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PANDUAN PELAYANAN
OBSTETRI NEONATAL EMERGENSI KOMPREHENSIF
DI RSUD KRATON KABUPATEN PEKALONGAN
TAHUN 2014
RSUD KRATON KABUPATEN PEKALONGAN
TAHUN 2014
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BAB I
PENDAHULUAN
A- L$r B%,k#(
A#(k K%!$i# I+u /AKI '# A#(k K%!$i# N%)#$, /AKN 'i I#')#%si !si&
y#( $%r$i#((i 'i#$r #%(r ASEAN '# "%#uru##y s#($ ,!+$- AKI 'ri
03100-000 k%,&ir# &i'u" /SDKI $&u# 20022005 !%#j'i 2263100-000 k%,&ir#
&i'u" "' $&u# 200- D%!iki# "u, A#(k K%!$i# Byi /AKB 731000 k%,&ir#
&i'u" /SDKI $&u# 2002200 !%#j'i 431000 k%,&ir# &i'u" "' $&u# 200-
S%sui '%#(# Tuju# P%!+#(u## Mi,,%#iu! D%8%,)"!%#$ G),s s%&rus#y
"%#uru## AKI 'ri 4063100-000 /SDKI '# SKRT 1990 !%#j'i 1023100-000 "'
$&u# 2017 '# AKB 'ri :631000 k%,&ir# &i'u" /SDKI '# SKRT 1990 !%#j'i
231000 k%,&ir# &i'u" $&u# 2017-
Du "%r$i( 'ri AKB 'i')!i#si ),%& AKN- P%#y%++ 'ri AKN 'i #%(r
+%rk%!+#( !u"u# 'i I#')#%si kur#( ,%+i& s!- B%r'srk# '$ Risk%s's 2005
"%#y%++ k%!$i# $%r+#yk #%)#$us usi 0: &ri #$r ,i# (#((u# $u k%,i##
"%r#;s# /759
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2-Tuju# K&usus
- D"$ !%,ks#k# '# !%#%r"k# s$#'r "%,y## "%r,i#'u#(# i+u '#
+yi s%.r $%r"'u '# "ri"ur#-
+- D"$ !%#(%!+#(k# k%+ijk# '# SPO s%sui '%#(# s$#'r
.- D"$ !%#i#(k$k# ku,i$s "%,y## k%s%&$# i+u '# +yi $%r!suk
k%"%'u,i# $%r&'" i+u '# +yi
'- D"$ !%#i#(k$k# k%si"# ru!& ski$ ',! !%,ks#k# ;u#(si "%,y##
)+s$%$rik '# #%)#$us $%r!suk "%,y## k%(=$ 'rur$# /PONEK 24 *!
%- D"$ !%#i#(k$k# ;u#(si ru!& ski$ s%+(i !)'%, '# "%!+i# $%k#is ',!
"%,ks## IMD '# "%!+%ri# ASI Eksk,usi;
;- D"$ !%#i#(k$k# ;u#(si ru!& ski$ s%+(i "us$ rujuk# "%,y## k%s%&$#
i+u '# +yi +(i sr# "%,y## k%s%&$# ,i##y-
>- Ru#( ,i#(ku" P%,y##
Ru#( ,i#(ku" "%,y## PONEK 'i RSUD Kr$)# !%,i"u$i? IGD5 Ru#( +%rs,i#/D&,i5
Ru#( "%ri#$),)(i/M%,$i5 Ru#( IBS5 Ru#( Ni;s/>%!"k5 Ru#( I>U5 Ru#(
L+)r$)riu!5 Ru#( R'i),)(i5 P),i k%+i'## '# K#'u#(#5 PMI 'i ',! RSUD kr$)#-
D- Ssr#
D)k$%r S"%si,is O+(y#5 D)k$%r s"%si,is A#k5 D)k$%r S"%si,is A#%s$%si5 ')k$%r u!u!5
Bi'#5 P%r=$5 P%r=$ A#%s$%si5 T%#( A'!i#is$r$)r
E- P%#(%r$i#
1- ;,s;&
P' k)#;%r%#si Ti#(k$ Ti#((i P%rs%rik$# B#(s+#(s "' $&u# 2000
'is%"k$i +&= $%r'"$ 6 $uju# P%!+#(u## Mi,,%#iu! /Mi,,%#iu!
