HALAMAN JUDUL
BUKU PANDUAN SANITASI RUMAH SAKIT UMUM DAERAH KABUPATEN KARANGANYAR
TAHUN 2015
DAFTAR ISI
HALAMAN JUDUL.............................................................................................................1 BAB I..................................................................................................................................4 BAB II.................................................................................................................................6 BAB III................................................................................................................................7 1.
PENYEH PENYEHA ATAN RUANG RUANG BANGUNA BANGUNAN N DAN HALAMA HALAMAN N RUMAH SAKIT.. SAKIT........ ..............7 ........7
2.
HIGIENE DAN SANITASI SANITASI MAKANAN MAKANAN MINUMAN............ MINUMAN..................... ................. ................. ......................9 .............9
3.
PENYEHA PENYEHATAN AIR.............. AIR...................... ................. .................. .................. .................. ................. ................. ................................9 .......................9
4.
PENGELOLAAN PENGELOLAAN LIMBAH........... LIMBAH.................... .................. .................. ................. ................. .................. .................. .................. .............10 ....10
5.
PENGELO PENGELOLAA LAAN N TEMP TEMPA AT PENC PENCUCI UCIAN AN LINE LINEN N LAUNDRY !..............................16 !..............................16
6.
PENGEN PENGENDAL DALIAN IAN SERAN SERANGGA" GGA" TIKUS TIKUS DAN DAN BINAT BINATANG PENGGAN PENGGANGGU GGU
LAINNYA.......................................................................................................................17 7.
DEKONTAMINAS DEKONTAMINASII MELALUI DISIN#EKSI DISIN#EKSI DAN STERILISASI.... STERILISASI............. ........................1$ ...............1$
$.
PERSYARA PERSYARAT TAN PENGAMANAN PENGAMANAN RADIASI........ RADIASI................. .................. .........................................19 ................................19
9.
PROMOSI KESEHA KESEHATAN DARI ASPEK LINGKUNGAN....... LINGKUNGAN................ .................. .......................20 ..............20
10.
PENYUL PENYULUHA UHAN N KESEHA KESEHAT TAN MASYARA MASYARAKA KAT.... T........ ........ ........ ........ ........ ....... ......... ............ ............ ..........20 ....20
BAB
I%.............................................................................................................................21
BAB
%..............................................................................................................................2$
BAB
%I.............................................................................................................................30
BAB I PENDAHULUAN
R&'() R&'() S(*+, S(*+, '-&/(* '-&/(*( ( ((( ((( /-(( /-((( ( *--)( *--)(,(" ,(" ((' ((' /-(+ /-(+( (( ( ,-(/(, ,-(/(, ( (*+, '(&/& ( -)(," -)+( -)+( (/(, ,-(+ /-&(( /-&(( /-(*+, -,( -,( '-'&* '-'&*+*( +*( ,-(+ ,-(+( ( /-8-'( /-8-'(( ( +*& +*&( ( ( (&( (&( *--)( *--)(,( ,( (/(+( &'() (*+, ,--&, ,+(* '-'-&)+ -((+ (/-* /-((,(. U,&* U,&* '-)+ '-)+(+ (+ ++* ++* ( (& (&( ( *--)(,( *--)(,( -((+ -((+'(( '(( +'(*& +'(*& '(*( '(*( /-& /-& /-/--- -( (( (( ( *--) *--)(, (,( ( +*& +*& ( ( &'() &'() (*+, (*+, -&( -&(++ - -( ( /-((,( *--)(,( S-((+ (( P-((,( K--)(,( L+*&( R&'() S(*+, : 1. P-( P-(,& ,&( ( P-'- P-'-+, +,() () N' N' 40 T()& ()& 1991 1991 ,-,( ,-,( P-( P-( & &( (( ( ;(() (() P- P-(* (*+, +, M-& M-&( (
L-' L-'( (( (
N-( N-(( ( T()& ()& 1991 1991 N' N'
49< 49<
T('( ('()( )(
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
R-/&+*
I-+(
N'907=M-*-=SK=%=2002 ,-,( S((,>S((, ( P-(?(( K&(+,( A+ M+&'. $. P-'-*- P-'-*- RI N0.492= N0.492= M-*- M-*- = P- P- = I% = 2010 ,-,( ,-,( B(*& B(*& M&,& A+ B-+) B-+) 9. P-( P-(,& ,&( ( P-'P-'-+ +, ,() () R-/& R-/& +* +* I I-+ +( ( N' N' 101 101 ,()& ,()& 2014 2014 ,-, ,-,( ( P--(( L+'() B()( B-()(( ( B-(8&. 10. 10. P-( P-(,& ,&( ( M-, M-,- -++ L+ L+*& *& ( ( H+& H+&/ / ( ( K-)& K-)&,( ,(( (
' '
P56= P56=MM- )* )*>>
S-,-= S-,-=2015 2015 T-,( -,( T(,( ( P-(( P-((,( ,( T-*+ -*+ P-- P--(( (( L+'() L+'() B()( B()( B-()(( ( B-(8& (+ #(++,( P-((( K--)(,(
BAB II RUANG LINGKUP KEGIATAN
R&( +*&/ *-+(,( /--)(,( + R&'() S(*+, U'&' D(-() K(&/(,- K(((( ((() : 1. P--)(,( P--)(,( R&( B(&( B(&( D( H(('( R&'() S(*+, 2. P-( P-((,( (,( H++-H++-- D( S(+,(+ S(+,(+ M(*(( M(*(( M+&'( M+&'( 3. P- P--) -)(, (,( ( A+ A+ 4. P- P-- - (( (( L+'( L+'() ) 5. P-- P--(( (( T-'/(, P-8&8+ P-8&8+( ( L+- L+- LAUNDRY ! 6. P--(+( P--(+( S-((" S-((" T+*& T+*& D( B+(,( B+(,( P-(& P-(& (+( 7. D-*, D-*,('+ ('+(+ (+ M-(&+ M-(&+ D++D++-*+ *+ D( S,-++ S,-++( (++ $. P-( P-((,( (,( P- P-('( ('(( ( R(+(+ R(+(+ 9. U/(( P'+ K--)(,( K--)(,( D(+ A/-* K--)(,( K--)(,( L+*&( L+*&( 10.P-&&)( K--)(,( L+*&(
BAB III GAMBARAN UMUM SANITASI RUMAH SAKIT
1. Penyehatan Ruan Banunan Dan Ha!a"an Ru"ah Sa#$t R&( (&( ( )(('( &'() (*+, ((() -'&( &(=&+, ( )(( )(('( '( ( ( (( (( + (( ((' ' (,( (,( /(( /(( &'( &'() ) (*+ (*+,, ( (& &( ( ++ ++* * ( ( *--*(/((! ( +/-&(*( &,&* -((+ *-/-&( ( *-+(,( &'() (*+,. P-8()( P-8()((( (("P"P-)( )(?(( ?((" " K-++ K-++(" (" ( *--+ *--+)( )(
&( &( (&( (&(
( )(('( ((() &(,& *-((( (,(& *++ &( (&( ( )(('( -( (+ ()(( ( ++* '++'( &,&* ,-(+( +-*+ +(" ( '((() *--)(,( ( *--('(,( *-(.
P-((,( &( &( (&( -+*&, : (. L+*& L+*&( ( B(&( B(&( R&'() R&'() S(*+, S(*+, 1! M-'/& M-'/&(+ (+ (,( (,( ( ( -(" -(" 2! H((' H(('( ( )(& )(& +- +-&(+ &(+*( *( - -( ( &( &( ()( ()( *-*--& &&) &)(" (" -)+ -)+ ( ( ,--+( ,-'/(, /(*+ ( '-'((+ ( +-*(/+ -( ('& /(*+. 3! K(?( K(?(( ( -( -( ** **.. 4! T+(* T+(* --&" --&" ,+(* ,+(* -8-* -8-* (,(& ,+(* ,-(/(, ,-(/(, -(( -(( (+ . K,&* K,&*+ + B( B(&( &( R&'() R&'() S(*+, S(*+, 1! L(,(+ L(,(+ )(& ,-&(, (+ ()( ( *&(," *-(/ (+" /-'&*(((,(" ,+(* +8+" +8+" ?( ?(( ( ,-( ,-(" " ( '&() '&() +- +-+)* +)*( ("" *,( *,(* * - -( ( (+ )(& )(& '-'/&(+ *-'++( ( 8&*&/ *- (() (&( /-'&(( (+ +'()" P-,-'&( (,(+ -( ++ )(&
--,&* *&=-*&
((
'&() +-+)*(. 2! D++ P-'&*((
++
'- '-& &( (* *( 8(, 8(,
)(&
*&(,"
( ( ,+( ,+(* *
(,("
&, &,& & -, -,( (
-?(( ,+( ,+(* *
,-(
(
'- '-& &( (* *( 8(, 8(,
('-(& (' -(,. 3! %-,+(+ (('+() )(& (/(, '-('+ (+( &(( + ((' ((' *('( *('( = &( &( -( (+* 4! A,(/ A,(/ )(&
*&(,"
,+(*
8" 8"
(
,+(*
'-(+
,-'/(,
/-+&*(-((" ,+*&" ( +(,( /-(& (+(. 5! P+,& P+,& )(& *&(," 8&*&/ ,++" 8&*&/ -(" ( (/(, '-8-() '(&*( -((" ,+*&" ( +(,( /-(& (+(. 6! L(& L(& +, +,( ( (,( (,( &(( &(( P-' P-'( (+( +(
&( &(( (
( (
(& (&
+, +,( (
++- *( *(/+ /+
/-,& /-,& &* &*
-)+ -)+ ( (
'-'&()*( *'&+*(+ '-&(+ -+* *-8-(*(( P- P-& &(( (( ,( ,(( ( (,(& (,(& --( --(, , ( ( +, +, )(& )(& +- +-* *(/ (/++ ((' ((' ( ( /-,&& /-,&&* * /-& /-&((. ((. D+-*( D+-*(/+ /+ -( -( /+,& /+,& (&(, (&(, ( ( '&() '&() +( ,-(+ *-(*(( (,(& *-(+( (&(, ( -*(/+ (' &,&* (*(. (*(. 7! #(++, #(++,( ( P-'((' P-'((' K-(*( K-(*(( ( B(& B(&( ( &'() &'() (*+, (*+, +-*( +-*(/+ /+ -( -( (++,( (++,( /-'((' /-'((' *-(*( *-(*(( ( -&(+ -( *-,-,&( ( -(*&. 8. R&( R&( B( B(& &( ( P-(,(( P-(,(( &( &( (& (&( ( ( /-& /-&(( ((( ( )(& )(& -&(+ -&(+ -( -(& &+ + -,( '-'-&)+ /-((,( /-((,( *--)(,( (+,& -( '--'/*( '--'/*( &(( -((*( ,+*(, ++* ,-(+( /-&(( /-(*+,. D-( /--'/*( : ( -( ++* -()"( ++* S-(" ( T++"( R++* (( -() . K&(+ K&(+,( ,( U( U(( ( R&( R&(
> >
D-( D-( +-* +-* (* (*( ( *&'( *&'( '-&&, '-&&, #&+ #&+ R&( R&( (,(& (,(& U+, U+, I-* I-* K(( K(( ( ( ( B()( B()( B-() B-()(( (( ((' ((' &(( &(( R&( R&( R&'() R&'() S(*+, S(*+,
,+(* -) '--+)+ *-,(+ '(*+'&' -. P-8 P-8( ()(( )((( ( . P-)((?(( B-- B--(/ (/( ( &( &(
/-( /-(,& ,&( ( /-8( /-8()( )(( (( (
( ( /-) /-)(? (?( (
- -( (
'-&(*( ((, (8 ( ('/& ! . R&( ,--&, : K('( O/-(+ /(( IBS" G&( (, ('(+!" R&( /-+'/(( ((, CSSD!" R&( /-'-+*(( R(++ !. . ). +. .
