Kop Surat Dinas
KEPUTUSAN DIREKTUR RUMAH SAKIT XXX NOMOR ………………… TENTANG PENETAPAN PENETAPAN PROGRAM KERJA INSTALASI LABRATORIUM DI RS.XXX TAHUN TAHUN !"# DIREKTUR RUMAH SAKIT XXX$ M%ni&' i&'an(
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'a*+a ,a-a& -a& ran ran(a &%&% &%&%n nu*i /isi isi$ &isi isi ,an R%n0ana Strat Strat%( %(is is RS.X RS.XXX XX$$ p%r-u p%r-u a,an a,an1a 1a pro(ra pro(ra& & %r2a %r2a InstaInsta-as asii La'oratoriu&3 'a*+ 'a*+a a untu untu %p% %p%rr-ua uan n ,i atas atas p%rp%r-u u K%pu K%putu tusa san n Dir% Dir%t tur ur RS.X45. Un,a Un,an( n(6U 6Un, n,an an( ( No&o No&orr 78 ta*u ta*un n !!9 !!9 t%nt t%ntan an( ( K%s% K%s%*a *ata tan3 n3 Un,an( Un,an(6Un, 6Un,an( an( No&or No&or :: ta*un ta*un !!9 !!9 t%ntan( t%ntan( Ru&a* Ru&a* Sait Sait33 P%ratura P%raturan n M%nt% M%nt%ri ri K%s%* K%s%*atan atan RI no&or no&or …….t% …….t%ntan ntan(…. (….33 ....................... ................................... ........................ .......................3 ...........3 K%pu K%putus tusan an P%n( P%n(uru urus s ...... ......... ...... ...... ..... .. No&o No&orr …….t% …….t%nta ntan( n( P%n(an(atan ……….s%'a(ai P%n(urus ..................
MEMUTUSKAN: M%n%tapan
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K%,u K%,ua a
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K%ti(a
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K%%& K%%&pa patt
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MEMBERLAKUKAN PROGRAM KERJA INSTALASI LABRATORIUM LABRATORIUM DI RS.XXX TAHUN TAHUN !"# Pro( ro(ra& ra& ,i&a i&asu, su, a,a-a* -a* s%'a(ai&a i&ana ,a-a& -a& -a& -a&pira iran %putusan ini3 P%-a P%-asa sanaa naan$ n$ &onito &onitorr ,an ,an %/a-u %/a-uasi asi pro(ra pro(ra& & a(ar a(ar ,i-a ,i-asan sanaa aan n ,%n(an s%'ai6'ain1a ,an p%nu* tan((un( 2a+a'3 S%(a-a 'i 'ia1a 1a 1an( ti&'u- a ai'at ,i ,it%r'itann1a Su Surat % %putusan ini ,i'%'anan pa,a an((aran RS.XXX3 K%pu K%putus tusan an ini '%r-a '%r-au u s%2a s%2a p%n% p%n%ta tapa pan n ,an ,an apa' apa'i-a i-a ,i%& ,i%&u, u,ian ian *ari *ari ,i,a ,i,apa pat tan an %% %%-i -iru ruan an$$ aan aan ,ip% ,ip%r' r'ai aii i s%'a s%'a(a (ai& i&an ana a &%stin1a.
