Pedoman Pelayanan IGD - Edit
Transcript of 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
Ala%
!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
$. J(ll
+. Dl(&
). S(*!l!m
#. T&ml*aa'"a'al
. R!a+
Spool
0oc
R!a+ ##(&$!+'# !%!* 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%*
I$!''(%"(8a'a
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RL500;;
Na
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L(!*;&($(15;mF5m
6(&a"+!l!+5;m
6(&a"+!l!+10;m
K"m;a%)
U(a+
E"%&a;)(al%!(.7
E"%&a;)(al%!(.
E"%&a;)(al%!(..5
E"%&a;)(al%!(.4
M(l4/25;;
D(F%&'(/025;;
Sa%(l%+!(
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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#$(
Sa#+
l()
(%!+a'
+a8a%
"a&!&a%
l(#)
"a
5
m(#%.P(%!+a'
+a8a%
"a&!&a%
a"ala)
(%!+a'
a+
(*(&,a
"#
R!a+
Ga8a%
Da&!&a%
:
a+
%(la)
"#la%#)
PPGD.
T#"a*a
Da&!&a%
a%a!
L#$(
Sa#+
a"ala)
%#"a*a
a+
"#%!,!*a
!%!*
m((lama%*a
,#8a
ma!'#a
a+
'("a+
%(&a;am
*a&(a
(a*#%
a%a!
l!*a-l!*a
a+
"#"(%aa.
Rumus 4
Baa*a
("(%a
+a8a%
"a&!&a%
a+
KPPGD
"#laa#"alam5m(#%(&!la 9100
T%al
("(%a
+a8a%
"a&!&a%
a"a
!la
%'
Aal#'#'
)a&!'
"#la*!*a
'(;a&a
(&*ala
3
%#+a>
!la
'(*al#
'(;a&a
%(&!'
m((&!'.
Ya+
)a&!'
"#'#m!l*a
"a
aal#'#'
##
a"ala)
*(;("(&!+a
%&(">
"a
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)
Pa'#(
IGD
9100
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A+*a
*(ma%#a
##
)a&!'
"#*!m!l*a
"a
"#la&*a
'(%#a
3
!la
'(*al#.
Ya+
(&l!
"#(&)a%#*a
a"ala)
*(;("(&!+a
a+*a
*(ma%#a
##
"a
8a*%!
*(
8a*%!.
T#"a*
"#ma'!**a
"#"alam
a+*a
*(ma%#a
##
D(a%)
O
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##.