PENCEGAHAN DAN PENGENDALIAN INFEKSI 2.docx

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  • 7/21/2019 PENCEGAHAN DAN PENGENDALIAN INFEKSI 2.docx

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    BAB 2. PEMCEGAHAN DAN PENGENDALIAN INFEKSI

    STANDAR, MAKSUD DAN TUJUAN, ELEMEN PENELITIAN

    80% Terpenuhi

    20 79% Terpenuhi e!"#i"n

    $ 20% Ti"& Terpenuhi

    PR'(RAM KEPEMIMPINAN DAN K''RDINASI

    Standard PPI.1.

    S")u ")"u *e!ih ini+iu en#"-"i e*uruh &e#i")"n pen.e#"h"n "n pen#en"*i"n in/e&i Ini+iu )ere!u) &1pe)en "*" pr"&)e& pen.e#"h"n "n

    pen#en"*i"n in/e&i "n# iper1*ehn" e*"*ui penii&"n, pe*")ih"n, pen#"*""n ")"u er)i3&"iMaksud dan Tujuan PPI.1

    Pr1#r" pen.e#"h"n "n pen#en"*i"n in/e&i epun"i pen#"-""n "n# e""i eu"i en#"n u&ur"n ru"h "&i), )in#&") rei&1, &1p*e&i)"

    &e#i")"n "n ru"n# *in#&up pr1#r" S")u ")"u *e!ih ini+iu, !er)u#" purn" -"&)u ")"u p"ruh -"&)u, e!eri&"n pen#"-""n e!"#"i 4"#i"n "ri

    )"n##un# 5"-"! ")"u Ur"i"n )u#" "n# i)e)"p&"n Ku"*i3&"i pe)u#" )er#"n)un# "ri &e#i")"n "n# ere&" &er5"&"n "n "p") iper1*eh e*"*ui 6

    Penii&"n

    Pe*")ih"n

    Pen#"*""n

    Ser)i3&"i ")"u *ieni

    E*een Peni*"i"n PPITe*uur SK'

    R

    D'KUMEN

    S""r"n M")eri

    S")u ")"u *e!ih ini+iuen#"-"i pr1#r"pen.e#"h"n "n pen#en"*i"nIn/e&i

    Pipin"n RS

    Kep"*"Ke)u" uni) &er5""n# )er&"i) PPI

    An##1)" &1i)ep"ni)i"PPI

    Pe!en)u&"n K1i)ep"ni)i"

    PPI, pen#1r#"ni"i"n,1per"i1n"*, pr1#r" &er5",pe*"&"n""n"

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    Acuan:

    Pe1"n M"n"#eri"* Pen.e#"h"n

    "n Pen#en"*i"n In/e&i i RS "n;"i*i)" Keeh")"n L"inn",Dep&e, 2007

    Pe1"n Pen.e#"h"n "nPen#en"*i"n In/e&i i RS "n;"i*i)" Keeh")"n L"inn",Dep&e Per"*in J

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    S)"n"r PP*2A" pene)"p"n e&"nie &11rin"i un)u& e*uruh &e#i")"n pen.e#"h"n "n pen#en"*i"n in/e&i "n# e*i!")&"n 1&)er, per"-")

    "n )en"#" *"inn" eu"i u&ur"n "n &1p*e&i)" ru"h "&i)

    M"&u "n Tu5u"n PPI2

    Ke#i")"n pen.e#"h"n "n pen#en"*i"n in/e&i en5"n#&"u &e "*" e)i"p !"#i"n "ri pe*""n"n ru"h "&i) "n e*i!")&"n Ini+iu

    i !er!"#"i uni) "n pe*""n"n @e!"#"i .1n)1h, uni) pe*""n"n &*ini, pee*ih"r""n "r"n", pe*""n"n "&"n"n.")erin#, uru"n ru"h)"n##", *"!1r")1riu, /"r"i "n pe*""n"n )eri*i"i A" pene)"p"n e&"nie un)u& e*"&u&"n &11rin"i e*uruh pr1#r"

    Me&"nie )ere!u) un#&in erup"&"n u")u &e*1p1& &er5" &e.i*, &1i)e, ")u"n )u#" ")"u e&"nie *"inn" T"n##un# 5"-"!

