POLRI DAERAH JAWA TIMUR POLRI DAERAH JAWA TIMUR
BIDANG KEDOKTERAN DAN KEPOLISIAN BIDANG KEDOKTERAN DAN KEPOLISIAN
RUMAH SAKIT BHAYANGKARA KEDIRI RUMAH SAKIT BHAYANGKARA KEDIRI
KEPUTUSAN KEPALA RUMAH SAKIT BHAYANGKARA KEDIRI KEPUTUSAN KEPALA RUMAH SAKIT BHAYANGKARA KEDIRI
Nomor
Nomor : : Kep/ Kep/ /I/2015/Rumk!/I/2015/Rumk! !e"!#"$
!e"!#"$
KEBI%AKAN PELAYANAN &ARMASI DI RS BHAYANGKARA KEDIRI KEBI%AKAN PELAYANAN &ARMASI DI RS BHAYANGKARA KEDIRI
KEPALA RUMAH SAKIT BHAYANGKARA KEDIRI KEPALA RUMAH SAKIT BHAYANGKARA KEDIRI M
Meenniimmbbaanngg :: 11.. Ba!a "a#am $%a&a mening'a('an m$($ %e#a&anan R$maBa!a "a#am $%a&a mening'a('an m$($ %e#a&anan R$ma Sa
Sa'i'i(( Ba&ang'a)a Ke"i)i* ma'a "i%e)#$'an %en&e#engga)aanBa&ang'a)a Ke"i)i* ma'a "i%e)#$'an %en&e#engga)aan %e#a&anan +a)ma,i &ang be)m$($
%e#a&anan +a)ma,i &ang be)m$($ (inggi-.
. Ba!a aga) %e#a&anan +a)ma,i "i R$ma Sa'i(Ba!a aga) %e#a&anan +a)ma,i "i R$ma Sa'i( Ba&ang'a)aBa&ang'a)a Ke"i)i
Ke"i)i "a%a( "a%a( (e(e)#)#a'a',a,ana na "e"engngan an babai'i'* * %e%e)#)#$ $ a"a"anan&a&a 'ebi
'ebi/a'/a'an an Ke%Ke%a#a R$maa#a R$ma SaSa'i'i(( Ba&ang'a)a Ke"i)iBa&ang'a)a Ke"i)i ,ebagai ,ebagai #an"a,an bagi %en&e#engga)aan %e#a&anan +a)ma,i "i R$ma #an"a,an bagi %en&e#engga)aan %e#a&anan +a)ma,i "i R$ma Sa'i(
Sa'i( Ba&ang'a)a Ke"i)iBa&ang'a)a Ke"i)i--0.
0. Ba!Ba!a a be)"be)"a,a)a,a)'an 'an %e)(%e)(imbimbangaangan n ,eba,ebagaigaimana mana "ima"ima',$"',$" "a
"a#a#am am a "an b* "an b* %e)#%e)#$ $ "i("i(e(a%e(a%'an "engan Ke%$($,'an "engan Ke%$($,anan Ke%a#aKe%a#a R$ma
R$ma Sa'i(Sa'i( Ba&ang'a)a Ke"i)iBa&ang'a)a Ke"i)i.. M
Meennggiinnggaa(( :: 11.. UUnn""aannggUUnn""aanng Rg Ree%%$$bb##ii' I' Inn""22nnee,,iia Na N22mm22) 0) 03 (3 (aa$$n n 444455 (en(ang Ke,ea(an
(en(ang Ke,ea(an .
. Un"Un"angangUn"Un"ang ang Re%Re%$b#$b#i' i' In"In"2ne2ne,ia ,ia N2mN2m2) 2) 66 66 (a(a$n $n 444455 (en(ang
(en(ang R$ma Sa'i(R$ma Sa'i( 0.
0. Un"anUn"angUn"gUn"ang ang Re%$Re%$b#i' Ib#i' In"2nen"2ne,ia ,ia N2m2) N2m2) 07 (07 (a$n a$n 445445 (en(ang Na)'2(i'a
(en(ang Na)'2(i'a 6.
6. PePe)a)a($($)a)an n PePememe)i)in(n(a a N2N2m2m2) ) 8 8 TTaa$n $n 151559 59 (e(en(n(anangg Pengamanan
Pengamanan Se"iaan +a)ma,i "an A#a( Ke,ea(anSe"iaan +a)ma,i "an A#a( Ke,ea(an 7.
