Lampiran 1
JL.
JUANDA NO 03 JOMBANG
PENGELOLAAN OBAT YANG PERLU DIWASPADAI (HIGH ALERT MEDICATION)
No. Dokumen 048/SPO/DI.PM!/III/"014
No. e#i$i 0"
%a&aman 1/"
Di'e'apkan Direk'ur S Pe&en*kap Me(i-a& !en'er S'an(ar Pro$e(ur Opera$iona&
Pen*er'ian
)uuan
e+i e+ia aka kan n
Pro$e(ur
)an**a& 'er+i' 0, Mare' "014 (r. Bu(i Su+a*io NI ,,.140301.110 Sua'u ke*ia'an un'uk meni&ai (an men*e#a&ua$i pen**unaan (an penimpanan o+a' high alert medication medication o+a' Look A&ike Soun( A&ike 2LASA/ Nama O+a' upa Mirip 2NOUM Un'uk menin*ka'kan keamanan o+a'o+a'an an* per&u (i 5a$pa(ai (an mema$'ikan ke$e&ama'an (an keamanan pa$ien $e&ama pa$ien men(apa' 'erapi pen*o+a'an. Meni Menin* n*ka ka''kan kan ke5 ke5a$ a$pa pa(a (aan an pema pemaka kaia ian n o+a o+a'' re$ re$iiko 'in**i n**i A. Prosedu Prosedurr Peny Peny!"#n !"#n#n #n o$#% o$#% High High Alert Alert Medication Medication a. Apo'ek Apo'eker er penan** penan**un* un* a5a+ a5a+ memin( memin(a6ka a6kan n o+a'o+ o+a'o+a' a' e&ek'o&i' kon$en'ra' (ari uni' pe&aanan pa$ien ke 7arma$i. +. Apo'eker penan**un* a5a+ mem+eri &a+e& an* e&a$ 2(en*an men**unakan 6uru7 +a&ok (en*an 5arna meno&ok pa(a o+a' e&ek'ro&i' kon$en'ra' (i'empa' penimpanan. -. Apo'ek Apo'eker er penan* penan**un* *un*a5 a5a+ a+ (apa' (apa' mem+eri mem+erikan kan o+a' o+a' e&ek'ro&i' kon$en'ra' ke ruan* pera5a'an (en*an -ara permin'aan 'er'u&i$ +erupa re$ep. (. Apo'ek Apo'eker er penan**u penan**un* n* a5a+ a5a+ menimpa menimpan n e&ek'ro& e&ek'ro&i' i' kon$en'ra' pa(a uni' pe&aanan 6aru$ (i+erikan &a+e& an* e&a$ (an (i$impan pa(a 'empa' 'erpi$a6 (ari o+a'o+a' &ain $er'a (i+eri 'u&i$an o+a' high alert medication. medication.
B. Prosedur Peny!"#n#n o$#% Loo& A'&e Sound A'&e (LASA) N#!# O$#% Ru"# Mr" (NORUM) a. Apo'ek Apo'eker er penan**u penan**un* n* a5a+ a5a+ me&e'akka me&e'akkan n o+a'o+a o+a'o+a'an 'an an* 'er&i6a' mirip kema$anna (an kon$en'ra$ina (a&am 'empa' an* +er+e(a kemu(ian (i+eri &a+e& ma$in*ma$in* o+a' (an kon$en'ra$i (en*an 6uru7 +a&ok $er'a 5arna meno&ok. +. Moni'orin* (an e#a&ua$i Men*am+i& *am+ar 'empa' penimpanan o+a' high o+a' high alert medication medication o+a' Look A&ike Soun( A&ike 2LASA/ Nama
Lampiran 1
JL.
JUANDA NO 03 JOMBANG
PENGELOLAAN OBAT YANG PERLU DIWASPADAI (HIGH ALERT MEDICATION)
No. Dokumen 048/SPO/DI.PM!/III/"014
No. e#i$i 0"
%a&aman "/"
Di'e'apkan Direk'ur S Pe&en*kap Me(i-a& !en'er S'an(ar Pro$e(ur Opera$iona&
)an**a& 'er+i' 0, Mare' "014 (r. Bu(i Su+a*io NI ,,.140301.110
Pro$e(ur
Uni' )erkai'
D#%#r o$#% high alert medication 1. A*oni$ A(rener*ik 9pinep6rine norepinep6rine 2. An'a*oni$ A(rener*ik Propano&o& 3. O+a' Ane$'e$i Propo7o& e'amine 4. An'iari'mia Li(o-aine Amio(arone 2!or(arone 5. O+a' An'i'rom+o$i$ - An'ikoa*u&an :ar7arin 6eparin - In6i+i'or 7ak'or ;a
2D40> 8. O+a' %ipo*&ikemik ora& 9. Pen*o+a'an ino'ropik 2Di*o=in 10. In$u&in No#orapi( 11. O+a' Se(a'i7 $e(an* Mi(a?o&am 2Mi&o? Ane$7ar 12. O+a' Narko'ik/Opioi( 2Norma& Sa&in 3>
1 " 3 4
UGD Uni'