Hak Pasien Dan Kelurga

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    HAK PASIEN DAN KELUARGA

    SK DIREKTUR HAK PASIEN DAN KELUARGA

    KEPUTUSAN DIREKTUR RUMAH SAKIT UMUM DAERAH ARSADA JAWA BARAT

    NOMOR :01/ARSADA/2013

     TENTANG

    PERLINDUNGAN TERHADAP HAK-HAK PASIEN DAN KELUARGA

    DIREKTUR RUMAH SAKIT UMUM DAERAH ARSADA JAWA BARAT

    Menim!n" : !# B!$%! &'m!$ (!)i* !+!,!$ in(*i*'(i e,!.!n!n .!n"

    meme&i)!n e,!.!n!n )e(e$!*!n e&&!n"!n (e!&!!&i'&n! +!,!m en.e,en""!&!!n.! (en!n*i!(!

    men"$&m!*i )ee&!.!!n +!n ni,!i-ni,!i !(ien (e&*!

    +en"!n en'$ e&$!*i!n "'n! men!"! )e$&m!*!n +!n

    m!&*!!*n.!#

    # B!$%! e,!.!n!n )e(e$!*!n &'m!$ (!)i* $!&'( +!!*

    memen'$i )e'*'$!n +!n $!&!!n m!(.!&!)!* !)!n

    e&*!m!$ !i) +en"!n men"i)'*(e&*!)!n !(ien +!n

    )e,'!&"! +en"!n meme&i)!n +')'n"!n *e&$!+! $!)

    !(ien +!n )e,'!&"! (e,!m! +!,!m &(e( e,!.!n!n#

    # B!$%! 'n*') men'n!n" en.e,en""!&!!n +!n &(e(

    e,!.!n!n (e!"!im!n! +im!)('+ !+! $'&' ! +!n

    4 +ie&,')!n e&,in+'n"!n *e&$!+! $!)-$!) !(ien +!n

    )e,'!&"! .!n" +i*e*!)!n +en"!n Ke'*'(!n Di&e)*'

    Men"in"!* : 1# Un+!n"-'n+!n" Re',i) In+ne(i! Nm& : 35 T!$'n

    2006 *en*!n" Ke(e$!*!n T!m!$!n Lem!&!n Ne"!&!

    Nm& 70534

    2# Un+!n"-'n+!n" Nm& 88 T!$'n 2006 *en*!n" R'm!$

    S!)i* Lem!&!n Ne"!&! Re',i) In+ne(i! T!$'n 2006

    Nm& 173 T!m!$!n Lem!&!n Ne"!&! Re',i)

    In+ne(i! Nm& 70924

    3# Pe&!*'&!n Men*e&i Ke(e$!*!n Nm& : 176

    /Men)e(/SK/Pe&/II/166; *en*!n" R'm!$ S!)i*

    8# Ke'*'(!n Men*e&i Ke(e$!*!n Nm& :

    929/Men)e(/SK/

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    In*e&n!, R'm!$ S!)i* H(i*!, . L!%(4

    7# Ke'*'(!n Men*e&i Ke(e$!*!n Nm&

    1333/Men)e(/SK/=II/1666 *en*!n" S*!n+!& Pe,!.!n!n

    R'm!$ S!)i*

    5# Ke'*'(!n Men*e&i Ke(e$!*!n Nm&

    22;/Men)e(/SK/III/2002 *en*!n" Pe+m!n Pen.'('n!n

    S*!n+!& Pe,!.!n!n Minim!, R'm!$ S!)i* Um'm D!e&!$

    9# Un+!n"-'n+!n" Nm& 32 *!$'n 2008 *en*!n"

    Peme&in*!$!n D!e&!$ Lem!&!n Ne"!&! T!$'n 2008

    Nm& 127T!m!$!n Lem!&!n Ne"!&! Nm& 88394

    ;# Pe&!*'&!n Peme&in*!$ Nm& 81 T!$'n 2009 *en*!n"

    O&"!ni(!(i Pe&!n")!* D!e&!$ Lem!&!n Ne"!&!

    Re',i) In+ne(i! T!$'n 2009 Nm& ;6 *!m!$!n

    Lem!&!n Ne"!&! Re',i) In+ne(i! Nm& 89814

    MEMUTUSKAN

    Mene*!)!

    n

    :

    PERTAMA : Ke'*'(!n Di&e)*'& RSUD ARSADA J!%! B!&!*

    *en*!n" Pe&,in+'n"!n *e&$!+! H!)-$!) P!(ien +!n

    Ke,'!&"!#

    KEDUA : A+!'n H!)-$!) P!(ien +!n Ke,'!&"! (e!"!im!n!

    +im!)('+ +!,!m +i)*'m PERTAMA )e'*'(!n ini

    !+!,!$ H!) P!(ien .!n" (e('!i +en"!n e&!*'&!n

    +!n e&'n+!n"!n .!n" e&,!)' P!(!, 32 Un+!n"-

    'n+!n" Nm& 88 T!$'n 2006 *en*!n" R'm!$ S!)i*4#

    KETIGA : Den"!n +i*e*!)!nn.! )e'*'(!n ini (e,'&'$ (*!>  

    me+i( )ee&!%!*!n en'n!n" me+i( +!n nn

    me+i( (e&*! >'n"(in!, e,!)(!n! ,!inn.! %!i

    meme&,!)')!n !(ien +!n )e,'!&"!n.! +en"!n

    en'$ $&m!* +!n m!&*!!* (e('!i +en"!n

    e&!*'&!n +!n e&'n+!n"!n .!n" e&,!)'

    (e!"!im!n! +im!)('+ !+! +i)*'m KEDUA

    )e'*'(!n ini#

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    KEEMPAT : Un*') men!!i *''!n e,!.!n!n .!n" e&m'*'

    (e"!,! $!, .!n" e&)en!!n +en"!n

    en.e,en""!&!!nn.! $en+!)n.! +i,!n+!(i +en"!n

    )e&!(!m! +!n !&*i(i!(i .!n" !i) +en"!nmen"em!n")!n )ei!)!n +!n &(e+'& .!n"

    men+')'n" )e*e&,i!*!n !(ien +!n )e,'!&"! +!,!m

    &(e( e,!.!n!n#

    KELIMA : Se"!,! (e('!*' .!n" e&)en!!n +en"!n $!,-$!, .!n"

    e,'m *e&*'!n" +!,!m Ke'*'(!n ini !)!n +i!*'&

    )em'+i!n +!,!m e+m!n +!n &*! e,!)(!n!!n

    +im!n! $!, ini me&'!)!n (!*' +)'men .!n" *i+!)

    *e&i(!$)!n#

    KEENAM : Un*') men+')'n" e,!)(!n!!n )e'*'(!n ini !&!

    Pe!!* S*&')*'&!, Ke!,! Bi+!n"/B!"i!n Ke!,!

    Se)(i +!n U&'(!n (e&*! Ke!,! In(*!,!(i +!n Uni*

    Ke&!/R'!n" R!%!* In! +!n R!%!* J!,!n (e&*!

    Pen'n!n" ,!inn.! %!i men((i!,i(!(i)!n )ei!)!n

    ini )e!+! (e,'&'$ (*!> e,!)(!n! >'n"(in!, .!n"

    e&!+! !+! ,in")' *!n""'n" !%!n.!#

    KETUJUH : Ke'*'(!n ini e&,!)' (e!) *!n""!, +i*e*!)!n

    +!n !!i,! *e&+!!* )e)e,i&'!n !)!n +i,!)')!n

    e&!i)!n +en"!n (e!"!im!n! me(*in.!#

    Di*e*!)!n +i :

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    P!+! *!n""!, :

    RUMAH SAKIT UMUM DAERAH ARSADA JAWA BARAT

    Di&e)*'&

    LAMPIRAN

    HAK DAN KEWAJIBAN PASIEN DI RSa. HAK PASIEN :

    14 P!(ien e&$!) meme&,e$ in>&m!(i men"en!i *!*! *e&*i +!n

    e&!*'&!n .!n" e&,!)' +i &'m!$ (!)i*

    8

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    24 P!(ien e&$!) !*!( e,!.!n!n .!n" m!n'(i!%i !+i, +!n ''&

    34 P!(ien e&$!) meme&,e$ e,!.!n!n me+i( .!n" e&m'*' (e('!i+en"!n (*!n+!& &>e(i )e+)*e&!n/)e+)*e&!n "i"i +!n *!n!+i()&imin!(i

    84 P!(ien e&$!) meme&,e$ !('$!n )ee&!%!*!n +en"!n (*!n+!&&>e(i )ee&!%!*!n

    74 P!(ien e&$!) memi,i$ +)*e& +!n )e,!( e&!%!*!n (e('!i +en"!n)ein"in!nn.! +!n (e('!i +en"!n e&!*'&!n .!n" e&,!)' +i &'m!$(!)i*

    54 P!(ien e&$!) +i&!%!* ,e$ +)*e& .!n" (e!&! e!( menen*')!nen+!!* ),ini( +!n en+!!* e*i(n.! *!n! !m'& *!n"!n +!&ii$!) ,'!&

    94 P!(ien e&$!) memin*! )n(',*!(i )e!+! +)*e& ,!in .!n"*e&+!>*!& +i &'m!$ (!)i* *e&(e'* (en+ inin4 *e&$!+!en.!)i* .!n" +i+e&i*!n.! (een"e*!$'!n +)*e& .!n" me&!%!*

    ;4 P!(ien e&$!) !*!( ?&i@!. +!n )e&!$!(i!!n en.!)i* .!n"+i+e&i*! *e&m!(') +!*!-+!*! me+i(n.!

    64 P!(ien e&$!) men+!!* in>&m!(i .!n" me,i'*i :

    • en.!)i* .!n" +i+e&i*! *in+!)!n me+i) !! .!n" $en+!)+i,!)')!n

    • )em'n")in!n en.!)i* (e!"!i !)i!* *in+!)!n *e&(e'* +!n*in+!)!n 'n*') men"!*!(in.!

    • !,*e&n!*i> *e&!i ,!inn.!

    • &"n(!n.!

    e&)i&!!n i!.! en"!*!n

    104 P!(ien e&$!) men.e*''i/meme&i)!n iCin !*!( *in+!)!n .!n"!)!n +i,!)')!n ,e$ +)*e& (e$''n"!n +en"!n en.!)i* .!n"+i+e&i*!n.!

    114 P!(ien e&$!) men,!) *in+!)!n .!n" $en+!) +i,!)')!n*e&$!+! +i&in.! +!n men"!)$i&i en"!*!n (e&*! e&!%!*!n !*!(*!n""'n" !%! (en+i&i (e('+!$ meme&,e$ in>&m!(i .!n" e,!(*en*!n" en.!)i*n.!

    124 P!(ien e&$!) +i+!min"i )e,'!&"!n.! +!,!m )e!+!!n )&i*i(

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    134 P!(ien e&$!) men!,!n)!n i!+!$ (e('!i !"!m!/)ee&!.!!n.!n" +i!n'*n.! (e,!m! $!, i*' *i+!) men""!n""' !(ien ,!inn.!

