Hak Pasien Dan Kelurga
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HAK PASIEN DAN KELUARGA
SK DIREKTUR HAK PASIEN DAN KELUARGA
KEPUTUSAN DIREKTUR RUMAH SAKIT UMUM DAERAH ARSADA JAWA BARAT
NOMOR :01/ARSADA/2013
TENTANG
PERLINDUNGAN TERHADAP HAK-HAK PASIEN DAN KELUARGA
DIREKTUR RUMAH SAKIT UMUM DAERAH ARSADA JAWA BARAT
Menim!n" : !# B!$%! &'m!$ (!)i* !+!,!$ in(*i*'(i e,!.!n!n .!n"
meme&i)!n e,!.!n!n )e(e$!*!n e&&!n"!n (e!&!!&i'&n! +!,!m en.e,en""!&!!n.! (en!n*i!(!
men"$&m!*i )ee&!.!!n +!n ni,!i-ni,!i !(ien (e&*!
+en"!n en'$ e&$!*i!n "'n! men!"! )e$&m!*!n +!n
m!&*!!*n.!#
# B!$%! e,!.!n!n )e(e$!*!n &'m!$ (!)i* $!&'( +!!*
memen'$i )e'*'$!n +!n $!&!!n m!(.!&!)!* !)!n
e&*!m!$ !i) +en"!n men"i)'*(e&*!)!n !(ien +!n
)e,'!&"! +en"!n meme&i)!n +')'n"!n *e&$!+! $!)
!(ien +!n )e,'!&"! (e,!m! +!,!m &(e( e,!.!n!n#
# B!$%! 'n*') men'n!n" en.e,en""!&!!n +!n &(e(
e,!.!n!n (e!"!im!n! +im!)('+ !+! $'&' ! +!n
4 +ie&,')!n e&,in+'n"!n *e&$!+! $!)-$!) !(ien +!n
)e,'!&"! .!n" +i*e*!)!n +en"!n Ke'*'(!n Di&e)*'
Men"in"!* : 1# Un+!n"-'n+!n" Re',i) In+ne(i! Nm& : 35 T!$'n
2006 *en*!n" Ke(e$!*!n T!m!$!n Lem!&!n Ne"!&!
Nm& 70534
2# Un+!n"-'n+!n" Nm& 88 T!$'n 2006 *en*!n" R'm!$
S!)i* Lem!&!n Ne"!&! Re',i) In+ne(i! T!$'n 2006
Nm& 173 T!m!$!n Lem!&!n Ne"!&! Re',i)
In+ne(i! Nm& 70924
3# Pe&!*'&!n Men*e&i Ke(e$!*!n Nm& : 176
/Men)e(/SK/Pe&/II/166; *en*!n" R'm!$ S!)i*
8# Ke'*'(!n Men*e&i Ke(e$!*!n Nm& :
929/Men)e(/SK/
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In*e&n!, R'm!$ S!)i* H(i*!, . L!%(4
7# Ke'*'(!n Men*e&i Ke(e$!*!n Nm&
1333/Men)e(/SK/=II/1666 *en*!n" S*!n+!& Pe,!.!n!n
R'm!$ S!)i*
5# Ke'*'(!n Men*e&i Ke(e$!*!n Nm&
22;/Men)e(/SK/III/2002 *en*!n" Pe+m!n Pen.'('n!n
S*!n+!& Pe,!.!n!n Minim!, R'm!$ S!)i* Um'm D!e&!$
9# Un+!n"-'n+!n" Nm& 32 *!$'n 2008 *en*!n"
Peme&in*!$!n D!e&!$ Lem!&!n Ne"!&! T!$'n 2008
Nm& 127T!m!$!n Lem!&!n Ne"!&! Nm& 88394
;# Pe&!*'&!n Peme&in*!$ Nm& 81 T!$'n 2009 *en*!n"
O&"!ni(!(i Pe&!n")!* D!e&!$ Lem!&!n Ne"!&!
Re',i) In+ne(i! T!$'n 2009 Nm& ;6 *!m!$!n
Lem!&!n Ne"!&! Re',i) In+ne(i! Nm& 89814
MEMUTUSKAN
Mene*!)!
n
:
PERTAMA : Ke'*'(!n Di&e)*'& RSUD ARSADA J!%! B!&!*
*en*!n" Pe&,in+'n"!n *e&$!+! H!)-$!) P!(ien +!n
Ke,'!&"!#
KEDUA : A+!'n H!)-$!) P!(ien +!n Ke,'!&"! (e!"!im!n!
+im!)('+ +!,!m +i)*'m PERTAMA )e'*'(!n ini
!+!,!$ H!) P!(ien .!n" (e('!i +en"!n e&!*'&!n
+!n e&'n+!n"!n .!n" e&,!)' P!(!, 32 Un+!n"-
'n+!n" Nm& 88 T!$'n 2006 *en*!n" R'm!$ S!)i*4#
KETIGA : Den"!n +i*e*!)!nn.! )e'*'(!n ini (e,'&'$ (*!>
me+i( )ee&!%!*!n en'n!n" me+i( +!n nn
me+i( (e&*! >'n"(in!, e,!)(!n! ,!inn.! %!i
meme&,!)')!n !(ien +!n )e,'!&"!n.! +en"!n
en'$ $&m!* +!n m!&*!!* (e('!i +en"!n
e&!*'&!n +!n e&'n+!n"!n .!n" e&,!)'
(e!"!im!n! +im!)('+ !+! +i)*'m KEDUA
)e'*'(!n ini#
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KEEMPAT : Un*') men!!i *''!n e,!.!n!n .!n" e&m'*'
(e"!,! $!, .!n" e&)en!!n +en"!n
en.e,en""!&!!nn.! $en+!)n.! +i,!n+!(i +en"!n
)e&!(!m! +!n !&*i(i!(i .!n" !i) +en"!nmen"em!n")!n )ei!)!n +!n &(e+'& .!n"
men+')'n" )e*e&,i!*!n !(ien +!n )e,'!&"! +!,!m
&(e( e,!.!n!n#
KELIMA : Se"!,! (e('!*' .!n" e&)en!!n +en"!n $!,-$!, .!n"
e,'m *e&*'!n" +!,!m Ke'*'(!n ini !)!n +i!*'&
)em'+i!n +!,!m e+m!n +!n &*! e,!)(!n!!n
+im!n! $!, ini me&'!)!n (!*' +)'men .!n" *i+!)
*e&i(!$)!n#
KEENAM : Un*') men+')'n" e,!)(!n!!n )e'*'(!n ini !&!
Pe!!* S*&')*'&!, Ke!,! Bi+!n"/B!"i!n Ke!,!
Se)(i +!n U&'(!n (e&*! Ke!,! In(*!,!(i +!n Uni*
Ke&!/R'!n" R!%!* In! +!n R!%!* J!,!n (e&*!
Pen'n!n" ,!inn.! %!i men((i!,i(!(i)!n )ei!)!n
ini )e!+! (e,'&'$ (*!> e,!)(!n! >'n"(in!, .!n"
e&!+! !+! ,in")' *!n""'n" !%!n.!#
KETUJUH : Ke'*'(!n ini e&,!)' (e!) *!n""!, +i*e*!)!n
+!n !!i,! *e&+!!* )e)e,i&'!n !)!n +i,!)')!n
e&!i)!n +en"!n (e!"!im!n! me(*in.!#
Di*e*!)!n +i :
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P!+! *!n""!, :
RUMAH SAKIT UMUM DAERAH ARSADA JAWA BARAT
Di&e)*'&
LAMPIRAN
HAK DAN KEWAJIBAN PASIEN DI RSa. HAK PASIEN :
14 P!(ien e&$!) meme&,e$ in>&m!(i men"en!i *!*! *e&*i +!n
e&!*'&!n .!n" e&,!)' +i &'m!$ (!)i*
8
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24 P!(ien e&$!) !*!( e,!.!n!n .!n" m!n'(i!%i !+i, +!n ''&
34 P!(ien e&$!) meme&,e$ e,!.!n!n me+i( .!n" e&m'*' (e('!i+en"!n (*!n+!& &>e(i )e+)*e&!n/)e+)*e&!n "i"i +!n *!n!+i()&imin!(i
84 P!(ien e&$!) meme&,e$ !('$!n )ee&!%!*!n +en"!n (*!n+!&&>e(i )ee&!%!*!n
74 P!(ien e&$!) memi,i$ +)*e& +!n )e,!( e&!%!*!n (e('!i +en"!n)ein"in!nn.! +!n (e('!i +en"!n e&!*'&!n .!n" e&,!)' +i &'m!$(!)i*
54 P!(ien e&$!) +i&!%!* ,e$ +)*e& .!n" (e!&! e!( menen*')!nen+!!* ),ini( +!n en+!!* e*i(n.! *!n! !m'& *!n"!n +!&ii$!) ,'!&
94 P!(ien e&$!) memin*! )n(',*!(i )e!+! +)*e& ,!in .!n"*e&+!>*!& +i &'m!$ (!)i* *e&(e'* (en+ inin4 *e&$!+!en.!)i* .!n" +i+e&i*!n.! (een"e*!$'!n +)*e& .!n" me&!%!*
;4 P!(ien e&$!) !*!( ?&i@!. +!n )e&!$!(i!!n en.!)i* .!n"+i+e&i*! *e&m!(') +!*!-+!*! me+i(n.!
64 P!(ien e&$!) men+!!* in>&m!(i .!n" me,i'*i :
• en.!)i* .!n" +i+e&i*! *in+!)!n me+i) !! .!n" $en+!)+i,!)')!n
• )em'n")in!n en.!)i* (e!"!i !)i!* *in+!)!n *e&(e'* +!n*in+!)!n 'n*') men"!*!(in.!
• !,*e&n!*i> *e&!i ,!inn.!
• &"n(!n.!
•
e&)i&!!n i!.! en"!*!n
104 P!(ien e&$!) men.e*''i/meme&i)!n iCin !*!( *in+!)!n .!n"!)!n +i,!)')!n ,e$ +)*e& (e$''n"!n +en"!n en.!)i* .!n"+i+e&i*!n.!
114 P!(ien e&$!) men,!) *in+!)!n .!n" $en+!) +i,!)')!n*e&$!+! +i&in.! +!n men"!)$i&i en"!*!n (e&*! e&!%!*!n !*!(*!n""'n" !%! (en+i&i (e('+!$ meme&,e$ in>&m!(i .!n" e,!(*en*!n" en.!)i*n.!
124 P!(ien e&$!) +i+!min"i )e,'!&"!n.! +!,!m )e!+!!n )&i*i(
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134 P!(ien e&$!) men!,!n)!n i!+!$ (e('!i !"!m!/)ee&!.!!n.!n" +i!n'*n.! (e,!m! $!, i*' *i+!) men""!n""' !(ien ,!inn.!
