Pedoman Pelayanan IGD - Edit

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    PEDOMANPELAYANAN

    INSTALASIGAWATDARURAT

    RS.KARSA HUSADA BATU 2015

    RSKARSA HUSADABATU

    JALAN AHMAD YANI 10 -13 BATU

    BATU

    DAFTARISI

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    HalamaJ!"!l.............................................................................................#

    Da$%a&I'#......................................................................................................##

    BABI.P("a)!l!a....................................................................................1

    1.1.La%a&B(la*a+......................................................................................1

    1.2.T!,!aP("ma...................................................................................1

    1.3.R!a+L#+*!.....................................................................................1

    1./.Ba%a'aO(&a'#al.............................................................................21.5.La"a'aH!*!m..................................................................................3

    BABII.S%a"a&K(%(a+aa......................................................................./

    2.1.K!al#$#*a'#S!m(&DaaMa!'#a......................................................./

    2.2.D#'%!'#K(%(a+aa.........................................................................../

    2.3.P(+a%!&aJa+a....................................................................................5

    BABIII.S%a"a&a'#l#%a'............................................................................

    3.1.D(a)L!a&...........................................................................................

    3.2.D(a)R!a+.........................................................................................4

    3.3.S%a"a&a'#l#%a'....................................................................................

    BABI6.Ta%aLa*'aaP(laaa...............................................................23

    /.1.P(laaaP("a$%a&aPa'#(..............................................................23

    /.2.S#'%(mKm!#*a'#...............................................................................23

    /.3.P(laaaTa'(...................................................................................2/

    /./.T&a'&%a'#Pa'#(...............................................................................27

    /.5.P(laaaFalseEmergency.................................................................2

    /.7.P(laaaVisumEtRepertum..............................................................2

    /..P(laaaDeathOnArrival(DOA).....................................................24

    /.4.S#'%(mI$&ma'#P(laaaP&aR!ma)Sa*#%.....................................24

    /..S#'%(mR!,!*a.....................................................................................2

    BAB6.L+#'%#*..........................................................................................30

    BAB6I.K('(lama%aPa'#(......................................................................32

    7.1.P(+(&%#a.............................................................................................32

    7.2.T!,!a...................................................................................................32

    ##

    7.3.Ta%aLa*'aaK('(lama%aPa'#(........................................................32

    BAB6II.K('(lama%aK(&,a......................................................................3/

    .1.P(+(&%#a.............................................................................................3/

    .2.T!,!a...................................................................................................3/

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    .3.Ta%aLa*'aaK('(lama%aKa&a8a..................................................3/

    BAB6III.P(+("al#aM!%!....................................................................37

    BABI9.P(!%!.........................................................................................3

    ###

    BABI

    PENDAHULUAN

    1.1.LATARBELAKANG.

    K((&)a'#la (a++!la+a ("(%a +a8a% "a&!&a% a%a&a la#

    "#%(%!*a l() %(&'("#aa '!m(& "aa a+ '('!a# "(+a '%a"a& "a

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    %(&la*'aaa '#'%(m(a+!la+a +a8a% "a&!&a%: *a&(a#lamaa *(a"aa

    %(&'(!%m(m(&l!*a8a*%!%a++a(respontime)a+'a+a%%(&a%a'.

    K(a"aa +a8a% "a&!&a% m("#* m(&!a*a '!a%!('%#8a a+ "aa%

    m(#ma '('(&a+ a%a! *(lm* &a+ "(+a %#a-%#a a+ "aa%

    m(ma)aa*a,#8a'()#++am(m(&l!*a%#"a*aa+;(a%"a%(a%a+a&

    "aa%m(m##mal*aa+*a*(ma%#a"am(;(+a)%(&,a"#a*(;a;a%aa+

    %#"a*(&l!.

    B(&"a'a&*a )al %(&'(!% "# a%a': ma*a "#'!'!la) !*! P("ma

    P(laaa I'%ala'# Ga8a% Da&!&a% RS Ka&'a H!'a"a Ba%!. D#)a&a*a "(+a

    %(&'!'!a!*! ## "aa% m(#+*a%*a(laaa +a8a% "a&!&a%:a#*&a

    &!ma)'a*#%ma!!"#"alam&!ma)'a*#%'('!a#"(+a'%a"a&a+"#%(%!*a.

    1.2.TUJUANPEDOMAN.

    T!,!a "a "#'!'!a!*! P("ma P(laaa P(laaa I'%ala'#

    Ga8a%Da&!&a%RSKa&'a H!'a"aBa%!##a"ala)!%!*m(a%aI'%ala'#Ga8a%Da&!&a%

    RSKa&'a H!'a"aBa%!a+a&"aa%m(#+*a%*a*(mam!a"am!%!(laaaa+

    '('!a# "(+a (&*(ma+a #lm! (+(%a)!a "a %(*l+# *('()a%a:

    (&!a)a (&a%!&a (&!"a+-!"a+a a+ "#(&la*!*a: "a )a&aa

    ma'a&a*a% '(a+a# ((ma laaa.

    1.3. RUANGLINGKUP.

    1. P(laaa("a$%a&aa'#(

    2. I$&ma'#(laaa+a8a%"a&!&a%

    3. P(+a%!&a,a+a

    /. P(laaa%a'(

    5. T&a'&%a'#a'#(

    1

    7. S#'%(m*m!#*a'#

    . P(laaafalseemergency

    4. S#'%(m&!,!*a

    1.4. BATASANOPERASIONAL.

    - Informa!"#$a%anan&a'a()ar*ra(a"ala)'(m!a*(%(&a+a%(%a+

    (laaaa+%(&'("#a"#I'%ala'#Ga8a%Da&!&a%.

    - B#+#r,a"ar*'a+(*a"ala)a)8aa+(&'a+*!%am(m!a#%!+a'

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    **"#%(ma%la#:"##'%ala'#*(&,a"#l!a&I'%ala'#Ga8a%Da&!&a%.

    - B#+#r,a "*rna 'a+(* a"ala)(*(&,a '(;a&a(!) 8a*%! "# I'%ala'#

    Ga8a%Da&!&a%.

    - Tr!a# a"ala) '#'%(m '(l(*'# %(&)a"a *(l!)a a%a! ma'ala)("(%a

    "alam'#%!a'#'()a-)a"a'(l(*'#%(&)a"a("(%aa+m(m(&l!*a

    %#"a*a(&%l+a(&%ama"alam*"#'#*(+a8a%"a&!&a%a.

    -

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    O&+a#'a'#R!ma)Sa*#%"#L#+*!+aD(a&%(m(K('()a%a.

    (. P(&a%!&a M(%( K('()a%a R(!l#* I"('#a Nm&.

    3/0=M(*('=PER=III=2010T(%a+Kla'#$#*a'#R!ma)Sa*#%.

    $. K(!%!'a M(%( K('()a%aN. 12 Ta)! 2004 T(%a+ S%a"a&

    P(laaaM##malR!ma)Sa*#%.

