SOP TR 2

RSU Dr. F.L.TOBING PEMERIKSAAN OESOPHAGUS BARIUM S!ALLO!" S!ALLO!"

Jl. Dr. F.L.Tobing No. 35 Sibolga

No. Do#$%&n

No. R&'i(i

Hala%an )*3

Di+&+a,#an Pl+.Dir&#+$r DR.FL.Tobing Sibolga PROSEDUR TETAP

PENGERTIAN

TUJUAN

Tanggal T&rbi+

-r.H.Ma(ri, -r.H.Ma(ri, Sar$%,a&+ Sar$ %,a&+ P&%bina NIP  )/05133) 211113 )115 P&%&ri#(aan P&%&ri#(aan Ra-iograi #4$($( $n+$# %&li4a+ %&li4a+ o&(o,4ag$( o&(o,4ag$( -an ,4arn6 -&ngan %&ngg$na#an #on+ra( %&-ia ,o(i+i Bari$% S$la+ BaS17" M&ng&+a4$i #&lainan $ng(i -an ana+o%i ,a-a o&(o,4ag$( (&8ara $%$%. P&%&ri#(aan o&(o,4ag$( -ila#(ana#an (&($ai -&ngan ,ro(&-$r

KEBIJAKAN

PROSEDUR

). P&r(ia,an Ala+ 9 Ba4an a. P&(a:a+ ; #&-$a l&ngan l$r$( -i(a%,ing +$b$4. b. Po(i(i Ob=&8+ Dia+$r Dia+$r MSP +$b$4 +$b$4 ,a-a ,&r+&nga4an ,&r+&nga4an bi-ang bi-ang -&+&8+or -&+&8+or>> -i,a -i,a(+ (+i# i#an an bagi bagian an #&ro #&rong ng#o #ong ngan an +&r8 +&r8a# a#$, $,>> +ang +angan an #ana #anan n %&%&gang g&la( ang b&ri(i #on+ra( %&-ia bari$% ($la+. 8. P&nga+$ran Sinar FFD  )?1 8% @R  Hori(on+al -an +&ga# l$r$( +&r4a-a, -&+&#+or @P  ,a-a MSP> 2>5 8% in&rior ang$l$( (+&rn$% T5<0 "* >5 8% in&rior =$g$lar no+84 Gri- on E#(,o(i E#(,o(i -ila#$#an -ila#$#an ,a-a (aa+ ,a(i&n ,a(i&n +a4an naa( (&+&la4 (&+&la4 %&n&lan bari$% @a+a+a @a+a+an n Pa(i& Pa(i&n n %&n&la %&n&lan n 2*3 (&n-o# (&n-o# bari$% bari$% #&n+al #&n+al #&%$-i #&%$-ian an -i&#(,o(&. Un+$# $ll illingC -ig$na#an bari$% &n8&r. Pa(i&n %in$% bari$% -&ngan ,i,&+ lang($ng &6,o(& -ila#$#an (&+&la4 ,a(i&n %&n&lan 3<7 +&g$#an.

SOP Bag.Radiologi RSUD Dr.Ferdinand Dr.Ferdinand Lumban Tobing

RSU Dr. F. L.TOBING PEMERIKSAAN OESOPHAGUS BARIUM S!ALLO!" No.Do#$%&n

No. R&'i(i

2*3

Jl. Dr. F.L .Tobing no.35 Sibolga

PROSEDUR

Hala%an

2.2 Pro&#(i La+&ral a. Po(i(i Pa(i&n Pa(i&n b&r-iri %&na%,ing +ab$ng (inar ;> #&-$a l&ngan l$r$( -i(a%,ing +$b$4> -ag$ (&-i#i+ -iang#a+ #&a+a( b. Po(i(i ob=&# Dia+$r MSP +$b$4 ,a-a ,&r+&nga4an bi-ang -&+&8+or> -i,a(+i#an bagian #&rong#ongan +&r8a#$,> +angan #anan %&%&gang g&la( ang b&ri(i #on+ra( %&-ia bari$% ($la+ 8. P&nga+$ran Sinar FFD  )?1 8% @R  Hori(on+al -an +&ga# l$r$( +&r4a-a, -&+&#+or @P  ,a-a MSP> 2>5 8% in&rior ang$l$( (+&rn$% T5<0 "* >5 8% in&rior =$g$lar no+84 Gri- on E#(,o(i -ila#$#an ,a-a (aa+ ,a(i&n +a4an naa( (&+&la4 %&n&lan bari$% @a+a+an  Pa(i&n %&n&lan 2*3 (&n-o# bari$% #&n+al #&%$-ian -i&#(,o(&. Un+$# $ll illingC -ig$na#an bari$% &n8&r. Pa(i&n %in$% bari$% -&ngan ,i,&+ lang($ng &6,o(& -ila#$#an (&+&la4 ,a(i&n %&n&lan 3<7 +&g$#an. 2.3 Pro&#(i RAO Rig4+ an+&rior obli$&" a. Po(i(i Pa(i&n Dari ,o(i(i %&ng4a-a, +ab$ng (inar ; +$b$4 (&rong #& #anan -&ngan (i(i #anan -&,an +$b$4 %&n%,&l bi-ang -&+&#+or (&4ingga %&%b&n+$# ($-$+ 35<71. b. Po(i(i Ob=&# Dia+$r bagian #&rong#ongan ,a-a ,&r+&nga4an bi-ang -&+&8+or -&ngan +angan #anan %&%&gang g&la( ang b&ri(i #on+ra( %&-ia bari$% ($la+. 8. P&nga+$ran Sinar FFD  )?1 8% @R  Hori(on+al -an +&ga# l$r$( +&r4a-a, -&+&#+or @P  ,a-a MSP> 2>5 8% in&rior ang$l$( (+&rn$% T5<0 "* >5 8% in&rior =$g$lar no+84 Gri- on E#(,o(i -ila#$#an ,a-a (aa+ ,a(i&n +a4an naa( (&+&la4 %&n&lan bari$% @a+a+an  Pa(i&n %&n&lan 2*3 (&n-o# bari$% #&n+al #&%$-ian -i&#(,o(&. Un+$# $ll illingC -ig$na#an bari$% &n8&r. Pa(i&n %in$% bari$% -&ngan ,i,&+ lang($ng &6,o(& -ila#$#an (&+&la4 ,a(i&n %&n&lan 3<7 +&g$#an.

