SK PENETAPAN TINDakan Medis Yang Memrlukan Inform Consent Fix
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PEMERINTAH KABUPATEN SUMBAWA RUMAH SAKIT UMUM DAERAH SUMBAW SUMBAWA Jalan Garuda Nomor 5 Telp. 03!"#!$#$ %a&. 03!"#3$' Sum(a)a Be*ar
KEPUTUSAN +IREKTUR RUMAH SAKIT UMUM +AERAH SUMBAWA N,M,R - ( TAHUN TAHUN #0!
TENTANG PENETAPAN PENETAPAN TIN+AKAN"TIN+AKA TIN+AKAN "TIN+AKAN N ME+IS /ANG MEMERUKAN INFORMED CONSENT PA+A RUMAH SAKIT SAKIT UMUM SUMBAWA
DIREKTUR RUMAH SAKIT UMUM SUMBAWA
Men1m(an2 -
a. Ba)a Ruma Sa41 Umum +aera Sum(a)a merupa4an Ruma Sa41 Umum 6an2 1da4 erlep erlepa* a* dar1 dar1 pem(er pem(er1an 1an pela6anan pela6anan 4epada 4epada pa*1en pa*1en *e7ara *e7ara (ermuu (ermuu dan men2uama men2uama4an 4an 4e*elamaan pa*1en8 (. Ba)a dalam ran24a men1n24a4an muupela6anan dan 4e*lamaan pa*1en *era pemenuan eradap a4 dan 4e)a91(an pa*1en er4a1 per*eu9uan 1nda4an med1*8 7. Ba)a (erda*a (erda*ar4an r4an per1m(a per1m(an2an n2an pada (u1r (u1r a dan ( perlu perlu d1*u*un d1*u*un 4e(19a4an 4e(19a4an peneapan peneapan 1nda4an : 1nda4an med1* 6an2 memerlu4an informed consent .
Men21n2a -
!. Undan2 : Undan2 Nomor 3; Taun #00$ enan2 Ke*eaan. #. Undan2 : Undan2 Nomor '' Taun Taun #00$ enan2 enan2 Ruma Sa41. 3. Undan2"Undan2 Nomor #$ Taun #00' enan2 Pra414 Pra414 Kedo4eran. '. Perauran Mener1 Ke*eaan Nomor !;$!e or Se2menal ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1on"?emur" S1mple ?ra7ure ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1on umeru*"omm1nu1>e or Se2menal ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1onoer*pe71?1ed (one Inraar14ular Ma9or BoneC ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1onpalan2e* o? ?oo " *1mple 1mplan* K")1reC ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1onpalan2e* o? ?oo"Plae D S7re)* ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1onpalan2e* o? and" Plae D S7re)* ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1onpalan2e* o? and" *1mple 1mplan* ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1onar*al* and meaar*al*" Plae D S7re)* ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1onar*al* and meaar*al*" *1mple1mplan* ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1on"1(1a and ?1(ula "S1mple ?ra7ure ,pen redu71on o? ?ra7ure )1 1nernal ?1&a1on"1(1a and ?1(ula"omm1nu1>e or Se2menal ,pen redu71on o? ?ra7ure )1ou 1nernal ?1&a1on ,pen redu71on o? *eparaed ep1p6*1* ,*eo7la*1* 7orre71on o? (one de?orm16C ,er per1peralC >a*7ular *un or (6pa** ,er ampua1on (elo) 4nee ,er arroom6 ,er (un1one7om6 ,er (un1one7om6 )1 *o? 1**ue 7orre71on ,er 7an2e 1n and mu*7le or endon len2 ,er 7an2e 1n mu*7le or endon len2 ,er de*ru71on o? 1ner>ere(ral d1*7 ,er d1>1*1on o? (one ,er e&71*1on o? 9o1n ,er e&71*1on o? *o? 1**ue ,er e&71*1on o? *o? 1**ue o? and ,er e&71*1on or a>ul*1on o? 7ran1al and per1peral ner>e* ,er e&71*1on@ ?u*1on and repa1r o? oe* ,er ?a*71e7om6 ,er ?a*71e7om6 o? and ,er ?u*1on o? ?oo ,er and mu*7le ran*?er or ran*plana1on ,er and mu*7le ran*po*11on ,er and endon ran*?er or ran*plana1on ,er and endon ran*po*11on ,er 1n71*1on o? (one )1ou d1>1*1on ,er 1n71*1on o? *o? 1**ue ,er 1n71*1on o? *o? 1**ue o? and ,er 1n9e71on o? lo7all6"a71n2 erapeu17 *u(*an7e 1no *o? 1**ue o? and ,er lo7al e&71*1on or de*ru71on o? le*1on o? 9o1n ,er mu*7le ran*po*11on ,er m6e7om6 ,er m6e7om6 o? and ,er neuropla*6 ,er opera1on* on mu*7le@ endon@ ?a*71a@ and (ur*a
