DOKUMEN KELENGKAPAN STAF KEPERAWATAN

RUMAH SAKIT ISLAM IBNU SINA SIMPANG EMPAT TAHUN 2019

Bulan : JULI 2019

N Masa Masa Masa
Nama Staf Perawat STR SIPP/SIPB SPK / RKK
O Berlaku Berlaku Berlaku
PERAWAT MANEJER
1 Ns.Rendra,S.Kep 503/222/SIPP/DPMP2TSP/IX/2 08-04-2022
030172117-2102125 08-04-2022
018
2 503/224/SIPP/DPMP2TSP/IX/2 06-07-2022
Ns.Yulia Sofita,S.Kep 030172117-2102124 06-07-2022
018
3 503/221/SIPP/DPMP2T/IX/201 16-04-2022
Ns. Lisa Zetmayesi, S.Kep 030152217-2122439 16-04-2022
8 Pp1
4 Ns. Nunung Kumala, S.Kep 503/040/SIPP/DPMPTSP/VI/20 25-10-2021
030172116-1252739 25-10-2021
19
IGD
1 503/257/SIPP/DPMP2TSP/X/20 256/PER-DIR/SPK/IS- 18-02-2020
Ns.Rini Mira Yenti,S.Kep 030152117-2102103 10-06-2022 10-06- 2022
18 Sp.IV/II-2019
2 503/258/SIPP/DPMP2TSP/X/20 229/PER-DIR/SPK/IS- 18-02-2020
Rifni,Amd.Kep 030152217-2122463 03-03-2022 03-03-2022
18 Sp.IV/II-2019
3 503/255/SIPP/DPMP2TSP/X/20 230/PER-DIR/SPK/IS- 18-02-2020
Ns.Putri Andriani S.Kep 030172217-2122461 26-08-2022 26-08-2022
18 Pp1 Sp.IV/II-2019
4 503/004/SIPP/DPMPTSP/I/201 184/PER-DIR/SPK/IS- 18-02-2022
Ns,Riky Arsah,S.Kep 030171117-2102122 25-12-2022 25-12-2022
9 Pp1 Sp.IV/II-2019
5 503/260/SIPP/DPMP2TSP/X/20 231/PER-DIR/SPK/IS- 18-02-2020
Ifrida Mayenti,Amd.Kep 030152117-2122447 06-09-2022 06-09-2022
18 Sp.IV/II-2019
6 503/267/SIPP/DPMP2TSP/XI/2 /PER-DIR/SPK/IS- 18-02-2022
Harry Andika,Amd.Kep 030151117-2077583 14-07-2022 14-07-2022
018 Sp.IV/II-2019
7 25-12-2019 232/PER-DIR/SPK/IS- 18-02-2020
Maharani Asyura,Amd.Kep 030252114-0826244 Dalam pengurusan
Sp.IV/II-2019

