4. Dokumen MFK-rev

7/25/2019 4. Dokumen MFK-rev

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DOKUMEN

MANAJEMEN FASILITAS &KESELAMATAN

Dr.Luwiharsih,MSc


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luwi-15 maret 2014 2

DOKUMEN

MANAJEMENFASILITAS &

KESELAMATAN

REGULASI SBGDASAR

PELAKSANAANKEGIATAN MFK

DOKUMENBUKTI/PELAKSANAAN KEGIATAN MFK


3/61

3

KOMISI AKREDITASI RUMA SAKIT!"#!

slide dr djoti


4/61

MANAJEMEN FASILITAS &KESELAMATAN

K$%$i%i'a' (a'%$r$'ca'aa'

MFK #) !) *) *.#

K$s$+aaa' (a' -$aa'a' MFK ) .#) .!

Baha' $raha0a MFK 1

K$sia%a' $'2ha(a%i

$'ca'a

MFK 3) 3.#

P$'2aa'a' -$a-ara' MFK 4) 4.#) 4.!) 4.*

P$ra+aa' $(is MFK 5) 5.#) 5.!

Sis$ ui+isasi 6Sis$

%$'(u-u'27

MFK 8) 8.#) 8.!) #")

#".#) #".!

P$'(i(i-a' sa9 MFK ##) ##.#) ##.!)

##.*


5/61

Komisi Akreditasi Rumah Sakit

MFK # K$%auha' $rha(a% %$raura'%$ru'(a'2a'

MFK 2 Program Maajeme Risiko Fasilitas daligkuga !Master Program "

MFK 3 #ata iside ke$elakaa terkait %asilitas &ligkuga di RS 'aik utk (asie)(egujug da sta%

MFK 4 Program Keselamata da keamaa

MFK 5 Pegelolaa 'aha 'er'aha*a da lim'ah

MFK + #isaster (la


6/61


MFK 4 P$'c$2aha' (a' %$'a'2a'a'-$a-ara'

MFK , Pegelolaa alat medis

MFK .istrik da air tersedia 24 jam

MFK 10 Sistem utilitas da ku$i !sistem *g

(etig" lai*a

MFK 11 #iklat MFK


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NASIONAL

PERATURANPERUNDANG:UNDANGAN

U'(a'2:u'(a'2

P$raura' P$$ri'ah PMK, KMK. P$r$'a-$r, KL

P$(;a'/Pa'(ua'

T$r-ai ('2 MFK

RUMA SAKIT

REGULASI

P$(;a' MFK

Pr;2ra MFK

SPO:! MFK

UNIT KERJAKETENTUAN TERTULIS

Pr;2ra sa9$0 +a 6K:* La7 Pr;2ra sa9$0 ra(i;+;2i 6K:

* ra(i;+;2i7

Pr;2ra/S-$'ari; $


8/61

P$raura',

%$ru'(a'2a' &

-$$'ua':! 02

$r-ai ('2

sara'a,

%rasara'a &

9asi+ias (i RS

Pi%i'a' RS =

M$'2$ahui

%$raura',

%$ru'(a'2a' &

-$$'ua'

M$'$ra%-a'-$$'ua' s

M$$'uhi

-;'(isi s$suai

-$$'ua'

M$r$s%;'hasi+

%$$ri-saa'

luwi-m%k 20+213


9/61

Pr;2ra

Ma'a>$$' Risi-;

Fasi+ias

Di+a-sa'a-a'

#. K$s$+aaa'

& -$a'a'

!. Baha'

$raha0a*. Ma'a>$$'

$$r2$'si

. K$a-ara'

1. P$ra+aa'

M$(is

3. Sis$

ui+ias

T$r-i'i aau (i

u%(a$

A(a $


10/61

MANAJEMEN FASILITAS& KESELAMATAN

PROGRAM MANAJEMENRISIKO FASILITAS &

LINGKUNGAN

PERLU INDI?IDU @GMENGAASI/TIM RISKMANJ/K:* RS

BUAT PROGRAM

PENGAASAN

DATA ASILPENGAASAN

i'si($' -$c$+a-aa'

