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DAFTAR ISI
JUDUL DOKUMEN URUTAN
A. UNIT TATA USAHA 1. Kepegawaian ...............................................................................2. Penilaian DP3 .............................................................................. 23. Analisa Data................................................................................. 34. Penanganan Surat Keluar............................................................ 45. Penanganan Surat Masuk............................................................ 56. Penyetoran Hasil Pendapatan...................................................... 67. Pengelolaan Hasil Pendapatan.................................................... 78. Verifikasi Barang........................................................................... 89. Pembelian Barang........................................................................ 910.Seleksi Pemasok.......................................................................... 1011.Pengelolaan Logistik Alat Medis dan Non Medis.......................... 1112.Pengelolaan Keuangan................................................................ 1213.Pemeliharaan Alat-Alat Medis...................................................... 1314.Pemakaian Mobil Puskling............................................................ 1415.Pemeliharaan Mobil Puskling....................................................... 1516.Rumah Tangga............................................................................. 1617.Kebersihan Lingkungan Kerja....................................................... 1718.Permintaan Izin dan Cuti.............................................................. 1819.Penilaian Karyawan PTT dan PHL............................................... 1920.Pembuatan Rujukan dan Keer. Dokter.........................................21.Pembuatan surat izin jalan dan Pelimpahan tugas.......................22.Prosedur Penerimaan Tenaga Sukarela......................................
B. UNIT PENDAFTARAN 1. Pendaftaran Pasien ..................................................................... 202. Penerimaan Pasien ..................................................................... 213. Mencari Rekam Medik.................................................................. 224. Membuat Kartu Pendaftaran......................................................... 235. Penomoran Rekam Medik............................................................ 246. Mengisi Buku Register Pasien...................................................... 257. Mengembalikan Rekam Medik..................................................... 268. Penyimpanan Family Folder......................................................... 279. Menata Rekam Medik................................................................... 2810.Pengelolaan Rekam Medik........................................................... 2911.Pengendalian Barang Milik Pelanggan......................................... 3012.Mengisi Buku Family Folder......................................................... 31
C. UNIT POLI UMUM KHUSUS DEWASA1. Pelayanan Rawat Jalan................................................................ 322. Pelayanan Di Poli Umum Khusus Dewasa................................... 333. Persiapan Pelayanan Rawat Jalan............................................... 34
4. Menyiapkan Formulir Untuk Pelayanan Pasien............................ 355. Mempersiapkan Alat-alat Pemeriksaan Fisik................................ 366. Anamnese.................................................................................... 377. Pemeriksaan Fisik........................................................................ 388. Mengukur Tekanan Darah Dengan Tensimeter Air Raksa........... 399. Menimbang Berat Badan.............................................................. 4010.Menghitung Pernapasan............................................................... 4111.Menghitung Denyut Nadi.............................................................. 4212.Rujukan Pemeriksaan Penunjang Laboratorium.......................... 4313.Rujukan Antar Unit........................................................................ 4414.Rujukan Luar................................................................................ 4515.Mengisi Rekam Medik.................................................................. 4616.Mengukur Tinggi Badan................................................................ 4717.Menulis Resep.............................................................................. 4818.Mengukur Suhu Badan................................................................. 49
D. UNIT POLI UMUM KHUSUS ANAK1. Pelayanan Rawat Jalan Persiapan Pelayanan Rawat Jalan........ 502. Persiapan Pelayanan Rawat Jalan............................................... 513. Persiapan Pelayanan Rawat Jalan............................................... 524. Menyiapkan Formulir Untuk Pelayanan Pasien............................ 535. Mempersiapkan Alat-alat Pemeriksaan Fisik................................ 546. Anamnese.................................................................................... 557. Pemeriksaan Fisik........................................................................ 568. Menimbang Berat Badan.............................................................. 579. Mengukur Suhu Badan................................................................. 5810.Menghitung Pernapasan............................................................... 5911.Menghitung Denyut Nadi.............................................................. 6012.Rujukan Pemeriksaan Penunjang Laboratorium.......................... 6113.Rujukan Antar Unit........................................................................ 6214.Rujukan Luar................................................................................ 6315.Mengisi Rekam Medik.................................................................. 6416.Menulis Resep.............................................................................. 65