KOMITE KEPERAWATAN RUMAH SAKIT ISLAM IBNU SINA SIMPANG EMPAT

8 503/022/SIPB/DPMPTSP/III/20 233/PER-DIR/SPK/IS- 18-02-2020
Surianti,Amd.Kep 030252218-2316546 05-07-2023 05-07-2023
19 Sp.IV/II-2019
9 503/239/SIPP/DPMP2TSP/IX/2 234/PER-DIR/SPK/IS- 18-02-2020
Susi Suryani,Amd.Kep 030152217-2122459 07-03-2022 07-03-2022
018 Sp.IV/II-2019
10 503/248/SIPP/DPMP2TSP/X/20 235/PER-DIR/SPK/IS- 18-02-2020
Iwel Fiza,Amd.Kep 030152217-2122466 06-07-2022 06-07-2022
18 Sp.IV/II-2019
11 503/265/SIPP/DPMPT2TSP/XI/ 202/PER-DIR/SPK/IS- 18-02-2020
Ulfa Yanti,Amd Kep 030152116-1241558 10-03-2021 10-03-2021
2018 Sp.IV/II-2019
ICU
1 503/219/SIPP/DPMP2TSP/IX/2 236/PER-DIR/SPK/IS- 18-02-2020
Ns.Yuniche Fitri Azhar,S.Kep 030172217-2122450 07-06-2022 07-06-2022
018 Sp.IV/II-2019
2 503/250/SIPP/DPMP2TSP/X/20 237/PER-DIR/SPK/IS- 18-02-2020
Nelpariani,Amd .Kep 030152117-2122462 13-10-2022 13-10-2022
18 Sp.IV/II-2019
3 503/217/SIPP/DPNP2TSP/VIII/ 238/PER-DIR/SPK/IS- 18-02-2020
Rosidah,Amd.Kep 030152117-2122458 04-05-2022 04-05-2022
2018 Sp.IV/II-2019
4 503/246/SIPP/DPMP2TSP/X/20 239/PER-DIR/SPK/IS- 18-02-2020
Leni Yarnis,Amd.Kep 030152217-2122438 28-01-2022 28-02-2022
18 Sp.IV/II-2019
5 503/229/SIPP/DPMP2TSP/IX/2 240/PER-DIR/SPK/IS- 18-02-2020
Ns.Linda Nofilinda,S.Kep 030172217-2122435 27-11-2022 27-11-2022
018 Sp.IV/II-2019
6 187/PER-DIR/SPK/IS- 18-02-2022
Ns.Devita Tri Isna,S.Kep 050172117-2092392 08-01-2022
Sp.IV/II-2019
7 503/261/SIPP/DPMP2TSP/X/20 197/PER-DIR/SPK/IS- 18-02-2022
Khadijah, Amd.Kep 030152017-2077688 27-03-2022 27-03-2022
18 Sp.IV/II-2019
PERINATOLOGI
1 503/225/SIPP/DPMP2TSP/IX/2 241/PER-DIR/SPK/IS- 18-02-2020
Ns.Delpa Andesi S.Kep 030172217-1437022 14-09-2022 14-09-2022
018 Sp.IV/II-2019
2 503/234/SIPP/DPMP2TSPI/IX/ 242/PER-DIR/SPK/IS- 18-02-2020
Hayul Misdah,Amd.Kep 030152217-1437031 26-03-2022 26-03-2022
2018 Sp.IV/II-2019
3 503/266/SIPP/DPMP2TSP/XI/2 243/PER-DIR/SPK/IS- 18-02-2020
Novita Herni,Amd.Kep 030152117-2102123 18-11-2022 18-11-2022
018 Sp.IV/II-2019
4 503/241/SIPP/DPMP2TSP/IX/2 263/PER-DIR/SPK/IS- 18-02-2020
Nureva Handayani,Amd.Kep 030152217-1437034 21-01-2022 21-01-2022
018 Sp.IV/II-2019

