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OLEH :
TIM ICU
INTENSIVE CARE UNIT
RS MEDIKA STANNIA
SUNGAILIAT
ICU
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PERAWATAN INTENSIF
- ICU
- ICCU- PICU
- NICU- NCCU
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2. KEBIJAKAN KHUSUS
1. Semua ps baru hrs diketahui oleh dr.
Konsultan
2. dr jaga ICU berwenang melakukan intervensi
invasif maupun th/ g bersifat live-saving
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3. KAPASITAS
1. ! " 1# $ dari kapasitas %S &&&
2. 'ergantung dari kebijakan %S
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KLASIFIKASI ATAUSTRATIFIKASI PELAYANAN ICU
1.PELAYANAN ICU PRIMER(STANDAR MINIMAL)
2.PELAYANAN ICU SEKUNDER
3.PELAYANAN ICU TERSIER
(TERTINGGI)
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1. ICU PRIMER
Kekhuhusan g hrs dimiliki (
1. %uang tersendiri ( dekat dg )K* %%* +,-
2. ,emiliki kebijakan/ kriteria ps msk* keluar dan rujukan
. ,emiliki r spesialis anesthesi!. ,emiliki r 2! jam dg kemampuan( 0* * C* *
. Konsulen g membantu hrs selalu dpt dihubungi setiap
saat3. ,emiliki jlh perawat g 4ukup dengan 2$ tersertifikasi
5. ,emiliki lab( 6b* 6t* 'rom* elektrolit* * 0-* 7"%a* dan
fisioterapi
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2. ICU SEKUNDER
1. ICU 8rimer2. ,emiliki intensivist
. 9lh perawat 1 (1
!. # $ tersertifikasi
. 8engalaman min. th
3. ,ampu memberikan tunjangan ventilator* pemantauan
5. invasif* dan penunjang hidup
:. ;ab. lengkap* 7"ra* dan diagnostik lain
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3. ICU TERSIER
1. ICU Se()&e"
0. 75 8 !e"a#a$ *e"%e"$'9(a$/ !eala,a (e"a,'. $2
. Ma,!) ,elaya' %e,)a *e$)( !e,a$a)a&a !e"a#a$a
4. D'a+%$'( le(a! &a ,a,!) ,elaya' %l,04 a,
5. Me,'l'(' !e&'&'( $eaa ,e&'( &a !e"a#a$6. Me,'l'(' $eaa ADM/ Re(a, ,e&'(
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TATA KERJA DI ICUTATA KERJA DI ICU
SUATU TEMPAT/UNIT TERSENDIRI DISUATU TEMPAT/UNIT TERSENDIRI DI
DLM R.S YG MEMILIKI :DLM R.S YG MEMILIKI :
Staf khususStaf khusus Peralatan khususPeralatan khusus
Obat-obatan yg lengkapObat-obatan yg lengkap
Bangunan yg khususBangunan yg khusus
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RUANG LINGKUP PELAYANAN YANGDIBERIKAN
8enatalaksanaan penakit g mengan4am
jiwa ,emberi bantuan dan mengambil alih
fungsi vital tubuh
8emantauan fungsi vital tubuh thd
komplikasi
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BEBERAPA HAL ANG HARUSDIKETAHUI TENTANG ICU
Fal%a;a2 Da%a"
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Be*e"a!a 2al $$ ICU?
1. I&'(a%' !% &'"a#a$ &' ICU
0. Ke"a Sa,a M)l$'&'%'!l'e" &l, Ma%ala2 Me&'%K+,!le(
. Ke*)$)2a Pelayaa Ke%e2a$a Pa%'e
4. Pe"a K++"&'a%' &a I$e"a%' &l, Ke"a Sa,a T',Pe,*a'a (e"a $', ,)l$'&'%'!l'
5. Ha( &a Ke#a'*a
6.6. Sistem Maa!eme Pei"#ata M$t$ Te%&a'$Sistem Maa!eme Pei"#ata M$t$ Te%&a'$
7. Kemitraa Pr!"e#i$. E"e%ti&ita#' Ke#eamata' a E%!!mi#
*.*. K!ti+ita# Pea,aaK!ti+ita# Pea,aa
1-.1-.Kriteria Ma#+% Kriteria Ma#+%
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Be*e"a!a 2al $$ ICU??
Kriteria Ma#+% Kriteria Ma#+% ICU ,e,*e"'(a !elayaa a$a"aICU ,e,*e"'(a !elayaa a$a"a
la' !e,a$a)a y >a'2 &ala' !e,a$a)a y >a'2 &a
$e"a!' y '$e%';.$e"a!' y '$e%';.
Dl, (ea&aa !e)aa $e,!a$Dl, (ea&aa !e)aa $e,!a$
$'&)" y $'' :$'&)" y $'' : !% y ,e,e"l)(a!% y ,e,e"l)(a$e"a!' '$e%'; 2"% *e"&a%a"(a$e"a!' '$e%'; 2"% *e"&a%a"(a
!"'+"'$a%!"'+"'$a%
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Be*e"a!a 2al $$ ICU??