D%8%,)"!%#$ G),s3MDGs "' $&u# 20175 'u 'i#$r $uju# $%rs%+u$!%!"u#yi ssr# '# i#'ik$)r y#( $%rki$ '%#(# k%s%&$# i+u5 +yi '# #k
yi$u@
- M%#(ur#(i 'u "%r$i( $i#(k$ k%!$i# #k#k usi 'i+=& 7 $&u#-
+- M%#(ur#(i $i( "%r %!"$ rsi) k%!$i# i+u ',! "r)s%s !%,&irk#-
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2- D%;i#isi
P%,y## O+s$%$ri N%)#$, K)!"r%&%#si; 'i RSUD Kr$)# !%ru"k# +(i# 'ri
sis$%! rujuk# u$! "%,y## k%(=$'rur$# !$%r#, '# #%)#$, $%ru$! 'i
=i,y& "#$ur yi$u k+u"$%# "%k,)#(#5 k+u"$%# "%!,#( '# k+u"$%#
+$#(5 y#( s#($ +%r"%r# ',! !%#uru#k# #(k k%!$i# i+u '# +yi +ru ,&ir
'i!u,i 'ri (ris '%"#3IGD 'i,#ju$k# k% k!r )"%rsi3ru#( $i#'k# s!"i k%
ru#( "%r=$
F- LANDASAN HUKUM
1- P%r$ur# P%!%ri#$& N)- 63200 '# ,!"ir# PP N)-63200 +i'#(
k%s%&$#
2- UU N)- 4432009 "s, 2: "%riji##5 "s, 74 y$ 1 "%!+i## '# "%#(=s#
),%& P%!'
-
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BAB II
STANDAR FASILITAS DAN LINGKUP PELAYANAN
A- DENAH RUANGAN
D%#& ru#(# PONEK RSUD kr$)# '"$ 'i,i&$ 'i ,!"ir#-
B- FASILITAS
Fsi,i$s y#( $%rs%'i5 #$r ,i#@
1- Ru#(# r=$ i#" PONEK y#( ,%,us '# #y!#
2- 6 B%' $i#'k# y#( #y!# +(i "si%#
- L!"u "%#%r#(# y#( .uku"
4- P%#'i(i# ru#(#
7- 2 K!r !#'i "si%# y#( +%rsi& '# $%r=$
:- 1 T%!"$ .u.i ,$ y#( #y!# '# %;isi%#
- 1 s$;%,
6- 1 +u& A,$ s$%ri,issi y#( +%r;u#(si '%#(# +ik
9- A,$ i#s$ru!%# y#( +%r;u#(si '%#(# +ik '%#(# ju!,& y#( .uku"
10- 1 M%j K)#su,$si u#$uk "si%# '%#(# D)k$%r S"%si,is11- 1 M%j r%susi$si 'i,%#(k"i '%#(# ,!"u "%#(($ s%sui s$#'r
>- LINGKUP PELAYANAN
1- P%,y## k%s%&$# M$%r#, Fisi),)(is
- P%,y## k%&!i,#
+- P%,y## "%rs,i## #)r!, '# "%rs,i## "$),)(is '%#(# $i#'k# )"%r$i;
.- P%,y## #i;s
2- P%,y## k%s%&$# N%)#$, Fisi),)(is
- Asu Byi Bru L&ir N)r!,
+- I!u#issi '# S$i!u,si D%$%ksi I#$%r8%#si Di#i Tu!+u& K%!+#(
- P%,y## k%s%&$# M$%r#, R%sik) Ti#((i
Masa Antenatal
- P%r'r "' k%&!i,# !u'
+- Ny%ri "%ru$ "' k%&!i,# !u' '# ,#ju$
.- K%&!i,# Ek$)"ik '# K%&!i,# Ek$)"ik T%r(#((u
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'- Hi"%r$%#si5 Pr%%k,!"si '# Ek,!"si
%- P%r'r "' !s k%&!i,#
;- K%&!i,# !%$+),ik
(- K%,i## 8sku,%r 3 *#$u#(
&- *#i# !$i ',! r&i! '%#(# k)!",iksi
Masa intranatal
- P%rs,i## '%#(# "ru$ u$%rus
+- P%rs,i## '%#(# 'is$%#si u$%rus
.- G=$ j#i# ',! "%rs,i##
'- P%##(## sy)k
%- K%$u+# P%.& Di#i
;- P%rs,i## !.%$
(- I#'uksi '# ks%,%rsi "%rs,i##
&- As"irsi .u! !#u,
i- Eks$rksi .u#!
