Panduan Privasi Pasien

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}}\par}{\phpg\posx1699\pvpg\posy1433\absw8943\absh4903 \f10 \fs21 \cf0 \fi427
\f10 \fs21 \cf0 kondisi kesehatannya. Sebagai pelindung atau proteksi
keamanan bagi
\par}{\phpg\posx1699\pvpg\posy1433\absw8943\absh4903 \sl-319 \f10 \fs21 \cf0 \fi427
petugas rekam medis dan informasi tentang pasien.
\par}{\phpg\posx1699\pvpg\posy1433\absw8943\absh4903 \sl-367 \par\f10 \fs21 \cf0
{\b C.}{\b Pengertian }
Informasi tentang identitas, diagnosa, riwayat penyakit, dan
riwayat
pengobatan pasien harus dijaga kerahasiaannya oleh dokter, dokter gigi,
tenaga kesehatan tertentu, petugas kesehatan pengelola dan pimpinan
sarana pelayanan kesehatan. Seluruh informasi tentang pengobatan,
perawatan, kegiatan lainnya harus dijaga kerahasiannya seperti yang berlaku
pada data rekam medis.
\par}{\phpg\posx1699\pvpg\posy1433\absw8943\absh4903 \sl-317 \par\f10 \fs21 \cf0
\fi427 Kerahasiannya tentang pasien wajib dijaga oleh seluruh tenaga
kesehatan
dan mereka yang sedang di dalam pendidikan disarana kesehatan.
a. Privacy adalah menghormati hak privacy pasien.
b. Confidentiality adalah kesetiaannya untuk selalu melindungi hak privacy
pasien dan kerahasiaannya.
c. Veracity adalah menjunjung tinggi kebenaran dan kejujuran. \par
}
{\phpg\posx10236\pvpg\posy15497\absw110\absh189 \f10 \fs16 \cf0 \f10 \fs16 \cf0
2 \par
}
PANDUAN PERLINDUNGAN PRIVASI PASIEN RV. 00 \par
}
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14514005145140051451400514514005145140051451400514514005145140051451400514514005145
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05145140051451400514514005145140051451400514514005145140051451400514514005145140051
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40051451400514514005145140051451400514514005145140051451400514514005145140051451400
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}}\par}{\phpg\posx5150\pvpg\posy1429\absw1878\absh528 \b \f10 \fs21 \cf0 \fi580
\b \f10 \fs21 \cf0 BAB II
\par}{\phpg\posx5150\pvpg\posy1429\absw1878\absh528 \sl-319 \b \f10 \fs21 \cf0 TATA
LAKSANA \par
}
{\phpg\posx1699\pvpg\posy3016\absw8944\absh9952 \b \f10 \fs21 \cf0 \b \f10 \fs21
\cf0 A. Rekam Medis
\fi427 {\b0 1.}{\b0 Pengambilan}{\b0 dokumen}{\b0 rekam}{\b0 medis}{\b0
dari}{\b0 tempat}{\b0 penyimpanan}{\b0 hanya }
\fi787 {\b0 dapat}{\b0 dilakukan}{\b0 oleh}{\b0 petugas}{\b0 rekam}{\b0 medis.
