SK DPJP

KEPUTUSAN DIREKTUR RSUD DOKTER SOESELO KABUPATEN KABUPATEN TEGAL NOMOR : 449 / / 2011

TENTANG DOKTER PENANGGUNG PENANG GUNG JAWAB JAWAB PELAYANAN PELAYANAN PADA RSUD DOKTER SOESELO SOES ELO KABUPATEN KABUPATEN TEGAL

DIREKTUR RSUD DOKTER SOESELO KABUPATEN KABUPATEN TEGAL

Menim!n"

:

!# !$%! "&n! 'e(!n)!*!n +!n ,enin"'!-!n ,e(!.!n!n 'ee$!-!n 'e,!+! m!.!*!'!- ,e*(& !+!n.! D'-e* Pen!n""&n" J!%! Pe(!.!n!n ,!+! RSUD D'-e* See( K!&,!-en Te"!( Te"!( # !$%! ,!*! Pe"!%!i .!n" n!m!n.! -e*)!n-&m +!(!m (!m,i*!n 'e,&-&!n ini memen&$i .!*!- &n-&' me(!'!n!'!n -&"! +im!'&+ )# !$%! !$%! &n-&' &n-&' m!'&+ m!'&+ -e*e -e*e&&- $&*& $&*& ! +!n  ,e*(& ,e*(& +i-e-!, +i-e-!,'!n '!n +en"!n +en"!n Ke,&-&!n Di*e'-&* RSUD RSUD D'-e* See( K!&,!-en Te"!(# Te"!(#

Men"in"!-

:

1# Un+!n"3&n+!n" Nm* 1 T!$&n 1950 -en-!n" Pemen-&'!n D!e*!$3 +!e*!$ K!&,!-en +i Lin"'&n"!n P*,ini J!%! Ten"!$ Ten"!$ 2# Un+!n"3 Un+!n"3Un+! Un+!n" n" Nm* Nm* 6 T!$&n T!$&n 2009 -en-!n -en-!n" " Kee$!-! Kee$!-!n n 7Lem! 7Lem!*!n *!n Ne"!*! Ne"!*! Re,&( Re,&(i' i' In+nei! In+nei! T!$& T!$&n n 2009 Nm* Nm* 144 T!m!$! !$!n Lem!*!n Ne"!*! Re,&(i' In+ne nei! nm* 506 8Un+!n"3&n+!n" Nm* 2 T!$&n 1992 -en-!n" Kee$!-!n # Un+! Un+!n" n"33&n+! &n+!n" n" nm nm* 44 -!$&n !$&n 2009 2009 -en-en-!n !n" " R&m! R&m!$ $ S!'i S!'i-7Lem!*!n 7Lem!*!n Ne"!*! Ne"!*! Re,&(i' Re,&(i' In+nei! In+nei! T!$&n T!$&n 2009 Nm* 15  T!m!$!n Lem!*!n Ne"!*! Re,&(i' Re,&(i' In+nei! Nm* 5028  4# Pe*!-& Pe*!-&*!n *!n Peme*in Peme*in-!$ -!$ Nm* Nm*  T!$&n 19;6 -en-!n" -en-!n" Pe*&!$ Pe*&!$!n !n B!-! Wi(!.!$ K-!m!+.! D!e*!$ Tin"'!- II Te"!( +!n K!&,!-en D!e*!$ Tin"'!- II Te"!( 5# Ke,& Ke,&-& -&! !n n P*e P*ei+ i+en en Nm Nm** 40 T!$&n !$&n 2001 2001 -en-en-!n !n" " Pe+ Pe+m m!n Ke(em!"!!n +!n Pen"e((!!n R&m!$ S!'i- D!e*!$ 6# Ke,& Ke,&-& -&! !n n MenMen-e* e*ii D!(!m D!(!m Ne"e Ne"e*i *i Nm Nm** 1 T!$&n !$&n 2002 2002 -en-en-!n !n" " Pe+m!n S&&n!n O*"!ni!i +!n T!-! T!-! Ke*
MEMUTUSKAN Mene-!,'!n

:

Ke,&-&!n Di*e'-&* RSUD D'-e* See( K!&,!-en Te"!( -en-!n" D'-e* Pen!n""&n" J!%! Pe(!.!n!n 7DPJP8#

