panduan skrining gizi 2014

8/18/2019 Panduan Skrining Gizi 2014

1/21

PANDUAN

SKRINING GIZI

RS. BAPTIS BATU TAHUN 2014

RS BAPTIS BATU

JL RAYA TLEKUNG NO 1

JUNREJO – BATU


2/21

DAFTAR ISI

Halaman Juul.....................................................................................................................!

Da"#a$ I%!..............................................................................................................................!!

L&m'a$ P&n(&%a)an.............................................................................................................!!!

D&"!n!%!................................................................................................................................1

1. P&n(&$#!an.................................................................................................................1

2. Tu*uan.......................................................................................................................1

Ruan( L!n(+u,....................................................................................................................2

1. S+$!n!n( G!-! Paa Ana+ 0/14 Ta)un....................................................................2

2. S+$!n!n( G!-! Paa Pa%!&n D&a%a 14/3 Ta)un..................................................

. S+$!n!n( G!-! Paa Pa%!&n Lan%!a 5 3 Ta)un.......................................................6

Ta#a La+%ana........................................................................................................................1

D7+um&n#a%!........................................................................................................................13

!!


3/21

LEMBAR PENGESAHAN

PENGESAHAN DOKUMEN RS. BAPTIS BATU

NAMA KETERANGAN TANDA TANGAN TANGGAL

T!#!n Nalu$! D!'8an!9A:G. P&m'ua#D7+um&n

D$. Imanu&lE+aTan#a,u#$a Au#)7$!-& P&$%7n

D$. A$)!naPA9S,.K;R.9:ARS. D!$&+#u$ RS. Ba,#!%Ba#u

!!!


4/21


5/21


6/21

1. Srininggi!i"a#aana$%&1'(

/ A%&%m&n G!-! ,aa ana+ !la+u+an '&$a%a$+an +$!#&$!a S=$&&n!n( T77l "7$ #)&

A%%&%%m&n# 7" :alnu#$!#!7n !n Pa&!a#$!= STA:P.

/ Lan(+a) ,&$#ama > D!a(n7%!%

Ta)a, !n! un#u+ m&n&+%! a,a+a) #&$a,a# ma%ala) (!-!9 %&,&$#!> !%"a(!a9 a#au )al/

)al 8an( +&mun(+!nan m&n8&'a'+an ma%ala) (!-!9 %&,&$#!> +&'!a%aan ma+an 8an( %ala)9 a#au

#!a+ #&$a,a# ma%ala) (!-!. :a%!n( ma%!n( +a#&(7$! m&m!l!+! %=7$& #&$%&n!$!

De)inite*+ Nutriti,na* P,--i*+ Nutriti,na* I/"*i0ati,nN, Nutriti,na*

I/"*i0ati,n

I/"*i0ati,n- S0,re S0,re 2 S0,re %

- B7&l "a!lu$& - B&)a

- Bu$n% an ma*7$ #$auma - ?&$&'$al ,al%8 - !n

- In'7$n &$$7$% 7" - S!n(l& "77 all&$(8!n#7l&$an=&

ma'7l!%m

2. Lan(+a)+&ua > In#a+& ma+anan

Ta)a, !n! un#u+ m&n(a#a)u! !n#a+& ma+anan ,a%!&n9 !+a#&(7$!+an m&n*a!> ,a%!&n

#!a+ m&na,a# !n#a+& ma+anan!'&$!%+7$ 9 ,a%!&n m&na,a# !n#a+& ma+anan #a,!

+uan#!#a%n8a #!a+ m&n=u+u,! +&'u#u)an!'&$!%+7$ 29 a#au ,a%!&n m&na,a# ma+anan

%&%ua! +&'u#u)ann8a!'&$!%+7$ 0. Hal !n! '!%a !la+u+an &n(an aan=a$a'&$#an8a

,aa 7$an(#ua,&n(a%u) ,a%!&n.

. Lan(+a) +& #!(a> '&$a# 'aan an #!n((! 'aan

2


7/21

Paa #a)a, !n! !la+u+an a%%&%%m&n# #&$)aa, '&$a# 'aan an #!n((! 'aan9 )a%!ln8a

!'an!n(+an &n(an 'a+u a=uan/=&n#!l& an !'&$! %=7$&.


8/21

?a$a ,&m'a=aan BB an TB ,aa ($7#) =)a$# aala) >

a U+u$'&$a#'aanan#!n((!'aanana+

' L!)a#anla++an)a%!l,&n(u+u$an&n(an#a'&l ($7#) =)a$#

= Ban!n(+an&n(an%8a$a# 8an( aa ! %#&, >

- B!la'&a=&n#!l BB an TB m&n=a,a!l&'!)a$! +7l7m!'&$! %=7$& .

