ALUR PENDERITA DI ICCU
No. Dokumen Dok umen 45/Kep/I/20!
RSUD PROF. PR OF. DR. W.Z. JOHANNES KUPANG KUPANG SPO
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D) (.Dom#n#ku$ (.Dom# n#ku$ #n((u #n(( u .Ke$ .Ke $ Pem*#n% U+%m% %1% NIP. !003 2 00 PENGERTIAN
TUJUAN KEBIJAKAN
PRO S EDUR
I66U7 I66U7 %%&%%%&%- $u%+u $u%+u )u%n(% )u%n(%n n 1%n( 1%n( #pe)un #pe)un+ukk +ukk%n %n *%(# *%(# p%$#en p%$#en 1%n( 1%n( mem#& mem#&#k# #k# m%$% m%$%&% &%- p%% p%% 8%n+u 8%n+un( n( %n meme meme)& )&uk% uk%n n pem% pem%n+% n+%un un %n %n pe)%9%+ %n 1%n ( ke+%+. ke +%+. en1u$un pe+un8uk +en+%n( %&u) pene)#+% # #::u .Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 44 +%-un 200 +en+%n( Rum%- S%k#+ 2.Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+. .SK enke$ enke$ Nomo) Nomo) 453 '%-un '%-un 200 +en+%n( $+%n%) $+%n%) pe&%1%n pe&%1%n%n %n m#n#m%& *#%n( ke$e-%+%n. I. PROSEDUR MASUK ICCU: <%n( mem*e)#k%n #8#n pene)#+% m%$uk %n ke&u%) %)# )u%n(%n I66U %%&%-7 %%&%-7 Dok+e) Dok+e) k%)#o& k%)#o&o(# o(# $e*%(% $e*%(%## kep%&% kep%&% #n$+%&% #n$+%&%$#/ $#/ok+e ok+e)) pen1%k pen1%k#+ #+ %&%m 1%n( #*e)# +u(%$ %n 9e9en%n( $e$u%# en(%n SK %)# SF Pene)#+% 1%n( #)%9%+ # I66U %%&%- pene)#+% 1%n(7 . Pene)#+% Pene)#+% 1%n( #k#)#m %)# IRD RSUD PROF.D PROF.DR.W R.W.Z .Z.JOH .JOHANE ANES S KUPANG o&e- Dok+e) 8%(% p%% $e+#%p $-#,,. 2. D#k# D#k#)# )#m m %)# %)# R%9% R%9%++ J%&% J%&%n n k%) k%)#o #o&o &o(# (#/p /po&# o&# 8%n+ 8%n+un un( ( p%% p%% p%(# p%(# -%)# -%)# en(%n #n#k%$# m%$uk Rum%- $%k#+. . P#n% P#n%-%n -%n %)# *%(#%n *%(#%n &%#n &%#n 1%n( 1%n( mempu mempun1 n1%# %# #n#k% #n#k%$# $# pe)%9%+% pe)%9%+%n n # I66U # kon$u&k%n ke ok+e) pen%n((un(8%9% I66U/kep%&% #n$+%&%$# I66U 4. emen emenu-# u-# k)e+e) k)e+e)#%/ #%/ #n#k%$# #n#k%$# #*%9% #*%9%- #n# %n *e)$e#% *e)$e#% # )%9% )%9%++ # I66U II. . 2. .
INDIKASI PENDERITA PENDERITA DIRAW DIRAWAT DI ICCU: In,%) In,%)k k m#ok m#ok%) %) Aku+ An(#n% An(#n% +#%k $+%*#& $+%*#& = Un$+%* Un$+%*&e &e An(#n% An(#n% Pe:+o) Pe:+o)#$ #$ > A)#+m#% A)#+m#% 1%n( 1%n( (%9%+ (%9%+ %n men(%n:%m men(%n:%m 8#9% 8#9%$epe) $epe)+#7 +#7 ?&ok A@ +o+%& en(%n #)%m% &o&o$ "en+)#ke& 40 B/men#+ S#nu$ *)%#k%)#40 B/men#+ S#:k $#nu$ $1n)om en(%n $e)%n(%n %%m $+oke$ '%k#k%)# '%k#k%)# %+)#%& p%)ok$#$m%& '%k#k%)# @en+)#ku)e& =@'> F#*)#&%$# @en+)#ku)e& =F@> 4. Eem Eem%% p%) p%)u u %ku %ku+/ +/AC ACO O 5. P%$: P%$:%% +#n +#n%k %k%n %n k%) k%)#o #o&o &o(# (# !. Pen1%k#+ Pen1%k#+ 8%n+un( 8%n+un( &%#n 1%n( meme)&uk meme)&uk%n %n pem%m pem%m+%u%n +%u%n -emo#n%m -emo#n%m#k #k PASIEN DIKELUARKAN/DIPIN DIKELUARKAN/DIPINDAHKAN DAHKAN DARI III. INDIKASI PASIEN ICCU7 . D#%n D#%n(( ((%p %p ke% ke%%% %%n n pen pene) e)#+% #+% $u% $u%- +#% +#%k k meme meme)& )&uk uk%n %n pe)% pe)%9% 9%+% +%n n #n+en$#, %n %p%+ #)%9%+ # )u%n(%n *#%
%$ 2. Ke(%9 Ke(%9%+% %+%n n pene) pene)#+% #+% *uk%n #$e*%*k #$e*%*k%n %n o&eo&e- pen1% pen1%k#+ k#+ 8%n+un 8%n+un( ( %n #p#n%-k%n ke )u%n(%n #n+en$#, &%#n . Pene Pene)#+ )#+%% 1%n( 1%n( mene mene)#+ )#+%% pen1% pen1%k#+ k#+ menu& menu&%) %)$ $epe epe)+# )+#77 (%$+) (%$+)oen oen+e) +e)#+#$ #+#$ %ku+'? p%)u %k+#, 4. Pene Pene)#+ )#+%% 1%n( 1%n( #n1% #n1%+%k +%k%n %n men#n men#n((% ((%&& $e+e& $e+e&%%- #&%ku #&%kuk%n k%n o*$e) o*$e)"%$ "%$## $e&%m% 2 8%m # I66U 5. Pene)#+% Pene)#+% 1%n( 1%n( #n(#n #p#n%-k% #p#n%-k%n n ke )um%- $%k#+ $%k#+ &%#n %+%$ pe)m#n+% pe)m#n+%%n %n $en#)#/ke&u%)(% $en#)#/ke&u%)(% %n #%n((%p p%$#en !. P%$#e P%$#en n 1%n( 1%n( mem#n+ mem#n+%% pu&%n( pu&%n( p%k$% p%k$% $e+e&% $e+e&%- men%n men%n%+ %+%n( %n(%n# %n# $u)%+ pe)n1%+%%n *%-9% +#%k #n(#n #)%9%+ # I66U RSUD PROF.DR.W. PROF.DR.W.Z. Z. JOHANES KUPANG UN IT TERKAIT
. In$+% In$+%&%$ &%$## G%9%+ G%9%+ D%)u) D%)u)%+ %+ 2. Un#+ )%9%+ )%9%+ 8%&%n 8%&%n k%)#o&%( k%)#o&%(## %+%u po&# po&# 8%n+un( 8%n+un( . Se&u) Se&u)uu- un#+ un#+ )%9 )%9%+ %+ n(#n% n(#n%p p
PEMANTAUAN PADA TIAP TIAP – TIAP KELAINAN JANTUNG
2. Ke(%9 Ke(%9%+% %+%n n pene) pene)#+% #+% *uk%n #$e*%*k #$e*%*k%n %n o&eo&e- pen1% pen1%k#+ k#+ 8%n+un 8%n+un( ( %n #p#n%-k%n ke )u%n(%n #n+en$#, &%#n . Pene Pene)#+ )#+%% 1%n( 1%n( mene mene)#+ )#+%% pen1% pen1%k#+ k#+ menu& menu&%) %)$ $epe epe)+# )+#77 (%$+) (%$+)oen oen+e) +e)#+#$ #+#$ %ku+'? p%)u %k+#, 4. Pene Pene)#+ )#+%% 1%n( 1%n( #n1% #n1%+%k +%k%n %n men#n men#n((% ((%&& $e+e& $e+e&%%- #&%ku #&%kuk%n k%n o*$e) o*$e)"%$ "%$## $e&%m% 2 8%m # I66U 5. Pene)#+% Pene)#+% 1%n( 1%n( #n(#n #p#n%-k% #p#n%-k%n n ke )um%- $%k#+ $%k#+ &%#n %+%$ pe)m#n+% pe)m#n+%%n %n $en#)#/ke&u%)(% $en#)#/ke&u%)(% %n #%n((%p p%$#en !. P%$#e P%$#en n 1%n( 1%n( mem#n+ mem#n+%% pu&%n( pu&%n( p%k$% p%k$% $e+e&% $e+e&%- men%n men%n%+ %+%n( %n(%n# %n# $u)%+ pe)n1%+%%n *%-9% +#%k #n(#n #)%9%+ # I66U RSUD PROF.DR.W. PROF.DR.W.Z. Z. JOHANES KUPANG UN IT TERKAIT
. In$+% In$+%&%$ &%$## G%9%+ G%9%+ D%)u) D%)u)%+ %+ 2. Un#+ )%9%+ )%9%+ 8%&%n 8%&%n k%)#o&%( k%)#o&%(## %+%u po&# po&# 8%n+un( 8%n+un( . Se&u) Se&u)uu- un#+ un#+ )%9 )%9%+ %+ n(#n% n(#n%p p
PEMANTAUAN PADA TIAP TIAP – TIAP KELAINAN JANTUNG
No. Dokumen Dok umen 43/Kep/I/20!
