DAFTAR ISI SOP ANAK

Penanganan Bayi Baru Lahir ...................................................................................1

Penanganan Bayi Baru Lahir Rendah ......................................................................2
Mengukur Lingkar Kepala Bayi ...............................................................................3
Pemberian Vaksin Hepatitis B pada bayi Baru Lahir ..............................................4
Prosedur Medis pemberian Hepatitis B Human Immunologlobulin (HBIG)...........5
Penanganan Bayi Baru Lahir Asfiksia .....................................................................6
Hiperbilirubinemia ...................................................................................................7
Asisten intubasi Neonatus ........................................................................................8
Penggunaan Canula Nasal pada Neonatus ...............................................................9
Penanganan bayi dengan Hipoglikemia ...................................................................10
Hiponatremia pada Neonatus ...................................................................................11
Hipokalsemia pada Neonatus ...................................................................................12
Hipokalemia pada Neonatus .....................................................................................13
Penanganan Bayi Dengan Kejang ............................................................................14
Syok hipovolemik pada Neonatus ............................................................................15
Ventilasi tekanan positif ...........................................................................................16
Penanganan kejang pada neonatus ...........................................................................17
Tatalaksana hipoglikemia pada Neonatus ................................................................18
Manajemen laktasi ....................................................................................................19
Penanganan BBLR sehat dengan IMD .....................................................................20
Rawat Gabung ..........................................................................................................21
Bayi rawat inap .........................................................................................................22
Kriteria Bayi di pulangkan .......................................................................................23
Nebuleizer ...............................................................................................................24
Tindakan Fototerapi .................................................................................................25
Perawatan metode kanguru ......................................................................................26
Pemasangan pipa OGT dan NGT pada Bayi ............................................................27
Penanganan Bayi dengan Distres pernafasan ...........................................................28
Penanganan Bayi dengan DHF tanpa rejatan ...........................................................29
Penanganan Bayi Baru dengan Observasi Muntah ..................................................30
Penanganan Bayi dengan Anemia ............................................................................31
Pemasangan Kateter Vena Umbilikal Darurat .........................................................32
Perawatan Tali Pusat ................................................................................................33
Rawat Gabung ( Rooming In) ..................................................................................34
Penggunaan Infant Warmer ......................................................................................35
 DAFTAR ISI SOP

Pemberian suntikan Intramuskuler ..........................................................................1

Pemberian suntikan intra venus ................................................................................2
Suntikan intrakutan...................................................................................................3
Pemberian Suntikan Sub Cutan ................................................................................4
Mengukur Suhu Tubuh dengan Termometer Manual ..............................................5
Mengukur Tekanan Darah ........................................................................................6
Menghitung Nadi ......................................................................................................7
Menghitung Pernafasan ............................................................................................8
Pemasangan Infus .....................................................................................................9
Pemasangan Oksigen ................................................................................................10
Pengosongan Kandung Kemih dengan Cateter Urine ..............................................11
Memandikan Pasien .................................................................................................12
Periksa dalam Vagina ( PDV) .................................................................................13
Membersihkan Vulva ...............................................................................................14
Penulisan daftar pengawasan istimewa ....................................................................15
Pemberian steroid Antenatal / Pematangan Paru .....................................................16
Antibiotik Profilaksis ...............................................................................................17
Tindakan Kuret .........................................................................................................18
Persiapan pasien akan dioperasi ...............................................................................19
Persiapan Pre Operasi ...............................................................................................20
Menyiapkan Tempat Tidur .......................................................................................21
Mengganti alat tenun dengan pasien diatasnya ........................................................22
Membuka dan mengganti verband Luka operasi .....................................................23
Memasukkan Obat Suppositoria ..............................................................................24
Menggunakan Kursi Roda ........................................................................................25
Memindahkan Pasien ...............................................................................................26
Mengantar Pasien ke ruang Tindakan ......................................................................27
Penggunaan Brangkard.............................................................................................28
Permintaan Pemeriksaa Laboratorium Rutin ...........................................................29
Merujuk Pasien .........................................................................................................30
Audit Kasus .............................................................................................................31
Audit Nearmiss Dan Kematian Maternal Perinatal ..................................................32
Penatalaksanaan Syok ..............................................................................................33
Penulisan Lembar Iktisar Persalinan ........................................................................34
Pelimpahan Wewenang ............................................................................................35
Pasien pulang tanpa Pamit ........................................................................................36
Menghadapi keluhan Pasien /Keluarga ....................................................................37
Pasien Pulang ...........................................................................................................38
Pergantian Dinas.......................................................................................................39
Mekanisme Penyampaian Keluhan ..........................................................................40
Pasien JKN yang Pindah Kelas Perawatan...............................................................41
Pasien Rawat One Day Care (ODC) ........................................................................42
Pemberian Obat Peroral............................................................................................43
Membimbing Mahasiswa .........................................................................................44
Perawatan Nifas ........................................................................................................45
Asi Ekslusif ..............................................................................................................46
Perawatan Payudara .................................................................................................47
Colon Skema ............................................................................................................48
Klisma .....................................................................................................................49
Penyusunan Jadwal tindakan operasi dan kuretase ..................................................50
Pelaporan kondisi dan hasil pemeriksaan Pasien ....................................................51
 DAFTAR ISI SOP

