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Lampiran Standar Ponkesdes

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ALUR PELAYANAN PEMERIKSAAN PONKESDES ANDUNGSARI

Kab/Kota Bondowoso
PENDERITA

PENDAFTARAN

PEMERIKSAAN KESEHATAN

RUJUKAN

PENYERAHAN OBAT OBobOBAT

PULAN,

JAM PELAYANAN Senin Sabt! " #$%## & '(%## )IB Min**! " T!t!+

PEMERINTAH KABUPATEN BONDOWOSO DINAS KESEHATAN

PUSKESMAS PAKEM
Jl. Raya Patemon Nomor 52 Telp. !""2# $$!%5"%

BONDOWOSO &'25"

URAIAN TUGAS DAN TANGGUNG JAWAB PERAWAT DI PONKESDES

Yan* be-tanda tan*an dibawa. ini /e+a0a P!s/es1as Pa/e121e1be-i/an t!*as /e+ada " Na1a NIP Pendidi/an Jabatan Ked!d!/an F!n*si Hasi0 Ke-3a '% U-aian T!*as" a% b% 5% d% e% 6% *% .% i% 3% /% 0% a% b% Men4!s!n -en5ana /e-3a ta.!nan Me1e-i/sa +asien2 1e0a/!/an tinda/an +e0a4anan dan 1e1be-i/an obat Me0a/!/an tinda/an /e*awatda-!-atan Me0a/!/an +en*a1atan dan +en5e*a.an +en4a/it Me0a/!/an /e*iatan PSN Me1be-i/an +en4!0!.an *i7i 1as4a-a/at Me0a/sana/an Pos4and! be-sa1a bidan Men*a3!/an /eb!t!.an obat2 1en*a1bi0 dan 1en4i1+an obat Me1b!at 0a+o-an b!0anan 3enis +e0a4anan Men4!s!n data +e0a4anan da0a1 bent!/ 1ono*-a6i Men*i/!ti -a+at ata! +e-te1!an inte-na0 dan ata! 0intas se/toMe0a/sana/an t!*as 0ain 4an* dibe-i/an Ke+a0a P!s/es1as Me1be-i/an +e0a4anan /e+e-awatan ses!ai SOP Me1e0i.a-a in9enta-is ata! a0at /e+e-awatan " RONI RIYAN KURNIA)AN " " PRODI DIII KEPERA)ATAN " Pe-awat Pon/esdes And!n*sa-i " Be-ada dibawa. dan be-tan**!n* 3awab /e+ada Ke+a0a P!s/es1as Pa/e1 " Me1bant! +e0a/sanaan +e0a4anan di Pon/esdes " Mas4a-a/at desa 4an* se.at

Pe0a/sanaan Ke-3a"

8% Tan**!n* Jawab"

:% )ewenan* " a% b% 5% Men**!na/an a0at ata! in9enta-is /e+e-awatan !nt!/ /e+entin*ann +e0a4anan Me0a/!/an tinda/an 1edis ses!ai den*an /o1+etensi Me-!3!/ +asien /e P!s/es1as ata! -!1a. sa/it

U-aian t!*as ini be-0a/! se0a1a 4an* be-san*/!tan 1asi. 1end!d!/i 3abatan te-seb!t diatas%

Pa/e12 8# A+-i0 8#'' Dib!at o0e. Koo-dinato- Pe-awat Pon/esdes Pe-soni0 4an* be-san*/!tan%

)AHYU HONO NIP% ';<=#<'# ';;'#: ' ##<

RONI RIYAN KURNIA)AN

Men*esa./an Ke+a0a P!s/es1as Pa/e1

D-*% TONI BA,US BUDI PRASODJO NIP% ';$##'#( 8##<#> ' #''

DINAS KESEHATAN KABUPATEN/KOTA BONDOWOSO PONKESDES ANDUNGSARI DESA ANDUNGSARI PUSKESMAS PAKEM KECAMATAN PAKEM Na1a Na1a KK A0a1at No Inde/s Tan**a0 REKAM MEDIK "%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%U1!-%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% "%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% "%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% "%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% Pe1e-i/saan Dia*nosa Tinda/an/ Pen*obatan An3!-an B/L/ KKL? Ket

?B ?L ?KKL

@ Ba-! @ K!n3!n*an +ende-ita !nt!/ +e-ta1a /a0i @ La1a @ K!n3!n*an be-i/!tn4a% @ K!n3!n*an Kas!s La1a Pen4a/it%

