Buku Ponek

362. 198 2 Ind p

PEDOMAN PENYELENGGARAAN PONEK 24 JAM di RUMAH SAKIT

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Katalog Dalam Terbitan. Kementerian Kesehatan RI 362. 198 2 Ind p

Indonesia. Kementerian Kesehatan RI. Direktorat Jenderal Bina Upaya Kesehatan Pedoman Penyelenggaraan Penyelenggaraan Ponek 24 Jam di Rumah Sakit.— Jakarta : Kementerian Kesehatan RI. 2013 ISBN 978-602-235-304-1 1. Judul I. MA MATERNAL TERNAL HEALTH SERVI SERVICES CES II. NEONAT NEONATAL AL NURSING III. PERINAT PERINATAL AL CARE IV. OBSTE OBSTETRIC TRIC DELIVERY V. HEALTH FACILITI ACILITIES ES

Pedoman Penyelenggaraan PONEK 24 jam di Rumah Sakit

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DIREKTORAT JENDERAL BINA UPAYA KESEHATAN KEMENTERIAN KESEHATAN RI TAHUN 2012 20 12

KATA PENGANTAR

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erkat rahmat Allah SWT buku Pedoman RS PONEK 24 jam dapat diselesaikan. Pedoman ini diharapkan menjadi acuan bagi bagi RS Kabupaten/Kota maupun rumah sakit lainnya dalam menyelenggarakan pelayanan PONEK 24

jam sesuai dengan standar, karena memuat beberapa hal yang seharusnya ada dan dilaksanakan sehingga penanganan kasus emergensi maternal dan neonatal dapat terlaksana secara maksimal. Penurunan kematian dan peningkatan kualitas hidup ibu dan anak tidak terlepas dari penanganan kasus emergensi di fasilitas pelayanan kesehatan dasar dan rujukan. Sehingga Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) di Puskesmas dan Pelayanan Obstetri Neonatal Emergensi Komprehensif (PONEK) di Rumah Sakit sebagai suatu kesatuan sistem rujukan mempunyai peran yang sangat penting. Upaya peningkatan PONEK di Rumah Sakit dilakukan melalui berbagai upaya antara lain peningkatan pengetahuan dan keterampilan tim dalam menyelenggarakan PONEK, pemenuhan tenaga kesehatan, pemenuhan ketersediaan peralatan, obat dan bahan habis pakai, terlaksananya manajemen pelayanan keperawatan dan pelayanan darah yang aman, serta bimbingan teknis yang dilaksanakan oleh multidisipliner dalam penyelenggaraan RS PONEK. Buku ini tersusun atas kerjasama antara lintas program terkait di Kementerian Kesehatan dengan POGI, IDAI, IBI, PPNI dan JNPK-KR. Kami mengucapkan terima kasih pada semua pihak yang telah berkontribusi hingga selesainya buku ini. Kami menyadari pedoman ini belum sepenuhnya sempurna sehingga masukan yang bersifat membangun sangat kami harapkan.

Jakarta, November 2012 Direktur Bina Upaya Kesehatan Rujukan

dr.Chairul Radjab Nasution, SpPD K-GEH, FINASIM, FACP, M.Kes


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S A M B U T A N DIREKTUR JENDERAL BINA UPAYA KESEHATAN KEMENTERIAN KESEHATAN REPUBLIK INDONESIA

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elayanan kasus emergensi maternal dan neonatal dasar (PONED) di Puskesmas dan Pelayanan kasus emergensi maternal dan neonatal komprehensif (PONEK) di rumah sakit harus dilaksanakan secara selaras dan melibatkan semua