184 P!(ien e&$!) !*!( )e!m!n!n +!n )e(e,!m!*!n +i&in.!(e,!m! +!,!m e&!%!*!n +i &'m!$ (!)i*
174 P!(ien e&$!) men"!')!n '(', (!&!n e&!i)!n !*!(e&,!)'!n e&,!)'!n &'m!$ (!)i* *e&$!+! +i&in.!
154 P!(ien e&$!) mene&im! !*!' men,!) imin"!n m&i,m!''n (i&i*'!,#
b. KEWAJIBAN PASIEN :
14 P!(ien +!n )e,'!&"!n.! e&)e%!i!n 'n*') men*!!*i (e"!,!e&!*'&!n +!n *!*! *e&*i &'m!$ ()!i*
24 P!(ien e&)e%!i!n 'n*') mem!*'$i (e"!,! in(*&')(i +)*e& +!ne&!%!* +!,!m en"!*!nn.!
34 P!(ien e&)e%!i!n meme&i)!n in>&m!(i +en"!n ''& +!n(e,en")!n.! *en*!n" en.!)i* .!n" +i+e&i*! )e!+! +)*e& .!n"
me&!%!*#
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PROGRAM HAK PASIEN DAN KELUARGA
BAB I
PENDAHULUAN
A# LATAR BELAKANGUn+!n"-'n+!n" *en*!n" Pe&'m!$(!)i*!n n 88 *!$'n 2006
men'n*'* (em'! R'm!$ S!)i* 'n*') menin")!*)!n m'*' ,!.!n!n
)e(e$!*!n# H!(i, e,!.!n!n !(ien !)!n e&*!m!$ !i) i,! !(ien
+!n )e,'!&"! !*!' me&e)! .!n" e&$!) men"!mi, )e'*'(!n
+ii)'*(e&*!)!n +!,!m )e'*'(!n e,!.!n!n +!n &(e( .!n" (e('!i
+en"!n $!&!!n +!n '+!.!#Un*') menin")!*)!n $!) !(ien +i R'm!$ S!)i* $!&'( +im',!i
+en"!n men+eni(i)!n $!) *e&(e'* )em'+i!n men+i+i) !(ien
+!n (*!> *en*!n" $!) *e&(e'*# P!(ien +ie&i*!$' *en*!n" $!)
me&e)! +!n !"!im!n! $!&'( e&(i)!# Kem'+i!n men+i+i) (*!>
'n*') men"e&*i +!n men"$&m!*i )ee&!.!!n +!n ni,!i-ni,!i!(ien +!n meme&i)!n e,!.!n!n +en"!n en'$ e&$!*i!n +!n
$&m!* "'n! men!"! m!&*!!* !(ien#
B# TUJUAN UMUM DAN KHUSUS1# T''!n Um'm
P!(ien +!n )e,'!&"! men+!!*)!n $!)n.! (e,!m! &(e(
e,!.!n!n )e(e$!*!n +i R'm!$ S!)i*#2# T''!n K$'('(
!# R'm!$ S!)i* K$'('( I' +!n An!) K*! B!n+'n" me,in+'n"i
H!) P!(ien +!n Ke,'!&"! (e,!m! &(e( e,!.!n!n )e(e$!*!ne&,!n"('n"
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# P!(ien +!n )e,'!&"! men"e*!$'i $!)n.! (e,!m! &(e(
e,!.!n!n )e(e$!*!n# S*!> R'm!$ S!)i* men"e*!$'i +!n mem!$!mi $!) !(ien +!n
)e,'!&"!#
BAB IIKEGIATAN
A# KEGIATAN POKOK Mem>!(i,i*!(i !*!' men.i!)!n (em'! +)'men Pen'n!n" +!n ((i!,i(!(i
)e"i!*!n $!) !(ien +!n )e,'!&"!#
B# RINIAN KEGIATAN
NO
Namakegiatan
Tujuan
Sasaan
Met!"e
#aktu
Dana
$!%ume
Pj
1 Mem'!*)ei!)!n *en*!n"en.e,en""!&!!nH!) P!(ien +!nKe,'!&"!
A+!n.!)ei!)!n*en*!n"en.e,en""!&!!nH!)P!(ien+!nKe,'!&"
!
Di&e)*'& Di()'(i+!nen"e*i)!n
BLUD D I&!
2 Men.'('ne+m!n +!,!men.e,en""!&!!nH!) P!(ien +!nKe,'!&"!
A+!n.!Pe+m!n+!,!men.e,en""!&!!nH!)P!(ien+!n)e,'!&"!
Se,'&'$(*!> R'm!$S!)i*K$'('(I' +!nAn!)
Di()'(i+!nen"e*i)!n
BLUD D I&!De*i
3 Men.'('n SPOH!) P!(ien +!nKe,'!&"!
Te&+!!* SPO.!n",en")!
Se,'&'$(*!> R'm!$S!)i*K$'('(
Di()'(i+!nen"e*i)!n
BLUD D I&!De*i
;
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*en*!n"en.e,en""!&!!n$!)P!(ien+!n)e,'!&"!
I' +!nAn!)
8 Men((i!,i(!(i)!nH!) P!(ien +!nKe,'!&"! )e (e*i!&'!n"!n
H!)!(ien+!n)e,'!&"!*e&((i!,(!(i)!n!+!(e,'&'$(*!> R'm!$S!)i*K$'('(I' +!nAn!)K*!B!n+'n"
Se,'&'$(*!> R'm!$S!)i*K$'('(I' +!nAn!)
Pem'!*!nB!nne&meneme,)!nP!mFe**en*!n"H!)P!(ien+!n)e,'!&"!)e(em'!&'!n"!n
BLUD Se,'&'$!n""*!)e,m) B!2
# SKEDUL JADWAL4 PELAKSANAAN KEGIATAN
N
O
NAMA
KEGIATAN
B U L A N
JAN EB MAR APRIL
MEI JUNI JULI AGUS
SEP T
OK T
NOP
1 Pe&*em'!nPem'!*!n&"&!m
2 Pe&*em'!n((i!,i(!(i
&"&!m3 Pe&*em'!nem'!*!ne+m!n
8 S(i!,i(!(ie+m!n
7 Pem'!*
!n SPO+!n
6
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((i!,i(!(i SPO
5 E@!,'!(i$!(i,)e"i!*!n
9 Bimin"!n K!&(; E@!,'!(i6 S'&@ei
D# LAMPIRAN BIAA
N Ke*e&!n"!n
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Pe,!&!n )e"i!*!n !)!n +i,!)')!n (e*i! ',!n !+! *!n""!, 1
+en"!n >&m!* e,!&!n (e!"!i e&i)'* :
N
O
N!m! Ke"i!*!n Pe,!)(!n!!
n
In'* Tin+!)
L!n'*1
# PENATATANPELAPORAN DAN E
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(e*e,!$ men+!!*)!n ene,!(!n (e!"!i $!)n.! (e,!m! e,!.!n!n
+i&'m!$ (!)i*#
BAB II
RUANG LINGKUP
- Sem'! !(ien .!n" e&)'n'n" )e ARSADA JAWA BARAT- Sem'! S*!> ARSADA JAWA BARAT +!,!m meme&i)!n e,!.!n!n $!)
!(ien +!n )e,'!&"!#
BAB III
TATALAKSANA
A# T!n""'n" J!%! R'm!$ S!)i* +!,!m men+')'n" H!) P!(ien +!n
Ke,'!&"! T!n""'n" !%! &'m!$ (!)i* +!,!m men+')'n" $!) !(ien +!n
)e,'!&"! *e&+i&i +!&i :1# Mem'!* )mi*men e&(!m! (e,'&'$ S*!> 'n*') men+')'n" $!)
!(ien2# Mem'!* )mi*men +en"!n men.e+i!)!n (!&!n! .!n" memen'$i
$!) !(ien +!n )e,'!&"!3# Mem'!* )ei!)!n !"i !(ien e&i(i) (ee&*i !(ien ,!n(i! +!n
!(ien T'n! &'n"' *'n! %i!&! +!n T'n! Ne*&! (e&*! !!* (i)
+en"!n meme&i)!n e,!.!n!n e&'! +i>!(i,i*!(i +en"!n ,e$
e*'"!( )e(e*i! e,!.!n!n .!n" +i! in"in)!n +!n mem>!(i,i*!(i
)'&(i &+! (e&*! !,!* !n*' ,!inn.! (e&*! mem>!(i,i*!(i 'n*')
',!n"n.! !(ien (!m!i !*!( "e&!n" &'m!$ (!)i* +en"!n
in+i!*& +in.!*!)!n !m!n .!i*' !m!n +!&i &e(i) !*'$ !m!n +!&i
*in+!)!n K&imin!,8# Se*i! *in+!)!n e,!.!n!n (e,!,' meme&$!*i)!n ni,!i-ni,!i &i!+i
+!n )ee&!.!!n !(ien mi((!,n.! i,! +)*e&/e&!%!* me,!)')!n
*in+!)!n !"!& !(ien men"in"!*)!n mem!! +! (e('!i
)ee&!.!!nn.!
7# Se,!,' mem>!(i,i*!(i )ee&!.!!n !(ien (e('!i +en"!n (!&!n!.!n" +imi,i)i i,! !(ien meme&,')!n &i*'!, )e.!)in!nn.!
5# Mem>!(i,i*!(i )e'*'$!n !(ien +!,!m $!, &i@!(i !(ien (e*i!
*in+!)!n (e,!,' men""'n!)!n (!mi&!n !*!' +i &'!n"!n *in+!)!n
%!%!n!&! ),ini) eme&i)(!!n +!n *in+!)!n me+i(,!inn.!4 !"!&
*in+!)!n *i+!) +i)e*!$'i !(ien ,!inn.!9# P!(ien +i(e+i!)!n ,em!&i !(ien n!)!(4 .!n" memi,i)i )'ni !"!&
*e&$in+!& +!&i en'&i!n i,! meme,i)i !&!n" e&$!&"! (e!i)n.!
'n*') +i(im!n +i&'m!$ +!n i,! men"!,!mi )e(',i*!n +i*i*i)!n
)e!+! e&!%!* i+!n +en"!n men""'n!)!n e&i*! !!&! (e&!$
*e&im!
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;# P!(ien +ie&i)!n in>&m!(i !$%! *!n""'n" !%! !&!n" mi,i)
!(ien +!,!m !*!( en"!%!(!n +!n (e('!i e&n.!*!!n n#96# Un*') mene"!$ +!&i )e)e&!(!n (i) .!n" +i,!)')!n e*'"!(
+i(e+i!)!n nme& )n*!) e&(n 'n*') men"!+'10# P!(ien !n!)-!n!) +!n !.i +i>!(i,i*!(i !"!&
*e&$in+!& +!&i *in+!)!n e&,!)'!n )!(!& !*!' )e)e&!(!n (i)
+en"!n !&! (,!,' +imni*&in" ,e$ ('e&@i(&11# P!(ien .!n" *i+!) meme,i)i i+en*i*!( !)!n
+i&!%!* (!m!i !(ien +in.!*!)!n ,!.!) 'n*') +i !%! )e.!.!(!n
!*!' .!n" men"!+(in.! (e('!i e&!*'&!n .!n" e&,!)'#12# Se*i! !(ien m!(') &'m!$ (!)i* *i+!)
