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DAFTAR ISI

Halaman
HALAMAN JUDUL .................................................................................... i
LEMBAR PENGESAHAN ......................................................................... ii
KATA PENGANTAR .................................................................................. iii
DAFTAR ISI ................................................................................................. v
LAMPIRAN .................................................................................................. ix
BAB I PENDAHULUAN ............................................................................. 1
1.1 Latar Belakang ...................................................................................... 1
1.2 Tujuan Praktek Kerja Profesi Apoteker ................................................ 2
1.3 Pelaksanaan Praktek Kerja Profesi Apoteker ....................................... 3
BAB II TINJAUAN UMUM RUMAH SAKIT ......................................... 4
2.1 Rumah Sakit.......................................................................................... 4
2.1.1 Definisi...................................................................................... 4
2.1.2 Fungsi Rumah Sakit .................................................................. 4
2.1.3 Klasifikasi Rumah Sakit ........................................................... 4
2.1.4 Struktur Organisasi Rumah Sakit ............................................. 7
2.1.5 Akreditasi Rumah Sakit ............................................................ 7
2.1.6 Tim Farmasi Rumah Sakit ........................................................ 7
2.2 Instalasi Farmasi Rumah Sakit ............................................................. 8
2.2.1 Tugas dan Fungsi ...................................................................... 8
2.2.2 Struktur Organisasi Instalasi Farmasi Rumah Sakit ................. 10
2.2.3 Sumber Daya Manusia Instalasi Farmasi Rumah Sakit ............ 11
2.2.4 Sarana dan Peralatan Instalasi Farmasi Rumah Sakit ............... 12
2.3 Pengelolaan Sediaan Farmasi, Alat Kesehatan dan Bahan Medis Habis
Pakai ..................................................................................................... 12
2.3.1 Pemilihan .................................................................................. 13
2.3.2 Perencanaan Kebutuhan ............................................................ 13
2.3.3 Pengadaan ................................................................................. 14
2.3.4 Penerimaan................................................................................ 15

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2.3.5 Penyimpanan ............................................................................. 15
2.3.6 Pendistribusian .......................................................................... 15
2.3.7 Pemusnahan dan Penarikan ...................................................... 16
2.3.8 Pengendalian ............................................................................. 16
2.3.9 Administrasi .............................................................................. 16
2.4 Pelayanan Farmasi Klinik ..................................................................... 16
2.4.1 Pengkajian dan Pelayanan Resep.............................................. 16
2.4.2 Penelusuran Riwayat Penggunaan Obat ................................... 17
2.4.3 Rekonsiliasi Obat ...................................................................... 18
2.4.4 Pelayanan Informasi Obat......................................................... 19
2.4.5 Konseling .................................................................................. 20
2.4.6 Visite ......................................................................................... 20
2.4.7 Pemantauan Terapi Obat........................................................... 20
2.4.8 Monitoring Efek Samping Obat (MESO) ................................. 21
2.4.9 Evaluasi Penggunaan Obat (EPO) ........................................... 21
2.4.10 Dispensing Sediaan Steril ......................................................... 22
2.4.11 Pemantauan Kadar Obat dalam Darah (PKOD) ....................... 23
2.5 Central Sterilization Supply Department (CSSD) ................................ 24
2.5.1 Definisi CSSD .......................................................................... 24
2.5.2 Peran Pusat Sterilisasi di Rumah Sakit ..................................... 25
2.5.3 Tujuan Pusat Sterilisasi............................................................. 25
2.5.4 Fungsi Pusat Sterilisasi ............................................................. 25
2.5.5 Tugas Pusat Sterilisasi .............................................................. 26
2.5.6 Alur Fungsional Pusat Sterilisasi .............................................. 27
2.5.7 Sarana Fisik dan Peralatan ........................................................ 28
2.6 Penanganan dan Pengolahan Limbah Rumah Sakit ............................. 30
2.6.1 Peranan Rumah Sakit Dalam Pengelolaan Limbah .................. 31
2.6.2 Potensi Pencemaran Limbah Rumah Sakit ............................... 32
2.6.3 Jenis Limbah Rumah Sakit Dan Dampaknya Terhadap
Kesehatan Serta Lingkungan .................................................... 33
2.6.4 Pencegahan Pengolahan Limbah Pada Pelayanan Kesehatan .. 36
2.6.5 Ozonisasi Pengolahan Limbah Medis ...................................... 41

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BAB III. TINJAUAN KHUSUS RUMAH SAKIT .................................... 42
3.1 Gambaran Umum RSUD SMC Kab Tasikmalaya ............................... 42
3.1.1 Sejarah Singkat RSUD SMC Kab Tasikmalaya ........................... 42
3.1.2 Tata Letak Bangunan dan Fasilitas .............................................. 42
3.1.3 Status Rumah Sakit ...................................................................... 44
3.1.4 Visi dan Misi RSUD SMC Kab Tasikmalaya ............................... 44
3.1.5 Tujuan RSUD SMC Kab Tasikmalaya ........................................ 45
3.1.6 Motto Rumah Sakit ...................................................................... 45
3.1.7 Filosofi Rumah Sakit ................................................................... 45
3.1.8 Fungsi Rumah Sakit ..................................................................... 45
3.1.9 Struktur Organisasi Rumah Sakit ................................................. 46
3.1.10 Sumber Daya Manusia ............................................................... 46
3.2 Instalasi Farmasi Rumah Sakit Umum Daerah SMC Kabupaten
Tasikmalaya ........................................................................................... 46
3.2.1 Visi, Misi dan Filosofi ................................................................. 46
3.2.2 Tugas Pokok dan Fungsi IFRS ..................................................... 47
3.2.3 Organisasi Instalasi Farmasi ........................................................ 49
3.2.4 Sumber Daya Manusia ................................................................. 49
3.2.5 Fasilitas ........................................................................................ 50
3.2.6 Pelayanan Instalasi Farmasi Rumah Sakit ................................... 50
3.2.7 Unit Bagian Instalasi Farmasi Rumah Sakit ................................ 50
3.2.Gudang Farmasi .................................................................................... 53
3.3 Panitia Farmasi dan Terapi ................................................................... 58
3.4 Instalasi Pengolahan Air dan Limbah (IPAL) ....................................... 59
3.4.1 Aktivitas Fungsional IPAL .......................................................... 60
3.5 CSSD .................................................................................................. 60
3.5.1 Penerimaan Instrumen/Alat-alat.................................................... 60
3.5.2 Pemilahan ...................................................................................... 62
3.5.3 Sterilisasi ....................................................................................... 63
3.5.4 Penyusunan Instrumen/Alat-alat ................................................... 64

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BAB IV PEMBAHASAN............................................................................. 66
BAB V KESIMPULAN DAN SARAN ....................................................... 70
5.1 Kesimpulan ............................................................................................ 70
5.2 Saran ...................................................................................................... 70
DAFTAR PUSTAKA ................................................................................... 72
LAMPIRAN .................................................................................................. 73

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