ABSTRAK TATALAKSANA FARMASI DI RUMAH SAKIT UMUM DAERAH KABUPATEN CIANJUR Yulianty Scarshera, 0610190, pembimbing I Dr. Felix Kasim, dr. M.kes dan pembimbing II Dra. Rosnaeni Apt. Pelayanan kesehatan adalah setiap kegiatan untuk memelihara dan meningkatkan kesehatan, bertujuan untuk mewujudkan derajat kesehatan yang optimal bagi masyarakat. Salah satu bentuk pelayanan kesehatan dapat dilakukan di Rumah Sakit. Pelayanan kesehatan Rumah Sakit berorientasi kepada pelayanan pasien, penyediaan obat yang bermutu, termasuk pelayanan farmasi. Hal itu dapat diwujudkan dengan pengelolaan obat yang bertujuan untuk menerapkan secara tepat dan benar. Tujuan penelitian ini adalah untuk mengetahui proses pengelolaan obat yang meliputi perencanaan, pengadaan, pendistribusian, penggunaan dan penghapusan obat di RSUD Cianjur. Metode penelitian yang digunakan adalah penelitian kualitatif dengan jenis deskriptif observasional. Teknik penelitian dengan wawancara yang dipandu dengan kuesioner sebagai penuntun wawancara. Informan dalam penelitian ini adalah Direktur RSUD Kabupaten Cianjur, Kepala Bagian IFRS, petugas IFRS dan petugas apotek RSUD Kabupaten Cianjur. Hasil penelitian menunjukkan bahwa RSUD Cianjur belum melaksanakan proses perencanaan dan pengadaan obat yang tidak akurat. Hal ini dapat dilihat dengan adanya kekosongan obat untuk pelayanan pasien rawat inap dan rawat jalan. Akibatnya pasien merasa tidak puas terhadap pelayanan obat di RSUD Cianjur. Pendistribusian, penggunaan dan penghapusan secara umum sudah memenuhi syarat dan sesuai dengan Standar Pelayanan Farmasi di Rumah Sakit. Kesimpulan dari penelitian ini adalah tata laksana farmasi di RSUD Kabupaten Cianjur secara umum adalah cukup baik. Kata kunci : pengelolaan obat, tatalaksana farmasi, RSUD Kabupaten Cianjur.
ABSTRACT
PHARMACEUTICAL MANAGEMENT IN PUBLIC HOSPITALS OF CIANJUR Yulianty Scarshera, 0610190, 1st Tutor 2nd Tutor
: Dr. Felix Kasim, dr. M.kes : Dra. Rosnaeni Apt.
Health services are any activities to maintain and improve health, aims to achieve optimal health status for the community. One form of health services can be performed in a hospital. Hospital health services oriented to the patient services, the provision of quality drugs, including pharmaceutical services. This can be achieved with medication management that aims to apply accurately and correctly. The purpose of this study was to determine the drug management process including planning, procurement, distribution, use and elimination of drugs in hospitals Cianjur. The method used in this research is qualitative research methods with the type of descriptive study. Research techniques with a guided interview with the questionnaire as an interview guide. Informants in this study is the Director of Cianjur Regency Hospital, Head of IFRS, IFRS officer and pharmacist Cianjur hospital. The results showed that hospitals do not implement Cianjur planning and procurement processes that are not accurate drug. This can be seen with the drug vacancies for inpatient services and outpatient care. As a result the patient was not satisfied with the services of pharmaceutical in Cianjur hospital. Distribution, use and removal in general is eligible and in accordance with the Standard Service at the Hospital Pharmacy. The conclusion of this research is pharmaceutical governance in Cianjur hospital in general are pretty good. Keywords: medication management, pharmacy guidelines, Cianjur hospital.
