STANDAR OPERASIONAL PROSEDUR
PERAWATAN PEMASANGAN TEMPORARY PACE MAKER (TPM)
RSUP Dr. HASAN SADIKIN BANDUNG
NOMOR HS.15.B09.C.2.0001 TANGGAL TERBIT 0!"0#"200!
REVISI 01
HALAMAN 12 DITETAPKAN OLEH $ DIREKTUR RSUP Dr. HASAN SADIKIN BANDUNG
PROSEDUR TETAP
Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 1. PENGER PENGERTI TIAN AN
2. TU=UAN #. KEBI KEBI=A =AKA KAN N . PROSEDUR
P3r*+* P3r*+*4* 4* 36** 36**7* 7* T36%r 36%r*r *r P*/3 P*/3 M*83 M*83rr (TP (TPM) M) *-**: *-**: 3r*+* 3r*+*4* 4* *7 -'*8;8* 343*: *'3 -'*8;8* 36**7* **4 TPM *-* <3* &36%r*' 1. M363r4*:*8* 83*43* %'' **4 2. M3/37*: 43r>*-'* '&38' S34' S34'* * 3r*+ 3r*+*4 *4 -':* -':*r* r*8 8* * -** -**44 636 6363? 3?3r' 3r'8* 8* *; *;:* :* 83 833r 3r*+ *+*4 *4* * 3; 3;*' *' -37* 4*-*r P3r'** **4 $ " '4r;634 ?*;4* " 8** 43r' " 343r " 7;4'7 343r " ?34*-'3 " *r;7 4*7* " ?378%8 M3>3*8* r%3-;r 83*-* *'3 M3;4; *6'r* M3/;/' 4*7* M36*8*' *r;7 4*7* A4;r %'' *'3 43r34*7, 3r*+*4 ?3r-'r' -' 3?3*: 8** *4*; *7 -38*4 -37* 436*4 43r**7* **4 TPM M36?;8* ?*;4* *6* *7 ;-*: 43r**7 *-* *'3 S343*: ?*;4* 43r?;8*, ?3r':8* *r3* 3;;8* -37* 8** ?34*-'3 T;4; *r3* 3;;8* -37* 8** 43r'
C38 83*43* *6?;7* *4*r* 83?3 3384r%-* -37* 8*?3 733r*4%r TPM L*8;8* &'8*' *7 8;*4 -37* 343r *-* :3*4 *7 43r**7 P3r4*:*8* %'' 8*?3 3384r%-* -* :'-*r' 636?3'4 8*8' *'3 C38 6%-3 TPM *7 43r**7 *-* 733r*4%r (HR, %;4;4, 3'<'4*) =3*8* *-* *'3 ?*:+* r%3-;r ;-*: 3**' -* 3r4*:*8* %'' 8*8' *7 43r**7 **4 TPM 434* ;r; B3r38* **4"**4 B;8* *r;7 4*7* M3/;/' 4*7* R;* ;*7 CICU ICU R;*7 HCCU R;*7 A7'%7r*&'
5. UNIT UNIT TERKAI RKAIT T
C38 83*43* *6?;7* *4*r* 83?3 3384r%-* -37* 8*?3 733r*4%r TPM L*8;8* &'8*' *7 8;*4 -37* 343r *-* :3*4 *7 43r**7 P3r4*:*8* %'' 8*?3 3384r%-* -* :'-*r' 636?3'4 8*8' *'3 C38 6%-3 TPM *7 43r**7 *-* 733r*4%r (HR, %;4;4, 3'<'4*) =3*8* *-* *'3 ?*:+* r%3-;r ;-*: 3**' -* 3r4*:*8* %'' 8*8' *7 43r**7 **4 TPM 434* ;r; B3r38* **4"**4 B;8* *r;7 4*7* M3/;/' 4*7* R;* ;*7 CICU ICU R;*7 HCCU R;*7 A7'%7r*&'
5. UNIT UNIT TERKAI RKAIT T
RSUP Dr. HASAN SADIKIN BANDUNG
TINDAKAN PENCABUTAN SHEAT KATETER KATETER NOMOR REVISI HALAMAN HS.15.B09.C.2.0002 01 12 TANGGAL DITETAPKAN OLEH $ TERBIT DIREKTUR 0!"0#"200! RSUP Dr. HASAN SADIKIN BANDUNG
PROSEDUR TETAP Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 1. PENGER PENGERTI TIAN AN
2. TU=UAN #. KEBI=AKAN . PROSEDUR
P3/*? P3/*?;4* ;4* :3*4 :3*4 8*4343r 8*4343r *-**: *-**: 4'-*8 4'-*8* * *7 *7 -'*8; -'*8;8* 8* 343*: 343*: *'3 *'3 -'*8;8* 8*4343r'*' >*4;7 *7 6*': 43r**7 :3*4 *-* *r43r' &36%r*' M3/37*: 43r>*-'* 3 3r-*r*:* -* -* ' '&38' S34'* 3r*+*4 -**4 63*8;8* 4'-*8* 3r*+*4* 3;*' -37* 4*-*r P3r'** **4 $ " '4r;634 ?*;4* " 8** 43r' " ?34*-'3 " *r;7 4*7* " ?378%8 M3>3*8* r%3-;r 83*-* *'3 M3;4; *6'r* M3/;/' 4*7* M36*8*' *r;7 4*7* A4;r %'' *'3 43r34*7, 3r*+*4 ?3r-'r' -' 3?3*: 8** *4*; *7 -38*4 -37* 436*4 43r**7* **4 M36?;8* ?*;4* *6* *7 ;-*: 43r**7 *-* *'3 S343*: ?*;4* 43r?;8*, *8;8* 3*r'8* :3*4 3/*r* 3*" 3* -* 438* *r43r' &36%r*' *-* ?*7'* r%8'6* 1 /6 -*r' 436*4 '3r', *;>;r8* *'3 ;4;8 63*r'8 *&* -**6 L*8;8* 338** *-* *r43r' &36%r*' 3*6* 15"#0 63'4 -37* 4*7* *7 -%6'* O?3r<*' *-** 3r-*r*:* T;4; *r3* 3;;8* -37* 8** ?34*-'3 43r'
