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SURAT KEPUTUSAN DIREKTUR RSU AULIA LODOYO

NOMOR: …../PR-Kep.Dir/…/2015

Tentn!

KE"I#AKAN PELAYANAN

KOMITE PEN$E%A&AN DAN PEN%ENDALIAN IN'EKSI

RSU AULIA LODOYO

DIREKTUR RUMA& SAKIT UMUM AULIA LODOYO

Meni()n! : . "*+ ,( p (enin!tn (t penn R(* Sit

U(( Ai L, ( ,ipern peneen!!rn penn

n! )er(t tin!!i ,ri 3etip !!3 t!3/ nit penn n!

,.

). "*+ penn pen4e!*n ,n pen!en,in ine3i (erpn

3* 3t !!3 t!3/ nit penn ,i R(* Sit U((

Ai L, *r3 (en,n! penn r(* 3it 3e4r

e3er*n ( ,ipern peneen!!rn penn

pen4e!*n ,n pen!en,in ine3i n! )er(t tin!!i.

4. "*+ !r penn pen4e!*n ,n pen!en,in ine3i ,ptter3n ,en!n )i per ,n Srt Kept3n Diretr

tentn! Ke)i6n penn pen4e!*n ,n pen!en,in ine3i

R(* Sit U(( Ai L, 3e)!i n,3n )!i

peneen!!rn penn.

,. "*+ )er,3rn perti()n!n 3e)!i(n ,i(3, ,(

) ,n 4 per ,itetpn ,en!n Srt Kept3n Diretr R(*

Sit U(( Ai L,.

Men!in!t : 1. Un,n!-Un,n! RI N(r 77 t*n 2008 tentn! R(* Sit.

2. SK Direktur RUMAH SAKIT UMUM AULIA LODOYO No.

…../PR-Kep.Dir/…./…. Tentn! Ke"i#kn Pe$%nn RUMAH

SAKIT UMUM AULIA LODOYO.

M E M U T U S K A N :

Menetpn :

Ke3t : KEPUTUSAN DIREKTUR R(* Sit U(( AULIA LODOYO

Tentn! KE"I#AKAN PELAYANAN PEN$E%A&AN DAN

PEN%ENDALIAN IN'EKSI RSU AULIA LODOYO.

Ke, : Ke)i6n penn pen4e!*n ,n pen!en,in ine3i R(*

Sit U(( AULIA LODOYO 3e)!i(n ter4nt( ,(

L(pirn Kept3n ini.

Keti! : Pe()inn ,n pen!+3n peneen!!rn penn pen4e!*n

,n pen!en,in ine3i R(* Sit U(( AULIA LODOYO

,i3nn e* Diretr RSU AULIA LODOYO.

1



Kee(pt : Kep penn pen4e!*n ,n pen!en,in ine3i +6i)

(en33ii33in ept3n ini e 3er* r+n ,i Penn

pen4e!*n ,n pen!en,in ine3i.

Kei( : Kept3n ini )er 3e6 tn!! ,itetpn ,n p)i ,ie(,in

*ri ternt ter,pt eeirn ,( penetpn ini n ,i,n

per)in 3e)!i(n (e3tin.

Ditetpkn &i '$itr( tn!!$ ………2)1*

RSU AULIA LODOYO

,r. Mri Y*n

Diretr

Srt Kept3n ini ,n (pirnn ,i3er*n ep,:

1. 9i Diretr .......RSU AULIA LODOYO.

2. Kep "!in ....... RSU AULIA LODOYO.

2



. Kep Penn Pen4e!*n ,n Pen!en,in Ine3i.. RSU AULIA LODOYO.

7. Ar3ip

K+'I,AKAN P+N+AHAN DAN P+N+NDALIAN IN+KSI

DI RS AULIA LODOYO

I. P+N+RTIAN

R(* Sit 3e)!i 3* 3t 3iit3 e3e*tn n! (e()erin penn

e3e*tn ep, (3rt (e(iii pern n! 3n!t pentin! ,(

(enin!tn ,er6t e3e*tn (3rt. Oe* ren it r(* 3it ,i tnttnt ,pt (e()erin penn n! pre33in )er(t 3e3i ,en!n

3tn,r n! te* ,itentn Associated infection (HAIs) it ine3i n!

)er*)n!n ,en!n 3*n penn e3e*tn (erpn (3* 3eri3 )!i

penn e3e*tn ,n !()rn (n r(* 3it.

II. TU,UAN

T6n U((:

Menin!tn (t penn e3e*tn (ei pen4e!*n ,n pen!en,in

ine3i ,i 3e( nit ,i r(* 3it (eipti it3 penn (n6e(en

ri3iclinical govermance 3ert e3e*tn ,n e3e(tn er6.

T6n K*33:

• Se)!i pe,(n )!i Diretr R(* Sit ,( (e()ent

r!ni33i (en3n rin t!3 pr!r( +e+enn! ,n tn!!n!

6+) 3e4r 6e3.

• Men!!ern 3e! 3()er , n! , ,i R(* Sit 3e4r eeti

,n ei3ien ,( pe3nn pen4e!*n ,n pen!en,in ine3i

R(* Sit.

• (en4e!* ter6,in ine3i 3in!.

• Menrnn n! e6,in ine3i n3(i ,i R(* Sit 3e4r

)er(n.

• Me(nt ,n (en!e;3i pe3nn pr!r( PPI.

III. RUAN LINKUP

Se( nit ,n 3e( pet!3 penn e3e*tn ,i R(* Sit tnp e4i.

L(pirn

Kept3n Diretr RSU AULIA LODOYO

3



No0or ……/PR-Kep.Dir/II/2)1*

Tn!!$ ……………………..

K+'I,AKAN P+LAYANAN

P+N+AHAN DAN P+N+NDALIAN IN+KSI

RSU AULIA LODOYO

A. K+'I,AKAN UMUM

1. Penn r(* 3it ,i 3er* nit penn *r3 3e ,in,3i ,en!n 4int 3i* ti,

(e()e,n 3 r3 !( !n!n ,n (e(per*tin (ere n! e(* ,n rn!

(en,pt per*tin <option for the poor).

2. Penn r(* 3it ,i 3er* nit penn *r3 3e )errient3i p, (t nn

e3e(tn p3ien ,n e3e(tn ,n e3e*tn er6 <K= )!i p3ien er! ,n

(3rt 3ert r+n 3e3i ,en!n >i3i Mi3i '3* ,n t6n R(* Sit U((

Ai L,.

. Penn r(* 3it ,i 3er* nit penn *r3 3e )er3 p, p3ien < patient

centeredness) ,en!n (e3nn 3e3 e penn ,n ntinit3 penn (e(en*i *

p3ien ,n er! 3e3(en p3ien pe()erin penn p3ien 3ert (e()erin e,3i

ep, p3ien er! ,n (3rt.

7. Penn r(* 3it ,i3nn 3e( 27 6( 3etip *ri e4i )e)erp nit penn

tertent

5. Setip nit penn *r3 (en6nn p penin!tn (t (ei e!itn Plan-Do-

Check-Action (PDCA).

?. Setip nit penn *r3 (en6nn e+3p,n ni;er3 (ei e!itn pen4e!*n

,n pen!en,in ine3i n! (en6n! 3etip penn ,i r(* 3it ,n (ei)tn

)er)!i in,i;i,.

@. R(* 3it (e()erin penn tere)i* ,* tnp (e(n!t n! (.

. R(* 3it )i3 (e()erin erin!nn )i nt p3ien n! rn! ((p.

8. Setip pi(pinn nit penn *r3 ((p (e()erin r*n (en!en,in (en!e

,n (e(i(pin nit penn (3in!-(3in! nt (en4pi ;i3i-(i3i nit penn (pn

;i3i-(i3i r(* 3it.

10. D( (e3nn t!3n 3etip pet!3 r(* 3it +6i) (e(t*i etentn

Ke3e(tn ,n Ke3e*tn Ker6 <K= ,en!n (en p nt (en!rn!i ,n

(en!en,in )* re3i (en4e!* e4en ,n 4e,er ,n (e(ei*r n,i3i

in!n!n ,n e(nn ter(3 ,( pen!!nn t pein,n! ,iri <APD=.

11. Se( in,i;i, n! teri)t ,( penn r(* 3it +6i) (en ? <en(= 33rn

Ke3e(tn P3ien.

12. Pertn ,i nit penn *r3 3e ,in pe(ei*rn ,n i)r3i 3e4r tertr

3e3i etentn n! )er ,n 3e ,( n,i3i 3ip pi.4



1. Pene,in ten! *r3 (en!4 p, p eten!n r(* 3it.

17. Se( pet!3 r(* 3it +6i) (e(iii i6in/ i3en3i/ 3ertii3i 3e3i ,en!n pre3i ,n

etentn n! )er.

15. Setip pet!3 r(* 3it *r3 )eer6 3e3i 3tn,r pre3i 3tn,r (peten3i 3tn,r

pr3e,r per3in eti pre3i ,e eti r(* 3it ,n 3e( pertrn r(* 3it n!

)er.

1?. Setip nit penn *r3 ((p (en!e ,t n! ,pt ,i6,in 3e)!i 3()er

inr(3i ,n pen!()in ept3n )!i epentin!n (n6e(en ,n penn ep,

(3rt.

1@. Setip nit penn *r3 )erp (e(pere* (en!* ,n (en!!nn inr(3i

3e4r terinte!r3i n! ,i(ni3in 3e4r )enr nt (enin!tn e3e*tn p3ien 3ert

iner6 r(* 3it )i 3e4r e3er*n (pn in,i;i,.

1. Kr,in3i ,n e;3i penn ,i 3etip nit penn +6i) ,i3nn (ei rpt

rtin (ini( 1 i ,( 3t )n.

18. Se( nit penn +6i) (e()t prn *rin )nn 3e(e3ter ,n t*nn ep,

(n6e(en r(* 3it.

20. R(* 3it (en6nn pr!r( e3e(tn p3ien (ei @ <t6*= 3tn,r e3e(tn

p3ien ,n @ <t6*= n!* (en6 e3e(tn p3ien r(* 3it.

21. R(* Sit U(( AULIA L, )n S(* Sit n! ,itn6 nt (e3nn

PONEK R(* Sit U(( AULIA L, 3t ini 3e,n! (e(per3ipn nt (een!pi

SDM ,n 3iit3 PONEK. Terit PONEK R(* Sit U(( AULIA LODOYO

(en!pn penn (eipti : penn!nn + / e(er!en4 i) ,n )i ,n penn

r6n er(* 3it in n! ((p (e()erin penn e)i* n6t.

22. R(* 3it (en penn!!n!n T)er3 < T" = 3e3i ,en!n pe,(n 3trte!i

DOTS

2. #i penn n! ,i)t*n p3ien ti, )er3e,i ,i r(* 3it ( p3ien *r3 ,ir6

e r(* 3it in n! )i3 (eni 3ete* (en,pt per3et6n p3ien / er!

27. R(* 3it (en!*r!i ,n (e(en*i * p3ien n! ,ini.

25. Ser* r+n r(* 3it )ere+6i)n (en6! ,n (ein,n!i r*3i (e,i3 p3ien n!

,ini.

2?. R(* 3it (en pen!(pn ;i,3i ,n ni3i3 ,t )i intern tpn e3tern

nt pen!e()n!n penn r(* 3it.

'. K+'I,AKAN KHUSUS

1.ORANISASI P+N+AHAN &n P+N+NDALIAN IN+KSI

= D( rn! (ein,n!i p3ien pen!n6n! ,n pet!3 ter*,p penrn ine3i ,i

R(* Sit ( R(* Sit U(( AULIA LODOYO (e3nn Pen4e!*n

,n Pen!en,in Ine3i <PPI=.

5



)= A!r pe3nn PPI terr,in3i ,en!n )i Diretr (e()ent K(ite

Pen4e!*n ,n Pen!en,in Ine3i <KPPI= 3ert Ti( Pen4e!*n ,n Pen!en,in

Ine3i <TPPI=. K(ite PPI RUMA& SAKIT UMUM AULIA LODOYO )ertn!!n!

6+) n!3n! ep, Diretr.Ti( PPI )ertn!!n! 6+) n!3n! ep, K(ite

PPI.

4= K(ite ,n Ti( PPI (e(pni t!3 n!3i ,n e+enn!n n! 6e3 3e3i ,en!n

Pe,(n Mn6eri Pen4e!*n ,n Pen!en,in Ine3i ,i R(* Sit ,n 3iit3

e3e*tn inn n! ,iern e* Ke(enterin Ke3e*tn Rep)i In,ne3i

T*n 2011.

