Criterion 1.4.1 Developed and implemented a Facility and Safety Management (MFK)

Standard 1.4 Facilities and safety management.

Management of facilities (buildings), infrastructure, equipment, safety and security of the Puskesmas environment is carried out in accordance with statutory provisions.

Facilities (buildings), infrastructure, equipment, environmental safety and security are managed in Facilities and Safety Management (MFK) in accordance with statutory provisions and reviewed by paying attention to risk management.

a. Criterion 1.4.1

Developed and implemented a Facility and Safety Management (MFK) program which includes facility safety and security management, management of toxic hazardous materials (B3) and B3 waste, emergency and disaster management, fire safety management, medical equipment management, utility system management, and MFK education .

1) Main Thoughts:

a) Puskesmas as a first level health facility that provides services to the community has an obligation to comply with the provisions of laws and regulations relating to buildings, infrastructure, equipment and provide a safe environment for service users, visitors, staff and the community, including patients with physical limitations. given access to obtain services.

b) Fulfillment of easy and safe access for people with physical limitations, for example providing ramps, wheelchairs, hand rails, etc. must be carried out.

c) Puskesmas need to develop and implement a facilities and safety management (MFK) program to provide a safe environment for service users, visitors, staff and the community.

d) The MFK program needs to be prepared every year and implemented. The MFK program includes the following:

(1) Facility safety and security management. Facility safety is a certain condition in buildings, grounds, infrastructure, equipment that does not pose a danger or risk to service users, visitors, staff and the public. Facility security is protection against loss, destruction and damage, or unauthorized use of access.

(2) Management of toxic hazardous materials (B3) and B3 waste.

Hazardous substances must be controlled and hazardous waste must be disposed of safely. B3 and B3 waste management includes:

(a) Determination of the type and area/location of B3 storage must be in accordance with statutory provisions;

(b) Management, storage and use of B3 must comply with statutory provisions;

(c) The B3 labeling system must comply with statutory provisions;

(d) The B3 documentation and licensing system must comply with statutory provisions;

(e) Handling of B3 spills and exposure must comply with statutory provisions;

(f) The reporting and investigation system in the event of a spill and/or exposure must comply with statutory provisions;

(g) Adequate disposal of B3 waste must comply with statutory regulations; And

(h) The use of personal protective equipment (PPE) must comply with statutory provisions.

(3) Emergency and disaster management. Emergency and disaster management is responding to epidemics, disasters and emergencies resulting from disasters. Emergency and disaster management is planned and effective.

Emergency and disaster management needs to be structured in an effort to respond to disaster events, both internal and external, which includes:

(a) identify the type, probability and consequences of disasters that may occur using Hazard Vulnerability Assessment (HVA),

(b) determine the role of the Community Health Center in disaster events

(c) communication strategy in the event of a disaster,

(d) resource management,

(e) provision of services and alternatives,

(f) identification of the roles and responsibilities of each employee as well as conflict management that may occur during a disaster, and

(g) the role of the Community Health Center in a coordinated team with available community resources.

Puskesmas also need to plan and implement a disaster preparedness that is simulated every year which includes letters b) to f) from emergency and disaster management.

(4) Fire safety management.

Fire safety management means that the Community Health Center is obliged to protect property and residents from fire and smoke.

Fire safety management in general includes preventing fires by identifying areas at risk of fire and explosion hazards, storing and managing flammable materials, providing active and passive fire protection. Specifically, fire safety management will contain:

(a) periodic frequency of inspection, testing and maintenance of fire protection and handling systems in accordance with applicable regulations,

(b) evacuation routes that are safe from fire, smoke and free from obstacles,

(c) the fire protection and mitigation system testing process is carried out over a period of 12 months, and

(d) education for staff regarding protection systems and effective evacuation methods for service users in fire situations.

(5) Medical device management.

This medical device management is useful for reducing the risk of unavailability and malfunction of medical devices. Medical devices must be selected, maintained and used in accordance with the provisions.

(6) Utility system management.

Utility system management includes electricity systems, water systems, medical gas systems, and other supporting systems, such as generators and water piping. Utility systems are maintained to minimize the risk of operational failure and must be ensured to be available 7 days 24 hours a day.

(7) MFK education.

e) To provide a safe environment for service users, visitors, officers and the public, risk areas are identified and mapped.

f) Proactively assessing and handling risks related to security and safety of facilities, B3 and B3 waste, emergencies and disasters, fire, medical devices, utility systems, and MFK education as outlined in a risk register which is integrated with the risk register ) in the risk management program.

g) The plan is reviewed, updated and documented to reflect the current conditions within the Puskesmas environment.

h) To run the MFK program, a team and/or person in charge appointed by the head of the Community Health Center is required.

i) The MFK program needs to be evaluated at least quarterly to ensure that the Community Health Center has made efforts to provide a safe environment for service users, visitors, staff and the community in accordance with the plan.

2) Assessment Elements:

a) There is an officer responsible for MFK and there is an MFK program that is determined every year based on risk identification (R).

b) Puskesmas provides easy and safe access for service users with physical limitations (O,W).

c) Identification of risk areas (D,W).

d) A risk register is prepared that covers the entire scope of the MFK (D) program.

e) Quarterly evaluation and follow-up is carried out on the implementation of the MFK (D) program.