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PEDOMAN PELAYANAN KOMITE PENCEGAHAN
DAN PENGENDALIAN INFEKSI
RUMAH SAKIT
RUMAH SAKIT LNG BADAK BONTANG
2015
DAFTAR ISI
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SURAT KEPUTUSAN....................................................................................................................2
DIREKTUR RSU DADI KELUARGA..........................................................................................2
PEDOMAN PELAYANAN............................................................................................................2
PELAYANAN PENCEGAHAN DAN PENGENDALIAN INFEKSI...........................................2
RSU DADI KELUARGA...............................................................................................................2
BAB I PENDAHULUAN...............................................................................................................4
BAB II STANDART KETENAGAAN.........................................................................................75
BAB III STANDART FASILITAS................................................................................................79
BAB IV TATA LAKSANA PELAYANAN...................................................................................81
BAB V LOGISTIK........................................................................................................................88BAB VI KESELAMATAN KERJA.............................................................................................89
BAB VII KESELAMATAN PASIEN............................................................................................92
BAB VIII PENGENDALIAN MUTU.........................................................................................94
BAB I PENUTUP.......................................................................................................................99
BAB VI LANDASAN HUKUM..............................................................................................1!!
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SURAT KEPUTUSAN
DIREKTUR RSU DADI KELUARGA
NOMOR: /2015
Tentn!
PEDOMAN PELAYANAN
PELAYANAN PENCEGAHAN DAN PENGENDALIAN INFEKSI
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/3;/$-'6$6
T$,' /"3-
,$;&'$
4$ Pen!+3tn ()# *'43e% . He"t)t)* C
O3'#( 0'#( "3"#' S%&"3 H&6A( @ S%&"3H&6A( :@
S%&"3 $,' ,$"'*$
H"/'$$6 C #"('$ B"3$'# #'6"*'
# %"-''#
/"%"3$6''# !
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T$,' ','
*"%;/3;/$-'6$6
"36,$' 3 /','
,;"3 /"#0'$
%"#-'3
n$ Pet'n('# "en!!'nn AR
ARV *'36 ,$&"3$'# ,'-'% +' 3'#( ,'3$ 4 '%.
T"3%'6 ,$,'-'%#0' /''#'# "*','/ ,'3'* '$3'# 6"3"&3;6/$#'- 6"%"# ?'($#'
'%#$;# ,'3$ /'6$"# ,"#('# /;6$$ HIV.
T"6 HIV ,$-'#( 6""-'* = %$#(( < &-'# ,'# = &-'#.
+$ Stt'* HI "*)en$
P''#'# T$,' ,$"'*$ P;6$$ P;6$$ R"6$;$#(($
R"$%"#
K-$ * T$,' /"3- PPP T$,' /"3- PPP T$,' /"3- PPP :
M;6'>-$$,' *
P"3$%&'#('#3"$%"# 2 ;&'
B"3$'# 3"$%"#2 ;&'
B"3$'# 3"$%"#2 ;&'
AT 12'% 28 *'3$
12'% 28 *'3$
T6'#&"#,' ''%6;-$,
T6'#&"#,' ''%&"3;#(('
B"3$'# 3"$%"# 2;&'.
B"3$'# 3"$%"# 2;&'
B"3$'# 3"$%"#2 ;&'.
B"3$'# 3"$%"#< ;&'
B"3$'# 3"$%"#< ;&'
B"3$'# 3"$%"#< ;&'
AT 12'% 28 *'3$12
'% 28 *'3$L;/>34!!>1!!%(>12
'% 28 *'3$.
17$ Pe4e%)#*n S
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BAB II
STANDART KETENAGAAN
A$ K'&)9)#*) Keten!n$
J"#$6 ""#'(''# %"#3 P"3'3'# P"%"3$#'* RI '*# N; . $#6'-'6$ 0'#( ,$'#(('/ /;"#6$'-
%"#-'3'# /"#0'$ # &"&"3'/' +' 6"6'$ 6'3'# ,'3$ PPIRS.
7@ M"#("6'*'# SPO # PPIRS.