Pa#ie Pri!rita# 1 (Sat+)Pa#ie Pri!rita# 1 (Sat+)
P% %a('$ ("'$'%/ $&( %$a*'l yP% %a('$ ("'$'%/ $&( %$a*'l y
,e,e"l)(a $2@ '$e%'; %e!e"$',e,e"l)(a $2@ '$e%'; %e!e"$'&)()a@*a$)a e$'la%'/ ';)%&)()a@*a$)a e$'la%'/ ';)%
+*a$-+*a$ a%+a($'; (+$')/ &ll.+*a$-+*a$ a%+a($'; (+$')/ &ll.
C+$+2 : !% !a%>a*e&a2C+$+2 : !% !a%>a*e&a2
(a"&'+$+"a(%'(/ a$a) !%(a"&'+$+"a(%'(/ a$a) !% shockshock
septic.septic.
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Be*e"a!a 2al $$ ICU??
Pa#ie Pri!rita# 2 (D+a)Pa#ie Pri!rita# 2 (D+a) P% ,e,e"l)(a !el. !e,a$a)a >a'2P% ,e,e"l)(a !el. !e,a$a)a >a'2
&a"' ICU.&a"' ICU.
P% *e"'%'(+ %2 ,e,e"l)(a $2@ '$e%';P% *e"'%'(+ %2 ,e,e"l)(a $2@ '$e%';%ee"a/ (a"eaya !e,a$a) '$e%';%ee"a/ (a"eaya !e,a$a) '$e%';
,e)a(a ,e$+&e %e!e"$' !)l,+a"y,e)a(a ,e$+&e %e!e"$' !)l,+a"y
a"$e"'al >a$2e$e" %aa$ ,e+l+.a"$e"'al >a$2e$e" %aa$ ,e+l+. C+$+2 :!% & !eya('$ &a%a" a$)/C+$+2 :!% & !eya('$ &a%a" a$)/
!a")/ a$a) 'al a()$ &a *e"a$ a$a) y!a")/ a$a) 'al a()$ &a *e"a$ a$a) y
$ela2 ,eala,' !e,*e&a2a ,a+".$ela2 ,eala,' !e,*e&a2a ,a+".
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Be*e"a!a 2al $$ ICU??
Pa#ie Pri!rita# 3 (Tia)Pa#ie Pri!rita# 3 (Tia) C+$+2: !%C+$+2: !% & (eaa%a ,e$a%$a%e& (eaa%a ,e$a%$a%e
&'%e"$a' !ey)l'$&'%e"$a' !ey)l'$ ';e(%'/';e(%'/ pericardial pericardial
tamponade, atau sumbatan jalan napas,tamponade, atau sumbatan jalan napas, p peya('$ a$) a$a) !a") $e",'aleya('$ a$) a$a) !a") $e",'al
&'%e"$a' (+,!l'(a%' !eya('$ a()$ *e"a$.&'%e"$a' (+,!l'(a%' !eya('$ a()$ *e"a$.
Pa%'e-!a%'e !"'+"'$a% $'a ,)('Pa%'e-!a%'e !"'+"'$a% $'a ,)(',e&a!a$ $e"a!' '$e%'; )$( ,ea$a%',e&a!a$ $e"a!' '$e%'; )$( ,ea$a%'
!eya('$ a()$/ $e$a!' )%a2a $2@ ,)('!eya('$ a()$/ $e$a!' )%a2a $2@ ,)('
$&( %a,!a' ,ela()(a '$)*a%' a$a) RJP$&( %a,!a' ,ela()(a '$)*a%' a$a) RJP
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Pee/+aiaPee/+aia
Je'% !% *e"'()$ ),),ya $&( Je'% !% *e"'()$ ),),ya $&(,e,!)ya' ("'$e"'a y %%' )$( ,a%)(,e,!)ya' ("'$e"'a y %%' )$( ,a%)(
ICU/ &a 2aya &!$ ,a%)( &ICU/ &a 2aya &!$ ,a%)( &
!e"$',*aa %e!e"$' !& (ea&aa l)a"!e"$',*aa %e!e"$' !& (ea&aa l)a"*'a%a/ a$a% !e"%e$))a (e!ala ICU.*'a%a/ a$a% !e"%e$))a (e!ala ICU.
C+$+2:C+$+2:brain death (psbrain death (ps &',a%)((a (e&',a%)((a (e
ICU *'la ,e"e(a !+$e%'al &++" +"a/ICU *'la ,e"e(a !+$e%'al &++" +"a/$e$a!' 2aya )$( $))a ,e)a$e$a!' 2aya )$( $))a ,e)a
;)%'-;)%' +"a;)%'-;)%' +"a
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Kriteria Ke+arKriteria Ke+ar
Pa#ie Pri!rita# 1 (Sat+)Pa#ie Pri!rita# 1 (Sat+)
Pa%'e !"'+"'$a% 1 %a$)Pa%'e !"'+"'$a% 1 %a$)
B'la (e*)$)2a )$( $2@ '$e%'; $&(B'la (e*)$)2a )$( $2@ '$e%'; $&(
&'*)$)2(a la'&'*)$)2(a la' Te"a!' $ela2 aal &a !"++%'% a(a Te"a!' $ela2 aal &a !"++%'% a(a
!e&e( ele( & (e,)('a (e%e,*)2a!e&e( ele( & (e,)('a (e%e,*)2a
a$a) ,a;aa$ &a"' $2@ '$e%'; (+$') (e>'l.a$a) ,a;aa$ &a"' $2@ '$e%'; (+$') (e>'l. C+$+2: !% & $'a a$a) le*'2 aal %'%$e,C+$+2: !% & $'a a$a) le*'2 aal %'%$e,
+"a y $&( *e"e%!+% $2& !eel+laa+"a y $&( *e"e%!+% $2& !eel+laa
a"e%';.a"e%';.
