ALUR PENANGANAN PAJANAN DI TEMPAT KERJA

PELAKSANA ALUR DOKUMEN TERKAIT

TERJADI PAJANAN
(TUSUKAN JARUM SUNTIK,
PERCIKAN PADA
HIDUNG,MULUT, KULIT, MATA)

PETUGAS TERPAJAN TINDAKAN SEGERA PASCA

PAJANAN
(LUKA TERTUSUK TIDAK
BOLEH DIHISAP, SEGERA
DICUCI DENGAN SABUN DAN
AIR MENGALIR
PERCIKAN PADA MUKOSA
HIDUNG, MULUT DAN KULIT
DIBILAS DENGAN GUYURAN
AIR.
PENANGGUNGJAWAB PERCIKAN PADA MATA FORMULIR PELAPORAN
RUANGAN DIIRIGASI DENGAN AIR
BERSIH)
DOKTER JAGA IGD SURAT PERMINTAAN
LAPORAN PAJANAN PEMERIKSAAN
(LAPORAN KEPADA PPI DAN LABORATORIUM
DOKTER JAGA IGD K3)
RESEP
PEMERIKSAAN STATUS PERMOHONAN
KESEHATAN PETUGAS YANG PEMERIKSAAN
TERPAJAN SELANJUTNYA

PROFILAKSIS PASCA PAJANAN

(SESUAI INDIKASI)
 FORMULIR PELAPORAN KEJADIAN KECELAKAAN DAN PAJANAN

I. IDENTITAS
NAMA :
UNIT KERJA :

II. RINCIAN KEJADIAN

1. Tanggal dan waktu insiden
- Tanggal .............................................
- Jam ...................................................
2. Insiden :
o Luka tusukan jarum suntik
o Luka iris
o Percikan pada mukosa hidung, mulut atau kulit
o Percikan pada mata
3. Kronologis Insiden
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4. Tindakan yang dilakukan setelah kejadian

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