tag:blogger.com,1999:blog-11107930072051943552024-03-08T08:46:59.627-08:00Welcome To My BlogAnonymoushttp://www.blogger.com/profile/06550839125239713462noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-1110793007205194355.post-92218682211463781612013-07-20T02:12:00.002-07:002013-07-20T02:14:10.829-07:00<a href="http://aditya141288.webs.com/">link pak adit</a><br />Anonymoushttp://www.blogger.com/profile/06550839125239713462noreply@blogger.com0tag:blogger.com,1999:blog-1110793007205194355.post-2705878779944409912013-07-20T01:42:00.002-07:002013-07-20T01:42:45.630-07:00Alur & Prosedur Puskesmas<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l28 level1 lfo3; tab-stops: 21.3pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sejarah
dan Tujuan Rekam Medis<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sejarah
Singkat Rekam Medis<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Rekam
medis sebagai catatan yang ditemukan sejak zaman batu (<i>paleolithicum</i>) ± 25.000 SM di Spanyol, di buktikan dengan adanya
pahatan pada dinding gua. Pada zaman zunani ± 460 SM, Hippocrates (Bapak Ilmu
Kedokteran) mencatat pemeriksaan pasiennya atau penemuan medis (Rekam Medis).
Kecermatan cara kerja Hippocrates dalam pengelolaan rekam medisnya sangat
menguntungkan para dokter di zaman sekarang. Pada Zaman keemasan Dinasti Islam,
Avicena (Ibnu Sina) dan Rhazes merupakan tokoh yang berperan menggunakan
pencatatan klinik yang baik, yang ditulis pada buku-buku kedokteran seperti <i>“Treatise on Smallpox and Measless”.<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 42.55pt 63.8pt 70.9pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Pentingnya rekam
medis mulai sangat terasa sejak didirikannya Rumah Sakit St.Bartholomew di
London Inggris. Rumah sakit ini sangat menekankan pencatatan laporan atau instruksi medis yang
harus dilakukan oleh seorang dokter sebagai bentuk pertanggung jawabanya kepada
pasien. Pada abad 18 Rumah Sakit Penansyalavania di Philadelphia didirikan oleh
Benjamin Franklin pada tahun 1752. Pada tahun 1771 didirikan Rumah Sakit New
York, pencatatan rekam medis baru dikerjakan pada tahun 1793 yaitu registrasi
pasien baru. Tahun 1862 pengindeksan penyakit dan kondisi pasiennya baru
dilakukan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Abad 19 perkembangan rekam medis semakin berkembang
dengan dibukanya rumah sakit umum Massacussect
di Boston tahun 1801. Rumah sakit ini memiliki rekam medis dan katalog
pasien lengkap. Tahun 1871 mulai menginstruksikan bahwa setiap pasien yang
dirawat harus dibuatkan Kartu Indeks Utama Pasien (KIUP). Pada tahun 1902 <i>American Hospital Association</i> (AHA)
untuk pertama kalinya melakukan diskusi rekam medis. Tahun 1905 seorang dokter
berkebangsaan Amerika dr. Wilson mengemukakan pidato ilmiahnya yaitu tentang
pentingnya nilai rekam medis yang lengkap demi kepentingan pasien maupun pihak
rumah sakit.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 42.55pt 70.9pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Pada tahun 1935 dimulai adanya pendidikan khusus tentang
rekam medis yang diselenggarakan di:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Rumah sakit umum
Massachuchetts, Boston dengan Instruktur Genevive Chase.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Rumah sakit umum
Rochester, New York dengan Instruktur Je Harned Bufkin.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Rumah sakit St. Mary’s
Duluth, Minnesota dengan Instruktur Suster M. Patricia.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l21 level2 lfo1; tab-stops: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Rumah sakit St. Joseph,
Chicago dengan Instruktur Suter Edna K.Huffman.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Pada awal abad 20 kebutuhan rekam medis semakin
berkembang dengan adanya akreditasi dan dengan didirikannya asosiasi-asosiasi
perekam medis disetiap Negara. Perkembangan epidemiologi diperluas hingga pada
kesehatan masyarakat. Dengan ini rekam medis didefinisikan sebagai berikut:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menurut surat keputusan
direktorat jenderal pelayanan medis no. 78 tahun 1991.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; tab-stops: 49.65pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Rekam
medis adalah berkas yang berisikan catatan dan dokumen tentang identitas,
anamnesis, pemeriksaan, diagnosis, pengobatan, tindakan dan pelayanan lain yang
diberikan kepada seorang pasien selama dirawat di rumah sakit baik di unit
rawat jalan, unit rawat inap dan unit gawat darurat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menurut Edna K Huffman
1992<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Rekam
medis adalah rekaman atau catatan mengenai siapa, apa, mengapa, bilamana, dan
bagaimana pelayanan yang diberikan kepada pasien selama masa perawatan yang
memuat pengetahuan mengenai pasien dan pelayanan yang diperolehnya serta memuat
informasi yang cukup untuk menemukan pasien, membenarkan diagnosis dan
pengobatan serta merekam hasilnya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menurut Gemala Hatta<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Rekam
medis merupakan fakta tentang kehidupan seseorang dan riwayat penyakitnya
termasuk keadaan sakit, pengobatan saat ini dan saat lampau yang ditulis oleh
para praktisi kesehatan dalam upaya mereka memberikan pelayanan kesehatan kepada
pasien.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tujuan Rekam Medis<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Rekam medis dilaksanakan dengan tujuan tercapainya tertib
administrasi dalam rangka upaya peningkatan pelayanan kesehatan di sarana
pelayanan kesehatan. Selain itu rekam medis juga memiliki manfaat yaitu:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menurut
Gibony 1991<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> 1) Aspek
<i>Administrasion</i><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Suatu
berkas rekam medis yang berisi tentang tindakan berdasarkan wewenang dan
tanggung jawab sebagai tenaga medis dan para medis dalam mencapai tujuan pelayanan
kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; tab-stops: 49.65pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2)
Aspek <i>Legal</i><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 72.0pt; mso-add-space: auto; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Suatu
berkas rekam medis yang berisi tentang adanya jaminan kepastian hukum atas
dasar keadilan pelayanan kesehatan, sebagai usaha menegakkan hukum serta penyediaan
tanda bukti untuk menegakkan keadilan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">3)
Aspek <i>Financial</i> <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Suatu berkas
rekam medis yang dapat dijadikan sebagai bahan informasi untuk menetapkan biaya
pembayaran jasa pelayanan kesehatan. Tanpa adanya bukti catatan tindakan atau
pelayanan maka pembayaran tidak dapat dipertanggung jawabkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; tab-stops: 63.8pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">4)
Aspek <i>Research</i><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; tab-stops: 63.8pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Suatu berkas rekam medis yang mempunyai
nilai penelitian karena isinya menyangkut data atau infomasi yang dapat
digunakan sebagai aspek penelitian dan pengembangan ilmu pengetahuan di bidang
kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">5)
Aspek <i>Education</i><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Suatu berkas rekam medis yang berisi
data-data yang dapat digunakan untuk mengetahui kronologis suatu tindakan
pelayanan medik yang diberikan kepada pasien dan mengetahui sistem pengelolaan
rekam medis.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">6)
Aspek <i>Documentation</i><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 72.0pt; mso-add-space: auto; tab-stops: 49.65pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Suatu
berkas rekam medis yang digunakan sebagai sumber ingatan yang harus
