SOP OK SIFAT 2014.doc

7/26/2019 SOP OK SIFAT 2014.doc

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D'e'"(k"n

)%. De)* Soe)+",+onoD%ek'u%

Pen$e%'"n Su"'u ke'en'u"n *"n$ men$"'u% ,"k )"% Dok'e% &e)", )"n Dok'e%

Ane!'e! *"n$ &eke%+" ) k"m"% &e)", Rum", S"k' -A!**", S'

"'m",.

Tu+u"n Se&"$" (e)om"n '"'"#"k!"n" ke%+" Dok'e% Be)", )"n Dok'e%

Ane!'e! ) k"m"% &e)", Rum", S"k' -A!**", S' "'m",.

Ke&+"k"n Semu" Dok'e% Be)", )"n Dok'e% Ane!'e! ,"%u! men$e'",u ,"kn*"

)"#"m me#"k!"n"k"n 'u$"!n*" ) k"m"% &e)",.

P%o!e)u% 1. Se'"( )ok'e% / )ok'e% ",# &e%,"k "'"! kemu)"n ))"#"m

men+"#"nk"n 'u$"!n*" ))"#"m k"m"% &e)", )em ke#"n"%"n

(eke%+""nn*".

2. Be%,"k men)"("'k"n (e%#"ku"n *"n$ !"m" )"m ")# '"n("

me#,"' )"% &"$"n m"n" )ok'e% / )ok'e% ",# *"n$

&e%!"n$ku'"n.

. Be%,"k un'uk me#"kuk"n 'u$"! k,u!u! *"n$ 'e#", )!e("k"'

&e%!"m" )en$"n Ke("#" Rum", S"k'.

4. Be%,"k meme&e%k"n !u"%" un'uk (em#,"n "#on m!"#n*"


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D'e'"(k"n

)%. De)* Soe)+",+ono

D%ek'u%

"#on Ke'u" Kom'e 3e)k Ke("#" K#nk5.

6. Be%,"k men+") "n$$o'" +k" 'e%(#,5 ) Kom'e 3e)k k#nk

"'"u(un Su& Kom'e.

7. S'"8 me)! kon'%"k )"n ke#u"%$"n*" "("" !"k' &e%,"k

)%"9"' ) Rum", S"k' -A!**", S' "'m", )m"n"

kemu)","nkemu)","n 'e%"n'um (")" !u%"' (e!e'u+u"n ke%+"

"n'"%" *"n$ &e%!"n$ku'"n )en$"n (,"k Rum", S"k' -A!**",

S' "'m",.

. Be%,"k men$u!u#k"n ke(")" D%ek'u% Rum", S"k' -A!**",

S' "'m", un'uk (enn$k"'"n mu'u (e#"*"n"n me)!.

;. Be%,"k men)"("'k"n


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D'e'"(k"n


D%ek'u%

Pen$e%'"n Informed Concent "#", 8o%mu#% un'uk men*"'"k"n (e%!e'u+u"n

'n)"k"n me)k.

Tu+u"n Se&"$" (e)om"n )"#"m u("*" men$,#"n$k"n e8ek emo!on"# *"n$

)'m&u#k"n k"%en" 'n)"k"n o(e%"! )"n mem&e% %"!" "m"n (")"

("!en.

Ke&+"k"n D%ek'u% Rum", S"k' -A!**", S' "'m", mene'"(k"n

ke&+"k"n )"n (%o!e)u% (e#"k!"n""n (em&u"'"nInformed Concent.

P%o!e)u%1. Se'e#", ("!en )(e%k!" !'"'u! ke!e,"'"nn*" o#e, )ok'e% "

)(e%#uk"n !u"'u 'n)"k"n me)k m"k" )ok'e% ,"%u!

mem&e%k"n n8o%m"! !e#en$k"(#en$k"(n*" keu"# " )ok'e%

men#" &",9" n8o%m"! 'e%!e&u' )"("' me%u$k"n ke(en'n$"n

ke!e,"'"n ("!en.

2. P")" !""' )ok'e% mem&e%k"n (en+e#"!"n ke(")" ("!en m"k"


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No(em&e%

2014

D'e'"(k"n


D%ek'u%

)ok'e% ,"%u! men+e#"!k"n men$en" :

". Tu+u"n )"n (%o!(ek ke&e%,"!#"n 'n)"k"n me)k *"n$ "k"n

)#"kuk"n.

&. T"'" "%" 'n)"k"n me)k *"n$ "k"n )#"kuk"n. R!ko )"n

kom(#k"! *"n$ mun$kn 'e%+").. A#'e%n"'8 'n)"k"n me)k #"n *"n$ 'e%!e)" )"n %!kon*"

m"!n$m"!n$

). P%o$no!! (en*"k' "("" 'n)"k"n me)k 'e%!e&u'

)#"kuk"n "'"u ')"k )#"kuk"n.

Pe#"k!"n""n Informed Concent 'e%!e&u' )"n$$"( &en"% "

(e%!e'u+u"n "'"u (eno#"k"n 'n)"k"n me)k:

". D&e%k"n '"n(" ("k!""n.

&. D&e%k"n !e'e#", men)"("' n8o%m"! )"n (en+e#"!"n *"n$)(e%#uk"n.

. D#"kuk"n o#e, ("!en )e9"!" *"n$ !e,"' men'"# #e&, )"%

21 '",un5.

). B"$ ("!en )e9"!" *"n$ men$"#"m $"n$$u"n men'"# ')"k


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D'e'"(k"n


D%ek'u%

!")"% (e%!e'u+u"n )&e%k"n o#e, o%"n$ 'u" / 9"# / u%"'o%.

4. Pe%!e'u+u"n 'n)"k"n me)k n )(e%#uk"n un'uk 'n)"k"n me)k

&e)", *"n$ men$$un"k"n n"%ko!e umum 'n)"k"n me)k *"n$

&e%!ko 'n$$ 'n)"k"n me)k (")" ("!en $"9"' )"%u%"' *"n$

')"k !")"%.

6. B#" ("!en meno#"k )#"kuk"n 'n)"k"n me)k 'e%,")"(n*"

!e'e#", )&e% (en+e#"!"n *"n$ uku( men$en" ,"# 'e%!e&u'

m"k" ("!en ,"%u! men"n)"'"n$"n !u%"' (eno#"k"n. 'n)"k"n

me)k.

7. P")" 'n)"k"n &e%!ko 'n$$ )"n 'n)"k"n me)k &e)",

In8ome) =onen' ,"%u! )'"n)"'"n$"n o#e, ("!en 'u !en)%

)ok'e% *"n$ &e%'"n$$un$ +"9"& )"n )u" o%"n$ !"k!.

. Pe%#u"!"n 'n)"k"n me)k / o(e%"! !e#"n 'n)"k"n me)k *"n$

'e#", )!e'u+u ')"k )&en"%k"n )#"kuk"n )en$"n "#"!"n


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D'e'"(k"n


D%ek'u%

"("(un +u$" keu"# "("" (e%#u"!"n 'n)"k"n me)k 'e%!e&u'

'e%("k!" )#"kuk"n un'uk men*e#"m"'k"n +9" ("!en.

;. Se'e#", (e%#u"!"n 'n)"k"n me)k / o(e%"! !e&"$"m"n"

)m"k!u) )"#"m &u'% )#"kuk"n )ok'e% ,"%u! mem&e%k"n

n8o%m"! ke(")"("!en "'"u ke#u"%$"n*".

&e%'"n$$un$ +"9"& )"n )u" o%"n$ !"k!.>. Pe%#u"!"n 'n)"k"n me)k / o(e%"! !e#"n 'n)"k"n me)k *"n$

'e#", )!e'u+u ')"k )&en"%k"n )#"kuk"n )en$"n "#"!"n

"("(un +u$" keu"# "("" (e%#u"!"n 'n)"k"n me)k 'e%!e&u'

'e%("k!" )#"kuk"n un'uk men*e#"m"'k"n +9" ("!en.

10. Se'e#", (e%#u"!"n 'n)"k"n me)k / o(e%"! !e&"$"m"n"

)m"k!u) )"#"m &u'% )#"kuk"n )ok'e% ,"%u! mem&e%k"n

n8o%m"! ke(")"("!en "'"u ke#u"%$"n*".

11. Dok'e% *"n$ "k"n me#"kuk"n 'n)"k"n me)k mem(un*"

'"n$$un$ +"9"& un'uk mem&e%k"n n8o%m"! )"n (en+e#"!"n

*"n$ )(e%#uk"n "("" &e%,"#"n$"n n8o%m"! )"n (en+e#"!"n

*"n$ ,"%u! )&e%k"n )"("' )9"k#k"n ke(")" )ok'e% #"n

)en$"n !e(en$e'",u"n )ok'e% *"n$ &e%!"n$ku'"n.


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D'e'"(k"n


D%ek'u%

12. D"#"m ,"# 'n)"k"n me)k *"n$ &uk"n &e)", o(e%"!5 )"n

'n)"k"n me)k *"n$ nv"!ve #"nn*" n8o%m"! )"("'

)&e%k"n o#e, )ok'e% #"n "'"u (e%"9"' )en$"n (en$e'",u"n

"'"u (e'un+uk )ok'e% *"n$ &e%'"n$$un$ +"9"&.

Un' Te%k"'

1. Un' R"9"' In"(.2. Un' ?"9"' D"%u%"'.

. Un' R"9"' @"#"n.


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D'e'"(k"n


D%ek'u%Pen$e%'"n Su"'u ke'en'u"n *"n$ men$"'u% ke9"+&"n )"% Dok'e% &e)", )"n

Dok'e% "ne!'e! *"n$ &eke%+" ) k"m"% &e)", Rum", S"k' -A!**",

S' "'m",.

Tu+u"n Se&"$" (e)om"n Dok'e% &e)", )"n Dok'e% Ane!'e! ) K"m"%

Be)",.

Ke&+"k"n Semu" Dok'e% Be)", )"n Dok'e% Ane!'e! ,"%u! men$e'",u

ke9"+&"nn*" )"#"m me#"k!"n"k"n 'u$"!n*" ) k"m"% &e)",.

P%o!e)u% 1. Se'"( )ok'e% / )ok'e% ",# mem(un*" ke9"+&"n men$ku'

%"("' )m"n" *"n$ &e%!"n$ku'"n men+") "n$$o'" %"("'.

2. Be%(e%"n "k'8 )"#"m mem&e%k"n m"!uk"n )"n !"%"n un'uk

kem"+u"n (e#"*"n"n ) k"m"% &e)",.

. Be%'"n$$un$ +"9"& "'"! +"&"'"n / (o!! *"n$ )m#k.

4. Pe%n$e%'"n "(" 'u k"m"% &e)", !u)", ,"%u! )(un*" o#e,

!e'"( )ok'e%/)ok'e% ",# *"n$ &eke%+" ) k"m"% &e)",.

6. 3em"'u, !e$"#" (e%"'u%"n *"n$ ")" ) k"m"% &e)",.

7. Be%'"n$$un$ +"9"& 'e%,")"( ke!e#"m"'"n (en)e%'".


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D'e'"(k"n


D%ek'u%T"n$$un$ +"9"& n )(ku# &e%!"m" )en$"n &"$"n #"n

!e(e%' &"$"n Ane!''e!o#o$ m!"#n*" )"n 'e#", )mu#"

!e+"k (en)e%'" m"!, )"#"m (e%!"("n (em&e)","n 9"k'u

(em&e)","n !"m(" (")"

(e%"9"'"n ("!" &e)", )"n !em&u,.

. Be%'"n$$un$ +"9"& 'e%,")"( ke!e#"m"'"n (en)e%'".

T"n$$un$ +"9"& n )(ku# &e%!"m" )en$"n &"$"n #"n

!e(e%' &"$"n Ane!''e!o#o$ m!"#n*" )"n 'e#", )mu#"

!e+"k (en)e%'" m"!, )"#"m (e%!"("n (em&e)","n 9"k'u

(em&e)","n !"m(" (")" (e%"9"'"n ("!" &e)", )"n

!em&u,.

;. )"#"m (e%!"("n (em&e)","n 9"k'u (em&e)","n !"m("

(")" (e%"9"'"n ("!" &e)", )"n !em&u,. D"#"m ,"#

'e%+")n*" kem"'"n &e%'"n$$un$ +"9"& ke(")" ke("#"

&"$"n m"!n$m"!n$ )"n +u$" ke(")" )%ek'u% %um", !"k'.

Se#"n 'u +u$" !e"%" mo%# &e%'"n$$un$ +"9"& ke(")"

ke#u"%$" *"n$ )'n$$"#k"n !e%'" &e%ke9"+&"n men$! Su%"'

Kem"'"n.


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D'e'"(k"n


D%ek'u%>. D"#"m ,"# 'e%+")n*" keke#%u"n / kee#"k""n 9"k'u

(em&e)","n m"u(un )"#"m (e%"9"'"n ("!" &e)",

&e%'"n$$un$ +"9"& ke(")" ke("#" &"$"n m"!n$m"!n$ )"n

)%ek'u% %um", !"k'. Be%'"n$$un$ +"9"& 'e%,")"(

ke!e#"m"'"n (en)e%'". T"n$$un$ +"9"& n )(ku# &e%!"m"

)en$"n &"$"n #"n !e(e%' &"$"n

Ane!''e!o#o$ m!"#n*" )mu#" !e+"k (en)e%'" m"!, )"#"m

(e%!"("n (em&e)","n 9"k'u (em&e)","n !"m(" (")"

(e%"9"'"n ("!" &e)", )"n !em&u,.

10. D"#"m ,"# 'e%+")n*" kem"'"n &e%'"n$$un$ +"9"& ke(")"

ke("#" Iku' &e%'"n$$un$ "+9"& )"#"m ,"# ke#e!'"%"n

#n$kun$"n k"m"% &e)", !e%'" "#"'"#"' *"n$ ")" ))"#"mn*"

Un' Te%k"' - Semu" Dok'e% Be)", )"n Dok'e% Ane!'e!.

- Kom'e 3e)!.


