7.2.3.1 Sk Panduan Triase

PEMERINTAH KABUPATEN KABUPATEN PONOROGO PONO ROGO DINAS KESEHATAN KESEHATAN PUSKESMAS JENANGAN Jl. Raya no.37 Telp. Telp. (035!53"""# (035!53"""# PONOROGO

Ko$ePo% &3'

KEPUTUSAN KEPA)A PUSKESMAS JENANGAN NOMOR *"##.' +0'5+350" + 0'5+350"07+SK+0"& 07+SK+0"&

TENTANG PANDUAN TRIASE

KEPA)A PUSKESMAS PUSKE SMAS JENANGAN

Men, en,-a -an/

* a. a1 a1a a $alaala- 2an 2an/a pen,n n,n/a4 /a4a an - -4 $an $an , ,ne26a 26a Jenan/an Jenan/an $,4n44 $,4n44 n4 -e-e2,a -e-e2,an n

P% P%e%e%-a a%

pelayana pelayanan n e%ea4an e%ea4an yan/

e2-4 %%nya Upaya Ke%ea4an Pe2o2an/an (UKP!8

. a1a n4 -en6a-,n 4e2%elen//a2anya -4 pelayanan l,n,% $, P%e%-a P%e%-a% % Jenan/an Jenan/an %%ny %%nya a pelayana pelayanan n e/a1a4 e/a1a4 $a22a4an $a22a4an -aa -aa $,pa $,pan$ n$an an/ / pe2l pe2l  $,a4 $,a42 2 4en4 4en4an an/ / Pan$ Pan$a an n T2,a% 2,a%e e -ela -elal l,, Kep4%an Kepala P%e%-a% Jenan/an.

Men/ en/,n/a ,n/a44

* ". Ke Kep4 p4%a %an n Men4 Men4e e2, Ke Ke%e %ea4a a4an Rep Rep l, l, In$ In$one%, ne%,a a No-o No-o22 & & Ta Ta n 00# 4en4an/ Pe$o-an Pen/oa4an Da%a2 $, P%e%-a%8

2.

Un$an/9U Un$an/9Un$an n$an/ / Repl, Repl,  In$one%, In$one%,a a No-o2 No-o2  Tan 00'

4en4an/ P2a4, Ke$o4e2an8

3.

Kep4%an Men4e2, Ke%ea4an Repl, In$one%,a No-o2 &

Tan 00# 4en4an/ Pe$o-an Pen/oa4an Da%a2 $, P%e%-a%8 4.

Pe2a42an Pe2a42an Men4e2 Men4e2,, Ke%ea4an Ke%ea4an Repl, Repl,

In$one%, In$one%,a a No-o2 5

Tan 0"' Ten4an/ Pan$an P2a4, Kl,n,% Ba/, Do4e2 D, :a%,l,4a% Pelayanan Ke%ea4an P2,-e28 5.

Pe2a42an Pe2a42an Men4e2, Men4e2, Ke%ea4a Ke%ea4an n Repl, Repl, In$one%, In$one%,a a No-o2 75

Tan 0"' 4en4an/ P%e%-a%8

6.

Pe2a42an S4an$a2 A2e$,4a%, P%e%-a% D,26en B,na Upaya

Ke%ea4an Ke-ene% RI Tan 0"'. 7.

S4an$a2 P%e%-a% B,$an/ ;ane% D,ne% P2o<. Ja1a T,-2 

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MEMUTUSKAN

Mene4apan

* KEPUTUSAN KEPA)A

PUSKESMAS JENANGAN

TENTANG PANDUAN TRIASE.