7. PPee)a)a(($)$)aan Pn Peememe)i)inn(a(a R Ree%$%$b#b#ii' I' Inn"2"2nene,,ia ia NN22m2m2)) 7711 Ten(ang
Ten(ang Pe'e)/aan Ke:a)ma,ianPe'e)/aan Ke:a)ma,ian 3.
3. Pe)a($)an Men(e)i Ke,ea(an Re%$b#i' In"2ne,ia N2m2) 79Pe)a($)an Men(e)i Ke,ea(an Re%$b#i' In"2ne,ia N2m2) 79 T
Ta$n 416 a$n 416 (en(ang S(an"a(en(ang S(an"a) ) Pe#a&aPe#a&anan +a)ma,i Di nan +a)ma,i Di R$maR$ma Sa'i( Sa'i( MEMUTUSKAN MEMUTUSKAN M Meennee((aa%%''aann :: P
Pee))((aammaa :: KEPUTUSAN KEPUTUSAN KEPALA KEPALA RUMAH RUMAH SAKITSAKIT BHAYANGKARABHAYANGKARA KEDIRI TENTANG KEBIJAKAN PELAYANAN +ARMASI RUMAH KEDIRI TENTANG KEBIJAKAN PELAYANAN +ARMASI RUMAH SAKIT BHAYANGKARA KEDIRI
SAKIT BHAYANGKARA KEDIRI K
Kee""$$aa :: Kebi/a'an %e#a&anan +a)ma,i R$ma Sa'i( Ba&ang'a)a Ke"i)iKebi/a'an %e#a&anan +a)ma,i R$ma Sa'i( Ba&ang'a)a Ke"i)i ,ebagaimana
Ke(iga : Pembinaan "an %enga!a,an %en&e#engga)aan %e#a&anan +a)ma,i R$ma Sa'i( Ba&ang'a)a Ke"i)i "i#a',ana'an 2#e Ka,$bbi" Jangme"$m R$ma Sa'i( Ba&ang'a)a Ke"i)i.
Keem%a( : Ke%$($,an ini be)#a'$ ,e/a' (angga# "i(e(a%'ann&a* "an a%abi#a "i 'em$"ian a)i (e)n&a(a (e)"a%a( 'e'e#i)$an "a#am %ene(a%an ini a'an "ia"a'an %e)bai'an ,ebagaimana me,(in&a
Di(e(a%'an "i : Ke"i)i
%a"a (angga# : Jan$a)i 417
KEPALA RUMAH SAKIT BHAYANGKARA KEDIRI
"). PRIMA HERU Y.* M.Ke,
Lampiran Surat Keputusan Kepala Rumah Sakit Bhayangkara Kediri Nomor
KEBI%AKAN PELAYANAN &ARMASI RUMAH SAKIT BHAYANGKARA KEDIRI
1. Kebi/a'an Pe#a&anan Kea)ma,ian a"a#a (2#2' $'$) &ang "i%e)g$na'an ,ebagai %e"2man bagi (enaga 'ea)ma,ian "a#am men&e#engga)a'an %e#a&anan 'ea)ma,ian. . Kebi/a'an Pe#a&anan Kea)ma,ian "i R$ma Sa'i( be)($/$an $n($':
a. mening'a('an m$($ Pe#a&anan
Kea)ma,ian-b. men/amin 'e%a,(ian $'$m bagi (enaga 'ea)ma,ian- "an
;. me#in"$ngi %a,ien "an ma,&a)a'a( "a)i %engg$naan Oba( &ang (i"a' )a,i2na# "a#am )ang'a 'e,e#ama(an %a,ien < patient safety).
0. Kebi/a'an Pe#a&anan Kea)ma,ian "i R$ma Sa'i( me#i%$(i :
a. Kebi/a'an %enge#2#aan Se"iaan +a)ma,i* A#a( Ke,ea(an* "an Baan Me"i, Habi, Pa'ai
b. Kebi/a'an %e#a&anan a)ma,i '#ini' 6. O)gani,a,i "an Mana/emen :
a= In,(a#a,i +a)ma,i be)(angg$ng /a!ab (e)a"a% ,em$a ,e"iaan a)ma,i>%e)be'a#an a)ma,i &ang be)e"a) "i )$ma ,a'i(.
b= Pe#a&anan a)ma,i "i#a',ana'an 2#e In,(a#a,i +a)ma,i R$ma Sa'i( "engan ,i,(em ,a($ %in($.
;= Pe#a',anaan %e'e)/aan 'e:a)ma,ian me#i%$(i %emi#ian* %enga"aan* %en&im%anan* %e)min(aan>%e)e,e%an* %en&a#inan* "i,()ib$,i* %e),ia%an* %enge#$a)an* %embe)ian* "2'$men(a,i "an %eman(a$an (e)a%i 2ba(2ba(an.
