PENGISIAN FORMULIR RL 3.2 NO.DOKUMEN /KSH/SOP/RM/ADM/ PROSEDUR TETAP
TANGGAL TERBIT
NOMOR REVISI
HALAMAN 1/2
DITETAPKAN OLEH DIREKTUR
Dr.H.Aris Dr.H.Aris Munanar! Munan ar! MMR!MBA P"n#"r$ian
F%r F%r&u'ir RL 3.2 &"r &"ru(a)an )an *%r *%r&u'ir +an +an# ,"r ,"risi)an )an a$ a$a )"# )"#ia$a a$an ("' ("'a+anan ra-a$ arura$ ru&a sa)i$ +an# i'a(%r)an sa$u )a'i a'a& s"$aun! (a'in# 'a&,a$ $an##a' 1 ,u'an 0anuari $aun s"$"'a $aun ("ri%" ("'a(%ran.
Tuuan
S",a#ai a a uan un u n$u) &" & "n"'as)an 'a ' an#)a'an#)a (" ( "n+usunan 'a ' a(%ran RL RL 3.2
K",ia)an
1. UU N%.23 Taun 1442 $"n$an# K"s"a$an 5 L"&,aran N"#ara Taun 1442 N%&%r 166! Ta&,aan Ta&,aan L"&,aran N"#ara N%&%r 3748 2. P"ra$uran P"ra$uran M"n$"ri M"n$"ri K"s"a$a K"s"a$an n RI N%&%r N%&%r 14,/M"n)"s/ 14,/M"n)"s/P"r/I P"r/II/144 I/1449 9 $"n$an# $"n$an# Ru&a Sa)i$ 3. K"(u$usan K"(u$usan M"n$"ri M"n$"ri K"s"a$an K"s"a$an N%&%r N%&%r 12::/M"n 12::/M"n)"s/SK )"s/SK/;I/ /;I/1442 1442 $"n$an# $"n$an# Or#anisasi an Ta$a K"ra D"(ar$"&"n K"s"a$an. 7. P"%&an P"%&an Sis$"& Sis$"& In*%r& In*%r&asi asi Ru&a Ru&a Sa)i$ 5 SIRS SIRS 8 2611 2611
Pr%s"ur
P"$unu) P"n#isian F%r&u'ir RL 3.2 S",a#ai ,"ri)u$ < 1. Kasus Kasus = )asus )asus Ins$a'a Ins$a'asi si Ra-a$ Darura$ Darura$ T"r T"riri iri ari Kasus Kasus B"a! B"a! Kasus Kasus N%n B"a! Kasus K",ianan! )asus Psi)a$ri)! Kasus Ana) 2. T%$a' %$a' Pasi Pasi"n "n Un$u Un$u) ) &asi &asin# n# = &asin &asin# # )asu )asuss i," i,"a a)an )an a(a)a a(a)a (asi (asi"n "n $"rs",u$ Pasi"n ruu)an a$au n%n ruu)an . 3. >an# an# i&a i&a)s )su u ? ruu ruu)an )an ? aa'a aa'a u&' u&'a a ,an+ ,an+a)n a)n+a +a ("n" ("n"ri ri$a $a +an# +an# a$a a$an# n# )" IGD IGD &"'a &"'a'u 'uii Ruu Ruu)a )an n ari ari ins$ ins$an ansi si )"s" )"s"a a$a $an! n! ("$u ("$u#a #ass )"s"a$an! (%'isi an u)u&. 7. >an# i&a)su i&a)su "n#an N%n N%n Ruu)an Ruu)an aa'a aa'a %ran# %ran# +an# a$an# a$an# )" Ru&a Ru&a Sa)i$ a$as K"&auan s"niri / K"'uar#a. . Tina) Lan Lanu$ ("'a+anan nan (aa (asi"n +an# ,"r ,"r)un unun# )" IGD is"suai)an "n#an )%nisi (asi"n. @. >an# i&a)su i&a)su "n#an "n#an ira-a$ ira-a$ aa'a aa'a u&'a u&'a ,an+a)n ,an+a)n+a +a ("n"ri$a ("n"ri$a +an# s"$"'a i("ri)sa &"&"r'u)an ("ra-a$an '",i 'anu$ (aa sa$u $aun +an# ,"rsan#)u$an.
:. >an# i&a)su "n#an iruu) aa'a u&'a ("n"ri$a +an# s"$"'a i(ri)sa ("r'u iruu) )" ru&a sa)i$ +an# '",i &a&(u (aa sa$u $aun +an# ,"rsan#)u$an 9. >an# i&a)su "n#an (u'an# aa'a u&'a ,an+a)n+a ("n"ri$a +an# ,%'" (u'an# s"$"'a i("ri)sa/i%,a$i a'a& sa$u $aun +an# ,"rsan#)u$an 4. >an# i&a)su "n#an ? &a$i i UGD ? aa'a u&'a ("n"ri$a +an# &a$i s"-a)$u &asi a'a& ("n#a-asan a$au ("&"ri)saan uni$ ra-a$ arura$ a'a& sa$u $aun +an# ,"rsan#)u$an 16. >an# i&a)su "n#an DOA 5D"a$ %n Arria'8 aa'a u&'a ("n"ri$a +an# &a$i s"-a)$u &asi a'a& ("ra'anan )" ru&a sa)i$ a'a& sa$u $aun +an# ,"rsan#)u$an. 0i)a $ia) a(a$ &"&i'a an &"n"n$u)an "nis (asi"n DOA! &a)a i&asu))an )"a'a& "nis ("'a+anan n%n ,"a 11. T%$a' (asi"n 5 Ruu)an an N%n ruu)an 8 arus sa&a "n#an Tina) Lanu$ ("'a+anan 5Dira-a$ Diruu) Pu'an# Ma$i i UGD DOA8. 12. S"$"'a &asin#&asin# )%'%& iisi "n#an '"n#)a( &a)a iu&'a)an )" ,a-a un$u) s"$ia( )%'%&. Uni$ T"r)ai$
1. R")a& M"is 2. Dir")$ur RS K"'uar#a S"a$ 3. DEPKES RI
