PPI Senin, 31 Maret 2014
LAPORAN PELATIHAN IPCN WISMA BIDAKARA RUMAH SAKIT HARAPAN KITA JAKARTA TGL 16-22 MARET 2014
PENCEGAHAN DAN PENGENDALIAN INFEKSI RUMAH SAKIT RSPG CISARUA BOGOR 2014
LAPORAN PELATIHAN IPCN WISMA BIDAKARA BIDAK ARA RUMAH SAKIT HARAPAN KITA JAKARTA JAKARTA TGL 16-22 MARET 2014
1.
PENDAHULUAN 1.1. LATAR LATAR BELAKANG B ELAKANG Bahwa !"a# $!%a #!a h!&"a'! (a)! *&*a& +a%,a'a#a a#a& #*a(!a% (a,a&a& '*+ah %a#! %aa !&! +&/a"! *&*a& ,a&) *a+a #a'&a %+a#!& (a+a +a%,a'a#a %+a#!& +&)ah*! $aa &!&)&,a +&"aa#a& (a,a&a& ,a&) $'#*a(!a%. J!#a #!a $!a'a #*a(!a% +a#a a#a& +*&*( +*&* ( $$'aa a'!a$(!&"!#a3' +** a&a'a (a!&&,a a"a(ah #%(a+aa& a%!& ,a&) "!"a(a+&,a a"a &)aha& "a& &)&"a(!a& I&#%! "! a%,a&#% 5PPIRSHAI%. P&)aha& "a& &)&"a(!a& & )&"a(!a& !&#%! "! '*+ah %a#! 5PPIRS +&/a"! '%,a'aa& 3'a%!3&a( "a& !&"!#a3' ,a&) a(!&) +*"ah '(!ha %h!&))a "a'! $'$a)a! $a"a& a#'"!a%!#3+! +** %(a(* ++'%,a'a#a& &!(a! ,a&) $a!# *&*# PPI. T&* T&* %a/a !&! $*#a& ha( ,a&) +*"ah #a'&a PPI ha'*% +'*$ah '!(a#*#$!a%aa& $*'*# +*(a! "a'! *)a% '"a& %a+aa! # *)a% ,a&) a(!&) $(a#a&) +a#a #a+! +&)ha'a#a& "*#*&)a& %#a(!)*% ++3h3& !7!& #a"a "!'#%! *&*# a#%! '$a!#a& %a'a $'aha.
1.2. TUJUAN 1.2.1. TUJUAN UMUM 1.2.1.1. M&!&)#a#a& K%(a+aa& a%!& 1.2.1.2. M&!&)#a#a& K!&'/a Pa&!!a PPIRS R*+ah Sa#! D'. M. M. G3&awa& Pa'3w!"!)"3 5RSPG
PENCEGAHAN DAN PENGENDALIAN INFEKSI RUMAH SAKIT RSPG CISARUA BOGOR 2014
LAPORAN PELATIHAN IPCN WISMA BIDAKARA BIDAK ARA RUMAH SAKIT HARAPAN KITA JAKARTA JAKARTA TGL 16-22 MARET 2014
1.
PENDAHULUAN 1.1. LATAR LATAR BELAKANG B ELAKANG Bahwa !"a# $!%a #!a h!&"a'! (a)! *&*a& +a%,a'a#a a#a& #*a(!a% (a,a&a& '*+ah %a#! %aa !&! +&/a"! *&*a& ,a&) *a+a #a'&a %+a#!& (a+a +a%,a'a#a %+a#!& +&)ah*! $aa &!&)&,a +&"aa#a& (a,a&a& ,a&) $'#*a(!a%. J!#a #!a $!a'a #*a(!a% +a#a a#a& +*&*( +*&* ( $$'aa a'!a$(!&"!#a3' +** a&a'a (a!&&,a a"a(ah #%(a+aa& a%!& ,a&) "!"a(a+&,a a"a &)aha& "a& &)&"a(!a& I&#%! "! a%,a&#% 5PPIRSHAI%. P&)aha& "a& &)&"a(!a& & )&"a(!a& !&#%! "! '*+ah %a#! 5PPIRS +&/a"! '%,a'aa& 3'a%!3&a( "a& !&"!#a3' ,a&) a(!&) +*"ah '(!ha %h!&))a "a'! $'$a)a! $a"a& a#'"!a%!#3+! +** %(a(* ++'%,a'a#a& &!(a! ,a&) $a!# *&*# PPI. T&* T&* %a/a !&! $*#a& ha( ,a&) +*"ah #a'&a PPI ha'*% +'*$ah '!(a#*#$!a%aa& $*'*# +*(a! "a'! *)a% '"a& %a+aa! # *)a% ,a&) a(!&) $(a#a&) +a#a #a+! +&)ha'a#a& "*#*&)a& %#a(!)*% ++3h3& !7!& #a"a "!'#%! *&*# a#%! '$a!#a& %a'a $'aha.
1.2. TUJUAN 1.2.1. TUJUAN UMUM 1.2.1.1. M&!&)#a#a& K%(a+aa& a%!& 1.2.1.2. M&!&)#a#a& K!&'/a Pa&!!a PPIRS R*+ah Sa#! D'. M. M. G3&awa& Pa'3w!"!)"3 5RSPG
1.2.1.8. M+'$a!#! '!(a#*#$!a%aa& $*'*# ,a&) a"a "! RSPG %a'a '*% +&'*% "!+3&!3' "a& "!9a(*a%!. 1.2.1.4. M+'$a!#! +** P(a,a&a& +(a(*! PPIRS 1.2.2. TUJUAN KHUSUS 1.2.2.1. M+!(!#! IPCNS*'9,3' ,a&) '3%!3&a( %h!&))a "aa $#'/a %%*a! "&)a& ha'aa& "aa ++$'! +a%*#a& "a(a+ (a#%a&aaa& &)aha& "a& &)&"a(!a& !&#%! '*+ah %a#!
2.
DASAR HUKUM 2.1. UU RI NO 36 TAHUN 2009 TENTANG KESEHATAN 2.2. UU RI NO 44 TAHUN 2009 2.3. SK M!"# N$ 2%0&M!"#&SK&III&200% ''( P)$*+! M+!+,+/ PPI ) RS )+! F+# +!"# L+!!+ 2.4. SK M!"# N$ 32&M!"#&SK&III&200% ''( P)$*+! PPI ) RS )+! F+#. +!"# +!"# /+!!+ /+!!+ 2.. SK M!"# N$. 129&M!"#&SK&II&200 ''( SPM RS 2.6. SK M!"# 116.A.&M!"#&SK&&2004 ''( KARS 2.%. SK D,! B!+ +!*) N$.HK.03.01&III&3%44&0 '!'+!( P*5!'"+! K$*' PPIRS 7 T* PPIRS 2.. U!)+!(-!)+!( RI !$ 36 '+8! 2009 '!'+!( "#8+'+! 2.9. U!)+!(-!)+!( RI !$ 44 '+8! 2009 '!'+!( R*+8 S+"'
8.
MATERI :ANG DIDAPATKAN 8.1. P+$*aa& '3)'a+ PPI 8.2. K$!/a#a& #+&#% "a(a+ PPI 8.8. Kwa%a"aa& I%3(a%! IPCN 8.4. KLB 8.;. K3+*&!#a%! E#! 8.6. K3&% Da%a' "a& '3)'a+ PPI 8.<. K3&% %*'9!(a&% 8.=. Sa!%!# "a%a' IPCN 8.>. PPI #a+a' $"ah 8.10. Da%a'-"a%a' &(!!a& 8.11. Ma&a/+& "a& #+!+!&a& 8.12. M!#'3$!3(3)! "a%a' 8.18. P&)aha& I&#%! a(!'a& "a'ah '!+' 8.14. P&))*&aa& E!"+!3(3)! "a(a+ PPI 8.1;. P'a& "a& ?*&)%! IPCN 8.16. PPI "! HD
8.1<. 8.1=. 8.1>. 8.20. 8.21.