SOP MELAKUKAN PENGUKURAN TEKANAN DARAH P!s/es1as Pa/e1 P-osed!- Teta+ K!n3!n*an R!1a. SOP/PROTAP MELAKUKAN PEN,UKURAN TEKANAN DARAH No% Do/!1en No% Re9isi Ha0a1an %%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%% Tan**a0 te-bit Diteta+/an2 : 1ei 8#'' Ke+a0a P!s/es1as Pa/e1 D-*% Toni Ba*!s B!di P-asod3o NIP% ';$##'#( 8##<#> ' #'' Tata5a-a 1en*!/!- te/anan da-a. den*an 1en**!na/an Tensi1eteUnt!/ 1en*identi6i/asi !/!-an te/anan da-a. +asien% Seba*ai a5!an !nt!/ 1e0a/!/an tinda/an +en*!/!-an te/anan da-a. Seba*ai a5!an !nt!/ +en*!/!-an te/anan da-a.% Pe-sia+an a0at " '% Tensi1ete- 0en*/a+ 8% Stestos/o+ :% B!/! 5atatan >% A0at t!0is P-osed!- " '% Me1be-i ta.! +asien% 8% Len*an ba3! dib!/a ata! di*!0!n*% :% Manset tensi1ete- di+asan* +ada 0en*an atas den*an +i+a /a-etn4a be-ada disisi 0!a- tan*an% >% Po1+a tensi1ete- di+asan*% (% Den4!t a-te-i b-a5.ia0is di-aba 0a0! stetos/o+e dite1+at/an +ada dae-a. te-seb!t% <% Se/-!+ ba0on /a-et dit!t!+2 +en*!n5i ai- -a/sa dib!/a2 se0an3!tn4a ba0on di+o1+a sa1+ai den4!t a-te-i tida/ te-den*a0a*i dan ai- -a/sa dida0a1 +i+a *e0as nai/% $% Se/-!+ ba0on dib!/a +e-0a.an 0a.an sa1bi0 1e1+e-.ati/an t!-!nn4a ai- -a/sa2 den*a-/an b!n4i den4!tan +e-ta1a dan te-a/.i-% =% Hasi0 di5atat% Unit te-/ait Rawat Ja0an2 P!st!/Pon/esdes

Pen*e-tian T!3!an Kebi3a/an P-osed!-

SOP MELAKUKAN PERAWATAN LUKA P!s/es1as Pa/e1 P-osed!- Teta+ K!n3!n*an R!1a. SOP/PROTAP MELAKUKAN PERA)ATAN LUKA No% Do/!1en No% Re9isi Ha0a1an %%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%% Tan**a0 te-bit Diteta+/an2 : Mei 8#'' Ke+a0a P!s/es1as Pa/e1 D-*% Toni Ba*!s B!di P-asod3o NIP% ';$##'#( 8##<#> ' #'' Tata 5a-a +e-awatan 0!/a 4an* di0a/!/an +ada +asien 4an* be-ada di -!1a. Seba*ai a5!an !nt!/ 1e0a/!/an tinda/an +e-awatan 0!/a di -!1a. Pe-awatan 0!/a di0a/!/an o0e. +et!*as 4an* te-a1+i0 dan /o1+eten A0at 4an* disia+/an" '% A0at St-e-i0 a% Ba/ inst-!1en b% Pinset anato1is 5% Pinset 5.i--!*is d% ,!ntin* 3a-in*an e% A-te-i /0e1 6% Kassa dan de+-es da0a1 t-o1o0 *% Hands5.one / *0o9es ste-i0 .% Ko1 /e5i0/ sedan* i% Pe1ba0!t ses!ai /eb!t!.an 3% Kasa /% Kasa *!0!n* 0% Betadine so0 1% Aai-an +en5!5i 0!/a dan disin6e/tan n% A0/o.o0 $# B
8% Non Ste-i0 a% ,!ntin* 9e-band b% Nee-be/en / ben*/o/ 5% P0este- Cad.esi9eD ata! .i+a6iE 1i5-o+one d% Tas +0asti/ /oto-an / te1+at sa1+a. e% A0at t!0is 6% Fa1i04 Fo0de*% P-osed!- "

