BAB I PENDAHULUAN
A. Latar Belakang
Dalam Undang-undang RI no. 44 tahun 2009 tentang Rumah Sakit dijelaskan bahwa penyelenggaraan rumah sakit bertujuan memberikan perlindungan terhadap keselamatan pasien ( patient safety ), masyarakat, lingkungan rumah sakit dan sumber daya manusia di rumah sakit. Oleh sebab itu, rumah sakit berkewajiban memberikan pelayanan kesehatan yang aman, bermutu, anti diskriminasi dan efektif dengan mengutamakan kepentingan sesuai dengan standar pelayanan rumah sakit.
Pembedahan merupakan salah satu tindakan medis yang penting dalam pelayanan kesehatan. Tindakan pembedahan merupakan salah satu tindakan medis yang bertujuan untuk menyelamatkan nyawa, mencegah kecacatan dan komplikasi. Namun demikian, pembedahan yang dilakukan juga dapat menimbulkan menimbulkan komplikasi yang dapat membahayakan membahayakan nyawa. nyawa. Kesalahan-kesalahan selama operasi, antara lain kesalahan insisi pada posisi yang akan dilakukan operasi, kesalahan dalam pemberian label pada spesimen patologi, kesalahan tranfusi dan obat-obatan, sehingga pasien sangat rentan terhadap bahaya yang disebabkan oleh kesalahankesalahan tersebut saat menjalani operasi. Standarisasi Prosedur Pembedahan yang aman dapat mencegah terjadinya cidera dan kesalahan dalam prosedur pembedahan.
Rumah Sakit umum daerah kembangan merupakan Rumah sakit tipe D, dalam
rangka
meningkatkan
mutu
pelayanan
kesehatan
dan
melaksanakan Good Clinical Governance Governance yang berbasis quality dan patient safety terus berupaya menyempurnakan pelaksanaan program keselamatan pasien. Dalam upaya meningkatkan mutu pelayanan kesehatan di Rumah Sakit umum daerah kembangan melalui program 1
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sasaran keselamatan keselamatan pasien rumah sakit, sakit, maka
6 goals keselamatan
pasien diupayakan terlaksana secara optimal dan berkesinambungan. Maksud dari sasaran keselamatan pasien adalah mendorong peningkatan spesifik dalam keselamatan pasien.
Program Keselamatan Rumah Sakit dan Keselamatan Pasien (KRS-KP) mulai diterapkan pada pelayanan Kamar Bedah mulai tahun 2015. Sesuai dengan Sasaran Sasaran Keselamatan pasien pasien (SKP), Unit kamar Bedah berperan aktif dalam kegiatan keselamatan pasien, yakni Kepastian tepat lokasi, tepat prosedur, dan tepat pasien operasi. Dalam pelaksanaannya Unit Kamar Bedah telah menggunakan Ceklist Keselamatan Operasi dengan mengikuti panduan surgical safety checklist WHO dan penandaan area operasi (Marking (Marking site).
Unit kamar bedah adalah adalah salah satu unit yang ada di di Rumah Sakit umum daerah kembangan yang keberadaannya keberadaannya di bawah bawah Pelayanan Medik Medik dan Bidang Keperawatan. Keperawatan.
Sebagai salah satu satu instalasi instalasi yang memberikan
pelayanan pembedahan, selayaknya memiliki sebuah pedoman yang dapat memandu atau sebagai acuan dalam seluruh kegiatan pelayanan yang semestinya dilakukan/ dijalankan di kamar bedah yang memenuhi standar pelayanan, keamanan, serta keselamatan dan kesehatan kerja untuk mencegah terjadinya bahaya yang dihadapi tim bedah dan pasien yang menjalanai operasi.