j- S%.$i) s%sr%
k- E"isi)$)!i
,- Kr#i)$)!i '# kr#i)s%#$%sis
!- M,"r%s%#$si '# !,")sisi
#- Dis$)si +&u
)- Pr),"us $,i "us$
"- P,.%#$ !#u,
C- P%r+ik# r)+%k# s%r8ik
r- P%r+ik# r)+%k# 8(i# '# "%ri#%u!
s- P%r+ik# r)+%k# 'i#'i#( u$%rus
$- R%")sisi i#8%rsi) u$%ri
u- His$%r%k$)!i
8- S%sk #"s
=- K)!"r%si +i!#u, '# A)r$
- Di,$si '# kur%$s%
y- Li(s% %r$%ri uri#%
- A#s$%si u!u! '# ,)k, u#$uk s%.$i) s%sr%
- A#s$%si s"i#, '# k%$!i#
++- B,)k "u'%#',
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..- Ms ")s$#$,
Masa nifas
- D%!! "s. "%rs,i##
+- P%r'r "s. "%rs,i##
.- Ny%ri "%ru$ "s. "%rs,i##
'- K%,ur( B%r%#.#
4- P%,y## k%s%&$# #%)#$, '%#(# R%sik) Ti#((i
- Asu +yi +ru ,&ir
L%8%, II@ Asu N%)#$, '%#(# k%$%r(#$u#(# Ti#((i /ru#( r=$
#%)#$us su k&usus
L%8%, IIB@ P%,y## )+s$%$ri '# #%)#$, %!%r(%r#si k)!"r%&%#si; / s%sui
'%#(# k%!!"u# s$#'r PONEK
L%8%, III@ P%r=$# #%)#$, i#$%#si;
L%8%, IIIA
Fu#(si u#i$
1- M%!+%ri su !%#y%,uru& +yi y#( ,&ir usi k%&!i,# 26 !i#((u
'%#(# +%r$ ,&ir 1000 (r
2- M%!+%ri 'uku#(# k%&i'u"# $%rus !%#%rus y#( $i'k y $%r+$s
"' 8%#$i,si !%k#ik $"i ju( !%#((u#k# HFO
- M%,kuk# "r)s%'ur "%!+%' !i#)r / !is, "%#((#$i# k$%$%r 8%#
s%#$r, $u "%r+ik# &%r#i i#(ui#,
4- Aks%s s%(%r +%r+(i k)#su,$# &,i s%!u su+ s"%si,is
7- P%,y## (i#%k),)(i
- K%&!i,# %k$)"ik
+- P%r'r u$%rus 'is;u#(si
.- P%r'r !%#)rr(&i
'- Kis$ )8riu! ku$
%- R'#( "%,8ik ku$
;- A+s%s "%,8i.
