ppi

7/21/2019 Ppi

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CHECK LIST TELAAH DOKUMEN

PENCEGAHAN DAN PENGENDALIAN INFEKSI

( P P I )

STD

EPDOKUMEN ADA

TIDAK

ADAKETERANGAN

1 Pedoman Manajeria Pen!e"a#an

dan Pen"endaian In$e%&i di RS dan

Fa&ii'a& Ke&e#a'an Lainna

De*%e& +,,-

SK *em.en'/%an Komi'e0*ani'ia

PPI

SK *em.en'/%an IPCN danIPCLN

Pro"ram %erja IPCN + Pedoman *en"or"ani&a&ian

Komi'e0*ani'ia PPI (%#/&/&na

'en'an" Ta'a H/./n"an Kerja)

Pedoman *eaananan0o*era&iona

Komi'e0*ani'ia PPI

Daam *ro&e&

No'/en ra*a'

/%'i do%/men'a&i ainna

mi&ana &/ra' men/ra'

2 A!/an3 Ke*men%e&

1+,40Men%e&0SK050+,,4 'en'an"

Per&ara'an Ke&e#a'an Lin"%/n"an

R/ma# Sa%i'

Ke*men%e&

6-70Men%e&0SK08III0+,,1 'en'an"

Pen/&/nan U*aa Pen"eoaan

Lin"%/n"an dan U*aa

Peman'a/an Lin"%/n"an

Ke*men%e&

6-90Men%e&0SK08III0+,,1 'en'an"

Pedoman Te%ni& Anai&i& Dam*a%

Ke&e#a'an Lin"%/n"an

Pedoman Sani'a&i R/ma# Sa%i' di

Indone&ia De*%e& +,,,

Pedoman Pen"endaian In$e%&i

No&o%omia Di RS De*%e& +,,1

Pedoman Peaanan P/&a'

S'erii&a&i (CSSD) di RS De*%e&

+,,+

Pedoman Manajemen Linen di RSDe*%e& +,,4

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Pedoman Pea%&anaan

Ke:a&*adaan Uni;er&a di

Peaanan Ke&e#a'an De*%e&

Ce'a%an II +,,7

Pedoman In&'aa&i P/&a' S'erii&a&i

di R/ma# Sa%i' De*%e& +,,<

Pro"ram PPI

4 Pedoman *en"or"ani&a&ian

Komi'e0*ani'ia PPI (*oa

%e'ena"aan)

RKA RS

SIRS man/a

7 Pedoman Manajeria Pen!e"a#an


Fa&ii'a& Ke&e#a'an LainnaDe*%e& +,,-

RKA RS

7=1 Pro"ram PPI

La*oran %e"ia'an

9 Re"/a&i RS Ke'en'/an &/r;eian!e

La*oran Komi'e0*ani'ia PPI

Do%/men *ea%&anaan La*oran

Da'a &/r;eian!e #a&i anai&i& dan

re%omenda&i

Tinda% anj/' #a&i anai&i& dan

re%omenda&i

Ha&i a&e&men ri&i%o in$e%&i *ada

&e'ia* /ni' %erja *eaanan

Ha&i a&e&men ri&i%o in$e%&i *ada

&e'ia* /ni' %erja *eaanan

-

-=1

/%'i 'ea# dia%/%an a&&e&&emen

ri&i%o (ICRA)

Koordina&i d"

K2RS moni'orin"

No'/en ra*a'


R/ma# &a%i' 'ea#

men"im*emen'a&i

S/ra' /&/an

Pedoman In&'aa&i P/&a' S'erii&a&i

di R/ma# Sa%i' De*%e& +,,<

Pedoman Manajemen Linen di

R/ma# Sa%i' De*%e& +,,4

Pedoman dan SPO

*eaananan0o*era&iona Uni'

S'erii&a&i Pedoman dan SPO*eaananan0o*era&iona Uni'

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Linen dan La/ndr

Ha&i moni'orin" dan e;a/a&i

*em.er&i#an dan &'erii&a&i

(%e*a'/#an *e'/"a& daam

mea%/%an &o/&i ICRA)

Daam *ro&e&

%oordina&i de" K2

RS

-=1=1 Ke.ija%an dan SPO 'en'an"

*en"a:a&an *eraa'an %ada/:ar&a

Ke.ija%an dan SPO 'en'an"

*ema%aian /an" (re>/&e) *eraa'an

dan ma'eria

Do%/men moni'orin" dan e;a/a&i >

Do%/men #a&i *emeri%&aan %/man

-=+ Pedoman Sani'a&i R/ma# Sa%i' di


Pedoman *ena'aa%&anaan*en"eoaan im.a# *ada' dan

im.a# !air di r/ma# &a%i' De*%e&

+,,9

S'andar Kamar ?ena@a# De*%e&

+,,4

-=2 Ke'en'/an *en"eoaan &am*a#

in$e%&i/& dan !airan '/./#

Ke'en'/an *en"eoaan dara# dan

%om*onen

Koordina&i d" PP

SPO

*en"am.ian

*enim*anan

'ran&*or'a&i 'ida%

.oe# e.i# dr 2,

meni' *em.erian

'ran&$/&i e.i# dr 4

jam

Ke'en'/an *eaanan %amar

jena@a#

Ke'en'/an" *en"eoaan .enda

'ajam

-=4 Pedoman Sani'a&i R/ma# Sa%i' di


Pedoman Manajeria Pen!e"a#an


Fa&ii'a& Ke&e#a'an Lainna

De*%e& +,,-

Pedoman Peaanan Gi@i R/ma#

Sa%i' De*%e& +,,2

Ke'en'/an *er&ia*an ma%anan

Ke'en'/an *en"on'roan $a&ii'a& (%ema&an &/#/

*e'/"a& "i@i

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*emeri%&aan $i&i%

-=7 A!/an3

Ke*men%e&

12270Men%e&0SK050+,,+ 'en'an"

