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Halaman 1/3 Di!e!a"kan Ke"ala UPT Ruma# Saki! Kus!a Sumerglaga#

1 Juli 2014

$r% & UDIASTUTI KUSHARJUNI S"%KK NIP. 19590625 198711 2 001 PENGERTIAN

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"a 'a)&ai &a'ie &ulag "a(i Ru)a% a#it eig#at#a #$tiuita' "a) #ualita' &e(a-ata 'e(ta &eg$ata

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Ruma# Saki! Kus!a Sumerglaga#

ASSES'EN A(AL PASIEN RA(AT JALAN U'U' No Dokumen 445/49/101.14/PF/2014

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2. a#u#a &($'e' '#(iig "a a'e')e a-al ata(a lai  1 ele#'i &a'ie e("a'a(#a #elu%a "a #$"i'i &a'ie 2 tu# &a'ie ga-at "a(u(at a(a%#a #e (uag G 3 tu# &a'ie !ag ti"a# ga-at "a(u(at a(a%#a #e &$li tuua 'e'uai "ega #elu%a "a &e!a#it &a'ie 3. A(a%#a &a'ie utu# )ela#u#a &e"a+ta(a #e Te)&at Pe"a+ta(a Pa'ie TPP. 4. a#u#a :e(i+i#a'i i"etita' &a'ie "i'e'uai#a "ega 'tatu' (e#a) )e"i'!a 'aat &a'ie 'a)&ai "i(uaga &e)e(i#'aa $le% "$#te( / &e(a-at / i"a 5. K$la$(a'i ata(a $#te( "a &e(a-at / i"a utu# )ela#u#a a''e')e a-al &a"a &a'ie !ag "atag e($at. 6. a#u#a a'e')e a-al e("a'a( u'ia / #el$)&$# / #a'u' &e!a#it &a'ie "ega )egi'i )ii)al AP !ag e(etu# a(a'i 7. a#u#a (uu#a #e &e)e(i#'aa &euag lai ila "i&e(lu#a 8. Tetu#a "iag$'i' &a'ie e("a'a(#a a'e')e, uat (e;aa "a ti"a#a )e"i' / #e&e(a-ata !ag "i'u'u e("a'a(#a '#ala &(i$(ita' )ulai "a(i &eilaia #ea"aa u)u) &a'ie, &e)e(i#'aa +i'i# "a te(a#%i( &e)e(i#'aa &euag utu# )eetu#a &e)e(ia te(a&i, ti"a#a atau &ela!aa 'elaut!a, ila &e(lu #$la$(a'i "ega teaga #e'e%ata lai "$#te( '&e'iali' lai atau a%li gi

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utu# (a-at ia& atau lauta 11. K%u'u' &a"a &a'ie !ag a#a )ela#u#a atau )e)e(lu#a ti"a##a

&e)e"a%a "a

ae't%e'i,

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a'e')e )e"i' a-al 'eelu) ti"a##a ae't%e'i "a e"a% "ila#u#a "i le)a( &e('etuua ti"a#a "i (e#a) )e"i' / le)a( (e;aa &ela!aa "a ;atata &ela!aa 12. Tuli'#a %a'il a'e')e )e"i' a-al "i 'tatu' &a'ie (a-at ala )elalui 'i'te) I R "i#e(a#a $le% "$#te( 13. A&aila &a'ie &e(lu "i(a-at ia&#a "ega ti"a# ga-at "a(u(at )a#a &e(a-at / i"a )ela#u#a a'e')e a-al #e&e(a-ata "a )e"$#u)eta'i#a "i I R, &eg#aia #e&e(a-ata, &e)e(i#'aa e("a'a(#a u'ia / #el$)&$# / #a'u' &e!a#it &a'ie !ag te("i(i "a(i ta"a*ta"a :ital, &eg#aia !e(i, &eg#aia atu% "a (i-a!at #e'e%ata, utu# #a'u' #ei"aa / #a"uga a'e')e a-al 'a)&ai "ega (i-a!at #ei"aa 14. ila &a"a &eg#aia !e(i "i"a&at#a '#ala !e(i  (iga, 'e"ag atau %eat  )a#a la#u#a ite(:e'i "a i)&le)eta'i 'e'uai

"ega

&a"ua

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"i"$#u)eta'i#a "i I R 15. $#u)eta'i#a a'e')e )e"i' "a #e&e(a-ata a-all, "a 'ele'ai#a )a#'i)al 24 a) 'etela% &a'ie )a'u# (u)a% 'a#it, ila "i(a-at ia&#a atau lei% ;e&at lei% ai# #a(ea #$"i'i &a'ie 16. A&aila &a'ie &e(lu "i(uu# "a &a'ie ti"a# "ala) #$"i'i ti"a# ga-at "a(u(at, e(i#a 'u(at (uu#a !ag "iuat $le% NIT TERKAIT

"$#te( #e Ru)a% a#it !ag 'e'uai "ega &e!a#it &a'ie 1. PKJA FNGINA 2. REKA EI 3. RA=AT JAAN 


ASSES'EN A(AL PASIEN RA(AT JALAN KUSTA No Dokumen 445/50/101.14/PF/2014 Tanggal Teri!