didokumentasikan dan dipakai sebagai bahan pertanggung jawaban dan laporan
sarana kesehatan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menurut
Depkes RI Keputusan No. 78 tahun 1991<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">1)
Sebagai sumber informasi medis pasien
guna pengobatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2) Sebagai alat komunikasi antara tenaga
kesehatan yang ikut ambil bagian dalam memberikan pelayanan kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">3)
Sebagai bukti tertulis terhadap
pelayanan yang telah diberikan kepada pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">4)
Sebagai alat untuk analisa, penelitian
dan evaluasi terhadap program pelayanan serta kualitas pelayanan kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">5)
Sebagai alat untuk perlindungan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sistem
dan Sub Sistem Rekam Medis<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">1. Sistem Penamaan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Sistem
penamaan dalam pelayanan medis yaitu tata cara penulisan nama pasien yang
bertujuan untuk membedakan satu pasien dengan pasien yang lain dan untuk
memudahkan dalam pengindeksan Kartu Indeks Utama Pasien (KIUP).<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Penulisan
nama dalam formulir rekam medis harus memenuhi persyaratan penulisan untuk
diindeks dan memenuhi kelengkapan nama seseorang. Menurut Bambang Shofari dalam
bukunya yang berjudul Pengantar Sistem Rekam Kesehatan (PSRK) tahun edisi 1998
cara menulis dan mengindeks nama dalam formulir rekam medis adalah sebagai
berikut:<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">a. Menulis nama orang Indonesia.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> 1) Nama
Tunggal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; tab-stops: right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Nama orang dapat
terdiri dari satu suku kata, dua kata atau lebih. Nama orang hanya terdiri dari
satu suku kata, diindeks sebagaimana nama
itu disebut.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Contoh :<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Nama Diindeks
akan ditulis<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Jumadi Jumadi<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Prapti Prapti<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> 2) Nama
Majemuk<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Nama orang Indonesia
yang majemuk dan oleh si pemilik nama itu ditulis menjadi satu, diindeks
sebagaimana nama itu ditulis.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Contoh :<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Nama Diindeks
akan ditulis<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Ira
Ayu Ira
Ayu<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Isnaini
Fitriana Isnaini
Fitriana<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> 3)
Nama Keluarga<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Nama orang Indonesia
yang menggunakan nama keluarga, yang diutamakan nama keluarganya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 70.9pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Contoh :<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Nama Diindeks
akan ditulis<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Narsissius Hardiman Hardiman Narsissius<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Novilia Haryanto Haryanto Novilia <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 35.45pt 42.55pt 2.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> b. Menulis
Nama Orang Cina, Korea, Vietnam dan sejenisnya.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> 1)
Nama Asli<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Nama asli orang
Cina, Korea, Vietnam dan sejenisnya, diindeks dan ditulis sebagai nama aslinya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 70.9pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Contoh :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 70.9pt 8.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Nama Diindeks
akan ditulis<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Kim Ti Sung Kim Ti Sung<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Tan Tek Sun Tan Tek Sun<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> 2) Nama orang Cina yang digabung dengan nama orang
Eropa, nama Cina lebih diutamakan, baru menyusul nama Eropa.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; tab-stops: 2.0cm 70.9pt right 14.0cm; text-align: justify; text-indent: -70.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Contoh :<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Nama Diindeks
akan ditulis<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Kennedy Tan Tan Kennedy<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Thomas Kim Kim Thomas<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> c.
Menulis nama orang India, Jepang,
Thailand dan sejenisnya.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Kata akhir
dijadikan kata tangkap utama dalam indeks, tanpa memperhatikan apakah kata
akhir itu nama keluarga atau nama <i>clan.</i><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Contoh :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 2.0cm 70.9pt 8.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Nama Diindeks
akan ditulis<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Mahatma
Gandhi Gandhi,
Mahatma<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 2.0cm 70.9pt 8.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Saburo Ichikawa Ichikawa, Saburo<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> d. Menulis
nama orang Arab, Persia, Turki dan sejenisnya.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">1) Nama Arab, Persia, Turki dan sejenisnya yang
diikuti nama keluarga, nama keluarga dijadikan kata pengenal utama.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 70.9pt 3.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Contoh :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 70.9pt 3.0cm 8.0cm 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Nama Diindeks
akan ditulis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 70.9pt 8.0cm 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Sayyid
Abdullah Abdullah,
Sayyid<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Muhammad
Wahid Wahid, Muhammad <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2)
Nama orang Arab, Persia, Turki, yang menggunakan kata bin, binti, nama yang
didahului kata itu dijadikan sebagai pengenal utama.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 70.9pt 8.0cm 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Nama Diindeks
akan ditulis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 70.9pt 8.0cm 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Umar
bin Khotob Khotob,
Umar bin<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Usman
bin Affan Affan,
Usman bin <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> e. Menulis
nama orang Eropa, Amerika, dan sejenisnya.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Nama
orang Eropa, Amerika, diindeks dan ditulis berdasarkan nama keluarga, seperti
contoh dibawah ini :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 2.0cm 8.0cm 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Nama Diindeks
akan ditulis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 2.0cm 63.8pt 8.0cm 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Albert Van Hook Hook, Albert Van<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 2.0cm 8.0cm 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Robert
Kennedy Kennedy,
Robert<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 21.3pt 35.45pt 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> 2. Sistem
Penomoran<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Sistem penomoran dalam pelayanan
rekam medis yaitu tata cara penulisan nomor yang diberikan kepada pasien yang
datang berobat sebagai bagian dari identitas pasien yang bersangkutan.
