MFK UEU 1 dr. Adib
CURRICULUM VITAE
CURRICULUM VITAE
Nama : Nama : dr.ADIB ABDULLAH YAHYA,MARS dr.ADIB ABDULLAH YAHYA,MARS Pangkat : Brigjen TNI (Purn) Pangkat : Brigjen TNI (Purn) Tempat/tanggal lahir : Magelang,16 Februari 1949 Tempat/tanggal lahir : Magelang,16 Februari 1949 Jabatan : Jabatan : DIREKTUR UTAMA RUMAH SAKIT MMC DIREKTUR UTAMA RUMAH SAKIT MMC Agama : Islam Agama : Islam ALAMAT : Jl. Punai H-24,Kel.Tengah,Jakarta Timur – 13540 ALAMAT : Jl. Punai H-24,Kel.Tengah,Jakarta Timur – 13540 Telp : (021)8404580 Telp : (021)8404580 Fax : (021) 8408047 Fax : (021) 8408047 HP : HP :
08161803497 08161803497 E-MAIL E-MAIL : :
adibabdullahyahya@yahoo.com
adibabdullahyahya@yahoo.com
PENDIDIKAN UMUM
PENDIDIKAN UMUM SMA Negeri Magelang 1966 SMA Negeri Magelang 1966 S1 : Fakultas Kedokteran Universitas Gajah Mada (UGM), S1 : Fakultas Kedokteran Universitas Gajah Mada (UGM), Yogyakarta, 1973 Yogyakarta, 1973 S2 : Fakultas Kesehatan Masyarakat, Universitas Indonesia (UI), Jakarta, S2 : Fakultas Kesehatan Masyarakat, Universitas Indonesia (UI), Jakarta, Program Kajian Administrasi Rumah Sakit ( KARS ) Program Kajian Administrasi Rumah Sakit ( KARS )
Sekolah Staf dan Komando TNI Angkatan Darat (SESKOAD), 1987/1988 Sekolah Staf dan Komando TNI Angkatan Darat (SESKOAD), 1987/1988
PENDIDIKAN MILITER PENDIDIKAN MILITER
PENGALAMAN JABATAN
Komandan Detasemen Kesehatan Pasukan Pengamanan Presiden (Paspampres), 1987-1991 Komandan Detasemen Kesehatan Pasukan Pengamanan Presiden (Paspampres), 1987-1991 Kepala Rumah Sakit “Muhammad Ridwan Meuraksa”, Jakarta, 1992 Kepala Rumah Sakit “Muhammad Ridwan Meuraksa”, Jakarta, 1992 Kepala Kesehatan Daerah Militer (Kakesdam) Jaya, Jakarta, 1993 Kepala Kesehatan Daerah Militer (Kakesdam) Jaya, Jakarta, 1993 Komandan Pusat Pendidikan Kesehatan TNI – AD,1995 – 1999 Komandan Pusat Pendidikan Kesehatan TNI – AD,1995 – 1999 Wakil Kepala Pusat Kesehatan TNI, 1999 – 2000 Wakil Kepala Pusat Kesehatan TNI, 1999 – 2000 Kepala RSPAD Gatot Soebroto, 2000 – 2002 Kepala RSPAD Gatot Soebroto, 2000 – 2002 Dekan Fakultas Kedokteran UPN, Jakarta, 2000 – 2002 Dekan Fakultas Kedokteran UPN, Jakarta, 2000 – 2002 Wakil Ketua Tim Dokter Kepresidenan RI, 2000 – 2002 Wakil Ketua Tim Dokter Kepresidenan RI, 2000 – 2002 Direktur Kesehatan TNI Angkatan Darat (Dirkesad), 2002-2004 Direktur Kesehatan TNI Angkatan Darat (Dirkesad), 2002-2004 Wakil Ketua Tim Pemeriksaan kesehatan untuk calon Presiden dan calon Wakil Presiden RI Th.2004 Wakil Ketua Tim Pemeriksaan kesehatan untuk calon Presiden dan calon Wakil Presiden RI Th.2004 DOSEN Pasca Sarjana FKM UI, Kajian Administrasi Rumah Sakit (KARS) DOSEN Pasca Sarjana FKM UI, Kajian Administrasi Rumah Sakit (KARS) DOSEN Pasca Sarjana ,Prodi Biomedical Engineering, UI DOSEN Pasca Sarjana ,Prodi Biomedical Engineering, UI DIREKTUR UTAMA RUMAH SAKIT MMC DIREKTUR UTAMA RUMAH SAKIT MMC ORGANISASI ORGANISASI Ketua Ikatan Rumah Sakit Jakarta Metropolitan (IRSJAM), 2000-2003 Ketua Ikatan Rumah Sakit Jakarta Metropolitan (IRSJAM), 2000-2003 Ketua Umum Perhimpunan Rumah Sakit Seluruh Indonesia ( PERSI), 2003-2009 Ketua Umum Perhimpunan