E. UNIT POLI GIGI1. Pelayanan Di Poli Gigi.................................................................. 662. Pengisian Rekam Medik Poli Gigi................................................. 673. Penggunaan Dental Unit............................................................... 684. Pemeliharaan Dental Unit............................................................. 695. Pemakaian Kompresor................................................................. 706. Pemakaian Citoject....................................................................... 717. Pembersihan Dan Pemeliharaan Citoject..................................... 728. Pencabutan Gigi Desidui.............................................................. 739. Pencabutan Gigi Tetap................................................................. 7410.Pencabutan Akar Gigi................................................................... 7511.Pencabutan Gigi Dengan Pembedahan....................................... 76
12.Preparasi Kavitas.......................................................................... 7713.Pemakain Hand Picce.................................................................. 7814.Pemeliharaan Contra-Angel Hand Picce...................................... 7915.Tambalan Sementara dengan Diagnosa Pulpillis......................... 8016.Penambalan Amalgam................................................................. 8117.Penambalan A R T....................................................................... 8218.Pembersihan Karang Gigi (Scalling)............................................. 8319.Sterilisasi Electrik Boiling Di Poli Gigi........................................... 8420.Penanganan Syok Anafilaktik....................................................... 8521.Penanganan Limbah Alat Suntik.................................................. 8622.Penanganan Sampah................................................................... 8723.Menulis Resep.............................................................................. 8824.Mengukur Tekanan Darah Dengan Tensimeter Air Raksa........... 8925.Rujukan Luar................................................................................ 9026.Rujukan Antar Unit........................................................................ 9127.Prosedur Pemusnahan Bahan Sisa Pemeriksaan Poli Gigi......... 92
E. UNIT LABORATORIUM1. Pelayanan Pasien di Unit Laboratorium....................................... 932. Pengambilan Darah Kapiler.......................................................... 943. Pengambilan Darah vena............................................................. 954. Pemeriksaan Hb (Cara Sahli)....................................................... 965. Pemeriksaan Jumlah Leukosit...................................................... 976. Pemeriksaan Hitung Jenis Leukosit/Diferentialcorent................... 987. Pemeriksaan Laju Endap Darah (LED)........................................ 998. Pemeriksaan Golongan Darah..................................................... 1009. Pemeriksaan Gula Darah............................................................. 10110.Pemeriksaan Kolesterol Darah..................................................... 10211.Pemeriksaan Trigeliserida Darah................................................. 10312.Pemeriksaan Malaria Secara Mikroskopis.................................... 10413.Pemeriksaan Spesimen Urine...................................................... 10514.Pemeriksaan Warna Urine............................................................ 10615.Pemeriksaan Protein/Albumin Urine............................................. 10716.Pemeriksaan Reduksi Urine......................................................... 10817.Pemeriksaan Keasaman/ph.......................................................... 10918.Pemeriksaan Kejernihan urine...................................................... 11019.Pemeriksaan Sedimen Urine........................................................ 11120.Pemerksaan Urine Multistik.......................................................... 112
......................................................................................................21.Pemeriksaan Test Kehamilan....................................................... 11322.Pemeriksaan Test Kehamilan Dengan HCG Strip........................ 11423.Pemeriksaan Bilirubin Urine (Metode Horison)............................. 11524.Pemeriksaan Tinja (Faeces)......................................................... 11625.Pemeriksaan Mikroskopis BTA Sputum....................................... 11726.Pemeliharaan Alat Unit laboratorium............................................ 11827.Pengamprakan Reagen Laboratorium.......................................... 119
28.Cara Memakai Centrifuge............................................................. 12029.Penggunaan Dan Pemeliharaan Mikroskop................................. 12130.Cara Menggunakan Mikroskop..................................................... 12231.Pengelolaan Reagen.................................................................... 12332.Penyimpanan Reagen.................................................................. 12433.Prosedur Perlindungan Diri Petugas Laboratorium...................... 12534.Prosedur Pemusnahan Bahan Sisa Pemeriksaa Lab................... 12635.Penanganan Spesimen................................................................ 12736.Monitoring Suhu Ruangan dan Lemari Es.................................... 12837.Pemeriksaan Bakteriologik Pada penderita Kusta........................ 12938.Pemeriksaan Laboratorium Atas Permintaan dari Luar................ 130