,= Pe3nn PPI ,ie ,n ,iinte!r3in ntr 3trtr ,n n!3in ,i3e(

nit ,n (en6,i tn!!n! 6+) 3er* 3t ,n r+n.

e= A!r e!itn Pen4e!*n ,n Pen!en,in Ine3i )er6n n4r ( R(* Sit

U(( AULIA LODOYO (e(iii IP$N <Ine4tin Pre;entin n, $ntr Nr3e=

prn +t n! )ert!3 (en!+3i 3er* e!itn pen4e!*n pen!en,in ine3i

n! (eipti !!3 t!3 per+tnIPSRS 'r(3i%iBi A,(ini3tr3iI!,

L)rtri(.

= D( (e3nn t!3n IP$N ,i)nt e* IP$LN <Ine4tin Pre;entin n,

$ntr Lin Nr3e= ,n IP$LS <Ine4tin Pre;entin n, $ntr Lin St = 3e)!i

pe3n *rin/pen!*)n! ,i nit (3in!-(3in!.

2.K+ASPADAAN STANDAR

Meipti e)er3i*n tn!n pe(in t pein,n! ,iri ,i3ine3i ,n 3terii33i

tt3n inen pent3nn i()* ,n )en, t6(pen!en,in in!n!n

prti (ennti n! (ne)er3i*n pern3n/eti )tprte ()

pn3iper+tn pertn p3ienpent3nn inenpr!r( e3e*tn

r+npene(ptn p3ien. Ke+3p,n 3tn,r ,iterpn 3e4r (ener* ,i

3e( re RS ,en!n (en!r ri3i n! ,i*,pi p, 3etip 3it3i ,n ti;it3

penn 3e3i Pn,n PPI RSU AULIA LODOYO.

3.K+'+RSIHAN TANAN

. Ke)er3i*n tn!n ,in e* 3er* pet!3 ini3 (pn nn ini3 ,i

Ser* in!n!n R(* Sit U(( AULIA LODOYO 3t6n.

). In,i3i e)er3i*n tn!n 3e4r (( :

• Se!er : 3ete* ti) ,i te(pt er6

• Se)e( :

Knt n!3n! ,en!n p3ien

Me(i 3rn! tn!n 3e)e( pe(eri3n ini3 ,n tin,n

in;3i

Mene,in / (e(per3ipn )t-)tn

6



Me(per3ipn (n

Me()eri (n p3ien

Menin!!n r(* 3it

• Dintr : pr3e,r tertent p, p3ien n! 3( ,i(n tn!n

ternt(in3i nt (en!*in,ri nt(in3i 3in!

• Sete* :

Knt ,en!n p3ien

Meep3 3rn! tn!n

Meep3 t pein,n! ,iri

Knt ,en!n ,r* 4irn t)* 3ere3i ,* ,* (nt*n

rine erin!t ,n pertn n! ,iet*i t e(n!inn

ternt(in3i ,en!n ,r* 4irn t)* pi3pt rin )i

(en!!nn t ti, (en!!nn 3rn! tn!n.

Men!!nn tiet (enent* / (ep *i,n! ,en!n tn!n <)t

/ )er3in=.

Menent* in!n!n ,i 3eitr p3ien

4. 7 #eni3 e)er3i*n tn!n .

• Ke)er3i*n tn!n 3r!i4

• Ke)er3i*n tn!n A3epti

• Ke)er3i*n tn!n * *n,r)

• Ke)er3i*n tn!n S3i

,. Ke)er3i*n tn!n ,in (enrt 5 M(en Ke)er3i*n Tn!n <9&O=:

• M(en 1 : 3e)e( nt ,en!n p3ien

• M(en 2 : 3e)e( tin,n 3ep3i3

• M(en : 3ete* teren 4irn t)* p3ien

• M(en 7 : 3ete* nt ,en!n p3ien

• M(en 5: 3ete* nt ,en!n in!n!n 3eitr p3ien

e. ? n!* e)er3i*n tn!n.

. #eni3 e)er3i*n tn!n nt 3er* rn!n / )!in <ini3 C nn-ini3= ,i

RSU AULIA LODOYO it :

• Ke)er3i*n tn!n ,en!n ir (en!ir ,n 3)n <33i=

• Ke)er3i*n tn!n ,en!n ir (en!ir ,n 3)n nti3epti chlorhexidine 2

<3epti=

7



• Ke)er3i*n tn!n ,en!n rtn )er)*n ,3r * <*n,r)=

• Ke)er3i*n tn!n 3e)e( pe()e,*n ,en!n rtn nti3epti

chlorhexidine 7 <3r!i4=.

!. Ke)er3i*n tn!n eeti :

• Ti, (en!enn 63 en!n pn6n! 3t (eni p3ien

• "!i 3e( pet!3 n! )ernt n!3n! ,en!n p3ien <ini3i= 3e(

per*i3n n! , <(i3n: 6( tn!n 4in4in !en!= *r3 ,iep3n

3e( )ert!3 ,n p, 3t (en e)er3i*n tn!n

• K ,i6! tetp pen,e ti, (ee)i*i 1 (( ti, (en!!nn p3

,n 4t

• #i tn!n , ,ittp ,en!n pe3ter e,p ir

• Ttp* rn ,en!n 3i tn!n t ptr rn (en!!nn *n, 3ei

pi

• Me()er3i*n tn!n ,en!n 3)n 4ir ,n ir (en!ir p)i tn!n teri*t

tr

• Me()er3i*n tn!n ,en!n rtn )er)*n ,3r * <*n,r)= )i

tn!n ti, teri*t tr ,intr tin,n

• Kerin!n tn!n (en!!nn *n, 3ei pi

• P3tin tn!n erin! 3e)e( (e(i e!itn / (en!enn 3rn! tn!n

• #n!n (en()*n 3)n 4ir e ,( te(ptn )i (3i* , i3in.

• Di3pen3er 3)n *r3 ,i)er3i*n tere)i* ,* 3e)e( pen!i3in n!

*. Se,in ,i 3etip rn!n / )!in :

• Are ini3 <re per+tn / penn n!3n! ter*,p p3ien= :

93te ,en!n ir n! (en!ir.

Lrtn chlorhexidine 2 <in,i3i e)er3i*n tn!n ((en 2 ,n = : pi

r+t 6n I$U (r )i *e(,ii3 U%D <re nn tin,n= rn!

eper+tn nit penn6n! (e,i <r,i!i

)rtri( ini re*)iit3i (e,i=

Lrtn chlorhexidine 7 : U%D <re tin,n= (r )e,* >K

S)n )i3 <*n,3p= : (r p3ien p3 per+t <in,i3i

e)er3i*n tn!n ((en 175= tiet ,pr.

Lrtn )er)*n ,3r * <*n,r)= : 3etip te(pt ti,r p3ien ,i re

riti3 <U%D (r )i rn! )3er;3i >K I$U (r )e,*= 3etip pint

(3 (r p3ien(e6 tr tin,n.

• Are nn-ini3 <re penn ti, n!3n! ter*,p p3ien= :

93te ,en!n ir n! (en!ir.

S)n )i3 <*n,3p= : tiet ,pr perntrn ntin .

Lrtn chlorhexidine 2 <in,i3i e)er3i*n tn!n ((en =:

8



3nit3i (r 44i (r 6enB* $SSD.

Lrtn )er)*n ,3r * <*n,r)= : pint er-(3

pet!3 / pen!n6n! rn! tn!! r+t 6n r(3i (r

6enB* re ,i(n 3iit3 e)er3i*n tn!n ,en!n 3)n ,n ir (en!ir

ti, ter3e,i / 6* etn.

i. Men (nitrin! 4(pin4e e)er3i*n tn!n ,en!n 4r :

• Men!r / (en!)3er;3i ept*n e)er3i*n tn!n :

Pet!3 ini3 3etip 2 (in!! 3ei <rn! eper+tn U%D I$U

OKr+t 6n (r )i >K re*)iit3i (e,i

%i3i= .

• Den!n (e(per*tin 75? e)er3i*n tn!n.

3e)e( nt ,en!n p3ien <M(en 1 (enrt 9&O=.

Pet!3 nn-ini3 3etip 3e)n 3ei <(r 44i r(3i ,prIPSRS

3nit3i (r 6enB*= : 3e3i in,i3i e)er3i*n tn!n 3e4r ((.

Kept*n e)er3i*n tn!n (ei)tn pet!3 ini3 (pn nnini3

,en!n 33rn 0 ,ri 6(* (3in!-(3in! pre3i

<DterPer+t'i3iterpi ,n %iBi=.

6. Men pr!r( e,3i e)er3i*n tn!n p, pet!3 p3ien er! ,n

pen!n6n! n! (erpn 3* 3t )!in ,ri pr3e3 peneri(n p3ien )r.

. Setip pet!3 ,i RUMA& SAKIT UMUM AULIA LODOYO+6i) (en!iti

peti*n e)er3i*n tn!n n! ,i,n e* r(* 3it 3e4r

)ere3in()n!n (en!eni pr3e,r e)er3i*n tn!n (ei rient3i ,n

pen,i,in )eren6tn.

. Din (nitrin! ept*n e)er3i*n tn!n pet!3

<,terper+ti3iterpi!iBi= 3etip 2 (in!! 3ei p, *ri 3e3 p, 3etip

(in!! e 2 .

(. Setip (in!! e 2 *ri 3e3 3er* r+n )e)3 33e3ri3 tn!n.

4.K+ASPADAAN '+RDASARKAN TRANSMISI

Merpn t()*n e+3p,n 3tn,r ,iterpn p, p3ien r+t inp n!

33pe t te* ,itentn 6eni3 ine3in )er,3rn 4r trn3(i3i nt ,rpet

t airbone. Tt3n ,(ini3trti (eipti per4eptn 3e3 ,i!n3i3 pe(i3*n

pene(ptn p3ien (e(per3in!t +t penn ,i r(* 3it pene,in pet

perin,n!n pet!3 tt3n in!n!n (eipti pentn r p3ien pentn

3i3te( ;enti3i <ntr (pn (eni= tt3n pene,in ,n pen!!nn t

pein,n! ,iri.

9



= R(* Sit (ene,in pen!*n! nt pen4e!*n ,n pr3e,r i33i n!

(ein,n!i p3ien pen!n6n! 3t ter*,p penit (enr ,n p3ien n! rentn

ter*,p ine3i n3(i < i(n 3pre33e, =

)= P3ien ,en!n i(n 3pre33e, *n ,i n 3t)ii33i e,n nt 3en6tn

,ir6 e3iit3 e3e*tn n! e)i* en!p.

4= R(* Sit )eren4n nt 3t ini (enipn rn! tenn ne!ti n(n 3t

ini it (enipn rn! *rt nt per+tn p3ien ir)ne ,i3e3e ,en!n 3i3te(

&EPA iter ,n pertrn ,r 12 i per 6( n! terpi3* ,ri p3ien nn ine3i

,n *33n terpi3* ,ri p3ien ,en!n n,i3i imnocompromise.

,= Tt3n per+tn p3ien ine3i ,iterpn )er,3rn prin3ip

e+3p,n i33i 3e3i 4r trn3(i3i 3pe3iin. Pet!3 (enerpn

prin3ip e+3p,n nt t ,rpet t ir)ne t ()in3in.

e= Trn3prt3i p3ien ine3i ,ri 3t nit e nit in *r3 ,i)t3i 3e(ini(

(n!in ,n )i terp3 *r3 (e(per*tin prin3ip e+3p,n i33i.

= Pe()er3i*n rn! *rt ,in 3ete* pe()er3i*n rn! per+tn (( ,en!n

(en!!nn )*n ,e3inetn.

!= Pr3e,r penn6n! (e,i <pen!()in ,r* pe()erin !iBi= ,in 3ete* p3ien

n! ti, (enr.

*= Setip pen!n6n! t p3ien rn! *rt *r3 ,in e,3i pen!!nn APD

e)er3i*n tn!n eti )t.

i= A,n pen!trn r penit (enr.

*.P+N+AHAN &n P+N+NDALIAN IN+KSI TU'+RKOLOSIS 5PPI T'6

Merpn )!in ti, terpi3*n ,ri PPIRS *33n e+3p,n ine3i

airbone ,i(3,n nt e)i* (e(pririt3n e+3p,n ter*,p ri3itrn3(i3i penit T" MDR ,n FDR-T" (!ltiple "xtend Drg #esistance $%).

= Se( p3ien n! )er)t e U%D ,en!n e*n )t n ,i)erin e,3i e*

pet!3 RS terti* (en!eni eti )t 3ert higiene respirasi ,n ,i*r3n (e(i

(3er )e,* 6i e*n p3ien (en!r* e T" < )t G 2 (in!! t )t ,r* =

)= Se( p3ien n! ,tn! )er)t e pi r+t 6n ,en!n e*n )t n

,i)erin e,3i e* pet!3 RS terti* (en!eni eti )t 3ert *i!iene re3pir3i

,n ,i*r3n (e(i (3er )e,*

4= Pet!3 r(* 3it (e()erin penn )i ,(ini3tr3i (pn (e,i3

3e!er <(3i( 0 (enit= )!i p3ien 33pe T" ,n p3ien T" 3e*in!!