PPI "! ICU PPI "a(a+ %a&"a' A#'"!a%! RS 9'%! 2012 R!%# A%%%+& 3' I&!3& 3&'3( D%!&#%! "a& %'!(!%a%! S!%!+ P(a3'a& "a(a+ PPI
A"a*& +a'!-+a'! '%$* #a+! $awa "a(a+ $&*# soft copy
4.
REKOMENDASI 4.1. S)'a '$!#a& SK IPCN%*'9!(a&% %h!&))a %%)'a +*&)#!& "aa +(a#*#a& *)a%&,a ++$a&* ++'$a!#! '!(a#* ,a&) $*'*# "a(a+ (a,a&a& 4.2. S$a!#&,a IPCN "! #3&"!%!#a& $'*)a% P*'&a wa#* *((!+ 4.8. S%*a! "&)a& SK K+&#% RI &3 2<0M&#%SKIII200< Pa&!!a PPIRS (a&)%*&) "!$awah #33'"!&a%! D!'#*'
;.
RENCANA TINDAK LANJUT Sa+$!( +&*&))* SK P&aa& IPCN ;.1. PPIRS a#a& +(a#%a&a#a& S3%!a(!%a%! &a&) &)aha& "a& &)&"a(!a& !&#%! ,a&) ($!h !&&% %a'a $'aha #a"a %+*a *&!*)a% $a!#
6.
;.2.
'%'*#*' aa**& %3&a& PPIRS a#a& +(a#%a&a#a& ''%h &a&) #wa%a"aa& !%3(a%! ,a&) ha'*%
;.8.
"!aha+#a& #a"a %+*a *)a% M'*$ah +3" %*'9! "a'! h3%!a( w!" +&/a"! a') a"a*& '*a&)a& ,a&)
;.4. ;.;.
+&/a"! a') ,a!* ICU '*a&)a& $"ah "a& '*a&) $a&)%a( 'awaa& a'* P&'aa& “Konsep Isolasi” "! %+*a '*a&)a& "a& %+*a #(a% M(a#*#a& A*"! PPI
PENUTUP D+!#!a& (a3'a& (a!ha& !&! #a+! %a+a!#a& *& *# $'$a)a! '!+$a&)a&.
C!%a'*a 24 Ma' 2014
?'', P*'wa&a L3&a'" AMK N!. 1>6;01121>>1081004
RENCANA TINDAK LANJUT ( RTL ) HASIL PELATIHAN IPCN 1!22 MARET 2014
N"
Ma#a$ Jeni% Ke&iatan
Sa%aran
Met"'a
at*
Te$+at
ia-a 'a %*$.ern
1
M(a#%a&a#a& S3%!a(!%a%! "aa %3%!a(!%a%! # %+*a *&! '(a#%a&a a"a "a& *)a% $*(a& A'!( 2014
P&)awa%a& %!a %aa %*'9, '*a&)a& ,a&) "!a')#a&
A'!(D%+$' 2014
D! %+*a '*a&)a&
RSPG $!( a"a a#a& "!$*a#a& TOR
2
R'%h &a&) #wa%a"aa& !%3(a%!
T'%a+a!#a&&,a +a'! #wa%a"aa& !%3(a%! #a"a %+*a *&! "a& *)a% T'(a#%a&a&,a %*'9, %!a ha'! "&)a& a'a a')" "! ICU T'a "a& Mawa'. T'%3%!a(!%a%! #3&% !%3(a%! "! %+*a '*a&)a&
P'%&a%! &/(a%a& Ma'! #wa%a"aa & !%3(a%!
Raa K33'"!&a%!.
A*(a '+*a&
RSPG
T'!a( S*'9, "&)a& %a+(!&)
A'!( 2014
R*a&) ICU T'a "a& Mawa'
-
K*&/*&)a& # %+*a '*a&)a&
A'!( 2014
Ba&)%a( 'awaa& %+*a #(a% "a& %+*a '*a&)a&
-
T'(a#%a&a&,a A*"!
O$%'9a%! a"a %a%a'a& !&"!9!"* aa* )'* 5'a&"3+ %a+(!&)
J*&! 2014
ICU IGD OK "a& '*a&) 'awaa&
-
8
M(a#%a&a#a& %*'9, "&)a& '! ( @+3"a a')@
4
S3%!a(!%a%! P&'aa& #3&% I%3(a%!
;
A*"! PPI 1. Ha&" h,)!& 2. ; +3+& *! a&)a& 8. P&))*&aa& APD
Raa K'awaa&
C!%a'*a 24 Ma' 2014
?'', P*'wa&a L3&a'" AMK N!. 1>6;01121>>1081004
1. 2. 8. 4. ;. 6. <. =.
D!%a+a!#a& #a"a :h D!'#*' Ua+a D!'#*' M"!# "a& K'awaa& D!'#*' A"+!&!%'a%! *+*+ "a& K*a&)a& Ka$!" M"!# Ka$!" K'awaa& Ka%! D!#(! SPI Pa&!!a PPIRS
PPI Se/a%a, 0 t".er 2014 LAPORAN INFEKSI RUMAH SAKIT TAHUN 2014 J+!+- J! 2014: 1. PENDAHULUAN T,+!("'!+ !;"# R*+8 S+"' )+! ;+#/'+# "#8+'+!&HAI# (Hospital Aquired Infections)< +'!+ !;"# +!( ',+) )*+8 #+"'. H+/ ! 5*=/"+# #+!(+' /+# *!*5/"+! *+#+/+8 5+( =!)'+ )+! )+=+' *("+! !+*+ 5+" *+8 #+"'. S5+(+ #5+8 =!+"' +!( 5) #!) '/=+# )+ "'"+'+! =!+"' )+#+: +!( *!>/ #5+(+ +"5+' '!)+"+! *)# )+! +#8+! "=+?+'+! +!( )/+""+! 5+" ##+ SPO +'+ =! ')+"< *+"+ !;"# !$#$"$*+/ )+=+' **=!(+8 *$5)'+# )+! *$'+/'+# =!+"' )+#+. A"5+' /+! +)+/+8 8+ +?+' +!( /58 =+!,+!( )+! ' 5+' =/ +)+!+ '+*5+8+! 5++ #)+!("+! 5+( *+8 #+"' )+=+' **5"+! "#+! "+!( 5+" '8+)+= =!>(+8+! !;"# +!( *=+"+! !)"+'$ "#/+*+'+! =+#! *+8 #+"'.
2. PENGORGANISASIAN B)+#+ =+)+ SK D"' U'+*+ R*+8 #+"' P+ D. M. P+'$?)()$ N$@ KP.02.0%11&094&2012 T!'+!( P*5!'"+! P+!'+ P!>(+8+! )+! P!(!)+/+! I!;"# PPI: R*+8 S+"' P+ ). M. P+'$?)($ '+!((+/ 11 J/ 2012 5+8?+ PPIRS 55!'" P+!'+ P!>(+8+! )+! P!(!)+/+! I!;"# R*+8 S+"'< ') )+ 55+(+ !' '"+' +!( 5'+!((!( ,+?+5 "=+)+ D"' M)" )+! K=+?+'+!. K*)+! !'" $=+#$!+/< +)+ T* P!>(+8+! )+! P!(!)+/+! I!;"# R*+8 S+"' +!( ') )+ !# =+?+' (IPCN =Infection prevention control nurse dan IPCLN= Infection prevention control link nurse) PPIRS **=!+ =+! =!'!( )+/+* +!("+ **5"+! =/++!+! +! 5"+/'+# '8+)+= =+#!< 5+" /+!(#!( +'+=! ')+" /+!(#!(. M*5 =!('+! )+! '+*5+8+! ?+?+#+! '8+)+= =+#! )+!
