KEPUTUSAN DIREKTUR UTAMA RUMAH SAKIT MARDI RAHAYU

NOMOR : 029/SK/DIRUT/VI-2014

TENTANG
KEBIJAKAN PEMBERIAN RESTRAIN/PENGEKANGAN
DI RUMAH SAKIT MARDI RAHAYU

DENGAN RAHMAT TUHAN YANG MAHA ESA

DIREKTUR RUMAH SAKIT MARDI RAHAYU

Menimb n! : " # $% & ' m () * menin!+ ,+ n m(,( )e' * n n R(m $ S +i,
M &i R $ *( * n! m n. &en! n mem)e $ ,i+ n +e e' m , n ) ien
e , +e)( n )e' n!! n. m + &i)e '(+ n )en*e'en!! n
)e' * n n * n! be m(,( ,in!!i & n e ! m +$( ( n* b !i ) ien
* n! meme '(+ n e , in / )en!e+ n! n"&i
e'( ($ (ni, )e' * n n
b" # $% ! )e' * n n ) ien * n! men!!(n + n e , in /
)en!e+ n! n &i R(m $ S +i, M &i R $ *( & ) , ,e ' + n &en! n
b i+. )e '( & n* +ebi + n Di e+,( R(m $ S +i, M &i R $ *(
eb ! i ' n& n b !i )en*e'en!! n )embe i n
e , in/)en!e+ n! n &i R(m $ S +i, M &i R $ *(
" # $% be & + n )e ,imb n! n eb ! im n &im + (& & ' m & n b m + )
e '( &i,e, )+ n Kebi + n Re , in &en! n &i R(m $ S +i, M &i R $
*( &en! n Pe ,( n Di e+,( R(m $ S +i, M &i R $ *("

Men!in! , : 1" Un& n!-Un& n! n3 2 , $(n 1992 ,en, n! Ke e$ , n"

2 Un& n!-Un& n! Re)(b'i+ In&3ne i n3m3 44 , $(n 2009 Ten, n!
R(m $ S +i,
" S( , E& n Di e+,( 5en& ' Pe' * n n Me&i+ n3YM"02"04" "6"2604 ,$"1992
,en, n! Pe&3m n H + & n Ke% ib n P ien.D3+,e .R(m $
S +i," "

4" Ke)(,( n Men,e i Ke e$ , n Re)(b'i+ In&3ne i n3m3 HK " 07 " 08

/ III / 4 0 /09 ,en, n! I in Pen*e'en!! n R(m $ S +i, M &i R $ *(

6" Ke)(,( n Pen!( ( YKKMR n3m3 0 4/I/ I-2010 ,en, n! Re;i i O ! ni i

& n T , Ke R(m $ S +i, M &i R $ *("
8" SK Di e+,( R(m $ S +i, M &i R $ *( n3m3 08 /RS/DIR/SK/ -
2010 ,en, n! S, (+,( O ! ni i R(m $ S +i, M &i R $ *("

MEMUTUSKAN
Mene, )+ n :
Ke ,( : KEPUTUSAN DIREKTUR UTAMA RUMAH SAKIT MARDI
RAHAYU TENTANG KE#I5AKAN PEM#ERIAN RESTRAIN /
PENGEKANGAN DI RUMAH SAKIT MARDI RAHAYU"
Ke&( : Kebi + n )embe i n e , in/)en!e+ n! n &i R(m $ S +i, M &i
R $ *( eb ! im n ,e n,(m & ' m ' m)i n )e ,( n ini"
Ke,i! : Pembin n & n Pen! % n ($ n ) ien &en! n Re , in /
 )en!e+ n! n &i R(m $ S +i, M &i R $ *( &i' + n + n 3'e$ em( Ke) '
Uni, +e ,e + i,"

Keem) , : Ke)(,( n ini be ' +( e + , n!! ' &i,e, )+ n & n ) bi' &i
+em(&i n $ i ,e & ) , +e+e'i ( n & ' m )ene, ) n ini. + n &i & + n
)e b i+ n eb ! im n me ,in* "

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=AMPIRAN
KEPUTUSAN DIREKTUR UTAMA RS MARDI RAHAYU
N3m3 : 029/SK/DIRUT/VII-2014 T n!! ' : 01 5('i 2014

KEBIJAKAN RESTRAIN/PENGEKANGAN
DI RUMAH SAKIT MARDI RAHAYU

I. KEBIJAKAN UMUM

1" Pe' * n n +e e$ , n * n! &i e'en!! + n &i (m $ +i, M &i R $ *( me () + n )e' * n n ,e $

& ) m n( i e (,($. &i' +(+ n eb ! i %( (& ( ) n *(+( , + (ni +e e' m , n * n! ,e' $ +i, ,e im
& i T($ n Ye ( K i ,( "
2" Pe' * n n * n! &ibe i+ n +e) & ) ien $ ( be 3 ien, i ) & +e e' m , n ) ien & n () * )
enin!+ , n m(,(. e ( i &en! n ;i i . mi i & n ni' i & * n! & &i (m $ +i, M &i R $ *( >
Cin, T($ n.H ! i 3 n! ' in. A+( m ( )e&('i. N* , + n *(+( & ' m e! ' $ '. Gembi me' * ni T($
n&nem?
" Se'( ($ , @ (m $ +i, M &i R $ *( $ ( be+e e ( i &en! n , n&
) 3@e i.)e&3m n.) n&( n & n , n& ) 3 e&( 3)e i3n ' * n! be ' +(. e , e(i
&en! n e,i+ ) 3@e i. e,i+ (m $ +i, e , )e ,( n )e ( $ n * n! be ' +(" 4" Pe' * n n (m
$ +i, &i' + n + n & ' m 24 m . +e ( 'i &i (ni,- (ni, ,e ,en,(" 6" R(m $ +i, membe i+ n )
e' * n n * n! e ! m b !i em( ) ien & n &i , ,
& ' m e+ m me&i ) ien"
8" Pe' * n n (m $ +i, &i e,i ) (ni, +e $ ( e' '( be @3+( ) & ) ien &en! n me' + n + n + e
)e' * n n & n +3n,in(i, e , &en! n membe i+ n e&(+ i +e) & ) ien & n +e'( ! "

