SOP BENDAHARA PENERIMAAN tw.doc

BENDAHARA PEMBANTU PENERIMAAN No.Dokume n SOP

No. Revisi Tgl.Te!i" %&l&m&n

: 32/SOP/ADM/429.114.26/201 6 : 0 : 0# $uni 2016 :1/2

'PTD

+. N, P'T' A-' A-' RA%MA*AT,

P'S()SMAS

N,P. 19#10303 200312 2 00

P'R*O%AR$O 1. Peng Penge e"i "i&n &n

en+ en+& && && & en ene eim im&& &&n n &+& &+&l& l&  !en !en+& +&& && & &ng &ng meng mengel elol ol& & en en+& +&& &"& "&n n &n &ng g

2. Tuu& u&n

m&suk Puskesm&s Se!&g&i &u &u& &n ene& &&n Pog og&m &m e"ug "ug&s +&l&m l&m men mengelol lol& e en+&&"&n "&n &n &ng

3. (e!i e!i&k &k&n &n

m&suk ke uskesm&s Su&" u&" (e"e (e"e& &ng ng&n &n Pl" (e&l e&l& & Pus Puske kesm sm&s &s Pu5 Pu5o o& &o o NO 1. 1.4/ 4/ 99. 99.A A/

4. Re7e Re7ee ens nsii

429.114.26/2016 Ten"&ng Au+i" enil&i&n kine& engelol& keu&ng&n P&n+ P&n+u& u&n n Pusk Puskes esm& m&s s Pu5 Pu5o o& &o o Ten"& en"&ng ng Peng Pengel elol ol&& &&n n Angg Angg& &&n &n88 Peng Penggu gun& n&&n &n

5. Pose+u

 Angg&&n8  Angg&&n8 Pem!uku&n Pem!uku&n Angg&&n. Angg&&n. en+&&& Peneim&&n mel&kuk&n en&"& us&&&n eneim&&n !e+&s&k&n S(P +&e&/ S(R8STS8 DAN Su&" T&n+& uk"i Pem!&&&n/ uk"i &in &ng s&8 +&ien&"& us&&&n ini !en+&&& eneim& meng&silk&n: &. uku uku k&s umum umum en enei eim&& m&&n n !. uku uku k&s k&s & &i& i&n n . uku uku k&s ee eeni nis s eke ekenin ning g +. (( e. uku uku !ei !ei"& "& && && en enu"u u"u& &n n k&s 7.

&o &o& &n n en enu" u"u u&n &n k&s k&s

g. Regis Regis"e "e enu enu"u "u&n &n k&s k&s Di S&ming i"u8 !il& S(PD memun&i en+&&& eneim& em!&n"u m&k& !en+&&& eneim& &k&n meneim& SP$ eneim& em!&n"u. SP$ "e!en"uk kemu+i&n +iveivik&si8ev&lu&si8 &n&lisis un"uk +i &+ik&n se!&g&i !&&n 6. 'ni" Tek&i"

enusun&n e"&nggung &5&!&n eneim&. 1. en+ en+& && && & Pene Penei im& m&&n &n 2. PP( S(PD

3. Peng Pengun un& & A&n A&ngg gg& &&n &n #. Dokumen "ek&i"

4. en+ en+& && && & 'mum 'mum D&e D&e& &  &. uku uku k&s umum umum en enei eim&& m&&n n !. uku uku k&s k&s & &i& i&n n . uku uku k&s ee eeni nis s eke ekenin ning g +. (( e. uku uku !ei !ei"& "& && && en enu"u u"u& &n n k&s 7.

&o &o& &n n en enu" u"u u&n &n k&s k&s

g. Regis Regis"e "e enu enu"u "u&n &n k&s k&s . Rek&m&n

No

-&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

is"ois eu!&&n

PENYETORAN KE KAS DAERAH SOP

No.Dokume

:

n

32/SOP/ADM/429.114.26/201 6

No. Revisi Tgl.Te!i" %&l&m&n

: 0 : 0# $uni 2016 :1/ 2

'PTD

+. N, P'T' A-' A-' RA%MA*AT,

P'S()SMAS

N,P. 19#10303 200312 2 00

P'R*O%AR$O 1. Peng Penge e"i "i&n &n

Pen Pene" e"o o&n &n &+&l &+&l& & && && un"u un"uk k men mene e"o "ok k&n &n &si &sill en ene eim im&& &&n n us uske kesm sm&s &s un"u un"uk k +ise"ok&n mel&lui !&nk &ng +i"unuk ole emein"& +&e& eu& STS Su&"

2. Tuu&n 3. (e!i (e!i& &k& k&n n

T&n+& Se"o; Se!&g&i &u&n ene&&n ene"o&n &ng !en&   Su&" u&" (e"e (e"e& &ng ng&n &n Pl" (e&l e&l& & Pus Puske kesm sm&s &s Pu5 Pu5o o& &o o NO 1. 1.4/ 4/ 99. 99.A A/

4. Re7e Re7ee ens nsii

429.114.26/2016 Ten"&ng Au+i" enil&i&n kine& engelol& keu&ng&n P&n+u &n+u&n &n Pus Puske kesm sm&s &s Pu Pu5o 5o& & o o Ten Ten"& "&ng ng Pen Penge gelo lol& l&&n &n Angg Angg& &&n &n Pe Pe+& +& N0 N0 12

5. Pose+u

T&un 2013 1. Pe"ug&s meneim& "&n+& se"o&n +&i e"ug&s e"ug&s 'PP 'PP 'ni" Pem!&&&n Pem!&&&n P&sien; P&sien; 2. Pe"ug&s Pe"ug&s Memei Memeiks& ks& +&n +&n mengeek mengeek ul&ng ul&ng semu& semu& se"o& se"o&n n 3. Pe"ug&s Mem!u&" STS STS Su&" T&n+& Se"o; Se"o; &ng +i"&n+& +i"&n+& "&ng&ni "&ng&ni ole ole ke&l& Puskesm&s 4. Pe"ug&s mem!u&" "&n+& se"o ke !&nk &ng &ng +i"unuk +i"unuk ole ole emein"& emein"& +&e& +&e& . Pe"ug&s mel&kuk&n mel&kuk&n ene"o&n ene"o&n ke !&nk &ng &ng +i"unuk +i"unuk ole ole emein"& emein"& +&e& +&e& 6. Pe"ug&s Pe"ug&s men+& men+&&" &" "&n+& "&n+& !uk"i se"o& se"o&n n +&i !&nk !&nk "ese!u" "ese!u" #. Pe"ug&s mel&kuk&n mel&kuk&n sms ke&+& en&&& en&&& Peneim&& Peneim&&n n Din&s Din&s kese&"&n kese&"&n . Pe"ug&s menim&n menim&n STS "ese!u" "ese!u" un"uk +i&+ik&n +i&+ik&n !&&n !&&n el&o&n el&o&n se"i& se"i&

6. 'ni" 'ni" Tek& ek&i" i" #. Dokumen

!ul&nn& en+ en+& && && Pene Penei im& m&&n &n88 &n &nk k &" &"im im88 (&s (&s D&e D&e& & P P(AD; (AD; 'ku se"o&n &i&n eekening8STS Su&" T&n+& Se"o&n;

"ek&i" 8.

Rekaman historis perubahan

No

-&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

PELAPORAN KE BENDAHARA PENERIMAAN No.Dokume n SOP

No. Revisi Tgl.Te!i" %&l&m&n

: 32/SOP/ADM/429.114.26/201 6 : 0 : 0# $uni 2016 : 1/2

'PTD

+. N, P'T' A-' A-' RA%MA*AT,

P'S()SMAS

N,P. 19#10303 200312 2 00

P'R*O%AR$O 1. Peng Penge e"i "i&n &n

Pel& Pel&o o& &n n &+&l &+&l& & && && un"u un"uk k mel& mel&o ok k&n &n &si &sill ene eneim im&& &&n n usk uskes esm& m&s s ke

 2.  2. Tuu&n 3. (e!i (e!i& &k& k&n n

en+&&& Peneneim&&n Din&s (ese&"&n Se!&g&i &u&n ene&&n el&o&n &ng "e&" +&n !en&  Su& Su&"" (e"e (e"e& &ng ng&n &n Pl" Pl" (e& (e&l& l& Pusk Puskes esm& m&s s Pu5 Pu5o o& &o o NO 1. 1.4/ 4/ 99. 99.A A/

4. Re7e Re7ee ens nsii

429.114.26/2016 Ten"&ng Au+i" enil&i&n kine& engelol& keu&ng&n P&n+ P&n+u& u&n n Pus Puske kesm sm&s &s Pu5o u5o& & o o Ten Ten"& "&ng ng88 Pen Penge gelo lol& l&&n &n Angg Angg& &&n &n88 Pen Pengg ggun un&& &&n n

. Pose+u

 Angg&&n8  Angg&&n8 Pem!uku&n Pem!uku&n Angg&&n Angg&&n Pe+& N0 N0 12 T&un T&un 2013 2013 1. Pe"ug&s meek& semu& STS &+& "i& !ul&nn& 2. Pe"ug&s mel&kuk&n engeek&n semu& STS &ng su+& +ise"o  3. Pe"ug&s mem!u&" l&o&n !eu& : &. uku uku k&s umum umum en enei eim&& m&&n n !. uku uku k&s &i& &i&n n em em!& !&n"u n"u . (( +. uku uku k&s k&s e een enis is eke ekeni ning ng 4. Pe"ug&s mengiimk&n l&o&n &ng su+& +i"&n+&"&ng&ni ole (e&l&

6. 'ni" 'ni" Tek& ek&i" i" #. Dokumen Dokumen "ek&i" "ek&i"

Puskesm&s ke +in&s kese&"&n &+& "i& !ul&nn& se!elum "&ngg&l  en+ en+& && && & Pene Penei im& m&&n &n88 &nk &nk &"i &"im8 m8 (&s (&s D&e D&e& & P( P(AD AD;; 1. uku uku se"o&n se"o&n &i&n &i&n eeken eekening ing 2. STS Su&" T&n+& Se"o&n;

. Rek&m&n historis perubahan

No

-&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

BENDAHARA PENGELUARAN

SOP

No.Dokume n

: 32/SOP/ADM/429.114.26/201 6

No. Revisi

: 0

Tgl.Te!i"

: 0# $uni 2016

%&l&m&n

: 1/2

+. N, P'T' A-' A-' RA%MA*AT, RA%MA*AT,

'PTD P'S()SMAS P'R*O%AR$O 1. Penge"i&n

N,P. 19#10303 200312 2 00

en+&&&

engelu&&n

em!&n"u

&+&l&

!en+&&&

&ng

+i

"unuk

meneim&8menim&n8 mem!&&k&n8 +&n meme"&nggung&5&!k&n u&ng un"uk 2. Tuu& u&n

keelu&n !el&n& uskesm&s. Se!&g&i & &u&n e ene&&n  og&m T& T&"& l& l&ks&n& ke keu&ng&n +i +i un uni" ke ke& S( S(PD

3. (e!i&k&n

+&l&m &l ini Puskesm&s Su&" (eu"us&n Pl" (e&l& Puskesm&s Pu5o&o NO 1.4/ 99.A /

4. Re7een ensi

429.114.26/2016 Ten"&ng Au+i" enil&i&n kine& engelol& keu&ng&n. P&n+u&n Puske skesms sms Pu5o 5o&o o Ten"&n "&ng Pengelol& lol&& &n Angg&&n &n8 Penggun&&n

5. Pose+u

 Angg&&n8  Angg&&n8 Pem!uku&n Pem!uku&n Angg&&n. Angg&&n. &. Pesi& Pesi&& & &&n &&n D&n Al&" Al&" 1.uku e"unuk o&sion&l kegi&"&n engelol&&n eng&m!il&n e"i!usi Puskesm&s "&un 2012 2.(5i"&nsi engem!&li&n Re"i!usi !. &ngk& &ngk& Pose+u: 1. Peneim& u&ng engem!&li&n e"i!usi 2. Meneim& (5i"&nsi engem!&li&n e"i!usi 3. Meen&n&k&n enggun&&n u&ng em!eli&n e"i!usi sesu&i oosi &ng su+& +i "en"uk&n ole uknis engelol&&n keu&ng&n 4. Peng&lok&si&n engem!&li&n e"i!usi un"uk &s& el&&n&n !el&n& &l&" !&&n s&&n& +&n &s&n& &ng +i !u"uk&n un"uk "i& el&&n&n. .Pem!u&"&n SP$ Re"i!usi Pengelu&&n 6. Mem7ei7ik&si SP$ e"i!usi ke Din&s (ese&"&n

9. 'ni"Tek&i"

#. Mel&ok&n ke Din&s (ese&"&n 1. Pel&&n&n P 'mum 2. Pel& Pel&& &n& n&n n P P
10. Dokumen Dokumen "ek&i"

11. 11. Reka Rekama man n historis

4. . 6. #. 1. 2. 3. 4. .

Pel& Pel&& &n& n&n n PON) PON)D D 'S< 'S< Pel& Pel&&n &n&n &n &!o &!o&" &"oi oium um Pel& Pel&& &n& n&n n Pus Pusli ling ng Pel&&n Pel&&n&n &n (onsu (onsull (onselin (onseling g Pomkes Pomkes D&n D&n ungsion&l; 6. ei" ei"& & A&& A&& Peme Pemeik iks& s&&n &n #. &o &o& &n n Penu Penu"u "u( (&s &s

No

-&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

perubahan

PEMBAYARAN PEMBAYARAN PAJAK SOP

No.Dokume

:

n

32/SOP/ADM/429.114.26/201 6

No. Revisi Tgl.Te!i" %&l&m&n

: 0 : 0# $uni 2016 :1/ 2

'PTD

+. N, P'T' A-' A-' RA%MA*AT,

P'S()SMAS

N,P. 19#10303 200312 2 00

P'R*O%AR$O 1. Peng Penge" e"i&n i&n

Pem!& Pem!&& &&n &n P&&k P&&k &+&l& &+&l&  && && un"uk un"uk mem!& mem!&& &k& k&n n && &&k k +&i +&i &sil &sil em!e em!eli& li&n n !&&ng m&uun &s& un"uk +ise"ok&n mel&lui !&nk &ng +i"unuk ole emein"&

2. Tuu&n 3. (e!i (e!i& &k& k&n n

+&e& !eu& )?,,N< Se!&g&i &u&n ene&&n ene"o&n &ng !en&  Su& Su&"" (e"e (e"e& &ng ng&n &n Pl" Pl" (e (e&l &l& & Pus Puske kesm sm&s &s Pu5 Pu5o o& &o o NO 1. 1.4/ 4/ 99. 99.A A/

4. Re7e Re7ee ens nsii

429.114.26/2016 Ten"&ng Au+i" enil&i&n kine& engelol& keu&ng&n P&n+ P&n+u& u&n n Pusk Puskes esm& m&s s Pu5 Pu5o o& &o o Ten Ten"& "&ng ng Pen Penge gelo lol& l&&n &n Angg Angg& &&n &n88 Peng Penggu gun& n&&n &n

5. Pose+u

 Angg&&n8  Angg&&n8 Pem!uku&n Pem!uku&n Angg&&n. Angg&&n. 1. Pe"ug&s mengimun se"o&n &&k +&i em!eli&n !&&ng +&n &s& 2.

Pe"ug&s memeiks& +&n mengeek ul&ng semu& se"o&n

3.

Pe"ug&s mem!u&" )?!illing se&& online

4. Pe"ug&s mel&kuk&n mel&kuk&n ene"o&n ene"o&n ke !&nk &ng &ng +i"unuk +i"unuk ole ole emein"& emein"& +&e& +&e& . Pe"ug&s Pe"ug&s men+& men+&&" &" "&n+& "&n+& !uk"i se"o& se"o&n n +&i !&nk !&nk "ese!u" "ese!u" 6.

