akreditasi lab rsif

7/24/2019 Akreditasi Lab Rsif

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VISI DAN MISI

No. 09 01.1 001 No Revisi Halaman : 1/1

103/A.6/RSIF/XII/2008

e!"i#an

29 Novem"e!2009

Di#e#a$%an ole&Di!e%#'! RS( Islam Faisal

)!o*.DR.D!.S

VISI Men+a,i%an $ela-anan la"o!a#o!i'm %lini% -an "e!%'ali#as$!o*essional ,an a%'!a#

MISI1. Menin%a#%an %'ali#as $ela-anan -an e*e%#i* ,an esien.2. Menin%a#%an s'm"e! ,a-a man'sia ,i la"o!a#o!i'm.

3. Melen%a$i $e!ala#an la"o!a#o!i'm -an le"i& "e!%'ali#as.

M e$a# #e$a# ,an a%'!a#

((AN

1. Mem"e!i%an $ela-anan -an "e!%'ali#as2. Menin%a#%an $ela-anan $!ima3. Men+a,i%an la"o!a#o!i'm se"aai $en'n+an me,i% -an

$!o*essional.4. Menin%a#%an %ese+ae!aan ,an %eselama#an %e!+a $a!a

#enaa la"o!a#o!i'm.

)!o#a$ )ela-anan 5a"o!a#o!i'mRS Islam Faisal 2010


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)75AANAN 5ARARI(M )A5I;5INI;

No. 09 01 1 001 No Revisi. Halaman :

e!"i#an I

29 Novem"e!2009


)!o*.DR.D!.HA.A!i*',,inD+'annaS$


3/116

3

)75AANAN 5ARARI(M )A5I

;5INI;

No.09 01 1 001 No Revisi. Halaman :A.PELAYANAN PASIEN RAWAT JALAN :

1. )asien men'n+'%%an s'!a# $enan#a!/$e!min#aan ,a!i ,o%#e! %e$a,a $e#'asla"o!a#o!i'm.

2. )e#'as la"o!a#o!i'm meneli#i %elen%a$an lal' men>a#a# $a,a "'%'!eis#!asi la"o!a#o!i'm nama $asien 'm'! +enis $eme!i%saan nomo! !e%amme,i% alama# ,an s#a#'s $asien.

3. )asien 'm'm ,i"e!i %?i#ansi $em"a-a!an ses'ai $e!min#aan $eme!i%saan.4. )asien ,i am"il ,a!a&n-a ses'ai s'!a# $enan#a! $e!min#aan $eme!i%saan

lal' ,i$e!i%sa.

B. Hasil ,i%e#i% ,i *o!m'li! &asil $eme!i%saan ,i#eli#i ole& %e$ala !'anan lal',i#an,a#anani ole& ,o%#e! $enan'n +a?a" la"o!a#o!i'm6. Hasil ,isim$an ,alam %o#a% !a?a# +alan@. )asien a#a' %el'a!a $asien -an menam"il &asil $eme!i%saan &a!'s

menan,a#anani "'%' $enam"ilan &asil.

B, PELAYANAN PASIEN RAWAT INAP

)e!a?a# a#a' -an me?a%ili men-e!a&%an s'!a# $enan#a! ,a!i ,o%#e! -an #ela&

,i#an,a#anani ,an nama +elas %e$a,a $e#'as la"o!a#o!i'm

1. )e#'as la"o!a#o!i'm men>a#a# ,a#a ,a!i s'!a# $enan#a! $asien %e,alam "'%'

!eis#!asi la" meli$'#i :- No Re%am me,is- Nomo! la"o!a#o!i'm- I,en#i#as $asien < Nama +enis %elamin 'm'!=.- ansal / !'anan #em$a# $asien ,i!a?a#- Nama ,o%#e! -an memin#a ,an #anal $e!min#aan.- S#a#'s $asien < (m'm AS;7S AM;7SMAS ai&an $e!'sa&aan.- )a!ame#e! +enis $eme!i%saan la"o!a#o!i'm -an ,imin#a < ,i"e!i #an,a =- Dianosis ,an %e#e!anan %lini%.

2. )e#'as la"o!a#o!i'm %e!'anan / "ansal mela%'%an sam$lin ses'ai$e!min#aan $eme!i%saan se,an%an 'n#'% sam$le '!ine *e>es ,an s$'#'mse!#a >aian #'"'& lainn-a $e#'as !'anan menan#a! lans'n %e la"o!a#o!i'm

,ise!#ai ,enan S))5 -an s',a& ,iisi len%a$ ,an s',a& ,i#an,a#anani ole&-an me!a?a#.

3. Sam$el %em',ian ,i$e!i%sa ses'ai $e!min#aan $eme!i%saan.4. Hasil $eme!i%saan ,i#'lis ,alam "'%' &asil < a!si$=B. Hasil $eme!i%saan ,i%e#i% $a,a "lan%o &asil ,i#eli#i %e$ala !'anan lal'

,i#an,a#anani ole& ,o%#e! $enan'n +a?a" la"o!a#o!i'm.6. Hasil ,imas'%%an ,alam ma$ masin masin !'anan.@. Hasil la"o!a#o!i'm ,iam"il ole& $e#'as/$e!a?a# 'ni# -an memin#a

$eme!i%saan ,an menan,a#anani "'%' $enam"ilan &asil



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)75AANAN INSA5ASI 5ARARI(M)A5I ;5INI;N No. 09 01 1 001 No Revisi. Halaman : 3/4

A5(R )7M7RI;SAAN )ASI7N RACA A5AN


)ASI7NFRM: )7RMINAAN

5;7

)7N7RIMAANR7ISRASI

R(AN SAM)5INCADAH 5AH

AIAN;IMIA;5INI;

;RDINAR

75II HASI5ANDA

ANAN

AIANH7MA5I

;RDINAR75II HASI5

ANDAANAN

(;(

AIAN

MI;RI5

I

;RDINAR

75II HASI5ANDA

AIANIM(N5I/S

7R5I

;RDINAR

75II HASI5ANDA

ANAN(;(

AIAN(RINA5ISA

;RDINAR

75II HASI5ANDA

ANAN(;(

D;7R 5ARARI(M7VA5(ASI

ANDA ANAN

5;7 )7N7RAHAN HASI5

)ASI7N


5/116

B

)75AANAN INSA5ASI 5ARARI(M)A5I ;5INI;

NNo. 09 01 1 001 N No Revisi. Halaman 4/4

A5(R )7M7RI;SAAN )ASI7N RACA INA)


)7(AS R(ANANFRM )7RMINAAN

5;7)7N7RIMAANR7ISRASI

SAM)5IN;7R(ANANCADAH 5AH

AIAN;IMIA;5INI;

;RDINAR

75II HASI5ANDA

ANAN

AIANH7MA5I

;RDINAR75II HASI5

ANDAANAN

(;(

AIAN

MI;RI5

I

;RDINA

R75II HASI5ANDA

AIANIM(N5I/S

7R5I

;RDINAR

75II HASI5

ANDAANAN(;(

AIAN(RINA5ISA

;RDINAR

75II HASI5

ANDAANAN(;(


ANDA ANAN

5;7 )7N7RAHAN HASI5

)7(AS


6/116

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SR(;(R RANISASINo. 09 02 1 002 No Revisi Halaman :

SR(;(RRANISASI

e!"i#an I


)!o*.DR.D!.HA.A!i*',,in

D+'annaS$


7/116

@

No. 09 02 1 002 No Revisi. Halaman : 1/B

(RAIAN(AS

e!"i#an IDi#e#a$%an ole&

Di!e%#'! RS( Islam Faisal



8/116

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(RAIAN (AS

No. 09 02 1 002 No Revisi. Halaman : 2/B2. ;7)A5A R(ANAN

a. Nama a"a#an : ;e$ala R'anan

". F'nsi : e!#in,a% se"aai $ela%sanaan ,i "i,an lois#i>,an a,minis#!asi

>. 'as #'as : Mem"an#' #'as ;e$ala Ins#alasi men%oo!,ini! $ela-anan

,i!'an la"o!a#o!i'm. Mem"an#' ;e$ala Ins#alasi 5a"o!a#o!i'm )a#oloi ;lini% mena#a

mena#'! $en-elena!aan ,an o$e!asional la"o!a#o!i'm. Mem"an#' ;e$ala Ins#alasi men-elena!a%an a,minis#!asi

$e!en>anaan eval'asi %eia#an ,i!'an la"o!a#o!i'm. Men-'s'n la$o!an &asil %eia#an ins#alasi la"o!a#o!i'm. Menanani sis#im $en>a#a#an ,an ,is#!i"'si s'!a# mas'% ,an

s'!a# %el'a!. Menam"il "a&an s$e>imen ,an mela%'%an $eme!i%saan

sam$el

,. Ce?enan :

Memin#a *asili#as 'n#'% %elen%a$an a,minis#!asi la"o!a#o!i'm

,an $emesanan !eaens A#as $e!se#'+'an %e$ala 'ni# menen#'%an s#a* 'n#'% me?a%ili

%e$ala 'ni# 'n#'% men&a,i!i !a$a#.

e. an'n +a?a"

e!#an'n +a?a" %e$a,a %e$ala Ins#alasi la"o!a#o!i'm a#as

%elan>a!an '!'san %e!'maanaan la"o!a#o!i'm.

3. ;7)A5A )75AANAN )7M7RI;SAAN ;IMIA ;5INI;

a. Nama +a"a#an E ;e$ala )ela-an ;imia ;lini%". F'nsi : "e!#in,a% se"aai %oo!,ina#o! $ela%sanaan ,an

$enem"anan ,alam "i,an ;imia ;lini%.>. 'as #'as :

Mela%'%an $eme!i%saan sam$el. Men>a#a# meneli#i ,an men'lis &asil $eme!i%saan 'n#'%

,i#an,a#anani ,o%#e!. e!#an'n +a?a" #e!&a,a$ esiensi $en'naan "a&an

/!eaen se!#a ala# -an ,i'na%an. e!#an'n +a?a" #e!&a,a$ %e"e!si&an !'anan. Mem"'a# la$o!an "'lanan ,i"i,an %imia %lini% e!#an'n +a?a" %elan>a!an $ela-anan $eme!i%saan %imia

%lini%



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(RAIAN (AS

No.09 02 1 002 No Revisi. Halaman : 3/B ,. Ce?enan :

Menola% sam$el -an #i,a% memen'&i s-a!a# $eme!i%saan Mene!ima ,an meni%'#i #!ainin/,emo ala# "a!' -an ,i#em$a#%an

,i!'anann-a

4. ;7)A5A )75AANAN H7MA5I

a. Nama a"a#an : ;e$ala )ela-anan Hema#oloi". F'nsi : e!#in,a% se"aai %o!,ina#o! $ela%sanaan

,an $enem"anan ,alam "i,an &ema#oloi.

>. 'as #'as : Mela%'%an $eme!i%saan sam$el.

Men>a#a# meneli#i ,an men'lis &asil $eme!i%saan 'n#'%,i#an,a#anani ,o%#e!.

e!#an'n +a?a" #e!&a,a$ esiensi $en'naan"a&an/!eaen se!#a ala# -an ,i'na%an.

e!#an'n +a?a" #e!&a,a$ %e"e!si&an lin%'nan.

Mem"'a# la$o!an "'lanan ,i "i,an &ema#oloi.

e!#an'n +a?a" #e!&a,a$ %elan>a!an $ela-anan$eme!i%saan &ema#olo-

,. Ce?enan :

Menola% sam$le -an #i,a% memen'&i s-a!a# $eme!i%saan Mene!ima ,an meni%'#i #!ainin/,emo ala# "a!' -an

,i#em$a#%an ,i!'anann-a Meno!e%si &asil $eme!i%saan la"o!a#o!i'm se"el'm ,i

#an,a#ananie. an'n +a?a" : e!#an'n +a?a" %e$a,a ;e$ala Ins#alasi a#as %elan>a!an ,an %'ali#as&asil $ela-anan la"o!a#o!i'm ,i "i,an &ema#oloi.

