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STANDARD

PELAYANAN MINIMAL
BBL, BAYI DAN BALITA
Lecture : Rahajeng Siti Nur Rahmawati,
M.Keb

STANDAR PELAYANAN
MINIMAL (SPM) ALAT

PERALATAN TIDAK STERIL


Stetoskop
Timbangan Bayi
Pengukur Panjang Bayi
Termometer
Oksigen Dalam Regulator
Penghisap Lendir
Ambubag (Bayi)
Lampu Sorot
Penghitung Nadi
Sterilisator
Bak Instrumen
Pita Pengukur

Metlin (Lila)
Sarung Tangan
Celemek
Masker
Sarung Kaki Plastik
(Penolong)
Pengaman Mata
Tempat Kain Kotor
Tempat Sampah
Tempat Plasenta
Gunting (Biasa,Verban)
Suction

PERALATAN STERIL
Klem
kocker
Korentang
Gunting tali pusat
Gunting benang
Pinset
(anatomis,cirugis)

Pengikat tali
pusat
Penghisap lendir
Sarung tangan
Benang+jarum
Doek steril

BAHAN HABIS PAKAI


Kapas
Kain kasa
Plester
Handuk

STANDARD TEMPAT

Standar tempat pelayanan


Mempunyai lokasi tersendiri yang telah disetujui oleh
pemerintah daerah setempat (tata kota), tidak
berbaur dengan kegiatan umum lainnya seperti pusat
perbelanjaan, tempat hiburan, sejenisnya.
Tidak berdekatan dengan lokasi bentuk pelayanan
sejenisnya dan juga agar
sesuai dengan fungsi sosialnya yang salah satu
fungsinya adalah mendekatkan pelayanan kesehatan
kepada masarakat

Standar Tata Ruang


Setiap ruang periksa mempunyal luas 2x3 meter
Setiap bangunan pelavanan, minimal mempunyai
ruang periksa, ruang
administrasi/kegiatan lain sesuai kebutuhan, ruang
tunggu dan kamar mandi/ WC, masing-masing I buah.
Semua ruangan mempunyai ventilasi dan
penerangan.
Lebih bagus jika ada ruangan khusus rooming in
(rawat gabung) dan ruang Iaktasi.

STANDAR TEMPAT UNTUK BBL DI


KLINIK
Box untuk bayi
Penghangat bayi

STANDAR PELAYANAN BAYI


BARU LAHIR DAN NEONATUS DI
KOMUNITAS
Saat ini 45% kematian bayi terjadi pada usia
kurang dari satu bulan. Penyebab utama
kematian neonatus adalah tetanus neonatorum,
bayi berat lahir rendah (BBLR), dan asfi ksia.
Upaya untuk mencegah kematian neonatus
diupayakan pada pemeliharaan kehamilan sebaik
mungkin, pertolongan pertama 3 bersih(bersih
yangan penolong, alat penggunting tali pusat,
dan alas tempat tidur ibu) dan perawatan bayi
baru lahir yang adekuat termasuk perawatan
talipusat yang hyginies selain itu, dilakukan pula
upaya deteksi dini neonatus resiko tinggi agar
segera dapat diberikan pelayanan yang
diperlukan.

HOME VISIT SCHEDULE


The provision of neonatal care at home
through visits coincide with a visit by the
mother. Visits neonates done since infants
aged 1 day to 28 days of age. The fi rst visit
on the fi rst day up to 7 after the baby is born,
while visits to 2 on day 8 to day 28.
Visits neonatal taken to monitor the health of
the baby so that in case the problem can be
immediately identifi ed as a baby having
diffi culty breastfeeding, no BAB within 48
hours, jaundice arising on the fi rst day, then
the umbilical cord red or swollen / discharge
of the umbilical cord, the baby fever more

Neonatal visit aims to improve access to


basic health care neonates, determine if
there are abnormalities in infants or babies
have health problems. The greatest risk of
death. Newborn occur in the fi rst 24 hours of
life, the fi rst week and the fi rst two months of
life. So that babies born in a health facility is
recommended for stay in a health facility
during the fi rst 24 hours.

Basic neonatal health services using a


comprehensive approach, Integrated
Management of Young Infants, which include:
Examination of danger signs such as the
possibility of bacterial infection, jaundice,
diarrhea, low weight.
Umbilical cord care
Hepatitis B immunization if not given at birth
Counseling to the mother and family to give
exclusive breastfeeding, prevention of
hypothermia and implement newborn care at
home view using MCH Handbook
Management and referral of cases

VISITS IMPLEMENTATION
NEONATAL AND NEWBORN
The fi rst neonatal visit (KN1)
After 6 hours of birth midwife continued observation
of breathing, color, level of activity, body temperature,
and treatment for any complications that arise.
Midwives do a more complete physical examination.
Refer to a physician if there is a hint of danger and
complications. If the baby is warm enough (minimum
36,5oC) midwife bathing the baby and umbilical cord
care. Midwives also teaches sign of danger to the
mother to immediately bring the baby to a medical
team in case of an alarm. Furthermore, midwives teach
how to feed and care for their babies.

The fi rst neonatal visit conducted up to 7 days after birth.


The visit begins with a brief interview with the mother or
father, about:
Maternal history, birth history, and neonatal care
immediately after birth.
Observation parents and doing interviews about family
adjustment.
Assess the newborn interval history such as feeding,
alertness, cry, and also problems in the gut (intestinal),
bladder, and other issues
Provide counseling and guidance anticipation.
Schedule visit within 6-8 weeks for immunizations and
check-ups more. In the fi rst week (till the 7th day)
midwife asks overall state of health of the baby, the
problems experienced especially in nursing, is there
anyone else at home or nearby who can help the mother.

The second visit (KN2)


The second visit was performed on day 8 to 28 after
birth. In the second visit of action that must be done is
to explain a series of immunizations and re-measure
the weight and length of the body. In addition to the
above assessment, the observations do if the baby is
classifi ed as belonging to a healthy baby or not.
Signs of healthy babies include:
Babies born immediately cry
The whole body of the baby redness
Baby is moving on
Babies can suck the nipple with a strong
Birth weight of 2,500 grams or more

THANKS FOR YOUR ATTENTION