SURAT KEPUTUSAN DIREKTUR RUMAH SAKIT ISLAM SULTAN AGUNG NOMOR : 887/KPTS/RSI-SA/IX/2013 PANDUAN PANDUAN KREDENSIAL DAN REKREDENSIAL REKREDENSIA L KEPERAWA KEPERAWATAN RUMAH SAKIT IBU DAN ANAK GLADIOOL MAGELANG, DIREKTUR RUMAH SAKIT IBU DAN ANAK GLADIOOL,
MENIMBANG : 1. Baha !"#$#%&'a( $a% "#!"#$#%&'a( )#"aa* +#",)a!a% )"&#& ,%*,! +#%#%*,!a% $a% +#+)#"*aha%!a% !+)#*#%&' !#)#"aa*a%.
MENGINGAT MENETAPKAN :
2. Baha )"&#& !"#$#%&'a( +#",)a!a% &a(ah &a*, a"a )"#&' !#)#"aa*a% +#+)#"*aha%!a% &*a%$a" )"a!*'! $a% a!,%*a'('*a& )#"&'a)a% )#%$'$'!a% a%*a%a. a%*a%a. 3. Baha ,%*,! +#%#%*,!a% $a% +#+)#"*aha%!a% !+)#*#%&' *#%aa !#)#"aa*a% $' R,+ah Sa!'* I&(a+ S,(*a% A,% +a!a )#"(, $'(a!,!a% !"#$#%&'a( $#%a% +#%a, )a$a )a%$,a% !"#$#%&'a( a% &,$ah $'*#*a)!a%. 4. Baha ,%*,! +a!&,$ *#"&#,* $'a*a& +a!a )#"(, $'*#*a)!a% Pa%$,a% K"#$#%&'a( $a% "#!"#$#%&'a( )#"aa* $' R,+ah Sa!'* I&(a+ S,(*a% A,% $#%a% S,"a* K#),*,&a% D'"#!*," : 1. U%$a%-U%$a% N+" 44 Tah,% Tah,% 2005 *#%*a% R,+ah Sa!'* 2. K#),*,&a% M#%*#"' K#&#ha*a% RI N+" : HK.07.06/III/2371/05 *#%*a% I'% P#%#(#%a"aa% RS. I&(a+ I&(a + S,(*a% A,% S#+a"a%. 3. S,"a* K#),*,&a% P#%,",& aa&a% Ba$a% 9a!a S,(*a% A,% N+" : 050/SK/B9-SA/XII/2005 050/SK/B9-SA/XII/2005 *#%*a% P#%a%!a*a% P#%a%!a*a% D'"#!&' R,+ah Sa!'* I&(a+ S,(*a% A,% RSI-SA; Ma&a Ba!*' 2005 - 2013. 4. S,"a* K#),*,&a% aa&a% aa&a% a$a% 9a!a 9a!a S,(*a% A,% A,% N+" : 03/SK/B9SA/I/2011 03/SK/B9SA/I/2011 *#%*a% P#%#&aha% S*",!*," O"a%'&a&' $a% Ta*a Ta*a K#"a R,+ah Sa!'* I&(a+ S,(*a% A,% MEMUTUSKAN KESATU : M#+#"(a!,!a% Pa%$,a% %+" : 35/PND/ RSI-SA/IX/2013 *#%*a% K"#$#%&'a( $a% "#!"#$#%&'a( )#"aa* $' R,+ah Sa!'* I&(a+ S,(*a% A,% &#aa'+a%a *#"(a+)'" $a(a+ K#),*,&a% '%'.
KEDUA : K#),*,&a% '%' #"(a!, &#a! *a%a( $'*#"'*!a% $a% a!a% $'(a!,!a%
D'*#*a)!a% $' : S#+a"a% Ta%a( : 24 D<,(=a>$ah 1434.H
TEMBUSAN *h : 1. K+'*# K#)#"aa*a% 2. Ma%a#" K#)#"aa*a% 3. Ma%a#" SDI 4. Ba'a% P#"&%a('a ?. A"&') #@a(,a&' +'%'+a( 1 &a*,; *ah,% &#!a('. KETIGA : A)a'(a ha&'( #@a(,a&' +#%&a"a*!a% a$a%a )#",aha% $a% )#"a'!a% +a!a a!a% $'(a!,!a% )#",aha% $a% )#"a'!a% &#aa'+a%a +#&*'%a.