(RAIAN (AS



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No. 09 02 1 002 No Revisi. Halaman : 4/B

B. ;7)A5A )75AANAN IM(NS7R5Ia. Nama a"a#an : ;e$ala )ela-anan im'nose!oloi

". F'nsi : e!#in,a% se"aai %o!,ina#o! ,an $ela%sanaan ,an

$enem"anan ,alam "i,an im'nose!oloi.>. 'as #'as :

o Mela%'%an sam$lin %e!'anano Mela%'%an $eme!i%saan sam$elo e!#an'n +a?a" #e!&a,a$ $eme!i%saan im'no se!oloio e!#an'n +a?a" #e!&a,a$ esiensi $en'naan "a&an/!eaen

se!#a ala# -an ,i'na%an.o e!#an'n +a?a" #e!&a,a$ %e"e!si&an !'anan.o Men>a#a# meneli#i ,an men'lis &asil $eme!i%saan 'n#'%

,i#an,a#anani ,o%#e!o Mem"'a# la$o!an "'lanan ,i"i,an im'nose!oloi

,. Ce?enan :- Menola% sam$le -an #i,a% memen'&i s-a!a# $eme!i%saan- Mene!ima ,an meni%'#i #!anin/,emo ala# "a!' -an ,i#em$a#%an

,i!'anann-a- Meno!e%si &asil $eme!i%saan la"o!a#o!i'm se"el'm ,i#an,a#anani

e. an'n +a?a" :- e!#an'n +a?a" %e$a,a ;e$ala Ins#alasi a#as %elan>a!an ,an

%'ali#as &asil $ela-anan la"o!a#o!i'm ,i "i,an im'nose!oloi.

6. ;7)A5A )75AANAN MI;RI5I DAN )ARASI5Ia. Nama a"a#an : ;e$ala )ela-anan Mi%!o"ioloi ,an )a!asi#oloi". F'nsi : e!#in,a% se"aai %o!,ina#o! $ela%sanaan ,an

$enem"anan ,alam "i,an mi%!o"ioloi ,an $a!asi#oloi.>. 'as #'as :

- Mela%'%an $eme!i%saan sam$el- e!#an'n +a?a" #e!&a,a$ $eme!i%saan mi%!o"ioloin ,an

$a!asi#oloi- e!#an'n +a?a" #e!&a,a$ e*esiensi $en'naan "a&an/!eaen

se!#a ala# -an ,i'na%an.- Men>a#a# meneli#i ,an men'lis &asil $eme!i%saan 'n#'%

,i#an,a#anani ,o%#e!-

Mem"'a# la$o!an "'lanan ,i"i,an mi%!o"ioloin ,an $a!asi#oloi.,. Ce?enan :- Menola% sam$el -an #i,a% memen'&i $eme!i%saan- Mene!ima ,an meni%'#i #!ainin/,emo ala# "a!' -an ,i#em$a#%an

,i!'anann-a- Meno!e%si &asil $eme!i%saan se"el'm ,i#an,a#anani ole& ,o%#e!.



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(RAIAN (AS

No.09 02 1 002 No Revisi. Halaman : B/B

e. an'n a?a" : "e!#an'n +a?a" %e$a,a %e$ala ins#alasi a#as%elan>a!an ,an %'ali#as &asil $ela-anan la"o!a#o!i'm ,i "i,an mi%!o"ioloi,an $a!asi#oloi

@.;7)A5A )75AANAN (RINA5ISA

a. Nama a"a#an : ;e$ala )ela-anan (!inalisa". F'nsi : e!#in,a% se"aai %o!,ina#o! ,an $ela%sanaan ,an$enem"anan ,alam "i,an '!inalisa>. 'as #'as :

Mela%'%an $eme!i%saan sam$el. e!#an'n +a?a" #e!&a,a$ $eme!i%saan '!inalisa. e!#an'n +a?a" #e!&a,a$ e*esiensi $en'naan "a&an/!eaen se!#a ala#

-an ,i'na%an. e!#an'n +a?a" #e!&a,a$ %e"e!si&an !'anan. Men>a#a# meneli#i ,an men'lis &asil $eme!i%saan 'n#'% ,i#an,a#anani

,o%#e!. Mem"'a# la$o!an "'lanan ,i"i,an '!inalisa.

,. Ce?enan : Menola% sam$le -an #i,a% memen'&i s-a!a# $eme!i%saan Meno!e%si &asil $eme!i%saan la"o!a#o!i'm se"el'm ,i#an,a#anani Memin#a "an#'an/$e#'n+'% %e$a,a Ins#alasi ,alam &al $ema&aman $e,oman

%e!+a #es "a!'.

e. an'n a?a" : e!#an'n +a?a" %e$a,a ;e$ala Ins#alasi a#as %elan>a!an ,an %'ali#as &asil

$ela-anan la"o!a#o!i'm ,i "i,an '!inalisa.

8. ;7)A5A (R(SAN )75A)RAN DAN ADMINISRASI

a. Nama a"a#a : ;e$ala (!'san )ela$o!an ,an A,minis#a!si". F'nsi :

e!#in,a% se"aai %o!,ina#o! ,an $ela%sanaan ,alam $em"'a#an la$o!an ,iIns#alasi 5a"o!a#o!i'm.

>. 'as #'as :

Mela%'%an $eme!i%saan sam$el. Mem"'a# la$o!an &a!ian $asien !a?a# +alan ,an !a?a# ina$ ,i ins#alasi

la"o!a#o!i'm. Meman#a' $ela%sanaan %o!,inasi %e$ala !'anan ,enan 'ni# #e!%ai# ,alam

melen%a$i a,minis#!asi Mem"'a# la$o!an "'lanan ,i Ins#alasi 5a"o!a#o!i'm

,. an'n +a?a": e!#an'n +a?a" %e$a,a ;e$ala Ins#alasi a#as la$o!an &asil &a!ian ,an

"'lanan ,i Ins#alasi 5a"o!a#o!i'm.



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N No. No Revisi. Halaman : 1/2

A5(R )7M7RI;SAAN )ASI7N RACA A5AN


)ASI7NFRM: )7RMINAAN


R(AN SAM)5INCADAH 5AH

AIAN;IMIA;5INI;

;RDINAR

75II HASI5ANDA

ANAN

AIANH7MA5I

;RDINAR75II HASI5

ANDAANAN

(;(

AIAN

MI;RI5

I

;RDINAR

75II HASI5ANDA

AIANIM(N5I/S

7R5I

;RDINAR

75II HASI5

ANDAANAN(;(

AIAN(RINA5ISA

;RDINAR

75II HASI5

ANDAANAN(;(


ANDA ANAN

5;7 )7N7RAHAN HASI5

)ASI7N


13/116

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N No. N No Revisi. Halaman 2/2

A5(R )7M7RI;SAAN )ASI7N RACA INA)


)7(AS R(ANANFRM )7RMINAAN


SAM)5IN;7R(ANANCADAH 5AH

AIAN;IMIA;5INI;

;RDINAR

75II HASI5ANDA

ANAN

AIANH7MA5I

;RDINAR75II HASI5

ANDAANAN

(;(

AIAN

MI;RI5

I

;RDINA

R75II HASI5ANDA

AIANIM(N5I/S

7R5I

;RDINAR

75II HASI5

ANDAANAN(;(

AIAN(RINA5ISA

;RDINAR

75II HASI5

ANDAANAN(;(


ANDA ANAN

5;7 )7N7RAHAN HASI5

)7(AS


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)7M(AAN 5A)RAN HASI5)7M7RI;SAAN

5ARARI(MNo. No Revisi. Halaman:

)RS7D(R7A)

e!"i#an I




15/116

1B

Nama ,an #an,a #anan $eme!i%saan

)7M(AAN 5A)RAN HASI5)7M7RI;SAAN

5ARARI(MNo. No Revisi. Halaman:

4. )e#'as ,a!i masin masin 'ni# meneli#i %em"ali ,a#a -an a%an ,imas'%%an,alam "'%'

B. Masin masin $e#'as $eme!i%saan men'lis %em"ali ,i"lan%o &asil ,an&asiln-a ,i"e!i%an %e,o%#e! 'n#'% ,ieval'asi ,an ,i#an,a#anani.

6. Hasil ,imas'%%an ,alam ma$ &asil masin masin 'ni# ,an ,ile#a%%an ,ilo%e#$enam"ilan &asil.

@. )e#'as men-e!a&%an &asil $eme!i%saan $asien !a?a# ina$ %e$a,a $e#'as,i#ia$ !'anan



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)7M(AAN 5A)RAN HASI5)7M7RI;SAAN5ARARI(M

No. 09 02.2 003 No Revisi Halaman : 4/4

A5(R 5A)RAN HASI5 )7M7RI;SAAN5ARARI(M


)ela-ananHema#oloi

)ela-anan;imia

)ela-ananIm'nose!olo

)ela-anan

)ela-ananMi%!o"iolo

HASI5 )7M7RI;SAAN

D;7R5ARARI(M

< 7VA5(ASI =

5;7 )7NAMI5ANHASI5

< )ASI7N RACA A5AN =

)7(AS )7RACAAN< )ASI7N RACA INA) =


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)7N75(ARAN / )7NIRIMANHASI5 )7M7RI;SAAN 5ARARI(M

No. No Revisi. Halaman:

)RS7D(R7A)

e!"i#an I



D+'annaS$'an $ene!a$an lan%a& lan%a& 'n#'% men-e!a&%an &asil

$eme!i%saan la"o!a#o!i'm #e$a# ?a%#'

;7IA;AN : 5a$o!an &asil $eme!i%saan -an len%a$ ,an #e$a# ?a%#'

)RS7D(R :

A. (n#'% )asien Ra?a# alan :

1. )asien a#a' -an me?a%ili men-e!a&%an %?i#ansi nomo! la"o!a#o!i'm

%e$a,a $e#'as la"o!a#o!i'm

2. )e#'as la"o!a#o!i'm meme!i%sa %eses'aian an#a!a %'i#ansi nomo!

la"o!a#o!i'm ,enan i,en#i#as &asil la"o!a#o!i'm.

3. )e#'as la"o!a#o!i'm men-e!a&%an &asil $eme!i%saan la"o!a#o!i'm %e$a,a$asien -an me?a%ili.

4. )asien a#a' -an me?a%ili menan,a#anani "'%' e%s$e,isi se!a& #e!ima &asil

. (n#'% )asien Ra?a# Ina$

1. )e#'as ,a!i #ia$ !'anan menam"il &asil $eme!i%saan ,i la"o!a#o!i'm

2. )e#'as la"o!a#o!i'm men-e!a&%an &asil $eme!i%saan la"o!a#o!i'm %e$a,a

$e!a?a# !'anan masin masin 'ni# $e!a?a#an.



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3. )e!a?a# menan,a#anani "'%' e%s$e,isi se!a& #e!ima& &asil.

)7N75(ARAN/)7NIRIMAN

HASI5 )7M7RI;SAAN 5ARARI(MNo. No Revisi Halaman :

. (n#'% )asien Ins#alasi a?a# Da!'!a#

1. )e#'as la"o!a#o!i'm men-e!a&%an &asil $eme!i%saan %e$a,a $asien a#a'

-an me?a%ili.

2. )asien a#a' -an me?a%ili menan,a#anani "'%' e%s$e,isi se!a& #e!ima &asil

3. i%a &asil ,imin#a see!a ,a$a# ,ila$o!%an $e!#ele$on ,an &asil la"o!a#o!i'm

#e!#'lis men-'s'l.

(NI 7R;AI :

Sel'!'& R'an Ra?a# Ina$ ,an Ra?a# alan

Re%am Me,is

Ins#alasi a?a# Da!'!a#



19/116

19

)7NAAAN S)7SIM7NDAN R7;A)I(5ASINo. 09 02.2 003 No Revisi. Halaman :

)RS7D(R7A)

e!"i#an I

29 Novem"e!

2009



D+'annaS$a#a#an s$e>imen a,ala& >a#a#an #e!&a,a$ s$e>imen -an ,i#e!ima se#ia$

&a!i.

2. '%' !eis#e! a,ala& "'%' >a#a#an menenai s$e>imen -an ,i#e!ima se#ia$

&a!i.

3. )en>a#a#an len%a$ a,ala& meli$'#i :

a. No '!'# la"o!a#o!i'm No Re la"o!a#o!i'm.