PROGRAM PENGAASANa. $r$'ca'a-a'

(rogram. $+a-sa'a-a'

(rogramc. $'(i(i-sta%(. $;'i;r & u>i$o'a

(rogram

$. $


11/61

RAA 6R67.8S 767K + 98#A:MFK ;

K$s$+aaa'---Suatu tigkata keadaa

tertetu dimaa gedug) halamaua' uu & -husus. K$2iaa' %;-;- & ri'cia' -$2iaa'

K$2iaa' %;-;-

a Keselamata da Keamaa

' 9aha 'era$u da 'er'aha*a

$ #isaster Pla

d Ke'akara

e Sistem 7tilisasi .istrik) Air da sistem(edukug *ag (etig lai*a

% Peralata Medis



20/61

41 Ri$ia kegiata

Ri$ia kegiata dimasig2 kegiata meli(uti ;

8deti?kasi risiko

Aalisa risiko aluasi risiko

6ata kelola risiko

Pela(ora iside

Moitorig da Reiew iside da kegiata

dukasi sta% tetag risk register

1.Cara $+a-sa'a-a' -$2iaa'

3. Sasara'

4. S-$(u+ 6>a(wa+7 %$+a-sa'aa' -$2iaa'

5. E


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PROGRAM KESELAMATAN

DAN KEAMANAN (MFK 4)



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#. P$'(ahu+ua'!. Laar $+a-a'2

*. Tu>ua' uu & -husus

. K$2iaa' %;-;- & ri'cia' -$2iaa'

1. Cara $+a-sa'a-a' -$2iaa'

3. Sasara'

4. S-$(u+ 6>a(wa+7 %$+a-sa'aa' -$2iaa'

5. E


23/61

PR@:RAM KS.AMA6A#A KAMAA

I. P$'(ahu+ua'

II. Laar $+a-a'2

III.Tu>ua' uu & -husus

Tu>ua' uu =$'i'2-a-a' -$aa'a' &-$s$+aaa' %asi$',%$'2u'>u'2 (a' sa9 (iruah sa-i



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. KEGIATAN & RINCIANKEGIATAN

#. Risi-; -$aa'a' (a' -$s$+aaa'

. Ma%%i'2risiko !ideti?kasi area *ag 'erisiko keamaa

da keselamata*a" misal*a ; ruag 'a*i

. M;'i;ri'2ar$a 0a'2 $risi-; terjadi*a masalah

keselamata da keamaa kamera keamaa di daerah

'erisiko) dega meem(atka sat(am di daerah 'erisiko

keamaa

. P$asa'2a' a(2$ 'a$/a'(a (egeal utuk semua

sta%) (egujug) (edagag


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!. Fasi+ias si-

P$$ri-saa' 9asi+ias si- se$ara kom(rehesi%

!me$atat semua (era'ot *ag tajam da rusak)

%asilitas *ag (erlu (er'aika) dll" R$s%;'/aci;' %+a' terhada( hasil

(emeriksaa

Susu' a'22ara' utuk meggati sistem)

(er'aika %asilitas *ag rusak) dll

M;'i;ri'2 %$+a-sa'aa' res(o


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*. E(u-asi sa9 terkait dg keselamata & keamaa

. M;'i;ri'2-$%auha' u'i

i'($%$'($'/%$'0$wa laha' thd (rogram

keamaa da keselamata RS

1. P$'caaa' & %$+a%;ra' i'si($'/c$($ra aki'at

%asilitas *g tdk mem'erika keamaa &

keselamata

3. P$+a%;ra' %$+a-sa'aa' -$2iaa' da re$aa

tidak lajut*a



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PROGRAM KEAMANAN &KESELAMATAN

?. Cara $+a-sa'a-a' -$2iaa'

%$r$ua', au(i, (++

?I. Sasara'

: a%%i'2 risi-; #""

