PERATURAN DIREKTUR RSUD DR RUBINI MEMPAWAH NOMOR: ………………………….. TENTANG PEDOMAN PELAYANAN PELAYANAN DAN ASUHAN PASIEN DENGAN RAHMAT TUHAN YANG MAHA ESA DIREKTUR RSUD DR RUBINI MEMPAWAH Menimbang
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a. bah baha a !e !e"a "a#a #ana nan n $a $an n a% a%&h &han an 'e 'e!a !a$a $a !a !a%i %ien en (& (&ma mah h %a %a'i 'i)) me(&!a'an ha" !*'*' $a"am !e"a#anan (&mah %a'i)+ b. bah ah a $a $a""am !e !emb mbe e(i (ian an !e !e""a#a #an nan $an a% a%&h &ha an !a%i %ien en meme("&' meme ("&'an an a,&a a,&an n aga( $a!a $a!a)) $i"a $i"a'%ana '%ana'an 'an %e,a %e,a(a (a %(ag %(agamam'*n%i%)en $an )e(in)eg(a%i+ ,. ba bah ha a be be($ ($a% a%a( a('a 'an n !e !e() ()im imba bang ngan an %e %eba baga gaim iman ana a $i $ima ma'% '%&$ &$ $a"am h&(& a $an b- !e("& a$an#a Pe(a)&(an Di(e')&( )en)ang Pe$*man Pe"a#anan $an A%&han Pa%ien.
Menginga)
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/. Un$ang0Un$ang N*m*( 12 Tah&n 1334 )en)ang P(a')i' Ke$*')e(an+ 1. Un$ang0U Un$ang0Un$a n$ang ng N*m*( N*m*( 56 Tah&n Tah&n 1332 1332 )en)ang )en)ang Ke%eha)an Ke%eha)an++ 5. Un$ang0U Un$ang0Un$a n$ang ng N*m*( N*m*( 44 Tah&n Tah&n 1332 1332 )en)ang )en)ang R&mah R&mah Sa'i)+ Sa'i)+ 4. Un$ang ang0Un 0Un$ang N*m*( 56 Tah&n 13/4 )en) )en)a ang Tenaga aga Ke%eha)an+ 7. Pe(a Pe(a)& )&(a (an n Men) Men)e( e(ii Ke%e Ke%eha ha)a )an n Re!& Re!&b" b"i' i' In$* In$*ne ne%i %ia a N*m* N*m*(( 56 Tah&n 13/1 )en)ang Raha%ia Ke$*')e(an+ 6. Pe(a Pe(a)& )&(a (an n Men) Men)e( e(ii Ke%e Ke%eha ha)a )an n Re!& Re!&b" b"i' i' In$* In$*ne ne%i %ia a N*m* N*m*(( 76 Tah&n 13/4 Ten)ang K"a%ii'a%i $an Pe(i8inan R&mah Sa'i)+
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MEMUTUSKAN Mene)a!'an
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PERATURAN DIREKTUR RSUD DR RUBINI MEMPAWAH TENTANG PEDOMAN PELAYANAN PELAYANAN DAN DA N ASUHAN PASIEN BAB I KETENTUAN UMUM Pa%a" / Da"am !e(a)&(an ini #ang $ima'%&$ $engan: /. R& R&ma mah h Sa Sa'i 'i)) a$ a$a" a"ah ah in in%) %)i) i)&% &%ii !e !e"a "a#a #ana nan n 'e 'e%e %eha ha)a )an n #a #ang ng men#e"engga(a'an men#e"engg a(a'an !e"a#anan 'e%eha)an !e(*(angan %e,a(a !a(i!& !a( i!&(na (na #an #ang g men men#e$ #e$ia ia'an 'an !e" !e"a#a a#anan nan (a (aa) a) ina ina!!- (a (aa) a) 9a"an- $an gaa) gaa) $a(&(a). 1. Pa Pa%i %ien en a$ a$a" a"ah ah %e %e)i )ia! a! *(a (ang ng #a #ang ng me me"a "a'& '&'a 'an n '* '*n% n%&" &")a )a%i %i ma%a ma %a"a "ah h 'e 'e%e %eha ha)a )ann nn#a #a &n &n)& )&' ' me mem! m!e( e(*" *"eh eh !e !e"a "a#a #ana nan n 'e%eh 'e% eha)a a)an n #an #ang g $i $i!e( !e("& "&'an 'an-- ba bai' i' %e, %e,a(a a(a "an "ang%& g%&ng ng ma& ma&!&n !&n )i$a' "ang%&ng $i R&mah Sa'i). 