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6 Sarana a. Sarana
1) Lokasi Balai Pengujian Fasilitas
Kesehatan dan Institusi Pengujian
Fasilitas Kesehatan harus memenuhi
ketentuan mengenai kesehatan.
2) Balai Pengujian Fasilitas Kesehatan
dan Institusi Pengujian Fasilitas
Kesehatan harus memiliki salah satu
atau seluruhnya laboratorium sesuai
dengan pelayanan yang diberikan,
terdiri dari :
a) laboratorium pengujian dan
kalibrasi;
b) laboratorium pengujian pesawat
sinar x, proteksi radiasi, dan
imaging;
c) laboratorium inspeksi sarana
prasarana kesehatan;
d) laboratorium pengujian
pemantauan dosis personal;
e) laboratorium pengujian alat ukur
radiasi; dan/atau
f) laboratorium uji produk.
3) Persyaratan bangunan Balai
Pengujian Fasilitas Kesehatan dan
Institusi Pengujian Fasilitas
Kesehatan:
a) Harus permanen dan tidak
bergabung dengan tempat
tinggal;
b) Harus memperhatikan fungsi,
keamanan, kenyamanan dan
kemudahan dalam pemberian
pelayanan serta perlindungan
dan keselamatan; dan
c) Harus memiliki ruang paling
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4 Frekuensi
5 Induktansi
6 Capasitansi
Alat kalibrasi besaran dasar
b. tekanan/Gaya-Pressure 3 jenis 1 jenis - -
calibrator
Alat kalibrasi besaran dasar
c.
Volume/massa
Anak timbangan Class
1 Anak timbangan
E2
3 jenis 1 jenis - - Class E2, Analitical
2 Analitical balance
balance
3 Micropipet
peralatan
pengujian/kalibrasi alat 120 50 25
d. 160 jenis
kesehatan sesuai jenis jenis jenis
kemampuan pelayanan
sumber radiasi yang
e. digunakan untuk kalibrasi 1 jenis 1 jenis - -
AUR Cesium/Cobalt
alat pembacaan dosis
f.
personal
1 TLD Reader
2 Densitometer 1 jenis 1 jenis 1 jenis -
3 Film Procesing Unit
alat ukur pengujian
pesawat sinar x, proteksi 2
g. 9 jenis 5 jenis 4 jenis
radiasi, dan imaging sesuai jenis
kemampuan pelayanan
alat ukur uji/inspeksi
h. 2 jenis 1 jenis - -
sarana Prasarana
i. alat ukur uji produk 5 jenis - - - 5 jenis produk alat kesehatan
peralatan (artefak) dalam Diambil dari 160 jenis alat
j. 3 jenis 1 jenis - -
rangka uji profiesiensi kesehatan
7 Struktur organisasi SDM a. Struktur Organisasi
dan SDM
1) Setiap Balai/Institusi Pengujian
Fasilitas Kesehatan harus memiliki
Struktur Organisasi dan Tata Kerja
(SOTK) yang menjabarkan seluruh
kegiatan Balai/Institusi Pengujian
Fasilitas Kesehatan mulai dari
pembentukan Balai/Institusi Pengujian
Fasilitas Kesehatan (Kebijakan dan
Bagan).
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Instrumentasi; dan
b) memiliki sertifikat pelatihan di
bidang Pengujian dan/atau
Kalibrasi Alat Kesehatan yang
diperoleh dari pelatihan yang telah
terakreditasi, atau bila belum
terdapat lembaga yang terakreditasi
maka dapat diperoleh dari lembaga
dan personil yang diakui
kompetensinya.
7) Tenaga pelaksana teknis pemantauan
dosis personal harus memiliki:
a) kualifikasi pendidikan S1 Fisika,
S1 Teknik Nuklir, S1 Teknik
Biomedika, S1 Teknik Fisika, D IV
Radiodiagnostik, atau D III
Radiografi; dan
b) memiliki sertifikat pelatihan di
bidang proteksi radiasi atau
dosimetry yang diperoleh dari
pelatihan yang telah terakreditasi.
8) Tenaga pelaksana teknis inspeksi
Sarana Prasarana harus memiliki:
a) kualifikasi pendidikan S1 Fisika,
S1 Mesin, S1 Sipil, S1 Teknik
Nuklir, S1 Teknik Biomedika, S1
Teknik Fisika, atau D III teknik;
dan
b) memiliki sertifikat pelatihan di
bidang inspeksi sarana prasarana
yang diperoleh dari pelatihan yang
telah terakreditasi.
9) Pimpinan dan penanggung jawab
laboratorium dapat merangkap sebagai
tenaga pelaksana dan tenaga
administrasi.