Rumah Sakit Seluruh Indonesia ( PERSI), 2003-2009 PRESIDENT OF ASIAN HOSPITAL FEDERATION ( AHF ) 2009 – 2011 PRESIDENT OF ASIAN HOSPITAL FEDERATION ( AHF ) 2009 – 2011 Anggota Komnas FBPI. Anggota Komnas FBPI. Surveyor KARS Surveyor KARS Ketua Umum PERMAPKIN Ketua Umum PERMAPKIN Ketua Komtap Bidang Kebijakan Kesehatan KADIN Indonesia Ketua Komtap Bidang Kebijakan Kesehatan KADIN Indonesia Angggota TNP2K. Angggota TNP2K. Dewan Pakar Dewan Pakar Perhimpunan Rumah Sakit Seluruh Indonesia ( PERSI) Perhimpunan Rumah Sakit Seluruh Indonesia ( PERSI)
MANAJEMEN FASILITAS
DAN KESELAMATAN ( SAFETY )
PERTEMUAN 1 PERTEMUAN 1TUJUAN TUJUAN 1.
1. Mahasiswa dapat menyebutkan tujuan mata Mahasiswa dapat menyebutkan tujuan mata ajar Manajemen Fasilitas dan Keselamatan ajar Manajemen Fasilitas dan Keselamatan
(Safety) (Safety) 2.
2. Mahasiswa dapat menguraikan topik- topik Mahasiswa dapat menguraikan topik- topik dan jadwal mata ajar dan jadwal mata ajar
Manajemen Fasilitas Manajemen Fasilitas dan Keselamatan (Safety) dan Keselamatan (Safety) 3.
3. Mahasiswa dapat menggambarkan sistem Mahasiswa dapat menggambarkan sistem evaluasi pembelajaran dan buku wajib evaluasi pembelajaran dan buku wajib
PENGERTIAN PENGERTIAN
Fasilitas Fasilitas adalah segala sesuatu hal yang menyangkut adalah segala sesuatu hal yang menyangkut
Sarana, Prasarana Sarana, Prasarana maupun Alat (baik alat medik maupun Alat (baik alat medik maupun alat non medik) yang dibutuhkan oleh maupun alat non medik) yang dibutuhkan oleh rumah rumah
sakit dalam memberikan pelayanan yang sebaik-baiknya
sakit dalam memberikan pelayanan yang sebaik-baiknya
bagi pasien
bagi pasien
Sarana Sarana : : segala sesuatu benda fisik yang dapat tervisualisasi oleh segala sesuatu benda fisik yang dapat tervisualisasi oleh
mata maupun teraba panca indera dan dengan mudah dapat mata maupun teraba panca indera dan dengan mudah dapat dikenali oleh pasien dan umumnya merupakan bagian dari suatu dikenali oleh pasien dan umumnya merupakan bagian dari suatu bangunan gedung ( pintu, lantai, dinding, tiang kolong gedung, bangunan gedung ( pintu, lantai, dinding, tiang kolong gedung, jendela) ataupun bangunan itu sendiri. jendela) ataupun bangunan itu sendiri.P P rasarana rasarana adalah seluruh jaringan/instalasi yang membuat suatu adalah seluruh jaringan/instalasi yang membuat suatu sarana bisa berfungsi sesuai dengan tujuan yang diharapkan, sarana bisa berfungsi sesuai dengan tujuan yang diharapkan, anatara lain, instalasi air bersih dan air kotor, instalasi listrik, gas anatara lain, instalasi air bersih dan air kotor, instalasi listrik, gas medis, komunikasi, pengkondisian udara dll medis, komunikasi, pengkondisian udara dll
Keselamatan Keselamatan : Suatu tingkatan keadaan tertentu dimana : Suatu tingkatan keadaan tertentu dimana
gedung, halaman/ground dan peralatan rumah sakit
gedung, halaman/ground dan peralatan rumah sakit
tidak menimbulkan bahaya atau risiko bagi pasien, staf
tidak menimbulkan bahaya atau risiko bagi pasien, staf
dan pengunjung. dan pengunjung. Keamanan Keamanan : Proteksi dari kehilangan, pengrusakan dan : Proteksi dari kehilangan, pengrusakan dankerusakan, atau akses serta penggunaan oleh mereka
