LAMPIRAN : PERATURAN

DIREKTUR 

RUMAH SAKIT PANTI

PANTI RAHAYU
RAHAYU YAKKUM
YAKKUM PURWODADI
 NOMOR : 058a/PR-Per.Dir/I/2015
TENTANG PANDUAN INE!TION !ONTRO" RISK
ASSESMENT #I!RA$ RUMAH SAKIT PANTI RAHAYU
YAKKUM
YAKKUM PURWODADI

PANDUAN INE!TION !ONTRO" RISK ASSESMENT #I!RA$

RUMAH SAKIT PANTI RAHAYU YAKKUM

YAKKUM PURWODADI

I. DEFINISI

1. Re%i&' a(a)a*
a(a)a* +',e%i
+',e%i ,era(ia
,era(ia &eria
&eria a
a (a+a, ,i3)
,i3) (ari +r'%e%
+r'%e% &eia,a
&eia,a %aa,
%e&ara a,a a a&a (a,a #ERM4ri%& aaee, *a(3)''& 'r *ea),*6are$
2. Maaee,
Maaee, ri%i&'
ri%i&' a(a)a* +e(e&a
+e(e&a,a
,a +r'a&,i
+r'a&,i ,&
,& ei(e,i
ei(e,ii&a%i
i&a%i 4ei)ai
4ei)ai (a
 <$ Ke+e&e% ''r 120/Me&e%/SK/=/200 ,e,a Per%ara,a
Ke%e*a,a "i&a Ra* Sa&i,
8$ Ke+e&e% ''r 108</MENKES/SK/>III/2010 ,e,a S,a(ar
Ke%e*a,a (a Ke%e)aa,a Kera (i Ra* Sa&i,

III. Ta
1. Me6ea* (a e',r') re&e%i (a (a+a& ri%i&' ,er*a(a+ :
a. Pa+ara &a +a,'e e)a)i +e,a% 4+a%ie (a +e.
 3. Pe)ara e)a)i ,i(a&a /+r'%e(r i?a%i a (i)a&&a 3ai&
e)a)i +era)a,a 4,e&i& +ea%aa a,a+ +era9a,a HAI%.
2. Me)a&&a +ei)aia ,er*a(a+ a%a)a* a a(a aar (a+a, (i,i(a& )a,i
 3er(a%ar&a *a%i) +ei)aia %&a)a +ri'r',a%.
7. Ter%%a (a,a i(e,ii&a%i (a ra(i ri%i&' (iRS
. Ter6a+aia +eraa re%i&' a&i3a, ,er%e3ara ar /3a&,eri (i (ara
e)a)i (e3/aer'%') )aia.
5. Ter%e(iaa re6aa +r'ra PPI (i%e)r* area RS.

I>. RUANG "INGKUP

1. Pera &'i,e PPI
a$ Me3a, &aia (a+a& ri%i&' ie&%i 3er(a%ar&a ,ea HAI% (i
ra* %a&i,
 a. Ke3ia%aa &e%e*a,a +er%e'raa/,i(a& a +eri&%a .
 3. (aa &ea&ia ,e,a +ea&i, a)ar.
6. Pea*aa ,e,a +e6ea*a +ea&i, e)ar 
(. Ti&a, &e+a,*a (a)a e6ea* ie&%i # HH +ea&aia APD 4
,e*i& i%')a%i$4
e. S&rei  ,i(a& a(e&a, ,er*a(a+ +ea&i, e)ar 
. Ha( Hiee
. NSI # ee()e %,i& iri$
. Ri%i&'  ,er&ai, +e)a&%aaa +r'%e(r
a. Pr'%e(r i?a%i a (i)a&&a
 3. Pera)a,a a (i+a&ai
6. Pee,a*a (a +ea)aa (a)a e)a&&a %a, ,i(a&a
(. Per%ia+a +a%ie a ea(ai
e. Ke+a,*a ,er*a(a+ ,e*i& +e6ea*a a (ire&'e(a%i&a
<. )i&a
a. Pe3aa e(
 3. Ke)e&a+a +era)a,a a)a, +e)i( (iri.
6. Pe3er%i*a raa.

> TATA "AKSANA

 7. Pei)aia re%i&' 4er+a&a +r'%e% eaa)i%a ,i&a, re%i&' 4+er,i3aa
,i&a, 3a*aa (a a+a&a* %3er a%a)a* (a+a, (i&e(a)i&a .i(i&a,'r a
 3i%a (ia(i&a (a%ar +ei)aia a(a)a* :
a$ A(aa +ei)aia re%i&' .
 3$ Ter(a+a, ri%& a,ri@.