(en!rn!i +t p3ien ter3e)t )er, ,i 3iit3 penn e3e*tn.

,=P3ien T" n! per ,ir+t inp ,ite(ptn ,i rn! terpi3* ,ri p3ien in <rn!

i33i= 6i ti, (e(n!inn )i3 (en!!nn 3i3te( *rtin! ,en!n (

per+tn (3i( 2 (in!!.

10



e= R(* 3it (en!!nn 3i3te( ;enti3i (i* ,n 4(prn <(en!!nn

e3*3t= ,i rn! per+tn ine3i <Pi DOTS ,n rn! i33i r+t inp 3ert

U%D= nt (en!rn!i pene)rn ,n (enrnn ,r penrn per4i reni

3e*in!! ti, (enrn rn! in.

= P3ien r+t inp MDR T" ,ite(ptn ,i rn! i33i airbone ,en!n ;enti3i

tenn ne!ti ,n pet!3 (e,i3 (en!!nn (3er N-85 ,( (en

penn e3e*tn ter*,p p3ien ter3e)t.

!=Pen(pn!n 3pt( e* p3ien *r3 ,in ,( rn!n ,en!n n3ep AII

(Airbone Infection Isolation) t )H *33 ,en!n pen!trn 3i3te( ;enti3i (&ell

'entilated ptm Indction %ooth).

*=P3ien ,i3rnn nt (e()er3i*n tn!n 3ete* (en(pn! 3pt(

,en!n ir (en!ir ,n 3)n t ,en!n rtn handrbs.

i= St (e(pr3e3 3pe3i(en pet!3 )rtri( tetp (en!4 p,

e+3p,n 3tn,r ,n e+3p,n )er,3rn trn3(i3i (ei ,r

(airbone) ,n trn3(i3i (ei nt.

6= Se( pet!3 e3e*tn n! (enn!ni p3ien T" n ,in pe(eri3n

e3e*tn rtin 3e4r )er )eer63( ,en!n S) S()er D Mn3i ,n K

R(3* Sit.

=Ap)i p3ien n ,itrn3prt3in er ,ri rn! i33i p3ien *r3

(en!enn (3er )e,* nt (ein,n!i in!n!n 3eitr.

= R(* 3it (en6(in ,i3nnn p perin,n!n ,iri n! ,et )!i

pet!3 e3e*tn ,n (ere n! )ert!3 ,i te(pt penn.

7.ALAT P+LINDUN DIRI 5APD6

Ditt peren4nn pene,in pen!!nn ,n e;3in e* K(ite PPI RS

)er3( K RS in3t3i r(3i ,n )!in !i3ti RS.

APD ,i!nn )er,3rn prin3ip e+3p,n 3tn,r ,n i33i ,en!n

3e (en!r pten3i ri3i 3pe3ii p, 3etip ti;it3 penn/tin,n

(e,i 3e*in!! tept eeti ,n ei3ien.

= APD 3ei pi ,i3e,in (ei in3t3i r(3i.

)= A,n 4ei3t tin,n n! (en!!nn APD ,n e)er3i*n tn!n.

4= APD n! in ,i3e,in (ei nit K RS.

,= M3er nt rn! *rt ir )rne ,e3e3e ,en!n (3er )e,*

rn!p 2.

e= Ti( K RS (en (nitrin! ,n ,it eteptn pen!!nn APD 3e)!i

)*n ,( e;3i ,n re(en,3i penin!tn eeti;it3n.

!= R(* 3it (ene,in At Pein,n! Diri 3e3i 3tn,r nt pet!3

R(* Sit

*= Pet!3 *r3 (en!!nn APD 6i )er3ent*n ,en!n:

• Dr* t 4irn t)*

•Li()* ine3i3 ,n Nn ine3i3

11



• Per4in pi t r3 i3tri

• R,i3i t terppr )*n )er4n

• Pen!*n )*n (nn

i= At Pein,n! Diri n! *r3 ter3e,i ,n pi ,i (3in!-(3in!rn!n:

• Srn! tn!n

• Aprn3/ 63 pein,n!

• Re3pirtr

• M3er '4e S*ie, >i3r

• Tpi/ Pein,n! ep

• Sept )t/ Prte3i

6= R(* Sit (enetpn re pen!!nn At Pein,n! Diri:

. R+t Inp C Inten3i ). R+t Drrt

4. R+t #n

,. In3t3i "e,* Sentre. &e(,ii3

. In3t3i R,i!i

!. L)rtri(*. Unit 3terii33i

i. Re*)iit3i Me,i 6. In4inertr

. Pe(3rn 6enB*. 'r(3i <pen!p3n O)t 4it3tti=

(. In3t3i %iBi

n. Unit Ln,r

= %nn (3er N-85 nt p3ien SARS/ )rn! ,n p3ien 33pe T"

Pr.

= St p3n! 3rn! tn!n *r3 ,i !nn nt 3t p3ien.

(= Srn! tn!n ti, )e* re3e)e< e4i 3rn! tn!n r(* tn!!=.

n= Lep3n 3e( APD 3e!er (n!in 3ete* 3ee3i (e()erin penn ,n

*in,ri nt(in3i ,en!n in!n!n ,i r rn! i33i P, p3ien t

peer6 in.

= re3i n! ,iti()n p)i pet!3 ti, (en!!nn At Pein,n! Diri

<APD= (en6,i tn!!n! 6+) pet!3 n! )er3n!tn.

12



8.SUR9+ILANS IN+KSI RS 5IRS6

Din 3e4r 3i3te(ti ti e* IP$N <Ine4tin Pre;entin $ntr Nr3e

per+t pen!en,i ine3i prn +t= ,n IP$LN <in nr3e per+t pen!*)n!

pen!en,i ine3i= nt (en!!()rn tin!t e6,in )er)!i penit ine3i tr!et

3e3i Pe,(n Sr;ein3 Ine3i R(* Sit Ke(ene3 ,n penit en,e(i3 ,i r(*

3it. Tr!et 3r;ein3 it : Ine3i Srn Ke(i* <ISK= terit teteri33i Ine3i Der*

Oper3i <IDO= Ine3i L In3 <ILI= p, p3ien )eri3i Pne(ni terit ;entitr

<>AP=

= Men 3r;eien3 PPIRS

)= Men Ani3i3 e;3i ,n re(en,3i tin, n6t ,t ine3i ,in

K(ite PPI RS ,i )+* r,intr. Dter Penn!!n! 6+) PPI <IP$O= nt

t6n pen!en,in (n6e(en ri3i ,n e+3p,n ter*,p e6,in r

)i3<KL"=

4= Pen!en,in n! IRS (en!!nn tr!et 33rn 3ei pr!r( PPI. S3rn n!

IRS ,ie;3i 3etip t*n.

,= Ke6,in r )i3 IRS ,itetpn e* ,iretr RS )er,3rn perti()n!n K(ite

PPI RS p, *3i e;3i epi,e(i!i e4en,ern!n n! IRS (ei 3r;ein3.

Ke4en,ern!n e6,in IRS n! ter3 (ener3 (enin!t 3i!niin 3e( )n

)ertrt-trt t penin!tn 3i!niin n! e6,in p, 3t +t pen!(tn

tertent ,i+3p,i 3e)!i KL". Pen4e!*n ,n pen!en,in ri3i pene)rn

e6,in n! )erpten3i (en6,i KL" ,in 3e!er 3e4r 3iner!i (ei er63(

int3 nit/3tn er6 e* K(ite PPI RS.

e= Lprn Ine3i RS ,i3(pin K(ite PPI RS ep, Diretr Me,i ,n

Keper+tn 3etip )n.

f) Pe(ntn penerpn bndles Pen4e!*n ,n Pen!en,in Ine3i <ILI ISK

>AP/&AP IDO= ,* 3e)!i 3* 3t t r e)er*3in 3r;ein3 ine3i RS.

Ktr (ir)i!i ,in p, 3etip 33 n! ,i,! ine3i r(* 3it <&AI3=.

:.P+N+NDALIAN R+SIST+NSI ANTI'IOTIKA

Ke)i6n U((

. Pen!!nn nti)iti *r3 ,itr e+enn!nn nt (enin!tn pen!!nnnti)iti n! r3in.

). Pe()erin nti)iti ,i+3i e* Ti( PRA R(* Sit ,n 3e ,i3e3in ,en!n

p (n ,i Deprte(en t In3t3i terit.

4. Mnitrin! ,n e;3i ,in e* Ti( PRA 3e4r peri,i 3etip ? )n ,n,iprn ep, Diretr RS AULIA LODOYO.

13



,. Pe(ii*n terpi nti)iti 3e4r r3in ep, p3ien ,i,3rn t6n ,n in,i3i

<pri3i3 t terpi= 3e3i *3i pe(eri3n tr ,n re3i3ten3i (ir) 3e*in!!

nt pen,erit penit ine3i per ,in pe(eri3n (ir)i!i ter3e)t

)eer6 3( ,en!n K'T.

e. Keteptn pe()erin nti)iti !r (n )!i p3ien (eipti :

. Tept in,i3i )t )enr-)enr ,i)t*n

!. Tept pe(ii*n )t ,en!n per)n,in!n )i eeti;it3 n! )i

*. Tept p3ien ti, , ntr in,i3i ee 3(pin!i (ini(.

i. Tept ,3i3 tept 4r pe()erin tept ,r3i pe(in.

6. Tept inr(3i ep, p3ien ,n er!n.

. P3ien +6i) ,i)eri inr(3i tentn! pen!)tn n! ,i)erin ,n ee n!

,iti()n.

Ke)i6n K*33

N Lini #eni3 A" P#

1. Lini 1

A(3i3iin

Eritr(i3inTri(etrpi(

S(etHB

$e,rHi

Dter U((

2. Lini 2

A(Hi4;$etriHne$eiHi(e

A(pi3iin S)4t(

$iprH4in

Dter U((Dter Spe3ii3

. Lini

$etBi,i(

$eeperBn

S)4t(Le;H4in

'3(4in

ABtren(

Dter Spe3ii3

Dter Spe3ii3 IP$D

7. Lini 7

T!e4iinMerpene(Dripene(

I(ipene(

>n4(4in

LineBi,Tie4pnin

Ertpene(

Dter Spe3ii3 IP$O /KI$"er,3r ini3 ,n tr

Per3et6n Ti( PPRA

;. ST+RILISASI ALAT/INSTRUM+N K+S+HATAN PASKA PAKAI

Di RS ,in ,en!n 2 4r it 3e4r i3i t i(i (ei t*pn

pen44in <ter(3 peren,(n ,n pe()i3n= pen!erin!n pen!e(3n

)ein!in,itri33i 3terii33i peni(pnn ,i3tri)3i ,iiti ,en!n pe(ntn ,n

e;i pr3e3 3ert it3/(t *3i 3terii33i 3e4r terp3t (ei In3t3i P3t

Penn Sterii33i <$SSD= n! 3t ini )er, ,i IKO

1. Pe(r3e3n t/in3tr(en p3 pi ,ipii* )er,3rn riteri t. Sterii33i

,in nt t riti 3terii33i t ,i3ine3i tin!t tin!!i <DTT= ,in

nt t 3e(i riti ,i3ine3i tin!t ren,* nt t nn riti.

14



2. Kriteri pe(ii*n ,e3inetn ,i,3ri te* 3e4r 4er(t terit riteri

(e(iii 3petr( 3 ,en!n , )n* (n n! tin!!i ,en!n t3i3it3 ren,*

+t ,i3ine3i 3in!t 3t)i ,( peni(pnn ti, (er3 )*n ,n ei3ien.

Unit er6 n! )ertn!!n! 6+) ter*,p pene,in ,e3inetn ,n nti3epti ,i RS

3e3i re(en,3i K(ite PPI R(* Sit U(( AULIA LODOYOPr+,,i

(ei in3t3i r(3i.

. In3t3i P3t Penn Sterii33i <$SSD= )ertn!!n! 6+) (en3n pn,n ,n

pr3e,r tetp (en!r,in3in 3ert (en (nitrin! ,n e;3i pr3e3 3ert

it3/(t *3i 3terii33i ,en!n per3et6n K(ite PPI RS.

7. Unit $SSD (e(nitr pe3nn pr3e3 ,ent(in3i ,i 3etip nit (en!!nn

r(.

1).P+MAKAIAN ULAN P+RALATAN < MAT+RIAL S+KALI PAKAI 5=in!$e u=e %n!

&ire-u=e6.