Pe"ug&s menim&n "&n+& !uk"i se"o&n "ese!u" un"uk +i&+ik&n !&&n el&o&n ke Dinkes !&gi&n keu&ng&n

6. 'ni" 'ni" Tek& ek&i" i" #. Dokumen

#. Pe"ug&s Pe"ug&s men& men&"&" "&" +&n +&n mem!uku mem!ukuk&n k&n semu& semu& !uk"i !uk"i &&k &&k en+ en+& && && & Pen Penge gelu lu& &&n &n88 &nk &nk &"i &"im8 m8 (&s (&s D&e D&e& &  P( P(AD AD;; uk"i em!eli&n !&&ng +&n &s& 8)?illing

"ek&i" 8. Rekaman historis perubahan

No

-&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

PEMBUATAN SPJ SOP

No.Dokume n

: 32/SOP/ADM/429.114.26/201 6

No. Revisi

: 0

Tgl.Te!i"

: 0# $uni 2016

%&l&m&n

: 1/2

+. N, P'T' A-' A-' RA%MA*AT, RA%MA*AT,

'PTD P'S()SMAS P'R*O%AR$O

N,P. 19#10303 200312 2 00

1. Penge enge" "i& i&n n

Pem!u em!u&" &"&n &n SP$ SP$ &+&l &+&l& & su&" su&"u u kegi kegi&" &"&n &n mem! mem!u& u&"" l&o l&o& &n n sesu sesu&i &i +eng +eng&n &n !uk" !uk"ii

2.Tuu&n

e&lis&si el&ks&n&&n &ngg&&n se"i& !ul&nn& +eng&n meng&u &+& R(A. Se!&g&i & &u&n e ene&&n  og&m T& T&"& l& l&ks&n& ke keu&ng&n +i +i un uni" ke ke& S( S(PD

3. (e!i&k&n

+&l&m &l ini Puskesm&s Su&" (eu"us&n Pl" (e&l& Puskesm&s Pu5o&o NO 1.4/ 99.A /

4.Re .Re7ee 7een nsi

429.114.26/2016 Ten"&ng Au+i" enil&i&n kine& engelol& keu&ng&n. P&n+u&n Puske skesms sms Pu5o 5o&o o Ten"&n "&ng Pengelol& lol&& &n Angg&&n &n8 Penggun&&n

.Pose+u

 Angg&&n8  Angg&&n8 Pem!uku&n Pem!uku&n Angg&&n. Angg&&n. 1. Pe"ug&s meng&lok&sik&n &ngg&&n sesu&i R(A 2. Pe"ug&s menim&n semu& !uk"i e&lis&si el&ks&n&&n &ngg&&n 3. Pe"ug&s menusun l&o&n 4. Pe"ug&s menem&"i &sil l&o&n . $ik& su+& !en&8 e"ug&s memin"& "&n+& "&ng&n ke &"&s&n 6. Pe"ug&s mengiim l&o&n "ese!u" ke Din&s (ese&"&n

6.'n 6.'ni" i"T Tek& ek&i" i" #.Dokumen "ek&i" .Rekaman historis perubahan

#. Pe"ug&s mengg&n+&k&n l&o&n "ese!u" se!&g&i &si en+& en+&& && & Peng Pengel elu& u&& &n8 n8 &nk &nk &"i &"im8 m8 (&s D&e D&e& & P( P(AD AD;; uk"i em!eli&n !&&ng +&n &s& 8)?illing

No

-&ng +iu!&

,si Peu!&&n

PEMBELIAN BARANG DAN JASA

Tgl. Mul&i +i!el&kuk&n.

SOP

No.Dokume n

: 32/SOP/ADM/429.114.26/201 6

No. Revisi

: 0

Tgl.Te!i"

: 0# $uni 2016

%&l&m&n

: 1/2

+. N, P'T' A-' A-' RA%MA*AT, RA%MA*AT,

'PTD P'S()SMAS P'R*O%AR$O

N,P. 19#10303 200312 2 00

1. Penge enge" "i& i&n n

Pem!e em!eli li&n &n &+&l &+&l& & os oses es un"u un"uk k mem meme eol ole e !&& !&&ng ng +&n +&n &"&u &"&u &s& &s& +&i +&i i& i&k k

2.Tuu&n

ek&n&n gun& un"uk menun&ng oee&sion&l uskesm&s. Se!&g&i & &u&n e ene&&n  og&m T& T&"& l& l&ks&n& ke keu&ng&n +i +i un uni" ke ke& S( S(PD

3. (e!i&k&n

+&l&m &l ini Puskesm&s Su&" (eu"us&n Pl" (e&l& Puskesm&s Pu5o&o NO 1.4/ 99.A /

4.Re .Re7ee 7een nsi

429.114.26/2016 Ten"&ng Au+i" enil&i&n kine& engelol& keu&ng&n. P&n+u&n Puske skesms sms Pu5o 5o&o o Ten"&n "&ng Pengelol& lol&& &n Angg&&n &n8 Penggun&&n

.Pose+u

 Angg&&n8  Angg&&n8 Pem!uku&n Pem!uku&n Angg&&n. Angg&&n. 1. Pe"ug&s meli&" R(A 2. Pe"ug&s men&"&" semu& enis !&&ng +&n &"&u &s& &ng &k&n +i!eli 3. Pe"ug&s mengu!ungi ek&n&n &ng su+& !eke&s&m& +eng&n uskesm&s 4. Pe"ug&s memin"& ek&n&n un"uk men&ik&n !&&ng +&n &"&u &s& . Pe"ug&s mem!ei &ngk& 5&k"u engiim&n !&&ng +&n &"&u &s& 6. Pe"ug&s mengeek kem!&li ke!en&&n +&n kesesu&i&n !&&ng +&n &"&u &s& &&k& sesu&i +eng&n emes&n&n #. Pe"ug&s mem!&& ke&+& ek&n&n . Pe"ug&s memin"& "&n+& "&ng&n +&n s"emel ke&+& ek&n&n se!&g&i !uk"i elun&s&n 9. Pe"ug&s mene&k&n !&&ng +&n &"&u &s& ke&+& emeiks& !&&ng uskesm&s 10. Pe"ug&s mene&k&n !&&ng +&n &"&u &s& ke engelol& +&n enim&n !&&ng uskesm&s.

6.'ni"Tek&i"

1. 2. 3. 4. . 6. #.

#.Dokumen "ek&i"

1. 2. 3. 4. .

.Rekaman historis perubahan

Pel&&n&n P 'mum Pel& Pel&& &n& n&n n P P
uku (&s 'm 'mum uku uku Pem! Pem!&n &n"u "u (&s (&s Tun&i un&i uku uku Pem Pem!& !&n" n"u u P& P&&k &k uku em!&n"u em!&n"u Rini&n Rini&n O!ek O!ek el&n el&n& & uku l&o&n e"&nggung e"&nggung &5&!&n !en+&&& !en+&&& engelu&& engelu&&n n em!&n"u em!&n"u SP$ !el&n& >ungsion&l; 6. ei" ei"& & A&& A&& Peme Pemeiks iks&& &&n n #. &o &o& &n n Penu Penu"u "u( (&s &s

No

-&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

MENGATASI SYOK

STANDAR PROSEDUR OPERASIONAL ( SPO )

LITA GUNARTIK 1. Penge"i&n

Su&"u e"olong&n "e&+& &sien &ng meng&l&mi g& g&nggu&n e7usi

2.Tuu&n

 &ing&n &"&u &"&u sok. 1.Meneg& "e&+in& keku&ng&n oksigen &+& &ing&n &ng &k&n meng&ki!&"k&n enuun&n 7ungsi sel. 2.Meme"&&nk&n "ek&n&n +&&.

3. (e!i&k&n

3.Meneg& "e&+in& g&nggu&n 7ungsi og&n. Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u  

4. Re7eensi

&ng !el&ku uku (e!i+&n&n

.Al&" +&n &&n

1. Persiapan Aa! &. Al&" !&n"u en&7&s&n n&so / oo &inge&l "u!e8 )TT; !. Tensime"e +&n s"e"osko . Al&" "e&i n&s&l/m&ske k&nule oksigen; +. Sum!e oksigen e. @&i&n in7us 7. O!&" emegensi

6. &ngk& ? l&ngk&



Pea"sanaan

&. eik eik&n &n osisi osisi e&+ +o5n/ +o5n/osi osisi si sok sok  ke+u& ke+u& k&ki k&ki le!i le!i "inggi "inggi +&i ke&l&; !. e!& e!&sk sk&n &n &l &l&n &n n&7 n&7&s &s . ei oksigen oksigen m&ske m&ske 6?10 li"e li"e e e meni meni"" +. @ek @ek "&n "&n+& +& vi"& vi"&ll e. 'n"uk 'n"uk Sok Sok %iov %iovole olemi& mi&

7.



Sege& &s&ng in7us +i +u& "em&"



ei "e&i &i&n sesu&i "e&i me+is

'n"uk "uk So Sok k Se Se"ik "ik 

eik&n "e&i &n"i!io"ik sesu&i "e&i me+is

g. 'n"u 'n"uk k Sok Sok An& An&7i 7il& l&"i "ik k 

eik&n &n"iis"&min sesu&i +eng&n "e&i me+is



eik&n ono+il&"o !il& "e&+i onos&sme sesu&i +eng&n me+is



 A+en&lin sesu&i +eng&n +eng&n "e&i "e&i me+is

. 'n"uk 'n"uk Sok Sok @&+i @&+iog ogen eni i eik&n o!&" ino"oik sesu&i +eng&n "e&i me+is 1. Pel&&n&n (,A 

#. 'ni" Tek&i"

2. Pel& Pel&&n &n&n &n (&m& (&m& es& es&lin lin .Rekaman historis perubahan

No

-&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

PENANGANAN BAYI BAYI BARU LAHIR STANDAR PROSEDUR OPERASIONAL ( SPO ) LITA GUNARTIK 1. Penge"i&n

Asu&n &ng +i!eik&n &+& !&i sel&m& &m e"&m& se"el&

2.Tuu&n

kel&i&n Menil&i kon+isi

3. (e!i&k&n

en&&s&n son"&n se"& meneg& %o"emi&. Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u  

4. Re7eensi

&ng !el&ku 1. Asu&n Pes&lin&n Nom&l

. Al&" +&n &&n

2.uku P&n+u&n P&k"is Pel&&n&n (ese&"&n M&"en&l +&n Neon&"&l  Persiapan Aa!

&i

!&u

l&i

+&n

mem!&n"u

"el&ks&n&n&

&. Pengis& en+i Delee !. (lem 2 !u& . Pengik&" T&li Pus&" +. %&n+uk (eing e. S&le M&"& 7. Me"elin g. Penim!&ng&n &i . (&"u &i i. P&k&i&n !&i 1 se" 6. &ngk& ? l&ngk&



Pea"sanaan &. Meni&k Meni&k&n &n &l&" &l&" +&n u&ng& u&ng&n n &ng &ng &ng&" &" +&n !esi !esi !. Meni& Meni&k& k&n n &k& &k&i&n i&n !&i !&i lengk lengk& &88 &n+ &n+uk uk88 k&in k&in !esi !esi  +&n +&n keing . Meni&k Meni&k&n &n O!&" O!&" "e"es "e"es m&"& m&"& / s&le s&le m&"& m&"&

+. Menui Menui "&ng& "&ng&n n +eng&n +eng&n s&!u s&!un n +&n &i !esi !esi e. Sege& se"el& !&i l&i8 l&i8 menil&i menil&i &&k& &&k& !&i !en&7&s. !en&7&s.il& il& !&i "i+&k

!en&7&s8 e&" !esik&n &l&n n&7&s +eng&n

+elee. $ik& "e"& "i+&k men&ngis sege& l&kuk&n "n+&k&n sesu&i s"&n+& en&ng&n&n !&i !&u l&i. 7.

Sege& Sege& keingk& keingk&n n !&i !&i +eng&n +eng&n &n+uk &n+uk keing8 keing8 !esi !esi +&n &ng&". (emu+i&n &k&ik&n k&in keing &ng &ng&". eik&n !&i &+& i!un& un"uk +i +ek& +i+&+&n& se"& +i!ei AS, k&en& &k&n mem!&n"u ele&s&n l&sen"&.

g. $&g& $&g& &g& &g& !& !&ii "e"& "e"& &ng &ng&" &" . Memo" Memo"on ong g +&n men mengi gik&" k&" "&li "&li us& us&"" i.

Memeiks Memeiks& & "&li us&" us&" &ng +io"ong +io"ong un"uk un"uk mem&s"ik& mem&s"ik&n n "i+&k &+& e+&&&n.

 .

Memu"us "&li "&li us&"

k. Melen Melengk gk& &ii su&" su&" ke"e& ke"e&ng ng&n &n l&i  l&i  l.

&ku &kuk&n k&n eni enil&i l&i&n &n ke&+ ke&+&& &&n n umum umum !&i !&i +eng +eng&n &n AS

m. Mel&kuk& Mel&kuk&n n emeiks& emeiks&&n &n 7isik 7isik !&i n. Meng Menguk uku u  / T T o. Mengu Menguku ku "&n+ "&n+& & vi"& vi"&ll !&i !&i . Mengen& Mengen&k&n k&n &k& &k&i&n i&n !&i !&i +&n +&n mene menelimu limu"i "i !&i !&i . Mem! Mem!e eik ik&n &n s&l s&le e m&" m&"& & .

Mem!e Mem!eik ik&n &n !&i !&i &+& &+& i!un i!un& & un"uk un"uk +isu +isusui sui

s. P&s"ik&n P&s"ik&n !&i !&i "e"& "e"& "e!u "e!ungku ngkus s +&n "u"u "u"u ke&l& ke&l& ".

Mem! Mem!&n &n"u "u i!u un"uk un"uk menus menusui ui !&in !&in& &

u. Men Menu uii "&n "&ng& g&n n v. Meme Meme& &"ik "ik&n &n eng engelu elu&& &&n n uine 5. Mel&kuk&n en&"&"&n en&"&"&n +&n +&n l&kuk&n l&kuk&n kol&!o&si kol&!o&si !il& &+& &+& kel&in&n #.'ni" Tek&i" .Rekaman historis perubahan

1. (&m& es&lin

No

-&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

PEN#EGAHAN PENGENDALIAN IN$EKSI ( PPI ) STANDAR PROSEDUR OPERASIONAL ( SPO ) LITA GUNARTIK 1. Penge"i&n 2.Tuu&n

A+&l& "in+&k&n un"uk meneg& "e&+in& in7eksi Se!&g&i &u&n e"ug&s +&l&m mel&ks&n&k&n eneg&&n in7eksi

3. (e!i&k&n

Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u  

4.Re7eensi

&ng !el&ku 1. Asu&n Pes&lin&n Nom&l

.Al&" +&n !&&n

2.uku P&n+u&n P&k"is Pel&&n&n (ese&"&n M&"en&l +&n Neon&"&l  Persiapan Aa! &. Ai meng&li  !. S&!un . (loin +. S&ki" e. %&n+soon 7. S"eilis&"o  g. Duk . @elemek i. Se&"u !o&" . (&&m&"& k. M&ske  l. Tu"u ke&l&

6. &ngk& ? l&ngk&



Pea"sanaan



Mem!i&s&k&n Mem!i&s&k&n +ii se!elum +&n sesu+& mel&kuk&n eke&&n / "in+&k&n sel&lu ui "&ng&n



Sel&lu mem&k&i &l&" elin+ung +ii : s&ung "&ng&n8 elemek8 se&"u !o&"8 k&&m&"&8 enu"u ke&l&

#.'ni" Tek&i"



&kuk&n s"eilis&si +eng&n !en& 



eke& +eng&n "eknik se"ik +&n &se"ik !il& elu em!ei&n

&n"i!io"ik 1. Ru&ng Peneg&&n ,n7eksi  P, ; 2. Ru&ng Peiks& 3. Ru&ng Ni7&s 4. Ru&ng es&lin

.Rekaman historis perubahan

No

-&ng +iu!&

,si Peu!&&n

HEMMORAGI# POST PARTUM

Tgl. Mul&i +i!el&kuk&n.

STANDAR PROSEDUR OPERASIONAL ( SPO )

LITA GUNARTIK 1. Penge"i&n 2.Tuu&n

Pe+&&&n &ng "e&+i +&l&m 24 &m se"el& es&lin&n !el&ngsung Se!&g&i &u&n e"ug&s +&l&m mel&ks&n&k&n en&"&l&ks&n&&n

3. (e!i&k&n

e+&&&n os" &"um &+& &sien Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u  

4.Re7eensi

&ng !el&ku ,lmu (e (e!i+&n&n8 Pe Pen&ki" (& (&n+ung&n +& +&n (e (elu&g& e een&n& un un"uk

.Al&" +&n &&n

Pen+i+ik&n i+&n %&l 29  Persiapan Aa! &. %&n+soon !. engkok . ,n7us se" +. @&i @&i&n &n ,n ,n7us 7us e. Sui"   7.

Sui" 3

g. (&ss& . Oksigen i.

O!& O!&" &n"i &n"i e+ e+& && &&n &n

 .

O!&" emegen emegen

k. T&mon 6. &ngk& ? l&ngk&

l. %e&"ing se se"  Pea"sanaan &. Menel&sk&n &sil emeiks&&n &+& &sien !. Pen&"&l&ks&n&&n e+&&&n +ili&" +&i enis ene!&!n&: 

A!%nia A!%nia &!eri &!eri &+&l &+&l& & keg& keg&g& g&l& l&n n kon" kon"& &ks ksii o"o" o"o" &i &im m

mene mene!& !&!k& !k&n n em!u em!ulu lu  +&& +&& &+& &+& !ek& !ek&s s iml&n iml&n"&s "&sii l&sen"& "e!uk&. 

Tan'a : Tan'a : u"eus "i+&k !ekon"&ksi +&n lem!ek



Pena!aa"sanaan  : ,n7us8 M&s&se '"eus8 (omesi Ao"& &!+omin&lis +&n (omesi !im&nu&l u"eus.



Re!ensi% Pasen!a &+&l& Pasen!a  &+&l& "el&m!&"n& kel&i&n l&sen"& sel&m& se"eng& &m se"el& es&lin&n !&i.



Tan'a : Pe+&&&n "el&lu !&n&k8 keseim!&ng&n keseim!&ng&n !eku&n +&& +i"em&" l&sen"& le&s +&n elek&"&n e&".



Pena!aa"sanaan  )v&lu&si se!&!n&8 konsul"&si +eng&n +ok"e+&n meuuk ke Rum& S&ki".



Pasen!a Man&a  Pl&sen"& !elum l&i se"el& menunggu se"el& se"eng& &m.



