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  • RSUD Tugu Kojas Monitoring Report Highlights February 2019 Compliance

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    NurulRachmaSari
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    This document summarizes the results of monitoring activities at Tugu Kota Hospital in February 2019. It reports the following key findings: 1. Compliance with hand hygiene protocols among medical staff ranged from 82.8% to 100%. 2. Monitoring of protective equipment use found compliance rates to be 85.7-100% across departments. 3. Surveillance data found no infections such as phlebitis or ventilator-associated pneumonia in the inpatient wards, with the exception of one case (0.2%) of phlebitis in the HCU.

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    This document summarizes the results of monitoring activities at Tugu Kota Hospital in February 2019. It reports the following key findings: 1. Compliance with hand hygiene protocols among medical staff ranged from 82.8% to 100%. 2. Monitoring of protective equipment use found compliance rates to be 85.7-100% across departments. 3. Surveillance data found no infections such as phlebitis or ventilator-associated pneumonia in the inpatient wards, with the exception of one case (0.2%) of phlebitis in the HCU.

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    RSUD Tugu Kojas Monitoring Report Highlights February 2019 Compliance

    Diunggah oleh

    NurulRachmaSari
    This document summarizes the results of monitoring activities at Tugu Kota Hospital in February 2019. It reports the following key findings: 1. Compliance with hand hygiene protocols among medical staff ranged from 82.8% to 100%. 2. Monitoring of protective equipment use found compliance rates to be 85.7-100% across departments. 3. Surveillance data found no infections such as phlebitis or ventilator-associated pneumonia in the inpatient wards, with the exception of one case (0.2%) of phlebitis in the HCU.

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    PEMERINTAH PROVINSI DKI JAKARTA

    RUMAH SAKIT UMUM DAERAH TUGU KOJA


    Jln. Walang Permai No. 39 Jakarta Utara

    Rekapitulasi Hasil Monitoring


    Bulan : Februari 2019

    1. Monitoring Hand Hygiene


    Kepatuhan Moment
    No. Petugas
    cuci tangan 1 2 3 4 5
    1. Perawat/Bidan 96,9 95,9 100 98,9 97,2 95,1
    2. Dokter 95,5 92,6 100 100 95,8 95,0
    3. Penunjang Lab dan
    82,8 71,8 86,7 90,0 84,8 87,8
    Rontgen
    4. PetugasLainnya 87,9 84,6 0 0 90,6 89,2
    Moment :
    1 :Sebelumkontakdenganpasien
    2 :Sebelummelakukantindakan aseptic
    3 :Sesudahkontakdenganpasien
    4 :Sesudahkontakdenganlingkunganpasien
    5 :Sesudahterpaparcairantubuhpasien

    2. Monitoring penggunaan APD


    No. Ruangan Hasil monitoring
    1. Laundry 91,6%
    2. IGD 100%
    3. Gizi 100%
    4. Farmasi 100%
    5. Radiologi 100%
    6. Rawat inap 100%
    7. VK / RB 85,7%
    8. Cleaning service 100%
    9. Poli rawat jalan 100%
    10. Kamar jenazah 100%
    11. Laboratorium 100%

    3. Monitoring peralatan kadaluarsa


    No. Ruangan Hasil monitoring
    1. IGD 100%
    2. Rawat inap 100%
    3. VK / RB 100%
    4. Poliklinik 100%

    4. Monitoring unit laundry


    Hasil monitoring = 100%
    5. Monitoring sterilisasi
    Hasil monitoring = 100%
    6. Monitoring penggunaan ruang infeksius
    Hasil monitoring = 100%
    7. Monitoring kamar jenazah
    Hasil monitoring = 100%
    8. Monitoring pembersihan ambulance
    Hasil monitoring = 100%
    9. Monitoring pembuangan darah dan komponen darah
    Hasil monitoring = 100%
    10. Monitoring Dapur Gizi
    Hasil monitoring = 100%

    11. Monitoring pembuangan sampah


    No. Ruangan Hasil Monitoring
    1. IGD 94,73%
    2. VK / RB 97,8%
    3. Rawat inap 96,4%
    4. Laboratorium 97,89%
    5. Poli Bedah 95,78%
    6. Poli Obgyn 96,84%
    7. Ruang OK 98,9%
    8. Poli Gigi 97,89%
    9. Perina 98,9%
    10. Poli THT 98,94%
    11. Poli Mata 97,89%
    12. Poli PD 97,89%
    13. Poli Anak 97,89%
    14. Poli TB DOTS 97,89%
    15. Poli Akupunktur 98,94%
    16. Poli Kulit dan Kelamin 97,89%
    17. HCU 95,7%
    18 Poli saraf 97,89%
    19 Poli Geriatri 97,89%
    20 Poli MCU 97,89%
    21 Farmasi 97,89%
    22 Depo Obat 96,84%
    23 IGD Hijau 97,89%

    12. Angka Surveilans


    Kejadian
    No. Ruangan Ket
    Phlebitis ISK IADP VAP ILO
    1. Rawat 0‰ 0‰ 0‰ 0‰ 0‰ Jumlah pasien : 112
    inap Terpasang infus: 111
    1(dws) Jumlah Hari : 303
    Phlebitis :0
    Terpasang DC : 0
    Pasienoperasi :
    IDO : 0
    2. Rawat 0‰ 0‰ 0‰ 0‰ 0‰ Jumlah pasien : 39
    Inap 2 Terpasang infus: 37
    (VIP dan Jumlah hari : 160
    kelas) Phlebitis :0
    Terpasang DC : 0
    Pasien operasi : 0
    IDO : 0
    3. Rawat 0‰ 0‰ 0‰ 0‰ 0‰ Jumlah pasien : 93
    inap 3 Terpasang infus : 92
    (anak) Jumlah hari : 451
    Phlebitis :0
    Pasien operasi : 0
    ILO : 0
    Terpasang DC : 0

    4. RB/VK 0‰ 0‰ 0‰ 0‰ 0‰ Jumlah pasien : 103


    Terpasang infus : 103
    Jumlah hari : 102
    Phlebitis :0
    Terpasang DC : 20
    Jumlah hari : 20
    ISK : 0
    Pasien Operasi :
    IDO : 0
    5. Perina 0‰ 0‰ 0‰ 0‰ 0‰ Jumlah pasien : 15
    Terpasang infus: 5
    Jumlah hari : 26
    Phlebitis : 0
    Terpasang DC : 0
    6. HCU 0,2 ‰ 0‰ 0‰ 0‰ 0‰ Jumlah Pasien : 2
    Terpasang infus : 2
    Jumlah hari : 5
    Phlebitis :1
    Terpasang DC : 1
    ISK : 0
    13. Angka Kejadian Phlebitis dalam (%)

    IPCN

    Ns. Kartika Yanidrawati S.Kep.,M.KM

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