". I,en#i%asi $asien : < nama 'm'! +enis %elamin alama# =

>. S#a#'s $asien : < (m'm AS;7S AM;7SMAS AIHAN )7R(SAHAAN ,ll=

,. Nama ,o%#e!

e. anal ,an +am s$e>imen ,iam"il

*. anal ,an +am s$e>imen ,i#e!ima

. anal ,an +am "e!a$a s$e>imen ,i$e!i%sa ,an ole& sia$a

&. enis s$e>imen -an ,iam"il ,an ,i#e!ima

i. enis s$e>imen -an ,i#e!ima

4. Re%a$i#'lasi a,ala& !e%a$i#'lasi "'lanan ,an #a&'nan #e!&a,a$ s$e>imen/

$asien -an ,i#e!ima se#ia$ &a!i

((AN :

Se"aai a>'an $ene!a$an lan%a& lan%a& 'n#'% mela%sana%an !e%a$i#'lasi



20/116

20

$en>a#a#an s$e>imen "'lanan ,an #a&'nan

)7NAAAN S)7SIM7NDAN R7;A)I(5ASI

No. 09 02.2 003 No Revisi. Halaman :

S#a#'s $asien < 'm'm As%es am%esmas a $e!'sa&aan ,ll

Dianosa/ %e#e!anan %lini%

)a!ame#e! +enis $eme!i%saan la"o!a#o!i'm -an ,imin#a.

R7;A)I(5ASI

1. )e#'as la"o!a#o!i'm -an menanani $ela-anan a,minis#!asi me!e%a$i#'lasi

s$e>imen/$asien -an ,i#e!ima.

2. )e#'as la"o!a#o!i'm me!e%a$i#'lasi +enis $eme!i%saan -an ,imin#a.

3. )e#'as la"o!a#o!'m me!e%a$i#'lasi +enis s$e>imen -an ,iam"il ,an

,i#e!ima

4. Re%a$i#'lasi ,ila%'%an #ia$ "'lan

(NI 7R;AI :

Ins#alasi 5a"o!a#o!i'm

Re%am Me,is



21/116

21

)7NAAAN S)7SIM7NDAN R7;A)I(5ASINo. 09 02.2 003 No Revisi. Halaman :

A5(R 7A) )7NAAAN DAN )75A)RAN 5ARARI(M


R(AN

)7N7RIMAAN

R(AN

)7M7RI;SAAN

H7MA5I

R(AN

)7M7RI;SAAN

IM(NS7R5I

R(AN

)7M7RI;SAAN

;IMIA ;5INI;

R(AN)7M7RI;SAAN

MI;RI5I

;DADMINISRASI

INSA5ASI5ARARI(M

;A INSA5ASI5ARARI(M

R7;AM

M7DIS


22/116

22

)7NIM)ANAN ARSI))7M7RI;SAAN 5ARARI(M


)RS7D(R 7A)

e!"i#an I

29 Novem"e!

2009



D+'annaS$a!a $en-im$anan >a#a#an a#a' &asil $eme!i%saan la"o!a#o!i'm se>a!asis#ema#is se&ina m',a& ,i>a!i a$a"ila ,i$e!l'%an.

((AN : Men'n+an #e!>a$ain-a #e!#i" a,minis#!asi ,alam !an%a $enin%a#an

$ela-anan la"o!a#o!i'm !'ma& sa%i#. (n#'% mem$e!m',a& $e!ole&an ,a#a -an s',a& lal' -an mem'n%in%an

masi& ,i"'#'&%an.;7IA;AN :

S; S;

)RS7D(R : '%' "'%' "esa! >a#a#an &asil $eme!i%saan ,isim$an ,alam lema!i ses'ai

,enan %elom$o% +enis $eme!i%saan < %elom$o% &ema#oloi %imia %lini%im'nose!oloi mi%!o"ioloi ,an '!inalisa =

)en-'s'nan "'%' "'%' "esa! >a#a#an &asil $eme!i%saan "e!,asa!%an "'lan#!i?'lan ,an #a&'nan.

lan%o $e!min#aan #es ,i"en,el se#ia$ &a!i ,an ,isim$an ,alam "oG,is's'n "e!,asa!%an #anal "'lan ,an #a&'n.

5ama ?a%#' $en-im$anan a!si$ ses'ai ,enan %e#en#'an men'!'# "i,ann-ai. ;imia %lini% : 1 a&'nii. Hema#oloi : 'm'm : 1 #a&'n

;&'s's : selaman-a iii. Mi%!o"ioloi : 'm'm : 1 #a&'n iv. Im'nose!oloi : 'm'm E 1 #a&'n v. (!inalisa : 1 #a&'n

)enan'n +a?a" $en-im$anan a!si$ a,ala& masin masin %e$ala!'anan

(NI 7R;AI : Re%am Me,is



23/116

23

)IM)INAN DAN SAF 5ARARI(M


e!"i#an I

29 Novem"e!

2009



D+'annaS$


24/116

24


(M5AH

7NAA

DAN

;(A5IF;ASI

No. 09 03 2 00B No Revisi : Halaman : 2/3

Nama : Ma!lia AMA;

N!$ : D3 ANA5IS ;7S7HAAN

)en,i,i%an : SMA;

Alama# : N ene inon /1@ S'n'minasa

No l$ : 08124148BB66

Nama : S#. M'!nia#i Am, A;

Ni% :

)en,i,i%an : D3 ANA5IS ;AS7HAAN

Alama# : +l. I)AN RAA N B9 D

No l$ : 0812428B6636

Nama : Hasma?a#i Am, A;

Ni% :

)en,i,i%an : D3 ANA5IS ;7S7HAAN

Alama# : 5. D!. C. S(DIRH(SD N 36 S(N(MINASA

No l$ : 0813BB0B6B48

Nama : Hasmina Am, A;

Ni% :


Alama# : l. ;om$ N V.De?i H1/No. 4

No l$ : 08B2BB6186@6



25/116

2B


(M5AH

7NAA

DAN

;(A5IF;ASI

No. 09 03. 200B

No Revisi : Halaman : 3/3

Nama : S'*!iani Am, A;

Ni% :


Alama# :

No l$ : 08B@B694BB8@/081241424391

Nama : S-a&i,a S-am Am, A;

Ni% :


Alama# :

No l$ : 08B299@98@91

Nama : R7S; RA(FAm, A;

Ni% :


Alama# : l. alan a!' No 19

No l$ : 08B299386B06



26/116

26

)7R7M(AN R(IN

)RS7D(R

7A)

No. 09 03 3 00B No Revisi : Halaman :1/1

e!"i#an I

29 No$em"e!

2009



D+'annaS$a!a $en-elena!aan

$e!#em'an !'#in ,i Ins#alasi 5a"o!a#o!i'm.

((AN (n#'% mem"a&as sem'a $e!masala&an ,i Ins#alasi

5a"o!a#o!i'm $en-am$aian in*o!masi 'na $enin%a#an$ela-anan.

;7IA;AN 1. A,a a,?al $e!#em'an !'#in

2. A,a ,a*#a! &a,i! 'n,anan !a$a# no#'len !a$a#.

3. A,a !'an $e!#em'an.)RS7D(R 1. Di"'a# +a,?al $e!#em'an !'#in < se#ia$ &a!i Sa"#'

Min' I #ia$ "'lan =

2. Di"'a# 'n,anan $e!#em'an %e$a,a sel'!'& s#a*Ins#alasi 5a"o!a#o!i'm -an men>an#'m%an #anal

+am ,an #em$a# $e!#em'an a%an ,ila%sana%an.

3. em$a# $e!#em'aan ,isia$%an.

4. Sem'a s#a* ,a#an ses'ai ,enan +am $a,a'n,anan $e!#em'an.

B. Sem'a s#a* %'m$'l !a$a# ,i"'%a ole& %o!,ina#o!la"o!a#o!i'm ,an ,ilan+'#%an %e$ala Ins#alasila"o!a#o!i'm

6. )em"a&asan ,alam !a$a# a,ala& masala& $ela-ananla"o!a#o!i'm ,an &al &al -an ,iana$ $e!l'.

@. Hasil !a$a# ,i>a#a# ole& se%!e#a!is 'n#'% ,i"'a#no#'len !a$a# ,an ,isim$'l%an $a,a a%&i! !a$a#.

8. Selan+'#n-a &asil&asil !a$a# a%an ,i#in,a%lan+'#i


27/116

2@

)7R7M(AN R(INN(57N RA)A

anal :em$a# :o$i% :

)em"a&asanMasala&/Dis%'si

Sol'si ;esim$'lan in,a% 5an+'#

No#'len

;e$ala Ins#alasi 5a"o!a#o!i'm

D!.H+. Da!ma?a#- 7R S$);


28/116

28

)7R7M(AN R(IN

DAFAR HADIR

NO NAMA AAAN ANDA ANAN

1.

;e$ala

Ins#alasi 5a"o!a#o!i'm

D!.H+.Da!ma?a#- 7R S$);


29/116

29

FASI5IAS )7ND(;(N5ARARI(M

)RS7D(R

7A)

No. 09 04. 2 006 No Revisi : Halaman :1/2

e!"i#an I

29 No$em"e!

2009



D+'annaS$e! ,enan "ai% ,an "ena! se!#a %en-amanan

$ela%sanaan $ela-anan $eme!i%saan la"o!a#o!i'm ,a$a#

#e!$en'&i.

;7IA;AN Da*#a! *asili#as



30/116

30

FASI5IAS )7ND;(N5ARARI(M

No. 09 04.2 006 No. Revisi Halaman : 2/2

FASI5IAS 1. 7D(N 5;ASI

e!lela% ,ie,'n $e!a?a#an IV lan#ai ,asa! "e!se"ela&an,enan ins#alasi Ra,ioloi ,an Ins#alasi a?a# ,a!'!a#mem"e!i%an $ela-anan 'n#'% $en,e!i#a !a?a# +alan ,an!a?a# ina$. R(ANANSem'a !'anan #e!'#ama -an ,i$a%ai 'n#'%$eme!i%saan s$e>imen mem$'n-ai *en#ilasi -an "ai%,an men,a$a#%an sina! ma#a&a!i -an "ai%.

Men'!'# *'nsin-a !'anan ,i"ai :a. R'anan %e$ala Ins#alasi la"o!a#o!i'm". R'an lo%e#/ A,minis#!asi>. R'an sam$lin ,an !'an $eme!i%saan,. R'an >'>i.

2. S(M7R 5ISRI; ela& ,ilen%a$i ,enan ali!an lis#!i% -an >'%'$ ,anene#.

3. S(M7R AIR Ai! "e!s'm"e! ,a!i )DAM ,an ai! s'm'! "o!.



31/116

31

)7RA5AAN /7S

)RS7D(R

7A)

No. 09 04.3 00@ No Revisi : Halaman :1/3

e!"i#an I

29 No$em"e!

2009



D+'annaS$a#a# ,alam "'%' !eis#e! ala# $e!ala#an

-an ,i#e!ima.



32/116

32

)7RA5AAN / 7SNo. 09 04.3 00@ No Revisi : Halaman :2/3

)7RA5AANNAMA A5A (M5AH

MI;RS;) lo# 'nio! = 1 (AH

V7N 1 (AH

S7NRIF(7 1 (AH

;5INI)7 :B10. 20.B0100200B00

1000 Kl

Masinmasin 1 "'a&

RA; A(N B (AH

(NS7N 1 (AH

H"A1 < Siemens = 1 (AH

)7RA5AAN / 7S



33/116

33

No. 09 04.3 00@ No Revisi Halaman :3/3

DAFAR 7NIS 7S

AIAN 7NIS 7S

;IMIA ;5INI; A5(MIN. I5IR(IN A5 I5IR(INDIR7 I5IR(IN INDIR7 S

S))R7IN A5 (R7(M

;R7AININ ASAM (RA H57S7R5.

RI5IS7RIDA HD5H5 5D5

H55(;SA A5;A5I )HS)AAS7

757;R5I H"A1

H7MA5I H7M5IN C R)5

H7MA;RI 57DHI(N 7NISCA;(

)7RDARAHANCA;(

7;(ANMVMHMH H7MSAIS< ) A) =

(RINA5ISA CARNA;77RNIHAN)&

+;7N)R7IN I5IR(IN(RI5IN

NIRI5(;SA 57;SI7RIRSI

S7DIM7N (RIN7 7S ;7HAMI5AN.

IM(NS7R5I CIDA5 H"SAANI HSANI HVANI

HIVIIM An#i Den'e (7X F

MI;RI5I S)((M )7CARNAAN JN

)ARASI5I MA5ARIA. FA77S

)7NANANAN 5IMAH

5ARARI(M



34/116

34

)RS7D(R

7A)

No. 09 04.4 009 No Revisi : Halaman :1/4

e!"i#an I

29 No$em"e!

2009


)!o*.DR.D!.HA.A!i*',,in D+'annaS$ai! -ai#' $ela!'# o!ani> "a&an %imia

lain 'n#'% $en'+ian ai! "e%as $en>'>ian ala# sisa

s$e>imen < ,a!a& ,an >ai!an #'"'&=

((AN (n#'% men+aa / melin,'ni aa! $e#'as la"o!a#o!i'm #i,a%

#e!#'la! $en-a%i# ,a!i "a&an #es

;7IA;AN )!ose,'! ,ila%sana%an ole& analis -an "e!#'as.

