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CAR No: 1 of 2
Category:
Area/Department/Process: KB
Major
Minor
Organization does not always ensure that work environment conform the requirements with evidence
Implant & IUD consumables that require below 25 C storage were found in KB room without AC and
temperature monitoring
Auditor: KUA
ACTION PLAN (to eliminate the cause of non-conformity in order to prevent recurrence):
Menyimpan (menitipkan) peralatan dan bahan yang membutuhkan suhu dibawah 25 C (contohnya
Implant dan IUD) di Gudang Obat Puskesmas Turi yang telah dilengkapi AC (disetel pada suhu dibawah
25 C ) dan thermometer ruangan, kemudian mencatatnya di dalam buku bantu penitipan alat dan bahan.
Organization Representative:
Date:
Auditor:
Date:
Response required:
Major
Job n: ID/JKT-3064
CONFIDENTIAL
Report date:
Document:
12/07/2013
GS0401_I
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Minor
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CAR No: 2 of 2
Category:
Area/Department/Process: KIA
Major
Minor
KIA service provision was not always carried out under controlled condition with example ANC patient Ms.
Mitra; MR #112050; visit date 3-7-13; Hb 10.6; was not recorded on risk pregnancy monitoring book and
identified with green marker.
Auditor: KUA
ACTION PLAN (to eliminate the cause of non-conformity in order to prevent recurrence):
1. Menempel PROTAP Kriteria Ibu Hamil Resiko Tinggi di dinding ruang KIA-ANC. Protap tersebut
berisi antara lain: kriteria ibu hamil faktor resiko dan resiko tinggi, serta prosedur penandaan pada
rekam medis dengan warna dan prosedur pencatatan dalam buku Register Resiko Tinggi (RISTI)
Ibu Hamil
2. Mensosialisasikan kembali PROTAP Kriteria Ibu Hamil Resiko Tinggi pada seluruh Bidan
Puskesmas Turi
3. Melakukan pencatatan dalam buku Register Resiko Tinggi (RISTI) Ibu Hamil dan penandaan
rekam medis ibu hamil faktor resiko dan resiko tinggi sesuai prosedur
Organization Representative:
Date:
Auditor:
Date:
Response required:
Major
Job n: ID/JKT-3064
CONFIDENTIAL
Report date:
Document:
12/07/2013
GS0401_I
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Minor
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