SOP Bag.Radiologi RSUD Dr.Ferdinand Lumban Tobing

RSU Dr. F. L.TOBING PEMERIKSAAN OESOPHAGUS BARIUM S!ALLO!" No.Do#$%&n

No. R&'i(i

Hala%an 3*3


PROSEDUR

2.3 Pro&#(i LAO L&+ an+&rior obli$&" a. Po(i(i Pa(i&n Dari ,o(i(i %&ng4a-a, +ab$ng (inar ; +$b$4 (&rong #& #iri -&ngan (i(i #anan -&,an +$b$4 %&n%,&l bi-ang -&+&#+or (&4ingga %&%b&n+$# ($-$+ 35<71. b. Po(i(i Ob=&# Dia+$r bagian #&rong#ongan ,a-a ,&r+&nga4an bi-ang -&+&8+or -&ngan +angan #iri %&%&gang g&la( ang b&ri(i #on+ra( %&-ia bari$% ($la+. 8. P&nga+$ran Sinar FFD  )?1 8% @R  Hori(on+al -an +&ga# l$r$( +&r4a-a, -&+&#+or @P  ,a-a MSP> 2>5 8% in&rior ang$l$( (+&rn$% T5<0 "* >5 8% in&rior =$g$lar no+84 Gri- on E#(,o(i -ila#$#an ,a-a (aa+ ,a(i&n +a4an naa( (&+&la4 %&n&lan bari$% @a+a+an  Pa(i&n %&n&lan 2*3 (&n-o# bari$% #&n+al #&%$-ian -i&#(,o(&. Un+$# $ll illingC -ig$na#an bari$% &n8&r. Pa(i&n %in$% bari$% -&ngan ,i,&+ lang($ng &6,o(& -ila#$#an (&+&la4 ,a(i&n %&n&lan 3<7 +&g$#an.

UNIT TERKAIT

In(+ala(i Ra-iologi In(+ala(i Ra:a+ =alan In(+ala(i Ra:a+ ina, In(+ala(i ga:a+ -ar$ra+


RSU Dr. F.L.TOBING PEMERIKSAAN OESOPHAGUS MAAG DUODENUM OMD"


No. Do#$%&n

No. R&'i(i

Hala%an )*7


Tanggal T&rbi+

TUJUAN

-r.H.Ma(ri, Sar$%,a&+ P&%bina NIP  )/05133) 211113 )115 P&%&ri#(aan (&8ara ra-iograi -&ngan %&ngg$na#an #on+ra( %&-ia  ,o(i+i -an n&ga+i " $n+$# %&%,&rli4a+#an #&lainan ,a-a la%b$ng. M&ng&+a4$i #&lainan $ng(i -an ana+o%i ,a-a o&(o,4ag$(> %aag -an -$o-&n

%$KEBIJAKAN

P&%&ri#(aan O&(o,4ag$( Maag D$o-&n$% OMD"l -ila#(ana#an (&($ai -&ngan ,ro(&-$r.

PENGERTIAN

PROSEDUR

).P&r(ia,an Pa(i&n a. Pa(i&n -ib&ri ,&n=&la(an +&n+ang ,&%&ri#(aan ang a#an -ila#$#an  #oo,&ra+i " b. 2 4ari (&b&l$% ,&%&ri#(aan ,a(i&n -i&+ r&n-a4 (&ra+ $n+$# %&n8&ga4 ,&%b&n+$#an ga( a#iba+ &r%&n+a(i 8. La%b$ng 4ar$( -ala% #on-i(i #o(ong -ari %a#anan -an air> ,a(i&n ,$a(a ? ,il #on+ra(&,(i>-ll. &. S&bai#na 8olon b&ba( -ari &8al %a+&rial -an $-ara bila ,&rl$ -ib&ri#an a+ la6a+i'&. . Ti-a# bol&4 %&ro#o#  ni8o+in& %&rang(ang (&#r&(i (ali'a " g. Pa(i&n -i%in+a %&ngi(i inor%&- 8on8&n+. 2.P&r(ia,an Ala+ -an Ba4an a. P&(a:a+ ;S&n-o# *,i,&+ -an g&la( .


RSU Dr. F. L.TOBING PEMERIKSAAN OESOPHAGUS MAAG DUODENUM OMD" No.Do#$%&n

No. R&'i(i

2*7


PROSEDUR

Hala%an

3. Pro(&-$r P&%&ri#(aan 3.) Singl& Kon+ra( a.P&n=&la(an ,a-a ,a(i&n +&n+ang ,ro(&-$r Fo+o Polo( Ab-o%&n b. Dila#$#an ,&r(ia,an ,&%&ri#(aan 8. Dib$a+ o+o ,olo( ab-o%&n * -ila#$#an l$oro(#o,i 4&,ar> -a-a -an ab-o%&n. -. Pa(i&n -ib&ri %&-ia #on+ra( ) g&la( &. Ji#a %&%$ng#in#an ,a(i&n -ala% ,o(i(i b&r-iri> =i#a ,a(i&n r&8$%b&n+ ,a(i&n %in$% -&ngan (&-o+an . Pa(i&n -iin(+r$#(i#an %in$% 2  3 +&g$# #on+ra( %&-ia> -ila#$#an %ani,$la(i agar (&l$r$4 %$#o(a +&rla,i(i -ii#$+i l$oro(#o,i a+a$ -ib$a+ o+o ang -i,&rl$#an g. S&+&la4 %&li4a+ r$ga& ,a(i&n %in$% (i(a bari$% $n+$# %&li4a+ ,&ngi(ian ,&n$4 -ari -$o-&n$%. 4. D&ngan +&#ni# l$oro(#o,i ,a(i&n -iro+a(i -an %&=a -a,a+ -i($-$+#an (&4ingga (&l$r$4 a(,&# o&(o,4ag$(> la%b$ng -an -$o-&n$% +&rli4a+. 3.2 Do$bl& Kon+ra( a. S&+&la4 %in$% %&-ia #on+ra( ,o(i+i> ,a(i&n -ib&ri ,il> b$b$# 8arbona+ -(b $n+$# %&ng4a(il#an &&# ga(  +&#ni# la%a> (i(i (&-o+an -il$bangi (&4ingga ,a-a (aa+ %in$% %&-ia #on+ra( (&#alig$( $-ara %a($# #& la%b$ng. b. Pa(i&n -i,o(i(i#an r&8$%b&n+ -an -iin(+r$#(i#an $n+$# b&rg$ling  g$ling 7  5 ,$+aran (&4ingga (&l$r$4 %$#o(a +&rla,i(i. 8. Da,a+ -ib&ri#an gl$8agon a+a$ oba+ lain $n+$# %&ng$rangi #on+ra#(i la%b$ng  la%b$ng +i-a# r&la6 " -. Dila#$#an ,&nga%bilan o+o -&ngan ,ro&#(i (&($ai ang -iingin#an (a%a ,a-a +&#ni# (ingl& #on+ra(. &. Bila %&ngg$na#an l$oro(#o,i -ia%bil (,o+ o+o ,a-a -a&ra4<-a&ra4 ang -iingin#an 7. Pro&#(i P&%o+r&+an a. PA &r&8+ $n+$# %&li4a+ +,& -an ,o(i(i la%b$ng b. La+&ral &r&8+ $n+$# %&li4a+ (,a8& r&+roga(+ri8 #iri 8. PA r&8$%b&n+ $n+$# %&li4a+ ga(+ro-$o-&nal ($ra8& -. PA Obli  RPO " $n+$# %&li4a+ ,lori8 8anal -an -$o-&nal b$lb &.Rig4+ La+&ral D&8$bi+$( $+# %&li4a+ -$o-&nal loo,> -$o-&no=$=$nal =$n8+ion -an r&+roga(+ri8 (,a8& . AP R&8$%b&n+ $+# %&li4a+ bagian $n-$( +&r$+a%a ,a-a +&#ni# -o$bl& #on+ra(> ro+a(i la+&ral $n+$# %&li4a+ l&(i ,a-a -in-ing an+&rior -an ,o(+&rior> r&+roga(+ri8 ,or+ion -ari =&=$n$% -a n illi$% g. aria(i ($,in& -&ngan %&nga+$r #&,ala l&bi4 r&n-a4 251  311 $n+$# %&li4a+ 4&rnia 4ia+al -an )1  )5 -&ra=a+ -an ro+a(i ,a(i&n #& -&,an  (i(i #anan -&#a+ %&=a " $n+$# %&li4a+ ga(+ro&(o,4ag&al =$n8+ion =$ga $n+$# %&li4a+ r&g$rgi+a(i.



