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    KEBIJAKAN PENGEMBANGANMANAJEMEN

    KINERJA (PMK) PERAWAT DAN BIDAN

    KEPMENKES RI No. 836/2005

    DIREKTORAT BINA PELAYANAN KEPERAWATAN DAN KETEKNISIANMEDIK 

    DIREKTORAT JENDERAL BINA UPAYA KESEATANKEMENTERIAN KESEATAN

    20!5

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     T"#"$% U&"&'

    S*$+ ,,- -%- ,$ *$-+ &$&" &&$+$&-%$% 1-#$1$% P%&$%$% M$%$#&%K-%#$ (PMK)

     T"#"$% K+",",'

    S*$+ ,,- -%- ,$ *$-+ &$&"

    !. M%#*$,1$% "*$,- 1$- *$$%$%1$4$$% $% 1-$%$%

    2. M%"1$% %-$% o,-o%$*-,&

    3. M%"1$% P*$$%$% K,+$$% D- R"&$+S$1-7 P",1,&$,7 D$% S$$%$ 1,+$$% L$-%

    . M%#*$,1$% &"" *$$%$% 1$4$$% $%1-$%$%

    5. M%#*$,1$% &$,$*$+ 9 &$,$*$+ *$$%$%1$4$$%/ 1-$%$% - -%o%,-$

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    L$%#"$%

     T"#"$% K+",",'

    6. M%"1$% %-$% PMK 

    :. M%"1$% $*,$$+ PMK 

    8. M%"1$% 1o&o%% PMK 

    ;. &%#*$*$,1$% ,1&$ PMK $4$ $% -$%

    !0. M%#*$,1$% -%,-9-%,- %$$% PMK !!. M%"1$% ,$- PMK 

    !2. M%#*$,1$% 1o%-",- PMK $4$ < -$%$*$& %-%1$$% 1"$*-$, *$$%$% 1,+$$%

    !3. M%"1$% $% ",$7 -%1, o=-%,-7-%1, 1$./ 1o$ $% ",1,&$, $*$& PMK 

    !. M%#*$,1$% -%-1$o $*$& %$$% PMK 

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    Po1o1B$+$,$%'

    K-#$1$% P%&$%$% M$%$#&% K-%#$ (PMK)

    S" o1o1 $+$,$%'

    !. R"*$,- 1$- *$$%$% 1$4$$% $%1-$%$%

    2. P%-$% o,-o%$*-,&

    3. P*$$%$% K,+$$% D- R"&$+ S$1-7 P",1,&$,7D$% S$$%$ 1,+$$% L$-%

    . M"" *$$%$% 1$4$$% $% 1-$%$%

    5. M$,$*$+ 9 &$,$*$+ *$$%$% 1$4$$%/1-$%$% - -%o%,-$

    6. P%-$% PMK 

    :. >$*,$$+ PMK 

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    L$%#"$%

    S" o1o1 $+$,$%'

    8. Ko&o%% PMK 

    ;. S1&$ PMK $4$ $% -$%

    !0. P-%,-9-%,- %$$% PMK 

    !!. S$- PMK 

    !2. Ko%-",- PMK $4$ < -$% $*$&%-%1$$% 1"$*-$, *$$%$% 1,+$$%

    !3. P$% ",$7 -%1, o=-%,-7 -%1, 1$./ 1o$7

    $% ",1,&$, $*$& PMK

    !. I%-1$o $*$& %$$% PMK 

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    A. REGULASI

    !. UU No. 36 T$+"% 200; %$% K,+$$% 2. UU No. T$+"% 200; %$% R"&$+ S$1-

      3. UU No. 36 T$+"% 20! %$% T%$$K,+$$%

    . UU No. 38 T$+"% 20! %$% K$4$$%

    PERKEMBANGAN

    PELAYANAN KEPERAWATAN7 KEBIDANAN

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    PASAL 63 UU NO. 36 TAUN 200; TENTANGKESEATAN

    Pasal 63 ayat 2

    P%&"+$% %. $% &"*-+$% 1,. D-*$1"1$% %$%%%$*-$%7 %o$$%7 $%/ $$" $4$$%

    Pasal 63 ayat 3

    P%%$*-$%7 %o$$%7 $%/ $$" $4$$% $$-*$1"1$% $,$1$% -*&" 1o1$% $% -*&"1$4$$% $$" ?$$ *$-% $% $$-$%"%#$4$1$% 1&$%$$$%%$ $%1$&$%$%%$

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    LANJUTAN

    Pasal 63 ayat 4

    P*$1,$%$$% %o$$%7 $%/ $$" $4$$%$,$1$% -*&" 1o1$% $$" -*&" 1$4$$%+$%$ $$ -*$1"1$% o*+ %$$ 1,+$$% $%&&"%$- 1$+*-$% $% 14%$%$% "%"1 -"

