PANDUAN ICRA

LAMPIRAN

:

PERATURAN

DIREKTUR 

RUMAH SAKIT PANTI PANTI RAHAYU RAHAYU YAKKUM YAKKUM PURWODADI  NOMOR

: 058a/PR-Per.Dir/I/2015

TENTANG PANDUAN INE!TION !ONTRO" RISK ASSESMENT #I!RA$ RUMAH SAKIT PANTI RAHAYU YAKKUM YAKKUM PURWODADI

PANDUAN INE!TION !ONTRO" RISK ASSESMENT #I!RA$ RUMAH SAKIT PANTI RAHAYU YAKKUM YAKKUM PURWODADI

I.

DEFINISI

1. Re%i&' a(a)a* a(a)a* +',e%i +',e%i ,era(ia ,era(ia &eria &eria a a (a+a, ,i3) ,i3) (ari +r'%e% +r'%e% &eia,a &eia,a %aa, %e&ara a,a a a&a (a,a #ERM4ri%& aaee, *a(3)''& 'r *ea),*6are$ 2. Maaee, Maaee, ri%i&' ri%i&' a(a)a* +e(e&a +e(e&a,a ,a +r'a&,i +r'a&,i ,& ,& ei(e,i ei(e,ii&a%i i&a%i 4ei)ai 4ei)ai (a

<$ Ke+e&e% ''r 120/Me&e%/SK/=/200 ,e,a Per%ara,a Ke%e*a,a "i&a Ra* Sa&i, 8$ Ke+e&e% ''r 108III/2010 ,e,a S,a(ar Ke%e*a,a (a Ke%e)aa,a Kera (i Ra* Sa&i, III.

Ta 1. Me6ea* (a e',r') re&e%i (a (a+a& ri%i&' ,er*a(a+ : a. Pa+ara &a +a,'e e)a)i +e,a% 4+a%ie (a +e.  3. Pe)ara e)a)i ,i(a&a /+r'%e(r i?a%i a (i)a&&a 3ai& e)a)i +era)a,a 4,e&i& +ea%aa a,a+ +era9a,a HAI%. 2. Me)a&&a +ei)aia ,er*a(a+ a%a)a* a a(a aar (a+a, (i,i(a& )a,i  3er(a%ar&a *a%i) +ei)aia %&a)a +ri'r',a%. 7. Ter%%a (a,a i(e,ii&a%i (a ra(i ri%i&' (iRS . Ter6a+aia +eraa re%i&' a&i3a, ,er%e3ara ar /3a&,eri (i (ara e)a)i (e3/aer'%') )aia. 5. Ter%e(iaa re6aa +r'ra PPI (i%e)r* area RS.

I>.

RUANG "INGKUP 1. Pera &'i,e PPI a$ Me3a, &aia (a+a& ri%i&' ie&%i 3er(a%ar&a ,ea HAI% (i ra* %a&i,

a. Ke3ia%aa &e%e*a,a +er%e'raa/,i(a& a +eri&%a .  3. (aa &ea&ia ,e,a +ea&i, a)ar. 6. Pea*aa ,e,a +e6ea*a +ea&i, e)ar  (. Ti&a, &e+a,*a (a)a e6ea* ie&%i # HH +ea&aia APD 4 ,e*i& i%')a%i$4 e. S&rei  ,i(a& a(e&a, ,er*a(a+ +ea&i, e)ar  .

Ha( Hiee

. NSI # ee()e %,i& iri$ . Ri%i&'  ,er&ai, +e)a&%aaa +r'%e(r a. Pr'%e(r i?a%i a (i)a&&a  3. Pera)a,a a (i+a&ai 6. Pee,a*a (a +ea)aa (a)a e)a&&a %a, ,i(a&a (. Per%ia+a +a%ie a ea(ai e. Ke+a,*a ,er*a(a+ ,e*i& +e6ea*a a (ire&'e(a%i&a <. )i&a a. Pe3aa e(  3. Ke)e&a+a +era)a,a a)a, +e)i( (iri. 6. Pe3er%i*a raa.

>

TATA "AKSANA

7. Pei)aia re%i&' 4er+a&a +r'%e% eaa)i%a ,i&a, re%i&' 4+er,i3aa ,i&a, 3a*aa (a a+a&a* %3er a%a)a* (a+a, (i&e(a)i&a .i(i&a,'r a  3i%a (ia(i&a (a%ar +ei)aia a(a)a* : a$ A(aa +ei)aia re%i&' .  3$ Ter(a+a, ri%& a,ri@.

