RUMAH SAKIT UMUM
BUNDA Jalan Rajawali No 36 Jembrana – Bali Telp. (36!" #$!% &a' (36!"#)
SURAT KEPUTUSAN DIREKTUR RUMAH SAKIT UMUM BUNDA NOMOR: 149 /RSUB/ II /2015
TENTANG K*BIJAKAN AKS*S K* RUMAH SAKIT DAN K+NTINUITAS ,*-AANAN (ARK" ,ADA RUMAH SAKIT UMUM BUNDA
DIREKTUR RUMAH SAKIT UMUM BUNDA, Menimbn!
:
" B#$ %&m '() menin!*+*n m'+ m'+' (e&)n nn R'm# S* S*i+ Um'm B'n%, m* %i(e&'*n (en)e&en!!n *-e- *e R'm# S*i+ %n *.n+in'i+- (e&)nn (% R'm# S*i+ Um'm B'n% b" B#$ be%-*n (e+imbn!n -eb!imn %im*-'% (% #'' %i+-, m* (e&' mene+(*n *e('+'-n %ie*+' +en+n!
Men! Men!in in! !+
:
1" 2" 3" 4"
*-e- *e R'm# S*i+ %n *.n+in'i+- (e&)nn %i RSU B'n% Un%n n%n! !' 'n%n n%n! ! RI RI N. N." 29 29 T# T#' 'n 20 2004 +en+ +en+n n! ! P P*+ *+i* i* Ke% Ke%.*+e .*+e n n Un%n!'n% Un%n!'n%n! n! RI N." N." 3 3 T#'n T#'n 2009 +en+n! +en+n! Ke-e#+n Ke-e#+n Un%n!'n% Un%n!'n%n! n! RI N." 44 T#'n 2009 +en+n! +en+n! R'm# R'm# S*i+ Pe Pe+' +' n n Peme Pemei in+ n+# # N." N." 32 T#'n #'n 199 199 +en+ +en+n n! ! Ten Ten! !
Ke-e#+n 5" Pe+' Pe+'n n Men+ei Men+ei Ke-e#+n Ke-e#+n N." 001 T#' T#'n n 2012 2012 +en+n! +en+n! Si-+em Si-+em R''*n Pe&)nn Ke-e#+n Pe.n!n" " Pe Pe+' +' n n Men+ Men+e eii Ke-e Ke-e# #+ +n n N." N." 1436 1436/M /Men en*e *e-/ -/Pe Pe/ /I7 I7/2 /201 010 0 +en+n! S+n% Pe&)nn Ke%.*+en" 8" Pe+ Pe+' 'n n Men+ Men+ei ei Ke-e# Ke-e#+ +n n RI N." N." 290/ 290/Me Men* n*e-/ e-/Pe Pe/ /III III/2 /200 006 6
+en+n! Pe-e+''n Tin%*n Ke%.*+en 6" Pe+'n Men+ei Ke-e#+n RI N." 191/Men*e-/Pe/III/2011 +en+n! Ke-e&m+n P-ien R'm# S*i+ 9" Pe+'n Men+ei Ke-e#+n N.m. 29 / Men*e- / Pe/III/2006 +en+n! Re*m Me%i- 10" Ke('+'-n Men+ei Ke-e#+n N." 634/Men*e-/SK/II/2010 +en+n! Hi!# e Uni+ 11" Ke('+'-n Men+ei Ke-e#+n N." 65/Men*e-/SK/I7/2009 +en+n! S+n% In-+&-i G$+ D'+;IGD< R'm# S*i+ %n 12" Ke('+'-n Men+ei Ke-e#+n N." 662/Men*e-/SK/7/2009 +en+n! Pe%.mn Penn!nn E=*'-i Me%i*"
M*MUTUSKAN
Mene+(*n
Pe+m
:
Mene+(*n *-e- *e R'm# S*i+
%n *.n+in'i+- (e&)nn (%
R'm# S*i+ Um'm B'n% -eb!i mn +e>n+'m %&m &m(in
*e('+'-n ini
Ke%'
:
Ke+i!
