KATA PENGANTAR.............................................................................................................................

i
DAFTAR ISI.........................................................................................................................................ii
BAB I PENDAHULUAN......................................................................................................................1
A.

LATAR BELAKANG................................................................................................................1

B.

Ruang Lingkup..........................................................................................................................2

C.

Landasan Hukum.......................................................................................................................3

BAB II PENGGORGANISASIAN INSTALASI FARMASI................................................................4

A.

Struktur Organisasi....................................................................................................................4

B.

Uraian Tugas..............................................................................................................................4

C.

Standar Ketenagaan...................................................................................................................6

BAB III STANDAR FASILITAS..........................................................................................................1

A.

Bangunan dan Perlengkapan......................................................................................................1

B.

Gudang Perbekalan Farmasi......................................................................................................1

C.

Pelayanan Farmasi Klinis..........................................................................................................2

D.

Ruang konsultasi........................................................................................................................2

E.

Ruang penyimpanan obat radioaktif/sitotoksik..........................................................................2

F.

Ruang Arsip...............................................................................................................................3

G.

Kelengkapan Bangunan.............................................................................................................3

H.

Perlengkapan Administrasi........................................................................................................3

I.

Sarana Informasi........................................................................................................................3

BAB IV PELAYANAN INSTALASI FARMASI..................................................................................1

A.

TUJUAN...................................................................................................................................1

B.

VISI DAN MISI INSTALASI FARMASI.................................................................................1

C.

TUGAS POKOK DAN FUNGSI..............................................................................................1

D.

SISTEM PELAYANAN FARMASI..........................................................................................3

E.

CAKUPAN PELAYANAN........................................................................................................3

BAB V PENGELOLAAN PERBEKALAN FARMASI........................................................................1

BAB VI PANDUAN PENULISAN RESEP..........................................................................................1
A.

PANDUAN PENULISAN RESEP............................................................................................1

B.

PELAYANAN RESEP...............................................................................................................1

a.

Teknik/Kaidah Penulisan Resep.............................................................................................1

Unsur-unsur resep:..........................................................................................................................2
C.

PEDOMANCARA PENULISAN RESEP DOKTER..............................................................10

D.

PENGKAJIAN RESEP............................................................................................................12

E.

ALUR PELAYANAN RESEP.................................................................................................14

F.

DISPENSING..........................................................................................................................15

G.

EVALUASI STOK OBAT DAN BAKHP (STOCK OFF NAME)............................................17

H.

PELAYANAN PERESEPAN NARKOTIK.............................................................................17

I.

PELAYANAN VERIFIKASI OBAT........................................................................................18

J.

PEMANTAUAN DAN PELAPORAN EFEK SAMPING OBAT...........................................19

K.

PELAYANAN INFORMASI OBAT........................................................................................20

L.

KONSELING..........................................................................................................................22

M.

PEMANTAUAN KADAR OBAT DALAM DARAH.........................................................23

N.

RONDE/VISITE......................................................................................................................23

O.

PENGKAJIAN PENGGUNAAN OBAT.................................................................................24

P.

INTERAKSI OBAT.................................................................................................................24

Q.

FAKTOR-FAKTOR PENUNJANG INTERAKSI OBAT.......................................................26

R.

MEKANISME DASAR INTERAKSI OBAT..........................................................................27

S.

INTERAKSI OBAT BERMAKNA KLINIS............................................................................29

T.

HAL YANG PERLU DIPERHATIKAN INTERAKSI OBAT.................................................30

U.

GUNA INTERAKSI OBAT.....................................................................................................30

V.

PASIEN YANG RENTAN TERHADAP INTERAKSI OBAT................................................30

W.
PERAN APOTEKER DAN ASISTEN APOTEKER DALAM MENCEGAH INTERAKSI
OBAT 31
X.

PENYIMPANAN PRODUK NUTRISI...................................................................................31

Y.

PENYIMPANAN BAHAN RADIOAKTIF.............................................................................32

Z.

PENANGANAN OBAT EMERGENSI...................................................................................34

AA.

PENANGANAN OBAT SITOSTATIKA.............................................................................40

Teknik khusus pada Safe Handling Cytotoxic.................................................................................44

Prosedur pembersihan tumpahan obat.................................................................................................45
BB.

PENANGANAN OBAT YANG DIBAWA PASIEN DARI RUMAH KERUMAH SAKIT.46

BAB VII KESELAMATAN PASIEN....................................................................................................1

A.

KESELAMATAN PASIEN DALAM PELAYANAN KEFARMASIAN...................................3

B.

PERAN APOTEKER DALAM MEWUJUDKAN KESELAMATAN PASIEN......................12

C.

PENCATATAN DAN PELAPORAN.......................................................................................18

D.

MONITORING DAN EVALUASI..........................................................................................21

BAB VIII KERJASAMA DOKTER DAN APOTEKER DALAM PELAYANAN PASIEN DI

RUMAH SAKIT...................................................................................................................................1
BAB IX HIGH ALERT MEDICATIONS..............................................................................................1

A.

PROSEDUR..............................................................................................................................3

B.

OBAT-OBAT DENGAN PENGAWASAN (HIGH ALERT MEDICATIONS)............................9

C.

PEMBERIAN HIGH ALERT MEDICATIONS PADA PEDIATRIK DAN NEONATUS.........17

BAB X PENGEMBANGAN STAF DAN PROGRAM PENDIDIKAN...............................................1

I.

EVALUASI DAN PENGENDALIAN MUTU..........................................................................2

BAB XI KEBIJAKAN DAN PROSEDUR...........................................................................................1

A.

KEBIJAKAN PENGELOLAAN PERBEKALAN FARMASI..................................................1

B.

ISI DARI KEBIJAKAN PENGELOLAAN PERBEKALAN FARMASI.................................2

C.

KEBIJAKAN TENTANG PELAYANAN KEFARMASIAN..................................................10

D.

PROSEDUR TETAP PELAYANAN INSTALASI FARMASI................................................16

BAB XII PENUTUP.............................................................................................................................1