"= Se"iaan :a)ma,i > %e)be'a#an :a)ma,i (e)"i)i "a)i 2ba(* baan 2ba(* a#a( 'e,ea(an* )eagen,ia* )a"i2:a)ma,i* "an ga, me"i,
e= Pe#a&anan :a)ma,i a"a#a bagian &ang (i"a' (e)%i,a'an "a)i ,i,(em %e#a&anan )$ma ,a'i( &ang $($ "an be)2)ien(a,i 'e%a"a %e#a&anan %a,ien* %en&e"iaan 2ba( &ang be)m$($* (e)ma,$' %e#a&anan :a)ma,i '#ini' &ang (e)/ang'a$ bagi ,em$a #a%i,an ma,&a)a'a(.
= In,(a#a,i +a)ma,i "i%im%in 2#e A%2(e'e)* be)i/a?a ,a)/ana :a)ma,i &ang (e#a #$#$, ,ebagai a%2(e'e) "an (e#a meng$;a%'an ,$m%a /aba(an a%2(e'e)* &ang (e#a memi##i'i S$)a( Tan"a Regi,()a,i A%2(e'e) "an S$)a( I?in P)a'(e' A%2(e'e). g= Ke%a#a In,(a#a,i +a)ma,i be)(angg$ng /a!ab (e)a"a% ,ega#a a,%e' $'$m
"an %e)a($)an%e)a($)an a)ma,i bai' (e)a"a% a"mini,()a,i ,e"iaan a)ma,i "an %enga!a,an "i,()ib$,i.
. Pemi#ian "an Penga"aan :
a= Penga"aan 2ba( "i )$ma ,a'i( "i#a',ana'an menga;$ %a"a +2)m$#a)i$m )$ma ,a'i( "an +2)m$#a)i$m Na,i2na#. P)2,e, %enga"aan "i#a',ana'an ,e,$ai $n"ang $n"ang &ang be)#a'$* &ang me#iba('an /a#$) "i,()ib$,i 2ba( &ang )e,mi* "engan %enge#2#aan &ang "i'en"a#i'an ,e;a)a %en$ 2#e )$ma ,a'i(.
b= Pemi#ian 2ba( ma,$' :2)m$#a)i$m "an %enga%$,an 2ba( "a)i :2)m$#a)i$m a)$, mengi'$(i 'e(en($an &ang be)#a'$.
;= Bi#a ,$a($ 2ba( "a#am )e,e% (i"a' (e),e"ia "i in,(a#a,i :a)ma,i* a"a %)2,e, &ang ,$"a "i(e(a%'an )$ma ,a'i( $n($' %embe)i(a$an 'e%a"a "2'(e) %en$#i, )e,e%* ,a)an ,$b,(i($,i* a(a$ %enga"aann&a.
"= Penga!a,an %engg$naan 2ba( "i )$ma ,a'i( "i#a',ana'an 2#e K2mi(e +a)ma,i "an Te)a%i
e= Angg2(a K2mi(e +a)ma,i "an Te)a%i "i%$($,'an ,e,$ai SK Ka)$m'i(
= K2mi(e +a)ma,i "an Te)a%i (e)#iba( "a#am %)2,e, %eme,anan* %en&a#$)an* %embe)ian "an m2ni(2)ing %eng2ba(an %a,ien* e@a#$a,i "an %engg$naan 2ba( "a#am 2)m$#a)i$m )$ma ,a'i(
g= K)i(e)ia "an %)2,e"$) $n($' %enambaan "an %eng$)angan 2ba( "a)i :2)m$#a)i$m "i(e(a%'an 2#e Ka)$m'i( a(a, $,$#an K2mi(e +a)ma,i "an Te)a%i
= K2mi(e +a)ma,i "an Te)a%i me#a'$'an m2ni(2)ing %engg$naan 2ba( ba)$ &ang "i(amba'an "a#am 2)m$#a)i$m
i= +2)m$#a)i$m "i(e#aa minima# ,a($ 'a#i "a#am ,a($ (a$n* be)"a,a)'an in:2)ma,i (en(ang 'eamanan "an ee'(i@i(a,n&a. P)2,e, (e#aa 2)m$#a)i$m "i#a'$'an 2#e K2mi(e +a)ma,i "an Te)a%i.