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22 Oximeters (Pulse)
Oxygen Monitors
23
and Analyzers
Pacemakers
24
(external)
Peritoneal Dialysis
25
Units
Phacoemulsification
26
Units
Physiologic Monitors
27 and Monitoring
Systems
Radiant Warmers
28
(Infant)
Radiographic Dye
29
Injectors
Radiologic Imaging
30
Systems
Regulators (for
31
Tracheal Suction)
Resuscitators
32
(Cardiac)
Resuscitators
33
(Pulmonary)
Sterillizer
(e.g.,Steam,
34
Ethylene Oxide
[EtO])
Tourniquets
35
(Pneumatics)
Transcutaneous
36 Oxygen and Carbon
Dioxide Monitors
37 Ventilators
Alat Bedah dan
Anestesi
Operating
38
Microscope
Anestesia dengan
39
Ventilator
40 Laser Coagulator
41 Heart Lung Machine
42 Laparoscopy Unit
43 Harmonic Scalpel
44 Phaeco emulsifikasi
45 Vitrectomy
46 Endoscopy Unit
47 Electrosurgery Unit
48 Laparoscopy Unit
49 Ultrasound Surgery
Alat Diagnostik
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Test Stress
50
cardiopulmonary
Ultra Sonography
51
(USG)
Electro
52 Enchepalography
(EEG)
53 Barain Mapping
Electro Myography
54
(EMG)
55 USG Mata
Electro
56
Nystagmograph
57 Bone Densitometer
58 Vector Cardiograph
59 Echo Cardiogoraph
60 Phono Cardiograph
Exercise Stress
61
Test/Treadmil
62 Autoref keratometer
Computerize
63
Tonometry
Computerize
64
opthalmoscope
65 USCOM
Alat Laboratorium
Klinik
66 Aquadestillator App
67 Urine Analyzer
68 Blood gas Analyzer
Laboratory Auto
69
Analyzer
70 Freezing Microtome
71 Tissue processor
Analyzers,
72 laboratory,
microbiology
Analyzers,
73 laboratory,radioimm
unoasay
Chromathograpy
74
System
75 Cytometer
Dna Squencing
76
system
Iontophoresis,Sweat
77
test
78 Microscope, electron
Synthesizer,
79
DNA/RNA
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80 Tissue Processor
Spectrometers,
81
mass, laboratory
Analyzer,
82
Laboratory, Breath
Analyzer,
83
Laboratory, Semen
Analyzer,
85
Laboratory,Urine
86 Spectrofluorometers
87 Separators, plasma
Viscosimetres,
88
plasma
89 Nephelometres
Electrophoresis
90
system
Counters,
91
Scintillation
92 Counters, colony
Alat Life Support
93 Hemodialisa
94 Ventilator
95 IABP
96 Central Monitor
97 Pasien monitor
98 CRRT
Alat Radiologi
99 ESWL
100 MRI
101 Thiroid Up Take
102 X-ray Simulator
103 CATHLAB
104 CT Scanner
105 LINAC
Gamma
106 Camera/Telegama
Cobalt 60
Mammography X-
107
ray Unit
108 After Loading
109 Tomography Unit
110 Urology X-ray Unit
Surgical X-Ray
111
Unit/C-Arm Mobile
General Diagnostic
112
X-ray
113 C-ARM
Condenser
114 Discharge x_ray
Diagnostic
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115 PET-Scan
DR (Digital
116
Radiography)