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D'e'"(k"n


D%ek'u%Pen$e%'"n Kon!u#'"! me)! ) k"m"% o(e%"! "#", ke'e'"("n (e#"k!"n""n

(%o!e)u% kon!u#'"! me)! k"!u! (%e o(e%"! n'%" o(e%"! "'"u (o!'

o(e%"! ) k"m"% o(e%"!5.

Tu+u"n Se&"$" (e)om"n )"#"m (e#"k!"n""n kon!u#'"! me)! ) k"m"%

o(e%"!.

Ke&+"k"n 1. D%ek'u% mene'"(k"n ke&+"k"n )"n (%o!e)u% (e#"k!"n""n

kon!u#'"! me)! ) k"m"% o(e%"!.

2. P%o'"( n &e%#"ku )"n )#"k!"n"k"n !e+"k '"n$$"# )'e'"(k"n!"m(" )en$"n ")" (e%u&","n.

P%o!e)u% 1. P%o!e)u% (e#"k!"n""n kon!u#'"! me)! (%e o(e%"!:

a. Pe#"k!"n""n Kon!u#'"! 3e)! P%e O(e%"! )#"kuk"n

(")" ("!en("!en *"n$ "k"n men+"#"n %"9"' n"( "'"u

'n)"k"n o(e%"!.

b. Dok'e% *"n$ me%"9"' ("!en 'e%!e&u' mem&e%k"n

(en$"n'"% *"n$ )'u#! (")" #em&"% *"n$ !u)", ) !e)"k"n

un'uk )&e%k"n (")" &"$"n )m"n" kon!u#'"! me)!

'e%!e&u' )'u+uk"n m!"#n*" )ok'e% &"$"n In'e%ne ke &"$"n&e)", "'"u !e&"#kn*".

2. P%o!e)u% (e#"k!"n""n kon!u#'"! n'%" o(e%"!:

Pe#"k!"n""n kon!u#'"! me)! In'%" O(e%"! )#"kuk"n o#e,

)ok'e% / o(e%"'o% *"n$ !e)"n$ men+"#"n 'n)"k"n o(e%"!.

". O(e%"'o% memn'" on #oo( un'uk men$,u&un$ )ok'e% *"n$


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01 No(em&e% 2014

D'e'"(k"n


D%ek'u% "k"n )mn'" ke'e%"n$"n / kon!u#'"! me#"#u 8"!#'"!

komunk"! *"n$ 'e%!e)" HP A%(,one Te#e(,one5.

&. B#" )(e%#uk"n )ok'e% *"n$ )mn'" kon!u#'"! )mn'"

)"'"n$ ke k"m"% o(e%"!.

. O(e%"'o% me#"k!"n"k"n ,"!#/+"9"&"n kon!u#'"! 'e%!e&u'.

. P%o!e)u% (e#"k!"n""n kon!u#'"! (o!' o(e%"!:

a. P"!en("!en *"n$ 'e#", men+"#"n 'n)"k"n o(e%"! &e%")"

)&"9", (en$"9"!"n / o&!e%v"! "ne!'e! !e#"m" 9"k'u 24

+"m Po!' O(e%"!.

b. Pe'u$"! +"$" ) %u"n$ (e%"9"'"n )"("' men$,u&un$ Pe'u$"!Ane!',e! / Dok'e% (en"n$$un$ +"9"& "("" ")" ke#u,"n

"'"u (en*"k' (o!' o(e%"! !e#"m" m"!" (en$"9"!"n

Un' Te%k"' 1. K"m"% Be)", Sen'%"#.

2. K#nk O&!$*n.

. K#nk An"k

4. K#nk Pen*"k' D"#"m

6. K#nk THT.

7. K#nk ?$ )"n 3u#u'.

. K#nk Be)", O%'o(e).

;. K#nk 3"'".

>. K#nk Neu%o#o$.

10. K#nk Ku#'.


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D'e'"(k"n


D%ek'u%

Dokumen Te%k"' 1. o%mu#% Kon!u#'"! 3e)!.

2. Buku Rek"m 3e)k.

. o%mu#% O&!e%v"! Ane!',e!.


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PRE3EDIKSI

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D'e'"(k"n


D%ek'u%

Pen$e%'"n P%eme)k! "#", !u"'u ke$"'"n un'uk mem&e%k"n %"!" n*"m"n

&e&"! )"% %"!" '"ku' / em"! "'"u !'%e! (!k,! #"n )en$"n "%"

(en*u#u,"n )"n o&"'o&"'"n.

Tu+u"n 3en$u!","k"n kon)! o('m"# )"% ("!en "$"% )"("' men+"#"n

(em&e)","n )en$"n ,"!# !e&"k&"kn*".

Ke&+"k"n 1. Ke("#" Rum", S"k' mene'"(k"n (%o!e)u% 'e'"( 'en'"n$

(%eme)k!.

S'"8 k"m"% &e)", "n"e!',e!5 me#"k!"n"k"n (%o!e)u% *"n$ 'e#",

)'e'"(k"n.

2. Ke("#" Rum", S"k' mene'"(k"n (%o!e)u% 'e'"( 'en'"n$

(%eme)k!.

S'"8 k"m"% &e)", "n"e!',e!5 me#"k!"n"k"n (%o!e)u% *"n$ 'e#",

)'e'"(k"n.

P%o!e)u% P"!en *"n$ "k"n )o(e%"! )&e%k"n (%eme)k! )en$"n "%"

k"%en":

1. D&e%k"n !e)"'ve un'uk men$u%"n$ "ne'"! ')"k )(e%#uk"n

(")" "n"k *"n$ ku%"n$ )"% 2 '",un5.

2. D&e%k"n !e)"'ve un'uk mem(e%mu)", n)uk! "ne!'e!.


15/108

. D&e%k"n "n"#$e'k +k" ("!en me%"!" !"k' (%eo(e%"'ve "'"u

)en$"n #"'"% &e#"k"n$ "n"#$e! !e#"m" )"n !e!u)", o(e%"!.

4. Un'uk menek"n !ek%e! k,u!u!n*" !e&e#um (en$$un""n ke'"mn

)("k" "'%o(ne *"n$ )"("' )$un"k"n un'uk "k'8'"! v"$u!

)"n mene$", B%") ="%) k,u!u!n*" (")" "n"k"n"k5.

PRE3EDIKSI

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D'e'"(k"n


D%ek'u%

6. Un'uk men$u%"n$ %!ko "!(%"! ! #"m&un$ +k" (en$o!on$"n

)%"$uk"n m!"#n*" (")" ke,"m#"n (")" k"!u! n &e%k"n

"n'") (e%o%"#5.

7. O&"'o&"' (%eme)k"! )o!! )!e!u"k"n )en$"n &e%"' &")"n )"n

ke")""n umum ("!en.

. P%eme)k"! )&e%k"n !e"%" n'" ven" / n'%" mu!ku#e% "'"u

(e%o%"# !e&e#um "ne!'e!.

Un' Te%k"' - Un' ?"9"' D"%u%"'.


16/108

- Un' R"9"' In"(.

KONSULTASI 3EDIS PRA OPERASI

STANDART

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No. Dokumen :

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0

H"#"m"n :

1/2

T"n$$"# Te%&' :

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n Kon!u#'"! *"n$ )#"kuk"n o#e, )ok'e% &e)", "'"u )ok'e% *"n$

me%"9"' ke(")" )ok'e% ",# #"n *"n$ &e%kom(e'en $un"

mem(e%!"(k"n kon)! ("!en *"n$ ("#n$ o('m"# )"#"m

men$,")"( 'n)"k"n (em&e)","n )"n (en*u#'n*" m"u(un'n)"k"n "ne!'e!.

Tu+u"n 3en+"mn (en"(""n (e#"*"n"n o(e%"'8 *"n$ o('m"# )"n "m"n

un'uk ("!en.

Ke&+"k"n Te%('"n*" ke%+"!"m" "n'"% )!(#n )"#"m mem(e%!"(k"n ("!en


17/108

!e&e#um )#"kuk"n (e#"*"n"n o(e%"'8 ) K"m"% O(e%"! Rum",

S"k' A!**", S' "'m",.

P%o!e)u% 1. Pem&e)", me#"kuk"n kon!u#'"! )en$"n )ok'e% ",# #"nnn*"

'en'"n$ (en*u#'(en*u#' *"n$ mem(e%&e%"' kon)! ("!en *"n$

"k"n )o(e%"!.

2. Dok'e% (em&e)", me#"kuk"n kon!u#'"! )en$"n )ok'e% "ne!'e!

un'uk men#" %e!ko *"n$ ),")"( ("!en 'e%,")"( o(e%"! )"n

'n)"k"n "ne!'e!.

. Dok'e% (em&e)", me#"kuk"n kon!u#'"! )en$"n ",# %")o#o$

"'"u ",# ("'o#o$ "n"'omk "'"u ",# &e)", #"nn*" *"n$

&e%kom(e'en 'en'"n$ 'e,nk o(e%"! )"n kemun$kn"n ke%+"!"m"

n'%"o(e%"'8 un'uk o(e%"! *"n$ 'e%en"n".

KONSULTASI 3EDIS PRA OPERASI

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No. Dokumen :

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0

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T"n$$"# Te%&' :

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D'e'"(k"n


D%ek'u%

Un' Te%k"'1. R")o#o$!'

2. A,# P"'o#o$ "n"'omk


18/108

. A,# Ke&)"n"n/ O%',o(e)/ U%o#o$/ Be)", #"nn*"

KONSULTASI 3EDIS PAS=A OPERASI

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T"n$$"# Te%&' :

01 No(em&e% 2014

D'e'"(k"n


Pen$e%'"n Kon!u#'"! me)! ("!"o(e%"! ")"#", kon!u#'"! *"n$ )#"kuk"n

o#e, )ok'e% (em&e)", ke(")" )ok'e% ",# #"nn*" 'en'"n$ (en*u#'

*"n$ &e%!8"' &e)", m"u(un non &e)", *"n$ 'm&u# (")" ("!en

("!"o(e%"!.


19/108

Tu+u"n 3em&e% (en+e#"!"n ke(")" ("!en/ke#u"%$" ("!en "("" 'e%+")

(en*u#' 'e%,")"( 'n)"k"n o(e%"! *"n$ 'e#", )#"kuk"n.

Ke&+"k"n Te%('"n*" ke%+"!"m" "n'"% )!(#n ) K"m"% O(e%"! Rum",

S"k' A!**", S' "'m",.

P%o!e)u%1. Dok'e%/ (em&e)", mem&u"' !u%"' kon!u#'"! ke(")" )ok'e%

",# #"nn*" *"n$ &e%! (en*u#'(en*u#' *"n$ !e!u" )en$"n

kom(e'en! ",# #"n *"n$ )kon!u#'"!k"n.

2. Pen"n$"n"n ("!en !e#"n+u'n*" )"("' )"m "#, o#e, )ok'e%

",# *"n$ )kon!u#'"!k"n m"u(un )"("' )#"kuk"n (e%"9"'"n

&e%!"m".

Un' Te%k"' Un' &e)", !en'%"#

3EN=UKUR RA3BUT DAERAH OPERASI

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H"#"m"n :

1/

T"n$$"# Te%&' :

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n 3enuku% %"m&u' (")" )"e%", *"n$ "k"n )o(e%"! (")" ("!en

("!en *"n$ "k"n )#"kuk"n o(e%"!/'n)"k"n 'e%'en'u !e!u" )en$"n

(e%mn'""n )ok'e%.


20/108

Tu+u"n 1. 3em&e%!,k"n &"$"n *"n$ "k"n )o(e%"! /)#"kuk"n

'n)"k"n

2. 3ene$", n8ek! "k&"' %"m&u' *"n$ +"'u, (")" #uk" o(e%"!

Ke&+"k"n 1. Se'"( ("!en *"n$ "k"n )#"kuk"n o(e%"!/'n)"k"n 'e%'en'u

)#"kuk"n (enuku%"n %"m&u'

2. 3enuku% %"m&u' )"e%", o(e%"! )#"kuk"n ) %u"n$ %"9"'

n"( "'"u ) %u"n$ OK

P%o!e)u% 1. Pe%!"("n "#"':

". P!"u uku% $un'n$ %"m&u'

&. A% )"#"m kom

. W"!,#"( ,"n)uk (e%#"k/"#"! k"%e'

). S"&un &e)"k

2. Pe#"k!"n""n:". Pe%"9"' men+e#"!k"n men$en" 'n)"k"n *"n$ "k"n

)#"kuk"n ke(")" ("!en/ke#u"%$" ("!en

&. Pe%"9"' menu '"n$"n

. 3em(e%,"'k"n (%v"* ("!en )en$"n menu'u( $o%)en


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No. Dokumen :

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T"n$$"# Te%&' :

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

. Pe#"k!"n""n:

). Pe%"9"' men+e#"!k"n men$en" 'n)"k"n *"n$ "k"n

)#"kuk"n ke(")" ("!en/ke#u"%$" ("!en


21/108

e. Pe%"9"' menu '"n$"n

8. 3em(e%,"'k"n (%v"* ("!en )en$"n menu'u( $o%)en

$. 3en$"'u% (o!! ("!en &e&"!k"n ("k""n (")" )"e%", *"n$

"k"n )uku%

,. 3en$"m"' )"e%", *"n$ "k"n )uku% "("k", ")" ke#"n"n

ku#'

. R"m&u' *"n$ ("n+"n$ )$un'n$ !e&e#um )uku% )"n

)m"!uk"n ke k"n'on$ (#"!'k

+. ="%" menuku% %"m&u' :

15 Se"%" &"!", : men*"&un ku#' mem"k" 9"!,#"(

)en$"n "%", me#n$k"% )"% )"#"m ke#u"%

25 Se"%" ke%n$ : mem&e%k"n &e)"k '(!'(! !e"%"

me%"'" (")" )"e%", *"n$ "k"n )uku% &e)"k +"n$"n

!"m(" &e'e%&"n$"n5

k. 3e#"kuk"n (enuku%"n )en$"n "%"C15 3e%e$"n$k"n ku#' )en$"n 'e#un+uk )"n

&u +"% '"n$"n

2) 3enuku% !e"%", 'um&u, %"m&u' (o!!

