Sop 2012

(1)

PEMERIKSAAN FISIOTERAPI

NO. DOKUMEN : NO. DOKUMEN : 14.05.01 14.05.01 No. REVISI : No. REVISI : 00

00 HALAMAN :1 DARI 1HALAMAN :1 DARI 1

PROSEDUR

TETAP

T

TANGGAL TERBANGGAL TERBIT :IT : 15-02-2012 15-02-2012

Diteta!a"

Diteta!a" O#e$ O#e$ Di%e!t&% Di%e!t&% Uta'aUta'a R&'a$ Sa!it Sa"to Bo%%o'e&( R&'a$ Sa!it Sa"to Bo%%o'e&(

)%. S&%i*a"to )%. S&%i*a"to PENGERTIAN

PENGERTIAN

A)a#a$ %o(e)&% a+a# *a", $a%&( )i#a!&!a" (ee#&' 'e#a!&!a" ti")a!a" A)a#a$ %o(e)&% a+a# *a", $a%&( )i#a!&!a" (ee#&' 'e#a!&!a" ti")a!a" i(iote%ai/

i(iote%ai/ ,&"a 'e"e"t&!a" %o#e'a  ,&"a 'e"e"t&!a" %o#e'a  )ia,"o(a i(iote%ai )a" )ia,"o(a i(iote%ai )a" 'e")&!&",'e")&!&", a%a$a"  (&%at %&&!a" )o!te%.

a%a$a"  (&%at %&&!a" )o!te%.

TUJUAN TUJUAN

Sea

Sea,ai ,ai a&aa&a" " a,a,i i (e#&(e#&%&$ %&$ i(ioi(iote%ate%ai( i( &"t&&"t&! ! 'e#a'e#a!(a"!(a"a!aa!a" " e'ee'e%i!(%i!(aa"aa" 

i(i(ioiotete%a%aii/ / &"&"t&t&! ! 'e'e"e"e,a,a!!!!a" a" %%oo#e#e'a 'a   )i)ia,a,"o"o(a (a i(i(ioiotete%a%ai i )a)a"" 'e"e"t&!a" e"i( ti")a!a" *a", 'e")&!&", a%a$a"  (&%at %&&!a" )o!te%. 'e"e"t&!a" e"i( ti")a!a" *a", 'e")&!&", a%a$a"  (&%at %&&!a" )o!te%.

KEBIJAKAN KEBIJAKAN

1.

1. 3e3e'e'e%#%#a!a!&a" B&!& 3et&a" B&!& 3et&"&"&! &! 33e#ae#a!(a!(a"a"aa" a" RRe$ae$ai#i#itaita(i (i Me)Me)i! i! )i R&')i R&'a$a$ Sa!it Sa"to Bo%%o'e&(.

Sa!it Sa"to Bo%%o'e&(. 2.

2. 33e'e'ee%#%#a!a!&a&a" " B&B&!!& & StSta"a")a)a% % 33%%o(o(e)e)&% &% OOe%e%a(a(ioio"a"a# # i(i(ioiotete%a%aii/ / TTe%e%aaii O!&a(i/ )a" Te%ai ia%a )i R&'a$ Sa!it Sa"to Bo%%o'e&(.

O!&a(i/ )a" Te%ai ia%a )i R&'a$ Sa!it Sa"to Bo%%o'e&(.

PROSEDUR PROSEDUR

1.

1. 33aa((ieie" " ))iiaa",",,,i# i# ))aa" " ))iie%e%((i#i#aa$!$!aa" " 'a'a((&&! ! !!e e %&%&aa", ", e'e'e%e%i!i!((aaaa"" i(iote%ai.

i(iote%ai. 2.

2. i(i(ioiotete%a%aii( ( 'e'e#a#a!!&!&!a" a" a"a"a'a'"e"e(a !e(a !eaa)a a()a a(ieie" "   )a)a" " !!e#e#&a&a%%,a,a"*"*aa te"

te"ta"ta", , !!e#&e#&$a$a" " aa(ie(ie"/ "/ )i#)i#a"a"&t!&t!a" a" )e")e",a" ,a" e'e'e%e%i!(i!(aaaa" " ((i! i! *a*a",", 'e#i&ti i"(e!(i/ a#a(i/ a&(!&#ta(i/ e'e%i!(aa" ,e%a! )a" e'e%i!(aa" 'e#i&ti i"(e!(i/ a#a(i/ a&(!&#ta(i/ e'e%i!(aa" ,e%a! )a" e'e%i!(aa" 6&",

6&",(i. (i. 3a3a)a )a a(ia(ie" e" %a+a%a+at t i"a i"a i(ioti(iote%ae%ai( i( $a%&$a%&( ( 'e''e'e#ae#aa%i a%i RRe!ae!a'' Me)i("*a te%#ei$ )a$&#&.

Me)i("*a te%#ei$ )a$&#&. 7.

7. ii((iioottee%%aaii( ( ''ee##aa!!&&!!aa" " ee''ee%%ii!!((aaaa" " ttee""ttaa"", , !!aaaa((iittaa( ( ((ii! ! ))aa"" !e'

!e'a'&a'&a" a" 6&",6&",(io"(io"a# a# a(ia(ie" e" #ei#ei$ $ #a"#a"&t. &t. 8i!a 8i!a )ie)ie%#&!%#&!a" a" i(ioi(iote%ate%ai(i( 'e#

'e#a!a!&!&!a" a" te(te(-te-te( ( !$&!$&(&( (&( ,&,&"a "a 'e"'e")&!)&!&", &", e"e"e"te"t&a" &a" %%o#o#e'a e'a  )ia,"o(a )a" e"i( ti")a!a" i(iote%ai.

)ia,"o(a )a" e"i( ti")a!a" i(iote%ai. 4.