5. S)a '"ini% '"ini% a$a"ah a$a"ah )enag )enaga a 'e%eha)an 'e%eha)an #ang #ang membe( membe(i'an i'an a%&ha a%&han n "ang%&ng !a$a !a%ien 4. P(*e P(*e%i*n %i*na" a" Pembe(i Pembe(i A%&ha A%&han n a$a"ah a$a"ah %)a '"ini% '"ini% !(*e%i*na !(*e%i*na"" #ang "ang%&ng membe(i'an a%&han 'e!a$a !a%ien. 7. D* D*') ')e( e( Pe Pena nang ngg& g&ng ng a aa ab b Pe Pe"a "a#a #ana nan n a$ a$a" a"ah ah $* $*') ')e( e( #a #ang ng be()an be( )angg& gg&ng ng 9a 9aab ab )e( )e(ha$ ha$a! a! a%& a%&han han !a !a%ie %ien n %e9 %e9a' a' !a% !a%ie ien n ma%& ma %&' ' %a %am! m!ai ai !& !&"a "ang ng $a $an n me mem! m!&n &n#a #aii '* '*m! m!e) e)en en%i %i $a $an n 'eenangan '"ini% %e%&ai %&(a) !en&ga%an '"ini%n#a 6. Pe Pe(a (aa a)) Pe Pena nang ngg& g&ng ng a aa ab b A% A%&h &han an a$ a$a" a"ah ah !e !e(a (aa a)) #a #ang ng be()angg&ng 9aab )e(ha$a! a%&han 'e!e(aa)an !a%ien %e9a' !a%ien ma%&' %am!ai !&"ang $an mem!&n#ai '*m!e)en%i $an 'eenangan '"ini% %e%&ai %&(a) !en&ga%an '"ini%n#a. Re'am m me$i me$i% % a$a" a$a"ah ah be(' be('a% a% #ang #ang be(i be(i%i %i'a 'an n ,a)a ,a)a)a )an n $an $an ;. Re'a $*'&men )en)ang i$en)i)a% !a%ien- !eme(i'%aan- !eng*ba)an)in$a )in$a'an 'an $an $an !e"a#a !e"a#anan nan "ain "ain #ang #ang )e"ah )e"ah $ibe( $ibe(i'a i'an n 'e!a$a 'e!a$a !a%ien. <. =a)a)an =a)a)an a$a"ah a$a"ah )&"i%an )&"i%an #ang #ang $ib&a) $ib&a) *"eh *"eh $*')e( $*')e( a)a& $*')e( $*')e( gigi gigi )en)ang %ega"a )in$a'an #ang $i"a'&'an 'e!a$a !a%ien $a"am (ang'a !embe(ian !e"a#anan 'e%eha)an. 2. D*'&m D*'&men en a$a"ah a$a"ah ,a)a)a ,a)a)an n $*')e( $*')e(-- $*')e $*')e(( gigigigi- $an>a)a $an>a)a& & )enaga )enaga 'e%eh 'e%eha)a a)an n )e()en )e()en)&)&- "a!*( "a!*(an an ha%i" ha%i" !eme(i !eme(i'%a '%aan an !en&n9 !en&n9an ang g ,a)a)an *b%e(?a%i $an !eng*ba)an ha(ian $an %em&a (e'amanbai' be(&!a *)* (a$i*"*gi- gamba( !en,i)(aan @imaging- $an (e'aman e"e')(* $iagn*%)i'.
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!e(&n$ang0&n$angan. 1. S) S)a a '" '"in ini% i% a a9i 9ib b me memi mi"i "i'i 'i i8 i8in in %e %e%& %&ai ai $e $eng ngan an 'e 'e)e )en) n)&a &an n !e(a)&(an !e(&n$ang0 !e(&n$ang0&n$angan. &n$angan. 5. Se)i Se)ia! a! )enaga )enaga 'e%eha)a 'e%eha)an n ha(&% ha(&% be'e(9a be'e(9a %e%&ai %e%&ai $engan $engan %)an$a %)an$a( ( !(*e% !(* e%ii- %)a %)an$a n$a(( !e" !e"a#a a#anan nan R& R&mah mah Sa Sa'i) 'i)-- %)a %)an$ n$a( a( !( !(*%e *%e$&( $&( *!e(a% *!e (a%i*n i*na" a" #an #ang g be be("a ("a'& '&-- e)i e)i'a 'a !(* !(*e% e%ii- men mengh* gh*(ma (ma)i )i ha ha' ' !a%ien $an meng&)ama'an 'e%e"ama)an !a%ien. 4. S)a S)a '"i '"ini% ni% membe(i membe(i'an 'an !e"a#an !e"a#anan an $an a%& a%&ha han n 'e! 'e!a$ a$a a !a% !a%ie ien n %e%&ai $engan '*m!e)en%i $an 'eenangan #ang $i)e)a!'an.