L*8;8* &'8*' *7 8;*4 -37* 343r *-* *r43r' &36%r*' P**7 ?*4* *'r 3*6* >*6 =3*8* *-* *'3 ?*:+* r%3-;r ;-*: 3**' -* 3r4*:*8* %'' 8*8' *7 43r**7 ?*4* *'r 434* ;r; B3r38* **4"**4
TINDAKAN PEREKAMAN PENGHISAPAN EKG LENDIR (SUCTION) NOMOR REVISI NOMOR REVISI HALAMAN HALAMAN HS.15.B09.C.2. HS.15.B09.C.2.000 01 01 12 12 000# TANGGAL DITETAPKAN OLEH DITETAPKAN $ OLEH $ RSUP Dr. HASAN RSUP Dr.TANGGAL HASAN TERBIT DIREKTUR DIREKTUR SADIKIN SADIKIN TERBIT 0!"0#"200! RSUP Dr. HASAN RSUP SADIKIN Dr. HASAN BANDUNG SADIKIN BANDUNG B;8* *r;7 4*7* BANDUNG BANDUNG 0!"0#"200! M3/;/' 4*7* 5. UNIT TERKAIT R;*7 A7'%7r*&' PROSEDUR R;*7 HCCU PROSEDUR TETAP TETAP
Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ Pr%&. Dr. C' R.S Pr*+'r*, NIP -r.SA(K).MS/ $ 10 0 929 NIP $ 10 0 929
1.PENGERTIAN
P3r38*6* EKG *-**: 4'-*8* *7 -'*8;8* ;4;8 63734*:;' 7*6?*r* '4r'8 >*4;7 63*;' 3384r%-* *7 -'43638* *-* -*-* 2. TU=UAN M3734*:;' 7*6?*r* '4r'8 >*4;7 1.PENGERTIAN P37'** 3-3r (;/4'%) *-**: 4'-*8* 833r*+*4* *7 -'*8;8* #. KEBI=AKAN *-* 8'3 *7 4'-*8 . PROSEDUR P3r'** **4 $ " 63' EKG 6*6; 6373;*r8* 3-3r *4*; 38r34 3/*r* 6*-'r' -37* " 8** 6377;*8* 37:'* 2. TU=UAN 1. 636?3r':8* " >3 >** *&* 2. 6363;:' 83?;4;:* %8'73*' " *8%:% #. KEBI=AKAN " 4';3 . PROSEDUR P3r'** $ " **4 37:'* 3-3r -37* ?%4% ?3r'' *r;4* " *r;7 **4 4*7* " ?378%8 -3'&384* M3>3*8* r%3-;r 83*-* "*'3 8*4343r 37:'* 3-3r 43r' (/*;* ;/4'%) " '34 43r' M3;4; *6'r* " 8%6 ?3r'' *r;4* *;*-3*/ 0,9 -* M3/;/' 4*7* *r;4* -3'&384* M36*8*' *r;7 4*7* " *r;7?3r-'r' 4*7*-'43r' A4;r %'' *'3 43r34*7, 3r*+*4 3?3*: 8** " 8** 43r' B3r':8* *r3* *7 *8* -'43638* 3384r%-* -37* 8** " 83r4* 4';3 *8%:% " 434%8% S'*8* 63' EKG -**6 8%-'' %, M3>3*8* r%3-;r 83*-* *'3 T34;8* %8*' 336*4* 3384r%-* M3;4; *6'r* " 3384r%-* 3@4r36'4* M3/;/' 4*7* 4*7* 8** $ +*r* 63r*: A4;r %'' *'3 43r34*7 -37* 83** 6'r'7 83 *r*: 4*7* 8''r' $ +*r* 8;'7 3r*+*4 8*8' 8** $ +*r* :'4*6 G;*8* *r;7 4*7* 8*8' 8'r' $ +*r* :'>*;43r' H;?;78* 8*4343r 37:'* -37* *7 **4 37:'* M3' 37:'* -':'-;8* " 3384r%-* r38%r-'* 37:'** 3-3r -37* 636*;88* 8*4343r V1 $ L*8;8* ICS 36*4 43r* 8** V2 $ 37:'* ICS 36*48343r* -**68'r' 8%6 */ 0,9 ;4;8 6363r4*:*8* V# $ 8343r'* *4*r* V2 -* V V $ M*;88* ICS '6* 6'-/*<'8;* 834343r 37:'* -**6 83*-** 4'-*8 637'* V5 $ G;*8* 3>*>*r V *43r'%r *@'* **4 37:'* -37* 438** 110 150 66H7 ;4;8 V $ -3+**, 3>*>*r V5 95 6'110*@'* 66H7 ;4;8 **8"**8, -* 50 95 66H7 V! $ ;4;8 3>*>*r V %43r'%r *@'* ?*' V $ T*r'8 3>*>*r V! 6'-/*;* -37* 636;4*r 8*4343r 37:'* 4'-*8 3?': -*r' 15 -34'8 V9 $ B'* 3>*>*r V # -37* >*r' -*r'*;*-3 /%;6**4*; <3r43?r* 8*4343r N*C 83 0,98'r' T34;8* 8*'?r*', 3'4'<'4*, -* 83/3*4* 63' EKG L*8;8* 37'** *4*r* 37'** 3r4*6* -37* L*8;8* 3r38*6* -37* 6338* ?3r'8;4*, 6'4* *'34%6?% ;4;8 R; ?3r*&* -**6 -* ?*4;8, **?'* T38* 4%6?% *'3 4% ?'*637**6' 3r38*6*-'4r3 ;-*: 33*' 3r*&**, ?'*r8* '4'r*:*4 20 #0 O?3r<*' :*'-34'8 r38*6* 3?3;6 63*8;8* 37'** ?3r'8;4*
RSUP Dr. HASAN SADIKIN BANDUNG
TINDAKAN PEMBERIAN CAIRAN MELALUI INFUS NOMOR REVISI HALAMAN HS.15.B09.C. 01 12 2.0005 TANGGAL DITETAPKAN OLEH $ TERBIT DIREKTUR 0!"0#"200! RSUP Dr. HASAN SADIKIN BANDUNG
PROSEDUR TETAP
Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929