    184 P!(ien e&$!) !*!( )e!m!n!n +!n )e(e,!m!*!n +i&in.!(e,!m! +!,!m e&!%!*!n +i &'m!$ (!)i*

    174 P!(ien e&$!) men"!')!n '(', (!&!n e&!i)!n !*!(e&,!)'!n e&,!)'!n &'m!$ (!)i* *e&$!+! +i&in.!

    154 P!(ien e&$!) mene&im! !*!' men,!) imin"!n m&i,m!''n (i&i*'!,#

    b. KEWAJIBAN PASIEN :

    14 P!(ien +!n )e,'!&"!n.! e&)e%!i!n 'n*') men*!!*i (e"!,!e&!*'&!n +!n *!*! *e&*i &'m!$ ()!i*

    24 P!(ien e&)e%!i!n 'n*') mem!*'$i (e"!,! in(*&')(i +)*e& +!ne&!%!* +!,!m en"!*!nn.!

    34 P!(ien e&)e%!i!n meme&i)!n in>&m!(i +en"!n ''& +!n(e,en")!n.! *en*!n" en.!)i* .!n" +i+e&i*! )e!+! +)*e& .!n"

    me&!%!*#

    5

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    PROGRAM HAK PASIEN DAN KELUARGA

    BAB I

    PENDAHULUAN

    A# LATAR BELAKANGUn+!n"-'n+!n" *en*!n" Pe&'m!$(!)i*!n n 88 *!$'n 2006

    men'n*'* (em'! R'm!$ S!)i* 'n*') menin")!*)!n m'*' ,!.!n!n

    )e(e$!*!n# H!(i, e,!.!n!n !(ien !)!n e&*!m!$ !i) i,! !(ien

    +!n )e,'!&"! !*!' me&e)! .!n" e&$!) men"!mi, )e'*'(!n

    +ii)'*(e&*!)!n +!,!m )e'*'(!n e,!.!n!n +!n &(e( .!n" (e('!i

    +en"!n $!&!!n +!n '+!.!#Un*') menin")!*)!n $!) !(ien +i R'm!$ S!)i* $!&'( +im',!i

    +en"!n men+eni(i)!n $!) *e&(e'* )em'+i!n men+i+i) !(ien

    +!n (*!> *en*!n" $!) *e&(e'*# P!(ien +ie&i*!$' *en*!n" $!)

    me&e)! +!n !"!im!n! $!&'( e&(i)!# Kem'+i!n men+i+i) (*!> 

    'n*') men"e&*i +!n men"$&m!*i )ee&!.!!n +!n ni,!i-ni,!i!(ien +!n meme&i)!n e,!.!n!n +en"!n en'$ e&$!*i!n +!n

    $&m!* "'n! men!"! m!&*!!* !(ien#

    B# TUJUAN UMUM DAN KHUSUS1# T''!n Um'm

    P!(ien +!n )e,'!&"! men+!!*)!n $!)n.! (e,!m! &(e(

    e,!.!n!n )e(e$!*!n +i R'm!$ S!)i*#2# T''!n K$'('(

    !# R'm!$ S!)i* K$'('( I' +!n An!) K*! B!n+'n" me,in+'n"i

    H!) P!(ien +!n Ke,'!&"! (e,!m! &(e( e,!.!n!n )e(e$!*!ne&,!n"('n"

    9

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    # P!(ien +!n )e,'!&"! men"e*!$'i $!)n.! (e,!m! &(e(

    e,!.!n!n )e(e$!*!n# S*!> R'm!$ S!)i* men"e*!$'i +!n mem!$!mi $!) !(ien +!n

    )e,'!&"!#

    BAB IIKEGIATAN

    A# KEGIATAN POKOK Mem>!(i,i*!(i !*!' men.i!)!n (em'! +)'men Pen'n!n" +!n ((i!,i(!(i

    )e"i!*!n $!) !(ien +!n )e,'!&"!#

    B# RINIAN KEGIATAN

    NO

    Namakegiatan

    Tujuan

    Sasaan

    Met!"e

    #aktu

    Dana

    $!%ume

    Pj

    1 Mem'!*)ei!)!n *en*!n"en.e,en""!&!!nH!) P!(ien +!nKe,'!&"!

    A+!n.!)ei!)!n*en*!n"en.e,en""!&!!nH!)P!(ien+!nKe,'!&"

    !

    Di&e)*'& Di()'(i+!nen"e*i)!n

    BLUD D I&!

    2 Men.'('ne+m!n +!,!men.e,en""!&!!nH!) P!(ien +!nKe,'!&"!

    A+!n.!Pe+m!n+!,!men.e,en""!&!!nH!)P!(ien+!n)e,'!&"!

    Se,'&'$(*!> R'm!$S!)i*K$'('(I' +!nAn!)

    Di()'(i+!nen"e*i)!n

    BLUD D I&!De*i

    3 Men.'('n SPOH!) P!(ien +!nKe,'!&"!

     Te&+!!* SPO.!n",en")!

    Se,'&'$(*!> R'm!$S!)i*K$'('(

    Di()'(i+!nen"e*i)!n

    BLUD D I&!De*i

    ;

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    *en*!n"en.e,en""!&!!n$!)P!(ien+!n)e,'!&"!

    I' +!nAn!)

    8 Men((i!,i(!(i)!nH!) P!(ien +!nKe,'!&"! )e (e*i!&'!n"!n

    H!)!(ien+!n)e,'!&"!*e&((i!,(!(i)!n!+!(e,'&'$(*!> R'm!$S!)i*K$'('(I' +!nAn!)K*!B!n+'n"

    Se,'&'$(*!> R'm!$S!)i*K$'('(I' +!nAn!)

    Pem'!*!nB!nne&meneme,)!nP!mFe**en*!n"H!)P!(ien+!n)e,'!&"!)e(em'!&'!n"!n

    BLUD Se,'&'$!n""*!)e,m) B!2

    # SKEDUL JADWAL4 PELAKSANAAN KEGIATAN

    N

    O

    NAMA

    KEGIATAN

    B U L A N

     JAN EB MAR APRIL

    MEI JUNI JULI AGUS

    SEP T

    OK  T

    NOP

    1 Pe&*em'!nPem'!*!n&"&!m

    2 Pe&*em'!n((i!,i(!(i

    &"&!m3 Pe&*em'!nem'!*!ne+m!n

    8 S(i!,i(!(ie+m!n

    7 Pem'!*

    !n SPO+!n

    6

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    ((i!,i(!(i SPO

    5 E@!,'!(i$!(i,)e"i!*!n

    9 Bimin"!n K!&(; E@!,'!(i6 S'&@ei

    D# LAMPIRAN BIAA

    N Ke*e&!n"!n

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    Pe,!&!n )e"i!*!n !)!n +i,!)')!n (e*i! ',!n !+! *!n""!, 1

    +en"!n >&m!* e,!&!n (e!"!i e&i)'* :

    N

    O

    N!m! Ke"i!*!n Pe,!)(!n!!

    n

    In'* Tin+!)

    L!n'*1

    # PENATATANPELAPORAN DAN E

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    (e*e,!$ men+!!*)!n ene,!(!n (e!"!i $!)n.! (e,!m! e,!.!n!n

    +i&'m!$ (!)i*#

    BAB II

    RUANG LINGKUP

    - Sem'! !(ien .!n" e&)'n'n" )e ARSADA JAWA BARAT- Sem'! S*!> ARSADA JAWA BARAT +!,!m meme&i)!n e,!.!n!n $!)

    !(ien +!n )e,'!&"!#

    BAB III

     TATALAKSANA

    A# T!n""'n" J!%! R'm!$ S!)i* +!,!m men+')'n" H!) P!(ien +!n

    Ke,'!&"! T!n""'n" !%! &'m!$ (!)i* +!,!m men+')'n" $!) !(ien +!n

    )e,'!&"! *e&+i&i +!&i :1# Mem'!* )mi*men e&(!m! (e,'&'$ S*!> 'n*') men+')'n" $!)

    !(ien2# Mem'!* )mi*men +en"!n men.e+i!)!n (!&!n! .!n" memen'$i

    $!) !(ien +!n )e,'!&"!3# Mem'!* )ei!)!n !"i !(ien e&i(i) (ee&*i !(ien ,!n(i! +!n

    !(ien T'n! &'n"' *'n! %i!&! +!n T'n! Ne*&! (e&*! !!* (i)

    +en"!n meme&i)!n e,!.!n!n e&'! +i>!(i,i*!(i +en"!n ,e$

    e*'"!( )e(e*i! e,!.!n!n .!n" +i! in"in)!n +!n mem>!(i,i*!(i

    )'&(i &+! (e&*! !,!* !n*' ,!inn.! (e&*! mem>!(i,i*!(i 'n*')

    ',!n"n.! !(ien (!m!i !*!( "e&!n" &'m!$ (!)i* +en"!n

    in+i!*& +in.!*!)!n !m!n .!i*' !m!n +!&i &e(i) !*'$ !m!n +!&i

    *in+!)!n K&imin!,8# Se*i! *in+!)!n e,!.!n!n (e,!,' meme&$!*i)!n ni,!i-ni,!i &i!+i

    +!n )ee&!.!!n !(ien mi((!,n.! i,! +)*e&/e&!%!* me,!)')!n

    *in+!)!n !"!& !(ien men"in"!*)!n mem!! +! (e('!i

    )ee&!.!!nn.!

    7# Se,!,' mem>!(i,i*!(i )ee&!.!!n !(ien (e('!i +en"!n (!&!n!.!n" +imi,i)i i,! !(ien meme&,')!n &i*'!, )e.!)in!nn.!

    5# Mem>!(i,i*!(i )e'*'$!n !(ien +!,!m $!, &i@!(i !(ien (e*i!

    *in+!)!n (e,!,' men""'n!)!n (!mi&!n !*!' +i &'!n"!n *in+!)!n

    %!%!n!&! ),ini) eme&i)(!!n +!n *in+!)!n me+i(,!inn.!4 !"!&

    *in+!)!n *i+!) +i)e*!$'i !(ien ,!inn.!9# P!(ien +i(e+i!)!n ,em!&i !(ien n!)!(4 .!n" memi,i)i )'ni !"!&

    *e&$in+!& +!&i en'&i!n i,! meme,i)i !&!n" e&$!&"! (e!i)n.!

    'n*') +i(im!n +i&'m!$ +!n i,! men"!,!mi )e(',i*!n +i*i*i)!n

    )e!+! e&!%!* i+!n +en"!n men""'n!)!n e&i*! !!&! (e&!$

    *e&im!