:
Pembinn %n (en!$-n (en)e&en!!n *-e- *e R'm# S*i+ %n *.n+in'i+- (e&)nn (% R'm# S*i+ Um'm B'n% %i&*-n*n .&e# Die*-i R'm# S*i+ Um'm B'n%" Ke('+'-n ini m'&i be&*' -e* +n!!& %i+e+(*n"
Di+e+(*n %i : ?embn P% +n!!& : 5 @eb'i 2015 Die*+' RSU B'n%
%"De$ Ge%e Si%n A%#n NIK" 1951009"201501"1"001
AMPIRAN 1
KEPUTUSAN DIREKTUR RUMAH SAKIT UMUM BUNDA TANGGA
: 5 @eb'i 2015
NOMOR
: 149 /RSUB/ II /2015
TENTANG
: KEBI?AKAN AKSES KE RUMAH SAKIT DAN KONTINUITAS PEAANAN PADA RUMAH SAKIT UMUM BUNDA
A" PENARINGAN DAN PEMIAHAN (SKRINING DAN TRIASE) PASIEN 1" S*inin! %i&*'*n (% *.n+* (e+m %i %&m +' %i&' 'm# -*i+ 2" S*inin! %i&*'*n me&&'i *i+ei +i-e, e=&'-i =i-'& +' (en!m+n, (emei*-n i-i* +' #-i& %i (emei*-n i-i*, &b.+.i'm *&ini* +' %i!n.-+i* imn!in!" 3" H-i& -*inin! menen+'*n *eb'+'#n (-ien -e-'i %en!n mi-i %n -'mbe %) 'm# -*i+" 4" Pemei*-n -*inin! membn+' -+ 'n+'* (emi&i#n (e&)nn, (enen+'n (i.i+*eb'+'#n (-ien +e*i+ (e&)nn (e=en+i, *'+i, e#bi&i++i %n (&i+i" 5" S*inin! %i&en!*(i %en!n +e- %i!n.-+i* %n +n!!'n! $b 'n+'* memb'+ *e('+'-n (-ien %i+eim +' %i''*" " Te- %i!n.-+i* -+n% )n! %i(e&'*n -ebe&'m (eneimn (-ien %&# Pemei*-n b.+.i'm D# en!*(, Uine en!*(, G'& D# Se$*+', B&ee%in! Time, &.++in! Time, Ue'm, e+inin, SGOT, SGPT, Bi&i'bin T.+&, Bi&i'bin Die*, Ci%&, S+'-i O*-i!en, EKG, R%i.&.!i, Di!n.-+i* Im!in! -e-'i in%i*-i *-'- -e+ (emei*-n (en'nn! %i!n.-+i* &in -e-'i (e+'n'* DP?P" 8" P-ien #n) %i+eim (bi& 'm# -*i+ %(+ men)e%i*n (e&)nn )n! %ib'+'#*n (-ien $+ in( %n $+ &n )n! +e(+" 6" R'm# -*i+ men!!'n*n (.-e- +i!e beb-i- b'*+i 'n+'* mem(i.i+-*n (-ien -e-'i %en!n *e!$+nn)" 9" Bi& +e&# %ii%en+ii*-i -e-e!e m'n!*in %i(ei*- %n men%(+ -'#n" 10" Ti!e %i*+e!.i*n %en!n $n -e-'i +in!*+ *e!$+%'+nn) )i+' Me# 'n+'* !$+ %'+ men%(+ (i.i+- (en!.b+n, K'nin! 'n+'* !$+ +i%* %'+ bi- men'n!!' (en!.b+n, #i' 'n+'* +i%* !