K-++ ++ ( #(++,( #(++,( S(+, S(+,(+ (+ R&'() R&'() S(*+, S(*+, J&' J&'() () T-'/( -'/(,, T+& +& L(,(+ ( ( D++ D++
2. H$$ene Dan San$ta%$ Ma#anan M$nu"an M(*(( ( '+&'( + &'() (*+, ((() -'&( '(*(( ( '+&'( ( +(+*( (+ (/& &'() (*+, &,&* /(+- ( *((?( '(*(( ( '+&'( ( +&( + ((' +*&( &'() (*+, (,(& +(?( (+ &( &'() (*+,. H++-- ((() &/(( *--)(,( -( 8(( '-'-+)(( ( '-+&+ *--+)( +++&. M+((" '-8&8+ ,((" '-8&8+ /++" '-'&( (+( '(*(( ( &(*. #(++,( H+-H+-- ( S(+,(+ S(+,(+ M(*(( M(*(( ( M+&'( : (+ -+)" /-((,( /-((,( 8&8+" /-((,( /-(+( ++" T-'/(, T-'/(, ('/() . P-((,( H++-- ( S(+,(+ M(*(( (. A*( A*( *&'( E. C+ C+ /(( '(*(( '(*(( (+ (+ )(& 0= 0= ('/- ('/- '(*(( '(*(( ( /(( /(( '+&'( (*( *&'( E. C+ )(& 0=100 ' ('/- '+&'(. . K-K-- +) +)( ( /-( /-(( (,( ,( +,+,-, ,&* &*( ( - -( ( (* (*( ( ,,( ,,( *&'( *&'( -( -( (* (*>> ((*( 100=8' 2 /-'&*(( ( ,+(* (( *&'( E. C+. 8. M(*(( M(*(( /(( /(( &)& &)& ( ( +,-,(/* +,-,(/*( ( . M(*( M(*(( ( *-'( *-'(( ( ,-,& ,-,&,&/ ,&/ -. P- P-+'/ +'/( (( ( ()( ()( '-,( '-,() ) #*& H++-- ( S(+,(+ M(*(( ( M+&'( +&,('(*( /(( : (. B()( B()( '(*( '(*(( ( ( ( '(* '(*( (( ( (+ (+ . B()( B()( '(*( '(*(( ( ,(' ,('() ()( ( 8. P- P-+' +'/( /(( ( ()( ()( '(*( '(*(( ( ( ( '(*( '(*(( ( (+ (+ : ()( ()( '(*( '(*(( ( *-+ *-+ "" ()( '(*(( (()='&() '-'&&* ( '+&'(" ( '(*(( (+. 3. Penyehatan A$& S&'- /--+(( (+ &,&* *-/-&( &'() (*+, -(( (+ &'& ( PDAM. K-+(,( /-(?(( *&(+,( (+ -( /--*(,( &-+( (+ (,(( (+ '-+/&,+ : > P-('+ P-('+(" (" /-++ /-++'( '( ( /-'-+* /-'-+*(( (( ('/- ('/- (+< (+<
*&(+,(
M-(*&*( > >
((++
)(+
/-*+
(+,(+
/-'-+*((
((,+&'<( T+(* +(* (& (&,, -&/( -&/( /-(+* /-(+*( ( (( ((( ( ( ( *&(+, *&(+,( ( (+ P-('+ P-('+( ( ('/- ('/- (+ (+ /(( /(( (( ((( ( /-- /--+(( +(( (+ '+&' '+&' ( ( (,(& (,(& (+ -+) -+) &'() (*+, ,-8(,&' ((' ,(- + (?() ++ T(- J&'() S('/- A+ &,&* P-'-+*(( M+*++* M-&&, J&'() J &'() T-'/(, T-'/(, T+& J&'() M++'&' S('/- A+ P-&( J&'() T-'/(, T+& 25 100 101 > 400 401 >1000 F 1000 P-'-+*((
&( &(
-*( -*(+ + ( (
&,&* P-'-+*(( M+*++* A+ M+&' A+ B-+) B-+) 4 4 6 6 $ $ 10 10 *+'+( (+ '+&' ( (,(& (+ -+) +(*&*( '++'( 3,+(! ,+,+ ,+,+* *
/- /-(' ('+ +( (
('/ ('/-
'(+ '(+ >' >'( (+ +
/(( ((
,-'/ ,-'/(, (,
/-('/&( reservoir ! ( *( ,-(&) (+ reservoir . P-'-+*(( (*,-++ '++'( 1 (,&! &( -*(+. T+,+* /-(' /-('+( +( ('/- ('/- (+ &,&* &,&* /-'-+* /-'-+*(( (( '+*+ '+*++ +* * ,-&,('( ,-&,('( /(( (+ *( (+ &( (/&" &( /-(+" *('( -(+" *('( (+ ( &( &( '(*( '(*("" ,-'/( ,-'/(,, /-(' /-('/& /&( ( reservoir !" !" -8(( -8(( (8(* (8(* /(( /(( *(>* *(>*( ( -/( -/(( ( +,+,-' ' +,+ +,+& &+" +" /(( /(( &' &'- - (+" (+" ( ( ,+,+*> ,+,+*>,+, ,+,+* +* (+ (+ ( ( (?( (?( /-8-'((. P-('+( ( /-++'( ('/- (+ (/(, +(*((*( -++ -) /+)(* &'() (*+, (,(& /+)(* *-,+( ( +-*'-(+*( -) D+(K--)(,(.
4. Pene!'!aan L$"(ah L+'() &'() (*+, ((() -'&( +'() ( +)(+*( +)(+*( (+ *-+(,( &'() (*+, ((' -,&* /((," 8(+ ( (. a) L$"( L$"(ah ah Pa*a Pa*att
L+'() L+'() /((, /((, +*(,- +*(,-+* +*( ( '-(+ '-(+ : +'() +'() B3 +-*+& +-*+&!" !" +'() +'() B3 I-*+&!" +'() /((, +-*+&= '-,+* 1+ L$"(ah L$"(ah B, -n'n -n'n $n.e# $n.e#%$u %$u%+ %+
L+'() L+'() +-* +-*+& +& ((( ((() ) +'() +'() ( ( ,-* ,-*,( ,('+ '+( (++ ( (+ +''/(,)- ( ,+(* -8(( &,+ (( + +*&( ( (+'- ,--&, ((' ((' &'() &'() ( +&- +&-++ ( ( 8&*&/ 8&*&/ &,&* &,&* '-&(* '-&(*( ( /-(*+ /-(*+,, /(( /(( '(& '(&+ +( ( -, -,( (.. L+' L+'() () ( ((, (, ++-* *+& +& (( ((() () +' +'() () -( -(( ( (+ (+ /-'+ /-'+(*( (*( ( ( ,8* ,8* ()( ()( ( ((, (, +-* +-*+ +&" &" ,/ ,/+" +" ( ( +(,( +(,( /-8( /-8(( ( ( ()( ()( (+ (+ ( ( ,-() ,-() ++*& ++*&(+ (+"" ,-+-* ,-+-*+ + (,(& (,(& *,(* *,(* -( ()( ( ((, +-*+&.
L+'() +,,*+ ((() +'() (+ ()( ( ,-*,('+(+ (+ /-+(/( /-+(/( ( /-'-+( /-'-+( (, (, +,,* +,,*+* +* &,&* &,&* *-',- *-',-(/+ (/+ *(*- *(*- ( ( '-'/&(+ *-'('/&( &,&* '-'&&) (,(& '-)('(, /-,&'&)( - )+&/. M++'+( M++'+(+ + +'() +'() ((() ((() &/(( &/(( ( ( +(*&*( +(*&*( &'() &'() (*+, (*+, &,&* &,&* '-&(+ &'() +'() ( +)(+*( -( 8(( '-&(+ ()( reduce!" '- '-&( &(*( *( *-'( *-'(++ +'( +'() ) reuse! ( ( (& (& &( &( +' +'() () recycle!. L+'( +( 8(,+ 8(,+ /+, /+,- - (+ (+ &+, &+, ( ( L+'() ) /(( /((,, B3 +-* +-*+& +&! ! +( &(( +8(,(, -) /-,&( + (+( *'/&,-! -( &*& /-'(,(&( *-&( '(&* ( + &( + , ('/() ( +-+(*(.