Dpt ,i!nn e()i 3e3i ,en!n re(en,3i manfactr -n. At Me,i3 Sei

Pi ,pt ,i!nn n! <re3e 3in!e 3e ,e;i4e3= 3e3i e)i6n RS.

= AMSP ,pt ,ipr3e3 3e4r )enr/tept <r3in= ,n *3i 3terii33i (3i*

eeti ,n ei3ien )i 3e4r i3i /n!3i it3 3ert (n ,i!nn )!i

p3ien.

)= AMSP 3n!t ,i)t*n pen!!nnn tetpi 3it ,ipere* t 3n!t (*

*r!n

4= Pe(r3e3n AMSP n! ,i3terin ,n ,i!nn e()i *r3 (ei pr3e3

pen4ttn ,n pen!+3n (t ,i )!in $SSD

,= AMSP n! nn 3teri ,in pen!+3n (t ,en!n (ei*t 3e4r ;i3

,n n!3i ,ri t / )*n.

e= Dtr AMSP n! n ,i!nn e()i ,itentn e* RS.

= A,n r( ,tr pertn t 3in!e 3e n! ,i re-3e.

!= A,n r( ,tr (nitrin! r 3in!e 3e n! ,ire-3e.

*= At e3e*tn /In3tr(en n! ter,pt ti3nJ 3in!e 3eJ

11.P+N+NDALIAN LINKUNAN RUMAH SAKIT

Meipti pene*tn ir pen!en,in 3ern!! ,n )intn! pen!!n!! pene*tn rn! ,n )n!nn pe(ntn *i!iene 3nit3i (nn pe(ntn

pene*tn inen ,i3ine3i per(n/,r/nti pen!en i()* 4ir/i()*

"/i()*

p,t (e,i3/nn (e,i3 ,ie e* In3t3i Snit3i Lin!n!n RS <ISLRS= ,n

S) "!in R(* Tn!! )eer63( ,en!n pi* eti! )err,in3i ,en!n

K(ite PPI RS 3e*in!! (n )!i in!n!n.

= Pen!en i()* *r3 (e(per*tin prin3ip 3e)!i )erit :

15



Se( i()* )ere3i tin!!i *r3 ,i)eri )e/ tn, n! 6e3.

9,* /4ntiner ,i)eri 3 ntn! p3ti4 ,en!n +rn : nin! nt i()*

ine3i3 C " (er* nt i()* r,iti *it( nt i()* nn (e,i3 /

,(e3ti.

Li()* ti, )e* ,i)irn t ,i3i(pn 27 6(

Kntn! p3ti4 te(pt i()* ti, ,ii3i ter pen* < 4p /7=

9,* / 4ntiner *r3 terttp t*n )4r ti, )errt (,*

,i3n!n t ,in!t (,* ,i)er3i*n ,n )er, ,ite(pt n!

terin,n!i )intn! t 3ern!!.

)= Li()* )en, t6( *r3 ,i(pn ,( 3t +,* nti )4r ,n t*n

t3n < 3et )H= tnp (e(per*tin ternt(in3i t ti,.

4= #r( ,n 3rin!e *r3 ,i(3n e ,( Set )H

,= Pen!n!tn i()* *r3 (en!!nn tri n! terttp.Pen!n!tn

,in 2 i.

e= Pe()n!n t pe(3n*n i()* (e,i3 p,t *r3 ,in ,i te(pt

pen!en 3(p* (e,i3 ,( * ini R(* Sit )eer63( ,en!n pi*

eti!

= Pet!3 n! (enn!ni i()* *r3 (en!nn APD 3eperti 3rn! tn!n

*33 (3er 3ept )t prn pein,n! (t ,n )i per *e(

!= Prin3ip (et,e pe()er3i*n rn! per+tn ,n in!n!n pe(ii*n )*n

,e3inetn 4r penipn ,n pen!!nnn ,i3nn )er,3rn te*

pniti PPI RS nt (en4pi eeti;it3 n! tin!!i.

12.P+N+LOLAAN LIN+N

= #eni3 inen ,i R(* Sit U(( AULIA LODOYO ,iii3in (en6,i

inen )er3i* inen tr ine3i3 inen tr nn ine3i3

)= Unt (en4e!* nt(in3i pen!n!tn inen (en!!nn ntn! inen

n! )er)e, inen tr ,en!n ntn! inen )er+rn *it( ,n inen tr

ine3i3 ,en!n ntn! inen nin!

4= Pen4e!*n nt(in3i in!n!n (pn p, pet!3 ,in ,en!n

,e3ine3i eret inen pen!epen/,i3ine3i nti i(pe(ent3i prti

e)er3i*n tn!n pen!!nn t pein,n! ,iri <APD= 3e3i pten3i re3i

3e( )eer6

,= R(* 3it (ene,in 3rn ,n pr3rn nt pen!*n inen

e= Pet!3 n! (enn!ni inen *r3 (en!!nn At Pein,n! Diri<APD= :

Srn! tn!n M3er %n pein,n! Sept )tPein,n! (t.

16



= Linen ine3i3 ,n nn ine3i3 *r3 ,i te(ptn terpi3* inen ine3i3

,i(3n ,( p3ti4 +rn nin! ,n nn ine3i3 ,( p3ti4 n+rn

*it(.

!= Per+t t pet!3 rn!n *r3 (e(i3*n inen ine3i3 ,n nn ine3i3

i= Pen!ntn inen )er3i* ,n inen tr (en!!nn tre n! )er)e,.

6= Se)e( ,i44i inen *r3 ,i,ent(in3i :

• Linen ine3i3 ,en!n 4irn rin 1 3e( 10 (enit < (en!!nn ir

pn3 ,en!n 3* @0˚$=.

• Linen nn ine3i3 ,en!n 4irn rin 0.5 3e( 10 (enit.

= Deter!en t 3)n n! ,i!nn ti, )er)3 ,n )e)3 ,ri p3pt.

= Pen44in inen )er+rn ,n inen ti, )er+rn *r3 ,ipi3*.

(= Pen!erin!n / pen6e(rn inen pti* n!3n! teren 3inr (t*ri 3e,n!n

inen n! )er+rn ti, teren 3inr (t*ri n!3n!.

n= Pen!()in inen tr ,n pen,i3tri)3in inen )er3i* ,i n e* pet!3

n,r.

= Rn! te(pt peni(pnn inen )er3i* *r3 (e(en*i 3rt it:

• S* rn! 2@˚$

• Kee())n 50

13.P+N+LOLAAN MAKANAN

Pen!en (nn ,i in3t3i !iBi (e(per*tin 3tn,r 3nit3i (nn

(in(n t in!n!n pr,3i ,n *i!iene perrn!n pen6(* (nn.

= Se( )*n (nn n! ,i3ipn 3(pi ,en!n ,i36in ep, p3ien pe!+i

t pen!n6n! ,ie 3e3i pe,(n ,n 3tn,r pr3e,r penn in3t3i !iBi

!t ter*in,r ,ri pen4e(rn ,n penrn ine3i (ei (nn

)= Peni(pnn )*n (nn *r3 3e terpei*r ,n ,( e,n )er3i*

terin,n! ,ri ,e) )*n i(i )er)* ,n *e+n in 3ert 3* peni(pnn

,i3e3in ,en!n 6eni3 )*n (nn.

4= Pen6(* (nn n! nt n!3n! ,en!n (nn (i ,ri pr3e3 penipn

)*n 3(pi ,en!n pen6inn ,in 3r;ein3 *i!iene pri),i )erp

(nitrin! tr (ir)i!i 3+) ret ,ir,in3in ,n ,i )+* tn!!n! 6+) K(ite K RS.

,= Pet!3 nit *r3 ,( n,i3i 3e*t ,n ,in pe(eri3n )er 3e( ?

<en(= )n 3ei

14. P+NDIDIKAN &n P+LATIHAN P+N+AHAN &n P+N+NDALIAN IN+KSI

RUMAH SAKIT

Diren4nn ,n ,i3nn 3e4r peri,i ,n )ere3in()n!n e* )!in

Pen,i,in ,n Peti*n <DIKLAT= )eer63( ,en!n K(ite PPI RS nt (en6(in17



3etip pet!3 n! )er, ,n )eer6 ,i RS <ter(3 pe3ert ,i,i ,n r+n

ntr= (e(*(i ,n ((p (e3nn pr!r( PPI RS *33n e+3p,n

3tn,r ,n e+3p,n )er)3i3 trn3(i3i.

= Ser* SDM )r ,i RS +6i) (en!iti pr!r( rient3i ter(3 (teri PPIRS

)= Setip , (*3i3+ n! n prte *r3 ,i)erin (teri rient3i PPIRS.

4= Mnitrin! ,n e;3i *3i pen,i,in ,n peti*n ,in e* )!in SDM

)er3( K(ite PPI RS 3e3i etentn n! )er 3e)!i ,3r peren4nn

pr!r( 3en6tn.

,= Ser* 3t ,i,i,i tentn! pen!en ine3i3.

1*. P+NDIDIKAN P+N+AHAN &n P+N+NDALIAN IN+KSI DI'+RIKAN

UNTUK S+TIAP PASI+N.

= Unt p3ien r+t inp ,i3(pin e* per+t 3t rient3i p3ien )r

(3 (eipti e)er3i*n tn!n eti )t ,n eterti)n (e()n! 3(p*.

17. P+NKA,IAN RISIKO IN+KSI PADA KONSTRUKSI < R+NO9ASI &i RS

= Se)e( (en ntr3i t ren;3i )n!nn ,in ni3i3 ter*,p

it3 ,r per3rtn tii33i e)i3in!n !etrn ,n pr3e,r e(er!en3i.

)= Setip n3tr3i (pn ren;3i )n!nn n! ,in ,i RS *r3

(en!t(n e3e(tn p3ien pen!n6n! ,n pet!3 )er,3rn prin3ip-

prin3ip pen4e!*n ,n pen!en,in ine3i .

4= Pen!6in ri3i ine3i ,i)t )er,3rn ,ri pn,n Ine4tin $ntr Ri3

A33e3(ent <I$RA=.

,= K(ite Pen4e!*n ,n Pen!en,in Ine3i R(* Sit <KPPI RS= (en

pen!6in ri3i ine3i ,n tin, n6t )er)r3i ,en!n )!in pe(ei*rn

,n K RS.

18. P+NUNAAN AIRAN D+SIN+KTAN

a) Pr3e3 ,e3ine3i t ,pt ,ite!rin (en6,i:

Pertn Kriti3/ri3i tin!!i: ,* pertn (e,i3 n! (3 e,(

6rin!n t)* 3teri t 3ir3i ,r*. $nt* i3ntr(en )e,* teter intr;en

teter 6ntn!. Pen!enn ,en!n 4r 3terii33i.

Pertn 3e(iriti3/ri3i 3e,n!: ,* pertn n! nt ,en!n

(e()rn (3 t)*. P, pertn 3e(iriti3 pr3e3 3terii33i ,i3rnn

n(n ti, (t 6,i )i3 ,in ,i3ine3i tin!t tin!!i.

Pertn Nnriti3/re3i ren,*: ,* pertn n! nt ,en!n

per(n it t* 4nt*: ten3i(eter 3tet3p inen t (n nti

per)t te(pt ti,r. Unt 6eni3 pertn ini ,pt ,i!nn ,i3ine3i tin!t

3e,n! 3(pi tin!t ren,*.

)= Di3ine3i in!n!n r(* 3it18



Per(n in!n!n : nti ,in,in! ,n per(n (e6 tr

,i,i3ene3i ,en!n ,eter!en netr.

Lin!n!n n! ter4e(r ,r* t 4irn t)* inn ,i)er3i*n ,en!n

,e3inetn tin!t (enen!*.

c) Pen!!nn ,i3inetn ,i rn! ine3i <(enr= ,n Are riti3

Unt (en!epe/(e()er3i*n nti ,n +4 (en!!nn : 4rein

Unt re n! 3erin! ,i3ent* <&i!* t4* re= (en!!nn ,i3inetn:

L3 1:100 <per(n !(= $*rine 0.05 <per(n )n !(=.

Unt re n! 6rn! ,i3ent* <Nn &i!* t4* re= (en!!nn 3)n P&

netr

,= Pen!!nn ,i3inetn ,i re )n t(p*n ,r*/4irn t)*:

(en!!nn ,i3inetn $*rine 0.5

$irn ,e3inetn n! ,i!nn ,i RUMA& SAKIT UMUM AULIA LODOYO

NO ISI MERK PEN%%UNAAN

1 I3prp et*i

*

A* @0 St-

(n

Anti3epti it

2 $*r*eHi,ine 2 A4etrn Anti3epti e)er3i*n

tn!n rn! per+tn

nti3epti it pre per3i

$*r*eHi,ine 7 $ti3t Anti3epti it e)er3i*n

tn!n ,er* riti3

7 P;i,ne I,ine

@.5

"et*,ine Stin Anti3epti it ,n

per3i

5 $*rin "4ine Di3inetn t(p*n

,r* ,n 4irn t)*

inn.

pen!!nn ,i (r

)er3in

nt +)* <(i3 C

difficile=

Mti Dr! Re3i3ten

Or!ni3e( <Mi3 MRSA=

19



? %ter,e*,e .7 Sterni3 2 St)i(e, &i!* e;e ,e3inetn

@ Prpn )ip*en

2.0 !

