Professional Documents
Culture Documents
Form IRNA
Form IRNA
Form IRNA
Bulan : Februari
Assessmen Awal Keperawatan
No Tanggal Nama Pasien No. RM Nama DPJP Ket
Lengkap Tidak
1 2 3 4 5 6 7 8
1 01/02/19 Ny.Siti Hamijah 044210 dr. Leonard.Sp.Pd Ya
2 01/02/19 Ny.Asmi 088837 dr.Leonard.Sp.Pd Ya
3 01/02/19 Ny.Katemi 109997 dr.Chrismanita.Sp.S Ya
4 01/02/19 Ny.Latinem 090936 dr.Leonard.Sp.Pd Ya
5 01/02/19 Tn.Jamal 122477 dr.Leonard.Sp.Pd Ya
6 01/02/19 Ny.Ira Arisanti 100310 dr.Leonard.Sp.Pd Ya
7 01/02/19 Tn.H.Sood 112649 dr.Leonard.Sp.Pd Ya
8 02/02/19 Ny.Tina Umin 122479 dr.Leonard.Sp.Pd Ya
9 02/02/19 Nn.Dea Eriska 107768 dr.Azahri.Sp.Pd Ya
10 02/02/19 Tn.Ahmad Supianto 122239 dr.Leonard.Sp.Pd Ya
11 02/02/19 Nn.Dede Herawati 061076 dr.Leonard.Sp.Pd Ya
12 03/02/19 Tn.Durohman 112650 dr.Leonard.Sp.Pd Ya
13 03/02/19 Ny.Ratemu 122593 dr.Leonard.Sp.Pd Ya
14 03/02/19 Tn.Sudibyo 121258 dr.Chrismanita.Sp.S Ya
15 03/02/19 Ny.Sema'ah 108602 dr.Leonard.Sp.Pd Ya
16 03/02/19 Ny.Norani 029187 dr.Leonard.Sp.Pd Ya
17 03/02/19 Ny.Anten 063380 dr.Leonard.Sp.Pd Ya
18 03/02/19 Ny.Sutarmi 122382 dr.Leonard.Sp.Pd Ya
19 02/02/19 Ny.K.R Lamah 097477 dr.Leonard.Sp.Pd Ya
20 02/02/19 Tn.Bani Ismail 122562 dr.Leonard.Sp.Pd Ya
21 03/02/19 Tn.Albert Sebastianus 075041 dr.Leonard.Sp.Pd Ya
22 03/02/19 Tn.Matius Sijun 069893 dr.Leonard.Sp.Pd Ya
23 04/02/19 Sdr.Donatus Erwin 114485 dr.Leonard.Sp.Pd Ya
04/02/19 Sdr.Wilhelmus Rivaldo B 121861 dr.Leonard.Sp.Pd
24 Ya
25 04/02/19 Ny.anna Junah 122612 dr.Leonard.Sp.Pd Ya
26 04/02/19 Nn.Nuraini 122102 dr.Chrismanita.Sp.S Ya
27 04/02/19 Nn.Meli polantur 122598 dr.Leonard.Sp.Pd Ya
28 04/02/19 Tn.Arjudi n Ubang 122613 dr.Leonard.Sp.Pd Ya
29 05/02/19 Tn.Ade Fachrudin 122666 dr.Azahri.Sp.Pd Ya
30 05/02/19 ny.Ipahwati 121559 dr.Chrismanita.Sp.S Ya
31 05/02/19 Ny.Katarina Kipok 122622 dr.Leonard.Sp.Pd Ya
32 05/02/19 Ny.Agnes Sonin 122687 dr.Chrismanita.Sp.S Ya
33 05/02/19 Ny.Kowek 122686 dr.Azahri.Sp.Pd Ya
34 05/02/19 Tn.Khong Kim Fat 086753 dr.Azahri.Sp.Pd Ya
35 06/02/19 Tn.Natalis 099917 dr.Leonard.Sp.Pd Ya
36 06/02/19 Tn.Meen Derani 069178 dr.Leonard.Sp.Pd Ya
37 06/02/19 Tn.Nur Wahidin 122697 dr.Leonard.Sp.Pd Ya