No. R&'i(i

3*7


PROSEDUR

Hala%an

7.) Pro&#(i PA Po(+&rior -i'&r+i#$l> ga(+ri+i(> ,a-a ba-ab -ab ,lor$( la%b$ng a. Po(i(i Pa(i&n Pa(i&n b&r-iri %&%b&la#angi +ab$ng (inar ; b. Po(i(i Ob=&# Dia+$r MSP +$b$4 ,a-a ,&r+&nga4an bi-ang -&+&8+or. Dia+$r ba+a( a+a( ,ro8&(($( 6,4oi- -an ba+a( ba:a4 SIAS -i,a(+i#an +i-a# a-a ro+a(i ab-o%&n. 8. P&nga+$ran Sinar FFD  )?1 8% @R  Hori(on+al -an +&ga# l$r$( +&r4a-a, -&+&#+or @P  Pa-a ,lor$( -an b$lb$( -$o-&ni. Un+$# b&n+$# la%b$ng> (+&ni#  )<2 in84i -iba:a4 L2 %&n$=$ la+&ral ba+a( 8o(+a& -an ) in84i #&#iri -ari @. &r+&bra&> A(+&ni8  2 in84i -iba:a4 L2 Hi,&r(+&ni8  2 In84i -ia+a( l&'&l -$o-&n$% E#(,o(i -ila#$#an ,a-a (aa+ &#(,ira(i -an +a4an naa(. 7.2 Pro&#(i La+&ral Er&8+ La+&ral #anan" F$ng(i  %&%,&rli4a+#an ,ro(&( ,a-a -a&ra4 r&+roga(+ri8 (&,&r+i -i'&r+i#&l> +$%or> $l#$( ga(+ri8> +ra$%a ,a-a ,&r$+ -an ba+a( b&la#ang la%b$ng. a. Po(i(i Pa(i&n Pa(i&n +i-$r %iring #& ara4 #anan> -ia+$r #a#i -an +angan %&ngi#$+i #&%iringan ,a(i&n b. Po(i(i Ob=&# Ba4$ -an -a&ra4 8o(+a& -ala% ,o(i(i la+&ral> ba+a( a+a( 6,4oi-> ba+a( ba:a4 8ri(+a ilia#a 8. P&nga+$ran Sinar FFD  )11 8% @R  &r+i#al -an +&ga# L$r$( +&r4a-a, -&+&#+or @P  b$lb$( -$o-&n$% ,a-a L)> $n+$# b&n+$# la%b$ng S+&ni#  )< )>5 8% #& -&,an -ari %i- 8oronal ,lan&> A(+&ni8 2 in84i -iba:a4 L)> Hi,&r(+&ni8  2 In84i -ia+a( L). E#(,o(i -ila#$#an ,a-a (aa+ &#(,ira(i -an +a4an naa(. 7.3 Pro&#(i LPO l&+ ,o(+&rior obli$&" F$ng(i  bila -ig$na#an -o$bl& #on+ra( a#an -a,a+ %&%,&rli4a+#an -&ngan =&la( ba+a( an+ara $-ara -&ngan -in-ing ,lor$( -an b$lb$( (&4ingga =&la( $n+$# Ga(+ri+i( -an Ul#$( a. Po(i(i Pa(i&n Pa(i&n r&8$%b&n+> ,$ngg$ng %&n&%,&l #a(&+



No. R&'i(i

7*7


PROSEDUR

Hala%an

b. Po(i(i Ob=&# Dari ,o(i(i ($,in& -iro+a(i#an 31  01 -&ra=a+ -&ngan bagian #iri %&n&%,&l %&=a> +$ng#ai -il&#(i#an $n+$# %&no,ang> Ba+a( a+a( ,ro8&(($( 6,4oi-&$( -&ngan ba+a( ba:a4 ,a-a SIAS. 8. P&nga+$ran Sinar FFD  )11 8% @R  &r+i#al -an +&ga# l$r$( +&r4a-a, -&+&#+or @P  ,&r+&nga4an 8ri(+a ilia8a $n+$# b&n+$# la%b$ng S+&ni# ,a-a L)> A(+&ni8 2 in84i -iba:a4 L) %&n-&#a+ %i- lin& +$b$4> Hi,&r(+&ni8 2 in84i -ia+a( L) E#(,o(i -ila#$#an ,a-a (aa+ &#(,ira(i -an +a4an naa(. 7.7 Pro&#(i PA Obli$& RPO" a.Po(i(i Pa(i&n Pa(i&n r&8$%b&n+ a+a$ +i-$r +&l$ng#$, -i %&=a ,&%&ri#(aan b. Po(i(i Ob=&# Ab-o%&n -ia+$r (&4ingga ab-o%&n %&%b&n+$# ($-$+71<1 -&ra=a+ -&ngan +&,i -&,an MSP> l&ngan +angan (&b&la4 #iri l&6i #& -&,an> #n&& =oin+ l&6i. 8. P&nga+$ran Sinar FFD  )11 8% @R  '&r+i#al -an +&ga# l$r$( +&r4a-a, -&+&#+or @P  -a&ra4 b$lb$( -$o-&ni $n+$# b&n+$# la%b$ng S+&ni# )<2 in84 -ari L2> A(+4&ni8  2<5 in84i -i ba:a4 L2> Hi,&r(+&ni8  2< 5 in84i -i a+a( L2 E#(,o(i -ila#$#an ,a-a (aa+ &#(,ira(i -an +a4an naa( 7.5 Pro&#(i AP a. Po(i(i Pa(i&n Ti-$r +&l&n+ang -ia+a( %&=a ,&%&ri#(aan b. Po(i(i Ob=&# MSP ,a-a %i- lin& %&=a> ,a(+i#an +$b$4 +i-a# a-a ro+a(i 8. P&nga+$ran Sinar FFD  )11 8% @R  +&ga# l$r$( -&ngan #a(&+ @P  ,a-a L)  -ian+ara 6,oi- -an ba+a( ba:a4 8o(+a& " $n+$# b&n+$# la%b$ng S+&ni#  L)> A(+4&ni8  2 in84i -i ba:a4 L)> Hi,&r(+&ni8  ) in84i -i a+a( L) E#(,o(i -ila#$#an ,a-a (aa+ &#(,ira(i -an +a4an naa( @a+a+an ). aria(i ($,in& -&ngan %&nga+$r #&,ala l&bi4 r&n-a4 25  31 -&ra=a+ $n+$# %&li4a+ 4&rnia 4ia+al. 2. )1  )5 -&ra=a+ -&ngan ro+a(i ,a(i&n #& -&,an  (i(i #anan -&#a+ %&=a " $n+$# %&li4a+ ga(+ro&(o,4ag&al =$n8+ion =$ga $n+$# %&li4a+ r&g$rgi+a(i.