4. MeMe"e"e,a,a!!!!a" a" %%oo#e#e'a 'a  ) )iaia,","o(o(a a i(i(ioiotete%a%aii.. 5.

5. i(ii(ioteote%a%ai( i( 'e"'e"atatat at (e'(e'&a &a $a$a(i# (i# e'e'e%ie%i!(a!(aa" a" )i )i RRe!e!a' a' Me)Me)i( i( aa(ie(ie".". UNIT TERKAIT

UNIT TERKAIT

•

• Bi)a", Kee%a+ata"Bi)a", Kee%a+ata" •

• K#i"i! Raa#K#i"i! Raa# •

(2)

TINDAKAN FISIOTERAPI

NO. DOKUMEN : 14.05.02 No. REVISI : 00 HALAMAN :1 DARI 1

PROSEDUR

TETAP

TANGGAL TERBIT : 15-02-2012

Diteta!a" O#e$ Di%e!t&% Uta'a R&'a$ Sa!it Sa"to Bo%%o'e&(

)%. S&%i*a"to

PENGERTIAN

A)a#a$ %o(e)&% e#a!(a"aa" ti")a!a" i(iote%ai ai! %a+at a#a" 'a&&" %a+at i"a *a", )i#a!&!a" )i %&a", i(iote%ai 'a&&" )i %&a", %a+at i"a *a", )i#a!&!a" (ea%a te%%o,%a' )a" e%!e(i"a'&",a" (e(&ai a%a$a" )o!te%.

U"t&! a(ie" %a+at i"a *a", 'e'e%#&!a" e#a*a"a" i(iote%ai )e",a" e%a#ata" (ee%ti UKG/ US/ Sti'&#a(i #i(t%i!/ T%a!(i/ La(e%/ 3a%a" Bat$/ Lati$a" e%)i%i )a" e%a#a" )e",a" a#at a"t& a#a" 'a!a e#a*a"a" i(iote%ai )i e%i!a" )i %&a", i(iote%ai.

U"t&! a(ie" %a+at i"a *a", ti)a! 'e'e%#&!a" e#a*a"a" i(iote%ai te%(e&t )i ata( 'a!a e#a*a"a" i(iote%ai )i e%i!a" )i %&a", %a+at i"a. 3e#a*a"a" te%(e&t a"ta%a #ai" Lati$a" 3a(i6/ A!ti6 A((i(te)/ Lati$a" e%"a6a(a"/ 3o(t&%a# D%ai"a,e ata& e#a*a"a" te%$a)a a(ie" %a+at i"a *a", ti)a! 'e'&",!i"!a" &"t&! )ia+a !e %&a", i(iote%ai.

TUJUAN Sea,ai a&a" (e#&%&$ i(iote%ai( )a#a' 'e#a!(a"a!a" ti")a!a" i(iote%ai (e(&ai a%a$a" (&%at %&&!a" )o!te%.

KEBIJAKAN

1. 3e'e%#a!&a" B&!& 3et&"&! 3e#a!(a"aa" Re$ai#ita(i Me)i! )i R&'a$ Sa!it Sa"to Bo%%o'e&(.

2. 3e'e%#a!&a" B&!& Sta")a% 3%o(e)&% Oe%a(io"a# i(iote%ai/ Te%ai O!&a(i/ )a" Te%ai ia%a )i R&'a$ Sa!it Sa"to Bo%%o'e&(.

PROSEDUR

1. i(iote%ai( 'e#a!(a"a!a" ti")a!a" i(iote%ai (e(&ai )e",a" &!& et&"&! e#a!(a"aa" Re$ai#ita(i Me)i!.

2. i(iote%ai( 'e"atat e"i( ti")a!a" i(iote%ai *a", )i#a!&!a" )a" )o(i( te%ai )i Re!a' Me)i( i(iote%ai. K$&(&( &"t&! a(ie" %a+at i"a/ i(iote%ai( &,a 'e"atat a)a RM. V.A

3. _{i(iote%ai( 'e#ao%!a" !e (ta6 a)'i"i(t%a(i i(iote%ai te"ta", e"i( )a"}

&'#a$ ti")a!a" i(iote%ai *a", (&)a$ )i#a!&!a". U"t&! a(ie" %a+at a#a"/ (ta6 a)'i"i(t%a(i 'e"atat #ao%a" ti")a!a" )i !a%t& e%oat a(ie"

i(iote%ai.

UNIT TERKAIT

• Bi%o Ke&a",a"

• Ba,ia" Re!a' Me)i( • Bi)a", Kee%a+ata" • K#i"i! Raa#

(3)

PEMANTAUAN DAN EVALUASI

TINDAKAN FISIOTERAPI

PROSEDUR

TETAP

)%. S&%i*a"to

PENGERTIAN

A)a#a$ !e,iata" 'e",a'ati )a" 'e"a"*a!a" !ea)a a(ie"  )a" !e#&a%,a"*a 'e",e"ai $a#-$a# aa *a", )i%a(a!a" (e#a'a %o(e( e#a!(a"aa" ti")a!a" i(iote%ai.

3%o(e)&% e9a#&a(i ti")a!a" i(iote%ai a)a#a$ !e,iata" i(iote%ai( )a#a' 'e"i#ai $a(i# ti")a!a" i(iote%ai/ ,&"a 'e#ao%!a" ata& 'e'e%i 'a(&!a" !ea)a )o!te% &"t&! 'e"e"t&!a" ti")a!a" (e#a"&t"*a.

TUJUAN

Sea,ai a&a" a,i (e#&%&$ i(iote%ai( &"t&! 'e#a!&!a" e'a"ta&a" (e#a'a e#a!(a"aa" ti")a!a" i(iote%ai )a" 'e",e9a#&a(i $a(i# ti")a!a" i(iote%ai &"t&! ti")a!a" (e#a"&t"*a.

KEBIJAKAN

PROSEDUR

1. i(iote%ai( 'e#a!&!a" e'a"ta&a" !ea)a a(ie" *a", 'e#i&ti a"ta%a #ai" 'e",a'ati !o")i(i &'&' a(ie"/ 6&",(i !e%a a#at  'e(i" i(iote%ai/ )ae%a$ *a", (e)a", )ite%ai/ )a" #i",!&",a" (e!ita% a(ie". 2. i(iote%ai( 'e"a"*a!a" te"ta", aa *a", )i%a(a!a" o#e$ a(ie"  )a"

!e#&a%,a"*a te"ta", aa *a", )i%a(a!a" o#e$ a(ie" (e#a'a )a" (e(&)a$ 'e")aat!a" te%ai/ )a" i!a )ie%#&!a" i(iote%ai( 'e",&a$ )o(i( te%ai.