38 06/02/19 Ny.Ita 122700 dr.Leonard.Sp.Pd Ya
39 06/02/19 Tn.Santo Petrus 122719 dr.Leonard.Sp.Pd Ya
40 06/02/19 Ny.Sekiye 122691 dr.Leonard.Sp.Pd Ya
41 06/02/19 Ny.Safarida 055542 dr.Leonard.Sp.Pd Ya
07/02/19 Nn.Wilandayu Widuri T 118554 dr.Leonard.Sp.Pd
42 Ya
43 07/02/19 Tn.Edy Surianto 057312 dr.Azahri.Sp.Pd Ya
44 07/02/19 Tn.Petrus Stefanus 122738 dr.Azahri.Sp.Pd Ya
45 07/02/19 Ny.Ida Irma 083552 dr.Azahri.Sp.Pd Ya
46 07/02/19 Ny.Maria Liton 076562 dr.Leonard.Sp.Pd Ya
47 07/02/19 Ny.Marta Nakoi 122476 dr.Azahri.Sp.Pd Ya
48 07/02/19 Tn.Agustami 122782 dr.Azahri.Sp.Pd Ya
49 07/02/19 Ny.Norma Yunita 122786 dr.Leonard.Sp.Pd Ya
Tn.Yohanes
08/02/19 Nipomusenu 095566 dr.Leonard.Sp.Pd
50 Ya
51 08/02/19 Tn.Samingan 122781 dr.Leonard.Sp.Pd Ya
52 08/02/19 Tn.Yulianus S 117405 dr.Leonard.Sp.Pd Ya
53 08/02/19 Tn.Azahri 044886 dr.Leonard.Sp.Pd Ya
54 08/02/19 Tn.Sekius 122792 dr.Leonard.Sp.Pd Ya
55 08/02/19 Tn.Sood 112649 dr.Leonard.Sp.Pd Ya
56 08/02/19 Ny.Julena 047486 dr.Leonard.Sp.Pd Ya
57 09/02/19 Tn.sinlion 122796 dr.Azahri.Sp.Pd Ya
58 09/02/19 Ny.Sri Wahyuni 120280 dr.Leonard.Sp.Pd Ya
59 09/02/19 Ny.Darnawati 119192 dr.Leonard.Sp.Pd Ya
60 09/02/19 Ny.Utin Farida 063787 dr.Chrismanita.Sp.S Ya
61 09/02/19 Sdr.Jepi 122815 dr.Azahri.Sp.Pd Ya
62 09/02/19 Nn.Leni Pramita 122821 dr.Leonard.Sp.Pd Ya
63 10/02/19 Tn.Zainal Arifin 122823 dr.Leonard.Sp.Pd Ya
64 10/02/19 Tn.Ngatijo 122820 dr.Chrismanita.Sp.S Ya
65 10/02/19 Tn.Ishak 060140 dr.Leonard.Sp.Pd Ya
66 11/02/19 Tn.Yohanes Johar 101298 dr.Chrismanita.Sp.S Ya
67 11/02/19 Ny.Ita 122832 dr.Chrismanita.Sp.S Ya
68 11/02/19 ny.Marta Kartini 067055 dr.Chrismanita.Sp.S Ya
69 11/02/19 Ny.Warsinah 085721 dr.Chrismanita.Sp.S Ya
70 11/02/19 Tn.Labek 122838 dr.Azahri.Sp.Pd Ya
71 11/02/19 Ny.Luten 122844 dr.Azahri.Sp.Pd Ya
72 11/02/19 Tn.Rosliadi 122840 dr.Azahri.Sp.Pd Ya
73 11/02/19 Ny.Ana Ajan 070251 dr.Azahri.Sp.Pd Ya
74 11/02/19 Tn.Suyono 115006 dr.Azahri.Sp.Pd Ya
75 11/02/19 Tn.Alfin Hidayanto 122870 dr.Azahri.Sp.Pd Ya
76 11/02/19 Tn.Bakran 056565 dr.Azahri.Sp.Pd Ya
77 11/02/19 Ny.Veriana 072457 dr.Azahri.Sp.Pd Ya
78 12/02/19 Ny.Hamidah 063864 dr.Chrismanita.Sp.S Ya
79 12/02/19 Tn.Utik 122774 dr.Azahri.Sp.Pd Ya
