panduan penatalaksanaan pasien isolasi 2014
TRANSCRIPT
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PANDUAN
PENATALAKSANAAN PASIEN ISOLASI
RS. BAPTIS BATU TAHUN 2014
RS BAPTIS BATU
JL RAYA TLEKUNG NO 1JUNREJO BATU
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DAFTAR ISI
Halaman Judul ................................................................................................................
Da!a" I#$ .........................................................................................................................
L%m&a" P%n'%#a(an ........................................................................................................
1. DE)INISI ............................................................................................................
2. RUANG LINGKUP............................................................................................
*. TATA LAKSANA..............................................................................................
4. DOKU+ENTASI ...............................................................................................
,. LA+PIRAN - Da!a" D$a'n#a Pa#$%n +a#u/ I#la#$ .......................................
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LEMBAR PENGESAHAN
$$$
PENGESAHAN DOKUMEN RS. BAPTIS BATU
NAMA KETERANGAN TANDA TANGAN TANGGAL
Ku"n$a Pu$ A#!u!$3A.+d.K%. P%m&ua! D/um%n
D". Imanu%l E/a Tan!au!"a Au!("$5%d P%"#n
D". A"(6$nda PA3S.K)R.3+ARS. D$"%/!u" RS. Ba!$# Ba!u
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PANDUAN PENATALAKSANAAN PASIEN ISOLASI
I.
II.
DEFINISI
1. K%6a#adaan &%"da#a"/an !"an#m$#$ adala( !am&a(an /%6a#adaan #!anda"!
d$!%"a/an ada a#$%n d' '%ala7d$8u"$'a$ !%"$n%/#$ a!au /ln$#a#$ /uman
a!'%n
2. K%6a#adaan P%nula"an m%lalu$ uda"a 9Airborne Precaution:
K%6a#adaan ;an' d$!%"a/an ada a#$%n ;an' d$/%!a(u$ a!au d$du'a !%"$n%/#$
/uman a!('%n ;an' %nula"ann;a m%lalu$ uda"a 9+$# - TB&a(an ;an' daa! $n%/#$u# #%%"!$
da"a(3 8a$"an !u&u(3 #%/"%! a#$%n.
?.Immunocompromissed-
RUANG LINGKUP
1. P%nula"an m%lau$ uda"a 9airborne precaution:
2. P%nula"an m%lalu$ %"8$/an 9Droplet precaution:
*. P%nula"an m%lalu$ #%n!u(an 9Contact precaution:
4. Pa#$%n d%n'an %nu"unan da;a !a(an !u&u( dan /nd$#$ !%"!%n!u ;an' !%"8an!um
dalam lam$"an
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III.
TATA LAKSANA
1.AIRBORNE PRECA!ION"
D$!%"a/an /%ada a#$%n ;an' d$/%!a(u$ a!au d$du'a !%"$n%/#$ /uman a!('%n
d%n'an %nula"an m%lalu$ uda"a. Pa"!$/%l l%&$( /%8$l da"$ d"l%! 9@ ,um: dan
!$n''al d$ uda"a dalam an'/a 6a/!u lama3 #%($n''a uda"a !%"/n!am$na#$3
m%nula" m%lalu$ uda"a !%"/n!am$na#$ ;an' d$($"u
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2.DROP#E! PRECA!ION"
D$!%"a/an #aa! m%la/u/an !$nda/an ;an' /n!a/ d%n'an m%&"an% mu/#a a!au
/nun'!$a a#$%n ;an' d$du'a m%nula". Pa"!$/%l l%&$( &%#a" da"$ ,um3 dan
m%m%"8$/ dalam "ad$u# 1 m%!%"3
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*.CON!AC! PRECA!ION"
D$!%"a/an un!u/ m%nu"un/an "%#$/ %nula"an m$/""'an$#m% a!('%n m%lalu$
/n!a/ lan'#un' mauun !$da/ lan'#un' d$an!a"an;a -
Kn!a/ /ul$! dan /ul$!
