DAFTAR ISI Halaman KATA PENGANTAR.......................................................................... .............................. ..........i SAMBUTAN MENTERI KESEHATAN INDONESIA ...................................................... ii SAMBUTAN KETUA UMUM IKATAN FISIOTERAPI INDONESIA...........................iii DAFTAR ISI................................................................................................. ............................ ...iv BAB I. PENDAHULUAN ........................................................................................................ 1 BAB II. PROSEDUR PELAYANAN FISIOTERAPI ......................................................... 4 BAB III. PERILAKU INTERAKSI FISIOTERAPI ............................................................. 7 BAB IV. PANDUAN PENYUSUNAN STANDAR PROSEDUR OPERASIONA ....... 8 A. Definisi SPO ................................................................................................................ 8 B. Bagian-Bagian SPO................................................................................................... 8 C. Contoh Format SPO.................................................................................................. 9 BAB V. STANDAR PROSEDUR OPERASIONAL PELAYANAN FISIOTERAPI DENGAN MENGACU KEPADA ISO 9001.2000 ................................................ 14 A. Manajemen Fasilitas Pelayanan Fisioterapi : Ketetapan Pimpinan, Falsafah-Tujuan, Dan Organisasi Pelayanan Fisioterapi........................... 14 1. Keputusan Direktur Rumah Sakit Tentang Kepala/Pj. Pelayanan Fisioterapi ..................................................................................................................... 14 2. Uraian Tugas Kepala / Penanggung Jawab Pelayanan Fisioterapi Di Rumah Sakit ................................................................................................................................. 16 3. Keputusan Direktur Rumah Sakit Tentang Organisasi Unit/Instalasi Fisioterapi Di Rumah Sakit .................................................................................... 19 4. Filosofi Fisioterapi .......................................................................................................... 22 5. Prosedur Rujukan Fisioterapi Rawat Inap............................................................ 25 6. Diagram Alur Rujukan Fisioterapi Rawat Inap ................................................... 27
i
B. Manajemen Pelayanan Pasien/Klien Fisioterapi: Ketetapan Akses Masuk, Assesmen,
Diagnosis,
Perencanaan,
Persetujuan,
Pemeriksaan
Penunjang Intevensi, Evaluasi, Dokumentasi, Dan Pelaporan ................ 28 1. Standar Pelayanan Fisioterapi ......................................................................... 28 2.Standar Assesmen Umum Fisioterapi ............................................................ 29 3. Standar Diagnosis Fisioterapi ............................................................................. 33 4. Standar Intervensi Fisioterapi ............................................................................. 92 5. Standar Evaluasi Fisioterapi................................................................................. 93 6. Standar Pengakhiran Proses Fisioterapi ......................................................... 95 7. Standar Dokumentasi Fisioterapi........................................................................ 96 C. Metoda Terapi Dan Prosedur Kasus : Dalam Kelompok Muskulosekeletal, Neuromuskuler, Kardiopulmoner, Dan Integumenter ............................ 121 1. Antropometri. ................................................................................................................ 121 2. Prosedur Pengukuran Rom Sendi ......................................................................... 127 3. Manual Muscle Testing............................................................................................... 144 4. Uji Keseimbangan ......................................................................................................... 153 5. Formulir Uji Keseimbangan ..................................................................................... 155 6. Analisis Langkah Dan Berjalan ............................................................................... 164 D. Aplikasi Teknis/Teknologi : Pemeriksaan Dan Pengukuran (24), Terapi Latihan, Elektroterapi, Traksi, Hidroterapi .................................................. 169 1. Short Wave Diathermy ............................................................................................... 169 2. Micro Wave Diathermy ............................................................................................ 173 3. Terapi Ultrasonic ....................................................................................................... 176 4. Interferential Therapy ............................................................................................... 179 5. Arus Faradic.................................................................................................................... 181 6. Arus Galfanic .................................................................................................................. 183 7. Sinar Infra Merah.......................................................................................................... 185 8. Sinar Ultra Violet .......................................................................................................... 188 ii
9. Traksi Cervical ............................................................................................................... 191 10. Traksi Lumbal ............................................................................................................. 194 11. Terapi Inhalasi ............................................................................................................ 196 12. Farafin Bath / Wax Bath ......................................................................................... 198 13. Massage.......................................................................................................................... 201 14. Fisioterapi Pada Temporomandibular Disc Dysfunction Syndrome... 204 15. Fisioterapi Pada Temporomandibular (TMJ) Internal Derangement ............................................................................................. 207 16. Fisioterapi Pada Cervical Disc Dysfunction .................................................... 