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&. IPCO "' ;%$" PPI
. K3$"3$' IPCO
1@ A*-$ '' ,;"3 0'#( &"3%$#' ,'-'% PPI
2@ M"#($$ /"#,$,$'# ,'# /"-'$*'# ,'6'3 PPI
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M"-''# $#?"6$('6$ "3*','/ KLB ,'# &"36'%' 6'%' /'#$$' PPI
%"%/"3&'$$ "6'-'*'#.
M"%;#$;3 "6"*''# /"('6 6"6'$ ((6 ('6.
B"36'%' /'#$$' %"#('#3'# /3;6",3 $6;-'6$ ,'# %"%&"3$'# ;#6-'6$
PPI
A,$ PPI "3%'6 /"#'-'6'#''# -$%&'* -'#,30 G$$ ,"#('#
%"#((#''# ,''3 $-$.
M"%;#$;3 "3*','/ /"#("#,'-$'# /"#((#''# '#$&$$' 0'#( 3'6$;#'-.
M"%&' -'&;3'# 63?"$-"#6.
M"%&"3$'# 6'3'# ,"6'$# 3'#('# RS '('3 6"6'$ ,"#('# /3$#6$/ PPI.
M"#(6-'# /"#(',''# '-' ,'# &'*'# 0'#( 6"6'$ ,"#('# /3$#6$/ PPI ,'#
'%'# /"#((#''##0'.
M"-''# /"3"%'# &"3'-' "3%'6 "?'-'6$ "&$''#.
M"#($,"#$$'6$ "%'# ,$-'/'#('# ,'# %"#(6-'# /"-'$*'# #
%"#$#(''# "%'%/'# SDM PPIRS.
M"#"3$%' -'/;3'# ,'3$ TIM PPI,'# %"%&' -'/;3'# "/',' ,$3"3.
B"3;;3,$#'6$ ,"#('# #$ "3'$ -'$#.M"-''# /"#('+'6'# "3*','/
$#,''# $#,''# 0'#( %"#0$%/'#( ,'3$ SPO. M"-''# $#?"6$('6$ %"#"'/'# ,'# %"-'6'#''# $#"6$ &$-' ',' KLB.
M"#06# ,'# %"#'/'# 6"3' %"#("?'-'6$ "&$''# PPI.
M"-'6'#''# 6;6$'-$6'6$ "&$''# PPIRS '('3 "&$''# ,'/' ,$/'*'%$ ,'#
,$-'6'#''# ;-"* /"('6 "6"*''# 3%'* 6'$.
M"%&' SPO PPI
M"#06# /3;(3'% PPI ,'# %"#("?'-'6$ /"-'6'#''# /3;(3'% "36"&.
". IPCLN
K3$"3$' IPCLN )
P"3'+' ,"#('# /"#,$,$'# %$# D< ,'# %"%$-$$ 6"3$$'6$ PPI.
M"%$-$$ ;%$%"# ,$ &$,'#( PPI
M"%$-$$ "%'%/'# -"',"36*$/
T('6 IPCLN )
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M"#($6$ ,'# %"#(%/-'# ;3%-$3 63?"$-"#6 6"$'/ /'6$"# ,$3'#(
/"3'+''# "%,$'# %"#0"3'*'# #0' /',' IPCN 6'' /'6$"# /-'#(.
B"3;;3,$#'6$ ,"#('# IPCN 6'' "3',$ $#"6$ /;"#6$'- KLB.
M"%;#$;3 "/'*'# /"('6 ,'-'% %"#'-'#'# 6'#,'3 $6;-'6$
B"3;;3,$#'6$ ,"#('# #$ "3'$ -'$#. M"-''# /"#('+'6'# "3*','/
$#,''# $#,''# 0'#( %"#0$%/'#( ,'3$ SPO.
M"-''# $#?"6$('6$ %"#"'/'# ,'# %"-'6'#''# $#"6$ &$-' ',' KLB.
B""3' 6'%' ,"#('# TIM PPI ,'-'% %"-''# $#?"6$('6$ %'6'-'* KLB
HAI6@.
