sop instalasi rm rsmma pontianak(rev)-2

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  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    1/19

    DAFTAR ISI

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    2/19

    Halaman

    A. KATA PENGANTAR …………………………………………………………………....... i

    B. DAFTAR ISI ……………………………………………………………………………….. ii01/RM-SOP/2014 Pena!"a#an Ra$a" %alan &Ami'i(n) ……..………………………….. 1

    02/RM-SOP/2014 Pena!"a#an Ra$a" Ina* &Ami""in+ O!!i,) .…………………………..

    0/RM-SOP/2014 A''emlin+ …..………………………………………………………. 404/RM-SOP/2014 (in+ ………………………………………………………..……….

    0/RM-SOP/2014 Fillin+ S'"em ……………..…………………………………………

    0/RM-SOP/2014 Pela*(#an R3ma Sa5i" …..…………………………………………... 6

    07/RM-SOP/2014 Re'3me Mei' ………………………………………………………... 1106/RM-SOP/2014 8i'3m e" Re*e#"3m …………………………………………………... 10

    RSSMA

    PONTIANAK

    PENDAFTARAN RAWAT JALAN PASIEN BARU

    (ADMISION)

     N(. D(53men

    01/RM-SOP/2014

     N(. Re9i'i Halaman

    1/2

    STANDART

    PROSEDUR 

    INSTA:ASIREKAM MEDIS

    Tan++al Te#i" Mene"a*5an

    Di#e5"3# 

    PENGERTIAN Tem*a" an+ i+3na5an 3n"35 mela535an *ena!"a#an a+i *a'ien an+

     a#3 *e#"ama 5ali e#53n;3n+ 'eel3m mena*a"5an *elaanan

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    3/19

    5e'ea"an. Si!a" *elaanan i TPPR% aala administratif   &"e#"i< #a*i<

    "eli"i an ,e*a") 'e#"a #aa'ia &'e#a "e#ima (53men a#i 'a"3 3ni" 5e

    3ni" lain "ia5 (le (le *a'ien a"a3 5el3a#+a "e"a*i (le *e"3+a').

    TUJUAN A+a# P#('e3# Pelaanan i main+-ma'in+ *(li5lini5 e#;alan en+an

     ai5 Hana mene#a5an KI=P *aa *e"3+a'.

     . Pa'ien %am5e'ma' > Mene#a5an KI=P an Sa#a"Ke*e'e#"aan &F KK< F S3#a" #3;35an # P35e'ma'< F Ka#"3

    %am5e'ma' 'e"ia* 5ali e#53n;3n+)

    ,. Pa'ien %KN N(n PBI > Mene#a5an KI=P an Sa#a"Ke*e'e#"aan &S3#a" R3;35an an Ka#"3 Pe'e#"a %KN 'e"ia* 5ali

     e#53n;3n+

    . Pe"3+a' Men+en"#i a"a a'a# *a'ien 'e'3ai KI=P *aa *#(+#aman+ '3a aa.

    4. Pe"3+a' meme#i n(. #e5am mei' *aa *a'ien< n(. #e5am mei'

    ana ie#i5an 1 &'a"3) *a'ien 1&'a"3) n(m(# an a*a" i*a5ai

    'elamamna.. Pe"3+a' Mem3a" SEP a+i Pa'ien en+an a'3#an'i &

    %am5e'ma' an %KN n(n PBI) 'e'3ai #3;35an.

    PENDAFTARAN RAWAT JALAN PASIEN BARU

      (ADMISION)

    RSSMA

    PONTIANAK

     N(. D(53men

      01/RM-SOP/2014

      N(. Re9i'i Halaman

    STANDART

    PROSEDUR 

    INSTA:ASIREKAM MEDIS

      Tan++al Te#i"

    Mene"a*5an

    Di#e5"3# 

    . Pe"3+a' men,e"a5 KIB an meme#i5an *aa *a'ien 'amil

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    4/19

    men+in+"a5an 3n"35 MEMBA?A KEMBA:I SETIP KA:I

    BEROBAT.

