panduan gizi

7/21/2019 Panduan Gizi

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PANDUAN PELAYANAN

INSTALASI GIZI

HERMINA BEKASI

TAHUN 2013

1



BAB I

PENDAHULUAN

A. Latar Belakang

Resiko kura! !i"i aka #u$u% se$ara k%iik &a'a ora! saki() (eru(a#a &a'a &e'eri(a

aoreksia) ko'isi #u%u( * !i!i !e%i!i +uruk ser(a kesu%i(a #ee%a) &e,aki( sa%ura $era

'iser(ai #ua%) #u(a- 'a 'iare) i.eksi +era() (i'ak sa'ar &a'a /ak(u %a#a) ke!a!a%a

.u!si sa%ura &e$eraa 'a &asie #e'a&a( ke#o(era&i Hasi% &ee%i(ia #euukka

20 40 &asie #e'eri(a kura! !i"i &a'a saa( 'ira/a( 'i ru#a- saki(

Se%ai 'ari i(u ) 'i RS Her#ia Bekasi Pe%a,aa Gi"i Ru#a- Saki( +uka saa 'i+erika

ke&a'a &asie (e(a&i u!a +a!i &ara kar,a/a 'a 'ok(er ,a! 'i-ara&ka 'a&a(

#e#+erika &e%a,aa se$ara o&(i#a% 5ser6i$e e7$e%e(8 ke&a'a &asie ke(ika #ereka

#e%akuka (u!as,a

Sea%a 'e!a 6isi 'a #isi RS Her#ia Bekasi Pe%a,aa Gi"i Ru#a- Saki( ,a!

'i+erika -arus 'ike%o%a se$ara &ro.esioa% a!ar #u(u,a (e(a& (era#i se-i!!a 'a&a(

#e#+a(u #e#&er$e&a( &roses &e,e#+u-a 'a 'a&a( &u%a #e#eu-i ke+u(u-a !i"i

kar,a/a Da#&ak,a a'a%a- -ari &era/a(a &asie #ea'i %e+i- &e'ek 'a +ia,a

&era/a(a,a +erkura!) se'a!ka +a!i kar,a/a aka +er'a#&ak (er-a'a&

#ei!ka(,a &ro'uk(i.i(as kara

A!ar &e%a,aa !i"i ru#a- saki( 'a&a( 'i%aksaaka se$ara o&(i#a% 'a +er'asarka

Proses Asu-a Gi"i Ters(a'ar 5PAGT8) 'i&er%uka sua(u 9Pe'o#a Pe,e%e!!araa

Pe%a,aa Gi"i Ru#a- Saki(9 +a!i se(ia& RS Her#ia Bekasi ,a! 'a&a( 'i&akai se+a!ai

a$ua +a!i &ara &e(u!as 'a #aae#e ru#a- saki( a!ar ke+u(u-a !i"i &asie) kar,a/a

#au&u 'ok(er 'a&a( 'i&eu-i

B. Ruang Lingkup

Rua! %i!ku& &e%a,aa &okok &e%a,aa !i"i ru#a- saki( 'i RS Her#ia Bekasi (er'iri

'ari Asu-a Gi"i Pasie Ra/a( Ia&) Asu-a Gi"i Pasie Ra/a( :a%a 'a

Pe,e%e!!araa Makaa U(uk #ei!ka(ka &e%a,aa &ari&ura ke&a'a &asie

'i+e(uk Ti# Tera&i Gi"i ,a! +er(u!as #e,e%e!!araka &e%a,aa !i"i 'i Ra/a( Ia&)Ra/a( :a%a (er#asuk 'i k%iik !i"i ra/a( a%a

2



C. Batasan Operasional

Ya! 'i#aksu' 'e!a ;

18 Pelayanan Gizi) sua(u u&a,a #e#&er+aiki) #ei!ka(ka !i"i) #eru&aka sua(u

ra!kaia ke!ia(a ,a! #e%i&u(i &e!u#&u%a) &e!o%a-a) aa%isis) si#&u%a)

aura) i#&%e#e(asi 'a e6a%uasi !i"i) #akaa 'a 'ie(e(ik 'a%a# ra!ka #e$a&ais(a(us kese-a(a o&(i#a% 'a%a# ko'isi se-a( a(au saki(

28 i! Asu"an Gizi# i! erapi Gizi) a'a%a- seke%o#&ok (ea!a &ro.esi 'i ru#a- saki(

,a! (erkai( 'e!a &e%a,aa !i"i &aasie +erisiko (i!!i #a%u(risi) (er'iri 'ari

'ok(er*'ok(er s&esia%is) a-%i !i"i*'ie(isie) &era/a() 'a .ar#asi 'ari se(ia& ui(

&e%a,aa) +er(u!as +ersa#a #e#+erika &e%a,aa &ari&ura ,a! +er#u(u

38 Proses Asu"an Gizi erstan$ar %PAG& a'a%a- Pe'eka(a sis(e#a(ik 'a%a#

#e#+erika &e%a,aa asu-a !i"i ,a! +erkua%i(as) #e%a%ui sera!kaia ak(i6i(as

,a! (eror!aisir #e%i&u(i i'e(i.ikasi ke+u(u-a !i"i sa#&ai &e#+eria &e%a,aa,a

u(uk #e#eu-i ke+u(u-a !i"i<8 Nutrisionis) a'a%a- seseora! ,a! 'i+eri (u!as (a!!u! a/a+ 'a /e/ea! se$ara

u(uk #e%aksaaka ke!ia(a (ekis .u!sioa% 'i +i'a! &e%a,aa !i"i 'a 'ie(e(ik)

&e'i'ika 'asar aka'e#i !i"i

=8 'onseling gizi) a'a%a- sera!kaia ke!ia(a se+a!ai &roses ko#uikasi 'ua ara- ,a!

'i%aksaaka u(uk #eaa#ka 'a #ei!ka(ka &er+aika sika& 'a &ri%aku

se-i!!a #e#+a(u &asie * k%ie 'a%a# #e!a(asi #asa%a- !i"i) 'i%akuka o%e-

seora! u(risiois * 'ie(isie

48 Penyulu"an Gizi a'a%a- sera!kaia ke!ia(a &e,a#&aia &esa&esa !i"i 'a

kese-a(a ,a! 'ire$aaka 'a 'i%aksaaka u(uk #eaa#ka 'a #ei!ka(ka &e!er(ia) sika& ser(a &eri%aku &osi(i. &asie*k%ie 'a %i!ku!a,a (er-a'a& u&a,a

&ei!ka(a s(a(us !i"i 'a kese-a(a Pe,u%u-a !i"i 'i(uuka u(uk ke%o#&ok a(au

!o%o!a #as,araka( #assa%) 'a (ar!e( ,a! 'i-ara&ka a'a%a- &e#a-a#a &eri%aku

kese-a(a 'a%a# ke-i'u&a se-ari-ari

>8 (utu Pelayanan Gizi) a'a%a- sua(u ko'isi ,a! +er-u+u!a 'e!a &e%a,aa !i"i

sesuai s(a'ar ,a! #e#uaska +aik kua%i(as &e(u!as #au&u saraa ser(a &rasaraa

u(uk ke&e(i!a k%ie

?8 )anitasi Pangan a'a%a- u&a,a &e$e!a-a (er-a'a& ke#u!kia (u#+u- 'a

+erke#+a!,a asa' reik &e#+usuk 'a &a(o!e 'a%a# #akaa) #iu#a)

&era%a(a 'a +a!ua ,a! 'a&a( #erusak &a!a 'a #e#+a-a,aka #ausia

3



BAB II

PELA*ANAN GI+I R) HER(INA BE'A)I

Pe%a,aa !i"i 'i ru#a- saki( a'a%a- &e%a,aa !i"i ,a! 'isesuaika 'e!a kea'aa &asie

+er'asarka kea'aa k%iik) s(a(us !i"i 'a s(a(us #e(a+o%is#e (u+u-,a

Kea'aa !i"i &asie sa!a( +er&e!aru- &a'a &roses &e,e#+u-a &e,aki() se+a%ik,a

&roses &era%aa &e,aki( 'a&a( +er&e!aru- (er-a'a& kea'aa !i"i &asie Seiri! ko'isi

&asie se#aki +uruk karea (i'ak 'i&er-a(ika kea'aa !i"i,a

Tera&i !i"i ,a! #ea'i sa%a- sa(u .ak(or &eua! u(a#a &e,e#+u-a (e(u,a -arus

'i&er-a(ika a!ar &e#+eria (i'ak #e%e+i-i or!a (u+u- u(uk #e%aksaaka .u!si

#e(a+o%is#e Pe#+eria 'ie( &asie -arus se%a%u 'ie6a%uasi 'a 'i&er+aiki sesuai 'e!a

&eru+a-a k%iik &asie) -asi% &e#eriksaa %a+ora(oriu#) 'a se+a!ai,a

U&a,a &e%a,aa !i"i 'i RS Her#ia Bekasi ,a! 'i+erika +a!i &asie) kar,a/a) #au&u

'ok(er #eru&aka (u!as 'a (a!!u! a/a+ Pe%a,aa Pe%a,aa Gi"i 'a Ta(a Bo!a

A. ,isi

Pe%a,aa Gi"i RS Her#ia Bekasi #eru&aka ui( &e%a,aa &ro.esioa% ,a!

+erorie(asi ke&a'a ke+u(u-a !i"i &e%a!!a 5&asie) 'ok(er) kar,a/a8 u(uk #ea!a

(er$i&(a,a &e%a,aa kese-a(a ,a! e.ek(i.) a#a 'a ekoo#is

B. (isi

1 Me,e%e!!araka &ro'uksi 'a 'is(ri+usi #akaa ,a! 'a&a( #eua! as&ek

&ro#o(i.) &re6e(i.) kura(i. 'a re-a+i%i(a(i. 'a%a# #e/uu'ka &ro!ra# kese%a#a(a

&asie) 'ok(er 'a kar,a/a RS Her#ia Bekasi

2 Me,e%e!!araka &e%a,aa !i"i 'i ra/a( ia& ,a! +erorie(asi &a'a ke+u(u-a !i"i

&asie !ua #e#&er$e&a( &roses &e,e#+u-a

3 Me%akuka &e,u%u-a 'a kosu%(asi !i"i u(uk &asie 'i Is(a%asi Ra/a( :a%a 'a

Ra/a( Ia&

< Me%akuka ke!ia(a !i"i (era&a u(uk #ei!ka(a #u(u &e%a,aa !i"i

= Me#+erika &e'i'ika 'a &e%a(i-a +a!i &e(u!as a!ar 'a&a( #e#+erika &e%a,aa,a! &ro.esioa%

<



C. u-uan

1 Terse%e!!ara,a &ro'uksi 'a 'is(ri+usi #akaa ,a! a#a se-i!!a #eua!

&ro!ra# kese%a#a(a &asie

2 Terse%e!!ara,a &eere#a-a 'a e6a%uasi 'ie( &asie sesuai 'e!a ke+u(u-a

'a kea'aa &asie ra/a( ia&

3 Terse%e!!ara,a &e,u%u-a 'a kosu%(asi !i"i ke&a'a &asie ra/a( a%a 'a

ra/a( ia& (e(a! #a.aa( 'ie(

< Ter%aksaa,a ke!ia(a !i"i (era&a #e%a%ui sur6ei &e%a,aa !i"i

= Ter$i&(a,a &ro.esioa%is#e 'a%a# #e!e%o%a &e%a,aa !i"i sesuai 'e!a s(a'ar

&e%a,aa !i"i ru#a- saki(

D. 'ei-akan U!u! Pelayanan Gizi

18 Pe%a,aa !i"i) #ii#a% 'i&i#&i o%e- seora! saraa 5S18 !i"i 'e!a 'asar

&e'i'ika saraa !i"i sesuai s(a'ar kua%i.ikasi (ea!a 'i Is(a%asi !i"i ru#a- saki(

,a! 'i(e(a&ka De&kes RI #euru( ke%as ru#a- saki(

Se'a!ka 'i RS Her#ia Bekasi Pe%a,aa Gi"i 'a Ta(a Bo!a 'i&i#&i o%e-

seora! 'e!a &e'i'ika DIII Gi"i

28 Terse'ia .asi%i(as rua!a 'a a%ur kera ,a! e.isie 'a &era%a(a u(uk ;

a Peeri#aa +a-a #akaa 'a #akaa

+ Pe,i#&aa +a-a #akaa 'a #akaa

$ Pe,ia&a #akaa

' Persia&a #akaa (er#asuk &e#asaka

e Pe,aia #akaa #asak

. Pro'uksi #akaa

! Dis(ri+usi #akaa

- Pe,aia 'a &e,a%ura #akaa

i Pe$u$ia a%a( #aka

Pe,i#&aa a%a( #aka

k Pe#+ua!a sa#&a-

38 Terse'ia .asi%i(as rua!a 'a &era%a(a u(uk &e%a,aa kosu%(asi*&e,u%u-a 'ie(

i'i6i'u a(au ke%o#&ok) +aik u(uk &asie ra/a( ia& #au&u ra/a( a%a) &e!a/ai)