"#"' uku% mem&en'uk !u)u' 46

)en$"n (e%muk""n

ku#'5 ku#'


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OPERASIONAL

T"n$$"# Te%&' :

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

+"n$"n !"m(" 'e%!"*"'

5 3em&e%!,k"n )"e%", *"n$ 'e#",

)uku% )en$"n !"&un )"n "% kemu)"n )ke%n$k"n

k,u!u! )"e%", "&)omen um"# )&e%!,k"n )en$"n

#) k"("!5

#. 3e%"(k"n ("!en )"n #n$kun$"n ("!en

m. 3em&e%e!k"n "#"'"#"'

n. Pe%"9"' menu '"n$"n

o. 3en)okumen'"!k"n (")" "'"'"n ke(e%"9"'"n

Un' Te%k"' 1. Ru"n$ %"9"' n"(

2. Ru"n$ %"9"' +"#"n Po#k#nk )"n U?D5

. Ru"n$ OK

3EN?ANTAR PASIEN KE RUAN? OPERASI

/OK

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01 No(em&e% 2014

D'e'"(k"n


D%ek'u%


23/108

Pen$e%'"n 3en*"(k"n )"n men$"n'"% ("!en *"n$ "k"n )#"kuk"n o(e%"! ke

%u"n$ o(e%"!/OK.

Tu+u"n P"!en !e$e%" )#"kuk"n 'n)"k"n o(e%"! !e!u" +")9"#.

Ke&+"k"n 1. P"!en )"n'"% ke %u"n$ o(e%"! !e'en$", +"m !e&e#um o(e%"!

)#"kuk"n.

2. Su%"' (e%!e'u+u"n o(e%"! !u)", )'"n)"'"n$"n o#e, )ok'e% )"n

("!en/ke#u"%$" ("!en )"n )!"k!k"n (e%"9"' .

P%o!e)u% 1. Pe%!"("n "#"':

". Ten("' ')u% ("!en/"nk"% )en$"n !e#mu'

&. B"+u o(e%"!

. S'"'u! ("!en #en$k"( )en$"n ,"!# (eme%k!""n

(enun+"n$

). Lem&"% !e%", 'e%m" ("!en (%e )"n (o!' o(e%"!

2. Pe#"k!"n""n

". 3en+e#"!k"n ke(")" ("!en/ ke#u"%$" ("!en 'en'"n$

'n)"k"n *"n$ "k"n )#"kuk"n

&. 3en*"(k"n ("!en )en$"n men$o!on$k"n k"n)un$

kem,. Un'uk ("!en *"n$ &!" +"#"n )"n+u%k"n un'uk

BAK ) k"m"% m"n). 3eme%k!" #em&"% !e%", 'e%m"

("!en (%e )"n (o!' o(e%"! )en$"n men$on'%o# :

15 ="'"'"n 3e)k :

Su%"' I+n O(e%"!

O&!e%v"! '"n)"'"n)" v'"# !e&e#um ("!en )"n'"%

ke k"m"% &e)",

Peme%k!""n (enun+"n$ #"& %")o#o$* EK? )##5

3EN?ANTAR PASIEN KE RUAN? OPERASI

/OK

STANDART

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D'e'"(k"n


D%ek'u%


24/108

25 P"!en

D"e%", (em&e)","n !u)", )uku% "'"u &e#um

Pe%,"!"n !u)", )#e("!/&e#um &"%"n$ &e%,"%$"

)!e%",k"n ke(")" ("!en/ke#u"%$" ("!en

B#" mem"k" %"m&u' ("#!u T"n*" "("k", "k"n)#e("! ) %u"n$"n "'"u ) %u"n$ o(e%"! me#e("!

$$ ("#!u k"#"u ")"

P"!en 'e'"( (u"!"

5 L"n#"n

D"%", *"n$ )&u'u,k"n !e!u" (e!"n"n

?u%'" " (e%#u

. 3en$! #em&"% !e%", 'e%m" ("!en (%e )"n (o!' o(e%"!

). 3e%"(,k"n ("!en

e. 3em&e% ke!em("'"n (")" ke#u"%$" un'uk &e%)o" #e&,

)",u#u

8. 3en$"n'"% ("!en ke %u"n$ o(e%"! )en$"n mem&"9"

!'"'u! ("!en ,"!# (eme%k!""n (enun+"n$ )"n )"%", "

")".

$. Se%", 'e%m" )en$"n (e'u$"! OK )en$"n #en$k"( )"n

&en"%

,. 3en)okumen'"!k"n (")" "'"'"n ke(e%"9"'"n

. Pe%"9"' kem&"# ke %u"n$"n )"n menu '"n$"n

Un' Te%k"' 1. Ru"n$ %"9"' n"(

2. Ru"n$ %"9"' +"#"n Po#k#nk )"n U?D5

. Ru"n$ O(e%"!/OK


25/108

3E3AKAI @AS OPERASI

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PROSEDUR

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No.Dokumen :

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0

H"#"m"n

1/2

T"n$$"# Te%&' :

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n Pem"k""n +"! o(e%"! *"n$ !'e%# ,"%u! )("!"n$ )en$"n &en"%.

Tu+u"n Se&"$" "u"n (ene%"("n #"n$k",#"n$k", mem"k" +"! o(e%"!

un'uk men)ukun$ (e#"k!"n""n 'n)"k"n &e)", *"n$ !(e!8k.

Ke&+"k"n P")" 9"k'u "k"n o(e%"! 'm &e)", )ok'e% )"n (e%"9"'5 9"+&

mem"k" +"! o(e%"! !'e%# !e!u" )en$"n (%o!e)u%.

P%o!e)u% 1. Se'e#", me#"kuk"n u '"n$"n &e)", "m +"! o(e%"! !'e%#

)en$"n "%" men$"n$k"' ke "'"! !e"%" ve%'"# ')"k &o#e,

men*en'u, *"n$ ')"k !'e%#

2. ="% 'em("' *"n$ "m"n )en$"n men+"u, "#"' "'"u &en)" *"n$

!'e%# m"u(un ')"k !'e%#. ="% ('" #e,e% +"! o(e%"! &"$"n )e("n kemu)"n !e+"+"%k"n

+"! o(e%"! )en$"n &",u

4. Pe$"n$ &"$"n )"#"m +"! o(e%"! !e&e#", )e("n 'e("' (")" $"%!

&",u )e("n )en$"n ke)u" '"n$"n kemu)"n &"%k"n +"!

o(e%"! 'e%&uk" !en)%. B"$"n )"#"m +"! o(e%"! ,"%u!

men$,")"( ke 'u&u, )"n &"9",n*" ')"k men*en'u, #"n'"

6. Den$"n '"n$"n !e+"+"% m"!uk"n ke)u" '"n$"n ke #u&"n$ +"!

o(e%"! !e"%" &e%!"m"

7. P'" #e,e% )"n '"# (n$$"n$ )k"' o#e, (e%"9"' %ku#e%.

Semen'"%" '"# *"n$ ")" ) )"e%", "&)omen (e%"9"' %ku#e%

men*e%",k"n u+un$ '"# ke (en$$un" +"! )en$"n men$$un"k"n

ko%en'"n$ )"n '"# 'e%!e&u' )k"' !en)% o#e, (en$$un" +"!

!e'e#", mem"k" !"%un$


26/108

3E3AKAI @AS OPERASI

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PROSEDUR

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No.Dokumen :

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Rev!

0

H"#"m"n

2/2

T"n$$"# Te%&' :

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

'"n$"n

Un' 'e%k"' Ru"n$ O(e%"!/OK


27/108


28/108

3E3AKAI SARUN? TAN?AN

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No.Dokumen :

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0

H"#"m"n

2/2

T"n$$"# Te%&' :

01 No(em&e% 2014

D'e'"(k"n


'"#k/&e)"k

Un' 'e%k"' Ru"n$ o(e%"!/OK

3E3AKAI SARUN? TAN?AN

STANDART

PROSEDUR

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No.Dokumen :

01/PRW/A/11/2014

Rev!

0

H"#"m"n

1/2

T"n$$"# Te%&' :

01 No(em&e% 2014

D'e'"(k"n


Pen$e%'"n Pem"k""n !"%un$ '"n$"n !'e%# *"n$ )#"kuk"n o#e, )ok'e% )"n

(e%"9"' (")" 9"k'u "k"n me#"kuk"n 'n)"k"n (em&e)","n.

Tu+u"n Un'uk mene$", 'e%+")n*" kon'"mn"! o#e, mk%oo%$"n!me

k,u!u!n*" *"n$ &e%"!"# )"% '"n$"n 'm &e)", 'e%,")"( #"("n$"n

)"n #uk" o(e%"!.

Ke&+"k"n P")" 9"k'u "k"n o(e%"! 'm &e)", )ok'e% )"n (e%"9"'5 9"+&

mem"k" !"%un$ '"n$"n !'e%# !e!u" )en$"n (%o!e)u%.

P%o!e)u% 1. Am !"%un$ '"n$"n !e&e#", k"n"n )en$"n meme$"n$ u88n*"

*"n$ 'e%#("' )en$"n '"n$"n k% *"n$ m"!, 'e%&un$ku! o#e,

u88 +"! o(e%"!

2. U#u%k"n '"n$"n k"n"n ke )e("n )en$"n 'e#"("k k"n"n

men$,")"( ke "'"! kemu)"n #e'"kk"n !"%un$ '"n$"n (")"

'e#"("k '"n$"n k"n"n !e"%" &e%#"9"n"n "%",

. Pe$"n$ u88 !"%un$ '"n$"n )en$"n '"n$"n k% )"n m"!uk"n +"%

'"n$"n k"n"n

4. Pe$"n$ &"$"n "'"! !"%un$ '"n$"n k"n"n )"n &"$"n #en$"n +"!

o(e%"! *"n$ &e%")" ) &"9",n*" )en$"n men$$un"k"n '"n$"n

k%u *"n$ m"!, 'e%'u'u( #en$"n +"! o(e%"!. Kemu)"n '"%k

&"$"n !"%un$ '"n$"n '*"n$ &e%")" ) "'"! +"% '"n$"n k"n"n

*"n$ )ek!'en!k"n !"m(" !e#u%u,n*" menu'u( u88 +"! o(e%"!

6. P"!"n$k"n !"%un$ '"n$"n )en$"n "%" !"m" (")" '"n$"n k%

7. B#"! !"%un$ '"n$"n )en$"n N"=# 0> ,n$$" &e%!, )"%


29/108

3ENUTUP LUKA OPERASI

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H"#"m"n

1/1

T"n$$"# Te%&' :

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n Pem&"#u'"n #uk" o(e%"! !e"%" "m"n )"n n*"m"n )en$"n 'e'"(

mem(e%,"'k"n 'eknk !'e%#!"!.

Tu+u"n 3ene$", 'e%+")n*" kom(#k"! (")" #uk".

Ke&+"k"n Semu" #uk" o(e%"! ,"%u! )'u'u( )en$"n k"!!" !'e%# )en$"n

!e#"#u mem(e%,"'k"n (%n!( "!e('.


30/108

P%o!e)u% 1. Pe%!"("n A#"' : 1 !e' "#"' $"n' ve%&"n

2. Pe#"k!"n""n :

". Luk" o(e%"! )&e%!,k"n )en$"n k"!!" !'e%# #em&"&

kemu)"n )&e%!,k"n kem&"# )en$"n men$$un"k"n k"!!"

ke%n$

&. Luk" o(e%"! )'u'u( )en$"n k"!!" !'e%#

. Luk" o(e%"! *"n$ 'e#", )'u'u( )en$"n k"!!" !'e%#

!e#"n+u'n*" )8k!"!


3E3ASAN? ?URITA

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H"#"m"n

1/1

T"n$$"# Te%&' :

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n 3em&"n'u men$$un"k"n $u%'" (")" ("!en("!en (o!' o(e%"!

)"n (o!' ("%'um.

Tu+u"n 1. 3em&e%k"n %"!" n*"m"n

2. 3em&"n'u mem(e%e("' (en*em&u,"n #uk"

. 3en$u%"n$ %"!" !"k' "("" &e%$e%"k "'"u &"'uk

Ke&+"k"n H"n*" )#"kuk"n (")" ("!en (o!' o(e%"! )en$"n k"!u!

ke&)"n"n

P%o!e)u% 1. 3en*"(k"n $u%'"


31/108

2. 3en+e#"!k"n (")" ("!en 'en'"n$ 'n)"k"n *"n$ "k"n

)#"kuk"n

. 3en+"$" (%v"* ("!en

4. Pe%"9"' menu '"n$"n

6. 3em&"n'u ("!en )"#"m (o!! 'e%#en'"n$ mem&e&"!k"n

("k""n ("!en ) )"e%", *"n$ "k"n )("!"n$ $u%'"

7. 3em"!"n$ $u%'" ) &"9", &")"n !e!u" ke&u'u,"n

. 3en$k"' '"# $u%'" )en$"n ku"' )"n %"( !m(u# ')"k ) "'"!

#uk". 3en$k"' )en$"n !m(u# ,)u( )"e%", )"8%"$m" +"n$"n

)k"' 'e%#"#u ku"'. Un'uk ("!en (o!' ("%'um k"'"n (e%'"m"

)#"kuk"n (")" &"'"! (e%"&""n 8un)u! u'e% #"#u ke "%",

&"9", kemu)"n ke "'"!.

;. 3e%"(,k"n ("!en )"n #n$kun$"n

>. Pe%"9"' menu '"n$"n

Un' 'e%k"' Ruang Operasi/OK

3ELEPAS @AS OPERASI

STANDARTPROSEDUR

OPERASIONAL

No.Dokumen :

01/PRW/A/11/2014

Rev!

0

H"#"m"n

1/1

T"n$$"# Te%&' :

01 No(em&e% 2014D'e'"(k"n


D%ek'u%

Pen$e%'"n 3e#e("! +"! o(e%"! !e'e#", o(e%"! !e#e!".

Tu+u"n 3e#e("! +"! o(e%"! !e'e#", o(e%"! !e#e!".

Ke&+"k"n T)"k 'e%+") (en*e&"%"n n8ek!.