Analis #e!se"'# mema%ai sa!'n #anan mas%e! se!#a "a+'

la"o!a#o!i'm %a!ena sam$el a,ala& "a&an in*e%si's.

)RS7D(R 1. Dila%sana%an ole& $e#'as la"o!a#o!i'm.

2. )enananan lim"a& ,ila"o!a#o!i'm ,i"ai men+a,i 2 "aian

-ai#' :

)7NANANAN 5IMAH

5ARARI(M

No. 00 04.4 008 No Revisi : Halaman :2/4

A. 5im"a& 'm'm



35/116

3B

)enananann-a -ai#':

o Sam$a& non me,is se$e!#i %e!#as ,an "a&an "a&an -an

#i,a% "e!si*a# in*e%si's ,imas'%%an %e ,alam %an#an

$las#i> "e!?a!na &i#am.

o

;em',ian sam$a& sam$a& #e!se"'# ,i%'m$'l%an ,an,i"a?a %e #em$a# $em"'anan sam$a&

. 5im"a& ;&'s's

5im"a& )a,a#

5im"a& $a,a# mas'%%an ,alam #em$a# %&'s's

%em',ian ,imas'%%an ,alam %an#'n $las#i> "e!?a!na

%'nin

;an#'n -an "e!?a!na %'nin ,i"a?a&

%ein>ene!a#o!

5im"a& >ai! In*e%si's

- Di#am$'n ,alam >e!en "esa! sam$ai $en'&

se#ela& $en'& ,i"'an %e %lose# %ama! man,i.

5im"a& >ai! non in*e%sis's

5ans'n ,i"'an %e ?es#a*el la"o!a#o!i'm

%em',ian ,iali!%an %e $enola&an lim"a

(NI 7R;AI Ins#alasi la"o!a#o!i'm

; 3

)7NANANAN 5IMAH5ARARI(M

N. 09 04.4 008 No Revisi. Halaman : L

SARANA )7M(ANAN 5IMAH



36/116

36

AIAN SARANA

Sam$lin 5im"a& 'm'm

5im"a& ;&'s's $a,a#

;o#a% sam$a& "iasa $las#i> &i#am

;o#a% sam$a& #e!#en#' $las#i>%'nin

;imia ;lini% 5im"a& 'm'm

5im"a& %&'s's >ai!

;o#a% sam$a& "iasa $las#i> &i#amCas#a*el $em"'anan

Hema#oloi 5im"a& 'm'm

5im"a& %&'s's >ai!


Se!o Im'niloi 5im"a& 'm'm

5im"a& %&'s's >ai!


Mi%!o"ioloi 5im"a& 'm'm

5im"a& %&'s's $a,a#

5im"a& %&'s's >ai!

;o#a% sam$a& "iasa $las#i> &i#am;o#a% sam$a& #e!#en#' $las#i>%'ninCas#a*el $em"'anan

(!inalisa 5im"a& 'm'm

5im"a& %&'s's $a,a#

5im"a& %&'s's >ai!

;o#a% sam$a& "iasa $las#i% &i#am;o#a% sam$a& #e!#en#' $las#i%%'ninCas#a*el $em"'anan

5o%e# < A,minis#!asi = ;o#a% sam$a& "iasa $las#i &i#am

R'an >'>i Cas#a*el $em"'anan lim"a& >ai!

)7NANANAN 5IMAH5ARARI(M




37/116

3@

A5(R )7NANANAN 5IMAH 5ARARI(M

;7S75AMAAN DAN ;7AMANAN;7RA

No. 09 04.B 008 No Revisi : Halaman :1/2

e!"i#an I Di#e#a$%an ole&


IN7N7RAR

)enan%'#ansam$a&

Ins#alasi$enola&an

;on#aine!/ )S

Cas#a*el)em"'anan

5IMAH AIR

)en'm$'lan ?a,a&)las#i% #e!#en#'


38/116

38

)RS7D(R

7A)

29

Di!e%#'! RS( Islam Faisal

)!o*.DR.D!.HA.A!i*',,in D+'annaS$


39/116

39

menan,'n ,esin*e>#an.

2. ila #e!+a,i l'%a see!a ,io"a#i ,an $les#e!.

3. Mela%'%an me,i>al >&e>% '$ se>a!a "e!%ala.


; 3

)7M7RI;SAAN DI AIAN ;IMIA ;5INI;

)RS7D(R

7A)

No. 09 0B.1 009 No Revisi : Halaman :1/31

e!"i#an I

29 N)7M7R

09



D+'annaS$


40/116

40

%lini% -an #ela& ,i"'a# ole& $e#'as la"o!a#o!i'm -an

,is-a&%an ole& ;AR(M;I RS &a-an%a!a Ma$$ao',an

((AN (n#'% mela%'%an $eme!i%saan %imia %lini% #e!&a,a$ $asien

"e!,asa!%an $e!min#aan ,o%#e! -an me!a?a# 'na

mem"an#' ,ianosis s'a#' $en-a%i# ,an meman#a'

$e!+alanan $en-a%i#.

;7IA;AN 1. Dila%'%an #e!&a,a$ $asien -an ,i>'!iai men,e!i#a

s'a#' $en-a%i# a#as ,asa! $e!min#aan ,a!i ,o%#e!.

2. )eme!i%saan ,ila%'%an ,enan men'na%an ala#

ios-s#em 310 DAN RX @010.

)RS7D(R )eme!i%saan ;imia ;lini% ,ila%'%an ole& $e#'as -an #ela&

,i#'n+'% ;e$ala IIns#alasi 5a"o!a#o!i'm.

(NI 7R;AI Ins#alasi 5a"o!a#o!i'm

Ins#alasi )ela-anan Me,i%

)7M7RI;SAAN DIIDAN ;IMIA

;5INI;No. 09 0B.1 009 No Revisi Halaman : 2/ 31

TES ALBUMIN

1. )RA ANA5II;a. )e!sia$an $asien

i,a% a,a $e!sia$an %&'s's "a#o"a# -an ,a$a# men'!ani %a,a! al"'min.



41/116

41

". )e!sia$an sam$el Hin,a!i sam$el &emolisis ,an $en'naan #o'!ni'e# -an lama.

>. Ala# :$&o#ome#e! ios-s#em 310 Dan ma$ la" $l's;lini$e#en#!i*'eSam$el >'$ #i$s "l'e ,an -ello? #i$s

,. a&an : Sam$el se!'m Reaens

2. ANA5II;)RS7D(R

)an+an elom"an H B46e"al %'ve# 1 >mem$e!a#'! 20 2B )en'%'!an #e!&a,a$ "lan%o !eaen

R SD S)5

Sam$elSD


42/116

42

Al"'min menin%a# $a,a : ,e&i,!asi m'l#i$le m-eloma.

Al"'min men'!'n $a,a : )en-a%i# &a#i in+al %eanasan maln'#!isiAIDS

)en-a%i# %olaen inPamasias#!oin#esnal&i$e!#i!oi, ,ia!e %!oni%.

Hasil -an ,i,a$a# ,imas'%%an ,alam "lan%o &asil %em',ian ,i#an,a#anani ole&

$eme!i%sa.


;5INI;No. 09 0B.1 009 No !evisi Halaman : 4/31

TES BILIRUBIN TOTAL

1. )RA ANA5II;



43/116

43

a. )e!sia$an )asien

S$esimen $'asa le"i& ,is'%ai #e#a$i $'asa -an #e!lal' lama ,a$a#menin%a#%an %a,a! "ili!'"in se!'m 13 %ali se#ela& $'asa 24 +am ,an 22%ali se#ela& $'asa 48 +am.

". )e!sia$an Sam$el

Se!'m a#a' $lasma &e$a!in "ole& ,i'na%an. Hin,a!i sam$el -an &emolisis

,an sina! ma#a&a!i lans'n ,a$a# men-e"a"%an $en'!'nan %a,a! "ili!'"in

se!'m sam$ai B0 Q ,alam sa#' +am. ;a!ena i#' se!'m &en,a%n-a ,isim$an

,i#em$a# -an ela$ ,an $en'%'!an &en,a%n-a ,i%e!+a%an ,alam ?a%#' 2

+am &ina 3 +am se#ela& $en'm$'lan ,a!a&.

>. Ala# : $&o#ome#e! "ios-s#em 310 ,an ma$ la" $l'ss en#!i*'e a"'n Rea%si

;lini$e# 1000 Kl ,an 100 Kl l'e #i$s ,an -ello? #i$s

,. a&an : Sam$el se!'m R1 Reaen o#al ili!'"in R2 Reaen ni#!i# R3 Reaen Di!e% "ili!'"'n R4 Reaen Dni#!i#

2. ANA5II;)RS7D(R)an+an elom"an H B46

e"al ;'ve# 1 >m

em$e!a#'! 20 2B )en'%'!an #e!&a,a$ "lan%o sam$el

)7M7RI;SAAN DIIDAN ;IMIA;5INI;No. 09 0B.1 009 No Revisi Halaman : B/31

A5 I5IR(IN

S S)5R1 1000 1000



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R2 1 #e#esam$'! "ai% "ai%Sam$el 100 100am$'! in%'"asi 10 30 meni#. (%'! A"s. sam$el < OS = #e!&a,a$ "lan%osam$el < O S = < ,A =

DIR7; I5IR(IN

S S)5R3R4

1000

10001 #e#es

am$'! "ai% "ai%Sam$el 100 100am$'! in%'"asi #e$a# B meni#. (%'! A"s. sam$el < S = #e!&a,a$ "lan%osam$el o&ol si!osis &a#ineo$lasma.

"s#!'%si "ilie! e%s#!&e$a#i% :"a#' %an,'n em$e,' $an>!ea#i#is %olani#iss%le!osis s#!i%#'! "ilie! neo$lasma."s#!'%si "ilie! in#!a&e$a#i% : "a#o"a#an al>o&ol se!osis &a#i %oles#a#is$as>a "e,a& se!osis &a#i "ilie! $!ime! a#!esia "ilie! $a!asi#. )eniian "ili!'"in #o#al ,i+'m$ai $a,a :

)eninian $!o,'%si "ili!'"in : Hemolisis e!i#!o$oesis -an #i,a% e*e%#i*

)!-ma!- S&'n#

H-$e!"ili!'"inemia. an'an #!ans$o!# ili!'"in : S-n,!oma il"e!# S-n,!oma !ile!# Na++a!. am$'!an : H-$e!"il'!'"imea Neona#'s o"a#o"a#an.

Hasil ,i#'lis $a,a "lan%o &asil %em',ian ,i#an,a#anani ,o%#e! $enan'n

+a?a" la"o!a#o!i'm.


;5INI;



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No. 09 0B.1 009 No Revisi Halaman : 6/31

TES PROTEIN TOTAL

1. )RA ANA5II; a. )e!sia$an $asien i,a% a,a $e!sia$an %&'s's "a#o"a#an -an ,a$a# men'!ani %a,a! $!o#ein #o#al. ". )e!sia$an sam$el Hin,a!i sam$el &emoilsis ,an $en'anan #o'!ni'e# -an lama. >. Ala#

Fo#me#e! B010 VB a"'n !ea%si ;lini$e# 1000 Kl ,an 10 Kl i$s "i!' ,an %'nin ,. a&an Sam$el se!'m Reaen ?a!na 5a!'#an s#an,a!

2.ANA5II;)RS7D(R)an+an elom"an H B46 nm

e"al ;'ve# 1 >mem$e!a#'! 20 2B )en'%'!an e!&a,a$ lan%o Reaen

R SD S)5Sam$el

S#an,a!#Reaen# ?a!na

1000

201000

20 'l

'l1000 'lam$'! in%'"asi 10 meni# '%'! A"s s#an,a!, ,A


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;5INI;No. 09 0B.1 009 No Revisi Halaman : @/31

3. )ASA ANA5II;

Hasil -an ,i,a$a# ,i#'lis $a,a "lan%o &asil %em',ian ,i#an,a#anani ole& ,o%#e!

$enan'n +a?a" la"o!a#o!i'm.