Re"#$# 0
H%&%m%n /2
RSUD PROF. PR OF. DR. W.Z. JOHANNES KUPANG KUPANG SPO
'%n((%& 'e)*#+ J%nu%)# 20!
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ W.Z.Jo-%ne$ Kup%n(
D) (.Dom#n#ku$ (.Dom# n#ku$ #n((u #n(( u .Ke$ .Ke $ Pem*#n% U+%m% %1% NIP. !003 2 00 PENGERTIAN
TUJUAN KEBIJAKAN
Pem%m+ Pem%m+%u% %u%n n p%% +#%p;+ +#%p;+#%p #%p ke&%#n% ke&%#n%n n 8%n+un( 8%n+un( me)up% me)up%k%n k%n +%+% :%)% :%)% pem%n+ %u%n 1%n( &e*#- +e)%)%- p%% m%$#n(; m%$#n( ke&%#n%n ke&%# n%n 8%n+un( 8%n+ un( $e-#n(((% pe)kem*%n(%n pene)#+% %p%+ #%n+#$#p%$# $e:%)% #n# en1u$un pe+un8uk +en+%n( %&u) pene)#+% # #::u Se*%(% Se*%(%## %:u%n %:u%n pene)% pene)%p%n p%n %&%m %&%m mem%n+% mem%n+%u u p%% +#%p;+#% +#%p;+#%p p ke&%#n% ke&%#n%n n 8%n+un( 8%n+ un( . Un%n(;U Un%n(;Un%n( n%n( Repu*&#k Repu*&#k Inone Inone$#% $#% Nomo) Nomo) 44 +%-un 200 +en+%n( +en+%n( Rum%- S%k#+ 2. Un%n(;U Un%n(;Un%n( n%n( Repu*&#k Repu*&#k Inone Inone$#% $#% Nomo) Nomo) 40 +%-un 200 +en+%n( +en+%n( Ke$e-%+%n . Pe)%+u)% Pe)%+u)%n n en+e)# en+e)# Ke$e-%+%n Ke$e-%+%n Nomo) 2!/enke$/P 2!/enke$/Pe)/I e)/III II/200 /200 +en+%n( )ek%m me#$. 4. SK enk enke$ e$ Nomo Nomo)) 453 453 '%-un -un 200 200 +en+ +en+%n %n( ( $+%n $+%n% %)) pe&%1 pe&%1%n %n%n %n m#n#m%& *#%n( ke$e-%+%n. A. UDEM UDEMA A PA PARU AKU AKUT T . Observas !s"res #er$a#asa$ 7 ,)ekuen$ ,)ekuen$## n%p%$ n%p%$ +#%p 0 men#+.?#&% ,)ekuen$# n%p%$ 0 B/men#+ *e)%)+# *enun(%n p%)u m%$#- *%n1%k 2. As!%s 7 $%%+ p%$#en %+%n($e+e&%- 8%m8%m ke u%=*#&% pe)&u> Te&a$a$ !ara'7 +#%p . Te&a$a$ +#%p 0 men# men#++ %&% %&%m m 8%m 8%m pe)+ pe)+%m %m% %$e $e+e +e&% &%+e)kon +e)kon+)o +)o&& %p%+ %p%+ +#%p +#%p 8%m.H 8%m.H%)# %)# keu% keu% +#%p +#%p 8%m+e 8%m+e)u+ )u+%m %m%% *#&% *#&% $e+e $e+e&% &%- pem pem*e) *e)#%n #%n o*% o*%+ %n+# %n+# -#pe) #pe)+e +en$ n$## 1%n( %n( *eke *eke))8% :ep%+=m#$%&7n#,e#p#nn#+)%+>. 4. Pr%!(&s (r$e7 $%%+ %+%n( +#%p 0 men#+ %&%m 8%m pe)+%m% $e&%n8u+n1% *#&% p)ouk u)#ne %eku%+ +#%p ! 8%m. ?#&% %&%m 2 8%m p)ouk u)#ne men:%p%# men:%p%# 00 400 :: *#%$%n1% *enun(%n p%)u +e&%- *e)ku)%n( %n pene)#+% mem*%#k. 5. Na! / !e$)(" *a$"($+ 7 +#%k +e)&%&u pen+#n( k%)en% n%#k +u)unn1% men(#ku+# #$+)e$$ ke:u%&# *#&% #$e)+%# +%k#k%)#+m#% o*$e)"%$# +#%p 0 men#+ un+uk 8 %m pe)+%m% !. S('( 7 ?#&% %k)%& #n(#n +empe)%+u)e )e:+%& +#n((# kemun(k#n%n #n,ek$# $ekune) -%)u$ # p#k#)k%n.
PROSEDUR
A.
. 2.
. 4.
B.
ARITMIA ANG GAWAT . Den1u+ 8%n+un( 7 &e9%+ mon#+o) +#%p $%%+ $e+ p%% mon#+o). 2. E6G 7 &e9%+ mon#+o) $e+ %&%)m *%+%$ %+%$ %n *%+%$ *%9%- un+uk -e%)+ )%+e. . D6 S-o:k 7 -%)u$ #$#%pk%n # $%mp#n( pene)#+%.
C.
KRISIS HIPERTENSI 'ek%n%n %)%- 7 +#%p 8%m %&%m pe)+%m% $e&%n8u+n1% +#%p 8%m. H%)# keu% *#&% $+%*#& +#%p ! 8%m. '%n%;+%n% +e)ken%n1% o)(%n $%$%)%n 7onop%)e$e -em#p%)e$e p%p#& uem% (e8%&% ekompen$%$# &&. on#+o) E6G 7 kemun(k#n%n %%n1% %)#+m#% "en+)#ku&e). F)ekuen$# n%p%$ 7 *#&% men#n(k%+ kemun(k#n%n (%(%& 8%n+un(. O* $e)"%$# +e+%p $e+#%p 8%m.
. 2. . 4.
D.
UNIT TERKAIT
IN,ARK MIOKARD AKUT Observas &e-('a$ $)er !a!a 7 +#n(k%+ n1e)# p%$#en %p%k%- )#n(%n %+%u mem*e)%+. Na! / !e$)(" *a$"($+ 7 *#&% :ep%+ m%k% :u)#(% %9%& ekompen$%$# *#&% &%m*%+ ku)%n( %)# 40 B/mn+ kemun(k#n%n pe)&u pem%$%n(%n +empo)e) p%:e m%ke). F)ekuen$# o*$e)"%$# +#%p 0 men#+ %&%m 8%m pe)+%m% $e&%n8u+n1% +#%p 8%m -%)# keu% +#%p ! 8%m. Te&a$a$ !ara' 7 p%% IA %n+e)#o) &u%$ %9%$# kemun(k#n%n $1ok. ,re&(e$s $a#as 7 *#&% &e*#- %)# 24 B/mn+ %9%$# +%%;+%n% kemun(k#n%n %%n1% uem p%)u.
MIOKARDITIS . F)ekuen$# n%p%$ 7 ku$m%u& FN 24B/mn+ me)up%k%n %%n1% +%n% %:#o$#$. 2. 'ek%n%n %)%- 7 +#%p 8%m . An%&#$% G%$ D%)%- 7 pen+#n( $ek%&# #&%kuk%n +#%p 0 men#+ %&%m 8%m pe)+%m% %+%u $e&%m% p%$#en menun8uk%n -%$#& (%$ %)%- %$#o$#$ me+%*o&#k. Pen+#n( $e*%(%# p%)%me+e) pem*e)#%n N%?#:. 4. on#+o) E6G 7 pen+#n( un+uk men(e+%-u# %%n1% komp&#k%$# *)%#%)#+m#% %+%u +%k#%)#+m#%. 5. P)ouk$# u)#ne 7 $%%+ %+%n( +#%p 0 men#+ %&%m 8%m pe)+%m% $e&%n8u+n1% *#&% p)ouk u)#ne %eku%+ +#%p ! 8%m.
IGD IRNA
MELAKUKAN DE,IBRILASI DAN KARDIOERSI
No. Dokumen 7 4!/Kep/I/20! RSUD PROF.DR.W.Z. JOHANES KUPANG SPO '%n((%& 'e)*#+ 7 J%nu%)# 20!
No. Re"#$#7 0
H%&%m%n 7 /
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D)(.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 PENGERTIAN
TUJUAN KEBIJAKAN
TANGGUNG JAWAB
A%&%- $u%+u +#n%k%n Re$u$#+%$# J%n+un( en(%n men((un%k%n $u%+u %&%+ = D6 SHO6K > %n me)up%k%n me+oe e,ek+#, (un% mem*e)#k%n pe)+o& on(%n p%% p%$#en en(%n (%n ((u%n #)%m% 8%n+un( %n # -%)%pk%n $e+e&%- #&%kuk%n +#n%k%n #)%m% 8%n+un( kem*%&# no)m%&. Se*%(%# %:u%n pene)%p%n &%n(k%- &%n(k%- %&%m me&%kuk%n e,*)#&%$# %n k%)#o"e)$#. . Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 44 +%-un 200 +en+%n( Rum%- S%k#+ 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n . SK enke$ Nomo) 453 '%-un 200 +en+%n( $+%n%) pe&%1%n%n m#n#m%& *#%n( ke$e-%+%n. <%n( *e)-%k / *o&e- me&%kuk%n %%&%- 7 . Dok+e) $upe)"#$o) 2. Dok+e) %n pe)%9%+ 1%n( +e&%- men(#ku+# A6CS %+%u +)%mp#&.