P%o!e)u% 1. 3e#e("!k"n !"%un$ '"n$"n !e&e#", k% )#"n+u'k"n !e&e#",

k"n"n


32/108

2. P'" #e,e% )"n '"# (n$$"n$ )#e("! o#e, (e%"9"' %ku#e%

. 3em&uk" +"! o(e%"! mu#" )en$"n me#e("! $"un '"n$"n

!e&e#", k%

4. 3e#("' +"! o(e%"! )en$"n &"$"n )"#"m )#u"% )"n #e'"kk"n

(")" 'em("' *"n$ 'e#", )!e)"k"n

6. =u '"n$"n



33/108


34/108

PERAWATAN PASIEN PAS=A BEDAH

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No.Dokumen :

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H"#"m"n

1/2

T"n$$"# Te%&' :

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n Su"'u 'n)"k"n (e%"9"'"n *"n$ )#"kuk"n !e'e#", o(e%"!.

Tu+u"n A$"% ("!en 'e%,n)"% )"% n8ek! )"n ("!en me%"!" n*"m"n.

Ke&+"k"n Semu" ("!en (o!' o(e%"! ,"%u! )#"kuk"n o&!e%v"! ke'"' (")" 2

+"m (e%'"m".

P%o!e)u% 1. Se#"m" 2 +"m (e%'"m" "9"! '"n)"'"n)" v'"# )"n

(e%)"%","n !e'"( 0 men'

2. In8u! "',e'e% )%"n *"n$ 'e%("!"n$ (e%#u )(e%,"'k"n

#"(o%k"n " 'e%)"("' ke#"n"n (")" (%o)uk! )%"n/"',e'e%

. @"$" "$"% !"#u%"n n"8"! 'e'"( #"ne%

4. P"!en *"n$ &e#um !")"% +"n$"n )&e% &"n'"# "$"% ')"k

men*um&"' !"#u%"n (e%n"8"!"n

6. U!","k"n "$"% ("!en !e#"#u men)"("' !'u"! *"n$ 'en"n$

)"n n*"m"n

7. An+u%k"n ("!en un'uk :

". 3e#"kuk"n n"8"! )"#"m un'uk mene$", kom(#k"!

("%u "k&"' (em&u!"n

&. B#" me%"!"k"n ")" #en)% ) 'en$$o%ok"n "n+u%k"n

k#en un'uk me#"kuk"n &"'uk !e"%" e8ek'8

. @k" ("!en ')"k !")"% #"kuk"n !u'on )en$"n ,"',"'

. B"!", &&% ("!en )en$"n k"("!/ k"!!" &"!", " ("!en

&e#um )+nk"n mnum


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PERAWATAN PASIEN PAS=A BEDAH

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01 No(em&e% 2014

D'e'"(k"n


;. B#" ("!en !u)", !")"% &e%#", mnum !e"%" &e%'","(

)en$"n !e!en)ok "% (u',

>. Sk"( ')u% ("!en )!e!u"k"n )en$"n +en! o(e%"!

m!"#n*" (o!' 'on!#ek'om* : ')u% m%n$. Un'uk ("!en )en$"n

!(n"# "ne!'e! "n+u%k"n ("!en un'uk ')"k &"n$un/)u)uk

!e#"m" 24 +"m

L"kuk"n mo!"! !e"%" &e%'","( m%n$ )u)uk &e%)%

+"#"n un'uk memu#,k"n 8un$! (ene%n""n )"n mene$",)eku&'u!

10. Un'uk ("!en (o!' o(e%"! )en$"n !(n"# "ne!'e! &"!"n*"

&o#e, m"k"nmnum 12 +"m (o!' o(e%"!

11. Pe%"9"'"n Luk" :

". =e$", #uk" 'e%kon'"mn"! )en$"n #n$kun$"n !ek'"%

&. Hn)"% #uk" 'e%ken" "%

Un' 'e%k"' Ru"n$ O(e%"!/OK Ru"n$ %"9"' n"(


36/108

3EN@E3PUT PASIEN DARI RUAN? OPERASI

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PROSEDUR

OPERASIONAL

No.Dokumen

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Rev!

0

H"#"m"n

1/2

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n 3en+em(u' ("!en !e'e#", )#"kuk"n 'n)"k"n o(e%"! )"%

Reove%* Room )"n )&"9" ke %u"n$ (e%"9"'"n

Tu+u"n A$"% ("!en !e$e%" !'%","'

Ke&+"k"n P"!en &o#e, )+em(u' !e'e#", 2 +"m o(e%"!/!e'e#", ("!en !'"

P%o!e)u% 1. 3en#" ke")""n ("!en "("k", !u)", memun$knk"n un'uk

)&"9" ke %u"n$ (e%"9"'" ek ke!")"%"n )"n '"n)" v'"#

2. 3e#"kuk"n !e%", 'e%m" (e%"9"' OK )en$"n (e%"9"' un'

%"9"' n"( men$eek #em&"% !e%", 'e%m" ("!en (%e )"n (o!'

o(e%"!

. Pe%"9"' %u"n$ %"9"' n"( )"n OK &e%!"m"!"m"

meme%k!" )"n mem(e%,"'k"n "n$$o'" "n$$o'" 'u&u, ("!en

"("k", ")" kom(#k"! "k&"' (em"k""n "#"' k"m"%

o(e%"!/OK

4. 3e%"(,k"n ("!en !"m me#,"' )%"n "',e'e% &"#u'"n

"("k", ")" (e%)"%","n "'"u &oo% (o!! ')u% ("!en !e!u"

)en$"n +en! o(e%"! )"n ke&u'u,"n ("!en

6. 3em&"9" ("!en ke %u"n$ (e%"9"'"n

7. 3e%"(,k"n ("!en n8u!e )%"n "',e'e% )## (")"'em("'n*"

. 3en$o&!e%v"! TT

;. 3em&e%k"n (en+e#"!"n (")" ("!en/ke#u"%$" 'en'"n$ ,"#

*"n$ &o#e, )"n ')"k &o#e, )#"kuk"n ("!" o(e%"!


37/108

3EN@E3PUT PASIEN DARI RUAN? OPERASI

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H"#"m"n

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T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

1. Pe%"9"' menu '"n$"n

2. 3en)okumen'"!k"n (")" "'"'"n ke(e%"9"'"n : 'n)"k"n

o(e%"! *"n$ )#"kuk"n "#"'"#"' &"n'u #"nn*" )"n ke#"n"n

*"n$ )'emuk"n

. 3e#"(o%k"n kon)! ("!en ke(")" ke("#" %u"n$"n

Un' 'e%k"' Un' &e)", !en'%"#

R"9"' n"(


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STERILISASI RUAN? OPERASI

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No.Dokumen

01/PRW/A/11/2014

Rev!

0

H"#"m"n

1/2

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


Pen$e%'"n Su"'u ke$"'"n !'e%##!"! %u"n$"n *"n$ )#"kuk"n !e"%"

men*e#u%u, (")" !e'"( k"m"% &e)", )en$"n men$$un"k"n !n"%

u#'%"8o#e' 'e%u'"m" !e'e#", )$un"k"n (")" k"!u!k"!u! n8ek!

Tu+u"n Un'uk men+"$" )"n menn$k"'k"n !'e%#!"! %u"n$ o(e%"!

Ke&+"k"n Semu" "#"' *"n$ ")" ,"%u! )!'e%#k"n keu"# o&"' )"n "n'!e('

P%o!e)u% 1. Pem&e%!,"n %u"n$"n !e"%" men*e#u%u,". Ke$"'"n (em&e%!,"n )#"kuk"n )"n'"%" )u" o(e%"!

o(e%"! !e'"( ,"% (em&e%!,"n me#(u' (e# )"n men$e#"(

&"$"n&"$"n ) k"m"% o(e%"! *"n$ ko'o% "k&"' )"%

'n)"k"n o(e%"!

&. Ke$"'"n (em&e%!,"n !e"%" men*e#u%u, )#"kuk"n !"'u

k"# )"#"m !emn$$u !e'"( ,"% S"&'u

. Ke$"'"n (em&e%!,"n %u'n %u"n$"n )#"kuk"n mu#"

(uku# 0;.00 !.) 11.00 WIB

). Se'"( ")" ke$"'"n (em&e%!,"n men*e#u%u, )!"(k"n

!"'u k"m"% o(e%"! un'uk (e%!"("n "("" 'o o(e%"!

2. S'e%#!"! %u"n$"n )en$"n !n"% u#'%"vo#e'

". Se'"( %u"n$"n *"n$ "k"n )!'e%#k"n )en$"n u#'%"vo#e'

')"k &o#e, ")" o&"'o&"'"n "'"u(un "%"n "n'!e(' )

)"#"mn*"

&. Ru"n$"n ,"%u! )"#"m ke")""n 'e%'u'u( )"n &e%

ke'e%"n$"n &",9" %u"n$"n 'e%!e&u' !e)"n$ )#"kuk"n

3ERENDA3 INSTRU3EN SETELAH

OPERASI

STANDART

PROSEDUR

OPERASIONAL

No.Dokumen

01/PRW/A/11/2014

Rev!

0

H"#"m"n

1/1

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n Ke$"'"n me%en)"m n!'%umen' &e)", *"n$ 'e#", !e#e!" o(e%"!

Tu+u"n 1. 3ene$", 'e%+")n*" n8ek! no!okom"# (")" ("!en #"n *"n$

)!e&"&k"n (em"k""n n!'%umen'

2. 3en+"$" !'e%#!"! n!'%umen' &e)",

Ke&+"k"n In!'%umen n8ek!u! )(!",k"n )"% n!'%umen' non n8ek!u!

P%o!e)u% 1. Se'e#", !e#e!" )$un"k"n n!'%umen' &e)", )&"9" ke

%u"n$ u )"n )"! )"#"m "% *"n$ men$"#% un'uk

mem&e%!,k"n )"%", "'"u ko'o%"n *"n$ menem(e# (")"

n!'%umen'

2. Se'e#", n!'%umen' )"! kemu)"n )%en)"m *"n$

#"m"n*" 'e%$"n'un$ )"% (%o!e! o(e%"! :

". Un'uk k"!u! H&SA$ (o!'8 )"n k"nke% "#"'

)%en)"m )"#"m #"%u'"n !"v#on !e#"m" ku%"n$ #e&, 12

+"m kemu)"n )!'e%#k"n 2 F k"#

&. Un'uk o(e%"! ko'o% 8ee! $"n$%ene "&!e!5 "#"'

)%en)"m )"#"m #"%u'"n !"v#on !e#"m" 7 +"m

kemu)"n )!'e%#k"n 1 k"#

Un' 'e%k"' K"m"% O(e%"!/OK


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STERILISASI RUAN? OPERASI

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No.Dokumen

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H"#"m"n

2/2

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

!'e%#!"! #'%"vo#e'

1. Ru"n$"n &o#e, )&uk" "'"u )$un"k"n kem&"# !e'e#", !"'u

+"m me!n u#'%"vo#e' )m"'k"n

Un' 'e%k"' Un' &e)", !en'%"#


40/108

PENUNDAAN PENA3BAHAN @ADWAL

OPERASI

STANDART

PROSEDUR

OPERASIONAL

No.Dokumen

01/PRW/A/11/2014

Rev!

0

H"#"m"n

1/1

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n Penun)""n ""%" o(e%"! "'"u (en$un)u%"n )"n (en"m&","n

""%" o(e%"! *"n$ !u)", 'e%+")9"# (")" ,"% *"n$ !"m"

Tu+u"n Su("*" +")9"# o(e%"! #e&, 'e%en"n"

Ke&+"k"n Un'uk o(e%"! 'o )"n "n"k ))",u#uk"n

P%o!e)u% 1. Se'"( (em&"'"#"n o(e%"! "("(un !e&"&n*" ,"%u!

)&u"'k"n &e%'" ""%" (em&"'"#"n *"n$ )'"n)"'"n$"n o#e,

o(e%"'o% "ne!'e! )"n (e%"9"' OK

2. In8o%m"!k"n "#"!"n (enun)""n o(e%"! ke(")" ("!en )"n

ke#u"%$"

. In8o%m"!k"n (enun)""n o(e%"! ke(")" (e%"9"' %u"n$"n


41/108

4. 3en$em&"#k"n ("!en &e!e%'" !'"'u! )"n ,"!#

(eme%k!""n (enun+"n$

6. O(e%"n )en$"n (e%"9"' %u"n$"n !e"%" #!"n )"n 'u#!"n

B#" ")" (en"m&","n k"!u! 'o )"n "n"k ))",u#uk"n 'e'"(

k"#"u e#ek'8 &e#"k"n$"n +"m )!e!u"k"n )en$"n +"m *"n$

ko!on$5

Un' 'e%k"' 1. Ru"n$ O(e%"!/OK

2. Ru"n$ %"9"' n"(

. Ru"n$ %"9"' +"#"n Po#k#nk )"n U?D5


42/108

PEN??UNAAN KA3AR BEDAH DALA3KEADAAN DISASTER

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0

H"#"m"n

1/1

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n D!"!'e% ")"#", ke")""n $"9"' )"%u%"' *"n$ ,"%u! !e$e%"

men)"("' (e%'o#on$"n )en$"n !e$e%"

Tu+u"n 3em(e%!"(k"n k"m"% &e)", )"n !"%"n" (%"!"%"n"n*" "$"% !"(

("k"

Ke&+"k"n P")" !""' )!"!'e% !emu" o(e%"! e#ek'8 )'un)" keu"# o(e%"!

non e#ek'8

P%o!e)u% 1. Ke("#" %u"n$"n U?D mem&e% '",u ke(")" (e'u$"! OK

&",9" 'e#", 'e%+") )!"!'e%

2. Pe'u$"! OK men$eek u#"n$ )!"!'e% 'e%!e&u' men$en"

+um#", )"n +en! )!"!'e%

. Pe'u$"! OK men$,en'k"n !emu" ke$"'"n o(e%"! e#ek'8

keu"# *"n$ !e)"n$ &e%#"n$!un$ ,"% 'u )"n "k"n

)&"%"k"n ,"% #"n

4. Pe'u$"! OK men*e)"k"n )"n men"'"' !emu" ke&u'u,"n) &uku "'"'"n k,u!u! )!"!'e% un'uk )+")9"#k"n !e!u"

'n$k"' ke$"9"'"nn*"

6. Pe'u$"! OK men*"(k"n !"'u "'"u #e&, k"m"% o(e%"!

&e!e%'" !"%"n" )"n (%"!"%"n"n*" un'uk )!"!'e% 'e%!e&u'

7. Dok'e% "ne!'e! )ok'e% &e)", umum )"n !(e!"#! !e%'"

!e#u%u, !'"8 k"m"% o(e%"! ,"%u! !'"n) &* ) %u"n$ OK



43/108

PEN?ADAAN PEN??UNAAN DAN

PEN?ENDALIAN

LO?ISTIK DI RUAN? OPERASI

STANDART

PROSEDUR

OPERASIONAL

No.Dokumen

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Rev!

