DAFTAR ISI

TIM PENYUSUN

Surat Keputusan Pemberlakuan Pedoman Pelayanan Sterilisasi RS Mulya

Kata Pengantar

DAFTAR ISI

BAB I PENDAHULUAN..........................................................................................................1

A.Latar Belakang............................................................................................................1

B.Tujuan Pedoman.........................................................................................................1

C.Ruang Lingkup Pelayanan..........................................................................................2

D.Batasan Operasional...................................................................................................3

BAB II PENGORGANISASIAN...............................................................................................4

BAB III STANDAR KETENAGAN.........................................................................................5

A. Kualifikasi Sumber Daya Manusia............................................................................5

B. Uraian Tugas..............................................................................................................5

C. Distribusi Tenaga.......................................................................................................9

BAB IV STANDAR FASILITAS............................................................................................10

A. Denah Ruangan.......................................................................................................10

B. Standar Bangunan....................................................................................................10

C. Standar Fasilitas.......................................................................................................11

BAB V TATALAKSANA PELAYANAN..............................................................................16

A.Tatalaksana Pelayanan Sterilisasi.............................................................................16

B. Alur Kegiatan..........................................................................................................18

BAB VI KEBUTUHAN LOGISTIK......................................................................................19

BABA VII MONITOR DAN EVALUASI.............................................................................20

A. Monitoring Kualitas................................................................................................20

B. EVALUASI.............................................................................................................20
BAB VIII KESELAMATAN PASIEN....................................................................................21

BAB IX KESELAMATAN KERJA........................................................................................22

BAB X PENUTUP...................................................................................................................23