PERATURAN PERATURAN
DIREKTUR RUMAH SAKIT DIREKTUR RUMAH SAKIT
NOMOR:………
NOMOR:………
TENTANG TENTANG KEBIJA
KEBIJAKAN KAN PEMBERPEMBERIAN IAN PELAYPELAYANAN ANAN YYANG ANG SERAGAMSERAGAM DI RUMAH SAKIT
DI RUMAH SAKIT
DIREKTUR RUMAH SAKIT DIREKTUR RUMAH SAKIT
Menimbang :
Menimbang : a.a. BaBahwhwa a dadalalam m upupaaa a m!m!"#"#"$"$%a%a&%&%a" a" mumu&u &u p!p!lalaaa"a"a" " RRSUSUDD Ka
Ka'd'd#"a#"ah( h( ma%ma%a a d#pd#p!'!'lu%lu%a" a" p!p!""!l!!l!"$$"$$a'aa'aa" a" p!p!lalaa"a"a" a" a"a"$$ )!'mu&u &#"$$# da" *!'a$am d# *!lu'uh u"#& p!laa"a"+
)!'mu&u &#"$$# da" *!'a$am d# *!lu'uh u"#& p!laa"a"+ ).
). BaBahwhwa a a$a$a' a' p!p!lalaa"aa"a" " aa"$ "$ )!)!'mu'mu&u &u &#"&#"$$$$# # da" *!'ada" *!'a$am d# $am d# RSRS da
dapapa& & &!'&!'la%la%*a*a"a "a d!d!"$"$a" a" )a#)a#% % mulmula# a# da'da'# # papa*#*#!" !" mama*u% *u% *am*ampapa## %!lua'( p!'lu ada"a %!)#,a%a" p!"!l!"$$a'aa" *!lu'uh p!laa"a" %!lua'( p!'lu ada"a %!)#,a%a" p!"!l!"$$a'aa" *!lu'uh p!laa"a" d# RS Muhammad#ah Tu)a"
d# RS Muhammad#ah Tu)a" -.
-. Bahwa )!Bahwa )!'da*a'%a'da*a'%a" p!'&#m)a"$" p!'&#m)a"$a" *!)a$aa" *!)a$a#ma"a d#ma%*#ma"a d#ma%*ud dalam aud dalam a da" )( ma%a p!'lu d#&!&ap%a" K!)#,a%a" P!laa"a" a"$ S!'a$am d# da" )( ma%a p!'lu d#&!&ap%a" K!)#,a%a" P!laa"a" a"$ S!'a$am d# R
RS S dd!!""$$aa" " P!P!''aa&&uu''aa" " DD##''!!%%&&uu''( ( **!!))aa$$aa# # llaa""ddaa**aa" " ))aa$$## p!"!l!"$$a'aa" *!lu'uh p!laa"a" d# RS
p!"!l!"$$a'aa" *!lu'uh p!laa"a" d# RS
Mengingat :
Mengingat : 1.1. U"dU"da"$a"$U"dU"da"$ a"$ RI. RI. N/mN/m/' /' 01 01 TTahuahu" " 2332334 4 &!"&&!"&a"$ a"$ K!*K!*!ha!ha&a"&a"
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2.
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Tahu" 6441 ahu" 6441 N/m/' 749.N/m/' 749.
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M E M U T U S K A N :
Menetapkan
PERTAMA : KEPUTUSAN DIREKTUR RS MUHAMMADIYAH TUBAN TENTANG
KEBIJAKAN PEMBERIAN PELAYANAN YANG SERAGAM DI RS
KEDUA : K!)#,a%a" P!m)!'#a" P!laa"a" a"$ *!'a$am d# Rumah Sa%#& Muhammad#ah *!)a$a#ma"a &!'-a"&um dalam lamp#'a" p!'a&u'a" #"#.
KETIGA :
KEEMPAT :
P/la /p!'a*#/"al p!laa"a" u"&u% &#ap&#ap p!laa"a" d#a&u' dalam ,u%la%;,u%"#* dalam )!"&u% P!d/ma" a&au Pa"dua" da" SOP a"$
m!'upa%a" &#"da% la",u&;lamp#'a" da'# *u'a& %!pu&u*a" #"#.
P!'!"-a"aa"( p!m)#"aa" da" p!"$awa*a" p!"!l!"$$a'aa" p!m)!'#a" p!laa"a" a"$ *!'a$am d# Rumah Sa%#& Muhammad#ah Tu)a" d#la%*a"a%a" /l!h Ka)#d P!laa"a" M!d#*( K/m#&! M!d#% *!'&a K!pala B#da"$ a&au Ba$#a" &!'%a#& da" p!la%*a"aa" p!"!l!"$$a'aa" p!m)!'#a" p!laa"a" a"$ *!'a$am d#la%*a"a%a" /l!h #"*&ala*# a&au u"#& &!'%a#&.
KELIMA K!pu&u*a" #"# )!'la%u *!,a% &a"$$al d#&!&ap%a" da" apa)#la d#%!mud#a" ha'# &!'dapa& %!%u'a"$a" da" %!%!l#'ua" dalam p!"!&apa" #"#( a%a" d#ada%a" p!')a#%a" *!)a$a#ma"a m!*&#"a
D#&!&ap%a" d# : Tu)a"
Pada &a"$$al : ……..…………..
DIREKTUR RS MUHAMMADIYAH TUBAN
dr. INDAH KUSUMA DEWI
K!pu&u*a" D#'!%&u' RS MUHAMMADIYAH TUBAN
N/'"/' : Ta"$$al :
KEBIJAKAN PEMBERIAN PELAYANAN YAN SERAAM RUMAH SAKIT MUHAMMADIYAH TUBAN
A. KEBIJAKAN UMUM :
a. P!laa"a" d# Rumah Sa%#& Muhammad#ah Tu)a" d#&u,u%a" u"&u% m!"!m)uh%a" p!"a%#& da" m!mul#h%a" %!*!ha&a" p!'*!/'a"$a" d!"$a" )!'/'#!"&a*# pada %!*!lama&a" pa*#!" da" upaa p!"#"$%a&a" mu&u p!laa"a" *!*ua# d!"$a" @#*#( m#*# da" "#la# da*a' a"$ ada d# RS Muhammad#ah Tu)a" &a"pa d#*%'#m#"a&#.
). S!mua pa*#!" a"$ m!m)u&uh%a" p!laa"a" d# RS Muhammad#ah )!'ha% u"&u% m!"!'#ma p!laa"a" a"$ *ama d# *!mua u"#& p!laa"a" &a"pa m!m)!da%a" */*#al( !%/"/m#( a$ama da" $/l/"$a" *!'&a %!mampua" pa*#!" u"&u% m!m)aa'.
-. S!mua '!"-a"a a*uha" pa*#!" d##"&!$'a*#%a" da" d#%//'d#"a*#%a" d#a"&a'a &!"a$a p'/!*# a"$ m!"a"$a"# pa*#!". T!"a$a p'/!*# a"$ d#ma%*ud adalah &#m %!*!ha&a" d!"$a" mul&# d#*#pl#" a"$ &!'d#'# da'# d/%&!'( p!'awa&( )#da"( ahl# $##(&!"a$a a'ma*#( &!"a$a a"al#*( &!"a$a #*#/&!'ap#( 'ad#/$'a#* da" la#"la#" . d. P!m)!'#a" a*uha" d#)!'#%a" /l!h &#m %!*!ha&a" &!'*!)u& d#a&a* )!'da*a'%a"
&#"$%a& %!w!"a"$a" da" %/mp!&!"*#"a a"$ d#d/%um!"&a*#%a" dalam -a&a&a" '!%am m!d#* a"$ &!'#"&!$'a*# d!"$a" m!&/d! SOAP.
!. P!laa"a" RSUD Ka'd#"ah *!-a'a 27 ,am d#la%*a"a%a" d# )!')a$a# #"*&ala*# p!laa"a" a"$ d#*#ap%a" u"&u% p!laa"a" &!'*!)u&( %!-ual# d# u"#&u"#& &!'&!"&u. . Rumah *a%#& m!m)!'#%a" p!laa"a" a"$ *!'a$am )a$# *!mua pa*#!"( '!"-a"a
a*uha" m!d#* da" '!"-a"a a*uha" %!p!'awa&a" d#la%*a"a%a" %u'a"$ da'# 27 ,am *!&!lah pa*#!" ma*u% 'awa& #"ap d#*!l!"$$a'a%a" *!-a'a &!'#"&!$'a*# d# *!lu'uh #"*&ala*# p!laa"a" RS Muhammad#ah Tu)a" da" d#-a&a& dalam '!%am m!d#* pa*#!".
$. Rumah *a%#& dalam m!m)!'#%a" p!laa"a" m!"$h/'ma&# ha% pa*#!" da" %!lua'$a *!*ua# d!"$a" u"da"$u"da"$ da" "#la#"#la# *!'&a %!p!'-aaa" a"$ d#a"u& /l!h pa*#!".
h. Dalam m!m)!'#%a" p!laa"a" %!pada pa*#!" *!&#ap p!&u$a* ha'u* m!mp!'ha&#%a" p'#@a*# pa*#!".
#. P!laa"a" 'umah *a%#& d# *!&#ap u"#& %!',a ha'u* *!lalu )!'/%u* pada pa*#!" d!"$a" m!la%*a"a%a" a%*!* p!laa"a" da" %/"&#"u#&a* *!'&a d!"$a" m!m)!'#%a" !du%a*# %!pada pa*#!" da" %!lua'$a
,. RS Muhammad#ah Tu)a" a%a" m!'u,u% pa*#!" ,#%a d#p!'lu%a" p!laa"a" da" a*#l#&a* a"$ &#da% &!'*!d#a d# RS Muhammad#ah da" a&au a&a* p!'m#"&aa" pa*#!" ; %!lua'$a .