    +. K(!%!'a K(%!a Ba"a P(+!&!' Yaa'a Ba%#' I"('#aNm&

    0/=YBI=6II=2011%(%a+S%&!*%!&O&+a#'a'#R!ma)Sa*#%Ba%#'Ba%!.

    3

    BABII

    STANDARKETENAGAAN

    2.1.KUALIFIKASISUMBERDAAMANUSIA.

    Ta(l2.1.K!al#$#*a'#SDMBa+#aGa8a%Da&!&a%RSKa&'a H!'a"aBa%!.

    NamaJaa(an K*a$!f!+a!

    P#n)!)!+an

    P#n&a$aman

    K#r,aP#$a(!an

    K(ala I'%al

    a'#

    M##mal

    "*%(&'('#al#'

    @2%a)!BLS=PPGD=BTLS=

    ATLS=A

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    Ta(l2.2.PlaK(%(a+aaI'%ala'#Ga8a%Da&!&a%RSKa&'a H!'a"a Ba%!.

    2.2.DISTRIBUSIKETENAGAAN.

    D#%!'#*(%(a+aa"#la*!*a'('!a#"(+a"a$%a&"#a'(&a8a%(&!la.

    K(!%!)a%(a+a"#(&l()(&"a'a&*a(&)#%!+a'%a"a&%(a+a(&a8a%RS

    Ka&'a H!'a"a Ba%! a+ %(la) "#!a%. I'%ala'# Ga8a% Da&!&a% "aa% m(+a,!*a

    (ama)a %(a+a *(a"a K(ala B#"a+ P(laaa M("#* !%!* '(la,!%a"#*&"#a'#*a "(+a D#&(*%!& R!ma) Sa*#% '(&%a Ba+#a

    S!m(&DaaMa!'#a!%!*(+a"aa*(%(a+aaa.

    /

    2.3. PENGATURANJAGA.

    1. D*%(&K'!l(

    a. D*%(&,a+a)aa*'!l(!%!*ma'#+-ma'#+'('#al#'a'#"#a%!&

    '('!a#,a"8ala+"#%(%a*al()ma'#+ - ma'#+ *&"#a%& '('#al#'a'#

    '(%#a!la

    . B#la "*%(&,a+a )aa *'!l( !%!* ma'#+-ma'#+ '('#al#'a'#

    l()*a&(a'a%!"ala#)al%#"a*#'am(m(!)#,a"8al,a+aa+

    "#%(%a*a)a&!'m(m(%a)!*a%(&l(#)"a)!l!

    2. D*%(&Ja+aIGD

    a. P(+a%!&a,a"8al"*%(&,a+aIGD%(&a+#"alam3shift:a#%!'(a+a#

    (*!%?

    - Shifta+# ? ,am0.00WIB1/.00WIB

    - Shift'#a+ ? ,am1/.00WIB21.00WIB

    No. J#n!P#n)!)!+an J*m$aT#na&a

    1. D*%(& 42. S-1K((&a8a%a 1

    3. D-I6K((&a8a%a 2

    /. D-III K((&a8a%a 4

    5. P(*a&aP(ma%!P(&a8a%> 1

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    - Shiftmalam? ,am21.00WIB0.00WIB*(('*a)aa>

    . Ja"8al"*%(&,a+aIGD"#'!'!'(%#a!lal()K&"#a%& "*%(& IGD"(+a

    '((+(%a)!a K(ala IGD "a "#(&aa* !%!*

    "#"#'%!'#*aa"am#++!%(&a*)#&'(%#a!la*(a"a'(%#a"*%(&

    ,a+a IGD: I'%ala'# Ga8a% Da&!&a%: I'%ala'# Ra8a% Jala: I'%ala'#

    Ra8a%Ia:"a#'%ala'#=a+#ala#a+%(&*a#%

    ;. B#la"*%(&,a+aIGD(&)ala+am(m(!)#,a"8al,a+aa+'!"a)

    "#%(%!*a: ma*a )a&!' (&*&"#a'# m(+!aa*a m(;a

    (++a%#a"am(la&*a*(a"aK(alaIGD

    ". Ja"8al,a+a"*%(&%(&a'a+"#aa#$&ma'#IGD

    3. P(&a8a%

    a. P(+a%!&a,a"8al,a+a(&a8a% IGD%(&a+#"alam3shift:

    a#%!'(a+a#(*!%?

    - Shifta+# ? ,am0.00WIB1/.00WIB

    - Shift'#a+ ? ,am1/.00WIB21.00WIB

    - Shiftmalam? ,am21.00WIB0.00WIB*(('*a)aa>

    . Ja"8al,a+a(&a8a% IGD"#'!'!'(%#a!lal()K&"#a%&

    P(&a8a%IGD"(+a'((+(%a)!aK(ala IGD

    5

    ;. B#la(&a8a% IGD(&)ala+am(m(!)#,a"8al,a+aa+

    '!"a)"#%(%!*a:ma*a)a&!'(&*&"#a'#m(+!aa*am(;a

    (++a%#a"am(la&*a*(a"aK&"#a%&P(&a8a%IGD

    ". Ja"8al,a+a(&a8a% IGD%(&a'a+"#aa#$&ma'#IGD

    /. P(*a&a

    a. Ja"8al (*a&a IGD ma'!* ')#$% a+# 'a,a "a "# a%!& l() K&"#a%& (&a8a% IGD

    . B#la(*a&a IGD(&)ala+a)a"#& ma*a)a&!'(&*&"#a'#

    "am(la&*a*(a"aK&"#a%&P(&a8a%IGD m(+(%a)!# K(ala IGD

    ;. Ja"8al,a+a(*a&a IGD%(&a'a+"#aa#$&ma'#IGD

    BAB

    III

    STANDAR

    FASILITAS

    3.1.

    DENAH

    LUAR.

    JL.RAYATLEKUNG

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    SATPAM

    P P

    (AMBULANCE)

    SATPAM

    P

    P

    KANTOR

    INFORMASI

    INSTALASI

    GAAT

    DARURAT

    INSTALASI

    RAAT

    JALAN

    3.2.DENAHRUANG.

    Triase

    R.

    Ganti

    jaga

    Pasien

    R.Dokter

    Toilet

    Toilet

    Pasien

    Ruang

    Bedah

    Minor

    R.

    !at

    Li"e#a$ing

    R%

    Tunggu

    R.Ka

    Ruang

    Gudang

    &GD

    Pasien

    ToiletDokter

    Penda"ta

    ran

    'asien

    Pera(at

    Pekar)a

    Ruang

    Perte*uan

    &GD

    Ruang

    !ser$asi

    Ruang

    Tindakan

    Non

    Toilet

    Pera(at

    R.#'ool

    +o,k

    Ruang

    Resusitasi

    R

    uang

    Tindakan

    N

    on

    Ruang

    Tindakan

    Ruang

    Tindakan

    Ruang

    Tindakan

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    4

    3.3.STANDARFASILITAS.

    1. R!a+R('!'#%a'#

    R!a+ a+ "#$!+'#*a !%!* a'#( a+ m(m!%!)*a

    (&%l+a %#"a*a &('!'#%a'# '(+(&a "a m(m(&l!*a(+a8a'a

    (*'%&a:m#'ala?

