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Formulir 9.

b Rekap Kepatuhan Upaya Pencegahan Resiko Cedera Ak

Ruang : Marwah
No Tanggal Nama No. RM Ranap Screening
1 5/1/2020 RINI LAELASARI 20-09-75-84 1
2 ANDHARA PUTRI 18-03-77-84 1
3 NURLELA 20-09-75-68 1
4 NOVI DEWI NINGRUM 20-09-75-52 1
5 NUNUNG SARIPAH 19-08-46-51 1
6 DEDE PIPIT 20-09-75-41 1
1 5/2/2020 NY. DEDE 20097541 1
2 NY. YANTI 20097504 1
3 NY. EUTIK 20097538 1
4 NY. ELSA 20097488 1
5 NY. ANDHARA 18037784 1
1 5/3/2020 AI SUSANTI , NY 16-01-72-39 1
2 YUYUN NURAENI, NY 14-00-55-29 1
3 JUARIAH 20-09-76-79 1
4 ROHAYATI 20-09-76-75 1
5 LIA YULIA 20-09-76-64 1
6 ROSMAWATI 20-09-75-31 1
7 TETI SURYATI 20-09-75-19 1
8 IRMA DWI RAHAYUNINGTYAS 20-09-76-42 1
9 NENG RIEN ROSALINA 20-09-76-21 1
1 5/4/2020 NESA NUR ASTUTI 20-09-77-39 1
2 SITI ASRIATUN 20-09-77-26 1
3 KIKI ZAKIAH 16-00-34-38 1
4 ROSI NOVANTI 20-09-76-94 1
5 NUNUNG NURHASANAH 20-09-64-58 1
6 AI SUSANTI , NY 16-01-72-39 1
7 YUYUN NURAENI, NY 14-00-55-29 1
8 PAULA 20-09-76-82 1
9 JUARIAH 20-09-76-79 1
10 LIA YULIA 20-09-76-64 1
11 IRMA DWI RAHAYUNINGTYAS 20-09-76-42 1
12 SUSI 20-09-24-30 1
13 NENG RIEN ROSALINA 20-09-76-21 1
1 5/5/2020 SRI MELANI OKTAVIANTI 20-09-78-30 1
2 NENG TETI 20-09-77-79 1
3 DINI SUMIYATI 20-09-71-31 1
4 NUNUNG NUR BAETI 20-09-58-72 1
5 NENI NURAENI 20-09-73-87 1
6 SITI SURYATI 20-09-77-88 1
7 NENDAHSARI 20-09-77-50 1
1 5/6/2020 NY AI SUSANTI 16017239 1
2 NY DINI 20097131 1
3 NY NENDAHSARI 20097750 1
4 NY WIWIN 20097721 1
5 NY RINI 20097584 1
6 NY NUNUNG 20095872 1
7 NY SITI ASRIATUN 20097726 1
8 NY NENI 20097387 1
1 5/7/2020 ILMA SYAMSI NURTIANI 20-09-79-42 1
2 SENI 20-09-79-40 1
3 DEWI 20-09-78-73 1
4 PIPIH SOPIAH 20-09-78-86 1
5 WINDA AULIA 20-09-78-35 1
6 SRI MELANI OKTAVIANTI 20-09-78-30 1
1 5/8/2020 NY. YENI 20097916 1
2 NY. SRI MELANI 20097830 1
3 NY. DEWI 20097873 1
4 NY. ILMA 20097942 1
5 NY. SENI 20097940 1
6 NY. DEDE 20097730 1
7 NY. SISKA 20097873 1
8 NY. INA 20097736 1
1 5/9/2020 NY. SENI 20097940 1
2 NY. ILMA 20097942 1
3 NY. NURJANAH 18042392 1
4 NY. SITI MASITOH 19061795 1
5 NY NENG HIAR 20097938 1
6 NY. TITIN 20097945 1
1 5/10/2020 ELI SAIDAH, NY 16-01-34-11 1
2 ANIK RATNA SUTAWAN 20-09-80-52 1
3 RINA DESTIAWAN 20-09-80-55 1
4 LISMAYA HANDAYANI 20-09-79-56 1
5 SITI AISAH 20-09-80-34 1
6 TINA RISNAWATI 20-09-80-29 1
1 5/11/2020 DEWI 20-09-81-09 1
2 ENUNG 20-09-81-16 1
3 IIS SITI AISAH 20-09-80-97 1
4 UUN UNASIH 20-09-81-28 1
5 MARTINA NEKE DESPRIANA 20-09-44-76 1
6 ELIS KUSMIATI 20-09-80-81 1
7 MIMI ROHAYATI 20-09-80-76 1
8 TITIN KARTINI 20-09-78-70 1
9 SRI ROSMAYANTI 20-09-80-66 1
10 ELI SAIDAH, NY 16-01-34-11 1
11 ANIK RATNA SUTAWAN 20-09-80-52 1
12 DARYATI 20-09-80-56 1
13 RINA DESTIAWAN 20-09-80-55 1
14 EEN YATI 20-09-80-49 1
15 LISMAYA HANDAYANI 20-09-79-56 1
16 TINA RISNAWATI 20-09-80-29 1
17 MUTIA MUTMAINUL QULUB 20-09-81-04 1
1 5/12/2020 DEDE SITI ROSINAH 20-09-82-09 1
2 RIRIN HERLINA 20-09-82-07 1
3 SARIPAH 20-09-81-77 1
4 NURUL CAHYANI 20-09-80-99 1
5 YUYUN YUNINGSIH 20-09-81-75 1
6 IIS SITI AISAH 20-09-80-97 1
7 MARTINA NEKE DESPRIANA 20-09-44-76 1
8 MIMI ROHAYATI 20-09-80-76 1
9 TITIN KARTINI 20-09-78-70 1
10 SRI ROSMAYANTI 20-09-80-66 1
11 ELI SAIDAH, NY 16-01-34-11 1
12 ANIK RATNA SUTAWAN 20-09-80-52 1
13 DARYATI 20-09-80-56 1
1 5/13/2020 SITI NURSAADAH 20-09-82-85 1
2 LILIS SURYANI 18-03-00-72 1
3 LIA SITI PATIMAH 20-09-82-70 1
4 YUYUN IDA WARNASIH 20-09-78-55 1
5 NUNUNG NUR BARIAH 19-07-82-63 1
6 INGELDA, NY 13-00-47-76 1
7 DEDE SITI ROSINAH 20-09-82-09 1
8 RIRIN HERLINA 20-09-82-07 1
9 ERNI HERAWATI 20-09-81-65 1
10 DEVI SRI MULYANI 20-09-82-06 1
11 LISNA SITI MAULIDAH 20-09-82-03 1
12 SARIPAH 20-09-81-77 1
13 LANI MELANI 20-09-81-84 1
14 NURUL CAHYANI 20-09-80-99 1
15 YUYUN YUNINGSIH 20-09-81-75 1
16 EGA ELAWATI 20-09-81-37 1
17 MULYATI 20-09-31-64 1
1 5/14/2020 ERNAWATI, NY 15-00-71-35 1