Dit%tapan ,i S%&aran( pa,a tan((a- .....………………........… Na&a Ja'atan$ tanda tangan dan cap Na&a L%n(ap Lab abo orato atorium ium RS RS XXX XXX
Hal 1
La&piran P%raturan Dir%tur RS XXX No&or
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Tan((a-
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PROGRAM KERJA INSTALASI LABORATORIUM TAHUN 2015
RUMAH SAKIT XXX JL. ....................., SURAKARTA Laboratorium RS XXX
Hal 2
1. PENDAHULUAN
Ru&a* Sait *arus &%nu&'u*an %p%r0a1aan onsu&%n ,%n(an p%-a1anan '%r&utu s%suai ,%n(an stan,ar p%-a1anan t%rini$ 'ia1a 1an( %;isi%n ,an &%&uasan onsu&%n. Insta-asi La'oratoriu& a,a-a* 'a(ian ,ari ru&a* sait 1an( *asi- p%-a1anann1a san(at ,ip%r-uan (una &%n,uun( p%n%tapan ,ia(nosis$ p%&'%rian p%n(o'atan$ p%&antauan *asi- p%n(o'atan ,an p%n%ntuan pro(nosis. O-%* ar%na itu *asip%&%risaan -a'oratoriu& *arus t%r2a&in &utun1a s%*in((a ,ip%r0a1a o-%* p%n((una 2asan1a. A(ar &utu p%-a1anan Insta-asi -a'oratoriu& t%r2a&in$ p%r-u ,i ,uun( a,an1a pro(ra& %r2a 1an( &%n,uun( t%r0iptan1a p%-a1anan 1an( '%r&utu t%rs%'ut.
2. LATAR BELAKANG Hasi- p%&%risaan -a'oratoriu& *arus aurat ,an t%pat +atu a(ar ,apat &%&'antu
,ot%r
,a-a&
&%n%(aan
,ia(nosis
p%n1ait
atau
&%n(%ta*ui
p%r%&'an(an p%n1ait pasi%n. Untu &%n0apai tu2uan t%rs%'ut &aa La'oratoriu& *arus &%-auan p%&antapan &utu s%0ara rutin$ 1an( *asi-n1a *arus ,i%/a-uasi ,an ,itin,a-an2uti 'i-a ,ip%r-uan. A,a ti(a ;ator 1an( &%&p%n(aru*i *asi- p%&%risaan -a'oratoriu& 1aitu pra6ana-iti$ ana-iti ,an pas0a6ana-iti. Pra6ana-iti &%-iputi ) p%rsiapan pasi%n$ %-a1aan sa&p%-$ %0o0oan sa&p%- ,an p%%r2aan a,&inistrasi. Ana-iti a,a-a* %t%patan a-at p%&%risaan sa&p%-$ s%,an(an pas0a6ana-iti a,a-a* &%-iputi %(iatan a,&inistrasi. T%r2a,in1a %0%-aaan %r2a ,apat ,is%'a'an ar%na) uran(n1a p%n(%ta*uan ,an p%&a*a&an t%ntan( 'a*an6'a*an i&ia$ uran( 2%-asn1a p%tun2u %(iatan$ uran(n1a 'i&'in(an$ ti,a &%n(iuti p%tun2u atau aturan6aturan 1an( s%&%stin1a$ ti,a &%n((unaan A-at P%-in,un( Diri
Hal 3
*arus ,i-auan s%-%si ,an p%n(%t%san a(ar a-at 1an( ,i'utu*an s%suai ,%n(an *asi1an( ,i*arapan. Untu &%&u,a*an ,a-a& *a- p%&antauan$ &aa p%ra-atan -a'oratoriu& *arus ,i-auan in/%ntarisasi p%r ta*un. Untu p%ra-atan -a'oratoriu& 2u(a *arus ,i-auan a-i'rasi$ ontro- ua-itas ,an p%&%-i*araan s%0ara '%ra-a. A(ar s%&ua *a- t%rs%'ut ,iatas ,apat t%r-asana$ &aa p%r-u ,isusun suatu Pro(ra& K%r2a Insta-asi La'oratoriu& Ru&a* Sait X>> Ta*un !"# 1an( &%n0aup pro(ra& &utu -a'oratoriu&$ pro(ra& %s%-a&atan -a'oratoriu& s%rta pro(ra& p%n(%-o-aan p%ra-atan -a'oratoriu&.