Pen*e-tian T!3!an Kebi3a/an P-osed!-

'% Men3e0as/an +-osed!- 4an* a/an di0a/sana/an /e+ada /0ien F in6o-1 5on5e-n 8% Mene1+at/an ben*/o/ dibawa. 0!/a !nt!/ 1eno+an* 5ai-an i-i*asi 0!/a :% Me1bant! 1en*at!- +osisi /0ien a*a- 5ai-an i-i*asi da+at 1en*a0i- da-i !3!n* atas /e !3!n* bawa. 0!/a >% Me1b!/a dan 1ene1+at/an tas +0asti/ /oto-an dide/at a-ea /e-3a (% Men5!5i tan*an den*an sab!n <% Bi0a +0este- /oto-2 /ena/an sa-!n* tan*an non ste-i0 !nt!/ 1e0e+as/ann4a% $% Me0e+as/an / 1en*an*/at +e1ba0!t /oto- bi0a +e1ba0!t 0en*/et +ada 0!/a2 basa.i den*an NS /RL ste-i0 sa1+ai ba0!tan da+at

Unit te-/ait

di0e+as den*an 1!da. =% Me1b!an* +e1ba0!t 0a1a / /oto- /eda0a1 tas +0asti/2 /e1!dian 0e+as/an *0o9es Cba*ian 0!a- be-ada dida0a1D dan b!an* /eda0a1 tas +0asti/ ;% Men*/a3i 3!10a. 2 3enis dan ba! 5ai-an 0!/a2 obse-9asi /ondisi 0!/a '#% Men*ena/an .ands5.one ste-i0 ''% Me0a/!/an i-i*asi bebe-a+a /a0i sa1+ai 5ai-an i-i*asi ta1+a/ benin* dan be-si. '8% Men*e-in*/an se/ita- 0!/a den*an betadine sa1+ai -adi!s > ( 51 da-i te+i 0!/a ':% Men!t!+ 0!/a den*an +e1ba0!t '>% Men!t!+ 0!/a den*an /asa C/eteba0an /assa dises!ia/an den*an /eb!t!.anD dan -e/at/an den*a +0este- C ad.esi9e dan .i+a6iE/ 1i5-o+e !nt!/ 1e16i/sasi '(% Me0eta/an +inset dan *!ntin* da0a1 ben*/o/ 4an* be-isi 5ai-an desin6e/tan '<% Me0e+as/an *0o9es den*an ba*ian 0!a- 2 /e1!dian b!an* /eda0a1 tas +0asti/ '$% Me1be-es/an +e-a0atan dan 1e1be-i/an /en4a1anan ba*i /0ien '=% Men5!5i tan*an ';% Men*e5e/ +e1ba0!t dan a-ea 0!/a 8#% Mendo/!1entasi/an tinda/an 4an* te0a. di0a/!/an Rawat Ja0an2 P!st!/Pon/esdes

PERSETUJUAN TINDAKAN MEDIS Sa4a2 4an* be-tanda tan*an dibawa. ini " Na1a " GGGG%GGG%GGGGGGGG% U1!-//e0a1in " GGGG%%%%ta.!n2 0a/i 0a/i/+e-e1+!an% A0a1at " GGG%GGGGGGG%GGGGG%% GGG%GGGGGGG%GGGGG%% B!/ti di-i/KTP " GGGGG%G%%GGGGGGGGG% Den*an ini 1en4ata/an den*an ses!n**!.n4a te0a. 1e1be-i/an PERSETUJUAN Unt!/ di0a/!/an tinda/an 1edis be-!+a ??GGGGGGGGGGG Te-.ada+ di-i sa4a sendi-i ?/iste-i/s!a1i?/ana/?/a4a.?/ib! sa4a?2den*an Na1a " GGGG%GGG%GGGGGGGG% U1!-//e0a1in " GGGG%%%%ta.!n20a/i 0a/i/+e-e1+!an% A0a1at " GGG%GGGGGGG%GGGGG%% GGG%GGGGGGG%GGGGG%% Di-awat di " GGGGGGGGGGGGGGGG B!/ti di-i/KTP " GGGGG%G%%GGGGGGGGG% No1o- -e/a1 1edis " GGGGGGGGGGGGGGGG% Yan* t!3!an2 si6at dan +e-0!n4a tinda/an 1edis te-seb!t diatas2 se-ta -esi/o 4an* da+at diti1b!0/ann4a te0a. 5!/!+ di3e0as/an o0e. GGG%%%%%%%%% dan te0a. sa4a 1en*e-ti se+en!.n4a% De1i/ian +e-n4ataan +e-set!3!an ini sa4a b!at den*an +en!. /esada-an dan tan+a +a/saan% GGGGT*0GGGGGG%B!0anGGG%ta.!nGGG% Sa/si sa/si Pe-awat/Bidan Yan* 1e1b!at +e-n4ataan Tanda tan*an Tanda tan*an Tanda tan*an 'GGGGG CGGGGG%D na1a 3e0as 8GGGGG% CGGGGGG%%D Na1a 3e0as