7. i(iote%ai( 'e#a!&!a" e",a'ata" )a" 'e"a"*a!a" te"ta", aa *a", )i%a(a!a" a(ie" (e(&)a$ 'e")aat!a" te%ai )a#a' a!et te%te"t& )a" 'e#ao%!a" )a" 'e'e% 'a(&!a" )o!te% *a", 'e%&&! !e i(iote%ai te"ta", $a(i# e#a!(a"aa" )a" ti")a!a" i(iote%ai.

4. i(iote%ai( 'e"atat $a(i# e'a"ta&a" )a" e9a#&a(i i!a )ie%#&!a" a)a Re!a' Me)i(.

UNIT TERKAIT

(4)

PEMERIKSAAN TERAPI OKUPASI

PROSEDUR

TETAP

)%. S&%i*a"to PENGERTIAN

A)a#a$ (&at& %o(e)&% a+a# *a", $a%&( )i#a!&!a" (ee#&' 'e#a!&!a" ti")a!a" Te%ai O!&a(i ,&"a 'e"e"t&!a" %o#e'a te%ai o!&a(i )a" 'e")&!&",

a%a$a"  (&%at %&&!a" )o!te%.

TUJUAN

Sea,ai a&a" a,i (e#&%&$ Te%ai( O!&a(i &"t&! 'e#a!(a"a!a" e'e%i!(aa" Te%ai O!&a(i &"t&! 'e",eta$&i a(et/ #i'ita(i )a" %o#e' Te%ai O!&a(i (e%ta 'e'&at %e"a"a te%ai *a", a!a" )ie%i!a" a)a a(ie" (e(&ai )e",a" a%a$a"  (&%at %&&!a" )o!te%.

KEBIJAKAN

PROSEDUR

1. 3a(ie" )ie%(i#a$!a" 'a(&! !e)a#a' %&a", Te%ai O!&a(i.

2.Te%ai( O!&a(i 'e#a!&!a" a"a'"e(a ai! (ea%a oe!ti6 'a&&" (&e!ti6. 7. Te%ai( O!&a(i 'e#a!&!a" a((e('e" )e",a" 'e",,&"a!a" i"(t%&'e"

e'e%i!(aa" (e(&ai )e",a" !o")i(i *a", )ia#a'i a(ie".

4. Te%ai( O!&a(i 'e"e"t&!a" a(et/ #i'ita(i )a" %o#e' o!&a(i te%ai *a", )i'i#i!i a(ie" e%)a(a%!a" $a(i# e'e%i!(aa".

5.Te%ai( O!&a(i 'e'&at %e"a"a te%ai *a", 'e#i&ti t&&a" te%ai/ )&%a(i/ 6%e!&e"(i/ 'e)ia te%ai *a", a!a" )i,&"a!a"/ !e%a",!a a&a"/ 'eto)e te%ai/ )a" a!ti9ita( *a", a!a" )ie%i!a" )a#a' e#a!(a"aa" te%ai.

.Te%ai( O!&a(i 'e'&at )o!&'e"ta(i )a%i a+a# e'e%i!(aa" $i",,a e'&ata" %e"a"a te%ai 'e#a#&i (i(te' SOA3 )i Re!a' Me)i( a(ie".

UNIT TERKAIT

• Bi)a", Kee%a+ata" • K#i"i! Raa#

(5)

TINDAKAN TERAPI OKUPASI

PROSEDUR

TETAP

)%. S&%i*a"to

PENGERTIAN

A)a#a$ %o(e)&% e#a!(a"aa" ti")a!a" Te%ai O!&a(i ai! *a", )i#a!&!a" )i %&a", Te%ai O!&a(i 'a&&" *a", )i %&a", %a+at i"a/ )i#a!&!a" (ea%a te%%o,%a' )a" e%!e(i"a'&",a" (e(&ai !o'ete"(i 'a(i",-'a(i", )a" a%a$a"  (&%at %&&!a" )o!te%.

U"t&! a(ie" %a+at i"a/ ti")a!a" Te%ai O!&a(i *a", )ie%i!a" )i %&a", Te%ai O!&a(i a)a#a$ e#a*a"a" a)a a(ie" *a", 'e'&t&$!a" e#a*a"a" te%ai Ati9it* o6 Dai#* Li9i", ; ADL </ %o)&!ti9ita(/ #ei((&%e/ i"te,%a(i (e"(o%i/ e%(e(i/ "e&%o'&(!&!e%/ 'oto%i! = )e>te%it*/ !o,"iti6 )a" (i!o(o(ia# *a", e%(i6at !o'#e!(. Se)a",!a" ti")a!a" *a", e%(i6at (e)e%$a"a/ 'a!a ti")a!a" Te%ai O!&a(i )i#a!(a"a!a" )i %&a", %a+at i"a.

TUJUAN Sea,ai a&a" a,i (e#&%&$ Te%ai( O!&a(i )a#a' 'e#a!&!a" ti")a!a" Te%ai O!&a(i (e(&ai a%a$a"  (&%at %&&!a" )o!te%.

KEBIJAKAN

PROSEDUR

1. Te%ai( O!&a(i 'e'o(i(i!a" a(ie" )a#a' o(i(i *a", e%,o"o'i(. 2. Te%ai( O!&a(i 'e'e%(ia!a" 'e)ia te%ai *a", a!a" )i,&"a!a"

)a#a' e#a!(a"aa" te%ai.

7. Te%ai( O!&a(i 'e#a!(a"a!a" te%ai e%)a(a%!a" $a(i# e'e%i!(aa"/ %e"a"a te%ai/ )a" %o(e)&% *a", a)a (ea%a e%ta$a )a%i a)&"t t$e%a*/ e"a#i",/ &%o(e6&# ati9it*/ )a" o&atio".