    7. Pe"3+a' Men,e"a5 Re5am Mei'6. Pe"3+a' Men+a#a5an *a'ien 5e *(li5lini5 an+ i"3;3

    UNIT TERKAIT 1. I'"ala'i Ga$a" Da#3#a"

    2. P(li5lini5 

    RSSMA

    PONTIANAK

    PENDAFTARAN RAWAT JALAN PASIEN LAMA(ADMISSION)

     N(. D(53men

    02/RM-SOP/2014

     N(. Re9i'i Halaman

    1/1

    STANDART

    PROSEDUR 

    INSTA:ASIREKAM MEDIS

    Tan++al Te#i"Mene"a*5an

    Di#e5"3# 

    PENGERTIAN Tem*a" an+ i+3na5an 3n"35 mela535an *ena!"a#an a+i *a'ien an+

    S3a *e#na e#53n;3n+ 'eel3m mena*a"5an *elaanan 5e'ea"an.

    Si!a" *elaanan i TPPR% aala administratif   &"e#"i< #a*i< "eli"i an,e*a") 'e#"a #aa'ia &'e#a "e#ima (53men a#i 'a"3 3ni" 5e 3ni" lain

    "ia5 (le (le *a'ien a"a3 5el3a#+a "e"a*i (le *e"3+a').

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    5/19

    TUJUAN

    A+a# P#('e3# Pelaanan i main+-ma'in+ *(li5lini5 e#;alan en+an

     ai5 Hana mene#a5an KIB *aa *e"3+a'.

    e. Pa'ien %am5e'ma' > Mene#a5an KIB an Sa#a" Ke*e'e#"aan& F KK< F S3#a" #3;35an # P35e'ma'< F Ka#"3 %am5e'ma'

    'e"ia* 5ali e#53n;3n+ )

    !. Pa'ien %KN N(n PBI > Mene#a5an KIB an Sa#a"Ke*e'e#"aan & S3#a" R3;35an an Ka#"3 Pe'e#"a %KN 'e"ia* 5ali

     e#53n;3n+

    . Pe"3+a' Men+en"#i a"a 'e'3ai KIB *aa *#(+#am an+ '3a aa.

    4. Pe"3+a' Mem3a" SEP a+i Pa'ien en+an a'3#an'i

    & %am5e'ma' an %KN n(n PBI) 'e'3ai #3;35an.. Pe"3+a' Men+a#a5an *a'ien 5e*(li5lini5 an+ i"3;3

    UNIT TERKAIT

    1. In'"ala'i Ga$a" Da#3#a"2. P(li5lini5 

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    6/19

    RSSMAPONTIANAK

    TEMPAT PENDAFTRAN RAWAT INAP PASIEN BARU

    (ADMITTING OFFICE)

     N(. D(53men

    0/RM-SOP/2014

     N(. Re9i'i Halaman

    1/1

    STANDART

    PROSEDUR 

    INSTA:ASI

    REKAM MEDIS

    Tan++al Te#i"

    Mene"a*5an

    Di#e5"3# 

    PENGERTIAN Tem*a" *ene#imaan *a'ien a#3 i "em*a" *ena!"#an #a$a" ina* i

    #3ma 'a5i".

    TUJUAN A+a# Pelaanan Teaa* Pa'ien Te#a#a< e*a"< an A53#a".

    KEBIJAKAN

    1. Sem3a *a'ien an+ in+in mena*a"5an *e#a$a"an lan;3"an a#3'

    melal3i *eme#i5'aan IGD .

    2. Pena!"a#an #a$a" ina* ila535an i IGD

    . Mena3l35an 3n"35 *eme#ian *elaanan 5e'ea"an a#i *aa#e+#i'"#a'i *ena!"a#an.

    PROSEDUR 

    1. Pa'ien a"an+ en+an mema$a '3#a" *e#min"aan #a$a" ina*

    2. Pe"3+a' men;ela'5an "em*a" "i3# an 5ela' *e#a$a"an an+ a5ani+3na5an.

    . Pe"3+a' men;ela'5an an meme#i5an in!(#ma'i *emaa#an a+i

     *e'e#"a =m3m a"a3 %KN.

    4. Pe"3+a' men+en"#i a"a a'a# *a'ien *aa *#(+#am an+ '3a aa

    'e'3ai inen"i"a'..

    . Pe"3+a' men+i'i/men+e*#i"n RM 1&lema# ma'35 an 5el3a# )

    . Pe"3+a' menia*5an 1&'a"3) 'e" (53men #e5am mei' *a'ien

    #a$a" ina*.

