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REPUBLIC OF INDONESIA NEWS
No. 719, 2016 FRANKKES. Practice. Anesthesiologist. Permissions.
REGULATION OF THE REPUBLIC OF INDONESIA HEALTH MINISTER
NUMBER 18 IN 2016
ABOUT
PERMISSION AND THE HOLDING OF THE ANESTHETIC PRACTICE
WITH THE GRACE OF THE ALMIGHTY GOD
THE REPUBLIC HEALTH MINISTER INDONESIA,
Win: a. that Anesthesia Penata is one of the types
health care which has the authority to
conduct an orphanage health care
The fullness of anesthesia in accordance with the field of expertise
is owned;
b. that in order to protect the recipient community
health care, any healthcare that will
run its profession practice must have a permit
in accordance with the provisions of the perinvite regulations-
the invitation;
c. that Health Minister Regulation No. 31 Year
2013 on the Governing Job Nurses
Anesthesia, is viewed as no longer appropriate to
the development of legal dynamics and needs
society health care recipient;
d. that based on consideration as
referred to in letters a, letter b, and letter c, and
to implement the provisions of Article 46 of the paragraph (7)
Act Number 36 of 2014 on Power
Health, need to establish Minister Regulations
Health on Permission and Hosting Practice
Anesthetic Penata;
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Given: 1. Law No. 29 of 2004 on Practice
Medicine (State Gazette of the Republic of Indonesia Year
2004 Number 116, Republic of the Republic Gazette
Indonesia Number 4431);
2. Law No. 36 Year 2009 concerning
Health (State Gazette of the Republic of Indonesia Year
2009 Number 144, Additional Gazette Republic of State
Indonesia Number 5063);
3. Law No. 44 Year 2009 About Home
Sick (sheet Of State Of The Republic Of Indonesia In 2009
Number 153, Additional Gazette Republic Of The Republic
Indonesia Number 5072);
4. Law No. 23 Year 2014 on
Local Government (Republican Gazette
Indonesia Year 2014 Number 244, Extra Sheet
Country Number 5587) as amended last
with Act Number 9 2015 on
Second Amendment to the Law No. 23 Year
2014 on Local Government (State Sheet
Republic of Indonesia 2015 No. 58, additional
State sheet number 5679);
5. Law Number 36 Year 2014 about Power
Health (State Sheet Of The Republic Of Indonesia Year
2014 Number 298, Additional Gazette Republic Of The Republic
Indonesia Number 5607);
6. Regulation Minister Health Number
269 /Menkes/Per/III/2008 about Rekam Medik;
7. Regulation Minister Health Number
290 /Menkes/Per/III/2008 about the Action Agreement
Medicine;
8. Regulation Minister Health Number
519 /Menkes/Per/III/2011 on Guidelines
Holding of Anestesiology and Therapy Services
Intensive In Hospital (Republic State News
Indonesia Tahun 2011 No. 224);
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9. Health Minister Regulation No. 36 Years 2012
on the Secret of Medicine (Republican State News
Indonesia Tahun 2012 Number 915);
10. Health Minister Regulation No. 46 of 2013
on the Registrations of the Healthcare (State News
Republic of Indonesia of 2013 No. 977);
11. Regulations of the Minister of Health of the Republic of Indonesia Number
64 Years 2015 on Organization and Workforce
Ministry of Health (Republican State News
Indonesia Tahun 2015 No. 1508);
DECIDED:
Establits: THE HEALTH MINISTER ' S REGULATIONS ON PERMISSION AND
HOST THE PRACTICE OF ANESTHESIOLOGISTS.
BAB I
provisions of UMUM
Article 1
In Regulation of this Minister referred to:
1. Anesthesia is every person who has graduated
An education field education of anesthesia or Penata
Anesthesia in accordance with the provisions of the rules of the invite-
invitation.
2. Health care facilities are tools and/or
places used to host efforts
health care services either promote, preventative, curative,
and the rehabilitation conducted by the Government,
local government, and/or society.
3. The next
abbreviated STRPA is a written proof given by
The government to the Anesthetic Penata which has had
certificate of competence as per the rules of the rules
The laws.
4. Next
(SIPPA) is a proof written proof
authority to exercise professional practice
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Anesthetic Penata at the Health Service Facility.
5. The standards of the Department of Anaesthetic Professions are limits
The minimum ability of knowledge, skills,
and professional behavior that must be mastered and owned
by an Anesthetic Penata to be able to perform
the practice The profession in society independently
made by the Organization of Profess.
6. The Minister is the Minister who organizes affairs
governance in the field of health.
7. The Profession organization is the Anaesthetic Penata Association
Indonesia.
BAB II
PERIZthetics
Part Kesatu
STRPA
Article 2
(1) Anesthetic Penata to be able to do the practice
The profession must have STRPA.
