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DETASEMEN KESEHATAN WILAYAH 02.04.03 RUMAH SAKIT TK IV 02.07.04

PANDUAN DPJP

RUMAH SAKIT TK IV 02.07.04 BANDAR LAMPUNG

DAFTAR ISI Dafta I!"..............................................................................................................................."" K#$"%&a' R()a* Sa&"t...........................................................................................................""" Ba$ I D#f"'"!".........................................................................................................................+ Ba$ II R(a', L"',&(-.............................................................................................................4 Ba$ III Tata La&!a'a............................................................................................................... Ba$ IV D/&()#'ta!".............................................................................................................. Sat' a P /!# ( 1-# a!"/'a DPJP L#)$a DPJP

BAB I DEFINISI DPJP /&t# -#'a',,(', %a a$ -# a5a'a'6 a a a* !#!#/ a', /&t# 8 !#!(a" #',a' &# #'a',a' & "'"!'5a t# &a"t -#'5a&"t -a!"#'8 )#)$# "&a' a!(*a' )# "! #',&a- &#-a a !at( -a!"#' #',a' !at( -at/ /,"9 -#'5a&"t8 a " a a !a)-a" #',a' a&*" -# a ata' " ()a* !&a"t8 $a"& -a a -# a5a'a' a at %a a' a' a at "'a-. A!(*a' )# "! #',&a- a t"'5a )# a&(&a' a!#!)#' )# "! !a)-a" #',a' ")- #)#'ta!" #':a'a !# ta t"' a& a'%(t'5a !#!(a" &#$(t(*a' -a!"#'. Pa!"#' #',a' #$"* a " !ta( -#'5a&"t "&# / a / #* #$"* a" !at( DPJP !#!(a" &# #'a',a' & "'"!'5a8 a a) -/ a a!(*a' !#:a a t") ata( t# "'t#, a!". ;/'t/* -a!"#' #',a' D"a$#t#! M# "tt(8 &ata a&8 a' !t / "&# / a / #* #$"* a " !at( DPJP /&t# !-#!"a "! P#'5a&"t a a)8 /&t# !-#!"a "! )ata8 a' /&t# !-#!"a "! !a af.

DPJP Uta)a $" a -a!"#' "&# / a / #* #$"* a " !at( DPJP8 )a&a a!(*a' )# "a t# !#$(t " a&(&a' !#:a a t# "'t#, a!" a' !#:a a t") "&#t(a" / #* !#/ a', DPJP Uta)a.

P# a' DPJP (ta)a a a a* !#$a,a" &// "'at/ - /!#! -#',# / aa' a!(*a' )# "! $a," -a!"#' 5a', $# ! a',&(ta'8 #',a' t(,a! )#'%a,a t# a&!a'a'5a a!(*a' )# "! &/)- #*#'!"f
D/&t# 5a', )#)$# "&a' -# a5a'a' "'t# - #tat"f8 )"!a '5a )#)$# "&a' ( a"a'9 ata t#'ta', *a!" a$/ at/ "() ata( a "/ /,"8 t" a& "-a&a" "!t" a* DPJP8 &a #'a t" a& )#)$# "&a' a!(*a' )# "! 5a', #',&a-. A!(*a' -a!"#' -at"#'t :a #6 "$# "&a' #',a' -/ a -# a5a'a' $# f/&(! -a a -a!"#' -at"#'t :#'t# # :a #68 a' DPJP )# (-a&a' &#t(a t#a) #a # 6 a " t") 5a', t# " " a " -aa - /f#!!"/'a -#)$# " a!(*a' -a!"#'9!taf & "'"! #',a' &/)-#t#'!" a' &# #'a',a' 5a', )#)a a"8 5a', "a'ta a a"' t# " " a " /&t# 8 -# a at8 a* " ,"="8 a-/t#&# 8 f"!"/t# a-".

BAB II RUANG LINGKUP

D" ()a* !a&"t DKT "t#ta-&a' $a* a !#t"a- -a!"#' 5a', " a at *a (! )#)-('5a" DPJP 5a"t( !#/ a', /&t# !-#!"a "! 5a', $# ta',,(', %a a$ ata! -#',# / aa' -# a5a'a' )# "! !#/ a', -a!"#' a' )#)('5a" ta',,(', %a a$ (ta)a ('t(& )#)$# "&a' "'f/ )a!" a' -#'%# a!a' )#',#'a" -#'5a&"t a' t"' a& a'%(t -#'a'a',a''5a. DPJP "-# a5a'a' a at %a a' )# "-(t" /&t# 9 /&t# ,","9 /&t# !-#!"a "!.