/= P)2,e"$) %e),e($/$an "an %enga"aan 2ba( 2ba( &ang "i%e)#$'an "a#am %e#a&anan (e(a%i (i"a' (e),e"ia "a#am ,(2' "i(e(a%'an 2#e )$ma ,a'i(.
0. Pen&im%anan :
a= Pen&im%anan 2ba( "an %e)be'a#an a)ma,i '$,$, <2ba( &ang "iba!a 2#e %a,ien* 2ba( emergency, 2ba( %)2g)am 'e,ea(an= "i#a',ana'an be)"a,a)'an %)2,e"$) &ang (e#a "i(e(a%'an )$ma ,a'i(.
b= R$ma ,a'i( (i"a' me#a'$'an %en&im%anan "an %enge#2#aan 2ba( ,i(2,(a(i'a* Total Parenteral Nutrition <TPN= "an %)2"$' ,(e)i# 'a)ena be#$m a"a a,i#i(a, BS <Biological Safety Cainet =.
;= R$ma ,a'i( mene(a%'an %)2,e, "an %e)a#a(an $n($' %engamanan 2ba( "an %e)be'a#an a)ma,i #ainn&a.
"= Pe)be'a#an a)ma,i '$,$, me#i%$(i 2ba(2ba( na)'2(i' "an %,i'2()2%i'* 2ba(2ba( !igh "lert * e#e'()2#i( %e'a(* baan be)baa&a "an be)a;$n* %)2"$' n$()i,i* "an baan )a"i2a'(i* "i'e#2#a "engan %)2,e"$) &ang "i(e(a%'an )$ma ,a'i(
e= E#e'()2#i( '2n,en()a( "i#a)ang "i,im%an "i $ni( %e#a&anan* 'e;$a#i "i (em%a('an "i '2(a' 2ba( eme)gen,i
= Oba( &ang "iba!a %a,ien "a)i #$a)* ,e(e#a me#a#$i %)2,e, )e'2n,i#ia,i 2ba( "an (e)a%i b2#e "i#an/$('an* "i,im%an "i In,(a#a,i +a)ma,i )$ma ,a'i( $n($' "i#a'$'an %)2,e, UDD.
g= Sebagai %)2,e, m2ni(2)ing "an e@a#$a,i '2n"i,i %en&im%anan 2ba( "an a#a( 'e,ea(an* "i($n/$' ,a($ 2)ang %e($ga, a)ma,i $n($' me#a'$'an in,%e',i ,e;a)a be)'a#a ,e(ia% "$a mingg$ ,e'a#i.
= Oba( eme)gen,i (e),e"ia "i $ni($ni( %e#a&anan %a,ien "an %enge#2#aann&a "im2ni(2) ,e,$ai "engan %)2,e"$) &ang "i(e(a%'an )$ma ,a'i(
i= Si,(em %ena)i'an 2ba( (e#a "ia($) ,e,$ai "engan %)2,e"$) &ang "i(e(a%'an )$ma ,a'i(
/= Oba( 2ba( &ang 'a"a#$!a),a "an 'e(ingga#an /aman "i%i,a'an* "i,im%an "an "im$,na'an ,e,$ai "engan %)2,e"$) &ang "i(e(a%'an 2#e )$ma ,a'i(
'= Oba(2ba( &ang "i'e#$a)'an "a)i !a"a a,#i "i,im%an "i !a"a ba)$ &ang ,e,$ai "an "i,e)(ai #abe# ba)$
6. Pen&ia%an "an %enge#$a)an :
a) R$ma ,a'i( men&e"ia'an :a,i#i(a, bang$nan* )$angan "an %e)a#a(an &ang memen$i 'e(en($an "an %e)$n"ang$n"angan 'ea)ma,ian &ang be)#a'$
) Pe#a&anan 2ba( "i#a',ana'an "a#am a)ea &ang be),i "an aman* ,e,$ai "engan %)2,e"$) &ang ,$"a "i(e(a%'an )$ma ,a'i(
c) In,(a#a,i +a)ma,i R$ma Sa'i( Ba&ang'a)a Ke"i)i membe)i'an %e#a&anan 6 /am. d) Pe($ga, a)ma,i &ang '2m%e(en me#a',ana'an %)2,e, ,')ining )e,e% ,ebe#$m
me#a&ani )e,e%
e) A"a %)2,e"$) &ang "i(e(a%'an )$ma ,a'i( bi#a )e,e% "2'(e) (i"a' (e)ba;a
f) Pe#a&anan )e,e% "i )a!a( /a#an "i#a',ana'an "engan ,i,(em %e#a&anan )e,e% in"i@i"$a#
g) Pe#a&anan )e,e% "i )a!a( ina% "i#a',ana'an "engan ,i,(em )e,e% in"i@i"$a#* Uni( D2,e Di,%en,ing <UDD= "an #loor Stock
h) R$ma ,a'i( men&e"ia'an ,i,(em '2m%$(e)i,a,i $n($' %)2,e, %enge#2#aan m$(a,i ,(2' "an %en;a(a(an %e#a&anan 2ba( &ang (e)in(eg)a,i
7. Pembe)ian :
a= Pe($ga, a)ma,i &ang be)!enang membe)i'an 2ba( a"a#a A%2(e'e) &ang (e#a memi#i'i SIPA "an Tenaga Te'ni, Kea)ma,ian &ang (e#a memi#i'i SIKTTK.