30 S#)*#+#" 2013.M RUMAH SAKIT ISLAM SULTAN AGUNG SEMARANG D". H. Ma&h,$' AM M. K#& D'"#!*," U*a+a LAMPIRAN SURAT KEPUTUSAN DIREKTUR NOMOR : 887/KPTS/SDI/RSI-SA/IX/2013 TENTANG : PANDUAN KREDENSIAL DAN REKREDENSIAL PERA9AT RUMAH SAKIT ISLAM SULTAN AGUNG
PANDUAN KREDENSIAL DAN REKREDENSIAL KEPERAWATAN RUMAH SAKIT ISLAM SULTAN AGUNG SEMARANG A. PENDAHULUAN
R,+ah &a!'* a$a(ah '%&*'*,&' )#(aa%a% !#&#ha*a% a% +#%#(#%a"a!a% )#(aa%a% !#&#ha*a% )#""a%a% &#a"a )a"'),"%a a% +#%#$'a!a% )#(aa%a% "aa* '%a) "aa* a(a% $a% aa* $a","a*. R,+ah &a!'* $' I%$%#&'a *#",& #"!#+a% a'! ,+(ah &aa* '%' 1?16 ; #%'& +a,),% !#(a& ",+ah &a!'* &#&,a' $#%a% !%$'&' a*a, +a&a(ah !#&#ha*a% +a&a"a!a* (#*a! #"a'& )#"!#+a%a% IPTEK )#"a*,"a% &#"*a !#'a!a% a% a$a. P#(aa%a% !#&#ha*a% $' ",+ah &a!'* *#"$'"' $a"' #"aa' #%'& )#(aa%a% &#)#"*': )#(aa%a% +#$'! )#(aa%a% !#)#"aa*a% $a% )#%,%a% +#$'! a% $'#"'!a% !#)a$a )a&'#% $a(a+ #%*,! ,)aa )"+*' )"#@#%*' !,"a*' $a% "#ha'('*a*'. K#)#"aa*a% &#aa' )"#&' +#+),%a' '"' a%*a"a (a'% +#+'('!' *,,h '(+,
body of knowledge; )#(aa%a% $'#"'!a% (#h )#"aa* )"#&&'%a( $a% +#+'('!' !$# #*'!a )"#&'. Da(a+ UU RI N.36 2005 *#%*a% K#&#ha*a% Pa&a( 63 $'%a*a!a% aha )#%#+,ha% )#%a!'* $a% )#+,('ha% !#&#ha*a% $'(a!,!a% $#%a% )#%#%$a('a% )#%a*a% $a%/a*a, )#"aa*a% &#"*a $'(a!,!a% #"$a&a"!a% '(+, !#$!*#"a% $a% '(+, !#)#"aa*a% a*a, a"a (a'% a% $a)a* $')#"*a%,%aa!a% !#+a%aa*a% $a% !#a+a%a%%a. P#(a!&a%aa% )#%a*a% $a% a*a, )#"aa*a% #"$a&a"!a% '(+, !#$!*#"a% a*a, '(+, !#)#"aa*a% ha%a $a)a* $'(a!,!a% (#h *#%aa !#&#ha*a% a% +#+),%a' !#ah('a% $a% !##%a%a% ,%*,! '*,. P#"%a*aa% '%' +#+)#"!,a* aha !#)#"aa*a% &#aa' )"#&' $a% ha",& $',,$!a% $a(a+ +#+#"'!a% )#(aa%a% !#)#"aa*a% $' a&'('*a& !#&#ha*a% $'a%*a"a%a ",+ah &a!'*. S,+#" Daa Ma%,&'a K#)#"aa*a% $' R,+ah Sa!'* I&(a+ S,(*a% A,% S#+a"a% +#",)a!a% *#%aa !#&#ha*a% *#"#&a" +#+'('!' a+ !#"a 24 a+ +#(a(,' )#%,a&a% shift &#"*a +#",)a!a% *#%aa !#&#ha*a% a% )a('% $#!a* $#%a% )a&'#% +#(a(,' h,,%a% )"#&&'%a( )a&'#% )#"aa* nurse – client relationship). P#"aa* +#+'('!' *a%,% aa $a% *a%,% ,a* &#&,a' !##%a%a% $a(a+ +#+#"'!a% a&,ha% !#)#"aa*a% !#)a$a )a&'#% $a% !