P# /)a' "'" $# a&( -a a !#)(a -# a5a'a' ()a* !&a"t 5a', )# "-(t" #)# ,#'!"8 a at %a a'8 a at "'a-8 (a', t"' a&a'8 (a', -# a ata' &*(!(! H;U6. P#'#ta-a' DPJP a a) -# a5a'a' )# "! -a!"#' $# t(%(a' a. U't(& )#)a!t"&a' $a* a -a!"#' )#' a-at&a' -# a5a'a' )# "! !#!(a" !ta' a -# a5a'a' &# /&t# a' 9 !ta' a /-# a!"/'a - /!# ( 5a', $# a&( " ()a* !a&"t DKT a' )#' a-at&a' "'f/ ) a!" 5a', $#'a t#'ta', -#'5a&"t'5a. $. U't(& )#)a!t"&a'

a!(*a'

)# "!

-a!"#'

" a&(&a' / #*

$# &/)-#t#' !#!(a" #',a' &a!(!'5a9-#'5a&"t'5a :. U't(& )#'%a)"' &(a "ta! -# a5a'a' a' &#!# a)ata' -a!"#'

BAB III

/&t#

5a',

TATALAKSANA

+. S#t"a- -a!"#' 5a', )#' a-at a!(*a' )# "! " ()a* !a&"t $a"& a at %a a' )a(-(' a at "'a*a (! )#)" "&" DPJP 2. Pa a ('"t9 "'!ta a!" ,a at a ( at8 /&t# %a,a )#'%a " DPJP -a a -#)$# "a' a!(*a' )# "! a a 9-#'a',a'a' &#,a at< a ( ata'. K#)( "a' !# a'%(t'5a !aat " a&(&a' &/'!( ta!"9 (% (& "t#)-at /'!" #6 ata( &/'!( ta!" "!a' &#-a a /&t# !-#!"a "!8 a' /&t# !-#!"a "! t# !#$ (t )#)$# "&a' a!(*a' )# "! t# )a!(& "'!t (&!" !#:a a "!a'6 )a&a /&t# ! -#!"a "! t# !#$(t t# a* )#'%a " DPJP t# a* $# ,a't" a " /&t# %a,a IGD &#-a a /&t# !-#!"a "! t# !#$ (t. 3. A-a$" a -a!"#' )#' a-at a!(*a' )# "! #$"* a " !at( DPJP8 )a&a *a (! "t('%(& DPJP (ta)a 5a', $# a!a a " -a a DPJP -a!"#' t# &a"t. K#!#)(a DPJP t# !#$(t $#&# %a !#:a a t") a) t(,a! )a' " " )a(-(' &/ a$/ at"f8 $# "'t# a&!" a' $# &// "'a!" "$# a&a' #',a' $#&# %a !#' " "t# -a (<#f#&t"f8 #)" &#!# a)ata' -a!"#' )# a (" &/)('"&a!" 5a', #f#&t"f a' )#)$a',(' !"'# ,"!)# #',a' )#' / /', -#'5#!(a"a' -#' a-at a %(!t)#'t6 a'ta a',,/ta8 )#',a *a&a' a,a t"' a&a' )a!"',<)a!"', DPJP $# !"fat &/'t "$(t"f $(&a' "'t# ?#'!"68 a' %(,a )#':#,a* (- "&a!" @ T") )#)$(at &#-(t(!a' )# a (" DPJP (ta)a t# )a!(& &#"',"'a' DPJP )#',&/'!( ta!"&a' &# /&t# !-#!"a "! a"' a,a "&// "'a!"&a' )# a (" DPJP (ta)a .&#-at(*a' DPJP t# *a a%a a &#,"ata' a' &#t#-ata' a&t( )"!a '5a a'ta a a"' &#*a " a' ata( )#'%a'%"&a' a&t( &#*a " a'8 a a a* !a',at -#'t"', $a," -#)#'(*a' &#$(t(*a' -a!"#' !# ta ('t(& &##'t"',a' &// "'a!" !#*a "<*a " . D"$a a* &// "'a!" DPJP (ta)a8 !#&( a', &( a','5a a a a-at t") 5a', )# "$at&a' !#)(a DPJP 5a', $# !a',&(ta' !#!(a" &#$(t(*a' -a!"#'8 ()a* !a&"t "*a a-&a' )#'5# "a&a' (a',a' ('t(& a-at t") -# a5a'a' )"!a '5a

" t#)-at
" a at "'a-8I;U8 IGD .DPJP (ta)a %(,a $# t(,a! ('t(&

)#',*")-(' &/)('"&a!"9 ata t#'ta', -a!"#'.

