KATA PENGANTAR

Assalamualaikum Wr. Wb.

Puji syukur kami panjatkan kehadirat Allah SWT atas ridha, rahmat,
hidayah, dan inayahNya sehingga kami mampu menyusun buku Pedoman
Pengorganisasian Rawat Jalan RSI Darus Syifa’ Surabaya hingga selesai. Pedoman
ini tersusun atas kerja sama Direktur, Kepala Bagian Medis, Kepegawaian,
karyawan poli rawat jalan dan unit terkait.
Pedoman pelayanan poli rawat jalan RSI Darus Syifa’ Surabaya ini
merupakan pedoman bagi semua karyawan poli dan unit terkait dalam tata cara
pelaksanaan penyelenggaraan organisasi rawat jalan RSI Darus Syifa’ Surabaya
Dalam pedoman ini diuraikan tentang gambaran umum di Rumah Sakit
Islam Darus Syifa’ Surabaya, Visi, Misi, dan Motto Rumah Sakit. Struktur
Organisasi rawat jalan, uraian jabatan, Tata hubungan Kerja, Pola Ketenagaan dan
Kualifikasi Personil, Penilaian Kinerja, Kegiatan Orientasi, Pertemuan Rapat, serta
Pelaporan rawat jalan.
Tidak lupa penyusun sampaikan terima kasih yang sedalam – dalamnya atas
bantuan semua pihak dalam menyelesaikan Pedoman Pengorganisasian Rawat
Jalan RSI Darus Syifa’ Surabaya.

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 DAFTAR ISI

Halaman
Sampul .......................................................................................................................
i
Kata
Pengantar ....................................................................................................................
ii
Daftar
Isi ................................................................................................................................
iii
Daftar
Tabel ...........................................................................................................................
v
Surat Keputusan Direktur Tentang Pedoman
Pengorganisasian Unit Rawat
jalan ............................................................................................................................
vi
BAB I
PENDAHULUAN .....................................................................................................
1
1.1 Latar
Belakang.........................................................................................................
1
1.2 Tujuan
Pedoman .........................................................................................................
1
1.3 Ruang Lingkup
Pelayanan .......................................................................................................
1

iii
 1.4 Batasan
Operasional ....................................................................................................
2
1.5 Landasan
Hukum ............................................................................................................
2
BAB II STANDAR
KETENAGAAN ........................................................................................................
3....................................................................................................................
4
2.1 Kualifikasi Sumber Daya
Manusia ..........................................................................................................
3
2.2 Distribusi
Ketenagaan .....................................................................................................
3
2.3 Pengaturan
Jaga .................................................................................................................
3
BAB III STANDAR
FASILITAS ................................................................................................................
4
3.1 Denah
Ruangan ..........................................................................................................
4
3.2 Standar
Fasilitas...........................................................................................................
5
BAB IV TATALAKSANA
PELAYANAN ...........................................................................................................
37

iv
 4.1 Penerimaan
Pasien .............................................................................................................
37
4.2 Tatalaksana
Pelayanan .......................................................................................................
37
BAB V
LOGISTIK .................................................................................................................
43
BAB VI KESELAMATAN
PASIEN ..................................................................................................................44
6.1 Pengertian ....................................................................................................
44..................................................................................................................
3
6.2 Tujuan ..........................................................................................................
44..................................................................................................................
6.3 Tatalaksana Keselamatan
Pasien .............................................................................................................
44..................................................................................................................
3
BAB VII KESELAMATAN DAN KESEHATAN
KERJA ..................................................................................................................47
7.1 Perlindungan Keselamatan Kerja Dan
Kesehatan .......................................................................................................
48..................................................................................................................
3
7.2 Petunjuk Pencegahan Infeksi Untuk Petugas
Kesehatan .......................................................................................................
48..................................................................................................................
BAB VIII PENGENDALIAN
MUTU ..................................................................................................................49

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 8.1 Waktu Tunggu Dirawat
Jalan................................................................................................................
49
8.2 Kelengkapan Pelaksanaan Asesmen Awal Medis Pasien Stroke Di Rawat
Jalan .............................................................................................................
49..................................................................................................................
3
8.3 Kepatuhan Edukasi Pasien
Stroke .............................................................................................................
49
8.4 Pemakaian Kalung Risiko Jatuh Pada Pasien
Troke ..............................................................................................................
49
8.5 Buka Pelayanan Sesuai
Ketentuan .......................................................................................................
49
8.6 Ketepatan Identifikasi Pasien Rawat Jalan Dengan Pendaftaran
Mandir ............................................................................................................
50
8.7 Pemberi Pelayanan Di Klinik
Spesialis .........................................................................................................
50
BAB IX
PENUTUP ..................................................................................................................
51

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 DAFTAR TABEL

Tabel 2.2 : Distribusi

Ketenagaan .................................................................................................................
3
Tabel 3.1 : Denah
Ruangan .....................................................................................................................
3
Tabel 3.2 : Standar
Fasilitas ......................................................................................................................
5

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