    12

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    ;# P!(ien +ie&i)!n in>&m!(i !$%! *!n""'n" !%! !&!n" mi,i)

    !(ien +!,!m !*!( en"!%!(!n +!n (e('!i e&n.!*!!n n#96# Un*') mene"!$ +!&i )e)e&!(!n (i) .!n" +i,!)')!n e*'"!(

    +i(e+i!)!n nme& )n*!) e&(n 'n*') men"!+'10# P!(ien !n!)-!n!) +!n !.i +i>!(i,i*!(i !"!&

    *e&$in+!& +!&i *in+!)!n e&,!)'!n )!(!& !*!' )e)e&!(!n (i)

    +en"!n !&! (,!,' +imni*&in" ,e$ ('e&@i(&11# P!(ien .!n" *i+!) meme,i)i i+en*i*!( !)!n

    +i&!%!* (!m!i !(ien +in.!*!)!n ,!.!) 'n*') +i !%! )e.!.!(!n

    !*!' .!n" men"!+(in.! (e('!i e&!*'&!n .!n" e&,!)'#12# Se*i! !(ien m!(') &'m!$ (!)i* *i+!)

    +ie&)en!n)!n 'n*') +i*',i( +!,!m !!n in>&m!(i !"!& *e&!"!

    )e&!$!(i!!nn.!13# Se*i! !(ien +ie&i)!n in>&m!(i $!) +!n

    *!n""'n" !%!n.! +!n +i+)'men*!(i)!n +en"!n men!n+!*!n"!ni +)'men in>&m!(i#

    B# D')'n"!n R'm!$ (!)i* Te&$!+! $!) !(ien +!n )e,'!&"! +!,!m

    P&(e( Pe,!.!n!n1# Se*i! !(ien +iin>&m!(i)!n +i!"n(! !*!( !(ien *e&(e'* +en"!n

    me,i$!* +!&i )n+i(i !(ien *in")!* (*&e(( !(ien42# P!(ien +i e&i)!n in>&m!(i &en!n! !('$!n e&!%!*!n +!n

    en"!*!n3# P!(ien +!n )e,'!&"! +ie&i)!n ene,!(!n *en*!n" in>&me+

    n(en* +!n $!)n.! !i) e&'! e&(e*''!n !*!''n

    en,!)!nn.!8# Pe*'"!( mene,!()!n )n(e)%en(i +!&i en,!)!n +!n

    e&(e*''!nn.! .!n" +i,!)')!n !(ien +!n )e,'!&"!7# Pe*'"!( mene,!()!n e& *!n""'n" !%!!n !(ien +!n )e,'!&"!

    !*!( en,!)!n +!n e&(e*''!nn.!5# Pe*'"!( mene,!()!n !,*e&n!*i@e en"!*!n !*!' e&!%!*!n .!n"

    i(! +i,!)')!n ,e$ !(ien +!n )e,'!&"! !*!( en,!)!n *in+!)!n9# Pe*'"!( mem'!* in>&me+ n(en* !*!( *in+!)!n &e('(i*!(i +!n

    !n*'!n $i+' +!(!& i,! !(ien men,!) +!n men.e*''inn.!;# Pe*'"!( mem>!(i,i*!(i &'!n"!n .!n" n.!m!n +!,!m men"$&m!*i

    !(ien !*!( n&m! !"!m! +!n '+!.! .!n" +i.!)inin.!6# Pe*'"!( me,!)')!n m!n!"emen n*&, n.e&i (e('!i +en"!n

    )n+i(i !(ien +i,!)')!n +en"!n men""'n!)!n me*+e

    !*(i,"i >!&m!),"i +!n mem!ni',!(i n.e&i10# Pe*'"!( mem>!(i,i*!(i +!n en+!min"!n

    (!)!&!*', m!'*/+e!*$ !n+ +.in"## Pe,!.!n!n Pene,!(!n Ke!+! !(ien +!n Ke,'!&"! A*!( *e&!+in.!

    Pe&e+!!n Pen+!!* +!,!m P&(e( Pe,!.!n!n1# Pe*'"!( mene,!()!n &(e( en.!m!i!n )e,'$!n )nFi) !*!'

    e&e+!!n en+!!* .!i*' me,!,'i e*'"!( in>&m!(i !*!' +en"!n

    men""'n!)!n ('&!* .!n" +im!(')!n )e+!,!m )*!) (!&!n

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    2# B!"i!n m'*' &'m!$ (!)i* me,!)')!n *e,!!$!n !*!' ene,'('&!n

    !*!( )e,'$!n )nFi) +!n e&e+!!n en+!!* +!n i,!

    mem'n")in)!n !(ien !*!' )e,'!&"! !(ien i)'* *e&,i!*

    +i+!,!mn.!D# Pen+i+i)!n S*!> +!,!m D!,!m men"i+en*i)!(i Ni,!i-Ni,!i +!n

    Kee&!.!!n P!(ien1# S*!> +i !!&)!n *en*!n" *!*! !&! me,!)')!n i+en*i)!(i ni,!i-ni,!i

    +!n )ee&!.!!n !(ien m!''n )e,'!&"!n.! +en"!n SPO .!n"

    ('+!$ +ie&,!)')!n2# S*!> +i !!&)!n *en*!n" e&!n +!,!m me,!)')!n i+en*i)!(i ni,!i-

    ni,!i +!n )ee&!.!!n !(ien m!''n )e,'!&"!n.! +en"!n SPO

    .!n" ('+!$ +ie&,!)')!nE# Pe,!.!n!n D!,!m Pene,!(!n $!) +!n T!n""'n" J!%! P!(ien Se,!m!

    Be&!* +!n Pe&!%!*!n Di &'m!$ (!)i*

    1# Pe*'"!( men.e&!$)!n in>&m!(i *en*!n" $!) +!n *!n""'n" !%!!(ien +!n )e,'!&"! .!n" ('+!$ +i'!* +!,!m ,e!Fe*

    2# Pe*'"!( meneme,)!n +!,!m +in+in" !*!' +i'!* +!,!m !ne&

    +!,!m +i!m!n" +i(e*i! *em!* .!n" +i,!,'i !(ien +!n )e,'!&"!3# Pe*'"!( mene,!()!n +en"!n men""'n!)!n me*+e ,!inn.! i,!

    +i!n""! +en"!n me*+e )m'ni)!(i +!n in>&m!(i *i+!) e>e)*i> # Pe,!.!n!n Informed Consent 

    1# Pe*'"!( mene,!()!n &(e( informed consent  )e!+! !(ien +!n

    )e,'!&"!2# M!n!"emen R'm!$ (!)i* men" SK )!n !*!' men'n') e*'"!(

    'n*') mene,!(!)!n informed consent  )e!+! !(ien +!n )e,'!&"!(e*e,!$ +i,!*i$ *e&,ei$ +!$',' +en"!n SPO .!n" ('+!$

    +ie&,!)')!n3# Pe*'"!( mene,!()!n *en*!n" )n+i(i !(ien &en!n! en"!*!n

    me,i'*i :!# Kn+i(i !(ien# U(',!n en"!*!n# N!m! in+i@i+' .!n" meme&i)!n en"!*!n+# Kem'n")in!n m!n>!!* +!n )e)'&!n"!nn.!e# Kem'n")in!n !,*e&n!*i@e

    ># Kem'n")in!n )ee&$!(i,!n"# Kem'n")in!n *im',n.! m!(!,!$ (e,!m! m!(! em',i$!n$# Kem'n")in!n $!(i, .!n" *e&!+i !!i,! *i+!) +i!*i

    8# Pe*'"!( men""'n!)!n !!n n!m!/I+en*i*!( !"!& +i)en!, ,e$

    !(ien7# Pe*'"!( meme&i)!n )e(em!*!n !*!' )n*&!) %!)*' i,! !(ien

    +!n )e,'!&"! mem'*'$)!n in>&m!(i *!m!$!n5# Informed consent  .!n" ('+!$ +i *!n+! *!n"!ni ,e$ !(ien !*!'

    )e,'!&"! !(ien +i(im!n +!,!m &e)!m me+i9# Bi,! informed consent  .!n" +ie&i)!n ,e$ i$!) ,!in !*!' i$!) )e

    *i"! e&,' +i,!)')!n en")!i!n +!n i(! +i"'n!)!n i,! (e('!i+en"!n 'n+!n"'n+!n" '+!.! !*!' i(*i!+!* .!n" e&,!)'

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    ;# Pe*'"!( mene,!()!n *en*!n" ,in")' !*!' !)'!n informed

    consent  .!n" *e,!$ +i(e*''i ,e$ !(ien6# M!n!"emen &'m!$ (!)i* *e,!$ mene*!)!n eme&,!)'!n

    informed consent  (e('!i ,in")' e,!.!n!n10# Pe*'"!( mene,!()!n (ee,'m *in+!)!n e&!(i

    !*!' &(e+'& in>!(i@e i,! !)!n +i,!)')!n *in+!)!n *e&(e'*11# Pe*'"!( mene,!()!n &i(i) m!n>!!* +!n

    !,*e&n!*i@ *in+!)!n 'n*') men+!!*)!n e&(e*''!n +!,!m

    *in+!)!n !n!(*e(i!12# Pe*'"!( men+!!*)!n e&(e*''!n (ee,'m

    en""'n!!n +!&!$ !*!' &+!) +!&!$ +!n *e&,ei$ +!$','

    mene,!()!n &i(i) +!n m!n>!!*n.!13# Pe*'"!( .!n" mene,!()!n informed consent

    men!*!* n!m! +!n *!n+! *!n"!n .!n" e&(!n")'*!n +!,!m

    &e)!m me+i18# M!n!"emen &'m!$ (!)i* *e,!$ men.'('n +!>*!&

    *in+!)!n en"!*!n .!n" meme&,')!n17# e(e&*''!n (e*e,!$ meme&,,e$ e&(e*''!n

    +!&i +)*e& !*!' &>e(i ,!inn.!G# Pe,!.!n!n $!) !(ien Se!"!i S'.e) D!,!m Pene,i*i!n

    1# Pe*'"!( mene,!()!n !*!' meme&i in>&m!(i *en*!n" ene,i*i!n

    .!n" !)!n +i,!)')!n ,e$ ene,i*i i,! !(ien .!n" e&(!n")'*!n

    +ie&,!)')!n (e!"!i ('.e) ene,i*i!n2# Pene,!(!n !*!' in>&m!(i me,i'*i :

    !# M!n>!!* .!n" +i$!&!)!n# Kem'n")in!n/*en(i )e*i+!) n.!m!n!n +!n &i(i)# A,*e&n!*i> .!n" +!!* men,n" me&e)!+# P&(e+'& .!n" $!&'( +ii)'*i

    3# Pe*'"!( meme&i)!n ene,!(!n *en*!n" &(e+'& &*,

    ene,i*i!n .!n" +ie&,!)')!n8# Pe*'"!( mene,!()!n *en*!n" &(e+'& 'n*') menim!n" m!n>!!*

    +!n &i(i) !"i e(e&*!/!(ien7# Pe*'"!( mene,!()!n *en*!n" *!*! !&! e&(e*''!n i,! !(ien

    *e&(e'* (e!"!i ('.e) ene,i*i!n

    5# Pe*'"!( mene,!()!n *!*! !&! en,!)!n ene,i*i!n i,! !(ien*e&(e'* ('.e) ene,i*i!nH# Informed consent  +ie&,e$ (ee,'m !(ien !&!*i(i!(i ene,i*i!n

    1# Pe*'"!(/Pene,i*i meme&,e$ informed consent  (ee,'m +i,!)')!n

    ene,i*i!n2# Informed consent  +ie&i *!n""!, +!n e&+!(!&)!n !*!( ene,!(!n

    .!n" ('+!$ +ie&,!)')!n3# Informed consent  .!n" ('+!$ men+!!*)!n e&(e*''!n +i!*!*

    +!,!m &e)!m me+i( !(ien +!n +i*!n+! *!n"!ni ,e$ e*'"!( .!n"

    e&(!n")'*!n

    I# Me)!ni(me en"!%!(!n +!,!m ene,i*i!n !i) .!n" +i,!)')!n ,e$i$!) &'m!$ (!)i* m!''n +i,'!& &'m!$ (!)i*

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    1# M!n!"emen &'m!$ (!)i*/+i),!* *e,!$ mem'!* SPO *en*!n" *!*!