DAFTAR ISI
JUDUL DOKUMENURUTAN
A. UNIT KIA/KB1. Pelayanan Di Poli KIA/KB............................................................. 12. Anamnese Ibu Hamil.................................................................... 23. Pemeriksaan Ibu Hamil................................................................. 34. Mengukur Lingkar Lengan Atas(LILA).......................................... 45. Mengukur Tekanan Darah............................................................ 56. Menimbang Berat Badan.............................................................. 67. Mengukur Tinggi Badan................................................................ 78. Pemeriksaan Refleks Patela......................................................... 89. Imunisasi TT Pada WUS.............................................................. 910. Injeksi Intramuskuler..................................................................... 1011.Menulis Resep.............................................................................. 1112.Pengadaan Alat Kontrasepsi........................................................ 1213.Konseling KB................................................................................ 1314.Pelayanan KB Pil.......................................................................... 1415.Pemasangan IUD......................................................................... 1516.Pencabutan IUD........................................................................... 1617.Pemasangan KB Implant 6 kapsul................................................ 1718.Pencabutan KB Implant 6 kapsul.................................................. 1819.Pelayanan KB Suntik.................................................................... 1920.Pelayanan KB Kondom................................................................. 2021.Penanganan Dini Hypertensi Pada Kehamilan............................. 2122.Penanganan Syok Anafilaktik....................................................... 2223.Rujukan Pemeriksaan Penunjang Laboratorium.......................... 2324.Rujukan Antar Unit........................................................................ 2425.Rujukan Luar................................................................................ 2526.Penanganan Efek Samping KB Pil............................................... 2627.Penanganan Efek Samping KB Implant....................................... 2728.Penanganan Efek Samping KB Suntik......................................... 2829.Penanganan Efek Samping KB IUD............................................. 2930.Prosedur Pemusnahan Bahan Sisa Poli KIA/KB.......................... 30
B. UNIT PELAYANAN OBAT1. Pelayanan Obat............................................................................ 312. Persiapan Pelayanan Obat........................................................... 323. Pemberian Obat Non Puyer.......................................................... 334. Peracikan Puyer dengan Menggunakan Lumpang-Mortir............ 34
5. Peracikan Puyer Obat Keras Tertentu(OKT)................................ 356. Pembersihan Lumpang-Mortir...................................................... 367. Pengelolaan Obat Di Unit Pelayanan Obat.................................. 378. Penyimpanan Obat Di Unit Pelayanan Obat................................ 389. Penyimpanan Obat Golongan Narkotika dan Psikotropika........... 3910.Penanganan Obat Kadaluarsa..................................................... 4011.Penyimpanan Perbekalan Farmasi di Gudang Farmasi............... 41
12.Peracikan Puyer dengan Menggunakan Blender Obat................. 42
D. RUANG TINDAKAN1. Penerimaan Dan Pemeriksaan Pasien Baru di Ruang Tindakan. 432. Pemasangan Infus........................................................................ 443. Mengukur Tekanan Darah Tensimeter Air Raksa......................... 454. Pemeliharaan Tensimeter Air Raksa............................................ 465. Menghitung Denyut Nadi.............................................................. 476. Menghitung Pernafasan................................................................ 487. Penyuntikan Subcutan.................................................................. 498. Penyuntikan Intracutan................................................................. 509. Injeksi Intravena............................................................................ 5110.Penyuntikan Intramuskuler........................................................... 5211. Injeksi Intradermal Untuk Skin Test.............................................. 5312.Penanganan Limbah Alat Suntik.................................................. 5413.Sterilisasi Alat Uap Panas............................................................ 5514.Menjahit Luka............................................................................... 11715.Mengganti Balutan Luka............................................................... 11816.Mengangkat Jahitan Luka............................................................. 11917.Test Rumple Leed........................................................................ 12018.Pemberian Obat Melalui Oral....................................................... 12119.Pemberian Oksigen...................................................................... 