Format Panduan Pelayanan Rumah Sakit [PDF]

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FORMAT PANDUAN PELAYANAN RUMAH SAKIT



COVER DAFTAR ISI SURAT KEPUTUSAN DIREKTUR



SK berkaitan isi panduan/pedoman



BAB I DEFINISI BAB II RUANG LINGKUP BAB III TATA LAKSANA BAB IV DOKUMENTASI



PAGE LAYOUT :  Paper Size : F4 (width 21,5 cm; height 33 cm)  Font : Eras Medium ITC  Margin : Left : 3 cm Right : 2 cm Top : 2 cm Bottom: 2 cm  Space : 1,2  Font Size : 11



Font Eras Bold ITC Font size 16



PANDUAN .........................................................



Heigth 10,98 cm Width 16,5 cm



Nama POKJA/TIM



.........................



RUMAH SAKIT UMUM SENTRA MEDIKA SANGGAU 20...



Tahun



CONTOH DAFTAR ISI



COVER



DAFTAR ISI



..............................................................................................................................................



i



DAFTAR ISI ............................................................................................................................................



ii



SURAT KEPUTUSAN DIREKTUR .....................................................................................................



iii



BAB I DEFINISI......................................................................................................................................



1



1.1



....................................................................................................................................................



1



1.2



....................................................................................................................................................



2



1.3



............................................................................................................................................... dst



BAB II RUANG LINGKUP.............................................................................................................. 1.1



....................................................................................................................................................



1.2



....................................................................................................................................................



1.3



............................................................................................................................................... dst



BAB III TATA LAKSANA................................................................................................................ 3.1



......................................................................................................................................................



3.2



......................................................................................................................................................



3.3



......................................................................................................................................................



BAB IV DOKUMENTASI ...............................................................................................................



CONTOH NOTE: Kata “Menimbang” : konsiderans yang memuat alasan/tujuan/kepentingan/ pertimbanga tentang perlu ditetapkannya keputusan.



Size 1,8 cm



SURAT KEPUTUSAN DIREKTUR RUMAH SAKIT UMUM SENTRA MEDIKA SANGGAU Nomor : .../SK/SMC/.../20... Nomor Surat Tahun TENTANG Bulan ....................................................... DIREKTUR RUMAH SAKIT UMUM SENTRA MEDIKA SANGGAU



Menimbang



Mengingat



:



:



NOTE: 1.



2.



Kata “Mengingat” : konsiderans yang memuat peraturan perundang – undangan sebagai dasar pengeluaran keputusan (isinya meliputi : Undang – Undang, peraturan menteri kesehatan, keputusan kementerian kesehatan, pedoman penyelenggaraan/lainnya, dan SK direktur); Urutan Undang – undang dimulai dari lama tahun dikeluarkannya (contoh : 2004,2005, 2006, dst).



a.



............................................................................................................... ...............................................................................................................



b.



............................................................................................................... .............................................................................................................................



1. 2. 3. 4. 5.



.............................................................................................................. .............................................................................................................. .............................................................................................................. ..................................................................................................... ......... Surat Keputusan Direktur PT. ARKAZIRA WAHANA MEDIKA Nomor 001/SK/AWM/VIII/2016, tanggal 18 Agustus 2016, tentang Pengangkatan Jabatan Direktur Rumah Sakit Umum Sentra Medika Sanggau; Surat Keputusan Direktur PT. ARKAZIRA WAHANA MEDIKA Nomor 001/SK/AWM/VIII/2016, tanggal 18 Agustus 2016, tentang Pengangkatan Jabatan Direktur Rumah Sakit Umum Sentra Medika Sanggau; MEMUTUSKAN



6.



Menetapkan



:



Pertama



:



............................................................................................................................. ...........



Kedua



:



.............................................................................................................. ..........................



Ketiga



:



............................................................................................................................. ...........



Tanggal penetapan SK



Ditetapkan : Sanggau Pada tanggal : ............................... Rumah Sakit Umum Sentra Medika Sanggau Direktur



Distempel basah Tembusan, disampaikan kepada: 1. Yth. Komisaris PT. ARKAZIRA WAHANA MEDIKA 2. Yth. Direktur PT. ARKAZIRA WAHANA MEDIKA



ttd dr. Windy Ratu Dewi



CONTOH



BAB I DEFINISI



NOTE: Setiap memasuki BAB baru gunakan Halaman Baru (Page 1.1 Blabla Break). Blablabla.................................................................................................................... ............................................... ..................................... 1.2 Blabla Blablabla........................................................................................................................................................... ........ ..................................... 1.3 Blabla Blablabla................................................................................................................................................................... .....................................dst Halaman Baru BAB II RUANG LINGKUP 3.1 Blabla Blablabla................................................................................................................................................................... ..................................... 3.2 Blabla Blablabla................................................................................................................................................................... ..................................dst Halaman Baru BAB III TATA LAKSANA



Blablabla.................................................................................................................... ............................................... ..................................... Blablabla................................................................................................................................................. .................. .....................................dst Halaman Baru.



BAB IV DOKUMENTASI



CONTOH



Blablabla.................................................................................................................... ............................................... ..................................... Blablabla.................................................................................................................... ............................................... .....................................dst Tanggal penetapan/pengesahan panduan Sanggau, ...................................................... RUMAH SAKIT UMUM SENTRA MEDIKA SANGGAU DIREKTUR



Distempel basah



ttd



dr. Windy Ratu Dewi