Tan'a  Pe+&& Pe+&&&n &n 4008 4008 i5&&" i5&&" e"ensio e"ensio l&sen"& l&sen"& !eul&ng8 "in+&k&n +eng&n n&kose8 se&& &!i"u&l %PP !eul&ng;



Pena!aa"sanaan  P&s&ng in7us +&n meuuk ke RS



In Inersi% rsi% U!er !eri  ke&+& ke&+&&n &n +im&n +im&n& & 7un+u 7un+us s u"ei u"ei m&suk m&suk ke+&l&m k&vum u"ei 8 +&&" se&& men+&+&k &"&u &+i el&&n.



Tan'a



>un+ >un+us us

u"e u"eii

meng mengi il& l&ng ng

+&i +&i

&!+o &!+ome men8 n8

emeiks&&n +&l&m 7un+us u"ei +i+&l&m u&ng&n &im +&&" +eng&n &"&u "&n& l&sen"&; 

Pena Pena!a !aa" a"sa sanaa naan n  P&s&ng P&s&ng in7us8 in7us8 eosisi eosisi l&sen"& l&sen"& +&n meuuk ke RS



R%*e R%*e"a "an n Jaa Jaan n La+i La+irr  e+&& e+&&&n &n &ng &ng !esi7&" !esi7&" &"ei &"ei &"&u &"&u e& e&n n& & em!u em!ulu lu +&& +&& ven& ven& +&n +&n !e&s !e&s&l &l +&i +&i eineum8 v&gin&8 seviks8 +&n o!ek&n u"eus.



Tan'a  Pe+&&&n +&l&m uml& !&n&k



Pena Pena!a !aa a"s "san anaa aan n 

men men& &i" i" o!e o!ek& k&n n +&n +&n !il& !il& suli suli""

l&ngsung meuuk ke RS

. Mel&kuk&n uuk&n ke 7&sili"&s &ng uku / RS

#.'ni" Tek&i" .Rekaman historis perubahan



(&m& es&lin



Ru&ng P,

No

-&ng +iu!&

,si Peu!&&n

HEMMORAGI# ANTE PARTUM

Tgl. Mul&i +i!el&kuk&n.

STANDAR PROSEDUR OPERASIONAL ( SPO )

LITA GUNARTIK 1. Penge"i&n

Mem!eik&n e"olong&n ke&+& e+&&&n e v&gin&m se"el& mel&ik&n le!i +&i 00  &"&u e+&&&n +ise&i ge&l& +&n "&n+& B

2.Tuu&n

"&n+& sok S"&!ilis&si kon+isi &sien sege& +iuuk ke RS

3. (e!i&k&n

Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u  

4.Re7eensi

&ng !el&ku ,lmu (e (e!i+&n&n8 Pe Pen&ki" (& (&n+ung&n +& +&n (e (elu&g& e een&n& un un"uk

.Al&" +&n &&n

Pen+i+ik&n i+&n %&l 29  Persiapan Aa! &. Al&" Pelin Pelin+ung +ung Dii Dii m&ske m&ske8&n 8&n+so +soon8 on8so" so";; !. engkok . ,n7us se" +. @&i& i&n ,n ,n7us e. Sui"   7.

Sui" 3

g. (&ss& . Oksigen i.

O!&" O!&" &n"i &n"i e+ e+& && &&n &n

 .

O!&" emegen emegen

k. T&mon l.

%e&"ing se"

6. &ngk& ? l&ngk&



Pea"sanaan &. Sege Sege& & se"e se"el& l&  l&s l&sen en"& "& +&n +&n sel& sel&u u"" ke"u ke"u!& !&n n +il& +il&i ik k&n &n88 l&kuk&n

m&s&se

u"eus

&g&

!ekon"&ksi

un"uk

mengelu&k&n gum&l&n +&&. !. $ik& e+& e+&&& &&n n "eus "e&+i "e&+i +&n +&n u"eus u"eus "e&!& "e&!& !ekon"& !ekon"&ksi ksi !&ik8 !eik&n 10 uni" oksi"osin ,M . $ik& k&n+ k&n+ung ung kemi kemi i!u i!u !is& +i&l +i&l&s &si8 i8 &s&ng &s&ng k&"e"e k&"e"e    +. Peiks& Peiks& l&se&s l&se&sii &+& eine eineum8 um8 v&gin& v&gin& +&n seviks seviks +eng& +eng&n n seks seks&m &m& &

mem& mem&k& k&ii

l&m l&mu u

&ng &ng

"e& "e&ng ng..

$ik& $ik&

sum! sum!e  e 

e+&&&n su+& +ii+en"i7ik&si8 klem +eng&n 7oses &"ei +&n +&n &i" &i" l&se& l&se&si si +eng +eng&n &n mengg menggun un&k &k&n &n &nes &nes"es "esii lok&l lok&l li+o&in 1C; e. $ik& $ik& u"eu u"eus s meng meng&l& &l&mi mi &"oni &"oni88 !eik !eik&n &n m&s&se m&s&se u"eus u"eus un"uk un"uk mengelu&k&n gum&l&n +&& 7.

Peiks& Peiks& l&gi &&k& &&k& l&sen"& l&sen"& u"u8 u"u8 us& us& v&gin& v&gin&

g. $ik& k&n+u k&n+ung ng kemi kemi i!u !is& !is& +i&l&s +i&l&si8 i8 &s&ng &s&ng k&"e"e k&"e"e    . l&ku l&kuk& k&n n kom kome esi si !im& !im&nu nu&l &l in"e in"en n&l &l m& m& lim& lim& meni meni"" &"&u &"&u e+&&&n !is& +iken+&lik&n +&n u"eus kekon"&ksi +eng&n !&ik i.

Anuk& Anuk&n n kelu&g& kelu&g& un"uk un"uk memul&i memul&i memesi memesi&k& &k&n n uuk&n uuk&n

 .

$ik& e+&&&n e+&&&n !is& +iken+&lik&n +iken+&lik&n +&n u"eus kon"&ksi +eng&n !&ik: 

Teusk&n komesi !im&nu&l slm 1?2 mni"



(elu&k&n "&ng&n +&i v&gin&



P&n"&u k&l& 4 +eng&n seks&m& m&s&se u"eus8TD8 N&+i;

k. $ik& $ik& e+& e+&& &&n &n "i+&k "eken "eken+& +&li li +&n +&n u"eu u"eus s "i+&k "i+&k kon"&k kon"&ksi si +&l&m 5&k"u lim& meni" m&k& kelu&k&n "&ng&n +&i v&giEn& l.

$ik& "i+&k "i+&k &+& ie"en ie"ensi si &+& &+& i!u8 !ei me"egi me"egin n 082 mg ,M

m. Mul&i Mul&i ,F R 00 00 G 20 u oksi"osi oksi"osin. n. eik&n eik&n 00 00 e"&m& e"&m& see see& &"" mung mungki kin n +&n +&n "eu "eusk sk&n &n +eng +eng&n &n ,F R G 20 uni" uni" oksi"osin &ng ke+u& n. $ik& u"eus u"eus "e"& "e"& &"oni &"oni ul&ng ul&ngii komesi komesi !im&nu& !im&nu&ll in"en&l in"en&l o. $ik& $ik& u"eus u"eus !eko !ekon" n"&k &ksi si le&s le&sk&n k&n "&ng "&ng&n &n el& el&& &n n B l&& l&&n n +&n &n"&u k&l& 4 +eng&n em&"

. $ik& u"eus u"eus "i+&k "i+&k !eko !ekon"& n"&ksi8 ksi8 uuk uuk sege& sege& . Peki&k Peki&k&n &n uml& uml& +&& +&& &ng &ng kelu& kelu& +&n ek +eng& +eng&n n "e&"u  "e&"u  +enu" n&+i8 en&7&s&n +&n "ek&n&n +&&. . #.'ni" Tek&i"

&"&"& "&"&n n

"en"&n "&ng

semu& mu&

enil&i& l&i&n n

"in "in+&k&n

&ng

+il&kuk&n +&n engo!&"&n &ng +il&kuk&n  (&m& es&lin 

.Rekaman historis perubahan

u&"

No

Ru&ng P,

-&ng +iu!&

,si Peu!&&n

PENATALAKSANAAN RUJUKAN

Tgl. Mul&i +i!el&kuk&n.

STANDAR PROSEDUR OPERASIONAL ( SPO )

LITA GUNARTIK 1. Penge"i&n

&ngk& B l&ngk& & &ng & &us +i +il&kuk&n se se!elum & &sien +i +ikiim ke ke

2.Tuu&n

7&sili"&s el&&n&n kese&"&n &ng le!i "inggi Se!&g&i &u&n e"ug&s +&l&m en&"&l&ks&n&&n uuk&n

3. (e!i&k&n

Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u  

4.Re7eensi

&ng !el&ku Dekes R, 1999;8 Pe+om&n (e ( e& Pe&5&"8 Diek"o&" $en+e&l

.Al&" +&n &&n

Pel&&n&n Me+ik  Persiapan Aa! &. Su&" eng&n"& uuk&n !. (en+&&&n

6.&ngk& ? l&ngk&



Pea"sanaan &. Pe"ug&s Pe"ug&s mene menel&sk l&sk&n &n &l&s&n &l&s&n &sie &sien n +iuuk +iuuk !. Pe"ug&s Pe"ug&s meni&k meni&k&n &n lem!& lem!& ,n7om ,n7om @onse @onsen" n" . Pe"ug Pe"ug&s &s menel& menel&sk& sk&n n isi in7om in7om onsen onsen"" ke& ke&+& +& &sien &sien +&n kelu&g& +. Pe"ug&s Pe"ug&s meni& meni&k&n k&n &sien &sien +sn kelu& kelu&g& g& !&5& !&5& se"uu se"uu un"uk un"uk +iuuk e. Pe"ug&s

memin"&

&sien

&"&u

kelu&g&

un"uk

men&n+&"&ng&ni in7om onsen" 7.

Pe"u Pe"ug& g&s s men& men&n+ n+&" &"&n &ng& g&ni ni in7o in7om m ons onsen en"" &ng &ng "el& "el& +i ""+ ""+ &sien

g. Pe"ug Pe"ug&s &s meni& meni&k& k&n n su&" su&" uuk&n uuk&n

. Pe"ug Pe"ug&s &s melen melengk gk& &ii su&" su&" uuk&n uuk&n !eu !eu& & nomo nomo88 i+en"i i+en"i"&s "&s &sien8 +i&gnos&8 ""+ e"ug&s +&n s"emel PM i.

Pe"ug Pe"ug&s &s mem& mem&s"i s"ik&n k&n &sie &sien n +&l&m +&l&m kon+is kon+isii s"&!i s"&!ill

 .

Pe"ug&s mem&s"ik&n mem&s"ik&n &l&" kese&"&n kese&"&n &ng "e&s&ng &+& &ien +&l&m kon+isi !&ik

k. Pe"u Pe"ug& g&s s meni meni& &k& k&n n

&l&" &l&" +n o!&" o!&" &ng &ng +ie +iel luk uk&n &n +&lm +&lm

ose uuk&n l.

Pe"u Pe"ug& g&s s men meni& i&k k&n &n ken+ ken+& &&& &&n n

m. Pe"ug&s Pe"ug&s mengu! mengu!ung ungii RS &ng m&u +i"uu +i"uu +&n menel&sk& menel&sk&n n &l&s&n &sien +iuuk n. Pe"ug&s Pe"ug&s memin+& memin+&k&n k&n &sien &sien ke+&l& ke+&l&m m mo!il mo!il o. Pe"u Pe"ug& g&s s !e& !e&ng ngk& k&"" +eng +eng&n &n men+ men+&m &mi ing ngii &si &sien en sel& sel&m& m& #.'ni" Tek&i"

.Rekaman historis perubahan

e&l&n&n  Ru&ng Peiks& 

Ru&ng Ni7&s



Ru&ng es&lin

No

-&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

PELAYANAN PERSALINAN STANDAR PROSEDUR OPERASIONAL ( SPO ) LITA GUNARTIK 1. Penge"i&n 2.Tuu&n

Mem!eik&n e"olong&n es&lin&n nom&l8 &m&n +&n !esi 1. Mem!eik&n &s& &m&n +&n n&m&n &+& i!u

3. (e!i&k&n

2. Mem!eik&n e"olong&n +&n e&5&"&n &+& !&i !&u l&i  Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u  

4.Re7eensi .Al&" +&n &&n

&ng !el&ku uku Asu&n Pes&lin&n Nom&l  Persiapan Aa! I*&  &. P&"us Se" !eisi : ? 2 +oek s"eil / &n+uk DTT ? 2 &s&ng s&ung "&ng&n DTT ? 2 klem8 H koke8 "&li us&" ? 1 gun"ing eisio"omi8 gun"ing "&li us&" ?  k&s& s"eil8 &"e"e nel&"on !. (&&s !&s& DTT8 DTT8 e"&+in &+& "em&"n& . engkok 28 ken+il l&sen"&8 un+e &+ 2 +. 2 "em&" s&m&8 &u"&n kloin 08 C8 Sui" 3 e. O!&"?o!&"&n: ? '"eo "onik&8 in7us se"8 &i&n R ? Oksigen 7. em!& o!sev&si &"og&7  g.enen : ? 2 5&s l&8 (&in &n&ng8 el&n& +&l&m ? &u i!u8 so7"e

6.&ngk& ? l&ngk&



Persiapan Un!&" Ba,i 

&. Pengis& len+i / DTT !. S&le m&"&8 Selimu" keing8 "em&" "i+u !&i . &mu &m u eng&ng&"8 !&u !&i +. Fi" (8 Oksigen



Persiapan Kien 

&. Menel&sk&n !&5& oses es&lin&n &k&n +imul&i !. Peng&"u&n osisi mene&n sesu&i +eng&n keingin&n klien . Mene&n se"i& &+& is +&n is"i&&" s&&" &+& el&ks&si +. ingkung&n u&ng&n &ng "e"u"u



Lan-"a+ Kera Kaa I

&. Penolong ui "&ng&n +eng&n &i meng&li8 keingk&n !. esik& &m& I so&n . Min"& i!u mengosongk&n k&n+ung kemi +. Nil&i kese&"&n i!u8 (/' I TTF e. Mel&kuk&n emeiks&&n umum e&+ "o "oe : ? ,nseksi ? P&l&si  B , B  ,F ? Auskul"&si ? Pekusi ? Pemeiks&&n D&l&m 7. Mene"uk&n +i&gnose in&"u e. Men&"&" &sil &+& &"og&7 



Lan-"a+ Kera Kaa II

&; Meng& Meng&m& m&"i "i "&n+ "&n+& & ge&l ge&l& & k&l& k&l& ,, !; Mem&s"ik Mem&s"ik&n &n &l&" &l&" I o!&" o!&" su+& su+& leng lengk& k& ; Mem&sukk Mem&sukk&n &n Sui" Sui" 3 ke+&l&m ke+&l&m !&k &"us &"us +; Mengen& Mengen&k&n k&n eleme elemek8 k8 ui "&ng& "&ng&n n +&n keing keingk&n k&n e; T&ng&n &ng&n k&n&n k&n&n &k&i &k&i s&ung s&ung "&ng "&ng&n &n DTT 7;

Meng Mengis& is&  Oksi"os Oksi"osin in 10 iu +eng +eng&n &n sui" sui" &ng &ng su+& su+& +isi&k +isi&k&n &n +&n

mengem!&lik&n ke !&k &"us

g; T&ng&n &ng&n kii mem&k&i s&ung s&ung "&ng&n "&ng&n DTT8 DTT8 mem!es mem!esik& ik&n n vulv& +&n eineum ; Mel&ku Mel&kuk& k&n n eme emeik iks& s&&n &n +&l&m +&l&m88 !il& !il& sel& sel&u" u" ke"u! ke"u!&n &n !elu !elum m e& I em!uk&&n su+& lengk& l&kuk&n &mnio"omi i;

Dekon Dekon"&m "&min& in&si si s&ung s&ung "&ng& "&ng&n n ke+&l&m ke+&l&m kloi kloin n 08 C +&n le&s le&s se&& "e!&lik

 ;

Memiks& D$$ D$$

k; Mengin7o Mengin7om&si m&sik&n k&n &sil &sil emeiks& emeiks&&n &n I ke&+&&n ke&+&&n &nin &nin !&ik l;

A"u A"u osis osisii i!u ses sesu& u&ii +eng& +eng&n n keing keingin& in&n n i!u

m; &kuk&n imin&n mene&n s&&" i!u i!u &+& is n; $ik& ke&l ke&l& & !&i "el& "el& "eli&" "eli&" +i vulv& vulv& ?6 m le"&kk&n le"&kk&n &n+u &n+uk k !esi +i&"&s eu" i!u un"uk mengeingk&n !&i o; e"&kk&n e"&kk&n k&in k&in !esi +ili&" +ili&" see"ig see"ig& & !&gi&n !&gi&n +i!&5& +i!&5& !okong i!u I !uk& &"us se" ; P&k&i P&k&i s&un s&ung g "&ng& "&ng&n n DTT DTT &"&u &"&u s"eil s"eil ; S&&" S&&" ke&l& ke&l& !&i "eli& "eli&"" +i vulv& vulv& ?6 m8 lin+un lin+ungi gi eineu eineum m +eng +eng&n &n s&"u s&"u "&ng "&ng&n &n I "&ng "&ng&n &n &ng &ng l&in l&in +ike +ike& &l& l& !&i !&i mem!eik mem!eik&n &n "ek&n "ek&n lem!u" lem!u" &g& &g& "e&+i "e&+i +e7leksi +e7leksi +eng&n e&" e&" s&&" ke&l& l&i  ;