=!(!,!(!+ '!'+!( ="*5+!(+! =!+"' )+! "*+! #')+"!+ +"+! **=!(+8 '!("+' "#*58+! =+#!. K!)+/+ +!( )8+)+= @ 1. D+/+* =,+/+! "!,+!+ PPIRS *+#8 *!(8+)+= 55+=+ "!)+/+ +!'+ /+! 5/* )''+="+!!+ IPCN +!( fulltime #8!((+ 5+!+" 8+/ +!( ')+" '(++= +!'++ /+!!+ +)+/+8 =",++! # +!( 8+# )/+""+"+! #>++ "$!'! )+! 5"#!+*5!(+!. 2. B5+=+ ",+#+*+ +!( #*#'!+ ) /+""+! )!(+! !' /+!!+ *!,+) ')+" )+=+' )/+""+! >$!'$8!+ *!)#+! #5+8 +!(+! #8+#!+ */5+'"+! !# PPIRS !'" **5"+! *+#"+! "=+)+ '*&!'&=8+" +!( */+"#+!+"+! =*5+!(!+! #8!((+ )+=+' ##+ +'+ =+/!( ')+" *!)"+' "+)+8 PPI 3. M+#"+! PPIRS ')+" 5#+ /+!(#!( )/+"#+!+"+! *!(!(+' "+)++!< "/* )+! >+>+< 5++ +!( 5/* '+!((+"+! )+! /+!-/+! 4. P'(+# IPCN 5/* =!+ ?+"'< *+#8 )5 '(+# *+!("+= H++=+!-8++=+! 1. M+#"+! )+ PPI !'" "#/+*+'+! =+#! )+! "#/+*+'+! =",+ )+=+' )=8+'"+! $/8 #/8 =(+?+ )+! =!(+*5/ "='#+!. 2. S*+ "!)+/+ #++' ! )+=+' )8/+!("+! =+)+ '+8! !. 3. PPIRS ")=+! 5#+ **5"+! "$!'5# +!( 5+" !'" =!!("+'+! *' /++!+! ) RSPG C#++ B$($ )+! 5#+ 5"$/+5$+# )!(+! !' +!( /+! !'" "*+,+! RSPG )+! +"8!+ 5=+'#=+# )+/+* *?,)"+! *+++"+' I!)$!#+ +!( 5"+/'+#< S8+' )+! M+!) #8!((+ #+ 8++=+! 8)= +"+! /58 5+". 4. P'(+# PPI & IPCN )+=+' 5'(+# #>++ =!+ ?+"' )!(+! ,*/+8 '!(+ ##+ )!(+! "+=+#'+# '*=+' ') +' 1@100 TT.
3. TABEL ANGKA INFEKSI REKAP ANGKA INFEKSI RUMAH SAKIT PARU Dr. M. GOENAWAN PARTOWIDIGDO JANUARI - JUNI 2014 PENEBUT N O
BULAN
1
PEMBILANG !'/+'$ A##$#+' ) P!*$! +
H$#='+/ A>) P!*$! +
I!;"# S+/+! K*8
I!;"# A/+! D++8
P8/5' # L+5
IL
UC
WSD
ETT
CL
TIRAH BARIN G
JANUARI
312
63
%1
0
0
16
0
0
0
0
4
2
FEBRUARI
26
23
63
0
0
123
0
0
0
0
2
3
MARET
26%2
32
64
0
0
16
0
0
1
0
4
APRIL
12
%9
1%1
0
0
13%
0
0
0
0
5
MEI
14%
6%
31
0
0
0
0
0
0
6
JUNI
0
23
0
0
12
0
0
0
0
JUMLAH
124 1
264
423
0
0
660
0
0
1
0
29
000
000
3!"
000
232
DALAM &MIL
NO
JAN-JUNI 14
JML
INF
#
1
ILO
1%4
2
1<1
4. ANALISA TABEL T,+) !;"# #+/+! "*8< =+#>+ =*+#+!(+! ! >+'8' #5#+ 3<%9 */:< AP !8/< HAP !8/< IADP !8/ )'!(( #/+*+ 324 J+*: P8/5'# +"5+' =*+#+!(+! !;# #5#+ 16<02 )+! +"5+' =!(+*5/+! )++8 /+5$+'$* #5#+ 2<32 )+! ! '"+' )!(+! *' =/++!+! )+! ')+" )'!(( 3 24 ,+*< 5+' '+= 1000 8+ =+?+'+! +"+! +)+ =+#! +!( =8/5'# #5+!+" 16 $+!( +"5+' =*+#+!(+! !;# )+! +)+ 2 $+!( =8/5'# +"5+' =!(+*5/+! #+*=/ )++8. T)+=+' I!;"# /"+ WSD 2<36 5+' #'+= 1000 8+ =+?+'+! +"+! ',+) 2 "+## !;"# #"'+ /"+ WSD. D"5'# *+#8 ',+) #5#+ 3<03 < )+! ! *!,+) #+/+8 #+' !)"+'$ *' =/++!+!. I!;"# /"+ O=+# 1<1 +'!+ )++/+* 100 "+/ $=+# +"+! +)+ 1 $+!( =+#! +!( ';"# )+! +!("+ ! *+#8 )+!((+= ?+,+. R*# !'" *!)+=+'"+! !>)! +'@ ",+)+! !;"# "+## 5+
1000
S*+ =+#! +!( 5=$'!# '!;"#
R*# !'" *!)+=+'"+! !>)! +' =+)+ "+## 5)+8 J*/+8 ",+)+! !;"# "+## 5+
100
S*+ =+#! +!( 5=$'!# '!;"# =$#' $=:
K*!("!+! =!5+5!+ +)+/+8 1. D#!;"# +!( ')+" +)+'. 2. P$#) +!( ')+" ),+/+!"+! )!(+! 5+" #++' =*+#+!(+! I C+'8'. 3. L!("!(+! '"$!'+*!+# "*+!. 4. K=+'8+! >> '+!(+! ='(+# #++' #5/* */+"#+!+"+! '!)+"+! + #='> *+#8 #+!(+' !)+8< *#"=! 5/* +)+ )+'+ !'" "=+'8+! >> '+!(+!. . P+?+'+! /"+ & =!>' #' +!( ')+" +)+' 6. P!((!++! I /! 1 *!(( ) #+' '*=+'.
5. SUR$E% KEPATUAHAN &U&I TANGAN 'HH( T)*+, r/+ +))) )7) )7 8,)))) )8) Ar, 2014 NAMA
TINDAKAN
SEBELUM KONTAK DENGAN PASIEN
SEBELUM
SESUDAH KONTAK
MELAKUKAN
DENGAN CAIRAN
TINDAKAN ASEPTIK
TUBUH PASIEN
SETELAH KONTAK SETELAH KONTAK
DENGAN
DENGAN PASIEN
LINGKUNGAN
YA
PASIEN
FTR
GV
X
X
X
X
X
0
MIF
VISITE
X
X
V
X
X
1
FAT
VISITE
X
X
V
X
X
1
AZ
GV
X
X
X
X
X
0
RHY
GV
X
X
X
X
X
0
HDY
GV
X
X
X
X
X
0
X
X
X
X
X
0
DMY
PERBEDEN T
YNT
GV
X
X
X
X
X
0
TS
GV
X
X
X
X
X
0
RIZKY
AS ETT
V
V
V
V
X
4
SUSAN
AS ETT
V
V
V
X
V
4
AR
VISITE
V
V
V
X
X
3
JUMLAH
3
3
5
0
0
13
27,3
27,3
45,5
0
0
21,7
a. $. . ".
A&a(!%a a$( "!aa% S$(*+ #3&a# "&)aa& a%!& ha&,a 2<8 S$(*+ +(a#*#a& !&"a#a& ha&,a 2<8 S%*"ah #3&a# "&)a& a!'a& *$*h a%!& ha&,a 4;; S(ah #3&a# "&)a& a%!& "a& (!&)#*&)a& a%!& ha&,a 0 Ja'i e+at*an #*#i tan&an 'i RSP an-a 21,
TIDAK
AMARAN CUCI TANAN DI RSP Ga+$a'a& %'! !&! "!a#!$a#a& #a'&a %!a !&"a#a& +'#a %(a(* +&))*&a#a& %a'*&)
a&)a& 5Ha&"%h3& !&! ,a&) +&)a#!$a#a& *! a&)a& +&/a"! "!a$a!#a& #a'&a %+*a +'a%a a+a& *&*# "!'!&,a a! !"a# a+a& $a)! a%!&. P&))*&aa& %a'*&) a&)a& ,a&) %a(ah a#a& $'"a+a# a"a $a&,a# ha( '*a+a %a'*&) a&)a& +&/a"! +"!a '!&"aha& #*+a& "a'! %a* a%!& #a%!& (a!&&,a # &*'% %a!3& # Caaa& +"!# "((.