Ke%a4

* Pa%,en $en/an e4an $a22a4 -en$e%a

a4a %e/e2a

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Ke$a

* P2o%e% 42,a%e %ea/a,-ana $,-a%$ pa$a $,4- e%a4 a2% $,laan %e%a, $en/an pan$an 42a,%e8

Ke4,/a

* Pan$an

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Kee-pa4

* S2a4 Kep4%an ,n, e2la %e6a 4an//al $,4e4apan $en/an e4en4an apa,la $,e-$,an

a2,

a$a

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aan

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*

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*

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KEPA)A PUSKESMAS JENANGAN

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)AMPIRAN KEPUTUSAN KEPA)A PUSKESMAS JENANGAN

NOMOR

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TANGGA)

* "5 :e2a2, 0"&

TENTANG

* PANDUAN TRIASE

PANDUAAN TRIASE

A. PENDAHULUAN T2,a%e e2a%al $a2, aa%a Pe2an>,% ya,4 trier $an aa%a In//2,% ya,4 triage  $,4,2an $ala- aa%a In$one%,a ya,4 42,a%e yan/ e2a24, %o24,2. K,n, ,%4,la 4e2%e4 la?,$,/naan n4 -en//a-a2an %a4 on%ep pen/a6,an yan/ >epa4 $an e2=o% $en/an %a4 >a2a yan/ -e-n/,nan pe-an=aa4an %-e2 $aya -an%,a pe2ala4an %e24a =a%,l,4a% yan/ pal,n/ e=,%,en 4e2a$ap o2an/ yan/ -e-e2lan pe2a1a4an $, UGD. T2,a%e a$ala %a4 %,%4e- %ele%, pen$e2,4a %e%a, $en/an e/a1a4 $a22a4annya %e,n//a -en6a-,n pen$e2,4a n4 -en$apa4an p2,o2,4a% pelayanan /a1a4 $a22a4 %e>a2a >epa4 $an a2a4. Pen$e2,4a yan/ -a% $ala- %,%4e- 42,a%e %e/e2a $,%e2aan e2an/ pe2,%a %e%a, $en/an %,=a4 e/a1a4an penya,4 $an 6en,% pe24olon/an yan/ $,4an. Do4e2 $an pe2a1a4 -e-pnya, a4a%an 1a4 ( respon time! n4 -en/a6, ea$aan $an -e-e2,an ,n4e2epa4nya ya,4 $ala- 1a4 "0 -en,4.

B. TUJUAN TRIASE T6an $a2, 42,a%e a$ala n4 -e-a%4,an a1a 4,n/a4 $an al,4a% pelayanan yan/ $,e2,an epa$a -a%ya2aa4 a$ala %e%a, $en/an 2,4e2,a l,n,% an $,$a%a2an pa$a

e4an

o2/an,%a%,

a4a

a$-,n,%42a%,.

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%,%4e-

42,a%e

e246an

n4 -en/op4,-alan e%ela-a4an $an e=,%,en%, pelayanan $a22a4 e2a%,% p%e%-a% $an n4 -en6a-,n e-$aan a%e% 4e2a$ap pelayanan e%ea4an $, %el2 lap,%an -a%ya2aa4 C. FUNGSI TRIASE T2,a/e a$ala -e-pnya, =n/%, pen4,n/ $ala- pe-e2,an pelayanan $, ,n%4ala%, /a1a4 $a22a4 $,-ana %e6-la o2an/ $en/an e2a/a, on$,%, yan/ %a-a $apa4 $a4an/ e UGD pa$a 1a4 yan/ e2%a-aan. Me%,pn %,%4e- 42,a%e -n/,n e2=n/%, $en/an >a2a yan/ %e$,,4 e2e$a 4e2/an4n/ %e6-la =a4o2 loalna-n %,%4e- 42,a%e yan/ e=e4,=  -e-e2,an $a-pa yan/ pen4,n/ e2,4 ,n,* ". Sea/a, %ea 4e-pa4 -a% 4n//al n4 %e-a pa%,en $a4an/

(e2%,=a4

a-lan% $an non9a-lan%! %e,n//a %e-a pa%,en -e-pe2ole p2o%e% pen,la,an yan/ %a-a. . ),n/n/an =,%, yan/ %e%a, n4 -elaan -elaan pe-e2,%aan %,n/a4. J/a $,pe2lan l,n/n/an yan/ -e-e2,an

e-$aan n4 pa%,en -enya-pa,an

on$,%, l,n,% -e-pe2ole 2a%a a-an $an pe2%ya2a4an a$-,n,%42a%, %e24a e4e2%e$,aan pe2ala4an pe24olon/an pe24a-a %e24a 4e2%e$,anya =a%,l,4a% >>, 4an/an. 3. Sea %,%4e- pene2,-aan pa%,en yan/ 4e2o2/an,%,2 aan -e-n/,nan e-$a al,2an ,n=o2-a%, epa$a pa%,en $a2, n,4 42,a%e %a-pa, e %el2 o-ponen ,n%4ala%, /a1a4 $a22a4  $a2, pe-e2,%aan%a-pa, penan/anan pa%,en '. D,$apa4nya $a4a yan/ 4epa4 1a4 n4 e4an pe-e2,an pelayanan 4e2-a% %,%4e- n4 -e-e2,4aan e$a4an/an pa%,en