#(,a"a%a. U%*,! '*, $')#"(,!a% )#"aa* a% !+)#*#% +a+), #")'!'" !"'*'& &#(a(, #"!#+a% &#"*a +#+'(!' #*'!a )"#&' &#h'%a )#(aa%a% !#)#"aa*a% $a)a* $'#"'!a% $#%a% a'! #"!,a('*a& $a% a+a% a' )a&'#% $a% !#(,a"a%a. K"#$#%&'a( +#",)a!a% )"&#& ,%*,! +#%#%*,!a% $a% +#+)#"*aha%!a% !+)#*#%&' !#)#"aa*a%. P"&#& !"#$#%&'a( +#",)a!a% &a(ah &a*, a"a )"#&' !#)#"aa*a% +#+)#"*aha%!a% &*a%$a" )"a!*'! $a% a!,%*a'('*a& )#"&'a)a% )#%$'$'!a% a%*a%a. K"#$#%&'a( +#('),*' )#+#"'a% '<'% )"a!*'! ('&#%&'; "#'&*"a&' )#%$a*a"a%; )#+#"'a% &#"*''!a* &#"*''!a&'; $a% a!"#$'*a&' K<'#" E" 1550;. Ka"#%a )"&#& !"#$#%&'a( )"a!*'! !#)#"aa*a% $' I%$%#&'a #(,+ $'*a*a &#a"a &#+),"%a +a!a $a(a+ )#%#(a&a% #"'!,* a!a% $',"a'!a% )"&#& !"#$#%&'a( a% $'(a!&a%a!a% a'! $' A+#"'!a +a,),% Ka%a$a. B. TUJUAN
M#('%$,%' !#&#(a+a*a% )a&'#% $#%a% +#%a+'% aha *#%aa !#)#"aa*a% a% +#+#"'!a% a&,ha% !#)#"aa*a% +#+'('!' !+)#*#%&' $a% !##%a%a% !('%'! a% #(a& )#%a!,a% $a% )#%ha"aa% *#"ha$a) )"a!*'! !('%'! !#)#"aa*a% a% #"a$a $' &#+,a (#@#( )#%#+a%a% )"#&'%a( $'"' +#(a(,' #%a% !a"'#" $a% )#%,a*a% $a(a+ )"&#& "#!",*+#% *#%aa !#)#"aa*a%. C. DASAR HUKUM
1. U%$a% - U%$a% N. 36 *ah,% 2005 *#%*a% K#&#ha*a% 2. U%$a% - U%$a% N. 44 *ah,% 2005 *#%*a% R,+ah Sa!'* 3. P#"M#%K#& N:HK 02.02/MENKES/148/1/2010 *#%*a% R#'&*"a&' $a% P"a!*#! P#"aa* 4. P#"+#%K#& N 1756/MENKES/PER/III/2011 *#%*a% R#'&*"a&' T#%aa K#&#ha*a% ?. S*a%$a" P"#&' K#)#"aa*a% 6. KMK N. 365/M#%!#&/SK/III/2007 *#%*a% S*a%$a" )"#&' '$a% 7. KMK N. 378/M#%!#&/SK/2007 *#%*a% &*a%$a" )"#&' )#"aa* '' D. PENGERTIAN
K"#$#%&'a( a$a(ah )"&#& "#@'#/ *#(aah @a('$a&' *#"ha$a) $!,+#% )#%$'$'!a% )#(a*'ha% )#%a(a+a% )#!#"aa% &#"*''!a&' ('&#%&' $a% $!,+#% )"#&'%a( (a'%%a a% $'+'('!' (#h *#%aa !#)#"aa*a%. P"&#& !"#$#%&'a( +#+#"' !#),*,&a% $a% +#%a+'% a)a!ah *#%aa !#)#"aa*a% a% #"&a%!,*a%
(aa! $'#"' !##%a%a% !('%'& (clinical privilege) ,%*,! +#(a!,!a% a&,ha% !#)#"aa*a% $' ",+ah &a!'*. R#!"#$#%&'a( a$a(ah )"&#& R# E@a(,a&' *#"ha$a) *#%aa !#)#"aa*a% a% *#(ah +#+'('!' !##%aa% !('%'& Clinical prevelege ; ,%*,! +#%#%*,!a% a)a!ah a% #"&a%!,*a% +a&'h (aa! $'#"' !a% !##%a%a% !('%'& ,%*,! &,a*, )#"'$# *#"*#%*, a'*, 4 *ah,%. E. KEBIJAKAN