Mutu pelayanan di suatu Rumah Sakit merupakan indikator keberhasilan yang ditentukan oleh beberapa faktor dari tiap bagian yang ada di Rumah Sakit tersebut, dan indikator lain mempengaruhi pelayanan kesehatan yang diberikan.Pelayanan mutu di unit kamar operasi merupakan pelayanan khusus dan memerlukan penanganan khusus pula, karena
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Atas dasar hal di atas, maka perlu disusun Pedoman Pelayanan Bedah Rumah Sakit Umum Daerah Kembangan sebagai suatu acuan dalam meningkatkan mutu pelayanan di kamar bedah, menurunkan angka kematian dan kecacatan pada pasien yang menjalani pembedahan.
B. Tujuan Pedoman
Pedoman pelayanan
Kamar Bedah Rumah Sakit Umum daerah
kembangan ini disusun dengan tujuan sebagai berikut :
1. Sebagai Panduan (guidelines) (guidelines) dalam meningkatkan mutu pelayanan
pembedahan di kamar bedah, menurunkan angka kematian dan kecacatan pada pasien yang menjalani pembedahan. pembedahan. 2. Sebagai Panduan (guidelines) (guidelines) dalam meningkatkan mutu pelayanan
pembedahan di kamar bedah, menurunkan angka kematian dan kecacatan pada pasien yang menjalani pembedahan. 3. Mengurangi dan menurunkan angka kematian, kecacatan, dan infeksi
seminimal mungkin. 4. Meningkatkan mutu pelayanan dengan evaluasi pelayanan yang
diberikan secara terus menerus dan berkesinambungan. berkesinambungan.
C. Landasan Hukum
1. Kode Etik Kedokteran Indonesia. 2. Undang-undang Republik Republik Indonesia Nomor 36 Tahun 2009 tentang Kesehatan. 3. Undang-undang Republik Indonesia Nomor 44 Tahun 2009 tentang Rumah Sakit. 4. Undang-undang Republik Indonesia Nomor 29 Thun 2004 tentang
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6. Peraturan Menteri Kesehatan Kesehatan Nomor 340 / Menkes Menkes / Per / III / 2012 2012 tentang Klasifikasi Rumah Sakit. 7. Peraturan Menteri Kesehatan Nomor Nomor 519/Menkes/Per/IV/2011 519/Menkes/Per/IV/2011 Tentang Tentang Pedoman Penyelenggaraan Pelayanan Anestesiologi dan Terapi Intensif. 8. Peraturan Menteri Kesehatan Republik Republik Indonesia Nomor 148 Tahun 2010 tentang Izin dan Penyelenggaraan Praktek Keperawatan. 9. Keputusan
Menteri
Kesehatan
Republik
Indonesia
Nomor
129/Menkes/SK/II/2008 tentang Standar Pelayanan Minimal Rumah Sakit. 10. Pedoman Pelaporan Insiden Keselamatan Pasien (IKP), KKP-RS, 2007. 11. Standar Pelayanan Rumah Sakit, Depkes, 1999. 12. Standar Umum Pelayanan Anestesiologi dan Reanimasi di Rumah Sakit, Depkes, 1999. 13. Standar Pelayanan Keperawatan Kamar Bedah di Rumah Sakit, Kemenkes, 2011. 14. Pedoman Teknis Ruang Operasi Rumah Sakit, Kemenkes 2012. 15. Surat keputusan Rumah Sakit umum daerah kembangan tentang t entang struktur organisasi dan tata kerja rumah sakit umum daerah kembangan jakarta barat.
D. Ruang Lingkup
Pedoman ini membahas tentang bagaimana pelayanan kepada pasien diberikan
dimulai pada saat diterimanya pasien diruang persiapan
operasi dilanjutkan ketika pasien mendapat pelayanan medis atau tindakan pembedahan, dan sampai dengan penanganan pasca operasi di ruang pulih sadar/recovery room.
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Ruang lingkup pelayanan unit kamar Bedah,
meliputi memberikan
pelayanan untuk menunjang pelayanan anestesiologi dan memberikan pelayanan untuk menunjang pelayanan pembedahan spesialistik.