UNIT TERKAIT

In(+ala(i Ra-iologi In(+ala(i Ra:a+ =alan In(+ala(i Ra:a+ ina,


RSU Dr. F.L.TOBING PEMERIKSAAN BNO IP


No. Do#$%&n

No. R&'i(i

Hala%an )*2


PENGERTIAN

TUJUAN

KEBIJAKAN

PROSEDUR

Tanggal T&rbi+

-r.H.Ma(ri, Sar$%,a&+ P&%bina NIP  )/05133) 211113 )115 BNO %&r$,a#an (ala4 (a+$ i(+ila4 %&-i( -ari ba4a(a b&lan-a ai+$ Bla(( Ni&r O'&r(i84+ a+a$ -ala% ba4a(a inggri( bia(a -i(&b$+ Ki-n& Ur&+&r Bla(( KUB" =a-i BNO IP a-ala4 Pro(&-$r *+a+a 8ara ,&%&ri#(aan gin=al> $r&+&r> -an bla(( '&(i8a $rinar" %&ngg$na#an (inar<6 -&ngan %&la#$#an in=&#(i %&-ia #on+ra( %&lal$i '&na In+ra'&no$( P&logra,4" < P&%&ri#(aan IP %&%ban+$ -o#+&r %&ng&+a4$i a-ana #&lainan ,a-a (i(+&% $rinar> -&ngan %&li4a+ #&r=a gin=al -an (i(+&% $rinar ,a(i&n. < P&%&ri#(aan ini -i,&rg$na#an $n+$# %&ng&+a4$i g&=ala (&,&r+i #&n8ing -ara4 4&%a+$ri" -an (a#i+ ,a-a -a&ra4 ,$ngg$ng. < D&ngan IP -o#+&r -a,a+ %&ng&+a4$i a-ana #&lainan ,a-a (i(+&% +ra8+$( $rinar -ari ba+$ gin=al> ,&%b&(aran ,ro(+a+ -an +$%or ,a-a gin=al> $r&+&r -an bla(( a. Pa(i&n +&la4 %&n-a+ar +&rl&bi4 -a4$l$ -i In(+ala(i Ra-iologi b. T&la4 %&la#$#an ,&r(ia,an $n+$# ,&%&ri#(aan BNO %a#an +&l$r (&r+a (a$r< (a$ran ang b&r(&ra+ 8. Ja% 21.11 ,a(i&n %in$% gara% inggri( %agn&(i$% ($la+"> -i8a%,$r ) g&la( air %a+ang $n+$# $r$(<$r$(> -i(&r+ai %in$% air ,$+i4 )<2 g&la(> +&r$( ,$a(a. -. S&la%a ,$a(a ,a(i&n -ian=$r#an $n+$# +i-a# %&ro#o# -an bana# bi8ara g$na %ini%ali(ir $-ara -ala% $($( &. Ja% 1?.11 ,a(i&n -a+ang #& $ni+ ra-iologi $n+$# -ila#$#an ,&%&ri#(aan . P&r(ia,an ,&%&ri#(aan +&r(&b$+ -i=&la(#an #&,a-a #&l$arga ,a(i&n %&ng&nai ,ro(&-$r ang a#an -ila#$#an -an ,&nan-a+anganan inor%&- 8on(&n+. 2. P&r(ia,an M&-ia Kon+ra( a. M&-ia #on+ra( ang -ig$na#an a-ala4 ang b&rba4an io-i$%> -i%ana =$%la4na -i(&($ai#an -&ngan b&ra+ ba-an ,a(i&n> a#ni )<2 88*#g b&ra+ ba-an.


RSU Dr. F. L.TOBING PEMERIKSAAN BNO IP No.Do#$%&n

No. R&'i(i

2*2


PROSEDUR

Hala%an

3. P&r(ia,an Ala+ -an Ba4an 3.) P&rala+an S+&ril a. S,$i+ 21 88  ) b$a4" b. Ka,a( al8o4ol 3.2 P&rala+an Non $n+$# %&li4a+ ,&r(ia,an ,a(i&n. (&b&l$% ,&%&ri#(aan ,a(i&n -i%in+a b$ang air #&8il $n+$# %&ngo(ong#an bla(( 2. Ji#a ,&r(ia,an ,a(i&n bai#*b&r(i4> ($n+i##an %&-ia #on+ra( %&lal$i in+ra'&na ) 88 (a=a> -ia%#an (&(aa+ $n+$# %&li4a+ r&a#(i al&rgi. 3. Ji#a +i-a# a-a r&a#(i al&rgi( ,&n$n+i#an -a,a+ -ilan=$+#an 7. La#$#an o+o 5 %&ni+ ,o(+ in=&#(i -&ngan ,o(i(i AP ($,in& $n+$# %&li4a+ ,&l'io8ali(&al -an $r&+&r ,ro6i%al +&ri(i %&-ia #on+ra(. 5. Fo+o )5 %&ni+ ,o(+ in=&#(i -&ngan ,ro&#(i AP ($,in& %&n8a#$, ga%baran ,&l'io8al(&al> $r&+&r -an bla--&r %$lai +&ri(i %&-ia #on+ra( 0. Fo+o 31 %&ni+ ,o(+ in=&#(i -&ngan ,ro&#(i AP ($,in& %&li4a+ ga%baran bla--&r +&ri(i ,&n$4 %&-ia #on+ra(. . S&+&la4 (&%$a o+o ($-a4 -i#on($l#an #&,a-a -o#+&r (,&(iali( ra-iologi> bia(ana -ib$a+ o+o bla(+ obli$& $n+$# %&li4a+ ,ro(+a+& $%$%na ,a-a ,a(i&n ang lan=$+ $(ia". ?. ang +&ra#4ir la#$#an o+o ,o(+ 'oi- -&ngan ,ro&#(i AP ($,in& a+a$ &r&8+ $n+$# %&li4a+ #&lainan #&8il ang %$ng#in +&r=a-i -i -a&ra4 bla--&r. D&ngan ,o(i(i &r&8+ -a,a+ %&n$n=$#an a-ana r&n %obil& ,&rg&ra#an gin=al ang +i-a# nor%al" ,a-a #a($( ,o( 4&%a+$ri.