. Area +ee(a)ia ri%& a%%e%e, PPI. KE"OMPOK I RENDAH • •

Area &a,'r Ta+a +a%ie/ area re%i&' re(a* a ,i(a& ,er(a,ar  (iaa+

KE"OMPOK II SEDANG Pera9a,a +a%ie (a ,i(a& ,er6a&+ (a)a Gr+ 7 a,a  "a(r • !ae,eria • Die,ar •

• • • •

•

KE"OMPOK III SEDANG TINGGI UGD Ra(i')' Re6'?er R''% Ra Ma,eri,a% / >K Hi* De+e(e6

KE"OMPOK I> TINGGI

• • •

Area &)ii% Tra%+)a, P*ara6 A(i@,re -Ra 3er%i* Kaar O+era%i

1 2 7 

Rare Ma3e "i&e) E@+e6,

ara # re&e%i 1-2@/,a*$ Ka(a # re&e%i 7-@/,a*$ Aa& Seri # re&e%i -@ /,a*$ Seri #re&e%i F-12 @/,a*$

(. Da+a&. TK Ri%& 1 2 7  5

De%&ri+%i iia) '(era,

Kea(ia Ti(a& 6e(era. !e(era ria 4)e6e, (i,aai (ea

+r')'

P7K  !e(era %e(a 4)&a

Te+'rer )'%% &a,a,r'+i&

r'3e&43er&raa %i !e(era )a% 46a6a,4)+* Kea,ia a ,a& ,er*3 (ea  +era)aa +ea&i,

e. S&'r  +r'3a3i)i, @ Da+a& @ &e%ia+a %i%,e.

2 i 4aaer (a +i+ia &)ii% ea&a a(i, %+e%ii&  I?e%,ia%i %e(er*aa +a)i )aa 1 i

"'9

(i%e)e%ai&a (ea +r'%e(r re%i

<. Ti(a&a a ,e)a* (i)a&&a. a. Pee(a)ia (ea e)i*a, &e%ia+a TK Ri%&

De%&ri+%

1

i %')i(

Pera,ra (a a%i)i,a% a(a (a

''(

(i)a&%aa&a ,& eiia)&a re%i&' Pera,ra (a a%i)i,a% a(a a ,i(a&

2

Uraia

%e)a) (i)a&%aa&a (a)a eiia)&a 7 

air

re%i&' Pera,ra a(a 4a%i)i,a% a(a (a ,i(a&

+''r

(i)a&%aa&a. Pera,ra a(a4a%i)i,a% ,i(a& a(a (a ,i(a&

,e,a +e6ea*a (a +ee(a)ia Ie&%i

8. Pei)aia )e?e) re%i&' : a. # Da+a& @ Pr'3a3i)i, @ Rea(ie% $.  3. Ni)ai  2  +ri'ri,a% ,aa ,& (i)a&&a ,i(a& )a,. 6. Ni)ai J 2  Pri'ri,a% (i)a&&a ,i(a&a (a)a +eri'(e ,er,e,. ;. Aa)i%a Re%i&' (ea : a. Mea+a 3i%a ,era(i #a6,i?i,a%4 +r'%e(r$  3. Ha)2 a+a %aa  3i%a eiia)&a ri%i&' 6. era+a %eri ,era(i/&'%e&e%i. 10. "a&a* +ee(a)ia re%i&' a 3i%a (i,era+&a : a$ Pe6ea*a +a(a %3era 4Mi% +a(a &a%% >AP a&a &ea(ia 3i%a (i,e&a (ea e3(aa&a 66i ,aa +r'%e(r %6,i' a ,e+a,.  3$ Pr',e&%i a&i3a, (ari 3a*aa. 6$ Taa+ (arra,. ($ e)aar (ari &a%% %e3e)a . 11. E?a)a%i Re%i&' (ea : a. Ra&i a%a)a*  3. Pri'ri,a% a%a)a* 6. Me)a&&a ,i(a&a /%,ra,ei +er3ai&a

 

Dire&,r

Dr Saria.MKe%

NO. KETERANGAN

1 KEPARAHAN 1

URAIAN

risiko yang dinilai berdasarkan area perawatan pasien dan laanya wakt! kontak Non Perawatan

KETERANGAN

" $ %

R!ang Rawat #alan Rawat Inap U! Rawat Hig& Risk 'R!ang Rawat Inap K&!s!s( Isolasi)I*+)H,U)NI,U)PI,U)I,,U)I,U)-/