4. Te%ai( O!&a(i 'e'&at )o!&'e"ta(i te"ta", te%ai *a", te#a$ )ie%i!a" te%$a)a a(ie" )a" !e'a'&a" a(ie" )a#a' 'e"a#a"i te%ai te%(e&t )a#a' Re!a' Me)i( a(ie" ;&"t&! a(ie" %a+at i"a/ Te%ai( O!&a(i &,a 'e"atat )a#a' RM. V.A<.

5. Te%ai( O!&a(i 'e#ao%!a" !e (ta6 a)'i"i(t%a(i te"ta", ti")a!a" Te%ai O!&a(i *a", (&)a$ )i#a!&!a".

UNIT TERKAIT

• Bi%o Ke&a",a"

(6)

PEMANTAUAN DAN EVALUASI

TERAPI OKUPASI

NO. DOKUMEN : 14.05.0 No. REVISI : 00 HALAMAN :1 DARI 1

PROSEDUR

TETAP

)%. S&%i*a"to

PENGERTIAN

A)a#a$ %o(e)&% e#a*a"a" Te%ai O!&a(i *a", $a%&( )i#a!&!a" o#e$ (eo%a", Te%ai( O!&a(i (e#a'a )a" (ete#a$ 'e#a!&!a" ti")a!a" te%ai te%$a)a a(ie" )a#a' (!a#a 6%e!&e"(i te%te"t& ,&"a 'e#ao%!a" ata& 'e'e%i 'a(&!a" !ea)a )o!te% &"t&! 'e"e"t&!a" ti")a!a" (e#a"&t"*a.

TUJUAN

Sea,ai a&a" a,i (e#&%&$ Te%ai( O!&a(i &"t&! 'e",eta$&i e%!e'a",a" a(ie" (e#a'a 'e"a#a"i Te%ai O!&a(i ai! )a%i (e,i !e'a&a" 'a&&" !e'&")&%a" (e$i",,a )aat &,a 'e",eta$&i !ee%$a(i#a" %o(e( te%ai *a", te#a$ )i#a!&!a" )a" 'e"e"t&!a" ti")a!a" (e#a"&t"*a.

KEBIJAKAN

PROSEDUR

1. Te%ai( O!&a(i 'e#a!&!a" e9a#&a(i (ea%a #i(a" te%$a)a a(ie" te"ta", te%ai *a", te#a$ )i#a!&!a".

2. Te%ai( O!&a(i 'e#a!&!a" e9a#&a(i e'e%i!(aa" &#a", (e(&ai )e",a" e'e%i!(aa" a+a#.

7. Te%ai( O!&a(i 'e'&at )o!&'e"ta(i )a#a' Re!a' Me)i( te"ta", e%!e'a",a" a(ie" ai! !e'a&a" 'a&&" !e'&")&%a" *a", )ia#a'i a(ie" e%)a(a%!a" e%a")i",a" $a(i# e'e%i!(aa" a+a# )e",a" $a(i# e'e%i!(aa" e9a#&a(i a!$i%.

4. Te%ai( O!&a(i 'e'e%i!a" )o!&'e"ta(i $a(i# e9a#&a(i !ea)a )o!te% *a", e%(a",!&ta".

UNIT TERKAIT

(7)

PEMERIKSAAN TERAPI WICARA

NO. DOKUMEN : 14.05.0? No. REVISI : 00 HALAMAN :1 DARI 1

PROSEDUR

TETAP

A)a#a$ (&at& %o(e)&% a+a# *a", $a%&( )i#a!&!a" (ee#&' 'e#a!&!a" ti")a!a" Te%ai ia%a ,&"a 'e"e"t&!a" %o#e'a Te%ai ia%a )a" 'e")&!&",

a%a$a"  (&%at %&&!a" )o!te%.

TUJUAN

Sea,ai a&a" a,i (e#&%&$ Te%ai( ia%a &"t&! 'e#a!(a"a!a" e'e%i!(aa" &"t&! 'e"e"t&!a" %o#e'a )a" )ia,"o(a Te%ai ia%a (e%ta 'e"e"t&!a" %e"a"a ti")a!a" *a", a!a" )ie%i!a" a)a a(ie" (e(&ai a%a$a"  (&%at %&&!a" )o!te%.

KEBIJAKAN

PROSEDUR

1. 3a(ie" )ie%(i#a$!a" 'a(&! !e )a#a' %&a", Te%ai ia%a.

2. Te%ai( ia%a 'e#a!&!a" a"a'"e(a !ea)a a(ie"  )a" !e#&a%,a"*a ai! (ea%a (&*e!ti6 )a" o*e!ti6.

7. Te%ai( ia%a 'e#a!&!a" a((e('e"/ o(e%9a(i )a" te( )e",a" 'e",,&"a!a" e%a#ata" *a", )i&t&$!a" &"t&! e'e%i!(aa" (e(&ai )e",a" !o")i(i *a", )ia#a'i a(ie".

4. Te%ai( ia%a 'e"e"t&!a" %o#e' )a" )ia,"o(a Te%ai ia%a *a", )i'i#i!i a(ie"/ (e%ta 'e'&at %e"a"a te%ai *a", 'e#i&ti t&&a" te%ai/ )&%a(i/ 6%e!&e"(i/ 'e)ia te%ai *a", a!a" )i,&"a!a"/ !e%a",!a a&a"/ 'eto)e te%ai )a" %e"a"a e#a!(a"aa".

5. Te%ai( ia%a 'e'&at )o!&'e"ta(i )a%i a+a# e'e%i!(aa" $i",,a e'&ata" %e"a"a  %o,%a' te%ai )a#a' Re!a' Me)i( a(ie".

UNIT TERKAIT

• Bi)a", Kee%a+ata" • K#i"i! Raa#

• Ba,ia" Re!a' Me)i(

(8)

NO. DOKUMEN : 14.05.0@ No. REVISI : 00 HALAMAN :1 DARI 1

PROSEDUR

TETAP

A)a#a$ %o(e)&% e#a!(a"aa" ti")a!a" Te%ai ia%a ai! *a", )i#a!&!a" )i %&a", te%ai +ia%a 'a&&" *a", )i %&a", %a+at i"a/ )i#a!&!a" (ea%a te%%o,%a' )a" e%!e(i"a'&",a" (e(&ai !o'ete"(i 'a(i",-'a(i", )a" a%a$a"  (&%at %&&!a" )o!te%.