1.PENGERTIAN
2. TU=UAN #. KEBI=AKAN . PROSEDUR
P36?3r'* /*'r* '&;3 *-**: 4'-*8* 833r*+*4* *7 -'*8;8* -37* 636*;88* '4r*<3* 8*4343r 83 -**6 <3* (<3* 3&*'8*, ?*''/*, 63-'** 8;?'4' -* <3* *&3* -' 4;78*') 1. I&; 37%?*4* -* 36?3r'* ;4r'' 2. M363;:' 83?;4;:* /*'r* -* 3384r%'4 P3r'** **4 $ " 4*-*r '&;3 " 8*4343r '4r*<3* -37* ;8;r* *7 3;*' " 34 '&; " /*'r* *7 3;*' r%7r*6 63-' " *r;7 4*7* 43r' " 8** 43r' " 37** " 4%r'834 " 8** */%:% " 343r " 7;4'7 " ?34*-'3 M3>3*8* r%3-;r 83*-* *'3 M3;4; *6'r* M3/;/' 4*7* A4;r %'' *'3 H;?;78* /*'r* -* '&;3 34 -37* 63;;88* 83 ?*7'* 8*r34 *4*; *83 *7 83 ?%4% I' /*'r* 83 -**6 34 '&;3 -37* 6338*8* r;*7 4343* :'77*TNDAKAN 43r'' 3?*7'* -* ?;8* 836PERKEMIHAN *7 :'77* /*'r* KATETERISASI 6363;:' *7 -* ;-*r* *7 83;*r NOMOR REVISI HALAMAN L34*88* 37** -'?*+*: 436*4 (<3*) *7 *8* -'*8;8* HS.15.B09.2.000# 01 12 37'&;* L*8;8* 36?3-;7* -37* 4%r'834 10 12 /6 -' *4* 436*4 3;;8* -* *>;r8* *'3 ;4;8 6377377*6 -37* 73r*8* 'r8;3r (?'* *-*r) G;*8* *r;7 4*7* 43r'DITETAPKAN OLEH $ TANGGAL D3'&38' -*3r*: *7 *8* -' 4;;8 -37* 8** *8%:% L*8;8* 3;;8* *-* <3* -37* 6334*88* '?; >*r' -' ?*7'* ?*+*: <3* -* %'' >*r;6 637*r*: 83*4* P3r:*4'8* 83;*r* -*r*: 63*;' >*r;6. A*?'* **4 3;;8* 43r>*-' 373;*r* -*r*: 63*;' >*r;6 6*8* 4*r'8 83;*r ?*7'* -**6 >*r;6 *6?' 633r;8* 4;;8* 83 -**6
RSUP Dr. HASAN SADIKIN BANDUNG PROSEDUR
TETAP
TERBIT 0!"0#"200!
DIREKTUR RSUP Dr. HASAN SADIKIN BANDUNG
Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929
1. PENGERTIAN 2. TU=UAN
#. KEBI=AKAN . PROSEDUR
K*4343r'*' 3r836':* *-**: 4'-*8* 636*;88* *7 8*4343r 8*r34 *4*; *4'/ 63*;' ;r34r* -* 6*;8 83 -**6 8*-;7 836': 1. M37:'*78* 834'-*8*6** 8*r3* -'43' 8*-;7 836':, 637*4*' r343' 3r836':*, %?4r;8' *'r* ;r'3. 2. M3-**48* ;r'3 43r' ;4;8 3/'63 #. P3*4**8*** *'3 *7 -'r*+*4 8*r3* 4r*;6* 63-;* '*', 7*77;* 3;r%6;8;3r, -* */* %3r*'
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5. UNIT TERKAIT
LOGO RS
PELAYANAN KEPERAWATAN NOMOR REVISI HALAMAN HS.15.B09.2.000# 01 12 TANGGAL DITETAPKAN OLEH $ TERBIT DIREKTUR 0!"0#"200! RSUP Dr. HASAN SADIKIN BANDUNG
STANDAR OPERASIONAL PROSEDUR (SOP) PEMASANGAN NASOGANSTIK TUBE (NGT)
1. PENGERTIAN
2. TU=UAN #. KEBI=AKAN
. PROSEDUR
Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929
P36**7* *%7*4r'8 4;?3 (NGT) *-**: 4'-*8* *7 -'*8;8* -37* 636*;88* '* *6?;7NGT *-* *'3 *7 4'-*8 6*6; 6363;:' 83?;4;:* ;4r'' 63*;' %r* M363;:' 83?;4;:* ;r4'' P3r*+*4 6*6; 63*8**8* 4'-*8* 833r*+*4* 3;*' -37* 4*-*r
P3r'** **4 $ " '* *6?;7NGT " 37** " 343r " 7;4'7 343r " ;'4 50 // " *r;7 4*7* " ?378%8 " 6*8** -**6 ?34;8 /*'r " *'r 6*4*7 " %?*4"%?*4* 8**; *-* " 434%8% " 836 " >3' M3>3*8* r%3-;r 83*-* *'3 M3;4; *6'r* M3/;/' 4*7* M36*8*' *r;7 4*7* A4;r %'' *'3 36' &%+3r B3r':8* -*3r*: :'-;7 -* **78* 37** -' -*3r*: -*-* L34*88* ?378%8 -' -38*4 *'3 T34;8* 34*8 '* *6?;7 NGT -37* /*r* 637;8;r *>*7 '* -*r' 3'7*4r';6 *6*' :'-;7 836;-'* -'?378%88* 83 43'7* -* ?3r' 4*-* ?*4** B3r'8* >3' *4*; 3'/* *-* ;>;7 '* -* 836 *78*
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5. UNIT TERKAIT
LOGO RS
PELAYANAN MEDIS NOMOR REVISI HALAMAN HS.15.B09.2.000# 01 12 TANGGAL DITETAPKAN OLEH $ TERBIT DIREKTUR
0!"0#"200!