Pemberian Informasi Hak dan Tanggung Jawab Pasien dan Keluarga ....................1
Identifikasi menyangkut Nilai-nilai Agama dan Kepercayaan Pasien .....................2
Bimbingan Kerohanian Bagi Pasien Non Muslim ...................................................3
Layanan Bina Rohani ke pasien pada Shift Malam .................................................4
Perlindungan Terhadap Privasi Pasien .....................................................................5
Privasi selama pengobatan .......................................................................................6
Penitipan / penyimpanan Barang Milik Pasien ........................................................7
Perlindungan terhadap kekerasan Fisik ....................................................................8
Perlindungan Terhadap Penculikan Bayi .................................................................9
Komunikasi Efektif Dengan SBAR .........................................................................10
Komunikasi Efektif .................................................................................................11
Cara memperoleh Second Opinion Bagi Pasien Dan Keluarga ...............................12
Penjelasan Hak Pasien dalam Pelayanan ..................................................................13
Pelaksanaan Persetujuan & Penolakan Tindakan Kedokteran .................................14
Persetujuan Tindakan Kedokteran ...........................................................................15
Penolakan Tindakan Kedokteran .............................................................................16
Penundaan Pelayanan Dan Atau Pengobatan ...........................................................17
Penolakan / Penghentian Pengobatan ......................................................................18
Penolakan Resusitasi (DNR ) ..................................................................................19
Assessment Nyeri ....................................................................................................20
Manajemen Nyeri ....................................................................................................21
Penentuan Mati Batang Obat (MBO) ......................................................................22
Pelayanan Pasien Tahap Terminal ...........................................................................23
Pelayanan Khusnul Khotimah ..................................................................................24
Proses penyampaian informasi Tentang Menyampaikan Komplain atau Keluhan ..25
Proses Investigasi terhadap Komplain,Keluhan,Konflik & perbedaan Pendapat ....26
Proses Analisis Dan Telaah Terhadap Hasil Investigasi .........................................27
Proses menyertakan pasien & Keluarga dalam
Penyelesaian,Komplain,Keluhan,konflik,dan perbedaan Pendapat .........................28
Pemberian Informasi Hak & Tanggungf Jawab Pasien & Keluarga ........................29
Pelaksanaan Persetujuan & Penolakan Tindakan Kedokteran .................................30
Prosedur penentuan DPJP ........................................................................................31
Pemberian Edukasi ...................................................................................................32
Informed Consent Tindakan Medis ..........................................................................33
Penjelasan & Persetujuan Umum Dalam Pelayanan Kesehatan ..............................34
Pemasangan Transfusi Darah ...................................................................................35
Persiapan Operasi & Pemberian Informed Consent ................................................36
Penggunaan Obat High Alert ..................................................................................37
Pemberian Konsultasi Obat .....................................................................................38
Aturan Pemberian Obat Pada Pasien ........................................................................39
Pemantauan Death Stock .........................................................................................40
Monitoring Waktu Tunggu Pelayanan Resep Rawat Inap ......................................41
Monitoring Kondisi Penyimpanan Pembekalan Farmasi ........................................42
Monitoring Efek Samping Obat Di Rawat Inap ......................................................43
Evaluasi Kepatuhan Terhadap Formularium ...........................................................44
Monitoring Interaksi Obat ( MIO )...........................................................................45
Evaluasi kepatuhan terhadap Formularium ..............................................................46
Aturan Pemberian Obat Pada Pasien .......................................................................47
Pelayanan Alat Medis Habis Pakai ( AMHP ) Pasien Rawat Inap .........................48
Assessment Resep ...................................................................................................49
New Avidence Based Practices ...............................................................................50
Monitoring Waktu Tunggu Pelayanan Resep Rawat Inap ......................................51
Pelayanan Distribusi Pembekalan Farmasi dari Logistik Farmasi ..........................52
Pelayanan Perbekalan Farmasi Ke Unit Lain ..........................................................53
Pemantauan Perbekalan Farmasi Unit Lain ............................................................54
Identifikasi Pasien ...................................................................................................55
Identifikasi Bayi ......................................................................................................56
Pemasangan Gelang ................................................................................................57
Penulisan nama Pasien ............................................................................................58
Identifikasi Pasien rawat inap dalam melakukan tindakan medis/keperawatan ......59
Identifikasi pasien rawat inap dalam pemberian Obat ............................................60
Identifikasi pemberian darah ...................................................................................61
Identifikasi Pasien dalam Pemeriksaan Penunjang ( Laboratorium, Radiologi) .....62
Komunikasi Efektif .................................................................................................63
Komunikasi Via Telephone .....................................................................................64
Konsultasi Via Telephone .......................................................................................65
Operan jaga (Hand Off ) ..........................................................................................66
Pemakaian Telepon .................................................................................................67
Pelabelan Obat Lasa ................................................................................................68
Penyimpanan Obat High Alert ................................................................................69
Penggunanaan Obat High Alert ...............................................................................70
Penandaan Lokasi Operasi ......................................................................................71
Tindakan Operasi Tepat Pasien ...............................................................................72
5 Moment Cuci Tangan ...........................................................................................73
Ceklist Tindakan Operasi Yang aman .....................................................................74
Cuci Tangan Dengan sabun Antiseptik ...................................................................75
Cuci tangan dengan Cairan Antiseptik / Handrub ...................................................76
Cuci Tangan Bedah ( Dengan Cairan Antiseptik/ hand Wash ) ..............................77
Pemasangan Penanda Gelang Resiko Jatuh ............................................................78
Pengkajian Ulang Resiko Jatuh ...............................................................................79