(! A& A& ( /-,&( /-,&( /- /-- -( ( +'() +'() B3 B3 A&
P--(( P--((
*--/(*(,(
+'()
B3
+&(, -((*( -((*(
/-(,&( /-(,&(
(
-('( -( /-,&( /-((( + RSUD K(&/(,-
K((((. H( ++ +'(*&*( &/(( (( *-('(( /--/+ ( *-(('( (,( /-,&( /-((( ( /-,&( /--( ('/() B3. A& /--((=/- /--((=/-((( ((( +'() B3 ( +,-(/*( +,-(/*( + RSUD K(&/(,- K(((( ((() -((+ -+*&, : 1. P-,& P-,&( ( /-( /-(( (( ( '-'+ '-'+( () ) ( ( '-' '-'&( &( ('/ ('/() ()= =+' +'( () ) B3 -&(+ -( *(,-+(. 2. P-('+ P-('+( ( +'()=( +'()=('/() '/() B3 +(*&*( +(*&*( -) /-,&( /-,&( (+ +,((+ +,((+ *--) *--)(, (,( ( +*& +*&( ( -8( -8(( ( &,+ &,+ /(( /(( /(+ /(+ ( ( +( +( )(+ )(+ ( ( -8(( +8+-,(=*)&&. P-('+( +( &,+ &,+ /(( /(( /(+ /(+ )(+ &,&* &,&* *(,-+ *(,-+ (&' &,+*" &,+*" - P-(' +'() +'() +-*+& +-*+&" " ( -( -( ,((' ,((' + -&&) -&&) &( &( /-((( /-(((
-
'-+ ( /-&( '-+. P-('+( /(( +( )(+ *(,-+ ('( -( /-('+(
-
/(+ )(+ ,-,(/+ )(( *)&& &( IBS ( %K P-('+( +8+-,(=*)&& &,&* +'() B3 *(,-+ ('/()
-
('(+" (,",&'/()(" ( ()( *+'+( *((&((. D((' -,+(/ /-('+( +'()=('/() B3 ?(+ +8(,(, /(( &*& -*/-+ -*/-+++ *)&& *)&& ( +*-,() +*-,()&+= &+=+/( +/((= (=+,( +,(( (( (++ -)
/-,&( /-(((. 3. S-,S-,-( () ) +( +(*& *&* *( /- /-(' ('+ +( (
/-,& /-,& ( /- /-- - ( (
+' +'() () B3
'-'(?( *- TPS *)&& +'() B3. D+ &(( TPS ++ +(*&*( : - P-+'(( ( /-8(,(,( &'() +'() -&(+ *(,-+. - P-(-( +'() B3 -&(+ *(,-+( P-+'/(( -&(+ *(,-+( *(,-+( ((' 8,(+-=+ 8,(+-=+ ,-,&,&/ ( - P-+'/(( *-(/ (+. ! P- P-( ()( )( +'( +'() ) B3 B3
L+'() B3 ( ,-() ,-*&'/& + TPS -(&,( +() -) -*(( ( ( ,-() ,-() +,& +,&&* &*.. P-( P-(' '+( +( +'( +'() ) B3 +(* +(*&* &*( ( 2 )(+ )(+ -*( -*(++ -( +(*&*( /-+'(( ( -() ,-+'( (,(( /-,&( RSUD K(&/(,- K(((( -( /-,&( (+ -*((. 8! P-( -(/( (
2+ L$"(ah L$"(ah /a*at /a*at n'n $n.e#% $n.e#%$u% $u%
L+'() /((, +-*+& ,-++ (+ ('/() (+* ( ((+*. 1! A& P-- P--(( (( ('/( ('/() ) +-* +-*+& +& : (! S('/( S('/() ) (+ (+ /-)( /-)(++ +,('/ +,('/& & ((' ((' 2 ?(( ?(() ) ( (+8 +8 ( ( (+8! ! S('/() +('+ +('+ -) -) /-,&( /-,&( *--+)( *--+)( *-& *-& ( ,('( /-('+ /-('+( ( 2 *(+ /(+ ( +(! 8! P-( P-(*&( *&( ,-)( ,-)(( (/ / ('/ ('/() () /(( /((,, +-* +-*+& +& +-( +-(*( *( '-( '-(++ 3 (+, (+,& & : ('/ ('/() () ( (+ +* * +( +(+ +*( *( *'/ *'/ "" ('/ ('/() () ( (+ +* * + +,('/& ((' TPS -&/( 8,(+- '++* DKP" ('/() ( '(+) '-'++*+ +(+ &( +*-( -) (* ('/() ! M-*( M-*(+' +'- /-( /-(' '+( +( *, *,(+ (+- - +(,& +(,& ((' ((' P-( P-(+ +( ( K- K-(( (('( '( PKS! 2! K-,K-,-( (( (( ( (! D((' D((' /-(+ /-(+( (( ( '-&(*( '-&(*( ,-(( ,-(( )(+( -/( -/( -( -( +,-' +,-' )+,. ! S)+, /(+ /(+ '&(+ (' 04.30 : /-('+( /-('+( ('/() ('/() -((* -((* 4 ( ( 8! S)+, /(+ /(+ '&(+ (' 5.30 5.30 : /-(/&( /-(/&( 9 ( ( &,&* &,&* 9 (! ! T-(' /-', /-', '+ '+- : 3 ( ( -! P-'+( P-'+() ) ('/ ('/() () : 1 ( ( ! IPA IPAL : 2 ( ! S)+, S)+, +( +( '&(+ '&(+ ('12.0 ('12.00 0 16.00 16.00 : 3 ( (
,+ L$"( L$"(ah ah Pa*a Pa*att In.e# In.e#%$ %$u% u%
P-*(,-+(" /-'+()( ( /-?(()( +'() P((, B3 I-*+& K(&/(,- K(((( +(+ ((' 4 *(,-+ : N 1
J-+ +'() B3 J(&' &,+* /&+,!
I+ J(&' & &,+* -*( /(+-
;(() S(-, ?( ?(( *&+
2
L+'()=('/()
K((" *(/(" NGT" NGT" '(*-"
T-'/(, ('/()
+-*+&
,&/-" -( O2"
( /(,+* ?((
)(8" &+- (=DC"
*&+
(+=,('/" *-,(=/(,+8=/(*(+(=+- 3
B-( ,(('
,-*,('+(+. %+(" ('/&" , *(8(" ++-"
T-'/(, ('/()
8(/-" /+(&" *(8(" (
( /(,+* ?((
+'() --+ ( (/(,
*&+
'-&&* ( '-+'&*( 4
S('/()
&*( O(, ( ()( *+'+(
T-'/(, ('/()
#('(+" O(,"
*((&?((
( /(,+* ?((
,&'/()(" (
8*(,
()( *+'+( *((&(( () L$"( L$"(ah ah a$ a$&
L+'() 8(+ ((() -'&( (+ &(( ,-'(&* ,+( ( -(( (+ *-+(,( &'() (*+, ( *-'&*+( *-'&*+( '-(& '+*(+'-"()( '+*(+'-"()( *+'+( *+'+( -(8& -(8& ( (+(*, (+(*,+ + ( ( -()( -()(( ( (+ (+ *--)(,( *--)(,(. . L+'() L+'() C(+ C(+ R&'() S(*+, S(*+, ((() (+ +( &(( &(( ( ( -(( (+ (+ /-(+( /-(+( *-+(,( *-+(,( -'&( &( + RS (+* &( /-((( '(&/& &*( /-((( ?(,(-" KM" 8&8+ ((," 8&8+ +- ! A& /--(( /--(( +'() 8(+ 8(+ + RSUD RSUD K(&/(,- K(&/(,- K(((( K(((( 1! L+'() L+'() (+ (+ &( &(= = &+, +(+*( +(+*( '-(&+ '-(&+ (&( (&( *- IPAL. IPAL. B--(/( &+,= &( --&' +(+*( *- IPAL + '(&* ((' /- ,-(,'-," U+, ,--&, ((() : L(&" G++" L((,+&' 2! P- P- /-( /-()( )( (+ +'() +'() + IPAL< IPAL< D+,('/ '/& & + (* (* -&( -&(+ +( (+ + -( -(( (++ (* (* &,& &,&* * )' )'-+ +( (+ +== - D+,( /-8('/&( ! ,-(/(, 2 (*. - D+(+*( *- B(* A (- I II ! - D+(+*( *- B(* (- -( ,-' '-*(+* - B(* +,-= (- - B(* /--(/( - B(* ,(++(+ - O&, -, 3! P P( (' ' '(+ '(+,,-( (8 8- S-,+(/ )(+ '-'-+)*( *,( (+8 /(( (,(/. - S-'+& -*(+ '-'-+)*( -(/( ( *,( (+8 /(( (* 8, - S-,+(/ )(+ '-'-+)*( *,( (+8 /(( IPAL - S-,+(/ )(+ '-'8(,(, &'- /(( ? '-,- ( /H.