KOMITE KEPERAWATAN RUMAH SAKIT ISLAM IBNU SINA SIMPANG EMPAT

5 503/227/SIPP/DPMP2TSP/IX/2 244/PER-DIR/SPK/IS- 18-02-2020
Putri Sari Yuni Fitri,Amd.Kep 030152217-2122455 04-06-2022 04-06-2022
018 Sp.IV/II-2019
6 503/206/SIPP/DPMP2TSP/VIII/ 255/PER-DIR/SPK/IS- 18-02-2020
Winda Nofita, AMK 030152217-1411844 15-05-2022 15-05-2022
2018 Sp.IV/II-2019
7 503/216/SIPP/DPMP2TSP/VIII/ 245/PER-DIR/SPK/IS- 18-02-2020
Susilawati,Amd.Kep 030152217-2122452 31-03-2022 31-03-2022
2018 Sp.IV/II-2019
8 503/006/SIPB/DPMPTSP/III/20 199/PER-DIR/SPK/IS- 18-02-2022
Nike Yunita,Amd.Keb 030252118-2248606 28-06-2023 28-06-2023
19 Sp.IV/II-2019
KAMAR BEDAH
1 224/PER-DIR/SPK/IS- 18-02-2020
Elva Susanti,S.Kep 030172117-2101998 15-06-2022 Dalam pengurusan
Sp.IV/II-2019
2 258/PER-DIR/SPK/IS- 18-02-2020
Ns.Linda Rozana,S.Kep 030172118-2244157 21-06-2023 Dalam pengurusan
Sp.IV/II-2019
3 503/247/SIPP/DPMP2TSP/X/20 265/PER-DIR/SPK/IS- 18-02-2020
Edri Nulfia,S.Kep 030151112-0347036 17-10-2017 17-10-2022
18 Sp.IV/II-2019
4 503/002/SIPP/DPMPTSP/I/201 225/PER-DIR/SPK/IS- 18-02-2020
Hayadi Sastra,Amd.Kep 030151217-2122469 27-07-2022 27-07-2022
9 Sp.IV/II-2019
5 503/235/SIPP/DPMP2TSP/IX/2 226/PER-DIR/SPK/IS- 18-02-2020
Leni Marlina,Amd.Kep 030152217-2122464 15-06-2022 15-06-2022
018 Sp.IV/II-2019
6 503/003/SIPP/DPMPTSP/I/201
Cok Im Slamet, Amd.Kep 030151217-2122465 10-01-2022 10-01-2022
9 Pp1
7 503/226/SIPP/DPMP2TSP/IX/2 228/PER-DIR/SPK/IS- 18-02-2020
Rita Fitri Yeni, Amd. Kep 030152217-2122460 15-10-2022 15-10-2022
018 Sp.IV/II-2019
8 194/PER-DIR/SPK/IS- 18-02-2022
Masmungin,Amd.Kep 030151217-2124469 12-04-2022 503/233/sipp/dpmp2tsp/1x/2018 12-04-2022
Sp.IV/II-2019
9 503/039/SIPP/DPMPTSP/V/201
Ahmad Amrezha Putra,AMK 120151218-1586634 22-06-2023 22-06-2023
9
MINA
1 503/264/SIPP/DPMP2TSP/X/20 247/PER-DIR/SPK/IS- 18-02-2020
Ns. Elfia Fitri, S.Kep 030172117-2102120 26-09-2022 07-03-2022
18 Sp.IV/II-2019
2 503/264/SIPP/DPMP2TSP/X/20 208/PER-DIR/SPK/IS- 18-02-2020
Desi Rita Rahayu .Amd.Kep 030152217-2122470 07-03-2022 07-03-2022
18 Sp.IV/II-2019

