SPO ICU 08

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SOP ICU 10
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  DAFTAR ISI A.KEBIJAKAN1.Pelayanan ICU di RSCM ………………………….…………………………. 12.Pasien Masuk dan Keluar ICU RSCM (UMUM) ........................................... 2.Kri!eria Masuk dan Keluar ICU e#asa ........................................................ $.Kri!eria Pasien Masuk dan Keluar ICU U% RSM ....................................... &'.Pelayanan i* Care Uni! (CU) RSCM ...................................................... 1+,.Kri!eria Masuk dan Keluar CU RSCM ........................................................ 11-.Peneriaan /asien ICU ……………………………………………………… 1$0.Meneria Ruukan Pasien dari RS uar.......................................................... 1'&.Meinda*kan Pasien keluar RSCM................................................................ 1,1+.3rans/4r!asi Pasien Kri!ikal............................................................................. 1-11.Perala!an dan 56a!746a!an un!uk 3rans/4!r!asi keluar RSCM ....................... 1012.In!u6asi End4!rak*eal (Peasanan Jalan Na/as) .......................................... 1&1.Indikasi In!u6asi End4!rak*eal (Indikasi Peasanan Pi/a Jalan Na/as) ...... 2+1$.K4/likasi 3indakan In!u6asi End4!rak*eal .................................................. 211'.Eks!u6asi ......................................................................................................... 221,.Peeli*araan Pi/a End4!rak*eal ..................................................................... 21-.Penisisan Reka Medik ................................................................................ 2$10.Indikasi Peasanan Ka!e!er 8ena Sen!ral .................................................... 2'1&.Kuali9ikasi 4k!er un!uk /easanan Ka!e!er 8ena Sen!ral ........................ 2,2+.K4/likasi Peasanan Ka!e!er 8ena Sen!ral .............................................. 2-21.Persia/an Perala!an un!uk /easanan Ka!e!er 8ena Sen!ral ........................ 2022.e/arin 4:k un!uk Ka!e!er 8ena Sen!ral ..................................................... 2&2.Pen:a6u!an Ka!e!er 8ena Sen!ral ................................................................... +2$.Alur Pasien Masuk ......................................................................................... 12'.Pe!uas yan arus Me6erikan In94r C4nsen! ........................................ 22,.Pe6eri Perse!uuan In94r C4nsen!............................................................. B.S3AN AR PR5SE UR 5PERASI5NA ME IK AN PERA;A3AN1.Peneriaan Pasien Baru .................................................................................. $2.Indikasi Pasien Keluar dari ICU ...................................................................... '.Meinda*kan Pasien dari ICU ke Uni! Ra#a! ain ....................................... ,$.3i6an 3eria Pasien denan Pera#a! dari Uni! ain ................................. -'.K4nsul!asi dan Kri!eria Pasien Masuk ICU ..................................................... 0,.Meneria Ruukan Pasien dari Rua* Saki! uar ......................................... &-.Meinda*kan Pasien ke Rua* Saki! ain ................................................... $+0.3rans/4r!asi Pasien Kri!ikal ............................................................................ $1&.Penunaan Ala! Medik ICU .......................................................................... $21+.Penisian Reka Medik ICU ......................................................................... $11.Penyi/anan Reka Medik ........................................................................... $$12.Peasanan Ka!e!er In!ra<ena Peri9er ............................................................ $'1.Peasanan Ka!e!er 8ena Sen!ral .................................................................. $,1$.Peakaian Jalur Ka!e!er 8ena Sen!ral ............................................................ $&1'.Penukuran 3ekanan 8ena Cen!ral (C8P) ..................................................... '+1,.Penukuran Cen!ral 8en4us Pressure (C8P) elalui M4ni!4r In<asi<e ......... '11-.e/arin 4:k un!uk Ka!e!er 8ena Sen!ral ....................................................... '10.Pen:a6u!an Ka!e!er 8ena Sen!ral ..................................................................... ''1&.Insersi Jalur Ar!erial (Ar!erial ine) ................................................................ ',2+.In!u6asi End4!rak*ea ...................................................................................... ,+21.Peeli*araan Pi/a End4!rak*ea .................................................................... ,222.Eks!u6asi ......................................................................................................... ,2.Penunaan 8en!ila!4r .................................................................................... ,$2$.Ban!uan idu/ asar ...................................................................................... ,,2'.Peasanan Pi/a 5r49arin ............................................................................ ,-2,.Pena!alaksanaan Bradikardi !an/a en!i Jan!un ........................................... ,02-.Pena!alaksanaan =i6rilasi 8en!rikel dan 3akikardi 8en!rikel !an/a enyu! .. ,&20. e9i6rilasi ........................................................................................................ -+2&.Pena!alaksanaan Pasien Pulseless Ele:!ri:al A:!i<i!y ..................................... -2  +.Pe6erian Adrenalin (E/ine9rin) un!uk Resusi!asi ......................................... -1.Pe6erian Sul9as A!r4/in un!uk Resusi!asi .................................................... -$2.Pe6erian Na!riu Bikar64na! un!uk Resusi!asi............................................. -'.Pe6erian 8era/ail ...................................................................................... -,$.Pe6erian 5ksien .......................................................................................... --'.Pe6erian 4/ain ........................................................................................ -0,.Pe6erian 46u!ain ..................................................................................... -&-.Pe6erian N4ree/ine/*rine …………………………………………………. 0+0.Pe6erian i4>in .......................................................................................... 01&.Pe6erian Calsiu C*l4ride dan Calsiu %luk4nas ...................................... 02$+.Pe6erian e/arin .......................................................................................... 0$1.Pe6erian Is4/renalin .................................................................................... 0$$2.Pr4!a/ Peeli*araan Ala! Ele:!r4 Cardi4 %ra/* (EC%) di ICU .................... 0'$.Peeli*araan Ala! K*usus (Su:!i4n Pu/) .................................................... 0,$$.Peeli*araan Bed Side M4ni!4rin ................................................................ 0-$'.Peeli*araan Ala! uidi9ier 5ksien ....................................................... 00$,.Peeli*araan 3e/a! 3idur ........................................................................... 0&$-.Peeli*araan In9us Pu/ ............................................................................... &+$0.Peeli*araan Syrine Pu/ ...........................................................................1++$&.Peeli*araan Br4n:*4s:4/y ..........................................................................1+1'+.Peeli*araan CRR3 .......................................................................................1+2'1.Peeli*araan AM5 M72' ;as*er ............................................................1+'2.Penan!ian Sirkui! 8en!ila!4r ........................................................................ 1+$'.Kali6rasi 8en!ila!4r ........................................................................................ 1+''$.Penunaan Bed Side M4ni!4rin ..................................................................1+,''.Menyia/kan 3e/a! 3idur K*usus ................................................................1+&',.Penunaan 3e/a! 3idur Pasien .................................................................. 11+'-.Penukuran Su*u 3u6u* ................................................................................ 111'0.Peasanan End C5 2 .................................................................................... 112'&.Penunaan Br4n:*4s:4/y ............................................................................ 11,+.Penunaan CRR3 !era/i C88 .................................................................. 11$,1.Penunaan AM5 M72' ;as*er ............................................................. 11,,2.Pe6erian In*alasi 3era/i .............................................................................. 11-,.Pe6erian 5ksien Nasal .............................................................................. 110,$.Penisa/an Sekresi ......................................................................................... 11&,'.Pr4!a/ Cara Pe6erian Ain4/*ilin ............................................................. 121,,.Penurusan Jainan Ra#a! Asuransi Kese*a!an (ASKES) di ICU .............. 122,-.Penurusan Jainan Ra#a! %AKIN dan SK3M di ICU ............................... 12,0.3a!a Cara Peeriksaan R4n!en 34raks di ICU ............................................ 12$,&.K4nsul!asi An!ar 4k!er S/esialis ................................................................. 12'-+.Ke#as/adaan Uni<ersal di ICU ..................................................................... 12,-1.Penel4laan Sa/a* Medis dan N4n Medis di ICU ..................................... 