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;5INI;No. 09 0B.1 009 No Revisi. Halaman : 8/31

TES GLUTAMAT OKSALOASETAT TRANSAMINASE ( SGOT )


i,a% a,a $e!sia$an %&'s's "a# o"a# -an ,a$a# men'!ani %a,a! o#


>. Ala#:Fo#ome#e! B010;lini$e#

a"'n !ea%sii$s "i!' ,an %'nin

,. a&an :

Sam$el se!'mR1 7nimR2 S#a!#in)e!sia$an !eaen : )in,a&%an isi "o#olR2 %e,alam "o#ol R1 >am$'! "ai% "ai%

2. ANA5II;)RS7D(R)an+an elom"an 340 nm

e"al %'ve# 1 >mem$e!a#'! 2B 30 a#a' 3@ )en'%'!an #e!&a,a$ (,a!a < $en'!'nan a"s =

)RS7D(R 2B / 30 3@ Sam$elReaen ;e!+a

2001000

100 'l1000 'l

am$'! '%'!la& A"s ,an $a,a saa# -an "e!samaan +alan%an s#o$?a#>&.(lani $en'%'!an se#ela& 12 ,an 3 meni#. Hi#'nla& ,A/meni#.

NI5AI R((;AN :5a%i la%i : 42 (/5)e!em$'an : 3@ (/ 5

)7M7RI;SAAN DIIDAN ;IMIA)!o#a$ )ela-anan 5a"o!a#o!i'm

RS Islam Faisal 2010


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;5INI;No. 09 0B.1 009 No Revisi. Halaman : 9/ 31

. )ASA ANA5II;In#e!$!e#asi)enin%a#an #eas < B %ali nilai !'+'%an = : %e!'sa%an sel &a#i a%'# E &e$a#i#is He$a#i#is %a!ena o"a# Si!osis %a!ena al>o&ol Mono n'%leosis in*esiosa )an%!ea#i a%'# Im*a!% mio%a!# a%'# s-o% !a'ma o#o#)enin%a#an se,an >i,en#

Anemia &emoli#i.Hasil -an ,i,a$a# ,i#'lis $a,a "lan%o &asil %em',ian ,i#an,a#anani ole&,o%#e! $enan'n +a?a" la"o!a#o!i'm.




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;5INI;No. 09 0B.1 009 No Revisi . Halaman : 10/31

TES GLUTAMAT PIRUVAT TRANSAMINASE ( SGPT )


i,a% a,a $e!sia$an %&'s's "a# o"a# -an ,a$a# men'!ani %a,a! o#


>. Ala#:Fo#ome#e! B010;lini$e#

a"'n !ea%sii$s "i!' ,an %'nin

,. a&an :

Sam$el se!'mR1 7nimR2 S#a!#in)e!sia$an !eaen : )in,a&%an isi "o#olR2 %e,alam "o#ol R1 >am$'! "ai% "ai%

2. ANA5II;)RS7D(R)an+an elom"an 340 nm

e"al %'ve# 1 >mem$e!a#'! 2B 30 a#a' 3@ )en'%'!an #e!&a,a$ (,a!a < $en'!'nan a"s =

)RS7D(R 2B / 30 3@ Sam$elReaen ;e!+a

2001000

100 'l1000 'l

am$'! '%'!la& A"s ,an $a,a saa# -an "e!samaan +alan%an s#o$?a#>&.(lani $en'%'!an se#ela& 12 ,an 3 meni#. Hi#'nla& ,A/meni#.

NI5AI R((;AN :5a%i la%i : 42 (/5)e!em$'an : 3@ (/




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No. 09 0B.1 009 No Revisi. Halaman : 11/31

3. )ASA ANA5II;In#e!$!e#asi)enin%a#an #eas < B %ali nilai !'+'%an = : %e!'sa%an sel &a#i a%'# E &e$a#i#is He$a#i#is %a!ena o"a# Si!osis %a!ena al>o&ol Mono n'%leosis in*esiosa )an%!ea#i a%'# Im*a!% mio%a!# a%'# s-o% !a'ma o#o#)enin%a#an se,an >i,en# Anemia &emoli#i.

Hasil -an ,i,a$a# ,i#'lis $a,a "lan%o &asil %em',ian ,i#an,a#anani ole&,o%#e! $enan'n +a?a" la"o!a#o!i'm.




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TES ALKALI PHOSPHATASE1. )RA ANA5II;

a. )e!sia$an $asien )'asa minimal 8 +am 'n#'% men-in%i!%an $enin%a#an %a,a! A5) %a!enama%anan. Hin,a!i o"a# -an ,a$a# mem$ena!'&i %a,a! A5) misaln-a allo$'!inol-an menin%a#%an %a,a! A5).

". )e!sia$an sam$el Hin,a!i sam$el &emolisis

>. Ala# : Fo#ome#e! %lini$e# a"'n !ea%si #i$s %'nin ,an "i!'

,. a&an : Sam$el se!'mR1 'e! R2 S'"s#!a#

2. ANA5II;)e!sia$an Reaen ;e!+a.7n>e!%an isi sa#' "o#ol s'"s#!a# < R2 = ,enan 1B ml "'e! ,a!i R1)RS7D(R)an+an elom"an H 40B nm

e"al %'ve# 1 >mem$e!a#'! 2B30 a#a' 3@

)en'%'!an #e!&a,a$ (,a! < $enin%a#an a"s =em$ 2B/ 30 S7MI MI;R MA;RSAM)75R7A7N

201000

B02B00

am$'! '%'! A"s. ,an $a,a saa# -an "e!samaan +alan%an s#o$?a>#. (lani$en'%'!an se#ela& 12 ,an 3 meni#. Hi#'n ,A/meni#.

Nilai R'+'%an :De?asa @4 221 < (/l =




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3. )ASA ANA5II; )enin%a#an #eas < B %ali a#a' le"i& nilai !'+'%an = :

;e&amilan lan+'# "s#!'%si #!a%#'s "ilia!is As#!esia "ilia!is Si!osis

)enin%a#an se,an < 3 B %ali nilai !'+'%an = : )en-a%i# &a#i a#a' inl#!a#ive )en-a%i# me#a"oli> #'lan Me#asis #'mo! %e #'lan

)enin%a#an !inan < sam$ai ,enan 3 %ali nilai !'+'%an = : He$a#i#is vi!'s He$a#i#is %!oni% a%#i* Si!osis < Al%o&oli% =

Masa $en-em"'&an )en'!'nan A5) ,a$a# #e!+a,i $a,a

;!ea#inisme Re#a!,asi $e!#'m"'&an se%'le!

Hasil -an ,i,a$a# ,i#'li $a,a "lan%o &asil %em',ian ,i#an,a#nani ole& ,o%#e!$enan'n +a?a" la"o!a#o!i'm.



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;5INI;No. 09 0B.1 009 No Revisi Halaman : 14/31

TES UREUM1. )RA ANA5II;a. )e!sia$an )asien i,a% a,a $e!sia$an %&'s's". )e!sia$an sam$el

Hin,a!i sam$el &emolisis i%#e!i% ,an %e!'&>. Ala# Fo#ome#e! a"'n !ea%si ;lini$e# #i$s "i!' ,an %'nin,. a&an

Sam$el se!'m R1 R2 R3

2. ANA5II;)e!sia$an ReaenR1A : am$'! !eaen 3 ,enan !eaen 1 s"" :Misal 1 ml R3 100 ml R1 < 1 100 "a =R2 ,an SD sia$ $a%ai #an$a $enen>e!an.

)RS7D(R)an+an elom"an H B@8

e"al %'ve# 1>mem$e!a#'! 20 2B )en'%'!an #e!&a,a$ "lan%o !eaen

R SD S)5SAM)75S#an,a!,Reaen R1A

1000

101000

10 'l1000 'l

am$'! in%'"asi B mn# $a,a < 2B 2B a#a' a#a' < 3@ =Reaen# R2 1000 1000 1000 'l

am$'! in%'"asi 10 meni# $a,a 20 2B a#a' B meni# $a,a 3@ . (%'! A"s.S#an,a!, ,A < SD = ,an sam$e?l ,A


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B4


;5INI;No. 09 0B.1 009 No Revisi. Halaman : 1B/ 31

3. )ASA ANA5II; In#e!$!e#asi : )enin%a#an '!ea ,alam ,a!a& E an'an *'nsi in+al )en-a%i# +an#'n %onesi* S&o>% De&i,!asi )e!,a!a&an ,i #!a%#'s as#!iin#es#inalis In*a!% mio%a!,ial a%'# S#!ess In#a%e $!o#ein -an "an-a%/ $enin%a#an %a#a"olisme $!o#ein. )en'!'nan '!ea ,alam ,a!a&

5ive! *ail'!e A%!omeali

Maln'#!isi )ema%aian ana"oli> s#e!oi, ;eaalan a"so!$siHasil -an ,i,a$a# ,i#'lEis $a,a "lan%o &asil %em',ian ,i#an,a#anani ole& ,o%#e!$enan'n +a?a" la"o!a#o!i'm.



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TES KREATININ1 )RA ANA5II;a. )e!sia$an $asien i,a% a,a $e!sia$an %&'s's". )e!sia$an Sam$el Hin,a!i sam$el -an &emolisis ,an $en'naan #o'!ni'e# -an lama.>. Ala# : Fo#ome#e! ;lini$e# a"'n !ea%si i$s "i!' ,an %'nin,. a&an :

R1 : 100 ml Asam $i%!a# R2 : 100 ml Na#!i'm&i,!o%si,a SD : 2B ml 5a! s#an,a! 2 m/,l)7RSIA)AN R7A7NR1A : am$'! ,enan $e!"an,inan sama "an-a% R1 R2 < 1 1 =. 5a!'#an sia$$a%ai.

2. ANA5II;

)RS7D(R)an+an elom"an H B46 nm)an+an %'ve# 1 >m

em$e!a#'! 2B)en'%'!an #e!&a,a$ "lan%o !eaen#

MA;RReaen# "lan%o s#an,a! Sam$el

S'$!na#an < ml = 1.0 1.0 1.0Reaen# R1A< ml =

1.0 1.0 1.0

am$'! in%'"asi 20 meni# '%'! A"s s#an,a!# A < SD = ,an sam$el A < S)5 =#e!&a,a$ "lan%o !eaen < R =

Nilai R'+'%an :)!ia : 0.6 1.1 m/,lCani#a : 0.B 0.9 m/,l



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;5INI;

No. 09 0B.1 009 No Revisi. Halaman : 1@/31

3. )ASA ANA5II; In#e!$!e#asi )enin%a#an ;!ea#inin ,alam ,a!a&

an'an *'nsi in+al Ne*!i#is %!oni% "s#!'%si $a,a #!a%#'s '!ina!i's S&o>% De&i,!asi )en-a%i# +an#'n %onesi*

Hasil -an ,i#em'%an ,i#'lis $a,a "lan%o &asil %em',ian ,i#an,a#anani ole&Do%#e! )enan'n +a?a" la"o!a#o!i'm.



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;5INI;No. 09 0B.1 009 No Revisi Halaman 18/31

TES ASAM URAT

1. )RA ANA5II;

a. )e!sia$an )asien : i,a% a,a $e!sia$an %&'s's". )e!sia$an sam$el : Hin,a!i sam$el &emolisis>. Ala# : Fo#ome#e! ;lini#$e# a"'n !ea%si

i$s %'nin ,an "i!',. a&an : Se!'m R1 ,an s#an,a!

2. ANA5II;)RS7D(R)an+an elom"an : H B46 nm

e"al %'ve# : 1 >mem$e!a#'!e : 20 2B )en'%'!an #e!&a,a$ "lan%o !eaens

Reaen lan%o S#an,a! Sam$elSam$elS#an,a!,Reaen ?a!na

1000

201000

20 'l1000 'l

am$'! in%'"asi 10 meni# < 20 2B = a#a' B meni# < 3@ =. (%'! A"ss#an,a!, ,A < SD = ,an sam$el ,A < S)5 = #e!&a,a$ "lan%o !eaen < R =,alam ?a%#' 60 meni#.

Nilai R'+'%an :

)!ia : 34 @.0 m/,lCani#a : 2.4 B.@ m/,l

3. )ASA ANA5II; In#e!$!e#asi : Menin%a# $a,a :

o'# )en-a%i# in+al ,an aal in+al Al%o&olisme De&i,!asi



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;5INI;

No. 09 0B.1 009 No. Revisi Halaman : 19/31

5e'%emia 5im$oma Anemia Hemoli#i%

Men'!'n $a,a : S-n,!om *an>oni Cilsons Disease ;e!a>'nan 5oam "e!a# e"e!a$a %e!a>'nan

Hasil -an ,i#em'%an ,i#'lis $a,a "lan%o &asil lal' ,i#an,a#anani ,o%#e!$enan'n +a?a" la"o!a#o!i'm.