RSUP Dr. HASAN SADIKIN BANDUNG
STANDAR OPERASIONAL PROSEDUR (SOP) PEMBERIAN ENTERAL NUTRISI
1. PENGERTIAN
Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929
2. TU=UAN
P36?3r'* 343r* ;4r'' *-**: 4'-*8* 36?3r'* 6*8** 63*;' '* *6?;7 NGT *-* *'3 *7 4'-*8 6*6; 6363;:' 83?;4;:* ;4r'' 63*;' %r* M363;:' 83?;4;:* ;r4''
#. KEBI=AKAN
P3r*+*4 6*6; 63*8**8* 4'-*8* 3r*+*4* 3;*' 4*-*r
. PROSEDUR
P3r'** **4 $ " " " " " " " " "
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5. UNIT TERKAIT
LOGO RS NOMOR HS.15.B09.2.000#
PELAYANAN MEDIS REVISI 01
HALAMAN 12
TANGGAL TERBIT 0!"0#"200!
STANDAR OPERASIONAL PROSEDUR (SOP) PEMBERIAN NUTRISI PARENTERAL 1. PENGERTIAN
2. TU=UAN #. KEBI=AKAN
. PROSEDUR
DITETAPKAN OLEH $ DIREKTUR RSUP Dr. HASAN SADIKIN BANDUNG
Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929
P36**7* *%7*4r'8 4;?3 (NGT) *-**: 4'-*8* *7 -'*8;8* -37* 636*;88* '* *6?;7NGT *-* *'3 *7 4'-*8 6*6; 6363;:' 83?;4;:* ;4r'' 63*;' %r* M363;:' 83?;4;:* ;r4'' P3r*+*4 6*6; 63*8**8* 4'-*8* 833r*+*4* 3;*' -37* 4*-*r
P3r'** **4 $ " '* *6?;7NGT " 37** " 343r " 7;4'7 343r " ;'4 50 // " *r;7 4*7* " ?378%8 " 6*8** -**6 ?34;8 /*'r " *'r 6*4*7 " %?*4"%?*4* 8**; *-* " 434%8% " 836 " >3' M3>3*8* r%3-;r 83*-* *'3 M3;4; *6'r* M3/;/' 4*7* M36*8*' *r;7 4*7* A4;r %'' *'3 36' &%+3r B3r':8* -*3r*: :'-;7 -* **78* 37** -' -*3r*: -*-* L34*88* ?378%8 -' -38*4 *'3 T34;8* 34*8 '* *6?;7 NGT -37* /*r* 637;8;r *>*7 '* -*r' 3'7*4r';6 *6*' :'-;7 836;-'* -'?378%88* 83 43'7* -* ?3r' 4*-* ?*4** B3r'8* >3' *4*; 3'/* *-* ;>;7 '* -* 836 *78* '*
43r3?;4 *; 6*;88* 63*;' :'-;7 3/*r* 3r*:*"*:* *6?' *'3 -'*>;r8* ;4;8 633* T34;8* **8*: '* 43r3?;4 ?3*r"?3*r ;-*: 6*;8 83 *6?;7, -37* /*r* $ 6*;88* ;>;7 3*7 *7 -'836 83-**6 73* *7 ?3r'' *'r (836 -'?;8*) -* 3r:*4'8* ?'* *-* 7336?;7, '* 6*;8 83 *r;"*r; -* >'8* 4'-*8 *-* 7336?;7 '* 43r3?;4 6*;8 83 *6?;7 *4*; 6*;88* ;-*r* -37* ;'4 83 -**6 *6?;7 63*;' '* 43r3?;4 -* -37*r8* -37* 434%8%, **?'* -'*6?;7 43r-37*r ?;' ?3r*r4' '* 43r3?;4 ;-*: 6*;8 343*: '4; 83;*r8* ;-*r* *7 *-* -'-**6 3?**8 >;6*: *7 -'6*;88*. S343*: *8' '* -' 836 *4*; -'4;4;'*4 836?*' L*8;8* &'8*' *7 8;*4 -37* 343r *-* :'-;7 =3*8* *-* *'3 ?*:+* r%3-;r ;-*: 33*' -* 3r4*:*8* 83*43* '* B3r38* **4"**4 B;8* *r;7 4*7* M3/;/' 4*7* R;*7 I43'& R;*7 '43r63-'*43 R;*7 IPD R;*7 IGD
5. UNIT TERKAIT
PELAYANAN KEPERAWATAN
RSUP Dr. HASAN SADIKIN BANDUNG
NOMOR HS.15.B09.2.000# TANGGAL TERBIT 0!"0#"200!