Tujuannya yaitu :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; mso-list: l33 level1 lfo26; tab-stops: 21.3pt 35.45pt 49.65pt 63.8pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sebagai
petunjuk pemilik folder yang bersangkutan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; mso-list: l33 level1 lfo26; tab-stops: 21.3pt 35.45pt 49.65pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sebagai
pedoman dalam tata cara penyimpanan dokumen rekam medis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l33 level1 lfo26; tab-stops: 21.3pt 35.45pt right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sebagai
petunjuk dalam pencarian dokumen rekam medis yang telah tersimpan di <i>filing.</i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 35.45pt 70.9pt 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Menurut Bambang Shofari dalam
bukunya yang berjudul Pengantar Sistem Rekam Kesehatan (PSRK) ada tiga sistem
pemberian nomor pasien (<i>Administrasion
Numbering System</i>) adalah sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 42.5pt; mso-add-space: auto; mso-list: l2 level1 lfo5; tab-stops: 35.45pt 49.65pt right 14.0cm; text-align: justify; text-indent: -7.05pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pemberian
nomor cara <i>Serial Numbering System</i><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; tab-stops: 35.45pt 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Yaitu
sistem penomoran dimana setiap pasien yang berkunjung ke rumah sakit atau
puskesmas selalu mendapatkan nomor baru. Keuntungan menggunakan sistem ini
yaitu petugas lebih mudah mengerjakan, namun kerugiannya yaitu membutuhkan
waktu lama untuk mencari atau mendapatkan berkas rekam medis pasien lama karena
satu pasien mendapatkan lebih dari satu nomor rekam medis sehingga informasi pelayanan
klinisnya menjadi tidak berkesinambungan dan dapat merugikan pasien. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; tab-stops: 35.45pt 9.0cm right 14.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; tab-stops: 35.45pt 9.0cm right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">b.
Pemberian nomor cara <i>Unit Numbering System<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: 35.45pt 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Yaitu sistem
penomoran dimana sistem ini memberikan satu nomor rekam medis pada pasien
berobat jalan, pasien rawat inap, gawat darurat dan bayi baru lahir. Kelebihan
sistem ini adalah informasi klinis dapat berkesinambungan, tetapi pengambilan
data pasien akan lebih lama karena semua data dan informasi mengenai pasien dan
pelayanan pendaftaran pasien pernah berkunjung (berobat) atau sebagai pasien
lama hanya memiliki satu nomor. Kekurangan ini dapat diatasi dengan sistem pelayanan
yang terpisah antara pendaftaran pasien lama atau baru.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: 35.45pt 9.0cm right 14.0cm; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">c.
Pemberian nomor cara <i>Serial Unit Numbering System<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: 35.45pt 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Yaitu sistem
penomoran dengan menggabungkan sistem seri dan sistem unit. Setiap pasien yang
berkunjung pada sarana pelayanan kesehatan diberikan nomor baru, tetapi dokumen
rekam medis terdahulu digabungkan dan disimpan jadi satu dibawah nomor yang
paling baru. Kekurangannya yaitu petugas menjadi lebih repot setelah selesai
pelayanan informasi klinis tidak berkesinambungan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 21.3pt 35.45pt 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> 3. Sistem Penyimpanan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Dokumen rekam medis
berisi data individual yang bersifat rahasia, maka setiap folder harus disimpan
dan dilindungi dengan baik karena bertujuan untuk :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l26 level1 lfo27; tab-stops: 49.65pt right 14.0cm; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mempermudah
dan mempercepat ditemukannya kembali dokumen yang disimpan dalam rak <i>filing.</i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l26 level1 lfo27; tab-stops: 49.65pt right 14.0cm; text-align: justify; text-indent: -.55pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mempermudah
mengambil dari tempat penyimpanan<i>.<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l26 level1 lfo27; tab-stops: 49.65pt right 14.0cm; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Melindungi
dokumen rekam medis dari bahaya pencurian, kerusakan fisik, kimiawi dan biologis.<i><o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 70.9pt 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Syarat dokumen rekam medis dapat
disimpan yaitu apabila pengisian pada lembar formulir rekam medis telah terisi
dengan lengkap dan telah dirakit sehingga riwayat pasien urut secara
kronologis. Ditinjau dari pemusatan atau penyatuan dokumen rekam medis maka
cara penyimpanannya dibagi menjadi dua yaitu :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 49.65pt 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">a. <i>Sentralisasi</i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sistem penyimpanan
secara <i>sentralisasi</i> yaitu, suatu
sistem penyimpanan dengan cara menyatukan formulir rekam medis milik pasien
kedalam satu kesatuan dimana dokumen rekam medis rawat jalan, rawat inap, gawat
darurat, milik seorang pasien menjadi satu dalam satu folder (map).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Keuntungannya :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l15 level1 lfo6; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Data dan informasi
hasil pelayanan dapat berkesinambungan kerena menyatu dalam satu folder sehingga
riwayatnya dapat dibaca seluruhnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l15 level1 lfo6; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengurangi duplikasi
data dalam pemeliharaan dan penyimpanan rekam medis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l15 level1 lfo6; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengurangi jumlah biaya
yang digunakan untuk peralatan dan ruangan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l15 level1 lfo6; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tata kerja dan
persatuan mengenai kegiatan pencatatan medis mudah disentralisasikan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l15 level1 lfo6; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memungkinkan
peningkatan efisiensi kerja petugas penyimpanan karena dokumen rekam medis
milik seorang pasien berada dalam satu folder.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l15 level1 lfo6; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mudah menerapkan sistem
<i>unit record </i>.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Kekurangannya :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l0 level1 lfo7; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Petugas rekam medis
menjadi lebih sibuk karena harus menangani unit rawat jalan dan unit rawat
inap.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l0 level1 lfo7; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Filing
</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">(tempat penyimpanan) dokumen rekam medis
harus jaga 24 jam karena sewaktu-waktu diperlukan untuk pelayanan UGD yang dibuka 24 jam.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l0 level1 lfo7; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tempat penerimaan