(- I#;%ksi s,ur# (%#i$,i
&- HI3AIDS
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:- P%r=$# k&usus3 &i(& .r% u#i$ '# $r#;usi 'r&
- P%,y## P%#u#j#( M%'ik
- P%,y## 'r&
Jenis pelayanan
1- M%r%#.#k# k%+u$u 'r& 'i RS
2- M%#%ri! 'r& 'ri UTD y#( $%,& !%!%#u&i syr$ uji sri#( / #)# r%k$i;
'# $%,& 'ik)#;ir!si (),)#(# 'r&
- M%#yi!"# 'r& '# !%!#$u su&u si!"# 'r&
4- M%!#$u "%rs%'i# 'r& &ri# '# !i#((u#
7- M%,kuk# "%!%rikss# (),)#(# 'r& ABO '# R&%sus "' 'r& ')#)r '#
r%si"i%#
:- M%,kuk# uji si,#( #$r 'r& ')#)r # 'r& r%si"i%#
- M%,kuk# rujuk# k%su,i$# uji si,#( s%rsi '# (),)#(# 'r& ABO3 r&%sus k%
U#i$ Tr#;usi Dr& s%.r +%rj%#j#(
6- M%,kuk# $%s$ ,+@ i#;%ksi DRL5 &%"$i$is5 HI
Tempat pelayanan
1- PMI 'i RSUD kr$)#
2- K)!"%$%#si
M%!"u#yi k%!!"u# !#(%!%# "%#(%,),# $r#;usi 'r&
M%!"u#yi s%r$i;iksi "%#(%$&u# '# k%$r!"i,# $%#$#(@
Tr#;usi 'r&
P%#%ri!# 'r&
P%#yi!"## 'r&
P%!%riks# (),)#(# 'r&
P%!%riks# uji si,#( s%rsi
P%!#$"# !u$u i#$%r#,
P%#.$$#5 "%,")r#5 "%,.k# '# ')ku!%#$si
K%=s"'# u#i8%rs,
- Su!+%r Dy M#usi
D)k$%r
Pr !%'is T%k#),)(i Tr#;usi Dr& /PTTD
T%#( '!i#is$r$)r
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4. Ru#( P%,y## 'r&
Di"%r,uk# ru#( 27 !2 +%risi ,%!ri "%#'i#(i#5 !%j kursi5 ,%!ri5 $%,%")#5
k!r "%$u(s5 ',,-
7- Fsi,i$s "%r,$#
M%!i,iki "%r,$# s%sui '%#(# s$#'r$ !i#i!, "%r,$# !$%r#,
#%)#$,- B(i ru!& ski$ y#( $i'k !%!i,iki ;si,i$s u#i$ $r#;usi 'r&
'i#jurk# u#$uk !%!+u$ k%rj s! '%#(# "%#y%'i ;si,i$s $%rs%+u$-
+- P%r=$# i#$%r!%'i%$%3 i#$%#si;
*%#is "%,y##@
P%!#$u# $%r"i .ir#
P%#(=s# (=$ #"s3 8%#$i,$)r
P%r=$# s%"sis
.- T%!"$ "%,y##
U#i$ "%r=$# i#$%#si;
'- K)!"%$%#si
P%,y## "%#(%,),# r%susi$si s%(%r u#$uk "si%# (=$5 $u#j#(# kr'i)
r%s"ir$)ry j#(k "%#'%k '# !%!"u#yi "%r# !%!#$u s%r$ !%#.%(&
"%#yu,i$ "' "si%# !%'ik '# +%'& y#( +%r%sik)
%#$i,si !%k#ik '# "%!$u# kr'i) 8sku,%r s%'%r
%- Su!+%r Dy M#usi
D)k$%r j( 24 j! '%#(# k%!!"u# !%,kuk# r%susi$si j#$u#( "ru
D)k$%r s"%si,is #s$%si),)(i
;- P%#.i$r#
R'i),)(i $%r!suk r)#(%#$ ")r$+%,
USG i+u '# #%)#$,
>Ts.#
(- L+)r$)riu!