M"%&"3$ 6-'# # %"#("%&'#('# ,'# %"#$#(''# '3' PPI.
M"%&"3$ ;#6-'6$ /',' /"('6 "6"*''# 3%'* 6'$ .
. T('6 A#((;' -'&;3';3$%
M"-'6'#''# /"#0-*'# ,'# /"#,$,$'# "#'#( %'"3$ %'"3$ 0'#( &"3'$'#
,"#('# /"#("#,'-$'# $#"6$ #;6;;%$'- "/',' /"('6 -'&;3'.
M"%&'# /"-'6'#''# /"%"3$6''# 6+'& '' -3 /'6$"#
M"%'#' /"%"3$6''# -'&;3';3$% 6"6'$ SPO
M"-'6'#''# ('6 -'$# ,'3$ "' /'#$$' /"#("#,'-$ $#"6$ #;6;;%$'-.
(. T('6 A#((;' -$#"#)
M"%$6'*'# -$#"# $#"6$6 ,'# #;# $#"6$6
M"-'6'#''# /"%"3$6''# 6+'& -$#"# &"36$*.
M"%'#' /"#((#''# &'*'# ,"6$#"'# 6"6'$ '3'#.
M"%'#' "($''# *'#, *$($"#" ,$3'#( -$#"#.
*. T('6 A#((;' ($6$ )
M"%'#' "($''# *'#, *$($"#" ,$3'#( ($$.
M"%&'# /"-'6'#''# /"%"3$6''# &'*'# %''#'# ,'# 6+'& /"('6 ($6$.
M"%'#' /"#((#''# &'*'# ,"6$#"'# ($$.
$. T('6 A#((;' IPSRS )
M"%'#' /"-'6'#''# *'#, *$($"#" /"('6 IPSRS.
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M"%'#' /"#((#''# &'*'# ,"6$#"'#.
M"%&'# %"%/"36$'/'# $ '$3 &"36$* -$%&'* ,'# %'# ,$3'#( "3"#.
M"%'#' /3;6"6 /"%&''3'# $#"#"3';3.
M"#0$'/'# &'*'#2 *'6$- /"%"3$6''# -'&;3';3$%
C$ D)*t%)3'*) Ten!
K;%$" PPI %"3/''# #$ /"-'0'#'# 0'#( %"-''# "($''# 6"'3' ;%/3"*"#6$ ,'3$
6"$'/ #$ /"-'0'#'# ,$ 3%'* 6'$ )
1. ZMR IGD P;-$ 3'+' '-'# U#$ R'+' $#'/ S"3"'3$' '#'#6$ IPSRS G$6$ -$"#
'3%'6$ SMF -'&;3' I;
2. HCU H;6" ""/$#( CS@.
76
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BAB III
STANDART FASILITAS
A$ F*)&)t* B!) Pet'!*
1. D"#'*
R'#('# PPIRS "3$#"(3'6$ ,"#('# 3'#('# /"3'#;3'# ,"#('# ;%$" -'$# R%'*
6'$,$-'#'$ 2.