3. TUJUAN Tu2uan U&u& a. M%n0iptaan p%-a1anan -a'oratoriu& 1an( '%rua-itas ,%n(an &%n%rapan prat% -a'oratoriu& 1an( 'ai < good laboratory practice=. '. M%&%nu*i stan,ar ar%,itasi Ru&a* Sait *ususn1a ,a-a& *a- p%-a1anan La'oratoriu&. Tu2uan K*usus a. M%nin(atan ua-itas p%&%risaan -a'oratoriu& ,i R.S X>> a(ar ,apat &%nun2an( upa1a p%nin(atan ua-itas p%-a1anan &%,i. '. M%&astian s%&ua ar1a+an -a'oratoriu& &%n(%ta*ui prat% -a'oratoriu& 1an( 'ai
4. KEGIATAN POKOK DAN RINCIAN KEGIATAN 4.1 K"+($$& Ori%ntasi ar1a+an
Su!"# D$%$ M$&u'($ )SDM* Tu-u$& M%&'%a-i ar1a+an 'aru
L$&+$/$&+$/ "#-$ •
•
In;or&asian % sta; -a'oratoriu& *ari s%'%-u&n1a t%ntan( +atu ori%ntasi. Siapan &at%ri
Laboratorium RS XXX
Hal 4
R"&$&$ $&++$#$& Non 'u,(%tin(
T$#+" $u Saat a,a ar1a+an 'aru
T"$ "$'$&$$& La'oratoriu&
P"$'$&$ $& "'"#$ P%-asana) Karu ,an sta; -a'oratoriu& 1an( ,itun2u. P%s%rta) ar1a+an
'aru
K"+($$&
Tu-u$&
L$&+$/$&+$/ "#-$
•
•
P%-ati*an P-%'oto6 &ist
M%nin(at an si-t%ni ;-%'oto&i -a'orato6 riu&
•
•
•
•
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P%-ati*an t%ni p%&%ri6 saan -a'orato6 riu&
M%nin(at an si-t%ni p%&%ri6 saan -a'orato6 riu&
•
•
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t%r&asu ,a;tar *a,ir$ pr% t%st ,an post t%st$ " *ari s%'%-u&n1a. Lauan ori%ntasi. Buat arsip untu '%ras ori%ntasi. B%rian p%n(a2uan p%-ati*an p-%'oto&ist % 'a(ian Di-at. In;or&asian % sta;; -a'oratoriu&$ " &in((u s%'%-u&n1a t%ntan( +atu tranin(. Hu'un(i /%n,or untu p%rsiapann1a ,an siapan ,a;tar *a,ir. Lauan pr%t%st ,an post t%st pa,a saat *ari ,i'%rian tranin(. S%t%-a* tranin( s%-%sai$ a2uan %pa,a /%n,or untu pros%s p%&'%rian s%rti;iat % p%s%rta trainin(. In;or&asian % sta; -a'oratoriu&$ " &in((u s%'%-u&n1a t%ntan( +atu tranin(. Siapan &at%ri$ ;or& ,a;tar *a,ir ,an ;or& notu-%n rapat. Lauan pr%t%st ,an post t%st pa,a saat *ari ,i'%rian tranin(. Buat arsip '%ras
Laboratorium RS XXX
Hal 5
R"&$&$ $&++$#$&
T$#+" $u
T"$ "$'$&$$&
P"$'$&$ $& "'"#$ -a'oratoriu&.