'a #as,araka( &e!!ua ru#a- saki(

<8 Se#ua !u'a! +a-a #akaa -e'ak,a +era'a 'i +a!ia ,a! %e+i- (i!!i u(uk

#e$e!a- !ea!a air 'a #ea!a ke%e#+a+a,a He'ak,a 'i-i'arka

=



#e%e(akka !u'a! 'i kaki (a!!a * e%e6a(or) rua! &era%a(a a(au rua!rua! ,a!

kura! sesuai u(uk +a-a #akaa

=8 Ba-a #akaa -e'ak,a (i'ak 'i%e(akka 'i+a/a- sa%ura * &i&a air 5air +ersi-

#au&u air %i#+a-8 u(uk #e$e!a- ke+o$ora 'ari sa%ura (erse+u( He'ak,a (i'ak

a'a 'raiase 'iseki(ar !u'a! #akaa u(uk #e!-i'ari sa%ura +a%ik * #e%ua&,a

sa%ura &a'a saa( #a$e(

48 Se#ua +a-a #akaa -e'ak,a 'isi#&a &a'a rakrak ,a! +aik 'e!a ke(i!!ia

rak (er+a/a- 'ari %a(ai 20 @ 2= $# Ha% ii u(uk #e!-i'ari ko(a#iasi karea

!ea!a air) #e#u'a-ka &e#+ersi-a 'a #e$e!a- i.es(asi sera!!a

>8 Su-u !u'a! +a-a #akaa keri! 'a ka%e! 'ia!a kura! 'ari 220 u(uk

#e!ura!i &er(u#+u-a sera!!a) +ak(eri a(au kerusaka ka%e! Su-u 'i'a%a#

rua! &e'i!i a(ara @100 sa#&ai =0

?8 Gu'a! -arus 'i+ua( a(i (ikus 'a sera!!a :e'e%a 'a &i(u &er%u 'i&asa! ka$a) &e%i'u! (ikus 'a (e#&a( #asuk &i&a -arus 'i(u(u& se#e

8 Casi%i(as sesuai 'e!a &ers,ara(a !e'u! 'a &era(ura ,a! +er%aku 'i(ekaka

&a'a ;

a La(ai) 'i'i! 'a %a!i(%a!i( ,a! #u'a- 'i+ersi-ka

+ Peera!a ,a! #e#eu-i &ers,ara(a ko'isi kera

$ e(i%asi ,a! $uku&) su-u 'a ke%e#+a+a

' Me#eu-i &ers,ara(a a(i ke+akara

108 A'a rua! &eeri#aa 'e!a .asi%i(as &e#eriksaa #u(u 'a u#%a- +a-a #akaa

,a! %a!su! 'i&i'a-ka ke (e#&a( &e,i#&aa

118 Pe,i#&aa 'i %e#ari &e'i!i) -e'ak,a #e#eu-i ke(e(uake(e(ua se+a!ai

+eriku( ;

a Rakrak 'a%a# re.ri!era(or -arus 'ia(ur se'e#ikia ru&a se-i!!a +a-a #akaa

(i'ak sa%i! +er'esaka

+ Re.ri!era(or -arus +erukura #e#a'ai se-i!!a 'a&a( 'i!uaka se$ara +aik 'a

#u'a- 'ia!kau

$ Da%a# re.ri!era(or -e'ak,a 'ise'iaka rua! ,a! #e#a'ai u(uk #eiris

&o(o!a&o(o!a 'ari .ree"er' Makaa ,a! 'isi#&a 'a%a# re.ri!era(or -e'ak,a 'i%e(akka 'a%a# /a'a-

'e!a 'asar (i'ak %e+i- 'ari = @ >)= $#) se-i!!a #akaa +isa $e&a( 'i!i 'a

#e!ura!i &er(u#+u-a ku#a

e Pa'a saa( &e,aia) su-u #akaa 'ia!a 'i a(as 4=0 u(uk #akaa -a!a( 'a

<0 u(uk #akaa 'i!i

4



E. (ekanis!e Pelayanan Gizi Ru!a" )akit

Ke!ia(a PGRS 'a&a( 'i%aksaaka +er'asarka #ekais#e +eriku( ii ;

Ga!ar /

(E'ANI)(E PELA*ANAN GI+I RU(AH )A'I

Per%u (i'ak %au(

Berisiko Berisiko Ti'ak +erisiko Tuua (i'ak (er$a&ai

>

Pasie Masuk

Ra/a( Ia& Ra/a( :a%a

Skrii!

Gi"i

Moe6Ko(ro% U%a

Skrii! Gi"i*

ruuka Gi"i

Asses#e

Dia!osis Gi"i

I(er6esi Gi"i;

Kose%i! Gi"i

Skrii!

U%a!

Perio'ik

Pe!kaia U%a!

Re6isi Re$aa

Asu-a Gi"i

Asses#e

Gi"i

Pee(uaDia!osis

Gi"i

I(er6esi Gi"i;

Pe#+eria

Die(

E'ukasi

Kose%i!Gi"i

Moi(or

E6a%uasi

Gi"i

Per#i(aa) Pe#+a(a%a)

Peru+a-a Die(

Pe%a,aa

#akaa

Pasie

Pere$aaa

Meu

Pe!a'aa

Ba-a

Makaa

Peeri#aa

Pe,i#&aa

Ba-a Makaa

Pe!kaia

Makaa 'i Rua!

Ra/a( Ia&

Dis(ri+usi

Makaa

Persia&a

Pe!o%a-a

Makaa



Sumber ; Mo'i.ikasi 'ari Buku Pe'o#a Pe%a,aa Gi"i Ru#a- Saki( Ta-u 2013

Pee%asa ;

Ga!ar / tentang (ekanis!e Pelayanan Gizi Ru!a" )akit

K%ie * &asie ru#a- saki( 'i+e'aka 'a%a# 2 5'ua8 ka(e!ori) ,ai(u ;

/. Pasien Ra0at Inap

1 Pa'a &asie +aru +er'asarka skrii! !i"i o%e- &era/a() DP:P aka #ee(uka

&reskri&si 'ie() 'a a&aka- &asie #e#+u(u-ka ases#e !i"i a(au (i'ak 'e!a

sis(e# skori!

2 :ika &asie (i'ak +erisiko aka 'i%akuka i(er6esi 'a 'i%akuka skrii! u%a!

se(ia& > -ari o%e- &era/a(

3 :ika &asie +erisiko &era/a( aka #e#+ua( ruuka ke&a'a &e(u!as !i"i ru#a-

saki( u(uk #e%akuka ases#e !i"i) &ee(ua 'ia!osis !i"i) i(er6esi ser(a

#oi(or e6a%uasi< Pasie 'iaurka u(uk #aka #akaa ,a! 'ise'iaka o%e- ru#a- saki() ika

a'a #akaa ,a! 'i+a/a 'ari %uar ru#a- saki( #aka -arus 'ike(a-ui o%e- &e(u!as

kese-a(a

= :ika a'a &eru+a-a 'ie( #aka &era/a( aka #e$a(a( &a'a .or# $a(a(a (eri(e!rasi

&asie ra/a( ia&

Pa'a (a-a& i(er6esi * i#&%e#e(asi ;

a Bi%a (i'ak #e#er%uka (era&i 'ie( ;

18 Pasie 'i&esaka #akaa +iasa ke +a!ia !i"i ke$ua%i a'a a%er!i #akaa #aka

#eu aka 'isesuaika 'e!a ke+u(u-a,a

28 Ba!i &asie ke%as I) IP) Su&er IP) 'a Sui(e Roo# aka #e'a&a( #eu &i%i-a

38 Mu%ai 'ari &er#i(aa) &ere$aaa #eu) &e!a'aa +a-a #akaa) ke#u'ia

&eeri#aa &e,i#&aa) &ersia&a 'a &e!o%a-a #akaa -i!!a

'i'is(ri+usika ke rua! &era/a(a 'a 'i rua! &era/a(a #akaa 'isaika

ke&a'a &asie

<8 Pa'a saa( #e#+erika &e%a,aa ke&a'a &asie) &e(u!as aka #e%akuka

i'e(i.ikasi 'e!a #ea,aka a#a 'a usia &asie 'a 'i$o$okka 'e!a

+ar$o'e ,a! a'a &a'a a#&a #akaa

=8 Pasie 'ia#a(i 'a 'ie6a%uasi se$ara .isik) a(ro&o#e(ri) %a+ora(oriu#) 'a %ai

%ai Pe!a#a(a u!a 'i%akuka u(uk #ei%ai a.su #aka 'a asu&a

#akaa,a Hasi% &ei%aia (erse+u( #e#+uka ke#u!kia +a-/a ia

#e#er%uka &e,esuaia 'ie( a(au (i'ak

48 Bi%a (i'ak) (e(a& #e#&ero%e- #akaa +iasa sa#&ai 'i&er+o%e-ka &u%a!

?



>8 Pa'a -ari ke> &era/a( aka #e%akuka skrii! u%a!

?8 Bi%a (uua 'ie( (i'ak (er$a&ai #aka 'i%akuka &e!kaia u%a! re6isi re$aa

asu-a !i"i) &roses,a sa#a 'e!a +i%a ia 'ari se#u%a #e#er%uka (era&i 'ie(

+ Bi%a #e#er%uka (era&i 'ie( ;

18 Pasie 'e!a &erse(uua DP:P 'ikosu%ka ke&a'a 'ok(er s&esia%is !i"i k%iik28 Ba!i &asie ,a! 'ire$aaka 'e!a #akaa k-usus * 'ie() ,a! sesuai 'e!a

kea'aa .isik) &sikis) &e,aki() ke+iasaa #aka 'a a.su #aka) a'a (i'ak,a

a%er!i #akaa

38 Saa( a/a% -ari ra/a( &asie #e#&ero%e- e'ukasi !i"i (e(a! #akaa ,a! +o%e-)

'i-i'ari) 'a 'i+a(asi) a!ar 'i&ero%e- &ersesuaia &a-a# (e(a! 'ie(,a) 'a

&asie 'a&a( #eeri#a ser(a #ea%aka 'ie(

<8 Makaa k-usus 'i&esa ke (e#&a( &e!o%a-a #akaa 5'a&ur8 Dari (e#&a(

&e!o%a-a #akaa 'ie( 'i'is(ri+usika ke rua! &era/a(a 'a 'i rua!

&era/a(a #akaa k-usus 'isaika ke&a'a &asie sa#a 'e!a &asie (a&a(era&i 'ie(

=8 Pasie 'ia#a(i 'a 'ie6a%uasi se$ara .isik) a(ro&o#e(ri) %a+ora(oriu#) 'a %ai

%ai Pe!a#a(a u!a 'i%akuka u(uk #ei%ai a.su #aka 'a asu&a

#akaa,a 'e!a #e!!uaka .or# asu&a #aka &asie Hasi% &ei%aia

(erse+u( #e#+uka ke#u!kia a&akaia #e#er%uka &e,esuaia 'ie( a(au

(i'ak

48 Bi%a &e,esuaia 'ie( ii +eru&a &eru+a-a #akaa +iasa) &roses se%au(,a

sa#a 'e!a +u(ir a

>8 Bi%a &e,esuaia 'ie( ii +eru&a &eru+a-a 'ie( k-usus) &roses se%au(,a %i-a( &a'a +u(ir +

?8 Bi%a &asie (er,a(a (i'ak #e#er%uka &e,esuaia 'ie() #aka saa( aka &u%a!