- B!la'&a=&n#!l BB an TB m&n=a,a!l&'!)a$! 2 +7l7m!'&$! %=7$& 2.

- B!la'&a=&n#!l BB an TB m&n=a,a! 0/1 +7l7m!'&$! %=7$& 0.

4. Lan(+a) +& &m,a# > R!%!+7 malnu#$!%! %&=a$a +&%&lu$u)an

Paa #a)a, !n!9 %=7$& 8an( !,&$7l&) a$! #a)a, 19 29 an !a+umula%!+an9 +&mu!an

)a%!ln8a !'an!n(+an &n(an 'a+u a=uan un#u+ m&n&n#u+an $!%!+7 malnu#$!%! ,a%!&n>

'&$!%!+7 malnu#$!%! #!n(+a# #!n((!9 '&$&%!+7 malnu#$!%! #!n(+a# %&an(9 a#au '&$&%!+7

malnu#$!%! #!n(+a# $&na).

4


9/21

3ut ,)) S0,re

H!() $!%+ 4

:&!um $!%+ 2–

L7 $!%+ 0–1

3


10/21

3. Lan(+a) +&l!ma > A%u)an (!-!

Paa #a)a, !n!9 #&$a,a# %a$an a%u)an (!-! 8an( )a$u% !la+u+an #&$+a!# &n(an )a%!l

8an( !,&$7l&) ,aa #a)a, 4.

a H!() R!%+

- :&m'&$!+an!n#&$


11/21


12/21

Al#&$na#!" ,&n()!#un(an L!n(+a$ l&n(an a#a% LLA '&$a%a$+an umu$

- L&n(an'aa)%!%!+!$!,a%!&n)a$u%!#&+u+ 607 #&$)aa,%!+u9 &n(anl&n(ana#a%,a$al&l !

%!%!#u'u). U+u$*a$a+an#a$a#7n*7lan#ulan('a)u a+$7m!7n &n(an%!+u 7l&+$an7n.

Tana!#!#!+#&n(a)n8a.

- P&$!n#a)+an,a%!&nun#u+m&$&la+%a%!+anl&n(ana#a%n8a9 u+u$l!n(+a$l&n(ana#a% !

#!#!+#&n(a)9 ,a%#!+an ,!#a ,&n(u+u$m&n&m,&l#!a+#&$lalu+a#

S+7$ !,&$7l&) &n(an m&m'an!n(+an )a%!l ,&n(u+u$an !'a(! &n(an #a'&l LILA

'&$a%a$+an umu$>

K&mu!an !'&$!+an %+7$ '&$a%a$+an>

LILAU S+7$

5 120 F 0

60F / 120F 0

0 F / 60F 1

0 F 2

. Lan(+a)+&ua > n!la!,&$%&n#a%&+&)!lan(an'&$a#'aan 8an(

#!a+!$&n=ana+anan'&$!+an%+7$ 1 '!laaa,&nu$unan'&$a#'aan9 an 0

'!la#!a+aa,&nu$unan'&$a#'aan

. Lan(+a) +& #!(a> n!la! &"&+ ,&n(a$u) a+u# a$! ,&n8a+!# 8an( !&$!#a ,a%!&n an

'&$!+an %+7$ $&n#an( an#a$a 0 – 2 . S&'a(a! =7n#7)9 *!+a ,a%!&n %&an( m&n(alam!

,&n8a+!# a+u# an %an(a# %&!+!# #!a+ #&$a,a# a%u,an ma+anan 5 3 )a$!9 '&$!+an

%+7$ 2.

6. Lan(+a) +& &n,a# > #am'a)+an %+7$ 8an( !,&$7l&) a$! lan(+a) 19 29 an un#u+

m&n!la! aan8a $&%!+7 malnu#$!%!

!. S+7$ 0 $&%!+7 $&na)

!!. S+7$ 1 $&%!+7 %&an(

!!!. S+7$ 2 $&%!+7 #!n((!


13/21


14/21

10. Lan(+a) +& l!ma > (una+an ,anuan #a#ala+%ana un#u+ m&$&n=ana+an %#$a#&(!

+&,&$aa#an '&$!+u# !n!

a. R!%!+7 $&na)

P&$aa#an $u#!n> ulan(! %+$!n!n( ,aa ,a%!&n ! $uma) %a+!# %!a, m!n((u

'. R!%!+7 %&an(

:&la+u+an 7'%&$

a. A#a%! ,&n8a+!# 8an( m&na%a$! an '&$!+an %a$an alam ,&m!l!)an *&n!% ma+anan

'. ?a#a# +a#&(7$! $&%!+7 malnu#$!%!

=. ?a#a# +&'u#u)an a+an ! +)u%u%n8a

?a#a# ,aa "7$m %+$!n!n( (!-! ,aa ,a%!&n &a%a.