STANDAR OPERASIONAL PROSEDUR (SOP) PENERIMAAN PASIEN BARU 1. PENGERTIAN
2. TU=UAN #. KEBI=AKAN . PROSEDUR
REVISI 01
HALAMAN 12 DITETAPKAN OLEH $ DIREKTUR RSUP Dr. HASAN SADIKIN BANDUNG
Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 P33r'6** *'3 ?*r; *-**: 33r'6** 33%r*7 *7 3r4*6*8*'* -'*4*8* %3: 4'6 63-' 6363r;8* 3r*+*4* -' r;*7 /'/; RSUP Dr. H** S*-'8' S3?*7*' */;* -**6 63*8**8* *78*:"*78*: -**6 636?3r'8* *;:* 833r*+*4* P3r*+*4 -**4 63*8**8* 4'-*8* 833r*+*4* 3;*' -37* 4*-*r P3r'** **4 $ " 63'*8* ?3" ?3-'-3 6%'4%r " 3384r%-* " 63' EKG " '&;3r'7 ;6 " *r;7 4*7* P3r*+*4 636?3r'8* ;/** **6 *-* *'3 -* 83;*r7** P3r*+*4 633r'6* '&%r6*' 434*7 '-34'4*, 4*4; -* 83*-** *'3 -*r' 3r*+*4 *7 637*4*r M36*8*' *r;7 4*7* P3r*+*4 636'-*:8* *'3 83 436*4 4'-;r r;*7* -* 636?*+* 83 8*6*r *7 43*: -'3-'*8* A4;r %'' *'3 43r34*7, 36'&%+3r *4*; &%+3r 43r7*4;7 8%-'' *'3 3r*+*4 ?3r-'r' -' 3?3*: 8** M3;4; *6'r* P3r*+*4 6378*>' 434*7 8%-'' *'3 -* 636?3r'8* '43r<3' 3;*' 83?;4;:* P3r*+*4 636?3r'8* %r'34*' 83*-* *'3 -* 83;*r7** 434*7 &*''4* *7 -''*8* -* 3r*4;r* r;*7 CICU RSUP Dr. H** S*-'8' P3r*+*4 63*8;8* r38*6* EKG 12 3*- *4*; 1 3*- 3;*' 83?;4;:* M36**7 ?3-'-3 6%'4%r'7, 43'6343r, '&;3 *4*; r'7 ;6 3;*' 83?;4;:* P3r*+*4 63378*' 378*>'* 833r*+*4* 3r4*
5. UNIT TERKAIT
63-%8;634*'8* *-* &%r6*4 *7 -'3-'*8* -**6 ?;8; r38*6 63-'8 -* 36?*r %?3r<*' r;*7 CICU P3r*+*4 636?3r'4*:; 434*7 *-** *'3 ?*r; 83*-* -%843r *7 43r8*'4, ?*7'* G'' -* D3% F*r6*' P34*+*4 636?;*4 r3/** 833r*+*4* 3;*' :*' 378*>'* P3r*+*4 63*8**8* 4'-*8* 833r*+*4* -* 63*8;8* &;7' 8%*?%r*4'& -37* 4'6 63-' -* % 63-' P3r*+*4 63/*4*4 -* 6373<*;*' 36;* 4'-*8* 833r*+*4* *7 43*: -'*8**8* P3r*+*4 637'&%r6*'8* 83*-* 36;* 3r*+*4 434*7 *-** *'3 ?*r; P3r*+*4 63/;/' 4*7*
R;*7 HCCU
PELAYANAN KEPERAWATAN
RSUP Dr. HASAN SADIKIN BANDUNG
STANDAR OPERASIONAL PROSEDUR (SOP) ASUHAN KEPERAWATAN PASIEN DENGAN AKUT MIOKARD INFARK 1. PENGERTIAN
2. TU=UAN #. KEBI=AKAN . PROSEDUR
NOMOR HS.15.B09.2.000# TANGGAL TERBIT 0!"0#"200!
NOMOR HS.15.B09.2.000#
STANDAR OPERASIONAL PROSEDUR (SOP) ASUHAN KEPERAWATAN PASIEN DENGAN AKUT MIOKARD INFARK
A8;4 6'%8*r- '&*r8 *-**: 83r;*8* %4%4 >*4;7 (6'%8*r-) 3/*r* 4'?*" 4'?* *7 -'4*-*' -37* *-** *8'4 -*-* *7 8:*. D* '' 63r;*8* 83*>;4* -*r' *7'* 3/4%r' *7 4'-*8 43r*4*' S3?*7*' */;* -**6 636?3r'8* *;:* 833r*+*4* *-* *'3 -37* *8;4 6'%8*r- '&*r8 -' r;*7 CICU P3r*+*4 -**4 63*8**8* *;:* 833r*+*4* 3;*' -37* 4*-*r .1 P378*>'* .1.1 P363r'8** &''8 .1.1.1 K3*-** ;6;6 $*'3 6373;: 3r' -*-* *7 4'-*8 :'*7 -37* '4'r*:*4, *6* 3r' #0 63'4, 3r' :'*7 4'6?; -* -'3r4*' 83r'7*4 -'7' -* 6;* 6;4*:, 73'*:,-* 36* 4'-*8 ?3r-**. .1.1.2 363r'8** 4*-* <'4* $438** -*r*: ?'* %r6* *4*; 63;r;,-3;4 *-' ?'* %r6* *4*; 63'78*4 .1.1.# '436 3r*&** $*-* **4 3r*7* *8* 4*6*8 *&* 43r** ?3r*4 33r4' 43r438* ?3-* ?3r*4, r%/:' -'436;8* *-* '&*r8 *43r'%r .1.1. '436 8*r-'%<*8;3r $?;' >*4;7 ?'*** 43r-37*r r3-;, S ?'*** 43r-37*r -' -*3r*: *38 -* 43r* 8'r' .1.1.5 '436 3/3r** $ ;6;6* -'3r4*' 6;* -* 6;4*: .1.1. '436 '437;634 $-'*&:%r3' *4*; 83r'7*4 -'7' -**4 43r>*-' 8*r3* /;r*: >*4;7 *7 63;r; .1.1.! '436 3r836':* $3;r;* r%-;8' ;r'3 -**4 43r>*-' >'8* /;r*: >*4;7 63;r;, ;r3;6 8r3*4'' -**4 63'78*4 >'8* &;7' 7'>* 63;r; *8'?*4 /;r*: >*4;7 63;r; .1.1. *84'<'4* 3:*r'":*r' $ *-** 8336*:* -* 833*:*,
