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Panduan Ketrampilan Klinis Bagi Dokter Di Fasilitas Kesehatan Primer PDF Compressor Free Version IKATAN DOKTER INDONESIA PANDUAN KETRAMPILAN KLINIS BAGI DOKTER DI FASILITAS KESEHATAN PRIMER Pengurus Besar Ikatan Dokter Indonesia PDF Compressor Free Version PANDUAN KETERAMPILAN KLINIS BAGI DOKTER DI FASILITAS PELAYANAN PRIMER EDISI I 2017 Panduan Keterampilan Klinis Bagi Dokter di Fasilitas Pelayanan Primer | PANDUAN KETERAMPILAN KLINIS BAGI DOKTER PDF Compressor Free Version DI FASILITAS PELAYANAN KESEHATAN TINGKAT PERTAMA Pengurus Besar Ikatan Dokter Indonesia. Editor: Tim editor PB IDI Hak Cipta © 2017 Pengurus Besar Ikatan Dokter Indonesia (Indonesian Medical Association) Alamat : Jl. Dr. Sam Ratulangi No. 29 Menteng, Jakarta Pusat, Daerah Khusus Ibukota Jakarta 10350 Telepon : (021) 3150679 Email : [email protected] Website : idionline.org Dilarang memperbanyak sebagian atau seluruh isi buku ini dalam bentuk apapun, baik secara elektronik maupun cetak termasuk memfotokopi, merekam maupun menggunakan teknik lainnya tanpa seizin tertulis dari penerbit. Cetakan I, 2017 ISBN: Pengurus Besar Ikatan Dokter Indonesia ii Panduan Keterampilan Klinis Bagi Dokter di Fasilitas Pelayanan Primer | PDF Compressor Free Version iii PDF Compressor Free Version Panduan Keterampilan Klinis Bagi Dokter di Fasilitas Pelayanan Primer | KataPDF Sambutan Compressor Free Ketua Version Umum Pengurus Besar Ikatan Dokter Indonesia Assalamualaikum Wr Wb, Puji Syukur kami panjatkan kehadirat Tuhan Yang Maha ESa karena buku yang berisi panduan untuk menjadi pedoman dokter untuk melakukan praktik dapat diterbitkan. Buku berjudul “Panduan Keterampilan Klinis Bagi Dokter di Fasilitas Pelayanan Primer” memuat berbagai jenis keterampilan klinis untuk dilaksanakan oleh seluruh dokter di fasilitas pelayanan kesehatan primer dalam upaya kesembuhan pasien dengan menghadirkan pelayanan kedokteran terbaik. Dalam menyelenggarakan praktik kedokteran, dokter berkewajiban mengikuti standar pelayanan kedokteran. Oleh karena itu diperlukan panduan bagi dokter untuk melakukan praktik tersebut. PB IDI memandang perlu untuk menyusun panduan yang merupakan standar playanan dalam meningkatkan mutu pelayanan kesehatan. Penyusunan Buku ini merupakan kerjasama Kementerian Kesehatan RI bersama Pengurus Besar IDI dengan melibatkan pihak pihak yang terkait dengan substansi ketrampilan klinis sesuai dengan keahliannya. Penyusunan buku ini mempertimbangkan acuan yang sebelumnya sudah ada, sehingga sejalan dengan pedoman yang telah diterbitkan oleh masing-masing perhimpunan. Dengan penerbitan buku ini diharapkan maka setiap dokter di fasilitas pelayanan kesehatan primer wajib menjadikan panduan ini sebagai acuan dalam memberikan pelayanan kedokteran kepada masyarakat. Mengingat pesatnya perkembangan dunia kedokteran, kami mengharapkan seluruh pihak dapat bersama sama senantiasa dapat memperbaharui buku panduan ini mengikuti perkembangan ilmu kedokteran. Waasalamualaikum Wr Wb, Ketua Umum, Prof. Dr. Ilham Oetama Marsis, Sp.OG v PDF Compressor Free Version Panduan Keterampilan Klinis Bagi Dokter di Fasilitas Pelayanan Primer | PDF Compressor Free Version vii Panduan Keterampilan Klinis Bagi Dokter di Fasilitas