's& muk&8 muk&8 mulu" mulu" +&n +&n i+ung i+ung +eng +eng&n &n k&s& k&s& !esi !esi

s; Meme Memeiks iks& & lili" lili"&n &n "&li "&li us& us&"" ";

Menu Menung nggu gu ing ingg& g& ke& ke&l& l& !&i !&i mel& mel&ku kuk& k&n n u"& u"& &ks &ksii lu&  lu&  se&& son"&n

u; Se"e Se"el& l&  ke& ke&l& l& u"& u"& &ks &ksii lu& lu&88 "em "em&" &"k& k&n n "&ng "&ng&n &n se& se&& & !i&ie" !i&ie"&l &l I meng&n meng&nuk& uk&n n i!u un"uk un"uk mene&n mene&n s&&" kon"&ks kon"&ksii +eng&n +eng&n lem!u" "&ik ke&& !&5& &kus &kus u!is8 u!is8 "&ik "&ik ke&"&s ke&"&s ke& kelu& un"uk mel&ik&n !&u os"eio  v; Se"el& Se"el& ke+u& ke+u& !&u !&u +il&ik&n +il&ik&n "&ng& "&ng&n n mel&kuk&n mel&kuk&n s&ngg s&ngg& & susu  un"uk mel&ik&n seluu "u!u !&i 5; Menil& Menil&ii !&i !&i +eng +eng&n &n e&" e&".. e"&k e"&kk& k&n n +i&"& +i&"&s s eu" eu" i!u +eng +eng&n &n osisi ke&l& le!i en+& se+iki" +&i "u!un& ; (eingk (eingk&n &n +&n !ungkus !ungkus !&i !&i keu& keu&lili !&gi&n !&gi&n us&" us&" ; $ei" $ei" "&liu "&lius& s&"" 3 m +&i +&i us&" us&" !&i8 !&i8 l&kuk l&kuk&n &n uu"&n uu"&n "&li "&li us&" us&" mul&i +&i klem ke& i!u +&n klem J2m +&i klem e"&m&

=; Po"ong Po"ong "&lius "&lius&" &" +eng&n +eng&n s&"u "&ng& "&ng&n8 n8 lin+ung lin+ungii !&i +&i gun"ing gun"ing I memo"ong "&lius&" +i&n"&& +u& klem I mengg&&n"i &n+uk !&s& +eng&n selimu" !&i &+& i!u un"uk MMD



Lan-"a+ Kera Kaa II

&; Mel Mele"&kk "&kk& &n

k&in

!esi si88

mel mel&kuk& kuk&n n

&l& l&si

&!+omin min&l

kemungkin&n &+&n& !&i ke+u& se!elum menun"ik !; Mem!ei" Mem!ei"&u &u i!u i!u !&5& !&5& i& &k&n &k&n +isun" +isun"ik ik oi"o oi"oin in ; D&l&m D&l&m 5&k"u 5&k"u 1 meni" meni" se"el& se"el&  !&i l&i l&i oksi"os oksi"osin in 10 iu su+& su+&  &us +isun"ikk&n ,M 1/3 && k&n&n &"&s i!u !&gi&n lu& I &si&si le!i +ulu +; Pin+&k Pin+&k&n &n klem klem &+& &+& "&lius& "&lius&"" ?10 m m +&i vulv& vulv& e; e"& e"&kk kk&n &n s&"u s&"u "&ng "&ng&n &n +i&" +i&"&s &s k&in k&in +ie +ieu u"" i!u8 i!u8 "e& "e&"" +i&" +i&"&s &s simisis simisis un"uk un"uk men+e"ek men+e"eksi si ele& ele&s&n s&n l&sen"& l&sen"&88 "&ng&n "&ng&n l&in memeg&ng "&li us&" 7;

Se"el Se"el& & u"eus u"eus kon"&k kon"&ksi8 si8 "eg&n "eg&ngk gk&n &n "&li us&" us&" ke&& ke&& !&5& !&5& s&m!il men+oong u"eus ke& !el&k&ng B &"&s +oso k&ni&l; ingg& l&sen"& "ele&s

g; Min"& Min"& i!u i!u mene& mene&n n s&m!il s&m!il eno enolo long ng men&i men&ik k "&liu "&lius& s&"" +eng +eng&n &n && se&& l&n"&i I kemu+i&n ke&& &"&s8 mengiku"i oses  &l&n l&i l&i "e"& l&kuk&n l&kuk&n "ek&n&n "ek&n&n +oso k&ni&l; h) $ik& l&sen"& l&sen"& "eli&" "eli&" +i in"oi"us in"oi"us v&gin&8 v&gin&8 menggun menggun&k&n &k&n ke+u& ke+u&

"&ng&n "&ng&n memeg& memeg&ng ng l&sen"& l&sen"& memu"&n memu"&n& & se&& se&& &um &um &m ingg& sel&u" ke"u!&n "eilin8 kemu+i&n l&ik&n I "em&"k&n l&sen"& &+& 5&+& &ng "el& +ise+i&k&n.



Lan-"a+ Kera Kaa I/ &; Sege& Sege& se"el& se"el& l&sen l&sen"& "& I sel&u" sel&u" ke"u!&n ke"u!&n l&i8 l&i8 mel&kuk&n mel&kuk&n m&s&se m&s&se u"eus u"eus +eng&n +eng&n && mele"&kk mele"&kk&n &n "el&&k "el&&k "&ng&n "&ng&n +i7un+us +&n mel&kuk&n ge&k&n melingk& +eng&n lem!u" ingg& u"eus !ekon"&ksi !; Meme Memeik iks& s& ke+u& ke+u& sisi sisi l&se l&sen"& n"& 7oe"&l 7oe"&l +&n m&"en& m&"en&ll se"& se"& mem&s"ik&n sel&u" ke"u!&n lengk&. Mele"&kk&n l&sen"& ke+&l&m ken+il &"&u k&n"ung l&s"ik

; )v&lu&s )v&lu&sii &+&n& &+&n& l&se l&se&si &si &+& &+& v&gin& v&gin& I eineu eineum8 m8 men&i men&i"" l&se&si &ng meng&l&mi e+&&&n &k"i7  +; Menil Menil&i &i ul&ng ul&ng kon"& kon"&ksi ksi u"eu u"eus s I e+& e+&& &&n &n ev& ev&gi gin& n&m. m. )s"im&si +&& &ng kelu&  e; Menelu Meneluk& k&n n ke+u& "&ng& "&ng&n n ke+&l&m ke+&l&m kloin kloin 08 C mem!il&s mem!il&s ke+u& "&ng&n &ng m&si !es&ung "&ng&n "s! +eng&n &i  DTT +&n mengeingk&n +eng&n +eng&n k&in &ng !esi8 &"&u g&n"i s&ung "&ng&n &ng !&u 7;

Meng Mengik ik&" &" "&li "&liu us& s&"" +eng +eng&n &n s&"u s&"u sim simul ul m&"i m&"i kemu kemu+i +i&n &n +i!&gik&n +i!&gik&n "&lius&" &ng !ese!&&ng&n !ese!&&ng&n +eng&n simul m&"i &ng u"&m&

g; Mele&sk Mele&sk&n &n klem klem I mele"&kk& mele"&kk&n n +&l&m +&l&m l&u"&n l&u"&n kloin kloin 08 C ; Meneli Menelimu"i mu"i kem!&li kem!&li !&i !&i I menu"ui menu"ui !&gi&n !&gi&n ke&l&n ke&l&n& & i;

Meng Meng&n &nu uk&n k&n i!u i!u un"uk un"uk memul&i memul&i mem!e mem!eik ik&n &n AS, AS,

 ;

Mem&n"&u Mem&n"&u kon"&ksi kon"&ksi u"eus I e+&&&n e+&&&n ev&gin&m ev&gin&m

k; Meng Meng&& &&k& k&n n &+& &+& i!u/k i!u/kel elu& u&g& g& && mel&k mel&kuk uk&n &n m&s&s m&s&se e u"eus I memeiks& kon"&ksi u"eus l;

Meng Mengev& ev&lu& lu&si si +&& +&& &ng &ng kelu& kelu&   

m; Memeiks Memeiks& & "ensi8 "ensi8 n&+i8 kon"&ksi kon"&ksi &im8 ken+ung ken+ung kening8 kening8 e+&&&n8 eineum se"i& 1 meni" sel&m& &m e"&m& +&n "i& 30 meni" sel&m& &m ke+u& &s& es&lin&n n; Menem& Menem&"k&n "k&n semu& semu& e&l& e&l&"&n "&n ke+&l& ke+&l&m m l&u"&n l&u"&n kloin 08 08 C un"u un"uk k +ekon +ekon"&m "&min& in&si si 10 meni" meni";; kemu+ kemu+i& i&n n ui ui +eng +eng&n &n s&!un +&n !il&s o; Mem! Mem!u& u&ng ng !&& !&&n? n?!& !&& &n n &ng &ng "ek "ekon on"& "&mi min& n&si si ke+& ke+&l& l&m m "em&" "em&" s&m& &ng sesu&i ; Mem!esi sik k&n i!u i!u +eng&n men menggun&k&n k&n &i DTT DTT I mem!&n"u

i!u i!u

men menggun&k&n k&n

&k&i k&i&n

kein ing

+&n

mem!eik&n &s& n&m&n ; Deko Dekon"& n"&min min&s &sii +&e& +&e&  &ng &ng +igun +igun&k &k&n &n un"u un"uk k mel& mel&ik ik&n &n +eng&n l&u"&n kloin 08 C +&n mem!il&sn& +eng&n &i  !esi ;

Menelu Meneluk& k&n n s&ung s&ung "&ng& "&ng&n n ko"o ko"o ke+&l&m ke+&l&m l&u"& l&u"&n n kloin kloin 08 08 C8 mele&sk&n se&& "e!&lik +&n meen+&mn& sel&m&

10 meni" s; Menui Menui ke+u ke+u& & "&ng&n "&ng&n +eng& +eng&n n s&!un s&!un +&n &i &i meng&li meng&li    #.'ni" Tek&i"

.Rekaman historis perubahan

"; Mele Meleng ngk& k&i i &" &"og og& &7  7   Ru&ng Peiks& 

Ru&ng Ni7&s



(&m& es&lin



Ru&ng P,

No

-&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

PENANGANAN BAYI BAYI AS$IKSIA STANDAR PROSEDUR OPERASIONAL ( SPO ) LITA GUNARTIK 1. Penge"i&n

'&& mene+i&k&n oksigen ke o"&k8 &u?&u8 &n"ung mel&lui se!u se!u& & "in+& "in+&k& k&n n emi emi&"& &"&n n &n"un &n"ung g +&n +&n men men&mi &min n ven"il ven"il&si &si &ng &ng

2.Tuu&n

&+eku&" Mem!eik&n ve ven"il&si & &ng &+ &+eku&"8 e em!ei&n ok oksigen8 +& +&n u u&  &n"ung &ng uku un"uk men&luk&n men&luk&n oksigen ke o"&k8 &n"ung +&n

3. (e!i&k&n

og&n l&inn& Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u  

4.Re7eensi

&ng !el&ku ,lmu (e (e!i+&n&n8 Pe Pen&ki" (& (&n+ung&n +& +&n (e (elu&g& e een&n& un un"uk

.Al&" +&n &&n

Pen+i+ik&n i+&n %&l 29  Persiapan Aa! &. Resusi"&si se" !. Oksigen8 engis& len+i8 Me+ik&men"os& . Al&" eng&ng&" !&i +. &mu soo" e. Tem&" "i+u / inu!&"o

6. &ngk& ? l&ngk&



Persiapan Pen%%n-

&. APD lengk& !. @ui "&ng&n . P&k&i s&ung "&ng&n



Pe0*ersi+an Jaan Napas

&. Si&k Si&k&n &n esu esusi" si"&si &si I ins" ins"um umen en""

!. e"&k e"&kk&n k&n !&i !&i +i&"& +i&"&s s me& me& !esi !esi  keing keing +&n &ng& &ng&"" +eng +eng&n &n osisi lee se+iki" e"ensi . esi esik& k&n n muk& muk& +eng +eng&n &n k&s& k&s& +. ee ee !&i !&i +ig&n&l +ig&n&l +eng&n +eng&n !&n"&l !&n"&l "iis "iis e. Peno Penolon long g !e&+ !e&+& & +i ke& ke&l& l& !&i !&i 7.

uk& uk& mulu" mulu" !&i8 !&i8 "ek&n "ek&n li+& li+& ingg ingg& & oeso7&s oeso7&sin ing g "elis "elis"" el&s el&s +&n is& len+i 



Pernapasan B&a!an

&. P&s&ng P&s&ng m&ske m&ske en&& en&&s&n8 s&n8 l&kuk& l&kuk&n n eniu&n eniu&n mel&lui mel&lui sel&ng sel&ng +eng&n 7ekuensi 20?30 /meni"8 !il& menggun&k&n &m!u!&g 7ekuensi 40?60 /meni" !. Pe&"ik Pe&"ik&n &n e&ksi e&ksi !&i !&i se"i& se"i& 4 em!u em!us&n s&n u+&& u+&& . il& "im!ul "im!ul en&& en&&s&n s&n son"&n son"&n en"ik en"ik&n &n "iu&n. "iu&n. esik esik&n &n l&gi  &l&n n&&s n&&s ingg& ingg& !&i men&ngis men&ngis +. il& il& +en +enu" u" &n" &n"un ung g !&i !&i +i!& +i!&5& 5&  40/ 40/me meni ni"" l&ku l&kuk& k&n n i& i&""  &n"ung e. il& il& +en +enu" u" +i&" +i&"&s &s 0 /me /meni ni"" en" en"ik ik&n &n "iu "iu&n &n I "eu "eusk sk&n &n en&s&n !u&"&n 7.

'&& '&& es esusi usi"&s "&sii g&g g&g&l &l seg sege& e& uuk uuk

g. Dekon Dekon"&m "&min in&si &si &l&"?& &l&"?&l& l&"" . @u @ui "&n "&ng&n #.'ni" Tek&i"

.Rekaman historis perubahan



No

(&m& es&lin

-&ng +iu!&

,si Peu!&&n

PENANGANAN PRE  EKLAMPSIA RINGAN (PER)

Tgl. Mul&i +i!el&kuk&n.

STANDAR PROSEDUR OPERASIONAL ( SPO )

LITA GUNARTIK 1. Penge"i&n

Tim!uln& i  ie"ensi &  &ng +i + ise"&i   o"ein u u ine +& + &n &" & "&u e+ e +em&

2.Tuu&n

se"el& ke&mil&n 20 minggu +&n su+& "e&+i +is7ungsi en+o"el 1. Mengen&li ge&l& +&n "&n+& ie"ensi k&en& ke&mil&n 2. Mene Menen"u n"uk&n k&n +i&g +i&gno nosis sis &ng &ng &lin &ling g mungk mungkin in +&l& +&l&m m u!u u!ung ng&n &n +eng&n

ie"ensi ie"ensi &ng +iiu ole ke&mil&n ke&mil&n I ie"ensi ie"ensi konik

&+& i!u &mil 3.

Mel&kuk&n Mel&kuk&n en&"&l&ks&n&& en&"&l&ks&n&&n n P) +&n %ie"ensi %ie"ensi konik &+& i!u

3. (e!i&k&n

&mil Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u  

4.Re7eensi

&ng !el&ku ,lmu (e (e!i+&n&n8 Pe Pen&ki" (& (&n+ung&n +& +&n (e (elu&g& e een&n& un un"uk

.Al&" +&n &&n

Pen+i+ik&n i+&n %&l 29  Persiapan Aa! &. Tem&" em&" "i+u "i+u &sie &sien n !. Tensi ensime me"e "e    . ,n7us se" +. @&i @&i&n &n in in7us 7us e. Me+iu" 7.

Sui" 

g. Sui" 3 3 . Oksigen

6. &ngk& B l&ngk& 

Pea"sanaan

Tan'a 'an Geaa PER &. Tek&n ek&n&n &n +i&s"ol +i&s"olik ik 90 mm%g mm%g &"&u ken&i ken&ik&n k&n 1 mm%g +&l&m +&l&m 2 k&li enguku&n !e&&k 1 &m !. Po" Po"ei einu nui i& & 1G 1G

$ik& $ik& ke&m ke&mil& il&n n K 3# mingg minggu u +&n +&n "i+&k "i+&k "e+& "e+&& &"" "&n+& "&n+& e!& e!&ik& ik&n8 n8 l&kuk&n enil&i&n 2 k&li seminggu se&& &5&" &l&n : &. &kuk &kuk&n &n em&n em&n"&u "&u&n &n "ek&n "ek&n&n &n +&& +&&88 Po"ei Po"einu nui& i&88 e7lek e7leks s +&n +&n kon+isi &nin !. e!i e!i !&n& !&n&k k is"i& is"i&& &"" . Die" !i&s& +. Ti+&k i+&k el elu u em!e em!ei& i&n n o!&" o!&" e. $ik& "i+&k "i+&k memu memungk ngkingk ingk&n &n &5&" &5&" &l&n &l&n sege& sege& uuk uuk $ik& $ik& ke& ke&mi mil& l&n n L 3# ming minggu gu sege sege& & uu uuk k RS e" e"im im!& !&ng ng&n &nk& k&n n #.'ni" Tek&i"

.Rekaman historis perubahan

"emin&si ke&mil&n  Ru&ng Peiks& 

Ru&ng es&lin



Ru&ng P,

No

-&ng +iu!&

,si Peu!&&n

PENANGANAN PRE  EKLAMPSIA BERAT ( PEB )

Tgl. Mul&i +i!el&kuk&n.