(2) To be able to acquire STRPA as intended
on paragraph (1), the Anesthetic Penata must have a certificate
competence in accordance with regulatory provisions
laws.
(3) STRPA as referred to in paragraph (1) applies
for 5 (five) years.
(4) STRPA as referred to in paragraph (1) may
be obtained according to the rules of the invite-
invite
.
Section 3
The expiring STRPA may be extended
during meeting the requirements.
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Second Section
SIPPA
Article 4
(1) Anesthetic Penata which runs the practice
The profession is mandatory to have SIPPA.
(2) SIPPA as referred to in paragraph (1) is granted
to the Anesthetic Penata which has a STRPA.
(3) SIPPA as referred to in paragraph (2) is issued
by the county/city local government.
(4) SIPPA as referred to in paragraph (3) applies
for 1 (one) place.
Article 5
(1) Anesthetic Penata can only have at most 2
(two) -SIPPA.
(2) A second SIPPA application may be performed with
indicating that the Anaesthetic Penata has already had
the first SIPPA.
Section 6
(1) To acquire SIPPA as it is properly obed in
Article 4, the Anesthetic Penata must submit a request
to the county/city county government with
attaching:
a. a legalized photocopy of the diploma;
b. photocopy STRPA;
c. A healthy letter from a physician who has
A Practice License;
d. a statement letter has a practice place at
Health Service Facility;
e. fit the most recent photo is 4x6 cm as much as 3 (three)
the sheet is set in red;
f. recommendations from the health service chief
district/city or designated officials; and
g. Recommendation from the Professorganization.
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(2) In case SIPPA is issued by the health service
county/city, the recommendation requirement as
is referred to in paragraph (1) the letter f is not required.
(3) Sample letter of the request obtain SIPPA
as set forth in the form I
is an inseparable part of the Regulation
This minister.
(4) The example of SIPPA as set forth in form II
which is the part not separated from the Regulation
This minister.
Article 7
(1) The Anaesthetic Penata of the citizens foreign countries can submit
pleas obtain SIPPA after:
a. satisfy the requirements as intended
in Section 6 of the paragraph (1);
b. make a statement letter obeying the profession ' s ethics
and the laws of negotiations;
c. following competency evaluations;
d. have a work permit and residence permit and
other requirements in accordance with the provisions
the laws of the negotiations; and
e. have an Indonesian language proficiency.
(2) The anesthesia of an Indonesian citizen outside of
the country can apply for obtaining
SIPPA after:
a. satisfy the requirements as intended
in Section 6 of the paragraph (1); and
b. following a competency evaluation.
(3) Further provisions regarding the evaluation of competency
as referred to in paragraph (1) the letter c and paragraph (2)
letter b is performed in accordance with the rules of
laws.
Section 8
(1) SIPPA applies to the length of STRPA still in effect and
may be extended back during its fulfils
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requirements.
(2) Anaesthetic Penata and Penata Anesthesia citizens
Indonesia graduates abroad who will extend
SIPPA must follow the provisions as
referred to in Article 6 of the paragraph (1) and paragraph (2).
(3) The anesthesia of a foreign citizen who will
extend SIPPA must:
a. follow the provisions of the
Section 6 of the paragraph (1) and paragraph (2); and
b. make a statement of statement obeying the profession ' s ethics
and the laws.
Article 9
(1) The leadership of the Health Service Facility is prohibited
hiring Anaesthetic Penata is unowned
SIPPA.
(2) The leadership of the mandatory Health Service Facility
reports the Anaesthetic Penata who works and stops at
his health care facility at any quarter
to the county/city health service chief with
gust to the Professores.
BAB III
HOSTING THE PRACTICE OF PROFESSION
ANESTHETICS
SECTION
AUTHORITY
ARTICLE 10
ANESTHESIOLOGIST IN THE EXERCISE OF HIS PROFESSIONAL PRACTICE
authorized to perform fullness care services
anaesthesia on:
A. praanaesthesia;
b. intraanaesthesia; and
c. pascaanaesthesia.
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Article 11
(1) Orphanage Services of the preanesthesia as
referred to in Article 10 of the letter a is performing
a pre-anesthetic assessment of the preanestesia which includes:
a. Patient administration preparation;
b. examination of vital signs;
c. Other checks required as needed
patients either inspected, palpation, nor
auscultation;
d. examination and assessment of the patient ' s physical status;
e. analysis of the results of the study and formulating the problem
patient;
f. evaluation of the pre-service of the pre
anestesia ministry, evaluating autoneously and
collaborative;
g. document the results of anamnesis/study;
h. preparation of the anestesia machine thoroughly every
times it will be used and ensure that the engine
and the monitor are in good and ready-wear;
i. Supplies of medicines and liquids
every day to ensure that all drugs-
medicines both anestesia and emergency medicine
are available according to the hospital standard; and
j. ensuring the availability of anestesian infrastructure
is based on schedule, time, and type of operation
.