80 12/02/19 Ny.Cubit 122892 dr.Azahri.Sp.Pd Ya
81 12/02/19 Ny.Roberta H 058190 dr.Azahri.Sp.Pd Ya
82 13/02/19 Tn.Mikael 093284 dr.Azahri.Sp.Pd Ya
83 13/02/19 Tn.M.Usman 122910 dr.Chrismanita.Sp.S Ya
84 13/02/19 Ny.Nurtayahni 049990 dr.Azahri.Sp.Pd Ya
85 13/02/19 Tn.Ahmad Supianto 112239 dr.Chrismanita.Sp.S Ya
86 13/02/19 Ny.Vita Sari 122931 dr.Azahri.Sp.Pd Ya
87 13/02/19 Ny.Rupina Sinta 105627 dr.Azahri.Sp.Pd Ya
88 13/02/19 Ny.Nurjanah 120398 dr.Azahri.Sp.Pd Ya
89 13/02/19 Sdr.Rides Tianto 122966 dr.Azahri.Sp.Pd Ya
90 14/02/19 Ny.Yustina Lase 101248 dr.Azahri.Sp.Pd Ya
91 14/02/19 Ny.Dyg Luyah 122851 dr.Azahri.Sp.Pd Ya
92 14/02/19 Tn.kasman Moko D 088069 dr.Azahri.Sp.Pd Ya
93 14/02/19 Ny.Lisma Wati H 122970 dr.Azahri.Sp.Pd Ya
94 14/02/19 Ny.Mahrita 121498 dr.Azahri.Sp.Pd Ya
95 14/02/19 Tn.Sampe Wiyono 113300 dr.Azahri.Sp.Pd Ya
96 14/02/19 Tn.Siamat 122981 dr.Azahri.Sp.Pd Ya
97 14/02/19 Tn.Ramli 123021 dr.Azahri.Sp.Pd Ya
98 15/02/19 Tn.Lotae 039699 dr.Azahri.Sp.Pd Ya
99 15/02/19 Tn.Japar Karya W 078297 dr.Azahri.Sp.Pd Ya
100 15/02/19 Tn.Yunus Lassa 113241 dr.Chrismanita.Sp.S Ya
101 15/02/49 Tn.Titus Kanis 123028 dr.Azahri.Sp.Pd Ya
102 15/02/19 Ny.Bilong 123038 dr.Azahri.Sp.Pd Ya
103 15/02/19 Tn.Asung 120271 dr.Azahri.Sp.Pd Ya
104 16/02/19 Sdr.Tampu 123050 dr.Azahri.Sp.Pd Ya
105 16/02/19 Ny.Monika Moleh 122991 dr.Azahri.Sp.Pd Ya
106 16/02/19 Ny.Rosalina Roslin J 123052 dr.Azahri.Sp.Pd Ya
107 16/02/19 Tn.Budi Stiawan 123048 dr.Azahri.Sp.Pd Ya
108 16/02/19 Tn.Marso 123041 dr.Azahri.Sp.Pd Ya
109 16/02/19 Tn.Tabon 123057 dr.Azahri.Sp.Pd Ya
110 17/02/19 Tn.Abg Johan 076573 dr.Leonard.Sp.Pd Ya
111 17/02/19 Ny.Saanah 121835 dr.Azahri.Sp.Pd Ya
112 17/02/19 Tn.Ruslan Edy 092563 dr.Leonard.Sp.Pd Ya
113 17/02/19 Tn.Sulaiman Sepek 098392 dr.Azahri.Sp.Pd Ya
114 17/02/19 Tn.Solihin 123074 dr.Leonard.Sp.Pd Ya
115 18/02/19 Ny.Yupita Gubam 123092 dr.Leonard.Sp.Pd Ya
116 19/02/19 Tn.Petrus Dahin 123133 dr.Azahri.Sp.Pd Ya
117 19/02/19 Tn.warni 118413 dr.Azahri.Sp.Pd Ya
118 19/02/19 Ny.Elisabet Tant 121963 dr.Azahri.Sp.Pd Ya
119 19/02/19 Ny.Marsia Titin 123087 dr.Leonard.Sp.Pd Ya
120 19/02/19 Ny.Dyg Hartati 108214 dr.Leonard.Sp.Pd Ya