%. S!lu'uh *&a RS Muhammad#ah ha'u* )!%!',a *!*ua# d!"$a" *&a"da' p'/!*#( p!d/ma"( pa"dua" da" *&a"da' p'/*!du' /p!'a*#/"al a"$ )!'la%u( *!'&a *!*ua#
d!"$a" !&#%a p'/!*#( !&#%a 'umah *a%#& *!'&a p!'a&u'a" p!'u"da"$u"da"$a" a"$ )!'la%u.
l. S!lu'uh %a'awa" RS Muhammad#ah dalam m!la%*a"a%a" p!%!',aa""a wa,#) *!*ua# d!"$a" %!&!"&ua" K0 5 K!*!lama&a" da" K!*!ha&a" K!',a 9( &!'ma*u% dalam p!"$$u"aa" APD 5 Ala& P!l#"du"$ D#'# 9
B. KEBIJAKAN KHUSUS
!. DPJP
a. T!"a$a m!d#* a"$ m!m#l#%# %/mp!&!"*# %l#"#* dalam m!la%u%a" p'a%&#% %!d/%&!'a" d# RSUD Ka'd#"ah wa,#) m!m#l#%# Su'a& Ta"da R!$#*&'a*# 5STR9( Su'a& I#" P'a%&#% K!d/%&!'a" 5SIP9 da" &!lah m!"dapa&%a" *u'a& p!"u$a*a" %l#"#% 5Clinical Appointment 9 da'# D#'!%&u' a&a* '!%/m!"da*# da'# K/m#&! M!d#% da" Peer Group *!*ua# d!"$a" %!&!"&ua" p!'a&u'a" p!'u"da"$ u"da"$a" $ )!'la%u. ). Clinical Appointment da'# D#'!%&u' m!'upa%a" Clinical Privilage )a$# &!"a$a m!d#*
&!'*!)u&. T!"a$a m!d#* a"$ m!m)!'#%a" p!laa"a" *!*ua# d!"$a" Clinical Privilege a"$ &!lah d#m#l#%#( d#*!)u& D/%&!' P!"a"$$u$ Jawa) P!laa"a" 5 DPJP9
-. DPJP adalah *!/'a"$ d/%&!' ; d/%&!' $#$# a"$ )!'&a"$$u"$ ,awa) a&a* p!"$!l/laa" a*uha" m!d#* *!/'a"$ pa*#!". DPJP ,u$a )!'&a"$$u"$ ,awa) &!'hadap %!l!"$%apa"( %!,!la*a" da" %!)!"a'a" *!'&a %!&!pa&a" wa%&u p!"$!m)al#a" da'# '!%am m!d#* pa*#!" &!'*!)u&.
d. Dalam m!la%u%a" &u$a*"a( D/%&!' P!"a"$$u"$ Jawa) P!laa"a" 5DPJP9 U&ama ha'u* m!"$a-u %!pada P!d/ma" P'a%&!% Kl#"#* 5 PPK9 da" Clinical Pathway a&au Alu' Kl#"#* a"$ d#&!&ap%a" /l!h D#'!%&u'( da" *!lalu m!"$#%u&# %!ma,ua" #lmu p!"$!&ahua" da" &!%"/l/$# &!'%#"#
!. DPJP d#%la*##%a*#%a" m!",ad#: DPJP U&ama da" DPJP P!"damp#"$.
. DPJP U&ama 5U9 adalah d/%&!' p!'&ama a"$ m!"a"$a"# ma*alah u&ama pa*#!" &!'*!)u&. DPJP U&ama dapa& )!'u)ah *!*ua# %/"d#*# %l#"#* pa*#!".
$. Apa)#la pa*#!" d#pu&u*%a" u"&u% d#'awa& d# 'ua"$ H>U( ma%a DPJP u&ama"a adalah d/%&!' DPJP u&ama #&u *!"d#'#. Dalam m!m)!'#%a" laa"a" 5d#a$"/*&#% da" &!'ap!u&#%9 DPJP u&ama ha'u* m!mp!'ha&#%a" u*ula" da'# DPJP p!"damp#"$.
h. Apa)#la d#p!'lu%a" p'/!*# la#" dalam m!"a"$a"# pa*#!"( ma%a DPJP u&ama 5U9 dapa& d#damp#"$# /l!h DPJP P!"damp#"$ 5P9. DPJP P!damp#"$ &!'d#'# da'# DPJP K/"*ul&a" 5 K9( DPJP Op!'a&/' 5O9 da" DPJP A"!*&!*# 5A9. DPJP Op!'a&/' 5O9 adalah d/%&!' a"$ m!la%u%a" &#"da%a" p!m)!daha" da" p!'awa&a" p!'#/p!'a&# pada pa*#!". DPJP A"!*&!*# 5A9 adalah d/%&!' a"$ m!la%u%a" &#"da%a" a"!*&!*# da" p!'awa&a" p!'# a"!*&!*# pada pa*#!".
#. T!'ma*u% dalam DPJP K/"*ul&a" adalah DPJP P!m!'#%*aa" P!"u",a"$ a"$ m!'upa%a" d/%&!' p!"a"$$u"$ ,awa) &!%"#* m!d#* d#a$"/*&#% la)/'a&/'#um %"#% a&au d#a$"/*&#% #ma,#"$ a"$ )!'&a"$$u"$ ,awa) a&a* ha*#l p!m!'#%*aa" p!"u",a"$ &!'*!)u&.
,. DPJP Op!'a&/' 5O9 adalah d/%&!' a"$ m!la%u%a" &#"da%a" p!m)!daha" da" p!'awa&a" p!'# a"!*&!*# pada pa*#!".
p!'awa&a" p!'# a"!*&!*# pada pa*#!".
l. DPJP dapa& m!"d!l!$a*#%a" w!w!"a"$"a 5 Delegation of Outhority 9 %!pada d/%&!' *p!*#al#* la#" "amu" &a"$$u"$,awa) &!&ap pada DPJP a"$" m!"d!l!$a*#%a". P!"d!l!$a*#a" #"# d!"$a" M!%a"#*m! a"$ d#*!)u& standing order .
m.D!m# u"&u% m!",am#" mu&u p!laa"a"( DPJP dalam m!la%*a"a%a" w!w!"a"$"a d#aud#& /l!h K/m#&! m!d#%.
". Pera#at dan Tenaga Medi$ Lainn%a
a. D/%&!'( P!'awa&( Ap/&!%!'( &!"a$a p'/!*#/"al la#" da" *!lu'uh %a'awa" RS Muhammad#ah Tu)a" )!%!',a *!*ua# d!"$a" *&a"da' p'/!*#( *&a"da' p'/*!du' /p!'a*#/"al a"$ )!'la%u d# RS Muhammad#ah Tu)a" d!"$a" m!"$a-u pada "#la# RS Muhammad#ah Tu)a".
). U"&u% m!",am#" mu&u a*uha" %!p!'awa&a" ma%a *!&#ap pa*#!" ha'u* m!m#l#%# p!'awa& a"$ )!'&a"$$u"$ ,awa) &!'hadap a*uha" %!p!'awa&a" a&a* pa*#!" &!'*!)u& 5case manager 9.
-. P!*!'&a p!la&#ha" da'# )!')a$a# ,!"#* p!la&#ha" dalam m!",ala"%a" p'a%&!% %!',a d# RS Muhammad#ah Tu)a" wa,#) m!"dapa&%a" #,#" )!%!',a da'# D#'!%&u' RS Muhammad#ah Tu)a".
d. D/%&!'( p!'awa& da" &!"a$a p'/!*#/"al la#" d# RS Muhammad#ah Tu)a" m!mpu"a# %!wa,#)a" m!'aha*#a%a" *!$ala *!*ua&u a"$ d#%!&ahu#"a &!"&a"$ pa*#!"( )ah%a" ,u$a *!&!lah pa*#!" #&u m!"#"$$al du"#a.
&. Pe'a%anan Pa$ien Ri$i() Tinggi
a. RS Muhammad#ah Tu)a" m!"$#d!"&##%a*# pa*#!" '#*#%/ &#"$$# a#&u+ )a#( a"a% a"a%( $!'#a&'#( pa*#!" '!*&'a#"& a&au a"$ d#)!'# p!"$hala"$( pa*#!" a"$ dalam %!adaa" %/ma ( pa*#!" d!"$a" '!*#%/ %!%!'a*a" *!'&a pa*#!" !m!'$!"-.
b. RS Muhammad#ah Tu)a" m!"$#d!"&##%a*# p!laa"a" '#*#%/ &#"$$# a#&u: pa*#!" d!"$a" p!laa"a" da'ah p!m)!'#a" p'/du% da'ah( pa*#!" d!"$a" p!"a%#& m!"ula'( da" #"&!"*#@!.
c. RS Muhammad#ah Tu)a" m!m)!'#%a" p!'l#"du"$a" )a$# pa*#!" '#*#%/ &#"$$# da'# %!*alaha" a*uha" m!d#*( %!%!'a*a" #*#%( %!*!lama&a" l#"$%u"$a" #*#% *!'&a p!m)!'#a" )a"&ua" pada %!*!lama&a" %!)a%a'a".
d. RS Muhammad#ah Tu)a" m!m)!'#%a" p!laa"a" '!*u*#&a*# d# *!lu'uh 'umah *a%#& d!"$a" '"!m)!"&u% *#*&!m Code Blue da" *!&#ap p!&u$a* a&au p!$awa# ha'u* m!"$ua*a# %!&'amp#la" Basic Life Support .
e. D/%&!'. P!'awa&( &!"a$a p'/!*#/"al la#" da" *!lu'uh %a'awa" RS Muhammad#ah Tu)a" *!p!'&# *a&p/l pp( *up#'( p!&u$a* adm#"#*&'a*#( %a*#'( customer service da" cleaning service d#la&#h m!m)!'#%a" '!*u*#&a*# %a'!"a m!'!%a m!mpu"a# %!wa,#)a" m!la%u%a" p!'&/l/"$a" da'u'a& a&a* da*a' p!'#%!ma"u*#aa".
f. A*uha" m!d#* da" %!p!'awa&a" )a$# pa*#!" '#*#%/ &#"$$# d#la%*a"a%a" *!*ua# d!"$a" %!&!"&ua" p!'a&u'a" p!'u"da"$ u"da"$a" a"$ )!'la%u.