}
\fi427 {\b0 2.}{\b0 Peminjaman}{\b0 dokumen}{\b0 rekam}{\b0 medis}{\b0 oleh}
{\b0 petugas}{\b0 medis}{\b0 di}{\b0 dalam}{\b0 rumah }
\fi787 {\b0 sakit}{\b0 harus}{\b0 disertai}{\b0 formulir}{\b0
peminjaman}{\b0 yang}{\b0 ditandatangani}{\b0 oleh }
\fi787 {\b0 peminjam}{\b0 atau}{\b0 pengambil}{\b0 serta}{\b0 petugas}{\b0
rekam}{\b0 medis}{\b0 yang}{\b0 menyerahkan }
\fi787 {\b0 dokumen. }
\fi427 {\b0 3.}{\b0 Peminjaman}{\b0 dokumen}{\b0 rekam}{\b0 medis}{\b0
oleh}{\b0 petugas}{\b0 medis}{\b0 di}{\b0 luar}{\b0 rumah }
\fi787 {\b0 sakit}{\b0 serta}{\b0 mahasiswa}{\b0 harus}{\b0 mengajukan}{\b0
permohonan}{\b0 tertulis}{\b0 kepada }
\fi787 {\b0 Direktur}{\b0 RSUD}{\b0 A.M}{\b0 Parikesit. }
\fi427 {\b0 4.}{\b0 Peminjaman}{\b0 dokumen}{\b0 rekam}{\b0 medis}{\b0
oleh}{\b0 instansi}{\b0 di}{\b0 luar}{\b0 rumah}{\b0 sakit }
\fi787 {\b0 (pengadilan}{\b0 atau}{\b0 kepolisian)}{\b0 harus}{\b0 disertai}
{\b0 pengajuan}{\b0 tertulis}{\b0 oleh}{\b0 instansi }
\fi787 {\b0 bersangkutan}{\b0 kepada}{\b0 Direktur}{\b0 dan}{\b0 penyerahannya}
{\b0 disertai}{\b0 berita}{\b0 acara. }
\fi427 {\b0 5.}{\b0 Permintaan}{\b0 salinan}{\b0 atau}{\b0 foto}{\b0 copy}
{\b0 isi}{\b0 dokumen}{\b0 rekam}{\b0 medis}{\b0 oleh}{\b0 pasien }
\fi787 {\b0 atau}{\b0 keluarganya}{\b0 harus}{\b0 disertai}{\b0 pengajuan}
{\b0 tertulis}{\b0 kepada}{\b0 Direktur}{\b0 serta }
\fi787 {\b0 menandatangani}{\b0 pernyataan}{\b0 kerahasiaan}{\b0 isi}
{\b0 rekam}{\b0 medis}{\b0 dan }
\fi787 {\b0 penyerahannya}{\b0 disertai}{\b0 berita}{\b0 acara. }
\fi427 {\b0 6.}{\b0 Setiap}{\b0 lambar}{\b0 hasil}{\b0 foto}{\b0 copy}
{\b0 dokumen}{\b0 rekam}{\b0 medis}{\b0 yang}{\b0 diberikan }
\fi787 {\b0 kepada}{\b0 pihak}{\b0 luar}{\b0 harus}{\b0 ditandatangani}{\b0
oleh}{\b0 pejabat}{\b0 yang}{\b0 membawahi }
\fi787 {\b0 Instansi}{\b0 Rekam}{\b0 Medis}{\b0 atau}{\b0 Kepala}{\b0
Seksi}{\b0 Penunjang}{\b0 Medis}{\b0 dan}{\b0 diberi }
\fi787 {\b0 stempel}{\b0 rumah}{\b0 sakit. }
\fi427 {\b0 7.}{\b0 Orang}{\b0 tua}{\b0 baru}{\b0 anak}{\b0 adopsi}{\b0
menerima}{\b0 hak}{\b0 sebagai}{\b0 orang}{\b0 tua}{\b0 asli}{\b0 berhak }
\fi787 {\b0 untuk}{\b0 memeriksa}{\b0 dokumen}{\b0 rekam}{\b0 medis}{\b0 anak}
{\b0 angkatnya}{\b0 hingga}{\b0 dewasa, }
\fi787 {\b0 kecuali}{\b0 dokumen}{\b0 rekam}{\b0 medis}{\b0 masa}{\b0 lampau}
{\b0 yang}{\b0 berkaitan}{\b0 dengan}{\b0 orang }
\fi787 {\b0 tua}{\b0 aslinya. }
\fi427 {\b0 8.}{\b0 Penyimpanan}{\b0 data}{\b0 rekam}{\b0 medis}{\b0
dilakukan}{\b0 secara}{\b0 sentralisasi}{\b0 di}{\b0 Instalasi }
\fi787 {\b0 Rekam}{\b0 Medis}{\b0 disimpan}{\b0 dalam}{\b0 lemari}{\b0
terkunci. }
\fi427 {\b0 9.}{\b0 Terkait}{\b0 keamanan}{\b0 dokumen}{\b0 rekam}
{\b0 medis}{\b0 selain}{\b0 petugas}{\b0 tidak }
\fi787 {\b0 diperkenankan}{\b0 masuk}{\b0 ke}{\b0 ruang}{\b0 penyimpanan}{\b0