pasien harus bertugas 24 jam, karena dokumen rekam medis digunakan
sewaktu-waktu bila pasien datang untuk berobat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; tab-stops: 70.9pt right 14.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 49.65pt 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">b.<i> Desentralisasi<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sistem penyimpanan
secara <i>desentralisasi </i>yaitu suatu
sistem penyimpanan dengan cara memisahkan formulir rekam medis milik pasien
dimana dokumen rekam medis rawat jalan, rawat inap, gawat darurat, milik
seorang pasien dipisahkan pada folder (map) yang berbeda.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Keuntungannya :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l32 level1 lfo8; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Efesiensi waktu,
sehingga pasien mendapat pelayanan yang lebih cepat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 85.65pt; mso-list: l32 level1 lfo8; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Beban kerja yang
dilaksanakan petugas lebih ringan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Kekurangannya :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l23 level1 lfo9; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Terjadinya duplikasi
data dalam pembuatan rekam medis, yaitu data dan informasi pelayanan pada pasien
dapat disimpan lebih dari satu folder.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l23 level1 lfo9; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Biaya yang diperlukan
untuk peralatan dan ruangan lebih banyak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 21.3pt 35.45pt 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> 4. Penjajaran
Dokumen Rekam Medis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 70.9pt 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Dokumen rekam medis yang disimpan
didalam rak penyimpanan tidak ditumpuk melainkan disusun, berdiri sejajar satu
dengan yang lain.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menurut Bambang Shofari
dalam bukunya Pengantar Sistem Rekam Kesehatan (PSRK) tahun edisi 1998
penjajaran dokumen rekam medis ada 3 cara yaitu :<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">a. Sistem Nomor Langsung <i>(Straight Numerical Filing)</i> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: 6.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sistem penyimpanan
dokumen rekam medis dengan menjajarkan folder dokumen rekam medis berdasarkan
urutan nomor rekam medis dari awal.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 49.65pt 9.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Contoh :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 49.65pt 120.5pt 127.6pt 212.65pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Seksi 01 Seksi 02 Seksi 03<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 49.65pt 120.5pt 127.6pt 212.65pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> 01-11-89 02-05-45 03-99-97<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 49.65pt 120.5pt 127.6pt 7.0cm 212.65pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> 01-11-90 02-05-46 03-99-98<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 49.65pt 120.5pt 127.6pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">b.
Sistem Angka Tengah <i>(Middle Digit Filing) </i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: 120.5pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sistem
penyimpanan dokumen rekam medis<i> </i>dengan
menjajarkan folder dokumen rekam medis berdasarkan urutan nomor rekam medis
pada dua angka kelompok tengah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 49.65pt 120.5pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Contoh :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 49.65pt 120.5pt 127.6pt 212.65pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Seksi 17 Seksi 70 Seksi
99<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 49.65pt 120.5pt 127.6pt 212.65pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> 12-17-55 60-70-99 04-99-97<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 49.65pt 120.5pt 127.6pt 212.65pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> 12-17-56 61-70-00 04-99-98<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 120.5pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">c.
Sistem Angka Akhir <i>(Terminal Digit Filing) <o:p></o:p></i></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sistem
penyimpanan dokumen rekam medis dengan menjajarkan folder dokumen rekam medis
berdasarkan urutan nomor rekam medis pada dua angka kelompok akhir.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: 120.5pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Contoh
:<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Seksi
42 Seksi 89 Seksi
99<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: 120.5pt 127.6pt 212.65pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">00-00-42 98-60-89 98-24-99<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: 120.5pt 127.6pt 212.65pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">01-00-42 99-60-89 99-24-99<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 21.3pt 35.45pt 120.5pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> 5. Sistem
Pemusnahan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 70.9pt 120.5pt 219.75pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Setelah dilakukan penilaian terhadap
nilai guna rekam medis dari dokumen rekam medis inaktif, tim pemusnahan dokumen
rekam medis kemudian mengabadikan formulir rekam medis yang harus diabadikan
sesuai dengan nilai gunanya dan memusnahkan formulir yang sudah tidak ada nilai
gunanya. Menurut Bambang Shofari dalam bukunya yang berjudul Pengantar Sistem
Rekam Kesehatan (PSRK) tahun edisi 1998 rangkuman kegiatan pemusnahan tersebut
meliputi :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat
berita acara pemusnahan rekam medis yang ditandatangani Ketua, Sekretaris, dan
diketahui direktur rumah sakit.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l27 level1 lfo28; tab-stops: 42.55pt 49.65pt 219.75pt right 14.0cm; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Melaksanakan
pemusnahan dokumen rekam medis dengan cara dibakar dan dicacah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l27 level1 lfo28; tab-stops: 42.55pt 49.65pt 219.75pt right 14.0cm; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat
daftar penelaahan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l27 level1 lfo28; tab-stops: 42.55pt 49.65pt 219.75pt right 14.0cm; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Khusus
untuk formulir rekam medis yang sudah
rusak atau yang tidak terbaca dapat langsung dimusnahkan dengan terlebih dahulu
membuat pernyataan di atas kertas segel oleh direktur rumah sakit.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; tab-stops: 2.0cm 120.5pt 219.75pt right 14.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l28 level1 lfo3; tab-stops: 21.3pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Peralatan
Penunjang Pelayanan Rekam Medis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; tab-stops: 63.8pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Untuk
memudahkan petugas rekam medis di rumah sakit dalam memasukkan data pasien agar
efektif dan efisien, maka dibutuhkan peralatan penunjang pelayanan rekam medis.