Pri(3ept Anti3epti it (r

)e,*

Et*n L3 L+ e;e Di3ine3i

8 $*r*eHi,in

,i!4nte 3tin

De3(n *n,r) Anti3epti it

10 "enBni(

4*ri,e

p*enHet*n

Terrin prte4t &i!* e;e ,e3inetn t

3e(i riti

1:. PRAKT+K M+NYUNTIK YAN AMAN

= Pi 6r( n! 3teri 3ei pi p, tip 3ntin nt (en4e!* nt(in3i

p, pertn in6e3i ,n terpi.

)= >i/(p/)t in3 nt 3in!e 3e *r3 ,pt ,i!nn ,en!n 4r n! ,pt

(en6! 3rt 3epti.

4= Mti ,3e ;i ,i!nn

&n ,i!nn nt 3t rn! p3ien

Setip (en!3e3 ;i (ti ,3e *r3 (en!!nn 6r( ,n 3pit n! 3teri

Ti, ,i3i(pn t ,i)+ e (r p3ien t rn! tin,n e4i ;i

ter3e)t *n ,iperntn nt 3t rn! p3ien tertent.

Sete* ,i!nn nt pert( i *r3 ,i4nt(n tn!! pert( i ;i

,i) ,n tn!! )en, 3e ,te p, etiet )t.

,= $irn in3 ,( )t <p3ti t 4= ti, ,pt ,i!nn )er3( 3( nt

)e)erp p3ien.

e= In3in eHpen *n ,pt ,i!nn nt 3t rn! p3ien ,n ti, ,pt

,i!nn nt )er3(-3( nt )e)erp p3ien.

= Setip i penntin in3in ,en!n (en!!nn eHpen *r3 (en!!nn

6r( )r.

1;. P+N+AHAN DAN P+N+NDALIAN IN+KSI UNTUK PASI+N( K+LUARA

DAN P+NUN,UN.

= S* 3t Pen4e!*n ,n Pen!en,in Ine3i ,i r(* 3it ,* epe,in

ter*,p p3ien er! ,n pen!n6n! r(* 3it.

)= P3ien er! ,n pen!n6n! *r3 ,i)erin e,3i tentn! PPIRS.

4= Pen4e!*n ,n pen!en,in ine3i r(* 3it ,i RSU AULIA LODOYO

,ir,in3i e* Ti( PPIRS n! ter!)n! ,( nit r+t 6n ,n r+t inp.

20



,= M3in! (3in! ,ri ten! e3e*tn < Dter per+t i3iterpi %iBi 'r(3i , =

(pn nn e3e*tn < Per pet!3 e)er3i*n , = p3ien er! ,n

pen!n6n! trt ()i )!in ,( pen4e!*n ,n pen!en,in ine3i.

e= P3ien er! ,n pen!n6n! n! ,ir+t ,i R(* Sit U(( AULIA

LODOYO *r3 (entti pertrn n! , ,i R(* Sit U(( AULIA LODOYO

3e3i ,en!n pertrn tt terti) p3ien.

= " Pe,(n pen4e!*n ,n pen!en,in ine3i ,i r(* 3it ,n 3iit3 in

t*n 2011 : tentn! e)er3i*n tn!n ,n pen!!nn At Pein,n! Diri < APD = ,i

3iit3 e3e*tn

!= P3ien ,pt (en!in!tn pet!3 e3e*tn < Dter Per+t 'i3iterpi Per

%iBi , = )i ti, (en e)er3i*n tn!n 3e)e( ,n 3e3,* (enent*

p3ien ,n in!n!n p3ien.

*= Pen4e!*n ,n pen!en,in ine3i ,i r(* 3it ,* tn!!n! 6+) p3ien

er! ,n pen!n6n!.

i= An-n ,i )+* 12 t*n ,i rn! (en!n6n!i p3ien

6= P3ien er! ,n pen!n6n! )erpern pentin! ,i ,( pen4e!*n ,n

pen!en,in ine3i ,i r(* 3it. Setip rn!n / nit *r3 (ene,in 3iit3

+3tete(pt 3(p* nn ine3i3 <ntn! *it(= 3)n )i3 <*n,3p= (3er

)!i p3ien er! ,n pen!n6n!.

2). P+NANANAN K+,ADIAN LUAR 'IASA 5KL'6

= A!r e6,in KL" ,pt ,ien,in ,n 3e!er ,itn!ni R(* Sit U((

AULIA LODOYO per (e(pni 3i3te( pen!en,in ,n penn!nn KL".

)= Unt (en,ete3i 3e4r ,ini ,n KL" ,in 3r;ein3 ine3i ,i r(* 3it.

Sein nt ,ete3i ,ini 3r;ein3 3e4r ti 6! )ert6n nt (en4e!* 3p

KL" ti, tern! !i.

4= Sr;ein3 ,in e* IP$N )eer63( ,en!n IP$LN. Dt n! ,i,pt ,ri

3r;ein3 ,i* e* (ite PPIRS ,i3erti ni3i3 re(en,3i ,n tin, n6t

,n ,i!nn 3e)!i )*n prn ep, Diretr r(* 3it ,n )*n

(ni3i ,en!n )!in n! terit.

,= Ke6,in Lr "i3 Ine3i R(* Sit ,itetpn e* Diretr )er,3rn

perti()n!n K(ite PPI R(* Sit U(( AULIA LODOYO p, *3i e;3i

epi,e(i!i e4en,ern!n penin!tn n! IRS 3e4r 3i!niin 3e( )n

)ertrt-trt. Penin!tn 3i!niin n! e6,in IRS p, 3t +t pen!(tn

tertent ,i+3p,i 3e)!i KL".

e= Penn!nn KL" IRS *r3 ,in ,en!n 3e!er ,n 3e4r terp, e* 3er*

n3r n! terit ,ir,in3in e* K(ite PPIRS. Se( ter6,i KL" Pet!3

Rn!n/"!in terit Kep "!in ,n IP$LN *r3 )err,in3i 3e4r inten3i

,en!n Ti( ,n K(ite PPI R(* Sit nt (enn!ni KL" ter3e)t.

= Sete* (eneri( prn ,!n ,n KL" K(ite PPIRS )er3( IP$N/IP$O

(en in;e3ti!3i )er3( ,i te(pt ter6,in KL" (eipti:

21



• Men4tt 3etip e6,in ine3i ,i rn!n 3e3i pr3e,r Sr;ein3

Ine3iR(* Sit

• Men4tt 3etip e6,in ine3i ,i rn!n 3e3i pr3e,r Sr;ein3 Ine3i

R(* Sit.

• "err,in3i ,en!n IP$LN ,n Kep rn!n 3ert ,ter n! )ertn!!n!

6+) (enn!ni p3ien nt (en ;erii3i ,i!n3i3 ine3i r(*

3it pene!n ,i!n3i3 IRS ,n (en!nir(3i 3e)!i 33 KL". Sein

it 6! ,in in;e3ti!3i ter*,p e(n!inn 3()er penrn 4r

penrn ,n e(n!inn pene)rnn 3ert 3pe in n! ,ipern

nt penn!!n!n t (e(t3n rnti penrn.

• "err,in3i ,en!n "!in L)rtri( nt (en:

o S+) rn!/t n! ,i,! ternt(in3i )teri.

o Pen!()in )*n ,ri )er)!i 3i ter3n! 3()er ine3i nt

,i)in ,n nti)i!r(.

o Pe(3n!n )e ,i te(pt pen(pn!n )*n pe(eri3n )rtri(

p3ien penit (enr. L)e )erti3n JA+3 "*n MenrJ

• "err,in3i ,en!n 3er* per3ni ,i )!in terit nt (e()erin

rii3i-rii3i peri* n! terit ,en!n KL" (i3n pe3nn

Pr3e,r Tetp 3e4r )enr.

!= Ap)i *3i in;e3ti!3i (eni(pn te* ter6,i KL" ( K(ite PPIRS

(enetpn 3tt3 3i! )en4n KL" ,n (eprn ep, pi(pinn RS.

*= Unt (enn!!n!i KL" K(ite PPIRS )err,in3i ,en!n Diretrt Penn

Me,i Pniti K RS L)rtri( 'r(3i Snit3i $SSD %iBi K(r $4i ,n

"!in terit inn 3e3i e)t*n.

i= Ap)i ,ipern p3ien 33 KL" ,ir6 e r(* 3it r6n ine3i n! te*

,itetpn e* ,in3 e3e*tn.

6= A!r KL" IRS ti, (e3 K(ite PPI )er3( IP$LN ,n per+t rn!n

(en n!*-n!* pen4e!*n ,n pe()t3n ,en!n 4r:

• Me3nn ,n (en!+3i 3e4r ett pe3nn 44i tn!n n! )enr

,n tept.

• Men!!nn ,n (en!+3i pen!!nn 3rn! tn!n ,n APD in 3e3i

in,i3i.

•

Men ,n (en!+3i pe()n!n i()* ,en!n )enr

• Men pe(i3*n p3ien n! terine3i ,i3tn ,en!n p3ien n!

3(-3( terine3i/*rtin! ,n (enentn 3t n! n (e()erin

penn!nn <,ipi3*n ,en!n 3t inn=

• Ap)i ,ipern (en!3n ep, Diretr Ut( nt (en!i33i

rn!n t (en!i33i p3ien )er3n!tn n! ,in!!p ter4e(r e*

ine3i.

•

Men!+3i ett penerpn Ke+3p,n Stn,r.

22



• Rn!n n! ter6,i KL" *r3 ,i,i3ine3i.

= K(ite PPIRS (en ,(ent3i tentn! e6,in ,n tin,n n! te*

,i()i ter*,p ,t t inr(3i KL".

= K(ite PPIRS ter3 (en (nitrin! ,n e;3i 3(pi KL" )er*3i ,it3i.

(=Stt3 KL" +6i) ,iprn e ,in3 e3e*tn 3ete(pt.

n= K(ite PPI (entn KL" 3ee3i 6i , i (3 in)3i terpn6n! ti,

,ite(n 33 )r.

21. P+M+RIKSAAN KULTUR DAN SA' MIKRO'IOLOI DI LINKUNAN

RUMAH SAKIT

= S+) ,in 2 i 3et*n nt re riti3 <Bn ri3i tin!!i ,n 3n!t tin!!i=

)= Are in )i ,ipern 3e+t-+t t )i ter6,i +)*/KL".

4= Per3ipn pe(in rn!n )r p3 ren;3i t n3tr3i r(* 3it.

,= Din pe(eri3n p, p3ien n! (en,erit ine3i n! ter6,i ILI ILO.

e= Ktr ,in 6i , 4ri! 33 ILI ,n ILO.

22. P+NANANAN PASI+N IMMUNOSUPPR+S+D

. Penn!nn p3ien i((n4pr(i3e, *n (en e3t)ii33i e,n ((

)i 3,* 3t)i r(* 3it (er6 e 3iit3 e3e*tn n! in. ). R(* Sit U(( AULIA LODOYO ti, (en per+tn p3ien

i(n4(pr(i3e,. Ap)i ter,pt p3ien i(n4(pr(i3e, ( ,ir6 e

3iit3 e3e*tn n! inn.

23.P+N+AHAN DAN P+N+NDALIAN IN+KSI 5PPI6 DI P+MULASARAN

,+NA>AH

= Pe(in,*n 6enB* ,ri rn! per+tn:

• Pr3e3 pe(in,*n *r3 3e3i ,en!n prin3ip-prin3ip Ke+3p,n Stn,r.

• A3pe ), ,n !( *r3 ,iper*tin. Ker! p3ien n! in!in (ei*t

6enB* 3ete* ,ipin,*n ,ri rn! per+tn 6! *r3 (enerpn

Ke+3p,n Stn,r.

• Penn!nn 3e( 6enB* pet!3 *r3 (en!!nn APD n! 3e3i.

)= Per+tn 6enB*

• Pet!3 6enB* *r3 (en Ke+3p,n Stn,r (en e)er3i*n

tn!n n! )enr ,n (en!!nn APD n! 3e3i ,en!n ri3i p6nn

3eret / 4irn t)* p3ien.