dokumen}{\b0 rekam}{\b0 medis }
\fi427 {\b0 10.}{\b0 Melakukan}{\b0 sumpah}{\b0 untuk}{\b0 petugas}{\b0
rekam}{\b0 medis}{\b0 yang}{\b0 belum}{\b0 menempuh }
\fi787 {\b0 pendidikan}{\b0 D3}{\b0 Rekam}{\b0 Medis,}{\b0 sedangkan}{\b0
untuk}{\b0 mahasiswa}{\b0 melakukan }
\fi787 {\b0 konfirmasi}{\b0 dengan}{\b0 pihak}{\b0 institusi}{\b0 pendidikan}
{\b0 untuk}{\b0 sumpah}{\b0 profesinya. }
\fi427 {\b0 11.}{\b0 Akses}{\b0 informasi}{\b0 rekam}{\b0 medis}{\b0 hanya}
{\b0 diperbolehkan}{\b0 kepada}{\b0 orang}{\b0 yang }
\fi787 {\b0 berhubungan}{\b0 langsung}{\b0 dengan}{\b0 pelayanan}{\b0
pasien}{\b0 serta}{\b0 dokter,}{\b0 perawat, }
\fi787 {\b0 tenaga}{\b0 kesehatan}{\b0 lain. }\par
}
3 \par
}
}
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1010101010101010101010101010101010101010101010101010101010101010101ffc0001108034a02
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14514005145140051451400514514005145140051451400514514005145140051451400514514005145
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145140051451400514514005145140051451401fffd9
}}\par}{\phpg\posx1699\pvpg\posy1429\absw8982\absh5670 \b \f10 \fs21 \cf0 \b
\f10 \fs21 \cf0 B. Pelayanan Privasi Pasien
\fi427 {\b0 a.}{\b0 Tidak}{\b0 memasang}{\b0 papan}{\b0 nama}{\b0 pasien}{\b0
disetiap}{\b0 instalasi}{\b0 rawat}{\b0 inap. }
\fi427 {\b0 b.}{\b0 Perawat}{\b0 melakukan}{\b0 serah}{\b0 terima}{\b0
dinas}{\b0 di}{\b0 kantor}{\b0 perawat}{\b0 dan}{\b0 pada}{\b0 saat }
\fi787 {\b0 keliling}{\b0 ruangan}{\b0 bersifat}{\b0 konfirmasi}{\b0 kepada}
{\b0 pasien. }
\fi427 {\b0 c.}{\b0 Perawat}{\b0 rawat}{\b0 inap}{\b0 menyimpan}{\b0 data}
{\b0 rekam}{\b0 medis}{\b0 (status}{\b0 pasien)}{\b0 di}{\b0 lemari }
\fi787 {\b0 atau}{\b0 laci}{\b0 yang}{\b0 aman. }
\fi427 {\b0 d.}{\b0 Pasa}{\b0 saat}{\b0 dokter}{\b0 visite}{\b0 dan}{\b0
melakukan}{\b0 pemeriksaan}{\b0 fisik}{\b0 tetap}{\b0 menjaga }
\fi787 {\b0 privasi}{\b0 pasien}{\b0 dengan}{\b0 : }
\fi787 {\b0 1)}{\b0 Meminta}{\b0 penunggu}{\b0 pasien}{\b0 atau}{\b0 orang}
{\b0 yang}{\b0 sedang}{\b0 berkunjung}{\b0 untuk }
\fi1147 {\b0 keluar}{\b0 sebentar}{\b0 karena}{\b0 dokter}{\b0 akan}{\b0
memeriksa}{\b0 pasien; }
\fi787 {\b0 2)}{\b0 Menutup}{\b0 horden}{\b0 atau}{\b0 penyekat}{\b0
kamar;dan }
\fi787 {\b0 3)}{\b0 Meminta}{\b0 ijin}{\b0 kepada}{\b0 pasien}{\b0 untuk}
{\b0 melakukan}{\b0 pemeriksaan}{\b0 fisik}{\b0 dan }
\fi1147 {\b0 memakaikan}{\b0 selimut. }
\fi427 {\b0 e.}{\b0 Menyediakan}{\b0 tempat}{\b0 atau}{\b0 ruangan}{\b0
untuk}{\b0 konsultasi}{\b0 antara}{\b0 pasien}{\b0 atau }
\fi787 {\b0 keluarga}{\b0 dengan}{\b0 dokter}{\b0 (di}{\b0 ruang}{\b0
konsultasi}{\b0 dokter,}{\b0 ruangan}{\b0 kepala }
\fi787 {\b0 ruangan). }
\fi427 {\b0 f.}{\b0 Rumah}{\b0 Sakit}{\b0 menghormati}{\b0 hak}{\b0
pasien}{\b0 atau}{\b0 keluarga}{\b0 untuk}{\b0 tidak}{\b0 mau }