*. Pe'a%anan Pa$ien Ta+a, Termina'
a. Pa*#!" )!'ha% m!"dapa&%a" p!laa"a" a"$ p!"uh h/'ma& da" %a*#h *aa"$ pada a%h#' %!h#dupa""a.
). P!'ha&#a" &!'hadap %!"ama"a" da" ma'&a)a& pa*#!" m!"$a'ah%a" *!mua a*p!% p!laa"a" pada &ahap a%h#' %!h#dupa".
-. S!mua *&a ha'u* m!"ada'# %!)u&uha" u"#% pa*#!" pada a%h#' %!h#dupa""a a#&u m!l#pu&# p!"$/)a&a" &!'hadap $!,ala p'#m!' da" *!%u"d!'( ma"a,!m!" "!'#( '!*p/" &!'hadap a*p!% p*#%/l/$#*( */*#al( !m/*#/"al( a$ama da" )udaa pa*#!" da" %!lua'$a"a *!'&a %!&!'l#)a&a""a dalam %!pu&u*a" p!laa"a".
d. RS Muhammad#ah Tu)a" m!la%u%a" a*!*m!" da" #"&!'@!"*# &!'hadap ha*#l a*!*m!" %!)u&uha" pa*#!" &ahap &!'m#"al.
-. Pe'a%anan Hig+ are Unit
a. K!pu&u*a" ma*u% da" %!lua' 'ua"$ High care d#am)#l /l!h DPJP.
). D#&u,u%a" )a$# pa*#!" a"$ m!m!'lu%a" #"&!'@!"*# m!d#* *!$!'a /l!h DPJP.
-. D#&u,u%a" )a$# pa*#!" a"$ m!m!'lu%a" p!"$!l/laa" u"$*# *#*&!m /'$a" &u)uh *!-a'a &!'%//'d#"a*# da" )!'%!la",u&a" *!h#"$$a dapa& d#la%u%a" p!"$awa*a" a"$ %/"*&a" da" m!&/d! &!'ap# &#&'a*#
d. D#&u,u%a" )a$# pa*#!" *a%#& %'#&#* a"$ m!m!'lu%a" p!ma"&aua" %/"&#"u da" &#"da%a" *!$!'a u"&u% m!"-!$ah &#m)ul"a d!%/mp!"*a*# #*#/l/$#*
/. Mana0emen N1tri$i
a. S!&#ap pa*#!" )a'u d# *%'#"#"$ *&a&u* $##"a da" d#-a&a& dalam '!%am m!d#%.
). J#%a dalam p!"#la#a" &!'*!)u& &!'#"d#%a*# %u'a"$ $## a&au l!)#h $##( ma%a a%a" d#la",u&%a" p!"a"$a"a" $##"a /l!h T#m G## RS Muhammad#ah Tu)a".
-. Ma%a"a" a&au "u&'#*# a"$ *!*ua# u"&u% pa*#!"( &!'*!d#a *!-a'a '!$ula'. d. P'/du% "u&'#*# !"&!'al d#*#mpa" *!*ua# '!%/m!"da*# pa)'#%.
!. Ma%a"a" d#*#ap%a" da" d#*#mpa" d!"$a" -a'a m!"$u'a"$# '#*#%/ %/"&am#"a*# da" p!m)u*u%a"
. S!mua ma%a"a" pa*#!" a"$ )u%a" da'# I"*&ala*# G##( )a#% a"$ d#)awa %!lua'$a pa*#!" da'# 'umah maupu" a"$ d#%!l/la p#ha% %!0 m!"dapa&%a" p!"$awa*a" da" !du%a*# &!"&a"$ )a&a*a" d#!& pa*#!" da'# #"*&ala*# G## RS Muhammad#ah Tu)a".
$. R!*p/" pa*#!" &!'hadap &!'ap# $## d#m/"#&/' da" d#-a&a& dalam '!%am m!d#*. h. K!',a*ama a"&a'a DPJP P'#m!'( P!'awa& P!"a"$$u"$ Jawa) A*uha"
K!p!'awa&a" da" ahl# $## dalam m!'!"-a"a%a"( m!m)!'#%a" da" m!m/"#&/' &!'ap# $##.
#. P!"#apa" ma%a"a"( p!"a"$a"a"( p!"#mpa"a" da" d#*&'#)u*#"a( *!*ua# d!"$a" %!&!"&ua" p!'a&u'a" p!'u"da"$ u"da"$a" a"$ )!'la%u.
,. D#*&'#)u*# ma%a"a" *!-a'a &!pa& wa%&u( da" m!m!"uh# p!'m#"&aa" %hu*u*.
2. Mana0emen N%eri
a. S!mua pa*#!" 'awa& da'u'a&( 'awa& #"ap da" 'awa& ,ala" ha'u* d#la%u%a" *%'#"#"$ u"&u% "!'#( da" d#la%u%a" a*!*m!" apa)#la ada 'a*a "!'# d!"$a" m!"$$u"a%a" *%ala a"$ )a%u.
). A*!*m!" ula"$ "!'# d#la%u%a" dalam #"&!'@al &!'&!"&u *!&!lah d#la%u%a" &!'ap# u"&u% m!"$a&a*# "!'# &!'*!)u&.
-. Apa)#la "!'#"a F 7( DPJP )!'%!wa,#)a" m!la%u%a" ma"a,!m!" "!'#.
d. Apa)#la *%ala 'a*a "!'#"a F da" &#da% )#*a d#&a"$a"# /l!h DPJP( ma%a DPJP )#*a m!lap/'%a" %! T#m Ma"a,!m!" N!'# RS Muhammad#ah Tu)a" u"&u% m!"dapa&%a" *a'a" &!'ap#.
!. Pa*#!" da" %!lua'$a a%a" d#%/mu"#%a*#%a" da" d#)!'# p!"d#d#%a" &!"&a"$ p!"$!l/laa" "!'# /l!h DPJP a&au P!'awa& P!"a"$$u"$ Jawa) P!laa"a".
3. S(rining dan Triage
a. S%'#"#"$ d# RS Muhammad#ah Tu)a" d#la%u%a" pada %/"&a% p!'&ama d# *!mua ma#" $a&! 'umah *a%#& m!lalu# m!%a"#*m! &'#a$!( !@alua*# @#*ual a&au p!"$ama&a"( p!m!'#%*aa" #*#% a&au ha*#l da'# p!m!'#%*aa" l*#%( p*#%/l/$#%( la)/'a&/'#um %l#"#% a&au d#a$"/*&#% #ma,#"$ *!)!lum"a.
). S%'#"#"$ dapa& pula d#la%u%a" d# lua' RS Muhammad#ah Tu)a" a#&u pada Am)ula"-! 664 u"&u% %a*u* $awa& da'u'a&( %l#"#% *wa*&a da" d/%&!' p'a%&!% *wa*&a. Su'a& 'u,u%a" dapa& m!'upa%a" )u%&# *%'#"#"$ da'# 'umah *a%#& a&au pu*a& p!laa"a" %!*!ha&a" p!'u,u%.
-. S%'#"#"$ da" &!* d#a$"/*&#% la",u&a" ha'u* m!"$a-u pada Pa"dua" P'a%&!% Kl#"#* 5PPK9 da" Clinical Pathway a&au Alu' Kl#"#* pa*#!" &!'*!)u& a"$ m!'upa%a" *&a"da' *!)!lum p!"!'#maa" pa*#!".
d. K!)u&uha" da'u'a&( m!"d!*a% a&au *!$!'a d##d!"&##%a*#%a" d!"$a" p'/*!du' &'#a*! )!')a*#* )u%&# %l#"#% u"&u% m!mp'#/'#&a*%a" pa*#!" d!"$a" %!)u&uha" !m!'$!"*#.
4. Penda5taran Pa$ien
a. S!mua pa*#!" )a'u a"$ )!'/)a& d# RS Muhammad#ah Tu)a" d#-a&a& dalam '!$#*&'a*# a"$ &!'#"&!$'a*# u"&u% m!"dapa&%a" "/m/' '!%am m!d#%.
). S!mua pa*#!" lama a"$ )!'/)a& d# RS Muhammad#ah Tu)a" wa,#) m!m)awa %a'&u )!'/)a& u"&u% m!"$h#"da'# &!',ad#"a "/'"/' '!%am m!d#% $a"da. Apa)#la %a'&u )!'/)a& h#la"$( ma%a a%a" d#upaa%a" m!"-a'# pada a'*#p a"$ *udah ada( "amu" apa)#la &#da% d#&!mu%a"( ma%a d#)!'#%a" "/m/' '!%am m!d#% )a'u.
-. P!"da&a'a" pa*#!" 'awa& ,ala" d#la%u%a" d# p/l# 'awa& ,ala"( 'awa& #"ap(/"! da -a'!('awa& da'u'a& d#la%u%a" d# p!da&a'a".
d. Pada *aa& '!$#*&'a*#( pa*#!" da" %!lua'$a"a a%a" d##"/'ma*#%a" &!"&a"$ palaa"a" a"$ d#&awa'%a"( ha*#l p!laa"a" a"$ d#ha'ap%a" da" p!'%#'aa" )#aa &!'hadap p!laa"a" &!'*!)u&
!. Pa*#!" a%a" d#)!'#%a" #"/'ma*# apa)#la a%a" &!',ad# p!"u"daa" p!laa"a" a&au p!"$/)a&a"( ala*a" p!"u"daa" a&au m!"u"$$u da" m!m)!'#%a" #"/'ma*# &!"&a"$ al&!'"a&# a"$ &!'*!d#a *!*ua# d!"$a" %!p!'lua" %l#"#% m!'!%a da" *!mua ma*alah &!'*!)u& ha'u* d#-a&a& dalam '!%am m!d#* pa*#!".
a. M!mp!'ha&#%a" %!)u&uha" %l#"#* pa*#!" pada wa%&u m!"u"$$u a&au p!"u"daa" u"&u% p!laa"a" d#a$"/*&#% da" p!"$/)a&a".