2 NOPI NURHALIPAH 20-09-83-29 1
3 NENDAHSARI 20-09-77-50 1
4 EMEH 20-09-83-38 1
5 YANTI 20-09-83-11 1
6 DEVI 20-09-83-05 1
7 SITI HARTINI 20-09-82-94 1
8 LILIS SURYANI 18-03-00-72 1
9 LIA SITI PATIMAH 20-09-82-70 1
10 EPA 20098148 1
11 INGELDA, NY 13-00-47-76 1
12 ULFAH SITI HASANAH 20-09-09-16 1
13 RIRIN HERLINA 20-09-82-07 1
14 ERNI HERAWATI 20-09-81-65 1
15 DEVI SRI MULYANI 20-09-82-06 1
16 LISNA SITI MAULIDAH 20-09-82-03 1
17 SARIPAH 20-09-81-77 1
1 5/15/2020 MELIA 20-09-83-86 1
2 ROHIMAH 15-01-30-58 1
3 OPIH SOPIAH 20-09-83-55 1
4 ERNAWATI 15-00-71-35 1
5 NOPI NURHALIPAH 20-09-83-29 1
6 NENDAHSARI 20-09-77-50 1
7 EMEH 20-09-83-38 1
8 YANTI 20-09-83-11 1
1 5/16/2020 ELA NURLAELASARI 15-00-88-34 1
2 RINA SAFARINA 20-09-83-63 1
3 IPAH SYARIPAH 20-09-60-17 1
4 KURNAESIH 20-09-84-24 1
5 HERLINA 20-09-84-19 1
1 5/17/2020 AI LELA 20-09-83-77 1
2 RAHMAWATI 20-09-84-67 1
3 SITI NURJANAH 20-09-84-65 1
4 WULAN ALISTIAN 20-09-84-64 1
5 DINA AULIA 20-09-84-62 1
6 IPAH SYARIPAH 20-09-60-17 1
7 KURNAESIH 20-09-84-24 1
8 HERLINA 20-09-84-19 1
9 YUNI JALPAH 19-07-81-79 1
1 5/18/2020 IIS LISNAWATI 20-09-84-91 1
2 NINING 20-09-85-38 1
3 WILI YULIANTI 20-09-15-64 1
4 MIMAH SITI HALIMAH 20-09-84-77 1
5 SITI NURJANAH 20-09-84-65 1
6 WULAN ALISTIAN 20-09-84-64 1
7 DINA AULIA 20-09-84-62 1
8 IIS ISTIQOMAH 17-01-83-02 1
1 5/19/2020 EVA NURHAYATI 20-09-85-94 1
2 AI MASITOH 20-09-85-62 1
3 DEDEH 20-09-85-61 1
4 UCU 20-09-85-56 1
5 IIS LISNAWATI 20-09-84-91 1
6 UCU YANTI 20-09-85-26 1
1 5/20/2020 YANI SURYANI 16-01-52-69 1
2 DEDEH 20-09-85-61 1
3 WULAN HANDAYANI 20-09-84-78 1
4 AI MASITOH 20-09-85-62 1
5 EVA NURHAYATI 20-09-85-94 1
6 SRI TRIA HASTUTI 20-09-86-26 1
7 NY SUSAN 20-09-86-31 1
8 NY LISMA 20-09-86-48 1
1 5/21/2020 NY RANI 20-09-98-69 1
2 NY DEA 19-07-07-68 1
3 NY LISNA 20-09-79-84 1
4 NY AI SITI 20-09-86-90 1
5 NY WULANSARI 20-09-86-71 1
6 NY ENUR 20-09-86-69 1
7 NY SUSAN 20-09-86-31 1
1 5/22/2020 NY RESTI 17-04-22-23 1
2 NY RANI 20-09-98-69 1
3 NY DEA 19-07-07-68 1
4 NY SINTA 20-09-87-42 1
5 NY AI HIDAYAT 19-06-47-42 1
1 5/23/2020 NY SINTA 20-09-87-42 1
2 NY AI HIDAYAT 19-06-47-42 1
3 NY WIWIN 20-09-87-52 1
4 JUJU JULAEHA 20-09-87-84 1
5 YANI SURYANINGSIH 20-09-87-75 1
1 5/24/2020 UCU SRI RAHAYU 20-09-87-74 1
2 YULI YULIANTI 20-09-87-64 1
3 YANTI 20-09-83-11 1
4 MILA SUSANTI 20-09-88-39 1
1 5/25/2020 WINDA NURAENI 20-09-88-85 1
2 ELIN SUHERLIN, NY 15-01-59-05 1
3 AAN NURHASANAH 17-01-50-14 1
4 DEWI AYU DAHLIA 20-09-88-46 1
5 SELVIA NOVITA SARI 16-00-73-75 1
6 UCU SRI RAHAYU 20-09-87-74 1
7 YULI YULIANTI 20-09-87-64 1
1 5/26/2020 SINTA MUTIARA 20-09-88-94 1
2 SINDI FITRIA 20-09-89-44 1
3 SRI MULYANI 20-09-84-95 1
4 INONG ROHAYATI 20-09-89-38 1
5 RANI 20-09-85-92 1
6 IKA KAMILAH 20-09-88-89 1
1 5/27/2020 RINI PURNAMA SARI 20-09-82-27 1
2 SUMIRAT 18-04-37-40 1
3 DENISA 20-09-90-19 1
4 SITI HARTINI 20-09-82-94 1
5 FIFIT FITRIANI 20-09-82-40 1
6 ITA 20-09-90-23 1
7 NENDEN SITI MARDIANI 20-09-89-34 1
8 SRI MULYANI 20-09-84-95 1
1 5/28/2020 TITA 20-09-91-11 1
2 RANTI NURAENI 20-09-90-73 1
3 ASTRI YULIANI 20-09-05-90 1
4 ENUR 20-09-90-88 1
5 DEDE NURMAWATI 20-09-90-76 1
6 NENDEN SITI MARDIANI 20-09-89-34 1
7 SRI MULYANI 20-09-84-95 1
8 IRMA SURYANI 20-09-73-89 1
9 SUMIRAT 18-04-37-40 1
10 FIFIT FITRIANI 20-09-82-40 1
11 CICIH 20-09-91-35 1
12 SERLY NURUL LAELY 20-09-91-42 1
13 DEIS TRISNAWATI 20-09-91-22 1
1 5/29/2020 MAMAY SOPIANA 20-09-91-74 1
2 ISEU HARTINI 20-09-91-67 1
3 DEDE ERNAWATI 20-09-90-82 1
4 ROSALINA 20-09-90-79 1
5 IMA SALMA AMATILLAH 20-09-90-62 1
6 RIKA WATI 20-09-90-55 1
7 LISNAWATI 20-09-90-54 1
8 LIA SITI PATIMAH 20-09-82-70 1
9 FIFIT FITRIANI 20-09-82-40 1
10 WIDANINGSIH 20-09-89-05 1
11 AI NURBAYATI 20-09-91-15 1
12 HARSINI 20-09-92-26 1
1 5/30/2020 NY MAMAY SOPIANA 20-09-91-74 1
2 NY ISEU HARTINI 20-09-91-67 1
3 NY ALAN 20-09-92-44 1