    UNIT TERKAIT

    - P(li5lini5 #a$a" ;alan

    - In'"ala'i Ra$a" Ina*- =ni" Ga$a" Da#3#a"

    - Amini'"#a'i

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    7/19

    RSSMA

    PONTIANAK

    TEMPAT PENDAFTRAN RAWAT INAP PASIEN LAMA

    (ADMITTING OFFICE)

     N(. D(53men

    04/RM-SOP/2014

     N(. Re9i'i Halaman

    1/1

    STANDART

    PROSEDUR 

    INSTA:ASI

    REKAM MEDIS

    Tan++al Te#i"

    Mene"a*5an

    Di#e5"3# 

    PENGERTIANTem*a" *ene#imaan *a'ien lama i "em*a" *ena!"#an #a$a" ina* i

    RS=D S=:TAN S@ARIF MOHAMAD A:KADRIE PONTIANAK.

    TUJUAN A+a# Pelaanan Teaa* Pa'ien Te#a#a< e*a"< an A53#a".

    KEBIJAKAN 1. Sem3a *a'ien an+ in+in mena*a"5an *e#a$a"an lan;3"an a#3'

    melal3i *eme#i5'aan IGD .

    2. Pena!"a#an #a$a" ina* ila535an i IGD. Mena3l35an 3n"35 *eme#ian *elaanan 5e'ea"an a#i *aa

    #e+#i'"#a'i *ena!"a#an.

    PROSEDUR 

    1. Pa'ien a"an+ en+an mema$a '3#a" *e#min"aan #a$a" ina*

    2. Pe"3+a' men;ela'5an "em*a" "i3# an 5ela' *e#a$a"an an+ a5an

    i+3na5an.

    . Pe"3+a' men;ela'5an an meme#i5an in!(#ma'i *emaa#an a+i

     *e'e#"a =m3m a"a3 %KN.

    4. Pe"3+a' men+en"#i a"a 'e'3ai KIB *a'ien *aa *#(+#am an+

    '3a aa

    . Pe"3+a' menia*5an 1 &'a"3) 'e" #e5am mei'.. %i5a Pa'ien ma'35 Pa+i &06.00-14.00) *e"3+a' men+33n+i a+ian

    !aillin+ 3n"35 i,a#i5an #e5am mei' lamana 3n"35 i'a"35an

    en+an (53men #e5am mei' *aa 'aaa" *ena!"#an 3lan+.

    7. %i5a Pa'ien ma'35 '(#e &14.00-06.00) *e"3+a' *ena!"a#an #a$a"ina* men,a#i (53men #e5am mei' lama i #3an+ !aillin+.

    UNIT TERKAIT - In'"ala'i Ra$a" %alan

    - In'"ala'i Ra$a" Ina*

    - =ni" Ga$a" Da#3#a"

    PENDAFATRAN INSTALASI GAWAT DARURAT (IGD)

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    8/19

    RSSMA

    PONTIANAK

    PASIEN BARU

     N(. D(53men

    0/RM-SOP/2014

     N(. Re9i'i Halaman

    1/2

    STANDARTPROSEDUR 

    INSTA:ASI

    REKAM MEDIS

    Tan++al Te#i"

    Mene"a*5an

    Di#e5"3# 

    PENGERTIANTem*a" *ene#imaan *a'ien a#3 i *ena!"a#an In'"ala'i Ga$a" Da#3#a"

    TUJUAN 1. A+a# *elaanan "e#aa* *a'ien "e*a" an ,e*a"

    2. A+a# a"a *a'ien "e#,a"a".. A+a# a*a" i i"3n+ ;3mla 53n;3n+an *a'ien IGD

    4. %i5a *a'ien "ia5 a*a" meal35an *ena!"#an 5e l(5e"< ma5a *e"3+a'

     *#( a5"i! 3n"35 men+ien"i!i5a'i *a'ien.

    KEBIJAKAN 1. Sem3a *a'ien an+ e#(a" i In'"ala'i Ga$a" Da#3#a" a#3'

    "e#a!"a# an i#e+i'"#a'i 'e'3ai ;am an "an++al 53n;3n+an

    2. Mena3l35an 3n"35 *eme#ian *elaanan 5e'ea"an a#i *aa

    #e+#i'"#a'i *ena!"a#an.

    PROSEDUR 1. Pa'ien mena!"a# 5e "em*a" *ena!"a#an IGD.