Berikut ini peralatan penunjang pelayanan rekam medis yang dibutuhkan :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">1. Tempat Pendaftaran Pasien Rawat
Jalan (TPPRJ)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Komputer<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Printer<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Formulir
pendaftaran pasien baru<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Formulir
pendaftaran riwayat klinik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Kartu
Indek Utama Pasien (KIUP)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Perforator
(pelubang kertas)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Loker
KIUP<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Kartu
Identitas Berobat (KIB)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2. Tempat Pendaftaran Pasien Rawat
Inap (TPPRI)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 71.45pt; mso-list: l36 level1 lfo30; tab-stops: 49.65pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Komputer<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 71.45pt; mso-list: l36 level1 lfo30; tab-stops: 49.65pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Printer<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 71.45pt; mso-list: l36 level1 lfo30; tab-stops: 49.65pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Almari
penyimpanan dokumen<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 71.45pt; mso-list: l36 level1 lfo30; tab-stops: 49.65pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Loker
KIUP<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 71.45pt; mso-list: l36 level1 lfo30; tab-stops: 49.65pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Perforator
(pelubang kertas)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 71.45pt; mso-list: l36 level1 lfo30; tab-stops: 49.65pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Meja
dan kursi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 71.45pt; mso-list: l36 level1 lfo30; tab-stops: 49.65pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Formulir
pendaftaran pasien baru<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">3. <i>Coding Indeksing<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l30 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Buku
ICD-X dan ICD-9 CM<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l30 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Komputer<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l30 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Folder
atau sampul berkas rekam medis<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Daftar
Tabulasi Dasar (DTD)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Printer<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">4. <i>Assembling<o:p></o:p></i></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Folder
atau sampul berkas rekam medis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l8 level1 lfo32; tab-stops: 35.45pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Perforator
(pelubang kertas)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pembuka
klip<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Gunting
kertas<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Check List</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">
ketidaklengkapan DRM<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Bolpoin<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l8 level1 lfo32; tab-stops: 35.45pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Stabilo<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">5. <i>Filing<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l1 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tracer<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l1 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Kotak
Sortir<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Rak
Penyimpan RM<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Bon
pinjam Dokumen RM<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l28 level1 lfo3; tab-stops: 21.3pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Isi
atau Formulir Rekam Medis<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Adapun formulir rekam medis berisi tentang :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Formulir rekam medis
rawat jalan :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Lembar
umum terdiri dari :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Identitas
Pasien<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Ringkasan
pasien rawat jalan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Catatan
poliklinik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Konsultasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l19 level2 lfo12; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Hasil
pemeriksaan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Informed consent<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Lembar
spesifik terdiri dari :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Evaluasi
sosial<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Evaluasi
psikologis<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Data
dasar medis<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Data
dasar nurse atau perawat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l35 level2 lfo13; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Catatan
lanjutan medis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l35 level2 lfo13; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Salinan
resep<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l35 level2 lfo13; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Catatan
lajutan nurse<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l35 level2 lfo13; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">KIUP<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l35 level2 lfo13; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">9)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Buku
Register<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l31 level1 lfo10; text-align: justify; text-indent: -32.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Fomulir rekam medis
rawat inap :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Ringkasan
riwayat masuk dan keluar<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Surat
persetujuan rawat inap<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anamnesis</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Catatan
lanjutan keperawatan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Formulir
perjalanan penyakit, tindakan dan terapi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Daftar
pengobatan dan formulir catatan pemberian obat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Permintaan
pemerikasaan penunjang dan hasil pemeriksaan penunjang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Ringkasan
diagnosis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Resume
keluar (hidup atau mati)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Formulir
spesialis sesuai spesialisasinya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Laporan
anestesi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">l.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Laporan
operasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">m.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Laporan
persalinan dan identifikasi bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">n.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Informed consent</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">o.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Catatan
dokter pindah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">p.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Catatan
nurse pasien pindah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">q.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Salinan
resep<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">r.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sebab
kematian<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; mso-list: l12 level2 lfo14; tab-stops: 49.65pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">s.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pulang
paksa<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l31 level1 lfo10; text-align: justify; text-indent: -32.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Formulir rekam medis
gawat darurat :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l29 level2 lfo15; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Formulir
rekam medis gawat darurat yang diperlukan dari fungsi <i>assembling.<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l29 level2 lfo15; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Formulir
resep untuk menulis resep.<i><o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l29 level2 lfo15; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Surat
keterangan sehat, untuk menulis keterangan sehat pasien.<i><o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l29 level2 lfo15; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Surat