). Pa*#!" a&au %!lua'$a"a a%a" m!"dapa&%a" #"/'ma*# apa)#la a%a" &!'#ad# p!"u"daa" p!laa"a" a&au p!"$/)a&a" da" #"/'ma*# &!'*!)u& d#-a&a& dalam '!%am m!d#* pa*#!".
-. M!m)!'# #"/'ma*# ala*a" p!"u"daa" a&au m!"u"$$u da" m!m)!'#%a" #"/'ma*# &!"&a"$ al&!'"a&# a"$ &!'*!d#a *!*ua# d!"$a" %!p!'lua" %l#"#% m!'!%a.
!!. Pem1'angan Pa$ien:
a. P!mula"$a" pa*#!" d#la%u%a" )#la %/"d#*# &!lah d#"#la# /p&#mal /l!h DPJP.
). DPJP a"$ )!'&a"$$u"$ ,awa) a&a* p!laa"a" pa*#!" &!'*!)u&( ha'u* m!"!"&u%a" %!*#apa" pa*#!" u"&u% d#pula"$%a".
-. K!lua'$a pa*#!" d#l#)a&%a" dalam p!'!"-a"aa" p'/*!* p!mula"$a" a"$ &!')a#% a&au *!*ua# %!)u&uha" pa*#!".
d. R!"-a"a p!mula"$a" pa*#!" m!l#pu&# %!)u&uha" p!laa"a" p!"u",a"$ da" %!la",u&a" p!laa"a" m!d#*.
!. Id!"&##%a*# /'$a"#*a*# da" #"d#@#du p!"!d#a p!laa"a" %!*!ha&a" d# l#"$%u"$a""a a"$ *a"$a& )!'hu)u"$a" d!"$a" p!laa"a" a"$ ada d# 'umah *a%#& *!'&a p/pula*# pa*#!".
. R!*um! pa*#!" pula"$ d#)ua& /l!h DPJP *!)!lum pa*#!" pula"$. $. R!*um! )!'#*# pula #"*&'u%*# u"&u% &#"da% la",u&.
h. Sal#"a" '!*um! pa*#!" pula"$ d#d/%um!"&a*#%a" dalam '!%am m!d#*.
#. Sal#"a" '!*um! pa*#!" pula"$ d#)!'#%a" %!pada p'a%&#*# %!*!ha&a" p!'u,u%. !". Tran$5er7 Per,inda+an di Da'am R1ma+ Sa(it
a. T'a"*!' a&au P!m#"daha" pa*#!" d!"$a" m!mp!'ha&#%a" %/"d#*# pa*#!" da" *!*ua# d!"$a" -'#&!'#a a"$ &!lah d#&!&ap%a".
b. Pa*#!" a"$ d#&'a"*!' ha'u* d#la%u%a" *&a)#l#*a*# &!'l!)#h dahulu *!)!lum d#p#"dah%a".
c. P!ma"&aua" %/"d#*# pa*#!" *!lam &'a"*!' d#la%u%a" &!'u* m!"!'u*. d. P'/*!* &'a"*!' d#d/%um!"&a*#%a" d# dalam '!%am m!d#* pa*#!".
e. P!"!'#maa" a&au p!'p#"daha" pa*#!" %! da" da'# u"#& p!laa"a" #"&!"*# a&au p!laa"a" %hu*u* d#&!"&u%a" d!"$a" %'#&!'#a a"$ &!lah d#&!&ap%a".
!&. Tran$5er (e L1ar R1ma+ Sa(it 7 R101(an a. S&a)#l#*a*# &!'l!)#h dahulu *!)!lum d#'u,u%.
). M!'u,u% )!'da*a'%a" a&a* %/"d#*# %!*!ha&a" da" u"&u% m!m!"uh# %!)u&uha" p!laa"a" pa*#!" a"$ )!'%!la",u&a".
-. S!lama p'/*!* 'u,u%a" a%a" d#damp#"$# p!'awa& a&au d/%&!' *!*ua# %/"d#*# pa*#!"
d. P'/*!* 'u,u%a" d#pu&u*%a" /l!h DPJP P'#m!' da" d#d/%um!"&a*#%a" d# dalam '!%am m!d#% pa*#!".
d#&!&ap%a" da" DPJP P'#m!' )!'%!wa,#)a" m!"$#%u&# p!'%!m)a"$a" %l#"#* pa*#!" &!'*!)u&.
. P!"#la#a" a%a" %!)u&uha" &'a"*p/'&a*# d#la%u%a" *!*ua# d!"$a" %/"d#*# ; %!)u&uha" pa*#!".
$. K!',a*ama a"$ '!*m# a&au &#da% '!*m# d#)ua& d!"$a" 'umah *a%#& p!"!'#ma.
!*. Tran$,)rta$i
a. T'a"*p/'&a*# m#l#% 'umah *a%#&( ha'u* *!*ua# d!"$a" hu%um da" p!'a&u'a" a"$ )!'la%u )!'%!"aa" d!"$a" p!"$/p!'a*#a"( %/"d#*# da" p!m!l#ha'aa"
b. T'a"*p/'&a*# d#*!d#a%a" a&au d#a&u' *!*ua# d!"$a" %!)u&uha" da" %/"d#*# pa*#!" c. S!mua %!"da'aa" a"$ d#p!'$u"a%a" u"&u% &'a"*p/'&a*#( d#l!"$%ap# d!"$a"
p!'ala&a" a"$ m!mada#( p!')!%ala" da" m!d#%am!"&/*a *!*ua# d!"$a" %!)u&uha" pa*#!" a"$ d#)awa .
!-. A$e$men Pa$ien:
a. S!mua pa*#!" a"$ d#laa"# 'umah *a%#& d##d!"&##%a*# %!)u&uha" p!laa"a""a m!lalu# *ua&u p'/*!* a*!*m!" a"$ )a%u( da" d#-a&a& dalam '!%am m!d#* pa*#!". ). A*!*m!" pa*#!" 'awa& #"ap da" 'awa& ,ala" m#"#mal )!'#*# #"/'ma*# da&a */*#al(
!%/"/m#( p*#%/l/$#( %!luha" u&ama( '#waa& p!"a%#&( !@alua*# a%&/' #*#% da" p!m!'#%*aa" #*#%.
-. Ha"a m!'!%a a"$ %/mp!&!" *!*ua# p!'##"a"( u"da"$u"da"$ da" p!'a&u'a" a"$ )!'la%u da" *!'&##%a*# dapa& m!la%u%a" a*!*m!"
d. I*# m#"#mal a*!*m!" #"d#@#dual d#&!&ap%a" /l!h ma*#"$ ma*#"$ p'/!*# %l#"#%. !. A*!*m!" awal m!d#% d#la%*a"a%a" /l!h DPJP P'#m!' dalam 27 ,am p!'&ama
*!,a% 'awa& #"ap a&au )#*a l!)#h -!pa& &!'$a"&u"$ %/"d#*# pa*#!" d#-a&a& dalam '!%am m!d#* pa*#!"
. A*!*m!" awal %!p!'awa&a" d#la%*a"a%a" /l!h P!'awa& P!"a"$$u"$ Jawa) A*uha" K!p!'awa&a" dalam 27 ,am p!'&ama *!,a% 'awa& #"ap a&au )#*a l!)#h
-!pa& &!'$a"&u"$ %/"d#*# pa*#!" da" d#-a&a& dalam '!%am m!d#*
$. A*!*m!" awal m!d#% a"$ d#la%u%a" *!)!lum pa*#!" d# 'awa& #"ap( a&au *!)!lum &#"da%a" pada 'awa& ,ala" d# 'umah *a%#&( &#da% )/l!h l!)#h da'# 03 ha'#( apa)#la l!)#h da'# 03 ha'# ma%a a%a" d#la%u%a" a*!*m!" ula"$.
U"&u% a*!*m!" %u'a"$ da'# 03 ha'#( *!&#ap p!'u)aha" %/"d#*# %l#"#* pa*#!" a"$ *#$"##%a"( d#-a&a& dalam '!%am m!d#* pa*#!".
h. S!mua pa*#!" d#la%u%a" a*!*m!" ula"$ u"#&u% p!'!"-a"aa" p!"$/)a&a" la",u&a" da" p!mula"$a" pa*#!".
#. A*!*m!" ula"$ m!d#% d#la%*a"a%a" /l!h DPJP P'#m!' da" a*!*m!" ula"$ %!p!'awa&a" d#la%*a"a%a" /l!h P!'awa& P!"a"$$u"$ Jawa) A*uha" K!p!'awa&a"
,. Da&a da" #"/'ma*# a*!*m!" pa*#!" d#a"al#*#* da" d##"&!$'a*#%a" u"&u% m!"!"&u%a" *%ala p'#/'#&a*
%. Pa*#!" da" %!lua'$a"a d#)!'# #"/'ma*# &!"&a"$ '!"-a"a p!laa"a" da" p!"$/)a&a" da" d##%u&*!'&a%a" dalam %!pu&u*a" &!"&a"$ p'#/'#&a* %!)u&uha" a"$ p!'lu d#p!"uh#.
!/. Ha( Pa$ien dan Ke'1arga
a. RS Muhammad#ah Tu)a" m!"$h/'ma&# %!)u&uha" p'#@a*# pa*#!".
). Rumah *a%#& dalam m!m)!'#%a" p!laa"a" m!"$h/'ma&# ha% pa*#!" da" %!lua'$a *!*ua# d!"$a" u"da"$u"da"$ da" "#la#"#la# *!'&a %!p!'-aaa" a"$ d#a"u& /l!h pa*#!".