4 NY NITA NOVIANTI 20-09-92-68 1
5 NY IMA 20-09-90-60 1
6 NY LIA 20-09-82-70 1
7 NY LISNAWATI 20-09-90-54 1
8 NY SUSI 20-09-92-84 1
1 5/31/2020 NY AI SITI MUNAWAROH 20-09-92-72 1
2 NY SUSI 20-09-92-84 1
3 NY ULIS LISNAWATI 19-07-42-20 1
4 NY KHOERUNNISA 20-09-92-97 1
5 NY DEDE ERNAWATI 20-09-90-82 1
6 NY AI NUR ARDIAH 20-09-92-80 1
ncegahan Resiko Cedera Akibat Pasien Jatuh

Awal Ulang Edukasi P/TP/NA Keterangan


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Formulir 9.b Rekap Kepatuhan Upaya Pencegahan Resiko Cedera Akibat

Ruang : Marwah
No Tanggal Nama No. RM Ranap Screening Awal
1 6/1/2020 PUSPITASARI 20-09-93-03 1 1
2 IIS KURNIASARI 20-09-93-33 1 1
3 SINTA DEVI MIFTAHUL 20-09-92-24 1 1
1 6/2/2020 KHOERUNNISA 20-09-92-97 1 1
2 IIS KURNIASARI 20-09-93-33 1 1
1 6/3/2020 RINA 20-09-95-82 1 1
2 LIA NINGSIH 20-09-95-80 1 1
3 SEPTIA NUR ASIH 20-09-95-74 1 1
4 YOYOH HINDASAH 20-09-95-35 1 1
5 NENG KOMALA 20-09-95-18 1 1
6 ENONG ANITA TRESNAMAYA 20-09-94-51 1 1
7 ASIH NURSARI 20-09-93-67 1 1
8 ETI NURHAYATI 20-09-93-57 1 1
9 DINA NURPATWANI 20-09-93-29 1 1
10 NENG WULAN PEBRIANTI 20-09-93-04 1 1
11 HARNIS JAZIROH 20-09-66-21 1 1
12 SENI MULYANI 20-09-95-44 1 1
1 6/4/2020 IMAS WINDA 20-09-96-25 1 1
2 ELIN MARLIENA 20-09-96-00 1 1
3 WENDRITA 20-09-95-93 1 1
4 SYIPA NURAPIPAH 20-09-95-89 1 1
5 REZA FAUZIAH AINI 18-04-73-72 1 1
6 SITI NURYAMAH 20-09-95-63 1 1
7 YOYOH HINDASAH 20-09-95-35 1 1
8 NENG KOMALA 20-09-95-18 1 1
9 RINI HANDAYANI 20-09-95-37 1 1
10 SENI MULYANI 20-09-95-44 1 1
11 GITA RIANTI 20-09-95-42 1 1
12 ENUR NURHAYATI 20-09-95-12 1 1
13 ENONG ANITA TRESNAMAYA 20-09-94-51 1 1
1 6/5/2020 PIPIH PITRIYAWATI 20-09-96-53 1 1
2 SINTA PERMATASARI 20-09-94-95 1 1
3 IMAS WINDA 20-09-96-25 1 1
4 WENDRITA 20-09-95-93 1 1
5 SITI NURYAMAH 20-09-95-63 1 1
6 SENI MULYANI 20-09-95-44 1 1
7 ENUR NURHAYATI 20-09-95-12 1 1
8 FAUJIAH HARYATI 20-09-94-39 1 1
9 IIS MAYDA SANTIKA 20-09-96-58 1 1
1 6/6/2020 SINTA PERMATASARI 20-09-94-95 1 1
2 RENI 20-09-96-13 1 1
3 SITI LAELASARI 20-09-97-66 1 1
4 NURHASANAH 20-09-97-37 1 1
1 6/7/2020 SITI NARSIAH 20-09-97-54 1 1
2 SITI LAELASARI 20-09-97-66 1 1
3 MINA MARWATI 20-09-97-68 1 1
4 TANTI NOVIANI 20-09-98-00 1 1
5 IAH ADAWIAH 20-09-98-25 1 1
6 ROSMALA 20-09-97-86 1 1
7 ENUNG NURKAMILAH 20-09-98-20 1 1
1 6/8/2020 ROSMALA 20-09-97-86 1 1
2 TANTI NOVIANI 20-09-98-00 1 1
3 ITA 20-09-98-91 1 1
4 AMINAH 20-09-99-10 1 1
5 PIPIH 20-09-94-26 1 1
6 AI HERLINA 20-09-98-40 1 1
7 ANI 20-09-98-74 1 1
8 YUYU 20-09-93-92 1 1
9 DIDIH 18-04-65-03 1 1
10 LINDA 20-09-98-64 1 1
11 ANI NURYANI 20-09-98-08 1 1
12 MELANISA 20-09-98-92 1 1
13 SITI SAIDAH 20-09-99-13 1 1
1 6/9/2020 NENG YANTI 20-09-99-95 1 1
2 NENTI 20-09-98-82 1 1
3 YATI 20-09-93-79 1 1
4 ELIS 20-09-99-42 1 1
5 FITRIANI 20-09-98-14 1 1
6 HERLINA 20-09-99-91 1 1
7 ITA 20-09-98-91 1 1
8 LINDA 20-09-98-64 1 1
9 AMINAH 20-09-99-10 1 1
10 ANI 20-09-98-74 1 1
11 YUYU 20-09-93-93 1 1
1 6/10/2020 SUSI ASIYAH 19-06-01-78 1 1
2 POPONG 20-10-00-40 1 1
3 RENI ANGGRAENI 16-01-81-33 1 1
4 YOYOH HINDASAH 20-09-95-35 1 1
5 ITA ARNITA 20-09-99-93 1 1
6 ELIS NURFATIMAH 20-09-99-42 1 1
7 YUYU 20-09-93-92 1 1
8 ANI NURAINI 20-09-98-74 1 1
9 FITRI FAUZIAH 20-09-89-03 1 1
10 FITRIANI 20-09-98-14 1 1
11 AAM ROHIMAH 20-10-00-25 1 1
1 6/11/2020 NY ULAN 20-10-01-04 1 1
2 NY SUCI 20-10-00-76 1 1
3 NY YENI 15-01-29-37 1 1
4 NY SRI 20-10-01-41 1 1
5 NY CUCUM 20-09-67-59 1 1
6 NY ITA 15-00-47-37 1 1
7 NY TINI 20-10-01-72 1 1
8 NY TIKA 20-10-01-12 1 1
9 NY ANING 18-04-95-61 1 1
10 NY ELIS 20-09-99-42 1 1
11 NY YATI 20-09-93-79 1 1
12 NY HERLINA 20-09-99-91 1 1
13 NY APONG 20-10-00-28 1 1
14 NY NONENG 20-10-00-23 1 1
1 6/12/2020 RENI 20-09-96-13 1 1
2 EKAWATI 20-10-02-03 1 1
3 CUCUM KULSUM 20-09-67-59 1 1
4 TINA MUTMAINAH, S.PD.I 20-10-01-30 1 1
5 EMA NUR ASRIA 20-09-94-35 1 1
6 ANING HAERANI 18-04-95-61 1 1