    Pasal 63 ayat 5

    P&-%$+ $% &-%$+ $$+ &*$1"1$%&-%$$% $% %$4$,$% +$$ *$1,$%$$%%o$$% $% /$$" $4$$% $$" $,$1$%

    ?$$ *$-% $% $$ -$%"%#$4$1$%

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    KEPMENKES/PERMENKES TENTANG PELAYANANKEPERAWATAN7 DAN KEBIDANAN

    K&1%1, No. 836 + 2005 PMK

    $4$ $% B-$%.K&%1, No. 2:; $+"% 2006 %$%o&$% %*$%$$$% 1,&$,.(o,, =-,-)

    K&%1, No. 36; $+"% 200: %$%

    S$%$ o,- -$%.K&%1, No. ;38 $+"% 200: %$%,$%$ $,"+$% 1-$%$%.

    Peraturan Menteri Kesehatan NomorHK.02.02/Menkes/148/I/2010 tentang Izin dan

    penyelenggaraan Praktik Perawat danperubahannya dalam Peraturan MenteriKesehatan Nomor 17 Tahun 2013 (BeritaNegara Tahun 2013 Nomor 473);

    K&%1, No. !6 $+"% 20!0 %$%-@-% $% %*%$$$% $1-1 -$%

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    LANJUTAN'

    K&%1, No. ;08/MENKES/SK/II/20!07 %$%o&$% %*%$$$% *$$%$% 1$4$$%1*"$$.

    K"",$% &%- 1,+$$% R"*-1 I%o%,-$R"*-1 I%o%,-$ ' No&o 22;/MENKES/SK/II/20!07

    $%$* 3 >"$- 20!07 %$% Po&$% A,"+$%K-$%$% M$,$ P-&%o$",

    K"",$% &%- 1,+$$% R"*-1 I%o%,-$'No&o 230/M%1,/SK/II/20!07 $%$* 03 >"$-20!07 %$% Po&$% R$4$ G$"% I" $% B$-

    P$"$% M%- K,+$$% R"*-1 I%o%,-$'No&o !6/MENKES/PER//20!07 $%$* 0O1o 20!07 %$% I@-% $% P%*%$$$%P$1-1 B-$%

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     P*$$%$% 1,+$$%

    &%$?" SPM K$/Ko$ $% *$+-$1$%

    D-*"1$% o,-o%$*-,& %$$

    1,+$$%

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    PRO>ESIONALISME

    P*$$%$% 1,+$$% $% --1$% o*+ %$$1,+$$% $% &&"%$- 1o&%,- --$%%$

    P*$$%$% $% -*$1"1$% $,$1$% $$,$%$ *$$%$%  -$1$%

    Bo-%$,- 1$$ 1%-%$%/ 1""+$% 1*-%

    D$*$& &&-1$% *$$%$% $,$1$% $$-1$ o,-

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    PELAYANAN KESEATAN

    DI RUMA SAKIT7 PUSKESMAS7 DAN SARANAKES. LAIN

    P*$$%$% &-1P*$$%$% 1$4$$% $%1-$%$%

    P*$$%$% %"%#$% &-1

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    DUA >AKTOR YANG MENENTUKAN MUTUPELAYANAN KEPERAWATAN DANKEBIDANAN7 YAITU'

    !. PENINGKATAN DAN PENGEMBANGANSUMBER DAYA MANUSIA ATAU TENAGAKESEATAN (QUALITY OF CARE)

    2. PENYEDIAAN SARANA DAN PRASARANA YANG MENUNJANG PELAKSANAAN TUGAS (QUALITY OF SERVICES)

      MUTU PELAYANANKEPERAWATAN $% KEBIDANAN

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    P$4$ $% -$% *"& &&-*-1- "$-$%

    "$, "*-,(:7 C).

    P$4$ $% -$%.  -$1 &%"%$1$%,$%$

    P$4$ $% -$% -$1 --%$ 1-%#$%$,?$$ $".

    B*"& -1&$%1$% ,-,& &o%-o-% $%=$*"$,- 1-%#$ $4$ $% -$%.

    Masalah - MasalahPelayanan Keperawatan/Ke!"anan #! In"$nes!a

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    PERA%A& #A' (I#A' #I RS) PUSKESMAS)SARKES LAI'

    MELAKUKA' PELA*A'A' KLI'ISKEPERA%A&A' #A' KE(I#A'A'

    PERLU

    P%--1$% $% *$-+$% 1*-%-1 $%1*$%#"$%

    S$$%$ $% $*$$% $% &"" $% $&$%

    P&-%$$% $% &o%-o-% 1-%#$ 1*-%-,,?$$ ", &%",

    D"1"%$% &$%$#&%

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    B$,$1$% +$,-* 1$#-$% $+"%200!

