{"id":6085,"date":"2019-07-05T06:11:28","date_gmt":"2019-07-04T23:11:28","guid":{"rendered":"https:\/\/snars.web.id\/rs\/?p=6085"},"modified":"2019-07-05T06:23:42","modified_gmt":"2019-07-04T23:23:42","slug":"check-list-telusur-igd","status":"publish","type":"post","link":"http:\/\/snars.web.id\/rs\/check-list-telusur-igd\/","title":{"rendered":"CHECK LIST TELUSUR IGD – SNARS"},"content":{"rendered":"

CHECK LIST TELUSUR IGD<\/strong><\/span><\/p>\n

\"\"<\/a><\/span><\/p>\n

https:\/\/drive.google.com\/open?id=1nS3WtmiM04wbwvF9nNi3mrkYiA-mASSC<\/span><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
IGD\u00a0<\/span><\/td>\nURAIAN TELUSUR<\/span><\/td>\n<\/td>\nD<\/span><\/td>\nO<\/span><\/td>\nW<\/span><\/td>\nS<\/span><\/td>\n<\/tr>\n
Proses asuhan<\/span><\/td>\nTriage<\/span><\/p>\n
    \n
  • Bukti tentang pelaksanaan triase berbasis bukti.
    \n<\/span>Dokter IGD
    \n<\/span>Perawat IGD<\/span><\/li>\n<\/ul>\n

    Asesmen gawat darurat dokter dan perawat<\/span><\/p>\n

      \n
    • Bukti dalam RM tentang pelaksanaan asesmen awal pasien gawat darurat yang mencakup riwayat kesehatan, pemeriksaan fisik.<\/span><\/li>\n
    • Bukti dalam RM tentang pelaksanaan asesmen awal pasien gawat darurat meliputi faktor bio-psiko-sosio-kultural-spiritual berfokus pada kondisi pasien.<\/span><\/li>\n
    • Bukti dalam RM tentang pelaksanaan asesmen awal pasien gawat darurat menghasilkan diagnosis awal dan masalah kesehatan pasien<\/span><\/li>\n
    • Bukti dalam RM tentang pelaksanaan asesmen awal pasien gawat darurat menghasilkan rencana asuhan dengan metode IAR
      \n<\/span>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 DPJP
      \n<\/span>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 PPJA<\/span><\/li>\n<\/ul>\n

      Rencana asuhan terintegrasi<\/span><\/p>\n

        \n
      • Bukti di rekam medis tentang asuhan seragam sesuai butir a) s\/d e)
        \n<\/span>– DPJP
        \n<\/span>– PPJA<\/span>
        \n– MPP.<\/span><\/li>\n<\/ul>\n

        Kepala\/staf unit pelayanan
        \n<\/span>\u00a0 \u00a0 – Pasien\/keluarga<\/span><\/span><\/p>\n

        Hak pasien<\/span><\/p>\n

          \n
        • Bukti dalam RM tentang identifikasi agama, keyakinan dan nilai-nilai pribadi pasien\u00a0<\/span><\/li>\n
        • Bukti pelaksanaan asuhan yang menghormati agama, keyakinan dan nilai-nilai pribadi pasien<\/span><\/li>\n
        • Bukti kerjasama dengan rohaniawan<\/span><\/li>\n
        • Bukti permintaan pelayanan rohani<\/span><\/li>\n
        • Bukti pelaksanaan pelayanan rohani <\/span>
          \n– Staf klinis<\/span>
          \n– Pasien\/keluarga<\/span><\/li>\n<\/ul>\n

          Peragaan dalam menanggapi permintaan pelayanan rohani<\/span><\/p>\n

            \n
          • Bukti pelaksanaan tentang penjelasan kerahasiaan informasi kesehatan pasien<\/span><\/li>\n
          • Bukti pelaksanaan permintaan persetujuan pelepasan informasi kepada pihak luar oleh pasien misalnya: asuransi, BPJS, perusahaan, Dinas Kesehatan<\/span><\/li>\n
          • Bukti pelaksanaan tentang wajib simpan rahasia pasien\u00a0<\/span><\/li>\n
          • Bukti sumpah staf non klinis yang diberi akses ke rekam medis tentang wajib simpan informasi kesehatan pasien<\/span><\/li>\n
          • Bukti pelaksanaan identifikasi harapan dan kebutuhan privasi<\/span><\/li>\n<\/ul>\n

