DAFTAR ISI

Halaman Judul ...................................................................................................... i

Kata Pengantar...................................................................................................... ii

SK Pemberlakuan Pedoman ................................................................................. iii

Daftar isi ............................................................................................................... iv

BAB I PENDAHULUAN .................................................................................... 1

A. Latar Belakang ................................................................................... 1

B. Tujuan Pedoman ................................................................................ 1
C. Ruang lingkup .................................................................................... 1
D. Batasan operasional ........................................................................... 2
E. Landasan Hukum ............................................................................... 3

BAB II STANDAR KETENAGAAN

A. Kualifikasi Sumber Daya Manusia .................................................... 3

B. Distribusi Ketenagaan ........................................................................ 6
C. Pengaturan Jaga ................................................................................. 7

BAB III STANDAR FASILITAS

A. Denah Ruang ..................................................................................... 8

B. Standar Fasilitas ................................................................................. 8

BAB IV TATA LAKSANA PELAYANAN ....................................................... 11

A. Penyediaan Air Bersih di RSU Allam Medica .................................. 11

B. Pengelolaan Limbah RSU Allam Medica.......................................... 14
C. Pebgelolaan Sampah RSU Allam Medica ......................................... 17
D. Pengelolaan Makanan RSU Allam Medica ....................................... 20
E. Pengolahan Air Minum...................................................................... 25
F. Pengelolaan Linen RSU Allam Medica ............................................. 27
G. Sanitasi Ruang Bangunan Dam Peralatan Non Medis ...................... 35
H. Pengendalian Serangga Dan Binatang Pengganggu .......................... 38
I. Sterilisasi Dan Desinfeksi .................................................................. 40
J. Pencegahan HAIs............................................................................... 42

BAB V LOGISTIK ............................................................................................... 52

A. Alur Pengadaan .................................................................................. 52

Pedoman Pelayanan Instalasi Sanitasi RSU Allam Medica Bumiayu v

 B. Penyediaan ......................................................................................... 53
C. Pengelolaan ........................................................................................ 53

BAB VI KESELAMATAN PASIEN ................................................................... 54

A. Pengertian .......................................................................................... 54
B. Tujuan ................................................................................................ 54
C. Tata Laksana Keselamatan Pasien Secara Umum ............................. 54
D. Standar keselamatan Pasien ............................................................... 55
E. Langkah – langkah penerapan pasien ................................................ 55
F. Pengertian 6 sasaran Keselamatan Pasien ......................................... 56

BAB VII KESELAMATAN KERJA ................................................................... 57

A. Langkah-Langkah dan Tata Pengelolaan Sampah Infeksius ............. 59

B. Prosedur Pengelolaan Sampah Padat Dan Limbah Cair .................... 59
C. Langkah-langkah pengelolaan sampah non infeksius ....................... 62

BAB VIII PENGENDALIAN MUTU ................................................................. 64

A. Pengertian Mutu ....................................................................................... 64

B. Definisi Mutu............................................................................................ 64
C. Strategi ...................................................................................................... 64
D. Mutu ......................................................................................................... 64

BAB IX PENUTUP .............................................................................................. 66

Pedoman Pelayanan Instalasi Sanitasi RSU Allam Medica Bumiayu v