PROSEDUR KERJA
I. Pe)$#%p%n %&%+ 7 . Je&&1 2. A&%+ D6 S-o:k . @%&#um / D#%ep%m 2 %mp. 4. Spu#+ 25 :: 5. '#$$ue / 9%$&%p !. ?en(kok 3. O*%+ o*%+ eme)(en$# = Su&,%$ A+)op#n A)en%&#n N%H6O In,u$ Se+ D5 RC N%6C && > II. P)o$eu)e 7 . ?%9% D6 S-o:k %n +emp%+k%n # $e*e&%- pene)#+% 2. N1%&%k%n %&%+ en(%n memu+%) +u%$ ke +%n% E6G. . O&e$# 8e&&1 p%% keu% p%&e. 4. 'empe&k%n keu% p%&e p%% #n#n( %% pene)#+% en(%n &ok%$# 1%n( $e$u%# en(%n +%n% p%&e %+%u &%#n %+%$ #n#k%$# $e$u%# pe)#n+%- ok+e) = m#$%&n1% %n+e)o po$+e)#o) >. 5. C#-%+ p%% mon#+o) %&%+ ke&%#n%n #)%m% 1%n( +#m*u& +en+uk%n o$#$ = o&e- ok+e) >. !. Do$#$ ene)(# 1%n( %k%n #p%k%# #+en+uk%n en(%n memu+%) +u%$ ke k%n%n $%mp%# *e$%)n1% %n(k% 1%n( #m%k$u %n +un((u $%mp%# +u&#$%n 0 *%(-e 0 *e)ke#p ke#p $e*%(%# +%n% ene)(# +e&%- $#%p # p%k%#. 3. ?#&% pe)&u +om*o& p#&#-%n 0 s)$1 0 #+ek%n un+uk +#n%k%n k%)#o"e)$#. . Se*e&um +#n%k%n e,#*)#&%$# m%k% ope)%+o) -%)u$ mem%$+#k%n *%-9% +#%k %% o)%n( &%#n 1%n( *e)%% # $ek#+%) +emp%+ +#u) en(%n *e)$e)u 7 $emu% -%)%p m#n((#) . 'ek%n keu% p%&e $e:ukupn1% p%% #n#n( %% pene)#+% %n +ek%n +om*o& no. e,#* p%% keu% p%&e $e:%)% *e)$%m%;$%m% m%k% ene)(# &#$+)#k %k%n $e(e)% #+emp%+k%n ke pene)#+%. 0. Se+e&%- $e&e$%# me&%kuk%n +#n%k%n #n# keu% p%&e 8%n(%n $e(e)% #%n(k%+ %)# #n#n( %% pene)#+% +e+%p# +e+%p #$#+u un+uk me&#-%+ %p%k%- #)%m% +e&%- kem*%&# no)m%& %+%u *e&um. . Se&%n8u+n1% *#&% #pe)&uk%n e,#*)#&%$# u&%n(%n m%k% p)o$e$ +e)$e*u+ #u&%n( &%(#. ?#&% *en%) *en%) +#%k #pe)&uk%n &%(# m%k% %&%+ #m%+#k%n keu% p%&e #*e)$#-k%n %)# 8e&&1 %n kem*%&#k%n ke +emp%+n1%. 2. 'e+%p #&%kuk%n pen(#$#%n *%+e)%# / :%$.
UNIT TERKAIT
IGD, IRNA
PROSEDUR PEMANTAUAN DAN PENGISIAN LIST DI RUANGAN ICCU
RSUD PROF. DR. W.Z. JOHANNES KUPANG
No. Dokumen 4/Kep/I/20!
SPO
'%n((%& 'e)*#+7 J%nu%)# 20!
Re"#$# 0
H%&%m%n
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D) (.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 PENGERTIAN
TUJUAN KEBIJAKAN
Pem%n+%u%n %n pen(#$#%n &#$+ p%% )u%n( #n+en$#, me)up%k%n :%)% pem%n+ %u%n 1%n( &e*#- +e)%)%- $e-#n((% pe)kem*%n(%n pene)#+% %p%+ #&#-%+ %n %p%+ # %n+#$#p%$# &e*#- #n#. Se*%(%# %:u%n pene)%p%n %&%m pem%n+%u%n pene)#+% en(%n m%$%&% 8%n+un( $e-#n((% %p%+ pen%n(%n%n &e*#- :ep%+.
1. Undang-Undang Republik Indonesia Nomor 44 tahun 2! tentang Rumah "akit 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n . Pe)%+u)%n en+e)# Ke$e-%+%n Nomo) 2!/enke$/Pe)/III/200 +en+%n( )ek%m me#$.
4. "# $enkes Nomor 14%& 'ahun 2( tentang standar pela)anan minimal bidang kesehatan. PROSEDUR
Pen(#$#%n Cem*%)%n O*$e)"%$# 7 I. Ta# 2 *a3 7 . 'ek%n%n D%)%2. N%# . Su-u 4. F)eLuen$# N%p%$ 5. S%+u)%$# Ok$#(en !. P)ouk$# U)#ne 3. P)ouk$# :%#)%n &%m*un( *#&% %% NG' . 6@P = un+uk Po$+ Open He%)+ > #$%mp#n( pem%n+%u%n $e+#%p $%%+ me&%&u# mon#+o). . Pe),u$# %n +#n(k%+ ke$%%)%n. II. Ta# 4 *a3 7 . Pem*e)#%n $one ,oe#n( 2. o*#&#$%$# / pe)u*%-%n po$#$# p%$#en m#)#n( k#)# / k%n%n *e)(%n+#%n p%% p%$#en +#%k $%%). III. Ta# 5 *a3 : . '#n%k%n ,#$#o+e)%p# n%p%$ = 6&%pp#n( @#*)%+#n( %n Po$+u)%& D)%#n%(e > 2. '#n%k%n Su:+#on#n( p%% p%$#%n;p%$#en en(%n p)ouk$# $e:)e+ 1%n( *%n1%k. . en:%+%+ 8um&%- %n ku%&#+%$ $e:)e+ 1%n( ke&u%) 7 8e)n#- mu:o# pu)u&en %+%u mu:opu)u&en. 4. '#n%k%n ,#$#o+e)%p# n%p%$ %n pem*e)#%n ne*u&#e) %n &%+#-%n n%p%$ %&%m %n *%+uk e,ek+#, . %. Pem*e)#%n o*%+ 1%n( 4B %&%m 24 8%m.
I. Ta# 6 *a3 : Pem*e)#%n +-e)%p# = un+uk o*%+;o*%+%n 1%n( #*e)#k%n 4B %&%m 24 8%m /+#%p ! 8%m. . Ta# 24 *a3 : . Pem*e)#%n o*%+ = un+uk o*%+;o*%+%n 1%n( #*e)#k%n B %&%m 24 8%m >. 2. Pem*e)#%n :%#)%n #n,u$ un+uk 8um&%- :%#)%n 500 :: pe) / 24 8%m. I. Ta# 45 *a3 : . Pem*e)#%n / pen((%n+#%n :%#)%n #n,u$ = Un+uk pem*e)#%n :%#)%n 500 :: / 24 8%m 2. Pem*e)#%n o*%+ = un+uk o*%+ o*%+%n 1%n( #*e)#k%n B %&%m 24 8%m >. . ?%&%n:e :%#)%n.
UNIT TERKAIT
. In$+%&%$# R%9%+ D%)u)%+ 2. Se&u)u- Un#+ R%9%+ In%p
PEMBUATAN REKAMAN ELEKTROKARDIOGRA,I
No. Dokumen 5/Kep/I/20!
RSUD PROF. DR. W.Z. JOHANNES KUPANG SPO
'%n((%& 'e)*#+ J%nu%)# 20!
Re"#$# 0
H%&%m%n /2
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D) (.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 PENGERTIAN
TUJUAN KEBIJAKAN
Rek%m%n e&ek+)ok%)#o()%,# me)up%k%n :%+%+%n ke(#%+%n &#$+)#k 8%n+un( 1%n( %p%+ ##n+e)p)e$+%$#k%n un+uk mene(%kk%n #%(no$#$ %n e"%&u%$# pe)8%&%n%n pen1%k#+ %+%u e"%&u%$# e,ek pem*e)#%n +e)%p#. Se*%(%# %:u%n pene)%p%n &%n(k%- %&%m pem*u%+%n )ek%m%n e&ek+)ok%)#o()%,#
1. Undang-Undang Republik Indonesia Nomor 44 tahun 2! tentang Rumah "akit 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n
(. "# $enkes Nomor 14%& 'ahun 2( tentang standar pela)anan minimal bidang kesehatan.
PROSEDUR KERJA
I.
. 2. . 4. 5. II.