(2) Intraanaesthetic fullness care services as
referred to in Section 10 of the letter b, consisting of:
a. monitoring of equipment and medicines accordingly
with anestesia engineering planning;
b. monitoring of the general state of the patient.
is thoroughly thorough and correct; and
c. documenting all actions performed
in order for all recorded actions both and correct.
(3) The services of the fullness of the post-anesthesiology
as referred to in Article 10 of the letter c includes:
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a. Planning for post-action fullness action
anestesia;
b. Nature stewardspeople in pain management appropriate
instruction specialist physician anesthesia.
c. monitoring of post-installation patient condition
epidural catheter;
d. monitoring of post-giving patient conditions
regional aesthetics;
e. monitoring of post-drug post-giving patients
general anaesthetics;
f. evaluation of the results of post-installation patient conditions
epidural catheter;
g. evaluation of the epidural catheter installation and
regional anestesia treatment;
h. evaluation of the epidural catheter installation and
general anestesia treatment;
i. implementation of the action in addressing the conditions
emergency;
j. Documenting the use of drugs and tools
health is used; and
k. the maintenance of the equipment to be ready for use
in the next anesesian action.
The Second Section
Devolution Authorization
Section 12
In addition to the authority as referred to in Section 10 and
Section 11, Penata Anesthesia can carry out the service:
a. under supervision over the devolution of authority
mandates of a specialist anestesiologist or doctor
other
; and/or
b. based on a government assignment as needed.
Article 13
The devolve of authority mandates from specialist physicians
anestesiology or other physicians as referred to in
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Article 12 of the letter a, in order to assist the ministry of anesthesia
which includes:
a. exercise of anestesia in accordance with the doctor ' s instructions
anestesiology specialist;
b. installation of non-invasive monitoring devices;
c. performing invasive monitoring tools;
d. Anaesthetic medication.
e. cope with the embollete arising;
f. Airway maintenance;
g. installation of mechanical ventilation tools;
h. installation of nebulization tools;
i. termination of anestesia action; and
j. Documentation on media record.
Section 14
(1) The overflow of authority on assignment
the government as referred to in Article 12 of the letter
b is done in the case of no specialist doctor
anestesiology in an area.
(2) Service in order to be authorized
as referred to in paragraph (1) can only
be done by the Anesthetic Penata which has received
training.
(3) Service in order to be authorized
as referred to in paragraph (2) includes services
anesthesia in accordance with the additional competence that
is obtained through training.
(4) Training as referred to in paragraph (2) and paragraph
(3) is the responsibility of the local government
province and/or the county/city regional government
in cooperation with the profession organization and involves
other related profession organizations.
(5) Training as referred to in paragraph (2) and paragraph
(4) must Accreditation in accordance with the terms
applicable laws.
(6) Surplus Authority based on assignment
government can only be implemented at the facility
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Government health services and/or
local government.
Section 15
In terms of the area as referred to in Article 14
paragraph (1) has a specialist doctor anestesiology,
the authority to conduct services based on
government assignment does not apply.
Article 16
(1) In an emergency for life-saving,
Anesthesia Penata may perform the act of service
anesthesia beyond its authority in order of help
first.
(2) First aid as referred to in paragraph
(1) is intended to reduce pain and
stabilizes the patient condition.
(3) The anesthetist must refer the patient to the power
the health that competently after help
first as referred to in paragraph (2) finished
done.
Article 17
(1) Anesthetic Penata in carrying out the practice
The profession is required to follow education and training
sustaint.
(2) Continued education and training as
referred to paragraph (1) is carried out by a profession organization
or any other institution accredited by the organization
profession in order of the absorption of the development of science
knowledge and technology.
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Third Section
Article 18
(1) In carrying out the practice of his profession, Penata
The anesthetic is required to record.
(2) Seekers as referred to in the paragraph (1) mandatory
stored in accordance with the perinvite rules provision-
invitation.
Fourth Quarter
Rights and Liability
Article 19
In carrying out its professional practice, Penata Anaesthetics
has a right:
a. obtaining legal protection in implementing
its profession practices in accordance with the standard of the profession,
the standard of service, and the operational standard of the procedure;
b. obtaining complete and honest information from patients
and/or family;
c. performing services in accordance with competence;
d. receive the rewards of the profession services; and
e. obtaining a protection guarantee against the work risk
in relation to its duties in accordance with
the provisions of the laws.
Article 20
(1) In carrying out its professional practice, Penata
Anesthesia has an obligation:
a. respect for patient rights;
b. keeping patient secrets in accordance with the rules
negotiations;
c. provide information on the health issue
and the ministry needed;
d. ask for action approval that will
be implemented to the patient; and
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e. comply with the standards of the profession, the standard of service, and
operational standards of procedure.