UNIT TERKAIT

In(+ala(i Ra-iologi In(+ala(i Ra:a+ =alan In(+ala(i Ra:a+ ina, In(+ala(i ga:a+ -ar$ra+


RSU Dr. F.L.TOBING PEMERIKSAAN FISTULOGRAPH


No. Do#$%&n

No. R&'i(i

Hala%an )*3


PENGERTIAN

TUJUAN

Tanggal T&rbi+

-r.H.Ma(ri, Sar$%,a&+ P&%bina NIP  )/05133) 211113 )115 P&%&ri#(aan ra-iologi -&ngan %&%a($##an M&-ia Kon+ra( ,a-a hollow organga(+roin+&(+inal +ra8+> bla--&r" a+a$ +$b$lar (+r$8+$r&( bil& -$8+(> $r&+&r". Fi(+$la iala4 (al$ran +i-a# nor%al ang %&ng4$b$ng#an organ a+a$ %&ng4$b$ng#an organ< organ bagian -ala% -&ngan ,&r%$#aan +$b$4 bagian l$ar>

M&ng&+a4$i #&lainan $ng(i -an ana+o%i ,a-a organ ang %&%ili#i (al$ran +i-a# nor%al -an +i-a# b&r4$b$ngan +&r(&b$+ P&%&ri#(aan i(+$logra,4 -ila#(ana#an (&($ai -&ngan ,ro(&-$r

KEBIJAKAN ). P&r(ia,an P&%&ri#(aan PROSEDUR Pa-a ,&%&ri#(aan i(+$lograi +i-a# %&%&rl$#an ,&r(ia,an #4$($(> 4ana ,a-a -a&ra4 i(+$la +&rb&ba( -ari b&n-a #a+&+&r> (,$i+ $#$ran 5 %l<21 %l> #or&n+ang> g$n+ing> 4an- (8o&n> #ain #a((a> =&li> abo8a+4> -$# l$bang. g. Al#o4ol 4. B&+a-in& i. Oba+ an+i al&rgi =. M&-ia #on+ra( =&ni( :a+&r (ol$bl& ai+$ io-i$%.


RSU Dr. F. L.TOBING PEMERIKSAAN FISTULOGRAPH No.Do#$%&n

No. R&'i(i

Hala%an 2*3


2. T&#ni# P&%&ri#(aan PROSEDUR a. S&b&l$% %&-ia #on+ra( -i%a($##an +&rl&bi4 -a4$l$ -ib$a+ ,lan o+o -gn ,ro&#(i An+&ro Po(+&rior AP"> b. M&-ia #on+ra( -i%a($##an -&ngan #a+&+&r a+a$ abo8a+4 %&lal$i %$ara i(+$la ang -ii#$+i -&ngan l$oro(#o,i. 8. K&%$-ian -ila#$#an ,&%o+r&+an ,a-a (aa+ %&-ia #on+ra( -i($n+i##an %&lal$i %$ara i(+$la ang +&la4 %&ngi(i ,&n$4 (al$ran i(+$la. -. Hal ini -a,a+ -ili4a+ ,a-a laar l$oro(#o,i -an -i+an-ai -&ngan #&l$arna %&-ia #on+ra( %&lal$i %$ara i(+$la. &. J$%la4 %&-ia #on+ra( ang -i%a($##an +&rgan+$ng -ari l$a( %$ara i(+$la. 3. T&#ni# P&%a($#an M&-ia Kon+ra( a. T$=$an ,&%a($#an %&-ia #on+ra( a-ala4 $n+$# %&%,&rli4a+#an i(+$la ,a-a -a&ra4 ,&rianal. b. P&%a($#an %&-ia #on+ra( -i%$lai -&ngan %&%b&r(i4#an -a&ra4 (&#i+ar i(+$la -&ngan b&+a-in&. 8. M&-ia #on+ra( -i%a($##an #& -ala% %$ara i(+$la #ira<#ira (&-ala% 2<3 8% (&8ara ,&rla4an #&-$a +angan -il&+a##an -i a+a( -a-a -an #&-$a #a#i l$r$(. P&l'i( (i%&+ri( +&r4a-a, %&=a ,&%&ri#(aan. b. K&-$a #a#i &n-oro+a(i )5<21 -&ra=a+> #&8$ali =i#a +&r=a-i ra#+$r a+a$ -i(lo#a(i ,a-a 4i, =oin+. 8. Sinar '&r+i8al -an +&ga# l$r$( +&r4a-a, -&+&#+or> 8&n+ral ,oin+ ,a-a ,&r+&nga4an #&-$a #ri(+a ilia#a -&ngan FFD )11 8%. -. E#(,o(i ,a-a (aa+ ,a(i&n +a4an naa(. 7.2. Pro&#(i La+&ral a. P&n-&ri+a -ia+$r %iring -i (ala4 (a+$ (i(i ang a#an -io+o -&ngan #&-$a l&ngan -i+&#$# #& a+a( (&bagai ban+alan #&,ala. b. Mi- Sagi+al Plan& (&=a=ar %&=a ,&%&ri#(aan> -an bi-ang a6ial -i+&%,a+#an ,a-a ,&r+&nga4an %&=a ,&%&ri#(aan. 8. S,ina ilia#a ,a-a ,o(i(i AP (&($ai -&ngan gari( '&r+i#al (&4ingga +i-a# a-a ro+a(i -ari ,&l'i(. -. @&n+ral Poin+ ,a-a -a&ra4 ,&rianal #ira<#ira Mi- A6ila Lin& (&+inggi 2<3 in84i -i a+a( (i%i(i( ,$bi(> (inar '&r+i8al -an +&ga# l$r$( +&r4a-a, -&+&#+or -an FFD )11 8%. E#(,o(i ,a-a (aa+ ,a(i&n +a4an naa(. SOP Bag.Radiologi RSUD Dr.Ferdinand Lumban Tobing


No. R&'i(i

3*3


PROSEDUR

Hala%an

7.3. Pro&#(i Obli$& a. Po(i(i ,a(i&n ,ron& -i a+a( %&=a ,&%&ri#(aan> +$b$4 -iro+a(i#an #& (ala4 (a+$ (i(i ang -i,&ri#(a ang %&n$n=$#an l&+a# i(+$la #$rang l&bi4 75 -&ra=a+ +&r4a-a, %&=a ,&%&ri#(aan. b. L&ngan ang -&#a+ #a(&+ -ia+$r -i ba:a4 #&,ala $n+$# ban+alan #&,ala (&-ang#an l&ngan ang lain -ia+$r %&nilang -i -&,an +$b$4. Ka#i ang -&#a+ #a(&+ %&n&%,&l %&=a ,&%&ri#(aan> #a#i ang lain -i+&#$# (&bagai ,&no,ang +$b$4. 8. P&l'i( -ia+$r #$rang l&bi4 75 -&ra=a+ +&r4a-a, %&=a ,&%&ri#(aan. Un+$# i#(a(i> (i(i ,inggang ang =a$4 -ari #a(&+ -ib&ri ,&ngan=al. -. Sinar -ia+$r '&r+i8al -an +&ga# l$r$( +&r4a-a, -&+&#+or -an 8&n+ral ,oin+ ,a-a -a&ra4 ,&rianal #$rang l&bi4 2<3 in84i -i a+a( (i%i(i( ,$bi(> +ari# gari( ) in84i +&ga# l$r$( #& ara4 la+&ral. FFD -ia+$r )11 8%. E#(,o(i ,a-a (aa+ ,a(i&n +a4an naa(.