0

H"#"m"n

1/1

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n P%o!e! (en$")""n (en$$un""n )"n (e#"(o%"n o&"'o&"'"n )"n

"#"' ke!e,"'"n ,"&! ("k" ) %u"n$ o(e%"!

Tu+u"n Un'uk 'e%'& ")mn!'%"! (en$")""n #o$!' ) %u"n$ o(e%"!

Ke&+"k"n Semu" #o$!' k"m"% o(e%"! ,"%u! 'e%kon'%o# )en$"n &"k

P%o!e)u% 1. Pen"n$$un$ +"9"& o&"' %u"n$ OK men$eek !e'"( "#ke!

,"&! ("k" )"n o&"'o&"' nven'"%! %u"n$ OK

2. O&"'o&"'"n )"n "#ke! ,"&! ("k" )(e!"n me#"#u n!'"#"!

8"%m"! *"n$ !e#"n+u'n*" )k%m ke OK

. O&"'o&"'"n )"n "#ke! ,"&! ("k" )ek !e'"( ,"% !e!u"

)en$"n (em"k""n

4. Se'"( o&"' )"n "#ke! ,"&! ("k" *"n$ )$un"k"n )"'"'

)"#"m k"%'u (em"k""n "$"% (em"k""n 'e%kon'%o#

Un' 'e%k"' Ru"n$ O(e%"!/OK In!'"#"! "%m"!


44/108

3E3BUAT LAPORAN OPERASI

STANDART

PROSEDUR

OPERASIONAL

No.Dokumen

01/PRW/A/11/2014

Rev!

0

H"#"m"n

1/1

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n Su"'u ke$"'"n mem&u"' #"(o%"n men$en" +"#"nn*" o(e%"! 'emu"n

!e%'" ke#"n"nke#"n"n *"n* ")" !e#"m" (em&e)","n.

Tu+u"n A$"% !e$"#" !e!u"'u *"n$ men$en" o(e%"! &!" 'e%)okumen'"!

Ke&+"k"n Ke&+"k"n (enu#!"n #"(o%"n o(e%"! !e"%" #en$k"( o#e, !e'"( )ok'e%

&e)", )"n )ok'e% An"!',e!.

P%o!e)u% 1.Se'e#", !e#e!" o(e%"! )ok'e% o(e%"'o% mem&u"' #"(o%"n o(e%"!

men$en" +"#"nn*" o(e%"! 'emu"n !e#"m" o(e%"! !!'em

)%"n"$e "%" (em&"#u'"n mem&u"' n!'%uk! ("!k" &e)",

)"$no!e ("!k" o(e%"! '"n$$"# )"n +"m o(e%"! )"n !e#e!"n*"

*"n$ 'e%"n'um )"#"m "n$ko #"(o%"n o(e%"!.

2. Dok'e% "n"!',e! menu#! #"(o%"n "n"!',e! )"#"m "n$ko

#"(o%"n "n"!',e! men$en" +"#"nn*" (em&u!"n o&"' *"n$

)$un"k"n n!'%uk! ("!k" (em&u!"n (e%"9"'"n )"n

(%o$%"m "%"n ) %u"n$"n.

.Semu" "n$ko #"(o%"n ,"%u! )'"n)"'"n$"n o#e, )ok'e% o(e%"'o%

)"n )ok'e% "n"!',e!

Un' 'e%k"' 1. Pe'u$"! In!'"#"! Be)", Sen'%"#2. Dok'e% Be)",

. Dok'e% An"!',e!


45/108

3E3BERI RASA A3AN PADA PASIEN GAN?

AKAN 3EN@ALANI OPERASI

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Rev!

0

H"#"m"n

1/1

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n B"$"n n mene%"n$k"n 'en'"n$ ("!en *"n$ "k"n )#"kuk"n o(e%"!

!u("*" ')"k me%"!" "n$$un$.

Tu+u"n P"!en *"n$ "k"n )#"kuk"n o(e%"! ')"k me%"!" em"! / '"ku' )"n

mem(un*" (e%!"("n men'"# / !(%'u"#.

Ke&+"k"n 1. D%ek'u% mene'"(k"n ke&+"k"n / (%o!e)u% mem&e% %"!" "m"n

(")" ("!en *"n$ "k"n men+"#"n o(e%"!.

S'"8 K#nk Be)", me#"k!"n"k"n (%o!e)u% *"n$ 'e#", )'e'"(k"n.

P%o!e)u% 2. D%ek'u% mene'"(k"n ke&+"k"n / (%o!e)u% mem&e% %"!" "m"n

(")" ("!en *"n$ "k"n men+"#"n o(e%"!.

S'"8 K#nk Be)", me#"k!"n"k"n (%o!e)u% *"n$ 'e#", )'e'"(k"n.

Un' 'e%k"' 1. 3em&e% mo'v"! )"n )o%on$"n men'"# "$"% ("!en ')"k me%"!"

'"ku' / em"! !e&e#um )#"kuk"n o(e%"!.

2. 3en+e#"!k"n 'en'"n$ (%o!e)u% o(e%"! )"n "ne!',e!" !e,n$$"

("!en (","m )en$"n "(" *"n$ "k"n )#"kuk"n.

Bm&n$"n men'"# / !(%'u"# )#"kuk"n o#e, (e'u$"! &m&n$"n

%o,"n "'"u (e'u$"! KBS

Dokumen Te%k"' 1. In8o%me) =onen'.

2. An$ke' P"!en.


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KEBI@AKAN 3EN?HILAN?KAN EEK

E3OSIONAL DAN 3E3BERI RASA A3AN

PASIEN

STANDART

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No.Dokumen

01/PRW/A/11/2014

Rev!

0

H"#"m"n

1/1

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n Su"'u "'u%"n/#"n$k", F #"n$k", *"n$ )#"kuk"n un'uk (en$"'u%"n

"ku("n (e#"*"n"n )en$"n me('"k"n %"!" "m"n )"n n*"m"n ("!en

*"n$ "k"n ) o(e%"!

Tu+u"n 1.3em&"n'u ("!en ))"#"m mem(e%!"(k"n men'"# )"n !(%'u"#n*"

2 3emnm"#k"n/men$,#"n$k"n %"!" em"! (")" ("!en

.P"!en )"("' men$e%' )"n mem","m 'en'"n$ (%o!e)u%

(e#"k!"n""n o(e%"! *"n$ )+"#"nn*"

4. A$"% !emu" ("!en *"n$ "k"n )o(e%"! me%"!" '"n"n$ )"n "m"n

Ke&+"k"n 1. Se'"( ("!en )"n ke#u"%$" ,"%u! men$! n8o%m on!en'

2. Se'"( ("!en *"n$ "k"n )#"kuk"n 'n)"k"n o(e%"! )&e%

&m&n$"n un'uk &e%)o" )"n mem&m&n$ (e#"k!"n""n !,o#"'

"("" !u)", m"!uk 9"k'u !,o#"' !e&e#um )#"kuk"n o(e%"! "

ke")""n ("!en memun$knk"n5 o#e, (e'u$"! Bn%o, Bm&n$"n

Ro,"n5 ) %u"n$ (e%"9"'"n

. Se'"( ("!en o(e%"! ,"%u! men)"("'k"n (%eme)k"!

P%o!e)u% 1. A)"n*" SOP In8o%m =on!en'

2. A)"n*" +ukn! In8o%m on!en'

. A)"n*" SOP Pen*u#u,"n ("!en (%e o(e%"!

4. A)"n*" SOP P%o!e)u% (%e me)k"!

Un' 'e%k"' In!'"#"! Be)", Sen'%"#


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3ENGIAPKAN BAHAN PE3ERIKSAAN PA

STANDART

PROSEDUR

OPERASIONAL

No.Dokumen

01/PRW/A/11/2014

Rev!

0

H"#"m"n

1/2

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n A)"#", !u"'u ke$"'"n men*"(k"n &","n un'uk (eme%k!""n

L"&o%"'o%um.

Tu+u"n 1. 3ene$", %u!"k "'"u ,#"n$n*" !(e!men.

2. 3ene$", 'e%'uk"%n*" !(e!men "n'"% ("!en

Ke&+"k"n 1. Se'"( k"!u! &e)", *"n$ menu%$"k"n (e%#u )#"kuk"n (eme%k!""n

PA.

2. B","n !(e!men )(e%!"(k"n o#e, (e'u$"! IBS.

P%o!e)u% Pe%!"("n :

- o%m"' (eme%k!""n PA.


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- Buku ek!(e)!.

- A#"' 'u#!.

- o%m"#n "% / "%"n 8"! PA.

- Bo'o# / 9")", PA.

1. o%m"' (eme%k!""n PA )! o#e, (e'u$"! In!'"#"! Be)",

Sen'%"# "'"u )ok'e% o(e%"'o% )"n )'"n)"'"n$"n o#e, )ok'e%

o(e%"'o%.

2. B","n (eme%k!""n )m"!ukk"n )"#"m &o'o# / 9")", )"n

)&e% "%"n 8o%m"#n un'uk &","n PA *"n$ 'e%#"#u &e!"% )"m

+"%n$"n !euku(n*".

. Pe'u$"! In!'"#"! Be)", Sen'%"# mem&e% #"&e# (")" 9")", PA

*"n$ me#(u': N"m" A#"m"' Umu% T"n$$"# Ru"n$"n )"n

nome% %e$e!'e%.

4. Pe'u$"! In!'"#"! Be)", Sen'%"# menu#! (")" &uku ek!(e)!

PA


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3ENGIAPKAN BAHAN PE3ERIKSAAN PA

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No.Dokumen

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0

H"#"m"n

2/2

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

!ek"#$u! mem&u&u, '"n)" '"n$"n (")" &uku 'e%!e&u'.

6. Pe'u$"! In!'"#"! Be)", Sen'%"# mem&e%'",uk"n ke(")"

ke#u"%$" k#en " &","n 'e%!e&u' "k"n )#"kuk"n (eme%k!""n

PA.

7. Pe'u$"! In!'"#"! Be)", Sen'%"# mem&"9" &","n ke #"&o%"'o%um

)"n (e'u$"! #"&o%"'o%um *"n$ mene%m" men"n)"'"n$"n )"#"m

&uku ek!(e)! PA.

Un' 'e%k"' In!'"#"! Be)", Sen'%"#

L"&o%"'o%um


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PELAKSANAAN OPERASI ELEKTI

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OPERASIONAL

No.Dokumen

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0

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1/1

Tangga% Ter&i'(

01 Nopem&er !01"

Di'e'apkan

)r. De)* Soe)+a,+ono

Direk'ur

Pen$e%'"n Sua'u prose)ur *ang )i%aksanakan se'iap a)a pasien *ang akan )i%akukan

'in)akan pem&e)a,an e%ek'i.

Tu+u"n 1. Un'uk pen)a'aan pasien pre operasi

!. emaksima%kan persiapan pasien pre operasi

. eningka'kan mu'u pe%a*anan pem&e)a,an )i IS

Ke&+"k"n Ke&i+akan pena'a%aksanaan persiapan pasien pre operasi

P%o!e)u% 1. Pe'ugas ruangan a'au po%i menu%is orma' pen)a'aran operasi )an

men*era,kan kepa)a pe'ugas kamar operasi

!. Pen)a'aran pasien )iruang raa' inap )i%aksanakan minima% 2 +am

se&e%um operasi

. Sera, 'erima &erkas pen)a'aran )i%akukan )i kamar operasi

". Pe'ugas kamar operasi menga'ur +a)a% operasi )an mem&eri'a,ukan

kepa)a pe'ugas ruangan

3. Pe'ugas kamar operasi mem&eri'a,ukan kepa)a pe'ugas ruangan &a,a

kamar operasi 'e%a, siap )an pasien &isa )imasukkan ke ruang persiapan

2. Pe'ugas ruangan mengirim pasien ke kamar operasi )a%am kea)aan siap

operasi sesuai prose)ur *ang )i'e'apkan 4 persiapan pasien operasi %engkapsesuai 5ek%is' *ang )i'e'apkan )an &a+u pasien su)a, )igan'i &a+u k,usus )i

ruangan 6.

Un' 'e%k"' Ins'a%asi e)a, Sen'ra%


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PEN?ADAAN ALAT TULIS KANTOR DI RUAN?

OPERASI

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PROSEDUR

OPERASIONAL

No.Dokumen

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0

$a%aman

1/1

Tangga% Ter&i'(

01 Nopem&er !01"

Di'e'apkan


Direk'ur

Pen$e%'"n A)a%a, pen*e)iaan / pengen)a%ian %ogis'ik ATK )an pera&o' 4 a%a' 'u%is7

5e'akan7 &%angko-&%angko7 )an pera&o' *ang )i&u'u,kan )i ruang operasi 6.