    )er"u&, i"*n" enuun &ri)eri" "n# ene3nii&"n in/e&i )er&"i) pe*""n"n &eeh")"n, e!u") e)1e pen#upu*"n ")"

    @ur+ei**"n.e, ene)"p&"n )r")e# un)u& en#")ur pen.e#"h"n in/e&i "n pen#en"*i"n rei&1, "n pr1e pe*"p1r"n K11rin"i )er"u&

    &1uni&"i en#"n e*uruh !"#i"nuni) "ri ru"h "&i) un)u& en5"in !"h-" pr1#r" ""*"h !er&e*"n5u)"n "n pr1".)i+e

    A"pun e&"nie "n# ipi*ih 1*eh ru"h "&i) un)u& e*"&u&"n &11rin"i pr1#r" pen.e#"h"n "n pen#en"*i"n in/e&i, 1&)er "n

    per"-") )er-"&i*i "n i*i!")&"n !er"" p"r" pr1/ei1n"* pen.e#"h"n "n pen#en"*i"n in/e&i @ Infection control professional Ten"#"

    *"inn" !i" )er"u& eu"i u&ur"n "n &1p*e&i)" ru"h "&i) @i"*n"6 epiei1*1#i), p"&"r pen#upu* ")", "h*i )")i)i., "n"#er

    uni) )eri*i"i .en)r"*, i.r1!i1*1#i), /"r"i"p1)e&er, uru"n ru"h )"n##", pe*""n"n *in#&un#"n ")"u "r"n", uper+i1r &""r 1per"i

    E*een Peni*"i"n PPI2Te*uur

    D'KUMENS""r"n M")eri

    A" pene)"p"n e&"nieun)u& &11rin"i pr1#r"pen.e#"h"n "n pen#en"*i"nin/e&i

    Pipin"n RS

    Kep"*"Ke)u" uni) &er5""n# )er&"i) PPI

    An##1)" K1i)ep"ni)i"

    PPI

    Pe*"&"n" pe*""n"n"n# )er&"i) en#"npr1#r" PPI @1&)er,

    &eper"-")"n "ni)"i,ru"h )"n##", pe)u#"*inen "n *"unr, !

    Pe*"&"n""n T")" hu!un#"n

    &er5" K1i)ep"ni)i" PPI

    en#"n e*uruh uni) &er5")er&"i)

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    Re#u*"i RS6

    Pe1"n pen#1r#"ni"i"n

    K1i)ep"ni)i" PPI @&huun"

    )en)"n# T")"

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    B K11rin"i &e#i")"npen.e#"h"n "n pen#en"*i"nin/e&i e*i!")&"n pr1/ei1n"*pen.e#"h"n "n pen#en"*i"nin/e&i

    Pe*"&"n""n &11rin"i

    &e#i")"n PP* en#"npr1/ei1n"* !i"n# PP*

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    : K11rin"i &e#i")"npen.e#"h"n "n Pen#en"*i"nin/e&i e*i!")&"n uru"nru"h )"n##" @h1ue&eepin#

    Pe*"&"n""n &11rin"i

    &e#i")"n PPI en#"n pih"&

    uru"n ru"h )"n##"

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    C K11rin"i &e#i")"npen.e#"h"n "n pen#en"*i"nIn/e&i e*i!")&"n )en"#"*"inn" eu"i u&ur"n "n&1p*e&i)" Ru"h "&i)

    Pe*"&"n""n &11rin"i&e#i")"n PP* en#"n

    pih"&)en"#" *"inn"

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    0

    S)"n"r PP*?Pr1#r" pen.e#"h"n "n pen#en"*i"n In/e&i !er""r&"n I*u pen#e)"hu"n )er&ini, Pe1"n pr"&)e& "n# "..ep)"!*e eu"i en#"n

    per")ur"n "n perun"n#"n "n# !er*"&u, "n )"n"r "ni)"i "n &e!erih"n

    M"&u "n Tu5u"n PPI?

    In/1r"i ""*"h "n#") pen)in# "*" pr1#r" pen.e#"h"n "n pen#en"*i"n in/e&i A.u"n &ei*u"n )er&ini i!u)uh&"n un)u& pe"h""n"n pener"p"n ur+ei**"n.e "n# ee.)i+e A.u"n "p") !er""* "ri "*" "n *u"r ne#eri, eper)i

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    Up"" Pe"n)"u"n Lin#&un#"n

    Kepen&e 87CMen&eSKHII* 200 )en)"n# Pe1"n Te&niAn"*ii D"p"& Keeh")"n*in#&un#"n

    Pe1"n S"ni)"i Ru"h S"&i) iIn1nei", Dep&e, 2000

    Pe1"n Pen#en"*i"n In/e&iN11.1i"* Di RS, Dep&e, 200

    Pe1"n Pe*""n"n pu")S)eri*i"i @=SSD i RS, Dep&e,2002

    Pe1"n M"n"#een) Linen i

    ? Pr1#r" pen.e#"h"n "npen#en"*i"n in/e&i!er""r&"n per")ur"n "nperun"n#"n "n# !er*"&u

    Pr1#r" PPI * RS

    B Pr1#r" pen.e#"h"n "npen#en"*i"n in/e&i!er""r&"n )"n"r "ni)"i"n &e!erih"n "ri 4""nF

    4""n n")i1n"* ")"u *1&"*

    Pr1#r" PPI !er""r&"n)"n"r "ni)"i n")i1n"*

    Komisi Akreditasi Rumah Sakit(KARS)

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    S)"n"r, PP*B

    Pipin"n ru"h "&i) enei"&"n u!er "" "n# .u&up un)u& enu&un# pr1#r" pen.e#"h"n "n pen#en"*i"n in/e&i