    2. Pa'ien/5el3a#+a/Penan++3n+ ;a$a men+i'i KI=P 'e'3ai ien"i"a'

     *a'ien.

    . Pe"3+a' men+en"#i a"a 5e*#(+#am 'e'3ai KI=P + "ela ii'i.

    4. Pe"3+a' men+e*#in" (53men #e5am mei' IGD &$a#na me#a).. =n"35 *a'ien an+ "ia5 i5e"a3i ien"i"a'na i e#i ini'ial

    M#./M#'. an a"a a'a# 'e'3ai ,i#i !i'i5na. Se"ela 5el3a#+a

     *a'ien a"an+ ma5a a"a a'a# ilen+5a*i 'e'3ai ien"i"a'na.

    . Pe"3+a' mem3a" KIB &5a#"3 ien"i"a' e#(a") an i'e#a5an 5e

     *a'ien 'amil iin+a"5an 'e"ia* 5ali e#(a" 3n"35 ia$a 5emali.7. Pe"3+a' men;ela'5an an meme#i in!(#ma'i ,a#a *emaa#an a+i

     *e'e#"a 3m3m a"a3 %KN.

    6. Pe"3+a' mene#a5an (53men #e5am mei' 5e*e#a$a" IGD.

    UNIT TERKAIT1. I'"ala'i Ga$a" Da#3#a"

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    9/19

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    10/19

    RSSMAPONTIANAK

    PENDAFTARAN INSTALASI GAWAT DARURAT(IGD)

    PASIEN LAMA

     N(. D(53men

    0/RM-SOP/2014

     N(. Re9i'i Halaman

    1/1

    STANDART

    PROSEDUR 

    INSTA:ASI

    REKAM MEDIS

    Tan++al Te#i" Men+e"a3i

    Ba'a#3in

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    11/19

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    12/19

    RSSMAPONTIANAK

    PEMINJAMAN DOKUMEN REKAM MEDIS PELAYANAN

    RAWAT JALAN

     N(. D(53men

    0/RM-SOP/2014

     N(. Re9i'i Halaman

    1/1

    STANDART

    PROSEDUR 

    INSTA:ASI

    REKAM MEDIS

    Tan++al Te#i"

    Mene"a*5an

    PENGERTIANMen+amil (53men #e5am mei' a#i #3an+ *enim*anan (53men

    #e5am mei' 3n"35 i+3na5an *aa 3ni" *en++3na.

    TUJUAN Ma'in+-ma'in+ *elaanan #a$a" ;alan a*a" men++3na5an (53men #e5ammei'

    KEBIJAKAN

    1. Pe"3+a' mem*3nai $a5"3 ma5' 1 ;am 3n"35 men,a#i (53men

    #e5am mei' an+ "ia5 aa alam alma#i *enim*anan

    2. %i5a alm $a5"3 1 ;am "ia5 i"em35an ma5a i3a"5an (53men

     a#3 #e5am mei' en+an n( #e5am mei' an+ 'ama.. %i5a (53men #e5am mei' an+ lama "ela i"em35an 'e"ela

    mem3a"a (53men #e5am mei' a#3 ma5a (53men #e5am

    mei' a#3 an lama i ;a5an 'a"3.

    PROSEDUR 

    1. Pe"3+a' men+i'i lan+5( *emin;aman 'ea+ai *en++an"i (53men

    an+ iamil.

    2. Pe"3+a' men+amil (53men #e5am mei' 'e'3ai n(m(# #e5am

    mei'.. Pe"3+a' meneli*5an "#e,e#&*a*an *ema"a') an+ e#i'i lan+5(

     *emin;aman *aa (53men #e5am mei' an+ iamil.4. Pe"3+a' mele"a55an (53men #e5am mei' *aa ma'in+-ma'in+

    5e#an;an+ 'e'3ai *(li5lini5 

    . Pe"3+a' men,a"a" (53men an+ 5el3a# *aa 353 e5'*ei'i.