. SriningGi!iPa#aPa-ienLan-ia $856 ta7un(.

1. A%&%m&n G!-! !la+u+an '&$a%a$+an +$!#&$!a :!n! Nu#$!#!7nal A%%&%%m&n# :NA.

2. :NA m&n((una+an !n%#$um&n# =)&=+l!%# &n(anm&n(!%!+an+7l7m 8an(

#&$%&!a%&%ua!+7n!%!,a%!&n

. "7$m %=$&&n!n( :NA#&$!$! a$! ,&$#an8aa m&l!,u#!!n#a+& ma+anan9 P&nu$unan '&$a#

'aan9 m7'!l!#a%9 %#$&%% ,%!+7l7(!9 ma%ala) n&u$7,%!=)7l7(!9 an B:I.

4. I%!+an nama9 '&$a# 'aan9 #!n((! 'aan9 an #an((al m&la+u+an %+$!n!n(.

3. P&$#an8aan a$! "7$m :NA aala)>

a. ;77 !n#a+&

P&nu$unan !n#a+& ma+anan '&$+!%a$ %&*a+ 'ulan 8an( lalu a+!'a# +&)!lan(an

na"%u ma+an9 (an((uan ,&n=&$naan9 +&%ul!#an m&n(un8a) a#au m&n&lan9

&n(an %+7$>

0 ,&nu$unan !n#a+& '&$a#

1 ,&nu$unan !n#a+& $!n(an

2 #!a+ #&$*a! ,&nu$unan !n#a+&

6


15/21

Da,a# !#an8a+an &n(an>

- A,a+a)+7n%um%!anam&nu$un'&$+!%a$%&*a+ 'ulan 8an( lalu

- J!+a!8a9 a,a+a)!+a$&na+an+u$an(na"%uma+an9

+&%ul!#anm&n(un8a)a#aum&n&lan

- J!+a!8a9 a,a+an)an8a%&!+!#%&+al!ma+anan 8an( ana+7n%um%!

- J!+am&$u,a+an,&n(u+u$anulan(

>a,a+a),7lama+anana'&$u'a)%&*a+,&n(u+u$an#&$a+)!$

'. P&nu$unan '&$a# 'aan

P&nu$unan'&$a#'aan%&*a+ 'ulan 8an( lalu &n(an %+7$>

0 ,&nu$unan BB 5 +(

1 ,&nu$unan BB #!a+!+a)u!2 ,&nu$unan BB an#a$a 1 – +(

#!a+#&$*a!,&nu$unan BB


- A,a+a)anam&n(alam!,&nu$unan BB #an,a!$&n=ana+an%&*a+

'ulan#&$a+)!$

- A,a+a)!+a#,!n((an(anam&n*a!l&'!)l7n((a$

- B&$a,a +( +!$a+!$a,&nu$unan BB 8an( anaalam!

=. :7'!l!#a

% D&n(an

%+7$

0 )an8a '&$aa ! +a%u$ a#au +u$%!

1 a,a# '&$an*a+ a$! +a%u$ +u$%! namun #!a+ +&lua$

$uma) 2 a,a#,&$(!+&lua$$uma)


-A,a+a)anaa,a#'&$an*a+a$!+a%u$ +u$%!

- A,a+a)anaa,a#,&$(!+&lua$

$uma) . S#$&% ,%!+7l7(!

S#$&%% ,%!+7l7(!a#au,&n8a+!#a+u# 8an( !&$!#a,a%!&n9 &n(an %+7$

0 !8a

1 #!a+

Da,a# !#an8a+an &n(an

-A,a+a)ana%a+!#'a$u'a$u!n!

- A,a+a)anam&$a%a+&)!lan(ana+)!$a+)!$!n!


16/21

10


17/21

&. :a%ala) n&u$7,%!+7l7(!

D&n(an %+7$>

0 &,$&%! a#au &m&n#!a '&$a#

1 &m&n#!a $!n(an

2 #!a+aama%ala)n&u$7,%!+7l7(!

Da#a !a,a#+ana$!,u(a%m&!%mau,un,!)a+ 8an( m&$aa#,a%!&n

J!+a,a%!&nlam'a#m&$&%,7n9 a#aum&n(alam! &m&n#!a

'&$a#ma+a,&$lu!la+u+an =$7%% =)&=+ ,aa,u(a%m&!%mau,un,!)a+ 8an(

m&$aa#,a%!&nm&n(&na!,&$#an8aan A9B9?9D

". I:T D&n(an

%+7$>

0 I:T 16

1 I:T 21

2 I:T 2

I:T 2 a#aul&'!)

B!la I:T #!a+a,a#!(una+an9 a,a#!(an#!&n(an,&$#an8aan!'aa) !n!