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     KI'ER+A ,PMK PERA%A& #A'

    (I#A'

    A$*$+ ,"$" "$$ %-%1$$%1&$&"$% &$%$#-$* $% 1-%#$

    $4$ $% -$% $*$&&&-1$% *$$%$% 1$4$$%$% 1-$%$% - ,$$%$ *$$%$%1,+$$% "%"1 &%?$$- *$$%$%

    1,+$$% $% &"".

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    >ALSA>A PMK 

    PMK &&$,-*-$,- ?-$%$ "ayaer0a perawat "an !"an $% &%$$+1$$ "$$ %-%1$$% &"" *$$%$%1$4$$% $% 1-$%$%  $%-$,$1$% $$ pr$1es!$nal!se) IP&EK)aspe leal) erlan"asan et!a  "%"1&%"1"% ,-,& *$$%$% 1,+$$%,?$$ $prehens!1 

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    KMP'E' PMK PERA%A& (I#A'

    !. S$%$ (SOP/SPO)

    2. U$-$% "$,

    3. I%-1$o K-%#$ 1*-%-1. D-,1",- R1,- K$,",

    5. Mo%-o-% $% E=$*"$,-

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    Contoh Uraian tugas .xls

    http://../Aceh%2024%20SEPT%202013/Contoh%20Uraian%20tugas%20.xlshttp://../Aceh%2024%20SEPT%202013/Contoh%20Uraian%20tugas%20.xls

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    SKEMA PMK PERAWAT $% BIDAN

      M$n!t$r!n "an Ealas!

    INPUT ;-Uraian tugas-Tanggung jawab-SPO/standar -Pelatihan yg

     diikuti

    -Sistempenghargaan-Jabatan

    fungsinal

    P!OS"S #-$nitring

    kinerja-Pengendalian

     Penyimpangan-Peningkatan

     %eterampilan-&!%-&kumentasi

    OUTPUT;-%inerja

    meningkat-$ti'asi

    meningkat-(kuntabilitas

     meningkat

    -%epuasan

     meningkat-$endrng

     Sistem

     penghargaan

    Pening

    katan

    %ualitas

    Pelayanankesehatan

    KER+A &IM #A' PEM(ELA+ARA'(ERLA'+U&

    SIS&EM *A'KES PUSKESMAS/ RS

    M

    I

    &

    M

    E

    '

    E

    7

    I

    S

    I

    E

    '

    E

    7

    E

    &

    I

    7

     KUALI&AS

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    PRI'SIP-PRI'SIP PE'ERAPA'

    PMK Ko&-&%

    K"$*-$,

    K#$ -&P&*$#$$% *$%#"

    E1- $% ,-%

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    S&RA&EGI PMK 

    M&$%"% 1o&-&%

    M*-$1$% ,$1+o*

    M%*o*$ ,"& $$

    Po,-o%$*-,&

    D,%$*-,$,-

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    K'&RI(USI PMK PERA%A& (I#A'#ALAM PE'I'GKA&A' KUALI&AS PELA*A'A'

    KESE8A&A'

    MASYARAKAT SEATMASYARAKAT SEAT YANG MANDIRI YANG MANDIRI

    DAN BERKEADILANDAN BERKEADILAN 

    PELAYANAN KESEATAN PRIMAPELAYANAN KESEATAN PRIMA

    SPM KABUPATEN/KOTASPM KABUPATEN/KOTA

    PMK PERAWAT < BIDANPMK PERAWAT < BIDAN

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    PERA' PUSA&

    So,-$*-,$,- $% $=o1$,- 1 o=-%,-

    M&$,-*-$, o=-%,- $*$& -&*&%$,-

    PMK.Mo%-o-% $% =$*"$,-

    B-&-%$% $% ,"=-,-

    M*$1"1$% o** o" 1 o=-%,- *$-%.

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    PERAN DINKES PROPINSI

    So,-$*-,$,- PMK 1 K$"$%/ Ko$

    P*$-+$% *$-+ 1$"$% (DTOT)

    M&$,-*-$,- K$"$%/Ko$ $*$& %$$%$% %&$%$% PMK 

    M*$1"1$% &o%-o-% $% =$*"$,- PMK 

    B1#$,$&$ %$% -+$1 1$- $*$&%&$%$% PMK 

    B-&-%$% $% ,"=-,-

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    PERAN DINKES KABUPATEN/KOTA

    So,-$*-,$,- 1 RS/P",1,&$,

    P%$$% $% o** o" PMK 

    Mo%-o-% $% =$*"$,- ,,"$- #$4$*B-&-%$% $% =$*"$,- ,?$$ -o-1

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    PERAN PUSKESMAS

    M%","% SPO

    M%","% U$-$% "$, $% -%-1$o 1-%#$

    M%","% #$4$* DRK7 $% &*$1,$%$1$% ,-$

    "*$%.