BAB II SKRINING
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Pa%a" 5 S'(ini S'(ining ng $i"a'&' $i"a'&'an an &n)&' &n)&' meni" meni"ai ai a!a'ah a!a'ah (&mah (&mah %a'i) %a'i) mam!& mam!& men# men#e$ e$ia ia'a 'an n !e"a !e"a#a #ana nan n #ang #ang $ib& $ib&)& )&h' h'an an !a%i !a%ien en %e() %e()a a '*n%i%)en $engan mi%i (&mah %a'i)+ S'(ini S'(ining ng $i"a'% $i"a'%ana ana'an 'an me"a" me"a"&i &i '(i)e( '(i)e(ia ia )(ia%e )(ia%e-- e?a"& e?a"&a%i a%i ?i%&a" ?i%&a" a)a& !engama)a !engama)ann- a)a& ha%i" ha%i" !eme(i'% !eme(i'%aan aan i%i%i%i%- !%i'*"*g !%i'*"*gi%i%"ab*(a)*(i&m '"ini%- a)a& $iagn*%)i' $iagn*%)i' ima9ing. Pa$a Pa$a !e"a'% !e"a'%ana anaan an %'(ining %'(ining-- $a!a) $a!a) $i)en)&' $i)en)&'an an )e% a)a& a)a& ben)& ben)&' ' !en# !en#a( a(in inga gan n )e(h )e(ha$ a$a! a! !*!& !*!&"a "a%i %i !a%i !a%ien en )e()e )e()en) n)& & %ebe %ebe"& "&m m mene)a!'an !a%ien $a!a) $i"a#ani. Pa%i Pa%ien en $i)e $i)e(i (ima ma bi"a bi"a (&ma (&mah h %a'i %a'i)) $a!a $a!a)) memb membe( e(ii !e"a !e"a#a #ana nan n (aa) 9a"an $an (aa) ina! #ang $ib&)&h'an !a%ien. Pa$a Pa$a !(*% !(*%e% e% a$mi a$mi%i %i !a%i !a%ien en (aa (aa)) ina! ina! $i"a $i"a'& '&'a 'an n %'(i %'(ini ning ng 'eb&)& 'eb&)&han han !a%ie !a%ien n &n)&' &n)&' mene)a mene)a!'a !'an n !e"a# !e"a#ana anan n !(e?e !(e?en)i n)i!a"ia)i!a"ia)i- '&(a)i'&(a)i- $an (ehabi"i (ehabi"i)a)i )a)i #ang $i!(i*(i $i!(i*(i)a%'a )a%'an n be($a%a( be($a%a( a)a% '*n$i%i !a%ien.
BAB III ASESMEN PASIEN PASIEN Pa%a" 4 A%e%men !a%ien )e($i(i a)a% 5 @)iga !(*%e% &)ama $engan me)*$e IAR: /. Meng&m Meng&m!&" !&"'an 'an in*(ma in*(ma%i %i $a(i $a(i $a)a $a)a 'ea$aa 'ea$aan n i%i'i%i'- !%i'*"*g !%i'*"*gi%i%%*%ia"- '&")&(- %!i(i)&a" $an (ia#a) 'e%eha)an !a%ien @in*(ma%i $i'&m!&"'an. 1. Ana"i Ana"i%i% %i% in*(ma in*(ma%i %i $an $an $a)a$a)a- )e(ma%&' )e(ma%&' ha%i" ha%i" "ab*(a) "ab*(a)*(i *(i&m &m $an (a$i (a$i*" *"*g *gii &n)& &n)&' ' meng mengi$ i$en en)i )ii i'a 'a%i %i 'eb& 'eb&)& )&ha han n !e"a !e"a#a #ana nan n 'e%eha)an !a%ien @ana"i%i% $a)a $an in*(ma%i.
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Pa%a" 7 /. A%e%men A%e%men !a%ien !a%ien me"i!& me"i!&)i )i a%e%men a%e%men aa"aa"- a%e%men a%e%men &"ang &"ang $an $an a%e%men gaa) $a(&(a). 1. A%e%me A%e%men n $i"a' $i"a'&'a &'an n *"eh *"eh !(*e% !(*e%i*n i*na" a" !embe( !embe(ii a%&han a%&han @PPA @PPA $an %)a '"ini% #ang '*m!e)en $an be(enang. be(enang.
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Pa%a" 6 A%e% A%e%me men n aa" aa" !a%i !a%ien en $i"a $i"a'& '&'a 'an n *"eh *"eh D*') D*')e( e( Pena Penang ngg& g&ng ng aab aab Pe"a#anan Pe"a#anan @DPP $an Pe(aa) Pe(aa) Penangg& Penangg&ng ng aab aab A%&han @PPA. A%e%men aa" !a%ien (aa) ina!- (aa) 9a"an $an gaa) $a(& $a (&(a (a)) me me"i "i!& !&)i )i !e !eme me(i (i'% '%aa aan n i i%i %i''- (i (ia a#a #a)) 'e 'e%e %eha ha)a )ann!eng'a !en g'a9ia 9ian n !a% !a%ien ien $a $a(i (i a%! a%!e' e' bi bi*" *"*gi *gi%%- !%i !%i'*" '*"*gi *gi%%- %*% %*%ia" ia"-e'*n*mi- '&")&(a" $an %!i(i)&a" !a%ien. Da"am Da"am a%e%m a%e%men en aa" aa" 9&ga 9&ga $i"a' $i"a'&'a &'an: n: a. a%e%me a%e%men n (i%i' (i%i'* * n&)(i n&)(i%i* %i*na" na"-b. 'eb&)&ha 'eb&)&han n &ng% &ng%i*na i*na"" $an $an (i%i'* (i%i'* 9a)&h9a)&h,. %'(ining %'(ining n#e(i n#e(i-- $an $i"a'&' $i"a'&'an an a%e%men a%e%men n#e(i n#e(i bi"a bi"a a$a a$a n#e(i. n#e(i. Bi"a Bi"a $i!e(" $i!e("&'a &'ann- a%e%m a%e%men en aa" $i"eng' $i"eng'a! a!ii $enga $engan n a%e%me a%e%men n )ambah )ambahan an $enga $engan n mem!e mem!e(ha (ha)i' )i'an an 'eb&)& 'eb&)&han han $an '*n$i% '*n$i%ii !a%ien.