3r%* :7'33 43r7*77; .1.2 P363r'8** 3;>*7 $ " EKG $ B'* -'436;8* *4*; 4'-*8 *4%%7', 3763 ST ?'* 33<*' *4*; -3r3' *7 -'3r4*' T inverted . " F%4% 4:%r*@ $ P*-* '&*r8 *43r'%r ;6;6* -'3r4*' *-** 3-36* *r;, 36?3*r* >*4;7;6;6* -'436;8* *-* *'3 '&*r8 *7 -'3?*?8* %3: hipertensi heart diseases (HHD) " L*?%r*4%r';6$ 3'6 >*4;7 (CKMB) 63'78*4 3?': -*r' 2@ %r6*, Tr% T 63'78*4, LDH1LDH2 1. P363r'8** *' r%&' ''- ;6;6* 63'78*4, 3384r%'4 (N*, K, C*, M7) ;6;6* 43r7*77;, 7;* -*r*: ;6;6* -'436;8* 4'77' *-* *'3 '&*r8 *7 -'3r4*' DM .2 A*'* D*4*
Sumbatan arteri koroner
Suplay O2 miokard terhambat Iskemik
Infark
Kontraktilitas miokard ↓
Edema paru
Syok cardiogenic
Gangguan metabolik
Aritmia
.# D'*7%* P3r*+*4* .#.1 G*77;* r** *6* $ 3r'. ?.-. 3;r;** ;*' %8'73 83 M'%8*r- *8'?*4 %8;' *43r' 8%r%3r ( 8'r', LAD, LCJ *4*; *r43r' 8%r%3r 8** ) .#.2 P3;r;* /*r-'*/ %;4;4 (CO) ?.-. 3;r;* 8%4r*84''4*, 3'78*4* *&43r%%-, 3;r;* r3%%-, 3'78*4* *4*; 3;r;* &r38+3' >*4;7. .#.# G*77;* 3r&;' 6'%8*r- ?.- 3;r;* ;*' %8'73 *4*; 3'78*4* 83?;4;:* %8'73 6'%8*r.#. I4%3r*' *84'<'4* ?.- -'&;7' >*4;7"*r; .#.5 K;r*7 3734*:;* ?.- 3*8'4 *4*; -*6*8 6** -3* .#. A'34* 4r3 ?.- 4*8;4 43r:*-* 3*8'4, 836*4'* -* '78;7* 3r*+*4* 8r'4'
. R3/** K33r*+*4* ..1 K*>' -* 3<*;*' r** 3r' " B3r'8* %?*4"%?*4 *4' *7'* 3;*' 3** " E<*;*' 8** 3r' " P3r4*:*8* 4'r*: ?*r'7 (3*6* 2 >*6 ?3?* 3r') " P3r4*:*8* *4;r*' %8'73 95 " K%*?%r*' -'34 ;*8 (D= I"D= II) " R38*6 EKG 12 3*- 3r'* (2 >*6 *4*; 384r* EKG ?'* 3r') ..2 P3;r;* 8%4r*84''4* 6'%8*r" O?3r<*' 4'78*4 83*-*r*, TTV, *-** -'3*,7*%,3-36*, r%/:'. " K%*?%r*' %?*4"%?*4 <*%-'*4%r ACE ':'?'4%r, *4' *r'46'*, <*%r3%r -* '%4r%'8 " P3r4*:*8* -';r3' "1 //87BB>*6 " P3r4*:*8* 4r%83 <%;63 0"100 6, CO "L64, CI 2,5" L6462 " K%r38' 83*'* 3384r%'4 *7 3r'7 637*8'?*48* VES " K%*?%r*' -';r34'/, /*'r*, <*%-'*4%r, <*%r3%r -* '%4r%'8 " M''6*'*' 3r', *'-%' -* -'r'46'* P3;r;* r3%*" O?3r<*' 4'78*4 83*-*r*, TTV, *-** -'3*,7*%,3-36*, r%/:'. " P3r4*:*8* '< '3 *-38;*4 " P3r4*:*8* '*' CVP #" /6H 2O *4*; 2" 66H7, ;6%* 15"25"15 66H7 " R3:'-r*' ?'* '*' CVP 8;r*7 -*r' %r6* " O?3r<*' I"O 3r >*6 " A;8;4*' ?;' >*4;7 43r:*-* 4*-*"4*-* 43%' 6'4r* ' P3'78*4* *&43r%*" O?3r<*' 4'78*4 83*-*r*, TTV, *-** -'3*,7*%,3-36*, r%/:'. " K%*?%r*' %?*4"%?*4 <*%-'*4%r, ACE ':'?'4%r " P3r4*:*8* AGD %r6% PH " P3r4*:*8* *4;r*' %8'73 95 ?'* 4'-*8 43r-**4 PPOK " A;8;4*' ?;' >*4;7 43r:*-* 4*-*"4*-* 43%' *%r4* " P3r4*:*8* 438** MAP !0"100 66H7
P3;r;*3'78*4* &r38;3' >*4;7 *4*; *-** *r'46'* " O?3r<*' 4'78*4 83*-*r*, TTV, *-** -'3*,7*%,3-36*, r%/:'. " L*8;8* <*7* 6*3;<3r ?'* 43r-**4 83*'* 'r*6* SVT -* AF RVR " K%*?%r*' *4' *r'46'* " K*r-'%<3r' ?'* VT -37* *-' (), AF RVR