117 CT Simulator
CR (Computerize
118
Radiography
Calibrators,
119
radiosotope
Computers,
120 radiotherapy
palnning system
121 Counters, gamma
Injectors,contrast
122 media, magnetic
resonance imagine
123 Linear accelators
Radiographic
124
system, digital
Radiographic units,
125
mamographic
Radiographic/fluoro
scopic system,
126
angiographic/interv
entional
Radiographic/fluoro
127 scopic system,
cardiovascular
Radiographic/fluoro
128 scopic system,
general-purpose
Radiographic/fluoro
129
scopicunits, mobile
Radiographic/tomog
130 raphic system,
linear
Radiotherapy units,
131
cobalt
Radiotherapy units,
132
orthovoltage
Scanning
133 system,computed
tomography
Scanning system,
134 magnetic resonance
imaging, full-body
Alat Terapi
135 Prostraton
Hyperbaric
136
Chamber
137 Contact Teraphy
138 ECT.
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JUMLAH
Mampu melayani
15
b pengujian/Kalibrasi 25 jenis 2 jenis 2 jenis
jenis
peralatan Medium Risk;
Ambulatory ECG
1 Recorders and
Scanners
Aspirators (Surgical,
2 Thoracic, and
Uterine)
Blood Bank
3
Refrigerators
Blood Gas/Ph
4
Analyzers
Blood Pressure
Units (Noninvasive
5
Electronic [used in
critical care])
Blood/Solution
6
Warmers
Cardiac Output
7
Units
Centrifuges and
8 Clinical Lab
Equipment
Circumcision
9
Clamps
10 Cryosurgical Units
Electro Cardio
11
Graphy (ECG)
Electroconvulsive
12
Therapy Units
Electroencephalogra
13
phs
14 Endoscopes
15 Enternal Pumps
Evoked Potential
16
Units
Laparoscopic
17
Insufflators
18 Lithotripters
Oxygen-Air
19
Proportioners
20 Phonocardiograph
21 Phototherapy Units
Pneumatics
22
Antishock Trousers
Pressure
23 Transducers (All
Types)
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Pulmonary Function
24
Analyzers
Radiant Warmers
25
(Adult)
Regulators (Air, O2,
26 Suction [except
tracheal])
Scales for Critical
Applications (e.g.,
27 Hemodialysis and
Neonatal Care
Units)
Special Care Beds
28 (e.g., Circle,
Floation)
Surgical Drills and
29
Saws (Powered)
30 Traction Units
31 Treadmills
Ultrasound
32
Scanners
Alat Bedah dan
Anestesi
33 Cold Light Source
34 Colposcope
35 Cryo Surgery
Endoscopy/Fibersco
36
pe
Operating Lamp
37
Ceiling Type
Gynecological Table
38 electric (remote
controlled)
Operating Table
39 electric (remote
controlled)
Hypo Hyphertermial
40
blanket
41 Lithotripter
42 Bor mastoid
43 Sternum Saw
44 Pendant
IABP (Intra Aortic
45
Balloon Pump)
46 Tourniqet System
Alat Elektromedik
47
Diagnostik
48 Colon Meter
49 Fetal Detector
50 Spirometer
51 Audiometer
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52 Dental Unit
53 Arritmya Monitor
54 Heart Rate Monitor
55 NIBP Monitor
PO2 Trancutaneus
56
Monitor
57 Projection Perimeter
58 Respiration Monitor
59 Refractometer
60 Bedside Monitor
61 Holter Monitor
62 Photo Fundus
Cardiotocography
63
(CTG)
64 Urodinamik
BERA (Brainstem
65 Evoked Response
Audiometri)
Birilubin Meter Non
66
Invasive
Alat Laboratorium
Klinik
Fluroscent
67
Mikroskop
Refrigerated
68
Centrifuge
Laboratory
69
Refrigerator
Mortuary
70
Refrigerator
Table Top Steam
71
Sterilizer
Laboratory
72
Incubator
73 Ultrasonic Cleaner
Water bath
74
laboratory
75 Microtitration
76 Precison Balance
Fluoroscent
77
Microscope
78 Spectrophotometer
79 Microtome
Analyzers,
80 Laboratory, Blood
gas/pH
Analyzers,
81 Laboratory, Blood,
Urea nitrogen
82 Analyzers,
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Laboratory,body
fluids
Analyzers,
83 Laboratory,hematol
ogy
Analyzers,
84 Laboratory,Clinical
Chemistry
Analyzers,
85 Laboratory,immuno
assay
Analyzers, point of-
86
care, whole blood
Homogenizers,
87
tissue
88 Microtomes
89 Osmometres
90 Spectrophotometres
Tissue embedding
91
equipment
Microscopes, light,
92
laboratory
Urodynamic
93 measurement
systems
94 Titrators
Refractometers,
95
Laboratory
Alat Life Support
96 Infusion Pump
97 Syringe Pump
98 Baby Incubator
99 Cardiac Resusitator
100 Defibrillator
101 Infant Warmer
102 Electronic N-CPAP
103 AED;
104 Pacemaker
Alat Radiologi
Automatic
105
Processing Film
106 Basic X-ray Unit
Panoramic Dental X-
107
Ray
108 X-ray Mobile Unit
109 Laser Imagers
Radiation survey
110 metres, Geiger-
Muller
111 Radiation survey
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metres,ionization
chamers
Radiographic
112
system, film
Radiographic units,
113
chest
Radiographic
114
units,dental
Radiographic units,
115
dental intraoral
Radiographic
116
units,mobile
117 Scanner, ultrasound
X-ray film handling
118 equipment,
automatic, daylight.
