Puskesmas Gondokusuman 1 y y y y y y y y y y y y y y y y y y y y y y y y y y y y y Jumlah anggota 44 org Kader melebihi 800 anggota Kader: trained volunteer and without being

paid. Posyandu: Monitor the development of babies the age of 5 years old LANSIA: lanjut usia >60thn Special treatment for LANSIA: fast, careful and meticulous Pralansia: 49 to 59 years old 5 polyclinic : umum, KIA, psychology, gigi, lansia Obat(pharmacy), lab and registration and administration Pelayanan diutamakan Money matter: in and out of money must be reported to the government everyday 35% : maintenance, 35%: pelayanan, 30%: UKBM (Upaya Kesehatan berbasis Masyarakat) JAMKESMAS : insurance for the poor people JAMKESMAS > JANKESOS & JANKESDA (if JAMKESMAS cant affort to fulfill the need of poor people, they will be sent under JANKESOS and JANKESDA) Contagious disease: first, fill in the form. Secondly, track down all the infected ppl. Third, report to DINAS KESEHATAN Ada dua PUSTU Always use ICD 10 as disease identification and classification Nil ISO bt uses SOP (STD Operating process) Uses FIFO for meds, return meds that has one month before expiring to DINAS Price for lansia cheapest, price for jogja ppl are subsided by the government therefore they pay less than the original fees, non jogja ppl pays the original price for each meds and tests Lower ground for patient, and first floor for the workers First floor: ruang control, r. karyawan, r. admin, r.gudang Dinas send meds once a month No x ray service 120 to 170 ppl per day, sat and mon ppl gradually increased, sun is closed Lab: blood test, stool and urine test..have spectrophotometer KIA: every Tuesday immunization, have tests pap smear and IUD If no doctor due to emergency leave, the clinic will be under the nurse care HOMECARE: paid service by the ppl for the medical team to visit their hse due to inability to visit the puskesmas. However, they pay the same amount compared to the ppl who visited the puskesmas PHN( perawatan kesehatan masyarakat), visit is done by the med team, volunteering and own initiative basis, there is a visit in the area if there is an contagious disease outbreak there or just to ensure the ventilation of the area and also the health condition of the ppl there No specialist in this puskesmas Patients dissatisfaction due to long hours of waiting for the lab results to be released

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Psychology counseling by one doctor every 3 times a week Have smoking cessation clinic Every meds prescribed noted down and there will be a table include the meds in/out/expire and will be reported to the DINAS every month medical record with four columns anamnesis, Dx, therapy and B/K/L BARU/LAMA/K-don t know Own an ambulance bt seldom rcve emergency cases and they have R. UGD In LANSIA, has two doctors. Same goes to all the ruang They have washroom Patients after injection throw the alcohol swabs irresponsibly eg in the flower pot need close monitoring about hygiene frm the management of the puskesmas has a list of price of all the tests and meds Has a small hacker selling food and drinks Small parking area- not enough Outside well maintained, inside well lit and has proper chairs for the patient ADMIN y They have one book to record all the visits done by the patients y Patients own a kartu pengobatan, each time they visit the doc they must bring along the card y Kartu giliran, blue: lansia, pink: umum and blue: gigi y Ada kartu rawat jalan that is the medical record, y First time patient use their KTP to register *will send you the photo of alur perjlnana pelayanan