&- TPNM /T)$, Pr%#$%r, Nu$ri$i)# #' !%'i.$i)#
i- Ru#( BMHP / B M%'is H+is Pki
j- Ru#( "%#.u.i# '# "%#yi!"## ,$ s$%ri, y#( su'& 'i+%rsi&k#
k- Ru#( !%#yusui '# $%!"$ "%#yi!"## ASI "%r& +ik 'ri i+u#y s%#'iri !u"u#
'ri "%#')#)r
,- Ru#( susu
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BAB III
KRITERIA RUMAH SAKIT TIPE B PONEK
A- KRITERIA UMUM
1- A' ')k$%r j( y#( $%r,$i& 'i IGD u#$uk !%#($si ksus %!%r(%#.y +ik s%.r
u!u! !u"u# %!%r(%#.y !$%r#,3#%)#$,
2- D)k$%r5 +i'# '# "%r=$ $%r,$i& !%,kuk# r%susi$si #%)#$us '# k%(=$
'rur$# )+s$%$ri #%)#$,
- M%!"u#yi S$#'r O"%rsi)#, Pr)s%'ur "%#%ri!# '# "%##(## "si%#
k%(=$'rur$# )+s$%$ri #%)#$,
4- *ik !%!u#(ki#k#5 $%r'"$ k%+ijk# $i'k ' u#( !uk +(i "si%# k%(=$
'rur$# )+s$%$ri '# #%)#$,
7- M%!"u#yi "r)s%'ur "%#'%,%(si# =%=%##( $%r$%#$u
:- M%!"u#yi s$#'r r%s")# $i!% 'i IGD / $r(%$ 'iu"yk# s%,! 7 !%#i$5 'i k!r
+%rs,i# / $r(%$ 'iu"yk# kur#( ri 0 !%#i$5 "%,y## 'r& / $r(%$ 'iu"yk#
kur#( 'ri 1 j!
- T%rs%'i k!r )"%rsi y#( si" / si( 24 j! u#$uk !%,kuk# )"%rsi5 +i, '
ksus %!%r(%#.y )+s$%$ri $u u!u!
6- T%rs%'i k!r +%rs,i# y#( !!"u !%#yi"k# )"%rsi '%#(# $r(%$ ',! =k$u
kur#( 'ri 0 !%#i$
9- M%!i,iki kru $u =k y#( si" !%,kuk# )"%rsi $u !%,ks#k# $u(s
s%=k$u =k$u !%ski"u# )# .,,
10- A'#y 'uku#(# s%!u "i&k ',! $i! "%,y## PONEK #$r ,i#@ ')k$%r
s"%si,is k%+i'## '# k#'u#(#5 ')k$%r #k5 ')k$%r #s$%si5 s%r$ ')k$%r s"%si,is
,i#5 ')k$%r u!u!5 "%r=$ #s$%si5 +i'# '# "%r=$
11- M%#(u"yk# $%rs%'i#y "%,y## 'r& y#( si" 24 j!
M%#(u"yk# $%rs%'i#y "%,y## "%#u#j#( ,i# y#( +%r"%r# ',! PONEK
s%"%r$i ,+)r$)riu! '# R'i),)(i s%,! 24 j!5 r%.)8%ry r))! 24 j!5 )+$ '#
,$ "%#u#j#( y#( s%,,u si" s%'i
12- P%r,%#(k"#
S%!u "%r,%#(k"# &rus +%rsi& / +%+s '%+u5 k)$)r#5 +%r.k5 .ir#5 ',,
P%r!uk# !%$, &rus +%+s kr$ $u +%r.k
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S%!u "%r,%#(k"# &rus k)k)& / $i'k ' +(i# y#( ,)#((r $u $i'k
s$+i,
P%r!uk# y#( 'i.$ &rus u$u& '# +%+s 'ri ()r%s# +%sr
R)' "%r,%#(k"# &rus ,%#(k" '# +%r;u#(si +ik
I#s$ru!%# y#( 'i(u#k# &rus 'is$%ri,issi
S%!u "%r,%#(k"# ,is$rik &rus +%r;u#(si '%#(# +ik
1- B
S%!u + &rus +%rku,i$s $i#((i '# ju!,y .uku" u#$uk !%!%#u&i
k%+u$u u#i$-
B- KRITERIA KHUSUS
1- Su!+%r Dy M#usi
Ti! PONEK %s%#si,5 $%r'iri 'ri@
2 D)k$%r S"%si,is K%+i'## '# K#'u#(#
2 ')k$%r s"%si,is #k
2 ')k$%r 'i IGD
)r#( +i'# /1 k))r'i#$)r5 2 "%,ks#
2 )r#( "%r=$
Ti! PONEK i'%, $%r'iri 'ri Ti! PONEK %s%#si, 'i$!+& '%#(#@
1 D)k$%r s"%si,is #s$%si
1 "%r=$ #s$%si
: +i'# "%,ks#
10 "%r=$ /$i" s&i;$ 2 "%r=$ j(
1 "%$u(s ,+)r$)riu!
