"!n (e-#i+'n"!n (&! (&! *e+en!"!!n *e+en!"!!n 2.
2. Tem(!Tem(!+ +i%'- %en+ +i%'- %en"!n"!n (en"!m!n
(en"!m!n
100 > 100 > .
. K!m!- K!m!- m!n%i %em!n%i %en"!nn"!n (en"!m!n (e"!n"!n (en"!m!n (e"!n"!n +!n"!n +!n"!n 100 > 100 >
P
P--ee 44.. DD**++ee- - ((eenn!!nn""""''nn" " !!$$!! (!ien -!$!+ in!(
(!ien -!$!+ in!(
100 > 100 > 5.
5. Ke+e(Ke+e(!+!n $!*+' !m ii+!+!n $!*+' !m ii+ee
%*+e-B 30 > B 30 > .
. Ke!%Ke!%i!n in9e*i!n in9e*ii n*mi!& n*mi!&
2 > 2 > 6.
6. Ti%!* !%!Ti%!* !%!n)! *e!%n)! *e!%i!ni!n (!ien !+'# )!n" (!ien !+'# )!n" e-!*i!+ ?!?!+ !+!' e-!*i!+ ?!?!+ !+!' *em!+i!n *em!+i!n 100 > 100 > 8.
8. P!ieP!ien -!$!+ in!(n -!$!+ in!( +'e-?'&i )!n" +'e-?'&i )!n"
%i+!n"!ni %en"!n +-!+e"i %i+!n"!ni %en"!n +-!+e"i DOTS
DOTS
100 > 100 >
O
O''++((''++ 33.. KKee!!%%ii!!n n ((''&&!!nn" " !!++!! (e-min+!!n en%i-i (e-min+!!n en%i-i
5 >5 > 10
10.. PP!!iien en %%i-i-!$!$!+ !+ &&eei#i# %!-i 5 #!-i
%!-i 5 #!-i
5 > 5 > 11.
11. Pem'&Pem'&!n"!n !n"!n P!ienP!ien R!$!+ in!( %en"!n R!$!+ in!( %en"!n *eem'#!n *eem'#!n 100> 100> O O''++??mmee 1122.. KKee((''!!!!n n ((!!iieenn B B 330 0 >> 5
5 PPee--!!&&iinn!!n n IInn((''++ 11.. KKee++ee--ee%%ii!!!!n n ++eenn!!""! ! %%**++e e--%!n ie--%!n 'n+'* %!n i%!n 'n+'* (e-+&n"!n (e-!&in!n (e-+&n"!n (e-!&in!n n-m!& n-m!& 2.
2. Ke+eKe+e-e%i-e%i!!n +im PONED!!n +im PONED
100 > 100 >
100 > 100 > P
P--ee .. PPee--++&&nn""!!n n ((ee--!!&&iinn!!nn n-m!&
n-m!& 4.
4. Pe-+Pe-+&n"!&n"!n n (e-!&(e-!&in!nin!n %en"!n (en)'&i+ &e# %en"!n (en)'&i+ &e# %*+e- +e-&!+i#
%*+e- +e-&!+i# 5.
5. KneKne&in" (ee&in" (ee-+! K;-+! K;
m!n+!( &e# i%!n +e-&!+i# m!n+!( &e# i%!n +e-&!+i#
Se'!i Se'!i %en"!n APN %en"!n APN 100 > 100 > 100 > 100 > O
O''++((''++ .. TTii%%!!* +* +ee--!!%%iinn))! *! *eemm!!++ii!!nn i' *!-en! (e-!&in!n i' *!-en! (e-!&in!n
100 > 100 > O O''++??mmee 66.. KKee((''!!!!n n ((!!iieenn B B 880 0 >> PPee&&!!))!!nn!!nn &!-!+-i'm &!-!+-i'm IInn((''++ 11. P. Peenn!!nn""""''nn" " !!$$!! &!-!+-i'm e'!i &!-!+-i'm e'!i %en"!n (e-men*e N %en"!n (e-men*e N 65/2014 65/2014 2.
2. !i!i&i+! %!n (e-!&&i+! %!n (e-!&!+!n!+!n &!-!+-i'm e'!i &!-!+-i'm e'!i (e-men*e 65/2014 (e-men*e 65/2014 100 > 100 > 100 > 100 > P
P--ee .. @@!!**++' ' ++''nn""""' ' ##!!ii&& (e&!)!n!n &!-!+-i'm (e&!)!n!n &!-!+-i'm 4.
4. Ti%!* !%!Ti%!* !%!n)! *e!%n)! *e!%i!ni!n +e-+'*!- (e?imen +e-+'*!- (e?imen (eme-i*!!n
(eme-i*!!n 5.