    !&! en"!%!(!n ene,i*i!n2# SPO +i((i!,i(!(i)!n )e!+! e*'"!( .!n" *e&)!i* !"!& mem!$!mi

    +!&i SPO en"!%!(!n *e&(e'*3# SPO $!&'( e&i(i m!)('+ +!&i en"!%!(!n ene,!!$!n &(e+'&

    menim!n" &i(i) m!n>!!* )e&!$!(i!!n +!n )e!m!n!n in>&m!(i J# Dn!(i O&"!n

    1# Pe*'"!( mene,!()!n *en*!n" *!*! !&! men.'m!n")!n &"!n

    +!n !&in"!n *''$ ,!inn.! !&i(i :!# M!n>!!*# D!n &i(i)n.!

    2# Pe*'"!( men+')'n" i,i$!n !(ien +!n )e,'!&"! (e('!i +en"!n

    i,i$!n +!,!m men.'m!n")!n &"!nK# Pen"!%!(!n +!,!m en"!mi,!n *&!n(,!n*!(i &"!n *''$ +!n

     !&in"!n *''$ ,!inn.!1# M!n!"emen men.'('n !*!' mem'!* )ei!)!n +!,!m &(e(

    men+!!*)!n +!n men+n*!(i)!n &"!n2# Pene,!(!n en"!mi,!n +!n *&!n(,!n*!(i)!n &"!n .!n"

    +i,!)')!n ,e$ e*'"!( .!n" ('+!$ +i,!*i$ *en*!n" $!, *e&(e'*3# R'm!$ (!)i* men+!!*)!n e&(e*''!n +!&i +n& $i+'8# R'm!$ (!)i* e)e&!(!m! +en"!n &"!ni(!(i m!(.!&!)!* +!,!m $!,

    +n!(i &"!n#

    BAB I<

    DOKUMENTASI

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    1# B!nne& H!) !(ien +!n Ke,'!&"!2# T!n+! *!n"!n e&(!m! +!,!m em'!*!n )mi*men $!) !(ien +!n

    )e,'!&"!

    3# SPO Km'ni)!(i )e!+! !(ien +!n )e,'!&"!8# SPO Pe,!.!n!n &$!ni7# SPO De!*$ !n+ D.in"5# SPO P&i@!(i P!(ien9# SPO Pen"!mi, !,i$!n/eni*i!n !&!n" mi,i) !(ien;# SPO Pen!n"!n!n B!.i Te&,!n*!&9. SPO Informed Consent 10# SPO Peme&i!n In>&m!(i Me+i(11# SPO In>&m!(i Ren!n! A('$!n Pe&!%!*!n12# SPO Pen")!i!n N.e&i13# SPO Pen.!m!i!n +!n en!n"!n!n Ke,'$!n

    P!(ien18# SPO Pen")!i!n Ni,!i ni,!i +!n Kee&!.!!n

    P!(ien17# SPO In>&m!(i H!) +!n T!n""'n" !%! P!(ien15# SPO Pen.im!n!n &m',i& In>&me+ n(en*

    +!,!m Re)!m Me+i)19# SPO Pene,i*i!n K,ini( +!,!m R'm!$ S!)i*1;# Le!>,e* $!) +!n *!n""'n" !%! !(ien +!n

    )e,'!&"!16# T!*! *e&*i R'm!$ S!)i*#

    &. 'ANNER HAK PASIEN DAN KELUARGA

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    LAMPIRAN

    HAK DAN KEWAJIBAN PASIEN DI RS :

    a. HAK PASIEN :

    14 P!(ien e&$!) meme&,e$ in>&m!(i men"en!i *!*! *e&*i +!ne&!*'&!n .!n" e&,!)' +i &'m!$ (!)i*

    24 P!(ien e&$!) !*!( e,!.!n!n .!n" m!n'(i!%i !+i, +!n ''&

    34 P!(ien e&$!) meme&,e$ e,!.!n!n me+i( .!n" e&m'*'(e('!i +en"!n (*!n+!& &>e(i )e+)*e&!n/)e+)*e&!n "i"i +!n*!n! +i()&imin!(i

    84 P!(ien e&$!) meme&,e$ !('$!n )ee&!%!*!n +en"!n

    (*!n+!& &>e(i )ee&!%!*!n

    74 P!(ien e&$!) memi,i$ +)*e& +!n )e,!( e&!%!*!n (e('!i+en"!n )ein"in!nn.! +!n (e('!i +en"!n e&!*'&!n .!n"e&,!)' +i &'m!$ (!)i*

    54 P!(ien e&$!) +i&!%!* ,e$ +)*e& .!n" (e!&! e!(menen*')!n en+!!* ),ini( +!n en+!!* e*i(n.! *!n!!m'& *!n"!n +!&i i$!) ,'!

    94 P!(ien e&$!) memin*! )n(',*!(i )e!+! +)*e& ,!in .!n"*e&+!>*!& +i &'m!$ (!)i* *e&(e'* (en+ inin4 *e&$!+!en.!)i* .!n" +i+e&i*!n.! (een"e*!$'!n +)*e& .!n"me&!%!*

    ;4 P!(ien e&$!) !*!( ?&i@!. +!n )e&!$!(i!!n en.!)i* .!n"+i+e&i*! *e&m!(') +!*!-+!*! me+i(n.!

    64 P!(ien e&$!) men+!!* in>&m!(i .!n" me,i'*i :

    • en.!)i* .!n" +i+e&i*! *in+!)!n me+i) !! .!n" $en+!)

    +i,!)')!n

    • )em'n")in!n en.!)i* (e!"!i !)i!* *in+!)!n *e&(e'*

    +!n *in+!)!n 'n*') men"!*!(in.!

    • !,*e&n!*i> *e&!i ,!inn.!

    • &"n(!n.!

    • e&)i&!!n i!.! en"!*!n#

    1;

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    104 P!(ien e&$!) men.e*''i/meme&i)!n iCin !*!( *in+!)!n .!n"!)!n +i,!)')!n ,e$ +)*e& (e$''n"!n +en"!n en.!)i* .!n"+i+e&i*!n.!

    114 P!(ien e&$!) men,!) *in+!)!n .!n" $en+!) +i,!)')!n

    *e&$!+! +i&in.! +!n men"!)$i&i en"!*!n (e&*! e&!%!*!n!*!( *!n""'n" !%! (en+i&i (e('+!$ meme&,e$ in>&m!(i.!n" e,!( *en*!n" en.!)i*n.!#

    124 P!(ien e&$!) +i+!min"i )e,'!&"!n.! +!,!m )e!+!!n )&i*i(#

    134 P!(ien e&$!) men!,!n)!n i!+!$ (e('!i !"!m!/)ee&!.!!n.!n" +i!n'*n.! (e,!m! $!, i*' *i+!) men""!n""' !(ien,!inn.!#

    184 P!(ien e&$!) !*!( )e!m!n!n +!n )e(e,!m!*!n +i&in.!(e,!m! +!,!m e&!%!*!n +i &'m!$ (!)i*

    174 P!(ien e&$!) men"!')!n '(', (!&!n e&!i)!n !*!(e&,!)'!n &'m!$ (!)i* *e&$!+! +i&in.!#

    154 P!(ien e&$!) mene&im! !*!' men,!) imin"!n m&i,m!''n (i&i*'!,

    b. KEWAJIBAN PASIEN :

    14 P!(ien +!n )e,'!&"!n.! e&)e%!i!n 'n*') men*!!*i (e"!,!e&!*'&!n +!n *!*! *e&*i &'m!$ (!)i*

    24 P!(ien e&)e%!i!n 'n*') mem!*'$i (e"!,! in(*&')(i +)*e&+!n e&!%!* +!,!m en"!*!nn.!

    34 P!(ien e&)e%!i!n meme&i)!n in>&m!(i +en"!n ''& +!n(e,en")!n.! *en*!n" en.!)i* .!n" +i+e&i*! )e!+! +)*e&.!n" me&!%!*#

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    (. TANDA TANGAN 'ERSAMA DALAM PEM'UATAN KOMITMEN HAK

    PASIEN DAN KELUARGA T!n+! *!n"!n e&(!m! +!,!m em'!*!n )mi*men $!) !(ien +!n

    )e,'!&"! K!mi .!n" e&*!n+! *!n"!n +i!%!$ ini e&)mi*men !)!n

    me,in+'n"i +!n men!"! $!)-$!) !(ien +!n )e,'!&"!#

    NO# N!m! J!!*!n T!n+! *!n"!n

     

    Di&e)*'&

      ARSADA JAWABARAT

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      **+

    ). SPO KOMUNIKASI

    KOMUNIKASI KEPADA PASIEN DAN KELUARGA

    N# D)'men

    1#2#1#001

    N# Re@i(i

    -

    H!,!m!n

    1/1

    SPO T!n""!, Te&i*

    11 MARET 2013

    Di*e*!)!n :

    Di&e)*'& RS ARSADA JAWA BARATPENGERTIAN Meme&i)!n in>&m!(i +!&i e*'"!( )e!+! ene&im!

    in>&m!(i !(ien +!n )e,'!&"!4 (e!&! ,!n"('n" +!n

    *i+!) ,!n"('n" !,!* )m'ni)!(i 4 .!n" +i,!)')!n(e!&! +'! !&!$#TU*UAN Se!"!i !'!n +i +!,!m e&)m'ni)!(i e*'"!( )e

    e*'"!( +!n e*'"!( )e e,!n""!n#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!