STANDAR PROSEDUR OPERASIONAL ( SPO )

LITA GUNARTIK 1. Penge"i&n

Su&"u ko komlik&si ke ke&mil&n & &ng +i +i"&n+&i +e +eng&n "i"im!uln& i ie"ensi  160/110 +ise"&i o"ein uine +&n &"&u oe+em& &+& ke&mil&n 20

2.Tuu&n

minggu &"&u le!i a. Mengen&li ge&l& +&n "&n+& ie"ensi k&en& ke&mil&n +&n menen"uk&n +i&gnosis &ng &ling mungkin +&l&m u!ung&n +eng +eng&n &n ie" ie"en ensi si &ng &ng +i iu iu ole ole ke&m ke&mil& il&n n (pregnancy  induced hypertension) +&n ie"ensi konik &+& i!u &mil !. Mel&ku Mel&kuk& k&n n en& en&"&l "&l&k &ks&n s&n&&n &&n Peekl Peekl&m &msi& si& / )kl&m )kl&msi& si& +&n +&n %ie"ensi konik &+& i!u &mil . Mel&kuk& Mel&kuk&n n em!ei& em!ei&n n o!&" &n"i &n"i ke&ng ke&ng  M&gnesiu M&gnesium m Sul7&" Sul7&" +&n Di&=e&m ; se"& o!&" &n"i ie"ensi +&l&m en&"&l&ks&n&&n

3. (e!i&k&n

Peekl&msi& e&" +&n )kl&msi& Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u  

4.Re7eensi

&ng !el&ku ,lmu (e (e!i+&n&n8 Pe Pen&ki" (& (&n+ung&n +& +&n (e (elu&g& e een&n& un un"uk

.Al&" +&n !&&n

Pen+i+ik&n i+&n %&l 29  Persiapan Aa! &. Tem&" em&" "i+u "i+u &sie &sien n !. Tensi ensime me"e "e    . ,n7us se" +. Me+iu" e. @&i @&i&n &n ,n7u ,n7us s 7.

Sui" 

g. Sui" 3 3

. (&"e"e  i.  . 6. &ngk& B l&ngk&

MgSO4 40C Oksigen

Tan'a 'an Geaa PEB &. Tek&n&n ek&n&n +&& +&& +i&s"ol +i&s"olik ik L 110 110 mm%g mm%g !. Po" Po"ei einu nui i& &  2G 2G . Oligu Oligui& i& K 400 400 ml e e 24 24 &m &m +. )+em& )+em& &u &u : n&7&s en+ en+ek8 ek8 si&nos si&nosis is +&n &+&n &+&n& & onki onki e. Nei Nei &e& eig& eig&s"iu s"ium m &"&u ku&+& ku&+&n n &"&s k&n& k&n&n n eu" eu" 7.

<&ng <&nggu gu&n &n eng engli li& &"& "&n n : sko" sko"om om& & &"&u &"&u eng engli li& &"& "&n n &ng &ng !ek&!u"

g. Nei Nei ke& ke&l& l& e!& e!&"" &ng &ng "i+&k !eku& !eku&ng ng +eng&n +eng&n em!e em!ei& i&n n &n&lge"ik& !i&s& . %ie %ie e7 e7le leks ksi& i& i.

M&"& M&"& : s&sme s&sme &"ei &"eiol ol& &88 e+em e+em&8 &8 &!l& &!l&sio sio e"in e"in& &

 .

(o&gul&si (o&gul&si : ko&gul&si ko&gul&si in"&v&skule in"&v&skule +issemin&"&8 +issemin&"&8 sin+om sin+om %)P %)P

k. Pe"u Pe"um!u m!u& &n n &ni &nin n "e& "e&m!& m!&"" l.

O"&k O"&k : e+em e+em& & &se &see! e!i i

m. $&n"ung $&n"ung : g&g&l g&g&l &n"ung &n"ung

Pena!aa"sanaan  &. Pen&ng Pen&ng&n& &n&n n eekl&ms eekl&msi& i& !e&" !e&" +&n ekl&msi ekl&msi& & s&m&8 keu&li keu&li !&5 !&5& & es& es&lin lin&n &n &us &us !el& !el&ng ngsu sung ng +&l&m +&l&m 6 &m se"el se"el& & "i!!uln& ke&ng ekl&msi& !. $ik& $ik& "ek&n "ek&n&n &n +i&s"o +i&s"oli li L110 L110 mm%g8 mm%g8 !ei !ei &n"i &n"ii ie" e"en ensi si s&m& s&m&ii "ek&n&n +&& +i&s"oli &n"&& 90?100mm%g . P&s&ng P&s&ng in7use in7use R R +eng&n +eng&n &um &um no. 16 16 e"&&n e"&&nk&n k&n 18?2 18?2 l"/ l"/ +. 'ku kesei keseim!&n m!&ng&n g&n &i&n &i&n &ng &ng&n &n s&m&i s&m&i ovel ovelo+ o+ e. (&"e (&"e"e "ei is& s&si si uin uin un"u un"uk k eng enguk uku u&n &n volu volume me I eme emei iks ks&& &&n n o"einui& f.

$&ng&n "ingg&lk&n &sien sen+ii +&n SEGERA RUJUK

g. O!sev&s O!sev&sii "&n+& vi"&l8 vi"&l8 e7le e7le I +enu" +enu" &n"ung &n"ung &nin &nin se"i& se"i& 1 &m

An!i "%n&san 

M&gnesium sul7&" meu&k&n o!&" ili&n un"uk meneg& +&n meng&"&si ke&ng &+& eekl&msi& +&n ekl&msi&. Al"en&"i7  l&in l&in &+&l &+&l& & Di&= Di&=e e&m &m88 +eng +eng&n &n esi esiko ko "e "e&+ &+in in& & +e +ees esii neon&"&l.

MAGNESIUM SUL$AT UNTUK PREEKLAMPSIA DAN EKLAMPSIA 

A!erna!ie I D%sis A2a MgSO4 4 g ,F se!&g&i l&u"&n 40C sel&m&  meni". Sege& l&nu"k&n +eng&n +eng&n 1 ml MgSO4 40C; 6 g +&l&m l&u"&n Ringe  &k"&" / Ringe Ase"&" sel&m& 6 &m. $ik& ke&ng !eul&ng se"el& 1 meni"8 !eik&n MgSO4 40C; 2 g ,F sel&m&  meni"



D%sis Pe0ei+araan MgSO4 1 g / &m mel&lui in7us Ringe &se"&" / Ringe &k"&" &ng +i!eik&n s&m&i 24 &m os"&"um



A!erna!i3 II D%sis A2a D%sis Pe0ei+araan MgSO4 4 g ,F se!&g&i l&u"&n 40C sel&m&  meni" Diiku"i +eng&n MgSO4 40C;  g ,M +eng&n 1 ml ignok&in  +&l&m semi" &ng s&m&; P&sien &k&n me&s& &g&k &n&s &+& s&&" em!ei&n MgSO4 >ekuensi en&7&s&n minim&l 16 k&li/meni"



Se*e&0

Pe0*erian

M-SO4

&an-an5

La"&"an

Pe0eri"saan 'in minim&l 30 ml/&m +&l&m 4 &m "e&i8 7ekuensi n&7&s K 16 k&li/meni" 

Hen!i"an Pe0*erian M-SO45 Ji"a  Re7leks &"ell& ?; !&+ine& K16 k&li/meni";



Siap"an An!i'%!&0 $ik& "e&+i en"i n&7&s: &n"u en&7&s&n +eng&n ven"il&"o  eik&n (&lsium
#.'ni" Tek&i"

el&&n B l&&n s&m&i en&7&s&n mul&i l&gi  Ru&ng Peiks& 

Ru&ng es&lin



.Rekaman historis perubahan

No

Ru&ng P,

-&ng +iu!&

,si Peu!&&n

PENANGANAN EKLAMPSIA

Tgl. Mul&i +i!el&kuk&n.

STANDAR PROSEDUR OPERASIONAL ( SPO )

LITA GUNARTIK 1. Penge"i&n

Su&"u ko komlik&si ke ke&mil&n & &ng +i +i"&n+&i +e +eng&n "i"im!uln& i ie"ensi  160/110 +ise"&i o"ein uine +&n &"&u oe+em& &+& ke&mil&n 20

2.Tuu&n

minggu &"&u le!i +ise"&i +eng&n &+&n& ke&ng &. Mel&kuk&n en&"&l&ks&n&&n )kl&msi& +&n %ie"ensi konik &+& i!u &mil !. Mel&kuk& Mel&kuk&n n em!ei& em!ei&n n o!&" &n"i &n"i ke&ng ke&ng  M&gnesiu M&gnesium m Sul7&" Sul7&" +&n Di&=e&m ; se"& o!&" &n"i ie"ensi +&l&m en&"&l&ks&n&&n

3. (e!i&k&n

)kl&msi& Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u  

4.Re7eensi

&ng !el&ku ,lmu (e (e!i+&n&n8 Pe Pen&ki" (& (&n+ung&n +& +&n (e (elu&g& e een&n& un un"uk

.Al&" +&n &&n

Pen+i+ik&n i+&n %&l 29  Persiapan Aa! &. Tem&" em&" "i+u "i+u &sie &sien n !. Tensi ensime me"e "e    . ,n7us se" +. Me+iu" e. @&i @&i&n &n in7u in7us s R R 7.

Sui" 

g. Sui" 3 3 . MgSO4 40C i.

(&"e"e  

 .

Oksigen

6. &ngk& B l&ngk&

Tan'a 'an Geaa PEB &. Tek&n&n ek&n&n +&& +&& +i&s"ol +i&s"olik ik L 110 110 mm%g mm%g !. Po" Po"ei einu nui i& &  2G 2G . Oligu Oligui& i& K 400 400 ml e e 24 24 &m &m +. )+em& )+em& &u &u : n&7&s en+ en+ek8 ek8 si&nos si&nosis is +&n &+&n &+&n& & onki onki e. Nei Nei &e& eig& eig&s"iu s"ium m &"&u ku&+& ku&+&n n &"&s k&n& k&n&n n eu" eu" 7.

<&ng <&nggu gu&n &n eng engli li& &"& "&n n : sko" sko"om om& & &"&u &"&u eng engli li& &"& "&n n &ng &ng !ek&!u"

g. Nei Nei ke& ke&l& l& e!& e!&"" &ng &ng "i+&k !eku& !eku&ng ng +eng&n +eng&n em!e em!ei& i&n n &n&lge"ik& !i&s& . %ie %ie e7 e7le leks ksi& i& i.

M&"& M&"& : s&sme s&sme &"ei &"eiol ol& &88 e+em e+em&8 &8 &!l& &!l&sio sio e"in e"in& &

 .

(o&gul&si (o&gul&si : ko&gul&si ko&gul&si in"&v&skule in"&v&skule +issemin&"&8 +issemin&"&8 sin+om sin+om %)P %)P

k. Pe"u Pe"um!u m!u& &n n &ni &nin n "e& "e&m!& m!&"" l.

O"&k O"&k : e+em e+em& & &se &see! e!i i

m. $&n"ung $&n"ung : g&g&l g&g&l &n"ung &n"ung n. )kl&msi )kl&msi& & +i"&n+&i +i"&n+&i ole ge&l& ge&l& eekl&m eekl&msi& si& !e&" !e&" +&n ke&ng: ke&ng: 

(e&ng (e&ng +&&" +&&" "e&+i "e&+i +eng&n +eng&n "i+&k "i+&k "eg&n"u "eg&n"ung ng &+& &+& !e&"n& !e&"n& ie"ensi



(e&ng !esi7&" "onik B klonik8 meneu&i ke&ng &+& eiles g&n+ m&l



(om& (om& "e& "e&+i +i se"el se"el& & ke&n ke&ng g +&n +&n +&& +&&"" !el& !el&ng ngsun sung g l&m& l&m& !e!e&& &m;

Pena!aa"sanaan  S)<)RA R'$'( $ik& "ek&n&n "ek&n&n +i&s"olik +i&s"olik L 110 mm%g8 mm%g8 !eik&n !eik&n &n"ii &n"iie"e e"ensi nsi s&m&i s&m&i "ek&n&n +i&s"olik &n"&& 90?100 mm%g &. P&s&ng P&s&ng in7us in7us Ringe Ringe +eng& +eng&n n &um !es& !es& no.16 no.16 &"&u &"&u le!i le!i !. 'ku keseim keseim!&n !&ng&n g&n &i&n8 &i&n8 &ng& &ng&n n s&m&i s&m&i "e&+i "e&+i ovelo&+ ovelo&+ . (&"e" (&"e"ei eis&s s&sii uin uin un"uk un"uk enguk enguku& u&n n volum volume e +&n +&n eme emeik iks& s&&n &n o"einui& +. ,n7us ,n7us &i&n &i&n +ie +ie"&& "&&nk& nk&n n 18 B 2 li"e/24 li"e/24 &m &m e. $&ng& $&ng&n n "ingg "ingg&l &lk&n k&n &sie &sien n sen+ sen+ii ii&n &n88 (e&n (e&ng g +ise" +ise"&i &i &si& &si&si si

+&&" meng&ki!&"k&n kem&"i&n i!u +&n &nin 7.

O!sev&s O!sev&sii "&n+& "&n+& vi"&l8 vi"&l8 e7lek e7leks8 s8 +&n +&n +enu" +enu" &n"un &n"ung g &nin &nin se"i& se"i& 1  &m

g. Ausk Auskul ul"& "&si si &u &u un"u un"uk k men men& &ii "&n+ "&n+& & e+em e+em& & &u &u.. A+&n A+&n& & kei" kei"&si &si meu meu&k &k&n &n "&n+ "&n+& & &+&n &+&n& & e+em& e+em& &u &u88 en" en"ik& ik&n n em!ei&n &i&n +&n !eik&n +iue"ik mis. >uosemi+e 40 mg ,F; . Nil&i Nil&i em!eku& em!eku&n n +&& +eng& +eng&n n ui em!eku&n em!eku&n.. $ik& em!eku& em!eku&n n "i+&k "e&+i se"el& # meni"8 kemingkin&n "e+&&" ko&gulo&"i An!i "%n&san 

M&gnesium sul7&" meu&k&n o!&" ili&n un"uk meneg& +&n meng&"&si ke&ng &+& eekl&msi& +&n ekl&msi&. Al"en&"i7  l&in l&in &+&l &+&l& & Di&= Di&=e e&m &m88 +eng +eng&n &n esi esiko ko "e "e&+ &+in in& & +e +ees esii neon&"&l.

MAGNESIUM SUL$AT UNTUK PREEKLAMPSIA DAN EKLAMPSIA 

A!erna!ie I D%sis A2a MgSO4 4 g ,F se!&g&i l&u"&n 40C sel&m&  meni". Sege& l&nu"k&n +eng&n +eng&n 1 ml MgSO4 40C; 6 g +&l&m l&u"&n Ringe  &k"&" / Ringe Ase"&" sel&m& 6 &m. $ik& ke&ng !eul&ng se"el& 1 meni"8 !eik&n MgSO4 40C; 2 g ,F sel&m&  meni"



D%sis Pe0ei+araan MgSO4 1 g / &m mel&lui in7us Ringe &se"&" / Ringe &k"&" &ng +i!eik&n s&m&i 24 &m os"&"um



A!erna!i3 II D%sis A2a D%sis Pe0ei+araan MgSO4 4 g ,F se!&g&i l&u"&n 40C sel&m&  meni" Diiku"i +eng&n MgSO4 40C;  g ,M +eng&n 1 ml ignok&in  +&l&m semi" &ng s&m&; P&sien &k&n me&s& &g&k &n&s &+& s&&" em!ei&n MgSO4 >ekuensi en&7&s&n minim&l 16 k&li/meni"



Se*e&0

Pe0*erian

M-SO4

&an-an5

La"&"an

Pe0eri"saan 'in minim&l 30 ml/&m +&l&m 4 &m "e&i8 7ekuensi n&7&s K 16

k&li/meni" 

Hen!i"an Pe0*erian M-SO45 Ji"a  Re7leks &"ell& ?; !&+ine& K16 k&li/meni";



Siap"an An!i'%!&0 $ik& "e&+i en"i n&7&s: &n"u en&7&s&n +eng&n ven"il&"o  eik&n (&lsium
#.'ni" Tek&i"

.Rekaman historis perubahan

el&&n B l&&n s&m&i en&7&s&n mul&i l&gi  Ru&ng Peiks& 

Ru&ng es&lin



Ru&ng P,

No

-&ng +iu!&

,si Peu!&&n

PELAYANAN KB PIL

Tgl. Mul&i +i!el&kuk&n.

STANDAR PROSEDUR OPERASIONAL ( SPO )

LITA GUNARTIK 1. Penge"i&n

( il &+&l& kon"&sesi omon&l !e!en"uk il/ "&!le"

2.Tuu&n

Se!&g&i &u&n mem!eik&n el&&n&n kon"&sesi un"uk enuun&n &ngk& kel&i&n

3. (e!i&k&n

Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u &ng !el&ku

4.Re7eensi

Pe+om&n m&n&emen el&&n&n kelu&g& !een&n& ole kemenkes "&un 2014

.Al&" +&n &&n



Persiapan Aa!  &. Pil ( !. Tensi ensime me"e "e    . Tim!& im!&n ng&n +. uku uku (un (unun ung& g&n n e. uk uku koo oo""

6. &ngk& ? l&ngk&



1. 2. 3. 4. 5. 6. 7. 8. 9.

