KEBIJAKAN UPAYA KEAMANAN & KESELAMATAN BAYI ,IBU & PENGUNJUNG RS

KEBIJAKAN UPAYA KEAMANAN & KESELAMATAN BAYI ,IBU & PENGUNJUNG RSOLEH:SUPRIYANTOROSEKJEN PERSI

Seminar & workshopUPAYA PENCEGAHAN PENCULIKAN / TERTUKARNYA BAYI DI RSIMRS PERSI : 201012Hospitals unsafe places to workInjury rate at medical care facilities is higher than the rate at many industries alert and identify eliminate exercise Infant abduction is a growing concern in hospitals3Between 1983-1997, 171 infants (birth to age 6 months) were abducted in the U.S.17 of the abductions took place in locations such as malls, offices, and parking lots 57 took place in the home; 97 (56,7%) took place in hospitals. KENAPA DI RS BISA TERJADI PENCULIKAN BAYI ?BELUM ADANYA PROSEDUR BAKU

PROSEDUR YG ADA BELUM DI IMPLEMENTASIKAN DG OPTIMAL

PASIEN TIDAK MENDAPAT INFORMASI TENTANG PROSEDUR YG BERLAKU DI RS

SISTEM KEAMANAN DAN KESELAMATAN YG BELUM OPTIMAL ( SARANA, PRASARANA, PERSONIL, PROSES DLL )

BROSUR /PAMFLET TENTANG KEWASPADAAN BELUM OPTIMAL

KEPEDULIAN PETUGAS THD ASPEK KESELAMATAN DAN KEAMANAN YG KURANG

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WASPADA THD PENGUNJUNG YG BERPERILAKU al:BERULANG ULANG MENGUNJUNGI /MEMEGANG BAYI BERTANYA TENTANG PROSEDUR, LAYOUT RUANGAN DLLMENGAMBIL SERAGAM/IDENTITAS PETUGAS RS, ATAU PERLENGKAPAN LAIN YG TERKAIT DG BAYIYG MEMBAWA BAYI APALGI YG MENGGUNAKAN KERETA BAYI DLLYG MEMBAWA BARANG DALAM PAKET BESAR

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PROFIL PENCULIK, al :

- BIASANYA WANITA DG USIA RATA-RATA 30 THN,PADA UMUMNYA TIDAK MEMPUNYAI RIWAYAT KRIMINAL

- PENAMPILAN NORMAL, TETAPI KEPRIBADIAN IMMATUR DAN KOMPULSIF

- BERUSAHA UNTUK SEOLAH-OLAH FAMILIER DG RS ATAU BAHKAN DG KELUARGA /ORANG TUA BAYI

- BERUSAHA NGOBROL DG PETUGAS DG MENANYAKAN PROSEDUR, LAY OUT RUANGAN , DLL SECARA DETAIL - BERULANG- ULANG MENGUNJUNGI BAYI DAN BAHKAN BERUSAHA UNTUK MEMEGANG BAYI

- BEBERAPA KALI MENGUNJUNGI RS/RUANG BAYI UNTUK MELAKUKAN PENGAMATAN THD PENGAMANAN, POPULASI BAYI , PERGANTIAN PETUGAS, JAM2 PETUGAS KOSONG ATAU SIBUK DLL

- BERUSAHA MENGGUNAKAN SERAGAM ATAU IDENTITAS YG MENYERUPAI PETUGAS RS

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BEBERAPA PEDOMAN UTK MELINDUNGI BAYI DARI PENCULIKAN :PASANG GELANG IDENTITAS BAIK PD BAYI, IBU DAN AYAH.FOTO BAYI DAN SIDIK TELAPAK KAKI

LAKUKAN PEMERIKSAAN /PENILAIAN SECARA DETAIL DLM WAKTU 2 JAM SETELAH LAHIR & CATAT DI REKAM MEDIS DG LENGKAP, T.U BILA ADA CIRI KHUSUS

PENGAWASAN LANGSUNG SECARA FULLTIME /24 JAM DI RUANG BAYI ( CCTV ATAU PETUGAS KHUSUS)

BILA BAYI HRS DIBAWA (MISL KE RUANGAN PERAWATAN , PASTIKAN SIAPA PETUGASNYA/KELUARGA YG MENJAGA

GUNAKAN KARTU IDENTITAS DG FOTO YANG JELAS UNTUK SEMUA PETUGAS YG TERKAIT DG PERAWATAN BAYI ( MISALNYA WARNA KHUSUS, BIASANYA WARNA PINK)

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I look for the pink badges," said Amey Walters, a new mother at Intermountain Healthcare Hospital in Utah.