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KEIJAKAN

2.


3.




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2. a#u#a :e(i+i#a'i i"etita' &a'ie "i'e'uai#a "ega 'tatu' (e#a) )e"i'!a 'aat &a'ie 'a)&ai "i(uaga &e)e(i#'aa $le% "$#te( / &e(a-at / i"a 3. K$la$(a'i ata(a $#te( "a &e(a-at / i"a utu# )ela#u#a a''e')e a-al &a"a &a'ie !ag "atag e($at. 4. a#u#a a'e')e a-al e("a'a( u'ia / #el$)&$# / #a'u' &e!a#it &a'ie "ega )egi'i )ii)al AP !ag e(etu# a(a'i 5. a#u#a (uu#a #e &e)e(i#'aa &euag lai ila "i&e(lu#a 6. Tetu#a "iag$'i' &a'ie e("a'a(#a a'e')e, uat (e;aa "a ti"a#a )e"i' / #e&e(a-ata !ag "i'u'u e("a'a(#a '#ala &(i$(ita' )ulai "a(i &eilaia #ea"aa u)u) &a'ie, &e)e(i#'aa +i'i# "a te(a#%i( &e)e(i#'aa &euag utu# )eetu#a &e)e(ia te(a&i, ti"a#a atau &ela!aa 'elaut!a, ila &e(lu #$la$(a'i "ega teaga #e'e%ata lai "$#te( '&e'iali' lai atau a%li gi

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9. K%u'u' &a"a &a'ie !ag a#a )ela#u#a atau )e)e(lu#a ti"a##a

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a'e')e )e"i' a-al 'eelu) ti"a##a ae't%e'i "a e"a% "ila#u#a "i le)a( &e('etuua ti"a#a "i (e#a) )e"i' / le)a( (e;aa &ela!aa "a ;atata &ela!aa 10. Tuli'#a %a'il a'e')e )e"i' a-al "i 'tatu' &a'ie (a-at ala )elalui 'i'te) I R "i#e(a#a $le% "$#te( 11. A&aila &a'ie &e(lu "i(a-at ia&#a "ega ti"a# ga-at "a(u(at )a#a &e(a-at / i"a )ela#u#a a'e')e a-al #e&e(a-ata "a )e"$#u)eta'i#a "i I R, &eg#aia #e&e(a-ata, &e)e(i#'aa e("a'a(#a u'ia / #el$)&$# / #a'u' &e!a#it &a'ie !ag te("i(i "a(i ta"a*ta"a :ital, &eg#aia !e(i, &eg#aia atu% "a (i-a!at #e'e%ata, utu# #a'u' #ei"aa / #a"uga a'e')e a-al 'a)&ai "ega (i-a!at #ei"aa 12. ila &a"a &eg#aia !e(i "i"a&at#a '#ala !e(i  (iga, 'e"ag atau %eat  )a#a la#u#a ite(:e'i "a i)&le)eta'i 'e'uai

"ega

&a"ua

)aae)e

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"i"$#u)eta'i#a "i I R 13. $#u)eta'i#a a'e')e )e"i' "a #e&e(a-ata a-all, "a 'ele'ai#a )a#'i)al 24 a) 'etela% &a'ie )a'u# (u)a% 'a#it, ila "i(a-at ia&#a atau lei% ;e&at lei% ai# #a(ea #$"i'i &a'ie 14. A&aila &a'ie &e(lu "i(uu# "a &a'ie ti"a# "ala) #$"i'i ti"a# ga-at "a(u(at, e(i#a 'u(at (uu#a !ag "iuat $le% NIT TERKAIT

"$#te( #e Ru)a% a#it !ag 'e'uai "ega &e!a#it &a'ie 1. PKJA FNGINA 2. REKA EI 3. RA=AT JAAN KTA

ASSES'EN A(AL PASIEN IGD


No Dokumen 445/51/101.14/PF/2014 Tanggal Teri!


