Laporan PKPA Rumah Sakit Umum Daerah Ungaran

DAFTAR ISI

HALAMAN SAMPUL ........................................................................... i

HALAMAN PENGESAHAN ................................................................. ii
KATA PENGANTAR ............................................................................ iii
DAFTAR ISI ........................................................................................... iv
DAFTAR GAMBAR .............................................................................. x
DAFTAR TABEL ................................................................................... xi
DAFTAR LAMPIRAN ........................................................................... xii
BAB I PENDAHULUAN ....................................................................... 1
A. Latar Belakang ............................................................................ 1
B. Tujuan Praktek Kerja Profesi Apoteker di Rumah Sakit ............ 3
C. Pelaksanaan Praktek Kerja Profesi Apoteeker di Rumah Sakit .. 4
BAB II TINJAUAN PUSTAKA............................................................. 6
A. Rumah Sakit ................................................................................ 6
1. Definisi Rumah Sakit ...................................................... 6
2. Tugas dan Fungsi Rumah Sakit ...................................... 6
3. Tujuan Rumah Sakit........................................................ 7
4. Klasifikasi Rumah Sakit.................................................. 7
5. Struktur Organisasi Rumah Sakit .................................... 19
6. Akreditasi Rumah Sakit .................................................. 22
B. Panitia Farmasi dan Terapi ......................................................... 24
1. Definisi Panitia Farmasi dan Terapi ................................ 24
2. Tugas dan Fungsi PFT .................................................... 25
3. Struktur Organisai PFT ................................................... 26
4. Agenda Rapat PFT .......................................................... 27
5. Pengusulan Obat Baru ..................................................... 27
6. Evaluasi Penggunaan Obat .............................................. 27
C. Formularium Rumah Sakit .......................................................... 28
D. Instalasi Farmasi Rumah Sakit .................................................... 30
1. Definisi Instalasi Farmasi Rumah Sakit .......................... 30

Program Studi Profesi Apoteker Universitas Setia Budi Angkatan XXXIII

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2. Tugas Instalasi Farmasi Rumah Sakit ............................. 32

3. Fungsi Instalasi Farmasi Rumah Sakit ............................ 33
E. Pelayanan Farmasi Rumah Sakit................................................. 36
1. Pemilihan ......................................................................... 37
2. Perencanaan ..................................................................... 39
3. Pengadaan ........................................................................ 45
4. Penerimaan ...................................................................... 51
5. Penyimpanan ................................................................... 52
6. Pendistribusian ................................................................ 60
7. Pengendalian.................................................................... 61
8. Penghapusan .................................................................... 63
9. Pencatatan dan Pelaporan ................................................ 63
10. Monitoring dan Evaluasi ................................................. 64
F. Manajemen Risiko ...................................................................... 65
1. Faktor risiko yang terkait karakteristik
klinik pasien .................................................................... 65
2. Faktor risiko yang terkait penyakit pasien ...................... 65
3. Faktor risiko yang terkait farmakoterapi pasien.............. 65
G. Pelayanan Farmasi Klinik ........................................................... 66
1. Pengkajian dan Pelayanan Resep .................................... 66
2. Penelusuran riwayat penggunaan obat ............................ 67
3. Rekonsiliasi Obat ............................................................ 68
4. Pelayanan Informasi Obat ............................................... 68
5. Konseling ........................................................................ 69
6. Visite ............................................................................... 69
7. Pemantuan Terapi Obat ................................................... 70
8. Monitoring Efek Samping Obat ...................................... 71
9. Evaluasi Penggunaan Obat .............................................. 72
10. Dispensing Sediaan Steril ............................................... 72
11. Pemantuan Kadar Obat dalam Darah .............................. 74
H. Penanganan Limbah .................................................................... 75

Program Studi Profesi Apoteker Universitas Setia Budi Angkatan XXXIII

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1. Definisi dan macam-macam limbah................................ 75

2. Pengelompokkan Penanganan Limbah ........................... 77
3. Pengolahan, Pemusnahan, dan Pembuangan Akhir
Limbah Padat .................................................................. 81
I. Resistensi Antimikroba ............................................................... 87
1. Keanggotaan tim PPRA RS ............................................ 87
2. Tugas dan Fungsi tim PPRA RS ..................................... 88
3. Evaluasi ........................................................................... 89
4. Indikator Mutu ................................................................ 89
5. Strategi Pengendalian Resistensi Antimikroba ............... 90
6. Kebijakan-kebijakan penunjang PPRA ........................... 91
7. Evaluasi Penggunaan Antibiotik di RS ........................... 93
8. Peran Instalasi Farmasi dalam PPRA.............................. 94
9. Peran Komite/tim pencegahan pengendalian
infeksi (KPPI) ................................................................. 94
10. Peran Komite/tim Farmasi dan Terapi ............................ 95
J. Central Sterilization Supply Department (CSSD) ...................... 95
1. Pengertian CSSD ............................................................. 95
2. Tujuan CSSD ................................................................... 96
3. Tugas dan fungsi CSSD................................................... 97
4. Lokasi CSSD .................................................................. 99
5. Persyaratan ruang CSSD ................................................. 99
6. Alat Pelindung Diri (APD) .............................................. 102
7. Tahap-Tahap Sterilisasi Alat dan Bahan Medik .............. 102
BAB III TINJAUAN TEMPAT PKPA .................................................. 106
A. Sejarah RSUD Ungaran .............................................................. 106
B. Profil RSUD Ungaran ................................................................. 109
C. Lokasi dan Bangunan .................................................................. 110
8. Lokasi .............................................................................. 110
9. Bangunan ......................................................................... 110
D. Visi, Misi, Tujuan, Motto, Filosofi dan Strategi

