Pap 2.2 Instruksi Medis
August 20, 2018 | Author: Naya | Category: N/A
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SURAT SURAT KEPUTUSAN DIREKTUR RUMAH SAKIT S ITI MIRIAM NOMOR :………………………………. TENTANG KEBIJAKAN KEBIJAKA N PEMBERLAKUAN PANDUAN PANDUAN EARLY WARNING SYSTEM (EWS)
DIREKTUR RUMAH SAKIT SITI SITI MIRIAM LAWANG LAWANG
Menimbn! : . b"# E$%& W$nin! S&'em me$*+n '&'em '&'em ',-$in! ',-$in! '' 'i-%-!i' *'ien Se"in!! *bi% e$/0i *e$b$+n 0* 'e!e$ e$0ee+'i e$0ee+'i 0n 0n men0*+n 1n0+n 'e'i 0en!n +eb"n2 b. b"# EWS 'e,$ %n!'n! be$*e$n 'e$ 0%m *enin!+n m 0n +e'e%mn +e'e%mn *'ien $m" '+i2 ,. b"# be$0'$+n *-in 0n b 0i ' *e$% 0i''n Pn0n E$%& W$nin! S&'em 0i $m" S+i Si1 Mi$im .
Men!in!:
3. Un0n!4n0n! Re*b%i+ In0-ne'i N-. 56 "n 7889 enn! Ke'e"n2 7. Un0n!4n0n! Re*b%i+ In0-ne'i N-. "n 7889 enn! Rm" S+i2 5. Pe$$n Pe$$n Mene$i Ke'e"n RI N-. 339 "n 788; enn! *en&e%en!!$n *en&e%en!!$n P$+e+ D-+e$ D-+e$ 0n D-+e$ Gi!i2 . Pe$$n Pe$$n Mene$i Mene$i Ke'e"n RI N-. 35< "n "n 7838 enn! Sn0$ Sn0$ Pe%&nn Pe%&nn Ke0-+e$n2 ;. Un0n!4n0n! N-. 79 "n 788 enn! P$+e+ Ke0-+e$n2 6. Un0n!4n0n! N-. 5< "n 783 enn! Ke*e$#n. Ke*e$#n.
MEMUTUSKAN
Mene*+n : Ke'
: Pembe$%+n Pn0n Pe%+'nn E$%& W$nin! S&'em (EWS) 0i Rm" S+i Si1 Mi$im .
Ke0
: Pn0n Pe%+'nn E$%& W$nin! S&'em (EWS) 'eb!imn e$in,i 0%m Lm*i$n Ke*'n ini.
Ke1!
: Ke*'n Ke*'n ini be$%+ 'e%m 1! "n 0n 0ie=%'i 'e1* "n.
Keem*
: A*bi% 0i+em0in 0i+em0in "$i 0iem+n +e%em"n 0%m *ene$bin Pe$$n Pe$$n Di$e+$ Ini m+ +n 0i'em*$n+n %ebi" %n/
Die*+n 0i : L#n! P0 Tn!!%
:
Di$e+$ RS Si1 Mi$im
0$. 0$. Anni' A$0i/n- M1. MMRS
PANDUAN PELAKSANAAN EARLY WERNING SYSTEM DI RUMAH SAKIT SITI MIRIAM LAWANG
KATA PENGANTAR
P/i '&+$ +mi +m i *n/+n +e*0 T"n Yn! M" E' K' ' be$+ 0n n!e$" &n! e%" 0ibe$i+n 0ibe$i+n +e*0 *en&'n> *en&'n> 'e"in!! 'e"in!! Pn0n Pe%+'nn Pe%+'nn E$%& #$nin! #$nin! S&'em Rm" Rm" S+i Si1 Mi$im L#n! ini 0* 'e%e'i 0i''n. Pn0n ini me$*+n *n0n +e$/ b!i 'em *i"+ 0%m membe$i+n *e%&nn *'ien RS Si1 Mi$im. D%m *n0n ini 0i$i+n 0i$i+n enn! *en!e$1n> $n! %in!+*> %+'n> 0n *en0-+men'in *en0-+men'in e$+i Pn0n Pe%+'nnn E$%& W$nin! S&'em 0i RS Si1 Mi$im. Pen&'n men&m*i+n men&m*i+n e$im +'i" ' bnn 'em *i"+ &n! e%" membn 0%m men&e%e'i+n *n0n ini.
L#n!>
Pen&'n
DA?TAR ISI
BAB I
DE?INISI………………………………………………………………………………….
BAB II
RUANG LINGKUP……………………………………………………………………
BAB III
TATA ATA LAKSANA…………………… LAKSANA…… ………………………………… …………………………………… ……………………………… ……………
BAB I@
DOKUMENTASI…………………………………………………………………….. DOKUMENTASI……………………………………………………………………..