$en/an a-lan $an pelayanan

/a1a4 $a22a4 la,nnya.

D. RUANG LINGKUP TRIASE Men24 B2ooe2 (00#! $ala- p2,n%,p 42,a%e $,e2laan %,%4e- p2,o2,4a%. P2,o2,4a% a$ala penen4an a4a penyele%,an -ana yan/ a2% $,$alan -en/ena, penan/anan yan/ -en/a> pa$a 4,n/a4 an>a-an 6,1a yan/ 4,-l $en/an %ele%, pa%,en e2$a%a2an * ". . 3. '.

An>a-an 6,1a yan/ $apa4 -e-a4,an $ala- ,4n/an -en,4. Dapa4 -en,n//al $ala- ,4n/an 6a-. T2a-a 2,n/an. S$a -en,n//al. Ran/ l,n/p T2,a%e $, P%e%-a% $, a/, -en6a$,  ($a! ya,4* ". T2,a%e %ea2,9a2, Se-a pa%,en yan/ $a4an/ aan $,laan T2,a%e ole $o4e2 6a/a UGD a4a pe2a1a4 yan/

o-pe4en

n4

-en$apa4an

p2,o2,4a%

pelayanan

yan/

%e%a, $en/an

e/a1a4$a22a4annya. . Dala- ea$aan en>ana Pa%,en yan/ $a4an/ $apa4 $a2, ea$aan en>ana a, $a2, $ala- -apn $a2, la2  2-a %a,4. E. PRINSIP TRIASE P2,n%,p yan/ a2% $,4e2apan $ala- pela%anaan 42,a%e* ". T2,a%e %ea2%nya $,laan %e/e2a $an 4epa4 1a4. Ke-a-pan e2e%pon $en/an >epa4 4e2a$ap e-n/,nan penya,4 yan/ -en/an>a- e,$pan a$ala al yan/ 4e2pen4,n/ $ala- n,4 /a1a4 $a22a4. . Pen/a6,an %ea2%nya a$ea4 $an a2a4. In4,nya e4el,4,an $an ea2a4an a$ala ele-en yan/ 4e2pen4,n/ $ala- p2o%e% ana-ne%a. 3. Kep4%an $,a4 e2$a%a2an pen/a6,an. Ke%ela-a4an $an pe2a1a4an pa%,en yan/ e=e4,= anya $apa4 $,2en>anaan ,la 4e2$apa4 ,n=o2-a%, yan/ a$ea4 %e24a $a4a yan/ a2a4. '. Melaan ,n4e2a2a a2a4 %eo2an/ pa%,en $an -ene4apan p2,o2,4a% 4,n$aan n4 pa%,en 4e2%e4. Hal 4e2%e4 4e2-a% ,n4e2 $an 4/a% 4e2a$ap %a4 4e-pa4 yan/ $apa4 $,4e2,-a n4 %a4 pen/oa4an. 5. Te2>apa,nya epa%an pa%,en. Pe4/a% e%ea4an yan/ -elaan 42,a%e %ea2%nya -e-en, %e-a yan/ a$a $,a4a% %aa4 -ene4apan a%,l %e>a2a %e2e-pa $en/an pa%,en $an -en/,n$a2, e4e2la-a4an

penan/anan

yan/

$apa4

-enyeaan

e4e2p2an

%4a4%

e%ea4an pa$a %e%eo2an/ yan/ %a,4 $ala- ea$aan 2,4,% %e24a -e-e2,an $n/an e-o%,onal epa$a pa%,en $an ela2/anya.