120-2.Pr4ra 5rien!asi Pea*aan Penendalian In9eksi 6ai Pea#ai Baru? Ma*asis#a (Medis dan Ke/era#a!an) ........................................................... 1+-. ek4n!ainasi Ala!7ala!@ Ins!ruen .............................................................. 12-$. ek4n!ainasi arin4s:4/e ......................................................................... 1$-'.Penunaan S!erilisa!4r ................................................................................... 1'-,.S!erilisasi Cir:le dan uidi9ier 8en!ila!4r ................................................... 10--.S!erilisasi Ca!*e!er Su:!i4n ............................................................................ 1&-0.S!erilisasi Ca!*e!er Su:!i4n denan E5 %as .................................................... 1$+-&.Perin!aan ara* ke Bank ara* Uu ....................................................... 1$20+.Peeriksaan a64ra!4riu ............................................................................. 1$01.Pena6ilan Sa/el ara* un!uk Peeriksaan ara* Ar!eri ........ ............. 1$$02.Pe6ersi*an Ruan Pera#a!an di ICU .........................................................1$,0.Penyediaan AKES dan 56a! ........................................................................ 1$-0$.Perse!uuan 3indakan Medik (in94red C4nsen!) ........................................1$00'.5rien!asi Pea#ai Baru di ICU ....................................................................1'+0,.Pulan Paksa .................................................................................................. 1'1  RSCM  RSUP NASI5NA r. CIP35 MAN%UNKUSUM5 PENERIMAAN PASIEN BARU  N4. 4kuen$',@3U.K@-&@@2++0 N44r re<isi+alaanPR5SE UR 3E3AP3anal !er6i!2- 5k!46er 2++0 i!e!a/kan 4le* irek!ur U!aaPr49. r. dr. Akal 3a*er? S/.U (K) NIP 1$+1+'2$-PEN%ER3IAN Pasien 6aru ICU adala* /asien yan 6aru di!eria asuk keICU yan akan enda/a! /ena!alaksanaan in!ensi9 4le* s!a9 ICU selaa asa /era#a!an di ICU.3UJUAN1.Pean9aa!an !e/a! !idur yan 4/!ial di ICU.2.Pasien 6aru di ICU enda/a! /ena!alaksanaan in!ensi9 yan !e/a! dan 6enar.KEBIJAKANSesuai denan ke6iakan /eneriaan /asien ICU.PR5SE UR 1. ilakukan sera* !eria yan 6aik denan d4k!er yaneruuk un!uk /era#a!an di ICU? usa*akan un!uk enda/a!kan in94rasi yan /en!in selenka/unkin.2.Sur<ei /riera.Pas!ikan alan na9as dan /erna9asan adekua! dan 6erikan /ada /asien 4ksien denan 9raksi !er!ini(1++) sa/ai /eeriksaan analisa as dara*selesai dilakukan. 6.Periksa sirkulasi dan akses <ena..Sur<ei sekunder /eeriksaan /asien se:araenyeluru*.$.M4ni!4r dasar yan sesuai un!uk /asien sa!urasi4ksien? EK%? ar!erial line? ka!e!er <ena sen!ral.'.Ins!ruksi /en!in yan *arus di!ulis di s!a!us /asien a.P4la <en!ilasi 6.Sedasi@ analesia:.56a!746a!an? in9usd.Cairan ,.akukan /eeriksaan dasara. ara* ru!in? kiia dara*? kalau /erlu /r49il k4aulasi. 6.Peeriksaan ikr46i4l4i kalau /erlu:.Analisa %as ara*d.=4!4 !*4rak (se!ela* !er/asannya alur ka!e!er <enasen!ral a!au ar!eri /ul4nalis)e.EK%-.Jelaskan ren:ana /ena!alaksanaan /asien /ada s!a99  /era#a!.0.In94rasikan /ada k4nsul!an *arian ICU yan 6er!uas.&.Peeriksaan !a6a*an lain a/4!ek di/erlukan1+.M4ni!4r !a6a*an 6isa dilakukan 6ila ada indikasi(ka!e!er ar!eri /ul4nalis? !ekanan in!rakranial danse6aainya).11.Seua *asil /eeriksaan dan ins!ruksi *arus di!ulis dis!a!us *arian /asien di ICU. 5KUMEN 3ERKAI3 7UNI3 3ERKAI3asil /eeriksaan dan ins!ruksi di :a!a! /ada s!a!us *arian  /asien di ICU.  RSCM  RSUP NASI5NA r. CIP35 MAN%UNKUSUM5 INDIKASI PASIEN KELUAR DARI ICU  N4. 4kuen$'-@3U.K@-&@@2++0 N44r re<isi+alaanPR5SE UR 3E3AP3anal !er6i!2- 5k!46er 2++0 i!e!a/kan 4le* irek!ur U!aaPr49. r. dr. Akal 3a*er? S/.U (K) NIP 1$+1+'2$-PEN%ER3IAN Pasien indikasi keluar dari ICU adala* /asien yan suda* dinilai!idak eerlukan /era#a!an ICU dan suda* dinya!akan layak un!uk di/inda*kan ke ruan ra#a! in!reedia!e (6ila ada) a!auruan 6iasa? a!au ke6ali ke rua* saki! /eruuk.3UJUAN1.Pean9aa!an !e/a! !idur ICU se:ara 4/!ial.2.3e/a! !idur ICU da/a! dian9a!kan sesuai /ri4ri!asindikasi ra#a! ICU.KEBIJAKANSesuai denan ke6iakan kri!eria /asien keluar ruan ra#a! ICU.PR5SE UR1.S!a9 edik enin94rasikan ke/ada d4k!er /rier danke/ada /asien dan@ a!au keluaranya 6a*#a dari /enilaiankeadaan /enyaki! /asien? /era#a!an ICU suda* !idak di/erlukan dan@ a!au an9aa!nya ke:il.2.S!a9 edik a!au s!a9 nurse e6eri!a*u ke/ala ruan ra#a!a!au #akilnya dari uni! a!au rua* saki! yan eruuk diana /asien ICU !erse6u! akan di/inda*kan.. ilakukan sera* !eria !en!an resue keadaan dan /en46a!an ser!a asala* /era#a!an /asien.$.Bila d4k!er /rier 6elu a!au !idak se!uu aka ke/ala ICU 6er#enan un!uk eu!uskan 6erdasarkan /ri4ri!as /ean9aa!an !e/a! !idur ICU yan sesuai. 5KUMEN 3ERKAI3 Ruan ra#a! rua* saki! 6ersanku!an a!au rua* saki! /eruuk.UNI3 3ERKAI3SP5 /elayanan dan /r4sedur edik ICU
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