    Ka'!')(%#a$a'

    Ka'!')(%#,a%!+

    Pa'#(a+"#;!+a#'a*#%,a%!+

    Pa'#( %a* 'a"a& *a&(a (&a+a# ((a m#'ala *a&(a

    )#+l#*(m#a:'%&*(:'*:"a'(a+a#a>

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    Ka'!'*(,a+"(mam

    Ka'!';("(&a*(ala(&a%

    Ka'!'%(++(lam

    K(l(+*aaala%a+"#(&l!*a"#&!a+&('!'#%a'#:a%a&ala#?

    T(ma%%#"!&

    T('#m(%(&

    O*'#+('(%&alC'(la+O2

    M#%&'(%

    O*'#m(%(&

    D($#la%&

    Suctionset

    EKG

    Syringepumpset

    Nebulizer

    Lam!'(%(&

    S%(%'*

    Paa*(&a'

    Neccollar

    !atheterset"(+a(&a+a#!*!&a>

    Nasogastrictubeset"(+a(&a+a#!*!&a>

    T(ma%'ama)

    Emergency

    trolley

    Ventilation

    bag"(8a'a

    Ventilationbagaa*

    Ventilationbaga#

    "aryngoscope#bla$e

    En$otrachealtube"(+a(&a+a#!*!&a>

    Stilet

    Spuit"(+a(&a+a#!*!&a>

    %elly

    Sa&!+%a+a

    Pl('%(&

    G!%#+l('%(&

    Oropharyngealtube&gue$el"(+a(&a+a#!*!&a>

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    2. I$!''rolley

    nfusionset(micro$ripmacro$ripbloo$set)

    ntravenouscatheter"(+a(&a+a#!*!&a>

    'ourni*uet

    Alcohols+ab

    Pl('%(&

    G!%#+l('%(&

    3.

    D#!la+ %#a 5 m(#%:

    #la

    (&l!3. A'#

    A'#l(%>

    40m+=%al(%

    Acute myocar$

    infarct

    12%al(%'!l#+!al.

    /. A%

    Am!l

    0:25m+=1ml

    -

    Symptomatic

    bra$ycar$ia

    @70F=m(#%>

    -Asystole

    -I%*'#*a'#

    0:51m+I6

    1m+#!')

    D#!la+%#a3-5m(#%

    'ama#%%al0:/m+=10

    *+BB.

    D'#'?1/m+I6

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    B(*!%##a"ala)%a(l"a$%a&a%a+%(&'("#a"#IGDRSKa&'a H!'a"a

    Ba%!(*!%"(+a(,(la'a#"#*a'#(++!aa"a"'#'a?

    11

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    ;. Spuit"(+a(&a+a#!*!&a>

    ". Ja&!m'!%#*"(+a(&a+a#!*!&a>

    (.

    /lucometer

    set

    /.

    R!a+

    A"m##'%&a'#K(!%!)a(&l(+*aaa"m##'%&a'#a+"#(&l!*a:a%a&ala#?

    a. B!*!&(+#'%(&IGD

    . B!*!la&aIGD

    ;. &m!l#&(m(*'aa(!,a+m("#'

    NO. NAMAOBAT INDIKASI DOSIS

    #'(*%#'#"a D#!la+ %#a 10 15

    m(#% 'am

    a#

    5. D#a(am6al#!m>

    Am!l

    10m+=2ml

    K(,a+ Aa* 0:25m+=*+:I6(la

    D(8a'a 10 m+: I6

    (la

    7. Dam#

    Am!l

    200m+=10ml

    S);*

    Ya+ (l!m

    %(&a%a'# "(+a

    (m(a;!*!

    ;a#&a

    2:520+=*+=m#I6"D'#' +#,al 1 5

    +=*+="D'#',a%!+ 510

    +=*+="D'#' '*=

    . !&'(m#"(

    La'#F>

    Am!l

    20m+=2ml

    E"(mPa&!A*!%

    TD @

    0

    mm=H+>

    20/0m+I6

    0:51m+=*+I6maF

    2m+=*+>

    4. M&)#

    Am!l

    10m+=1ml

    AMI

    E"(mPa&!A*!%

    TD @

    0

    35m+I6

    510m+IM

    Daa% "#!la+ #la

    (&l!

    . Gl!;'(

    /06#al10+&=25ml H+l;(m#a 25

    50

    ml:

    I6

    (la

    10. S"#!m

    B#;a&a%(

    M(l>

    6#al25m(=25

    ml

    M(%al#;

    a;#"'#'

    Bl!' 1 m(=*+: I

    6

    (la

    D 0

    11. I''"(

    "##%%(

    A+#aP(;%' 1%al(%S!l#+!al

    D#!la+ %#a 5 m(#%:

    maF3%al(%

    12. D(Fam(%)a'(

    O&a"(F>Am!l

    /

    A'%)ma

    B&;)#al(Aa)la;%#;

    &(a;%#

    0:05 0:2 m+=*+: I

    61ml!%!*1025*+

    BB>

    13. D#+F#

    LaF#>

    0:25m+=%al(%

    l!%%(&=$#&ala'#

    a%al

    E*lam'#a

    10 ml #: (la

    (la.

    17. L#"*a#

    9l;a&"500>

    Am!l

    500m+=5ml>

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    ". &m!l#&"*!m(*((&a8a%a

    (. T(l("alam"al!a&

    $. Ra* &'!&

    +. M(,a*m!%(&

    ). Km!%(&

    #. -rinter

    ,. K!&'#

    A"a!*(l(+*aaala%*('()a%aa+"#(&l!*a:a%a&ala#?

    a. S%(%'*

    . T(&mm(%(&

    ;. T('#m(%(&

    ". Otoscope

    (. Pal!&($l(*'

    13

    $. Lam!'(%(&

    5. R!a+B("a)M#&

    R!a+ ##(&$!+'# !%!*a'#( a+ m(m!%!)*a %#"a*a("a)

    m#&:m#'ala?

    Ja)#% l!*a *a&(a *(;(la*aa lal!-l#%a': *(;(la*aa *(&,a: "a

    '(a+a#a

    Pa'#(a+a*a"#la*!*a%#"a*aincisionan$$rainage

    Pa'#(a+a*a"#la*!*a%#"a*apleuralpuncture(thoracentesis)

    K(l(+*aaala%a+"#(&l!*a"#&!a+("a)m#&:a%a&ala#?

    a. T(ma%%#"!&. T('#m(%(&

    ;. O2'(%

    ". Surgery$es

    B(&a+a#ma;am;a#&aa%#'(%#*'al:povi$oneio$ine;a#&:

    H2O2:al*)l0:Na

    T&mlgauzeCgauze'%(l

    Ja&!m*!l#%C(a+"(+a(&a+a#!*!&a> Ja&!m"alamC(a+"(+a(&a+a#!*!&a>

    Pl('%(&C+!%#+l('%(&

    ABD:(&a+a#%am

    Sofratulle

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    Ga!(+!l!+"(+a(&a+a#!*!&a>

    Ela'%#'a"a+("(+a(&a+a#!*!&a>

    P#'a!a(';!la

    B(&a+a#'al(a%##%#*

    "i$ocaine#,(*'#Cchlorethylspray

    S(%(ma'a+a#$!'C(&a+a#;a#&a#$!'