-. RS Muhammad#ah &u)a" m!l#"du"$# pa*#!" da'# %!%!'a*a" #*#% *!'&a m!m)!'#%a" p!'l#"du"$a" )a'a"$ m#l#% pa*#!" da" p!"-u'#a" a&au %!h#la"$a". d. Ba#( a"a%a"a%( #"d#@#du a"$ -a-a&( la",u& u*#a da" pa*#!" la#""a a"$ &#da%
mampu m!l#"du"$# d#'#"a a%a" m!"dapa&%a" p!'l#"du"$a" a"$ laa%. !. Rumah *a%#& m!m)!'#%a" !du%a*# *!-a'a 'u&#" pada pa*#!" a&au %!lua'$a.
. RS Muhammad#ah Tu)a" m!"$h/'ma&# %!'aha*#aa" #"/'ma*# %!*!ha&a" pa*#!" d!"$a" m!m)!'#%a" ha% *!p!"uh"a %!pada pa*#!" da" %!lua'$a"a u"&u% m!m)!'#%a" ##" %!pada *#apa #"/'ma*# &!"&a"$ %!*!ha&a""a d#)!"#%a". $. P!'"a&aa" p!'*!&u,ua" 5I"/'m!d >/"*!"&9 da'# pa*#!" a&au %!lua'$a d#dapa&
m!lalu# *ua&u p'/*!* a"$ d#&!&ap%a" 'umah *a%#& da" d#la%*a"a%a" /l!h *&a a"$ &!'la&#h( dalam )aha*a a"$ d#paham# pa*#!".
h. I"/'m!d -/"*!"& d#)!'#%a" /l!h pa*#!" a&au %!lua'$a *!)!lum /p!'a*#( p!m)!'#a" a"!*&!*#( p!"$$u"aa" da'ah a&au p'/du% da'ah da" &#"da%a" *!'&a p!"$/)a&a" la#" a"$ )!'#*#%/ &#"$$#.
#. B#la m!m)u&uh%a"( pa*#!" d!" %!lua'$a a%a" d#)a"&u u"&u% m!"-a'#%a" second opinion da" %/mp'/m# dalam p!laa"a" d# dalam maupu" d#lua' 'umah *a%#&.
,. Pa*#!" da" %!lua'$a"a )!'ha% m!"$!&ahu# #*# '!%am m!d#*.
!2. Ke#a0iban Pa$ien dan Ke'1arga
a. M!m)!'#%a" #"/'ma*# a"$ l!"$%ap da" ,u,u' &!"&a"$ ma*alah %!*!ha&a""a. ). M!ma&uh# "a*#ha& da" p!&u",u% d/%&!'.
-. M!ma&uh# &a&a &!'&#) RS Muhammad#ah Tu)a" ( &!ma*u% la'a"$a" m!'/%/% d#l#"$%u"$a" 'umah *a%#&.
d. Ba$# pa*#!" umum( a%a" m!m)!'#%a" #m)ala" ,a*a a&a* p!laa"a" a"$ d#&!'#ma.
!. Ba$# pa*#!" a"$ d#,am#" p#ha% %! 0( )!'*!d#a m!"!'ah%a" d/%um!" a"$ d#)u&uh%a" *!*ua# p!'*a'a&a" da" %!&!"&ua" a"$ )!la%u.
!3. Pen)'a(an Pe'a%anan dan Peng)batan:
a. Pa*#!" da" %!lua'$a )!'ha% u"&u% m!"/la% a&au &#da% m!la",u&%a" p!"$/)a&a" d!"$a" m!"a"da&a"$a"# *u'a& p!"/la%a" p!laa"a".
). M!m)!'#&ahu%a" &!"&a"$ %/"*!%u!"*#( &a"$$u"$ ,awa) )!'%a#&a" d!"$a" %!pu&u*a" &!'*!)u& da" &!'*!d#a"a al&!'"a&# p!laa"a" da" p!"$/)a&a".
-. Pa*#!" da" %!lua'$a"a )!'ha% m!m#"&a &#da% d#la%u%a" p!"$/)a&a"; )a"&ua" h#dup da*a' &!'*!)u& d!"$a" m!"a"da &a"$a"# *u'a& p!"/la%a" '!*u*#&a*# 5 Do ot !esuscitate ; DNR9
d. Pa*#!" a"$ &!lah m!"a"da &a"$a"# *u'a& p!"/la%a" '!*u*#&a*# 5 Do ot !esuscitate; DNR a%a" d#)!'# $!la"$ #d!"&##%a*# )!'wama u"$u.
!4. Pe'a%anan Pembeda+an
a. D/%&!' a"$ a%a" m!la%u%a" p!m)!daha" ha'u* m!la%u%a" a*!*m!" p'a p!m)!daha"( da" m!"$#*# Surgical Safety Chec"list 5Da&a' T#l#% K!*!lama&a" p!m)!daha"9 a"$ d#$u"a%a" *!)a$a# &a"da a"$ *!$!'a d#%!"al# u"&u% #d!"&##%a*# l/%a*# /p!'a*# da" m!l#)a&%a" pa*#!" dalam p'/*!* p!"a"daa" ; p!m)!'#a" &a"da.
). M!"$$u"a%a" *ua&u -h!-%l#*& u"&u% m!la%u%a" @!'##%a*# p'a/p!'a*# &!pa&l/%a*#( &!pa&p'/*!du'( da" &!pa&pa*#!" da" *!mua d/%um!" *!'&a p!'ala&a" a"$ d#p!'lu%a" &!'*!d#a( &!pa&;)!"a'( da" u"$*#/"al.
-. T#m /p!'a*# ha'u* m!"!'ap%a" p'/*!du' &#m! /u& a"$ &!'d#'# da" %!$#a&a" sign# in$% $time#out$ da" $sign out$ .
d. Pa*#!" da" a&au %!lua'$a d#l#)a&%a" dalam p'/*!* p!"a"daa" a&au p!m)!'#a" &a"da u"&u% #d!"&##%a*# l/%a*# /p!'a*#.
!. P!'awa& I"*&'um!"& m!"d/%um!"&a*#%a" da" m!"-/-/%a" ,umlah da" ,!"#* p!'ala&a" p!m)!daha" *!)!lum /p!'a*# da" *!&!lah /p!'a*#.
"6. Pe'a%anan Ane$te$i
a. P!laa"a" *!da*# '#"$a" a"$ d#la%*a"a%a" d# p!laa"a" &!'&!"&u m!",ad# &a"$$u"$ ,awa) DPJP d#p!laa"a" &!'*!)u&.
). P!laa"a" a"!*&!*# 5&!'ma*u% *!da*# m/d!'a& da" dalam9 )!'ada d#)awah &a"$$u"$,awa) DPJP A"!*&!*#.
"!. Pe'a%anan Lab)rat)ri1m
a. P!laa"a" la)/'a&/'#um *!p!'&# h!ma&/l/$# %l#"#%( pa&/l/$# %#l"#%( %#m#a %l#"#% a"$ &!'#"&!$'a*#( ad!%ua&( &!'a&u' da" "ama" &!'*!d#a u"&u% m!m!"uh# %!)u&uha" p!laa"a" d#a$"/*&#% d# RS Muhammad#ah Tu)a".
). P!'m#"&aa" p!m!'#%*aa" la)/'a&/'#um %l#"#* ha'u* d#*!'&a# #"d#%a*# %l#"#*
-. K/"&'/l mu&u p!laa"a" la)/'a&/'#um d# RS Muhammad#ah Tu)a" &!'ma*u% ,u$a %!',a *ama d!"$a" la)/'a&/'#um d# lua' 'umah *a%#& m!",ad# &a"$$u"$ ,awa) ma*#"$ma*#"$ %!pala I"*&ala*# a#&u I"*&ala*# Pa&/l/$# Kl#"#%( I"*&ala*# M#%'/)#/l/$# Kl#"#% da" I"*&ala*# Pa&/l/$# A"a&/m#.
"". Pe'a%anan Radi)')gi Diagn)$ti( Ima0ing
a. P!laa"a" 'ad#/l/$# d#a$"/*&#% a"$ &!'#"&!$'a*#( ad!%ua&( &!'a&u' da" "ama" &!'*!d#a u"&u% m!m!"uh# %!)u&uha" p!laa"a" d#a$"/*&#% d# RS Muhammad#ah &u)a" ma*u% p!laa"a" $awa& da'u'a&.
). P!'m#"&aa" p!m!'#%*aa" 'ad#/l/$# d#a$"/*&#% ha'u* d#*!'&a# #"d#%a*# %l#"#*
-. K/"&'/l mu&u p!laa"a" 'ad#/l/$# d#a$"/*&#% d# RS Muhammad#ah Tu)a" m!",ad# &a"$$u"$ ,awa) K!pala I"*&ala*# Rad#/l/$#.
"&. Identi5i(a$i Pa$ien:
m!d#% pa*#!" RS Muhammad#ah Tu)a" d!"$a" #d!"&##%a*# a"$ ,!la* da" &!""&!$'a*# dalam '!$#*&'a*# '!%am m!d#% pa*#!" RS Muhammad#ah Tu)a" m!lalu# S#*&!m I"/''"a*# Ma"a,!m!".
). S!lu'uh pa*#!" 'awa& #"ap da" pa*#!" '!*#%/ &#"$$# a"$ a%a" d#la%u%a" &#"da%a" m!d#% d#pa%a#%a" $!la"$ #d!"&#&a* a"$ pal#"$ &#da% TERTULIS MAMA( TANGGAL LAHIR da" NOMOR REKAM MEDIK.
-. S&#%!' #d!"&#&a* pa*#!" d#$u"a%a" dalam )!')a$a# %!p!'lua" p!laa"a" pa*#!" d# )!')a$a# I"*&ala*#( *!p!'&# *!)!lum p!m)!'#a" /)a&( da'ah a&au p'/du% da'ah( *!)!lum p!"$am)#la" da'ah da" *p!*#m!" la#" u"&u% m!m!'#%*aa" la)/'a&/'#um %l#"#*( *!'&a *!)!lum &#"da%a" ; p'/*!du'.
d. Id!"&#&a* )!'upa $!la"$ )!'wa'"a )#'u u"&u% pa*#!" la%# la%# da" $!la"$ wama p#"% u"&u% pa*#!" p!'!mpua".