+ie&)en!n)!n 'n*') +i*',i( +!,!m !!n in>&m!(i !"!& *e&!"!
)e&!$!(i!!nn.!13# Se*i! !(ien +ie&i)!n in>&m!(i $!) +!n
*!n""'n" !%!n.! +!n +i+)'men*!(i)!n +en"!n men!n+!*!n"!ni +)'men in>&m!(i#
B# D')'n"!n R'm!$ (!)i* Te&$!+! $!) !(ien +!n )e,'!&"! +!,!m
P&(e( Pe,!.!n!n1# Se*i! !(ien +iin>&m!(i)!n +i!"n(! !*!( !(ien *e&(e'* +en"!n
me,i$!* +!&i )n+i(i !(ien *in")!* (*&e(( !(ien42# P!(ien +i e&i)!n in>&m!(i &en!n! !('$!n e&!%!*!n +!n
en"!*!n3# P!(ien +!n )e,'!&"! +ie&i)!n ene,!(!n *en*!n" in>&me+
n(en* +!n $!)n.! !i) e&'! e&(e*''!n !*!''n
en,!)!nn.!8# Pe*'"!( mene,!()!n )n(e)%en(i +!&i en,!)!n +!n
e&(e*''!nn.! .!n" +i,!)')!n !(ien +!n )e,'!&"!7# Pe*'"!( mene,!()!n e& *!n""'n" !%!!n !(ien +!n )e,'!&"!
!*!( en,!)!n +!n e&(e*''!nn.!5# Pe*'"!( mene,!()!n !,*e&n!*i@e en"!*!n !*!' e&!%!*!n .!n"
i(! +i,!)')!n ,e$ !(ien +!n )e,'!&"! !*!( en,!)!n *in+!)!n9# Pe*'"!( mem'!* in>&me+ n(en* !*!( *in+!)!n &e('(i*!(i +!n
!n*'!n $i+' +!(!& i,! !(ien men,!) +!n men.e*''inn.!;# Pe*'"!( mem>!(i,i*!(i &'!n"!n .!n" n.!m!n +!,!m men"$&m!*i
!(ien !*!( n&m! !"!m! +!n '+!.! .!n" +i.!)inin.!6# Pe*'"!( me,!)')!n m!n!"emen n*&, n.e&i (e('!i +en"!n
)n+i(i !(ien +i,!)')!n +en"!n men""'n!)!n me*+e
!*(i,"i >!&m!),"i +!n mem!ni',!(i n.e&i10# Pe*'"!( mem>!(i,i*!(i +!n en+!min"!n
(!)!&!*', m!'*/+e!*$ !n+ +.in"## Pe,!.!n!n Pene,!(!n Ke!+! !(ien +!n Ke,'!&"! A*!( *e&!+in.!
Pe&e+!!n Pen+!!* +!,!m P&(e( Pe,!.!n!n1# Pe*'"!( mene,!()!n &(e( en.!m!i!n )e,'$!n )nFi) !*!'
e&e+!!n en+!!* .!i*' me,!,'i e*'"!( in>&m!(i !*!' +en"!n
men""'n!)!n ('&!* .!n" +im!(')!n )e+!,!m )*!) (!&!n
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2# B!"i!n m'*' &'m!$ (!)i* me,!)')!n *e,!!$!n !*!' ene,'('&!n
!*!( )e,'$!n )nFi) +!n e&e+!!n en+!!* +!n i,!
mem'n")in)!n !(ien !*!' )e,'!&"! !(ien i)'* *e&,i!*
+i+!,!mn.!D# Pen+i+i)!n S*!> +!,!m D!,!m men"i+en*i)!(i Ni,!i-Ni,!i +!n
Kee&!.!!n P!(ien1# S*!> +i !!&)!n *en*!n" *!*! !&! me,!)')!n i+en*i)!(i ni,!i-ni,!i
+!n )ee&!.!!n !(ien m!''n )e,'!&"!n.! +en"!n SPO .!n"
('+!$ +ie&,!)')!n2# S*!> +i !!&)!n *en*!n" e&!n +!,!m me,!)')!n i+en*i)!(i ni,!i-
ni,!i +!n )ee&!.!!n !(ien m!''n )e,'!&"!n.! +en"!n SPO
.!n" ('+!$ +ie&,!)')!nE# Pe,!.!n!n D!,!m Pene,!(!n $!) +!n T!n""'n" J!%! P!(ien Se,!m!
Be&!* +!n Pe&!%!*!n Di &'m!$ (!)i*
1# Pe*'"!( men.e&!$)!n in>&m!(i *en*!n" $!) +!n *!n""'n" !%!!(ien +!n )e,'!&"! .!n" ('+!$ +i'!* +!,!m ,e!Fe*
2# Pe*'"!( meneme,)!n +!,!m +in+in" !*!' +i'!* +!,!m !ne&
+!,!m +i!m!n" +i(e*i! *em!* .!n" +i,!,'i !(ien +!n )e,'!&"!3# Pe*'"!( mene,!()!n +en"!n men""'n!)!n me*+e ,!inn.! i,!
+i!n""! +en"!n me*+e )m'ni)!(i +!n in>&m!(i *i+!) e>e)*i> # Pe,!.!n!n Informed Consent
1# Pe*'"!( mene,!()!n &(e( informed consent )e!+! !(ien +!n
)e,'!&"!2# M!n!"emen R'm!$ (!)i* men" SK )!n !*!' men'n') e*'"!(
'n*') mene,!(!)!n informed consent )e!+! !(ien +!n )e,'!&"!(e*e,!$ +i,!*i$ *e&,ei$ +!$',' +en"!n SPO .!n" ('+!$
+ie&,!)')!n3# Pe*'"!( mene,!()!n *en*!n" )n+i(i !(ien &en!n! en"!*!n
me,i'*i :!# Kn+i(i !(ien# U(',!n en"!*!n# N!m! in+i@i+' .!n" meme&i)!n en"!*!n+# Kem'n")in!n m!n>!!* +!n )e)'&!n"!nn.!e# Kem'n")in!n !,*e&n!*i@e
># Kem'n")in!n )ee&$!(i,!n"# Kem'n")in!n *im',n.! m!(!,!$ (e,!m! m!(! em',i$!n$# Kem'n")in!n $!(i, .!n" *e&!+i !!i,! *i+!) +i!*i
8# Pe*'"!( men""'n!)!n !!n n!m!/I+en*i*!( !"!& +i)en!, ,e$
!(ien7# Pe*'"!( meme&i)!n )e(em!*!n !*!' )n*&!) %!)*' i,! !(ien
+!n )e,'!&"! mem'*'$)!n in>&m!(i *!m!$!n5# Informed consent .!n" ('+!$ +i *!n+! *!n"!ni ,e$ !(ien !*!'
)e,'!&"! !(ien +i(im!n +!,!m &e)!m me+i9# Bi,! informed consent .!n" +ie&i)!n ,e$ i$!) ,!in !*!' i$!) )e
*i"! e&,' +i,!)')!n en")!i!n +!n i(! +i"'n!)!n i,! (e('!i+en"!n 'n+!n"'n+!n" '+!.! !*!' i(*i!+!* .!n" e&,!)'
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;# Pe*'"!( mene,!()!n *en*!n" ,in")' !*!' !)'!n informed
consent .!n" *e,!$ +i(e*''i ,e$ !(ien6# M!n!"emen &'m!$ (!)i* *e,!$ mene*!)!n eme&,!)'!n
informed consent (e('!i ,in")' e,!.!n!n10# Pe*'"!( mene,!()!n (ee,'m *in+!)!n e&!(i
!*!' &(e+'& in>!(i@e i,! !)!n +i,!)')!n *in+!)!n *e&(e'*11# Pe*'"!( mene,!()!n &i(i) m!n>!!* +!n
!,*e&n!*i@ *in+!)!n 'n*') men+!!*)!n e&(e*''!n +!,!m
*in+!)!n !n!(*e(i!12# Pe*'"!( men+!!*)!n e&(e*''!n (ee,'m
en""'n!!n +!&!$ !*!' &+!) +!&!$ +!n *e&,ei$ +!$','
mene,!()!n &i(i) +!n m!n>!!*n.!13# Pe*'"!( .!n" mene,!()!n informed consent
men!*!* n!m! +!n *!n+! *!n"!n .!n" e&(!n")'*!n +!,!m
&e)!m me+i18# M!n!"emen &'m!$ (!)i* *e,!$ men.'('n +!>*!&
*in+!)!n en"!*!n .!n" meme&,')!n17# e(e&*''!n (e*e,!$ meme&,,e$ e&(e*''!n
+!&i +)*e& !*!' &>e(i ,!inn.!G# Pe,!.!n!n $!) !(ien Se!"!i S'.e) D!,!m Pene,i*i!n
1# Pe*'"!( mene,!()!n !*!' meme&i in>&m!(i *en*!n" ene,i*i!n
.!n" !)!n +i,!)')!n ,e$ ene,i*i i,! !(ien .!n" e&(!n")'*!n
+ie&,!)')!n (e!"!i ('.e) ene,i*i!n2# Pene,!(!n !*!' in>&m!(i me,i'*i :
!# M!n>!!* .!n" +i$!&!)!n# Kem'n")in!n/*en(i )e*i+!) n.!m!n!n +!n &i(i)# A,*e&n!*i> .!n" +!!* men,n" me&e)!+# P&(e+'& .!n" $!&'( +ii)'*i
3# Pe*'"!( meme&i)!n ene,!(!n *en*!n" &(e+'& &*,
ene,i*i!n .!n" +ie&,!)')!n8# Pe*'"!( mene,!()!n *en*!n" &(e+'& 'n*') menim!n" m!n>!!*
+!n &i(i) !"i e(e&*!/!(ien7# Pe*'"!( mene,!()!n *en*!n" *!*! !&! e&(e*''!n i,! !(ien
*e&(e'* (e!"!i ('.e) ene,i*i!n
5# Pe*'"!( mene,!()!n *!*! !&! en,!)!n ene,i*i!n i,! !(ien*e&(e'* ('.e) ene,i*i!nH# Informed consent +ie&,e$ (ee,'m !(ien !&!*i(i!(i ene,i*i!n
1# Pe*'"!(/Pene,i*i meme&,e$ informed consent (ee,'m +i,!)')!n
ene,i*i!n2# Informed consent +ie&i *!n""!, +!n e&+!(!&)!n !*!( ene,!(!n
.!n" ('+!$ +ie&,!)')!n3# Informed consent .!n" ('+!$ men+!!*)!n e&(e*''!n +i!*!*
+!,!m &e)!m me+i( !(ien +!n +i*!n+! *!n"!ni ,e$ e*'"!( .!n"
e&(!n")'*!n
I# Me)!ni(me en"!%!(!n +!,!m ene,i*i!n !i) .!n" +i,!)')!n ,e$i$!) &'m!$ (!)i* m!''n +i,'!& &'m!$ (!)i*
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1# M!n!"emen &'m!$ (!)i*/+i),!* *e,!$ mem'!* SPO *en*!n" *!*!
