Kebijakan Identifikasi Pasien (Template Kebijakan)

7/23/2019 Kebijakan Identifikasi Pasien (Template Kebijakan)

http://slidepdf.com/reader/full/kebijakan-identifikasi-pasien-template-kebijakan 1/3

UNIVERSITAS AIRLANGGA RUMAH SAKIT

Kampus C Mulyorejo Surabaya 60115, Telp. 031-5916290, 031-5916291, 031-81153153 Fax. 031-5916291, ebs!"e # ruma$sa%!".u&a!r.a'.!( ema!l # a(m)rsua.u&a!r.a'.!( * rsua)u&a!r.a'.!(

KEPUTUSAN

DIREKTUR UTAMA RUMAH SAKIT UNIVERSITAS AIRLANGGA

NOMOR : /UN3.24/2014

TENTANG

KEBIJAKAN IDENTIFIKASI PASIEN

RUMAH SAKIT UNIVERSITAS AIRLANGGA

DIREKTUR UTAMA RUMAH SAKIT UNIVERSITAS AIRLANGGA

Me&!mba&+ # a. ba$a uma$ Sa%!" &!/ers!"as !rla&++a (!(!r!%a& seba+a! peruju(a&

(ar! M!s! &!/ers!"as !rla&++a ya&+ ber%om!"me& u&"u%

me&($armaba%"!%a& %ea$l!a&&ya (alam b!(a&+ !lmu, "e%&olo+!, $uma&!ora

(a& se&! %epa(a masyara%a"*

b. ba$a (alam ra&+%a beroperas!&al&ya uma$ Sa%!" &!/ers!"as !rla&++a

(!perlu%a& sua"u %eb!ja%a& ya&+ ber"ujua& u&"u% me&!&+%a"%a& %eselama"a&

pas!e&*

'. ba$a ber(asar%a& per"!mba&+a& ya&+ (!ma%su( pa(a $uru a (a& b

perlu (!be&"u% Kepu"usa& !re%"ur "ama "e&"a&+ (e&"!!%as! 4as!e& (!

uma$ Sa%!" &!/ers!"as !rla&++a.

Me&+!&+a" # 1. &(a&+-&(a&+ epubl!% &(o&es!a omor 20 Ta$u& 2003 "e&"a&+

S!"em 4e&(!(!%a& as!o&al 7embara& e+ara epubl!% &(o&es!a Ta$u&2003 omor 8, Tamba$a& 7embara& e+ara epubl!% &(o&es!a omor

301:*

2. &(a&+-&(a&+ omor Ta$u& 2009 "e&"a&+ uma$ Sa%!" 7embara&

e+ara epubl!% &(o&es!a Ta$u& 200 omor 153, Tamba$a& 7embara&

e+ara epubl!% &(o&es!a omor 502:*

3. 4era"ura& 4emer!&"a$ epubl!% &(o&es!a omor 5 Ta$u& 195 "e&"a&+

4e&(!r!a& &!/ers!"as !rla&++a (! Surabaya seba+a!ma&a "ela$ (!uba$

(e&+a& 4era"ura& 4emer!&"a$ omor 3 Ta$u& 1955 "e&"a&+ 4e&+uba$a&

4era"ura& 4emer!&"a$ omor 5 Ta$u& 195. 7embara& e+ara epubl!%

&(o&es!a Ta$u& 195 omor 99 Tamba$a& 7embara& e+ara omor 695

ju&'"o 7embara& e+ara epubl!% &(o&es!a Ta$u& 1955 omor

Tamba$a& 7embara& e+ara epubl!% &(o&es!a omor 8: 4era"ura&

4emer!&"a$ omor 30 Ta$u& 2006 "e&"a&+ 4e&e"apa& &!/ers!"as !rla&++a

seba+a! ;a(a& <u%um M!l!% e+ara 7embara& e+ara epubl!% &(o&es!a

Ta$u& 2006 omor 66:*

. 4era"ura& Mejel!s al! ma&a" &!/ers!"as !rla&++a omor

12=4=M-=2008 "e&"a&+ &++ara& uma$ Ta&++a &!/ers!"as

!rla&++a* Kepu"usa& Mejel!s al! ma&a" &!/ers!"as a!rla&++a omor 3=<3.M=K=2010 "e&"a&+ 4e&+a&+%a"a& e%"or &!/ers!"as !rla&++a

4er!o(e 2010-2015*

5. 4era"ura& Me&"er! Kese$a"a& omor# 1691=M>K>S=4>=?=2011

Te&"a&+ Keselama"a& 4as!e& uma$ Sa%!"*

mailto:[email protected]






6. Kepu"usa& e%"or &!/ers!"as !rla&++a omor 1938=<3=K=2011 "e&"a&+

4e&e"apa& ama epar"eme&, 4e&+a&+%a"a& Ke"ua epar"eme& (a&

4erso&al!a epar"eme& ser"a 4erso&al!a o& epar"eme& pa(a uma$ Sa%!"&!/ers!"as !rla&++a*

. 4era"ura& e%"or &!/ers!"as !rla&++a omor 2=<3=K=2012 "e&"a&+

@r+a&!sas! (a& Ta"a Kerja uma$ Sa%!" &!/ers!"as !rla&++a*

8. Kepu"usa& e%"or &!/ers!"as !rla&++a omor 63=<3=K=2011 "e&"a&+

4e&+a&+%a"a& 4e&+elola uma$ Sa%!" 4e&(!(!%a& &!/ers!"as !rla&++a.

MEMUTUSKAN #

Me&e"ap%a& # KEPUTUSAN DIREKTUR UTAMA

TENTANG KEBIJAKAN IDENTIFIKASI PASIEN

RUMAH SAKIT UNIVERSITAS AIRLANGGA

Kesa"u# 4era"ura& !re%"ur uma$ Sa%!" &!/ers!"as !rla&++a "e&"a&+ Keb!ja%a& (e&"!!%as!