keterangan sakit, untuk menulis keterangan sakit pasien.<i><o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l29 level2 lfo15; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Surat
rujukan untuk medis rujukan (kiriman pasien) yang perlu dirujuk ke sarana
pelayanan kesehatan lainnya.<i><o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l29 level2 lfo15; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Surat
jawaban rujukan, untuk menuliskan jawaban atas kiriman pasien dari sarana
kesehatan lainnya.<i><o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l29 level2 lfo15; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Formulir
rekam medis lainnya yang secara khusus diperlukan untuk pelayanan di gawat
darurat.<i><o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l28 level1 lfo3; tab-stops: 21.3pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Prosedur
Alur Rekam Medis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; tab-stops: 2.0cm right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Menurut Bambang Shofari dalam bukunya yang berjudul
Pengantar Sistem Rekam Kesehatan (PSRK) tahun edisi 1998 prosedur dan alur
rekam medis pada masing-masing pelayanan kesehatan yaitu :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; tab-stops: right 14.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; tab-stops: right 14.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; tab-stops: right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">1. Tempat Pendaftaran
Pasien Rawat Jalan (TPPRJ)<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">TPPRJ atau lebih
dikenal dengan sebutan tempat pendaftaran, merupakan tempat dimana antara
pasien dengan petugas rumah sakit melakukan kontak yang pertama kali.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Diskripsi atau gambaran
kegiatan pokok di Tempat Pendaftaran Pasien Rawat Jalan (TPPRJ) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">a. Sebelum tempat
pendaftaran dibuka perlu disiapkan :<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">1) Kartu Indeks Utama
Pasien (KIUP)<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2) Kartu Identitas
Berobat (KIB)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">3) Dokumen Rekam Medis <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">4) Buku register<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">5) <i>Tracer</i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; tab-stops: right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">6) Buku Ekspedisi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">b. Setelah tempat
pendaftaran dibuka :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l20 level2 lfo16; tab-stops: right 63.8pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Petugas
pendaftaran menerima pendaftaran pasien dan perlu memastikan terlebih dulu,
apakah pasien pernah berobat di rumah sakit ini apa belum. Apabila sudah
diminta menunjukkan KIBnya kemudian digunakan untuk mencari dokumen rekam medis
yang lama. Apabila KIB pasien tertinggal di rumah, tanyakan nama dan alamatnya
untuk dicari nomor rekam medis pada komputer atau KIUP, kemudian dicatat nama
dan nomor rekam medis di <i>tracer</i>. Bila
belum pernah berobat, tanyakan identitas pasien untuk dibuatkan KIB dan diberi
nomor rekam medis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l20 level2 lfo16; tab-stops: right 63.8pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Simpan
KIUP secara rapi berdasarkan abjad.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l20 level2 lfo16; tab-stops: right 63.8pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tanyakan
keluhan utama pasien, berobat atau ke poliklinik mana. Bila sudah diketahui
poliklinik mana yang dituju, pasien membayar jasa pelayanan rawat jalan,
kemudian mencari poliklinik yang dituju.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l20 level2 lfo16; tab-stops: right 63.8pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Catat
identitas pasien di buku register TPPRJ.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l20 level2 lfo16; tab-stops: right 63.8pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Berikan
<i>tracer</i> pada <i>filing </i>bila kita mengambil dokumen rekam medis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l20 level2 lfo16; tab-stops: right 63.8pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menerima
dokumen rekam medis lama dari bagian <i>filing,
</i>dengan menggunakan tanda penerima.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l20 level2 lfo16; tab-stops: right 63.8pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Melayani
pengguna ASKES dengan menggunakan sistem yang telah ditetapkan pengguna ASKES.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l20 level2 lfo16; tab-stops: right 63.8pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat
laporan harian yang berisi tentang informasi yang dihasilkan hari ini.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; tab-stops: 35.45pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2. Instalasi Rawat
Jalan (IRJ) atau Unit Rawat Jalan (URJ)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 70.9pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Instalasi rawat jalan atau unit rawat jalan atau
poliklinik, merupakan tempat pelayanan pasien yang berobat rawat jalan sebagai
pintu pertama apakah pasien tersebut menginap atau tidak, atau perlu dirujuk ketempat
pelayanan kesehatan lainnya. Poliklinik dibuka pukul 13.00 s.d pukul 19.00 WIB,
dan apabila masih ada pasien, dilakukan tindakan di UGD yang dibuka 24 jam.
Deskripsi pokok kegiatan IRJ atau URJ sebagai berikut :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l10 level2 lfo17; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sebelum
poliklinik dibuka, petugas menyiapkan formulir rekam medis dan catatan
kelengkapan dokumen rekam medis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l10 level2 lfo17; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Merima
dokumen rekam medis dari TPPRJ dengan menandatangani buku ekspedisi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l10 level2 lfo17; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengontrol
pembayaran jasa pelayanan rawat jalan yang dibawa oleh pasien dan dicatat dibuku
register.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l10 level2 lfo17; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memanggil
pasien berurutan agar tidak terjadi antrian yang memanjang.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l10 level2 lfo17; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Melakukan
anamnesa, pemeriksaan, tindakan dan terapi, serta mencatatnya ke dalam dokumen
rekam medis oleh petugas rekam medis dan paramedis serta menandatanganinya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l10 level2 lfo17; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memberikan
keterangan tentang penyakit kepada pasien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l10 level2 lfo17; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Apabila
perlu dirawat, buatlah surat <i>admission
note</i> kemudian dibawa ke TPPRI.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l10 level2 lfo17; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Apabila
diperlukan membuat surat keterangan sakit atau sehat, dan surat keterangan
kematian.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l10 level2 lfo17; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mencatat
identitas pasien pada buku register unit rawat jalan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l10 level2 lfo17; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Setelah
selesai pelayanan, maka yang dilakukan adalah :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l11 level1 lfo34; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat sensus harian
rawat jalan yang diserahkan ke URM beserta dokumen rekam medisnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l11 level1 lfo34; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengembalikan dokumen
rekam medis ke URM dengan buku ekspedisi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l11 level1 lfo34; tab-stops: 70.9pt right 14.0cm; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mencocokkan pembayaran
jasa antara bukti pembayaran pasien dengan catatan di kasir.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; tab-stops: right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">3. Unit Gawat Darurat
(UGD)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 70.9pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> UGD merupakan tempat pelayanan di rumah sakit yang
melayani pasien selama 24 jam setiap hari, untuk melayani pasien yang mengalami
keadaan yang gawat darurat. Karena kecepatan dan ketepatan pelayanan medis,
maka seringkali dikatakan bahwa UGD
merupakan “Jendela Mutu Pelayanan Medis” rumah sakit.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Diskripsi kegiatan
pokok UGD antara lain: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l5 level2 lfo35; tab-stops: 35.45pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menyiapkan dokumen