KOMITE KEPERAWATAN RUMAH SAKIT ISLAM IBNU SINA SIMPANG EMPAT

3 503/253/SIPP/DPMP2TSP/X/20 209/PER-DIR/SPK/IS- 18-02-2020
Poetri Azalia, Amd.Kep 030152217-2122445 06-01-2022 06-01-2022
18 Sp.IV/II-2019
4 503/265/SIPP/DPMPT2TSP/XI/ 210/PER-DIR/SPK/IS- 18-02-2020
Ns.Mediya Lestari, S.Kep 030172116-1241544 14-11-2021 10-03-2021
2018 Sp.IV/II-2019
5 503/254/SIPP/DPMP2TSP/X/20 223/PER-DIR/SPK/IS- 18-02-2020
Iwel Pitra, Amd.Kep 030172217-2122457 30-10-2022 30-10-2022
18Pp1 Sp.IV/II-2019
6 503/256/SIPP/DPMP2TSP/X/20 142/KPTS/SPKK/IS- 30-03-2019
Reza Febrina,S.Kep 030152217-2122441 11-02-2022 11-02-2022
18 Sp/2016
7 43/PER-DIR/SPK/IS- 01-02-2022
Ns.Agus Triyono.S,Kep 030171116-1252713 17-08-2021
Sp.IV/I-2019
8 45/PER-DIP/SPK/IS- 01-02-2022
Dina Fadhliana,Amd.Kep 030152116-2019487 21-10-2021 Dalam pengurusan
Sp.IV/I-2019
9 44/PER-DIR/SPK/IS- 01-02-2019
Atma Mulyani,Amd.Kep 030152116-2019412 01-12-2021 Dalam pengurusan
Sp.IV/I-2019
10 23-03-2021 193/PER-DIR/SPK/IS- 18-02-2022
Ns.Retno Aprian,S.Kep 030172116-1240969 Dalam pengurusan
Sp.IV/II-2019
11 02-01-2023 190/PER-DIR/SPK/IS- 18-02-2022
Annisa Puti .H.Amd.Kep 030172118-2194852 Dalam pengurusan
Sp.IV/II-2019
12 16-02-2022 189/PER-DIR/SPK/IS- 18-02-2022
Niki Febri,Amd.Kep 030151117-2151643 Dalam pengurusan
Sp.IV/II-2019
13 16-07-2022 191/PER-DIR/SPK/IS- 18-02-2022
Ns Windari Sabilla,S.Kep 030172117-2101831 Dalam pengurusan
Sp.IV/II-2019
14 503/008/SIPP/BPMP2T/VI/201 192/PER-DIR/SPK/IS- 18-02-2022
Ns.Febrica.A.S.Kep 030171115-0935352 23-02-2020 23-02-2020
5 Sp.IV/II-2019
AR RAFAH
1 503/230/SIPP/DPMP2TSP/IX/2 261/PER-DIR/SPK/IS- 18-02-2020
Ns.Melia Malik,S.Kep 030172117-2102121 09-06-2022 09-06-2022
018 Sp.IV/II-2019
2 503/243/SIPP/DPMP2TSP/IX/2 260/PER-DIR/SPK/IS- 18-02-2020
Roza Lina.AmK 030152117-2122453 24-09-2022 24-09-2022
018 Sp.IV/II-2019
3 503/010/SIPP/DPMPTSP/II/201 211/PER-DIR/SPK/IS- 18-02-2020
Siti Hazara,Amd.Kep 030152217-1437017 27-04-2022 27-04-2022
9Pp1 Sp.IV/II-2019
4 18-02-2020
Ratna Juita,Amd.Kep 030152217-2122456 22-12-2022 503/238/SIPP/DPMP2TSP/IX/2 22-12-2022 212/PER-DIR/SPK/IS-

KOMITE KEPERAWATAN RUMAH SAKIT ISLAM IBNU SINA SIMPANG EMPAT

 018 Sp.IV/II-2019
5 503/259/SIPP/DPMP2TSP/X/20 213/PER-DIR/SPK/IS- 18-02-2020
Ns.Evi Yuliati,S.Kep 030172116-1241557 20-07-2021 20-07-2021
18 Sp.IV/II-2019
6 503/231/SIPP/DPMP2TSP/IX/2 214/PER-DIR/SPK/IS- 18-02-2020
Yanti Marlina,Amd.Kep 030152217-2122448 18-06-2022 18-06-2022
018 Sp.IV/II-2019
7 22-10-2022 185/PER-DIR/SPK/IS- 18-02-2022
Rahmad Arie V,Amd.Kep 030151117-2101782 Dalam pengurusan
Sp.IV/II-2019
8 03-05-2022 267/PER-DIR/SPK/IS- 18-02-2022
Roki Saputra,Amd.Kep 030151117-2101796 Dalam pengurusan
Sp.IV/II-2019
9 30-10-2022 188/PER-DIR/SPK/IS- 18-02-2022
Oky Suprianti,Amd.Kep 030151117-2101815 Dalam pengurusan
Sp.IV/II-2019
MARWA
1 Ns. Irpa Susanti,S.Kep 503/215/SIPP/DPMP2TSPVIII/ 204/PER-DIR/SPK/IS- 18-02-2020
030172217-2122446 21-03-2022 21-03-2022
2018 Sp.IV/II-2019
2 503/105/SIPP/DPMP2TSP 262/PER-DIR/SPK/IS- 18-02-2020
Musnita, AMK 030152117-2086512 16-07-2022 16-07-2022
/III/2018 Sp.IV/II-2019
3 503/214/SIPP/DPMP2TSP/VIII/ 205/PER-DIR/SPK/IS- 18-02-2020
Hendri Gusnita, Amd.Kep 030152217-2122440 05-10-2022 05-10-2022
2018 Sp.IV/II-2019
4 503/218/SIPP/DPMP2TSP/VIII/ 206/PER-DIR/SPK/IS- 18-02-2020
Annita Eldi,Amd.Kep 030152217-2122449 28-11-2022 28-11-2022
2018 Sp.IV/II-2019
5 183/PER-DIR/SPK/IS- 18-02-2022
Robert Satria Amd.kep 030151115-1009695 28-10-2020 Dalam pengurusan
Sp.IV/II-2019
6 503/236/SIPP/DPMP2TSP/IX/2 207/PER-DIR/SPK/IS- 18-02-2020
Rahmawati Yaumil, Amd.Kep 030152117-2122442 16-03-2022 16-03-2022
018 Sp.IV/II-2019
7 201/PER-DIR/SPK/IS- 18-02-2020
Ilham, Amd.Kep 030151217-1448202 03-01-2022 Dalam pengurusan
Sp.IV/II-2019
8 503/268/SIPP/DPMP2TSP/XI/2 203/PER-DIR/SPK/IS- 18-02-2020
Ns.Mega Mutia,S.Kep 030172115-1055122 30-05-2020 30-05-2022
018 Sp.IV/II-2019
9 196/PER-DIR/SPK/IS- 18-02-2022
Fauzi Edwin,Amd.Kep 030151117-2101786 14-12-2022 Dalam penurusan
Sp.IV/II-2019
10 195/PER-DIR/SPK/IS- 18-02-2022
Yusefrialdi,Amd.Kep 030151116-2019486 24-01-2021 Dalam penurusan
Sp.IV/II-2019