BAB I HAK PASIEN
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Pa%a" ; Pa$a !e"a'%anaan a%&han !a%ien- %)a '"ini% ha(&% mem!e(ha)i'an ha' !a%ien+ Pembe( Pembe(ian ian a%&han a%&han !a%ien !a%ien ha(&% ha(&% $enga $engan n mengha mengha(ga (gaii agama agama-'e#a'inan $an ni"ai0ni"ai !(iba$i !a%ien+ Se%&ai Se%&ai 'eb&)&han 'eb&)&han !a%ie !a%ienn- $a!a) $a!a) $i"a#ani $i"a#ani !e(min) !e(min)aan aan '*m!"e '*m!"e'% '% )e('ai) $&'&ngan agama a)a& bimbingan 'e(*hanian. Da"am Da"am !(*%e% !(*%e% a%&hana%&han- !a%ien !a%ien a)a& 'e"&a( 'e"&a(ga ga $a!a) $a!a) menga9&' menga9&'an an second opinion )an!a (a%a 'haa)i( a'an memenga(&hi !(*%e% a%&hann#a.
Pa%a" < /. Da(i ha%i" ha%i" a%e%men a%e%men-- !a%ien !a%ien be(ha' be(ha' men$a!a) men$a!a) in*(ma in*(ma%i %i )en)ang )en)ang '*n '*n$i%i $i%i-- $iagn* agn*%i %i% % !a%)i%)i- (en,a en,ana na a%&ha %&han n $an $an $a!a a!a) be(!a()i%i!a%i $a"am !engambi"an 'e!&)&%an+ 1. S)a S)a '"ini '"ini% % men9e men9e"a% "a%'an 'an %e)ia! %e)ia! )in$a'an )in$a'an a)a& !(*%e$& !(*%e$&(( #ang #ang $i&%&"'a $i&%&"'an n 'e!a$a 'e!a$a !a%ien !a%ien $an 'e"&a(ga 'e"&a(ga $an in*(ma%i in*(ma%i #ang
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)in$ )in$a' a'an an #ang #ang $i&% $i&%&" &"'a 'an+ n+ )a)a )a)a ,a(a ,a(a $an $an )&9 )&9&an &an )in$a' )in$a'an+ an+ manaa manaa)) $an $an (i%i' (i%i'* * )in$ )in$a'a a'an+ n+ nama nama *(a *(ang ng men menge ge(9 (9a' a'an an )in$ )in$a' a'an an++ 'em&ng'i 'em&ng'inan nan a")e(na)i a")e(na)i $a(i )in$a'an )in$a'an++ !(*gn !(*gn*%i *%i% % $a(i $a(i )in$a' )in$a'an+ an+ 'em&n 'em&ng'i g'inan nan ha%i" ha%i" #ang #ang )i$a )i$a' ' )e($ )e($&g &ga+ a+ 'em&ng'inan ha%i" bi"a )i$a' )i$a' $i"a'&'an )in$a'an+ )in$a'an+ Pa%ien Pa%ien $i9e" $i9e"a%' a%'an an )en)ang )en)ang ha%i" ha%i" a%&han a%&han $an !eng*b !eng*ba)a a)ann)e(ma%&' ha%i" a%&han $an !eng*ba)an #ang )i$a' )e($&ga.
BAB ASESMEN ULANG ULANG
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Pa%a" 2 A%e% A%e%me men n &"an &"ang g me$i me$i% % $an $an 'e!e 'e!e(a (aa a)a )an n $i"a $i"a'% '%an ana' a'an an *"eh *"eh PPA #ang '*m!e)en $an be(enang %e%&ai (in,ian 'eenang '"ini% #ang $i)e)a!'an &n)&' e?a"&a%i (e%!*n% !a%ien )e(ha$a! a%&han #ang $ibe(i'an+ A%e%me A%e%men n &"ang &"ang me$i% me$i% $i"a'% $i"a'%ana ana'an 'an minima" minima" %a)& 'a"i 'a"i %eha(i %eha(i-)e(ma%&' a'hi( mingg& > "ib&( &n)&' !a%ien a'&)+ A%e%men A%e%men &"ang &"ang !e(aa !e(aa)) minima" minima" %a)& 'a"i 'a"i !e( !e( %hi) %hi) a)a& %e%&ai %e%&ai $engan !e(&bahan '*n$i%i !a%ien+ A%e%men A%e%men &"ang &"ang *"eh PPA PPA "ainn# "ainn#a a $i"a'%ana $i"a'%ana'an 'an %e%&ai %e%&ai '*n$i%i '*n$i%i !a%ien.