" D3&'?r'*' ?'* VF *4*; VT 4** *-' " O?3r<*' 'r*6* >*4;7 " K%r38' 836;78'* 7*77;* 3384r%'4 ..# O?3r<*' TTV (T3', *-' -* 'r*6* >*4;7) " P3r4*:*8* 4'r*: ?*r'7 3*6* 2 >*6 ?3?* 3r' " P3r4*:*8* *4;r*' %8'73 95 ;4;8 63'78*48* ;*' %8'73 6'%8*r" K%*?%r*' %?*4"%?*4* (ISDN, 6%r&', Tr%6?%'4'8, *'r', :3*r', ?34* ?%83r) " K%*?%r*' 8*4343r'*' >*4;7 " I&%r6*'8* 83*-* *'3 ;4;8 4'-*8 63*8;8* <**<* 6*3;<3r " O?3r<*' 4*-*"4*-* 3;r;* /;r*: >*4;7 ..." O?3r<*' TTV 3?3;6, -'**4, -* 343*: 63*8;8* *84'<'4* " B*4; ADL ;4;8 :*":* *7 4'-*8 6*6; -'*8;8* *'3 " M%4'<*' ROM 834'8* *'3 ?3;6 636;78'8* 6%?''*' " M%4'<*' ;4;8 6%?''*' (-;-;8 *4*; 6*8* 3-'r') 343*: 2 >*6 ?3?* 3r', ?3r-'r', >**, 4%'34 4r*''7 *-* :*r' 83"# ?'* TTV -* :36%-'*6'8 *-38;*4 " A>*r8* *'3 ;4;8 637:'4;7 *-' 3-'r' 834'8* ?3r*84'<'4* ..5." B'* :;?;7* 43r*3;4'8 " L'?*48* 83;*r7* -**6 3r*+*4* *4*; 3;;:* " M;*' 3-'-'8* r3:*?''4*' >*4;7, &*84%r r3'8%, *4%' 3-3r:**, %?*4"%?*4*, -'34 -* 6**>363 4r3 " E<*;*' 36*:*6* *'3, -%8;634*'8* 3;;:* -* r3% *-* 4*4; ..." M%-'&'8*' '78;7* *7 63-%r%7 -'8;' 43r?;8* " =3*8* '78;7*, r%3-;r -* 3r**4* -' ;'4 CICU " K*>' r%3 ?3r-;8* *7 %r6* " B3r' 3-*4'<3 3;*' '-'8*' " B'* 8%6;'8*' 43r?;8* " I-34'&'8*' 836;78'* ;6?3r";6?3r -' CICU ;4;8 63-;8;7 *'3 *4*; 83;*r7* .5. T'-*8* K33r*+*4* T'-*8* K33r*+*4* -'3;*'8* -37* R3/** K33r*+*4*. .. E<*;*' (Kr'43r'* H*') 5. UNIT TERKAIT P3;'
R;*7 HCCU Kr'* S;-**
ASUHAN KEPERAWATAN PADA PASIEN DENGAN SYOK KARDIOGENIK
RSUP Dr. HASAN SADIKIN BANDUNG
NOMOR HS.15.B09.C.2.000#
REVISI 01
HALAMAN 12 DITETAPKAN OLEH $ DIREKTUR RSUP Dr. HASAN SADIKIN BANDUNG
PROSEDUR TETAP
Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 1. PENGERTIAN
2. TU=UAN #. KEBI=AKAN . PROSEDUR
S%8 8*r-'%73'8 *-**: 83*-** %8 *7 -' 3?*?8* 8*r3* -** %6* >*4;7 *7 4'-*8 3&384'& ;4;8 6363r4*:*8* 3r&;' >*r'7* *7 *-38;*4 43r;4*6* %3: '&*r8 6'%/*r-,43%'' *%r4*,/%734' :3*r4 &*';r3 ?3r*4,*r'46'*,/*r-'*/ 4*6%*-3,36?%' *r; 6*'<3 S3?*7*' 3-%6* -**6 636?3r'8* *;:* 833r*+*4* *-* *'3 -37* %8 8*r-'%73'8 P3r*+*4 -**4 63*8**8* 4'-*8* 833r*+*4* 3;*' -37* 4*-*r .1 P378*>'* .1.1 A*63* K3;:* ;4*6* R'+**4 3*8'4 38*r*7 R'+**4 3*8'4 -*:;; $ A*8*: *'3 3r*: 63-3r'4* AMI, 7*77;* 8*4; *%r4*, CHF, 36?%' *r;, :'3r43', DM, 3r%8%8 .1.2 P363r'8** &''8 .1.2.1 83*-** ;6;6 $*'3 73'*:,?'7;7,6;78' 4'-*8 *-*r .1.2.2 363r'8** 4*-* <'4* $3;r;* 438** -*r*: '4%'8 0 66H7,3'78*4* -3;4 *-' 100@63'4 .1.2.# '436 3r*&** $3*8 *&*,&r38;3' *&* /3*4 -* -**6 (*'-%'), r%/:', +:33'7, -';3 .1.2. '436 8*r-'%<*8;3r $*-** '*%',/*'*r r3&' 3?': -*r' 4'7* -34'8,4*/:/*r-'*,/*r-'%637*', ?;' >*4;7 43r-37*r S# *4*; S, *4;r*' %8'73 63;r; .1.2.5 '436 3/3r** $ 6;/%* 6;;4 -*3r*: ?'?'r '*%' .1.2. '436 '437;634 $8;'4 ?3r+*r* 83?'r;* -' ;>;7 >*r' 384r'6'4* *4* -* ?*+*,-'7' -* 36?*?,%3-36* *-* 384r'6'4* ?*+*:, -'*%r3' .1.2.! '436 3r836':* $%'7;r',%84;r'*,;r'3 8;r*7 -*r' #0 6>*6 .1.2. *84'<'4* 3:*r'":*r' $*'3 ;'4 4'-;r,*-** 8336*:*
-* 833*:*,3r%* :7'33 43r7*77; .1.2 P363r'8** 3;>*7 $ " EKG $ 3r;?*:* EKG ST 33<*', ST -3r3', *4:%%7', *4*; ?3r;* *r'46'*. " F%4% 4:%r*@ $ 36?3*r* >*4;7, 3&;' 3r'/*r-, %-36* *r;, /%r 636?3*r 83 *43r* 8'r' -37* *3@ 43r4**6 *-* -'*&r*7:6*, '77*7 >*4;7 63-*4*r. " E/:%/*r-'%7r*&' $ *-** 36?3*r* r;*7 >*4;7,3;r;* 3>38' &r*8',83*'* 8*4;,83*'* 4r;84;r,3&&;3 3r'/*r" C*4:343r'*' >*4;7 $ *-** ;6?*4* /%r%3r " L*?%r*4%r';6 $ AGD,;r3;6,8r3*4'',3384r%'4,SGOT, SGPT, CKMB 6;78' 63'78*4 .2 A*'* D*4* NO 1