    UNIT TERKAIT

    1. R3an+ Fillin+

    2. P(li5lini5 Ra$a" %alan. Pelaanan Ra$a" Ina*

    4. In'"ala'i Ga$a" Da#3#a"

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    13/19

    RSSMAPONTIANAK

    PENDISTRIBUSIAN DOKUMEN REKAM MEDIS RAWAT

    JALAN

     N(. D(53men

    0/RM-SOP/2014

     N(. Re9i'i Halaman

    1/1

    STANDART

    PROSEDUR 

    INSTA:ASI

    REKAM MEDIS

    Tan++al Te#i"

    Mene"a*5an

    Di#e5"3# 

    PENGERTIAN

    Men+i#im5an (53men #e5am mei' 5e*(li5lini5 #a$a" ;alan an

    in'"ala'i +a$a" a#3#a".

    TUJUAN   A+a# *elaana a*a" ila535an en+an ,e*a" an "e*a".

    KEBIJAKAN

      PERMENKES NO. 74 TH 16 PASA: 11 "en"an+ Re5am Mei'

    $a;i i;a+a 5e#aa'iaana.

    PROSEDUR 

    1. Pe"3+a' men+amil (53men #e5am mei' a#i 5e#an;an+ ma'in+-

    ma'in+ *(li5lini5.

    2. Pe"3+a' men+an"a#5an (53men #e5am mei' 5e *(li5lini5 an+

    i"3;3 'e'3ai *e#min"aan.

    . Pe"3+a' memn+5(n!i#ma'i en+an 353 e5'*ei'i.

    UNIT TERKAIT

    1. R3an+ !illin+

    2. P(li5lini5 #a$a" ;alan

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    14/19

    RSSMAPONTIANAK

    PEMINJAMAN DOKUMEN REKAM MEDIS PELAYANAN

    RAWAT INAP

     N(. D(53men

    0/RM-SOP/2014

     N(. Re9i'i Halaman

    1/1

    STANDART

    PROSEDUR 

    INSTA:ASI

    REKAM MEDIS

    Tan++al Te#i"

    Mene"a*5an

    Di#e5"3# 

    PENGERTIAN

    Men+el3a#5an (53men #e5am mei' a#i #3an+ *enim*anan 3n"35 

    i+3na5an a+i 3ni" *en++3na.

    TUJUAN

    Ma'in+-ma'in+ *elaanan #a$a" ;alan a*a" men++3na5an (53men

    #e5am mei'

    KEBIJAKAN

    PROSEDUR 

    1. Pe"3+a' Pe"3+a' men+i'i lan+5( *emin;aman 'ea+ai *en++an"i

    (53men an+ iamil.

    2. Pe"3+a' men+amil (53men #e5am mei' 'e'3ai n(m(# #e5am

    mei'.

    . Pe"3+a' meneli*5an "#e,e#&*a*an *ema"a') an+ e#i'i lan+5(

     *emin;aman *aa (53men #e5am mei' an+ iamil.

    4. Pe"3+a' mele"a55an (53men #e5am mei' *aa ma'in+-ma'in+

    5e#an;an+ 'e'3ai 3ni" *emin;am.

    . Pe"3+a' men,a"a" (53men an+ 5el3a# *aa 353 e5'*ei'i.

    UNIT TERKAIT

    1. R3an+ Fillin+

    2. Pelaanan #a$a" ina*

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    15/19

    RSSMAPONTIANAK

    PENDISTRIBUSIAN DOKUME REKAM MEDIS

    PELAYANAN RAWAT INAP

     N(. D(53men

    0/RM-SOP/2014

     N(. Re9i'i Halaman

    1/1

    STANDART

    PROSEDUR 

    INSTA:ASI

    REKAM MEDIS

    Tan++al Te#i"

    Mene"a*5an

    Di#e5"3# 

    PENGERTIAN   Men+i#im5an (53men #e5am mei' *elaanan #a$a" ina*.

    TUJUAN  A+a# *elaanan a*" ial535a en+an ,e*a" an "e*a"

    KEBIJAKAN

      PERMENKES NO.74 TH 16 PASA: 11 "en"an+ Re5am mei'

    $a;i i;a+a 5e#aa'iaanna.

    PROSEDUR 

    1. Pe"3+a' men+amil (53men #e5am mei' a#i 5e#an;an+ ma'in+-

    ma'in+ *elaanan.

    2. Pe"3+a' men+an"a#5an (53men #e5am mei' 5e *elaanan #a$a"

    ina* an+ i"3;3 'e'3ai *e#min"aan.