    S(%

    (ma'a+a

    nasogastric

    tube S(%(ma'a+afoleycatheter

    B(&a+a#!*!&aspuit"a,a&!m'!%#*

    Sal*=#"a#"(+a(&a+a#!*!&a>

    1/

    Operatinglamp

    T(ma%'ama)

    Sa&!+%a+a

    K&(%a+"a%(ma%a

    Scoop

    strecher

    Sortla'%#*(apron)

    (. L(ma#'%&!m('(%

    S&(#la+

    Ba'*m'%(l

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    Ta!+((ma

    Ba'*m#+a'#

    Ha*(&+#+#

    K&(%a+*l(m

    Ala%venasectie

    Ala%thoracentesis

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    !m#l#*(l Ala%THT

    15

    Sla+"!!&

    Foleycatheter"(+a(&a+a#!*!&a>

    T&ml*a'a

    Ba*#'%&!m(

    Sa&!+%a+a'%(l"(+a(&a+a#!*!&a>

    $. R!a+Ta'(

    Ta'(a"ala)'#'%(m((l(*'#a&l(ma'#(!%!*m(m(*a

    (&%l+a "(+a %(a%: ($(*%#$: "a ($#'#( '('!a# "(+a %!,!a

    !%amaIGD:a#%!?

    M(;(+a)*(ma%#a"a;a;a%

    M((ma&!,!*aa'#(+a8a%"a&!&a%

    M(a++!la+#*&a(;aa

    M(a++!la+#$al'((m(&+(;'(a+a#%!,!a%ama)a

    K(l(+*aa 'a&aa "a ala% *('()a%a a+ "#(&l!*a "# &!a+

    %a'(:a%a&ala#?

    - T(ma%%#"!&

    - L(ma& '%a%!'emergency

    - T('#m(%(&

    - S%(%'*

    - T(&mm(%(&

    +. R!a+P(m(*'aaKa'!'B("a)"aN-B("a)>

    R!a+##"aa%"#(&+!a*a!%!*a'#(a+a*a?

    D#la*!*a(+!*!&a%a"a-%a"a#%al

    D#la*!*a(m(*'aa$#'#*

    M(!++!)a'#l(m(*'aa(!,a+la&a%!m:&a"#l+#>

    M(!++!ma'!**(&!a+&a8a%#a

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    D#la*!*a%#"a*a*((&a8a%aa'a+#$!':a'a+catheter:

    a'a+nasogastrictube:"a'(a+a#a>

    M(!++!a%

    M(!++!&'('((l('a#aa"m##'%&a'#

    O'(&a'#'(%(la)"#la*!*a"#&!a+("a)m#&

    17

    A"a! *(l(+*aa 'a&aa "a ala% *('()a%a a+ "#(&l!*a "#

    &!a+(m(*'aa*a'!'("a)ma!!-("a):a%a&ala#?

    a.

    T(ma%

    %#"!&. T(ma%'ama)

    ;. O2'(%'(%&al>

    ". T('#m(%(&"#"#+

    e1 'onguespatel

    $. Sa&!+%a+a

    +. J(ll

    ). Ma'*(&

    7. R!a+T#"a*aO'%(%+#(*l+#

    R!a+ ## (&$!+'# !%!* a'#( a+ "#la*!*a %#"a*a

    '%(%+#(*l+#.

    K(l(+*aa 'a&aa "a ala% *('()a%a a+ "#(&l!*a "# &!a+

    %#"a*a'%(%+#(*l+#:a%a&ala#?

    a. T(ma%%#"!&

    . T(ma%'ama)

    ;. T('#m(%(&"#"#+

    ". T+!('a%(l

    (. Sa&!+%a+a

    $. J(ll

    +. Dl(&

    ). S(*!l!m

    #. T&ml*aa'"a'al

    . R!a+

    Spool

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    R!a+ ##(&$!+'# !%!* m(;!;# ala%- ala% *((&a8a%a: '((&%#

    #'%:!al:"aa'*mma"#.

    K(l(+*aa'a&aa"a(&ala%aa+"#(&l!*a"#&!a+spoolhoc:

    a%a&ala#?

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    a. Ba*'l

    . T(ma%'ama)

    ;. Ual:("a

    1

    ". B(&a+a#;a#&al'l:%(l>

    (. Ba*&("amala%

    $. B!!* "(%(&+(%

    +. S#*a%

    ). Sa&!+%a+a'%(l

    #. Ra*

    ,. T(ma%,a&!m"a#'a!(*a'

    *. Sa!

    l. Ala%(lC;a#&a

    m. T(ma%%(!*%&

    .

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    P#(%

    14

    E(l(!*.5F152mm

    E(l(!*.110F230mm

    Ka&(%+(la+

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    1

    S!#%20;;

    S!#%50;;

    I$!''(%("#a%*

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    Ja&!m'!%#*25

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    L(!*;&($(15;mF5m

    6(&a"+!l!+5;m

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    K"m;a%)

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    M(l4/25;;

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    11.R!a+I'%#&a)a%D*%(&Ja+a

    K(l(+*aa 'a&aa a+ "#(&l!*a "# &!a+ #'%#&a)a% "*%(&,a+a:

    a%a&ala#?

    a. T(ma%%#"!&

    . T(l("alam

    ;. T(l(#'#

    ".

    K!&'#12.R!a+Ga%#P(&a8a%

    K(l(+*aa'a&aaa+%(&'("#a"#&!a++a%#(&a8a%:a%a&ala#?

    a. P#a(++a%!+a,!

    . 0anger

    13.R!a+T!++!Pa'#(

    R!a+##(&$!+'#!%!*a'#(a+'("a+?

    M(!++!(m(*'aa$#'#*=!*!&%a"a-%a"a#%al

    M(!++!)a'#lla&a%!m"a9Ra>

    M(!++!((l('a#a&'('a"m##'%&a'#

    M(!++!&'('ma'!**(I'%ala'#Ra8a%Ia

    K(l(+*aa'a&aaa+%(&'("#a"#&!a+%!++!a'#(:a%a&ala#?

    a. K!&'#

    . T(ma%'ama)

    ;. Ra*&'!&

    22

    BABI

    TATALAKSANAPELAANAN

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    4.1.PELAANANPENDAFTARANPASIEN.

    Pa'#( "a%a+ *(%(ma%((maa +a8a% "a&!&a%. T(ma%("a$%a&a

    a'#('((l!m,am0.00-1/.00"#l*(%1Pl#*l##*:'("a+*a,am1/.00-0.00

    ("a$%a&aa'#( "# IGD. Pa'#( "#%l+ %(&l(#) "!l!:a&! *(m!"#a

    'ala) 'a%! *(l!a&+a "# m#%a !%!* m("a$%a& "a m("aa%*a '%a%!' &a8a% ,ala *(m!"#a

    "#la*!*a((l('a#aa"m##'%&a'#a.

