PANDUAN PENCEGAHAN DAN PENANGANAN PASIEN JATUH RSIA ABDHI FAMILI FAMILI
RUMAH SAKIT IBU & ANAK ABDHI FAMILI FAMILI JL. DIPONEGORO NO. 5 BANYUWANGI
KEPUTUSAN DIREKTUR RSIA ABDHI FAMILI
Nomor : …....................................
Tentang PANDUAN PENCEGAHAN DAN PENANGANAN PASIEN JATUH RSIA ABDHI FAMILI
Diret!r RSIA ABDHI FAMILI :
Menim"ang : #. Ba$%a &a'am are&ita(i JCI )ang &ia&o*(i &a'am are&ita(i +er(i ,-#, !*a)a *enangg!'angan e/a&ian *a(ien /at!$ &i RS men&a*atan *er$atian $!(!( )ait! *a&a *oin 0 (a(aran e(e'amatan *a(ien ,. Ba$%a RS $ar!( me'a!an e+a'!a(i ri(io *a(ien ter$a&a* /at!$ &an (egera "ertin&a !nt! meng!rangi ri(io ter/at!$ &an meng!rangi ri(io 1e&era ai"at /at!$ (e$ingga RS $ar!( mem*!n)ai *rogram meng!rangi *a(ien ri(io ter/at!$. 2. Ba$%a !nt! mengim*'ementa(ian *rogram ter(e"!t &i RS *er'! &i'enga*i &engan *an&!an (e"agai 1ara *en&eatan !nt! meng!rangi ri(io /at!$ )ang mem!at t!/!an r!ang 'ing!* tata'a(ana $ingga *en&o!menta(ian $a(i' 3. Ba$%a (e/a'an &engan $a' ter(e"!t "i&ang *e'a)anan me&i( te'a$ men)!(!n *an&!an *en1ega$an &an *enanganan *a(ien /at!$ &i RSIA ABDHI FAMILI )ang *eneta*ann)a *er'! &i(a$an me'a'!i S4 Diret!r. Mengingat :
#. Anggaran Da(ar &an Anggaran R!ma$ Tangga RSIA ABDHI FAMILI ,. Un&ang5Un&ang No. 20 ta$!n ,--6 tentang 4e(e$atan 2. Un&ang5Un&ang No. 33 ta$!n ,--6 tentang R!ma$ Sait. 3. S4 Mene( RI No. 3207#662 tentang 8Ber'a!n)a Stan&ar R!ma$ Sait &an Stan&ar Pe'a)anan Me&i( &i In&one(ia8.
9.
B!! Pan&!an Na(iona' 4e(e'amatan Pa(ien R!ma$ Sait )ang
&iter"itan 4ementerian 4e(e$atan RI ta$!n ,--0. 0. B!! Stan&ar Are&ita(i R!ma$ Sait )ang &iter"itan o'e$ Diretorat
Jen&era'
Bina U*a)a
4e(ea$tan
4ementerian
4e(e$atan RI &engan 4omi(i Are&ita(i R!ma$ Sait 4ARS; ta$!n ,-##
Mem*er$atian : Memo Intern Bi&ang
MEMUTUSKAN
Menetapan
! PANDUAN PENCEGAHAN DAN PENANGANAN PASIEN
JATUH RSIA ABDHI FAMILI
Pertama
: Meneta*an *an&!an *en&ega$an &an *enanganan *a(ien /at!$ RSIA ABDHI FAMILI (e"agaimana ter(e"!t &a'am 'am*iran (!rat e*!t!(an ini.
4e&!a
: Mengamanatan e*a&a *ara tenaga e(e$atan &am (e'!r!$ ar)a%an RSIA ABDHI FAMILI !nt! menga*'ia(ian *an&!an *en1ega$an &an *ananganan *a(ien /at!$ &a'am *e'a)anan e*a&a *a(ien &i RS
4etiga
: 4e*!t!(an ini "er'a! (e/a &iteta*ann)a
4eem*at
: A*a"i'a &iem!&ian $ari tern)ata ter&a*at ee'ir!an &a'am e*!t!(an ini aan &ia&aan *er!"a$an &an *er"aian
(e*er'!n)a. Diteta*an &i : Ban)!%angi Tangga': Te*at tangga' :
Diret!r RSIA ABDHI FAMILI
D". M. Ra#$e% Oe'an
NIP.