. 2. . 4. 5. !. 3.
Persa#a$ A-a" : A&%+ pe)ek%m EKG K%*e& e&ek+)o% 2 &e% P%$+% / 8e&&1 '#$$ue pem*e)$#Pen1ek%+ Ru%n(%n. Pr%se!(r : 6u:# +%n(%n $e*e&um me&%kuk%n +#n%k%n. A&%+ #ek%+k%n p%% $e*e&%- k%n%n %+%u k#)# pene)#+%. Pene)#+% #*e)# #n,o)m%$# ++( peme)#k$%%n 1( %k%n #&%kuk%n. S#%pk%n &#n(kun(%n p%k%# pen1ek%+ )u%n(%n %p%*#&% pe)&u +e)u+%m% pene)#+% 9%n#+%. P%$%n( k%*e& po9e) ke &#$+)#k -#upk%n me$#n EKG. ?uk% p%k%#%n *%(#%n %+%$ pene)#+%. Go$ok%n 8e&&1 p%% *%(%#n;*%(#%n %+%u +emp%+ $%n%p%n EKG 7 %. '%n(%n k%n%n = un+uk 9%)n% me)%- > *. '%n(%n k#)# = un+uk 9%)n% kun#n( > :. K%k# k%n%n = un+uk 9%)n% -#+%m >
PROSEDUR KERJA
. K%k# k#)# = un+uk 9%)n% -#8%u > e. 2 7 %e)%- #n+e):o$+%e keemp%+ p%)%$+e)n%& k%n%n. ,. 4 7 %e)%- #n+e):o$+%e keemp%+ p%)%$+e)n%& k#)#. (. 7 7 %e)%- #n+e):o$+%e ke&#m% %n+%)% @2 %n @4. -. @4 7 %e)%- #n+e):o$+%e ke&#m% (%)#$ +en(%- k&%"#ku&%. #. 8 7 !aera' #n+e):o$+%e ke&#m% (%)#$ %B#&&% %n+e)#o). 8. @! 7 !aera' #n+e):o$+%& ke&#m% (%)#$ +en(%- %B#&&% . *ubungkan tiap + tiap sadap tersebut dengan
elektrode )ang sesuai . "ebelum merekam lead, buatlah rekaman kalibrasi. 0. "etelah selesai merekam bersihkan lead dan tubuh
penderita dari sisa ell), rapikan alat dan kembalikan elektrode dan alat #G ke tempatn)a. III. R*A'IAN / 1. "elama proses merekam sebaikn)a penderita rileks dan tidak bergerak. 2. #edua ekstremitas ba0ah tidak boleh saling menempel. UNIT TERKAIT
IGD IRNA
PEMBERIAN OBAT STREPTOKINASE
RSUD PROF. DR. W.Z. JOHANNES KUPANG
No. Dokumen 50/Kep/I/20!
SPO
'%n((%& 'e)*#+ J%nu%)# 20!
Re"#$# 0
H%&%m%n /2
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D) (.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 PENGERTIAN
TUJUAN KEBIJAKAN
O*%+ $+)ep+ok#n%$e %%&%- $%&%- $%+u o*%+ +)om*o&#+#k 1%n( +e)$e#% # %&%m *en+uk $e)*uk #n8ek$# %n #*e)#k%n $e:%)% #n+)%"en% un+uk men:%#)k%n %n men(-#&%n(k%n *eku%n %)%- %n n%n% $e)+% menek%n #n,&%m%$# 1%n( #$e*%*k%n o&e- +)%um%+)om*op&e*#+#$$#nu$#+#$ Se*%(%# %:u%n pene)%p%n %&%m pem*e)#%n $+)ep+ok#n%$e . Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 44 +%-un 200 +en+%n( Rum%- S%k#+ 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n . SK enke$ Nomo) 453 '%-un 200 +en+%n( $+%n%) pe&%1%n%n m#n#m%& *#%n( ke$e-%+%n.
PROSEDUR
I. SYARAT-SYARAT 7 . Su)%+ pe)$e+u8u%n %)# ke&u%)(% 2. Pene)#+% -%)u$ #)%9%+ # I66U . on#+o) EKG %n 'ek%n%n D%)%- -%)u$ +e)p%$%n( 4. EKG $e*e&um pem*e)#%n $+)ep+ok#n%$e II. PROSEDUR KERJA 7 . 6u:# +%n(%n 2. P%ke APD . Semu% %&%+ #*%9% ek%+ p%$#en 4. In,u$ D5 %+%u N%:& 0 +e)p%$%n( 5. Do$#$ %n :%)% pem*e)#%n
III.
. 2. . 4. 5. !. 3.
UNIT TERKAIT
a. Untuk Acute Myocard Infark .5 8u+% un#+ $+)ep+ok#n%$e #&%)u+k%n 00 :: D5 %+%u N%:& 0 %n # *e)#k%n $e:%)% #n+)% "en% pe) #n,u$ $e&%m% 8%m %+%u .5 8u+% un#+ $+)ep+ok#n%$e #&%)u+k%n 50 :: D5 %+%u N%:& 0 %n #*e)#k%n $e:%)% #n+)% "en% $e&%m% $%+u 8%m en(%n men((un%k%n $-#)#n(e pump. b. Untuk Deep enou! T"ro#bo!$! %DT&' Acute Ma!!$(e Pu)#onary E#bo)$!# %PE&' Acute Arter$a) T"ro#bo!$! and E#bo)$!#* 250 )#*u un#+ $+)ep+ok#n%$e #&%)u+k%n 00 :: D5 %+%u N%:& 0 %n #*e)#k%n $e:%)% #n+)% "en% pe) #n,u$ $e&%m% &e*#- %)# 0 men#+. Do$#$ peme&#-%)%%nn1% 00 )#*u un#+ pe)8%m $e&%m% -%)# D#*u%+ )ek%m%n EKG 2 &e% $e(e)% $e+e&%- #n,u$ $+)ep+ok#n%$e -%*#$ F&u$- #n,u$ en(%n D5 %+%u N%:& 0 $e&%n8u+n1% en(%n +e+e$%n &%m*%+ = $/ 0 +e+e$ pe)men#+> Cep%$ APD 6u:# +%n(%n Pem%n+%u%n me&%&u# mon#+o) %%n1% %)#+m#% %n #okumen+%$#k%n D#*u%+ )ek%m%n EKG ! 8%m %n 2 8%m $e+e&%- pem*e)#%n $+)ep+ok#n%$e O*$e)"%$# %%n1% komp&#k%$# $e+e&%- pem*e)#%n $+)ep+ok#n%$e *#&% %% $e(e)% &%po) ok+e)
IGD, IRNA
PENGUKURAN TEKANAN ENA SENTRAL No. Dokumen Re"#$# 5/Kep/I/20! 0
RSUD PROF. DR. W.Z. JOHANNES KUPANG
H%&%m%n /
SPO
'%n((%& 'e)*#+ J%nu%)#
PENGERTIAN
TUJUAN KEBIJAKAN
PROSEDUR
UNIT TERKAIT
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D)(.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 Pen(uku)%n +ek%n%n "en% $en+)%& =6@P> me)up%k%n +%+% :%)% men(uku) +ek%n%n "en% $en+)%& un+uk men#&%# ,un($# 8%n+un( =+e)u+%m% 1%n( k%n%n> $e*%(%# pomp% %n mempe)k#)%k%n "o&ume %)%- %+%u :%#)%n %&%m +u*u-. H%)(% $%r3a- %)# 6@P 7 5 5 :mH2O Se*%(%# %:u%n pene)%p%n &%n(k%-;&%n(k%- %&%m pen(uku)%n +ek%n%n "en% $en+)%&. . Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 44 +%-un 200 +en+%n( Rum%- S%k#+ 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n. . SK enke$ Nomo) 453 '%-un 200 +en+%n( $+%n%) pe&%1%n%n m#n#m%& *#%n( ke$e-%+%n. I. PERSIAPAN ALAT . %nome+e) 2. W%+e) p%$/ P#p% U II.CARA PENGUKURAN . Pe)%&%+%n #$#%pk%n 2. P%$#en #*e)#+%-u %n #8e&%$k%n +en+%n( -%&;-%& 1%n( %k%n #&%kuk%n . 'en+uk%n +#+#k no&=0> p%% %+)#um k%n%n =$e+#n((# #n+e):o$+%e II;III p%% (%)#$ %n+e)#o) %B#&%)# $ +en(%- k %n%n>. 4. Uku) en(%n 9%+e)p%$ +#+#k #n# $%m% +#n((# en(%n +#+#k no& p%% m%nome+e) %#) # +#%n( #n,u$ 1%n( #-u*un(k%n en(%n k)%n %)%-. 5. 'u+up k)%n 1%n( menu8u 8%n+un( kemu#%n $&%n( 1%n( menempe& p%% m%nome+ e) ##$# en(%n :%#)%n pe)&%- %n;&%-%n. !. Se+e+e&%- $e&%n( 1%n( menempe& # m%nome+e)+e)#$# :%#)%n +e+e$%n #n,u$ #$+op &%&u *uk% k%+up 1%n( menu+up 8%n+un(. 3. 6%#)%n p%% m%nome+e) %k%n +u)un pe&%n;pe&%n $%m*#& +%mp%k pu&$%$# $%mp%# *e)-en+#. An(k% 1%n( #+un8uk%n %%&%- $-a CP . . 6%+%+ n#&%# 1%n( #%p%+ #&em*%) pem%n+%u%n . 'u+up &%(# k%+up 1%n( menu8u 8%n+un(. IGD IRNA
PEMBERIAN TERAPI OKSIGEN
RSUD PROF. DR. W.Z. JOHANNES KUPANG
No. Dokumen 52/Kep/I/20!
