DAFTAR lSI

Halaman
Halaman Judul .......................................................................................................................................i
Keputusan Direktur ...............................................................................................................................ii-iii
Daftar Isi ................................................................................................................................................iv

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

A. Latar Belakang .....................................................................................................................2
B. Tujuan..................................................................................................................................2
C. Ruang Lingkup .....................................................................................................................3
D. Batasan Operasional ...........................................................................................................4
1. Daftar Konsep Penyakit ................................................................................................4
2. Penyakit Menular..........................................................................................................4

BAB II STANDAR KETENAGAAN .............................................................................................................54

A. Kualifikasi Ketenagaan ........................................................................................................54
B. Uraian Tugas........................................................................................................................54

BAB III STANDAR FASILITAS ...................................................................................................................58

A. Fasilitas Petugas ..................................................................................................................58
B. Fasilitas Pelayanan ..............................................................................................................58

BAB IV TATA LAKSANA PELAYANAN ......................................................................................................59

A. Tata laksana pelayanan unit surveilens ..............................................................................59
B. Tata laksana pengambilan swab dan kultur ........................................................................59
C. Tatalaksana monitoring kebersihan lingkungan .................................................................59
D. Tatalaksana Pelayanan CSSD ...............................................................................................60
E. Tatalaksana Linen ................................................................................................................60
F. Tatalaksana formularium antibiogram................................................................................61
G. Tatalaksana Pelayanan CSSD 61 ..........................................................................................61
H. Pelayanan kesehatan karyawan ..........................................................................................61
I. Pelayanan renovasi bangunan ............................................................................................61
J. Pelayanan pembuatan ruang kohort ..................................................................................62
K. Pelayanan pemeriksaan baku mutu air dan Lpal ................................................................63
L. Kebersihan tangan ..............................................................................................................63

BAB V LOGISTIK .....................................................................................................................................64

BAB VI KESELAMATAN KERJA ................................................................................................................65

BAB VII KESELAMATAN PASIEN .............................................................................................................68

BAB VIII PENGENDALIAN MUTU ............................................................................................................69

A. Sistem Pencatatan Dan Pelaporan ......................................................................................69
B. Penerapan Indikator Keselamatan Pasien ..........................................................................70
C. Analisis Akar Masalah..........................................................................................................70

BAB IX PENUTUP ...................................................................................................................................74

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