Tembusan :
#. BPH RSIA ABDHI FAMILI ,. 4omite 4e*era%atan 2. 4a"i& 4e*era%atan
DAFTAR ISI
4ata Pengantar ................................................................................................
BAB I De=ini(i ................................................................................................ a. De=ini(i ............................................................................................ ". T!/!an ..............................................................................................
BAB II R!ang Ling!* ...................................................................................
BAB III Tata La(ana ...................................................................................... #. ,. 2. 3. 9. 0.
A(e(men A%a' ................................................................................. A(e(men U'ang ............................................................................... Fator 4ontri"!(i Ri(io Jat!$ ....................................................... Tin&aan Pen1ega$an Pa(ien Jat!$ ................................................. Mana/emen (ete'a$ e/a&ian /at!$ .................................................. E&!a(i Pa(ien &an 7 ata! 4e'!arga Pa(ien .....................................
BAB I> Pen!t!* .............................................................................................. 4e*!(taaan .....................................................................................................
BAB I DEFINISI
A. De%$n$$
Jat!$ a&a'a$ e$i'angan *o(i(i tega men/a&i men&arat &i 'antai tana$ ata! o")e ata! =!rnit!re &engan ti"a5ti"a ti&a teren&a'i ti&a &i(enga/a *er*in&a$an t!"!$ e 'antai 7 tana$ ata! terena "en&a (e*erti !r(i ata! tangga. (National Center for Patient Safety) Ata! &engan ata 'ain /at!$ a&a'a$ *er!"a$an *o(i(i *a(ien )ang ti&a &i(enga/a 7 ti&a &iren1anaan ata! *o(i(i )ang ti&a &ie$en&ai )ang mengai"atan *a(ien terge'eta &i ata( 'antai &engan ata! tan*a men1e&erai &irin)a. Pa(ien &engan ri(io /at!$ a&a'a$ *a(ien )ang "eri(io !nt! /at!$ *a&a !m!mn)a &i(e"a"an o'e$ =ator =i(io'ogi( mi(a' : *ing(an; ata! 'ing!ngan mi(a ' : 'antai )ang 'i1in ;. Pen1ega$an *a(ien /at!$ )ait! &engan *eni'aian a%a' ri(io /at!$ *eni'aian "era'a (etia* a&a *er!"a$an on&i(i *a(ien (erta me'a(anaan 'anga$5'anga$ *en1ega$an *a&a *a(ien "eri(io /at!$. Im*'ementa(i &i ra%at ina* "er!*a *ro(e( i&enti=ia(i &an *eni'aian *a(ien &engan ri(io /at!$ (erta mem"erian tan&a i&entita( $!(!( e*a&a *a(ien ter(e"!t mi(a'n)a ge'ang !ning *enan&a &i *int! (erta in=orma(i tert!'i( e*a&a *a(ien ata! e'!arga *a(ien. Da'am are&ita(i interna(iona' Joint Commission International ( JCI ; !*a)a *enangg!'angan e/a&ian *a(ien /at!$ &i r!ma$ (ait men&a*atan *er$atian $!(!(. Ha' ini (e*erti &i(e"!tan &a'an (e1tion # 1$a*ter # )ait! International Patient Safety Goals IPSG ; $!(!(n)a Sa(aran 0 )ait! Reduce the Risk of Patient Harm Resulting from Falls Ma(!& &an t!/!an &ari (a(aran e 0 &ari are&ita(i JCI ini a&a'a$ (e"agian "e(ar 1e&era *a&a *a(ien ra%at ina* ter/a&i arena /at!$. Da'am onte( ini r!ma$ (ait $ar!( me'a!an e+a'!a(i ri(io *a(ien ter$a&a* /at!$ &an (egera "ertin&a !nt! meng!rangi ri(io ter/at!$ &an meng!rangi ri(io 1e&era ai"at /at!$. R!ma$ (ait meneta*an *rogram meng!rangi ri(io ter/at!$ "er&a(aran e"i/aan &an ata! *ro(e&!r )ang te*at. Program ini memanta! "ai on(e!en(i )ang &iinginan ma!*!n ti&a &iinginan &ari tin&aan )ang &iam"i' !nt!