BAB I ASUHAN PASIEN PASIEN
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Pa%a" /3 A%&h A%&han an !a%i !a%ien en $i"a $i"a'& '&'a 'an n *"eh *"eh PPA PPA $an $an %)a %)a '"in '"ini% i% #ang #ang '*m!e)en $an be(enang. A%&h A%&han an !a%i !a%ien en $a!a $a!a)) be(& be(&!a !a &!a# &!a#a a !en, !en,eg egah ahan an-- !a"i !a"ia) a)i i-'&(a)i- a)a& (ehabi"i)a)i )e(ma%&' ane%)e%ia- )in$a'an be$ah!eng !eng*b *ba) a)an an-- )e(a )e(a!i !i %&!* %&!*() ()i i-- a)a& a)a& '*mb '*mbin ina% a%in in#a #a-- #ang #ang be($a%a('an ha%i" a%e%men $an a%e%men &"ang !a%ien. Pe"a'%an Pe"a'%anaan aan a%&han a%&han $an !e"a#a !e"a#anan nan ha(&% ha(&% $i'**($i $i'**($ina%i na%i'an 'an $an $iin)eg(a%i'an *"eh %em&a PPA- $an $a!a) $iban)& *"eh %)a '"ini% "ainn#a. Pa%ien Pa%ien $engan $engan ma%a"a ma%a"ah h 'e%eha)an 'e%eha)an $an $an 'eb&)&ha 'eb&)&han n !e"a#ana !e"a#anan n #ang %ama be(ha' men$a!a) a%&han #ang %ama>%e(agam $i (&mah %a'i).
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ha(i- %e)ia! mingg& a)a& %e)ia! a')&+ b. !en !engg& gg&naa naan n a" a"*'a *'a%i %i %&mbe( %&mbe( $a#a $a#a #an #ang g %a %amama- an)a(a an)a(a "ain "ain %)a '"in '"ini% i% $an !eme !eme(i'%a (i'%aan an $iag $iagn*%)i n*%)i' ' &n)& &n)&' ' meme memen&hi n&hi 'eb&)&han !a%ien !a$a !*!&"a%i #ang %ama+ c. !embe(ian a%&han #ang $ibe(i'an 'e!a$a !a%ien %ama $i %em&a &ni) !e"a#anan $i (&mah %a'i)+ $. !a%i !a%ien en $engan $engan 'eb&)& 'eb&)&han han a%&han a%&han 'e!e( 'e!e(aa) aa)an an #ang #ang %ama mene(i men e(ima ma a%& a%&ha han n 'e! 'e!e(a e(aa a)an )an #an #ang g %e) %e)a(a a(a $i %e" %e"&(& &(&h h (&mah %a'i)+ e. !e !ene ne(a (a!a !an n %e %e() ()a a !e !eng ngg& g&na naan an (e (eg& g&"a "a%i %i-- * *(m (m $a $an n (e (e'a 'am m me$i% #ang %ama $a"am a%&han '"ini% !a%ien.
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1. 5.
4.
Pa%a" // Pe"a#ana Pe"a #anan n $an a%&han a%&han be(*'& be(*'&% % !a$a !a%ien !a%ien $i)e(a! $i)e(a!'an 'an $a"am $a"am ben)&' !e"a#anan $an a%&han !a%ien )e(in)eg(a%i #ang be(%ia) in)eg(a%i h*(i8*n)a" $an ?e()i'a". Pe"a#ana Pe"a #anan>a%& n>a%&han han )e(in)eg )e(in)eg(a%i (a%i h*(i8*n) h*(i8*n)a" a" me"iba)'a me"iba)'an n '*n)(ib&%i '*n)(ib&%i PPA #ang %ama !en)ingn#a>%e$e(a9a). Pe"a# Pe" a#ana anan>a n>a%&h %&han an )e( )e(in in)eg )eg(a% (a%ii ?e( ?e()i' )i'a" a" me( me(&!a &!a'an 'an !e" !e"a#a a#anan nan be(9en9a be(9 en9ang ng *"e *"eh>me" h>me"a"&i a"&i be(b be(bagai agai &ni) !e"a !e"a#ana #anan n %am! %am!ai ai 'e )ing'a) !e"a#anan #ang be(be$a. Mana9e( Pe"a#anan Pa%ien @MPP be(!e(an $a"am mengin)eg(a%i'an !e"a#anan $an a%&han me"a"&i '*m&ni'a%i $engan !a(a PPA.