TUJUAN Sea,ai a&a" a,i (e#&%&$ Te%ai( ia%a )a#a' 'e#a!&!a" ti")a!a" Te%ai ia%a (e(&ai !o'ete"(i 'a(i",-'a(i", )a" a%a$a"  (&%at %&&!a" )o!te%.

KEBIJAKAN

PROSEDUR

1. Te%ai( ia%a 'e'o(i(i!a" a(ie" )a#a' o(i(i (e"*a'a" '&",!i". 2. Te%ai( ia%a 'e'e%(ia!a" 'e)ia te%ai *a", a!a" )i,&"a!a"

)a#a' e#a!(a"aa" te%ai.

7. Te%ai( ia%a 'e#a!&!a" te%ai e%)a(a%!a" $a(i# e'e%i!(aa" )a" %e"a"a  %o,%a' te%ai *a", (&)a$ )iteta!a".

4. Te%ai( ia%a 'e'&at )o!&'e"ta(i te"ta", te%ai *a", te#a$ )ie%i!a" te%$a)a a(ie" )a" !e'a'&a" a(ie" )a#a' 'e"a#a"i te%ai te%(e&t )a#a' Re!a' Me)i( a(ie" ;&"t&! a(ie" %a+at i"a/ Te%ai( ia%a &,a 'e"atat a)a RM. V.A.<

5. Te%ai( ia%a 'e#ao%!a" !e (ta6 a)'i"i(t%a(i te"ta", ti")a!a" Te%ai ia%a *a", (&)a$ )i#a!&!a".

UNIT TERKAIT

• Bi%o Ke&a",a"

• Ba,ia" Re!a' Me)i( • Ra+at I"a

• Ra+at 8a#a"

PEMANTAUAN DAN EVALUASI

TERAPI WICARA

(9)

NO. DOKUMEN : 14.05.0 No. REVISI : 00 HALAMAN :1 DARI 1

PROSEDUR

TETAP

)%. S&%i*a"to

PENGERTIAN

A)a#a$ %o(e)&% e#a*a"a" Te%ai ia%a *a", $a%&( )i#a!&!a" o#e$ Te%ai( ia%a (e#a'a )a" (ete#a$ 'e#a!&!a" ti")a!a" Te%ai ia%a te%$a)a a(ie" )a#a' (!a#a +a!t& 6%e!&e"(i te%te"t& ,&"a 'e#ao%!a" ata& 'e'e%i 'a(&!a" !ea)a )o!te% &"t&! 'e"e"t&!a" ti")a!a" (e#a"&t"*a.

TUJUAN

Sea,ai a&a" a,i (e#&%&$ Te%ai( ia%a &"t&! 'e#a!&!a" e'a"ta&a" (e#a'a e#a!(a"aa" ti")a!a" Te%ai ia%a )a" 'e",e9a#&a(i $a(i# ti")a!a" te%ai +ia%a/ aa!a$ te%)aat !e#&$a"/ !e'a&a" ata&&" !e'&")&%a" te%ai (e#a'a a",!a +a!t& *a", te#a$ )iteta!a" )a" 'e"e"t&!a" ti")a!a" (e#a"&t"*a.

KEBIJAKAN

PROSEDUR

1. Te%ai( ia%a 'e#a!&!a" e9a#&a(i (ea%a #i(a" te%$a)a a(ie" te"ta", te%ai *a", te#a$ )i#a!&!a".

2. Te%ai( ia%a 'e#a!&!a" e9a#&a(i 'e#a#&i e'e%i!(aa" &#a", (e(&ai )e",a" e'e%i!(aa" a+a#.

7. Te%ai( ia%a 'e'&at )o!&'e"ta(i te"ta", e%!e'a",a" a(ie" ai! !e'a&a" 'a&&" !e'&")&%a" *a", )ia#a'i a(ie" e%)a(a%!a" e%a")i",a" $a(i# e'e%i!(aa" a+a# )e",a" $a(i# e'e%i!(aa" a!$i% )a#a' Re!a' Me)i( a(ie".

4. Me'e%i!a" )o!&'e"ta(i $a(i# e9a#&a(i !ea)a )o!te% *a", e%(a",!&ta".

UNIT TERKAIT

(10)

PENYIMPANAN STOK MINIMAL DAN

MAKSIMAL OBAT / BARANG

PENUNJANG TINDAKAN REHABILITASI

MEDIK

PROSEDUR

TETAP

)%. S&%i*a"to

PENGERTIAN

A)a#a$ %o(e)&% e"*i'a"a" oat  a%a", *a", '&",!i" )i,&"a!a"  )ie%#&!a" (e+a!t&-+a!t& )a#a' 'e"&"a", e#a*a"a" Re$ai#ita(i Me)i! (e(&ai )e",a" e%$it&",a" !e&t&$a" (e$i",,a %o(e( e#a*a"a" )aat e%a#a" )e",a" ai! ta"a te%a)i !e!&%a",a" ata&&" e"&'&!a" oata%a", )ia,ia" Re$ai#ita(i Me)i!.

TUJUAN Sea,ai a&a" a,i (ta6 Re$ai#ita(i Me)i! )a#a' 'e#a!&!a" e"*i'a"a" (to! oat  a%a", e"&"a", e#a*a"a" Re$ai#ita(i Me)i!.

KEBIJAKAN

PROSEDUR

1. Me'&at )a6ta% (to! 'i"i'a# )a" 'a!(i'a# oat  a%a", e"&"a", e#a*a"a" Re$ai#ita(i Me)i!/ e(e%ta &'#a$"*a )a" )i(i'a" )i #e'a%i e"*i'a"a" *a", (&)a$ )ite"t&!a".