    . Pe"3+a' memn+5(n!i#ma'i en+an 353 e5'*ei'i

    UNIT TERKAIT1. R3an+ Fillin+2. Pelaanan Ra$a" ina*

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    16/19

    RSSMAPONTIANAK

    PENGEMBALIAN DOKUMEN REKAM MEDIS RAWAT

    JALAN

     N(. D(53men

    0/RM-SOP/2014

     N(. Re9i'i Halaman

    1/1

    STANDART

    PROSEDUR 

    INSTA:ASI

    REKAM MEDIS

    Tan++al Te#i"

    Mene"a*5an

    Di#e5"3# 

    PENGERTIAN

    Menim*an 5emali (53men #e5am mei' an+ '3a i*a5ai

     *(li5lini5 #a$a" ina*.

    TUJUAN  A+a# (53men #e5am mei' a*a" i+3na5an 5emali ;i5a i*e#l35an.

    KEBIJAKAN

      BPP REKAM MEDIS DAN INFORMASI KESEHATAN DI R=MAH

    SAKIT TH 2010 RE8.1

    PROSEDUR 

    1. Pe"3+a' #a$a" ;alan men+amil (53men #e5am mei' a#i ma'in+-

    ma'in+ *(li5lini5.

    2. Pe"3+a' men+e,e5 *en+emalian (53men #e5am mei' en+an

     353 e5'*ei'i.

    . Pe"3+a' men+en'(#"i# ma'in+-ma'in+ (53men #e5am mei' 'e'3ai

    "e#minal i+i" n3me#.

    4. Pe"3+a' menim*an 5emali (53men #e5am mei' *aa alma#i

    a#'i* men++3na5an terminal digit filling.

    UNIT TERKAIT

    1. R3an+ Fillin+2. P(li5lini5 Ra$a" %alan

  • 8/19/2019 Sop Instalasi Rm Rsmma Pontianak(Rev)-2

    17/19

    RSSMAPONTIANAK

    PENGEMBALIAN DOKUMEN REKAM MEDIS RAWAT

    INAP

     N(. D(53men

    0/RM-SOP/2014

     N(. Re9i'i Halaman

    1/1

    STANDART

    PROSEDUR 

    INSTA:ASI

    REKAM MEDIS

    Tan++al Te#i"

    Mene"a*5an

    Di#e5"3# 

    PENGERTIAN

    Menim*an 5emali (53men #e5am mei' an+ '3a i+3na5an (le

     *elaanan #a$a" ina*.

    TUJUAN  A+a# (53men #e5am mei' a*a" i+3na5an 5emali ;i5a i*e#l35an.

    KEBIJAKAN

      BPP REKAM MEDIS DAN INFORMASI KESEHATAN DI R=MAH

    SAKIT TH 2010 RE8.1

    PROSEDUR 

    1. Pe"3+a' mene#ima *en+emalian (53men #e5am mei' a#i

     a+ian ,(in+.

    2. Pe"3+a' men+en'(#"i# ma'in+-ma'in+ (53men #e5am mei' 'e'3ai

    "e#minal i+i" n3me#.

    . Pe"3+a' menim*an 5emali (53men #e5am mei' *aa alma#i

    a#'i* men++3na5an terminal digit filling.

    UNIT TERKAIT

    1. Pelaanan Ra$a" Ina*2. Ba+ian (in+

    . R3an+an Fillin+

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    18/19

    RSSMAPONTIANAK

    PEMBERIAN KODE TINDAKAN (ICD-9CM)

     N(. D(53men

    0/RM-SOP/2014

     N(. Re9i'i Halaman

    1/1

    STANDART

    PROSEDUR 

    INSTA:ASIREKAM MEDIS

    Tan++al Te#i"Mene"a*5an

    Di#e5"3# 

    PENGERTIAN

    Menen"35an an mem335an 5(e "ina5an *aa lema# #e5am mei'

    &RM 1) 5(l(m "ina5an an S%P %KN en+an e#*e(man en+an *aa

     353 ID- M

    TUJUAN =n"35 menen"35an 5(e "ina5an 'e,a#a "e*a" 'e'3ai en+an 353 ID- Milema# #e5am mei' 5(l(m "ina5an an S%P %KN a+a# a*a" i*e#+3na5an 'e'3ai