PERTAMA

:

Ke(m,' S-! Me+i >&n"in!( 7SM>8 +ie*i %e%en!n" mene-!,'!n D'-e* Pen!n""&n" J!%! Pe(!.!n!n 7DPJP8 'ei
KEDUA

:

U*!i!n T&"! D'-e* Pen!n""&n" J!%! Pe(!.!n!n 7DPJP8 RSUD D'-e* See( K!&,!-en Te"!( e!"!im!n! -e*)!n-&m +!(!m (!m,i*!n 1 Ke,&-&!n ini

KETIGA

:

D!(!m $!( *!%!- e*!m! )!'&,!n ,e(!.!n!n e*!n" DPJP !+!(!$ e&!i +en"!n i+!n"/'e!$(i!n/'m,e-enin.! mi!(n.! DPJP men"e((! e*!n" ,!ien ,en.!'i- +!(!m i(! ,!ien -e*e&- +i'n&('!n &n-&' m!!(!$ ,en.!'i- +ii+!n" e+!$ m!'! !+! DPJP (!in .!n" men"e((! !&$!n e+!$ !"i ,!ien -e*e&- e$in""! $!*& !+! DPJP &-!m! e!"!i '*+in!-*

KEEMPAT

:

DPJP U-!m! e!"!i '*+in!-* !+!(!$ +'-e* .!n" ,e*-!m! '!(i me*!%!- ,!ien ee(&m +i'n&('!n

KELIMA

:

>*m&(i* *en)!n! ,e(!.!n!n (e$ DPJP -en-!n" >&n"i3&n"i D'-e* Pen!n""&n" J!%! Pe(!.!n!n 7DPJP8 RSUD D'-e* See( K!&,!-en Te"!( e!"!im!n! -e*)!n-&m +!(!m (!m,i*!n 2 Ke,&-&!n ini

KEENAM

:

Se"!(! i!.! .!n" -im&( e!"!i !'i!- +i-e-!,'!nn.! Ke,&-&!n ini +ie!n'!n ,!+! An""!*!n RSUD D'-e* See( K!&,e-en Te"!(#

KETUJU?

:

Ke,&-&!n ini m&(!i e*(!'& e
Di-e-!,'!n +i : S(!%i P!+! -!n""!( : Se,-eme* 2011

DIREKTUR RSUD DOKTER SOESELO KABUPATEN TEGAL

B A H A ‘ U DD I N

TEMBUSAN : Ke,!+! Y-$# 1# Ke-&! Kmi-e Me+i RSUD D'-e* See( K!# Te"!( 2# P!*! Pe
LAMPIRAN 1 : Ke,&-&!n Di*e'-&* RSUD D'-e* See( K!# Te"!( Nm* : 449 / / 2011 T!n""!( : M!*e- 2011

DOKTER PENANGGUNG JAWAB PELAYANAN (DPJP) PADA RSUD DOKTER SOESELO KABUPATEN TEGAL NO 1 2  4 5 6  ; 9 10 11 12 1 14 15 16 1 1; 19 20 21 22 2 24 25 26 2 2; 29 0 1 2  4 5 6 

NAMA D*# T*i K&n!)$*. Ue* S,#S D*# S*i S&"i!*-i S,#KK D*# >!
TANGGUNG JAWAB PELAYANAN Pe(!.!n!n ,en.!'i- Te(in"! ?i+&n" @ Ten""*'!n Pe(!.!n!n ,en.!'i- M!-! Pe(!.!n!n ,en.!'i- e+!$ Pe(!.!n!n ,en.!'i- e+!$ Pe(!.!n!n ,en.!'i- e+!$ -&(!n" Pe(!.!n!n ,en.!'i- +!(!m Pe(!.!n!n ,en.!'i- +!(!m Pe(!.!n!n ,en.!'i- +!(!m Pe(!.!n!n ,en.!'i- ,!*& Pe(!.!n!n !ne-ei Pe(!.!n!n !ne-ei Pe(!.!n!n ,en.!'i- Kei+!n!n @ K!n+&n"!n Pe(!.!n!n ,en.!'i- Kei+!n!n @ K!n+&n"!n Pe(!.!n!n ,en.!'i- Kei+!n!n @ K!n+&n"!n Pe(!.!n!n ,en.!'i- .!*! Pe(!.!n!n ,en.!'i- '&(i- @ 'e(!min Pe(!.!n!n ,en.!'i- !n!' Pe(!.!n!n ,en.!'i- !n!' Pe(!.!n!n ,en.!'i- !n!' Pe(!.!n!n ,en.!'i- +!(!m Pe(!.!n!n ,en.!'i- 'ee$!-!n