• Pen!+etn 6enB* ,en!n (en!!nn 4irn r(,e*i,e ,in 3e3i

pr3e,r ,n prin3ip-prin3ip Ke+3p,n Stn,r.

• Pen!+etn 6enB* ti, )e* ,in p, p3ien n! (enin!! i)t

penit (enr.

23



• Pe(3rn 6enB* 3e4r *i!ieni3 <(e()er3i*n ),n (erpin r()t

(en,n,ni (e(tn! ,n (en4r= *r3 ,in ,en!n (enerpn

Ke+3p,n Stn,r.

• Sete* 3ee3i per+tn 6enB* te(pt ,n rn!n +6i) ,in

,ent(in3i.

4= Pe(eri3n p3t-(rte(:

• Pe(eri3n p3t-(rte( ,in ,en!n (enerpn Ke+3p,n Stn,r .

• #(* pet!3 *r3 ,i)t3i 3e(ini( (n!in.

• Pr3e,r ,in ,( rn!n n! )er;enti3i (e(,i.

• Ter3e,i APD n! 3e3i ,en!n ri3i p6nn.

d) Pe()er3i*n ,n ,i3ine3i rn!n p3t per+tn 6enB*e) Pent3nn i()* ,n inen 3e3i ,en!n Stn,r Pr3e,r Oper3in

= Pe(3rn 6enB* )erpenit (enr *r3 ,in 3e3e!er (n!in ti,

(ee)i*i )t3 +t 7 6(.

24. P+RSIAPAN P+MAKAIAN RUANAN 'ARU PASKA KONSTRUKSI / R+NO9ASI

RUMAH SAKIT

= Men ni3i3 ,(p ren;3i ,n n3tr3i ter*,p it3 ,rtin!t

e)i3in!n .

)= Men e,3i <pe(3n!n r()2 t !()r ,ire ren;3i= ep,

pet!3 pen!n6n! ,n p3ien.

4= Men pe()er3i*n (ener* ,n ,ent(in3i 3e( per(n ter(3

,in,in! n!it-n!it 6en,e ,n 3i3te( ;enti3i )eri3i tin!!i.

,= Mn 3+) rn!n ,n 6i it3 ,r *33n ,i re )eri3i tin!!i

3e)e( rn!n ,i!nn.

2*. P+N+AHAN DAN P+N+NDALIAN IN+KSI 5PPI6 DI KAMAR 'AYI

= Rn!n / Lin!n!n

• Lnti ,ipe , i 3e*ri ,en!n (en!!nn 4irn 3)n netr

• Rn!n ,i )n!r 3t i ,( 3e(in!!

• A$ ,i)er3i*n 3etip 3t )n 3ei

• Pe(eri3n ir )er3i* ,in 3etip )n 3ei

• Rn! )i 3e*t *r3 terpi3* ,en!n rn!n )i 3it

• S* ,n ee())n (r )i 3e*t : 21 27 $ C 75 -?0 3e,n!n

• nt (r )i 3it : 22 27 $ C 5 ?0

• K3 )t ,i 4*e4 te(pertrn

)= Pertn

• Te(pt ti,r !ntn!n ti()n!n pertn p*t terpi ,i)er3i*n 3etip

*ri ,en!n in e()) (e(i ,eter!en ,n ir )er3i*

24



• " (n,i : ,i)er3i*n ,en!n ,eter!en ,n ir )er3i* 3etip *ri

4= Per3rtn )eer6 ,i (r )i

• Pet!3

Men44i tn!n *r3 ,in 3e)e( ,n 3e3,* tin,n / (e()eri33 )i ,ri tiet ,

Per+t (r )i *r3 (en!iti pr!r( ;44in3i *eptiti3 C

>ri4e.

Ti, )e* (e(ei*r t (e(i per*i3n 3t )eer6.

Per+t n! (er+t )i 3e*t ti, )e* (er+t )i 3it.

R()t *r3 ,iit / ,iptn! pen,e 3e*in!! ti, (en!eni ( )i

3t (e()eri 33 )i.

Men!!nti pp *r3 (en!nn 3rn! tn!n.

• I) n! (en3i ,i (r )i

Men44i tn!n 3e)e( ,n 3e3,* (en3i )i.

Me()er3i*n ptin! 33 3e)e( (en3i )i

Pet!3 n! (eneri( ASI n! ,ip(p ,ri i) / er! ( p,

)t *r3 ,ittp )eri )e tn!! ,n +t pen!()in ASI.

• "i

"i n! 3e*t *r3 ,ipi3*n ,ri )i n! 3it.

Pe()erin ;44in &eptiti3 " ,i)erin 27 6( 3ete* *ir 3e,n!n )i

,en!n ri+t i) ,en!n &eptiti3 ,i)erin i((ni33i p3i.

"i ,en!n )ert ),n nr( ,i(n,in 1H 3e*ri 3e)e( pt3 ti

p3t.

Per+tn ti p3t ,en!n (en!!nn ir )er3i* ,ierin!n ,n ti,

,ittp ,en!n 33. "i n! ,ir+t ,en!n )e i!*t (tn *r3 ,ittp ,n ,i) 3t

,i)eri 33.

Setip )i (e(pni peren!pn (3in!-(3in! ,n ,i3i(pn

,ite(pt n! 3,* ,i3e,in.

27. P+N+AHAN DAN P+N+NDALIAN IN+KSI 5PPI6 DI KAMAR '+RSALIN

= Pen4e!*n 3tn,r

"6 / !n pn6n! ,n 3rn! tn!n *r3 ,i!nn p, 3e( pr3e,r

n! )er3ent*n ,en!n ,r* t 4irn t)* p3ien ter(3 6!

e)er3i*n pertn ,n in!n!n pe(eri3n p3ent.

Pein,n! (t <!!!e3= ,ipi p, 3etip pr3e,r per3inn.

Se( )en, t6( n! ternt(in3i e* ,r* *r3 n!3n! ,i)n!

e,( sharp container n! te* ter3e,i.

25



Se( inen n! teren n, ,r* ,i(3n e,( ntn! )er+rn

nin!.

St n! (e(pni e3i/ ter) t !re3n p, tn!n (ere *r3

(entp ter3e)t ,en!n pe3ter e,p ir ,n 3e (en!!nn 3rn!

tn!n 3t (enn!ni per3inn.

St n! )eer6 ,i(r )er3in *r3 it ,( pr!r( ;44in3i &eptiti3

".

Se( ti33e ,n 3(p* n! ternt(in3i ,en!n ,r* *r3 ,i)n! e

,( ntn! p3ti nin!.

)= Per3rtn )eer6 ,i (r )er3in

• Pet!3 (r )er3in

Dter !nti )6 3e)e( (enn! per3inn.

Men!!nn APD en!p <3rn! tn!n (3er !!!e prn tpi=

3e)e( (enn! per3inn.

Me(i 3 i n! te* ,i3e,in *33 nt (r )er3in.

Me3nn e)i6n e)er3i*n tn!n n! eeti.

• P3ien

P3ien !nti )6 3e)e( ,itn! per3inn

Ker! n! (3 e (r )er3in ,i)t3i.

P3ien ,en!n ine3i *r3 ,ite(ptn ,irn! ter3en,iri <i33i=

• "i

Per+t/)i,n n! (eneri( )i )r *ir *r3 (en!!nn APD

en!p.

Pen!*i3p en,ir )i *r3 (en!!nn n! 3ei pi.

"i *ir ti p3t ,iit ,en!n e( ti p3t 3teri ,n ,i)eri *

@0 / p;i,ine i,[email protected] p, 6n! ti p3t. "i )r *ir ,i)er3i*n e(,in )i ,i(n,in ,en!n ir

*n!t.

4= Lin!n!n

• Rn! "er3in

Pe()er3i*n rn! )er3in ,in 2H 3e*ri ,n 3etip 3ee3i

tin,n.

Pe()er3i*n (( ,in 3e(in!! 3ei p, *ri ti, ,

tin,n/per3inn.

Se( t(p*n ,r* ,n 4irn t)* *r3 ,i)er3i*n ,en!n

(en!!nn ,e3inetn 4*rine.

Te(pt ti,r (e6 p3ien e(ri *r3 ,i)er3i*n ,en!n (en!!nn

,eter6en netr 3etip 3ee3i ,i!nn.

• At ,n inen

26



In3tr(en n! te* ,ipi ,i44i ,en!n ir (en!ir *n nt

(en!*in!n n, ,r* <pr3e3 ,ent(in3i= ,n n!3n! ,iiri(

e $SSD.

Ke(3n 3teri ti, )e* r)e ti, )e* ter) ,n ti, tr ,n

i*t tn!! ,r3.

Se( pertn (e,i 3teri n! n ,ipi ,i)t3i 3e4pn

3e3i ,en!n epern 3t it.

Kin !r,en *r3 ,i!nti 3etip 1 )n 3ei t per )i

teren ,r*.

Linen p3ien *r3 ,i!nti 3e!er 3ete* p3ien 3ee3i tin,n.

Linen n! te* ternt(in3i ,en!n ,r* *r3 ,i(3n e ,(

ntn! p3ti +rn nin!.

,= Penn!nn ter*,p i) n! p3iti terppr ;ir3 n! ,itrn (ei ,r*

&eptiti3 " $ ,n &I>.

Unt (e(ini(n re3i e*irn )i ,en!n einn ,r* ren i)n p3iti

teren ;ir3 n! ,itrn (ei ,r* )e)erp n!* n! *r3 ,in :

Pert*nn 3ept et)n tetp t* 3e( (n!in.

Ti p3t ,ie(/,ittp 3e3e!er (n!in nt (en!*in,ri trn3i

6nin (pn i) n! ti, per.

Sntin ,n 4nt* ,r* )i ,itn, 3(pi ,r* n! )er3 ,ri i)

,i)er3i*n.

D( e,n i) p3iti (en,erit &eptiti3 " ( ,rn!n nt

i(nni33i ter*,p )i 3e)in ti ,in.

P, 3t )i ,i(n,in *r3 ,in 3e4r *ri-*ri 3e*in!! 3e(

,r* (ene(pe )i3 ,i)er3i*n 3e( pertn n! ,i!nn ,i)n!

,ip3ti +rn nin! t ,i)er3i*n 3e*in!! 3e( n! (en!n,n!

prtein tern!t. Se!er 3ete* pr3e,r ini 3ee3i ,in )i )i3

,itn!ni ,en!n nr( ti, per ,i()i tin,n pen!i33in.

Ln i(ni33i )i )r *ir ,en!n i) n! p3iti *eptiti3 ".

28. P+N+AHAN DAN P+N+NDALIAN IN+KSI 5PPI6 DI KAMAR '+DAH

= Pen4e!*n ,n pen!en,in Ine3i ,i K(r "e,* )er3 p, p3ien

pet!3 teni pe()e,*n in!n!n ,n pertn.

)= PPI ,i K(r "e,* (eipti :

• Ke)er3i*n Tn!n

Ke)er3i*n tn!n ,i3nn (ei prte (en44i tn!n

(en!!nn 3)n nti3epti <4*r*eHi,in 7 = ,n ir (en!ir t *n,r).

Ke)er3i*n tn!n +6i) ,ii(pe(ent3in ,i (r )e,* e* 3etip pet!3

27



(r )e,* 3e3i ,en!n e)i6n e)er3i*n tn!n ,i RSU AULIA

LODOYO

Penerpn prti e)er3i*n tn!n e* 3er* pet!3 (r

)e,* )erpe,(n p, i( 3t e)er3i*n tn!n +6i)

,i3nn <3tn,r 9&O= ,n en( n!* pr3e,r.

Ke)er3i*n tn!n 3r!i4 (en!!nn 4*r*eHi,in 7 ,en!n en(

n!* pr3e,r ,n (en44i 3(pi 3i tn!n.

• At Pein,n! Diri <APD=

Pi 3rn! tn!n 3e3i rn tn!n ,n 6eni3 tin,n

$4i tn!n 3e!er 3ete* (eep3 3rn! tn!n

Pi 3rn! tn!n )i , e(n!inn n ternt(in3i

,r* 4irn t)* 3eret e3ret )*n/)en, ternt(in3i

(3 it n! ti, t* t it t* n! pten3i

ternt(in3i.

%nti* 3rn! tn!n )i n (er+t p3ien n! )er)e,.

M3er )e,* ,ipi 3e( tin,n per3i ,n ,i!nti ,en!n (3er

)r p, 3t n per3i )eritn.

Kenn prn 3e)e( n (e(i !n 3teri

Kenn %n 3teri nt tin,n per3i Kenn %n )er3i* ti, 3teri nt (ein,n!ni it ,ri

nt(in3i ,n (en4e!* )6 (en6,i tr 3e( tin,n /(er+t

p3ien n! (e(n!inn ter6,in per4in 4irn t)* p3ien.