7 NONENG SUSILAWATI 20-10-01-13 1 1
8 IRA HABIBUROHMAN 20-10-01-07 1 1
9 PUSPITASARI 20-09-93-03 1 1
10 SUCI NURLIYANTI PAJRIN 20-10-00-76 1 1
11 NONENG SUSILAWATI 20-10-00-23 1 1
12 GITA RIANTI 20-09-95-42 1 1
1 6/13/2020 EMA NUR ASRIA 20-09-94-35 1 1
2 DWI LUTPIATI 20-09-96-10 1 1
3 GITA RIANTI 20-09-95-42 1 1
4 RENI 20-09-96-13 1 1
5 GITA RIANTI 20-09-95-42 1 1
6 YUYUN 14-00-55-29 1 1
7 HERA DAMAYANTI 20-10-00-91 1 1
1 6/14/2020 PUSPITASARI 20-09-93-03 1 1
2 WATI 20-10-03-02 1 1
3 MILAH 20-10-03-22 1 1
4 TIKA ROSTIKA 20-09-92-01 1 1
5 YUYUN 14-00-55-29 1 1
6 PARIDA 14-01-56-87 1 1
7 AI NENI 19063015 1 1
8 OBANG 20100363 1 1
1 6/15/2020 DINI ASTAVINA SANI 20-10-04-72 1 1
2 MASITOH 20-10-04-64 1 1
3 DEWI SOFIYANTI 19-05-93-18 1 1
4 SURYANI 20-09-94-36 1 1
5 ENENG RISKA AMIMAH 20-10-03-77 1 1
6 AI NENI 19-06-30-15 1 1
7 TIKA ROSTIKA 20-09-92-01 1 1
8 TINI MARTINI 16-01-31-60 1 1
9 TINI FITRIANI HARI 20-10-01-72 1 1
10 FAUJIAH HAYATI 20-09-94-39 1 1
11 SILVI SITI SYAADAH 20-09-44-83 1 1
1 6/16/2020 FAUJIAH HAYATI 20-09-94-39 1 1
2 SILVI SITI SYAADAH 20-09-44-83 1 1
3 TINI MARTINI 16-01-31-60 1 1
4 SURYANI 20-09-94-36 1 1
5 MASITOH 20-10-04-64 1 1
6 ELIS 20-10-04-11 1 1
7 AI NENI 19-06-30-15 1 1
8 SUSI SUSILAWATI 20-10-03-03 1 1
9 WATI 20-10-03-02 1 1
10 PUSPITASARI 20-09-93-03 1 1
11 DINI ASTAVINA SANI 20-10-04-72 1 1
1 6/17/2020 SENI MULYANI 20-09-95-44 1 1
2 NURHAYATI 20-09-99-87 1 1
3 SITI ROHAYATI 20-10-00-62 1 1
4 LILIS SURYANI 20-10-04-83 1 1
5 LENI 20-10-04-65 1 1
6 SILVI SITI SYAADAH 20-09-44-83 1 1
7 TINI MARTINI 16-01-31-60 1 1
8 ENENG RISKA AMIMAH 20-10-03-77 1 1
9 WATI 20-10-03-02 1 1
10 PUSPITASARI 20-09-93-03 1 1
1 6/18/2020 TITA 20-10-07-54 1 1
2 SUSILAWATI 20-10-07-14 1 1
3 NURAENI 20-10-07-36 1 1
4 RISMAWATI APRILIANI 20-10-07-19 1 1
5 MAYA 20-10-06-60 1 1
6 ERMAWATI 20-10-05-99 1 1
7 MELINDA HERYANI 20-09-99-04 1 1
8 AISAH 20-09-44-46 1 1
1 6/19/2020 IMAS MASRUROH 20-10-04-27 1 1
2 DEDEH 20-10-08-13 1 1
3 AI BASARAH 20-10-03-67 1 1
4 NUNI HANDAYANI 20-10-07-56 1 1
5 SUSILAWATI 20-10-07-14 1 1
6 NURAENI 20-10-07-36 1 1
7 LENI 20-10-01-28 1 1
8 RISMAWATI APRILIANI 20-10-07-19 1 1
9 TUTI ALAWIYAH 20-10-05-68 1 1
1 6/20/2020 SITI FATIMAH 20-10-07-34 1 1
2 AI BASARAH 20-10-03-67 1 1
3 SUSILAWATI 20-10-07-14 1 1
4 AI DETI 20-10-07-61 1 1
5 YANI KUSYANI 20-10-07-59 1 1
6 IMAS 20-10-04-27 1 1
7 LENI 20-10-01-28 1 1
8 TUTI ALAWIYAH 20-10-05-68 1 1
9 AYU 20-10-08-59 1 1
10 SITI JENAB 20-09-87-34 1 1
1 6/21/2020 INDRI ANGGRAINI 20-09-12-79 1 1
2 SITI ZAENAB 20-09-87-34 1 1
3 TUTI ALAWIYAH 20-10-05-68 1 1
4 IMAS MASRUROH 20-10-04-27 1 1
5 AI BASARAH 20-10-03-67 1 1
6 YANI KUSYANI 20-10-07-59 1 1
7 TITA 20-10-07-54 1 1
8 LENI 20-10-01-28 1 1
9 LIA NUR AINI 20-10-07-75 1 1
1 6/22/2020 NIA KUSMIATI 20-10-01-79 1 1
2 LILIS AESIH 20-10-10-30 1 1
3 ANING HAERANI 18-04-95-61 1 1
4 IIS ASIYAH 20-10-10-10 1 1
5 IYAH 20-10-09-15 1 1
6 LIA NUR AINI 20-10-07-75 1 1
7 RINI ALAWI 20-10-08-87 1 1
8 ESA SALEHA 20-10-08-79 1 1
9 TUTI RAUDHATULL JANNAH 20-10-08-81 1 1
10 TUTI ALAWIYAH 20-10-05-68 1 1
1 6/23/2020 RISEU NURHAYATI 19-06-47-33 1 1
2 DIDIH 18-04-65-03 1 1
3 FAUJIAH HAYATI 20-09-94-39 1 1
4 PIPIH SOPIANI 20-10-10-43 1 1
5 RISKA SULASTRI 20-10-10-63 1 1
6 BETI NURHAYATI 20-10-04-43 1 1
7 NINA HERLINA 20-10-04-29 1 1
8 LILIS AESIH 20-10-10-30 1 1
9 ANING HAERANI 18-04-95-61 1 1
10 RISMAWATI 20-10-10-35 1 1
11 IIS ASIYAH 20-10-10-10 1 1
12 NUR ISTIQOMAH 20-10-11-10 1 1
13 NIKA ANGGRAENI 20-09-80-86 1 1
14 IYAH 20-10-09-15 1 1
15 LIA NUR AINI 20-10-07-75 1 1
16 INDRI ANGGRAINI 20-09-12-79 1 1
1 6/24/2020 LINDA 20-10-11-32 1 1
2 AYU SITI MIRNAWATI 20-10-11-31 1 1
3 NURHAYATI 20-10-11-30 1 1
4 NUR ISTIQOMAH 20-10-11-10 1 1
5 YANI EKI INDRIANI 20-10-10-87 1 1
6 RISEU NURHAYATI 19-06-47-33 1 1
7 DIDIH 18-04-65-03 1 1
8 FAUJIAH HAYATI 20-09-94-39 1 1