$+ +i%* %'+ (% *-'- in!n -e+ #i+m 'n+'* (-ien )n! -'%# menin!!& +' +i%* bi- %i-e&m+*n &!i" B" PENUNDAAN / KETERAMBATAN PEAANAN DAN PENGOBATAN 1" Pe+'!- membei*n in.m-i *e(% (-ien $+ &n %n $+ in( (bi& *n +e%i (en'n%n (e&)nn %i!n.-i- %n (en!.b+n" 2" P-ien %ibei*n in.m-i +en+n! &+en+i )n! +e-e%i -e-'i %en!n *e(e&'n *&ini* mee*" 3" In.m-i %i%.*'men+-i*n %&m e*m me%i-"
" PENDA@TARAN PASIEN DAN PEAANAN ADMISSION
1" 2" 3" 4"
Men!+' +en+n! (en%+n (-ien $+ &n +' (.-e- %mi-i $+ in( A%mi-i &n!-'n! %i (e&)nn !$+ %'+ *e 'ni+ $+ in(" A% (.-e- men#n (-ien 'n+'* *e(e&'n .b-e=-i Pen!e&.&n (-ien bi& -i&i+- $+ in( +eb+- +' -m -e*&i +i%* % +em(+
+i%' )n! +e-e%i 'n+'* me$+ (-ien %i 'ni+ )n! %i+''" 5" P-ien %n *e&'!n) %ibei*n in.m-i )n! >'*'( (% $*+' %mi-i 'n+'* memb'+ *e('+'-n be*enn %en!n m*-'% %n +''n (e&)nn )n! %in'*n, #-i& (e&)nn )n! %i#(*n, (e*in bi)" " In.m-i %i%.*'men+-i*n %&m e*m me%iD" PENGEOAAN AUR PASIEN DI SEURUH BAGIAN RUMAH SAKIT 1" Men!e&.& &' beb!i (-ien -e&m men&ni -'#nn) m-in!m-in! men%i -n!+ (en+in! 'n+'* men>e!# (en'm('*n )n! -e&n'+n) men!!n!' $*+' (e&)nn %n *#in) '! be(en!'# +e#%( *e-e&m+n (-ien" 2" Pen!e&.&n )n! ee*+i +e#%( &' (-ien ; -e(e+i (eneimn, -e-men, %n +in%*n, +n-e (-ien, -e+ (em'&n!n< %(+ men!'n!i (en'n%n -'#n *e(% (-ien" 3" Di&*'*n e=&'-i +e#%( (en!+'n &' (-ien -e> be*& %n me&*-n*n '() (ebi*n" E" PENERIMAAN ATAU TRANS@ER PASIEN KE DAN DARI UNIT PEAANAN INTENSI@ 1" Peneimn +' +n-e (-ien *e %n %i 'ni+ (e&)nn in+en-i +' (e&)nn *#'-'- %i+en+'*n %en!n *i+ei )n! +e&# %i+e+(*n" 2" S+ %i&+i# 'n+'* men!!'n*n *i+ei"
@" KONTINUTAS PEAANAN 1" A%n) *e-inmb'n!n %n *..%in-i (e&)nn %in+ (.e-i.n& (embei -'#n ;PPA< , mn!e (e&)nn (-ien ;MPP<, (im(inn 'ni+ %n -+ &in -e-'i %en!n e!'&-i 'm# -*i+ 2" Pen'n'*n MPP %en!n
'in +'!- n+ &in %&m
*.n+e*-
men!