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    PROSEDUR 1# Pe*'"!( men"'!)!n (!,!m

    !((!,!m'!,!i)'m/(e,!m!* !"i/ (e,!m!*

    (&e/(e,!m!* m!,!m42# Pe*'"!( men"!n""')!n )e!,! (e!"!i $&m!*

    )e!+! !(ien +!n )e,'!&"! !(ien43# B!!)/i'/+e !! .!n" (!.! i(! !n*'8# Pe*'"!( men"!&!$)!n )em!n! )ee&,'!n/*''!n

    !(ien +!n )e,'!&"! !(ien .!n" +i)e$en+!)i7# Ke*i)! !(ien ',!n"/)e,'!&"! e*'"!(

    men"'!)!n *e&im!)!(i$ !*!( )'n'n"!n n.!#UNIT TERKAIT Sem'! In(*!,!(i Pe,!.!n!n

    +. TATA ,ARA MEMPEROLEH PELA-ANAN ROHANI

    Tata aa mem/e!%e0 /e%a1anan !0ani

    N# D)'men

    1#2#1#1#1#002

    N# Re@i(i

    -

    H!,!m!n

    1/1

    SPO T!n""!, Te&i*

    11 MARET 2013

    Di*e*!)!n :

    Di&e)*'& ARSADA JAWA BARATPENGERTIAN Pe,!.!n!n &$!ni !+!,!$ en+!min"!n )e&$!ni!n

    !+! (i*'!(i *e&*en*' (e('!i +en"!n !"!m! +!n

    )ee&!.!!n !(ienTU*UAN  Te&,!)(!n!n.! $!) !(ien +!,!m men!,!n)!n

    )e"i!*!n &$!nin.!

    KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# P!(ien/)e,'!&"! memin*! !"!& i! !(ien4 +i+!min"i

    22

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    ,e$ &$!ni!%!n !+! (i*'(i *e&*en*'# Mi(!,n.! !+!

    (!!* e&(!,in!n .!n" (',i* !(ien .!n" (!n"!* em!(

    +en"!n )e!+!!n +i&in.! !*!''n !(ien *e&min!,#2# Bi+!n/Pe&!%!* mene,!()!n !+! !(ien/)e,'!&"!

    !$%! en+!min"!n !)!n +i,!)(!n!)!n

    +en"!n/,e$ &$!ni!%!n +en"!n !*!(!n %!)*'

    (e('!i +en"!n )ee&,'!n !(ien +!n &i*'!, .!n"

    +i,!)(!n!)!n *i+!) (!m!i men""!n""' !(ien .!n"

    ,!in3# Bi+!n/Pe&!%!* men"$''n"i *im e,!.!n!n

    )e&$!ni!n +i RS ARSADA (e('!i +en"!n !"!m! +!n

    )ee&!.!!n !(ien8# Bi+!n/Pe&!%!* men"!n*!& +!n meme&)en!,)!n

    &$!ni!%!n .!n" !)!n men+!min"i !(ien !+!

    !(ien +!n )e,'!&"!n.!7# Bi,! !(ien memi,i)i en+!min" &$!ni .!n" )$'('(

    +i ,'!& *im e,!.!n!n &$!ni +i RS ARSADA

    en+!min"!n +ie&,e$)!n +en"!n (.!&!*

    +i)e*!$'i ,e$ i$!) R'm!$ S!)i* +!n en+!min"!n

    e&!*!( %!)*' (e&*! &i*'!, .!n" +i,!)(!n!)!n *i+!)

    (!m!i men""!n""' !(ien .!n" ,!in5# Se*e,!$ me,!)')!n en+!min"!n &$!ni!%!n

    men!*!* )e"i!*!nn.! !+! (*!*'( !(ien .!n"

    e&(!n")'*!n#

    UNIT TERKAIT1# In(*!,!(i G!%!* +!&'&!*2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# P,i),ini)7# K!m!& Oe&!(i

    2. DEATH AND D-ING

    'imbingan Pasien S1akaatu% maut "an

    Meningga%

    N# D)'men N# Re@i(i H!,!m!n

    23

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    1#2#2#7#003 - 1/1

    SPO T!n""!, Te&i*

    11 MARET 2013

    Di*e*!)!n :

    Di&e)*'& ARSADA JAWA BARATPENGERTIAN P!(ien S.!)!&!*', m!'* !+!,!$ !(ien .!n" +!,!m

    )n+i(i *e&min!,

    P!(ien Menin""!, !+!,!$ !(ien .!n" *e,!$

    +in.!*!)!n m!*i (e!&! i,"i( ,e$ +)*e&TU*UAN  Te&en'$in.! $!) !(ien +!n )e,'!&"! !+! (!!*

    !(ien S.!)!&!*', m!'*/ menin""!,KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# D)*e& men.!*!)!n !$%! !(ien +!,!m )n+i(i

    *e&min!,2# Bi+!n/Pe&!%!* mem!(!n" "&+en !*!' (!mi&!n +i

    (e)i*!& *em!* *i+'&3# Bi+!n/Pe&!%!* meme&(i,!)!n )e,'!&"! +!n

    )e&!!* 'n*') men+!min"i !(ien8# Bi+!n/Pe&!%!* men!%!&)!n )e!+! )e,'!&"!

    !!)!$ meme&,')!n en+!min"!n +!&i

    &$!ni!%!n

    7# Bi+!n/Pe&!%!* meme&,e$)!n )e,'!&"! i,!mem!%! &$!ni!%!n &i!+i5# Bi+!n/Pe&!%!* meme&,e$)!n )e,'!&"! i,! !)!n

    e&+! e&(!m! (e,!m! *i+!) men""!n""' !(ien

    ,!in9# Bi+!n/Pe&!%!* e&(!m! +en"!n D)*e& +!n

    )e,'!&"! !(ien men+!min"i !(ien *e&min!,;# Se*e,!$ !(ien +in.!*!)!n menin""!, ,e$ +)*e&

    Bi+!n/Pe&!%!* me,e!()!n (em'! !)(e( !* +!n

    )(i"en .!n" *e&!(!n" !+! !(ien

    6# Jen!C!$ +i*'*' +en"!n )!in en'*' +!&i ''n")!)i (!m!i ''n" )e!,!

    10# Bi+!n/e&!%!*

    meme&(i,!)!n )e,'!&"! 'n*') men'n""'i en!C!$

    (!m!i 2 !m (e!) +in.!*!)!n menin""!,11# Se*e,!$ 2 !m en!C!$

    +i!%! ',!n" ,e$ )e,'!&"! +en"!n +i!n*!&

    e*'"!( +!&i &'m!$ (!)i*#

    UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*

    2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n

    28

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    8# K!m!& Oe&!(i

    3. SPO PRI$ASI PASIEN

    Pi4asi Pasien

    N# D)'men

    1#2#1#2#008

    N# Re@i(i

    -

    H!,!m!n

    1/1

    SPO T!n""!, Te&i*

    11 MARET 2013

    Di*e*!)!n :

    Di&e)*'& ARSADA JAWA BARAT

    PENGERTIAN P&i@!(i P!(ien !+!,!$ (e"!,! (e('!*' .!n" e&(i>!*&!$!(i! !'&!* !*!' $!, ,!in .!n" *i+!) ,e$ +i)e*!$'i

    ,e$ !(ien ,!in en"'n'n" !*!''n i$!) ,!in .!n"

    *i+!) +iin"in)!n !(ien#TU*UAN Se!"!i en'n*'n +!,!m men!"! &i@!(i !(ien

    (e,!m! &(e( e&!%!*!n#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# Pe*'"!( Ke(e$!*!n *i+!) mem!m!n" n!m!

    !(ien +i !!n (e$in""! )ee&!+!!n !(ien

    *i+!) +i)e*!$'i &!n" ,!in

    2# Se*i! !)!n me,!)')!n *in+!)!nD)*e&/Bi+!n/Pe&!%!*/e*'"!( L!&!*&i'm

    mem!(!n" (!mi&!n !*!' "&+en3# Tin+!)!n $!n.! ,e$ +i(!)(i)!n ,e$ )e,'!&"!

    !*!' i$!) ,!in i)! !(ien men"iCin)!n8# D!,!m me,!)')!n *in+!)!n

    D)*e&/Bi+!n/Pe&!%!*/e*'"!( L!&!*&i'm

    men!"! &i@!(i !(ien +en"!n $!n.! mem')!

    !"i!n *''$ .!n" +ie&,')!n 'n*') *in+!)!n7# D)*e&/Bi+!n/Pe&!%!*/e*'"!( L!&!*&i'm

    men!"! )e&!$!(i!!n !(ien i)! +i*em')!n

    )e!!*!n !*!' $!, ,!in .!n" !(ien men"in"in)!n

    'n*') *i+!) +i)e*!'i &!n" ,!in#5# P!+! (!!* *in+!)!n e&,!n"('n" e*'"!( ,!in *i+!)

    ,e$ m!(') )e +!,!m &'!n" *in+!)!n )e'!,i

    'n*') )een*in"!n .!n" (!n"!* men+e(!)9# Se*e,!$ me,!)')!n *in+!)!n e*'"!( me&!i)!n

    )em!,i ,in")'n"!n !(ienUNIT TERKAIT D)*e&/Bi+!n/Pe&!%!*/ e*'"!( L!&!*&i'm

    27

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    5. SPO PENGAM'IL ALIHAN 'ARANG MILIK PASIEN

    Pengambi% a%i0an 6/eniti/an baang mi%ik /asien

    N# D)'men

    1#2#1#3#007

    N# Re@i(i

    -

    H!,!m!n

    1/1SPO T!n""!, Te&i*

    11 MARET 2013

    Di*e*!)!n :

    Di&e)*'& RS ARSADA JAWA

    BARATPENGERTIAN Pen"!mi,!,i$!n !*!' eni*i!n !+!,!$ en.e&!$!n

    *!n""'n" !%! e&,in+'n"!n *e&$!+! !&!n" mi,i)

    !(ienTU*UAN  Te&,in+'n"in.! !&!n" mi,i) &i!+i !(ien +!n

    )e,'!&"!KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# Bi+!n/Pe&!%!* mene,!()!n !+! !(ien !$%!

    !+! (!!* !(ien *i+!) m!m' men!"! !&!n"

    &i!+i mi,i)n.! )!&en! !)!n +i,!)')!n ('!*'

    *in+!)!n .!n" men.e!)!n !(ien *i+!)

    (!+!&)!n +i&i m!)! en!"!!n !&!n" mi,i)

    !(ien +i(e&!$)!n !+! )e,'!&"! !(ien2# A+!'n +!,!m )n+i(i !(ien *i+!) +i!n*!& ,e$

    )e,'!&"! m!)! en!"!!n !&!n" mi,i)n.!