DAFTAR ISI
Halaman LEMBAR PERSETUJUAN ............................................................................. ii SURAT PERNYATAAN .................................................................................. iii ABSTRAK ......................................................................................................... iv ABSTRAK........................................................................................................... v KATA PENGANTAR....................................................................................... vi DAFTAR ISI...................................................................................................... vii DAFTAR TABEL ............................................................................................. viii DAFTAR GAMBAR......................................................................................... ix DAFTAR LAMPIRAN ..................................................................................... x BAB I PENDAHULUAN 1.1 Latar Belakang ..................................................................................... 1-1 1.2 Identifikasi Masalah ............................................................................. 1-2 1.3 Tujuan Penelitian ................................................................................. 1-2 1.4 Manfaat Karya Tulis Ilmiah ................................................................. 1-2 1.5 Kerangka Pemikiran............................................................................. 1-3 1.6 Metodologi Penelitian .......................................................................... 1-3 1.7 Lokasi dan Waktu Penelitian ............................................................... 1-3 BAB II TINJAUAN PUSTAKA 2.1 Rumah Sakit ......................................................................................... 2-1 2.1.1 Tugas dan Fungsi Rumah Sakit................................................... 5-1 2.1.2 Kalsifikasi Rumah Sakit.............................................................. 5-1 2.1.3 Klasifikasi Rumah Sakit Pemerintah........................................... 5-1 2.1.4 Jenis-jenis Rumah Sakit………………………………………… 2.1.5 Mutu Pelayanan Rumah Sakit…………………………………… 2.1.6 Komite Etik Rumah Sakit………………………………………. 2.2 Instalasi Farmasi Rumah Sakit (IFRS)................................................. 2-1 2.2.1 Pengertian IFRS .......................................................................... 5-1 2.2.2 Tugas dan Fungsi IFRS ............................................................... 5-1
2.2.3 Bagan Organisasi......................................................................... 5-1 2.2.4 Panitia Farmasi dan Terapi......................................................... 5-1 2.2.5 Formularium Rumah Sakit ........................................................... 5-1 2.2.6 Manusia Sumber Daya Farmasi Rumah Sakit.............................. 5-1 2.2.7 Fasilitas dan Peralatan .................................................................. 5-1 2.2.8 Administrasi dan Pelaporan.......................................................... 5-1 2.3 Pengelolaan obat .................................................................................. 5-1 2.3.1 Perencanaan obat.......................................................................... 2.3.1.1 Tahap pemilihan obat........................................................ 2.3.1.2 Tahap penghitungan kebutuhan obat............................... 5-1 2.2.2 Pengadaan obat............................................................................ 5-1 2.2.3 Distribusi obat ............................................................................. 5-1 2.2.4 Penggunaan obat.......................................................................... 5-1 2.2.5 Penghapusan obat ........................................................................ 5-1 BAB III BAHAN/SUBJEK DAN METODE PENELITIAN 3.1 Bahan / Subjek Penelitian .................................................................... 3-1 3.1.1 Bahan Penelitian.......................................................................... 5-1 3.1.2 Subjek Penelitian......................................................................... 5-1 3.1.3 Tempat dan Waktu Penelitian ..................................................... 3-1 3.3 Metode Penelitian................................................................................. 3-1 3.3.1 Design Penelitian......................................................................... 5-1 3.3.2 Besar Sampel Penelitian.............................................................. 5-1 3.3.3 Prosedur Kerja............................................................................. 5-1 3.3.4 Jalannya Penelitian ...................................................................... 5-1 3.3.5 Metode analisis............................................................................ 5-1 3.3.6 Aspek etik penelitian ................................................................... 5-1 BAB IV HASIL PENELITIAN DAN PEMBAHASAN 4.1 Gambaran umum RSUD Kabupaten Cianjur....................................... 4-1 4.2 Wawancara........................................................................................... 4-2 4.3 Pembahasan.......................................................................................... 4-3
BAB V KESIMPULAN DAN SARAN 5.1 Kesimpulan .......................................................................................... 5-1 5.2 Saran..................................................................................................... 5-1 DAFTAR PUSTAKA ........................................................................................ 5-1 LAMPIRAN....................................................................................................... 5-1 RIWAYAT HIDUP ........................................................................................... 5-1