\fi787 {\b0 dikunjungi}{\b0 karena}{\b0 alasan}{\b0 kesehatan}{\b0 pasien,}{\b0
dengan}{\b0 memberikan}{\b0 tulisan}{\b0 di }
\fi787 {\b0 pintu}{\b0 masuk}{\b0 kamar}{\b0 pasien}{\b0 bertuliskan}{\b0
"Mohon}{\b0 maaf}{\b0 demi}{\b0 kesembuhan }
\fi787 {\b0 pasien,}{\b0 untuk}{\b0 sementara}{\b0 pasien}{\b0 tidak}
{\b0 dapat}{\b0 menerima}{\b0 tamu}{\b0 atau }\par
}
pengunjung". Dilengkapi dengan pengisian
\par}{\phpg\posx2487\pvpg\posy7778\absw5529\absh528 \sl-319 \f10 \fs21 \cf0
pembatasan pengunjung. \par
}
formulir \par
}
permintaan \par
}
{\phpg\posx1699\pvpg\posy8414\absw8938\absh6745 \f10 \fs21 \cf0 \fi427 \f10
\fs21 \cf0 g. Bila ada yang menanyakan tentang kondisi kesehatan pasien
melalui
telepon selain keluarga, petugas ruangan tidak diperkenankan
memberikan informasi tanpa seijin pasien atau keluarga.
h. Dokter dan perawat di RSUD A.M Parikesit wajib menjaga kerahasiaan
informasi kesehatan pasien, informasi hanya diberikan kepada keluarga
terdekat dan seijin pasien.
i. Pada saat pasien akan dikirim keluar ruangan atau unit, pasien dipakaikan
selimut.
j. Jika pasien masih dalam kondisi sadar dan berkompeten untuk mengambil
keputusan, pasien wajib mengisi formulir pelepasan informasi (hak
perwalian mendapatkan informasi kesehatan pasien selama di rumah
sakit) baik rawat jalan maupun rawat inap.
k. Melakukan pembatasan jam berkunjung.
l. Untuk pasien dengan kondisi terminal atau gaduh gelisah bila ada kamar
kosong dipindahkan ke kamar tersebut, bila tidak ada, diberitahukan
kepada keluarga pasien yang lain untuk menjaga 1 (satu) orang saja yang
ada di dalam ruangan.
m. Bila ada telusur kasus seperti untuk kepentingan akreditasi atau penelitian,
wajib meminta ijin kepada pasien untuk kesediaanya ditelusur. Pihak yang
berkepentingan membuat pernyataan secara tertulis untuk menjaga
kerahasiaan data rekam medis pasien.
\par}{\phpg\posx1699\pvpg\posy8414\absw8938\absh6745 \sl-230 \par\par\f10 \fs21
\cf0 \fi8536 {\fs16 4 }
\par}{\phpg\posx1699\pvpg\posy8414\absw8938\absh6745 \sl-195 \f10 \fs21 \cf0 {\fs16
PANDUAN}{\fs16 PERLINDUNGAN}{\fs16 PRIVASI}{\fs16 PASIEN}{\fs16 RV.}{\fs16
00 }\par
}
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0028a28a0028a28a0028a28a0028a28a0028a28
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}}\par}{\phpg\posx2126\pvpg\posy1433\absw8520\absh3097 \f10 \fs21 \cf0 \f10
\fs21 \cf0 n. Peliputan oleh media cetak maupun elektronik harus
mengajukan
permohonan kepada Direktur rumah sakit secara tertulis dan harus
mendapat ijin dari pasien. Pasien wajib mengisi formulir pelepasan
informasi kepada media tersebut, dengan demikian rumah sakit tidak
bertanggungjawab terhadap kerahasiaan data rekam medis pasien.
\par}{\phpg\posx2126\pvpg\posy1433\absw8520\absh3097 \sl-315 \f10 \fs21 \cf0 o.