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;5INI;


TES CHOLESTEROL TOTAL

1. )RA ANA5II;a. )e!sia$an $asien : )'asa 10 12 +am #e!mas'% men&en#i%an me!o%o% ,an ola& !aa "ole&min'm ai! $'#i&. )asien ,alam %ea,aan s#a"il i,a% men,a$a# o"a# -an mem$ena!'&i %a,a! li$i, ,alam 2 min' #e!a%&i!. )asien #i,a% menalami s#!ees ile& $en-a%i# a%'#.". )e!sia$an sam$el : ila sam$el #e!li&a# i%#e!'s &emolisis se"ai%n-a ,i'lan %a!ena ,a$a# #e!+a,i$enin%a#an $als' $a,a &asil #es.>. Ala# : Fo#ome#e! a"'n !ea%si ;lini$e# i$s "i!' ,an %'nin,. a&an : R1 Reaen >&oles#e!ol Reaen# s#an,a, Sam$el se!'m

2.ANA5II;)RS7D(R)an+an elom"an H B46 nm

e"al %'ve# 1 >mem$e!a#'! 20 2B )en'%'!an #e!&a,a$ "lan%o

Reaen lan%o S#an,a! Sam$elSam$el < 'l =S#an,a!, < 'l =Reaen

>&oles#e!ol


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TES HDL CHOLESTEROLa. )e!sia$an $asien )'asa 10 12 +am #e!mas'% men&en#i%an me!o%o% ,an ola& !aa "ole&min'm ai! $'#i&. )asien ,alam %ea,aan s#a"il i,a% men,a$a# o"a# -an mem$ena!'&i %a,a! li$i, ,alam 2 min' #e!a%&i!. )asien #i,a% menalami s#!ees ole& $en-a%i# a%'#.". )e!sia$an sam$el : ila sam$el #e!li&a# i%#e!'s &emolisis se"ai%n-a ,i'lan %a!ena ,a$a# #e!+a,i$enin%a#an $als' $a,a &asil #es.>. Ala# : Fo#ome#e!

a"'n !ea%si ;lini$e# i$s "i!' ,an %'nin,.a&an :

Sam$el se!'m Reaen >&oles#e!ol Reaen HD5 &oles#e!ol

2. ANA5II;)RS7D(R)an+an elom"an H B46 nm

e"al %'ve# 1 >mem$e!a#'! 20 2B )en'%'!an #e!&a,a$ "lan%o !eaen

)R7SI)IASI MA;R S7MIMI;RSAM)75R7A7N

B00 'lR1 1000 'l

200 'lR1A B00 'l

am$'! in%'"asi 10 meni#. en#!i*'e 2 meni# $a,a %e>e$a#an 10000 a#a'10 meni# 4000 . 'na%an s'$e!na#an# ,alam ?a%#' 1 +am.

)enen#'an &oles#e!ol

R SD S)5

S'$e!na#anS#an,a!,Reaen ?a!na

1000

1001000

1001000

am$'! in%'"asi 20 meni# < 20 2B = a#a' 10 meni#


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Nilai R'+'%an :5a%i la%i : 3B BB m/,lCani#a : 4B 6B m/,l

3. )ASA ANA5II;

In#e!$!e#asi : 36 44 m/,l ,i?as$a,ai #e!+a,in-a );

3B m/,l !esi%o #e!+a,i );

Se#ia$ $en'!'nan 4m Q HD5 !esi%o #e!+a,i ); a%an menin%a# 10 Q.

Hasil -an ,i#em'%an ,i#'lis $a,a "lan%o &asil %em',ian ,i#an,a#anani ole&,o%#e! $enan'n+a?a" la"o!a#o!i'm.

)7M7RI;SAAN DIIDAN ;IMIA)!o#a$ )ela-anan 5a"o!a#o!i'm

RS Islam Faisal 2010


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TES TRIGLISERIDA

1. )RA ANA5II;a.)e!sia$an )asien )asien se"ai%n-a $'asa 12 16 +am se"el'm #es. Se"ai%n-a $asien ,alam %ea,aan me#a"oli% s#a"il #i,a% a,a $e!'"a&an "e!a#"a,an $ola ma%an %e"iasaan me!o%o% min'm %o$i min'm al>o&ol,alam 2 min' #e!a%&i!. i,a% mema%ai o"a# -an mem$ena!'&i %a,a! li$i, ,alam 2 min' #!a%&i!.". )e!sia$an Sam$el Hin,a!i &emolisis>. Ala# E Fo#ome#e! Ma$ 5a$ )l's a"'n !ea%si

;lini$e# #i$s "i!' ,an %'nin,. a&an : Se!'m

Reaen ?a!na !ilise!i,a Reaen s#an,a!

2. ANA5II;

)RS7D(R)an+an elom"an H B46 nm

e"al %'ve# 1 >m

em$e!a#'! 20 2B )en'%'!an #e!&a,a$ lan%o Reaen

Reaen lan%o S#an,a!, Sam$elSam$elS#an,a!,Reaen ?a!na

1000

101000

10 'l1000 'l

am$'! in%'"asi 10 meni# < 20 2B = a#a' B meni# < 3@ =. (%'! A"s ,A


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;5INI;No. 09 0B.1 009 No Revisi. Halaman : 2B/31

3.)ASA ANA5II;

In#e!$!e#asi ;a,a! #!ilise!i,a ,a$a# menin%a# $a,a :

A#&e!os>&le!osis )D Dia"e#es Meli#'s Hi$e!#ensi Hi$o#&-!oi,sim < $!ime! = Hi$o$a!a#&!oi,sim In*a!% Mio%a!, Ne*!o#i% s-n,!ome

;a,a! !ilise!i,a A%an#&osis i!&!osis &e$a#is Die# $!o#ein -an ina,e%'a# H-$e!#i!oi,sim Hi$e!$a!a#&!oi,sim )ema%aian "e"e!a$a +enis o"a# #e!#en#' missalE

elo"!a#e,eG#!o#i!osin&e$a!in meno#!o$ins s'l*oni'!eano!e#&i,!onean,!oenana"oli> s#e!oi, vi#amin >

Hasil -an ,i#em'%an ,i#'lis $a,a "lan%o &asil %em',ian ,i#an,a #anani ,o%#e!$enan'n +a?a" la"o!a#o!i'm.



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H7MA5IN. 09 0B.1 009 No Revisi. Halaman : 1/3

)RS7D(R 7A) 7RIAN

29 N)7M7R2009




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Reaaen 2 7osin Reaen 3 Me#&ilen l'e2 ANA5II;a. a!a mem"'a# se,iaan a$'s)ili& o"+e% lass -an "e#'l"e#'l !a#a 'n#'% ,i'na%anse"aai %a>a $en,o!on.5e#a%%an #e#esan %e>il ,a!a& $a,a 2 3 mm ,a!i '+'n %a>ao"+e% lass5e#a%%an %a>a $en,o!on ,enan s','# 30 4B #e!&a,a$ %a>ao"+e% ,i ,e$an #e#esan ,a!a&.

a!i% %a>a $en,o!on %e "ela%an se&ina men-en#'e#esan ,a!a& men-e"a! $a,a s','# #e!se"'#.Denan e!a%an man#a$ ,o!onla& %a>a $en,o!on se&ina"e!"en#'% a$'san ,a!a& se$an+an 3 4 mm $a,a %a>a#e!se"'#.ia!%an %e!in

7S A)(SAN DARAH 7)I

No. 09 0B.1 009 No Revisi Halaman : 2/2

". a!a Me?a!nai se,iaan A$'s : Fi%sasi a$'san ,enan me#&anol selama 3 ,e#i%

'an #e#esi ,enan la!'#an R2 < 7osin = selama 20,e#i%

'an #e#esi la!'#!an R3 < Me#&ilen l'e = selama 2B,e#i%

ilas ,enan a'a,es#

;e!in%an a$'san $a,a s'&' %ama!. )e!i%sa ,i"a?a& mi%!os%o$

a#a# &asil #es $a,a "'%' &asil $eme!i%saan

a#a# &asil $a,a *o!m'li! &asil ,an ,i#an,a#anani,o%#e! $enan'n +a?a" la"o!a#o!i'm.

3. )ASA ANA5II; 7val'asi 7!i#!osi#

a= Mo!*oloi e!i#!osi#"= en#'% e!i#!osi#

>= Ca!na e!i#!osi#,= en,a"en,a in%l'sie= (%'!an e!i#!osi#

7val'asi 5e%osi# 7val'asi !om"osi# Hal lain -an a"no!mal

a. Mi%!ola!ia". Mala!ia



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es >a!i% >el'$ Ala# '!ine o#oma#is < An-s>an = a"'n Rea%si iss' "+e% lass Mi%!os%o$ Sen#!i*'e

2 ANA5II;ARA ;7RA :

Am"il #a"'n !ea%si mas'%%an '!ine ,alam #a"'n%'an le"i& 3 ml.

Mas'%%an 1 "'a& s#!i$ >a!i% >el'$ %e,alam '!inesam$ai menenai sem'a %e!#as isa$.

;e!in%an ,ia#as #iss'e lal' mas'%%an ,alam ala#o#oma#is ,an &asil a%an %el'a! melal'i $!in# o'# se>a!ao#oma#is.

(n#'% meli&a# se,imen '!ine $'#a! '!ine ,enanmen'na%an sen#!i*'e selama B meni# ,enan%e>e$#an 1B00 2000 !$m.

)isa&%an en,a$an ,an >ai!an o-an%an #a"'n !ea%siaa! en,a$an #e!>am$'! ,enan &omoen-.

)e!i%sa ,i"a?a& mi%!os%o$ se,imen '!ine.

)7M7RI;SAAN AIAN (RINA5ISANo. 09 0B.1 009 No Revisi Halaman : 2/2

)ASA ANA5II; : Ca!na '!ne ;e+e!ni&an $H + l'%osa )!o#ein ;e#on

(!o"olin ili!'"in Ni#!i# 5e%osi# loo, Se,imen (!ine

5e%osi#

7!i#!osi#

7$i#el Sel

;!is#al



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a%#e!iHasil -an ,i#em'%an ,i#'lis $a,a "lan%o &asil lal',i#an,a#anani ole& ,o%#e! $enan'n +a?a" la"o!a#o!i'm.


7S ID7NIFI;ASI A D7NAN

)7CARNAAN JNNo. 09 0B.1 009 No Revisi. Halaman : 1/ 2

)RS7D(R 7A)

e!"i#an I

29 N)7M7R

2009


)!o*.DR.D!.HA.A!i*',,inD+'annaS$a!a$e?a!naan Jie&lNeelsen

((AN Meni,en#i%asi +enis "a%#e!i "asil #a&an asam < A = -an ,i,a$a# ,a!i s$'#'m $en,e!i#a.;7IA;AN 1. )!ose,'! ,ila%sana%an ole& analis la"o!a#o!i'm -an

"e!#'as.2. Analis -an mene!+a%an mema%ai ala# $elin,'n ,i!i

se$e!#i mas%e! &an,s>'en.)RS7D(R 7A) 1. )RA ANA5II;

a. )e!sia$an $asien :ila seo!an s'li# menel'a!%an s$'#'m ma%a malam&a!i se"el'm #i,'! ,i"e!i #a"le# lise!il 'a-a%la# 200



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m". )e!sia$an sam$el:

S$esimen s$'#'m ,i%'m$'l%an ,alam "o#ols$'#'m "e!m'l'# le"a!,enan #'#'$ "e!'li! #i,a%m',a& $e>a& ,an #i,a% "o>o!.

Di$e!l'%an 3 %ali $enam"ilan s$'#'m 2 %ali%'n+'nan -ai#' se?a%#'$ai se?a%#' < S)S =se"aai "e!i%'# :

Se?a%#' < S = s$'#'m ,i%'m$'l%an $a,asaa# s's$e% ,a#an "e!%'n+'n$e!#ama %ali. )a,a saa# $'lan s's$e%mem"a?a "o#ol s$'#'m 'n#'%men'm$'l%an &a!i %e,'a.

)ai < ) = ,a&a% ,i!'ms& $a,a &a!i %e,'asee!a se#ela& "an'n #i,'! "o#ol ,i"a?asen,i!i %e$a,a $e#'as la"o!a#o!i'm.

