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  • Deprecated function: Return type of DatabaseStatementBase::execute($args = [], $options = []) should either be compatible with PDOStatement::execute(?array $params = null): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2244 of /home/ligarman/public_html/lama.ligarmandiriconsulting.com/includes/database/database.inc).
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PENURUNAN ANGKA KEMATIAN IBU DAN BAYI SERTA PENINGKATAN KESEHATAN IBU DAN BAYI

Rumah sakit melaksanakan program PONEK 24 jam di rumah sakit beserta monitoring dan evaluasinya.
Rumah sakit menyiapkan sumber daya untuk penyelenggaraan pelayanan PONEK.
 
Rumah sakit melaksanakan pelayanan rawat gabung, mendorong pemberian ASI ekslusif, melaksanakan edukasi dan perawatan metode kangguru pada bayi berat badan lahir rendah (BBLR). 
Maksud dan Tujuan
 
Mengingat kematian bayi mempunyai hubungan erat  dengan  mutu  penanganan ibu hamil dan melahirkan, maka proses antenatal care, persalinan dan perawatan bayi harus dilakukan dalam sistem terpadu di tingkat nasional dan regional.
Pelayanan obstetri dan neonatal regional merupakan upaya penyediaan pelayanan bagi ibu dan bayi baru lahir secara terpadu dalam bentuk Pelayanan Obstetri Neonatal Emergensi Komprehensif (PONEK) di Rumah Sakit dan Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) di tingkat Puskesmas.
 

Rumah Sakit PONEK 24 Jam merupakan bagian dari sistem rujukan dalam pelayanan kedaruratan dalam maternal dan neonatal, yang sangat berperan dalam menurunkan angka kematian ibu dan bayi baru lahir.

Kunci keberhasilan PONEK adalah ketersediaan tenaga-tenaga kesehatan yang sesuai kompetensi, prasarana, sarana dan manajemen yang handal.

Rumah sakit dalam melaksanakan program PONEK sesuai dengan pedoman PONEK yang berlaku, dengan langkah-langkah pelaksanaan sebagai berikut:

  • melaksanakan dan menerapkan standar pelayanan perlindungan ibu dan bayi secara terpadu danparipurna.
  • mengembangkan kebijakan dan SPO pelayanan sesuai denganstandar
  • meningkatkan kualitas pelayanan kesehatan ibu dan bayi termasuk kepedulian terhadap ibu danbayi.
  • meningkatkan kesiapan rumah sakit dalam melaksanakan fungsi pelayanan obstetrik dan neonatus termasuk pelayanan kegawat daruratan (PONEK 24 jam)
  • meningkatkan fungsi rumah sakit sebagai model dan pembina teknis dalam pelaksanaan IMD dan pemberian ASIEksklusif
  • meningkatkan fungsi rumah sakit sebagai pusat rujukan pelayanan kesehatan ibu dan bayi bagi sarana pelayanan kesehatan lainnya.
  • meningkatkan fungsi rumah sakit dalam Perawatan Metode Kangguru (PMK) padaBBLR.
  • melaksanakan sistem monitoring dan evaluasi pelaksanaan program RSSIB 10 langkah menyusui dan peningkatan kesehatanibu
  • ada regulasi rumah sakit yang menjamin pelaksanaan PONEK 24 jam, meliputi pula pelaksanaan rumah sakit sayang ibu dan bayi, pelayanan ASI eksklusif (termasuk IMD), pelayanan metode kangguru, dan SPO Pelayanan Kedokteran untuk pelayanan PONEK (lihat juga PAP3.1)
  • dalam rencana strategis (Renstra), rencana kerja anggaran (RKA) rumah sakit, termasuk upaya peningkatan pelayanan PONEK 24jam
  • tersedia ruang pelayanan yang memenuhi persyaratan untuk PONEK antara lain rawatgabung
  • pembentukan timPONEK
  • tim PONEK mempunyai program kerja dan buktipelaksanaannya
  • terselenggara pelatihan untuk meningkatan kemampuan pelayanan PONEK 24 jam, termasuk stabilisasi sebelum dipindahkan
  • pelaksanaan rujukan sesuai peraturanperundangan
  • pelaporan dan analisis meliputi:

      ·         angka keterlambatan operasi operasi section caesaria (SC) ( > 30 menit)
      ·         angka keterlambatan penyediaan darah ( > 60menit)
      ·         angka kematian ibu danbayi
      ·         kejadian tidak dilakukannya inisiasi menyusui dini (IMD) pada bayi baru lahir

Elemen Penilaian Standar 1
1.  Ada regulasi rumah sakit tentang pelaksanaan PONEK 24 jam di rumah sakit dan ada rencana kegiatan PONEK dalam perencanaan rumah sakit.(R)
2.  Ada bukti keterlibatan pimpinan rumah sakit di dalam menyusun kegiatan PONEK.(D,W)
3.  Ada bukti upaya peningkatan kesiapan rumah sakit dalammelaksanakan fungsi pelayanan obstetrik dan neonatus termasuk pelayanan kegawat daruratan (PONEK 24 Jam).(D,W)
4.  Ada bukti pelaksanaan rujukan dalam rangka PONEK (lihat juga ARK.5). (D,W)
5.  Ada bukti pelaksanaan sistem monitoring dan evaluasi program rumah sakit sayang ibu dan bayi (RSSIB).(D,W)
6.  Ada bukti pelaporan dan analisis yang meliputi 1 sampai dengan 4 dimaksud dan tujuan.(D,W)

 

Sumber : Pedoman Akreditasi Rumah Sakit KARS 

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