    S(%(la)m("aa%(laaaa+;!*!:a"a((&aa*(m!+*#a"a

    '(%#aa'#(?

    Pa'#(l()la+'!+!la+

    Pa'#("#&!,!*="#*#&m*(&!ma)'a*#%la#

    Pa'#()a&!'"#&a8a%

    Q M(#++al "!#a

    1. Pa'#( a+ '!"a) "#'(l(*'# "a m(ma8a '!&a%(+a%a& !%!*

    "#&a8a%#a )a&!' m("a$%a& &a8a% #a "# l*(% ("a$%a&a !%!* m("aa%*a

    "aa%la+'!+"#a8a*(&!a+a(&a8a%a'am#lm(!++!

    %(ma%%#"!&*'+"a&!a+(&a8a%a.

    2. J#*aa'#('!"a)'a"a&"a"aa%"#8a8a;a&a#:P(%!+a'("a$%a&a

    m("a%a+#a'#(=*(l!a&+a!%!*m("aa%*a#"(%#%a''(l(+*aa.

    3. Ba+#a("a$%a&a m(+(;(* "a%a #"(%#%a' *(a+#a &(*am m("#'

    !%!*m(+(%a)!#aa*a)a'#((&a)"#&a8a%=(&a%*(&!ma)'a*#%.

    /. Ba+#a'#(a+(&a)(&a%="#&a8a%ma*a&(*amm("#'a'(+(&a

    "#*#m *( &!a+(&a8a%a a+(&'a+*!%a "a %(%a m(ma*a#

    m&a+"#m#l#*#a.

    5. Ba+#a'#(a+(&a)"#&a8a%=(&a%*(&!ma)'a*#%ma*a"#(*a

    m&&(*amm("#'.

    7. P(%!+a'("a$%a&a )a&!' '(lal! m(m(%a)!*a &!a+(&a8a%a

    '(m(%a&am(+(a#'#%!a'#%(ma%%#"!&"#&!a+(&a8a%a.

    4.2.SISTEMKOMUNIKASI.

    Km!#*a'# 'a+a%(&(&a(%#+ "alam(a++!la+a("(%a

    +a8a% "a&!&a% time saving is life limb saving. S(la# #%! *"#'# *(+a8a%

    23

    "a&!&a%a a+ m!+*# %(&,a"# '()a )a a%a!(;aa %(&%(%! "aa%

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    m(#m!l*a*&a#"##"!a%a!*&ama''al.

    Km!#*a'#'(a+a#'!'#%(m(!,a+(a++!la+a("(%a+a8a%

    "a&!&a%(&l!!%!* m(,am#*(la;a&a"a*(;(a%a.Km!#*a'#I'%ala'#

    Ga8a%Da&!&a%RS.Ba%#'Ba%!'#a2/,amm(++!a*a'a&aa*m!#*a'#

    #%(&"a(F%(&.

    I%(&"(+a(F%.301

    EF%(&"(+a)%l#(03/1>50//505:5/171(F%301.

    4.3.PELAANANTRIASE.

    Ta'(a"ala)'#'%(m'(l(*'#a'#(!%!*(+(lm**a*&a"alam

    m((%!*a %#+*a% *(+a8a%a '(&%a%a' "a *(;(a%a(a+aa '(&%a

    (m#"a)a. Pa'#( "#'(l(*'#(&"a'a&*a %#+*a% *(+a8a%"a&!&a%aa "(+a

    *a%(+?

    1. Pa'#(+a8a%"a&!&a%

    Pa'#(a+%#a%#a(&a"a"alam*(a"aa+a8a%a%a!a*am(,a"#

    +a8a%"a%(&a;ama8aa'(&%aa++%aa"aaa*am(,a"#

    ;a;a%>#la%#"a*m("aa%(&%l+a'(;(a%a.

    2. Pa'#(+a8a%%#"a*"a&!&a%

    Pa'#((&a"a"alam*(a"aa+a8a%%(%a#%#"a*m(m(&l!*a%#"a*a

    "a&!&a%:m#'ala(a*#%*a*(&'%a"#!mla,!%.

    3. Pa'#("a&!&a%%#"a*+a8a%

    Pa'#(a*#a%m!'#a)a+"a%a+%#a%#a:%(%a#%#"a*m(+a;am

    a8a"aa++%aa"aa:m#'alal!*a'aa%"a+*al.

    /. Pa'#(%#"a*+a8a%%#"a*"a&!&a%

    M#'alaa'#("(+a!l;!'%!m:TB

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    *(&!+#a: )a&%a("a: *(&!'a*a l#+*!+a: *(&!'a*a 'a&aa "a

    &a'a&aa!m!m:'(&%am(#m!l*a+a++!a%(&)a"a%a%a*()#"!a

    "a (+)#"!a ma'a&a*a% '(&%a (ma+!a a'#al a+

    m(m(&l!*a(&%l+a"aa%!a.

    Dalam(la*'aaa(laaa "# IGD "#(&la*!*a *a%(+ *a'!'

    (m(&+(;"a$al'((m(&+(;.Dalam)al##a+%(&ma'!*a'#(

    (m(&+(;a"ala)?*a'!'P%a'1P1>a#%!a'#(+a8a%"a&!&a%:

    %a'2P20a#%!a'#(+a8a%%#"a*"a&!&a%"a=a%a!a'#("a&!&a%

    %#"a*+a8a%.S("a+*aa+%(&ma'!*a'#($al'((m(&+(;a"ala)

    *a'!'P%a'3P3>a#%!a'#(%#"a*+a8a%%#"a*"a&!&a%"a*a'!'

    %a' 0 P0> a#%! a'#( a+ "a%a+ "alam *(a"aa '!"a)

    m(#++al"!#a"(a%)a&al>

    Ka&%! *"( 8a&a %a'( "aa% "#+!a*a '(a+a# ;a&a(+*la'#$#*a'#a

    "alam%a'('(%(la)"#(&l()#$&ma'#a*!&a%%(%a+*(a"aaa'#(.

    Ka&%!8a&aa+"#+!a*aa"ala)?

    1. MERAH ? K&aa+m(m!%!)*a'%a#l#'a'#:m#'ala?

    S*l()(&a+a#*a!'a

    Ga++!a(&a$a'a

    T&a!ma*(ala"(+a!#la#'*&

    P(&"a&a)a(*'%(&alma'#$

    Ga++!a,a%!+a+m(+a;am

    L!*aa*a&@50a%a!l!*aa*a&"#"a(&a)%(&a*a&

    S(m!aa'#(%(&'(!%"#a%a'"#'al!&*a*(&!a+&('!'#%a'#.

    2. KUNING ? K&a a+ m(m(&l!*a (+a8a'a *(%a% %(%a#

    (&a8a%a"aa%"#%!"a'(m(%a&a:m#'ala?

    K&a"(+a'#*'**&a"(+a+a++!a

    ,a%!+:%&a!maa"m((&a%>

    &a*%!&m!l%#l(

    &a*%!&$(m!&=(l#'

    25

    L!*a

    a*a&

    l!a'

    Ga++!a*('a"a&a=%&a!ma*(ala

    K&a"(+a'%a%!'%#"a*,(la'

    S(m!aa'#(%(&'(!%"#a%a'"#'al!&*a*(&!a+%#"a*a("a).