!. Id!"&#&a* )!'upa $!la"$ )!'wa'"a u"$u u"&u% pa*#!" a"$ m!"/la% '!*u*#&a*# 5 Do ot !esuscitate&D! 9
. Id!"&#&a* )!'upa p#" wa'"a %u"#"$ u"&u% pa*#!" '!*#%/ ,a&uh da" p#" wa'"a m!'ah u"&u% pa*#!" al!'$#
$. G!la"$ Id!"&#&a* da" S&#%!' Id!"&#&a* d#-!&a% da" d#$a"da%a" d# >!"&'al Adm#*# da" T!'m#"al IT a"$ &!&ah d#&!"&u%a".
h. P#" Id!"&#&a* '#*#%/ ,a&uh da" al!'$# d# *#mpa" d# IGD da" 'ua"$ p!'awa&
"*. Mana0emen )bat:
a. P!"$!l/laa" ala& %!*!ha&a"( *!d#aa" a'ma*#( da" )aha" ha)#* pa%a# d#la%u%a" *!-a'a *a&u p#"&u /&!h I"*&ala*# a'ma*#.
). El!%&'/l#& %/"*!"&'a& &#da% )!'ada d# u"#& p!laa"a" pa*#!" %!-ual# ,#%a d#)u&uh%a" *!-a'a %l#"#* da" d#)!'# la)!l a"$ ,!la* da" d#*#mpa" d!"$a" -a'a a"$ m!m)a&a*# a%*!* 5restrict access9( u"&u% m!"-!$ah p!m)!'#a" a"$ &#da% *!"$a,a d# a'!a &!'*!)u&.
-. O)a& ha"a dapa& d#)!'#%a" /l!h p!'awa& )!'da*a'%a" '!*!p a&au l!m)a' R!"-a"a P!m)!'#a" O)a& 5 RPO 9 da" d/%&!' a"$ ada dalam '!%am m!d#* pa*#!"( da" ap/&!%!' m!"$a"al#*a *!-a'a %!a'ma*#a"
d. O)a& pa*#!" 'awa& #"ap d#%!m)al#%a" ,#%a al!'$# a&au pa*#!" m!"#"$$al du"#a a&au hal la#" d!"$a" p!'*!&u,ua" d/%&!'
!. P!"!d#aa" /)a& d#da*a'%a" pada /'mula'#um a"$ d#&!&ap%a" /l!h 'umah *a%#&. Apa)#la d#p!'lu%a" da" /)a& &!'*!)u& &#da% ada d# /'mula'#um ma%a ma%a p!m)!'#a" /)a& &!'*!)u& ha'u* d#*!&u,u# /l!h %/m#&! a'ma*# da" &!'ap#
25. Hand Hygiene:
S!mua *&a& D/%&!'( P!'awa&( Ap/&!%!'( &!"a$a P'/!*#/"al la#" da" *!lu'uh. %a'awa" *!'&a p#ha% %!&#$a a"$ )!%!',a d# RS Muhammad#ah Tu)a" ha'u* mampu m!la%u%a" -u-# &a"$a" *!*ua# pa"dua" a"$ )!'la%u.
"/. Ri$i() Jat1+:
p!'awa& da" d#la%u%a" la"$%ahla"$%ah u"&u% m!"$u'a"$# '#*#%/ ,a&uh *!*ua# ha*#l a*!*m!".
). La"$%ahla"$%ah d#m/"#&/' ha*#l"a( )a#% &!"&a"$ %!)!'ha*#la" p!"$u'a"$a" -!d!'a a%#)a& ,a&uh maupu" dampa% a"$ )!'%a#&a" *!-a'a &#da% d#*!"$a,a.
-. A*!*m!" ula"$ '#*#%/ pa*#!" ,a&uh( d##"d#%a*#%a" ,#%a &!',ad# p!'u)aha" %/"d#*# a&au p!"$/)a&a".
"2. K)m1ni(a$i E5e(ti5:
a. U"&u% K/mu"#%a*# dalam 'a"$%a p!"a"$a"a" pa*#!" d#$u"a%a" p/la SBAR 5Su'(ective) Bac"ground% Assesment% !ecomendation9 da" d#&ul#*%a" dalam '!%am m!d#%.
). P!'#"&ah l#*a" da" a"$ m!lalu# &!l!p/" a&aupu" ha*#l p!m!'#%*aa" d#&ul#*%a" *!-a'a l!"$%ap /l!h p!"!'#ma p!'#"&ah a&au ha*#l p!m!'#%*aa" &!'*!)u&.
-. P!'#"&ah l#*a" da" m!lalu# &!lp/" a&au ha*#l p!m!'#%*aa" *!-a'a l!"$%ap d#)a-a%a" %!m)al# /l!h p!"!'#ma p!'#"&ah a&au ha*#l p!m!'#%*aa" &!'*!)u&.
d. P!'#"&ah a&au ha*#l p!m!'#%*aa" d#%/"#'ma*# %!pada #"d#@#du a"$ m!m)!'# p!'#"&ah a&au ha*#l p!m!'#%*aa" &!'*!)u&
"3. Mana0emen di In$ta'a$i Pe'a%anan:
a. S!mua p!&u$a* I"*&ala*# wa,#) m!m#l#%# ##" *!*ua# d!"$a" %!&!"&ua" a"$ )!'la%u.
). P!"!d#aa" &!"a$a ha'u* m!"$a-u a"al#*a )!)a" %!',a %!&!"a$aa".
-. M!la%*a"a%a" %//'d#"a*# da" !@alua*# wa,#) d#la%*a"a%a" 'apa& 'u&#" )ula"a" m#"#mal *a&u )ula" *!%al#.
d. S!&#ap )ula" K!pala I"*&ala*# wa,#) m!m)ua& lap/'a" &!"&a"$ %#"!',a I"*&ala*# maupu" %#"!',a p!'*!/'a"$a" *um)!' daa ma"u*#a.
!. P!'ala&a" d# I"*&ala*# d#la%u%a" p!m!l#ha'aa" da" %al#)!'a*# *!*ua# d!"$a" %!&!"&ua" a"$ )!la%u.
. I"*&ala*# a"$ m!m)!'#%a" p!laa"a" )!'&a"$$u"$ ,awa) &!'hadap p!"$!m)al#a" '!%am m!d#% a"$ ada pada #"*&ala*#"a pal#"$ lam)a& 6 27 ,am *!&!lah pa*#!" pula"$.
"4. Ke$e'amatan dan Ke$e+atan Ker0a
a. T#m K!*!lama&a" da" K!*!ha&a" K!',a RS Muhammad#ah Tu)a" )!'&u$a* m!"u*u" pa"dua" da" SPO &!'%a#& %!*!lama&a" da" %!*!ha&a" %!',a.
). P!la&#ha" K0RS d#*!l!"$$a'a%a" u"&u% m!m)udaa%a" %!*!lama&a" da" %!*!ha&a" %!',a( da" p!la%*a"aa""a d#%//'d#"a*#%a" /l!h K!pala B#da"$ D#%la&. -. S!lu'uh %a'awa" RS Muhammad#ah Tu)a" dalam m!la%*a"a%a" p!%!',aa""a
wa,#) *!*ua# d!"$a" %!&!"&ua" K0 5 K!*!lama&a" da" K!*!ha&a" K!',a 9( &!'ma*u% dalam p!"$$u"aa" APD 5 Ala& P!l#"du"$ D#'# 9
d. S!&#ap %!pala I"*&ala*# da" K!pala u"#& %!',a ha'u* m!",a$a l#"$%u"$a" %!',a a"$ ama"( *!ha& da" p'/du%&# )a$# p!&u$a* ; %a'awa"( pa*#!" da" p!"$a"&a'"a d# a'!a I"*&ala*#.
!. T#m K0RS &#ap I"*&ala*# d#)!"&u% u"&u% m!"$a"&#*#pa*# %!,ad#a" a"$ &#da% d#ha'ap%a".
&6. Identi5i(a$i Pet1ga$ 8 Peng1n01ng
a. D/%&!'( P!'awa&( Ap/&!%!'( &!"a$a P'/!*#/"al la#" da" *!lu'uh %a'awa" RS Muhammad#ah Tu)a" wa,#) m!"$$u"a%a" Ka'&u Id!"&#&a*.
). K!lua'$a pa*#!" a"$ m!"u"$$u pa*#!" d##d!"&##%a*# da" ha'u* m!"$!"a%a" %a'&u &a"da #d!"&#&a* p!"u"$$u pa*#!" RS Muhammad#ah Tu)a". -. P!"$u",u"$( '!%a"a" &amu a"$ m!ma*u%# a'!a RS Muhammad#ah Tu)a" ha'u*
m!"$$u"a%a" %a'&u &a"da #d!"&#&a* Tamu pa*#!" RS Muhammad#ah Tu)a".
. P#ha% K!&#$a a"$ )!%!',a d# RS Muhammad#ah Tu)a" ha'u* m!"$$u"a%a" &a"da p!"$!"al %hu*u*.
$. Sa&pam RS Muhammad#ah Tu)a" )!'ha% da" )!'%!wa,#)a" m!ma"&au da" m!"!$u' P!&u$a* da" p!"$u",u"$ RS Muhammad#ah a"$ &#da% m!"$$u"a%a" Ka'&u ; Ta"da #d!"&#&a* %hu*u* RS Muhammad#ah Tu)a".
h. Sa&pam RS Muhammad#ah Tu)a" )!'%!w!"a"$a" da" ha'u* m!"$!lua'%a" P!&u$a* da" P!"$u",u"$ RS Muhammad#ah Tu)a" a"$ &#da% dapa& m!"u",u%%a" %a'&u; &a"da #d!"&#&a* %hu*u* RS Muhammad#ah Tu)a".