meng!rangi /at!$. R!ma$ (ait $ar!( me'a(anaan *rogram ini. Maa &a'am (tan&ar JCI (a(aran e 0 ini &i(e"!tan r!ma$ (ait *er'! men)!(!n 1ara *en&eatan !nt! meng!rangi ri(io 1e&era )ang menim*a *a( ien ai"at /at!$.
B. T()(an T()(an U'('
Unt! meningatan e(e'amatan *a(ien &i RSIA ABDHI FAMILI.
T()(an K*((
#. Meng!rangi ri(io *a(ien /at!$. ,. Meng!rangi ri(io 1e&era ai"at /at!$. 2. Meneta*an (tan&ar *en1ega$an &an *enanganan ri(io /at!$
(e1ara
om*re$en(i=.
BAB II RUANG LINGKUP
Pen1ega$an &an mana/emen *a(ien /at!$ ini &i*er!nt!an "agi *a(ien5 *a(ien )ang in&ia(i ra%at ina* &an &ira%at &i :
#. In(ta'a(i Ga%at Dar!rat IGD; ,. In(ta'a(i Ra%at Ina* 2. In(ta'a(i Pera%atan Inten(i= IPI ;
BAB III TATALAKSANA
+. Ae'en A,a#; Pera%at aan me'a!an *eni'aian &engan A(e(men Ri(io Jat!$ &a'am
%at! 3 /am &ari *a(ien ma(! r!ma$ (ait &an men1atat $a(i' a(e(men a%a' e &a'am ream me&i( *a(ien.
A(e(men ri(io /at!$ *a&a *a(ien &e%a(a mengg!naan 8 !o rs e Fall Scale (!FS)"
A(e(men ri(io /at!$ *a&a *a(ien ana mengg!naan 8 #he Hum$ty %u m$ ty Sc al e "
A(e(men ri(io /at!$ *a&a *a(ien geriatri1 mengg!naan 8 Sydney Scoring "
,; A(e(men a%a' &i1atat &a'am ream me&i( *a(ien &a'am %at! , /am (ete'a$ &i'a!an a(e(men a%a'. 2; Tin&aan *en1ega$an (tan&ar *a(ien &engan ri(io /at!$ &i'a!an *a&a *a(ien &engan ri(io /at!$ ren&a$ &an ri(io /at!$ (e&ang. 3; Tin&aan *en1ega$an *a&a *a(ien &engan ri(io tinggi /at!$ &i'a!an *a&a *a(ien &engan ri(io /at!$ tinggi. 9; Srining =arma(i &an 7 ata! =i(iotera*i &i'a!an /ia ter&a*at a&an)a ri(io /at!$ *a&a *a(ien.
MORSE FALL SCALE (MFS) FAKTOR RISIKO
SKALA
SKOR
MFS S/"e !
