PELAKSANAAN PELAKSA NAAN SURVEY MAW MAWAS DIRI D IRI (SMD) No Dokumen : /UKM./AB.I/2017 : 00 SOP No Revisi TglTerbi : !"l"m"n :1/2
I M"#e $i#"n"%&KM/M/Kes NI' 1()70*01 1(++01 1 001
UPTD KESEHATAN/ PUSKESMAS ABANG I
1.'en 'engeri"n
'el"ks"n""n &ur &urv ve, M"M"-"s Dir Diri &M &MD "#" "#"l" kegi kegi"""n en engen gen"l"n% engumul"n #"n engk"i"n m"s"l" kese""n ,"ng #il"kuk"n ole k"#er k"#er #"n oko oko m"s,"r m"s,"r"k" "k" seem seem" " #i b"-" b"-" bimbin bimbing"n g"n eug"s eug"s kese""n
2.Tuu"n
M"s,"r"k" mengen"l% mengumulk"n #""% mengk"i m"s"l" kese""n ,"ng "#" #i #es" #"l"m r"ngk" men,i"k"n #es" si"g" Timbuln," kes"#"r"n m"s,"r"k" unuk menge"ui m"s"l" kese""n #"n oensi ,"ng "#" #i #es"n," ,"ng #"" #igun"k"n unuk meng""si erm"s"l""n kese""n. Keuus" us"n Ke Ke"l" U' U'TD Ke Kese"" ""n/'uskesm"s Ab"n b"ng I Nomor 444/&K/'U&K.ABI/201+ en"ng Me#i" Komunik"si ,"ng Digun"k"n Unuk Men"ngk" Kelu"n M"s,"r"k" ""u &"s"r"n.
3.Kebi"k"n
5. Re6rensi
1. 2.
'er"ur"n Me Meneri Ke Kese""n Re Reublik In In#onesi" No Nomor 7* 7* " "un 2015 en"ng 'us" Kese""n M"s,"r"k" 'er"u 'er"ur"n r"n Mener Menerii Kese" Kese""n "n Reubl Reublik ik In#ones In#onesi" i" Nomor Nomor 5) "un "un 201* en"ng Akre#i"si 'uskesm"s% Klinik 'r""m"%Tem" 'r"kik M"n#iri Doker% #"n Tem" 'r"kik M"n#iri Doker igi.
*.Al" #" #"n B" B""n
Al" #" #"n b" b""n : 1. 8ormul 8ormulir ir kosong kosong 2. Al" Al" uli uliss 3. Abse Absens nsii
). 'rose#ur/9"ngk" 4l"ngk"
1. Ke"l" 'uskesm"s 'uskesm"s bers"m" bers"m" en"nggung en"nggung"-"b "-"b UKM membenuk membenuk im &MD #i m"sing m"sing kelur""n ""u #es" 2. 'en"nggung"'en"nggung"-"b "b UKM bers"m" bers"m" im &MD men,usun men,usun 6ormulir 6ormulir &MD 3. Tim Tim #i m"sing m"sing kelur""n kelur""n ""u #es" men,eb"rk men,eb"rk"n "n 6ormulir 6ormulir &MD ke"#" m"s,"r"k" mel"lui k"#er kese""n seem" 5. Tim Tim #i m"sing m"sing kelur""n kelur""n ""u #es" mengumul mengumulk"n k"n 6ormulir 6ormulir &MD #"ri m"s,"r"k" #"n mengi#eni6ik"si #"" &MD *. Tim &MD &MD meng meng"n "n"l "lis isis is #"" #"" &MD &MD eru eru" "m" m" usul usul"n "n kegi kegi" ""n "n kese""n m"s,"r"k" #i -il"," ersebu
7.B"g"n Alir 'en"nggung"-"b UKM bers"m" im &MD men,usun 6ormulir &MD
Pembentukan Tim
Tim #i m"sing m"sing kelur""n ""u #es" mengumulk"n 6ormulir &MD #"ri m"s,"r"k"
#"n mengi#eni6ik"si
Tim #i m"sing m"sing kelur""n ""u #es" men,eb"rk"n 6ormulir &MD ke"#" m"s,"r"k" mel"lui k"#er kese""n seem"
#"" &MD
Analisa data
+.Uni Terk"i
1. 2. 3. 5. *. ). 7. +.
Ke"l"'uskesm"s Ke"l" &ub. B"gi"n T"" Us"" 'en"nggung"-"b UKM 'el"ks"n" rogr"m 'uskesm"s ;"m" 9ur"/ 'erbekel K"#er TokoM"s,"r"k" #i Des"/ Kelur""n
(.Dokumen Terk"i
Buku Noulen% RT9
10.Rek"m"n !isoris erub""n
N o
<"ng #irub"
Isi erub""n
T"ngg"lmul"i