Non 'u,(%tin(
Dua a-i ,a-a& s%ta*un
La'oratoriu&
P%-asana) ?%n,or P%s%rta) s%-uru* ana-is
Non 'u,(%tin(
" 'u-an s%a-i pa,a saat rapat rutin 'u-anan
La'oratoriu&
P%-asana) Karu. P%s%rta) s%-uru* ana-is
K"+($$& P%-ati*an Etia Pro;%si Ana-is
Tu-u$&
L$&+$/$&+$/ "#-$
M%&asti6 an Ana-is '%rprat% s%suai %tia pro;%si
•
•
•
•
P%-ati*an Est%rna- @ S%&inar
M%nin(at an p%&a*a6 &an i-&u -a'orato6 riu&
•
•
•
•
•
•
E/a-uasi in%r2a
M%nin(at an Kin%r2a SDM
•
p%-ati*an. In;or&asian % sta; -a'oratoriu&$ " &in((u s%'%-u&n1a t%ntan( +atu tranin(. Siapan &at%ri$ ;or& ,a;tar *a,ir ,an ;or& notu-%n rapat. Lauan pr%t%st ,an post t%st pa,a saat *ari ,i'%rian tranin(. Buat arsip '%ras p%-ati*an. In;or&asian % sta; La'oratoriu& 'a*+a a,a s%&inar -a'oratoriu&. T%ntuan sta; 1an( iut s%&inar. Satu 'u-an s%'%-u& p%-asanaan s%&inar$ a2uan p%r&o*onan iin untu ,iiuts%rtaan s%&inar t%rs%'ut. A2uan p%r&o*onan ,ana 1an( ,i'utu*an. Kon;ir&asian %&'a-i %pa,a panitia p%-asana &%n(%nai t%nis p%-asanaan s%&inar. Iinan sta; untu &%n(iuti s%&inar s%-a&a *ari 1an( t%-a* ,it%ntuan. T%tapan rit%ria %/a-uasi ,an tun2u p%tu(as
Laboratorium RS XXX
Hal 6
R"&$&$ $&++$#$& Non 'u,(%tin(
T$#+" $u S%tiap 'u-an A(utus
T"$ "$'$&$$& La'oratoriu&
P"$'$&$ $& "'"#$ P%-asana) Karu. P%s%rta) s%-uru* ana-is
S%suai ,%n(an 'ia1a s%&inar t%rs%'ut
S%suai ,%n(an 2a,+as%&inar 1an( a,a
S%suai ,%n(an a0ara s%&inar
P%s%rta s%0ara ,ari ana-is
,ipi-i* '%r(i-ir s%&ua
S%suai %'i2aan RS
S%tiap 7 'u-an
-a'oratoriu&
P%-asana) Karu ,an Mana2%r P%nun2an(
K"+($$&
Tu-u$&
L$&+$/$&+$/ "#-$ • •
4.2
Tu-u$&
P%&%-i*a6 raan A-at
M%&asti6 an a-at t%rp%-i*ara ,%n(an 'ai
T"$ "$'$&$$&
%/a-uator Lauan %/a-uasi Susun -aporan %/a-uasi in%r2a
L$&+$/$&+$/ "#-$ •
•
M%&asti6 an a-at t%ra-i'rasi ,%n(an t%pat
•
•
P%n((anti an@p%na& 'a*an
T$#+" $u
P"$'$&$ $& "'"#$ M%,is
6$'(($'7P"#$$$& L$!8#$8#(u
K"+($$&
Ka-i'rasi A-at
R"&$&$ $&++$#$&
M%n%rap6 an La'orator1 In;or&ation S1st%&
•
•
•
R"&$&$ $&++$#$&
Lauan s%r/is a-at 2ia pa,a pros%s a-i'rasi ,it%&uan a-at 1an( su,a* *arus ,is%r/is Lauan p%n(a2uan p%r&o*onan s%r/is % 'a(ian t%nisi < IPSRS = Lauan p%n(a+asan 2a,+aa-i'rasi ,an C *arian a-at. Lauan a-i'rasi s%suai 2a,+aa-i'rasi atau 'i-a C *arian a-at ti,a &asu$ atau t%r2a,i suatu *a1an( ,apat &%n((an((u a-i'rasi a-at.
S%suai ,%n(an %'i2aan Ru&a* Sait
Lauan p%n(a2uan p%n(a,aan LIS %pa,a Mana2%&%n RS. S%t%-a* ,is%tu2ui$ un,an( ,istri'utor untu &%-auan p%rs%ntasi. Lauan s%-%si ,an pi-i* LIS 1an( s%suai ,%n(an %'utu*an RS
Laboratorium RS XXX
Hal 7
T$#+" $u Ta*un !"#
T"$ "$'$&$$&
P"$'$&$ $& "'"#$
-a'oratoriu&
IPSRS ,an T%nisi &asin(6 &asin( a-at
S%suai Di-aua ,%n(an n s%suai %'i2aan 2a,+aRu&a* Sait atau 'i-a C ti,a &asu.
