DAFTAR ISI

SK DIREKTUR ..................................................................................................... ii
KATA PENGANTAR .............................................................................................. iv
DAFTAR ISI ..................................................................................................... v
BAB I :

A. Pengertian Risiko jatuh................................................................................ 1

B. Tujuan pencegahan umum............................................................................. 2
BAB II :
A. Ruang Lingkup .............................................................................................. 3
BAB III :
A. Tatalaksana Risiko Jatuh :
4
1. Asesmen awal / skrining.......................................................................... 4
2. Asesmen Ulang ....................................................................................... 5
3. Tindakan Pencegahan pasien jatuh.......................................................... 5
B. Manajemen setelah kejadian jatuh................................................................. 7
C. Edukasi pasien / keluarga .............................................................................. 8
D. Bukti dokumen .............................................................................................. 9
1. Petunjuk penggunaan Asesmen Risiko Jatuh Morse Fall Scale ............ 11
2. Petunjuk penggunaan Asesmen Risiko Jatuh Humpty Dumpty.............. 13
3. Petunjuk penggunaas Asesmen Risiko Jatuh Ontario Modified
Stratify Sydney......................................................................................... 15
4. Petunjuk Penggunaan Asesmen Risiko Jatuh Get up – Go..................... 18
BAB 1V : Dokumentasi …………………………………………………………… 19

Lampiran :

1. SPO Asesmen awal pasien risiko jatuh pada pasien rawat inap................ 21
2. SPO Manajemen setelah jatuh................................................................. 25
3. SPO Pemasangan kancing identifikasi risiko jatuh
Dan penanda pencegahan jatuh pada pasien rawat inap.......................... 27
4. SPO Pencegahan Risiko Jatuh................................................................. 30

v
5. SPO Pencegahan Risiko Jatuh Pasien Rawat Jalan.................................. 34
6. Algoritme Asesmen Risiko Jatuh............................................................. 36
7. Form Asesmen Risiko Jatuh..................................................................... 37
8. Sosialisasi Risiko jatuh............................................................................ 38