(2) Anesthesia Penata in running the practice
The profession must always improve the quality
service, by following the development science
knowledge and technology through education and
training in accordance with the field of duty.
BAB IV
COACHING AND SUPERVISION
Article 21
(1) Ministers, provincial local governments, and governments
county/city area doing coaching and
oversight against execution Professional practice
Anesthesia Penata.
(2) In carrying out the coaching and supervision
as referred to in paragraph (1), Minister,
provincial local government, and local government
county/city can involve a professed organization.
(3) Coaching and supervision as intended
on paragraph (1) is directed to improve the quality of
service, patient safety, and protect
society of all possibilities that can
pose a danger to health.
Article 22
(1) In order supervision execution as
referred to in Article 21, Minister, local government
province, and the county/city county government can
provide administrative actions to Penata
Anesthesia performing violation of
provisions of the practice of the Penata profession
Anesthesia in this Minister Rule.
(2) The administrative actions as referred to in the paragraph
(1) are:
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a. oral reprimand;
b. written reprimand; and/or
c. revocation of SIPPA.
Article 23
(1) The county/city county government can
recommend the revocation of STRPA against Penata
Anesthesia that does the Anaesthetic Penata work
without having SIPPA.
(2) The county/city county government may wear
sanction of oral reprimand, written reprimand written up to
revocation of the Health Care Facility to
leadership of the Health Service Facility
employs an unowned Anaesthetic Penata
SIPPA.
BAB V
provisions CLOSING
Article 24
At the time the Act comes into effect:
a. all nomenclature Nurse Anesthesia in Regulation
Health Minister Number 519 /Menkes/Per/III/2011
on the Guidelines of Human Services
Anestesiology and Intensive Therapy in the Hospital (News
The Republic State Indonesia Year 2011 No. 224)
must be read and interpreted as an Anaesthetic Penata; and
b. Health Minister Regulation No. 31 Year 2013
on the Governing Job Nurse Anesthesia
(The State News of the Republic of Indonesia 2013 Number
673) is revoked and declared not to be valid.
Article 25
The rules of the Minister are in effect on the date
promulred.
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For everyone to know, ordered
the invitational of the Minister's Regulation with its placement
in the Republic of Indonesia News.
Set in Jakarta
on the 4th April 2016
HEALTH MINISTER
REPUBLIC OF INDONESIA,
ttd
NILA FARID MOELOEK
UNDRASED in Jakarta
on 11 May 2016
DIRECTOR GENERAL
REGULATION
THE MINISTRY OF LAW AND HUMAN RIGHTS
REPUBLIC OF INDONESIA,
ttd
WIDODO EKATJAHJANA
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Form I
CONCERNING: REQUEST FOR THE PRACTICE PERMIT
ANESTHESIOLOGIST (SIPPA)
TO YTH,
HEALTH SERVICE CHIEF
DISTRICT/CITY .....
at
..
With respect,
signed below,
Full Name:. () The
(s)
("Date"): ..
The Gender: A Consecutive Year.
Year Of The Graduate:. a request to obtain a Practice License
An Anesthetic Penata at a. ... (call the facility name
health care, address, city name, district/city) in accordance with
Health Minister Regulation Number. ... on
The permit and the implementation of the Mixer Practice Anesthesia.
As this mutual consideration material we attach:
a. Photocopy Diploma III Treatment of Anesthesia passed by
the leader of the education organizer;
b. The STRPA photocopy still applies;
c. A healthy letter from a doctor who has a SIP;
d. Fit photo size 4 X 6 cm as much as 2 (two) sheets;
e. A letter from the head of the health care facility or who
states it is still working on the health care facility that
is concerned;
f. Recommendations from IPAI.
So for the attention of our Father/Mother to thank you.
Which begs,
(.........)
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Form II
COUNTY/CITY HEALTH SERVICE. ...
WARRANT FOR THE NALIS ANESTHESIA MIXER NUMBER. The number
for the IBM Business Analytics for Business and/or IBM Business Analytics for Business and/or IBM Business Analytics for Business and/or IBM Business Analytics for Business and/or IBM Business Analytics for Business and/or IBM Business Analytics for Business and/or IBM Business Analytics Born: .,
Address:. .,
Issued by:. ..
Given a practice permit to do a job in the field of upbringing
The fullness of anesthesia as an Anaesthetic Penata, a graduate of
. (education type) at:
The name of the health care facility:.
District/city: For this reason, this is not a valid event.
The Anaesthetic Penata Practice (SIPPA) license applies to the date
.
.
Issued on the date .....
Head of the Health Service
District/city. ...
Name:
NIP .........
Tembusan:
1. Head of Provincial Health Service
2. Organization of Professions (IPAI)
Pas photo
4 X 6
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