2. Me"atat (etia e'a(&!a" )a" e",e#&a%a" oat  a%a", e"&"a", e#a*a"a" Re$ai#ita(i Me)i!

7. Me#a!&!a" e'e%i!(aa" &'#a$ oat  a%a", te%(e&t )iata(.

UNIT TERKAIT

• Bi%o Ke&a",a"

• Ba,ia" Re!a' Me)i(

• G&)a", U'&' )a" Te!"i! • G&)a", a%'a(i )a" A#!e(

(11)

PROTEKSI RADIASI

MESIN DIATHERMY DAN LASER

PROSEDUR

TETAP

)%. S&%i*a"to

PENGERTIAN A)a#a$ (&at& &a*a &"t&! 'e",&%a",i %a)ia(i *a", )ite%i'a ai! o#e$ a(ie" 'a&&" i(iote%ai(.

TUJUAN Sea,ai a&a" e"ata#a!(a"aa" e'e%ia" te%ai Diat$e%'* )a" La(e% te%&ta'a a)a )ae%a$ te%te"t& (e$i",,a %a)ia(i )aat )i!&%a",i  )i'i"i'a#i(i%.

KEBIJAKAN

PROSEDUR

A. 3%ote!(i Ra)ia(i a,i 3a(ie"

1. Me'e%i!a" i"6o%'a(i *a", ai! )a" e#a( !ea)a a(ie"/ !e#&a%,a a(ie" )a" i(iote%ai( a,a% te%a)i !e%a(a'a *a", ai!.

2. Me#i")&",i o%,a"-o%,a" t&&$ *a", e!a te%$a)a %a)ia(i te%&ta'a 'ata. U"t&! it& a)a e'e%ia" te%ai Diat$e%'* )ae%a$ $i)&",'&!a )a" La(e%/ a(ie" )i+ai!a" 'e'a!ai !aa'ata a"ti %a)ia(i.

7. Me",a"&%!a" !ea)a !e#&a%,a a(ie" ;te%&ta'a i& $a'i#< &"t&! ti)a! e%a)a )ite'at te%ai (aat e'e%ia" te%ai te%(e&t.

B. 3%ote!(i Ra)ia(i a,i Te%ai(

1. i(iote%ai( )i+ai!a" 'e'a!ai !aa'ata a"ti %a)ia(i a)a (aat 'e'e%i!a" te%ai La(e%.

UNIT TERKAIT

(12)

PEMELIHARAAN PERALATAN

PROSEDUR

TETAP

A)a#a$ (&at& &a*a 'e"a,a )a" 'e%a+at e%a#ata" Re$ai#ita(i Me)i! ai! !ee%(i$a"/ e"*i'a"a"/ (i(te' #i(t%i! 'a&&" (i(te' 'e!a"i! (e%ta

'e",,&"a!a" )e",a" a%a *a", ai! )a" e"a%.

TUJUAN Sea,ai a&a" )a#a' e"ata#a!(a"aa" e'e#i$a%aa" a#at (e$i",,a ti)a! 'e",a#a'i !e%&(a!a" *a", a%a$ )a" (e#a#& (ia )i,&"a!a".

KEBIJAKAN

PROSEDUR

A. 3e'e#i$a%aa" Ha%ia"

1. Me#a!&!a" 3e'a"a(a" 3e%a#ata" i(iote%ai !&%a", #ei$ 7-5 'e"it (ee#&' 'e'&#ai e#a*a"a".

2. Me",oe%a(i!a" e%a#ata" )e",a" ai! )a" e"a% (e(&ai 3et&"&! Te!"i( 3e",oe%a(ia" Me(i"  A#at.

7. Me'e%(i$!a" e%a#ata" )a%i !oto%a" ;)e&/ ai%a"/ )a" #ai"-#ai"< te%&ta'a a,ia"-a,ia" *a", e%$&&",a" #a",(&", )e",a" a(ie". 4. Me'ia(a!a" &"t&! 'e"*i'a" !e'a#i e%a#ata" *a", (&)a$

)i,&"a!a" a)a te'at"*a.

5. Me#a!&!a" $e!#i(t $a%ia" e%a#ata" i(iote%ai. B. 3e'e#i$a%aaa" Be%!a#a ;tia 7- &#a"<

Me#a!&!a" 'ai"te"a"e  e'e#i$a%aa" e%a#ata" Re$ai#ita(i Me)i! ;e!e%a(a'a )e",a" Se!(i 3e'e#i$a%aa" )a" (a%a"a<.

. 3e'e#i$a%aa" Ta$&"a"

Me#a!&!a" Ka#i%a(i 1 ta$&" (e!a#i ;e!e%a(a'a )e",a" B3K<

UNIT TERKAIT • Se!(i 3e'e#i$a%aa" )a" Sa%a"a

(13)

PENJADUALAN PASIEN

PROSEDUR

TETAP

)%. S&%i*a"to

PENGERTIAN A)a#a$ (&at& &a*a &"t&! 'e",at&%  'e"a)&a# !e)ata",a" a(ie" )ia,ia" Re$ai#ita(i Me)i!.

TUJUAN

Sea,ai a&a" )a#a' e#a*a"a" Re$ai#ita(i Me)i! (&a*a a(ie" 'e",eta$&i !aa" a!a" )i#a*a"i/ (e$i",,a a(ie" ti)a! 'e"&",,& te%#a#& #a'a )a" )aat $a)i% (e(&ai )e",a" +a!t& *a", (&)a$ )ie%!i%a!a".

KEBIJAKAN Keia!a" 3e#a*a"a" Re$ai#ita(i Me)i! R&'a$ Sa!it Sa"to Bo%%o'e&(

PROSEDUR

1. 3et&,a( Re!a' Me)i(  A)'i"i(t%a(i 'e"e%i'a (&%at e",a"ta%  !a%t& e%oat Re$ai#ita(i Me)i!.

2. 3et&,a( Re!a' Me)i(  A)'i"i(t%a(i 'e",i)e"ti!a(i !e&t&$a" a(ie" a!a" #a*a"a" Re$ai#ita(i Me)i!.