-a'oratoriu&
Sta; -a'oratoriu&
S%suai ,%n(an %'i2aan Ru&a* Sait
-a'oratoriu&
Karu ,an Mana2%&%n RS
Ta*un !"#
4.3 K"+($$& KontroMutu Int%rna-
Muu P"$%$&$& Tu-u$& M%&'%ri6 an *asip%&%ri6 saan -a'orato6 riu& 1an( '%nar$ aurat.
L$&+$/$&+$/ "#-$ •
•
•
•
T%s K%a*-ian@ P%&an6 tapan Mutu E>st%rna
M%n(iuti %t%ntuan D%part%6 &%n K%s%*atan ,a-a& *ap%n(%n6 ,a-ian &utu
•
•
•
Lauan p%n(a2uan p%&'%-ian ontrop%&%risaan S%t%-a* 'a*an ontro,atan($ si&pan s%suai pros%,ur Lauan p%&%risaan ontros%'%-u& ,i-auan p%&%risaan pasi%n. Dou&%ntasi an *asi- ontro- ,an %/a-uasi ,%n(an &%to,% i-&ia* &isa-n1a &%n((unaan %st(ar, Ru-%s$ 'i-a ontro- &asu$ -auan p%&%risaan pasi%n. Lauan p%n(a2uan untu iuts%rta ,a-a& PME -a'oratoriu& %pa,a Dir%tur Ru&a* Sait ,an % 'a(ian K%uan(an Ru&a* Sait S%t%-a* ,is%tu2ui$ -auan on;ir&asi % 'a(ian p%-asana PME S%t%-a* 'a*an PME ,atan($ -auan pros%s p%&%risaan.
Laboratorium RS XXX
Hal 8
R"&$&$ $&++$#$&
T$#+" $u
T"$ "$'$&$$&
P"$'$&$ $& "'"#$
S%suai ,%n(an %'i2aan Ru&a* Sait
S%tiap *ari
La'oratoriu&
Sta; -a'oratoriu&
S%suai ,%n(an %'i2aan Ru&a* Sait
S%tiap 8 'u-an
-a'oratoriu&
D%part%&%n %s%*atan RI
L$&+$/$&+$/ "#-$
K"+($$&
Tu-u$&
KontroMutu P%&%ri6 saan Point Of Care Testing
M%n(ontro*asip%&%ri6 saan -a'orato6 riu& ,i -in(un(an RS a(ar '%nar ,an aurat.
KontroMutu La'orato6 riu& Luar
M%n(ontro*asip%&%ri6 saan -a' -uar 1an( &%n2a,i ru2uan a(ar t%rpantau %'%naran ,an %auratan n1a.
4.4 K"+($$& I,%nti;i6 asi pasi%n
•
•
•
•
•
•
K"+($$& P%&aai6 an A-at
T$#+" $u
T"$ "$'$&$$&
P"$'$&$ $& "'"#$
Lauan p%n(u&pu-an ,ata a-at POCT Lauan oor,inasi p%-ati*an ontro&utu a-at POCT Lauan p%&antauan ontro&utu p%&%risaan POCT
S%suai ,%n(an %'i2aan Ru&a* Sait
" a-i s%%&in( 6(u
Ban(sap%ra+atan
Sta; -a'oratoriu&
Lauan p%n(u&pu-an p%&%risaan 1an( ,iru2u % -a' -uar Minta 'uti ontro&utu -a' -uar. Lauan a2ian ,an %/a-uasi 'uti ontro- &utu -a' -uar
S%suai ,%n(an %'i2aan Ru&a* Sait
S%tiap ta*un
-a'oratoriu&
Karu
K"'"$$$& P$'("& Tu-u$& M%&asti6 an %s%-a&at6 an ,an %a&anan pasi%n.
L$&+$/$&+$/ "#-$ •
•
•
4.5
R"&$&$ $&++$#$&
Lauan p%-ati*an %s%-a&atan ,an %a&anan pasi%n Pantau prat% %s%-a&atan ,an %a&anan pasi%n Laporan s%tiap insi,%n %s%-a&atan pasi%n ,an -auan %/a-uasi
R"&$&$ $&++$#$&
T$#+" $u
S%suai ,%n(an %'i2aan Ru&a* Sait
P%-ati*6 an saat ori%ntasi ar1a6 +an 'aru ,an r%/i%+ s%tiap " 'u-an untu ar1a6 +an -a&a.