Apabila dijumpai ada peliputan wartawan di area rumah sakit, termasuk
pada saat jam berkunjung di Instalasi Rawat Intensif maka perawat atau
satuan pengamanan berwenang menanyakan ijin dari Direktur rumah sakit
dan ijin dari pasien, apabila tidak ada ijin dari keduanya, petugas rumah
sakit wajib melarang dan menghentikan peliputan serta meminta wartawan
meninggalkan rumah sakit. \par
}
5 \par
}
}
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010101010101ffdb0043010101010101010101010101010101010101010101010101010101010101010
1010101010101010101010101010101010101010101010101010101010101010101ffc0001108034a02
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0102030405060708090a0bffc400b511000201020404030407050404000102770001020311040521310
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0028a28a0028a28a0028a28a0028a28a0028a28
37ba6ea305cd9dd44eac55a39e1911949054824
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51400514514005145140051451400514514005145140051451400514514005145140051451400514514
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14514005145140051451400514514005145140051451400514514005145140051451400514514005145
14005145140051451400514514005145140051451400514514005145140051451400514514005145140
05145140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514514
00514514005145140051451400514514005145140051451400514514005145140051451400514514005
145140051451400514514005145140051451401fffd9
\b \f10 \fs21 \cf0 BAB III
DOKUMENTASI \par
}
{\phpg\posx1699\pvpg\posy3020\absw8955\absh5095 \f10 \fs21 \cf0 \f10 \fs21 \cf0 1.
Pencatatan dan pelaporan dilakukan oleh seluruh penyelenggara RSUD A.M
Parikesit dengan menggunakan format yang sudah disediakan oleh Rekam
Medis.
\par}{\phpg\posx1699\pvpg\posy3020\absw8955\absh5095 \sl-315 \f10 \fs21 \cf0 2.
Seluruh permintaan dokumen pasien untuk keperluan asuransi, pendidikan
dengan menggunakan format permintaan dokumen yang ditujukan kepada
Direktur RSUD A.M Parikesit.
Seluruh isian dokumen rekam medis disimpan di Instalasi Rekam Medis dan
diserahkan dalam waktu 2 x 24 jam bila memungkinkan.
Apabila permintaan dokumen rekam medis dilakukan oleh orang yang bukan
merupakan keluarga dekat atau wali pasien maka harus menggunakan Surat
Kuasa.
Dokter menjelaskan tentang informasi kesehatan pasien kepada keluarga
dekat atau wali dan dilakukan pencatatan di L-RM 03.
Bukti bahwa rumah sakit melindungi privasi pasien didokumentasikan dalam
formulir perlindungan privasi.
Atas seijin pasien informasi kesehatan hanya diberikan kepada orang yang
telah ditunjuk oleh pasien, didokumentasikan dalam formulir pelepasan
informasi. \par
}
6 \par
}
}
ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101010
10101010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101ffdb0043010101010101010101010101010101010101010101010101010101010101010
1010101010101010101010101010101010101010101010101010101010101010101ffc0001108034a02
5303012200021101031101ffc4001f00000105010101010101000000000000000001020304050607080
90a0bffc400b5100002010303020403050504040000017d010203000411051221314106135161072271
14328191a1082342b1c11552d1f02433627282090a161718191a25262728292a3435363738393a43444
5464748494a535455565758595a636465666768696a737475767778797a838485868788898a92939495
0102030405060708090a0bffc400b511000201020404030407050404000102770001020311040521310
61241510761711322328108144291a1b1c109233352f0156272d10a162434e125f11718191a26272829
2a35363738393a434445464748494a535455565758595a636465666768696a737475767778797a82838
0028a28a0028a28a0028a28a0028a28a0028a28
37ba6ea305cd9dd44eac55a39e1911949054824
a315e918a497c9051451545051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514514
00514514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005145
14005145140051451400514514005145140051451400514514005145140051451400514514005145140
05145140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514514
00514514005145140051451400514514005145140051451400514514005145140051451400514514005
145140051451400514514005145140051451401fffd9
\b \f10 \fs21 \cf0 BAB IV
PENUTUP \par
}
Dengan ditetapkannya Panduan Pelayanan Privasi Pasien maka setiap
penyelenggara pelayanan kesehatan yang terdiri dari tenaga medis, mahasiswa
praktik di RSUD A.M Parikesit dapat menjaga privasi, kerahasiaan informasi

kesehatan pasien dengan sebaik-baiknya, serta dapat menghormati hak pasien
terhadap privasinya. \par
}
7 \par
}
}
}

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