No Revisi 0


1 Juli 2014

$r% & UDIASTUTI KUSHARJUNI S"%KK NIP. 19590625 198711 2 001

PENGERTIAN




Ku'ta u)e(glaga% atau &e(lu "i(uu# #e (u)a% 'a#it lai. 1. e)a'ti#a te(la#'aaa!a &e(a-ata &a'ie !ag e(#ualita', a)a, "a e+i'ie 'ea# &a'ie )a'u# "a "ite(i)a "i Te)&at &e"a+ta(a Pa'ie 'a)&ai 'ele'ai &e)e(i#'aa atau &eg$ata, 2.


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a#it Ku'ta u)e(glaga% 1. Pa'ie / #elua(ga / #e(aat / &egata( )euu Itala'i Ga-at a(u(at


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2. a#u#a &($'e' '#(iig, t(iage "a a'e')e a-al ata(a lai  1 ele#'i &a'ie e("a'a(#a tig#at #ega-ata 2 a'u##a &a'ie ga-at "a(u(at 'e'uai "ega #la'i+i#a'i TRIAGE 3 a#u#a ti"a##a #e&e(a-ata atau )e"i' 'e'uai "ega #$"i'i &a'ie 4 a#u#a (uu#a 'ege(a #e &e)e(i#'aa &euag ila "i&e(lu#a 3. a#u#a a'e')e )e"i' a-al 'aat &a'ie "atag "ega i'i )ii)al AP "ega (e'&$ ti)e ti"a# lei% "a(i 5 )eit, "a "i"$#u)eta'i#a "i I R "i 'tatu' a'e')e "a &e)e(i#'aa +i'i# $le% "$#te( 4. a#u#a a'e')e #e&e(a-ata a-al 'aat &a'ie "atag e("a'a(#a u'ia / #el$)&$# / #a'u' &e!a#it &a'ie !ag te("i(i "a(i ta"a*ta"a :ital, &eg#aia !e(i, &eg#aia atu% "a (i-a!at #e'e%ata. tu# #a'u' #ei"aa a'e')e a-al 'a)&ai "ega (i-a!at #ei"aa "a "i"$#u)eta'i#a "i 'tatu' a''e')e &a'ie )elalui I R 5. ila &a"a &eg#aia !e(i "i"a&at#a '#ala !e(i (iga, 'e"ag atau e(at )a#a "$#te(/ &e(a-at )ela#u#a ite(:e'i "a i)&le)eta'i 'e'uai "ega &a"ua )aae)e !e(i 6. a#u#a (uu#a #e &e)e(i#'aa &euag lai ila "i&e(lu#a. 7. Tetu#a "iag$'i' &a'ie e("a'a(#a a'e')e !ag te("i(i "a(i "iag$'i' #e(a, a"ig, 'e#u"e( "a #$)&li#a'i ila a"a, uat (e;aa "a ti"a#a #e&e(a-ata/ )e"i' !ag "i'u'u e("a'a(#a '#ala &(i$(ita' )ulai "a(i &eilaia #ea"aa u)u) &a'ie, &e)e(i#'aa +i'i#!a, "a te(a#%i( &e)e(i#'aa &euag utu# )eetu#a &e)e(ia te(a&i, ti"a#a atau &ela!aa 'elaut!a, ila &e(lu #$la$(a'i#a



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"ega teaga #e'e%ata lai "$#te( '&e'iali' 8. I+$()a'i#a 'e)ua (e;aa "a ti"a#a &a"a &a'ie/ #elua(ga utu# )ee)u#a #e&utu'a !ag "ia)il utu# &ela!aa 'elaut!a "a "i"$#u)eta'i#a "i le)a( e"u#a'i 9. a#u#a e:alua'i %a'il &e)e(ia te(a&i "a ti"a#a !ag tela% "ila#u#a, a&a#a% &a'ie i'a "i&ulag#a atau &e(lu utu# (a-at ia& 10. Pa'ie !ag a#a "ila#u#a ti"a#a &e)e"a%a "a aae't%e'i utu# a'e')e )e"i' a-al %a(u' "i"$#u)eta'i#a 'eelu) ti"a#a ae'te'i "a e"a% "ila#u#a "i le)a( &e('etuua ti"a#a aa)e'e "a &e)e(i#'aa +i'i# $le% "$#te( "a (e;aa &ela!aa/;atata &ela!aa 11. ila &a'ie ti"a# (a-at ia& )a#a "ie(i#a i+$()a'i "a e"u#a'i "a "i "$#u)eta'i#a "i le)a( KIE (e#a) )e"i', ila &a'ie "i(a-at ia&#a )a#a e(#a' (e#a) )e"i' !ag te("i(i "a(i u(at Pe('etuua Ra-at Ia& "a General Consent "i'e(ta#a #e (uag (a-at ia& 'a)&ai &a'ie &ulag 12. A&aila &a'ie &e(lu "i(uu# "a &a'ie ti"a# "ala) #$"i'i ti"a# ga-at "a(u(at, "$#te( )e)e(i#a 'u(at (uu#a #e Ru)a% a#it !ag 'e'uai "ega &e!a#it &a'ie