Re"#$# 0
H%&%m%n /
SPO
'%n((%& 'e)*#+ J%nu%)# 20!
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D) (.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 PENGETIAN
TUJUAN KEBIJAKAN
PROSEDUR
em*e)#k%n ok$#(en p%% p%)u me&%&u# $%&u)%n n%,%$ en(%n men((un%k%n %&%+ k-u$u$ un+uk memenu-# keku)%n(%n ok$#(en %n $e*%(%# +#n%k pen(o*%+%n en(%n +u8u%n men(u)%n(# #$:-em# m#ok%) Se*%(%# %:u%n pene)%p%n %&%m pem*e)#%n +e)%p# ok$#(en . Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 44 +%-un 200 +en+%n( Rum%- S%k#+ 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n . SK enke$ Nomo) 453 '%-un 200 +en+%n( $+%n%) pe&%1%n%n m#n#m%& *#%n( ke$e-%+%n. I. PERSIAPAN ACA' . N%$%& :%nu&e/ m%$ke) ok$#(en 2. ?o+o& pe&em*%* -%)u$ +e)#$# %#) $e:ukupn1%
DOKUMENTASI
II. PROSEDUR . 6u:# +%n(%n $e*e&um pem*e)#%n 2. Pene)#+% #*e)# pen8e&%$%n . P%$%n( n%$%& :%nu&e/ m%$ke) me&#n(k%)# kep%&% %n ken:%n(k%n 4. Hu*un(k%n u8un( $%+un1% en(%n *o+o& pe&em*%*. 5. ?uk% k&ep ok$#(en en(%n o$#$ %&#)%n ok$#(en $e$u%# en(%n ##n$+)uk$#k%n o&e- ok+e). !. ?#&% $e&e$%#/ +#%k #pe)&uk%n &%(# m%+#k%n ok$#(en &ep%$ n%$%& :%nu&e/ m%$ke) %n pene)#+% #)%p#k%n 3. Pe)%&%+%n #*e)e$k%n. . 6u:# +%n(%n $e+e&%- pem*e)#%n . Do$#$ 1%n( #*e)#k%n 2. '%n((%& %n 8%m pem*e)#%n
UNIT TERKAIT
IGD IRNA
MENIAPKAN IN,US DOPAMIN
RSUD PROF. DR. W.Z. JOHANNES KUPANG
No. Dokumen 5/Kep/I/20!
Re"#$# 0
H%&%m%n /2
SPO
'%n((%& 'e)*#+ J%nu%)# 20!
PENGERTIAN
TUJUAN KEBIJAKAN
PROSEDUR
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D)(.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 Dop%m#n me)up%k%n $%&%- $%+u o*%+ #no+)op#k 1%n( #*e)#k%n me&%&u# #n+)%"en% =)#p> un+uk mempe)ku%+ kon+)%k$# o+o+ 8%n+un( %n pe),u$# )ep%& Se*%(%# %:u%n pene)%p%n %&%m pem*e)#%n op%m#n . Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 44 +%-un 200 +en+%n( Rum%- S%k#+ 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n . SK enke$ Nomo) 453 '%-un 200 +en+%n( $+%n%) pe&%1%n%n m#n#m%& *#%n( ke$e-%+%n. A. en((un%k%n In,u$#on Pump7 A-a" )a$+ !#er-(&a$: . In,u$#on pump 2. Dop%m#n 200m( =pe) %mpu&e> . DeB+)o$e 5 %+%u No)m%& S%&#n 500 m& 4. Konek+o) =#n,u$ $e+> Pr%se!(r: . C%)u+k%n op%m#n 200m( %&%m DeB+)o$e 5 %+%u No)m%& S%&#ne 200m& %+%u 500m& %n -u*un(k%n en(%n #n,u$ $e+ 2. P%$%n( #n,u$#on pump p%% +#%n( #n,u$ %n -u*un(k%n en(%n $um*e) &#$+)#k . Ce9%+k%n $e&%n( #n,u$ p%% &ekuk%n 1%n( +e)$e#% p%% %&%+ %n kemu#%n +u+up &%(# pen8ep#+n1% 4. 'ek%n +om*o& MON #$p&%# me)%- 000 5. %$uk%n %+% )%+e 1%n( #ke-en%k# =%+% +e)&%mp#)> !. 'ek%n $+%)+ un+uk memu&%#
?. en((un%k%n S1)#n(e Pump7 A-a" )a$+ ! #er-(&a$: . S1)#n(e pump 2. Dop%m#n 200m( =pe) %mpu&e> . DeB+)o$e 5 %+%u No)m%& S%&#ne $e:ukupn1% 4. Spu#+ 50:: 5. Konek+o) =eB+en$#on +u*e>
Pr%se!(r . C%)u+k%n op%m#n %&%m $pu#+ 50:: %n +%m*%-k%n eB+)o$e 5 %+%u no)m%& $%&#ne $%mp%# 50m& %n -u*un(k%n en(%n eB+en$#on +u*e 2. P%$%n( $1)#n( pump p%% +#%n( #n,u$ %n -u*un(k%n en(%n $um*e) &#$+)#k . Ce+%k%n $pu#+ p%% $1)#n(e pump 4. 'ek%n +om*o& MON +un((u $%mp%# ke&u%) OPS p%% #$p&%1 5. 'ek%n MF #$p&%1 000 !. %$uk%n %+% )%+e 1%n( #ke-en%k# =%+% +e)&%mp#)> 3. 'ek%n $+%)+ un+uk memu&%# Cara Per'"($+a$ Pa"%&a$ %. ?#&% men((un%k%n #n,u$#on pump7 • D%&%m 500 :: D5 200m( Dop%m#n m%k% pe) m& &%)u+%n +e)$e*u+ men(%nun( =&%$se$"ras > 400( Dop%m#n • D%&%m 200:: D5 200m( Dop%m#n m%k% pe) m& &%)#+%n +e)$e*u+ men(%nun( =&%$se$"ras > 000( Dop%m#n *. ?#&% men((un%kn S1)#n(e Pump7 %&%m 50 :: D5 200m( Dop%m#n m%k% pe) m& &%)u+%n +e)$e*u+ men(%nun( =&%$se$"ras > 400m Dop%m#n. C%$"%': Seo)%n( pene)#+% en(%n *e)%+ *%%n 50 k( mem*u+u-k%n op%m#n !(/??/mn+. ?e)%p% ,&oe )%+en1%Q Ja9ab: %. Den(%n #n,u$#on pump7 Pe) m/??/mn+;n1% 50 B 50m D%&%m 8%m =!0 men#+> m%k% !0 B 50( 000(/8%m • Un+uk =kon$en+)%$# 400(/::> m%k% ,&o9 )%+en1% 000/40035m&/8%m Un+uk o$#$ ! (/??/mn+ m%k% ,&o9 )%+en1% !B35m&/8%m 583-/*a3 • Un+uk =kon$en+)%$# 000(/::> m%k% ,&o9 )%+en1% 000/000m&/8%m Un+uk o$#$ ! (/??/mn+ m%k% ,&o9 )%+en1% !Bm&/8%m 23-/*a3
UNIT TERKAIT
*. Den(%n $1)#n(e pump7 D%&%m 8%m m%k% !0B50( 000(/8%m ,&o9 )%+en1% 000/4000 035m&/8%m Un+uk o$#$ !(/**/mn+ m%k% ,&o9 )%+e !B035m&/8%m 5;83-/*a3 IGD IRNA
MENIAPKAN IN,US DOBUTAMIN
RSUD PROF. DR. W.Z. JOHANNES KUPANG
No. Dokumen 54/Kep/I/20!
SPO
'%n((%& 'e)*#+ J%nu%)# 20!
