Daftar Isi

Daftar Isi................................................................................................................................i
I. PENDAHULUAN
1.1 Latar Belakang................................................................................................................1
1.2 Tujuan Pedoman.............................................................................................................1
1.3 Ruang Lingkup Pelayanan..............................................................................................2
1.4 Batasan Operasional.......................................................................................................2
1.5 Landasan Hukum............................................................................................................2
II. STANDAR KETENAGAAN
2.1 Kualifikasi Sumber Daya Manusia..................................................................................2
III. STANDAR FASILITAS
3.1 Denah Ruangan................................................................................................................6
3.2 Pembagian Ruang Unit Pusat Sterilisasi dan Sediaan Fasilitas.......................................6
3.3 Lingkup sarana Pelayanan...............................................................................................8
3.4 FasilitasAlat dan Zat Kimia.............................................................................................9
IV. TATALAKSANA PELAYANAN
4.1 Manegement Unit Sterilisasi............................................................................................11
4.1.1 Administrasi Dan Pengelolaan.................................................................................11
4.1.2 Pelayanan Laundry...................................................................................................11
4.1.3 Staf Unit Pusat Sterilisasi.........................................................................................12
4.2 Alur Masuk dan Keluar Unit Pusat Sterilisasi.................................................................12
4.3 Pembersihan Unit Pusat Sterilisasi..................................................................................13
4.4 Pengelolahan Alat............................................................................................................13
4.5 Pemakaian Mesin.............................................................................................................13
4.6 Pelaporan..........................................................................................................................13
4.7 Perawatan Alat dan Mesin...............................................................................................14
4.8 Pelayanan Laundry...........................................................................................................14
V. LOGISTIK
5.1 Pengadaan Alat dan Bahan di Unit Pusat Sterilisasi........................................................15
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5.1.1 Pengadaan Barang Medis.........................................................................................15

5.1.2 Pengadaan Barang Non Medis.................................................................................15
5.2 Persediaan Barang............................................................................................................15
VI. KESELAMATAN PASIEN
6.1 Pengertian........................................................................................................................16
6.2 Tujuan..............................................................................................................................16
6.3 Tatalaksana Keselamatan Pasien......................................................................................16
VII. KESELAMATAN KERJA
7.1 Pengertian........................................................................................................................18
7.2 Tujuan..............................................................................................................................18
7.3 Tatalaksana.......................................................................................................................18
VIII. PENGENDALIAN MUTU...........................................................................................20
IX. PENUTUP.......................................................................................................................21