210 17. Fisioterapi Pada Cervical Head Ache ................................................................. 213 18. Fisioterapi Pada Local Cervical Facet Pain...................................................... 216 19. Fisioterapi Pada Cervical Instability .................................................................. 219 20. Fisioterapi Pada Spondylosis Def / Spondyloarthrosis Cervicalis ....... 222 21. Fisioterapi Pada Lumbar Disc Bulging/Hnp ................................................... 225 22. Fisioterapi Pada Lumbar Spondyloarthrosis ................................................. 228 23. Fisioterapi Pada Lumbar Spondylolysthesis .................................................. 231 24. Fisioterapi Pada Scoliosis Idiopatik ................................................................... 234 25. Fisioterapi Pada Thoracic Hypomobility Syndrome ................................... 237 26. Fisioterapi Pada Myofascial Pain ........................................................................ 240 27. Fisioterapi Pada Thoracic (Compression) Outlet Syndrome : Scalenus Syndrome.................................................................................................................... 243 28. Fisioterapi Pada Thoracic (Compression) Outlet Syndrome : Hyper Abduction Syndrome ............................................................................................. 246 29. Fisioterapi Pada Shoulder Hand Syndrome (Scalenus Syndrome) ....... 249 30. Fisioterapi Pada Thoracic (Compression) Outlet Syndrome : Hyper Abduction Syndrome ............................................................................................. 252 31. Fisioterapi Pada Tendopathy M. Supraspinatus ........................................... 254 32. Terapi Latihan Pada Tennis Elbow .................................................................... 257 iii
33. Fisioterapi Pada Arthritis Distal Radioulnar Joint ...................................... 259 34. Fisioterapi Pada Arthrosis Distal Radioulnar Joint .................................... 262 35. Fisioterapi Pada Tenosynovitis M. Abd. Pol. Longus Dan Ext. Pol. Brevis (De Quervain Syndrome) ..................................................................................... 265 36. Fisioterapi Pada Dorsal Wrist Compression Syndrome ........................... 268 37. Fisioterapi Pada Tenoosseal Tendopathy Dan Tenosynovitis M. Flexor Carpiradialis .............................................................................................................. 271 38. Fisioterapi Pada Tendovaginitis Stenosans (Trigger Finger).................. 274 39. Fisioterapi Pada Dorsal Intercarpal Lig. Overstretch ................................ 277 40. Fisioterapi Pada Arthrosis Carpalia .................................................................. 280 41. Fisioterapi Pada Osteoarthrosis Hip Joint ....................................................... 283 42. Fisioterapi Pada Post Op – AMP .......................................................................... 286 43. Fisioterapi Pada Osteoarthrosis Tibiofemoral Joint.................................... 288 44. Fisioterapi Pada Chondromalacia Patellae ..................................................... 291 45. Fisioterapi Pada Knee Instabilitasi ..................................................................... 294 46. Fisioterapi Pada Meniscus Lesion ...................................................................... 297 47. Fisioterapi Pada Post - Op Menisectomy ......................................................... 300 48. Fisioterapi Pada Post – Op ACL ............................................................................ 302 49. Fisioterapi Pada Ankle Sprain .............................................................................. 305 50. Fisioterapi Pada Flat Foot ...................................................................................... 308 51. Fisioterapi Pada Pes Equinovarus ...................................................................... 311 52. Angkat Angkut Pasien .............................................................................................. 314 53. Standar Identifikasi Pasien Fisioterapi............................................................. 317 54. Alur Pengkajian Pasien Fisioterapi .................................................................... 320 55. Standar Pengkajian Fisioterapi ............................................................................ 322 56. Standar Diagnosa Fisioterapi................................................................................ 326 57. Standar Perencanaan Fisioterapi ........................................................................ 331 iv
58. Standar Intervensi Fisioterapi.............................................................................. 334 59. Standar Dokumentasi Fisioterapi ....................................................................... 336 60. Bagan Alur Pasien Rawat Inap ............................................................................. 338 61. Konsultasi Pasien Rawat Inap 1........................................................................... 339 62. Konsultasi Pasien Rawat Inap 2........................................................................... 341 63. Alur Pasien Rawat Jalan 1 ...................................................................................... 342 64. Alur Pasien Rawat Jalan 2 ...................................................................................... 343 65. Konsultasi Pasien Rawat Jalan ............................................................................. 344 66. Prosedur Mulai Kerja Administrasi .................................................................... 348 67. Prosedur Akhir Kerja Administrasi .................................................................... 350 68. Orientasi Karyawan Baru Bagian Fisioterapi ................................................. 352 69. Audit Dan Tindak Lanjut Penerapan SPO ........................................................ 354 70. Telaah Dan Tindak Lanjut Sumasi Pasien/Klien........................................... 356 71. Survei Dan Analisis Kepuasan Pelanggan/Pasien/Klien ........................... 358 72. Membimbing Orientasi Pegawai Baru .............................................................. 359 73. Membimbing Praktik Observasi Mahasiswa Kesehatan............................ 360 74. Membimbing Praktik Mahasiswa Fisioterapi (Instruktur). ..................... 361
v