5. T$=$an P&%&ri#(aan ). Pro&#(i An+&ro Po(+&rior AP" Pro&#(i AP ,r& ,&%a($#an %&-ia #on+ra( b&r+$=$an $n+$# %&li4a+ (+r$#+$r ana+o%i> ,&r(ia,an ,a(i&n 9 ,&n&n+$an a#+or &#(,o(i ang +&,a+. S&-ang#an Pro&#(i AP ,o(+ ,&%a($#an %&-ia #on+ra( b&r+$=$an $n+$# %&ng&+a4$i ara4 i(+$la a,a#a4 %&ngara4 #& #anan a+a$ #& #iri (&r+a $n+$# %&li4a+ ,&na%,ang i(+$la -ari -&,an. 2. Pro&#(i La+&ral B&r+$=$an $n+$# %&%,&rli4a+#an ara4 i(+$la a,a#a4 %&ngara4 #& -&,an a+a$ #& b&la#ang. 3. Pro&#(i Obli# B&r+$=$an $n+$# %&li4a+ 4$b$ngan an+ara i(+$la ang (a+$ -&ngan i(+$la ang lain =i#a #&%$ng#inan +&r-a,a+ b&b&ra,a i(+$la. Pro&#(i ini =$ga -a,a+ %&%,&rli4a+#an #&-ala%an i(+$la ang %&ngara4 #& (a%,ing

UNIT TERKAIT



RSU Dr. F.L.TOBING PEMERIKSAAN @OLON IN LOOP BARIUM ENEMA"


No. Do#$%&n

No. R&'i(i

Hala%an )*7


PENGERTIAN

TUJUAN

Tanggal T&rbi+

-r.H.Ma(ri, Sar$%,a&+ P&%bina NIP  )/05133) 211113 )115 P&%&ri#(aan (&8ara ra-iograi -&ngan %&ngg$na#an #on+ra( %&-ia  ,o(i+i" $n+$# %&%,&rli4a+#an #&lainan ,a-a 8olon U($( b&(ar". M&ng&+a4$i #&lainan $ng(i -an ana+o%i ,a-a $($( b&(ar (&8ara #&(&l$r$4an P&%&ri#(aan @olon in Loo, -ila#(ana#an (&($ai -&ngan ,ro(&-$r.

KEBIJAKAN P&r(ia,an P&%&ri#(aan PROSEDUR ). P&r(ia,an Pa(i&n a. 7? =a% (&b&l$% ,&%&ri#(aan ,a(i&n %a#an %a#anan l$na# r&n-a4 (&ra+ b. )? =a% (&b&l$% ,&%&ri#(aan  =a% 3 (or& " %in$% +abl&+ -$l8ola6 8. 7 =a% (&b&l$% ,&%&ri#(aan  =a% 5 ,agi " ,a(i&n -ib&ri -$l#ola# #a,($l ,&r an$( (&lan=$+na -ila'&%&n+ -. S&+&r$(na ,$a(a (a%,ai ,&%&ri#(aan &. 31 %&ni+ (&b&l$% ,&%&ri#(aan ,a(i&n -ib&ri ($la( a+roin 1>25  ) %g * oral $n+$# %&ng$rangi ,&%b&n+$#an l&n-ir . )5 %&ni+ (&b&l$% ,&%&ri#(aan ,a(i&n -ib&ri ($n+i#an b$(8o,an $n+$# %&ng$rangi ,&ri(+al+i8 $($(. 2. P&r(ia,an Ala+ a. P&(a:a+ (inar  6 ang -il&ng#a,i l$oro(8o, b. Ka(&+ -an il% (&($ai #&b$+$4an 8. Mar#&r -. S+an-ar+ iriga+or -an iriga+or (&+ l&ng#a, -&ngan #an$la -an r&8+al +$b& &. Sar$ng +angan . P&n=&,i+ a+a$ #l&% g. S,$i+ 4. Kain ,&%b&r(i4 i. A,ron =. T&%,a+ %&nga-$# %&-ia #on+ra( #. Kan+ong bari$% -i(,o(ibl&


RSU Dr. F. L.TOBING PEMERIKSAAN @OLON IN LOOP BARIUM ENEMA" No.Do#$%&n

No. R&'i(i

2*7


PROSEDUR

Hala%an

3. P&r(ia,an Ba4an a. M&-ia #on+ra( BaSO7  1  ?1  !*  !&ig4+ * ol$%& "> bana#na (&($ai ,an=ang ,&n-&#n a #olon #$rang l&bi4 011  ?11 %l -&ngan ,&rban-ingan ) ? b. Air 4anga+ 8. a(&lin a+a$ =&ll 7. T&#ni# P&%a($#an M&-ia Kon+ra( 7.) M&+o-& Kon+ra( T$nggal a. P&%&ri#(aan 4ana %&ngg$na#an BaSO7 (&bagai %&-ia #on+ra(. b. Kon+ra( -i%a($##an #& #olon (ig%oi-> -&(&n-&n> +ran('&r($%> a(8&n-&n (a%,ai -a&ra4 (&i#$%. 8. Dila#$#an ,&%o+r&+an $ll illng -. E'a#$a(i> -ib$a+ o+o ,o(+ &'a#$a(i 7.2 M&+o-& Kon+ra( Gan-a ).Kon+ra( Gan-a Sa+$ Ting#a+ Kolon -ii(i BaSO7 (&bagian (&lan=$+na -i+i$,#an $-ara $n+$# %&n-orong bari$% %&la,i(i #olon> (&lan=$+na -ib$a+ o+o $ll illing 2.Kon+ra( Gan-a D$a Ting#a+ ).Ta4a, ,&ngi(ian a. Kolon -ii(i BaSO7 (a%,ai #ira 2 l&#($ra li&nali( a+a$ ,&r+&nga4an #olon +ran('&r($% b. Pa(i&n -i($r$4 %&r$ba4 ,o(i(i agar bari$% %a($# #& (&l$r$4 #olon 2.Ta4a, ,&la,i(an a. M&n$ngg$ )  2 %&ni+ ($,aa bari$% %&la,i(i %$#o(a #olon 3.Ta4a, ,&ngo(ongan a. Pa(i&n -i($r$4 BAB 7.Ta4a, ,&ng&%bangan a. Di,o%,a#an $-ara #& -ala% #olon  )?11  2111 %l> +i-a# bol&4 b&rl&bi4an #ar&na a#an +i%b$l #o%,li#a(i  r&l&6 agal  :a=a4 ,$8a+> bra-i#ar-i> #&ringa+ -ingin -an ,$(ing " 5.Ta4a, ,&%o+r&+an a. P&%o+r&+an -ila#$#an a,abila a#in (&l$r$4 #olon %&ng&%bang (&%$a b. Po(i(i ,&%o+r&+an +&rgan+$ng -ari b&n+$# -an #&lainan (&r+a lo#a(ina. 8. Pro&#(i PA> PA oblig 9 la+&ral  r&8+$% " -. Pro&#(i AP> AP oblig  #olon +ran('&r($% +&r%a($# l&#($ra" &. Pro&#(i PA> PA oblig ,a(i&n b&r-iri  l&#($ra li&nali( -an 4&,a+i8a"