    5e*e#l3anna

    KEBIJAKAN 1. Se"ia* (5"e# an+ mela535an "ina5an "e#aa* *a'ien $a;i men,an"3m5an ;eni' "ina5an an+ ie#i5an 5e*aa *a'ien *aa lema# RM 1 an S%P %KN

    2. Nama ;eni' "ina5an (*e#a'i i"3li' 'e'3ai e;aan mei' an len+5a* "an*a

    'in+5a"an

    . Se"ia* nama "ina5an (*e#a'i a#3' ie#i5an 5(e 'e'3ai en+an a"3#an an+

     e#la53 alam 353 ID- M

    PROSEDUR  1. D(53men #e5am mei' an+ "ela i"e#ima i a+ian *en+(laan an *enim*anan (53men #e5am mei' 'e5'i SI an Re5am Mei'< 'e"ela

    ila535an a''emlin+ 'elan;3"na ie#i 5(e "ina5an (*e#a'i en+an

     e#*e(man *aa 353 ID- M

    2. Mema,a ;eni' "ina5an *aa MR 1 an S%P %KN. Men,a#i 5(e "ina5an *aa ID- M &IneC P#(,e3#e)

    4. Bila *aa IneC P#(,e3#e '3a i"em35an 5(ena 'e+e#a lia" *aa :i'"

     *#(,e3#e

    . K(e "ina5an i"3li' *aa lema# RM 1 an S%P %KN< *aa 5(l(m 5(e

    "ina5an (*e#a'i

    . Be#5a' RM an+ "ela i 5(e i'e#a5an 5e a+ian !illin+

    7. S%P %KN an+ "ela i5(e i'e#a5an 5e ian+ PDF

    UNIT TERKAIT

    1. In'"ala'i Ra$a" Ina*

    2. In'"ala'i Ra$a" %alan

    . In'"ala'i Ga$a" Da#3#a"4. Pelaanan %am5e'ma'&%KN)

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    19/19

    RSSMAPONTIANAK

    PEMBERIAN KODE PENYAKIT (ICD X)

     N(. D(53men

    0/RM-SOP/2014

     N(. Re9i'i Halaman

    1/1

    STANDART

    PROSEDUR 

    INSTA:ASIREKAM MEDIS

    Tan++al Te#i"Mene"a*5an

    Di#e5"3# 

    PENGERTIAN Menen"35an an mem335an 5(e *ena5i" *aa lema# #e5am mei5 

    &RM1) 5(l(m ia+n('e en+an e#*e(man *aa 353 ID

    TUJUAN =n"35 menen"35an 5(e *ena5i" 'e,a#a "e*a" 'e'3ai en+an 353 ID ilema# #e5am mei' 5(l(m ia+n('e a+a# a*a" i*e#+3na5an 'e'3ai

    5e*e#l3anna

    KEBIJAKAN 1. Se"ia* (5"e# an+ me#a$a" *a'ien $a;i men,an"3m5an ia+n('e

     *ena5i" an+ ie#i"a (le *a'ien an/a"a3 ;eni' "ina5an (*e#a'ian+ ie#i5an 5e*aa *a'ien

    2. Se"ia* nama *ena5i" an/;eni' "ina5an (*e#a'i a#3' ie#i5an 5(e

    'e'3ai en+an a"3#an an+ e#la53 alam 353 ID

    PROSEDUR  1. D(53men #e5am mei' an+ "ela i"e#ima i a+ian *en+(laan an

     *enim*anan (53men #e5am mei' 'e5'i SI an Re5am Mei'<

    'e"ela ila535an a''emlin+ 'elan;3"na ie#i 5(e *ena5i"

    an/a"a3 5(e "ina5an (*e#a'i en+an e#*e(man *aa 353 ID 9(l3me

    2. Bila *aa 9(l3me '3a i"em35an 5(ena 'e+e#a lia" *aa 353

    9(l3me 1. A*aila el3m a5in a5an 5e"e*a"an 5(e *ena5i" < ma5a ilia" i

     353 an"3

    4. K(e i"3li' *aa lema# RM 1 < *aa 5(l(m 5(e ia+n('e an5(l(m 5(e "ina5an (*e#a'i

    . Be#5a' RM an+a "ela i 5(e i'e#a5an 5e a+ian ine5' *ena5i"

    UNIT TERKAIT

    1. INSTA:ASI RA?AT INAP

    2. INSTA:ASI RA?AT %A:AN