9 PIPIH SOPIANI 20-10-10-43 1 1
10 RISKA SULASTRI 20-10-10-63 1 1
11 BETI NURHAYATI 20-10-04-43 1 1
1 6/25/2020 RISKA SULASTRI 20-10-10-63 1 1
2 AYU SITI MIRNAWATI 20-10-11-31 1 1
3 YANI EKI INDRIANI 20-10-10-87 1 1
4 LINDA 20-10-11-32 1 1
5 AI SARIPAH 20-10-12-24 1 1
6 RIDAWATI 20-09-96-27 1 1
7 MULYATI 17-00-27-60 1 1
8 MONA TRI ARTIKA 20-10-12-66 1 1
9 ATIYATU 20-10-06-67 1 1
10 RANTI ROSHAYANTI 20-10-13-05 1 1
11 YAYAH 19-07-14-32 1 1
12 DEWI SINTA 17-00-57-98 1 1
13 LINA 20-10-12-35 1 1
1 6/26/2020 AI SARIPAH 20-10-12-24 1 1
2 ROHIMAH 20-10-11-70 1 1
3 IYAH 20-10-09-15 1 1
4 HENI ROHANIAH 20-10-11-59 1 1
5 RIDAWATI 20-09-96-27 1 1
6 MULYATI 17-00-27-60 1 1
7 MONA TRI ARTIKA 20-10-12-66 1 1
8 RANTI ROSHAYANTI 20-10-13-05 1 1
9 NONOK NURHAYATI 20-10-12-97 1 1
10 RAHMI 17-02-10-87 1 1
11 AI RISDAYANTI 18-03-64-06 1 1
12 DEWI SINTA 17-00-57-98 1 1
1 6/27/2020 IRMA NURMALA 20-09-89-96 1 1
2 SITI NURAISYAH 20-10-12-84 1 1
3 RAHMI 17-02-10-87 1 1
4 RIDAWATI 20-09-96-27 1 1
5 MULYATI 17-00-27-60 1 1
6 MONA TRI ARTIKA 20-10-12-66 1 1
7 DEWI SINTA 17-00-57-98 1 1
8 SUSILAWATI 20-10-06-84 1 1
9 PIA AGUSTIN 18-02-56-12 1 1
10 NONOK NURHAYATI 20-10-12-97 1 1
11 AI RISDAYANTI 18-03-64-06 1 1
12 SITI ROHMAYATI 20-10-14-02 1 1
13 DEWI 20-10-10-90 1 1
14 ANI 20-10-14-17 1 1
1 6/28/2020 ANI 20-10-14-17 1 1
2 LILIS 18-03-00-72 1 1
3 ADE NUR 20-10-14-12 1 1
4 IMAS 20-09-99-33 1 1
5 NENENG 20-09-35-14 1 1
6 EUIS 20-10-14-26 1 1
7 RANI 20-10-14-43 1 1
8 SITI 20-10-96-53 1 1
1 6/29/2020 LASI SRI RAHMAWATI 20-10-02-10 1 1
2 AAY ROHAYATI 19-08-10-62 1 1
3 KURNIASIH 20-10-15-88 1 1
4 LINDA 20-10-11-32 1 1
5 SITI NURLAELI 20-10-15-28 1 1
6 NURJANAH 20-10-15-30 1 1
7 AI FITRI HENDRAYANI 20-10-15-64 1 1
8 TINI KARTINI 20-10-09-81 1 1
9 AI RIANTI AGUSTIN 20-10-15-60 1 1
1 6/30/2020 SUSI SUSANTI 17-01-86-97 1 1
2 DIDIH 18-04-65-03 1 1
3 IKA MARWATI 20-10-16-50 1 1
4 SANTI MULYANI 20-10-16-09 1 1
5 WIWIN WIDIANINGSIH 20-09-95-16 1 1
6 UMI SUMIATI 20-10-16-47 1 1
7 AI FITRI HENDRAYANI 20-10-15-64 1 1
8 NUR HASANAH 20-10-15-59 1 1
9 TINI KARTINI 20-10-09-81 1 1
10 SUMIYATI 20-10-15-27 1 1
11 AI RIANTI AGUSTIN 20-10-15-60 1 1
12 ROHAYANI 20-10-14-89 1 1
an Resiko Cedera Akibat Pasien Jatuh

Ulang Edukasi P/TP/NA Keterangan


NA 1 P
1 1 P
NA 1 P
NA 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
1 1 P
1 1 P
1 1 P
NA 1 P
NA 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
1 1 P
1 1 P
NA 1 P
NA 1 P
1 1 P
NA 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
NA 1 P
1 1 P
NA 1 P
1 1 P
NA 1 P
NA 1 P
NA 1 P
1 1 P
NA 1 P
NA 1 P
NA 1 P
1 1 P
NA 1 P
NA 1 P
NA 1 P
NA 1 P
NA 1 P
1 1 P
NA 1 P
NA 1 P
1 1 P
NA 1 P
1 1 P
NA 1 P
NA 1 P
NA 1 P
1 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
NA 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
NA 1 P
NA 1 P
NA 1 P
NA 1 P
NA 1 P
NA 1 P
NA 1 P
NA 1 P
NA 1 P
NA 1 P
NA 1 P
NA 1 P
NA 1 P
NA 1 P
NA 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
1 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
NA 1 P
1 1 P
1 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
NA 1 P
NA 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
NA 1 P
NA 1 P
NA 1 P
1 1 P
1 1 P
NA 1 P
NA 1 P
1 1 P
1 1 P
NA 1 P
1 1 P
NA 1 P
1 1 P
NA 1 P
NA 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
1 1 P
Formulir 9.b Rekap Kepatuhan Upaya Pencegahan Resiko Cedera Akibat Pa

Ruang : Marwah
No Tanggal Nama No. RM Ranap Screening
1 7/1/2020 SITI AGUSTIN 17-01-78-66 1
2 SANTI MULYANI 20-10-16-09 1
3 MAYA 18-03-12-83 1
4 IKA MARWATI 20-10-16-50 1
5 SITI MARYAM 20-10-16-92 1
6 DEWI 19-05-93-18 1
7 CHINDI 20-10-17-51 1
8 DEDE NITA 20-10-17-75 1
9 YULIANI 20-09-78-62 1
10 SINDI SALANIAH 20-10-17-46 1
11 MAIMANAH 20-10-17-35 1
12 IRNA 20-10-14-61 1
13 ERNA 17-01-70-21 1
14 DEWI SAIDAH 20-10-09-24 1
1 7/2/2020 ASTRI 20-10-18-44 1
2 RINA 20-10-18-74 1