Pa%a" /1 Pe"a'%anaan Pe"a'%anaa n a%&han !a%ien )e(in)eg(a%i be(*'&% !a$a !a%ien $an men,a'&! e"emen %ebagai be(i'&): /. Ke)e("iba Ke)e("iba)an )an $an $an !embe($a !embe($a#aan #aan !a%ie !a%ien n $an 'e"&a( 'e"&a(ga+ ga+ 1. DPP DPP %eb %ebaga agaii Ke)&a Ke)&a )im PPA+ PPA+ 5. DPP DPP me"a'& me"a'&'an 'an '**($in '**($ina%i a%i a%&han a%&han in)e( in)e( PPA PPA $an be()&ga be()&ga% % $a"am a"am %e"& e"&(&h (&h a%e a%e a%&ha &han (a (aa) ina! !a%ien %ien %e( %e()a )e(i$en)ii'a%i $a"am (e'am me$i% !a%ien+ 4. Bi"a Bi"a '*n$ '*n$i% i%ii !a%i !a%ien en memb memb&) &)&h &h'a 'an n "ebi "ebih h $a(i $a(i / @%a) @%a)& & DPP DPP-$i)e)a!'an DPP U)ama+ 7. PPA PPA be'e(9a be'e(9a %ebagai %ebagai )im in)e($ in)e($i%i i%i!"i !"in n $enga $engan n be('*" be('*"ab ab*(a *(a%i %i %e,a(a in)e(!(*e%i*na"+ in)e(!(*e%i*na"+ 6. Pe(en,an Pe(en,anaan aan !em&"a !em&"angan ngan !a%ien !a%ien #ang #ang )e(in)eg( )e(in)eg(a%i+ a%i+ ;. A%&han A%&han gi8i gi8i #ang #ang )e(i )e(in)e n)eg(a g(a%i+ %i+ <. Pe(a Pe(an n MPP MPP $a"a $a"am m men$ men$*( *(*n *ng g !ene !ene(a (a!a !an n !e"a !e"a#a #ana nan n $an $an a%&han #ang )e(in)eg(a%i an)a( PPA.
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Pa%a" /5 /. Un)&' )&' men menghin ghin$ $a(i a(i !en !en&m! &m!&'an &'an $i &ni &ni) ga gaa) $a(& $a(&(a (a)) $i%e$ia'an (&ang )(an%i) (aa) ina!. 1. Peng Penge" e"*" *"aa aan n #ang #ang ee' ee')i )i )e(h )e(ha$ a$a! a! a"&( a"&( !a%i !a%ien en @%e! @%e!e( e()i )i !ene(i !ene(imaa maann- a%e%me a%e%men n $an )in$a )in$a'an 'an-- )(an% )(an%e( e( !a%ien !a%ien-- %e()a %e()a !em&"angan $i"a'%ana'an aga( $a!a) meng&(angi !en&n$aan a%&han 'e!a$a !a%ien. 5. K*m!*nen K*m!*nen $a(i !enge"*" !enge"*"aan aan a"&( a"&( !a%ie !a%ien n me"i!&)i me"i!&)i:: a. 'e)e( 'e)e(%e$ %e$ia iaan an )em!a )em!a)) )i$&( )i$&( (aa) (aa) ina!+ ina!+ b. !e(en !e(en,an ,anaan aan a%i"i a%i"i)a% )a% a"*'a a"*'a%i %i )em!a) )em!a)-- !e(a" !e(a"a)a a)ann- &)i"i) &)i"i)a% a%-)e'n* )e'n*"*g "*gii me$i%me$i%- $an 'eb&)& 'eb&)&ha han n "ain "ain &n)&' &n)&' men$&' men$&'&ng &ng !enem!a)an %emen)a(a !a%ien+ ,. !e(e !e(en, n,an anaa aan n )ena )enaga ga &n)& &n)&' ' meng mengha ha$a $a!i !i !en& !en&m! m!&' &'an an !a%ien $i bebe(a!a "*'a%i %emen)a(a $an a)a& !a%ien #ang )e()ahan $i &ni) $a(&(a)+ $. a"&( a"&( !a%ien !a%ien $i $ae(ah $ae(ah !a%ien !a%ien mene(im mene(ima a a%&hana%&han- )in$a'an )in$a'an-$an !e"a#anan @%e!e()i &ni) (aa) ina!- "ab*(a)*(i&m- 'ama( *!e(a%i- (a$i*"*gi- $an &ni) !a%,a0ane%)e%i+ e. ei% ei%ie ien% n%ii !e"a !e"a#a #ana nan n n*n' n*n'"i "ini ni% % !en& !en&n9 n9an ang g a%&h a%&han an $an $an )in$a'an )in$a'an 'e!a$a 'e!a$a !a%ien !a%ien @%e!e()i @%e!e()i 'e(&mah) 'e(&mah)angg anggaan aan $an )(an%!*()a%i+ . !embe(ian !e"a#anan 'e (aa) ina! %e%&ai $engan 'eb&)&han !a%ien+ g. a'%e% a'%e% !e"a#anan !e"a#anan #ang #ang be(%ia be(%ia)) men$&'&n men$&'&ng g @%e!e()i @%e!e()i !e'e(9 !e'e(9a a %*%ia"- 'eagamaan a)a& ban)&an %!i(i)&a"- $an %ebagain#a. %ebagain#a.