2. S'#,'3 F'6$-$'6.
N; F'6$-$'6 J%-'*A F$6$ >&'#(#'#
G",#( /"3'#;3'# -'#'$ 2 1
B P"3'-''#M"' 1 &'*K36$ < &'*K;%/"3 1 &'*L$#" $#"3#" 1 #$A-%'3$ '' 1 &'*ATK 1 6"B /"3/6'''# PPI
B$ F*)&)t* Pe&-nn$
1. M"#06# "&*'# /"#,$,$'# ,'# /"-'$*'# /"('6 "6"*''# /"('6 -'&;3';3$%
3"-'+'# ,'# /$*' -'$#.2. M"%'6$'# ""36",$''# /"3-"#('/'# 0'#( ,$/"3-'# # %"#"3'/'# /"#"('*'#
,'# /"#("#,'-$'# $#"6$ 0'#( ,$3";%"#,'6$'# ,'# $#,''#:$#,''# "'%'#'#
&$;-;($6 APD@
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BAB ITATA LAKSANA PELAYANAN
A. M"3/''# -'#('*: -'#('* /"-'0'#'# /"#"('*'# ,'# /"#("#,'-$'# I#"6$ ,$ %'6$#(
:%'6$#( #$ "3' 6&& )
1. T'' -'6'#' /"-'0'#'# #$ 63?"$-"#6
78
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'. P"#'#((#( '+'&1@ IPCN2@ IPCLN 3'#('# 0'#( ,$-''# 63?"$-"#6
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1@ IPCN /"('6 3'#('#2@ P"('6 CSSD
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=. T'' -'6'#' ;3%-'3$% '#$&$;(3'%'. P"#'#((#( '+'&
1@ K;%$" PPI2@ K;%$" '3%'6$,'' /"%"3$6''# "6"*''# 0'#( ',' ,$ HRD
2@ D'' "6"*''# '30'+'#.. T'' -'6'#'1@ HRD %"#("-'3'# /"%&"3$'*'# /"%"3$6''# "6"*''# 6"$'/ *'3$ -'#(
'*#.2@ K;%$" PPI %"#($,"#$$'6$ #$ 0'#( *'36 ,$-''# /"%"3$6''# "6"*''#
R'#( ;*;3 '$3&;3#" ) /"('6 ,$-''# /"%"3$6''# TB 6"$'/ < &-'# 6"'-$.U#$ G$$ ) /"%"3$6''# $/;$, $'/ 1 '*# 6"'-$'@ K'30'+'# %"-''# /"%"3$6''# "6"*''# 0'#( 6"6'$ ""#'#.
&@ H'6$- ,$$,"#$$'6$@ B"36'%' HRD %"-''# '#'-$6' ,'# /"#'''# "6"*''#.
,@ K;%$" PPI ,'# HRD %"-'/;3'# *'6$- /"%"3$6''# "6"*''# '30'+'#"/',' ,$3"3 ,'# SMF.
8. P"-'0'#'# 3"#;?'6$ &'#(#'#'. P"#'#((#( '+'&
1@ K"' ;%$" PPI2@ IPSRS
&. P"3'#(' "3'1@ P'/'# /"%&"3$'*'# 6",'#( ,$-''# 3"#;?'6$ &'#(#'#2@ P"%"3$6''# 6+'& -'#'$
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83/96
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84/96
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BAB
LOGISTIK
A. Tt C% &+!)*t)# PPIRS
1. P"3"#'#''# &'3'#(.'. B'3'#( 3$#" )
1) K"3'6 HVS $#' /3$#"3 &;-/;$# ;3% 63?"$ *'3$'# ;3% 63?"$B-'#'# ;3% SPO 63?"$-"#6 & -$6.
2@ B'*'# ,"6$#"6$&. B'3'#( $,' 3$# )
1@ P3;/;6'- /"%"3$6''# -3 ,'# 6+'&2) P"#(',''# -"'-" ,'# &'##"3 "&"36$*'# '#('# "$' &' /"#"('*'# ,'#
/"#("#,'-$'# $#"6$ '#((#( '+'& &"36'%'.
2. P"3%$#''# &'3'#(.'. B'3'#( 3$#" ,$6'%/'$'# /',' &'($'# -;($6$ 3$#" 3%'* 6'$.&. B'3'#( $,' 3$#" ,$6'%/'$'# "3-"&$* ,'*- /',' ,$3"3 # ,$%$#''#
/"36"'#.
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1. P"#"('*'# ,'# P"#("#,'-$'# PPI2. K"'%'#'# /'6$"# /"#(##( ,'# /"('6
B$ Ke*e&4tn ,n Ke*etn #e%( Pe!