5. Kem!m(Kem!m('!n me&!*'*'!n me&!*'*!n!n (en+!(i!n ?-eenin"= HI (en+!(i!n ?-eenin"= HI AIDS
AIDS .
. Kem!m(Kem!m('!n '!n Mi*-Mi*-*(*(ii
120 meni+ 120 meni+ 100 > 100 > Se'!i Se'!i +!n%!- *&ini* +!n%!- *&ini* <T <T Te-e%i! Te-e%i!
T; P!-' T; P!-' +en!"!, +en!"!, (e-!&!+!n, (e-!&!+!n, %!n -e!"en %!n -e!"en 'n+'* 'n+'* (eme-i*!!n (eme-i*!!n mi*-*(i mi*-*(i +'e-?'&i +'e-?'&i O
O''++((''++ 66.. TTii%%!!* * !!%%!!nn))! ! **ee!!&&!!##!!nn (eme-i!n #!i&
(eme-i!n #!i&
(eme-i*!!n &!-!+-i'm (eme-i*!!n &!-!+-i'm 8.
8. KeeKee'!i!n #!i'!i!n #!i&&
(eme-i*!!n !*' m'+' (eme-i*!!n !*' m'+' e*+e-n!& e*+e-n!& 100 > 100 > 100 > 100 > O O''++??mmee 1155.. KeKe((''!!!!n n ((ee&&!!nn""""!!nn B B 880 0 >> 6 6 PPee&&!!))!!nn!!nn !-m!i !-m!i
IInn((''++ 11. P. Peemmee--i i ((ee&&!!))!!nn!!nn 9!-m!i 9!-m!i Se'!i Se'!i (e-)!-!+!n (e-)!-!+!n (e-men*e N (e-men*e N 65/2014 65/2014 2.
2. !i!i&i+! %!n (e-!&&i+! %!n (e-!&!+!n!+!n (e&!)!n!n 9!-m!i (e&!)!n!n 9!-m!i Se'!i Se'!i (e-)!-!+!n (e-)!-!+!n (e-men*e N (e-men*e N 65/2014 65/2014 .
. KeKe+e+e--e%e%i!i!!n !n 99-m-m'&'&!-!-i'i'mm TeTe--e%e%i! i! %!%!nn '(%!+e% '(%!+e% (!&in" &!m! (!&in" &!m! +#n +#n P
P--ee 44.. @@!!**++' +' +''nn""""' (' (ee&&!!))!!nn!!nn !+ !%i !+ !%i 0 meni+ 0 meni+ 5. 5. @!*+@!*+' +'n""' (e&!)' +'n""' (e&!)!n!n!n!n !+ -!?i*!n !+ -!?i*!n 0 meni+ 0 meni+ O
O''++((''++ .. TTii%%!!* !* !%%!!nn))! *! *ee!!%%ii!!nn *e!&!#!n (eme-i!n !+ *e!&!#!n (eme-i!n !+ 100 > 100 > O O''++??mmee 66. K. Kee((''!!!!n n ((ee&&!!nn""""!!nn B B 880 0 >> 8
8 PPee&&!!))!!nn!!n n ""iiii IInn((''++ 1. P1. Peemmee--i i ((ee&&!!))!!nn!!n n ""iiii
2.
2. Ke+eKe+e-e%i-e%i!!n !!n (e&!)(e&!)!n!n!n!n *n'&+!i "ii *n'&+!i "ii Se'!i Se'!i %en"!n %en"!n (en"#i+'n"!n (en"#i+'n"!n (&! (&! *e+en!"!!n *e+en!"!!n Te-e%i! Te-e%i! . . Ke+e(Ke+e(!+!n $!*+!+!n $!*+'' (eme-i!n m!*!n!n (!%! (eme-i!n m!*!n!n (!%! (!ien (!ien B 30 > B 30 > 4.
4. Ti%!* !%!Ti%!* !%!n)! *e!%n)! *e!%i!ni!n *e!&!#!n (eme-i!n %ii+ *e!&!#!n (eme-i!n %ii+
100 > 100 > O
O''++((''++ 55.. SSii! ! mm!!**!!nn!!n n ))!!nn" " ++ii%%!!** %im!*!n &e# (!ien
%im!*!n &e# (!ien
20 > 20 > O O''++??mmee . K. Kee((''!!!!n n ((ee&&!!nn""""!!nn B B 880 0 >> 3 3 PPee&&!!))!!nn!!nn -e*!m me%i* -e*!m me%i*
IInn((''++ 11.. PPeemmee--i i ((ee&&!!))!!nn!!n n --ee**!!mm me%i me%i Se'!i Se'!i %en"!n %en"!n (e-)!-!+!n (e-)!-!+!n (e-men*e N (e-men*e N 65/2015 65/2015 P
P--ee 22.. @@!!**++' ' ((eenn))ee%%ii!!!!nn %*'men -e*!m me%i %*'men -e*!m me%i -!$!+ !&!n
-!$!+ !&!n
10 meni+ 10 meni+
.
