4. Dokumen MFK-rev

DOKUMEN MANAJEMEN FASILITAS & KESELAMATAN

Dr. Luwiharsih,MSc

REGULASI SBG DASAR PELAKSANAAN KEGIATAN MFK

DOKUMEN MANAJEMEN FASILITAS & KESELAMATAN

DOKUMEN BUKTI/PELAKSANAA N KEGIATAN MFK

luwi-15 maret 2014

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REGULASI SBG DASAR PELAKSANAAN KEGIATAN MFK

DOKUMEN MANAJEMEN FASILITAS & KESELAMATAN

DOKUMEN BUKTI/PELAKSANAA N KEGIATAN MFK

luwi-15 maret 2014

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KOMISI AKREDITASI RUMA SAKIT !"#! slide dr djoti

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MANAJEMEN FASILITAS & KESELAMATAN K$%$i%i'a' (a'

MFK #) !) *) *.#

%$r$'ca'aa' K$s$+aaa' (a' -$aa'a'

MFK ) .#) .!

Baha' $raha0a

MFK 1

K$sia%a' $'2ha(a%i

MFK 3) 3.#

$'ca'a P$'2aa'a' -$a-ara'

MFK 4) 4.#) 4.!) 4.*

P$ra+aa' $(is

MFK 5) 5.#) 5.!

Sis$ ui+isasi 6Sis$

MFK 8) 8.#) 8.!) #")

%$'(u-u'27

#".#) #".!

P$'(i(i-a' sa9

MFK ##) ##.#) ##.!) ##.*

MFK # K$%auha' $rha(a% %$raura' %$ru'(a'2a' MFK 2

Program Maajeme Risiko Fasilitas da ligkuga !Master Program "

MFK 3

#ata iside ke$elakaa terkait %asilitas & ligkuga di RS 'aik utk (asie) (egujug da sta%

MFK 4

Program Keselamata da keamaa

MFK 5

Pegelolaa 'aha 'er'aha*a da lim'ah

MFK +

#isaster (la

Komisi Akreditasi Rumah Sakit

MFK 4 P$'c$2aha' (a' %$'a'2a'a' -$a-ara'

MFK ,

Pegelolaa alat medis

MFK 

.istrik da air tersedia 24 jam

MFK 10 Sistem utilitas da ku$i !sistem *g (etig" lai*a MFK 11 #iklat MFK

Komisi Akreditasi Rumah Sakit

REGULASI NASIONAL PERATURAN PERUNDANG: UNDANGAN

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U'(a'2:u'(a'2

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P$raura' P$$ri'ah

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PMK, KMK. P$r$'a-$r, KL

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P$(;a'/Pa'(ua'

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RUMA SAKIT REGULASI UNIT KERJA KETENTUAN TERTULIS

 T$r-ai ('2 MFK

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P$(;a' MFK 

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Pr;2ra MFK 

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SPO:! MFK 

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Pr;2ra sa9$0 +a 6K:* La7

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Pr;2ra sa9$0 ra(i;+;2i 6K: * ra(i;+;2i7

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Pr;2ra/S-$'ari; $a+a'

& -$a'a' !. Baha'

%a(a ahu'

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risi-; 6Liha

Di+a-sa'a-a'

MFK , 1, 4 5

$raha0a

87

*. Ma'a>$$' $$r2$'si . K$a-ara'

A(a (a9ar

A(a $ua' uu & -husus K$2iaa' %;-;- & ri'cia' -$2iaa' K$2iaa' %;-;-  a Keselamata da Keamaa ' 9aha 'era$u da 'er'aha*a $ #isaster Pla d Ke'akara e Sistem 7tilisasi .istrik) Air da sistem (edukug *ag (etig lai*a % Peralata Medis

 –

Komisi Akreditasi Rumah Sakit

41 Ri$ia kegiata Ri$ia kegiata dimasig2 kegiata meli(uti ; 8deti?kasi risiko Aalisa risiko aluasi risiko  6ata kelola risiko Pela(ora iside Moitorig da Reiew iside da kegiata dukasi sta% tetag risk register 1.Cara $+a-sa'a-a' -$2iaa' 3. Sasara' 4. S-$(u+ 6>a(wa+7 %$+a-sa'aa' -$2iaa' 5. Ea(wa wa+7 +7 %$+a %$+a-s -sa' a'aa aa' ' -$2ia $2iaa a' '

5.