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2. L$%&'* '$3
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1@ K;*;3 ;#' $#"6$
2@ K;*;3 ,3;/-" $#"6$
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BAB III
PENGENDALIAN MUTU
A$ S)*te4 Penttn ,n Pe&"+%n
1. P"#"3'/'# 606"% /"#'''# ,'# /"-'/;3'# ,$ RSU D',$ K"-'3(' P3+;"3;
%"%/#0'$ '# )
'. M"#,'/''# ,'' # %"%"''# %'6'-'* %'6'-'* 0'#( &"3'$'# ,"#('#
"6"-'%''# /'6$"#
&. S"&'('$ &'*'# /"%&"-''3'# # %"#06# -'#('*:-'#('* '('3 KTD 0'#(
6"3/' $,' "3-'#( "%&'-$
. S"&'('$ ,'6'3 '#'-$6$6 # %"#,"6'$# -'#( 6' 6$6"% '6*'# /"-'0'#'# /'6$"#%"#',$ -"&$* '%'#
,. M"#3#'# %-'* $#6$,"# "6"-'%''# /'6$"# KTD ,'# KNC@
". M"#$#(''# % /"-'0'#'# ,'# "6"-'%''# /'6$"#
2. RSU D',$ K"-'3(' %"+'$&'# '('3 6"$'/ $#6$,"# "6"-'%''# /'6$"# ,$-'/;3'#
"/',' ;%$" "6"-'%''# /'6$"# 3%'* 6'$
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'. 1 24 '% # "',$'# 0'#( %"3/''# 6"#$# "-"?"#6 &"3,'%/' "%'$'# ''
"*$-'#('# #(6$ %'0;3 6"'3' /"3%'#"#@. A/'&$-' /"-'/;3'# 6"'3' "3-$6 &"-%
6$'/ /"-'/;3'# KTD ,'/' ,$6'%/'$'# 6"'3' -$6'# "3-"&$* ,'*-.
&. 2 24 '% # "',$'# 0'#( &"3,'%/' -$#$6 > ;#6""#6$ > "/'3'*'# $,'
6$(#$$'# %$#;3 ,'# %;,"3'.
=. T$#,' -'# ,'3$ /"-'/;3'# )
'. T$#(' 3$6$; 3"#,'* ,'# %;,"3' )$#?"6$('6$ 6","3*'#' ;-"* &'($'#>#$ 0'#(
"3'$ $#6$,"# 5) +*' +*; +*"3" +*"# +*0@.&. T$#(' 3$6$; $#(($ ,'# "63$% ) R;; C'6" A#'-06$6 RCA@ 0'#( ,$;;3,$#'6$
;-"* ;%$" "6"-'%''# /'6$"#.
. B$-' $#6$,"# "6"-'%''# /'6$"# 0'#( "3',$ %"%/#0'$ $#(' 3$6$; %"3'*
"63$%@ %'' ;%$" "6"-'%''# /'6$"# 6"("3' %"-'/;3'# "',$'# "36"&
"/',' ,$3"6$ RSU D',$ K"-'3('.
,. B$-' $#6$,"# "6"-'%''# /'6$"# 0'#( "3',$ %"%/#0'$ $#(' 3$6$; #$#(
$#(($@ %'' ;%$" "6"-'%''# /'6$"# 6"("3' %"-'/;3'# "',$'# "36"&
"/',' D$3"6$ RSU D',$ K"-'3('.
". K;%$" "6"-'%''# /'6$"# RS P'#$ R'*'0 %"-''# 3"'/$-'6$ -'/;3'# $#6$,"#
"6"-'%''# /'6$"# ,'# '#'-$6$6#0' 6"$'/$(' &-'# "/',' ,$3"6$ RSU D',$
K"-'3('.
B$ Pene%"n In,)#t+% Ke*e&4tn P*)en$
1. K;%$" K"6"-'%''# P'6$"# RSU DADI KELUARGA %"#"'/'# $#,$';3
"6"-'%''# &"3,'6'3'# ''6 /"3$%&'#('# high ris, high impact, high volume, prone
problem.
2. K;%$" K"6"-'%''# P'6$"# RSU DADI KELUARGA %"#"-'6'# ,"$#$6$ ;/"3'6$;#'-
3""#6$ /"#(%/-'# ,'' /"3$;," '#'-$6$6 '3' /"3*$#('# 6%&"3 ,'' '3(" ,'#
/"#'#((#( '+'&.