&asie #e#&ero%e- &e,u%u-a * kose%i! !i"i (e(a! &eera&a 'ie( 'i ru#a-

8 Bi%a #e#er%uka (i'ak %au() &asie 'i#i(a #e!iku(i &roses &e%a,aa !i"i

ra/a( a%a

1. Pasien Ra0at 2alan

Dari -asi% &e#eriksaa .isik) a(ro&o#e(ri) %a+ora(oriu# 'a &e#eriksaa 'ok(er %ai,a)

ke#u'ia 'ok(er #ee(uka a&aka- &asie &er%u (era&i 'ie(

a Bi%a (i'ak #e#er%uka (era&i 'ie() &asie -a,a aka #e'a&a( &e,u%u-a !i"i u#u#

'a #akaa se-a( u(uk 'iri 'a ke%uar!a,a) 'a%a# u&a,a #e#&er(a-aka 'a

#ei!ka(ka kea'aa kese-a(a 'iri,a 'a %i!ku!a,a

+ Bi%a #e#er%uka (era&i 'ie() &asie aka 'iruuk ke 'ok(er a-%i !i"i u(uk #e#&ero%e-

&e,u%u-a * kose%i! (e(a! 'ie( * (era&i ,a! 'i(e(a&ka 'ok(er Proses se%au(,a

#e!iku(i &rose'ur 'ari &ok%iik %ai%ai



BAB III

PELA*ANAN GI+I RA3A INAP

Pe%a,aa !i"i ra/a( ia& #eru&aka &e%a,aa !i"i ,a! 'i#u%ai 'ari &roses &e!kaia !i"i)

'ia!osis !i"i) i(er6esi !i"i #e%i&u(i &ere$aaa) &e,e'iaa #akaa)

&e,u%u-a*e'ukasi) 'a kose%i! !i"i) ser(a #oi(ori! 'a e6a%uasi !i"i

A. u-uan

Me#+erika &e%a,aa !i"i ke&a'a &asie ra/a( ia& a!ar #e#&ero%e- asu&a #akaa

,a! sesuai ko'isi kese-a(a,a 'a%a# u&a,a #e#&er$e&a( &roses &e,e#+u-a)

#e#&er(a-aka 'a #ei!ka(ka s(a(us !i"i

B. )asaranPasie

Ke%uar!a

(ekanis!e 'egiatan

Mekais#e &e%a,aa !i"i ra/a( ia& a'a%a- se+a!ai +eriku(;

Skrii! Gi"i

Ta-a&a &e%a,aa !i"i ra/a( ia& 'ia/a%i 'e!a skrii!* &ea&isa !i"i o%e-

&era/a( rua!a 'a &ee(a&a or'er 'ie( a/a% 5&reskri&si 'ie( a/a%8 o%e- 'ok(erSkrii! !i"i +er(uua u(uk #e!i'e(i.ikasi &asie*k%ie ,a! +erisiko) (i'ak

+erisiko #a%u(risi a(au ko'isi k-usus

Ko'isi k-usus ,a! 'i#aksu' a'a%a- &asie 'e!a ke%aia #e(a+o%ikF -e#o'ia%isF

!eria(rikF kaker 'e!a ke#o(era&i*ra'iasiF %uka +akarF &asie 'e!a i#ui(as

#euruF saki( kri(isF 'a se+a!ai,a

Skrii! 'i%akuka &a'a &asie +aru 1 72< a# se(e%a- &asie #asuk RS

Bi%a -asi% skrii! !i"i #euukka &asie +erisiko #a%u(risi) #aka 'i%akuka

&e!kaia*asses#e !i"i 'a 'i%au(ka 'e!a %a!ka-%a!ka- &roses asu-a !i"i

(ers(a'ar o%e- Die(isie Pasie 'e!a s(a(us !i"i +aik a(au (i'ak +erisiko #a%u(risi)

'iaurka skrii! u%a! se(e%a- 1 #i!!u :ika -asi% skrii! u%a! +ersiko

#a%u(risi #aka 'i%akuka &roses !i"i (ers(a'ar

10



Proses Asu-a Gi"i Ters(a'ar 5PAGT8

Proses Asu-a Gi"i Ters(a'ar 'i%akuka &a'a &asie ,a! +ersiko kura! !i"i) su'a-

#e!a%a#i kura! !i"i 'a a(au ko'isi k-usus 'e!a &e,aki( (er(e(u) &roses ii

#eru&aka sera!kaia ke!ia(a ,a! +eru%a! 5sik%us8 se+a!ai +eriku(;

Ga#+ar2

Proses Asu"an Gizi $i Ru!a" )akit

Ti'ak Tuua

Berisiko Ter$a&ai

Berisiko Ma%u(risi*Su'a- Ma%u(risi Tuua

Ter$a&ai

PRO)E) A)UHAN GI+I ER)ANDAR

Tuua Ti'ak Ter$a&ai

Sumber ; Mo'i.ikasi 'ari Buku Pe'o#a Pe%a,aa Gi"i Ru#a- Saki( Ta-u 2013

La!ka- PAGT;

a. Asses!en# Pengka-ian Gizi

Asses#e !i"i 'ike%o#&okka 'a%a# = ka(e!ori ,ai(u 18 Aa#esis ri/a,a( !i"iF

28 Da(a Bioki#ia) (es #e'is 'a &rose'ur 5(er#asuk 'a(a %a+ora(oriu#8F 38 Pe!ukura

a(ro&o#e(riF <8 Pe#eriksaa .isik k%iisF =8 Ri/a,a( &ersoa%

11

Pasie Masuk

Skrii!Gi"i

Die( Nor#a%5S(a'ar8 )OP

PasiePu%a!

Pe!kaia

Gi"i

Dia!osa

Gi"iI(er6esi

Gi"i

Moi(ori!

'a E6a%uasiGi"i



1 Aa#esa*Pe!kaia Gi"i

Aa#esis ri/a,a( !i"i a'a%a- 'a(a #e%i&u(i asu&a #akaa (er#asuk ko#&osisi) &o%a

#aka) 'ie( saa( ii 'a 'a(a %ai ,a! (erkai( Se%ai i(u 'i&er%uka 'a(a ke&e'u%ia &asie

(er-a'a& !i"i 'a kese-a(a) ak(i6i(as .isik 'a o%a-ra!a 'a ke(erse'iaa #akaa 'i

%i!ku!a k%ie

Ga#+ara asu&a #akaa 'a&a( #e%a%ui aa#esis kua%i(a(i. 'a kua(i(a(i.

Aa#esis ri/a,a( !i"i se$ara kua%i(a(i. 'i%akuka u(uk #e#&ero%e- !a#+ara ke+iasaa

#aka*&o%a #aka se-ari +er'asarka .rekuesi &e!!uaa +a-a #akaa Aa#esis

se$ara kua(i(a(i. 'i%akuka u(uk #e'a&a(ka !a#+ara asu&a "a( !i"i se-ari #e%a%ui

re$a%% #akaa 2< a# 'e!a a%a( +a(u .oo' #o'e% Ke#u'ia 'i%akuka aa%isis "a( !i"i

,a! #eruuk ke&a'a 'a.(ar #akaa &eukar) a(au 'a.(ar ko#&osisi "a( !i"i #akaa

2 Bioki#ia

Da(a +ioki#ia #e%i&u(i -asi% &e#eriksaa %a+ora(oriu# &e#eriksaa ,a! +erkai(a 'e!a

s(a(us !i"i) s(a(us #e(a+o%ik 'a !a#+ara .u!si or!a ,a! +er&e!aru- (er-a'a& (i#+u%,a

#asa%a- !i"i Pe!a#+i%a kesi#&u%a 'ari 'a(a %a+ora(oriu# (erkai( #asa%a- !i"i -arus

se%aras 'e!a 'a(a asses#e !i"i %ai,a se&er(i ri/a,a( !i"i ,a! %e!ka&) (er#asuk

&e!!uaa su&%e#e) &e#eriksaa .isik 'a se+a!ai,a Disa#&i! i(u &roses &e,aki()

(i'aka) &e!o+a(a) &rose'ur 'a s(a(us -i'rasi 5$aira8 'a&a( #e#&e!aru-i &eru+a-a

ki#ia/i 'ara- 'a uri) se-i!!a -a% ii &er%u #ea'i &er(i#+a!a

3 A(ro&o#e(ri

A(ro&o#e(ri #eru&aka &e!ukura .isik &a'a i'i6i'u A(ro&o#e(ri 'a&a( 'i%akuka

'e!a +er+a!ai $ara) a(ara %ai &e!ukura (i!!i +a'a 5TB8F +era( +a'a 5BB8 Pa'a

ko'isi (i!!i %u(u( 5TL8) re(a! %e!a a(au se&aru- re(a! %e!a Pe!ukura %ai se&er(i

Li!kar Le!a A(as 5LILA8 Li!kar &er!e%a!a (a!a) %i!kar &i!!a! 'a &i!!u%

'a&a( 'i%akuka sesuai ke+u(u-a

A PENGUKURAN BERAT BADAN

1 Pe!ukura Bera( Ba'a Pa'a Jra! Nor#a%

a Ti#+a!a Iak J(o#a(is*Ti'ak J(o#a(is u(uk Re#aa 'a De/asa + Ti#+a!a o(o#a(is u(uk +a,i

Ru#usru#us BBI 5Bera( Ba'a I'ea%8

0 @ 11 +u%a a(au 5;28 3 s*' <

Ke( usia 'a%a# +u%a

1 @ 4 (a-u 2 ?

> @ 12 (a-u > =

12



2

Ke( usia 'a%a# (a-u

12 (a-u 5TB1008 @ 10 5TB1008 a(au 0) 7 5TB1008

a(a(a ; A&a+i%a TB &asie /ai(a 1=0 $#) 'a TB &asie &ria 140 $#) #aka;

BBI TB @ 100

BB or#a% O10

2 Pe!ukura Bera( Ba'a Pa'a Ko'isi K-usus

a Pe!ukura Bera( Ba'a 'a%a# Ko'isi Tira- Bari! a(au 'e!a Je'e#a

Perkiraa Bera( Ba'a

Pa'a se#ua ke'aa se&er(i ,a! 'ise+u(ka 'ia(as) ru#us 'a%a# (a+e% +eriku( 'a&a(

'i!uaka u(uk #e#&erkiraka +era( +a'a i'ea% +er'asarka &aa! +a'a &asie

Ta+e%1 Me#&erkiraka BB +er'asarka PB T-e Ha#/i Me(-o'e

Ba!u Tu+u- Laki%aki ai(a

Se'a!

<? k! u(uk 1=2 $# ,a!

&er(a#aF se%au(,a

(a#+a-ka 2)> k! u(uk

se(ia& ke%i&a(a 2)= $#F

kura!i 1)13 k! u(uk se(ia&

$# TB 1=2 $#

<)= k! u(uk 1=2 $# ,a!

&er(a#aF se%au(,a

(a#+a-ka 2)3 k! u(uk

se(ia& ke%i&a(a 2)= $#F

kura!i 1)13 k! u(uk se(ia&

$# +i%a TB 1=2 $#

Ke$i% Kura!i 10 Kura!i 10

Besar Ta#+a-ka 10 Ta#+a-ka 10

Su#+er ; Gra() :;Ha+ook o. To(a% Pare(era% Nu(ri(io) P-i%a'e%&-ia) B Sau'ers o 1?0

ara Mee(uka Ba!u Tu+u-

Ba!u (u+u- 'a&a( 'i(e(uka -a,a 'e!a $ara %a!su! #e!a#a(i &asie

Na#u u(uk %e+i- #e,akika) &ee(ua kera!ka (u+u- 'a&a( +er'asarka %i!kar

&er!e%a!a (a!a) ,ai(u se+a!ai +eriku(;

Ru#us ;

R Ti!!i Ba'a 5$#8

Li!kar Per!e%a!a Ta!a 5$#8

13



ael.1. Penentuan 'erangka uu"

'erangka uu" Laki4laki Pere!puan

Ke$i% 10)< 11)0

Se'a! )4 @ 10)< 10)1 @ 11)0

Besar 5 )4 10)1

Bera( Ba'a Koreksi

Pa'a &asie ,a! #e!a%a#i oe'e#a a(au as$i(es) -i(u! BB se+ear,a #e!!uaka BB

Koreksi) ,ai(u;

Ru#us;

BB 'oreksi 6 BB saat ini 4 'oreksi oe$e!a# as7ites

ael. 8. 'oreksi BB pa$a Oe$e!a $an As7ites

Ti!ka(a Je'e#a As$i(es

Ringan

5Be!kak &a'a (a!a a(au kaki8

1 k! a(au 10 2)2 k!

)e$ang

5Be!kak &a'a /aa- 'a (a!a a(aukaki8

= k! a(au

20

4 k!

Berat

5Be!kak &a'a /aa-) (a!a) 'a kaki81< k! 10 k!

+ Es(i#asi Bera( Ba'a U(uk 4= ke a(as

Pere#&ua

BB 5MA 7 1)438 5 7 1)<38 @ 3>)<4 <)4 k!

Laki%aki

BB 5MA 7 2)318 5 7 1)=8 @ =0)1 =)>3 k!Su#+er; Rosa%i' S Gi+so) 200=

Ke(era!a;

MA 5Li!kar Le!a A(as8

5Li!kar Per!e%a!a Ta!a8

$ U(uk Ko'isi A#&u(asi

1<



ael.9. Persentase Berat Ba$an Ber$asarkan Bagian uu"

Ba!ia Tu+u- Prese(ase

Ba!ia %e!a

Le!a a(as

Le!a +a/a-Ta!a

Ba!ia kaki

Kaki +a!ia a(asKaki +a!ia +a/a-

Kaki

4)=

3)=

2)30)?

1?)=

11)4=)3

1)?Su#+er; Rosa%i' S Gi+so) 200=

BB ,a! 'i$ari BB Sekara! 7 100

100 a#&u(asi 5(a+e% &erse(ase8

B PENGUKURAN TINGGI BADAN

1 Pe!ukura Paa! Ba'a 'a Ti!!i Ba'a 5u(uk kea'aa se-a(8

a Pe!ukura Paa! Ba'a

Pe!ukura ii 'i!uaka u(uk #e!ukur &aa! +a'a +a!i aak ,a! +erusia

2 (a-u 'a &aa! +a'a Q=0 $# ser(a #e!!uaka a%a( &e!ukur &aa! +a'a Le!(-

Boar'

+ Pe!ukura Ti!!i Ba'a

Pe!ukura ii 'i!uaka #e!ukur (i!!i +a'a aak 2 (a-u 'a (i!!i ?0 $#

Pe!ukura (i!!i +a'a 'i%akuka 'e!a a%a( &e!ukur (i!!i 5#i$roise8 ,a! #e#&u,ai

ke(e%i(ia 0)1 $# Ko6ersi 'ari &aa! +a'a ke (i!!i +a'a 5'e!a #e!ura!i 0)> $#8

a(au 'ari (i!!i +a'a ke &aa! 5'e!a #ea#+a-ka 0)> $#8

2 Pe!ukura Es(i#asi Ti!!i Ba'a 5U(uk Ko'isi K-usus8

a Pe!ukura Ti!!i Ba'a 'e!a Pe'eka(a Ti!!i Lu(u(

Pe!ukura ii 'i!uaka se+a!ai sa%a- sa(u $ara u(uk #e!e(a-ui (i!!i +a'a 'ari su+ek)

(eru(a#a su+ek ,a! (i'ak 'a&a( +er'iri) kaki ,a! 'iukur a'a%a- kaki se+e%a- kiri A%a( ,a!