6. MEKANISME PENENTUAN HAI DENGAN KULTUR D RSPG C#++ #)+8 )*/+ !'" =*"#++! "/' MO )*+!+ *+!;++' )+ =*"#++! '#5' +)+/+8 !'" *!/' ='+ "*+! ) RSPG )!(+! )*"+! =*5+! +!'5$'"&+!'*"$5+ "=+)+ =+#! 5'/-5'/ 5)+#+ =+)+ ='+ "*+! +!( +)+. S/+! ' =*"#++! "/' ,(+ )/+""+! !'" =*"#++! ",+)+! HAI#< #8!((+ !;"# +!( ',+) 5'/-5'/ )+=+' )"!)+/"+!.
T/+8 )*+"/* 5#+*+ 5+8?+< =!!'+! 55+=+ "+## !;"# *+8 #+"' 8+# )'!'"+! )!(+! =*"#++! "/'< #8!((+ ')+" )"+-"+ )+! +)+ 5"' $'!'" 5+8?+ !;"#!+ +"5+' "*+! +!( ')+=+' )/!("!(+! *+8 #+"' )+! +'+ ='(+# *+8 #+"'. T+= =+)+ "+##-"+## +!( ,/+# ',+) !;"# #'/+8 2 8+ =+?+'+! ) RS 3 24 ,+*:< *+"+ ')+" *!!(( 8+#/ "/'. M+!;++' P*"#++! K/' o M!('+8 ,!# "*+!&='+ "*+! o M!('+8 ##'!# "*+!&M!('+8 A!'5$'" +!( 8+# •
)5"+! P*"#++! K/' ) RSPG 5+ )*/+ =+)+ 5/+! A(#'# 2014< #8!((+ 5/* +)+ 8+#/ ='+ "*+! )+! 5+ +"+! +)+ 8+#/!+ =+)+ J+!+ 201. N+*! *#"=! 5++ 55+=+ =+#! +!( )="#+ "/' #)+8 )'*"+! 55+=+ "*+! =!5+5 HAI# +!'++ /+!!+ #)+8 )'*"+! MRSA< MRS< P#$)$*$!+# )+! 55+=+ "*+! +!( 5/* ;+*/ ) RSPG.
!. TABEL PEMERIKASAAN KULTUR TERKAIT HAIS B"' ! +)+ 55+=+ =+#! +!( +!( )="+"+! '=+=+ "*+! RS
Nama
J+
Tn. Ahad
S+9+ )+8+"
!eti
C++!
"arie
P/+ D+8+"
Pipin
C++!
R)7)
P+9+r))
H), ,r
M/+'
G+*-:
K/5#//+<
C$>>#
=#)$*$!+
K+>+=!(
# P#)$*$!+#
M/+'
G+*-:
#= P#)$*$!+#
M/+'
B+'+!( G+*-:
A(!## A>!$5+>'
C$>>#
(+*+!<
P/+
#'+=8/$>$>> Aah
D+8+"
K+>+=!(
G+*-: C$>># G+*-:
# S'+=8/$>$>> # +#
B+'+!( P*"#++! K/' 8+# )*!'+&$/8 )$"' "/!# !+!( *+?+'< +)+ 2 =+#! +!( )*="#+ "/' $/8 )$"' #8!((+ ')+=+' (+*5++! #>++ "/'+'; #55@ D+;'+ )$"' +!( **"#+"+! "/' N:
N)9) D:+r
;9,)<
#
1
). 5+)+8
2
%<14
2
). N! S+?' S=P
3
10<%1
3
). F+$)+#'"$
6
21<43
4
). A/!
3
10<%1
5
). R. A!$* R#?$$< S= AN
4
14<29
6
). B$) S+),+?+ AM< S=P
1
3<%
!
4
14<29
=
). S+/+))! T,$"$!($$< S= BTK ). M;'+8
1
3<%
"
). N/< S= PK
4
14<29
K++r)7)
!#+';
D+ )+;'+ '#5' *+"+ 5/* #*+ )$"' +"'; **!'+ =*"+#++! "/' )+! "/' +!( )="#+ 5+ '5+'+# =+)+ #+*=/< )+8+" )+! >++! =/+ H++=+! )+! 8*5++! @
S*+ )$"' 5=+! +"'; !'" **"#+"+! "/'< 5+" )++8< >++! '58 =+#!< U!< +=#+! '!(($$"+! !'" =+#! +!( )=+#+!( ETT: )+! )="#+ =+)+ 8+ " 3 =+?+'+! ) RS< #5/* )5 +!'*"$5+&+!'5$'". A)+=! =$#) ''+= '"+' =*"#++! "/' +"+! #(+ )'5'"+!< #8!((+ +=+ #+,+ +!( 8+# )="#+< /+!("+8 =!(+*5/+! )+! =/+"+! '8+)+= #+*=/ )+=+' )/+"#+!+"+! )!(+! 5!+.
=. KEGIATAN %ANG SUDAH DILAKSANAKAN +. K+*=+! C> '+!(+! 8+!) H(! >+*=+!: K(+'+! ! '# )/+"#+!+"+! )+! #>++ 5'+8+= "#+)++! !'" =!'!(!+ >> '+!(+! P$(+* "=+)+ =+#! )+! =!(!,!( *+8 #+"'@ P$(+* =!))"+! )+! =/+'8+! "=+)+ =+#! )+! =!!((!+ 5/* )/+"#+!+"+! #>++ 5"#!+*5!(+!. S$#+/#+# '!'+!( =!(!)+/+! !;"# *+#8 #+!(+' *!* )/+""+!< **5"+! !;$*+# '!'+!( =!(!)+/+! !;"# "=+)+ =!(!,!( *!,+) 5+(+! +!( >"= =!'!( !'" 5#+ '"!)+/!+ !;"# !$#$"$*+/ HAI#:. P$(+* =!))"+! "=+)+ ='(+# #)"' )* #)"' #)+8 5,+/+!< $!'+# ='(+#&"++?+! 5+ ##?+ =+?+'< #)+8 )/+"#+!+"+! *#"=! 5/* #=!8!+.
P$(+* **!#+# 5/* )+=+' )/+"#+!+"+! =+)+ 5/+! ! "+!+ '5!' )!(+! +!((++!< )*"+! ,(+ )!(+! **! #+# 5+( ='(+#&"++?+! +!( !>+!+!+ +"+! )/+""+! **!#+# H=.B U!'" S )+=+' '/+"#+!+ #>++ '! !'" */8+' *' =/++!+! )'!,+ )+ 55+=+ +!("+ !;"# +!( +!'++ /+! ISK< ILO< =!*+!+<
'#"+! ,+* !;#< #=##< )>5'# )+! +!("+ !;"# =+)+ =*+#+!(+! WSD. K,+)+! !;"# #+!(+' '"+' )!(+! '"+' )!(+! =$(+* =!8+'+! /!("!(+! )+#+"+! *+#8 =/ 5+!+" "$"# ''+*+ /!("!(+! =+#! +!( 55+ )!(+! =!!(( =+#! #+!(+' **=!(+8 !;"# #/+!( )+ =!!(( "=+)+ =+#! +'+ #5+/"!+. 5. M!("' P/+'8+! IPCN P+)+ 16 22 M+' 2014< ) ()!( B)+"++ R*+8 S+"' H++=+! K'+ J+"+'+ +!( )#/!((++"+! $/8 HIIPPI P#+'. >. M!("' W$"#8$= '!+(+ #/+!) =+)+ 9 12 J/ 2014 +!( )/+"#+!+"+! $/8 D,! BUK.