b= Da#am %embe)ian 2ba( %a"a %a,ien )a!a( ina%* !e!enang %embe)ian 2ba( "i"e#ega,i'an 'e%a"a %e)a!a(. Pe)a!a( &ang be)!enang membe)i'an 2ba( a"a#a %e)a!a( &ang (e#a "i(en($'an 'e!enangann&a ,e,$ai Pen$ga,an K#ini, Pe)a!a(.
;= D2'(e) &ang be)!enang membe)i'an 2ba( a"a#a ,em$a "2'(e) &ang (e#a men"a%a('an S$)a( Pen$ga,an < Clinical "ppointment = "a)i Ka)$m'i( &ang mem$a( 'e!enangan '#ini, < Clinical Pri$ileges = &ang b2#e "i#a'$'an "i )$ma ,a'i(
"= Pe($ga, a)ma,i me#a'$'an %)2,e, (e#aa 2ba( ,ebe#$m membe)i'an 2ba(
e= R$ma ,a'i( men&e"ia'an ,a)ana e"$'a,i "an '2n,e#ing bagi %a,ien &ang mengg$na'an 2ba( ,en"i)i
= P)2,e, "2'$men(a,i "an %enge#2#aan 2ba( &ang "iba!a %a,ien ,aa( ma,$' 'e )$ma ,a'i(* "i#a'$'an "a#am %)2,e, Re'2n,i#ia,i Oba( 2#e "2'(e)* "an %enge#2#aan 2ba( be)i'$(n&a "i#a'$'an 2#e in,(a#a,i a)ma,i
g= R$ma ,a'i( (i"a' me#a'$'an %ene)imaan* %en&im%anan "an %en"i,()ib$,ian 2ba( ,am%e# &ang "i($/$'an $n($' $/i '#ini, 'e%a"a %a,ien.
3. Peman(a$an
a= A"a %)2,e, M2ni(2)ing Ee' Sam%ing Oba( <MESO= "an Peman(a$an Rea',i Oba( Ti"a' Di'een"a'i <ROTD= &ang "i#a',ana'an ,e;a)a '2#ab2)a(i:* "engan %)2,e"$) &ang ,$"a "i(e(a%'an )$ma ,a'i(
b= M2ni(2)ing E:e' Sam%ing Oba( <MESO= "an Peman(a$an Rea',i Oba( Ti"a' Di'een"a'i <ROTD= &ang (e)%an(a$* "i($#i, "i "a#am "2'$men )e'am me"i' %a,ien "an "i#a%2)'an ,e#amba( #amba(n&a 6 /am "a#am ben($' #a%2)an MESO.
;= In,(a#a,i +a)ma,i i'$( ,e)(a "a#am %)2,e, %ening'a(an m$($ "an 'e,e#ama(an %a,ien be),ama K2mi(e Ke,e#ama(an Pa,ien R$ma Sa'i(
8. Pe#a&anan a)ma,i '#ini' "a%a( me#i%$(i : a= %e#a&anan )e,e% <"i,%en,ing=*
b= %e#a&anan in2)ma,i 2ba(*
;= '2n,$#(a,i in2)ma,i "an e"$'a,i* "= %en;a(a(an %engg$naan 2ba(*
e= i"en(ii'a,i* %eman(a$an "an %e#a%2)an )ea',i 2ba( &ang (i"a' "i'een"a'i <ROTD= "an ee' ,am%ing 2ba(*
= %eman(a$an (e)a%i 2ba(* g= )2n"e @i,i(e*
= e@a#$a,i %engg$naan 2ba(
Di(e(a%'an "i : Ke"i)i
%a"a (angga# : Jan$a)i 417
KEPALA RUMAH SAKIT BHAYANGKARA KEDIRI
"). PRIMA HERU Y.* M.Ke,