'i!uaka a'a%a- #e(era

Ru#us Es(i#asi (i!!i +a'a #e!!uaka (i!!i %u(u( ;

Laki%aki ; TB 5$#8 4<)1 $# 52)02 TL8 @ 50)0<U8Pere#&ua ; TB 5$#8 ?<)?? 51)?3TL8 @ 5 0)2<U8

1=



+ Pe!ukura Ti!!i Ba'a 'e!a Pe'eka(a Paa! Re(a! Ta!a 5U(uk

Ko'isi K-usus8

Pe!ukura ii 'i!uaka se+a!ai sa%a- sa(u $ara u(uk #e!e(a-ui (i!!i +a'a 'ari

su+ek (eru(a#a ,a! (i'ak 'a&a( +er'iri A%a( ,a! 'i!uaka a'a%a- S(ee% Ta&e

Ru#us Es(i#asi Ti!!i Ba'a Ber'asarka Ar# S&a #e!!uaka ru#us;

TB Aak Pere#&ua 5$#8

o Usia 10 (a-u

TB 5$#8 23) 0)>= 5ar# s&a8 0)?4 5u#ur8

o Usia 10 (a-u

TB 5$#8 2?)=< 0)>< 5ar# s&a8 0)?3 5u#ur8

TB Aak Pere#&ua Laki%aki 5$#8

o Usia 12 (a-u

TB 5$#8 21)0 0)>4 5ar# s&a8 0)>2 5u#ur8o Usia 12 (a-u

TB 5$#8 1>)1 0)>4 5ar# s&a8 1)1> 5u#ur8

$ Pe!ukura Ti!!i Ba'a 'e!a Pe'eka(a Le!a Ba/a-

ael.:. Esti!asi tinggi a$an !enggunakan Ulna Leng"t

Ulna

Leng"t %7!&

Heig"t %!& Heig"t %!&

(ean /;4:9

years

(en < :9

years

3o!en /;4:9

years

3o!en < :9

years

/=>: />9; />9: />9? />9@

/>@ />9= />9; />9= />91

/>: />9 />9? />:@ />99

1@>@ />:/ />9 />:/ />9:

1@>: />:8 />:/ />:1 />9?

1/>@ />:: />:1 />:9 />9=

11>@ />:= />:; />:; />:@

11>: />;@ />:? />:= />:8

DstSu#+er; Rosa%i' S Gi+so) 13

' Pe!ukura Ti!!i Ba'a 'e!a Pe'eka(a Le!a Ba/a-Pe!ukura ii 'i!uaka 'e!a #e!!uaka #e(era

INDIKATJR PERTUMBUHAN

/. In$eks Antropo!etri

a Bera( Ba'a Meuru( U#ur 5BB*U8

14



Bera( +a'a #euru( u#ur #ere.%eksika s(a(us !i"i #asa %a%u 'a #asa kii

+ Ti!!i Ba'a Meuru( U#ur 5TB*U8

I'eks ii #e!!a#+arka s(a(us !i"i #asa %a%u

$ Bera( Ba'a Meuru( Ti!!i Ba'a 5TB*BB8

I'eks BB*TB #eru&aka i'ika(or ,a! +aik u(uk #ei%ai s(a(us !i"i saa( ii 5sekara!8

' I'eks Massa Tu+u-

18 IMT Aak 5IMT*U8

IMT*U a'a%a- i'ika(or ,a! (eru(a#a +er#a.aa( u(uk &ea&isa ke%e+i-a +era( +a'a 'a

ke!e#uka Pa'a +a,i IMT aik se$ara (aa# karea (era'i &ei!ka(a +era( +a'a se$ara

$e&a( re%a(i. (er-a'a& &aa! +a'a &a'a 4 +u%a &er(a#a ke-i'u&a IMT #euru &a'a +a,i

se(e%a- 4 +u%a 'a (e(a& s(a+i% &a'a u#ur 2= (a-u

28 IMT De/asa

Ru#us IMT;

IMT BB 5k!8

TB 5#8

ael.;. 'ategori A!ang Batas I( untuk In$onesia

'ategori I(

Kurus Kekura!a +era( +a'a (i!ka( +era( 1>)0

Kekura!a +era( +a'a (i!ka( ri!a 1>)0 @ 1?)=

Nor#a% 1?)= 2=)0

Ge#uk Ke%e+i-a +era( +a'a (i!ka( ri!a 2=)0 @ 2>)0

Ke%e+i-a +era( +a'a (i!ka( +era( 2>)0Su#+er; De&kes) 1< Pe'o#a &rak(is &e#a(aua s(a(us !i"i ora! 'e/asa) :akar(a

e ZS$ore

ZS$ore #eru&aka i'eks a(ro&o#e(ri ,a! 'i!uaka se$ara i(erasioa% u(uk

#ee(uka s(a(us !i"i 'a &er(u#+u-a) ,a! 'ieks&resika se+a!ai sa(ua s(a'ar

'e6iasi 5SD8 &o&u%asi ruuka

Zs$ore 5i%ai ,a! 'ia#a(i @ i%ai re.eresi #e'ia8

Z s$ore &o&u%asi re.eresi 5SD8

1. 'ategori )tatus Gizi Ber$asarkan Cara Per"itungan +4)7ore

ael.?.kategori status gizi er$asarkan +4s7ore

+4)7ore

In$ikator Pertu!u"an

PB*U a(au BB*PB a(au BB*TB

1>



TB*U BB*U IMT*U

Dia(as 3 Li"at Catatan / Li"at Catatan 1 Sa!a( Ge#uk

5J+es8

Sa!a( Kurus

5J+es8

Dia(as 2 Ge#uk

5J6er/ei!-(8

Ge#uk

5J6er/ei!-(8

Dia(as 1 Resiko Ge#uk %Li"at 7atatan 8&

Resiko Ge#uk %Li"at 7atatan 8&

0 5A!ka

Me'ia8

Di +a/a- 1

Di +a/a- 2 Pe'ek 5s(u(e'8

5%i-a( $a(a(a <8

BB kura!

5u'er/ei!-(8

Kurus 5as(e'8 Kurus 5as(e'8

Di +a/a- 3 Sa!a( Pe'ek

5Ser6e s(u(e'8

5Li-a( $a(a(a <8

BB Sa!a(

Kura! 5se6ere

u'er/ei!-(8

Sa!a( Kurus

5Se6ere as(e'8

Sa!a( Kurus

5Se6ere as(e'8

)u!er HJ MGRS) 200=

a(a(a;

1 Seora! aak &a'a ka(e!ori ii (er#asuk sa!a( (i!!i 'a +iasa,a (i'ak #ea'i #asa%a-

ke$ua%i aak ,a! sa!a( (i!!i #u!ki #e!a%a#i !a!!ua e'okri se&er(i a'a,a

(u#or ,a! #e#&ro'uksi -or#o &er(u#+u-a Ruuk%a- aak (erse+u( ika 'i'u!a

#e!a%a#i !a!!ua e'okri 5#isa%,a aak ,a! (i!!i seka%i #euru( u#ur,a)

se'a!ka (i!!i ora! (ua or#a%8F

2 Seora! aak +er'asarka BB*U &a'a ka(e!ori ii) ke#u!kia #e#&u,ai #asa%a-

&er(u#+u-a) (e(a&i aka %e+i- +aik +i%a aak ii 'ii%ai +er'asarka i'ika(or BB*PB a(au

BB*TB a(au IMT*UF

3 Hasi% &%o(i! 'ia(as 1 #euukka ke#u!kia resiko Bi%a ke$e'ru!a,a #euu

!aris "s$ore 2 +erar(i resiko %e+i- &as(iF

< Aak ,a! &e'ek a(au sa!a( &e'ek ke#u!kia aka #ea'i !e#uk +i%a #e'a&a(ka

i(er6esi ,a! sa%a-

U(uk #earik kesi#&u%a #e!eai s(a(us !i"i seseora! -arus #e,i#&u%ka 'ari ke(i!a

i'ika(or ,a! (e%a- 'iukurara &er(a#a a'a%a- #e%i-a( i'ika(or ,a! +er#asa%a- o(o-;

BB*U ; Sa!a( Kura!

TB*U ; Pe'ek

BB*TB ; Nor#a%

Kesi#&u%a ; Aak ii &e'ek) o%e- karea,a +era( +a'a 'i+a/a- +era( +a'a sesusia,a

5k%asi.ikasi %a#a 'i,a(aka se+a!ai !i"i +uruk8 Na#u) +era( +a'a

1?



+er'asarka (i!!i +a'a,a (er!o%o! or#a% Se-i!!a a&a+i%a aak ii

'i+eri PMT #eru&aka kesa%a-a karea aak ii +isa #ea'i !e#uk

< Pe#eriksaa Cisik*K%iis

Pe#eriksaa .isik 'i%akuka u(uk #e'e(eksi a'a,a ke%aia k%iis ,a! +erkai(a 'e!a

!a!!ua !i"i a(au 'a&a( #ei#+u%ka #asa%a- !i"i Pe#eriksaa .isik (erkai( !i"i #eru&aka

ko#+iasi 'ari) (a'a 6i(a% 'a a(ro&o#e(ri ,a! 'a&a( 'iku#&u%ka 'ari $a(a(a #e'ik

&asie ser(a /a/a$ara

= Pe#eriksaa Cisik*K%iis

Da(a ri/a,a( &ersoa% #e%i&u(i < area ,ai(u ri/a,a( o+a(o+a(a a(au su&%e#e ,a! seri!

'ikosu#siF sosia% +u'a,aF ri/a,a( &e,aki(F 'a(a u#u# &asie

a8 Ri/a,a( o+a(o+a(a ,a! 'i!uaka 'a su&%e#e ,a! 'ikosu#si

+8 Sosia% +u'a,a

$8 Ri/a,a( &e,aki(

'8 Da(a u#u# &asie a(ara %ai u#ur) &ekeraa 'a (i!ka( &e'i'ika

. Diagnosis Gizi

Pa'a %a!ka- 'i$ari &o%a 'a -u+u!a a(ar 'a(a ,a! (erku#&u% 'a ke#u!kia

&e,e+a+,a Ke#u'ia #e#i%a- #asa%a- !i"i ,a! s&esi.ik 'a #e,a(aka #asa%a- !i"i

se$ara si!ka( 'a e%as #e!!uaka (er#io%o!i ,a! a'a

Peu%isa 'ia!osis !i"i (ers(ruk(ur 'e!a kose& PES a(au Pro+%e# E(io%o!i 'a

Si!*S,&(o#&s

Dia!osis !i"i 'ike%o#&okka #ea'i (i!a 'o#ai ,ai(u;

1 Do#ai Asu&a a'a%a- #asa%a- ak(ua% ,a! +er-u+u!a 'e!a asu&a eer!i) "a(

!i"i ) $aira su+s(asi +ioak(i. 'ari #akaa +aik #e%a%ui ora% #au&u &are(era% 'a

e(era%

2 Do#ai K%iis a'a%a- #asa%a- !i"i ,a! +erkai(a 'e!a ko'isi #e'is a(au

.isik*.u!si sor!a

3 Do#ai Peri%aku*Li!ku!a a'a%a- #asa%a- !i"i ,a! +erkai(a 'e!a &e!e(a-ua)

&eri%aku*ke&er$a,aa ) %i!ku!a .isik 'a akses 'a kea#aa #akaa

7. Interensi GiziTer'a&a( 'ua ko#&oe i(er6esi !i"i ,ai(u &ere$aaa i(er6esi 'a i#&%e#e(asi

18 Pere$aaa I(er6esi

I(er6esi !i"i 'i+ua( +er'asarka !i"i 'ia!osis !i"i ,a! 'i(e!akka Te(a&ka (uua

'a &riori(as i(er6esi +er'asarka #asa%a- !i"i,a 5Pro+%e#8) ra$a! s(ra(e!i i(er6esi

+er'asarka &e,e+a+ #asa%a-,a 5E(io%o!i8 a(au +i%a &e,e+a+ (i'ak 'a&a( 'ii(er6esi

#aka s(ra(e!i i(er6esi 'i(uuka u(uk #e!ura!i !ea%a*(a'a 5si! s,#&(o#8

1



Pere$aaa (uua i(er6esi;

a Pee(a&a (uua i(er6esi

Pee(a&a (uua 'a&a( 'iukur) 'i$a&ai 'a 'i(e(uka /ak(u,a

+ Preskri&si 'ie(

Preskri&si 'ie( se$ara si!ka( #e!!a#+arka reko#e'asi #e!eai ke+u(u-a

eer!i 'a "a( !i"i i'i6i'ua%) eis 'ie() +e(uk #akaa) ko#&osisi "a( !i"i)