kerusakan, atau akses serta penggunaan oleh mereka
yang tidak berwenang. yang tidak berwenang.
INTRODUCTION
all levels of the hospital staff, functional
alert and identify
alert and identify
any hazards in order to provide an
any hazards in order to provide an environment free from unsafe acts or unsafe conditions. environment free from unsafe acts or unsafe conditions.
To accomplish this goal,
To accomplish this goal,
all levels of the hospital staff, functional
managers, supervisors, and employees
The staff must be
managers, supervisors, and employees
must be
must be
vigilant
vigilant
in the
in the
performance of their jobs to eliminate practices or conditions that could
The staff must be
for the patients as well as those who enter the hospital. those who enter the hospital.
INTRODUCTION
must
Hospitals are historically
Hospitals are historically
unsafe places
unsafe places to work. to work.
Experience indicates that the injury rate at medical care facilities is
Experience indicates that the injury rate at medical care facilities is higher than the rate at many industries. higher than the rate at many industries.
Most of the injuries result from slips, trips, and falls or from using incorrect Most of the injuries result from slips, trips, and falls or from using incorrect lifting techniques, especially when lifting patients. Therefore, hospital staff
lifting techniques, especially when lifting patients. Therefore, hospital staff
must
for the patients as well as
exercise great care
exercise great care
in protecting
in protecting
themselves and
themselves and
ensuring a safe environment
ensuring a safe environment
performance of their jobs to eliminate practices or conditions that could
9 Historically hospitals were not the safest places
9
How dangerous is health care? How dangerous is health care? Less than one death per 100 000 encounters Less than one death per 100 000 encounters
- Nuclear power
- Nuclear p>European railroads
- European railr
- Scheduled airlines
- Scheduled airlines
One death in less than 100 000 but more than 1000 encounters
One death in less than 100 000 but more than 1000 encounters
- Driving
- Dri
- Chemical manufacturing
- Chemical manufacturing
More than one death per 1000 encounters More than one death per 1000 encounters
- Bungee jumping
- Bungee jumping
How Hazardous Is Health Care? REGULATED ULTRA-SAFE DANGEROU S (>1/1000) (<1/100K) 100,000 HealthCare Driving r ea 10,000 y er p 1,000 st
Scheduled o l Airlines es 100 iv
Mountain Chemical
European l l taRailroads Climbing Manufacturing o
10 T
Chartered Bungee Nuclear Jumping Flights Power
1
Healthcare–Hospital/Medical Safety
Healthcare–Hospital/Medical Safety
Procedures Procedures
Medical treatment facility
Medical treatment facility
To make the medical treatment facility as safe as possible, To make the medical treatment facility as safe as possible, procedures procedures will be established to : will be established to : a.
a. Report Report any unsafe act or condition. any unsafe act or condition.
b.
b.