BAB III PENUNDAAN PELAYANAN PELAYANAN Pa%a" /4 /. A!abi"a A!abi"a )e(9a$i )e(9a$i !en&n$ !en&n$aan aan $an $an 'e"amba) 'e"amba)an an !e"a#an !e"a#anan an $i (aa) (aa) 9a"an ma&!&n ma&!&n (aa) ina! ha(&% ha(&% $i%am!ai'an $i%am!ai'an 'e!a$a !a%ien+ !a%ien+ 1. Pa%i a%ien $ibe( be(i )ah )ah& a"a%a "a%an n !en !en&n$a n$aan $an 'e"a e"amba mba)an )an !e"a#anan $an $ibe(i in*(ma%i )en)ang a")e(na)i #ang )e(%e$ia %e%&ai 'eb&)&han '"ini% !a%ien $an $i,a)a) $i (e'am me$i%.
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a%i"i)a% a%i"i)a% 'e%eha)an 'e%eha)an-- bai' !e(*(ang !e(*(angan an a)a&!&n a)a&!&n in%)i)&%i in%)i)&%i #ang be(a$a be(a$a $i '*m&ni)a% '*m&ni)a% $imana !a%ien be(a$a be(a$a #ang be()&9&an be()&9&an &n)&' membe(i'an 'e"an9&)an !e"a#anan a)a& a%&han+ 7. Ren, Ren,an ana a !em& !em&"a "ang ngan an !a%i !a%ien en $i"a $i"a'& '&'a 'an n !a$a !a$a !a%i !a%ien en #ang #ang (en,ana !em&"angann#a '*m!"e'%+ 6. Ren,an Ren,ana a !em&" !em&"ang angan an #ang '*m!"e '*m!"e'% '% $im&" $im&"ai ai %ege(a %ege(a %e)e"a %e)e"ah h !a%ien ma%&' (aa) ina!+ ;. K(i)e(ia K(i)e(ia !a%ien !a%ien #ang #ang !em&" !em&"anga angann#a nn#a '*m!" '*m!"e'% e'% a$a"ah: a$a"ah: a. Ba#i '&(ang '&(ang b&"an b&"an $enga $engan n be(a) be(a) ba$an ba$an "ahi( "ahi( (en$a (en$ah+ h+ b. Pa%ien Pa%ien &%ia &%ia "an9 "an9&) &) $enga $engan n $emen) $emen)ia+ ia+ ,. Pa%ien Pa%ien $engan $engan gangg&a gangg&an n m*bi"i)a m*bi"i)a% % %ehingga %ehingga )i$a' mam!& mam!& a)a& menga"ami 'e%&"i)an &n)&' a')i?i)a% 'e%eha(iann#a+ $. Pa%i Pa%ien en #ang ang ma%i ma%ih h meme meme(" ("& &'an 'an !e()* e()*""*ng *ngan &n)&' )&' me"an9&)'an )e(a!i a)a& !e(aa)an.
/.
1.
5. 4.
Pa%a" /6 Pa%ie Pa%ien n (aa) (aa) 9a"an 9a"an $engan $engan a%&han a%&han #ang '*m!"e '*m!"e'% '% a)a& #ang #ang $iagn*%i%n#a '*m!"e'% $i!e("&'an P(*i" Ring'a% Me$i% Raa) a"an @PRMR. Pa%ien Pa%ien (aa) (aa) 9a"an 9a"an #ang #ang meme( meme("&'a "&'an n PRMR PRMR a$a"ah a$a"ah:: a. Pa%ien Pa%ien $engan $engan $iagn*%i $iagn*%i% % #ang #ang '*m!"e'%+ '*m!"e'%+ b. Pa%ien Pa%ien $en $engan gan a%&h a%&han an #ang #ang '*m!"e '*m!"e'%. '%. Pen# Pen#im im!a !ana nan n be(' be('a% a% PRMR PRMR ha(& ha(&% % m&$a m&$ah h &n)& &n)&' ' $i,a $i,a(i (i 'emba"i+ Pe"a Pe"a'% '%an anaa aan n !emb !emb&a &a)a )an n PRMR PRMR $ie? $ie?a" a"&a &a%i %i aga( aga( $a!a $a!a)) memen&hi memen&hi 'eb&)&han 'eb&)&han !a(a DPP %e()a &n)&' &n)&' mening'a mening'a)'an )'an m&)& $an 'e%e"ama)an !a%ien.
BAB C PENOLAKAN ASUHAN MEDIS Pa%a" /; 1.