!&! en"!%!(!n ene,i*i!n2# SPO +i((i!,i(!(i)!n )e!+! e*'"!( .!n" *e&)!i* !"!& mem!$!mi
+!&i SPO en"!%!(!n *e&(e'*3# SPO $!&'( e&i(i m!)('+ +!&i en"!%!(!n ene,!!$!n &(e+'&
menim!n" &i(i) m!n>!!* )e&!$!(i!!n +!n )e!m!n!n in>&m!(i J# Dn!(i O&"!n
1# Pe*'"!( mene,!()!n *en*!n" *!*! !&! men.'m!n")!n &"!n
+!n !&in"!n *''$ ,!inn.! !&i(i :!# M!n>!!*# D!n &i(i)n.!
2# Pe*'"!( men+')'n" i,i$!n !(ien +!n )e,'!&"! (e('!i +en"!n
i,i$!n +!,!m men.'m!n")!n &"!nK# Pen"!%!(!n +!,!m en"!mi,!n *&!n(,!n*!(i &"!n *''$ +!n
!&in"!n *''$ ,!inn.!1# M!n!"emen men.'('n !*!' mem'!* )ei!)!n +!,!m &(e(
men+!!*)!n +!n men+n*!(i)!n &"!n2# Pene,!(!n en"!mi,!n +!n *&!n(,!n*!(i)!n &"!n .!n"
+i,!)')!n ,e$ e*'"!( .!n" ('+!$ +i,!*i$ *en*!n" $!, *e&(e'*3# R'm!$ (!)i* men+!!*)!n e&(e*''!n +!&i +n& $i+'8# R'm!$ (!)i* e)e&!(!m! +en"!n &"!ni(!(i m!(.!&!)!* +!,!m $!,
+n!(i &"!n#
BAB I<
DOKUMENTASI
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1# B!nne& H!) !(ien +!n Ke,'!&"!2# T!n+! *!n"!n e&(!m! +!,!m em'!*!n )mi*men $!) !(ien +!n
)e,'!&"!
3# SPO Km'ni)!(i )e!+! !(ien +!n )e,'!&"!8# SPO Pe,!.!n!n &$!ni7# SPO De!*$ !n+ D.in"5# SPO P&i@!(i P!(ien9# SPO Pen"!mi, !,i$!n/eni*i!n !&!n" mi,i) !(ien;# SPO Pen!n"!n!n B!.i Te&,!n*!&9. SPO Informed Consent 10# SPO Peme&i!n In>&m!(i Me+i(11# SPO In>&m!(i Ren!n! A('$!n Pe&!%!*!n12# SPO Pen")!i!n N.e&i13# SPO Pen.!m!i!n +!n en!n"!n!n Ke,'$!n
P!(ien18# SPO Pen")!i!n Ni,!i ni,!i +!n Kee&!.!!n
P!(ien17# SPO In>&m!(i H!) +!n T!n""'n" !%! P!(ien15# SPO Pen.im!n!n &m',i& In>&me+ n(en*
+!,!m Re)!m Me+i)19# SPO Pene,i*i!n K,ini( +!,!m R'm!$ S!)i*1;# Le!>,e* $!) +!n *!n""'n" !%! !(ien +!n
)e,'!&"!16# T!*! *e&*i R'm!$ S!)i*#
&. 'ANNER HAK PASIEN DAN KELUARGA
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LAMPIRAN
HAK DAN KEWAJIBAN PASIEN DI RS :
a. HAK PASIEN :
14 P!(ien e&$!) meme&,e$ in>&m!(i men"en!i *!*! *e&*i +!ne&!*'&!n .!n" e&,!)' +i &'m!$ (!)i*
24 P!(ien e&$!) !*!( e,!.!n!n .!n" m!n'(i!%i !+i, +!n ''&
34 P!(ien e&$!) meme&,e$ e,!.!n!n me+i( .!n" e&m'*'(e('!i +en"!n (*!n+!& &>e(i )e+)*e&!n/)e+)*e&!n "i"i +!n*!n! +i()&imin!(i
84 P!(ien e&$!) meme&,e$ !('$!n )ee&!%!*!n +en"!n
(*!n+!& &>e(i )ee&!%!*!n
74 P!(ien e&$!) memi,i$ +)*e& +!n )e,!( e&!%!*!n (e('!i+en"!n )ein"in!nn.! +!n (e('!i +en"!n e&!*'&!n .!n"e&,!)' +i &'m!$ (!)i*
54 P!(ien e&$!) +i&!%!* ,e$ +)*e& .!n" (e!&! e!(menen*')!n en+!!* ),ini( +!n en+!!* e*i(n.! *!n!!m'& *!n"!n +!&i i$!) ,'!
94 P!(ien e&$!) memin*! )n(',*!(i )e!+! +)*e& ,!in .!n"*e&+!>*!& +i &'m!$ (!)i* *e&(e'* (en+ inin4 *e&$!+!en.!)i* .!n" +i+e&i*!n.! (een"e*!$'!n +)*e& .!n"me&!%!*
;4 P!(ien e&$!) !*!( ?&i@!. +!n )e&!$!(i!!n en.!)i* .!n"+i+e&i*! *e&m!(') +!*!-+!*! me+i(n.!
64 P!(ien e&$!) men+!!* in>&m!(i .!n" me,i'*i :
• en.!)i* .!n" +i+e&i*! *in+!)!n me+i) !! .!n" $en+!)
+i,!)')!n
• )em'n")in!n en.!)i* (e!"!i !)i!* *in+!)!n *e&(e'*
+!n *in+!)!n 'n*') men"!*!(in.!
• !,*e&n!*i> *e&!i ,!inn.!
• &"n(!n.!
• e&)i&!!n i!.! en"!*!n#
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104 P!(ien e&$!) men.e*''i/meme&i)!n iCin !*!( *in+!)!n .!n"!)!n +i,!)')!n ,e$ +)*e& (e$''n"!n +en"!n en.!)i* .!n"+i+e&i*!n.!
114 P!(ien e&$!) men,!) *in+!)!n .!n" $en+!) +i,!)')!n
*e&$!+! +i&in.! +!n men"!)$i&i en"!*!n (e&*! e&!%!*!n!*!( *!n""'n" !%! (en+i&i (e('+!$ meme&,e$ in>&m!(i.!n" e,!( *en*!n" en.!)i*n.!#
124 P!(ien e&$!) +i+!min"i )e,'!&"!n.! +!,!m )e!+!!n )&i*i(#
134 P!(ien e&$!) men!,!n)!n i!+!$ (e('!i !"!m!/)ee&!.!!n.!n" +i!n'*n.! (e,!m! $!, i*' *i+!) men""!n""' !(ien,!inn.!#
184 P!(ien e&$!) !*!( )e!m!n!n +!n )e(e,!m!*!n +i&in.!(e,!m! +!,!m e&!%!*!n +i &'m!$ (!)i*
174 P!(ien e&$!) men"!')!n '(', (!&!n e&!i)!n !*!(e&,!)'!n &'m!$ (!)i* *e&$!+! +i&in.!#
154 P!(ien e&$!) mene&im! !*!' men,!) imin"!n m&i,m!''n (i&i*'!,
b. KEWAJIBAN PASIEN :
14 P!(ien +!n )e,'!&"!n.! e&)e%!i!n 'n*') men*!!*i (e"!,!e&!*'&!n +!n *!*! *e&*i &'m!$ (!)i*
24 P!(ien e&)e%!i!n 'n*') mem!*'$i (e"!,! in(*&')(i +)*e&+!n e&!%!* +!,!m en"!*!nn.!
34 P!(ien e&)e%!i!n meme&i)!n in>&m!(i +en"!n ''& +!n(e,en")!n.! *en*!n" en.!)i* .!n" +i+e&i*! )e!+! +)*e&.!n" me&!%!*#
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(. TANDA TANGAN 'ERSAMA DALAM PEM'UATAN KOMITMEN HAK
PASIEN DAN KELUARGA T!n+! *!n"!n e&(!m! +!,!m em'!*!n )mi*men $!) !(ien +!n
)e,'!&"! K!mi .!n" e&*!n+! *!n"!n +i!%!$ ini e&)mi*men !)!n
me,in+'n"i +!n men!"! $!)-$!) !(ien +!n )e,'!&"!#
NO# N!m! J!!*!n T!n+! *!n"!n
Di&e)*'&
ARSADA JAWABARAT
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**+
). SPO KOMUNIKASI
KOMUNIKASI KEPADA PASIEN DAN KELUARGA
N# D)'men
1#2#1#001
N# Re@i(i
-
H!,!m!n
1/1
SPO T!n""!, Te&i*
11 MARET 2013
Di*e*!)!n :
Di&e)*'& RS ARSADA JAWA BARATPENGERTIAN Meme&i)!n in>&m!(i +!&i e*'"!( )e!+! ene&im!
in>&m!(i !(ien +!n )e,'!&"!4 (e!&! ,!n"('n" +!n
*i+!) ,!n"('n" !,!* )m'ni)!(i 4 .!n" +i,!)')!n(e!&! +'! !&!$#TU*UAN Se!"!i !'!n +i +!,!m e&)m'ni)!(i e*'"!( )e
e*'"!( +!n e*'"!( )e e,!n""!n#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!
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PROSEDUR 1# Pe*'"!( men"'!)!n (!,!m
!((!,!m'!,!i)'m/(e,!m!* !"i/ (e,!m!*
(&e/(e,!m!* m!,!m42# Pe*'"!( men"!n""')!n )e!,! (e!"!i $&m!*
)e!+! !(ien +!n )e,'!&"! !(ien43# B!!)/i'/+e !! .!n" (!.! i(! !n*'8# Pe*'"!( men"!&!$)!n )em!n! )ee&,'!n/*''!n
!(ien +!n )e,'!&"! !(ien .!n" +i)e$en+!)i7# Ke*i)! !(ien ',!n"/)e,'!&"! e*'"!(
men"'!)!n *e&im!)!(i$ !*!( )'n'n"!n n.!#UNIT TERKAIT Sem'! In(*!,!(i Pe,!.!n!n
+. TATA ,ARA MEMPEROLEH PELA-ANAN ROHANI
Tata aa mem/e!%e0 /e%a1anan !0ani
N# D)'men
1#2#1#1#1#002
N# Re@i(i
-
H!,!m!n
1/1
SPO T!n""!, Te&i*
11 MARET 2013
Di*e*!)!n :
Di&e)*'& ARSADA JAWA BARATPENGERTIAN Pe,!.!n!n &$!ni !+!,!$ en+!min"!n )e&$!ni!n
!+! (i*'!(i *e&*en*' (e('!i +en"!n !"!m! +!n
)ee&!.!!n !(ienTU*UAN Te&,!)(!n!n.! $!) !(ien +!,!m men!,!n)!n
)e"i!*!n &$!nin.!
KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# P!(ien/)e,'!&"! memin*! !"!& i! !(ien4 +i+!min"i
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,e$ &$!ni!%!n !+! (i*'(i *e&*en*'# Mi(!,n.! !+!
(!!* e&(!,in!n .!n" (',i* !(ien .!n" (!n"!* em!(
+en"!n )e!+!!n +i&in.! !*!''n !(ien *e&min!,#2# Bi+!n/Pe&!%!* mene,!()!n !+! !(ien/)e,'!&"!
!$%! en+!min"!n !)!n +i,!)(!n!)!n
+en"!n/,e$ &$!ni!%!n +en"!n !*!(!n %!)*'
(e('!i +en"!n )ee&,'!n !(ien +!n &i*'!, .!n"
+i,!)(!n!)!n *i+!) (!m!i men""!n""' !(ien .!n"
,!in3# Bi+!n/Pe&!%!* men"$''n"i *im e,!.!n!n
)e&$!ni!n +i RS ARSADA (e('!i +en"!n !"!m! +!n
)ee&!.!!n !(ien8# Bi+!n/Pe&!%!* men"!n*!& +!n meme&)en!,)!n
&$!ni!%!n .!n" !)!n men+!min"i !(ien !+!
!(ien +!n )e,'!&"!n.!7# Bi,! !(ien memi,i)i en+!min" &$!ni .!n" )$'('(
+i ,'!& *im e,!.!n!n &$!ni +i RS ARSADA
en+!min"!n +ie&,e$)!n +en"!n (.!&!*
+i)e*!$'i ,e$ i$!) R'm!$ S!)i* +!n en+!min"!n
e&!*!( %!)*' (e&*! &i*'!, .!n" +i,!)(!n!)!n *i+!)
(!m!i men""!n""' !(ien .!n" ,!in5# Se*e,!$ me,!)')!n en+!min"!n &$!ni!%!n
men!*!* )e"i!*!nn.! !+! (*!*'( !(ien .!n"
e&(!n")'*!n#
UNIT TERKAIT1# In(*!,!(i G!%!* +!&'&!*2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# P,i),ini)7# K!m!& Oe&!(i
2. DEATH AND D-ING
'imbingan Pasien S1akaatu% maut "an
Meningga%
N# D)'men N# Re@i(i H!,!m!n
23
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1#2#2#7#003 - 1/1
SPO T!n""!, Te&i*
11 MARET 2013
Di*e*!)!n :
Di&e)*'& ARSADA JAWA BARATPENGERTIAN P!(ien S.!)!&!*', m!'* !+!,!$ !(ien .!n" +!,!m
)n+i(i *e&min!,
P!(ien Menin""!, !+!,!$ !(ien .!n" *e,!$
+in.!*!)!n m!*i (e!&! i,"i( ,e$ +)*e&TU*UAN Te&en'$in.! $!) !(ien +!n )e,'!&"! !+! (!!*
!(ien S.!)!&!*', m!'*/ menin""!,KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# D)*e& men.!*!)!n !$%! !(ien +!,!m )n+i(i
*e&min!,2# Bi+!n/Pe&!%!* mem!(!n" "&+en !*!' (!mi&!n +i
(e)i*!& *em!* *i+'&3# Bi+!n/Pe&!%!* meme&(i,!)!n )e,'!&"! +!n
)e&!!* 'n*') men+!min"i !(ien8# Bi+!n/Pe&!%!* men!%!&)!n )e!+! )e,'!&"!
!!)!$ meme&,')!n en+!min"!n +!&i
&$!ni!%!n
7# Bi+!n/Pe&!%!* meme&,e$)!n )e,'!&"! i,!mem!%! &$!ni!%!n &i!+i5# Bi+!n/Pe&!%!* meme&,e$)!n )e,'!&"! i,! !)!n
e&+! e&(!m! (e,!m! *i+!) men""!n""' !(ien
,!in9# Bi+!n/Pe&!%!* e&(!m! +en"!n D)*e& +!n
)e,'!&"! !(ien men+!min"i !(ien *e&min!,;# Se*e,!$ !(ien +in.!*!)!n menin""!, ,e$ +)*e&
Bi+!n/Pe&!%!* me,e!()!n (em'! !)(e( !* +!n
)(i"en .!n" *e&!(!n" !+! !(ien
6# Jen!C!$ +i*'*' +en"!n )!in en'*' +!&i ''n")!)i (!m!i ''n" )e!,!
10# Bi+!n/e&!%!*
meme&(i,!)!n )e,'!&"! 'n*') men'n""'i en!C!$
(!m!i 2 !m (e!) +in.!*!)!n menin""!,11# Se*e,!$ 2 !m en!C!$
+i!%! ',!n" ,e$ )e,'!&"! +en"!n +i!n*!&
e*'"!( +!&i &'m!$ (!)i*#
UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*
2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n
28
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8# K!m!& Oe&!(i
3. SPO PRI$ASI PASIEN
Pi4asi Pasien
N# D)'men
1#2#1#2#008
N# Re@i(i
-
H!,!m!n
1/1
SPO T!n""!, Te&i*
11 MARET 2013
Di*e*!)!n :
Di&e)*'& ARSADA JAWA BARAT
PENGERTIAN P&i@!(i P!(ien !+!,!$ (e"!,! (e('!*' .!n" e&(i>!*&!$!(i! !'&!* !*!' $!, ,!in .!n" *i+!) ,e$ +i)e*!$'i
,e$ !(ien ,!in en"'n'n" !*!''n i$!) ,!in .!n"
*i+!) +iin"in)!n !(ien#TU*UAN Se!"!i en'n*'n +!,!m men!"! &i@!(i !(ien
(e,!m! &(e( e&!%!*!n#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# Pe*'"!( Ke(e$!*!n *i+!) mem!m!n" n!m!
!(ien +i !!n (e$in""! )ee&!+!!n !(ien
*i+!) +i)e*!$'i &!n" ,!in
2# Se*i! !)!n me,!)')!n *in+!)!nD)*e&/Bi+!n/Pe&!%!*/e*'"!( L!&!*&i'm
mem!(!n" (!mi&!n !*!' "&+en3# Tin+!)!n $!n.! ,e$ +i(!)(i)!n ,e$ )e,'!&"!
!*!' i$!) ,!in i)! !(ien men"iCin)!n8# D!,!m me,!)')!n *in+!)!n
D)*e&/Bi+!n/Pe&!%!*/e*'"!( L!&!*&i'm
men!"! &i@!(i !(ien +en"!n $!n.! mem')!
!"i!n *''$ .!n" +ie&,')!n 'n*') *in+!)!n7# D)*e&/Bi+!n/Pe&!%!*/e*'"!( L!&!*&i'm
men!"! )e&!$!(i!!n !(ien i)! +i*em')!n
)e!!*!n !*!' $!, ,!in .!n" !(ien men"in"in)!n
'n*') *i+!) +i)e*!'i &!n" ,!in#5# P!+! (!!* *in+!)!n e&,!n"('n" e*'"!( ,!in *i+!)
,e$ m!(') )e +!,!m &'!n" *in+!)!n )e'!,i
'n*') )een*in"!n .!n" (!n"!* men+e(!)9# Se*e,!$ me,!)')!n *in+!)!n e*'"!( me&!i)!n
)em!,i ,in")'n"!n !(ienUNIT TERKAIT D)*e&/Bi+!n/Pe&!%!*/ e*'"!( L!&!*&i'm
27
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5. SPO PENGAM'IL ALIHAN 'ARANG MILIK PASIEN
Pengambi% a%i0an 6/eniti/an baang mi%ik /asien
N# D)'men
1#2#1#3#007
N# Re@i(i
-
H!,!m!n
1/1SPO T!n""!, Te&i*
11 MARET 2013
Di*e*!)!n :
Di&e)*'& RS ARSADA JAWA
BARATPENGERTIAN Pen"!mi,!,i$!n !*!' eni*i!n !+!,!$ en.e&!$!n
*!n""'n" !%! e&,in+'n"!n *e&$!+! !&!n" mi,i)
!(ienTU*UAN Te&,in+'n"in.! !&!n" mi,i) &i!+i !(ien +!n
)e,'!&"!KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# Bi+!n/Pe&!%!* mene,!()!n !+! !(ien !$%!
!+! (!!* !(ien *i+!) m!m' men!"! !&!n"
&i!+i mi,i)n.! )!&en! !)!n +i,!)')!n ('!*'
*in+!)!n .!n" men.e!)!n !(ien *i+!)
(!+!&)!n +i&i m!)! en!"!!n !&!n" mi,i)
!(ien +i(e&!$)!n !+! )e,'!&"! !(ien2# A+!'n +!,!m )n+i(i !(ien *i+!) +i!n*!& ,e$
)e,'!&"! m!)! en!"!!n !&!n" mi,i)n.!
+i(e&!$)!n !+! Bi+!n/Pe&!%!* !"! +i &'!n"!n
*e&)!i*3# Bi+!n/Pe&!%!* mem'!* ')*i *e&*',i( (e&!$
*e&im! !&!n" .!n" +i*!n+!*!n"!ni ,e$ )e+'!
e,!$ i$!)8# Bi+!n/Pe&!%!* men"e&)!n !&!n" mi,i) !(ien
*e&(e'* !+! e*'"!( !"! e&i)'*n.! +en"!n
men!n+!*!n"!ni ')' (e&!$ *e&im! !&!n"#
25
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UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# K!m!& Oe&!(i
7. SPO PENANGANAN 'A-I TERLANTAR
Penanganan ba1i te%anta
N# D)'men
1#2#1#8#005
N# Re@i(i
-
H!,!m!n
1/1
SPO T!n""!, Te&i*
11 MARET 2013
Di*e*!)!n :
Di&e)*'& RS ARSADA JAWA
BARATPENGERTIAN B!.i Te&,!n*!& !+!,!$ !.i .!n" +i*in""!,)!n ,e$
&!n" *'! )!n+'n"n.! (e,!m! 3 $!&i !*!' ,ei$
*!n! !+! )n&m!(i +!&i i$!) )e,'!&"!TU*UAN Se!"!i !'!n 'n*') en!n"!n!n !.i *e&,!n*!&KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# Bi+!n/Pe&!%!* me,!&)!n )ee&!+!!n !.i .!n"
+i*e,!n*!&)!n ,e$ &!n" *'!n.! (e*e,!$ 3 $!&i )e
!"i!n Pe,!.!n!n Me+i)2# B!"i!n Pe,!.!n!n Me+i) men"$''n"i Din!( S(i!,/
Din!( *e&)!i* 'n*') me,!&)!n )ee&!+!!n !.i
.!n" +i*e,!n*!&)!n3# Din!( S(i!,/Din!( *e&)!i* me,!)')!n )'n'n"!n )e
R'm!$ S!)i* 'n*') me,i$!* )n+i(i !.i8# Bi,! )e!+!!n !.i (e$!* +!n mem'n")in)!n 'n*')
+i&!%!* i!(! m!)! i$!) Din!( S(i!, !)!nmem!%! !.i *e&(e'* )e Din!( S(i!,
29
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7# Se&!$ *e&im! !.i *e&,!n*!& mem!)!i ('&!* e&i*!