&!. Pendidi(an Pa$ien 8 Ke'1arga
a. Pa*#!" da" a&au %!lua'$a d#la%u%a" a*!*m!" %!)u&uha" p!"d#d#%a" %!maua" da" %!mampua" )!la,a'( *!)a$a# da*a' p!'!"-a"aa" !du%a*# da" &!'-a&a& dl '!%am m!d#*
). P!"d#d#%a" d#)!'#%a" *!-a'a l#*a" 5@!')al9 da" &ul#*a" *!*ua# d!"$a" %!)u&uha" !du%a*#.
-. P'#/'#&a* !du%a*# %!pada pa*#!" da" %!lua'$a d#la%u%a" pada l#ma p!"a%#& %'/"#* &!')a"a% a"$ ada d# *!&#ap #"*&ala*# p!laa"a".
&". MD9$
a. Rumah *a%#& m!"!l!"$$a'a%a" p!laa"a" %!*!ha&a" ma&!'"al da" "!/"a&al *!-a'a %/mp'!h!"*# 5PONEK9 a"$ )!'la"$*u"$ *!lama 27 ,am.
). P!laa"a" %/mp'!h!"*# 5PONEK9 *!la#" Rawa& Ga)u"$ I)u da" Ba#( l"#*#a*# M!"u*u# D#"#( ASI E%*%lu*#( P!'awa&a" M!&/d! Ka"$$u'u pada BBLR ,u$a m!l#)a&%a" d!pa'm!";SM la#" &!'%a#& %a*u* a"$ d#&a"$a"#
-. Rumah *a%#& m!la%*a"a%a" p!"a"$$ula"$a" HI<;AIDS *!*ua# d!"$a" p!d/ma" 'u,u%a" ODHA
d. Rumah *a%#& m!la%*a"a%a" p!"a"$$ula"$a" TB *!*ua# d!"$a" p!d/ma" *&'a&!$# DOTS.
!. Rumah *a%#& m!"!'#ma 'u,u%a" da'# a*#l#&a* %!*!ha&a" la#". &&. Pengenda'ian 'n5e($i.
a. Pa*#!" d!"$a" p!"a%#& #"!%*#u* d##*/la*# *!*ua# pa"dua" p!"$!"dal#a" #"!%*#. ). K/m#&! P!"$!"dal#a" l"!%*# )!'&u$a* m!'umu*%a" P!d/ma"( Pa"dua" da" SPO
&!'%a#& upaaupaa u"&u% p!"$!"dal#a" l"!%*# *!'&a m!"$a"al#*a da" m!'!%/m!"da*#%a" */lu*# a&a* ha*#l p!ma"&aua" *u'@!#la"-! p!"$!"dal#a" #"!%*#.
-. T#m P!"$!"dal# l"!%*# &!'d#'# pa'* *nfection Preventive >/"&'/l! Nu'*! 5IP>N9 m!la%u%a" p!ma"&aua" *!-a'a &!'u* m!"!'u*.
D#&!&ap%a" d# : TUBAN Pada &a"$$al :
DIREKTUR RS MUHAMMADIYAH TUBAN
KEPUTUSAN DIREKTUR RSUD KARDINAH
NOMOR : ……….. TENTANG
KEBIJAKAN PEMBERIAN PELAYANAN YANG SERAGAM DI RUMAH SAKIT UMUM DAERAH KARDINAH
PEMERINTAH KOTA TEGAL
RUMAH SAKIT UMUM DAERAH KARDINAH
JL. AIP. KS. Tubun No. 2 Telp. (0283) 356067 !a" (0283) 353#3#T$%AL
DIREKTUR RSUD KARDINAH KOTA TEGAL
Menimbang : 6. Bahwa dalam upaa m!"#"$%a&%a" mu&u p!laa"a" RSUD Ka'd#"ah ma%a d#p!'lu%a" p!"!l!"$$a'aa" p!laa"a" a"$ )!'mu&u &#"$$# da" *!'a$am d# *!lu'uh u"#& p!laa"a"+
2. Bahwa a$a' p!laa"a" d# RSUD Ka'd#"ah dapa& &!'la%*a"a d!"$a" )a#% da" *!'a$am mula# da'# pa*#!" ma*u% *ampa# %!lua'( p!'lu ada"a %!)#,a%a" D#'!%&u' RSUD Ka'd#"ah *!)a$a# la"da*a" )a$# p!"!l!"$$a'aa" *!lu'uh p!laa"a" d# RSUD Ka'd#"ah.
0. Bahwa )!'da*a'%a" p!'&#m)a"$a" *!)a$a#ma"a d#ma%*ud dalam a da" ) ma%a p!'lu d#&!&ap%a" K!)#,a%a" P!laa"a" RSUD Ka'd#"ah d!"$a" P!'a&u'a" D#'!%&u' RSUD Ka'd#"ah.
Mengingat : 6. U"da"$u"da"$ N/m/' 01 Tahu" 2334 &!"&a"$ K!*!ha&a" 5L!m)a'a" N!$a'a R!pu)l#% I"d/"!*#a &ahu" 2334 N/m/' 677. Tam)aha" L!m)a'a" N!$a'a R!pu)l#% I"d/"!*#a N/m/' 83109.
2. U"da"$u"da"$ N/m/' 77 Tahu" 2334 &!"&a"$ Rumah Sa%#& 5L!m)a'a" N!$a'a R!pu)l#% I"d/"!*#a Tahu" 2334 N/m/' 680. Tam)aha" L!m)a'a" N!$a'a R!pu)l#% I"d/"!*#a N/m/' 8329.
0. P!'a&u'a" P!m!'#"&ah R!pu)l#% I"d/"!*#a N/m/' 02 Tahu" 6441 &!"&a"$ T!"a$a K!*!ha" 5L!m)a'a" N!$a'a R!pu)l#% I"d/"!*#a Tahu" 6441 N/m/' 749.
7. P!'a&u'a" P!m!'#"&ah N/m/' 20 Tahu" 2338 &!"&a"$ P!"$!l/laa" K!ua"$a" Bada" Laa"a" Umum 5BLU9 5L!m)a'a" N!$a'a R!pu)l#% I"d/"!*#a Tahu" 2338 N/m/' 7=. Tam)aha" L!m)a'a" N!$a'a R!pu)l#% I"d/"!*#a N/m/' 78329.
8. P!'a&u'a" M!"&!'# K!*!ha&a" RI N/m/' 214;M!"%!*;P!';III;233= &!"&a"$ R!%am M!d#*.
1. P!'a&u'a" M!"&!'# K!*!ha&a" RI N/m/' 616;M!"%!*;P!';I;2363 &!"&a"$ R!$#*&'a*# T!"a$a K!*!ha&a".
. P!'a&u'a" M!"&!'# K!*!ha&a" RI N/m/' 641;MENKES;P!';<II;2366 T!"&a"$ R!$#*&'a*# T!"a$a K!*!ha&a".
=. P!'a&u'a" P!m!'#"&ah N/m/' 18 Tahu" 2338 &!"&a"$ P!d/ma" P!"u*u"a" da" P!"!&apa" S&a"da' P!laa"a" M#"#mal.
4. P!'a&u'a" Cal#%/&a T!$al N/m/' 0= Tahu" 233= &!"&a"$ Ta&a K!l/la Rumah Sa%#& Umum Da!'ah Ka'd#"ah K/&a T!$al.
63.K!pu&u*a" Cal#%/&a T!$al N/m/' : 778;277;233= &!"&a"$ P!"!&apa" RSUD Ka'd#"ah K/&a T!$al *!)a$a# U"#& K!',a a"$ m!"!&ap%a" p/la p!"$!l/laa" K!ua"$a" Bada" Laa"a" Umum Da!'ah *!-a'a p!"uh.
M E M U T U S K A N :
M!"!&ap%a" :
KESATU : KEPUTUSAN DIREKTUR RSUD KARDINAH TEGAL
TENTANG KEBIJAKAN PEMBERIAN PELAYANAN YANG SERAGAM DI RSUD KARDINAH KOTA TEGAL
KEDUA : K!)#,a%a" P!m)!'#a" P!laa"a" a"$ *!'a$am d# RSUD Ka'd#"ah *!)a$a#ma" &!'-a"&um dalam lamp#'a" %!pu&u*a" #"#.
KETIGA : P/la /p!'a*#/"al p!laa"a" u"&u% &#ap &#ap p!laa"a" d#a&u' dalam ,u%la%;,u%"#* dalam )!"&u% P!d/ma" a&au Pa"dua" da" SOP a"$ m!'upa%a" &#"da% la",u&;lamp#'a" da'# *u'a& %!pu&u*a" #"#.
KEEMPAT : P!m)#"aa" da" P!"$awa*a" p!"!l!"$$a'aa" p!m)!'#a" p!laa"a" a"$ *!'a$am d# RSUD Ka'd#"ah d#la%*a"a%a" /l!h Ca%#l D#'!%&u' P!laa"a"( K/m#&! m!d#* da" p!'awa&a"( K!pala Ba$#a" da" K!pala 'ua"$ &!'%a#&.
KELIMA : P!'a&u'a" #"# )!'la%u *!,a% &a"$$al d#&!&ap%a" da" apa)#la d# %!mud#a" ha'# &!'dapa& %!%!l#'ua" dalam p!"!&apa" #"#( a%a" d#ada%a" p!')a#%a" *!)a$a#ma"a m!*&#"a.
D#&!&ap%a" d# : T!$al
Pada &a"$$al : ……..…………...2368
DIREKTUR RSUD KARDINAH TEAL
dr. ABDAL HAKIM THARI; SP. RM. MMR Pembina Utama M1da
NIP. !4-36/62 !43-6" ! 66&
Lamp#'a" : K!pu&u*a" D#'!%&u' RSUD Ka'd#"ah
N/m/' : ……….………..