*e-inmb'n!n %n *..%in-i (e&)nn bi in%i=i%' (-ien me&&'i *.m'ni*-i %n *e-m %en!n PPA %n (im(inn 'ni+ 3" Ke-inmb'n!n %n *..%in-i (.-e- (e&)nn %i%'*'n! %en!n men!!'n*n (en!*+ (en%'*'n! -e(e+i en>n -'#n PPA, +' >++n MPP"
4" Pene+(n D.*+e Penn!!'n! ?$b P-ien ;DP?P< -eb!i +em &e%e )n! me&*'*n *..%in-i -'#n in+e PPA %n be+'!- %&m -e&''# -e -'#n $+ in( 5" Bi& *.n%i-i/(en)*i+ (-ien memb'+'#*n &ebi# %i -+' DP?P, %i+e+(*n DP?P '+m )n! be(en -eb!i *..%in+. m'+' %n *e-e&m+n (-ien n+ DP?P %n PPA, +em-'* bi& +e%i (e(in%#n DP?P +' (e!n+in DP?P '+m
G" TRANS@ER PASIEN ANTAR UNIT PEAANAN DAN RU?UKAN PASIEN 1" Tn-e (-ien n+ 'ni+ (e&)nn %i %&m 'm# -*i+ %i&en!*(i %en!n .m +n-e (-ien" 2" @.m +n-e mem'+ in%i*-i (-ien %i$+, i$)+ *e-e#+n, (emei*-n i-i-, (emi*-n %i!n.-+i*, %i!n.-i-, .b+ )n! %ibei*n %n -em' (.-e%' )n! %i&*'*n %n *e%n (-ien -+ %i(in%#" 3" P-ien %i''* be%-*n *.n%i-i %n *eb'+'#n 'n+'* (e&)nn be*e&n'+n" 4" Sebe&'m %i''* %i&*'*n (.-e%' (en!&i#n +n!!'n! $b *e 'm# -*i+ (eneim" 5" A% (e+'!- )n! *.m(e+en )n! be+n!!'n!$b -e&m (.-e- ''*n -e+ me&en!*(i (e&+n -e&m +n-(.+-i " R'm# -*i+ (eneim %(+ men)e%i*n *eb'+'#n (-ien )n! )n! *n %i''*" 8" A% *e-m e-mi %en!n 'm# -*i+ ''*n 6" R'm# -*i+ (eneim %ibei*n e-'me +e+'&i- )n! bei-i : *.n%i-i *&ini- (-ien, (.-e%' %n (emei*-n )n! +e&# %i&*'*n %n *eb'+'#n (-ien *n (e&)nn &ebi# &n'+ 9" S+ )n! mm(' +e'- mem.ni+. *.n%i-i (-ien" 10" S+ %i&+i# +en+n! ++&*-n +n-e (-ien 11" D.*'men+-i ''*n men>*'( nm 'm# -*i+ +''n, nm -+ )n! men)e+''i (eneimn (-ien, nm (en%m(in!, %.*+e )n! me''*, (en)+n (e-e+''n (-ien/*e&'! 'n+'* %i''*, &-n ''*n, *.n%i-i *#'-'-, in.m-i me%i-, (e'b#n *.n%i-i (-ien -e&m (.-e- ''*n"
H" PEMUANGAN PASIEN 1" Pem'&n!n (-ien be%-*n -++'-
*e-e#+n %n
*eb'+'#n
(e&)nn
-e&n'+n)" 2" R'm# -*i+ memb'+ en>n (em'&n!n ;discharge planning < %im'&i -e* $& (-ien m-'* $+ in( me&ib+*n -em' PPA +e*i+ -e+ %i-i&i+-i .&e# MPP,
'n+'* *e-inmb'n!n -'#n -e-'i %en!n *.n%i-i *e-e#+n %n *eb'+'#n (e&)nn (-ien 3" DP?P )n! be+n!!'n! $b +- (e&)nn (-ien %n #'- menen+'*n *e-i(n (-ien )n! %i('&n!*n" 4" A% *i+ei (em'&n!n (-ien" 5" Ke&'! %i&ib+*n %&m (.-e- me''* m'('n mem'&n!*n" " P-ien +i%* %i(e*enn*n menin!!&*n 'm# -*i+ -e&m %&m (.-e (en!.b+n" 8" R'm# -*i+ be*e-m %en!n -i&i+- *e-e#+n bi* (e.n!n +'('n in-+i+'-i )n! be% %i *.m'ni+- %imn (-ien be% )n! be+''n 'n+'* membei*n bn+'n (e&)nn"
I"