-5,3
: ri(io ren&a$
,9539 : ri(io (e&ang ? 39
: ri(io tinggi
Kete"an0an ! +. R$,a1at )at(*
Jia *a(ien menga'ami e/a&ian /at!$ (aat ma(! r!ma$ (ait ata! ter&a*at ri%a)at e/a&ian /at!$ =i(io'ogi( &a'am 2 "!'an tera$ir ini (e*erti *ing(an ata! gangg!an ga)a "er/a'an "erian (or ,9. Jia *a(ien ti&a menga'ami /at!$ "erian (or -. 2. D$a0n/$ e(n3e"
Jia *a(ien memi'ii 'e"i$ &ari (at! &iagno(i( me&i( "erian (or #9@ /ia ti&a "erian (or -. 4. A-at ant(
Jia *a(ien "er*egangan *a&a *era"ot !nt! "er/a'an "erian (or 2-. Jia *a(ien mengg!naan tongat 7 a'at *eno*ang "erian (or #9. Jia *a(ien &a*at "er/a'an tan*a a'at "ant! "erian (or -. 6. Te"ap$ $nt"a7ena 8te"paan0 $n%( 9
Jia *a(ien ter*a(ang in=!( "erian (or ,-@ /ia ti&a "erian (or -. 5. Ga1a e")a-an Jia *a(ien menga'ami gangg!an ga)a "er/a'an@ menga'ami e(!'itan •
!nt! "ang!n &ari !r(i mengg!naan "anta'an tangan !r(i !nt! men&orong t!"!$n)a e*a'a men!n&! *an&angan mata ter=o!( *a&a
'antai memer'!an "ant!an (e&ang 5 tota' !nt! men/aga e(eim"angan &engan "er*egangan *a&a *era"ot orang ata! a'at "ant! "er/a'an &an •
'anga$5'anga$n)a *en&e@ "erian (or ,-. Jia *a(ien memi'ii ga)a "er/a'an )ang 'ema$@ *a(ien mem"!ng!@ ti&a &a*at mengangat e*a'a tan*a e$i'angan e(eim"angan ata! memer'!an "ant!an ringan !nt! "er/a'an@ &an 'anga$5'anga$n)a
*en&e@ "erian (or #-. Jia *a(ien memi'ii ga)( "er/a'an norma' "erian (or -. • :. Stat( 'entaI&enti=ia( i
a(e(men
*a(ien
ter$a&a*
&irin)a
(en&iri
mengenai
emam*!ann)a !nt! "er/a'an. Jia *a(ien mem*!n)ai o+er5e(tima(i ter$a&a* emam*!an =i(in)a "erian (or #9. Jia a(e(men *a(ien (e(!ai &engan emam*!an (e"enarn)a "erian (or -.
THE HUMPTYDUMPTYSCALE FAKTOR RISIKO
SKALA
SKOR
HDS /"e ! 5## : ri(io ren&a$
?5 #,
: ri(io tinggi
2. Ae'en U-an0 #; A(e(men !'ang ri(io /at!$ &i'a!an : (etia* *ergantian ($i=t (aat
tran(=er e "agian 7 !nit 'ain e'!ar r!ma$ (ait a&an)a *er!"a$an on&i(i *a(ien a&an)a e/a&ian /at!$ *a&a *a(ien. ,; Peni'aian mengg!naan A(e(men Ri(io Jat!$ )ang (!&a$ &itent!an &an tin&aan *en1ega$an &i(e(!aian &engan $a(i' a(e(men !'ang. 2; Unt! meng!"a$ ategori &ari ri(io tinggi e ri(io ren&a$ &i*er'!an (or ,9 !nt! *a(ien &e%a(a &an #, !nt! *a(ien ana &a'am , a'i *emeri(aan "ert!r!t5t!r!t. 3; Tin&aan *en1ega$an (tan&ar *a(ien &engan ri(io /at!$ &i'a!an *a&a *a(ien &engan ri(io /at!$ ren&a$ &an ri(io /at!$ (e&ang. 9; Tin&aan *en1ega$an *a&a *a(ien &engan ri(io tinggi /at!$ &i'a!an *a&a *a(ien &engan ri(io /at!$ tinggi. 4. Fat/" K/nt"$($ R$$/ Jat(*
Fator ontri"!(i ri(io /at!$ &a*at &ie'om*oan men/a&i , ategori #. Intrin(i
: "er$!"!ngan &engan on&i(i *a(ien terma(! on&i(i
*(io'ogi(. ,. E(trin(i : "er$!"!ngan &engan 'ing!ngan. Se'ain it! =ator ri(io /!ga &a*at &ie'om*oan men/a&i ategori )ait! : &a*at &i*eriraan antici$ated) &an ti&a &a*at &i*eriraan unantici$ated) Fator ri(io )ang &a*at &i*eriraan mer!*aan $a'5$a' )ang &i*eriraan &a*at ter/a&i (e"e'!m *a(ien /at!$.
