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Regulation Of The Minister Of Health 18 Number 2016 2016

Original Language Title: Peraturan Menteri Kesehatan Nomor 18 TAHUN 2016 Tahun 2016

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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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2016, No. 719 -2-

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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