R"&$&$ $&++$#$&
T$#+" $u
T"$ "$'$&$$& -a'oratoriu&
P"$'$&$ $& "'"#$ S%-uru* sta; -a'oratoriu&
K"'"$$$& K"#-$ Tu-u$& M%&asti6 an
L$&+$/$&+$/ "#-$ •
Lauan p%-ati*an %s%-a&atan ,an
Laboratorium RS XXX
Hal 9
S%suai ,%n(an
P%-ati*6 an saat
T"$ "$'$&$$& -a'oratoriu&
P"$'$&$ $& "'"#$ S%-uru* sta; -a'oratoriu&
P%-in,un( Diri
%s%-a&at6 an %r2a ,i -a'orato6 riu&
•
•
•
%a&anan %r2a S%,iaan a-at p%-in,un( ,iri ,an ;asi-itas untu %s%-a&atan %r2a Pantau prat% %s%-a&atan ,an %a&anan %r2a Lauan %/a-uasi
Laboratorium RS XXX
Hal 10
%'i2aan Ru&a* Sait
ori%ntasi ar1a6 +an 'aru ,an r%/i%+ s%tiap " 'u-an untu ar1a6 +an -a&a.
4.9 K"+($$& Cu0i tan(an
P"&"+$/$& $& P"&+"&$($& I&"'( Tu-u$&
L$&+$/$&+$/ "#-$
M%&asti6 an prat% p%n0%(a6 *an ,an p%n(%n6 ,a-ian in;%si ,i -a'orato6 riu&.
•
•
•
•
Lauan p%-ati*an PPI$ t%r&asu 0u0i tan(an 1an( 'ai ,an '%nar S%,iaan a-at p%-in,un( ,iri ,an ;asi-itas untu %s%-a&atan %r2a Pantau ,an &%n(u&pu-an ,ata prat% PPI. M%-auan %/a-uasi
R"&$&$ $&++$#$&
T$#+" $u
S%suai ,%n(an %'i2aan Ru&a* Sait
P%-ati*6 an saat ori%ntasi ar1a6 +an 'aru ,an r%/i%+ s%tiap " 'u-an s%a-i untu ar1a6 +an -a&a.
T"$ "$'$&$$& -a'oratoriu&
P"$'$&$ $& "'"#$ S%-uru* sta; -a'oratoriu&
5. SASARAN N8 "
K"+($$&
Ju&-a* ar1a+an 'aru 1an( &%n(iuti
Ori%ntasi ar1a+an
ori%ntasi
•
P%-ati*an ;-%'oto&i
Ju&-a* ana-is 1an( &%n(iuti p%-ati*an
•
P%-ati*an T%ni La'
Ju&-a* ana-is 1an( &%n(iuti p%-ati*an
•
P%-ati*an Etia pro;%si
Ju&-a* ana-is 1an( &%n(iuti p%-ati*an
•
P%-ati*an %st%rna-
Ju&-a* ana-is 1an( &%n(iuti p%-ati*an
•
E/a-uasi in%r2a
Ju&-a* ar1a+an -a' ,%n(an KPI F #
S%-uru* ar1a+an 'aru <"!!= 8 oran( p%r ta*un S%-uru* ana-is <"!!= S%-uru* ana-is <"!!= oran( p%r ta*un S%-uru* ana-is <"!!=
asi-itas •
• •
7
T$#+"
SDM •
I&($8#
P%&%-i*araan a-at
Pros%ntas% a-at '%r;un(si s%suai sp%si;iasi
9#
Ka-i'rasi a-at P%n((antian@p%na&'a*an
Pros%ntas% a-at '%r;un(si s%suai sp%si;iasi LIS '%r2a-an 'ai ,i La' RS X>>
"!! "!!