12220.Mengukur Suhu Badan................................................................. 12321.Pemasangan Dauer Kateter Pada Wanita.................................... 12422.Pemasangan Dauer Kateter Pada Pria........................................ 12523.Tindakan Extraksi Kuku................................................................ 12624.Tindakan Irigasi Mata................................................................... 12725.Tindakan Irigasi Telinga................................................................ 12826.Pemeriksaan Telinga dengan Otoskop......................................... 12927.Sterilisasi Bahan Tenun(Ultraviolet)............................................. 13028.Sterilisasi Alat (Autoclave)............................................................ 13129.Aff Infus........................................................................................ 13230.Pemberian Glyceryn Semprot....................................................... 13331. Insisi Abses.................................................................................. 13432.Luka Bakar................................................................................... 13533.Sirkumsisi..................................................................................... 13634.Tindik Telinga............................................................................... 137
35.Aff Kateter..................................................................................... 13836.Penanganan Syok Anafilaktik....................................................... 13937.Rujukan Antar Unit........................................................................ 14038.Rujukan Luar................................................................................ 14139.Sterilisasi Alat dengan Cara Merebus.......................................... 14240.Penerimaan Pasien dari Poliklinik................................................ 143
D. POLI GIZI1. Pengelolaan Gizi di Posyandu...................................................... 1442. Pelayanan rawat Jalan di Poli Gizi............................................... 1453. Konseling Gizi............................................................................... 1464. Menimbang Berat Badan.............................................................. 1475. Mengukur Tinggi Badan................................................................ 148
DAFTAR ISI
JUDUL DOKUMENURUTAN
A. UNIT KAMAR BERSALIN1. Persiapan Pelayanan Kamar Bersalin.......................................... 12. Pelayanan Kamar Bersalin........................................................... 23. Monitoring dan Validasi Pelayanan Kamar Bersalin..................... 34. Anamnese.................................................................................... 45. Mempersiapkan Alat-Alat Untuk Pemeriksaan............................. 56. Pemeriksaan Pasien di Kamar Bersalin....................................... 67. Mengisi Rekam Medik.................................................................. 78. Rujukan Antar Unit........................................................................ 89. Rujukan Luar................................................................................ 910.Rujukan Pemeriksaan Penunjang Laboratorium.......................... 1011.Tindakan Mencuci Tangan........................................................... 1112.Mengukur Tekanan Darah Dengan Tensimeter Air Raksa........... 1213.Mengukur Suhu Badan................................................................. 1314.Menghitung Denyut Nadi.............................................................. 1415.Menghitung Pernapasan............................................................... 1516.Penanganan Hyperemesis Gravidarum........................................ 1617.Penanganan Kasus Perdarahan Dengan Abortus Iminens.......... 1718.Penanganan Kasus Perdarahan Dengan Abortus Insipiens......... 1819.Penanganan Kasus Perdarahan Dengan Abortus Inkompletus. . . 1920.Penanganan Kasus Perdarahan Dengan Abortus Kompletus...... 2021.Penanganan Kasus Perdarahan Dengan Abortus Provokatus..... 2122.Penanganan Kasus Perdarahan Antepartum............................... 2223.Penanganan Kasus Perdarahan Post Partum.............................. 2324.Pertolongan Persalinan Normal.................................................... 2425.Pertolongan Persalinan Sungsang............................................... 2526.Penanganan Partus Lama............................................................ 2627.Penanganan Pre Eklampsi .......................................................... 2728.Penanganan Retensio Plasenta................................................... 2829.Tindakan Manual Plasenta........................................................... 2930.Tindakan Episiotomi..................................................................... 3031.Tindakan Menjahit Episiotomi/Laserasi........................................ 3132.Perawatan Masa Nifas ................................................................. 3233.Penanganan Bayi Baru Lahir ....................................................... 3334.Penanganan BBLR (Berat Badan Lahir Rendah) ........................ 3435.Penanganan Asfiksia ................................................................... 35