D'"#!*," +#%#*a)!a% aha &#*'a) SDM !#)#"aa*a% +#('),*' P#"aa* B'$a% $a% A,*"# a% #!#"a R,+ah Sa!'* I&(a+ S,(*a% A,% S#+a"a% P"@'%&' Caa T#%ah : 1. M#%'!,*' K"#$#%&'a( K#)#"aa*a% a% $'(a!&a%a!a% (#h K+'*# K#)#"aa*a% $a(a+ ha( '%' &, !+'*# !"#$#%&'a( *#"$'"' $a"' !#*,a &#!#"*a"'& $a% a%*a &#"*a $'a%*, (#h M'*"a B#&*a"' 2. M#%'!,*' R#-K"#$#%&'a( a% $'(a!&a%a!a% &#*'a) 4 *ah,% $#%a% #"*#)a*a% $#%a% !#%a'!a% (%a% (#h )a"a )#"aa* $' R,+ah &a!'* I&(a+ S,(*a% A,% S#+a"a%. 3. M#+'('!' Ia&ah )#%$'$'!a% !#)#"aa*a% / !#'$a%a% a% $'!#(,a"!a% (#h (#+aa )#%$'$'!a% *'%' !#)#"aa*a% / !#'$a%a% a% *#"a!"#$'*a&' (#h (#+aa a% #"#%a%. 4. M#+'('!' S,"a* Ta%$a R#'&*"a&' STR; )#"aa* / '$a% a% $'!#(,a"!a% (#h Ma#('& T#%aa K#&#ha*a% I%$%#&'a MTKI;. ?. M#+'('!' S,"a* I'% K#"a SIK; )#"aa*/'$a% a% $'!#(,a" (#h )#+#"'%*ah $a#"ah a% #"#%a% a' SDM K#)#"aa*a% a% a!a% R#-!"#$#%&'a(. 6. M#+'('!' )#(a*'ha% !#)#"aa*a% a*a, +a%$a*" *"a'%'% 7. C#%a% P#"aa* K('%'& PK; a$a(ah SDM K#)#"aa*a% a% #!#"a $a% +#(a!,!a% )"a!*'! !#)#"aa*a% $' RS $a% $' $',!*'!a% $#%a% S,"a* K#),*,&a%/ S,"a* T,a& $a"' D'"#!*," RS. 8. C#%a% P#"aa* Ma%a#" PM; a$a(ah )#%,a&a% a% *#"!a'* )#(aa%a% !#)#"aa*a% $',!*'!a% $#%a% S,"a* K#),*,&a%/ S,"a* T,a& $a"' D'"#!*," RS. 5. C#%a% P#"aa* P#%$'$'! PP; a$a(ah )#%,a&a% a% *#"!a'* )#%$'$'!a% !#)#"aa*a% $',!*'!a% $#%a% S,"a* K#),*,&a%/ S,"a* T,a& $a"' D'"#!*," RS. 10. C#%a% P#"aa* R'&#* PR; a$a(ah )#%,a&a% a% *#"!a'* )#%#('*'a% !#)#"aa*a% $',!*'!a% $#%a% S,"a* K#),*,&a%/ S,"a* T,a& $a"' D'"#!*," RS. F. PENGORGANISASIAN
K"#$#%&'a( $a% R#!"#$#%&'a( K#)#"aa*a% $'(a!&a%a!a% (#h K+'*# K#)#"aa*a% $a(a+ ha( '%' &, !+'*# !"#$#%&'a( *#"$'"' $a"' !#*,a &#!#"*a"'& $a% a%*a &#"*a $'a%*, (#h M'*"a B#&*a"' !#)#"aa*a% . A$a),% *,a& &, !+'*# !"#$#%&'a( a$a(ah : 1. M#%,&,% $a% +#+,a* $a*a" !##%a%a% !('%'& &#&,a' #%a% !a"'" #"$a&a"!a% +a&,!a% $a"' !#(+)! &*a !#)#"aa*a%. 2. M#(a!,!a% a&&#&+#% $a% )#+#"'!&aa% : a. K#(#%!a)a% #"!a& !"#$#%&'a( . K+)#*#%&' . S*a*,& !#&#ha*a% $. P#"'(a!, #. E*'!a )"#&' 3. M#(a)"!a% ha&'( a&&#&+#% $a% )#+#"'!&aa% &#"*a +#+#"'!a% "#!+#%$a&' !##%a%a% !('%'! !#)a$a !+'*# !#)#"aa*a%.