1. Cakupan pelayanan anastesi Pelayanan anastesi meliputi anastesi di dalam kamar operasi, termasuk sedasi moderat dan sedasi dalam pada jadwal yang terencana,apabila di luar jadwal atau kondisi emergensi pasien dirujuk kerumah sakit lain. Pelayanan anastesi di rumah sakit harus seragam sesuai dengan pedoman dan standar pelayanan operasional yang ada. Dokter anasthesi yang bertugas bertanggung jawab terhadap semua tindakan anasthesi mulai dari masa pre anastesia sampai masa pasca anestesia. Dokter anastesi bertanggung jawab untuk menjaga dan meningkatkan wawasan serta keterampilannya termasuk para petugas anasthesi yang lain.
2. Cakupan Pelayanan Kamar bedah pada Pasien dengan Anestesi lokal/sedasi ringan. Pada
tindakan
bedah
yang
tidak
memerlukan
pelayanan
anestesi¸pelayanan bedah dilakukan dengan menggunakan anestesi lokal/sedasi ringan. Pemilihan jenis obat anestesi lokal/sedasi ringan ditentukan oleh DPJP atau dokter bedah. Pasien dimonitor secara kontinyu keadaan hemodinamiknya dan dicatat oleh perawat sirkuler di formulir pemantauan pasien selama anestesi lokal/sedasi ringan dan ditandatangani oleh DPJP.
3. Cakupan pelayanan kamar bedah Pelayanan bedah yang dapat dilakukan di kamar bedah meliputi pelayanan bedah Mata, bedah umum, kebidanan, dan Pelayanan
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dikarenakan belum adanya dokter spesialis bedah yang
fulltimer
dirumah sakit, pasien akan dirujuk ke rumah sakit lain
4. Jenis operasi menurut waktunya a. Operasi elektif dilakukan dengan perencanaan dan penjadwalan yang sudah disetujui dokter anasthesi dan dokter bedah.
E. Batasan Operasional
Batasan operasional Kamar operasi dilaksanakan mulai pasien sampai diruang persiapan operasi dan diserahterimakan dengan petugas kamar operasi sampai dengan pasien selesai dilakukan tindakan operasi di ruang pulih sadar/recovery room. Setalah itu pasien dipindahkan ke ruang rawat atau langsung pulang untuk pasien one d one day ay care surgery (ODCS).
1. Jenis Pelayanan Bedah Sebagai Unit yang melakukan pelayanan pembedahan, Unit Bedah melaksanakan pelayanan pembedahan elektif (berencana), dan pembedahan one day care surgery (ODCS).
a. Operasi Berencana (elektif).
Operasi berencana (elektif) (elektif) adalah layanan tindakan pembedahan yang dijadwalkan ke Unit Bedah minimal satu hari sebelum pembedahan.
Pasien yang direncanakan untuk operasi di Unit
Bedah harus sudah dilengkapi dengan pemeriksaan dan konsulan yang diperlukan sesuai dengan standar dokter spesialis yang bersangkutan.
b. Operasi one day care surgery (ODCS).
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pada hari yang sama
(tidak menginap). Penanggung jawab
kegiatan ODCS di Unit Bedah adalah Kepala Unit Bedah dan penanggung jawab pelaksana harian adalah Kepala Pelayanan Unit bedah. Kegiatan pelayanan operasi dilakukan oleh semua tenaga Unit bedah menurut fungsinya sehari-hari.
2. Batasan Operasional Pelayanan Bedah Pelayanan Bedah sebagai sarana layanan terpadu untuk tindakan operatif terencana dan diagnostik. Unit Bedah Rumah Sakit umum daerah kembangan merupakan ruang operasi yang dilengkapi dengan peralatan canggih yang terdiri dari 1( satu ) kamar operasi, ruang persiapan, dan ruang pulih sadar dapat melayani :
a. Tindakan Operasi Bedah Umum. b. Tindakan Operasi Kebidanan. c. Tindakan Operasi Mata. d. Pelayanan Dokter Spesialis Spesialis Anak pada Bayi Bayi Baru Lahir.