F. SKALA/LABEL TRIASE 1. La!" M!#a$ Pa%,en yan/ -e-e2lan 2e%%,4a%, $an %4a,l,%a%, a. Gan//an 6an4n/ yan/ -en/an>a-. . Gan//an pe2na=a%an. >. Syo> ole e2a/a, >a%a. $. T2a-a epala $en/an pp,l an,%oo2. e. Pe2$a2aan e%4e2nal -a%%,=. =. )a aa2 @ 50  a4a la aa2 $,$ae2a 4o2a. /. Ten%,on pne-o4o2a%. 2. La!" K%&'&( Pa%,en yan/ -e-e2lan pen/a1a%an e4a4 4e4ap, pe2a1a4an $apa4 $,4n$a %e-en4a2a. a.

Pa%,en $en/an 2e%,o %yo> (pa%,en $en/an /an//an 6an4n/ 

42a-a a$o-en e2a4!. . :2a42 -l4,ple. >. :2a42 =e-2 + pel<,%. $. )a aa2 $e2a6a4 II $an III. e. Gan//an e%a$a2an + 42a-a epala. =. Pa%,en $en/an %4a4% yan/ 4,$a 6ela%. 3. La!" H')a% Pa%,en yan/ 4,$a -e-e2lan pen/oa4an a4a pe-e2,an pen/oa4an $apa4 $,4n$a. a. :2a42 -,no2. . )a -,no2 $an la aa2 -,no2. >. Medical  +non e$a. 4. La!" H'*a+ Pa%,en yan/ 4ela -en,n//al $n,a

G. TATA LAKSANA TRIASE ". P2o%e% 42,a%e $,-la, e4,a pa%,en -a% p,n4 UGD. Pe4/a% UGD -enanyaan 2,1aya4 penya,4 $an -elaan pen/a6,an %,n/a4 (4,$a ole le, $a2, 5 -en,4 ! n4 -enen4an %,=a4 e/a1a4an penya,4 $an 6en,% pe24olon/an yan/ $,e2,an. . Pa%,en $,4e-pa4an %e%a, $en/an lael * a. )ael Me2a * "! Do4e2 $an pe2a1a4 -elaan 2e%%,4a%, %e%a, $en/an ea$aan pa%,en. ! Mon,4o2 4an$a94an$a <,4al ( 4en%, % na$, pe2na=a%an ! 3! Cyto pe-e2,%aan lao2a4o2,- $an 2a$,olo/, (,la $,4an!. '! Pe2-,n4aan $a2a e PMI ( ,la $,4an!. 5! Se4ela $,e2,an pe24olon/an $a22a4 $an on$,%, pa%,en -e-n/,nan n4 $,42an%=e2  pa%,en $apa4 $,p,n$aan. . )ael Kn,n/ * "! Do4e2 $an pe2a1a4 -elaan pe24olon/an -e$, %e-en4a2a %e%a, $en/an on$,%, pa%,en. ! Se4ela pe24olon/an

pe24a-a

$,laan

$o4e2

pe-e2,%ann =,%, $an pe2a1a4 -elaan 4,n$aan epe2a1a4an.

-elaan

3!

Se4ela

$,e2,an

pe24olon/an

$a22a4

$an

on$,$,

pa%,en

-e-n/,nan $,42an%=e2  pa%,en $apa4 $,p,n$aan. >. )ael H,6a. "! Do4e2 -elaan pe-e2,%aan =,%, $an pe2a1a4 -elaan 4,n$aan epe2a1a4an %e%a, $en/an ea$aan pa%,en. ! Pa%,en $,e2, pen6ela%an -en/ena, ea$aan penya,4nya. 3! Pa%,en $,e2, 2e%ep oa4 $an pen6ela%an -en/ena, 2a1a4 6alan. '! Apa,la $,pe2lan $o4e2 $apa4 -en/a$aan pe-e2,%aan lan64an. $. )ael H,4a- * Pa%,en yan/ -en,n//al $, UGD %elan64nya $,laan visum et repertum. 3.

Apa,la pa%,en pe2l $,26 e R-a Sa,4 $,laan %e%a, $en/an

p2o%e$2 26an.

KEPA)A PUSKESMAS JENANGAN

DR. PAU)US JU)IANTOMM