Ttp ep ,i!nn (i pint (3 (r )e,* ,n ,i!nti 3etip

i 3ee3i per3i.

%nn 3 i n! terttp )!in ,epn ,n ti, )n! )n!.

4= Penn!nn pertn per+tn p3ien

• Pe()er3i*n ,n ,e3ine3i ,in 3e!er 3ete* t-t ,iper!nn,n

,in e* pet!3 terti*.

• Pertn nt ;enti3i ,n pernp3n n! ,i!nn p, pen,erit T"

n! ,iper3i ,i!nn t n! 3ei pi.

,= Pe()er3i*n in!n!n

• Men!!nn 4irn ,e3inetn nt RS 3e3i ,en!n pe,(n RS

• Te(pt ti,r/ r3i (e6 per(n (e6 per3i per(n (e6

in3tr(ent ,i)er3i*n 3etip 3ee3i ,ipi p3ien ,en!n

(en!!nn 4rin 005 t ,e3inetn n! in 3e3i e)i6n R(*

Sit

• Penn!nn i()* 3(p* (e,i3 <ine3i3= ,( ntn! nin!

e(,in ,i)r ,i in4enertr )en, t6( (3 e ,( )H 3et

3(p* ((/r(* tn!! <nn ine3i= ,i)n! ,i TPA.

• Penn!nn t(p*n ,r* t )*n ine3i *r3 ,i)er3i*n 3e3i SPO.

e= P3ien

28



• P3ien )er*enti (er 1 )n 3e)e( per3i.

• Mn,i p3ien ,en!n nti3epti (( ,n p!i *ri 3e)e( per3i.

• $r r()t ,in )i )enr-)enr ,ipern 3e!er 3e)e( per3i

,en!n (en!!nn 4ipper )n rBr.• P3t per3i (eipti pen4e!*n ,n r+tn p3ien 3e)e( 3e( p3ien ,n

3e3,* p3ien per3i.

• Pen,erit T" 3e+t ,i)+ (3 (r per3i 3e!er n!3n! (3 (r

per3i ti, ,iper)e*n (enn!! ,i in!n!n (r per3i. M3er

)e,* *r3 ,ipi p3ien 3e( p3ien ,ipin,* e (r per3i

• P3ien T" *r3 ,ipi*n e3,rnn ,irn! (r per3i / rn! n3te3i

ti, )e* ,irn!n pe(i*n.

= Pet!3

• Me()erin pen,i,in ,n peti*n ep, pet!3 (r )e,*

• Me()erin (ti;3i ep, pet!3.

• Pet!3 ti, (e(i 6( tn!n !en! 4in4in.

• Ti, )er pn6n! ,n (e(i te

•Pet!3 n! 3it (enr ,irn! nt )eer6 ,i (r )e,*.

2:. P+N+AHAN DAN P+N+NDALIAN IN+KSI 5PPI6 DI INT+NSI9+ AR+

UNIT 5IU6

= Petn6 U(( :

• &n, &!iene <Ke)er3i*n Tn!n=

Ke)er3i*n tn!n n! 3erin! (erpn 3* 3t 4r n! pin!

pentin! 3e)!i rn pen!en,in ine3i ,i R(* 3it. Tn!n *r3,i44i 3e)e( ,n 3e3,* (er+t p3ien t (enn!ni pertn

(e,i3 n! ,i!nn e* p3ien. Tn!n 6! *r3 ,i44i 6i

ternt(in3i ,en!n 4irn t)* p3ien 3e)e( (en tin,n

in;3i;e 3e)e( ,n 3ete* (eep3 3rn! tn!n 3e)e( (e(i

er6 ,n 3ete* t!3 er6 3ee3i 3ete* nt ,en!n in!n!n

3eitr p3ien.

• Srn! tn!n

Unt (ein,n!i 3t I$U 3rn! tn!n *r3 ,i!nn 6i n

nt ,en!n 4irn t)* inn ,n 3rn! tn!n *r3 ,iep3

3ete* 3ee3i (en per3t nt (e(ini(n ter6,in

nt(in3i 3in! e(,in 3e!er n e)er3i*n tn!n.

• Kn3t3i

Ti( pen4e!*n ,n pen!en,in ine3i *r3 ,pt ,i6,in

3e)!i nr3()er ,( (en 3r;ein3 ,n pen!6in

pen!en,in ine3i ,i I$U. Di3(pin! it ti( PPI 6! *r3

29



(enetpn ,n (en (nitrin! ter*,p pr3e,r 3terii33i

,n ,e3ine3i ter*,p pertn n! ,i!nn ,i I$U 6!

ter*,p penn!nn )i ter6,i tert3 6r(.

)= Pr3e,r In;3i;e

• #i pr3e,r in;3i;e ,i!nn 3e)!i pii*n nt (ene(tn 6i+

p3ien ,n 3n!t )er(nt ,( penn!nn p3ien ( pr3e,r

pen!en,in ine3i 3e)!i(n ,i6e3n ,i t3 ,pt ,i)in.

• Pr3e,r in;3i;e *r3 ,in ,en!n (enerpn teni 3epti. Teni

3epti *r3 ,iterpn nt 3e( pr3e,r in;3i;e ,n pen!!ntin )tn

per (e(i 3rn! tn!n 3teri. D( 3it3i e(er!en4 ,i(n pr3e,r

n! ,in ti, 4p )i ,( teni 3epti ( 3eperti pen!!ntin

teter rine i; teter n! (n!in ,pt ternt(in3i ( 3e)in

,i!nti 3ete* n,i3i p3ien 3t)i.

• Kn3i pe()* ,r*

"!in n! ,ip3n! n3i (erpn te(pt (3n (irr!ni3(e e

,( 6rin!n 3)tn ,n 3ir3i ,r* n! 3n!t pten3i. Oe* ren

it 3t n! n (en pe(3n!n n3i *r3 tere)i* ,*

(en e)er3i*n tn!n ,n (e(i 3rn! tn!n 3ert tin,n

(en,i3ine3i it 3e)e( pe(3n!n n3i.

• Kn3i ;en 3entr

Pe(3n!n n3i ;en 3entr *r3 ,in ,en!n (enerpn teni

3epti ter(3 (e(i 3rn! tn!n 3teri (en per3ipn it n!

n ,it3 ,en!n nti3epti ,n (e(3n! ,e 3teri p, re n! te*

,i3ipn. $ri )!in n! (e(pni ri3i n! ren,* 3eperti3)4;i4

intern 6!ri3.• Pen!!ntin n3i

Kn3i intr;en *r3 ,i!nti 3e4r re!er < @2 6(=.

K*33 )i n3i ()ii4 teter ,ip3n! ,en!n teni 3teri

(en!!nn 63 per3i 3rn! tn!n 3teri (3er ,n ,e 3teri.

Pen!!ntin p3i3i n3i ()ii4 teter ,in ti, (ee)i*i 5 @ *ri.

4= Pertn

Tin!t 3teriit3 n! )enr ,e3inetn ,n ,ent(in3i *r3 ,in p, 3e(

pertn n! n ,i!nn. Setip p3ien *r3 (e(pni pertn 3en,iri-3en,iri

,n )i3 ,ipi n! t (en!!nn t n! 3ei pi.

• Ite( 3ei pi

Ite( n! 3ei pi 3eperti pertn ir+ n! nt n!3n! ,en!n

3rn pern3n 3eperti ETT ,n ir+ 4ne 34tin ,i(n ,ri

30



(ntrn te* ,i)eri )e 3ei pi ( ti, )e* ,ipi n! t

,i,r n!.

• Ite( n! ,pt ,ipi n!

Ite( n! ,pt ,ipi n! *r3 ,in ,ent(in3i ,n ,i3ine3i n!

)enr 3e)e( ,i!nn e()i ,n p)i pr3e,r n! n ,in

(ei)tn )!in t)* n! 3teri ( pertn ter3e)t *r3 ,( e,n

3teri.

• $ir4it >entitr

Unt 3etip p3ien )ret*in! 4ir4it *(i,iier *r3 ,i!nti 3etip 5-@ *ri t

,pt ,i!nti 6i tr 4ir4it ,pt ,iin,n!i ,en!n p3i3i iter n! )enr

3e,n!n )4teri iter ,ipi 3t p3ien 3t )4teri iter.

,= Spi

• Are peni(pnn

Ite( n! )er3i* ,n 3teri ti, )e* ,i3i(pn ,( re n! 3(.L3i

t rn!n terpi3* *r3 ,i!nn nt re )er3i* ,n tr.

• Ite( 3teri

Se( ite( n! te* 3teri *r3 ,i3i(pn ,i re n! )er3i* ,n erin!. #i

)n!3n 3teri (en!(i er3n t )4r ( e(3n ter3e)t

,intn ti, 3teri !i ,n ite( ,i,(n ti, )e* ,i!nn.

Pen!e4en ite( 3teri p, 3t 3teri *r3 ,in 3e4r re!er. Se( ite(

3teri *r3 ,i4e et*n e(3nn 3e)e( ,i!nn <,i)=.

e= Pen!en Linen

•Linen tr ,* (erpn 3()er nt(in3i (irr!ni3(e n!

3i!niin inen tr 3t pen!!ntin inen <e* ren it pen!!ntin inen

ti, )e* ,in ,en!n (en!i)3n inen e ,r=.

•Linen ,i3i(pn ,i te(pt n! )er3i* erin! ,n terttp nt (en4e!*

nt(in3i (n ,ri ,r. #i inen )er3i* ti, 6,i ,i!nn ( ti,

)e* ,i3i(pn ,i re peni(pnn 3t inen rn!n tetpi *r3

,ie()in e n,r nt ,i44i n!.

• Ti, )e* (eetn inen tr ,i nti ,i r3i t ,i (e6. Linen tr

,i(3n e ,( ntn! p3ti tr inen tr n! te* ter3e,i.

Tr inen n! ,i!nn nt (en!n!t inen tr ti, )e*

,i!nn nt (e()+ inen )er3i*.= O)t-)tn

• O)t-)tn *r3 ,i3ipn ,en!n (en!!nn teni tnp 3ent*n )t-

)t prenter *r3 ,i3ipn 3e4r 3epti (en!!nn 3pit ,n 6r(

3teri. $irn intr;en ,n 4irn iri!3i 3teri *r3 ,i)eri )e tn!! +t

,i) ,n ,i)n! 3ete* 27 6( <6i 3ete* ,i) ,n ti, ,i!nn !i=.

• Anti)iti

Pe()erin nti)iti p, p3ien I$U n! ti, (e(per*tin p

31



3en3iti;it3 (n n (e()erin n,i ter6,in KL" ine3i 3eri3

,en!n n3een3i n! t. A,n e)i6n pen!!nn nti)iti ,i

r(* 3it n e)i* r3in ,( pe()erinn ,n (erpn ept3n

n! ,pt ,iteri( 3e4r *( ,i)n,in!n (ere n! ti, (e(pni

e)i6n tentn! pe()erin nti)iti n! )enr.

• Pe()erin (ti ,3e

Kren ,n pten3i ter6,i ine3i 3in! ( pen!!nn ;i nt (ti

,3e ,n (p nt p3ien e)i* ,ri 3t 3n!t ti, ,in6rn ,iterpn ,i

RSU AULIA LODOYO e* ren it i3i ;i t (p *n ,i!nn e*

3t p3ien 36 ,en!n ternti inn it ,en!n (e(i3*n i3i ;i e

,( )e)erp 3pit 3teri )eri tn!! ,n 6( ) ;i p, 3pit ,n

,i3i(pn ,( e(ri pen,in!in )t nt 3e( 27 6(.

!= 'tr P3ien ,n Pet!3

• I33i

Setip p3ien n! ,i4ri!i t ,intn (e(pni penit (enr (

*r3 ,ite(ptn terpi3* ,ri p3ien in <(r i33i=.

• &!iene

P3ien n! ,ir+t ,i I$U 3e4r rtin *r3 ,in per3n *!iene ,en!n

)i. Den!n (en per3n *!iene n! )i n (en4e!* ter6,in

ine3i 3in! ,n (e()erin e3e!rn ,n (en!rn!i 3tre3 )!i p3ien.

•Pet!3

Se( 3t n! )ert!3 ,i I$U *r3 (e(i 3er!( n! )er3i*. St I$U

ti, ,iper)e*n (e(i per*i3n ter(3 4in4in +in 3t (ere t!3

* ini ren pten3i (ene)rn (n t (en!i)tn ni33i(n. St n! ,iet*i (en!i,p penit (enr )i (ei pe()*

,r* (pn (ei ,r *r3 )er)t ,n (eprn e 3per;i3r.