Contact housekeeping Contact housekeeping to remove any foreign material or liquid observed on floors. to remove any foreign material or liquid observed on floors.
c.
c. Train staff Train staff on relevant work procedures and safe work practices, to include— on relevant work procedures and safe work practices, to include— (1) Correct lifting and handling procedures (especially when working with patients) to
(1) Correct lifting and handling procedures (especially when working with patients) to prevent back, prevent back, muscle, or hernia-type injuries which frequently result from incorrect muscle, or hernia-type injuries which frequently result from incorrect lifting techniques. lifting techniques.
(2) The dangers of horseplay or practical jokes.
(2) The dangers of horseplay or practical jokes.
(3) Procedures for marking and discontinuing use of damaged or defective equipment and (3) Procedures for marking and discontinuing use of damaged or defective equipment and immediately reporting broken equipment to medical maintenance. immediately reporting broken equipment to medical maintenance. (4) Procedures for reporting all injuries, however slight, to their supervisor and getting
(4) Procedures for reporting all injuries, however slight, to their supervisor and getting immediate first immediate first aid. aid.
(5) Procedures for discarding needles, syringes, and sharp instruments in approved sharps (5) Procedures for discarding needles, syringes, and sharp instruments in approved sharps containers. Disposal of needles and syringes disposal in healthcare facilities will containers. Disposal of needles and syringes disposal in healthcare facilities will comply with the comply with the
current Occupational Safety and Health Administration (OSHA) current Occupational Safety and Health Administration (OSHA) Bloodborne Pathogen Standard, Bloodborne Pathogen Standard,
(6) Procedures for providing training and wear of appropriate protective clothing and(6) Procedures for providing training and wear of appropriate protective clothing and equipment when equipment when using cleaning solutions, solvents, caustics, and so forth; or using cleaning solutions, solvents, caustics, and so forth; or whenever the job requires protective whenever the job requires protective clothing and equipment clothing and equipment (such as in laboratories, shops, and so forth).
Mishap/Accident Reporting
Mishap/Accident Reporting
Reporting guidelines
Reporting guidelines
the 5 Ws (who, what, where, when, and why) of the accident should be covered.
(Log of Work-Related Injuries and Illnesses),
b. The safety manager will maintain a log of occupational injuries and illness log of occupational injuries and illness data to sustain the OSHA For data to sustain the OSHA For
b. The safety manager will maintain a
a. The safety manager will compile safety manager will compile and maintain accident/mishap data to and maintain accident/mishap data to identify trends. identify trends.
a. The
safety professional organic to the medical unit typically will assist in its preparation. organic to the medical unit typically will assist in its preparation.
safety professional
report is deemed necessary, a
report is deemed necessary, a
formal written
formal written
If a follow-on
If a follow-on
(who, what, where, when, and why) of the accident should be covered.
the 5 Ws
All accidents/mishaps involving staff, patients, and visitors, will be reported to
Reports shall be made both
All accidents/mishaps involving staff, patients, and visitors, will be reported to
the medical treatment facility safety office
the medical treatment facility safety office
within 24-hours of occurrence
within 24-hours of occurrence
Reports shall be made both
up the supervisory chain of command
Verbal, telephonic accident reports are preferable and in general,
up the supervisory chain of command
and to the
and to the
first level of the organization first level of the organization where there is full time safety professional where there is full time safety professional staff.
staff.
Verbal, telephonic accident reports are preferable and in general,
(Log of Work-Related Injuries and Illnesses),
Initial investigation Initial investigation The supervisor will perform an
The supervisor will perform an initial accident initial accident investigation investigation to determine facts and complete the to determine facts and complete the supervisor portion of the required accident report. supervisor portion of the required accident report.
This report will then be forwarded to the manager for This report will then be forwarded to the manager for review and comments. review and comments.
The purpose of the accident investigation is to The purpose of the accident investigation is to prevent prevent recurrence. recurrence.