7" R(m $ +i, M &i R $ *( e' '( membe i+ n )e' * n n ,e 'ebi$ & $('( , n) mem(n!(, (
n! m(+ "
" R(m $ +i, membe i+ n )e' * n n 3 i ' b !i ) ien * n! ,i& + m m)("
9" Se'( ($ + * % n (m $ +i, M &i R $ *( & ' m me' + n + n )e+e nn* % ib e ( i &en! n
+e,en,( n K > Ke e' m , n & n Ke e$ , n Ke ?. ,e m (+ & ' m )en!!(n n APD > A' ,
Pe'in&(n! Di i ?
10" R(m $ +i, & ' m membe i+ n )e' * n n men!$3 m ,i $ + ) ien & n +e'( ! e ( i
&en! n (n& n!-(n& n! & n ni' i-ni' i e , +e)e * n * n! &i n(, 3'e$ ) ien"

11" D ' m membe i+ n )e' * n n +e) & ) ien e,i ) )e,(! $ ( mem)e $ ,i+ n ) i; i ) ien"

12" Sem( )e,(! * n! ,e 'ib , & ' m membe i+ n )e' * n n +e) & ) ien % ib me' +(+ n
hand hygiene &en! n five moment & n 8 ' n!+ $ ( i , n! n
1 " Sem( )e,(! % ib memi'i+i iBin . 'i en i. e ,i@i+ i e ( i &en! n , n& ) 3@e i & n +e,en,(
n * n! be ' +( &i (m $ +i, M &i R $ *("
14" Pen*e&i n ,en ! &i e,i ) (ni, +e $ ( men! ( ) & )3' +e,en ! n"
16" Pe ' , n &i (ni, +e $ ( e' '( i ) ) + i & n &i' +(+ n )eme'i$ n & n + 'ib i e e ( i &en! n
+e,en,( n * n! be ' +( "
18" D ' m me' + n + n @(n! i +33 &in i & n e; '( i m + e,i ) (ni, +e % ib me' + n + n )
, (,in b(' n n minim ' 1 + 'i & ' m 1 b(' n"
17" Sem( +e) ' e+ i. +e) ' b !i n . m n !e & n &i e+ i % ib (n,(+ memb( , ' )3 n b(' n n &
n , $(n n"
1 " R(m $ +i, men ' n+ n ) 3! m +e e' m , n ) ien me' '(i 7 , n& +e e' m , n ) ien. 7 ' n!+
$ +e e' m , n ) ien . & n 8 n +e e' m , n ) ien"
 19" R(m $ +i, men ' n+ n ) 3! m PONEK > Pe' * n n Ob ,e, i Ne3n , ' Eme !en * K3m)
e$en i@ ? (n,(+ men( (n+ n n!+ +em ,i n b *i & n ib( e , menin!+ ,+ n +e e$ , n ib("

20" R(m $ +i, me' + n + n )en n!!(' n! n T# e ( i &en! n )e&3m n , ,e!i DOTS"

21" R(m $ +i, me' + n + n )en n!!(' n! n HIV /AIDS e ( i &en! n )e&3m n ODHA e , &i e
( i+ n &en! n +em m)( n (m $ +i, M &i R $ *("
22" R(m $ +i, M &i R $ *( + n me ( (+ ) ien i+ &i)e '(+ n )e' * n n & n @ i'i, * n! ,i& + ,e
e&i &i (m $ +i, M &i R $ *( , ( , )e min, n ) ien / +e'( !

II. KEBIJAKAN KHUSUS

1" Sem( ) ien * n! + n &ibe i+ n e , in/)en!e+ n! n $ ( &i' +(+ n i&en,i@i+ i Se ( i +e,en,(

n & n $ ( e' ) + $ ) ien ,e eb(, &e% . n +- n + , ( ) ien ,e eb(, & ' m +e & n +$( ( ' inn*

1" Sem( ) ien ebe'(m men!!(n + n e , in/)en!e+ n! n $ ( &ibe i+ n )en e' n 3'e$ DP5P b
i+ +e) & ) ien m ()(n +e'( ! "
2" Sebe'(m me' +(+ n e , in/)en!e+ n! n. &3+,e / )e % , $ ( min, )e e,( ( n , ( In@3 me&
3n en, & i ) ien / +e'( ! "
2" A ($ n ) ien * n! &ibe i+ n e , in/)en!e+ n! n $ ( &i' +(+ n )em n,( n e be + ' & n $ i' )
em n, n &i&3+(men, i+ n &i & ' m C , , n Pe +embn! n ,e in,e! i "

" Pembe i n ($ n +e) & ) ien &en! n e , in/)en!e+ n! n &ibe i+ n 3'e$ )e,(! e +3' b3 ,i@
& n * n! memi'i+i +3m)e,en i * n! b i+ "
4" Un,(+ membe i+ n ($ n +e) & ) ien * n! meme '(+ n e , in/)en!e+ n! n &i e,i ) (ni, )e' *
n n &i e&i + n )e ' , n e , in e)e ,i b ( , 'i. , 'i , n! n & n + +i. be& i' &''"

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