6. T$n3aan Pene0a*an Pa$en Jat(*
Pera%at )ang "ert!ga( aan mengi&enti=ia(i &an menera*an tin&aan *en1ega$an *a(ien /at!$ "er&a(aran *a&a #. 4ategori ri(io /at!$ ren&a$ (e&ang tinggi ;. ,. 4e"!t!$an &an eter"ata(an *er5*a(ien. 2. Ri%a)at /at!$ (e"e'!mn)a &an *engg!naan a'at *engaman (safety de&ices)
3. A(e(men 'ini( $arian. Tin&aan *en1ega$an *a(ien /at!$ *a&a *a(ien )ang "eri(io ren&a$ (e&ang ata! tinggi $are( &iim*'ementa(ian &an *engg!naan *era'atan )ang (e(!ai $are( o*tima'. Tin&aan *en1ega$an *a(ien /at!$ ter"agi ata( #. Tin&aan *en1ega$an (tan&ar *a(ien &engan ri(io /at!$ ,. Tin&aan *en1ega$an *a&a *a(ien &engan ri(io tinggi /at!$ 2. Ber&a(aran National Center for Patient Safety &an &a'am "!! "Preventin Fa!!s in Hs#ita!s: A T!$it %r &m#rvin 'ua!it % Care"
T$n3aan Pene0a*an Stan3a" Pa$en 3en0an R$$/ Jat(*; ea0a$ e"$(t !
#; La!an orienta(i amar ra%at ina* e*a&a *a(ien. ,; Po(i(ian (an&aran tem*at ti&!r r!ma$ (ait &i *o(i(i ren&a$ etia *a(ien (e&ang "eri(tira$at &an *o(i(ian (an&aran tem*at ti&!r )ang n)aman etia *a(ien ti&a ti&!r *a(tian ro&a ter!n1i &an *egangan tem*at ti&!r ter*a(ang &engan "ai. 2; Po(i(ian "en&a5"en&a *ri"a&i &a'am /anga!an *a(ien mi(a'n)a : te'*on genggam a1amata ;. 3; Monitor e"!t!$an *a(ien. 4e'!arga menemani *a(ien )ang "eri(io /at!$ ter!tama *a(ien ana5ana. Unt! *a(ien &e%a(a "i'a ti&a a&a e'!arga *a(ien &iminta !nt! menean "e' "i'a mem"!t!$an "ant!an. Po(i(ian "e' &a'am /anga!an *a(ien. 9; R!angan tertata ra*i. 0; Pen1a$a)aan )ang a&e!at. ; 4on&i(ian *erm!aan 'antai "er(i$ ering ti&a 'i1in "e"a( $am"atan /a!$an a"e'5a"e' &ari /a'!r "er/a'an *a(ien. ; Memanta! %at! &an &o(i( e=e (am*ing &an intera(i o"at5o"atan. 6; An/!ran e amar man&i (e1ara r!tin &an "ant! *a(ien e amar man&i /ia &i*er'!an &an menge&!a(i *a(ien !nt! *engg!naan *egangan tangan &i amar man&i. #-; An/!ran mengg!naan a'a( ai ata!*!n ao( ai )ang n)aman ti&a 'i1in &an te*at *a&a *a(ien. ##; Pengg!naan a'at "ant! !r(i ro&a a'at *eno*ang ; /ia &i*er'!an. #,; Berian e&!a(i mengenai *en1ega$an /at!$ e*a&a *a(ien &an
e'!argan)a. #2; I!ti *ro(e&!r )ang aman etia mem"ant! *a(ien *a&a (aat aan e tem*at ti&!r &an meningga'an tem*at ti&!r. T$n3aan pene0a*an 1an0 3$-a(an /-e* 3/te" ea0a$ e"$(t !