.rekuesi #aka

18 Per-i(u!a ke+u(u-a !i"i

Pee(ua ke+u(u-a "a( !i"i ,a! 'i+erika ke&a'a &asie*k%ie a(as 'asar

'ia!osis !i"i) ko'isi &asie 'a eis &e,aki(,a

28 :eis Die(

Pa'a &asie #asuk ke rua! ra/a( su'a- 'i+ua( &er#i(aa #akaa

+er'asarka &esaa*or'er 'ie( a/a% 'ari 'ok(er a!a* DP:P Die(isie +ersa#a

(i# a(au se$ara #a'iri aka #ee(a&ka eis 'ie( +er'asarka 'ia!osis !i"i

Bi%a eis 'ie( (i'ak sesuai 'e!a aka 'i%akuka usu%a &eru+a-a eis 'ie(

'e!a #e'iskusika,a (er%e+i- 'a-u%u +ersa#a DP:P

38 Mo'i.ikasi 'ie(

Mo'i.ikasi 'ie( #eru&aka &e!u+a-a 'ari #akaa 'a%a# kosis(esiF

#ei!ka(ka*#euru i%ai eer!iF #ea#+a-*#e!ura!i eis +a-a

#akaa a(au "a( !i"i ,a! 'ikosu#siF's+

<8 :a'/a% Pe#+eria Die(

:a'/a% &e#+eria 'ie(*#akaa 'i(u%is sesuai 'e!a &o%a #aka

=8 :a%ur Makaa

:a%ur #akaa ,a! 'i+erika 'a&a( #e%a%ui ora% 'a e(era% a(au &are(era%

28 I#&%e#e(asi I(er6esi

I#&%e#e(asi a'a%a- +a!ia ke!ia(a i(er6esi !i"i 'i#aa 'ie(isie #e%aksaaka

'a #e!ko#uikasika re$aa asu-a ke&a'a &asie 'a (ea!a kese-a(a a(au

(ea!a %ai ,a! (erkai( Sua(u i(er6esi !i"i -arus #e!!a#+arka 'e!a e%as ;

a&a) 'i#aa) ka&a) 'a +a!ai#aa9 i(er6esi i(u 'i%akuka Ke!ia(a ii u!a

(er#asuk &e!u#&u%a 'a(a ke#+a%i) 'i#aa 'a(a (erse+u( 'a&a( #euukka res&os &asie 'a &er%u a(au (i'ak,a #o'i.ikasi i(er6esi !i"i

$. (onitoring $an Ealuasi Gizi

Ke!ia(a #oi(ori! 'a e6a%uasi !i" 'i%akuka u(uk #e!e(a-ui res&o &asie*k%ie

(er-a'a& i(er6esi 'a (i!ka( ke+er-asi%a,a

20



18 Moi(or &erke#+a!a ,ai(u ke!ia(a #e!a#a(i &erke#+a!a ko'isi &asie*k%ie

,a! +er(uua u(uk #e%i-a( -asi% ,a! (era'i sesuai ,a! 'i-ara&ka o%e- k%ie

#au&u (i# Ke!ia(a ,a! +erkai(a 'e!a #oi(or &erke#+a!a a(ara %ai ;

a Me!e$ek &e#a-a#a 'a ke(aa(a 'ie( &asie*k%ie

+ Me!e$ek asu&a #aka &asie*k%ie

$ Mee(uka a&aka- i(er6esi 'i%aksaaka sesuai 'e!a re$aa*&reskri&si

Die(

' Mee(uka a&aka- s(a(us !i"i &asie*k%ie (e(a& a(au +eru+a-

e Me!i'e(i.ikasi -asi% %ai +aik ,a! &osi(i. #au&u e!a(i.

. Me!u#&u%ka i.or#asi ,a! #euukka a%asa (i'ak a'a,a

&erke#+a!a 'ari ko'isi &asie*k%ie

28 Me!ukur -asi% Ke!ia(a ii a'a%a- #e!ukur &erke#+a!a*&eru+a-a ,a! (era'i

se+a!ai res&o (er-a'a& i(er6esi !i"i Para#e(er ,a! -arus 'iukur +er'asarka

(a'a 'a !ea%a 'ari 'ia!osa !i"i

38 E6a%uasi -asi%

a Da#&ak &eri%aku 'a %i!ku!a (erkai( !i"i ,ai(u (i!ka( &e#a-a#a)

&eri%aku) akses) 'a ke#a#&ua ,a! #u!ki #e#&u,ai &e!aru- &a'a

asu&a #akaa 'a "a( !i"i

+ Da#&ak asu&a #akaa 'a "a( !i"i #eru&aka asu&a #akaa 'a a(au "a(

!i"i 'ari +er+a!ai su#+er) #isa%,a #akaa) #iu#a) su&%e#e) 'a #e%a%ui

ru(e e(era% #au&u &are(era%

$ Da#&ak (er-a'a& (a'a 'a !ea%a .isik ,a! (erkai( !i"i ,ai(u &e!ukura

,a! (erkai( 'e!a a(ro&o#e(ri) +ioki#ia 'a &ara#e(er &e#eriksaa

.isik*k%iis

' Da#&ak (er-a'a& &asie*k%ie (er-a'a& i(er6esi !i" ,a! 'i+erika &a'a

kua%i(as -i'u&,a

<8 Pe$a(a(a Pe%a&ora

Pe$a(a(a 'a %a&ora ke!ia(a asu-a !i"i #eru&aka +e(uk &e!a/asa 'a

&e!e'a%ia #u(u &e%a,aa 'a &e!a/asa 'a &e!e'a%ia #u(u &e%a,aa 'a

ko#uikasi Ter'a&a( Cor#a( ADIME #eru&aka #o'e% ,a! sesuai 'e!a %a!ka-

PAGT

. 'oor$inasi Pelayanan

Ko#uikasi a(ar 'isi&%i i%#u sa!a( 'i&er%uka u(uk #e#+erika asu-a ,a! (er+aik

+a!i &asie Se+a!ai +a!ia 'ari (i# &e%a,aa kese-a(a) 'ie(isie -arus +erko%a+orasi

'e!a 'ok(er) &era/a() .ar#asi 'a (ea!a kese-a(a %ai,a ,a! (erkai( 'a%a#

#e#+erika &e%a,aa asu-a !i"i J%e- karea,a &er%u #e!e(a-ui &eraa #asi!

#asi! (ea!a kese-a(a (erse+u( 'a%a# #e#+erika &e%a,aa

21



1 Dok(er Pea!!u! :a/a+ Pe%a,aa

a Ber(a!!u! a/a+ 'a%a# as&ek !i"i ,a! (erkai( 'e!a kea'aa k%iis &asie

+ Mee(uka &reskri&si 'ie( a/a% 5or'er 'ie( a/a%8

$ Bersa#a 'ie(isie #ee(a&ka &reskri&si 'ie( 'e.ii(i6e

' Me#+erika e'ukasi ke&a'a &asie 'a ke%uar!a,a #e!eai &eraa (era&i

!i"i

e Meruuk k%ie*&asie ,a! #e#+u(u-ka asu-a !i"i a(au kose%i! !i"i

. Me%akuka &e#a(aua 'a e6a%uasi (erkai( #asa%a- !i"i se$ara +erka%a

+ersa#a 'ie(isie) &era/a( 'a (ea!a kese-a(a %ai se%a#a k%ie*&asie 'a%a#

#asa &era/a(a

2 Pera/a(

a Me%akuka skrii! !i"i &asie &a'a ases#e a/a% &era/a(a

+ Meruuk &asie ,a! +erisiko #au&u su'a- (era'i #a%u(risi 'a a(au ko'isi

k-usus ke 'ie(isie

$ Me%akuka &e!ukura a(ro&o#e(ri ,ai(u &ei#+a!a +era( +a'a) (i!!i

+a'a*&aa! +a'a se$ara +erka%a

' Me%akuka &e#a(aua) #e$a(a( asu&a #akaa 'a res&o k%iis

k%ie*&asie (er-a'a& 'ie( ,a! 'i+erika ' #e,a#&aika i.or#asi ke&a'a

'ie(isie +i%a (era'i &eru+a-a ko'isi &asie

e Me#+erika #o(i6asi ke&a'a &asie 'a ke%uar!a (erkai( &e#+eria #akaa

#e%a%ui ora%*e(era% 'a &ere(era%

3 Die(isie

a Me!kai -asi% skrii! &era/a( 'a or'er 'ie( a/a% 'ari 'ok(er

+ Me%akukaa asses#e*&e!kaia !i"i %au( &a'a &asie ,a! +erisiko

#a%u(risiF #a%u(risi a(au ko'isi k-usus #e%i&u(i &e!u#&u%a) aa%isa 'a

i(er&re(asi 'a(a ri/a,a( !i"iF ri/a,a( &ersoa%F &e!ukura a(ro&o#e(riF -asi%

%a+ora(oriu# (erkai( !i"i 'a -asi% &e#eriksaa (erkai( !i"i

$ Me!i'e(i.ikasi #asa%a-*'ia!osa !i"i +er'asarka -asi% asses#e 'a

#ee(a&ka &riori(as 'ia!osis !i"i' Mera$a! i(er6esi !i"i 'e!a #ee(a&ka (uua 'a &reskri&si 'ie( ,a!

%e+i- (er&eri$i u(uk #ee(a&ka (uua 'a &reskri&si 'ie( ,a! %e+i-

(er&eri$i u(uk &ee(a&a 'ie( 'e.ii(i6e ser(a #ere$aaka

e'ukasi*kose%i!

e Me%akuka koor'iasi 'e!a 'ok(er) (erkai( 'e!a 'ie( 'e.ii(i6e

22



. Koor'iasi 'e!a 'ok(er) &era/a() .ar#asi 'a (ea!a %ai 'a%a# &e%aksaaa

i(er6esi !i"i

! Me%akuka #oi(ori! res&o &asie (er-a'a& i(er6esi !i"i

- Me%akuka e6a%uasi &roses #au&u 'a#&ak asu-a !i"i

i Me%akuka &e,u%u-a) #o(i6asi) 'a kose%i! !i"i &a'a k%ie*&asie 'a

ke%uar!a,a

Me$a(a( ro'e &asie +ersa#a (i# kese-a(a

k Me%akuka asses#e !i"i u%a! 5reasses#e(8 a&a+i%a (uua +e%u# (er$a&ai

% Me!iku(i ro'e &asie +ersa#a (i# kese-a(a

# Ber&a(isi&asi ak(i. 'a%a# &er(e#ua a(au 'iskusi 'e!a 'ok(er) &era/a()

a!!o(a (i# asu-a !i"i %ai) k%ie*&asie 'a ke%uar!a,a 'a%a# ra!ka

e6a%uasi ke+er-asi%a &e%a,aa !i"i

< Car#asi

a Me#&ersia&ka o+a( 'a "a( !i"i (erkai( 6i(a#i) #iera%) e%ek(ro%i( 'a u(risi

&are(era%

+ Mee(uka ko#&a+i%i(as "a( !i"i ,a! 'i+erika ke&a'a &asie

$ Me#+a(u #e!a/asi 'a #e!e6a%uasi &e!!uaa o+a( 'a $aira

&are(era% o%e- k%ie*&asie +ersa#a &era/a(

' Berko%a+orasi 'e!a 'ie(isie 'a%a# &e#a(aua i(eraksi o+a( 'a #akaa

e Me#+erika e'ukasi ke&a'a &asie 'a ke%uar!a #e!eai i(eraksi o+a( 'a

#akaa

= Tea!a kese-a(a %ai #isa%,a a'a%a- (ea!a (era&i oku&asi 'a (era&i /i$ara

+erkai(a 'a%a# &ere$aaa 'a &e%aksaaa i(er6esi &a'a &asie 'e!a

!a!!ua #ee%a ,a! +era(

BAB III

'EGIAAN PELA*ANAN GI+I RU(AH )A'I

A. Penyelenggaraan (akanan

a Pengertian

23



Pe,e%e!!araa #akaa ru#a- saki( a'a%a- sua(u ra!kaia ke!ia(a #u%ai 'ari

&ere$aaa #eu sa#&ai 'e!a &e'is(ri+usia #akaa ke&a'a kosu#e) 'a%a#

ra!ka &e$a&aia s(a(us kese-a(a ,a! o&(i#a% #e%a%ui &e#+eria 'ie( ,a! (e&a(

Da%a# -a% ii (er#asuk ke!ia(a &e$a(a(a) &e%a&ora) 'a e6a%uasi

)asaran

Sasara &e,e%e!!araa #akaa 'i ru#a- saki( a'a%a- kosu#e * &asie #au&u

kar,a/a Sesuai 'e!a ko'isi ru#a- saki( 'a&a( u!a 'i%akuka &e,e%e!!araa

#akaa +a!i &e!uu! 5&asie ra/a( a%a a(au ke%uar!a &asie8 Da%a#

&e,e%e!!araa #akaa ru#a- saki() s(a'ar #asuka 5i&u(8 #e%i&u(i +ia,a)