3 LIA 20-10-18-68 1
4 SITI AGUSTIN 17-01-78-66 1
5 HANI 20-10-15-44 1
6 ANISA 20-10-16-78 1
7 MAYA 18-03-12-83 1
8 SANTI MULYANI 20-10-16-09 1
9 DIDIH 18-04-65-03 1
10 KOKOY 20-10-16-95 1
11 YULIANI 20-09-78-62 1
12 FADILA 20-10-17-83 1
13 SINDI 20-10-17-46 1
1 7/3/2020 SANTI 20-10-11-55 1
2 CARMANAH 20-08-79-27 1
3 ASTRI APRIANTI 20-10-18-44 1
4 MILA SARI 20-10-18-05 1
5 DIDIH 18-04-65-03 1
6 DESI MARLINA 20-10-19-49 1
7 AYU APRILIANI 20-10-08-59 1
8 RENI IRAWATI 20-09-77-25 1
9 NUR ISTIQOMAH 20-10-11-10 1
10 ENTIN 20-10-18-83 1
11 RINA 20-10-18-74 1
12 LIA OCTAVIA 20-10-19-66 1
1 7/4/2020 LIDAWATI 20-10-19-73 1
2 FAUZIAH RAMDANI 20-10-18-20 1
3 LIA OKTAVIA 20-10-19-66 1
4 AYU APRILIANI 20-10-08-59 1
5 RENI IRAWATI 20-09-77-25 1
6 SITI AISYAH NURDIANI 20-10-16-66 1
7 AI RINI 20-10-18-85 1
8 LIA ERPIANA 20-10-18-68 1
9 SANTI 20-10-11-55 1
10 CARMANAH 20-08-79-27 1
1 7/5/2020 PUPUNG 20-10-20-73 1
2 SUSILAWATI 20-10-06-84 1
3 SANTI SUSANTI 20-09-54-85 1
4 DELIS 19-07-39-00 1
5 RODIAH 20-10-19-11 1
6 MEGA NURMALA PUTRI 20-10-20-42 1
7 LINDA MARISHA 20-10-20-26 1
8 HOMSAH 16-01-55-39 1
9 WATI HERWATI 20-10-19-98 1
10 AI NEDAWATI 20-10-19-83 1
11 LIDAWATI 20-10-19-73 1
12 RENI IRAWATI 20-09-77-25 1
1 7/6/2020 UCI ROHAYATI 20-10-21-54 1
2 YAYU 20-10-21-27 1
3 AYU LESTARI 20-10-21-33 1
4 SANTI SUSANTI 20-09-54-85 1
5 LAZULFHA FERJANNAH 20-10-19-12 1
6 MEGA NURMALA PUTRI 20-10-20-42 1
7 DEVI KUSHARTINUR 20-10-20-36 1
8 LINDA MARISHA 20-10-20-26 1
9 KUSRINI 20-10-19-74 1
10 EVA SILVIANA 20-10-21-02 1
11 ILAH DARLIAH 20-10-20-93 1
12 AI RIYA 20-10-21-77 1
13 SRI UTAMI GANTINI 20-10-21-74 1
14 LINA SUMARNI 20-10-03-79 1
1 7/7/2020 ENUR 20-10-09-94 1
2 ANITA NURMALASARI 18-02-39-93 1
3 LIA NURSITI 20-10-22-25 1
4 SITI 18-04-93-63 1
5 TITIN SITI LISNAWATI 20-10-21-87 1
6 ILAH DARLIAH 20-10-20-93 1
7 AI RIYA 20-10-21-77 1
8 SRI UTAMI GANTINI 20-10-21-74 1
9 LINA SUMARNI 20-10-03-79 1
10 YUNI NURMALASA SANTI 17-00-44-06 1
11 UCI ROHAYATI 20-10-21-54 1
12 YAYU 20-10-21-27 1
13 ADE FITRI NURHAPIPAH 18-04-10-02 1
14 PUPUNG 20-10-20-73 1
15 SUSILAWATI 20-10-06-84 1
16 SANTI SUSANTI 20-09-54-85 1
17 LAZULFHA FERJANNAH 20-10-19-12 1
1 7/8/2020 YETI 20-10-23-55 1
2 SOIDAH 20-10-23-34 1
3 DEDE KURNIASIH 20-09-94-09 1
4 YENI RAHMWATI 16-01-56-77 1
5 ENUR 20-10-09-94 1
6 ANITA NURMALASARI 18-02-39-93 1
7 NENTI SURYANINGSIH 20-10-21-14 1
8 SITI 18-04-93-63 1
9 TITIN SITI LISNAWATI 20-10-21-87 1
10 ILAH DARLIAH 20-10-20-93 1
11 AI RIYA 20-10-21-77 1
12 LINA SUMARNI 20-10-03-79 1
1 7/9/2020 NIA KARTINI 20-10-24-12 1
2 NURHAYATI 20-10-18-95 1
3 MULYANI 20-10-23-80 1
4 TETI 20-10-05-93 1
5 RANTI MAELANI 20-10-23-72 1
6 YETI 20-10-23-55 1
7 FITRI MEILANI 20-09-94-31 1
8 INTAN 20-10-23-27 1
9 YENI RAHMWATI 16-01-56-77 1
1 7/10/2020 NIA KARTINI 20-10-24-12 1
2 MULYANI 20-10-23-80 1
3 TETI 20-10-05-93 1
4 RANTI MAELANI 20-10-23-72 1
5 FITRI MEILANI 20-09-94-31 1
6 INTAN 20-10-23-27 1
7 WINDI 20-10-25-13 1
8 NUNUNG MUNAWAROH 20-10-22-50 1
9 SITI SAADAH 20-10-26-04 1
10 NENI MARTINI 20-10-25-12 1
11 AI SITI SOLIHAH 20-10-25-11 1
1 7/11/2020 SITI SAADAH 20-10-26-04 1
2 VINA 20-10-26-16 1
3 NENI MARTINI 20-10-25-12 1
4 AI SITI SOLIHAH 20-10-25-11 1
5 AI APIPAH 20-10-26-06 1
6 NUNUNG MUNAWAROH 20-10-22-50 1
7 SARAH 20-10-24-37 1
8 ADE ONENG 20-10-26-13 1
9 NIA KARTINI 20-10-24-12 1
10 SITI KAMILAH 19-07-18-52 1
1 7/12/2020 SUSI LAWATI 17-00-41-53 1
2 AAS 20-09-10-88 1
3 TITA ROSPITA 20-10-26-61 1
4 YETI 20-10-23-55 1
5 YAYAH 20-10-26-36 1
6 SITI KAMILAH 19-07-18-52 1
1 7/13/2020 SITI PARIDA 20-10-26-57 1
2 FINI FRIANTINI , S.PD 19-06-10-21 1
3 NASAH 20-09-98-41 1
4 EUIS SUSILAWATI 20-10-14-26 1
5 IRMA YANTI 20-10-27-67 1
6 RESTI MARETA 20-10-27-07 1
7 FIKI YULIANTI 20-10-27-53 1
8 SITI ROKAYAH 17-01-88-34 1
9 ATI SUNARTI 20-10-27-96 1
10 SITI RAHMAWATI 20-10-27-43 1
11 LINDA MARISHA 20-10-20-26 1