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RSUD Ungaran ........................................................................... 111

1. Visi RSUD Ungaran ........................................................ 111
2. Misi RSUD Ungaran ....................................................... 111
3. Tujuan RSUD Ungaran ................................................... 111
4. Motto RSUD Ungaran ..................................................... 112
5. Filosofi RSUD Ungaran .................................................. 112
6. Strategi Usaha RSUD Ungaran ....................................... 112
E. Akreditasi RSUD Ungaran .......................................................... 113
F. Kedudukan, Tugas Pokok, Fungsi dan Struktur
Organisasi di RSUD Ungaran ..................................................... 119
1. Struktur Organisasi di RSUD Ungaran ........................... 119
2. Kedudukan ....................................................................... 120
3. Tugas Pokok .................................................................... 120
4. Fungsi .............................................................................. 120
G. Panitia Farmasi dan Terapi RSUD Ungaran ............................... 121
H. Instalasi Farmasi RSUD Ungaran ............................................... 122
1. Visi Instalasi Farmasi RSUD Ungaran ............................ 122
2. Misi Instalasi Farmasi RSUD Ungaran ........................... 122
3. Tujuan Instalasi Farmasi RSUD Ungaran ....................... 122
4. Motto Instalasi Farmasi RSUD Ungaran ......................... 122
5. Strategi Instalasi Farmasi RSUD Ungaran ...................... 123
I. Struktur Organisasi Instalasi Farmasi RSUD Ungaran ............... 125
BAB IV KEGIATAN PKPA .................................................................. 126
A. Ketersediaan Obat ....................................................................... 126
B. Pembuatan Formularium ............................................................. 126
C. Evaluasi Penggunaan Formularium ............................................ 128
D. Perencanaan ................................................................................. 129
E. Pengadaan .................................................................................... 130
F. Penerimaan Perbekalan Farmasi dan Administrasi Gudang ....... 131
G. Penyimpanan ............................................................................... 132
H. Distribusi ..................................................................................... 134

Program Studi Profesi Apoteker Universitas Setia Budi Angkatan XXXIII

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I. Pelayanan .................................................................................... 134

J. Rekam Medik .............................................................................. 136
K. Skrining resep dan Pelayanan Informasi Obat ............................ 136
L. Mengunjungi Instalasi Pengolahan Limbah ................................ 138
M. Mengunjungi CSSD .................................................................... 142
BAB V PEMBAHASAN ........................................................................ 145
A. Siklus Manajemen Obat .............................................................. 145
1. Pemilihan ........................................................................ 146
2. Perencanaan kebutuhan ................................................... 146
a. Formularium Nasional .............................................. 147
b. Clinical pathway ....................................................... 147
c. Usulan dokter ........................................................... 147
3. Pengadaan ....................................................................... 148
4. Penerimaan ...................................................................... 151
5. Penyimpanan ................................................................... 152
6. Distribusi ......................................................................... 157
7. Pemusnahan .................................................................... 157
8. Pengendalian ................................................................... 158
B. Pelayanan Farmasi Klinik ........................................................... 158
1. Pengkajian dan Pelayanan Resep .................................... 159
2. Rekonsiliasi Obat ............................................................ 160
3. Pelayanan Informasi Obat ............................................... 161
4. Visite................................................................................ 163
5. Pemantauan Terapi Obat (PTO) ...................................... 164
C. Penanganan Limbah .................................................................... 165
1. Penanganan Limbah Padat .............................................. 165
2. Penanganan Limbah Cair ................................................ 166
BAB VI KESIMPULAN DAN SARAN ................................................ 170
A. Kesimpulan ................................................................................. 170
B. Saran ........................................................................................... 172
DAFTAR PUSTAKA ............................................................................. 173

Program Studi Profesi Apoteker Universitas Setia Budi Angkatan XXXIII

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LAMPIRAN ............................................................................................ 177

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DAFTAR GAMBAR
Gambar 1. Kedudukan, Tugas Pokok, Fungsi dan Struktur
Organisasi di RSUD Ungaran .............................................. 119
Gambar 2. Struktur Organisai Instalasi Farmasi di RSUD Ungaran ...... 125
Gambar 3. Siklus Manajemen Obat ........................................................ 146
Gambar 4. Alur Pengelolaan Limbah Padat RSUD Ungaran ................. 168

Program Studi Profesi Apoteker Universitas Setia Budi Angkatan XXXIII

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DAFTAR TABEL
Tabel 1. Kombinasi VEN-ABC .............................................................. 44
Tabel 2. Jenis Wadah dan Label Limbah Medis Padat
Sesuai Kategorinya ................................................................... 79

Program Studi Profesi Apoteker Universitas Setia Budi Angkatan XXXIII

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 Laporan PKPA Rumah Sakit Umum Daerah Ungaran

DAFTAR LAMPIRAN
Lampiran 1. ............................................................................................ 22

Program Studi Profesi Apoteker Universitas Setia Budi Angkatan XXXIII

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