121 19/02/19 Tn.Enci Bakhtiar 122793 dr.Azahri.Sp.Pd Ya
122 19/02/19 Tn.Albertus Apau 123171 dr.Azahri.Sp.Pd Ya
123 20/02/19 Tn.Wawan S 123177 dr.Leonard.Sp.Pd Ya
124 20/02/19 Ny.Asiah 111985 dr.Leonard.Sp.Pd Ya
125 20/02/19 Tn.ismail Bong 088701 dr.Leonard.Sp.Pd Ya
126 20/02/19 Tn.Suprapto 044919 dr.Leonard.Sp.Pd Ya
127 20/02/19 Ny.Evni Ariyani 123174 dr.Azahri.Sp.Pd Ya
128 20/02/19 Ny.Dewi 123127 dr.Leonard.Sp.Pd Ya
129 20/02/19 Tn.Kontansiyus Budi 103044 dr.Leonard.Sp.Pd Ya
130 20/02/19 Ny.Yohana Theres 123128 dr.Leonard.Sp.Pd Ya
131 20/02/19 Tn.Santo 117400 dr.Leonard.Sp.Pd Ya
132 21/02/19 Tn.Sumadi 123213 dr.Azahri.Sp.Pd Ya
133 21/02/19 Ny.Loy Joen Tjen 067670 dr.Leonard.Sp.Pd Ya
134 21/02/19 Ny.Rupina Yanti 076302 dr.Azahri.Sp.Pd Ya
135 21/02/19 Ny.Wasik Royana 036361 dr.Chrismanita.Sp.S Ya
136 21/02/19 Tn.Yosefat Kalau 123217 dr.Leonard.Sp.Pd Ya
137 21/02/19 Tn.Sain 061010 dr.Azahri.Sp.Pd Ya
138 22/02/19 Tn.Donatus pahin 123116 dr.Leonard.Sp.Pd Ya
139 22/02/19 Tn.Dominikus Petrus 046783 dr.Leonard.Sp.Pd Ya
140 22/02/19 Ny.Maria Melah 076988 dr.Chrismanita.Sp.S Ya
141 22/02/19 Ny.Ani 123275 dr.Leonard.Sp.Pd Ya
142 22/02/19 Ny.Jusni 123185 dr.Leonard.Sp.Pd Ya
143 22/02/19 Tn.Rusdi 123279 dr.Leonard.Sp.Pd Ya
144 22/02/19 Tn.P.Idin 038493 dr.Leonard.Sp.Pd Ya
145 22/02/19 Tn.Rabelius 123297 dr.Leonard.Sp.Pd Ya
146 23/02/19 Ny.Poniti 089252 dr.Azahri.Sp.Pd Ya
147 23/02/19 Tn.Epeng 063792 dr.Azahri.Sp.Pd Ya
148 24/02/19 Ny.Seriaty H 084562 dr.Leonard.Sp.Pd Ya
149 24/02/19 Ny.Nur Dahlia 081098 dr.Leonard.Sp.Pd Ya
150 24/02/19 Tn.Alfensius Moni 122221 dr.Leonard.Sp.Pd Ya
151 24/02/19 Tn.Jamian Sy 082417 dr.Leonard.Sp.Pd Ya
24/02/19 Ny.Rosida Simanjuntaik 123154 dr.Leonard.Sp.Pd
152 Ya
153 24/02/19 Nn.Wanda Apriyana 117161 dr.Leonard.Sp.Pd Ya
154 25/02/19 Ny.Anitha 098857 dr.Leonard.Sp.Pd Ya
155 25/02/19 Ny.Rosanti 061486 dr.Leonard.Sp.Pd Ya
156 25/02/19 Ny.Nina Sarinah 096537 dr.Chrismanita.Sp.S Ya
157 25/02/19 Tn.Anton 064246 dr.Leonard.Sp.Pd Ya
158 25/02/19 Tn.Ahmadi 123309 dr.Leonard.Sp.Pd Ya
159 25/02/19 Ny.Natalia Rupina 113006 dr.Leonard.Sp.Pd Ya
160 25/02/19 Tn.F.Setiyan 123339 dr.Leonard.Sp.Pd Ya