CGGGGGGGD na1a 3e0as

CGGGGGGGG%D na1a 3e0as

?? Isi den*an 3enis tinda/an 1edis 4an* a/an di0a/!/an Lin*/a-i dan 5o-et 4an* 0ain

PENOLAKAN TINDAKAN MEDIS Sa4a2 4an* be-tanda tan*an dibawa. ini " Na1a " GGGG%GGG%GGGGGGGG% U1!-//e0a1in " GGGG%%%%ta.!n20a/i 0a/i/+e-e1+!an% A0a1at " GGG%GGGGGGG%GGGGG%% GGG%GGGGGGG%GGGGG%% B!/ti di-i/KTP " GGGGG%G%%GGGGGGGGG% Den*an ini 1en4ata/an den*an ses!n**!.n4a te0a. 1en4ata/an PENOLAKAN Unt!/ di0a/!/an tinda/an 1edis be-!+a ??GGGGGGGGGGG Te-.ada+ di-i sa4a sendi-i ?/iste-i/s!a1i?/ana/?/a4a.?/ib! sa4a?2den*an Na1a " GGGG%GGG%GGGGGGGG% U1!-//e0a1in " GGGG%%%%ta.!n20a/i 0a/i/+e-e1+!an% A0a1at " GGG%GGGGGGG%GGGGG%% GGG%GGGGGGG%GGGGG%% B!/ti di-i/KTP " GGGGG%G%%GGGGGGGGG% Di-awat di " GGGGGGGGGGGGGGGG% No1o- -e/a1 1edis " GGGGGGGGGGGGGGGG% Sa4a 3!*a te0a. 1en4ata/an den*an ses!n**!.n4a den*an tan+a +a/saan ba.wa sa4a " a% Te0a. dibe-i/an in6o-1asi dan +en3e0asan se-ta +e-in*atan a/an ba.a4a2 -esi/o se-ta /e1!n*/inan /e1!n*/inan 4an* ti1b!0 a+abi0a tida/ di0a/!/an tinda/an 1edis be-!+a ??GGGGGGGGGGGGGGGGGGGGGGGGGGGGG% b% Te0a. sa4a +a.a1i se+en!.n4a in6o-1asi dan +en3e0asan 4an* dibe-i/an do/te-% 5% Atas tan**!n* 3awab dan -esi/o sa4a sendi-i teta+ 1eno0a/ !nt!/ di0a/!/an tinda/an 1edis 4an* dian3!-/an do/te- % Sa/si sa/si Tanda tan*an 'GGGGG GGGGT*0GGGGGG%B!0anGGG%ta.!nGGG% Pe-awat/Bidan Yan* 1e1b!at +e-n4ataan Tanda tan*an Tanda tan*an

CGGGGG%D CGGGGGGGD na1a 3e0as na1a 3e0as 8GGGGG% CGGGGGG%%D Na1a 3e0as ?? Isi den*an 3enis tinda/an 1edis 4an* a/an di0a/!/an Lin*/a-i dan 5o-et 4an* 0ain

CGGGGGGGG%D na1a 3e0as

No '

Jenis Pe0a4anan U+a4a P-o1osi Kese.atan

Ke0en*/a+an do/!1en 'D Fo-1!0i- La+o-an b!0anan H T-ib!0anan P-o1osi Kese.atan 8D Fo-1!0i- La+o-an Ta.!nan P-o1osi Kese.atan H Pe1be-da4aan Mas4a-a/at Fo-1!0i- Peni0aian -!1a. " 'D 8D :D >D Ko1+onen -!1a. Sa-ana Sanitasi Pe-i0a/! Pen*.!ni Binatan* Pe0i.a-aan%