%*'men -e*!m me%i* %*'men -e*!m me%i* (e&!)!n!n -!$!+ in!( (e&!)!n!n -!$!+ in!( O
O''++((''++ 44.. KKee&&eenn""**!!((!!n n ((eenn""iiii!!nn -e*!m me%i* 24 !m -e*!m me%i* 24 !m
e+e&!# e&e!i (e&!)!n!n e+e&!# e&e!i (e&!)!n!n
100 > 100 >
5.
5. Ke&enKe&en"*!(!n In9-"*!(!n In9-me%me% <n?en+ e+e&!# <n?en+ e+e&!# men%!(!+*!n in9-m!i men%!(!+*!n in9-m!i )!n" e&! )!n" e&! 100 > 100 > O O''++??mmee . K. Kee((''!!!!n n ((ee&&!!nn""""!!nn B B 880 0 >> 1 1 0 0 Pen"e&&!!n Pen"e&&!!n &im!# &im!# IInn((''++ 11.. AA%%!!nn))! (! (eenn!!nn""""''nn" " !!$$!! (en"e&&! &im!# (en"e&&! &im!# ('*em! ('*em! 100 > 100 > 2.
2. Ke+eKe+e-e%i-e%i!!n 9!i&i+! %!n!!n 9!i&i+! %!n (e-!&!+!n (en"e&&!!n (e-!&!+!n (en"e&&!!n &im!# :(!%!+, &im!# :(!%!+, ?!i-Se'!i Se'!i (e-!+'-!n (e-!+'-!n (e-'n%!n"!n (e-'n%!n"!n P
P--ee . P. Peenn""ee&&&&!!!!n n &&iimm!!# # ??!!ii-- SSee''!!ii (e-!+'-!n (e-!+'-!n (e-'n%!n"!n (e-'n%!n"!n 4.
4. PPenen"e"e&&&!&!!n !n &&imim!# !# ((!%!%!+!+ SeSe''!i!i (e-!+'-!n (e-!+'-!n (e-'n%!n"!n (e-'n%!n"!n O O''++((''++ 55. ;. ;!!**' ' mm''++' ' &&iimm!!# # ??!!ii-- !!..;;OOD D F F 00 m"/& m"/& .<OD F 80 .<OD F 80 m"/& m"/& ?.TSS F 0 ?.TSS F 0 m"/& m"/& %.PH 3 %.PH 3 1 1 1 1 Pe&!)!n!n Pe&!)!n!n !m'&!n %!n !m'&!n %!n mi& en!!# mi& en!!#
IInn((''++ 11.. KKee++ee--ee%%ii!!!!n n ((ee&&!!))!!nn!!nn !m'&!n %!n mi& !m'&!n %!n mi& en!!# en!!# 24 !m 24 !m 2.
2. Pen)ePen)e%i! (e&!)%i! (e&!)!n!n!n!n !m'&!n %!n mi& !m'&!n %!n mi& en!!# en!!# '(i-!m'&!n !m'&!n +e-&!+i# +e-&!+i# .
. Ke+eKe+e-e%i-e%i!!n mi&!!n mi& !m'&!n %!n mi& !m'&!n %!n mi& en!!# en!!# Mi& Mi& Am'&!n Am'&!n %!n mi& %!n mi& en!!# en!!# +e-(i!# +e-(i!# P
P--ee 44.. KKee??ee((!!++!!n mn meemmee--ii**!!nn (e&!)!n!n (e&!)!n!n !m'&!n/mi& en!!# !m'&!n/mi& en!!# 0 meni+ 0 meni+ 5. 5. @!*+@!*+' +!n""!( (e&!)!' +!n""!( (e&!)!n!nn!n !m'&!n *e(!%! !m'&!n *e(!%! m!)!-!*!+ )!n" m!)!-!*!+ )!n" mem'+'#*!n mem'+'#*!n 0 meni+ 0 meni+ DO m'&!i DO m'&!i m!)!-!*!+ m!)!-!*!+ memin+! memin+! !m(!i !m(!i %en"!n %en"!n !m'&!n !m'&!n e-!n"*!+ e-!n"*!+ %!-i RS= %!-i RS= O
O''++((''++ .. TTii%%!!* * ++ee--!!%%iinn))!! *e?e&!*!!n *e?e&!*!!n !m'&!n/mi& en!!# !m'&!n/mi& en!!# )!n" men)e!*!n )!n" men)e!*!n *e?!?!+!n !+!' *em!+i!n *e?!?!+!n !+!' *em!+i!n 100 > 100 > O O''++??mmee 66. K. Kee((''!!!!n n ((ee&&!!nn""""!!nn B B 880 0 >> 1
2
2 &&!!''nn%%--)) &&!!''nn%%--) ) 2.