rekam medis UGD dan formulir sebagai kelengkapan yaitu :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l17 level1 lfo36; tab-stops: 35.45pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Surat permintaan pemeriksaan penunjang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 85.65pt; mso-add-space: auto; mso-list: l17 level1 lfo36; tab-stops: right 63.8pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Surat perintah dirawat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 85.65pt; mso-add-space: auto; mso-list: l17 level1 lfo36; tab-stops: right 63.8pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Surat pengantar
rujukan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 85.65pt; mso-add-space: auto; mso-list: l17 level1 lfo36; tab-stops: right 63.8pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Surat jawaban rujukan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 85.65pt; mso-add-space: auto; mso-list: l17 level1 lfo36; tab-stops: right 63.8pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Surat keterangan sakit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 85.65pt; mso-add-space: auto; mso-list: l17 level1 lfo36; tab-stops: right 63.8pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Surat keterangan
kematian.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 85.65pt; mso-add-space: auto; mso-list: l17 level1 lfo36; tab-stops: right 63.8pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Visum
et revertum. </span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l5 level2 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menerima dokumen rekam
medis dari unit rekam medis yang diterima dari TPPRJ.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l5 level2 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Melakukan anamnesa,
pemeriksaan, tindakan dan terapi, kemudian dicatat dalam dokumen rekam medis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l5 level2 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Apabila perlu dirawat
inap, buatlah surat peintah dirawat<i>
(admission note).</i><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l5 level2 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Dengan membawa <i>admission note </i>dan dokumen rekam medis,
pasien diantar oleh petugas ke TPPRI.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l5 level2 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat pengantar
pembayaran tindakan jasa UGD kemudian diserahkan kepada pengantar atau keluarga
pasien untuk membayar ke kasir.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l5 level2 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat surat
keterangan sehat atau sakit, dan surat kematian.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l5 level2 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mencatat identitas
pasien dan nomor rekam medis ke dalam buku register UGD.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l5 level2 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Setelah selesai
pelayanan UGD melakukan kegiatan antara lain :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l18 level1 lfo37; tab-stops: right 70.9pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat sensus harian
UGD yang kemudian diserahkan ke URM.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l18 level1 lfo37; tab-stops: right 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengembalikan dokumen
rekam medis ke URM dengan buku ekspedisi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l18 level1 lfo37; tab-stops: right 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menjumlahkan pembayaran
jasa pelayanan UGD dan jasa tindakan UGD berdasarkan bukti pembayaran dan
catatan kasir.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l5 level2 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat <i>informed consent </i>dan bila perlu
dilakukan secara tertulis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l5 level2 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Melayani permintaan <i>visum et repertum </i>oleh polisi<i>.</i><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l5 level2 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">l.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat ringkasan
penyakit.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; tab-stops: 35.45pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">4. Tempat Pendaftaran
Pasien Rawat Inap (TPPRI)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 70.9pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> TPPRI atau <i>administration
office </i>merupakan tempat dimana pengaturan pasien rawat inap dilakukan,
sehingga informasi lokasi ruangan (bangsal) pasien yang dirawat inap dapat
diperoleh disini. Pasien yang akan dirawat inap berasal dari IRJ, dan UGD. Tetapi
TPPRI juga menerima pasien rujukan dari rumah sakit lain sehingga harus dibuka
24 jam.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Diskripsi kegiatan
pokok di TPPRI antara lain :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l22 level1 lfo18; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Setiap
saat petugas menanyakan penggunaan tempat tidur kepada petugas unit rawat inap
untuk dibuat sensus harian.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l22 level1 lfo18; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menyediakan
dokumen rekam medis untuk rawat inap sesuai dengan spesialisnya. Dokumen rekam
medisnya antara lain :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l25 level1 lfo19; tab-stops: 42.55pt 49.65pt 2.0cm 63.8pt 177.2pt right 14.0cm; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Register
rawat inap.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l25 level1 lfo19; tab-stops: 42.55pt 49.65pt 2.0cm 63.8pt 177.2pt right 14.0cm; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Dokumen
rekam medis rawat inap lengkap sesuai dengan bangsal masing-masing.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l25 level1 lfo19; tab-stops: 42.55pt 49.65pt 2.0cm 63.8pt 177.2pt right 14.0cm; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Surat
persetujuan rawat inap.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l25 level1 lfo19; tab-stops: 42.55pt 49.65pt 2.0cm 63.8pt 177.2pt right 14.0cm; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Kartu
tunggu pasien rawat inap.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l25 level1 lfo19; tab-stops: 42.55pt 49.65pt 2.0cm 63.8pt 177.2pt right 14.0cm; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Apabila
menerima pasien langsung, perlu disediakan KIB dan KIUP.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l25 level1 lfo19; tab-stops: 42.55pt 49.65pt 2.0cm 63.8pt 177.2pt right 14.0cm; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Data
penyakit yang harus segera dilaporkan ke Dati II.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l22 level1 lfo18; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menerima
pasien rawat inap berdasarkan <i>admission
note</i>.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l22 level1 lfo18; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mencatat
identitas pasien rawat inap pada dokumen rekam medis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l22 level1 lfo18; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memesankan
ruangan bagi pasien rawat inap ke bangsal rawat inap.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l22 level1 lfo18; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menulis
nomor rekam medis pada <i>tracer</i> untuk
diserahkan ke unit rekam medis di bagian <i>filing.</i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l22 level1 lfo18; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat
KIB dan KIUP pasien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l22 level1 lfo18; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mencatat
buku register rawat inap.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l22 level1 lfo18; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Jika
rumah sakit mengizinkan pasien ditunggu, membuat kartu tunggu kemudian
diserahkan kepada keluarga pasien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l22 level1 lfo18; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mendistribusikan
dokumen rekam medis dan mengantar pasien ke bangsalnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l22 level1 lfo18; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mencatat
nama-nama pasien yang menggunakan tempat tidur.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; tab-stops: 35.45pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">5. Unit Rawat Inap (URI)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; tab-stops: 70.9pt right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Unit rawat inap atau sering disebut bangsal perawatan
atau ruang perawatan merupakan inti kegiatan (<i>cor busness</i>) rumah sakit. Bangsal URI biasanya diberi nama bangsal
yang berlainan satu dengan yang lainnya oleh pimpinan rumah sakit guna
memudahkan perbedaan ruangan. Disetiap bangsal memiliki sejumlah tempat tidur.