            Lihat kelengkapan dan pelaksanaan akan privasi pada lokasi pelayanan di ruang rawat jalan, IGD, rawat inap, dan kelengkapan transfer pasien, dsb
            \n<\/span>\u00a0 – Staf rekam medis
            \n<\/span>\u00a0 – Staf klinis
            \n<\/span>\u00a0 – Pasien\/keluarga<\/span><\/span><\/p>\n

              \n
            • Bukti pelaksanaan pemberian informasi tentang kondisi medis dan diagnosis pasti<\/span><\/li>\n
            • Bukti pelaksanaan pemberian informasi tentang rencana asuhan dan tindakan yang akan dilakukan, sesuai MKE 9 EP 1<\/span><\/li>\n
            • Bukti pelaksanaan pemberian informasi bila diperlukan persetujuan kedokteran, sesuai MKE 9 EP 4, PAB 5.1 dan PAB 7.1<\/span><\/li>\n
            • Bukti pelaksanaan pemberian penjelasan tentang hasil dan proses asuhan\/pengobatan.<\/span><\/li>\n
            • Bukti pelaksanaan pemberian penjelasan tentang hasil yang tidak terduga.
              \n<\/span>– <\/span>DPJP
              \n<\/span>– PPJA
              \n<\/span>– Staf klinis<\/span>
              \n– Pasien\/keluarga<\/span><\/li>\n<\/ul>\n

              Edukasi<\/span><\/p>\n

                \n
              • Bukti tentang pelaksanaan pemberian penjelasan\u00a0 tentang hasil asesmen, diagnosa dan rencana asuhan<\/span><\/li>\n
              • \u00a0Bukti tentang pelaksanaan pemberian edukasi oleh DPJP dan PPJA tentang hasil asuhan dan pengobatan\u00a0 termasuk hasil asuhan yang tidak diharapkan<\/span><\/li>\n
              • \u00a0Bukti pelaksanaan pemberian edukasi oleh DPJP, PPJA, MPP\u00a0 tentang asuhan lanjutan di rumah\u00a0<\/span><\/li>\n
              • Bukti pelaksanaan pemberian edukasi tentang risiko dan komplikasi tindakan medik yang akan dilakukan<\/span><\/li>\n
              • Bukti pelaksanaan pemberian edukasi tentang hak, kewajiban dan tanggungjawab pasien untuk berpartisipasi dalam proses asuhan
                \n<\/span>– DPJP
                \n<\/span>– PPJA
                \n<\/span>– MPP
                \n<\/span>– Staf klinis<\/span>
                \n– Pasien\/keluarga<\/span><\/li>\n<\/ul>\n

                Lihat rekam medis pasien<\/span><\/p>\n

                  \n
                • Bukti tentang materi edukasi kolaboratif\u00a0<\/span><\/li>\n
                • Bukti pelaksanaan verifikasi\u00a0<\/span><\/li>\n
                • Bukti materi edukasi tertulis<\/span><\/li>\n<\/ul>\n

                  \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 <\/span>PPA
                  \n<\/span>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Staf klinis
                  \n<\/span>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Pasien\/keluarga Staf\u00a0 \u00a0 pemberi edukasi\u00a0<\/span><\/span><\/p>\n

                  Peragaan staf klinis dalam pemberian edukasi<\/span><\/td>\n

ARK 1.1<\/span><\/p>\n

AP 1.3<\/span><\/p>\n

PAP 1<\/span><\/p>\n

HPK 1.1<\/span><\/p>\n

HPK 1.2<\/span><\/p>\n

HPK 2.1<\/span><\/p>\n

MKE 9<\/span><\/p>\n

MKE 11<\/span><\/td>\n

<\/td>\n<\/td>\n<\/td>\n+<\/span><\/td>\n<\/tr>\n
Skrining<\/span><\/p>\n
    \n
  • Bukti tentang pelaksanaan asesmen yang digunakan untuk skrining pasien rawat inap.<\/span><\/li>\n
  • Daftar jenis pelayanan preventif, paliatif, kuratif, dan rehabilitatif.<\/span><\/li>\n
  • Bukti tentang pelaksanaan pelayanan atau tindakan yang diberikan sesuai kebutuhan pasien.<\/span><\/li>\n
  • Bukti tentang penetapan prioritas untuk pelayanan preventif, paliatif, kuratif, dan rehabilitatif .<\/span><\/li>\n<\/ul>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>Staf medis<\/span><\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Staf keperawatan<\/span><\/td>\n