4! M-(*&*( M-(*&*( /-++'( /-++'( ('/- (+ +'() +'() +-, +-, ( ( &, -, -&( -*(+ ! 5! P- P--8 -8-* -*( ( /-( /-(( (,( ,( 6! L(/( L(/( )(+ )(+ /-'-+*( /-'-+*(( ( ('/- ('/- *- D+( D+( L+*& L+*&( ( H+&/ H+&/.. . L+'( L+'() ) G( G( L+'() ( ((() -'&( +'() ( --,&* ( ( -(( (+ *-+(,( *-+(,( /-'(*( /-'(*(( ( + &'() &'() (*+, (*+, -/-,+ -/-,+ ++-( ++-(, ,"" (/& (/&"/-- "/--*(/( *(/( --(," ((,-+ ( /-'&(,( (, 8+,,*+*. A& P--(( P--(( L+'() G(: 5. Pene!'!aan Te"/at Te"/at Penu$an L$nen - Laundry + &'() (*+, ((() ,-'/(, /-8&8+( +- ( +-*(/+ -( Laundry &'() ((( /-&(( -&/( '-+ 8&8+" ((, ( ++-*,(" '-+ &(/ steam !" /--+" '-( ( '-+ -,+*(. boiler !" P-((,( 1.
S&)& (+ (+ /( /(( & &,&* //-8&8+( 70 70 C ((' ?(*,& 25 '-+, (,(& 95 C ((' ?(*,& 10 '-+,.
2.
P- P-& &( (( ( -+ -+ -,- -,-- ( + ++ +-*, *,( ( &,& &,&* * //- /-8& /-8&8+ 8+( ( ( ( ('() +*&( (( +'() 8(+ ( +)(+*( '&() ,-&(+ -) +*&(.
3.
S,(( *&'( (+ +- -+) -,-() *-&( (+ /- ,+(* '-(& 6 10 3 /( /-+- Bacillus /- +8+ /--+.
T(,( L(*((
1.
D+ ,-'/(, laundry ,--+( *-( (+ -+) -( *&(+,( ( ,-*(( (+( ( '-'((+" (+ /(( &,&* ++-*+ ( ,--+( ++-*,(.
2.
P-( P-(( (,( ,( 8&8+ 8&8+ +/( +/(( ( /-' /-'( (- - ( +-,( +-,(** **( ( -*(, -*(, -( -( (& (&( ( /-'&( /-'&(( ( (+ +'() +'() -,( -,( ,--+( ,--+( '-+ 8&8+ 8&8+ ( ( (/(, (/(, '-8&8 '-8&8++ -+>-+ -+>-+ +- ( --(. --(.
3.
T-- --+( +( &( &(( ( ( ( '-+ '-+ 8&8+ 8&8+ ( ,-/ ,-/+( +() ) &,&* &,&* +- +- +-* +-*+& +& ( +-*+&.
4. Laundry )(& )(& +- +-* *(/+ (/+ (& (&( ( (+ (+ +'( +'() ) ,-,&, ,-,&,&/ &/ ( ( +- +-*( *(/+ /+ -( -( /-( /-()( )( (?( (?( pre-treatment ! --&' --&' +(+* +(+*( ( *- +,(( +,((+ + /-()( (+ +'(). 5. Laundry )(& )(& +-+(*( &(>&( ,-/+() -&(+ *-&((( (+,& &( +- *," &( +- -+)" &( &,&* /--*(/( *--+)(" &( &( /-- /--* *(/ (/( ( 8&8+" 8&8+" &( &( *-*--,( ,( +- +-"" *('( *('( '(+ '(+ ( ( &( &( /-++ (,(& /--+ &,&* ((,>((, ,-'(&* +-.
6.
U,& U,&* * &'( &'() ) (*+ (*+,, ( ( ,+ ,+(* (* '-' '-'/ /&( &(++ laundry ,--++" /-8&8+(( (/( (/(,, -*- -*-( (('( ('( - -( ( /+)(* /+)(* (+ (+ ( ( /+)(* /+)(* (+ (+ ,-,--&, &, )(& )(& '-+*&,+ /-((,( ( ,(,((*(( ( ,-() +,-,(/*(.
P-(*&( ,-)((/ +-: 1.
P-&'/&(" +(*&*( : 1! P-'+()( P-'+()( (,(( (,(( +- +-*+& +-*+& ( >+>+-*+& *+& +'&(+ +'&(+ (+ &'- ( '-'(&**( +- *- ((' *(, /(,+* -&(+ -+( -,( +-+ (-. 2! M-)+,& M-)+,& ( '-8( '-8(,(, ,(, +- +- + &(( &((..
2.
P--+'(( 1! M-8(,(, M-8(,(, +- +- ( +,-+'( +,-+'( ( ,-() ,-() ,-/+() ,-/+() (,(( (,(( +-*+& +-*+& ( +-*+&. 2! L+- +/+() -((*( -((*( ,+*(, *-*,((. *-*,((.
3.
P-8&8+( 1! M-+'( -(, +- +- &,&* &,&* '--&(+*( '--&(+*( -( *(/(+,( *(/(+,( '-+ 8&8+ ( *-&,&)( -,-- ( ++-*,(. 2! M-'- M-'-+)*( +)*( +- +- *, *, (+ ,+(" &+" (()" (()" ( '&,()( '&,()( *-'&+( *-'&+( '--('( -( '-&(*( ++-*,(. 3! M-8&8+ +*-'/**( +*-'/**( -((*( -((*( ,+*(, *-*,((. *-*,((.
4. 5. 6.
P--+( P--,+*(( P-+'/(( 1! L+- L+- )(& )(& +/+() +/+()*( *( -&( -&(++ -+( -+(.. 2! L+- (& (& ( ( +,-+'( +,-+'( +,-'/(,*( +,-'/(,*( + -'(+ -'(+ (+( (?(). 3! P+,& P+,& -'( -'(++ -( -(& & ,-,& ,-,&,&/. ,&/.
7.
D+,+&+ + +(*&*( -((*( *( *(,& ,( ,(( ,,-+'( ( (+ //-,&( /--+' /--+'(" (" *-'&+( *-'&+( /-,&( /-,&( '--() '--()*( *( +- +- -+) -+) *-/(( *-/(( /-,&( /-,&(
&(( -&(+ *(,& ,(( ,-+'(. $. P-(*&,( 1! K(, K(, &,& &,&* * '-' '-'& &* *& & ++- - -+) +) )(& )(& ++-( (*( *( - -( ( *(, ( +&(*( &,&* '-'&*& +- *,. 2! M- M-&( &(*( *( *-*--,( ,( ( ( - -- -( ( ( ( ,-,&, ,-,&,&/ &/ (,(( (,(( +- +- -+) -+) ( +- +- *, *,.. K--,( K--,( )(& )(& +8&8+ +8&8+ -( -( ++-* ++-*,( ,( -,-() +&(*( '-(*&, +- *,. 3! ;(*,& (*,& /- /-( (* *&, &,( ( ++- - -+) +) ( ( *, *, ,+( ,+(* * -) ) +( +(*& *&*( *( -('((. 4! L+- -+) -+) +(*&, +(*&, -( -( *--,( *--,( ( --( ?((.
5! R&'() R&'() (*+, (*+, ( ( ,+( ,+(* * '-'/& '-'/&(+ (+ laundry ,--++" /-(*&,(( (+ ( *- ,-'/(, laundry )(& '-&(*( '+ *)&&.
9.
P-,&( ( ( -*-( ( ((' // --(( laundry +- +- )(& )(& '- '-& &(* (*( ( /(*(+( /(*(+( *-( *-( *)& *)&&" &" ((, ((, /-+ /-+& & ++ ++ ( ( +(* +(*&*( &*( /-'- /-'-+* +*(( (( *-*--)(, )(,( ( -8(( -8(( -* -*(( (("" -,( -,( +( +(&* &*( ( '-'/'-'/- -) -) +'&+(+ )-/(,+,+ B.
6. Penen*a!$an Se&ana T$#u% Dan B$natan Penanu La$nnya P-- P--(+ (+( ( -(( -(("" ,+*& ,+*& ( +(,( +(,( /-( /-(& & (+( (+( ((() ((() &/(( &/(( &,&* &,&* '-&( '-&(+ + //&( //&(++ -(( -(("" ,+*& ,+*& ( +(,( +(,( /-( /-( & & (+( -)+( *--(((( ,+(* '-(+ -*, /-&(( /-(*+,. D+ &'() (*+, /-(*(((( '-(&+ /+)(* *- 3 -&(+ MOU D+ &'() (*+, *& /--(+( /(( : *&8+" ,+*&" *-8(" ('&*" ((," ( +(,( /-(& (+(. P-((,( :
1. K-/( K-/(( (,( ,( -, -,+* +* Aedes sp. ( +('(,+ '-(&+ +-* *,(+- )(& 0 !. 2. T+(* +(* +,-' +,-'&* &*( (( ( &( &( ,(/( ,(/( *(?( *(?(,, *(( *(( ( ( '-'& '-'&* *+* +*( ( ('& ('&* * '(&* *- ((' &((" ,-&,('( + &(( /-(?(,(. 3. S-'&( S-'&( &( &( + &'() &'() (*+, (*+, )(& )(& -( -( (+ (+ *-8 *-8(" (" ,-&, ,-&,('( ('( /(( /(( (/& (/&" &( '(*((" ( &(( ,-+. 4. T+(* +,-'&*( +,-'&*( ( ( ,((>, ,((>,(( (( *--( *--((( (( ,+*& ,+*& ,-&,('( ,-&,('( /(( /(( (-() (-() (&( ,-,&,&/ core! &'() (*+,. 5. T+(* +,-'& +,-'&*( *( ((, ((, + ((' ((' (& (&( ( ,-,&,&/ ,-,&,&/ core! + &'() (*+,. 6. D+ +*&( +*&( &'() (*+, )(& )(& -( *&8+ ( (+. T(,( L(*(( P--(+( S-((" ,+*&" ( B+(,( P-(& L(+( '-+/&,+ : 1.