7. S#t"a- -#'('%(&a' DPJP *a (! "$# "ta*( &#-a a -a!"#' a' &# (a ,a8 -a!"#' a' &# (a ,a a-at )#'5#t(%(" ata( !#$a "&'5a. R()a* !a&"t $# #'a', )#',($a* DPJP $" a t# %a " -# a',,a a' - /!# ( . K// "'a!" a' t a'!f# "'f/ )a!" a'ta DPJP " a&(&a' !#:a a "!a' a' t# t( "! !#!(a" &#$ (t(*a'. B" a a a -# ,a't"a' DPJP -#':atata' " #&a) )# "! *a (! %# a! t#'ta', a "* ta',, (', %a a$'5a. Ha a- ",('a&a' f/ )( " DPJP :/'t/* f/ )( " t# a)-" 6 . Pa a ('"t -# a5a'a' "'t#!"f DPJP Uta)a a a a*

/&t# "'t#'!"f"!. K//

"'a!"

a' t"',&ata' &#"&(t!# taa' -a a DPJP t# &a"t +0. Pa a &a)a /-# a!" DPJP B# a* a aa* &#t(a aa) !# ( (* &#,"ata' -a a !aat " &a)a /-# a!" t# !#$(t + Pa a &#a aa' &*(!(! )"!a '5a !#-# t" &/'!( !aat "ata! )#%a /-# a!"9!# a', "/-# a!"8 /&t# 5a', " (%(& t# !#$(t )# a&(&a' t"' a&a'9)#)$# "&a' "'!t (&!" )a&a /t/)at"! ) #'%a " DPJP %(,a $a," -a!"#' t# !#$(t +2. Da a) -# a&!a'aa' -# a5a'a' a' a!(*a' -a!"#'8 $" a DPJP "$'at( / #* /&t# a"' /&t# (a',a'6 ")a'a 5a', $# !a',&(ta' $/ #* )#'( "!9 )#':atat " #&a) )# "a8 )a&a ta',,(', %a a$ a a a* t#ta- a a -a a DPJP8 !#*"',,a DPJP 5'a, $# !a',&(ta' *a (! )#)$# "&a' !(-# ?"!"8 )#'#'t(&a' !&a - "/ "ta! a' )# a&(&a' ?a " a!" $# (-a -#)$# "a' -a af9 ta' a ta',a' -a +3. A!(*a' -a!"#'

a!#t"a- :atata' &#,"ata' t# !#$(t " #&a) )# "! " a&!a'a&a' / #* -a a - /f#!"/'a -#)$# " a!(*a' 5a',

$#&# %a !#:a a t") !#!(a" &/'!#- -# a5a'a' f/&(! -a a -a!"#'8 DPJP !#$a,a" &#t(a t") *a (! - /a&t"f )# a&(&a' &//

"'a!" a' )#',"'t# , a!"&a'

a!(*a' -a!"#'8 !# ta $# &/)('"&a!" "'t#!"f

a' #f#&t"f a a) t"). T# )a!(&

a a) &#,"ata' "'" a a a* -# #':a'aa' -( a',

"!:*a ,# - a''"',65a',

a-at " a&(&a' -a a a a )a!(& a at "'a- ata( -a a a&*" a at "'a+4. DPJP *a (! a&t"f a' "'t#'!"f a a) -#)$# "a' # (&a!"9"'f/ )a!" &#-a a -a!"#'

a' &# (a ,a'5a. G('a&a'

a' &#)$a',&a' t#*'"& &/)('"&a!" 5a',

$# #)-at" &/)('"&a!" )# (-a&a' # #)#' 5a', -#'t"', -# a5a'a' f/&(! -a a -a!"#'8 !# a"' %(,a )# (-a&a' &/)-#t#'!"