: %$asa'2a' a(2$ 'a$ %$'2u'>u'2

#""

: (++



28/61

PROGRAM KEAMANAN &KESELAMATAN

1. S-$(u+ 6>a(wa+7 %$+a-sa'aa'

-$2iaa'

3. E


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PROGRAM MANAJEMENBAAN/LIMBA

BERBAA@A



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9A>A 9R9A>AA

I($'i-asi B*

P$'a'2a'a'

P$'0i%a'a'

P$'22u'aa'

Tu%aha'

P$ua'2a'

luwi / se(tem'er 2015


31/61

PROGRAM MANAJEMENBAAN/LIMBA BERBAA@A


#. P$'(ahu+ua'

!. Laar $+a-a'2


. K$2iaa' %;-;- & ri'cia' -$2iaa'


3. Sasara'

4. S-$(u+ 6>a(wa+7 %$+a-sa'aa' -$2iaa'

5. E


32/61

. K$2iaa' %;-;- & ri'cia'-$2iaa'

#. M$+a-u-a' I'


33/61

DISASTER PLAN6PROGRAM DISASTER7



34/61

S-$'ari;siu+asi

(isas$r

Siu+asi(isas$r

D$ri$'2

La%;ra'

P$s$ra = S$+uruh

%$2awai RS P$2awai (i

u'ii'($%$'($'luwi / se(tem'er 2015


35/61

PROGRAM DISASTER


#. P$'(ahu+ua'

!. Laar $+a-a'2


. K$2iaa' %;-;- & ri'cia' -$2iaa'


3. Sasara'

4. S-$(u+ 6>a(wa+7 %$+a-sa'aa' -$2iaa'

5. E


36/61

. K$2iaa' %;-;- & ri'cia'-$2iaa'

P$'0usu'a' (isas$r %+a'

Siu+asi (isas$r

D$ri$'2



37/61

MATERI DISASTER PLAN#. I($'i-asi aha0a 0a'2 isa $r>a(i (i RS i'$r'a+ aau

$-s$r'a+.

2 meeta(ka %$ra' ruah sa-i dalam kejadia ts'

*. sra$2i -;u'i-asi (ada kejadia

. %$'2$+;+aa' su$r (a0a (d wkt kejadia) termasuk sum'er

da*a alterati%

1. %$'2$+;+aa' -$2iaa' -+i'is (d wkt kejadia) termasuk

alterati% tem(at *a

3. i($'i-asi & %$'u2asa' %$ra' & taggug jawa' sta%

(ada waktu kejadia

/ (roses utk $'2$+;+a -$a(aa' (arura/-$(aruraa' i+a

$r>a(i %$r$'a'2a' a'ara a'22u'2 >awa sa9 s$caraKomisi Akreditasi Rumah Sakit


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PROGRAM PENGAMANANKEBAKARAN



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PROGRAM PERALATAN MEDIS


#. P$'(ahu+ua'

!. Laar $+a-a'2


. K$2iaa' %;-;- & ri'cia' -$2iaa'


3. Sasara'

4. S-$(u+ 6>a(wa+7 %$+a-sa'aa' -$2iaa'

5. E


42/61


1 8etarisasi alat medis di RS

2 Pere$aaa ke'utuha (eralatamedis

3 Pemiliha (eralata medis

4 Pemeriksaa


43/61

PROGRAM SISTEMUTILITAS


PROGRAM SISTEM


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PROGRAM SISTEMUTILISASI/PENDUKUNG


#. P$'(ahu+ua'

!. Laar $+a-a'2


. K$2iaa' %;-;- & ri'cia' -$2iaa'


3. Sasara'

4. S-$(u+ 6>a(wa+7 %$+a-sa'aa' -$2iaa'

5. E


45/61


P$'0$(iaa' air i'u (a' +isri- ! >a

s$hari & 4 hari s$i'22u

I($'i-asi ar$a 02 $risi-; i+a air (a'

aau +isri- $r2a'22u

P$'0$(iaa' ac-:u% air (a' +isri-

U>i c;a air (a' +isri- %$'22a'i s$ahu's$-a+i


KEGIATAN & RINCIAN


46/61


I($'i-asi sis$ -u'ci +ai''0a 6sis$

%$'i'2 +ai''0a7

P$$ri-saa' $r-a+a

P$rai-a' i+a a(a -$rusa-a'