Lingar Lengan Ata- $LILA(

0 Ha%!l ,&n(u+u$an 293 =m

Ha%!l,&n(u+u$an5293

. S&mua ,&$#an8aan !#7#al9 %&)!n((a m&na,a# %+7$ %+$!n!n(>

12&1' 9 Statu- gi!i n,r/a*

:&11 9 Beri-i,/a*nutri-i

%&; 9 Ma*nutri-i

. A%u)an (!-! !la+u+an '&$a%a$+an #7#al %+7$ 8an( !a,a#+an>

a. S#a#u% (!-! n7$mal>

-D!la+u+an %+$!n!n( ulan( %&la) +&*a!an a+u# a#au ,&n8a+!#

- D!la+u+an %+$!n!n( ulan( %&+al! alam %a)un ! +7mun!#a%

- D!la+u+an %+$!n!n( ulan( %!a, 'ulan %&+al! ,aa ,a%!&n $aa# *alan

'. B&$!%!+7 malnu#$!%!>

Paa ,a%!&n #an,a ,&nu$unan '&$a# 'aan

- D!la+u+an m7n!#7$!n( #&$)aa, '&$a# 'aan

- D!la+u+an %+$!n!n( ulan( %!a, 'ulan %&+al!

Paa ,a%!&n &n(an ,&nu$unan '&$a# 'aan

11


18/21

- D!la+u+an !n#&$


19/21

TATA LAKSANA

Pa%!&n 8an( '&$!%!+7 ma%ala) (!-! !la+u+an ,&n(+a*!an (!-! l&'!) lan*u# &n(an m&n(!%!

"7$mul!$ a%u)an (!-!. Lan(+a)/lan(+a)n8a aala) %&'a(a! '&$!+u#>

1. :&nul!%+an a#a !$! ,a%!&n

2. :&la+u+an a%%&%%m&n# (!-! '&$u,a >

a. An#$7,7m$!

:&n(u+u$ '&$a# 'aan an #!n((! 'aan9 a#au LILA an #!n((! lu#u#

+&mu!an !%!m,ul+an %#a#u% (!-!n8a. B!%a m&n((una+an a#a a$! %+$!n!n(

(!-!.

'. B!7+!m!a

:&n=a#a# )a%!l ,&m&$!+%aan la'7$a#7$!um #&$+a!# (!-! a$! $&+am m&!% an

m&n8!m,ul+ann8a %&%ua! =u# 7"" 8an( !(una+an9 an m&n=an#um+an

#an((al ,&m&$!+%aan la'

=. ;!%!+ an +l!n!%

:&n=a#a# )a%!l ,&m&$!+%aan "!%!+ mau,un +l!n!% #&$+a!# (!-! a$! $&+am m&!%

an m&n8!m,ul+an )a%!ln8a

. D!a$8 a#au $!a8a# (!-! a)ulu an %&+a$an(

:&la+u+an aan=a$a %!n(+a# m&n(&na! +&'!a%aan ma+an ,a%!&n %&'&lum

ma%u+ Ruma) Sa+!# '&$u,a>

- '&$a,a +al! ma+an alam %&)a$!

- ma+anan ,7+7+ 8an( '!a%a !+7n%um%! an ,7$%!n8a

- lau+ )&an! 8an( %&$!n( !+7n%um%! an =a$a ,&n(7la)ann8a

- lau+ na'a#! 8an( %&$!n( !+7n%um%! an =a$a ,&n(7la)ann8a

- %a8u$an 8an( %&$!n( !+7n%um%! an =a$a ,&n(7la)ann8a

-+&'!a%aan +7n%um%! 'ua) an 'ua) 8an( %&$!n( !+7n%um%!

- +&'!a%aan m!num an ,7$%!n8a

- +&'!a%aan *a*an a#au n(&m!l %&$#a a+#!"!#a% +&'!a%aan 7la)$a(a

&. :&n8!m,ul+an $!a8a# (!-! a)ulu

. :&m'ua# !a(n7%a (!-! ,a%!&n #&$+a!# ma%ala) 8an( !#&mu+an9 m&n((una+an N?P

,$7'l&m/!7l7(!/%!(n%8m,#7m9 m!%aln8a ..,$7'l&m... !%&'a'+an 7l&)

..!7l7(!... !#ana! &n(an ...%!(n%8m,#7m...

4. :&n()!#un( +&'u#u)an &n&$(! un#u+ ana+ m&n((una+an RDA BBI BEE ;S9

%&an(+an un#u+ &a%a n7n!a'&% m&n((una+an $umu% Ha$$!% B&n&!=#. Pa%!&n

1


20/21

&a%a &n(an !a'&% m&n((una+an $umu% P&$+&n!9 +&mu!an !!%!+an ,aa +7l7m

$&n=ana !n#&$


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