12 ELIS NURHAYATI 20-10-27-02 1
13 MELA S M 20-10-26-91 1
1 7/14/2020 NURAENI 20-10-30-29 1
2 IRMA 20-10-30-21 1
3 NUNI HANDAYANI 20-10-07-56 1
4 FINI FRIANTINI , S.PD 19-06-10-21 1
5 NASAH 20-09-98-41 1
6 EUIS SUSILAWATI 20-10-14-26 1
7 IRMA YANTI 20-10-27-67 1
8 SITI RAHMAWATI 20-10-27-43 1
9 ROSITA SAFITRI 20-10-26-59 1
10 SITI PARIDA 20-10-26-57 1
11 YETI 20-10-23-55 1
12 NUR ISTIQOMAH 20-10-11-10 1
13 DEWI SUMIATI 20-10-28-42 1
1 7/15/2020 FINI FRIANTINI 19-06-10-21 1
2 ANISA ABDIAH 20-10-28-45 1
3 MIRNA SEPTIANZANI 19-07-72-16 1
4 MILA SUSANTI 20-09-88-39 1
5 RIAH HOERIAH 20-10-29-60 1
6 NASAH 20-09-98-41 1
7 IRMA 20-10-30-21 1
8 IRMA YANTI 20-10-27-67 1
9 EUIS SUSILAWATI 20-10-14-26 1
10 DEWI SUMIATI 20-10-28-42 1
11 SITI MASITOH 20-10-29-51 1
12 NUNI HANDAYANI 20-10-07-56 1
1 7/16/2020 DEDE ROSITA 20-10-31-23 1
2 AI NURAENI 20-10-30-91 1
3 YANI YULIANI 20-10-30-74 1
4 IDA FARIDA 20-10-16-31 1
5 MAYA KUSMAYANTI, NY 15-01-02-86 1
6 MAE 20-10-10-49 1
7 SRI AGUSTINI 20-10-07-10 1
8 AAM AMINAH 20-10-30-69 1
9 PIPIH 18-05-06-10 1
10 MIRNA SEPTIANZANI 19-07-72-16 1
11 MAYA SURYANI 20-10-30-45 1
12 IRMA APRIANTI 20-10-30-44 1
13 TETIN NAFIAH 19-07-73-62 1
1 7/17/2020 ENUR KANIA 20-10-31-99 1
2 AAM AMINAH 20-10-30-69 1
3 PIPIH 18-05-06-10 1
4 MAYA SURYANI 20-10-30-45 1
5 IRMA APRIANTI 20-10-30-44 1
6 TETIN NAFIAH 19-07-73-62 1
7 NURAENI 20-10-30-29 1
8 NUR SRI WAHYUNI 16-01-21-66 1
1 7/18/2020 SITI ROHAYATI 20-10-00-62 1
2 WATI 20-10-32-47 1
3 TITA SITI NURAISYAH 20-10-32-63 1
4 RESI 20-10-31-70 1
5 RANI 20-10-31-62 1
6 SRI MULYANI 20-10-32-74 1
7 SITI APIAH 20-09-30-99 1
8 IIS KOMALASARI 20-10-32-96 1
1 7/19/2020 WATI 20-10-32-47 1
2 TITA SITI NURAISYAH 20-10-32-63 1
3 SITI ROHAYATI 20-10-00-62 1
4 SRI MULYANI 20-10-32-74 1
5 SITI APIAH 20-09-30-99 1
6 IIS KOMALASARI 20-10-32-96 1
7 NUNUNG 20-10-32-80 1
8 HENI ROSITA 20-10-32-83 1
9 SARAH AZHARI 20-10-33-13 1
10 KHOTIMAH 20-10-32-92 1
11 AI SITI WAHYUNI 19-07-64-91 1
1 7/20/2020 ADE LINA 20-10-34-29 1
2 TITA ROSITA 20-10-33-79 1
3 FITRI SUNDARI 20-10-34-17 1
4 DEDE SUMARNI 20-09-79-57 1
5 YULIANA 20-09-96-18 1
6 FITRI HANIPAH 20-09-49-80 1
7 NUNUNG 20-10-32-80 1
1 7/21/2020 YANTI 20-10-36-56 1
2 ASRI 17-02-16-12 1
3 AI ROHAYATI 20-10-36-50 1
4 ENUR NURHAYATI 20-10-36-46 1
5 IIN MULYATI 20-10-36-43 1
6 WAWAT ROSMAWATI 20-10-35-26 1
7 YENI NURLITAYANI 20-10-34-13 1
8 INGRID RIDNIAWATI 20-10-35-74 1
9 SITI ZAKIAH ABSORIYAH 20-10-34-82 1
10 HENI SUMIATI 20-10-34-56 1
11 INA ROSTIAWATI 17-01-72-42 1
12 IMAS MASRIQOH 20-10-36-55 1
1 7/22/2020 ASRI 17-02-16-12 1
2 AI ROHAYATI 20-10-36-50 1
3 SITI AISYAH 20-10-36-49 1
4 ENUR NURHAYATI 20-10-36-46 1
5 IIN MULYATI 20-10-36-43 1
6 WAWAT ROSMAWATI 20-10-35-26 1
7 YENI NURLITAYANI 20-10-34-13 1
8 INGRID RIDNIAWATI 20-10-35-74 1
1 7/23/2020 IIN 20-10-38-21 1
2 ETI 20-10-38-11 1
3 TINI MARYATI 20-10-37-79 1
4 LAILATUL PAROHAH 20-10-37-67 1
5 NIA RUKONAH 19-07-50-18 1
6 RESTI 20-10-31-01 1
7 SITI ROHIMAH 20-10-36-98 1
8 YANTI 20-10-36-56 1
9 SITI AISYAH 20-10-36-49 1
10 ENUR NURHAYATI 20-10-36-46 1
11 YENI NURLITAYANI 20-10-34-13 1
12 INGRID RIDNIAWATI 20-10-35-74 1
13 HERNA NURFADILAH 20-10-35-42 1
14 MEGA WIDA WATI 20-10-35-28 1
15 RESI MAKIAH 20-10-37-41 1
1 7/24/2020 HERNA NURFADILAH 20-10-35-42 1
2 SITI AISYAH 20-10-36-49 1
3 YENI NURLITAYANI 20-10-34-13 1
4 INGRID RIDNIAWATI 20-10-35-74 1
5 IMAS MASRIQOH 20-10-36-55 1
6 ENUR NURHAYATI 20-10-36-46 1
7 LAILATUL PAROHAH 20-10-37-67 1
8 TINI MARYATI 20-10-37-79 1
1 7/25/2020 SITI AISYAH 20-10-36-49 1
2 IMAS MASRIQOH 20-10-36-55 1
3 LAILATUL PAROHAH 20-10-37-67 1
4 SITI ROHIMAH 20-10-36-98 1
5 RESI MAKIAH 20-10-37-41 1
6 RIKA 20-10-37-17 1
7 IIN 20-10-38-21 1
1 7/26/2020 SITI MUNAWAROH 15-01-88-28 1
2 ENUR NURHAYATI 20-10-38-67 1
3 HENHEN NURAENI 19-08-38-12 1
4 PIPIH SOPIAH 20-10-38-40 1