RESUME PEAANAN MEDIS PASIEN PUANG DAN RACAT ?AAN 1" Re-'me me%i- %ib'+ .&e# DP?P -ebe&'m (-ien ('&n! %i 'm# -*i+" 2" A(bi& (-ien be&'m %i -e-men .&e# DP?P m* e-'me ('&n! %ib'+ .&e# %.*+e 'm'm )n! be+'!- -+ i+'" 3" S&inn e-'me me%i- %ibei*n *e(% (-ien -ebe&'m ('&n! m'('n %i''*" 4" Re-'me (-ien ('&n! #'- %i&en!*(i %n %im-'**n *e e*m me%i- (-ien %&m *''n $*+' 124 m -e+e&# (-ien ('&n!" 5" Re-'me (-ien bei-i < &-n m-'* 'm# -*i+, b<(enem'n *e&inn i-i* %n &inn) )n! (en+in!, >< (.-e%' %i!n.-i- %n (en!.b+n )n! +e&# %i&*'*n, %< (embein me%i*men+.- %n (embein .b+ $*+' ('&n!, e< -++'-/*.n%i-i (-ien $*+' ('&n!, < in-+'*-i .&&.$ '(/+in%* &n'+" " Re*m me%i- (-ien $+ &n men>*'( e-'me me%i- $+ &n )n! bei-i : %i!n.-i- )n! (en+in!, &e!i +e#%( .b+, me%i*men+.- -e*n!, (.-e%' be%# )n! &&', i$)+ (e$+n )n! &&'" 8" Un+'* (-ien $+ &n )n! memb'+'#*n -'#n )n! *.m(&e*- +' %i!n.-i)n! *.m(&e*- %ib'+ >++n +e-en%ii (.i& Rin!*- Me%i- R$+ ?&n ;PRMR?< %n +e-e%i 'n+'* PPA, %imn PRMR? ini m'%# %i+e&'-'" 6" R'm# -*i+ mene+(*n >i+ei (-ien $+ &n %en!n -'#n )n! *.m(&e*+' )n! %i!n.-in) *.m(&e*- %i(e&'*n PRMR?
?" PENOAKAN PEAANAN DAN PENGOBATAN
1. R'm# -*i+ mene+(*n (.-e- 'n+'* men!e&.& (-ien $+ &n %n $+ in( )n! men.&* en>n -'#n me%i- +em-'* *e&' 'm# -*i+ +- (emin+n -en%ii +' +n( (embei+'n /me&i*n %ii" 2. Membei+#'*n #* (-ien %n *e&'! 'n+'* men.&* +' +i%* me&n'+*n (en!.b+n" 3. Membei+#'*n +en+n! *.n-e*'en-i, +n!!'n! $b be*i+n %en!n *e('+'-n +e-eb'+ %n +e-e%in) &+en+i=e (e&)nn %n (en!.b+n" 4. Membei+#'*n (-ien %n *e&'!n) +en+n! men!#.m+i *ein!inn %n (i&i#n (-ien 'n+'* men.&* (e&)nn e-'-i+-i +' membe#en+i*n (en!.b+n bn+'n #i%'( %- (Do No Res!siciae)
K" TRANSPORTASI 1" Tn-(.+-i mi&i* 'm# -*i+, #'- -e-'i %en!n #'*'m %n (e+'n )n! be&*' be*enn %en!n (en!.(e-in, *.n%i-i %n (eme&i#n" 2" P.-e- Tn-(.+-i (-ien -e-'i %en!n *eb'+'#nn) )n! me&i('+i -e-men *eb'+'#n +n-(.+-i, .b+, b#n me%i- #bi- (*i, -e+ &+ *e-e#+n %n (e&+n me%i- -e-'i %en!n *eb'+'#n (-ien 3" Sem' *en%n )n! %i(e!'n*n 'n+'* +n-(.+-i, %i&en!*(i %en!n (e&+n )n! mem%i, (ebe*&n %n me%i*men+.- -e-'i %en!n *eb'+'#n (-ien )n! %ib$, +em-'* memen'#i (e-)+n PPI 4" Bi& &+ +n-(.+-i )n! %i!'n*n +e*.n+min-i >in +'b'# (-ien +' (-ien %en!n (en)*i+ men'& #'- %i&*'*n (.-e- %e*.n+min-i 5" R'm# S*i+ memb'+ me*ni-me 'n+'* menn!ni *e&'#n (.-e- +n-(.+-i %&m ''*n"
Di+e+(*n %i : ?embn P% Tn!!& : 5 @eb'i 2015 Die*+' RSU B'n%
%" De$ Ge%e Si%n A%#n NIK" 1951009"201501"1"001