Ta"$$al : ……….………..
KEBIJAKAN PEMBERIAN PELAYANAN YAN SERAAM DI RSUD KARDINAH KTA TEAL
A. KEBIJAKAN UMUM
p!laa"a" &!'hadap ma"u*#a *!-a'a u&uh.
2. P!laa"a" a"$ d#)!'#%a" %!pada pa*#!" ha'u* )!'/'#!"&a*# pada %!*!lama&a" pa*#!" da" upaa p!"#"$%a&a" mu&u( *!*ua# d!"$a" @#*# ( m#*# da" "#la# da*a' a"$ ada d# RSUD Ka'd#"ah.
0. S!lu'uh *&a RSUD Ka'd#"ah ha'u* )!%!',a *!*ua# d!"$a" *&a"da' p'/!*#(p!d/ma"(pa"dua" da" *&a"da' p'/*!du' /p!'a*#/"al a"$ )!'la%u( *!'&a *!*ua# d!"$a" !&#%a p'/!*#( !&#%a 'umah *a%#& *!'&a p!'a&u'a" p!'u"da"$u"da"$a" a"$ )!'la%u.
7. P!laa"a" 'umah *a%#& d#la%*a"a%a" dalam 27 ,am ( %!-ual# d# u"#& u"#& &!'&!"&u.
8. Rumah *a%#& m!m)!'#%a" p!laa"a" a"$ *!'a$am )a$# *!mua pa*#!" da" d#-a&a& dalam '!%am m!d#* pa*#!".
1. P!laa"a" 'umah *a%#& d# *!&#ap u"#& %!',a ha'u* *!lalu )!'/%u* pada pa*#!" d!"$a" m!la%*a"a%a" a%*!* p!laa"a" da" %/"&#"u#&a* *!'&a d!"$a" m!m)!'#%a" !du%a*# %!pada pa*#!" da" %!lua'$a.
. Rumah *a%#& m!m)!'#%a" p!laa"a" */*#al )a$# pa*#!" a"$ &#da% mampu. =. S!lu'uh %a'awa" RSUD Ka'd#"ah dalam m!la%*a"a%a" p!%!',aa""a wa,#)
*!*ua# d!"$a" %!&!"&ua" K0 5 K!*!lama&a" da" K!*!ha&a" K!',a 9( &!'ma*u% dalam p!"$$u"aa" APD 5 Ala& P!l#"du"$ D#'# 9
4. Rumah *a%#& dalam m!m)!'#%a" p!laa"a" m!"$h/'ma&# ha% pa*#!" da" %!lua'$a *!*ua# d!"$a" u"da"$u"da"$ da" "#la#"#la# *!'&a %!p!'-aaa" a"$ d#a"u& /l!h pa*#!".
63. Dalam m!m)!'#%a" p!laa"a" %!pada pa*#!" *!&#ap p!&u$a* ha'u* m!mp!'ha&#%a" p'#@a*# pa*#!".
66. u"$*# %//'d#"a*# da" !@alua*# ma%a *!&#ap u"#& %!',a wa,#) m!la%*a"a%a" 'apa& 'u&#" )ula"a" m#"#mal 6 %al# dalam 6 )ula".
62.S!mua %!pala *!%*#( %!pala )a$#a" ( %!pala #"*&ala*# da" %!pala 'ua"$ wa,#) u"&u% m!m)ua& lap/'a" S!mua p!&u$a* a"$ &!'l#)a& dalam m!m)!'#%a" p!laa"a" %!pada pa*#!" wa,#) m!la%u%a" hand hygiene d!"$a" five moment da" 1 la"$%ah -u-# &a"$a"
60.S!mua p!&u$a* wa,#) m!m#l#%# ##" ( l#*!"*#( *!'&##%a*# *!*ua# d!"$a" *&a"da' p'/!*# da" %!&!"&ua" a"$ )!'la%u d# RSUD Ka'd#"ah.
67.P!"!d#aa" &!"a$a d# *!&#ap u"#& %!',a ha'u* m!"$a-u pada p/la %!&!"a$aa".
68.P!'ala&a" d# u"#& %!',a ha'u* *!lalu *#ap pa%a# da" d#la%u%a" p!m!l#ha'aa" da" %al#)'a*# *!-a'a *!*ua# d!"$a" %!&!"&ua" a"$ )!'la%u .
61.Dalam m!la%*a"a%*a" )ula"a" da" &ahu"a".
6.Rumah *a%#& m!",ala"%a" p'/$'am %!*!lama&a" pa*#!" m!lalu# *&a"da' %!*!lama&a" pa*#!"( la"$%ah %!*!lama&a" pa*#!" ( da" 1 *a*a'a" %!*!lama&a" pa*#!".
6=.Rumah *a%#& m!",ala"%a" p'/$'am PONEK 5 P!laa"a" O)*&!&'# N!/"a&al Em!'$!"- K/mp'!h!"*# 9 u"&u% m!"u'u"%a" a"$%a %!ma&#a" )a# da" #)u *!'&a m!"#"$%a&%a" %!*!ha&a" #)u.
64.Rumah *a%#& m!la%*a"a%a" p!"a"$$ula"$a" TB *!*ua# d!"$a" p!d/ma" *&'a&!$# DOTS.
23.Rumah *a%#& m!la%*a"a%a" p!"a"$$ula"$a" HI< ;AIDS *!*ua# d!"$a" p!d/ma" ODHA *!'&a d#*!*ua#%a" d!"$a" %!mampua" RSUD Ka'd#"ah. 26.RSUD Ka'd#"ah a%a" m!'u,u% pa*#!" ,#%a d#p!'lu%a" p!laa"a" da" a*#l#&a*
a"$ &#da% &!'*!d#a d# RSUD Ka'd#"ah a&au a&a* p!'m#"&aa" pa*#!" ; %!lua'$a .
B. KEBIJAKAN KHUSUS
6. S!mua pa*#!" a"$ m!m)u&uh%a" p!laa"a" d# RSUD Ka'd#"ah )!'ha% u"&u% m!"!'#ma p!laa"a" a"$ *ama d# *!mua u"#& p!laa"a" &a"pa m!m)!da%a" */*#al( !%/"/m#( a$ama da" $/l/"$a".
2. P!laa"a" Pa*#!" d# RSUD Ka'd#"ah d#)!'#%a" /l!h &#m %!*!ha&a" d!"$a" mul&# d#*#pl#" a"$ &!'d#'# da'# d/%&!'( p!'awa&( )#da"( ahl# $##(&!"a$a a'ma*#( &!"a$a a"al#*( &!"a$a #*#/&!'ap#( 'ad#/$'a#* da" la#"la#".
0. P!m)!'#a" a*uha" d#)!'#%a" /l!h &#m %!*!ha&a" &!'*!)u& d#a&a* )!'da*a'%a" &#"$%a& %!w!"a"$a" da" %/mp!&!"*#"a(
7. RSUD Ka'd#"ah m!"!d#a%a" da" m!m)!'#%a" p!laa"a" %!pada pa*#!" a"$ )!'#*#%/ &#"$$#.
8. S!mua P!laa"a" a"$ &!lah d#)!'#%a" /l!h &!"a$a %!*!ha&a" ha'u* d# &ul#* d# dalam >a&a&a" p!'%!m)a"$" &!'#"&!$'a*# d!"$a" m!&/d! SOAP.
1. S!&#ap pa*#!" a"$ m!m)u&uh%a" p!laa"a" %!*!ha&a" d# RSUD Ka'd#"ah d#)!'#%a" *!-a'a m!mada# &#da% &!'$a"&u"$ a&a* %!mampua" pa*#!" u"&u% m!m)aa' a&au &!'$a"&u"$ pada *um)!' p!m)#aaa".
. Ya"$ d#)!'#%a" ha% u"&u% m!m)!'#%a" p!'#"&ah p!"$/)a&a" %!pada pa*#!" )a#% *!-a'a l#*a" maupu" &!'&ul#* adalah DPJP( d/%&!' ,a$a UGD( D/%&!' ,a$a I>U a&au d/%&!' 'ua"$a" . U"&u% p!'#"&ah a*uha" ; p!laa"a" la#""a dapa& d#)!'#%a" /l!h p!'awa& da" *!mua &#m %!*!ha&a" *!*ua# d!"$a" &#"$%a& %!w!"a"$a""a da" d# d/%um!"&a*#%a" %!dalam -a&a&a" p!'%!m)a"$a" &!'#"&!$'a*#.
=. DPJP d#)!'#%a" ha% u"&u% m!ampa#%a" ha*#l p!laa"a" %!pada pa*#!";%!lua'$a .J#%a &!',ad# %!,ad#a" a"$ &#da% d#ha'ap%a" pada pa*#!" ( a"$ )!'ha% u"&u% m!m)!'#%a" p!",!la*a" %!pada pa*#!" ; %!lua'$a adalah DPJP;K!&ua K/m#&! M!d#%;D#'!%&u' M!d#* da" P!'awa&a".
4. K/"&#"u#&a* p!laa"a" pada pa*#!" d#)!'#%a" *aa& pa*#!" ma*u% *!)a$a# pa*#!" 'awa& #"ap *ampa# d!"$a" pa*#!" m!",ala"# p!'awa&a" d#'umah a&au #"*&#&u*# la#""a *!*ua# d!"$a" %!)u&uha".
63. P!m)!'#a" a*uha" p!laa"a" pa*#!" 'awa& #"ap d##"&!$'a*#%a" da" d#%//'d#"a*#%a" /l!h DPJP. Hal #"# )!'la%u ,u$a u"&u% pa*#!"pa*#!" a"$ d#'awa& d# 'ua"$ #"&!"*#.
D#&!&ap%a" d# : T!$al
Pada &a"$$al : ……..…………...2368
DIREKTUR RSUD KARDINAH TEAL
dr. ABDAL HAKIM THARI; SP. RM. MMR Pembina Utama M1da