She said she appreciates the hospital's security measures.

The hospital workers wear special pink bars on their name tags to identify them as nurses who are allowed to handle the newborns.

8BILA BAYI MENINGGALKAN RS : PETUGAS RS HRS PASTIKAN BAHWA DIBAWA OLEH ORANG YG MENGGUNAKAN GELANG IDENTIFIKASI YG SESUAI DG BAYI

LAPORKAN SEGERA KE PETUGAS KEAMANAN BILA ADA ORANG YG DICURIGAI SBG PENCULIK

BERI INFO KEWASPADAAN KPD RS DISEKITARNYA BILA ADA TANDA/UPAYA PENCULIKAN BAYI DI RS ANDA

9BERI PERINGATAN KPD ORANG TUA BAYI DIPOLIKLINIK / RUANG TUNGGU , AGAR MENGAWASI PENUH BAYINYA SEPANJANG WAKTU

RAHASIAKAN IDENTITAS ORANG TUA BAYI ( NAMA, ALAMAT, TELP DLL )

10PEDOMAN PENCEGAHAN LINGKUNGANSELURUH AREA PERAWATAN BAYI HARUS ADA CCTV ( CLOSE CIRCUIT TV) SEBAIKNYA GUNAKAN YG ADA PEREKAMSUSUN SOP THD PERAWATAN BAYI SECARA LENGKAP DAN IMPLEMETASIKAN KPD SEMUA PETUGASINGATKAN AGAR ORANG TUA JUGA HRS IKUT WASPADA THD PENCEGAHAN PENCULIKAN BAYIBUAT TANDA2 PERINGATAN ( SPANDUK, PAMFLET DLL) TENTANG KEWASPADAAN THD PENCULIKAN BAYICIPTAKAN LINGKUNGAN YG AMAN SECARA MENYELURUH BAIK KPD BAYI MAUPUN IBUNYA

11PASANG GELANG INDETIFIKASI KPD BAYI ORANG TUA/PENJAGA BAYI YG DITUNJUK ORANG TUALOKASI RUANG BAYI SEBAIKNYA JAUH DARI LOBBYGUNAKAN KUNCI KHUSUS UTK MASUK KERUANG BAYI RUANG BAYI HRS SELALU TERKUNCI DAN HANYA BISA DIBUKA OLEH PETUGAS PASANG SISTEM ALARM SESUAI KEBUTUHAN12KEAMANAN BAYILENGKAPI DATA IDENTITAS BAYI : SIDIK KAKI/ FOOT PRINTS, FOTO BAYI, REKAM MEDIS LENGKAP, TEGASKAN BILA ADA CIRI2 KHUSUS BAYIBERI TANDA/NOMER YG SAMA ( GELANG DLL) PADA BAYI-TALI PUSAT-ORANG TUA-PENJAGA BAYIUTK MEMUDAHKAN IDENTIFIKASI BAHWA BAYI TSB PASIEN RS BERI TANDA KHUSUS PADA SEMUA PERLENGKAPAN YG DIGUNAKAN UTK BAYI MISALNYA SELIMUT BAYI KE EMPAT SUDUTNYA BERI TANDA RS

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PROTEKSI PENGUNJUNGSEMUA YG AKAN MELIHATLANGSUNG BAYI HRS ATAS IJIN IBU/ORANG TUAYG BOLEH MASUK KERUANG BAYI HANYA PETUGAS DG IDENTITAS KHUSUS, KELUARGA DG IDENTITAS KHUSUS, TAMU YG DIDAMPINGI ORANG TUA/KELUARGA YG MENGGUNAKAN IDENTITAS KHUSUSBATASI JAM KUNJUNGAN, DAN LAMA KUNJUNGAN ( MISL MAX 5 MNT PER PENGUNJUNG)BILA PERLU BERLAKUKAN BUKU REGRISTRASI PENGUNJUNG YG DITANDA TANGANI WAKTU DATANG DAN KELUAR14SIAPAPUN ( TERMASUK PETUGAS) YG MEMBAWA BAYI KELUAR RUANGAN HRS MENGUNAKAN TANDA KHUSUS

BERI PENEKANAN KEPADA ORANG TUA BAYI TENTANG PROSEDUR BILA AKAN MELIHAT / MENGAMBIL BAYI

15Policies and Procedures

- All infant abduction protocols and response plans should be in writing and known to all hospital staff.