". PENGGUNAAN ANTI MIKROBA P!((!++! +!'5$'"+ )+! +!'*"$5+ ) RSPG 5/* +)+ #'+!)+#+# & ;$*/+* +!( )#=+"+'. P+)+ **!+ +!'*"$5+ +!( )(!+"+! +)+/+8 #=+/$#;$! (!+# III< "+!+ )$"' /58 *!('+*+"+! "#*58+! =+#!!+ )!(+! >++ =*5+! +!'*"$5+ +!( )=>++. S=+/$#=$! (!+# III +)+/+8 +!'*"$5+ +!( 5+!+" )=/8< "*)+ ($/$!(+! !$/$! )+! ($/ =!#/! +)+/+8 =/8+! " 3. B+8?+ =*'++! "*+! ) RSPG #++' ! #)+!( 5/+!#!( )*+!+ 8+#/ ='+ "*+! )+=+' )(!+"+! !'" "=/+! =!((!++! +!'5$'"+ )+! +!'*"$5+ +!( ?+,+< #8!((+ ;$*/+* +!'5$'"+& +!'*"$5+ ) RSPG #(++ )+=+' )##!.
10. PEMBATASAN PENGUNJUNG P*5+'+#+! =!(!,!( *!,+) =!'!( "+!+ +"+! *!+!("' 55+=+ 8+/ P*'#+! +!'+ =!/++!< "5#8+! /!("!(+!< "''5+! "+*+!+! )+! "!+*+!+!< *!(+!( "$!'+*!+# '8+)+= =+#! S+*=+ #++' ! 5/+ "'+ =8+'"+! =*5+'+#+! ?+"' 5"!,!( 5/* #*=!+ 5+8"+! 8+*= ')+" )5+'+#. P!(!,!( 5+" +!+" )5+?+8 12 '8 #+*=+ +!( )?+#+ 55+# **+#" ++ *+8 #+"'.
D+!( "/+# IP */+' 5/* 5#+ )/+"#+!+"+! =*5+'+#+! =!(!,!(< #8!((+ '"+)+!( +!(+! *!,+) =!8 )+! =!(+=< #8!((+ *!,+) "+!( !+*+!. S=' ) +!(+! /+! +!( #8+#!+ *!,+) +!(+! >:,)? )(!+"+! ,(+ $/8 "/+(+ =+#! !'" ') )+! *!!(( =+#! )+!(+! +!( #+*+&)+!( +?+'. S8!((+ *#"=! "+* ')+" **/" )+'+ +!( =+#'< 5+!+" )'*"+! +!( )/!+ 9+77 )+ #"++!( 9+;)8 )+.
11.
LAPORRAN PENGUJIAN BALAI BESAR TEHNNIK KESEHATAN
LINGKUNGAN JAKARTA B+8?+ #++' )/+""+! =!(,+! 5+" *' )++ ')+" )'*"+! •
•
+!("+ )+'+# 5+" *' +!( '/+8 )''+="+! U!'" =*"#++! +/+' *)#< #+= )!)!(< )+! +/+' *+"+! !+*=+!< *+!("$"< =/+'$< =#! /+"< )+! =!( *+"+!: ')+" ')+=+' "*+!&*"$$(+!#* +!( =+'8$(! +!( )+=+'
•
*!5+5"+! "#+"'+! +'+ ?+5+8. S/8 +!(+! ')+=+'&)'*"+! ,+* /+=$+! "+* /+*="+!:
12. KESIMPULAN DAN REKOMENDASI +. K#*=/+! +:. A!("+ I!;"# *+8 #+"' & HAI#< ) RSPG =$) J+!+-,! 2014 *+#8 '"!)+/< ">/+ +!("+ =8/5'# +!( *+#8 =/ )'!)+" /+!,' "+!+ 8+/ ! *!,+) !)"+'$ *' RS< '!'!+ =/ )#+)+ $/8 55+(+ =+"'# "#8+'+! /+!!+ #=' /+5$+'$* ,(+ **5"+! "$!'5# #5#+ 23<4 ',+)!+ =8/5'# +"5+' '#"+! ,+*. S8!((+ =/ +)+!+ =/+'8+! "="++! !'" *!(+*/ )++8< "#+*++! >++ )#!;"# )+! ')+" *!((!+"+! #+!( '+!(+! #+' "+/ =+"+< '+= )(!+"+! !'" #*+ =+#!. 5: K?+#=+)++! #$/+# 5/* )=+8+* $/8 #'+; )+! ='(+# )/+=+!(+! #8!((+ *+#8 *!(+5"+! =!#=-=!#= & "$!#= "?+#=+)++! #$/+#.
5.
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
'!)+"+! "=+?+'+! & *+?+' =+#! +!( 5#"$ *!/+ #>++ +5$!. : U!'" I!#'+/+# ( +(+ **=5+" >++ *!>> 5+8+! *+"+!+! )+! +/+' *+"+! +!( )(!+"+! =+#!< (!+"+! )#!;"#'+! +!( +*+! !'" =!>>+! 5+8+! *+"+!+! )+! +/+' *+"+! 5/+ =/ *!((!"+! + 8+!(+'< 5/+ *!("! +/+' *+"+! )/+""+! #'/#+#. 9: D+ 8+#/ PPI D+ # " +!(+! =+?+'+!: +. G$)!( #5+"!+ ')+" *!((!+"+! )+ 5+8+! /!!< *#"=! /!! 5"+! *)+ '+!#*# +!( 5+" !'" "*+! )"$*!)+#"+! #=++ *!((!+"+! 5+8+!5+8+! )+ #,!# =/+#'" #8!((+ *)+8 !'" )5#8"+!. 5. K# +!( )(!+"+! !'" =/++!+! #5+"!+ )/+=# #,!# "+/=&=/+#'" +(+ *)+8 !'" )5#8"+!. >. K#) +/+# "+" #5+"!+ ')+" )(!+"+! "+!+ +"+! *!,+) *)+ +!( #5 !'" ='*58+! "*+!. ). H+*= )#*+ +!(+!< =!(!,!( )*!'+ !'" */=+# +/+# "+". T!' ',+!!+ +)+/+8 **='+8+!"+! "5#8+! +!(+! "+!+ #!( "+/ =!(!,!( **+"+ #=+' & #+!)+/ +!( "$'$< ''+*+ )*#* 8,+!. M!' "+)+8 PPI ')+" )#++!"+! */=+# +/+# "+" "+!+< "+" =!(!,!( *!,+) '"$!'+*!+# "*+! )+ /+!'+ *+8 #+"' #/+! ' ,(+ *!((+!(( +"## "/+ *+#" +!(+! "+!+ =+)+ **!+ )/'+"+! ))=+! =!' )+! *!((+!(( #''"+. Seharusnya
mempertahankan kebersihan lantai dengan meningkatkan frekwensi pembersihan lantai. . D+!(+! #=++ ')+" *!*=+! )+! *-reuse +/+' 8+5# =+"+ #=' #=' )+! #/+!( $"#(! )+! +'+ +/+' "#8+'+! +!( #)+8 )''+="+! ')+" )#reuse.
;. S*=+! 5+" #!( +'+ =!( *+"+! =+)+ '*=+' +!( 5!+< #8!((+ ##+-##+ *+"+!+! ')+" )+*5+8 ">!( +'+ 5!+'+!( =!((+!(( /+!!+. (. P!,*=+!+! /!! "$'$ 8+# =+)+ "$!'+! +!( '''=< #8!((+ =+)+ #++' )5+?+ " /$!) "*+! +!( ')+=+' =+)+ /!! "$'$ ')+" 5'5+!(+! & *!,+) )$=/'. 8. !'/+# ) +!( +!((" )+! =$/"/!" /+!'+ 2 +)+/+8 +!( =+/!( 5" #5+"!+ #(+ )5+'"+! 8$# ;+! #8!((+ )++ )+=+' 5#"/+# )!(+! 5+". 10: S=$' )+! =!(+?+#+! #'+ "=)/+! '!'+!( HAI# )+ =8+" )"# )+! #'+;!+ #>++ 5"#!+*5!(+! #+!(+' )5'8"+! !'" )+=+' *!!("+'"+! /++!+! +!( 5"+/'+#. 11: K$!#= I#$/+# #(+ )/+"#+!+"+! )!(+! =*!8+! "5'8+! #'+!)+ 12: K?+#=+)++! #$/+# 8+# #(+ )#$#+/#+#"+! #>++ !'!#; "=+)+ #/8 #'+; R*+8 #+"' #8!((+ )+=+' #(+
13.
