SEKOLAH TINGGI ILMU KESEHATAN (STIKes) MITRA HUSADA MEDAN

PRODI KEBIDANAN PROGRAM SARJANA

STANDARD OPERASIONAL PROSEDUR

PEMASANGAN ALAT KONTRASEPSI BAWAH KULIT (AKBK)
No. Dokumen Halaman Tgl Berlaku Revisi
FM-PM-I.IV.Pd2-05/35-09-1 1 dari 3 18 Oktober 2017 00

Nama Mahasiswa : Hari/ Tanggal :

NPM : Tahun Ajaran :
Ujian : Diagnostik Test Angkatan :

Jawablah Sesuai Dengan Standar Operasional Prosedur (SOP)

1.Pengertian Kontrasepsi
Implant : ...................................................................................................................................................................................
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2. Cara Kerja Kontrasepsi Implant :
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3. Keuntungan Kontrasepsi
Implant : ...................................................................................................................................................................................
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4. EfekSamping Pemasangan Implant :
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5. Indikasi dan KontraIndikasi Pemasangan Implant :
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A. Persiapan Alat
1. …………………………………………………………………………………………………………………….......
2. …………………………………………………………………………………………………………………….......
3. …………………………………………………………………………………………………………………….......
4. ………………………………………………………………………………………………………………………...
a. ………………………………………… e. …………………………………………
b. ………………………………………… f. …………………………………………
c. ………………………………………… g. …………………………………………
d. …………………………………………
5. …………………………………………………………………………………………………………………….......
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9. …………………………………………………………………………………………………………………….......
10. …………………………………………………………………………………………………………………….......
11. …………………………………………………………………………………………………………………….......
12. …………………………………………………………………………………………………………………….......

B. Persiapan Pasien
1. ……………………………………………………………………………………………………………………........
2. ……………………………………………………………………………………………………………………........
3. ……………………………………………………………………………………………………………………........
4. ……………………………………………………………………………………………………………………........

C. Tindakan Pra Pemasangan Implant

1. ……………………………………………………………………………………………………………………........
2. ……………………………………………………………………………………………………………………........
 SEKOLAH TINGGI ILMU KESEHATAN (STIKes) MITRA HUSADA MEDAN
PRODI KEBIDANAN PROGRAM SARJANA

STANDARD OPERASIONAL PROSEDUR

PEMASANGAN ALAT KONTRASEPSI BAWAH KULIT (AKBK)
No. Dokumen Halaman Tgl Berlaku Revisi
FM-PM-I.IV.Pd2-05/35-09-1 2 dari 3 18 Oktober 2017 00

3. ……………………………………………………………………………………………………………………........
4. ……………………………………………………………………………………………………………………........
5. ……………………………………………………………………………………………………………………........
6. ……………………………………………………………………………………………………………………........
7. ……………………………………………………………………………………………………………………........
8. ……………………………………………………………………………………………………………………........
D. Pemasangan Implant
1.……………………………………………………………………………………………………………………........
2.……………………………………………………………………………………………………………………........
3.……………………………………………………………………………………………………………………........
4.……………………………………………………………………………………………………………………........
5.……………………………………………………………………………………………………………………........
6.……………………………………………………………………………………………………………………........
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8.……………………………………………………………………………………………………………………........
9.……………………………………………………………………………………………………………………........
10. …………………………………………………………………………………………………………………….......
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12. …………………………………………………………………………………………………………………….......
13. …………………………………………………………………………………………………………………….......
14. …………………………………………………………………………………………………………………….......
15. …………………………………………………………………………………………………………………….......
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17. …………………………………………………………………………………………………………………….......
18. …………………………………………………………………………………………………………………….......
19. …………………………………………………………………………………………………………………….......
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23. …………………………………………………………………………………………………………………….......
24. …………………………………………………………………………………………………………………….......
25. …………………………………………………………………………………………………………………….......
26. …………………………………………………………………………………………………………………….......
E. Tindakan Pasca Pemasangan
1. …………………………………………………………………………………………………………………….......
2. …………………………………………………………………………………………………………………….......
3. …………………………………………………………………………………………………………………….......
4. …………………………………………………………………………………………………………………….......
5. …………………………………………………………………………………………………………………….......
F. Pendokumentasian
1. …………………………………………………………………………………………………………………….......
2. …………………………………………………………………………………………………………………….......

Diketahui,
Ka.Prodi Kebidanan
Program Sarjana

Febriana Sari, SST, M.Keb

 SEKOLAH TINGGI ILMU KESEHATAN (STIKes) MITRA HUSADA MEDAN
PRODI KEBIDANAN PROGRAM SARJANA

STANDARD OPERASIONAL PROSEDUR

PEMASANGAN ALAT KONTRASEPSI BAWAH KULIT (AKBK)
No. Dokumen Halaman Tgl Berlaku Revisi
FM-PM-I.IV.Pd2-05/35-09-1 3 dari 3 18 Oktober 2017 00