PENGERTIAN
TUJUAN KEBIJAKAN
PROSEDUR
Re"#$# 0
H%&%m%n /
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D)(.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 Do*u+%m#n me)up%k%n o*%+ $#n+e+#k k%+eko&%mm#n 1%n( #*e)#k%n $e:%)% #n+)%"en% =)#p> un+uk 7 . en#n(k%+k%n #no+)op#k 8%n+un( 2. enu)unk%n C@EDP =Ce,+ @en+)#:u&e) En D#%$+o&#: P)e%$u)e> . en(u)%n(# ok$#(en em%n Se*%(%# %:u%n pene)%p%n %&%m pem*e)#%n o*u+%m#n . Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 44 +%-un 200 +en+%n( Rum%- S%k#+ 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n. . SK enke$ Nomo) 453 '%-un 200 +en+%n( $+%n%) pe&%1%n%n m#n#m%& *#%n( ke$e-%+%n. A. en((un%k%n In,u$#on Pump7 A-a" )a$+ !#er-(&a$: . In,u$#on pump 2. Do*u+%mm#n 250m( =pe) %mpu&e> . DeB+)o$e 5 %+%u No)m%& S%&#n 500 m& 4. Konek+o) =#n,u$ $e+> Pr%se!(r: . C%)u+k%n o*u+%m#n 250m( %&%m DeB+)o$e 5 %+%u No)m%& S%&#ne 200m& %+%u 500m& %n -u*un(k%n en(%n #n,u$ $e+ P%$%n( #n,u$#on pump p%% +#%n( #n,u$ %n -u*un(k%n en(%n $um*e) &#$+)#k 2. Ce9%+k%n $e&%n( #n,u$ p%% &ekuk%n 1%n( +e)$e#% p%% %&%+ %n kemu#%n +u+up &%(# pen8ep#+n1% . 'ek%n +om*o& MON #$p&%# me)%- 000 4. %$uk%n %+% )%+e 1%n( #ke-en%k# =%+% +e)&%mp#)> 5. 'ek%n $+%)+ un+uk memu&%# ?. en((un%k%n S1)#n(e Pump7 A-a" )a$+ ! #er-(&a$: . S1)#n(e pump 2. Do*u+%m#n 250m( =pe) %mpu&e> 6. en((un%k%n In,u$#on Pump7 A-a" )a$+ !#er-(&a$: 5. In,u$#on pump !. Do*u+%mm#n 250m( =pe) %mpu&e> 3. DeB+)o$e 5 %+%u No)m%& S%&#n 500 m& . Konek+o) =#n,u$ $e+> Pr%se!(r: !. C%)u+k%n o*u+%m#n 250m( %&%m DeB+)o$e 5 %+%u No)m%& S%&#ne 200m& %+%u 500m& %n -u*un(k%n en(%n #n,u$ $e+ P%$%n( #n,u$#on pump p%% +#%n( #n,u$ %n -u*un(k%n en(%n $um*e) &#$+)#k 3. Ce9%+k%n $e&%n( #n,u$ p%% &ekuk%n 1%n( +e)$e#% p%% %&%+ %n kemu#%n +u+up &%(# pen8ep#+n1% . 'ek%n +om*o& MON #$p&%# me)%- 000 . %$uk%n %+% )%+e 1%n( #ke-en%k# =%+% +e)&%mp#)> 0.'ek%n $+%)+ un+uk memu&%#
D. en((un%k%n S1)#n(e Pump7 A-a" )a$+ ! #er-(&a$: . S1)#n(e pump 4. Do*u+%m#n 250m( =pe) %mpu&>
PROSEDUR
PROSEDUR
CARA PERHITUNGAN
5. DeB+)o$e 5 %+%u No)m%& S%&#ne $e:ukupn1% !. Spu#+ 50:: 3. Konek+o) =eB+en$#on +u*e> Pr%se!(r . C%)u+k%n o*u+%m#n %&%m $pu#+ 50:: %n +%m*%-k%n eB+)o$e 5 %+%u no)m%& $%&#ne $%mp%# 50m& %n -u*un(k%n en(%n eB+en$#on +u*e 2. P%$%n( $1)#n( pump p%% +#%n( #n,u$ %n -u*un(k%n en(%n $um*e) &#$+)#k . Ce+%k%n $pu#+ p%% $1)#n(e pump 'ek%n +om*o& MON +un((u $%mp%# ke&u%) OPS p%% #$p&%1 4. 'ek%n MF #$p&%1 000 5. %$uk%n %+% )%+e 1%n( #ke-en%k# =%+% +e)&%mp#)> !. 'ek%n $+%)+ un+uk memu&%# Pa"%&a$ %. ?#&% men((un%k%n #n,u$#on pump7 • D%&%m 500 :: D5 250m( Do*u+%m#n m%k% pe) m& &%)u+%n +e)$e*u+ men(%nun( =&%$se$"ras > 8<<=+ Do*u+%m#n • D%&%m 200:: D5 250m( Do*u+%m#n m%k% pe) m& &%)u+%n +e)$e*u+ men(%nun( =&%$se$"ras > 2<<<=+ Do*u+%m#n *. ?#&% men((un%kn S1)#n(e Pump7 %&%m 50 :: D5 250m( Do*u+%m#n m%k% pe) m& &%)u+%n +e)$e*u+ men(%nun( =&%$se$"ras > 5000m Do*u+%m#n. C%$"%': Seo)%n( pene)#+% en(%n *e)%+ *%%n 50 k( mem*u+u-k%n o*u+%m#n 3(/??/mn+. ?e)%p% ,&oe )%+en1%Q Ja9ab: %. Den(%n #n,u$#on pump7 Pe) m/??/mn+;n1% 50 B 50m D%&%m 8%m =!0 men#+> m%k% !0 B 50( 000(/8%m • Un+uk =kon$en+)%$# 400(/::> m%k% ,&o9 )%+en1% 000/500!m&/8%m Un+uk o$#$ 3 (/??/mn+ m%k% ,&o9 )%+en1% 3B!m&/8%m 543-/*a3 • Un+uk =kon$en+)%$# 000(/::> m%k% ,&o9 )%+en1% 000/000m&/8%m Un+uk o$#$ 3 (/??/mn+ m%k% ,&o9 )%+en1% 3Bm&/8%m 423-/*a3
*. Den(%n $1)#n(e pump7 D%&%m 8%m m%k% !0B50( 000(/8%m ,&o9 )%+en1% 000/5000 0!m&/8%m Un+uk o$#$ 3(/**/mn+ m%k% ,&o9 )%+e 3B0!m&/8%m 5;43-/*a3
PEMBERIAN MOR,IN SECARA PARENTERAL
RSUD PR OF. DR. W.Z. JOHANNES KUPANG
No. Dokumen 55/Kep/I/20!
SPO
'%n((%& 'e)*#+ J%nu%)# 20!
PENGERTIAN
TUJUAN KEBIJAKAN
PROSEDUR
KOMPLIKASI
DOKUMENTASI
UNIT TERKAIT
Re"#$# 0
H%&%m%n /
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D)(.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 o),#n $u&,%+ me)up%k%n o*%+ (o&on(%n Op#%+ 1%n( +e)$e#% %&%m &%)u+%n #n8ek$# %n #*e)#k%n $e:%)% #n+)%"en% en(%n +u8u%n men(u)%n(# *e*%n 8%n+un( %+%u %n%&(e$#k %n $e%$# Se*%(%# %:u%n pene)%p%n %&%m pem*e)#%n mo),#n. . Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 44 +%-un 200 +en+%n( Rum%- S%k#+ 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n . SK enke$ Nomo) 453 '%-un 200 +en+%n( $+%n%) pe&%1%n%n m#n#m%& *#%n( ke$e-%+%n. I. PERSIAPAN ALAT . Spu#+ 0/20 6: 2. ALu%e$+ S+e)#& . o),#n Su&,%+ 0m(/ Ampu& II .PROSEDUR . o),#n 0 m(/ %mpu& #en:e)k%n en(%n %Lu%e$+ $%mp%# 0 :: $e-#n((% kon$en+)%$#n1% :: m(. P%% $pu# #*e)# &%*e& 7 $a3a %ba"; &%$se$"ras; "a$++a!b(a". 2. o),#n $u&,%+ *#$% #*e)#k%n $e:%)% #n+)%"en% -%)u$ $e:%)% pe)&%- %n;&%-%n . Do$#$# $e$u%# 1%n( ##n$+)u$#k%n o&e- ok+e) *e)k#$%) %n+%)% 5m( umumn1% 2 m( 4. Se*e&um #*e)#k%n -%)u$ #%m%+# ,)%kuen$# n%,%$ 20B/mn+ +en$# $#$+o&#k 00 mm-( 5. Se&%m% pem*e)#%n mo),#n #%m%+# %% +#%kn1% e,ek $%mp#n( 1%n( +#m*u& 1%#+u ep)e$# n%,%$ penu)un%n ke$%%)%n mu%& mun+%- &%po) ok+e) %n pem*e)#%n #-en+#k%n . Dep)e$# n%,%$ 2. Penu)un%n ke$%%)%n . u%& mun+%.'%n((%& %n 8%m pem*e)#%n 2.Do$#$ 1%n( #*e)#k%n .N%m% p%$#en umu) %&%m%+ %n no. Re(#$+e)n%m% ok+e) 1( mem#n+%
IGD IRNA
PEMBERIAN LANO>IN PARENTERAL
RSUD PR OF. DR. W.Z. JOHANNES KUPANG
No. Dokumen 5!/Kep/I/20!
SPO
'%n((%& 'e)*#+ J%nu%)# 20!