    3. HIJAU ? K(lm* *&a a+ %#"a* m(m(&l!*a(+a%a

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    a%a!(m(a(+a%a"aa%"#%!"a:m#'ala?

    &a*%!&m#&

    L!*am#&:l!*aa*a&m#&:a%a!%aal!*a

    Pa'#("(+a*(;(la*aa"#'al!&*a*(&!a+%#"a*a("a).

    /. HITAM ? K&aa+%(la)m(#++al"!#a

    Pa'#(a+m(#++al"!#a"#'al!&*a*(*ama&,(aa).

    4.4.TRANSPORTASIPASIEN.

    T&a'&%a'#m(&!a*a'ala)'a%!a+#a(%#+"alam(laaa+a8a%

    "a&!&a%.M(lal!#%&a'&%a'#*#%a"aa%m(ma%!(a+aa("(%a+a8a%

    "a&!&a%. Dalam m(m(*a (laaa %&a'%a'# *(a"a ("(%a +a8a%

    "a&!&a%:(&l!"#(&)a%#*a((&aa(%!,!*"#a8a)##?

    1. P(&'#aaala%

    a. Am!la'

    . K!&'#&"a.

    ;. B&a*a&".

    ". Ala%ala%(!,a+)#"!a+"#(&l!*a.

    2. . La+*a) la+*a) "alam

    m(m(*a(laaafalseemergencya"ala)'(a+a#(*!%?

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    1. P(laaa "#(*a %(&l(#) "a)!l! *(a"aa'#( a+ m(+alam#

    (a*#%a*!%"a+a8a%'rueEmergency!*a(&"a'a&*a!&!%a

    *("a%a+aa'#(.

    2. Ka'!'-*a'!'a+%#"a*%(&+l+a*!%"a+a8a%FalseEmergency

    a*am("aa%*a(laaa'(%(la)*a'!'+a8a%"a&!&a%%(&laa#.

    3. Pa"a,am*(&,a0.00-1/.00> '(%#a )a S(# J!ma%: *a'!'-*a'!'

    falseemergencya*a"#al#)*a*(l#*l##*:a%a!

    /. D*%(&l#*l##*"#m#%a*aa%!aa!%!*m(laa#a'#(false

    emergency "# IGD#la D*%(& IGD '("a+ m(a+a#a'#( true

    emergency.

    4.6.PELAANANVISUMETE!ETUM"

    VisumEtRepertuma"ala)la&a%(&%!l#'a+"#!a%l()"*%(&a%a!

    (&m#%aa%(&%!l#'"a#)a*a+(&8a,#m(+(a#aaa+"#l#)a%="#(*'a

    (&"a'a&*a*(#lm!a"a'!ma)"*%(&!%!**((%#+a(&a"#la.

    La+*a) la+*a) "alam m(m(*a(laaa visum et repertum

    a"ala)'(a+a#(*!%?

    1. P(#"#*Pl#'#>m(ma8aS!&a%P(&m#%aa%(&%!l#'"a#)a*a+

    (&8a,#K(l#'#a>!%!*(m!a%aVisumEtRepertum.

    2. I"(%#$#*a'# #"(%#%a' a'#(: aa*a) '('!a# "(+a '!(* a"a

    (&m#%aa

    Visum

    Et

    Repertum.

    3. D*%(& m(m!a%

    Visum

    Et

    Repertum '(;a&a ,(*%#$(&"a'a&*a

    (m(*'aa 'aa% ## a%a! "a ;a%a%a a"a R(*am M("#* ,#*a

    *(,a"#aaa'!"a)lama!.

    2

    /. Visum Et Repertum "#'(&a)*a *(a"a (#"#* Pl#'#> a+

    m(m#%aa. Pa'#( a%a! *(l!a&+aa'#( %#"a*(&)a* m(m#%a a%a!

    m(l#)a%a.

    4.7. P#$a%anan

    DOA

    Death

    on

    arrival/DOADeathonarrival>m(&!a*a*(,a"#a*(ma%#aa"a'aa%a'#(

    'ama#"#IGD.Pa'#(a+"a%a+"alam*(a"aaDOAla+'!+"#'al!&*a=

    "#%(ma%*a"#*ama&,(aa).

    Sa&a%(+am#la,(aa)?

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    1. P(+am#l,(aa)m((&a)*a$%;!*%#"#a+'a)*(a"a

    (%!+a'.

    2. P(+am#l,(aa) m((&a)*a S!&a% P(+am#la J(aa) *(a"a

    (%!+a'.

    J#*a,(aa)(&a"a"#*ama&,(aa)ma*'#mal/,am:l(#)"a#%!,(aa)

    la+'!+"#*#m*(RSUDSa#$!lA8a&Mala+.

    4.8. S!(#mInforma!P#$a%ananPraR*maSa+!(

    IGDRS.Ba%#'Ba%!"#*la'#$#*a'#*a'(a+a#I'%ala'#P(laaaGa8a%

    Da&!&a%*(la'II:*a&(a%(la)m(m#l#*#"*%(&'('#al#'(ma%('a&a+'#a

    "#a++#lon2call>:"*%(&!m!ma+'#a+a"#%(ma%on2site>2/,ama+

    m(m#l#*# *!al#$#*a'#(laaa GELS /eneral Emergency "ife Support> "a

    mam!m(m(*a&('!'#%a'#"a'%a#l#'a'#AB

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    '('#al#' a+ *m(%( a%a! '(%#"a*a a%a'(&'(%!,!a 'ala) 'a%! "*%(&

    '('#al#'/('a&("a):(a*#%"alam:aa*:"a*(#"aa>.D*%(&,a+aIGD

    '((l!mm(la*!*a&!,!*aa'#()a&!'m(+*&$#&ma'#*aa'#(%'*(a"a

    "*%(&'('#al#'a+'('!a#"(+a(a*#%a'#(.A"a!(%!*&!,!*aa#%!

    ?

    1. Al#)Ra8a%

    Al#)&a8a%"aa%"#la*!*aa"a*(a"aa?

    - T#"a* a"a"*%(&'('#al#'a+*m(%(

    - T&a!ma*a#%#'"(+a*(m!+*#a(&"a&a)a#%&a*a#%#'

    - P(&m#%aaa'#(

    - D!+aa*a'!'SARS:$l!!&!+:$l!a#

    2. P(m(*'aaD#a+'%#*

    a.

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    (. B!*!la&a)aa(ma*a#aa%

    2. S(%#a )a(%!+a' =(*a&aa+# m(+a%a& al*(' a+ %(&a*a# !%!*

    "#'%(l*a"am(+am#l*(mal#'(%(la)"#'%(l*a!%!*"#'#maa"a

    %(ma%a.