    +i(e&!$)!n !+! Bi+!n/Pe&!%!* !"! +i &'!n"!n

    *e&)!i*3# Bi+!n/Pe&!%!* mem'!* ')*i *e&*',i( (e&!$

    *e&im! !&!n" .!n" +i*!n+!*!n"!ni ,e$ )e+'!

    e,!$ i$!)8# Bi+!n/Pe&!%!* men"e&)!n !&!n" mi,i) !(ien

    *e&(e'* !+! e*'"!( !"! e&i)'*n.! +en"!n

    men!n+!*!n"!ni ')' (e&!$ *e&im! !&!n"#

    25

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    UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# K!m!& Oe&!(i

    7. SPO PENANGANAN 'A-I TERLANTAR

    Penanganan ba1i te%anta

    N# D)'men

    1#2#1#8#005

    N# Re@i(i

    -

    H!,!m!n

    1/1

    SPO T!n""!, Te&i*

    11 MARET 2013

    Di*e*!)!n :

    Di&e)*'& RS ARSADA JAWA

    BARATPENGERTIAN B!.i Te&,!n*!& !+!,!$ !.i .!n" +i*in""!,)!n ,e$

    &!n" *'! )!n+'n"n.! (e,!m! 3 $!&i !*!' ,ei$

    *!n! !+! )n&m!(i +!&i i$!) )e,'!&"!TU*UAN Se!"!i !'!n 'n*') en!n"!n!n !.i *e&,!n*!&KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# Bi+!n/Pe&!%!* me,!&)!n )ee&!+!!n !.i .!n"

    +i*e,!n*!&)!n ,e$ &!n" *'!n.! (e*e,!$ 3 $!&i )e

    !"i!n Pe,!.!n!n Me+i)2# B!"i!n Pe,!.!n!n Me+i) men"$''n"i Din!( S(i!,/

    Din!( *e&)!i* 'n*') me,!&)!n )ee&!+!!n !.i

    .!n" +i*e,!n*!&)!n3# Din!( S(i!,/Din!( *e&)!i* me,!)')!n )'n'n"!n )e

    R'm!$ S!)i* 'n*') me,i$!* )n+i(i !.i8# Bi,! )e!+!!n !.i (e$!* +!n mem'n")in)!n 'n*')

    +i&!%!* i!(! m!)! i$!) Din!( S(i!, !)!nmem!%! !.i *e&(e'* )e Din!( S(i!,

    29

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    7# Se&!$ *e&im! !.i *e&,!n*!& mem!)!i ('&!* e&i*!

    !!&! .!n" +i*!n+!*!n"!ni )e+'! e,!$ i$!) +!&i

    i$!) RSKIA +!n Din!( S(i!,45# Bi,! )e!+!!n !.i *i+!) mem'n")in)!n +i&!%!*

    i!(! +!n meme&,')!n e&!%!*!n in*en(i> m!)!

    Din!( S(i!, !)!n meni*i)!n !.i *e&(e'* +i

    R'm!$ S!)i* (!m!i )n+i(i !.i mem'n")in)!n

    'n*') +i&!%!* i!(!#

    UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# R'!n"!n Pe&in!*,"i

    8.  SPO IN9ORMED ,ONSENT

    IN9ORMED ,ONSENT

    N# D)'men

    1#2#1#5#009

    N# Re@i(i

    -

    H!,!m!n

    1/1

    SPO T!n""!, Te&i*

    11 MARET 2013

    Di*e*!)!n :

    Di&e)*'& ARSADA JAWA BARATPENGERTIAN S'!*' )e"i!*!n +i+!,!m meme&i)!n in>&m!(i

    *en*!n" *in+!)!n .!n" !)!n +i,!)')!n )e!+! !(ien

    +!n meme&,')!n ('!*' e&(e*''!n +!&i !(ien !*!'

    )e,'!&"! !(ien#TU*UAN Se!"!i !'!n +i +!,!m meme&i)!n in>&m!(i

    *en*!n" *in+!)!n .!n" !)!n +i,!)')!n )e!+! !(ien

    +!n meme&,')!n ('!*' e&(e*''!n +!&i !(ien !*!'

    )e,'!&"! !(ien#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!

    2;

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    PROSEDUR 1# D)*e& (e*i! menem')!n

    e&)em!n"!n/e&'&')!n )n+i(i !(ien

    (ee,'m/ (e('+!$ me,!)')!n *in+!)!n !*!''n

    !!i,! !(ien/)e,'!&"! men!n.!)!n in>&m!(i

    )e(e$!*!nn.! (e,!,' (i! meme&i)!n ene,!(!n*en*!n" in>&m!(i me+i( !(ien

    2# D)*e& *e&,ei$ +!$',' men.!! !(ien +!n

    me,!)')!n eme&i)(!!n !+! !(ien3# D)*e& men"!n!,i(! +)'men*!(i me+i(

    !(ien/')' (*!*'( !(ien8# D)*e& meme&i)!n in>&m!(i me+i( !+! !(ien

    +!n )e,'!&"!7# Se*e,!$ mene,!()!n +)*e& meme&i)!n

    )e(em!*!n )e!+! !(ien/)e,'!&"! 'n*')

    e&*!n.! e&)!i*!n +en"!n in>&m!(i me+i( .!n"*e,!$ +i(!m!i)!n

    5# Bi,! !(ien +!n )e,'!&"! *e,!$ '!( +en"!n

    in>&m!(i .!n" +i(!m!i)!n D)*e& e&!mi*!n

    )e!+! !(ien +!n )e,'!&"!9# Bi,! *e&n.!*! in>&m!(i me+i( i*' 'n*')

    e,!)(!n!!n *in+!)!n !(ien/)e,'!&"! men"i(i

    >&m',i& in>&m n(en* +!n mem''$)!n *!n+!

    *!n"!n e&(e*''!n *in+!)!n#UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*

    2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# P,i),ini)7# K!m!& Oe&!(i

    &. SPO PEM'ERIAN IN9ORMASI MEDIS

    Pembeian in;!masi me"is

    N# D)'men

    1#2#1#5#00;

    N# Re@i(i

    -

    H!,!m!n

    1/1

    SPO T!n""!, Te&i*

    11 MARET 2013

    Di*e*!)!n :

    Di&e)*'& ARSADA JAWA BARAT

    26

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    PENGERTIAN In>&m!(i Me+i( !+!,!$ in>&m!(i .!n" e&)!i*!n

    +en"!n +i!"n(! +!n &"n(! en.!)i* !(ien .!n"

    +i(!m!i)!n ,e$ +)*e& )e!+! !(ien +!n )e,'!&"!

    (e('!i +en"!n )e'*'$!n e,!.!n!n )e(e$!*!n

    !(ienTU*UAN P!(ien men+!!* in>&m!(i *en*!n" )e!+!!n

    )e(e$!*!nn.! +!&i +)*e&KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# D)*e& (e*i! menem')!n

    e&)em!n"!n/e&'&')!n )n+i(i !(ien

    (ee,'m/ (e('+!$ me,!)')!n *in+!)!n !*!''n

    !!i,! !(ien/)e,'!&"! men!n.!)!n in>&m!(i

    )e(e$!*!nn.! (e,!,' (i! meme&i)!n ene,!(!n

    *en*!n" in>&m!(i me+i( !(ien

    2# D)*e& *e&,ei$ +!$',' men.!! !(ien +!nme,!)')!n eme&i)(!!n !+! !(ien

    3# D)*e& men"!n!,i(! +)'men*!(i me+i(

    !(ien/')' (*!*'( !(ien8# D)*e& meme&i)!n in>&m!(i me+i( !+! !(ien

    +!n )e,'!&"!7# Se*e,!$ mene,!()!n +)*e& meme&i)!n

    )e(em!*!n )e!+! !(ien/)e,'!&"! 'n*')

    e&*!n.! e&)!i*!n +en"!n in>&m!(i me+i( .!n"

    *e,!$ +i(!m!i)!n5# Bi,! !(ien +!n )e,'!&"! *e,!$ '!( +en"!n

    in>&m!(i .!n" +i(!m!i)!n D)*e& e&!mi*!n

    )e!+! !(ien +!n )e,'!&"!9# Bi,! *e&n.!*! in>&m!(i me+i( i*' 'n*')

    e,!)(!n!!n *in+!)!n !(ien/)e,'!&"! men"i(i

    >&m',i& in>&m n(en* +!n mem''$)!n *!n+!

    *!n"!n e&(e*''!n *in+!)!n#UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*

    2# K!m!& Be&(!,in

    3# R'!n" Pe&!%!*!n8# P,i),ini)7# K!m!& Oe&!(i

    &&. SPO IN9ORMASI PEREN,ANAAN ASUHAN

    PERA#ATAN

    30

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    In;!masi Peenanaan asu0an /ea&m!(i e&en!n!!n !('$!n e&!%!*!n !+!,!$

    in>&m!(i *en*!n" en!n"!n!n .!n" !)!n +ie&i)!n

    )e!+! !(ienTU*UAN Se!"!i in>&m!(i 'n*') !(ienKE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# Pe&!%!* men"in>&m!(i)!n )e!+! !(ien +!n

    )e,'!&"! !(ien *en*!n" en!n"!n!n .!n" !)!n+ie&i)!n )e!+! !(ien (e,!m! +ie&i)!n

    e&!%!*!n2# Pe&!%!* mem >,% '/@i(i*e !(ien e&(!m!

    +)*e& eme&i)(!3# Men.i!)!n !,!* me+i( 'n*') en!n"!n!n .!n"

    !)!n +i,!)')!n8# Pe&!%!* me,!)')!n *in+!)!n me+i(7# Men"n*&, )e!+!!n !(ien (e*e,!$ me,!)')!n

    *in+!)!n me+i(

    5# Men"'!)!n m!!> i,! $en+!) me,!)')!n*in+!)!n +!n men"'!)!n *e&im!)!(i$ (e*e,!$

    me,!)')!n *in+!)!n#

    UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# R'!n"!n Pe&in!*,"i

    31

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    &(. SPO PENGKA*IAN N-ERI

    Pengkajian N1ei

    N# D)'men

    1#2#2#8#0010

    N# Re@i(i

    -

    H!,!m!n

    1/2

    SPO T!n""!, Te&i*

    11 MARET 2013

    Di*e*!)!n :

    Di&e)*'& ARSADA JAWA BARATPENGERTIAN N.e&i !+!,!$ (en(&i ('e)*i> +!n em(in!, .!n"

    *i+!) men.en!n")!n .!n" +i+!!* *e&)!i* +en"!n

    )e&'(!)!n !&in"!n !)*'!, m!''n *en(i!, !*!'

    men""!m!&)!n )n+i(i *e&!+in.! )e&'(!)!n

    Pen")!i!n n.e&i !+!,!$ en"'m',!n +!*! !i) (e!&!