S& S&-+ -+( (
:
'- '-(' ('(, (,+" +"
'-'--'& '&*( *(
*-*--( (( (( (""
'- '-&* &*& &
*-/( *-/(( (,( ,(" "
/-(?(( ( /,-+( /-*-'(+(*(. 2. P-''-(,( ,(( : (. N('&* 1!
P-'P-'-( (, ,(( (( +(* +(*&* &*( ( (/( (/(+( +( (( (( (,(& (,(& -, -,+* +* ( ('&* '&*
Aedes
sp. F 0 -( 8(( ((,+(+.
2!
M-(*&* M-(*&*( ( /-'-( /-'-(,( ,(( ( ((=((=-,+* ,+* -( -( '-&( '-&(*( *( /-(, /-(,..
3!
M-(*&*( oiling &,&* &,&* '-'-(,( ((=-,+* culex.
4!
B+( +&( +&( (( *(& *(& -'(' -'(' -( -(() () ( ,-,&( ,-,&( + &'() &'() (*+," (*+," '(*( /-& +(*&*( /-((/( fogging ! + &'() (*+,.
. K-8( -8( 1! P-'-+)( P-'-+)( ,-& *-8( -( -( 8(( 8(( '-*(+" '-*(+" (+,& '-'-+) '-'-+)*( *( ,-& ( ,-(/(, /(( 8-()>8-() ++" -'(+" /-((,( ( ,-& *-8( +'&()*( -( +(*(=+)(8&*(. 2! P-'- P-'-(, (,(( (( *-8 *-8( ( P-'-(,(( *-8( (/(, +(*&*( -8(( ++* ( *+'+(?+. (! S-8(( ++* (,(& '-*(+: > M-'&&) (& (& *-8( -( ((, /-'&*&. /-'&*&. > M-+(' ,-'/(, /-+&*( /-+&*( -( -( (+ /((. > M-&,&/ M-&,&/ 8-()> 8-()>8-( 8-() ) ++. ++. ! S-8(( S-8((
*+'+(?+ *+'+(?+
-( -(
'-& '-&(*( (*(
+-*,+ +-*,++( +(
-( -(
/-((/(" &&*" -'/,(" ( &'/(. 8. T+*& +*& M-(*&*( /--(+( ,+*& -8(( ++* -( /-'((( /-(*(/" /-'&*&( /-'&*&( (,(& -(( -((++ (,-(, (,-(,+ + ,-(*)+ ,-(*)+ (/(, (/(, +(*&*( +(*&*( -8(( -8(( *+'+( *+'+( -( '-&(*( &'/( -(8&. . L(( L((,, B+( *-/((,( ((, + -*+,( ,-'/(, ('/() /-+&*(! '--+)+ 2 -* /- bloc grill '(*( '(*( +(*&*( /--(+( ((, -8(( ++*" ++*" ( *+'+(. -. B+(,( B+(,( /-(& /-(& (+( B+( ,-(/(, *&8+ ( (+" '(*( /-& +(*&*( : 1! P-(*(/(" P-(*(/(" *-'&+( *-'&+( +&( +&( (&) (&) (+ (+ &'() &'() (*+, (*+, 2! B-*B-*- ( ((' ('( (
- -( ( -*( -*(( (
/- /-- -+( +( (( (( /-, /-, 8, 8,
&,& &,&* *
'-(*(/ *&8+.
7. De#'nta"$na%$ Me!a!u$ D$%$n.e#%$ Dan Ste&$!$%a%$ D-* D-*, ,(' ('+ +( (++
(( ((() ()
&/( &/(( (
'- '-& &( (+ +
( (
(,(& (,(&
'- '-)+ )+( ( *( *(
*,('+(+ *,('+(+ -) '+*(+''+*(+'- /(( (" /-((,(" ()(" ( &( '-(&+ ++-*+ ( ,-++(+ -( 8(( ++* ( *+'+(?+. D++ D++ -* -*+ + (( ((() () &/( &/(( ( &,& &,&* * '- '-& &( (+ +=' ='- -) )+ +( (* *( (
&' &'() ()
'+*(+''+*(+'- /(,- /--( /--( /-(*+, /-(*+, ,+(* ,-'(&* /(! -(8(( ++* ( *+'+(?+. S,-+ S,-++ +( (++ ((( ((() ) &/(( &/(( &,&* &,&* '-)+ '-)+( (* *( ( -'&( -'&( '+* '+* ( (+' +'-( 8(( ++* ( *+'+(?+. S,-++(+ + RSUD K(&/(,- K(((( (.
A(, M-+ S,-++ S,-++(+ (+ /-((, /-((,( ( ( ( -*(+, -*(+,( ( -( -( /-(?(, /-(?(,( ( /(+- /(+- -8((+ -8((++* +*
-( /-'((( /-'((( /(( &)& 121C -('( 30 '-+, (,(& /((&)& 134C
-('( 13 '-+, ( )(& '-(8& /(( /-,&&*/-&(( ((, ,-++(+ ( +&(*(. .
A(, N M-+ S&)& S&)& /(( /(( ++-* ++-*+ + -8(( -8(( ++* ++* -( -( (+ /(( /(( &,&* &,&*
/-((,( /-((,(
(+,(+ $0C ((' ?(*,& 45>60 -,+*" -(*( &,&* /-((,('-'((* $0C ((' ?(*,& 1 '-+,. 8. 1. K('( K('(= =& &( ( /- /-( (++
R&(( ( ( ,-( ,-() ) +/(* +/(*(+ (+ )(& )(&
+( +(*& *&*( *(
++ ++ -* -*+ +
(+,-++(+ ('/(+ ('( &,&* +/(*(+ /(( /-(+ -+*&,(. 2. P(( P(( (*)+ (*)+ /- /- ++-*+ ++-*+ ,-)((/ ,-)((/ &( &( /-((( /-((( '-+ '-+ &(/ &(/-( -(++ ( ( &( &( +( +(+! +! ,+* ,+*(, (, *-/( *-/((, (,( ( *&'( *&'( /(( /(( (,( (,(++ (+ (++ + 0>5 8&=8' 2" -( -( '+* '+* ( (+' +'- /(, /(,- - ( ( ( ( ( (-. -.U U,& ,&* * &( &( /-&( /-&( '-+ '-+ &( &( (?(, (?(, +(/" +(/" &( &( CU=CC CU=CCU" U" *('(( *('((+" +" *('( *('( -(+" &( /-(?(,( &*( (*(" ( (&! --(5>10 8&=8'
2
$. Pena"anan Ra*$a%$ (.
D-+++ R(+(+ ((() -'++ ( /--(( --+ '-(&+ &( '-+(!((' -,&* -'( --*,'(-,+* (,(& /(,+*->/(,+*- (,(&--'-,- -( *+-,+* *+-,+* ( ( ((, ((, ,++ ,++ ( +-/(*( +-/(*( (+ ()((,( ()((,(& & ((, (+(+ ( +&(*( -) +,((+ + &'() (*+,. P-('( P-('(( ( ('/(* ('/(* (+(+ (+(+ ((() ((() &/(( &/(( /-+ /-+& &( ( *--)(,( *--)(,( '(((* '(((*(, (, (+ ('/(* ('/(* (+(+ (+(+ '-(&+ '-(&+ /'+ /'+ ( /-8-( /-8-()( )( ++*( ++*(,( ,( ()(( (+(+" -( '-(*&*( *-+(,( /-'(,(&("+-,+(+ ( '+,+(+ /(( /(( &'- &'-"" '-+( '-+( +*& +*&( ( ( '(&+( '(&+(( ( ,-/(( ,-/(( (,(& (,(& ((, ((, ( ( '-(& (+(+. N+(+ N+(+ B(,( B(,( D+ D+ NBD! NBD! (+ (+ /-*/-*-( ( ( ( ,-/( ,-/(( ( (+( (+(++ -- --( ( 50'S milli !ievert ! ((' (,& ,()&" NBD (+ '(((*(, ( ,-/(( --( 5 'S ((' 1 (,&! ,()&.
.
P-++( S-,+(/ &'() (*+, ( '-'(((,*( /-((,( ( '-'((*( (+(+ ( '-& '-&(*( (*( (, (+(* (+(*,+" ,+" )(& )(& '-'/- '-'/--) -) ++ (+ B(( B(( P-(? P-(?( ( T-(( N&*+ -&(+ PP N' 64 T()& 2000 ,-,( P-++( P-'(((,( T-(( N&*+" /(( 2 ((, 1!.
8.
S+,-'
M((-'-
K--)(,( ( K--('(,( K-( ,-)((/ P-'(((,( R(+(+ P-+ : 1. O(+(+ S-,+( S-,+(/ / /- /-- -( ( &'() &'() (*+, (*+, ( ( '-'/& '-'/& (+ (+ /-( /-((( (( (+( (+(+ + )(& )(& '-'++ '-'++*+ *+ (+(+ /,-*+ (+(+ +'(( /-,&( (+(+ ,--&, ,-() '-'++*+ &(, ++ -((+ /-,&( (+(+ (+ B(( P-(?(.
2.
P-((,( P,-*+ R( R(+(+
P-- P--( ( &'() &'() (*+, (*+, ( '-'/&( '-'/&(++ /-(( /-((( ( (+(+ (+(+ )(& )(& '--+ '--+(*( (*( ( '-&()(*( /-((,( /,-*+ (+(+" /-'(,(& + /-((" /-'(,(& (-() *-(" ( /-'(,(& +*&( )+&/" ( (/(, -&+ -( (+* -&(+ -( -+ &'- (+(+ ( +&(*(.
3.