BAB I DE?INISI
3. E$% E$%& & W$ni $nin! n! S&' S&'em em (EWS (EWS)) 0% 0%" " '&' '&'em em *e$i *e$in! n! n n 0ini 0ini &n! &n! 0* 0* 0i$ 0i$1+ 1+n n 'eb 'eb! !ii $n!+i $n!+in'i' n'i'em em +-mni+' +-mni+'ii in-$m' in-$m'ii &n! 0im%i 0im%i 0$i 0ee+'i 0ee+'i
#%> #%> 0n *en!mbi% *en!mbi%n n
+e*'n 'e%n/n&. 'e%n/n&. Dee+'i 0ini me$*+n !mb$n 0n i'&$ i'&$ e$/0in& !n!!n n!'i b" &n! b$+ +e10+' +e10+'bi% bi%n n 'i+ *'ien 'e"in!! 'e"in!! 0* 0* men/0i men/0i +-0e +-0e 0n mem*e$'i*+ mem*e$'i*+n n +e/0in +e/0in b$+ 0n meminim%+ meminim%+n n 0m*+n 0m*+n&> &> *eni%in *eni%in n+ n+ men!+$ men!+$ *e$in!n 0ini ini men!!n+n E$%& W$nin! ',-$e. 7. N1-n% N1-n% E$%& E$%& W$nin! W$nin! S,-$e (NEWS) (NEWS) 0%" 'eb" 'eb" *en0e+ *en0e+n n 'i'em1' 'i'em1' &n! &n! men!!n+n men!!n+n ',-$in! ',-$in! n+ n+ men!i0en1 men!i0en1+'i +'i *e$b"n *e$b"n +-n0i'i +-n0i'i 'e'e-$n! 'e'e-$n! 'e+%i!' 'e+%i!' menen+n menen+n %n!+" %n!+" 'e%n/n& &n! "$' 0i+e$/+n. Peni%in ini 0i%++n *0 -$n! 0e#' (be$'i %ebi" 0$i 36 "n) > 10+ n+ n+4n+ 0n ib "mi%. Si'em ini 0i+embn!+n -%e" R-&% -%%e!e - P"&'i,in'> "e R-&% -%%e!e - N$'in!> "e N1-n% O$e," ?-$m n0 NHS T$inin! -$ Inn-=1-n> L-n0-n "n 7837. 5. Si'em Si'em ',-$in ',-$in! ! NEWS NEWS men!! men!!n n+n +n *en!+ *en!+/i /in n &n! &n!
men!!n men!!n+ +n n
C (/ (/") ") *$me *$mee$ e$
'i-%-!i' &i e+nn 0$" 0$" 'i'-%i+> n0i> '"> '$'i -+'i!en> -+'i!en> +eb"n % bn O7 0n '' '' +e'0$ +e'0$n n n+ n+ men0ee+' men0ee+'ii
e$/0in& e$/0in& *e$b$+ *e$b$+n+ n+e!# e!# n n +-n0i'i +-n0i'i *'ien &n! &n!
/nn& 0%" men,e!" "i%n!n& n&# 'e'e-$n! 0n men!$n!i 0m*+ &n! %ebi" *$" 0$i 'ebe%mn&. . Pe0i$i Pe0i$i,, E$%& W$nin! W$nin! S&'em S&'em (PEWS) 0%" 0%" *en!!nn *en!!nn '+-$ '+-$ *e$in!n *e$in!n 0ini 0n *ene$* *ene$*n n *e$b"n +-m*%e+' &n! 0i*e$%+n n+ *en!en%n 0ini e$"0* *'ien n+ 0i $m" '+i. ;. Si'em Si'em ',-$in! ',-$in! PEWS PEWS men!! men!!n+ n+n n *en!+ *en!+/i /in n &n! &n! men!!n men!!n+ +n n 38 ('e*% ('e*%") ") *$me *$mee$ e$ 'i-%-!i' &i #$n +%i> *& $e'*i$'i > *en!!nn % bn O7> 0en& /nn!> #+ *en!i'in ,*i%%$& $e%%> e+nn 0$" 'i'-%i+> 1n!+ +e'0$n> 0n '"> +e'0$n n+ men0ee+'i e$/0in& e$/0in& *e$b$+n +e!#n +e!#n +-n0i'i *'ien &n! /nn& /nn& 0%" men,e!" "i%n!n& "i%n!n& n&# 'e'e-$n! 0n men!$n!i 0m*+ &n! %ebi" *$" 0$i 'ebe%mn&.