ARK 1.2<\/span><\/td>\n+<\/span>+<\/span><\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

<\/td>\n+<\/span><\/p>\n

+<\/span><\/td>\n

<\/td>\n<\/tr>\n
SKP<\/span><\/td>\nHand hygiene<\/span><\/p>\n
    \n
  • Bukti pelaksanakan program kebersihan tangan <\/span>(hand hygiene)<\/span><\/i> di seluruh rumah sakit, sesuai dengan PPI 9 EP 3<\/span><\/span><\/li>\n<\/ul>\n

    Lihat pelaksanaan fasilitas untuk cuci tangan (1 tempat tidur satu handrub), lihat kepatuhan staf pada lima saat cuci tangan.<\/span><\/p>\n

    Peragaan disinfeksi, sesuai dengan PPI 9 EP 2, EP 5 dan EP 6<\/span><\/p>\n

    Staf SDM<\/span><\/p>\n

    Komunikasi antar PPA\/staf klinis<\/span><\/p>\n

      \n
    • Bukti pelaksanaan pelatihan tentang komunikasi efektif\u00a0<\/span><\/li>\n
    • Bukti pelaksanaan tentang penyampaian pesan verbal atau lewat telpon.<\/span><\/li>\n
    • Lihat dengan cek silang dokumen penyampaian verbal lewat telepon dari sisi pemberi dan dari sisi penerima<\/span><\/li>\n<\/ul>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0DPJP<\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0PPA lainnya<\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Staf klinis<\/span><\/td>\n

SKP 5<\/span><\/p>\n

SKP 2<\/span><\/td>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

+<\/span>+<\/span><\/span><\/td>\n+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

+<\/span>+<\/span><\/span><\/td>\n<\/tr>\n
PPI<\/span><\/td>\nRuang dekontaminasi<\/span><\/p>\n
    \n
  • Bukti tentang pelaksanaan program PPI meliputi a s\/d g. di maksud dan tujuan<\/span><\/li>\n
  • Bukti pelaksanaan program PPI, meliputi:<\/span><\/li>\n
  • Bukti pemeriksaan berkala pegawai<\/span><\/li>\n
  • Bukti laporan pajanan\/ tertusuk jarum<\/span><\/li>\n
  • Bukti imunisasi<\/span><\/li>\n
  • Bukti pengobatan dan konseling pegawai<\/span><\/li>\n<\/ul>\n

    Lihat pelaksanaan program PPI di unit pelayanan (Hand Hygiene, APD, penempatan pasien, dll)<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>Komite\/Tim PPI<\/span><\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0IPCN<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0IPCLN<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Kepala bidang\/divisi\u00a0 keperawatan<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Kepala unit pelayanan\/Kepala ruang<\/span><\/p>\n

    Peragaan <\/span>hand hygiene<\/span><\/i><\/span><\/p>\n

    Pasien airborne disease<\/span><\/p>\n

      \n
    • Lihat penempatan pasien <\/span>airborne diseases<\/span><\/i>, termasuk di ruang gawat darurat dan ruang lainnya dan transfer pasien (Lihat PPI 8 EP1)<\/span><\/span><\/li>\n<\/ul>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>Kepala\/staf IGD\u00a0<\/span><\/span><\/p>\n

      Kepala\/staf rawat\u00a0 jalan<\/span><\/p>\n

      Kepala\/staf rawat inap\u00a0<\/span><\/p>\n

      IPCN<\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>IPCLN<\/span><\/span><\/p>\n

      Pasien immunocompromised<\/span><\/p>\n

      Lihat ruang isolasi untuk pasien dengan <\/span>immunocompromised<\/span><\/i><\/span><\/p>\n