Pa%ien mem! Pa%ien mem!&n#a &n#aii ha' &n)&' mem membe(i be(i'an 'an !e(% !e(%e)&9 e)&9&an &an a)a& men* me n*"a "a' ' a) a)a% a% )i )in$ n$a' a'an an #a #ang ng a'an a'an $i $i"a "a'& '&'a 'an n *" *"eh eh )e )ena naga ga
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BAB CI RUUKAN Pa%a" /< /. R&9&'an R&9&'an $i"a'%a $i"a'%ana'a na'an n a)a% !e(%e)&9 !e(%e)&9&an &an !a%ien !a%ien a)a& a)a& 'e"&a(ga+ 'e"&a(ga+ 1. Pe(%e) Pe(%e)&9 &9&an &an %ebagai %ebagaiman mana a $ima'% $ima'%&$ &$ !a$a a#a) @/ @/ $ibe( $ibe(i'a i'an n %e)e"ah !a%ien $an>a)a& 'e"&a(gan#a men$a!a)'an !en9e"a%an $a(i )enaga 'e%eha)an #ang be(enang. be(enang. 5. Pen9e Pen9e"a% "a%an an %ebagai %ebagaiman mana a $ima' $ima'%&$ %&$ !a$a a#a) @1 %e'&( %e'&(ang ang00 '&(angn#a me"i!&)i: a. $ia iag gn* n*%i %i% % $an )e )e(a (a! !i $an an>a >a)a )a& & )i )in n$a' a'an an me$i $i% % #a #an ng $i!e("&'an+ b. a"a% a"a%an an $an )&9& )&9&an an $i" $i"a'&'a a'&'an n (&9&' (&9&'an+ an+ ,. (i%i (i%i'* '* #ang #ang $a!a) $a!a) )imb&" )imb&" a!abi" a!abi"a a (&9&'an (&9&'an )i$a' )i$a' $i"a'& $i"a'&'an+ 'an+ $. )(a )(an%! n%!*() *()a%i a%i (&9 (&9&'a &'an+ n+ $an e. (i (i%i %i'* '* a)a )a& & !e !en# n#&" &"i) i) #a #ang ng $a $a!a !a)) )i )imb mb&" &" %e %e"a "ama ma $a $a"a "am m !e(9a"anan.
Pa%a" /2 Ha"0ha" Ha"0 ha" #ang ha(& ha(&% % $i"a $i"a'&'a '&'an n %ebe %ebe"&m "&m me"a'&'a me"a'&'an n (&9&'an (&9&'an a$a"ah: a. me me"a "a'& '&'a 'an n !e !e() ()*" *"*n *nga gan n !e !e() ()am ama a $a $an> n>a) a)a& a& )i )in$ n$a' a'an an %)abi"i%a%i '*n$i%i !a%ien %e%&ai in$i'a%i me$i% %e()a %e%&ai $engan $en gan 'em 'emam! am!&an &an &n &n)&' )&' )&9 )&9&an &an 'e% 'e%e"a e"ama) ma)an an !a !a%ie %ien n %e"ama !e"a'%anaan (&9&'an+ b. me me"a "a'& '&'a 'an n '* '*m& m&ni ni'a 'a%i %i $e $eng ngan an !e !ene ne(i (ima ma (& (&9& 9&'a 'an n $a $an n mema%) mem a%)i'a i'an n bah baha a !e !ene( ne(ima ima (&9 (&9&'a &'an n $a! $a!a) a) men mene(i e(ima ma !a%ien $a"am ha" 'ea$aan !a%ien gaa) $a(&(a)+ $an ,. me memb mb&a &a)) %& %&(a (a)) !e !eng ngan an)a )a(( (& (&9& 9&'a 'an n &n &n)& )&' ' $i $i%a %am! m!ai ai'a 'an n 'e!a$a !ene(ima (&9&'an. Pa%a" 13 S&(a) !engan)a( (&9&'an %ebagaimana $ima'%&$ $a"am Pa%a"
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1. Se" e"am ama a !( !(* *%e% )( )(a an%! %!*( *()a )a%i %i (& (&99&'a 'an n a$ a$a a %)a )a #ang '*m!e '*m !e)en )en %e% %e%&ai &ai $e $enga ngan n '*n '*n$i $i%i %i !a !a%ie %ien n #an #ang g %e" %e"a"& a"& mem*ni)*( $an men,a)a)n#a $a"am (e'am me$i%+ 5. R& R&9& 9&'a 'an n $i $ian angg gga! a! )e )e"a "ah h )e )e(9 (9a$ a$ii a! a!ab abi" i"a a !a !a%i %ien en )e )e"a "ah h $i)e(ima *"eh !ene(ima (&9&'an.
Pa%a" 11 Pa%ien a)a& 'e"&a(ga $ibe(i !en9e"a%an a!abi"a (&9&'an #ang $ib&)&h'an )i$a' $a!a) $i"a'%ana'an.
BAB CII KETENTUAN PENUTUP Pa%a" 15 Pe(a)&(an inI m&"ai be("a'& !a$a )angga" $i)e)a!'an.
Di)e)a!'an $i Mem!aah !a$a )angga" Di(e')&( RSUD $( R&bini Mem!aah
$(. Da?i$ .P Siani!a(-M.Ke%