(ea!a) saraa 'a &rasaraa) #e(o'e) &era%a(a) se'a!ka s(a'ar &roses #e%i&u(i

&e,usua a!!ara +e%aa +a-a #akaa) &e#+e%ia +a-a #akaa) &eeri#aa

'a &e,i#&aa +a-a #akaa) &ersia&a +a-a #akaa Se'a!ka s(a'ar

ke%uara 5ou(&u(8 a'a%a- #u(u #ekaa 'a ke&uasa kosu#e

7 Bentuk Penyelenggaraan (akanan $i Ru!a" )akit

Ke!ia(a &e,e%e!!araa #akaa #eru&aka +a!ia 'ari ke!ia(a is(a%asi !i"i a(au

ui( &e%a,aa !i"i 'i ru#a- saki( Sis(e# &e,e%e!!araa #akaa ,a! 'i%akuka

o%e- &i-ak ru#a- saki( se'iri se$ara &eu-) 'ikea% u!a se+a!ai s/ake%o%a Ke!ia(a

&e,e%e!!araa #akaa 'a&a( 'i%akuka o%e- &i-ak %ai) 'e!a #e#a.aa(ka asa

catering a(au &erusa-aa asa +o!a

:ika &e,e%e!!araa #akaa 'i%akuka 'e!a sis(e# s/ake%o%a #aka is(a%asi a(au

ui( &e%a,aa !i"i +er(a!!u! a/a+ u(uk #e%aksaaka se#ua ke!ia(a

&e,e%e!!araa #akaa) #u%ai 'ari &ere$aaa) &e%aksaaa 'a e6a%uasi

Se&er(i ,a! 'i%akuka o%e- &e%a,aa !i"i 'i RS Her#ia Bekasi

$ (ekanis!e 'er-a Penyelenggaraan (akanan

/. Penyusunan Anggaran Belan-a (akanan

Pe!er(ia ;

Pe,usua a!!ara +e%aa a'a%a- sua(u ke!ia(a &e,usua a!!ara ,a!

#e%i&u(i a!!ara &e!e!e#+a!a saraa) .asi%i(as) su#+er 'a,a #ausia) ser(a

a!!ara ru(i u(uk &e!a'aa +a-a #akaa +asa- 'a keri!

Tuua

Terse'ia,a (aksira a!!ara +e%aa #akaa ,a! 'i&er%uka +a!i kosu#e a(au

&e%a!!a ,a! 'i%a,ai sesuai 'e!a s(a'ar ke$uku&a !i"i

Proses

2<



a A!!ara +e%aa u(uk +a-a +asa- 'i+ua( se(ia& -ari sesuai ke+u(u-a

+er'asarka #eu) s(a'ar &orsi) 'a u#%a- kar,a/a) 'ok(er) &asie ,a!

'ira/a(

+ A!!ara +e%aa u(uk +a-a keri! 'i+ua( se(ia& 2 5'ua8 #i!!u sesuai

ke+u(u-a +er'asarka #eu) s(a'ar &orsi) 'a u#%a- kar,a/a) 'ok(er ser(a

asu#si &asie ,a! 'ira/a(

$ E6a%uasi a!!ara +e%aa &e%a,aa !i"i 'i%akuka 'e!a #e#+a'i!ka

'e!a a!!ara +e%aa +u%a %a%u 'a a!!ara +e%aa RS*RSIA Her#ia %ai

' A!!ara +e%aa ,a! (e%a- 'i+ua( o%e- Ke&a%a Pe%a,aa Pe%a,aa Gi"i 'a

Ta(a Bo!a 'iauka ke&a'a Maaer Peua! Me'is 'a 'ise(uui o%e- aki%

Direk(ur U#u#

1. Penyusunan or!ula> (enu Ba"an (akanan

Pe!er(ia ;

A'a%a- sua(u ke!ia(a u(uk #e,usu .or#u%a 'a #eu sesuai 'e!a ke+u(u-a!i"i &e%a!!a

Tuua ;

Terse'ia,a #eu ,a! sesuai 'e!a k%asi.ikasi ke%as &era/a(a 'a &erio'e sik%us

-aria * #i!!ua

Proses ;

a Pe,usua .or#u%a 'i+ua( o%e- a-%i !i"i Her#ia Hos&i(a% Grou& 'e!a

#e!a$u &a'a &er-i(u!a 'ie( &asie 'a Buku Pe%a,aa Gi"i Ru#a- Saki(

+ Pe,usua #eu 'i+ua( o%e- Pe%a,aa Pe%a,aa Gi"i) 'e!a &erse(uua Ti#Pe!e'a%ia Mu(u Makaa

$ Pe,usua #eu 'i+a!i 2 5'ua8 ,ai(u ; #eu &asie 'a #eu kar,a/a

' Meu &asie 'isusu 'e!a sik%us #eu > 5(uu-8 -ari se'a!ka #eu kar,a/a

'isusu 1= -ari

e Meu u(uk &asie 'e!a ke%as &era/a(a IP) U(a#a) Ke%as I (er'iri a(as 'ua

&i%i-a 5#eu A 'a #eu B8

2=



8. Peren7anaan 'eutu"an Ba"an (akanan

Pe!er(ia ;

A'a%a- ke!ia(a #e,usu ke+u(u-a +a-a #akaa +asa- 'a keri! ,a! aka

'io%a- #ea'i #akaa u(uk #e#eu-i ke+u(u-a !i"i &e%a!!a

Tuua ;

Me'a&a(ka &er-i(u!a ke+u(u-a +a-a #akaa ,a! (e&a( 'a akura( +aik

kua%i(as #au&u kua(i(as,a

Proses ;

a Me!u#&u%ka 'a(a &e%a!!a ,a! aka 'i%a,ai

+ Me#i%i- 'a.(ar #au sesuai 'e!a sik%us #eu) s(a'ar &orsi 'a s(a'ar rese&

$ Te(uka eis +a-a #akaa +asa- 'a keri! ,a! aka 'i!uaka sesuai

'e!a s(a'ar -ar!a ,a! a'a 'e!a &ea#+a-a 10 'ari ke+u(u-a

' Auka re$aa a!!ara (erse+u( ke&a'a Maaer Peua! Me'is 'a aki%

Direk(ur U#u# RS Her#ia Bekasi

9. Penga$aan> Peneri!aan> $an Penyi!panan Ba"an (akanan

Pe!er(ia ;

A'a%a- ke!ia(a &e!a'aa) &eeri#aa 'a &e,i#&aa +a-a #akaa keri! 'a

+asa- sesuai 'e!a re$aa a!!ara ke+u(u-a #akaa ,a! (e%a- 'ise(uui

Tuua ;

Terse'ia,a +a-a #akaa sesuai ke+u(u-a (e&a( /ak(u 'a 'isi#&a 'i(e#&a( ,a!

(e%a- 'i(e(uka

Proses ;

a Sia&ka 'a +ersi-ka +a-a #akaa ,a! aka 'io%a- sesuai 'e!a ke(e(ua

+ Guaka a%a( #asak ,a! +ersi-) a#a 'a sesuai 'e!a s(a'ar &era%a(a

$ Da-u%uka #e#asak #akaa ,a! (a-a %a#a

' Masak #akaa sesuai 'e!a (a(a $ara &e#asaka ,a! (e&a(

e Saika #akaa #a(a! ke&a'a &e%a!!a se(e%a- 'i%akuka ui $i(arasa

. Pe'is(ri+usia #akaa &e%a!!a 'i%akuka 'e!a $ara se(ra%isasi

:. Pengola"an Ba"an (akanan $an Distriusi (akanan

Pe!er(ia

A'a%a- ke!ia(a #e!u+a-*#e#asak +a-a #akaa #e(a- #ea'i #akaa ,a!

sia& 'i#aka) +erkua%i(as) a#a u(uk 'ikosu#si 'a sia& u(uk 'i'is(ri+usika

24



Tuua

Me!ura!i resiko ke-i%a!a "a( !i"i +a-a #akaa

Mei!ka(ka i%ai $era

Me#&er(a-aka rasa) /ara) (eks(ur 'a &ea#&i%a #akaa

A#a 'ari #ikroor!ais#e 'a +e'a asi!

Pe,aia #akaa 'i%akuka (e&a( /ak(u 'a (e&a( sasara

Proses

a Sia&ka 'a +ersi-ka +a-a #akaa ,a! aka 'io%a- sesuai 'e!a ke(e(ua

+ Guaka a%a( #asak ,a! +ersi-) a#a 'a sesuai 'e!a s(a'ar &era%a(a

$ Da-u%uka #e#asak #akaa ,a! (a-a %a#a

' Masak #akaa sesuai 'e!a (a(a $ara &e#asaka ,a! (e&a(

e Saika #akaa #a(a! ke&a'a &e%a!!a se(e%a- 'i%akuka ui $i(arasa

. Pe'is(ri+usia #akaa &e%a!!a 'i%akuka 'e!a $ara se(ra%isasi

;. Penye$iaan (akanan 'arya0an

Pe!er(ia ;

A'a%a- &e,e'iaa #akaa kar,a/a 'e!a s(a'ar #eu #akaa se&er(i!a 'ari

(o(a% ke+u(u-a ka%ori se-ari

Tuua ;Mei!ka(ka 'eraa( kese-a(a kar,a/a se-i!!a 'a&a( #eua! kiera ,a!

o&(i#a%

Proses ;

a Susu #eu #akaa kar,a/a 'e!a sik%us 1= 5%i#a+e%as8 -ari ,a! (er'iri 'ari

#akaa %e!ka& 5asi) %auk &au-) sa,ur) 'a +ua-8 'a #akaa se%i!a

+ Lakuka e6a%uasi #eu (i!a +u%a seka%i 'a %akuka ui $i(arasa o%e- Ti#

Pe!e'a%ia Mu(u Makaa (er-a'a& #eu +aru

B. Pelayanan $an 'onsultasi Gizi Pasien Ra0at Inap

a Pengertian

A'a%a- sera!kaia ke!ia(a &e%a,aa !i"i ,a! 'i+erika ke&a'a &asie ra/a( ia& 'ari

#u%ai &ee(ua 'ie() &ere$aaa 'ie( -i!!a e6a%uasi 'ie(

2>



+ . u-uan

Me#+erika &e%a,aa ke&a'a &asie ra/a( ia& a!ar #e#&ero%e- !i"i ,a! sesuai

'e!a ke+u(u-a 'a ko'isi &e,aki(

Me#+a(u #e#&er$e&a( &roses &e,e#+u-a

$ . Proses

Te(uka 'ie( &asie o%e- 'ok(er ,a! #era/a( * 'ok(er rua!a &a'a saa( &asie

&er(a#a ka%i #asuk 'i rua! &era/a(a

I.or#asika 'ie( ,a! 'i+erika 'ok(er ke&a'a A-%i !i"i a(au Pea!!u! a/a+

&e%a,aa &e%a,aa !i"i 5 'i%uar a# kera a-%i !i"i 8

Lakuka &e!kaia ri/a,a( !i"i 'ari &o%a #aka) 6ariasi) .rekuesi ser(a &a(a!a

#aka

A-%i !i"i aka #eere#a-ka 'ie( ,a! 'i+erika 'ok(er ke'a%a# +e(uk #eu

#akaa

:uru #asak aka #e!o%a- #akaa sesuai 'e!a &e(uuk 'ie( ,a! (e%a- 'i+erika

o%e- A-%i !i"i

Saika #akaa ,a! su'a- #a(a! 'a 'is(ri+usika

Lakuka kosu%(asi !i"i 5 &e'i'ika kese-a(a 8 'e!a #e#+erika &ee%asa ke&a'a

&asie (e(a! 'ie( ,a! -arus 'ia%aka 'a%a# u&a,a #e#&er$e&a( &roses

&e,e#+u-a

Lakuka &e#a(aua * e6a%uasi (er-a'a& &eru+a-a 'ie( 'a sisa #akaa

Ti'ak %au(i a&a ,a! 'i'a&a( 'ari -asi% e6a%uasi

Lakuka kosu%(asi o%e- A-%i Gi"i a(au Dok(er Gi"i u(uk #ee%aska (uua 'ie( ,a!

-arus 'i%a%aka o%e- &asie

. Penyulu"an $an 'onsultasi Gizi Pasien Ra0at 2alan

a . Pengertian

A'a%a- ke!ia(a &e#+eria i.or#asi (e(a! &e%a,aa !i"i 'i ra/a( a%a ,a! 'i%akuka

o%e- &era/a(*+i'a) 'ok(er !i"i 'a a-%i !i"i

+ . u-uan

Me#+ua( &eru+a-a &ri%aku #aka &a'a &asie ra/a( a%a

2?