a; La!an e+a'!a(i &an *enata'a(anaan *er!"a$an /a'an *o(t!ra' "; 1; &; e; =;
in(ta"i'it) on&i(i (*a(ti1. La!an *enata'a(anaan !nt! gangg!an *eng'i$atan &an *en&engaran E+a'!a(i *ro=i' &ari o"at5o"atan )ang &a*at menim"!'an ri(io /at!$. E+a'!a(i &an *enata'a(anaan n)eri. E+a'!a(i &an *enata'a(anaan $i*oten(i orto(tati. Ni'ai &an *enata'a(anaan gangg!an *ro(e( (entra' &imen(ia &e'iri!m (troe *er1e*tion ;
T$n3aan Pene0a*an pa3a Pa$en 3en0an R$$/ T$n00$ Jat(* !
#; Unt! *a(ien )ang ri(io tinggi menga'ami /at!$ maa &i'a!an tin&aan *en1ega$an ri(io tinggi /at!$ )ait! ,; Pa(ang *enan&a ri(io /at!$ &engan mema(ang i&enti=ia(i alert %arna !ning *a&a ge'ang i&enti=ia(i *a(ien. 2; La!an tin&aan *en1ega$an (tan&ar *a(ien /at!$. Ta%aran "ant!an e amar man&i 7 *engg!naan *i(*ot (etia* , 5 2 /am (aat *a(ien "ang!n ;. 3; 4!n/!ngi *a(ien 7 o"(er+a(i e"!t!$an *a(ien (etia* , 5 2 /am. 9; Ni'ai e"!t!$an *a(ien aan •
•
•
Tem*at ti&!r ren&a$ $!(!( ; !nt! *a(ien &engan ri(io /at!$ Tem*at ti&!r &an 7 ata! !r(i &engan a'arm. N!r(e 1a'' ()(tem(.
T$n3aan pene0a*an 1an0 3$-a(an /-e* 3/te" ea0a$ e"$(t !
#; La!an re+ie% o"at5o"atan )ang &a*at menim"!'an ri(io /at!$ &an "erian (e(!ai in&ia(i. ,; C> agent( 5 /ia orto(tati *en!r!nan teanan &ara$ (i(to'i ? ,mm &a'am 2 merit; &an (im*tomati Di(1ontin!e HCT H)&ro1$'orot$iai&e ; *engg!naan So&i!m )ang
"er'e"i$an &a'am &iet. Jia mengg!naan ACE in$i"itor g!naan )ang 'e(( rena' meta"o'i(m
Fo(ino*ri' ;. Jia mengg!naan
Ca'1i!m
1$anne'
"'o1er
/angan
g!naan
Ni=e&i*ine. Jia mengg!naan - "'o1er /angan g!naan )ang 1ar&io(e'e1ti+e 7 not
Meto*ro'o' 7 Ateno'o' g!naan Pin&o'o' 7 Pro*ano'o'. 2; Pertim"angan !nt! on(!' e "agian re$a"i'ita(i me&i1 THT a!&io'og); mata o*$t$a'mo'og) ; ar&io'ogi (e(!ai in&ia(i. 3; *tima'i(a(i *enata'a(anaan ter$a&a* on&i(i me&i( *a(ien. 9; E+a'!a(i &an *enata'a(anaan n)eri. 0; E+a'!a(i =ator ontri"!(i e(trin(i &an in(trin(i ter$a&a* ri(io /at!$.
