materi presentasi icu.ppt

8/18/2019 MATERI PRESENTASI ICU.ppt

1/50

OLEH :

TIM ICU

INTENSIVE CARE UNIT

RS MEDIKA STANNIA

SUNGAILIAT

ICU


2/50

PERAWATAN INTENSIF

- ICU

- ICCU- PICU

- NICU- NCCU


3/50


4/50

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


5/50

3. KAPASITAS

1. ! " 1# $ dari kapasitas %S &&&

2. 'ergantung dari kebijakan %S


6/50

KLASIFIKASI ATAUSTRATIFIKASI PELAYANAN ICU

1.PELAYANAN ICU PRIMER(STANDAR MINIMAL)

2.PELAYANAN ICU SEKUNDER

3.PELAYANAN ICU TERSIER

(TERTINGGI)


7/50

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


8/50

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


9/50

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&'(


10/50

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


11/50

RUANG LINGKUP PELAYANAN YANGDIBERIKAN

8enatalaksanaan penakit g mengan4am

jiwa ,emberi bantuan dan mengambil alih

fungsi vital tubuh

8emantauan fungsi vital tubuh thd

komplikasi


12/50

BEBERAPA HAL ANG HARUSDIKETAHUI TENTANG ICU

Fal%a;a2 Da%a"


13/50

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#+%


14/50

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%


15/50


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.


16/50


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+".


17/50


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


18/50

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


19/50

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%';.


20/50

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.


21/50

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(


22/50

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


23/50

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/ ,+'$+"'


24/50

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 >)$'


25/50

STRUKTUR RGANISASI

INSTALASI INTENSIF

CICU

NCCU

PICUGICU NICU


26/50


27/50

PERALATAN DANFASILITAS

TERGANTUNG DARI

KLASIFIKASI RUMAH

SAKIT


28/50

ICU


29/50


30/50


31/50


32/50


33/50


34/50


35/50


36/50


37/50


38/50


39/50


40/50


41/50


42/50

PROFIL PICUPROFIL PICU


43/50

NERS STATION PICUNERS STATION PICU


44/50


45/50

PROFIL NICUPROFIL NICU


46/50

PROFIL CICUPROFIL CICU


47/50


48/50

PROFIL GICUPROFIL GICU


49/50


50/50

TERIMA KASIH TERIMA KASIH

materi presentasi icu.ppt

Documents