Se?a%#' < S = s$'#'m ,i%'m$'l%an,ila"o!a#o!i'm $a,a &a!i %e,'a saa#

men-e!a&%an s$'#'m $ai. o#ol s$'#'m ,i"e!i la"el -ai#' i,en#i#as$asien.

2. ANA5II;Ala# ,an a&an

'nsen

se

;a>a se,iaan

Ra% $ene>a#an

7S ID7NIFI;ASI A D7NAN)7CARNAAN JN


)inse# Ai! menali!

)e?a!naan Jie&l Neelsena. )em"'a#an se,iaan s$'#'m :

1. Am"il "o#ol s$'#'m ,an %a>a se,iaan2. '%a #'#'$ "o#ol ,enan &a#i &a#i ,enan ose -an

#ela& ,i$i+a!%an am"il s$'#'m.3. les%an s$'#'m se>a!a me!a#a ,enan '%'!an le"a! 2

>m ,an $an+an 3 >m.



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la"o!a#o!i'm)RS7D(R 1. )RA ANA5II;

a= )e!sia$an $asien- i,a% a,a $e!sia$an %&'s's

"= Ala# ,an a&an- Mi%!o$i$e#- es !a$i, HsA AN

- Se!'m2.ANA5II;

a!a ;e!+a- Denan mi%!o$i$e# am"il se!'m lal' #e#es%an

se"an-a% 3 #e#es %e#em$a# l'"an sam$el.- Diam%an selama 1B meni# ama#i !ea%si -an

#e!+a,i.- )enilaian :

Hasil $osi#i$ a$a"ila m'n>'l a!is $a,a#es ,an >on#!ol.

Hasil nea#i$ a$a"ila m'n>'l a!is $a,a

>on#!ol sa+a Invali, a$a"ila #i,a% a,a m'n>'l $a,a

,ae!a& #es ,an >on#!ol. Nilai !'+'%an :

HsA O N7AI)3. )ASA ANA5II;

'lis &asil $a,a "'%' &asil 'lis &asil $a,a "lan%o &asil ,an ,i#an,a#anani ole&

,o%#e!

(NI 7R;AI Ins#alasi la"o!a#o!i'mIns#alsi $ela-anan me,i>

7S CIDA5


)RS7D(R 7A)

e!"i#an I

29 N)7M7R2009




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)7NANANAN S)7SIM7N 5ARARI(M

No. 09 0B.2 010 No Revisi. Halaman : 4/B

C"#" P$%&"'*"% S-$'$% U#%$.)e#'as mem"e! $en+elasan #en#an >a!a $en'm$'lan'!ine ,alam "o#ol -an #ela& ,ise,ia%an ses'ai ,enan +enis$e!min#aan #es -an ,imin#a :

(!ine se?a%#' < '!ine -an ,i%el'a!%an $a,a s'a#'?a%#' -an #i,a% ,i#en#'%an se>a!a %&'s's >on#o&'n#'% $eme!i%saan '!ine len%a$ ,an #es %e&amilan =

(!ine 24 +am -ai#' '!ine -an ,i#am$'n selama 24+am >a!a men'$'l%an 'm$ama se"aai "e!i%'# :+am @ $ai $en,e!i#a menel'a!%an '!inen-a E '!ine

ini ,i"'an. Sem'a '!ine -an ,i%el'a!%an %em',ian#e!mas'%+'a '!ine +am @ eso% &a!in-a &a!'s,i#am$'n ,alam "o#ol '!ine -an #e!se,ia ,anisin-a ,i>am$'!.

C"#" P$%&"'*"% S-$'$% /"$0$Am"il *ae>es ,enan men'ana%an '+'n li,i "e!si& ,anmas'%%an $a,a #em$a#/ "o#ol "e!si& ,an ,i#'#'$.am"il"aian"aian *ea>es -an #e!li&a# men>'!ia%anmisaln-a : ,a!a& len,e!.

C"#" P$%&"'*"% -$0'$% -'.

)ela%sanaan $en'm$'lan ,a&a% S)S:a. S a!a$enam$'nan s$'#'m ,an menel'a!%an s$'#'m

,an ,imana se"ai%n-a menel'a!%an s$'#'m.

. )7N7RIMAAN S)7SIM7Na. S$esimen -an ,a#in $e!#ama#ama &a!'s melal'i

lo%e# $ene!imaan 'n#'% $en>a#a#an ole& $e#'asla"o!a#o!i'm.

". S$esimen -an ,i#e!ima &a!'s ,ilen%a$i ,enani,en#i#as -an len%a$.

>. 5al' s$e>imen -an ,i#e!ma ,i#em$a#%an %eme+a$eme!i%saan .



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)eni!iman s$e>imen ,i!'+'% %ela"o!a#o!i'm -an#ela& "e%e!+asama ,enan !'ma& sa%i# ,ans$e>imen $asien -an a%an ,i!'+'% ,iam"il ole&$e#'as la"o!a#o!i'm ,an s$e>imen -an #ela&,iam"il ,i+em$'# ole& $e#'as la"o!a#o!i'm !'+'%an.

(NI 7R;AI Ins#alasi la"o!a#o!i'mIns#alasi Ra?a# alan ,an !a?a# ina$Ins#alasi Re%am Me,i%

)7M75IHARAAN DAN ;A5IRASI

No.09 0B.3 011 No Revisi. Halaman : 1/1

)RS7D(R 7A)

e!"i#an

29 N)7M7R

2009


)!o*.DR.D!.HA.A!i*',,inD+'annaS$a!a mela%'%an $emeli&a!aan ala#aa!

#e#a$ ,alam %on,isi "ai% ses'ai ,enan %e#en#'an ,a!i

$a"!i% $em"'a#an ala# #e!se"'#.

((AN Aa! &asil $eme!i%saan -an ,i ,a$a# #e$a# ,an #eli#i.

;7IA;AN A,a %ali"!asi ala# ,a!i -an "e!?enan.A,a "'%' $e#'n+'% #e&ni% main#enan>e #ia$ ala# anal-se!-an ,i%el'a!%an ole& $a"!i% $em"'a#an ala# #e!se"'#.

)RS7D(R A. )7M75IHARAAN A5A )ema%aian ala# &a!'s ses'ai ,enan s#an,*a!#

o$e!asional -an a,a. (n#'% ala#ala# anal-se! &a!'s ses'ai "'%' $e#'n+'%

$emeli&a!aan ala# -an ,i%el'a!%an ole& $a"!i% -an"e!san%'#an.

(n#'% mi%!o$i$e# se>a!a "e!%ala "aian '+'n $i$e#,i"e!si&%an aa! #i,a% #e!s'm"a#.

(n#'% >en#!i*'e se#ia$ semin' se%ali "aian,alam sen#!i*'e ,i"e!si&%an ,enan an#ise$#i> a#a'see!a ,i"e!si&%an a$a"ila a,a #'m$a&an a#a' a,a



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#a"'n $e>a&. (n#'% mi%!os%o$ se#ela& ,i'na%an lensa o"+e%#i*

100 ,i"e!si&%an ,enan G-lol ,an #ia$ &a!i ,ila$,enan %ain "e!si& aa! #e!&in,a! ,a!i ,e"'.

. ;A5IRASI A5A Ala# ala# o#oma#is. ;ali"!asi ala# ala# o#oma#is ,ila%sana%an ole&

o$e!a#o! ala# -an "e!san%'#an ses'ai $e#'n+'%%ali"!asi ala# masin masin -an ,ila%'%anse"el'm $eme!i%saan sam$el ,ila%'%an. ;ali"!asiala# +'a ,ila%'%an ole& #e&nisi ala# -an"e!san%'#an se>a!a $e!io,i>.

(NI 7R;AI Ins#alasi 5a"o!a#o!i'm )a#oloi ;lini%Ins#alasi )emeli&a!aan Sa!ana

)7NANANAN AHANINF7;SI(S


)RS7D(R 7A)

e!"i#an

29 N)7M7R

2009



D+'annaS$ me!a& ,an ,i"'an,alam em"e! $las#i>/ #em$a# %&'s's "a&anin*e%si's < 'n#'% lim"a& $a,a# =

(n#'% lim"a& >ai! ,i#am$'n ,alam ?a,ae!#en#' ,an ,iali!%an %e,alam se$#i>#an%.

Si!am ?es#a*el se#ia$ selesai mem"'anlim"a& >ai! ,enan lisol.



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Ala# ala# $a%ai 'lan Ala# ala# se#ela& $a%ai ,i%'m$'l%an ,alam

?a,a& ,an ,i"e!i lisol Selan+'#n-a ala# ala# #e!se"'# ,i>'>i &ina

"e!si& "ilas ,enan ai! "e!si&. Ren,am ,enan e%s#!an selama 1 +am 'n#'%

mene#!al%an sisa sa"'n. S#e!il%an ala# ala# #e!se"'# $a,a oven aa!s#e!il

. S7RIM(N5I DAN MI;RI5Ia. a&an "a&an sisa $eme!i%saan ,i%'m$'l%an ,alam

?a,a& ,an ,i"e!i lisol.". (n#'% ose -an #e!%ena "a&an $eme!i%saan s$'#'m

,i"a%a!.>. a&an lim"a& $a,a# ,imas'%%an ,alam %an#on

$las#i> me!a& ,an ,imas'%%an ,alam ?a,a&$enam$'nan "a&an in*e%si's.

(NI 7R;AI Ins#alasi la"o!a#o!i'mIns#alasi )enelolaan lim"a&; 3

)7RASINA5 A5A

No. 09 0B.B 013 No Revisi. Halaman : 1/11

)RS7D(R 7A)

e!"i#an Di#e#a$%an ole&Di!e%#'! RS( Islam Faisal



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OPERASIONAL ALAT

No.09 0B.B 013 No Revisi. Halaman : 4/11

PHOTOMETER 6717 V68

ARA )7N)7RASIAN:1. e%an #om"ol on $a,a "aian "ela%an ala#2. )a,a la-a! a%an #am$a%

)en'%'!an ,enan me#o,e)en'%'!an ,enan me#o,e ,asa!Me#o,e "a!'/'"a&/>o$-

enis $!o!am < lam$' = < l*=S'&' #l "ln #a&'n?a%#'

3. (n#'% mem'lai $en'%'!an sam$le #e!le"i& ,a&'l' men>a!i $!o!am-an a%an ,i$e!i%sa ,enan >a!a #e%an < $en'%'!an ,enan

me#o,e = ma%a $a,a la-e! a%an #am$a%Me#o,e No [[[[Me#o,e : [[[[.Sa#'an :[[[[[< 1= < 2 = < 3 = < 4 = < B = < 6 = < @ = < 8 =< 7S = < 9 = < 0 = < . = < = < = < = < 7 =

4. e%an 7 $a,a la-e! se"an-a% 3 %ali ma%a a%an #am$a%(;(R 5AN; [[[[[[[[[[..;75(AR MD7 (I HASI5 N5



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'n' lam$' senso! %'nin ,an $em"a#as s#!i$ %em"ali < / 12 ,e#i% = lal' mas'%%an s#!i$ sam$le "e!i%'#n-a ,s#

o #oma#is )!in#

)7RASINA5 A5A

No. 09 0B.B 013 No Revisi. Halaman : 6/11

CENTRI/UGE TABUNG

ARA )7N)7RASIAAN :1. e!si&%an ,in,in "aian ,alam ,enan la!'#an an#ise$#i> se#ia$ min'

a#a' "ila #e!+a,i #'m$a&an a#a' a,a #a"'n -an $e>a&2. 'na%an #a"'n ,enan '%'!an ,an #i$e -an ses'ai 'n#'% se#ia$

sen#!i*'e.3. e"an &a!'s seim"an se"el'm sen#!i*'e ,i+alan%an .4. )as#i%an "a&?a $en'#'$ #ela& men'#'$ ,enan "ai% ,an %en>an se"el'm

sen#!i*'e ,i+alan%an.B. )e!i%sa "an#alan $a,a ?a,a& #a"'n. ila "an#alan #i,al a,a ma%a #a"'n

m',a& $e>a& ?a%#' ,isen#!i*'e %a!ena a,an-a a-a sen#!i*'e -an %'a#mene%an #a"'n %a>a %e,asa! ?a,a&.

6. 5a%'%an %ali"!asi se#ia$ #a"'n.