      Identifikasi risiko infeksi<\/span><\/p>\n

        \n
      • Bukti tentang daftar risiko infeksi pada prosedur dan proses asuhan invasif\u00a0<\/span><\/li>\n
      • Bukti strategi untuk penurunan infeksi (tata kelola risiko infeksi)<\/span><\/li>\n<\/ul>\n

        Limbah<\/span><\/p>\n

          \n
        • Bukti pelaksanaan monitoring, evaluasi dan tindak lanjutnya\u00a0<\/span><\/li>\n<\/ul>\n

          Lihat kepatuhan petugas dalam pengelolaan limbah infeksius sesuai prinsip PPI<\/span><\/p>\n

          Benda tajam<\/span><\/p>\n

          Lihat kepatuhan petugas dalam pengelolaan benda tajam dan jarum sesuai prinsip PPI<\/span><\/p>\n

          \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

          \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>IPCN<\/span><\/span><\/p>\n

          \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0IPCLN<\/span><\/p>\n

          \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Kepala\/staf unit pelayanan<\/span><\/p>\n

          \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Petugas <\/span>cleaning service<\/span><\/i><\/span><\/td>\n

PPI 5<\/span>PPI 8.1<\/span><\/span><\/p>\n

PPI 8<\/span><\/p>\n

PPI 7<\/span><\/p>\n

PPI 7.4<\/span><\/p>\n

PPI 7.5<\/span><\/td>\n

+<\/span>+<\/span><\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

+<\/span><\/td>\n<\/tr>\n
AP<\/span><\/td>\nSPK dan RKK<\/span><\/p>\n
    \n
  • Bukti tentang SPK dan RKK staf medis ada di unit pelayanan.<\/span><\/li>\n
  • Bukti pelaksanaan pengawasan untuk memastikan staf medis memberikan pelayanan sesuai SPK dan RKK<\/span><\/li>\n<\/ul>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>Komite medis<\/span><\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Staf medis<\/span><\/p>\n

      \n
    • Bukti pelaksanaan tentang proses rekredensial untuk kewenangan tambahan<\/span><\/li>\n
    • Bukti pelaksanaan tentang proses penetapan SPK dan RKK staf keperawatan<\/span><\/li>\n
    • Bukti pelaksanaan tentang proses penetapan SPK dan RKK PPA lainnya dan staf klinis lainnya<\/span><\/li>\n<\/ul>\n<\/td>\n
KKS 10<\/span><\/p>\n

KKS 12<\/span><\/p>\n

KKS 14<\/span><\/p>\n

KKS 17<\/span><\/td>\n

+<\/span>+<\/span><\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

<\/td>\n<\/tr>\n
ARK<\/span><\/td>\nPenolakan rawat inap<\/span><\/p>\n
    \n
  • Bukti tentang pemberian edukasi.<\/span><\/li>\n
  • Bukti pelaksanaan pasien keluar rumah sakit atas permintaan sendiri sesuai regulasi.<\/span><\/li>\n
  • Bukti pelaksanaan rujukan sesuai ARK 5.<\/span><\/li>\n
  • Bukti pelaksanaan evaluasi alasan pasien keluar rumah sakit atas permintaan sendiri.<\/span><\/li>\n<\/ul>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>DPJP<\/span><\/span><\/p>\n

      \n
    • Bukti formulir tentang penolakan\/tidak melanjutkan pengobatan<\/span><\/li>\n
    • Bukti formulir tentang tidak melanjutkan perawatan (pulang atas permintaan sendiri)\u00a0\u00a0\u00a0<\/span><\/li>\n
    • Bukti pelaksanaan edukasi tentang hak untuk menolak atau tidak melanjutkan pengobatan<\/span><\/li>\n
    • Bukti pelaksanaan edukasi tentang konsekuensi dari keputusan mereka<\/span><\/li>\n
    • Bukti pelaksanaan edukasi tentang tanggung jawab mereka berkaitan dengan keputusan tersebut<\/span><\/li>\n
    • Bukti pelaksanaan edukasi tentang tentang alternatif pelayanan dan pengobatan<\/span><\/li>\n<\/ul>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>DPJP\/PPA lainnya<\/span><\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Staf klinis<\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Pasien \/ keluarga<\/span><\/td>\n

