PEDOMAN PELAYANAN

INSTALASI RADIOLOGI

RS GRAHA MEDIKA
BANYUWANGI
2019
 DAFTAR ISI

DAFTAR ISI ................................................................................................................................ii

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

1.1 Latar Belakang ...............................................................................................................1

1.2 Tujuan ............................................................................................................................1
1.3 Ruang Lingkup ..............................................................................................................2
1.4 Batasan Operasional ......................................................................................................2
1.5 Landasan Hukum ...........................................................................................................3

BAB II STANDAR KETENAGAAN........................................................................................5

2.1 Kualifikasi Sumber Daya Manusia ................................................................................5

2.2 Struktur Organisasi ........................................................................................................5
2.3 Distribusi Ketenagaan ....................................................................................................5
2.4 Pengaturasn Jaga ............................................................................................................6

BAB IIISTANDAR FASILITAS RADIOLOGI......................................................................7

3.1 Lokasi dan Denah ..........................................................................................................7

3.2 Standar Fasilitas .............................................................................................................7
3.3 Data Ruang Radiologi dan Pesawat Sinar-X .................................................................9

BAB IV TATA LAKSANA PELYANAN .................................................................................11

4.1 Pelayanan Pemeriksaan Radiologi ................................................................................11

4.2 Jenis Pelayanan Radiologi ............................................................................................11
4.3 Penyerahan Hasil Radiologi .........................................................................................11

BAB V LOGISTIK......................................................................................................................12

5.1 Alur Permintaan ............................................................................................................12

5.2 Perencanaan ..................................................................................................................12
5.3 Permintaan ....................................................................................................................12
5.4 Penyimpanan dan Pemakian .........................................................................................12

BAB VI KESELAMATAN PASIEN ........................................................................................13

6.1 Pengertian .....................................................................................................................13

6.2 Tujuan ...........................................................................................................................13
6.3 Tatalaksana Keselamatan Pasien ..................................................................................13

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 6.4 Prosedur Proteksi dan Keselamtan Radiasi Untuk Pasien ............................................14
6.5 Prosedur Proteksi dan Keselamatan Radiasi untuk Pendamping Pasien ......................14

BAB VII KESELAMATAN KERJA ........................................................................................15

BAB VIII PENGENDALIAN MUTU ......................................................................................17

8.1 Indikator Mutu Pelayanan dan Standar Mutu Unit Radiologi ......................................17
8.2 Indikator Mutu Radiologi .............................................................................................20

BAB IX PENUTUP ....................................................................................................................22

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