)=+8+*< '5+#+ )+! )/+"#+!+"+!. P+ D*"+! /+=$+! ! ) 5+' *)+8-*)+8+! 5#+ *!,+) 5+8+!
='*5+!(+! !'" 55+=+ "5,+"+! +!( *!+!("' PPIRS< '!'!+ !'" "*+,+! *+8 #+"' +!( )+=+' **5"+! =/++!+! +!( 5*'< */+/ =!+!(+!+! =+#! +!( '=+' =*'#+! +!'+ =!/++! =!+"' )+! =!>(+8+! =!+"' *!/+. D!(+! )*"+! *+8 #+"' "'+ '' 5"$!'5# !'" *!>='+"+! *+#++"+' I!)$!#+ +!( #8+' )+! *+!)< **55+#"+! *+!#+ )+ #+"' )+! ">+>+'+!.
PPIRS. RSPG CISARUA BOGOR KETUA
C#++< J/ 2014 IPCN & S"'+# PPIRS
Dr. S),)88 T;:r:+7:r: SBTK$ N=. 19%406032009121001
F+rr Pr@)) L+:)r8 A9 N=. 19601121991031004
LAPORAN PPIRS PERIODE JANU
ANGKA INFEKSI DAN ANALISANA. PPIRS. RSPG CISARUA BOGOR PPI S/+#+< 10 S='*5 2013
LAPORAN PPIRS &ISARUA BOGOR
DAFTAR ISI 1.
DAFTAR ISI
1
2.
PENDAHULUAN
2
3.
PENGORGANISASIAN
3
4.
ANGKA INFEKSI DISETIAP RUANGAN RAWAT
4
INAP
5.
TABEL (RL6)
5
6.
ANALISA TABEL RL6
6
7.
KEGIATAN YANG SUDAH DILAKSANAKAN
8
8.
PENGGUNAAN ANTI IKROBA
!
!.
PEBATASAN PENGUN"UNG
1#
1#.
LAPORRAN PENGU"IAN BBLK "AKARTA
1#
11.
BEBERAPA $ATATAN PELAKSANAAN
11
KEGIATAN OK
12.
KESIPULAN DAN REKOENDASI
LAPORAN INFEKSI RUMAH SAKIT TAHUN 2013 J+!+-J!:
11
1. PENDAHULUAN T%&'*+,- ,/%+0, 0+,HAI0 - 0%&,* ,0%- '* ,/%+0, & 0+,-9 &-, ,/%+0, * -%&', ,& 0+,-. H ,, %&,:,+0, 0*- 0 %,+ 0 *, :%%&,- :- %&*,+ ,+ & 0+,-. S%*, 0% :%+,- * %&,&, 0%,&, (-%&%:0 &, +%-%&+,- :%+,- 0&) * ; 0%*, +,- -,+ %,0 0 +%:%&<- * ,++ ,+ 0%0, SPO - : -,+9 + ,/%+0, 0+, :%:%*&, &,,-0 &-,-0 :%+,- 0&. A+,- , &, &<- * %, :'* ,- %&&-, :%& - , 0%*+ *, & 0+,- :- %%&,+ +%0 +&* ,+ -%&: :%;%* ,/%+0, * %&:+ ,,+-& +%0%- :0,% & 0+,-. 2. PENGORGANISASIAN P - ,, P%*&*,00, :%& ,- PPIRS %&%-+ P,-, P%;%* P%*%, I/%+0, R S+,-9 -%&,&, &, %&*, ,- -%&+,* %&-*** '< +%: D,&%+-& %,+ K%:%&<-. K%, -+ :%&0,9 T, P%;%* P%*%, I/%+0, R S+,- * -%&,&, &, 0& :%&<- (IPCN =Infection prevention control nurse dan IPCLN= Infection prevention control link nurse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
%%&,+ 0+ -%-* ?%-,0, -+ 0%,** -& >%& & ,&* %', 0%,*9 :%;9 ,@,. H&:@&: P%*&*,00, PPIRS +%%: ,0 %%&,+ +-&,0, * ,+ -+ :%,*+- - , RSPG $,0& B*& ,0 %&+&0, %* ,* , -+ +%' RSPG +,& %&:&-,0,:0, %<'+ &+- I%0, * %&+,-09 S%- ,&, 0%,** 0, &: ,: + %, ,+.
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
No
Bulan
Insiden rate
1
"&,
1.24
2
F%&&,
3.14
3
&%-
1.!4
4
A:&,
2.72
5
%,
2.#6%
6
",
5.67
7
Rata-rata
2.71
T% 0%%*+: : :,&
R0 -+ %:-+ ,;,% &-%= +%', ,/%+0, +00 &
1##
S% :0,% * %&:-%0, -%&,/%+0,
R0 -+ %:-+ *+ &-@&- " +%', ,/%+0, +00 &
1##
S% :0,% * ,&<- ,:-,
B, +,- ,- 0- :%&0- &, - * -%&+: 9 :%,-,0 *+ * :,* -,**, ,- 2.! 0%,** %,; :%,*+- *+ ,/%+0,. K%*+, :%% C 1. 2. 3. 4.
D,0,/%+0, * -,+ %-. P&0%& * -,+ ,'+ %* ,+ 0- :%0* I? $-%-%&. L,*+* -%&+-,0, +. K%:- ;;, -* :%-*0 0- 0%% %+0+ -,+ 0%:-,;
5. 6.
0, 0*- &%9 %0+,: % - -+ +%:- ;;, -*. P%&<- + :;-&% 0,-% * -,+ %-% P%** I? ,% 1 ,** , 0- -%:-. I/%+0, + :%&0, (ILO) 0%%0& #.6 %&&-, ',+ -%&:- 1### :0,% + + -%&', ,/%+0, 0%+ 6 &* - 6,.
P%, %'+ *+ #.8 %&&-, -& &, *+ - * * %;:, 1934 *+ ,, ; %* :%,* -,& &,* 0%*+ :0; :%0* >%-,-& , I$U +%, -%&', :%,. D%;,-0 '* %', ,,+-& * 0*- :%-,*9 ,0&, - -,+ +%:%&, +,- -%&: :0,% ,0 ,-+ %* *+ ,, 6 -%&:- 7
&* * %;,-0 -%&', ,& 0+,- &, 14!3 &* :0,% * %&:-%0, ', 0%%0& #.5 - 4.7,. ,/%+0, +,- :%0* ;-%-%& &, #94 ,, %'+ :%& ,,* %* - 9 :%& ,,*-+ +%, < :&0%& :%0* :&0%& ;;, -* &0 0 -%&,0.
