REFERING PATIEN

Arranged by :
1. Lilis muslihah ( p1337420418037 )
2. Kiki andrea puspa ( p1337420418079 )
•Understanding Public Health Centers
Health services provided at the Puskesmas are health services that
include medical services (curative),
preventive measures, health promotion (rehabilitative) and
rehabilitative health aimed at all residents
and are not differentiated by sex and age group, since fertilization
in the womb until closing age.
Reference is a means and infrastructure that is used as a tool to
provide information,
to support or reinforce a statement firmly. References can be in
the form of evidence,
values, and / or credibility.
The source of reference material is where the material is found.
2. Types of Referrals

a. Health Referral This reference is mainly related to

efforts to prevent disease and increase health status.
Thus health referrals basically apply to public health
services

a. Medical ReferralThis reference is mainly related to efforts to

cure disease and restore health. Thus medic referrals basically
apply to medical services.According to Syafrudin (2009),
 3. Referral Pathsa.
The referral pathway is divided into two, namely:Reference to individual
health efforts:
1) Between the community and the health center.
2) 2) Between puskesmas assistants or midwives in villages with puskesmas.
3) 3) Internal health center staff or in-patient health centers.
4) 4) Between puskesmas or puskesmas with hospitals or other service
facilities

b. Reference for public health efforts:

1) From the puskesmas to the district or city health office.
2) From puskesmas to other agencies that are more competent both
intrasectoral and cross-sectoral
3) If the reference at the district or city level is still unable to overcome, it can
be forwarded to the province or center (Trihono, 2005).
•4. Benefits of the Referral System
a. The government's perspective as a policy maker facilitate
administrative work, especially in the aspect of planning.
b. The viewpoint of the community as service users ease the cost of
treatment, because it can avoid the same check repeatedly and make it
easier for the public to get services.
c. The point of view of the health community as a health service
provider. the benefits obtained include clarifying the career path of
health workers with various other positive consequences such as
enthusiasm for work, perseverance.
5. Procedures for Implementing Referral SystemsThe patient to be referred
must be examined and eligible to be referred.
The criteria for referred patients are if they meet one of:
a) The results of the physical examination can certainly not be overcome.
b) The results of physical examination with medical support examination
turned out to be unable to be overcome.
c) Requires a more complete medical support examination, but the
examination must be accompanied by the patient concerned.
d) If it has been treated and cared for, it requires examination, treatment and
care at health facilities that are more capable.
6. Standard procedures refer patients
a) Clinical Procedure:
1) Carrying out anamnesa, physical examination and medical support
examinations to determine the main diagnosis and differential diagnosis.
2) Provide pre referral actions according to the case.
3) Decide on the referral destination service unit.
4) For emergency patients must be accompanied by Medical / Paramedic
personnel who are competent in their fields and know the patient's
condition.
5) If the patient is delivered in a mobile vehicle or ambulance, so that the
officer and vehicle continue to wait for the patient in the destination
emergency room until there is certainty that the patient will receive
services and conclusions of hospitalization or outpatient care.
b) Administrative Procedures:
1) Done after the patient is given a pre-referral action.
2) Make a record of the patient's medical record.
3) Provide Informed Consent (approval / refusal of referral).
4) Make a duplicate patient referral letter 2.
5) The first sheet is sent to the referral place with a frightened patient.
6) The second sheet is stored as an archive. Record the patient's identity in the patient's
referral register.
7) Prepare transportation facilities and
8) establish communication with the referral destination as far as possible.
9) Dispatch of these patients should be carried out after the administration concerned has
been completed.
thankyou