Tu+u"n Un'uk men*e)iakan sup%a* %ogis'ik ke&u'u,an ATK )an pera&o' )i ruang

operasi

Ke&+"k"n Di ruang operasi ,arus se%a%u 'erse)ia a%a' 'u%is kan'or 4ATK6 )an pera&o'

*ang mema)ai &aik +um%a, )an mu'un*a un'uk mem&an'u ke%an5aran

operasi

P%o!e)u% 1. Penanggung +aa& %ogis'ik kamar operasi mengusu%kan ke&u'u,an

ATK )an pera&o' *ang )iper%ukan

!. Kepa%a peraa' IS menu%iskan ke&u'u,an *ang )iusu%kan o%e,

penanggung +aa& %ogis'ik kamar operasi )a%am &%angko

permin'aan sesuai ke&u'u,an *ang )ia+ukan

. Se'e%a, )ise'u+ui o%e, kepa%a IS7 &%angko permin'aan )isera,kan

ke ka.&ag. keuangan )an &i%a )ise'u+ui )i&aa ke%ogis'ik un'uk

)imin'akan &arangn*a sesuai )engan +um%a, )an +enis &arang *ang

)ise'u+ui.

". Sesu)a, &arang )i proses o%e, pe'ugas %ogis'ik7 pe'ugas kamaroperasi 4penanggung +aa& %ogis'ik kamar operasi6 mem&aa

&arang-&arang *ang 'e%a, )ise)iakan sesuai permin'aan ke IS

un'uk )i in#en'aris.

Apa&i%a &arang 'erse&u' merupakan &arang *ang per%u )i in#en'ariskan


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PEN?ADAAN ALAT TULIS KANTOR DI RUAN?

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No.Dokumen

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Tangga% Ter&i'(

01 Nopem&er !01"

Di'e'apkan


Direk'ur

4a%a' ruma, 'angga6 maka penaggung +aa& %ogis'ik kamar operasi segera

me%aporkan &arang 'erse&u' ke 'im in#en'aris Ruma, Saki' u,amma)i*a,

Lamongan un'uk )i masukkan ke )a%am )a'a in#en'aris

Un' 'e%k"' Ruang operasi

Logis'ik

Tim in#en'aris


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PEN?ADAAN LINEN DI RUAN? OPERASI

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PROSEDUR

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No.Dokumen

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1/!

Tangga% Ter&i'(

01 Nopem&er !01"

Di'e'apkan


Direk'ur

Pen$e%'"n Kegia'an penga)aan a%a' 'enun / %inen )i ruang operasi 6 un'uk men5ukupi

ke&u'u,an operasi )i kamar operasi.

Tu+u"n 1. Un'uk men)apa'kan %inen *ang &aik ser'a +um%a, *ang 5ukup.

!. Ke&u'u,an %inen un'uk operasi 'er5ukupi.

. emu)a,kan peman'auan )an kerusakan %inen se5epa' mungkin

se,ingga mem&an'u ke%an5aran operasi.

Ke&+"k"n Di Ruang operasi ,arus se%a%u 'erse)ia a%a' 'enun / %inen )a%am +um%a, *ang

5ukup )an se%a%u siap pakai pa)a saa' a)a pe%aksanaan operasi )i kamar

operasi

P%o!e)u% 1. Pen)a'aan %inen )i%akukan o%e, penanggung +aa& %ogis'ik kamar

operasi.

!. Kepa%a peraa' Ins'a%asi e)a, Sen'ra% mengana%isis )an mem&ua'

memo penga+uan ke&u'u,an %inen )i kamar operasi kepa)a Direk'ur

un'uk )imin'akan rekomen)asi.

. $asi% rekomen)asi )i inormasikan ke&agian 'im in#en'aris )an %ogis'ik.

". agian %ogis'ik memproses ,asi% rekomon)asi )ari Direk'ur.

3. Apa&i%a %inen su)a, 'erse)ia7 &agian %ogis'ik segera menginormasikanke Ins'a%asi e)a, Sen'ra% un'uk segera menganra 4mengam&i%6.

2. Pe'ugas IS mengam&i% &arang )i %ogis'ik )an )i5o5okkan )engan

+um%a, permin'aan )an menginormasikan kepa)a 'im in#en'aris un'uk

menge5ek )an memasukkan ke)a%am )a'a in#en'aris.

8. Apa&i%a su)a, 5o5ok7 %inen )i&aa ke Ins'a%asi e)a, Sen'ra% un'uk


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PEN?ADAAN LINEN DI RUAN? OPERASI

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No.Dokumen

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!/!

Tangga% Ter&i'(

01 Nopem&er !01"

Di'e'apkan


Direk'ur

)ii#en'aris )an )ipakai se&agaimana mes'in*a.

Un' 'e%k"' Ruang operasi

Logis'ik )an Tim In#en'aris


55/108

PE3ELIHARAAN PERALATAN DI RUAN?

OPERASI

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PROSEDUR

OPERASIONAL

No.Dokumen

01/PR/A/11/!01"

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0

$a%aman

1/1

Tangga% Ter&i'(

01 Nopem&er !01"

Di'e'apkan


Direk'ur

Pen$e%'"n A)a%a, peme%i,araan pera%a'an merupakan ,a% pen'ing )a%am proses

ke%an+u'an 'in)akan pem&e)a,an7 maka )ari i'u7 peme%i,araan pera%a'an

,arus )i%akukan se5ara ru'in agar pera%a'an *ang a)a )apa' 'erpe%i,ara

)engan &aik.

Tu+u"n 1. Pera%a'an *ang a)a )i kamar operasi )apa' 'erpe%i,ara )engan &aik )an

siap pakai.

!. enge'a,ui kerusakan pera%a'an )i kamar operasi se)ini mungkin.

. engusu%kan penga)aan pera%a'an penggan'i

Ke&+"k"n Semua pera%a'an *ang a)a )i Ins'a%asi e)a, Sen'ra% ,arus )ipe%i,ara

)engan &aik )ari segi +um%a,7 mu'u ser'a )iusa,akan )apa' &er'a,an %ama

un'uk men)ukung kegia'an pem&e)a,an.

P%o!e)u% 1. Pera%a'an / Ins'rumen siap pakai.

a. Se'e%a, a%a' )igunakan7 ren)am )a%am %aru'an )esinek'an kurang


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%e&i, 13 meni'.

&. Se'e%a, a%a'-a%a' )iren)am %a%u )i5u5i7 &i%a per%u un'uk a%a' a%a' *ang

&ergaris )isika' agar ko'oran *ang menempe% )apa' mu)a,

)i&ersi,kan.

5. i%as pera%a'an )engan air &ersi, *ang menga%ir.

). Se'e%a, &ersi,7 a%a' )i%ap )an )ikeringkan.

e. Kemas )a%am &ak ins'rumen )an &ungkus )engan )uk rangkap )ua.

. A%a' a%a' *ang run5ing )an 'a+am ,arus )i+aga )an )i%in)ungi agar

'i)ak mu)a, pa'a,/ 'umpu%.

PE3ELIHARAAN PERALATAN DI RUAN?

OPERASI

STANDART

PROSEDUR

OPERASIONAL

No.Dokumen

01/PR/A/11/!01"

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0

$a%aman

1/1

Tangga% Ter&i'(

01 Nopem&er !01"

Di'e'apkan


Direk'ur

g. A%a'-a%a' *ang &era'/ &esar )i %e'akkan )i &agian &aa,.

,. Se'e%a, a%a' 'er&ungkus7 &eri 'an)a / in)ika'or )an 5a'a' 'ngga%7

&u%an )an 'a,un pen*e'eri%an.

i. Se'e%a, s'eri% simpan )a%am %emari ins'rumen.


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!. Pera%a'an ke)ok'eran 4 Su5'ion7 A%a' )ia'ermi7 me+a operasi 6.

a. Se'e%a, )ipakai &ersi,kan a%a' 'erse&u' )ari )ara,7 %en)ir maupun

ko'oran %ain *ang me%eka'.

&. Un'uk s'ik 5au',er se'e%a, )i&ersi,kan %angsung )i'empa'kan pa)a

'empa'/ 'op%es s'eri% *ang )i )a%amn*a &erisi 'a&. 9orma%in.

5. Simpan a%a' a%a' 'erse&u' pa)a 'empa' *ang aman agar se%a%u siap

pakai.

.Pera%a'an-pera%a'an *ang a)a %ainn*a 4 A:7 Lampu operasi 6.

a. ersi,kan pera%a'an 'erse&u' )ari )e&u7 )ara, )an ko'oran %ain se'iap

,ari.

&. eker+a sama )engan &ag. IPS un'uk peme%i,araan pera%a'an &erka%a.


Ins'a%asi Peme%i,araan Sarana.

PEN?E=EKAN ALAT DI RUAN? OPERASI

STANDART

PROSEDUR

OPERASIONAL

No.Dokumen

01/PR/A/11/!01"

Re#isi

0

$a%aman

1/1

Tangga% Ter&i'(

01 Nopem&er !01"

Di'e'apkan


Direk'ur

Pen$e%'"n Sua'u 'in)akan un'uk me%akukan penge5ekan a%a'-a%a' ins'rumen se,ingga

a%a' )a%am kon)isi siap pakai un'uk mem&an'u ke%an5aran 'in)akan

pem&e)a,an.

Tu+u"n 1. Ke,i%angan pera%a'an )apa' )ike'a,ui se)ini mungkin.


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!. A%a' )a%am kon)isi u'u, )an siap pakai.

. em&an'u ke%an5aran pem&e)a,an.

". em&uang pera%a'an *ang 'i)ak )apa' )ipakai %agi / *ang su)a,

ke)a%uarsa

Ke&+"k"n Se'iap a%a' *ang )igunakan un'uk operasi ,arus )i5ek +um%a, )ankon)isin*a se&e%um )an sesu)a, operasi.

P%o!e)u% 1. Se'iap mem&uka a%a' *ang akan )igunakan un'uk pem&e)a,an peraa'

in'rumen ,arus menge'a,ui 'en'ang +um%a, )an kon)isi pera%a'an *ang

akan )igunakan.

!. Se'e%a, se%esai pem&e)a,an peraa' ins'rumen &er'anggung +aa&

penu, a'as +um%a, )an kon)isi pera%a'an *ang )igunakan sesuai )engan

se&e%um pem&e)a,an.

. ;akinkan pera%a'an 'e'ap u'u, &aru kemu)ian )ise' )an )is'eri%kan %agi.


PEN?ATURAN KER@A SA3A DISIPLIN ANTAR

KA3AR OPERASI

STANDART

PROSEDUR

OPERASIONAL

No.Dokumen

01/PR/A/11/!01"

Re#isi

0

$a%aman

1/1

Tangga% Ter&i'(

01 Nopem&er !01"

Di'e'apkan


Direk'ur

Pen$e%'"nPenga'uran ker+asama an'ar )isip%in )i kamar operasi ia%a, prose)ur *ang

menerangkan %angka,-%angka, / 'a'a 5ara )a%am pe%aksanaan per'emuan

&erka%a an'ar )isip%in )i kamar operasi &e)a,.

Tu+u"nSe&agai pe)oman )a%am pe%aksanaan7 per'emuan &erka%a an'ar )isip%in )i


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kamar operasi &e)a, ruma, saki'


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STANDART

PROSEDUR

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No.Dokumen

01/PR/A/11/!01"

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0

$a%aman

1/1

Tangga% Ter&i'(

01 Nopem&er !01"

Di'e'apkan


Direk'ur

Pen$e%'"n Rapa' ru'in merupakan program pe%aksanaan / per'emuan &ersama s'a

kamar operasi *ang )i%akukan sa'u minggu seka%i se5ara ru'in.

Tu+u"n1. em&a,as permasa%a,an *ang a)a )i kamar operasi.

!. Un'uk me%aksanakan e#a%uasi kegia'an.

. Un'uk meren5anakan kegia'an se%an+u'n*a.

Ke&+"k"n1. Kepa%a kamar operasi mem&ua' )an mene'apkan prose)ur un'uk

pe%aksanaan rapa'.

!. Kepa%a ruangan )an s'a me%aksanakan per'emuan sesuai )engan +a)a%

*ang su)a, )i ren5anakan.

. Ke&i+akan ini &er%aku )an )i%aksanakan se+ak 'angga% )i'e'apkan sampai

)engan a)a peru&a,an.

P%o!e)u%1. enen'ukan +a)a% )an 'empa' rapa'.

!. em&ua' sura' un)angan rapa'.. en*e&arkan un)angan rapa' kepa)a s'a kamar operasi.

". Semua anggo'a *ang menerima un)angan a+i& ,a)ir pa)a ak'un*a.

3. Rapa' )i%aksanakan pa)a 'empa' )an ak'u *ang )i'en'ukan.

Un' 'e%k"' Kamar Operasi.

Dokumen Te%k"'1. Sura' Un)angan. . No'u%en Rapa'.

!. =a)a%.


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ON =ALL SIAP PAN??IL5 PETU?AS DI

RUAN? OPERASI

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01/PR/A/11/!01"

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0

$a%aman

1/1

Tangga% Ter&i'(

01 Nopem&er !01"

Di'e'apkan


Direk'ur

Pen$e%'"n A)a%a, memanggi% 'enaga / pe'ugas kamar operasi seak'u-ak'u &i%a

)iper%ukan.

Tu+u"n 1. emper%an5ar +a%ann*a kegia'an operasi )i Ins'a%asi e)a, Sen'ra%.

!. Agar kekurangan 'enaga &isa 'erpenu,i.

Ke&+"k"n Pe'ugas Ins'a%asi &e)a, Sen'ra% ,arus se%a%u siap !" +am

P%o!e)u% 1. i%a Ins'a%asi e)a, Sen'ra% kekurangan 'enaga 4 &i%a a)a operasi

)o&e% 6 maka memanggi% pe'ugas on 5a%% saa' i'u +uga )engan me%i,a'

+a)a% )inas *ang ke&e'u%an ,ari i'u %i&ur.

!. Un'uk pe'ugas on 5a%% *ang mempun*ai a%a' komunikasi7 ,u&ungi

pe'ugas 9ron' oi5e / Sa'pam un'uk meng,u&ungkan )engan *ang

&ersangku'an7 a'au enanggung +aa& s,i' %angsung meng,u&ungi *ang

&ersangku'an

. Pe'ugas on 5a%% *ang 'e%a, menerima inormasi %angsung )a'ang ke

Ins'a%asi e)a, Sen'ra% un'uk mem&an'u operasi. i%a pe'ugas on 5a%%

'i)ak sanggup )iusa,akan men5ari penggan'i pe'ugas on 5a%% *ang

%ain.