!. "EGIA#AN $ANG SUDAH DILA"SANA"AN 1. K:% $;, -* ( H*,%% ;:,) A 0, %', 00& < -+ :%*%, ,/%+0, : -** 17 21 %, 2#13 -% ,+0+ +%*,- :%-, ;;, -* * ,,+-, % 0%& 0& +&< , &, ,&%+-& -9 ,&%+-& 0-/9 :& +-%&9 /&0,9 &-&,9 :%&<-9 &,*,9 * 9 0%;&,-,9 -,+ -%&+%;, ;%,* 0%&>,0%. %0+,: : +,& :%0%&- * %*,+-, :%-, -+ 0 : :&0%0 0%&>0, ,:* -%&:,. 8697 0 %*,+-, :%-, ,,. !4.4 %;;, -* %* %& ,,,. 1.! %;;, -* 0 ,>. 2.36 %;;, -* %* -: * -%&%<>. 1.4 %;;, -* %* -: * %:>,. D 13.3 (64) &* % %*,+-, :%-,9 + ,00+ :%-,. 2. K%*,- 00,,00, &,%-0, PPIRS *, +&< & 1. P 5 A:&, 2#13 %+0+ +%*,- &,%-0, : +&< & 2. P 22 A:&, 2#13 +, %++ +%*,- 00,,00, +%: -%@-% :%&<- , &* -'* 3. E>0, P&*& D&, K%*,- P++ P&*& P&*& +%: :0,% :%*'* & 0+,-= P&*& :%,,+ :%-, +%: :0%, :%** % ,+0+ 0%;& %&+%0,*. S0,,00, -%-* :%*%, ,/%+0, 0, 0*- ,, ,++9 %%&,+ ,/&0, -%-* :%*%, ,/%+0, +%: :%*'* %', *, * ;+: :%-,* -+ ,0 -%&+%, ,/%+0, 0+, (HAI0) P&*& :%,,+ +%: :%-*0 0%,+,- %, 0%,+,- 0 %&'9 &,%-0, :%-*0+&< & 0,0< :%&<-9 0 ,+0+ %0+,: % 0%:%. U-+ -: < :&*& 0 ,+0+ +%*,- :%-, ;;, -*. P&*& ,,00, % :- ,+0+ : ,, +&% -%&%-& %* **&9 %,+, '* %* ,,00, *, :%-*0+&< * &%; + ,++ ,,00, H%:.B B%%&: :%-, -,+ ,>0,/9 :%* :0,% ,/%+0,0 :%-, 0-%&,,00, *, :%-*0 $SSD % ,:%&+ +&% :%-*0 * & 2 - * 0 %*,+-, :%-, $SSD. U-+ S&>% :- -%&+0 0%;& &-, -+ %,- - :% ,-,' &, %%&: *+ ,/%+0, * -& , ISK9 ILO9 :%,9 -0+ '& ,/09 0%:0,09 %;,-0 *+ ,/%+0, : :%0* WSD.
T%&+,- %* :&*& :%%- ,*+* ,&0+ 0, :%& + +&%+0, 4.
T- * +%&' S:, 0- ,, * :%& +,- +&%+0, %&09 ,- -%-* :%+0 :%*9 * % :%& %,- 0+ +%: PPI -%-* *, -,' PPI %* :%* * C ;- * I$U 0*- %*,+ :%-,* :%-+& & 0%;& ,9 %*,- '* * R,*, * & ,+ + &* * -,+ >%-,0,
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
,/%+0,. "* ,&* , * 0%&0 %', &* )isolasi* ,*+ '* % +%&* :0%, -+ -,& %** :0,% ,&* * 0,&* &<-. S%,** 0 0%&,* ,-%+ * %** :0,% 0%+&* %', :0,%.
+. LAPORRAN PENGU(IAN BBL" (A"AR#A P -** 17 %, 2#13 -% ,++ ', +-%&, &. D, &* -%&-, - 2 -%&:- 0-:;;;0 &%0 0-:;;;0 &%0 0: D, &* OK +& 1 -%&:- 0-:;;;0 &%0 0: D, &* **&%+ -%&:- 0-:;;;0 &%0 0: D,0% &* -%&:- '& P :%%&,+0 0: ,% , +& % -%&:- B;,0 0: : ' :&0, P%%&,+0 ,& %&0, ;,/& %%, 0-& * ,:%&0&-+9 0%,** +,-0 ,& 0, ,+. P :%%&,+0 0: - :&9 ' + : :9 *++9 :,0, +9 :,&,*9 :- 0% -%&:- + ,-0 * -0 * ,:%&0&-+. 7(T') &* * ,:%&,+0 &%;- 0< 0% %*-,/ P 0, :-,9 :%:%0 9 0& 0: *9 -%:% ;% -%&:- %0;%&,;, ;, 19#1# 1 *+ * ,:%&0&-+ #. D&, 0, :%%&,+0 & 0: - + + +,- :%*-,0,:0, %%&: -& , -,+ -%&', < ,&% , & 0+,-. 7. BEBERAPA ,A#A#AN PELA"SANAAN "EGIA#AN DI O" #ER"AI# DENGAN PPI 1. K%-,+ +,- 0+ +% OK , &% K-& +,- <', %%:0+ 0 +, 0%:- * %&0 &, & O+9 + -%-:, +&0, & &;& &, & ,0 0+ 0:, +% &* -,+. 2. B% :%-'+ -0 * %,0+ &%@&% , OK9 -%&0+ &% :0,% :&%:&0, :0-:&0,9 0%,** +%%: 0+ +%& :0,% &, :,- * %&%.
. "ESI&PULAN DAN RE"O&ENDASI 1. "esi/ulan A*+ I/%+0, & 0+,- HAI09 , RSPG 0, -%& -,**, :%& :%*%, * %, ,-%0,/ -%&- : ", 2#13 *+ ,/%+0, %;:, 5.67 ', &-@&- 6 -%&+,& 2.71. P%& ,++ *+@*+ * +*+&,- -+ :%*%, ,/%+0, ,, 0%,** /- :%-, ;;, -* 0, 0*- &% +&%0, -+ :%*%, ,/%+0,. 2. Re0oendasi
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enutu/ D%,+, :& ,, , - @ ,0 %', :%&-,* -+ %%&: +%,'+ * %*+- PPIRS9 -%- -+ +%' & 0+,- * :- %%&,+ :% * %&-9 -&%&+-&,0, -+ %;,:-+ 0&+- * 0%- ,&,.
PPIRS. RSPG $ISARUA BOGOR KETUA
Dr. Saladdin #o0roneoro3 S/B#"4 N,:. 1!74#6#32##!121##1
PPI M!((< 21 A=/ 2013
L):r) I+ N:::9), RSPG &)r)
LAPORAN INFEKSI NOSOKOMIAL RSPG &ISARUA BOGOR PERIODE JUNI DESEMBER 200=
I.
PENDAHULUAN.
S)+8 ')+" 5#+ )#+!("+/ /+( I!;"# !$#$"$*+/ +)+/+8 8+/ +!( 8+# )=8+'"+!< )+?+# )+! )"!)+/"+!. M+"+ =/!+ =!+'+/+"#+!++! !'" *!(+'+# )+! =!(!)+/+! !;"# !$#$"$*+/ & !;"# *+8 #+"'.
A!("+ ",+)+! !;"# *=+"+! !)>+'$ *' =/++!+! "=+?+'+! ) *+8 #+"'< +!( #>++ !+#$!+/ +!("+ !;"# )''+="+! 8+# )5+?+8 3 . A!("+ '#5' 5+8"+! +"+! )'!"+! /+( *!,+) 1<
D RSPG C#++ ! I!;"# N$#$"$*+/ +)+/+8 8+/ +!( #)+8 /+*+ )"'+8< !+*! 5/* #*+ 8+" !'" 5=+'#=+# )+/+* =!(!)+/+!!+< ''+= 5/+ )5+!)!("+! =+)+ =$) #5/*!+ ')+=+' =!!+!
+!("+ !;"#< ''+*+ =+)+ +!("+ )>5'# )+! =*+#+!(+! !;# +!( >"= #(!"+!.
M+"+ =+)+ /+=$+! ! "+* +"+! **+=+"+! +!("+ ",+)+! !;"# +!( ',+) ) RSPG C#++ B$($ #/+*+ 1 #+' : #*#' =$) J!D#*5 200< *)+8-*)+8+! /+=$+! ! )+=+' **5 (+*5++! *' =/++!+! "=+?+'+! ) *+8 #+"' "'+< #8!((+ "'+ )+=+' **5 /++!+! +!( /58 5+" )*+#+ *!)+'+!( )+! /58 =)/ =+)+ =!'!(!+ >P+7+8),) I+ N:::9),?.
II.
TUJUAN
T,+! )5+'!+ /+=$+! ! +)+/+8 @ 1.
L+=$+! "=+)+ =*=!+! '!'+!( +!("+ ",+)+! !;"#.
2.
U!'" **5"+! (+*5++! '!'+!( *' =/++!+! "=+?+'+! ) RSPG */+/ +!("+ ",+)+! !;"#.
3.
U!'" **5 /+=$+!< "!)+/+-"!)+/+ & "#/'+! +!( ',+)
4.