*= Pen!en,in int3 ,i I$U

•D( 33 tertent pen!n6n! *r3 ,i)t3i 3e3i ,en!n epernn *

ini nt (e()erin e(nn ,n en(nn )!i p3ien. #i p3ien ,ir+t

,i (r i33i I$U ( pen!n6n! *r3 ,i)eri pen6e3n nt

(enerpn e+3p,n 3tn,r ter(3 pen!nn APD ,n n-n ,i

)+* (r ti, )e* (3 e ,( I$U *33 nt )i pen!n6n!

n! ,iper)e*n *n rn! t.

• Pen!n6n! +6i) (en e)er3i*n tn!n 3e)e( ,n 3e3,*

(en!n6n!i p3ien I$U.

•Pen!n6n! ti, per (e(i )6 !nti p, 3t (en!n6n!i p3ien ,i I$U.

i= Pen!en,in Lin!n!n

• Penn!nn 3(p*

32



Se( pe()n!n 3(p* *r3 (en!iti tt4r penn!nn ,n

pe()n!n 3(p* *r3 3e3i ,en!n te!ri 3(p* <ini3 ,n nn

ini3=

#r( )e3 ,n )en, t6( inn *r3 ,i)n! e ,( te(pt n!

te* ,i3e,in <3*rp 4ntiner=.

"e3 )tn n! ternt(in3i e* ,r* ,n 4irn t)* *r3

,i)n! e ,( ntn! 3(p* +rn nin!.

• S* ,n ee()pn ,r

Pen!e4en 3* ,n ee()pn ,r *r3 ,in 3etip *ri.

• &3e Keepin!

Pe()er3i*n *rin : nti *r3 ,i)er3i*n 3etip *ri ,en!n

(en!!nn in pe ,n ,e3inetn ,in 2H 3e*ri t

3e+t-+t.

Pe()n!rn : ,in 1 )n 3ei t (ei*t 6(* p3ien

2;. P+N+AHAN DAN P+N+NDALIAN IN+KSI 5PPI6 DI POLI KLINIK II

= #r t( pene)rn (irr!ni3(e p, prte ,ter !i!i ,* (ei :

• Knt n!3n! ,en!n ine3i t 3i; ,n ,r* n! terine3i

• Knt ti, n!3n! ,ri t-t n! ternt(in3i

• Per4in ,r* 3i; t 3ere3i n3rin! n!3n! p, it n! ter

(pn t* t (3

• Aer3 t pene)rn (irr!ni3(e (ei ,r.

)= Se( p3ien n! ,tn! *r3 ,in!!p 4rrier ,ri (irr!ni3(e pt!en.

• E;3i p3ien : (en!et*i ri+t e3e*tn n! en!p

• Perin,n!n ,iri :

&in,ri (e(e!n! 3e3t n! ti, ,i)t*n p, +t

(er+t p3ien *in,ri nt ,en!n (t *i,n! (t ,n

r()t 3ert *in,ri (e(e!n! t )r3i.

Ttpi t e4et-e4et p, 6ri ,en!n pe3ter e,p ir.

Men e)er3i*n tn!n 3e)e( ,n 3ete* (er+t p3ien

,en!n chlorhexidine 2 .

• Dter !i!i (e(i )6 prte n! )er3i* ,n )eren!n pen,e.

• Dter !i!i ,n per+t !i!i *r3 (en!!nn :

Srn! tn!n : 3rn! tn!n te3 )er3i* ,i!nn p, 3t

(e(eri3 p3ien tnp e(n!inn ter6,in per,r*n

3rn! tn!n 3teri ,i!nn p, 3t (en tin,n

)e,* 3rn! tn!n r(* tn!! ,i!nn p, 3t

(e()er3i*n t/per(n er6 t )i (en!!nn

)*n i(i.

K4(t pein,n! : (ein,n!i (t ,ri 3ptter ,n ,e)ri3

33



n! ,ii)tn e* *i!* 3pee, *n,pie4e pe()er3i*n rn!

!i!i.

M3er : (en4e!* ter*irpn er3 n! ,pt (en!ine3i

3rn pern3n t3 (pn )+*.

4= Sterii33i in3tr(en :

Se)e( ,i3terin t-t *r3 ,i)er3i*n tere)i* ,* ,ri

,e)ri3 r!ni ,r* ,n 3i;

Sete* ,i)er3i*n in3tr(en *r3 ,i)n!3 nt 3terii33i

Pr3e3 3terii33i ,in ,i $SSD

In3tr(en *r3 tetp 3teri *in!! 3t ,ipi pe()n!3

in3tr(en *n )e* ,i) 3e!er 3e)e( ,i!nn p)i

,( +t 1 )n ti, ,i!nn *r3 ,i3terin n!.

,= Mentpi pe!n!n (p t()-t() p, nit !i!i )i in3tr(en 6n! t

t*ree + 3rin!e 3i; e6e4tr 6n! t t()n 3inr 3n,rn ep ,en!n

p3ti (ni( i 3ei pi nt tip p3ien.

e= Pe()n!n )rn!-)rn! )e3 pi 3eperti 3rn! tn!n (3er pentp

per(n n! ternt(in3i ,r* t 4irn t)* e ,( te(pt 3(p*

ine3i3 3e,n!n )en, t6( 3eperti 6r( t pi3 34pe ,i(3n e ,(

te(pt 3(p* )en, t6(.

= "er(r nti3epti4 3e)e( tin,n e,tern !i!i eeti (ere,3i 6(* r

(irr!ni3(e rn!! (t

3). P+R'ANDINAN DATA DASAR IN+KSI 5'+NHMARKIN6

= Per)n,in!n ,t ,3r ine3i ,in 3e4r intern <ntr nit= (pn e3tern

<,en!n R(* Sit in n! 3e6eni3 t ,en!n prti ter)i / )ti i(i* n!

,ii=.

)= Per)n,in!n ,t ,3r ine3i ,in e* ti( Pen4e!*n ,n Pen!en,in Ine3i

3etip )n <)en4*(rin! intern= ,n 3et*n 3ei <)en4*(rin! e3tern=.

4= R(* 3it n! (en6,i (itr ,( )en4*(rin! e3tern ,* r(* 3it

/ n3in n! 3etr (pn r!ni33i e3e*tn intern3in n! ter)ti

(e(iii prti ter)i 3e4r i(i*.

,= &3i per)n,in!n ,ini3 ,itin,n6ti ,n ,iprn ep, Dire3i 3e4r

terti3 ,( )ent prn )nn PPI <)en4*(rin! intern= ,n prn 3r;ein3

t*nn <)en4*(rin! e3tern=.

e= &3i per)n,in!n ,t ,3r ine3i intern (pn e3tern ,ir,in3in ,(

rpt ti( p6 PPI 3etip )n 3ei.

31. RISK MANA+M+NT PPI

= Setip !!3 t!3 (en pen!6in ri3 PPI ,i (3in!-(3in! rn!n.

)= Pen!6in ,i,3rn p, (n!e(ent ri3.

4= Din ni3i3 ri3 (n!e(ent PPI e* IP$N )er3( (ite PPI.34



,= K(ite PPI (enetpn *3i ni3 nt ,i6,in pr!r( er6 PPIRSU

AULIA LODOYO.

e= Ri3 PPI 6! terit e6,in KL"

32. K+'I,AKAN T+RTUSUK '+NDA TA,AM

= R(* 3it (en6(in e(nn ,n en(nn pet!3 3t )eer6 ,i RSU

AULIA LODOYO )= Dter *ipere3/ K R(* Sit )ertn!!n!6+) ter*,p pe(ntn e3e*tn

r+n n! (en!(i e4en er6.

4= Dter *i ine3i/ penit ,( )ertn!!n!6+) 3e)!i n3en e3e*tn


,= "!in SDM )ertn!!n! 6+) ter*,p peprn e4en er6 e #(33te

,n Depner.

e= K(ite PPI (en in;e3ti!3i ,n )err,in3i ,en!n Dter A*i Ine3i/

Penit D( ,n Dter &ipere3 nt pent3nnn.= Kep rn! t 4r,intr K )ertn!!n! 6+) ter*,p peprn e6,in.

33. K+'I,AKAN P+RLINDUNAN K+S+HATAN KARYAAN

1. R(* 3it (en6(in e(nn ,n en(nn pet!3 3t ,i RS AULIA

LODOYO

2. Dter &ipere3/ K )ertn!!n! 6+) ter*,p pe(ntn e3e*tn r+n

n! (en!(i e4en er6.. Dter A*i Ine3i/ Penit D( )ertn!!n! 6+) 3e)!i n3en e3e*tn


7. Se)!i SDM )ertn!!n! 6+) ter*,p peprn e4en er6 e #(33te

Dn Depner.

5. K(ite PPI (en in;e3ti!3i ,n )err,in3i ,en!n Dter A*i Ine3i/

Penit ,(,n ,ter &ipere3 nt pent3nnn.

?. Kep rn! t Kr,intr K )ertn!!n! 6+) ter*,p peprn e6,in.

@. Setip ri+n )r *r3 ,i peri3 ri+t pern* ine3i ,n 3tt3 i(ni33in.. Pet!3/ Kr+n n! (en,erit penit pr (enr ti, ,i perennn

nt (er+t p3ien 3e4r n!3n! 3(pi ter)ti nn ine3i3.

8. Pet!3 / r+n n! (en,erit penit &eptiti3 A ti, ,iperennn )eer6

,i re eper+tn,n pen!en (nn3(pi 1 (in!! 3ete* 3e()*.

10. Pet!3 n! terppr p3ien <&eptiti3 C &I>/AIDS = ,n tert3 )en, t6(

(eprn ep, t3n n!3n!.11. R(* 3it (e(eri3 e3e*tn r+n ,n (e()eri i(ni33i 3e4r )er.

12. R(* Sit (ene,in 3rn At Pein,n! Diri <APD= n! 4p ,i rn!

per+tn rn! tin,n,n rn! e(er!en3i1. P3ien n! penrn (ei ,r pern3n ,n ,rpet pet!3 (en!!nn

(3er N 85

34. K+'I,AKAN P+N+MPATAN PASI+N 5ASPADA ISOLASI6

1. R(* Sit (ene,in rn!n i33i 3e3i ,en!n e((pn R(* Sit

35



2. P3ien ,ite(ptn ,( rn! ter3en,iri ti, )er4(pr ,en!n p3ien in ,en!n

riteri 3e)!i )erit:

A= Tetn3 ,n %n!!ren

"= Penit Ine3i n! penrn (ei:

$= Yn! (en!!n! e(nn p3ien in.

D= P3ien i(n(pr(i3e.

. Se( pet!3 n! (3 rn! i33i &r3 Men!!nn At Pein,n! Diri<APD= ,n (en pr3e,r &e, &!iene 3e4r )enr.

7. P3ien n! penrnn (ei ,r p3ien *r3 (en!!nn (3er.

5. At e3e*tn n! ti, ,i3p3i)e *r3 3e!er ,i,ent(in3i 3ete* ,i!nn

p3ien.

?. Rn! n! te* ,i!nn e* p3ien i33i ren penit (enr *r3

,i,ent(in3i ,en!n !in!/ ) rin 05 .

@. K(r p3ien ,en!n penit (enr *r3 (e(pni tenn ne!ti t

(en!!nn *epiter.

. #i (r i33i pen* ( p3ien ,i r6 e R(* Sit in n! (e(pni

3rn i33i 6i p3ien/ er! (en!*en,i tetp ,i r+t ,i R(* Sit AULIA

L, ( p3ien ,ite(ptn p, rn!n ter3en,iri t ,i te(ptn ,en!n

3i3te( *rt.

3*. K+'+RSIHAN P+RNAASAN DAN +TIKA 'ATUK

36

NO $ARA

PENULARAN

#ENIS PENYAKIT

1 U,r / Air)ne T" Pr >ri4e $(p

2 Knt &erpe3 S)ie3 I(peti! 'rn3i3 p,

)i C n Pe,i3i3

Per4in &e(i3 InenB tipe " ter(3

(enin!iti3 epi!titi3 ,n 3ep3i3 Diteri

Pne(ni (ip3( Pert3i3 InenB

$4r ,n R)e



1. R(* Sit (ene,in 3rn ,n pr3rn nt (en4e!* penrn penit

(ei ir)ne / ,r :

. M3er

). Ti33e

4. Lieet Eti "t

,. Srn Ke)er3i*n Tn!n

e. Te(pt S(p*

2. Se( p3ien n! penn (ei ,r *r3 (e(i / ,ipin (3er.

. Tin,n n! *r3 ,in eti )t t )er3in ,*:

. Ttp* *i,n! ,n (t eti )er3in tpn )t ,en!n ti33e )er3i*

t (e(in!n +6* e en!n t3 )!in ,(.

). Se!er )n! ti33e e te(pt 3(p*.

4. Ln e)er3i*n tn!n.

7. %nn (3er.

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