!!&! .!n" +i*!n+!*!n"!ni )e+'! e,!$ i$!) +!&i
i$!) RSKIA +!n Din!( S(i!,45# Bi,! )e!+!!n !.i *i+!) mem'n")in)!n +i&!%!*
i!(! +!n meme&,')!n e&!%!*!n in*en(i> m!)!
Din!( S(i!, !)!n meni*i)!n !.i *e&(e'* +i
R'm!$ S!)i* (!m!i )n+i(i !.i mem'n")in)!n
'n*') +i&!%!* i!(!#
UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# R'!n"!n Pe&in!*,"i
8. SPO IN9ORMED ,ONSENT
IN9ORMED ,ONSENT
N# D)'men
1#2#1#5#009
N# Re@i(i
-
H!,!m!n
1/1
SPO T!n""!, Te&i*
11 MARET 2013
Di*e*!)!n :
Di&e)*'& ARSADA JAWA BARATPENGERTIAN S'!*' )e"i!*!n +i+!,!m meme&i)!n in>&m!(i
*en*!n" *in+!)!n .!n" !)!n +i,!)')!n )e!+! !(ien
+!n meme&,')!n ('!*' e&(e*''!n +!&i !(ien !*!'
)e,'!&"! !(ien#TU*UAN Se!"!i !'!n +i +!,!m meme&i)!n in>&m!(i
*en*!n" *in+!)!n .!n" !)!n +i,!)')!n )e!+! !(ien
+!n meme&,')!n ('!*' e&(e*''!n +!&i !(ien !*!'
)e,'!&"! !(ien#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!
2;
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PROSEDUR 1# D)*e& (e*i! menem')!n
e&)em!n"!n/e&'&')!n )n+i(i !(ien
(ee,'m/ (e('+!$ me,!)')!n *in+!)!n !*!''n
!!i,! !(ien/)e,'!&"! men!n.!)!n in>&m!(i
)e(e$!*!nn.! (e,!,' (i! meme&i)!n ene,!(!n*en*!n" in>&m!(i me+i( !(ien
2# D)*e& *e&,ei$ +!$',' men.!! !(ien +!n
me,!)')!n eme&i)(!!n !+! !(ien3# D)*e& men"!n!,i(! +)'men*!(i me+i(
!(ien/')' (*!*'( !(ien8# D)*e& meme&i)!n in>&m!(i me+i( !+! !(ien
+!n )e,'!&"!7# Se*e,!$ mene,!()!n +)*e& meme&i)!n
)e(em!*!n )e!+! !(ien/)e,'!&"! 'n*')
e&*!n.! e&)!i*!n +en"!n in>&m!(i me+i( .!n"*e,!$ +i(!m!i)!n
5# Bi,! !(ien +!n )e,'!&"! *e,!$ '!( +en"!n
in>&m!(i .!n" +i(!m!i)!n D)*e& e&!mi*!n
)e!+! !(ien +!n )e,'!&"!9# Bi,! *e&n.!*! in>&m!(i me+i( i*' 'n*')
e,!)(!n!!n *in+!)!n !(ien/)e,'!&"! men"i(i
>&m',i& in>&m n(en* +!n mem''$)!n *!n+!
*!n"!n e&(e*''!n *in+!)!n#UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*
2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# P,i),ini)7# K!m!& Oe&!(i
&. SPO PEM'ERIAN IN9ORMASI MEDIS
Pembeian in;!masi me"is
N# D)'men
1#2#1#5#00;
N# Re@i(i
-
H!,!m!n
1/1
SPO T!n""!, Te&i*
11 MARET 2013
Di*e*!)!n :
Di&e)*'& ARSADA JAWA BARAT
26
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PENGERTIAN In>&m!(i Me+i( !+!,!$ in>&m!(i .!n" e&)!i*!n
+en"!n +i!"n(! +!n &"n(! en.!)i* !(ien .!n"
+i(!m!i)!n ,e$ +)*e& )e!+! !(ien +!n )e,'!&"!
(e('!i +en"!n )e'*'$!n e,!.!n!n )e(e$!*!n
!(ienTU*UAN P!(ien men+!!* in>&m!(i *en*!n" )e!+!!n
)e(e$!*!nn.! +!&i +)*e&KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# D)*e& (e*i! menem')!n
e&)em!n"!n/e&'&')!n )n+i(i !(ien
(ee,'m/ (e('+!$ me,!)')!n *in+!)!n !*!''n
!!i,! !(ien/)e,'!&"! men!n.!)!n in>&m!(i
)e(e$!*!nn.! (e,!,' (i! meme&i)!n ene,!(!n
*en*!n" in>&m!(i me+i( !(ien
2# D)*e& *e&,ei$ +!$',' men.!! !(ien +!nme,!)')!n eme&i)(!!n !+! !(ien
3# D)*e& men"!n!,i(! +)'men*!(i me+i(
!(ien/')' (*!*'( !(ien8# D)*e& meme&i)!n in>&m!(i me+i( !+! !(ien
+!n )e,'!&"!7# Se*e,!$ mene,!()!n +)*e& meme&i)!n
)e(em!*!n )e!+! !(ien/)e,'!&"! 'n*')
e&*!n.! e&)!i*!n +en"!n in>&m!(i me+i( .!n"
*e,!$ +i(!m!i)!n5# Bi,! !(ien +!n )e,'!&"! *e,!$ '!( +en"!n
in>&m!(i .!n" +i(!m!i)!n D)*e& e&!mi*!n
)e!+! !(ien +!n )e,'!&"!9# Bi,! *e&n.!*! in>&m!(i me+i( i*' 'n*')
e,!)(!n!!n *in+!)!n !(ien/)e,'!&"! men"i(i
>&m',i& in>&m n(en* +!n mem''$)!n *!n+!
*!n"!n e&(e*''!n *in+!)!n#UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*
2# K!m!& Be&(!,in
3# R'!n" Pe&!%!*!n8# P,i),ini)7# K!m!& Oe&!(i
&&. SPO IN9ORMASI PEREN,ANAAN ASUHAN
PERA#ATAN
30
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In;!masi Peenanaan asu0an /ea&m!(i e&en!n!!n !('$!n e&!%!*!n !+!,!$
in>&m!(i *en*!n" en!n"!n!n .!n" !)!n +ie&i)!n
)e!+! !(ienTU*UAN Se!"!i in>&m!(i 'n*') !(ienKE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# Pe&!%!* men"in>&m!(i)!n )e!+! !(ien +!n
)e,'!&"! !(ien *en*!n" en!n"!n!n .!n" !)!n+ie&i)!n )e!+! !(ien (e,!m! +ie&i)!n
e&!%!*!n2# Pe&!%!* mem >,% '/@i(i*e !(ien e&(!m!
+)*e& eme&i)(!3# Men.i!)!n !,!* me+i( 'n*') en!n"!n!n .!n"
!)!n +i,!)')!n8# Pe&!%!* me,!)')!n *in+!)!n me+i(7# Men"n*&, )e!+!!n !(ien (e*e,!$ me,!)')!n
*in+!)!n me+i(
5# Men"'!)!n m!!> i,! $en+!) me,!)')!n*in+!)!n +!n men"'!)!n *e&im!)!(i$ (e*e,!$
me,!)')!n *in+!)!n#
UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# R'!n"!n Pe&in!*,"i
31
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&(. SPO PENGKA*IAN N-ERI
Pengkajian N1ei
N# D)'men
1#2#2#8#0010
N# Re@i(i
-
H!,!m!n
1/2
SPO T!n""!, Te&i*
11 MARET 2013
Di*e*!)!n :
Di&e)*'& ARSADA JAWA BARATPENGERTIAN N.e&i !+!,!$ (en(&i ('e)*i> +!n em(in!, .!n"
*i+!) men.en!n")!n .!n" +i+!!* *e&)!i* +en"!n
)e&'(!)!n !&in"!n !)*'!, m!''n *en(i!, !*!'
men""!m!&)!n )n+i(i *e&!+in.! )e&'(!)!n
Pen")!i!n n.e&i !+!,!$ en"'m',!n +!*! !i) (e!&!