1 "%$u(s r'i),)(i
1 "%$u(s '!i#is$rsi
1 "%kry k%s%&$#
1 k)#s%,)r ,k$si
1 $%#( %,%k$r)!%'ik
2- Sr# '# "rsr#
D,! r#(k "r)(r! !%#j( !u$u "' "%#y%,%#((r# PONEK &rus
'i"%#u&i &,&, s%+(i +%riku$@
Ru#( r=$ i#" y#( ,%,us '# #y!#
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Ru#( $i#'k# (=$ 'rur$ '%#(# i#s$ru!%# '# + y#( ,%#(k"
Ru#( )+s%r8si "s. $i#'k#
Uri# $u(s $%r!suk k))r'i#si i#$%r#,
- Kri$%ri u!u! ru#(#
- S$ruk$ur ;isik
S"%si;iksi ru#( $i'k kur#( 'ri 1720 !2
L#$i &rus 'i$u$u" '%#(# ,#$i ")rs%,%# $u ",s$ik
Di#'i#( &rus 'i$u$u" '%#(# ")rs%,%# $u 'i.$ '%#(# + y#( +is 'i.u.i
$u 'i,"isi k%r!ik
L#(i$,#(i$ &rus 'i.$ '%#(# .$ y#( +is 'i.u.i
U#i$ &rus !%!i,iki r% u#$uk !%#yi"k# susu ;)r!u, '# r% ,k$si
Mi#i!, $%rs%'i : )u$,%$ ,is$rik u#$uk s%$i" "si%#
Hrus ' 1 ,%!ri '# !%j u#$uk "%#yi!"## + 'iru#(#
Hrus $%rs%'i ku,ks k&usus u#$uk !%#yi!"# ASI
+- K%+%rsi
>$ '# ,#$i &rus +%r=r# $%r#( s%&i#(( k)$)r# '"$ $%r,i&$ '%#(#
!u'&
Ru#(# &rus +%rsi& '# +%+s '%+u5 k)$)r#5 s!"&5 $u ,i!+& ru!&
ski$
H, $%rs%+u$ +%r,ku "u, u#$uk i#s$ru!%# y#( ,i#
.- P%#.&y#
P%#.&y# &rus $%r#( '# !%!'i
T%rs%'i ,!"u %!%r(%#.y
'- %#$i,si
Su&u ru#(# '#(# !%#((u#k# A> s%ki$r 242:0>
'i,%#(k"i '%#(# ;i,$%r #$i +k$%ri
%- >u.i $#(#
T%rs%'i =s$;%, '%#(# $#(ki kr# y#( "#j#( y#( !%!u#(ki#k#
!%!+uk '# !%#u$u" %!#((u#k# siku
T%rs%'i s+u# .ir
T%rs%'i 'uk $u ki# k%ri#( '# +%rsi& s%k,i "ki
K&usus 'i ru#( "%ri#$),)(i s%$i" i#ku+$)r &rus ' 1 =s$;%,
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! Kriteria K"#s#s r#an$an
Area %#%i tan$an &i R#an$ '(stetri ne)natal
s$;%,
Rk3 (#$u#(# "ki#
Rk s%"$u
L)k%r k&usus "%(=i
T%!"$ s!"& k%ri#( '# $%!"$ s!"& +s&
S+u# .ir
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