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BAB II STANDAR KETENAGAAN
A. Kualifikasi Sumber Sumber Daya Daya Manusia 1. Operator Bedah
Operator bedah adalah Dokter Spesialis bedah, Spesialis lainnya. a. Dokter spesialis bedah, bedah, yaitu dokter yang telah menyelesaikan
program
pendidikan
dokter
spesialis
dengan
kompetensi
melakukan tindakan bedah( Bedah Umum, Kebidanan, Mata). b. Dokter spesialis anak, anak, yaitu dokter yang telah menyelesaikan
program
pendidikan
dokter
spesialis
dengan
kompetensi
melakukan tindakan pelayanan pada Bayi Baru Lahir. c. Dokter Spesialis bedah dan spesialis lainnya lulus dari pusat
pendidikan yang diakui dan telah mendapatkan SIP (Surat Ijin Praktek) dan SKK (Surat Kewenangan Klinis) dari Komite Medik. Dokter bedah bertanggung jawab atas pemberian pelayanan Pembedahan.
2. Perawat Kamar Bedah
Perawat Kamar Bedah adalah Perawat yang telah menyelesaikan pendidikan
maupun
pelatihan-pelatihan
yang
berkaitan
dengan
pelayanan pembedahan, baik di luar atau di dalam rumah sakit. Perawat Kamar Bedah terdiri dari :
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2) Kualifikasi a) Ners memiliki sertifikat kamar bedah dasar,dan Basic Life support (BLS) dengan pengalaman kerja dikamar bedah minimal 6 bulan. b) D3 Keperawatan memiliki sertifikat sertifikat kamar bedah dasar dan Basic Life Support (BLS) dengan pengalaman kerja di kamar bedah minimal 1 tahun. c) Semua
perawat
yang
memberikan
pelayanan/asuhan pelayanan/asuhan
keperawatan dikamar bedah harus mempunyai STR dan SIPP. 3) Fungsi dan peran Pre Operasi a) Melakukan pengkajian, perencanaan, pelaksanaan dan evaluasi serta dokumentasi keperawatan pasien selama pre operasi. b) Menyiapkan lingkungan kamar bedah dalam keadaan siap pakai meliputi ruangan pembedahan dan perlengkapan dasar kamar bedah (basic equipment). c) Menyiapkan
instrument
steril
sesuai
dengan
jenis
pembedahan. d) Menyiapkan linen dan sarung tangan steril sesuai dengan kebutuhan pembedahan. e) Menyiapkan berbagai berbagai Perlengkapan Perlengkapan persediaan bahan habis
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b) Melakukan cuci cuci tangan bedah dengan dengan baik dan benar. c) Menggunakan jas operasi operasi dan sarung tangan tangan steril sesuai dengan jenis pembedahan, baik di meja mayo maupun di meja tray. d) Bersama-sama
dengan
perawat
sirkuler
menghitung
berbagai perlengkapan:Kasa, instrument,jarum,depper dan lain- lain. e) Mengatur posisi pasien. f) Melaksanakan prinsip tehnik antiseptic. g) Melakukan prosedur drapping. h) Mengendalikan instrument dan alat-alat secara baik dan benar sesuai kebutuhan. i)
Melakukan penghitungan jumlah instrument dan bahan habis pakai (kassa, depper,tampon,dll ) yang digunakan sebelum penutupan luka.
Post Operasi a) Melakukan pengkajian, perencanaan, pelaksanaan dan evaluasi, serta dokumentasi keperawatan pasien selama pasca operasi. b) Memeriksa dan menghitung kembali kembali semua instrument instrument yang digunakan pemulihan.
sebelum
pasien
di
pindahkan
ke
ruang
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d) Mampu menyiapkan menyiapkan instrument bedah,linen dan persediaan alat kesehatan. e) Mampu mengendalikan kestabilan emosi. f) Mampu melaksanakan prosedur patient safety.