4as!e& (! uma$ Sa%!" &!/ers!"as !rla&++a Surabaya

Ke(ua# Keb!ja%a& (e&"!!%as! 4as!e& (! uma$ Sa%!" &!/ers!"as !rla&++a Surabaya

seba+!ma&a "er'a&"um (alam 7amp!ra& 4era"ura& !&!.Ke"!+a# Keb!ja%a& (e&"!!%as! 4as!e& seba+a!ma&a (!ma%su( (alam (!%"um %e(ua

(!per+u&a%a& seba+a! a'ua& ba+! semua u&!" %erja (! l!&+%u&+a& uma$ Sa%!"

&!/ers!"as !rla&++a Surabaya u&"u% me&!&+%a"%a& %eselama"a& pas!e&.

Keempa"# Kepu"usa& !&! berla%u seja% "a&++al (!"e"ap%a&&ya, (a& apab!la (! %emu(!a& $ar!

"er&ya"a "er(apa" %e%el!rua& (alam pe&e"apa& !&! a%a& (!a(a%a& perba!%a&

seba+a!ma&a mes"!&ya

!"e"ap%a& (! Surabaya

4a(a "a&++al +us"us 201

>KT TM,

M<MM KM AS

K. 1390082







KEBIJAKAN IDENTIFIKASI PASIEN

1. (e&"!!%as! (!la%u%a& m!&!mal (e&+a& (ua !(e&"!"as # (e&+a& me&a&ya%a& &ama (a& "a&++al

la$!r a"au alama" j!%a pas!e& lupa "a&++al la$!r&ya, (!la%u%a& pas!e& u&"u% semua u&!" pelaya&a&.2. Aela&+ !(e&"!"as (!be(a%a& ber(asar%a& je&!s %elam!&# Aela&+ ar&a b!ru u&"u% pas!e& la%!-la%!,

+ela&+ ar&a p!&% mera$ mu(a: u&"u% pas!e& perempua&.

3. Aela&+ !(e&"!"as (!pasa&+ (! "empa" per"ama %al! pas!e& masu% pa(a "a&+a& %a&a& a"au pa(a

"a&+a& ya&+ "!(a% "erpasa&+ iv cannule, b!la "!(a% memu&+%!&%a& ma%a (!pasa&+ pa(a "a&+a&

%!r!. 7a%u%a& pemasa&+a& pa(a %a%! b!la pa(a "a&+a& "!(a% memu&+%!&%a& (a& (!pasa&+

(!pa%a!a& b!la (!"a&+a& (a& %a%! "!(a% memu&+%!&%a& ju+a (a& pas!e& aler+! (e&+a& +ela&+.

. Semua pas!e& emer+e&s!, raa" !&ap, operas!, (a& "!&(a%a& prose(ur me&++u&a%a& +ela&+

(e&"!"as.

5. (e&"!!%as! pas!e& (!la%u%a& sebelum member!%a& oba", sebelum member!%a& pro(u%

(ara$="ra&us!, sebelum pe&+amb!la& (ara$, sebelum pe&+amb!la& spes!me& la!& (a& sebelum

mela%u%a& "!&(a%a& prose(ur ser"a asu$a& %eperaa"a&.

6. Aela&+ "amba$a& ar&a mera$ u&"u% pas!e& aler+! (a& ar&a %u&!&+ u&"u% pas!e& r!s!%o ja"u$:

(!pasa&+ (! "empa" (a"a (!perole$.

. pab!la a(a pas!e& "!(a% sa(ar (a& "a&pa %eluar+a, ber! &ama# Mr B = Mrs .

8. &"u% bay! baru la$!r (!pasa&+ sa"u +ela&+ pa(a %a%! ar&a sesua! je&!s %elam!&, mel!pu"! &ama

!bu, &omer re%am me(!s bay!, (a& je&!s %elam!&.

9. &"u% !bu ya&+ mela$!r%a& (!ber! (ua !(e&"!"as ya!"u +ela&+ per"ama sesua! !(e&"!"as !bu, +ela&+

%e(ua sesua! je&!s %elam!& bay! (e&"!"as bay!: ya&+ su(a$ a(a &omor ser! +ela&+.

10. &"u% pas!e& "!(a% sa(ar, pas!e& a&a% a"au pas!e& ya&+ me&+alam! %e"erba"asa& la!&&ya,

(e&"!"as (!"a&ya%a& %epa(a pe&u&++u pas!e& (a& 'o'o%%a& (e&+a& +ela&+ pas!e&.

11. 4as!e& ya&+ "!(a% b!sa me&yebu"%a& &ama (a& "!(a% a(a %eluar+a# +ela&+ !(e&"!"as (!per!%sa

(e&+a& re%am me(!%.

12. Janan me&yebu"%a& &ama, "a&++al la$!r, (a& alama" pas!e& (a& mem!&"a pas!e& u&"u%

me&+%o&!rmas! (e&+a& jaaba& ya = "!(a%.

13. Janan !"#a$%$an &'()"*%' apapu& j!%a pas!e& "!(a% mema%a! +ela&+ pe&+e&al.

>KT TM,

M<MM KM AS

K. 1390082

UNIVERSITAS AIRLANGGA

RUMAH SAKIT

7M4 K>4TS >KT TM M< SKT ?>STS 7AA @M@ # =3.2=201T>TA # K>;DK >TFKS 4S> M< SKT ?>STS 7AA

S;



Kebijakan Identifikasi Pasien (Template Kebijakan)

Documents

Transcript of Kebijakan Identifikasi Pasien (Template Kebijakan)