BAB II RUANG LINGKUP
3. In' In'% %' 'ii R# R# In* In* 7. In'% In'%'i 'i M Me$n e$n% % 0n 0n Pe$i Pe$in n% % . Rn! Ni' b. Rn Rn! ! Pe$in e$in -% -%-! -!ii 5. In In% %'i 'i G# G# D$ D$$ $ . P'ie 'ien n R# R# In In* * ;. Pe$#
BAB III TATA LAKSANA
A. N1-n N1-n%% E$% E$%& & W$n W$nin! in! S&' S&'em em 3. NEWS 0i!n+ 0i!n+n n *0 *0 *'ien *'ien 0e#' 0e#' (be$'i (be$'i 36 "n "n %ebi") %ebi") 7. NEWS 0* 0* 0i!n+ 0i!n+n n n+ n+ men!' men!'e'men e'men *en&+i *en&+i +> +> men0e men0ee+'i e+'i *en$nn *en$nn +%ini'> +%ini'> 0n men!ini'i'i $e'*-n +%ini' &n! e* #+ 0n 'e'i. 5. NEWS NEWS 10 10+ + 0i! 0i!n n+ +n n *0 *0 : . P'ie P'ien n be$ be$'i 'i +$ +$n! n! 0$i 0$i 36 "n "n b. P'i 'ien "mi% mi% ,. P'ie 'ien n 0en 0en! !n PPOK PPOK . NEWS /! /! 0* 0iim*% 0iim*%emen emen'i+ 'i+n n n+ n+ 'e'men 'e'men *$e"-'*i *$e"-'*i%% *0 +-n0i +-n0i'i 'i + -%e" -%e" $' $e'*-n0e$ $e'*-n0e$ 'e*e$1 'e*e$1 *e%&n *e%&nn n mb%n'> mb%n'> *e%&n *e%&nn n +e'e" +e'e"n n *$ime$ *$ime$> P'+e'm' P'+e'm' n+ n+ men!-*1m%+n +-mni+'i +-mni+'i +-n0i'i *'ien 'ebe%m 0i$e$im $m" '+i /n. ;. N1-n N1-n% % E$% E$%& & W$ni W$nin! n! S,-$ S,-$e e (NEWS) (NEWS)
P$mee$ Pe$n'n S$'i O+'i!en Pen!!n n A% bn O7 S" Te+nn D$" Si'-%i+ Den& Jnn! Tin!+ Ke'0$n TOTAL
5 < 93
7 9 74 9 5
3 94 3 3 949;
Y
5; 98
9 34 3 8 8
8
8 37478 96
3
7 7347
534 59>8
F59>3
5 F7;
Ti0+
5;>34 56>8 3834338
56>34 58 3334739
34;8
;3498
F778
9 34 3 3 8
3334358
F353
A
6. SKOR SKOR NEWS NEWS 0n Re'*Re'*-n n KLini KLini'' &n! &n! Dibe Dibe$i+ $i+n n
S+$
K%'i+' i
Re'*-n K%ini'
Tin0+n
?$e+en'i M-ni-$in !
8 34
Sn! Ren0" Ren0"
;4 6
Se0n!
FC
Tin!!i
Di%++n m-ni-$in! H$' 'e!e$ 0ie=%'i -%e" *e$# *e$# e$0 e$0$ $ &n! +-m*een "$' mem'+n *+" *+" *e$b"n *e$b"n $e+en'i *emnn *emnn +%ini' +%ini' #/ib e'+%'i *e$#n +%ini' H$' 'e!e$ me%++n 1n/n men0e'+ -%e" +%ini'i &n! e$ e$m*i m*i%% 0en! 0en!n n +-m*een +-m*een'i 'i 0%m 0%m *eni%in *eni%in *en&+i *en&+i + 0i bn!'% bi'n& -%e" 0-+e$ *e$ *e$# # 0en! 0en!n n mem*e$1mbn!+ n *+ *+" " e'+% e'+%'i 'i *e$# *e$#n n +e 1m *e$ *e$# #n n +$i1 +$i1'' 0i*e 0i*e$% $%+ +n n (&i (&i 1m *en/n *en/n!+ !+ n n *e$#n +$i1') "$' 'e!e$ membe$i+n *eni% *eni%in in 0$$ 0$$ 'e, 'e,$ $ +%in +%ini' i' -%e" -%e" 1m *en/n!+n ,$i1,% ,$e -$ -$e e," ," 0en! 0en!n n +-m*een'i *enn!nn *'ien +$i1' 0n bi'n& bi'n& e$/ e$/0i 0i $n $n''e$ *'ien +e $e *e$# *e$#n n 0en!n 0en!n % bn
Me%n/+n M-ni-$in! Pe$# men!'e'men *'ien *'ienme menin nin!+ !++ +n n $e+ $e+en' en'ii m-ni-$in!