b. Perawat Sirkuler 1) Definisi Perawat Sirkuler adalahseorang tenaga perawat profesional yang diberi wewenang dan ditugaskan untuk membantu persiapan kebutuhan operasi dan memonitoring pasien serta perlengkapan kebutuhan operasi. 2) Kualifikasi a) Ners memiliki sertifikat kamar bedah dasar dan sertifikat kamar bedah lanjut/khusus dan BLS dengan pengalaman klinis dikamar operasi minimal 3 tahun. b) D3 Keperawatan pengalaman pengalaman klinis dikamar bedah minimal 5 tahun. c) Memiliki kepemimpinan dalam tim. d) Semua perawat
yang memberikan m emberikan pelayanan/ asuhan
keperawatan di kamar bedah dan harus mempunyai STR dan SIPP (disamakan untuk ketiga standar).
e) Mampu
melakukan
supervisi,memberikan
saran
dan
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d) Memberikan penjelasan kepada pasien tentang prosedur persiapan pembedahan.
Intra Operasi a) Memantau dan mengkoordinir semua
aktivitas selama
tindakan pembedahan. b) Mengontrol suasana suasana fisik dan emosi tim di kamar bedah. c) Mengendalikan keamanan dan kenyamanan kenyamanan kamar kamar bedah. d) Sebagai advokator pasien. e) Mengaplikasi asuhan keperawatan. f) Memfasilitasi komunikasi dengan tim bedah. g) Mengidentifikasi kemungkinan kemungkinan lingkungan lingkungan yang yang berbahaya. berbahaya.
Post Operasi a) Memastikan kembali kelengkapan semua instrument yang digunakan sebelum pasien dipindahkan keruang pemulihan. b) Mengganti alat tenun dan memindahkan memindahkan pasien. pasien.
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f) Mampu melakukan persiapan akhir pasien operasi. g) Mampu melakukan melakukan supervisi supervisi dan pembelajaran pembelajaran klinik. h) Mampu memfasilitasi komunikasi antara team bedah dan pasien. i)
Memiliki kemampuan kepemimpinan.
j)
Mampu
melakukan
supervisi,
memberikan
saran
dan
bimbingan
c. Perawat Asisten 2 1) Kualifikasi a) Ners memiliki sertifikat kamar bedah dasar, Sertifikat Sertifikat kamar bedah lanjut/Khusus BLS (Basic Life Support ) dan pengalaman 5 tahun menjadi perawat scrub nurse di kamar bedah. b) D3 keperawatan memiliki sertifikat kamar bedah dasar, sertifikat kamar bedah lanjut/Khusus BLS ( Basic life support ) dan pengalaman menjadi perawat scrub nurse dikamar
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d. Perawat Kepala Ruangan 1) Kualifikasi a) Diutamakan Ners dengan pengalaman pengalaman kerja 5 tahun dikamar dikamar bedah. b) D3 Keperawatan dengan pengalaman kerja 10 tahun dikamar bedah. c) Memiliki sertifikat kamar Bedah dasar,Sertifikat kamar kamar Bedah Dasar,sertifikat manajemen kamar Bedah , BLS (Basic Life Support ). d) Memiliki sertifikat manajemen manajemen kamar bedah. 2) Fungsi dan Peran a) Mengelola kamar Bedah. b) Sebagai advocator pasien dan staf. staf. c) Sebagai peneliti untuk untuk pengembangan pengembangan kamar bedah. d) Sebagai
pembimbing
kepada
staff
keperawatan. e) Sebagai komunikator dalam tim bedah.
dan
mahasiswa
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3. Tenaga Lain
a. Pekarya Kesehatan 1) Definisi Seseorang yang diberi tugas dan tanggung jawab terhadap kebersihan dan kesiapan alat penunjang seperti linen dan instrumen dan pengawasan di bawah kepala ruangan Unit Bedah. 2) Kualifikasi Lulusan SLTA / Sederajat,sehat jasmani Rohani,berdedikasi tinggi, mampu bekerja sama dengan tim, mampu berkoordinasi. 3) Fungsi dan Peran a) Membersihkan seluruh ruangan di Unit Bedah pagi ,siang dan sewaktu-waktu. b) Mengantar dan dan mengambil mengambil linen ke Loundry. Loundry. c) Mengambil barang ke logistik. d) Mengantar surat-surat ke Instalasi lain. e) Menyiapkan dan mengambil mengambil makanan/minuman makanan/minuman ke gizi. gizi.