7. 3et&,a( Re!a' Me)i(  A)'i"i(t%a(i 'e"a%i )a#a' &!& e"a)&a#a" a(ie"/ aa!a$ 'a(i$ a)a a' *a", !o(o",.

4. Aai#a 'a(i$ a)a a' *a", !o(o",/ et&,a( Re!a' Me)i(  A)'i"i(t%a(i 'e",i"6o%'a(i!a" !ea)a a(ie" !aa" a(ie" i(a )i#a*a"i.

5. Aai#a (aat it& ti)a! a)a a' *a", !o(o",/ et&,a( Re!a' Me)i(  A)'i"i(t%a(i a!a" 'e"a)+a#!a" !e)ata",a" a(ie" &"t&! $a%i e%i!&t"*a. . Aai#a )a#a' ee%aa 'i",,& ata& &#a" !e)ea" te%"*ata a)&a#

(&)a$ e"&$/ et&,a( Re!a' Me)i(  A)'i"i(t%a(i a!a" 'e"atat )ata a(ie" !e)a#a' )a6ta% t&",,& )a" a!a" 'e",$&&",i a(ie" te%(e&t i!a (&)a$ a)a +a!t& *a", !o(o",.

UNIT TERKAIT

• Ba,ia" Re!a' Me)i( • K#i"i! Raa#

(14)

PENUNDAAN PELAYANAN

PROSEDUR

TETAP

A)a#a$ (&at& %o(e)&% e'e%ia" i"6o%'a(i !ea)a a(ie" )a" !e#&a%,a/ &"t&! 'e"&")a e#a*a"a" Re$ai#ita(i Me)i! *a", ti)a! )aat )ie%i!a" a)a (aat it&.

TUJUAN Sea,ai a&a" )a#a' e#a*a"a" Re$ai#ita(i Me)i! (&a*a a(ie" )aat teta te%#a*a"i )e",a" e'e%ia" a#te%"ati6 ti")a!a" e#a*a"a" Re$ai#ita(i Me)i!.

KEBIJAKAN

1. Keia!a" 3e#a*a"a" Re$ai#ita(i Me)i! R&'a$ Sa!it Sa"to Bo%%o'e&( 2. 3e'e%#a!&a" B&!& 3et&"&! 3e#a!(a"aa" Re$ai#ita(i Me)i! )i R&'a$

Sa!it Sa"to Bo%%o'e&(.

PROSEDUR

1. Te%ai( 'e#a!&!a" a"a'"e(a )a" 'e",i)e"ti!a(i !e&t&$a" a(ie" (e(&ai %&&!a" Do!te%.

2. Te%ai( 'e#i$at aa!a$ SDM )a" e%a#ata" te%(e)ia (e(&ai !&a#i!a(i *a", )i&t&$!a" a(ie".

7. Aai#a e#a*a"a" ti)a! )aat )ie%i!a" !a%e"a ee%aa $a# ;e%a#ata" *a", )i&t&$!a" te%"*ata %&(a! ata& ti)a! te%(e)ia/ SDM (e(&ai !&a#i!a(i ti)a! te%(e)ia/ a)a"*a !o"t%a i")i!a(i e'e%ia" e#a*a"a"< 'a!a:

a. Te%ai( 'e",i"6o%'a(i!a" !ea)a a(ie" aai#a e#a*a"a" te%t&")a ee%aa $a%i ata& a'.

. Te%ai( 'e"e#a(!a" a#a(a" e"&")aa" e#a*a"a" !ea)a a(ie".

. Te%ai( 'e"a+a%!a" a#te%"ati6 ti")a!a" e#a*a"a" !ea)a a(ie" )e",a" e%(et&&a" )o!te% e",i%i'.

). Te%ai( 'e")o!&'e"ta(i!a" $a#-$a# te%(e&t )iata( )a#a' Re!a' 'e)i( a(ie"

UNIT TERKAIT

(15)

PEMBERIAN INFORMASI DAN EDUKASI

PROSEDUR

TETAP

A)a#a$ (&at& %o(e)&% e'e%ia" i"6o%'a(i !ea)a a(ie" )a" !e#&a%,a te"ta", $a(i# a((e('e"t/ %e"a"a e#a*a"a"/ #a'a e#a*a"a"/ $a(i# te%ai/ e6e! (a'i", te%ai )a" e'e%ia" $o'e %o,%a'e  te!"i!- te!"i! %e$ai#ita(i.

TUJUAN

Sea,ai a&a" )a#a' e#a*a"a" Re$ai#ita(i Me)i! (&a*a e#a*a"a" )aat te%i"te,%a(i )a" te%a)i !e%a(a'a )e",a" a(ie" )a" !e#&a%,a (e$i",,a e#a*a"a" #ei$ oti'a#.

KEBIJAKAN

1. Keia!a" 3e#a*a"a" Re$ai#ita(i Me)i! R&'a$ Sa!it Sa"to Bo%%o'e&( 2. 3e'e%#a!&a" B&!& 3et&"&! 3e#a!(a"aa" Re$ai#ita(i Me)i! )i R&'a$

Sa!it Sa"to Bo%%o'e&(.

PROSEDUR

1. Te%ai( 'e",i)e"ti!a(i !e&t&$a" a(ie".

2. Te%ai( 'e'e%i!a" i"6o%'a(i !ea)a a(ie" )a" !e#&a%,a te"ta", $a(i# a((e('e"t/ %e"a"a e#a*a"a"/ #a'a e#a*a"a"/ $a(i# te%ai/ e6e! (a'i", te%ai.

7. Me'e%i!a" e)&!a(i )a" $o'e %o,%a' te"ta", te!"i!-te!"i! %e$ai#ita(i. 4. 3a(ie" ata& !e#&a%,a )i'i"ta &"t&! 'e",&#a", !e'a#i i"6o%'a(i *a",

(&)a$ )ie%i!a" o#e$ te%ai(.