    3. P(m('aaala%*('()a%a"#la*!*al()(&a8a%(a++!+,a8a"#a'

    a+# '(%#a )a Sa%! "(+a m(+#'# la* (m('aa al*(' a+

    "#%a"a%a+a# K(ala(&a8a% = K(ala IGD "(+a,!mla) a+ '('!a#

    (+(l!a&a = *(!%!)a: *(;!al##la,a%!)a"a )a l#!&:(m('aa

    "#la*!*a'()a'((l!ma.

    /. P(+a"aaala%!m!m?

    a. P(%!+a' IGD m(m!a%(&m#%aa *(a+#a G!"a+: "(+a m(+#'#

    &m!l#&P(+am#laBa&a+a+"#%a"a%a+a#l()Ka.Ba+.Ga8a%

    Da&!&a%a%a!Ka.IGD.

    . &m!l#&"#'(&a)*a*(Ba+#aG!"a+.

    5. P(+a"aaala%ala%*('()a%a?

    a. Ba+#a Ga8a% Da&!&a% m(+a,!*a(&m#%aaa&a+ "(+a m(+#'#

    $&m!l#&(&m#%aaa&a+.&m!l#&%(&'(!%%(&l(#)"a)!l!"#a,!*a

    *(a"aK(alaD(a&%(m(P(laaa!%!*"#*(%a)!#:"#(&%#ma+*a

    30

    "a"#'(%!,!#'(&%a"#%a"a%a+a#l()K(alaBa+#aGa8a%Da&!&a%=Ka.

    IGD"aK(alaD(a&%(m(P(laaa.

    . P(&m#%aa a&a+ a+ %(la) "#'(%!,!# l() K(ala D(a&%(m(

    P(laaa: '(la,!%a "#a,!*a *(a"a T#m P(+a"aa: !%!*

    "#(&%#ma+*a"a(+('a)a.

    ;. T#m(+a"aam(la*!*a(+#'a'#(a8a&a)a&+a!%!*m("aa%

    *('(a*a%a)a&+a"(+a(ma'*.

    ". T#m(+a"aa m(m((%a) *(a"aa+#a =(%!+a'(m(l#a:

    !%!*m(m(l#a&a+a&a+'('!a#*(!%!)aa+#aa+m(m#%a.

    Dalam )al *(!%!)aa&a+a&a+ &!%# a+ %(la) "#la*!*a

    (&,a,#a

    *(&,a'ama:

    ma*a

    (m(l#a

    "aa%

    la+'!+

    "#

    la*!*a

    *((ma'*a:'(%(la)a"a(+('a)a"aT#mP(+a"aa.

    (. Ba+#a=(%!+a'(m(l#am(la*!*a%&a'a*'#a%a'(m(l#aa&a+

    a&a+'('!a#(&m#%aaa#*!%!*a&a+a&a+&!%#a%a!a&a+

    a&a+a+'%;*.

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    $. P(ma'* m(+a%a&a&a+ *( R.S. Ba%#' Ba%! '('!a#('aa "a

    a&a+%(&'(!%"#%(mal()a+#a:P(%!+a'G!"a+m(m(*'aaa*a)

    a&a+a&a+%(&'(!%'('!a#"(+a('aaa#*,(#'ma!!,!mla)

    ('aa.

    +. K(m!"#aa+#a+!"a+m("#'%!'#*aa&a+*(a"aa+#aGa8a%

    Da&!&a%.

    ). U%!*(+am#laa&a+"#+!"a+a+'!"a)"#a,!*a:P(%!+a'IGD

    m(la*!*a&'("!&a"a(&m#%aaala%ala%!m!m"#a%a'.

    31

    BABI

    KESELAMATANPASIEN

    7.1. PENGERTIAN.

    K('(lama%aa'#( patient safety> m(&!a*a '!a%! '#'%(m "#maa

    &!ma) 'a*#% m(m!a% a'!)aa'#( l(#) ama. S#'%(m %(&'(!% m(l#!%# ?

    a''(''m( '#*: #"(%#$#*a'# "a(+(llaa )al a+(&)!!+a "(+a

    '#*a'#(:(la&a"aaal#'#'#'#"(:*(mam!a(la,a&"a#'#"("a

    %#"a*la,!%a'(&%a#ml(m(%a'#'l!'#!%!*m(m##mal*a%#m!la'#*.

    S#'%(m%(&'(!%"#)a&a*a"aa%m(;(+a)%(&,a"#a;("(&aa+"#'(a*a

    l()*('ala)aa*#a%m(la*'aa*a'!a%!%#"a*aa%a!#"a*m(la*!*a%#"a*a

    a+'()a&!'a"#la*!*a.

    7.2. TUJUAN.

    1. T(&;#%aa!"aa*('(lama%aa'#("#&!ma)'a*#%.

    2. M(#+*a%*a a*!%a#l#%a' &!ma) 'a*#% %(&)a"a a'#( "a

    ma'a&a*a%.

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    3. M(!&!a*(,a"#a%#"a*"#)a&a*aKTD>"#&!ma)'a*#%.

    /. T(&la*'aaa&+&am&+&am(;(+a)a '()#++a%#"a* %(&,a"#

    (+!la+a*(,a"#a%#"a*"#)a&a*a.

    7.3. TATALAKSANAKESELAMATANPASIEN.

    1. K('(lama%aa'#( m(&!a*a )al a+ %(&!%ama "alam(laaa

    IGD.

    2. T(&"aa%(%!+a'IGDa+m(ma)am#m(+(a#*('(lama%aa'#(.

    3. T(&"aa% '#'%(m(laaa a+ *m&()('#$:a#* m("#' ma!!

    *((&a8a%a '()#++a m(m##mal*a %(&,a"#a *a'!' a+ %#"a*

    "#)a&a*aKTD>.

    /. S(%#aa'#( a+ ma'!* m(lal!# IGD )a&!' m("aa%(#la#a

    la+'!+l()"*%(&,a+a:!%!*m(a%a*a*"#'#*("a&!&a%aa.

    5. Pa'#( a+ m(+alam# *"#'# a+ "a&!&a%: a#%! m(+a;am

    *('(lama%a a'#(: )a&!' "#%a%ala*'aa "(+a l(+*a "# IGD.

    32

    K'!l%a'#'('#al#'%#*"#la*!*a"#IGD:*(;!al##la(a*#%a'#(

    "#a++a%#"a*m(ma)aa*a.

    7. I"(%#$#*a'#a'#()a&!'"#la*!*a'(;a&al(+*a:a#*(&!a'%a%!'

    ma!!+(la+#"(%#%a'.

    . S(+ala(%!*(m#"a)aa'#(:a#**(&!a+(&a8a%aa%a!*ama&

    (&a'# )a&!' '!"a) %("(%#$#*a'# "(+aa#*: "a "#*(%a)!# l()

    *(ala(&a8a%,a+a'aa%#%!.

    4. Sa&aa "a &a'a&aa )a&!' m(+#"a)*a *('(lama%a a'#( ?

    '%(l#%a'ala%:%a!+*'#+(:%(ma%%#"!&"&+:a;:"ll.

    . T(&"aa%(al!a'#(&*ala*(l(+*aa'a&aa"a&a'a&aa.

    10.T(&"aa%(la&a*a'!'a+%#"a*"#)a&a*a:a#%!?

