001.spo informed consent

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RSBMS

PERSETUJUAN TINDAKAN MEDIS

( INFORMED CONSENT)

NO DOKUMEN

001/IGD/RSBMS/SPO/VI/2015

NO.

REVISI

0

HALAMAN

1 / 2

SPO

TANGGAL TERBIT :

JUNI 2015

Diteta!a" #$e% :

Di&e!t'& RSBMS

dr. Galih

PENGERTIAN Pe&(et')'a" ti"*a!a" +e*i( ,I"-#&+e* #"(e"t a*a$a% ('at'

e&(et')'a" a" *ie&i!a" #$e% a(ie" ata' !e$'a&a"a ata( *a(a&

e")e$a(a" +e"e"ai ti"*a!a" +e*i( a" a!a" *i$a!'!a" te&%a*a

a(ie".

TUJUAN 1. U"t'! ta"*a '!ti a" (a% ai R'+a% Sa!it a(ie" +a''"

*#!te& aai$a te&)a*i %a$ 3 %a$ a" ti*a! *ii"i"!a"

2. Pe"*e&ita *a" ata' !e$'a&a +e"e&ti te"ta" ti"*a!a" a"

a!a" *i$a!'!a" te&%a*a *i&i"a *a" +e")a*i e"e"t' 'ta+a

+e+'at !e't'(a"

KEBIJAKAN 1. Setia ti"*a!a" +e*i( ,*ia"#(ti! te&ae'ti! a" a!a"

*i$a!'!a" te&%a*a *i&i"a a!a" +e")a*i e"e"t' 'ta+a

+e+'at !e't'(a".


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2. I"-#&+e* #"(e"t %a&'( ('*a% *ita"*a ta"a"i +i"i+a$ 4 )a+

(ee$'+ ti"*a!a" *i$a!'!a"

PELAKSANA D#!te& IGD Pe&a6at IGD

PROSEDUR 1. D#!te& +e+e&i!a" e")e$a(a" a" *aat *i+e"e&ti /

*aat *ia%a+i +e"e"ai &e"7a"a ti"*a!a" +e*i( ,*ia"#(ti!

te&ae'ti! ata' ti"*a!a" i"8a(i8e a" a!a" *i$a!'!a" !ea*a

e"*e&ita i"*i!a(i +a''" !e+'"!i"a" a!iat a"

*iti+'$!a""a

2. Pe")e$a(a" te"ta" ti"*a!a" +e*i( %a&'( *ie&i!a" !ea*a

e"*e&ita ai! *i+i"ta +a''" ti*a! *e"a" +e"i"at !#*e

eti! !e*#!te&a" I"*#"e(ia.

9. Pe&(et')'a" *aat *ie&i!a" (e7a&a te&t'$i( ata''" $i(a"

(ete$a% e"*e&ita +e"*aat!a" i"-#&+a(i a" $e"!a *a&i

*#!te& a" a!a" +e$a!'!a" #e&a(i ata' *#!te& a"

e&ta"'" )a6a *a" *i*a+i"i #$e% (e#&a" a&a+e*i(

(eaai (a!(i.

RSBMS

PERSETUJUAN TINDAKAN MEDIS

( INFORMED CONSENT)

NO DOKUMEN

001/IGD/RSBMS/SPO/VI /2015

NO.

REVISI

0

HALAMAN

2 / 2

SPO TANGGAL TERBIT : JUNI 2015

. Ti"*a!a" +e*i( *e"a" &e(i!# ti"i %a&'( +e"*aat

e&(et')'a" te&t'$i( *a" *ita"*a ta"a"i #$e% a" e&%a!

+e+e&i!a" e&(et')'a" :


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a. Ji!a e"*e&ita *a" ata' !e$'a&a ('*a% i(a +e+a%a+i

a" e&a&ti +e"et')'i ti"*a!a" a" a!a" *i$a!'!a" #$e%

*#!te& *e"a" (ea$a &e(i!# !eaa$a" a" +'"!i"

te&)a*i +a!a e"*e&ita *a" ata' !e$'a&a"a *i+i"ta '"t'!

+e"a"*a ta"a"i -#&+'$i& I"-#&+e* #"(e"t a*a !#$#+

ta"*a ta"a" a" te&(e*ia.

. D#!te& e$a!(a"a ti"*a!a" )'a +e"a"*a ta"a"i -#&+'$i&

I"-#&+e* #"(e"t a" te$a% *ita"*a ta"a"i e"*e&ita

*a" ata' !e$'a&a"a.

7. Pe&a6at a" +e"*a+i"i +e+''%!a" ta"*a ta"a"

(eaai (a!(i.

5. ;#&+'$i& I"-#&+e* #"(e"t *i(i+a" )a*i (at' *e"a"

*#!'+e" Re!a+ Me*i( a" $ai""a.

001.spo informed consent

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