PENGERTIAN
TUJUAN KEBIJAKAN
PROSEDUR
DOKUMENTASI
UNIT TERKAIT
Re"#$# 0
H%&%m%n /
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D)(.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 C%noB#n p%)en+e)%& %%&%- $%&%- $%+u o*%+ #(#+%&#$ 1%n( +e)$e#% #%&%m &%)u+%n #n8ek$# %n #*e)#k%n $e:%)% #n+)%"en% un+uk mempe)ku%+ kon+)%k$# o+o+ 8%n+un(%n %)#+m#%. Se*%(%# %:u%n pene)%p%n %&%m pem*e)#%n &%noB#n . Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 44 +%-un 200 +en+%n( Rum%- S%k#+ 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n . SK enke$ Nomo) 453 '%-un 200 +en+%n( $+%n%) pe&%1%n%n m#n#m%& *#%n( ke$e-%+%n. I. PERSIAPAN ALAT: . O*%+ C%noB#n =025 m(/::> 2. ALu%e$+/ 9%+e) ,o) #n8e:+#on . Spu#+ 0 :: 4. K%p%$ %&ko-o& 5. ?%k #n8ek$# !. Pe)&%k %n %&%$ 3. 'ou)n#Lue+ II. PROSEDUR: . ?e)#+%-u p%$#en +en+%n( +u8u%n %n m%n,%%+ pem*e)#%n C%noB#n 2. Dek%+k%n %&%+;%&%+ p%% p%$#en . P%$%n( pe)&%k %n %&%$ p%% %e)%- 1%n( %k%n #+u$uk p%$%n( 8u(% +ou)n#Lue+ 4. ?uk% C%noB#n %mpu& =05m(> en:e)k%n en(%n %Lu%e$+ men8%# 0 :: 5. D#$#n,ek$# %ee)%- "en% 1%n( %k%n #$un+#k en(%n k%p%$ %&ko-o& !. %$uk%n o*%+ $e$u%# en(%n %"#$ ok+e)pe&%n;pe&%n 3. ?e)$#-k%n %&%+ %n )%p#k%n pene)#+% . O*$e)"%$# pene)#+% 5 men#+ $e+e&%- #n8ek$# +e)-%%p )e%k$# o*%+ . Rek%m u&%n( EKG $e+e&%- 4 8%m pem*e)#%n o*%+. . '%n((%& %n 8%m pem*e)#%n 2. Do$#$ 1%n( #*e)#k%n EKG $e*e&um %n $e$u%- pem*e)#%n o*%+.
IGD IRNA
MENIAPKAN IN,US HEPARIN
No. Dokumen 53/Kep/I/202!
Re"#$# 0
H%&%m%n /2
RSUD PR OF. DR. W.Z. JOHANNES KUPANG SPO
'%n((%& 'e)*#+ J%nu%)# 20!
PENGERTIAN
TUJUAN KEBIJAKAN
PROSEDUR
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D)(.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 Hep%)#n me)up%k%n $%&%- $%+u o*%+ %n+# ko%(u&%n 1%n( #*e)#k%n me&%&u# #n+)%"en% =)#p> un+uk men:e(%- p)o$e$ ko%(u&%$# %n pem*en+uk%n (ump%&%n ,# *)#n. Se*%(%# %:u%n pene)%p%n %&%m pem*e)#%n -ep%)#n . Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 44 +%-un 200 +en+%n( Rum%- S%k#+ 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n . SK enke$ Nomo) 453 '%-un 200 +en+%n( $+%n%) pe&%1%n%n m#n#m%& *#%n( ke$e-%+%n. A. Me$++($a&a$ I$?(s%$ P(3#: A-a" )a$+ !#er-(&a$: . In,u$#on pump 2. Hep%)#n 24000 #u %+%u 2000 #u . DeB+)o$e 5 %+%u No)m%& S%&#ne 500 m& 4. Konek+o) =#n,u$ $e+> Pr%se!(r: . C%)u+k%n -ep%)#n 24000 #u %+%u 2000 #u %&%m eB+)o$e 5 %+%u No)m%& S%&#ne 500m& %n -u*un(k%n en(%n #n,u$ $e+. 2. P%$%n( #n,u$#on pump p%% +#%n( #n,u$ %n -u*un(k%n en(%n $um*e) &#$+)#k. . Ce9%+k%n $e&%n( #n,u$ p%% &ekuk%n 1%n( +e)$e#% p%% %&%+ %n kemu#%n +u+up &%(# pen8ep#+n1%. 4. 'ek%n +om*o& MON #$p&%1 me)%- 000 5. %$uk%n %+% )%+e 1%n( #ke-en%k# =%+% +e)&%mp#)> !. 'ek%n $+%)+ un+uk memu&%#
B. Me$++($a&a$ S)r$+e P(3#: A-a" )a$+ !#er-(&a$: . C%)u+k%n -ep%)#n 24000 %&%m $pu#+ 50:: %n +%m*%-k%n eB+)o$e 5 %+%u no)m%& $%&#ne $%mp%# 50m& %n -u*un(k%n en(%n eB+en$#on +u*e 2. P%$%n( $1)#n( pump p%% +#%n( #n,u$ %n -u*un(k%n en(%n $um*e) &#$+)#k . Ce+%k%n $pu#+ p%% $1)#n(e pump 4. 'ek%n +om*o& MON +un((u $%mp%# ke&u%) OPS p%% #$p&%1 5. 'ek%n MF #$p&%1 000 !. %$uk%n %+% )%+e 1%n( #ke-en%k# =%+% +e)&%mp#)> 'ek%n $+%)+ u n+uk memu&%# C. PEMANTAUAN 2. on#+o) +%n%;+%n% pe)%)%-%n *#&% +e)8%# pe)%)%-%n $+op -ep%)#n &%po) ok+e) 4. 6ek PP'/%P'' $e+e&%--ep%)#n *e)8%&%n ! 8%m. Do$#$ *e)-%$#& *#&% -%$#& PP'/%P'' 2;8 – 4 &a- &%$"r%D. KO MPL IKAS I . Pe)%)%- %n 2. ')om*o$#+opem#% UNIT TERKAIT
IGD IRNA
PEMBERIAN HERBESSER PARENTERAL
RSUD PROF. DR. W.Z. JOHANNES KUPANG
No. Dokumen 5/Kep/I/20!
SPO
'%n((%& 'e)*#+ J%nu%)# 20!
PENGERTIAN
TUJUAN KEBIJAKAN
PROSEDUR
Re"#$# 0
H%&%m%n /2
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D)(.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 He)*e$$e) p%)en+e)%& %%&%- $%&%- $%+u o*%+ %n+# -#pe)+en$# %n "%$o#&%+o) 1%n( +e)$e#% #%&%m &%)u+%n #n8ek$# %n #*e)#k%n $e:%)% #n+)%"en% un+uk menu)unk%n +ek%n%n %)%- en(%n :ep%+. Se*%(%# %:u%n pene)%p%n %&%m pem*e)#%n -e)*e$$e) . Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 44 +%-un 200 +en+%n( Rum%- S%k#+ 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n . SK enke$ Nomo) 453 '%-un 200 +en+%n( $+%n%) pe&%1%n%n m#n#m%& *#%n( ke$e-%+%n. A. Me$++($a&a$ I$?(s%$ P(3#: A-a" )a$+ !#er-(&a$: . In,u$#on pump 2. He)*e$$e) 50 m( =pe) %mpu&e> . DeB+)o$e 5 %+%u No)m%& S%&#ne 00 m& 4. Konek+o) =#n,u$ $e+ %+%u m#:)o)#p $e+> Pr%se!(r: . C%)u+k%n -e)*e$$e) D5 %+%u No)m%& S%&#ne 00m& %n -u*un(k%n en(%n #n,u$ $e+ %+%u m#:)o)#p $e+ 2. P%$%n( #n,u$#on pump p%% +#%n( #n,u$ %n -u*un(k%n en(%n $um*e) &#$+)#k. . Ce9%+k%n $e&%n( #n,u$ p%% &ekuk%n 1%n( +e)$e#% p%% %&%+ %n kemu#%n +u+up &%(# pen8ep#+n1%. 4. 'ek%n +om*o& MON #$p&%1 me)%- 000 5. %$uk%n %+% )%+e 1%n( #ke-en%k# =%+% +e)&%mp#)> !. 'ek%n $+%)+ un+uk memu&%# B. Me$++($a&a$ S)r$+e P(3#: A-a" )a$+ !#er-(&a$: . C%)u+k%n -e)*e$$e) 0 m( %+%u 50 m( %&%m $pu#+ 50:: %n +%m*%-k%n eB+)o$e 5 %+%u no)m%& $%&#ne $%mp%# 50m& %n -u*un(k%n en(%n eB+en$#on +u*e
UNIT TERKAIT
2. P%$%n( $1)#n( pump p%% +#%n( #n,u$ %n -u*un(k%n en(%n $um*e) &#$+)#k . Ce+%k%n $pu#+ p%% $1)#n(e pump 4. 'ek%n +om*o& MON +un((u $%mp%# ke&u%) OPS p%% #$p&%1 5. 'ek%n MF #$p&%1 000 !. %$uk%n %+% )%+e 1%n( #ke-en%k# =%+% +e)&%mp#)> 3. 'ek%n $+%)+ un+uk memu&%# IGD IRNA
PEMBERIAN AMIODARONE PARENTERAL
RSUD PROF. DR. W.Z. JOHANNES KUPANG SPO
PENGERTIAN
No. Dokumen 5/Kep/I/20! '%n((%& 'e)*#+ J%nu%)# 20!