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RUMASAKIT

JUDUL

N; D;-u$' N;. r$a-a'

Pr;s$(ur

U'i$r-ai


50/61

$a(i'2 & -;a-'0a (ic$a- %a(a s$ia% ha+aa'

K;a- RS (i$ri 'aa & +;2; RS 6i+a RS $%. L;2;7

Ju(u+ SOP = (i$ri >u(u+/'aa SOP s$suai %r;s$s

-$r>a'0a, isa+ = K;'su+asi $(is, Bi;%si 2i'>a+,

P$rsia%a' %asi$' ;%$rasi,(s N;. D;-u$' = (iisi s$suai ('2 -$$'ua' %$';;ra'

02 $r+a-u (i RS 0s 02 (iua sis$ais a2ar a(a

-$s$ra2aa'

N;. r$


51/61

a+aa' = (iisi ';;r ha+aa' ('2 $'ca'u-a' >u2a

;a+ ha+aa' u- SOP s. Misa+ SOP ('2 1 ha+aa'

ha+aa' %$raa = #/1) ha+aa' -$(ua !/1,(s

Pr;s$(ur $a% (i$ri %$'aaa' s$suai -$$'au' 6isi+ah7

02 (i2u'a-a' RS, isa+'0a Pr;s$(ur, Pr;s$(ur $a%,

P$u'>u- %$+a-sa'aa', %r;s$(ur -$r>a,(s

Ta'22a+ $ri = (i$ri a'22a+ s$suai ('2 a'22a+ $ri'0a

02 harus s$suai ('2 a'22a+ (i$r+a-u-a''0a SOP $rs$u

Di$a%-a' Dir$-ur = (i$ri a'(a a'2a' Dir$-ur (a'

'aa >$+as

K;a- h$a(i'2 %a(a ha+aa':ha+aa' $ri-u'0a (a%a

ha'0a $ua = -;a- 'aa RS, >u(u+ SOP, N; (;-u$',

KOTAK HEADING


52/61


53/61

. Pr;s$(ur=a2ia' i'i r%- a2ia' uaa 02

$'2urai-a' +a'2-ah:! -$2iaa' u- $'0$+$sai-a'

%r;s$s -$r>a , & sa9/%$u2as 02 $rw$ 'a'2.

Di(a+a'0a (% (ica'u-a' a+a/9;ru: +ir/9asi+ias

02 (i2u'a-a', wa-u, 9r$-u$'si (a+a %r;s$s -$r>a 02

(i2u'a-a'. Bi+a $u'2-i'-a', (iurai-a' s$cara

+$'2-a% u'sur:! 02 $'0a'2:-u = SIAPA, DIMANA,

KAPAN & BAGAIMANA 6h;, wha, wh$r$, wh$', h;w7

1. U'i $r-ai=$risi u'i:u'i 02 $r-ai & aau %r;s$(ur

$r-ai (a+a %r;s$s -$r>a s

ISI SOP

KEAMANAN &


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KEAMANAN &KESELAMATAN

#. SPO %$'a'2a'a' +a%;ra' -$hi+a'2a'

ara'2 (i RS

!. SPO %$$ria' a(2$ 'a$ u'u-%$'2u'>u'2

*. SPO %$$ri-saa' 9asi+ias

. SPO %$$ri-saa' u'i i'($%$'($'

1. SPO i+a a(a a0i hi+a'2 6-;($ %i'-7



55/61


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DISASTER

SPO -;($ $rah 6-$a-ara'7 SPO -;($ iru 62a2a+ >a'u'2/'a9as7

SPO -;($ %i'- 6a0i hi+a'27



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TERIMA KASI

Email : [email protected] : 08!"#
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