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C$ An&)*)* A#% M*&
1. D'-'% 3'#(' %"#$#(''# % ,'# "6"-'%''# /'6$"# RSU DADI KELUARGA%"#"3'/'# %";," root cause analysis RCA@ '' '#'-$6' ''3 %'6'-'* 0'$ 6'
"($''# $#?"6$('6$ "3633 0'#( &"3'# # %"-''# $,"#$$'6$ /"#0"&'&
%'6'-'* ,'6'3 ,'# # %"#"#'# $#,''# '('3 "',$'# 0'#( 6'%' $,' "3-'#(
"%&'-$.
2. RCA ,$-''# /',' $#6$,"# %",$6 "',$'# #0'3$6 ","3' ,'# KTD 0'#( 6"3$#( "3',$
,$ RSU DADI KELUARGA.
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&@. A#(' "',$'# $#"6$ '3% $#6
@. A#(' "',$'# $#"6$ '3"#' 3'#66$ ,'3'*
,@. T'3(" 63?"$-"#6 '#(' "',$'# $#"6$ 15
"@. T"36",$'#0' B'*'#:&'*'# ,"6$#"6$ 0'#( 6"6'$ 3";%"#,'6$ ,'# '%'# &'($
-$#(#('#@. D$-''##0' "($''# /"%'#''#
(@. H'6$- 6+'& ) '#('# ,$#,$#( ,'# -'#'$ AC 0'#( %"%"#*$ 6'#,'3 SPM@
*@. H'6$- -3 ) P6 ,'3'* ,'# #( '""3
2). U#$ CSSD )
'@. I#,$';3 &;+$" ,$ "6 $%$' ,'# %$3;&$;-;($ ,$-'6'#''# ,'# *'6$-#0' &'$&@. M'$#"#" ';-'?" .
@. K'-$&3'6$ A;-'?" ""3#'- &'$
,@. I#,$';3 %"'#$ $%$' &$;-;($
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P"#3#'# A#(' K%'# ,$ '3"' /"-'0'#'# *66
E$ F+%4'&*) ,%) )n,)#t+%6)n,)#t+% te%*e3't ,) t* ,& *e3!) 3e%)#'t
'@ K"-;%/; P"-'0'#'# N;#:B",'*1@ A#(' $#"6$ '3"#' J'3% I#6
2@ A#(' $#"6$ -' ;/"3'6$ 1!! T;'- /"#,"3$' 0'#( ,$;/"3'6$ ,'-'% 6' &-'#
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BAB I
PENUTUP
S"&'('$ /"#/ $3'#0' ,'/' ,$$#(''# "%&'-$ &'*+' /"-'0'#'# /"#"('*'# ,'#
/"#("#,'-$'# $#"6$ &'#-'* 36'# %"3"' 0'#( &"3('6 ,$ #$ PPIRS 6''. N'%# ('
'#((#( '+'& 6"%' /$*' 0'#( &"3',' ,$ R%'* S'$ U%% D',$ K"-'3('.
Y'#( /'-$#( /"#$#( ,$-'6'#''# ,'-'% 3'#(' P"#"('*'# ,'# /"#("#,'-$'# $#"6$
','-'* /'0':/'0' ",'6$ PPI "/',' 6' /'6$"# ,'# /"#(##( R%'* 6'$.6"*$#(('
,'/' %"3&'* /"3$-' 0'#( 6"*'/"#0'%/'$'# 6'3'#' ,'# /3'6'3'#' PPI ./'0' /"#"('*'#
,'# /"#("#,'-$'# $#"6$ ,$6','3$ '' $,' %"%"3-'# ,'#' 0'#( &"6'3 6"*$#((' %"%"3-'#
,#('# /"#* ,'3$ %'#'("%"# 3%'* 6'$.
D"%$$'#-'* /",;%'# /"-'0'#'# /"#"('*'# ,'# /"#("#,'-$'# $#"6$ R%'* S'$
U%% D',$ K"-'3('-"&$* &'$ %"#"('* ,'3$ /',' %"#(;&'$.
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