Pelayanan Primer | PDF Compressor Free Version viii Panduan Keterampilan Klinis Bagi Dokter di Fasilitas Pelayanan Primer | PDF Compressor Free Version ix Panduan Keterampilan Klinis Bagi Dokter di Fasilitas Pelayanan Primer | PDF Compressor Free Version x Panduan Keterampilan Klinis Bagi Dokter di Fasilitas Pelayanan Primer | PDF Compressor FreeCATATAN Version PENTING 1. Panduan Keterampilan Klinis bagi Dokter di Fasilitas Pelayanan Kesehatan (Fasyankes) Primer ini memuat berbagai jenis keterampilan klinis untuk dilaksanakan oleh seluruh dokter di fasyankes primer dalam upaya kesembuhan pasien dengan menghadirkan pelayanan kedokteran terbaik. 2. Bagi tenaga kesehatan lainnya harus menyesuaikan dengan standar kompetensi profesinya masing-masing. 3. Daftar keterampilan klinis dalam panduan ini merupakan tingkat kemampuan 4A pada Standar Kompetensi Dokter Indonesia (SKDI) tahun 2012 yang diterbitkan oleh Konsil Kedokteran Indonesia (KKI). 4. Panduan ini diakui oleh Ikatan Dokter Indonesia melalui kolegium pendidikan profesi sebagai bagian dari standar pelayanan profesi. 5. Penjelasan keterampilan klinis dapat berubah seiring kemajuan ilmu pengetahuan dan teknologi. 6. Modifikasi terhadap panduan ini hanya dapat dilakukan oleh dokter atas dasar keadaan yang memaksa untuk kepentingan pasien, antara lain keadaan khusus pasien, kedaruratan, dan keterbatasan sumber daya. Modifikasi tersebut harus tercantum dalam rekam medis. 7. Dokter di fasyankes primer wajib merujuk pasien ke fasyankes lain baik secara horizontal maupun vertikal, yang memiliki sarana prasarana yang dibutuhkan bila sarana prasarana yang dibutuhkan tidak tersedia, meskipun keterampilan yang dimaksud masuk dalam kategori tingkat kemampuan 4A. 8. Panduan ini tidak memuat seluruh teori tentang keterampilan klinis, sehingga sangat disarankan setiap dokter untuk mempelajari teori keterampilan tersebut dengan menggunakan referensi yang dapat dipertanggungjawabkan. xi Panduan Keterampilan Klinis Bagi Dokter di Fasilitas Pelayanan Primer | PDF Compressor Free VersionTIM PENYUSUN Pengarah Menteri Kesehatan Republik Indonesia Direktur Jenderal Bina Upaya Kesehatan Direktur Jenderal Bina Upaya Kesehatan Dasar Pengarah IDI Ketua Umum Pengurus Besar Ikatan Dokter Indonesia Prof. Dr. I Oetama Marsis, SpOG Prof. Dr. Hasbullah Thabrany, MPH. DR.PH Dr. Daeng M Faqih,M.H Tim Editor Dr. Fika Ekayanti, M.Med.Ed Dr. Mahesa Paranadipa,M.H Dr. Lukas Daniel Leatemia, M.Kes, M.Pd.Ked, MSc Dr. Oktarina, MSc Dr. Hemma Yulfi, DAP & E, M.Med.Ed Kelompok Kerja Dr. Fika Ekayanti, M.Med.Ed Dr. Mahesa Paranadipa, M.H Dr. Puput Arum Christanti Dr. Rahmadhini Dr. Arianti Arifin Dr. Raden Agung Suryoputro Reksoprodjo Dr. Gianisa Adisaputri Dr. Dhimas Naufal Dr. Monika Saraswati Sitepu, MSc (Trop.Med) Dr. Novana Perdana Putri Narasumber Dr. Eka Ginanjar, Sp.PD, FINASIM – PB PAPDI Dr. dr. Tjut Nurul Alam Jacoeb, Sp.KK(K) – PP PERDOSKI Dr. Thamrin Syamsudin, SpS (K), M.Kes – PERDOSSI Dr. Radityo, SpJP – PP PERKI Dr. Rova Virgana, SpM – PERDAMI Dr. Zulvayanti, SpOG (K), M.Kes – POGI Dr. Nursanti, SpRad – Kolegium Radiologi Dr. Aviyanti, SpRad – Kolegium Radiologi Dr. Prasenohadi, SpP – Kolegium Pulmonologi xii Panduan Keterampilan Klinis Bagi Dokter di Fasilitas Pelayanan