JUMLAH
Mampu melayani
30
c. pengujian/Kalibrasi 45 jenis 10 jenis 2 jenis
jenis
peralatan Low Risk;
Alternating-Pressure
1
Pads
Aspirators (Low
2
Volume)
3 Breast Pumps
4 Cast Cutters
Circulating-Fluid
5
Pumps
Diathermy Units
6
(Phisical Therapy)
7 Electric Beds
8 Electric Wheelchairs
Electronic Scales
9 (for General Patient
Care)
Electronic
10
Thermometers
11 Examination Light
Fiberoptic Light
12
Sources
Oto/Ophthalmoscop
13
es
Oxygen
14
Concentrators
15 Paraffin Baths
Regulators (Low-
16
Volume Suction)
17 Smoke Evacuators
Sphygmomanometer
18
s
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Stimulators
19
(Physical Therapy)
20 Surgical Lights
Surgical
21
Microscopes
22 Surgical Tables
Temperature
23
Monitors
Ultrasonic
24
Nebulizers
Ultrasound Units
25
(Phisical Therapy)
26 Whirlpool Baths
Alat Bedah dan
Anestesi
27 Head Lamp
Operating Lamp
28
Mobile
29 Vaccuum Extractor
30 Ceilling Column
31 Bor tulang
Gynecological Table
32
electric
Operating Table
33
manual
34 Warming cabinet
35 Air Purifier
Alat Diagnostik
36 Amnioscope
37 Baby Scale
Body Weighting
38
Scale
Chamber Accoustic
39
Test
40 Examination Lamp
41 Keratometer
42 Laringoscope
43 Lens Meter
44 Opthalmoscope
45 Otoscope
46 Tonometer
47 Echotonometer
48 Uroflowmeter
OAE (Oto Acoustic
49
Emission)
50 Vein Viewer
51 Snellen
Alat Laboratorium
Klinik
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52 Microscope
53 Centrifuge
54 Analytical Balance
Blood Solution
55
Warmer
56 Fume Hood
57 Magnetic Stirer
58 Water Destillator
59 Glucometer
60 pH Meter
61 Protombin meter
62 Ultrasonic Cleaner
63 Laminary Air Flow
64 Hot plate
65 Cold plate
66 Hot plate stirrer
67 Baths, freezing
Baths, tissue
68
floatation
69 Baths, water
70 Bilirubinometers
Blood Cell
71
Processors
Carbon dioxide
72 monitors, laboratory
incubator
Chambers,
73
anaerobic
74 Clippers
Concentrators,speci
75
men
Densitometres,
76
laboratory
77 Diluters
78 Dispenser, Parafin
79 Dissectors
80 Distilling Unit
81 Dryers
82 Dryers, Slide
83 Evaporators
84 Extractors, Plasma
85 Fluorometres
86 Hot Plates
Incinerators,
87
pathology
Incubators,
88
laboratory
89 Insufflators
90 Loupes
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Diathermy
130 Ultrasound Therapy
Alat Radiologi
131 Film Dryer
132 Film Viewer
133 Contrast Injector
134 Dental X-Ray
135 Densitometres
Densitometres,
bone, X-ray, Dual-
136
energy
absorptiometry
Densitometres, X-
137
ray film
Dosimetres,
138
Radiation
Mixers, Xray film
139
chemistry
140 Radiation monitors
Sensitometres,
141
radiographic
X-ray film
142
duplicators
X-ray QA test
143
cassette
X-ray film
144
processors
Alat Disinfeksi dan
Sterilisasi
145 UV Sterilizer
146 Ultrasonic Cleaner
147 Autoclave
Instrument Washing
148
Machine
Programmable
149
Sterilizer
150 Sterilisator basah
151 Gas sterilizer
JUMLAH
Mampu melayani
2
b Kalibrasi Alat Ukur Non 15 jenis - -
jenis
Radiasi berupa:
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1 DPM
2 ECG Simulator
Electro Safety
3
Analyzer (ESA)
4 Tachometer
Electro Surgery Unit
5
Analyzer (ESU)
Defibrilator
6
Analyzer
7 Handy Calibrator
Infuse Device
8
Analyzer
9 Incubator Analyzer
10 Ventilator Tester
11 Thermometer
12 Micro Pipet
13 Analytical Balance
14 Lux Meter
15 Thermohygrometer
Non invasive blood
16 pressure (NIBP)
analyzer
17 Parameter tester
18 Sound level meter
19 Stopwatch
20 Alat ukur lainnya
JUMLAH
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Pengujian Pemantauan
IV.
dosis Personal
Menyediakan pelayanan
Film Badge dan/atau
a √ √ √ -
Thermo Luminescent
Dosemeter
Jumlah minimal Badge
b - - - - Bila ada
yang di uji
V. Uji Produk
Jumlah minimal
1
a pelayanan jenis uji 2 jenis - -
jenis
produk
VI. Uji Produk
Jumlah minimal
a pelayanan jenis uji 5 jenis - - -
produk
Uji Profisiensi/
VII.
Interkomparasi
Telah
menyelenggarakan uji
a √ √
profisiensi secara
berkala
Jumlah minimal jenis 1
b 3 jenis
uji profisiensi jenis
VIII
Laboratorium Rujukan
.
3
instit
Sebagai Laboratorium 3 institusi
a usi
rujukan penguji
peng
uji
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peraturan perundang-undangan.
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