36.Menimbang Berat Badan Bayi ..................................................... 3637.Mengukur Panjang Badan Bayi ................................................... 3738.Mengukur Suhu Badan Bayi ........................................................ 3839. Identitas Bayi ............................................................................... 3940.Memandikan Bayi ........................................................................ 4041.Pemberian Minum Pada Bayi ...................................................... 4142.Pemberian Oksigen Pada Bayi .................................................... 4243.Pemberian Oksigen ..................................................................... 4344.Pemasangan Infus ....................................................................... 4445.Aff Infus ....................................................................................... 4546. Injeksi Intramuskuler .................................................................... 4647.Penanganan Syok Anafilkatik ...................................................... 4748.Pemeriksaan Darah Hb Metode Sahli ......................................... 4849.Pemebraian Obat Melalui Oral .................................................... 4950.Sterilisasi Alat Uap Panas ........................................................... 5051.Sterilisasi Bahan Tenun (Ultraviolet) ........................................... 5152.Penggunaan Inkubator ................................................................ 5253.Menulis Resep ............................................................................. 5354.Surat Persetujuan Tindakan ........................................................ 5455.Penanganan Sampah Kamar Bersalin ........................................ 5556.Penanganan Limbah Alat Suntik ................................................. 5657.Pengelolaan Limbah Jaringan Tubuh .......................................... 5758.Prosedur Serah Terima Plasenta ................................................ 5859.Persiapan Pencucian Bahan Tenun ............................................ 5960.Penanganan Pasien Dgn Permintaan Pengguguran Kandungan. 6061.Penanganan Pasien Meningggal ................................................. 61
UNIT PELAYANAN POLI UMUM
JUDUL DOKUMEN
1. Pelayanan KLINIS Poli Umum................................................
2......................................................................................................Mempersi
apkan Alat-alat Pemeriksaan Fisik...............................................
3......................................................................................................Menyiapk
an Formulir Untuk Pelayanan Pasien...........................................
4......................................................................................................Anamnes
e....................................................................................................
5......................................................................................................Pemeriks
aan Fisik.......................................................................................
6......................................................................................................Menghitu
ng Denyut Nadi.............................................................................
7......................................................................................................Mengukur
Tekanan Darah Dengan Tensimeter Air Raksa............................
8......................................................................................................Menghitu
ng Pernapasan.............................................................................
9......................................................................................................Pengukur
an Suhu Badan.............................................................................
10....................................................................................................Pengukur
an TB............................................................................................
11....................................................................................................Menimba
ng BB............................................................................................
12....................................................................................................Rujukan
Pemeriksaan Penunjang Laboratorium........................................
13....................................................................................................Rujukan
Antar poli......................................................................................
14....................................................................................................Rujukan
Luar..............................................................................................
15....................................................................................................Uji
Touniquet......................................................................................
16....................................................................................................Menulis
Resep...........................................................................................
17....................................................................................................Pencatat
an Rekam Medik...........................................................................
18....................................................................................................Pengend
alian hasil pelayanan poli umum yang tidak sesuai......................
19....................................................................................................Monitorin
g dan Validasi pelayanan Klinis Poli Umum.................................