U+a4a Kese.atan Lin*/!n*an

U+a4a Pe0a4anan Kese.atan Ib! dan Ana/ se-ta KB a% U+a4a Pe0a4anan Kese.atan Ib! 'D Ka-t! Ib! 8D Fo-1!0i- Pa-to*-a6 :D B!/! KIA >D Re*iste- Ko.o-t ib! (D P)S KIA CIb!D <D LB:KIA $D La+o-an Sa-ana P-asa-ana B'2B82B: =D La+o-an /e1atian Ib! b% U+a4a Pe0a4anan Kese.atan Ana/ ;D Re*iste- Ko.o-t Ib! 'D Ka-t! ana/ 8D Fo-1!0i- MTBM dan MTBS :D B!/! KIA >D Re*iste- /o.o-t ba4i (D Re*iste- /o.o-t Ana/ Ba0ita <D Re*iste- /o.o-t Ana/ P-ase/o0a. $D Re*iste- +en4i1+an*an t!1b!. /e1ban* =D La+o-an Ke1atian ba4i dan ba0ita ;D P)S KIA C Ana/ D 5% U+a4a Pe0a4anan '#D LB:KIA Ke0!a-*a 'D Ka-t! stat!s KB C K' H K>D 8D Re*iste- /o.o-t KB :D Lb: KUSUB >D P)S KB 'D LB : ,i7i 8D Peta Kada-7i :D Ba0ita *i7i b!-!/ 4an* 1enda+at +e-awatan >D Ba0ita *i7i b!-!/ 4an* da+at inte-9ensi (D P)S ,i7i 'D La+o-an /ade- CFo-1 SBM/S!-9ei0en5e Be-basis Mas4D

Be-en5ana

>

U+a4a Pe-bai/an ,i7i Mas4a-a/at

U+a4a Pe0a4anan Pen5e*a.an dan Pe1be-antasan Pen4a/it

Men!0a- dan Tida/ Men!0a-

8D Fo-1 S!-9ei00an5e te-+ad! +en4a/it be-basis Pon/esdes C La+o-an B!0ananD :D La+o-an Min***!an )aba./P)S KLB% >D La+o-an KLB C)'Dbi0a ada KLB (D La+o-an s!s+e/ /as!s TB ba-! dite1!/an <D La+o-an s!s+e/ ba-! /!sta dite1!/an $D La+o-an /as!s Pne!1onia Ba0ita dite1!/an dan di obati/ di-!3!/ =D La+o-an /as!s dia-e dite1!/an dan di obati/ di-!3!/ ;D La+o-an /as!s / te-san*/a DBD 4an* dite1!/an/di-!3!/ '#D Hasi0 Pe1e-i/saan Jenti/ ''D La+o-an I1!nisasi

<

U+a4a Pen*obatan Dasa-

'D La+o-an Kas!s Pen4a/it CLB'D 8D LB> :D Re*iste- Rawat Ja0an >D Po0a +en4a/it C '# te-ban4a/D

U+a4a Ke+e-awatan Kese.atan Mas4a-a/at

'D Fo-1!0i- Do/!1entasi Ke+e-awatan indi9id! C Fo-1 'Pe-/es1asD 8D Fa1i04 Fo0de- CFo-1 8 Pe-/es1asD :D Re*isteKo.o-t Pe1binaan Ke0!a-*a Rawan CFo-1 : Pe-/es1asD >D Re/a+it!0asi Pe1binaan Ke0!a-*a Rawan CR ' Pe-/es1asD

Mekanisme Pela !"an '% Koo-dinato- Pon/esdes 1en*!1+!0/an La+o-an B!0anan dan .a-!s s!da. dise-a./an /e P!s/es1as se0a1bat 0a1batn4a tan**a0 ' b!0an be-i/!tn4a% C +en!t!+an +en5atatan dan +e0a+o-an Kese.atan Ib! dan Ana/ di0a/!/an setia+ tan**a0 8( b!0an be-3a0an D 8% La+o-an B!0anan Kine-3a Pon/esdes diana0isa den*an E9a0!asi /ine-3a T-ib!0an K!1!0ati6 T-iw!0an I/II/III/II Pon/esdes C0a1+i-an ';D dan di0a+o-/an /e Ke+a0a Dinas Kese.atan Kab!+aten/Kota se0a1bat 0a1batn4a tan**a0 '( b!0an be-i/!tn4a se0an3!tn4a di0a+o-/an /e Dinas Kese.atan P-o9insi bese-ta 0a+o-an +e0a/sanaann4a %

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