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13. A&aila &a'ie &e(lu "i(uu# "a &a'ie "ala) #ea"aa ga-at "a(u(at, )a#a &a'ie -ai "itagai #ega-at "a(u(ata!a te(lei% "a%ulu 'a)&ai #$"i'i 'tail, a(u #e)u"ia "i(uu# 14. A&aila &a'ie "atag #e IG "a $le% &etuga' !ag )ela#u#a screening )e!ata#a a%-a &a'ie te('eut )eiggal "uia, )a#a e(i#a i+$()a'i #e&a"a #elua(ga NIT TERKAIT

&a'ie tetag #$"i'i &a'ie $le% "$#te( IG 1. PKJA FNGINA 2. REKA EI 3. IG


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PENGERTIAN

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$r% & UDIASTUTI KUSHARJUNI S"%KK NIP. 19590625 198711 2 001 Kegiata !ag "ila#u#a $le% &etuga' (u)a% 'a#it utu# )e"a&at#a "ata * "ata atau




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a#it Ku'ta u)e(glaga% 1. Pa'ie tia "i(uag &e(a-ata "iata( $le% &etuga' IG &e(a-at atau i"a atau &etuga' I'tala'i Ra-at Jala


ASSES'EN A(AL PASIEN RA(AT INAP No Dokumen No Revisi Halaman 445/52/101.14/PF/2014 0 2 / 3 2. a)&ai "i I'tala'i Ra-at Ia&, &e(a-at )ela#u#a :e(i+i#a'i i"etita' &a'ie a)a, taggal

la%i(, ala)at, ei' #ela)i 'a)il

)e;$;$##a "ega 'tatu' &a'ie "a gelag i"etita' ila 'u"a% te(&a'ag e('a)aa "ega le)a( 'e(a% te(i)a &a'ie 3. Pe(a-at )ela#u#a a'e')e #e&e(a-ata a-al e("a'a(#a u'ia/ #el$)&$#/ #a'u' &e!a#it &a'ie 4. Pe(a-at "i I'tala'i Ra-at Ia& )ee(u'#a a'e')e/ &eg#aia a-al "a(i &eg#aia +i'i# 'a)&ai "ega "a+ta( )a'ala% #e&e(a-ata !ag ti)ul "a "i"$#u)eta'i#a "i 'tatu' &a'ie )elalui I R 5. A'e')e (e;aa #eutu%a &e)ulaga &a'ie "i#ai 'ea# &a'ie R, "i"$#u)eta'i#a "i 'tatu' &a'ie )elalui I R 6. $#te( )ela#u#a a'e')e )e"i' a-al "i 'tatu' &a'ie "a &e)e(i#'aa +i'i# $le% "$#te( )elalui I R !ag te("i(i "a(i AP 7. ila &a"a &eg#aia !e(i "i"a&at#a '#ala !e(i (iga, 'e"ag atau e(at )a#a "$#te(/ &e(a-at )ela#u#a ite(:e'i "a i)&le)eta'i 'e'uai "ega &a"ua )aae)e !e(i 8. Tetu#a "iag$'i' &a'ie, uat (e;aa "a ti"a#a #e&e(a-ata/ )e"i' e("a'a(#a '#ala &(i$(ita' )ulai "a(i &eilaia #ea"aa u)u) &a'ie, &e)e(i#'aa +i'i#!a, "a te(a#%i( &e)e(i#'aa &euag, #$la$(a'i#a "ega "$#te( '&e'iali' lai atau !ag )e(a-at utu# ti"a#a )e"i', &e)e(ia te(a&i "a ti"a#a/ &ela!aa 'elaut!a atau #$la$(a'i "ega ti) )e"i' lai ila "i&e(lu#a. 9. I+$()a'i#a/ e(i#a e"u#a'i #e&a"a #elua(ga/ &a'ie utu# i#ut "ala) &ega)ila #e&utu'a utu# &ela!aa