Sedangkan pasien yang dirawat disini terdiri dari pasien yang berkemampuan
membayar pelayanan rawat inap yang berbeda-beda, oleh karena itu URI dibedakan
pula atas kelas perawatan. Dan diskripsi kegiatan pokok URI antara lain :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l24 level2 lfo20; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Setiap
hari memberitahukan ke TPPRI perihal nama-nama pasien yang rawat inap, pasien
pindahan dan pasien yang dipindahkan serta jumlah tempat tidur yang belum
dipakai.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l24 level2 lfo20; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menerima
<i>admission note</i> dan dokumen rekam
medis rawat jalan atau gawat darurat dan dokumen rekam medis rawat inap yang
diantar oleh petugas pengantar pasien dari IRJ, IGD atau TPPRI.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l24 level2 lfo20; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mencatat
dan mengisi dokumen rekam medis RI dengan lengkap dari hasil pemeriksaan,
terapi, tindakan yang dilakukan oleh dokter atau perawat kepada pasien dan
ditandatangani oleh dokter atau paramedis yang bertanggung jawab.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l24 level2 lfo20; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat
surat pengantar pemeriksaan penunjang.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l24 level2 lfo20; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Meletakkan
hasil pemeriksaan penunjang pada dokumen rekam medis rawat inap.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l24 level2 lfo20; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memutuskan
apakah perlu dioperasi, atau dirawat intensif atau kasus persalinan, kemudian
siapkan dokumen rekam medis dan diserahkan dengan tanda terima.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l24 level2 lfo20; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat
<i>informed consent </i>oleh dokter atau
paramedis, bila perlu dilakuakn bukti tertulis yang ditandatangani oleh
keluarga pasien bila pasien harus menjalani operasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l24 level2 lfo20; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat
jawaban rujukan kepada dokter yang merujuk.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l24 level2 lfo20; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat
keterangan pasien pulang paksa atau Atas Permintaan Sendiri (APS), yang
ditandatangani pasien atau keluarga.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l24 level2 lfo20; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat
surat keterangan sakit atau sehat, kematian, dan kelahiran bagi pasien yang
boleh dinyatakan pulang.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l24 level2 lfo20; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat
laporan individual pasien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l24 level2 lfo20; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">l.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat
sensus harian rawat inap sesuai ketentuan yang berlaku.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l24 level2 lfo20; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">m.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuat
ringkasan penyakit rawat inap.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; tab-stops: right 14.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">6. <i>Assembling </i>dan <i>Filing<o:p></o:p></i></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Diskripsi kegiatan
pokoknya adalah :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Assembling</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l9 level2 lfo22; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menyiapkan
dokumen rekam medis yang baru dan kelengkapan formulir didalamnya untuk keperluan
unit yang membutuhkan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l9 level2 lfo22; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mencatat
segala penggunaan dokumen rekam medis kedalam buku kendali.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l9 level2 lfo22; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengalokasikan
No. RM dan memberi tahu ke TPPRJ dan UGD.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l9 level2 lfo22; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengendalikan
penggunaan nomor rekam medis agar tidak terjadi duplikasi dalam penggunaan
nomor rekam medis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l9 level2 lfo22; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mencatat
penggunaan nomor rekam medis kedalam buku penggunaan rekam medis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l9 level2 lfo22; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menerima
pengembalian dokumen rekam medis dan sensus harian dari unit pelayanan rekam
medis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l9 level2 lfo22; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mencocokkan
jumlah dokumen dengan jumlah pasien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l9 level2 lfo22; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Meneliti
kelengkapan isi dokumen.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Filing</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l4 level2 lfo23; tab-stops: 63.8pt right 354.4pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menerima
dokumen rekam medis dari urusan <i>coding indeksing
</i>dengan buku ekspedisi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l4 level2 lfo23; tab-stops: 63.8pt right 354.4pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Simpan
berdasarkan metode angka secara berurutan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l4 level2 lfo23; tab-stops: 63.8pt right 354.4pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Apabila
dokumen lama diambil, maka cara pengembaliannya menggunakan <i>tracer</i> dan mencatat setiap penggunaan
dokumen rekam medis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l4 level2 lfo23; tab-stops: 63.8pt right 354.4pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menyiapkan
dokumen rekam medis bagi pasien dengan perjanjian yang diperoleh informasinya
dari TPPRJ dan TPPRI.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l4 level2 lfo23; tab-stops: 63.8pt right 354.4pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengekspedisi
peminjaman dokumen rekam medis.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Melakukan
retensi dokumen rekam medis secara periodik dan memisahkan dokumen aktif dan
non aktif.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 63.8pt; mso-list: l4 level2 lfo23; tab-stops: 63.8pt right 354.4pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengusulkan
pemusnahan dokumen rekam medis kepada Komite rekam medis.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">7. <i>Coding, Indeksing</i> dan <i>Reporting<o:p></o:p></i></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Fungsi pengkode rekam medis bertanggung jawab terhadap
penemuan dan penulisan kode penyakit, dan operasi yang tertulis pada dokumen
rekam medis berdasarkan kode yang telah ditetapkan pada ICD-X dan ICOPIM. Nomor
kode tersebut berfungsi untuk pengindeksan yang diperlukan dalam pengolahan
data yang dikelompokkan berdasarkan indeks tersebut sebagai awal dari analisis
data yang dilaksanakan oleh fungsi pelaporan (<i>reporting</i>). Diskripsi kegiatan pokoknya adalah : <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menerima
dokumen rekam medis dan fungsi <i>assembling
</i>dengan buku ekspedisi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menulis
kode diagnosis atau penyakit, tindakan atau operasi, dokter yang merawat dan
kematian di dokumen rekam medis dan kartu kendali.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memisahkan
dokumen rekam medis dengan buku kartu kendali dan menyerahkan dokumen rekam medis
ke bagian <i>filing</i> dengan menggunakan
buku ekspedisi, sementara kartu kendali digunakan untuk indeks.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l3 level2 lfo24; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mencatat
indeks penyakit, indeks operasi, indeks dokter dan kematian di kartu indeks
masing-masing jenis penyakit, jenis operasi, nama dokter dan sebab-sebab
kematian.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menyusun
indeks penyakit, operasi, kematian dan dokter, pada rak penyimpanan indeks
secara alfabetis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l3 level2 lfo24; tab-stops: right 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Melaksanakan
pelaporan (<i>reporting</i>) dari RL1, RL2a,
RL2b, RL2a1, RL2b1, RL2c, RL3, RL4, RL5 dan RL6.</span></div>
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