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Kriteria Ke+ar000.Kriteria Ke+ar000.
Pa#ie Pri!rita# 2 (D+a)Pa#ie Pri!rita# 2 (D+a) Te"a!' '$e%'; $ela2 Te"a!' '$e%'; $ela2
*e"()"a.*e"()"a.
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K"'$e"'a Kel)a"???.K"'$e"'a Kel)a"???.
Pa#ie Pri!rita# 3 (Tia)Pa#ie Pri!rita# 3 (Tia) Te"a!' Te"a!' $&( a&a la'/ &'(el)a"(a le*'2$&( a&a la'/ &'(el)a"(a le*'2 &''&''
*'la (e,)('a (e%e,*)2aya a$a)*'la (e,)('a (e%e,*)2aya a$a)
,a;aa$ &a"' $2@ '$e%'; (+$') (e>'l.,a;aa$ &a"' $2@ '$e%'; (+$') (e>'l. C+$+2: !% & !eya('$ la)$ !eya('$C+$+2: !% & !eya('$ la)$ !eya('$
!a") ("+'%/ !eya('$ a$) a$a) l'e"!a") ("+'%/ !eya('$ a$) a$a) l'e"
$e",'al/ (a"%'+,a y $ela2 ,eye*a"$e",'al/ (a"%'+,a y $ela2 ,eye*a"l)a% &ll/ y $ela2 $&( *e"e%!+% $2&l)a% &ll/ y $ela2 $&( *e"e%!+% $2&
$e"a!' ICU )$( !eya('$ a()$ya$e"a!' ICU )$( !eya('$ a()$ya
P"++%'% ele(P"++%'% ele(
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KRITERIA DISCHARGE PINDAHKRITERIA DISCHARGE PINDAH
RUANGANRUANGAN
1. Ma%ala2 y ,eye*a*(a !% ,a%)( ICU %&2
%ele%a' "e%+l)%'
0. S$a*'l'$a% ,e&'% 2e,+&'a,'( &a "e%!'"a%'. S$a$)% DNR %&2 &'$e$a!(a
4. Ba$)a e$'la%' ,e(a'( &a !"+$e(%' ala
a;a% $&( &'!e"l)(a la'5. M+'$+"' 'a%'e $&( &'!e"l)(a la'
6. $&( ,e)a(a +*a$ '+$"+!'( &a a$'
a"'$,'a y ,e,e"l)(a ,+'$+"' 'a%'e
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PETUNJUK PENERIMAAN PS DI ICU :PETUNJUK PENERIMAAN PS DI ICU :
1. Se"a2 $e"',a &a"' &+($e" y ,e"))( (!& (+%)l$a ICU @
DR aa
0. Se$'a! !% ,a%)( ICU 2"% &'(e$a2)' +le2 &+($e" (+%)l$a
ICU
- Ta$a >a"a !ee"',aa :
P"',a"y %)"ey : ala a;a%/ !e"a;a%a/ +(%'e/
AGD
Se>+&a"y %)"ey : !e,e"'(%aa !% %>" )$)2
>a$a$a
!e$' y !e"l) &'&+(),e$a%'(a/ e$'la%'/ %e&a%'/
aale$'(/ +*a$/ &a >a'"a
- Ce( ,+'$+"' &a%a" : S! O0/ EKG/ TTV/ NGT/CVC
- Pe,e"'(%aa &a%a" : la*/ -"ay/ EKG/ ,+'$+"'
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KETENAGAANKETENAGAAN
Pa%'e ("'$'% y ,e,e"l)(a!ea#a%a (e$a$ 1 : 1
P% $&( %$a*'l y ,e,e"l)(a $2@ y(+,!le(% 0 : 1
Ke*)$)2a $eaa !e"a#a$ 2"%&'!e"2'$)(a *e"-&a%a"(a %2';$
!a'/ %+"e/ ,ala,/ l'*)"/ &a >)$'
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STRUKTUR RGANISASI
INSTALASI INTENSIF
CICU
NCCU
PICUGICU NICU
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PERALATAN DANFASILITAS
TERGANTUNG DARI
KLASIFIKASI RUMAH
SAKIT
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ICU
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PROFIL PICUPROFIL PICU
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NERS STATION PICUNERS STATION PICU
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PROFIL NICUPROFIL NICU
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PROFIL CICUPROFIL CICU
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PROFIL GICUPROFIL GICU
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TERIMA KASIH TERIMA KASIH