P-'(,(&( D D+ PP-((
P--( &'() (*+, ( '-'/&(+ /-((( (+(+ '-?(+*( -,+(/ /-*-( (+(+ &,&* '-'(*(+ /-((,( /-'(,( /-'(,(& & + + /-( /-((" (" -&(+ -&(+ -( -( -+ -+ +,(( +,((++ ( &'- &'- (+(+ (+(+ ( ( +&(*(. P- P-('( ('(( ( ,-)( ,-)(( (/ / ()( ()( ( ( '-'( '-'(8( 8(*( *( (+( (+(+ + )- )-(* (*( ( '-8( '-8(*& *&/ / (8(( +,((+ ( '-'-&)+ /-((,(" /--+(( /-+& (+(+ (,(& *,(+-. P,-*+ P,-*+ (+(+ (+(+ ( ( +-+(* +-+(*( ( )(& )(& '-'/&( '-'/&(++ *-,-(( *-,-(( ,-,-,& ,-,-,& ( '('/& '('/& '-&&*( (& + (+(+. T-( ()( /-+& -&(+ -+ ( --+ (+(+" (*,++,( ( &'- (+(+" -,( +(, ()( /-+&. P-- P--*(/( *(/( ( /-((,( /-((,( ( ( +-+(* +-+(*( ( ((() ((() '+,+ '+,+ /-( /-((" (" &-+ &-+ '-,-" ((, &,&* '-(*(, ( '-(*&," /(*(+( *-(" -*,('+(+ *+," ((,>((, /-'-+*(( ,((>,(( (+(+. P-'(,(&( D+ P-(( P--( &'() (*+, )(& '---((*( /-'-+*(( *--)(,( (?( -8(( ,-+,+ ( '--&&)" &,&* -,+(/ ( ( ( ( (*( (*( -*- -*-( ( -( -(( (++ /-*/-*-( ( (+( (+(+" +" -8( -8(( ( -*( -*(( ( -('( -('( -*- -*-( ( -*&(>*&(( -*(+ ((' 1 ,()&. P- P-- -( ( &'() &'() (*+, (*+, )(& )(& '-'- '-'-+* +*(*( (*( *--) *--)(,( (,( /-*/-*-( ( (+( (+(++ ( ( (*( (*( '-'&,&*( )&&( *-( *-/(( *,- ( +,&&*" ( )(+ /-'-+*(( *--)(,( +-+*( *-/(( /-*-( (+(+ ( -(*&,(. D((' )( ,-(+ *-8-(*(( (+(+" /--( &'() (*+, )(& '---((*( /-'-+*(( *--)(,( (+ /-*-( (+(+ ( +&( '--+'( /((( --+). P-'(,(&( D+ P-(( P--( &'() (*+, )(& ,-,(/ '-+'/( *&'- ( '-'&(, 8(,(,( + )(+ /-'(,(&( (-() *-(" +*&(" ( *(,& *--)(,( /-*-( -('( 30 ,()& -(* /-*-( (+(+ -)-,+ -*-(.
4.
J('+( K&(+,(
P-- P--( ( &'() &'() (*+, (*+, )(& )(& '-'&(, '-'&(, /(' /(' ('+( *&(+,( *&(+,( (+ (+ +,(( +,((++ ( ( '-'/&(+ /,-+ ('/(* (+(+ ,++.
U,&* '-('+ --*,++,( /-(*(( B(( /-(?( '-(*&*( +/-*+ ( (&+, -('( /-(*((( /(' ('+( *&(+,(.
5.
P-++*( ( P-(,+)(
S-,+(/ /-*-( )(& '-'/--) /-++*( ( /-(,+)( ,-,( *--('(,( ( *--)(,( *-( ,-)((/ (+(+.
d.
K(+(+
Pengelola rumah sakit wajib mengkalibrasikan alat ukur radiasi scara berkala sekurang-kurangnya sekurang-kurangnya 1 (satu) tahun sekali. Pengelo Pengelola la rumah sakit wajib mengkalibrasi mengkalibrasi keluaran keluaran radiasi radiasi (output) perala peralatan tan radiot radioter erapi api secara secara berkal berkala a sekura sekurangng-ku kuran rangny gnya a 2 (dua) (dua) tahun sekali. Kalibrasi hanya dapat dilakukan oleh instalasi yang telah terakreditasi dan ditunjuk oleh Badan Pengawas. e.
P-(&((
Kecelakaan adiasi Pengelola rumah sakit harus melakukan upaya pencegahan terjadinya kecelakaan kecelakaan radiasi. !alam !alam hal terjad terjadii kecel kecelaka akaan an radias radiasi" i" pengel pengelola ola rumah rumah sakit sakit harus harus melakukan melakukan upaya penanggulangan diutamakan pada keselamatan keselamatan manusia. #okasi tempat kejadian harus diisolasi dengan memberi tanda khusus seperti pagar" barang atau bahan yang terkena pancaran radiasi segera diisolasi kemudian didekontaminasi. $ika terjadi kecelakaan kecelakaan radiasi" pengelola rumah sakit harus segera melaporkan terjadinya kecelakaan kecelakaan radiasi dan upaya penangg penanggula ulanga nganny nnya a kepad kepada a Badan Badan Pengawa engawas s dan instan instansi si terkai terkaitt lainnya. %.
P--((
#imbah
adioakti% Penghasil limbah radioakti% tingkat rencah dan tingkat sedang wajib mengumpulkan" mengelompokkan" atau mengolah dan menyimpan semenatara limbah radioakti% sebelum diserahkan kepada Badan Pelaksana. Pengelo Pengelolaan laan limbah limbah radioakti radioakti%% pada unit kedokter kedokteran an nuklir dilakukan dilakukan pemilahan menurut jenis yaitu limbah cair dan limbah padat. #imbah radioakti% yang berasal dari luar negeri tidak dii&inkan untuk disimpan di wilayah 'ndonesia.
9. P&'"'%$ Ke%ehatan Ke%ehatan Da&$ A%/e# L$n#unan L$n#unan P'+ P'+ )++-)++-- ( (+,( (+,(++ (/(, (/(, +(*( +(*((*( (*( -( -( '-& '-&(*( (*(8( 8(( ( (&" '-+( 8-,(*" '(&/& '-+( --*,+*. >
S-8( S-8(( ( ( (& & : * *- -+ +" " +* +*& &+" +" 8-( 8-('( '()" )" -' -', ,( (+ +"" /(, /(,+ ++/ +/(, (,+ +""
>
/('-(" '-(&+ /--( &(( ( (+>(+. M-+( M-+( 8-,(* 8-,(* : /--(( /--(( -(-," -(-," /-'(( /-'((( ( /,/,-" ('( ('("/(&* "/(&*"" ,(,(
>
,-,+" /-&'&'( -8(( ,-,&+" /-'((( /-,&&*. M-+( M-+( --*, --*,+* +* : (+" (+" ,--+ ,--++ + ,--+ ,--++ + *)&& *)&& +* +*& &( ( &'() &'()(*+, (*+,!" !" "yecatc#er .
P-(*(( /'+ )++-- ( (+,(+ &/(( +(*&*( -) -&&)*((?( &'() &'()
(*+ (*+,,
+(? +(?() ()
* *+( +(+ +
,-(( ,-((=& =&+, +,
( (+( +(+/ +/- -( (& & (? (?( (
/-/---( (( ( *-*--)(, )(,( ( +* +*& &( ( &'() &'() (*+, (*+, ( ('- '-( (( (++ /' /'+ + *--)(,( +*&( &'() (*+,. S(((
/'+
)++--
(
(+,(+
((()
/(+-=*-&((
/(+-"/-&&" *((?( &'() (*+," -,( '(((*(, -*+,((. P-( /'+ )++-- ( (+,(+ )-(*( +-&(+*( -((((.