Safeguarding accident reports Safeguarding accident reports Accident reports will be safeguarded
Accident reports will be safeguarded for use in accident prevention for use in accident prevention .
.
Generally, accident reports are Generally, accident reports are restricted to circulation only in safety restricted to circulation only in safety channels channels and within the chain of command of the organization. and within the chain of command of the organization.
They are not releasable to/for other functions such as line-of-duty They are not releasable to/for other functions such as line-of-duty investigation, report-of-survey, criminal investigation, or to support investigation, report-of-survey, criminal investigation, or to support claims for or against the Hospital. claims for or against the Hospital.
If in doubt concerning release of the accident related material, If in doubt concerning release of the accident related material, consult with the Legal Advocate consult with the Legal Advocate .
.
Inspections and Surveys
Inspections and Surveys
Self-inspections
Self-inspections
a. Managers and supervisors will use their developed program of self-
a. Managers and supervisors will use their developed program of self- evaluations to evaluations to determine the effectiveness determine the effectiveness of their occupational of their occupational safety and health programs. safety and health programs.
b. Self-evaluations will include
b. Self-evaluations will include qualitative assessments qualitative assessments of the extent to of the extent to which their agency safety and health which their agency safety and health programs are developed, programs are developed, in in accordance with the requirements accordance with the requirements .
.
c. The medical treatment facility (MTF) safety manager will provide
c. The medical treatment facility (MTF) safety manager will provide local inspection forms local inspection forms for use by medical for use by medical center/hospital personnel. center/hospital personnel.
d. Normal inspection intervals are
d. Normal inspection intervals are annual annual
(facility inspections), (facility inspections), semiannual semiannual
(patient care areas), (patient care areas), quarterly quarterly
(high (high interest areas), and interest areas), and monthly monthly (safety-spot inspections).
(safety-spot inspections).
Inspections, evaluations, and surveys
Inspections, evaluations, and surveys
a.a.
Spot Inspections.
Spot Inspections.
(1) Spot inspections will be conducted at least (1) Spot inspections will be conducted at least monthly monthly for high interest areas for high interest areas (those areas identified in the hazard risk analysis assessment). (those areas identified in the hazard risk analysis assessment). (2) The results of the spot inspections will be recorded to (2) The results of the spot inspections will be recorded to ensure findings have ensure findings have been been corrected corrected and as a vehicle for follow-up, to monitor historical data and as a vehicle for follow-up, to monitor historical data on areas that on areas that have been corrected. have been corrected.
b.
b.
Annual/semiannual Annual/semiannual inspections, evaluations, and surveys. inspections, evaluations, and surveys.
(1) Safety, fire prevention, and health personnel conduct annual reviews of the (1) Safety, fire prevention, and health personnel conduct annual reviews of the unit’s safety program and its effectiveness in preventing mishaps, as well unit’s safety program and its effectiveness in preventing mishaps, as well as as the annual facility inspections. the annual facility inspections. (2) Semiannual inspections are also (2) Semiannual inspections are also required for all patient care areas required for all patient care areas . . (3) A representative of the official in charge of the workplace and a designated (3) A representative of the official in charge of the workplace and a designated representative of the employees in the workplace must be afforded the representative of the employees in the workplace must be afforded the opportunity to opportunity to accompany inspectors during the physical inspection of accompany inspectors during the physical inspection of workplaces. workplaces. Inspectors must consult personnel on matters affecting their safety and Inspectors must consult personnel on matters affecting their safety and health. health. (4) An (4) An in-brief and out-brief in-brief and out-brief will be provided unless declined; an inspection will be provided unless declined; an inspection
Occupational Safety and Health Administration Occupational Safety and Health Administration
inspections
inspections
a. Inspectors from the Department of Labor are authorized to conduct
a. Inspectors from the Department of Labor are authorized to conduct
announced and unannounced inspections announced and unannounced inspections of all unique workplaces of all unique workplaces and operations where personnel are employed. and operations where personnel are employed.b. A representative of the Safety office will accompany OSHA
b. A representative of the Safety office will accompany OSHA inspectors inspectors
; then the MTF/activity safety officer will accompany the ; then the MTF/activity safety officer will accompany the inspector. inspector.
c. The OSHA inspector will inspect only
c. The OSHA inspector will inspect only after meeting with the hospital after meeting with the hospital Manager.