2
DATA
PENYEBAB
DS $ " P*'36373;: /3*4 3*:, 3*8 " 83*-*r* 63;r;, 3r;?*:* EKG, /'*%', 8;'4 -'7' -* 36?*?, -'*%r3', 7*% S# *4*; S
P3;r;* &;7' LV
DS $ M373;: 3*8 DO $ " -';3 " RR 63'78*4 " /'*%' " +:33'7 " r%/:'
C*r-'*/ %;4;4 63;r;
MASALA H P3;r;* /*r-'*/ %;4;4
K%4r*84''4* 6'%8*r- 63;r;
BP 63;r;
C*r-'*/ %;4;4 63;r;
P3r&;' >*r'7* 63;r;
P36?34;8* 4:r%6?;, 3-36* *r; A8;6;*' /*'r* -' *r;
D'&;' 7* 43r7*77;
G*77;* 3r4;8*r* 7*
#
DS $ " 3*8 DO $ " *'3 4*6*8 36*:, :'%43','*%', -'*%r3',
P*O2 63;r;
P*CO2
A.634*?%'/ P3;r;* CO
*. r3'r*4%r'8 I4%3r*' *84'<'4*
T'-*8 3'6?*7 ; -* -36*-
K34'-*86*6;* 4;?;: 633-'*8* 33r7' 63;r;
I4%3r* *84'<'4*
DS $ " DO $ T*6*8 73'*:, ?'7;7
K37*+*4* 3*8'4
G*77;* r** *6* /36*
S4r3 '8%%7'
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ASUHAN KEPERAWATAN PADA PASIEN DENGAN PERIKARDITIS
RSUP Dr. HASAN SADIKIN BANDUNG
NOMOR HS.15.B09.C.2.00 TANGGAL TERBIT 0!"0#"200!
REVISI 01
HALAMAN 12 DITETAPKAN OLEH $ DIREKTUR RSUP Dr. HASAN SADIKIN BANDUNG
PROSEDUR TETAP
Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 1. PENGERTIAN
2. TU=UAN #. KEBI=AKAN
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ASUHAN KEPERAWATAN PADA PASIEN ANGINA PECTORIS
RSUP Dr. HASAN SADIKIN BANDUNG
NOMOR HS.15.B09.C.2.00 TANGGAL TERBIT 0!"0#"200!
REVISI 01
HALAMAN 12 DITETAPKAN OLEH $ DIREKTUR RSUP Dr. HASAN SADIKIN BANDUNG
PROSEDUR TETAP
Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 1. PENGERTIAN 2. TU=UAN #. KEBI=AKAN . PROSEDUR
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RSUP Dr. HASAN SADIKIN BANDUNG
NOMOR HS.15.B09.2.000# TANGGAL TERBIT 0!"0#"200!
STANDAR OPERASIONAL PROSEDUR (SOP) DECOMPENSASI CORDIS 1. PENGERTIAN
2. TU=UAN #. KEBI=AKAN . PROSEDUR
REVISI 01
HALAMAN 12 DITETAPKAN OLEH $ DIREKTUR RSUP Dr. HASAN SADIKIN BANDUNG
Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 P33r'6** *'3 ?*r; *-**: 33r'6** 33%r*7 *7 3r4*6*8*'* -'*4*8* %3: 4'6 63-' 6363r;8* 3r*+*4* -' r;*7 /'/; RSUP Dr. H** S*-'8' S3?*7*' */;* -**6 63*8**8* *78*:"*78*: -**6 636?3r'8* *;:* 833r*+*4* P3r*+*4 -**4 63*8**8* 4'-*8* 833r*+*4* 3;*' -37* 4*-*r P3r'** **4 $ " 63'*8* ?3" ?3-'-3 6%'4%r " 3384r%-* " 63' EKG " '&;3r'7 ;6 " *r;7 4*7* P3r*+*4 636?3r'8* ;/** **6 *-* *'3 -* 83;*r7** P3r*+*4 633r'6* '&%r6*' 434*7 '-34'4*, 4*4; -* 83*-** *'3 -*r' 3r*+*4 *7 637*4*r M36*8*' *r;7 4*7* P3r*+*4 636'-*:8* *'3 83 436*4 4'-;r r;*7* -* 636?*+* 83 8*6*r *7 43*: -'3-'*8* A4;r %'' *'3 43r34*7, 36'&%+3r *4*; &%+3r 43r7*4;7 8%-'' *'3 3r*+*4 ?3r-'r' -' 3?3*: 8** M3;4; *6'r* P3r*+*4 6378*>' 434*7 8%-'' *'3 -* 636?3r'8* '43r<3' 3;*' 83?;4;:* P3r*+*4 636?3r'8* %r'34*' 83*-* *'3 -* 83;*r7** 434*7 &*''4* *7 -''*8* -* 3r*4;r* r;*7 CICU RSUP Dr. H** S*-'8' P3r*+*4 63*8;8* r38*6* EKG 12 3*- *4*; 1 3*- 3;*' 83?;4;:* M36**7 ?3-'-3 6%'4%r'7, 43'6343r, '&;3 *4*; r'7 ;6 3;*' 83?;4;:* P3r*+*4 63378*' 378*>'* 833r*+*4* 3r4*
5. UNIT TERKAIT
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R;*7 HCCU