10. Penyu!uhan Ke%ehatan Ma%ya&a#at M-(&+ /--(( -(-, ( (( + &'() (*+,
BAB I3 PR4GRAM KERJA KESLING RSUD KAB KARANGANYAR KARANGANYAR
1)
P&'&a" Ke&a Penyehatan Ruan Banunan *an Ha!a"an Ru"ah Sa#$t
K-+(,( K-+(,( /(' /(' *-( /--)( /--)(,( ,( &( (&( (&( (
)(('( )(('( R&'()
S(*+, ((() -((+ -+*&,: (. P-'-+)( P-'-+)( &( (&( (&( P-(*((( P-(*((( /-'-+)( &( (&( -*-(('( -( /--+( /--+( (( *-- *--+) +)( (.. P( P(' ' *-( *-( (,(& (,(& ,(,( ,(,( (* (*( (( ( /-'- /-'-+ +)( )( -&(+ -&(+ - -( ( ,(( ( +,-,(/*( (+ RSUD K(&/(,- K(&/(,- K(((( K(((( ( +(,& ((' P-(+( K-( S('( PKS! ;(*,& : S-,+(/ )(+ ,-(+ ((' 3 )+, +-&(+*( -( *-&,&)( &(. T-'/(, : S-&&) R&( B(&( + RSUD K(&/(,- K(((( . P-'-+ P-'-+)( )( )(('( )(('( P-'-+ P-'-+)( )( )(('( )(('( + RSUD RSUD K(&/(, K(&/(,- - K(( K((( (( ( +(*( +(*((* (*( ( -) -) T-(( H(+( L-/( THL!. P(' ++ &( -*(+,( -( /--(( +' +'() () /(( /((,, ++-* *+& +& (' ('/( /()! )!.. P P(' (' *- *-( ( (,(& (,(& ,(,( ,(,( (* (*( (( ( /-'- /-'-+)( +)( -&(+ -&(+ -( -( ,(( ,(( ( ( +,-,(/ +,-,(/*( *( (+ (+ RSUD RSUD K(&/(, K(&/(,- - K((((. ;(*,& : S-,+(/ )(+ ,-(+ ((' 2 )+,. T-'/(, : S-&&) )(('( ((' /(( ( -*-++ &( /(( R&'() S(*+,. 8. I/-*+ S(+,(+ S(+,(+ IS! IS! B(&( B(&( - M--(*( IS -( #' ,-('/+ ( (?( ( +,-,(/*( - H(+ IS (& +((*( *-+'/&( (/(+( (( +,-' ( ,+(*-&(+ (& + *'&+*(+*( *-/(( /+)(* III - H(+ IS -('( 1 &( +-*(/ '-(+ -&() (/( . P(' ,+(* ,+(* (&, ,-*(+, /-'-+)((( /-'-+)((( ++* A/(+( )(+ IS ,-(/(, ,-(/(, +,-' *- (() *-+(,( *-+(,( /-'-+)((( ++* +,+(*(&,+ +,+(*(&,+ -( ?(*-( -. P-'(,(&( P-'(,(&( S&)&" P-8()(( P-8()(((" (" K--'(/( K--'(/( R&( - ;(*,& : 1 '+& -*(+ IBS"P-+(,+"L((,"B(* (,"B(* (()"CSSD! - T-'/(, : R&( *)&& IBS"P-+(,+"L( +,+(*(&,+ ((' (/(, - A/(+( ,-(/(, )(+ -(&(+ ,+(* -&(+ +,+(*(&,+ +,((+
. A* A*( ( *&'( *&'( 1. L(,(+" D++"U(( ( S,(/+88& ;(*,& : +(*((*( -,()& 3 *(+ T-'/(, : T+,+* S('/- : (! P+*++* B-() ! P+*++* G++ 8! P+*++* K(&( ! R&( P-(?(,( B-() 1 = 2 ! -! R&( P-(?(,( M-(,+ ! R&( P-(?(,( M(?( 1 ! P-+(,+ )! ICU +! IBS C(,(,( &,&* : P+ B-()"P+ G++"P+ K(&( (*( *&'( ( + /-+*( (,(+ ( ++ 2. P-'-+*(( U(/ ((, '(*("+- ( '+ -, ;(*,& : +(*((*( -,()& 3 *(+ T-'/(, : T+,+* ('/- (! I,(( I,((++ ++ /++" /++"- -*" *"-( -("'( "'(* **"/ *"/(, (, /(, /(, 1 ('/- ! P E.8+ ! U+, L(& /-+ 1 ('/- ! 8! CSSD '+ -, *(( 10 ('/- ! ! P+*++* =&( /-(?(,( ( '-'++*+ ,-+ 9 ('/- ! 3. P-'-+*(( #+,- AC ;(*,&
: -,()& 3 *(+
T-'/(,
: T+,+* ('/-
(! ICU ! IBS 8! P-+(,+ ! L((,+&' -! R&( P-(?(,( A-* ! R&( B-(+ 4. P-'-+*(( P-'-+* (( U(/ T(( T(( ;(*,& : S-,()& 2 *(+ T-'/(, : T+,+* S('/- (! P-(?(, ! P-('() '(*((
: 4 S('/- : 5 S('/- : 3 S('/- : 3 S('/- : 1 S('/- : 3 S('/-
: 36 ('/- : 4 ('/-
5. P-'-+*(( A'+-, ;(*,& : -,()& 2 *(+ T-'/(, : T+,+* S('/- L+*&( RSUD KAB KARANGANYAR KARANGANYAR 2 ,+,+* + ( (?(, +(/ !
2)
Penyehatan Hy$ene Dan San$ta%$ Ma#anan Dan M$nu"an
P(' K-+(,( : 1. I/-*+ S(+,(+ S(+,(+ I,((+ I,((+ G++ G++ ;(*,& : 1 &( -*(+"' ,-('/+ T-'/(,
: (. R&( B(&(
. P- /--(( '(*(( 8. P- /-'-+)( /-((,( '(*( 2. HACCP HACCP H(( H(( A(+ A(+ C+,+8( C+,+8( C, C, P+,! P+,! (,(& (,(& A(++ A(++ ()(( ()(( ( P--(+( T+,+* K+,+!
,)
;(*,&
: 3 &( -*(+
T-'/(,
: I,((+ G++
Penyehatan A$&
P(' *-+(,( : 1. I/-*+ (+,(+ (+ -+) ;(*,& : -,+(/ '+& -( '-&(*( ' ,-('/+ 2. P-'-+*(( ('/- ;(*,&
: S-,()& 4 *(+
T-'/(, -'/( ,
: T+,+* S('/-
(. . 8. . -. . . ). +. . *.
S&'- (+ ,(() ,(() ,+,+* ('/- ('/- /(( *( ,- ,- R&( R&( /-(?(,( /-(?(,( (-* (-* R&( R&( /-(? /-(?(,( (,( M(?( M(?( 2 R&( R&( /-(?(,( /-(?(,( M-(,+ M-(,+ D-/( +,((+ ++ (+( (+( &( &( ! I,((+ I,((+ ++ T-'/(, T-'/(, /-8&8+( /-8&8+( ()( ()( '(*((! '(*((! R&( /-(?(,( /-(?(,( ()+( /-+(,+! /-+(,+! I,(( I,((+ + B-() B-() S-,( S-,( R&( R&( P-(? P-(?(,( (,( *(, *(,)+ )+ L((,+&' L((,+&' T( G-& G-& R(?(, R(?(, I(/ I(/ B(&!
3. P-8(,(,( %&'- (+ : ;(*,&
6)
: -'+& -*(+ )(+ +(*&*( -,+(/ &(
Pene!'!aan L$"(ah
A. L+'() C(+ C(+ P(' K-+(,( I/-*+ S(+,(+ +'() 8(+ -( ' ,-('/+ ;(*,& : -,+(/ '+& P-'-+*(( ('/- ;(*,& : -&( -*(+ T+,+* ('/- O&,-, ( I-, IPAL -( ++*(, -&(+ ,-('/+ B. L+' L+'() () /(( /((,, P(' K-+(,( 1. I/-*+ I/-*+ S(+,(+ S(+,(+ L+'() P((, -( ' ,-('/+ 2. P--(( P--(( L+'() L+'() P((, P((, S('/()! S('/()! I. S('/() /() N I-* -*+& +& 1. A& P--(( P--(( S('/() N I-*+& I-*+&
(! S('/() (+ (+ /-)(+ +,('/& +,('/& ((' 2 ?(() (+* (+* ( (+*! ! S('/ S('/() () +(' +(' + -) -) /-,& /-,&( ( *-*-- +) +)( ( *-& *-& ( ( ,('( ,('( /-('+( 2 *(+ /(+ ( +(! 8! S('/() +,('/& +,('/& ((' ((' TPS -&/( -&/( 8,(+- 8,(+- '++* DKP ! M-* M-*(+ (+''-
/- /-(' ('+ +( (
8, 8,(+ (+-
+(, +(,& &
(( ((' '
P- P-( (+ +( (
K-(('( PKS! 2. K-,- K-,-( ((( (( D((' D((' /-(+ /-(+( (( ( '-& '-&(*( (*( ,-(( ,-(( )(+( )(+( -/( -/( -( -( +,-' )+,. S)+, S)+, /(+ /(+ '&(+ '&(+ (' 04.30 04.30
: /- /-(' ('+( +( ('/( ('/() ) -( -(( (* * 4
( S)+ S)+,, /( /(++ '& '&(+ (+ (' (' 5.30 5.30
: /- /-( (/ /&( &( 9 ( ( &,& &,&* * 9 ( (! !
T-(' /-', '+-
: 3 (
P-'+() ('/()
: 1 (
IPAL
: 2 (
S)+, +( '&(+ ('12.00 16.00 : 3 (
II.
S('/() S('/() +-* +-*+& +& B3 B3 + RSUD RSUD K(&/ K(&/(,- (,- K((( K(((( ( '-+/ '-+/&,+ &,+ :
1. P-*(, P-*(,- -+(" +(" /-'+( /-'+()( )( ( /-?( /-?(()( ()( +'() B3 L+'() B3 + RSUD K(&/(,- K(((( +(+ ((' 4 *(,-+ : N 1 2
J-+ +'() B3 J(&' &,+*
I+ J(& J(&' ' & &,+ ,+* * -* -*( ( /(+ /(+- -
;(() S(S(-, , ?( ?(( (
/&+,! L+'()=('/()
K((" *(/(" *(/( " NGT" NGT" '(*-" '(* -"
*&+ T-'/(, ('/()
+-*+&
,&/-" -( O2"
( /(,+* ?((
)(8" &+- (=DC"
*&+
(+=,('/" *-,(=/(,+8=/(*(+(=+- 3
B-( ,(('
,-*,('+(+. %+(" ('/&" , *(8("
T-'/(, ('/()
++-" 8(/-" /+(&" *(8("
( /(,+* ?((
( +'() --+ (
*&+
(/(, '-&&* ( 4
S('/() #('(+"
'-+'&*( &*( O(, ( ()( *+'+(
T-'/(, ('/()
O(," ,&'/()("
*((&?((
( /(,+* ?((
( ()( *+'+(
8*(,
*((&(( 2. A& /-/--( ((=/ (=/-( -(( (( ( +'( +'() ) B3 A& ( +,-(/*( +,-(/*( + RSUD A& P--(( P--(( +'() B3 +&(, -( -(( (*( *( /-(, /-(,&( &( ( ( *--/ *--/(* (*(, (,( ( -( -('( '( -( -( /-,& /-,&( ( /-((( + RSUD K(&/(,- K((((. H( ++ +'(*&*( &/(( (( *-('(( *-('(( /--/+ /--/+ ( *-(( *-(('( '( (,( (,( /-,&( /-,&( /-(( /-((( ( ( /-,&( /--( ('/() B3 K(&/(,- K(((( ((() -((+ -+*&, : (. P-,& P-,&( ( /-( /-(( (( ( '-'+ '-'+( () ) ( ( '-' '-'&( &( ('/ ('/() ()= =+' +'( () ) B3 -&(+ -( *(,-+(. . P-(' P-('+( +( +'() +'()=(' =('/() /() B3 +(*& +(*&*( *( -) -) /-,&( /-,&( (+ (+ +,((+ +,((+ *--)( *--)(,( ,( +*& +*& ( ( -8( -8(( ( &,+ &,+ /(( /(( /(+ /(+ ( ( +( +( )(+ )(+ ( ( 8.