    - I'#"('*('ala)a#"(%#$#*a'#*("a&!&a%aa'#(.

    - I'#"('a'#(,a%!).

    - I'#"('*(,a"#a#$!'l+.

    - I'#"('

    *('ala)a

    (m(a

    a%.- I'#"('*('ala)a;a&a(m(aa%.

    - I'#"('*('ala)a(&'#aa(&a'#.

    - I'#"('*('ala)a(&'#aa(m(*'aa(!,a+.

    11.M(ma+!*('a"a&aa%a!!"aaa*a#la#*('(lama%aa'#(

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    33

    BABII

    KESELAMATANKERJA

    7.1. PENGERTIAN.

    K('(lama%a*(&,am(&!a*a'!a%!'#'%(m"#maa&!ma)'a*#%m(m!a%

    *(&,a=a*%#$#%a'*a&a8al(#)ama.S#'%(m%(&'(!%"#)a&a*a"aa%m(;(+a)

    %(&,a"#a;("(&aa+"#'(a*al()*('ala)aa"#a%a!!&!ma)'a*#%.

    7.2. TUJUAN.

    1. T(&;#%aa!"aa*('(lama%a*(&,a"#RS.Ba%#'Ba%!.

    2. M(;(+a)"am(+!&a+#*(;(la*aa

    3. M(m(&l()*('(&a'#aa%a&a%(a+a*(&,a:ala%*(&,a:l#+*!+a:;a&a

    "a&'('*(&,aa.

    /. M(('!a#*a"am((m!&a*a(+amaaa"a(*(&,aaa+

    a)aa*(;(la*aaam(,a"#(&%ama)%#++#.

    7.3. TATA

    LAKSANA

    KESELAMATAN

    KARAAN.

    a. S(%#a (%!+a' m("#' ma!! m("#' m(,ala*a '#

    (;(+a)a#$(*'#:a#%!?

    - M(+a++a a)8a a'#( ma!! "#a '("# "aa%

    m(!la&*a#$(*'#.

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    - M(++!a*a ala%(l#"!+ 'a&!+ %a+a: *a;ama%a: '(a%!

    %=ala'*a*#%(&%!%!:;(l(m(*:ma'*(&"ll>%(&!%ama#la%(&"aa%

    *%a*"(+a'('#m(a'#(a#%!?!:"a&a):m!%a):'(*&(%:

    "ll.

    - M(la*!*a(&a'a%a+amaa+#(%!+a'ma!!a'#(:'('!a#

    &'("!& a+ a"a: m#'? m(ma'a+ *a%(%(&: m(!%#*: m(,a)#%

    l!*a:m(ma'a+#$!':"ll

    - M(;!;# %a+a "(+a 'a! a%#'(%#* '((l!m "a '('!"a)

    m(a+a#a'#(.

    . T(&"aa%%(ma%'ama)#$(*'#!'"a#$(*'#!'

    3/

    ;. M(+(llaala%"(+am(+#"a)*a'#'%(l#%a'a#%!?

    - D(*%am#a'#"(+ala&!%a*l

    - P(;!;#a"(+a'a!

    - P(+(+a

    ". M(++!a*aa,!*(&,aa+(&'#)

    (. M(la*!*a!aa-!aam("#'a+%(a%"alamm(a+a#*a'!'?

    - HI6=AIDS'('!a#'#(;(+a)a#$(*'#>

    - l!!&!+

    K(8a'a"aa'%a"a&*a&a8a=(%!+a'IGD"alamm(+)a"a#

    ("(%a"(+a"!+aa$l!!&!+a"ala)?

    '(l&!)%(laa*%a+ama!!!++!+%a+a.

    Hal##"#la*!*a'((l!m"a'('!"a)m(m(*'a("(%a.

    M(ma*a#ma'*(&N5a%a!m##malma'*(&a"a

    M(++!a*a (l#"!+ 8a,a) = *a;a ma%a +++l( #la

    "#(&l!*a>

    M(++!a*aa&=+a!(l#"!+

    M(++!a*a

    'a&!+

    %a+a M(++!a*a(l#"!+*a*#'(a%!%>

    - H(a%#%#'B=

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    35

    BAB

    III

    PENGENDALIAN

    MUTU

    B((&aa

    #"#*a%&

    m!%!

    "alam

    (laaa

    +a8a%

    "a&!&a%

    '(a+a#

    (*!%

    ?

    1.

    A+*a

    K(%(&lama%a

    P(laaa

    P(&%ama

    Ga8a%

    Da&!&a%

    KPPGD>

    P(laaa

    P(&%ama

    Ga8a%

    Da&!&a%

    "#*a%a*a

    %(&lama%

    aa#la

    (laaa

    %(&)a"a

    ("(%a

    +a8a%

    "a

    a%a!

    "a&!&a%

    a+

    "#laa#

    "(+a

    %#"a*a

    L#$(

    Sa#+

    l()

    (%!+a'

    +a8a%

    "a&!&a%

    l(#)

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    5

    m(#%.P(%!+a'

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    a"ala)

    (%!+a'

    a+

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    "#

    R!a+

    Ga8a%

    Da&!&a%

    :

    a+

    %(la)

    "#la%#)

    PPGD.

    T#"a*a

    Da&!&a%

    a%a!

    L#$(

    Sa#+

    a"ala)

    %#"a*a

    a+

    "#%!,!*a

    !%!*

    m((lama%*a

    ,#8a

    ma!'#a

    a+

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    %(&a;am

    *a&(a

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    l!*a-l!*a

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    "#"(%aa.

    Rumus 4

    Baa*a

    ("(%a

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    "a&!&a%

    a+

    KPPGD

    "#laa#"alam5m(#%(&!la 9100

    T%al

    ("(%a

    +a8a%

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    a"a

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    (&*ala

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    %#+a>

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    %(&!'

    m((&!'.

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    "#'#m!l*a

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    aal#'#'

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    *(;("(&!+a

    %&(">

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    K(%(&lama%a

    P(laaa

    P(&%ama

    Ga8a%

    Da&!&a%.

    2.

    A+*a

    K(ma%#a

    AK>

    "#

    IGD

    Rumus 4

    AK J!mla)

    *(ma%#a

    J!mla)

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    IGD

    9100

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    A+*a

    *(ma%#a

    ##

    )a&!'

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    3

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    8a*%!.

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    a+*a

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    ##

    D(a%)

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    A&al

    DOA>.

    37

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    BABI:

    PENUTUP

    D(m#*#ala)!*!P("maP(laaaGa8a%Da&!&a%##"#'!'!.Kam#

    m(+a,a*'(m!a#)a*a+(*(&,a"#RSBa%#'Ba%!!%!*"aa%(&'ama-'ama

    m(m#a "a m(+(ma+*a '#'%(m(laaa "# IGD. S(m!a(%!+a'a#*

    %(a+a m("#': a&am("#': ma!! m("#' a+ (&*a#%a "(+a

    ((l(++a&aa(laaa +a8a% "a&!&a% )("a*a '(lal! m(aa%# *(%(%!a

    a+%(la)"#+a'*a"#"alam!*!("ma##.