5 ANISAH 20-10-38-39 1
6 SITI SYARAH PAUZIYAH 20-10-37-62 1
7 SITI ROHIMAH 20-10-37-96 1
8 SUSILAWATI 20-10-38-24 1
9 WIWI WINA WIDAYANTI 20-10-38-50 1
1 7/27/2020 HASILAH 20-10-34-32 1
2 HETI SUMIATI 20-09-69-70 1
3 NURHALIZA 15-01-90-81 1
4 ROHAYATI 17-01-58-47 1
5 WIKA RATNASARI 14-00-97-03 1
6 RATNANINGSIH 20-10-39-08 1
7 AI RANI 20-10-20-74 1
8 TITA KHOERUNNISA 20-10-20-92 1
9 SITI SYARAH PAUZIYAH 20-10-37-62 1
10 SITI MUNAWAROH 15-01-88-28 1
11 ITOH 20-10-13-47 1
12 HANI HARYANI 20-10-36-63 1
13 ENUR NURHAYATI 20-10-38-67 1
14 HENHEN NURAENI 19-08-38-12 1
15 SITI PATONAH 20-10-38-94 1
1 7/28/2020 TITA SITI NURAISYAH 20-10-32-63 1
2 HASILAH 20-10-34-32 1
3 HETI SUMIATI 20-09-69-70 1
4 ROHAYATI 17-01-58-47 1
5 WIKA RATNASARI 14-00-97-03 1
6 RATNANINGSIH 20-10-39-08 1
7 AI RANI 20-10-20-74 1
8 TITA KHOERUNNISA 20-10-20-92 1
9 SITI PATONAH 20-10-38-94 1
10 IMAS MASRIQOH 20-10-36-55 1
11 DEDE YANI 20-10-41-35 1
12 WULANDARI 20-10-40-92 1
1 7/29/2020 SITI NURULFUADAH 18-04-34-45 1
2 SRI MEGAWATI 20-10-40-88 1
3 ROSITA 20-10-40-31 1
4 RIMA 15-00-73-44 1
5 AI RANI 20-10-20-74 1
6 IPIT 20-10-40-98 1
7 ELIS LISNAWATI 20-08-73-12 1
8 WIKA RATNASARI 14-00-97-03 1
9 SINSIN 19-08-70-54 1
10 KARTIKA 20-10-41-00 1
11 ENOK 20-10-41-89 1
12 HETI SUMIATI 20-09-69-70 1
13 NURAISAH 20-10-40-67 1
14 AI SARIKAH 20-09-93-97 1
15 ROHAYATI 17-01-58-47 1
16 WULANDARI 20-10-40-92 1
1 7/30/2020 ROSITA 20-10-40-31 1
2 RIMA 15-00-73-44 1
3 TITA KHOERUNNISA 20-10-20-92 1
4 DEDE 20-10-41-35 1
5 ELIS LISNAWATI 20-08-73-12 1
6 ENOK 20-10-41-89 1
7 AI SARIKAH 20-09-93-97 1
8 ANI 20-10-29-96 1
9 MAESAROH 20-10-42-25 1
1 7/31/2020 NINGSIH 20-10-43-54 1
2 EMPONG 20-10-43-16 1
3 ERNI BT JUNAEDI 20-10-43-24 1
4 SURYANI 20-10-42-82 1
5 ANI INAYAH 20-10-29-96 1
ncegahan Resiko Cedera Akibat Pasien Jatuh

Awal Ulang Edukasi P/TP/NA Keterangan


1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 1 1 NA 4
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 1 1 NA 4
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 1 1 NA 4
1 NA NA NA 2
1 NA NA NA 2
1 NA NA NA 2
1 1 1 NA 4
1 NA NA NA 2
1 1 1 NA 2
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
Formulir 9.b Rekap Kepatuhan Upaya Pencegahan Resiko Cedera Akib

Ruang : Marwah
No Tanggal Nama No. RM Ranap Screening
1 8/1/2020 ANI 20102996 1
2 MAESAROH 20104225 1
3 NINA 20104238 1
4 IPIT 20104165 1
1 8/2/2020 IDA 20-09-22-32 1
2 DEDE YUNINGSIH 20-10-42-73 1
3 YULI YULIANA 17-00-52-14 1
4 KOMANG NOVI 20-10-44-08 1
5 IRMA MASRIAH 17-02-00-50 1
6 IMAS MASUROH 20-10-43-83 1
7 AI ELAH 20-10-43-77 1
8 IMAS ROSMIATI 20-10-43-49 1
9 MIMIN 20-10-41-47 1
1 8/3/2020 SITI ZAETUN 20-09-90-65 1
2 FITRI LESTARI 20-10-19-30 1
3 IDA 20-09-22-32 1
4 ELI YULIANI 20-10-44-31 1
5 YULI YULIANA 17-00-52-14 1
6 IRMA MASRIAH 17-02-00-50 1
7 IMAS MASUROH 20-10-43-83 1
8 NISA PUSPITA 20-10-43-82 1
1 8/4/2020 MAYASARI 20-10-46-64 1
2 DEWI YULIANTI 20-10-09-91 1
3 MIRA SUSILAWATI 20-10-45-91 1
4 NENI ROHAENI 20-10-40-24 1
5 RISMAWATI 20-10-45-18 1
6 NURHAYATI 20-10-26-47 1
7 SANTI SULASTRI 20-10-44-15 1
1 8/5/2020 SUMIATI 20-10-48-38 1
2 ENGKIN 20-10-11-60 1
3 NURAENI 20-10-47-82 1
4 AMALIA SOLIHAH 20-10-13-07 1
5 INTAN RAHMALIA 20-10-47-42 1
6 MIA WULAN SARI 20-10-46-91 1
7 IKOH 20-10-46-85 1
8 MAYASARI 20-10-46-64 1
9 MIRA SUSILAWATI 20-10-45-91 1
10 CUCIH 20-09-44-45 1
11 NENI ROHAENI 20-10-40-24 1
1 8/6/2020 IMAS MARYANI 20-10-49-00 1
2 IIN MULYATI 20-10-36-43 1
3 IIM HALIMAH 20-09-96-30 1
4 WINA YULYANA 20-10-44-38 1
5 NURAENI 20-10-47-82 1
6 EMI HAMIDAH 20-10-47-64 1
7 SITI AISYAH 20-10-47-32 1
han Resiko Cedera Akibat Pasien Jatuh

Awal Ulang Edukasi P/TP/NA Keterangan


1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 NA 1 P
1 1 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P
1 1 1 P
1 NA 1 P

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