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'elaut!a "a "$#u)eta'i#a "i le)a( KIE. 10. Tuli' %a'il a'e')e )e"i' "a #e&e(a-ata a-al "i "ala) 'tatu' &a'ie "a %a(u' 'ele'ai )a#'i)al 24 a) 'ea# &a'ie "i(a-at ia&#a lei% ;e&at lei% ai# #a(ea #$"i'i &a'ie, te(uta)a &a"a &a'ie !ag a#a "ila#u#a ti"a#a &e)e"a%a, a'e')e )e"i' a-al %a(u' "i"$#u)eta'i#a 'eelu) ti"a#a aae'te'i atau e"a% "i e)a( Pe('etuua Ti"a#a 11. Pe(a(ui / ulagi &e)e(i#'aa +i'i# "a :e(i+i#a'i (i-a!at #e'e%ata &a'ie 'aat )a'u# (u)a% 'a#it ila 'u"a% lei% "a(i 30 %a(i 'eelu) &a'ie "i(a-at ia& ;atat 'e)ua %a'il a'e')e te()a'u# &e(ua%a #$"i'i &a'ie !ag 'igi+i#a "i NIT TERKAIT

'tatu' &a'ie. 1. PKJA FNGINA 2. REKA EI 3. INTAAI RA=AT INAP


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A'e')e atau &eg#aia atau &eilaia ulag !ag "ila#u#a &a"a ite(:al te(tetu ata' "a'a( #$"i'i "a &eg$ata &a'ie, utu# )egeta%ui (e'&$ &a'ie te(%a"a& &eg$ata !ag tela% "ie(i#a 'e;a(a &e(i$"i# 'etela% &e)e(ia &eg$ata "a &e)uata (e;aa

TJAN

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KEIJAKAN

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&e)ulaga &a'ie eig#at#a #$tiuita' "a) #ualita' &e(a-ata 'e(ta &eg$ata

)e"i' 3. e"a&at#a &ela!aa &eg$ata 'e'uai &e!a#it !ag "i"e(ita. 1.  N$)$( 44 ta%u 2009 tetag Ru)a% a#it &a'al 40 2. Ke&utu'a Ke&ala PT Ru)a% a#it Ku'ta u)e(glaga% N$)$(  440/ /101.14/2014 Tetag Pa"ua A''e')e Pa'ie "i Ru)a%

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a#it Ku'ta u)e(glaga% 1. I"eti+i#a'i #eea(a i"etita' &a'ie !ag a#a "ila#u#a a'e')e ulag. 2. $#te(, &e(a-at, i"a, a%li gi

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3. I"eti+i#a'i (e'&$ &a'ie !ag tela% "ila#u#a &eg$ata atau te(a&i 'eelu)!a "i'e(tai #$la$(a'i "ega %a'il &e)e(i#'aa &euag lai!a la$(at$(iu), (a"i$l$gi, (e%ailita'i )e"i' 'e;a(a &e(i$"i# )a#'i)al 24 a) 'etela% &e)e(ia &eg$ata % ala) ta%a& ii "a&at "itetu#a &ula &e(e;aaa &a'ie &ulag ila #$"i'i &a'ie )e)ai# "a "i!ata#a $le% &ulag $le% "$#te( !ag )e(a-at 4. $#u)eta'i#a a'e')e ulag &a"a +$()at !ag tela% "i'e"ia#a 'eagai +$ll$- u& #e'e%ata &a'ie te('eut, "a tuli'#a "i 'tatu' &a'ie )elalui I R "$#u)eta'i te("i(i "a(i aali'a (e'&$ &a'ie, &e(ua%a #$"i'i &a'ie, !ag 'igi+i#a "a (e;aa &e)e(ia te(a&i 'elaut!a 5. $#u)eta'i#a a'e')e ulag !e(i "a (e'i#$ atu% "i 'tatu' &a'ie, laut#a a'e')e a-al 'e'uai +$()at, la#u#a 'e'uai "ega &a"ua )aae)e !e(i "a&a"ua (e'i#$ atu% 6. ila "i&e(lu#a utu# #$'ulta'i &a"a &i%a# atau i"ag lai  '&e'iali' lai 'e'uai #eutu%a &a'ie "ituli' &a"a 'tatu' &a'ie )elalui I R "a uga le)a( #$'ulta'i !ag "ituli' $le% "$#te( !ag )eg$'ul#a "ituu#a &a"a "$#te( #$'ula atau a%li i"ag #e'e%ata lai 7. ila "i"a&at#a #$"i'i !ag )e)e(lu#a ti"a##a

)e"i' lauta

"ii+$()a'i#a &a"a &a'ie "a #elua(ga utu# )e)ita &e('etuua "ega )ea"atagai 'u(at &e('etuua ti"a#a 'eelu) "ila#u#a ti"a##a NIT TERKAIT

te('eut. 1. PKJA FNGINA 2. REKA EI 3. INTAAI RA=AT INAP

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