Primer | Prof. Dr. dr. Soegiharto, SpOG – Kolegium Obstetri dan Ginekologi DR. Dr.PDF Dwiana Compressor Ocviyanti, Free SpOG Version (K) – Kolegiu m Obstetri dan Ginekologi Prof. Dr. dr. Nurpudji, SpGK – Kolegium Gizi Klinik Dr. Kiki Lukman, SpB – Kolegium Bedah Dr. Bambang Pujo S, SpAn – Kolegium Anestesiologi dan Terapi Intensif Dr. Arief Dermawan, M.Kes, SpTHT-KL (K) – Kolegium Ilmu Kesehatan THT-KL Dr. Agus Dinasti, SpTHT-KL – Kolegium Ilmu Kesehatan THT-KL Dr. Ninik Sukartini, SpPK (K), DMM – Kolegium PK dan Lab Kedokteran Indonesia Dr. Basti Andriyoko, SpPK – Kolegium PK dan Lab Kedokteran Indonesia Prof. DR. Dr. Angela B.M. Tulaar, SpKFR – Kolegium Kedokteran Fisik dan Rehabilitasi Dr. Tirta Prawita Sari, M.Sc.Sp.GK – FK UMJ, Jakarta Dr. M. Kuntadi Syamsul Hidayat, SpOT, M.Kes, MMR – FK Unibraw, Malang Dr. Janial Arifin, M.Kes, SpOT – FK Universitas Hasanuddin, Makasar Dr. Djohar Nuswantoro, MPH – FK Universitas Airlangga, Surabaya Dr. Prasetiyawan, SpKJ – RS Marzuki Mahdi – FK UIN Syarif Hidayatullah Jakarta Dr. Santi Pudjianto, SpPK – Dit. Penunjang Medik dan Sarana Kesehatan Drg. Melly Juwitasari – Dit. Kesehatan Anak Dr. Lily Baronah R, M.Epid – Dit. PPTM Rudy E. Hutagalung – Dit. PPML Tim Kontributor DR. Dr. Herqutanto, MPH, MARS – FK Universitas Indonesia, Jakarta DR. Dr. Dhanasari Vidiawati Trisna, MSc, CM-FM – FK Universitas Indonesia, Jakarta Dr. Retno Asti Werdhani, M.Epid – FK Universitas Indonesia, Jakarta Dr. Wahyudi Istiono, M.Kes – FK Universitas Gajah Mada, Jogjakarta Dr. R. Prihandjojo Andri Putranto, MSi – FK Universitas Negeri Solo, Solo Dr. Exsenveny Lalopua, M.Kes – Dinkes Prov. Jawa Barat Dr. Hemma Yulfi, DAP & E, M.Med.Ed – FK Universitas Sumatera Utara, Medan Dr. Arief Alamsyah, MARS - FK Universitas Brawijaya, Malang DR.dr. Siswanto, MSc - FK Universitas Brawijaya, Malang Dr. Oktarina, MSc – FKK Universitas Muhammadiyah Jakarta Dr. Fika Ekayanti, M.Med.Ed – Universitas Islam Negeri Syarif Hidayatullah, Jakarta Dr. Mahesa Paranadipa,M.H Dr. Rahmadhini Dr. Arianti Arifin Dr. Raden Agung Suryoputro Reksoprodjo Dr. Gianisa Adisaputri Dr. Dhimas Naufal Tim Penunjang Dr. Adi Pamungkas Dr. Era Renjana Diskamara Dr. Rizki Rahayuningsih Prapti Widyaningsih, SH xiii Panduan Keterampilan Klinis Bagi Dokter di Fasilitas Pelayanan Primer | Esty Wahyuningsih, S.Kep, Ns I.G.A.MPDF Bramantha Compressor Yogeswara, Free Version S.T, M.Si Putri Haris, SKM Mina Febriani H, SKM M. Sualeman, SH Nia Kurniawati Ilustrator gambar Budi Mulyanto Arya Andika Desain Sampul dan Tata Letak Syrojuddin Hadi, SKed xiv Panduan Keterampilan Klinis Bagi Dokter di Fasilitas Pelayanan Primer | PDF Compressor FreeKATA Version PENGANTAR Penyusunan buku ini diawali dari rapat yang diselenggarakan oleh Subdit Bina Pelayanan Kedokteran Keluarga, Direktorat Jenderal Bina Upaya Kesehatan, Kementerian Kesehatan RI pada Mei 2014 bersama dengan pengurus PB IDI. Pertemuan ini bertujuan untuk membahas penyusunan buku ketiga yang merupakan tindak lanjut atas telah tersusunnya buku pertama dari empat buku yang telah direncanakan sejak tahun 2012. Keempat buku yang telah direncanakan tersebut, terdiri dari: 1. Buku Panduan Praktik Klinis bagi Dokter di Fasilitas Pelayanan
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