Ju&-a* ontro- 1an( ti,a ,apat ,it%ri&a
#
Mutu •
Kontro- &utu int%rna-
Laboratorium RS XXX
Hal 11
N8
K"+($$& • • •
K%s%-a&atan pasi%n
#
K%s%-a&atan %r2a
T$#+"
s%tiap *ari. Ju&-a* *asi- PME 1an( ti,a ,apat ,it%ri&a. Ju&-a* C 1an( ti,a ,apat ,it%ri&a Ju&-a* C 1an( ti,a ,apat ,it%ri&a
T%s %a*-ian@PME Kontro- POCT Kontro- &utu La' -uar
:
8
I&($8#
Ju&-a* %2a,ian %sa-a*an i,%nti;iasi
# # # !
pasi%n ,i -a'oratoriu&. Ju&-a* %2a,ian t%rtusu 2aru& ,i
!
-a'oratoriu&.
P%n0%(a*an ,an P%n(%n,a-ian
An(a %ti,apatu*an 0u0i tan(an p%tu(as
In;%si
-a'oratoriu&.
!
9. JAD;AL PELAKSANAAN KEGIATAN N8 "
T$/u& 2015
K"+($$& SDM • Ori%ntasi
•
Kar1a+an P%-ati*an
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P-%'oto&i P%-ati*an T%ni
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La' P%-ati*an Etia
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S%suai %'utu*an
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Pro;%si S%suai 2a,+a•
s%&inar 1an(
P%-ati*an Est%rna-
a,a E/a-uasi in%r2a asi-itas P%&%-i*araan a-at
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Ka-i'rasi a-at P%n((antian@ p%na&'a*an
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Mutu •
Kontro- &utu
Laboratorium RS XXX
Hal 12
S%suai %'utu*an
N8
T$/u& 2015
K"+($$& 1
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int%rnaT%s %a*-ian@PME Kontro- POCT
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Kontro- &utu
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La'oratoriu& -uar K%s%-a&atan
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pasi%n K%s%-a&atan
#
%r2a PPI
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<. E?ALUASI PELAKSANAAN KEGIATAN DAN PELAPORAN E/a-uasi pro(ra& ini ,i-auan s%tiap satu 'u-an s%a-i ,%n(an &%-i*at p%n0apaian %(iatan 1an( ,i-asanaan 'u-an s%'%-u&n1a. Untu &%nun2an( %(iatan t%rs%'ut p%r-u ,i-auan p%-aporan %pa,a Asist%n Mana(%r P%nun2an( M%,is untu ,isa&paian %pa,a Mana(%r P%nun2an( M%,is s%tiap 'u-ann1a.
=. PENCATATAN, PELAPORAN DAN E?ALUASI KEGIATAN P%-aporan atas p%-asanaan %(iatan pro(ra& ,isa&paian '%rupa ) a.
Laporan Bu-anan S%'a(ai -aporan int%rna- 1an( &%rupaan r%apitu-asi *asi- %r2a Insta-asi La'oratoriu& 1an( ,i-aporan %pa,a Mana2%r P%nun2an( M%,is s%tiap 'u-an ,an ,it%rusan %pa,a Dir%tur.
'.
Laporan Ta*unan S%'a(ai -aporan int%rna- 1an( &%rupaan r%apitu-asi *asi- %r2a Insta-asi La'oratoriu& 1an( ,i-aporan %pa,a Mana2%r P%nun2an( M%,is s%tiap ta*un ,an ,it%rusan %pa,a Dir%tur.
Laboratorium RS XXX
Hal 13
>. PENUTUP D%n(an a,an1a pro(ra& %r2a Insta-asi La'oratoriu& ta*un !"# ,i*arapan ,apat &%n2a,i a0uan atau p%,o&an untu &%-auan p%r'aian ,a-a& ran(a p%nin(atan &utu ,an %s%-a&atan pasi%n ,a-a& *a- p%-a1anan La'oratoriu& ,i Ru&a* Sait X>>.
M%n(%ta*ui$ Dir%tur
P%nan((un( 2a+a' La'oratoriu&$
,r..............................
,r. ....................................
Laboratorium RS XXX
Hal 14