KOMITE KEPERAWATAN RUMAH SAKIT ISLAM IBNU SINA SIMPANG EMPAT

11 503/251/SIPP/DPMP2TSP/X/20 143/KPTS/SPKK/IS- 30-03-2019
Wendra Gusman, Amd.Kep 030151117-2085850 28-08-2022 28-08-2022
18 Sp/III/2016
SAFFA
1 503/067/SIKB/DPMP2T/II/201 264/PER-DIR/SPK/IS- 18-02-2020
Hafniwati,Amd.keb 030252219-3046003 03-08-2024 03-08-2019
6 Sp.IV/II-2019
2 503/068/SIKB/DPMP2T/II/201 215/PER-DIR/SPK/IS- 18-02-2020
Rina Mulita,Amd.Keb 030252219-3037822 24-07-2024 24-07-2019
6 Sp.IV/II-2019
3 503/011/SIKB/DPMP2TSP/I/20 216/PER-DIR/SPK/IS- 18-02-2020
Meri Amelia,Amd.Keb 030252116-1121390 17-09-2021 17-09-2021
17 Sp.IV/II-2019
4 503/066/SIKB/DPMP2T/II/201 217/PER-DIR/SPK/IS- 18-02-2020
Weliyana,Amd.Kep 030252115-0956342 12-01-2020 12-02-2020
6 Sp.IV/II-2019
5 503/087/SIKB/BPMP2T/IV/201 218/PER-DIR/SPK/IS- 18-02-2020
Lita Muliana ,Amd.Kep 030252115-0978658 22-07-2020 22-07-2022
6 Sp.IV/II-2019
6 503/010/SIKB/DPMP2TSP/I/20 219/PER-DIR/SPK/IS- 18-02-2020
Merida Deswita,Amd.Kep 030252116-1121391 31-07-2021 31-07-2021
17 Sp.IV/II-2019
7 220/PER-DIR/SPK/IS- 18-02-2020
Wiwit Sugiarti,Amd.kep 030252115-0919535 09-12-2020 503/017/SIKB/BPMP2T/I/2016 09-12-2020
Sp.IV/II-2019
8 503/069/SIKB/DPMP2T/II/201 221/PER-DIR/SPK/IS- 18-02-2020
Yesi Marlina,Amd.keb 030252219-3051475 18-05-2024 18-05-2019
6 Sp.IV/II-2019
9 503/237/SIPP/DPMP2TSP/IX/2 222/PER-DIR/SPK/IS- 18-02-2020
Reski Fitri,Amd.Kep 030152217-2122454 03-02-2022 03-02-2022
018 Sp.IV/II-2019
10
Ananda Sri Adelia, Amd.Keb
11 503/021/SIPB/DPMPTSP/III/20 11-03 2022 198/PER-DIR/SPK/IS- 18-02-2022
Dina Sarpina,Amd.Kep 030252117-2099750 11-03-2022
19 Sp.IV/II-2019
12 503/005/SIPB/DPMPTSP/III/2- 21-03 2022 200/PER-DIR/SPK/IS- 18-02-2022
Tiara Nurjannah, Amd.Kep 030252017-2081516 21-03-2022
19 Sp.IV/II-2019

