DAFTAR ISI

SK DIREKTUR RS TENTANG PEMBERLAKUKAN PEDOMAN PELAYANAN STERILISASI/LEMBAR

PENGESAHAN

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

A. Latar Belakang ............................................................................................................ 1

B. Tujuan Pedoman ......................................................................................................... 2
C. Ruang Lingkup Pelayanan ........................................................................................... 2
D. Batasan Operasional ................................................................................................... 3
E. Landasan Hukum ......................................................................................................... 3

BAB II STANDAR KETENAGAAN ............................................................................................... 4

A. Distribusi Ketenagaan ..................................................................................................4

B. Jadual Kegiatan ............................................................................................................9

BAB III STANDAR FASILITAS ..................................................................................................... 10

A. Denah Ruangan ........................................................................................................... 10

B. Standar Fasilitas .......................................................................................................... 11

BAB IV TATA LAKSANA PELAYANAN ........................................................................................18

BAB V LOGISTIK ........................................................................................................................37

BAB VI KESELAMATAN PASIEN ................................................................................................39

BABVII KESELAMETAN KERJA ...................................................................................................41

BAB VIII PENGENDALIAN MUTU ...............................................................................................43

BAB IX PENUTUP .......................................................................................................................47