Lampiran SPPT No. Um.5.02SPPT/ / /PT.

PHC-2019
Tanggal : September 2019

DAFTAR PESERTA IN HOUSE TRAINING

PERIODE SEPTEMBER 2019

Intermediate Lean Management Tanda

Tanda Tangan Terima
NAMA Sertifikat
12-Sep-2019
No
08,30 - 17,00

PT. PELINDO HUSADA CITRA

1 Internal Audit
3 Administration, HC and Finance Auditor Noor Wendo, SE*

6 Risk & Quality Management

1 Executive Vice President Aprilia Laksmi Palupi, SKM.,M.Kes*

3 Quality Management Sukaryono, S.Si.,Apt*

RUMAH SAKIT PHC SURABAYA

1 Head of PHC Hospital

dr. Ikawati*

5 Medical

1 Senior Vice President 1 dr. Syaiful Adam

2 Emergency Room, Outpatient, 2 Agustina Retno W., S.Kep.,Ns

Ambulance and Mortuary Unit
3 Achmad Puji Kristanto, A.Md.Kep

4 Ika Yuni Wahyuni, S.Kep.,Ns

3 Clinical Nutrition, Hemodialysis, Medical 5 Candra Perwira, S.Kep., Ns.

Rehabilitation, Daycare Unit
6 Juni, Amd.

7 Mieke Christinawati, A.Md.Gz

8 Betty Lustigkes AJ, A.Md.Kep

4 Operation Room, Cardiovaskuler 9 dr. Teuku Arief Dian, Sp.OT

Intervention, Diagnostic and Anesthesia
Unit 10 Muhamad Hasan, A.Md.Kep

11 M. Ali Machrus, Amd.Kep

12 Nurjannah, Amd.Kep

6 Medical Support
1 Executive Vice President 13 dr. Rini Murtiasari

2 Radiology 14 Rachmat Nursamsu, A.Md.

3 Laboaratory, Microbiology, Blood 15 Yudi Prasetya, S. ST.

Service
16 Didik Prasetyana, A.Md.
 Intermediate Lean Management Tanda
Tanda Tangan Terima
NAMA Sertifikat
12-Sep-2019
No
08,30 - 17,00

4 MCU & OHS 17 Winarni, S.Kep, Ns

18 Ida Nuryani, S.Kep, Ns

7 Inpatient
1 Senior Vice President Rahayu Susiana, S.Kep.,Ns*

8 Nursing
1 Senior Vice President

2 Nurse Development Nurhayatiningsih, S.Kep.,Ns*

3 Quality & Ethic Nursing 19 Siti Afwiyah, S.Kep.,Ns

8 Pharmacy & CSSD

3 Pharmacy, Clinical Pharmacy & Risk Dika Febriany W., S..Farm.,Apt*
Management
PT. PELINDO 3

Kantor Pusat 20 Emil Puji Arifan

21 Tri Endah Mayasari

22 Erik Ferdinan Soleh Afif

Keterangan
* Tanda bintang sebagai instruktur pelatihan blok warna biru