Min 37 /m Min 46 Jm
*e$ *e$# # be$+ be$+-% -%b b-$ -$' 'ii 0en! 0en!n n 1m*embe$in ''e'men +e!#nmenin!++n*e$# n 0en! 0en!n n 'i% 'i%i i'' m-ni m-ni-$ -$ &n! &n! %en!+*
Min 3 Jm
be$+-%b-$'i 0en!n 1m me0i' e0i'* *em embe be$i $in n ''e ''e'm 'men en +e!#n*in0" $n! HU
Be0 'e m-ni-$e =e$& 1me
B. Pe0i Pe0i$i $i,, E$%& E$%& W$ni W$nin! n! S&'em S&'em (PEW (PEWS) S) 3. PEWS 0i!n+ 0i!n+n n *0 *'ien *'ien n+ n+ *e0i$i, *e0i$i, (be$'i (be$'i ' ' %"i$436 %"i$436 "n) "n) 7. PEWS 0* 0* 0i!n+n 0i!n+n n+ men!' men!'e'men e'men *en&+i *en&+i + > men0ee+'i* men0ee+'i*en$ en$nn nn +%ini'> +%ini'> 0n men!ini'i'i $e'*-n +%ini' &n! e* #+ 0n 'e'i. 5. PEWS PEWS 10 10+ + 0i! 0i!n n+ +n n *0 *0 : . P'ie P'ien n 0e# 0e#' ' %ebi %ebi" " 0$i 0$i 36 " "n n b. P'ien P'ien n+ 0en!n 0en!n TO? (T (Te$%-!i e$%-!i - - ?%%-)> ?%%-)> 'in0$-m 'in0$-m @ATER @ATERLL . PEWS /! /! 0* 0* 0iim*%emen 0iim*%emen'i 'i+n +n n+ n+ 'e'men 'e'men *$e"-'*i *$e"-'*i% % *0 *0 +-n0i'i +-n0i'i + + -%e" $' $' $e'*-n0e$ $e'*-n0e$ 'e*e$1 'e*e$1 *e%&n *e%&nn n mb%n'> mb%n'> *e%&n *e%&nn n +e'e" +e'e"n n *$ime$ *$ime$> P'+e'm' P'+e'm' n+ n+ men!-*1m%+n +-mni+'i +-mni+'i +-n0i'i *'ien 'ebe%m 0ie$im $m" '+i /n. . Tbe% be% +%' +%'i i+ +'i 'i Um$ Um$
G$+ 845 b%n
Gmb$
Renn! 'i in'+%'i 37 min!!
433 b%n
Kee$n!n Di!n+n *0 'i 37 min!! +-$e+'i *0 b&i *$em$e 'm*i 7< min!!
37 min!!> 3 "$i4 3 "n 3 "n4 ; "n ; "n437 "n 37 "n4 36 "n
34 "n ;437 "n 37 "n
b. Tbe% *$mee$ *$mee$ Pe0i$i Pe0i$i+ + E$%& E$%& W$nin W$nin! ! S,-$e S,-$e
P$mee$ Pe$n'n Re$+'i 0in0in! 00 A% bn O7 S$'i O+'i!en Den& /nn! K*i%% $e%
5 38
*eni%in 'e1* /m. 5
: S+-$ $en0" ("i/)> *eni%in 'e1* 347 /m.
: S+-$ menen!" (-$n!e) *eni%in 'e1* 3 /m.
F; : S+-$ 1n!!i (me$") *eni%in 'e1* 58 meni.
,.
3. 7. 5. . ;.
P$ P$me mee e$$ mb" mb"n n PEWS PEWS
S$'i O+'i!en K*i K*i%% %% $e $e%% (# (#+ +) ) Te+n e+nn n 'i' 'i'-%i -%i+ + W$n + +%i S"
P$ mee$ Tmb"n P$mee$ mb"n 0* 0i!n+n 'eb!i *eni%in *eni%in mb"n mb"n 0n 0n 1n0+ 1n0+ %n/ %n/ 0$i 1n0 1n0+ + +%in +%ini+ i+ &n! n! 0i'e 0i'e' 'i i+ +n n *0 *0 1* 1* in0i=i0 n+.
0. Ni%i Ni%i n-$m n-$m% % n0 n04 4n0 n0 @i% @i%
U'i B&i b$ %"i$ (%"i$4 3 b%n) Inn (3437 b%n) T--00%e$ ( 35b%n4 5 "n) P$e',"--% (46 "n) S,"--% A!e (C437 "n) D-%e',en (35439 "n)
He$ $e 38843
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