    M*$1"1$% o1"&%$,- 1-$$%

    M*$1"1$% *$-+$% (-%9,=-? $-%-%)

    M*$1"1$% &o%-o-% ,,"$- #$4$*.

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    I'#IKA&R PE'ERAPA' PMK #IPUSKESMAS

    I%"K-#$1$% ",1,&$, $% &%"1"% PMK $4$ $%-$%.

    D"1"%$% $- ,$1 +o*

    A$ ,o$% 1oo-%$o $% $%"% #$4$ $*$&%$$% PMK (&%"&"*1$% $$7 =$*"$,- $%*$o$% 1 D-%1,)

     T,-$ $%$ "%"1 %$$%7 *$-+$% $%&o%-o-%

    P%?$%$$% o** o" 1 ",1,&$, *$-% J$4$* &o%=

    S&"$ ",1,&$, &&"%$- ,$%$7&%&$%1$% "$-$% "$,7 -%-1$o 1-%#$ $%DRK.

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    PROSES

    A$ 1-$$% ,o,-$*-,$,- $% o** o" 1 "$%$%$4$$% *$-%.

    M%","% SPO

    M%","% "$-$% "$, $% -%-1$o 1-%#$

    1*-%-, $4$

    $% -$%.

    M%","% #$4$* 1-$$%.

    A$ 1-$$% DRK ,?$$ $" ,-$ "*$%

    ,1$*-

    A$%$ %o1"&%$,-$%

    A$%$ *$-+$% (-%9,=-? $-%-%)

    Mo%-o-% -*$1"1$% ,,"$- #$4$*

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    OUT PUT

    B$&$+%$ "$%$% $% &%$1$% PMK.M%-%1$%$ #"&*$+ $4$ $% -$% $% -1"*$-+$%.

    A$%$ "$-$% "$, "*-, ,-$ $4$ $%-$% $% -,$+1$% -&-%$%.

    S-$ *$$%$% 1$4$$% $% 1-$%$% $$SPO $% -,$+1$% -&-%$%.

     T*$1,$%$%$ DRK ,?$$ "-% (o1"&%)

    A$%$ 1-$$% %-%1$$% 1$&-*$% 1*-%-,

    $4$ $% -$%.

    M%-%1$%$ 1-%#$ 1*-%-, $4$ $% -$%.

    M%""%%$ $%1$ 1"-",.

    M%""%%$ $%1$ *--,

    8ASIL E9ALUASI SPMKK/PMK ,7K-UGM)

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    8ASIL E9ALUASI SPMKK/PMK ,7K UGM)2::3

    #I MAGELA'G) SLEMA') K&A *G*AKAR&A

    ASIL TEMUAN '

    M%-%1$%$ %o1"&%$,-$% *$$%$%7$% ,&"*$ 23 C &%#$- 87; C

    M%-%1$%$ $%1$ 1+$-$% $4$-7 $%,&"*$ 8078 C &%#$- ;678 C.

    M%-%1$%$ 1$"+$% $*$& %"%$$%,$%$ $*$& &*$1"1$% *$$%$% - "&$+,$1- $% ",1,&$,7 $% ,&"*$ 2075 C&%#- :0 C

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    LANJUTAN'

    M%-%1$%$ $4$ $% -$% $%&&"%$- "$-$% "$, ,?$$ #*$,  $%"*-,7 $% ,&"*$ 572 C &%#$- ;:75 C

    M%-%1$%$ &o%-o-% 1-%#$ 1*-%-, $4$$% -$% $% $,$1$% $$ -%-1$o

    1-%#$ 1*-%-,7 $% ,&"*$ !67 C &%#$- 8673C

    M%-%1$%$ &"$% $% -*$1"1$%$4$ $% -$% $*$& &&$+$, 1$,",91$,", 1*-%-,7 $% ,&"*$ 3!75 C &%#$- ;:73 C

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    PE'U&UP

    K+$,-*$% PMK $%"% $$ "1"%$% $-P&-%$+ Po-%,-7 K$"$%/Ko$

    Ko&-&% D-%$, K,+$$% Po-%,-/K$/Ko$7

    P-&-%$% ,$$%$ 1,+$$% < ,$1+o* *$-% PMK $4$ < -$% $$ 1o%-",- +$$

    %-%1$$% *$$%$% 1,+$$%  - RS7P",1,&$,7 P","7 Po,1,,/D,$ ,-$$ $%

    ,$$%$ 1,+$$% *$-% PMK $4$ $% -$% $$ &&$%"

    &%""%1$% AKI7 AKB $% $%1$1,$1-$%/1&$-$%

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    &ERIMA KASI8

    P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  R                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  

    A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   

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