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Dokter operator berjumlah 9 orang spesialis dari berbagai macam disiplin ilmu kedokteran yang ikut terjun dalam pelayanan bedah. Adapun rincian dokter operatornya operatornya adalah sebagai sebagai berikut : 1) Tindakan Operasi Operasi Bedah Bedah Umum : 1 orang. 2) Tindakan Operasi Operasi Kebidanan Kebidanan : 3 orang. 3) Tindakan Operasi Mata : 1 orang. 4) Pelayanan Dokter Spesialis Anak pada Bayi Baru Lahir : 3 orang.
2. Tenaga Perawat dan Administrasi a. Distribusi Tenaga Perawat Pendistribusian ketenagaan diatur oleh kepala ruangan di bawah tanggung jawab koordinator pelayanan. b. Perawat Kamar Bedah Jumlah
tenaga
perawat
Kamar
bedah
yang
dibutuhkan
berdasarkan rumus Kemenkes RI adalah 56 orang orang sudah termasuk yang berada dalam manajemen keperawatan kamar bedah.
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Jumlah No
Hari
Tenaga
Perawat Bedah Manajerial Ka.Tim
Perawat Pelaksana
1
Dinas Pagi Senin s/d
2
1
1
1
2
0
1
1
2
0
1
1
Sabtu 2
Dinas Sore Senin s/d Sabtu
5
Hari Minggu / Libur nasional
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BAB III STANDARD FASILITAS
A. Denah Ruang Kamar Bedah di bagi beberapa area terdiri dari : 1. Area Bebas (Unrestricted Area). a. Ruang tata usaha. b. Ruang Kepala kamar bedah. c. Ruang ganti baju. d. Ruang istirahat. e. Kamar mandi dan WC.
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DENAH INSTALASruandffnvnnI BEDAruruaang H SENTRrusAL
RUANG DOKTER
RUANG RR R. CSSD
RUANG GANTI
RUANG GUDANG
RUANG PENERIMAAN PASIEN RUANG INSTRUMENT STERIL
RUANG PRA INDUKSI
RUANG KAMAR OPERASI
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Standard Fasilitas 1. Ruang Persiapan ( ruang ruang pre-operasi ) Ruangan pre-operasi 1 tempat tidur yang dilengkapi 1 buah monitor flowometer O2, 1 buah spygmomanometer. 2. Ruang Pulih Ruangan post-operasi menampung 2 tempat tidur yang dilengkapi 1 flowmeter O2, 1 monitor pasien dan 1 buah sphygmomanometer. 3. Ruang Cuci Tangan Ruang cuci tangan mempunyai 2 keran air dengan tuas panjang, dilengkapi 1 dispenser sabun antiseptik. 4. Kamar Operasi
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d. Set Minor
1
e. Set mayor
1
B. Alur di Kamar Operasi Operasi 1. Alur Pasien Alur pasien masuk berbeda dengan pasien keluar,untuk pasien masuk melewati pintu masuk pasien pre OP dan pasien Post OP melewati pintu keluar. PINTU MASUK PASIEN PRE OP
Verifikasi pasien Verifikasi Verifik asi Dokumen Medik Mengganti baju pasien
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PINTU MASUK DAN KELUAR PETUGAS
RUANG
Lepas sepatu / sandal
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3. Alur Instrumen Steril DARI RUANG STERILISASI
Sterilisasi
RUANG KORIDOR
Penyimpanan sesuai
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5. Alur Instrumen Kotor RUANG BEDAH/ OK
PINTU OK
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8. Alur Linen Kotor RUANG BEDAH/ OK
PINTU SAMPING
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11. Alur Sampah RUANG BEDAH/ OK
PINTU BELAKANG OK
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