U!'" **5"+! =*+8+*+! "=+)+ #*+ 8+"< 5+8?+ I!;"# N$#$"$*+/ #+!(+' =!'!( )+! *!,+) #+/+8 #+' '$/$" " *' *+8 #+"'.
III.
E$ALUASI DAN ANALISA
T+5/ RL 6 +)+/+8 ;$*+' 5+" +!( 8+# )/+=$"+! " D="# RI ) J+"+'+. P+)+ '+5/ '#5' '/8+' 55+=+ +!("+ +!( *!>/ )+! ')+" #*+ "$/$* +!( '#)+ '# +!("+. I! )"+!+"+! 1.
B/* $='*+/!+ =!(*=/+! )+'+ )+ #*+ +!(+!
2.
R+!(+! 5)+8< **<+!+"< "5)+!+! *+#8 #/' )=#+8"+!.
3.
R+!(+! U** '*+#" #*+ +!(+! +!( +)+.
4.
S)+8 +)+ =++ =*#+8+! "+##-"+## 5)+8
.
M!' /+=$+! )+! )+'+ +!( "+* '*+ ')+=+' 1 "+## 5)+8 49 )+!'++!+ )5"+! '!)+"+! $=+#< )!(+! +!("+ !;"# /"+ $=+# 0 !8/:<3 )+!'++!+ )=+#+!( >+'8'< )+'+ *!!,"+! !;"# +"5+' =*+#+!(+! >+'8' 0 !8/:.
6.
4 $+!( )=+#+!( WSD )!(+! "+##< =!*$'8$+"< 8)$ =!*$'8$+"< *=*+< )+! 5/* )+=+' +!("+ +!( =+#' 5+=+ +!( '!;"#< "+!+ =+)+ **!+ !;"# /"+ WSD )+=+' )+'+#.
%.
M+#8 +)+!+ ",+)+! )"5'# +!( >"= '!(( +' 0<6 )+! +!("+ ! )+/+* 5+'+# +*5+!( +!( )="!+!"+! )+! ')+" */58 #'+!)+ !+#$!+/ #5#+ 3 .
.
A!("+ =8/5'# 2<% +!("+ ",+)+! '#5' *+#8 )+/+* +*5+!( 5+'+# #'+!)+ !+#$!+/ #5#+ 3
I$.
PELAKSANAAN TINDAKAN KEPERAWATAN
M/+"#+!+"+! '!)+"+! *+!) +'+=! +!( #;+'!+ "$/+5$+'; )+/+* *+?+' =+#! )+!(+! +)+/+8 ?+,5 **=8+'"+! '8!" #='> )+!
+#='>.< =!#= '#5' +)+/+8 5',+! !'" *!"+! +!("+ ",+)+! !;"#. P!((!++! #+!( '+!(+! *!,+) #+!(+' =!'!( !'" *!>(+8 !;"# !$#$"$*+/ '*+#" =/!)!( ) 5+( ='(+#. H+/ '#5' +)+/+8 #+/+8 #+' )+ K?+#=+)++! U!#+/ T+*=+"!+ =!((!++! #+!( '+!(+! #++' =/+"#+!++! '!)+"+! "=+?+'+! *+#8 =/ )'!("+'"+! )+! )!(+'"+! "=+)+ #*+ ='(+# ''+*+ PERAWAT )+!(+!. B(' ,(+ '8!# )#!;"# "/'< +(+ #*+ =+?+' *!(,+"+!!+ ##+ #'+!)+< #8!((+ !;"# ) *+8 #+"' 5'/-5'/ 5#+ )'"+!.
$.
PENGGUNAAN AIR MENGALIR SAAT MEN&U&I TANGAN
A)+ 55+( '$ 5+(+*+!+ >++ *!>> '+!(+! +!( 5+" )+! 5!+ )+! +!( =+/!( )"!+/ +)+/+8 )!(+! % /+!("+8 *!>> '+!(+!. T)+" #*+ +!( =+?+'+! ')+=+' ?+#8'+;/ !'" *!>> '+!(+! #8!((+ 8+# )=++"+! #'+= +!(+! +!( ')+=+' =+#! )#)+"+! ?+#8'+;/ =*+!!' +'+ ;$'+5/:
$I.
PENGELOLAAN SAMPAH
S+*=+8 ) RSPG C#++ 8+!+ )"/$*=$"+! *!,+) 2 )+: "/$*=$" +'
1.
S+*=+8 *)# & #+*=+8 !;"## +!( ') )+ #='&,+* #!'"< "+##+ ='= /"+< #/+!( )+! 5$'$/ !;# )"*+# )!(+! =/+#'> "!!( "*)+! )*#!+8"+! )!(+! >++ )5+"+ )!#!+'$. C++! '58 /+!(!( )5+!( " #=$$/ 8$" +!( '#+/ " ##'* =!(/$/++! + /*5+8 IPAL:
2.
#+*=+8 )$*#'" +!( )"/$*=$"+! )+/+* #+*=+8 "!(< 5+#+8< )"*+# )+/+* =/+#'> 8'+* )+! =!( ##+ 5+!(!+!: )*+!;++'"+! !'" #+!'+ /+!)//. P*(/$/++! #+*=+8 *+#8 =/ +)+!+ =!!("+'+! "#+)++! )+ 55+(+ =8+" '*+#" ='(+# *+8 #+"' )+/+* **5+!( #+*=+8 !"##.
$II.
PENGELOLAAN LINEN
+!( !!,+) =$"$" =*+#+/+8+!!+ +)+/+8 '+!#=$'+# /!! " '*=+' =!>>+! +!( #+*=+ #++' ! )5+?+ $/8 ='(+# )+ +!(+! 8+!+ )!(+! *!((!"+! =/+#'> 8'+* +!( #8+#!+ )!(+! "'+ "8## /!! +!( #)+8 '#)+ )#'+= +!(+!. T+= "+!+ *)+! +!( ')+" **!("!"+! ,+) "'+ /!! ')+" )(!+"+! ')+" $='*+/. J+/ '+!#=$'+# +!( )(!+"+! !'" /!! "$'$ 5/* )''+="+! )+! ')+" 5$/8 #+*+ )!(+! ,+/ =*5+?+ *+"+!+! =+#!< )*+!+ ")+ ,+/ ! 8+# '=#+8 5+" ++8 *+=! ?+"'!+.
$III.
1.
KENDALA
K#+)++! +"+! "#/+*+'+! ) #!) )+! $+!( /+! *+#8 "+!(< #=' **5+!( ,+* *+#8 +)+ +!( )#+'"+! )!(+! #+*+=+8 )$*#'>< ')+" *!((!+"+! #+!( '+!(+! "'"+ */+""+! '!)+"+! !=+#< )+! /+!-/+!.
2.
I!#!+'$ +!( +)+ #)+8 ')+" *+"#*+/ #8!((+ #+*=+8 ')+" *#!+8 #*+ ')+=+' #) =*5+"++!:< )+! ')+=+' +#+= '5+/ +!( +"5+'!+ *!($'$ )++ #"'+.
3.
M+#8 5/* 5#+ '/+"#+!+!+ =*"#++! ='+ "*+! RSPG< #8!((+ =!((!++! +!'5$'" >!)!( 5)+#+"+! =!(+/+*+! *=#:.
4.
B/* 5#+ )/+""+! +=#+! "*+! =+)+ +/+' +!( #'/< !'" '!("+' "#'/+! =*5"'+! '55+# )+ "*+! =+'$(! )+! + =+'$(! #'+ #=$+!+:.
. T)+" #*+ +!(+! +?+' ')+=+' ?+#8'+;/.
IC.
KESIMPULAN
P!(!)+/+! !;"# !$#$"$*+/ *+#8 =/ )'!("+'"+! /+(< *#"=! +!("+ +!( ))+=+'"+! )+ )+'+ +!( )"*=/"+! )5+?+8 3 '+= '+*=+"!+ *+#8 =/ =*5!+8+! )#*+ /!< )/+"#+!+"+! )+! )#+)+ $/8 #*+ =8+" +(+ #>++ 5"#!+*5!(+! !;"# !$#$"$*+/ ) RSPG )+=+' )"!)+/"+!.