pihak terkait agar hasilnya maksimal. Penanganan yang cepat dan tepat tidak saja menyelematkan nyawa ibu dan neonatal namun juga menghindari terjadinya squele yang akan memengaruhi kehidupan mereka nantinya. Rumah sakit PONEK juga mampu memberikan intervensi promotif dan preventif. Berikut adalah kebijakan PONEK di rumah sakit yakni; 1) Regionalisasi Pelayanan Obstetri dan Neonatal adalah sistem pembagian wilayah kerja RS dengan cakupan area pelayanan yang dapat dijangkau oleh masyarakat dalam waktu kurang dari 1 jam, agar dapat memberikan tindakan darurat emergensi standar, 2) RS siap PONEK 24 jam di masing –masing kabupaten / kota minimal 1 RS, 3) RS kabupaten / kota harus berkoordinasi dengan Dinas Kesehatan kabupaten / kota setempat untuk membina PUSKESMAS PONED di wilayah kerjanya. Agar layanan PONEK sesuai Standar Penyelenggaraan RS PONEK maka strategi yang ditempuh adalah optimalisasi di bidang manajemen maupun bidang pelayanan, sterategi tersebut berkaitan dengan beberapa hal yaitu 1) Pembentukan tim PONEK di RS dan Kabupaten/Kota melalui SK Direktur RS dan SK Kadinkes Kabupaten/Kota dan Bupati / Walikota membuat MOU dengan Universitas untuk pemenuhan tenaga Sp.A dan Sp.OG 2) pemenuhan kecukupan sarana, prasarana, alat, obat-obatan, dan sumber daya manusia 3) Ketersediaan data yang lengkap, akurat dan tepat waktu. Semoga buku pedoman ini menjadi acuan semua pihak untuk pelaksanaan Program PONEK sesuai dengan standar.

Direktur Jenderal Bina Upaya Kesehatan

dr. Supriyantoro Sp P. MARS


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TIM PENYUSUN PEDOMAN PENYELENGGARAAN PONEK 24 JAM di RUMAH SAKIT

dr. Chairul Radjab Nasution, Sp.PD, KGEH, FINASIM, FACP, M.Kes (Kementerian Kesehatan RI - Bina Upaya Kesehatan Rujukan) Dr. Diar Wahyu Indriarti, MARS (Kementerian Kesehatan RI - Bina Upaya Kesehatan Rujukan) Prof. Dr. Dr. Biran Affandi, SpOG(K) (JNPK-KR) Prof. DR. dr. Rulina Suradi, Sp.A (K), IBCLC (IDAI) DR. dr. Budi Iman Santoso, Sp.OG(K) (JNPK-KR) (JNPK-KR) dr. George Adriaansz, Sp.OG (K) (JNPK-KR) DR. dr. Dwiana Ocviyanti, Sp.OG (K) (PB - POGI) dr. Arietta Pusponegoro, Sp.OG (PB - POGI/HOGSI) DR. dr. Rinawati Rohsiswatmo, Sp.A (K) (IDAI) dr. Eriyati Indrasanto, Sp.A (K) (IDAI) dr. Nani Dharmasetiawati, Sp.A (K) (IDAI) dr. R. Soerjo Hadijono, Sp.OG (K) (JNPK-KR) dr. Jhonwan Usman, Sp.A (K) (JNPK-KR) dr. Achmad Zani Agusfar, Sp.OG (JNPK-KR) dr. Vivi Medina Ginting (UKK Neonatologi RSCM)


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KONTRIBUTOR PEDOMAN PENYELENGGARAAN PONEK 24 JAM di RUMAH SAKIT

dr. Mulyohadi Sungkono, SpOG (K) (HOGSI) dr. Utami Roesli, Sp.A (K) (IDAI) dr. J. M. Seno Adjie, SpOG (K) (PB - POGI) Laurensia Lawintoro, M.Sc (PP - IBI) Atik Hodikon, M. Kep, Sp. Mat (PPNI) dr. Rusmiyati, MQIH (Kementerian Kesehatan RI - Bina Kesehatan Ibu) dr. Erna Mulati, M.Sc.CMFM (Kementerian Kesehatan RI - Bina Kesehatan Anak) dr. Ady Iswadi Thomas (Kementerian Kesehatan RI - Bina Upaya Kesehatan Rujukan) dr. Asral Hasan, MPH (Kementerian Kesehatan RI - Bina Upaya Kesehatan Rujukan) dr. Andriani Vita Hutapea (Kementerian Kesehatan RI - Bina Upaya Kesehatan Rujukan) dr. Vika Wahyudi Anggiri (Kementerian Kesehatan RI - Bina Upaya Kesehatan Rujukan) dr. Eva Tambunan (Kementerian Kesehatan RI - Bina Upaya Kesehatan Rujukan) Deni Sri Wahyuni, SKM (HOGSI)

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109

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