Pena!aa"sanaan Mem&nggil &sien sesu&i uu"&n. Memeken&lk&n +ii. Men&n&k&n kelu&n +&n memin"& k&"u (on"ol ( Memesi&k&n &l&" Mel&kuk&n emeiks&&n  Memesil&k&n &sien un"uk !e!&ing +i me& eiks& Mel&kuk&n emeiks&&n eme iks&&n Tek&n&n Tek&n&n D&& Mem!eik&n ( il Mel&kuk&n en&"&"&n &sil emeiks&&n &+& koo" ( +&n

k&"u s"&"us &sien 10. Menulis "&ngg&l +il&&ni +&n mem!eik&n k&"u kon"ol ( ke&+& &sien

#.'ni" Tek&i" .Rekaman historis perubahan



No

Ru&ng Peiks& -&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

PELAYANAN KB SUNTIK STANDAR PROSEDUR OPERASIONAL ( SPO ) LITA GUNARTIK 1. Penge"i&n

2.Tuu&n 3. (e!i&k&n

( Sun"ik &+&l& kon"&sesi omon&l se&& sun"ik&n in"&musul&8 m&s& !el&kun& &+& &ng s&"u !ul&n &"&u 3 !ul&n Men&&ngk&n &"&u mem!&"&si uml& kel&i&n Semu& !i !i+&n & &ng me mel&kuk&n "i"in+&k&n & &us se sesu&i +e +eng&n  ose+u & &ng !el&ku

4.Re7eensi

.Al&" +&n !&&n

Pe+om&n m&n&emen el&&n&n kelu&g& !een&n& ole kemenkes kemenkes "&un 2014 

&. !. . +. e. 7. g. .

Persiapan Aa!  Sui" Sui" +is +isos os&!l &!le e   / 3  O!&" O!&" sun sun"ik "ik88 +eo +eo88 lo lo +ll +ll O!&" O!&" +esi +esin7e n7ek"& k"&n n / &loo &looll #0C Al&" Al&" "ulis "ulis I k&"u k&"u &kse &kse"o "o    uku uku koo oo"" uku kunu unun ng&n g&n Tensi ensime me"e "e    Tim! im!&ng&n

6. &ngk& ? l&ngk&

Persiapan Kien  &. (lie (lien n os osis isii "i+u "i+u    !. Pemeik Pemeiks&& s&&n n 7isik 7isik I "&n+ "&n+& & vi"&l vi"&l 



&. !. . +. e. 7. g. .

an-"a+  Lan-"a+  (lien (lien "i+u "i+u miing miing kii / k&n& k&n&n n Mem!&n"u Mem!&n"u mem!u mem!uk& k& +&e& +&e& &ng &ng &k&n &k&n +isun"ik +isun"ik Peno Penolo long ng u uii "&ng "&ng&n &n Mem&k Mem&k&i &i s&u s&ung ng "&ng "&ng&n &n s"ei s"eill Am!il Am!il I !uk& sui sui"" s"eil s"eil si&k&n si&k&n +&l&m +&l&m !&k s"eil s"eil Am!il Am!il o!&" o!&" ( I !&& !&& e"ike" e"ike" l&lu !uk& !uk& "u"un "u"un& & %is& o!&" +&l&m +&l&m sui" sui" +&n +&n kelu&k&n kelu&k&n u+&& &ng m&suk &kuk&n &n"ise"ik &n"ise"ik +eng&n +eng&n &lool &lool &+& +&e& enun"ik&n enun"ik&n

+eng&n && memu"& +&i +&l&m kelu&  i. Sun" Sun"ik ik&n &n o!&" o!&" se& se&& & ,M  . @&!u" sui" sui" +&n "ek&n !ek&s !ek&s sun"ik&n8 sun"ik&n8 "i+&k "i+&k +i m&s&se m&s&se k. R&ik& R&ik&n n klien klien88 +eko +ekon"&m n"&min&s in&sii &l&" &l&" l. Pen&"&"&n +& +&n m. ,n7om&sik&n ,n7om&sik&n k&&n kem!&li kem!&li sun"ik I em!ei&n em!ei&n k&"u &kse"o  &kse"o  n. @ui ui "& "&ng& ng&n

#.'ni" Tek&i"

 

.Rekaman historis perubahan

No

Ru&ng Peiks& Ru&ng P, -&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

PELAYANAN KB KONDOM STANDAR PROSEDUR OPERASIONAL ( SPO ) LITA GUNARTIK 1. Penge"i&n

(on+om &+&l& selu!ung/ s&ung k&e" se!&g&i s&l& s&"u me"o+e kon"&sesi &"&u &l&" un"uk meneg& ke&mil&n +&n &"&u enul&&n en&ki" kel&min &+& s&&" !esengg&m&

2.Tuu&n

Se!&g&i &u&n e"ug&s +&l&m mem!eik&n el&&n&n kon"&sesi un"uk enuun&n &ngk& kel&i&n

3. (e!i&k&n

Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u   &ng !el&ku

4. Re7ensi

Pe+om Pe+om&n &n m&n& m&n&em emen en el& el&&n& &n&n n kelu& kelu&g g& & !ee !een& n&n& n& ole ole kemenkes "&un 2014

.Al&" +&n &&n

6. &ngk& B l&ngk&



Persiapan Aa! &. Tim! im!&ng&n !. Tensi ensime me"e "e    . (on+om +. (&" (&"u u kun kunun ung& g&n n e. uku uku kun kunun ung& g&n n 7. uku koo" g. Al&" Al&" e e&g &g& & (on+ (on+om om



Pena!aa"sanaan Mem&ngg Mem&nggilil &sie &sien n sesu& sesu&ii uu"&n uu"&n Mel&kuk Mel&kuk&n &n &n&mn &n&mnes& es& &+& &+& &sien &sien Meng&m! Meng&m!ilil &l&" &l&" e&g& e&g& +&n kon+om kon+om Menel& el&s sk&n &+& &sien "en "en"&ng "&ng

&; !; ; +;

kon+om &ng !en& &i"u:

& &&

em& em&k k&i&n &i&n



(on+om se!&ikn& +igun&k&n &+& s&&" enis eeksi8



se!elum enis m&suk ke v&gin&. $ik& kon+om "i+&k memun&i "em&" en&mung&n sem& +i uungn&8 sis&k&n 1?2 m +i uung kon+om



un"uk men&mung &i&n e&kul&si e&sk&n kon+om se"el& enis seles&i eeksi Peg&ng kon+om &+& &ngk&ln& +eng&n &i gun&



meneg& sem& "um& &"&u meem!es Ti& kon+om &n& un"uk sek&li &k&i +&n l&ngsung



+i!u&ng $&ng&n menim&n kon+om +i"em&" &ng &n&s se"&



 &ng&n menggun menggun&k&n &k&n min&k min&k goeng8 goeng8 !&! oil &"&u ell

#.'ni" Tek&i" .Rekaman historis perubahan

se!&g&i min&k eliin e; Pe"ug& Pe"ug&s s men&"&" men&"&" &+& &+& ek&m ek&m me+is me+is +&n koo" koo" ( 7; Pe"ug& Pe"ug&s s mem!ei mem!eik&n k&n kon+ kon+om om +&n +&n k&"u k&"u ( ke&+& ke&+& &sie &sien n g; P&si P&sien en ul& ul&ng ng  Ru&ng Peiks&  Ru&ng P, No

-&ng +iu!&

,si Peu!&&n

PELAYANAN PEN#ABUTAN AKDR STANDAR PROSEDUR OPERASIONAL ( SPO ) LITA GUNARTIK

Tgl. Mul&i +i!el&kuk&n.

1. Penge"i&n

Pen&!u"&n A(DR &+&l& engelu&&n A(DR +&i &im ole "en&g& me+is k&en& sesu&"u &l /&l&s&n &"&u k&en& m&s& !el&kun& su+& &!is

2.Tuu&n 3. (e!i&k&n

 A(DR kelu& kelu& +&i +&i &im +eng&n +eng&n "&n& "&n& e7ek s&ming Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u   &ng !el&ku

4. Re7ensi

Pe+om Pe+om&n &n m&n& m&n&em emen en el& el&&n& &n&n n kelu& kelu&g g& & !ee !een& n&n& n& ole ole kemenkes "&un 2014

.Al&" +&n !&&n

           



&. !. . +. 

6. &ngk& B l&ngk&

&. !. . +. 

&. !. . +.

Persiapan Aa!  &k ins"umen Sekulum @uing Ten&kulum T&mon"&ng (&s& s"eil e"&+in S&ung "&ng&n s"eil Tem&" s&m& &mu soo" )"&"o  Persiapan Pasien (onse (onselin ling g P& Pen Pen& &!u" !u"&n &n Min"& Min"& ese ese"u "uu& u&n n "e"ul "e"ulis is (e!e (e!esi si&n &n &l&" &l&" gene gene"&l "&li& i& lu&  lu&  Posi Posisi si "i+u "i+u li"o"o li"o"omi mi K%nsein- Pra Pen6a*&!an S&& S&& klien klien +&n "&n&k "&n&k&n &n "uu&n "uu&n kunun kunung&nn g&nn& & T&n&k&n &n&k&n &l&s&nn &l&s&nn& & ingin men&!u men&!u"" A(DR A(DR T&n&k&n &n&k&n "uu&n "uu&n +&i +&i ( sel&n sel&nu"n u"n& & $el&sk& $el&sk&n n oses oses en en&!u" &!u"&n &n A(DR A(DR Tin'a"an Pra Pen6a*&!an D&n klien klien su+& su+& mengoso mengosongk ngk&n &n k&n+un k&n+ung g kening kening &n"u &n"u klien klien n&ik n&ik ke"em&" ke"em&" "i+u  "i+u  i+&n i+&n ui ui "&ng&n "&ng&n +eng +eng&n &n &i I s&!un8 s&!un8 kein keingk& gk&n n P&k&i P&k&i s&ung s&ung "&ng "&ng&n &n DTT DTT I &"u &"u e&l& e&l&"&n "&n

Tin'a"an Pen6a*&!an &. Peme Pemeiks iks&&n &&n !im&nu !im&nu&l &l



!. . +. e. 7.

P&s&n P&s&ng g se seul ulum um v&g v&gin& in& 's& 's& v&gin& v&gin& I seviks seviks +eng& +eng&n n l&u"&n l&u"&n &n"ise &n"ise"i "i $ei" $ei" !en&ng !en&ng A(DR A(DR &ng +ek&" +ek&" sevik seviks s +eng&n +eng&n klem klem Tunuk unukk&n k&n A(DR A(DR &+& &+& klien klien A&!il& A&!il& !en&n !en&ng g "i+&k "i+&k keli& keli&"&n8 "&n8 gun&k& gun&k&n n klem klem )lig&" )lig&"o o un"uk men&i A(DR +&l&m &vum u"ei8 "e&s& "eei"

+i"&ik kelu& el&&n +&n "unukk&n A(DR &+& klien g. (elu&k (elu&k&n &n se seulum ulum +eng&n +eng&n &"i?& &"i?&"i "i 

Tin'a"an Pas6a Pen6a*&!an &. Ren+&m Ren+&m semu& semu& e&l&" e&l&"&n &n &ng &ng su+& +i&k& +i&k&ii +&l&m

l&u"&n kloin 08 C sel&m& 10 meni" !. u&ng !&&n &ng su+& su+& +i&k&i +i&k&i &+& "em&" &ng su+& su+& +ise+i&k&n . @eluk @eluk&n &n ke+u& ke+u& "&ng&n "&ng&n +&l&m +&l&m kloin kloin 08 08 C kemu+i&n kemu+i&n le&sk&n s&ung "&ng&n "e!&lik +&n en+&m +&l&m l&u"&n kloin "ese!u" +. @ui ui "&ng "&ng& &n e. Am&"i Am&"i klien klien  meni" meni" se!elum se!elum +iul +iul&ngk &ngk&n &n 

K%nsein- Pas6a Pe0asan-an &. Diskusik Diskusik&n &n !il& !il& klien klien meng& meng&l&mi l&mi m&s&l& m&s&l&  !. Min"& klien un"uk mengul&ngi mengul&ngi kem!&li kem!&li enel&s&n enel&s&n &ng

"el& +i!eik&n . $&5&! $&5&! semu semu& & e"&n e"&n& &&n &n klie klien n +. 'l&ngi 'l&ngi ke"e&n ke"e&ng&n g&n "en"&ng "en"&ng &l&" &l&" kon"&se kon"&sesi si &ng &ng "ese+i&8 esiko +&n keun"ung&n m&sing B m&sing &l&" kon"&sesi e. &n"u klien menen"uk&n menen"uk&n &l&" kon"&sesi kon"&sesi !&u &ng

#.'ni" Tek&i"

 

.Rekaman historis perubahan

No

&k&n +i&k&i 7. u&" u&" ek& ek&m m me+ik me+ik "en"& "en"&ng ng en en&!u &!u"& "&n n A(D A(DR R Ru&ng Peiks& Ru&ng P, -&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

PELAYANAN PELEPASAN IMPLANT STANDAR PROSEDUR OPERASIONAL ( SPO ) LITA GUNARTIK 1. Penge"i&n

Mele&s im&ln" +&i "em&" insesin& k&en& sesu&"u &l / &l&s&n &"&u m&s& !el&kun& su+& &!is

2.Tuu&n 3. (e!i&k&n

,ml&n" +ile&s +eng&n "&n& e7ek s&ming Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u   &ng !el&ku

4. Re7ensi

Pe+om Pe+om&n &n m&n& m&n&em emen en el& el&&n& &n&n n kelu& kelu&g g& & !ee !een& n&n& n& ole ole kemenkes "&un 2014

.Al&" +&n &&n



&. !. . +. e. 7. g. . i.  .

Persiapan aa!  Duk lo!&ng lo!&ng +&n s&ung s&ung "&ng&n "&ng&n s"ei s"eill  '  klem klem +&n +&n &"e &"ei i klem klem Mes Mes I in ine e"" i iu ugi gie e Sui"   @&i @&i&n &n &n" &n"is ise e"i "i  (&s& s" s"eil Pe!&n Ples"e  i+o&in Au&+es Au&+es



Persiapan Kien  &. (lien (lien menui menui leng leng&n &n kii kii &"&s +eng& +eng&n n s&!un s&!un !. Posi Posisi si "i+u "i+u klien klien "el "elen en"& "&ng ng . T&ng&n &ng&n kii kii +i +i !uk& !uk& kes&mi kes&ming ng 6. &ngk& B l&ngk&

 

Lan-"a+  an-"a+  K%nsein- Pra Pe0asan-an

&. S&& S&& klien klien +en +eng& g&n n &m& &m& !. T&n&k&n &+& klien &l&s&nn& &l&s&nn& ingin ingin men&!u" men&!u" iml&n" . T&n&k&n &n&k&n "uu&n "uu&n ( sel& sel&nu" nu"n& n& +. $el&sk& $el&sk&n n oses oses en&!u" en&!u"&n &n iml&n" iml&n" +&n +&n && &ng &ng &k&n +i&s&k&n &+& s&&" oses +&n se"el& en&!u"&n 

Tin'a"an Pen6a*&!an Kaps& I0pan! &. Peiks& Peiks& kem!& kem!&lili &&k& &&k& klien klien "el& "el& menu menui i

leng&nn& se!esi mungkin !. A"u osisi osisi leng&n leng&n klien klien88 &!& &!& k&sul k&sul un"uk un"uk menen"uk&n lok&si insisi . P&s"ik& P&s"ik&n n semu& semu& e&l&"& e&l&"&n n &ng &k&n &k&n +igun&k +igun&k&n &n +. e. 7. g. .

"el& si& Mem&k Mem&k&i &i s&u s&ung ng "&ng "&ng&n &n s"e s"eilil Mel&kuk Mel&kuk&n &n "in+&k "in+&k&n &n &se"i &se"ik k +&n &n"i &n"i se"i se"i Me&lk Me&lkuk uk&n &n &nes &nes"es "esii lok&l lok&l +i "em "em&" &" inse insesi si Mel&k Mel&kuk uk&n &n s&& s&&"&n "&n 2 m m Meng&m! Meng&m!ilil k&sul k&sul iml&n" iml&n" +eng&n +eng&n ' ' klem8 se"el& se"el&  k&sul "&m&k &+& luk& insisi "&ikl k&sul +eng&n klem lengkung +&n !esik&n k&sul +&n &ing&n

i.

menggun&k&n mess Se"el& Se"el& iml&n" iml&n" seles&i seles&i +ikelu& +ikelu&k&n k&n88 &&"k &&"k&n &n luk& luk&

 .

s&&"&n Menu"u luk& s&&"&n s&&"&n +eng&n +eng&n les"e les"e88 +&n k&s& k&s&

s"eil l&lu !&lu" +eng&n e!&n k. Mem!e Mem!esi sik& k&n n &l& &l&"" B &l&" &l&" l. Menui "& "&ng&n m. Men&"&" &sil &sil el&&n&n el&&n&n &+& &+& s"&"us egis"e egis"e +&n k&"u ( n. Meng&nu Meng&nuk& k&n n un"uk kon" kon"ol ol ik& &+& &+& kelu&n kelu&n &"&u #.'ni" Tek&i"

 

.Rekaman historis perubahan

No

m&s&l& Ru&ng Peiks& Ru&ng P, -&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

PELAYANAN PEMASANGAN AKDR STANDAR PROSEDUR OPERASIONAL ( SPO ) LITA GUNARTIK 1. Penge"i&n

Mem&s&ng &l&" kon"&sesi +&l&m &im A(DR; &ng !eu& &l&" "e!u&" +&i l&s"ik len"u &"&u enis A(DR &ng meng&n+ung omon oges"eon +&n !is& +i&m!il kem!&li &&!il& m&s& !el&kun& &!is

2.Tuu&n 3. (e!i&k&n

Men&&ngk&n &"&u mem!&"&si uml& kel&i&n &n&k Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u   &ng !el&ku

4. Re7ensi

Pe+om Pe+om&n &n m&n& m&n&em emen en el& el&&n& &n&n n kelu& kelu&g g& & !ee !een& n&n& n& ole ole kemenkes "&un 2014

.Al&" +&n &&n



&. !. . +. e. 7. g. . i.  . k.