Un' 'e%k"' Kamar Operasi

Pe'ugas 9ron' oi5eSa'pam


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DRAPPIN? PADA PASIEN GAN? AKAN

DILAKUKAN PE3BEDAHAN

STANDART

PROSEDUR

OPERASIONAL

No.Dokumen

01/PR/A/11/!01"

Re#isi

0

$a%aman

1/1

Tangga% Ter&i'(

01 Nopem&er !01"

Di'e'apkan


Direk'ur

Pen$e%'"n Drapping a)a%a, sua'u prose)ur menu'up pasien *ang su)a, &era)a )ia'as

me+a operasi )engan menggunakan a%a' 'enun s'eri%

Tu+u"n em&eri &a'as 'egas )aera, s'eri% pa)a )aera, pem&e)a,an se'e%a, ku%i'

)i)esineksi

Ke&+"k"n Semua pe'ugas kamar operasi ,arus me%akukan sesuai prose)ur *ang a)a

P%o!e)u% Prinsip Drapping (

1. $arus )i%aksanakan )engan 'e%i'i )an ,a'i > ,a'i!. Peraa' ins'rumen 4S5ru& Nurse6,arus mema,ami )engan 'epa'

prose)ur )rapping

. Drape / )oek *ang 'erpasang 'i)ak &o%e, )ipin)a, > pin)a,kan7

sampai operasi &erak,ir7 )an ,arus )i+aga s'eri%i'asn*a

". Pakai%a, )uk k%em pa)a se'iap su)u' )aera, sa*a'an agar a%a' 'enun

'i)ak mu)a, &ergeser

3. Tim &e)a, *ang memakai &a+u s'eri% ,arus se%a%u meng,a)ap

'empa' *ang su)a, 'er'u'up a%a' 'enun s'eri%

2. Peraa' Sir5u%er 45ir5u%a'ing Nurse6 ,arus &er)iri meng,a)ap

s5ru& nurse un'uk menginga'kan +angan sampai )rapping

'erkon'aminasi

8. i%a a%a' 'enun s'eri% 'erkon'aminasi ,arus )igan'i

;. Seki'ar %an'ai 'i)ak &o%e, a)a genangan air


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DRAPPIN? PADA PASIEN GAN? AKAN

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PROSEDUR

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No.Dokumen

01/PR/A/11/!01"

Re#isi

0

$a%aman

1/1

Tangga% Ter&i'(

01 Nopem&er !01"

Di'e'apkan


Direk'ur

?. $in)ari mengi&as a%a' 'enun s'eri% 'er%a%u 'inggi se,ingga )apa'

men*en'u, %ampu operasi / a%a' > a%a' %ain

10. Lin)ungi%a, sarung 'angan )engan 5ara me%e'akkan 'angan )i&aa,

%ipa'an pa)a saa' )rapping7 ,in)ari men*en'u, ku%i' pasien

11. =ika pemasangan a%a' 'enun s'eri% su)a, se%esai )an a)a *ang +a'u,

)i&aa, &a'as pinggang +angan )iam&i%

4. =ika ragu > ragu 'er,a)ap s'eri%i'as a%a' 'enun7 maka a%a' 'enun

'erse&u' ,arus )in*a'akan su)a, 'erkon'aminasi

Un' 'e%k"' Kamar Operasi


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PE3BERSIHAN KA3AR OPERASI

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No.Dokumen

01/PRW/A/11/2014

Rev!

0

H"#"m"n

1/1

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n Ke$"'"n (em&e%!,"n K"m"% O(e%"! !e'e#", 'n)"k"n / ')"k ")"

'n)"k"n "$"% ke&e%!,"n )"n ke!'e%#"n 'e'"( 'e%+"$".

Tu+u"n Un'uk men+"$" ke&e%!,"n )"n !'e%#'"! K"m"% O(e%"! .

Ke&+"k"n Se'"( k"# !e#e!" o(e%"! ),"%u!k"n )#"kuk"n (em&e%!,"n

K"m"% O(e%"!.

P%o!e)u% 1. Se'e#", O(e%"! !e#e!" "#"' "#"' )&e%!,k"n )"n )'"'" )en$"n

%"(.

2. K"m"% O(e%"! )&e%!,k"n o#e, 'en"$" ke&e%!,"n )&"n'u o#e,

(e'u$"! k"m"% o(e%"!.

. L"n'" k"m"% o(e%"! )(e# )en$"n #"%u'"n L!o# / #"%u'"n

(em&e%!, #"n'".

4. K"m"% O(e%"! )#"kuk"n (en*n"%"n U#'%" o#e' " ')"k

")" ""%" &e%ku'n*" "'"u #"n$!un$ )#"kuk"n U#'%" o#e'

!e'e#", )(e%$un"k"n o(e%"! )en$"n k"!u! n8ek! "'"u k"!u!

k"!u! o(e%"! *"n$ ko'o% 5.

6. D#"kuk"n o$$n$ / (en$k"&u'"n )en$"n "n' !e('k.

Un' 'e%k"' Pe'u$"! k"m"% o(e%"!


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PROSEDUR TI3BAN? TERI3A PASIEN

DI RUAN? PRE3EDIKASI

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PROSEDUR

OPERASIONAL

No.Dokumen

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Rev!

0

H"#"m"n

1/1

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n R"n$k""n ke$"'"n !e%", 'e%m" ("!en )"% Ru"n$ T%"n!8e% ke

Ru"n$ P%eme)k"!.

Tu+u"n 3em(e%!"(k"n ("!en *"n$ "k"n )#"kuk"n 'n)"k"n "n"!'e!.

Ke&+"k"n Pe%!"("n ("!en !e&e#um )#"kuk"n 'n)"k"n (em&e)","n )"n

'n)"k"n "n"!'e!.

P%o!e)u% 1. S"!"%"n

2.1 Pe'u$"! '%"n!8e% me#"kuk"n !e%", 'e%m" ("!en )en$"n

("!en "n"!'e!

2.2 Pe'u$"! '%"n!8e% me#"kuk"n !e%", 'e%m" )"%",o&"'"#ke!

)"n !'"'u! ("!en

2. Pe%"9"' "n"!'e! men$eek u#"n$ (e%!"("n(e%!"("n *"n$

)&"9" ("!en me#(u' : "#"' o&"' 8o'o %on$en' ,"!#

#"&o%"'o%um n8o%m on!en' )"n #em&"% (%e o(e%"!

2.4 3enook"n )"'" ("!en )en$"n )"8'"% ""%" *"n$ !u)",

'e%+")9"#.

Un' 'e%k"' Pe'u$"! Un' &e)", !en'%"#


68/108

PE3ASTIAN LOKASI OPERASI

PE3BEDAHAN

STANDART

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OPERASIONAL

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H"#"m"n

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T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n Su"'u "%" un'uk menen'uk"n #ok"! (em&e)","n *"n$ "k"n

)#"kuk"n.

Tu+u"n Un'uk menen'uk"n #ok"! (em&e)","n *"n$ &en"% "$"% 'e%,n)"%

)"% ke!"#","n #ok"! (em&e)","n.

Ke&+"k"n Semu" ("!en *"n$ "k"n )#"kuk"n 'n)"k"n (em&e)","n ,"%u!

)("!'k"n #ok"! (em&e)","n.

P%o!e)u% 1. Pe%"9"' mem&"" o%)e% )ok'e%.

2. Pe%"9"' men"n*"k"n ke(")" ("!en ke#u,"n )"n #ok"!

(en*"k'n*".

. Pe%"9"' me#"kuk"n (eme%k!""n )"n mem&e% '"n)"


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PE3ASTIAN TEKNIK DAN PROSEDUR

PE3BEDAHAN

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PROSEDUR

OPERASIONAL

No.Dokumen

01/PRW/A/11/2014

Rev!

0

H"#"m"n

1/1

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n Su"'u "%" un'uk men'uk"n 'eknk (em&e)","n.

Tu+u"n Un'uk menen'uk"n 'eknk (em&e)","n )"n approach *"n$ 'e%&"k

!e!u" )en$"n ke")""n ("!en ke#"n"nn*" )"n )"$no!" !e%'" ,"!#

(eme%k!""n (enun+"n$.

Ke&+"k"n Semu" ("!en *"n$ "k"n )#"kuk"n 'n)"k"n (em&e)","n ,"%u!

'e%#e&, )",u#u )("!'k"n 'eknk (em&e)","n )"n (en)ek"'"n #ok"!

n!!n*".

P%o!e)u% 1. Pe%"9"' mem&"" o%)e% )ok'e% )"n men"n*"k"n ke(")"

("!en ke#u,"n )"n )"e%", (en*"k'n*".

2. Pe%"9"' me#"kuk"n (eme%k!""n )"n mem&e% '"n)" #ok"! .

. Pe%"9"' mem&e%'",uk"n ke(")" )ok'e% &e)", )"n

men"n*"kn ke(")" )ok'e% 'en'"n$ 'eknk o(e%"! "(" *"n$

"k"n )#"kuk"n.

4. B#" meme%#uk"n (enuku%"n #ok"! (em&e)","n )"("'

)#"kuk"n 1 +"m !e&e#um n!!.


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PE3ASTIAN TEKNIK DAN PROSEDUR

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OPERASIONAL

No.Dokumen

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Rev!

0

H"#"m"n

1/1

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

6. Pe%"9"' n!'%umen' mem(e%!"(k"n n!'%umen' )"n ke(e%#u"n

'eknk o(e%"! 'e%!e&u'.

Un' 'e%k"' 1. Un' &e)", !en'%"# . I?D

2. R"9"' n"( 4. H=U


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=ATATAN KE=ELAKAAN ATAU KE?A?ALAN

OPERASI

STANDART

PROSEDUR

OPERASIONAL

No.Dokumen

01/PRW/A/11/2014

Rev!

0

H"#"m"n

1/1

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n 3e#"kuk"n (en"'"'"n ke+")"n "'"u ke$"$"#"n (")" !e'"( o(e%"!.

Tu+u"n Un'uk men"'"' ke+")"n ')"k )n$nk"n "'"u ke$"$"#"n o(e%"! )"n

)$un"k"n un'uk (e#"(o%"n )"n )e"#u"!.

Ke&+"k"n Se'"( kee#"k"n "'"u ke$"$"#"n o(e%"! 9"+& )"'"' )"n

)#"(o%k"n.

P%o!e)u% 1. Pe%"9"' men$! 8o%mu#% kee#"k""n KTD5 'e%k"'.

2. Pe%"9"' men"'"' )"'" (")" &uku (e#"(o%"n.

. Pe%"9"' me#"(o%k"n ke(")" koo%)n"'o% un' &e)", !en'%"#.

4. Koo%)n"'o% un' &e)", !en'%"# me#"(o%k"n ke(")" ke("#"

%um", !"k'.

Un' 'e%k"' 1. Kom'e me)k

2. Un' &e)", !en'%"#


72/108

TI3E OUT

Be%,en' !e+en"k !e&e#um memu#" (%o!e)u% o(e%"!

STANDART

PROSEDUR

OPERASIONAL

No.Dokumen

01/PRW/A/11/2014

Rev!

0

H"#"m"n

1/2

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n Tme ou' ")"#", ke")""n )m"n" !e#u%u, (e'u$"! k"m"% o(e%"!!

'e%m"!uk )ok'e% *"n$ "k"n me#"kuk"n 'n)"k"n o(e%"! &e%,en'

!e+en"k< !e!""' !e&e#um memu#" (%o!e)u% o(e%"!.

Tu+u"n 3ene$", 'e%+")n*" ke+")"n n*"%! e)e%" ke+")"n ')"k

),"%"(k"n.

Ke&+"k"n 1. Se'"( !""' !e&e#um memu#" (%o!e)u% o(e%"! ,"%u!

)#"ku"k"n.

2. G"n$ &e%'u$"! me#"k!"n"k"n TI3E OUT< ")"#", !e#u%u,

kom(onen (e#"k!"n" o(e%"! )(m(n o#e, "!!'en o(e%"'o%.

P%o!e)u% 1. S""' ("!en 'e#", m"!uk k"m"% o(e%"! #"kuk"n ek )en''"!

("!en mnm"# 2 )en''"! *"n$ me#ek"': N"m" ("!en Umu%

@en! ke#"mn A!"# %u"n$ (e%"9"'"n.

2. A!!'en o(e%"'o% me#"kuk"n %o!! ,ek :

a. Po!! ("!en *"n$ !e!u" )en$"n ke&u'u,"n o(e%"!


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TI3E OUT

Be%,en' !e+en"k !e&e#um memu#" (%o!e)u% o(e%"!

STANDART

PROSEDUR

OPERASIONAL

No.Dokumen

01/PRW/A/11/2014

Rev!

0

H"#"m"n

2/2

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

&. @en! )"n (%o!e)u% o(e%"! *"n$ "k"n )#"kuk"n

. Ke'e%!e)""n m(#"n' "#"'"#"' *"n$ )'"n"m )u%"n'e

o(5 !e!u" )en$"n ke&u'u,"n ("!en

). Ke'e%!e)""n )"'" (enun+"n$ %")o#o$ *"n$ )(e%#uk"n

un'uk kon8%m"! #ok"! o(e%"! 'e%m"!uk men$eek:

Ke!e!u""n )en''"! ("!en )en$"n ,"!#

(eme%k!""n %")o#o$

Ke!e!u""n #e'"k / (o!! k"n"n/k%5

. @k" !emu" !u)", !e!u" "!!'en o(e%"'o% men$u"(k"n

=LEAR. Pe%k!" ("!en !u)", )#"kuk"n (enuku%"n %"m&u' )"e%",

o(e%"! "'"u &e#um +k" &e#um !e$e%" #"kuk"n (enuku%"n )en$"n

men+"$" (%v"! ("!en

10. Un'uk o(e%!" 'e%'en'u (e%k!" "("k", !u)", 'e%("!"n$ "',e'e%

+k" &e#um !e$e%" ("!"n$

Un' 'e%k"' 1. Un' &e)", !en'%"#

2. Un' %"9"' n"(

. Un' %"9"' +"#"n/ I?D


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PEN@ADWALAN OPERASI

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PROSEDUR

OPERASIONAL

No.Dokumen

01/PRW/A/11/2014

Rev!