-8(( +8+-,(=*)&&. P-(' P-('+( +( &,+ &,+ /(( /(( /(+ /(+ )(+ )(+ &,&* &,&* *(,- *(,-++ (&' (&' &,+*" &,+*" +'() +'() +-*+&" ( -( ,((' + -&&) &( /-((( '-+ (
/-&( '-+. . P-(' P-('+( +( /(( /(( +( +( )(+ )(+ *(,- *(,-+ + ('( -( -( /-('+ /-('+( ( /(+ /(+ )(+ ,-,(/+ )(( *)&& &( IBS ( %K -. P- P-(' ('+ +( ( +8+ +8+-, ,( (=* =*)& )&& & &,& &,&* * +' +'() () B3 *(,*(,- + + ('/ ('/() () .
('(+" (,",&'/()(" ( ()( *+'+( *((&((. D((' D((' -,+(/ -,+(/ /-(' /-('+( +( +'()= +'()=('/ ('/() () B3 B3 ?(+ ?(+ +8(, +8(,(, (, /(( /(( &*& &*& -*/- -*/-++ ++ *)&& *)&& ( +*-,() +*-,()&+= &+=+/( +/((= (=+,( +,(( (( (++ -) -) /-,&( /-,&(
/-(((. . S-,S-,-( () ) +(* +(*&* &*( ( /- /-(' ('+ +( (
/-,& -,&( ( /--- ( ( +' +'() () B3
'-'(?( *- TPS *)&& +'() B3. D+ &(( TPS ++ +(*&*( : - P-+'(( ( /-8(,(,( &'() +'() -&(+ *(,-+. - P-(-( +'() B3 -&(+ *(,-+( P-+'/(( -&(+ *(,-+( *(,-+( ((' 8,(+-=+ 8,(+-=+ ,-,&,&/ ( - P-+'/(( *-(/ (+. 3. K-,K-,-( (( (( ( D((' /-(+(( +(*((*( -) /-,&( *)&& ( +-(*( -( /-,&( /-('+ ('/() +-*+&. P-('+( +(+ ((' 2 ?(*,& : P-('+ P-('+( ( /(+ -&&) -&&) &( &( /-( /-((( (( '&(+ '&(+ (' (' 04.30 04.30 ;IB P-('+( +( *)&& IBS ( %K 4. P- P-( ()( )( +'( +'() ) B3 B3 L+'() B3 ( ,-() ,-*&'/& + TPS -(&,( +() -) -*(( ( ( ,-() ,-() +,& +,&&* &*.. P- P-(' ('+( +( +'( +'() ) B3 +(* +(*&* &*( ( 2 )(+ )(+ -*( -*(++ -( +(*&*( /-+'(( ( -() ,-+'( (,(( /-,&( RSUD K(&/(,- K(((( -( /-,&( (+ -*((.
5. P-( -(/( ( III. III. SAMP SAMPAH AH B3 B3 NON IN#EK IN#EKSI SIUS US S('/() S('/() B3 N I-*+& I-*+& +)(+*( +)(+*( (+ +( +( 8(,+ 8(,+ (+ (+ &+, &+, &+, ( &(( ( (( + R&'() S(*+, U'&' K(((( (. B(* B(* ('/( ('/() ) (( (( + &( &( IT IT K'/ K'/&,&,-! ! . P-(/(
5)
Pene!'!aan Te"/at Penu$an L$nen- Laun*&y+
(. P(' P(' P-P--( (( ( T-'/( T-'/(,, P-8&8+( P-8&8+( L+- L+- L(&! L(&! : 1. P-(' P-('+( +( L+- L+- K, K, + -&&) -&&) &( &( /-(?( /-(?(,(: ,(: 2. P- P- ,+ ,+( ( + +- - *, *, 3. P-&8 P-&8+( +( -&(+ -&(+ - -( ( *((*,- *((*,-+,+ +,+* * +- +- 4. P- P-- -+ +( ( ++- - -+) +) 5. P- P- ,+ ,+( ( ++- - -+ +) ) 6. P- P--, -,+ +*( *(( ( + +- - - -+ +) ) 7. P-'+ P-'+( ()( )( ++- - -+) +) $. P- P-+, +,+ +& &+( +( +- +- -+) -+)
. K-,-((( : 1.
2)
Penen*a!$an Se&ana T$#u% Dan B$natan Penanu
P(' /--(+( -((" ,+*&" ( +(,( /-(& +(*((*( -*- -*-( ((' ('( ( - -( ( /- /-- -+( +( (( (( pest control ( ( +(,& +(,& ((' ((' /-( /-(+( +( *-(('(. P-(*((( treatment +/(& -) ,( +,((+ *-+. ;(*,& : R&,+ -*(( ( +8+-,(
P-(/( ,)
De#'nta"$na%$ Me!a!u$ Me!a!u$ D$%$n.e#%$ Dan Ste&$!$%a%$
P(' P(' -*, -*,('+ ('+(+ (+ ( ,-++( ,-++(+ + +(*( +(*((* (*( ( -8(( -8(( *'/-)*'/-)-+ +/ / + '(+>'(+ '(+>'(+ &( /-(((. /-(((. U,&* '+,+ '+,+ +(*((*( +(*((*( -('( -) ,+' PPI ( U+, CSSD. ;(*,& : R&,+ -*(( ( +8+-,( P-(/( 6)
Pena"anan Ra*$a%$
P(' /-('(( (+(+ + RSUD K(&/(,- K(((( +(,((( : (. . 8. . -.
P-&&( P-&&( /-++( /-++( ((,>((, ((,>((, (++ K(+( K(+(+ + &,+ &,+ P-'(,(&( P-'(,(&( + (+(+ -( -( +' +' (P--8-*( P--8-*( /,-+ *-8( *-8( (+(+ /(( &(>&( &(>&( +,((+ +,((+ (++ P-(+*( P-(+*( ((, ((, (++ (++ -( (- (- *(+(+ *(+(+ '-()
;(*,& : R&,+ -*(( ( +8+-,( P-(/(
5)
U/aya P&'"'%$ Ke%ehatan Da&$ A%/e# Ke%ehatan L$n#unan
P(' P'+ K--)(,( (+ A/-* K--)(,( L+*&( +(,((( : (. P-& P-&&)( &)( )( )( )+-)+-- *-/(( *-/(( *((? *((?(" (" /(+-" /(+-"( ( /-& /-&& & U,&* *((?( -,+(/ (/- /(+" /(+- ( /-&& -'+& -*(+ . P-'-,(( P-'-,(( ( -+* -+* -( -( '(+> '(+>'(+ '(+ ,+*(, ,+*(, *-('( *-('(( ( 8. P--,( P--,(/( /( *(?( *(?(( ( ,(/( ,(/( ** ** + -&& -&&) ) (-( (-( &'() &'() (*+,. (*+,. . P- P-- -+( +(( ( )( )(& & + &( &( /-( /-(?( ?(,( ,( ( ( (-( (-( ,( ,(,,-+ + (& (& +, +,( ( /-&& -. P-'(( P-'((( ( /,- /,- ( ( -(-, -(-, + (-( (-( ,(,-+ ,(,-+ (& +,( +,( /-& /-&& &
.
P-' P-'(, (,( (( ( (' (' *& *&& & /(+ /(+- -
. (. P-'((( +-,
BAB 3
STRUKTUR ORGANISASI INSTALASI KESLING KA. INSTALASI
P-(*(( U'&'
. &( K+(, R&( B(
K+(, A+ B-+)
K+(, P--(( S('/()
K+(, P--(( L(&
U+, P-(*(( : L(&" K--+)( R&( B(&(" CSSD" P-'&(((( J-(()" IPAL" K--+)( T('( ( K-&" P-'-+)((( #++* S?(*-(.
BAB 3I LAMPIRAN
T-+ -++ + (+ (+ #(+ #(++ +,( ,( S(( S((( ( ( ( P( P(( (( (( ( + RSUD SUD KAB KAB KARANGANYAR : I. RUANG PERA;ATAN : 1. A-* : 10 10 TT TT ( ( 10 10 *( *('( '( '(+" U, U,('( 10 10 TT TT %IIP :10 *('( '(+ ( 10 AC "1 *('( '(+ 2. 3. 4. 5. 6. 7. $. 9.
/-(?(, M-(,+ A(*! : C-'/(*( D((' ! #('( D((' ! K(,)+ 1B-() ! K(,)+ 2 B-() ! M(?( 1 P-(*+, D((' ! M(?( 2 P-(*+, D((' ! M(?( 3 P-(*+, D((' !
10. 11. 12. 13.
T-(,(+ O+ ! K-(( O+! D()+( P-+(,+! %K K('( B-(+!
II. UNIT 1.IGD : 2. P+ R(?(, J(( 3.CS 3.CSSD SD : ((, ((, ,- ,-+ ++ +( (++ ,- ,-+ +++ (+ (+ A&, A&,8 8( (- 2"* 2"*'/ '/- 1 "+,(( "+,((+ + /- /-()( ()( (+ RO" D-*,( D-*,('+( '+( ++-* ++-*,( ,( *(,-+ *(,-+ -,-- ++'-,+* 4..#('(+ : R&( P-+'/(( (,"R P-(8+*( "K('( '(+ 5.++ : 6.L(& 7.((,+&' $.R(++ 9. IBS 10.KESLING 11. IPSRS L&( : -+,+" -+,+" L()( L()( : 7049 '2 ,-++ ,-++ (+ (& (&( ( : 221$5 '2 ( ()( -( :47$64 '2