161 25/02/19 Ny.Wita 102092 dr.Leonard.Sp.Pd Ya
162 25/02/19 Ny.Jainem 106237 dr.Chrismanita.Sp.S Ya
163 26/02/19 Tn.Abun 072829 dr.Chrismanita.Sp.S Ya
164 26/02/19 Ny.Yustina Dangek 123412 dr.Azahri.Sp.Pd Ya
165 26/02/19 Tn.Yohanes K 123413 dr.Azahri.Sp.Pd Ya
166 26/02/19 Ny.Rosmini 110437 dr.Chrismanita.Sp.S Ya
167 26/02/19 Ny.Wiwit W 123267 dr.Azahri.Sp.Pd Ya
168 26/02/19 Tn.Abg Kayud 123423 dr.Leonard.Sp.Pd Ya
169 27/02/19 Ny.Sisilia Mani 123429 dr.Leonard.Sp.Pd Ya
170 27/02/19 Tn.Katimin 091149 dr.Leonard.Sp.Pd Ya
171 27/02/19 Ny.Rosanti 061486 dr.Leonard.Sp.Pd Ya
172 27/02/19 Nn.Rizqi Assarina 112414 dr.Chrismanita.Sp.S Ya
173 27/02/19 Tn.Gunardi 053633 dr.Chrismanita.Sp.S Ya
174 27/02/19 Ny.Muriani 123465 dr.Leonard.Sp.Pd Ya
175 27/12/19 Tn.Edy Namsyah 123467 dr.Leonard.Sp.Pd Ya
176 27/02/19 Ny.Wasikem 102448 dr.Leonard.Sp.Pd Ya
177 27/02/19 Ny.Rika 094720 dr.Leonard.Sp.Pd Ya
178 28/02/19 Tn.Jainudin 109876 dr.Azahri.Sp.Pd Ya
179 28/02/19 Tn.Rusli Udin 123471 dr.Leonard.Sp.Pd Ya
180 28/02/19 Tn.Enci Bakhtiar 122793 dr.Azahri.Sp.Pd Ya
181 28/02/19 Ny.Sri Setiyawati 100663 dr.Azahri.Sp.Pd Ya
182 28/02/19 Ny.Kiswen 073938 dr.Leonard.Sp.Pd Ya
183 28/02/19 Tn.Yonatan Zat Pego 123475 dr.Leonard.Sp.Pd Ya
184 28/2/19 Tn.Dogim 123477 dr.Azahri.Sp.Pd Ya
185 28/02/19 Ny.Norma Yunita 122786 dr.Leonard.Sp.Pd Ya
186 28/02/19 Tn.Murjani 123542 dr.Azahri.Sp.Pd Ya
187 28/02/19 Tn.Andreas Bante 123527 dr.Azahri.Sp.Pd Ya
Kejadian Pasien Pulang Paksa
terkendala biaya
1 2 3 4 5
1 Jumat/1-2-19 dr. Azhari sp.pd 07.00
dr. Leonard sp.pd 08.00
dr.Chrismanita Sp.S 09.00 Ganti dr.Meily
Bulan :
Tanggal Surat Pengantar Operasi Tanggal Pelaksanaan
No. Nama Pasien No. RM
Tanggal Perencanaan Operasi Operasi
1 2 3 4 5
tif
Waktu Tunggu
Keterangan
(Hari)
6 7
Angka Kematian Ibu Akibat Persalinan
Bulan
No Tanggal Nama Pasien No. RM Penyebab Kematian Jenis Persalinan
Keterangan
Kemampuan menangani BBLR 1500 gr-2500 gr
Bulan:
BB Lahir BB Post Peningkatan
No. Nama Pasien No. RM
(gram) Perawatan (gram) Berat Badan (gr)
1 2 3 4 5 6
2500 gr
Lama
Ket
Perawatan
7 8
Sensus Harian Jam Visite Rutin Dokter Spesialis
No Tanggal
Nama Dokter Spesialis
Jam VisiteKeterangan
1 2 3 4 5