Persiapan aa!  ,'D ,'D s"e s"eil il88 Duk Duk s"e s"eilil &u &u"& "&n n lo loin in 08 08 C O!&" O!&" +esi +esin7 n7ek ek"& "&n n Ten&k en&kul ulum um Seku Sekulu lum m o oo o !e!e !e!ek k Son+e u"eus (lem lem k&s&


Persiapan R&an-an  &. ingk ingkung ung&n &n "e"u "e"u"u "u !. Pene&n Pene&ng&n g&n un"uk un"uk meli& meli&"" sevik seviks s Persipan Kien  &. (onseling (onseling A5&l s&& klien +eng&n +eng&n &m&8 k/ eken&lk&n eken&lk&n 

6. &ngk& B l&ngk&

+ii !i+&n8 !ei in7om&si umum ( I enis &lkon &ng "ese+i& I esiko se"& keun"ung&n +&i m&sing B m&sing kon"&sesi8 el&sk&n && &ng +&&" +ieole +&i kunung&nn& !. (onse (onselin ling g me"o me"o+e +e ku kusus sus &; eik&n eik&n &min& &min&n n &k&n ke& ke&&si& &si&&n &n klien klien !; (umulk (umulk&n &n +&"& i!&+i i!&+i klien klien ; T&n&k&n &n&k&n &g&m& &g&m& &ng &ng mungkin mungkin menen"& menen"&ng ng enggun&&n kon"&sesi +; Diskusi Diskusik&n k&n ke!u"u ke!u"u&n8 &n8 e"im e"im!&ng !&ng&n &n +&n k&k&5&"i&n klien +eng&n sik& sim&"ik e; &n"u &n"u klien klien un"uk un"uk memili memili me"o+e me"o+e &ng &ng "e&" "e&" 7; $el&sk& $el&sk&n n kemung kemungkin& kin&n n e7ek e7ek s&ming s&ming A(DR A(DR s&m&i s&m&i !en& +imenge"i ole klien . Seleksi Seleksi i5& i5&&" &" kese& kese&"&n "&n eo eo+uk +uksi si klien klien &; %P%T %P%T8 l&m& &i+8 &i+8 ol& ol& e+&& e+&&&n &n

!; P&i"&s P&i"&s +&n +&n i5&& i5&&"" kel&i& kel&i&n n &ng &ng "e&i  "e&i  ; Ri5& Ri5&&" &" ke&m ke&mil& il&n n ek"oi ek"oik k +; Ne Neii e!&" e!&" se"i& se"i&  &i+ &i+ e; Anem Anemi& i& !e& !e&"" 7; Ri5&& Ri5&&"" in7eks in7eksii sis"em sis"em geni"&l geni"&l / ,S< ,S< I PMS g; eg eg&n" &n"i?g i?g&n &n"i "i &s& &s&ng& ng&n n ; (&nk (&nke e sev sevik iks s +. $el&sk&n $el&sk&n !&5& !&5& elu +il&kuk&n +il&kuk&n emeiks&&n emeiks&&n 7isik +&n &nggul se!elum em&s&ng&n A(DR e. Pesil& Pesil&k&n k&n klien klien un"uk un"uk meng&uk meng&uk&n &n e"&n& e"&n&&n &n 7. Mem! Mem!u& u&"" su& su&"" es ese" e"u uu& u&n n g. (lien (lien +imin"& +imin"& kek&m kek&m& & m&n+i m&n+i un"uk un"uk kening kening +&n +&n mem!esik&n &l&" kel&minn& Pe0eri"saan Pan--& &. &n"u &n"u klien klien n&ik keme& keme& emeik emeiks&& s&&n n +&n &"u osis osisii 

li"o"omi !. (en&k& (en&k&n n k&in enu"u enu"u &+& &+& klien klien un"uk eme emeiks& iks&&n &n . i+&n i+&n ui ui "&ng&n "&ng&n +eng&n +eng&n &i &i +&n s&!un s&!un +&n +&n keingk keingk&n &n +eng&n k&in !esi +. P&l&si P&l&si +&e& +&e& eu" eu" +&n +&n eiks& eiks& &+&k& &+&k& nei8 !enol&n !enol&n e. 7. g. . i.

&"&u kel&in&n l&inn& +i+&e& su& u!ik A"u A"u l&mu l&mu un"uk un"uk meli meli&" &" seviks seviks P&k& P&k&ii s& s&un ung g "&n "&ng& g&n n DTT DTT A"u A"u &l&" &l&" I !&&n !&&n &ng &ng &k&n +i&k& +i&k&ii &kuk&n &kuk&n inseks inseksii geni"& geni"&ll eks"e eks"en& n& P&l&s P&l&sii kelen& kelen& skene skene +&n +&n !&"o !&"olini lini88 &m&"i &m&"i &+&n& &+&n& nei nei

+&n +u +is&ge; v&gin&  . M&suk&n seulum v&gin& se&& se&& ginekolog ginekologik ik k. &kuk&n emeiks&&n ,nsekulo : &+&n& lesi8 keu"i&n l.

&+& v&gin& +&n inseksi seviks (elu&k (elu&k&n &n seu seulum lum +eng +eng&n &n &"i? &"i?&"i &"i +&n +&n le"&kk le"&kk&n &n kem!& kem!&lili

ke"em&" semul& "&n& menen"u &l&" l&in m. &kuk&n &kuk&n emeik emeiks&&n s&&n !im&nu& !im&nu&ll n. &kuk&n &kuk&n emei emeiks& ks&&n &n ek"ov&g ek"ov&gin&l in&l !il& !il& &+& in+ik&si in+ik&si o. @eluk&n @eluk&n s&ung s&ung "&ng&n "&ng&n &+& l&u"&n kloin8 !uk& +&n en+&m +&l&m ke&+&&n "e!&lik . $el&sk& $el&sk&n n &sil &sil eme emeiks& iks&&n &n &ng &nggul gul . $el&sk& $el&sk&n n oses oses em&s&ng& em&s&ng&n n A(DR A(DR +&n && &ng &ng &k&n klien &s&k&n &+& oses em&s&ng&n8 esil&k&n klien un"uk meng&uk&n e"&n&&n

. M&sukk& M&sukk&n n leng&n leng&n A(DR A(DR @u" 30 30 A "e"& "e"& +&l&m +&l&m kem&s&n kem&s&n 

&. !. . +. e. 7.

Tin'a"an Pe0asan-an AKDR P&k&i P&k&i s&un s&ung g "&ng "&ng&n &n &ng &ng !&u !&u P&s&ng P&s&ng se seulum ulum un"uk un"uk meli&" meli&" seviks seviks 's& F&gin& +&n seviks seviks +eng&n +eng&n l&u"&n l&u"&n &n"ise"i &n"ise"i 2?3 k&li $ei" $ei" sevi seviks ks +eng&n +eng&n "en&kulu "en&kulum m M&sukk&n M&sukk&n son+e son+e u"eus u"eus +eng&n +eng&n NO TO'@% TO'@% T)@%N, T)@%N,') ') Ten"uk&n en"uk&n osis osisii +&n ke+&l&m ke+&l&m&n &n k&vum k&vum u"ei u"ei +&n kelu& kelu&k&n k&n

son+e u"eus g. 'ku ke+&l&m&n ke+&l&m&n k&vum k&vum &+& &+& "&!ung "&!ung inse"e inse"e &ng m&si +&l&m kem&s&n . Angk&" Angk&" "&!un "&!ung g A(DR A(DR +&i +&i kem&s&n kem&s&nn& n& i. Peg&ng Peg&ng "&!u "&!ung ng A(DR A(DR +eng&n +eng&n lee lee !iu !iu +eng&n +eng&n osis osisii oison"&l8 l&kuk&n "&ik&n &"i?&"i &+& "en&kulum8 m&sukk&n "&!ung inse"e ke+&l&m u"eus s&m&i lee  .

!iu menen"u seviks Peg&ng se"& "&&n "&&n "en&kulum "en&kulum +&n +&n en+oong en+oong +eng&n +eng&n

s&"u "&ng&n k. e&sk&n leng&n A(DR +eng&n menggun&k&n "eknik l.

*,T% DRA*A (elu&k (elu&k&n &n en+o en+oong ong88 "&!ung "&!ung inse inse"e "e +i+o +i+oong ong kem!& kem!&lili

keseviks s&m&ilee !iu menen"u seviks m. (elu&k&n (elu&k&n se!&gi&n se!&gi&n +&i "&!ung "&!ung inse"e inse"e +&n gun"ing gun"ing !en&ng A(DR J 3?4 m n. (elu&k&n (elu&k&n seluu "&!ung inse"e !u&ng ke"em&" ke"em&" s&m& "ekon"&min&si o. e&sk&n e&sk&n "en&kululm "en&kululm +eng&n &"i?&"i &"i?&"i +&n en+&m +&l&m l&u"&n kloin 08 C . Peiks& seviks +&n !il& !il& &+& &+& e+&&&n e+&&&n +& "em&" "em&" !ek&s !ek&s  ei"&n "en&kulum "en&kulum "ek&n +eng&n +eng&n k&s& k&s& sel&m& sel&m& 30?60 +e"ik . (elu&k (elu&k&n &n seulum seulum +eng&n +eng&n &"i? &"i?&"i8 &"i8 en+&m en+&m +&l&m +&l&m l&u"&n kloin 08 C 

Tin'a"an Pas6a Pe0asan-an &. Ren+&m Ren+&m seluu seluu  &l&" +&l&m +&l&m kloin08 kloin08  C sel&m& 10 meni" meni"

un"uk +ekon"&min&si !. u&ng !&&n &ng "i+&k "i+&k +i&k&i +i&k&i ke"em&" &ng su+& +ise+i&k&n

. @eluk @eluk&n &n ke+u& ke+u& "&ng&n "&ng&n &ng &ng m&si m&si mem&k&i mem&k&i s&ung s&ung "&ng&n ke+&l&m l&u"&n kloin 08 C +. @ui @ui "&ng& "&ng&n n +eng& +eng&n n &i s&! s&!un un e. P&s"ik& P&s"ik&n n klien "i+&k "i+&k meng&l& meng&l&mi mi k&m e!&" e!&" +&n &m&"i &m&"i sel&m& 1 meni" se!elum klien ul&ng 

K%nsein- Pas6a Pe0asan-an &. '&k&n '&k&n sel&m&" sel&m&" +&n +&n &!&" &!&" "&ng&n "&ng&n klien klien !ei"&u !ei"&u !&5&

 A(DR "el& !e&sil !e&sil "e&s&ng "e&s&ng !. A&k&n klien memeiks& memeiks& sen+ii !en&ng A(DR +&n k&&n k&&n &us +il&kuk&n . $el&sk& $el&sk&n n klien && && &ng &us &us +il&kuk +il&kuk&n &n !il& meng& meng&l&mi l&mi e7ek s&ming +. ei"&u ei"&u k&&n k&&n klien klien &us &us kem!&li kem!&li ke klinik un"uk kon"ol e. ,ng&"k&n ,ng&"k&n kem!&li kem!&li m&s& em&s&ng&n em&s&ng&n A(DR @u" 30 30 A f. -&kink&n &+& klien i& +&&" +&"&ng ke klinik se"i& s&&" !il& memeluk&n konsul"&si g. Min"& Min"& klien mengul& mengul&ng ng kem!&li kem!&li enel& enel&s&n s&n &ng &ng "el&

#.'ni" Tek&i" .Rekaman historis perubahan

+i!eik&n ole e"ug&s . engk& engk&i i ek&m ek&m me+is +&n +&n k&"u A(DR A(DR un"uk un"uk klien i. Me&ik&n &l &l&"  . Pem!ei&n Pem!ei&n k&"u &ks"o   Ru&ng Peiks&  Ru&ng P, No

-&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

PELAYANAN ANTENATAL

STANDAR PROSEDUR OPERASIONAL ( SPO )

LITA GUNARTIK

1. Penge"i&n

 AN@ An"en&"&l An"en&"&l @&e; &+&l& &+&l& su&"u su&"u emeiks&&n emeiks&&n &+& &+& i!u &mil &mil sel&m& m&s& ke&mil&n.

2. Tuu&n

Se!&g&i &u&n +&l&m emeiks&&n ke&mil&n AN@;

3. (e!i&k&n

Semu& !i !i+&n & &ng me mel&kuk&n "i"in+&k&n & &us se sesu&i +e +eng&n  ose+u & &ng !el&ku

Pe+om Pe+om&n &n Pel& Pel&&n &n&n &n An"e An"en&" n&"&l &l Tingk& ingk&"" el& el&&n &n&n &n D&s&  D&s&  De&"emen (ese&"&n "&un 199.  M&"ei )v&lu&si Pem&n"&u&n *il&& Se"em&" ,!u +&n An&k "&un 2010. 

4. Re7eensi

. Al&" +&n &&n

6. &ngk& B l&ngk&



Persiapan Aa! 'an Ba+an &; Ru&n Ru&ng& g&n n "e"u "e"u"u "u  !; Tem& em&"" Ti+ Ti+u  u  ; Selimu" +; Me"len e; Tensi ensime me"e "e    7; Temome"e  g; Tim!& im!&ng ng& &n ; $&m $&m T&n T&ng& g&n n i; Re7lek & &mme   ; Mio"oise k; Dole  l; uku koo" m; uku kunung kunung&n &n

Lan-"a+  an-"a+  &; Mem&ngg Mem&nggilil &sie &sien n sesu& sesu&ii uu"&n uu"&n b) Memeken&lk&n +ii. c) Mel&kuk&n k&i&n &5&l : Ri5&&" ek&5in&n8 i5&&" ke&mil&n8 es&lin&n +&n (8 i5&&" ke&mil&n sek&&ng8 kelu&n u"&m& &sien8 &sil (SPR. d) Mel&kuk&n in7ome+ onen" e) Mel&kuk&n esi&&n &l&" f) Memesil&k&n &sien un"uk +il&kuk&n emeiks&&n 8 T8 +&n ,A ) Memesil&k&n &sien un"uk !e!&ing +i "em&" "i+u. TTF: TD8 N&+i8 Suu8 Suu8 RR. h) Mel&kuk&n emeiks&&n TTF: i) Mel&kuk&n emeiks&&n 7isik mul&i ke&l& s&m&i +eng&n k&ki: en"uk "u!u (es&+&&n Muk& (uli" M&"& Mulu"
         



!; (e+u& (e+u& "&ng&n "&ng&n emeik emeiks& s& +ile"&k +ile"&kk&n k&n +isisi +isisi (A/(, eu" s&m!il menge"eng&&n me"line ke un&k 7un+us mengiku"i line& me+i&lis +in+ing &!+omen ; e!& e!& me"line me"line &us &us meneme menemell &+& &+& +in+ing +in+ing &!+omen +; Ten"uk&n T>' &!& &!& !&gi&n !&gi&n && && &ng &+& &+& &+& >' Le%p%' II &; Memesi Memesil&k l&k&n &n &sien &sien "i+u "elen"&n "elen"&ng g ke+u& "&ng&n (A/(, +is&ming !&+&n +&n ke+u& k&ki +i"ekuk s&m!il +i"u"u selimu" !; T&ng&n e"ug&s !e&+& +is&ming +is&ming eu" eu" i!u +eng&n && ne&!& un"uk men&i &+& +ise!el& m&n&k& !&gi&n?!&gi&n keil &nin +&n +ise!el& m&n& le"&k "&&n&n ke&s see"i &&n Le%p%' III &; Memesi Memesil&k l&k&n &n &sien &sien "i+u "elen"& "elen"&ng ng ke+u& "&ng&n (A/(, +is&ming !&+&n +&n ke+u& k&ki +i"ekuk s&m!il +i"u"u selimu" !; T&ng&n e"ug&s me&!& !&gi&n !&5& &im +eng&n i!u &i +&n &i "eng& c) Pe"im!&ngk&n !en"uk8 uku&n8 +&n ke&+&"&n !&gi&n "ee!u" +; $ik& !e!en"uk !e!en"uk !ul&"8 "e&!& ke&s8 !e!&"&s !e!&"&s "eg&s "eg&s !i&s&n& ke&l&. $ik& !en"uk ku&ng "eg&s8 "e&!& ken&l8 el&"ive le!i !es& !i&s&n& &+&l& !okong Le%p%' I/ &; Memesi Memesil&k l&k&n &n &sien &sien "i+u "elen"&n "elen"&ng g ke+u& "&ng&n (A/(, +is&ming !&+&n +&n ke+u& k&ki +i"ekuk s&m!il +i"u"u selimu" !; (e+u& (e+u& "&ng&n "&ng&n e"ug&s e"ug&s me&!& me&!& !&gi&n !&gi&n !&5& !&5& &im +&n men&ngk& && &ng &+& +i!&gi&n !&5& &im ; Ten"uk&n en"uk&n enuun enuun&n &n !&gi&n !&gi&n "e!&5& "e!&5& &nin &nin +eng&n menggun&k&n lim& &i "&ng&n +; &gi&n &gi&n +i&"&s +i&"&s simi simisis sis &ng &ng +&&" +&&" "e&!& "e&!& &+&l& oosi &ng !elum m&suk PAP +&n sis&n& &ng "i+&k "e&!& menunukk&n se&u m&n& !&gi&n "e!&5& &nin "el& m&suk ke+&l&m ongg& &nggul k; Mel&kuk&n emeiks&&n D$$ l; Mel&kuk&n emeiks&&n e7lek &"ell& m; Men&"&" &sil emeiks&&n &+& !uku kunung&n +&n !uku 