Eua' K$i>a-a' Pr;s$(ur U'i $r-ai

KOTAK HEADING •

$a(i'2 & -;a-'0a (ic$a- %a(a s$ia% ha+aa'

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K;a- RS (i$ri 'aa & +;2; RS 6i+a RS $%. L;2;7

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 Ju(u+ SOP = (i$ri >u(u+/'aa SOP s$suai %r;s$s -$r>a'0a, isa+ = K;'su+asi $(is, Bi;%si 2i'>a+, P$rsia%a' %asi$' ;%$rasi,(s

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N;. D;-u$' = (iisi s$suai ('2 -$$'ua' %$';;ra' 02 $r+a-u (i RS 0s 02 (iua sis$ais a2ar a(a -$s$ra2aa'

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N;. r$u- %$+a-sa'aa', %r;s$(ur -$r>a,(s

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Ta'22a+ $ri = (i$ri a'22a+ s$suai ('2 a'22a+ $ri'0a 02 harus s$suai ('2 a'22a+ (i$r+a-u-a''0a SOP $rs$u

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Di$a%-a' Dir$-ur = (i$ri a'(a a'2a' Dir$-ur (a' 'aa >$+as

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K;a- h$a(i'2 %a(a ha+aa':ha+aa' $ri-u'0a (a%a ha'0a $ua = -;a- 'aa RS, >u(u+ SOP, N; (;-u$',

ISI SOP

#. P$'2$ria' = $risi %$'>$+asa' & aau ($'isi $'a'2 isi+ah 02 u'2-i' su+i (i%ahai aau $'0$a-a' sa+ah %$'2$ria'

!. Tu>ua' = $risi u>ua' %$+a-sa'aa' SOP s$cara s%$si-. Kaa -u'ci = S$a2ai acua' %$'$ra%a' +a'2-ah:! u- HHHHH..

*. K$i>a-a' = $risi -$i>a-a' 6RS (a' aau i(a'2/u'i7 02 $'>a(i (asar & 2aris $sar (iua'0a SOP s. D% $risi 6$r-ai ('27 r% -$i>a-a' 02 $'(asari SOP s. D% >u2a $r>a(i sau -$i>a-a' $'>a(i (asar r% SOP, s$hi'22a $rca'u (+ r%

ISI SOP . Pr;s$(ur= a2ia' i'i r%- a2ia' uaa 02 $'2urai-a' +a'2-ah:! -$2iaa' u- $'0$+$sai-a' %r;s$s -$r>a , & sa9/%$u2as 02 $rw$ 'a'2. Di(a+a'0a (% (ica'u-a' a+a/9;ru: +ir/9asi+ias 02 (i2u'a-a', wa-u, 9r$-u$'si (a+a %r;s$s -$r>a 02 (i2u'a-a'. Bi+a $u'2-i'-a', (iurai-a' s$cara +$'2-a% u'sur:! 02 $'0a'2:-u = SIAPA, DIMANA, KAPAN & BAGAIMANA 6h;, wha, wh$r$, wh$', h;w7 1. U'i $r-ai= $risi u'i:u'i 02 $r-ai & aau %r;s$(ur $r-ai (a+a %r;s$s -$r>a s

KEAMANAN & KESELAMATAN #. SPO %$'a'2a'a' +a%;ra' -$hi+a'2a' ara'2 (i RS !. SPO %$$ria' a(2$ 'a$ u'u%$'2u'>u'2 *. SPO %$$ri-saa' 9asi+ias . SPO %$$ri-saa' u'i i'($%$'($' 1. SPO i+a a(a a0i hi+a'2 6-;($ %i'-7 Komisi Akreditasi Rumah Sakit

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BAAN BERACUN BERBAA@A SPO %$'2a(aa'/%$$+ia' B:*

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SPO %$'0i%a'a' B:*

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SPO %$'a'2a'a' u%aha' B:*

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SPO %$+a%;ra' i'si($' 6-$c$+a-aa' -$r>a7

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SPO ;'i;ri'2 u'i i'($%$'($', (++ Komisi Akreditasi Rumah Sakit

DISASTER

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SPO -;($ $rah 6-$a-ara'7

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SPO -;($ iru 62a2a+ >a'u'2/'a9as7

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SPO -;($ %i'- 6a0i hi+a'27

Komisi Akreditasi Rumah Sakit

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KEBAKARAN SPO $