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PEDOMAN PELAYANAN

INSTALASI KAMAR OPERASI

RSUD NAIBONAT KABUPATEN KUPANG NUSA


TENGGARA TIMUR 2017

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DAFTAR ISI

Halaman Judul............................................................................................. i
Daftar Isi...................................................................................................... ii
BAB I. PENDAHULUAN .......................................................................... 1
1.1. Latar Belakang ................................................................................ 1
1.2. Tujuan Pedoman.............................................................................. 4
1.3. Ruang Lingkup Pelayanan .............................................................. 4
1.4. Batasan Operasional........................................................................ 4
1.5. Landasan Hukum ............................................................................ 6
BAB II. STANDAR KETENAGAAN ....................................................... 7
2.1. Kualifikasi Sumber Daya Manusia ...................................................... 7
2.1.1. Jenis Tenaga Di Instalasi Kamar Operasi ......................................... 7
2.1.2. Pola Ketenagaan Instalasi Kamar Operasi ........................................ 10
2.1.3. Distribusi Ketenagaan Dan Pengaturan Jaga .................................... 12
BAB III. STANDAR FASILITAS.............................................................. 13
3.1. Denah Ruang ........................................................................................ 13
3.2. Keterangan Kamar Operasi .................................................................. 14
3.3. Pembagian Daerah Instalasi Kamar Operasi........................................ 15
3.4. Peralatan Di Instalasi Kamar Operasi .................................................. 16
3.5. Pembersihan Kamar Operasi................................................................ 26
BAB IV. TATA LAKSANA PELAYANAN ............................................. 28
4.1. Manajemen Instalasi Kamar Operasi ................................................... 28
4.1.1. Administrasi Dan Pengelolaan .......................................................... 28
4.1.2. Informed Consent.............................................................................. 28
4.1.3. Pelayanan Anestesi............................................................................ 29
4.1.4. Staf Kamar Operasi ........................................................................... 31
4.1.5. Alur Masuk Dan keluar Kamar Operasi............................................ 32
4.1.6. Memonitor Performa Kamar Operasi / Ruang Tindakan .................. 33
4.1.7. Manajemen Pasien ............................................................................ 35
4.1.8. Manajemen Tim Bedah ..................................................................... 35
4.1.9. Manajemen Intraoperasi.................................................................... 36

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4.1.10. Manajemen Pasca Operasi .............................................................. 39
4.2. Persiapan Lingkungan Instalasi Kamar Operasi .................................. 45
4.2.1. Persiapan Alat ................................................................................... 45
4.3. Pembersihan Instalasi Kamar Operasi ................................................. 45
4.3.1. Cara Pembersihan Instalasi Kamar Operasi ...................................... 45
4.3.2. Hal-hal Yang Harus Diperhatikan Pada Penanganan Pada Kasus
Infeksi dan Penyakit Menular ........................................................... 48
4.3.3. Penanganan Limbah Di Instalasi Kamar Operasi ............................. 50
4.3.4. Penjadwalan Operasi ......................................................................... 50
4.4. Tata Laksana Pembedahan Pada Pasien Hepatitis ............................... 51
4.5. Penandaan Lokasi Operasi ................................................................... 51
4.6. Manajemen Cuci Tangan ..................................................................... 53
BAB V. LOGISTIK .................................................................................... 55
BAB VI. KESELAMATAN PASIEN ........................................................ 58
6.1. Pengertian............................................................................................. 58
6.2. Tujuan .................................................................................................. 58
6.3. Tata Laksana Keselamatan Pasien ....................................................... 59
6.3.1. Enam Langkah Menuju Keselamatan Pasien .................................... 59
6.3.2. Standar Melaksanakan Keselamatan Pasien ..................................... 59
6.3.3. Langkah-langkah Penerapan Keselamatan Pasien Rumah Sakit ...... 59
6.4. Tata Laksana Keselamatan Pasien ....................................................... 60
BAB VII. KESELAMATAN KERJA......................................................... 63
BAB VIII. PENGENDALIAN MUTU....................................................... 66
BAB IX. PENUTUP ................................................................................... 77

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