5. Te%ai( 'e")o!&'e"ta(i!a" a$+a (&)a$ )i#a!&!a" e'e%ia" i"6o%'a(i !ea)a a(ie" )a" !e#&a%,a.

o"to$ Te!"i!-te!"i! Re$ai#ita(i 'e)i! *a", )ii"6o%'a(i!a" !ea)a a(ie" )a" !e#&a%,a:

a<. a%a 'e",a",!at )a" 'e",a",!&t a%a", <. a%a 'e"a,a o(t&% t&&$

<. a%a o#a e,a", e"(i#

)<. a%a 'e",aa%i a"a! &"t&! e%,&#i",/ )&)&! / 'e%a",!a!/ e%)i%i/ e%a#a" )a" 'e#o'at.

e<. a%a 'e",,e")o",  'e'a!ai a& a)a a"a! A"a! Be%!e&t&$a" K$&(&( ;ABK<

6<. a%a $a")#i", a)a a"a! ABK

,<. a%a 'e'e%i!a" (ti'&#a(i %oio(eti6 $<. a%a 'e'e%i 'a!a" a)a a"a!

i<. a%a 'e'e%i o"to$ ia%a ;a%a 'e",ea/ a%a 'e%a",(a", ia%a< <. a%a 'e'e%i!a" #ati$a" 'oto%i! o%a# )a" a%a 'e"(te%i#!a" a#at o%a#

'oto%

!<. Da" #ai"-#ai" UNIT TERKAIT

(16)

MENGURANGI RESIKO PASIEN JATUH

PROSEDUR

TETAP

dr. Suriy!"#

PENGERTIAN A)a#a$ (&at& &a*a &"t&! 'e'i"i'a#i(i% ata& 'e"e,a$ a(ie" at&$.

TUJUAN Sea,ai a&a" e#a*a"a" Re$ai#ita(i Me)i! &"t&! e"e,a$ te%a)i"*a KTD : a(ie" at&$.

KEBIJAKAN 1. Keia!a" 3e#a*a"a" Re$ai#ita(i Me)i! R&'a$ Sa!it Sa"to Bo%%o'e&( 2. Keia!a" te"ta", 3atie"t Sa9et*

PROSEDUR

A. 3a(ie" Re$ai#ita(i Me)i! No" T&'&$ Ke'a",

1. 3a(ie" 'a"&#a/ a"a!-a"a!/ a(ie" %a"a )e",a" ,e#a", &ti$  %e(i!o at&$ ti",,i:

• Te'at!a" a(ie" a)a te'at ti)&% *a", 'e%aat !ete'o!

• Ke#&a%,a a(ie" )i'i"ta &"t&! 'e")a'i",i a(ie" (e#a'a %o(e(

te%ai te%&ta'a (aat te%ai( 'e"i",,a#!a" a(ie". Aai#a ti)a! a)a !e#&a%,a/ 'i"ta a"t&a" te%ai( *a", (e)a", ti)a! 'e#a*a"i/ et&,a( (ata'  a)'i"i(t%a(i &"t&! 'e'a"t& 'e",a+a(i a(ie".

2. Se)ia!a" a",!& !ei# &"t&! "ai! !e te'at ti)&%.

7. Be!e%a (a'a )e",a" et&,a( a)'i"i(ta(i  (ata' )a#a' 'e",a+a(i a(ie" )i %&a", "e&#iCe% )a" a(ie" )i(e!ita% %&a", t&",,& )e!at ta",,a )a%&%at.

4. Se)ia!a" e# a)a tia te'at ti)&% )a" a(ti!a" e# e%6&",(i )e",a" ai!.

5. Aai#a )ie%#&!a" a"t& a(ie" )e",a" a#at a"t& a#a"  !&%(i %o)a &"t&! 'oi#i(a(i.

B. 3a(ie" Re$ai#ita(i Me)i! T&'&$ Ke'a", 1.

UNIT TERKAIT

• Bi%o Ke&a",a"

• Ba,ia" Re!a' Me)i( • Ra+at I"a

• Ra+at 8a#a"

• S& Se!(i 3atie"t Sa9et* • S& Se!(i K7RS

(17)

EVALUASI DAN PENINGKATAN MUTU

NO. DOKUMEN : 14.0?.01 No. REVISI : 00 HALAMAN :1 DARI 1

PROSEDUR

TETAP

)%. S&%i*a"to

PENGERTIAN A)a#a$ ti")a!a" e"i#aia" te%$a)a !e(e#&%&$a" e#a*a"a" a,ia" Re$ai#ita(i Me)i!

TUJUAN Sea,ai a&a" )a#a' e#a*a"a" Re$ai#ita(i Me)i! &"t&! 'e#a!&!a" e9a#&a(i )a" e"i",!ata" '&t&.

KEBIJAKAN

Keia!a" 3e#a*a"a" Re$ai#ita(i Me)i! R&'a$ Sa!it Sa"to Bo%%o'e&(

PROSEDUR

1. Me#a!(a"a!a" (&%9ei +a!t& t&",,& (e&#a" (e!a#i *a", )ii!&ti )e",a" a"a#i(a 'a(a#a$ )a" ti")a! #a"&t

2. Me#a!(a"a!a" (&%9ei !e&a(a" e#a",,a" (eta$&" (e!a#i )ii!&ti )e",a" a"a#i(a 'a(a#a$ )a" ti")a! #a"&t.

7. Me#a!(a"a!a" (&%9ei a",!a !e(a#a$a" ti")a!a" *a", )ii!&ti )e",a" a"a#i(a 'a(a#a$ )a" ti")a! #a"&t

4. Me#a!&!a" %e!ait&#a(i !%iti! )a" (a%a" *a", )ii!&ti )e",a" a"a#i(a 'a(a#a$ )a" ti")a! #a"&t

5. Me#a!(a"a!a" %aat-%aat a,ia" &"t&! e"*e#e(aia" 'a(a#a$/ e",e'a",a" )a" e"i",!ata" !i"e%a a,ia" Re$ai#ita(i Me)i!

UNIT TERKAIT • U"it 3URS • Se!(i H&'a( • U"it Ma%!eti", • Ra+at 8a#a" • Ra+at I"a