No. R&'i(i

3*7


PROSEDUR

Hala%an

5. Pro&#(i P&%o+r&+an ). Pro&#(i AP Po(i(i Pa(i&n  ($,in& -ia+a( %&=a ,&%&ri#(aan> MSP +$b$4 +&ga# l$r$( %&=a> #&-$a +angan -i(a%,ing +$b$4 -an #a#i l$r$( Po(i(i Ob=&#  ob&# -ia+$r -ia+a( %&=a> Ba+a( a+a(  Pro8. ;,oi-&$(> Ba+a( Ba:a4 Si%,.,$bi( @P  MSP (&+inggi Kri(+a ilia#a @R  '&r+i8al +&ga# l$r$( #a(&+ Kri+&ria Ra-iogra  (&l$r$4 #olon +&r%a($# l&#($ra 4&,a+i8a 2. Pro&#(i PA Po(i(i Pa(i&n  +i-$r +&ng#$ra, -ia+a( %&=a ,&%&ri#(aan -gn MSP +$b$4 +&ga# l$r$( %&=a> #&-$a +angan -i(a%,ing +$b$4 9 #a#i l$r$( Po(i(i Ob=&#  ob&# -ia+$r -ia+a( %&=a> Ba+a( A+a(  Pro8. ;,oi-&$(> Ba+a( Ba:a4 Si%,.,$bi( @P  ,a-a MSP (&+inggi #&-$a Kri(+a ilia#a @R  '&r+i8al +&ga# l$r$( #a(&+ Kri+&ria Ra-iogra  (&l$r$4 #olon> +&r%a($# l&#($ra -an r&8+$%  )?11  2111 %l> +i-a# bol&4 b&rl&bi4an #ar&na a#an +i%b$l #o%,li#a(i  r&l&6 agal  :a=a4 ,$8a+> bra-i#ar-i> #&ringa+ -ingin -an ,$(ing " 3. Pro&#(i RPO Po(i(i Pa(i&n  ($,in& -ia+a( %&=a ,&%&ri#(aan> +$b$4 -iro+a(i#an #& #anan 35<75 -&ra=a+ +&r4a-a, %&=a> +angan #anan $n+$# ban+al> +angan #iri %&nilang -i-&,an +$b$4 -an #a#i #anan l$r$(> #a#i #iri -i+&#$# $n+$# i#(a(i Po(i(i Ob=&#  ob&# -ia+$r -ia+a( %&=a> Ba+a( a+a(  Pro8. ;,oi-&$(> Ba+a( Ba:a4 Si%,.,$bi( @P  )  2 in84i #& #iri -ari +i+i# +&nga4 #&-$a Kri(+a ilia#a @R  '&r+i8al +&ga# l$r$( #a(&+ Kri+&ria Ra-iogra  (&l$r$4 #olon> l&#($ra li&nali( (&-i#i+ ($,&r,o(i(i -i(ban-ing PA> 8olon -&(8&n-&n 7. Pro&#(i RAO Po(i(i Pa(i&n  +i-$r +&ng#$ra, -ia+a( %&=a ,&%&ri#(aan> +$b$4 -iro+a(i#an 35  75 -&ra=a+ +&r4a-a, %&=a> +angan #anan l$r$( -i(a%,ing +$b$4> +angan #iri -i-&,an #&,ala -an #a#i #anan l$r$(> #a#i #iri -i+&#$# Po(i(i Ob=&#  ob&# -ia+$r -ia+a( %&=a> Ba+a( A+a(  Pro8. ;,oi-&$(> Ba+a( Ba:a4 Si%,.,$bi( @P  )  2 in84i #& #iri -ari +i+i# +&nga4 #&-$a Kri(+a ilia#a @R  '&r+i8al +&ga# l$r$( #a(&+ Kri+&ria Ra-iogra  (&l$r$4 #olon> l&#($ra 4&,a+i8a (&-i#i+ ($,&r,o(i(i -i(ban-ing PA> 8olon a(8&n-&n> (ig%oi- -an (&#

%$SOP Bag.Radiologi RSUD Dr.Ferdinand Lumban Tobing


No. R&'i(i

7*7


PROSEDUR

Hala%an

5. Pro&#(i LAO Po(i(i Pa(i&n  +i-$r +&ng#$ra, -ia+a( %&=a ,&%&ri#(aan> +$b$4 -iro+a(i#an #& #iri 35  75 -&ra=a+ +&r4a-a, %&=a> +angan #iri l$r$( -i(a%,ing +$b$4> +angan #anan -i-&,an #&,ala -an #a#i #iri l$r$(> #a#i #anan -i+&#$# Po(i(i Ob=&#  ob&# -ia+$r -ia+a( %&=a> Ba+a( a+a(  Pro8. ;,oi-&$(> Ba+a( ba:a4 Si%,.,$bi( @P  )  2 in84i #& #anan -ari +i+i# +&nga4 #&-$a Kri(+a ilia#a @R  '&r+i8al +&ga# l$r$( #a(&+ Kri+&ria Ra-iogra  (&l$r$4 #olon> l&#($ra li&nali( (&-i#i+ ($,&r,o(i(i -iban-ing PA> 8olon a(8&n-&n 0. Pro&#(i La+&ral Po(i(i Pa(i&n  +i-$r %iring -gn MSP (&=a=ar #a(&+> g&n$ (&-i#i+ l&#(i $n+$# i#(a(i Po(i(i Ob=&#  ob&# -ia+$r -ia+a( %&=a> Ba+a( a+a(  Pro8. ;,oi-&$(> Ba+a( Ba:a4 Si%,.,$bi( @P  MSP (&+inggi SIAS @R  '&r+i8al +&ga# l$r$( #a(&+ Kri+&ria Ra-iogra  -a&ra4 r&8+$% -an (ig%oi- +a%,a# =&la(> r&#+o (ig%oi- ,a-a ,&r+&nga4an ra-iogra . Pro&#(i LPO Po(i(i Pa(i&n  ($,in& -ia+a( %&=a ,&%&ri#(aan> +$b$4 -iro+a(i#an #& #iri 35<75 -&ra=a+ +&r4a-a, %&=a> +angan #iri $n+$# ban+alan> +angan #anan %&nilang -i-&,an +$b$4 -an #a#i #iri l$r$(> #a#i #anan -i+&#$# $n+$# i#(a(i Po(i(i Ob=&#  ob&# -ia+$r -ia+a( %&=a> Ba+a( a+a(  Pro8. ;,oi-&$(> Ba+( ba:a4 Si%,.,$bi( @P  )  2 in84i #& #anan -ari +i+i# +&nga4 #&-$a Kri(+a ilia#a @R  '&r+i8al +&ga# l$r$( #a(&+ Kri+&ria Ra-iogra  -a&ra4 (ig%oi-> r&#+o(ig%oi- l&#($ra 4&,a+i8a (&-i#i+ ($,&r,o(i(i -i(ban-ing PA> 8olon a(8&n-&n> (&i#$%.