ARK 4.4<\/span><\/p>\n

HPK 2.3<\/span><\/td>\n

+<\/span>+<\/span><\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

<\/td>\n<\/tr>\n
<\/td>\nPendaftaran rawat inap<\/span><\/p>\n
    \n
  • Bukti tentang proses pelaksanaan penerimaan pasien rawat inap dan rawat jalan<\/span><\/li>\n
  • Bukti tentang proses pelaksanaan penerimaan pasien gawat darurat ke unit rawat inap.<\/span><\/li>\n
  • Bukti tentang penetapan dan pelaksanaan menahan pasien untuk observasi termasuk edukasinya,perhatikan juga ARK 1.2.<\/span><\/li>\n
  • Bukti tentang pemberian informasi rujukan dan pengelolaan pasien apabila tempat tidak tersedia. Perhatikan tentang kebutuhan kelompok pasien<\/span><\/li>\n<\/ul>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>Staf medis<\/span><\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Staf keperawatan<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Pasien<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Staf Admisi<\/span><\/p>\n

    untuk rawat inap biasa dan\u00a0 \u00a0 \u00a0 rawat intensif.<\/span><\/td>\n

ARK 2<\/span><\/td>\n+<\/span>+<\/span><\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

<\/td>\n<\/tr>\n
<\/td>\nProses transfer<\/span><\/p>\n
    \n
  • Bukti tentang pelaksanaan P3 atau <\/span>discharge planning<\/span><\/i> dicatat di rekam medis.<\/span><\/span><\/li>\n<\/ul>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>DPJP<\/span><\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Staf keperawatan<\/span><\/p>\n

    \u00a0Manajer Pelayanan\u00a0 \u00a0 Pasien<\/span><\/p>\n

    Pasien\/keluarga<\/span><\/p>\n

      \n
    • Bukti form transfer memuat indikasi pasien masuk dirawat.<\/span><\/li>\n
    • Bukti form transfer memuat riwayat kesehatan, pemeriksaan fisik, dan pemeriksaan diagnostik.<\/span><\/li>\n
    • Bukti form transfer memuat setiap diagnosis yang dibuat.<\/span><\/li>\n
    • Bukti form transfer memuat setiap prosedur yang dilakukan.<\/span><\/li>\n
    • Bukti\u00a0 form transfer memuat obat yang diberikan dan tindakan lain yang dilakukan.<\/span><\/li>\n
    • Bukti\u00a0 form transfer memuat keadaan pasien pada waktu dipindah (transfer).<\/span><\/li>\n
    • Bukti tentang kelengkapan pengisian form.<\/span><\/li>\n<\/ul>\n

      Manajer Pelayanan Pasien<\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Kepala instalasi rawat inap\/kepala ruang rawat inap\u00a0<\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>Staf klinis<\/span><\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Pasien\/keluarga<\/span><\/td>\n

ARK 3<\/span>ARK 3.3<\/span><\/span><\/td>\n+<\/span>+<\/span><\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

<\/td>\n<\/tr>\n
<\/td>\nProses rujukan<\/span><\/p>\n
    \n
  • Bukti pelaksanaan rujukan pasien sesuai dengan kebutuhan kesinambungan asuhan pasien.<\/span><\/li>\n
  • Bukti tentang fasilitas kesehatan yang menerima dapat memenuhi kebutuhan pasien yang dirujuk.<\/span><\/li>\n<\/ul>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>DPJP<\/span><\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Staf keperawatan<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Petugas Ambulans<\/span><\/p>\n

      \n
    • Bukti form rujukan memuat nama dari fasilitas pelayanan kesehatan yang menerima dan nama orang yang menyetujui menerima pasien.<\/span><\/li>\n
    • Bukti form rujukan memuat alasan pasien dirujuk, memuat kondisi pasien, dan kebutuhan pelayanan lebih lanjut.<\/span><\/li>\n
    • Bukti form rujukan memuat prosedur dan intervensi yang sudah dilakukan.<\/span><\/li>\n
    • Bukti pelaksanaan evaluasi proses rujukan dalam aspek mutu dan keselamatan pasien.<\/span><\/li>\n<\/ul>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>DPJP<\/span><\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Komite\/tim PMKP<\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0Kepala instalasi rawat inap\/kepala ruang rawat inap<\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Staf keperawatan<\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>Petugas Ambulans<\/span><\/span><\/td>\n

