Infection Prevention & Control Risk and Hazard Vulnerability Assessment

SEVERITY = (MAGNITUDE - MITIGATION)

Dampak Dampak Dampak Respon Respon
Frekuensi Kesiapan Risiko
Manusia Properti Bisnis Interna Eksternal

EVENT Tahap
Kerjasama
Keseringan Kemungkinan Kerusakan fisik Mengganggu Waktu, dengan pihak
persiapan & Ancaman
terjadi Cidera & kehilangan pelayanan Efektifitas eksternal,
Pencegahan
supply
0 = N/A 0 = N/A
0 = N/A 0 = N/A 0 = N/A 0 = N/A 0 = N/A
1= 1= 1= 1= 1=
1 = Low 1 = Low
Low Low Low Low Low
RISIKO 2= 2= 2= 2= 2= 0 - 100%
2 = Moderate 2 = Moderate
Moderate Moderate Moderate Moderate Moderate
3= 3 = High
3 = High 3 = High 3 = High 3 = High 3 = High
High
Asesmen Pencegahan &
Pengendalian Infeksi
-. IADP
-. VAP
-. ISK
- Operasi Implant
-. Pemasangan drain tube -
sementara
-. Operasi amputasi
- Shunting
Resistensi Mikroba
- MRSA
- VRE
- ESBL
- Clostridium difficile 0%
- other 0%
Infeksi Luka Operasi
- Superficial 0%
-. Dalam 0%
-. Rongga 0%
Infeksi Luar
-. Transmisi Pasien-Pasien 0%
-. Transmisi pekerja-pasien 0%
-. Transmisi pengunjung - Pasien 0%
- Foodborne / Waterborne 0%
- Vectorborne / Vermin 0%
- Airborne Environmental Source 0%
- Waterborne / Aerosol Source 0%
- Surface / Immediate Environment 0%
- Contaminated Instrument/Equip 0%
- Contaminated Med / Product 0%
- Other 0%
Populasi Khusus
-. Neonatus 0%
-. Lansia (> 65 th) 0%
-. Anak 0%
-. Transplantasi 0%
 Dampak Dampak Dampak Respon Respon
Frekuensi Kesiapan Risiko
Manusia Properti Bisnis Interna Eksternal

EVENT Tahap
Kerjasama
Keseringan Kemungkinan Kerusakan fisik Mengganggu Waktu, dengan pihak
persiapan & Ancaman
terjadi Cidera & kehilangan pelayanan Efektifitas eksternal,
Pencegahan
supply
0 = N/A 0 = N/A
0 = N/A 0 = N/A 0 = N/A 0 = N/A 0 = N/A
1= 1= 1= 1= 1=
1 = Low 1 = Low
Low Low Low Low Low
RISIKO 2= 2= 2= 2= 2= 0 - 100%
2 = Moderate 2 = Moderate
Moderate Moderate Moderate Moderate Moderate
3= 3 = High
3 = High 3 = High 3 = High 3 = High 3 = High
High
-. Penyakit Kronis 0%
- HIV 0%
- Other immunocompromised 0%
- Behavioral / IVDA 0%
- Other not specified above 0%
Kesehatan Kerja
- Paparan Bakteri Darah 0%
-. Paparan TB 0%
-. Penyakit vaksin 0%
-. Penyakit tidak menular 0%
- Other not specified above 0%
Bangunan
-. Pencemaran air 0%
-. Renovasi 0%
-. Kehilangan barang 0%
-. Kapasitas Operasi 0%
- Other not specified above 0%
Komunikasi
-. Bio-teroris 0%
-. Internal outbreak 0%
- External outbreak 0%
- Epidemic/Pandemic 0%
AVERAGE SCORE 0%
RISK = PROBABILITY * SEVERITY *Threat increases with percenta