PEMERINTAH KABUPATEN PANDEGLANG

DINAS KESEHATAN
UPT PUSKESMAS CISATA
Jl. Raya Labuan Km. 24 Cisata – Pandeglang 42273 email : puskesmas.cisata@gmail.com

FORM ANALISIS INFECTION CONTROL RISK ASSESMENT (ICRA) TERKAIT PAPARAN COVID 19

DI UPT PUSKESMAS CISATA

HARI/TANGGAL :

UNIT LAYANAN :

Probability/Frekuensi Risk/Impact Current System/Preparedness Score

(Health,Financial,Legal,Regulatory
Potensial Risks/Problem 4 3 2 1 0 5 4 3 2 1 5 4 3 2 1

Loss of life

Prolonged
Length of

Moderate
Expect it

Minimal/
Clinical

Clinical
Maybe

Serios
Never
likely

None
Loss
Rare

stay
Kurangnya kewaspadaan
transmisi lewat kontak
Resusitasi kardiopulmuner
( CPR )

Tertusuk jarum v v v 12

Terpapar specimen v v v 2
berbahaya ( darah,dan cairan
tubuh lain )
Limbah v v v 2
infeksius,penanganan limbah
yang tidak benar