Manager.
d. MTF/activity safety manager must accompany the inspector at all
d. MTF/activity safety manager must accompany the inspector at all
Hazard Reporting and Abatement
Hazard Reporting and Abatement
Introduction Introduction It is vital to
It is vital to detect and promptly correct detect and promptly correct hazards at the hazards at the lowest possible level. lowest possible level.
Hazards must be reported to the responsible supervisor
Hazards must be reported to the responsible supervisor
or local safety staff so corrective action may be taken. or local safety staff so corrective action may be taken.If the hazard is eliminated on the spot, If the hazard is eliminated on the spot, no further action no further action is required is required unless it applies to other similar operations or unless it applies to other similar operations or to other units or agencies. to other units or agencies.
Hazard reporting Hazard reporting Hazards may be identified/reported verbally to the supervisor, safety office, or by Hazards may be identified/reported verbally to the supervisor, safety office, or by using Form ,Facility Management work order, work request, or spot inspection. using Form ,Facility Management work order, work request, or spot inspection.
Regardless of the method used, certain procedures must be followed.
Regardless of the method used, certain procedures must be followed.
a. If the hazard presents imminent danger , the supervisor or individual responsible for
a. If the hazard presents imminent danger , the supervisor or individual responsible for
the area will take the area will take immediate immediate action action to correct the situation or apply to correct the situation or apply interim control interim control measures . measures .
b. The safety staff will investigate the hazard, assign a risk assessment code (RAC),
b. The safety staff will investigate the hazard, assign a risk assessment code (RAC),
and will monitor corrective and will monitor corrective action until completion. action until completion.c. During the investigation, the evaluator discusses the hazard with the person who
c. During the investigation, the evaluator discusses the hazard with the person who identified it, the responsible supervisor or manager, and other parties involved to identified it, the responsible supervisor or manager, and other parties involved to validate the hazard. validate the hazard.
This discussion also determines the best interim control and corrective action for the This discussion also determines the best interim control and corrective action for the hazard. hazard.
d. If the hazard is found to be a fire or health problem it is brought to the attention of
d. If the hazard is found to be a fire or health problem it is brought to the attention of
the appropriate agency for corrective action , for example, fire department, preventive
the appropriate agency for corrective action , for example, fire department, preventive
e. A Form (Notice of Unsafe or Unhealthful Working Condition) will be provided by
e. A Form (Notice of Unsafe or Unhealthful Working Condition) will be provided by
the safety office the safety office for posting of all RAC 1 or 2 hazards. The Form will remain in for posting of all RAC 1 or 2 hazards. The Form will remain inplace for three days or until the hazard has been abated, whichever is longer. place for three days or until the hazard has been abated, whichever is longer.
f. If the hazard has not been abated within 30 days of identification, it will be placed
f. If the hazard has not been abated within 30 days of identification, it will be placed
on another Form (Installation on another Form (InstallationHazard Abatement Plan). Status on all Form will Hazard Abatement Plan). Status on all Form will be tracked monthly by the functional manager. be tracked monthly by the functional manager.
Functional managers will prepare Form and forward to the validating agency
Functional managers will prepare Form and forward to the validating agency
(fire department, preventive medicine, MTF/activity safety office, and so forth.) (fire department, preventive medicine, MTF/activity safety office, and so forth.)
The validating agency will— The validating agency will— (1) Keep one copy for file. (1) Keep one copy for file.
(2) Submit one copy to Safety Office to be filed in the Master Hazard (2) Submit one copy to Safety Office to be filed in the Master Hazard Abatement Plan.
Abatement Plan.
(3) Return one copy to the functional manager.
(3) Return one copy to the functional manager.
(4) Track the hazard until it is abated.
(4) Track the hazard until it is abated.