- Ensure that either the mother or the nursing staff always supervises infants. The infant should always remain in the direct line of sight of either the hospital staff or mother/father/caregiver. Infants should never be left unsupervised.

- Provide the parent(s) with educational material and handouts explaining hospital policies in place to protect the safety of infants. Also, teach the parents/family the importance of abduction precautions.

- Instruct the patient/family to notify the nursing staff immediately if they have any questions or concerns.

- Do not post the mother or infant's name, address, or telephone number where it is visible to visitors.

16Only give out information about the infant to the mother/father/caregiver

always verify the infant ID number on the wristbands before releasing the information.

Require visual proof of the identification and matching wristband for a person taking an infant from the hospital.

At the time of discharge, the mother/dischargee must bring the mother's ID band and photo ID.

17PROSEDUR RESPONSE & PELAPORAN THD KEJADIAN PENCULIKAN : GUNAKAN KODE KODE KHUSUS AGAR PERSONIL RS SEGERA WASPADALAPOR KEPADA PETUGAS KEAMANANAMANKAN SELURUH LINGKUNGAN FASILITAS RS LAKUKAN PEMERIKSAAN KETATLAKUKAN PENGAWASAN THD SEMUA UNITPROTEKSI SELURUH WILAYAH , LIBATKAN /LAPORKAN KE POLISIINFO KEWASPADAAN KPD FASILITAS KESEHATAN SEKITARNYA

18BILA ADA PERGANTIAN SHIFT PETUGAS JANGAN ADA YG MENINGGALKAN TEMPAT TUGAS DULU

TENANGKAN ORANG TUA BAYI ATAU PETUGAS YG MENGALAMI TRAUMA /STRESS DG KEJADIAN TSB19Ways to Minimize Error

1. Reduce reliance on memory. Nurses, doctors, and other hospital staff have an overwhelming amount to remember daily. Use checklists for assessments and procedures.

2. Simplify. Keep policies and procedures simple to guarantee staff compliance, but complete to ensure patient safety. Reducing the number of steps makes it easier for staff to remember, fulfill and perform policies and procedures.

3. Regulate. All policies, procedures and forms should be clearly documented and standardized. Staff must be oriented, trained and demonstrate competence in these policies. All nurses should be instructed during an initial orientation and each quarter in abduction prevention procedures, precautions, and guidelines.

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4. Use restrictions. If a divergence/discrepancy occurs in procedure, create a stop" process so that proper action must be ensured before proceeding. If any difference occurs in patient identification or transport to mother, create stops" so the baby is identified and secured

5. Inform. Actively involve mothers in the care of their newborn. Inform the parent(s) about policies and procedures that are designed for infant safety and security.

6. Reduce handoffs. Reducing the number of steps, persons involved and handoffs will reduce the risk of errors.

If mom wants to give the baby to grandma, that's mom's choice, but the hospital staff [is] only going to give the baby to mom," said Brown.

Have the same personnel provide care as much as possible to reduce inconsistency and risk of unfamiliar personnel. Multiple caregivers or handoffs to other departments increase the chance that the mother may not know who is with her baby.

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7. Keep a safe environment. Make sure the hospital work environment focuses on safety and prevention. Ensure that there is good visibility of infants and entry/exits, restricted access to unauthorized personnel and the ability to lock down" quickly.

8. Team training. An effective team will make fewer errors so training can enhance teamwork. Develop mechanisms to train new and current staff on policies/procedures, safety measures, new equipment and ensure proficiency. Also, encourage feedback because this will correct behaviors leading to problems and will minimize error.

22RANGKUMANPENCULIKAN BAYI DAPAT DICEGAH DENGAN :

MENYUSUN SOP DAN IMPLEMENTASIKAN DG BAIK KOMITMEN DILAKUKAN OLEH SEMUA PETUGASKEPEDULIAN SEMUA UNSUR DI RS/FASILITAS KESEHATAN LIBATKAN PERAN ORANG TUALENGKAPI SARANA DAN PRASARANA SESUAI DG PROSEDUR KEAMANAN DAN PELATIHANSISTEM RESPONSE DAN PELAPORAN LAKUKAN DG CEPATSEMUA ASPEK KESELAMATAN DAN KEAMANAN BAYI MENJADI PEDOMAN BAGI SEMUA PETUGAS 23

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TERIMA KASIH