UNIT TERKAIT



RSU Dr. F.L.TOBING PEMERIKSAAN ATRESIANI


No. Do#$%&n

No. R&'i(i

Hala%an )*3


PENGERTIAN

TUJUAN

Tanggal T&rbi+

-r.H.Ma(ri, Sar$%,a&+ P&%bina NIP  )/05133) 211113 )115 P&%&ri#(aan Ra-iograi #4$($( $n+$# %&li4a+ #&lainan +i-a# a-ana l$bang ,&l&,a(an ,a-a -a&ra4 -$b$ran$(" ang (ia+na ba:aan a+a$ %$n8$l #&%$-ian. M&ng&+a4$i #&lainan $ng(i -an ana+o%i ,a-a -a&ra4 an$( (&8ara #&(&l$r$4an P&%&ri#(aan a+r&(iani -ila#(ana#an (&($ai -&ngan ,ro(&-$r

KEBIJAKAN

PROSEDUR

). Pro&#(i !ang&(+&&n Ri8& a. Pro&#(i AP Un+$# %&li4a+ a-a +i-a#na a+r&(ia ani -an $n+$# %&li4a+ b&ra+na -i(+&n(i a+a$ ,&r&gangan $($(. Po(i(i Pa(i&n  Pa(i&n -i,o(i(i#an -ala% #&a-aan in'&r(&  #&,ala -i ba:a4> #a#i -i a+a(" -i -&,an -&+&#+or ang +&la4 -i (ia,#an. K&-$a +$ng#ai -il&#(i#an /1 +&r4a-a, ba-an $n+$# %&ng4in-ari ($,&r,o(i(i an+ara +ro#an+&r %aor ,a4a -&ngan i(84ii. MSP +$b$4 +&ga# l$r$( +&r4a-a, -&+&#+or. Po(i(i Ob=&#  Ob&# -ia+$r (&4ingga -a&ra4 ab-o%&n bagian -i(+al %a($# -ala% -&+&#+or> Pa-a -a&ra4 an$( -i ,a(ang %ar#&r. @R Hori(on+al -an +&ga# l$r$( +&r4a-a, -&+&#+or. @P P&r+&nga4an gari( ang %&ng4$b$ng#an #&-$a +ro#4an+&r %aor. FFD /18% E#(,o(i -ila#$#an ,a-a (aa+ ,a(i&n +i-a# b&rg&ra#. b. Po(i(i La+&ral Un+$# %&li4a+ #&+inggian a+r&(ia ani. Po(i(i Pa(i&n  Pa(i&n -i,o(i(i#an -ala% #&a-aan in'&r(&  #&,ala -i ba:a4> #a#i -i a+a(" -&ngan (ala4 (a+$ (i(i +$b$4 bagian #iri a+a$ #anan %&n&%,&l -&+&#+or. K&-$a ,a4a -i +&#$# (&%a#(i%al %$ng#in #& ara4 ,&r$+ agar baangan $-ara ,a-a ra-iogra +i-a# +&r+$+$, ol&4 ga%baran ,a4a. MSP %i- (agi+al ,lan&" +$b$4 (&=a=ar +&r4a-a, gari( ,&r+&nga4an il%> M@P %i8oronal ,lan&" +$b$4 -ia+$r +&ga# l$r$( +&r4a-a, il%. Po(i(i Ob=&#  Ob&# -ia+$r (&4ingga -a&ra4 ab-o%&n bagian -i(+al %a($# -ala% il%. Pa-a -a&ra4 an$( -i ,a(ang %ar#&r. @R Hori(on+al -an +&ga# l$r$( +&r4a-a, -&+&#+or. @P Pa-a +ro#4an+&r %aor. FFD /18% E#(,o(i -ila#$#an ,a-a (aa+ ,a(i&n +i-a# b&rg&ra#.


RSU Dr. F. L.TOBING PEMERIKSAAN ATRESIANI No.Do#$%&n

No. R&'i(i

2*2


PROSEDUR

Hala%an

2. La+&ral Pron& @ro(( Tabl& Al+&rna+i ,&%&ri#(aan in'&r+ogra% ,a-a #a($( a+r&(ia ani $n+$# %&%,&rli4a+#an baangan $-ara -i -ala% 8olon %&n8a,ai ba+a( %a#(i%al +inggi* nai# -i -a&ra4 r&8+$% bagian -i(+al. Po(i(i Pa(i&n  Pa(i&n -i,o(i(i#an ,ron&. Po(i(i Ob=&#  #&-$a ,a4a -i+&#$# 4i, l&#(i"> ang#a+ bagian ,$ngg$ng bai (&4ingga l&+a# ,&l'i( l&bi4 +inggi -an #&,ala*:a=a4 l&bi4 r&n-a4. Ka(&+ ,a-a (ala4 (a+$ (i(i la+&ral -&ngan +ro#4an+&r %aor ,a-a ,&r+&nga4an #a(&+. @P ,a-a +ro84an+&r %aor %&n$=$ ,&r+&nga4an -&+&#+or. @R Hori(on+al> +&ga# l$r$( il% +&r4a-a, -&+&#+or FFD /1 8% E#(,o(& -ila#$#an (aa+ bai +i-a# b&rg&ra#. K&$n+$ngan ,o(i(i ini  < Po(i(i l&bi4 %$-a4. < !a#+$ $n+$# %&%,o(i(i#an l&bi4 (ing#a+. < Pa(i&n l&bi4 +&nang -an na%an. < U-ara ,a-a r&8+$% +a%,a# nai# -an l&bi4 +inggi (&4ingga ,o(i(i ini l&bi4 bai#.

UNIT TERKAIT



SOP TR 2

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