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me!'nnin 6 sam$el ,i'lan 10 %ali (? =@ ASP 17=

". Mem"e!si&%an *al l#e!

a!an-a "'%a $en'#'$ *an l#e! >'>i l#e! ,i "a?a& ai! menali! %e!in%an,enan #iss'e %em',ian ,i $asan lai

2. MAINTENANCE BULANAN

a. mem"e!si&%sn l#e! la!'#an A>i,i> 1 Q Al%alin 2 Q ,an a'a,es# < ,ila%'%anminimal 1 "'lan se%ali=

". le$as%an l#e! !en,am ,alam la!'#an &i$o%lo!i# a#a#an

$en-im$anan $en'naan ,an $ela$o!an !eeansia aa!

,a$a# memen'&i %e"'#'&an la"o!a#o!i'm ,alam

mela%sana%an $ela-anan $eme!i%saan #e!&a,a$ $asien.

;7IA;AN )en'naan !eaens ses'ai %e"'#'&an

)RS7D(R A. )7RMINAAN R7A7N1. )e!i%sa $e!se,iaan !eaensia2. 'a# ,a*#a! $e!min#aan !eaensia ,alam "'%' am$!a

ses'ai ,enan %e"'#'&an3. Mas'%%an $e!min#aan !eaensia %e ins#alasi *a!masi

ins#alasi *a!masi memesan %e!e%anan ses'ai$e!min#aan !eaen



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. )7N7RIMAAN R7A7N Reaen -an ,a#an ses'ai $esanan ,i>a#a# ,alam

"'%' #anal $ene!imaan +enis !eaen ,an &a!ases'ai *a%#'!.

Reaen ,isim$an ses'ai ,enan s'&' $en-im$anan.

. )7N(NAAN R7A7N Reaen -an s',a& ,i#e!ima ,i#'lis #anal

$enam"ilann-a $a,a masin masin%i#/"'n%'sn-a ,an "'%' $ema%aian.

)ema%aian !eaen #ia$ &a!i ,i>a#a# $a,a "'%'$ema%aian sam$ai !eaen &a"is.

(NI 7R;AI Ins#alasi la"o!a#o!i'm.

)RRAM RI7NASI )7ACAI AR(

No. No Revisi. Halaman :1/3

)RS7D(R 7A)

e!"i#an I Di#e#a$%an ole&Di!e%#'! RS( Islam Faisal



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Hema#oloi 1 min'

Mi%!o"ioloi 1 min'

)a!asi#oloi 1 min'

5A)RAN RI7NASI

e!ima anal :Mene#a&'i;e$ala (ni# Ins#alasi 5a"o!a#o!i'm

< ,!. H+. Da!ma?a#- 7R S$); a#a#an ,an $ela$o!an menenai ,a#a $asien/

,is#!i"'si &asil la$o!an "'lanan/#a&'nan la"o!a#o!i'm )a#oloi;lini%.

ii. Meli&a/men>a#a# +enis+enis "a&an %imia ,an "a&an "a&anlainn-a se!#a $!ose,'! $e!min#aan "a!an ,an >a!a me!e%a$%e"'#'&an "a!an la"o!a#o!i'm.

iii. Meli&a# >a!a $em"'a#an / >a!a $en-im$anan s'!a#/ a!si$la"o!a#o!i'm.

Min' II H7MA5I 1. Meli&a# $e!sia$an $e!ala#an

2. Meli&a# $!o#a$ ,an $eno$e!asian ala# &ema#oloi 3. Mela%sanaan $eme!i%saan 57D

4. Meli&a# >a!a $ela$o!an &asil $eme!i%saan

Min' III ;IMIA ;5INI; 1. Meli&a# >a!a $e!sia$an ala#

2. Meli&a# $!o#a$ ,an $eno$e!asian ala# %imia %lini% 3. Mela%sana%an $eme!i%saan %imia %lini%

4. Mela%'%an $eme!i%saan 'la ,a!a& ,enan mema%ai ala##es 'la ,a!a&.

B. Meli&a# >a!a $ela$o!an &asil $eme!i%saan.



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Min' IV (RINA5ISA 1. Meli&a# >a!a $e!sia$an ala# 2. Meli&a# $!o#a$ ,an $eno$e!asiaan ala# '!inalisa

3. Mela%sana%an $eme!i%saan se,imen 4.Mela%sana%an $eme!i%saan #es %e&amilan

B. Mela%sana%an $eme!i%saan #es na!%o"a 6. Meli&a# >a!a $ela$o!an &asil

Min' V MI;RI5I 1. Meli&a# $e!sia$an $e!ala#an ,an $e!sia$an sam$el ,a&a%

2. )em"'a#an $!e$a!a# 3. Mela%sana%an $eme!i%saan mi%!o"ioloi 4. Meli&a# >a!a $ela$o!an &asil $eme!i%saan

Min' VI IM(NS7R5I 1. Meli&a# $e!sia$an $e!ala#an

2. Mela%sana%an $eme!i%saan ?i,al 3. Mela%sana%an $eme!i%saan im'nose!oloi 4. Meli&a# >a!a $ela$o!an &asil

)RRAM )7NDIDI;AN DAN )75AIHAN

No. No Revisi Halaman : 1/1

)RS7D(R 7A)

e!"i#an I Di#e#a$%an ole&Di!e%#'! RS( Islam Faisal

)!o*.DR.D!.HA.A!i*',,inD+'annaS$ana%an ,alam "en#'%$!o!am #a&'nan.

2. )!o!am $en,i,i%an ,an $ela#i&an ,ia+'%an %e$a,a$im$inan R'ma& Sa%i#.

3. )!o!am $en,i,i%an -an meli$'#i $!o!am $en,i,i%an*o!mal < D IV S1 = ,an in*o!mal < $ela#i&an $ela#i&an,an semina! = .



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)7MANA)AN M(( IN7RNA55ARARI(M

No. No Revisi. Halaman : 1/1

)7N7RIAN

)eman#a$an m'#' in#e!nal a,ala& %eia#an $en>ea&an ,an$ena?asan -an ,ila%sana%an ole& se#ia$ la"o!a#o!i'mse>a!a #e!'s mene!'s 'n#'% men,e#e%si se>a!a ,ini %esala&an-an #e!+a,i $a,a #ia$ #a&a$ $eme!i%saan se&ina ,i$e!ole&&asil #e$a# ,an #eli#i.

((AN )eman#a$an m'#'i in#e!nal "e!#'+'an 'n#'% men+amin &asil-an ,i%el'a!%an ,enan mela%'%an '+i %e#eli#ian '+i%e#e$a#an ,e#e%si a,an-a %esala&an a>a% ma'$'n %esala&ansis#emi%.

)RS7D(R )eman#a$an M'#' In#e!nal 5a"o!a#o!i'm ,ila%'%an se#ia$ &a!i,ila"o!a#o!i'm 'n#'% sem'a ala# ,an $eme!i%saan.

a. )RA ANA5II; Sia$%an ala# ala# -an a%an ,i'na%an ;el'a!%an >on#!ol ,a!i lema!i $en,inin/%'l%as



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114

ia!%an $a,a s'&' %ama!". ANA5II;

Se#ela& >on#!ol $a,a s'&' %ama! Ma%a ,ila%'%an $eme!i%saan #e!&a,a$ $a!ame#e!

-an "iasa ,ila%'%an $a,a la"o!a#o!i'm Hasil a%an %el'a! $a,a $!in#o'# ala#

a#a# &asiln-a>. )RA ANA5II; Hasil -an ,i,a$a# ,imas'%%an ,alam !a% ila #i,a% #e!+a,i $en-im$anan ma%a

$eme!i%saan ,ilan+'#%an #e!&a,a$ sam$el.7val'asi ini ,ila%sana%an se>a!a #e!'s mene!'s 'n#'%men+amin m'#' &asil $eme!i%saan -an ,i%el'a!%an Ins#alasi5a"o!a#o!i'm

(NI 7R;AI Ins#alasi 5a"o!a#o!i'm )a#oloi %lini%.

)7MANA)AN M(( 7;S7RNA5


)RS7D(R 7A) e!"i#an I



D+'annaS$a!a $e!io,i> ole& $i&a% ,i l'a!la"o!a#o!i'm -an "e!san%'#an 'n#'% menilai $enam$ilansesaa# s'a#' la"o!a#o!i'm.)eman#a$an m'#' 7%s#e!nal "e!#'+'an men+amin aa!la"o!a#o!i'm -an men+a,i $ese!#a $eman#a$an m'#'e%s#e!nal ,a$a# men'%'! < mene#a&'i = se+a'& mana



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11B

%e#e$a#an nilai s'a#' anali# -an ,i$e!ole&n-a ,enan me#o,e-an ,i'na%an ,i la"o!a#o!i'm ,i"an,in%an ,enan &asil,a!i la"o!a#o!i'm !'+'%an.

)RS7D(R )eman#a$an m'#' e%s#e!nal ,ila%sana%an ole& )'sa#5a"o!a#o!i'm ;ese&a#an -an ,iselena!a%an se>a!a $e!io,i>,an ,ii%'#i ole& sem'a $ese!#a $eman#a$an m'#' e%s#e!nal#e!mas'% Ins#alasi 5a"o!a#o!i'm RS( Islam Faisal.

a&a$ #a&a$ $ela%sanaan $eman#a$an m'#' e%s#e!nal a,ala&se"aai "e!i%'# :)en-elena!a meni!im%an sam$el %em',ian %ami se"aai$ese!#a mene!ima sam$el ,an menan,a#anani #an,a #e!imasam$el Se#ela& i#' %ami mela%'%an $eme!i%saan $a!ame#e! -an,imin#a ,an %ami mene!+a%an ses'ai +a,?al -an ,i#en#'%an.Hasil -an ,i#em'%an ,i%i!im %em"ali %e$ela%sana$eman#a$an m'#' e%s#e!nal ,an %ami men'' &asil eval'asi

(NI 7R;AI Ins#alasi 5a"o!a#o!i'm )a#oloo %lini%Ins#alasi )ela-anan Me,i%

)7M75IHARAAN DAN ;A5IRASI


)RS7D(R 7A) e!"i#an I



D+'annaS$


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116

((AN Aa! ,i,a$a# &asil $eme!i%saan -an $!esisi ,an a%'!asi -an"ai%.

;7IA;AN 1. A,a se!#i%a# %ali"!asi ala# ,a!i -an "e!?enan2. A,a "'%' $e#'n+'% #e%nis main#enan>e #ia$ ala# Anal-se!

-an ,i%el'a!%an ole& $a"!i% $em"'a#an ala# #e!se"'#.)RS7D(R A. )7M75IHARAAN A5A

1. $ema%aian ala# &a!'s ses'ai ,enan S) -an a,a2. 'n#'% main#enan>e ala# -an ,i%el'a!%an ole& $a"!i%

-an "e!san%'#an3. 'n#'% *o#ome#e! ses'ai ,enan "'%' $e#'n+'%

$emeli&a!aan ala# -an a,a4. 'n#'% mi%!o$i$e# ses'ai "e!%ala "aian '+'n mi%!o$i$e#

,i"e!si&%an ,enan men%o!e%%o!e% 'n#'%men&ilan%an s'm"a#an -an ,a$a# "e!'$a "e%'anse!'m/"e%as !eaens -an mone!in. ila $e!l' "aian$e!,i#am"a&%an $el'mas

B. 'n#'% >en#!i$'e #a"'n: se#ia$ semin' se%ali "aian,alam >en#i$'e ,i"e!si&%an "ila #e!+a,i #'m$a&an/a,a

#a"'n -an $e>a&6. 'n#'% mi%!os%o$: se#ela& ,i'na%an lensa o"+e%#i*$e!"esa!an 100Q ,i"e!si&%an ,enan %a$as X-lol lal' ala#,i#'#'$ ,enan %ain 'n#'% men&in,a!i ,e"'

@. 'n#'% !o#a#o!se>a!a !'#in ala# ,i'na%an ,i"e!si&%an'n#'% men&ilan%an ,e"' ,an %o#o!an

8. 'n#'% %oa'lome#e!: ala# se>a!a !'#in ,i"e!si&%an ,e"',an %o#o!an se#ela& $ema%aian ala# ,i#'#$ ,enan %ain$en'#'$ -an a,a.

. ;A5IRASI A5A1. Ala#ala# o#oma#is;ali"!asi ala#ala# o#oma#is ,ila%sana%an ole& o$e!a#o! ala#

"e!san%'#an ses'ai ,enan $e#'n+'% %ali"!asi ala# masinmasin -an ,ila%sana%an se"el'm $eme!i%saan sam$le,ila%'%an ole& #e&nisi ala# -an "e!san%'#an se>a!a$e!io,i%.

(NI 7R;AI Ins#alasi 5a"o!a#o!i'm )a#oloo %lini%

akreditasi lab rsif

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