aa) &/'t#&! /&t#

a a) a #a &/)-#t#'!" &# 3 +@. P#' /&()#'ta!"a' 5a', " a&(&a' / #* DPJP " #&a) )# "! *a (! )#':a't()&a' 'a)a a' -aa f9ta' ata',a'. P#' /&()#'ta!"a' t# !#$(t " a&(&a' a'ta a a"' " f/ ) a!#!)#' a a )# "!8 :atata' -# &#)$a',a' -a!"#' t# "'t#, a!"9 ;PPT "'t#, at# '/t#68 f/ ) a!#!)#' - a

a'#!t#!"9!# a!"8 "'!t (&!" -a!:a $# a*8 f/ ) # (&a!"9"'f/ )a!" &# -a!"#' a' !#$a,a"'5a. T# )a!(& %(,a -#' /&()#'ta!"a' &#-(t(!a' *a!" -#)$a*a!a' t") )# "!8 *a!" /' # $# !a)a ) ( t" &# /)-/& !taf )# "!9 #-a t#)#'8 a' !#$a,a"'5a. + .Pa a &a!(! t# t#'t( DPJP !#$a,a" &#t(a t") a " -a a - /f#!"/'a -#)$# " a!(*a' $#&# %a!a)a # at #',a' )a'a%# -# a5a'a' -a!"#' */!-"ta ;a!# )a'a,# 68 a,a t# %a,a &/'t"'("ta! -# a5a'a' $a"& a&t( a at "'a-8 #':a'a -#)( a',a'8 t"' a& a'%(t a!(*a' )a' " " " ()a*8 &/'t / a' !#$a,a"'5a. +7.Pa a !#t"a- #&a) )# "! *a (! a a -#':atata' &()( at"f8 $" a #$"* a " !at(6 t#'ta', DPJP8 a a) $#'t(& !at( f/ )( " 5a', ""!" !#:a a -# "/ "& !#!(a" &#$(t(*a'9 -#'a)$a*a'9 -#',( a',a' 9 -#',,a't"a'8 5a"t( 'a)a a' ,# a !#t"a- DPJP8 ta',,a )( a" a' a&*" -#'a',a'a' -a!"#'8 DPJP Uta)a 'a)a a' ,# a 8 ta',,a )( a" a' a&*" !#$a,a" DPJP Uta)a. Dafta "'" $(&a' $# f(',!" !#$a,a" afta *a " . + .K#t# &a"ta' DPJP #',a' Pa' (a' P a&t#& K "'"! 9 a ( P# %a a'a' K "'"!9 : "'":a Pat* a58 !#t"a- DPJP $# ta',,(', %a a$ )#',(-a5a&a' - /!#! a!(*a' -a!"#' $a"& a!(*a' )# "! )a(-(' a!(*a' &#-# a ata'6 5a', "$# "&a' &#-a a -a!"#' -at(* -a a Pa' (a' P a&t#& K "'"!9 A ( P# %a a'a' & "'"!9 : "'":a Pat* a5 5a', t# a* "t#ta-&a' / #* RS. T"',&at &#-at(*a' -a a -a' (a' - a&t#& & "'"&9 A ( P# %a a'a' & "'"!9 : "'":a Pat* a5 "'" a&a' )#'%a " /$%#& a( "t & "'"! a' a( "t )# "! + .A-a$" a /&t# t" a& )#)at(*" a ( P# %a a'a' & "'"!9 : "'":a Pat* a59 Pa' (a' P a&t#& K "'"& )a&a *a (! )#)$# " -#'%# a!a' t# t( "! a' ":atat " #&a) )# "!.

D" ('"t 9 "'!ta a!" ,a at a ( at /&t# %a,a 5a', $# !# t"f"&at &#,a at< a ( ata' a'ta a a"' ATLS8A;LS8PPGD8 )#'%a " DPJP -a a !aat a!(*a' a a -a!"#' ,a at a ( at. Saat -a!"#' "&/'!( 9 (%(& &# /&t# !-#!"a "! a' )#)$# "&a' a!(*a' )# "!8 )a&a /&t# !-#!"a "! t# !#$(t ) #'%a " DPJP -a!"#' t# !#$(t )#',,a't"&a' DPJP !#$# ()'5a8 5a"t( /&t# %a,a IGD t# !#$(t "ata!. P#'('%(&a' 9 -#'#ta-a' DPJP +. P#'#ta-a' DPJP *a (! " a&(&a' !#%a& -# ta)a -a!"#' )a!(& R()a* Sa&"t8 $a"& a " I'! ta a!" a at %a a' )a(-(' I'!ta a!" ,a at a ( at