RAWAT JALAN POLIKLINIK

1 503/205/SIPP/DPMP2TSP/VIII/ 46/PER-DIR/SPK/IS- 01-02-2022
Ns.Desti Wanti,S.kep 030172117-2077566 3-12-2022 03-12-2022
2018 Sp.IV/I-2019
2 503/208/SIPP/DPMP2TSP/VIII/ 140/KPTS/SPKK/IS- 30-03-2019
Fajar Khoirunisa, Amd.kep 030152217-1416555 10 April 2022
10-04-2022 2018 Pp1 Sp/III/2016

KOMITE KEPERAWATAN RUMAH SAKIT ISLAM IBNU SINA SIMPANG EMPAT

 3 503/211/SIPP/DPMP2TSP/VIII/ 246/PER-DIR/SPK/IS- 18-02-2020
Martinah,Amd.Kep 030152217-2122437 08-06-2022 08-06-2022
2018 Sp.IV/II-2019
4 503/271/SIPP/DPMP2TSP/XI/2 254/PER-DIR/SPK/IS- 18-02-2020
Maifawati,Amk 030152217-1416558 31-05-2022 31-05-2022
018 Sp.IV/II-2019
5 503/242/SIPP/DPMP2TSP/IX/2 139/KPTS/SPKK/IS- 30-03-2019
Sophia Dewi Harnel, AMK 030152217-1437032 01-03-2022 01-03-2022
018 Sp/III/2016
6 503/209/SIPP/DPMP2TSP/VIII/ 248/PER-DIR/SPK/IS- 18-02-2020
Nofrianti Anwar,Amd .Kep 030152117-2077512 14-11-2022 14-11-2022
2018 Sp.IV/II-2019
7 249/PER-DIR/SPK/IS- 18-02-2020
Susi Herawita,Amd.keb Dalam pengurusan Dalam pengurusan
Sp.IV/II-2019
8 503/213/SIPP/DPMP2TSP/VIII/ 250/PER-DIR/SPK/IS- 18-02-2020
Witdiawati,Amd.Kep 030152217-2122436 21-12-2022 21-12-2022
2018 Sp.IV/II-2019
9 503/002/SIPP/DPMP2TSP/II/20 251/PER-DIR/SPK/IS- 18-02-2020
Elmawida,Amg 030452217-1503734 15-07-2022 15-07-2022
17 Sp.IV/II-2019
10 503/228/SIPP/DPMP2TSP/IX/2 252/PER-DIR/SPK/IS- 18-02-2020
Eka Hernita,Amd.Kep 030152217-2122444 03-01-2022 03-01-2022
018 Sp.IV/II-2019

Dari 90 orang
Perawat Klinik
Karyawan yang sudah 89 orang
Karyawan yang sudah
TOTAL : 95 ORANG sudah memiliki STR memiliki SPK yang
memiliki SIPP 75 orang 79%
93 orang. 98 % aktif, 1 orang sedang
dalam proses., 99 %

Simpang Empat, 01 Agustus 2019

Komite Keperawatan

Ns. Nunung Kumala, S.Kep

KOMITE KEPERAWATAN RUMAH SAKIT ISLAM IBNU SINA SIMPANG EMPAT