. Area +ee(a)ia ri%& a%%e%e, PPI.

KE"OMPOK I KE"OMPOK II KE"OMPOK III KE"OMPOK I>

RENDAH SEDANG SEDANG TINGGI
TINGGI
• Area &a,'r Pera9a,a +a%ie • UGD
• Ta+a +a%ie/ (a ,i(a& ,er6a&+ • Ra(i')' • Area &)ii%
area re%i&' (a)a Gr+ 7 a,a • Re6'?er R''% • Tra%+)a,
re(a* a  P*ara6
• Ra Ma,eri,a% •

,i(a& ,er(a,ar  • "a(r A(i@,re

/ >K
(iaa+ • !ae,eria -Ra 3er%i*
• Hi* De+e(e6
• Die,ar Kaar O+era%i
 1 Rare
2 Ma3e
7 "i&e)
 E@+e6,
(. Da+a&.
TK Ri%& De%&ri+%i
1 iia)
2 '(era,
7 +r')'
 Te+'rer )'%%
5 &a,a,r'+i&
e. S&'r  +r'3a3i)i, @ Da+a& @ &e%ia+a %i%,e.
ara # re&e%i 1-2@/,a*$
Ka(a # re&e%i 7-@/,a*$
Aa& Seri # re&e%i -@ /,a*$
Seri #re&e%i F-12 @/,a*$
Kea(ia
Ti(a& 6e(era.
!e(era ria 4)e6e, (i,aai (ea
P7K 
!e(era %e(a 4)&a
r'3e&43er&raa %i
!e(era )a% 46a6a,4)+*
Kea,ia a ,a& ,er*3 (ea
 +era)aa +ea&i,
 2 i 4aaer (a +i+ia &)ii%
ea&a a(i, %+e%ii& 
"'9 I?e%,ia%i %e(er*aa +a)i )aa 1 i
(i%e)e%ai&a (ea +r'%e(r re%i

<. Ti(a&a a ,e)a* (i)a&&a.

a. Pee(a)ia (ea e)i*a, &e%ia+a

TK Ri%& De%&ri+% Uraia

i
1 %')i( Pera,ra (a a%i)i,a% a(a (a
(i)a&%aa&a ,& eiia)&a re%i&'
2 ''( Pera,ra (a a%i)i,a% a(a a ,i(a&
%e)a) (i)a&%aa&a (a)a eiia)&a
re%i&'
7 air Pera,ra a(a 4a%i)i,a% a(a (a ,i(a&
(i)a&%aa&a.
 +''r Pera,ra a(a4a%i)i,a% ,i(a& a(a (a ,i(a&
 ,e,a +e6ea*a (a +ee(a)ia Ie&%i

8. Pei)aia )e?e) re%i&' :

a. # Da+a& @ Pr'3a3i)i, @ Rea(ie% $.
 3. Ni)ai  2  +ri'ri,a% ,aa ,& (i)a&&a ,i(a& )a,.
6. Ni)ai J 2  Pri'ri,a% (i)a&&a ,i(a&a (a)a +eri'(e ,er,e,.
;. Aa)i%a Re%i&' (ea :
a. Mea+a 3i%a ,era(i #a6,i?i,a%4 +r'%e(r$
 3. Ha)2 a+a %aa  3i%a eiia)&a ri%i&'
6. era+a %eri ,era(i/&'%e&e%i.
10. "a&a* +ee(a)ia re%i&' a 3i%a (i,era+&a :
a$ Pe6ea*a +a(a %3era 4Mi% +a(a &a%% >AP a&a &ea(ia 3i%a
(i,e&a (ea e3(aa&a 66i ,aa +r'%e(r %6,i' a
,e+a,.
 3$ Pr',e&%i a&i3a, (ari 3a*aa.
6$ Taa+ (arra,.
($ e)aar (ari &a%% %e3e)a .
11. E?a)a%i Re%i&' (ea :
a. Ra&i a%a)a*
 3. Pri'ri,a% a%a)a*
6. Me)a&&a ,i(a&a /%,ra,ei +er3ai&a
  Dire&,r

Dr Saria.MKe%
NO. KETERANGAN URAIAN KETERANGAN
risiko yang dinilai berdasarkan area
1 KEPARAHAN perawatan pasien dan laanya wakt!
kontak
1 Non Perawatan
" R!ang Rawat #alan
$ Rawat Inap U!
Rawat Hig& Risk 'R!ang Rawat Inap
% K&!s!s(
Isolasi)I*+)H,U)NI,U)PI,U)I,,U)I,U)-/