,er opera1on* on mu*7le@ endon@ ?a*71a@ and (ur*a@Suure o? (ur*a ,er par1al o*e7om6 1n7lud1n2 - Bone 7urrea2e@mar21nal re*e71one or 2an2l1on de7ompre**1on or l6*1* o? ade*1on* Per1peral ner>e neurol6*1* N,S ,er pla*17 opera1on* on ?a*71a ,er pla*17 opera1on* on and ,er pla*17 opera1on* on mu*7le ,er repa1r o? an4le ,er repa1r o? el(o) ,er repa1r o? and@ ?1n2er* and )r1* ,er repa1r o? 9o1n ,er repa1r o? 4nee ,er repa1r o? *oulder ,er repa1r or pla*17 opera1on* on (one ,er *uure o? ?le&or endon o? and ,er *uure o? mu*7le or ?a*71a ,er *uure o? oer endon o? and ,er *uure o? endon ,er endon ran*po*11on ,er enode*1* o? and ,er enone7om6 ,er enone7om6 o? and ,er enopla*6 o? and Paellar *a(1l1a1on Per1peral ner>e 1n9e71on@ no oer)1*e *pe71?1ed Pla*17 opera1on on and )1 2ra? o? mu*7le or ?a*71a Pla*17 opera1on on and )1 oer 2ra? or 1mplan Fuadr17ep*pla*6 Reaa7men o? mu*7le Reaa7men o? mu*7le o? and Reaa7men o? endon Reaa7men o? endon o? and Relea*e o? 7arpal unnel Relea*e o? 7lu(?oo@ no el*e)ere 7la**1?1ed Relea*e o? ar*al unnel Remo>al o? 7emenC *pa7er Remo>al o? (one 2ro) *1mulaor 1n>a*1>eC Remo>al o? 1mplaned de>17e* ?rom (one : 7arpal* and mea7arpal*"Plae D *7re) Remo>al o? 1mplaned de>17e* ?rom (one : 7arpal* and mea7arpal*"*1mple 1mplan* K")1reC Remo>al o? 1mplaned de>17e* ?rom (one " E&ernal ?1&aor de>17e 1n>a*1>eC Remo>al o? 1mplaned de>17e* ?rom (one " ?emur Remo>al o? 1mplaned de>17e* ?rom (one " umeru* Remo>al o? 1mplaned de>17e* ?rom (one " rad1u* and ulna Remo>al o? 1mplaned de>17e* ?rom (one " *7apula@7la>17le@ and ora& r1(* and *ernumC Remo>al o? 1mplaned de>17e* ?rom (one "un*pe71?1ed *1e Palan2e* o? ?ooC o? andCC " Plae D S7re) Remo>al o? 1mplaned de>17e* ?rom (one "un*pe71?1ed *1e Palan2e* o? ?ooC o? andCC "*1mple 1mplan* K")1reC Remo>al o? 1mplaned de>17e* ?rom (one "paella Remo>al o? 1mplaned de>17e* ?rom (one" ar*al* and meaar*al*" *1mple 1mplan* K")1reC Remo>al o? 1mplaned de>17e* ?rom (one" 1(1a and ?1(ula Remo>al o? 1mplaned de>17e* ?rom (one"oer Pel>17 (one and =ere(raaeC
Remo>al o? 1mplaned de>17e* ?rom (one"ar*al* and meaar*al* " Plae D S7re) Remo>al o? 1nernal l1m( len2en1n2 de>17e Repa1r o? 7la) oe Repa1r o? 7le? and Repa1r o? ammer oe Repa1r o? 1p@ no el*e)ere 7la**1?1ed Repa1r o? ma7roda76l6 Repa1r o? malle ?1n2er Repa1r o? re7urren d1*lo7a1on o? *oulder Seue*re7om6 Su(alar ?u*1on Su(alar 9o1n arroere1*1* Suure o? Arer6 Suure o? 7ap*ule or l12amen o? an4le and ?oo Suure o? 7ap*ule or l12amen o? oer lo)er e&rem16 Suure o? 7ap*ule or l12amen o? upper e&rem16 Suure o? mu*7le or ?a*71a o? and Suure o? endon *ea Suure o? endon *ea o? and Suure o? =e1n S6no>e7om6 Tar*omeaar*al ?u*1on Tendon 2ra? Tendon pulle6 re7on*ru71on Tendon pulle6 re7on*ru71on Tendon ran*?er or ran*plana1on Tenoom6 o? and T12 reaa7men Tum( reaa7men Toe reaa7men Un*pe71?1ed opera1on on (one 1n9ur6 Upper arm reaa7men Upper l1m( ampua1on@ no oer)1*e *pe71?1ed Wed2e o*eoom1 Ampua*1 A(o>e Knee Ampua*1 Belo) Knee +1*ar14ula*1 *end1 e4*rem1a* %a*71oom6 Ampua*1 Jar1 %lap < S41n Gra? Ampua*1 Tun24a1 < en2an Ad>an7emen %lap a1**1mu* +or*1 %lap ,pera*1 Komparemen ,o Roa1on %lap Ampua*1 a(o>e el(o) Ampua*1 (ello) el(o) Ampua*1 d121al Ampua*1 9ar1 ! Ampua*1 9ar1 *1n2le E4*ra4*1 4orpu* al1enum E&71*e pol6da76l6 %lap lo4al *ederana
+ ?lap ,r1? ?ra4ur and Pa*an2 (a74 *la(
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