('e)*i> +!n e)*i> (e$in""! +i +!!* ('!*'
)e(im',!n *en*!n" (*!*'( n.e&i !+! !(ienTU*UAN Se!"!i en'n*'n +!,!m en")!i!n n.e&iKE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# D)*e&/Bi+!n/Pe&!%!* e&*!n.! !+! !(ien *en*!n"
n.e&i .!n" +i+e&i*!n.! me,i'*i :
-Se!) )!!n +!n e&!! ,!m! n.e&i +i&!(!)!n ,e$!(ien
- See&!! (e&in" n.e&i +i!,!mi !(ien- A!)!$ n.e&i mene*! !*!')!$ $i,!n" *im',- D!,!m )n+i(i !! n.e&i *im',- See&!! )'!* in*en(i*!( n.e&i .!n" +i&!(!)!n
!(ien2# D!,!m men"')'& in*en(i*!( n.e&i !+! !(ien
D)*e&/Bi+!n/Pe&!%!* men""'n!)!n !,!* !n*'
e&'! "!m!& ()!,! in*en(i*!( n.e&i
0 1 2 3 8 7 5 9
; 6 10Ke*e&!n"!n :0 : Ti+!) n.e&i1-3 : N.e&i &in"!n : (e!&! e)*i> !(ien +!!*
e&)m'ni)!(i8-5 : N.e&i (e+!n" : (e!&! e)*i> !(ien men+e(i(
men.e&i!n"!i +!!* men'n'))!n ,)!(i n.e&i
+!!* men+e()&i(i)!nn.! +!!* men"i)'*i
e&in*!$ +en"!n !i)9-6 : N.e&i e&!* : (e!&! e)*i> !(ien *e&)!+!n"
32
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*i+!) +!!* men"i)'*i e&in*!$ *!i m!(i$ &e(n
*e&$!+! *in+!)!n +!!* men'n'))!n ,)!(i n.e&i
*i+!) +!!* men+e()&i(i)!nn.! *i+!) +!!* +i!*!(i
+en"!n !,i$ (i(i n!>!( !n!n" +!n +i(*&!)(i10 : n.e&i (!n"!* e&!* : P!(ien ('+!$ *i+!) m!m'
,!"i e&)m'ni)!(i mem')', *i+!) i(! men"n*&,
+i&in.!43# D)*e&/Bi+!n/Pe&!%!* me,!)')!n eme&i)(!!n
+en"!n me&!! mene)!n men"e*') +!e&!$ .!n"
+in.!*!)!n (!)i* ,e$ !(ien +!n me,i$!* &e(n
!(ien !+! (!!* eme&i)(!!n *e&(e'*
Pengkajian N1ei
N# D)'men
1#2#2#8#0010
N# Re@i(i
-
H!,!m!n
2/2
8# Se*e,!$ me,!)')!n en")!i!n
D)*e&/Bi+!n/Pe&!%!* menen*')!n *in")!* n.e&i
!(ien (e!"!i +!(!& 'n*') me,!)(!n!)!n
*in+!)!n/!('$!n e&i)'*n.!#UNIT TERKAIT D)*e&/Bi+!n/Pe&!%!*
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&). SPO PEN-AMPAIAN KELUHAN PASIEN
Pen1am/aian "an /enanganan ke%u0an /asien
N# D)'men
1#2#3#0011
N# Re@i(i
-
H!,!m!n
1/1
SPO T!n""!, Te&i*
11 MARET 2013
Di*e*!)!n :
Di&e)*'& RS ARSADA JAWA
BARAT
PENGERTIAN S'!*' e&n.!*!!n Ke,'$!n !(ien !+!,!$ e&n.!*!!n
)e*i+!) '!(!n +!&i !(ien !*!' )e,'!&"! !(ien
*en*!n" &(e( e,!.!n!n +i R'm!$ S!)i*#TU*UAN Ke,'$!n !(ien *e&(!m!i)!n +en"!n *e!* +!n
en!& !(ien +!n )e,'!&"! me&!(! '!( +en"!n
e,!.!n!n +i R'm!$ S!)i*#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# Ke,'$!n !(ien .!n" *e&*',i( +i,em!& )e,'$!n
*e&)'m', !+! )*!) (!&!n .!n" *e&(e+i! +i
&'!n"!n2# K*!) (!&!n +i')! +!n +i&e)! ,e$ !"i!n m'*'
e,!.!n!n (e*i! $!&i (!*' !"!& m!(!,!$ +!n
)e,'$!n e!* *e&*!n"!ni43# Lem!& )e,'$!n !(ien (e*i! ',!n +i&e)!
)e'!,i !+! )!('( !*!' m!(!,!$ .!n" men+e(!)8# E@!,'!(i ,em!& )e,'$!n !(ien +!n +i!&i
en.e,e(!i!n +!&i )e,'$!n !(ien *e&(e'*7# B!"i ,em!& )e,'$!n .!n" e,!( i+en*i*!(n.! !)!n
+i!n""i, ,e$ i$!) e,!.!n!n me+i( +!n
+i,!)')!n ene,!(!n +!&i )e+'! e,!$ i$!) (e&*!+i!&i !,!n )e,'!&n.!
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5# B!"i )e,'$!n .!n" *i+!) e,!( i+en*i*!(n.! !)!n
+i!+i)!n (e!"!i +!(!& e@!,'!(i 'n*')
menin")!*)!n e,!.!n!n .!n" !)!n +!*!n"#9# P!+! )*!) (!&!n $!&'( (e,!,' *e&(e+i! ,em!&!n
'n*') men',i( (e"!,! )&i*i) (!&!n (e&*! )e,'$!n
!(ien# J'"! *e&(e+i! !,in 'n*') men',i(#
UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# P,i),ini)7# K!m!& Oe&!(i
&+. SPO PENGKA*IAN NILAI=NILAI DAN
KEPER,A-AAN PASIEN
Pengkajian ni%ai=ni%ai "an ke/ea1aan /asien
N# D)'men
1#2#1#1#0012
N# Re@i(i
-
H!,!m!n
1/1
SPO T!n""!, Te&i*
11 MARET 2013
Di*e*!)!n :
Di&e)*'& RS ARSADA JAWA BARAT
PENGERTIAN S'!*' )e"i!*!n +i +!,!m me,!)')!n en")!i!n
*en*!n" ni,!i-ni,!i +!n )ee&!.!!n .!n" +i!n'* !(ien
!*!' )e,'!&"!#TU*UAN Se!"!i !'!n +!,!m me,!)')!n en")!i!n *en*!n"
ni,!i-ni,!i +!n )ee&!.!!n .!n" +i!n'* !(ien !*!'
)e,'!&"!#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!
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PROSEDUR 1# Pe*'"!( men"'!!)!n (!,!m2# Pe*'"!( meme&)en!,)!n +i&i3# Pe*'"!( men!n.!)!n Bi+!*! !(ien n!m! 'm'&
en+i+i)!n !,!m!*48# Pe*'"!( men!n.!)!n ni,!i-ni,!i .!n" +i!n'* ,e$
!(ein .!n" *e&+i&i +!&i :!# B!$!(! .!n" +i "'n!)!n# M!)!n!n .!n" +i,!&!n"# !&!-!&! me,!)')!n i!+!$+# Ke"i!*!n )e&$!ni!n .!n" i!(! +i,!)')!n
7# Pen'*' )m'ni)!(i i,! (e,e(!i me,!)')!n
en")!i!n#
UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*2# K!m!& Be&(!,in
3# R'!n" Pe&!%!*!n8# P,i),ini)7# K!m!& Oe&!(i
&2. SPO IN9ORMASI HAK DAN TANGGUNG
*A#A'
In;!masi Hak "an tanggung ja&m!(i
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*en*!n" $!) +!n *!n""'n" !%! !(ien (e,!m!
e&)'n'n" )e &'m!$ (!)i*#TU*UAN Se!"!i !'!n +i +!,!m meme&i)!n in>&m!(i *en*!n"
$!) +!n *!n""'n" !%! !(ien (e,!m! e&)'n'n" )e
&'m!$ (!)i*#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1#Pe*'"!( meme&(i,!$)!n !(ien/)e,'!&"! 'n*')
meme&,e$ in>&m!(i *en*!n" $!) +!n *!n""'n"
!%! !(ien +!n )e,'!&"!2# Pe*'"!( mene,!()!n $!) !(ien +!n *!n""'n"
!%! )e,'!&"! +i &'m!$ (!)i* .!n" *e&+i&i +!&i :
!# P!(ien e&$!) meme&,e$ in>&m!(i men"en!i
*!*! *e&*i +!n e&!*'&!n .!n" e&,!)' +i &'m!$
(!)i*
# P!(ien e&$!) !*!( e,!.!n!n .!n" m!n'(i!%i!+i, +!n ''&
# P!(ien e&$!) meme&,e$ e,!.!n!n me+i(
.!n" e&m'*' (e('!i +en"!n (*!n+!& &>e(i
)e+)*e&!n/)e+)*e&!n "i"i +!n *!n!
+i()&imin!(i
+# P!(ien e&$!) meme&,e$ !('$!n )ee&!%!*!n
+en"!n (*!n+!& &>e(i )ee&!%!*!n
e# P!(ien e&$!) memi,i$ +)*e& +!n )e,!(
e&!%!*!n (e('!i +en"!n )ein"in!nn.! +!n(e('!i +en"!n e&!*'&!n .!n" e&,!)' +i &'m!$
(!)i*
># P!(ien e&$!) +i&!%!* ,e$ +)*e& .!n" (e!&!
e!( menen*')!n en+!!* ),ini( +!n en+!!*
e*i(n.! *!n! !m'& *!n"!n +!&i i$!) ,'!&
"# P!(ien e&$!) memin*! )n(',*!(i )e!+! +)*e&
,!in .!n" *e&+!>*!& +i &'m!$ (!)i* *e&(e'*
(en+ inin4 *e&$!+! en.!)i* .!n"
+i+e&i*!n.! (een"e*!$'!n +)*e& .!n"me&!%!*
$# P!(ien e&$!) !*!( ?&i@!. +!n )e&!$!(i!!n
en.!)i* .!n" +i+e&i*! *e&m!(') +!*!-+!*!
me+i(n.!
i# P!(ien e&$!) men+!!* in>&m!(i .!n"
me,i'*i :
• en.!)i* .!n" +i+e&i*! *in+!)!n me+i) !!
.!n" $en+!) +i,!)')!n
• )em'n")in!n en.!)i* (e!"!i !)i!*
*in+!)!n *( (e'* +!n *in+!)!n 'n*')
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men"!*!(in.!
• !,*e&n!*i> *e&!i ,!inn.!
• &"n(!n.!
In;!masi Hak "an tanggung ja&m!(i+en"!n ''& +!n (e,en")!n.! *en*!n" en.!)i*
3;
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.!n" +i+e&i*! )e!+! +)*e& .!n" me&!%!*#
3# P!(ien +i *!n.!)!n/!$!m !*!( in>&m!(i .!n"
+i(!m!i)!n8# Bi,! !(ien !&' men"e&*i +i',!n" )em!,i $!,-$!,
.!n" e,'m +imen"e&*i7# Pe*'"!( men"'!)!n )m'ni)!(i en'*' i,! *e,!$
(e,!(!i meme&i)!n in>&m!(i#UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*
2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# P,i),ini)7# K!m!& Oe&!(i
&3. SOP PEN-IMPANAN 9ORMULIR IN9ORM
,ONSENT DALAM REKAM MEDIK
Pen1im/anan 9!mu%i In;!m ,!nsent "a%am
Rekam Me"ik
N# D)'men
1#2#5#0018
N# Re@i(i
-
H!,!m!n
1/1
SPO T!n""!, Te&i*
11 MARET 2013
Di*e*!)!n :
Di&e)*'& ARSADA JAWA BARATPENGERTIAN &m',i& In>&m n(en* !+!,!$ >&m',i&
e&(e*''!n/en,!)!n +!&i !(ien/)e,'!&"! *e&$!+!