0

H"#"m"n

1/

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n 3e#"ku"kn (en+")9"#"n o(e%"! e#ek'8 &"k )"% %"9"' n"( m"u(un

%"9"' +"#"n/I?D.

Tu+u"n 3en$"'u% (en+")9"#"n o(e%"! "$"% ')"k 'e%+") ove%#o") m"u(un

keke#%u"n (en+")9"#"n ("!en.

Ke&+"k"n Ke&+"k"n (en"'"#"k!"n""n (e%!"("n ("!en o(e%"!.

P%o!e)u% 1. S"(k"n ("!en !e"%" 8!k m"u(un men'"#

2. P"!en 'e%#e&, )",u#u %"9"' n"( mnm"# !e,"% !e&e#um

)#"kuk"n o(e%"!

. Be%k"n (en$e%'"n (")" ("!en 'en'"n$ (en*"k'n*" 'n)"k"n

*"n$ "k"n )#"k"uk"n )"n kemun$kn"n F kemun$k"n *"n$

"k"n 'e%+") !e#"m" )"n !e!u)", (em&e)","n

4. Dok'e% o(e%"'o% me#"kuk"n kon!o#)"! )en$"n )ok'e% "n"!'e!*"n$ )#en$k"( )en$"n (eme%k!""n #"&o%"'o%um k#nk

#"&o%"'o%um ("'o#o$ "n"'om %")o#o$ )##


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PEN@ADWALAN OPERASI

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PROSEDUR

OPERASIONAL

No.Dokumen

01/PRW/A/11/2014

Rev!

0

H"#"m"n

2/

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

6. T"n)" '"n$"n !u%"' ke!e)""n ) &e)", informed concent5 o#e,

("!en "'"u ke#u"%$" ("!en " ("!en ) &"9", umu% 1 '",un

'"n)" '"n$"n )#"kuk"n o#e, o%"n$'u" ("!en "'"u *"n$

&e%'"n$$un$+"9"& "'"! )%n*" !en)%

7. Dok'e% o(e%"'o% mem&e%k"n %e!e( o&"' "'"u "#"' ke!e,"'"n

un'uk (e%!"("n (%e o(e%"! !e!u" )en$"n ke&u'u,"n ke ("!en

"'"u ke ke#u"%$"

. A+uk"n +")9"# (em&e)",n o(e%"!5 !e,"% !e&e#umn*"

!e&e#um +"m 14.00 WIB ) &"$"n ")mn!'%"! k"m"% o(e%"! un'

&e)", !en'%"# )"n )ke#o#" o#e, oo%)n"'o% k"m"% o(e%"! )en$"n

(en+")9"#"n (e#"k!"n""n (em&e)","n

;. Pe%mo,on"n (en+")9"#"n o(e%"! ) "'"! +"m 14.00 WIB

)en$"n "%" men$,u&un$ ke("#" %u"n$"n "'"u (e'u$"! %u"n$

o(e%"!

>. In8o%m"!k"n 'e%#e&, )",u#u ke ke("#" %u"n$"n &e)", !en'%"#

" ")" (e#"k!"n""n (em&e)","n ) #u"% +")9"# 'o


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o(e%"!/eme%$en*5

PEN@ADWALAN OPERASI

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No.Dokumen

01/PRW/A/11/2014

Rev!

0

H"#"m"n

/

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


10. Pen*u!un"n )"n 8o%m"' (en+")9"#"n )#"kuk"n o#e,

oo%)n"'o%/ke("#" %u"n$"n k"m"% o(e%"!

11. Un'uk !e#"n+u'n*" oo%)n"'o% k"m"% o(e%"! me#"kuk"n

kon!o#)"! )en$"n )ok'e% o(e%"'o% )"n )ok'e% "n"!'e!

Tu+u"n 1. Un' &e)", !en'%"#

2. Un' %"9"' n"(

. Un' %"9"' +"#"n/I?D


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PEN@ADWALAN OPERASI ELEKTI

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No.Dokumen

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0

H"#"m"n

1/2

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n Pen$"'u%"n +")9"# o(e%"! *"n$ "k"n )ke%+"k"n ) k"m"% o(e%"!

Un' Be)", Sen'%"# *"n$ men"ku( '"'""%" (en+")9"#"n.

Tu+u"n Un'uk men+"mn ke#"n"%"n o(e%"! )"n ke("!'"n &"$ ("!en.

Ke&+"k"n 1. @")9"# o(e%"! *"n$ ")" " 'e%+") (enun)""n m"k" !emu"

(,"k *"n$ 'e%#&"' un'uk )&e%'",u )"n mem&u"' %en"n" un'uk

(en+")9"#"n &"%u.

2. Un'uk o(e%"! 'o )"n "n"k ))",u#uk"n

P%o!e)u% 1. P"!en *"n$ men)"8'"% ) k"m"% o(e%"! 'e#", me#en$k"(

(e%!*"%"'"n ) %"9"' +"#"n )"n 'e#", )(e%k!" o#e, 'm "n"!'e!

2. P"!en )"'"' )"#"m &uku (en+")9"#"n %en"n" o(e%"!

. P"!en mene%m" ke'e'"("n %en"n" +")9"# o(e%"!

4. P")" ,"% H1 (e'u$"! %u"n$ o(e%"! men$n$"'k"n )ok'e%

o(e%"'o% &",9" ")" +")9"# o(e%"! (")" ,"% H

6. Pe'u$"! men*"("k"n %u"n$ o(e%"! )"n !"%"n" (%"!"%"n"


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2/2

T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Un'uk ke&u'u,"n o(e%"! n!'%umen' o&"' )"n "#"' ke!e,"'"n5

7. P")" ,"% H (e'u$"! %u"n$ o(e%"! men$n$"'k"n kem&"# )ok'e%

o(e%"'o% &",9" ")" o(e%"! (")" ,"% 'u

Un' 'e%k"' 1. Un' &e)", !en'%"#

2. Un' %"9"' n"(

. Un' %"9"' +"#"n/I?D


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T"n$$"# Te%&':

01 No(em&e% 2014

D'e'"(k"n


D%ek'u%

Pen$e%'"n Su"'u !*!'em *"n$ men$"'u% (en+")9"#"n o(e%"! *'o !e$e%"

)#"kuk"n5.

Tu+u"n A$"% (en"n$"n"n ("!en )en$"n ke$"9"')"%u%"'"n o(e%"! )"("'

)#"k!"n"k"n )en$"n !eme!'n*" !e!u" )en$"n ke")""n )"%u%"'n*".

Ke&+"k"n 1. @")9"# o(e%"! *"n$ ")" " 'e%+") (enun)"""n m"k" !emu"

(,"k *"n$ 'e%#&"' !e$e%" )&e%'",u )"n mem&u"' %en"n"

un'uk (en+")9"#"n &"%u

2. Un'uk o(e%"! *'o )"n "n"k ))",u#uk"n

P%o!e)u% 1. Pe%"9"' mene%m" (en)"8'"%"n *'o

2. Pe%"9"' menu#! ) ke%'"! %en"n" o(e%"! mu#" )"% C N"m"

("!en Umu% @en! ke#"mn D"$no!" @en! An"!'e! '"n$$"#

)"n +"m o(e%"!.

. Pe%"9"' me#"(o%k"n ke(")" K". K"m"% O(e%"! Dok'e% Be)",

)"n Dok'e% An"!'e!.


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Pen$e%'"n Pen$"'u%"n +")9"# o(e%"! *"n$ "k"n )ke%+"k"n ) k"m"% o(e%"!

Un' &e)", !en'%"# *"n$ me#(u' (en$"'u%"n vo#ume o(e%"! )"n

(en$"'u%"n k"m"% o(e%"!.

Tu+u"n Un'uk men+"mn ke#"n"%"n o(e%"! )"n (en$en)"#"n &e&"n ke%+"

(e'u$"! k"m"% o(e%"! (")" +"m ke%+" e#ek'8.

Ke&+"k"n 1. @")9"# o(e%"! *"n$ ")" " 'e%+")

2. Un'uk o(e%"! 'o )"n "n"k ))",u#uk"n

P%o!e)u% 1. Ke'en'u"n )"#"m (en+")9"#"n o(e%"!:

Pen+")9"#"n o(e%"! )#"kuk"n o#e, Ke("#" Koo%)n"'o% Ru"n$"n

Be)", !en'%"#

Semu" )ok'e% o(e%"'o% mem"'u, +")9"# o(e%"! *"n$ 'e#", )&u"'.

Pen$$un""n k"m"% o(e%"! &!" memenu, ke&u'u,!n !emu! )!(#n

#mu

Pen$$u"n" k"m"% o(e%"! ) RS A!*", !' "'m",


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2. Pen$"'u%"n vo#ume %en"n" o(e%"! (en)e%'" e#ek'8.

Be)", umum : m"mum 4 em("'5 (en)e%'"

Be)", o%'o(e) : m"mum '$"5 (en)e%'"

Be)", o&$*n : m"mum 2 )u"5 (en)e%'"

THT : m"mum 2 )u"5 (en)e%'" keu"# men$$un"k"n

en)o!ko( )en$"n ?A ?ene%"# An"!'e!5 m"mum1 !"'u5 (en)e%'".

. Pen$"'u%"n k"m"% o(e%"! :

OK 1 : Be)", umum o&$*n THT

OK 2 : P%o%'"! Be)", !*"%"8 P%o%'"! &e)", o%',o(e) 3"'"

(%o%'"! &e)", u%o#o$!.

Un' 'e%k"' 1. Un' Be)", Sen'%"#

2. S3 Be)",

. S3 An"!'e!

4. S3 THT

6. S3 3"'"


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7. S3 O&$*n


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Pen$e%'"n Pe#"k!"n""n o(e%"! eme%$en! ")"#", o(e%"! *"n$ )#"kuk"n (")"

("!en )"#"m ke")""n !e$e%" ) #u"% +")9"# o(e%"! 'e%en"n".

Tu+u"n 3em&e%k"n (e#"*"n"n o(e%"! (")" ("!en !e"%" e("' )"n o('m"#

Ke&+"k"n Se#u%u, ("!en 'o (emergensi5 )"("' !e$e%" )'"n$"n )en$"n 'e'"(

mem(e%'m&"n$k"ngolden period)"n %e!(on 'me !e&"$" (%o%'"!

P%o!e)u% 1. Ke'en'u"n )"#"m (e#"k!"n""n o(e%"! eme%$en! :

P"!en o(e%"! 'o &!" &e%"!"# )"% Un' $"9"' )"%u%"' R"9"' n"(

R"9"' 'en!8 "'"u(un P"v#um.

Tm o(e%"! 'e%!e)" !e"%" e("'.

O(e%"! 'o *"n$ &e"%"!"# )"% U?D )#"k!"n"k"n ("#n$ #"m" 70

men' !e'e#", ("!en )'e%m" ) U?D keu"# " ("!en m"!,

meme%#uk"n (e%&"k"n ke")""n umum.

2. Dok'e% o(e%"'o% &e%!"m" )ok'e% "n"!'e! menen'uk"n +"m

(e#"k!"n""n o(e%"!.


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. Dok'e% o(e%"'o% men*"m("k"n ke("!'"n +"m (e#"k!"n""n

o(e%"! ke(")" (e'u$"! 'em("' "!"# ("!en.

4. Pe'u$"! 'em("' "!"# ("!en men$,u&un$ (e'u$"! "'"u (e%"9"'

+"$" k"m"% o(e%"! (e%"9"' &e)", )"n "n"!'e!5 :

P")" +"m )n"! #"n$!un$ ) OK.

P")" +"m +"$" me#"#u o(e%"'o% 'e#(on.

6. Pe%"9"' +"$" ) 'em("' "!"# ("!en *"n$ "k"n )o(e%"!

men*"(k"n (e%#en$k"("n ke&u'u,"n o(e%"! &"k (e%#en$k"("n

me)! m"u(un ")mn!'%"!.

7. Se'e#", (e'u$"! OK !"( ("!en !e$e%" )k%m ke k"m"% o(e%"!

&e!e%'" !emu" (e%"#"'"n un'uk Pe%!"("n o(e%"!.

. B#" !emu" (e'u$"! !u)", !"( 'e%m"!uk )ok'e% o(e%"'o% )"n

)ok'e% "n"!'e! !e%'" (e%!"("n !u)", #en$k"( m"k" o(e%"! !e$e%"

)mu#".


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D%ek'u%

Un' Te%k"' 1. Un' ?"9"' D"%u%"'

2. Un' R"9"' In"(

. I=U

4. S3 Be)",

6. S3 Be)", P#"!'k

7. S3 An"!',e!

. S3 THT

;. S3 3"'"

>. S3 O&$*n


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Pen$e%'"n 3en$,'un$ +um#", k"!" !e&e#um )"n !e!u)", o(e%"! &e%#"n$!un$ )

k"m"% o(e%"! Un' Be)", Sen'%"#.

Tu+u"n 3en$,n)"%o 'e%'n$$"#n*" k"!" )"#"m 'u&u, ("!en !""' o(e%"!

&e%#"n$!un$.

Ke&+"k"n Pe%"9"' n!'%umen' me#"kuk"n (en$,'un$"n k"!" !e&e#um )"n

!e!u)", o(e%"!.

P%o!e)u% 1. H'un$ +um#", k"!" !e&e#um o(e%"! )mu#".

2. Pen$,'un$"n k"!" o#e, n!'%umen'"'o% )"n )!"k!k"n o#e,

(e'u$"! ke##n$ om#o(5.

. Bu"' "'"'"n k,u!u! (")" 8o%m"' *"n$ 'e#", )!e)"k"n.

4. L"kuk"n (n$,'un$"n u#"n$ !e&e#um #uk" o(e%"! )'u'u(.

6. P"!'k"n +um#", k"!" !e&e#um o(e%"! )mu#" )en$"n +um#", k"!"

!e&e#um #uk" o(e%"! )'u'u(.

6. L"kuk"n (en$,'un$"n u#"n$.


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D%

SOP OK SIFAT 2014.doc

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