2. A%!n)A%!n)! Pen!n""'n" !! Pen!n""'n" !$!$! (e&!)!n!n &!'n%-)
(e&!)!n!n &!'n%-)
100 > 100 > .
. Ke+eKe+e-e%i-e%i!!n 9!i&i+! %!n!!n 9!i&i+! %!n (e-!&!+!n &!'n%-)
(e-!&!+!n &!'n%-)
100 > 100 >
P
P--ee 44.. KKee++ee((!!++!!n n $$!!**++''
(en)e%i!!n &inen 'n+'* (en)e%i!!n &inen 'n+'* -'!n" -!$!+ in!( %!n -'!n" -!$!+ in!( %!n -'!n" (e&!)!n!n -'!n" (e&!)!n!n 100 > 100 > 5.
5. Ke+e(Ke+e(!+!n (en"e&&!+!n (en"e&&!!n!!n &inen in9e*i'
&inen in9e*i'
100 > 100 > O
O''++((''++ . K. Kee++ee--ee%%ii!!!!n n &&iinneenn 22, , 5 5 ee+ + 'm&!# 'm&!# +em(!+ +em(!+ +i%'-1 1 Pen?e"!#!n Pen?e"!#!n %!n %!n (en"en%!&i!n (en"en%!&i!n in9e*i in9e*i IInn((''++ 11. A. A%%!!nn))! ! !!nn""""++! ! ++iimm (en?e"!#!n %!n (en?e"!#!n %!n (en"en%!&i!n in9e*i )!n" (en"en%!&i!n in9e*i )!n" +e-&!+i# +e-&!+i# B 65> B 65> 2.
2. Ke+eKe+e-e%i-e%i!!n APD %i e+i!(!!n APD %i e+i!( 'ni+ (e&!)!n!n *&ini
'ni+ (e&!)!n!n *&ini
B0 > B0 > . . Ren?!nRen?!n! (-! (-"-!m"-!m (en?e"!#!n %!n (en?e"!#!n %!n (en"en%!&i!n in9e*i %i (en"en%!&i!n in9e*i %i P'*em! P'*em! A%! A%! P
P--ee 44.. PPee&&!!**!!nn!!!!n n ((--""--!!mm e'!i -en?!n!
e'!i -en?!n! 5.
5. Pen""Pen""'n!!n APD 'n!!n APD !!+!!+ me&!*!n!*!n +'"! me&!*!n!*!n +'"! 100 > 100 > 100> 100> O O''++((''++ .. KKee""ii!!++!!n n ((eenn??!!++!!++!!n n %%!!nn (e&!(-!n in9e*i (e&!(-!n in9e*i n*mi!&/#e!&+# ?!-e n*mi!&/#e!&+# ?!-e !?i!+e% in9e?+in HAI= !?i!+e% in9e?+in HAI= %i P'*em!. %i P'*em!. B 65> B 65> N NOO IINNDDIIKKAATTOOR R SSAASSAARRAAN N KKEESSEELLAAMMAATTAAN N PPAASSIIEENN TTAARRGGEETT 1
1.. TTii%%!!* * TTee--!!%%iinn))! ! KKee!!&&!!##!!n n II%%eenn++ii99ii**!!i i PP!!iieenn 110000>> 2
2.. PPeenniinn""**!!++!!n n **mm''nnii**!!i i ))!!nn" " ee99ee**++ii99 110000>>
.. TTii%%!!* * TTee--!!%%iinn))! K! Kee!!&&!!##!!n n PPeemmee--ii!!n n OO!!+ + KKee((!!%%! ! PP!!iieenn 110000>> 4.
4. TiTi%!%!* T* Te-e-!!%i%in)n)! Ke! Ke!!&!&!#!#!n P-n P-e%e%'- '- TiTin%n%!*!*!n M!n Me%e%i %i %!n!n Ke(e-!$!+!n
Ke(e-!$!+!n
100> 100> 5
5.. PPeenn""''--!!nn""!!n n TTee--!!%%iinn))! ! RRiiii** IInn99ee**i i %%i i PP''**eemm!! 110000>>
.. TTii%%!!* * TTee--!!%%iinn))! ! P!P!iieen n JJ!!++''## 110000>> Di
Di+e+e+!+!(*(*!n !n %i %i :: O MO M!n!n"'"'n#n#!-!- P!%! T!n""!&
P!%! T!n""!& : : 20182018 KEPALA UPT PUSKESMAS MANGUNHARJO KEPALA UPT PUSKESMAS MANGUNHARJO
YULI ULAIKHA YULI ULAIKHA