*in+!)!n me+i( .!n" !)!n +i,!)')!n +i*!n+!i +en"!n
*!n+! *!n"!n ,e$ !(ien/)e,'!&"! +!n e*'"!( .!n"
mene,!()!n#
Re)!m me+i) !+!,!$ (e'!$ ')*i *e&*',i( men"en!i
(em'! )n+i(i !(ien +!,!m en*') em')'!n .!n"(!n"!* +i !"! )e&!$!(i!!nn.!#TU*UAN Se!"!i *!n+! ')*i *e&*',i( !$%! (e*i! *in+!)!n
me+i( .!n" +i,!)')!n *e&$!+! !(ien *e,!$
men+!!*)!n e&(e*''!n +!&i !(ien /)e,'!&"! (e&*!
men"e*!$'i m!n>!!* +!n !)i!* +!&i *in+!)!n me+i(
*e&(e'*#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# D)*e&/i+!n/e&!%!* !*!' e*'"!( )e(e$!*!n
,!inn.! mene,!()!n &(e+'& *in+!)!n me+i(
.!n" !)!n +i,!)')!n *e&$!+! !(ien2# Bi+!n/Pe&!%!* meme&i)!n ,em!& in>&m nen*
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)e!+! !(ien/)e,'!&"! 'n*') +i*!n+!*!n"!ni3# Bi+!n/Pe&!%!* men.im!n ,em!& in>&m nen*
.!n" *e,!$ +i*!n+!*!n"!ni ,e$ !(ien/)e,'!&"! +!n
e*'"!( .!n" mene,!()!n )em'+i!n +im!(')!n
)e+!,!m &e)!m me+i) !(ien (e!"!i ')*i +!n
+i!"! )e&!$!(i!!nn.!#UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*
2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n8# K!m!& Oe&!(i
&5. SPO PENELITIAN KLINIS DALAM RUMAH SAKIT
Pene%itian k%inis "a%am uma0 sakit
N# D)'men
1#2#9#1#0017
N# Re@i(i
-
H!,!m!n
1/1
SPO T!n""!, Te&i*
11 MARET 2013
Di*e*!)!n :
Di&e)*'& ARSADA JAWA BARATPENGERTIAN S'!*' )e"i!*!n +i +!,!m me,!)')!n ene,i*i!n ),ini(
+i +!,!m &'m!$ (!)i* .!n" +i,!)')!n ,e$ +)*e&
e&!%!*/i+!n +!n !&!me+i(#TU*UAN Se!"!i !'!n +!,!m me,!)')!n ene,i*i!n ),ini( +i
+!,!m &'m!$ (!)i* .!n" +i,!)')!n ,e$ +)*e&
e&!%!*/i+!n +!n !&!me+i(#KE'I*AKAN 01/ARSADA/2013 Ten*!n" $!) !(ien +!n )e,'!&"!PROSEDUR 1# Pene,i*i mem'!* e&m$n!n )e!+! +i&e)*'&
'n*') men+!!* iCin e&m$n!n2# Pene,i*i me,!)')!n ene,i*i!n i,! ('+!$
men+!!*)!n iCin +en"!n +i&e)*'&
3# Pene,i*i +i +!,!m me,!)')!n ene,i*i!n $!&'(men"e+e!)!n )e(e,!m!*!n !(ien
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8# Me,!)')!n ene,i*i!n $!&'( +i !%!,i +en"!n
in>&me+ (en*!# Meme&)en!,)!n +i&i# Mene,!()!n m!)('+ +!n *''!n ene,i*i!n# Ke'n*'n"!n +i,!)')!n ene,i*i!n
+# (e*e,!$ (e,e(!i me,!)')!n ene,i*i!n ene,i*imen"'!!)n *e&im!)!(i$ )e!+!
&e(n+en/!(ien7# Pene,i*i meme&i)!n $!(i, ene,i*i!n n.! )e!+! &(
(e!"!i !$!n )!i!n +!,!m em'!*!n
e&en!n!!n &'m!$ (!)i*#
UNIT TERKAIT 1# In(*!,!(i G!%!* +!&'&!*2# K!m!& Be&(!,in3# R'!n" Pe&!%!*!n
8# K!m!& Oe&!(i
&7. LEA9LET HAK DAN TANGGUNG *A#A' PASIEN DAN
KELUARGA
LAMPIRAN
HAK DAN KEWAJIBAN PASIEN DI RS :
a. HAK PASIEN :
14 P!(ien e&$!) meme&,e$ in>&m!(i men"en!i *!*! *e&*i +!ne&!*'&!n .!n" e&,!)' +i &'m!$ (!)i*
24 P!(ien e&$!) !*!( e,!.!n!n .!n" m!n'(i!%i !+i, +!n ''&
34 P!(ien e&$!) meme&,e$ e,!.!n!n me+i( .!n" e&m'*' (e('!i+en"!n (*!n+!& &>e(i )e+)*e&!n/)e+)*e&!n "i"i +!n *!n!+i()&imin!(i
84 P!(ien e&$!) meme&,e$ !('$!n )ee&!%!*!n +en"!n (*!n+!&&>e(i )ee&!%!*!n
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74 P!(ien e&$!) memi,i$ +)*e& +!n )e,!( e&!%!*!n (e('!i +en"!n)ein"in!nn.! +!n (e('!i +en"!n e&!*'&!n .!n" e&,!)' +i &'m!$(!)i*
54 P!(ien e&$!) +i&!%!* ,e$ +)*e& .!n" (e!&! e!( menen*')!n
en+!!* ),ini( +!n en+!!* e*i(n.! *!n! !m'& *!n"!n +!&ii$!) ,'!&
94 P!(ien e&$!) memin*! )n(',*!(i )e!+! +)*e& ,!in .!n"*e&+!>*!& +i &'m!$ (!)i* *e&(e'* (en+ inin4 *e&$!+!en.!)i* .!n" +i+e&i*!n.! (een"e*!$'!n +)*e& .!n" me&!%!*
;4 P!(ien e&$!) !*!( ?&i@!. +!n )e&!$!(i!!n en.!)i* .!n"+i+e&i*! *e&m!(') +!*!-+!*! me+i(n.!
64 P!(ien e&$!) men+!!* in>&m!(i .!n" me,i'*i :
• en.!)i* .!n" +i+e&i*! *in+!)!n me+i) !! .!n" $en+!) +i,!)')!n
• )em'n")in!n en.!)i* (e!"!i !)i!* *in+!)!n *e&(e'* +!n*in+!)!n 'n*') men"!*!(in.!
• !,*e&n!*i> *e&!i ,!inn.!
• &"n(!n.!
• e&)i&!!n i!.! en"!*!n#
104 P!(ien e&$!) men.e*''i/meme&i)!n iCin !*!( *in+!)!n .!n"!)!n +i,!)')!n ,e$ +)*e& (e$''n"!n +en"!n en.!)i* .!n"+i+e&i*!n.!
114 P!(ien e&$!) men,!) *in+!)!n .!n" $en+!) +i,!)')!n*e&$!+! +i&in.! +!n men"!)$i&i en"!*!n (e&*! e&!%!*!n!*!( *!n""'n" !%! (en+i&i (e('+!$ meme&,e$ in>&m!(i .!n" e,!( *en*!n" en.!)i*n.!
124 P!(ien e&$!) +i+!min"i )e,'!&"!n.! +!,!m )e!+!!n )&i*i(
134 P!(ien e&$!) men!,!n)!n i!+!$ (e('!i !"!m!/)ee&!.!!n.!n" +i!n'*n.! (e,!m! $!, i*' *i+!) men""!n""' !(ien ,!inn.!
184 P!(ien e&$!) !*!( )e!m!n!n +!n )e(e,!m!*!n +i&in.!(e,!m! +!,!m e&!%!*!n +i &'m!$ (!)i*
174 P!(ien e&$!) men"!')!n '(', (!&!n e&!i)!n !*!(e&,!)'!n &'m!$ (!)i* *e&$!+! +i&in.!
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154 P!(ien e&$!) mene&im! !*!' men,!) imin"!n m&i,m!''n (i&i*'!,#
b. KEWAJIBAN PASIEN :
14 P!(ien +!n )e,'!&"!n.! e&)e%!i!n 'n*') men*!!*i (e"!,!e&!*'&!n +!n *!*! *e&*i &'m!$ (!)i*
24 P!(ien e&)e%!i!n 'n*') mem!*'$i (e"!,! in(*&')(i +)*e& +!ne&!%!* +!,!m en"!*!nn.!
34 P!(ien e&)e%!i!n meme&i)!n in>&m!(i +en"!n ''& +!n(e,en")!n.! *en*!n" en.!)i* .!n" +i+e&i*! )e!+! +)*e& .!n"me&!%!*#
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TATA TERTI' DI RUMAH SAKIT
1# P!(ien +i(!&!n)!n !"!& *i+!) mem!%! !&!n" e&$!&"! (e,!m! +!,!m
m!(! e&!%!*!n# A!i,! *e&!+i )e&'(!)!n !*!' )e$i,!n"!n m!)!
*i+!) men!+i *!n""'n" !%! i$!) R'm!$ S!)i*#
2# Un*') mene"!$ *e&!+in.! en.e!&!n in>e)(i !n!)-!n!) e&'(i!
+i!%!$ ,im! *!$'n +i,!&!n" m!(') )e &'!n" e&!%!*!n#
3# Pen'n""' .!n" +ie&,e$)!n !+! +i &'!n" &!%!* in! m!)(im!, 2
+'!4 &!n" ,i),ini) $!n.! 1 (!*'4 &!n"#
8# Un*') R'!n" IGD )e,'!&"! !(ien +i,!&!n" m!(') )e'!,i !(ien
+!,!m )e!+!!n )&i(i( $!n.! ,e$ +i+!min"i ,e$ 1 (!*'4 &!n"
)e,'!&"!#
7# Pe&!,!*!n *i+'& en'n""' *i)!& !n*!, +,,4 $!n.! ,e$ +ie&"'n!)!n
m',!i ')', 1;#00 (#+ 05#00 WIB# Di,'!& !m *e&(e'* m$n +i(im!n
+en"!n &!i#
5# Pen'n""'/*!m' +i,!&!n" +'+')/*i+'& +i *em!* *i+'& !(ien#
9# Di,!&!n" mem!%! (en!*! *!!m/(en!*! !i min'm!n )e&!( +!n
!*-!*!n *e&,!&!n"#
;# Di,!&!n" e&)'n'n" +i,'!& !m )'n'n" .!n" *e,!$ +i *e*!)!n#
J!m K'n'n" P!(ien :
Si!n" : J!m 11#00 WIB 13#00 WIB
S&e : J!m 19#00 WIB 21#00 WIB6# P!(ien en'n""' +!n en"'n'n" %!i men!"! )ee&(i$!n +!n
)e*e&*i!n &'!n" e&!%!*!n (e!"!i e&i)'*:1# Ti+!) me&)) +i +!,!m !&e! &'m!$ (!)i*
2# Ti+!) men"*&i &'!n" e&!%!*!n3# Ti+!) mem'!* "!+'$ )e&i'*!n +i &'!n" e&!%!*!n#
10# W!i men!"! *i+!) me&'(!) !*!''n mem!%! ',!n"4
>!(i,i*!( .!n" !+! +i &'!n" e&!%!*!n#
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