$ . Proses

Dira/a( a%a &e,u%u-a 'i+erika ke&a'a &asie #e%a%ui kursus sea# -a#i%) &ra

&ersa%ia) &ia( +a,i 'a kursus %ak(asi ,a! 'i%akuka o%e- &era/a( ,a! su'a- 'i+eka%i

#a(eri !i"i se'a!ka kosu%(asi 'i%akuka se$ara &erora!a o%e- 'ok(er s&esia%is !i"i

k%iik Se+a!ai /a$aa aka 'ia'aka &e,u%u-a 'e!a #e#+ua( &ook !i"i

2



BAB I,

ORGANI)A)I DAN 'EENAGAAN

A. )truktur Organisasi

Ga!ar 1

)RU'UR ORGANI)A)I

B. Organisasi $an ata Laksana Pelayanan Gizi $an ata Boga

Pe%a,aa Pe%a,aa Gi"i 'a Ta(a Bo!a 'i&i#&i o%e- Ke&a%a Pe%a,aa ,a! #e#+a(u

Maa!er Peua! Me'is 'a%a# &e!e%o%aa) &e%aksaaa &e%a,aa !i"i 'a (a(a +o!a

ru#a- saki() (er'iri 'ari ;

1 Pea!!u! :a/a+ 5P:8 Pe!a'aa 'a Pe,i#&aa

30

DIREKTUR

ADIR

MEDIS

Maaer Peua!

Me'is

Ke&a%a Pe%a,aaGi"i

P:

Pe!a'aa 'a

Pe,i#&aa

P:Pe,aia 'a

Pe'is(ri+usia

P:Pe!e%o%aa

Makaa

Pe(u!asPe!a'aa 'a

Pe i# aa

Pe(u!asPe,aia 'a

Pe'is(ri+usia

Pe(u!asPe!e%o%a

Makaa

Maaer Ru#a-

Ta!!a

Ke&a%a Urusa Ta(aBo!a

Die(isio



2 P: Pe,aia 'a &e'is(ri+usia ,a! #e#+a/a-i &e(u!as &e,aia 'a

&e'is(ri+usia

3 P: Pe!e%o%aa #akaa ,a! #e#+a/a-i &ara uru #asak

A'a&u (u!as 'a (a!!u! a/a+ Ke&a%a Pe%a,aa Gi"i 'a Ta(a Bo!a a'a%a- ;

1 Me,usu re$aa ke+u(u-a #akaa keri! 'a +asa- 'a &era%a(a (erkai( se$ara

-aria) #i!!ua a(au +u%aa

2 Me%aksaaka ke!ia(a &e!a'aa) &e,i#&aa) &e!e%o%aa) 'is(ri+usi 'a

&er!u'a!a +ara! * +a-/a #akaa

3 Me,e%e!!araka &e!e%o%aa +a-a #akaa #ea'i #akaa sia& sai 'a +er!i"i

+a!i &asie) 'ok(er 'a kar,a/a

< Me,e%e!!araka &roses &e#e%i-araa &era%a(a 'i 'a&ur 'a &era%a(a #aka &asie

ser(a ke+ersi-a 'i 'a&ur

= Me,e%e!!araka 'is(ri+usi #akaa +a!i &asie ,a! (e&a( 'a akura(4 Me!a/asi &e%aksaaa &e%a,aa !i"i se$ara kese%uru-a #u%ai 'ari 'a&ur sa#&ai

'e!a &e%a,aa !i"i +ua( &asie 'a kar,a/a

> Me,usu %a&ora &e%aksaaa &e%a,aa !i"i 'a (a(a +o!a se$ara +erka%a

Da%a# #e%aksaaka (u!as,a) KaPe% Gi"i 'a Ta(a Bo!a ;

1 Ber(a!!u! a/a+ ke&a'a Maaer Peua! Me'is 'a 'i +a(u o%e- Pea!!u!

:a/a+ 5P:8 Pe!a'aa 'a Pe,i#&aa) P: Pe,aia 'a &e'is(ri+usia) 'a P:

Pe!e%o%aa #akaa

2 Di %a&a!a) KaPe% Gi"i 'a Ta(a Bo!a +erkoor'iasi 'e!a Bi'a! Ke&era/a(a)

Bi'a! Pe%a,aa Me'is) Ba!ia Keua!a 'a Ba!ia Persoa%ia

31



BAB ,

)ARANA> PERALAAN DAN PERLENG'APAN

A!ar &e%a,aa !i"i 'a (a(a +o!a 'i RS Her#ia Bekasi 'a&a( +era%a 'e!a %a$ar 'a

o&(i#a%) #aka &er%u 'i'uku! 'e!a a'a,a saraa) &era%a(a 'a &er%e!ka&a ,a!

#e#a'ai +aik u(uk ke!ia(a &e%a,aa !i"i 'i Is(a%asi Ra/a( :a%a) Ra/a( Ia& #au&u

rua! 'i Pe%a,aa Gi"i 'a Ta(a Bo!a

A. )arana> Peralatan $an Perlengkapan $i Instalasi Ra0at 2alan # 'linik Gizi

Terse'ia,a rua! Kose%i! Gi"i 'i Is(a%asi Ra/a( :a%a RS Her#ia Bekasi ,a!

'i%e!ka&i 'e!a saraa +eru&a ;

Pera%a(a ka(or ,a! (er'iri 'ari #ea) kursi kose%i! !i"i) kursi rua! (u!!u) (e%e&o)

'a se+a!ai,a

Pera%a(a kosu%(asi ,a! (er'iri 'ari %e#ari) .oo' #o'e% 'a $o(o- #akaa se!ar)

.or#u%ir #e!eai !i"i) %ea.%e( 'ie() &os(er) +uku+uku &e'o#a (a(a%aksaa &ro!ra#

5ASI) Gi"i Buruk) Dia+e(es Me%i(us) '%%8

Da u!a 'i%e!ka&i 'e!a &era%a(a a(ro&o#e(ri !ua #e'a&a(ka 'a(a &asie

'ia(ara,a a'a%a- ;

S(a'ar a(ro&o#e(ri) a%a( ukur (i!!i 'a +era( +a'a 'e/asa) a%a( ukur &aa! +a'a

+a,i*aak) (i#+a!a +a,i 5+ea# +a%a$e s$a%e8) a%a( ukur %i!kar %e!a a(as 5LILA8)

a%a( ukur %i!kar ke&a%a 5LK8) a%a( ukur (i!!i %u(u() 'a .or#u%ir skrii! 5a%a(a%a(

(erse+u( 'i%akuka (era se$ara +erka%a o%e- +a'a #e(ero%o!i8

B )arana> Peralatan $an Perlengkapan $i Pelayanan Gizi $an ata Boga

Casi%i(as rua! ,a! 'i+u(u-ka 'i Ui( Gi"i 'a Ta(a Bo!a (er'iri 'ari ;

1 Te#&a( &eeri#aa +a-a #akaa

Te#&a(*rua!a ii 'i!uaka u(uk &eeri#aa +a-a #akaa 'a #e!e$ek

kua%i(as ser(a kua(i(as +a-a #akaa) (e#&a( ii 'i%e!ka&i 'e!a (i#+a!a ,a!

'i!uaka u(uk #e%akuka &eeri#aa +a-a #akaa

2 Te#&a(*rua!a &e,i#&aa +a-a #akaa

Pe,i#&aa +a-a #akaa (er+a!i a(as 2 (e#&a() ,ai(u u(uk !u'a! +asa- u(uk

#e,i#&a #akaa se!ar 'i#aa 'i 'a%a#,a (er'a&a( .re""er 'a $-i%%er

Se'a!ka !u'a! keri! 'i!uka u(uk #e,i#&a +a-a #akaa keri! 'i#aa

'i 'a%a#,a (er'a&a( rak ,a! 'i!uaka u(uk #e%e(akka +a-a #akaa keri!

32



3 Te#&a( &ersia&a +a-a #akaa

Te#&a( ii 'i&eru(ukka +a!i +a-a #akaa ,a! aka 'i&ersia&ka +eriku( +u#+u

,a! -arus 'i+ersi-ka) 'i$u$i) 'iku&as) 'i(u#+uk) 'i!i%i!) 'i&o(o!) 'iiris 'a

%ai,a se+e%u# 'i%akuka &roses &e#asaka

< Te#&a( &e#asaka 'a 'is(ri+usi #akaa

Te#&a( &e#asaka 'i%e!ka&i 'e!a $ero+o! asa& 'i a(as ko#&or 'a &er%a(a ,a!

'i!uaka u(uk &roses &e!o%a-a se&er(i ko#&or) +%e'er) &a$i) &e!!ore!a 's+

Dis(ri+usi #akaa 'ike%o#&okka #ea'i #akaa +iasa 'a #akaa k-usus)

ke#u'ia 'i(e#&a(ka &a'a /a'a- ,a! +er+e'a ,a! (er'iri 'ari ke%o#&ok asi)

sa,ura) %auk &auk 'a #akaa se%i!a ser(a +ua- Saa( #e'is(i+usika #akaa

!uaka trolley &e#aas u(uk #e#+a/a #akaa #eu u(a#a

= Te#&a( &e$u$ia 'a &e,i#&aa a%a(

Te#&a( &e$u$ia &era%a(a #e#i%iki +ak !a'a 'a 'i%e!ka&i 'e!a /a(er -ea(er

5a%ira air &aas 'a 'i!i8 'a -e'ak,a (er%e(ak (er&isa- 'e!a (e#&a( &e$u$ia

+a-a #akaa) 'ise'iaka .asi%i(as rak &e!eri!) 'i%e!ka&i &u%a 'e!a a%a(

#e!a(asi su#+a(a 'a 6e$(or) ser(a sa+u) sika( 'a %a& +ersi-

4 Te#&a( &e#+ua!a sa#&a-

Te#&a( &e#+ua!a sa#&a- -arus (er(u(u& $uku& u(uk #ea#&u! sa#&a- ,a!

'i-asi%ka 'a se!era 'ikoso!ka +e!i(u sa#&a- (e%a- #e$a&ai 2*3 &eu- ,a!

'i(a#&u! se+e%u#,a 'a%a# /a'a- &%as(ik sa#&a- o #e'is

C. Pe!eli"araan> Peraikan Ruangan $an Alat

Pe!er(ia ;

A'a%a- ke!ia(a a(au u&a,a u(uk #ea!a a!ar rua!a 'a &era%a(a 'a&a( +er.u!si

se$ara o&(i#a%

Tuua ;

a Terse'ia,a rua!a 'a &era%a(a ,a! se%a%u (er&e%i-ara 'a sia& &akai

+ Me#&er&aa! usia &akai a%a( 5life time8 'i &e%a,aa !i"i

Proses ;

a Lakuka &e!e$eka 'a &e#e%i-araa se$ara ru(i 'a &erio'ik (er-a'a& rua!a 'a

&era%a(a

+ Se!era %a&orka se(ia& a'a kerusaka rua!a 'a &era%a(a ke&a'a ui( (erkai(

$ Se!era auka &e!!a(ia (er-a'a& &era%a(a ,a! (i'ak 'a&a( 'i&er+aiki

33



BAB ,I

)ANIA)I (A'ANAN DAN 'E)ELA(AAN 'ER2A

A. )anitasi (akanan

1 Pe!er(ia

Sai(asi #akaa #eru&aka sa%a- sa(u u&a,a &e$e!a-a ,a! #ei(ik +era(ka &a'a

ke!ia(a 'a (i'aka ,a! &er%u u(uk #e#+e+aska #akaa 'a #iu#a 'ari

se!a%a +a-a ,a! 'a&a( #e!!a!!u a(au #erusak kese-a(a #u%ai 'ari se+e%u#

#akaa 'i&ro'uksi) se%a#a &roses &e!o%a-a) &e,ia&a) &e!a!ku(a) &eua%a

sa#&ai &a'a saa( #akaa 'a #iu#a (erse+u( sia& u(uk 'ikosu#sika ke&a'a

kosu#e 5Direk(ora( H,!iee 'a Sai(asi) Di(e Pe$e!a-a 'a Pe#+era(asa

Pe,aki( Meu%ar8:a'i -e'ak,a u&a,a ii -arus 'i%akuka 'i Pe%a,aa Gi"i 'a Ta(a Bo!a RS

Her#ia Bekasi sesuai 'e!a &rose'ur ,a! a'a #e!eai sai(asi

2 Tuua

Ke!ia(a ii 'i(uuka a!ar RS Her#ia Bekasi 'a&a( ;

a Me,e'iaka #akaa ,a! +erkua%i(as +aik 'a a#a +a!i kese-a(a &asie)

ke%uar!a &asie) kar,a/a 'a 'ok(er

+ Meuruka a!ka kea'ia &eu%ara &e,aki( a(au !a!!ua kese-a(a #e%a%ui

#akaa

$ Me/uu'ka &eri%aku kera ,a! se-a( 'a +ear 'a%a# &ea!aa #akaa3 Pe%aksaaa sai(asi #akaa 'a%a# &e,e%e!!araa #akaa

a Rua! &e!o%a-a* 'a&ur -arus 'i&e%i-ara ke+ersi-a,a sesuai 'e!a ke(e(ua

+ Terse'ia,a sa%ura %i#+a-) se+a!ai &e#+ua!a %i#+a- #akaa ,a! a#a 'ari

+ia(a! &e!!a!!u

$ Terse'ia,a air +ersi- 'a%a# u#%a- ,a! #e$uku&i sesuai s(a'ar #u(u air

'e!a #e%akuka ko(ro% air 'a &es( se$ara ru(i sesuai ke(e(ua

' A%a( &e!a!ku( #akaa 'a #iu#a -arus (er(u(u& 'a +a-a #u'a-

'i+ersi-ka

e Rak &e,i#&aa +a-a #akaa -arus #u'a- 'i&i'a-ka u(uk #e#u'a-ka &roses &e#+ersi-a

. Pera%a(a ,a! ko(ak 'e!a #akaa -arus #u'a- 'i+ersi-ka) (i'ak #u'a-

rusak aki+a( "a( asa#*+asa a(au !ara#!ara#a 'a (i'ak (er+ua( 'ari %o!a# ,a!