LAMPIRAN 1 :

Ke,&-&!n Di*e'-&* RSUD

D'-e* See( K!# Te"!( Nm* : 449 / / 2011 T!n""!( : Se,-eme* 2011

URAIAN TUGAS DOKTER PENANGGUNG JAWAB PELAYANAN (DPJP) PADA RSUD DOKTER SOESELO KABUPATEN TEGAL

1# Me(!'&'!n *!n"'!i!n !&$!n me+i .!n" (en"'!, me(i,&-i: Peme*i'!!n me+i -e*$!+!, ,!ien &n-&' ,ene"!'!n +i!"ni Me*en)!n!'!n +!n meme*i'!n -e*!,i +!n ,en"!-!n Me(!'&'!n -in+!' (!n<&-/((% &, Me(!'&'!n *e$!i(i-!i ,!ien 7
# Be*'*+in!i +en"!n DPJP S,ei!(i (!in +!(!m $!( ,en!n"!n!n ,!ien *!%!- e*!m! &n-&' meme*i'!n 'n&(-!i 'e,!+! ,!ien 4# Meme*i'!n ,en


LAMPIRAN 2 :

Ke,&-&!n Di*e'-&* RSUD D'-e* See( K!# Te"!( Nm* : 449 / / 2011

T!n""!(

:

Se,-eme* 2011

FORMULIR RENCANA PELAYANAN OLEH DPJP TENTANG FUNGSI-FUNGSI DOKTER PENANGGUNG JAWAB PELAYANAN (DPJP) PADA RSUD DOKTER SOESELO KABUPATEN TEGAL

Kete!"#!"

No.

Y!

1#

Meme*i'!n ,en
2#

,e(!.!n!n Meme*i'!n ,en
#

,en"!-!n Meme*i'!n ,en
4#

,e(!.!n!n ,!ien Meme*i'!n ,en
5# 6# #

+i$!*!,'!n +!n -i+!' +i$!*!,'!n# Meme*i in*m!i -en-!n" 'e%!
N!m! P!ien

CCCCCCCC#

S(!%i CCCCCC## D'-e* Pen!n""&n" J!%! Pe(!.!n!n

CCCCCCCCCCCCCCC



T$%!&

FORMULIR DPJP TENTANG FUNGSI-FUNGSI DOKTER PENANGGUNG JAWAB PELAYANAN (DPJP) PADA RSUD DOKTER SOESELO KABUPATEN TEGAL

Kete!"#!"

No.

Y!

1#

Meme*i'!n ,en
2#

#

4#

5#

T$%!&



KOP STANDAR RM

FORMULIR RENCANA PELAYANAN OLEH DPJP TENTANG FUNGSI-FUNGSI DOKTER PENANGGUNG JAWAB PELAYANAN (DPJP) PADA RSUD DOKTER SOESELO KABUPATEN TEGAL

No.

Kete!"#!"

Y!

T$%!&

1#

Meme*i'!n ,en
2#

#

4#

5# 6# #

N!m! P!ien

CCCCCCCC#

S(!%i CCCCCC## D'-e* Pen!n""&n" J!%! Pe(!.!n!n

CCCCCCCCCCCCCCC

LAMPIRAN 1 : Ke,&-&!n Di*e'-&* RSUD D'-e* See( K!# Te"!( Nm* : 449 / / 2011 T!n""!( : ; A"&-& 2011

LAMPIRAN 2 : Ke,&-&!n Di*e'-&* RSUD D'-e* See( K!# Te"!( Nm* : 449 / / 2011 T!n""!( : ; A"&-& 2011

LAMPIRAN  : Ke,&-&!n Di*e'-&* RSUD D'-e* See( K!# Te"!( Nm* : 449 / / 2011 T!n""!( : ; A"&-& 2011

; A"&-& 2011

; A"&-& 2011

SK DPJP

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