    ('e)*i> +!n e)*i> (e$in""! +i +!!* ('!*'

    )e(im',!n *en*!n" (*!*'( n.e&i !+! !(ienTU*UAN Se!"!i en'n*'n +!,!m en")!i!n n.e&iKE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# D)*e&/Bi+!n/Pe&!%!* e&*!n.! !+! !(ien *en*!n"

    n.e&i .!n" +i+e&i*!n.! me,i'*i :

    -Se!) )!!n +!n e&!! ,!m! n.e&i +i&!(!)!n ,e$!(ien

    - See&!! (e&in" n.e&i +i!,!mi !(ien- A!)!$ n.e&i mene*! !*!')!$ $i,!n" *im',- D!,!m )n+i(i !! n.e&i *im',- See&!! )'!* in*en(i*!( n.e&i .!n" +i&!(!)!n

    !(ien2# D!,!m men"')'& in*en(i*!( n.e&i !+! !(ien

    D)*e&/Bi+!n/Pe&!%!* men""'n!)!n !,!* !n*'

    e&'! "!m!& ()!,! in*en(i*!( n.e&i

      0 1 2 3 8 7 5 9

    ; 6 10Ke*e&!n"!n :0 : Ti+!) n.e&i1-3 : N.e&i &in"!n : (e!&! e)*i> !(ien +!!*

    e&)m'ni)!(i8-5 : N.e&i (e+!n" : (e!&! e)*i> !(ien men+e(i(

    men.e&i!n"!i +!!* men'n'))!n ,)!(i n.e&i

    +!!* men+e()&i(i)!nn.! +!!* men"i)'*i

    e&in*!$ +en"!n !i)9-6 : N.e&i e&!* : (e!&! e)*i> !(ien *e&)!+!n"

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    *i+!) +!!* men"i)'*i e&in*!$ *!i m!(i$ &e(n

    *e&$!+! *in+!)!n +!!* men'n'))!n ,)!(i n.e&i

    *i+!) +!!* men+e()&i(i)!nn.! *i+!) +!!* +i!*!(i

    +en"!n !,i$ (i(i n!>!( !n!n" +!n +i(*&!)(i10 : n.e&i (!n"!* e&!* : P!(ien ('+!$ *i+!) m!m'

    ,!"i e&)m'ni)!(i mem')', *i+!) i(! men"n*&,

    +i&in.!43# D)*e&/Bi+!n/Pe&!%!* me,!)')!n eme&i)(!!n

    +en"!n me&!! mene)!n men"e*') +!e&!$ .!n"

    +in.!*!)!n (!)i* ,e$ !(ien +!n me,i$!* &e(n

    !(ien !+! (!!* eme&i)(!!n *e&(e'*

    Pengkajian N1ei

    N# D)'men

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    N# Re@i(i

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    H!,!m!n

    2/2

    8# Se*e,!$ me,!)')!n en")!i!n

    D)*e&/Bi+!n/Pe&!%!* menen*')!n *in")!* n.e&i

    !(ien (e!"!i +!(!& 'n*') me,!)(!n!)!n

    *in+!)!n/!('$!n e&i)'*n.!#UNIT TERKAIT D)*e&/Bi+!n/Pe&!%!*

    33

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    &). SPO PEN-AMPAIAN KELUHAN PASIEN

     

    Pen1am/aian "an /enanganan ke%u0an /asien

    N# D)'men

    1#2#3#0011

    N# Re@i(i

    -

    H!,!m!n

    1/1

    SPO T!n""!, Te&i*

    11 MARET 2013

    Di*e*!)!n :

    Di&e)*'& RS ARSADA JAWA

    BARAT

    PENGERTIAN S'!*' e&n.!*!!n Ke,'$!n !(ien !+!,!$ e&n.!*!!n

    )e*i+!) '!(!n +!&i !(ien !*!' )e,'!&"! !(ien

    *en*!n" &(e( e,!.!n!n +i R'm!$ S!)i*#TU*UAN Ke,'$!n !(ien *e&(!m!i)!n +en"!n *e!* +!n

    en!& !(ien +!n )e,'!&"! me&!(! '!( +en"!n

    e,!.!n!n +i R'm!$ S!)i*#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# Ke,'$!n !(ien .!n" *e&*',i( +i,em!& )e,'$!n

    *e&)'m', !+! )*!) (!&!n .!n" *e&(e+i! +i

    &'!n"!n2# K*!) (!&!n +i')! +!n +i&e)! ,e$ !"i!n m'*'

    e,!.!n!n (e*i! $!&i (!*' !"!& m!(!,!$ +!n

    )e,'$!n e!* *e&*!n"!ni43# Lem!& )e,'$!n !(ien (e*i! ',!n +i&e)!

    )e'!,i !+! )!('( !*!' m!(!,!$ .!n" men+e(!)8# E@!,'!(i ,em!& )e,'$!n !(ien +!n +i!&i

    en.e,e(!i!n +!&i )e,'$!n !(ien *e&(e'*7# B!"i ,em!& )e,'$!n .!n" e,!( i+en*i*!(n.! !)!n

    +i!n""i, ,e$ i$!) e,!.!n!n me+i( +!n

    +i,!)')!n ene,!(!n +!&i )e+'! e,!$ i$!) (e&*!+i!&i !,!n )e,'!&n.!

    38

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    5# B!"i )e,'$!n .!n" *i+!) e,!( i+en*i*!(n.! !)!n

    +i!+i)!n (e!"!i +!(!& e@!,'!(i 'n*')

    menin")!*)!n e,!.!n!n .!n" !)!n +!*!n"#9# P!+! )*!) (!&!n $!&'( (e,!,' *e&(e+i! ,em!&!n

    'n*') men',i( (e"!,! )&i*i) (!&!n (e&*! )e,'$!n

    !(ien# J'"! *e&(e+i! !,in 'n*') men',i(#

    UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# P,i),ini)7# K!m!& Oe&!(i

    &+. SPO PENGKA*IAN NILAI=NILAI DAN

    KEPER,A-AAN PASIEN

    Pengkajian ni%ai=ni%ai "an ke/ea1aan /asien

    N# D)'men

    1#2#1#1#0012

    N# Re@i(i

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    H!,!m!n

    1/1

    SPO T!n""!, Te&i*

    11 MARET 2013

    Di*e*!)!n :

    Di&e)*'& RS ARSADA JAWA BARAT

    PENGERTIAN S'!*' )e"i!*!n +i +!,!m me,!)')!n en")!i!n

    *en*!n" ni,!i-ni,!i +!n )ee&!.!!n .!n" +i!n'* !(ien

    !*!' )e,'!&"!#TU*UAN Se!"!i !'!n +!,!m me,!)')!n en")!i!n *en*!n"

    ni,!i-ni,!i +!n )ee&!.!!n .!n" +i!n'* !(ien !*!'

    )e,'!&"!#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!

    37

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    PROSEDUR 1# Pe*'"!( men"'!!)!n (!,!m2# Pe*'"!( meme&)en!,)!n +i&i3# Pe*'"!( men!n.!)!n Bi+!*! !(ien n!m! 'm'&

    en+i+i)!n !,!m!*48# Pe*'"!( men!n.!)!n ni,!i-ni,!i .!n" +i!n'* ,e$

    !(ein .!n" *e&+i&i +!&i :!# B!$!(! .!n" +i "'n!)!n# M!)!n!n .!n" +i,!&!n"# !&!-!&! me,!)')!n i!+!$+# Ke"i!*!n )e&$!ni!n .!n" i!(! +i,!)')!n

    7# Pen'*' )m'ni)!(i i,! (e,e(!i me,!)')!n

    en")!i!n#

    UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*2# K!m!& Be&(!,in

    3# R'!n" Pe&!%!*!n8# P,i),ini)7# K!m!& Oe&!(i

    &2. SPO IN9ORMASI HAK DAN TANGGUNG

     *A#A'

    In;!masi Hak "an tanggung ja&m!(i

    35

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    *en*!n" $!) +!n *!n""'n" !%! !(ien (e,!m!

    e&)'n'n" )e &'m!$ (!)i*#TU*UAN Se!"!i !'!n +i +!,!m meme&i)!n in>&m!(i *en*!n"

    $!) +!n *!n""'n" !%! !(ien (e,!m! e&)'n'n" )e

    &'m!$ (!)i*#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1#Pe*'"!( meme&(i,!$)!n !(ien/)e,'!&"! 'n*')

    meme&,e$ in>&m!(i *en*!n" $!) +!n *!n""'n"

     !%! !(ien +!n )e,'!&"!2# Pe*'"!( mene,!()!n $!) !(ien +!n *!n""'n"

     !%! )e,'!&"! +i &'m!$ (!)i* .!n" *e&+i&i +!&i :

    !# P!(ien e&$!) meme&,e$ in>&m!(i men"en!i

    *!*! *e&*i +!n e&!*'&!n .!n" e&,!)' +i &'m!$

    (!)i*

    # P!(ien e&$!) !*!( e,!.!n!n .!n" m!n'(i!%i!+i, +!n ''&

    # P!(ien e&$!) meme&,e$ e,!.!n!n me+i(

    .!n" e&m'*' (e('!i +en"!n (*!n+!& &>e(i

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    +i()&imin!(i

    +# P!(ien e&$!) meme&,e$ !('$!n )ee&!%!*!n

    +en"!n (*!n+!& &>e(i )ee&!%!*!n

    e# P!(ien e&$!) memi,i$ +)*e& +!n )e,!(

    e&!%!*!n (e('!i +en"!n )ein"in!nn.! +!n(e('!i +en"!n e&!*'&!n .!n" e&,!)' +i &'m!$

    (!)i*

    ># P!(ien e&$!) +i&!%!* ,e$ +)*e& .!n" (e!&!

    e!( menen*')!n en+!!* ),ini( +!n en+!!*

    e*i(n.! *!n! !m'& *!n"!n +!&i i$!) ,'!&

    "# P!(ien e&$!) memin*! )n(',*!(i )e!+! +)*e&

    ,!in .!n" *e&+!>*!& +i &'m!$ (!)i* *e&(e'*

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    +i+e&i*!n.! (een"e*!$'!n +)*e& .!n"me&!%!*

    $# P!(ien e&$!) !*!( ?&i@!. +!n )e&!$!(i!!n

    en.!)i* .!n" +i+e&i*! *e&m!(') +!*!-+!*!

    me+i(n.!

    i# P!(ien e&$!) men+!!* in>&m!(i .!n"

    me,i'*i :

    • en.!)i* .!n" +i+e&i*! *in+!)!n me+i) !!

    .!n" $en+!) +i,!)')!n

    • )em'n")in!n en.!)i* (e!"!i !)i!*

    *in+!)!n *( (e'* +!n *in+!)!n 'n*')

    39

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    men"!*!(in.!

    • !,*e&n!*i> *e&!i ,!inn.!

    • &"n(!n.!

    In;!masi Hak "an tanggung ja&m!(i+en"!n ''& +!n (e,en")!n.! *en*!n" en.!)i*

    3;

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    .!n" +i+e&i*! )e!+! +)*e& .!n" me&!%!*#

    3# P!(ien +i *!n.!)!n/!$!m !*!( in>&m!(i .!n"

    +i(!m!i)!n8# Bi,! !(ien !&' men"e&*i +i',!n" )em!,i $!,-$!,

    .!n" e,'m +imen"e&*i7# Pe*'"!( men"'!)!n )m'ni)!(i en'*' i,! *e,!$

    (e,!(!i meme&i)!n in>&m!(i#UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*

    2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# P,i),ini)7# K!m!& Oe&!(i

    &3. SOP PEN-IMPANAN 9ORMULIR IN9ORM

    ,ONSENT DALAM REKAM MEDIK

    Pen1im/anan 9!mu%i In;!m ,!nsent "a%am

    Rekam Me"ik 

    N# D)'men

    1#2#5#0018

    N# Re@i(i

    -

    H!,!m!n

    1/1

    SPO T!n""!, Te&i*

    11 MARET 2013

    Di*e*!)!n :

    Di&e)*'& ARSADA JAWA BARATPENGERTIAN &m',i& In>&m n(en* !+!,!$ >&m',i&

    e&(e*''!n/en,!)!n +!&i !(ien/)e,'!&"! *e&$!+!