    M"&u "n Tu5u"n PP*B

    Pr1#r" pen.e#"h"n "n pen#en"*i"n in/e&i e!u)uh&"n )" "n# .u&up un)u& en."p"i )u5u"n pr1#r" "n &e!u)uh"n ru"h "&i),

    e!"#"i"n" i)e)"p&"n 1*eh

    4""ne&"nie pen#"-""n "n ie)u5ui 1*eh pipin"n ru"h "&i)

    Se!"#"i )"!"h"n, pr1#r" pen.e#"h"n "n pen#en"*i"n In/e&i e!u)uh&"n u!er "" "n# "p") e!eri&"n eu&"i &ep"" eu" )"

    "n penei""n, eper)i "*.1h1*

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    en#"*1&"i&"n u!er """n# .u&up un)u& pr1#r"pen.e#"h"n "n pen#en"*i"nIn/e&i

    :

    0

    RKA RS

    A"n" SIRS un)u& pr1#r" PPI

    @!i" e."r"

    ? A" )e "n"#een)In/1r"i un)u& enu&un#pr1#r" pen.e#"h"n "npen#en"*i"n In/e&i

    Du&un#"n SIRS un)u&

    pr1#r" PPI

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    F%K&S DAI P%GAM

    S)"n"r PP*:

    Ru"h S"&i) enuun "n ene)"p&"n pr1#r" "n# &1preheni/ un)u& en#ur"n#i rei&1 "ri in/e&i )er&"i) pe*""n"n &eeh")"n pp"ien "n )en"#" pe*""n"n &eeh")"n

    M"&u "n Tu5u"n PP*:

    A#"r pr1#r" pen.e#"h"n "n pen#en"*i"n in/e&i e/e&i/, h"ru &1preheni/, en5"n#&"u p"ien "n )en"#" &eeh")"n Pr1#r"

    i&en"*i&"n en#"n u")u "n# en#ien)i3&"i "n en#")ur ""*"hF""*"h In/e&i "n# e."r" epiei1*1#i) pen)in# un)u& ru"

    "&i) Se!"#"i )"!"h"n, pr1#r" "n peren."n""n "#"r eu"i en#"n u&ur"n, *1&"i #e1#r"3, pe*""n"n "n p"ien ru"h "&i) Pr1#

    )er"u& )e un)u& en#ien)i3&"i in/e&i "n en#in+e)i#"i 1u)!re"& "ri Pen"&i) in/e&i Ke!i5"&"n "n pr1eur erup"&"n "

    pr1#r" Aeen) rei&1 e."r" peri1i. "n penuun"n ""r"n enurun&"n rei&1 en#"r"h&"n pr1#r" )ere!u)

    E#!'!nt P!n$#a$an PPI.(.

    T!#usur SK

    % D%K&MENSasaran Mat!r$

    A" pr1#r" &1preheni/ "nRen."n" enurun&"n rei&1In/e&i )er&"i) pe*""n"n&eeh")"n p"" p"ien

    Pipin"n RS

    Ke)u" K1i)ep"ni)i" PPI

    An##1)" K1i)ep"ni)i"

    Pr1#r" &er5" &1i)ep"ni)i"PPI, "n# e*ipu)i6

    Up"" enurun&"n rei&1

    in/e&i p"" pe*""n"n p"ien

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    A.u"n6

    Pe1"n M"n"#eri"* pen.e#""n Pen#en"*i"n In/e&i * R

    Komisi Akreditasi Rumah Sakit(KARS)

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    PPI

    Pe*"&"n" pe*""n"n"n# )er&"i) en#"npr1#r" PPI

    "n ;"i*i)" Keeh")"n L"innDep&e, 2''7

    2 A" pr1#r" &1preheni/ "nren."n" enurun&"n rei&1in/e&i )er&"i) pe*""n"n&eeh")"n @*ih") 5u#" KPS8B

    Up"" enurun&"n rei&1

    in/e&i p"" )en"#"&eeh")"n

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    ? Pr1#r" )er"u& &e#i")"n"n# ur+ei**"n.e "n#)e")i. "n pr1".)i+e un)u&enen)u&"n "n#&" in/e&i !i""@enei.

    Ke#i")"n ur+ei**"n.e un)u&

    en"p")&"n "n#&" In/e&i

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    :

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    Re#u*"i RS6

    Pr1#r" PPI

    B Pr1#r" )er"u& )eIn+e)i#"i 1u)!re"& "ri Pen"&i)in/e&i @*ih") Ju#" S""r"nKee*"")"n p"ien :, EP

    S)e In+e)i#"i p""1u)!re"& pen"&i) in/e&i

    0:

    0

    : Pr1#r" i"r"h&"n 1*ehper")ur"n "n pr1eur "n#!er*"&u

    Re#u*"i RS "*" penuun"npr1#r" &er5" K1