#.'ni" Tek&i" .Rekaman historis perubahan

(,A &sien. n; Menen"uk&n 64i&gnose ke!i+&n&n o; Menel&sk&n &sil emeiks&&n ; Mel&kuk&n (,) ; Mel&kuk&n ev&lu&si ; Meme!ik&n "e&i &+& &sien  Ru&ng Peiks&  Ru&ng P, No

-&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

PELAYANAN NI$AS

STANDAR PROSEDUR OPERASIONAL ( SPO )

LITA GUNARTIK

1. Penge"i&n

Pel&&n&n kese&"&n s"&n+& &+& i!u mul&i 6 &m s&m&i 42 &i &s& !es&lin 1. Pem&n"&u Pem&n"&u&n &n eu!& eu!&&n &n 7isiolo 7isiologis gis m&s& m&s& ni7&s ni7&s

2. Tuu&n 3. (e!i&k&n

2. Mene Meneg& g& "e& "e&+in +in& & in7ek in7eksi si Semu& !i+&n &ng mel&kuk&n "in+&k&n &us sesu&i +eng&n ose+u &ng !el&ku

Pe+om Pe+om&n &n Pel& Pel&&n &n&n &n An"en An"en&"& &"&ll Tingk&" ingk&" el& el&&n &n&n &n D&s& D&s&    De&"emen (ese&"&n "&un 199.  M&"ei )v&lu&si Pem&n"&u&n *il&& Se"em&" ,!u +&n An&k "&un 2010. 

4. Re7eensi



 Al&" +&n &&n . Al&"

6.&ngk& ? l&ngk&



Pesi&&n Al&" : &. Tensi ensime me"e "e    !. (&s& &s& S"e S"eil . &u &u"& "&n n An"i An"ise se" "i i +. %&n+s +soon e. Fi"&min A (unung&n m&s& ni7&s e"&m& &+& m&s& 6 &m s&m&i +eng&n 3 &i se"el& es&lin&n &. @ui @ui "&ng&n "&ng&n +eng&n +eng&n s&!u s&!un n +&n &i &i meng&li meng&li    !. &kuk& &kuk&n n eme emeiks& iks&&n &n vi"&l vi"&l sign sign . &kuk& &kuk&n n emeiks& emeiks&&n &n "inggi "inggi 7un+us 7un+us u"ei u"ei invol involusi usi u"eus; +. &kuk& &kuk&n n emeiks&& emeiks&&n n loke& enge engelu& lu&&n &n e v&gin&m v&gin&m l&inn& e. &kuk& &kuk&n n enil&i&n enil&i&n 7ungsi 7ungsi !ekemi !ekemi88 7ungsi 7ungsi en&8 enem!u&n luk&8 s&ki" ke&l&8 &s& lel& +&n nei unggung 7. T&n&k&n &n&k&n ke& ke&+& +& i!u meng mengen& en&ii su&s&n& su&s&n&n n emosin& emosin&88 !&g&im&n&n +ukung&n kelu&g&8 &s&ng&n +&n m&s&&k&" un"uk e&5&"&n !&in& g. &kuk& &kuk&n n "&"&l&ks& "&"&l&ks&n& n& &"&u uuk uuk i!u !il& !il& +i"emuk& +i"emuk&n n m&s&l& . Anuk& Anuk&n n i!u un"uk un"uk meng mengu!un u!ungi gi n&kes n&kes !il& !il& i!u menemuk&n s&l& s&"u "&n+& !eiku": 1.Pe+&&&n !ele!i&n 2.Seke" v&gin& !e!&u 3.Dem&m 4.Nei eu" !e&" .(elel&&n &"&u ses&k 6.engk&k +i"&ng&n85&&8"ungk&i8&n+&ng&n k&!u  #.Nei &u+&&8!engk&k &+& &u+&& i. eik&&n ,n7om&si &+& i!u elun& ke!esi&n +ii : 1.Mem!esik&n +&e& vulv& 2.<&n"i em!&lu" 2 se&i 3.$&ng&n menen"u luk& eisio"omi . &kuk&n  &kuk&n emeiks&&n &u+&& k. Anuk&n un"uk &si eksklusi7 6 !ul&n; l. eik&n k&sul Fi"&min A 200.000 ,' &ng ke+u& m. Anuk&n un"uk is"i&&" uku n. Anuk&n un"uk mo!ilis&si o. Anuk&n un"uk m&k&n m&k&n&n &ng !egi=i . @ui "&ng&n se"el& mel&kuk&n "in+&k&n

. &kuk&n en&"&"&n +&n el&o&n 

(unung&n ni7&s ke+u& &i ke?4 s/+ &i ke?2 se"el& es&lin&n; &. @ui @ui "&ng&n "&ng&n +eng +eng&n &n s&!un s&!un &i &i meng& meng&li  li  !. &kuk& &kuk&n n eme emeiks& iks&&n &n vi"&l vi"&l sign sign . &kuk& &kuk&n n emeik emeiks&&n s&&n "inggi "inggi 7un7us 7un7us u"ei u"ei +. &kuk& &kuk&n n emeiks& emeiks&&n &n loke& loke& +&n +&n engelu& engelu&&n &n ev&gin&m e. &kuk& &kuk&n n enil&i& enil&i&n n 7ungsi 7ungsi !ekemi8 !ekemi8 7ungs 7ungsii en& i. T&n&k&n &n&k&n ke& ke&+& +& i!u i!u mengen mengen&i &i su&s& su&s&n&n n&n emos emosin& in&88 !&g&im&n&n +ukung&n kelu&g&8 &s&ng&n +&n m&s&&k&" un"uk e&5&"&n !&in& 7. A&k&n A&k&n i!u && mem&n+ik mem&n+ik&n &n !&i &ng &ng !en& !en&    g. &kuk& &kuk&n n emeiks& emeiks&&n &n &u+& &u+&& & +&n &nuk &nuk&n &n em!ei&n &si sel&m& 6 !ul&n . Anuk&n Anuk&n i!u && menusu menusuii &ng !en& +&n seseing mungkin i. &kuk& &kuk&n n "&"&l& "&"&l&ks& ks&n& n& &"&u &"&u uuk uuk !il& !il& !il& menemuk menemuk&n &n m&s&l&  . Anuk&n Anuk&n i!u un"uk un"uk mengu!ungi mengu!ungi n&kes n&kes !il& i!u menemuk&n s&l& s&"u "&n+& !eiku": 1.Pe+&&&n !ele!i&n 2.Seke" v&gin& !e!&u 3.Dem&m 4.Nei eu" !e&" .(elel&&n &"&u ses&k 6.engk&k +i"&ng&n85&&8"ungk&i8&n+&ng&n k&!u  #.Nei &u+&&8!engk&k &+& &u+&& k. eik&&n ,n7om&si &+& i!u elun& ke!esi&n +ii : 1.Mem!esik&n +&e& vulv& 2.<&n"i em!&lu" 2 se&i 3.$&ng&n menen"u luk& eisio"omi l. &kuk&n  &kuk&n emeiks&&n &u+&& m. Anuk&n un"uk &si eksklusi7 6 !ul&n; n. eik&n k&sul Fi"&min A 200.000 ,' &ng ke+u& o. Anuk&n un"uk is"i&&" uku . Anuk&n un"uk mo!ilis&si . Anuk&n un"uk m&k&n m&k&n&n &ng !egi=i . @ui "&ng&n se"el& mel&kuk&n "in+&k&n s. &kuk&n en&"&"&n +&n el&o&n



(unung&n ni7&s ke"ig&  &i ke?29 s/+ &i ke?42; se"el& es&lin&n &. @ui @ui "&ng&n "&ng&n +eng +eng&n &n s&!un s&!un &i &i meng& meng&li  li  !. &kuk& &kuk&n n eme emeiks& iks&&n &n vi"&l vi"&l sign sign

. &kuk& &kuk&n n emeik emeiks&&n s&&n "inggi "inggi 7un7us 7un7us u"ei u"ei +. &kuk& &kuk&n n enil&i& enil&i&n n 7ungsi 7ungsi !ekemi8 !ekemi8 7ungs 7ungsii en& e. T&n&k&n ke&+& i!u mengen&i mengen&i su&s&n&n su&s&n&n emosin&8 emosin&8 !&g&im&n&n +ukung&n kelu&g&8 &s&ng&n +&n m&s&&k&" un"uk e&5&"&n !&in& 7. &kuk& &kuk&n n "&"&l& "&"&l&ks& ks&n& n& &"&u &"&u uuk uuk !il& !il& !il& !il& menemuk menemuk&n &n m&s&l& g. &kuk& &kuk&n n emeiks emeiks&&n &&n &u+& &u+&& & . A&k&n A&k&n && && mem&n mem&n+ik& +ik&n n !&i !&i &ng !en&  !en&  i. Anuk&n un"uk is"i&&" uku . Anuk&n un"uk mo!ilis&si k. Anuk&n un"uk m&k&n m&k&n&n &ng !egi=i l. @ui "&ng&n se"el& mel&kuk&n "in+&k&n m. &kuk&n en&"&"&n +&n el&o&n

#.'ni" Tek&i"

 

.Rekaman historis perubahan

No

Ru&ng Peiks& Ru&ng P, -&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.

PELAYANAN PEMASANGAN IMPLANT STANDAR PROSEDUR OPERASIONAL ( SPO ) LITA LITA GUNARTIK GUNART IK 1. Penge"i&n

Su&"u "in+&k&n em&s&ng&n &l&" kon"&sesi &ng +i&s&ng +i!&5& kuli" &ng !eisi evonoges"el &ng +i!ungkus +&l&m k&sul !eu& silion &ng !eisi omon oges"eon

2.Tuu&n 3. (e!i&k&n

'n"uk men&&ngk&n ke&mil&n Semu& !i !i+&n & &ng me mel&kuk&n "i "in+&k&n & &us se sesu&i +e +eng&n  ose+u   &ng !el&ku

4. Re7ensi

Pe+o Pe+om& m&n n

m&n& m&n&e eme men n

el& el&& &n& n&n n

kelu kelu& &g& g&

!ee !een n&n &n& &

ole ole

kemenkes "&un 2014 .Al&" +&n &&n



Persiapan aa!  &. Tensi ensime me"e "e !. S"e"os "osko . APD m&sk m&ske e8&n 8&n+s +soon oon88 se&"u se&"u !o"8 !o"8 k&& m&"& m&"& ; +. &k ins"ume ins"umen n !eisi "o& "o&8en 8en+oo +oong8k ng8k&s& &s&

s"eil8sui"  !eisi li+o&in8k&sul iml&n"8inse" e. 7. g. . i.  . k.  

&n&"omis8+uk s"eil; (om (om !eisi !eisi l& l&u"& u"&n n !e"&+ !e"&+ine ine &u" &u"&n &n @lo @loin in08 08 C Alko lkool #0C #0C Ples Ples"e "e88 &ns& &ns&l l&s &s engkok uku koo" koo" (&" (&"u u kun kunun ung& g&n n

Pea"sanaan  Pe0asan-an Kaps& I0pan! &. Peiks& Peiks& kem!& kem!&lili un"uk un"uk mem&s"ik& mem&s"ik&n n leng&n leng&n &sien &sien

!&gi&n kii &"&s +&l&m su+& +iui +eng&n s&!un +&n &i meng&li l&lu +ikeingk&n !. Ten"uk&n en"uk&n "em&" "em&" em&s& em&s&ng& ng&n n ,ml&n" ,ml&n" . ei ei "&n+& "&n+& &+& "em&" "em&" em&s&n em&s&ng&n g&n +. P&s"ik& P&s"ik&n n !&5& !&5& semu& e&l e&l&"& &"&n n su+& su+& s"eil s"eil +&n

6. &ngk& B l&ngk&

k&sul iml&n" su+& "ese+i& 

Tin'a"an Pra Pe0asan-an I0pan! &. Sun"ik&n Sun"ik&n &nes"esi &nes"esi lok&l "e&" "e&" +i!&5& kuli" &+& kuli"

&ng +ik&si "&n+& s&m&i kuli" se+iki" menggelem!ung !. Teusk&n enusuk&n enusuk&n &um &um s&m&i s&m&i &um "i+&k "eli&"8 +&n sun"ik&n &nes"esi se"& el&&n s&m!il men&ik &um kelu& "&i "i+&k s&m&i uung &um "eli&"8 l&lu "eusk&n kem!&li enusuk&n &um &+& "&n+& +ise!el&n& . 'i e7ek e7ek &nes"es &nes"esii se!elum se!elum mel&ku mel&kuk&n k&n insis insisii &+& kuli" kuli" +. &kuk&n &kuk&n insis insisii +&ngk&l +&ngk&l sele! sele!& & 2mm l&ngs l&ngsung ung kel&is&n !&5& kuli" e. S&m!il S&m!il mengun mengungki" gki" kuli"8 kuli"8 m&sukk m&sukk&n &n uung uung "o& "o& &ng

!eisi iml&n" !ese"& en+oongn& s&m&i &"&s "&n+& s&"u 7. (elu&k (elu&k&n &n "o& "o& +&n "ek&n "ek&n en+oo en+oong ng s&m!il s&m!il m&sukk&n k&sul ke&& uung g. T&ik "o& "o& +&n +&n en+oong en+oongn& n& se&& se&& !es&m&?s&m& !es&m&?s&m& s&m&i !&"&s "&n+& &ng &+& &+& uung "o& "&i  &ng&n s&m&i s&m&i "o& "o& kelu& kelu& +&i lu!&ng lu!&ng insisi insisi . T&&n k&sul k&sul &ng &ng "el& "el& "e&s&ng "e&s&ng +eng&n +eng&n s&"u s&"u &i &i +&n m&sukk&n kem!&li "ok& !ese"& en+oongn& i.

s&m&i "&n+& s&"u $&ng&n $&ng&n men&ik men&ik uung uung "ok& "ok& +&i "em&" "em&" insi insisi si

 .

s&m&i seluu k&sul "e&s&ng R&!& (&sul (&sul un"uk un"uk mem&s"ik&n mem&s"ik&n k&sul k&sul su+& su+&

"e&s&ng semu& k. R&!& R&!& +&e& +&e& insisi insisi un"uk un"uk mem&s"ik mem&s"ik&n &n seluu seluu k&su k&sull !e&+& &u +&i insisi 

Tin'a"an Pas6a Pe0asan-an &. Dek&"k Dek&"k&n &n uung?u uung?uung ung insisi insisi +eng&n +eng&n ke+u& ke+u& "&ng&n "&ng&n

l&lu !ei les"e  !. ei ei em!&lu" em!&lu" "ek&n "ek&n un"uk un"uk meneg& meneg& e+& e+&&n &n +&n +&n mengu&ngi mem&  . T&u &l&" &l&" sun"ik sun"ik +i"em& +i"em&"" "eis& "eis& +&n +&n en+&m en+&m semu& e&l&"&n &+& l&u"&n kloin un"uk +ekon"&min&si +. u&ng u&ng e&l&" e&l&"&n &n &ng &ng su+& su+& "i+&k "i+&k "e&k&i "e&k&i e. e&ske e&sken n s&ung s&ung "&ng&n "&ng&n +&n +&n en+&m en+&m ke+&l& ke+&l&m m l&u"&n kloin 7. @ui @ui "&ng& "&ng&n n +eng& +eng&n n s&!un s&!un +&n &i meng&li meng&li l&lu keingk&n 

K%nsein- Pas6a Pe0asan-an &. ei ei "&u &sie &sien n && me&5 me&5&" &" luk& +&n +&n &ng&n &ng&n

s&m&i "eken& &i se"& k&&n klien &us +&"&ng kem!&li un"uk kon"ol b. -&kink&n &+& &sien !&5& i& +&&" +&"&ng k&&n s&& !il& &+& kelu&n se"& !il& mengingink&n

se5&k"u B5&k"u iml&n" ingin +ile&s . &kuk&n &kuk&n o!sev& o!sev&si si sel&m& sel&m& lim& lim& meni" meni" se!elum se!elum meme!olek&n &sien ul&ng #.'ni" Tek&i"

 

.Rekaman historis perubahan

No

Ru&ng Peiks& Ru&ng P, -&ng +iu!&

,si Peu!&&n

Tgl. Mul&i +i!el&kuk&n.