ARK 5<\/span><\/p>\n

ARK 5.2<\/span><\/td>\n

+<\/span>+<\/span><\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

<\/td>\n<\/tr>\n
<\/td>\nPenolakan rujukan<\/span><\/p>\n
    \n
  • Bukti tentang pemberian edukasi.<\/span><\/li>\n
  • Bukti pelaksanaan pasien keluar rumah sakit atas permintaan sendiri sesuai regulasi.<\/span><\/li>\n
  • Bukti pelaksanaan rujukan sesuai ARK 5.<\/span><\/li>\n
  • Bukti pelaksanaan evaluasi alasan pasien keluar rumah sakit atas permintaan sendiri.<\/span><\/li>\n<\/ul>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0DPJP<\/span><\/td>\n

ARK 4.4<\/span><\/p>\n

HPK 2.3<\/span><\/td>\n

+<\/span>+<\/span><\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

+<\/span><\/td>\n<\/td>\n<\/tr>\n
<\/td>\nAmbulance:<\/span><\/p>\n

Jenis ambulance<\/span><\/p>\n

    \n
  • Bukti pelaksanaan transportasi\u00a0 sesuai hasil asesmen.<\/span><\/li>\n<\/ul>\n

    Penyediaan alat transportasi pasien\u00a0<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Kepala unit kerja<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Kepala instalasi rawat inap\/kepala ruang rawat inap<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Staf terkait<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Sopir ambulans<\/span><\/p>\n

    Proses dekontaminasi<\/span><\/p>\n

      \n
    • Bukti pelaksanaan dekontaminasi alat transportasi sesuai PPI 7.2.<\/span><\/li>\n<\/ul>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Lihat bukti dokumentasi\u00a0 \u00a0 proses dekontaminasi alat transportasi.<\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>IPCN<\/span><\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Staf terkait<\/span><\/p>\n

      \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Sopir ambulans<\/span><\/p>\n

      Penanganan pengaduan<\/span><\/p>\n

        \n
      • Bukti pelaksanaan penanganan pengaduan\/keluhan dalam proses rujukan.\u00a0<\/span><\/li>\n<\/ul>\n

        \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span>Staf terkait<\/span><\/span><\/p>\n

        \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Sopir ambulans<\/span><\/td>\n

ARK 6 EP 2<\/span>ARK 6 EP 3<\/span><\/span><\/p>\n

ARK 6 EP 4<\/span><\/td>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

<\/td>\n<\/tr>\n
PKPO<\/span><\/td>\nObat emergensi<\/span><\/p>\n
    \n
  • Dokumen supervisi apoteker\u00a0<\/span><\/li>\n<\/ul>\n

    Kepala Insatalasi Farmasi<\/span><\/p>\n

    Apoteker<\/span><\/td>\n

PKPO 3 EP 4<\/span><\/td>\n+<\/span><\/td>\n+<\/span><\/td>\n<\/td>\n<\/tr>\n
<\/td>\n\n
    \n
  • Bukti daftar obat emergensi disetiap tempat penyimpanan<\/span><\/li>\n<\/ul>\n

    Fisik obat sesuai jumlahnya dengan daftar<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0<\/span>Kepala Instalasi Farmasi<\/span><\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0Perawat<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0Apoteker\u00a0<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Staf Farmasi<\/span><\/td>\n

PKPO 3.4 EP 2<\/span><\/td>\n+<\/span><\/td>\n+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

<\/td>\n<\/tr>\n
<\/td>\n\n
    \n
  • Bukti tentang catatan supervisi tentang penyimpanan obat emergensi<\/span><\/li>\n<\/ul>\n

    Lihat Fisik obat sesuai jumlahnya dengan daftar obat<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0<\/span>Kepala Instalasi Farmasi<\/span><\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0Perawat<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0Apoteker\u00a0<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Staf Farmasi<\/span><\/td>\n

PKPO 3.4 EP 3<\/span><\/td>\n+<\/span>+<\/span><\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/p>\n

+<\/span><\/td>\n

+<\/span><\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

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