S'andar O*era&iona Pen"am.ian

dan Pen"/%/ran Sam*e K/ai'a&Udara R/an"an R/ma# Sa%i'

Pand/an %ri'eria ri&i%o a%i.a'

dam*a% reno;a&i a'a/ *e%erjaan

*em.an"/nan (%on&'r/%&i) .ar/

Pene'a*an *eman'a/an %/ai'a&

/dara

Dia%/%an r/'in

&e'ia*./andr /ni'

&ani'a&i

in"%/n"an

/n'/%mea%/%an

&am*in" d"men""/na%an

ALAT

KELEMAAN

KUALITAS

UDARA

KEISINGAN

%md mea%/%an

re%omenda&i %e

r/an"an 'er&e./'=Ha&i *ea%&anaan *eman'a/an

%/ai'a& /dara=a%i.a' dam*a%

reno;a&i=

6 Ke'en'/an 'en'an" *era:a'an

*a&ien *ena%i' men/ar

Do%/men 3 /%'i ed/%a&i &'a$

< PMK 19<10+,11 'en'an"

Ke&eama'an Pa&ien RS

A G/ide 'o '#e Im*emen'a'ion o$

'#e HO B/'imode Hand H"iene

Im*ro;emen' S'ra'e" +,,<

1, Ke.ija%an *en""/naan APD

Area an" men""/na%an APD

Pand/an 'en'an" *en""/naan APD

SPO *en""/naan APD

SPO Ke.er&i#an 'an"an

Ha&i *eman'a/an !/!i 'an"an

(!om*ian!ena)

1,=1 /%'i 'e/&/r ri&i%o in$e%&i in$e%&i

dan %e!ender/n"an in$e%&i 'er%ai'

*eaanan %e&e#a'an

Da'a *eman'a/an an"%a in$e%&i

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'erma&/% indi%a'or an"%a in$e%&i

No'/en ra*a' *em.a#a&an


1,=+ *en""/naan indi%a'or0*en"/%/ran

an" .er#/./n"an den"an ma&aa#

in$e%&i an" &e!ara e*idemioo"i&

*en'in" .a"i r/ma# &a%i'

Ha&i moni'orin" dan e;a/a&i

*ea%&anaan %e"ia'an PPI

Ha&i anai&i& e*idemioo"i

1,=2 R/ma# &a%i' men""/na%an

in$orma&i ri&i%o an"%a dan

%e!ender/n"an /n'/% men/&/n

a'a/ memodi$i%a&i *ro&e& /n'/%

men/r/n%an ri&i%o in$e%&i 'er%ai'

*eaanan %e&e#a'an %e e;e an"&erenda# m/n"%in=

Per/.a#an re"/a&i .erda&ar%an

#a&i anai&i&

1,=4 R/ma# &a%i' mem.andin"%an

an"%a %ejadian in$e%&i r/ma# &a%i'

den"an r/ma# &a%i' ain mea/i

*er.andin"an da'a da&ar0 da'a.a&e&

Daam *ro&e&

/%'i da'a RS ain

/%'i da'a a!/an

Ha&i anai&i&

1,=7 Ha&i moni'orin" *en!e"a#an dan

*en"endaian in$e%&i di r/ma#

&a%i' &e!ara .er%aa di&am*ai%an

%e*ada *im*inan dan &'a$

Daam *ro&e&

/%'i %om/ni%a&i mi&ana daam

$or/m ra*a'

Do%/men a*oran Komi'e0*ani'ia

PPI %e*ada manajemen RS

1,=9 R/ma# &a%i' mea*or%an in$orma&i

'en'an" in$e%&i %e *i#a% /ar

Kemen'erian Ke&e#a'an a'a/ Dina&Ke&e#a'an

Daam *ro&e&

Pedoman U*aa Penin"%a'an M/'/

Peaanan R/ma# Sa%i' De*%e&

1<<4

PMK 19<10+,11 'en'an"

Ke&eama'an Pa&ien RS

Pand/an Na&iona Ke&eama'an

Pa&ien R/ma# Sa%i' (Pa'ien'

Sa$e') De*%e& +,,6

Pro"ram Penin"%a'an M/'/ dan

Ke&eama'an *a&ien

Koordina&i den"an

PMKP

Pro"ram PPI

7/21/2019 Ppi


SPO moni'orin"0*en"a:a&an dari

*ro"ram *enin"%a'an m/'/ dan

%e&eama'an *a&ien=

Koordina&i den"an

PMKP

Do%/men a*oran %e*ada Kem%e&

a'a/ Dina& Ke&e#a'an

/%'i 'inda% anj/' a'a& a*oran 11 Pro"ram %erja PPI0Pro"ram di%a'

'en'an" PPI

Pro"ram *endidi%an *a&ien dan

%e/ar"a

/%'i im*emen'a&i *ea'i#an dan

ed/%a&i

PROSENTASE KELENGKAPAN DOKUMEN PPI

TANGGAL 02 FEBRUARI 2016 = 84 %

Dibent! ti" #en$en&'i #en$$n&&n (e)i)ten)i Antibi*ti! +( PA !'ini!, ( (

i-i)i t(*#i! in.e!)i/, )ebe'" && !'t(, "& "en$$n&!&n &nti*ti!&() &#t

& ( ti" te()ebt '

IPLN 3$ "en$"#'!&n &ntibi*ti! 3&n$ i$n&!&n "&)in$2 R&n$&n +"&)!

e"#i(i!, #(*'&!)i), eniti./5

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