Daftar Isi

Daftar Isi................................................................................................................................i

I. PENDAHULUAN

1.1 Latar Belakang................................................................................................................1

1.2 Tujuan Pedoman.............................................................................................................1

1.3 Ruang Lingkup Pelayanan..............................................................................................2

1.4 Batasan Operasional.......................................................................................................2

1.5 Landasan Hukum............................................................................................................2

II. STANDAR KETENAGAAN

2.1 Kualifikasi Sumber Daya Manusia..................................................................................2

III. STANDAR FASILITAS

3.1 Denah Ruangan................................................................................................................6

3.2 Pembagian Ruang Unit Pusat Sterilisasi dan Sediaan Fasilitas.......................................6

3.3 Lingkup sarana Pelayanan...............................................................................................8

3.4 FasilitasAlat dan Zat Kimia.............................................................................................9

IV. TATALAKSANA PELAYANAN

4.1 Manegement Unit Sterilisasi............................................................................................11

4.1.1 Administrasi Dan Pengelolaan.................................................................................11

4.1.2 Pelayanan Laundry...................................................................................................11

4.1.3 Staf Unit Pusat Sterilisasi.........................................................................................12

4.2 Alur Masuk dan Keluar Unit Pusat Sterilisasi.................................................................12

4.3 Pembersihan Unit Pusat Sterilisasi..................................................................................13

4.4 Pengelolahan Alat............................................................................................................13

4.5 Pemakaian Mesin.............................................................................................................13

4.6 Pelaporan..........................................................................................................................13

4.7 Perawatan Alat dan Mesin...............................................................................................14

4.8 Pelayanan Laundry...........................................................................................................14

V. LOGISTIK

5.1 Pengadaan Alat dan Bahan di Unit Pusat Sterilisasi........................................................15

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5.1.1 Pengadaan Barang Medis.........................................................................................15

5.1.2 Pengadaan Barang Non Medis.................................................................................15

5.2 Persediaan Barang............................................................................................................15

VI. KESELAMATAN PASIEN

6.1 Pengertian........................................................................................................................16

6.2 Tujuan..............................................................................................................................16

6.3 Tatalaksana Keselamatan Pasien.....................................................................................16

VII. KESELAMATAN KERJA

7.1 Pengertian........................................................................................................................18

7.2 Tujuan..............................................................................................................................18

7.3 Tatalaksana......................................................................................................................18

VIII. PENGENDALIAN MUTU...........................................................................................20

IX. PENUTUP.......................................................................................................................21

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