    *in+!)!n me+i( .!n" !)!n +i,!)')!n +i*!n+!i +en"!n

    *!n+! *!n"!n ,e$ !(ien/)e,'!&"! +!n e*'"!( .!n"

    mene,!()!n#

    Re)!m me+i) !+!,!$ (e'!$ ')*i *e&*',i( men"en!i

    (em'! )n+i(i !(ien +!,!m en*') em')'!n .!n"(!n"!* +i !"! )e&!$!(i!!nn.!#TU*UAN Se!"!i *!n+! ')*i *e&*',i( !$%! (e*i! *in+!)!n

    me+i( .!n" +i,!)')!n *e&$!+! !(ien *e,!$

    men+!!*)!n e&(e*''!n +!&i !(ien /)e,'!&"! (e&*!

    men"e*!$'i m!n>!!* +!n !)i!* +!&i *in+!)!n me+i(

    *e&(e'*#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# D)*e&/i+!n/e&!%!* !*!' e*'"!( )e(e$!*!n

    ,!inn.! mene,!()!n &(e+'& *in+!)!n me+i(

    .!n" !)!n +i,!)')!n *e&$!+! !(ien2# Bi+!n/Pe&!%!* meme&i)!n ,em!& in>&m nen*

    36

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    )e!+! !(ien/)e,'!&"! 'n*') +i*!n+!*!n"!ni3# Bi+!n/Pe&!%!* men.im!n ,em!& in>&m nen*

    .!n" *e,!$ +i*!n+!*!n"!ni ,e$ !(ien/)e,'!&"! +!n

    e*'"!( .!n" mene,!()!n )em'+i!n +im!(')!n

    )e+!,!m &e)!m me+i) !(ien (e!"!i ')*i +!n

    +i!"! )e&!$!(i!!nn.!#UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*

    2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# K!m!& Oe&!(i

    &5. SPO PENELITIAN KLINIS DALAM RUMAH SAKIT

    Pene%itian k%inis "a%am uma0 sakit

    N# D)'men

    1#2#9#1#0017

    N# Re@i(i

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    H!,!m!n

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    SPO T!n""!, Te&i*

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    Di*e*!)!n :

    Di&e)*'& ARSADA JAWA BARATPENGERTIAN S'!*' )e"i!*!n +i +!,!m me,!)')!n ene,i*i!n ),ini(

    +i +!,!m &'m!$ (!)i* .!n" +i,!)')!n ,e$ +)*e&

    e&!%!*/i+!n +!n !&!me+i(#TU*UAN Se!"!i !'!n +!,!m me,!)')!n ene,i*i!n ),ini( +i

    +!,!m &'m!$ (!)i* .!n" +i,!)')!n ,e$ +)*e&

    e&!%!*/i+!n +!n !&!me+i(#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# Pene,i*i mem'!* e&m$n!n )e!+! +i&e)*'&

    'n*') men+!!* iCin e&m$n!n2# Pene,i*i me,!)')!n ene,i*i!n i,! ('+!$

    men+!!*)!n iCin +en"!n +i&e)*'&

    3# Pene,i*i +i +!,!m me,!)')!n ene,i*i!n $!&'(men"e+e!)!n )e(e,!m!*!n !(ien

    80

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    8# Me,!)')!n ene,i*i!n $!&'( +i !%!,i +en"!n

    in>&me+ (en*!# Meme&)en!,)!n +i&i# Mene,!()!n m!)('+ +!n *''!n ene,i*i!n# Ke'n*'n"!n +i,!)')!n ene,i*i!n

    +# (e*e,!$ (e,e(!i me,!)')!n ene,i*i!n ene,i*imen"'!!)n *e&im!)!(i$ )e!+!

    &e(n+en/!(ien7# Pene,i*i meme&i)!n $!(i, ene,i*i!n n.! )e!+! &(

    (e!"!i !$!n )!i!n +!,!m em'!*!n

    e&en!n!!n &'m!$ (!)i*#

    UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n

    8# K!m!& Oe&!(i

    &7. LEA9LET HAK DAN TANGGUNG *A#A' PASIEN DAN

    KELUARGA

    LAMPIRAN

    HAK DAN KEWAJIBAN PASIEN DI RS :

    a. HAK PASIEN :

    14 P!(ien e&$!) meme&,e$ in>&m!(i men"en!i *!*! *e&*i +!ne&!*'&!n .!n" e&,!)' +i &'m!$ (!)i*

    24 P!(ien e&$!) !*!( e,!.!n!n .!n" m!n'(i!%i !+i, +!n ''&

    34 P!(ien e&$!) meme&,e$ e,!.!n!n me+i( .!n" e&m'*' (e('!i+en"!n (*!n+!& &>e(i )e+)*e&!n/)e+)*e&!n "i"i +!n *!n!+i()&imin!(i

    84 P!(ien e&$!) meme&,e$ !('$!n )ee&!%!*!n +en"!n (*!n+!&&>e(i )ee&!%!*!n

    81

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    74 P!(ien e&$!) memi,i$ +)*e& +!n )e,!( e&!%!*!n (e('!i +en"!n)ein"in!nn.! +!n (e('!i +en"!n e&!*'&!n .!n" e&,!)' +i &'m!$(!)i*

    54 P!(ien e&$!) +i&!%!* ,e$ +)*e& .!n" (e!&! e!( menen*')!n

    en+!!* ),ini( +!n en+!!* e*i(n.! *!n! !m'& *!n"!n +!&ii$!) ,'!&

    94 P!(ien e&$!) memin*! )n(',*!(i )e!+! +)*e& ,!in .!n"*e&+!>*!& +i &'m!$ (!)i* *e&(e'* (en+ inin4 *e&$!+!en.!)i* .!n" +i+e&i*!n.! (een"e*!$'!n +)*e& .!n" me&!%!*

    ;4 P!(ien e&$!) !*!( ?&i@!. +!n )e&!$!(i!!n en.!)i* .!n"+i+e&i*! *e&m!(') +!*!-+!*! me+i(n.!

    64 P!(ien e&$!) men+!!* in>&m!(i .!n" me,i'*i :

    • en.!)i* .!n" +i+e&i*! *in+!)!n me+i) !! .!n" $en+!) +i,!)')!n

    • )em'n")in!n en.!)i* (e!"!i !)i!* *in+!)!n *e&(e'* +!n*in+!)!n 'n*') men"!*!(in.!

    • !,*e&n!*i> *e&!i ,!inn.!

    • &"n(!n.!

    • e&)i&!!n i!.! en"!*!n#

    104 P!(ien e&$!) men.e*''i/meme&i)!n iCin !*!( *in+!)!n .!n"!)!n +i,!)')!n ,e$ +)*e& (e$''n"!n +en"!n en.!)i* .!n"+i+e&i*!n.!

    114 P!(ien e&$!) men,!) *in+!)!n .!n" $en+!) +i,!)')!n*e&$!+! +i&in.! +!n men"!)$i&i en"!*!n (e&*! e&!%!*!n!*!( *!n""'n" !%! (en+i&i (e('+!$ meme&,e$ in>&m!(i .!n" e,!( *en*!n" en.!)i*n.!

    124 P!(ien e&$!) +i+!min"i )e,'!&"!n.! +!,!m )e!+!!n )&i*i(

    134 P!(ien e&$!) men!,!n)!n i!+!$ (e('!i !"!m!/)ee&!.!!n.!n" +i!n'*n.! (e,!m! $!, i*' *i+!) men""!n""' !(ien ,!inn.!

    184 P!(ien e&$!) !*!( )e!m!n!n +!n )e(e,!m!*!n +i&in.!(e,!m! +!,!m e&!%!*!n +i &'m!$ (!)i*

    174 P!(ien e&$!) men"!')!n '(', (!&!n e&!i)!n !*!(e&,!)'!n &'m!$ (!)i* *e&$!+! +i&in.!

    82

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    154 P!(ien e&$!) mene&im! !*!' men,!) imin"!n m&i,m!''n (i&i*'!,#

    b. KEWAJIBAN PASIEN :

    14 P!(ien +!n )e,'!&"!n.! e&)e%!i!n 'n*') men*!!*i (e"!,!e&!*'&!n +!n *!*! *e&*i &'m!$ (!)i*

    24 P!(ien e&)e%!i!n 'n*') mem!*'$i (e"!,! in(*&')(i +)*e& +!ne&!%!* +!,!m en"!*!nn.!

    34 P!(ien e&)e%!i!n meme&i)!n in>&m!(i +en"!n ''& +!n(e,en")!n.! *en*!n" en.!)i* .!n" +i+e&i*! )e!+! +)*e& .!n"me&!%!*#

    83

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    TATA TERTI' DI RUMAH SAKIT

    1# P!(ien +i(!&!n)!n !"!& *i+!) mem!%! !&!n" e&$!&"! (e,!m! +!,!m

    m!(! e&!%!*!n# A!i,! *e&!+i )e&'(!)!n !*!' )e$i,!n"!n m!)!

    *i+!) men!+i *!n""'n" !%! i$!) R'm!$ S!)i*#

    2# Un*') mene"!$ *e&!+in.! en.e!&!n in>e)(i !n!)-!n!) e&'(i!

    +i!%!$ ,im! *!$'n +i,!&!n" m!(') )e &'!n" e&!%!*!n#

    3# Pen'n""' .!n" +ie&,e$)!n !+! +i &'!n" &!%!* in! m!)(im!, 2

    +'!4 &!n" ,i),ini) $!n.! 1 (!*'4 &!n"#

    8# Un*') R'!n" IGD )e,'!&"! !(ien +i,!&!n" m!(') )e'!,i !(ien

    +!,!m )e!+!!n )&i(i( $!n.! ,e$ +i+!min"i ,e$ 1 (!*'4 &!n"

    )e,'!&"!#

    7# Pe&!,!*!n *i+'& en'n""' *i)!& !n*!, +,,4 $!n.! ,e$ +ie&"'n!)!n

    m',!i ')', 1;#00 (#+ 05#00 WIB# Di,'!& !m *e&(e'* m$n +i(im!n

    +en"!n &!i#

    5# Pen'n""'/*!m' +i,!&!n" +'+')/*i+'& +i *em!* *i+'& !(ien#

    9# Di,!&!n" mem!%! (en!*! *!!m/(en!*! !i min'm!n )e&!( +!n

    !*-!*!n *e&,!&!n"#

    ;# Di,!&!n" e&)'n'n" +i,'!& !m )'n'n" .!n" *e,!$ +i *e*!)!n#

     J!m K'n'n" P!(ien :

    Si!n" : J!m 11#00 WIB 13#00 WIB

    S&e : J!m 19#00 WIB 21#00 WIB6# P!(ien en'n""' +!n en"'n'n" %!i men!"! )ee&(i$!n +!n

    )e*e&*i!n &'!n" e&!%!*!n (e!"!i e&i)'*:1# Ti+!) me&)) +i +!,!m !&e! &'m!$ (!)i*

    2# Ti+!) men"*&i &'!n" e&!%!*!n3# Ti+!) mem'!* "!+'$ )e&i'*!n +i &'!n" e&!%!*!n#

    10# W!i men!"! *i+!) me&'(!) !*!''n mem!%! ',!n"4

    >!(i,i*!( .!n" !+! +i &'!n" e&!%!*!n#

    88

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