5. Mana)e'en Sete-a* Ke)a3$an Jat(*
Mana/emen (ete'a$ e/a&ian /at!$ )ang &i'a!an *era%at (e"agai "eri!t : #; Segera 'a!an *enanganan ata! *erto'ongan ter$a&a* *a(ien ter(e"!t. ,; Ni'ai a*aa$ ter&a*at 1e&era ai"at /at!$ mi(a'n)a : a"ra(i ont!(io 2; 3; 9; 0;
'a(era(i =rat!r 1e&era e*a'a ;. Ni'ai tan&a5tan&a +ita'. Ni'ai a&an)a eter"ata(an gera. La*oran *a&a &oter. I!ti *ro(e&!r monitoring *a(ien o"(er+a(i 7 *anta! *a(ien (e(!ai on&i(i
*a(ien. ; Catat &a'am (tat!( ream me&i( *a(ien. ; Segera "!at 'a*oran in(i&enn)a &engan mengi(i =orm!'ir 'a*oran in(i&en *a&a a$ir /am er/a 7 ($i=t e*a&a ata(an 'ang(!ng *a'ing 'am"at , ,3 /am ;. 6; Ni'ai =ator intrin(i &an e(trin(i. #-; Mem*ertim"angan teno'ogi !nt! men1ega$ e/a&ian *a(ien /at!$ ter!'ang (e*erti : •
Tem*at ti&!r ren&a$ $!(!( ; !nt! *a(ien &engan ri(io /at!$
•
Tem*at ti&!r &an 7 ata! !r(i &engan a'arm.
•
N!r(e 1a'' ()(tem(.
##; In=orma(ian e*a&a *a(ien &an e'!arga *a(ien tentang on&i(i *a(ien. #,; La!an a(e(men !'ang ri(io /at!$ (e(!ai *ro(e&!r a(e(men ri(io /at!$ #2; Mo&i=ia(i ren1ana e*era%atan inter&i(i*'in (e(!ai &engan on&i(i *a(ien. Mana)e'en ete-a* e)a3$an )at(* 1an0 3$-a(an 3/te" ea0a$ e"$(t !
#; Me'a!an *eni'aian &an *enata'a(anaan 1e&era ai"at /at!$ mi(a'n)a : a"ra(i ont!(io 'a(era(i =rat!r 1e&era e*a'a ;. ,; Me'a!an &iagno(i( &an *enata'a(anaan ter$a&a* =a1tor ontri"!(i. 2; Menent!an em!nginan *en)e"a" *a(ien /at!$ $i(tor) =a1tor =i(i o"at5o"atan "a(i' 'a"oratori!m;. 3; Me'a!an on(!'ta(i (e(!ai in&ia(i. 9; E+a'!a(i &an *enata'a(anaan ter$a&a* n)eri. 0; In=orma(ian e*a&a *a(ien &an e'!arga *a(ien tentang on&i(i *a(ien. ; Catat &a'am (tat!( ream me&i( *a(ien. ; La!an oor&ina(i &engan *era%at tentang *e'a*oran in(i&enn)a. :. E3(a$ Pa$en 3an t ata( Ke-(a"0a Pa$en
Pa(ien &an e'!arga $are( &iin=orma(ian mengenai : •
Fator ri(io *a(ien /at!$.
•
Tingat ri(io /at!$.
•
Ai"at &ari ri(io /at!$.
BAB I< PENUTUP
Demiian *an&!an Pen1ega$an &an *enanganan *a(ien /at!$ &i RSIA ABDHI FAMILI ini &i"!at (e"agai (tan&ar *enga*'ia(ian &a'am *e'a)anan &a*at ter'a(ana &engan "ai men1ega$ ri(io ter/a&in)a *a(ien /at!$. M!&a$5m!&a$an &engan a&an)a *an&!an ini &a*at 'e"i$ mem!&a$an (em!a *i$a )ang terait &engan *e'a)anan *a(ien &an $!"!ngan antar man!(ia &i RSIA ABDHI FAMILI .
Semoga A''a$ (enantia(a mem"erian ita (em!a 'im*a$an Ta!=i &an Hi&a)a$5 N)a e*a&a $am"a5$am"a )ang (e'a'! "er'om"a &a'am e"aian &an "er!(a$a (e1ara ter!( mener!( mem*er"aii ama'i)a$n)a amiiin.
Diteta*an &i : Ban)!%angi Tangga'
:
Te*at tangga' :
Diret!r RSIA ABDHI FAMILI
D". M. Ra#$e% Oe'an
NIP.