Kn!am$na#$ da"$ %"ala!an a#$%n
L$n'/un'an a#$%n
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PENATALAKSANAAN
KEBUTUHAN PENULARAN +ELALUI KONTAK 7 SENTUHAN
Sa"un' !an'an Saa! /n!a/ d%n'an a#$%n3 %"ala!an a#$%n dan
l$n'/un'an a#$%n
A"n7'6n Saa! %!u'a# /%#%(a!an /n!a/ d%n'an a#$%n3 %"ala!an
a#$%n dan l$n'/un'an a#$%n
+a#/%" D$ 'una/an $/a ada "%#$/ %"8$/an 8a$"an !u&u( a#$%n
G''l%#7a8% #($%ld D$'una/an $/a ada "%#$/ %"8$/an 8a$"an !u&u( a#$%n
P%nan'anan %"ala!an +%m&a!a#$ u"n$!u"% dan %"ala!an !%"aa" a#$%n
P%"ala!an ;an' d$'una/an ulan' d$la/u/an d%#$n%/#$
dan #!%"$l$#a#$ #%#ua$ "#%du" #%&%lum d$'una/an un!u/
a#$%n la$n
T"an#"!a#$ a#$%n Hu&un'$ "uan'an ;an' d$!uu
Pa#!$/an lu/a d$/ul$! !%"!u!u dan %=uda! d$!an'an$
d%n'an &a$/
L$n%n +$n$mal/an /n!a/ dan m%n'$&a#/an l$n%n a#$%n
L$n%n ;an' !%"/n!am$na#$ d$ma#u//an /% dalam
/an!n' la#!$/ &%"6a"na /un$n' dan d$!an'an$ #%#%'%"a
mun'/$n
D%/n!am$na#$ #%#ua$ "#%du"
Guna/an APD #aa! m%nan'an$ l$n%n ;an'
!%"/n!am$na#$
L$m&a( Tan'an$ #%#ua$ "#%du"
La$n>la$n La/u/an 8u8$ !an'an #%#ua$fi$e moment3 #%!%la(
m%l%a# #a"un' !an'an dan a"n
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4. Pa#$%n d%n'an %nu"unan da;a !a(an !u&u( 9Immunocompromissed)
Pa#$%n d%n'an %nu"unan da;a !a(an !u&u( d$ma#u//an /% dalam "uan' $#la#$
un!u/ m%n8%'a( "%#$/ aa"an m$/""'an$#m% a!('%n da"$ a#$%n la$n.
d$#$n%/#$ a!au #!%"$l$#a#$ ;an' !%la(
d$"%/m%nda#$/an #%&%lum d$'una/an /%m&al$.
. +%la/u/an %m&%"#$(an "uan'an #%8a"a "u!$n7(a"$an #%#ua$ d%n'an SPO ;an'
!%la( d$!%!a/an un!u/ "uan' $#la#$. P%m&%"#$(an m%n;%lu"u( d$la/u/an #aa!
a#$%n $nda( a!au ulan'
C. P%"ala!an ma/an ;an' d$'una/an d$ "uan' $#la#$ !$da/ ada %"la/uan /(u#u#
m$#al d%n'an %ma/a$an a#$l$!a# #%/al$ a/a$. P%n8u8$an 8u/u d%n'an
m%n''una/an d$#$n%/!an /(u#u# un!u/ ala! ma/an a!au #%8a"a m%/an$/ 9m%#$n
8u8$ $"$n': d%n'an #u(u 0
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14. P"#%du" 8u8$ !an'an m%"ua/an m%!d% %n!$n' un!u/ m%n8%'a( %n;%&a"an
$n%/#$ 3 a#!$/an a#$l$!a# !%"#%d$a #%!$a #aa!3 aman dan n;aman #aa! d$'una/an.
1,. P%n''unaan "uan' %"a6a!an &$a#a m%nad$ "uan' $#la#$ /a"%na #$!ua#$ !$da/
n"mal 9 "uan' $#la#$ %nu( dan /("!$n' !$da/ daa! d$la/u/an : (a"u# d$
$n"ma#$/an /%ada d/!%" ;an' m%"a6a! d%m$ /%amanan a#$%n3 %!u'a# dan
%n'unun'.
1?. P%"a6a!an a#$%n ;an' m%m%"lu/an /ama" $#la#$tidak dapat dilakukan&$la
"uan' $#la#$ %nu(3 /("!$n' !$da/ daa! d$la/u/an dan "uan' %"a6a!an &$a#a
;an' ada !$da/ daa! d$'una/an #%&a'a$ "uan' $#la#$. Dalam #$!ua#$ !%"#%&u!
a#$%nhaus diu!uk/% "uma( #a/$! la$n.
1. B$la a#$%n da"$ "uan' $#la#$ m%n$n''al %"a6a!an %na#a( d$la/u/an d%n'an
m%m%"(a!$/an "$n#$ /%6a#adaan #!anda"
1. Pa#$%n da"$ "uan' $#la#$ m%n$n''al a!auun d$"uu/ m%n''una/an am&ulan8%3
ma/a am&ulan8% 6a$& d$la/u/an d%#$n%/#$ #%#ua$ "#%du"
I". DOKUMENTASI
D$la/u/an aud$! /%a!u(an %n%"aan /%6a#adaan &%"da#a"/an !"an#m$#$3 (a#$ln;a
d$la"/an /% un$! dan d$"%/#$
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LA+PIRAN -
DAFTAR DIAGNOSA PASIEN MASUK ISOLASI
1. Ad%n$"u#
2.