Re"#$# 0
H%&%m%n /2
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D)(.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 Am#o%)one p%)en+e)%& %%&%- $%&%- $%+u o*%+ %n+# %)#+m#% 1%n( +e)$e#% #%&%m &%)u+%n #n8ek$# %n #*e)#k%n $e:%)% #n+)%"en%
TUJUAN
Se*%(%# %:u%n pene)%p%n %&%m pem*e)#%n %m#o%)one
KEBIJAKAN
. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 44 +%-un 200 +en+%n( Rum%- S%k#+ 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n . SK enke$ Nomo) 453 '%-un 200 +en+%n( $+%n%) pe&%1%n%n m#n#m%& *#%n( ke$e-%+%n. A. Me$++($a&a$ I$?(s%$ P(3#: A-a" )a$+ !#er-(&a$: . In,u$#on pump 2. He)*e$$e) 50 m( =pe) %mpu&e> . DeB+)o$e 5 %+%u No)m%& S%&#ne 00 m& 4. Konek+o) =#n,u$ $e+ %+%u m#:)o)#p $e+>
PROSEDUR
Prosed ur : . C%)u+k%n He)*e$e) 50 m( en(%n eB+)o$e 5 %+%u No)m%& S%&#ne 00 m& %n en(%n #n,u$ $e+. 2. P%$%n( #n,u$#on pump p%% +#%n( #n,u$ %n -u*un(k%n en(%n $um*e) &#$+)#k. . Ce9%+k%n $e&%n( #n,u$ p%% &ekuk%n 1%n( +e)$e#% p%% %&%+ %n kemu#%n +u+up &%(# pen8ep#+n1%. 4. 'ek%n +om*o& MON #$p&%1 me)%- 000 5. %$uk%n %+% )%+e 1%n( #ke-en%k# =%+% +e)&%mp#)> !. 'ek%n $+%)+ un+uk memu&%#
B. Me$++($a&a$ S)r$+e P(3#: A-a" )a$+ !#er-(&a$: . C%)u+k%n -e)*e$$e) 0 m( %+%u 50 m( %&%m $pu#+ 50:: %n +%m*%-k%n eB+)o$e 5 %+%u no)m%& $%&#ne $%mp%# 50m& %n -u*un(k%n en(%n eB+en$#on +u*e 2. P%$%n( $1)#n( pump p%% +#%n( #n,u$ %n -u*un(k%n en(%n $um*e) &#$+)#k . Ce+%k%n $pu#+ p%% $1)#n(e pump 4. 'ek%n +om*o& MON +un((u $%mp%# ke&u%) OPS p%% #$p&%1 5. 'ek%n MF #$p&%1 000 !. %$uk%n %+% )%+e 1%n( #ke-en%k# =%+% +e)&%mp#)> 3. 'ek%n $+%)+ un+uk memu&%# UNIT TERKAIT
IGD. IRNA
PEMBERIAN ISOSORBID DINITRAT PARENTERAL
RSUD PROF. DR. W.Z. JOHANNES KUPANG SPO
PENGERTIAN
TUJUAN KEBIJAKAN
TANGGUNG JAWAB
PROSEDUR
No. Dokumen !0/Kep/I/20! '%n((%& 'e)*#+ 2 J%nu%)# 20!
Re"#$# 0
H%&%m%n /2
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D)(.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 I$o$o)*# D#n#+)%+ =ISDN> p%)en+e)%& me)up%k%n $%&%- $%+u o*%+ "%$o#&%+o) 1%n( +e)$e#%# %&%m &%)u+%n #n8ek$# %n #*e)#k%n me&%&u# #n+)%"en% =)#p> Se*%(%# %:u%n pene)%p%n %&%m pem*e)#%n I$#$o$o)*# D#n#+)%+ . Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 44 +%-un 200 +en+%n( Rum%- S%k#+ 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n . SK enke$ Nomo) 453 '%-un 200 +en+%n( $+%n%) pe&%1%n%n m#n#m%& *#%n( ke$e-%+%n. Pem*e)#%n I$o$o)*# D#n#+)%+ p%)en+e)%& #&%kuk%n %+%$ pe)#n+%- ok+e) #$#%pk%n o&e- pe)%9%+ %+%u ok+e). I$o$o)*# D#n#+)%+ p%)en+e)%& e#*e)#k%n $e:%)% #n,u$ 1%n( kon+#n1u. A. Me$++(a&a$ I$?(s%$ P(3# : Alat yang diperlukan: . In,u$#on Pump 2. I$o$o)*# D#n#+)%+ =6eok%)/ I$oke+> 0 m(/%mpu& . DeB+)o$e 5 %+%u No)m%& S%&#ne 200 m& 4. Konek+o) =#n,u$ $e+> Prosed ur : . C%)u+k%n I$o$o)*# D#n#+)%+ 20 m( %&%m eB+)o$e 5 %+%u No)m%& S%&#n e 200 m& %n -u*un(k%n en(%n #n,u$ $e+. 2. P%$%n( #n,u$#on pump p%% +#%n( #n,u$ %n -u*un(k%n en(%n $um*e) &#$+)#k. . Ce9%+k%n $e&%n( #n,u$ p%% &ekuk%n 1%n( +e)$e#% p%% %&%+ %n kemu#%n +u+up &%(# pen8ep#+n1%. 4. 'ek%n +om*o& MON #$p&%1 me)%- 000 5. %$uk%n %+% )%+e 1%n( #ke-en%k# =%+% +e)&%mp#)> !. 'ek%n $+%)+ un+uk memu&%# B. Me$++($a&a$ S)r$+e P(3# : . S1)#n(e Pump 2. I$o$o)*# D#n#+)%+ =6eok%)/ I$oke+> 0 m(/%mpu& . DeB+)o$e 5 %+%u No)m%& S%&#ne $e:ukupn1% 4. Spu#+ 50 :: 5. Konek+o) =eB+en$#on +u*e>
KOMPLIKASI
UNIT TERKAIT
Prosedur : . C%)u+k%n I$o$o$)*# D#n#+)%+ 20 m( %&%m Spu#+ 50 :: %n +%m*%-k%n eB+)o$e 5 %+%u No)m%& S%&#ne$%mp%# 50 m& %n -u*un(k%n en(%n eB+en$#on +u*e 2. P%$%n( $1)#n( pump p%% +#%n( #n,u$ %n -u*un(k%n en(%n $um*e) &#$+)#k . Ce+%k%n $pu#+ p%% $1)#n(e pump 4. 'ek%n +om*o& MON +un((u $%mp%# ke&u%) OPS p%% #$p&%1 5. 'ek%n MF #$p&%1 000 !. %$uk%n %+% )%+e 1%n( #ke-en%k# =%+% +e)&%mp#)> 3. 'ek%n $+%)+ un+uk memu&%# . S%k#+ kep%&% 2. H#po+en$# . ?)%#k%)#
IGD IRNA
PEMBERIAN OBAT ARI>TRA
RSUD PROF. DR. W.Z. JOHANNES KUPANG SPO
PENGERTIAN
TUJUAN KEBIJAKAN
PROSEDUR
No. Dokumen !/Kep/I/20! '%n((%& 'e)*#+ 2 J%nu%)# 20!
Re"#$# 0
H%&%m%n /2
D#+e+%pk%n D#)ek+u) RSUD P)o,.D). W.Z.Jo-%ne$ Kup%n(
D)(.Dom#n#ku$ #n((u .Ke$ Pem*#n% U+%m% %1% NIP. !003 2 00 O*%+ A)#B+)% %%&%- o*%+ %n+#ko%(u&%n =pen(en:e) %)%-> un+uk men:e(%- pem*en+uk%n (ump%&%n %)%- %p%+ 8u(% #(un%k%n *e)$%m%%n en(%n o),#n un+uk men:e(%- Deep @e#n '-)om*o$#$ =D@'> +e)m%$uk pen(o*%+%n pem*u&u- %)%- p%)u;p%)u Se*%(%# %:u%n pene)%p%n %&%m pem*e)#%n o*%+ A)#B+)% . Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 44 +%-un 200 +en+%n( Rum%- S%k#+ 2. Un%n(;Un%n( Repu*&#k Inone$#% Nomo) 40 +%-un 200 +en+%n( Ke$e-%+%n . SK enke$ Nomo) 453 '%-un 200 +en+%n( $+%n%) pe&%1%n%n m#n#m%& *#%n( ke$e-%+%n. I. S)ara"@s)ara": . Su)%+ pe)$e)+u8u%n %)# ke&u%)(% 2. Pene)#+% -%)u$ #)%9%+ # I66U %+%u )u%n(%n *#%$% en(%n pem%n+ %u%n pe)%)%-%n $e:%)% ke+%+ . on#+o) +%n%;+%n% "#+%& $e:%)% *e)k%&% 4. Je&%$k%n kep%% p%$#en %n ke&u%)(% $e*e&um pem*e)#%n %)#B+ II. Pr%se!(r &er*a: . 6u:# +%n(%n 2. P%k%# APD . S#%pk%n k%p%$ %&ko-o&/ %&ko-o& $9%p
Untuk ACS (acut coronari syndrome) 25 m(/ 05 :: A)#B+)% #*e)#k%n $e:%)% S6 2 :m #$ek#+%) um*#&#ku$ $e*e&um pem*e)#%n &ok%$# pen1un+#k%n ##$#n,ek$# en(%n k%p%$ %&ko-o& %+%u %&ko-o& $9%p $e:%)% $#)ku&e) %)# %&%m ke&u%). 4. em*e)#k%n $un+#k%n %)#B+)% 5. R%p#k%n %&%+;%&%+ 1%n( #(un%k%n !. Cep%$ APD %n :u:# +%n(%n 3. O*$e)"%$# %%n1% pe)%)%-%n $e:%)% ke+%+
UNIT TERKAIT
UGD IRNA