+era( 'a&a( #ei#+u%ka kera$ua

! Ba-a #akaa -arus +er#u(u +aik) #asi- se!ar) a#a) u(u-) (i'ak +usuk) (i'ak

ko(or) $uku& #a(a! 5u(uk +ua-8

3<



- Pea!aa +a-a #akaa -arus #e#&er-a(ika $ara &ea!aa ,a! +aik 'a

(e&a( 'e!a #e#&er-a(ika &u%a &ers,ara(a -,!iee +aik (ea!a &ea#a- 'a

'a%a# #e%akuka &rose'ur kera

< Pe!a/asa sai(asi 'a%a# &e,e%e!!araa #akaa

a Di%akuka,a &e#eriksaa kese-a(a 'a usa& 'u+ur*ku%i( se$ara +erka%a sesuai

'e!a ke(e(ua (er-a'a& (ea!a &ea#a- #akaa 'a u!a &era%a(a

+ Me%akuka ko(ro% kua%i(as +a-a #akaa #e%a%ui &es($o(ro%

$ Di%akuka +o!kar ke$i% 'a +o!kar +esar se$ara ru(i (er-a'a& ke+ersi-a

rua!a * %i!ku!a seki(ar Pe%a,aa Gi"i 'a Ta(a Bo!a

B. 'esela!atan 'er-a

1 Pe!er(ia

Kese%a#a(a kera a'a%a- se!a%a u&a,a a(au (i'aka ,a! -arus 'i(era&ka 'a%a#

ra!ka #e!-i'ari kese%akaa ,a! (era'i aki+a( kesa%a-a kera &e(u!as a(au&u

ke%a%aia*kese!aaa

2 Tuua

a Me$e!a- 'a #e!ura!i ke$e%akaa aki+a( kera

+ Me#+eri &er(o%o!a ke$e%akaa 'a &er%i'u!a +a!i kar,a/a

$ Me$i&(aka kea#aa) ke,a#aa 'a kese%a#a(a 'a%a# +ekera

' Me$e!a- 'a #e!e'a%ika (i#+u%,a &e,aki( aki+a( kera se&er(i kera$ua)

i.eksi 'a &eu%ara &e,aki(

3 Prisi& kese%a#a(a kera 'a%a# &roses &e,e%e!!araa

a Guaka a%a( &e%i'u! 'iri &a'a saa( #e%akuka &roses &ekeraa sesuai 'e!a

&rose'ur ,a! +er%aku

+ Lakuka &roses kera sesuai 'e!a &e(uuk 'a &rose'ur ,a! +er%aku

$ Me!!uaka 'e!a +aik &era%a(a sesuai 'e!a .u!si,a

' Ti'ak 'i&erkeaka #erokok 'i rua! &eeri#aa 'a &e,i#&aa +a-a

#akaa 'a se%a#a &roses &e!o%a-a

e Lakuka &e#+ersi-a 'a &e#e%i-araa a%a( kera 'a saraa &e'uku!

. Lakuka &e#eriksaa kese-a(a &ekera se$ara (era(ur

3=



BAB ,II

PE(BIA*AAN (A'ANAN

A. Per"itungan Biaya Ba"an (akanan

1 Pe!er(ia

Bia,a #akaa a'a%a- +ia,a +a-a ,a! 'i&akai u(uk #e!-asi%ka #akaa ,a!

'i&er%uka

2 Tuua

a Me#u'a-ka 'a%a# &roses &e,usua a!!ara +e%aa +a-a #akaa

+ A'a,a &e!a/asa 'a &e!e'a%ia (er-a'a& +ia,a +a-a #akaa

$ Da&a( #e%akuka &ei%aia (er-a'a& &res(asi kera 'a%a# &roses &e!a'aa +a-a

#akaa

Bia,a +a-a #aka #eru&aka +ia,a 6aria+e% %a!su!) karea +er-u+u!a %a!su!'a%a# ra!ka &roses &ro'uksi #akaa ,a! 'i&e!aru-i o%e- u#%a- &orsi #akaa ,a!

'i-asi%ka a(au u#%a- &asie ,a! aka 'i%a,aai

Pe!-i(u!a +ia,a +a-a #akaa 'i RS Her#ia Bekasi (e%a- 'ia(ur 'a%a# &rose'ur

&ere$aaa ke+u(u-a +a-a #akaa 'a &e,usua a!!ara +e%aa

B. Per"itungan Biaya enaga 'er-a

Per-i(u!a +ia,a (ea!a kera RS Her#ia Bekasi (e%a- 'ia(ur se$ara (erkoor'iasi o%e-

Ba!ia Persoa%ia ,a! #e%i&u(i !ai) (ua!a) %e#+ur) +ous) 'a %ai se+a!ai,a

C. Per"itungan Biaya Overhead

Bia,a overhead #e%i&u(i +ia,a +ara! 'a +ia,a &e#e%i-araa Pe#+e%ia +ara! ,a!

'i#aksu' a'a%a- +ara! ,a! (i'ak (erse'ia 'i Ui( Lo!is(ik RS Her#ia Bekasi) karea

se%uru- +ara! ,a! 'i&er%uka o%e- Pe%a,aa Gi"i 'a Ta(a Bo!a (er#asuk a%a( (u%is

ka(or) a%a( #asak #au&u a%a( #aka 'a a%a( ru#a- (a!!a se+a!ia +esar (e%a- (erse'ia

'i Ui( Lo!is(ik Se'a!ka ,a! 'i#aksu' +ia,a &e#e%i-araa 'i RS Her#ia Bekasi

a'a%a- +ia,a ,a! 'ike%uarka u(uk &e#e%i-araa a%a( ,a! rusak #au&u &er+aika

seki(ar rua! Pe%a,aa Gi"i 'a Ta(a Bo!a ,a! 'i!uaka u(uk ke!ia(a o&erasioa%

&e,e%e!!araa #akaa

34



BAB ,III

PENGA3A)AN DAN PENGENDALIAN (UU PELA*ANAN GI+I

A. Pen7atatan $an Pelaporan

Meru&aka sera!kaia ke!ia(a &e!u#&u%a 'a(a 'a &e!o%a-a 'a(a ke!ia(a

&e%a,aa !i"i RS Her#ia Bekasi 'a%a# a!ka /ak(u (er(e(u) u(uk #e!-asi%ka

+a-a +a!i &ei%aia ke!ia(a &e%a,aa !i"i #au&u u(uk &e!a#+i%a ke&u(usa Ha%

ii (er(ua! 'a%a# &rose'ur Pe$a(a(a 'a Pe%a&ora Pe%a,aa Gi"i 'i Rua! Ra/a(

Ia&

B. Penga0asan )tan$ar Porsi

a Di%akuka &ei#+a!a (er-a'a& +a-a #akaa &a'a( se+a!ai sa%a- sa(u +e(uk

&e!a/asa

+ Di%akuka &e!ukura 'e!a #e!!uaka a%a( ukur (er-a'a& #akaa $air a(ause(e!a- $air

$ Di%akuka &roses &e#o(o!a sesuai &rose'ur 'a a%a( u(uk +a-a #akaa a(au

eis -i'a!a ,a! -arus 'i&o(o!

' Di%akuka &e!ukura +er'asarka s(a'ar &orsi 'a rese& u(uk #e'a&a(ka &orsi

,a! (e(a& 5(i'ak +eru+a-8

C. Penga0asan Harga

a Di+ua( .or#a( isia &e%aksaaa &e$a(a(a &e%a&ora ,a! +aku u(uk &e!a/asa)

#isa%,a +a!i &asie) ke%uar!a &asie) kar,a/a #au&u 'ok(er ,a! #e#esa#akaa aka 'ikeaka +ia,a sesuai -ar!a &er &orsi #akaa ,a! +er%aku saa( i(u

'a%a# +e(uk $a(a(a +o Ke#u'ia %e#+ar +o (erse+u( -arus 'i+a,ar #e%a%ui kasir

5Ba!ia Keua!a8 sesuai ke(e(ua a(au &rose'ur ,a! +er%aku

+ Ka%ku%asi &e#asuka 'a &e!e%uara +a-a #akaa +eriku( i%ai ru&ia-,a

(erkoor'iasi 'i Ba!ia Keua!a RS Her#ia Bekasi

D. Pengen$alian Biaya

Pe!e'a%ia +ia,a 'i#aksu' a'a%a- &roses 'i#aa RS Her#ia Bekasi #e!a(ur +ia,a

!ua #e$e!a- a'a,a &e#+orosa 'ari +ia,a ,a! 'ike%uarka) 'a%a# -a% ii +ia,a +a-a #akaa

Pe%a,aa Gi"i 'a Ta(a Bo!a -arus &i(ar 'a%a# #e!e%o%a &e#akaia +a-a #akaa

'i#aa $ara #eukar) #e!u+a- a(au #e!!a(i #akaa 'e!a +a-a %ai #eru&aka

sa%a- sa(u $ara &e!e'a%ia +ia,a 'a%a# ke!ia(a &ere$aaa #eu) &e#+e%ia)

&eeri#aa 'a &e!o%a-a

3>



E. In$ikator 'eer"asilan Pelayanan Gizi Ru!a" )akit

RS Her#ia Bekasi 'a%a# #ei!ka(ka #u(u &e%a,aa !i"i 'i%akuka 'e!a a'a,a

&ea!aa ke%u-a &e%a!!a (er-a'a& &e%a,aa !i"i +er'asarka &rose'ur ,a! a'a

Da #e%akuka #oi(ori! ser(a e6a%uasi (er-a'a& ke!ia(a &e%a,aa !i"i sesuai &rose'ur

,a! (e%a- 'i(e(a&ka

U(uk #e!ukur (i!ka( ke+er-asi%a &e%a,aa !i"i 'i Is(a%asi Ra/a( Ia& 'i%akuka

ke!ia(a &e$a(a(a 'a &e%a&ora &e%a,aa !i"i 'i rua! ra/a( ia& sesuai &rose'ur ,a!

(e%a- 'i(e(a&ka

Ber'asarka -a% i(u se#ua ke#u'ia 'i%akuka e6a%uasi ser(a (i'ak %au( (er-a'a& -asi%

(e#ua u(uk +a!ai#aa #ei!ka(ka #u(u 'ari&a'a &e%a,aa !i"i ,a! +aik 'i

%i!ku!a RS Her#ia Bekasi

3?



BAB

PENUUP

Buku Pe'o#a Pe,e%e!!araa Pe%a,aa Gi"i Ru#a Saki( 'i RS Her#ia

Bekasi +er(uua u(uk #e#+erika a$ua ,a! e%as 'a &ro.esioa% 'a%a# #e!e%o%a 'a

#e%aksaaka &e%a,aa !isi ,a! (e&a( +a!i &asie sesuai (u(u(a #as,araka( U(uk i(u

&e'o#a ii +e(u%+e(u% 'ia'ika a$ua +a!i &e%a,aa !i"i 'i RS Her#ia Bekasi

Ma(eri#a(eri %ai ,a! &er%u 'a 'ia!!a& 'a&a( #ea'i a$ua 'a +e%u# (er'a&a(

'a%a# &e'o#a ii 'a&a( 'iauka #e%a%ui -irarki 'a ke(e(ua ,a! +er%aku u(uk

'i#asukka 'a%a# (a#+a-a +uku &e'o#a ii

3



BU'U RU2U'AN

1 Ke#e(eria Kese-a(a RI) 2013

Buku Pe'o#a Pe%a,aa Gi"i Ru#a- Saki( Direk(ora( :e'era% Bia U&a,a Kese-a(a

2 De&ar(e#e Kese-a(a RI) 2004

Buku Pe'o#a Pe%a,aa Gi"i Ru#a- Saki() Dire Bia Kese-a(a Mas,araka(

3 A'is(, ,(-ia A!!raei) SG") 2012

Asu-a Gi"i Nu(ri(ioa% are Pro$ess

<0



LA(PIRAN

1 Uraia Tu!as 'i Pe%a,aa Pe%a,aa Gi"i

2 Cor#u%ir Da.(ar Na#a &asie Ra/a( Ia&

3 Cor#u%ir Pe#esaa Ba-a Makaa

< Cor#u%ir Per#i(aa Ba-a Makaa !u'a!

= Cor#u%ir Pe#+a!ia Meu Se-ari u(uk &asie 'ie( k-usus

4 Cor#u%ir E6a%uasi

<1

panduan gizi

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