4. M#(a!,!a% )"&#& !"#$#%&'a( +a&a #"(a!, &,"a* )#%,a&a% !('%'! $a% a$a%a )#"+'%*aa% !h,&,& $a"' !+'*# !#)#"aa*a%. S, !+'*# !"#$#%&'a( +#+),%a' !##%a%a% +#%'(a' $a% +#+,*,&!a% !##%a%a% !('%'& a% a$#!,a* &#&,a' !+)#*#%&' a% $'+'('!' &#*'a) )#"aa* &#&,a' #%a% !a"'". G. KEGIATAN
A$a),% !#'a*a% $a"' )"&#& !"#$#%&'a( a$a(ah : 1. M#+)#"&'a)!a% !##%a%a% !('%'& +#%a!,) !+)#*#%&' &#&,a' a"#a )"a!*'! a% $'*#*a)!a% (#h ",+ah &a!'* 2. M#%,&,% !##%a%a% !('%'& $#%a% !"'*#"'a &#&,a' $#%a% )#"&a"a*a% !"#$#%&'a( $'+a!&,$ 3. M#(a!,!a% a&&#&+#% !##%a%a% !('%'! $#%a% #"aa' +#*$# a% $'&#)a!a*' 4. M#+,a* !#),*,&a% ,%*,! )#+#"'a% !##%a%a% !('%'! $#%a% +#+#"'!a% "#!+#%$a&' !#)a$a !+'*# !#)#"aa*a% ?. M#(a!,!a% )#+'%aa% $a% )#+,('ha% !##%a%a% !('%'! &#a"a #"!a(a 6. M#(a!,!a% !"#$#%&'a( ,(a% &#a"a #"!a(a &#&,a' a!*, a% $' *#*a)!a%.
H. METODE
1. A(," )"&#& !"#$#%&'a(
K+'*# !#)#"aa*a% +#%$a)a*!a% $a*a" !"#$#%&'a( $a"' Ma%a#" !#)#"aa*a% $'&#"*a' *
) $!,+#% !"#$#%&'a( S, !+'*# !"#$#%&'a( +#(a!,!a% "#@'# @#"''!a&' $a% #@a(,a&' $!,+#% / )"*(' !"#$#%&'a( A&&#&&+#% !+)#*#%&' $'(a!,!a% S, !+'*# !"#$#%&'a( $a% M'*"a B#&*a"' M'*"a B#&*a"' +#+,a* "#!+#%$a&' ha&'( a&#&&+#% !+)#*#%&' !a &, !+'*# !"#$#%&'a( S, !+'*# !"#$#%&'a( +#+,a* (a)"a% &#(,",h )"&#& !"#$#%&'a( !#)a$a !#*,a !+'*# !#)#"aa*a% ,%*,! $'*#",&!a% !# $'"#!*," R,+ah Sa!'* I&(a+ S,(*a% A,% S#+a"a% P"@'%&' Caa T#%ah D'#!*," R,+ah Sa!'* I&(a+ S,(*a% A,% S#+a"a% +#%#"'*!a% SPKK A 2. A(," )"&#& "#-!"#$#%&'a(
K#(a& !+)#*#%&'
a(% )#&#"*a R#-!"#$#%&'a( +#%'a)!a% $!,+#% / )"*(' "#!"#$#%&'a( T'$a! a
B'$a% !#)#"aa*a% &#(#!&' !#(#%!a)a% a$+'%'&*"a&' $!,+#%&' "#-!"#$#%&'a( K+'*# !#)#"aa*a% &, !+'*# !#)#"aa*a%; #!#"a&a+a +'*"a #&*a"' ,%*,! "#@'# @#"''!a&' $a% #@a(,a&' ('%'a( )"#@'# P#&#"*a "#-!"#$#%&'a( a&#&'; +#(a!,!a% )"a-a&#&&+#% $#%a% +'*"a #&*a"' a% $'*,%,!!a% (#h !+'*# !#)#"aa*a% P#(a!&a%aa% a&#&&+#% !+)#*#%&' (#h !'*"a #&*a"'/I a a T'$a! M'*"a B#&*a"'/I +#+,a* "#!+#%$a&' ha&'( a&#&&+#% !+)#*#%&' !# &, !+'*# !"#$#%&'a( S, !+'*# !"#$#%&'a( +#+,a* (a)"a% &#(,",h )"&#& !"#$#%&'a( !#)a$a !#*,a !+'*# !#)#"aa*a% ,%*,! $'*#",&!a% !#)a$a $'"#!*," D'#!*," R,+ah Sa!'* I&(a+ S,(*a% A,% S#+a"a% +#%#"'*!a% S,"a* P#%,a&a% K('%'& T'$a! !+)#*#%
I. PENCATATAN DAN PELAPORAN
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