2. P#'#'t(a' a' -#',at( a' DPJP -a!"#' $# a!a &a' %a a &/'!( #' %a,a8 ")a'a &/'!( #' %a,a *a " "t( )#'%a " DPJP -a!"#' $a (8 &#:(a " &a!(! (%(&a' 5a', "t(%(&a' a',!(', &#-a a !a a* !#/ a', &/'!( #'. 3. J(,a $# a!a &a' !( at (%(&a' a',!(', &#-a a !a a* !at( /&t# !-#!"a "! 5a', "t(%( /t/)at"! )#'%a " DPJP -a!"#' 5a', ")a&!( 8 &#:(a " $" a /&t# t# !#$(t $# *a a',a' &a #'a !#! (at( *a 8 )a&a -# ")-a*a' DPJP $# a "* &#-a a &/'!( #' %a,a -a a *a " "t(. 4. J"&a a a) -#)# "&!aa' / #* /&t# %a,a "t#)(&a' -#'5a&"t -a!"#' t" a& !#!(a" #',a' SMF /&t# !-#!"a "! 5a', "t(%( )a&a /&t# %a,a a&a' )#',&/)('"&a!"&a' #',a' -a!"#' t#'ta', DPJP -a!"#' 5a', $# !a',&(ta' a' -#'#ta-a' DPJP " a&(&a' / #* /&t# %a,a ata! !#"%"' -a!"#' @ Ata! -# )"'taa' -a!"#'. Pa!"#' a' &# (a ,a $# *a& )#)"'ta !a a* !#/ a', /&t# !#$a,a" DPJP a-a$" a a a # #?a'!"'5a8 *#' a&'5a "$# "&a' a t# 'at"f DPJP a"'. P#'%# a!a''5a !#$a"&'5a " a&(&a' / #* /&t# %a,a. . Pa a &a!(! 5a', !a',at &/)- #&! ata( %a a', -#'#t(a' DPJP9 DPJP Uta)a a-at "t#'t(&a' $# a!a &a' a-at &/)"t# )# "! 7. K "t# "a -#'('%(&a' DPJP (ta)a ('t(& !#/ a', -a!"#'8 !#$a,a" $# "&(t a. DPJP Uta)a a-at )# (-a&a' DPJP 5a', -# ta)a &a " )#',# / a -a!"#' -a a a a -# a ata' $. DPJP Uta)a a-at )# (-a&a' DPJP 5a', )#',# / a -a!"#'

#',a'

-#'5a&"t a a) &/' "!" # at"?#6 :. DPJP Uta)a a-at "t#'t(&a' )# a (" &#!#-a&ata' a'ta -a a DPJP -#'5a&"t . DPJP Uta)a a-at )# (-a&a' -" "*a' . P#'#'t(a' ata( -#'#ta-a' DPJP a a a* -#'#t(a'

a " -a!"#' /&t# 5a', $# ta',,(',

%a a$ a a) )#)$# "&a' a',&a"a' a!(*a' )# "! &#-a a -a!"#' !#*"',,a -a!"#' )#' a-at&a' -# a5a'a' )# "! / #*

/&t#

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)#)"'ta

-#' a-at ata( -# a ata' $# !a)a M#)$(at #':a'a -# a5a'a' a a) $# &a! #&a) )# "! 5a', )#)(at !#,a a a!-#& a! (*a' )# "! 5a', a&a' " a&(&a' t# )a!(& -#)# "&!aa' &/'!( ta!"8 #*a$" "ta!" -a!"#' a' !#$a,a"'5a

. M#)$# "&a' -#'%# a!a' !#:a a "':" &#-a a -a!"#' a' &# (a ,a t#'ta', #':a'a a' *a!" -# a5a'a'8 -#',/$ata' ata( - /!# ( ('t(& -a!"#' t# )a!(& &# %a "a' 5a', t" a& "*a a-&a' M#)$# "&a' -#' " "&a'9 # (&a!" &#-a a -a!"#' t#'ta', &# a%"$a''5a t# *a a-

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